ʻO Rhesus-ke kaua ma ka hānau mua

I ka hapanui o nā poʻe o ke ao holoʻokoʻa, loaʻa nā kinaila Rh i nā kinikopaʻulaʻula. ʻO iaʻano koko kūponoʻo Rh. Ke heleʻole kēia pūmua, e kapaʻia ke kokoʻo Rh-negative. ʻO kēia hiʻohiʻona ka hoʻoilina maoli aʻaʻole e pili i ke ola kanaka. I loko o ka'ōpū, loaʻa kahi pilikia o Rh-conflict. Hoʻokumu i kahi hana hewa i loko o kahi keiki me ke koko Rh-kūpono, i loaʻa mai iā ia mai kona makua kāne mai, akāʻo ka makuahine maikaʻiʻole ia, aʻo ka hope.

Hanaʻia o nā Ui i loko o ka hānauʻana

Me kēia hana hewa, hiki i nā kauka ke lanakila i ka hakakā, akā, he mea nui e huli i ke kōkua kino i kahi manawa kūpono. ʻO ka maʻamau,ʻo Rhesus ka hakakā keʻikeʻia i ka manawa o ka hānauʻanaʻelua,ʻoiai inā pau ka mea mua ma ka hāpaiʻana, a iʻole ka hāpū. Hiki i nā hōʻailona ke alakaʻi i ka pilikia, a hiki i ka hānauʻana ma mua o ka manawa a me ka hānauʻana. Akā, e hiki ke hōʻoleʻia nā hopena weliweli, no nāʻano hou o ka hōʻailona, ​​a me ka maʻi.

I nā makuahine o ka wā e hiki mai ana i nā mea kūponoʻole, e paipai ana ke kauka i nā kaʻina hana nei:

• nā hōʻailona kūikawā kahiko;
• i loko o 28 mau hebedoma, kahiʻokoʻa kūikawā o immunoglobulin anti-rhesus;
• e hana hou i ka maʻi ma hope o ka hānauʻana, pono e hanaʻia i loko o 72 mau hola, ma kahi i loaʻa ai ke koko i ka pēpē a me kahi whesus'ē aʻe ma waho o ka makuahine.

Inā loaʻa ka piʻiʻana o ka'āpana antibody titer (kahiʻano o ka ho'āʻoʻana i ke koko), e loaʻa i ka makuahine i ka wā e hiki mai ana he ultrasound e loiloi i keʻano o ka'ōpiopio. Hiki i ke kauka ke kuhikuhi i kahi mea kuhikuhi i kekahi haukapila. I kekahi manawa he pono e hana i kahi noiʻiʻana o ke koko o ka umbilical cord or fluid amniotic. ʻO kēia mau kaʻina hana ua kauʻia ma muli o nā hōʻailona. ʻO kahi laʻana, hiki iā lākou ke lawelaweʻia i nā wāhine i loaʻa i nāʻahaʻeha i ka hakakā Rhesus, aiʻole inā heʻelua manawa o lākou i hānau, a ua hānauʻia ka pēpē mua me kahi maʻiʻeha o ka maʻi hemolytic.

ʻO kekahiʻano kūpono e lapaʻau ai i ka maʻi maʻi he hoʻokahe koko i ka'ōpiopio. Hoʻoponoponoʻia ka hana ma ka halemai. Ua hoʻohana muaʻia a me nāʻano'ē aʻe. ʻO nā kumu 2 nui no ka mālamaʻana i ka Rh rhesus-conflict ma ka wā o ka hāpaiʻana he plasmapheresis a me ka transplantation o kaʻili o ka makuahine o ka pēpē i ka makuahine e hiki mai ana. I kēia manawa,ʻano paʻakikīʻole kēia mauʻano, no ka mea, he nui nā kauka e manaʻo neiʻaʻole he pono.

Ināʻoe e hoʻolohe pono i ka'ōlelo aʻo a ke kauka, hiki i ka makuahine manaʻolana keʻae i ka pēpē maikaʻi. Hoʻonohoʻia nā papahana o ka hoʻounaʻana e ke kaukahonua, e like me keʻano o ka makuahine i ka hānauʻana.