Ichokwadi chokuti kune chinhu ichocho kana kwete, haichikuvadzi hutano hwevanhu nenzira ipi zvayo. Ndezvipi, sei ropa revakadzi vane pamuviri rinotora Rh-yega? Hungu, nokuti vakaroorana (vakaroorana) vane utano hwakakwana, vanogona kuva neRen akasiyana. Semuenzaniso, muna baba vemwana, Rh inhengo yakanaka, uye amai ndivo Rh-negative. Uye mwana wemunguva yemberi anogona kugamuchira rhesus yababa vake, uye izvi hazvingawirirani nevana vemhuri rhesus.
Munguva yepamuviri, masero matsvuku eropa emucheche anogona kupinda muropa raamai, nokuti muviri uyu antigen ichava kune imwe nyika uye inotanga kubudisa zvirwere. Uye kana apinda kubva kuna amai kuenda kumucheche, ivo vachapedza erythrocytes. Izvi zvinogona kusanganisira chirwere chakakomba kana fetal death, asi kwete nguva dzose, nekutanga kuberekwa kwekutanga kwezvirwere kwete zvikuru muropa raamai. Asi nemitambo inotevera inotevera, nhamba yezvirwisana ichakura, uye haingatenderi kana kuberekwa kwaiva kana kuti kutora kwakaparadzaniswa. Nemhaka yeizvi, uye kutyisidzira kumucheche kunowedzera, kuitira kuti neRhesus isina kubvisa pamuviri isingadiwi. Vakadzi vane pamuviri vanofanira kugara vachishanyira kubvunzurudza kwevakadzi uye kuongororwa zvirwere uye kana pane chikonzero chekurapa. Chokutanga, mukadzi anoongororwa nekukurudzira - kuvapo kwezvirwere muropa. Icho chinomuka nekuwedzerwa kweropa rakanaka rakakosha muropa rine rhesus isina kunaka, nekubvisa pamuviri, ectopic pregnancy (mavhiki 7-8), kupererwa kwepamuviri, chorion biopsy (pamusana memucheche), kushungurudzika mumukadzi ane pamuviri. Inogonawo kuonekwa asati aberekwa, kana musikana waRhesus-asina kuwana masero matsvuku eropa aamai ane Rh-positive factor. Vanachiremba vanoziva kutora matanho ekusimbisa kuti vakadzi vane negative Rhesus factor vane vana vane utano. Asi zvose zvakafanana, nechinetso chisina kunaka cheRhesus, kubvisa pamuviri kune ngozi zvikuru, saka chii chikonzero, ngativei kuifunga.
1. Kana mukadzi ane pamuviri uye baba veR Rh mwana vane zvinhu zvisina kunaka, ivo vari kunetseka, hazvidikanwi, mwana wacho achava nehaseus yakaipa yevabereki vose, Rhesus - hakuzovi nekupesana. Kubvisa pamuviri kuchava nehuwandu hwehuwandu hwemungozi.
2. Kana mukadzi ane Rhesus isina kunaka, uye murume akanaka, munyaya iyi mwana anokwanisa kuwana nhaka yeH Rh chikonzero chebaba. Zvadaro pachava nehondo yeRhesus - mumuviri, vakadzi vanotanga kukura zvirwere, vanopinda muropa re fetal kuburikidza neparcenta amai uye "kurwisa" ma erythrocytes, achiedza kuvaparadza. Somugumisiro, zvose mwana neamai vanotambura. Somugumisiro we kurasikirwa kwe erythrocytes mu fetus, kukura kwekugadzirwa kwe erythrocyte kunotanga, nekuda kweizvi, chirwere uye chiropa chinowedzera. Erythrocytes inoparara, uye oxygen inzara inotanga muuropi. Pari zvino, vanachiremba vakawana nzira dzokurwisa dambudziko iri. Mukadzi ane Rh factor akaipa uye mwana ane Rh positive anofungidzirwa, akaongororwa uye, kana zvichidiwa, anobatwa nenzira inokosha yekugadzirisa hondo yeRhesus. Kuchengetedza nzvimbo "yorugare" kusvikira pakuguma kwehutumbi. Asi panguva yekuberekwa, pangave neine ngozi yekuwana ropa re fetal muropa raamai. Kana mamiriro akadaro achiitika, muviri unotanga kubudisa maantigen. Zvakakosha kuchengeta kwekutanga nguva mwedzi mushure mokuberekwa.
Rh inoratidzira, kubvisa pamuviri - njodzi yekushaya simba.
Rh inoratidzira, kubvisa pamuviri - mukana wekushaya mwana munyaya ino inowedzera kazhinji. Izvo hazvibvi pane nzira iyo kubvisa pamuviri kunoitwa: chirwere kana mishonga, kubvisa pamuviri hakuzopfuuri pasina tsanangudzo. Uye njodzi haisi mukati iyi chete, pakutanga rhesus-kukakavara, mumuviri mukadzi anotanga kukura maantigen, ari makuru kune mamwe masero, asingabatsiri, achipinda nepascenta ane matambudziko. Nokuda kwechikonzero ichi, panguva yekuzvitakura kwekutanga kune dambudziko rekusiya pamuviri, kazhinji pane vakadzi vasina Rh-conflict. Chiratidzo chakagamuchirwa nemuviri uye pakuberekwa kwakatevera, pakarepo kukura kwemaantigen akagadzirira "kukurumidza kuhondo" achatanga. Asi ivo vachava vakagadzirira kurwa uye vachava vaduku zvikuru, vachifambisa uye vanogona kukurudzira simba rakawanda kune muvengi (masero matsvuku eropa emu fetus). Nokudaro, pamakumbo ose ekutsvaga-runyamu-kukanganisa, dambudziko rekusiya pamuviri kana kuti chirwere chekukura kwe fetus rinowedzera. Uye pasinei nokuti mwana wacho akaberekwa kana akabvisa pamuviri, dambudziko rekuwedzera riri kuwedzera. Mimba imwe neimwe, kubvisa pamuviri kana kubvisa pamuviri kunokonzera ngozi ne 10%. Uye pane imwe nguva panguva yokutanga kwehupombwe pachava nekutyisidzira hupenyu hwemai uye ikoko hakuzovi nechinangwa chechiitiko chakanaka.
Kuchengetedzwa kunoitwa neH Rh factor.
Haisi nguva dzose mukadzi anosarudza kubvisa chisarudzo. Pane zviitiko apo kuchengetedza kuberekwa kunotungamirira kune ngozi kana kutyisidzira kuhupenyu hwemukadzi.
Kuti uzvidzivirire iwe uye fetus, mukadzi ane Rhesus asina kunaka anoda kuziva: dambudziko rezasi rokubvisa pamuviri richave kana richipfuura musati vhiki yechinomwe yekuzvitakura. Nokuti muviri unotanga kubudisa zvirwere, kubva pachinomwe - vhiki yechisere kubvira pakuberekwa.
Mushure mokubvisa pamuviri, zvakakosha kuzivisa immunoglobulin antiresusive, inowanikwa kubva kune ropa rekupa, uye inogona kuvhara kugadzirwa kwezvirwere. Iyi nzira inoitwa mukati memazuva matatu kubvira pazuva rokubvisa pamuviri. Zvinonyanya kukosha kuita izvi nenzira yekubvisa kubvisa pamuviri wekutanga pamuviri, kuitira kuti kuderedza dambudziko mumatambudziko anotevera.
Hapano kubvisa pamuviri wakachengeteka, hapana hutano hwakanaka kana husina kunaka. Zvinonyanya kuipa kubvisa pamuviri neine zvisina kunaka Rhesus, inokonzera kukanganisa kwakakomba kuhutano, kunyange nekunaka kushivirira, migumisiro yacho haigone kukuita iwe pachako.
Kana kubvisa pamuviri kwakadaro kusingadzivisiki, unoda kubatsira muviri wako kuti udzoke uye uite zvishoma.