Unyango lweRhesus Inkqubela ekukhulelweni
Kulephulo, oogqirha banako ukulwa ngempumelelo, kodwa kubalulekile ukufuna uncedo lwezokwelapha ngexesha elifanelekileyo. Ngokuqhelekileyo, ingxabano yaseRhesus ifunyaniswa ngexesha lokukhulelwa kwe sibini, nokuba okokuqala kukuphela kokukhipha isisu, okanye ukukhipha isisu. I-Pathology ingakhokelela kwiinkathazo, kwaze kwaba sekuzalweni ngaphambi kwexesha kunye nokuzalwa. Kodwa imiphumo emibi kangaka ingagwenywa, ngenxa yeendlela zamhlanje zokuxilongwa, kunye nokunyango.
Oomama abanomdla nge-rhesus engalunganga ugqirha uya kuncoma le nkqubo:
- iimvavanyo zentsholongwane rhoqo;
- kwisithuba seveki ezingama-28, i-injection ekhethekileyo ye-anti-rhesus immunoglobulin;
- phinda i-injection emva kokubeletha, kufuneka kwenziwe kwithuba leeyure ezingama-72, kwimeko apho umntwana ephethe igazi nge-rhesus ngaphandle komama.
Ukuba ukwanda kwe-anti-titer (uhlobo lokuhlolwa kwegazi) kufunyenwe, umama ozayo uza kuba ne-ultrasound ukuvavanya imeko yomntwana. Ugqirha unokumisela ukuthunyelwa esibhedlele. Ngamanye amaxesha kukho isidingo sokuqhuba isifundo segazi lomtya we-blood or amniotic fluid. Ezi nkqubo zichazwe kuphela ngokungqongqo ngokwemiqondiso. Ngokomzekelo, zinokulawulwa kwabasetyhini abanezinga eliphezulu leengqungquthela kwimpikiswano yaseRhesus, okanye ukuba banokukhulelwa okwesibili, kwaye umntwana okhulileyo wazalwa enesifo esibi sesifo se- hemolytic.
Indlela efanelekileyo yokuphulukana nokugula i-transfusion igazi kumntwana. Ukunyanzelisa kwenziwa esibhedlele. Ukusetyenziswa ngaphambili kunye nezinye iindlela. Iinjongo ezi-2 eziphambili zokuphatha i-Rh rhesus-mpikiswano ngexesha lokukhulelwa zaziyi-plasmapheresis kunye nokutshintshwa kwesikhumba somama wengane kumama ozayo. Okwangoku, ezi ndlela aziqhathaniswa ukuba zingabonakali, njengoko oogqirha abaninzi babecinga ukuba akunakwenzeka.
Ukuba uphulaphula ngenyameko isiluleko sogqirha, unina olindelekileyo uya kukwazi ukunyamezela umntwana ophilileyo. Amacandelo okuhanjiswa kukhethwe ngumjozi wezifo zentsholongwane, kuxhomekeke kwimeko yomama ekuzalweni.