Mukati
Chii chinonzi kusawirirana kweboka reropa?
“Ndisati ndamboberekwa kakomana kangu, ndakanga ndazvibvunza mubvunzo wokusapindirana kupi nokupi kweropa pakati pake neni. Ini ndiri O +, murume wangu A +, kwandiri pakanga pasina kusawirirana kwerhesus, pakanga pasina dambudziko. Ndakava nemimba isina makore uye kusununguka kwakakwana. Asi mufaro wakakurumidza kupera kushungu. Ndichitarisa mwana wangu, ndakabva ndaona kuti aiva neruvara rwaisava nemibvunzo. Vakandiudza kuti pamwe yaive jaundice. Vakaitora kwandiri ndokuiisa mulight therapy device. Asi mwero webilirubin wakanga usiri kuderera uye vakanga vasingazivi chikonzero nei. Ndakanetseka zvakanyanya.
Kusanzwisisa zviri kuitika ndicho chinhu chakaipisisa kuvabereki. Ndakaona kuti mwana wangu akanga asina kumira zvakanaka, akanga asina simba, seanemia. Vakamugadzika mune neonatology uye mudiki wangu Leo aigara ari mushina reray. Handina kukwanisa kuva naye kwemaawa ake ekutanga makumi mana nemasere. Vakauya naye kwandiri kuti adye chete. Zvakakwana kutaura kuti kutanga kuyamwisa kwaiva nenyonganyonga. Pashure penguva yakati, vanachiremba vakapedzisira vataura nezvekusapindirana kwemapoka eropa. Vakandiudza kuti kuvhiringika uku kwaigona kuitika amai vari O, baba A kana B, uye mwana A kana B.
Panguva yekusununguka, kutaura zviri nyore, masoja ekudzivirira chirwere angu akaparadza masero matsvuku emwana wangu. Patakangoziva chaizvo zvaaiva nazvo, takanzwa kuzorodzwa kukuru. Mushure memazuva akati wandei, mwero webilirubin wakadzikira uye nerombo rakanaka kuisirwa ropa kwakadziviswa.
Pasinei nezvose izvi, kakomana kangu kakatora nguva yakareba kuti apore kubva mudambudziko iri. Aiva mwana asina simba, aigara achirwara. Waifanira kungwarira nekuti immune system yake yakanga isina simba. Mwedzi mishomanana yekutanga hapana akamumbundira. Kukura kwayo kwakatariswa zvakanyanya nachiremba wevana. Nhasi mwana wangu ari muchimiro chakanaka. Ndine pamuviri zvakare uye ndinoziva kuti pane mukana mukuru wekuti mwana wangu azoita dambudziko iri zvakare pakuzvarwa. (Hazvioneki panguva yekuzvitakura). Ini handina stress nekuti ndinozviudza kuti at least now we know. “
Kuvhenekerwa naDr Philippe Deruelle, chiremba-gynecologist, Lille CHRU.
- Chii chinonzi kusawirirana kweboka reropa?
Kune marudzi akawanda ekusapindirana kweropa. Iyo rhesus kusapindirana kwatinonyatsoziva uye iyo inoratidzwa neyakakomba anomalies in utero, asiwokusawirirana kwemapoka eropa muABO system izvo zvatinowana chete pakuzvarwa.
Inobata 15 kusvika 20% yevana vanozvarwa. Izvi hazvigoni kuitika kuti kana amai vari veboka O uye kuti mwana muboka A kana B. Mushure mokusununguka, rimwe ropa raamai rinosanganiswa neremwana. Masoja ekudzivirira chirwere ari muropa raamai anogona kubva aparadza masero matsvuku emwana. Ichi chiitiko chinotungamirira kukugadzirwa kwebilirubin kusina kujairika iyo inoratidzira sekutanga jaundice (jaundice) mucheche achangoberekwa. Mhando dzakawanda dzejaundice dzine chokuita nekusapindirana kwemapoka eropa maduku. Iyo COOMBS bvunzo dzimwe nguva inoshandiswa kuona iyi inomaly. Kubva pasampuli dzeropa, zvinoita kuti zvikwanisike kuona kana masoja ekudzivirira chirwere aamai akabatana nemasero matsvuku eropa emwana kuti aparadze.
- Kusapindirana kweboka reropa: kurapwa
Chiyero chebilirubin chinofanira kudzivirirwa kubva pakukwira nekuti chikwiriri chinogona kukonzera kukuvadzwa kwetsinga mumwana. Phototherapy kurapwa inobva yaiswa. Nheyo yephototherapy ndeyekuisa pachena pamusoro peganda remwana achangoberekwa kune chiedza chebhuruu chinoita kuti bilirubin inyungudike uye inomubvumira kuibvisa muweti yake. Mishonga yakaoma zvikuru inogona kutangwa kana mwana akasapindura phototherapy: immunoglobulin transfusion iyo inoiswa intravenously kana exsanguino-transfusion. Iyi nzira yekupedzisira inosanganisira kutsiva chikamu chikuru cheropa remwana, haawanzoitwa.