Rh Factor i ka hāpai ʻana

I kou kipa mua ʻana i ka hānau ʻana, e lawe kāu mea mālama ola i nā laʻana koko. E hoʻāʻo ʻia kekahi mau mea, me kou ʻano koko. ʻO ke kumu i hana ʻia ai kēia no ka nānā ʻana i ke alo a i ʻole ka nele o ka helu Rh i loko o ke koko. He mea koʻikoʻi kēia no ka mea inā loaʻa i kāu pēpē Rh factor i loko o kona koko a ʻaʻole ʻoe, hiki i kēia ke hoʻopilikia i nā hāpai ʻana ma hope.

 

He aha ka Rh factor a no ke aha ia mea? Ke haʻi ʻia ʻoe i kou ʻano koko, e ukali ʻia ka leka A, B, AB a i ʻole ʻO e ka maikaʻi a i ʻole ka maikaʻi ʻole. ʻO ka Rh kahi protein i loaʻa ma nā ʻāpana koko. Loaʻa ka helu Rh ka hapa nui o nā kānaka, akā ma kahi o 15 pakeneka o nā kānaka ʻaʻole. ʻO ka maikaʻi, e like me B+, ʻo ia hoʻi aia ka helu Rh i loko o ke koko. Inā ʻo O- ke ʻano koko, ʻaʻohe kumu Rh i ke koko. ʻAʻole pilikia kēia, ke ʻole ʻoe he makuahine Rh maikaʻi ʻole me kahi hoa Rh maikaʻi.

 

I kēia hihia, ʻaʻole i like ke kūlana Rh o ke ʻano koko o ka pēpē me kou, no ka laʻana he Rh maikaʻi paha ka pēpē a ʻo ka makuahine he Rh negative. Aia kekahi mau manawa e komo ai ke koko o ka pēpē i ke kahe koko o ka makuahine. Ke hana ʻia kēia, hoʻomaka ke kino o ka makuahine e hana i nā antibodies e kūʻē i ka helu Rh i loko o ke koko o ka pēpē. ʻIke ʻia ka pēpē ma ke ʻano he mea komo i ke kino.

 

ʻAʻole pilikia kēia mau antibodies i hana ʻia e ke kino o ka makuahine i ka wā hāpai mua. Eia nō naʻe, mau nā antibodies ma hope o ka hānau ʻana o ka pēpē. Hiki i ka noho ʻana o kēia mau antibodies ke hoʻopilikia i ka lua a i ʻole ka hāpai ʻana ma hope, inā ʻaʻole mālama ʻia ka makuahine.

 

ʻO ka lāʻau lapaʻau i kēia hihia, ʻo ia ka hāʻawi ʻana i ka makuahine i kahi injection o Rh immunoglobulin a i ʻole Rhogam. Hāʻawi ʻia kēia no ka hoʻopau ʻana i ke ʻano o ke kino e kūʻē i nā keʻena koko Rh maikaʻi o ka pēpē a me nā pēpē e hiki mai ana. I kekahi mau hihia, hiki ke hāʻawi ʻia ka injection i mea e pale ai i nā pilikia i ka wā hāpai. Hana ʻia kēia i kekahi manawa i ka wā i hāpai mua ʻia ai ka makuahine i hoʻopau ʻia i ka hāʻule ʻole ʻana, no ka mea, ua maʻalahi ka makuahine i kēlā manawa.

 

I kēia hihia, e hāʻawi ʻia ka injection mua ma kahi o 28 mau pule o ka hāpai ʻana. E hāʻawi ʻia ka pana ʻelua ma ka haukapila ma hope o ka hānau ʻana o ka pēpē. ʻOi aku ka nui o nā kauka e hele i kēia ʻano, ma mua o ka kali ʻana a hiki i ka hānau ʻana o ke pēpē. Inā ʻike ka makuahine i kekahi ʻano kahe koko i ka wā hāpai mua, e hoʻomau ke kauka i ka hoʻokele Rhogam i ka wā hāpai.

 

He mea koʻikoʻi ka mālama ʻana me Rhogam no nā pēpē e hiki mai ana. Me ka mālama ʻole ʻana, e hoʻouka kona kino i nā keneta koko maikaʻi o ka pēpē e hiki mai ana. Hiki i kēia ke alakaʻi i kahi maʻi i kapa ʻia ʻo ka maʻi hemolytic. Ke hoʻouka ʻia ke koko o ka pēpē, hiki i kēia ke alakaʻi i ka anemia, ka pōʻino o ka lolo, ka puʻuwai a i ʻole ka hānau ʻana.

 

No ka 'ike hou aku e pili ana i ka Rh factor e kipa i ka American Pregnancy Association: http://www.americanpregnancy.org/prenataltesting/rhfactor.html