Isifo Hemolytic. Izimpawu, izici yomtholampilo, ukwelashwa

isifo Hemolytic - iyisifo ukuthi kubangelwa ukungavumelani wegazi phakathi kukamama izingane ongakazalwa antigen ezahlukene. Ngezinye izikhathi ukungavumelani futhi RH isici. Kuvamile lokhu uma unina futhi ingane ihlukile RH isici (isibonelo, umama - inguyebo, umbungu - ezingezinhle noma okuphambene nalokho). Lapho ukungavumelani iqembu zamaqembu egazi ezahlukene kungaba umama futhi ingane (isib, iqembu umama 0 (1), kanye nanoma iziphi ezinye izithelo). Izinsana ingaqala isifo hemolytic nezinye antigen igazi ukungavumelani, kodwa lokhu kwenzeka kakhulu kuyaqabukela.

Yiziphi izizathu?

isifo Hemolytic besifazane nge negative isici Rhesus akuyona into engavamile. Lesi isifo enkulu yingozi. Inqubo ukuvela Rhesus ukungqubuzana ilula: kusukela umbungu unina ngokusebenzisa antigen placenta ufika. Besabela kuleso simemo, isidumbu sowesifazane ukhiqiza siqu amasosha omzimba ayo RH negative ukubhubhisa ephikisayo egazi RH-HIV obomvu umntwana esikhathini esizayo, ngaleyo ndlela wenza destructively isibindi sakhe, ubende, umnkantsha futhi izitho hematopoietic. Ngakho, i-erythrocyte wabhubhisa kuholele ekuqongeleleni bilirubin ezicutshini fetus, okuyinto kunemiphumela anobuthi kobuchopho kwezingane. RH isici kunqunywa igazi wengane usevele ngenyanga yesithathu wokukhula kwengane esiswini. "Ingxabano" yakhe nomama bakhe kusukela ngaleso sikhathi futhi ekuqaleni.

isifo Hemolytic ngayo lapho usana. izimpawu

ukulandiswa kwezinhlobo ezintathu yalesi sifo esikhohlisayo wafunda kuze kube yimanje: edematous, icteric kanye ezinenkinga yokuntuleka kwegazi. Ifomu olunzima ubhekwa edematous, lapho ingane yakhe bazalwa kwesikhathi noma bafe ngokushesha ngemva kokuzalwa. Kulokhu, ukubukeka nosana has a ukubukeka: ubuso benyanga, pallor waxy, ngezinye izikhathi cyanosis noma yellowness, izicubu edematous ongama. Kukhona uketshezi khulula kule pleural, peritoneal, izimbotshana pericardial, ngezinye izikhathi nokulimala, petechiae. Isibindi kanye ubende ingane lakhulisiwe. Esikhathini igazi, ukwehla abomvu egazi ashaye futhi athwala umoya-mpilo, kanye leukocytosis, erythroblastosis, reticulocytosis.

Hemolytic jaundice ezisanda kubelethwa umnene ngokulinganisela ezinzima. Lubonakala jaundice ngokushesha ngemva kokuzalwa-fetus, noma ukusesha ngemva kwamahora ambalwa. Nokho, kungenzeka ngisho amniotic fluid enombala ophuzi. jaundice Hemolytic e ingane ikhula ngokushesha okukhulu, kwandisa sesibindi ubende, kukhona ukuthambekela opha. Laba bantwana bazalwa ucobekile, kubi imunce webele, zonke ikhaliphe bokuphila bona zingancishiswa. Esikhathini igazi kwandisa izinga bilirubin futhi eyesithathu usuku lwesihlanu ifinyelela esiphezulu yayo. Uma okwamanje ukuthi umntwana usuke engakabi iphathwa, ukuthuthukisa kernicterus. Kubonakala nomfutho wegazi ophezulu intracranial, Ukudlikizela tonic, intamo ukuqina, eliqhaqhazelayo yezingalo nemilenze. Isici lolu hlobo isifo ubhekwa ithoni kwemisipha extensor izandla, ngenkathi ekhula hypotension jikelele.

ifomu anemiya - lena ukubonakaliswa lula yalesi sifo. Lapho ibizwa baphawula ukwanda e isibindi ubende, igazi kunciphisa inani erythrocyte futhi athwala umoya-mpilo.

isifo Hemolytic ngayo lapho usana. ukwelashwa

Into ebaluleke kakhulu ezenzakalweni yezokwelapha - kuba kunalokho detoxification komzimba usana, ukususwa abomvu imikhiqizo amaseli kwamazinyo, amasosha omzimba futhi bilirubin. Konke lokhu kwenziwa ukuze ayeke ukuzalwa hemolysis kwamangqamuzana egazi abomvu egazini ingane. Ngalesi sikhathi ingane isiphuzo elanele eboniswe, amavithamini, enterosrbenty, ngokukhishwa kobuthi egazini izixazululo. igazi kakhulu kuyinkomba yokushintshisana igazi.

Ukuze uvimbele isifo hemolytic wokuphila emkhakheni wamuva wezokwelapha ophethe ukumpompela igazi futhi izingxenye zalo yenzelwe izinkomba eziphuthumayo ukuze ugweme yokugoma owesifazane antigen angaphandle. Endabeni ukushayisana abakhulelwe Rhesus lutholwa, it is wavuma, futhi benza konke abangakwenza ukuze alondoloze impilo nokuphila kwengane.