Antibodies mu Pamuviri: Chii ngozi kusapindirana kweropa-kupesana uye boka kusapindirana

Kazhinji, vakadzi vane kusapindirana kweropa otitsatelny, kunetseka pamusoro beremennnosti kwavo uye ndinofanira kutaura, zvakakodzera kudaro. Kusapindirana kweropa chinhu ndechokuti puroteni riri pamusoro pemvura erythrocytes. Zvinetso kana mai kusapindirana kweropa kunaka (Rh-), uye mwana (kusapindirana kweropa +) - akanaka, nhaka baba vake. Vashoma ABO kusapindirana anova munyika (boka kusapindirana). Mushure neVadzidzi fetus ropa mukati raamai ropa maantigen akabudiswa antibodies.

Antibodies mu Pregnancy kuparadza fetus masero matsvuku eropa, zvinoita kuti zvakaipa, zvakadai hemolytic chirwere. matambudziko Associated dzinosanganisira: zvemamiriro chiropa basa, basa kweropa ezvinhu, mwoyo kukundikana. Ari mudumbu mvura anogona kuunganidza, zvichitungamirira edema. The chirwere kachitanga mangwanani sezvo vhiki 22 pamuviri.

Nei ngozi Rhesus kunetsana

Zvinofanira kucherechedzwa kuti rhesus vachinetsana haisi ngozi chaizvo kana yokutanga yepamuviri. Vaiitawo rwaamai ropa neropa mwana kunoitika pashure pokuberekwa, uye kunyange kare akaumba antibodies regai vangangokukuvadza mucheche.

Zvisinei, kana mukadzi ari kutarisira mwana wake wechipiri, ivo antibodies panguva yepamuviri kunogona kukonzera zvakakomba pathologies, umo mwana anogona kufira muchibereko. Huru ngozi iri hurumende ichiisa yakawanda nefuma bilirubin muchero kundorwa antibodies, izvo zvinogona kukanganisa kwayo nhengo dzomukati, kunyanya chitaka, chirwatata uye uropi. Kazhinji rhesus kusawirirana kunotungamirira nokupfupfudzika kana rokusamhanyira pakuberekwa.

Antibodies vari kuumbwa panguva pamuviri kana mukadzi kusapindirana kweropa kunaka uye munhu ane zvakanaka kusapindirana kweropa. Muchiitiko chino, kusawirirana kweropa raamai kunetsana rinowanikwa muna 75% nyaya. Kusapindirana anogona kuitika kana mukadzi akaita ropa, uye kusapindirana kweropa haana kumbofunga nezvarwo.

Kuongororwa antibodies ropa

Kunyange kana kuronga pamuviri mukadzi wose anofanira kuziva kwako kusapindirana kweropa chinhu uye kusapindirana kweropa chinokonzera wababa wemwana. Kana paine mukana wokuti kusapindirana kweropa-kurwisana, zvingava vanofanira kuita ongororo pamusoro antibodies panguva yepamuviri kakawanda. kokutanga unofanira kuita nzira iyi iri 8 vhiki pamuviri uye ipapo aigara zvakaongororwa antibodies kuti vhiki 30 - kamwe pamwedzi, kusvikira vhiki 36 - nevhiki.

By Migumisiro yakafanana zvakakomba zvichiita imwe kusapindirana hwemapoka amai uye mwana ropa. Zvinetso kana mukadzi ane I ropa boka uye fetus boka II kana III ropa. Muchiitiko chino, fetus maantigen kupinda rwaamai boka ropa antibodies uye dzinounzwa. Group antibody panguva pamuviri kutungamirira kukudziri- hemolytic chirwere uye hapana ngozi zvishoma pane D-maantigen.

Zvisinei, mumwe muedzo antibodies ropa zvingaratidza chirwere chete kana zvakaberekwa pachiimbwa dzimwe chirwere nzira. Zvikuru ndiye antibody titer uye kuchinja pamuviri. The kumusoro ari antibody titer, kwakondiko ane unenge wakaipa.

Antibodies panguva yepamuviri chinofanira kuzivikanwa nenzira yakakodzera nenzira, uye mukadzi ari hurumende yakatarwa mararamiro majekiseni, iyo inoitwa kubva 10 kusvika 22, pamwe 22 po24 uye 32 kusvika 34 pavhiki. Kana matambudziko pamuviri mukadzi anofanira kuva ari muchipatara, pasi pokudzora vanachiremba.

Women ane nhoroondo kupfupfudzika kana vakaberekerwa mwana vakatambura hemolytic chirwere chakakomba, mabatiro rinoitwa plasmapheresis, nechinangwa kubvisa ropa antibodies.

Kana fetus chirwere hemolytic hwakasimbiswa, ndizvo mangwanani pakusununguka. Izvi imhaka yokuti kuguma nguva chokuendesa antibodies kwachiri kunowedzera. In zvakakomba fetus chirwere pamuviri iri wakagumiswa. Asi kakawanda inogona kuderedzwa kuti zvinogamuchirika mashoko makurukuriro.