Kafin yin magana game da Rh-rikici a lokacin daukar ciki, kana bukatar ka fahimci abin da Rh factor yake, kuma a wace yanayi wannan rikici ya taso. Saboda haka, Rh factor yana daya daga cikin antigens jini, wanda aka samuwa a kan jinin jinin jini (kwayoyin jinin jini). Yawancin mutane suna da waɗannan antigens (ko sunadarai) a yanzu, amma wani lokaci basu kasance ba.
Idan mutum yana da Rhesus factor a kan jinin jini, to sai su ce yana da Rh-tabbatacce, idan babu, Rhesus-korau. Kuma to, baza ku iya fadin wanene rhesus ya fi kyau ba. Su ne kawai daban - wancan ne duka.
Wani muhimmin lamarin Rh yana cikin lokacin ciki. Idan mahaifiyar gaba ta kasance Rh-negative, kuma mahaifin yaro ne Rh-tabbatacce, akwai haɗarin bunkasa Rh-rikici tsakanin uwa da yaro. Wato, idan yaron zai sami nau'in Rh na daban daga mace, wannan zai haifar da haɓakawa na mahaifi da tayin.
Matsayin Rh na mahaifiyar da mahaifa ya faru a 75% na lokuta, idan iyayen yaran suna da nau'o'in RH. Hakika, wannan ba hujja ba ce ta ƙi yin iyali, domin a lokacin da aka fara haifar da rikici ba kullum yakan tashi ba, kuma tare da gudanar da gyaran ƙananan matsaloli tare da shi za'a iya kauce masa a cikin ciki na gaba.
Idan akwai rhesus rikici?
Idan ka yi ciki a karon farko, to, hadarin Rh-rikici ya zama ƙananan, tun da babu wani kwayar cutar zuwa jikin Rh-negative a jikin mahaifiyar. A lokacin daukar ciki da kuma haɗuwa na farko na rhesus biyu, ba a samar da kwayoyi masu yawa ba. Amma idan yawancin erythrocytes na tayin sun shiga cikin jini na mahaifiyar, to a cikin jiki yana da isasshen "ƙwayoyin ƙwaƙwalwar ajiya" don samar da kwayoyin cutar kan batun Rhesus a cikin ciki na gaba.
Hakanan wannan yanayin ya dogara da abin da ya ƙare na farko ciki. To, idan:
- akwai wani ɓarna - an halicci rigakafi a cikin jini cikin kashi 3-4 cikin dari;
- an yi zubar da ciki na likita - haɗarin rikici ya karu zuwa 5-6%;
- An haifi juna biyu - a cikin 1% na lokuta;
- Hawan ciki ya ƙare a cikin haihuwar haihuwa - haɗarin shine 10-15%.
Bugu da ƙari, haɗarin hangen nesa yana ƙaruwa bayan ɓangaren caesarean da raguwa. Amma, duk da haka wannan yana iya kasancewa, duk iyaye masu fama da Rhesus-Conflity yana bukatar rigakafin irin wannan sakamakon a matsayin cutar cututtuka na tayin .
Rhesus rikicin da sakamakon
Idan mahaifiyar tana da Rh-antibodies, da kuma Rh-tabbataccen yaro, to, maganganun sun gane cewa yaron ya zama abin baƙo kuma ya kai hari ga erythrocytes. A cikin jininsa a mayar da martani, ana haifar da bilirubin da dama, wanda ke yin fata fata. Abu mafi banƙyama a wannan yanayin shi ne cewa bilirubin zai iya lalata kwakwalwar yaron.
Bugu da ƙari, tun lokacin da kwayoyin cutar uwaye ta ƙuƙwalwar jinin ƙwayar tayi ta lalacewa ta hanyar mahaifa, da hanta kuma suna gaggauta hanzarta samar da sababbin kwayoyin jini, yayin da kansu suke karuwa a girman. Amma duk da haka ba zasu iya jimre da sake yaduwar kwayoyin jini ba, kuma akwai yunwa mai tsanani na oxygen a cikin tayin, tun da kwayoyin jinin jini basu da isasshen oxygen a cikin adadi mai yawa.
Babban sakamako mai tsanani na Rhesus-rikici shi ne mataki na karshe - cigaban hydrocephalus, wanda zai haifar da mutuwar intrauterine .
Idan kana da kwayoyin cuta a cikin jininka kuma adadin su yana ƙaruwa, kana buƙatar magani a cikin wani ɓangare na musamman, wanda za a ba ka da yaro a hankali. Idan ka gudanar da "rike" ciki zuwa makonni 38, za a sami sashen caesarean da aka tsara. In ba haka ba, an ba da yaduwar jini a cikin utero, watau, ta hanyar murfin ciki na mahaifiyar zuwa mahaifiyar umbilical kuma 20-50 ml na erythrocyte taro za a zubar a ciki.