Isifo Hemolytic. Iimpawu, iimpawu ezivela eklinikhi, unyango

isifo Hemolytic - loo nto sisifo okubangelwe ukungavumelani igazi phakathi unina kunye abantwana antigen ezahlukeneyo. Ngamanye amaxesha ukungavumelani kunye RH factor. Oku kudla ngokwenzeka xa unina kunye umbungu ezahlukeneyo RH factor (umzekelo, unina - yi HIV, ingane - negative okanye ngokuphendululekileyo). Xa ukungavumelani iqela amaqela ezahlukeneyo igazi lingaba unina kunye ndingekazalwa (umzekelo, iqela unina-0 (1), kwaye naziphi na iziqhamo). Kubelekwa angaphuhlisa isifo hemolytic kunye nezinye awakwazi ukungavumelani igazi, kodwa oku kuyenzeka kunqabile kakhulu.

Zithini izizathu?

isifo Hemolytic kwabasetyhini kunye into engalunganga Rhesus asinto ingaqhelekanga. Esi sisifo esibi kakhulu kwaye iyingozi. Inkqubo ukuvela Rhesus kongquzulwano ilula: ukusuka mbungu unina nge befika awakwazi ngumkhaya. Ukuphendula, umzimba yomfazi uvelisa RH izilwa zalo ezimbi ukutshabalalisa iiseli ephikisayo RH-HIV ebomvu igazi usana elizayo, ngaloo ndlela wenza destructively isibindi sakhe, udakada, lomongo wethambo kunye namaziko hematopoietic. Ngoko ke, lo erythrocytes batshabalalisa nesiphumo ekufumbekeni yibilirubin zomzimba ezingekazalwa, leyo lineziphumo yityhefu kwi ebuchotsheni usana. RH into imiselwa egazini umntwana sele ngenyanga yesithathu Palsy. "Ingxabano" wakhe kunye nomama wakhe ukususela ngelo xesha kunye uqale.

isifo Hemolytic usana. iimpawu

iintlobo ezintathu esi sifo singanyangekiyo wafunda Umhla: edematous, icteric kunye igazi. Ifomu kunawo kuthathwa ukuba edematous, xa abantwana bakhe bazalwa ngaphambi kwexesha okanye bafe ngokukhawuleza emva kokuzalwa. Kulo mzekelo, ukuvela usana sele ukubukeka: ubuso nenyanga, pallor angwevu, anencindi, maxa wambi cyanosis okanye yellowness, izicwili edematous ongama. Kukho fluid simahla kwi pleural, peritoneal, angabi nemingxuma pericardial, ngamanye amaxesha bazigruzule petechiae. Isibindi kunye spleen baby eyandisiweyo. Egazini, ukuhla iiseli ezibomvu egazini kunye ihemoglobin, kwakunye leukocytosis, erythroblastosis, reticulocytosis.

Hemolytic senyongo ezisanda kuzalwa unomoya, ngcathu ukuze kakhulu. Lubonakala senyongo ngoko nangoko emva kokuzalwa kosana olungekazalwa, okanye kweeyure ezimbalwa kamva. Noko ke, nkqu fluid ukuze olunombala. senyongo Hemolytic emntwaneni likhula ngokukhawuleza kakhulu, kwandisa isibindi kunye udakada, kukho umkhwa ophela. Ezi abantwana bazalwa ecubhukile, embi wanye ibele, zonke ikhaliphe komzimba kokuba lincitshiswe. Egazini kwandisa kwinqanaba yibilirubin nowesithathu ukuya ngomhla wesihlanu ifikelela iphezulu. Ukuba ngeli xesha umntwana singanyangwa, ukuphuhlisa kernicterus. Kuyabonakala lwegazi intracranial, unditsho tonic, intamo ukuqina, lafa le imilenze. Uphawu le uhlobo lwesifo kucingelwa ukuba umoya okanye ubunzulu izihlunu extensor kwezandla, ngelixa wayekhula hypotension iyonke.

ifomu siyagula - oku kubonakaliswa lula kwesi sifo. Xa waphawula ukwanda wesibindi udakada, igazi kunciphisa inani erythrocytes kunye mpilo.

isifo Hemolytic usana. unyango

Eyona nto ibalulekileyo iziganeko zonyango - oko kunokuba utshwala umzimba usana, ukususwa igazi elibomvu iimveliso iiseli ukubola, izilwa-buhlungu kunye yibilirubin. Konke oku kwenziwa ukuze uyeke ukuzalwa hemolysis iiseli ezibomvu kwigazi wosana. Ngeli xesha umntwana othululwayo obaneleyo eboniswe, iivithamini, enterosrbenty, izisombululo ubuthi. igazi kakhulu kubonisa ukuba igazi exchange.

Ukwenzela ukuthintela isifo hemolytic zezonyango namhlanje ubambe ukutofelwa igazi kwanangamacandelo alo yenzelwe kuphela qwaba ezibonisa olungxamisekileyo ukuze uphephe ezisegazini zogonyo umfazi wolunye uhlanga. Kwimeko ungquzulwano okhulelweyo Rhesus engakhuselekanga, eso sifo elamkelwe, uze wenze konke okusemandleni ukuze alondoloze impilo kunye nobomi wosana.