Ola kino, Lapaau
AB0'ōnaehana a me ka hooilina o ke koko pūʻulu i loko o kānaka
I ka ho i ke koko pae, oe e ike!
Antigens koko'ōnaehana
Ke antigenic 'ole o ke kanaka kino ka'āina luna'. Wale koko kēia 'epekema i' ike akula ma kahi o elima haneri antigens, hui i ka 40 antigenic nenoai: MNSs, AB0, Kell, Duffi, Luteran, Lewis listen'ōlelo.
Kēlā me kēia no kēia mau nenoai antigens ua genetically ili a encoded allelic nā'ōewe. No ka naau kupono, ka mea, ua mahele ia i ka wai koko a me ke kelepona. No ka Hematology a me kou Koko i ka Transfusion oi nui ka aeea antigens (erythromycin, platelet a me ka leukocyte), no ka mea, ka mea, i ka immunogenicity (hiki e induce ka'ōnaehana paleʻea muli o), a no ia mea, incompatible me ka transfusion o ke koko aeea antigens o ka pilikia o hematogenous hawewe a DIC me ona. Koko antigens komo o ka papa kuhikuhiE māheleʻelua: he antigenic determinant, i maopopo ai i ka immunogenicity o ka hapten, a "kaumaha" antigen a me ka wā serological aayoaeuiinoe.
Ka mua hapa ka loa i ho'ākāka 'ana no kēlā me kēia antigen, a no ia mea, maopopo ia mai kekahi i kekahi. Penei, o ka'ōnaehana distinguishes 0 AB0 antigen fucose antigen A - N-ftsetilglyukozamin a me ka antigen B - galactose. Mau determinants i i pili, a me nā mea'aʻaʻa i loko o ka ulu ana o ka'ōnaehana paleʻea pane. i ia mau antigens i loko, no ka wā koko transfusion, e like me ka mea e hiki hooilina o ke koko pūʻulu ka wā helu.
AB0'ōnaehana a me kona hooilina
a me agglutinogens (erythrocyte mea pīlali kumumea - A a me B) - Ma keia manawa 1901 godu waiwai hiki ia oe agglutinate erythrocytes i kekahi i kekahi, i ka poe i kaheaia agglutinins (α a me ka β agglutination wai koko kumumea) i, ua loaʻa i loko o kanaka koko.
| koko pūʻulu | makua kāne | |||||
| makuahine | Au (00) | II (A0) | II (AA) | III (B0) | III (BB) | IV (AB) |
| Au (00) | 00 - 100% | 00 - 50% A0 - 50% | A0 - 100% | 00 - 50% B0 - 50% | B0 - 100% | A0 - 50% B0 - 50% |
| II (A0) | 00 - 50% A0 - 50% | 00 - 25% A0 - 50% AA - 25% | AA - 50% A0 - 50% | 00 - 25% A0 - 25% B0 - 25% AB - 25% | AB - 50% B0 - 50% | AA - 25% A0 - 25% B0 - 25% AB - 25% |
| II (AA) | A0 - 100% | AA - 50% A0 - 50% | AA - 100% | AB - 50% A0 - 50% | AB - 100% | AA - 50% AB - 50% |
| III (B0) | 00 - 50% B0 - 50% | 00 - 25% A0 - 25% B0 - 25% AB - 25% | AB - 50% A0 - 50% | 00 - 25% B0 - 50% BB - 25% | BB - 50% B0 - 50% | A0 - 25% B0 - 25% BB - 25% AB - 25% |
| III (BB) | B0 - 100% | AB - 50% B0 - 50% | AB - 100% | BB - 50% B0 - 50% | BB - 100% | AB - 50% BB - 50% |
| IV (AB) | A0 - 50% B0 - 50% | AA - 25% A0 - 25% B0 - 25% AB - 25% | AA - 50% AB - 50% | A0 - 25% B0 - 25% BB - 25% AB - 25% | AB - 50% BB - 50% | AA - 25% BB - 25% AB - 50% |
No emi nui e ike i ke 'ano a me RH ololi, no ka mea, o kekahi mea nui no ka hoʻokaulike o ke koko pūʻulu ma transfusion. No ka laʻana, ka mea RH maikaʻi koko (RH +), e hiki ninini iho i ka hoomanawanui me RH-io (Rh-) ke koko wale koke no ke ola, a me ka loa hihia, e like me ia ma ka transfusion mua, e ulu RH nā mea'aʻaʻa, a i ho'ā 'ia ka wā o ka lua o ka transfusion (a me ka haumāna haʻawina kālā o ka pilikia o ka make ma ke koko transfusion kŰia). ʻO ia pili a rhesus kue i ka hapai ana o ka fetus me RH-maikaʻi koko mai RH + Rh- makuwahine, a me ka makua kāne, no laila ia mea nui, e hoʻomaulia i ka'āina hoʻoili o ka koko pae o ke keiki.
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