Hemolytic maʻi. Symptoms, lapaʻau hiʻona, lapaʻau

Hemolytic maʻi - ia mea he maʻi i ua kena ae la ma ka incompatibility o ke koko ma waena o kona makuwahine, a me ka unborn keiki o okoa antigens. I kekahi manawa, incompatibility a me RH ololi. He pinepine ka hana i ka wa a ka makuahine, a me ka fetus mea okoa RH ololi (no ka mea hoike, i ka makuwahine - mea 'oluʻolu, ka fetus - io paha Hope versa). Ka wā e ka pūʻulu incompatibility o kekahi koko pūʻulu hiki i ka makuwahine, a me ka fetus (e like me, ka makuahine pae 0 (1), a me kekahi hua'ē aʻe). Nā pēpē i hiki hoʻomōhala hemolytic maʻi a me nā koko incompatibility antigens, akā, i kēia hana loa kākaʻikahi.

He aha nō nā kumu?

Hemolytic maʻi i loko o nā wāhine me ka io Rhesus ololi mea ole uncommon. He He maʻi loa kaumaha a me ka weliweli. Ke kaʻina hana o ka muli o Rhesus-kue mea puni hoʻi: mai ka fetus a hiki i ka makuwahine ma ke keiki antigens hōʻea. Ma muli o, ke kino o ka wahine o ka produces kona mau RH io nā mea'aʻaʻa, e luku aku i ke ana ke kū'ē i RH-maikaʻi ulaula koko keena o ka wā e hiki mai pēpē, pela e hana destructively ma kona akepaa, spleen, iwi ka lolo a me ka hematopoietic nā loko. Ke'ī mai, ka mea i luku ai i erythrocytes ia ho i ka hoʻomāhuahua o bilirubin ma fetal nā'aʻaʻa, i meaʻawahia 'ole ma ke keiki lolo. Ua nānā 'RH ololi i loko o ke koko ke keiki ka mea mua i ke kolu o ka malama o fetal? acaeoey. kona mau "kue" me kona makuwahine, mai ia manawa a me ka hoʻomaka 'ana.

Hemolytic mai o ke keiki. symptoms

Ekolu ano o keia insidious maʻi aʻo i nā mea hou: edematous, icteric a me anemic. Ka loa ka wi palapala ua manaoia e e edematous, ka wā i kana mau keiki i prematurely hanau a make koke ma hope o ka hanau ana. Ma keia hihia, i ka helehelena o ke keiki i ke ano helehelena: mahina maka, waxy pallor, i kekahi manawa cyanosis a yellowness, edematous subcutaneous'aʻaʻa. Aia ka noa loli i loko o ka pleural, peritoneal, pericardial cavities, i kekahi manawa, i pēpē, petechiae. Ake a me ka spleen hoonee aku i pēpē. Ma ke koko, he emi ma ka ulaula koko keena a me hemoglobin, like hoʻi me leukocytosis, erythroblastosis, reticulocytosis.

Hemolytic neonatal jaundice mea mehana, lōpū i ka loa. Ua Ua wehewehe aku jaundice koke ma hope o ka hanau ana o ke fetus, a he mau hola ma hope. Eia naʻe, i amniotic loli paha e nā pōpō yellow. Hemolytic jaundice i loko o ke kamaiki ulu loa koke, maoli ke ake a me ka spleen, aia no he ka welelau o ke kahe mau. Mau keiki i hanau lethargic, ino omo i ka umauma, a pau ka physiological reflexes ka mea, hiki ke hoemiia. Ma ke koko maoli ka bilirubin 'ilikai a me ke kolu a hiki i lima o ka lā ihoiho kona i kā mākou. Inā ma keia wahi ua ole ia i ke keiki, hoʻomōhala kernicterus. Eia kahi mea akaka intracranial hypertension, tonic convulsions, 'ā'ī oolea, tremor o na lala. Ano o keia ano o ka maʻi ua manaoia e ia i ka leo o ka extensor nāʻiʻo o nā lima, oiai e ulu ana nohona ma hypotension.

Anemic palapala - keia mea i ka oluolu hoike ana o keia maʻi. I ka mea, ua mālama i hoomahuahua ma ka ake a me ka spleen, koko emi ka helu o erythrocytes a me hemoglobin.

Hemolytic mai o ke keiki. lapaʻau

Ka mea nui wale nō i loko o nā hanana 'inikua - ia mea, aole i he detoxification o ke kino o ke keiki, o ka wehe' ana iʻulaʻula koko keena palaho huahana, nā mea'aʻaʻa a me bilirubin. A pau keia ua hanaia ma ka mea, e hooki aku i ka hanau ana o ke hemolysis oʻulaʻula koko aeee i loko o ke koko o ke keiki. I loko o kēia wā i ke keiki ample hoikeia mai inu, nā wikamina, enterosrbenty, detoxification pāʻoihana. Loa anaemia mea he PAaIEN no mail transfusion.

I mea e pale aku hemolytic mai o kēia lapaau paa i ka transfusion o ke koko a me kona eiiiiiaiou mea pololei no ka pilikia nāʻikepili i mea e pale aku immunization wahine haole antigens. Ma ka hihia o ka hapai Rhesus oukou paio ana ua 'akomi i, ka mea, ua hoʻokomo, a hana nā mea a pau i hiki e malama i ke ola kino a me ke ola ana o ke keiki.