Tus kab mob Hemolytic ntawm tus me nyuam mos, tseem hu ua hemolytic kab mob ntawm tus me nyuam hauv plab thiab yug me nyuam, HDN, HDFN, los yog erythroblastosis foetalis, yog ib qho mob alloimmune uas loj hlob hauv tus me nyuam hauv plab thaum los yog ib puag ncig thaum yug los, thaum cov IgG molecules (ib ntawm tsib hom tshuaj tiv thaiv kab mob tseem ceeb) tsim los ntawm leej niam dhau los ntawm cov placenta.
Tus kab mob hemolytic ntawm tus menyuam yug tshiab yog dab tsi?
Hemolytic disease of the newborn (HDN) - tseem hu ua erythroblastosis fetalis - yog ib ntshav uas tshwm sim thaum cov ntshav ntawm leej niam thiab tus menyuam tsis sib haum. HDN yog qhov tsis tshua muaj tshwm sim hauv Tebchaws Meskas vim muaj kev nce qib hauv kev tshawb pom ntxov thiab kev kho mob, txwv nws mus txog kwv yees li 4,000 tus neeg mob hauv ib xyoos.
Qhov twg tuaj yeem ua rau tus kab mob hemolytic ntawm tus menyuam mos?
HDN tshwm sim thaum Rh niam tsis zoo muaj menyuam nrog tus txiv Rh zoo. Yog tias tus niam Rh tsis zoo tau nkag mus rau Rh zoo ntshav, nws lub cev tiv thaiv kab mob yuav ua rau cov tshuaj tiv thaiv los tua nws tus menyuam. Thaum cov tshuaj tiv thaiv nkag mus rau hauv tus menyuam cov ntshav, lawv yuav tawm tsam cov qe ntshav liab. Qhov no ua rau lawv tawg.
Dab tsi ua rau hemolysis hauv fetus?
HDN tshwm sim thaum lub cev tiv thaiv kab mob ntawm leej niam pom tus menyuam tus RBCs txawv teb chaws. Antibodies ces tsim tawm tsam tus me nyuam RBCs. Cov tshuaj tiv thaiv no tawm tsam RBCs hauv tus menyuam cov ntshav thiab ua rau lawv tawg ntxov dhau. HDN tuaj yeem txhim kho thaum aniam thiab nws tus me nyuam mos muaj ntau hom ntshav.
Yuav ua li cas cov tshuaj tiv thaiv feem ntau yuav cuam tshuam rau cov kab mob hemolytic ntawm tus menyuam mos?
Feem ntau, kab mob hemolytic tshwm sim los ntawm tus D antigen, txawm tias lwm cov Rh antigens, xws li c, C, E, thiab e, kuj tuaj yeem ua teeb meem.
