Cututtukan Hemolytic. Ciwon cututtuka, asibitin, magani

Cutar cutar mai cututtuka ita ce cuta wadda ta haifar da rashin daidaituwa da jinin mahaifiyar da jaririn da ke gaba a wasu antigens. Akwai incompatibility da Rh-factor. Wannan yakan faru a yayin da mahaifi da tayin ke da nau'in Rh (misali, mahaifiyar yana da matsala mai kyau, tayin yana da nau'in RH ko matsala). Idan akwai wani rukuni na rukuni, mahaifi da tayin zasu iya samun nau'in jini (alal misali, uwar tana da rukuni na 0 (1), kuma tayin yana da wani rukuni). Kwayar cututtuka na jaririn kuma zai iya ci gaba tare da rashin daidaituwa da wasu antigens na jini, amma wannan ya faru da wuya sosai.

Menene dalilai?

Hemolytic cuta a cikin mata da mummunan Rhesus factor ba nadiri. Wannan mummunan cututtuka ne. Hanyar faruwar Rh-rikici shine mai sauƙi: daga tayin zuwa mahaifi ta hanyar antigens ta tsakiya. A sakamakon haka, jikin mace tana samar da kwayoyin cutar Rh-negative don kashe kishin jinin Rh-positive na jaririn nan mai zuwa, saboda haka yana ciwo a kan hanta, ƙwanƙasa, ƙashin kashi da hematopoiesis. Sabili da haka, lalata yaduwar jini yana haifar da jari a cikin kyallen takarda na bilirubin tayi, wanda yana da mummunan sakamako akan kwakwalwar jariri. Rhesus factor ne ƙaddara a cikin jini na yaron riga a watan uku na ci gaba da intrauterine. Tun daga wannan lokacin ne "rikice-rikice" da mahaifiyarsa suka fara.

Harsashin cutar da jariri. Cutar cututtuka

Har zuwa yau, bincika nau'i uku na wannan cuta mai banƙyama: harshe, icteric da anemic. Mafi mahimmanci shine nau'in harshe, tare da shi an haifi yara ba tare da kisa ko mutu ba bayan haihuwa. A wannan yanayin, bayyanar jariri yana da siffar halayen: fuskar kamar wata, waxy pallor, wani lokacin cyanosis ko icterus, kayan aiki mai laushi. Akwai ruwa kyauta a cikin launi, peritoneal, caicities cavities, wani lokaci bruises, petechiae. An haɓaka hanta da kuma yaduwar jariri. A cikin jini akwai ragu a cikin erythrocytes da hemoglobin, da leukocytosis, erythroblastosis, reticulocytosis.

Hemolytic neonatal jaundice ne m, matsakaici to mai tsanani. An bayyana ta bayyanar jaundice nan da nan bayan haihuwar tayi ko kuma 'yan sa'o'i kadan. Ko da ruwa mai amniotic zai iya canza launin rawaya. Jaundice mai suna a cikin jariri yana girma da sauri, hanta kuma yana karuwa, kuma ana iya ganin wani hali na zub da jini. Irin waɗannan jariri ana haife su, sunyi mummunan hali, dukkanin hankulan kwayoyin halitta a cikinsu zasu iya ragewa. A cikin jini, matakin bilirubin ya karu kuma a rana ta uku ko biyar ya kai iyakarta. Idan a wannan lokaci da yaro ba a bi, wajen samar da kernicterus. Yana bayyana intracranial hauhawar jini, tonic convulsions, wuyansa stiffness, tremor na wata gabar jiki. Yawanci ga irin wannan cuta shine sautin murfin ƙarancin hannayensu, yayin da ake ganin ƙararrakin gaba daya.

Anmic tsari shine mafi kyawun bayyanar wannan cuta. Tare da shi, akwai karuwa a cikin hanta kuma yayi yalwa, adadin kwayoyin jinin jini da hemoglobin ya rage a jini.

Harsashin cutar da jariri. Jiyya

Abu mafi mahimmanci a ayyukan kiwon lafiya shi ne farkon tsarkewar jiki na jikin jariri, kawar da kayan lalacewa na erythrocytes, antibodies da bilirubin. Duka wannan yana yi domin dakatar da haihuwa na hemolysis na ja da maikacin jini a cikin jini na jaririn. A wannan lokacin an nuna jariri mai yawa abin sha, bitamin, enterosorbents, detoxifying mafita. Maganin anemia mai tsanani shine nuni ga canzawar jini.

Don hana cutar cututtuka, magani na yau da kullum yana haifar da karfin jini da abubuwan da aka gyara daidai bisa ga alamun gaggawa don hana rigakafin mace da antigens waje. A lokuta idan mace mai ciki ta nuna Rh-rikici, ta yi asibiti kuma ta yi mafi kyau wajen kiyaye lafiyar da jariri.