He aha te whakamātautau toto Rh Factor? Te Whāinga, Ngā Taumata/Tikanga & Ngā Hua

Ko te whakamātautau toto Rh factor e whakatau ana mena kei a koe he pūmua motuhake e kiia nei ko te Rh antigen i runga i ō pūtau toto whero. Ko tēnei whakamātautau toto māmā e whakaatu ana ki a koe mena he Rh-positive koe (kei a koe te pūmua) he Rh-negative rānei koe (kāore koe i a ia). He mea nui te māramatanga ki tō tūnga Rh i te wā e hapū ana, i ngā whakawhitinga toto, me ngā whakawhitinga okana nā te mea ka āwhina i te aukati i ngā raruraru nui.

He aha te Rh Factor?

Ko te Rh factor he pūmua e noho ana i runga i te mata o ō pūtau toto whero, he rite tonu ki te tohu ingoa e tautuhi ana i tō momo toto. Ki te whai koe i tēnei pūmua, ka whakaarohia koe he Rh-positive, ā, ki te kore koe i a ia, he Rh-negative koe. Tata ki te 85% o te tangata he Rh-positive, ā, 15% he Rh-negative.

Ka riro mai tō tūnga Rh i ō mātua, ā, ka noho tonu i te ao katoa. E mahi tahi ana me tō momo toto ABO (A, B, AB, rānei O) ki te hanga i tō momo toto katoa, pēnei i te O-positive, i te A-negative rānei.

I riro mai te ingoa Rh factor i ngā makimaki rhesus, i reira i kitea tuatahitia e ngā kaipūtaiao tēnei pūmua i te wā o te rangahau i ngā tau 1940. Ahakoa he maha ngā pūmua Rh, ko te mea nui mō ngā take rongoā ko te mea e kiia nei ko RhD.

He aha te take i mahia ai te whakamātautau toto Rh Factor?

Ka mahia te whakamātautau Rh factor hei aukati i ngā tauhohenga e mōrearea ana ki te ora i te wā e pā ana tō toto ki te toto he rerekē te tūnga Rh. He mea tino nui tēnei i ngā āhuatanga rongoā motuhake i te wā e tino nui ana te hototahi toto.

I te wā e hapū ana, ka āwhina tēnei whakamātautau ki te tautuhi i te kore hototahi Rh i waenga i te whaea me te pēpi. Ki te mea he Rh-negative koe, ā, he Rh-positive tō pēpi, ka tūpono ka whakaeke tō pūnaha ārai mate i ngā pūtau toto whero o tō pēpi, e whakaaro ana he manene.

I mua i ngā whakawhitinga toto, me mōhio ngā tākuta ki tō tūnga Rh tika kia ōrite ai koe ki te toto e hāngai ana. Ko te whiwhi i te momo Rh hē ka pā te urupare ā-ārai mate kaha e whakangaro ana i ngā pūtau toto whero i whakawhitia.

He mea nui hoki te whakamātautau i mua i ngā whakawhitinga okana, i ngā wā o ētahi tikanga rongoā, me te wā e takoha toto ana koe. E hiahia ana ētahi tāngata ki tēnei whakamātautau hei wāhanga o te manaaki rongoā auau, i te wā rānei e whakarite ana mō te pokanga.

He aha te Tikanga mō te Whakamātautau ā-Rh Factor?

He tango toto tika te whakamātautau ā-Rh factor e hia noa ana ngā meneti hei whakaoti. Ka horoi tētahi tohunga hauora i tētahi wāhi iti i tō ringa, te nuinga tata ki tō tuke, ka whakauru i tētahi ngira angiangi ki te kohi tauira toto.

Ka rongo koe i tētahi werohanga tere i te wā e uru ana te ngira, he rite ki te werohanga poto. He iti iho i te meneti te kohinga toto, ā, he maha ngā tāngata e whakaae ana he pai te manawanui.

I muri i te kohi i te tauira, ka pēhi te tohunga ki te wāhi werohanga, ka whakatakoto i tētahi rāpaki iti ki runga. Ka taea e koe te tango i te rāpaki i muri i ētahi haora i te wā e mutu ana te toto iti.

Ka haere te tauira toto ki tētahi taiwhanga e whakaranu ai ngā tohunga ki ngā paturopi motuhake. Ki te piri tō toto (agglutinates) i te wā e whakaranu ana ki ngā paturopi anti-Rh, he Rh-pai koe. Ki te kore he piri, he Rh-kore koe.

Me pēhea te Whakarite mō tō Whakamātautau ā-Rh Factor?

Kāore koe e hiahia ki tētahi whakarite motuhake mō te whakamātautau ā-Rh factor. Ka taea e koe te kai noa, te inu wai, me te tango i ō rongoā auau i mua i te whakamātautau.

Mau kākahu pai me ngā rōpū ka taea te huri ki runga ki tō tuke. Mā tēnei ka māmā ake te uru atu o te kaiwhakarato hauora ki tō ringa mō te tango toto.

Ki te whai hītori koe mō te ngaro i te wā o te tango toto, whakamōhio atu ki tō kaiwhakarato hauora i mua. Ka taea e rātou te whakatakoto i a koe i te wā o te tikanga, me te aroturuki i a koe i muri mai kia mōhio ai koe kei te pai koe.

Whakaarohia te mau mai i te rārangi o ngā rongoā e tango ana koe, ahakoa kāore e pā ana ki ngā hua o tō Rh factor. He pai ki ētahi tāngata te noho wai i mua i ngā whakamātautau toto, nā te mea ka māmā ake te kimi i te uaua.

Me pēhea te pānui i ngā hua o tō whakamātautau Rh Factor?

Ka whakaatu ngā hua o tō whakamātautau Rh factor i te "pai", i te "kore" rānei me tō momo toto ABO. Mēnā he Rh-pai koe, ko te tikanga kei a koe te pūmua Rh i runga i ō pūtau toto whero, koinei te hua e tino kitea ana.

Ko te hua Rh-kore te tikanga kāore koe i te pūmua Rh, e puta ana i te 15% o te taupori. Kāore tētahi hua i te pai ake, i te kino ake rānei i tētahi atu – he rerekē noa iho ngā āhuatanga tuku iho, pērā i te whai kanohi parauri ki te kanohi kikorangi.

Ka whakakotahi tō momo toto katoa i ngā wāhanga e rua o te mōhiohio. Hei tauira, mēnā he momo toto A tō, ā, he Rh-pai koe, ko tō momo toto he A-pai. Mēnā he momo toto O tō, ā, he Rh-kore koe, ko tō momo toto he O-kore.

Ko te tikanga ka wātea ngā hua i roto i ngā hāora ruarua ki te rā kotahi, i runga i tō whare hauora. Ka kōrero tō tākuta mō te tikanga o ō hua motuhake mō tō āhuatanga hauora, ina koa kei te hapū koe, kei te hiahia rānei koe i ngā tikanga rongoā.

He aha ngā āhuatanga tūpono mō te Rh Incompatibility?

Ko te Rh incompatibility te pānga nui ki ngā wāhine i te wā o te hapūtanga i te wā e Rh-kore ana te whaea, ā, he Rh-pai te pāpā. Ka taea e tēnei huinga te hua i te pēpi Rh-pai, e hanga ana i te tūponotanga o te rerekētanga i waenga i te whaea me te tamaiti.

Tei runga nui tō tūponotanga i tō papamuri whānau, i te mea ka tukuna te tūnga Rh. Ko ngā tāngata nō te uri Pākehā te nuinga o te wā he Rh-kore, i te mea ko te hunga nō te uri Āwherika, Āhia, rānei, nō te uri Māori rānei, he Rh-pai te nuinga.

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whakawhanake i te Rh sensitization, e puta ana i te wā e hanga ana tō pūnaha ārai mate i ngā paturopi ki te toto Rh-pai:

• Ngā hapū o mua me ngā pēpi Rh-pai
• Ngā whāwhā, ngā whakataunga rānei e pā ana ki ngā hapū Rh-pai
• Ngā whakawhitinga toto me te toto Rh kāore i te ōrite
• Ngā tikanga i roto i te hapū pērā i te amniocentesis
• Te wharanga o te puku i te wā e hapū ana
• Ngā hapū ectopic

Ko te rongo pai ko te rongoā hou he huarahi pai hei ārai i ngā raruraru o te Rh. Mā te aroturuki tika me te rongoā, ka taea e te nuinga o te hunga he rerekē te Rh te whai hapū hauora me ngā tikanga rongoā haumaru.

He Pai ake te Whai Rh Nui, iti rānei?

Kāore he mea pērā i te "nui", "iti" rānei te Rh - kei a koe te pūmua Rh, kāore rānei. Ko te Rh-pai, Rh-kore rānei he āhuatanga ira noa iho, pērā i te tae o ō kanohi, te momo toto rānei.

Kāore te Rh-pai, te Rh-kore rānei i te pai ake, i te hauora ake i tētahi atu. He rerekētanga noa iho e whai ana i te miriona tāngata kāore he raruraru hauora.

Ko te wā anake ka whai tikanga rongoā tō tūnga Rh ko te wā e pā ana ki tētahi atu tūnga Rh rerekē. Ko te nuinga o tēnei ka puta i te wā e hapū ana, ngā whakawhitinga toto, ngā whakawhitinga okana rānei.

E mōhio ana ētahi tāngata mēnā he mea motuhake, he ahurei rānei te Rh-kore. Ahakoa he iti ake te noa i te Rh-pai, kāore e whai hua hauora, e kore rānei i tō oranga o ia rā.

He aha ngā raruraru ka puta mai i te Rh Incompatibility?

Ka taea e te Rh incompatibility te arahi ki ngā raruraru nui, engari ka taea te ārai i ēnei mā te manaaki rongoā tika. Ko te āwangawanga nui ka puta i te wā e hapū ana te whaea Rh-kore e mau ana i te pēpi Rh-pai.

Ko te mate hemolytic o te pēpi te raruraru tuatahi ka puta. Ka puta tēnei i te wā e whiti ana ngā paturopi o te whaea i te placenta, ka whakaeke i ngā pūtau toto whero o te pēpi, ka pakaru tere atu i te wā e taea ai e te pēpi te whakakapi.

I ngā wāhanga ngawari, ka pā pea te kōwhai ki ngā pēpi, ka kōwhai te kiri me ngā kanohi i te pakarutanga o ngā pūtau toto whero. Ko ngā wāhanga tino kaha ka hua te anemia, kāore te pēpi e nui ngā pūtau toto whero hauora hei kawe i te hāora.

Ko ngā raruraru nui ka puta me te kore rongoā ko:

• Te anemia nui i roto i te pēpi
• Te korenga o te ngākau i te mahi kaha rawa o te ngākau
• Te kino o te roro mai i ngā taumata tiketike o te bilirubin
• Te kohinga wai i roto i ngā kiko o te pēpi (hydrops fetalis)
• Te whānautanga mōrehu i ngā wā tino kaha

Ko te rongo pai ko te kore noa iho ēnei raruraru i tēnei wā, he mihi ki ngā rongoā ārai. Ko te nuinga o ngā wāhine ka whiwhi i ngā werohanga RhoGAM i te wā e hapū ana, e ārai ana i te pūnaha ārai mate o te whaea mai i te whakawhanake i ngā paturopi ki te toto Rh-pai.

Āhea ahau e kite ai i te tākuta mō te whakamātautau Rh Factor?

Me whakamātautau koe i te Rh factor i te wā e mōhio ana koe e hapū ana koe, i te wā o tō haerenga tuatahi ki te tākuta i mua i te whānautanga. Mā te whakamātautau wawe ka taea e tō kaiwhakarato hauora te aroturuki i tō hapūtanga me te whakarato i ngā rongoā ārai ki te hiahiatia.

Mēnā kei te whakamahere koe ki te hapū, kāore hoki koe e mōhio ki tō tūnga Rh, he pai ki te whakamātautau i mua. Mā ēnei mōhiohio e āwhina i a koe me tō tākuta ki te whakarite mō te hapūtanga hauora mai i te tīmatanga.

Me whakamātautau koe i te Rh factor i mua i te whakawhitinga toto, te whakawhitinga okana, te pokanga nui rānei e hiahia ana koe ki ngā hua toto. Ko te tikanga ka whakamātautau ngā hōhipera i tēnei mea, engari he pai ki te mōhio ki tō tūnga i mua.

Whakaarohia te kite i te tākuta mō te whakamātautau Rh mēnā kei te koha toto koe i ngā wā katoa, me mōhio ngā pēke toto ki tō momo toto katoa. Ka whakamātautau hoki ētahi tāngata i te mea e hiahia ana rātou, mō ngā take whakamahere whānau rānei.

Mena kua pā koe ki te whāwhā, te whakatā, tētahi momo toto rānei i te wā e hapū ana koe, ā, he Rh-kore koe, whakapā atu ki tō tākuta i te wā tonu. Āhua pea ka hiahia koe ki te werohanga RhoGAM hei ārai i ngā raruraru ā muri ake nei.

Ngā Pātai Auau mō te Whakamātautau Toto Rh Factor

Q1: He pai te whakamātautau toto Rh factor mō te kite i ngā mate ira?

Ko te whakamātautau Rh factor e arotahi ana ki te tautuhi mēnā kei a koe te pūmua Rh i runga i ō pūtau toto whero, engari kāore i hangaia hei kite i ngā mate ira. He whakamātautau momo toto noa iho tēnei e whakatau ana i te hototahi mō ngā whakawhitinga toto me te whakamahere hapū.

Ahakoa ka riro mai tō tūnga Rh i te ira, ko te whai i te hua pai, kino rānei, kāore e tohu ana i ngā raruraru hauora ira. E mahi ana te whakamātautau i ngā kaupapa rongoā e pā ana ki te hototahi toto, kaua ki te tātari ira.

Q2: Ka pā mai ngā raruraru hauora i te Rh-kore?

Kāore te Rh-kore e pā mai i ngā raruraru hauora i a ia anō. He rerekētanga ira noa iho tēnei e pā ana ki te 15% o te iwi.

Ko te wā anake ka whai hiranga rongoā te tūnga Rh-kore, ka pā ana ki te toto Rh-pai i te wā e hapū ana, ngā whakawhitinga toto, rānei, ngā whakawhitinga okana. Ahakoa tērā, he huarahi pai te rongoā hou ki te ārai i ngā raruraru.

Q3: Ka huri taku Rh factor i te wā?

Kāore tō Rh factor e huri i tō oranga. I whānau mai koe me te toto Rh-pai, Rh-kore rānei, ā, ka mau tonu tēnei i te whānautanga tae noa ki te matenga.

E whakaaro ana ētahi tāngata ka huri pea tō rātou tūnga Rh i te mate, te rongoā, te pakeketanga rānei, engari kāore tēnei e pā ana. Ki te whiwhi koe i ngā hua rerekē i te whakamātautau anō, he hē pea nā te taiwhanga, kaua nā te huringa tūturu i tō toto.

Q4: Me nohopuku au i mua i te whakamātautau Rh factor?

Kāore he nohopuku e hiahiatia ana i mua i te whakamātautau Rh factor. Ka taea e koe te kai me te inu i te tikanga i mua i te whakamātautau, ā, kāore e pā ki ō hua i tētahi huarahi.

Kāore i rite ki ētahi whakamātautau toto e ine ana i te huka, i te taumata cholesterol rānei, ko te whakamātautau Rh factor e titiro ana ki ngā pūmua kei runga i ō pūtau toto whero, kāore nei e pā ana ki te kai, ki te inu rānei.

Q5: He mamae te whakamātautau Rh factor?

Ko te whakamātautau Rh factor e whai ana i te tango toto paerewa, e kī ana te nuinga o te tangata he wero tere, he mamae poto rānei. He torutoru noa ngā hēkona te roa o te whakaurunga ngira.

Ka pōturi pea koe i te wāhi werohanga mō te rā, e rua rānei, engari he ngawari noa iho tēnei. Iti iho i te rima meneti te roa o te katoa o te tikanga mai i te tīmatanga ki te otinga.