Hemolytic chirwere. Zviratidzo, kurapwa features, kurapwa

Hemolytic chirwere - ihosha kuti anokonzerwa kusapindirana kweropa pakati amai uye vana vasati vaberekwa ose maantigen siyana. Dzimwe nguva kusapindirana uye kusapindirana kweropa chikonzero. Izvi zvinowanzoitika kana amai uye mudumbu yakasiyana kusapindirana kweropa chikonzero (somuenzaniso, amai - iri zvakanaka, fetus - kunaka kana vakutarisire). Kana boka kusapindirana mapoka ropa akasiyana kunogona kuva amai uye fetus (semuenzaniso, amai boka 0 (1), uye mune dzimwe muchero upi). Vachangoberekwa anogona kuva hemolytic chirwere uye zvimwe ropa kusapindirana maantigen, asi izvi zvinoitika chaizvo kashoma.

Ndezvipi zvikonzero?

Hemolytic chirwere vakadzi vane kunaka Rhesus chokufunga kunowanzoitika. Iyi haisi chaizvo uye ngozi chirwere. Muitiro wacho kwaita Rhesus-kunetsana kuri nyore: kubva mudumbu kusvika mai kuburikidza placenta maantigen vanosvika. Achipindura, muviri mumwe mukadzi unoita yayo kusapindirana kweropa kunaka antibodies kuparadza rinopikisa kusapindirana kweropa positive matsvuku masero mwana yemberi, saka kuita destructively pamusoro chiropa chake, chirwatata, mwongo uye hematopoietic zvomukati. Saka, wakaparadzwa erythrocytes kuguma kuunganidza bilirubin muna fetus munyama, ine chepfu migumisiro iri uropi mucheche. Kusapindirana kweropa chikonzero ndechokunyanya akatsunga ropa hwomwana rwatova rwechitatu mwedzi fetus. ake "kunetsana" naamai vake kubvira panguva iyoyo uye kutanga.

Hemolytic chirwere achangozvarwa. zviratidzo

Three siyana chirwere ichi achinyengera akadzidza kuna date: edematous, icteric uye neta neta. Wakakura zvikuru chimiro anoonekwa kuti edematous, kana vana vake vari akaberekwa nguva isati yakwana kana kufa huchangogadzwa. Panyaya iyi, pakuonekwa rusvava ane maitiro chitarisiko: mwedzi chiso, waxy pallor, dzimwe nguva cyanosis kana yellowness, edematous subcutaneous tishu. Pane vakasununguka mvura iri pleural, peritoneal, pericardial in, dzimwe nguva kupwanywa, petechiae. Chiropa uye chirwatata awanda mwana. Muropa, vasanyanye masero matsvuku eropa uye Chizenga, uyewo leukocytosis, erythroblastosis, reticulocytosis.

Hemolytic neonatal jaundice riri munyoro, mwero kune wakaoma. It kunoratidzwa jaundice pakarepo pashure kuzvarwa mudumbu, kana papera maawa mashoma. Zvisinei, kunyange Líquido mvura anogona chitsvuku tsvuku. Hemolytic jaundice ari mwana inokura nokukurumidza, kunowedzera chiropa uye chirwatata, pane tsika achingobuda ropa. Ava vana vanoberekwa lethargic, zvakaipa muchayamwa mazamu, kuti vasiri hunenge zvose inogona kuderedzwa. Muropa kunowedzera bilirubin sandara uye wechitatu reshanu kunosvika kunonyanyisa kwayo. Kana panguva iyi mwana usina kurapwa, kutanga kernicterus. Rinooneka intracranial neBP, tonic kugwinha, mutsipa kuomarara, tremor maoko nemakumbo. Cho ichi Chirwere ichaongororwa kuva mataurire extensor tsandanyama kwemaoko, paaikura kunopindirana hypotension.

Neta neta fomu - ndicho kuratidzwa nyore chirwere ichi. Kana vakachengeta kuwedzera chiropa uye chirwatata, ropa zvinoderedza uwandu erythrocytes uye hemoglobin.

Hemolytic chirwere achangozvarwa. mabatiro

Chinhu chinonyanya kukosha mune zvokurapa zviitiko - ndiko kutoti detoxification muviri ari achangoberekwa, kubviswa matsvuku masero kuora zvigadzirwa, antibodies uye bilirubin. Izvi zvose zvinoitwa kuti kumisa kuberekwa hemolysis masero matsvuku eropa muropa mwana. Panguva iyi mwana zvakawanda varatidza zvinobata, mavhitaminzi, enterosrbenty, detoxification zvingaitwa. Zvakakomba kupererwa neropa kunoratidza kuti adzikinure ropa.

Kuitira kudzivisa hemolytic chirwere wemishonga ano chinobatanidza kuwedzerwa ropa uye yenhengo dzayo ndekwokuda amburenzi zvairatidza kuti vadzivise yokumwe majekiseni anodzivirira mukadzi maantigen. Kana munhu pamuviri Rhesus kukonana dzakaonekwa, zvinonzi akabvuma, uye kuita zvose zvinobvira kuchengetedza utano uye upenyu mwana.