Jam negative, por vet\u00ebm si faktor Rh.
\nShpesh kemi d\u00ebgjuar t\u00eb flitet mbi faktorin Rhesus dhe shpesh frik\u00ebsohemi kur rezultojm\u00eb faktor Rh-. A p\u00ebrb\u00ebn rrezik? Sigurisht q\u00eb po! Kjo, gjithmon\u00eb n\u00ebse ju neglizhoni konsult\u00ebn tuaj mjek\u00ebsore.<\/p>\n
\u00c7far\u00eb \u00ebsht\u00eb faktori Rh?<\/strong><\/p>\n Faktori Rh \u00ebsht\u00eb nje protein\u00eb e gjendur n\u00eb sip\u00ebrfaqen e qelizave t\u00eb kuqe t\u00eb gjakut, eritrociteve. N\u00ebse kjo protein\u00eb gjendet n\u00eb qeliza, thuhet se rasti n\u00eb fjal\u00eb \u00ebsht\u00eb rhesus pozitiv. N\u00eb t\u00eb kund\u00ebrt, negativ. Gjat\u00eb shtatz\u00ebnis\u00eb, probleme mund t\u00eb lindin n\u00ebse n\u00ebna \u00ebsht\u00eb rhesus negativ, kurse fetusi rhesus pozitiv. Mjek\u00ebsia njeh metoda t\u00eb ndryshme p\u00ebr parandalimin e k\u00ebtyre problemeve.<\/p>\n Si e merr fetusi faktorin Rh?<\/strong><\/p>\n \u00a0<\/strong>Faktori Rh trash\u00ebgohet nga prindi te f\u00ebmija. Sipas t\u00eb dh\u00ebnave, shumica e njer\u00ebzve jan\u00eb Rh pozitiv, q\u00eb do t\u00eb thot\u00eb se kan\u00eb t\u00eb trash\u00ebguar faktorin Rh nga n\u00ebna ose babai. N\u00eb rastet kur faktori Rh nuk trash\u00ebgohet, fetusi \u00ebsht\u00eb Rh negativ. Kur n\u00ebna \u00ebsht\u00eb negative dhe fetusi pozitiv n\u00eb faktorin Rh, kemi t\u00eb b\u00ebjm\u00eb me t\u00eb ashtuquajtur\u00ebn papajtueshm\u00ebri Rhesus.<\/p>\n Pse papajtueshm\u00ebria Rhesus p\u00ebrb\u00ebn problem?<\/strong><\/p>\n \u00a0<\/strong>Kur gjaku i fetusit Rh-pozitiv kalon n\u00eb sistemin qarkullues t\u00eb n\u00ebn\u00ebs Rh-negative, trupi i saj do t\u00eb sh\u00ebnjoj\u00eb gjakun pozitiv n\u00eb faktorin Rh si jo te sajin, duke prodhuar antitrupa anti-Rh. K\u00ebto antitrupa kan\u00eb aftesin\u00eb t\u00eb dep\u00ebrtojn\u00eb placent\u00ebn dhe t\u00eb sulmojn\u00eb qelizat e gjakut t\u00eb fetusit. Per pasoj\u00eb, eritrocitet e fetusit shkat\u00ebrrohen me shpejt\u00ebsi m\u00eb t\u00eb lart\u00eb sesa zevend\u00ebsohen, duke rezultuar n\u00eb anemi dhe disa raste, edhe vdekje t\u00eb fetusit.<\/p>\n Si mund t\u00eb parandalohen problemet q\u00eb lidhen me faktorin Rhesus?<\/strong><\/p>\n \u00a0<\/strong>Q\u00ebllimi i trajtimit mjek\u00ebsor \u00ebsht\u00eb t\u00eb ndaloj\u00eb n\u00ebn\u00ebn Rh-negative s\u00eb zhvilluari antitrupa. P\u00ebr t\u00eb arritur k\u00ebt\u00eb, nevojitet nj\u00eb analiz\u00eb e thjesht\u00eb gjaku p\u00ebr t\u00eb p\u00ebrcaktuar fillimisht statusin Rh. P\u00ebr k\u00ebt\u00eb dhe hapat n\u00eb vazhdim n\u00eb var\u00ebsi te statusit Rh, duhet t\u00eb drejtoheni tek mjeku juaj obstet\u00ebr-gjinekolog.<\/p>\n \u00a0<\/strong>A mund t\u00eb formohen antitrupa edhe n\u00eb rastet e nderprerjes s\u00eb shtatz\u00ebnis\u00eb?<\/strong><\/p>\n \u00a0<\/strong>Po! N\u00ebna Rh-negative mund t\u00eb prodhoj\u00eb antitrupa edhe pas:<\/p>\n N\u00ebse gruaja Rh-negative tenton shtatz\u00ebni pas nj\u00eb prej eventeve te sip\u00ebrp\u00ebrmendura pa marr\u00eb trajtimin mjek\u00ebsor, fetusi i ardhsh\u00ebm rrezikon problemet e lidhura me papajtueshm\u00ebrine Rhesus.<\/p>\n \u00c7far\u00eb \u00ebsht\u00eb Rh imunoglobulin?<\/strong><\/p>\n Rh immunoglobulin (RhIg) \u00ebsht\u00eb mjekimi q\u00eb parandalon formimin e antitrupave dhe p\u00ebr rrjedhoj\u00eb edhe anemin\u00eb fetale n\u00eb nj\u00eb shtatz\u00ebni te ardhshme. RhIg jepet n\u00eb form\u00ebn e injeksionit dhe nuk \u00ebsht\u00eb efektiv n\u00ebse antitrupat jan\u00eb formuar m\u00eb par\u00eb. P\u00ebr k\u00ebt\u00eb situat\u00eb, duhet t\u2019i drejtoheni mjekut tuaj obstet\u00ebr-gjinekolog.<\/p>\n Kur mund t\u00eb merret Rh imunoglobulin?<\/strong><\/p>\n N\u00eb jav\u00ebn e 28 te shtatz\u00ebnis\u00eb<\/strong>: Nj\u00eb num\u00ebr i vog\u00ebl grash Rh-negative mund t\u00eb ekspozohen ndaj qelizave t\u00eb gjakut t\u00eb fetusit Rh-pozitiv n\u00eb muajt e fundit t\u00eb shtatz\u00ebnis\u00eb dhe mund t\u00eb reagojn\u00eb duke formuar antitrupa. RhIg q\u00eb jepet n\u00eb jav\u00ebn e 28 t\u00eb shtatz\u00ebnis\u00eb shkat\u00ebrron qelizat n\u00eb fjal\u00eb Rh-pozitive n\u00eb trupin e n\u00ebn\u00ebs, duke parandaluar formimin e antitrupave Rh-pozitiv.<\/p>\n Brenda 72 oresh nga lindja e nj\u00eb foshnjeje Rh-pozitive: <\/strong>Mund\u00ebsit\u00eb m\u00eb t\u00eb medha t\u00eb kalimit t\u00eb gjakut t\u00eb fetusit Rh-pozitiv n\u00eb at\u00eb t\u00eb n\u00ebn\u00ebs Rh-negative jan\u00eb n\u00eb fakt gjat\u00eb procesit t\u00eb lindjes. RhIg parandalon formimin e antitrupave nga ana e n\u00ebn\u00ebs, duke parandaluar k\u00ebshtu edhe efektin q\u00eb mund t\u00eb kishin k\u00ebto t\u00eb fundit n\u00eb rastin e nje shtatz\u00ebnie te ardhshme.<\/p>\n N\u00eb cilat raste t\u00eb tjera mund t\u00eb nevojitet RhIg?<\/strong><\/p>\n \u00c7far\u00eb ndodh n\u00ebse antitrupat formohen?<\/strong><\/p>\n Trajtimi me RhIg nuk \u00ebsht\u00eb efektiv n\u00ebse antitrupat jan\u00eb nd\u00ebrkoh\u00eb t\u00eb formuar. N\u00eb raste t\u00eb tilla, gjendja e fetusit mbahet n\u00ebn kontroll p\u00ebrgjat\u00eb shtatz\u00ebnise me anen e ultratingujve.<\/p>\n Dr. Ardi Prushi Jam negative, por vet\u00ebm si faktor Rh. Shpesh kemi d\u00ebgjuar t\u00eb flitet mbi faktorin Rhesus dhe shpesh frik\u00ebsohemi kur rezultojm\u00eb faktor Rh-. A p\u00ebrb\u00ebn rrezik? Sigurisht q\u00eb po! Kjo, gjithmon\u00eb n\u00ebse ju neglizhoni konsult\u00ebn tuaj mjek\u00ebsore. \u00c7far\u00eb \u00ebsht\u00eb faktori Rh? Faktori Rh \u00ebsht\u00eb nje protein\u00eb e gjendur n\u00eb sip\u00ebrfaqen e qelizave t\u00eb kuqe t\u00eb gjakut, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[240],"tags":[236,242],"class_list":["post-2359","post","type-post","status-publish","format-standard","hentry","category-obstetrike","tag-obstetrike-gjinekologji-obgyn-obsgjin-drardi-drprushi-drardiprushi-obstetergjinekolog-shtatzenia","tag-rh-faktorirh-rhezus-rhesus-papajtueshmeria-rhig-imunoglobulinarh"],"yoast_head":"\n\n
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\nP\u00ebrshtati: Ajna Gjyla<\/p>\n","protected":false},"excerpt":{"rendered":"