Thanks to the treatment in the first days of life of children affected by conflict serological firs

Rh disease is a phenomenon that can occur only when the mother has a negative blood group (Rh), and the father of positive (Rh +). The child may inherit the Rh factor when mom or dad. When my mother inherits there is nothing alarming. However, if my dad will inherit the mother can produce a defensive reaction, because it will be a "foreign body" - Rh.
When the first child is born Rh positive, the mother at the time to 72 hours after birth gets an injection of immunoglobulin, which is to prevent the formation of antibodies in the body. This injection should get every woman with Rh-negative group, who lost her pregnancy (at any stage), or had a baby with Rh positive. Studies say that 85% of the injection prevents the appearance of antibodies in a subsequent pregnancy. In 15% of women, despite the injection of the antibody in a subsequent pregnancy will appear. Testing for the presence of antibodies is performed in pregnancy have Rh- times, since they can appear at different stages of pregnancy.
Serological conflict only if the maternal blood appear antibody. Mama, who is Rh group should not assume in advance and say that no conflict of HIV, as long as the antibodies are not detected, it is not.
When a blood test to confirm the presence of antibodies, their level will be controlled at about 3 weeks. In addition, from about 20 weeks of pregnancy using ultrasound will be controlled flow of the middle cerebral artery. The flow rate shows whether the child began to react to the presence of antibodies or not. The faster the flow, the greater the child's anemia. This is due to the fact that the antibodies first response present in the mother's blood to a greater or lesser extent red blood cells destroy the child, causing him to anemia.
It is very rare that the serological conflict leads to severe hemolytic disease of the fetus. When a problem is detected early enough fetus is treated by blood transfusion rich red blood cells. The transfusion is performed through the abdomen dopłodową mother to blood vessels in the umbilical cord, or directly to the baby. Depending on the child's response and the condition can be repeated transfusions. Even 20 years ago for these children first response did not help, doctors reckon with the fact that a fetus dies sooner or later, when the brain creates a vast swelling. Medical progress made, however, that we can now treat these children, saving their lives.
Children from the conflict serological always born before the scheduled date. Depending on the value of antibodies, the state of the child's birth and the disease is called a few days or even a few weeks before the expected date. Children from the conflict after birth are treated with phototherapy, much as possible and stop the breakdown of red blood cells caused by the progressive pathologic jaundice. Where phototherapy proves to be ineffective blood transfusion is done - or complementary exchange transfusion.
Thanks to the treatment in the first days of life of children affected by conflict serological first response frequently return to full health. Disease from the prenatal period fortunately does not adversely affect their future life. Categories: Pathology of pregnancy. Tags: serological conflict. Author: dobradoula. Bookmark the permalink.
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