Vaʻai mumu mumu mumu toto

Anotusi

• O le a le RBC antibody screen?
• O le a le mea e faʻaaoga ai?
• Aisea ou te manaʻomia ai le RBC antibody screen?
• O le a le mea e tupu i le taimi o le RBC antibody screen?
• Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
• E i ai ni lamatiaga i le suʻega?
• O le a le uiga o faʻaiuga?
• E i ai se isi mea ou te manaʻomia e iloa e uiga i le RBC antivirus screen?
• Faʻamatalaga

O le a le RBC antibody screen?

O le RBC (mumu toto sela) o le paʻu o le toto e suʻe ai le toto e suʻesuʻe ai vaega o le toto e taulaʻi i sela mumu. Ole toto mūmū ole toto mūmū e ono afaina ai oe pe a uma se tui pe, pe a e maʻito, i lau pepe. O le RBC antibody screen e mafai ona mauaina nei vailaʻau faʻapenei ae le i faʻatupuina ni faʻafitauli tau le soifua maloloina.

Antibodies o polotini na faia e lou tino e osofaʻia ai vailaʻau mai fafo pei o siama ma siama. Ole toto mumu toto sela e faʻaalia i lou toto pe a fai oe e aafia i sela mumu mumu nai lo ou lava. E masani ona tupu lenei mea pe a uma se tui toto pe i le taimi o le maitaga, pe a faʻafesoʻotaʻi le toto o le tina ma le toto o lana pepe e leʻi fanau mai. O isi taimi e faʻataʻitaʻia ai le puipuiga e pei o nei sela mumu o sela e "ese" ma o le a osofaʻia i latou.

Isi igoa: antibody screen, faʻataʻitaʻi antiglobulin tofotofoga, tuusaʻo teteʻe-tagata globulin tofotofoga, IAT, tuusao coombs suʻega, erythrocyte Ab

O le a le mea e faʻaaoga ai?

E faʻaaogaina le lau o le RBC e:

• Siaki lou toto aʻo leʻi tuiina le toto. O le suʻega e mafai ona faʻaalia ai pe o talafeagai lou toto ma le toto o le tagata foaʻi. Afai e le fetaui lou toto, o le a osofaʻia e lou tino le toto na tui e pei o se vailaʻau mai fafo. E afaina ai lou soifua maloloina.
• Siaki lou toto i le taimi o to. O le suʻega e mafai ona faʻaalia ai pe o gatasi le toto o le tina ma le toto o lana pepe e leʻi fanau mai. O le tina ma lana pepe e ono eseese ituaiga antigens i luga o la mumu toto. Aneti o vailaʻau e maua ai se tali atu puipuia. Antigens mumu toto mumu aofia ai le Kell antigen ma le antig Rh.
  • A iai sau Rh antigen, e taʻua oe o Rh e lelei. Afai e leai sau antigen Rh, o lona uiga ua e le lelei Rh.
  • Afai o oe o Rh leaga ma o lau pepe e leʻi fananau mai o Rh lelei, o lou tino ono amata ona faia ni vailaʻau faʻasaga i le toto o lau pepe. O lenei tulaga ua taʻua o le Rh incompatibility.
  • Uma Kell antigens ma Rh le feteʻenaʻi ono mafua ai se tina e faia ni vailaʻau faʻasaga i le toto o lana pepe. E mafai e siama ona faʻaleagaina sela mumu o le pepe, ma mafua ai le ova o le toto. Ae e mafai ona e mauaina se togafitiga e taofia ai oe mai le faia o vailaʻau faʻasaʻi e ono afaina ai lau pepe.
• Siaki le toto o le tama o lau pepe e leʻi fanau mai.
  • Afai o oe o Rh leaga, atonu o le a faʻataʻitaʻia le tama o lau pepe e saili ai lona ituaiga Rh. Afai o ia o Rh lelei, o le a ono lamatia lau pepe mo Rh le feteʻenaʻi. O lau fomaʻi tausi soifua o le a ono faia nisi suʻesuʻega e iloa ai pe leai o iai se agavaʻa.

Aisea ou te manaʻomia ai le RBC antibody screen?

E mafai ona faʻatonuina e lau tausi soifua maloloina le lau o le RBC pe a fai e te fuafua e tui lou toto, pe ua e maʻito. O le RBC screen e masani ona faia i le amataga o le maʻitaga, o se vaega o le masani ai faʻapitoa fanau suʻega.

O le a le mea e tupu i le taimi o le RBC antibody screen?

O le polofesa mo le soifua maloloina o le a ave se toto faʻataʻitaʻiga mai se uaua i lou lima, faʻaaoga ai se tamaʻi nila. A maeʻa ona tuʻu i totonu le nila, o le a faʻaputuputuina se vaega laʻititi o le toto i totonu o se faʻamaoniga poʻo se ipu. Atonu e te lagonaina sina tiga pe a alu le nila i totonu pe fafo. Lenei masani ona alu ifo i lalo o le lima minute.

Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?

E te le manaʻomia ni sauniuniga faʻapitoa mo le RBC screen.

E i ai ni lamatiaga i le suʻega?

E laʻititi lava le aʻafia ile faia ole suʻega ile toto. E i ai sina tiga poʻo se tiga i le mea na tuu ai le nila, ae o le tele o faʻailoga e vave ona alu ese.

O le a le uiga o faʻaiuga?

Afai o loʻo e tui toto: O le RBC screen o le a faʻaalia pe o fetaui lou toto ma le toto o le tagata foaʻi. Afai e le fetaui, o le a manaʻomia le mauaina o seisi foaʻi.

Afai ua e maʻito: O le RBC screen o le a faʻaalia mai ai pe o iai i lou toto ni antigens e ono afaina ai lau pepe, e aofia ai pe e te le o gatasi le Rh.

• A iai sau faʻaletonu o le Rh, e ono amata ona fai ni au vailaʻau puipui lou tino i le toto o lau pepe.
• O nei vailaʻau e le o se aʻafiaga i lou maitaga muamua, aua e masani ona fanau le pepe ae leʻi faia ni vailaʻau. Ae o nei vailaʻau e mafai ona afaina ai lau pepe e le i fanau mai i ni maitaga i le lumanaʻi.
• O le Rh incompatibility e mafai ona togafitia i se tui e puipuia lou tino mai le faia o vailaʻau faʻasaga i sela mumu o lau pepe.
• Afai o oe o Rh lelei, e leai se tulaga lamatia o Rh le ogatasi.

A iai ni au fesili e uiga i au iʻuga, talanoa i lau fomaʻi.

Aʻoaʻo atili e uiga i suʻesuʻega falesuesue, vaitau o faʻasino, ma malamalamaaga i iʻuga

E i ai se isi mea ou te manaʻomia e iloa e uiga i le RBC antivirus screen?

Rh le agavaʻa e le masani ai. Tele o tagata e lelei Rh, e le mafua ai le toto feʻeseʻeseaʻi ma leai se soifua maloloina lamatiaga.

Faʻamatalaga

1. ACOG: Le American Congress of Obstetricians ma Gynecologists [Initaneti]. Washington D.C .: American Congress of Obstetricians ma Gynecologists; c2017. O le Rh Factor: Faʻafefea ona afaina ai lou maʻitaga; 2013 Sep [taʻua 2017 Sep 29]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.acog.org/Patients/FAQs/The-Rh-Factor-How-It-Can-Affect-Your-Pregnancy#what
2. American Pregnancy Association [Initaneti]. Irving (TX): American Pregnancy Association; c2017. Rh Factor [faʻafouina 2017 Mar 2; taʻua 2017 Sep 29]; [pe a ma le 2 pupuni] Avanoa mai: http://americanpregnancy.org/pregnancy-complications/rh-factor
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5. C.S. Mott Falemai Tamaiti [Initaneti]. Ann Arbor (MI): O Resitara o le Iunivesite o Michigan; c1995-2017. Coombs Antibody Test (Le tuusao ma tuusao); 2016 Oketopa 14 [taʻua 2017 Sep 29]; [pe a ma le 2 pupuni] Avanoa mai: http://www.mottchildren.org/health-library/hw44015
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O faʻamatalaga i luga o lenei 'upega tafaʻilagi e le tatau ona faʻaaogaina e fai ma sui o fomaʻi faʻapitoa togafitiga poʻo fautuaga. Faʻafesoʻotaʻi le au tausi soifua pe a iai ni au fesili e uiga i lou soifua maloloina.