Mimba nthawi zonse imakhala yolemetsa thupi la mkazi, ngakhale limakhala lopanda mavuto. Chimodzi mwa zikhalidwe zomwe zimakhalapo mthupi labwino ndi kuchepa kwa chitetezo cha mthupi. Izi zimachitika osati kuwonjezera kufunikira kwa ntchito ya machitidwe onse, komanso kuti kuchepa kwa chitetezo cha thupi kumathandizira kuti mwanayo, yemwe ali chinthu chokhala chachilendo, asachotsedwe. Pali njira yowonongeka yomwe imakhala yotetezeka, koma chitetezo chochepa chitetezo chimayambitsa matenda opatsirana ndi matenda ena, komanso chimayambitsa kuwonongeka kwa chikhalidwe cha amayi omwe ali ndi pakati, zomwe sizikuthandizira kubereka mwanayo.
Ngati mavuto ali ndi mimba, munthu wamba amatha kuperekedwa kwa mkazi. Mankhwala opangidwa ndi mankhwalawa amamasulidwa ku madzi a m'magazi, kuyeretsedwa ndi kuikapo. Ali ndi mphamvu yoteteza thupi ndi kusamalitsa katundu. Kuyamba kwa immunoglobulin pa nthawi ya mimba kumathandiza kukana mitundu yosiyanasiyana ya matenda opatsirana, kumabweretsanso ma antibodies osakwanira. Izi ndizofunikira makamaka kwa amayi omwe ali ndi matenda oyambitsa thupi. Komabe, mulimonsemo, maumunoglobulin a munthu pa nthawi yomwe ali ndi mimba amalamulidwa molingana ndi zizindikiro zowonongeka, panthawi yomwe ili yofunikira kwambiri.
Ngati pali mkangano pakati pa mayi ndi mwana (zomwe zimachitika pamene mkazi ali ndi Rh, ndipo mwana yemwe ali ndi kachilombo ndi Rh), anti-D-immunoglobulin (antiresusive immunoglobulin) amalembedwa.
Ngati ndi kotheka, thupi la munthu limaperekedwa kuchokera ku mimba yoyamba, ndipo imodzi mwa immunoglobulin imayesetsedwera kuteteza mkangano mu mimba yachiwiri ndi yotsatira. Poyamba - nkhondo ya Rh sichikulirakulira chifukwa mayi sanayambe kupanga antibodies ambiri kwa antigen. Mayi, ma antibodies omwe amamupanga, musamuvulaze, koma zotsatira zake pa mwanayo zingakhale zakupha. Amaopseza kubadwa ali ndi vuto lalikulu laumphawi, ubongo, ndi hemolytic jaundice. Choncho, anti-D-immunoglobulin iyenera kuperekedwa mkati mwa maola 72 chibadwire choyamba. Ngati mimba yoyamba imayambanso kuchotsa mimba, kutaya mimba nthawi iliyonse, amniocentesis kapena kuvulala m'mimba, momwe zimatheka kuti magazi a fetus alowe m'magazi a mayiyo, komanso ngati magaziwo amaikidwa magazi a Rh, ndiye kuti kuyambitsidwa kwa immunoglobulin kumayambanso kulandiridwa mimba yoyamba. Ndibwino kuti mukhale woyang'aniridwa ndi dokotala ndipo nthawi zonse muyesetse magazi kuti mukhale ndi ma antibodies, ndipo ngati mukuopseza nkhondo ya Rh, tengani zoyenera. Nthawi zina chiopsezo cha rhesus chimapanganso pa sabata la 28 la mimba, yomwe idzawonedwa panthawi yafukufukuyo. Pachifukwa ichi, immunoglobulin ikuwonjezeredwa.
Mankhwala a Immunoglobin amawoneka ngati majekeseni opatsirana kapena amadzipiritsa. Mlingo umawerengedwa ndi adokotala payekha. Pambuyo poyambira (makamaka choyamba), zotsatirapo zitha kuwonetsedwa:
- kupuma pang'ono, chifuwa chouma, bronchospasm;
- Zovuta zowopsya: kunyoza, kusanza, kupweteka mmimba;
- kufooka kwakukulu, kugona;
- tachycardia ndi ululu mu chifuwa;
- zolemba;
- kuthamanga kwa khungu, kuyabwa ndi zina.
Kuonjezerapo, zotsatira za mankhwalawa mu thupi la mayi wapakati ndi mwana wosabadwa sizinaphunzire bwino. Choncho, kuyambitsidwa kwa immunoglobulin pa nthawi ya mimba ndi kofunika kokha pamene chiopsezo cha matendawa chikuposa chiopsezo cha mankhwala oyendetsa mankhwala.
Herpes ndi mimba
Matenda a herpes ali m'thupi lake ambiri. Pakati pa mimba, zinthu zabwino zowonjezereka za matenda opatsirana zimapangidwa. Ndizowopsa ngati mayi wam'tsogolo amayamba kutenga kachilombo pa nthawi yomwe ali ndi pakati,