1. Cov menyuam mos liab yuav tsum tau ua txhua yam haujlwm thaum lawv yug los
a. Thaum muab lub sijhawm yug menyuam, npaj rau kev cawm ntawm tus menyuam mos.
b. Txoj hlab ntaws tau tawg tam sim ntawd tom qab tus me nyuam hauv plab tau xa tawm kom txo cov tshuaj tiv thaiv mus rau hauv tus menyuam lub cev' s lub cev.
c. Khaws txoj hlab ntaws rau kev sib pauv ntshav hauv cov menyuam yaus uas muaj tus kab mob hemolytic hnyav.
2. Kev kho mob ntawm cov menyuam yaus
Cov menyuam yaus mob ABO hemolytic kab mob tsuas yog ua mob daj ntseg, mob hlab ntsha daj, thiab ntshav khov. Qhov heev ntawm cov tsos mob kuaj mob sib txawv heev. Cov mob sib khuav me me feem ntau zoo sib xws rau lub cev nqaij daim tawv paj hlwb daj, thiab cov mob hnyav yuav pom cov tsos mob pom tseeb. Tom qab yug tus me nyuam tshiab, nws yog ib qhov tsim nyog yuav tau ua tib zoo saib lub sijhawm ntawm jaundice. Feem ntau, daj ntseg yuav tshwm sim li ntawm 24 teev nyob rau hauv cov mob hnyav, thiab xyuam xim rau qhov ceev ntawm jaundice. Yog tias qhov bilirubin concentration ntau dhau, nws yuav ua rau bilirubin yog tias nws tsis kho nyob rau lub sijhawm. Encephalopathy yuav cuam tshuam rau kev txawj ntse tom qab, yog li ABO tus mob hemolytic yuav tsum kho sai li sai tau.
a. Kev kho lub teeb
Kev kho lub teeb yog txoj kev yooj yim tshaj plaws thiab siv tshuaj los kho tus mob cev nqaij daim tawv. Nws muaj qhov zoo ntawm kev sib daj ceev thiab muaj kev cuam tshuam tsawg. Tom qab tau txais lub teeb, bilirubin tuaj yeem decomposed rau hauv dej-soluble, tawm ntawm txoj hnyuv thiab zis, yog li txo cov ntshav nruab nrab bilirubin concentration tuaj yeem zam qhov tshwm sim ntawm bilirubin encephalopathy.
Cov kev mob tshwm sim: Qee tus me nyuam yuav muaj cov kev mob tshwm sim me me xws li cov tawv nqaij ua paug thiab ua kom tso quav ntau zog thaum yees. Cov tsos mob no tsis tas yuav kho, thiab lawv tuaj yeem kho tau lawv tus kheej tom qab nres lub teeb.
b. Cov tshuaj noj
Txog kev mob siab tawv nqaij ntau dua, kev siv lub teeb nrig tuaj yeem rov ua ntau zaus, thiab cov tshuaj tuaj yeem muab ntxiv thaum tib lub sijhawm. Cov tshuaj noj uas tiv thaiv cov tshuaj tiv thaiv antigen tuaj yeem siv los txo qis txuas ntxiv ntawm hemolysis, ua kom lub siab ua haujlwm ntawm lub hlwb enzyme, ua kom nrawm rau cov metabolism thiab ua kom muaj bilirubin, lossis tiv thaiv qhov reabsorption ntawm bilirubin hauv txoj hnyuv.
C. Lub txhab ntxiv ntshav lossis ntxiv ntshav ntxiv
Yuav luag txhua tus menyuam yaus uas muaj tus kabmob ABO hemolytic tsis tas yuav hloov pauv, thiab qhov paub tshwm sim yog qhov zoo tom qab kho mob nquag. Neonatal ABO hemolytic kab mob feem ntau ua ke nrog kev mob ntshav tsis txaus, thiab nws cov neeg kawm ntawv qib siab zoo ib yam li cov neeg mob hemolysis. Cov neeg mob uas tsis tshua mob hemolysis feem ntau muaj ntshav tsawg me ntsis, thiab cov menyuam yaus uas muaj tus kab mob hemolytic hnyav yuav muaj ntshav ntau dua. Txoj kev kho mob sib xws xws li ntxiv cov hlau lossis ntxiv ntshav ntxiv tuaj yeem muab raws li qhov ntshav tsis txaus.