Alpha hemolysis: Thaum cov kab mob tawm ntawm cov ntshav, ib qho nqaim (1-2 hli), lub nplhaib ntsuab ntsuab hemolytic tsim nyob ib ncig ntawm lub nroog. Cov ntshav liab nyob rau hauv lub nplhaib mo hemolysis tseem tsis tau ploj mus. Cov kab mob uas tuaj yeem ua rau alpha hemolytic loops, xws li streptococcus A hemolyticus thiab Streptococcus pneumoniae.
Umbilical colonies: pneumococcus muaj autolysing enzymes, thiab autolysis ntawm cov kab mob tuaj yeem ua rau hauv nruab nrab ntawm cov xeev ntog mus rau hauv qhov kev xav tom qab lub sijhawm ntev dua. Txij li ob qho tib si pneumococcus thiab streptococcus Daim ntawv ua ib qho alpha hemolytic nplhaib rau ntawm cov ntshav phaj, morphology ntawm pawg yog qhov zoo sib xws, yog li cov caj pas hnoos qeev yog ib qho hauv paus rau qhov txawv ntawm ob.
Beta hemolysis: Thaum cov kab mob mus kuaj ntawm cov ntshav, ib qho dav (2 ～ 4mm), cov lus qhia zoo, ua kom zoo kiag li lub nplhaib hemolysis tsim nyob ib ncig ntawm lub nroog. Cov ntshav liab hauv lub beta hemolysis lub nplhaib yog lysed kiag li. Cov kab mob uas tuaj yeem ua rau beta hemolytic loops, xws li beta-hemolytic streptococcus, Staphylococcus aureus, thiab lwm yam.
Gamma hemolysis: txhais tau tias tsis muaj hemolysis.
⒈ Cov neeg mob uas muaj keeb kwm txog kev rho menyuam tawm thiab muaj keeb kwm muaj daj ntseg ntawm tus menyuam yav dhau los.
⒉Txoj kev kuaj hom yog hom O, thiab nws tus txiv yog hom A, B lossis AB.
⒊O-hom ntshav cia siab rau leej niam ua ntej cev xeeb tub pom cov neeg muaj qhov siab dua anti-A lossis anti-B titer.
Cov tshuaj tiv thaiv A (B) IgG titer ntawm cov niam cev xeeb tub uas muaj hom O ntshav> 1: 64.
ExaminationB-kev kuaj mob ultrasound thaum cev xeeb tub, mob loj heev ntawm daim tawv nqaij tuaj yeem tuaj yeem qhia cov tawv nqaij hauv plab me nyuam, kab mob hepatosplenomegaly, thiab lwm yam.
Qhov tshwm sim ntawm neonatal hemolysis feem ntau muaj ob qho xwm txheej hauv qab no:
⑴Mwm rau cov ntshav hom O thiab cov menyuam mos uas muaj hom A lossis B raug rau" ABO hemolysis" thiab" ABO hemolysis" feem ntau thaum cev xeeb tub thib ob, tab sis nws kuj tuaj yeem tshwm sim qee feem hauv thawj cev xeeb tub. Yog tias leej niam muaj ntshav hom O tau hloov cov ntshav hom A lossis B lossis AB ua ntej yug menyuam, lossis muaj keeb kwm ntawm kev nchuav menyuam (leej niam' s yug cov kwj dej tau tawg thiab cov ntshav ntawm tus menyuam tau poob mus rau hauv lub cev), leej niam yuav tsim cov tshuaj tiv thaiv Anti-A lossis anti-B. Tom qab ntawv txawm thawj tus menyuam muaj neonatal hemolysis.
Mother Leej niam yog Rh-tsis zoo thiab tus me nyuam hauv plab yog Rh-positive, nws nquag" Rh hemolytic disease"
Rh ntshav hom phav kis tsis haum hemolysis feem ntau tshwm sim tom qab tus menyuam thib ob, thiab thawj tus menyuam hnyav dua thawj tus menyuam. Tus leej niam uas tau txais hom ntshav Rh tau hloov tus kab mob no tuaj yeem tsim tus kabmob hauv thawj tus menyuam.
Feem ntau hais lus, Rh hemolysis mob hnyav, thiab ABO hemolysis yog lub teeb. Hauv Suav teb, hemolysis tshwm sim los ntawm ABO cov kab ke tsis sib xws yog ntau dua, tom qab los ntawm hemolysis tshwm sim los ntawm Rh ntshav pawg tsis txaus ntseeg.