Cov menyuam mos nyob ntawm kev mob neonatal hemolysis yuav muaj ntau yam tsos mob, feem ntau yog daj ntseg, hepatosplenomegaly, ntshav liab, thiab lwm yam Cov tsos mob maj mam hloov zuj zus, thiab cov zuag qhia tag nrho muaj feem cuam tshuam tsawg; cov mob loj zuj zus sai sai, ua rau nkees nkees, tsis nco qab, thiab txawm hais tias bilirubin encephalopathy lossis tuag taus.
Jaundice Qhov bilirubin decomposed los ntawm kev puas tsuaj hauv cov ntshav liab yog daj. Nws tuaj yeem faib thoob plaws hauv lub cev thiab ua rau cov xim ntawm lub cev nqaij daim tawv daj. Vim tias daim tawv nqaij thiab hnoos qeev (feem ntau hu ua qhov muag dawb) yog nyob rau saum npoo ntawm lub cev, lub suab daj yog qhov pom tseeb tshaj plaws, uas yog daj tawv nqaij daj. Feem ntau ntawm cov menyuam yug tshiab yuav muaj lub ntsej muag daj tom qab yug, tab sis thaum daj ntseg zoo li ntxov ntxov, ua haujlwm sai dhau, lossis ntshav bilirubin qib dhau, nws yog qhov yuav tsum tau them sai sai rau qhov muaj peev xwm hemolysis. Jaundice hauv hemolytic cov menyuam mos feem ntau tshwm sim li ntawm 24 teev lossis nyob rau hnub thib ob tom qab yug los.
Tshuaj Mob Ntshav (Anemia) Vim yog kev rhuav tshem cov qe ntshav liab, cov menyuam mos ntawm kev mob hemolysis muaj ntshav txhaws ntau txaus.
Kev mob siab thiab hnoos qeev Thaum muaj qhov mob hemolysis loj heev, kev mob plab ntawm lub plab yuav tshwm sim thiab lub siab thiab tus po yuav nce ntxiv. Qhov tsos mob no yog muaj ntau nyob rau hauv tus mob Rh hemolytic.
Bilirubin encephalopathy. Ntau cov ntshav bilirubin ntau tuaj yeem ua rau lub hlwb hlwb puas thiab ua rau bilirubin encephalopathy, uas yog qhov tseem ceeb tshaj ntawm cov kab mob hemolytic. Feem ntau nws tshwm sim li 2 rau 7 hnub tom qab yug menyuam, thiab nws ua tau txaus ntshai li daj ntseg, thiab tus me nyuam muaj cov tsos mob ntawm lub cev xws li nkees, tsis muaj teeb meem noj, ntsia qhov muag, thiab nriaj. Yog hais tias tsis kho nyob rau hauv lub sijhawm, nws yuav ua rau tuag lossis sequelae xws li lub cev muaj zog ntawm lub cev thiab mob hlwb.
Kub taub hau Ua npaws Tej zaum yuav yog ib qho kev tawm tsam ntawm lub cev tom qab hemolysis hauv cov menyuam yaus, lossis nws yuav yog qhov mob bilirubin encephalopathy hnyav dua. Qhov kub taub hau yuav tsis tsim nyog, tab sis yog tias nws tshwm sim vim yog tom qab kawg, nws txhais tau hais tias qhov mob twb dhau los lawm.
Niam thiab Txiv tsis xav txhawj ntau dhau lawm
Cov niam txiv hluas tsis tas yuav txhawj ntau. Hauv cov xwm txheej ib txwm muaj, cov tsos mob ntawm pawg ntshav ABO hemolysis me me heev, thiab feem ntau cov menyuam yaus tsis xav tau kev kho mob tshwj xeeb tom qab yug. Ntev npaum li lawv raug kho nrog lub teeb xiav thiab tshuaj nyob rau hauv lub sijhawm, tus me nyuam muaj mob tuaj yeem txo qis, txawm tias nws yog los xij Rh hemolysis. Yog tias cov ntshav hloov nyob rau sijhawm, feem coob ntawm cov menyuam yuav tuaj yeem tawm ntawm kev phom sij rau kev nyab xeeb.