{"id":589530,"date":"2023-04-14T14:20:20","date_gmt":"2023-04-14T10:20:20","guid":{"rendered":"https:\/\/arantv.az\/?p=589530"},"modified":"2023-04-14T14:20:20","modified_gmt":"2023-04-14T10:20:20","slug":"ail%c9%99-quranda-buna-mutl%c9%99q-diqq%c9%99t-edin-%c9%99ks-halda-h%c9%99kimd%c9%99n-ciddi-x%c9%99b%c9%99rdarliq","status":"publish","type":"post","link":"https:\/\/arantv.az\/?p=589530","title":{"rendered":"Ail\u0259 quranda buna M\u00dcTL\u018fQ diqq\u0259t edin, \u0259ks halda…- H\u0259kimd\u0259n C\u0130DD\u0130 X\u018fB\u018fRDARLIQ"},"content":{"rendered":"

“Ail\u0259ni planla\u015fd\u0131rark\u0259n, valideynl\u0259rin qan qrupu uy\u011funlu\u011fu testl\u0259rind\u0259n ke\u00e7m\u0259l\u0259ri vacibdir”<\/strong><\/em><\/h3>\n

ARANTV.AZ <\/strong>S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, immunoloq Reyhan Ta\u011f\u0131zad\u0259nin m\u00fcsahib\u0259sini t\u0259qdim edir:<\/p>\n

– Reyhan xan\u0131m, ilk \u00f6nc\u0259 bilm\u0259k ist\u0259rdik ki, hans\u0131 hallarda qank\u00f6\u00e7\u00fcrm\u0259 t\u0259l\u0259b olunur?<\/strong><\/p>\n

– Qank\u00f6\u00e7\u00fcrm\u0259 (hemotransfuziya) donordan v\u0259 ya x\u0259st\u0259nin \u00f6z\u00fcnd\u0259n al\u0131nan qan v\u0259 ya onun komponentl\u0259rinin x\u0259st\u0259y\u0259 k\u00f6\u00e7\u00fcr\u00fcld\u00fcy\u00fc bir prosesdir. Qank\u00f6\u00e7\u00fcrm\u0259 t\u0259l\u0259b olunan \u015f\u0259xsl\u0259r\u0259 aiddir: onkoloji x\u0259st\u0259l\u0259r, qan x\u0259st\u0259likl\u0259ri olan x\u0259st\u0259l\u0259r (leykoz, anemiya, b\u0259zi irsi x\u0259st\u0259likl\u0259r), orqan transplantasiyas\u0131, c\u0259rrahi m\u00fcdaxil\u0259l\u0259r\u0259, qan damarlar\u0131nda v\u0259 \u00fcr\u0259kd\u0259 \u0259m\u0259liyyatlara ehtiyac\u0131 olan x\u0259st\u0259l\u0259r, b\u0259db\u0259xt hadis\u0259 n\u0259tic\u0259sind\u0259 z\u0259r\u0259r \u00e7\u0259kmi\u015f, x\u0259sar\u0259t alm\u0131\u015f v\u0259 ya a\u011f\u0131r yan\u0131qlar, q\u0259zada \u00e7ox qan itir\u0259n \u015f\u0259xsl\u0259r.<\/p>\n

Qank\u00f6\u00e7\u00fcrm\u0259d\u0259n \u0259vv\u0259l m\u00fctl\u0259q resipientin qan qrupunu v\u0259 Rh faktorunu t\u0259yin etm\u0259k laz\u0131md\u0131r. \u015e\u0259xsiyy\u0259t v\u0259siq\u0259sind\u0259 qan qrupu haqq\u0131nda m\u0259lumatlar olsa bel\u0259, transfuziyadan \u0259vv\u0259l onu yenid\u0259n yoxlamaq laz\u0131md\u0131r (birincisi, qan qrupunun \u0259vv\u0259lki t\u0259yini s\u0259hvini aradan qald\u0131rmaq, ikincisi, qan qrupu antigenl\u0259rinin a\u015fkar olunmad\u0131\u011f\u0131 x\u0259st\u0259likl\u0259r var).<\/p>\n

\u00c7oxlu qank\u00f6\u00e7\u00fcrm\u0259 alan x\u0259st\u0259l\u0259rd\u0259 (x\u0259r\u00e7\u0259ng x\u0259st\u0259l\u0259ri, talassemiyal\u0131 x\u0259st\u0259l\u0259r) donor v\u0259 resipiyentin qan\u0131n\u0131n f\u0259rdi uy\u011funlu\u011fu yoxlan\u0131lmal\u0131d\u0131r. F\u0259rdi uy\u011funluq testi resipientd\u0259 donorun eritrositl\u0259rin\u0259 qar\u015f\u0131 y\u00f6n\u0259lmi\u015f anticisiml\u0259rin olmad\u0131\u011f\u0131na \u0259min olma\u011fa v\u0259 bel\u0259likl\u0259, x\u0259st\u0259nin qan\u0131 il\u0259 uy\u011fun olmayan eritrositl\u0259rin k\u00f6\u00e7\u00fcr\u00fclm\u0259sinin qar\u015f\u0131s\u0131n\u0131 alma\u011fa imkan verir.<\/p>\n

Bundan \u0259lav\u0259, donor qan\u0131n\u0131n 4 infeksiya \u00fc\u00e7\u00fcn yoxlan\u0131lmas\u0131 m\u00fctl\u0259qdir: bunlar hepatit B v\u0259 C, sifilis v\u0259 H\u0130V-dir.<\/p>\n

– Qan uy\u011funsuzlu\u011fu do\u011fulacaq k\u00f6rp\u0259y\u0259 hans\u0131 probleml\u0259r yarada bil\u0259r?<\/strong><\/p>\n

\"reyhan_tagizad.jpg<\/strong><\/p>\n

– Hamil\u0259lik h\u0259r bir qad\u0131n\u0131n h\u0259yat\u0131ndak\u0131 \u0259n g\u00f6z\u0259l d\u00f6vrl\u0259rind\u0259n biridir. Bu, h\u0259y\u0259canl\u0131 g\u00f6zl\u0259m\u0259, xo\u015f \u00e7\u0259tinlikl\u0259r v\u0259 d\u00f6l\u00fcn sa\u011flaml\u0131\u011f\u0131 il\u0259 ba\u011fl\u0131 narahatl\u0131qlar d\u00f6vr\u00fcd\u00fcr. T\u0259yin edilmi\u015f t\u0259dqiqatlar\u0131n siyah\u0131s\u0131na h\u0259r iki t\u0259r\u0259fin qan qrupunu v\u0259 Rh m\u0259nsubiyy\u0259tini t\u0259yin etm\u0259k \u00fc\u00e7\u00fcn analiz daxildir. \u018fg\u0259r \u0259vv\u0259ll\u0259r h\u0259kiml\u0259r \u0259sas\u0259n ana v\u0259 u\u015faq aras\u0131nda Rh konfliktin\u0259 s\u0259b\u0259b ola bil\u0259c\u0259k Rh faktoru il\u0259 maraqlan\u0131rd\u0131larsa, indi onlar\u0131n v\u0259zif\u0259l\u0259rind\u0259n biri qan qruplar\u0131nda immunoloji konflikt riskl\u0259rini minimuma endirm\u0259kdir.<\/p>\n

– B\u0259s uy\u011funsuzluq n\u0259 vaxt ba\u015f verir?<\/strong><\/p>\n

– Ana v\u0259 k\u00f6rp\u0259nin qan qruplar\u0131 f\u0259rqli olduqda qan qrupunun uy\u011funsuzlu\u011fu v\u0259 ya AB0 konflikti ba\u015f verir. Bu, bir u\u015fa\u011f\u0131n do\u011fulmas\u0131 prosesind\u0259 ciddi f\u0259sadlara s\u0259b\u0259b ola bil\u0259r, fetal orqanlar\u0131n formala\u015fmas\u0131n\u0131 v\u0259 yenido\u011fan\u0131n hemolitik x\u0259st\u0259liyinin g\u00f6r\u00fcn\u00fc\u015f\u00fcn\u00fc l\u0259ngid\u0259 bil\u0259r. Uy\u011funsuzlu\u011fu yaln\u0131z qrup anticisiml\u0259ri \u00fc\u00e7\u00fcn testd\u0259n sonra m\u00fc\u0259yy\u0259n etm\u0259k m\u00fcmk\u00fcnd\u00fcr.<\/p>\n

AB0 sistemind\u0259 immunoloji konflikt n\u0259z\u0259ri olaraq ana v\u0259 k\u00f6rp\u0259nin m\u00fcxt\u0259lif qan qruplar\u0131na malik olduqda yarana bil\u0259r, y\u0259ni:<\/p>\n

\u2022 ana I v\u0259 ya III qrupa, u\u015faq II qrupa malikdir;<\/p>\n

\u2022 ana I v\u0259 ya II, k\u00f6rp\u0259 – III;<\/p>\n

\u2022 anada I, II v\u0259 ya III qrup, u\u015faqda IV qrup var.<\/p>\n

\u018fn t\u0259hl\u00fck\u0259li v\u0259ziyy\u0259t – anada I qrup, u\u015faqda is\u0259 II v\u0259 ya III qrupdur v\u0259 bu \u0259n \u00e7ox konflikt\u0259 v\u0259 k\u00f6rp\u0259d\u0259 hemolitik x\u0259st\u0259liyin inki\u015faf\u0131na s\u0259b\u0259b ola bil\u0259r.<\/p>\n

Qeyd etm\u0259k laz\u0131md\u0131r ki, I qrupu olan qad\u0131nlarda Rh faktorundan as\u0131l\u0131 olmayaraq, uy\u011funlu\u011fa nail olmaq \u0259n \u00e7\u0259tindir. Yegan\u0259 optimal variant, ata v\u0259 d\u00f6l\u00fcn d\u0259 I qrupa sahib olmas\u0131d\u0131r. Bir atan\u0131n f\u0259rqli bir qrupu varsa, immunoloji konfliktin inki\u015faf riski art\u0131r.<\/p>\n

Risk qrupuna daxil olan qad\u0131nlara aiddir: qan k\u00f6\u00e7\u00fcr\u0259nl\u0259r, abort ed\u0259nl\u0259r, art\u0131q hemolitik x\u0259st\u0259liyi v\u0259 ya \u0259qli inki\u015fafdan qalan u\u015faqlar\u0131 olanlar.<\/p>\n

Hamil\u0259lik d\u00f6vr\u00fcnd\u0259 v\u0259 u\u015faq do\u011fulduqdan sonra m\u00fcmk\u00fcn f\u0259sadlar: \u00f6d\u0259m, d\u0259rinin sar\u0131l\u0131\u011f\u0131, anemiya, qaraciy\u0259r v\u0259 dala\u011f\u0131n \u00f6l\u00e7\u00fcs\u00fcn\u00fcn artmas\u0131 il\u0259 d\u00f6l\u00fcn hemolitik x\u0259st\u0259liyinin inki\u015faf\u0131, fetal hipoksiya, g\u00f6b\u0259k ciy\u0259sinin v\u0259 plasentan\u0131n qal\u0131nla\u015fmas\u0131, u\u015faqda \u00fcr\u0259k-damar sisteminin pozulmas\u0131, fiziki v\u0259 zehni inki\u015faf\u0131n gecikm\u0259si. Rezus konfliktinin a\u011f\u0131rla\u015fmalar\u0131 – u\u015faql\u0131qdaxili fetal \u00f6l\u00fcm, hamil\u0259liyin sonlanma riski, \u00f6l\u00fc do\u011fum v\u0259 yeni do\u011fulmu\u015f u\u015fa\u011f\u0131n hemolitik x\u0259st\u0259liyi.<\/p>\n

– U\u015faq kimin Rh faktorunu irs\u0259n al\u0131r?<\/strong><\/p>\n

– \u018fg\u0259r h\u0259r iki valideyn Rh m\u00fcsb\u0259tdirs\u0259, onda u\u015faq m\u00fcsb\u0259t rezuslu olur. H\u0259r iki valideyn m\u0259nfi olarsa – u\u015faq \u0259ks\u0259r hallarda m\u0259nfi rezuslu olur. Valideynl\u0259rd\u0259n biri Rh-m\u00fcsb\u0259t, dig\u0259ri is\u0259 m\u0259nfi Rh-dirs\u0259, o zaman k\u00f6rp\u0259nin Rh-\u0131 m\u00fcsb\u0259t v\u0259 ya m\u0259nfi olma ehtimal\u0131 50\/50-\u0259 q\u0259d\u0259r m\u00fc\u0259yy\u0259n edilir.<\/p>\n

Bir ne\u00e7\u0259 n\u0259sild\u0259n sonra rezusun irs\u0259n \u00f6t\u00fcr\u00fclm\u0259 ehtimal\u0131 var (ata v\u0259 anan\u0131n m\u00fcsb\u0259t Rh, do\u011fulan u\u015fa\u011f\u0131n is\u0259 m\u0259nfi Rh olmas\u0131 hal\u0131). Buna g\u00f6r\u0259, bir ail\u0259ni planla\u015fd\u0131rark\u0259n, valideynl\u0259rin qan qrupu uy\u011funlu\u011fu testl\u0259rind\u0259n ke\u00e7m\u0259l\u0259ri vacibdir. M\u0259nfi qan qruplar\u0131n\u0131 v\u0259 Rh faktorunu m\u00fc\u0259yy\u0259n etm\u0259k laz\u0131md\u0131r. Rezus (Rh) m\u0259nfi qan m\u0259nsubiyy\u0259ti olan qad\u0131nlar daha y\u00fcks\u0259k risk alt\u0131ndad\u0131r.<\/p>\n

M\u0259s\u0259l\u0259 buras\u0131ndad\u0131r ki, \u0259g\u0259r qad\u0131n hamil\u0259likd\u0259n \u0259vv\u0259l c\u0259rrahi \u0259m\u0259liyyat (abort da daxil olmaqla) v\u0259 ya qank\u00f6\u00e7\u00fcrm\u0259 \u0259m\u0259liyyat\u0131 ke\u00e7iribs\u0259 v\u0259 ya hamil\u0259lik birinci deyils\u0259, o zaman onun qan\u0131nda spesifik anticisiml\u0259rin \u0259m\u0259l\u0259 g\u0259lm\u0259si ehtimal\u0131 var. Rh-m\u00fcsb\u0259t d\u00f6ll\u00fc Rh-m\u0259nfi qad\u0131nda immun a\u011f\u0131rla\u015fmalar (yeni do\u011fulmu\u015f u\u015fa\u011f\u0131n hemolitik x\u0259st\u0259liyi v\u0259 s.) v\u0259 x\u00fcsusil\u0259 ikinci v\u0259 ya \u00fc\u00e7\u00fcnc\u00fc hamil\u0259likd\u0259n m\u00fcmk\u00fcnd\u00fcr. F\u0259sadlar\u0131n qar\u015f\u0131s\u0131n\u0131 almaq \u00fc\u00e7\u00fcn anti-rezus qamma-qlobulin t\u0259tbiq olunur. Bundan \u0259lav\u0259, zamanla Rh anticisiml\u0259ri \u00fc\u00e7\u00fcn qan\u0131 m\u00fct\u0259madi olaraq yoxlamaq laz\u0131md\u0131r.<\/p>\n

– V\u0259ziyy\u0259ti n\u0259zar\u0259td\u0259 saxlamaq \u00fc\u00e7\u00fcn n\u0259 etm\u0259k laz\u0131md\u0131r?<\/strong><\/p>\n

– Hamil\u0259liyin qeydiyyat\u0131 \u00fc\u00e7\u00fcn tibb m\u00fc\u0259ssis\u0259sin\u0259 m\u00fcraci\u0259t ed\u0259n, el\u0259c\u0259 d\u0259 arzuolunmaz hamil\u0259liyin dayand\u0131r\u0131lmas\u0131 \u00fc\u00e7\u00fcn m\u00fcraci\u0259t ed\u0259n b\u00fct\u00fcn qad\u0131nlara qan qrupunu v\u0259 Rh faktorunu m\u00fc\u0259yy\u0259n etm\u0259k \u00fc\u00e7\u00fcn analiz t\u0259yin edilir. Bundan \u0259lav\u0259, hamil\u0259lik \u00fc\u00e7\u00fcn qeydiyyatdan ke\u00e7mi\u015f Rh-m\u0259nfi qad\u0131nlara anti-Rh anticisiml\u0259rin\u0259 g\u00f6r\u0259 ayl\u0131q qan testi t\u0259yin edilir. Bel\u0259likl\u0259, anan\u0131n qan\u0131 il\u0259 d\u00f6l aras\u0131nda \u0259laq\u0259 olub-olmad\u0131\u011f\u0131, qad\u0131n\u0131n immun sisteminin yad z\u00fclala reaksiya verib-verm\u0259diyi m\u00fc\u0259yy\u0259n edilir.<\/p>\n

28-ci h\u0259ft\u0259y\u0259 q\u0259d\u0259r qad\u0131n\u0131n qan\u0131nda anti-rezus anticisiml\u0259ri yoxdursa, o, anti-rezus immunoqlobulinin profilaktik t\u0259tbiqin\u0259 g\u00f6nd\u0259rilir. Bu profilaktika hamil\u0259liyin 28-30 h\u0259ft\u0259l\u0259rind\u0259 apar\u0131l\u0131r. Bundan sonra anan\u0131n qan\u0131nda anti-rezus anticisiml\u0259rinin t\u0259yini apar\u0131lm\u0131r.<\/p>\n

M\u00fcayin\u0259nin n\u0259tic\u0259l\u0259rin\u0259 g\u00f6r\u0259 hamil\u0259liyin 28-ci h\u0259ft\u0259sind\u0259n \u0259vv\u0259l qad\u0131nda anti-rezus anticisiml\u0259ri a\u015fkar edil\u0259rs\u0259, o, Rh konfliktinin a\u011f\u0131rl\u0131q d\u0259r\u0259c\u0259sini, vaxt\u0131nda m\u00fcalic\u0259ni t\u0259yin etm\u0259k v\u0259 z\u0259ruri hallarda t\u0259cili do\u011fu\u015fa g\u00f6st\u0259ri\u015fin verilm\u0259si \u00fc\u00e7\u00fcn daha d\u0259rin m\u00fcayin\u0259y\u0259 g\u00f6nd\u0259rilir.<\/p>\n

Rh-m\u0259nfi qad\u0131n\u0131n do\u011fulmas\u0131ndan sonra Rh faktoru m\u00fc\u0259yy\u0259n edilir. K\u00f6rp\u0259nin Rh-m\u00fcsb\u0259t olmas\u0131 hal\u0131nda, do\u011fu\u015fdan sonra 72 saat \u0259rzind\u0259 qad\u0131na anti-Rh immunoqlobulin d\u0259 vurulur.<\/p>\n","protected":false},"excerpt":{"rendered":"

“Ail\u0259ni planla\u015fd\u0131rark\u0259n, valideynl\u0259rin qan qrupu uy\u011funlu\u011fu testl\u0259rind\u0259n ke\u00e7m\u0259l\u0259ri vacibdir” ARANTV.AZ S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, immunoloq Reyhan Ta\u011f\u0131zad\u0259nin m\u00fcsahib\u0259sini t\u0259qdim edir: – Reyhan xan\u0131m, ilk \u00f6nc\u0259 bilm\u0259k ist\u0259rdik ki, hans\u0131 hallarda qank\u00f6\u00e7\u00fcrm\u0259 t\u0259l\u0259b olunur? – Qank\u00f6\u00e7\u00fcrm\u0259 (hemotransfuziya) donordan v\u0259 ya x\u0259st\u0259nin \u00f6z\u00fcnd\u0259n al\u0131nan qan v\u0259 ya onun komponentl\u0259rinin x\u0259st\u0259y\u0259 k\u00f6\u00e7\u00fcr\u00fcld\u00fcy\u00fc bir prosesdir. Qank\u00f6\u00e7\u00fcrm\u0259 t\u0259l\u0259b olunan \u015f\u0259xsl\u0259r\u0259 aiddir: onkoloji x\u0259st\u0259l\u0259r, qan x\u0259st\u0259likl\u0259ri olan x\u0259st\u0259l\u0259r (leykoz, anemiya, b\u0259zi irsi x\u0259st\u0259likl\u0259r), orqan transplantasiyas\u0131, c\u0259rrahi m\u00fcdaxil\u0259l\u0259r\u0259, qan damarlar\u0131nda v\u0259 \u00fcr\u0259kd\u0259 \u0259m\u0259liyyatlara ehtiyac\u0131 olan x\u0259st\u0259l\u0259r, b\u0259db\u0259xt hadis\u0259 n\u0259tic\u0259sind\u0259 z\u0259r\u0259r \u00e7\u0259kmi\u015f, x\u0259sar\u0259t alm\u0131\u015f v\u0259 ya a\u011f\u0131r yan\u0131qlar, q\u0259zada…<\/p>\n","protected":false},"author":2,"featured_media":589531,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[1],"tags":[],"aioseo_notices":[],"gutentor_comment":0,"rttpg_featured_image_url":{"full":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304.jpg",449,300,false],"landscape":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304.jpg",449,300,false],"portraits":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304.jpg",449,300,false],"thumbnail":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304-449x280.jpg",449,280,true],"medium":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304.jpg",449,300,false],"large":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304.jpg",449,300,false],"1536x1536":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304.jpg",449,300,false],"2048x2048":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304.jpg",449,300,false],"post-thumbnail":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304-240x172.jpg",240,172,true],"advps-thumb-one":["https:\/\/arantv.az\/wp-content\/uploads\/2023\/04\/5a8c73f804e27d57f97708928d4c3304.jpg",449,300,false]},"rttpg_author":{"display_name":"V\u00fcsal Rafiqo\u011flu","author_link":"https:\/\/arantv.az\/?author=2"},"rttpg_comment":0,"rttpg_category":"C\u0259miyy\u0259t<\/a>","rttpg_excerpt":"“Ail\u0259ni planla\u015fd\u0131rark\u0259n, valideynl\u0259rin qan qrupu uy\u011funlu\u011fu testl\u0259rind\u0259n ke\u00e7m\u0259l\u0259ri vacibdir” ARANTV.AZ S\u0259hiyy\u0259 Nazirliyinin m\u00fct\u0259x\u0259ssis-eksperti, immunoloq Reyhan Ta\u011f\u0131zad\u0259nin m\u00fcsahib\u0259sini t\u0259qdim edir: – Reyhan xan\u0131m, ilk \u00f6nc\u0259 bilm\u0259k ist\u0259rdik ki, hans\u0131 hallarda qank\u00f6\u00e7\u00fcrm\u0259 t\u0259l\u0259b olunur? – Qank\u00f6\u00e7\u00fcrm\u0259 (hemotransfuziya) donordan v\u0259 ya x\u0259st\u0259nin \u00f6z\u00fcnd\u0259n al\u0131nan qan v\u0259 ya onun komponentl\u0259rinin x\u0259st\u0259y\u0259 k\u00f6\u00e7\u00fcr\u00fcld\u00fcy\u00fc bir prosesdir. 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