新生儿溶血病

Mohammed Mejbahuddin Mia, Muhammad Shahidul Islam, Rubaiyat Farzana Hussain, Samia Hoque
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摘要

背景:免疫介导的新生儿溶血性疾病是指一种特殊类型的溶血性贫血,由预先敏感的母亲经胎盘向子宫内胎儿传递IgG抗体引起。这是由于母亲和胎儿血型不合造成的。临床表现涵盖了广泛的范围,从死产和红细胞增生胎儿以及出生时只有轻度溶血的婴儿到患有严重贫血和严重间接高胆红素血症并伴有水肿的婴儿。目的:我们描述了一个Rh-D阴性母亲的经历,她经历了六次怀孕,为了有一个健康的宝宝。结论:强调在首次产前检查和随后的抗体滴度监测中血型和Rh分型的重要性,特别是在Rh- d阴性母亲中。KYAMC学报,Vol. 14, No. 01, 2023年4月:54-56
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Haemolytic Disease of the Newborn
Background: Immune-mediated haemolytic disease of the newborn refers to a specific category of haemolytic anaemia that results from transplacental passage of IgG antibodies from a pre-sensitized mother to her fetus in utero. This occurs due to blood group incompatibility between the mother and the fetus. The clinical presentation covers a wide spectrum spanning from still births and erythroblastosis fetalis as well as infants born with only mild haemolysis to those having severe anaemia snd severe indirect hyperbilirubinaemia followed by hydrops.Objective: We describe the journey of a Rh-D negative mother who endured through six pregnancies in order to have a healthy baby.Conclusion: To highlight the importance of blood grouping and Rh typing during the first antenatal visit and subsequent monitoring of antibody titers, especially in a mother who is Rh-D negative. KYAMC Journal Vol. 14, No. 01, April 2023: 54-56
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