Medicii raspund / Afectiuni »

„Avem Rh-ul diferit. Ce riscuri apar la a doua sarcină?”

Autor: Redactia | 05 October, 13:10 | 2 comentarii

„Am grupa de sânge 0 și Rh negativ. Soțul are grupa de sânge A2 și Rh pozitiv. Primul și singurul nostru copil are grupa și Rh-ul soțului. Am dori să mai avem un copil, de aceea am vrea să știm ce riscuri implică neconcordanța de Rh la a doua sarcină.” - Mirela Stratulat, Caransebeș


Conf. dr. Radu Vlădăreanu, medic ginecolog, Spitalul Elias



Riscurile incompatibilității de Rh ar fi, între altele, apariția la făt a unei anemii chiar cu hepatosplenomegalie. Există însă o serie de măsuri de supraveghere a sarcinii care pot preîntâmpina apariția acestor manifestări.

Ar fi indicată o spațiere a intervalului dintre sarcini la cel puțin 3 ani.

În timpul sarcinii se vor face dozări de anticorpi la început, precum și în săptămânile 20, 24, 28 și 32.

Ultimele studii au demonstrat eficacitatea administrării dozei de gamaglobulină anti-D la 28-34 săptămâni, repetată la intervale de 6 săptămâni.

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