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Anestetic [448]
3 years ago
9

Help

Health
1 answer:
Ivanshal [37]3 years ago
7 0
We define health as a state of complete physical, social and mental wellbeing, and not merely the absence of disease or infirmity.

From this definition you can see that health has three dimensions – physical, mental and social – which are interrelated and influence each other greatly.

Physical health relates to the efficient functioning of the body and its systems, and includes physical capacity to perform tasks and physical fitness.

Mental health is a state of wellbeing in which an individual:

recognises their own abilitiescan cope with the normal stresses of lifecan work productively and fruitfullyis able to contribute to their community.

Social health involves being able to interact with others and participate in the community in both an independent and cooperative manner.

Some examples of how events can influence all dimensions of health:

Example 1: A 16 year old male is involved in a car accident and breaks his pelvis, rendering him unable to attend school, or play football with the local club he loves.

His physical health is affected by the damage done to his pelvic bones and a loss of fitness, which in turn has prevented him from maintaining social contact at school and football, decreasing his ability to interact with others and have good social health.  His isolation may also reduce his mental health as he may feel lonely and depressed.

Example 2: A 33 year old woman develops depression.

Depression causes feelings of hopelessness, stress and loss of interest in normal activities, negatively impacting her mental health.  This may decrease her desire to exercise or prepare healthy food, leading to weight gain and loss of fitness, reducing her physical health.  Her depression may mean that she isn’t interested in interacting with others and participating in her community, and her moodiness puts a strain on her relationship with her husband, reducing her social health.

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In erythroblastosis fetalis Rh negative mother carries Rh positive fetus which causes antibodies reaction... What if mother is R
astra-53 [7]

Clinical Research

For Health Providers

ed blood cells do not have a marker called Rh factor on them. Rh-positive blood does have this marker. If your blood mixes with Rh-positive blood, your immune system will react to the Rh factor by making antibodies to destroy it. This immune system response is called Rh sensitization.

What causes Rh sensitization during pregnancy?

Rh sensitization can occur during pregnancy if you are Rh-negative and pregnant with a developing baby (fetus) who has Rh-positive blood. In most cases, your blood will not mix with your baby's blood until delivery. It takes a while to make antibodies that can affect the baby, so during your first pregnancy, the baby probably would not be affected.

But if you get pregnant again with an Rh-positive baby, the antibodies already in your blood could attack the baby's red blood cells. This can cause the baby to have anemia, jaundice, or more serious problems. This is called Rh disease. The problems will tend to get worse with each Rh-positive pregnancy you have.

Rh sensitization is one reason it's important to see your doctor in the first trimester of pregnancy. It doesn't cause any warning symptoms, and a blood test is the only way to know you have it or are at risk for it.

If you are at risk, Rh sensitization can almost always be prevented.

If you are already sensitized, treatment can help protect your baby.

Who gets Rh sensitization during pregnancy?

Rh sensitization during pregnancy can only happen if a woman has Rh-negative blood and only if her baby has Rh-positive blood.

If the mother is Rh-negative and the father is Rh-positive, there is a good chance the baby will have Rh-positive blood. Rh sensitization can occur.

If both parents have Rh-negative blood, the baby will have Rh-negative blood. Since the mother's blood and the baby's blood match, sensitization will not occur.

If you have Rh-negative blood, your doctor will probably treat you as though the baby's blood is Rh-positive no matter what the father's blood type is, just to be on the safe side.

How is Rh sensitization diagnosed?

All pregnant women get a blood test at their first prenatal visit during early pregnancy. This test will show if you have Rh-negative blood and if you are Rh-sensitized.

If you have Rh-negative blood but are not sensitized:

The blood test may be repeated between 24 and 28 weeks of pregnancy. If the test still shows that you are not sensitized, you probably will not need another antibody test until delivery. (You might need to have the test again if you have an amniocentesis, if your pregnancy goes beyond 40 weeks, or if you have a problem such as placenta abruptio, which could cause bleeding in the uterus.)

Your baby will have a blood test at birth. If the newborn has Rh-positive blood, you will have an antibody test to see if you were sensitized during late pregnancy or childbirth.

If you are Rh-sensitized, your doctor will watch your pregnancy carefully. You may have:

Regular blood tests, to check the level of antibodies in your blood.

Doppler ultrasound, to check blood flow to the baby's brain. This can show anemia and how severe it is.

Amniocentesis after 15 weeks, to check the baby's blood type and Rh factor and to look for problems.

How is Rh sensitization prevented?

If you have Rh-negative blood but are not Rh-sensitized, your doctor will give you one or more shots of Rh immune globulin (such as RhoGAM). This prevents Rh sensitization in nearly all women who use it.

You may get a shot of Rh immune globulin:

If you have a test such as an amniocentesis.

gist).

Treatment of the baby is based on how severe the loss of red blood cells (anemia) is.

Topic Overview

Cause

Symptoms

What Happens

What Increases Your Risk

When should you call your doctor?

Exam

3 0
3 years ago
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