Кстати, Вы можете даже у генетиков добиться денег для себя.
Если у Вщс есть интерес, то Вы можете им сказать, что мол, Вы советовались на форуме с генетиками с Запада и они страшно заинтересовались таким необычным наследованием. Они, мол, готовы платить бешеные деньги за использование Вашего случая, но только если будет сделан первичный генетический анализ. Поэтому врач мог бы использовать Ваш случай для своей кандидатской и даже для визита в США.
Это, мол, Техасский детский госпиталь в Техасе США. Профессор Майзе (Moise).
Если хотите, я с ним свяжусь или с другим экспертом и мы чуть поговорим о Вашем слчае и я Вам пришлю переписку для предъявы. Только не переборщите. Внизу абстракт для ссылок.
Management of rhesus alloimmunization in pregnancy.
Moise KJ Jr.
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and the Texas Children's Fetal Center, Texas Children's Hospital, Houston, TX 77030, USA. kjmoise@bcm.edu
Rhesus immune globulin has decreased the prevalence of rhesus D alloimmunization in pregnancy so that only approximately six cases occur in every 1,000 live births. The rarity of this condition warrants consideration of consultation with or referral to a maternal-fetal medicine specialist with experience in the monitoring and treatment of patients with red cell alloimmunization in pregnancy. Evaluation for the presence of maternal anti-D antibody should be undertaken at the first prenatal visit. First-time sensitized pregnancies are followed with serial maternal titers and, when necessary, serial Doppler assessment of the peak systolic velocity in the middle cerebral artery. In cases of a heterozygous paternal genotype, new DNA techniques now make it possible to diagnose the fetal blood type through free fetal DNA in maternal plasma. When there is a history of an affected fetus or infant, maternal titers are no longer predictive of risk in subsequent pregnancies. Serial peak middle cerebral artery velocities using Doppler ultrasonography can be used in these pregnancies to detect fetal anemia. In some situations, intrauterine transfusion is necessary through ultrasound-directed puncture of the umbilical cord with the direct intravascular injection of red cells. Perinatal survival rates of more than 90% have been reported; hydrops fetalis reduces the chance for a viable outcome by up to 11%. Neonatal and infant outcomes are complicated by the need for repeated transfusions secondary to suppressed erythropoiesis. Long-term studies have revealed normal neurologic outcomes in more than 90% of cases. Future therapy will involve selective modulation of the maternal immune system, making the need for intrauterine transfusions a rarity.
