FisioSangCap10_GRUPOS_SANGUINEOS
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7/29/2019 FisioSangCap10_GRUPOS_SANGUINEOS
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Captulo 10
GRUPOS SANGUNEOS
Introduo
A membrana celular de todas as clulas tem antignios glicoproteicos especficos para
cada indivduo.
No caso dos eritrcitos estes antignios chamam-se aglutinognios e provocam a
aglutinao de eritrcitos quando em contacto com sangue tendo aglutinognios
diferentes, podendo causar acidentes fatais numa transfuso.
No homem h pelo menos 30 aglutinognios.
Os AB0 e Rh so os mais importantes.
Grupo ABO
So antignios geneticamente codificados que se encontram na membrana celular.H quatro antignios diferentes definindo quatro subgruposA, B, AB e 0.
No soro h anticorpos do grupo oposto (Quadro 10.I).
Quadro 10.I
Grupos sanguneos
Grupo Eritrcito Soro
A A b
B B a
AB A e B -
0 - a e b
http://en.wikipedia.org/wiki/Blood_typeFig. 10.1Grupos ABO
http://en.wikipedia.org/wiki/Blood_typehttp://en.wikipedia.org/wiki/Blood_typehttp://en.wikipedia.org/wiki/Blood_type -
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Uma reaco entre dois grupos diferentes produz aglutinao quando fora do corpo e
hemolise quando dentro.
Os antignios A e B so formados pelo acrscimo ao antignio O de acetilglicosamina
ou galactose respectivamente.
Human red blood cells before (left) and after (right) adding serum containing anti-A antibodies. The
agglutination reaction reveals the presence of the A antigen on the surface of the cells.
Human red blood cells before (left) and after (right) adding serum containing anti-A antibodies. The
agglutination reaction reveals the presence of the A antigen on the surface of the cells.
http://en.wikipedia.org/wiki/Blood_type
Fig. 10.2Composio dos grupos sanguneos
http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/B/BloodGroups.html
Fig. 10.3
Pesquisa dos grupos sanguneos
http://en.wikipedia.org/wiki/Blood_typehttp://en.wikipedia.org/wiki/Blood_typehttp://users.rcn.com/jkimball.ma.ultranet/BiologyPages/B/BloodGroups.htmlhttp://users.rcn.com/jkimball.ma.ultranet/BiologyPages/B/BloodGroups.htmlhttp://users.rcn.com/jkimball.ma.ultranet/BiologyPages/B/BloodGroups.htmlhttp://en.wikipedia.org/wiki/Blood_type -
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Gentica dos grupos sanguneos
A and B arecodominant, giving the ABphenotype.
Blood group inheritance
Mother/Father O A B AB
O O O, A O, B A, B
A O, A O, A O, A, B, AB A, B, AB
B O, B O, A, B, AB O, B A, B, AB
AB A, B A, B, AB A, B
Fig. 10.4 - Herana dos grupos sanguneos
http://en.wikipedia.org/wiki/Dominance_relationship#Codominancehttp://en.wikipedia.org/wiki/Dominance_relationship#Codominancehttp://en.wikipedia.org/wiki/Dominance_relationship#Codominancehttp://en.wikipedia.org/wiki/Phenotypehttp://en.wikipedia.org/wiki/Phenotypehttp://en.wikipedia.org/wiki/Phenotypehttp://en.wikipedia.org/wiki/Phenotypehttp://en.wikipedia.org/wiki/Dominance_relationship#Codominance -
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Grupos sanguneos raros
ISBTN
Commonname abbreviation
Epitopeor carrier, notes Locus
001 ABO ABO
Carbohydrate (N-
Acetylgalactosamine,
galactose). A, B and H antigens
mainly elicitIgMantibody
reactions, although anti-H is
very rare, see theHh antigen
system(Bombay phenotype,
ISBT #18).
9
002 MNS MNS
GPA / GPB (glycophorinsA
and B). Main antigens M, N, S,
s.
4
003 P P1 Glycolipid. 22
004 Rhesus RH
Protein. C, c, D, E, e antigens
(there is no "d" antigen;lowercase "d" indicates the
absence of D).
1
005 Lutheran LU
Protein (member of the
immunoglobulin superfamily).
Set of 21 antigens.
19
006 Kell KEL
Glycoprotein. K1 can cause
hemolytic disease of the
newborn (anti-Kell), which can
be severe.
7
007 Lewis LE
Carbohydrate (fucoseresidue).
Main antigens Lea and Leb -
associated with tissue ABH
antigen secretion.
19
http://en.wikipedia.org/wiki/International_Society_of_Blood_Transfusionhttp://en.wikipedia.org/wiki/International_Society_of_Blood_Transfusionhttp://en.wikipedia.org/wiki/Epitopehttp://en.wikipedia.org/wiki/Epitopehttp://en.wikipedia.org/wiki/ABO_blood_group_systemhttp://en.wikipedia.org/wiki/ABO_blood_group_systemhttp://en.wikipedia.org/wiki/N-Acetylgalactosaminehttp://en.wikipedia.org/wiki/N-Acetylgalactosaminehttp://en.wikipedia.org/wiki/N-Acetylgalactosaminehttp://en.wikipedia.org/wiki/N-Acetylgalactosaminehttp://en.wikipedia.org/wiki/Galactosehttp://en.wikipedia.org/wiki/Galactosehttp://en.wikipedia.org/wiki/IgMhttp://en.wikipedia.org/wiki/IgMhttp://en.wikipedia.org/wiki/IgMhttp://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_9http://en.wikipedia.org/wiki/Chromosome_9http://en.wikipedia.org/wiki/MNS_antigen_systemhttp://en.wikipedia.org/wiki/MNS_antigen_systemhttp://en.wikipedia.org/wiki/Glycophorinhttp://en.wikipedia.org/wiki/Glycophorinhttp://en.wikipedia.org/wiki/Glycophorinhttp://en.wikipedia.org/wiki/Chromosome_4http://en.wikipedia.org/wiki/Chromosome_4http://en.wikipedia.org/wiki/P_antigen_systemhttp://en.wikipedia.org/wiki/P_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_22http://en.wikipedia.org/wiki/Chromosome_22http://en.wikipedia.org/wiki/Rhesus_blood_group_systemhttp://en.wikipedia.org/wiki/Rhesus_blood_group_systemhttp://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Lutheran_antigen_systemhttp://en.wikipedia.org/wiki/Lutheran_antigen_systemhttp://en.wikipedia.org/wiki/Immunoglobulin_superfamilyhttp://en.wikipedia.org/wiki/Immunoglobulin_superfamilyhttp://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Kell_antigen_systemhttp://en.wikipedia.org/wiki/Kell_antigen_systemhttp://en.wikipedia.org/wiki/Hemolytic_disease_of_the_newborn_(anti-Kell)http://en.wikipedia.org/wiki/Hemolytic_disease_of_the_newborn_(anti-Kell)http://en.wikipedia.org/wiki/Hemolytic_disease_of_the_newborn_(anti-Kell)http://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/Lewis_antigen_systemhttp://en.wikipedia.org/wiki/Lewis_antigen_systemhttp://en.wikipedia.org/wiki/Fucosehttp://en.wikipedia.org/wiki/Fucosehttp://en.wikipedia.org/wiki/Fucosehttp://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Fucosehttp://en.wikipedia.org/wiki/Lewis_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/Hemolytic_disease_of_the_newborn_(anti-Kell)http://en.wikipedia.org/wiki/Hemolytic_disease_of_the_newborn_(anti-Kell)http://en.wikipedia.org/wiki/Kell_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Immunoglobulin_superfamilyhttp://en.wikipedia.org/wiki/Lutheran_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Rhesus_blood_group_systemhttp://en.wikipedia.org/wiki/Chromosome_22http://en.wikipedia.org/wiki/P_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_4http://en.wikipedia.org/wiki/Glycophorinhttp://en.wikipedia.org/wiki/MNS_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_9http://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/IgMhttp://en.wikipedia.org/wiki/Galactosehttp://en.wikipedia.org/wiki/N-Acetylgalactosaminehttp://en.wikipedia.org/wiki/N-Acetylgalactosaminehttp://en.wikipedia.org/wiki/ABO_blood_group_systemhttp://en.wikipedia.org/wiki/Epitopehttp://en.wikipedia.org/wiki/International_Society_of_Blood_Transfusion -
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008 Duffy FY
Protein (chemokine receptor).
Main antigens Fya and Fyb.
Individuals lacking Duffy
antigens altogether are immune
tomalariacaused byPlasmodium vivaxand
Plasmodium knowlesi.
1
009 Kidd JKProtein (urea transporter). Main
antigens Jka and Jkb.18
010 Diego DI
Glycoprotein (band 3, AE 1, or
anion exchange). Positive blood
is found only amongEast
AsiansandNative Americans.
17
011Yt or
CartwrightYT
Protein (AChE,
acetylcholinesterase).7
012 XG XG Glycoprotein. X
013 Scianna SC Glycoprotein. 1
014 Dombrock DO
Glycoprotein (fixed to cell
membrane by GPI, orglycosyl-
phosphatidyl-inositol).
12
015 Colton COAquaporin 1. Main antigens
Co(a) and Co(b).7
016Landsteiner-
WienerLW
Protein (member of the
immunoglobulin superfamily).19
017 Chido/Rodgers CH/RGC4A C4B (complement
fractions).6
018 Hh/Bombay H Carbohydrate (fucoseresidue). 19
http://en.wikipedia.org/wiki/Duffy_antigenhttp://en.wikipedia.org/wiki/Duffy_antigenhttp://en.wikipedia.org/wiki/Chemokine_receptorhttp://en.wikipedia.org/wiki/Chemokine_receptorhttp://en.wikipedia.org/wiki/Chemokine_receptorhttp://en.wikipedia.org/wiki/Malariahttp://en.wikipedia.org/wiki/Malariahttp://en.wikipedia.org/wiki/Malariahttp://en.wikipedia.org/wiki/Plasmodium_vivaxhttp://en.wikipedia.org/wiki/Plasmodium_vivaxhttp://en.wikipedia.org/wiki/Plasmodium_knowlesihttp://en.wikipedia.org/wiki/Plasmodium_knowlesihttp://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Kidd_antigen_systemhttp://en.wikipedia.org/wiki/Kidd_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_18http://en.wikipedia.org/wiki/Chromosome_18http://en.wikipedia.org/wiki/Diego_antigen_systemhttp://en.wikipedia.org/wiki/Diego_antigen_systemhttp://en.wikipedia.org/wiki/Band_3http://en.wikipedia.org/wiki/Band_3http://en.wikipedia.org/wiki/Band_3http://en.wikipedia.org/wiki/East_Asiahttp://en.wikipedia.org/wiki/East_Asiahttp://en.wikipedia.org/wiki/East_Asiahttp://en.wikipedia.org/wiki/East_Asiahttp://en.wikipedia.org/wiki/Indigenous_peoples_of_the_Americashttp://en.wikipedia.org/wiki/Indigenous_peoples_of_the_Americashttp://en.wikipedia.org/wiki/Indigenous_peoples_of_the_Americashttp://en.wikipedia.org/wiki/Chromosome_17http://en.wikipedia.org/wiki/Chromosome_17http://en.wikipedia.org/wiki/Yt_antigen_systemhttp://en.wikipedia.org/wiki/Yt_antigen_systemhttp://en.wikipedia.org/wiki/Yt_antigen_systemhttp://en.wikipedia.org/wiki/Acetylcholinesterasehttp://en.wikipedia.org/wiki/Acetylcholinesterasehttp://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/XG_antigen_systemhttp://en.wikipedia.org/wiki/XG_antigen_systemhttp://en.wikipedia.org/wiki/X_chromosomehttp://en.wikipedia.org/wiki/X_chromosomehttp://en.wikipedia.org/wiki/Scianna_antigen_systemhttp://en.wikipedia.org/wiki/Scianna_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Dombrock_antigen_systemhttp://en.wikipedia.org/wiki/Dombrock_antigen_systemhttp://en.wikipedia.org/wiki/Glycosyl-phosphatidyl-inositolhttp://en.wikipedia.org/wiki/Glycosyl-phosphatidyl-inositolhttp://en.wikipedia.org/wiki/Glycosyl-phosphatidyl-inositolhttp://en.wikipedia.org/wiki/Glycosyl-phosphatidyl-inositolhttp://en.wikipedia.org/wiki/Chromosome_12http://en.wikipedia.org/wiki/Chromosome_12http://en.wikipedia.org/wiki/Colton_antigen_systemhttp://en.wikipedia.org/wiki/Colton_antigen_systemhttp://en.wikipedia.org/wiki/Aquaporin_1http://en.wikipedia.org/wiki/Aquaporin_1http://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/Landsteiner-Wiener_antigen_systemhttp://en.wikipedia.org/wiki/Landsteiner-Wiener_antigen_systemhttp://en.wikipedia.org/wiki/Landsteiner-Wiener_antigen_systemhttp://en.wikipedia.org/wiki/Immunoglobulin_superfamilyhttp://en.wikipedia.org/wiki/Immunoglobulin_superfamilyhttp://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Chido_antigen_systemhttp://en.wikipedia.org/wiki/Chido_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/Fucosehttp://en.wikipedia.org/wiki/Fucosehttp://en.wikipedia.org/wiki/Fucosehttp://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Fucosehttp://en.wikipedia.org/wiki/Hh_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/wiki/Chido_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Immunoglobulin_superfamilyhttp://en.wikipedia.org/wiki/Landsteiner-Wiener_antigen_systemhttp://en.wikipedia.org/wiki/Landsteiner-Wiener_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/Aquaporin_1http://en.wikipedia.org/wiki/Colton_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_12http://en.wikipedia.org/wiki/Glycosyl-phosphatidyl-inositolhttp://en.wikipedia.org/wiki/Glycosyl-phosphatidyl-inositolhttp://en.wikipedia.org/wiki/Dombrock_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Scianna_antigen_systemhttp://en.wikipedia.org/wiki/X_chromosomehttp://en.wikipedia.org/wiki/XG_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_7http://en.wikipedia.org/wiki/Acetylcholinesterasehttp://en.wikipedia.org/wiki/Yt_antigen_systemhttp://en.wikipedia.org/wiki/Yt_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_17http://en.wikipedia.org/wiki/Indigenous_peoples_of_the_Americashttp://en.wikipedia.org/wiki/East_Asiahttp://en.wikipedia.org/wiki/East_Asiahttp://en.wikipedia.org/wiki/Band_3http://en.wikipedia.org/wiki/Diego_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_18http://en.wikipedia.org/wiki/Kidd_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Plasmodium_knowlesihttp://en.wikipedia.org/wiki/Plasmodium_vivaxhttp://en.wikipedia.org/wiki/Malariahttp://en.wikipedia.org/wiki/Chemokine_receptorhttp://en.wikipedia.org/wiki/Duffy_antigen 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019 Kx XK Glycoprotein. X
020 Gerbich GE
GPC / GPD (GlycophorinsC
and D). 2
021 Cromer CROM
Glycoprotein (DAF orCD55,
regulates complement fractions
C3 and C5, attached to the
membrane by GPI).
1
022 Knops KNGlycoprotein (CR1 orCD35,
immune complex receptor).
1
023 Indian INGlycoprotein (CD44adhesion
function?).11
024 Ok OK Glycoprotein (CD147). 19
025 Raph MER2 Transmembrane glycoprotein. 11
026 JMH JMHProtein (fixed to cell membrane
by GPI).6
027 Ii IBranched (I) / unbranched (i)
polysaccharide.6
028 Globoside P Glycolipid. 3
029 GIL GIL Aquaporin 3. 9
http://en.wikipedia.org/wiki/Blood_groups
http://en.wikipedia.org/wiki/XK_(protein)http://en.wikipedia.org/wiki/XK_(protein)http://en.wikipedia.org/wiki/X_chromosomehttp://en.wikipedia.org/wiki/X_chromosomehttp://en.wikipedia.org/wiki/Gerbich_antigen_systemhttp://en.wikipedia.org/wiki/Gerbich_antigen_systemhttp://en.wikipedia.org/wiki/Glycophorinhttp://en.wikipedia.org/wiki/Glycophorinhttp://en.wikipedia.org/wiki/Glycophorinhttp://en.wikipedia.org/wiki/Chromosome_2http://en.wikipedia.org/wiki/Chromosome_2http://en.wikipedia.org/wiki/Cromer_antigen_systemhttp://en.wikipedia.org/wiki/Cromer_antigen_systemhttp://en.wikipedia.org/wiki/CD55http://en.wikipedia.org/wiki/CD55http://en.wikipedia.org/wiki/CD55http://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Knops_antigen_systemhttp://en.wikipedia.org/wiki/Knops_antigen_systemhttp://en.wikipedia.org/wiki/CD35http://en.wikipedia.org/wiki/CD35http://en.wikipedia.org/wiki/CD35http://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/Indian_antigen_systemhttp://en.wikipedia.org/wiki/Indian_antigen_systemhttp://en.wikipedia.org/wiki/CD44http://en.wikipedia.org/wiki/CD44http://en.wikipedia.org/wiki/CD44http://en.wikipedia.org/wiki/Chromosome_11http://en.wikipedia.org/wiki/Chromosome_11http://en.wikipedia.org/w/index.php?title=Ok_antigen_system&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Ok_antigen_system&action=edit&redlink=1http://en.wikipedia.org/wiki/CD147http://en.wikipedia.org/wiki/CD147http://en.wikipedia.org/wiki/CD147http://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/Raph_antigen_systemhttp://en.wikipedia.org/wiki/Raph_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_11http://en.wikipedia.org/wiki/Chromosome_11http://en.wikipedia.org/wiki/JMH_antigen_systemhttp://en.wikipedia.org/wiki/JMH_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/wiki/Ii_antigen_systemhttp://en.wikipedia.org/wiki/Ii_antigen_systemhttp://en.wikipedia.org/wiki/Polysaccharidehttp://en.wikipedia.org/wiki/Polysaccharidehttp://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/w/index.php?title=Globoside_antigen_system&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Globoside_antigen_system&action=edit&redlink=1http://en.wikipedia.org/wiki/Glycolipidhttp://en.wikipedia.org/wiki/Glycolipidhttp://en.wikipedia.org/wiki/Chromosome_3http://en.wikipedia.org/wiki/Chromosome_3http://en.wikipedia.org/wiki/GIL_antigen_systemhttp://en.wikipedia.org/wiki/GIL_antigen_systemhttp://en.wikipedia.org/wiki/Aquaporin_3http://en.wikipedia.org/wiki/Aquaporin_3http://en.wikipedia.org/wiki/Chromosome_9http://en.wikipedia.org/wiki/Chromosome_9http://en.wikipedia.org/wiki/Blood_groupshttp://en.wikipedia.org/wiki/Blood_groupshttp://en.wikipedia.org/wiki/Blood_groupshttp://en.wikipedia.org/wiki/Chromosome_9http://en.wikipedia.org/wiki/Aquaporin_3http://en.wikipedia.org/wiki/GIL_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_3http://en.wikipedia.org/wiki/Glycolipidhttp://en.wikipedia.org/w/index.php?title=Globoside_antigen_system&action=edit&redlink=1http://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/wiki/Polysaccharidehttp://en.wikipedia.org/wiki/Ii_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_6http://en.wikipedia.org/wiki/JMH_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_11http://en.wikipedia.org/wiki/Raph_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_19http://en.wikipedia.org/wiki/CD147http://en.wikipedia.org/w/index.php?title=Ok_antigen_system&action=edit&redlink=1http://en.wikipedia.org/wiki/Chromosome_11http://en.wikipedia.org/wiki/CD44http://en.wikipedia.org/wiki/Indian_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/CD35http://en.wikipedia.org/wiki/Knops_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_1http://en.wikipedia.org/wiki/CD55http://en.wikipedia.org/wiki/Cromer_antigen_systemhttp://en.wikipedia.org/wiki/Chromosome_2http://en.wikipedia.org/wiki/Glycophorinhttp://en.wikipedia.org/wiki/Gerbich_antigen_systemhttp://en.wikipedia.org/wiki/X_chromosomehttp://en.wikipedia.org/wiki/XK_(protein) -
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Sistema Rh
Protenas transmembranarias com ansas expostas superfcie.
So usadas para transportar anidrido carbnico e ou amnia atravs da membrana.
H vrios tipos de antignios Rh.
As clulas Rh positivas designam-se por D.15% da populao no tem antignio D e por isso diz-se Rh negativa.
Genetica do Rh
Parents' Rh types Possible allele combinations Possible Rh in the children
Both + ++ & ++ ++ Positive
Both + ++ & +- ++ or +- Positive
Both + +- & +- ++ or +- or --poitive ornegative
Both - -- & -- -- Negative
One + & One - ++ & -- +- Positive
One + & One - +- & -- +- or --poitive ornegative
http://www.paternityangel.com/Articles_zone/Blood/BloodType3.htm
Genotipos Rh
Rhesus genotypes
Genotype Symbol Rh(D) status
cde/cde Rr Negative
CDe/cde R1r Positive
CDe/CDe R1R1 Positive
cDE/cde R2r Positive
CDe/cDE R1R2 Positive
cDE/Cde R2R2 Positive
http://www.paternityangel.com/Articles_zone/Blood/BloodType3.htmhttp://www.paternityangel.com/Articles_zone/Blood/BloodType3.htmhttp://www.paternityangel.com/Articles_zone/Blood/BloodType3.htm -
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Incompatibilidade me-feto
O maior problema em sade a incompatibilidade me-feto.
Se a me Rh-negativa e o filho positivo (herana paterna) a me pode criar anticorposanti-Rh que num prximo filho poder originar uma reaco antignio-anticorpo
provocando a destruio quase total dos eritrcitos do filho, resultando a doena
hemoltica do recm-nascido ou eritroblastose fetal, doena grave que pode ser mortal.
http://www.nlm.nih.gov/medlineplus/ency/presentations/100217_1.htm
http://www.nlm.nih.gov/medlineplus/ency/imagepages/9069.htm
Fig. 10.5Incompatibilidade me-feto
Antes tratava-se com a exsanguineo transfuso transfuso total de sangue.
Actualmente trata-se com a injeco em cada gravidez e 72 horas aps o nascimento da
imunoglobulina Rh (RhIg) ou Rhogam.
http://www.nlm.nih.gov/medlineplus/ency/presentations/100217_1.htmhttp://www.nlm.nih.gov/medlineplus/ency/presentations/100217_1.htmhttp://www.nlm.nih.gov/medlineplus/ency/imagepages/9069.htmhttp://www.nlm.nih.gov/medlineplus/ency/imagepages/9069.htmhttp://www.nlm.nih.gov/medlineplus/ency/imagepages/9069.htmhttp://www.nlm.nih.gov/medlineplus/ency/presentations/100217_1.htm