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20.2.11

Blood Groups-Classification and Importance of Blood Groups


Blood Groups are classified according to antigens on the membrane of red blod cells called AGGLUTINOGEN (which are glycoproteins),the plasma may contain antibodies called AGGLUTININS.

Antigens=a substance that causes the immun system to produce antibodies which will kill or neutralize the antigens recognized as foreign and potentially hurmful invader.

Are two main systems of antigens: ABO and Rh systems.

ABO System:

1.Group A : 40% of population,red blood cells have A agglutinogens and the plasma contains anti B antibodies.

2.Group B: 10% of the population,red blood cells have B antigen and plasma contain anti A.

3.Group AB: 5% of the population,red blood cellshave both agglutinogens A+B,the plasma does not contain aglutinins.

4.Group O: 45% of population,red blood cells have no agglutinogens but the plasma contain both agglutinins Anti A+Anti B.

Rh System:
People are classified according to the presence or absence of Rhesus antigens (most common type D) into:
-Rh + (with D antigen) 85% of population.
-Rh - (without D antigen) 15% population.

Importance of Blood Groups:

1)Medicolegam importance: Disputed parenthood.Regarding blood groups inheritance 2 antigens are inhirited from both father and mother.This antigens determine the group.The A+B antigens are dominant while the O one is recessive.

2)Blood Transfusion: If transfused blood is incompatible usually the donor red blood cells agglutinated by recipient plasma as the donor's sterum is diluted in recipient blood.
-Group O is the universal donor (no agglutinogens)
-Group AB is the universal recipient (no agglutinins).

3)Importance of Rh Factor: The disease occurs of an Rh - (negative) mother carries an Rh + (positive) foetus,small amounts of foetal blood leak into the maternal circulation at the time of delivery,thus the mother will produce Anti D agglutinins.