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Blood Groups and Blood Transfusions
Experiments with blood transfusions, the transfer of blood or blood components into a person's blood stream, have been carried out for hundreds of years. In 1901 the Austrian scientist Karl Landsteiner discovered human blood groups and since then blood transfusions became safer.
Mixing blood from two individuals can lead to blood clumping or agglutination. The clumped red cells can crack and cause toxic reactions. This can have fatal consequences. Karl Landsteiner discovered that blood clumping was an immunological reaction which occurs when the receiver of a blood transfusion has antibodies against the donor’s blood cells.
It was Karl Landsteiner's work that made it possible to determine blood groups and thus paved the way for blood transfusions to be carried out safely. For this discovery he was awarded the Nobel Prize in Physiology or Medicine.
The two main ways to classify blood groups are the ABO (A, B, AB, O) system and the Rh (Rhesus positive +, Rhesus negative -) system. Together, they make up the eight main blood groups.
The differences in human blood are due to the presence or absence of certain protein molecules called antigens and antibodies. The antigens are located on the surface of the red blood cells and the antibodies are located in the blood plasma. Individuals have different types and combinations of these molecules. The blood group you belong to depends on what you have inherited from your parents.
There are more than 20 genetically determined blood group systems known today, but the ABO and Rh systems are the most important ones used for blood transfusions. Not all blood groups are compatible with each other that is why blood transfusions may sometimes be dangerous for individuals.
What happens when blood clumps or agglutinates?
For a blood transfusion to be successful, ABO and Rh blood groups must be compatible between the donor blood and the recipient. If they are not, the red blood cells from the donated blood will clump or agglutinate. The accumulated red cells can obstruct blood vessels and stop the circulation of the blood to various parts of the body.
You can give A blood to persons with blood group A, B blood to a person with blood group B and so on. But in some cases you can receive blood with another type of blood group, or donate blood to a person with another kind of blood group.
The transfusion will work if a person who is going to receive blood has a blood group that doesn't have any antibodies against the donor blood's antigens. But if a person who is going to receive blood has antibodies matching the donor blood's antigens, the red blood cells in the donated blood will clump.
People with blood group O Rh - are called "universal donors" and people with blood group AB Rh+ are called "universal receivers."
Rh+ blood can never be given to someone with Rh - blood, but it is possible vice versa. For example, O Rh+ blood can not be given to someone with the blood type AB Rh -.
Transfusions can spread disease from donor to recipient that is why donors should be periodically tested for infectious diseases.
POST-TEXT ASSIGNMENTS:
Exercise 6. Answer the following questions:
· When did the Austrian scientist Karl Landsteiner discover human blood groups?
· What can mixing of blood from two individuals lead to?
· Why did clumping of blood occur according to Karl Landsteiner?
· What are the two main ways to classify blood groups?
· What are the differences in human blood due to?
· How many genetically determined blood group systems are known today?
· What may happen when blood groups between the donor blood and the recipient are not compatible?
· What people are called "universal donors" and "universal receivers"?
Exercise 7. Match the columns:
– blood stream – clumping or agglutination – fatal consequences – to be awarded the Nobel Prize – presence or absence of molecules – to inherit from parents – to be compatible with – to obstruct blood vessels – donated blood – universal receiver | 1. бути сумісним з 2. смертельні наслідки 3. донорська кров 4. кров’яний потік 5. бути нагородженим премією 6. універсальний отримувач 7. склеювання та тромбування 8. присутність або відсутність молекул 9. успадкувати від батьків 10. закупорювати судини |
Exercise 8. Translate the word-combinations in bold type into English:
1. Експерименти з переливання крові, передачі крові або компонентів крові до кровоточу людини, have been carried out for hundreds of years.
2. Змішування крові from two individuals може призвести до склеювання та утворення тромбів.
3. Karl Landsteiner відкрив that blood clumping was імунологічною реакцією which виникає when the одержувач of a blood transfusion має антитіла проти клітин крові донора.
4. The differences in human blood are due to the наявності чи відсутності певних білкових молекул called antigens and antibodies.
5. The blood group до якої ви належите залежить від what you have успадкували from your parents.
6. Not all blood groups are сумісні with each other that is why переливання крові may sometimes be небезпечним для людей.
7. Transfusions can розповсюджувати захворювання from donor to recipient that is why donors should be periodically здавати аналізи на наявність інфекційних захворювань.
Exercise 9. Fill in prepositions from the box below:
Red blood cell compatibility
Blood group AB individuals have both A and B antigens ______ the surface of their RBCs, and their blood plasma does not contain any antibodies against either A or B antigen. Therefore, an individual with type AB blood can receive blood ______ any group (with AB being preferable), but cannot donate blood ____ any group other than AB. They are known _____ universal recipients.
Blood group A individuals have the A antigen ____ the surface of their RBCs, and blood serum containing IgM (иммуноглобулин класса М) antibodies _______ the B antigen. Therefore, a group A individual can receive blood only ______ individuals of groups A or O (with A being preferable), and can donate blood ____ individuals ____ type A or AB.
Blood group B individuals have the B antigen ___ the surface of their RBCs, and blood serum containing IgM antibodies _______ the A antigen. Therefore, a group B individual can receive blood only _____ individuals of groups B or O (with B being preferable), and can donate blood to individuals _____ type B or AB.
Blood group O (or blood group zero) individuals do not have either A or B antigens _____ the surface of their RBCs, and their blood serum contains IgM anti-A and anti-B antibodies _______ the A and B blood group antigens. Therefore, a group O individual can receive blood only ______ a group O individual, but can donate blood ____ individuals of any ABO blood group (i.e., A, B, O or AB).
If a patient in a hospital situation needs blood transfusion in an emergency, and if the time taken to process the recipient's blood causes a detrimental delay, O Negative blood can be issued. They are known _____ universal donors.
On (4); from (4); to (3); as (2); against (3); with (2) |
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