{"id":1085525,"date":"2023-06-12T00:00:00","date_gmt":"2023-06-11T21:00:00","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1085525"},"modified":"2023-06-12T00:00:00","modified_gmt":"2023-06-11T21:00:00","slug":"nasc-ca-la-1-800-medicii-de-la-spitalul-cf-spun-ca-o-treime-din-gravidele-din-romania-nu-fac-niciun-control-ginecologic-focustim","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1085525","title":{"rendered":"Nasc ca la 1.800: Medicii de la Spitalul CF spun c\u0103 o treime din gravidele din Rom\u00e2nia nu fac niciun control ginecologic – Focustim"},"content":{"rendered":"
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Actualitate<\/a>Extern<\/a>S\u0103n\u0103tate<\/a><\/span><\/div>\n

Nasc ca la 1.800: Medicii de la Spitalul CF spun c\u0103 o treime din gravidele din Rom\u00e2nia nu fac niciun control ginecologic<\/h1>\n
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Semnal de alarm\u0103 tras de medicii de la Spitalul Clinic CF Timi\u0219oara. O treime dintre femeile gravide nu fac niciun control \u00een timpul sarcinii. Riscurile sunt majore at\u00e2t pentru f\u0103t, c\u00e2t \u0219i pentru mam\u0103.<\/strong><\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Monitorizarea adecvat\u0103 a sarcinii reprezint\u0103 un pilon esen\u021bial \u00een asigurarea s\u0103n\u0103t\u0103\u021bii, at\u00e2t a viitoarei mame, c\u00e2t \u0219i a nou-n\u0103scutului. Importan\u021ba acestui proces este legat\u0103 de capacitatea de a identifica \u0219i gestiona poten\u021bialele complica\u021bii ce pot ap\u0103rea pe timpul sarcinii.\u00a0 Aceasta implic\u0103 examene regulate, teste de laborator \u0219i evalu\u0103ri periodice. Urm\u0103rirea regulat\u0103 permite depistarea \u0219i controlul timpuriu al factorilor de risc, cum ar fi hipertensiunea arterial\u0103, diabetul gesta\u021bional sau anomalii ale dezvolt\u0103rii f\u0103tului.<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u201cConform unor statistici din ultimii 3 ani, la nivel na\u021bional, 30 din 100 de femei gravide nu au f\u0103cut nicio vizit\u0103 medical\u0103 pe parcursul sarcinii. \u00cen r\u00e2ndul gravidelor cu v\u00e2rsta de sub 19 ani, paciente adolescente, acest procent ajunge p\u00e2n\u0103 la 65%, \u00een unele centre din \u021bar\u0103. Sarcinile nemonitorizate fac parte din categoria celor cu risc crescut. Riscurile se refer\u0103 at\u00e2t la complica\u021biile materne, c\u00e2t \u0219i la cele fetale. Complica\u021biile materne sunt reprezentate de agravarea unor patologii existente \u00eenainte de perioada de sarcin\u0103 a femeii, diagnosticate sau nediagnosticate anterior sarcinii, complica\u021bii care pot duce de la avort spontan p\u00e2n\u0103 la decesul matern (decesul unei femei \u00een cursul sarcinii sau \u00eentr-o perioad\u0103 de 42 de zile de la terminarea sarcinii ori p\u00e2n\u0103 la 30 de zile post-abortum). \u00cen Rom\u00e2nia, rata de deces matern \u00een anul 2021 a fost de 28,2 la 100.000 n\u0103scu\u021bi vii\u201d, spune dr. Elvis Pricope \u2013 medic specialist obstetric\u0103-ginecologie Spitalul Clinic CF Timi\u0219oara.<\/em><\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Complica\u021biile fetale sunt reprezentate de avortul spontan, malforma\u021biile fetale, na\u0219terea prematur\u0103, decesul f\u0103tului antepartum (intrauterin, \u00eenainte de na\u0219tere) sau postpartum (dup\u0103 na\u0219tere). O sarcin\u0103 corect monitorizat\u0103 const\u0103 \u00een consulta\u021bia prenatal\u0103, atunci c\u00e2nd se ia \u00een eviden\u021b\u0103 pacienta. \u00cen cursul acesteia, se pune diagnosticul de sarcin\u0103 \u0219i se face un bilan\u021b al st\u0103rii de s\u0103n\u0103tate a pacientei, se fac investiga\u021biile obligatorii la luarea \u00een eviden\u021b\u0103 \u0219i se solicit\u0103 consulturi interdisciplinare \u00een cazul existen\u021bei unei patologii asociate gravidit\u0103\u021bii.<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u201cPe l\u00e2ng\u0103 investiga\u021biile esen\u021biale, obligatorii, la prima consulta\u021bie prenatal\u0103 se au \u00een vedere \u0219i investiga\u021biile speciale, necesar a fi f\u0103cute \u00een cazul suspicion\u0103rii unei afec\u021biuni asociate sarcinii. Vorbim de EKG \u0219i de un consult cardiologic, stabilirea hemoglobinei glicozilate dar \u0219i realizarea testului de toleran\u021b\u0103 la glucoz\u0103 oral\u0103, \u00een cazurile de diabet zaharat, precum \u0219i stabilirea nivelului de hormoni tiroidieni. Iar pentru depistarea unor eventuale malforma\u021bii congenitale se face un dublu test, \u00een s\u0103pt\u0103m\u00e2nile 11 \u2013 13 de sarcin\u0103, dar \u0219i triplu test, \u00een s\u0103pt\u0103m\u00e2nile 15 \u2013 17 de sarcin\u0103. De asemenea, este necesar\u0103 realizarea unei ecografii pentru morfologia fetal\u0103 \u00een s\u0103pt\u0103m\u00e2na 20 \u2013 22 de sarcin\u0103. Durata unei sarcini normale este cuprins\u0103 \u00eentre 38 \u2013 42 de s\u0103pt\u0103m\u00e2ni. Vorbim de na\u0219tere prematur\u0103 sub 38 de s\u0103pt\u0103m\u00e2ni \u0219i sarcin\u0103 suprapurtat\u0103 la peste 42 de s\u0103pt\u0103m\u00e2ni\u201d, spune dr. Elvis Pricope \u2013 medic specialist obstetric\u0103-ginecologie Spitalul Clinic CF Timi\u0219oara.<\/em><\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Frecven\u021ba controalelor prenatale la o sarcin\u0103 necomplicat\u0103 ar trebui s\u0103 fie lunar\u0103, p\u00e2n\u0103 la 28 de s\u0103pt\u0103m\u00e2ni de sarcin\u0103. \u00centre s\u0103pt\u0103m\u00e2nile 28 \u2013 36 de sarcin\u0103, controalele prenatale se recomand\u0103 a fi bilunare, iar de la 36 de s\u0103pt\u0103m\u00e2ni de sarcin\u0103 p\u00e2n\u0103 la na\u0219tere controalele prenatale ar trebui s\u0103 fie s\u0103pt\u0103m\u00e2nale.<\/p>\n

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Partajeaz\u0103 asta:<\/h3>\n
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