{"id":2245,"date":"2019-12-12T20:12:44","date_gmt":"2019-12-12T18:12:44","guid":{"rendered":"https:\/\/dralexandrostraianos.gr\/?page_id=2245"},"modified":"2025-11-26T14:02:51","modified_gmt":"2025-11-26T12:02:51","slug":"progennitikos-elegxos-zeugaria-thessaloniki","status":"publish","type":"page","link":"https:\/\/dralexandrostraianos.gr\/al\/progennitikos-elegxos-zeugaria-thessaloniki\/","title":{"rendered":"KONTROLL PRENATAL"},"content":{"rendered":"
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Dr. ALEXANDROS TRAIANOS<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tQENDRA P\u00cbR MJEK\u00cbSIN\u00cb RIPRODUKTIVE DHE MJEK\u00cbSIN\u00cb EMBRIONEVE\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Skrinimi prenatal synon diagnostikimin e hersh\u00ebm dhe trajtimin e gjendjeve patologjike q\u00eb mund t\u00eb ndikojn\u00eb n\u00eb rrjedh\u00ebn normale t\u00eb shtatz\u00ebnis\u00eb dhe sh\u00ebndetin e n\u00ebn\u00ebs dhe fetusit.<\/div>

Dr. Alexandros Traianos, mbajt\u00ebs i diplom\u00ebs s\u00eb mjek\u00ebsis\u00eb fetale (mbajt\u00ebsi i diplom\u00ebs s\u00eb mjek\u00ebsis\u00eb fetale) ofron t\u00eb gjitha metodat invazive dhe joinvazive q\u00eb mbulojn\u00eb spektrin e kontrollit prenatal.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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ekografit\u00eb<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tTREMESTRI I I \u2013 TRANSPARENCA E QAF\u00cbS S\u00cb Q\u00cbF\u00cbS S\u00cb VET\u00cbS<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t
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\u00a0<\/strong><\/h2>

Ky ekografi kryhet nga 11 jav\u00eb e 1 dit\u00eb deri n\u00eb 13 jav\u00eb e gjasht\u00eb dit\u00eb (CRL 45mm \u2013 84mm). Zakonisht kryhet n\u00eb m\u00ebnyr\u00eb transabdominale, por n\u00eb disa raste mund t\u00eb jet\u00eb e nevojshme t\u00eb kryhet ekzaminimi n\u00eb m\u00ebnyr\u00eb transvaginale.<\/p>

Golat<\/strong> t\u00eb ultraz\u00ebrit<\/strong><\/p>

P\u00ebrcaktohet mosha e sakt\u00eb e shtatz\u00ebnis\u00eb: Kjo \u00ebsht\u00eb ve\u00e7an\u00ebrisht e r\u00ebnd\u00ebsishme p\u00ebr grat\u00eb q\u00eb nuk mund t\u00eb mbajn\u00eb mend dat\u00ebn e menstruacioneve t\u00eb fundit, kan\u00eb perioda t\u00eb parregullta ose q\u00eb kan\u00eb mbetur shtatz\u00ebn\u00eb gjat\u00eb ushqyerjes me gji ose menj\u00ebher\u00eb pas nd\u00ebrprerjes s\u00eb pilul\u00ebs kontraceptive. Ne masim madh\u00ebsin\u00eb e fetusit dhe nga kjo llogarisim dat\u00ebn e mundshme t\u00eb lindjes (40 jav\u00eb).<\/p>

Vler\u00ebsimi i rrezikut p\u00ebr sindrom\u00ebn Down dhe anomalit\u00eb e tjera kromozomale:<\/strong>\u00a0 \u00c7do grua duhet t\u00eb marr\u00eb nj\u00eb vler\u00ebsim t\u00eb rrezikut t\u00eb saj individual p\u00ebr k\u00ebt\u00eb shtatz\u00ebni. Kjo llogaritet duke marr\u00eb parasysh mosh\u00ebn e n\u00ebn\u00ebs, matjen e dy hormoneve n\u00eb gjakun e saj (Papp-a dhe gonadotropin\u00ebn e lir\u00eb \u03b2-korionike) dhe 4 marker\u00ebt ekografik, t\u00eb cil\u00ebt jan\u00eb: transparenca e qaf\u00ebs s\u00eb mitr\u00ebs (l\u00ebngu pas qaf\u00ebs s\u00eb fetusit. ) q\u00eb \u00ebsht\u00eb dhe treguesi m\u00eb i r\u00ebnd\u00ebsish\u00ebm, kocka e hund\u00ebs, rrjedha e gjakut n\u00eb an\u00ebn e djatht\u00eb t\u00eb zemr\u00ebs s\u00eb fetusit (n\u00eb valvul\u00ebn trikuspidale) dhe rrjedha e gjakut n\u00eb duktus venosus t\u00eb fetusit (nj\u00eb en\u00eb e vog\u00ebl n\u00eb m\u00ebl\u00e7in\u00eb e tij). Prind\u00ebrit do t\u00eb k\u00ebshillohen plot\u00ebsisht p\u00ebr r\u00ebnd\u00ebsin\u00eb e k\u00ebtij rreziku dhe opsionet e ndryshme p\u00ebr testime t\u00eb m\u00ebtejshme.<\/p>

Diagnoza e shtatz\u00ebnis\u00eb s\u00eb shum\u00ebfisht\u00eb:<\/strong> Rreth 2% e konceptimeve natyrale dhe 10% e konceptimeve IVF rezultojn\u00eb n\u00eb nj\u00eb shtatz\u00ebni t\u00eb shum\u00ebfisht\u00eb. Ekografia mund t\u00eb p\u00ebrcaktoj\u00eb n\u00ebse t\u00eb dy fetuset zhvillohen normalisht dhe n\u00ebse foshnjat ndajn\u00eb t\u00eb nj\u00ebjt\u00ebn placent\u00eb, gj\u00eb q\u00eb mund t\u00eb \u00e7oj\u00eb n\u00eb probleme n\u00eb shtatz\u00ebni. N\u00eb raste t\u00eb tilla, do t\u00eb ishte e k\u00ebshillueshme q\u00eb t\u00eb monitorohej m\u00eb nga af\u00ebr shtatz\u00ebnia.<\/p>

Diagnoza e disa anomalive t\u00eb m\u00ebdha kongjenitale:<\/strong> Anomalit\u00eb e r\u00ebnd\u00ebsishme mund t\u00eb jen\u00eb t\u00eb dukshme n\u00eb k\u00ebt\u00eb mosh\u00eb gestacionale, por ekografia 20-javore \u00ebsht\u00eb gjithashtu thelb\u00ebsore.<\/p>

Diagnoza e d\u00ebshtimit t\u00eb hersh\u00ebm t\u00eb shtatz\u00ebnis\u00eb (regresioni):\u00a0<\/strong> Fatkeq\u00ebsisht, 21 TP3T e grave q\u00eb paraqiten p\u00ebr ekografin\u00eb e tejdukshm\u00ebris\u00eb s\u00eb qaf\u00ebs s\u00eb mitr\u00ebs zbulohen se fetusi ka vdekur, shpesh disa jav\u00eb p\u00ebrpara dhe pa asnj\u00eb paralajm\u00ebrim. \u00c7iftet do t\u00eb marrin k\u00ebshillim t\u00eb plot\u00eb p\u00ebr shkaqet e mundshme t\u00eb k\u00ebtij problemi dhe opsionet p\u00ebr hapat e m\u00ebtejsh\u00ebm q\u00eb mund t\u00eb jen\u00eb t\u00eb nevojsh\u00ebm.<\/p>

Llogaritja e rrezikut t\u00eb pre-eklampsis\u00eb dhe vones\u00ebs intrauterine t\u00eb rritjes s\u00eb fetusit:<\/strong> Te t\u00eb gjith\u00eb pacient\u00ebt n\u00eb p\u00ebrfundim t\u00eb ekzaminimit do t\u00eb matet n\u00eb m\u00ebnyr\u00eb sonografike fluksi i gjakut n\u00eb arteriet uterine t\u00eb n\u00ebn\u00ebs me ekzaminimin Doppler. Rezultati i k\u00ebtij ekzaminimi mund t\u00eb na tregoj\u00eb se cilat gra jan\u00eb n\u00eb rrezik t\u00eb shtuar t\u00eb zhvillimit t\u00eb pre-eklampsis\u00eb ve\u00e7an\u00ebrisht para jav\u00ebs s\u00eb 34-t\u00eb, si dhe cilat fetuse rrezikojn\u00eb t\u00eb zhvillojn\u00eb nj\u00eb vones\u00eb n\u00eb zhvillimin e tyre n\u00eb tremujorin e tret\u00eb.<\/p>

Llogaritja e rrezikut t\u00eb lindjes s\u00eb parakohshme:<\/strong> N\u00eb t\u00eb gjith\u00eb pacient\u00ebt n\u00eb p\u00ebrfundim t\u00eb ekzaminimit, n\u00ebse d\u00ebshirojn\u00eb, gjat\u00ebsia e qaf\u00ebs s\u00eb mitr\u00ebs do t\u00eb matet n\u00eb m\u00ebnyr\u00eb transvaginale. Ne e dim\u00eb se gjat\u00eb shtatz\u00ebnis\u00eb qafa e mitr\u00ebs duhet t\u00eb jet\u00eb e gjat\u00eb dhe e mbyllur. Grat\u00eb q\u00eb gjat\u00eb ekzaminimit kan\u00eb qaf\u00ebn e mitr\u00ebs t\u00eb shkurt\u00ebr, rreziku i lindjes s\u00eb parakohshme rritet. Trajtimi n\u00eb k\u00ebt\u00eb rast \u00ebsht\u00eb n\u00eb proporcion me problemin.<\/p>

Rreziku i individualizuar p\u00ebr sindrom\u00ebn Down<\/strong><\/p>

Shumica d\u00ebrrmuese e foshnjave jan\u00eb normale. Megjithat\u00eb, t\u00eb gjitha grat\u00eb, pavar\u00ebsisht nga mosha e tyre, kan\u00eb nj\u00eb rrezik t\u00eb vog\u00ebl p\u00ebr t\u00eb lindur nj\u00eb f\u00ebmij\u00eb me aft\u00ebsi t\u00eb kufizuara fizike ose mendore. N\u00eb disa raste anomalia \u00ebsht\u00eb p\u00ebr shkak t\u00eb nj\u00eb anomalie kromozomale si\u00e7 \u00ebsht\u00eb sindroma Down.<\/p>

M\u00ebnyra e vetme p\u00ebr t\u00eb ditur me siguri n\u00ebse fetusi ka nj\u00eb anomali kromozomale \u00ebsht\u00eb p\u00ebrmes nj\u00eb testi diagnostik invaziv, si\u00e7 \u00ebsht\u00eb marrja e mostrave nga villi korionik (CVS) ose amniocenteza. Sidoqoft\u00eb, k\u00ebto teste mbartin rrezikun e rr\u00ebzimit t\u00eb klas\u00ebs 1%.<\/p>

Varet nga ju dhe partneri juaj q\u00eb t\u00eb vendosni n\u00ebse rreziku q\u00eb fetusi t\u00eb ket\u00eb anomali kromozomale \u00ebsht\u00eb mjaft i lart\u00eb p\u00ebr t\u00eb garantuar testimin invaziv. Si udh\u00ebzim, zakonisht ofrohet nj\u00eb test invaziv n\u00ebse rreziku p\u00ebr sindrom\u00ebn Down \u00ebsht\u00eb 1 n\u00eb 300 ose m\u00eb i lart\u00eb.<\/p>

Metoda m\u00eb e sakt\u00eb p\u00ebr vler\u00ebsimin e rrezikut q\u00eb fetusi t\u00eb ket\u00eb sindrom\u00ebn Down kryhet nga java e 11-14 e shtatz\u00ebnis\u00eb dhe varet nga sa vijon:<\/p>