Αρχόμενη Κύηση

Υπερηχογράφημα αρχόμενης εγκυμοσύνης (μέχρι 11 εβδομάδες)

Αυτό το υπερηχογράφημα έχει ως στόχο να καθορίσει τον αριθμό των εμβρύων, την πιθανή ημερομηνία τοκετού και αν η εγκυμοσύνη εξελίσσεται φυσιολογικά μέσα στη μήτρα. Η εξέταση αυτή μπορεί να διεξάγεται διακοιλιακά (διαμέσου της κοιλιάς), ή διακολπικά (μέσω του κόλπου).

Θα σας ζητηθεί να έχετε γεμάτη κύστη, έτσι ώστε να μπορεί να διεξαχθεί πρώτα διακοιλιακό υπερηχογράφημα. Αν δεν είμαστε σε θέση να αποκτήσουμε όλες τις πληροφορίες που χρειαζόμαστε από την κοιλά, θα σας ζητήσουμε να αδειάσετε την κύστη σας, έτσι ώστε να μπορεί να γίνει διακολπικό υπερηχογράφημα. Σε κάθε περίπτωση το υπερηχογράφημα είναι ακίνδυνο τόσο για το έμβρυο όσο και για τη μητέρα.

Γιατί είναι αυτή η εξέταση σημαντική;

Το υπερηχογράφημα αυτό είναι σημαντικό για τις γυναίκες που έχουν βιώσει πόνο ή αιμορραγία στην εγκυμοσύνη, και χρήσιμο για εκείνες που έχουν ιστορικό  έκτοπης κύησης, δεν είναι σίγουρες για την ημερομηνία της τελευταίας περιόδου τους, έχουν ιστορικό αποβολών ή απλά θέλουν να είναι βέβαιες για την ομαλή εξέλιξη της κύησης.

Πώς γίνεται η το υπερηχογράφημα;

Το υπερηχογράφημα αρχόμενης κύησης πραγματοποιείται με ευκολία στις 7-11 εβδομάδες της κύησης και γίνεται συνήθως «διακοιλιακά», που σημαίνει  από την κοιλιά.

Τι πληροφορίες μπορεί να μας δώσει το υπερηχογράφημα μεταξύ  7-11 εβδομάδων;

  • Να προσδιορίσει ότι υπάρχει κύηση και ότι αναπτύσσεται στη σωστή θέση (ενδομήτρια).
  • Να αποκλείσει πιθανή έκτοπη κύηση (εξωμήτριο).
  • Να προσδιορίσει τον αριθμό των εμβρύων.
  • Να επιβεβαιώσει την παρουσία καρδιακού παλμού.
  • Υπολογισμός  του μεγέθους του σάκου ή του εμβρύου, για τον προσδιορισμό της ηλικίας κύησης.

Ποιες είναι οι ενδείξεις ή οι λόγοι για το υπερηχογράφημα αυτό.

  • Αβέβαιες ημερομηνίες
  • Αιμορραγία
  • Ασυνήθιστος πόνος
  • Ιστορικό πρόωρης αποβολής
  • Ιστορικό έκτοπης κύησης

Ποιο είναι το επόμενο υπερηχογράφημα που θα πρέπει να κάνω και πότε;

Το επόμενο υπερηχογράφημα συνιστάται  στις 12 εβδομάδες κύησης, με σκοπό τη  μέτρηση  της αυχενικής διαφάνειας προς αξιολόγηση του κινδύνου  για το σύνδρομο Down και άλλες  χρωμοσωμικές ανωμαλίες. Το υπερηχογράφημα αυτό μπορεί να διεξαχθεί  από 11 εβδομάδες και  1 ημέρα έως 13 εβδομάδες και  6 ημέρες της εγκυμοσύνης. Παράλληλα με τον υπολογισμό του κινδύνου για χρωμοσωμικές ανωμαλίες όπως σύνδρομα Down, Edwards και Patau  μπορούμε να διαγνώσουμε και δομικές ανωμαλίες στο έμβρυο.

Αν ψάχνετε για μια εξέταση με  υψηλότερο ποσοστό ανίχνευσης χρωμοσωμικών ανωμαλιών, αυτή είναι  η δοκιμή ‘’Harmony’’, που μπορεί να γίνει μετά από τις 10 εβδομάδες της εγκυμοσύνης. Αυτή η δοκιμή είναι μη επεμβατική και περιλαμβάνει ένα απλό διακοιλιακό υπερηχογράφημα και μία ασφαλή εξέταση αίματος.

Τι μπορείτε να περιμένετε να δείτε σχετικά με την έγκαιρη ανίχνευση της εγκυμοσύνης σας;

5 εβδομάδων έγκυος:
Ένα μικρό σάκο κύησης στη μήτρα μέτρησης περίπου 3 – 4 χιλιοστά.

6 εβδομάδων έγκυος:           
Στο εσωτερικό της μήτρας ένα μικρό σάκο κύησης και ίσως το λεκιθικό ασκό (μελλοντικός πλακούντας). Κοντά στις 7 εβδομάδες, τον  εμβρυϊκό πόλο, όπως ονομάζεται το έμβρυο σ’ αυτή τη φάση, το οποίο μετρά λίγα μόνο χιλιοστά (μέγεθος ενός κόκκου ρυζιού) και με παρουσία εμβρυικού παλμού οι πιθανότητες θετικής έκβασης της εγκυμοσύνης είναι 78%.

7 εβδομάδων έγκυος:
Το έμβρυο μετρά συνήθως 10- 20 mm με θετική καρδιακή λειτουργία.

8 εβδομάδων έγκυος:
Το έμβρυο μετρά πλέον 20 – 30 mm. Οι πιθανότητες θετικής έκβασης της εγκυμοσύνης είναι 98%.

10 εβδομάδες εγκυμοσύνης:
Το έμβρυο μετρά πλέον 35 – 40 χιλιοστά και αν υπάρχει θετική καρδιακή λειτουργία και οι μετρήσεις αντιστοιχούν στην ηλικία κύησης, οι πιθανότητες θετικής έκβασης της εγκυμοσύνης είναι 99,4%.

11 εβδομάδων έγκυος, και μετά:    
Το έμβρυο είναι τώρα διαστάσεων περίπου 45 χιλιοστά και είναι προφανές ότι έχει ένα διακριτό κεφάλι, σώμα, χέρια και πόδια. Μπορούμε να δούμε την καρδία να χτυπάει στην περιοχή του θώρακα, το στομάχι και την ουροδόχο κύστη. Το μωρό από αυτή τη στιγμή και μετά απλά πρέπει να αναπτυχθεί.

 

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