Προγεννητικός Ελεγχος

Τι είναι μια εξέταση προγεννητικού ελέγχου;

Ο στόχος αυτού του ελέγχου είναι να αναγνωριστούν αιτίες που θα μπορούσαν να επηρεάσουν την εγκυμοσύνη σας. Ο εντοπισμός αυτών των παραγόντων πριν από την εγκυμοσύνη σάς δίνει τη δυνατότητα να λάβετε μέτρα που μπορεί να αυξήσουν τις πιθανότητες να έχετε μια υγιή εγκυμοσύνη και ένα υγιές μωρό. Κατά τη διάρκεια αυτής της επίσκεψης, ο ιατρός σας θα σας ρωτήσει για τη διατροφή και τον τρόπο ζωής, το οικογενειακό σας ιατρικό ιστορικό, τα φάρμακα που παίρνετε και τυχόν προηγούμενες εγκυμοσύνες.

Ποιες θα πρέπει να κάνουν έλεγχο;

Εάν σχεδιάζετε να μείνετε έγκυος, είναι μια καλή ιδέα να κάνετε έναν έλεγχο. Οι πρώτες 8 εβδομάδες της κύησης είναι κρίσιμες για το μωρό που μεγαλώνει μέσα σας. Τα περισσότερα από τα κύρια όργανα και συστήματα του σώματος έχουν αρχίσει να παίρνουν μορφή. Η υγεία και η διατροφή σας μπορεί να επηρεάσει την ανάπτυξη του μωρού σας σε αυτές τις πρώτες εβδομάδες.

Γιατί είναι σημαντική η υγιεινή διατροφή;

Το σώμα σας χρειάζεται τακτική παροχή θρεπτικών συστατικών για να αναπτυχθεί και να αντικαταστήσει   φθαρμένους   ιστούς , καθώς και για την παροχή ενέργειας. Μπορείτε να λαμβάνετε θρεπτικά συστατικά από τα τρόφιμα, καθώς και από τα συμπληρώματα. Ωστόσο, τα περισσότερα από τα θρεπτικά συστατικά σας θα πρέπει να προέρχονται από τις τροφές που τρώτε.

Πώς μπορώ να βεβαιωθώ ότι η διατροφή μου είναι υγιής;

Για να είστε σίγουρες ότι η διατροφή σας δίνει αρκετά θρεπτικά συστατικά, θα πρέπει να γνωρίζετε ποια είναι τα τρόφιμα που τρώτε.

Πώς μπορεί να επηρεάσει το υπερβολικό βάρος την εγκυμοσύνης μου;

Το υπερβολικό βάρος κατά την εγκυμοσύνη συνδέεται με αρκετές επιπλοκές, συμπεριλαμβανομένης της υψηλής πίεσης του αίματος,της προεκλαμψίας,του πρόωρου τοκετόυ, και του διαβήτη της κύησης. Η παχυσαρκία κατά την εγκυμοσύνη επίσης σχετίζεται με μακροσωμία, που ορίζεται ως ένα μεγαλύτερο από το κανονικό μωρό, καθώς και αυξημένο κίνδυνο τραυματισμού κατά τη γέννηση. Επίσης, αυξάνει τον κίνδυνο γενετικών ανωμαλιών, ειδικά του νευρικού σωλήνα. Έχοντας πάρα πολύ λίπος μπορεί να είναι πιο δύσκολο για τον ιατρό σας να παρακολουθήσει το μωρό σας με υπερήχους .

Πώς μπορώ να χάσω βάρος, αν είμαι υπέρβαρη;

Για να χάσετε βάρος, θα πρέπει να χρησιμοποιήσετε περισσότερες θερμίδες από ό, τι παίρνετε. Ο καλύτερος τρόπος για να χάσετε βάρος είναι να κάνετε μερικές αλλαγές στη διατροφή σας, και με το να είστε σωματικά πιο δραστήριες. Το να ελαττώσετε τον αριθμό των θερμίδων που καταναλώνετε είναι ένα καλό πρώτο βήμα. Η άσκηση καίει θερμίδες και σας βοηθά να χάσετε βάρος. Σε ορισμένες περιπτώσεις, μπορεί να εξεταστεί η χειρουργική απώλεια βάρους.

 

Πώς μπορεί να επηρεάσει το χαμηλό σωματικό βάρος την εγκυμοσύνη μου;

Ενέχει κινδύνους κατά τη διάρκεια της εγκυμοσύνης. Αυξάνει τον κίνδυνο να γεννηθεί παιδί με χαμηλό βάρος γέννησης. Αυτά τα μωρά είναι σε κίνδυνο κατά τη διάρκεια του τοκετού και μπορεί να έχουν προβλήματα που διαρκούν στην παιδική ηλικία και την ενήλικη ζωή. Όντας λιποβαρής κατά τη διάρκεια της εγκυμοσύνης αυξάνεται ο κίνδυνος πρόωρου τοκετού.

Θα πρέπει να πάρετε συμπληρώματα βιταμινών;

Αν και τα περισσότερα από   τα θρεπτικά συστατικά πρέπει να προέρχονται από τις τροφές που τρώτε, είναι μια καλή ιδέα να αρχίσετε να παίρνετε συμπλήρωμα βιταμινών πριν από την εγκυμοσύνη. Προγεννητικά συμπληρώματα βιταμινών περιέχουν όλες τις συνιστώμενες ημερήσιες βιταμίνες και ανόργανα συστατικά που θα χρειαστείτε πριν και κατά τη διάρκεια της εγκυμοσύνης σας.

Γιατί είναι σημαντικό να παίρνω αρκετό φυλλικό οξύ πριν μείνω έγκυος;

Το φυλλικό οξύ βοηθά στην πρόληψη βλαβών του νευρικού σωλήνα, όταν ληφθεί πριν από την εγκυμοσύνη και κατά τη διάρκεια της εγκυμοσύνης. Συνιστάται ότι όλες οι γυναίκες (ακόμα και αν δεν προσπαθείτε να μείνετε έγκυος) να καταναλώνουν 400 μικρογραμμάρια φυλλικού οξέος την ημέρα με τη λήψη βιταμινούχων συμπληρωμάτων .

Γιατί είναι σημαντικός ο σίδηρος;

Ο σίδηρος είναι επίσης σημαντικός κατά τη διάρκεια της εγκυμοσύνης. Χρησιμοποιείται για να κάνει το επιπλέον αίμα που χρειάζεται για την παροχή οξυγόνου στο μωρό. Το χαμηλό σίδηρο μπορεί να είναι ένα πρόβλημα για μερικές γυναίκες.

Μπορεί ο τρόπος ζωής μου να επηρεάσει την εγκυμοσύνη μου;

Το κάπνισμα, η κατανάλωση αλκοόλ και τη χρήση ναρκωτικών κατά τη διάρκεια της εγκυμοσύνης μπορεί να έχει επιβλαβείς συνέπειες για την υγεία του μωρού. Ο χρόνος κατά τον οποίο ένα έμβρυο είναι πιο ευάλωτο στις βλαβερές συνέπειες αυτών των ουσιών είναι   το πρώτο τρίμηνο της εγκυμοσύνης. Η διακοπή πριν την εγκυμοσύνη μπορεί να μειώσει ή ακόμα και να εξαλείψει ορισμένους κινδύνους ορισμένων   γενετικών ανωμαλιών που εμφανίζονται νωρίς στην εγκυμοσύνη.

Πώς μπορεί να επηρεάσει το περιβάλλον την εγκυμοσύνη μου;

Ορισμένες ουσίες που βρίσκονται στο σπίτι ή στο χώρο εργασίας μπορεί να κάνουν πιο δύσκολο για μια γυναίκα να μείνει έγκυος ή θα μπορούσε να βλάψει το έμβρυο. Εάν σχεδιάζετε να μείνετε έγκυος, εξετάστε προσεκτικά το σπίτι και το χώρο εργασίας σας. Σκεφτείτε   τις χημικές ουσίες που χρησιμοποιείτε στο σπίτι ή στον κήπο σας. Μάθετε αν στην εργασία σας εκτίθεστε σε τοξικές ουσίες, όπως ο μόλυβδος ή ο υδράργυρος, χημικές ουσίες, όπως παρασιτοκτόνα ή διαλύτες, ή ακτινοβολία.

Μπορεί ιατρικές παθήσεις που έχω να επηρεάσουν την εγκυμοσύνη μου;

Ορισμένες ιατρικές παθήσεις όπως: ο διαβήτης, η υψηλή πίεση του αίματος, η κατάθλιψη, και άλλες μπορεί να προκαλέσουν προβλήματα κατά τη διάρκεια της εγκυμοσύνης. Αν έχετε κάποια ιατρική πάθηση, ο ιατρός σας θα συζητήσει μαζί σας τις αλλαγές που πρέπει να κάνετε για να φέρετε την κατάσταση υπό έλεγχο, πριν   προσπαθήσετε να μείνετε έγκυος.

Μπορούν τα φάρμακα να παίρνω να επηρεάσουν την εγκυμοσύνη μου;

Ορισμένα φάρμακα, συμπεριλαμβανομένων των συμπληρωμάτων βιταμινών και βότανα, μπορεί να είναι επιβλαβή για το έμβρυο και δεν θα πρέπει να λαμβάνονται , ενώ είστε έγκυος. Είναι σημαντικό να ενημερώσετε τον ιατρό σας για όλα τα φάρμακα που παίρνετε κατά τη διάρκεια του ελέγχου σας . Μην σταματήσετε να παίρνετε συνταγογραφούμενα φάρμακα μέχρι να μιλήσετε με τον ιατρό σας.

Αν έχω κάποια λοίμωξη, μπορεί να επηρεάσει την εγκυμοσύνη μου;

Λοιμώξεις μπορεί να βλάψουν τόσο τη μητέρα όσο και το έμβρυο. Ορισμένες λοιμώξεις κατά την εγκυμοσύνη μπορεί να προκαλέσουν γενετικές ανωμαλίες ή ασθένειες στο μωρό.

Λοιμώξεις μέσω της σεξουαλικής επαφής, σεξουαλικώς μεταδιδόμενα νοσήματα (ΣΜΝ) -επίσης είναι βλαβερά κατά τη διάρκεια της εγκυμοσύνης. Πολλοί τύποι των σεξουαλικώς μεταδιδόμενων νοσημάτων μπορεί να επηρεάσουν την ικανότητά σας να μείνετε έγκυος. Μπορούν επίσης να μολύνουν και να βλάψουν το μωρό σας. Αν νομίζετε ότι εσείς ή ο σύντροφός σας μπορεί να έχει ένα ΣΜΝ, εξεταστείτε αμέσως.

Μπορούν να προληφθούν οι μολύνσεις;

Ο εμβολιασμός (ονομάζεται επίσης ανοσοποίηση) μπορεί να αποτρέψει κάποιες λοιμώξεις. Ορισμένα εμβόλια δεν είναι ασφαλή για χρήση κατά τη διάρκεια της εγκυμοσύνης. Είναι σημαντικό να γνωρίζουμε ποια εμβόλια μπορεί να χρειαστεί να κάνετε πριν μείνετε έγκυες.

Τι θα συμβεί αν είχα ένα πρόβλημα σε μια προηγούμενη εγκυμοσύνη;

Ορισμένα προβλήματα εγκυμοσύνης μπορεί να αυξήσουν τον κίνδυνο για το ίδιο πρόβλημα σε μια μεταγενέστερη εγκυμοσύνη. Αυτά τα προβλήματα περιλαμβάνουν πρόωρο τοκετό, υψηλή αρτηριακή πίεση, προεκλαμψία, και ο διαβήτη κύησης. Ωστόσο, μόνο και μόνο επειδή είχε ένα πρόβλημα στο παρελθόν δεν σημαίνει ότι θα συμβεί ξανά, ειδικά αν λάβετε την κατάλληλη φροντίδα πριν και κατά τη διάρκεια της εγκυμοσύνης σας.

Γιατί είναι σημαντικό για τον σύντροφό μου και μένα να μοιραστώ πληροφορίες για το ιατρικό ιστορικό της οικογένειας μας με τον ιατρό μου;

Ορισμένες παθήσεις εμφανίζονται πιο συχνά σε ορισμένες οικογένειες ή εθνοτικές ομάδες. Αυτές ονομάζονται γενετικές ή κληρονομικές διαταραχές. Εάν ένας στενός συγγενής έχει μια πάθηση , εσείς ή το μωρό σας θα μπορούσε να νοσήσει από την ίδια πάθηση.

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