{"id":16484,"date":"2024-05-08T09:28:35","date_gmt":"2024-05-08T09:28:35","guid":{"rendered":"https:\/\/organdziski.com\/?page_id=16484"},"modified":"2024-06-25T11:06:20","modified_gmt":"2024-06-25T11:06:20","slug":"monitorimi-i-shtatzenise-nga-ngjizja-deri-ne-lindje","status":"publish","type":"page","link":"https:\/\/organdziski.com\/sq\/monitorimi-i-shtatzenise-nga-ngjizja-deri-ne-lindje\/","title":{"rendered":"Monitorimi i shtatz\u00ebnis\u00eb nga ngjizja deri n\u00eb lindje"},"content":{"rendered":"\t\t
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Pajisjet m\u00eb t\u00eb mira dhe mjek\u00eb t\u00eb certifikuar.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Shtatz\u00ebnia \u00ebsht\u00eb nj\u00eb periudh\u00eb e ve\u00e7ant\u00eb e jet\u00ebs s\u00eb nj\u00eb gruaje e shoq\u00ebruar me shum\u00eb ndryshime fizike dhe emocionale. Shtatz\u00ebnia \u00ebsht\u00eb e mbushur me momente emocionuese dhe but\u00ebsie si p\u00ebr vet\u00eb prind\u00ebrit ashtu edhe p\u00ebr mjekun obstet\u00ebr-gjinekolog q\u00eb monitoron t\u00eb gjith\u00eb procesin e zhvillimit t\u00eb fetusit. Para pacient\u00ebve shfaqen pyetje t\u00eb shumta dhe frik\u00eb e zakonshme q\u00eb lidhet me zhvillimin e shtatz\u00ebnis\u00eb: a \u00ebsht\u00eb foshnja e sh\u00ebndetshme, a ka mund\u00ebsi t\u00eb ket\u00eb ndonj\u00eb anomali etj. Sot, me zhvillimin e teknologjis\u00eb moderne dhe metodave t\u00eb ekzaminimit t\u00eb fetusit, \u00ebsht\u00eb reale t\u00eb garantohet lindja e nj\u00eb f\u00ebmije t\u00eb gjall\u00eb dhe t\u00eb sh\u00ebndetshme. Gjat\u00eb kontrollit t\u00eb par\u00eb, kur nj\u00eb grua dyshon se \u00ebsht\u00eb shtatz\u00ebn\u00eb, nj\u00eb ekzaminim ekografik EKO p\u00ebrcakton shtatz\u00ebnin\u00eb n\u00eb mit\u00ebr, pranin\u00eb e nj\u00eb fetusi, si dhe shkall\u00ebn e shtatz\u00ebnis\u00eb, d.m.th. n\u00ebse p\u00ebrkon me dat\u00ebn e ciklit t\u00eb fundit. Gjithashtu p\u00ebrcaktohet n\u00ebse b\u00ebhet fjal\u00eb p\u00ebr shtatz\u00ebni t\u00eb shum\u00ebfrytshme. Gjithashtu, gjinekologu kontrollon pranin\u00eb e formacioneve cistike n\u00eb m\u00ebnyr\u00eb adneksale, d.m.th. n\u00ebse ka nj\u00eb shtatz\u00ebni ektopike. Gjat\u00eb k\u00ebtij ekzaminimi matet pesha, gjat\u00ebsia dhe presioni i gjakut t\u00eb gruas.<\/p>

Gjinekologu informohet p\u00ebr ciklet menstruale (rregullsia, koh\u00ebzgjatja, boll\u00ebku), p\u00ebr shtatz\u00ebnit\u00eb e m\u00ebparshme dhe p\u00ebrfundimin e tyre, abortet e mundshme, si dhe p\u00ebr m\u00ebnyr\u00ebn e p\u00ebrfundimit t\u00eb lindjeve.<\/p>

Mjeku informohet edhe p\u00ebr s\u00ebmundjet dhe operacionet e m\u00ebparshme, pranin\u00eb e nj\u00eb s\u00ebmundjeje kronike aktuale, alergjit\u00eb ndaj barnave, polenit, ushqimit, si dhe p\u00ebr ngarkes\u00ebn familjare t\u00eb diabetit, hipertensionit, s\u00ebmundjeve t\u00eb veshkave, goditjeve n\u00eb tru dhe kardiovaskulare.<\/p>

\u00cbsht\u00eb e d\u00ebshirueshme q\u00eb gruaja shtatz\u00ebn\u00eb t\u00eb sjell\u00eb nj\u00eb most\u00ebr gjaku, me sediment t\u00eb matur t\u00eb urin\u00ebs, glicemi, hekur n\u00eb serum, si dhe nj\u00eb dokument p\u00ebr grupin e gjakut dhe faktorin Rh. N\u00ebse gruaja nuk ka nj\u00eb dokument t\u00eb till\u00eb, n\u00eb spitalin ton\u00eb organizohet nj\u00eb analiz\u00eb.<\/p>

Gruaja shtatz\u00ebn\u00eb k\u00ebshillohet se kur duhet t\u00eb filloj\u00eb t\u00eb marr\u00eb suplemente si p\u00ebr doz\u00ebn edhe p\u00ebr sasin\u00eb e tyre.<\/p>

Gjat\u00eb shtatz\u00ebnis\u00eb duhet t\u00eb b\u00ebni 10 ekzaminime n\u00ebse jeni n\u00ebn\u00eb p\u00ebr her\u00eb t\u00eb par\u00eb dhe 7 ekzaminime p\u00ebr femrat me m\u00eb shum\u00eb lindje. N\u00eb shtatz\u00ebnit\u00eb me rrezik t\u00eb lart\u00eb dhe n\u00ebse \u00ebsht\u00eb e nevojshme, numri i ekzaminimeve \u00ebsht\u00eb m\u00eb i lart\u00eb. \u00c7do muaj gjinekologu juaj do t\u00eb monitoroj\u00eb presionin e gjakut, pesh\u00ebn, pasqyr\u00ebn e gjakut, analiz\u00ebn e urin\u00ebs dhe rritjen e fetusit. P\u00ebrve\u00e7 k\u00ebtyre ekzaminimeve rutin\u00eb, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb kryhen disa ekzaminime m\u00eb specifike.<\/p>

Tremujori i par\u00eb<\/strong> \u2013 N\u00eb fillim t\u00eb shtatz\u00ebnis\u00eb b\u00ebhet nj\u00eb ekzaminim gjinekologjik gjat\u00eb t\u00eb cilit gruas shtatz\u00ebn\u00eb i merret nj\u00eb histori e detajuar p\u00ebr s\u00ebmundjet dhe operacionet e m\u00ebparshme, vaksinat e marra dhe s\u00ebmundjet e mundshme n\u00eb familje. Gjat\u00eb k\u00ebtij tremujori merren brisa mikrobiologjik dhe analiza mikrobiologjike t\u00eb urin\u00ebs. Infeksionet vaginale rrisin rrezikun e ejakulimit t\u00eb parakohsh\u00ebm, lindjes s\u00eb parakohshme dhe infeksionit t\u00eb t\u00eb porsalindurit dhe p\u00ebr k\u00ebt\u00eb arsye \u00ebsht\u00eb e nevojshme q\u00eb t\u00eb zbulohet dhe trajtohet n\u00eb koh\u00eb. Analizat laboratorike t\u00eb gjakut dhe urin\u00ebs zakonisht b\u00ebhen nj\u00eb her\u00eb n\u00eb muaj. P\u00ebrcaktohet grupi i gjakut dhe faktori Rh. Nga java e 11-t\u00eb deri n\u00eb jav\u00ebn e 14-t\u00eb t\u00eb shtatz\u00ebnis\u00eb, b\u00ebhet ekzaminimi i par\u00eb ekografik p\u00ebr t\u00eb p\u00ebrcaktuar rrezikun e fetusit p\u00ebr anomalit\u00eb kromozomale. Duke vepruar k\u00ebshtu, ekografia zbulon disa pjes\u00eb t\u00eb fetusit q\u00eb mund t\u00eb tregojn\u00eb k\u00ebto anomali dhe ato zakonisht zhduken pas jav\u00ebs s\u00eb 14-t\u00eb. N\u00ebse e humbisni k\u00ebt\u00eb ekzaminim, nuk do t\u00eb jet\u00eb m\u00eb i mundur zbulimi i markerit q\u00eb tregon ekzistenc\u00ebn e mundshme t\u00eb s\u00ebmundjeve kromozomale (sindroma Down), t\u00eb cilat, p\u00ebr fat t\u00eb keq, jan\u00eb t\u00eb pash\u00ebrueshme.<\/p>

Tremujori i dyt\u00eb<\/strong> – Nga java e 18-t\u00eb deri n\u00eb jav\u00ebn e 22-t\u00eb t\u00eb shtatz\u00ebnis\u00eb, kryhet nj\u00eb ekzaminim me ultratinguj, me t\u00eb cilin p\u00ebrve\u00e7 monitorimit t\u00eb rritjes s\u00eb fetusit, detyra kryesore \u00ebsht\u00eb nj\u00eb analiz\u00eb e detajuar e anatomis\u00eb s\u00eb fetusit, organeve t\u00eb tij individuale dhe p\u00ebrjashtimin e anomalive kongjenitale t\u00eb fetusit, duke filluar nga ato m\u00eb t\u00eb r\u00ebndat, t\u00eb cilat jan\u00eb t\u00eb rrezikshme p\u00ebr jet\u00ebn e fetusit, deri n\u00eb defektet e vogla apo kozmetike. Analizohet kordoni i k\u00ebrthiz\u00ebs, placenta, pozicioni i saj dhe gjat\u00ebsia e qaf\u00ebs s\u00eb mitr\u00ebs, gj\u00eb q\u00eb p\u00ebrcakton rrezikun e lindjes s\u00eb parakohshme. N\u00eb periudh\u00ebn nga java e 24-t\u00eb deri n\u00eb jav\u00ebn e 28-t\u00eb b\u00ebhet edhe analiza p\u00ebr zbulimin e diabetit gestacional.<\/p>

Tremujori i tret\u00eb<\/strong> \u2013 Nj\u00eb ekzaminim me ultratinguj n\u00eb tremujorin e tret\u00eb (30-34 jav\u00eb) kontrollon rritjen proporcionale dhe korrekte t\u00eb foshnj\u00ebs. Zbulohet n\u00ebse ka nj\u00eb ndales\u00eb n\u00eb rritjen e foshnj\u00ebs si pasoj\u00eb e \u00e7rregullimeve n\u00eb funksionimin e placent\u00ebs. Me ndihm\u00ebn e Doppler-it analizohet n\u00ebse qarkullimi i gjakut p\u00ebrmes kordonit t\u00eb k\u00ebrthiz\u00ebs \u00ebsht\u00eb i mjaftuesh\u00ebm tek foshnja dhe n\u00ebse jo, kur \u00ebsht\u00eb koha ideale p\u00ebr t’i dh\u00ebn\u00eb fund shtatz\u00ebnis\u00eb dhe n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb p\u00ebr t\u00eb lindur nj\u00eb bebe t\u00eb maturuar dhe t\u00eb sh\u00ebndetshme. Gjat\u00eb muajit t\u00eb 9-t\u00eb kontrollet jan\u00eb m\u00eb t\u00eb shpeshta dhe b\u00ebhet CTG, e cila regjistron rrahjet e zemr\u00ebs s\u00eb bebit tuaj. P\u00ebrve\u00e7 k\u00ebsaj, regjistron ekzistenc\u00ebn, forc\u00ebn, koh\u00ebzgjatjen dhe shpesht\u00ebsin\u00eb e kontraktimeve t\u00eb mitr\u00ebs. Q\u00ebllimi i tij \u00ebsht\u00eb t\u00eb vler\u00ebsoj\u00eb gjendjen e fetusit, furnizimin e tij me oksigjen dhe n\u00ebse shfaqja e kontraktimeve shkakton \u00e7rregullimin e furnizimit t\u00eb fetusit me gjak. Ai kryhet n\u00eb tremujorin e fundit dhe gjat\u00eb lindjes. Gjat\u00eb k\u00ebsaj periudhe zakonisht gjendet nj\u00eb test mikrobiologjik p\u00ebr streptokokun e grupit B (GBS), q\u00eb \u00ebsht\u00eb nj\u00eb bakterje e zakonshme.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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