{"id":988781,"date":"2022-12-21T11:19:43","date_gmt":"2022-12-21T11:19:43","guid":{"rendered":"https:\/\/ginekologija-ljubljana.si\/?page_id=988781"},"modified":"2023-12-14T13:49:25","modified_gmt":"2023-12-14T13:49:25","slug":"trudnoca","status":"publish","type":"page","link":"https:\/\/ginekologija-ljubljana.si\/hr\/trudnoca\/","title":{"rendered":"Trudno\u0107a"},"content":{"rendered":"\t\t
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TRUDNO\u0106A<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Probir<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pregled nuhalne translucencije \u2013 otkrivanje kromosomskih i drugih anomalija fetusa<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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ULTRAZVU\u010cNI (UTZ) PREGLED S MJERENJEM NUHALNE TRANSLUCENCIJE (NT) I BIOKEMIJSKI TEST (TEST S DVOSTRUKIM MARKEROM ILI DMT) izme\u0111u 11. i 14. tjedna trudno\u0107e<\/span><\/strong><\/p>

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Jedan je od najva\u017enijih pregleda u trudno\u0107i i preporu\u010duje se svim trudnicama. Uglavnom se izvodi kroz trbu\u0161nu stjenku, ali povremeno i kroz rodnicu.<\/span><\/p><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Ovisno o veli\u010dini ploda, odre\u0111ujemo visinu trudno\u0107e i o\u010dekivani termin poroda. Utvr\u0111uje se broj plodova, a u slu\u010daju vi\u0161eplodne trudno\u0107e ima li svaki plod svoju posteljicu ili nema. Procjenjujemo rani razvoj i vitalnost fetusa te mjerimo NT, odnosno debljinu teku\u0107ine nakupljene ispod ko\u017ee u okcipitalnom ili nuhalnom dijelu fetusa. Pregled tako\u0111er mo\u017ee otkriti va\u017ene strukturne anomalije fetusa. Izmjereni podatci unose se u ra\u010dunalni program za izra\u010dun rizika od triju naj\u010de\u0161\u0107ih kromosomskih anomalija (Downov sindrom ili trisomija 21, Edwardsov sindrom ili trisomija 18 i Patau sindrom ili trisomija 13).<\/span><\/p>

Pove\u0107anje NT mjeri se u 5\u00a0% i predstavlja pove\u0107an rizik od kromosomskih i drugih anomalija fetusa. Budu\u0107i da 20\u00a0% fetusa s Downovim sindromom i 80\u00a0% genetskih sindroma nema pove\u0107anu NT, svakako se preporu\u010duje DMT (slobodni beta hCG i PAPP-A) uz ultrazvu\u010dni pregled, koji pove\u0107ava prediktivnu vrijednost pretrage za 10 % te zajedno s ultrazvu\u010dnim pregledom omogu\u0107uje otkrivanje 90 % kromosomskih anomalija. DMT se mo\u017ee izvoditi izme\u0111u 8. tjedna i jedan dan do 13. tjedna i \u0161est dana gestacije, s maksimalnom osjetljivo\u0161\u0107u u 10. tjednu. Abnormalne razine proteina PAPP-A tako\u0111er mogu predvidjeti o\u0161te\u0107enu funkciju posteljice fetusa.<\/span><\/p><\/div><\/div>\t\t\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\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tUz privatni pregled nuhalne translucencije i ispitivanje dvostrukim markerom, ti se pregledi obavljaju na teret HZZO-a uz uputnicu va\u0161ega ginekologa.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    izme\u0111u 11. i 14. <\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    tjedna trudno\u0107e <\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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    80%<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    postotna pouzdanost <\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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    90%<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    uz DMT vi\u0161e od 90 % pouzdanosti<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    DOdatni pregled<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Ako je izra\u010dunani rizik od kromosomskih anomalija pove\u0107an, preporu\u010duju se dodatne pretrage.<\/span><\/strong><\/p>

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    Kod vrlo visokog rizika<\/span><\/strong>\u00a0<\/span><\/span>preporu\u010duje se dijagnosti\u010dko invazivno ispitivanje kromosoma fetusa:\u00a0<\/span>biopsija korionskih resica (CVS)<\/strong>\u00a0<\/span>izme\u0111u 11. i 14. tjedna trudno\u0107e ili\u00a0<\/span>amniocenteza (AC)<\/strong>\u00a0<\/span>nakon 16. tjedna trudno\u0107e. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Za umjereno pove\u0107an ili nizak rizik<\/span><\/strong>\u00a0<\/span><\/span>mo\u017ee se provesti\u00a0<\/span>neinvazivna prenatalna pretraga (NIPT) DNK bez stanica<\/strong>\u00a0<\/span>iz periferne krvi trudnice (Nifty\/Panorama). Pretraga se mo\u017ee u\u010diniti od 10. tjedna trudno\u0107e nadalje. Uzima se 10 ml krvi. Rezultat je poznat unutar 7 do 10 dana. Pretraga ima pouzdanost od preko 99\u00a0% za otkrivanje Downova sindroma, Edwardsova sindroma i Patauova sindroma, sa stopom la\u017eno negativnih rezultata od 1 u 10.000 slu\u010dajeva. U svom pro\u0161irenom obliku, NIPT pretraga mo\u017ee otkriti defekte spolnih kromosoma i odre\u0111ene genetske sindrome. Podatci o spolu fetusa tako\u0111er su vrlo pouzdani.<\/span><\/p><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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    <\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    TRUDNO\u0106A Probir Pregled nuhalne translucencije \u2013 otkrivanje kromosomskih i drugih anomalija fetusa ULTRAZVU\u010cNI (UTZ) PREGLED S MJERENJEM NUHALNE TRANSLUCENCIJE (NT) I BIOKEMIJSKI TEST (TEST S DVOSTRUKIM MARKEROM ILI DMT) izme\u0111u 11. i 14. tjedna trudno\u0107e \u00a0 Jedan je od najva\u017enijih pregleda u trudno\u0107i i preporu\u010duje se svim trudnicama. Uglavnom se izvodi kroz trbu\u0161nu stjenku, ali…<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-988781","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/ginekologija-ljubljana.si\/hr\/wp-json\/wp\/v2\/pages\/988781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ginekologija-ljubljana.si\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ginekologija-ljubljana.si\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ginekologija-ljubljana.si\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ginekologija-ljubljana.si\/hr\/wp-json\/wp\/v2\/comments?post=988781"}],"version-history":[{"count":4,"href":"https:\/\/ginekologija-ljubljana.si\/hr\/wp-json\/wp\/v2\/pages\/988781\/revisions"}],"predecessor-version":[{"id":988785,"href":"https:\/\/ginekologija-ljubljana.si\/hr\/wp-json\/wp\/v2\/pages\/988781\/revisions\/988785"}],"wp:attachment":[{"href":"https:\/\/ginekologija-ljubljana.si\/hr\/wp-json\/wp\/v2\/media?parent=988781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}