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    昆山中醫院產科醫生:預防出生缺陷,這三個產檢節點要把握 [復制鏈接]

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    樓主  發表于: 09-10


    每30秒就有一名缺陷兒出生


    十月懷胎,一朝分娩,孕育出聰明健康的寶寶是所有家庭的期盼。然而,《中國出生缺陷防治報告(2012)》顯示:我國出生缺陷發生率約為5.6%,每年新增出生缺陷兒數約為90萬例,也就是平均每30秒就有一名缺陷兒出生。




    出生缺陷,家庭之殤


    出生缺陷是指孩子出生前,在媽媽肚子里就已經發生的形態結構、功能代謝、精神、行為等方面的異常。形態結構異常表現為先天畸形,如無腦兒,脊柱裂、兔唇、四肢異常等,生理功能和代謝缺陷常導致先天性智力低下、聾、啞等異常。單純由遺傳因素造成的出生缺陷占少數,在很多情況下,出生缺陷的發生是環境因素引發的,或者是由遺傳因素和環境因素共同作用的結果。


    其中,除20%—30%患兒經早期診斷和治療可以獲得較好生活質量外,30%—40%患兒在出生后死亡,約40%將成為終生殘疾。這意味著每年將有40萬家庭被卷入終生痛苦的漩渦中。




    常見的產前篩查介紹


    隨著我國“二孩政策”的全面實施,高齡、高危人群數增加,預防出生缺陷,加強人口素質,提高出生缺陷防控水平迫在眉睫。


    如何預防出生缺陷?

    如何對待產前診斷?

    如何做到早診斷、早干預?


    出生缺陷的產前診斷是一個復雜的過程,其中較為常見的篩查方式包括:B超檢查、血清學檢測、羊水穿刺、臍帶血穿刺、絨毛穿刺等。羊水穿刺、臍帶血穿刺、絨毛穿刺三種有創檢測是產前診斷的“金標準”。




    這三個篩查“節點”要把握


    重視產前檢查,早發現、早干預。產前檢查有三個重要篩查“節點”:


    12周-13+6周左右:NT檢查(醫院孕早期預約)

    15周-20+6周(16周-18周最佳):唐氏篩查(婦保所預約檢查)

    22周-24周:超聲排畸檢查(醫院孕早期預約)




    三道防線,守護家庭幸福


    第一道防線:婚前醫學檢查和孕前保健。準爸媽在婚前和孕前開始進行保健和咨詢,女性的最佳生育年齡是24歲~29歲,男性是25歲~30歲,婚前檢查和孕前保健顯得尤為重要。孕前3個月至孕后3個月補充葉酸,可以有效預防神經管畸形的發生。


    第二道防線:孕期保健。主要通過產前篩查和產前診斷來及時介入干預,以減少缺陷兒的出生。準媽媽可以在孕12周~14周、孕20周~22周及32周左右各進行一次B超檢查,可有70%~80%的出生缺陷被檢測出來。唐氏大篩查可以在正常準媽媽們中找到高危對象,并通過進一步診斷。


    第三道防線:新生兒疾病篩查。做好新生兒疾病篩查和孩子出生后系統體檢,許多出生缺陷尤其是遺傳代謝病如能及早發現,采取有效干預措施,可避免致殘。




    專業醫生提示


    在預防出生缺陷的三道防線中,婚前醫學檢查和孕前保健優于孕期保健,孕期保健又優于新生寶寶出生后的篩查。三道防線互相補充,筑起一道堅實的防護屏障,幫助準爸爸準媽媽孕育一個健康聰明的寶寶。

    中醫獻溫馨·健康進萬家

    昆山市中醫醫院助力每個寶寶的健康成長


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