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Exames pré-natais: segurança para mãe e filho

pré-natal

A gravidez é um momento muito especial e de muitas transformações na vida da mulher e da criança. A saúde da mãe interfere diretamente no desenvolvimento do filho. Por isso, é essencial o acompanhamento do médico obstetra ao longo de toda a gravidez e o trabalho conjunto com outros profissionais especializados. É o obstetra quem indicará quais exames são necessários e com que frequência eles devem ser realizados e é o médico ultrassonografista / radiologista com formação especializada quem deve realizar os exames de imagem específicos.

Exames de imagem são fundamentais em diversas etapas, principalmente o ultrassom. Esta tecnologia permite a avaliação do bebê dentro da barriga da mãe, possibilitando além da identificação do sexo, acompanhamento da saúde e desenvolvimento da criança. Confira abaixo em que etapas os exames de imagens são mais solicitados e o que eles podem identificar em cada momento:

Entre a 5ª e 9ª semana de gestação
Ultrassonografia obstétrica transvaginal:
este exame é o que vai auxiliar no cálculo do tempo de gravidez e a data provável do parto. Nele é possível visualizar o embrião e o saco gestacional e, se for realizado após a sexta semana, é possível ouvir os batimentos cardíacos do embrião. Também nessa época já podemos determinar se estamos diante de uma gestação única ou múltipla (gêmeos).

Entre a 11ª e a 14ª semana
Ultrassonografia para a avaliação da transluscência nucal:
este exame auxilia na detecção de alterações cromossômicas, como as que causam Síndrome de Down. Isso é feito a partir da medição da espessura de um fluido entre a pele e a gordura da nuca do bebê. Na mesma época e de forma mais completa, indica-se a avaliação morfológica do primeiro trimestre, que, além da transluscência nucal, avalia outros sinais que podem apontar ou nos tranquilizar a respeito das cromossomopatias e algumas doenças cardíacas. Entre estes sinais estão a avaliação do osso nasal, do ducto venoso e a presença de regurgitação na valva tricúspide no coração. Além disso, durante a realização deste exame podemos medir o bebê, atestar a sua vitalidade através dos batimentos cardíacos e observar questões relevantes de sua anatomia (abdome, cabeça e membros).

Entre a 20ª e a 22ª semana
Ultrassonografia morfológica do segundo trimestre:
nesta fase os órgãos do bebê já estão formados, a maioria deles em funcionamento e este exame serve para analisá-los. É realizado um estudo completo da anatomia do feto, literalmente “por dentro e por fora” e “da cabeça aos pés”. Nesta época também pode ser indicada a avaliação transvaginal do colo uterino, que permite nos tranquilizar ou estar mais atentos à possibilidade do trabalho de parto prematuro. A partir desta etapa é mais indicado fazer o ultrassom 3D/4D, que possibilita ver com mais detalhes o rostinho do bebê.

Entre a 30ª e a 37ª semana
Ultrassonografia do terceiro trimestre:
já na reta final da gestação, este exame é fundamental para acompanhar o tamanho, o peso e a posição do feto (que pode interferir diretamente no tipo de parto a ser adotado). Além disso, este ultrassom avalia a maturidade da placenta e a quantidade de líquido amniótico. Ele pode ser realizado com tecnologia Doppler, que auxilia na identificação de eventuais problemas de circulação entre o bebê e a mãe e alterações graves deste período, como as secundárias, a pré-eclâmpsia e restrição de crescimento. Este ultrassom pode ser realizado com alguma frequência nesta etapa, conforme as necessidades de cada paciente e a recomendação do médico obstetra.

Aqui na Ecomax sabemos como este momento é importante e especial na vida da mulher e da criança, por isso, oferecemos um sistema diferenciado de gravação de imagens em “cartão pen-drive” personalizado, equipe médica especializada e as mais modernas tecnologias em equipamentos. Enfim, todo o cuidado e carinho que mãe e filho merecem.