Rezultate morfologia fetala trimestrul 2

Dana Mihaila
acum 9 ani

buna seara,

vineri am facut morfologia fetala pentru trm 2 - 22 saptamani si 6 zile.In urma masuratorilor, femurul si humerusul au iesit mai scurte si medicul mi-a recomandat sa fac amniocenteza, intrucat acestea pot fi markere la screening pentru sindromul Down. Mentionez ca la dublu test, riscul a iesit ca fiind unul scazut: risc de varsta: 1:503; risc biochimic T21:1:2165: risc combinat trisomie 21: <1:10000.

Masuratorile la morfologie au fost:

  • DBP: 60.0 mm
  • DFO: 78.0 mm
  • CC 216.8 mm
  • CM 4.1 mm
  • TCD 26.0 mm
  • TAD 62.0 mm
  • APAD 60.0 mm
  • CA 191.6 mm
  • DBP/DFO 0.77
  • CC/CA 1.13
  • BPD/FL 1.62
  • os nazal 8.5 mm
  • grosime prenazala 4.4 mm
  • grosime pliu nucal 4.8 mm
  • picior stg 41.0 mm
  • humerus stg 33.0 mm
  • femur stg 37.0 mm

 Va rog sa imi spuneti daca ati mai avut cazuri de genul acesta, cand sindromul down sa fie indicat numai de humerus si femur si care este intr-adevar riscul de sindronm down. eu am o programare la medicul meu maine dupa-amiaza , insa ar as avea nevoie si de alte rapsunsuri, intrucat sunt foarte nelinisita , mai ales ca sunt deja in saptamana 23.

Va multumesc si va rog sa imi spuneti daca mai este nevoie si de alte detalii, Dana S

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Anca Spânu
acum 9 ani

Buna Dana. Tinand cont ca ai peste 30 de ani, de obicei riscul de sindrom down este mai mare. Masuratorile facute de tine indica un risc, nu un diagnostic, si chiar unul scazut. Pentru a obtine rezultate cât mai exacte la dublul test, se recomanda calcularea riscului nu doar pe baza masuratorilor ecografice (Lungimea cranio-caudala – CRL, Translucenta nucala, osul nazal, ductul venos, fluxul prin valva tricuspida) dar si pe baza unor rezultate obtinute din recoltarea de sânge matern (Free-Beta hCG si PAPP-A). La triplul test se vor analiza astfel dimensiunile pentru: cap/ sistem nervos central, fata (integritatea maxilarului, osul nazal, gura, ochii), cordul, abdomenul (organele interne), membrele posterioare si inferioare, coloana vertebrala, pelvisul, pozitia placentei si cantitatea de lichid amniotic, lungimea colului.

Asadar, sunt destul de multe masuratori care indica exista sindromului down. O amniocentez poate stabili cu exactitate, dar exista riscul de pierdere al sarcinii. Iti recomand sa vezi un alt medic specialist cu aparatura mai performanta si care sa aiba mai multa experienta si sa repeti ecografia.

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