{"id":12877,"date":"2021-11-05T22:34:37","date_gmt":"2021-11-05T19:34:37","guid":{"rendered":"https:\/\/momslab.app\/blog\/?p=2785"},"modified":"2025-06-17T08:58:53","modified_gmt":"2025-06-17T05:58:53","slug":"u-kojem-periodu-trudnoce-posjetiti-ginekologa-razlozi-za-ranu-posjetu","status":"publish","type":"post","link":"https:\/\/momslab.app\/blog\/bs\/u-kojem-periodu-trudnoce-posjetiti-ginekologa-razlozi-za-ranu-posjetu\/","title":{"rendered":"U kojem periodu trudno\u0107e posjetiti ginekologa: razlozi za ranu posjetu"},"content":{"rendered":"\n

Kada tokom trudno\u0107e posjetiti ginekologa \u2013 jedno je od osnovnih pitanja koje brine \u017eenu koja je na testu vidjela dvije linije. To je razumljivo i u potpunosti obja\u0161njivo, jer kvalificirano medicinsko nadgledanje je uveliko klju\u010d za uspje\u0161no no\u0161enje djeteta. Zato je prvo \u0161to bi \u017eena, koja je saznala da \u0107e uskoro postati majka, trebala u\u010diniti \u2013 prijaviti se u savjetovali\u0161te za trudnice. <\/p>\n\n\n\n

Osim \u010disto fiziolo\u0161kih razloga vezanih za o\u010duvanje zdravlja trudnice i bebe, zbog kojih nije razumno odlagati posjetu ljekaru, postoje i drugi, koji su povezani s mogu\u0107no\u0161\u0107u dobivanja dodatnih naknada nakon poro\u0111aja. Naime, posjeta ginekologu tokom trudno\u0107e i prijava do 12. sedmice osigurat \u0107e zaposlenoj \u017eeni takvu naknadu.<\/p>\n\n\n\n

\"Kada<\/figure>\n\n\n\n

Kada prvi put posjetiti ljekara tokom trudno\u0107e?<\/h2>\n\n\n\n

Stru\u010dnjaci s dugogodi\u0161njim iskustvom u oblasti aku\u0161erstva i ginekologije navode nekoliko razloga u korist ranog odlaska ginekologu tokom trudno\u0107e. Prvo, smatraju da je to potrebno zbog potvrde same \u010dinjenice nastanka trudno\u0107e, koja se mo\u017ee nedvosmisleno potvrditi samo kompleksnim pregledom, rezultatima analize HCG-a i ultrazvuka. <\/p>\n\n\n\n

Ve\u0107ina ginekologa savjetuje da posjetite ginekologa tokom trudno\u0107e 2-3 sedmice nakon \u0161to izostane slijede\u0107a menstruacija. Osim toga, kada je potvr\u0111eno da je do\u0161lo do za\u010de\u0107a, ginekolog \u0107e mo\u0107i isklju\u010diti vanmateri\u010dnu trudno\u0107u, osiguravaju\u0107i ispravan polo\u017eaj embrija. Stru\u010dnjak \u0107e obaviti pregled, utvrditi datum prvog dana posljednje menstruacije, mogu\u0107e za\u010de\u0107e ili datum ovulacije, ako su poznati. To \u0107e omogu\u0107iti preciznije odre\u0111ivanje trajanja trudno\u0107e i datuma o\u010dekivanog poroda.<\/p>\n\n\n\n

\u0160ta jo\u0161 obi\u010dno prati prvu posjetu lije\u010dniku<\/h3>\n\n\n\n

Prva posjeta ginekologu tokom prve trudno\u0107e, \u010dak i u ranim fazama, obi\u010dno je povezana s brojnim usmjerenjima za pravilno no\u0161enje bebe. Ljekar i pacijentica \u0107e razgovarati o osobinama dnevnog re\u017eima i ishrane, te odrediti optimalnu koli\u010dinu dnevnog unosa teku\u0107ine. Osim toga, stru\u010dnjak razvija plan individualnog unosa mikroelemenata i vitamina. Posebno se to odnosi na obavezno uzimanje folne kiseline, koja spre\u010dava rizik od uro\u0111enih mana razvoja ploda. <\/p>\n\n\n\n

Ovaj vitamin se propisuje ako ga \u017eena nije uzimala tokom planiranja i pripreme za trudno\u0107u. Prilikom prve posjete ginekologu tokom trudno\u0107e, budu\u0107a mama i stru\u010dnjak koji \u0107e je pratiti do trenutka ro\u0111enja bebe dogovaraju prihvatljive fizi\u010dke aktivnosti, mogu\u0107nost letova, preseljenja, odre\u0111uju plan posjeta ljekaru, uzimanje analiza i sprovo\u0111enje skrininga.<\/p>\n\n\n\n

\"Kada<\/figure>\n\n\n\n

Pregled i anamneza kod ginekologa<\/h2>\n\n\n\n

Nakon \u0161to je odlu\u010deno u kojoj nedjelji trudno\u0107e treba posjetiti ginekologa, a \u017eena se na\u0111e u ordinaciji aku\u0161era-ginekologa, osim razgovora o planiranju trudno\u0107e i propisivanju analiza, \u010deka je op\u0107i pregled, kao i:<\/p>\n\n\n\n

    \n
  • pregled tjelesne gra\u0111e i boje ko\u017ee;\u00a0<\/li>\n\n\n\n
  • palpacija dojki i \u0161titne \u017elijezde;\u00a0<\/li>\n\n\n\n
  • mjerenje tjelesne te\u017eine, pritiska, dimenzija zdjelice;\u00a0<\/li>\n\n\n\n
  • obavljanje ginekolo\u0161kog pregleda.\u00a0<\/li>\n<\/ul>\n\n\n\n

    Na prvom posjetu ginekologu u trudno\u0107i otvara se li\u010dna kartica trudnice i porodilje. Ovaj va\u017ean dokument sadr\u017ei podatke anamneze, uklju\u010duju\u0107i op\u0107e i ginekolo\u0161ke bolesti koje je budu\u0107a majka preboljela u djetinjstvu i odrasloj dobi, kao i informacije o ozbiljnim bolestima njenih bliskih srodnika i srodnika oca djeteta.<\/p>\n\n\n\n

    \u0160ta zahtijeva posebnu pa\u017enju<\/h3>\n\n\n\n

    Porodi\u010dna anamneza je izuzetno va\u017ena, s posebnim naglaskom na bolesti poput tuberkuloze, mentalnih poreme\u0107aja, dijabetes melitusa, hipertenzivne bolesti, dijagnosticiranih kod bliskih ro\u0111aka. Ljekar prilikom prikupljanja informacija na prvom pregledu kod ginekologa tokom trudno\u0107e nastoji dobiti \u0161to potpunije podatke o prethodno prele\u017eanim infektivnim bolestima, me\u0111u kojima su herpes, toksoplazmoza, rubeola, bolesti bubrega i jetre, CMV. <\/p>\n\n\n\n

    Obstetri\u010dko-ginekolo\u0161ka anamneza obi\u010dno uklju\u010duje informacije o abortusima, upotrebi kontraceptiva i njihovim vrstama, broju trudno\u0107a i njihovom ishodu, karakteristikama menstrualne funkcije, prisustvu komplikacija tokom poro\u0111aja i nakon ro\u0111enja djeteta.<\/p>\n\n\n\n

    \"Kada<\/figure>\n\n\n\n

    Potrebne analize i pregledi<\/h2>\n\n\n\n

    Prvobitni pregled u klinici tokom trudno\u0107e podrazumijeva \u0161irok spektar pregleda, uklju\u010duju\u0107i sveobuhvatne laboratorijske analize, izme\u0111u ostalog:<\/p>\n\n\n\n

      \n
    • utvr\u0111ivanje Rh faktora i krvne grupe;<\/li>\n\n\n\n
    • analize hormona;<\/li>\n\n\n\n
    • prikupljanje uzoraka krvi \u2013 op\u0107i, biohemijski, na sifilis, HIV, na glukozu, herpes, feritin, hepatitis B i C, TORCH, TT;<\/li>\n\n\n\n
    • analiza urina i briseva.<\/li>\n<\/ul>\n\n\n\n

      Osim toga, budu\u0107u majku \u0161alju na pregled kod specijalista – ORL ljekara, terapeuta, stomatologa, oftalmologa. Po potrebi, trudnicu konsultuju uski specijalisti, kao \u0161to su kardiolog, urolog, endokrinolog. Nakon \u0161to trudnica pro\u0111e potpuni pregled, odre\u0111uje se kojoj od postoje\u0107ih grupa dinami\u010dkog pra\u0107enja pripada – niskoj, srednjoj ili visokoj. Na osnovu kompletnih informacija i dobijenih rezultata objektivnih ispitivanja, ljekar pravi plan vo\u0111enja trudno\u0107e.<\/p>\n\n\n\n

      \u0160ta ponijeti na prvi pregled<\/h2>\n\n\n\n

      Kada se \u017eena prvi put sprema posjetiti polikliniku, treba sa sobom imati odre\u0111eni set dokumenata, kao i pravilno se pripremiti za posjetu ginekologu u trudno\u0107i. Me\u0111u obaveznim – sljede\u0107i dokumenti i njihove kopije u 2 primjerka – paso\u0161 (1. stranica i prijava prebivali\u0161ta), SNILS, OMS polisa.<\/p>\n\n\n\n

      Tako\u0111er \u0107e biti prikladni dokumenti koji se odnose na zdravlje same \u017eene i \u010dlanova njene porodice (tako\u0111er u 2 primjerka):<\/p>\n\n\n\n

        \n
      • rezultati krvnih pretraga oca djeteta na HIV i sifilis;<\/li>\n\n\n\n
      • rezultati rendgenskog snimanja prsa oca, kao i \u010dlanova porodice starijih od 15 godina s kojima trudnica \u017eivi;<\/li>\n\n\n\n
      • ako postoje – rezultati rendgenskog snimanja prsa \u017eene prije trudno\u0107e. <\/li>\n<\/ul>\n\n\n\n

        Ispravno je sa sobom imati medicinske nalaze o ranije dijagnostikovanim patologijama, ako su neke otkrivene. Ovo \u0107e u\u010diniti planiranje daljnjeg vo\u0111enja trudno\u0107e racionalnijim i uspje\u0161nijim. Za ginekolo\u0161ki pregled bit \u0107e potrebne \u010darape i jednokratni navlaci za obu\u0107u.<\/p>\n\n\n\n

        \"Kada<\/figure>\n\n\n\n

        Pravi vremenski okvir za pregled<\/h2>\n\n\n\n

        Me\u0111utim, prva posjeta ginekologu tijekom trudno\u0107e i uzimanje preliminarnih analiza ne zna\u010di da vi\u0161e ne\u0107ete morati odlaziti u polikliniku i da su pregledi za trudnice zavr\u0161eni sve do trenutka kada se va\u0161a beba rodi. Postoje strogo odre\u0111eni termini u kojima se provode istra\u017eivanja za pra\u0107enje stanja budu\u0107e majke i razvijaju\u0107eg fetusa. <\/p>\n\n\n\n

        Oni zavise od trenutnog trimestra i sedmice trudno\u0107e. Nakon registracije na 7-8 sedmici i kompletnog klini\u010dko-laboratorijskog pregleda, daljnji raspored pravilnih pregleda izgleda ovako – u prvom trimestru se na 11-13 sedmici trudno\u0107e radi prvi skrining, koji uklju\u010duje ultrazvuk i biohemijsku analizu krvi kako bi se otkrile hromosomske bolesti kod ploda.<\/p>\n\n\n\n

        Pregledi u 2-3 trimestru<\/h3>\n\n\n\n

        Pri prvoj posjeti ginekologu tokom trudno\u0107e, doktor obi\u010dno pravi plan pregleda za \u017eenu za cijeli period trudno\u0107e. Raspored uklju\u010duje termine kod doktora koji prati trudno\u0107u za obavljanje:<\/p>\n\n\n\n

          \n
        • drugog skrininga – 19-21 sedmica;<\/li>\n\n\n\n
        • testa tolerancije glukoze za otkrivanje skrivenog dijabetesa – 23-24 sedmica;<\/li>\n\n\n\n
        • ponovnog kompletnog klini\u010dko-laboratorijskog pregleda i ponovne konsultacije terapeuta i okuliste, tre\u0107eg skrininga (doplerometrija krvnih sudova i ultrazvuk ploda) – 30. sedmica;<\/li>\n\n\n\n
        • kardiotokografskog pregleda stanja ploda – 32. i 38. sedmica trudno\u0107e;<\/li>\n\n\n\n
        • bakteriolo\u0161kog uzgoja otpadnog materijala cervikalnog kanala – 36. sedmica. <\/li>\n<\/ul>\n\n\n\n

          Stoga je o\u010dito da je prvi susret s doktorom nakon po\u010detka trudno\u0107e po\u010detak dugog i odgovornog puta koji traje 9 mjeseci i koji je potrebno zapo\u010deti na vrijeme.<\/p>\n","protected":false},"excerpt":{"rendered":"

          Kada tokom trudno\u0107e posjetiti ginekologa \u2013 jedno je od osnovnih pitanja koje brine \u017eenu koja je na testu vidjela dvije linije. To je razumljivo i…<\/p>\n","protected":false},"author":11,"featured_media":7555,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tstyn_error":""},"categories":[839,821],"tags":[],"class_list":["post-12877","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trudnoca-bs","category-zensko-zdravlje-bs"],"yoast_head":"\nU kojem periodu trudno\u0107e posjetiti ginekologa: za\u0161to je va\u017eno oti\u0107i na vrijeme<\/title>\n<meta name=\"description\" content=\"Pozitivan rezultat testa na trudno\u0107u postavlja pitanje kada \u017eena treba posjetiti doktora kako bi dobila potvrdu i na vrijeme bila evidentirana. Kada je najbolje to u\u010diniti, objasnit \u0107e stru\u010dnjaci.\" \/>\n<meta name=\"robots\" content=\"index, nofollow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/momslab.app\/blog\/bs\/u-kojem-periodu-trudnoce-posjetiti-ginekologa-razlozi-za-ranu-posjetu\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"U kojem periodu trudno\u0107e posjetiti ginekologa: razlozi za ranu posjetu\" \/>\n<meta property=\"og:description\" content=\"Pozitivan rezultat testa na trudno\u0107u postavlja pitanje kada \u017eena treba posjetiti doktora kako bi dobila potvrdu i na vrijeme bila evidentirana. 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