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优生优育五项是什么?优生优育五项知识有哪些?

发布时间:2016-08-22   问大夫  责任编辑:红豆

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我们都知道,在怀孕的时候,准妈妈们需要去做很多的检查,以观察宝宝的发育情况,以使宝宝可以健康地成长。父母们都想要一个健康的宝宝,那么,除了要补充叶酸、看牙外,还需要做优生优育五项检查。很多准妈妈们不知道什么是优生优育五项检查,也不知道为什么要检查,不清楚这项检查对宝宝发育的重要性。下面小编就给大家介绍一下什么优生优育五项检查。

优生优育五项是什么

优生优育检查项目有:优生优育IgM检测(TORCHIgM)、酶联免疫吸附实验、优生优育IgG检测(TORCHIgG)、神经管畸形筛查、唐氏综合征产前筛查、雌三醇(E3)测定、固相酶联免疫吸附实验、子宫内膜抗体测定IgMEMAb-IgM)、酶联免疫吸附实验、子宫内膜抗体测定IgGEMAb-IgG)。

其中,优生优育五项检查,又称致畸五项,包括弓形虫、风疹病毒﹑B19微小病毒﹑巨细胞病毒和单纯疱疹病毒的检查。这些微生物可通过胎盘传给胎儿,使胎儿的发育受影响,并最终导致流产、早产、发育不全或畸形,因此优生优育五项检查显得尤其重要。

这几种较常见的、较重要的子宫内感染因素被综合称为TORCH

T”代表弓形虫。弓形虫在我们的生活中,在我们周围存在的是较广泛的。如果你的家里养有宠物,或是其他的家禽,它们都可能是弓形虫的携带者。对于孕妇来说,抵抗力下降后对于这些弓形虫的防御也会减弱很多,如果孕期女性感染了弓形虫,会通过胎盘直接传染给胎儿,进而影响到胎儿的生长发育。

O”代表其它的感染因素。比如人乳头瘤细胞感染以及其他一些病毒感染等。

R”代表风疹病毒。风疹病毒也是一种传播性很广的病毒,比如在兔或猪等动物的肾细胞中,鼻咽分泌物的飞沫中,都可以发生传播。与此同时,风疹病毒还具有传染性,潜伏期后可造成人头后部,耳后部和颈部的淋巴结肿大,进而在脸和头部出现风疹,后面可以传遍全身,如妊娠初期罹患风疹,胎儿常发生白内障、小眼球症、重听、心脏病和小头症等先天性异常。

C”代表巨细胞病毒。巨细胞病毒能够侵入人体内脏和淋巴系统,妊娠母体感染此病毒能够通过胎盘侵袭胎儿引起先天性感染,甚至造成早产、流产、死产或生后死亡。患儿可发生黄疸,肝脾肿大,血小板减少性紫斑及溶血性贫血。存活儿童常遗留永久性智力低下,神经肌肉运动障碍,耳聋和脉络视网膜炎等。

H”代表单纯疱疹病毒。单纯疱疹病毒可引起生殖器的皮肤黏膜的感染,患生殖器疱疹的孕妇,严重时易造成早产、流产、畸胎或死胎。新生儿对这类病毒比较敏感,母亲患原发性疱疹,可有40%60%机会被感染,常发病于330天的早产儿,可侵犯皮肤黏膜和内脏,如为散播型可发生高热,肝脾肿大,脑炎,败血症,病死率可达65%,痊愈后无后遗症部超过10%

优生优育五项知识

优生优育是指采取人为的措施,使出生的儿童具有优良的遗传素质,同时进行科学养育,以提高人口质量。简单地说,优生就是生得优”,优育就是育得优”。下面介绍18条有关优生的知识:

1、优生法律

《中华人民共和国婚姻法》、《中华人民共和国母婴保健法》、《中华人民共和国人口与计划生育法》等法律均确立了优生的法律地位。

2、优生教育

通过广泛的宣传教育,使全社会都认识到,实行优生,提高出生人口素质,是对后代和社会应尽的义务。”

3、哪些病患者不宜结婚

医学上认为不宜结婚或暂缓结婚的疾病包括在传染期内的指定传染病;在发病期内的有关精神病;不宜生育的严重遗传性疾病;医学上认为不宜结婚的其他疾病。

4、禁止近亲结婚

直系血亲和三代以内的旁系血亲禁止结婚(近亲结婚下一代遗传病发生率可增加7150倍)。禁止近亲结婚是避免相同致病遗传基因结合,减少遗传病发生的有效措施。

5、婚前检查

婚前检查的意义是及早了解不宜结婚或生育的人或病;及早治疗在传染期内或在发病期内的有关疾病、生理缺陷和性功能障碍;阻断遗传病发生;婚后医学指导。(虽然准备结婚的男女双方可以决定是否进行婚前检查,但从优生的意义上讲,进行婚前检查是明智之举。)

6最佳生育年龄

女性最佳生育年龄2429岁,晚育也尽可能不晚于35岁;男性一般认为不大于40岁。

7、最佳受孕季节

最佳受孕季节是每年的89月份,这样孕早期就可避开病毒传染病多发的冬春季,分娩时正处于气候温和的春末夏初,有利于优生、母婴保健。

8、最佳受孕时机

从优生学的意义上说,新婚夫妻因操办婚事奔波劳碌,甚至心力交瘁,在短期内难以恢复到良好状态;新婚喜庆中的烟酒更是精子的杀手;蜜月旅途中不容忽视的卫生问题等,这些都是妊娠的不利因素,所以新婚期间最好是避孕。口服避孕药者应停药6个月后、病理性流产6个月后、人工流产3个月后才适宜怀孕

9、性与优生

不要忽视性生活与优生的关系。首先是性卫生,月经期过性生活易引起生殖泌尿系感染;孕早期或晚期过性生活会造成流产、早产或胎儿子宫内感染;不洁性交易感染性病,一旦孕妇被感染,会通过胎盘或分娩时的产道传染给胎儿。如果是在计划怀孕期间内的性生活,最好选择在男女双方身体健康、精神良好的状态下进行,并尽量使性生活和谐。这些性生活的因素都与优生有关。

10、孕妇不要照射X线

X线对孕早期胚胎有致畸作用,所以孕3个月内应尽量避免照射X线,孕2个月内为绝对禁忌;孕妇即使要作常规的胸部透视也要在孕7个月以后进行。

11、孕妇不可随便用药

孕妇患病固然要及时积极治疗,但应在专科医生指导下,严格选用安全药物,特别要避免使用在医学上已证实对胎儿致畸的药物。

12、孕妇避免受污染

孕妇要尽量不接触有害有毒物质(如汞、铅、一氧化碳、农药、油漆等)。

13、孕妇不要吸烟

孕妇吸烟可致流产、早产、妊娠高血压的发生率增加34倍,所以孕妇不要吸烟或避免吸二手烟”(嗜烟的丈夫更有责任不要在怀孕的妻子周围制造二手烟”环境)。

14、孕妇不要喝酒

孕妇喝酒或丈夫在准备怀孕期间酗酒易致畸胎,如胎儿酒精综合征”。

15、孕妇要谨防感染

病毒感染(如风疹、疱疹、麻疹、流感、巨细胞病毒等)、弓形体感染可导致胎儿畸形,特别是孕早期。孕妇要尽量少到公共场所,注意预防感冒。

16、产前诊断

35岁以上高龄孕妇、生过出生缺陷患儿者、孕早期接受X线照射者等应进行产前诊断,通过优生筛查,发现问题,及时处理。

17、孕妇要保持良好的心理精神状态

孕妇保持良好的心理、精神愉快,有利于孕妇本身健康和下一代健康。

18、孕期营养

孕妇如果营养不良,可导致流产、早产、畸胎、死胎或影响胎儿大脑发育,所以孕妇不要偏食或所谓的戒口”,孕期营养要丰富、均衡、全面。(饮食配方举例:每天一个鸡蛋、一碗牛奶、一斤蔬菜或水果、一百克鱼或肉、一斤粮食即5个一”。)

孕前优生健康检查

国家免费孕前优生健康检查基本项目

1、优生健康教育。

2、病史询问。了解孕育史、家族史、疾病史、用药情况、生活习惯、饮食营养、环境危险因素等。

3、体格检查。按常规操作完成男女双方体格检查。包括常规体检,如身高、体重、血压、心率等测量,甲状腺触诊、心肺听诊、肝脏脾脏触诊、四肢脊柱检查等操作;进行男、女生殖系统专科检查。

4、临床试验室检查。

实验室检查:共9项。包括血常规、尿常规、阴道分泌物检查(含白带常规、淋球菌和沙眼衣原体检测),血型(ABORh)、血糖、肝功能(谷丙转氨酶)、乙型肝炎血清学五项检测,肾功能(肌酐)、甲状腺功能(促甲状腺激素)等检查。

病毒筛查等:共4项。包括风疹病毒、巨细胞病毒、弓形体、梅毒螺旋体等感染检查。

5 影像学检查1项。妇科超声常规检查

6、风险评估和咨询指导

7、早孕和妊娠结局追踪随访

以上就是优生优育五项的相关介绍,优生优育,顾名思义就是生得优,育得优。这就需要准爸爸妈妈们做好备孕措施,做好怀孕相关事宜的了解,以保证宝宝的健康出生。

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