{"id":1394,"date":"2026-02-23T14:43:08","date_gmt":"2026-02-23T12:43:08","guid":{"rendered":"https:\/\/kildosklinika.lt\/?p=1394"},"modified":"2026-02-23T14:44:13","modified_gmt":"2026-02-23T12:44:13","slug":"vaisiaus-patikra-i-uoju-nestumo-trecdaliu","status":"publish","type":"post","link":"https:\/\/kildosklinika.lt\/en\/straipsniai\/vaisiaus-patikra-i-uoju-nestumo-trecdaliu\/","title":{"rendered":"Vaisiaus patikra I-uoju n\u0117\u0161tumo tre\u010ddaliu"},"content":{"rendered":"<p><span style=\"color: #000000;\">Visoms n\u0117\u0161\u010diosioms Lietuvoje 11 sav.+0d. \u2013 13 sav.+6d. n\u0117\u0161tumo laikotarpiu privaloma atlikti I \u2013 ojo n\u0117\u0161tumo tre\u010ddalio vaisiaus ultragarsin\u0119 patikr\u0105. \u0160io tyrimo metu patikslinamas n\u0117\u0161tumo dydis, vaisi\u0173 skai\u010dius bei gyvybingumas, implantacijos vieta, vertinamos vaisiaus anatomin\u0117s strukt\u016bros, paneigiami stambieji raidos apsigimimai, ap\u017ei\u016brima gimda ir jos priedai.<\/span><\/p>\n<p><span style=\"color: #000000;\">\u0160\u012f tyrim\u0105 rekomenduojama, kad atlikt\u0173 sertifikuotas tyr\u0117jas, nes to paties tyrimo metu kompleksi\u0161kai vertinami echoskopiniai \u017eymenys, leid\u017eiantys \u012ftarti padidint\u0105 vaisiaus rizik\u0105 d\u0117l chromosomini\u0173 anomalij\u0173 skai\u010diaus bei strukt\u016bros poky\u010di\u0173 &#8211; matuojamas vir\u0161ugalvio uodegikaulio matmuo CRL, vaisiaus sprando persi\u0161vie\u010diamumo matmuo ( NT ), tiriamas\u00a0 nosies kaulas (NK), vaisiaus \u0160SD da\u017enis bei detali vaisiaus anatomija.<\/span><\/p>\n<p><span style=\"color: #000000;\">\u012evertinus,\u00a0 kad yra indikacij\u0173 n\u0117\u0161\u010di\u0105j\u0105 tirti d\u0117l chromosom\u0173 anomalij\u0173 arba atlikus echoskopij\u0105 \u012ftariama vaisiaus raidos yd\u0173 ar randama ultragarsini\u0173 chromosom\u0173 anomalij\u0173 \u017eymen\u0173, &#8211; rekomenduoti atlikti prenatalin\u0119 chromosom\u0173 anomalij\u0173 patikr\u0105.<\/span><\/p>\n<h6><strong><span style=\"color: #000000;\"><em>\u00a0Vaisiaus chromosom\u0173 anomalij\u0173 patikra I-uoju n\u0117\u0161tumo tre\u010ddaliu &#8211; (PRISCA I):<\/em><\/span><\/strong><\/h6>\n<p><span style=\"color: #000000;\">tai vaisiaus ultragarsinis tyrimas 11+0 \u221213 +6 n\u0117\u0161tumo savait\u0119 + biocheminiai chromosomini\u0173 lig\u0173 \u017eymenys tiriami 11+0 \u221213 +6 n\u0117\u0161tumo savait\u0119, jei yra indikacij\u0173 .<\/span><\/p>\n<p><span style=\"color: #000000;\">PRISCA I tyrimas yra dar kitaip vadinamas kombinuotu testu, nes apima jau min\u0117t\u0105 I \u2013 ojo n\u0117\u0161tumo tre\u010ddalio echoskopin\u012f tyrim\u0105 ir kartu vertina i\u0161 moters kraujo genetinius \u017eymenis bei papildomai vertinamas n\u0117\u0161\u010diosios am\u017eius, anamnestiniai duomenys. Analizuojant duomenis kompiuterin\u0117s programos b\u016bdu apskai\u010diuojama chromosom\u0173 anomalij\u0173 rizika (ma\u017ea\/vidutin\u0117\/didel\u0117). Kombinuoto testo tikslumas diagnozuojant Dauno sindrom\u0105 \u2013 iki 90 proc., o bendras patikimumas 85 proc.<\/span><\/p>\n<p><span style=\"color: #000000;\">Prenatalin\u0117 vaisiaus chromosom\u0173 anomalij\u0173 patikra gali b\u016bti visuotin\u0117, atliekama visoms n\u0117\u0161\u010diosioms. Pagal Lietuvos Respublikos sveikatos apsaugos ministro \u012fsakym\u0105, prenatalin\u0117 vaisiaus chromosom\u0173 anomalij\u0173 patikra remiasi didesn\u0117s rizikos veiksni\u0173 metodika ir atliekant tyrim\u0105 pagal indikacijas apmokama i\u0161 PSD fondo l\u0117\u0161\u0173. Daugeliu atveju PRISCA I atlikimo indikacija \u2013 moters noras.<\/span><\/p>\n<p><span style=\"color: #000000;\">Tam tikrose \u0161alyse PRISCA I tyrimas atliekamas visoms n\u0117\u0161\u010diosioms, Lietuvoje \u2013 rekomenduojamas atlikti, esant tam tikroms indikacijoms, valstyb\u0117s l\u0117\u0161omis finansuojamas tyrimas yra rekomenduojamas atlikti esant indikacijoms, bet ne privalomas.<\/span><\/p>\n<h6><strong><span style=\"color: #000000;\">PRISCA I:<\/span><\/strong><\/h6>\n<p><span style=\"color: #000000;\">&#8211; ultragarsiniai parametrai: sprando vaiskumos matmuo (NT), vir\u0161ugalvio \u2013uodegikaulio matmuo (CRL), nosies kaulas (NK)<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8211; i\u0161 n\u0117\u0161\u010diosios kraujo genetiniai \u017eymenys (PAPP-A ir laisvas \u03b2-HCG)<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8211; motinos am\u017eius, svoris, r\u016bkymo \u012fpro\u010diai, gretutin\u0117s ligos, n\u0117\u0161tumo duomenys<\/span><\/p>\n<p><span style=\"color: #000000;\">Jei atlikus PRISCA I rezultatai rodo padidint\u0105 chromosom\u0173 anomalij\u0173 rizik\u0105, atliekama chromosomini\u0173 anomalij\u0173 diagnostika &#8211; amniocentez\u0117 arba choriono gaureli\u0173 biopsija. Tai invazin\u0117s proced\u016bros, kuri\u0173 metu punkcine adata per n\u0117\u0161\u010diosios pilvo ir gimdos sien\u0105, kontroliuojant ultragarsu, i\u0161tyrimui paimami vaisiaus vanden\u0173 ar choriono gaureli\u0173 m\u0117giniai.<\/span><\/p>\n<p><span style=\"color: #000000;\">Ta\u010diau PRISCA I pirmini\u0173 tyrim\u0173 rezultatai kartais b\u016bna nepatikimi (5 proc. klaidingai teigiam\u0173) ir lemia invazini\u0173 proced\u016br\u0173, kuri\u0173 b\u016bt\u0173 galima i\u0161vengti, atlikim\u0105.<\/span><\/p>\n<p><span style=\"color: #000000;\">UAB \u2018\u2018VAKK\u2018\u2018 Dr. Kildos klinikoje\u00a0 Jums galime pasi\u016blyti novatori\u0161k\u0105 neinvazin\u012f, saug\u0173 ir patikim\u0105 i\u0161tyrim\u0105 d\u0117l vaisiaus b\u016bkl\u0117s ir chromosomini\u0173 anomalij\u0173 su &gt; 99 proc. tikslumu Dauno sindromui bei 99 proc.\u00a0 vaisiaus lyties nustatymu \u2013 NIPT-\u00a0 prenatalinis neinvazinis chromosom\u0173 anomalij\u0173 patikros tyrimo metodas, kurio metu tiriama vaisiaus DNR i\u0161 motinos kraujo.<\/span><\/p>\n<p><span style=\"color: #000000;\">Si\u016blomi modern\u016bs pa\u017eang\u016bs ir profesional\u016bs tyrimai gali suteikti informacij\u0105 pa\u010diu laiku, kad laiku b\u016bt\u0173 priimti tinkami medicininiai sprendimai.<\/span><\/p>\n<p><span style=\"color: #000000;\">Pla\u010diau apie tai skaitykite \u2013 \u201e<a href=\"https:\/\/kildosklinika.lt\/en\/straipsniai\/neinvazinis-prenatalinis-tyrimas-nipt\/\">Neinvazinis n\u0117\u0161tumo apsigimim\u0173 ir lyties genetinis tyrimas NIPT<\/a> \u201c.<\/span><\/p>\n<pre><span style=\"color: #000000;\">Informacij\u0105 straipsniui pareng\u0117 UAB \u2018\u2018VAKK\u2018\u2018Dr. Kildos klinikos <a style=\"color: #000000;\" href=\"https:\/\/kildosklinika.lt\/en\/gydytojai\/ingrida-jackuniene\/\">gyd. aku\u0161er\u0117 \u2013 ginekolog\u0117 Ingrida Jack\u016bnien\u0117<\/a><\/span><\/pre>","protected":false},"excerpt":{"rendered":"<p>Visoms n\u0117\u0161\u010diosioms Lietuvoje 11 sav.+0d. \u2013 13 sav.+6d. n\u0117\u0161tumo laikotarpiu privaloma atlikti I \u2013 ojo n\u0117\u0161tumo tre\u010ddalio vaisiaus ultragarsin\u0119 patikr\u0105. \u0160io tyrimo metu patikslinamas n\u0117\u0161tumo dydis, vaisi\u0173 skai\u010dius bei<\/p>","protected":false},"author":3,"featured_media":1407,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[128],"tags":[],"service":[47],"specializacijos":[11],"class_list":["post-1394","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skyrelis-moterims","service-genetiniai-tyrimai","specializacijos-akuseriai-ginekologai"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - 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