{"id":2166,"date":"2017-03-09T12:46:31","date_gmt":"2017-03-09T12:46:31","guid":{"rendered":"https:\/\/www.clinicaripoll.es\/?page_id=2166"},"modified":"2018-07-17T10:48:43","modified_gmt":"2018-07-17T10:48:43","slug":"embaras-dalt-risc","status":"publish","type":"page","link":"https:\/\/www.clinicaripoll.es\/ca\/embaras-dalt-risc\/","title":{"rendered":"Embar\u00e0s d’alt risc"},"content":{"rendered":"

[vc_row][vc_column][vc_column_text]L’embar\u00e0s d’alt risc<\/strong> \u00e9s aquell que t\u00e9 m\u00e9s possibilitats de complicacions<\/strong>, tant maternes com fetals, durant el transcurs de la gestaci\u00f3 i del part. Aquest tipus d’embar\u00e0s precisa d’un control m\u00e8dic i ecogr\u00e0fic estricte.<\/p>\n

Per aix\u00f2 \u00e9s prioritari identificar, de forma preco\u00e7, els factors de risc i estimar la seva import\u00e0ncia<\/strong> relativa en relaci\u00f3 amb el resultat perinatal per poder disminuir aix\u00ed les conseq\u00fc\u00e8ncies adverses dels mateixos.[\/vc_column_text][vc_empty_space]

\n\n

Quan es considera embar\u00e0s de risc?<\/h4>\n\n\n

<\/p>\n<\/div>[vc_column_text]S\u00f3n m\u00faltiples les situacions que fan catalogar un embar\u00e0s com d’alt risc:[\/vc_column_text][vc_row_inner][vc_column_inner width=”1\/3″][vc_single_image image=”2172″ img_size=”150×159″ alignment=”center”]

\n\n
RISC MIG<\/h6>\n\n\n

<\/p>\n<\/div>[vc_separator][vc_column_text]<\/p>\n

Anomalies p\u00e8lviques
\nCardiopatia I grau
\nCondicionis socioecon\u00f2miques desfavorables
\nEmbar\u00e0s no desitjat
\nAl\u00e7ada baixa
\nControl insuficient de la gestaci\u00f3
\nEsterilitat pr\u00e8via
\nFumadora habitual
\nEdat inferior a 17 anys o superior a 38 anys
\nGestant RH-
\nGran multiparitat
\nIncrement excessiu o insuficient de pes
\nObesitat no m\u00f2rbida
\nRisc d’ETS
\nITU o bacteriuria asintom\u00e0tica
\nRisc laboral
\nMetrorr\u00e0gia 1\u00ba trimestre
\nPer\u00edode intergen\u00e8sic inferior a 12 mesos<\/p>\n

[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”2176″ img_size=”150×159″ alignment=”center”]

\n\n
RISC\u00a0ALT<\/h6>\n\n\n

<\/p>\n<\/div>[vc_separator][vc_column_text]<\/p>\n

An\u00e8mia greu
\nCardiopatia II grau II
\nCirurgia uterina pr\u00e8via
\nDiabetis gestacional
\nEmbar\u00e0s\u00a0bessons
\nEndocrinopatia
\nObesitat m\u00f2rbida
\nPreeclampsia lleu
\nInfecci\u00f3 materna:
\nVHB-VHC Lues
\nToxoplasmosis VIH
\nPielonefritis CMV
\nEstreptococ hemol\u00edtic
\nSospita de malformaci\u00f3 fetal<\/p>\n

[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”2178″ img_size=”150×159″ alignment=”center”]

\n\n
RISC MOLT ALT<\/h6>\n\n\n

<\/p>\n<\/div>[vc_separator][vc_column_text]<\/p>\n

Amena\u00e7a de part prematur
\nCardiopaties III i IV
\nDiabetis pregestacional
\nDrogoaddicci\u00f3 i alcoholisme
\nMalformaci\u00f3 fetal confirmada
\nGestaci\u00f3 m\u00faltiple
\nMort fetal confirmada
\nMort perinatal recurrent
\nIncompet\u00e8ncia cervical
\nRetard del creixement intrauteri
\nPatologia associada greu
\nPlacenta pr\u00e8via
\nPreeclampsia greu
\nTrencament prematur de membranes en el pret\u00e9rme<\/p>\n

[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=”0″ full_height=”0″ row_padding=”no_padding” particles=”0″][vc_column][vc_column_text]Els embarassos d’alt risc precisen un seguiment exhaustiu durant tot el temps de la gestaci\u00f3<\/strong>, tant m\u00e8dic com anal\u00edtic i ecogr\u00e0fic, i en alguns casos requereixen la col\u00b7laboraci\u00f3 d’altres especialistes com endocrin\u00f2legs, cardi\u00f2legs, intensivistes, etc.<\/p>\n

Pel que fa a les anal\u00edtiques i altres exploracions complement\u00e0ries inicials seran b\u00e0sicament les mateixes que el control d’un embar\u00e0s de baix risc. Fora d’aquesta l\u00ednia, demanarem aquelles proves que ens ajudin a controlar\u00a0la patologia pr\u00f2pia de cada pacient<\/strong> (electrocardiograma, ecocardiografia en patologia card\u00edaca, marcadors serol\u00f2gics en infeccions virals, etc.).<\/p>\n

Les ecografies, en aquest tipus de gestacions, s\u00f3n m\u00e9s freq\u00fcents i en molts casos s’acompanyen d’exploracions espec\u00edfiques com \u00e9s el cas de l’estudi Doppler que permet avaluar el reg sanguini dels vasos fetals i placentaris.<\/p>\n

\u00daltimament s’ha incorporat l’ecografia 4D que permet visualitzar, en temps real, la morfologia fetal en tres dimensions, aportant gran informaci\u00f3 en el cas d’algunes malformacions fetals.[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row full_width=”0″ full_height=”0″ row_padding=”no_padding” sep_bottom=”separator_bottom sep_angled_negative_bottom” particles=”0″][vc_column width=”1\/4″]\n

\n\n
\n\n\n \n\n \n \n \n \"EMBAR\u00c0S \n\n \n\n <\/a>\n\n <\/div>\n\n\n\n
\n \n
\n

\n EMBAR\u00c0S NORMAL I D'ALT RISC\n <\/h4>\n

Al teu costat durant tot l'embar\u00e0s<\/p> \n <\/div>\n\n \n\n

\n SERVEIS<\/strong><\/a>\n <\/div>\n\n <\/div>\n\n<\/div>\n\n[\/vc_column][vc_column width=”1\/4″]\n
\n\n
\n\n\n \n\n \n \n \n \"ECOGRAFIES\" \n\n \n\n <\/a>\n\n <\/div>\n\n\n\n
\n \n
\n

\n ECOGRAFIES\n <\/h4>\n

Viu una experi\u00e8ncia inoblidable!<\/p> \n <\/div>\n\n \n\n

\n SERVEIS<\/strong><\/a>\n <\/div>\n\n <\/div>\n\n<\/div>\n\n[\/vc_column][vc_column width=”1\/4″]\n
\n\n
\n\n\n \n\n \n \n \n \"TRACTAMENT \n\n \n\n <\/a>\n\n <\/div>\n\n\n\n
\n \n
\n

\n TRACTAMENT DEL S\u00d2L P\u00c8LVIC\n <\/h4>\n

El control m\u00e8dic que necessites<\/p> \n <\/div>\n\n \n\n

\n SERVEIS<\/strong><\/a>\n <\/div>\n\n <\/div>\n\n<\/div>\n\n[\/vc_column][vc_column width=”1\/4″]\n
\n\n
\n\n\n \n\n \n \n \n \"GINECOLOGIA\" \n\n \n\n <\/a>\n\n <\/div>\n\n\n\n
\n \n
\n

\n GINECOLOGIA\n <\/h4>\n

Tenim cura de la teva salut \u00edntima<\/p> \n <\/div>\n\n \n\n

\n SERVEIS<\/strong><\/a>\n <\/div>\n\n <\/div>\n\n<\/div>\n\n[\/vc_column][\/vc_row][vc_row full_width=”0″ full_height=”0″ row_padding=”no_padding” sep_bottom=”separator_bottom sep_angled_positive_bottom” particles=”0″][vc_column width=”1\/4″]\n
\n\n
\n\n\n \n\n \n \n \n \"ESTERILITAT\" \n\n \n\n <\/a>\n\n <\/div>\n\n\n\n
\n \n
\n

\n ESTERILITAT\n <\/h4>\n

Estudis i tractament de la fertilitat per a parelles<\/p> \n <\/div>\n\n \n\n

\n SERVEIS<\/strong><\/a>\n <\/div>\n\n <\/div>\n\n<\/div>\n\n[\/vc_column][vc_column width=”1\/4″]\n
\n\n
\n\n\n \n\n \n \n \n \"MENOPAUSA\" \n\n \n\n <\/a>\n\n <\/div>\n\n\n\n
\n \n
\n

\n MENOPAUSA\n <\/h4>\n

T'acompanyem en el proc\u00e9s de canvis del teu cos<\/p> \n <\/div>\n\n \n\n

\n SERVEIS<\/strong><\/a>\n <\/div>\n\n <\/div>\n\n<\/div>\n\n[\/vc_column][vc_column width=”1\/4″]\n
\n\n
\n\n\n \n\n \n \n \n \"ANTICONCEPTIUS\" \n\n \n\n <\/a>\n\n <\/div>\n\n\n\n
\n \n
\n

\n ANTICONCEPTIUS\n <\/h4>\n

La soluci\u00f3 per evitar embarassos no desitjats<\/p> \n <\/div>\n\n \n\n

\n SERVEIS<\/strong><\/a>\n <\/div>\n\n <\/div>\n\n<\/div>\n\n[\/vc_column][vc_column width=”1\/4″]\n
\n\n
\n\n\n \n\n \n \n \n \"HISTEROSC\u00d2PIA\" \n\n \n\n <\/a>\n\n <\/div>\n\n\n\n
\n \n
\n

\n HISTEROSC\u00d2PIA\n <\/h4>\n

La t\u00e8cnica que ens permet observar l'interior de l'\u00fater<\/p> \n <\/div>\n\n \n\n

\n SERVEIS<\/strong><\/a>\n <\/div>\n\n <\/div>\n\n<\/div>\n\n[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]
\n[\/vc_column_text][\/vc_column][\/vc_row][vc_column][\/vc_column]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column][vc_column_text]L’embar\u00e0s d’alt risc \u00e9s aquell que t\u00e9 m\u00e9s possibilitats de complicacions, tant maternes com fetals, durant el transcurs de la gestaci\u00f3 i del part. Aquest tipus d’embar\u00e0s precisa d’un control m\u00e8dic i ecogr\u00e0fic estricte. Per aix\u00f2 \u00e9s prioritari identificar, de forma preco\u00e7, els factors de risc i estimar la seva import\u00e0ncia relativa en relaci\u00f3 amb […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2166","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.clinicaripoll.es\/ca\/wp-json\/wp\/v2\/pages\/2166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinicaripoll.es\/ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.clinicaripoll.es\/ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.clinicaripoll.es\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clinicaripoll.es\/ca\/wp-json\/wp\/v2\/comments?post=2166"}],"version-history":[{"count":17,"href":"https:\/\/www.clinicaripoll.es\/ca\/wp-json\/wp\/v2\/pages\/2166\/revisions"}],"predecessor-version":[{"id":3057,"href":"https:\/\/www.clinicaripoll.es\/ca\/wp-json\/wp\/v2\/pages\/2166\/revisions\/3057"}],"wp:attachment":[{"href":"https:\/\/www.clinicaripoll.es\/ca\/wp-json\/wp\/v2\/media?parent=2166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}