What are the projects of self -expenditure inspection?What are the ways of each project?Who is more needed to do this production inspection?What do pregnant moms need to know?This article is listed in the contents of various self -funded inspections, and the physicians are requested to ask the common production inspection issues, so that you can know and understand more about the self -funding inspection.
Doctors said that pregnant mothers must bear a certain degree of risks, and the condition of the mother’s fetus can be used to see the condition of the mother.Public funding inspections are subsidized by the government and should be regulated for production inspections; self -funded production inspections must be limited by considerations such as insufficient government funding or policy formulation.Essence
The doctor pointed out that as long as the inspection method is "blood drawing", the blood test refers to the blood of the pregnant woman. The examination is safe. The biggest risk is local blood bleeding.Although it is roughly safe, there are still the risk of 0.1 to 0.3%of water -breaking infection and abortion.
1. Folic acid metabolism MTHFR gene test
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: there is a pregnancy plan, but when you are not pregnant, you can screen it early.12 weeks ago for an important period of fetal nerve tube development, if you want to do this examination, you should be as soon as possible.
Examination method: draw blood.
Checking costs: about 1,000 yuan to 1,200 yuan.
Key points: Doctors said that if there is abnormal screening, it is recommended to supplement more folic acid (folic acid helps promote the development of fetal brain and neural tube development in the early stages of pregnancy, and lacks may lead to neural tube defects).
It is recommended that if you have a baby who has a neuroma defect, you must do this screening; if you have never given birth to a baby, you can do it.The accuracy is about 95%.
2. SMA gene detection of spinal muscle atrophy
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: unlimited time for this inspection can be screened early; if pregnancy is too late, it is recommended to do (9 weeks to 12 weeks) at the first birth check (9 weeks); or a few people willChoose to do it together (drawing the fetus amniotic fluid) together when the amniotic stab is punctured.Most people choose the blood of a pregnant woman to do the birth check.
Examination method: Blood or pumping amniotic fluid two, but usually it is safer to draw blood.
Checking costs: about 2,000 yuan.
Key points: Doctors explain that SMA is commonly known as "gradually frozen people", and muscles will slowly weak, serious or even dying.If you have this family history, you must do this screening.
However, some people are hidden genes, with a rate of about 1/40 to 1/60, but they may not necessarily develop. If parents have this genetic problem, the fetus has a chance of suffering from this disease.
If the blood of the mother has this genetic problem, the father’s blood will be further extracted.If parents have this genetic problem, they need to do amniotic fluid pumping amniotic fluid to confirm whether the fetus itself has spinal muscle atrophy.This test usually only needs to be done once in a person, with a accuracy of about 95%.
3.X chromosome crispy compatrion
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: You can score early for this inspection; if you are too late, you can do it with the first birth check (9 weeks to 12 weeks).
Examination method: draw blood.
Checking costs: about 3,500 yuan.
Key points: Doctors explain that if women are X -chromosome crispy bands, pregnancy may affect the fetal intelligence.If there is a original belt, 20%of women will also be closed before the age of 40.
If there are people who have a family history of X -chromosome Crispy Family Family, it is best to do it, or those who have men who have discontinued men before the age of 40, or children who have had intelligent problems in the family also do.If there is no, it depends on the personal willingness and economic situation.The accuracy is about 95%.
4. Emptor blood glucose, glycated hemoglobin
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: You can score early for this inspection; if you are too late, you can do it with the first birth check (9 weeks to 12 weeks).
Examination method: draw blood.
Examination fee: Test the blood glucose of short abdomen is about 300 yuan, and the glycated hemoglobin is about 200 yuan.
Key points: Doctors said that if you want to do this, it is recommended to do the two on the same way of blood glucose and glycated blood pigment to track whether the blood glucose is stable.
If there are people with a family history of diabetes or relatively obese, it is recommended to do this, or it is more recommended to do it.Other pregnant women depend on their personal wishes.Once blood sugar is unstable, the diet should be controlled (please ask nutritionists to give diet advice) or apply insulin according to the doctor’s advice.
5.TORCH screening
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: It is recommended to do it with the first production inspection.
Examination method: draw blood.
Checking costs: about 3,000 yuan.
The key point: Doctors said that this is actually a collection of many screening tests. T represents bowls, O represents other, R represents German measles, C represents giant cytoplasm virus, H represents simple herpes virus, all blood.
Eating unfamiliar meat or contacting cat dung may be infected with bowls. Infected bowls can cause congenital abnormalities in the fetus, you can detect whether there is a bowl of pulp and insect antibodies; if the fetus infection in German measlesVisual and heart function (congenital German measles syndrome).
Big cyt virus is infected by sexual behavior or intimacy. Infection can cause the fetal hepatoblasty, nervous system and vision; as for pregnancy, simple herpes virus may cause insufficient premature birth or fetal growth.The mother has simple herpes virus, which may cause fetal death.
It is recommended to have cats, or love to eat raw meat, or family members infection with herpes virus, or pregnant women who have unknown rashes on their bodies to do this examination, or those who want to have a more complete production inspection can also do it.
6. Thyroid function screening
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: It is recommended to do it with the first production inspection.
Examination method: draw blood.
Checking fee: about 900 yuan.
Key points: Doctors said that if you want to do this check -up, it is best to check it as soon as possible. If there is a problem of low or hypertular thyroid gland, you can deal with it early and control it with drugs.
It is recommended that pregnant women with thyroid problems, or those who have premature or miscarriage to do this screening, or those who want to be more perfect can also do it.
7. Non -invasive fetal chromosome gene test (NIPT, NIPS, or NIFTY)
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: can be detected for more than 10 weeks.
Examination method: draw blood.
Checking costs: about 15,000 yuan to 34,000 yuan.
Key points: Doctors said that there are a small amount of fetal cells in the blood of pregnant women, which can detect genes by using the blood of pregnant women to see if there are Donaldiasis, Edward disease, Bapotia, etc.Essence
If you want to have a more comprehensive check -up, you can do this. As long as the blood test method is drawn, it will not affect the fetus, and the accuracy of this test is higher than the screening of other Donaldiae.Degree, but the cost is higher.
In case the test results are positive, it is recommended to do amnioinava.Because even if there is a high accuracy, after all, the cells of the fetus are indirectly taken by the blood of the pregnant woman (the amniocentesis is the cell that directly takes the fetus).
8. Vincular sampling (invasiveness)
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: 10 weeks to 12 weeks.
Examination method: Through the cervix or abdomen through ultrasonic guidance, the thin needle is penetrated into the placenta tissue from the cervix or abdomen, and a small amount of velvet is analyzed.
Checking costs: 8,000 yuan to 10,000 yuan.
Key points: Doctors point out that although they can check whether the fetus has abnormal chromosomes or genes, and directly sample from the placenta tissue, the accuracy rate is as high as 99%.There are relatively few medical institutions that are still doing this examination, and doctors do not recommend this examination.
9. Screening of Donaldiars during the first pregnancy
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: 11-13 weeks and 6 days.
Examination method: according to ultrasonic and blood drawing, measure the thickness of the fetus’s neck.
Checking costs: 2,000 yuan to 3,000 yuan.
Key points: Doctors said that this examination can screen Donaldia, Edward, and Bapota.All pregnant women can do this examination, especially those who are over 34 years old, or those who have genetic diseases, or babies who have abnormal chromosomal abnormalities, are also recommended to consider checking.
The inspection is safe, but only 82%to 87%of the accuracy. If there is a problem, it must be done to confirm it.
10. Eclaviciasis screening
Pregnancy and breastfeeding for pregnancy and childbirth
Number of inspection weeks: 11-14 weeks.Consider the screening of Doncia during the first pregnancy.
Inspection method: according to ultrasonic and blood drawing.
Checking costs: about 2,200 yuan.
Key points: Doctors suggest that it is best to do prefatromy.The incidence of eclampsia is about 2%to 8%. Those who have pre -eclampsia or an elderly maternal or elderly maternal or elderly maternal or older need to do this screening, which is about 95%accuracy.
If the screening results are high -risk groups, it is best to start from 16 weeks to 35 weeks ago. Take a low -dose aspirin (100mg) daily, which can reduce the risk of pre -eclampsia and reduce a 60%fetal mortality rate.
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