Screening tests are tests that aim to detect a disease in people who do not show any symptoms. Early detection of diseases in the population may contribute to earlier treatment, which in turn leads to a reduction in mortality and morbidity rates.
As part of the project “Alytus and Augustow Councils” implemented as part of the Cooperation Program Interreg V-A Lithuania-Poland SPZOZ in Augustów enables free preventive examinations. The preventive program includes:
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Screening ultrasound should be offered to all pregnant patients.
At present, there are no studies whose results would suggest that ultrasound exerts a negative influence on fetal development.
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I. Ultrasound examination before the 10th week of pregnancy that allows you to
a. Visibility and location of the fetal egg – confirming the presence of intrauterine pregnancy or finding a pregnancy of unknown location.
b. Assessment of gestational age
c. Evaluation of the presence of a pregnancy bubble
d. Evaluation of the number of embryos, choroids and amnion
e. Assessment of the yolk sac
f. Evaluation of the presence of the embryo
g. Assessment of sexual organs
II. Ultrasound examination between 11-13 weeks of pregnancy – any abnormality or doubt in the study between 11 + 0-13 + 6 weeks of pregnancy should be an indication for fetal examination in the reference center
a. Detailed assessment of fetal egg structure: number of gestational fibrils and fetuses in the uterine cavity, assessment of fetal heart activity, biometric measurements, assessment of fetal anatomy
b. risk assessment of the most common chromosomal aberrations
III. Ultrasound examination in 18-22 and 28-32 weeks of pregnancy
The aim of the ultrasound examination in 18-22 and 28-32 weeks of pregnancy is a detailed assessment of the fetal organs for the occurrence of congenital malformations (assessment of the fetal anatomy). In addition, the study aims to determine approximate fetal weight and gestational age
a. Biometrics, determination of estimated fetal weight and gestational age
b. Assessment of fetal structures and organs – evaluation of the fetal anatomy
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The ultrasound of the reproductive organs is carried out to assess the exact structure and state of the woman’s intimate organs. Thanks to the probe, it is possible to reach the uterus, its cervix and the shaft, the ovaries, and the endometrium. Specialistic measurements can be made with the help of the ultrasound – on the basis of which it is determined whether dangerous changes have occurred in the structure of tissues. The gynecological ultrasound detects, among others ovarian cysts, uterine fibroids.
The gynecological ultrasonography should be performed prophylactically at least every 2 years. This should especially be borne in mind by women who have begun sexual intercourse. This research allows, among others for verification:
• early pregnancy;
• suspicions about intimate organ developmental defects;
• suspicions of tumors of the reproductive organs and of the mucous membrane of the ovaries or uterus;
• location of intrauterine devices;
• suspected lesions of the genital organs (eg endometriosis, tumors, etc.).
Patients of childbearing age should perform gynecological ultrasound in the first days after the end of menstruation. Post-menopausal women who take HRT may come for examination 6-10 days after taking the last tablet. If the HRT therapy is carried out continuously, then the date of the examination is irrelevant. They can be carried out on any day of the cycle.