Around the question - you can do fluorography during pregnancy? - the medical environment is quite a lot of disputes, because with fluorography, which is an X-ray method of visual examination of the lungs, the body is exposed to ionizing radiation. And most of all, this radiation can damage the embryonic stem cells.
Is fluorography essential for pregnancy?
Nevertheless, in our realities there is one more question: is fluorography mandatory in pregnancy? And the answer is the following: in the list of tests and medical examinations, which require in female consultations when taking pregnant women for obstetrics, chest X-ray does not appear. At least, this is not in the official document - Order of the Ministry of Health of Ukraine No. 417 "On the organization of outpatient obstetric-gynecological assistance in Ukraine" of July 15, 2011.
But problems are still possible. At the primary address of the pregnant woman to the women's consultation they can suggest filling out the Form of Information, where consent is given, we quote in translation: "to pass all the methods of examination offered to me in time (laboratory, physical, ultrasound), if necessary, be examined by other specialists (if there are indications) ".
And further: "I confirm that the possible harm from medical interventions is less important to me than the circumstances that prompted me to agree to them, and therefore I voluntarily and knowingly give my consent to the application of the proposed set of medical interventions to me, as well as other medical interventions that will complement and provide an adequate treatment process. Nevertheless, below I indicate medical interventions that I refuse to do under any circumstances, except in the case of an immediate threat to my life and the life of my child or reconciliation with me. " And there must be a medical intervention, from which the woman flatly refuses.
However, a woman should bring an obstetrician-gynecologist an extract from her outpatient card, which is given by the district therapist or family doctor. It contains item 8 - Tuberculosis in the family, with subparagraph 8.1 - the result of a fluorographic / radiographic examination (indicating the date of its passage). If there is no result, then there is an occasion to conduct fluorography during pregnancy ...
But for detection of tuberculosis - and every doctor should know it - blood is shed and its enzyme-linked immunosorbent assay (ELISA) and PCR analysis are done; A sample of the patient's sputum is also examined under a microscope using the Tsily-Nielsen method, which allows detecting mycobacterium tuberculosis (Mycobacterium tuberculosis or Koch sticks).
In addition, it is useful for pregnant women to know (and do not forget the doctors) that the hormonal changes in the period of gestation are reflected in the upper respiratory tract: swelling and hyperemia of the mucosa, increased secretion of mucus from the bronchial tubes, and as the gestation period increases The chest becomes wider, and the diaphragm rises a few centimeters up.
Fluorography in the planning of pregnancy
To make sure beforehand that there are no problems with the lung, in particular, to exclude tuberculosis, obstetrician-gynecologists are advised to undergo digital fluorography when planning pregnancy. With her, as with normal fluorography, no preparation is required.
If there is no digital fluorograph in the medical institutions of your locality, radiologists recommend taking a chest X-ray. Firstly, the X-ray image of the lung tissue is much more clearly visible, and it is easier for the doctor to make a diagnosis. Secondly, a single effective equivalent dose of ionizing radiation in X-rays is significantly lower than in conventional fluorography - 0.1-0.3 mSv.
A conception is better to plan at least three months after passing a woman's fluorography.