{"id":3,"date":"2024-04-04T04:43:24","date_gmt":"2024-04-04T01:43:24","guid":{"rendered":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/avaleht\/"},"modified":"2025-06-11T09:15:47","modified_gmt":"2025-06-11T06:15:47","slug":"avaleht","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/","title":{"rendered":"Lapse tervise j\u00e4lgimise juhendi tutvustus"},"content":{"rendered":"<p style=\"margin: 12pt 0cm 0.0001pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"line-height: 150%;\"><span style=\"color: black;\">2019. a valmis uus lapse tervise j\u00e4lgimise juhend. Varasem lapse tervisekontrolli juhend valmis 2009. aastal. Suur osa sellest sobib endiselt kasutamiseks, kuid seda on t\u00e4iendati mitmete ajakohaste t\u00f5endusp\u00f5histe soovitustega, et aidata nii tervishoiut\u00f6\u00f6tajaid kui ka lapsevanemaid laste tervisele parimate otsuste tegemisel.<\/span><\/span><\/span><\/p>\n<p style=\"margin: 12pt 0cm 0.0001pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"line-height: 150%;\"><span style=\"color: black;\">Lapse tervise j\u00e4lgimise juhendi koos lisadega leiate veebist: <\/span><\/span><\/span><a title=\"\" href=\"https:\/\/www.ravijuhend.ee\/tervishoiuvarav\/juhendid\/130\/lapse-tervise-jalgimise-juhend\" target=\"_blank\" rel=\"noopener\" data-url=\"https:\/\/www.ravijuhend.ee\/tervishoiuvarav\/juhendid\/130\/lapse-tervise-jalgimise-juhend\"><span lang=\"ET\"><span style=\"line-height: 150%;\">https:\/\/www.ravijuhend.ee\/tervishoiuvarav\/juhendid\/130\/lapse-tervise-jalgimise-juhend<\/span><\/span><\/a><\/p>\n<p style=\"margin: 12pt 0cm 0.0001pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"line-height: 150%;\"><span style=\"color: black;\">Lapse tervisekontrolli juhendit tutvustavad kahes videoloengus ravijuhendi sekretariaadi juht, pediaatria resident dr Maarja Karu ja ravijuhendi t\u00f6\u00f6r\u00fchma juht, perearst dr Anne Minka.<\/span><\/span><\/span><\/p>\n<p style=\"margin: 12pt 0cm 0.0001pt; text-align: left;\"><strong>Videoloeng 1: Lapse tervise j\u00e4lgimise juhend. Tutvustus.<br><br><\/strong><\/p>\n<p style=\"text-align: left;\"><\/p><div class=\"ratio ratio-16x9 mb-3\"><div class=\"video-placeholder-wrapper video-placeholder-wrapper--16x9\">\n\t\t\t    <div class=\"video-placeholder d-flex justify-content-center align-items-center\">\n\t\t\t        <div class=\"overlay text-white p-2 w-100 text-center d-block justify-content-center align-items-center\">\n\t\t\t            <div>Kolmandate osapoolte sisu n\u00e4gemiseks palun n\u00f5ustu k\u00fcpsistega.<\/div>\n\t\t\t            <button class=\"btn btn-secondary btn-sm mt-1 consent-change\">Muuda n\u00f5usolekut<\/button>\n\t\t\t        <\/div>\n\t\t\t    <\/div>\n\t\t\t<\/div>\n<\/div>\n<p style=\"text-align: left;\">Vaata videot suures aknas:\u00a0<a title=\"\" href=\"https:\/\/panopto.ut.ee\/Panopto\/Pages\/Viewer.aspx?id=0b382eb5-052c-4dd3-8d81-aa5d008284a6\" target=\"_blank\" rel=\"noopener\" data-url=\"https:\/\/panopto.ut.ee\/Panopto\/Pages\/Viewer.aspx?id=0b382eb5-052c-4dd3-8d81-aa5d008284a6\">https:\/\/panopto.ut.ee\/Panopto\/Pages\/Viewer.aspx?id=0b382eb5-052c-4dd3-8d81-aa5d008284a6<\/a><\/p>\n<p style=\"text-align: left;\"><strong>Videoloeng 2:\u00a0Ravijuhendi soovitused<\/strong><\/p>\n<p style=\"text-align: left;\"><\/p><div class=\"ratio ratio-16x9 mb-3\"><div class=\"video-placeholder-wrapper video-placeholder-wrapper--16x9\">\n\t\t\t    <div class=\"video-placeholder d-flex justify-content-center align-items-center\">\n\t\t\t        <div class=\"overlay text-white p-2 w-100 text-center d-block justify-content-center align-items-center\">\n\t\t\t            <div>Kolmandate osapoolte sisu n\u00e4gemiseks palun n\u00f5ustu k\u00fcpsistega.<\/div>\n\t\t\t            <button class=\"btn btn-secondary btn-sm mt-1 consent-change\">Muuda n\u00f5usolekut<\/button>\n\t\t\t        <\/div>\n\t\t\t    <\/div>\n\t\t\t<\/div>\n<\/div>\n<p style=\"text-align: left;\">Vaata videot suures aknas:\u00a0<a title=\"\" href=\"https:\/\/panopto.ut.ee\/Panopto\/Pages\/Viewer.aspx?id=8ddf2085-e4aa-45f0-bfd5-aa5d008f48e3\" target=\"_blank\" rel=\"noopener\" data-url=\"https:\/\/panopto.ut.ee\/Panopto\/Pages\/Viewer.aspx?id=8ddf2085-e4aa-45f0-bfd5-aa5d008f48e3\">https:\/\/panopto.ut.ee\/Panopto\/Pages\/Viewer.aspx?id=8ddf2085-e4aa-45f0-bfd5-aa5d008f48e3<\/a><\/p>\n<p style=\"text-align: left;\"><a href=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/319\/ravijuhendi-soovitused_anne_minka.pdf\" data-fid=\"39496\">Videoloengu slaidid<\/a><\/p>\n<p style=\"margin: 12pt 0cm 0.0001pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"line-height: 150%;\"><span style=\"color: black;\">Juhendi rakendumine n\u00f5uab kindlasti aega ja mitmeid t\u00e4iendavaid tegevusi, muuhulgas ka koolituste l\u00e4bimist. Tartu \u00dclikooli kliinilise meditsiini instituudi t\u00e4ienduskeskuses on v\u00f5imalik l\u00e4bida lapse tervise juhendi kohta k\u00e4ivaid e-koolitusi, milles k\u00e4sitletakse laste silmade ja n\u00e4gemise kontrolli, puusaliigeste kontrolli ning kardiaalse riski hindamist v\u00f5istlussporti alustavatel lastel. Koolitustele saavad perearstid ja pere\u00f5ed registreeruda Tartu \u00dclikooli kliinilise meditsiini instituudi t\u00e4ienduskeskuse kodulehel <\/span><\/span><\/span><a title=\"\" href=\"https:\/\/meditsiiniteadused.ut.ee\/et\/taiendusope\" target=\"_blank\" rel=\"noopener\" data-url=\"https:\/\/meditsiiniteadused.ut.ee\/et\/taiendusope\"><span style=\"line-height: 150%;\">https:\/\/meditsiiniteadused.ut.ee\/et\/taiendusope<\/span><\/a><span style=\"line-height: 150%;\"><span style=\"line-height: 150%;\"><span style=\"color: black;\">, kas t\u00e4ites registreerimislehe v\u00f5i valides sobiva kursuse t\u00e4ienduskursuste plaanis.<\/span><\/span><\/span><\/p>\n<p style=\"margin: 12pt 0cm 0.0001pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"line-height: 150%;\"><span style=\"color: black;\">J\u00e4rgnevalt on loetletud olulisemad muudatused 2019. a valminud lapse tervise j\u00e4lgimise juhendis v\u00f5rreldes varasema lapse tervisekontrolli juhendiga:<\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Vasts\u00fcndinu ja pere koduvisiit<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\">. Vasts\u00fcndinu ja tema pere tervist m\u00f5jutavaid riske hakatakse hindama juba raseduse ajal. Selleks v\u00f5etakse <\/span><\/span><span style=\"line-height: 150%;\"><span style=\"color: #333333;\">alates 2020. aastast <\/span><\/span><span style=\"line-height: 150%;\"><span style=\"color: black;\">kasutusele uus <\/span><\/span><span style=\"line-height: 150%;\"><span style=\"color: #333333;\">hindamismeetod<\/span><\/span><span style=\"line-height: 150%;\"><span style=\"color: black;\">, mis aitab m\u00e4\u00e4rata s\u00fcnnij\u00e4rgse koduvisiidi vajaduse.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Rinnapiimaga toitmine ja lisatoiduga alustamine.<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\"> Juhendis on soovitused rinnapiimaga toitmise ning lisatoiduga harjutamise alustamise kohta. Kuna tasakaalustatud toitumine on v\u00e4ga oluline lapse eakohaseks kasvamiseks ja arenemiseks, soovitab juhend arutada lapse ja pere toitumisharjumusi igal arstivisiidil.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Juhised abivajava lapse ja ema s\u00fcnnitusj\u00e4rgse depressiooni m\u00e4rkamiseks<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\">. Kuna s\u00fcnnitusj\u00e4rgset depressiooni p\u00f5eb kirjanduse andmetel kuni viiendik emadest ja haigus v\u00f5ib oluliselt m\u00f5jutada kogu pere heaolu, tuleb esmatasandil p\u00f6\u00f6rata t\u00e4helepanu ema s\u00fcnnitusj\u00e4rgse depressiooni n\u00e4htudele.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Vanemluse toetamine. <\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Rohkem kui pooled Eesti emadest ja isadest on tundnud, et nad vajavad lapse kasvatamisel abi. Juhend soovitab pakkuda vanematele abi l\u00e4bi riiklikult rahastava programmi \u201eImelised aastad\u201d, mis aitab neil laste kasvatamisega paremini hakkama saada ning ennetada laste k\u00e4itumisprobleeme.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Aneemia ja diabeedi avastamine.<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\"> Juhend n\u00e4eb ette vereanal\u00fc\u00fcsi tegemise alla aastasele rinnapiimatoidul olevale lapsele, et ennetada aneemia teket ja edasisi m\u00f5jusid lapse arengule, samuti k\u00f5rge diabeediriskiga lastel II t\u00fc\u00fcpi diabeedi avastamiseks.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">S\u00fcdameuuring sportimisega alustavale lapsele<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\">. S\u00fcstemaatilist ja intensiivset sportimist alustavale lapsele on n\u00e4idustuse korral soovitatav teha elektrokardiogramm, et ennetada diagnoosimata j\u00e4\u00e4nud s\u00fcdamehaiguste raskeid tagaj\u00e4rgi.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Puusaliigeste kontroll ja ultraheli uuringud.<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\"> Varaseks diagnoosimiseks tuleb hinnata lapse puusaliigeseid igal arsti visiidil kuni esimese eluaastani, t\u00e4psustatud on ultraheliuuringu n\u00e4idustused.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Silmade ja n\u00e4gemise esmane kontroll.<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\"> Edaspidi saab teha silmade kontrolli ka esmatasandil, hinnatakse silma punast refleksi, fikseerimist, k\u00f5\u00f5rdsilmsust, pisarakanaleid ning 3. ja 6.-7. eluaastal n\u00e4gemisteravust.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Kuulmise hindamine<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\">. Eeldusel, et k\u00f5ik vasts\u00fcndinud on l\u00e4binud kuulmiss\u00f5eluuringu s\u00fcnnitusosakondades, hakatakse hindama kuulmist 6-7 aastastel lastel. Kuulmislanguse varajane avastamine ja ravi on olulised k\u00f5ne, keele ja kognitiivse arengu probleemide ennetamiseks.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Lapse kognitiivse arengu hindamine.<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\"> P\u00fcsivate arenguh\u00e4irete varajaseks avastamiseks hinnatakse lapse arengut igal tervisekontrollil lapse 7. eluaastani, vestluses lapse ja lapsevanemaga.<\/span><\/span><\/span><\/span><\/li>\n<li style=\"margin: 5pt 0cm 0.0001pt 36pt; text-align: left;\"><span style=\"line-height: 150%;\"><span style=\"vertical-align: baseline;\"><b><span style=\"line-height: 150%;\"><span style=\"color: black;\">Tervisekontrollide ajakava<\/span><\/span><\/b><span style=\"line-height: 150%;\"><span style=\"color: black;\">. Tervisekontrollide ajakava kaasajastati, arvestades lapse arengu olulisemaid etappe. Edaspidi teeb perearst tervisekontrolli enne kooli, V ja IX klassis ning kooli\u00f5de I, III, VII ja X klassis.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>2019. a valmis uus lapse tervise j\u00e4lgimise juhend. Varasem lapse tervisekontrolli juhend valmis 2009. aastal. Suur osa sellest sobib endiselt kasutamiseks, kuid seda on t\u00e4iendati mitmete ajakohaste t\u00f5endusp\u00f5histe soovitustega, et aidata nii tervishoiut\u00f6\u00f6tajaid kui ka lapsevanemaid laste tervisele parimate otsuste &#8230;<\/p>\n","protected":false},"author":62,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-3","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/wp-json\/wp\/v2\/pages\/3","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/wp-json\/wp\/v2\/users\/62"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/wp-json\/wp\/v2\/comments?post=3"}],"version-history":[{"count":4,"href":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/wp-json\/wp\/v2\/pages\/3\/revisions"}],"predecessor-version":[{"id":46,"href":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/wp-json\/wp\/v2\/pages\/3\/revisions\/46"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/tervisekontrolli-juhend\/wp-json\/wp\/v2\/media?parent=3"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}