{"id":19377,"date":"2023-09-19T08:51:42","date_gmt":"2023-09-19T06:51:42","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/?page_id=19377"},"modified":"2023-10-25T08:36:20","modified_gmt":"2023-10-25T06:36:20","slug":"informace-pro-pacienty","status":"publish","type":"page","link":"https:\/\/webnemji.azurewebsites.net\/en\/oddeleni\/infekcni-oddeleni\/informace-pro-pacienty\/","title":{"rendered":"Information for patients"},"content":{"rendered":"<div id=\"cmsmasters_row_6iluctg3hk\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_overlay\"><\/div>\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_sybg7he2sg\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_b3c74b95a0\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center pageheadingtitle\">\n\t<h1 class=\"cmsmasters_heading\">Infek\u010dn\u00ed odd\u011blen\u00ed<\/h1>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_ly5ze1hf8e\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_v67ee6nvg7\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p><nav aria-label=\"breadcrumbs\">\n            <div class=\"breadcrumb-container theme1\">\n                <ol>\n                                    <\/ol>\n            <\/div>\n        <\/nav>    <script type=\"application\/ld+json\">\n        {\n            \"@context\": \"http:\/\/schema.org\",\n            \"@type\": \"BreadcrumbList\",\n            \"itemListElement\": [\n                            ]\n        }\n    <\/script>\n   \n    <script>\n            <\/script>\n<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_3f2f8816dd\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_0a1c5940f5\" class=\"cmsmasters_column one_third stickyinfocolumn\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_rva6m2t32d\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center\">\n\t<h3 class=\"cmsmasters_heading\">Informace o odd\u011blen\u00ed<\/h3>\n<\/div>\n<div id=\"cmsmasters_divider_dpp34mcdj5\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_center\"><\/div>\n<div class=\"cmsmasters_sidebar sidebar_layout_11 sidebar-custom-menu\"><aside id=\"nav_menu-17\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-infekcni-container\"><ul id=\"menu-oddeleni-infekcni\" class=\"menu\"><li id=\"menu-item-19324\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19324\"><a href=\"\/oddeleni\/infekcni-oddeleni\/#popis-oddeleni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-info\"><\/i> Popis odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-19325\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19325\"><a href=\"\/oddeleni\/infekcni-oddeleni\/#personalni-obsazeni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-user-doctor\"><\/i> Person\u00e1ln\u00ed obsazen\u00ed<\/a><\/li>\n<li id=\"menu-item-19326\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19326\"><a href=\"\/oddeleni\/infekcni-oddeleni\/#oteviraci-hodiny\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-clock\"><\/i> Ordina\u010dn\u00ed hodiny<\/a><\/li>\n<li id=\"menu-item-19327\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19327\"><a href=\"\/oddeleni\/infekcni-oddeleni\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-19328\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19328\"><a href=\"\/oddeleni\/infekcni-oddeleni\/#kde-nas-najdete\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-location-dot\"><\/i> Kde n\u00e1s najdete<\/a><\/li>\n<li id=\"menu-item-19329\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19329\"><a href=\"\/oddeleni\/infekcni-oddeleni\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-19330\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-19330\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-19331\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-19331\"><a href=\"\/oddeleni\/infekcni-oddeleni\/infekcni-ambulance\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-house-medical\"><\/i> Ambulance<\/a><\/li>\n<li id=\"menu-item-19332\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-19332\"><a href=\"\/oddeleni\/infekcni-oddeleni\/luzkova-cast\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-bed-pulse\"><\/i> L\u016f\u017ekov\u00e1 \u010d\u00e1st<\/a><\/li>\n<li id=\"menu-item-19333\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-19333\"><a href=\"\/oddeleni\/infekcni-oddeleni\/informace-pro-pacienty\/\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-circle-question\"><\/i> Informace pro pacienty<\/a><\/li>\n<\/ul><\/div><\/aside><div class=\"cl\"><\/div>\n<\/div>\n<\/div><\/div>\n<div id=\"cmsmasters_column_k7vlyuz4yq\" class=\"cmsmasters_column two_third\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_0cx4mcjjyd\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_left\">\n\t<h2 class=\"cmsmasters_heading\">Informace pro pacienty<\/h2>\n<\/div><div id=\"cmsmasters_divider_kul4awri6m\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_left\"><\/div><div class=\"cmsmasters_text\">\n<style type=\"text\/css\"><\/style><section id='' \n                class='helpie-faq accordions groupSettings-181__enabled' \n                data-collection='' \n                data-pagination='0' \n                data-search='0' \n                data-pagination-enabled='0'\n                role='region'\n                aria-label='FAQ Section'\n                aria-live='polite'><form class=\"search\" onSubmit=\"return false;\"><div class=\"search__wrapper\"><input type=\"text\" class=\"search__input\" aria-label=\"Search\" role=\"searchbox\" placeholder=\"Vyhledat\"><span class=\"search__icon\"><svg class=\"svg-icon--search\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 22 22\">\r\n                        <g fill=\"none\" stroke=\"#171717\">\r\n                            <path stroke-linecap=\"square\" stroke-width=\"2\" d=\"M18.5 18.3l-5.4-5.4\"\/>\r\n                            <circle cx=\"8\" cy=\"8\" r=\"7\" stroke-width=\"2\"\/>\r\n                        <\/g>\r\n                    <\/svg><\/span><\/div><div class=\"search__message\"><\/div><\/form><article class=\"accordion \"><div class='helpie-faq-row'><div class='helpie-faq-col helpie-faq-col-12' ><ul><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-19380\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-19380\"\r\n                data-id=\"post-19380\" \r\n                data-item=\"hfaq-post-19380\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Informace pro pacienta kolonizovan\u00e9ho rezistentn\u00ed bakteri\u00ed \/MRSA, ESBL, AmpC, \u2026\/<\/div><\/div><div id=\"accordion-content-post-19380\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-19380\"\r\n                style=\"background:transparent;\"><p>P\u0159i mikrobiologick\u00e9m vy\u0161et\u0159en\u00ed byla na n\u011bkter\u00fdch m\u00edstech Va\u0161eho t\u011bla zji\u0161t\u011bna bakterie, kter\u00e1 je ozna\u010dov\u00e1na jako rezistentn\u00ed v\u016f\u010di n\u011bkter\u00fdm antibiotik\u016fm.<\/p>\n<p>Ka\u017ed\u00fd \u010dlov\u011bk je trvale os\u00eddlen r\u016fzn\u00fdmi druhy bakteri\u00ed. Bakterie se vyskytuj\u00ed zejm\u00e9na v dutin\u011b \u00fastn\u00ed, v tlust\u00e9m st\u0159ev\u011b, ale tak\u00e9 na k\u016f\u017ei, na nosn\u00ed sliznici a podobn\u011b. Tyto bakterie za norm\u00e1ln\u00edch okolnost\u00ed nevyvol\u00e1vaj\u00ed \u017e\u00e1dn\u00e9 pot\u00ed\u017ee ani onemocn\u011bn\u00ed, \u010dlov\u011bk je na jejich p\u0159\u00edtomnost adaptov\u00e1n. P\u0159i poru\u0161en\u00ed sliznice nebo p\u0159i v\u00fdrazn\u00e9m \u00fatlumu imunity mohou v\u0161ak i tyto b\u011b\u017en\u00e9 bakterie zp\u016fsobit nep\u0159\u00edjemn\u00e9 komplikace &#8211; \u0159\u00edk\u00e1me, \u017ee tyto bakterie jsou podm\u00edn\u011bn\u011b patogenn\u00ed.<\/p>\n<p>Mezi takov\u00e9to podm\u00edn\u011bn\u011b patogenn\u00ed bakterie pat\u0159\u00ed i bakterie vykultivovan\u00e9 u V\u00e1s. U oslaben\u00fdch jedinc\u016f mohou tyto bakterie vyvolat z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed v\u00a0org\u00e1nech a tk\u00e1n\u00edch. Mohou zp\u016fsobit i sepsi (otravu krve).<\/p>\n<p>Tyto bakterie pat\u0159\u00ed do rodiny b\u011b\u017en\u011b se vyskytuj\u00edc\u00edch bakteri\u00ed a odli\u0161uj\u00ed se od nich jen jednou podstatnou v\u011bc\u00ed, a tou je jejich necitlivost k obvykle pou\u017e\u00edvan\u00fdm antibiotik\u016fm. Tuto necitlivost si bakterie vyp\u011bstovaly a roz\u0161\u00ed\u0159ily zejm\u00e9na v posledn\u00ed dob\u011b jako obranu p\u0159ed antiobitickou l\u00e9\u010dbou. Nejvy\u0161\u0161\u00ed v\u00fdskyt necitliv\u00fdch bakteri\u00ed je v\u017edy na t\u011bch odd\u011blen\u00edch nemocnice, kde se antibiotika nejv\u00edce pod\u00e1vaj\u00ed. Ve sv\u011bt\u011b existuj\u00ed zem\u011b, kde pod\u00edl necitliv\u00fdch bakteri\u00ed dosahuje 50 % i v\u00edce, u n\u00e1s to jsou zat\u00edm na\u0161t\u011bst\u00ed jen ojedin\u011bl\u00e9 p\u0159\u00edpady.<\/p>\n<p>Rezistentn\u00ed bakterie z\u016fst\u00e1vaj\u00ed st\u00e1le je\u0161t\u011b citliv\u00e9 k n\u011bkter\u00fdm antibiotik\u016fm, kter\u00e1 si ponech\u00e1v\u00e1me v z\u00e1loze. L\u00e9\u010dba t\u011bmito antibiotiky je v\u0161ak del\u0161\u00ed a komplikovan\u011bj\u0161\u00ed. Proto se sna\u017e\u00edme ka\u017ed\u00e9ho pacienta, u kter\u00e9ho byla p\u0159\u00edtomnost rezistentn\u00ed bakterie zji\u0161t\u011bna, izolovat od ostatn\u00edch nemocn\u00fdch, aby nedo\u0161lo k roz\u0161\u00ed\u0159en\u00ed t\u00e9to n\u00e1kazy.<\/p>\n<p>P\u0159i pouh\u00e9 kolonizaci \/ne z\u00e1n\u011btu\/ se antibiotika nepod\u00e1vaj\u00ed.<\/p>\n<p>Upozor\u0148ujeme je\u0161t\u011b, \u017ee samotn\u00fd n\u00e1lez rezistentn\u00ed bakterie nen\u00ed nutn\u011b projevem onemocn\u011bn\u00ed. M\u016f\u017ee se jednat o pouh\u00e9 nosi\u010dstv\u00ed, tj. os\u00eddlen\u00ed rezistentn\u00ed formou bakterie. V takov\u00e9m p\u0159\u00edpad\u011b tato bakterie sv\u00fdm nositel\u016fm \u017e\u00e1dn\u00e9 pot\u00ed\u017ee ned\u011bl\u00e1 a neohroz\u00ed ani zdrav\u00e9 osoby v okol\u00ed. M\u016f\u017ee v\u0161ak zp\u016fsobit onemocn\u011bn\u00ed u jedinc\u016f s poru\u0161enou k\u016f\u017e\u00ed, nap\u0159\u00edklad kdy\u017e maj\u00ed ekz\u00e9m \u010di n\u011bjak\u00e9 povrchn\u00ed poran\u011bn\u00ed. Takov\u00e1 m\u00edsta se snadno st\u00e1vaj\u00ed vstupn\u00ed branou infekce.<\/p>\n<p>Nosi\u010dstv\u00ed rezistentn\u00ed bakterie m\u016f\u017ee b\u00fdt v ur\u010dit\u00fdch p\u0159\u00edpadech vyl\u00e9\u010deno pomoc\u00ed dezinfek\u010dn\u00edch prost\u0159edk\u016f, p\u0159\u00edpadn\u011b m\u016f\u017ee samovoln\u011b skon\u010dit t\u00edm, \u017ee se u \u010dlov\u011bka obnov\u00ed p\u0159irozen\u00e9 mikrobi\u00e1ln\u00ed os\u00eddlen\u00ed. Ne\u017e ale k postupn\u00e9mu vymizen\u00ed t\u00e9to bakterie dojde, je t\u0159eba dodr\u017eov\u00e1n\u00edm ur\u010dit\u00fdch opat\u0159en\u00ed zabr\u00e1nit p\u0159estupu rezistentn\u00ed bakterie na jin\u00e9 lidi a v\u011bt\u0161\u00edmu roz\u0161\u00ed\u0159en\u00ed v populaci.<\/p>\n<p>Sestavili jsme pravidla, kter\u00e1 V\u00e1s budou do ur\u010dit\u00e9 m\u00edry omezovat. Znamenaj\u00ed v\u0161ak ochranu osob ve Va\u0161em okol\u00ed, a tak\u00e9 zv\u00fd\u0161en\u00ed nad\u011bje na vyl\u00e9\u010den\u00ed V\u00e1s osobn\u011b.<\/p>\n<h5><strong>Opat\u0159en\u00ed, o jejich\u017e dodr\u017eov\u00e1n\u00ed se budeme spole\u010dn\u011b sna\u017eit, jsou n\u00e1sleduj\u00edc\u00ed:<\/strong><\/h5>\n<p>B\u011bhem Va\u0161\u00ed hospitalizace V\u00e1s mus\u00edme um\u00edstit na izola\u010dn\u00edm pokoji. Zdravotnick\u00fd person\u00e1l bude po vstupu do Va\u0161eho pokoje dodr\u017eovat p\u0159\u00edsn\u011bj\u0161\u00ed hygienick\u00e1 opat\u0159en\u00ed (bude si nap\u0159\u00edklad br\u00e1t zvl\u00e1\u0161tn\u00ed pl\u00e1\u0161\u0165, pou\u017e\u00edvat rukavice, dezinfikovat si ruce p\u0159ed odchodem z pokoje apod.).<\/p>\n<p>N\u00e1v\u0161t\u011bvy Va\u0161ich bl\u00edzk\u00fdch za hospitalizace v na\u0161\u00ed nemocnici budou omezeny, jen v\u00fdjime\u010dn\u011b budou povoleny vedouc\u00edm l\u00e9ka\u0159em odd\u011blen\u00ed. Nav\u0161t\u011bvuj\u00edc\u00ed osoby v\u0161ak mus\u00ed dodr\u017eovat ve Va\u0161em pokoji v\u00fd\u0161e uveden\u00e1 opat\u0159en\u00ed pou\u017e\u00edt ochrann\u00fd pl\u00e1\u0161\u0165, \u00fastenku a po odchodu z\u00a0pokoje si vydezinfikovat ruce, aby nedo\u0161lo k\u00a0p\u0159enesen\u00ed rezistentn\u00ed bakterie.<\/p>\n<p>P\u0159\u00edtomnost rezistentn\u00ed bakterie nen\u00ed d\u016fvodem k prodlu\u017eov\u00e1n\u00ed hospitalizace ani pracovn\u00ed neschopnosti. Bude-li Va\u0161e z\u00e1kladn\u00ed onemocn\u011bn\u00ed vyl\u00e9\u010deno, m\u016f\u017eete b\u00fdt propu\u0161t\u011bn(a) do dom\u00e1c\u00ed p\u00e9\u010de. V\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed posta\u010d\u00ed dodr\u017eov\u00e1n\u00ed standardn\u00edch hygienick\u00fdch pravidel. Pokud se u rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f vyskytuje onkologick\u00e9 onemocn\u011bn\u00ed nebo onemocn\u011bn\u00ed spojen\u00e9 s\u00a0poruchou imunity, pora\u010fte se o dal\u0161\u00edch opat\u0159en\u00edch s\u00a0o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em. V\u00a0p\u0159\u00edpad\u011b kolonizace r\u00e1ny rezistentn\u00ed bakteri\u00ed je t\u0159eba po p\u0159evazu r\u00e1ny prov\u00e9st dezinfekci rukou alkoholov\u00fdm dezinfek\u010dn\u00edm p\u0159\u00edpravkem. Pokud V\u00e1s bude o\u0161et\u0159ovat pracovn\u00edk dom\u00e1c\u00ed p\u00e9\u010de, je t\u0159eba ho informovat o Va\u0161\u00ed pozitivit\u011b. Pracovn\u00edk dom\u00e1c\u00ed p\u00e9\u010de bude p\u0159i p\u00e9\u010di o V\u00e1s pou\u017e\u00edvat rukavice anebo jin\u00e9 ochrann\u00e9 prost\u0159edky.<\/p>\n<p>P\u0159i propu\u0161t\u011bn\u00ed do dom\u00e1c\u00edho o\u0161et\u0159ov\u00e1n\u00ed budete informov\u00e1n(a) o event. dal\u0161\u00ed kontrole, m\u00edst\u011b a term\u00ednu vy\u0161et\u0159en\u00ed. Pokud by nebylo mo\u017en\u00e9 dan\u00fd term\u00edn dodr\u017eet, je nutn\u00e9 si nov\u00fd term\u00edn domluvit telefonicky na infek\u010dn\u00edm odd\u011blen\u00ed, telefon: <strong>567 157 352<\/strong>. Kontrola chronick\u00fdch pacient\u016f s pozitivitou bude prov\u00e1d\u011bna obvykle na ambulanci infek\u010dn\u00edho odd\u011blen\u00ed pouze v dopoledn\u00edch hodin\u00e1ch ve v\u0161edn\u00ed den. Pro tyto pacienty je na infek\u010dn\u00edm odd\u011blen\u00ed v ambulantn\u00ed \u010d\u00e1sti vy\u010dlen\u011bna ambulance s \u010dek\u00e1rnou. Sem bude pot\u00e9 p\u0159izv\u00e1n i dal\u0161\u00ed p\u0159\u00edslu\u0161n\u00fd odborn\u00edk\u00a0\u00a0(chirurg, internista, neurolog, urolog apod.).<\/p>\n<p><span class=\"ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak\" dir=\"ltr\">Pokud po Va\u0161em propu\u0161t\u011bn\u00ed vyhled\u00e1te<\/span> ambulantn\u00ed o\u0161et\u0159en\u00ed jin\u00fdm l\u00e9ka\u0159em nebo budete kdekoli hospitalizov\u00e1n(a), informujte pros\u00edm l\u00e9ka\u0159e o sv\u00e9m nosi\u010dstv\u00ed. Pom\u016f\u017eete t\u00edm sv\u00e9mu vyl\u00e9\u010den\u00ed, proto\u017ee V\u00e1\u0161 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 bude moci na z\u00e1klad\u011b t\u00e9to informace zvolit nejvhodn\u011bj\u0161\u00ed diagnostick\u00fd a l\u00e9\u010debn\u00fd postup. Pokud je u V\u00e1s pl\u00e1nov\u00e1n l\u00e9ka\u0159sk\u00fd z\u00e1krok (pl\u00e1novan\u00e1 operace, katetrizace, infuzn\u00ed l\u00e9\u010dba atd.), je pot\u0159eba, abyste o sv\u00e9m nosi\u010dstv\u00ed informoval(a) zdravotnick\u00fd person\u00e1l v p\u0159edstihu.<\/p>\n<p>P\u0159i p\u0159\u00edpadn\u00e9m vymizen\u00ed rezistentn\u00ed bakterie V\u00e1s ze sledov\u00e1n\u00ed vy\u0159ad\u00edme.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-19382\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-19382\"\r\n                data-id=\"post-19382\" \r\n                data-item=\"hfaq-post-19382\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Informace o lumb\u00e1ln\u00ed punkci (LP)<\/div><\/div><div id=\"accordion-content-post-19382\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-19382\"\r\n                style=\"background:transparent;\"><h5><strong>Co je lumb\u00e1ln\u00ed punkce (LP):<\/strong><\/h5>\n<p>LP rozum\u00edme zaveden\u00ed jehly do doln\u00ed \u010d\u00e1sti p\u00e1te\u0159n\u00edho kan\u00e1lu a odb\u011br mozkom\u00ed\u0161n\u00edho moku, v m\u00edstech, kde ji\u017e neprob\u00edh\u00e1 m\u00edcha, nehroz\u00ed tedy jej\u00ed po\u0161kozen\u00ed.<\/p>\n<p>D\u016fvodem tohoto v\u00fdkonu je nej\u010dast\u011bji diagnostika (objasn\u011bn\u00ed p\u0159\u00ed\u010diny onemocn\u011bn\u00ed), m\u00e9n\u011b \u010dasto se prov\u00e1d\u00ed tzv. terapeutick\u00e1 LP (sn\u00ed\u017een\u00ed zv\u00fd\u0161en\u00e9ho tlaku mozkom\u00ed\u0161n\u00edho moku).<\/p>\n<h5><strong>P\u0159\u00edprava k v\u00fdkonu:<\/strong><\/h5>\n<p>P\u0159ed v\u00fdkonem je provedeno CT mozku, nebo vy\u0161et\u0159en\u00ed o\u010dn\u00edho pozad\u00ed k vylou\u010den\u00ed zv\u00fd\u0161en\u00e9ho tlaku v dutin\u011b lebn\u00ed. Zvl\u00e1\u0161tn\u00ed p\u0159\u00edprava nen\u00ed nutn\u00e1, pouze v n\u011bkter\u00fdch p\u0159\u00edpadech pod\u00e1v\u00e1me l\u00e9ky pro uvoln\u011bn\u00ed sval\u016f kolem p\u00e1te\u0159e, d\u00e1le prov\u00e1d\u00edme dezinfekce m\u00edsta vpichu a eventueln\u011b jeho oholen\u00ed. P\u0159ipravte se na n\u00e1sleduj\u00edc\u00ed klidov\u00fd re\u017eim (sprcha, toaleta p\u0159ed v\u00fdkonem).<\/p>\n<h5><strong>Zp\u016fsob proveden\u00ed:<\/strong><\/h5>\n<p>V\u00fdkon se prov\u00e1d\u00ed nej\u010dast\u011bji vsed\u011b, v ur\u010dit\u00fdch p\u0159\u00edpadech i vle\u017ee. Dodr\u017euj\u00ed se steriln\u00ed podm\u00ednky (dezinfekce m\u00edsta vpichu, steriln\u00ed rukavice, jehla na jedno pou\u017eit\u00ed). Po dezinfekci m\u00edsta vpichu l\u00e9ka\u0159 vyhmat\u00e1 m\u00edsto vpichu, pacient &#8222;vyhrb\u00ed&#8220; bedern\u00ed p\u00e1te\u0159 proti l\u00e9ka\u0159i a nej\u010dast\u011bji mezi 4-5. bedern\u00edm obratlem je zavedena jehla do p\u00e1te\u0159n\u00edho kan\u00e1lu. Po odb\u011bru mozkom\u00ed\u0161n\u00edho moku na v\u0161echna vy\u0161et\u0159en\u00ed je punk\u010dn\u00ed jehla vyta\u017eena a m\u00edsto steriln\u011b kryto. Je\u0161t\u011b tent\u00fd\u017e den budeme m\u00edt z\u00e1kladn\u00ed informace k vylou\u010den\u00ed, eventueln\u011b potvrzen\u00ed infekce nervov\u00e9ho syst\u00e9mu, napov\u011bd\u011bt m\u016f\u017ee i vzhled mozkom\u00ed\u0161n\u00edho moku kontrolovan\u00fd ihned po punkci.<\/p>\n<h5><strong>Re\u017eimov\u00e1 opat\u0159en\u00ed:<\/strong><\/h5>\n<p>Po v\u00fdkonu klidov\u00fd re\u017eim na l\u016f\u017eku 24 hodin, z toho 2 hod. po z\u00e1kroku na b\u0159i\u0161e, optim\u00e1ln\u011b bez pol\u0161t\u00e1\u0159e dle individu\u00e1ln\u00ed sn\u00e1\u0161enlivosti. Nutn\u00fd je dostate\u010dn\u00fd p\u0159\u00edjem tekutin (neslazen\u00e9 \u010daje, b\u011b\u017en\u00e9 stoln\u00ed vody, ne miner\u00e1lky \u010di d\u017eusy). K dopln\u011bn\u00ed tekutin V\u00e1m o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 bude ordinovat i inf\u00fazn\u00ed terapii.<\/p>\n<p>L\u00e9ka\u0159 V\u00e1m m\u016f\u017ee nab\u00eddnout proveden\u00ed v\u00fdkonu tzv. &#8222;atraumatickou jehlou&#8220;, kter\u00e1 je hrazena pacientem &#8211; poplatek \u010din\u00ed 150,- K\u010d, v tomto p\u0159\u00edpad\u011b je klidov\u00fd re\u017eim po v\u00fdkonu 2 hod.<\/p>\n<h5><strong>Komplikace:<\/strong><\/h5>\n<p>P\u0159es ve\u0161kerou snahu nelze tyto zcela vylou\u010dit, snahou person\u00e1lu infek\u010dn\u00edho odd. je riziko vzniku komplikac\u00ed minimalizovat.<\/p>\n<p>Bez ohledu na d\u00e9lku v\u00fdkonu m\u016f\u017ee doj\u00edt u predisponovan\u00fdch ke kr\u00e1tk\u00e9 mdlob\u011b (odezn\u00ed po ulo\u017een\u00ed pacienta). Pros\u00edme o Va\u0161e upozorn\u011bn\u00ed na d\u0159\u00edv\u011bj\u0161\u00ed takov\u00fd stav p\u0159i l\u00e9ka\u0159sk\u00fdch z\u00e1kroc\u00edch.<\/p>\n<p><span class=\"ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak\" dir=\"ltr\">I p\u0159es dodr\u017een\u00ed steriln\u00edch podm\u00ednek m\u016f\u017ee vz\u00e1cn\u011b doj\u00edt k zavle\u010den\u00ed<\/span> infekce do mozkom\u00ed\u0161n\u00edho moku z nezjistiteln\u00e9ho zdroje v t\u011ble pacienta. N\u00e1sleduj\u00edc\u00ed dny po v\u00fdkonu m\u016f\u017ee u n\u011bkter\u00fdch pacient\u016f doj\u00edt k poklesu tlaku mozkom\u00ed\u0161n\u00edho moku (tzv. postpunk\u010dn\u00ed syndrom), projevuj\u00edc\u00ed se bolest\u00ed hlavy p\u0159i postaven\u00ed, z\u00e1vrat\u00ed, pocity na zvracen\u00ed&#8230; Riziko postpunk\u010dn\u00edho syndromu minimalizujeme dodr\u017een\u00edm v\u00fd\u0161e uveden\u00fdch re\u017eimov\u00fdch opat\u0159en\u00ed. Postpunk\u010dn\u00ed syndrom je nep\u0159\u00edjemn\u00fd, m\u016f\u017ee trvat n\u011bkolik dn\u016f, ale nen\u00ed ni\u010d\u00edm nebezpe\u010dn\u00fd, a lze ho pom\u011brn\u011b dob\u0159e zvl\u00e1dnout symptomatickou terapi\u00ed.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-19384\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-19384\"\r\n                data-id=\"post-19384\" \r\n                data-item=\"hfaq-post-19384\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Doporu\u010den\u00e1 n\u00e1v\u0161t\u011bvn\u00ed doba<\/div><\/div><div id=\"accordion-content-post-19384\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-19384\"\r\n                style=\"background:transparent;\"><ul>\n<li>Doporu\u010den\u00e1 doba n\u00e1v\u0161t\u011bv je 14,30 -17,00 hod.<\/li>\n<li>Mimo uvedenou n\u00e1v\u0161t\u011bvn\u00ed dobu jsou n\u00e1v\u0161t\u011bvy povoleny individu\u00e1ln\u011b po domluv\u011b s\u00a0o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em.<\/li>\n<li>N\u00e1v\u0161t\u011bvy pacient\u016f s\u00a0vysoce naka\u017eliv\u00fdm onemocn\u011bn\u00edm (COVID-19, ch\u0159ipka\u2026) jsou umo\u017en\u011bny pouze individu\u00e1ln\u011b po domluv\u011b s o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em.<\/li>\n<li>N\u00e1v\u0161t\u011bvy respektuj\u00ed pokyny zdravotnick\u00e9ho person\u00e1lu, v\u010detn\u011b pou\u017eit\u00ed doporu\u010den\u00fdch osobn\u00edch ochrann\u00fdch pom\u016fcek (pl\u00e1\u0161t\u011b, respir\u00e1tory, rukavice), myt\u00ed a desinfekce rukou.<\/li>\n<li>D\u011btem do 12 let a t\u011bhotn\u00fdm nejsou n\u00e1v\u0161t\u011bvy povoleny (vyjime\u010dn\u011b individu\u00e1ln\u011b po domluv\u011b s o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em).<\/li>\n<\/ul>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-20688\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-20688\"\r\n                data-id=\"post-20688\" \r\n                data-item=\"hfaq-post-20688\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Co s sebou do nemocnice?<\/div><\/div><div id=\"accordion-content-post-20688\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-20688\"\r\n                style=\"background:transparent;\"><ul>\n<li>Ob\u010dansk\u00fd pr\u016fkaz, \u00a0pr\u016fkaz poji\u0161t\u011bnce,<\/li>\n<li>doporu\u010den\u00ed od l\u00e9ka\u0159e s v\u00fdsledky vy\u0161et\u0159en\u00ed (u pl\u00e1novan\u00fdch hospitalizac\u00ed),<\/li>\n<li>l\u00e9ky a jejich seznam,<\/li>\n<li>zdravotn\u00ed a kompenza\u010dn\u00ed pom\u016fcky, kter\u00e9 v praxi pou\u017e\u00edv\u00e1te (br\u00fdle, h\u016fl, naslouchadlo atd.),<\/li>\n<li>osobn\u00ed pot\u0159eby \u2013 p\u0159ez\u016fvky, toaletn\u00ed pot\u0159eby,<\/li>\n<li>mobiln\u00ed telefon a nab\u00edje\u010dku.<\/li>\n<\/ul>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-20689\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-20689\"\r\n                data-id=\"post-20689\" \r\n                data-item=\"hfaq-post-20689\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">N\u00e1v\u0161t\u011bvy na JIP<\/div><\/div><div id=\"accordion-content-post-20689\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-20689\"\r\n                style=\"background:transparent;\"><p>N\u00e1v\u0161t\u011bvy u pacient\u016f na JIP jsou mo\u017en\u00e9 na z\u00e1klad\u011b individu\u00e1ln\u00ed domluvy s\u00a0o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\n<p>Na z\u00e1klad\u011b vyhl\u00e1\u0161ky \u010d. 306\/2012 Sb. mus\u00ed n\u00e1v\u0161t\u011bvy na pracovi\u0161t\u011b akutn\u00ed l\u016f\u017ekov\u00e9 intenzivn\u00ed p\u00e9\u010de pou\u017e\u00edt ochrann\u00fd od\u011bv. Ten n\u00e1v\u0161t\u011bvn\u00edci obdr\u017e\u00ed od person\u00e1lu JIP p\u0159ed vstupem na odd\u011blen\u00ed.<\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/article><\/section>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":17129,"parent":19319,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[85],"class_list":["post-19377","page","type-page","status-publish","has-post-thumbnail","hentry","category-page-oddeleni"],"publishpress_future_action":{"enabled":false,"date":"2026-04-23 19:40:56","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/19377","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/comments?post=19377"}],"version-history":[{"count":0,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/19377\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/19319"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media\/17129"}],"wp:attachment":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media?parent=19377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/categories?post=19377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}