{"id":25119,"date":"2023-10-30T13:06:20","date_gmt":"2023-10-30T12:06:20","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/?page_id=25119"},"modified":"2023-11-06T09:52:16","modified_gmt":"2023-11-06T08:52:16","slug":"spektrum-pece","status":"publish","type":"page","link":"https:\/\/webnemji.azurewebsites.net\/en\/oddeleni\/oddeleni-zobrazovacich-metod\/spektrum-pece\/","title":{"rendered":"Spectrum of provided care"},"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\">Odd\u011blen\u00ed zobrazovac\u00edch metod<\/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            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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-51\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-ozm-container\"><ul id=\"menu-oddeleni-ozm\" class=\"menu\"><li id=\"menu-item-25012\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25012\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/#popis-oddeleni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-info\"><\/i> Popis odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-25013\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25013\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/#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-25014\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25014\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/#oteviraci-hodiny\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-clock\"><\/i> Ordina\u010dn\u00ed hodiny<\/a><\/li>\n<li id=\"menu-item-25015\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25015\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-25016\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25016\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/#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-25017\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25017\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-25018\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-25018\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-25210\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-25210\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/spektrum-pece\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-stethoscope\"><\/i> Spektrum p\u00e9\u010de<\/a><\/li>\n<li id=\"menu-item-25566\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-25566\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/informovane-souhlasy\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-circle-info\"><\/i>Informovan\u00e9 souhlasy<\/a><\/li>\n<li id=\"menu-item-25565\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-25565\"><a href=\"\/oddeleni\/oddeleni-zobrazovacich-metod\/nadstandardni-sluzby\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-square-plus\"><\/i>Nadstandardn\u00ed slu\u017eby<\/a><\/li>\n<li id=\"menu-item-29920\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-29920\"><a href=\"https:\/\/portal.eambulance.cz\/Reservation\/Home\/ReservationSchedule?organizationIdentifier=1&#038;ambulanceIdentifier=125&#038;returnUrl=%2FReservation%2FHome%2FHospital%2F1%2FAmbulance\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-globe\"><\/i> On-line objedn\u00e1n\u00ed na mamograf<\/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\">Spektrum nab\u00edzen\u00e9 p\u00e9\u010de<\/h2>\n<\/div>\n<div id=\"cmsmasters_divider_kul4awri6m\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_left\"><\/div>\n<div class=\"cmsmasters_text\">\n<style type=\"text\/css\"><\/style><section id='' \n                class='helpie-faq accordions groupSettings-356__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-25126\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-25126\"\r\n                data-id=\"post-25126\" \r\n                data-item=\"hfaq-post-25126\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Mamografie, mamograf<\/div><\/div><div id=\"accordion-content-post-25126\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-25126\"\r\n                style=\"background:transparent;\"><p>Jedn\u00e1 se o rentgenov\u00e9 vy\u0161et\u0159en\u00ed prsu za \u00fa\u010delem odhalen\u00ed po\u010d\u00e1tku rakovinn\u00e9ho bujen\u00ed. Je z\u00e1kladn\u00ed zobrazovac\u00ed metodou u v\u011bt\u0161iny \u017een. Zpravidla se nehod\u00ed pro \u017eeny mlad\u00e9, u kter\u00fdch je \u017el\u00e1za bohat\u00e1 a hutn\u00e1. Mamografie se prov\u00e1d\u00ed na p\u0159\u00edstroji, mamografu, kter\u00fd vyu\u017e\u00edv\u00e1 tzv. m\u011bkk\u00e9 rentgenov\u00e9 z\u00e1\u0159en\u00ed. P\u0159i vy\u0161et\u0159en\u00ed se prs mus\u00ed dostate\u010dn\u011b stla\u010dit, je to nutn\u00e9 pro dosa\u017een\u00ed vysok\u00e9 kvality sn\u00edmku. Obvykle se vy\u0161et\u0159uje prs ve dvou rovin\u00e1ch, celkem se tedy prov\u00e1d\u00ed 4 sn\u00edmky.<br \/>\nN\u011bkter\u00e1 mamografick\u00e1 vy\u0161et\u0159en\u00ed je nutno je\u0161t\u011b doplnit ultrazvukovou kontrolou. Na na\u0161em pracovi\u0161ti je toto vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno bezprost\u0159edn\u011b v t\u00fd\u017e den, v r\u00e1mci jedn\u00e9 n\u00e1v\u0161t\u011bvy pacientky. U pl\u00e1novan\u00e9ho vy\u0161et\u0159en\u00ed je optim\u00e1ln\u00ed vy\u0161et\u0159ovat v prvn\u00ed polovin\u011b menstrua\u010dn\u00edho cyklu, kdy je mo\u017en\u00e9 prsy dostate\u010dn\u011b stla\u010dit bez nep\u0159\u00edjemn\u00fdch pocit\u016f vy\u0161et\u0159ovan\u00e9 \u017eeny, p\u0159i nebezpe\u010d\u00ed z prodlen\u00ed (p\u0159i podez\u0159en\u00ed na zhoubn\u00fd n\u00e1dor ) se ne\u010dek\u00e1.<\/p>\n<h5><strong>Co je mamografick\u00fd screening?<\/strong><\/h5>\n<p>Mamografick\u00fd screening znamen\u00e1 pravideln\u00e9 preventivn\u00ed vy\u0161et\u0159ov\u00e1n\u00ed \u017een bez jak\u00fdchkoliv p\u0159\u00edznak\u016f onemocn\u011bn\u00ed s c\u00edlem zachytit rozv\u00edjej\u00edc\u00ed se onemocn\u011bn\u00ed v co nej\u010dasn\u011bj\u0161\u00edm stadiu. Princip fungov\u00e1n\u00ed mamografick\u00e9ho screeningu vych\u00e1z\u00ed z p\u0159edpokladu, \u017ee onemocn\u011bn\u00ed zachycen\u00e9 v \u010dasn\u00e9 f\u00e1zi je sn\u00e1ze l\u00e9\u010diteln\u00e9 a vede k vy\u0161\u0161\u00ed kvalit\u011b a vy\u0161\u0161\u00ed d\u00e9lce \u017eivota pacientek.<br \/>\nKarcinom prsu p\u0159edstavuje v sou\u010dasnosti jeden z nejz\u00e1va\u017en\u011bj\u0161\u00edch epidemiologick\u00fdch probl\u00e9m\u016f \u010cesk\u00e9 republiky. V na\u0161\u00ed zemi je ka\u017edoro\u010dn\u011b diagnostikov\u00e1no v\u00edce jak 4 600 nov\u00fdch p\u0159\u00edpad\u016f onemocn\u011bn\u00ed a incidence neust\u00e1le vzr\u016fst\u00e1. Na n\u00e1sledky karcinomu prsu zem\u0159e ka\u017ed\u00fd rok v\u00edce jak 2 000 \u010desk\u00fdch \u017een a mezi p\u0159\u00ed\u010dinami \u00famrt\u00ed ve v\u011bkov\u00e9 kategorii 20 &#8211; 54 let tak zauj\u00edm\u00e1 karcinom prsu prvn\u00ed m\u00edsto.<br \/>\nMo\u017enosti prevence vzniku onemocn\u011bn\u00ed na individu\u00e1ln\u00ed \u00farovni jsou omezen\u00e9. Vzhledem k tomu, \u017ee u tohoto onemocn\u011bn\u00ed nebyl dosud pozn\u00e1n rizikov\u00fd faktor vysv\u011btluj\u00edc\u00ed jeho p\u0159\u00ed\u010dinu s uspokojivou spolehlivost\u00ed (jako je tomu nap\u0159. u n\u00e1dor\u016f plic), jedinou mo\u017enost\u00ed boje je v\u010dasn\u00e1 diagnostika a \u00fasp\u011b\u0161n\u00e1 l\u00e9\u010dba.<\/p>\n<h5><strong><a href=\"\/wp-content\/uploads\/2023\/10\/Image-4-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25155\" src=\"\/wp-content\/uploads\/2023\/10\/Image-4-1.jpg\" alt=\"\" width=\"267\" height=\"244\" srcset=\"\/wp-content\/uploads\/2023\/10\/Image-4-1.jpg 366w, \/wp-content\/uploads\/2023\/10\/Image-4-1-300x275.jpg 300w\" sizes=\"auto, (max-width: 267px) 100vw, 267px\" \/><\/a><a href=\"\/wp-content\/uploads\/2023\/10\/Image-3-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25154\" src=\"\/wp-content\/uploads\/2023\/10\/Image-3-1.jpg\" alt=\"\" width=\"218\" height=\"240\" srcset=\"\/wp-content\/uploads\/2023\/10\/Image-3-1.jpg 326w, \/wp-content\/uploads\/2023\/10\/Image-3-1-272x300.jpg 272w\" sizes=\"auto, (max-width: 218px) 100vw, 218px\" \/><\/a><\/strong><\/h5>\n<h5><strong>Vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Diagnostick\u00e1 mamografie &#8211; se prov\u00e1d\u00ed u pacient\u016f s p\u0159\u00edznaky zhoubn\u00e9ho onemocn\u011bn\u00ed prsu nebo u ji\u017e diagnostikovan\u00e9ho zhoubn\u00e9ho onemocn\u011bn\u00ed prsu nebo jako dopl\u0148uj\u00edc\u00ed vy\u0161et\u0159en\u00ed ke screeningov\u00e9 mamografii.<br \/>\nScreeningov\u00e1 mamografie &#8211; je prov\u00e1d\u011bna v souladu s p\u0159\u00edslu\u0161nou vyhl\u00e1\u0161kou MZ \u010cR v r\u00e1mci preventivn\u00edch prohl\u00eddek a dispenz\u00e1rn\u00ed p\u00e9\u010de. Nen\u00ed vhodnou metodou pro \u017eeny mlad\u0161\u00ed 40 let (s v\u00fdjimkou \u017een s v\u00fdrazn\u011b zv\u00fd\u0161en\u00fdm rizikem vzniku karcinomu prsu, kter\u00e9 jsou sledov\u00e1ny podle individu\u00e1ln\u011b ur\u010den\u00e9ho sch\u00e9matu) a nem\u011bla by b\u00fdt prov\u00e1d\u011bna \u010dast\u011bji ne\u017e ka\u017edoro\u010dn\u011b. K vy\u0161et\u0159en\u00ed p\u0159ich\u00e1z\u00ed \u017eena do screeningov\u00e9ho mamografick\u00e9ho centra se \u017e\u00e1dankou k proveden\u00ed tohoto v\u00fdkonu nebo s pozv\u00e1nkou (indikace na z\u00e1klad\u011b v\u011bku). \u017dena-samopl\u00e1tkyn\u011b se m\u016f\u017ee k vy\u0161et\u0159en\u00ed dostavit p\u0159\u00edmo na pracovi\u0161t\u011b bez p\u0159\u00edslu\u0161n\u00e9 \u017e\u00e1danky.<\/p>\n<p><strong>Duktografie<\/strong> \u2013 je indikov\u00e1na u pacient\u016f se spont\u00e1nn\u00ed patologickou sekrec\u00ed z bradavky, kter\u00e1 by mohla b\u00fdt projevem n\u00e1dorov\u00e9ho onemocn\u011bn\u00ed (papilom, karcinom aj.) . Do secernuj\u00edc\u00edho ml\u00e9kovodu je vpravena kontrastn\u00ed l\u00e1tka a n\u00e1sledn\u011b provedeny sn\u00edmky.<\/p>\n<h5><strong>P\u0159\u00edprava na vy\u0161et\u0159en\u00ed:<\/strong><\/h5>\n<ul>\n<li>Vy\u0161et\u0159en\u00ed provedeno ve stoje, nutno odstranit ve\u0161ker\u00e9 kosmetick\u00e9 p\u0159\u00edpravky v podpa\u017e\u00ed.<\/li>\n<li>Ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed \u2013 bez p\u0159\u00edpravy, vy\u0161et\u0159en\u00ed vle\u017ee.<\/li>\n<li>Zaveden\u00ed lokaliz\u00e1toru k nehmatn\u00fdm lo\u017eisk\u016fm \u2013 bez p\u0159\u00edpravy, ve spolupr\u00e1ci s po\u017eaduj\u00edc\u00edm odd\u011blen\u00edm.<\/li>\n<li>Perkut\u00e1nn\u00ed punkce nebo biopsie \u0159\u00edzen\u00e1 UZ metodou \u2013 bez p\u0159\u00edpravy, vy\u0161et\u0159en\u00ed vle\u017ee, mo\u017en\u00e1 rizika \u2013 alergick\u00e1 reakce na znecitlivuj\u00edc\u00ed l\u00e1tku nebo riziko krv\u00e1cen\u00ed a hematomu. Omezen\u00ed po v\u00fdkonu \u2013 kryc\u00ed obvaz do druh\u00e9ho dne a v den v\u00fdkonu omezen\u00ed fyzick\u00e9 pr\u00e1ce a sportovn\u00ed aktivity.<\/li>\n<\/ul>\n<h5><strong>Vy\u0161et\u0159en\u00ed hrazen\u00e9 z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/strong><\/h5>\n<p>Screeningov\u00e9 vy\u0161et\u0159en\u00ed je jednou za dva roky hrazeno z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed ka\u017ed\u00e9 \u017een\u011b ve v\u011bku nad 45 let. Abyste v\u0161ak v ordinaci nemusela za vy\u0161et\u0159en\u00ed platit, mus\u00edte p\u0159ij\u00edt s platnou \u017e\u00e1dankou. \u017d\u00e1danka je vlastn\u011b \u017e\u00e1dost napsan\u00e1 na pap\u00ed\u0159e, ve kter\u00e9 l\u00e9ka\u0159 po\u017eaduje proveden\u00ed preventivn\u00edho vy\u0161et\u0159en\u00ed prsu. Co to znamen\u00e1? Chcete-li m\u00edt preventivn\u00ed vy\u0161et\u0159en\u00ed prsu, mus\u00edte v nejprve nav\u0161t\u00edvit sv\u00e9ho gynekologa nebo praktick\u00e9ho l\u00e9ka\u0159e, kter\u00fd je povinen v\u00e1m zm\u00edn\u011bnou \u017e\u00e1danku vydat. Odes\u00edlaj\u00edc\u00ed l\u00e9ka\u0159 m\u00e1 pak pr\u00e1vo dozv\u011bd\u011bt se v\u00fdsledek vy\u0161et\u0159en\u00ed a vy m\u00e1te povinnost tuto zpr\u00e1vu mu p\u0159edat. Tento postup se mo\u017en\u00e1 zd\u00e1 zbyte\u010dn\u011b slo\u017eit\u00fd, ale nen\u00ed tomu tak. Je nezbytn\u011b nutn\u00e9, aby l\u00e9ka\u0159, kter\u00e9ho \u017eena nav\u0161t\u011bvuje nejv\u00edce, v\u011bd\u011bl, zda je jeho klientka zdrav\u00e1, zda j\u00ed m\u016f\u017ee napsat bez obav v\u0161echny l\u00e9ky, kter\u00e9 \u017eena pot\u0159ebuje. \u017dena, kter\u00e1 onemocn\u011bla n\u00e1dorem prsu, nem\u016f\u017ee u\u017e\u00edvat nap\u0159\u00edklad hormon\u00e1ln\u00ed l\u00e9ky v t\u00e9 \u0161\u00ed\u0159i jako \u017eena zdrav\u00e1, a proto i tento fakt mus\u00ed jej\u00ed l\u00e9ka\u0159 zn\u00e1t.<\/p>\n<h5><strong>Vy\u0161et\u0159en\u00ed si hrad\u00edte samy<\/strong><\/h5>\n<p>Bez \u017e\u00e1danky (poukazu na vy\u0161et\u0159en\u00ed) od l\u00e9ka\u0159e mohou b\u00fdt vy\u0161et\u0159eny \u017eeny, kter\u00e9 si hrad\u00ed mamografick\u00e9 nebo ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed samy (tzv. samopl\u00e1tkyn\u011b). To se t\u00fdk\u00e1: Bez \u017e\u00e1danky (poukazu na vy\u0161et\u0159en\u00ed) od l\u00e9ka\u0159e mohou b\u00fdt vy\u0161et\u0159eny \u017eeny, kter\u00e9 si hrad\u00ed mamografick\u00e9 nebo ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed samy (tzv. samopl\u00e1tkyn\u011b). To se t\u00fdk\u00e1:<\/p>\n<p>1) <strong>\u017den ve screeningov\u00e9 populaci<\/strong> (nad 45 let), kter\u00e9 si p\u0159ej\u00ed b\u00fdt vy\u0161et\u0159eny d\u0159\u00edve, ne\u017e je stanoven tzv. screeningov\u00fd interval (v sou\u010dasn\u00e9 dob\u011b 2 roky mezi dv\u011bma po sob\u011b n\u00e1sleduj\u00edc\u00edmi mamografick\u00fdmi vy\u0161et\u0159en\u00edmi),<br \/>\n2)<strong> \u017een mimo screeningovou populaci<\/strong> \u2013 tzn. t\u011bch, kter\u00e9 jsou mlad\u0161\u00ed 45 let.<\/p>\n<p><strong>Objednat \/ informovat se na preventivn\u00ed (screeningov\u00e9)\u00a0<\/strong><strong>vy\u0161et\u0159en\u00ed m\u016f\u017eete telefonem na \u010d\u00edsle: 567 157 602,<\/strong><\/p>\n<p>nebo p\u0159es online formul\u00e1\u0159 &#8211; <a href=\"https:\/\/portal.eambulance.cz\/Reservation\/Home\/ReservationSchedule?organizationIdentifier=1&amp;ambulanceIdentifier=125&amp;returnUrl=%2FReservation%2FHome%2FHospital%2F1%2FAmbulance\" target=\"_blank\" rel=\"noopener\">Odkaz zde<\/a><\/p>\n<h5><strong>P\u0159\u00edstrojov\u00e9 vybaven\u00ed a uk\u00e1zkov\u00e9 sn\u00edmky:<\/strong><\/h5>\n<ul>\n<li>Mammomat Inspiration, Siemens<\/li>\n<\/ul>\n<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div><\/div><div class=\"simply-gallery-amp pgc_sgb_slider \"><noscript><div class=\"sgb-gallery\"><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25363\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"177\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/mammomat_-300x177.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/mammomat_-300x177.jpg 300w,\/wp-content\/uploads\/2023\/11\/mammomat_.jpg 734w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25364\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"264\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/mamo-264x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/mamo-264x300.jpg 264w,\/wp-content\/uploads\/2023\/11\/mamo.jpg 399w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25365\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"148\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/mamo2-148x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/mamo2-148x300.jpg 148w,\/wp-content\/uploads\/2023\/11\/mamo2.jpg 395w\" sizes=\"auto, 250px\"\/><\/a><\/div><\/div><\/noscript><\/div><script type=\"application\/json\" 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&& window.PGC_SGB.searcher){window.PGC_SGB.searcher.initBlocks()}})()<\/script><\/div>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-25181\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-25181\"\r\n                data-id=\"post-25181\" \r\n                data-item=\"hfaq-post-25181\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Skiaskopie<\/div><\/div><div id=\"accordion-content-post-25181\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-25181\"\r\n                style=\"background:transparent;\"><h5><strong>Skiaskopie<\/strong><\/h5>\n<p>Jedn\u00e1 se o radiologickou vy\u0161et\u0159ovac\u00ed metodu, kter\u00e1 pomoc\u00ed rentgenov\u00e9ho z\u00e1\u0159en\u00ed umo\u017e\u0148uje zobrazen\u00ed lidsk\u00e9ho t\u011bla v re\u00e1ln\u00e9m \u010dase. Vyu\u017e\u00edv\u00e1 se p\u0159edev\u0161\u00edm k zobrazen\u00ed tr\u00e1v\u00edc\u00ed trubice (j\u00edcnu, \u017ealudku, dvan\u00e1ctern\u00edku, tenk\u00e9ho a tlust\u00e9ho st\u0159eva), zobrazen\u00ed \u017elu\u010dov\u00e9ho stromu (ERCP), m\u00e9n\u011b \u010dasto k zobrazen\u00ed ostatn\u00edch dut\u00fdch org\u00e1n\u016f (mo\u010d. m\u011bch\u00fd\u0159e, d\u011blo\u017en\u00ed dutiny), p\u00e1te\u0159n\u00edho kan\u00e1lu \u010di n\u011bkter\u00fdch patologi\u00ed (p\u00ed\u0161t\u011ble&#8230;) apod.<\/p>\n<h5><strong>Kontraindikace vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<ul>\n<li>Gravidita.<\/li>\n<li>Nespolupracuj\u00edc\u00ed pacient.<\/li>\n<\/ul>\n<h5><strong>Jednotliv\u00e1 vy\u0161et\u0159en\u00ed:<\/strong><\/h5>\n<p><strong>Rentgenov\u00e9 vy\u0161et\u0159en\u00ed j\u00edcnu<\/strong> \u2013 ve stoje, bez p\u0159\u00edpravy.<\/p>\n<p><strong>Rentgenov\u00e9 vy\u0161et\u0159en\u00ed \u017ealudku a duodena, tenk\u00e9ho st\u0159eva, pas\u00e1\u017e tr\u00e1vic\u00ed trubic\u00ed<\/strong> \u2013 vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed ve stoje, pacient nesm\u00ed j\u00edst, p\u00edt ani kou\u0159it od p\u016flnoci v den vy\u0161et\u0159en\u00ed. P\u0159ich\u00e1z\u00ed na vy\u0161et\u0159en\u00ed z\u00e1sadn\u011b v dopoledn\u00edch hodin\u00e1ch, kdy\u017e je v \u017ealudku minimum \u017ealude\u010dn\u00edch \u0161\u0165\u00e1v. U pacient\u016f u kter\u00fdch je z\u00fa\u017een pylorus mus\u00ed b\u00fdt obsah \u017ealudku od\u010derp\u00e1n.<\/p>\n<p><strong>Rentgenov\u00e9 vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva \u2013irrigografie<\/strong> \u2013 vy\u0161et\u0159en\u00ed je prov\u00e1d\u011bno vle\u017ee. P\u0159ed vy\u0161et\u0159en\u00edm mus\u00ed b\u00fdt st\u0159evo pacienta vypr\u00e1zdn\u011bno. Vypr\u00e1zdn\u011bn\u00ed se prov\u00e1d\u00ed \u00fapravou stravy a n\u00e1levy nebo pomoc\u00ed medikament\u016f. Strava m\u00e1 b\u00fdt 2-3 dny p\u0159ed vy\u0161et\u0159en\u00edm ka\u0161ovit\u00e1 a bezezbytkov\u00e1. Pacient se dostav\u00ed na vy\u0161et\u0159en\u00ed s rektoskopick\u00fdm n\u00e1lezem \u2013 bez n\u011bj nelze vy\u0161et\u0159en\u00ed prov\u00e9st.<\/p>\n<p><strong>Rentgenov\u00e9 vy\u0161et\u0159en\u00ed<\/strong> \u2013 cholangiografie peropera\u010dn\u00ed nebo T-dr\u00e9nem \u2013 vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed vle\u017ee na opera\u010dn\u00edm s\u00e1le.<\/p>\n<p><strong>Rentgenov\u00e9 vy\u0161et\u0159en\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e<\/strong> \u2013cystografie \u2013 vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno vle\u017ee, ve spolupr\u00e1ci s urologem. Ke zji\u0161t\u011bn\u00ed retence mo\u010di v mo\u010dov\u00e9m m\u011bch\u00fd\u0159i.<\/p>\n<p><strong>Rentgenov\u00e9 vy\u0161et\u0159en\u00ed mik\u010dn\u00ed cystouretrografie<\/strong> \u2013 vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno vle\u017ee. Ve spolupr\u00e1ci s urologem nebo d\u011btsk\u00fdm odd\u011blen\u00edm. Ke zji\u0161t\u011bn\u00ed reflexu v ureterech.<\/p>\n<p><strong>Retrogr\u00e1dn\u00ed pyelografie jednostrann\u00e1<\/strong> \u2013 vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno vle\u017ee. Zobrazen\u00ed dut\u00e9ho syst\u00e9mu ledvin. Vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno ve spolupr\u00e1ci s urologem.<\/p>\n<p><strong>Antegr\u00e1dn\u00ed pyelografie jednostrann\u00e1<\/strong> &#8211; vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno vle\u017ee. Zobrazen\u00ed dut\u00e9ho syst\u00e9mu ledviny perkut\u00e1nn\u00edm vpichem, vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno ve spolupr\u00e1ci s urologem.<\/p>\n<p><strong>Rentgenov\u00e9 vy\u0161et\u0159en\u00ed d\u011blo\u017en\u00ed dutiny a vejcovod\u016f<\/strong> &#8211; Hysterosalpingografie \u2013 vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno vle\u017ee, ve spolupr\u00e1ci s gynekologem. Pacientka p\u0159ich\u00e1z\u00ed vypr\u00e1zdn\u011bn\u00e1, t\u011bsn\u011b p\u0159ed vy\u0161et\u0159en\u00edm se vymo\u010d\u00ed, nerv\u00f3zn\u00ed \u017eeny maj\u00ed b\u00fdt premedikov\u00e1ny. Kontraindikace \u2013 akutn\u00ed z\u00e1n\u011bt, krv\u00e1cen\u00ed, gravidita.<\/p>\n<p><strong>ERCP<\/strong> <strong>\u2013 endoskopick\u00e1 retrogr\u00e1dn\u00ed cholangiopankkreatografie<\/strong> \u2013 vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno vle\u017ee. ERCP je n\u00e1ro\u010dn\u00e9, invazivn\u00ed vy\u0161et\u0159en\u00ed \u017elu\u010dov\u00fdch a pankreatick\u00fdch cest, kter\u00e9 se prov\u00e1d\u00ed endoskopickou cestou pod RTG kontrolou. Je prov\u00e1d\u011bno v\u017edy za hospitalizace. Pacient od p\u016flnoci la\u010dn\u00ed, r\u00e1no si m\u016f\u017ee d\u00e1t dou\u0161ek \u010daje nebo vody, l\u00e9ky p. o. jsou vysazeny. P\u0159ed ERCP vy\u0161et\u0159en\u00edm by nem\u011bl m\u00edt pacient RTG vy\u0161et\u0159en\u00ed tr\u00e1vic\u00edho traktu.<\/p>\n<h5><strong>Objednat \/ informovat se na vy\u0161et\u0159en\u00ed m\u016f\u017eete telefonem na \u010d\u00edsle:\u00a0567 157 602<\/strong><\/h5>\n<h5>P\u0159\u00edstrojov\u00e9 vybaven\u00ed a uk\u00e1zkov\u00e9 sn\u00edmky<\/h5>\n<ul>\n<li>Siemens Artis zee<br \/>\n<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div><\/div><div class=\"simply-gallery-amp pgc_sgb_slider \"><noscript><div class=\"sgb-gallery\"><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/shimadzu_sonialvision_safire_ii_\/\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"265\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/Shimadzu_SONIALVISION_SAFIRE_II_-265x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/Shimadzu_SONIALVISION_SAFIRE_II_-265x300.jpg 265w,\/wp-content\/uploads\/2023\/11\/Shimadzu_SONIALVISION_SAFIRE_II_.jpg 509w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25333\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/OZM_skiaskopie-300x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/OZM_skiaskopie-300x300.jpg 300w,\/wp-content\/uploads\/2023\/11\/OZM_skiaskopie.jpg 595w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25334\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"292\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/ozm3-292x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/ozm3-292x300.jpg 292w,\/wp-content\/uploads\/2023\/11\/ozm3.jpg 571w\" sizes=\"auto, 250px\"\/><\/a><\/div><\/div><\/noscript><\/div><script type=\"application\/json\" 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&& window.PGC_SGB.searcher){window.PGC_SGB.searcher.initBlocks()}})()<\/script><\/div><\/li>\n<\/ul>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-25218\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-25218\"\r\n                data-id=\"post-25218\" \r\n                data-item=\"hfaq-post-25218\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Skiagrafie<\/div><\/div><div id=\"accordion-content-post-25218\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-25218\"\r\n                style=\"background:transparent;\"><p>je z\u00e1kladn\u00ed radiologick\u00e9 vy\u0161et\u0159en\u00ed prov\u00e1d\u011bn\u00e9 v ambulantn\u00edch i l\u016f\u017ekov\u00fdch za\u0159\u00edzen\u00edch indikovan\u00e9 i akutn\u011b. Vych\u00e1z\u00ed z principu rozd\u00edln\u00e9 absorpce a rozptylu rentgenov\u00e9ho z\u00e1\u0159en\u00ed v jednotliv\u00fdch tk\u00e1n\u00edch lidsk\u00e9ho t\u011bla ve sm\u011bru ohnisko &#8211; p\u0159ij\u00edma\u010d obrazu. V\u00fdsledn\u00e9 zobrazen\u00ed pak p\u0159in\u00e1\u0161\u00ed z\u0159etelnou informaci o sledovan\u00fdch struktur\u00e1ch, kter\u00fdmi jsou skelet, m\u011bkk\u00e9 tk\u00e1n\u011b a struktury s n\u00e1pln\u00ed kontrastn\u00ed l\u00e1tky. Skiagrafick\u00fd zobrazovac\u00ed syst\u00e9m umo\u017e\u0148uje dos\u00e1hnout velk\u00e9ho rozli\u0161en\u00ed vysok\u00e9ho kontrastu a velk\u00e9ho prostorov\u00e9ho rozli\u0161en\u00ed u zobrazen\u00ed p\u0159i mo\u017enosti dosa\u017een\u00ed n\u00edzk\u00e9 radia\u010dn\u00ed z\u00e1t\u011b\u017ee pacienta.<\/p>\n<h5><strong>\u00a0Kontraindikace vy\u0161et\u0159en\u00ed:<\/strong><\/h5>\n<ul>\n<li>Gravidita.<\/li>\n<li>Nespolupracuj\u00edc\u00ed pacient.<\/li>\n<\/ul>\n<h5><strong>\u00a0Prov\u00e1d\u011bn\u00e1 vy\u0161et\u0159en\u00ed:<\/strong><\/h5>\n<p>Rentgenov\u00e9 vy\u0161et\u0159en\u00ed prst\u016f a z\u00e1prstn\u00edch k\u016fstek ruky nebo nohy.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed lebky, c\u00edlen\u00e9 sn\u00edmky.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed lebky, p\u0159ehledn\u00e9 sn\u00edmky.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed krku a kr\u010dn\u00ed p\u00e1te\u0159e.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed hrudn\u00ed a bedern\u00ed p\u00e1te\u0159e.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed k\u0159\u00ed\u017eov\u00e9 kosti a SI kloub\u016f.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed p\u00e1nve nebo ky\u010deln\u00edho kloubu.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed ramenn\u00edho kloubu.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed kost\u00ed a klub\u016f kon\u010detin (krom\u011b pa\u017en\u00edho, p\u00e1nevn\u00edho pletence, prst\u016f a z\u00e1prstn\u00edch k\u016fstek ruky nebo nohy).<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed \u017eeber a sterna.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed hrudn\u00edku.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed kloubu-dr\u017een\u00e9 sn\u00edmky.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed kon\u010detin m\u011bkkou sn\u00edmkovac\u00ed technikou.<br \/>\nRentgenov\u00e9 vy\u0161et\u0159en\u00ed b\u0159icha.<\/p>\n<h5><strong>P\u0159\u00edstrojov\u00e9 vybaven\u00ed a uk\u00e1zkov\u00e9 sn\u00edmky:<\/strong><\/h5>\n<ul>\n<li>Siemens Multix Fusion, Siemens Ysio Max a Siemens Ysio X.pree<\/li>\n<\/ul>\n<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div><\/div><div class=\"simply-gallery-amp pgc_sgb_slider \"><noscript><div class=\"sgb-gallery\"><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25351\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"225\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/skiagrafie_-300x225.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/skiagrafie_-300x225.jpg 300w,\/wp-content\/uploads\/2023\/11\/skiagrafie_.jpg 734w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25347\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"168\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/skiagrafie1-168x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/skiagrafie1-168x300.jpg 168w,\/wp-content\/uploads\/2023\/11\/skiagrafie1.jpg 371w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25348\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"194\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/skiagrafie2-194x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/skiagrafie2-194x300.jpg 194w,\/wp-content\/uploads\/2023\/11\/skiagrafie2.jpg 455w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25349\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"239\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/skiagrafie3-239x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/skiagrafie3-239x300.jpg 239w,\/wp-content\/uploads\/2023\/11\/skiagrafie3.jpg 532w\" sizes=\"auto, 250px\"\/><\/a><\/div><\/div><\/noscript><\/div><script type=\"application\/json\" class=\"sgb-data\">{\"collectionColumns\":4,\"thumbHieghtRation\":0.8,\"thumbSpacing\":10,\"thumbMobileSpacing\":10,\"externalLink\":false,\"captions\":false,\"captionHAlign\":\"bottom\",\"collectionthumbHoverTitleFontSize\":16,\"collectionthumbRoundedCorners\":20,\"collectionThumbSubMenuDownload\":false,\"collectionThumbSubMenuShare\":false,\"galleryType\":\"pgc_sgb_grid\",\"galleryId\":\"36328962\",\"images\":[{\"id\":25351,\"title\":\"skiagrafie_\",\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie_.jpg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25351\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":734,\"height\":550,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie_-150x150.jpg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":225,\"width\":300,\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie_-300x225.jpg\",\"orientation\":\"landscape\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie_.jpg\",\"height\":550,\"width\":734,\"orientation\":\"landscape\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"0\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25351\"},{\"id\":25347,\"title\":\"skiagrafie1\",\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie1.jpg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25347\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":371,\"height\":661,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie1-150x150.jpg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":300,\"width\":168,\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie1-168x300.jpg\",\"orientation\":\"portrait\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie1.jpg\",\"height\":661,\"width\":371,\"orientation\":\"portrait\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"0\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25347\"},{\"id\":25348,\"title\":\"skiagrafie2\",\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie2.jpg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25348\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":455,\"height\":703,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie2-150x150.jpg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":300,\"width\":194,\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie2-194x300.jpg\",\"orientation\":\"portrait\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie2.jpg\",\"height\":703,\"width\":455,\"orientation\":\"portrait\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"0\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25348\"},{\"id\":25349,\"title\":\"skiagrafie3\",\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie3.jpg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25349\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":532,\"height\":669,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie3-150x150.jpg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":300,\"width\":239,\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie3-239x300.jpg\",\"orientation\":\"portrait\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/skiagrafie3.jpg\",\"height\":669,\"width\":532,\"orientation\":\"portrait\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"0\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25349\"}],\"itemsMetaDataCollection\":[],\"useClobalSettings\":true,\"shareFacebook\":false,\"shareTwitter\":false,\"sharePinterest\":false,\"sliderItemDownload\":false,\"shareCopyLink\":false,\"sliderItemTitleEnable\":true,\"sliderItemTitleFontSize\":16,\"sliderSlideshow\":false,\"sliderSlideshowDelay\":6,\"sliderSocialShareEnabled\":false,\"TrpContentRestriction\":{\"restriction_type\":\"exclude\",\"selected_languages\":[],\"panel_open\":true}}<\/script><script>(function(){if(window.PGC_SGB && window.PGC_SGB.searcher){window.PGC_SGB.searcher.initBlocks()}})()<\/script><\/div>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-25383\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-25383\"\r\n                data-id=\"post-25383\" \r\n                data-item=\"hfaq-post-25383\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">CT - po\u010d\u00edta\u010dov\u00e1 tomografie<\/div><\/div><div id=\"accordion-content-post-25383\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-25383\"\r\n                style=\"background:transparent;\"><p>Jedn\u00e1 se o za\u0159\u00edzen\u00ed pracuj\u00edc\u00ed s rentgenov\u00fdm z\u00e1\u0159en\u00edm podobn\u011b jako b\u011b\u017en\u00fd RTG p\u0159\u00edstroj, u CT (computed tomography) v\u0161ak rotuje zdroj z\u00e1\u0159en\u00ed &#8211; rentgenka i detek\u010dn\u00ed syst\u00e9m okolo t\u011bla pacienta, kter\u00fd je tak oza\u0159ov\u00e1n postupn\u011b z r\u016fzn\u00fdch \u00fahl\u016f po cel\u00e9m obvodu t\u011bla. Detek\u010dn\u00ed syst\u00e9m pak vyhodnocuje mno\u017estv\u00ed z\u00e1\u0159en\u00ed proch\u00e1zej\u00edc\u00ed t\u011blem pacienta pod r\u016fzn\u00fdmi \u00fahly a z t\u011bchto dat jsou n\u00e1sledn\u011b pomoc\u00ed v\u00fdkonn\u00e9ho po\u010d\u00edta\u010de zrekonstruov\u00e1ny jednotliv\u00e9 scany \u2013 obrazy vrstev t\u011bla zpravidla v axi\u00e1ln\u00ed rovin\u011b.<\/p>\n<p>U klasick\u00e9ho RTG sn\u00edmku je v\u00fdsledkem suma\u010dn\u00ed obraz z cel\u00e9ho t\u011bla, na kter\u00e9m se st\u00edny jednotliv\u00fdch struktur p\u0159ekr\u00fdvaj\u00ed; u CT vy\u0161et\u0159en\u00ed z\u00edsk\u00e1me tenk\u00e9 vrstvy z vy\u0161et\u0159ovan\u00e9 oblasti, bez p\u0159ekr\u00fdv\u00e1n\u00ed jednotliv\u00fdch \u010d\u00e1st\u00ed t\u011bla, lze tedy zobrazit mnohem p\u0159esn\u011bji jednotliv\u00e9 org\u00e1ny, jejich strukturu a patologick\u00e9 stavy.<\/p>\n<h5><strong><a href=\"\/wp-content\/uploads\/2023\/11\/CT.bmp\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-25375 alignnone\" src=\"\/wp-content\/uploads\/2023\/11\/CT.bmp\" alt=\"\" width=\"176\" height=\"224\" \/><\/a><\/strong><\/h5>\n<h5><strong>Indikace k vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Vzhledem k relativn\u011b velk\u00e9 z\u00e1t\u011b\u017ei rtg z\u00e1\u0159en\u00edm je CT indikov\u00e1no jako \u201emetoda druh\u00e9 volby\u201c \u2013 dopl\u0148uj\u00edc\u00ed vy\u0161et\u0159en\u00ed, kter\u00e9 by m\u011blo pomoci objasnit nejasn\u00fd n\u00e1lez ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed nebo klasick\u00e9ho rtg sn\u00edmku a to p\u0159edev\u0161\u00edm u posuzov\u00e1n\u00ed kost\u00ed, plic a st\u0159ev, kde ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed nelze uplatnit. U akutn\u00edch (neodkladn\u00fdch) indikac\u00ed pou\u017e\u00edv\u00e1me CT p\u0159edev\u0161\u00edm pro zobrazov\u00e1n\u00ed hlavy \u2013 mozku p\u0159i c\u00e9vn\u00edch mozkov\u00fdch p\u0159\u00edhod\u00e1ch a \u00farazech hlavy, proto\u017ee velmi dob\u0159e zobraz\u00ed nitrolebn\u00ed krv\u00e1cen\u00ed. Velmi spolehliv\u011b zobraz\u00ed i traumatick\u00e9 zm\u011bny org\u00e1n\u016f hrudn\u00edku, b\u0159icha, p\u00e1nve i zlomeniny kost\u00ed. Dal\u0161\u00ed velmi d\u016fle\u017eitou akutn\u00ed indikac\u00ed CT vy\u0161et\u0159en\u00ed je podez\u0159en\u00ed na posti\u017een\u00ed aorty (srde\u010dnice), jako je v\u00fddu\u0165 nebo dissekce (odtr\u017een\u00ed v\u00fdstelky) aorty. V dan\u00e9m p\u0159\u00edpad\u011b se prov\u00e1d\u00ed CT angiografie (vy\u0161et\u0159en\u00ed c\u00e9v pomoc\u00ed CT), hlavn\u011b pro zobrazen\u00ed velk\u00fdch tepen (aorty, ren\u00e1ln\u00ed tepny, p\u00e1nevn\u00ed tepny, karotidy) a tak\u00e9 pro zobrazen\u00ed mozkov\u00fdch tepen (circulus arteriosus Willisi). V n\u011bkter\u00fdch p\u0159\u00edpadech m\u016f\u017ee zcela nahradit klasick\u00e9 angiografick\u00e9 vy\u0161et\u0159en\u00ed.<\/p>\n<h5><strong><a href=\"\/wp-content\/uploads\/2023\/11\/CT5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25380\" src=\"\/wp-content\/uploads\/2023\/11\/CT5.jpg\" alt=\"\" width=\"183\" height=\"220\" srcset=\"\/wp-content\/uploads\/2023\/11\/CT5.jpg 675w, \/wp-content\/uploads\/2023\/11\/CT5-250x300.jpg 250w, \/wp-content\/uploads\/2023\/11\/CT5-10x12.jpg 10w, \/wp-content\/uploads\/2023\/11\/CT5-580x697.jpg 580w\" sizes=\"auto, (max-width: 183px) 100vw, 183px\" \/><\/a><\/strong><\/h5>\n<h5><strong>Kontraindikace vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>P\u0159ed vy\u0161et\u0159en\u00edm je nutno c\u00edlen\u011b p\u00e1trat a vylou\u010dit \u010di potvrdit p\u0159\u00edtomnost kontraindikac\u00ed. Ka\u017ed\u00fd pacient je o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em pou\u010den o rizic\u00edch nitro\u017eiln\u00edho pod\u00e1n\u00ed kontrastn\u00ed l\u00e1tky a v p\u0159\u00edpad\u011b jej\u00edho p\u0159edpokl\u00e1dan\u00e9ho pod\u00e1n\u00ed b\u011bhem CT vy\u0161et\u0159en\u00ed si o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 vy\u017e\u00e1d\u00e1 a spolupodep\u00ed\u0161e pacient\u016fv p\u00edsemn\u00fd informovan\u00fd souhlas s jej\u00edm nitro\u017eiln\u00edm pod\u00e1n\u00edm.<\/p>\n<p>P\u0159i relativn\u00edch kontraindikac\u00edch je nutno zv\u00e1\u017eit pom\u011br rizika a zisku vy\u0161et\u0159en\u00ed.<\/p>\n<h5><strong>Nativn\u00ed vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Gravidita &#8211; pouze ve v\u00e1\u017en\u00e9m ohro\u017een\u00ed \u017eivota.<\/p>\n<h5><strong>Vy\u0161et\u0159en\u00ed s kontrastn\u00ed l\u00e1tkou<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed nesm\u00ed b\u00fdt provedeno u pacient\u016f alergick\u00fdch na jodov\u00e9 kontrastn\u00ed l\u00e1tky.<\/p>\n<p>V n\u00ed\u017ee uveden\u00fdch p\u0159\u00edpadech m\u016f\u017ee b\u00fdt kontrastn\u00ed CT vy\u0161et\u0159en\u00ed provedeno pouze v mimo\u0159\u00e1dn\u00fdch p\u0159\u00edpadech (vit\u00e1ln\u00ed indikace \u2013 vy\u0161et\u0159en\u00ed je nutno prov\u00e9st pro z\u00e1chranu \u017eivota pacienta) a za mimo\u0159\u00e1dn\u00fdch opat\u0159en\u00ed specifick\u00fdch pro dan\u00fd p\u0159\u00edpad (d\u016fkladn\u00e1 a roz\u0161\u00ed\u0159en\u00e1 antialergick\u00e1 p\u0159\u00edprava, asistence anesteziologick\u00e9ho t\u00fdmu, zaji\u0161t\u011bn\u00ed hemodial\u00fdzy, nutn\u00e1 hospitalizace atd.):<\/p>\n<p>\u2022 gravidita,<br \/>\n\u2022 jatern\u00ed a ledvinov\u00e1 insuficience, n\u00e1sledn\u011b nutn\u00e1 dial\u00fdza,<br \/>\n\u2022 hypertyre\u00f3za (zv\u00fd\u0161en\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy),<br \/>\n\u2022 feochromocytom (n\u00e1dor produkuj\u00edc\u00ed katecholaminy),<br \/>\n\u2022 nespolupracuj\u00edc\u00ed pacient.<\/p>\n<h5><strong>Rizika vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>CT p\u0159\u00edstroj vyu\u017e\u00edv\u00e1 rentgenov\u00e9 z\u00e1\u0159en\u00ed, a proto doch\u00e1z\u00ed k jist\u00e9 radia\u010dn\u00ed z\u00e1t\u011b\u017ei pacienta viz. sekce &#8222;Ionizuj\u00edc\u00ed z\u00e1\u0159en\u00ed&#8220;.<\/p>\n<p>Pod\u00e1n\u00ed kontrastn\u00ed l\u00e1tky (nitro\u017eiln\u011b pop\u0159. peror\u00e1ln\u011b) &#8211; m\u016f\u017ee m\u00edt ne\u017e\u00e1douc\u00ed \u00fa\u010dinky: n\u00e1valy horka, pocen\u00ed, nevolnost, zarudnut\u00ed, sv\u011bd\u011bn\u00ed, vyr\u00e1\u017eka a ve zcela v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech se m\u016f\u017ee objevit i t\u011b\u017ek\u00e1 alergick\u00e1 reakce charakteru anafylaktick\u00e9ho \u0161oku, vy\u017eaduj\u00edc\u00ed l\u00e9ka\u0159skou p\u00e9\u010di a zcela v\u00fdjime\u010dn\u011b i hospitalizaci pacienta.<\/p>\n<p><strong>Objednat \/ informovat se na vy\u0161et\u0159en\u00ed m\u016f\u017eete telefonem na \u010d\u00edsle:\u00a0567 157 561<\/strong><\/p>\n<h5><strong>P\u0159\u00edstrojov\u00e9 vybaven\u00ed a uk\u00e1zkov\u00e9 sn\u00edmky:<\/strong><\/h5>\n<ul>\n<li>CT Siemens SOMATOM DEFINITION AS+ 128CT p\u0159\u00edstroj Somatom Definition AS+ zna\u010dky Siemens umo\u017e\u0148uje sou\u010dasn\u00e9 sn\u00edm\u00e1n\u00ed 128 vrstev na jednu oto\u010dku rentgenky. V\u00fdjime\u010dn\u00e9 prostorov\u00e9 rozli\u0161en\u00ed nab\u00edz\u00ed zobrazen\u00ed tk\u00e1\u0148ov\u00fdch struktur od velikosti 0,24 mm, rozsah sn\u00edm\u00e1n\u00ed obrazu 200 cm v kombinaci s t\u00edmto rozli\u0161en\u00edm zase umo\u017e\u0148uje vy\u0161et\u0159en\u00ed cel\u00e9ho t\u011bla pacienta b\u011bhem 10 vte\u0159in. To je obzvl\u00e1\u0161\u0165 d\u016fle\u017eit\u00e9 p\u0159i vy\u0161et\u0159en\u00ed pacient\u016f s t\u011b\u017ek\u00fdmi \u00farazy, v bezv\u011bdom\u00ed nebo u nespolupracuj\u00edc\u00edch pacient\u016f. Tyto v\u00fdjime\u010dn\u00e9 parametry jsou vyu\u017eiteln\u00e9 zejm\u00e9na v traumatologii, kdy se jedn\u00e1 o co nejrychlej\u0161\u00ed stanoven\u00ed diagn\u00f3zy, a v kardiologii, kde umo\u017e\u0148uj\u00ed vy\u0161et\u0159en\u00ed funkce srdce a hodnocen\u00ed koron\u00e1rn\u00edch tepen v\u010detn\u011b anal\u00fdzy kalcifikac\u00ed v jejich st\u011bn\u00e1ch.Rychlost a kvalita obraz\u016f je v\u00fdhodn\u00e1 pro kvalitativn\u00ed vaskul\u00e1rn\u00ed diagnostiku a pl\u00e1nov\u00e1n\u00ed interven\u010dn\u00edch z\u00e1krok\u016f na c\u00e9v\u00e1ch. Pln\u011b automatick\u00e1 funkce objemov\u00e9ho zobrazen\u00ed (3D) usnad\u0148uje vyhodnocen\u00ed prokrven\u00ed mozku. Sn\u00edmky z tohoto p\u0159\u00edstroje jsou generov\u00e1ny ve form\u00e1tu DICOM, co\u017e umo\u017e\u0148uje jejich okam\u017eit\u00e9 p\u0159ed\u00e1n\u00ed do syst\u00e9mu PACS a prohl\u00ed\u017een\u00ed odeslan\u00fdch CT obraz\u016f na klinick\u00fdch pracovi\u0161t\u00edch.<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div><\/div><div class=\"simply-gallery-amp pgc_sgb_slider \"><noscript><div class=\"sgb-gallery\"><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/ct6\/\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"300\" loading=\"lazy\" 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&& window.PGC_SGB.searcher){window.PGC_SGB.searcher.initBlocks()}})()<\/script><\/div><\/li>\n<\/ul>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-25465\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-25465\"\r\n                data-id=\"post-25465\" \r\n                data-item=\"hfaq-post-25465\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Angiografie a interven\u010dn\u00ed radiologie<\/div><\/div><div id=\"accordion-content-post-25465\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-25465\"\r\n                style=\"background:transparent;\"><h5><strong>Co je Angiografie?<\/strong><\/h5>\n<p>Angiografie je vy\u0161et\u0159en\u00ed, je\u017e se prov\u00e1d\u00ed pomoc\u00ed RTG z\u00e1\u0159en\u00ed a kontrastn\u00ed l\u00e1tky, kter\u00e1 se vst\u0159ikuje do c\u00e9vy. Vy\u0161et\u0159en\u00ed\u00a0 vyu\u017e\u00edv\u00e1me zejm\u00e9na k zobrazen\u00ed tepen. Klasick\u00fdm po\u017eadavkem je vy\u0161et\u0159en\u00ed tepenn\u00e9ho syst\u00e9mu doln\u00edch kon\u010detin p\u0159i podez\u0159en\u00ed na ischemickou chorobu doln\u00edch kon\u010detin. Krom\u011b toho lze zjistit z\u00fa\u017een\u00ed ledvinn\u00fdch tepen \u010di z\u00fa\u017een\u00ed krkavic (kr\u010dn\u00ed tepny). Tato metoda vy\u0161et\u0159en\u00ed c\u00e9vn\u00edho z\u00e1soben\u00ed je pomalu vytla\u010dov\u00e1na CT angiografi\u00ed a MR angiografi\u00ed u nich\u017e v\u0161ak nen\u00ed mo\u017en\u00e9 sou\u010dasn\u011b prov\u00e9st terapeutick\u00fd z\u00e1krok &#8211; angioplastika (rozta\u017een\u00ed c\u00e9vy balonkem) nebo zaveden\u00ed v\u00fdztuhy v podob\u011b kovov\u00e9 trubi\u010dky (stent).<\/p>\n<h5><strong>Pr\u016fb\u011bh vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed vle\u017ee p\u0159i m\u00edstn\u00edm znecitliv\u011bn\u00ed. Pacient le\u017e\u00ed na vy\u0161et\u0159ovac\u00edm stole v angiografick\u00e9m s\u00e1le. L\u00e9ka\u0159 znecitliv\u00ed m\u00edsto vpichu nap\u0159. t\u0159\u00edslo (eventu\u00e1ln\u011b jin\u00e9 vstupn\u00ed m\u00edsto) a provede punkci stehenn\u00ed tepny (nebo jinou tepnu dle vstupn\u00edho m\u00edsta). Do tepny zasune pomoc\u00ed vodi\u010de tenkou plastovou trubi\u010dku a skrz n\u00ed pak vypust\u00ed kontrastn\u00ed l\u00e1tku. U vy\u0161et\u0159ovac\u00edho stolu je k dispozici rentgenov\u00fd p\u0159\u00edstroj, na jeho\u017e obrazovce l\u00e9ka\u0159 vid\u00ed v re\u00e1ln\u00e9m \u010dase pr\u016ftok kontrastn\u00ed l\u00e1tky tepnami a najde tak na c\u00e9v\u00e1ch patologicky posti\u017een\u00e1 m\u00edsta. Vy\u0161et\u0159en\u00ed trv\u00e1 v celkov\u011b pr\u016fm\u011bru kolem jedn\u00e9 hodiny, v\u010detn\u011b p\u0159\u00edpadn\u00e9ho terapeutick\u00e9ho v\u00fdkonu. Rentgenov\u00e9 sn\u00edmky jsou ulo\u017eeny do po\u010d\u00edta\u010de a l\u00e9ka\u0159 se na n\u011b m\u016f\u017ee pod\u00edvat i kdykoliv pozd\u011bji.<\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/11\/angio.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25462\" src=\"\/wp-content\/uploads\/2023\/11\/angio.jpg\" alt=\"\" width=\"619\" height=\"161\" srcset=\"\/wp-content\/uploads\/2023\/11\/angio.jpg 700w, \/wp-content\/uploads\/2023\/11\/angio-300x78.jpg 300w, \/wp-content\/uploads\/2023\/11\/angio-18x5.jpg 18w, \/wp-content\/uploads\/2023\/11\/angio-580x151.jpg 580w\" sizes=\"auto, (max-width: 619px) 100vw, 619px\" \/><\/a><\/p>\n<p>V p\u0159\u00edpad\u011b n\u00e1lezu z\u00fa\u017een\u00e9ho m\u00edsta ho m\u016f\u017ee l\u00e9ka\u0159 roz\u0161\u00ed\u0159it pomoc\u00ed drobn\u00e9ho balonku, kter\u00fd zavede do ur\u010den\u00e9ho m\u00edsta p\u0159es tenk\u00fd dr\u00e1tek (vodi\u010d) v c\u00e9v\u011b. Krom\u011b toho lze do z\u00fa\u017een\u00ed zav\u00e9st v\u00fdztuhu v podob\u011b kovov\u00e9 trubi\u010dky (stent), kter\u00e1 z\u00fa\u017een\u00e9 m\u00edsto vyztu\u017e\u00ed.<\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/11\/angio3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25463\" src=\"\/wp-content\/uploads\/2023\/11\/angio3.jpg\" alt=\"\" width=\"620\" height=\"208\" srcset=\"\/wp-content\/uploads\/2023\/11\/angio3.jpg 700w, \/wp-content\/uploads\/2023\/11\/angio3-300x101.jpg 300w, \/wp-content\/uploads\/2023\/11\/angio3-18x6.jpg 18w, \/wp-content\/uploads\/2023\/11\/angio3-580x195.jpg 580w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><\/a><\/p>\n<p>Po ukon\u010den\u00ed vy\u0161et\u0159en\u00ed se m\u00edsto vpichu p\u0159ekryje pevn\u00fdm obvazem (band\u00e1\u017e) a tlakov\u00fdm obvazem nebo se m\u00edsto vpichu do c\u00e9vy uzav\u0159e speci\u00e1ln\u00ed c\u00e9vn\u00ed z\u00e1platou, kter\u00e1 se pozd\u011bji sama vst\u0159eb\u00e1. Pacient mus\u00ed 8 hodin po z\u00e1kroku v klidu le\u017eet a nevst\u00e1vat z l\u016f\u017eka. Tlakov\u00fd obvaz se obvykle odstra\u0148uje po 8-12 hodin\u00e1ch.<\/p>\n<h5><strong>Kontraindikace vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Stejn\u011b jako u jin\u00fdch vy\u0161et\u0159en\u00ed kde je pacientovi pod\u00e1na kontrastn\u00ed l\u00e1tka se m\u016f\u017ee projevit alergick\u00e1 reakce. Kontrastn\u00ed l\u00e1tka tak\u00e9 p\u0159edstavuje z\u00e1t\u011b\u017e pro ledviny a m\u016f\u017ee je po\u0161kodit. Z tohoto d\u016fvodu je nutn\u00e9 po angiografii dodr\u017eet pitn\u00fd re\u017eim nebo lze vyu\u017e\u00edt nitro\u017eiln\u00ed infuze.<br \/>\nTyreotoxik\u00f3za &#8211; zv\u00fd\u0161en\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/p>\n<h5><strong>V\u00fdhody vy\u0161et\u0159en\u00ed (z\u00e1kroku)<\/strong><\/h5>\n<p>&#8211; Kvalitn\u00ed zobrazen\u00ed prakticky v\u0161ech c\u00e9v v lidsk\u00e9m t\u011ble.<br \/>\n&#8211; Mo\u017enost p\u0159\u00edm\u00e9ho terapeutick\u00e9ho z\u00e1kroku u n\u011bkter\u00fdch tepen \u010di \u017eil v lidsk\u00e9m t\u011ble pouh\u00fdm vpichem (miniinvazivn\u00ed v\u00fdkon) bez nutnosti opera\u010dn\u00edho v\u00fdkonu.<\/p>\n<h5><strong>Nev\u00fdhody a mo\u017en\u00e9 komplikace vy\u0161et\u0159en\u00ed (z\u00e1kroku)<\/strong><\/h5>\n<p>P\u0159\u00edstroj, na kter\u00e9m se prov\u00e1d\u00ed angiografick\u00e9 vy\u0161et\u0159en\u00ed, pracuje s rentgenov\u00fdm ionizuj\u00edc\u00edm z\u00e1\u0159en\u00edm v d\u016fsledku \u010deho\u017e vznik\u00e1 radia\u010dn\u00ed z\u00e1t\u011b\u017e pacienta, proto je nutn\u00e9 indikovat toto vy\u0161et\u0159en\u00ed s ohledem na\u00a0 velikost t\u00e9to z\u00e1t\u011b\u017ee a diagnostickou a terapeutickou v\u00fdt\u011b\u017enost.<\/p>\n<p>V m\u00edst\u011b vpichu se m\u016f\u017ee vytvo\u0159it hematom (mod\u0159ina) proto je nutn\u00e9 dodr\u017eet klidov\u00fd re\u017eim na l\u016f\u017eku v rozmez\u00ed 6 a\u017e 24 hodin, d\u00e1le m\u016f\u017ee doj\u00edt ke krv\u00e1cen\u00ed v okol\u00ed vpichu, eventu\u00e1ln\u011b i tromb\u00f3zy c\u00e9vy. Tyto komplikace se \u0159e\u0161\u00ed konzervativn\u011b nebo chirurgicky podle jejich rozsahu a povahy.<\/p>\n<h5><span style=\"font-size: 14px\"><strong>Mo\u017en\u00e9 komplikace:<\/strong><\/span><\/h5>\n<ul>\n<li>Rozru\u0161en\u00ed a uvoln\u011bn\u00ed aterosklerotick\u00e9ho pl\u00e1tu s n\u00e1sledn\u00fdm vmetkem do c\u00e9vn\u00edho \u0159e\u010di\u0161t\u011b.<\/li>\n<li>Ruptura aneurysmatu v pr\u016fb\u011bhu v\u00fdkonu s krv\u00e1cen\u00edm.<\/li>\n<\/ul>\n<h5><strong>Extravaskul\u00e1rn\u00ed v\u00fdkony<\/strong><\/h5>\n<p>Mezi extravaskul\u00e1rn\u00ed interven\u010dn\u00ed v\u00fdkony prov\u00e1d\u011bn\u00e9 na na\u0161em odd\u011blen\u00ed pat\u0159\u00ed p\u0159edev\u0161\u00edm punkce a dren\u00e1\u017ee patologick\u00fdch tekutinov\u00fdch z\u00e1n\u011btliv\u00fdch kolekc\u00ed v dutin\u011b b\u0159i\u0161n\u00ed, dutin\u011b hrudn\u00ed, v retroperitoneu \u010di p\u00e1nvi. Diagnostick\u00e9 biopsie patologick\u00fdch lo\u017eisek v r\u016fzn\u00fdch org\u00e1nech.<\/p>\n<p>D\u00e1le se na na\u0161em \u00a0pracovi\u0161ti prov\u00e1d\u00ed <strong>vertebroplastika<\/strong> a<strong> kyfoplastika<\/strong>.<\/p>\n<p><strong>Objednat \/ informovat se na vy\u0161et\u0159en\u00ed m\u016f\u017eete telefonem na \u010d\u00edsle:\u00a0567 157 645<\/strong><\/p>\n<h5><strong>P\u0159\u00edstrojov\u00e9 vybaven\u00ed:<\/strong><\/h5>\n<ul>\n<li>Siemens Artis Zee Ceiling<\/li>\n<\/ul>\n<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div><\/div><div class=\"simply-gallery-amp pgc_sgb_slider \"><noscript><div class=\"sgb-gallery\"><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25470\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"236\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1-236x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1-236x300.jpg 236w,\/wp-content\/uploads\/2023\/11\/angio_pristroj1.jpg 734w\" sizes=\"auto, 250px\"\/><\/a><\/div><\/div><\/noscript><\/div><script type=\"application\/json\" class=\"sgb-data\">{\"collectionColumns\":4,\"thumbHieghtRation\":0.8,\"thumbSpacing\":10,\"thumbMobileSpacing\":10,\"externalLink\":false,\"captions\":false,\"captionHAlign\":\"bottom\",\"collectionthumbHoverTitleFontSize\":16,\"collectionthumbRoundedCorners\":20,\"collectionThumbSubMenuDownload\":false,\"collectionThumbSubMenuShare\":false,\"galleryType\":\"pgc_sgb_grid\",\"galleryId\":\"36328962\",\"images\":[{\"id\":25470,\"title\":\"angio_pristroj1\",\"url\":\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1.jpg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25470\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":734,\"height\":934,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1-150x150.jpg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":300,\"width\":236,\"url\":\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1-236x300.jpg\",\"orientation\":\"portrait\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1.jpg\",\"height\":934,\"width\":734,\"orientation\":\"portrait\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"1\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25470\"}],\"itemsMetaDataCollection\":[],\"useClobalSettings\":true,\"shareFacebook\":false,\"shareTwitter\":false,\"sharePinterest\":false,\"sliderItemDownload\":false,\"shareCopyLink\":false,\"sliderItemTitleEnable\":true,\"sliderItemTitleFontSize\":16,\"sliderSlideshow\":false,\"sliderSlideshowDelay\":6,\"sliderSocialShareEnabled\":false,\"TrpContentRestriction\":{\"restriction_type\":\"exclude\",\"selected_languages\":[],\"panel_open\":true}}<\/script><script>(function(){if(window.PGC_SGB && window.PGC_SGB.searcher){window.PGC_SGB.searcher.initBlocks()}})()<\/script><\/div>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-25493\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-25493\"\r\n                data-id=\"post-25493\" \r\n                data-item=\"hfaq-post-25493\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Ultrazvuk<\/div><\/div><div id=\"accordion-content-post-25493\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-25493\"\r\n                style=\"background:transparent;\"><p>Jedn\u00e1 se o bezbolestn\u00e9 neinvazivn\u00ed vy\u0161et\u0159en\u00ed, p\u0159i kter\u00e9m jsou vyu\u017e\u00edv\u00e1ny vysokofrekven\u010dn\u00ed zvukov\u00e9 vlny (nikoliv ionizuj\u00edc\u00ed rentgenov\u00e9 z\u00e1\u0159en\u00ed) k zobrazen\u00ed tk\u00e1n\u00ed lidsk\u00e9ho t\u011bla, a pomoc\u00ed kter\u00e9ho l\u00e9ka\u0159 m\u016f\u017ee ur\u010dit diagn\u00f3zu a navrhnout dal\u0161\u00ed l\u00e9\u010dbu. Ultrazvukov\u00e9 vlny proch\u00e1zej\u00ed t\u011blem a odr\u00e1\u017eej\u00ed se od jednotliv\u00fdch org\u00e1n\u016f, resp. od p\u0159echod\u016f mezi tk\u00e1n\u011bmi s r\u016fznou akustickou impedanc\u00ed. Nev\u00fdhodou je neschopnost ultrazvuku proj\u00edt skrze kost a vzduch, proto je nemo\u017en\u00e9 vy\u0161et\u0159ovat nap\u0159. pl\u00edce nebo smy\u010dky na st\u0159evech. P\u0159i vy\u0161et\u0159en\u00ed je nutn\u00e9 vyvinout dostate\u010dn\u00fd tlak na m\u011b\u0159\u00edc\u00ed sondu kv\u016fli dobr\u00e9mu kontaktu s t\u011blem pacienta, co\u017e m\u016f\u017ee b\u00fdt nep\u0159\u00edjemn\u00e9, proto se tak\u00e9 povrch sondy pokr\u00fdv\u00e1 gelem (EKG kr\u00e9m), aby se zamezilo vzduchov\u00fdm mezer\u00e1m mezi sondou a t\u011blem vy\u0161et\u0159ovan\u00e9ho. Proto\u017ee jsou p\u0159i ultrazvukov\u00e9m vy\u0161et\u0159en\u00ed tk\u00e1n\u011b zobrazov\u00e1ny v re\u00e1ln\u00e9m \u010dase, je mo\u017en\u00e9 zachytit strukturu a pohyb jednotliv\u00fdch org\u00e1n\u016f, stejn\u011b jako toky krve v c\u00e9v\u00e1ch.<\/p>\n<p>Pro m\u011b\u0159en\u00ed tok\u016f krve se vyu\u017e\u00edv\u00e1 Dopplerova jevu popsan\u00e9ho v roce 1842. P\u0159i dopplerovsk\u00e9m\u00a0 m\u011b\u0159en\u00ed (\u201cbarevn\u00fd doppler\u201d) je relativn\u00ed pohyb krve v\u016f\u010di sond\u011b vys\u00edlaj\u00edc\u00ed ultrazvuk zobrazov\u00e1n pomoc\u00ed r\u016fznobarevn\u00fdch pol\u00ed uvnit\u0159 \u0159ez\u016f c\u00e9vami \u010di srdcem. Je tedy mo\u017en\u00e9 zjistit p\u0159\u00edpadn\u00e9 z\u00fa\u017een\u00ed \u010di uz\u00e1v\u011br c\u00e9v, nebo nap\u0159. s\u00ed\u0148ov\u00fd defekt srdce.<\/p>\n<h5>\u0160kodliv\u00e9 \u00fa\u010dinky vy\u0161et\u0159en\u00ed?<\/h5>\n<p>Za dobu pou\u017e\u00edv\u00e1n\u00ed ultrazvuku v medic\u00edn\u011b nebyly prok\u00e1z\u00e1ny \u017e\u00e1dn\u00e9 ne\u017e\u00e1douc\u00ed vedlej\u0161\u00ed \u00fa\u010dinky, nicm\u00e9n\u011b vy\u0161et\u0159en\u00ed je t\u0159eba pou\u017e\u00edvat pouze v jasn\u00fdch indikac\u00edch, na technicky vyhovuj\u00edc\u00edch p\u0159\u00edstroj\u00edch, a prov\u00e1d\u011bt by ho m\u011bl v\u017edy erudovan\u00fd l\u00e9ka\u0159.<\/p>\n<h5>Indikace k ultrazvukov\u00e9mu vy\u0161et\u0159en\u00ed<\/h5>\n<p>Vy\u0161et\u0159en\u00ed je prov\u00e1d\u011bno k posouzen\u00ed morfologick\u00e9ho n\u00e1lezu v z\u00e1jmov\u00e9 oblasti. P\u0159edev\u0161\u00edm se jedn\u00e1 o posouzen\u00ed org\u00e1n\u016f v dutin\u011b b\u0159i\u0161n\u00ed, v m\u011bkk\u00fdch tk\u00e1n\u00edch krku (\u0161t\u00edtn\u00e1 \u017el\u00e1za) i jinde na t\u011ble. P\u0159i vyu\u017eit\u00ed Dopplerovsk\u00e9ho modu je mo\u017en\u00e9 hodnotit pr\u016fchodnost c\u00e9v a pln\u011bn\u00ed srde\u010dn\u00edch odd\u00edl\u016f. Jak ji\u017e bylo zm\u00edn\u011bno v\u00fd\u0161e nen\u00ed mo\u017en\u00e9 vy\u0161et\u0159ovat kostn\u00ed tk\u00e1\u0148 a org\u00e1ny napln\u011bn\u00e9 vzduchem (plicn\u00ed parenchym).<\/p>\n<h5><strong>Sn\u00ed\u017een\u00e1 v\u00fdt\u011b\u017enost ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<ul>\n<li>Nespolupracuj\u00edc\u00ed pacient.<\/li>\n<li>Obezita.<\/li>\n<li>Plynatost.<\/li>\n<li>Nep\u0159\u00edzniv\u00e9 anatomick\u00e9 pom\u011bry.<\/li>\n<li>Kalcifikace.<\/li>\n<\/ul>\n<h5><strong>Objedn\u00e1n\u00ed k vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed objedn\u00e1v\u00e1 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 jak pro hospitalizovan\u00e9 tak i pro ambulantn\u00ed pacienty. Stejn\u011b jako u jin\u00fdch vy\u0161et\u0159en\u00ed jsou up\u0159ednost\u0148ov\u00e1ni pacienti v z\u00e1va\u017en\u00e9m klinick\u00e9m stavu.<\/p>\n<h5>P\u0159\u00edprava pacienta<\/h5>\n<p>Vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno vle\u017ee (na z\u00e1dech nebo boku).<\/p>\n<p>UZ b\u0159i\u0161n\u00edch org\u00e1n\u016f \u2013 k tomuto vy\u0161et\u0159en\u00ed se pacient dostav\u00ed nala\u010dno (mimo akutn\u00edch p\u0159\u00edpad\u016f).<br \/>\nUZ mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e s residuem \u2013 zde je nutn\u00e9 aby m\u011bl pacient napln\u011bn\u00fd mo\u010dov\u00fd m\u011bch\u00fd\u0159, je vhodn\u00e9 cca 1 hodinu p\u0159ed \u00a0vy\u0161et\u0159en\u00edm\u00a0 vyp\u00edt\u00a0\u00a00,5 &#8211; 1 litr tekutiny.<br \/>\nUZ ostatn\u00edch org\u00e1n\u016f \u2013 bez p\u0159\u00edpravy.<\/p>\n<p><strong>Objednat \/ informovat se na vy\u0161et\u0159en\u00ed m\u016f\u017eete telefonem na \u010d\u00edsle: 567 157 602.<\/strong><\/p>\n<h5><strong>P\u0159\u00edstrojov\u00e9 vybaven\u00ed a uk\u00e1zkov\u00e9 sn\u00edmky:<\/strong><\/h5>\n<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div><\/div><div class=\"simply-gallery-amp pgc_sgb_slider \"><noscript><div class=\"sgb-gallery\"><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25480\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"220\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/ultraz-300x220.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/ultraz-300x220.jpg 300w,\/wp-content\/uploads\/2023\/11\/ultraz.jpg 734w\" sizes=\"auto, 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&& window.PGC_SGB.searcher){window.PGC_SGB.searcher.initBlocks()}})()<\/script><\/div>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-25513\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-25513\"\r\n                data-id=\"post-25513\" \r\n                data-item=\"hfaq-post-25513\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">\u00dasek MRI - magnetick\u00e1 rezonance<\/div><\/div><div id=\"accordion-content-post-25513\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-25513\"\r\n                style=\"background:transparent;\"><h5><strong>Charakteristika a princip metody<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed pomoc\u00ed magnetick\u00e9 rezonance (MR) pat\u0159\u00ed mezi modern\u00ed zobrazovac\u00ed metody. Vynik\u00e1 p\u0159edev\u0161\u00edm vynikaj\u00edc\u00edm kontrastn\u00edm rozli\u0161en\u00edm jednotliv\u00fdch tk\u00e1n\u00ed, tj. schopnost\u00ed odli\u0161it od sebe i tk\u00e1n\u011b s velmi obdobnou strukturou. V praxi to znamen\u00e1 nejen nap\u0159\u00edklad vynikaj\u00edc\u00ed odli\u0161en\u00ed b\u00edl\u00e9 a \u0161ed\u00e9 hmoty mozkov\u00e9, ale (a to je d\u016fle\u017eit\u011bj\u0161\u00ed) rozli\u0161en\u00ed norm\u00e1ln\u00ed tk\u00e1n\u011b od tk\u00e1n\u011b posti\u017een\u00e9 chorobn\u00fdm procesem. V tomto ohledu m\u00e1 magnetick\u00e1 rezonance v\u00fdsadn\u00ed postaven\u00ed mezi v\u0161emi zobrazovac\u00edmi metodami.<br \/>\nPrincip MR je odli\u0161n\u00fd od ostatn\u00edch zobrazovac\u00edch metod. Vyu\u017e\u00edv\u00e1 toti\u017e specifick\u00fdch fyzik\u00e1ln\u00edch vlastnost\u00ed jader atom\u016f vod\u00edku. Vod\u00edkov\u00e1 j\u00e1dra, vystaven\u00e1 siln\u00e9mu magnetick\u00e9mu poli, jsou zdrojem radiofrekven\u010dn\u00edho vln\u011bn\u00ed. Toto vln\u011bn\u00ed (mimo jin\u00e9 velmi podobn\u00e9 vln\u011bn\u00ed pou\u017e\u00edvan\u00e9mu pro p\u0159enos r\u00e1diov\u00e9ho sign\u00e1lu v p\u00e1smu VKV), je zachycov\u00e1no syst\u00e9mem p\u0159ij\u00edmac\u00edch c\u00edvek (ant\u00e9n).<br \/>\nD\u016fle\u017eit\u00e9 je zm\u00ednit, \u017ee dosud nebyly prok\u00e1z\u00e1ny \u017e\u00e1dn\u00e9 \u0161kodliv\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky magnetick\u00e9 rezonance na lidsk\u00fd organizmus, lze ji\u017e od 4. m\u011bs\u00edce t\u011bhotenstv\u00ed!<br \/>\nCena 1 vy\u0161et\u0159en\u00ed se v \u010cR v sou\u010dasn\u00e9 dob\u011b pohybuje kolem 7 000 K\u010d.<\/p>\n<h5><strong><a href=\"\/wp-content\/uploads\/2023\/11\/mri.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25524\" src=\"\/wp-content\/uploads\/2023\/11\/mri.jpg\" alt=\"princip metody\" width=\"147\" height=\"265\" srcset=\"\/wp-content\/uploads\/2023\/11\/mri.jpg 189w, \/wp-content\/uploads\/2023\/11\/mri-166x300.jpg 166w, \/wp-content\/uploads\/2023\/11\/mri-7x12.jpg 7w\" sizes=\"auto, (max-width: 147px) 100vw, 147px\" \/><\/a><\/strong><\/h5>\n<h5><strong>Vy\u0161et\u0159ovac\u00ed postup<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed za\u010d\u00edn\u00e1 ulo\u017een\u00edm pacienta na vy\u0161et\u0159ovac\u00ed st\u016fl. P\u0159\u00edstroje se d\u011bl\u00ed na tzv. uzav\u0159en\u00e9 a otev\u0159en\u00e9. U prvn\u011b jmenovan\u00fdch je pacient ulo\u017een v relativn\u011b st\u00edsn\u011bn\u00e9m prostoru, co\u017e m\u016f\u017ee b\u00fdt nep\u0159\u00edjemn\u00e9, zvl\u00e1\u0161t\u011b u nemocn\u00fdch s klaustrofobi\u00ed. V\u00fdhodou je v\u0161ak mo\u017enost zhotoven\u00ed kvalitn\u011bj\u0161\u00edch obraz\u016f za krat\u0161\u00ed dobu, nebo\u0165 tyto p\u0159\u00edstroje disponuj\u00ed siln\u011bj\u0161\u00edm magnetick\u00fdm polem.<br \/>\nP\u0159i vy\u0161et\u0159en\u00ed m\u016f\u017ee b\u00fdt aplikovan\u00e1 kontrastn\u00ed l\u00e1tka do \u017e\u00edly. Kontrastn\u00ed l\u00e1tky pou\u017e\u00edvan\u00e9 pro MR obsahuj\u00ed nej\u010dast\u011bji slou\u010deniny gadolinia, vz\u00e1cn\u011b manganu nebo \u017eeleza. Riziko alergick\u00e9 reakce na tyto l\u00e1tky je nesm\u00edrn\u011b n\u00edzk\u00e9. Magnetick\u00e1 rezonance nepou\u017e\u00edv\u00e1 kontrastn\u00ed l\u00e1tky obsahuj\u00edc\u00ed j\u00f3d.<br \/>\nDoba MR vy\u0161et\u0159en\u00ed se pohybuje ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f mezi 20 a\u017e 50 minutami.<\/p>\n<h5><strong>P\u0159\u00edprava k\u00a0vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>P\u0159\u00edprava nen\u00ed prakticky nutn\u00e1. Pacient i p\u0159ed nitro\u017eiln\u00ed aplikac\u00ed kontrastn\u00ed l\u00e1tky nemus\u00ed b\u00fdt la\u010dn\u00fd. Osob\u00e1m trp\u00edc\u00edm klaustrofobi\u00ed doporu\u010dujeme dostavit se na vy\u0161et\u0159en\u00ed s doprovodem (i siln\u00fd pocit klaustrofobie lze snadno odstranit aplikac\u00ed lehk\u00e9ho sedativa, po jeho aplikaci v\u0161ak nesm\u00edte \u0159\u00eddit motorov\u00e1 vozidla nebo vykon\u00e1vat \u010dinnosti vy\u017eaduj\u00edc\u00ed soust\u0159ed\u011bn\u00ed).<br \/>\nPokud jste nositeli jak\u00e9hokoliv elektronick\u00e9ho nebo kovov\u00e9ho implant\u00e1tu, p\u0159\u00edpadn\u011b ciz\u00edho t\u011blesa, neznamen\u00e1 to automaticky, \u017ee nem\u016f\u017eete b\u00fdt vy\u0161et\u0159eni na MR. Takovou skute\u010dnost v\u0161ak mus\u00edte V\u017dDY a P\u0158ED vy\u0161et\u0159en\u00edm ohl\u00e1sit obsluze MR za\u0159\u00edzen\u00ed, kter\u00e1 kvalifikovan\u011b rozhodne, zda m\u016f\u017eete nebo nem\u016f\u017eete vy\u0161et\u0159en\u00ed podstoupit.<\/p>\n<h5><strong>Vyu\u017eit\u00ed metody (indikace)<\/strong><\/h5>\n<p>Vyu\u017eit\u00ed MR je velmi \u0161irok\u00e9, od klasick\u00e9ho zobrazen\u00ed centr\u00e1ln\u00ed nervov\u00e9 soustavy po zobrazen\u00ed c\u00e9v (MR angiografie), kloub\u016f, org\u00e1n\u016f hrudn\u00edku (srdce) a b\u0159icha \u010di dal\u0161\u00ed speci\u00e1ln\u00ed techniky jako MR spektroskopie, funk\u010dn\u00ed MR mozku, MR zobrazen\u00ed dif\u016fze atd.<\/p>\n<h5><strong>Kdy vy\u0161et\u0159en\u00ed nen\u00ed vhodn\u00e9 (kontraindikace)<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed pomoc\u00ed MR nelze prov\u00e1d\u011bt u osob s n\u011bkter\u00fdmi typy elektronick\u00fdch nebo kovov\u00fdch implant\u00e1t\u016f, p\u0159\u00edpadn\u011b ciz\u00edch t\u011bles. Nelze p\u0159edev\u0161\u00edm vy\u0161et\u0159ovat nemocn\u00e9 s kardiostimul\u00e1torem nebo implantovan\u00fdm defibril\u00e1torem (ICD), pon\u011bvad\u017e hroz\u00ed v\u00e1\u017en\u00e9 po\u0161kozen\u00ed jeho funkce, p\u0159\u00edpadn\u011b z\u00e1va\u017en\u00e1 a\u017e \u017eivot ohro\u017euj\u00edc\u00ed porucha srde\u010dn\u00edho rytmu. Osoby s kovov\u00fdmi c\u00e9vn\u00edmi svorkami po operaci mozkov\u00fdch tepenn\u00fdch aneuryzmat (v\u00fddut\u00ed) lze vy\u0161et\u0159it pomoc\u00ed MR jen za p\u0159\u00edsn\u011b specifikovan\u00fdch podm\u00ednek.<\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/11\/MRI_warninig.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25532\" src=\"\/wp-content\/uploads\/2023\/11\/MRI_warninig.jpg\" alt=\"varov\u00e1n\u00ed\" width=\"244\" height=\"265\" srcset=\"\/wp-content\/uploads\/2023\/11\/MRI_warninig.jpg 875w, \/wp-content\/uploads\/2023\/11\/MRI_warninig-276x300.jpg 276w, \/wp-content\/uploads\/2023\/11\/MRI_warninig-768x834.jpg 768w, \/wp-content\/uploads\/2023\/11\/MRI_warninig-11x12.jpg 11w, \/wp-content\/uploads\/2023\/11\/MRI_warninig-580x630.jpg 580w, \/wp-content\/uploads\/2023\/11\/MRI_warninig-860x934.jpg 860w\" sizes=\"auto, (max-width: 244px) 100vw, 244px\" \/><\/a><\/p>\n<h5><strong>Kde se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed prov\u00e1d\u011bj\u00ed specializovan\u00e1 akreditovan\u00e1 radiologick\u00e1 pracovi\u0161t\u011b, na\u0161e pracovi\u0161t\u011b disponuje akreditac\u00ed Radiologick\u00e9 spole\u010dnosti \u010cLS JEP, d\u00e1le akreditac\u00ed SAK \u010cR a certifik\u00e1tem kvality ISO 9001:2001 v r\u00e1mci cel\u00e9 nemocnice Jihlava.<\/p>\n<p><span style=\"font-size: 14px\"><strong>Objednat \/ informovat se na vy\u0161et\u0159en\u00ed m\u016f\u017eete telefonem na \u010d\u00edsle:\u00a0567 157 281<\/strong><\/span><\/p>\n<h5><strong>P\u0159\u00edstrojov\u00e9 vybaven\u00ed a uk\u00e1zkov\u00e9 sn\u00edmky:<\/strong><\/h5>\n<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" 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