{"id":24786,"date":"2016-03-03T12:20:41","date_gmt":"2016-03-03T11:20:41","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=24786"},"modified":"2016-03-03T19:59:36","modified_gmt":"2016-03-03T18:59:36","slug":"vystava-ukazuje-cestu-deti-za-novym-usmevem","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=24786","title":{"rendered":"V\u00fdstava ukazuje cestu d\u011bt\u00ed za nov\u00fdm \u00fasm\u011bvem"},"content":{"rendered":"

V Karlovarsk\u00e9 krajsk\u00e9 nemocnici za\u010dala m\u011bs\u00ed\u010dn\u00ed v\u00fdstava Za nov\u00fdm \u00fasm\u011bvem. Ta m\u00e1 pomoc\u00ed fotografi\u00ed d\u011bt\u00ed narozen\u00fdch s roz\u0161t\u011bpovou vadou v obli\u010deji uk\u00e1zat, jak se d\u00e1 odstranit.<\/strong> <\/p>\n

KARLOVARSK\u00dd KRAJ „Ro\u010dn\u011b se v Karlov\u00fdch Varech narod\u00ed jedno a\u017e dv\u011b d\u011bti s touto vadou,“ \u0159\u00edk\u00e1 z\u00e1stupce prim\u00e1\u0159e d\u011btsk\u00e9ho odd\u011blen\u00ed Karlovarsk\u00e9 krajsk\u00e9 nemocnice Zden\u011bk Van\u011bk.<\/p>\n

– Co vlastn\u011b je roz\u0161t\u011bpov\u00e1 vada?<\/p>\n

Nejedn\u00e1 se o roz\u0161t\u011bp v prav\u00e9m slova smyslu, ale sp\u00ed\u0161e o nespojen\u00ed obli\u010dejov\u00fdch v\u00fdb\u011b\u017ek\u016f rtu, \u010delisti a patra, kter\u00e9 prob\u00edh\u00e1 u plodu mezi p\u00e1t\u00fdm a\u017e dvan\u00e1ct\u00fdm t\u00fddnem nitrod\u011blo\u017en\u00edho v\u00fdvoje. Pokud v tomto obdob\u00ed zas\u00e1hne n\u011bjak\u00fd nep\u0159\u00edzniv\u00fd vliv (infekce, hlavn\u011b virov\u00e9, d\u00e1le alkohol, kou\u0159en\u00ed, drogy \u010di n\u011bkter\u00e9 l\u00e9ky) m\u016f\u017ee doj\u00edt ke vzniku roz\u0161t\u011bpu obli\u010deje. Po 12. t\u00fddnu t\u011bhotenstv\u00ed u\u017e roz\u0161t\u011bp nevznik\u00e1.<\/p>\n

– M\u016f\u017eete doporu\u010dit, co by p\u0159\u00edpadn\u011b omezilo mo\u017enost t\u00e9to vady?<\/p>\n

Ke sn\u00ed\u017een\u00ed rizika se doporu\u010duje, aby u pl\u00e1novan\u00e9ho t\u011bhotenstv\u00ed t\u0159i a\u017e \u0161est m\u011bs\u00edc\u016f p\u0159ed po\u010det\u00edm a v pr\u016fb\u011bhu prvn\u00edch t\u0159\u00ed m\u011bs\u00edc\u016f gravidity, \u017eena preventivn\u011b u\u017e\u00edvala 0,8mg kyseliny listov\u00e9 denn\u011b. Probl\u00e9m je v tom, \u017ee roz\u0161t\u011bp vznik\u00e1 v \u010dasn\u00e9m obdob\u00ed t\u011bhotenstv\u00ed, kdy \u017eeny mnohdy ani netu\u0161\u00ed, \u017ee jsou t\u011bhotn\u00e9.<\/p>\n

– V jak\u00e9 f\u00e1zi t\u011bhotenstv\u00ed se to d\u00e1 zjistit?<\/p>\n

Na ultrazvuku to lze rozeznat u\u017e mezi dvan\u00e1ct\u00fdm a \u0161estn\u00e1ct\u00fdm t\u00fddnem. Ale obvykle k tomu doch\u00e1z\u00ed p\u0159i ultrazvukov\u00e9m vy\u0161et\u0159en\u00ed, kter\u00e9 t\u011bhotn\u00e9 podstupuj\u00ed mezi dvac\u00e1t\u00fdm a\u017e dvaadvac\u00e1t\u00fdm t\u00fddnem t\u011bhotenstv\u00ed.<\/p>\n

– Kdy se d\u00e1 roz\u0161t\u011bpov\u00e1 vada l\u00e9\u010dit?<\/p>\n

Z\u00e1le\u017e\u00ed na tom, o jak\u00fd roz\u0161t\u011bp se jedn\u00e1. M\u016f\u017ee to b\u00fdt jen izolovan\u00fd roz\u0161t\u011bp rtu, nebo k tomu p\u0159idan\u00fd roz\u0161t\u011bp \u010delisti. Nejhor\u0161\u00ed variantou pak je, kdy\u017e se je posti\u017een\u00e9 i patro, to je pot\u00e9 komplexn\u00ed roz\u0161t\u011bp. Pokud je sou\u010d\u00e1st\u00ed vady roz\u0161t\u011bp rtu, tak ten se m\u016f\u017ee chirurgicky \u0159e\u0161it pomoc\u00ed dvou p\u0159\u00edstup\u016f.<\/p>\n

– M\u016f\u017eete je popsat?<\/p>\n

Existuj\u00ed dva l\u00e9\u010debn\u00e9 p\u0159\u00edstupy, jejich\u017e zast\u00e1nci se mezi sebou p\u0159ou o to, jestli je lep\u0161\u00ed operovat roz\u0161t\u011bp rtu u novorozence v prvn\u00edch dnech po porodu \u010di pozd\u011bji, a\u017e ve t\u0159et\u00edm m\u011bs\u00edci, co\u017e je ve sv\u011bt\u011b v\u00edce preferovan\u00e1. Ale v \u010cesk\u00e9 Republice se st\u00e1le v\u00edce prosazuje sp\u00ed\u0161e ta operace v prvn\u00edm t\u00fddnu.<\/p>\n

– Operace takto brzo po porodu, nen\u00ed to nebezpe\u010dn\u00e9?<\/p>\n

Mohlo by se to tak zd\u00e1t, ale vyu\u017e\u00edv\u00e1 se efektu takzvan\u00e9ho fet\u00e1ln\u00edho hojen\u00ed, kter\u00fd se vyzna\u010duje snad rychlej\u0161\u00edm a lep\u0161\u00edm hojen\u00edm. Nejd\u016fle\u017eit\u011bj\u0161\u00ed v\u011bc\u00ed \u010dasn\u00e9 operace roz\u0161t\u011bpu rtu je psychologick\u00e9 hledisko pro rodi\u010de. D\u00edt\u011b je sice v nemocnici po porodu d\u00e9le, ale pot\u00e9 odch\u00e1z\u00ed s opraven\u00fdm rtem. Lid\u00e9 pak po nahl\u00e9dnut\u00ed do ko\u010d\u00e1rku zbyte\u010dn\u011b nestresuj\u00ed rodi\u010de nep\u0159\u00edjemn\u00fdmi ot\u00e1zkami.<\/p>\n

– Jak vypad\u00e1 chirurgick\u00fd z\u00e1krok?<\/p>\n

Jde o se\u0161it\u00ed tk\u00e1n\u00ed, kter\u00e9 se prov\u00e1d\u00ed v celkov\u00e9 anestezii. Operace trv\u00e1 maxim\u00e1ln\u011b dv\u011b hodiny.<\/p>\n

– Kolik d\u011bt\u00ed se s roz\u0161t\u011bpovou vadou obli\u010deje ro\u010dn\u011b v Karlovarsk\u00e9m kraji narod\u00ed?<\/p>\n

Jde p\u0159ibli\u017en\u011b o jedno a\u017e dv\u011b d\u011bti ro\u010dn\u011b z po\u010dtu 800 d\u011bt\u00ed narozen\u00fdch u n\u00e1s v nemocnici.<\/p>\n

– Kde se tyto d\u011bti operuj\u00ed?<\/p>\n

Operace se prov\u00e1d\u00ed v Centrech pro l\u00e9\u010dbu roz\u0161t\u011bpov\u00fdch vad v Praze a Brn\u011b. Novorozenci se operuj\u00ed v Praze na t\u0159ech m\u00edstech, ve FN Motol, v Thomayerov\u011b FN v Kr\u010di a v \u00dastavu pro p\u00e9\u010di o matku a d\u00edt\u011b v Podol\u00ed. A v Brn\u011b pak ve FN Brno. Roz\u0161t\u011bpy ve v\u011bku 3 m\u011bs\u00edc\u016f a v\u00edce se operuj\u00ed v Praze na Klinice plastick\u00e9 chirurgie Kr\u00e1lovsk\u00e9 Vinohrady a v Brn\u011b na Klinice plastick\u00e9 chirurgie U Svat\u00e9 Anny.<\/p>\n

– T\u00edm v\u0161e kon\u010d\u00ed?<\/p>\n

Kdepak. Jedn\u00e1 se o b\u011bh na dlouhou tra\u0165. Na \u0159adu p\u0159ich\u00e1z\u00ed spolupr\u00e1ce \u0159ady dal\u0161\u00edch odborn\u00edk\u016f. Od stomatolog\u016f, foniatr\u016f, logoped\u016f a\u017e po ORL l\u00e9ka\u0159e, pediatry \u010di psychology. Nav\u00edc mus\u00edm zm\u00ednit, \u017ee to obvykle nekon\u010d\u00ed jen jednou operac\u00ed. Proto\u017ee jak d\u00edt\u011b roste, tak se m\u011bn\u00ed i symetrie obli\u010deje a pak se mus\u00ed d\u011blat reoperace. Pokud se roz\u0161t\u011bp t\u00fdk\u00e1 i \u010delisti a chyb\u00ed zde \u010d\u00e1st kosti, tak se mezi dev\u00e1t\u00fdm a\u017e t\u0159in\u00e1ct\u00fdm rokem d\u00edt\u011bte p\u0159istupuje k implantaci kostn\u00edho \u0161t\u011bpu z ky\u010deln\u00ed kosti.<\/p>\n

– Ve t\u0159in\u00e1cti by tedy na obli\u010deji nem\u011bly b\u00fdt pam\u00e1tky po t\u00e9to vad\u011b?<\/p>\n

Krom mal\u00e9 jizvy by to opravdu nem\u011blo b\u00fdt vid\u011bt.<\/p>\n

Petr Toman, redaktor MF DNES
\nMlad\u00e1 fronta DNES<\/p>\n","protected":false},"excerpt":{"rendered":"

V Karlovarsk\u00e9 krajsk\u00e9 nemocnici za\u010dala m\u011bs\u00ed\u010dn\u00ed v\u00fdstava Za nov\u00fdm \u00fasm\u011bvem. Ta m\u00e1 pomoc\u00ed fotografi\u00ed d\u011bt\u00ed narozen\u00fdch s roz\u0161t\u011bpovou vadou v obli\u010deji uk\u00e1zat, jak se d\u00e1 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-24786","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/24786","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24786"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/24786\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24786"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24786"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24786"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}