{"id":29330,"date":"2017-10-19T18:46:47","date_gmt":"2017-10-19T16:46:47","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29330"},"modified":"2017-10-19T18:46:47","modified_gmt":"2017-10-19T16:46:47","slug":"domaci-pece-poskytuje-dialyzu-v-pohodli-domova","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29330","title":{"rendered":"Dom\u00e1c\u00ed p\u00e9\u010de poskytuje dial\u00fdzu v pohodl\u00ed domova"},"content":{"rendered":"

Agentura dom\u00e1c\u00ed p\u00e9\u010de p\u0159i Nemocnici P\u0159erov, kter\u00e1 pomoc\u00ed registrovan\u00fdch zdravotn\u00edch sester zaji\u0161\u0165uje n\u00e1slednou p\u00e9\u010di o pacienty v jejich domovech, zavedla v t\u011bchto dnech novinku. Lidem posti\u017een\u00fdm selh\u00e1n\u00edm ledvin za\u010dala nab\u00edzet peritone\u00e1ln\u00ed neboli dom\u00e1c\u00ed dial\u00fdzu.<\/strong> <\/p>\n

P\u0159erov \u2013 Prvn\u00ed n\u00e1v\u0161t\u011bvu u pacient\u016f v\u017edy prov\u00e1d\u00ed z\u00e1stupci agentury spole\u010dn\u011b se sestrou z nefrologick\u00e9 ambulance.<\/p>\n

„Peritone\u00e1ln\u00ed dial\u00fdzu prov\u00e1d\u00edme na z\u00e1klad\u011b doporu\u010den\u00ed l\u00e9ka\u0159e, kter\u00fd stanov\u00ed pacient\u016fm druh dialyza\u010dn\u00edho roztoku a po\u010det jeho v\u00fdm\u011bn za \u010dty\u0159iadvacet hodin. Pacienty p\u0159eb\u00edr\u00e1me p\u0159\u00edmo p\u0159i z\u00e1cviku na odd\u011blen\u00ed hemodial\u00fdzy, \u010d\u00edm\u017e z\u00edsk\u00e1v\u00e1me jejich d\u016fv\u011bru,“ popsala hlavn\u00ed sestra p\u0159erovsk\u00e9 nemocnice Zuzana Kr\u010dkov\u00e1.<\/p>\n

V dom\u00e1c\u00edm prost\u0159ed\u00ed je d\u016fle\u017eit\u00e9 zvolit m\u00edsto, kde se bude dial\u00fdza prov\u00e1d\u011bt. „Nezbytnost\u00ed je d\u016fsledn\u00e1 p\u00e9\u010de o katetr a \u010dist\u00e9 prost\u0159ed\u00ed nejen pro samotnou dial\u00fdzu, ale tak\u00e9 pro skladov\u00e1n\u00ed dialyza\u010dn\u00edch roztok\u016f, nebo\u0165 existuje nemal\u00e9 riziko z\u00e1n\u011btu pob\u0159i\u0161nice,“ doplnila.<\/p>\n

Slu\u017eby ji\u017e vyu\u017e\u00edv\u00e1 mlad\u00e1 \u017eena z okol\u00ed P\u0159erova, kter\u00e1 byla do programu za\u0159azena kv\u016fli k\u0159ehk\u00fdm perifern\u00edm \u017e\u00edl\u00e1m a tepn\u00e1m. „Vzhledem ke slab\u00e9 form\u011b ment\u00e1ln\u00ed retardace se pacientka \u0161patn\u011b adaptuje na ciz\u00ed prost\u0159ed\u00ed, a proto se jev\u00ed tato forma dial\u00fdzy jako nejlep\u0161\u00ed \u0159e\u0161en\u00ed. Pro jej\u00ed vrozenou ment\u00e1ln\u00ed vadu nen\u00ed schopna prov\u00e1d\u011bt v\u00fdm\u011bnu sama bez dohledu. Pacientka nyn\u00ed proch\u00e1z\u00ed \u0159adou r\u016fzn\u00fdch odborn\u00fdch vy\u0161et\u0159en\u00ed pro mo\u017enost za\u0159azen\u00ed do transplanta\u010dn\u00edho programu,“ \u0159ekla Zuzana Kr\u010dkov\u00e1.<\/p>\n

Dom\u00e1c\u00ed dial\u00fdza nen\u00ed nijak slo\u017eit\u00e1, funguje na principu jednoduch\u00e9 v\u00fdm\u011bny l\u00e1tek mezi krv\u00ed a dialyza\u010dn\u00edm roztokem. „Jakmile se dialyza\u010dn\u00ed roztok do b\u0159i\u0161n\u00ed dutiny napust\u00ed, za\u010dnou mezi krv\u00ed v kapil\u00e1r\u00e1ch peritonea a dialyza\u010dn\u00edm roztokem p\u0159estupovat odpadn\u00ed l\u00e1tky, kter\u00e9 se pot\u00e9 i s roztokem odstran\u00ed. Vzhledem k n\u00edzk\u00e9 n\u00e1ro\u010dnosti se prov\u00e1d\u00ed ru\u010dn\u011b, bez nutnosti pou\u017eit\u00ed p\u0159\u00edstroj\u016f. \u010cist\u00fd dialyz\u00e1t se napust\u00ed ze z\u00e1sobn\u00edho vaku katetrem do b\u0159icha. Katetr se posl\u00e9ze uzav\u0159e a t\u011blo postupn\u011b do roztoku uvol\u0148uje odpadn\u00ed l\u00e1tky,“ informovala mluv\u010d\u00ed p\u0159erovsk\u00e9 nemocnice Radka Milo\u0161evsk\u00e1.<\/p>\n

Roztok je po n\u011bkolika hodin\u00e1ch nasycen\u00fd odpadn\u00edmi l\u00e1tkami, pot\u00e9 je vpu\u0161t\u011bn zp\u011bt do vaku a do dutiny b\u0159i\u0161n\u00ed se napust\u00ed nov\u00fd. Cel\u00fd proces prob\u00edh\u00e1 pr\u016fb\u011b\u017en\u011b zhruba \u010dty\u0159ikr\u00e1t za den a zabere asi p\u016flhodinu.<\/p>\n

P\u0159erovsk\u00fd a Hranick\u00fd den\u00edk
\nhttp:\/\/www.prerovsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Agentura dom\u00e1c\u00ed p\u00e9\u010de p\u0159i Nemocnici P\u0159erov, kter\u00e1 pomoc\u00ed registrovan\u00fdch zdravotn\u00edch sester zaji\u0161\u0165uje n\u00e1slednou p\u00e9\u010di o pacienty v jejich domovech, zavedla v t\u011bchto dnech novinku. Lidem […]<\/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-29330","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29330","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=29330"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29330\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29330"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}