{"id":30028,"date":"2018-01-19T13:04:12","date_gmt":"2018-01-19T12:04:12","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30028"},"modified":"2018-01-19T13:04:12","modified_gmt":"2018-01-19T12:04:12","slug":"slysi-nase-miminko-dobre","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30028","title":{"rendered":"Sly\u0161\u00ed na\u0161e miminko dob\u0159e?"},"content":{"rendered":"

OT\u00c1ZKA : Nejsem si jist\u00e1, jestli na\u0161e miminko dostate\u010dn\u011b sly\u0161\u00ed. Kdy by to m\u011bl l\u00e9ka\u0159 ov\u011b\u0159it? A ud\u011bl\u00e1 to jeho praktick\u00fd l\u00e9ka\u0159, nebo m\u00e1me j\u00edt na polikliniku na u\u0161n\u00ed?<\/strong><\/p>\n

ODPOV\u011a\u010e<\/strong>:<\/p>\n

U novorozenc\u016f se ov\u011b\u0159uje sluch prakticky hned po narozen\u00ed d\u00edky plo\u0161n\u00e9mu vy\u0161et\u0159ov\u00e1n\u00ed v\u0161ech novorozenc\u016f je\u0161t\u011b p\u0159ed propu\u0161t\u011bn\u00edm z porodnice. Tento tzv. screening se prov\u00e1d\u00ed zpravidla na novorozeneck\u00e9m \u00faseku d\u011btsk\u00fdch odd\u011blen\u00ed \u010di na specializovan\u00fdch neonatologick\u00fdch odd\u011blen\u00edch nemocnic druh\u00fd a\u017e \u010dtvrt\u00fd den po porodu, a to p\u0159\u00edstrojem na z\u00e1znam otoakustick\u00fdch emis\u00ed. V minulosti se d\u011blal jen u rizikov\u00fdch novorozenc\u016f (nap\u0159. s porodn\u00ed hmotnost\u00ed pod 1 500 g nebo narozen\u00fdch p\u0159ed 32. t\u00fddnem t\u011bhotenstv\u00ed, s rodinnou z\u00e1t\u011b\u017e\u00ed poruchy sluchu atd.). Dnes ho poji\u0161\u0165ovna hrad\u00ed u v\u0161ech novorozen\u00fdch d\u011bt\u00ed. C\u00edlem vy\u0161et\u0159en\u00ed je v\u010dasn\u00fd z\u00e1chyt p\u0159\u00edpad\u016f trval\u00e9ho posti\u017een\u00ed sluchu a v\u010dasn\u00e1 rehabilitace.<\/p>\n

Miminko toto vy\u0161et\u0159en\u00ed sluchu nijak nebol\u00ed ani neobt\u011b\u017euje \u2013 m\u011b\u0159en\u00ed otoakustick\u00fdch emis\u00ed se prov\u00e1d\u00ed u novorozenc\u016f ve sp\u00e1nku nebo ve stavu klidn\u00e9 bd\u011blosti. Do ucha d\u00edt\u011bte se vlo\u017e\u00ed sonda, kter\u00e1 vys\u00edl\u00e1 zvuky a z\u00e1rove\u0148 zaznamen\u00e1v\u00e1, zda p\u0159i podr\u00e1\u017ed\u011bn\u00ed zvukov\u00fdm podn\u011btem doch\u00e1z\u00ed ke kmit\u00e1n\u00ed tzv. vl\u00e1skov\u00fdch bun\u011bk v uchu. Zaznamen\u00e1vaj\u00ed se tedy projevy automatick\u00e9 aktivity sluchov\u00fdch bun\u011bk.<\/p>\n

Jestli\u017ee sluchov\u00e9 bu\u0148ky spr\u00e1vn\u011b nefunguj\u00ed, opakuje se screening s \u010dasov\u00fdm odstupem cca t\u0159\u00ed t\u00fddn\u016f. D\u016fvodem negativn\u00edho v\u00fdsledku toti\u017e m\u016f\u017ee b\u00fdt t\u0159eba i zbytek plodov\u00e9 vody v uchu. Tento rescreening prov\u00e1d\u011bj\u00ed pracovi\u0161t\u011b otorinolaryngologie, audiologie a foniatrie, neonatologie \u010di d\u011btsk\u00e9ho l\u00e9ka\u0159stv\u00ed. Pokud vy\u0161et\u0159en\u00ed znovu „nedopadne“, je u\u017e indikov\u00e1no klinick\u00e9 vy\u0161et\u0159en\u00ed sluchu d\u00edt\u011bte, kdy se na odborn\u00e9m pracovi\u0161ti (v\u011bt\u0161inou na ORL klinice v nemocnici) otestuje sluch podrobn\u011b. V p\u0159\u00edpad\u011b pot\u0159eby pak n\u00e1sleduje neodkladn\u00e1 l\u00e9\u010dba nebo co nejrychlej\u0161\u00ed kompenzace poruchy sluchu. U kojenc\u016f a batolat se vrozen\u00e1 hluchota \u0159e\u0161\u00ed ji\u017e v\u011bt\u0161inou kochle\u00e1rn\u00edm implant\u00e1tem, ide\u00e1ln\u011b v roce a p\u016fl a\u017e druh\u00e9m roce v\u011bku. Kochle\u00e1rn\u00ed implant\u00e1t je elektronick\u00e1 funk\u010dn\u00ed smyslov\u00e1 n\u00e1hrada umo\u017e\u0148uj\u00edc\u00ed sluchov\u00e9 vn\u00edm\u00e1n\u00ed p\u0159\u00edmou stimulac\u00ed sluchov\u00e9ho nervu.<\/p>\n

Screeningov\u00fdm vy\u0161et\u0159en\u00edm novorozenc\u016f se p\u0159ijde na z\u00e1va\u017en\u00e9 vrozen\u00e9 vady sluchu, jin\u00e9 pot\u00ed\u017ee se sluchem se ale u d\u00edt\u011bte mohou objevit pozd\u011bji. Proto je vy\u0161et\u0159en\u00ed sluchu povinnou sou\u010d\u00e1st\u00ed preventivn\u00edch prohl\u00eddek. Praktick\u00fd l\u00e9ka\u0159, u n\u011bho\u017e d\u00edt\u011b registrujete, m\u00e1 povinnost ov\u011b\u0159it u\u017e p\u0159i prvn\u00ed preventivn\u00ed prohl\u00eddce d\u00edt\u011bte, zda absolvovalo screeningov\u00e9 vy\u0161et\u0159en\u00ed sluchu. Pokud nebyl screening proveden na novorozeneck\u00e9m odd\u011blen\u00ed, nebo v p\u0159\u00edpad\u011b porod\u016f mimo zdravotnick\u00e9 za\u0159\u00edzen\u00ed, d\u011bl\u00e1 se vy\u0161et\u0159en\u00ed n\u00e1sledn\u011b ambulantn\u011b na ORL odd\u011blen\u00edch nebo foniatrick\u00fdch pracovi\u0161t\u00edch na z\u00e1klad\u011b doporu\u010den\u00ed registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost. Orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed sluchu je pak sou\u010d\u00e1st\u00ed preventivn\u00ed prohl\u00eddky d\u011bt\u00ed ve 4 a\u017e 5 m\u011bs\u00edc\u00edch v\u011bku, v 8, 12 a 18 m\u011bs\u00edc\u00edch. Od 3 let je vy\u0161et\u0159en\u00ed sluchu sou\u010d\u00e1st\u00ed ka\u017ed\u00e9 preventivn\u00ed prohl\u00eddky u praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost. Nezapome\u0148te, \u017ee d\u00edt\u011b je m\u00e1 absolvovat ka\u017ed\u00e9 dva roky.<\/p>\n

Pokud v\u0161ak m\u00e1te dojem, \u017ee se sluchem va\u0161eho d\u00edt\u011bte nen\u00ed n\u011bco v po\u0159\u00e1dku, ne\u010dekejte na dal\u0161\u00ed term\u00edn preventivn\u00ed prohl\u00eddky a l\u00e9ka\u0159e na to co nejd\u0159\u00edv upozorn\u011bte, aby v\u00e1m vystavil \u017e\u00e1danku na vy\u0161et\u0159en\u00ed u specialisty. Dobr\u00fd sluch, resp. v\u010dasn\u00e9 odhalen\u00ed a \u0159e\u0161en\u00ed vady sluchu je velice d\u016fle\u017eit\u00e9 pro to, aby nedo\u0161lo k opo\u017ed\u011bn\u00ed v\u00fdvoje \u0159e\u010di a komunikace d\u00edt\u011bte.<\/p>\n

Mgr. Old\u0159ich Tich\u00fd vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA : Nejsem si jist\u00e1, jestli na\u0161e miminko dostate\u010dn\u011b sly\u0161\u00ed. Kdy by to m\u011bl l\u00e9ka\u0159 ov\u011b\u0159it? A ud\u011bl\u00e1 to jeho praktick\u00fd l\u00e9ka\u0159, nebo m\u00e1me j\u00edt […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":25518,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30028","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30028","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=30028"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30028\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/25518"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}