{"id":30061,"date":"2018-01-26T14:13:50","date_gmt":"2018-01-26T13:13:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30061"},"modified":"2018-01-26T14:15:53","modified_gmt":"2018-01-26T13:15:53","slug":"kde-se-mohu-nechat-vysetrit-chytrym-ultrazvukem","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30061","title":{"rendered":"Kde se mohu nechat vy\u0161et\u0159it chytr\u00fdm ultrazvukem?"},"content":{"rendered":"<p><strong>Dotaz: Je mozne objednet se nekde na chytrejsi ultrazvuk? Chodim pravidelne na kontroly hodnoty PSA v letech 2011 az 2014 od 2.04 do 1,82 Jinak dlouhodobe -leta pred tim bral prasky,nepomahalo mikce v noci i tak 2 az 3x. Posleze v unoru 2016 TURP operace&#8230;I nyni stale chodim 2 az 3x v noci na malou. (Protoze jsem byl 2.12.2010 na nefrectomii ledviny a od te doby pak kazdorocne na kontrole na CT),chtel bych pozadat o mene invazivni kontrolni vysetreni touto metodou &#8211; chytrym ultrazvukem.<\/strong><!--more--><\/p>\n<p>Odpov\u011b\u010f: Ve sv\u00e9m dotazu neuv\u00e1d\u00edte sv\u016fj v\u011bk, co\u017e je d\u016fle\u017eit\u00e9 p\u0159i hodnocen\u00ed nam\u011b\u0159en\u00fdch hodnot PSA. V\u00e1mi uv\u00e1d\u011bn\u00e9 hodnoty PSA p\u0159ed operac\u00ed prostaty byly relativn\u011b v norm\u011b a samy o sob\u011b nesv\u011bd\u010d\u00ed pro n\u011bjak\u00fd patologick\u00fd proces v prostat\u011b, i kdy\u017e norm\u00e1ln\u00ed hodnoty PSA je\u0161t\u011b nemus\u00ed znamenat, \u017ee se v prostat\u011b nic ned\u011bje. Operace prostaty V\u00e1m v\u0161ak byla provedena &#8211; z\u0159ejm\u011b pro nezhoubn\u00e9 zv\u011bt\u0161en\u00ed prostaty, je\u017e zp\u016fsobovalo probl\u00e9my s mo\u010den\u00edm. <\/p>\n<p>Hodnoty PSA nam\u011b\u0159en\u00e9 po operaci ji\u017e neuv\u00e1d\u00edte, nicm\u00e9n\u011b pot\u00ed\u017ee s mo\u010den\u00edm p\u0159etrv\u00e1vaj\u00ed. \u010cast\u011bj\u0161\u00ed mo\u010den\u00ed v\u0161ak m\u016f\u017ee zp\u016fsobovat i hyperaktivn\u00ed mo\u010dov\u00fd m\u011bch\u00fd\u0159. <\/p>\n<p>P\u0159\u00e1l byste si vy\u0161et\u0159en\u00ed tzv. chytr\u00fdm ultrazvukem. Podm\u00ednkou je nejprve proveden\u00ed vy\u0161et\u0159en\u00ed na magnetick\u00e9 rezonanci. Radiolog pot\u00e9 vyhodnot\u00ed sn\u00edmky a p\u0159i zji\u0161t\u011bn\u00ed patologick\u00e9ho lo\u017eiska odhaduje jeho riziko.<\/p>\n<p>Pak pacienta vy\u0161et\u0159\u00ed znovu urolog na ultrazvuku, kter\u00fd um\u00ed zkombinovat obrazy z p\u0159edt\u00edm proveden\u00e9 rezonance a z ultrazvuku. Zachyt\u00ed tak i drobn\u00e1 lo\u017eiska n\u00e1doru, je\u017e nemusela na rezonanci b\u00fdt zcela rozli\u0161iteln\u00e1. Ultrazvuk nav\u00edc umo\u017e\u0148uje zobrazovat n\u00e1lez trojrozm\u011brn\u011b, tak\u017ee l\u00e9ka\u0159 m\u00e1 p\u0159esnou informaci o poloze lo\u017eiska. <\/p>\n<p>Pot\u00e9 m\u016f\u017ee prov\u00e9st p\u0159esnou biopsii a ov\u011b\u0159it tak charakter lo\u017eiska, zda se jedn\u00e1 o karcinom \u010di konkr\u00e9tn\u00ed nezhoubn\u00fd proces. <\/p>\n<p>Toto za\u0159\u00edzen\u00ed maj\u00ed nap\u0159\u00edklad na Urologick\u00e9 klinice VFN v Praze, kde mohou b\u00fdt vy\u0161et\u0159eni pacienti z cel\u00e9 \u010cR, kter\u00e9 doporu\u010d\u00ed jejich l\u00e9ka\u0159 a  spl\u0148uj\u00ed ur\u010dit\u00e1 krit\u00e9ria. Vy\u0161et\u0159en\u00ed hrad\u00ed v\u0161echny zdravotn\u00ed poji\u0161\u0165ovny.<\/p>\n<p>MUDr. Jan \u010cin\u010dura<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: Je mozne objednet se nekde na chytrejsi ultrazvuk? Chodim pravidelne na kontroly hodnoty PSA v letech 2011 az 2014 od 2.04 do 1,82 Jinak <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=30061\" title=\"Kde se mohu nechat vy\u0161et\u0159it chytr\u00fdm ultrazvukem?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-30061","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30061","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=30061"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30061\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}