{"id":30118,"date":"2018-02-06T18:03:56","date_gmt":"2018-02-06T17:03:56","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30118"},"modified":"2018-02-06T18:03:56","modified_gmt":"2018-02-06T17:03:56","slug":"lekari-odhali-u-dvaceti-deti-rocne-vrozene-srdecni-vady","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30118","title":{"rendered":"L\u00e9ka\u0159i odhal\u00ed u dvaceti d\u011bt\u00ed ro\u010dn\u011b vrozen\u00e9 srde\u010dn\u00ed vady"},"content":{"rendered":"

V\u011bt\u0161inu p\u0159\u00edpad\u016f zachyt\u00ed dokto\u0159i u\u017e b\u011bhem t\u011bhotenstv\u00ed matky.<\/strong> <\/p>\n

Plze\u0148 \u2013 Pokud se d\u00edt\u011b narod\u00ed s n\u011bjakou vrozenou vadou, nej\u010dast\u011bji se jedn\u00e1 o posti\u017een\u00ed srdce. Ro\u010dn\u011b na 100 tis\u00edc novorozenc\u016f p\u0159ipad\u00e1 v \u010cesk\u00e9 republice 600 nemocn\u00fdch. V\u011bt\u0161inu p\u0159\u00edpad\u016f odhal\u00ed l\u00e9ka\u0159i u\u017e b\u011bhem t\u011bhotenstv\u00ed, co\u017e umo\u017en\u00ed v\u010dasn\u00e9 \u0159e\u0161en\u00ed situace.<\/p>\n

Z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed ud\u011bl\u00e1 gynekolog. Pokud m\u00e1 podez\u0159en\u00ed na srde\u010dn\u00ed vadu u plodu, pacientku ode\u0161le ke specialistovi. V krajsk\u00e9 metropoli mohou nast\u00e1vaj\u00edc\u00ed matky nav\u0161t\u00edvit plze\u0148skou fakultn\u00ed nemocnici nebo d\u011btskou kardiologii na soukrom\u00e9m genetick\u00e9m pracovi\u0161ti. Screening se prov\u00e1d\u00ed mezi 20. a\u017e 24. t\u00fddnem gravidity. Do ordinace doktora Petra Jehli\u010dky se ro\u010dn\u011b na genetiku dostane asi tis\u00edcovka pacientek z kraje.<\/p>\n

Zhruba u dvaceti z nich objev\u00ed v\u00e1\u017en\u00e9 komplikace.<\/p>\n

„Kdy\u017e zjist\u00edme n\u011bjakou vadu a rodi\u010de se rozhodnou si d\u00edt\u011b nechat, sm\u011b\u0159ujeme je rovnou do motolsk\u00e9 nemocnice, kde prob\u011bhne porod. Po n\u011bm pak n\u00e1sleduje operace,“ nast\u00ednil postup.<\/p>\n

Obvykle se v takov\u00fdch p\u0159\u00edpadech jedn\u00e1 o transpozici velk\u00fdch c\u00e9v (jde o p\u0159ehozen\u00ed dvou hlavn\u00edch tepen) \u010di kritickou aort\u00e1ln\u00ed sten\u00f3zu (z\u00fa\u017een\u00ed chlopn\u011b, kter\u00e1 uzav\u00edr\u00e1 v\u00fdtok z lev\u00e9 srde\u010dn\u00ed komory do aorty).<\/p>\n

Je-li posti\u017een\u00ed srdce rozs\u00e1hl\u00e9 a progn\u00f3za nep\u0159\u00edzniv\u00e1, rodi\u010de se zpravidla rozhodnou t\u011bhotenstv\u00ed ukon\u010dit.<\/p>\n

A\u017e 85 procent vrozen\u00fdch vad se podle Jehli\u010dky da\u0159\u00ed specialist\u016fm zachytit, je\u0161t\u011b ne\u017e d\u00edt\u011b p\u0159ijde na sv\u011bt. N\u011bkter\u00e9 probl\u00e9my se v\u0161ak mohou objevit a\u017e pozd\u011bji. Proto odborn\u00edci na novorozeneck\u00fdch odd\u011blen\u00edch pou\u017e\u00edvaj\u00ed pulzn\u00ed oxymetr. Od ledna u\u017e screening absolvuj\u00ed v\u0161ichni mal\u00ed pacienti v Mula\u010dov\u011b nemocnici. „N\u011bkter\u00e9 obt\u00ed\u017ee se mohou projevovat a\u017e t\u0159et\u00ed \u010dtvrt\u00fd den, kdy maminky odch\u00e1zej\u00ed s d\u00edt\u011btem dom\u016f. Tato metoda je velmi rychl\u00e1 a pro miminko nen\u00ed bolestiv\u00e1. M\u011b\u0159en\u00ed saturace (pozn. red.: nasycen\u00ed krve kysl\u00edkem) prob\u00edh\u00e1 na prav\u00e9 horn\u00ed kon\u010detin\u011b a libovoln\u00e9 doln\u00ed kon\u010detin\u011b. Rozd\u00edl mezi dv\u011bma z\u00edskan\u00fdmi hodnotami nesm\u00ed b\u00fdt v\u011bt\u0161\u00ed ne\u017e t\u0159i procenta,“ popsala prim\u00e1\u0159ka novorozeneck\u00e9ho odd\u011blen\u00ed Eva Dortov\u00e1. Vy\u0161et\u0159en\u00ed, je\u017e se prov\u00e1d\u00ed po 48 hodin\u00e1ch \u017eivota jedince, u\u017e absolvovalo na 50 d\u011bt\u00ed. Na\u0161t\u011bst\u00ed ani u jednoho z nich se neobjevily pot\u00ed\u017ee.<\/p>\n

Screening u\u017e n\u011bkolik let d\u011blaj\u00ed i odborn\u00edci v plze\u0148sk\u00e9 fakultn\u00ed nemocnici. Ro\u010dn\u011b d\u00edky n\u011bmu odhal\u00ed n\u011bkolik v\u00e1\u017en\u00fdch srde\u010dn\u00edch vad. Za\u0159\u00edzen\u00ed pou\u017e\u00edvaj\u00ed t\u00e9\u017e na novorozeneck\u00fdch odd\u011blen\u00edch v Klatovech, Stodu a Doma\u017elic\u00edch.<\/p>\n

KL\u00c1RA MR\u00c1ZOV\u00c1
\nPlze\u0148sk\u00fd den\u00edk
\nhttp:\/\/plzensky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

V\u011bt\u0161inu p\u0159\u00edpad\u016f zachyt\u00ed dokto\u0159i u\u017e b\u011bhem t\u011bhotenstv\u00ed matky.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":23617,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30118","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\/30118","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=30118"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30118\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/23617"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30118"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}