{"id":32428,"date":"2019-10-08T17:14:10","date_gmt":"2019-10-08T15:14:10","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32428"},"modified":"2019-10-08T17:14:10","modified_gmt":"2019-10-08T15:14:10","slug":"v-pelisku-jsou-deti-jako-v-deloze","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32428","title":{"rendered":"V pel\u00ed\u0161ku jsou d\u011bti jako v d\u011bloze"},"content":{"rendered":"

Inkub\u00e1tory, p\u0159\u00edtm\u00ed a novoroze\u0148ata velik\u00e1 jako sotva dv\u011b lidsk\u00e9 dlan\u011b zachumlan\u00e1 ve speci\u00e1ln\u00edch pel\u00ed\u0161c\u00edch. To je Neonatologick\u00e9 odd\u011blen\u00ed \u010deskobud\u011bjovick\u00e9 nemocnice.<\/strong> <\/p>\n

Ro\u010dn\u011b tu l\u00e9\u010d\u00ed 350 miminek, kter\u00e1 se narod\u00ed s n\u00edzkou porodn\u00ed v\u00e1hou, tedy pod dv\u011b a p\u016fl kilogramu. V\u011bt\u0161ina z nich je nedono\u0161en\u00fdch. Novoroze\u0148at, kter\u00e1 vy\u017eaduj\u00ed podporu p\u0159\u00edstroj\u016f, je na tomto odd\u011blen\u00ed zhruba 160 ro\u010dn\u011b. Odd\u011blen\u00ed l\u00e9\u010d\u00ed ale i ta nejmen\u0161\u00ed novoroze\u0148ata s v\u00e1hou pod jeden a p\u016fl kilogramu. T\u011bch je p\u0159ibli\u017en\u011b stovka ro\u010dn\u011b.<\/p>\n

Podle prim\u00e1\u0159e neonatologick\u00e9ho odd\u011blen\u00ed Milana Hanzla toto \u010d\u00edslo v posledn\u00edch letech m\u00edrn\u011b kles\u00e1.<\/p>\n

Na Neonatologick\u00e9 odd\u011blen\u00ed \u010deskobud\u011bjovick\u00e9 nemocnice jsou p\u0159ij\u00edm\u00e1na novoroze\u0148ata bu\u010f ze sp\u00e1dov\u00e9 oblasti centra nebo novorozenci narozen\u00ed v krajsk\u00e9 porodnici. Podle prim\u00e1\u0159e Milana Hanzla sp\u00e1dov\u00e1 oblast zahrnuje cel\u00fd Jiho\u010desk\u00fd kraj a \u010d\u00e1st Kraje Vyso\u010dina. „M\u00e1me za \u00fakol poskytovat vysoce specializovanou p\u00e9\u010di t\u011b\u017ece nemocn\u00fdm a nedono\u0161en\u00fdm d\u011btem. Pe\u010dujeme i o novorozence, kte\u0159\u00ed pot\u0159ebuj\u00ed chirurgick\u00e9 z\u00e1kroky, o d\u011bti s vrozen\u00fdmi vadami v novorozeneck\u00e9m v\u011bku i o mal\u00e9 kojence,“ popisuje prim\u00e1\u0159, kter\u00fd zde l\u00e9\u010d\u00ed d\u011bti 35 let.<\/p>\n

Za l\u00e9ta praxe pozoruje, \u017ee pr\u016fm\u011brn\u00fd v\u011bk rodi\u010dek nar\u016fst\u00e1.<\/p>\n

„V \u010cesk\u00e9 republice je to n\u011bco m\u00e1lo pod t\u0159icet let, na druh\u00e9 m\u00edsto se \u0159ad\u00ed rodi\u010dky mezi 30 a\u017e 35 lety, co\u017e v dob\u00e1ch, kdy jsme za\u010d\u00ednali s neonatologickou p\u00e9\u010d\u00ed v \u010cesk\u00fdch Bud\u011bjovic\u00edch, bylo naprosto obr\u00e1cen\u011b. Ve v\u0161ech vysp\u011bl\u00fdch zem\u00edch se v\u011bk rodi\u010dek posunuje v\u00fd\u0161e, nap\u0159\u00edklad v Rakousku a v N\u011bmecku je stejn\u00fd trend jako u n\u00e1s,“ \u0159\u00edk\u00e1 Milan Hanzl.<\/p>\n

ROD\u00cd POZD\u011aJI<\/p>\n

Z toho v\u0161ak podle n\u011bho plyne, \u017ee s rostouc\u00edm v\u011bkem rodi\u010dek se zvy\u0161uje frekvence t\u011bhotensk\u00fdch patologi\u00ed.<\/p>\n

„U rodi\u010dek se objev\u00ed komplikace, kter\u00e9 \u010dasto donut\u00ed porodn\u00edky ukon\u010dit p\u0159ed\u010dasn\u011b t\u011bhotenstv\u00ed. To je jedna skupina rodi\u010dek, kter\u00e1 n\u00e1m nep\u0159\u00edmo ovlivn\u00ed frekvenci d\u011bt\u00ed s n\u00edzkou porodn\u00ed v\u00e1hou, tedy pod 2,5 kilogramu, kdy se jejich v\u00fdvoj v d\u011bloze \u010dasto zastav\u00ed a samoz\u0159ejm\u011b se rod\u00ed d\u011bti p\u0159ed\u010dasn\u011b i bez t\u011bhotensk\u00fdch patologi\u00ed u star\u0161\u00edch maminek,“ vysv\u011btluje.<\/p>\n

Pokud \u010dek\u00e1 \u017eena dvoj\u010data \u010di v\u00edce d\u011bt\u00ed, tak je tak\u00e9 vy\u0161\u0161\u00ed pravd\u011bpodobnost, \u017ee se d\u011bti narod\u00ed p\u0159ed\u010dasn\u011b. V\u00edce\u010detn\u00e1 t\u011bhotenstv\u00ed b\u00fdvaj\u00ed \u010dasto i po um\u011bl\u00e9m oplodn\u011bn\u00ed. Podle prim\u00e1\u0159e v\u00edce\u010detn\u00e1 t\u011bhotenstv\u00ed za posledn\u00ed l\u00e9ta v\u00fdrazn\u011b klesaj\u00ed.<\/p>\n

„P\u0159ed p\u011bti lety se v \u010cech\u00e1ch narodilo asi 5,5 tis\u00edce dvoj\u010dat, nyn\u00ed se rod\u00ed dvoj\u010dat o pades\u00e1t procent m\u00e9n\u011b. Je to vid\u011bt na m\u00edrn\u011b klesaj\u00edc\u00ed frekvenci p\u0159ed\u010dasn\u00fdch porod\u016f. \u010cili n\u00e1m kles\u00e1 frekvence d\u011bt\u00ed s n\u00edzkou porodn\u00ed hmotnost\u00ed, co\u017e je p\u0159\u00edzniv\u00fd v\u00fdvoj a to tak\u00e9 p\u0159\u00edzniv\u011b ovliv\u0148uje na\u0161\u00ed neonatologickou p\u00e9\u010di,“ hodnot\u00ed s t\u00edm, \u017ee v \u010deskobud\u011bjovick\u00e9 nemocnici nepamatuje za 35 let \u010dty\u0159\u010data. „M\u011bli jsme tu n\u011bkoliker\u00e1 troj\u010data,“ dod\u00e1v\u00e1.<\/p>\n

L\u00c9\u010c\u00cd I TY NEJMEN\u0160\u00cd<\/p>\n

P\u0159ed\u010dasn\u011b narozen\u00e9 d\u011bti, kter\u00e9 dnes l\u00e9ka\u0159i zachra\u0148uj\u00ed, se mnohdy pohybuj\u00ed na hranici \u017eivotaschopnosti. Jsou to d\u011bti od 22. t\u00fddne do 24. t\u00fddne. L\u00e9ka\u0159i o t\u00e9to skupin\u011b d\u011bt\u00ed hovo\u0159\u00ed jako o \u0161ed\u00e9 z\u00f3n\u011b nebo novorozenc\u00edch kolem hranice viability. Jejich \u00famrtnost v\u0161ak dnes podle prim\u00e1\u0159e kles\u00e1. „Kles\u00e1 i frekvence jejich posti\u017een\u00ed. Z\u00e1le\u017e\u00ed na individu\u00e1ln\u00ed zralosti plodu. C\u00edlem na\u0161\u00ed pr\u00e1ce je nejen zachr\u00e1nit tyto d\u011bti na \u017eivot\u011b, ale hlavn\u011b maxim\u00e1ln\u011b sn\u00ed\u017eit riziko jejich v\u00fdvojov\u00e9ho posti\u017een\u00ed.<\/p>\n

Mezi ve\u0159ejnost\u00ed ale p\u0159evl\u00e1daj\u00ed m\u00fdty: \u010c\u00edm v\u00edce nedono\u0161en\u00fdch d\u011bt\u00ed, t\u00edm v\u00edce posti\u017een\u00fdch.<\/p>\n

„To ji\u017e d\u00e1vno nen\u00ed pravda. V\u00edte, d\u00edv\u00e1me se hlavn\u011b na to, jak se da\u0159\u00ed na\u0161im d\u011btem ve dvou letech a pozd\u011bji a podle toho korigujeme na\u0161i l\u00e9\u010debnou a o\u0161et\u0159ovatelskou p\u00e9\u010di. Stejn\u011b tak to funguje ve sv\u011bt\u011b,“ podotkne.<\/p>\n

„P\u0159ed\u010dasn\u00e9mu porodu se ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f ned\u00e1 zabr\u00e1nit. \u017dena za\u010dne m\u00edt kontrakce a objev\u00ed se u n\u00e1s nap\u0159\u00edklad ve 23. t\u00fddnu t\u011bhotenstv\u00ed a najednou se rodin\u011b v\u0161echno obr\u00e1t\u00ed naruby… Za ta l\u00e9ta v\u00edme, co to pro tu rodinu znamen\u00e1,“ pouk\u00e1\u017ee na m\u00e9n\u011b p\u0159\u00edjemn\u00e9 str\u00e1nky sv\u00e9 profese. Jako doklad zav\u00e1d\u011bn\u00ed pokro\u010dil\u00fdch o\u0161et\u0159ovatelsk\u00fdch postup\u016f pak p\u0159inese speci\u00e1ln\u00ed pel\u00ed\u0161ek, do kter\u00e9ho l\u00e9ka\u0159i ukl\u00e1daj\u00ed nezral\u00e9 d\u011bti. L\u00e9ka\u0159i jim tak v inkub\u00e1torech napodob\u00ed d\u00edky pel\u00ed\u0161ku prost\u0159ed\u00ed v d\u011bloze.<\/p>\n

ML\u00c9KO V BANCE<\/p>\n

Nedono\u0161en\u00fdm d\u011btem tu pomohou i d\u00edky unik\u00e1tn\u00edmu pracovi\u0161ti, jak\u00fdm je banka mate\u0159sk\u00e9ho ml\u00e9ka, kam mohou koj\u00edc\u00ed \u017eeny, kter\u00e9 maj\u00ed nadbytek ml\u00e9ka, tuto v\u00fd\u017eivu nejvhodn\u011bj\u0161\u00ed pro nedono\u0161en\u00e9 v\u011bnovat. „Maminky nedono\u0161en\u00fdch d\u011bt\u00ed si \u010dasto nezachovaj\u00ed dostate\u010dnou laktaci, tak\u017ee d\u00edt\u011b dostane d\u00e1rcovsk\u00e9 ml\u00e9ko. To vy\u0161et\u0159\u00edme, zpracujeme a zamraz\u00edme. Tato vz\u00e1cn\u00e1 surovina slou\u017e\u00ed jako z\u00e1kladn\u00ed v\u00fd\u017eiva pro nedono\u0161en\u00e9 d\u011bti. V \u010cesku jsou \u010dty\u0159i banky, jedna je v Praze v Podol\u00ed, dal\u0161\u00ed v Most\u011b, v Hradci Kr\u00e1lov\u00e9 a v Bud\u011bjovic\u00edch.“ \u010ceskobud\u011bjovick\u00e1 nemocnice m\u00e1 d\u00e1rcovsk\u00e9ho ml\u00e9ka pro sv\u00e9 pot\u0159eby dostatek. N\u011bkdy z\u00e1sobuje i jin\u00e1 specializovan\u00e1 pracovi\u0161t\u011b v \u010cR.<\/p>\n

ZDROJ: NEMOCNICE \u010cESK\u00c9 BUD\u011aJOVICE<\/p>\n

\u010ceskobud\u011bjovick\u00fd den\u00edk
\nhttp:\/\/ceskobudejovicky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Inkub\u00e1tory, p\u0159\u00edtm\u00ed a novoroze\u0148ata velik\u00e1 jako sotva dv\u011b lidsk\u00e9 dlan\u011b zachumlan\u00e1 ve speci\u00e1ln\u00edch pel\u00ed\u0161c\u00edch. To je Neonatologick\u00e9 odd\u011blen\u00ed \u010deskobud\u011bjovick\u00e9 nemocnice.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":21938,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-32428","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\/32428","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=32428"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32428\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21938"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}