Praha, 17. \u010dervna 2021 \u2013 Covidov\u00fd z\u00e1pal plic, \u017elu\u010dn\u00edkov\u00e9 kameny nebo \u017eiln\u00ed tromb\u00f3zu. To v\u0161e by mohli u sv\u00fdch pacient\u016f l\u00e9pe a rychleji odhalit prakti\u010dt\u00ed l\u00e9ka\u0159i \u2013 d\u00edky ultrazvuku. Ten dosud mohli pou\u017e\u00edvat pouze specialist\u00e9 na p\u0159edem ur\u010den\u00fdch pracovi\u0161t\u00edch. V bl\u00edzk\u00e9 budoucnosti by mohli p\u0159\u00edstroj dostat do sv\u00fdch ordinac\u00ed i praktici. Pot\u0159ebuj\u00ed k tomu v\u0161ak p\u0159esv\u011bd\u010dit zdravotn\u00ed poji\u0161\u0165ovny. V tom by jim m\u011bly pomoci i prob\u00edhaj\u00edc\u00ed v\u011bdeck\u00e9 studie, kter\u00e9 zkoumaj\u00ed, jak jsou praktici v detekci chorob \u00fasp\u011b\u0161n\u00ed. P\u0159edb\u011b\u017en\u00e9 v\u00fdsledky ukazuj\u00ed \u00fasp\u011b\u0161nost nad 90 %. Praktici by ultrazvuk vyu\u017eili jen v p\u0159esn\u011bur\u010den\u00fdch p\u0159\u00edpadech a oblastech. K tomu pl\u00e1nuj\u00ed p\u0159ipravit i vzd\u011bl\u00e1vac\u00ed program. <\/p>\n\n\n\n
Od nasazen\u00ed ultrazvuku v ordinac\u00edch si praktici slibuj\u00ed hlavn\u011b zrychlen\u00ed a zp\u0159esn\u011bn\u00ed diagn\u00f3zy, s \u010d\u00edm\u017e souvis\u00ed i rychlej\u0161\u00ed nasazen\u00ed l\u00e9\u010dby. \u201eUltrazvuk by p\u0159edstavoval dal\u0161\u00ed d\u00edlek do mozaiky prim\u00e1rn\u00ed p\u00e9\u010de. Pokud budu m\u00edt u akutn\u00edho vy\u0161et\u0159en\u00ed podez\u0159en\u00ed nap\u0159\u00edklad na z\u00e1pal plic, ultrazvuk umo\u017en\u00ed spolu s dal\u0161\u00edmi vy\u0161et\u0159ovac\u00edmi metodami ur\u010dit diagn\u00f3zu b\u011bhem n\u011bkolika minut p\u0159\u00edmo v ordinaci, mohu pacienta rovnou l\u00e9\u010dit a nemus\u00edm jej p\u0159\u00edpadn\u011b ani odes\u00edlat na dal\u0161\u00ed vy\u0161et\u0159en\u00ed,\u201c popisuje MUDr. David Halata, praktick\u00fd l\u00e9ka\u0159 a \u010dlen v\u00fdboru Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cLS JEP. Je jedn\u00edm z praktik\u016f, kte\u0159\u00ed v \u010cesku vyu\u017eit\u00ed ultrazvuku testuj\u00ed, zat\u00edm ale pouze v r\u00e1mci studie. \u201eVy\u0161et\u0159en\u00ed ultrazvukem v\u00a0\u010cesku hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovny pouze specializovan\u00fdm pracovi\u0161t\u00edm. Pokud by praktik p\u0159\u00edstroj cht\u011bl nyn\u00ed, musel by si jej po\u0159\u00eddit na vlastn\u00ed n\u00e1klady a za v\u00fdkony by nedost\u00e1val \u017e\u00e1dnou \u00fahradu,\u201c vysv\u011btluje MUDr. Halata.<\/p>\n\n\n\n
Prakti\u010dt\u00ed l\u00e9ka\u0159i p\u0159ipom\u00ednaj\u00ed, \u017ee necht\u011bj\u00ed \u201efu\u0161ovat\u201c do \u0159emesla ultrasonografist\u016fm a dal\u0161\u00edm specialist\u016fm a prov\u00e1d\u011bt systematick\u00e1 vy\u0161et\u0159en\u00ed. Jejich c\u00edlem je tzv. Point-of-Care ultrasonografie (POCUS), p\u0159i kter\u00e9 se zam\u011b\u0159uj\u00ed na zodpov\u011bzen\u00ed jedn\u00e9 velmi konkr\u00e9tn\u00ed klinick\u00e9 ot\u00e1zky. \u201ePr\u00e1ce ultrasonografist\u016f je p\u0159i vy\u0161et\u0159en\u00ed naprosto detailn\u011b popsat nap\u0159\u00edklad cel\u00e9 b\u0159icho pacienta s chronick\u00fdmi bolestmi. Aby toho byli schopni, mus\u00ed absolvovat rozs\u00e1hl\u00e9 \u0161kolen\u00ed a prov\u00e9st stovky vy\u0161et\u0159en\u00ed, aby v\u016fbec mohli z\u00edskat certifikaci. Na\u0161\u00edm z\u00e1m\u011brem je soust\u0159edit se pouze na velmi jednoduch\u00e1 zji\u0161t\u011bn\u00ed v ur\u010dit\u00fdch \u010d\u00e1stech t\u011bla, abychom mohli l\u00e9pe ur\u010dit diagn\u00f3zu. Nav\u00edc na pacientech, kter\u00e9 velmi dob\u0159e zn\u00e1me,\u201c \u0159\u00edk\u00e1 MUDr. Du\u0161an Zho\u0159, praktick\u00fd l\u00e9ka\u0159 z Kyjova, kter\u00fd se studie tak\u00e9 \u00fa\u010dastn\u00ed. Podle n\u011bj tak nen\u00ed t\u0159eba praktiky \u0161kolit natolik rozs\u00e1hle jako specialisty. Jako p\u0159\u00edklad \u00fasp\u011b\u0161n\u00e9ho u\u017eit\u00ed ultrazvuku v ordinaci praktick\u00e9ho l\u00e9ka\u0159e uv\u00e1d\u00ed svou pacientku, u n\u00ed\u017e diagnostikoval p\u0159i dom\u00e1c\u00edm vy\u0161et\u0159en\u00ed covidov\u00fd z\u00e1pal plic, p\u0159esto\u017ee m\u011bla negativn\u00ed test. <\/p>\n\n\n\n
Od b\u0159ezna prob\u00edh\u00e1 studie, kter\u00e1 m\u00e1 prozkoumat bezpe\u010dnost a spolehlivost ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed v ambulanc\u00edch prim\u00e1rn\u00ed p\u00e9\u010de. \u201eVelmi zjednodu\u0161en\u011b v nich porovn\u00e1v\u00e1me n\u00e1lezy na\u0161ich vy\u0161et\u0159en\u00ed ultrazvukem s n\u00e1lezy p\u0159i vy\u0161et\u0159en\u00ed specialisty u stejn\u00e9ho pacienta. P\u0159edb\u011b\u017en\u00e9 v\u00fdsledky ukazuj\u00ed, \u017ee se shodujeme ve v\u00edce ne\u017e 90 % p\u0159\u00edpad\u016f, co\u017e je obrovsk\u00fd \u00fasp\u011bch,\u201c \u0159\u00edk\u00e1 MUDr. Halata. V r\u00e1mci jedn\u00e9 ze t\u0159\u00ed studi\u00ed praktici vy\u0161et\u0159uj\u00ed nap\u0159\u00edklad k\u00e1men na \u017elu\u010dn\u00edku nebo z\u00e1paly plic. \u201eSpolehlivost vy\u0161et\u0159en\u00ed je naprosto kl\u00ed\u010dov\u00e1. Je t\u0159eba p\u0159esn\u011b definovat, co m\u00e1 praktik um\u011bt a d\u011blat, jak\u00fd by byl rozsah jeho vy\u0161et\u0159en\u00ed a kde je hranice, za n\u00ed\u017e u\u017e by m\u011bl dal\u0161\u00ed vy\u0161et\u0159en\u00ed nechat na specialistovi,\u201c \u0159\u00edk\u00e1 doc. MUDr. Roman \u0160kulec,Ph.D, \u0159editel Institutu postgradu\u00e1ln\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed ve zdravotnictv\u00ed, kter\u00fd je odborn\u00fdm garantem projektu a s praktiky spolupracuje na vytvo\u0159en\u00ed vzd\u011bl\u00e1vac\u00edho programu k pou\u017e\u00edv\u00e1n\u00ed ultrazvuku.<\/em> Podle n\u011bj se d\u00e1 dob\u0159e inspirovat u oboru urgentn\u00ed medic\u00edny, kde se uplatn\u011bn\u00ed ultrazvuku v\u00a0posledn\u00edch letech velmi roz\u0161\u00ed\u0159ilo. Do budoucna by pak praktici mohli vy\u0161et\u0159ovat i m\u011bkk\u00e9 tk\u00e1n\u011b, nap\u0159\u00edklad p\u0159i poran\u011bn\u00ed ramene, podko\u017en\u00ed \u00fatvary nebo vy\u0161et\u0159ovat \u0161t\u00edtnou \u017el\u00e1zu. <\/p>\n\n\n\n Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":" Praha, 17. \u010dervna 2021 \u2013 Covidov\u00fd z\u00e1pal plic, \u017elu\u010dn\u00edkov\u00e9 kameny nebo \u017eiln\u00ed tromb\u00f3zu. To v\u0161e by mohli u sv\u00fdch pacient\u016f l\u00e9pe a rychleji odhalit prakti\u010dt\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36230","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\/36230","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=36230"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36230\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36230"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}