{"id":38618,"date":"2023-02-27T16:06:17","date_gmt":"2023-02-27T15:06:17","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=38618"},"modified":"2023-02-27T16:06:18","modified_gmt":"2023-02-27T15:06:18","slug":"praktici-zavadi-do-ordinaci-ultrazvuk-diky-nemu-vysetri-plice-zlucnik-nebo-zily","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=38618","title":{"rendered":"Praktici zav\u00e1d\u00ed do\u00a0ordinac\u00ed ultrazvuk. D\u00edky n\u011bmu vy\u0161et\u0159\u00ed pl\u00edce, \u017elu\u010dn\u00edk nebo \u017e\u00edly"},"content":{"rendered":"\n<p><strong>Pl\u00edce, \u017elu\u010dn\u00edk nebo \u017e\u00edly, to v\u0161e ji\u017e nyn\u00ed vy\u0161et\u0159uj\u00ed pomoc\u00ed ultrazvuku des\u00edtky praktick\u00fdch l\u00e9ka\u0159\u016f v\u00a0\u010cesku. Je to v\u0161ak pouze zlomek z\u00a0t\u011bch, kte\u0159\u00ed by tuto slu\u017ebu mohli sv\u00fdm pacient\u016fm poskytnout. Vy\u0161et\u0159en\u00ed zat\u00edm nepodporuje ministerstvo zdravotnictv\u00ed a\u00a0poji\u0161\u0165ovny, ordinace si tak drah\u00e9 p\u0159\u00edstroje po\u0159izuj\u00ed na vlastn\u00ed n\u00e1klady a vy\u0161et\u0159en\u00ed poskytuj\u00ed zdarma. Pandemie koronaviru p\u0159itom podle l\u00e9ka\u0159\u016f jasn\u011b uk\u00e1zala, jak n\u00e1pomocn\u00fd m\u016f\u017ee ultrazvuk v\u00a0rukou praktik\u016f b\u00fdt nap\u0159\u00edklad p\u0159i odhalov\u00e1n\u00ed covidov\u00e9ho z\u00e1palu plic. I proto v\u00a0\u0159ad\u011b evropsk\u00fdch zem\u00ed ultrazvuk praktici do ordinac\u00ed dost\u00e1vaj\u00ed velmi rychle. <\/strong><\/p>\n\n\n\n<p>Nasazen\u00ed ultrazvuku v\u00a0ordinac\u00edch praktik\u016fm umo\u017e\u0148uje hlavn\u011b zrychlen\u00ed a zp\u0159esn\u011bn\u00ed diagn\u00f3zy, s\u00a0\u010d\u00edm\u017e souvis\u00ed i v\u010dasn\u011bj\u0161\u00ed nasazen\u00ed l\u00e9\u010dby. <em>\u201eVyu\u017eit\u00ed ultrasonografie v\u00fdrazn\u011b zkvalit\u0148uje prim\u00e1rn\u00ed p\u00e9\u010di. Nap\u0159\u00edklad p\u0159i podez\u0159en\u00ed na z\u00e1pal plic ultrazvuk umo\u017en\u00ed \u2013 spolu s\u00a0dal\u0161\u00edmi vy\u0161et\u0159ovac\u00edmi metodami \u2013 ur\u010dit diagn\u00f3zu b\u011bhem n\u011bkolika minut p\u0159\u00edmo v\u00a0ordinaci, nebo dokonce p\u0159\u00edmo u pacienta doma. To p\u0159in\u00e1\u0161\u00ed velkou v\u00fdhodu, \u010dasto naprosto z\u00e1sadn\u00ed pro dal\u0161\u00ed l\u00e9\u010dbu a sm\u011b\u0159ov\u00e1n\u00ed pacienta. <\/em><\/p>\n\n\n\n<p><em>V\u00a0\u010cR se nav\u00edc \u010dasto zapom\u00edn\u00e1, \u017ee ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed plic je v\u00a0diagnostice z\u00e1palu plic p\u0159esn\u011bj\u0161\u00ed ne\u017e standardn\u00ed rentgenov\u00e9 vy\u0161et\u0159en\u00ed plic v\u00a0nemocnici, je dokonce schopn\u00e9 z\u00e1pal plic zachytit i o 1\u20132 dny d\u0159\u00edve. Implementace ultrazvuku do rutinn\u00edho pou\u017e\u00edv\u00e1n\u00ed v\u0161eobecn\u00fdmi praktick\u00fdmi l\u00e9ka\u0159i tak p\u0159edstavuje bez nads\u00e1zky p\u0159\u00edmo fantastickou p\u0159\u00edle\u017eitost p\u0159i p\u0159\u00edpadn\u00e9 dal\u0161\u00ed vln\u011b pandemie. V\u00a0\u0159ad\u011b evropsk\u00fdch zem\u00ed to ji\u017e pochopili, \u201c<\/em> popisuje MUDr. David Halata, praktick\u00fd l\u00e9ka\u0159 a \u010dlen v\u00fdboru SVL \u010cLS JEP. Je jedn\u00edm z\u00a0n\u011bkolika des\u00edtek praktik\u016f, kte\u0159\u00ed v\u00a0\u010cesku ultrazvuk pou\u017e\u00edvaj\u00ed, ov\u0161em na vlastn\u00ed n\u00e1klady \u2013 \u00fahrady v\u00a0\u010cesku poji\u0161\u0165ovny poskytuj\u00ed pouze specializovan\u00fdm pracovi\u0161t\u00edm. T\u011bm v\u0161ak podle MUDr. Halaty praktici \u201edo zel\u00ed nelezou\u201c. Jejich c\u00edlem je toti\u017e 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. <em>\u201eNa\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<\/em> \u0159\u00edk\u00e1 MUDr. Halata.<\/p>\n\n\n\n<p>Bezpe\u010dnost a spolehlivost vy\u0161et\u0159en\u00ed ultrazvukem v\u00a0ambulanc\u00edch praktik\u016f v\u00a0uplynul\u00fdch dvou letech zkoumaly v\u011bdeck\u00e9 studie. <em>\u201eVelmi zjednodu\u0161en\u011b porovn\u00e1valy n\u00e1lezy na\u0161ich vy\u0161et\u0159en\u00ed ultrazvukem s\u00a0n\u00e1lezy u sonografisty. Nap\u0159\u00edklad u diagn\u00f3zy z\u00e1palu plic se n\u00e1lezy shodovaly z\u00a090 %, a to po absolvov\u00e1n\u00ed jednodenn\u00edho \u00favodn\u00edho kurzu, podobn\u011b skv\u011bl\u00fdch v\u00fdsledk\u016f praktici dos\u00e1hli i u diagn\u00f3zy \u017elu\u010dn\u00edkov\u00fdch kamen\u016f. Jestli\u017ee tedy existovaly pochybnosti, \u017ee se praktici mohou b\u011bhem relativn\u011b kr\u00e1tk\u00e9 doby nau\u010dit pracovat s\u00a0ultrazvukem, tyto studie je jednozna\u010dn\u011b vyvrac\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Halata, jeden ze spoluautor\u016f studi\u00ed, kter\u00e9 jsou v\u00a0evropsk\u00e9m m\u011b\u0159\u00edtku unik\u00e1tn\u00ed jak sv\u00fdm rozsahem, tak mno\u017estv\u00edm nasb\u00edran\u00fdch dat. Mezit\u00edm spustili vzd\u011bl\u00e1vac\u00ed program, kter\u00fd l\u00e9ka\u0159e na vyu\u017eit\u00ed ultrazvuku p\u0159ipravuje. <\/p>\n\n\n\n<p><em>\u201eZ\u00e1jem o vzd\u011bl\u00e1vac\u00ed program je obrovsk\u00fd, ka\u017ed\u00fd vypsan\u00fd kurz je za chvilku obsazen\u00fd. Alespo\u0148 z\u00e1kladn\u00edm kurzem jsme vy\u0161kolili u\u017e n\u011bkolik stovek praktick\u00fdch l\u00e9ka\u0159\u016f,\u201c <\/em>\u0159\u00edk\u00e1 doc.\u00a0MUDr.\u00a0Roman \u0160kulec, vedouc\u00ed V\u00fdukov\u00e9ho pracovi\u0161t\u011b pro Point-of-Care ultrasonografii Institutu postgradu\u00e1ln\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed ve zdravotnictv\u00ed, kter\u00fd je odborn\u00fdm garantem projektu a s praktiky na vytvo\u0159en\u00ed vzd\u011bl\u00e1vac\u00edho programu spolupracuje. Do budoucna by pak podle n\u011bj 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","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Pl\u00edce, \u017elu\u010dn\u00edk nebo \u017e\u00edly, to v\u0161e ji\u017e nyn\u00ed vy\u0161et\u0159uj\u00ed pomoc\u00ed ultrazvuku des\u00edtky praktick\u00fdch l\u00e9ka\u0159\u016f v\u00a0\u010cesku. Je to v\u0161ak pouze zlomek z\u00a0t\u011bch, kte\u0159\u00ed by tuto slu\u017ebu <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=38618\" title=\"Praktici zav\u00e1d\u00ed do\u00a0ordinac\u00ed ultrazvuk. D\u00edky n\u011bmu vy\u0161et\u0159\u00ed pl\u00edce, \u017elu\u010dn\u00edk nebo \u017e\u00edly\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":38620,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-38618","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\/38618","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=38618"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/38618\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/38620"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38618"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38618"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38618"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}