<\/p>\n\n\n\n
Tis\u00edce \u017een mus\u00ed ro\u010dn\u011b podstoupit vy\u0161et\u0159en\u00ed d\u011blohy \u2013 tzv. hysteroskopii. V\u011bt\u0161ina z\u00a0nich jde do nemocnice nebo na specializovan\u00e1 pracovi\u0161t\u011b, kde z\u00e1krok absolvuj\u00ed v\u00a0\u010d\u00e1ste\u010dn\u00e9 nebo \u00fapln\u00e9 nark\u00f3ze. P\u0159itom v\u00a0zahrani\u010d\u00ed, nap\u0159\u00edklad v\u00a0USA, se tento v\u00fdkon z\u00a0drtiv\u00e9 v\u011bt\u0161iny prov\u00e1d\u00ed bez anestezie. Trend vynechat \u201eusp\u00e1n\u00ed\u201c se nyn\u00ed postupn\u011b dost\u00e1v\u00e1 i do\u00a0\u010cesk\u00e9 republiky. Podle specialist\u016f ale bude trvat a\u017e 10 let, ne\u017e se roz\u0161\u00ed\u0159\u00ed natolik, jak je tomu zvykem na z\u00e1pad\u011b.<\/strong><\/p>\n\n\n\n \u201eVe sv\u011bt\u011b jednozna\u010dn\u011b dominuje varianta bez anestezie, je toti\u017e vhodn\u00e1 pro 90 % pacientek. V \u010cesku jsme tak trochu zaspali dobu. Hysteroskopie, kter\u00e1 pat\u0159\u00ed k nej\u010dast\u011bj\u0161\u00edm gynekologick\u00fdm v\u00fdkon\u016fm v\u016fbec, se tady a\u0165 u\u017e v celkov\u00e9, nebo \u010d\u00e1ste\u010dn\u00e9 anestezii prov\u00e1d\u00ed p\u0159es 30 let a zvyk se t\u011b\u017eko m\u011bn\u00ed. \u0158ada l\u00e9ka\u0159\u016f tuto mo\u017enost pacientk\u00e1m nezm\u00edn\u00ed a pos\u00edl\u00e1 je rovnou do nemocnic. Nicm\u00e9n\u011b pokrok nezastav\u00edme, a stejn\u011b jako nap\u0159\u00edklad cystoskopie, u n\u00ed\u017e se endoskopicky prohl\u00ed\u017e\u00ed dutina mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a trubice bez umrtven\u00ed, se \u010dasem i podoba hysteroskopie prom\u011bn\u00ed tak, aby byla pro pacientky co nejm\u00e9n\u011b zat\u011b\u017euj\u00edc\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Petr Kov\u00e1\u0159, specialista na hysteroskopii bez anestezie, gynekolog a vedouc\u00ed l\u00e9ka\u0159 zdravotnick\u00fdch za\u0159\u00edzen\u00ed Gynprenatal a Gynenatal. T\u011bchto z\u00e1krok\u016f prov\u00e1d\u00ed asi 2 500 ro\u010dn\u011b.<\/p>\n\n\n\n Podle MUDr. \u0160t\u011bp\u00e1na Macha\u010de, Ph.D., p\u0159edsedy Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti \u010cLS JEP, je proveden\u00ed hysteroskopie bez usp\u00e1n\u00ed pro pacientku a jej\u00ed organismus mnohem \u0161etrn\u011bj\u0161\u00ed a rychlej\u0161\u00ed. \u201e\u017dena, kter\u00e1 jde na z\u00e1krok do nemocnice, v n\u00ed obvykle str\u00e1v\u00ed 2\u20133 dny, mus\u00ed absolvovat p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed v\u010detn\u011b rentgenu srdce a plic a z\u00e1t\u011b\u017e spojenou s anestezi\u00ed. A zdravotn\u00ed syst\u00e9m to samoz\u0159ejm\u011b stoj\u00ed pen\u00edze,\u201c<\/em> vysv\u011btluje MUDr. Macha\u010d.<\/p>\n\n\n\n Vy\u0161et\u0159en\u00ed a p\u0159\u00edpadn\u00fd z\u00e1krok bez usp\u00e1n\u00ed lze nab\u00eddnout i tzv. polymorbidn\u00edm pacientk\u00e1m. Tedy t\u011bm, kter\u00e9 bojuj\u00ed s \u0159adou jin\u00fdch chronick\u00fdch nemoc\u00ed, a anestezie tak pro n\u011b p\u0159edstavuje ne\u00fam\u011brn\u00e9 zdravotn\u00ed riziko. Stejn\u011b tak vyhovuje i star\u0161\u00edm pacientk\u00e1m. \u201eO\u0161et\u0159ujeme zde nap\u0159\u00edklad \u017eeny ve v\u011bku nad 90 let,\u201c<\/em> potvrzuje MUDr. Kov\u00e1\u0159. Dal\u0161\u00ed v\u00fdznamnou skupinou, kter\u00e1 podle n\u011bj z metody profituje, jsou \u017eeny, kter\u00e9 ned\u00e1vno porodily. Nemus\u00ed toti\u017e kv\u016fli z\u00e1kroku odstavovat d\u00edt\u011b od kojen\u00ed.<\/p>\n\n\n\n V tuzemsku nab\u00edz\u00ed hysteroskopii bez anestezie m\u00e9n\u011b ne\u017e 10 pracovi\u0161\u0165, mezi nimi nov\u011b Reprofit, a to v ned\u00e1vno otev\u0159en\u00e9m Centru \u017eensk\u00e9ho zdrav\u00ed. \u201eZ\u00e1jem je velik\u00fd, pacientky cht\u011bj\u00ed p\u0159ij\u00edt, odb\u00fdt si jej a do p\u016fl hodiny odej\u00edt \u2013 a to jim umo\u017en\u00edme,\u201c<\/em> dod\u00e1v\u00e1 MUDr. Pavel Otev\u0159el, vedouc\u00ed l\u00e9ka\u0159 kliniky Reprofit. Samotn\u00fd z\u00e1krok trv\u00e1 podle l\u00e9ka\u0159\u016f maxim\u00e1ln\u011b 15 minut, prov\u00e1d\u00ed se tenk\u00fdm opera\u010dn\u00edm n\u00e1strojem o maxim\u00e1ln\u00ed tlou\u0161\u0165ce 3 mm a je prakticky bezbolestn\u00fd. \u017dena po n\u011bm hned odch\u00e1z\u00ed dom\u016f, nepot\u0159ebuje dovolenou \u010di neschopenku. \u201eN\u00e1stroj, kter\u00fd p\u0159i z\u00e1kroku pou\u017e\u00edv\u00e1me, je ten\u010d\u00ed ne\u017e ten, kter\u00fdm se zav\u00e1d\u00ed d\u011blo\u017en\u00ed t\u011bl\u00edsko. Podle na\u0161ich zku\u0161enost\u00ed polovina pacientek nec\u00edt\u00ed v\u016fbec nic, asi 45 % z nich za\u017e\u00edv\u00e1 lehkou nepohodu srovnatelnou s menstruac\u00ed a asi 5 % \u017een p\u0159i z\u00e1kroku lok\u00e1ln\u011b umrtv\u00edme, podobn\u011b jako zuba\u0159 znecitliv\u00ed chrup,\u201c<\/em> popisuje MUDr. Kov\u00e1\u0159.<\/p>\n\n\n\n D\u016fvodem, pro\u010d \u017eena mus\u00ed podstoupit hysteroskopii, je podle l\u00e9ka\u0159\u016f nap\u0159\u00edklad abnorm\u00e1ln\u00ed krv\u00e1cen\u00ed, neobvykl\u00fd ultrazvukov\u00fd n\u00e1lez, ale tak\u00e9 pot\u00ed\u017ee s nitrod\u011blo\u017en\u00edm t\u011bl\u00edskem \u010di pot\u0159eba odstranit zbytky placent\u00e1rn\u00ed tk\u00e1n\u011b po porodu \u010di potratu. Hysteroskopii \u017eeny podstupuj\u00ed tak\u00e9 za \u00fa\u010delem vylou\u010den\u00ed d\u011blo\u017en\u00edho faktoru sterility.<\/p>\n\n\n\n P\u0159i hysteroskopii m\u016f\u017ee l\u00e9ka\u0159 prohl\u00e9dnout nejen d\u011blohu, ale tak\u00e9 odebrat vzorky tk\u00e1n\u011b k\u00a0dal\u0161\u00edmu prozkoum\u00e1n\u00ed nebo odstranit polypy, myomy, sr\u016fsty a dal\u0161\u00ed l\u00e9ze.<\/p>\n","protected":false},"excerpt":{"rendered":" Tis\u00edce \u017een mus\u00ed ro\u010dn\u011b podstoupit vy\u0161et\u0159en\u00ed d\u011blohy \u2013 tzv. hysteroskopii. V\u011bt\u0161ina z\u00a0nich jde do nemocnice nebo na specializovan\u00e1 pracovi\u0161t\u011b, kde z\u00e1krok absolvuj\u00ed v\u00a0\u010d\u00e1ste\u010dn\u00e9 nebo \u00fapln\u00e9 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-41740","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\/41740","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=41740"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41740\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41740"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41740"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41740"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}