{"id":189332,"date":"2020-04-14T10:42:04","date_gmt":"2020-04-14T09:42:04","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=189332"},"modified":"2020-04-14T10:47:37","modified_gmt":"2020-04-14T09:47:37","slug":"protext-nezanedbejte-svuj-zdravotni-stav-kvuli-covid-19-epidemii-koronaviru-vystrida-epidemie-odlozene-pece","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=189332","title":{"rendered":"PROTEXT: Zanedb\u00e1n\u00ed \u010di odlo\u017een\u00ed neodkladn\u00e9 l\u00e9ka\u0159sk\u00e9 p\u00e9\u010de kv\u016fli covid-19 m\u016f\u017ee m\u00edt fat\u00e1ln\u00ed n\u00e1sledky"},"content":{"rendered":"
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Ilustra\u010dn\u00ed foto: pixabay<\/figcaption><\/figure>\n

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V dob\u011b koronavirov\u00e9 pandemie se mnoz\u00ed lid\u00e9 rad\u011bji vyh\u00fdbaj\u00ed n\u00e1v\u0161t\u011bv\u011b zdravotnick\u00fdch za\u0159\u00edzen\u00ed, aby se ob\u00e1van\u00fdm virem nenakazili. \u010casto je v\u0161ak l\u00e9ka\u0159sk\u00e1 p\u00e9\u010de neodkladn\u00e1 a jej\u00ed zanedb\u00e1n\u00ed \u010di odsunut\u00ed o n\u011bkolik t\u00fddn\u016f m\u016f\u017ee m\u00edt fat\u00e1ln\u00ed n\u00e1sledky… Zejm\u00e9na pacienti, kte\u0159\u00ed se dlouhodob\u011b l\u00e9\u010d\u00ed, by nem\u011bli br\u00e1t sv\u00e9 choroby na lehkou v\u00e1hu, ale i v p\u0159\u00edpad\u011b akutn\u00edch stav\u016f je d\u016fle\u017eit\u00e9 se k l\u00e9ka\u0159i vypravit. Odkl\u00e1dat byste nem\u011bli ani pl\u00e1novan\u00e1 vy\u0161et\u0159en\u00ed a prohl\u00eddky, na kter\u00e9 jste objedn\u00e1ni, proto\u017ee po odezn\u011bn\u00ed epidemie hroz\u00ed, \u017ee se kapacity zdravotn\u00edch za\u0159\u00edzen\u00ed p\u0159epln\u00ed a nedostanete se na n\u011b v\u010das. Sv\u016fj zdravotn\u00ed stav v\u017edy konzultujte s l\u00e9ka\u0159em.<\/h6>\n

“Pana Miroslava k n\u00e1m p\u0159ivedly n\u00e1hl\u00e9 zm\u011bny vid\u011bn\u00ed. Roz\u0161i\u0159uj\u00edc\u00ed se clona se st\u0159\u00eddala s ob\u010dasn\u00fdmi z\u00e1blesky, kter\u00e9 se mihotaly jako mu\u0161ky. Znepokojen\u00ed mu dodalo, kdy si za\u010dal takzvan\u011b vid\u011bt na nos. Vy\u0161et\u0159en\u00ed pan\u00ed doktorky Kate\u0159iny Pulchartov\u00e9 bohu\u017eel potvrdilo z\u00e1va\u017en\u00e9 podez\u0159en\u00ed na odchl\u00edpen\u00ed s\u00edtnice. Pacient byl okam\u017eit\u011b odesl\u00e1n do fakultn\u00ed nemocnice k akutn\u00ed operaci s\u00edtnice. Nep\u0159ij\u00edt v\u010das a odlo\u017eit vy\u0161et\u0159en\u00ed na pozd\u011bji by vedlo k nevratn\u00e9 \u010d\u00e1ste\u010dn\u00e9 \u010di \u00fapln\u00e9 ztr\u00e1t\u011b zraku,”<\/em> ilustruje na jednom z p\u0159\u00edklad\u016f MUDr. Lucie Vale\u0161ov\u00e1, prim\u00e1\u0159ka pra\u017esk\u00e9 o\u010dn\u00ed kliniky DuoVize, a varuje: “V p\u0159\u00edpad\u011b jak\u00fdchkoliv zm\u011bn vid\u011bn\u00ed, zorn\u00e9ho pole nebo jin\u00fdch obt\u00ed\u017e\u00ed sv\u00e9 rozhodnut\u00ed p\u0159ij\u00edt do ordinace o\u010dn\u00edho l\u00e9ka\u0159e neodkl\u00e1dejte!”<\/em><\/p>\n

Zav\u0159en\u00e1 ambulance? Nenechte se odradit!<\/h6>\n

K opat\u0159en\u00edm kolem \u0161\u00ed\u0159en\u00ed infekce koronaviru je nutn\u00e9 p\u0159istupovat se zodpov\u011bdnost\u00ed a rozumem a v \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b by d\u016fsledkem sou\u010dasn\u00e9 situace nem\u011blo doj\u00edt k zanedb\u00e1n\u00ed p\u00e9\u010de o zdrav\u00ed! Provoz mnoh\u00fdch zdravotnick\u00fdch za\u0159\u00edzen\u00ed se musel n\u00e1sledkem pandemie zm\u011bnit, n\u011bkte\u0159\u00ed l\u00e9ka\u0159i dokonce museli uzav\u0159\u00edt sv\u00e9 ambulance. \u010cast\u00fdm d\u016fvodem byla nedostupnost ochrann\u00fdch pom\u016fcek. Dal\u0161\u00edm probl\u00e9mem, se kter\u00fdm se l\u00e9ka\u0159sk\u00e1 za\u0159\u00edzen\u00ed pot\u00fdkaj\u00ed, je absence person\u00e1lu v d\u016fsledku onemocn\u011bn\u00ed, p\u0159\u00edpadn\u011b uzav\u0159en\u00ed v karant\u00e9n\u011b nebo p\u00e9\u010de o d\u011bti \u0161kolou povinn\u00e9. Za\u010daly se proto rojit st\u00ed\u017enosti pacient\u016f na nedostupnost zdravotn\u00ed p\u00e9\u010de. Tato situace by v\u0161ak nem\u011bla v\u00e9st k tomu, \u017ee pacienti rezignuj\u00ed a n\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e odlo\u017e\u00ed \u010di zru\u0161\u00ed, v\u017edy je zapot\u0159eb\u00ed hledat \u0159e\u0161en\u00ed a p\u0159\u00edpadn\u011b se p\u00eddit po zastupuj\u00edc\u00edm l\u00e9ka\u0159i \u010di jin\u00fdch mo\u017enostech o\u0161et\u0159en\u00ed! Informaci o dostupn\u00e9 p\u00e9\u010di by v tomto p\u0159\u00edpad\u011b m\u011bla podat zdravotn\u00ed poji\u0161\u0165ovna pacienta.<\/p>\n

Pacienty ohro\u017euj\u00ed i jin\u00e9 nemoci ne\u017e covid-19!<\/h6>\n

Mnoh\u00e9 ambulance a zdravotn\u00ed centra jsou toti\u017e v provozu i nad\u00e1le, by\u0165 n\u011bkdy v upraven\u00e9m re\u017eimu a za d\u016fkladn\u00fdch bezpe\u010dnostn\u00edch opat\u0159en\u00ed. “Cht\u011bl bych ubezpe\u010dit, \u017ee na\u0161e urologick\u00e9 ambulance funguj\u00ed i v t\u00e9to situaci, kter\u00e1 nen\u00ed jist\u011b jednoduch\u00e1 ani pro v\u00e1s, ani pro n\u00e1s. Samoz\u0159ejm\u011b si uv\u011bdomujeme riziko, kter\u00e9 s sebou dan\u00e9 virov\u00e9 onemocn\u011bn\u00ed nese, ale d\u011bl\u00e1me maximum pro to, abychom rizika minimalizovali, pou\u017e\u00edv\u00e1me ochrann\u00e9 pom\u016fcky, sna\u017e\u00edme se vyu\u017e\u00edvat nejmodern\u011bj\u0161\u00edch mo\u017enost\u00ed desinfekce a pochopiteln\u011b organizujeme na\u0161i pr\u00e1ci tak, abychom omezili kontakt mezi pacienty na minimum. Na druhou stranu jsme si v\u011bdomi skute\u010dnosti, \u017ee pacienta mohou ohro\u017eovat i jin\u00e1 onemocn\u011bn\u00ed ne\u017e virov\u00e1, na co\u017e v dne\u0161n\u00ed dob\u011b n\u011bkdy zapom\u00edn\u00e1me. Proto v p\u0159\u00edpad\u011b, \u017ee budete m\u00edt jak\u00e9koliv pot\u00ed\u017ee, nev\u00e1hejte p\u0159ij\u00edt, p\u0159\u00edpadn\u011b zavolat, jsme p\u0159ipraveni v\u00e1m pomoci,<\/em>” apeluje profesor MUDr. Marek Babjuk, CSc., hlavn\u00ed l\u00e9ka\u0159 pra\u017esk\u00e9 urologick\u00e9 kliniky UroKlinikum.<\/p>\n

V p\u0159\u00edpad\u011b urologick\u00fdch pot\u00ed\u017e\u00ed nav\u0161tivte l\u00e9ka\u0159e v\u017edy, kdy\u017e m\u00e1te viditelnou krev v mo\u010di \u010di akutn\u00ed pot\u00ed\u017ee s mo\u010den\u00edm, nap\u0159\u00edklad bolest, p\u00e1len\u00ed, retenci mo\u010di – tedy pokles vylu\u010dov\u00e1n\u00ed, a\u017e \u00fapln\u00e9 zastaven\u00ed mo\u010den\u00ed. D\u00e1le nepodce\u0148ujte n\u00e1lez nep\u0159irozen\u00e9ho \u00fatvaru p\u0159i samovy\u0161et\u0159en\u00ed varlat \u010di bolesti v oblasti beder a podb\u0159i\u0161ku. V p\u0159\u00edpad\u011b, \u017ee pat\u0159\u00edte do rizikov\u00e9 skupiny nebo m\u00e1te p\u0159\u00edznaky onemocn\u011bn\u00ed Covid-19, kontaktujte nejprve sv\u00e9ho l\u00e9ka\u0159e telefonicky a domluvte se na dal\u0161\u00edm postupu. A neru\u0161te ani napl\u00e1novan\u00e1 specializovan\u00e1 vy\u0161et\u0159en\u00ed!<\/p>\n

Pl\u00e1novanou prohl\u00eddku neru\u0161te<\/h6>\n

Nejen p\u0159i akutn\u00edch zdravotn\u00edch pot\u00ed\u017e\u00edch, ale i v p\u0159\u00edpad\u011b, \u017ee se l\u00e9\u010d\u00edte s jak\u00fdmkoli onemocn\u011bn\u00edm a m\u011bli jste absolvovat pravidelnou prohl\u00eddku \u010di konzultaci, anebo m\u00e1te dlouhodob\u011b napl\u00e1novan\u00e9 vy\u0161et\u0159en\u00ed, nevyh\u00fdbejte se mu. Pravideln\u00e9 prohl\u00eddky jsou sou\u010d\u00e1st\u00ed l\u00e9\u010dby a jsou nezbytn\u00e9 pro zabr\u00e1n\u011bn\u00ed zhor\u0161en\u00ed va\u0161eho stavu nebo dal\u0161\u00edm komplikac\u00edm. Pl\u00e1novan\u00e1 prohl\u00eddka z\u00e1rove\u0148 m\u016f\u017ee odhalit z\u00e1va\u017en\u00fd stav, kter\u00fd je zapot\u0159eb\u00ed zav\u010dasu l\u00e9\u010dit. “V DIAvizi proto d\u011bl\u00e1me i telefonick\u00e9 kontroly pro pacienty, kte\u0159\u00ed se k prohl\u00eddce nemohou dostavit. \u010casto v\u0161ak i p\u0159i t\u00e9to ‘kontrole na d\u00e1lku’ zjist\u00edme, \u017ee se pacient mus\u00ed dostavit k vy\u0161et\u0159en\u00ed. Pokud je to skute\u010dn\u011b pot\u0159eba, domluv\u00edme se s pacientem, kdy m\u00e1 p\u0159ij\u00edt, abychom minimalizovali ve\u0161ker\u00e1 rizika. Hlavn\u00ed probl\u00e9m ov\u0161em tkv\u00ed v tom, \u017ee pacienti kontroly i p\u0159esto odkl\u00e1daj\u00ed, a pak m\u016f\u017ee nastat situace, kdy neodhadnou \u010di ‘bagatelizuj\u00ed’ sv\u016fj stav a m\u016f\u017ee doj\u00edt k z\u00e1va\u017en\u00fdm komplikac\u00edm,”<\/em> varuje MUDr. Marta Klementov\u00e1, vedouc\u00ed l\u00e9ka\u0159ka pra\u017esk\u00e9ho diabetologick\u00e9ho centra DIAvize.<\/p>\n

“Druh\u00fd probl\u00e9m je, \u017ee v\u0161ichni pacienti \u010dekaj\u00ed, a\u017e se zru\u0161\u00ed omezen\u00ed, a pak cht\u011bj\u00ed vyrazit na kontrolu. Jen\u017ee takto uva\u017euje ka\u017ed\u00fd, tak\u017ee n\u00e1sledn\u011b nebudeme schopni vyhov\u011bt v\u0161em po\u017eadavk\u016fm o kontrolu kv\u016fli p\u0159et\u00ed\u017een\u00ed. To si pacienti neuv\u011bdomuj\u00ed. Kdy\u017e zru\u0161\u00ed kontroly nyn\u00ed, nezaru\u010d\u00edme jim, \u017ee pozd\u011bji budeme m\u00edt kapacitu my,”<\/em> poukazuje Klementov\u00e1 na problematiku odkl\u00e1d\u00e1n\u00ed napl\u00e1novan\u00fdch prohl\u00eddek. Z\u00e1rove\u0148 ubezpe\u010duje, \u017ee centrum funguje bez omezen\u00ed provozu, a na z\u00e1klad\u011b dan\u00e9 situace zavedlo mnoh\u00e1 opat\u0159en\u00ed. Ta maj\u00ed za \u00fakol minimalizovat rizika p\u0159enosu koronaviru, a\u0165 u\u017e mezi pacienty, tak i v r\u00e1mci ochrany person\u00e1lu.<\/p>\n

“Povinnost\u00ed l\u00e9ka\u0159\u016f i dal\u0161\u00edho zdravotnick\u00e9ho person\u00e1lu je zajistit pr\u016fb\u011bh l\u00e9\u010dby tak, aby nebyl ohro\u017een ani pacient ani l\u00e9ka\u0159. Tomu se p\u0159izp\u016fsobuje cel\u00fd chod ambulanc\u00ed, zv\u011bt\u0161uj\u00ed se rozestupy v \u010dek\u00e1rn\u00e1ch, ale i \u010dasov\u00e9 rozestupy mezi jednotliv\u00fdmi pacienty. Rezervace pacient\u016f z rizikov\u00fdch skupin jako jsou lid\u00e9 s vysok\u00fdm krevn\u00edm tlakem, chronick\u00fdm onemocn\u011bn\u00edm d\u00fdchac\u00edch cest a podobn\u011b p\u0159esouv\u00e1me na pozd\u011bj\u0161\u00ed dobu nebo do speci\u00e1ln\u00edch \u010das\u016f, pokud je vy\u0161et\u0159en\u00ed neodkladn\u00e9,”<\/em> uv\u00e1d\u00ed Ing. Magda Pravdov\u00e1, MHA, \u0159editelka D\u011btsk\u00e9ho o\u010dn\u00edho centra Kuk\u00e1tko.<\/p>\n

Co byste m\u011bli dodr\u017eovat p\u0159i n\u00e1v\u0161t\u011bv\u011b l\u00e9ka\u0159e?<\/h6>\n

D\u0159\u00edve, ne\u017e nav\u0161t\u00edv\u00edte ambulanci, m\u011bli byste si zodpov\u011bd\u011bt n\u00e1sleduj\u00edc\u00ed ot\u00e1zky: P\u0159i\u0161li jste do kontaktu s osobou naka\u017eenou koronavirem nebo s podez\u0159en\u00edm na n\u00e1kazu koronavirem? M\u00e1te p\u0159\u00edznaky onemocn\u011bn\u00ed d\u00fdchac\u00edho apar\u00e1tu (ka\u0161el, r\u00fdmu, zv\u00fd\u0161enou teplotu, slabost, zimnici, dechovou slabost)? Byla v\u00e1m na\u0159\u00edzen\u00e1 karant\u00e9na (v\u010detn\u011b povinn\u00e9 karant\u00e9ny z d\u016fvodu n\u00e1vratu z ciziny)? Pokud jste na n\u011bkter\u00fd z uveden\u00fdch dotaz\u016f odpov\u011bd\u011bli kladn\u011b, kontaktujte l\u00e9ka\u0159e telefonicky, abyste se domluvili na dal\u0161\u00edm postupu. Jestli\u017ee jsou va\u0161e odpov\u011bdi z\u00e1porn\u00e9 a m\u00e1te zdravotn\u00ed obt\u00ed\u017ee, kter\u00e9 vy\u017eaduj\u00ed n\u00e1v\u0161t\u011bvu zdravotn\u00edho za\u0159\u00edzen\u00ed, anebo m\u00e1te napl\u00e1novanou pravidelnou kontrolu \u010di vy\u0161et\u0159en\u00ed, nezapom\u00ednejte na hygienick\u00e1 opat\u0159en\u00ed: zakryt\u00ed tv\u00e1\u0159e, no\u0161en\u00ed rukavic, nav\u00edc m\u011bjte po ruce kapesn\u00ed desinfekci, kterou si ruce ot\u00edrejte – ta by v\u0161ak m\u011bla b\u00fdt dostupn\u00e1 i v samotn\u00e9m za\u0159\u00edzen\u00ed. Zbyte\u010dn\u011b se ni\u010deho nedot\u00fdkejte a z\u00e1rove\u0148 udr\u017eujte odstup od ostatn\u00edch pacient\u016f.<\/p>\n

Jak zdravotnick\u00e1 za\u0159\u00edzen\u00ed bojuj\u00ed s koronavirem?<\/h6>\n

Rovn\u011b\u017e samotn\u00e1 zdravotnick\u00e1 za\u0159\u00edzen\u00ed nyn\u00ed zp\u0159\u00eds\u0148uj\u00ed hygienick\u00e1 opat\u0159en\u00ed. “Ji\u017e v lednu jsme pro na\u0161e pracovi\u0161t\u011b v Brn\u011b i v Praze zabezpe\u010dili dostatek \u00fastenek, dezinfekc\u00ed a rukavic. Postupn\u011b jsme doplnili bezkontaktn\u00ed teplom\u011bry, ochrann\u00e9 br\u00fdle, \u0161t\u00edty, respir\u00e1tory a dal\u0161\u00ed, abychom maximalizovali ochranu na\u0161ich pacient\u016f i zam\u011bstnanc\u016f p\u0159ed n\u00e1kazou. Zavedli jsme vstupn\u00ed kontrolu, kterou mus\u00ed podstoupit ka\u017ed\u00fd p\u0159\u00edchoz\u00ed. Zahrnuje bezkontaktn\u00ed zm\u011b\u0159en\u00ed teploty, povinnou dezinfekci rukou, kontrolu rou\u0161ky – jej\u00ed spr\u00e1vn\u00e9 nasazen\u00ed a no\u0161en\u00ed. Kdo nem\u00e1 vhodnou rou\u0161ku, dostane ji od n\u00e1s. Pro pacienty i person\u00e1l plat\u00ed z\u00e1kaz sn\u00edm\u00e1n\u00ed rou\u0161ky z obli\u010deje po celou dobu p\u0159\u00edtomnosti na klinice. Pacienty v \u010dek\u00e1rn\u00e1ch usazujeme s minim\u00e1ln\u011b dvoumetrov\u00fdmi rozestupy. Tak\u00e9 jsme po\u0159\u00eddili uzav\u0159en\u00e9 germicidn\u00ed z\u00e1\u0159i\u010de, kter\u00e9 pomoc\u00ed UVC z\u00e1\u0159en\u00ed ni\u010d\u00ed viry a bakterie a pr\u016fb\u011b\u017en\u011b dezinfikuj\u00ed vzduch ve spole\u010dn\u00fdch prostor\u00e1ch. Jednotliv\u00e9 vy\u0161et\u0159ovny pak po skon\u010den\u00ed ordina\u010dn\u00ed doby desinfikujeme pomoc\u00ed ozonu a germicidn\u00edm z\u00e1\u0159i\u010dem,”<\/em> vyjmenov\u00e1v\u00e1 Lenka Tuzov\u00e1, \u0159editelka brn\u011bnsk\u00e9 O\u010dn\u00ed kliniky NeoVize mimo\u0159\u00e1dn\u00e1 bezpe\u010dnostn\u00ed opat\u0159en\u00ed, kter\u00e1 eliminuj\u00ed riziko n\u00e1kazy koronavirem b\u011bhem n\u00e1v\u0161t\u011bvy u l\u00e9ka\u0159e. Pr\u00e1v\u011b ozon je velmi \u00fa\u010dinn\u00fd n\u00e1stroj pro likvidaci libovoln\u00fdch bakteri\u00ed a vir\u016f. “Do zabezpe\u010den\u00ed ochrann\u00fdch pom\u016fcek, dezinfekc\u00ed, nov\u00fdch za\u0159\u00edzen\u00ed a zp\u0159\u00edsn\u011bn\u00e9ho hygienick\u00e9ho re\u017eimu jsme investovali p\u0159es 500 tis\u00edc korun. Dal\u0161\u00ed statis\u00edce n\u00e1s stoj\u00ed pr\u00e1ce lid\u00ed, kte\u0159\u00ed organizuj\u00ed, zabezpe\u010duj\u00ed a realizuj\u00ed tato opat\u0159en\u00ed,”<\/em> dopl\u0148uje Bc. Petr Kocian, MHA, gener\u00e1ln\u00ed \u0159editel a majitel s\u00edt\u011b klinik NeoVize Group.<\/p>\n

PROTEXT<\/strong><\/p>\n

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