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U novorozenc\u016f se prov\u00e1d\u00ed tzv. novorozeneck\u00fd screening. Jedn\u00e1 se o celoplo\u0161n\u00e9 (celost\u00e1tn\u00ed) testov\u00e1n\u00ed narozen\u00fdch d\u011bt\u00ed na l\u00e9\u010diteln\u00e1\u00a0vz\u00e1cn\u00e1 onemocn\u011bn\u00ed, kter\u00e1 jsou jinak obt\u00ed\u017en\u011b v\u010das rozpoznateln\u00e1. Prov\u00e1d\u00ed se kr\u00e1tce po narozen\u00ed a umo\u017e\u0148uje u d\u011bt\u00ed vyhledat onemocn\u011bn\u00ed je\u0161t\u011b d\u0159\u00edve, ne\u017e se vyskytnou po\u010d\u00e1te\u010dn\u00ed p\u0159\u00edznaky. Novorozeneck\u00fd screening se prov\u00e1d\u00ed v\u00a0ka\u017ed\u00e9 porodnici v\u00a0\u010cesk\u00e9 republice.<\/p>\n
Od 1. ledna 2022 je nov\u011b sou\u010d\u00e1st\u00ed novorozeneck\u00e9ho screenignu\u00a0pilotn\u00ed projekt roz\u0161\u00ed\u0159en\u00ed laboratorn\u00edho novorozeneck\u00e9ho screeningu o<\/b>\u00a0spin\u00e1ln\u00ed muskul\u00e1rn\u00ed atrofii (SMA) a t\u011b\u017ekou kombinovanou imunodeficienci (SCID)<\/b>.\u00a0Plo\u0161n\u00e9 vy\u0161et\u0159ov\u00e1n\u00ed novorozenc\u016f vedouc\u00ed k v\u010dasn\u00e9mu odhalen\u00ed SMA a SCID se dosud neprov\u00e1d\u011blo.\u00a0Tento pilotn\u00ed projekt je napl\u00e1nov\u00e1n na dva roky.<\/p>\n
V\u00a0sou\u010dasn\u00e9 dob\u011b je ji\u017e na ob\u011b tato vz\u00e1cn\u00e1 geneticky podm\u00edn\u011bn\u00e1 onemocn\u011bn\u00ed dostupn\u00e1 l\u00e9\u010dba.\u00a0Odhalen\u00ed onemocn\u011bn\u00ed v\u00a0prvn\u00edch dnech \u017eivota novorozence je naprosto kl\u00ed\u010dov\u00e9 pro v\u010dasn\u00e9 zah\u00e1jen\u00ed adekv\u00e1tn\u00ed l\u00e9\u010dby<\/b>. Vy\u0161et\u0159en\u00ed na SMA a SCID je pro \u00fa\u010dastn\u00edky ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed v\u00a0\u010cesk\u00e9 republice pln\u011b hrazeno z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n
Novorozeneck\u00fd screening se prov\u00e1d\u00ed laboratorn\u00edm vy\u0161et\u0159en\u00edm ze such\u00e9 kapky krve, z\u00edskan\u00e9 odb\u011brem krve z pati\u010dky novorozence 48\u201372 hodin po narozen\u00ed<\/b>. Dodate\u010dn\u00fd odb\u011br krve, tj. nad r\u00e1mec dosavadn\u00edho jednor\u00e1zov\u00e9ho odb\u011bru pro pot\u0159eby novorozeneck\u00e9ho laboratorn\u00edho screeningu se neprov\u00e1d\u00ed. Z\u00a0tohoto d\u016fvodu pilotn\u00ed screeningov\u00e9 vy\u0161et\u0159en\u00ed SMA a SCID nezat\u00ed\u017e\u00ed d\u00edt\u011b dal\u0161\u00edm odb\u011brem krve, proto\u017ee je pou\u017eita kapka krve, kter\u00e1 zbyde po proveden\u00ed st\u00e1vaj\u00edc\u00edch 18 vy\u0161et\u0159en\u00ed.<\/p>\n
Tzv. such\u00e1 kapka krve je tedy odesl\u00e1na do screeningov\u00e9 laborato\u0159e, kde je testov\u00e1na na celkem 20 vrozen\u00fdch vz\u00e1cn\u00fdch onemocn\u011bn\u00ed. O v\u00fdsledc\u00edch se dozv\u011bd\u00ed rodi\u010de novorozence zpravidla do 14 dn\u016f od odebr\u00e1n\u00ed krve (u n\u011bkter\u00fdch onemocn\u011bn\u00ed m\u016f\u017ee b\u00fdt tato doba del\u0161\u00ed).\u00a0V\u00a0p\u0159\u00edpad\u011b, \u017ee nejsou rodi\u010de nebo registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a dorost informov\u00e1ni do dvou m\u011bs\u00edc\u016f, znamen\u00e1 to, \u017ee \u017e\u00e1dn\u00e1 vy\u0161et\u0159ovan\u00e1 vrozen\u00e1 nemoc nebyla odhalena.<\/b><\/p>\n
Testov\u00e1n\u00ed na onemocn\u011bn\u00ed SMA a SCID\u00a0 je dobrovoln\u00e9 a lze ho prov\u00e9st v porodnici pouze s p\u00edsemn\u00fdm souhlasem z\u00e1konn\u00e9ho z\u00e1stupce novorozence<\/b>. V pilotn\u00edm projektu se p\u0159edpokl\u00e1d\u00e1 vy\u0161et\u0159en\u00ed obou onemocn\u011bn\u00ed (SMA a SCID) sou\u010dasn\u011b. V\u00a0p\u0159\u00edpad\u011b, \u017ee by se rodi\u010d rozhodl odm\u00edtnout jedno z vy\u0161et\u0159en\u00ed, nebude mo\u017en\u00e9 prov\u00e9st ani vy\u0161et\u0159en\u00ed druh\u00e9ho onemocn\u011bn\u00ed.<\/p>\n
(tzvzp)<\/strong><\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" OT\u00c1ZKA <\/p>\n","protected":false},"author":2,"featured_media":249421,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2022\/03\/14\/Desktop54.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/249417"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=249417"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/249417\/revisions"}],"predecessor-version":[{"id":249420,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/249417\/revisions\/249420"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/249421"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=249417"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=249417"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=249417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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