{"id":313334,"date":"2024-07-08T11:47:49","date_gmt":"2024-07-08T10:47:49","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=313334"},"modified":"2024-07-08T11:47:49","modified_gmt":"2024-07-08T10:47:49","slug":"vseobecna-zdravotni-pojistovna-novorozenecky-laboratorni-screening","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=313334","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Novorozeneck\u00fd laboratorn\u00ed screening"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Co je to laboratorn\u00ed novorozeneck\u00fd screening?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Novorozeneck\u00fd laboratorn\u00ed screening\u00a0<\/b>(NLS)\u00a0je c\u00edlen\u00e9 vyhled\u00e1v\u00e1n\u00ed vybran\u00fdch z\u00e1va\u017en\u00fdch a\u00a0vz\u00e1cn\u00fdch onemocn\u011bn\u00ed u\u00a0novorozenc\u016f<\/b>. V\u010dasn\u00e9 odhalen\u00ed onemocn\u011bn\u00ed v prvn\u00edch dnech \u017eivota novorozence je\u00a0naprosto kl\u00ed\u010dov\u00e9 a umo\u017e\u0148uje zah\u00e1jit l\u00e9\u010dbu je\u0161t\u011b d\u0159\u00edve, ne\u017e se\u00a0projev\u00ed p\u0159\u00edznaky dan\u00e9 nemoci a zp\u016fsob\u00ed novorozenci nen\u00e1vratn\u00e9 po\u0161kozen\u00ed zdrav\u00ed.<\/p>\n

Jedn\u00e1 se\u00a0o\u00a0celost\u00e1tn\u00ed\u00a0<\/b>(celoplo\u0161n\u00e9)\u00a0testov\u00e1n\u00ed narozen\u00fdch d\u011bt\u00ed<\/b>\u00a0a prov\u00e1d\u00ed se v ka\u017ed\u00e9 porodnici v \u010cesk\u00e9 republice.\u00a0Testov\u00e1n\u00ed je prov\u00e1d\u011bno na 20 vz\u00e1cn\u00fdch l\u00e9\u010diteln\u00fdch onemocn\u011bn\u00ed<\/b>. Screeningov\u00e9 vy\u0161et\u0159en\u00ed je\u00a0dobrovoln\u00e9 a lze ho prov\u00e9st pouze s p\u00edsemn\u00fdm souhlasem z\u00e1konn\u00e9ho z\u00e1stupce novorozence.<\/p>\n

Jak se screeningov\u00e9 vy\u0161et\u0159en\u00ed d\u011bl\u00e1?<\/b><\/h6>\n

Novorozenci je 48-72 hodin po narozen\u00ed odebr\u00e1no n\u011bkolik kapek krve z\u00a0pati\u010dky na tzv. novorozeneckou screeningovou karti\u010dku, kter\u00e1 je n\u00e1sledn\u011b odesl\u00e1n do laborato\u0159e prov\u00e1d\u011bj\u00edc\u00ed novorozeneck\u00fd screening<\/b>. Testov\u00e1n\u00ed vyhled\u00e1v\u00e1 v\u00a0krvi novorozence zv\u00fd\u0161en\u00e9 \u010di sn\u00ed\u017een\u00e9 mno\u017estv\u00ed specifick\u00fdch l\u00e1tek pro dan\u00e9 onemocn\u011bn\u00ed (nap\u0159. b\u00edlkoviny, hormony, aminokyseliny). Laboratorn\u00ed anal\u00fdzu such\u00e9 kapky krve, diagnostiku onemocn\u011bn\u00ed a interpretaci v\u00fdsledk\u016f prov\u00e1d\u00ed screeningov\u00e1 laborato\u0159.<\/p>\n

Jak\u00e1 onemocn\u011bn\u00ed se zji\u0161\u0165uj\u00ed?<\/b><\/h6>\n

Vz\u00e1cn\u00e1 onemocn\u011bn\u00ed, kter\u00e1 vyhled\u00e1v\u00e1 novorozeneck\u00fd laboratorn\u00ed screening: vrozen\u00e9 sn\u00ed\u017een\u00ed funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy,\u00a0vrozen\u00e1 nedostate\u010dnost tvorby hormon\u016f v nadledvin\u00e1ch,\u00a0vrozen\u00e1 porucha tvorby hlenu\u00a0(cystick\u00e1 fibr\u00f3za), osm onemocn\u011bn\u00ed, kter\u00e1 jsou d\u016fsledkem d\u011bdi\u010dn\u00e9 poruchy l\u00e1tkov\u00e9 v\u00fdm\u011bny aminokyselin (nap\u0159. fenylketonurie a hyperfenylalaninemie, leucin\u00f3za, homocystinurie), \u0161est r\u016fzn\u00fdch d\u011bdi\u010dn\u00fdch poruch l\u00e1tkov\u00e9 v\u00fdm\u011bny mastn\u00fdch kyselin, d\u011bdi\u010dn\u00e1 porucha p\u0159em\u011bny vitam\u00edn\u016f, geneticky podm\u00edn\u011bn\u00e1 spin\u00e1ln\u00ed muskul\u00e1rn\u00ed atrofie (SMA) a z\u00e1va\u017en\u00e9 kombinovan\u00e9 imunodeficience (SCID).<\/p>\n

V\u00fdsledek novorozeneck\u00e9ho laboratorn\u00edho screeningu<\/b><\/h6>\n

Negativn\u00ed v\u00fdsledek<\/u><\/p>\n

Pokud screeningov\u00e1 laborato\u0159 nebude kontaktovat rodi\u010de novorozence ani o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e (praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a\u00a0dorost, u hospitalizovan\u00fdch novorozenc\u016f \u2013 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 v\u00a0nemocnici), znamen\u00e1 to,\u00a0\u017ee\u00a0screening neodhalil \u017e\u00e1dn\u00e9 z\u00a0vy\u0161et\u0159ovan\u00fdch onemocn\u011bn\u00ed.<\/p>\n

Nejasn\u00fd v\u00fdsledek<\/u><\/p>\n

Za nejasn\u00fd n\u00e1lez jsou pova\u017eov\u00e1ny odchylky, kter\u00e9 nespl\u0148uj\u00ed krit\u00e9ria pozitivn\u00edho n\u00e1lezu. M\u016f\u017ee se jednat o p\u0159echodn\u00e9 v\u00fdrazn\u00e9 zv\u00fd\u0161en\u00ed vy\u0161et\u0159ovan\u00fdch l\u00e1tek, kter\u00e9 mohou b\u00fdt ovlivn\u011bny nap\u0159. aplikac\u00ed n\u011bkter\u00e9ho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku rodi\u010dce p\u0159ed porodem, zralost\u00ed a porodn\u00ed hmotnost\u00ed d\u00edt\u011bte atd. P\u0159i nejasn\u00e9m v\u00fdsledku se prov\u00e1d\u00ed kontroln\u00ed odb\u011br krve z\u00a0pati\u010dky novorozence.<\/p>\n

Pozitivn\u00ed v\u00fdsledek<\/u><\/p>\n

Screeningov\u00e1 laborato\u0159 zhruba do 14 dn\u016f od odb\u011bru krve (u n\u011bkter\u00fdch onemocn\u011bn\u00ed m\u016f\u017ee b\u00fdt tato doba del\u0161\u00ed) kontaktuje rodi\u010de novorozence nebo o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e (praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a dorost, u\u00a0hospitalizovan\u00fdch novorozenc\u016f \u2013 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 v\u00a0nemocnici).<\/p>\n

Pozitivn\u00ed v\u00fdsledek znamen\u00e1, \u017ee\u00a0vzniklo podez\u0159en\u00ed na\u00a0zachycen\u00ed vy\u0161et\u0159ovan\u00e9ho onemocn\u011bn\u00ed, nejedn\u00e1 se je\u0161t\u011b o diagn\u00f3zu. Pro potvrzen\u00ed diagn\u00f3zy n\u00e1sleduje zhodnocen\u00ed zdravotn\u00edho stavu novorozence a\u00a0dopln\u011bn\u00ed dal\u0161\u00edch laboratorn\u00edch vy\u0161et\u0159en\u00ed.<\/p>\n

V\u00a0p\u0159\u00edpad\u011b potvrzen\u00ed nemoci je novorozenec p\u0159ed\u00e1n do zdravotn\u00ed p\u00e9\u010de specializovan\u00e9ho pracovi\u0161t\u011b, ve\u00a0kter\u00e9 l\u00e9ka\u0159 specialista vysv\u011btl\u00ed rodi\u010d\u016fm diagn\u00f3zu, navrhne l\u00e9\u010debn\u00fd postup a zah\u00e1j\u00ed l\u00e9\u010dbu.<\/p>\n

\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b><\/h6>\n

Ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 jsou pacientovi indikov\u00e1na, jsou hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. V\u0161echna vy\u0161et\u0159en\u00ed je nutn\u00e9 prov\u00e9st ve\u00a0smluvn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch<\/b>\u00a0(tedy u\u00a0poskytovatele zdravotn\u00edch slu\u017eeb, kter\u00fd m\u00e1 smlouvu se\u00a0zdravotn\u00ed poji\u0161\u0165ovnou pacienta).<\/p>\n

Podrobn\u00e9 informace o novorozeneck\u00e9m screeningu jsou uvedeny na\u00a0www.novorozeneckyscreening.cz<\/a>.<\/strong><\/p>\n

(vzp)<\/strong><\/p>\n

\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA: Co <\/p>\n","protected":false},"author":2,"featured_media":313335,"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\/2024\/07\/08\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/313334"}],"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=313334"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/313334\/revisions"}],"predecessor-version":[{"id":313336,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/313334\/revisions\/313336"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/313335"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=313334"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=313334"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=313334"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}