novorozeneck\u00fd laboratorn\u00ed screening<\/a><\/strong>\u00a0z\u00a0kapky krve z\u00a0pati\u010dky novorozence na tzv. novorozeneckou screeningovou karti\u010dku. Testov\u00e1n\u00ed vyhled\u00e1v\u00e1 vybran\u00fdch dvacet z\u00e1va\u017en\u00fdch a vz\u00e1cn\u00fdch onemocn\u011bn\u00ed u novorozenc\u016f.<\/p>\nKdy se d\u011blaj\u00ed jednotliv\u00e1 screeningov\u00e1 vy\u0161et\u0159en\u00ed?<\/b><\/p>\n
Screeningov\u00e9 vy\u0161et\u0159en\u00ed vrozen\u00e9 dysplazie ky\u010deln\u00edho kloubu<\/u><\/p>\n
Screeningov\u00fdm vy\u0161et\u0159en\u00edm lze p\u0159edej\u00edt z\u00e1va\u017en\u00e9mu po\u0161kozen\u00ed ky\u010deln\u00edho kloubu. Ortoped vy\u0161et\u0159\u00ed ky\u010dle fyzik\u00e1ln\u011b a\u00a0ultrazvukem pro\u00a0v\u010dasn\u00e9 zachycen\u00ed v\u00fdvojov\u00e9 dysplazie ky\u010deln\u00edho kloubu. Hodnot\u00ed se\u00a0postaven\u00ed, d\u00e9lka a\u00a0symetrie doln\u00edch kon\u010detin, rozsah a\u00a0volnost pohybu v\u00a0ky\u010dl\u00edch a\u00a0ultrazvukov\u00e1 konfigurace ky\u010deln\u00edho kloubu sou\u010dasn\u011b s\u00a0kontrolou postaven\u00ed no\u017ei\u010dek.<\/p>\n
Screening zahrnuje t\u0159i po sob\u011b jdouc\u00ed vy\u0161et\u0159en\u00ed \u2013 prvn\u00ed absolvuje miminko\u00a0v prvn\u00edm t\u00fddnu\u00a0po narozen\u00ed, druh\u00e9 ve v\u011bku 6-9 t\u00fddn\u016f a t\u0159et\u00ed ve v\u011bku 12-16 t\u00fddn\u016f. Pokud k\u00a0vy\u0161et\u0159en\u00ed nedo\u0161lo v\u00a0porodnici, bude provedeno v ordinaci ortopeda.<\/p>\n
Screening sluchu<\/u><\/p>\n
P\u0159\u00edpadnou vrozenou vadu sluchu u novorozence a t\u00edm zp\u016fsoben\u00fd opo\u017ed\u011bn\u00fd v\u00fdvoj komunika\u010dn\u00edch schopnost\u00ed pom\u00e1h\u00e1 odhalit vy\u0161et\u0159en\u00ed tzv. otoakustick\u00fdch emis\u00ed. Prost\u0159ednictv\u00edm speci\u00e1ln\u00edho screeningov\u00e9ho p\u0159\u00edstroje je u sp\u00edc\u00edho novorozence m\u011b\u0159ena odpov\u011b\u010f vnit\u0159n\u00edho ucha na slab\u00fd zvukov\u00fd sign\u00e1l. Nebylo-li vy\u0161et\u0159en\u00ed provedeno v\u00a0porodnici, m\u011blo by prob\u011bhnout v ordinaci otorhinolaryngologie (ORL).<\/p>\n
Screening na vrozen\u00fd \u0161ed\u00fd z\u00e1kal<\/u><\/p>\n
V\u010dasn\u00e9 vy\u0161et\u0159en\u00ed o\u010d\u00ed a odhalen\u00ed vrozen\u00e9ho \u0161ed\u00e9ho z\u00e1kalu (katarakty) u novorozence m\u00e1 vliv na\u00a0budouc\u00ed rozvoj zrakov\u00fdch funkc\u00ed d\u00edt\u011bte. Vy\u0161et\u0159en\u00ed katarakty u novorozenc\u016f se prov\u00e1d\u00ed pomoc\u00ed oftalmoskopu, kdy l\u00e9ka\u0159 prosv\u00edt\u00ed oko novorozence a zji\u0161\u0165uje tzv. \u010derven\u00fd reflex (sv\u011btlo oftalmoskopu projde \u010dirou \u010do\u010dkou na s\u00edtnici a odraz\u00ed se).\u00a0U zdrav\u00e9ho d\u00edt\u011bte l\u00e9ka\u0159 vid\u00ed\u00a0\u010derven\u00fd odraz s\u00edtnice, v\u00a0tom p\u0159\u00edpad\u011b je test pova\u017eov\u00e1n za negativn\u00ed. V p\u0159\u00edpad\u011b pozitivn\u00edho testu n\u00e1sleduj\u00ed dal\u0161\u00ed specializovan\u00e1 vy\u0161et\u0159en\u00ed.<\/p>\n
\u010casn\u00fd z\u00e1chyt kritick\u00fdch vrozen\u00fdch srde\u010dn\u00edch vad<\/u><\/p>\n
V\u00a0prvn\u00edch dnech \u017eivota novorozence se nemus\u00ed projevit \u017e\u00e1dn\u00e9 p\u0159\u00edznaky srde\u010dn\u00edho selh\u00e1n\u00ed a o\u00a0to\u00a0v\u00edce je\u00a0d\u016fle\u017eit\u00fd \u010dasn\u00fd z\u00e1chyt kritick\u00fdch vrozen\u00fdch srde\u010dn\u00edch vad. Novorozenci je m\u011b\u0159eno okysli\u010den\u00ed krve horn\u00ed a\u00a0doln\u00ed poloviny t\u011bla pomoc\u00ed tzv. pulzn\u00edho oxymetru. P\u0159\u00edstroj m\u011b\u0159\u00ed okysli\u010den\u00ed krve na prav\u00e9 ruce a\u00a0prav\u00e9 noze a n\u00e1sledn\u011b vyhodnot\u00ed satura\u010dn\u00ed rozd\u00edl.<\/p>\n
Screening vrozen\u00fdch vad ledvin a mo\u010dov\u00e9ho \u00fastroj\u00ed<\/u><\/p>\n
Ledviny a mo\u010dov\u00e9 cesty se u novorozence vy\u0161et\u0159uj\u00ed ultrazvukem, kter\u00fd odhal\u00ed p\u0159\u00edpadn\u00e9 odchylky ve\u00a0v\u00fdvoji jednotliv\u00fdch org\u00e1n\u016f \u2013 ledvin, mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a mo\u010dov\u00fdch cest. V\u00a0r\u00e1mci ultrazvuku se\u00a0hodnot\u00ed ulo\u017een\u00ed ledvin, jejich velikost, tvar a v\u00fdvod mo\u010dov\u00fdch cest.<\/p>\n
\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b><\/p>\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
(vzp)<\/strong><\/p>\n
\n <\/p>\n","protected":false},"excerpt":{"rendered":"
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