laboratorn\u00ed vy\u0161et\u0159en\u00ed s\u00e9rov\u00e9ho kreatininu<\/a><\/strong>\u00a0ze vzorku krve.<\/p>\nV\u00a0p\u0159\u00edpad\u011b podez\u0159en\u00ed na onemocn\u011bn\u00ed ledvin na z\u00e1klad\u011b posouzen\u00ed celkov\u00e9ho zdravotn\u00edho stavu pacienta a\u00a0v\u00fdsledk\u016f laboratorn\u00edho vy\u0161et\u0159en\u00ed krve a mo\u010di doporu\u010d\u00ed praktick\u00fd l\u00e9ka\u0159 pacienta k\u00a0dal\u0161\u00edmu specializovan\u00e9mu vy\u0161et\u0159en\u00ed v\u00a0nefrologick\u00e9 ambulanci<\/b>.<\/p>\n
Co je to nefrologie?<\/b><\/p>\n
Nefrologie je l\u00e9ka\u0159sk\u00fd obor, kter\u00fd se zab\u00fdv\u00e1 prevenc\u00ed, komplexn\u00ed diagnostikou a l\u00e9\u010dbou onemocn\u011bn\u00ed ledvin. Nefrologie \u00fazce spolupracuje s\u00a0dal\u0161\u00edmi l\u00e9ka\u0159sk\u00fdmi obory, nap\u0159. urologi\u00ed, revmatologi\u00ed, hematologi\u00ed, kardiologi\u00ed atd. Pacienti s\u00a0chronick\u00fdm onemocn\u011bn\u00edm ledvin a pacienti s\u00a0postupn\u011b se zhor\u0161uj\u00edc\u00ed funkc\u00ed ledvin jsou dispenzarizov\u00e1ni v\u00a0nefrologick\u00e9 ambulanci.<\/p>\n
Vy\u0161et\u0159en\u00ed v\u00a0nefrologick\u00e9 ambulanci<\/b><\/p>\n
Na z\u00e1klad\u011b doporu\u010den\u00ed o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e se m\u016f\u017ee pacient objednat na vy\u0161et\u0159en\u00ed do nefrologick\u00e9 ambulance.\u00a0Nefrolog u pacienta prov\u00e1d\u00ed komplexn\u00ed nefrologick\u00e9 vy\u0161et\u0159en\u00ed, b\u011bhem kter\u00e9ho se\u00a0sna\u017e\u00ed odhalit p\u0159\u00ed\u010dinu onemocn\u011bn\u00ed ledvin\u00a0<\/b>(nap\u0159. vysok\u00fd krevn\u00ed tlak, diabetes, kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed, hormon\u00e1ln\u00ed poruchu, geneticky podm\u00edn\u011bn\u00e1 onemocn\u011bn\u00ed). Sou\u010d\u00e1st\u00ed m\u016f\u017ee b\u00fdt tak\u00e9 detailn\u00ed sonografick\u00e9 vy\u0161et\u0159en\u00ed ledvin a velk\u00fdch c\u00e9v, dopplerovsk\u00e9 vy\u0161et\u0159en\u00ed c\u00e9v, eventu\u00e1ln\u011b biopsie ledvin a\u00a0dal\u0161\u00ed specializovan\u00e1 vy\u0161et\u0159en\u00ed.<\/p>\n
\u00a0<\/b>Po komplexn\u00edm vy\u0161et\u0159en\u00ed stanov\u00ed o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 p\u0159esnou diagn\u00f3zu a<\/b>\u00a0navrhne l\u00e9\u010debn\u00fd postup, tzn.\u00a0probere<\/b>\u00a0s\u00a0pacientem v\u0161echny dostupn\u00e9 mo\u017enosti l\u00e9\u010dby.<\/b>\u00a0V\u010dasn\u00e1 diagnostika onemocn\u011bn\u00ed ledvin umo\u017en\u00ed brzk\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby a\u00a0sni\u017euje i\u00a0potenci\u00e1ln\u00ed rozvinut\u00ed p\u0159idru\u017een\u00fdch onemocn\u011bn\u00ed<\/b>.<\/p>\n
L\u00e9\u010dba onemocn\u011bn\u00ed ledvin<\/b><\/p>\n
C\u00edlem l\u00e9\u010dby je omezit rozvoj ledvinn\u00e9ho onemocn\u011bn\u00ed do definitivn\u00edho selh\u00e1n\u00ed ledvin.\u00a0L\u00e9\u010dba je v\u017edy volena v z\u00e1vislosti na typu onemocn\u011bn\u00ed. M\u016f\u017ee j\u00edt nap\u0159. o farmakoterapii, operaci (odstran\u011bn\u00ed ledvinov\u00fdch kamen\u016f), v\u00a0z\u00e1va\u017en\u011bj\u0161\u00edch p\u0159\u00edpadech je pacient l\u00e9\u010den n\u011bkter\u00fdm typem o\u010di\u0161\u0165ovac\u00ed metody\u00a0<\/b>(hemodial\u00fdza, peritone\u00e1ln\u00ed dial\u00fdza). Sou\u010d\u00e1st\u00ed l\u00e9\u010dby m\u016f\u017ee b\u00fdt tak\u00e9 nutri\u010dn\u00ed poradenstv\u00ed, l\u00e9\u010dba obezity, po\u017eadavek na zm\u011bnu \u017eivotn\u00edho stylu a ukon\u010den\u00ed kou\u0159en\u00ed.<\/p>\n
V\u00a0p\u0159\u00edpad\u011b, kdy pacient o onemocn\u011bn\u00ed ledvin nev\u00ed nebo podcen\u00ed l\u00e9\u010dbu, m\u016f\u017ee doj\u00edt k\u00a0trval\u00e9mu po\u0161kozen\u00ed funkce ledvin a\u017e k\u00a0ren\u00e1ln\u00edmu selh\u00e1v\u00e1n\u00ed ledvin<\/b>\u00a0(posledn\u00ed stadium onemocn\u011bn\u00ed). Pokud k\u00a0tomu dojde a pacient je indikov\u00e1n o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em k\u00a0transplantaci ledviny, je za\u0159azen do\u00a0transplanta\u010dn\u00edho programu. N\u00e1sleduj\u00ed ve\u0161ker\u00e1 pot\u0159ebn\u00e1 vy\u0161et\u0159en\u00ed a v\u00fdb\u011br n\u00e1hrady funkce ledviny v\u00a0transplanta\u010dn\u00edm centru.<\/p>\n
\u00a0<\/b>\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 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
\u00a0<\/b>Pro\u010d je preventivn\u00ed prohl\u00eddka d\u016fle\u017eit\u00e1?<\/b><\/p>\n
C\u00edlem preventivn\u00ed prohl\u00eddky u praktick\u00e9ho l\u00e9ka\u0159e je odhalit p\u0159\u00edpadn\u00e9 po\u010d\u00ednaj\u00edc\u00ed onemocn\u011bn\u00ed a za\u010d\u00edt ho\u00a0\u0159e\u0161it d\u0159\u00edve, ne\u017e po\u0161kod\u00ed (n\u011bkdy nen\u00e1vratn\u011b) pacientovo zdrav\u00ed. Pacient se m\u016f\u017ee c\u00edtit zdrav\u00fd a nemus\u00ed o\u00a0po\u010d\u00ednaj\u00edc\u00edm onemocn\u011bn\u00ed dlouho v\u011bd\u011bt. Preventivn\u00ed prohl\u00eddku by m\u011bl dosp\u011bl\u00fd \u010dlov\u011bk absolvovat ka\u017ed\u00e9 dva roky.<\/p>\n
<\/p>\n
(vzp)<\/strong><\/p>\n
\n <\/p>\n","protected":false},"excerpt":{"rendered":"
OT\u00c1ZKA: Kdy <\/p>\n","protected":false},"author":2,"featured_media":339584,"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\/2025\/03\/10\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/339581"}],"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=339581"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/339581\/revisions"}],"predecessor-version":[{"id":339583,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/339581\/revisions\/339583"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/339584"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=339581"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=339581"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=339581"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
![\"\"](\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\"){kind=logo}
<\/p>\n