{"id":21360,"date":"2023-10-05T09:45:17","date_gmt":"2023-10-05T07:45:17","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/helpie_faq\/novorozenecke-oddeleni-2\/"},"modified":"2025-06-27T11:44:22","modified_gmt":"2025-06-27T09:44:22","slug":"novorozenecke-oddeleni-2","status":"publish","type":"helpie_faq","link":"https:\/\/www.nemji.cz\/en\/helpie_faq\/novorozenecke-oddeleni-2\/","title":{"rendered":"Neonatal department"},"content":{"rendered":"

Novorozeneck\u00e9 odd\u011blen\u00ed Nemocnice Jihlava poskytuje komplexn\u00ed p\u00e9\u010di o zdrav\u00e9 novorozence narozen\u00e9 v jihlavsk\u00e9 porodnici. Na\u0161\u00edm c\u00edlem je podpora kojen\u00ed a co nejv\u011bt\u0161\u00ed po\u010det pln\u011b kojen\u00fdch d\u011bt\u00ed p\u0159i propu\u0161t\u011bn\u00ed. Je zde zaveden syst\u00e9m rooming-in na v\u0161ech pokoj\u00edch. Maminky jsou v nep\u0159etr\u017eit\u00e9m kontaktu se sv\u00fdmi d\u011btmi od porodu a\u017e do propu\u0161t\u011bn\u00ed, a to i v p\u0159\u00edpad\u011b, \u017ee jsou po c\u00edsa\u0159sk\u00e9m \u0159ezu.<\/p>\n

P\u0159i fyziologicky prob\u00edhaj\u00edc\u00edm porodu bude va\u0161e d\u011b\u0165\u00e1tko ihned polo\u017eeno na b\u0159icho matky, ozna\u010deno n\u00e1ramkem a po dotep\u00e1n\u00ed pupe\u010dn\u00edku odst\u0159i\u017eeno. Dle stavu d\u00edt\u011bte a vz\u00e1jemn\u00e9 domluvy d\u00edt\u011b o\u0161et\u0159\u00edme na p\u0159ebalovac\u00edm pult\u011b v\u202fp\u0159\u00edtomnosti matky. O\u0161et\u0159\u00edme pupe\u010dn\u00ed pah\u00fdl, d\u011b\u0165\u00e1tko zv\u00e1\u017e\u00edme, zm\u011b\u0159\u00edme t\u011blesnou teplotu a obvody hlavy a hrudn\u00edku. Pot\u00e9 bude pokra\u010dovat bonding na t\u011ble matky a p\u0159ilo\u017een\u00ed k\u202fprsu. B\u011bhem bondingu v\u0161em d\u011btem monitorujeme \u017eivotn\u00ed funkce pomoc\u00ed satura\u010dn\u00ed sondy p\u0159ipevn\u011bn\u00e9 na no\u017eku d\u00edt\u011bte. Do 24 hodin od porodu d\u00edt\u011b vy\u0161et\u0159\u00ed pediatr.
\nKoup\u00e1n\u00ed po porodu prob\u00edh\u00e1 sou\u010dasn\u011b s\u202fuk\u00e1zkou koup\u00e1n\u00ed za 6 \u2013 24 hod. p\u0159\u00edmo na pokoji odd\u011blen\u00ed \u0161estined\u011bl\u00ed. Pouze v indikovan\u00fdch p\u0159\u00edpadech prob\u011bhne 1. koupel na porodn\u00edm s\u00e1le.
\nV\u011bt\u0161ina sester novorozeneck\u00e9ho odd\u011blen\u00ed jsou i lakta\u010dn\u00ed poradkyn\u011b, kter\u00e9 v\u00e1m r\u00e1dy pomohou a porad\u00ed s\u202fkojen\u00edm a p\u00e9\u010d\u00ed o miminko. Sou\u010d\u00e1st\u00ed odd\u011blen\u00ed je Lakta\u010dn\u00ed poradna, kter\u00e1 je k\u202fdispozici i mamink\u00e1m po propu\u0161t\u011bn\u00ed z\u202fporodnice.
\nB\u011bhem pobytu Va\u0161eho d\u011b\u0165\u00e1tka na novorozeneck\u00e9m odd\u011blen\u00ed prov\u00e1d\u00edme screeningov\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 slou\u017e\u00ed k\u202fodhalen\u00ed z\u00e1va\u017en\u00fdch nemoc\u00ed d\u011bt\u00ed ji\u017e v\u202fnovorozeneck\u00e9m v\u011bku.<\/p>\n

Tato vy\u0161et\u0159en\u00ed jsou v\u202f\u010cR upravena legislativn\u011b a jsou hrazena z\u202fve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

Novorozeneck\u00fd laboratorn\u00ed\u202fscreening vrozen\u00fdch a d\u011bdi\u010dn\u00fdch onemocn\u011bn\u00ed<\/strong>
\nOdb\u011br kapky krve novorozence v\u202fobdob\u00ed 48 \u2013 72 hodin po porodu.
\nC\u00edl:\u202fv\u010dasn\u00e9 odhalen\u00ed z\u00e1va\u017en\u00fdch onemocn\u011bn\u00ed, kter\u00e1 nelze zjistit jin\u00fdm zp\u016fsobem. V\u010dasn\u00e9 zji\u0161t\u011bn\u00ed umo\u017en\u00ed ihned zah\u00e1jit l\u00e9\u010dbu a zabr\u00e1nit tak trval\u00e9mu posti\u017een\u00ed d\u00edt\u011bte.
\nMezi nejzn\u00e1m\u011bj\u0161\u00ed sledovan\u00e1 onemocn\u011bn\u00ed pat\u0159\u00ed vrozen\u00e1 hypotyre\u00f3za (sn\u00ed\u017een\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy), fenylketonurie (z\u00e1va\u017en\u00e1 metabolick\u00e1 vada ohro\u017euj\u00edc\u00ed v\u00fdvoj nervov\u00e9ho syst\u00e9mu), kongenit\u00e1ln\u00ed adren\u00e1ln\u00ed hyperplazie (vrozen\u00e1 nedostate\u010dn\u00e1 funkce nadledvin) a cystick\u00e1 fibr\u00f3za, SMA a SCID
\nBli\u017e\u0161\u00ed informace naleznete: www.novorozeneckyscreening.cz<\/strong><\/a><\/p>\n

Ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed ledvin
\n<\/strong>C\u00edl:\u202fZji\u0161\u0165uje se, zda jsou ledviny u miminka spr\u00e1vn\u011b vytvo\u0159en\u00e9 \u2013 jejich d\u00e9lka, tvar, ulo\u017een\u00ed, kalichop\u00e1nvi\u010dkov\u00fd syst\u00e9m a tak\u00e9 je-li jejich vyprazd\u0148ov\u00e1n\u00ed v\u202fpo\u0159\u00e1dku.
\nJe prov\u00e1d\u011bno pediatrem na pokoji v\u202fp\u0159\u00edtomnosti matky 2. den po porodu.<\/p>\n

Ortopedick\u00e9 vy\u0161et\u0159en\u00ed ky\u010dl\u00ed
\n<\/strong>C\u00edl: v\u010dasn\u00fd z\u00e1chyt poruchy v\u00fdvoje ky\u010deln\u00edho kloubu, kter\u00fd se vyskytuje u 3 \u2013 5 % populace. V\u010dasnou l\u00e9\u010dbou a sledov\u00e1n\u00edm lze tak p\u0159edch\u00e1zet z\u00e1va\u017en\u00e9mu po\u0161kozen\u00ed ky\u010deln\u00edho kloubu s\u202ftrval\u00fdmi n\u00e1sledky.
\nVy\u0161et\u0159en\u00ed je prov\u00e1d\u011bno ortopedem na pokoji v\u202fp\u0159\u00edtomnosti matky a zahrnuje klinick\u00e9 vy\u0161et\u0159en\u00ed ky\u010deln\u00edch kloub\u016f a preventivn\u00ed vy\u0161et\u0159en\u00ed ky\u010deln\u00edch kloub\u016f ultrazvukem. Sou\u010d\u00e1st\u00ed vy\u0161et\u0159en\u00ed je souhrnn\u00e9 klinick\u00e9 vy\u0161et\u0159en\u00ed pohyblivosti velk\u00fdch kloub\u016f.<\/p>\n

Screening vrozen\u00e9ho \u0161ed\u00e9ho z\u00e1kalu \u010do\u010dky
\n<\/strong>C\u00edl:\u202fv\u010dasn\u00e9 odhalen\u00ed \u0161ed\u00e9ho z\u00e1kalu \u010do\u010dky vede k\u202fv\u010dasn\u00e9 l\u00e9\u010db\u011b.
\nJe prov\u00e1d\u011bno pediatrem na pokoji v\u202fp\u0159\u00edtomnosti matky p\u0159i rann\u00ed vizit\u011b, oftalmoskopem se vybavuje \u010derven\u00fd reflex na obou o\u010d\u00edch.<\/p>\n

Screeningov\u00e9 vy\u0161et\u0159en\u00ed sluchu
\n<\/strong>C\u00edl:\u202fv\u010dasn\u00fd z\u00e1chyt vrozen\u00e9 poruchy sluchu u d\u011bt\u00ed a zaji\u0161t\u011bn\u00ed p\u0159\u00edpadn\u00e9 n\u00e1sledn\u00e9 p\u00e9\u010de tak, aby se zamezilo zejm\u00e9na opo\u017ed\u011bn\u00ed v\u00fdvoje komunika\u010dn\u00edch schopnost\u00ed u t\u011bchto d\u011bt\u00ed.
\nZ\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed sluchu je mo\u017en\u00e9 prov\u00e9st 2. den po narozen\u00ed. Prov\u00e1d\u00ed se jednoduch\u00fdm, nebolestiv\u00fdm vy\u0161et\u0159en\u00edm. D\u00edt\u011b dostane do zvukovodu jemnou m\u011b\u0159\u00edc\u00ed sondu, p\u0159\u00edstroj vy\u0161le\u202fslab\u00fd zvukov\u00fd podn\u011bt a zaznamen\u00e1v\u00e1 odpov\u011bdi sluchov\u00e9ho \u00fastroj\u00ed. D\u00edt\u011b b\u011bhem vy\u0161et\u0159en\u00ed\u202fsp\u00ed nebo je v bd\u011bl\u00e9m klidu.<\/p>\n

Propu\u0161t\u011bn\u00ed miminka dom\u016f je pl\u00e1nov\u00e1no tak, aby byly spln\u011bny v\u0161echny zdravotn\u00ed, z\u00e1konn\u00e9 a soci\u00e1ln\u00ed podm\u00ednky, tzn. jsou provedena v\u0161echna screeningov\u00e1 vy\u0161et\u0159en\u00ed, d\u00edt\u011b je zdrav\u00e9 bez \u017eloutenky, matka zvl\u00e1d\u00e1 p\u00e9\u010di o d\u00edt\u011b a v\u00fd\u017eivu a d\u00edt\u011b prosp\u00edv\u00e1. Dle doporu\u010den\u00ed \u010cesk\u00e9 neonatologick\u00e9 spole\u010dnosti je propu\u0161t\u011bn\u00ed mo\u017en\u00e9 po 72 h. Je d\u016fle\u017eit\u00e9 si v\u010das zajistit obvodn\u00edho pediatra, kter\u00fd p\u0159evezme d\u00edt\u011b do p\u00e9\u010de.<\/p>\n

Na odd\u011blen\u00ed je mo\u017en\u00e9 zap\u016fj\u010dit si monitor dechu Baby sense ve spolupr\u00e1ci s nadac\u00ed K\u0159i\u017eovatka za poplatek 1200K\u010d za 6m\u011bs\u00edc\u016f:<\/p>\n

\"Plak\u00e1t<\/a><\/p>\n

Na\u0161\u00edm p\u0159\u00e1n\u00edm je spokojen\u00e1 maminka a spokojen\u00e9 miminko.<\/p>\n

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