{"id":23996,"date":"2023-10-25T07:35:49","date_gmt":"2023-10-25T05:35:49","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/helpie_faq\/koloskopie\/"},"modified":"2024-01-26T09:26:14","modified_gmt":"2024-01-26T08:26:14","slug":"koloskopie","status":"publish","type":"helpie_faq","link":"https:\/\/www.nemji.cz\/en\/helpie_faq\/koloskopie\/","title":{"rendered":"Colonoscopy"},"content":{"rendered":"<p>Special preparation and dietary measures according to the schedule - can be consulted by phone or in person at our reception, you can drink fluids on the day of the examination.<br \/>\nWe prefer the preparation by the so-called \"split\" method - taking part of the laxative on the day of the examination.<\/p>\n<p>Any patient over 50 years of age (if they have not had a colonoscopy before) or a patient with a positive finding on a test for hidden bleeding in the stool can have a primary screening colonoscopy. If a large colonic polyp is found and it is decided to remove it during the examination, in some cases a subsequent hospital stay is necessary to observe the condition after the polypectomy (1-3 days depending on the course and extent of the procedure).<\/p>\n<h4 style=\"font-weight: 400\">Preparation for colonoscopy - split method (e.g. Fortrans)<\/h4>\n<p>Thorough cleansing of the intestine is a prerequisite for a successful and safe colonoscopy. If the intestine is not perfectly clean, the examination is more lengthy, uncomfortable for the patient and the doctor may even miss incipient tumour changes in the mucosa. Sometimes it is necessary to repeat the examination again at a different time.<\/p>\n<p>Please pay special attention to the preparation and follow the instructions.<\/p>\n<h5 style=\"font-weight: 400\"><strong>5 days prior to the examination<\/strong><\/h5>\n<ul>\n<li>nekonzumujte zeleninu a ovoce, kter\u00e9 obsahuje slupky, jad\u00e9rka a zrn\u00ed\u010dka (nap\u0159. kiwi, jahody, hroznov\u00e9 v\u00edno, melouny, raj\u010data apod.)<\/li>\n<li>vy\u0159a\u010fte z celozrnn\u00e9 pe\u010divo a m\u00e1k (zrn\u00ed\u010dka mohou ucpat pracovn\u00ed kan\u00e1l endoskopu)<\/li>\n<li>vynechte l\u00e9ky obsahuj\u00edc\u00ed \u017eelezo jako Ferronat, Sorbifer durules, Aktiferrin apod. (zabarvuj\u00ed st\u0159evn\u00ed obsah do \u010derna a sliznice je nep\u0159ehledn\u00e1)<\/li>\n<li>l\u00e9ky na vysok\u00fd krevn\u00ed tlak nevynech\u00e1vejte<\/li>\n<\/ul>\n<h5 style=\"font-weight: 400\"><strong>1 day prior to examination<\/strong><\/h5>\n<ul>\n<li>Nejezte! M\u00edsto sn\u00eddan\u011b a ob\u011bda dopl\u0148ujte pouze tekutiny (\u010daj, k\u00e1va, miner\u00e1lky, ovocn\u00e9 \u0161\u0165\u00e1vy bez tuh\u00fdch p\u0159\u00edm\u011bs\u00ed, \u010dist\u00fd v\u00fdvar)<\/li>\n<li>Vyvarujte se perliv\u00fdm n\u00e1poj\u016fm, nevhodn\u00e9 je ml\u00e9ko a d\u017eus.<\/li>\n<li>V pr\u016fb\u011bhu pozdn\u00edho odpoledne (cca od 16. &#8211; 17. hodiny) zahajte vlastn\u00ed o\u010distu st\u0159eva. Pomoc\u00ed speci\u00e1ln\u00edho roztoku Fortrans, kter\u00fd obdr\u017e\u00edte v l\u00e9k\u00e1rn\u011b (na recept) \u2013 balen\u00ed obsahuje 4 s\u00e1\u010dky.<\/li>\n<li>Roztok si p\u0159iprav\u00edte tak, \u017ee rozpust\u00edte ka\u017ed\u00fd s\u00e1\u010dek v 1 litru vody. Ka\u017ed\u00fd litr roztoku vypijete v pr\u016fb\u011bhu 1 hodiny. P\u0159\u00edjem rozlo\u017ete skute\u010dn\u011b do 60-ti minut (rychl\u00e9 vypit\u00ed m\u016f\u017ee vyvolat \u00a0nevolnost a zvracen\u00ed).<\/li>\n<li>Vypijte 2-3 litry roztoku v pr\u016fb\u011bhu po sob\u011b jdouc\u00edch 3 hodin. Pokud v\u0161ak po 2. nebo 3. d\u00e1vce budete poci\u0165ovat nevolnost, ud\u011blejte si pauzu na 30-60 minut a pokra\u010dujte po n\u00ed a\u017e do celkov\u00e9 d\u00e1vky 2-3 litr\u016f.<\/li>\n<li>Chu\u0165 p\u0159\u00edpravku lze korigovat sirupem nebo sou\u010dasn\u00fdm zap\u00edjen\u00edm mal\u00fdm mno\u017estv\u00edm chu\u0165ov\u011b \u00a0p\u0159\u00edjemn\u00e9 tekutiny (\u0161\u0165\u00e1va), p\u0159\u00edpadn\u011b lze rozpu\u0161t\u011bn\u00fd roztok v\u00fdrazn\u011b vychladit a p\u0159idat do n\u011bj um\u011blou citronov\u00e9 ochucovadlo.<\/li>\n<li>Po vypr\u00e1zdn\u011bn\u00ed nesm\u00edte nic j\u00edst ani kou\u0159it. K zahn\u00e1n\u00ed \u017e\u00edzn\u011b a z\u00e1bran\u011b dehydratace mo\u017eno p\u00edt jen \u010dir\u00e9 tekutiny do celkov\u00e9ho mno\u017estv\u00ed 1000 ml.<\/li>\n<\/ul>\n<h5 style=\"font-weight: 400\"><strong>On the day of the examination<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400\">Posledn\u00ed 1-2 litry roztoku vypijte r\u00e1no, ale nejpozd\u011bji 3 hodiny p\u0159ed term\u00ednem vy\u0161et\u0159en\u00ed (p\u0159\u00edpadn\u011b si p\u0159ivsta\u0148te). Celkem je nutno v r\u00e1mci p\u0159\u00edpravy na vy\u0161et\u0159en\u00ed nutno vyp\u00edt 4 litry roztoku \u010di tekutin.<\/li>\n<li style=\"font-weight: 400\">Dostavte se na endoskopick\u00e9 pracovi\u0161t\u011b ve stanoven\u00e9m \u010dase.<\/li>\n<li style=\"font-weight: 400\">V\u0161em doporu\u010dujeme s sebou p\u0159iv\u00e9st doprovod a pokud mo\u017eno zaji\u0161t\u011bn\u00ed odvozu dom\u016f.<\/li>\n<li style=\"font-weight: 400\">P\u0159i vy\u0161et\u0159en\u00ed jsou obvykle nitro\u017eiln\u011b pod\u00e1v\u00e1ny l\u00e9ky s tlumiv\u00fdm \u00fa\u010dinkem, proto po\u010d\u00edtejte s t\u00edm, \u017ee v den vy\u0161et\u0159en\u00ed nebudete moci \u0159\u00eddit motorov\u00e9 vozidlo ani vykon\u00e1vat pracovn\u00ed \u010dinnost vy\u017eaduj\u00edc\u00ed plnou pozornost.<\/li>\n<li style=\"font-weight: 400\">Pokud u\u017e\u00edv\u00e1te l\u00e9ky, vezm\u011bte si s sebou rozpis l\u00e9k\u016f, abyste mohl\/a l\u00e9ka\u0159e informovat o Va\u0161\u00ed chronick\u00e9 l\u00e9\u010db\u011b. Zavedenou l\u00e9\u010dbu nevynech\u00e1vejte (p\u0159edev\u0161\u00edm nevynech\u00e1vejte l\u00e9ky na onemocn\u011bn\u00ed srdce, d\u00fdchac\u00edch cest, na vysok\u00fd krevn\u00ed tlak). Pokud se l\u00e9\u010d\u00edte s \u00a0 cukrovkou, pora\u010fte se s Va\u0161\u00edm o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em jak l\u00e9\u010dbu upravit s ohledem na antidiabetika a inzul\u00edn. Pokud u\u017e\u00edv\u00e1te l\u00e9k Warfarin \u010di jemu podobn\u00fd l\u00e9k ovliv\u0148uj\u00edc\u00ed krevn\u00ed sr\u00e1\u017elivost (nap\u0159. Pradaxa, Xarelto, Eliquis), je nezbytn\u00e9 poradit se se sv\u00fdm praktick\u00fdm l\u00e9ka\u0159em nebo kardiologem \u010di internistou. Pokud to je mo\u017en\u00e9, vysazuje se Warfarin \u010di jemu podobn\u00e9 l\u00e9ky 5 \u2013 7 dn\u00ed p\u0159ed vy\u0161et\u0159en\u00edm (u Warfarinu se pot\u00e9 1-2 dny p\u0159ed vy\u0161et\u0159en\u00edm ov\u011b\u0159\u00ed krevn\u00ed sr\u00e1\u017elivost laboratorn\u00edm vy\u0161et\u0159en\u00edm hodnoty INR).<\/li>\n<li style=\"font-weight: 400\">Je mo\u017eno pop\u00edjet \u010dir\u00e9 tekutiny.<\/li>\n<\/ul>\n<h5 style=\"font-weight: 400\"><strong>After the examination<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400\">Sou\u010d\u00e1st\u00ed vy\u0161et\u0159en\u00ed m\u016f\u017ee b\u00fdt i pod\u00e1n\u00ed l\u00e9k\u016f s tlumiv\u00fdm \u00fa\u010dinkem. V t\u011bchto p\u0159\u00edpadech nelze po vy\u0161et\u0159en\u00ed do dal\u0161\u00edho dne \u0159\u00eddit motorov\u00e1 vozidla ani vykon\u00e1vat \u010dinnost vy\u017eaduj\u00edc\u00ed zv\u00fd\u0161enou pozornost. Po p\u0159\u00edpadn\u00e9m pod\u00e1n\u00ed tlumiv\u00fdch l\u00e9k\u016f n\u00e1sleduje pobyt na\u00a0 dosp\u00e1vac\u00edm pokoji po dobu minim\u00e1ln\u011b 60 minut. Pro odchod dom\u016f nutn\u00fd doprovod s vyzvednut\u00edm na na\u0161em pracovi\u0161ti.<\/li>\n<li style=\"font-weight: 400\">P\u0159ed propu\u0161t\u011bn\u00edm dom\u016f budete vybaven\u00ed zpr\u00e1vou pro odes\u00edlaj\u00edc\u00edho l\u00e9ka\u0159e. Budete se moci naj\u00edst a nap\u00edt, pokud nebyly prov\u00e1d\u011bny z\u00e1kroky jako odstran\u011bn\u00ed polyp\u016f, o\u0161et\u0159en\u00ed krv\u00e1cen\u00ed a podobn\u011b. V takov\u00e9m p\u0159\u00edpad\u011b budete pou\u010den\u00ed o diet\u011b a omezen\u00ed fyzick\u00e9 \u00a0 \u00a0 \u00a0n\u00e1mahy v n\u00e1sleduj\u00edc\u00edch dnech. Odstran\u011bn\u00ed v\u011bt\u0161\u00edch polyp\u016f si n\u011bkdy vy\u017e\u00e1d\u00e1 i kr\u00e1tkodobou hospitalizaci.<\/li>\n<\/ul>\n<p style=\"font-weight: 400\"><strong>V p\u0159\u00edpad\u011b, \u017ee se nem\u016f\u017eete dostavit k vy\u0161et\u0159en\u00ed ve stanoven\u00e9m term\u00ednu, zavolejte co nejd\u0159\u00edve do na\u0161\u00ed recepce a domluvte se na dal\u0161\u00edm postupu<\/strong> (<a href=\"tel:+420567157195\"><strong>+420 567 157 195<\/strong><\/a>).<\/p>","protected":false},"excerpt":{"rendered":"<p>Speci\u00e1ln\u00ed p\u0159\u00edprava a dietn\u00ed opat\u0159en\u00ed dle rozpisu \u2013 mo\u017eno zkonzultovat telefonicky nebo osobn\u011b v na\u0161\u00ed recepci, v den vy\u0161et\u0159en\u00ed mo\u017eno p\u00edt tekutiny. Preferujeme p\u0159\u00edpravu tzv. \u201ed\u011blenou\u201c \u00a0metodou \u2013 u\u017eit\u00ed \u010d\u00e1sti proj\u00edmav\u00e9ho p\u0159\u00edpravku v den vy\u0161et\u0159en\u00ed. Prim\u00e1rn\u00ed screeningovou koloskopii m\u016f\u017ee podstoupit ka\u017ed\u00fd pacient star\u0161\u00ed 50 let (pokud nem\u011bl koloskopii d\u0159\u00edve) \u010di pacient s pozitivn\u00edm n\u00e1lezem p\u0159i&#8230;<\/p>","protected":false},"author":1,"featured_media":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","format":"standard","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"helpie_faq_category":[411],"helpie_faq_group":[332],"class_list":["post-23996","helpie_faq","type-helpie_faq","status-publish","format-standard","hentry","helpie_faq_category-gas-info","helpie_faq_group-odd-gastro-informace-pro-pacienty"],"publishpress_future_action":{"enabled":false,"date":"2026-04-20 18:52:05","action":"change-status","newStatus":"trash","terms":[],"taxonomy":"helpie_faq_category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq\/23996","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq"}],"about":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/types\/helpie_faq"}],"author":[{"embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/comments?post=23996"}],"version-history":[{"count":0,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq\/23996\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/media?parent=23996"}],"wp:term":[{"taxonomy":"helpie_faq_category","embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq_category?post=23996"},{"taxonomy":"helpie_faq_group","embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq_group?post=23996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}