{"id":25493,"date":"2023-11-03T14:13:27","date_gmt":"2023-11-03T13:13:27","guid":{"rendered":"https:\/\/test.nemji.cz\/helpie_faq\/ultrazvuk\/"},"modified":"2024-05-14T08:53:40","modified_gmt":"2024-05-14T06:53:40","slug":"ultrazvuk","status":"publish","type":"helpie_faq","link":"https:\/\/www.nemji.cz\/en\/helpie_faq\/ultrazvuk\/","title":{"rendered":"Ultrasound"},"content":{"rendered":"<p>Jedn\u00e1 se o bezbolestn\u00e9 neinvazivn\u00ed vy\u0161et\u0159en\u00ed, p\u0159i kter\u00e9m jsou vyu\u017e\u00edv\u00e1ny vysokofrekven\u010dn\u00ed zvukov\u00e9 vlny (nikoliv ionizuj\u00edc\u00ed rentgenov\u00e9 z\u00e1\u0159en\u00ed) k zobrazen\u00ed tk\u00e1n\u00ed lidsk\u00e9ho t\u011bla, a pomoc\u00ed kter\u00e9ho l\u00e9ka\u0159 m\u016f\u017ee ur\u010dit diagn\u00f3zu a navrhnout dal\u0161\u00ed l\u00e9\u010dbu. Ultrazvukov\u00e9 vlny proch\u00e1zej\u00ed t\u011blem a odr\u00e1\u017eej\u00ed se od jednotliv\u00fdch org\u00e1n\u016f, resp. od p\u0159echod\u016f mezi tk\u00e1n\u011bmi s r\u016fznou akustickou impedanc\u00ed. Nev\u00fdhodou je neschopnost ultrazvuku proj\u00edt skrze kost a vzduch, proto je nemo\u017en\u00e9 vy\u0161et\u0159ovat nap\u0159. pl\u00edce nebo smy\u010dky na st\u0159evech. P\u0159i vy\u0161et\u0159en\u00ed je nutn\u00e9 vyvinout dostate\u010dn\u00fd tlak na m\u011b\u0159\u00edc\u00ed sondu kv\u016fli dobr\u00e9mu kontaktu s t\u011blem pacienta, co\u017e m\u016f\u017ee b\u00fdt nep\u0159\u00edjemn\u00e9, proto se tak\u00e9 povrch sondy pokr\u00fdv\u00e1 gelem (EKG kr\u00e9m), aby se zamezilo vzduchov\u00fdm mezer\u00e1m mezi sondou a t\u011blem vy\u0161et\u0159ovan\u00e9ho. Proto\u017ee jsou p\u0159i ultrazvukov\u00e9m vy\u0161et\u0159en\u00ed tk\u00e1n\u011b zobrazov\u00e1ny v re\u00e1ln\u00e9m \u010dase, je mo\u017en\u00e9 zachytit strukturu a pohyb jednotliv\u00fdch org\u00e1n\u016f, stejn\u011b jako toky krve v c\u00e9v\u00e1ch.<\/p>\n<p>Pro m\u011b\u0159en\u00ed tok\u016f krve se vyu\u017e\u00edv\u00e1 Dopplerova jevu popsan\u00e9ho v roce 1842. P\u0159i dopplerovsk\u00e9m\u00a0 m\u011b\u0159en\u00ed (\u201cbarevn\u00fd doppler\u201d) je relativn\u00ed pohyb krve v\u016f\u010di sond\u011b vys\u00edlaj\u00edc\u00ed ultrazvuk zobrazov\u00e1n pomoc\u00ed r\u016fznobarevn\u00fdch pol\u00ed uvnit\u0159 \u0159ez\u016f c\u00e9vami \u010di srdcem. Je tedy mo\u017en\u00e9 zjistit p\u0159\u00edpadn\u00e9 z\u00fa\u017een\u00ed \u010di uz\u00e1v\u011br c\u00e9v, nebo nap\u0159. s\u00ed\u0148ov\u00fd defekt srdce.<\/p>\n<h5>\u0160kodliv\u00e9 \u00fa\u010dinky vy\u0161et\u0159en\u00ed?<\/h5>\n<p>Za dobu pou\u017e\u00edv\u00e1n\u00ed ultrazvuku v medic\u00edn\u011b nebyly prok\u00e1z\u00e1ny \u017e\u00e1dn\u00e9 ne\u017e\u00e1douc\u00ed vedlej\u0161\u00ed \u00fa\u010dinky, nicm\u00e9n\u011b vy\u0161et\u0159en\u00ed je t\u0159eba pou\u017e\u00edvat pouze v jasn\u00fdch indikac\u00edch, na technicky vyhovuj\u00edc\u00edch p\u0159\u00edstroj\u00edch, a prov\u00e1d\u011bt by ho m\u011bl v\u017edy erudovan\u00fd l\u00e9ka\u0159.<\/p>\n<h5>Indikace k ultrazvukov\u00e9mu vy\u0161et\u0159en\u00ed<\/h5>\n<p>Vy\u0161et\u0159en\u00ed je prov\u00e1d\u011bno k posouzen\u00ed morfologick\u00e9ho n\u00e1lezu v z\u00e1jmov\u00e9 oblasti. P\u0159edev\u0161\u00edm se jedn\u00e1 o posouzen\u00ed org\u00e1n\u016f v dutin\u011b b\u0159i\u0161n\u00ed, v m\u011bkk\u00fdch tk\u00e1n\u00edch krku (\u0161t\u00edtn\u00e1 \u017el\u00e1za) i jinde na t\u011ble. P\u0159i vyu\u017eit\u00ed Dopplerovsk\u00e9ho modu je mo\u017en\u00e9 hodnotit pr\u016fchodnost c\u00e9v a pln\u011bn\u00ed srde\u010dn\u00edch odd\u00edl\u016f. Jak ji\u017e bylo zm\u00edn\u011bno v\u00fd\u0161e nen\u00ed mo\u017en\u00e9 vy\u0161et\u0159ovat kostn\u00ed tk\u00e1\u0148 a org\u00e1ny napln\u011bn\u00e9 vzduchem (plicn\u00ed parenchym).<\/p>\n<h5><strong>Sn\u00ed\u017een\u00e1 v\u00fdt\u011b\u017enost ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<ul>\n<li>Nespolupracuj\u00edc\u00ed pacient.<\/li>\n<li>Obezita.<\/li>\n<li>Plynatost.<\/li>\n<li>Nep\u0159\u00edzniv\u00e9 anatomick\u00e9 pom\u011bry.<\/li>\n<li>Kalcifikace.<\/li>\n<\/ul>\n<h5><strong>Objedn\u00e1n\u00ed k vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed objedn\u00e1v\u00e1 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 jak pro hospitalizovan\u00e9 tak i pro ambulantn\u00ed pacienty. Stejn\u011b jako u jin\u00fdch vy\u0161et\u0159en\u00ed jsou up\u0159ednost\u0148ov\u00e1ni pacienti v z\u00e1va\u017en\u00e9m klinick\u00e9m stavu.<\/p>\n<h5>P\u0159\u00edprava pacienta<\/h5>\n<p>Vy\u0161et\u0159en\u00ed prov\u00e1d\u011bno vle\u017ee (na z\u00e1dech nebo boku).<\/p>\n<p>UZ b\u0159i\u0161n\u00edch org\u00e1n\u016f \u2013 k tomuto vy\u0161et\u0159en\u00ed se pacient dostav\u00ed nala\u010dno (mimo akutn\u00edch p\u0159\u00edpad\u016f).<br \/>\nUZ mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e s residuem \u2013 zde je nutn\u00e9 aby m\u011bl pacient napln\u011bn\u00fd mo\u010dov\u00fd m\u011bch\u00fd\u0159, je vhodn\u00e9 cca 1 hodinu p\u0159ed \u00a0vy\u0161et\u0159en\u00edm\u00a0 vyp\u00edt\u00a0\u00a00,5 &#8211; 1 litr tekutiny.<br \/>\nUZ ostatn\u00edch org\u00e1n\u016f \u2013 bez p\u0159\u00edpravy.<\/p>\n<p><strong>Objednat \/ informovat se na vy\u0161et\u0159en\u00ed m\u016f\u017eete telefonem na \u010d\u00edsle: 567 157 602.<\/strong><\/p>\n<h5><strong>P\u0159\u00edstrojov\u00e9 vybaven\u00ed a uk\u00e1zkov\u00e9 sn\u00edmky:<\/strong><\/h5>\n<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div><\/div><div class=\"simply-gallery-amp pgc_sgb_slider \"><noscript><div class=\"sgb-gallery\"><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25480\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"220\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/ultraz-300x220.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/ultraz-300x220.jpg 300w,\/wp-content\/uploads\/2023\/11\/ultraz.jpg 734w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25481\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"200\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-300x200.jpeg\" srcset=\"\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-300x200.jpeg 300w,\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-1024x683.jpeg 1024w,\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-scaled.jpeg 2560w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25482\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"200\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-300x200.jpeg\" srcset=\"\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-300x200.jpeg 300w,\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-1024x683.jpeg 1024w,\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-scaled.jpeg 2560w\" sizes=\"auto, 250px\"\/><\/a><\/div><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25484\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"300\" height=\"164\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-300x164.jpeg\" srcset=\"\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-300x164.jpeg 300w,\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-1024x561.jpeg 1024w,\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-scaled.jpeg 2560w\" sizes=\"auto, 250px\"\/><\/a><\/div><\/div><\/noscript><\/div><script type=\"application\/json\" class=\"sgb-data\">{\"collectionColumns\":4,\"thumbHieghtRation\":0.8,\"thumbSpacing\":10,\"thumbMobileSpacing\":10,\"externalLink\":false,\"captions\":false,\"captionHAlign\":\"bottom\",\"collectionthumbHoverTitleFontSize\":16,\"collectionthumbRoundedCorners\":20,\"collectionThumbSubMenuDownload\":false,\"collectionThumbSubMenuShare\":false,\"galleryType\":\"pgc_sgb_grid\",\"galleryId\":\"36328962\",\"images\":[{\"id\":25480,\"title\":\"ultraz\",\"url\":\"\/wp-content\/uploads\/2023\/11\/ultraz.jpg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25480\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":734,\"height\":539,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/ultraz-150x150.jpg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":220,\"width\":300,\"url\":\"\/wp-content\/uploads\/2023\/11\/ultraz-300x220.jpg\",\"orientation\":\"landscape\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/ultraz.jpg\",\"height\":539,\"width\":734,\"orientation\":\"landscape\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"0\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25480\"},{\"id\":25481,\"title\":\"AdobeStock_227078326-min\",\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-scaled.jpeg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25481\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":2560,\"height\":1707,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-150x150.jpeg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":200,\"width\":300,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-300x200.jpeg\",\"orientation\":\"landscape\"},\"large\":{\"height\":683,\"width\":1024,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-1024x683.jpeg\",\"orientation\":\"landscape\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_227078326-min-scaled.jpeg\",\"height\":1707,\"width\":2560,\"orientation\":\"landscape\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"0\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25481\"},{\"id\":25482,\"title\":\"AdobeStock_443345819-min\",\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-scaled.jpeg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25482\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":2560,\"height\":1708,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-150x150.jpeg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":200,\"width\":300,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-300x200.jpeg\",\"orientation\":\"landscape\"},\"large\":{\"height\":683,\"width\":1024,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-1024x683.jpeg\",\"orientation\":\"landscape\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_443345819-min-scaled.jpeg\",\"height\":1708,\"width\":2560,\"orientation\":\"landscape\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"0\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25482\"},{\"id\":25484,\"title\":\"AdobeStock_486619864-min\",\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-scaled.jpeg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25484\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":2560,\"height\":1402,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-150x150.jpeg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":164,\"width\":300,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-300x164.jpeg\",\"orientation\":\"landscape\"},\"large\":{\"height\":561,\"width\":1024,\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-1024x561.jpeg\",\"orientation\":\"landscape\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/AdobeStock_486619864-min-scaled.jpeg\",\"height\":1402,\"width\":2560,\"orientation\":\"landscape\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"0\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25484\"}],\"itemsMetaDataCollection\":[],\"useClobalSettings\":true,\"shareFacebook\":false,\"shareTwitter\":false,\"sharePinterest\":false,\"sliderItemDownload\":false,\"shareCopyLink\":false,\"sliderItemTitleEnable\":true,\"sliderItemTitleFontSize\":16,\"sliderSlideshow\":false,\"sliderSlideshowDelay\":6,\"sliderSocialShareEnabled\":false,\"TrpContentRestriction\":{\"restriction_type\":\"exclude\",\"selected_languages\":[],\"panel_open\":true}}<\/script><script>(function(){if(window.PGC_SGB && window.PGC_SGB.searcher){window.PGC_SGB.searcher.initBlocks()}})()<\/script><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Jedn\u00e1 se o bezbolestn\u00e9 neinvazivn\u00ed vy\u0161et\u0159en\u00ed, p\u0159i kter\u00e9m jsou vyu\u017e\u00edv\u00e1ny vysokofrekven\u010dn\u00ed zvukov\u00e9 vlny (nikoliv ionizuj\u00edc\u00ed rentgenov\u00e9 z\u00e1\u0159en\u00ed) k zobrazen\u00ed tk\u00e1n\u00ed lidsk\u00e9ho t\u011bla, a pomoc\u00ed kter\u00e9ho l\u00e9ka\u0159 m\u016f\u017ee ur\u010dit diagn\u00f3zu a navrhnout dal\u0161\u00ed l\u00e9\u010dbu. Ultrazvukov\u00e9 vlny proch\u00e1zej\u00ed t\u011blem a odr\u00e1\u017eej\u00ed se od jednotliv\u00fdch org\u00e1n\u016f, resp. od p\u0159echod\u016f mezi tk\u00e1n\u011bmi s r\u016fznou akustickou impedanc\u00ed. Nev\u00fdhodou je neschopnost&#8230;<\/p>","protected":false},"author":5,"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":[355],"helpie_faq_group":[356],"class_list":["post-25493","helpie_faq","type-helpie_faq","status-publish","format-standard","hentry","helpie_faq_category-ozm","helpie_faq_group-ozm-spektrum-pece"],"publishpress_future_action":{"enabled":false,"date":"2026-04-12 16:09:27","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\/25493","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/comments?post=25493"}],"version-history":[{"count":0,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq\/25493\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/media?parent=25493"}],"wp:term":[{"taxonomy":"helpie_faq_category","embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq_category?post=25493"},{"taxonomy":"helpie_faq_group","embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq_group?post=25493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}