{"id":20842,"date":"2023-10-03T10:14:03","date_gmt":"2023-10-03T08:14:03","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/?page_id=20842"},"modified":"2024-04-10T09:09:13","modified_gmt":"2024-04-10T07:09:13","slug":"spektrum-pece","status":"publish","type":"page","link":"https:\/\/www.nemji.cz\/en\/oddeleni\/urologicke-oddeleni\/spektrum-pece\/","title":{"rendered":"Spectrum of provided care"},"content":{"rendered":"<div id=\"cmsmasters_row_6iluctg3hk\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_overlay\"><\/div>\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_sybg7he2sg\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_b3c74b95a0\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center pageheadingtitle\">\n\t<h1 class=\"cmsmasters_heading\">Urologick\u00e9 odd\u011blen\u00ed<\/h1>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_ly5ze1hf8e\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_v67ee6nvg7\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p><nav aria-label=\"breadcrumbs\">\n            <div class=\"breadcrumb-container theme1\">\n                <ol>\n                                    <\/ol>\n            <\/div>\n        <\/nav>    <script type=\"application\/ld+json\">\n        {\n            \"@context\": \"http:\/\/schema.org\",\n            \"@type\": \"BreadcrumbList\",\n            \"itemListElement\": [\n                            ]\n        }\n    <\/script>\n   \n    <script>\n            <\/script>\n<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_3f2f8816dd\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_0a1c5940f5\" class=\"cmsmasters_column one_third stickyinfocolumn\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_rva6m2t32d\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center\">\n\t<h3 class=\"cmsmasters_heading\">Informace o odd\u011blen\u00ed<\/h3>\n<\/div>\n<div id=\"cmsmasters_divider_dpp34mcdj5\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_center\"><\/div>\n<div class=\"cmsmasters_sidebar sidebar_layout_11 sidebar-custom-menu\"><aside id=\"nav_menu-22\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-url-container\"><ul id=\"menu-oddeleni-url\" class=\"menu\"><li id=\"menu-item-20475\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-20475\"><a href=\"\/oddeleni\/urologicke-oddeleni\/#popis-oddeleni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-info\"><\/i> Popis odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-20476\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-20476\"><a href=\"\/oddeleni\/urologicke-oddeleni\/#personalni-obsazeni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-user-doctor\"><\/i> Person\u00e1ln\u00ed obsazen\u00ed<\/a><\/li>\n<li id=\"menu-item-20477\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-20477\"><a href=\"\/oddeleni\/urologicke-oddeleni\/#oteviraci-hodiny\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-clock\"><\/i> Ordina\u010dn\u00ed hodiny<\/a><\/li>\n<li id=\"menu-item-20479\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-20479\"><a href=\"\/oddeleni\/urologicke-oddeleni\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-20480\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-20480\"><a href=\"\/oddeleni\/urologicke-oddeleni\/#kde-nas-najdete\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-location-dot\"><\/i> Kde n\u00e1s najdete<\/a><\/li>\n<li id=\"menu-item-20481\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-20481\"><a href=\"\/oddeleni\/urologicke-oddeleni\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-20482\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-20482\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-20523\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-20523\"><a href=\"\/oddeleni\/urologicke-oddeleni\/urologicke-ambulance\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-house-medical\"><\/i> Ambulance<\/a><\/li>\n<li id=\"menu-item-21753\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-21753\"><a href=\"\/oddeleni\/urologicke-oddeleni\/luzkova-cast\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-bed-pulse\"><\/i> L\u016f\u017ekov\u00e1 \u010d\u00e1st<\/a><\/li>\n<li id=\"menu-item-20484\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-20484\"><a href=\"\/oddeleni\/urologicke-oddeleni\/informovane-souhlasy\/\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-circle-question\"><\/i> Informovan\u00e9 souhlasy<\/a><\/li>\n<li id=\"menu-item-20483\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-20483\"><a href=\"\/oddeleni\/urologicke-oddeleni\/spektrum-pece\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-stethoscope\"><\/i> Spektrum p\u00e9\u010de<\/a><\/li>\n<li id=\"menu-item-21028\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-21028\"><a href=\"\/oddeleni\/urologicke-oddeleni\/nadstandardni-sluzby\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-square-plus\"><\/i> Nadstandardn\u00ed slu\u017eby<\/a><\/li>\n<li id=\"menu-item-24694\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-24694\"><a href=\"\/oddeleni\/urologicke-oddeleni\/cista-intermitentni-katetrizace\/\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-toilet\"><\/i> \u010cist\u00e1 intermitentn\u00ed katetrizace<\/a><\/li>\n<\/ul><\/div><\/aside><div class=\"cl\"><\/div>\n<\/div>\n<\/div><\/div>\n<div id=\"cmsmasters_column_k7vlyuz4yq\" class=\"cmsmasters_column two_third\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_0cx4mcjjyd\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_left\">\n\t<h2 class=\"cmsmasters_heading\">Spektrum p\u00e9\u010de<\/h2>\n<\/div>\n<div id=\"cmsmasters_divider_hgdnxm8b9\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_left\"><\/div>\n<div class=\"cmsmasters_text\">\n<p>Urologick\u00e9 odd\u011blen\u00ed jihlavsk\u00e9 nemocnice zaji\u0161\u0165uje komplexn\u00ed p\u00e9\u010di v oboru pro dosp\u011bl\u00e9, se zam\u011b\u0159en\u00edm zejm\u00e9na na uroonkologii, uroliti\u00e1zu (mo\u010dov\u00e9 kameny) a funk\u010dn\u00ed urologii v\u010detn\u011b urogynekologie. D\u00e1le zaji\u0161\u0165uje b\u011b\u017enou akutn\u00ed i ambulantn\u00ed p\u00e9\u010di pro d\u011btsk\u00e9 pacienty. Ve spolupr\u00e1ci s pediatry se v\u011bnuje zejm\u00e9na diagnostice a l\u00e9\u010db\u011b funk\u010dn\u00edch poruch doln\u00edch cest mo\u010dov\u00fdch i enur\u00e9zy. Vedle z\u00e1kladn\u00ed operativy, u d\u011bt\u00ed star\u0161\u00edch 3 let, prov\u00e1d\u00ed i opera\u010dn\u00ed l\u00e9\u010dbu u n\u011bkter\u00fdch v\u00fdvojov\u00fdch vad mo\u010dov\u00e9 trubice a zevn\u00edho genit\u00e1lu, tzv. hypospadi\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Diagnostick\u00e9 mo\u017enosti<\/strong><\/h5>\n<p>Urologick\u00e9 odd\u011blen\u00ed je dob\u0159e vybaveno pro ultrazvukov\u00e1, urodynamick\u00e1 a endoskopick\u00e1 vy\u0161et\u0159en\u00ed sv\u00fdch pacient\u016f.<br \/>\nUltrazvukov\u00e9 vy\u0161et\u0159en\u00ed mo\u010dov\u00e9ho traktu, d\u00e1le pohlavn\u00edch org\u00e1n\u016f u mu\u017ee, v\u010detn\u011b dopplerovsk\u00e9 sonografie, je dostupn\u00e9 v\u0161em pacient\u016fm v r\u00e1mci ambulantn\u00ed p\u00e9\u010de, bez rozd\u00edlu v\u011bku. Podobn\u011b je prov\u00e1d\u011bno ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed i u hospitalizovan\u00fdch pacient\u016f i se zam\u011b\u0159en\u00edm na preventivn\u00ed p\u00e9\u010di. Jednoduch\u00fdm, ale velmi p\u0159\u00ednosn\u00fdm neinvazivn\u00edm vy\u0161et\u0159en\u00edm je uroflowmetrie, zaznamen\u00e1vaj\u00edc\u00ed pr\u016ftok mo\u010di, celkov\u00fd vymo\u010den\u00fd objem a zbytkovou mo\u010d hodnocenou pomoc\u00ed ultrazvukov\u00e9ho p\u0159\u00edstroje.<br \/>\nVe spojen\u00ed s elektromyografi\u00ed p\u00e1nevn\u00edho dna je vyu\u017e\u00edv\u00e1na uroflowmetrie v diagnostice poruch mo\u010den\u00ed u d\u011bt\u00ed. P\u0159i vy\u0161et\u0159en\u00ed d\u011bt\u00ed je kladen d\u016fraz na neinvazivn\u00ed metody.<br \/>\nEndoskopick\u00fd opera\u010dn\u00ed s\u00e1l je vyu\u017e\u00edv\u00e1n k rentgenov\u00fdm vy\u0161et\u0159en\u00edm horn\u00edch a doln\u00edch cest mo\u010dov\u00fdch pomoc\u00ed kontrastn\u00ed l\u00e1tky p\u0159i diagnostice poruch transportu mo\u010de.<br \/>\nTyto diagnostick\u00e9 v\u00fdkony se prov\u00e1d\u00ed v m\u00edstn\u00edm znecitliv\u011bn\u00ed, n\u011bkdy i v celkov\u00e9 nark\u00f3ze, za hospitalizace.<br \/>\nD\u016fle\u017eit\u00fdm diagnostick\u00fdm z\u00e1krokem p\u0159i stanoven\u00ed zhoubn\u00e9ho onemocn\u011bn\u00ed prostaty u mu\u017e\u016f je biopsie prostaty. Odb\u011br vzork\u016f z prostaty je prov\u00e1d\u011bn pomoc\u00ed tenk\u00e9 bioptick\u00e9 jehly p\u0159es st\u011bnu kone\u010dn\u00edku, do kter\u00e9ho je zavedena ultrazvukov\u00e1 sonda kontroluj\u00edc\u00ed m\u00edsta odb\u011bru. Jedn\u00e1 se zpravidla o ambulantn\u00ed z\u00e1krok, po dom\u00e1c\u00ed p\u0159\u00edprav\u011b pacienta, nen\u00ed v\u0161ak v\u00fdjimkou i proveden\u00ed biopsie prostaty v celkov\u00e9 nark\u00f3ze, za hospitalizace, p\u0159i pot\u0159eb\u011b z\u00edskat v\u011bt\u0161\u00ed mno\u017estv\u00ed vzork\u016f. K indikaci biopsie prostaty jsou vyu\u017e\u00edv\u00e1ny, vedle objektivn\u00edho vy\u0161et\u0159en\u00ed, modern\u00ed laboratorn\u00ed metody, vedle PSA, fPSA, pom\u011bru, t\u00e9\u017e stanoven\u00ed proPSA a PHI (prostate health index). Urologick\u00e9 odd\u011blen\u00ed disponuje i metodou f\u00fazn\u00ed biopsie prostaty, kter\u00e1 v\u00fdznamn\u011b zp\u0159es\u0148uje diagnostiku n\u00e1doru prostaty a m\u016f\u017ee u\u0161et\u0159it zbyte\u010dn\u00e9 opakov\u00e1n\u00ed klasick\u00e9 biopsie. Spojuje v\u00fdhody dvou zobrazovac\u00edch metod: magnetick\u00e9 rezonance a ultrazvuku p\u0159i c\u00edlen\u00e9 punkci prostaty. V\u00fdt\u011b\u017enost se pohybuje kolem 95 %. V detekci karcinomu prostaty poskytuje urologick\u00e9 odd\u011blen\u00ed, jako akreditovan\u00e9 pracovi\u0161t\u011b, vysoce specializovan\u00e9 slu\u017eby v oblasti diagnostiky a l\u00e9\u010dby<br \/>\nP\u0159i vy\u0161et\u0159en\u00ed poruch j\u00edm\u00e1n\u00ed a vyprazd\u0148ov\u00e1n\u00ed mo\u010di u dosp\u011bl\u00fdch a d\u011bt\u00ed m\u00e1 nezastupitelnou roli urodynamick\u00e9 vy\u0161et\u0159en\u00ed. Je vyu\u017e\u00edv\u00e1no u mu\u017e\u016f i \u017een p\u0159ed opera\u010dn\u00ed l\u00e9\u010dbou \u00faniku mo\u010di, tzv. inkontinence. Komplexn\u00ed urodynamick\u00e9 studie s vyu\u017eit\u00edm rentgenov\u00e9ho p\u0159\u00edstroje, tzv. videourodynamick\u00e9 vy\u0161et\u0159en\u00ed je prov\u00e1d\u011bno u pacient\u016f s poruchami mo\u010den\u00ed v souvislosti s n\u011bkter\u00fdmi neurologick\u00fdmi chorobami nebo po \u00farazu p\u00e1te\u0159e s \u010d\u00e1ste\u010dn\u00fdm nebo kompletn\u00edm p\u0159eru\u0161en\u00edm m\u00edchy. C\u00edlem t\u011bchto \u010dasov\u011b n\u00e1ro\u010dn\u00fdch vy\u0161et\u0159en\u00ed je ochrana funkce ledvin a v\u00fdznamn\u00e9 zlep\u0161en\u00ed kvality \u017eivota t\u011bchto pacient\u016f.<br \/>\nNa\u0161e pracovi\u0161t\u011b poskytuje d\u00edky uroonkologick\u00e9, litiatick\u00e9 (mo\u010dov\u00e9 kameny) a neurourologick\u00e9 poradn\u011b speci\u00e1ln\u00ed, dlouhodobou, tzv. dispenz\u00e1rn\u00ed p\u00e9\u010di, u pacient\u016f s onkologick\u00fdm onemocn\u011bn\u00edm, mo\u010dov\u00fdmi kameny nebo funk\u010dn\u00edmi poruchami doln\u00edch cest mo\u010dov\u00fdch.<br \/>\nV oblasti endoskopick\u00fdch vy\u0161et\u0159en\u00ed vybaven\u00ed odpov\u00edd\u00e1 sou\u010dasn\u00fdm modern\u00edm standard\u016fm, kter\u00e9 spl\u0148uje i nov\u00e1 diagnostick\u00e1 a z\u00e1znamov\u00e1 technika.<br \/>\nUrologick\u00e9 odd\u011blen\u00ed \u00fazce spolupracuje s urologickou ambulanc\u00ed Domu zdrav\u00ed, polikliniky Jihlava.<br \/>\nUrologick\u00e9 odd\u011blen\u00ed zaji\u0161\u0165uje t\u00e9\u017e konzili\u00e1rn\u00ed slu\u017eby a pod\u00edl\u00ed se na mezioborov\u00e9 spolupr\u00e1ci v nemocnici, zejm\u00e9na u pacient\u016f s onkologick\u00fdm, neurologick\u00fdm \u010di gynekologick\u00fdm onemocn\u011bn\u00edm.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>L\u00e9\u010dba<\/strong><\/h5>\n<p>Modern\u00ed urologie v l\u00e9\u010db\u011b dlouhodob\u011b sm\u011b\u0159uje k miniinvazivn\u00edm chirurgick\u00fdm z\u00e1krok\u016fm, sou\u010dasn\u011b vyu\u017e\u00edv\u00e1 i nov\u00e9 konzervativn\u00ed l\u00e9\u010debn\u00e9 postupy v oblasti funk\u010dn\u00ed urologie, behavior\u00e1ln\u00ed a elektrostimula\u010dn\u00ed l\u00e9\u010dbu. Tento p\u0159\u00edstup je podm\u00edn\u011bn kvalitn\u00ed diagnostikou, kter\u00e1 je zam\u011b\u0159ena na v\u010dasn\u00e9 odhalen\u00ed nejen uroonkologick\u00fdch onemocn\u011bn\u00ed, ale u ostatn\u00edch pacient\u016f i p\u0159\u00ed\u010din vedouc\u00edch k pot\u00ed\u017e\u00edm s mo\u010den\u00edm \u010di \u00fanikem mo\u010de, tzv. inkontinenc\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Opera\u010dn\u00ed v\u00fdkony<\/strong><\/h5>\n<p>K z\u00e1kladn\u00ed opera\u010dn\u00ed l\u00e9\u010db\u011b pat\u0159\u00ed v\u00fdkony u onkologick\u00fdch onemocn\u011bn\u00ed mo\u010dov\u00e9ho traktu a pohlavn\u00edch org\u00e1n\u016f u mu\u017ee, d\u00e1le endoskopick\u00e9 a miniinvazivn\u00ed z\u00e1kroky p\u0159i \u0159e\u0161en\u00ed mo\u010dov\u00fdch kamen\u016f (uroliti\u00e1zy), v neposledn\u00ed \u0159ad\u011b pak z\u00e1kroky spojen\u00e9 s nezhoubn\u00fdm zbytn\u011bn\u00edm prostaty u mu\u017e\u016f a operace na zevn\u00edm genit\u00e1lu u mu\u017ee i \u017eeny.<br \/>\nU uroonkologick\u00fdch operac\u00ed se vedle radik\u00e1ln\u00edch v\u00fdkon\u016f spojen\u00fdch s odstran\u011bn\u00edm org\u00e1nu posti\u017en\u00e9ho n\u00e1dorem prov\u00e1d\u011bj\u00ed v indikovan\u00fdch p\u0159\u00edpadech i z\u00e1chovn\u00e9 resek\u010dn\u00ed operace, konkr\u00e9tn\u011b na ledvin\u00e1ch a penisu. V p\u0159\u00edpad\u011b radik\u00e1ln\u00edho odstran\u011bn\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, tzv. cystektomie, je individu\u00e1ln\u011b, po domluv\u011b s pacientem, \u0159e\u0161ena derivace mo\u010de vytvo\u0159en\u00edm rezervo\u00e1ru ze st\u0159eva, tzv. neoveziky nebo sveden\u00edm mo\u010de do j\u00edmac\u00edho s\u00e1\u010dku na b\u0159i\u0161e, op\u011bt pomoc\u00ed st\u0159evn\u00edho segmentu, tzv. ureteroileostomie. V p\u0159ev\u00e1\u017en\u00e9 v\u011bt\u0161in\u011b se jedn\u00e1 o roboticky asistovan\u00e9 opera\u010dn\u00ed v\u00fdkony.<br \/>\nP\u0159i opera\u010dn\u00ed l\u00e9\u010db\u011b mo\u010dov\u00fdch kamen\u016f jsou v\u00fdhradn\u011b vyu\u017e\u00edv\u00e1ny endoskopick\u00e9 nebo miniinvazivn\u00ed perkut\u00e1nn\u00ed v\u00fdkony spojen\u00e9 s modern\u00edmi technikami drcen\u00ed v podob\u011b laseru \u010di shock pulse technologie.<br \/>\nNa\u0161e odd\u011blen\u00ed se d\u00e1le specializuje na rekonstruk\u010dn\u00ed operace p\u0159i \u0159e\u0161en\u00ed nepr\u016fchodnosti mo\u010dovod\u016f nebo mo\u010dov\u00e9 trubice, tzv. striktur, d\u00e1le l\u00e9\u010db\u011b vznikl\u00fdch p\u00ed\u0161t\u011bl\u00ed, tedy nefyziologick\u00fdch komunikac\u00ed mo\u010dov\u00e9ho traktu s jin\u00fdmi org\u00e1ny.<br \/>\nDal\u0161\u00ed specializac\u00ed je opera\u010dn\u00ed \u0159e\u0161en\u00ed inkontinence mo\u010de u mu\u017e\u016f i \u017een. U \u017een, ve spolupr\u00e1ci s gynekology, rekonstrukce p\u00e1nevn\u00edch prolaps\u016f spojen\u00fdch s \u00fanikem mo\u010di nebo naopak pot\u00ed\u017eemi s evakuac\u00ed mo\u010di.<br \/>\nUrologick\u00e9 odd\u011blen\u00ed zaji\u0161\u0165uje p\u00e9\u010di o pacienty s neurogenn\u00edm m\u011bch\u00fd\u0159em v d\u016fsledku poran\u011bn\u00ed m\u00edchy po \u00farazu nebo v souvislosti s n\u011bkter\u00fdmi neurologick\u00fdm onemocn\u011bn\u00edm. U t\u011bchto nemocn\u00fdch se sna\u017e\u00edme o stabilizaci j\u00edmac\u00ed funkce m\u011bch\u00fd\u0159e s vyu\u017eit\u00edm aplikace Ona botulinumtoxinu A, v indikovan\u00fdch p\u0159\u00edpadech i zv\u011bt\u0161en\u00ed kapacity m\u011bch\u00fd\u0159e st\u0159evn\u00ed z\u00e1platou, tzv. augmentac\u00ed, spojenou s mo\u017enost\u00ed autokatetrizace m\u011bch\u00fd\u0159e p\u0159irozenou cestou p\u0159es mo\u010dovou trubici nebo p\u0159es c\u00e9vkovateln\u00fd ventil vytvo\u0159en\u00fd ze slep\u00e9ho st\u0159eva, tzv. appendikovezikostomii. V indikovan\u00fdch p\u0159\u00edpadech nab\u00edz\u00edme mo\u017enost specifick\u00e9 elektrostimula\u010dn\u00ed l\u00e9\u010dby (SDAF + SARS) ve spolupr\u00e1ci s neurochirurgy z Krajsk\u00e9 zdravotn\u00ed, a.s., v nemocnici v \u00dast\u00ed nad Labem.<br \/>\nUrologick\u00e9 odd\u011blen\u00ed zaji\u0161\u0165uje komplexn\u00ed opera\u010dn\u00ed l\u00e9\u010dbu \u00faraz\u016f mo\u010dov\u00e9ho traktu a pohlavn\u00edch org\u00e1n\u016f u mu\u017ee, v\u010detn\u011b mezioborov\u00e9 spolupr\u00e1ce u tzv. polytraumatick\u00fdch stav\u016f.<\/p>\n<div id=\"zahlavi\"><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":17132,"parent":19510,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[85],"class_list":["post-20842","page","type-page","status-publish","has-post-thumbnail","hentry","category-page-oddeleni"],"publishpress_future_action":{"enabled":false,"date":"2026-04-23 20:35:28","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/pages\/20842","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/types\/page"}],"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=20842"}],"version-history":[{"count":0,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/pages\/20842\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/pages\/19510"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/media\/17132"}],"wp:attachment":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/media?parent=20842"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/categories?post=20842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}