[{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/www.atrm.cz\/mami-boli-me-brisko\/#Article","mainEntityOfPage":"https:\/\/www.atrm.cz\/mami-boli-me-brisko\/","headline":"\u201eMami, bol\u00ed m\u011b b\u0159\u00ed\u0161ko!\u201c","name":"\u201eMami, bol\u00ed m\u011b b\u0159\u00ed\u0161ko!\u201c","description":"V\u011bta, se kterou se setkaj\u00ed rodi\u010de \u010dasto. N\u011bkter\u00e9 d\u011bti tr\u00e1p\u00ed bolesti b\u0159\u00ed\u0161ka u\u017e od prvn\u00edch…","datePublished":"2025-03-01","dateModified":"2023-04-29","author":{"@type":"Person","@id":"https:\/\/www.atrm.cz\/author\/#Person","name":"","url":"https:\/\/www.atrm.cz\/author\/","identifier":1,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/9cac53ffad5d6e0659d72eaf216400c165f8fbf396c79017c66698a8aa5be23d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/9cac53ffad5d6e0659d72eaf216400c165f8fbf396c79017c66698a8aa5be23d?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"atrm.cz","logo":{"@type":"ImageObject","@id":"\/logo.png","url":"\/logo.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/www.atrm.cz\/wp-content\/uploads\/img_a329424_w2708_t1541867943.jpg","url":"https:\/\/www.atrm.cz\/wp-content\/uploads\/img_a329424_w2708_t1541867943.jpg","height":0,"width":0},"url":"https:\/\/www.atrm.cz\/mami-boli-me-brisko\/","about":["Zdrav\u00ed"],"wordCount":556,"articleBody":"V\u011bta, se kterou se setkaj\u00ed rodi\u010de \u010dasto. N\u011bkter\u00e9 d\u011bti tr\u00e1p\u00ed bolesti b\u0159\u00ed\u0161ka u\u017e od prvn\u00edch dn\u016f \u017eivota. Ani n\u00e1sleduj\u00edc\u00ed m\u011bs\u00edce nejsou proch\u00e1zka r\u016f\u017eov\u00fdm sadem. N\u011bkdy m\u00e1 potomek z\u00e1cpu, jindy to z\u00a0n\u011bj vylet\u00ed je\u0161t\u011b p\u0159ed sta\u017een\u00edm gat\u00ed. R\u00fd\u017eov\u00fd odvar st\u0159\u00edd\u00e1 \u0161vestkov\u00e1 p\u0159esn\u00edd\u00e1vka. A tak za\u010d\u00edn\u00e1me b\u00fdt sv\u00fdm zp\u016fsobem imunn\u00ed na st\u00ed\u017enosti ohledn\u011b b\u0159\u00ed\u0161ka.M\u011bli bychom b\u00fdt ale st\u00e1le ve st\u0159ehu. Bolest b\u0159icha m\u016f\u017ee b\u00fdt zp\u016fsobena invaginac\u00ed st\u0159ev. Stavem, kter\u00fd ohro\u017euje \u017eivot.\tN\u011bco m\u00e1lo o invaginaci st\u0159evInvaginace latinsky intussuscepce je akutn\u00ed \u017eivot ohro\u017euj\u00edc\u00ed b\u0159i\u0161n\u00ed p\u0159\u00edhoda.\u010c\u00e1st st\u0159eva je vta\u017eena do sousedn\u00ed oblasti. Nevr\u00e1t\u00ed-li se do p\u016fvodn\u00ed polohy, doch\u00e1z\u00ed k\u00a0usk\u0159inut\u00ed c\u00e9v a poru\u0161e z\u00e1soben\u00ed krv\u00ed zasunut\u00e9ho \u00faseku. Kv\u016fli omezen\u00e9mu dod\u00e1v\u00e1n\u00ed kysl\u00edku pak st\u0159evn\u00ed st\u011bna odum\u00edr\u00e1 a hroz\u00ed z\u00e1n\u011bt.Neexistuje konkr\u00e9tn\u00ed odpov\u011b\u010f, pro\u010d invaginace d\u011bti postihuje. Doch\u00e1z\u00ed k\u00a0nim ale \u010dasto u osob s\u00a0probl\u00e9mov\u00fdm tr\u00e1ven\u00edm.Typick\u00e1 je pro kojence a batolata. Nej\u010dast\u011bji se s\u00a0invaginac\u00ed setkaj\u00ed d\u011bti ve v\u011bku 6-24 m\u011bs\u00edc\u016f. Postihuje ale i star\u0161\u00ed d\u011bti. A to hlavn\u011b ty, kter\u00e9 p\u0159\u00edhodu prod\u011blaly v\u00a0kojeneck\u00e9m nebo batolec\u00edm v\u011bku.Kdy zpozorn\u011btP\u0159\u00edznakem m\u016f\u017ee (ale nemus\u00ed) b\u00fdt krev nebo hlen ve stolici, z\u00e1cpa a zvracen\u00ed.Z\u00a0ni\u010deho nic p\u0159ich\u00e1z\u00ed z\u00e1chvaty prudk\u00e9, kolikovit\u00e9 bolesti b\u0159icha.\u00a0 N\u00e1val bolesti trv\u00e1 vte\u0159iny n\u011bkdy minuty. Klid trv\u00e1 tak 10-15 minut. B\u011bhem nebolestiv\u00e9 f\u00e1ze je d\u00edt\u011b v\u00a0pohod\u011b. Dokonce v\u00a0noci pokra\u010duje ve span\u00ed, ne\u017e p\u0159ijde dal\u0161\u00ed z\u00e1chvat.Co o\u010dek\u00e1vat po p\u0159\u00edjezdu do nemocnice?P\u0159i klinick\u00e9m vy\u0161et\u0159en\u00ed na chirurgii je pohmatem vy\u0161et\u0159eno b\u0159\u00ed\u0161ko. N\u00e1sleduje sonografick\u00e1 prohl\u00eddka.Po p\u0159\u00edjm\u016f na d\u011btsk\u00e9 chirurgie za\u010dnou mal\u00e9ho pacienta p\u0159ipravovat na z\u00e1krok. Jsou mu zavedeny \u017eiln\u00ed vstupy, je p\u0159evle\u010den do py\u017e\u00e1mka. Rodi\u010de lov\u00ed v\u00a0hlav\u011b a diktuj\u00ed zdravotn\u00edmu person\u00e1lu dosavadn\u00ed choroby d\u00edt\u011bte. \u00a0L\u00e9\u010dba (desinvaginace)Neinvazivn\u00ed (neopera\u010dn\u00ed)Va\u0161i ratolest na poj\u00edzdn\u00e9m l\u016f\u017eku p\u0159ebere anesteziolog a rentgenolog. Ne\u010dek\u00e1 je nikterak v\u00fdjime\u010dn\u00fd z\u00e1krok. Kone\u010dn\u00edkem vprav\u00ed do t\u011bla kontrastn\u00ed l\u00e1tku, kterou sleduj\u00ed rentgenem. Jej\u00edm tlakem napravuj\u00ed st\u011bnu st\u0159eva.Pokud p\u016fjde v\u0161e hladce, p\u016fjdete za dva dny dom\u016f.Opera\u010dn\u00edV\u00a0celkov\u00e9 anestezii po otev\u0159en\u00ed b\u0159i\u0161n\u00ed dutiny je prsty vytla\u010deno st\u0159evo do p\u016fvodn\u00ed polohy. N\u011bkdy lze postupovat laparoskopicky.Do t\u00fddne jste doma, kdy\u017e nebudou komplikace.Zaj\u00edmavosti\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 D\u011btem se v\u011bt\u0161inou invaginace vrac\u00ed. Nen\u00ed to ale na\u0161t\u011bst\u00ed pravidlem.\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Prvn\u011b bylo d\u00edt\u011b s invaginac\u00ed operovan\u00e9 u\u017e v\u00a0roce 1873.\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 I p\u0159es prvotn\u00ed l\u00e9\u010dby rekt\u00e1ln\u00edmi n\u00e1levy nebo zav\u00e1d\u011bn\u00edm vzduchu, pacienti v\u00a019. stolet\u00ed skoro v\u017edy um\u00edrali.                                                                                                                                                                                                                                                                                                                                                                                        3.7\/5 - (12 votes)        "},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"\u201eMami, bol\u00ed m\u011b b\u0159\u00ed\u0161ko!\u201c","item":"https:\/\/www.atrm.cz\/mami-boli-me-brisko\/#breadcrumbitem"}]}]