{"id":494,"date":"2024-10-07T16:09:30","date_gmt":"2024-10-07T16:09:30","guid":{"rendered":"https:\/\/www.tepedesign.cz\/?page_id=494"},"modified":"2024-10-17T09:27:25","modified_gmt":"2024-10-17T09:27:25","slug":"vysetreni-nt","status":"publish","type":"page","link":"https:\/\/www.znojmo-prenatal.cz\/index.php\/vysetreni-nt\/","title":{"rendered":"Vy\u0161et\u0159en\u00ed NT+"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"494\" class=\"elementor elementor-494\">\n\t\t\t\t<div class=\"elementor-element elementor-element-23e0e51 e-flex e-con-boxed e-con e-parent\" data-id=\"23e0e51\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4196b43 elementor-widget elementor-widget-spacer\" data-id=\"4196b43\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2444b68 elementor-widget elementor-widget-spacer\" data-id=\"2444b68\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f7c4f52 elementor-widget elementor-widget-spacer\" data-id=\"f7c4f52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e251f26 elementor-widget elementor-widget-heading\" data-id=\"e251f26\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vy\u0161et\u0159en\u00ed NT+<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa4e43d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fa4e43d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-665540f elementor-widget elementor-widget-spacer\" data-id=\"665540f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5bbcfcb e-flex e-con-boxed e-con e-parent\" data-id=\"5bbcfcb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ba4a9fd elementor-widget elementor-widget-spacer\" data-id=\"ba4a9fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-118a0b3 e-flex e-con-boxed e-con e-parent\" data-id=\"118a0b3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40a6c99 elementor-widget elementor-widget-text-editor\" data-id=\"40a6c99\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Znalost a informovanost pro pocit jistoty<\/h3><p><span style=\"color: #000000;\">Dobr\u00e1 informovanost je d\u016fle\u017eitou sou\u010d\u00e1st\u00ed prenat\u00e1ln\u00ed p\u00e9\u010de. Na\u0161\u00ed snahou je co nejlep\u0161\u00ed informovanost rodi\u010d\u016f o modern\u00edch diagnostick\u00fdch metod\u00e1ch . Jen dob\u0159e informovan\u00ed rodi\u010de se mohou spr\u00e1vn\u011b rozhodnout a zvolit si nejvhodn\u011bj\u0161\u00ed zp\u016fsob prenat\u00e1ln\u00ed diagnostiky.<\/span><\/p><h3>Co to je Down\u016fv syndrom?<\/h3><p><span style=\"color: #000000;\">Down\u016fv syndrom je chromozom\u00e1ln\u00ed aberace, u n\u00ed\u017e je v bu\u0148k\u00e1ch p\u0159\u00edtomen nadbyte\u010dn\u00fd 21. chromozom. Bu\u0148ky obsahuj\u00ed 47 chromozom\u016f m\u00edsto 46. Toto onemocn\u011bn\u00ed zp\u016fsobuje posti\u017een\u00ed intelektu a \u010dasto b\u00fdv\u00e1 spojeno s n\u011bkter\u00fdmi vrozen\u00fdmi v\u00fdvojov\u00fdmi vadami.<\/span><\/p><h3>U kter\u00fdch rodi\u010d\u016f je vy\u0161\u0161\u00ed riziko narozen\u00ed d\u00edt\u011bte s Downov\u00fdm syndromem?<\/h3><p><span style=\"color: #000000;\">D\u00edt\u011b s Downov\u00fdm syndromem se m\u016f\u017ee narodit ka\u017ed\u00e9 rodi\u010dce. Riziko jeho narozen\u00ed se ale zvy\u0161uje se zvy\u0161uj\u00edc\u00edm se v\u011bkem rodi\u010d\u016f. Ve v\u011bku 20 let je toto riziko l : 600 , v 50 letech je toto riziko ji\u017e 1:5 V\u011bt\u0161ina t\u011bchto onemocn\u011bn\u00ed nen\u00ed spojena s rodinn\u00fdm v\u00fdskytem a vznik\u00e1 zcela n\u00e1hodn\u011b \u2013 de novo.<\/span><\/p><h3>Co znamen\u00e1 screening NT + biochemick\u00fd screening v 1. trimestru?<\/h3><p><span style=\"color: #000000;\">Tento test kombinuje ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed tlou\u0161\u0165ky nuch\u00e1ln\u00edho (\u0161\u00edjov\u00e9ho) projasn\u011bn\u00ed (NT = nuchal translucency) s vy\u0161et\u0159en\u00edm z krve matky. Vy\u0161et\u0159en\u00ed\u00a0 prov\u00e1d\u00edme v 12.-13. t\u00fddnu t\u011bhotenstv\u00ed. Kombinace t\u011bchto dvou metod umo\u017e\u0148uje detekci 85-90% d\u011bt\u00ed s Downov\u00fdm syndromem. Tradi\u010dn\u00ed screening prov\u00e1d\u011bn\u00fd v 16. t\u00fddnu- tzv. trojit\u00fd test dok\u00e1\u017ee zachytit jen 50-60% d\u011bt\u00ed s t\u00edmto syndromem.<\/span><\/p><h3>Jak\u00e9 jsou v\u00fdhody screeningu NT + \u2026\u2026?<\/h3><p><span style=\"color: #000000;\">\u2013 vysok\u00e1 spolehlivost s minim\u00e1ln\u00edm rizikem<\/span><br \/><span style=\"color: #000000;\">\u2013 p\u0159esn\u00e9 ur\u010den\u00ed st\u00e1\u0159\u00ed t\u011bhotenstv\u00ed a stanoven\u00ed term\u00ednu porodu<\/span><br \/><span style=\"color: #000000;\">\u2013 diagnosa v\u00edce\u010detn\u00e9ho t\u011bhotenstv\u00ed<\/span><br \/><span style=\"color: #000000;\">\u2013 \u010dasn\u00e9 odhalen\u00ed v\u011bt\u0161\u00edch malformac\u00ed plodu<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-70e7a44 e-flex e-con-boxed e-con e-parent\" data-id=\"70e7a44\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-1dc7105 e-con-full e-flex e-con e-child\" data-id=\"1dc7105\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-01b09ce elementor-widget elementor-widget-text-editor\" data-id=\"01b09ce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>V \u010dem spo\u010d\u00edv\u00e1 vy\u0161et\u0159en\u00ed NT?<\/h3><p><span style=\"color: #000000;\">Vy\u0161et\u0159en\u00ed nuch\u00e1ln\u00edho (\u0161\u00edjov\u00e9ho) projasn\u011bn\u00ed (nuch\u00e1ln\u00ed translucence) se prov\u00e1d\u00ed v 11.-13. t\u00fddnu t\u011bhotenstv\u00ed. Pomoc\u00ed ultrazvuku je zm\u011b\u0159eno nahromad\u011bn\u00ed tekutiny v podko\u017e\u00ed v oblasti krku plodu. Tato tekutina se na ultrazvuku zobrazuje jako projasn\u011bn\u00ed. P\u0159\u00edtomnost v\u011bt\u0161\u00edho mno\u017estv\u00ed tekutiny v tomto prostoru je \u010dasto spojeno s p\u0159\u00edtomnost\u00ed chromozom\u00e1ln\u00ed aberace, nap\u0159. s Downov\u00fdm syndromem. Vy\u0161et\u0159en\u00ed je v\u011bt\u0161inou mo\u017en\u00e9 prov\u00e9st p\u0159es st\u011bnu b\u0159i\u0161n\u00ed.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-37d028b e-con-full e-flex e-con e-child\" data-id=\"37d028b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-92b594a elementor-widget elementor-widget-image\" data-id=\"92b594a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.znojmo-prenatal.cz\/wp-content\/uploads\/2023\/06\/NT.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8062746 e-flex e-con-boxed e-con e-parent\" data-id=\"8062746\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-128c8e4 elementor-widget elementor-widget-text-editor\" data-id=\"128c8e4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>V \u010dem spo\u010d\u00edv\u00e1 vy\u0161et\u0159en\u00ed krve?<\/h3><p><span style=\"color: #000000;\">Vy\u0161et\u0159en\u00ed krve spo\u010d\u00edv\u00e1 ve vy\u0161et\u0159en\u00ed dvou l\u00e1tek (PAPP, HCG), kter\u00e9 se vytv\u00e1\u0159\u00ed v placent\u011b a z n\u00ed p\u0159estupuj\u00ed do mate\u0159sk\u00e9 krve. U t\u011bhotenstv\u00ed s Downov\u00fdm syndromem jsou hodnoty t\u011bchto l\u00e1tek abnorm\u00e1ln\u00ed.<\/span><\/p><h3>Bude vy\u0161et\u0159eno i n\u011bco dal\u0161\u00edho?<\/h3><p><span style=\"color: #000000;\">Ano, krom\u011b standardn\u00edho vy\u0161et\u0159en\u00ed se p\u0159i tomto testu zam\u011b\u0159ujeme na p\u0159\u00edtomnost nosn\u00ed k\u016fstky (nasal bone \u2013 NB) a na tvar toku v ductus venosus . P\u0159i vy\u0161et\u0159en\u00ed by m\u011bly b\u00fdt vylou\u010deny i poznateln\u00e9 morfologick\u00e9 anom\u00e1lie.<\/span><\/p><h3>Screening srde\u010dn\u00edch a roz\u0161t\u011bpov\u00fdch vad v 1. trimestru?<\/h3><p><span style=\"color: #000000;\">Vzhledem k p\u0159\u00edstrojov\u00e9mu vybaven\u00ed i na\u0161im dlouholet\u00fdm zku\u0161enostem je na\u0161e pracovi\u0161t\u011b jako jedno z m\u00e1la pracovi\u0161\u0165 v \u010cesk\u00e9 republice schopno diagnostikovat v\u011bt\u0161inu z\u00e1va\u017en\u00fdch (obt\u00ed\u017en\u011b korigovateln\u00fdch) srde\u010dn\u00edch i roz\u0161t\u011bpov\u00fdch vad (v\u010detn\u011b kompletn\u00edch roz\u0161t\u011bp\u016f obli\u010deje) ji\u017e p\u0159i ultrazvukov\u00e9m vy\u0161et\u0159en\u00ed ve 12-13. t\u00fddnu t\u011bhotenstv\u00ed. V\u0161echna podez\u0159en\u00ed na srde\u010dn\u00ed vady jsou ov\u011b\u0159ov\u00e1na a up\u0159es\u0148ov\u00e1na jedn\u00edm z na\u0161ich nejlep\u0161\u00edch prenat\u00e1ln\u00edch kardiolog\u016f (MUDr Ji\u010d\u00ednskou).<\/span><\/p><h3>Dozv\u00edm se i pohlav\u00ed plodu?<\/h3><p><span style=\"color: #000000;\">P\u0159i dobr\u00e9 viditelnosti a vhodn\u00e9 poloze d\u00edt\u011bte jsme v\u011bt\u0161in\u011b maminek schopni prozradit i pohlav\u00ed d\u00edt\u011bte.<\/span><\/p><h3>Kdy by m\u011bl b\u00fdt odb\u011br proveden?<\/h3><p><span style=\"color: #000000;\">Odb\u011br prov\u00e1d\u00edme mezi 12+3 \u2013 13+6 t\u00fddnem t\u011bhotenstv\u00ed (po\u010d\u00edt\u00e1no od prvn\u00edho dne posledn\u00edch menses).<\/span><\/p><h3>Jak se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed?<\/h3><p><span style=\"color: #000000;\">Vy\u0161et\u0159en\u00ed se skl\u00e1d\u00e1 z odb\u011bru krve, na kter\u00fd nen\u00ed t\u0159eba b\u00fdt nala\u010dno, a z ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed. Toto prov\u00e1d\u00edme v\u011bt\u0161inou p\u0159es b\u0159icho \u2013 transabdomin\u00e1ln\u011b. V\u011bt\u0161ina maminek absolvuje toto vy\u0161et\u0159en\u00ed s partnerem. Pr\u016fb\u011bh vy\u0161et\u0159en\u00ed lze pohodln\u011b sledovat na monitoru.<\/span><\/p><h3>V\u00fdpo\u010det rizika chromozom\u00e1ln\u00ed aberace<\/h3><p><span style=\"color: #000000;\">P\u0159i v\u00fdpo\u010dtu se kombinuj\u00ed zn\u00e1m\u00e1 rizika dan\u00e9 v\u011bkem matky, tlou\u0161\u0165kou nuch\u00e1ln\u00edho projasn\u011bn\u00ed a hladinou l\u00e1tek v krvi. V\u00fdsledkem je \u010d\u00edslo, kter\u00e9 ud\u00e1v\u00e1 riziko narozen\u00ed plodu s Downov\u00fdm syndromem.<\/span><\/p><h3>Kdy budu zn\u00e1t v\u00fdsledek?<\/h3><p><span style=\"color: #000000;\">Kompletn\u00ed v\u00fdsledek testu zn\u00e1me druh\u00fd pracovn\u00ed den po va\u0161em ultrazvukov\u00e9m vy\u0161et\u0159en\u00ed.\u00a0V p\u0159\u00edpad\u011b negativn\u00edho v\u00fdsledku zpr\u00e1vu odes\u00edl\u00e1me automaticky va\u0161emu registruj\u00edc\u00edmu gynekologovi. V p\u0159\u00edpad\u011b pozitivn\u00edho v\u00fdsledku nebo v\u00fdsledku u n\u011bj\u017e je vhodn\u00e9 dal\u0161\u00ed dovy\u0161et\u0159en\u00ed v\u00e1s bude sestra kontaktovat telefonicky.<\/span><\/p><p><span style=\"color: #000000;\">V\u0161echny maminky u n\u00e1s dostanou jako pozornost k vy\u0161et\u0159en\u00ed i obr\u00e1zek sv\u00e9ho miminka a podrobnou zpr\u00e1vu o vy\u0161et\u0159en\u00ed, v\u010detn\u011b na\u0161eho dal\u0161\u00edho doporu\u010den\u00ed.<\/span><\/p><p><span style=\"color: #000000;\">Pokud je v\u00fdsledek testu negativn\u00ed \u2026. Je-li vypo\u010d\u00edtan\u00e9 riziko men\u0161\u00ed jak 1 : 300, (tj. jedno nemocn\u00e9 d\u00edt\u011b z 350, 1000, 15 000) je riziko narozen\u00ed plodu s Downov\u00fdm syndromem v tomto t\u011bhotenstv\u00ed n\u00edzk\u00e9. Je d\u016fle\u017eit\u00e9 si uv\u011bdomit, \u017ee tento test odhaduje velikost rizika. N\u00edzk\u00e9 riziko nen\u00ed toto\u017en\u00e9 s v\u00fdrazem \u017e\u00e1dn\u00e9 riziko. I p\u0159i negativn\u00edm v\u00fdsledku je vhodn\u00e9 absolvovat ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed ve 21. t\u00fddnu se zam\u011b\u0159en\u00edm na event. p\u0159\u00edtomnost vrozen\u00fdch v\u00fdvojov\u00fdch vad plodu.<\/span><\/p><h3>Pokud je v\u00fdsledek testu pozitivn\u00ed<\/h3><p><span style=\"color: #000000;\">V\u00fdsledn\u00e9 riziko testu vy\u0161\u0161\u00ed jak 1: 300 (tj.jedno nemocn\u00e9 d\u00edt\u011b z 10,150, 280) znamen\u00e1 i vy\u0161\u0161\u00ed pravd\u011bpodobnost narozen\u00ed d\u00edt\u011bte s Downov\u00fdm syndromem. Toto samoz\u0159ejm\u011b\u00a0<b>NEZNAMEN\u00c1<\/b>, \u017ee d\u00edt\u011b m\u00e1 Down\u016fv syndrom. V\u00fdsledek testu V\u00e1m bude vysv\u011btlen a budete- li si to p\u0159\u00e1t, je mo\u017en\u00e9 tento syndrom 100% vylou\u010dit pomoc\u00ed genetick\u00e9ho vy\u0161et\u0159en\u00ed plodu ( odb\u011brem plodov\u00e9 vody, nebo choriov\u00fdch klk\u016f), \u010di neinvazivn\u00edm vy\u0161et\u0159en\u00edm z Va\u0161\u00ed krve \u2013 NIPT \u2013 CLARIGO .<\/span><\/p><h3>Pro\u010d absolvovat tento test v Centru prenat\u00e1ln\u00ed diagnostiky?<\/h3><p><span style=\"color: #000000;\">Na\u0161e pracovi\u0161t\u011b pat\u0159\u00ed k pracovi\u0161t\u00edm s nejlep\u0161\u00edm p\u0159\u00edstojov\u00fdm vybaven\u00edm v \u010cesk\u00e9 republice. Kvalita na\u0161ich ultrazvuk\u016f n\u00e1m umo\u017e\u0148uje unik\u00e1tn\u00ed zobrazen\u00ed a detailn\u00ed vy\u0161et\u0159en\u00ed Va\u0161eho miminka. Jsme schopni diagnostikovat v\u011bt\u0161inu vrozen\u00fdch v\u00fdvojov\u00fdch vad (roz\u0161t\u011bpy, srde\u010dn\u00ed vady) ji\u017e b\u011bhem vy\u0161et\u0159en\u00ed v 12-13. t\u00fddnu t\u011bhotenstv\u00ed. P\u0159i kombinaci v\u00edce uz marker\u016f (\u0161\u00ed\u0159ka nuch\u00e1ln\u00edho prostoru, p\u0159\u00edtomnost nosn\u00ed k\u016fstky, tok v ductus venosus, fronto-maxill\u00e1rn\u00ed \u00fahel), kter\u00e9 prov\u00e1d\u00edme u v\u0161ech plod\u016f, dosahujeme 95-97% z\u00e1chyt nemocn\u00fdch d\u011bt\u00ed. Na\u0161e pracovi\u0161t\u011b dodr\u017euje certifikovan\u00e9 metody Fetal Medicine Foundation Lond\u00fdn, hodnocen\u00ed biochemick\u00fdch v\u00fdsledk\u016f je kontrolov\u00e1no Extern\u00edm syst\u00e9mem hodnocen\u00ed kvality SEKK 2016. Vzhledem k po\u010dtu vy\u0161et\u0159en\u00ed a spolupr\u00e1ci s na\u0161\u00ed genetickou laborato\u0159\u00ed je mo\u017en\u00e9 rychle a p\u0159esn\u011b do\u0159e\u0161it v\u011bt\u0161inu komplikovan\u00fdch p\u0159\u00edpad\u016f p\u0159\u00edmo na na\u0161em pracovi\u0161ti. Vrozen\u00e9 srde\u010dn\u00ed vady jsou p\u0159ed\u00e1v\u00e1ny MUDr Ji\u010d\u00ednsk\u00e9 \u2013 prenat\u00e1ln\u00ed kardiolog, kter\u00e1 zaji\u0161\u0165uje prenat\u00e1ln\u00ed i postnat\u00e1ln\u00ed sledov\u00e1n\u00ed miminek s touto z\u00e1va\u017enou diagnosou.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3403ced elementor-widget elementor-widget-video\" data-id=\"3403ced\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/xtIGbQaE3LA&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c67cfd elementor-widget elementor-widget-text-editor\" data-id=\"6c67cfd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Je toto vy\u0161et\u0159en\u00ed hrazeno z prost\u0159edk\u016f v\u0161eobecn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed?<\/h3><p><span style=\"color: #000000;\">Toto vy\u0161et\u0159en\u00ed je dle doporu\u010den\u00ed \u010cesk\u00e9 gyn. por. spole\u010dnosti pova\u017eov\u00e1no za nadstandardn\u00ed a nen\u00ed hrazeno ze zdravotn\u00edho poji\u0161t\u011bn\u00ed. N\u011bkter\u00e9 zdravotn\u00ed poji\u0161\u0165ovny na toto vy\u0161et\u0159en\u00ed p\u0159isp\u00edvaj\u00ed. K p\u0159\u00edsp\u011bvku je nutn\u00e9 p\u0159edlo\u017eit stvrzenku o zaplacen\u00ed.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Vy\u0161et\u0159en\u00ed NT+ Znalost a informovanost pro pocit jistoty Dobr\u00e1 informovanost je d\u016fle\u017eitou sou\u010d\u00e1st\u00ed prenat\u00e1ln\u00ed p\u00e9\u010de. Na\u0161\u00ed snahou je co nejlep\u0161\u00ed [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-494","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/pages\/494","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/comments?post=494"}],"version-history":[{"count":13,"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/pages\/494\/revisions"}],"predecessor-version":[{"id":1174,"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/pages\/494\/revisions\/1174"}],"wp:attachment":[{"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/media?parent=494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}