{"id":506,"date":"2024-10-07T16:19:14","date_gmt":"2024-10-07T16:19:14","guid":{"rendered":"https:\/\/www.tepedesign.cz\/?page_id=506"},"modified":"2025-11-24T16:31:57","modified_gmt":"2025-11-24T16:31:57","slug":"tehotensky-screening","status":"publish","type":"page","link":"https:\/\/www.znojmo-prenatal.cz\/index.php\/tehotensky-screening\/","title":{"rendered":"II. t\u011bhotensk\u00fd screening"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"506\" class=\"elementor elementor-506\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a51353 e-flex e-con-boxed e-con e-parent\" data-id=\"0a51353\" 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-a21c4d2 elementor-widget elementor-widget-spacer\" data-id=\"a21c4d2\" 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-f4640eb elementor-widget elementor-widget-spacer\" data-id=\"f4640eb\" 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-530b740 elementor-widget elementor-widget-spacer\" data-id=\"530b740\" 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-48c5fdd elementor-widget elementor-widget-heading\" data-id=\"48c5fdd\" 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\">II. T\u011bhotensk\u00fd screening<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e0d9bbf elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"e0d9bbf\" 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-7c66c9a elementor-widget elementor-widget-spacer\" data-id=\"7c66c9a\" 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-817cba8 e-flex e-con-boxed e-con e-parent\" data-id=\"817cba8\" 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-78e60a9 elementor-widget elementor-widget-text-editor\" data-id=\"78e60a9\" 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<p style=\"text-align: center;\"><span style=\"color: #000000;\">Doporu\u010dujeme prov\u00e1d\u011bt po ukon\u010den\u00e9m 20. t\u00fddnu t\u011bhotenstv\u00ed (resp. 19.-22. t\u00fddnu gravidity).<\/span><\/p>\n<h3 style=\"text-align: center;\"><strong>Vy\u0161et\u0159en\u00ed vrozen\u00fdch v\u00fdvojov\u00fdch vad ve 2. trimestru t\u011bhotenstv\u00ed<\/strong><\/h3>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\">Optim\u00e1ln\u00ed term\u00edn pro toto vy\u0161et\u0159en\u00ed je 21-22. t\u00fdden t\u011bhotenstv\u00ed. Vy\u0161et\u0159en\u00ed ve 2. trimestru je jednou z&nbsp;nejd\u016fle\u017eit\u011bj\u0161\u00edch sou\u010d\u00e1st\u00ed prenat\u00e1ln\u00ed p\u00e9\u010de, p\u0159i kter\u00e9m se kontroluje norm\u00e1ln\u00ed v\u00fdvoj a r\u016fst Va\u0161eho d\u00edt\u011bte.<\/span><\/p>\n<h3 style=\"text-align: center;\"><strong>Jak je prov\u00e1d\u011bno toto vy\u0161et\u0159en\u00ed ?<\/strong><\/h3>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\">Ultrazvuk je prov\u00e1d\u011bn v\u011bt\u0161inou sondou p\u0159es st\u011bnu b\u0159i\u0161n\u00ed. Vagin\u00e1ln\u00ed p\u0159\u00edstup je pou\u017e\u00edv\u00e1n jen v\u00fdjime\u010dn\u011b p\u0159i nutnosti detailn\u00edho vy\u0161et\u0159en\u00ed n\u011bkter\u00fdch org\u00e1n\u016f (neurosonografie), kontrole ulo\u017een\u00ed placenty, nebo p\u0159esn\u00e9 zm\u011b\u0159en\u00ed d\u00e9lky d\u011blo\u017en\u00edho hrdla. Toto vy\u0161et\u0159en\u00ed je zcela bezpe\u010dn\u00e9 pro V\u00e1s i Va\u0161e d\u00edt\u011b.<\/span><\/p>\n<h3 style=\"text-align: center;\"><strong>Pro\u010d je toto vy\u0161et\u0159en\u00ed pot\u0159ebn\u00e9 podstoupit?<\/strong><\/h3>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\">Toto vy\u0161et\u0159en\u00ed je nezbytn\u011b nutn\u00e9 k&nbsp;ov\u011b\u0159en\u00ed spr\u00e1vn\u00e9ho v\u00fdvoje plodu, posouzen\u00ed ulo\u017een\u00ed a funkce placenty a zhodnocen\u00ed mno\u017estv\u00ed plodov\u00e9 vody.<\/span><\/p>\n<h3 style=\"text-align: center;\"><strong>Co v\u0161e bude vy\u0161et\u0159eno u Va\u0161eho d\u00edt\u011bte?<\/strong><\/h3>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\">P\u0159i vy\u0161et\u0159en\u00ed bude Va\u0161e d\u00edt\u011b detailn\u011b prohl\u00e9dnuto zku\u0161en\u00fdm l\u00e9ka\u0159em s&nbsp;dlouholetou prax\u00ed ve vy\u0161et\u0159ov\u00e1n\u00ed ultrazvukem. V\u011bt\u0161ina na\u0161ich l\u00e9ka\u0159\u016f je dr\u017eitelem licence pro tzv. Superkonzili\u00e1rn\u00ed vy\u0161et\u0159en\u00ed plodu vyd\u00e1van\u00e9 Ultrazvukovou sekc\u00ed \u010cesk\u00e9 gynekologicko- porodnick\u00e9 spole\u010dnosti.<\/span><\/p>\n<h3 style=\"text-align: center;\"><strong>Anatomie jednotliv\u00fdch org\u00e1n\u016f a morfologick\u00e9 vy\u0161et\u0159en\u00ed plodu<\/strong><\/h3>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><strong>vy\u0161et\u0159en\u00ed v\u00fdvojov\u00fdch vad:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">hlava a v\u00fdvoj mozku d\u00edt\u011bte, tv\u00e1\u0159- v\u010detn\u011b vylou\u010den\u00ed roz\u0161t\u011bpov\u00fdch vad, zhodnocen\u00ed profilu obli\u010deje, srdce, v\u00fdvoj plic a hrudn\u00edku, b\u0159icho v\u010detn\u011b ledvin, mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a \u017ealudku, p\u00e1te\u0159, dr\u017een\u00ed kon\u010detin a prst\u016f.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>m\u011b\u0159en\u00ed bioparametr\u016f :<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">U plodu bude zm\u011b\u0159ena velikost hlavi\u010dky \u2013 tzv. \u2013 bipariet\u00e1ln\u00ed pr\u016fm\u011br (BPD) a<\/span><br><span style=\"color: #000000;\">a d\u00e9lka stehenn\u00ed kosti \u2013 d\u00e9lka femuru (FL).<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000;\">Ka\u017ed\u00e9 m\u011b\u0159en\u00ed je porovn\u00e1no s norm\u00e1ln\u00edm referen\u010dn\u00edm rozmez\u00edm, na jeho\u017e z\u00e1klad\u011b je odhadnut r\u016fst Va\u0161eho d\u00edt\u011bte. Minim\u00e1ln\u00ed odchylky jsou v\u011bt\u0161inou bezv\u00fdznamn\u00e9 a jsou \u010dasto zp\u016fsobeny genetick\u00fdmi vlivy- konstituc\u00ed rodi\u010d\u016f.<\/span><\/p>\n<p><span style=\"color: #000000;\">Pokud bude odchylka v&nbsp;biometrii v\u011bt\u0161\u00ed \u2013 p\u0159i horn\u00ed hranici 2 SD (sm\u011brodatn\u00fdch odchylek), budete pro jistotu automaticky pozv\u00e1na na kontroln\u00ed vy\u0161et\u0159en\u00ed.<\/span><\/p>\n<p><span style=\"color: #000000;\">Na z\u00e1klad\u011b t\u011bchto m\u011b\u0159en\u00ed ov\u011b\u0159\u00edme term\u00edn porodu a r\u016fstov\u00fd potenci\u00e1l Va\u0161eho d\u00edt\u011bte. V\u00e1hov\u00fd odhad nen\u00ed v&nbsp;tomto stadiu t\u011bhotenstv\u00ed je\u0161t\u011b d\u016fle\u017eit\u00fd.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>srde\u010dn\u00ed frekvence a rytmus d\u00edt\u011bte:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Srde\u010dn\u00ed frekvence va\u0161eho d\u00edt\u011bte se bude li\u0161it, stejn\u011b jako u dosp\u011bl\u00fdch. V\u011bt\u0161ina d\u011bt\u00ed m\u00e1 tepovou frekvenci mezi 142-160 tepy za minutu.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Um\u00edst\u011bn\u00ed placenty:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">P\u0159i tomto vy\u0161et\u0159en\u00ed rovn\u011b\u017e hodnot\u00edme lokalizaci placenty a vzd\u00e1lenost jej\u00edho doln\u00edho okraje od vnit\u0159n\u00ed branky. Pokud je doln\u00ed okraj placenty bl\u00edzko vnit\u0159n\u00ed branky, je placenta ozna\u010dena jako n\u00edzko nasedaj\u00edc\u00ed, pokud p\u0159ekr\u00fdv\u00e1 vnit\u0159n\u00ed branku, je ozna\u010dena jako vcestn\u00e1 ( placenta praevia). Vzhledem k&nbsp;tomu, \u017ee v&nbsp;tomto obdob\u00ed nen\u00ed je\u0161t\u011b rozvinut doln\u00ed d\u011blo\u017en\u00ed segment, v\u011bt\u0161ina t\u011bchto n\u00e1lez\u016f se spont\u00e1nn\u011b uprav\u00ed do 30. t\u00fddne t\u011bhotenstv\u00ed.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Mno\u017estv\u00ed plodov\u00e9 vody kolem va\u0161eho d\u00edt\u011bte:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Zhodnocen\u00ed objemu plodov\u00e9 vody ve druh\u00e9m trimestru je obvykle subjektivn\u00ed, nicm\u00e9n\u011b norm\u00e1ln\u00ed mno\u017estv\u00ed plodov\u00e9 vody je zn\u00e1mkou norm\u00e1ln\u00edho v\u00fdvoje plodu.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>D\u00e9lka d\u011blo\u017en\u00edho \u010d\u00edpku:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">To je zvl\u00e1\u0161t\u011b d\u016fle\u017eit\u00e9, pokud je v anamn\u00e9ze t\u011bhotn\u00e9 p\u0159ed\u010dasn\u00fd porod, vagin\u00e1ln\u00ed krv\u00e1cen\u00ed nebo tonizovan\u00e1 d\u011bloha. N\u011bkdy je k&nbsp;up\u0159esn\u011bn\u00ed n\u00e1lezu nutn\u00e9 pou\u017e\u00edt transvagin\u00e1ln\u00ed ultrazvuk.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>U d\u011blohy se kontroluje:<\/strong>&nbsp;velikost a lokalizace ev. myom\u016f (benign\u00ed svalov\u00e9 n\u00e1dory d\u011blohy). V\u011bt\u0161ina fibroid\u016f v t\u011bhotenstv\u00ed nezp\u016fsobuje probl\u00e9my.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>3D \/ 4D obr\u00e1zek va\u0161eho d\u00edt\u011bte:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Pro mnoho rodi\u010d\u016f je 3D zobrazen\u00ed obli\u010deje sv\u00e9ho d\u00edt\u011bte pom\u011brn\u011b siln\u00fd emocion\u00e1ln\u00ed z\u00e1\u017eitek. Pokud je to technicky mo\u017en\u00e9, sna\u017e\u00edme se o co nejlep\u0161\u00ed obr\u00e1zek tv\u00e1\u0159e Va\u0161eho d\u00edt\u011bte. Pro rodi\u010de je d\u016fle\u017eit\u00e9 se ujistit, \u017ee je jejich d\u00edt\u011b zdrav\u00e9 a \u017ee se dob\u0159e vyv\u00edj\u00ed.<\/span><\/p>\n<p><span style=\"color: #000000;\"><em>(Optim\u00e1ln\u00edm obdob\u00edm pro z\u00edsk\u00e1n\u00ed technicky nejkvalitn\u011bj\u0161\u00edch 3D \/ 4D obr\u00e1zk\u016f d\u00edt\u011bte je obdob\u00ed mezi 24. a 28. t\u00fddnem t\u011bhotenstv\u00ed).<\/em><\/span><\/p>\n<h3 style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>Je mo\u017en\u00e9 p\u0159i tomto vy\u0161et\u0159en\u00ed zjistit v\u0161echny v\u00fdvojov\u00e9 a genetick\u00e9 vady d\u00edt\u011bte?<\/strong><\/span><\/h3>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\">Ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed m\u016f\u017ee velmi detailn\u011b posoudit v\u00fdvoj Va\u0161eho d\u00edt\u011bte, ale nen\u00ed v&nbsp;jeho mo\u017enostech odhalit v\u0161echny mo\u017en\u00e9 probl\u00e9my, \u010di morfologick\u00e9 anom\u00e1lie. Ultrazvukem nelze odhalit nap\u0159. vznik mozkov\u00e9 obrny, autismu, poruch chov\u00e1n\u00ed, \u010di u\u010den\u00ed.<\/span><\/p>\n<h3 style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>Dozv\u00edm se pohlav\u00ed sv\u00e9ho d\u00edt\u011bte?<\/strong><\/span><\/h3>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\">Ano, p\u0159i tomto vy\u0161et\u0159en\u00ed je mo\u017en\u00e9 ji\u017e v&nbsp;cca 99% p\u0159esn\u011b sd\u011blit rodi\u010d\u016fm pohlav\u00ed jejich d\u00edt\u011bte. Pokud si p\u0159ejete se tuto informaci dozv\u011bd\u011bt a\u017e p\u0159i porodu, je vhodn\u00e9 na to l\u00e9ka\u0159e upozornit na za\u010d\u00e1tku vy\u0161et\u0159en\u00ed.<\/span><\/p>\n<h3 style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>Co se stane, pokud se p\u0159i prohl\u00eddce dozv\u00edme, \u017ee se na\u0161e d\u00edt\u011b nevyv\u00edj\u00ed optim\u00e1ln\u011b?<\/strong><\/span><\/h3>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\">U v\u00edce jak 95% d\u011bt\u00ed lze o\u010dek\u00e1vat zcela norm\u00e1ln\u00ed n\u00e1lez.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\">Pokud je zji\u0161t\u011bna n\u011bkter\u00e1 odchylka, lze ji obecn\u011b za\u0159adit do n\u011bkter\u00e9 z&nbsp;n\u00e1sleduj\u00edc\u00edch kategori\u00ed:<\/span><\/p>\n<h5><span style=\"color: #000000;\"><strong>n\u00e1lez nev\u00fdznamn\u00fd pro pr\u016fb\u011bh t\u011bhotenstv\u00ed a v\u00fdvoj plodu<\/strong><\/span><\/h5>\n<p><span style=\"color: #000000;\">Ne v\u0161echny d\u011bti jsou stejn\u00e9. U n\u011bkter\u00fdch se vyskytuj\u00ed n\u00e1lezy, kter\u00e9 ozna\u010dujeme jako&nbsp;<strong><em>\u201e varianty normy\u201c.<\/em><\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Do t\u011bchto n\u00e1lez\u016f lze za\u0159adit :<\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">echogenn\u00ed intrakardi\u00e1ln\u00ed fokusy \u2013 mal\u00e9 b\u00edl\u00e9 te\u010dky v&nbsp;papil\u00e1rn\u00edm svalu srdce, kter\u00e9 neovliv\u0148uj\u00ed jeho funkci.<\/span><\/li>\n<\/ul>\n<ul>\n<li><span style=\"color: #000000;\">cysty choroide\u00e1ln\u00edho plexu \u2013 (mal\u00e9 cysty v oblasti drobn\u00e9 c\u00e9vy v&nbsp;mozkov\u00fdch komor\u00e1ch, ve&nbsp;kter\u00fdch se vytv\u00e1\u0159\u00ed mozkom\u00ed\u0161n\u00ed mok), kter\u00e9 neovliv\u0148uj\u00ed funkci mozku.<\/span><\/li>\n<li><span style=\"color: #000000;\">jedna pupe\u010dn\u00edkov\u00e1 arterie \u2013 v\u011bt\u0161ina pupe\u010dn\u00edk\u016f m\u00e1 dv\u011b tepny a jednu \u017e\u00edlu, ale n\u011bkter\u00e9 d\u011bti maj\u00ed pouze jednu tepnu a jednu \u017e\u00edlu.<\/span><\/li>\n<li><span style=\"color: #000000;\">lehk\u00e1 dilatace p\u00e1nvi\u010dek ledvin<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000;\">Pokud se jedn\u00e1 o ojedin\u011bl\u00fd rozd\u00edl, kter\u00fd je u va\u0161eho d\u00edt\u011bte zaznamen\u00e1n, nen\u00ed v\u011bt\u0161inou pot\u0159eba dal\u0161\u00ed sledov\u00e1n\u00ed v\u00fdvoje plodu.<\/span><\/p>\n<p><span style=\"color: #000000;\">N\u011bkter\u00e9 z t\u011bchto zn\u00e1mek jsou zn\u00e1my jako&nbsp;<strong><em>\u201csoft markery\u201d.<\/em><\/strong>&nbsp;To znamen\u00e1, \u017ee v\u011bt\u0161inou se vyskytuj\u00ed u zcela zdrav\u00fdch d\u011bt\u00ed, ale je zn\u00e1mo, \u017ee sou\u010dasn\u011b k jejich v\u00fdskytu doch\u00e1z\u00ed o n\u011bco \u010dast\u011bji u d\u011bt\u00ed s ur\u010dit\u00fdmi chromozom\u00e1ln\u00edmi aberacemi, jako je trizomie 21 (Down\u016fv syndrom). Soft markery pro trisomii 21 zahrnuj\u00ed echogenn\u00ed intrakardi\u00e1ln\u00ed fokusy, zkr\u00e1cen\u00e9 stehenn\u00ed kosti, pyelektasie (lehk\u00e1 dilatace p\u00e1nvi\u010dek ledvin) a dal\u0161\u00ed.<\/span><\/p>\n<p><span style=\"color: #000000;\">Pokud m\u00e1 l\u00e9ka\u0159 pocit, \u017ee riziko chromozom\u00e1ln\u00ed aberace je v\u00fdznamn\u011b vy\u0161\u0161\u00ed, m\u016f\u017ee V\u00e1m nab\u00eddnout dal\u0161\u00ed vy\u0161et\u0159en\u00ed (odb\u011br plodov\u00e9 vody, NIPT \u2013 neinvazivn\u00ed vy\u0161et\u0159en\u00ed fet\u00e1ln\u00ed DNA ve Va\u0161\u00ed krvi).<\/span><\/p>\n<p><span style=\"color: #000000;\">U v\u011bt\u0161iny \u017een, u kter\u00fdch je nalezen soft marker, nen\u00ed dal\u0161\u00ed vy\u0161et\u0159en\u00ed nutn\u00e9, proto\u017ee riziko Downova syndromu u jejich plodu z\u016fst\u00e1v\u00e1 n\u00edzk\u00e9.<\/span><\/p>\n<h4><span style=\"color: #000000;\"><strong>M\u00e9n\u011b v\u00fdznamn\u00e9 anom\u00e1lie<\/strong><\/span><\/h4>\n<p><span style=\"color: #000000;\">U n\u011bkolika procent d\u011bt\u00ed bude nalezena m\u00e9n\u011b v\u00fdznamn\u00e1, ale p\u0159esto d\u016fle\u017eit\u00e1 anom\u00e1lie. Tato skupina v\u00fdvojov\u00fdch vad nen\u00ed pova\u017eov\u00e1na za \u017eivot ohro\u017euj\u00edc\u00ed. N\u011bkter\u00e9 z t\u011bchto probl\u00e9m\u016f mohou vy\u017eadovat operaci v novorozeneck\u00e9m obdob\u00ed (jako je nap\u0159. roz\u0161t\u011bp), nebo jin\u00fd z\u00e1krok- nap\u0159. fyzioterapii (vbo\u010den\u00e1 noha \u2013 pes equinovarus), \u010di \u010dast\u011bj\u0161\u00ed ultrazvukov\u00e9 kontroly v pr\u016fb\u011bhu t\u011bhotenstv\u00ed nebo po porodu.<\/span><\/p>\n<h4><span style=\"color: #000000;\"><strong>V\u00fdznamn\u00e1, z\u00e1va\u017en\u00e1 nebo \u017eivot ohro\u017euj\u00edc\u00ed anom\u00e1lie<\/strong><\/span><\/h4>\n<p><span style=\"color: #000000;\">U \u010d\u00e1sti d\u011bt\u00ed je nalezena z\u00e1va\u017en\u00e1 v\u00fdvojov\u00e1 vada, neslu\u010diteln\u00e1 se \u017eivotem, nebo v\u00fdznamn\u011b ovliv\u0148uj\u00edc\u00ed kvalitu \u017eivota. K&nbsp;t\u011bmto vad\u00e1m pat\u0159\u00ed srde\u010dn\u00ed vady, roz\u0161t\u011bpy p\u00e1te\u0159e, poruchy v\u00fdvoje mozku a dal\u0161\u00ed.<\/span><\/p>\n<p><span style=\"color: #000000;\">V\u00edme, \u017ee zji\u0161t\u011bn\u00ed jak\u00e9koliv morfologick\u00e9 anom\u00e1lie na ultrazvuku je spojeno s velk\u00fdmi obavami rodi\u010d\u016f o v\u00fdvoj a osud jejich d\u00edt\u011bte. Na\u0161e pracovi\u0161t\u011b se t\u011bmito d\u011btmi intenzivn\u011b zab\u00fdv\u00e1. Ka\u017ed\u00fd rok je u n\u00e1s diagnostikov\u00e1no, nebo konzili\u00e1rn\u011b \u0159e\u0161eno v\u00edce jak 300 t\u011bchto d\u011bt\u00ed. V\u017edy se sna\u017e\u00edme o t\u011bchto probl\u00e9mech s&nbsp;rodi\u010di diskutovat a ve spolupr\u00e1ci s&nbsp;nimi naj\u00edt co nejlep\u0161\u00ed mo\u017en\u00e9 \u0159e\u0161en\u00ed t\u00e9to z\u00e1va\u017en\u00e9 \u017eivotn\u00ed situace. V&nbsp;p\u0159\u00edpad\u011b pot\u0159eby se sna\u017e\u00edme zajistit i n\u00e1slednou p\u00e9\u010di u dal\u0161\u00edch specialist\u016f na tuto problematiku.<\/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>II. T\u011bhotensk\u00fd screening Doporu\u010dujeme prov\u00e1d\u011bt po ukon\u010den\u00e9m 20. t\u00fddnu t\u011bhotenstv\u00ed (resp. 19.-22. t\u00fddnu gravidity). Vy\u0161et\u0159en\u00ed vrozen\u00fdch v\u00fdvojov\u00fdch vad ve 2. [&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-506","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/pages\/506","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=506"}],"version-history":[{"count":19,"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/pages\/506\/revisions"}],"predecessor-version":[{"id":1366,"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/pages\/506\/revisions\/1366"}],"wp:attachment":[{"href":"https:\/\/www.znojmo-prenatal.cz\/index.php\/wp-json\/wp\/v2\/media?parent=506"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}