{"id":1833,"date":"2018-11-22T17:08:08","date_gmt":"2018-11-22T16:08:08","guid":{"rendered":"http:\/\/www.mc-praha.cz\/mcp\/?p=1833"},"modified":"2024-02-05T10:08:45","modified_gmt":"2024-02-05T09:08:45","slug":"onkologicka-preventivni-prohlidka","status":"publish","type":"post","link":"https:\/\/www.mc-praha.cz\/mcp\/onkologicka-preventivni-prohlidka\/","title":{"rendered":"Onkologick\u00e1 preventivn\u00ed prohl\u00eddka"},"content":{"rendered":"<p>&nbsp;<\/p>\n<ul>\n<li>Celkov\u00e1 anamn\u00e9za: v\u00fdskyt n\u00e1dor\u016f v rodin\u011b, prod\u011blan\u00e9 n\u00e1dorov\u00e9 onemocn\u011bn\u00ed, prekancer\u00f3zn\u00ed stavy, \u017eivotn\u00ed styl, stravovac\u00ed n\u00e1vyky, v\u00fdskyt kancerogen\u016f na pracovi\u0161ti, rizikov\u00e9 faktory \u2013 v\u011bk, kou\u0159en\u00ed, alkohol, zam\u011bstn\u00e1n\u00ed, l\u00e9ky, psychosoci\u00e1ln\u00ed faktory,<\/li>\n<li>u \u017een: podrobn\u00e1 gynekologick\u00e1 anamn\u00e9za v\u010detn\u011b \u00fadaj\u016f nap\u0159. o d\u00e9lce kojen\u00ed<\/li>\n<li>EKG, krevn\u00ed tlak a puls<\/li>\n<li>C\u00edlen\u00e9 fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed stavu k\u016f\u017ee, dutiny \u00fastn\u00ed, m\u00edzn\u00edch uzlin,\n<ul>\n<li>u mu\u017e\u016f:\n<ul>\n<li>varlat, vy\u0161et\u0159en\u00ed prostaty a kone\u010dn\u00edku (per rectum),<\/li>\n<\/ul>\n<\/li>\n<li>u \u017een:\n<ul>\n<li>prsu<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed b\u0159i\u0161n\u00edch a p\u00e1nevn\u00edch org\u00e1n\u016f (ledviny, j\u00e1tra, slinivka, \u017elu\u010dn\u00edk, \u017elu\u010dov\u00e9 cesty, mo\u010dov\u00fd m\u011bch\u00fd\u0159, prostata, d\u011bloha, p\u0159\u00edp. vaje\u010dn\u00edky, slezina)<\/li>\n<li>Vy\u0161et\u0159en\u00ed k\u016f\u017ee dermatoskopem, posouzen\u00ed rizikov\u00fdch \u00fatvar\u016f<\/li>\n<li>Z\u00e1kladn\u00ed laboratorn\u00ed vy\u0161et\u0159en\u00ed: krevn\u00ed obraz, sedimentace, kompletn\u00ed biochemie v\u010detn\u011b jatern\u00edch a ledvinn\u00fdch funkc\u00ed, tukov\u00fd metabolismus, CRP \u2013 marker bakteri\u00e1ln\u00edho z\u00e1n\u011btu, \u0159\u00edd\u00edc\u00ed hormon \u0161t\u00edtn\u00e9 \u017el\u00e1zy TSH, n\u011bkter\u00e9 tumorov\u00e9 markery<\/li>\n<li>Speci\u00e1ln\u00ed laboratorn\u00ed vy\u0161et\u0159en\u00ed:\n<ul>\n<li>u mu\u017e\u016f:\n<ul>\n<li>vy\u0161et\u0159en\u00ed PSA (nad 45 let) &#8211; prostatick\u00fd specifick\u00fd antigen (\u010dasn\u00e1 zn\u00e1mka rakoviny prostaty)<\/li>\n<li>vy\u0161et\u0159en\u00ed AFP, HCG (do 45 let) \u2013 diagnostika n\u00e1dor\u016f varlat<\/li>\n<\/ul>\n<\/li>\n<li>u \u017een:\n<ul>\n<li>vy\u0161et\u0159en\u00ed Ca 125 \u2013 diagnostika zhoubn\u00fdch n\u00e1dor\u016f \u017eensk\u00fdch pohlavn\u00edch org\u00e1n\u016f<\/li>\n<\/ul>\n<\/li>\n<li>u mu\u017e\u016f i \u017een:\n<ul>\n<li>CEA \u2013 nespecifick\u00fd n\u00e1dorov\u00fd marker, kter\u00fd je produkov\u00e1n celou \u0159adou n\u00e1dor\u016f (mj. karcinomy plic, za\u017e\u00edvac\u00edho traktu, ml\u00e9\u010dn\u00e9 \u017el\u00e1zy, \u017eensk\u00fdch pohlavn\u00edch org\u00e1n\u016f, mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, ledvin, prostaty) a dle anamn\u00e9zy dopln\u011bn\u00ed o dal\u0161\u00ed specifick\u00e1 laboratorn\u00ed vy\u0161et\u0159en\u00ed dle zji\u0161t\u011bn\u00fdch rizik<\/li>\n<li>Test na okultn\u00ed krv\u00e1cen\u00ed (v dom\u00e1c\u00edm prost\u0159ed\u00ed) &#8211; test na zji\u0161t\u011bn\u00ed krve ve stolici, \u010dasn\u00e9ho symptomu rakoviny tlust\u00e9ho st\u0159eva<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Kolonoskopick\u00e9 vy\u0161et\u0159en\u00ed\n<ul>\n<li>Ku\u0159\u00e1ci: rentgenov\u00e9 vy\u0161et\u0159en\u00ed plic a pr\u016fdu\u0161ek \u2013 dle zhodnocen\u00ed rizik<\/li>\n<li>U \u017een: mamografick\u00e9 vy\u0161et\u0159en\u00ed nebo UZ prsu \u2013 dle zhodnocen\u00ed rizik<\/li>\n<\/ul>\n<\/li>\n<li>V\u00fdsledkem a hlavn\u00edm v\u00fdstupem preventivn\u00ed onkologick\u00e9 prohl\u00eddky je podrobn\u00e1 zpr\u00e1va, kterou vy\u0161et\u0159uj\u00edc\u00ed onkolog zpracov\u00e1v\u00e1 po kompletizaci v\u0161ech v\u00fdsledk\u016f.\u00a0 Tato zpr\u00e1va je n\u00e1sledn\u011b doru\u010dena klientovi po\u0161tou, pokud nen\u00ed v r\u00e1mci prohl\u00eddky dohodnuto jinak.<\/li>\n<li>Pohovor s l\u00e9ka\u0159em nad v\u00fdsledky vy\u0161et\u0159en\u00ed. Zhodnocen\u00ed zdravotn\u00edho stavu, doporu\u010den\u00ed, p\u0159ed\u00e1n\u00ed l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy.<\/li>\n<li>K vy\u0161et\u0159en\u00ed je pot\u0159eba p\u0159ij\u00edt s rann\u00ed mo\u010d\u00ed a nala\u010dno (kv\u016fli odb\u011bru krve a ultrazvukov\u00e9mu vy\u0161et\u0159en\u00ed). P\u0159ed vy\u0161et\u0159en\u00edm lze p\u00edt nesladkou tekutinu (neslazen\u00fd \u010dern\u00fd \u010daj, voda, neochucen\u00e1 miner\u00e1lka), k vy\u0161et\u0159en\u00ed org\u00e1n\u016f p\u00e1nve ultrazvukem p\u0159es st\u011bnu b\u0159i\u0161n\u00ed je \u017e\u00e1douc\u00ed napln\u011bn\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e. Doba prohl\u00eddky je cca 1,5 hod.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Term\u00edn l\u00e9ka\u0159sk\u00e9ho vy\u0161et\u0159en\u00ed si m\u016f\u017eete rezervovat <a href=\"http:\/\/extranet.mc-praha.cz\/\">zde.<\/a><\/p>\n<p>Laboratorn\u00ed vy\u0161et\u0159en\u00ed si m\u016f\u017eete objednat<a href=\"https:\/\/extranet.mc-praha.cz\/#\/laboratory\"> zde<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Celkov\u00e1 anamn\u00e9za: v\u00fdskyt n\u00e1dor\u016f v rodin\u011b, prod\u011blan\u00e9 n\u00e1dorov\u00e9 onemocn\u011bn\u00ed, prekancer\u00f3zn\u00ed stavy, \u017eivotn\u00ed styl, stravovac\u00ed [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"link","meta":{"_uag_custom_page_level_css":""},"categories":[9],"tags":[],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"boldthemes_grid":false,"boldthemes_grid_11":false,"boldthemes_grid_22":false,"boldthemes_grid_21":false,"boldthemes_grid_12":false,"boldthemes_latest_posts":false,"boldthemes_grid_gallery":false},"uagb_author_info":{"display_name":"Jbednar","author_link":"https:\/\/www.mc-praha.cz\/mcp\/author\/jbednar\/"},"uagb_comment_info":0,"uagb_excerpt":"&nbsp; Celkov\u00e1 anamn\u00e9za: v\u00fdskyt n\u00e1dor\u016f v rodin\u011b, prod\u011blan\u00e9 n\u00e1dorov\u00e9 onemocn\u011bn\u00ed, prekancer\u00f3zn\u00ed stavy, \u017eivotn\u00ed styl, stravovac\u00ed [&hellip;]","post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/posts\/1833"}],"collection":[{"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/comments?post=1833"}],"version-history":[{"count":7,"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/posts\/1833\/revisions"}],"predecessor-version":[{"id":4535,"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/posts\/1833\/revisions\/4535"}],"wp:attachment":[{"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/media?parent=1833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/categories?post=1833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mc-praha.cz\/mcp\/wp-json\/wp\/v2\/tags?post=1833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}