![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/evipa_terminaFINnew.png\")
<\/figure>\n<\/div>\n\n\nSyst\u00e9m cobas h 232<\/strong><\/h4>\n\n\n\nUmo\u017e\u0148uje rychl\u00e9 stanoven\u00ed NT-pro BNP, troponinu T, D-dimer\u016f. Diagnostick\u00e9 testy dostupn\u00e9 pro tento p\u0159\u00edstroj umo\u017e\u0148uj\u00ed \u00fa\u010dinnou diagn\u00f3zu a vyhodnocen\u00ed kardiovaskul\u00e1rn\u00edch nemoc\u00ed. Vyhodnocen\u00ed t\u011bchto test\u016f pomoc\u00ed p\u0159\u00edstroje cobas h 232 kombinuje v\u00fdhody rychl\u00e9 diagn\u00f3zy s lep\u0161\u00ed klinickou interpretac\u00ed kvantitativn\u00edch hodnot (v porovn\u00e1n\u00ed s kvalitativn\u00edmi testy). Automatick\u00e9 vyhodnocen\u00ed zaji\u0161\u0165uje spolehliv\u011bj\u0161\u00ed v\u00fdsledky.<\/p>\n\n\n\n
Spolehliv\u00e9 stanoven\u00ed troponinu T<\/h5>\n\n\n\n
POC Troponin T od Roche usnad\u0148uje stanoven\u00ed diagn\u00f3zy u pacient\u016f s podez\u0159en\u00edm na po\u0161kozen\u00ed bun\u011bk myokardu, nap\u0159. v p\u0159\u00edpad\u011b akutn\u00edho koron\u00e1rn\u00edho syndromu (detekce a vylou\u010den\u00ed akutn\u00edho infarktu myokardu (AMI) a subakutn\u00edho infarktu myokardu, stanoven\u00ed rozsahu infarktu, strati\ufb01kace rizika u pacient\u016f s AMI). D\u00edky standardizaci a srovnatelnosti v\u00fdsledk\u016f lze test pou\u017e\u00edvat v kombinaci s vysoce citliv\u00fdm laboratorn\u00edm stanoven\u00edm Elecsys\u00ae Troponin T high-sensitive.1,2,3<\/p>\n\n\n\n
Spolehliv\u00e9 stanoven\u00ed NT-proBNP<\/h5>\n\n\n\n
Test Roche CARDIAC proBNP+ usnad\u0148uje stanoven\u00ed diagn\u00f3zy u pacient\u016f s podez\u0159en\u00edm na srde\u010dn\u00ed selh\u00e1n\u00ed, umo\u017e\u0148uje monitorov\u00e1n\u00ed pacient\u016f s kompenzovanou dysfunkc\u00ed lev\u00e9 komory a napom\u00e1h\u00e1 p\u0159i strati\ufb01kaci rizika pacient\u016f s akutn\u00edm koron\u00e1rn\u00edm syndromem. Referen\u010dn\u00ed hodnoty byly stanoveny pou\u017eit\u00edm testu Elecsys\u00ae proBNP firmy Roche Diagnostics.4<\/p>\n\n\n\n
Spolehliv\u00e9 stanoven\u00ed D-dimeru<\/h5>\n\n\n\n
Test Roche CARDIAC D-Dimer slou\u017e\u00ed k vylou\u010den\u00ed suspektn\u00ed hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy (H\u017dT) a plicn\u00ed embolie (PE). Bylo prok\u00e1z\u00e1no, \u017ee n\u00edzk\u00e1 a\u017e st\u0159edn\u00ed pravd\u011bpodobnost rizika PE ve spojen\u00ed s negativn\u00edm v\u00fdsledkem vy\u0161et\u0159en\u00ed D-dimeru m\u00e1 negativn\u00ed prediktivn\u00ed hodnotu (NPV) 100 %. Stejn\u011b tak byla 100% NPV prok\u00e1z\u00e1na u negativn\u00edho vy\u0161et\u0159en\u00ed D-dimeru ve spojen\u00ed s Wellsov\u00fdm sk\u00f3re ukazuj\u00edc\u00edm na nepravd\u011bpodobnost H\u017dT.5 Vy\u0161et\u0159en\u00ed D-dimeru u pacient\u016f s PE a H\u017dT sni\u017euje pot\u0159ebu pou\u017eit\u00ed zobrazovac\u00edch metod.6<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2022\/11\/Cobas_h232-1.jpg\")
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BTL – 08MD – EKG<\/h4>\n\n\n\n
Toto EKG je vhodn\u00e9 pro \u0161irok\u00e9 spektrum u\u017eivatel\u016f. Barevn\u00fd dotykov\u00fd displej, vysok\u00e1 kvalita EKG sign\u00e1lu a tisku, vysok\u00fd v\u00fdkon p\u0159i jednoduch\u00e9m ovl\u00e1d\u00e1n\u00ed p\u0159\u00edstroje. Pou\u017eit\u00ed BTL unik\u00e1tn\u00edch auto-adaptivn\u00edch filtr\u016f p\u0159in\u00e1\u0161\u00ed stabiln\u00ed EKG sign\u00e1l bez \u0161um\u016f a artefakt\u016f, bez zkreslen\u00ed fyziologick\u00e9ho tvaru EKG k\u0159ivky.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/BTL-08-MD-EKGII-2.jpg\")
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M a g n e t o t e r a p i e B T L – 5 0 0 0<\/strong><\/h4>\n\n\n\nMagnetoterapie je osv\u011bd\u010den\u00e1 l\u00e9ka\u0159sk\u00e1 metoda pou\u017e\u00edvan\u00e1 p\u0159i l\u00e9\u010db\u011b bolesti a pro zrychlen\u00e9 hojen\u00ed tk\u00e1n\u00ed. Jedn\u00e1 se o jeden z nejv\u00fdkonn\u011bj\u0161\u00edch magnetoterapeutick\u00fdch p\u0159\u00edstroj\u016f na sou\u010dasn\u00e9m trhu. Je vhodn\u00fd pro aplikace p\u0159\u00edmo na operovanou oblast. Podporuje hojen\u00ed , zm\u00edr\u0148uje bolesti, zmen\u0161uje otoky, zlep\u0161uje prokrven\u00ed v dan\u00e9 oblasti.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2022\/11\/BTL-5000-Series_F.jpg\")
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O x y m e t r<\/strong><\/h4>\n\n\n\nPrstov\u00fd pulzn\u00ed oxymetr pro m\u011b\u0159en\u00ed saturace hemoglobinu kysl\u00edkem a tepov\u00e9 frekvence. Saturace hemoglobinu kysl\u00edkem ud\u00e1v\u00e1, kolik procent hemoglobinu v arteri\u00e1ln\u00ed krvi je nasycen\u00e9 kysl\u00edkem. Proto je d\u016fle\u017eit\u00fdm parametrem pro posouzen\u00ed funkce d\u00fdch\u00e1n\u00ed. Pulsn\u00ed oxymetr pou\u017e\u00edv\u00e1 k m\u011b\u0159en\u00ed dva sv\u011bteln\u00e9 paprsky rozd\u00edln\u00e9 vlnov\u00e9 d\u00e9lky, kter\u00e9 dopadaj\u00ed na prst vlo\u017een dovnit\u0159 p\u0159\u00edstroje, vy\u0161et\u0159en\u00edm je nebolestiv\u00e9. N\u00edzk\u00e1 hodnota saturace hemoglobinu kysl\u00edkem poukazuje p\u0159ev\u00e1\u017en\u011b na nemoci jako onemocn\u011bn\u00ed d\u00fdchac\u00edch cest, astma, srde\u010dn\u00ed nedostate\u010dnost …<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/pulzni-oximetrF.jpg\")
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I N R C o a g u Ch e k<\/strong><\/h4>\n\n\n\nSlou\u017e\u00ed ke stanoven\u00ed protrombinov\u00e9ho \u010dasu (PT) z \u010derstv\u00e9 kapil\u00e1rn\u00ed krve. Protrombinov\u00fd \u010das je \u010das, za kter\u00fd se ve vzorku krve vytvo\u0159\u00ed koagulum (krevn\u00ed sra\u017eenina). Tento \u010das se d\u00e1le p\u0159epo\u010d\u00edt\u00e1v\u00e1 na mezin\u00e1rodn\u00ed normalizov\u00fd pom\u011br (INR). Umo\u017e\u0148uje snadn\u00e9 monitorov\u00e1n\u00ed a zji\u0161t\u011bn\u00ed zm\u011bn ve sr\u00e1\u017elivosti krve nap\u0159. p\u0159i sn\u00ed\u017een\u00ed hladiny vitaminu K, po po\u0161kozen\u00ed jater, po pod\u00e1n\u00ed Warfarinu.. . . K m\u011b\u0159en\u00ed se pou\u017e\u00edv\u00e1 testovac\u00ed prou\u017eek, na kter\u00fd se nanese krev z prstu, v\u00fdsledek se zobraz\u00ed na displeji v jednotk\u00e1ch INR, %Q nebo v sekund\u00e1ch.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/INR-CoaguChekF.jpg\")
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MESI – ABI<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj umo\u017e\u0148uje sou\u010dasn\u00e9 m\u011b\u0159en\u00ed krevn\u00edho tlaku na v\u0161ech \u010dty\u0159ech kon\u010detin\u00e1ch najednou. P\u0159\u00edstroj m\u011b\u0159\u00ed hodnotu ABI indexu, kter\u00fd ozna\u010duje pr\u016fchodnost tepen doln\u00edch kon\u010detin a upozor\u0148uje na p\u0159\u00edznaky ischemick\u00e9 choroby doln\u00edch kon\u010detin (\u201eucp\u00e1v\u00e1n\u00ed \u010di zu\u017eov\u00e1n\u00ed tepen doln\u00edch kon\u010detin). Vy\u0161et\u0159en\u00ed trv\u00e1 n\u011bkolik minut a je nebolestiv\u00e9.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/MESI-ABI-2-1024x536.jpg\")
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QuickRead go<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj je kompaktn\u00ed, pln\u011b automatick\u00e9 za\u0159\u00edzen\u00ed slou\u017e\u00edc\u00ed ke kvantitativn\u00edmu a kvalitativn\u00edmu m\u011b\u0159en\u00ed r\u016fzn\u00fdch parametr\u016f (pops\u00e1no n\u00ed\u017ee) v prim\u00e1rn\u00ed zdravotn\u00ed p\u00e9\u010di.<\/p>\n\n\n\n
1. CRP<\/strong>
C reaktivn\u00ed protein (CRP) je b\u00edlkovinou, kter\u00e1 se v t\u011ble zvy\u0161uje hlavn\u011b p\u0159i prob\u00edhaj\u00edc\u00edm z\u00e1n\u011btu, kter\u00fd je bakteri\u00e1ln\u00edho p\u016fvodu. Tud\u00ed\u017e n\u00e1m tento test pom\u00e1h\u00e1 p\u0159i rozhodnut\u00ed o l\u00e9\u010db\u011b antibiotiky a k posouzen\u00ed z\u00e1va\u017enosti zdravotn\u00edho po\u0161kozen\u00ed. K vy\u0161et\u0159en\u00ed se odeb\u00edr\u00e1 kapka krve z prstu ruky a v\u00fdsledek je zn\u00e1m do n\u011bkolika minut.2. INR<\/strong><\/p>\n\n\n\nINR (International Normalized Ratio) neboli \u201eQuick\u016fv test\u201c. T\u00edmto testem zji\u0161\u0165ujeme aktivitu protrombinov\u00e9ho komplexu a funk\u010dnost vn\u011bj\u0161\u00ed \u010d\u00e1sti koagula\u010dn\u00ed kask\u00e1dy. Nej\u010dast\u011bji se pou\u017e\u00edv\u00e1 p\u0159i testov\u00e1n\u00ed \u00fa\u010dinnosti antikoagula\u010dn\u00ed l\u00e9\u010dby tzv. \u201e\u0159ed\u011bn\u00ed krve\u201c (nap\u0159. p\u0159i l\u00e9\u010db\u011b Warfarinem). Pro vy\u0161et\u0159en\u00ed v ordinaci nemus\u00ed b\u00fdt pacient nala\u010dno, prov\u00e1d\u00ed se odb\u011brem kapky krve z prstu ruky. V\u00fdsledek je zn\u00e1m do n\u011bkolika minut. Ka\u017ed\u00fd pacient l\u00e9\u010den\u00fd Warfarinem mus\u00ed tento test pravideln\u011b absolvovat.3. FOBT TEST<\/strong><\/p>\n\n\n\nVy\u0161et\u0159en\u00ed stolice na okultn\u00ed (skryt\u00e9) krv\u00e1cen\u00ed slou\u017e\u00ed k odhalen\u00ed mal\u00e9ho mno\u017estv\u00ed krve ve stolici, kter\u00e9 nen\u00ed norm\u00e1ln\u011b viditeln\u00e9. Toto vy\u0161et\u0159en\u00ed slou\u017e\u00ed k v\u010dasn\u00e9mu upozorn\u011bn\u00ed na onemocn\u011bn\u00ed prob\u00edhaj\u00edc\u00ed v tlust\u00e9m st\u0159ev\u011b. Vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 tak, \u017ee v ordinaci obdr\u017e\u00edte testovac\u00ed lahvi\u010dku a samotn\u00fd test provedete doma dle pou\u010den\u00ed. N\u00e1sledn\u011b lahvi\u010dku p\u0159inesete zp\u011bt do ordinace, kde bude n\u00e1sledovat okam\u017eit\u00e9 vyhodnocen\u00ed. Vy\u0161et\u0159en\u00ed hrad\u00ed v\u0161echny poji\u0161\u0165ovny od 50 do 55 let v\u011bku ka\u017edoro\u010dn\u011b. Od 55 let se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ka\u017ed\u00e9 dva roky. V p\u0159\u00edpad\u011b pozitivity testu indikujeme vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva tzv. kolonoskopii.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/Quick-Read-CRP-OK-streptest-HbA1c-2-1024x878.jpg\")
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Ambulantn\u00ed monitorov\u00e1n\u00ed krevn\u00edho tlaku \u2013 holter<\/strong><\/h4>\n\n\n\nT\u00edmto vy\u0161et\u0159en\u00edm je m\u011b\u0159en krevn\u00ed tlak pomoc\u00ed automatizovan\u00e9ho p\u0159\u00edstroje na pa\u017ei pacienta ka\u017ed\u00fdch 15minut a\u017e 1 hod (dle naprogramov\u00e1n\u00ed). V\u00fdsledky m\u011b\u0159en\u00ed jsou zaznamen\u00e1v\u00e1ny do mal\u00e9 \u201ekrabi\u010dky\u201c, kterou m\u00e1 vy\u0161et\u0159ovan\u00fd um\u00edst\u011bnou za pasem. Vy\u0161et\u0159en\u00ed obvykle trv\u00e1 24 hodin, je nebolestiv\u00e9 a neomezuje v b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech. Vy\u0161et\u0159en\u00ed slou\u017e\u00ed k posouzen\u00ed kompenzace pacientu l\u00e9\u010den\u00fdch pro vysok\u00fd krevn\u00ed tlak v pr\u016fb\u011bhu cel\u00e9ho dne a odli\u0161en\u00ed skupiny pacient\u016f se zv\u00fd\u0161en\u00fdm tlakem pouze u l\u00e9ka\u0159e tzv. (syndrom b\u00edl\u00e9ho pl\u00e1\u0161t\u011b).<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/Tlakovy-holter-Seiva-2.png\")
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Syst\u00e9m LAURA SMART<\/strong><\/h4>\n\n\n\nTento syst\u00e9m je efektivn\u00edm \u0159e\u0161en\u00edm anal\u00fdzy mo\u010de. Vyhodnocov\u00e1n\u00ed anal\u00fdzy mo\u010de pomoc\u00ed LAURA\u00ae Smart eliminuje subjektivn\u00ed interpretaci barevn\u00e9 odezvy diagnostick\u00fdch z\u00f3n a t\u00edm v\u00fdznamn\u011b p\u0159isp\u00edv\u00e1 ke spr\u00e1vn\u00e9 diagnostice pacienta. Syst\u00e9m automaticky identifikuje typ pou\u017eit\u00e9ho\/vlo\u017een\u00e9ho prou\u017eku. Parametry, kter\u00e9 lze stanovit diagnostick\u00fdmi prou\u017eky, jsou: pH, b\u00edlkovina (ALB), gluk\u00f3za (GLU), ketony (KET), urobilinogen (UBG), bilirubin (BIL), krev (BLD) a d\u00e1le specifick\u00e1 hmotnost (SG), dusitany (NIT) a leukocyty (LEU). Kvalita m\u011b\u0159en\u00ed je zv\u00fd\u0161ena d\u00edky kompenza\u010dn\u00edmu poli na diagnostick\u00e9m prou\u017eku, kter\u00e9 umo\u017e\u0148uje eliminovat r\u016fzn\u00e9 zbarven\u00ed vzork\u016f mo\u010de.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/Urimetr-Laura-Smart-2.jpg\")
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Tonometr Microlife WatxhBP office<\/strong><\/h4>\n\n\n\nTlakom\u011br pro profesion\u00e1ln\u00ed m\u011b\u0159en\u00ed krevn\u00edho tlaku s detekc\u00ed fibrilace s\u00edn\u00ed a v\u00fdpo\u010dtem st\u0159edn\u00edho arteri\u00e1ln\u00edho tlaku.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/Tonometr-Microlife-WatxhBP-office-2.jpg\")
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Otoskop<\/strong><\/h4>\n\n\n\nOtoskop je ur\u010den\u00fd pro p\u0159\u00edm\u00e9 vy\u0161et\u0159en\u00ed sluchovodu a bub\u00ednku st\u0159edn\u00edho ucha.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/otoskop-2.jpg\")
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Glukometr Wellion CALLA<\/strong><\/h4>\n\n\n\nSyst\u00e9m na m\u011b\u0159en\u00ed glyk\u00e9mie Wellion CALLA zaji\u0161\u0165uje jednoduch\u00fd a p\u0159esn\u00fd zp\u016fsob m\u011b\u0159en\u00ed hladiny cukru v krvi pomoc\u00ed \u010derstv\u00e9 pln\u00e9 kapil\u00e1rn\u00ed krve odebran\u00e9 z kone\u010dku prstu, dlan\u011b nebo p\u0159edlokt\u00ed. M\u011b\u0159en\u00ed je prov\u00e1d\u011bno mimo t\u011blo (diagnostikov\u00e1n\u00ed in vitro). V\u00fdsledky m\u011b\u0159en\u00ed jsou kalibrov\u00e1ny na plazmu kv\u016fli jednoduch\u00e9mu porovn\u00e1n\u00ed s laboratorn\u00edmi v\u00fdsledky. Hladina cukru v krvi se li\u0161\u00ed v z\u00e1vislosti na p\u0159\u00edsunu j\u00eddla, l\u00e9k\u016f, zdrav\u00ed, stresu a fyzick\u00e9 aktivit\u011b.<\/p>\n\n\n
\n![\"\"](\"https:\/\/www.mudrsmelcova.cz\/wp-content\/uploads\/2020\/10\/glukometr-wellion-calla-light-set-bily-original-2.jpg\")
<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"Evipa V \u010dek\u00e1rn\u00e1ch jsme velmi \u010dasto sv\u011bdky, kdy p\u0159\u00edchoz\u00ed pacient nev\u00ed, jak postupovat po p\u0159\u00edchodu do \u010dek\u00e1rny. N\u011bkte\u0159\u00ed se dotazuj\u00ed ostatn\u00edch na po\u0159ad\u00ed, jin\u00ed zase automaticky klepou na dve\u0159e. \u0158e\u0161en\u00ed, kter\u00e9 najdete u n\u00e1s v \u010dek\u00e1rn\u011b je syst\u00e9m EVIPA, zav\u00e1d\u00ed jasn\u00fd \u0159\u00e1d cel\u00e9ho procesu vstupu pacienta do ordinace. Vlo\u017een\u00ed karty zdravotn\u00ed poji\u0161\u0165ovny, nebo jin\u00e9ho dokladu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-139","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=139"}],"version-history":[{"count":28,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":1066,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions\/1066"}],"wp:attachment":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
BTL – 08MD – EKG<\/h4>\n\n\n\n
Toto EKG je vhodn\u00e9 pro \u0161irok\u00e9 spektrum u\u017eivatel\u016f. Barevn\u00fd dotykov\u00fd displej, vysok\u00e1 kvalita EKG sign\u00e1lu a tisku, vysok\u00fd v\u00fdkon p\u0159i jednoduch\u00e9m ovl\u00e1d\u00e1n\u00ed p\u0159\u00edstroje. Pou\u017eit\u00ed BTL unik\u00e1tn\u00edch auto-adaptivn\u00edch filtr\u016f p\u0159in\u00e1\u0161\u00ed stabiln\u00ed EKG sign\u00e1l bez \u0161um\u016f a artefakt\u016f, bez zkreslen\u00ed fyziologick\u00e9ho tvaru EKG k\u0159ivky.<\/p>\n\n\n
<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
M a g n e t o t e r a p i e B T L – 5 0 0 0<\/strong><\/h4>\n\n\n\nMagnetoterapie je osv\u011bd\u010den\u00e1 l\u00e9ka\u0159sk\u00e1 metoda pou\u017e\u00edvan\u00e1 p\u0159i l\u00e9\u010db\u011b bolesti a pro zrychlen\u00e9 hojen\u00ed tk\u00e1n\u00ed. Jedn\u00e1 se o jeden z nejv\u00fdkonn\u011bj\u0161\u00edch magnetoterapeutick\u00fdch p\u0159\u00edstroj\u016f na sou\u010dasn\u00e9m trhu. Je vhodn\u00fd pro aplikace p\u0159\u00edmo na operovanou oblast. Podporuje hojen\u00ed , zm\u00edr\u0148uje bolesti, zmen\u0161uje otoky, zlep\u0161uje prokrven\u00ed v dan\u00e9 oblasti.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
O x y m e t r<\/strong><\/h4>\n\n\n\nPrstov\u00fd pulzn\u00ed oxymetr pro m\u011b\u0159en\u00ed saturace hemoglobinu kysl\u00edkem a tepov\u00e9 frekvence. Saturace hemoglobinu kysl\u00edkem ud\u00e1v\u00e1, kolik procent hemoglobinu v arteri\u00e1ln\u00ed krvi je nasycen\u00e9 kysl\u00edkem. Proto je d\u016fle\u017eit\u00fdm parametrem pro posouzen\u00ed funkce d\u00fdch\u00e1n\u00ed. Pulsn\u00ed oxymetr pou\u017e\u00edv\u00e1 k m\u011b\u0159en\u00ed dva sv\u011bteln\u00e9 paprsky rozd\u00edln\u00e9 vlnov\u00e9 d\u00e9lky, kter\u00e9 dopadaj\u00ed na prst vlo\u017een dovnit\u0159 p\u0159\u00edstroje, vy\u0161et\u0159en\u00edm je nebolestiv\u00e9. N\u00edzk\u00e1 hodnota saturace hemoglobinu kysl\u00edkem poukazuje p\u0159ev\u00e1\u017en\u011b na nemoci jako onemocn\u011bn\u00ed d\u00fdchac\u00edch cest, astma, srde\u010dn\u00ed nedostate\u010dnost …<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
I N R C o a g u Ch e k<\/strong><\/h4>\n\n\n\nSlou\u017e\u00ed ke stanoven\u00ed protrombinov\u00e9ho \u010dasu (PT) z \u010derstv\u00e9 kapil\u00e1rn\u00ed krve. Protrombinov\u00fd \u010das je \u010das, za kter\u00fd se ve vzorku krve vytvo\u0159\u00ed koagulum (krevn\u00ed sra\u017eenina). Tento \u010das se d\u00e1le p\u0159epo\u010d\u00edt\u00e1v\u00e1 na mezin\u00e1rodn\u00ed normalizov\u00fd pom\u011br (INR). Umo\u017e\u0148uje snadn\u00e9 monitorov\u00e1n\u00ed a zji\u0161t\u011bn\u00ed zm\u011bn ve sr\u00e1\u017elivosti krve nap\u0159. p\u0159i sn\u00ed\u017een\u00ed hladiny vitaminu K, po po\u0161kozen\u00ed jater, po pod\u00e1n\u00ed Warfarinu.. . . K m\u011b\u0159en\u00ed se pou\u017e\u00edv\u00e1 testovac\u00ed prou\u017eek, na kter\u00fd se nanese krev z prstu, v\u00fdsledek se zobraz\u00ed na displeji v jednotk\u00e1ch INR, %Q nebo v sekund\u00e1ch.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
MESI – ABI<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj umo\u017e\u0148uje sou\u010dasn\u00e9 m\u011b\u0159en\u00ed krevn\u00edho tlaku na v\u0161ech \u010dty\u0159ech kon\u010detin\u00e1ch najednou. P\u0159\u00edstroj m\u011b\u0159\u00ed hodnotu ABI indexu, kter\u00fd ozna\u010duje pr\u016fchodnost tepen doln\u00edch kon\u010detin a upozor\u0148uje na p\u0159\u00edznaky ischemick\u00e9 choroby doln\u00edch kon\u010detin (\u201eucp\u00e1v\u00e1n\u00ed \u010di zu\u017eov\u00e1n\u00ed tepen doln\u00edch kon\u010detin). Vy\u0161et\u0159en\u00ed trv\u00e1 n\u011bkolik minut a je nebolestiv\u00e9.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
QuickRead go<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj je kompaktn\u00ed, pln\u011b automatick\u00e9 za\u0159\u00edzen\u00ed slou\u017e\u00edc\u00ed ke kvantitativn\u00edmu a kvalitativn\u00edmu m\u011b\u0159en\u00ed r\u016fzn\u00fdch parametr\u016f (pops\u00e1no n\u00ed\u017ee) v prim\u00e1rn\u00ed zdravotn\u00ed p\u00e9\u010di.<\/p>\n\n\n\n
1. CRP<\/strong>
C reaktivn\u00ed protein (CRP) je b\u00edlkovinou, kter\u00e1 se v t\u011ble zvy\u0161uje hlavn\u011b p\u0159i prob\u00edhaj\u00edc\u00edm z\u00e1n\u011btu, kter\u00fd je bakteri\u00e1ln\u00edho p\u016fvodu. Tud\u00ed\u017e n\u00e1m tento test pom\u00e1h\u00e1 p\u0159i rozhodnut\u00ed o l\u00e9\u010db\u011b antibiotiky a k posouzen\u00ed z\u00e1va\u017enosti zdravotn\u00edho po\u0161kozen\u00ed. K vy\u0161et\u0159en\u00ed se odeb\u00edr\u00e1 kapka krve z prstu ruky a v\u00fdsledek je zn\u00e1m do n\u011bkolika minut.2. INR<\/strong><\/p>\n\n\n\nINR (International Normalized Ratio) neboli \u201eQuick\u016fv test\u201c. T\u00edmto testem zji\u0161\u0165ujeme aktivitu protrombinov\u00e9ho komplexu a funk\u010dnost vn\u011bj\u0161\u00ed \u010d\u00e1sti koagula\u010dn\u00ed kask\u00e1dy. Nej\u010dast\u011bji se pou\u017e\u00edv\u00e1 p\u0159i testov\u00e1n\u00ed \u00fa\u010dinnosti antikoagula\u010dn\u00ed l\u00e9\u010dby tzv. \u201e\u0159ed\u011bn\u00ed krve\u201c (nap\u0159. p\u0159i l\u00e9\u010db\u011b Warfarinem). Pro vy\u0161et\u0159en\u00ed v ordinaci nemus\u00ed b\u00fdt pacient nala\u010dno, prov\u00e1d\u00ed se odb\u011brem kapky krve z prstu ruky. V\u00fdsledek je zn\u00e1m do n\u011bkolika minut. Ka\u017ed\u00fd pacient l\u00e9\u010den\u00fd Warfarinem mus\u00ed tento test pravideln\u011b absolvovat.3. FOBT TEST<\/strong><\/p>\n\n\n\nVy\u0161et\u0159en\u00ed stolice na okultn\u00ed (skryt\u00e9) krv\u00e1cen\u00ed slou\u017e\u00ed k odhalen\u00ed mal\u00e9ho mno\u017estv\u00ed krve ve stolici, kter\u00e9 nen\u00ed norm\u00e1ln\u011b viditeln\u00e9. Toto vy\u0161et\u0159en\u00ed slou\u017e\u00ed k v\u010dasn\u00e9mu upozorn\u011bn\u00ed na onemocn\u011bn\u00ed prob\u00edhaj\u00edc\u00ed v tlust\u00e9m st\u0159ev\u011b. Vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 tak, \u017ee v ordinaci obdr\u017e\u00edte testovac\u00ed lahvi\u010dku a samotn\u00fd test provedete doma dle pou\u010den\u00ed. N\u00e1sledn\u011b lahvi\u010dku p\u0159inesete zp\u011bt do ordinace, kde bude n\u00e1sledovat okam\u017eit\u00e9 vyhodnocen\u00ed. Vy\u0161et\u0159en\u00ed hrad\u00ed v\u0161echny poji\u0161\u0165ovny od 50 do 55 let v\u011bku ka\u017edoro\u010dn\u011b. Od 55 let se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ka\u017ed\u00e9 dva roky. V p\u0159\u00edpad\u011b pozitivity testu indikujeme vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva tzv. kolonoskopii.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Ambulantn\u00ed monitorov\u00e1n\u00ed krevn\u00edho tlaku \u2013 holter<\/strong><\/h4>\n\n\n\nT\u00edmto vy\u0161et\u0159en\u00edm je m\u011b\u0159en krevn\u00ed tlak pomoc\u00ed automatizovan\u00e9ho p\u0159\u00edstroje na pa\u017ei pacienta ka\u017ed\u00fdch 15minut a\u017e 1 hod (dle naprogramov\u00e1n\u00ed). V\u00fdsledky m\u011b\u0159en\u00ed jsou zaznamen\u00e1v\u00e1ny do mal\u00e9 \u201ekrabi\u010dky\u201c, kterou m\u00e1 vy\u0161et\u0159ovan\u00fd um\u00edst\u011bnou za pasem. Vy\u0161et\u0159en\u00ed obvykle trv\u00e1 24 hodin, je nebolestiv\u00e9 a neomezuje v b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech. Vy\u0161et\u0159en\u00ed slou\u017e\u00ed k posouzen\u00ed kompenzace pacientu l\u00e9\u010den\u00fdch pro vysok\u00fd krevn\u00ed tlak v pr\u016fb\u011bhu cel\u00e9ho dne a odli\u0161en\u00ed skupiny pacient\u016f se zv\u00fd\u0161en\u00fdm tlakem pouze u l\u00e9ka\u0159e tzv. (syndrom b\u00edl\u00e9ho pl\u00e1\u0161t\u011b).<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Syst\u00e9m LAURA SMART<\/strong><\/h4>\n\n\n\nTento syst\u00e9m je efektivn\u00edm \u0159e\u0161en\u00edm anal\u00fdzy mo\u010de. Vyhodnocov\u00e1n\u00ed anal\u00fdzy mo\u010de pomoc\u00ed LAURA\u00ae Smart eliminuje subjektivn\u00ed interpretaci barevn\u00e9 odezvy diagnostick\u00fdch z\u00f3n a t\u00edm v\u00fdznamn\u011b p\u0159isp\u00edv\u00e1 ke spr\u00e1vn\u00e9 diagnostice pacienta. Syst\u00e9m automaticky identifikuje typ pou\u017eit\u00e9ho\/vlo\u017een\u00e9ho prou\u017eku. Parametry, kter\u00e9 lze stanovit diagnostick\u00fdmi prou\u017eky, jsou: pH, b\u00edlkovina (ALB), gluk\u00f3za (GLU), ketony (KET), urobilinogen (UBG), bilirubin (BIL), krev (BLD) a d\u00e1le specifick\u00e1 hmotnost (SG), dusitany (NIT) a leukocyty (LEU). Kvalita m\u011b\u0159en\u00ed je zv\u00fd\u0161ena d\u00edky kompenza\u010dn\u00edmu poli na diagnostick\u00e9m prou\u017eku, kter\u00e9 umo\u017e\u0148uje eliminovat r\u016fzn\u00e9 zbarven\u00ed vzork\u016f mo\u010de.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Tonometr Microlife WatxhBP office<\/strong><\/h4>\n\n\n\nTlakom\u011br pro profesion\u00e1ln\u00ed m\u011b\u0159en\u00ed krevn\u00edho tlaku s detekc\u00ed fibrilace s\u00edn\u00ed a v\u00fdpo\u010dtem st\u0159edn\u00edho arteri\u00e1ln\u00edho tlaku.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Otoskop<\/strong><\/h4>\n\n\n\nOtoskop je ur\u010den\u00fd pro p\u0159\u00edm\u00e9 vy\u0161et\u0159en\u00ed sluchovodu a bub\u00ednku st\u0159edn\u00edho ucha.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Glukometr Wellion CALLA<\/strong><\/h4>\n\n\n\nSyst\u00e9m na m\u011b\u0159en\u00ed glyk\u00e9mie Wellion CALLA zaji\u0161\u0165uje jednoduch\u00fd a p\u0159esn\u00fd zp\u016fsob m\u011b\u0159en\u00ed hladiny cukru v krvi pomoc\u00ed \u010derstv\u00e9 pln\u00e9 kapil\u00e1rn\u00ed krve odebran\u00e9 z kone\u010dku prstu, dlan\u011b nebo p\u0159edlokt\u00ed. M\u011b\u0159en\u00ed je prov\u00e1d\u011bno mimo t\u011blo (diagnostikov\u00e1n\u00ed in vitro). V\u00fdsledky m\u011b\u0159en\u00ed jsou kalibrov\u00e1ny na plazmu kv\u016fli jednoduch\u00e9mu porovn\u00e1n\u00ed s laboratorn\u00edmi v\u00fdsledky. Hladina cukru v krvi se li\u0161\u00ed v z\u00e1vislosti na p\u0159\u00edsunu j\u00eddla, l\u00e9k\u016f, zdrav\u00ed, stresu a fyzick\u00e9 aktivit\u011b.<\/p>\n\n\n
\n<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"Evipa V \u010dek\u00e1rn\u00e1ch jsme velmi \u010dasto sv\u011bdky, kdy p\u0159\u00edchoz\u00ed pacient nev\u00ed, jak postupovat po p\u0159\u00edchodu do \u010dek\u00e1rny. N\u011bkte\u0159\u00ed se dotazuj\u00ed ostatn\u00edch na po\u0159ad\u00ed, jin\u00ed zase automaticky klepou na dve\u0159e. \u0158e\u0161en\u00ed, kter\u00e9 najdete u n\u00e1s v \u010dek\u00e1rn\u011b je syst\u00e9m EVIPA, zav\u00e1d\u00ed jasn\u00fd \u0159\u00e1d cel\u00e9ho procesu vstupu pacienta do ordinace. Vlo\u017een\u00ed karty zdravotn\u00ed poji\u0161\u0165ovny, nebo jin\u00e9ho dokladu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-139","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=139"}],"version-history":[{"count":28,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":1066,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions\/1066"}],"wp:attachment":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
O x y m e t r<\/strong><\/h4>\n\n\n\nPrstov\u00fd pulzn\u00ed oxymetr pro m\u011b\u0159en\u00ed saturace hemoglobinu kysl\u00edkem a tepov\u00e9 frekvence. Saturace hemoglobinu kysl\u00edkem ud\u00e1v\u00e1, kolik procent hemoglobinu v arteri\u00e1ln\u00ed krvi je nasycen\u00e9 kysl\u00edkem. Proto je d\u016fle\u017eit\u00fdm parametrem pro posouzen\u00ed funkce d\u00fdch\u00e1n\u00ed. Pulsn\u00ed oxymetr pou\u017e\u00edv\u00e1 k m\u011b\u0159en\u00ed dva sv\u011bteln\u00e9 paprsky rozd\u00edln\u00e9 vlnov\u00e9 d\u00e9lky, kter\u00e9 dopadaj\u00ed na prst vlo\u017een dovnit\u0159 p\u0159\u00edstroje, vy\u0161et\u0159en\u00edm je nebolestiv\u00e9. N\u00edzk\u00e1 hodnota saturace hemoglobinu kysl\u00edkem poukazuje p\u0159ev\u00e1\u017en\u011b na nemoci jako onemocn\u011bn\u00ed d\u00fdchac\u00edch cest, astma, srde\u010dn\u00ed nedostate\u010dnost …<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
I N R C o a g u Ch e k<\/strong><\/h4>\n\n\n\nSlou\u017e\u00ed ke stanoven\u00ed protrombinov\u00e9ho \u010dasu (PT) z \u010derstv\u00e9 kapil\u00e1rn\u00ed krve. Protrombinov\u00fd \u010das je \u010das, za kter\u00fd se ve vzorku krve vytvo\u0159\u00ed koagulum (krevn\u00ed sra\u017eenina). Tento \u010das se d\u00e1le p\u0159epo\u010d\u00edt\u00e1v\u00e1 na mezin\u00e1rodn\u00ed normalizov\u00fd pom\u011br (INR). Umo\u017e\u0148uje snadn\u00e9 monitorov\u00e1n\u00ed a zji\u0161t\u011bn\u00ed zm\u011bn ve sr\u00e1\u017elivosti krve nap\u0159. p\u0159i sn\u00ed\u017een\u00ed hladiny vitaminu K, po po\u0161kozen\u00ed jater, po pod\u00e1n\u00ed Warfarinu.. . . K m\u011b\u0159en\u00ed se pou\u017e\u00edv\u00e1 testovac\u00ed prou\u017eek, na kter\u00fd se nanese krev z prstu, v\u00fdsledek se zobraz\u00ed na displeji v jednotk\u00e1ch INR, %Q nebo v sekund\u00e1ch.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
MESI – ABI<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj umo\u017e\u0148uje sou\u010dasn\u00e9 m\u011b\u0159en\u00ed krevn\u00edho tlaku na v\u0161ech \u010dty\u0159ech kon\u010detin\u00e1ch najednou. P\u0159\u00edstroj m\u011b\u0159\u00ed hodnotu ABI indexu, kter\u00fd ozna\u010duje pr\u016fchodnost tepen doln\u00edch kon\u010detin a upozor\u0148uje na p\u0159\u00edznaky ischemick\u00e9 choroby doln\u00edch kon\u010detin (\u201eucp\u00e1v\u00e1n\u00ed \u010di zu\u017eov\u00e1n\u00ed tepen doln\u00edch kon\u010detin). Vy\u0161et\u0159en\u00ed trv\u00e1 n\u011bkolik minut a je nebolestiv\u00e9.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
QuickRead go<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj je kompaktn\u00ed, pln\u011b automatick\u00e9 za\u0159\u00edzen\u00ed slou\u017e\u00edc\u00ed ke kvantitativn\u00edmu a kvalitativn\u00edmu m\u011b\u0159en\u00ed r\u016fzn\u00fdch parametr\u016f (pops\u00e1no n\u00ed\u017ee) v prim\u00e1rn\u00ed zdravotn\u00ed p\u00e9\u010di.<\/p>\n\n\n\n
1. CRP<\/strong>
C reaktivn\u00ed protein (CRP) je b\u00edlkovinou, kter\u00e1 se v t\u011ble zvy\u0161uje hlavn\u011b p\u0159i prob\u00edhaj\u00edc\u00edm z\u00e1n\u011btu, kter\u00fd je bakteri\u00e1ln\u00edho p\u016fvodu. Tud\u00ed\u017e n\u00e1m tento test pom\u00e1h\u00e1 p\u0159i rozhodnut\u00ed o l\u00e9\u010db\u011b antibiotiky a k posouzen\u00ed z\u00e1va\u017enosti zdravotn\u00edho po\u0161kozen\u00ed. K vy\u0161et\u0159en\u00ed se odeb\u00edr\u00e1 kapka krve z prstu ruky a v\u00fdsledek je zn\u00e1m do n\u011bkolika minut.2. INR<\/strong><\/p>\n\n\n\nINR (International Normalized Ratio) neboli \u201eQuick\u016fv test\u201c. T\u00edmto testem zji\u0161\u0165ujeme aktivitu protrombinov\u00e9ho komplexu a funk\u010dnost vn\u011bj\u0161\u00ed \u010d\u00e1sti koagula\u010dn\u00ed kask\u00e1dy. Nej\u010dast\u011bji se pou\u017e\u00edv\u00e1 p\u0159i testov\u00e1n\u00ed \u00fa\u010dinnosti antikoagula\u010dn\u00ed l\u00e9\u010dby tzv. \u201e\u0159ed\u011bn\u00ed krve\u201c (nap\u0159. p\u0159i l\u00e9\u010db\u011b Warfarinem). Pro vy\u0161et\u0159en\u00ed v ordinaci nemus\u00ed b\u00fdt pacient nala\u010dno, prov\u00e1d\u00ed se odb\u011brem kapky krve z prstu ruky. V\u00fdsledek je zn\u00e1m do n\u011bkolika minut. Ka\u017ed\u00fd pacient l\u00e9\u010den\u00fd Warfarinem mus\u00ed tento test pravideln\u011b absolvovat.3. FOBT TEST<\/strong><\/p>\n\n\n\nVy\u0161et\u0159en\u00ed stolice na okultn\u00ed (skryt\u00e9) krv\u00e1cen\u00ed slou\u017e\u00ed k odhalen\u00ed mal\u00e9ho mno\u017estv\u00ed krve ve stolici, kter\u00e9 nen\u00ed norm\u00e1ln\u011b viditeln\u00e9. Toto vy\u0161et\u0159en\u00ed slou\u017e\u00ed k v\u010dasn\u00e9mu upozorn\u011bn\u00ed na onemocn\u011bn\u00ed prob\u00edhaj\u00edc\u00ed v tlust\u00e9m st\u0159ev\u011b. Vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 tak, \u017ee v ordinaci obdr\u017e\u00edte testovac\u00ed lahvi\u010dku a samotn\u00fd test provedete doma dle pou\u010den\u00ed. N\u00e1sledn\u011b lahvi\u010dku p\u0159inesete zp\u011bt do ordinace, kde bude n\u00e1sledovat okam\u017eit\u00e9 vyhodnocen\u00ed. Vy\u0161et\u0159en\u00ed hrad\u00ed v\u0161echny poji\u0161\u0165ovny od 50 do 55 let v\u011bku ka\u017edoro\u010dn\u011b. Od 55 let se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ka\u017ed\u00e9 dva roky. V p\u0159\u00edpad\u011b pozitivity testu indikujeme vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva tzv. kolonoskopii.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Ambulantn\u00ed monitorov\u00e1n\u00ed krevn\u00edho tlaku \u2013 holter<\/strong><\/h4>\n\n\n\nT\u00edmto vy\u0161et\u0159en\u00edm je m\u011b\u0159en krevn\u00ed tlak pomoc\u00ed automatizovan\u00e9ho p\u0159\u00edstroje na pa\u017ei pacienta ka\u017ed\u00fdch 15minut a\u017e 1 hod (dle naprogramov\u00e1n\u00ed). V\u00fdsledky m\u011b\u0159en\u00ed jsou zaznamen\u00e1v\u00e1ny do mal\u00e9 \u201ekrabi\u010dky\u201c, kterou m\u00e1 vy\u0161et\u0159ovan\u00fd um\u00edst\u011bnou za pasem. Vy\u0161et\u0159en\u00ed obvykle trv\u00e1 24 hodin, je nebolestiv\u00e9 a neomezuje v b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech. Vy\u0161et\u0159en\u00ed slou\u017e\u00ed k posouzen\u00ed kompenzace pacientu l\u00e9\u010den\u00fdch pro vysok\u00fd krevn\u00ed tlak v pr\u016fb\u011bhu cel\u00e9ho dne a odli\u0161en\u00ed skupiny pacient\u016f se zv\u00fd\u0161en\u00fdm tlakem pouze u l\u00e9ka\u0159e tzv. (syndrom b\u00edl\u00e9ho pl\u00e1\u0161t\u011b).<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Syst\u00e9m LAURA SMART<\/strong><\/h4>\n\n\n\nTento syst\u00e9m je efektivn\u00edm \u0159e\u0161en\u00edm anal\u00fdzy mo\u010de. Vyhodnocov\u00e1n\u00ed anal\u00fdzy mo\u010de pomoc\u00ed LAURA\u00ae Smart eliminuje subjektivn\u00ed interpretaci barevn\u00e9 odezvy diagnostick\u00fdch z\u00f3n a t\u00edm v\u00fdznamn\u011b p\u0159isp\u00edv\u00e1 ke spr\u00e1vn\u00e9 diagnostice pacienta. Syst\u00e9m automaticky identifikuje typ pou\u017eit\u00e9ho\/vlo\u017een\u00e9ho prou\u017eku. Parametry, kter\u00e9 lze stanovit diagnostick\u00fdmi prou\u017eky, jsou: pH, b\u00edlkovina (ALB), gluk\u00f3za (GLU), ketony (KET), urobilinogen (UBG), bilirubin (BIL), krev (BLD) a d\u00e1le specifick\u00e1 hmotnost (SG), dusitany (NIT) a leukocyty (LEU). Kvalita m\u011b\u0159en\u00ed je zv\u00fd\u0161ena d\u00edky kompenza\u010dn\u00edmu poli na diagnostick\u00e9m prou\u017eku, kter\u00e9 umo\u017e\u0148uje eliminovat r\u016fzn\u00e9 zbarven\u00ed vzork\u016f mo\u010de.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Tonometr Microlife WatxhBP office<\/strong><\/h4>\n\n\n\nTlakom\u011br pro profesion\u00e1ln\u00ed m\u011b\u0159en\u00ed krevn\u00edho tlaku s detekc\u00ed fibrilace s\u00edn\u00ed a v\u00fdpo\u010dtem st\u0159edn\u00edho arteri\u00e1ln\u00edho tlaku.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Otoskop<\/strong><\/h4>\n\n\n\nOtoskop je ur\u010den\u00fd pro p\u0159\u00edm\u00e9 vy\u0161et\u0159en\u00ed sluchovodu a bub\u00ednku st\u0159edn\u00edho ucha.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Glukometr Wellion CALLA<\/strong><\/h4>\n\n\n\nSyst\u00e9m na m\u011b\u0159en\u00ed glyk\u00e9mie Wellion CALLA zaji\u0161\u0165uje jednoduch\u00fd a p\u0159esn\u00fd zp\u016fsob m\u011b\u0159en\u00ed hladiny cukru v krvi pomoc\u00ed \u010derstv\u00e9 pln\u00e9 kapil\u00e1rn\u00ed krve odebran\u00e9 z kone\u010dku prstu, dlan\u011b nebo p\u0159edlokt\u00ed. M\u011b\u0159en\u00ed je prov\u00e1d\u011bno mimo t\u011blo (diagnostikov\u00e1n\u00ed in vitro). V\u00fdsledky m\u011b\u0159en\u00ed jsou kalibrov\u00e1ny na plazmu kv\u016fli jednoduch\u00e9mu porovn\u00e1n\u00ed s laboratorn\u00edmi v\u00fdsledky. Hladina cukru v krvi se li\u0161\u00ed v z\u00e1vislosti na p\u0159\u00edsunu j\u00eddla, l\u00e9k\u016f, zdrav\u00ed, stresu a fyzick\u00e9 aktivit\u011b.<\/p>\n\n\n
\n<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"Evipa V \u010dek\u00e1rn\u00e1ch jsme velmi \u010dasto sv\u011bdky, kdy p\u0159\u00edchoz\u00ed pacient nev\u00ed, jak postupovat po p\u0159\u00edchodu do \u010dek\u00e1rny. N\u011bkte\u0159\u00ed se dotazuj\u00ed ostatn\u00edch na po\u0159ad\u00ed, jin\u00ed zase automaticky klepou na dve\u0159e. \u0158e\u0161en\u00ed, kter\u00e9 najdete u n\u00e1s v \u010dek\u00e1rn\u011b je syst\u00e9m EVIPA, zav\u00e1d\u00ed jasn\u00fd \u0159\u00e1d cel\u00e9ho procesu vstupu pacienta do ordinace. Vlo\u017een\u00ed karty zdravotn\u00ed poji\u0161\u0165ovny, nebo jin\u00e9ho dokladu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-139","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=139"}],"version-history":[{"count":28,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":1066,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions\/1066"}],"wp:attachment":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
I N R C o a g u Ch e k<\/strong><\/h4>\n\n\n\nSlou\u017e\u00ed ke stanoven\u00ed protrombinov\u00e9ho \u010dasu (PT) z \u010derstv\u00e9 kapil\u00e1rn\u00ed krve. Protrombinov\u00fd \u010das je \u010das, za kter\u00fd se ve vzorku krve vytvo\u0159\u00ed koagulum (krevn\u00ed sra\u017eenina). Tento \u010das se d\u00e1le p\u0159epo\u010d\u00edt\u00e1v\u00e1 na mezin\u00e1rodn\u00ed normalizov\u00fd pom\u011br (INR). Umo\u017e\u0148uje snadn\u00e9 monitorov\u00e1n\u00ed a zji\u0161t\u011bn\u00ed zm\u011bn ve sr\u00e1\u017elivosti krve nap\u0159. p\u0159i sn\u00ed\u017een\u00ed hladiny vitaminu K, po po\u0161kozen\u00ed jater, po pod\u00e1n\u00ed Warfarinu.. . . K m\u011b\u0159en\u00ed se pou\u017e\u00edv\u00e1 testovac\u00ed prou\u017eek, na kter\u00fd se nanese krev z prstu, v\u00fdsledek se zobraz\u00ed na displeji v jednotk\u00e1ch INR, %Q nebo v sekund\u00e1ch.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
MESI – ABI<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj umo\u017e\u0148uje sou\u010dasn\u00e9 m\u011b\u0159en\u00ed krevn\u00edho tlaku na v\u0161ech \u010dty\u0159ech kon\u010detin\u00e1ch najednou. P\u0159\u00edstroj m\u011b\u0159\u00ed hodnotu ABI indexu, kter\u00fd ozna\u010duje pr\u016fchodnost tepen doln\u00edch kon\u010detin a upozor\u0148uje na p\u0159\u00edznaky ischemick\u00e9 choroby doln\u00edch kon\u010detin (\u201eucp\u00e1v\u00e1n\u00ed \u010di zu\u017eov\u00e1n\u00ed tepen doln\u00edch kon\u010detin). Vy\u0161et\u0159en\u00ed trv\u00e1 n\u011bkolik minut a je nebolestiv\u00e9.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
QuickRead go<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj je kompaktn\u00ed, pln\u011b automatick\u00e9 za\u0159\u00edzen\u00ed slou\u017e\u00edc\u00ed ke kvantitativn\u00edmu a kvalitativn\u00edmu m\u011b\u0159en\u00ed r\u016fzn\u00fdch parametr\u016f (pops\u00e1no n\u00ed\u017ee) v prim\u00e1rn\u00ed zdravotn\u00ed p\u00e9\u010di.<\/p>\n\n\n\n
1. CRP<\/strong>
C reaktivn\u00ed protein (CRP) je b\u00edlkovinou, kter\u00e1 se v t\u011ble zvy\u0161uje hlavn\u011b p\u0159i prob\u00edhaj\u00edc\u00edm z\u00e1n\u011btu, kter\u00fd je bakteri\u00e1ln\u00edho p\u016fvodu. Tud\u00ed\u017e n\u00e1m tento test pom\u00e1h\u00e1 p\u0159i rozhodnut\u00ed o l\u00e9\u010db\u011b antibiotiky a k posouzen\u00ed z\u00e1va\u017enosti zdravotn\u00edho po\u0161kozen\u00ed. K vy\u0161et\u0159en\u00ed se odeb\u00edr\u00e1 kapka krve z prstu ruky a v\u00fdsledek je zn\u00e1m do n\u011bkolika minut.2. INR<\/strong><\/p>\n\n\n\nINR (International Normalized Ratio) neboli \u201eQuick\u016fv test\u201c. T\u00edmto testem zji\u0161\u0165ujeme aktivitu protrombinov\u00e9ho komplexu a funk\u010dnost vn\u011bj\u0161\u00ed \u010d\u00e1sti koagula\u010dn\u00ed kask\u00e1dy. Nej\u010dast\u011bji se pou\u017e\u00edv\u00e1 p\u0159i testov\u00e1n\u00ed \u00fa\u010dinnosti antikoagula\u010dn\u00ed l\u00e9\u010dby tzv. \u201e\u0159ed\u011bn\u00ed krve\u201c (nap\u0159. p\u0159i l\u00e9\u010db\u011b Warfarinem). Pro vy\u0161et\u0159en\u00ed v ordinaci nemus\u00ed b\u00fdt pacient nala\u010dno, prov\u00e1d\u00ed se odb\u011brem kapky krve z prstu ruky. V\u00fdsledek je zn\u00e1m do n\u011bkolika minut. Ka\u017ed\u00fd pacient l\u00e9\u010den\u00fd Warfarinem mus\u00ed tento test pravideln\u011b absolvovat.3. FOBT TEST<\/strong><\/p>\n\n\n\nVy\u0161et\u0159en\u00ed stolice na okultn\u00ed (skryt\u00e9) krv\u00e1cen\u00ed slou\u017e\u00ed k odhalen\u00ed mal\u00e9ho mno\u017estv\u00ed krve ve stolici, kter\u00e9 nen\u00ed norm\u00e1ln\u011b viditeln\u00e9. Toto vy\u0161et\u0159en\u00ed slou\u017e\u00ed k v\u010dasn\u00e9mu upozorn\u011bn\u00ed na onemocn\u011bn\u00ed prob\u00edhaj\u00edc\u00ed v tlust\u00e9m st\u0159ev\u011b. Vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 tak, \u017ee v ordinaci obdr\u017e\u00edte testovac\u00ed lahvi\u010dku a samotn\u00fd test provedete doma dle pou\u010den\u00ed. N\u00e1sledn\u011b lahvi\u010dku p\u0159inesete zp\u011bt do ordinace, kde bude n\u00e1sledovat okam\u017eit\u00e9 vyhodnocen\u00ed. Vy\u0161et\u0159en\u00ed hrad\u00ed v\u0161echny poji\u0161\u0165ovny od 50 do 55 let v\u011bku ka\u017edoro\u010dn\u011b. Od 55 let se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ka\u017ed\u00e9 dva roky. V p\u0159\u00edpad\u011b pozitivity testu indikujeme vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva tzv. kolonoskopii.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Ambulantn\u00ed monitorov\u00e1n\u00ed krevn\u00edho tlaku \u2013 holter<\/strong><\/h4>\n\n\n\nT\u00edmto vy\u0161et\u0159en\u00edm je m\u011b\u0159en krevn\u00ed tlak pomoc\u00ed automatizovan\u00e9ho p\u0159\u00edstroje na pa\u017ei pacienta ka\u017ed\u00fdch 15minut a\u017e 1 hod (dle naprogramov\u00e1n\u00ed). V\u00fdsledky m\u011b\u0159en\u00ed jsou zaznamen\u00e1v\u00e1ny do mal\u00e9 \u201ekrabi\u010dky\u201c, kterou m\u00e1 vy\u0161et\u0159ovan\u00fd um\u00edst\u011bnou za pasem. Vy\u0161et\u0159en\u00ed obvykle trv\u00e1 24 hodin, je nebolestiv\u00e9 a neomezuje v b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech. Vy\u0161et\u0159en\u00ed slou\u017e\u00ed k posouzen\u00ed kompenzace pacientu l\u00e9\u010den\u00fdch pro vysok\u00fd krevn\u00ed tlak v pr\u016fb\u011bhu cel\u00e9ho dne a odli\u0161en\u00ed skupiny pacient\u016f se zv\u00fd\u0161en\u00fdm tlakem pouze u l\u00e9ka\u0159e tzv. (syndrom b\u00edl\u00e9ho pl\u00e1\u0161t\u011b).<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Syst\u00e9m LAURA SMART<\/strong><\/h4>\n\n\n\nTento syst\u00e9m je efektivn\u00edm \u0159e\u0161en\u00edm anal\u00fdzy mo\u010de. Vyhodnocov\u00e1n\u00ed anal\u00fdzy mo\u010de pomoc\u00ed LAURA\u00ae Smart eliminuje subjektivn\u00ed interpretaci barevn\u00e9 odezvy diagnostick\u00fdch z\u00f3n a t\u00edm v\u00fdznamn\u011b p\u0159isp\u00edv\u00e1 ke spr\u00e1vn\u00e9 diagnostice pacienta. Syst\u00e9m automaticky identifikuje typ pou\u017eit\u00e9ho\/vlo\u017een\u00e9ho prou\u017eku. Parametry, kter\u00e9 lze stanovit diagnostick\u00fdmi prou\u017eky, jsou: pH, b\u00edlkovina (ALB), gluk\u00f3za (GLU), ketony (KET), urobilinogen (UBG), bilirubin (BIL), krev (BLD) a d\u00e1le specifick\u00e1 hmotnost (SG), dusitany (NIT) a leukocyty (LEU). Kvalita m\u011b\u0159en\u00ed je zv\u00fd\u0161ena d\u00edky kompenza\u010dn\u00edmu poli na diagnostick\u00e9m prou\u017eku, kter\u00e9 umo\u017e\u0148uje eliminovat r\u016fzn\u00e9 zbarven\u00ed vzork\u016f mo\u010de.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Tonometr Microlife WatxhBP office<\/strong><\/h4>\n\n\n\nTlakom\u011br pro profesion\u00e1ln\u00ed m\u011b\u0159en\u00ed krevn\u00edho tlaku s detekc\u00ed fibrilace s\u00edn\u00ed a v\u00fdpo\u010dtem st\u0159edn\u00edho arteri\u00e1ln\u00edho tlaku.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Otoskop<\/strong><\/h4>\n\n\n\nOtoskop je ur\u010den\u00fd pro p\u0159\u00edm\u00e9 vy\u0161et\u0159en\u00ed sluchovodu a bub\u00ednku st\u0159edn\u00edho ucha.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Glukometr Wellion CALLA<\/strong><\/h4>\n\n\n\nSyst\u00e9m na m\u011b\u0159en\u00ed glyk\u00e9mie Wellion CALLA zaji\u0161\u0165uje jednoduch\u00fd a p\u0159esn\u00fd zp\u016fsob m\u011b\u0159en\u00ed hladiny cukru v krvi pomoc\u00ed \u010derstv\u00e9 pln\u00e9 kapil\u00e1rn\u00ed krve odebran\u00e9 z kone\u010dku prstu, dlan\u011b nebo p\u0159edlokt\u00ed. M\u011b\u0159en\u00ed je prov\u00e1d\u011bno mimo t\u011blo (diagnostikov\u00e1n\u00ed in vitro). V\u00fdsledky m\u011b\u0159en\u00ed jsou kalibrov\u00e1ny na plazmu kv\u016fli jednoduch\u00e9mu porovn\u00e1n\u00ed s laboratorn\u00edmi v\u00fdsledky. Hladina cukru v krvi se li\u0161\u00ed v z\u00e1vislosti na p\u0159\u00edsunu j\u00eddla, l\u00e9k\u016f, zdrav\u00ed, stresu a fyzick\u00e9 aktivit\u011b.<\/p>\n\n\n
\n<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"Evipa V \u010dek\u00e1rn\u00e1ch jsme velmi \u010dasto sv\u011bdky, kdy p\u0159\u00edchoz\u00ed pacient nev\u00ed, jak postupovat po p\u0159\u00edchodu do \u010dek\u00e1rny. N\u011bkte\u0159\u00ed se dotazuj\u00ed ostatn\u00edch na po\u0159ad\u00ed, jin\u00ed zase automaticky klepou na dve\u0159e. \u0158e\u0161en\u00ed, kter\u00e9 najdete u n\u00e1s v \u010dek\u00e1rn\u011b je syst\u00e9m EVIPA, zav\u00e1d\u00ed jasn\u00fd \u0159\u00e1d cel\u00e9ho procesu vstupu pacienta do ordinace. Vlo\u017een\u00ed karty zdravotn\u00ed poji\u0161\u0165ovny, nebo jin\u00e9ho dokladu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-139","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=139"}],"version-history":[{"count":28,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":1066,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions\/1066"}],"wp:attachment":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
MESI – ABI<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj umo\u017e\u0148uje sou\u010dasn\u00e9 m\u011b\u0159en\u00ed krevn\u00edho tlaku na v\u0161ech \u010dty\u0159ech kon\u010detin\u00e1ch najednou. P\u0159\u00edstroj m\u011b\u0159\u00ed hodnotu ABI indexu, kter\u00fd ozna\u010duje pr\u016fchodnost tepen doln\u00edch kon\u010detin a upozor\u0148uje na p\u0159\u00edznaky ischemick\u00e9 choroby doln\u00edch kon\u010detin (\u201eucp\u00e1v\u00e1n\u00ed \u010di zu\u017eov\u00e1n\u00ed tepen doln\u00edch kon\u010detin). Vy\u0161et\u0159en\u00ed trv\u00e1 n\u011bkolik minut a je nebolestiv\u00e9.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
QuickRead go<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj je kompaktn\u00ed, pln\u011b automatick\u00e9 za\u0159\u00edzen\u00ed slou\u017e\u00edc\u00ed ke kvantitativn\u00edmu a kvalitativn\u00edmu m\u011b\u0159en\u00ed r\u016fzn\u00fdch parametr\u016f (pops\u00e1no n\u00ed\u017ee) v prim\u00e1rn\u00ed zdravotn\u00ed p\u00e9\u010di.<\/p>\n\n\n\n
1. CRP<\/strong>
C reaktivn\u00ed protein (CRP) je b\u00edlkovinou, kter\u00e1 se v t\u011ble zvy\u0161uje hlavn\u011b p\u0159i prob\u00edhaj\u00edc\u00edm z\u00e1n\u011btu, kter\u00fd je bakteri\u00e1ln\u00edho p\u016fvodu. Tud\u00ed\u017e n\u00e1m tento test pom\u00e1h\u00e1 p\u0159i rozhodnut\u00ed o l\u00e9\u010db\u011b antibiotiky a k posouzen\u00ed z\u00e1va\u017enosti zdravotn\u00edho po\u0161kozen\u00ed. K vy\u0161et\u0159en\u00ed se odeb\u00edr\u00e1 kapka krve z prstu ruky a v\u00fdsledek je zn\u00e1m do n\u011bkolika minut.2. INR<\/strong><\/p>\n\n\n\nINR (International Normalized Ratio) neboli \u201eQuick\u016fv test\u201c. T\u00edmto testem zji\u0161\u0165ujeme aktivitu protrombinov\u00e9ho komplexu a funk\u010dnost vn\u011bj\u0161\u00ed \u010d\u00e1sti koagula\u010dn\u00ed kask\u00e1dy. Nej\u010dast\u011bji se pou\u017e\u00edv\u00e1 p\u0159i testov\u00e1n\u00ed \u00fa\u010dinnosti antikoagula\u010dn\u00ed l\u00e9\u010dby tzv. \u201e\u0159ed\u011bn\u00ed krve\u201c (nap\u0159. p\u0159i l\u00e9\u010db\u011b Warfarinem). Pro vy\u0161et\u0159en\u00ed v ordinaci nemus\u00ed b\u00fdt pacient nala\u010dno, prov\u00e1d\u00ed se odb\u011brem kapky krve z prstu ruky. V\u00fdsledek je zn\u00e1m do n\u011bkolika minut. Ka\u017ed\u00fd pacient l\u00e9\u010den\u00fd Warfarinem mus\u00ed tento test pravideln\u011b absolvovat.3. FOBT TEST<\/strong><\/p>\n\n\n\nVy\u0161et\u0159en\u00ed stolice na okultn\u00ed (skryt\u00e9) krv\u00e1cen\u00ed slou\u017e\u00ed k odhalen\u00ed mal\u00e9ho mno\u017estv\u00ed krve ve stolici, kter\u00e9 nen\u00ed norm\u00e1ln\u011b viditeln\u00e9. Toto vy\u0161et\u0159en\u00ed slou\u017e\u00ed k v\u010dasn\u00e9mu upozorn\u011bn\u00ed na onemocn\u011bn\u00ed prob\u00edhaj\u00edc\u00ed v tlust\u00e9m st\u0159ev\u011b. Vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 tak, \u017ee v ordinaci obdr\u017e\u00edte testovac\u00ed lahvi\u010dku a samotn\u00fd test provedete doma dle pou\u010den\u00ed. N\u00e1sledn\u011b lahvi\u010dku p\u0159inesete zp\u011bt do ordinace, kde bude n\u00e1sledovat okam\u017eit\u00e9 vyhodnocen\u00ed. Vy\u0161et\u0159en\u00ed hrad\u00ed v\u0161echny poji\u0161\u0165ovny od 50 do 55 let v\u011bku ka\u017edoro\u010dn\u011b. Od 55 let se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ka\u017ed\u00e9 dva roky. V p\u0159\u00edpad\u011b pozitivity testu indikujeme vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva tzv. kolonoskopii.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Ambulantn\u00ed monitorov\u00e1n\u00ed krevn\u00edho tlaku \u2013 holter<\/strong><\/h4>\n\n\n\nT\u00edmto vy\u0161et\u0159en\u00edm je m\u011b\u0159en krevn\u00ed tlak pomoc\u00ed automatizovan\u00e9ho p\u0159\u00edstroje na pa\u017ei pacienta ka\u017ed\u00fdch 15minut a\u017e 1 hod (dle naprogramov\u00e1n\u00ed). V\u00fdsledky m\u011b\u0159en\u00ed jsou zaznamen\u00e1v\u00e1ny do mal\u00e9 \u201ekrabi\u010dky\u201c, kterou m\u00e1 vy\u0161et\u0159ovan\u00fd um\u00edst\u011bnou za pasem. Vy\u0161et\u0159en\u00ed obvykle trv\u00e1 24 hodin, je nebolestiv\u00e9 a neomezuje v b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech. Vy\u0161et\u0159en\u00ed slou\u017e\u00ed k posouzen\u00ed kompenzace pacientu l\u00e9\u010den\u00fdch pro vysok\u00fd krevn\u00ed tlak v pr\u016fb\u011bhu cel\u00e9ho dne a odli\u0161en\u00ed skupiny pacient\u016f se zv\u00fd\u0161en\u00fdm tlakem pouze u l\u00e9ka\u0159e tzv. (syndrom b\u00edl\u00e9ho pl\u00e1\u0161t\u011b).<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Syst\u00e9m LAURA SMART<\/strong><\/h4>\n\n\n\nTento syst\u00e9m je efektivn\u00edm \u0159e\u0161en\u00edm anal\u00fdzy mo\u010de. Vyhodnocov\u00e1n\u00ed anal\u00fdzy mo\u010de pomoc\u00ed LAURA\u00ae Smart eliminuje subjektivn\u00ed interpretaci barevn\u00e9 odezvy diagnostick\u00fdch z\u00f3n a t\u00edm v\u00fdznamn\u011b p\u0159isp\u00edv\u00e1 ke spr\u00e1vn\u00e9 diagnostice pacienta. Syst\u00e9m automaticky identifikuje typ pou\u017eit\u00e9ho\/vlo\u017een\u00e9ho prou\u017eku. Parametry, kter\u00e9 lze stanovit diagnostick\u00fdmi prou\u017eky, jsou: pH, b\u00edlkovina (ALB), gluk\u00f3za (GLU), ketony (KET), urobilinogen (UBG), bilirubin (BIL), krev (BLD) a d\u00e1le specifick\u00e1 hmotnost (SG), dusitany (NIT) a leukocyty (LEU). Kvalita m\u011b\u0159en\u00ed je zv\u00fd\u0161ena d\u00edky kompenza\u010dn\u00edmu poli na diagnostick\u00e9m prou\u017eku, kter\u00e9 umo\u017e\u0148uje eliminovat r\u016fzn\u00e9 zbarven\u00ed vzork\u016f mo\u010de.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Tonometr Microlife WatxhBP office<\/strong><\/h4>\n\n\n\nTlakom\u011br pro profesion\u00e1ln\u00ed m\u011b\u0159en\u00ed krevn\u00edho tlaku s detekc\u00ed fibrilace s\u00edn\u00ed a v\u00fdpo\u010dtem st\u0159edn\u00edho arteri\u00e1ln\u00edho tlaku.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Otoskop<\/strong><\/h4>\n\n\n\nOtoskop je ur\u010den\u00fd pro p\u0159\u00edm\u00e9 vy\u0161et\u0159en\u00ed sluchovodu a bub\u00ednku st\u0159edn\u00edho ucha.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Glukometr Wellion CALLA<\/strong><\/h4>\n\n\n\nSyst\u00e9m na m\u011b\u0159en\u00ed glyk\u00e9mie Wellion CALLA zaji\u0161\u0165uje jednoduch\u00fd a p\u0159esn\u00fd zp\u016fsob m\u011b\u0159en\u00ed hladiny cukru v krvi pomoc\u00ed \u010derstv\u00e9 pln\u00e9 kapil\u00e1rn\u00ed krve odebran\u00e9 z kone\u010dku prstu, dlan\u011b nebo p\u0159edlokt\u00ed. M\u011b\u0159en\u00ed je prov\u00e1d\u011bno mimo t\u011blo (diagnostikov\u00e1n\u00ed in vitro). V\u00fdsledky m\u011b\u0159en\u00ed jsou kalibrov\u00e1ny na plazmu kv\u016fli jednoduch\u00e9mu porovn\u00e1n\u00ed s laboratorn\u00edmi v\u00fdsledky. Hladina cukru v krvi se li\u0161\u00ed v z\u00e1vislosti na p\u0159\u00edsunu j\u00eddla, l\u00e9k\u016f, zdrav\u00ed, stresu a fyzick\u00e9 aktivit\u011b.<\/p>\n\n\n
\n<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"Evipa V \u010dek\u00e1rn\u00e1ch jsme velmi \u010dasto sv\u011bdky, kdy p\u0159\u00edchoz\u00ed pacient nev\u00ed, jak postupovat po p\u0159\u00edchodu do \u010dek\u00e1rny. N\u011bkte\u0159\u00ed se dotazuj\u00ed ostatn\u00edch na po\u0159ad\u00ed, jin\u00ed zase automaticky klepou na dve\u0159e. \u0158e\u0161en\u00ed, kter\u00e9 najdete u n\u00e1s v \u010dek\u00e1rn\u011b je syst\u00e9m EVIPA, zav\u00e1d\u00ed jasn\u00fd \u0159\u00e1d cel\u00e9ho procesu vstupu pacienta do ordinace. Vlo\u017een\u00ed karty zdravotn\u00ed poji\u0161\u0165ovny, nebo jin\u00e9ho dokladu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-139","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=139"}],"version-history":[{"count":28,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":1066,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions\/1066"}],"wp:attachment":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
QuickRead go<\/strong><\/h4>\n\n\n\nTento p\u0159\u00edstroj je kompaktn\u00ed, pln\u011b automatick\u00e9 za\u0159\u00edzen\u00ed slou\u017e\u00edc\u00ed ke kvantitativn\u00edmu a kvalitativn\u00edmu m\u011b\u0159en\u00ed r\u016fzn\u00fdch parametr\u016f (pops\u00e1no n\u00ed\u017ee) v prim\u00e1rn\u00ed zdravotn\u00ed p\u00e9\u010di.<\/p>\n\n\n\n
1. CRP<\/strong>
C reaktivn\u00ed protein (CRP) je b\u00edlkovinou, kter\u00e1 se v t\u011ble zvy\u0161uje hlavn\u011b p\u0159i prob\u00edhaj\u00edc\u00edm z\u00e1n\u011btu, kter\u00fd je bakteri\u00e1ln\u00edho p\u016fvodu. Tud\u00ed\u017e n\u00e1m tento test pom\u00e1h\u00e1 p\u0159i rozhodnut\u00ed o l\u00e9\u010db\u011b antibiotiky a k posouzen\u00ed z\u00e1va\u017enosti zdravotn\u00edho po\u0161kozen\u00ed. K vy\u0161et\u0159en\u00ed se odeb\u00edr\u00e1 kapka krve z prstu ruky a v\u00fdsledek je zn\u00e1m do n\u011bkolika minut.2. INR<\/strong><\/p>\n\n\n\nINR (International Normalized Ratio) neboli \u201eQuick\u016fv test\u201c. T\u00edmto testem zji\u0161\u0165ujeme aktivitu protrombinov\u00e9ho komplexu a funk\u010dnost vn\u011bj\u0161\u00ed \u010d\u00e1sti koagula\u010dn\u00ed kask\u00e1dy. Nej\u010dast\u011bji se pou\u017e\u00edv\u00e1 p\u0159i testov\u00e1n\u00ed \u00fa\u010dinnosti antikoagula\u010dn\u00ed l\u00e9\u010dby tzv. \u201e\u0159ed\u011bn\u00ed krve\u201c (nap\u0159. p\u0159i l\u00e9\u010db\u011b Warfarinem). Pro vy\u0161et\u0159en\u00ed v ordinaci nemus\u00ed b\u00fdt pacient nala\u010dno, prov\u00e1d\u00ed se odb\u011brem kapky krve z prstu ruky. V\u00fdsledek je zn\u00e1m do n\u011bkolika minut. Ka\u017ed\u00fd pacient l\u00e9\u010den\u00fd Warfarinem mus\u00ed tento test pravideln\u011b absolvovat.3. FOBT TEST<\/strong><\/p>\n\n\n\nVy\u0161et\u0159en\u00ed stolice na okultn\u00ed (skryt\u00e9) krv\u00e1cen\u00ed slou\u017e\u00ed k odhalen\u00ed mal\u00e9ho mno\u017estv\u00ed krve ve stolici, kter\u00e9 nen\u00ed norm\u00e1ln\u011b viditeln\u00e9. Toto vy\u0161et\u0159en\u00ed slou\u017e\u00ed k v\u010dasn\u00e9mu upozorn\u011bn\u00ed na onemocn\u011bn\u00ed prob\u00edhaj\u00edc\u00ed v tlust\u00e9m st\u0159ev\u011b. Vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 tak, \u017ee v ordinaci obdr\u017e\u00edte testovac\u00ed lahvi\u010dku a samotn\u00fd test provedete doma dle pou\u010den\u00ed. N\u00e1sledn\u011b lahvi\u010dku p\u0159inesete zp\u011bt do ordinace, kde bude n\u00e1sledovat okam\u017eit\u00e9 vyhodnocen\u00ed. Vy\u0161et\u0159en\u00ed hrad\u00ed v\u0161echny poji\u0161\u0165ovny od 50 do 55 let v\u011bku ka\u017edoro\u010dn\u011b. Od 55 let se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ka\u017ed\u00e9 dva roky. V p\u0159\u00edpad\u011b pozitivity testu indikujeme vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva tzv. kolonoskopii.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Ambulantn\u00ed monitorov\u00e1n\u00ed krevn\u00edho tlaku \u2013 holter<\/strong><\/h4>\n\n\n\nT\u00edmto vy\u0161et\u0159en\u00edm je m\u011b\u0159en krevn\u00ed tlak pomoc\u00ed automatizovan\u00e9ho p\u0159\u00edstroje na pa\u017ei pacienta ka\u017ed\u00fdch 15minut a\u017e 1 hod (dle naprogramov\u00e1n\u00ed). V\u00fdsledky m\u011b\u0159en\u00ed jsou zaznamen\u00e1v\u00e1ny do mal\u00e9 \u201ekrabi\u010dky\u201c, kterou m\u00e1 vy\u0161et\u0159ovan\u00fd um\u00edst\u011bnou za pasem. Vy\u0161et\u0159en\u00ed obvykle trv\u00e1 24 hodin, je nebolestiv\u00e9 a neomezuje v b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech. Vy\u0161et\u0159en\u00ed slou\u017e\u00ed k posouzen\u00ed kompenzace pacientu l\u00e9\u010den\u00fdch pro vysok\u00fd krevn\u00ed tlak v pr\u016fb\u011bhu cel\u00e9ho dne a odli\u0161en\u00ed skupiny pacient\u016f se zv\u00fd\u0161en\u00fdm tlakem pouze u l\u00e9ka\u0159e tzv. (syndrom b\u00edl\u00e9ho pl\u00e1\u0161t\u011b).<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Syst\u00e9m LAURA SMART<\/strong><\/h4>\n\n\n\nTento syst\u00e9m je efektivn\u00edm \u0159e\u0161en\u00edm anal\u00fdzy mo\u010de. Vyhodnocov\u00e1n\u00ed anal\u00fdzy mo\u010de pomoc\u00ed LAURA\u00ae Smart eliminuje subjektivn\u00ed interpretaci barevn\u00e9 odezvy diagnostick\u00fdch z\u00f3n a t\u00edm v\u00fdznamn\u011b p\u0159isp\u00edv\u00e1 ke spr\u00e1vn\u00e9 diagnostice pacienta. Syst\u00e9m automaticky identifikuje typ pou\u017eit\u00e9ho\/vlo\u017een\u00e9ho prou\u017eku. Parametry, kter\u00e9 lze stanovit diagnostick\u00fdmi prou\u017eky, jsou: pH, b\u00edlkovina (ALB), gluk\u00f3za (GLU), ketony (KET), urobilinogen (UBG), bilirubin (BIL), krev (BLD) a d\u00e1le specifick\u00e1 hmotnost (SG), dusitany (NIT) a leukocyty (LEU). Kvalita m\u011b\u0159en\u00ed je zv\u00fd\u0161ena d\u00edky kompenza\u010dn\u00edmu poli na diagnostick\u00e9m prou\u017eku, kter\u00e9 umo\u017e\u0148uje eliminovat r\u016fzn\u00e9 zbarven\u00ed vzork\u016f mo\u010de.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Tonometr Microlife WatxhBP office<\/strong><\/h4>\n\n\n\nTlakom\u011br pro profesion\u00e1ln\u00ed m\u011b\u0159en\u00ed krevn\u00edho tlaku s detekc\u00ed fibrilace s\u00edn\u00ed a v\u00fdpo\u010dtem st\u0159edn\u00edho arteri\u00e1ln\u00edho tlaku.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Otoskop<\/strong><\/h4>\n\n\n\nOtoskop je ur\u010den\u00fd pro p\u0159\u00edm\u00e9 vy\u0161et\u0159en\u00ed sluchovodu a bub\u00ednku st\u0159edn\u00edho ucha.<\/p>\n\n\n
\n<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
Glukometr Wellion CALLA<\/strong><\/h4>\n\n\n\nSyst\u00e9m na m\u011b\u0159en\u00ed glyk\u00e9mie Wellion CALLA zaji\u0161\u0165uje jednoduch\u00fd a p\u0159esn\u00fd zp\u016fsob m\u011b\u0159en\u00ed hladiny cukru v krvi pomoc\u00ed \u010derstv\u00e9 pln\u00e9 kapil\u00e1rn\u00ed krve odebran\u00e9 z kone\u010dku prstu, dlan\u011b nebo p\u0159edlokt\u00ed. M\u011b\u0159en\u00ed je prov\u00e1d\u011bno mimo t\u011blo (diagnostikov\u00e1n\u00ed in vitro). V\u00fdsledky m\u011b\u0159en\u00ed jsou kalibrov\u00e1ny na plazmu kv\u016fli jednoduch\u00e9mu porovn\u00e1n\u00ed s laboratorn\u00edmi v\u00fdsledky. Hladina cukru v krvi se li\u0161\u00ed v z\u00e1vislosti na p\u0159\u00edsunu j\u00eddla, l\u00e9k\u016f, zdrav\u00ed, stresu a fyzick\u00e9 aktivit\u011b.<\/p>\n\n\n
\n<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"Evipa V \u010dek\u00e1rn\u00e1ch jsme velmi \u010dasto sv\u011bdky, kdy p\u0159\u00edchoz\u00ed pacient nev\u00ed, jak postupovat po p\u0159\u00edchodu do \u010dek\u00e1rny. N\u011bkte\u0159\u00ed se dotazuj\u00ed ostatn\u00edch na po\u0159ad\u00ed, jin\u00ed zase automaticky klepou na dve\u0159e. \u0158e\u0161en\u00ed, kter\u00e9 najdete u n\u00e1s v \u010dek\u00e1rn\u011b je syst\u00e9m EVIPA, zav\u00e1d\u00ed jasn\u00fd \u0159\u00e1d cel\u00e9ho procesu vstupu pacienta do ordinace. Vlo\u017een\u00ed karty zdravotn\u00ed poji\u0161\u0165ovny, nebo jin\u00e9ho dokladu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-139","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=139"}],"version-history":[{"count":28,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":1066,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions\/1066"}],"wp:attachment":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
C reaktivn\u00ed protein (CRP) je b\u00edlkovinou, kter\u00e1 se v t\u011ble zvy\u0161uje hlavn\u011b p\u0159i prob\u00edhaj\u00edc\u00edm z\u00e1n\u011btu, kter\u00fd je bakteri\u00e1ln\u00edho p\u016fvodu. Tud\u00ed\u017e n\u00e1m tento test pom\u00e1h\u00e1 p\u0159i rozhodnut\u00ed o l\u00e9\u010db\u011b antibiotiky a k posouzen\u00ed z\u00e1va\u017enosti zdravotn\u00edho po\u0161kozen\u00ed. K vy\u0161et\u0159en\u00ed se odeb\u00edr\u00e1 kapka krve z prstu ruky a v\u00fdsledek je zn\u00e1m do n\u011bkolika minut.2. INR<\/strong><\/p>\n\n\n\n
INR (International Normalized Ratio) neboli \u201eQuick\u016fv test\u201c. T\u00edmto testem zji\u0161\u0165ujeme aktivitu protrombinov\u00e9ho komplexu a funk\u010dnost vn\u011bj\u0161\u00ed \u010d\u00e1sti koagula\u010dn\u00ed kask\u00e1dy. Nej\u010dast\u011bji se pou\u017e\u00edv\u00e1 p\u0159i testov\u00e1n\u00ed \u00fa\u010dinnosti antikoagula\u010dn\u00ed l\u00e9\u010dby tzv. \u201e\u0159ed\u011bn\u00ed krve\u201c (nap\u0159. p\u0159i l\u00e9\u010db\u011b Warfarinem). Pro vy\u0161et\u0159en\u00ed v ordinaci nemus\u00ed b\u00fdt pacient nala\u010dno, prov\u00e1d\u00ed se odb\u011brem kapky krve z prstu ruky. V\u00fdsledek je zn\u00e1m do n\u011bkolika minut. Ka\u017ed\u00fd pacient l\u00e9\u010den\u00fd Warfarinem mus\u00ed tento test pravideln\u011b absolvovat.3. FOBT TEST<\/strong><\/p>\n\n\n\n Vy\u0161et\u0159en\u00ed stolice na okultn\u00ed (skryt\u00e9) krv\u00e1cen\u00ed slou\u017e\u00ed k odhalen\u00ed mal\u00e9ho mno\u017estv\u00ed krve ve stolici, kter\u00e9 nen\u00ed norm\u00e1ln\u011b viditeln\u00e9. Toto vy\u0161et\u0159en\u00ed slou\u017e\u00ed k v\u010dasn\u00e9mu upozorn\u011bn\u00ed na onemocn\u011bn\u00ed prob\u00edhaj\u00edc\u00ed v tlust\u00e9m st\u0159ev\u011b. Vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 tak, \u017ee v ordinaci obdr\u017e\u00edte testovac\u00ed lahvi\u010dku a samotn\u00fd test provedete doma dle pou\u010den\u00ed. N\u00e1sledn\u011b lahvi\u010dku p\u0159inesete zp\u011bt do ordinace, kde bude n\u00e1sledovat okam\u017eit\u00e9 vyhodnocen\u00ed. Vy\u0161et\u0159en\u00ed hrad\u00ed v\u0161echny poji\u0161\u0165ovny od 50 do 55 let v\u011bku ka\u017edoro\u010dn\u011b. Od 55 let se vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ka\u017ed\u00e9 dva roky. V p\u0159\u00edpad\u011b pozitivity testu indikujeme vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva tzv. kolonoskopii.<\/p>\n\n\n <\/p>\n\n\n\n T\u00edmto vy\u0161et\u0159en\u00edm je m\u011b\u0159en krevn\u00ed tlak pomoc\u00ed automatizovan\u00e9ho p\u0159\u00edstroje na pa\u017ei pacienta ka\u017ed\u00fdch 15minut a\u017e 1 hod (dle naprogramov\u00e1n\u00ed). V\u00fdsledky m\u011b\u0159en\u00ed jsou zaznamen\u00e1v\u00e1ny do mal\u00e9 \u201ekrabi\u010dky\u201c, kterou m\u00e1 vy\u0161et\u0159ovan\u00fd um\u00edst\u011bnou za pasem. Vy\u0161et\u0159en\u00ed obvykle trv\u00e1 24 hodin, je nebolestiv\u00e9 a neomezuje v b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech. Vy\u0161et\u0159en\u00ed slou\u017e\u00ed k posouzen\u00ed kompenzace pacientu l\u00e9\u010den\u00fdch pro vysok\u00fd krevn\u00ed tlak v pr\u016fb\u011bhu cel\u00e9ho dne a odli\u0161en\u00ed skupiny pacient\u016f se zv\u00fd\u0161en\u00fdm tlakem pouze u l\u00e9ka\u0159e tzv. (syndrom b\u00edl\u00e9ho pl\u00e1\u0161t\u011b).<\/p>\n\n\n <\/p>\n\n\n\n Tento syst\u00e9m je efektivn\u00edm \u0159e\u0161en\u00edm anal\u00fdzy mo\u010de. Vyhodnocov\u00e1n\u00ed anal\u00fdzy mo\u010de pomoc\u00ed LAURA\u00ae Smart eliminuje subjektivn\u00ed interpretaci barevn\u00e9 odezvy diagnostick\u00fdch z\u00f3n a t\u00edm v\u00fdznamn\u011b p\u0159isp\u00edv\u00e1 ke spr\u00e1vn\u00e9 diagnostice pacienta. Syst\u00e9m automaticky identifikuje typ pou\u017eit\u00e9ho\/vlo\u017een\u00e9ho prou\u017eku. Parametry, kter\u00e9 lze stanovit diagnostick\u00fdmi prou\u017eky, jsou: pH, b\u00edlkovina (ALB), gluk\u00f3za (GLU), ketony (KET), urobilinogen (UBG), bilirubin (BIL), krev (BLD) a d\u00e1le specifick\u00e1 hmotnost (SG), dusitany (NIT) a leukocyty (LEU). Kvalita m\u011b\u0159en\u00ed je zv\u00fd\u0161ena d\u00edky kompenza\u010dn\u00edmu poli na diagnostick\u00e9m prou\u017eku, kter\u00e9 umo\u017e\u0148uje eliminovat r\u016fzn\u00e9 zbarven\u00ed vzork\u016f mo\u010de.<\/p>\n\n\n <\/p>\n\n\n\n Tlakom\u011br pro profesion\u00e1ln\u00ed m\u011b\u0159en\u00ed krevn\u00edho tlaku s detekc\u00ed fibrilace s\u00edn\u00ed a v\u00fdpo\u010dtem st\u0159edn\u00edho arteri\u00e1ln\u00edho tlaku.<\/p>\n\n\n <\/p>\n\n\n\n Otoskop je ur\u010den\u00fd pro p\u0159\u00edm\u00e9 vy\u0161et\u0159en\u00ed sluchovodu a bub\u00ednku st\u0159edn\u00edho ucha.<\/p>\n\n\n <\/p>\n\n\n\n Syst\u00e9m na m\u011b\u0159en\u00ed glyk\u00e9mie Wellion CALLA zaji\u0161\u0165uje jednoduch\u00fd a p\u0159esn\u00fd zp\u016fsob m\u011b\u0159en\u00ed hladiny cukru v krvi pomoc\u00ed \u010derstv\u00e9 pln\u00e9 kapil\u00e1rn\u00ed krve odebran\u00e9 z kone\u010dku prstu, dlan\u011b nebo p\u0159edlokt\u00ed. M\u011b\u0159en\u00ed je prov\u00e1d\u011bno mimo t\u011blo (diagnostikov\u00e1n\u00ed in vitro). V\u00fdsledky m\u011b\u0159en\u00ed jsou kalibrov\u00e1ny na plazmu kv\u016fli jednoduch\u00e9mu porovn\u00e1n\u00ed s laboratorn\u00edmi v\u00fdsledky. Hladina cukru v krvi se li\u0161\u00ed v z\u00e1vislosti na p\u0159\u00edsunu j\u00eddla, l\u00e9k\u016f, zdrav\u00ed, stresu a fyzick\u00e9 aktivit\u011b.<\/p>\n\n\n Evipa V \u010dek\u00e1rn\u00e1ch jsme velmi \u010dasto sv\u011bdky, kdy p\u0159\u00edchoz\u00ed pacient nev\u00ed, jak postupovat po p\u0159\u00edchodu do \u010dek\u00e1rny. N\u011bkte\u0159\u00ed se dotazuj\u00ed ostatn\u00edch na po\u0159ad\u00ed, jin\u00ed zase automaticky klepou na dve\u0159e. \u0158e\u0161en\u00ed, kter\u00e9 najdete u n\u00e1s v \u010dek\u00e1rn\u011b je syst\u00e9m EVIPA, zav\u00e1d\u00ed jasn\u00fd \u0159\u00e1d cel\u00e9ho procesu vstupu pacienta do ordinace. Vlo\u017een\u00ed karty zdravotn\u00ed poji\u0161\u0165ovny, nebo jin\u00e9ho dokladu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-139","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=139"}],"version-history":[{"count":28,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":1066,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/pages\/139\/revisions\/1066"}],"wp:attachment":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}<\/figure>\n<\/div>\n\n\nAmbulantn\u00ed monitorov\u00e1n\u00ed krevn\u00edho tlaku \u2013 holter<\/strong><\/h4>\n\n\n\n
<\/figure>\n<\/div>\n\n\nSyst\u00e9m LAURA SMART<\/strong><\/h4>\n\n\n\n
<\/figure>\n<\/div>\n\n\nTonometr Microlife WatxhBP office<\/strong><\/h4>\n\n\n\n
<\/figure>\n<\/div>\n\n\nOtoskop<\/strong><\/h4>\n\n\n\n
<\/figure>\n<\/div>\n\n\nGlukometr Wellion CALLA<\/strong><\/h4>\n\n\n\n
<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"