[{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/www.visuality.cz\/priciny-bolesti-bricha\/#Article","mainEntityOfPage":"https:\/\/www.visuality.cz\/priciny-bolesti-bricha\/","headline":"P\u0159\u00ed\u010diny bolest\u00ed b\u0159icha","name":"P\u0159\u00ed\u010diny bolest\u00ed b\u0159icha","description":"Bolesti b\u0159icha jsou jedn\u00edm z\u00a0nej\u010dast\u011bj\u0161\u00edch d\u016fvod\u016f, pro\u010d lid\u00e9 vyhled\u00e1vaj\u00ed l\u00e9ka\u0159skou pomoc. Prvn\u00ed, co l\u00e9ka\u0159 ud\u011bl\u00e1, kdy\u017e se zam\u011b\u0159\u00ed na pacienta, je odebr\u00e1n\u00ed anamn\u00e9zy. Ta zahrnuje dotazy na historii pacienta, jeho l\u00e9ky a rodinu, alergie. N\u00e1sledn\u011b se dopt\u00e1 na aktu\u00e1ln\u00ed probl\u00e9m. Toho se m\u016f\u017ee t\u00fdkat strava, vyprazd\u0148ov\u00e1n\u00ed, cestov\u00e1n\u00ed a infekce, se kter\u00fdmi p\u0159i\u0161el pacient v\u00a0posledn\u00ed dob\u011b...","datePublished":"2023-07-04","dateModified":"2024-03-05","author":{"@type":"Person","@id":"https:\/\/www.visuality.cz\/author\/#Person","name":"","url":"https:\/\/www.visuality.cz\/author\/","identifier":1,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/4e6a74466e4227c12d5306875d08720cdfce3572213740db6f4a2e5e46e710ff?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/4e6a74466e4227c12d5306875d08720cdfce3572213740db6f4a2e5e46e710ff?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"visuality.cz","logo":{"@type":"ImageObject","@id":"\/logo.png","url":"\/logo.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/www.visuality.cz\/wp-content\/uploads\/art486784_4x3_20261004_144432_di6FyR.jpg","url":"https:\/\/www.visuality.cz\/wp-content\/uploads\/art486784_4x3_20261004_144432_di6FyR.jpg","height":0,"width":0},"url":"https:\/\/www.visuality.cz\/priciny-bolesti-bricha\/","about":["Zdrav\u00ed"],"wordCount":385,"articleBody":"\tBolesti b\u0159icha jsou jedn\u00edm z\u00a0nej\u010dast\u011bj\u0161\u00edch d\u016fvod\u016f, pro\u010d lid\u00e9 vyhled\u00e1vaj\u00ed l\u00e9ka\u0159skou pomoc. Prvn\u00ed, co l\u00e9ka\u0159 ud\u011bl\u00e1, kdy\u017e se zam\u011b\u0159\u00ed na pacienta, je odebr\u00e1n\u00ed anamn\u00e9zy. Ta zahrnuje dotazy na historii pacienta, jeho l\u00e9ky a rodinu, alergie. N\u00e1sledn\u011b se dopt\u00e1 na aktu\u00e1ln\u00ed probl\u00e9m. Toho se m\u016f\u017ee t\u00fdkat strava, vyprazd\u0148ov\u00e1n\u00ed, cestov\u00e1n\u00ed a infekce, se kter\u00fdmi p\u0159i\u0161el pacient v\u00a0posledn\u00ed dob\u011b do styku, charakter bolesti, jej\u00ed m\u00edsto a vyza\u0159ov\u00e1n\u00ed, n\u00e1stup a pr\u016fb\u011bh v\u00a0\u010dase, co pacientovi ulevuje nebo naopak p\u0159it\u011b\u017euje. Pot\u00e9 si b\u0159icho mus\u00ed prohl\u00e9dnout. V\u00a0takov\u00e9m p\u0159\u00edpad\u011b postupuje od pohledu k\u00a0poslechu fonendoskopem, kdy hodnot\u00ed, zda je nebo nen\u00ed p\u0159\u00edtomna peristaltika, poklepu a pohmatu.\tP\u0159i tomto vy\u0161et\u0159en\u00ed postupn\u011b z\u00edsk\u00e1v\u00e1 informace, kter\u00e9 mu n\u00e1sledn\u011b daj\u00ed dohromady obr\u00e1zek, co asi pacienta tr\u00e1p\u00ed. V\u00a0d\u0159\u00edv\u011bj\u0161\u00edch dob\u00e1ch byla toto jedin\u00e1 mo\u017en\u00e1 metoda, jak zjistit, co se d\u011bje. Dnes jsou l\u00e9ka\u0159i zvykl\u00ed na pomoc zobrazovac\u00edch metod a bez nich se nemohou odhodlat stanovit kone\u010dnou diagn\u00f3zu. V\u00a0p\u0159\u00edpad\u011b bolest\u00ed b\u0159icha pacienta ode\u0161lou na ultrazvuk. Ultrazvuk um\u00ed velmi dob\u0159e zhodnotit nap\u0159\u00edklad apendicitidu. Apendix bude zv\u011bt\u0161en\u00fd (v\u00edce jak 6 mm), bude m\u00edt hypoechogenn\u00ed st\u011bnu (ta je toti\u017e pros\u00e1kl\u00e1 tekutinou a tekutina se na ultrazvuku projevuje tmav\u0161\u00ed), v\u00edce prokrven\u00fd a kolem dokola budou patrn\u00e9 z\u00e1n\u011btliv\u00e9 zm\u011bny. Mezi n\u011b \u0159ad\u00edme ed\u00e9m tuku a volnou periapendikul\u00e1rn\u00ed tekutinu. \t\tNav\u00edc bolest bude lokalizovan\u00e1 typicky nejd\u0159\u00edve okolo pupku a n\u00e1sledn\u011b sj\u00ed\u017ed\u00ed do prav\u00e9ho podb\u0159i\u0161ku. Vedle UTZ je vhodn\u00fd v\u00a0prvn\u00ed linii tak\u00e9 rentgen b\u0159i\u0161n\u00ed krajiny. D\u011bl\u00e1 se jednou vle\u017ee a jednou ve stoje. Ve stoje m\u016f\u017eeme hodnotit pneumoperitoneum. Tedy vzduch v\u00a0b\u0159i\u0161n\u00ed dutin\u011b, nap\u0159\u00edklad p\u0159i perforaci st\u0159eva. Vle\u017ee pak roz\u0161\u00ed\u0159en\u00ed st\u0159evn\u00edch kli\u010dek, kter\u00e9 ukazuj\u00ed na ile\u00f3zn\u00ed stav, tedy st\u0159evn\u00ed nepr\u016fchodnost. Pokud by ani jedna metoda nedala jednozna\u010dnou odpov\u011b\u010f, je vhodn\u00e9 vyu\u017e\u00edt je\u0161t\u011b mo\u017enosti CT vy\u0161et\u0159en\u00ed.                                                                                                                                                                                                                                                                                                                                                                                        4\/5 - (1 vote)        "},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"P\u0159\u00ed\u010diny bolest\u00ed b\u0159icha","item":"https:\/\/www.visuality.cz\/priciny-bolesti-bricha\/#breadcrumbitem"}]}]