{"id":591,"date":"2025-06-20T09:25:49","date_gmt":"2025-06-20T07:25:49","guid":{"rendered":"https:\/\/medica3nec.cz\/zp\/?page_id=591"},"modified":"2025-07-09T12:19:20","modified_gmt":"2025-07-09T10:19:20","slug":"pece-o-stomie-katetry-a-sondy","status":"publish","type":"page","link":"https:\/\/medica3nec.cz\/zp\/pece-o-stomie-katetry-a-sondy\/","title":{"rendered":"P\u00e9\u010de o stomie, kat\u00e9try a sondy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"591\" class=\"elementor elementor-591\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cc8bf00 e-ecs-flex e-flex e-con-boxed e-con e-parent\" data-id=\"cc8bf00\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3027d8b e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"3027d8b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-596ecb4 elementor-widget elementor-widget-heading\" data-id=\"596ecb4\" 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\">P\u00e9\u010de o stomie, kat\u00e9try a sondy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f86ff64 elementor-widget elementor-widget-toggle\" data-id=\"f86ff64\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2601\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2601\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">C\u00e9vkov\u00e1n\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2601\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2601\"><p>C\u00e9vkov\u00e1n\u00ed neboli katetrizace mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e je zaveden\u00ed kat\u00e9tru (c\u00e9vky) p\u0159es mo\u010dovou trubici do mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e k zaji\u0161t\u011bn\u00ed odtoku mo\u010de. Rozli\u0161ujeme katetrizaci jednor\u00e1zovou, kdy je c\u00e9vka ihned po vypr\u00e1zdn\u011bn\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e odstran\u011bna, nap\u0159. p\u0159i nemo\u017enosti se vymo\u010dit nebo p\u0159i odb\u011bru mo\u010de na bakteriologick\u00e9 vy\u0161et\u0159en\u00ed. V p\u0159\u00edpad\u011b permanentn\u00ed (dlouhodob\u00e9) katetrizaci z\u016fst\u00e1v\u00e1 c\u00e9vka ponech\u00e1na del\u0161\u00ed dobu. Mo\u010d odt\u00e9k\u00e1 z mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e pomoc\u00ed speci\u00e1ln\u00ed c\u00e9vky, kter\u00e1 m\u00e1 na konci bal\u00f3nek napln\u011bn\u00fd steriln\u00ed vodou, kter\u00fd br\u00e1n\u00ed vyklouznut\u00ed z mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a dren\u00e1\u017en\u00edho syst\u00e9mu (sb\u011brn\u00fd s\u00e1\u010dek s v\u00fdpust\u00ed). Permanentn\u00ed katetrizace je indikov\u00e1na u imobiln\u00edch pacient\u016f, v poopera\u010dn\u00edm obdob\u00ed kdy je pacient\u016fv pohyb na l\u016f\u017eku omezen\u00fd.\u00a0 Rovn\u011b\u017e p\u0159i urologick\u00fdch onemocn\u011bn\u00edch jako zbytn\u011bn\u00ed prostaty, p\u0159i rozs\u00e1hl\u00fdch ko\u017en\u00edch defektech v sakr\u00e1ln\u00edch nebo perine\u00e1ln\u00edch oblastech, p\u0159i opruzenin\u00e1ch a p\u0159i inkontinenci mo\u010di.<\/p><p>Obecn\u00e9 z\u00e1sady p\u0159i katetrizaci mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e:<\/p><ul><li>zaveden\u00ed kat\u00e9tru v\u017edy indikuje l\u00e9ka\u0159.<\/li><li>katetrizaci u \u017een prov\u00e1d\u00ed v\u0161eobecn\u00e1 sestra.<\/li><li>katetrizaci u mu\u017e\u016f prov\u00e1d\u00ed l\u00e9ka\u0159 nebo v\u0161eobecn\u00e1 sestra se specializac\u00ed \u201eSestra pro intenzivn\u00ed p\u00e9\u010di\u201c nebo sestra po absolvov\u00e1n\u00ed certifikovan\u00e9ho kurzu se zam\u011b\u0159en\u00edm na katetrizaci mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e u mu\u017e\u016f.<\/li><li>p\u0159i katetrizaci je nezbytn\u00e9 dodr\u017een\u00ed asepse, aby se zabr\u00e1nilo zanesen\u00ed mikroorganismu do mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e.<\/li><\/ul><p>Postup p\u0159i zaveden\u00ed mo\u010dov\u00e9ho kat\u00e9tru:<\/p><ul><li>sestra p\u0159ed samotn\u00fdm v\u00fdkonem pou\u010d\u00ed pacienta o nutnosti zaveden\u00ed c\u00e9vky, zajist\u00ed soukrom\u00ed pacienta.<\/li><li>u imobiln\u00edch pacient\u016f provede hygienu urogenit\u00e1ln\u00ed oblasti.<\/li><li>po proveden\u00ed hygienick\u00e9 dezinfekce rukou si p\u0159iprav\u00ed pom\u016fcky, tak aby je m\u011bla pohodln\u011b dostupn\u00e9.<\/li><li>otev\u0159e balen\u00ed steriln\u00edch tamp\u00f3nu a provlh\u010d\u00ed je antiseptick\u00fdm roztokem, na steriln\u00ed \u010dtverec aplikuje Mesocain gel.<\/li><li>pootev\u0159e balen\u00ed kat\u00e9tru, polo\u017e\u00ed p\u0159es hranu stolku, aby koncov\u00e1 \u010d\u00e1st visela pro snadn\u00e9 uchopen\u00ed.<\/li><li>ulo\u017e\u00ed pacienta do vhodn\u00e9 polohy:<\/li><\/ul><ul><li>u \u017een \u2013 na z\u00e1da s m\u00edrn\u011b pokr\u010den\u00fdmi doln\u00edmi kon\u010detinami, stehna od sebe,<\/li><li>u mu\u017e\u016f \u2013 na z\u00e1da s voln\u011b nata\u017een\u00fdmi doln\u00edmi kon\u010detinami.<\/li><\/ul><ul><li>v p\u0159\u00edpad\u011b zaveden\u00ed permanentn\u00edho kat\u00e9tru si p\u0159iprav\u00ed mo\u010dov\u00fd dren\u00e1\u017en\u00ed syst\u00e9m a zav\u011bs\u00ed jej na l\u016f\u017eko pod \u00farove\u0148 mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e.<\/li><\/ul><ul><li><em>katetrizaci u \u017een provede takto:<\/em><ul><li>nedominantn\u00ed rukou odd\u00e1l\u00ed a vyt\u00e1hne sm\u011brem nahoru stydk\u00e9 pysky a provede dezinfekci \u00fast\u00ed mo\u010dov\u00e9 trubice.<\/li><li>z p\u0159edem otev\u0159en\u00e9ho s\u00e1\u010dku uchop\u00ed c\u00e9vku, konec namo\u010d\u00ed do lubrika\u010dn\u00edho gelu.<\/li><li>pak zav\u00e1d\u00ed kat\u00e9tr do mo\u010dov\u00e9 trubice, tak hluboko dokud neza\u010dne odt\u00e9kat mo\u010d.<\/li><li>v p\u0159\u00edpad\u011b jednor\u00e1zov\u00e9 katetrizace odebere vzorek mo\u010de a zbytek mo\u010de nech\u00e1 vyt\u00e9ct do m\u00edsy nebo pleny. Kat\u00e9tr po odb\u011bru vyt\u00e1hne.<\/li><li>p\u0159i zaveden\u00ed permanentn\u00ed c\u00e9vky aplikuje ur\u010den\u00e9 mno\u017estv\u00ed roztoku do vedlej\u0161\u00edho lumenu k napln\u011bn\u00ed c\u00e9vky.<\/li><li>napoj\u00ed c\u00e9vku na hadici dren\u00e1\u017en\u00edho syst\u00e9mu a zav\u011bs\u00ed jej pod \u00farove\u0148 mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e.<\/li><li>jemn\u00fdm zata\u017een\u00edm za kat\u00e9tr zkontroluje fixaci v mo\u010dov\u00e9m m\u011bch\u00fd\u0159i.<\/li><\/ul><\/li><\/ul><ul><li><em>katetrizaci u mu\u017e\u016f provede takto:<\/em><\/li><\/ul><ul><li>sestra zdvihne penis pomoc\u00ed steriln\u00edho \u010dtverce a p\u0159et\u00e1hne p\u0159edko\u017eku p\u0159es glans penis.<\/li><li>provede dezinfekci \u00fast\u00ed uretry a steriln\u011b aplikuje anestetikum.<\/li><li>zdvihne penis do kolm\u00e9 polohy a pomoc\u00ed pinzety zav\u00e1d\u00ed kat\u00e9tr, pot\u00e9 penis m\u00edrn\u011b sklop\u00ed a zavede c\u00e9vku.<\/li><li>dal\u0161\u00ed postup je stejn\u00fd jak u c\u00e9vkov\u00e1n\u00ed \u017eeny.<\/li><\/ul><p>Doporu\u010den\u00ed p\u0159i zaveden\u00ed permanentn\u00edho kat\u00e9tru:<\/p><ul><li>p\u0159ed ka\u017edou manipulaci s kat\u00e9trem je nutn\u00e9 prov\u00e9st hygienu rukou.<\/li><li>sb\u011brn\u00fd s\u00e1\u010dek mus\u00ed b\u00fdt po celou dobu pou\u017e\u00edv\u00e1n\u00ed pod \u00farovn\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, aby se ji\u017e jednou vytekl\u00e1 mo\u010d nevracela zp\u011bt do mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e (riziko infekce).<\/li><li>p\u0159i vyprazd\u0148ov\u00e1n\u00ed s\u00e1\u010dku nutno zabr\u00e1nit kontaktu v\u00fdpustn\u00ed dren\u00e1\u017en\u00ed spojky a nesteriln\u00ed n\u00e1doby. S\u00e1\u010dek nepokl\u00e1dat na zem.<\/li><li>hygienu kat\u00e9tru a jeho okol\u00ed prov\u00e1d\u011bt denn\u011b vodou a m\u00fddlem.<\/li><li>zajistit u pacienta dostate\u010dn\u00fd p\u0159\u00edjem tekutin.<\/li><li>sledovat mno\u017estv\u00ed vylou\u010den\u00e9 mo\u010de. Pokud c\u00e9vka p\u0159estane odv\u00e1d\u011bt nutno zkontrolovat jej\u00ed polohu a odstranit p\u0159\u00edpadn\u00e9 zalomen\u00ed c\u00e9vky.<\/li><li>pokud mo\u010d neza\u010dne odt\u00e9kat a dostav\u00ed se tlak v mo\u010dov\u00e9m m\u011bch\u00fd\u0159i a pocit nucen\u00ed na mo\u010den\u00ed kontaktujte sestru dom\u00e1c\u00ed p\u00e9\u010de.<\/li><li>permanentn\u00ed kat\u00e9tr mus\u00ed b\u00fdt pravideln\u011b m\u011bn\u011bn v\u010detn\u011b dren\u00e1\u017en\u00edho syt\u00e9mu a to podle druhu materi\u00e1lu, z kter\u00e9ho je vyroben, nej\u010dast\u011bji co 4 t\u00fddny.<\/li><\/ul><ul><li>pokud m\u00e1 pacient kat\u00e9tr uzav\u0159en\u00fd z\u00e1tkou, je nutn\u00e9 mo\u010dov\u00fd m\u011bch\u00fd\u0159 v pravideln\u00fdch intervalech vypou\u0161t\u011bt (co 2-3hodiny).<\/li><\/ul><p>Shrnut\u00ed:<\/p><p>Dal\u0161\u00edm \u010dast\u00fdm v\u00fdkonem, kter\u00fd lze prov\u00e9st v dom\u00e1c\u00edm prost\u0159ed\u00ed pacienta je katetrizaci neboli c\u00e9vkov\u00e1n\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e. O zaveden\u00ed i odstran\u011bn\u00ed mo\u010dov\u00e9ho kat\u00e9tru rozhoduje l\u00e9ka\u0159 na z\u00e1klad\u011b zdravotn\u00edho stavu pacienta. Sestra v\u00fdkon prov\u00e1d\u00ed, edukuje pacienta i rodinu jak zach\u00e1zet se zaveden\u00fdm kat\u00e9trem a v p\u0159\u00edpad\u011b komplikaci kontaktuje l\u00e9ka\u0159e.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2602\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2602\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">P\u00e9\u010de o ven\u00f3zn\u00ed port a PICC kat\u00e9tr<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2602\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2602\"><blockquote><p>Zaveden\u00ed ven\u00f3zn\u00edho portu nebo PICC kat\u00e9tru je sou\u010d\u00e1st\u00ed l\u00e9\u010dby p\u0159ev\u00e1\u017en\u011b onkologick\u00fdch pacient\u016f. P\u0159edch\u00e1z\u00ed se t\u00edm nadm\u011brn\u00e9 a opakovan\u00e9 traumatizaci perifern\u00edch \u017eil, \u010d\u00edm\u017e se pro pacienta nab\u00edz\u00ed v\u011bt\u0161\u00ed komfort b\u011bhem cel\u00e9 l\u00e9\u010dby. Dlouhodob\u00fd \u017eiln\u00ed p\u0159\u00edstup umo\u017e\u0148uje vstup do centr\u00e1ln\u00edho \u0159e\u010di\u0161t\u011b a je vyu\u017e\u00edv\u00e1n pro opakovan\u00e9 cykly chemoterapie, k\u00a0odb\u011br\u016fm krve, pod\u00e1v\u00e1n\u00ed infuz\u00ed, v\u00fd\u017eivy, analgetik apod. Kvalitn\u00ed o\u0161et\u0159ovatelsk\u00e1 p\u00e9\u010de je z\u00e1kladem pro dlouhodob\u00e9 a bezprobl\u00e9mov\u00e9 pou\u017e\u00edv\u00e1n\u00ed t\u011bchto \u017eiln\u00edch vstup\u016f.\u00a0 V\u017edy je dodr\u017eov\u00e1n aseptick\u00fd p\u0159\u00edstup a postupuje se dle platn\u00e9ho standardu.<\/p><p><span style=\"color: #993300;\"><strong>Ven\u00f3zn\u00ed port<\/strong> <\/span>je tvo\u0159en kom\u016frkou se speci\u00e1ln\u00ed silikonovou membr\u00e1nou a vlastn\u00edm kat\u00e9trem, kter\u00fd nased\u00e1 na kom\u016frku a je veden podko\u017en\u00edm tunelem do centr\u00e1ln\u00ed \u017e\u00edly. Port neboli kom\u016frka je um\u00edst\u011bna pod k\u016f\u017e\u00ed nemocn\u00e9ho, obvykle na hrudi. Membr\u00e1nu kom\u016frky je mo\u017eno propichovat pouze speci\u00e1ln\u00edmi jehlami tzv. Huberovy jehly, kter\u00e9 maj\u00ed zkosen\u00fd hrot a nepo\u0161kozuj\u00ed membr\u00e1nu. Port je ur\u010den pro dlouhodob\u00e9 pou\u017eit\u00ed (roky). V\u00a0p\u0159\u00edpad\u011b \u017ee nen\u00ed pou\u017e\u00edv\u00e1n, je nutn\u00e9 ho pravideln\u011b proplachovat a kontrolovat jeho funk\u010dnost. Proplachy se prov\u00e1d\u011bj\u00ed dle zvyklosti pracovi\u0161t\u011b, zpravidla jednou za 6-8 t\u00fddn\u016f.<\/p><p>Postup p\u0159i proplachu portu:<\/p><ul><li>sestra pacienta sezn\u00e1m\u00ed s\u00a0postupem, provede hygienickou dezinfekci rukou a p\u0159iprav\u00ed si pom\u016fcky (Huberovou jehlu, spojovac\u00ed hadi\u010dku, 20ml st\u0159\u00edka\u010dky, fyziologick\u00fd roztok, dezinfekci na k\u016f\u017ei a ruce, steriln\u00ed tamp\u00f3ny, kryt\u00ed Cosmopor, steriln\u00ed rukavice).<\/li><li>yvsvle\u010de pacienta z\u00a0horn\u00edho d\u00edlu oble\u010den\u00ed, ulo\u017e\u00ed do vodorovn\u00e9 polohy na z\u00e1dech a vyhmat\u00e1 port.<\/li><li>op\u011bt provede hygienickou dezinfekci rukou a nasad\u00ed si \u00fastenku a steriln\u00ed rukavice.<\/li><li>provede dezinfekci m\u00edsta vpichu ot\u011brem steriln\u00edmi tamp\u00f3ny od st\u0159edu ven, na prostoru cca 10-15cm.<\/li><li>p\u0159i zav\u00e1d\u011bn\u00ed jehly jednou rukou uchop\u00ed port palcem a ukazov\u00e1kem.<\/li><li>vyzve pacienta k\u00a0hlubok\u00e9mu n\u00e1dechu.<\/li><li>a druhou rukou provede kolm\u00fd vpich do portov\u00e9 kom\u016frky s\u00a0jehlou napojenou na spojovac\u00ed hadi\u010dku s\u00a0fyziologick\u00fdm roztokem, oto\u010denou sm\u011brem ke sternu.<\/li><li>vpich provede tak hluboko, a\u017e se zastav\u00ed o dno kom\u016frky portu a s jehlou ji\u017e neot\u00e1\u010d\u00ed.<\/li><li>provede aspiraci krve, z\u00a0d\u016fvodu kontroly spr\u00e1vn\u00e9 lokalizace jehly v\u00a0kom\u016frce.<\/li><li>napoj\u00ed novou 20ml st\u0159\u00edka\u010dku s\u00a0fyziologick\u00fdm roztokem a provede proplach technikou \u201estart-stop\u201c.<\/li><li>n\u00e1sledn\u011b uchop\u00ed kom\u016frku palcem a ukazov\u00e1kem, p\u0159itla\u010d\u00ed k\u00a0hrudi pacienta.<\/li><li>a druhou rukou jehlu kolmo vyt\u00e1hne, za tzv. pozitivn\u00edho tlaku (za pomoc\u00ed injek\u010dn\u00ed st\u0159\u00edka\u010dky vyvine m\u00edrn\u00fd tlak tlakem na p\u00edst, aby nedo\u0161lo k\u00a0zp\u011btn\u00e9mu nas\u00e1t\u00ed krve).<\/li><li>m\u00edsto vpichu dezinfikuje, komprimuje cca 20 sekund a pot\u00e9 steriln\u011b p\u0159ekryje.<\/li><li>provede z\u00e1pis do portov\u00e9 pr\u016fkazky pacienta.<\/li><li>p\u0159i v\u00fdskytu komplikac\u00ed (nepr\u016fchodnost portu, zm\u011bny v\u00a0m\u00edst\u011b vpichu apod.) kontaktuje l\u00e9ka\u0159e, ambulanci nebo stacion\u00e1\u0159, kde pacient doch\u00e1z\u00ed.<\/li><\/ul><p><strong><span style=\"color: #993300;\">PICC kat\u00e9tr<\/span> <\/strong>(perifern\u00ed implantovan\u00fd centr\u00e1ln\u00ed \u017eiln\u00ed kat\u00e9tr) je kat\u00e9tr zaveden\u00fd do centr\u00e1ln\u00ed \u017e\u00edly cestou povrchov\u00fdch \u017eil na horn\u00ed kon\u010detin\u011b. Zav\u00e1d\u00ed se na st\u0159edn\u011bdobou a dlouhodobou l\u00e9\u010dbu jednoho roku, kdy je l\u00e9\u010dby indikov\u00e1na na t\u00fddny a m\u011bs\u00edce. Proplachy se prov\u00e1d\u011bj\u00ed dle zvyklosti pracovi\u0161t\u011b, zpravidla jednou za 7 dn\u00ed. Sou\u010d\u00e1st\u00ed proplachu je i v\u00fdm\u011bna kryt\u00ed a kontrola m\u00edsta vpichu.<\/p><p>Postup p\u0159i proplachu PICC kat\u00e9tru a v\u00fdm\u011bn\u011b kryt\u00ed:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p><ul><li>sestra pacienta sezn\u00e1m\u00ed s\u00a0postupem, provede hygienickou dezinfekci rukou a p\u0159iprav\u00ed si pom\u016fcky (20ml st\u0159\u00edka\u010dky, fyziologick\u00fd roztok, dezinfekci na k\u016f\u017ei a ruce, steriln\u00ed tamp\u00f3ny, steriln\u00ed kryt\u00ed ur\u010den\u00e9 pro PICC, steriln\u00ed i jednor\u00e1zov\u00e9 rukavice, n\u00e1vlek).<\/li><li>provede hygienickou dezinfekci rukou a nasad\u00ed si jednor\u00e1zov\u00e9 rukavice.<\/li><li>odstran\u00ed n\u00e1vlek, od\u0161roubuje combi z\u00e1tku nebo pou\u017eije bezjehlov\u00fd vstup a provede dezinfekci koncov\u00fdch \u010d\u00e1st\u00ed.<\/li><li>na kat\u00e9tr nasad\u00ed 20ml st\u0159\u00edka\u010dku s\u00a0fyziologick\u00fdm roztokem, provede aspiraci a proplach metodou \u201estart-stop\u201c.<\/li><li>tla\u010dku na kat\u00e9tru uzav\u0159e za aplikace fyziologick\u00e9ho roztoku a uzav\u0159e kat\u00e9tr steriln\u00ed combi z\u00e1tkou.<\/li><li>n\u00e1sledn\u011b jemn\u011b odstran\u00ed p\u016fvodn\u00ed kryt\u00ed ve sm\u011bru zaveden\u00ed kat\u00e9tru.<\/li><li>sleduje m\u00edsto vpichu, zda nen\u00ed p\u0159\u00edtomen otok, zarudnut\u00ed, bolestivost, sekrece.<\/li><li>nasad\u00ed si steriln\u00ed rukavice a provede dezinfekci m\u00edsta vpichu, krou\u017eiv\u011b kolem m\u00edsta vpichu ot\u011brem steriln\u00edmi tamp\u00f3ny smo\u010den\u00fdmi v\u00a0dezinfek\u010dn\u00edm roztoku.<\/li><li>dezinfekci provede na prostoru cca 15cm, dle velikosti pou\u017e\u00edvan\u00e9ho kryt\u00ed.<\/li><li>po zaschnut\u00ed dezinfekce p\u0159ilo\u017e\u00ed steriln\u00ed kryt\u00ed, kter\u00e9 ozna\u010d\u00ed datem a \u010dasem p\u0159elepen\u00ed.<\/li><li>PICC kat\u00e9tr zafixuje jemn\u00fdm ov\u00e1z\u00e1n\u00edm obinadlem nebo pou\u017eije n\u00e1vlek.<\/li><li>provede z\u00e1znam do pr\u016fkazky nositele PICC kat\u00e9tru a pou\u010d\u00ed pacienta o n\u00e1sledn\u00e9 p\u00e9\u010di:<ul><li>pacient denn\u011b kontroluje, zda se kryt\u00ed neodlepuje, kon\u010detinou ve kter\u00e9 je kat\u00e9tr zaveden nesm\u00ed zvedat t\u011b\u017ek\u00e1 b\u0159emena, p\u0159i sprchov\u00e1n\u00ed nesm\u00ed kryt\u00ed namo\u010dit, kryt\u00ed a lumeny by m\u011bl udr\u017eovat v\u00a0suchu a \u010distot\u011b.<\/li><\/ul><\/li><\/ul><p>Shrnut\u00ed:<\/p><p>Dlouhodob\u00e9 \u017eiln\u00ed vstupy p\u0159i spr\u00e1vn\u00e9m pou\u017e\u00edv\u00e1n\u00ed v\u00fdznamn\u00fdm zp\u016fsobem usnad\u0148uj\u00ed \u017eivot pacient\u016fm v jejich nelehk\u00e9 \u017eivotn\u00ed situaci. Dokonal\u00e9 zvl\u00e1dnut\u00edm o\u0161et\u0159ovatelsk\u00e9 p\u00e9\u010de p\u0159\u00edmo ovliv\u0148uje \u017eivotnost kat\u00e9tru a v\u00fdskyt komplikac\u00ed. D\u016fle\u017eit\u00e1 je n\u00e1sledn\u00e9 p\u00e9\u010de o \u017eiln\u00ed vstup v dom\u00e1c\u00edm prost\u0159ed\u00ed stejn\u011b jak proplachy z d\u016fvodu funk\u010dnosti v pravideln\u00fdch intervalech. P\u0159evazy a proplachy kat\u00e9tru lez v dom\u00e1c\u00edm prost\u0159ed\u00ed prov\u00e1d\u011bt na z\u00e1klad\u011b indikace l\u00e9ka\u0159e, stacion\u00e1\u0159e nebo ambulance kde pacient doch\u00e1z\u00ed.<\/p><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2603\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2603\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">P\u00e9\u010de o PEG<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2603\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2603\"><blockquote><p>PEG neboli perkut\u00e1nn\u00ed endoskopick\u00e1 gastrostomie p\u0159edstavuje um\u011bl\u00fd vstup do \u017ealudku pro pod\u00e1v\u00e1n\u00ed v\u00fd\u017eivy. Tvo\u0159\u00ed ho tenk\u00e1 sonda, jej\u00ed\u017e jeden otvor \u00fast\u00ed na k\u016f\u017ei b\u0159icha a druh\u00fd v\u00a0\u017ealudku. Sonda umo\u017e\u0148uje p\u0159\u00edm\u00e9 pod\u00e1v\u00e1n\u00ed um\u011bl\u00e9 v\u00fd\u017eivy pacient\u016fm, kte\u0159\u00ed nemohou p\u0159ij\u00edmat potravu \u00fasty a maj\u00ed funk\u010dn\u00ed gastrointestin\u00e1ln\u00ed trakt. Zaveden\u00ed sondy je indikov\u00e1no u nemoc\u00ed, v\u00a0jejich\u017e pr\u016fb\u011bhu nebo z\u00a0d\u016fvodu l\u00e9\u010dby nen\u00ed mo\u017en\u00fd peror\u00e1ln\u00ed p\u0159\u00edjem d\u00e9le ne\u017e 4-6 t\u00fddn\u016f. Jedn\u00e1 se o onemocn\u011bn\u00ed onkologick\u00e1 (chemoterapie, chirurgick\u00fd z\u00e1krok, radioterapie), i neonkologick\u00e1 nap\u0159. c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda, degenerativn\u00ed posti\u017een\u00ed nervov\u00e9 soustavy apod). Z\u00e1kladem p\u00e9\u010de o PEG je udr\u017eov\u00e1n\u00ed m\u00edsta pr\u016fchodu b\u0159i\u0161n\u00ed st\u011bnou v\u00a0\u010dist\u00e9m stavu a suchu. O\u0161et\u0159ov\u00e1n\u00ed sondy se li\u0161\u00ed podle d\u00e9lky zaveden\u00ed a je nutn\u00e9 o ni pe\u010dovat po celou dobu zaveden\u00ed.<\/p><p>Postup p\u0159i o\u0161et\u0159ov\u00e1n\u00ed PEGu v\u00a0prvn\u00edch 10-14 dnech:<\/p><ul><li>v \u00a0prvn\u00edch 24-48 hodin\u00e1ch po zaveden\u00ed sondy z\u016fst\u00e1v\u00e1 p\u00e9\u010de na person\u00e1lu nemocnice.<\/li><li>v\u00a0n\u00e1sleduj\u00edc\u00edch dnech se prov\u00e1d\u00ed denn\u011b steriln\u00ed p\u0159evaz a o\u0161et\u0159uje se m\u00edsto vpichu:<ul><li>sestra uvoln\u00ed zevn\u00ed desti\u010dku a posune ji od b\u0159i\u0161n\u00ed st\u011bny asi o 5 cm.<\/li><li>sondou neot\u00e1\u010d\u00ed ani nezano\u0159uje (m\u00edrn\u00e9 pooto\u010den\u00ed nevad\u00ed).<\/li><li>m\u00edsto kolem vstupu dezinfikuje a o\u010dist\u00ed od zaschl\u00e9ho sekretu.<\/li><li>pak pod zevn\u00ed desti\u010dku vlo\u017e\u00ed steriln\u00ed g\u00e1zov\u00fd \u010dtverec.<\/li><li>b\u011bhem p\u0159evazu sleduje zm\u011bny kolem vstupu \u2013 zarudnut\u00ed, hnis, obt\u00e9k\u00e1n\u00ed v\u00fd\u017eivy apod.<\/li><li>n\u00e1sledn\u011b za stal\u00e9ho m\u00edrn\u00e9ho tahu za sondu posune fixa\u010dn\u00ed desti\u010dku zp\u011bt t\u011bsn\u011b ke k\u016f\u017ei.<\/li><\/ul><\/li><\/ul><p>Postup p\u0159i o\u0161et\u0159ov\u00e1n\u00ed od 10-14 dne po zaveden\u00ed PEGu:<\/p><ul><li>v\u00a0dal\u0161\u00edch dnech se prov\u00e1d\u00ed 1x t\u00fddn\u011b zano\u0159en\u00ed o 2-3 cm a oto\u010den\u00ed sondy o 360\u00b0:<ul><li>sestra uvoln\u00ed zevn\u00ed fixa\u010dn\u00ed desti\u010dku a zasune sondu 2-3cm dovnit\u0159.<\/li><li>provede rotaci kolem dlouh\u00e9 osy o 360\u00b0C.<\/li><li>sondu n\u00e1sledn\u011b znovu povyt\u00e1hne do p\u016fvodn\u00ed polohy.<\/li><li>ov\u011b\u0159\u00ed, zda je mezi zevn\u00ed fixa\u010dn\u00ed desti\u010dkou a k\u016f\u017ei dostatek voln\u00e9ho prostoru (cca 5mm, nesm\u00ed se vtla\u010dovat do k\u016f\u017ee).<\/li><li>zevn\u00ed desti\u010dku nepodkl\u00e1d\u00e1 steriln\u00edm \u010dtvercem.<\/li><\/ul><\/li><li>denn\u011b se kontroluje stav sondy \u2013 zm\u011bna barvy, vlasov\u00e9 trhliny, prosakov\u00e1n\u00ed apod.<\/li><li>nejm\u00e9n\u011b 2x t\u00fddn\u011b se gastrostomie om\u00fdv\u00e1 vodou a m\u00fddlem, osprchuje a \u0159\u00e1dn\u011b osu\u0161\u00ed.<\/li><li>svorku na sond\u011b je nutno lokalizovat co nejd\u00e9le od k\u016f\u017ee, pou\u017e\u00edv\u00e1 se jen jako p\u0159echodn\u00fd uz\u00e1v\u011br b\u011bhem pod\u00e1v\u00e1n\u00ed v\u00fd\u017eivy.<\/li><li>pokud se PEG nepou\u017e\u00edv\u00e1 je ho nutno proplachovat 2x denn\u011b.<\/li><\/ul><p>Postup p\u0159i pod\u00e1v\u00e1n\u00ed stravy a l\u00e9k\u016f do PEGu:<\/p><ul><li>b\u011bhem aplikace v\u00fd\u017eivy a cca 30minut pot\u00e9 by m\u011bl pacient m\u00edt zv\u00fd\u0161enou polohu horn\u00ed \u010d\u00e1st\u00ed t\u011bla o 30-45\u00b0jako prevence reflexu a aspirace.<\/li><li>p\u0159ed a po pod\u00e1n\u00ed v\u00fd\u017eivy (i l\u00e9k\u016f) je nutno sondu propl\u00e1chnout 50ml vody.<\/li><li>rozpis a slo\u017een\u00ed enter\u00e1ln\u00ed v\u00fd\u017eivy by m\u011blo b\u00fdt konzultov\u00e1no s\u00a0l\u00e9ka\u0159em-nutricionistou.<\/li><li>do PEGu nejsou vhodn\u00e9 potraviny jako k\u00e1va, d\u017eusy, pivo apod.<\/li><li>do PEGu je strava aplikov\u00e1na bolusov\u011b s\u00a0no\u010dn\u00ed pauzou.<\/li><li>celkov\u00fd objem v\u00fd\u017eivy b\u00fdv\u00e1 rozd\u011blen do 5-7 porc\u00ed po cca 300-350ml.<\/li><li>krom\u011b v\u00fd\u017eivy je nutn\u00e9 pod\u00e1vat i tekutiny, cca 1,5l denn\u011b mezi j\u00eddly.<\/li><li>l\u00e9ky pod\u00e1van\u00e9 do sondy mus\u00ed b\u00fdt \u0159\u00e1dn\u011b nadrceny.<\/li><\/ul><p>P\u0159\u00edpravky klinick\u00e9 v\u00fd\u017eivy:<\/p><ul><li>do PEGu se aplikuje strava tekut\u00e9 konzistence, aby sondu neucp\u00e1vala .<\/li><li>strava je nutri\u010dn\u011b kompletn\u00ed \u2013 obsahuje v\u0161echny pot\u0159ebn\u00e9 \u017eiviny b\u00edlkoviny, vitam\u00edny, miner\u00e1ln\u00ed l\u00e1tky a stopov\u00e9 prvky a m\u00e1 pot\u0159ebnou energetickou hodnotu.<\/li><li>pacient\u016fm tedy zaji\u0161\u0165uje plnohodnotnou stravu.<\/li><\/ul><p>Shrnut\u00ed:<\/p><p>Perkut\u00e1nn\u00ed endoskopick\u00e1 gastrostomie je u\u017e\u00edv\u00e1na k\u00a0enter\u00e1ln\u00ed v\u00fd\u017eiv\u011b a je vhodn\u00e1 pro dlouhodobou v\u00fd\u017eivu. Lok\u00e1ln\u00ed p\u00e9\u010de o sondu se li\u0161\u00ed v\u00a0\u010dase. V\u00a0prvn\u00edch dvou t\u00fddnech od zaveden\u00ed doch\u00e1z\u00ed k\u00a0vyzr\u00e1v\u00e1n\u00ed gastrokut\u00e1nn\u00edho kan\u00e1lu, manipulace a o\u0161et\u0159ov\u00e1n\u00ed PEGu by m\u011blo b\u00fdt co nej\u0161etrn\u011bj\u0161\u00ed s\u00a0dodr\u017eov\u00e1n\u00edm z\u00e1sad asepse. Smyslem dlouhodob\u00e9 p\u00e9\u010de je pak prevence komplikac\u00ed. Pokud stav pacienta umo\u017e\u0148uje pobyt mimo nemocnici, tj. v\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed, je mo\u017en\u00e9 prov\u00e1d\u011bt toto o\u0161et\u0159en\u00ed p\u0159\u00edmo u pacienta doma.<\/p><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2604\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2604\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">O\u0161et\u0159ov\u00e1n\u00ed stomie<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2604\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2604\"><blockquote><p>Stomie je um\u011bl\u00e9 vy\u00fast\u011bn\u00ed dut\u00e9ho org\u00e1nu na povrch t\u011bla. Nej\u010dast\u011bji se jedn\u00e1 o tlust\u00e9 st\u0159evo, tenk\u00e9 st\u0159evo nebo mo\u010dov\u00e9 cesty. Doch\u00e1z\u00ed tak k\u00a0neovladateln\u00e9mu vyprazd\u0148ov\u00e1n\u00ed st\u0159evn\u00edho obsahu nebo mo\u010di nep\u0159irozenou cestou s\u00a0nutnost\u00ed pou\u017e\u00edv\u00e1n\u00ed stomick\u00fdch pom\u016fcek. Ve\u0161ker\u00e9 pom\u016fcky hrad\u00ed poji\u0161\u0165ovna a stanoven\u00e9 limity se ur\u010duj\u00ed podle druhu stomie. Indikac\u00ed k\u00a0zalo\u017een\u00ed stomie jsou nej\u010dast\u011bji n\u00e1dorov\u00e1 onemocn\u011bn\u00ed, komplikovan\u00e9 st\u0159evn\u00ed z\u00e1n\u011bty, n\u00e1hle p\u0159\u00edhody b\u0159i\u0161n\u00ed nebo \u00farazy. V\u00a0z\u00e1vislosti na typu stomie rozli\u0161ujeme stomie do\u010dasn\u00e9, kter\u00e9 slou\u017e\u00ed k\u00a0odleh\u010den\u00ed \u010dinnosti st\u0159eva do doby zhojen\u00ed a trval\u00e9, kdy ji\u017e nelze obnovit p\u0159irozenou cestu odchodu stolice \u010di mo\u010di z\u00a0d\u016fvodu onenmocn\u011bn\u00ed.<\/p><p>Druhy stomie:<\/p><ul><li>Kolostomie \u2013 v\u00fdvod tlust\u00e9ho st\u0159eva.<\/li><li>Ileostomie \u2013 v\u00fdvod tenk\u00e9ho st\u0159eva.<\/li><li>Urostomie \u2013 v\u00fdvod mo\u010dovodu.<\/li><\/ul><p>Postup p\u0159i o\u0161et\u0159en\u00ed stomie:<\/p><ul><li>sestra informuje pacienta o v\u00fdm\u011bn\u011b stomick\u00e9ho setu a o\u0161et\u0159en\u00ed stomie.<\/li><li>zajist\u00ed soukrom\u00ed pacienta a vyb\u00eddne ho ke spolupr\u00e1ci.<\/li><li>p\u0159iprav\u00ed si pot\u0159ebn\u00e9 pom\u016fcky: odstra\u0148ova\u010d n\u00e1plasti, jednod\u00edln\u00fd nebo dvoud\u00edln\u00fd set, ochrann\u00e9 rukavice, ochrann\u00fd film, \u010dist\u00edc\u00ed p\u011bnu, ubrousky, n\u016f\u017eky, fixa\u010dn\u00ed p\u00e1sky, t\u011bsn\u00edc\u00ed krou\u017eky atd.<\/li><li>ulo\u017e\u00ed pacienta do pohodln\u00e9 polohy, nej\u010dast\u011bji vle\u017ee.<\/li><li>p\u016fvodn\u00ed stomick\u00fd s\u00e1\u010dek odlep\u00ed tahem shora dol\u016f, v\u00a0p\u0159\u00edpad\u011b pot\u0159eby pou\u017eije odstra\u0148ova\u010d n\u00e1plasti.<\/li><li>zhodnot\u00ed okol\u00ed peristom\u00e1ln\u00ed k\u016f\u017ee, obsah s\u00e1\u010dku, stomii, jej\u00ed velikost a tvar a p\u0159\u00edpadn\u00e9 odchylky.<\/li><li>zbytky stolice ot\u0159e ubrousky a k\u016f\u017ei omyje vla\u017enou vodou nebo \u010dist\u00edc\u00ed p\u011bnou a osu\u0161\u00ed. Dle pot\u0159eby odstran\u00ed ochlupen\u00ed pod lep\u00edc\u00ed plochou.<\/li><li>k\u016f\u017ei o\u0161et\u0159\u00ed podle stavu ochrann\u00fdm filmem, pudrem apod.<\/li><li>zm\u011b\u0159\u00ed velikost stomie pomoc\u00ed \u0161ablony a podle nazna\u010den\u00fdch okraj\u016f vyst\u0159ihne otvor tak, aby byl o 2-3mm v\u011bt\u0161\u00ed, ne\u017e je pr\u016fm\u011br stomie.<\/li><li>u jednod\u00edln\u00e9ho syst\u00e9mu m\u011bn\u00ed podlo\u017eku i s\u00e1\u010dek.<\/li><li>u dvoud\u00edln\u00e9ho syst\u00e9mu podlo\u017eku lep\u00ed samostatn\u011b, n\u00e1sledn\u011b p\u0159ilo\u017e\u00ed s\u00e1\u010dek.<\/li><li>lep\u00edc\u00ed plochu zah\u0159eje (promnut\u00edm v\u00a0ruk\u00e1ch) a odstran\u00ed plastov\u00fd kryt z\u00a0podlo\u017eky.<\/li><li>s\u00e1\u010dek p\u0159elo\u017e\u00ed v\u00a0polovin\u011b a p\u0159ilo\u017e\u00ed ke stomii lep\u00edc\u00ed plochou, nejd\u0159\u00edv na doln\u00ed polovinu a pot\u00e9 sm\u011brem nahoru.<\/li><li>p\u0159itiskne k\u00a0t\u011blu, aby dob\u0159e p\u0159ilnula k\u00a0podlo\u017ece, a nech\u00e1 5-6 minut proh\u0159\u00e1t, p\u0159ilo\u017een\u00edm dlan\u011b na stomick\u00fd set.<\/li><li>u jednod\u00edln\u00e9ho syst\u00e9mu m\u011bn\u00ed podlo\u017eku i s\u00e1\u010dek.<\/li><li>u dvoud\u00edln\u00e9ho syst\u00e9mu podlo\u017eku lep\u00ed samostatn\u011b, n\u00e1sledn\u011b p\u0159ilo\u017e\u00ed s\u00e1\u010dek.<\/li><li>jemn\u00fdm tahem se ujist\u00ed, \u017ee s\u00e1\u010dek na t\u011ble pevn\u011b dr\u017e\u00ed.<\/li><li>provede \u00faklid pom\u016fcek a pou\u017eit\u00e9ho materi\u00e1lu.<\/li><\/ul><p>Shrnut\u00ed:<\/p><p>\u017divot se stomii nen\u00ed pro \u017e\u00e1dn\u00e9ho \u010dlov\u011bka jednoduch\u00fd. Pacient se mus\u00ed vyrovnat jak se stomii, tak se z\u00e1va\u017enou diagn\u00f3zou, kter\u00e9 u n\u011bho vedla k\u00a0vytvo\u0159en\u00ed stomie. V\u00fdznamnou roli p\u0159i vyrovn\u00e1v\u00e1n\u00ed se s\u00a0nov\u011b vzniklou situac\u00ed hraje i p\u00e9\u010de o stomii v\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed po propu\u0161t\u011bn\u00ed pacienta z\u00a0nemocnice. V\u0161eobecn\u00e1 sestra, kter\u00e1 doch\u00e1z\u00ed k\u00a0pacientovi dom\u016f, pokra\u010duje v\u00a0edukaci o z\u00e1sad\u00e1ch p\u0159i p\u0159evazov\u00e1n\u00ed, u\u010d\u00ed pacienta starat se o v\u00fdvod, \u0159e\u0161\u00ed p\u0159\u00edpadn\u00e9 komplikace nebo konzultuje stav se stomickou sestrou.<\/p><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2605\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2605\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Zaveden\u00ed nasogastrick\u00e9 sondy<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2605\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2605\"><blockquote><p>Nasogastrick\u00e1 neboli \u017ealude\u010dni sonda je tenk\u00e1 trubi\u010dka, kter\u00e1 se zav\u00e1d\u00ed nosem nebo \u00fasty do \u017ealudku. Pou\u017e\u00edv\u00e1 se k\u00a0jednor\u00e1zov\u00e9 nebo dlouhodob\u00e9 dekompresi \u017ealudku s\u00a0ods\u00e1v\u00e1n\u00edm plynu a \u017ealude\u010dn\u00edho obsahu. M\u016f\u017ee b\u00fdt tak\u00e9 pou\u017eita jako v\u00fd\u017eivov\u00e1 sonda ke kr\u00e1tkodob\u00e9mu pod\u00e1v\u00e1n\u00ed v\u00fd\u017eivy, p\u0159i neschopnosti p\u0159ij\u00edmat j\u00eddlo a tekutiny \u00fasty, v\u00a0paliativn\u00ed onkologick\u00e9 p\u00e9\u010di m\u016f\u017ee zavedena sonda odstranit \u00fazkost, obavy ze zvracen\u00ed a bolesti b\u0159icha.<\/p><p>Postup p\u0159i zaveden\u00ed nasogastrick\u00e9 (\u017ealude\u010dn\u00ed) sondy:<\/p><ul><li>sestra poskytne pacientovi informace o \u00fa\u010delu a zp\u016fsobu zaveden\u00ed sondy, vyzve ho ke spolupr\u00e1ci.<\/li><li>p\u0159iprav\u00ed si pom\u016fcky a ulo\u017e\u00ed pacient do vhodn\u00e9 polohy vsed\u011b nebo polosed\u011b.<\/li><li>provede hygienickou dezinfekci rukou a nasad\u00ed si jednor\u00e1zov\u00e9 rukavice.<\/li><li>vyjme sondu z\u00a0obalu a zm\u011b\u0159\u00ed d\u00e9lku zaveden\u00ed (dist\u00e1ln\u00ed konec sondy p\u0159ilo\u017e\u00ed pod me\u010d\u00edk hrudn\u00ed kosti \u2013 nad oblast \u017ealudku, d\u00e1le k\u00a0u\u0161n\u00edmu lal\u016f\u010dku a ke \u0161pi\u010dce nosu) a ozna\u010d\u00ed m\u00edsto fixem nebo n\u00e1plast\u00ed.<\/li><li>konec sondy nat\u0159e lubrika\u010dn\u00edm gelem a opatrn\u011b zav\u00e1d\u00ed voln\u011bj\u0161\u00edm nosn\u00edm pr\u016fchodem.<\/li><li>pokud je pacient schopn\u00fd polykat pod\u00e1v\u00e1 \u010daj nebo vodu po l\u017ei\u010dk\u00e1ch a p\u0159i ka\u017ed\u00e9m polknut\u00ed zavede sondu d\u00e1l.<\/li><li>pokud pacient nem\u016f\u017ee p\u0159ij\u00edmat nic per os, vyzve ho, aby polykal napr\u00e1zdno.<\/li><li>sondu zavede a\u017e k\u00a0ozna\u010den\u00e9mu m\u00edstu na sond\u011b a zkontroluje spr\u00e1vnost zaveden\u00ed:<ul><li>aspirace \u017ealude\u010dn\u00edho obsahu<\/li><li>poslechov\u00e1 kontrola: na oblast \u017ealudku p\u0159ilo\u017e\u00ed fonendoskop a do sondy aplikuje 10-30ml vzduchu, pokud je sly\u0161et za\u0161krouk\u00e1n\u00ed, je sonda um\u00edst\u011bna spr\u00e1vn\u011b.<\/li><\/ul><\/li><li>pot\u00e9 zafixuje sondu n\u00e1plasti na nos, pop\u0159\u00edpad\u011b na tv\u00e1\u0159.<\/li><li>sondu napoj\u00ed na sb\u011brn\u00fd s\u00e1\u010dek nebo uzav\u0159e z\u00e1tkou.<\/li><li>provede \u00faklid pom\u016fcek a z\u00e1pis do zdravotnick\u00e9 dokumentace<\/li><\/ul><p>Shrnut\u00ed:<\/p><p>Zaveden\u00ed i extrakce \u017ealude\u010dn\u00ed sondy spad\u00e1 do kompetence l\u00e9ka\u0159e. Zaveden\u00ed nasogastrick\u00e9 sondy je nep\u0159\u00edjemn\u00fd v\u00fdkon, pacientovi mus\u00ed b\u00fdt z\u0159eteln\u011b objasn\u011bn d\u016fvod zaveden\u00ed. Sestra pot\u00e9 u pacienta pravideln\u011b kontroluje stav sliznic a okoln\u00edch tk\u00e1n\u00ed, p\u0159i dlouhodob\u00e9m zaveden\u00ed sondu v\u00a0nosn\u00edm pr\u016fchodu p\u0159emis\u0165uje, aby nedo\u0161lo k\u00a0vytvo\u0159en\u00ed slizni\u010dn\u00edch dekubit\u016f. Jakmile dojde k\u00a0\u00fastupu pot\u00ed\u017e\u00ed u pacienta, sonda m\u016f\u017ee b\u00fdt odstran\u011bna.<\/p><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b8a4db0 e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"b8a4db0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-c4a349b e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"c4a349b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a9ebb8 elementor-widget elementor-widget-image\" data-id=\"2a9ebb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-1024x684.jpg\" class=\"attachment-large size-large wp-image-95\" alt=\"\" srcset=\"https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-1024x684.jpg 1024w, https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-300x200.jpg 300w, https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-768x513.jpg 768w, https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-1536x1025.jpg 1536w, https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800.jpg 1898w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e67a9d elementor-widget elementor-widget-heading\" data-id=\"8e67a9d\" 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\">Informace<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac7437c elementor-widget elementor-widget-text-editor\" data-id=\"ac7437c\" 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: left;\">informace o p\u00e9\u010di pro ve\u0159ejnost i l\u00e9ka\u0159e<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6719c24 elementor-tablet-align-start elementor-mobile-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"6719c24\" 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577<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/medica.pacienti@seznam.cz\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-envelope\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">medica.pacienti@seznam.cz <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae8d4cd e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"ae8d4cd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7c1fbe4 elementor-widget elementor-widget-heading\" data-id=\"7c1fbe4\" 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\">Informace pro pacienty<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f33e4e7 elementor-tablet-align-start elementor-mobile-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"f33e4e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2022\/01\/Informace-o-zpracovani-osobnich-udaju-1.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Informace o zpracov\u00e1n\u00ed osobn\u00edch \u00fadaj\u016f<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2022\/01\/Formular-pro-uplatneni-prav-uzivatele-jako-subjektu-osobnich-udaju-1.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Formul\u00e1\u0159 pro uplatn\u011bn\u00ed pr\u00e1v u\u017eivatele jako subjektu osobn\u00edch \u00fadaj\u016f <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2022\/01\/Postup-pri-podavani-stiznosti-1.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Postup p\u0159i pod\u00e1v\u00e1n\u00ed st\u00ed\u017enost\u00ed<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2022\/04\/Nakla\u0301da\u0301ni\u0301-s-odpady-ze-zdravotni\u0301-pe\u0301c\u030ce-informace-pro-pacienty.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Informace o nakl\u00e1d\u00e1n\u00ed s odpady<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ce53ecb e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"ce53ecb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7f98644 elementor-widget elementor-widget-heading\" data-id=\"7f98644\" 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\">Soubory ke sta\u017een\u00ed<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c32098 elementor-tablet-align-start elementor-mobile-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"1c32098\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2020\/06\/bazalni-stimulace2.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Co je baz\u00e1ln\u00ed stimulace<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>P\u00e9\u010de o stomie, kat\u00e9try a sondy C\u00e9vkov\u00e1n\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e C\u00e9vkov\u00e1n\u00ed neboli katetrizace mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e je zaveden\u00ed kat\u00e9tru (c\u00e9vky) p\u0159es mo\u010dovou trubici do mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e k zaji\u0161t\u011bn\u00ed odtoku mo\u010de. Rozli\u0161ujeme katetrizaci [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":580,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-591","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>P\u00e9\u010de o stomie, kat\u00e9try a sondy - Medica3nec - Dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de<\/title>\n<meta name=\"description\" content=\"Poskytujeme profesion\u00e1ln\u00ed zdravotn\u00ed p\u00e9\u010di ve Va\u0161\u00ed dom\u00e1cnosti (mobiln\u00ed hospic, dom\u00e1c\u00ed p\u00e9\u010de, p\u016fj\u010dovna zdravotn\u00edch p\u0159\u00edstroj\u016f, soci\u00e1ln\u00ed poradna, vzd\u011bl\u00e1v\u00e1n\u00ed).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medica3nec.cz\/zp\/pece-o-stomie-katetry-a-sondy\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"P\u00e9\u010de o stomie, kat\u00e9try a sondy - 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