{"id":1472,"date":"2018-09-27T12:08:46","date_gmt":"2018-09-27T10:08:46","guid":{"rendered":"http:\/\/klubcf.sk\/?p=1472"},"modified":"2021-02-23T14:05:19","modified_gmt":"2021-02-23T13:05:19","slug":"nahle-komplikacie-pri-cystickej-fibroze-cast","status":"publish","type":"post","link":"https:\/\/klubcf.sk\/index.php\/2018\/09\/27\/nahle-komplikacie-pri-cystickej-fibroze-cast\/","title":{"rendered":"N\u00e1hle komplik\u00e1cie pri Cystickej fibr\u00f3ze – I \u010das\u0165."},"content":{"rendered":"
\n

Cystick\u00e1 fibr\u00f3za je ochorenie, ktor\u00e9 vie prekvapi\u0165 CF pacienta a jeho najbli\u017e\u0161\u00edch niekedy aj ak\u00fatnymi komplik\u00e1ciami. Ak nastan\u00fa prv\u00fdkr\u00e1t v \u017eivote, \u010dlovek je \u010dasto ve\u013emi prekvapen\u00fd, m\u00f4\u017ee nasta\u0165 panika alebo podcen<\/span><\/span>enie<\/span><\/span> situ\u00e1cie. <\/span><\/span><\/span><\/span><\/p>\n<\/blockquote>\n

P<\/span><\/span>rin\u00e1\u0161ame <\/span><\/span>V\u00e1m<\/span><\/span> preh\u013ead naj\u010dastej\u0161\u00edch ak\u00fatnych komplik\u00e1cii pri CF. V\u00e4\u010d\u0161inou sa tieto komplik\u00e1cie sp\u00e1jaj\u00fa s vy\u0161\u0161\u00edm vekom CF <\/span><\/span>pacienta a pri rozsiahlej\u0161om<\/span><\/span> po\u0161koden\u00edm p\u013e\u00fac \u010di pankreasu. <\/span><\/span><\/span><\/p>\n

Je ve\u013emi d\u00f4le\u017eit\u00e9 spr\u00e1vne zareagova\u0165 na pr\u00edpadn\u00fa komplik\u00e1ciu a zachova\u0165 chladn\u00fa myse\u013e, nereagova\u0165 panicky a prekonzultova\u0165 mo\u017en\u00e9 komplik\u00e1cie s najbli\u017e\u0161\u00edmi, aby aj oni vedeli, \u010do maj\u00fa kedy robi\u0165. <\/span><\/span><\/b><\/span><\/p>\n

Medzi ak\u00fatn<\/span><\/span>e<\/span><\/span> p\u013e\u00facne komplik\u00e1cie patr\u00ed hemopt\u00fdza (vyka\u0161liavanie krvi) a pneumotorax. <\/span><\/span><\/span><\/span><\/span><\/h1>\n
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    Hemopt\u00fdza \u2013 vyka\u0161liavanie krvi\"\"<\/b><\/span><\/span><\/span><\/h1>\n<\/li>\n<\/ul>\n

    Je to asi jedna z najviac roz\u0161\u00edren\u00fdch n\u00e1hlych komplik\u00e1cii spojen\u00e1 s d\u00fdchac\u00edm syst\u00e9mom. <\/span><\/span><\/span><\/p>\n

    T\u00e1to komplik\u00e1cia vie ve\u013emi vy\u013eaka\u0165 \u010di u\u017e pacienta alebo jeho okolie. Je d\u00f4le\u017eit\u00e9 zachova\u0165 k\u013eud a pokoj, nako\u013eko t\u00e1to komplik\u00e1cia m\u00f4\u017ee nasta\u0165 <\/span><\/span><\/span>v noci, \u010di ne\u010dakane po\u010das d\u0148a<\/b><\/span><\/span><\/span> (napr. pri vykon\u00e1van\u00ed \u0161portu alebo po z\u00e1chvate ka\u0161\u013ea). <\/span><\/span><\/span>Hempot\u00fdza neznamen\u00e1 ihne\u010f, \u017ee stav pacienta je zl\u00fd, preto\u017ee s\u00fa pacienti, ktor\u00ed krv ka\u0161l\u00fa ob\u010dasne roky a aj desiatky rokov. <\/span><\/span><\/span><\/p>\n

    Je potrebn\u00e9 v\u017edy <\/span><\/span>upokoji\u0165 pacienta<\/b><\/span><\/span>. V pr\u00edpade opakuj\u00facej sa hemopt\u00fdzy sa pacienti pomaly nau\u010dia s t\u00fdm existova\u0165 a <\/span><\/span>\u010dasto u\u017e vopred vedia, \u017ee bud\u00fa o chv\u00ed\u013eu ka\u0161l<\/b><\/span><\/span>iava\u0165<\/b><\/span><\/span> krv.<\/b><\/span><\/span><\/span><\/p>\n

     Vyka\u0161liavanie krvi m\u00e1 viacero \u0161t\u00e1di\u00ed,<\/span><\/span><\/span><\/span><\/p>\n

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    •  Pr\u00fa\u017eky krvi v sp\u00fate <\/span><\/span><\/span> (cca. 60% pacientov s CF sa s t\u00fdm po\u010das \u017eivota stretne) <\/span><\/span><\/span>sa m\u00f4\u017eu objavi\u0165 po inhalovan\u00ed, \u010di fyzioterapii. Neb\u00fdva potrebn\u00e1 okam\u017eit\u00e1 kontrola u lek\u00e1ra ale udalos\u0165 treba konzultova\u0165 s lek\u00e1rom na prehliadke v CF centre.<\/span><\/span><\/span><\/li>\n
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      Krv je vo v\u00e4\u010d\u0161ej miere v sp\u00fate. <\/span><\/span><\/span><\/p>\n<\/li>\n

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      Vy<\/span><\/span><\/span>ka\u0161liava \u010dist\u00fa krv bez pr\u00edmesi sp\u00fata (cca. 5% pacientov CF) <\/span><\/span><\/span><\/p>\n<\/li>\n<\/ul>\n

      Pomoc pri vyka\u0161liavan\u00ed \u010distej krvi.<\/span><\/span><\/span><\/span><\/h4>\n
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        V pr\u00edpade, \u017ee pacient vyka\u0161liava men\u0161ie mno\u017estvo \u010distej krvi je potrebn\u00e9 zabezpe\u010di\u0165 k\u013eud, \u013eahn\u00fa\u0165 si na stranu, z ktorej vyka\u0161liava krv a presta\u0165 inhalova\u0165, \u010do najmenej dr\u00e1\u017edi\u0165 d\u00fdchacie cesty. Vyhn\u00fa\u0165 sa tepl\u00fdm jedl\u00e1m, \u010daju a na miesto,odkia\u013e vyka\u0161liava krv prilo\u017ei\u0165 zabalen\u00fd \u013ead alebo nie\u010do studen\u00e9. V \u017eiadnom pr\u00edpade nebra\u0165 acilpirin \u010di ibuprofen. Ak u\u017e pacient m\u00e1 sk\u00fasenos\u0165 s ka\u0161<\/span><\/span><\/span><\/span>\u013e<\/span><\/span><\/span><\/span>an\u00edm krvi, tak m\u00e1 v\u00e4\u010d\u0161inou aj lieky z CF centra, ktor\u00e9 je <\/span><\/span><\/span><\/span>treba u\u017ei\u0165<\/span><\/span><\/span><\/span>. V pr\u00edpade \u017ee je to prv\u00fdkr\u00e1t <\/span><\/span><\/span><\/span>o<\/span><\/span><\/span><\/span>dpor\u00fa\u010da <\/span><\/span><\/span><\/span>sa<\/span><\/span><\/span><\/span> vitam\u00edn K. <\/span><\/span><\/span><\/span>V pr\u00edpade men\u0161ieho mno\u017estvo je potrebn\u00e9 <\/span><\/span><\/span><\/span>ozn\u00e1mi\u0165 t\u00fato skuto\u010dnos\u0165 o\u0161etruj\u00facemu CF lek\u00e1rovi<\/span><\/span><\/span><\/span> , aby sa stanovila mo\u017en\u00e1 pr\u00ed\u010dina krv\u00e1cania (infekcia, kvasinky alebo plesne v sp\u00fate, stres, fyzick\u00e1 n\u00e1maha, men\u0161tru\u00e1cia, such\u00fd studen\u00fd vzduch v zime a in\u00e9) a prijali <\/span><\/span><\/span><\/span>sa<\/span><\/span><\/span><\/span> n\u00e1pravn\u00e9 opatrenia. <\/span><\/span><\/span><\/span>Pre lep\u0161iu diagnostiku<\/span><\/span><\/span><\/span> je potrebn\u00e9 sledova\u0165 mno\u017estvo vyka\u0161<\/span><\/span><\/span><\/span>\u013e<\/span><\/span><\/span><\/span>anej krvi. To b\u00fdva aj prv\u00e1 ot\u00e1zka lek\u00e1ra. Najprv to v\u017edy vyzer\u00e1, \u017ee je tej krvi ve\u013ea, ale je potrebn\u00e9 stanovi\u0165 mierku. V pr\u00edpade, \u017ee \u010dlovek vyka\u0161le v priebehu dvoch hod\u00edn napr. \u0161tamperl\u00edk krvi (2cl-200 ml) a krv\u00e1canie neustupuje, je potrebn\u00e9 kontaktova\u0165 zdravotn\u00edcke zariadenie.<\/span><\/span><\/span><\/span><\/p>\n<\/li>\n

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        V pr\u00edpade, \u017ee pacient vyka\u0161liava \u010dist\u00fa krv, v r\u00e1mci 24 hod\u00edn viac ako 250 ml hovor\u00edme o silnom krv\u00e1can\u00ed. Tu je potrebn\u00e9 okam\u017eite zabezpe\u010di\u0165 hospitaliz\u00e1ciu v zdravotn\u00edckom zariaden\u00ed najlep\u0161ie v CF centre alebo na p\u013e\u00facnom oddelen\u00ed. Napriek tomu, \u017ee pacient m\u00e1 pocit obrovsk\u00e9ho krv\u00e1cania sa \u010dasto jedn\u00e1 o mal\u00fa dierku v cieve o ve\u013ekosti \u0161pendl\u00edkovej hlavi\u010dky. V nemocnici pod\u013ea z\u00e1va\u017enosti naj\u010dastej\u0161ie pacient dostane lieky na zastavenie krv\u00e1cania, \u013ead a kysl\u00edk, aby sa rana r\u00fdchlej\u0161ie zahojila. V pr\u00edpade, \u017ee to nesta\u010d\u00ed s\u00fa aj \u010fal\u0161ie mo\u017enosti lie\u010dby. V CF centr\u00e1ch s\u00fa na tieto komplik\u00e1cie pripraven\u00ed a vedia pr\u00edpadne usmerni\u0165 aj lek\u00e1ra mimo CF centra telefonicky. <\/span><\/span><\/span><\/span><\/p>\n<\/li>\n<\/ul>\n

        V\u017edy je potrebn\u00e9 vyka\u0161la\u0165 <\/span><\/span><\/span>v\u0161etku nahromaden\u00fa<\/span><\/span><\/span> krv a nenecha\u0165 ju v p\u013e\u00facach, nako\u013eko <\/span><\/span><\/span>m\u00f4\u017ee n\u00e1sledne<\/span><\/span><\/span> vznikn\u00fa\u0165 z\u00e1pal. <\/span><\/span><\/span>Rob\u00ed sa to<\/span><\/span><\/span> ve\u013emi \u0161etrnou fyzioterapiou, aby sa rana op\u00e4tovne neotvorila. <\/span><\/span><\/span>Nieje vhodn\u00e9 <\/span><\/span><\/span>ve\u013ea <\/span><\/span><\/span>a nasilu ka\u0161la\u0165<\/span><\/span><\/span> a inhal\u00e1cie obnovi\u0165 postupne a \u0161etrne. Star\u00fa krv m\u00f4\u017eete vyka\u0161liava\u0165 e\u0161te p\u00e1r dn\u00ed. Telo m\u00e1 svoju samo\u010distiacu schopnos\u0165.<\/span><\/span><\/span><\/p>\n

         <\/p>\n

        D\u00f4le\u017eit\u00fd vitam\u00edn K\"\" <\/span><\/span><\/span><\/span><\/span><\/p>\n

        Pri CF je d\u00f4le\u017eit\u00e9 sledova\u0165 vitam\u00edn K v krvi, nako\u013eko nedostatok tohto vitam\u00ednu m\u00f4\u017ee krv\u00e1canie negat\u00edvne ovplyvni\u0165. K vitam\u00edn je vitam\u00edn rozpustn\u00fd v tukoch a pri CF je \u0165a\u017e\u0161ie vstrebate\u013en\u00fd, preto sa odpor\u00fa\u010da jeho suplement\u00e1cia. <\/span><\/span><\/span><\/p>\n

         <\/p>\n

        Krv\u00e1canie m\u00f4\u017eu vyvol\u00e1va\u0165 aj lieky na inhalovanie ako napr. niektor\u00e9 inhala\u010dn\u00e9 antibiotik\u00e1. Po\u010das obdobia vyka\u0161liavani<\/span><\/span>a<\/span><\/span> krvi sa neodpor\u00fa\u010daj\u00fa inhal\u00e1cie viacpercetn\u00fdm slan\u00fdm roztokom ani <\/span><\/span>u\u017e\u00edva\u0165 <\/span><\/span>Pulmozyne. Taktie\u017e je potrebn\u00e9 obmedzi\u0165 lieky aspirin, ibuprofen alebo hepar\u00edn, ktor\u00e9 m\u00f4\u017eu zosilni\u0165 krv\u00e1canie. Neodpor\u00fa\u010da sa ani jest hor\u00face jedl\u00e1 \u010di pi\u0165 hor\u00face n\u00e1poje, rovnako aj vyh\u00fdba\u0165 sa hor\u00facej sprche \u010di k\u00fape\u013eu. <\/span><\/span><\/span><\/p>\n

        Kr\u00e1tka sumariz\u00e1cia:<\/span><\/span><\/strong><\/span><\/p>\n

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          Je potrebn\u00e9 zachova\u0165 pokoj, zbyto\u010dne sa nestresova\u0165 \u2013 \u017eiadnu paniku<\/span><\/span><\/em><\/span><\/h4>\n<\/li>\n
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          Je potrebn\u00e9 sledova\u0165 mno\u017estvo vyka\u0161<\/span><\/span>\u013e<\/span><\/span>anej krvi, nako\u013eko od toho z\u00e1vis\u00ed \u010fal\u0161\u00ed postup<\/span><\/span><\/span><\/em><\/h4>\n
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            Pr\u00fa\u017eky krvi alebo ve\u013emi mal\u00e9 mno\u017estvo krvi v sp\u00fate – telefonicky kontaktova\u0165 CF lek\u00e1ra, nemus\u00ed by\u0165 okam\u017eite, upovedomi\u0165 pri kontrole v CF centre<\/span><\/span><\/em><\/span><\/h4>\n<\/li>\n
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            Jednorazov\u00e1 hemopt\u00fdza \u2013 vyka\u0161lan\u00e1 bola \u010dist\u00e1 krv, menej ako 20 ml za hodinu \u010do je cca. 1 \u0161tamperl\u00edk – kontaktova\u0165 CF lek\u00e1ra a postupova\u0165 pod\u013ea jeho in\u0161trukci\u00ed, naj\u010dastej\u0161ie u\u017ei\u0165 lieky na zastavenie krv\u00e1cania, pr\u00edpadne nav\u0161t\u00edvi\u0165 zdravotn\u00edcke zariadenie ak sa jedn\u00e1 o prv\u00fa hemopt\u00fdzu a pacient doma nem\u00e1 \u017eiadne liek<\/span><\/span>y nem\u00e1<\/span><\/span>.<\/span><\/span><\/span><\/span><\/em><\/h4>\n<\/li>\n
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            Dlhodobej\u0161ie vy\u0161kaliavanie krvi alebo viac ako 20ml za hodinu \u2013 je potrebn\u00e9 okam\u017eite nav\u0161t\u00edvi\u0165 zdravotn\u00edcke zariadenie (najlep\u0161ie CF centrum) a kontaktova\u0165 CF lek\u00e1ra<\/span><\/span><\/em><\/span><\/h4>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
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              Pri n\u00e1hlej n\u00e1v\u0161teve zdravotn\u00edckeho zariadenia mimo centra CF sa V\u00e1m \u017eia\u013e m\u00f4\u017ee sta\u0165, \u017ee nebud\u00fa ma\u0165 \u017eiadnu sk\u00fasenos\u0165 s touto komplik\u00e1ciou <\/span><\/span>a <\/span><\/span> ani <\/span><\/span>s<\/span><\/span> CF. M\u00f4\u017eu V\u00e1s presvied\u010da\u0165, \u017ee vyka\u0161liavate krv z tr\u00e1viacej s\u00fastavy \u010di hrtana. <\/span><\/span>Bud\u00fa chcie\u0165 r<\/span><\/span>obi\u0165 r\u00f4zne vy\u0161etrenia. <\/span><\/span>V<\/span><\/span> takom pr\u00edpade je potrebn\u00e9 \u017eiada\u0165 o telefonick\u00fa konzult\u00e1ciu s CF centrom. <\/span><\/span><\/span><\/em><\/h4>\n<\/li>\n<\/ul>\n

              Prajeme V\u00e1m nech V\u00e1s t\u00e1to komplik\u00e1cia obch\u00e1dza, ale je d\u00f4le\u017eit\u00e9 vedie\u0165, \u017ee m\u00f4\u017ee nasta\u0165 <\/span><\/span>ne\u010dakane. <\/span><\/span><\/span><\/p>\n

              Pre KlubCf spracovala- IV-<\/span><\/span> <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

              Cystick\u00e1 fibr\u00f3za je ochorenie, ktor\u00e9 vie prekvapi\u0165 CF pacienta a jeho najbli\u017e\u0161\u00edch niekedy aj ak\u00fatnymi komplik\u00e1ciami. Ak nastan\u00fa prv\u00fdkr\u00e1t v \u017eivote, \u010dlovek je \u010dasto ve\u013emi prekvapen\u00fd, m\u00f4\u017ee nasta\u0165 panika alebo podcenenie situ\u00e1cie. Prin\u00e1\u0161ame V\u00e1m preh\u013ead naj\u010dastej\u0161\u00edch ak\u00fatnych komplik\u00e1cii pri CF. V\u00e4\u010d\u0161inou sa tieto komplik\u00e1cie sp\u00e1jaj\u00fa s vy\u0161\u0161\u00edm vekom CF pacienta a pri rozsiahlej\u0161om po\u0161koden\u00edm p\u013e\u00fac […]<\/p>\n","protected":false},"author":1,"featured_media":1485,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1472","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cysticka-fibroza"],"yoast_head":"\nN\u00e1hle komplik\u00e1cie pri Cystickej fibr\u00f3ze - I \u010das\u0165. - klubcf.sk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/klubcf.sk\/index.php\/2018\/09\/27\/nahle-komplikacie-pri-cystickej-fibroze-cast\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"N\u00e1hle komplik\u00e1cie pri Cystickej fibr\u00f3ze - I \u010das\u0165. - klubcf.sk\" \/>\n<meta property=\"og:description\" content=\"Cystick\u00e1 fibr\u00f3za je ochorenie, ktor\u00e9 vie prekvapi\u0165 CF pacienta a jeho najbli\u017e\u0161\u00edch niekedy aj ak\u00fatnymi komplik\u00e1ciami. Ak nastan\u00fa prv\u00fdkr\u00e1t v \u017eivote, \u010dlovek je \u010dasto ve\u013emi prekvapen\u00fd, m\u00f4\u017ee nasta\u0165 panika alebo podcenenie situ\u00e1cie. Prin\u00e1\u0161ame V\u00e1m preh\u013ead naj\u010dastej\u0161\u00edch ak\u00fatnych komplik\u00e1cii pri CF. 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