{"id":1489,"date":"2018-11-09T13:50:56","date_gmt":"2018-11-09T12:50:56","guid":{"rendered":"http:\/\/klubcf.sk\/?p=1489"},"modified":"2021-02-23T14:04:32","modified_gmt":"2021-02-23T13:04:32","slug":"nahle-koplikacie-pri-cystickej-fibroze-2-cast-pneumothorax","status":"publish","type":"post","link":"https:\/\/klubcf.sk\/index.php\/2018\/11\/09\/nahle-koplikacie-pri-cystickej-fibroze-2-cast-pneumothorax\/","title":{"rendered":"N\u00e1hle koplik\u00e1cie pri Cystickej fibr\u00f3ze  &#8211; 2 \u010das\u0165 &#8211; Pneumothorax"},"content":{"rendered":"<blockquote>\n<p class=\"western\" lang=\"de-DE\" align=\"justify\"><strong><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\">Pacienti s CF sa stret\u00e1vaj\u00fa okrem probl\u00e9mu vyka\u0161liavania krvi i s probl\u00e9mom n\u00e1hlej bolesti v p\u013e\u00facach \u2013 Pneumothorax. <\/span><\/span><\/strong><\/p>\n<\/blockquote>\n<p class=\"western\" lang=\"de-DE\" align=\"justify\"><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\"><b>Pneumothorax<\/b><\/span><\/span><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\"> znamen\u00e1 pr\u00edtomnos\u0165 vo\u013en\u00e9ho vzduchu v pleur\u00e1lnej dutine, t.j. v priestore medzi pohrudnicou p\u013e\u00facnou a n\u00e1stennou. P\u013e\u00facna pohrudnica je blana pokr\u00fdvaj\u00faca p\u013e\u00faca a n\u00e1stenn\u00e1 pohrudnica je blana pokr\u00fdvaj\u00faca vn\u00fatraj\u0161ok hrudnej dutiny. Za be\u017en\u00fdch okolnost\u00ed to vlastne ani dutina nie je, lebo obe pohrudnice na seba priliehaj\u00fa a je medzi nimi iba tenk\u00e1 vrstva tekutiny ako &#8222;mazadlo&#8220;, aby sa oba listy pohrudnice mohli po sebe hladko k\u013aza\u0165. Vzduch sa do pleur\u00e1lnej dutiny m\u00f4\u017ee dosta\u0165 pri \u00faraze alebo m\u00f4\u017ee by\u0165 pneumotorax &#8222;spont\u00e1nny&#8220;, kedy p\u013e\u00faca &#8222;praskn\u00fa&#8220;, \u010di u\u017e zo zjavnej alebo skrytej chorobnej pr\u00ed\u010diny.<a class=\"sdfootnoteanc\" href=\"#sdfootnote1sym\" name=\"sdfootnote1anc\"><sup>1<\/sup><\/a> <\/span><\/span><\/p>\n<p class=\"western\" lang=\"de-DE\" align=\"justify\"><strong><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\">Pri CF je to d\u00f4sledkom pokro\u010dilej\u0161ieho \u0161t\u00e1dia ochorenia, m\u00f4\u017ee to nasta\u0165 v pr\u00edpade ,, naf\u00faknutia\u201d p\u013e\u00fac \u2013 \u010do niektor\u00ed z N\u00e1s poznaj\u00fa &#8211; hrudn\u00edk ako ,,bal\u00f3n\u201d. <\/span><\/span><\/strong><\/p>\n<p class=\"western\" lang=\"de-DE\" align=\"justify\"><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\">V pr\u00edpade pneumothoraxu sa n\u00e1m \u0165a\u017e\u0161ie d\u00fdcha \u2013 n\u00e1dych\/v\u00fddych je kr\u00e1tky, rovnako je vyv\u00edjan\u00fd tlak na srdce a cievy.<\/span><\/span><\/p>\n<p class=\"western\" lang=\"de-DE\" align=\"justify\"><strong><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\"> Pneumothorax poci\u0165ujeme prostredn\u00edctvom vy\u017earovania prudkej bolesti v hrudnom ko\u0161i, v\u00e4\u010d\u0161inou na jednej strane a v\u00e4\u010d\u0161inou z prednej strany hrudn\u00edka. Prudk\u00e9 bolesti m\u00f4\u017eu po kr\u00e1tkom \u010dase aj ust\u00fapi\u0165, v pr\u00edpade mal\u00e9ho pneumothoraxu. Mal\u00fd Pneumothorax pacient poci\u0165uje sk\u00f4r ako zmenu tolerancie n\u00e1mahy a s\u0165a\u017een\u00fdm d\u00fdchan\u00edm. <\/span><\/span><\/strong><\/p>\n<p class=\"western\" lang=\"de-DE\" align=\"justify\"><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\">Nie ka\u017ed\u00e1 boles\u0165 v hrudnom ko\u0161i automaticky znamen\u00e1 pneumothorax. Bolesti, prudk\u00e9 a ostr\u00e9 bolesti m\u00f4\u017ee pacient s CF ma\u0165 aj po z\u00e1chvatovom a dlhodobom ka\u0161li. Po takomto ka\u0161li m\u00f4\u017ee d\u00f4js\u0165 k bolestiam svalom, mal\u00fdm trhlin\u00e1m \u010di dokonca k prasknutiu rebier. Z\u00e1pal pleuri sp\u00f4sobuje tie\u017e siln\u00e9 bolesti pri ka\u0161li a hlbokom d\u00fdchan\u00ed. Pneumothorax sa vyskytuje \u010dastej\u0161ie v pr\u00edpade pokro\u010dilej\u0161ieho \u0161t\u00e1dia CF &#8211; v\u00fdraznej\u0161ieho po\u0161kodenia p\u013e\u00fac. Pneumothorax m\u00f4\u017ee nasta\u0165 pri CF po prudkom a dlhotrvaj\u00facom ka\u0161li ale rovnako ako hemopt\u00fdza aj bez zjavnej pr\u00ed\u010diny.<\/span><\/span><\/p>\n<p class=\"western\" lang=\"sk-SK\" align=\"justify\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1490 alignright\" src=\"http:\/\/klubcf.sk\/wp-content\/uploads\/2018\/11\/pneumothorax.png\" alt=\"\" width=\"533\" height=\"400\" srcset=\"https:\/\/klubcf.sk\/wp-content\/uploads\/2018\/11\/pneumothorax.png 533w, https:\/\/klubcf.sk\/wp-content\/uploads\/2018\/11\/pneumothorax-300x225.png 300w\" sizes=\"auto, (max-width: 533px) 100vw, 533px\" \/>\n<\/p>\n<p class=\"western\" lang=\"de-DE\" align=\"justify\"><a name=\"_GoBack\"><\/a> <span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\">Siln\u00e9 bolesti hrudn\u00edka je potrebn\u00e9 r\u00fdchlo diagnostikova\u0165 a&nbsp;potvrdi\u0165\/vyl\u00fa\u010di\u0165 pneumothorax. Pneumothrax je komplik\u00e1cia, ktor\u00e1 <\/span><\/span><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\"><b>vy\u017eaduje okam\u017eit\u00fa lie\u010dbu v zdravotn\u00edckom zariaden\u00ed<\/b><\/span><\/span><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\">, nako\u013eko je \u017eivot ohrozuj\u00facou. Sledovanie satur\u00e1cie kysl\u00edka v krvi a r\u00f6ntgenov\u00e1 sn\u00edmka p\u013e\u00fac s\u00fa z\u00e1kladn\u00e9 n\u00e1stroje, pomocou ktor\u00fdch lek\u00e1ri vedia ur\u010di\u0165 pneumothorax pacienta. Lie\u010dba pneumothoraxu je r\u00f4zna, z\u00e1vis\u00ed od druhu, ve\u013ekosti a \u010dastosti v\u00fdskytu u jednotliv\u00fdch pacientov. Naj\u010dastej\u0161ie je potrebn\u00e1 dren\u00e1\u017e. Aj pre pneumothorax plat\u00ed \u2013 neby\u0165 pr\u00edli\u0161 r\u00fdchly pri pou\u017eit\u00ed zlo\u017eitej\u0161\u00edch postupov, tie m\u00f4\u017eu probl\u00e9m vyrie\u0161i\u0165 r\u00fdchlej\u0161ie a efekt\u00edvnej\u0161ie, ale s\u00fa spojen\u00e9 s viacer\u00fdmi ved\u013eaj\u0161\u00edmi rizikami ( invaz\u00edvne met\u00f3dy m\u00f4\u017eu znemo\u017eni\u0165 alebo s\u0165a\u017ei\u0165 v bud\u00facnosti transplant\u00e1ciu p\u013e\u00fac pre pacienta s CF). V pr\u00edpade tejto komplik\u00e1cie je potrebn\u00e9 konzultova\u0165 tento probl\u00e9m <\/span><\/span><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\"><b>s CF centrom<\/b><\/span><\/span><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\">, pred stanoven\u00edm postupu lie\u010dby.<\/span><\/span><\/p>\n<p class=\"western\" lang=\"de-DE\"><span style=\"font-family: 'Arial Narrow', serif;\"><span lang=\"sk-SK\">V pr\u00edpade tejto komplik\u00e1cie pacient vyh\u013ead\u00e1 CF centrum v okol\u00ed, ak sa tak\u00e9 centrum nenach\u00e1dza v bl\u00edzkom okol\u00edm, pacient nav\u0161t\u00edvi urgentn\u00fd pr\u00edjem a kontaktuje v pr\u00edpade potvrdenia penumothoraxu CF centrum. <a class=\"sdfootnoteanc\" href=\"#sdfootnote2sym\" name=\"sdfootnote2anc\"><sup>2<\/sup><\/a>,<a class=\"sdfootnoteanc\" href=\"#sdfootnote3sym\" name=\"sdfootnote3anc\"><sup>3<\/sup><\/a><\/span><\/span><\/p>\n<p class=\"western\" lang=\"de-DE\">&nbsp;<\/p>\n<p class=\"western\" lang=\"de-DE\">&nbsp;<\/p>\n<div id=\"sdfootnote1\">\n<p class=\"sdfootnote-western\" lang=\"de-DE\"><a class=\"sdfootnotesym\" href=\"#sdfootnote1anc\" name=\"sdfootnote1sym\">1<\/a><sup>\u0002<\/sup>Spracovan\u00e9 na z\u00e1klade <a href=\"https:\/\/www.zdravie.sk\/poradna\/20765\/co-je-pneumothorax\">https:\/\/www.zdravie.sk\/poradna\/20765\/co-je-pneumothorax<\/a><\/p>\n<\/div>\n<div id=\"sdfootnote2\">\n<p class=\"sdfootnote-western\" lang=\"de-DE\"><a class=\"sdfootnotesym\" href=\"#sdfootnote2anc\" name=\"sdfootnote2sym\">2<\/a><sup>\u0002<\/sup> <span lang=\"sk-SK\">Spracovan\u00e9 na z\u00e1klade Notfalle bei CF, 2004 <\/span> <span lang=\"sk-SK\">http:\/\/www.mukoland.de\/notfaelle.htm<\/span><\/p>\n<\/div>\n<div id=\"sdfootnote3\">\n<p class=\"sdfootnote-western\" lang=\"de-DE\"><a class=\"sdfootnotesym\" href=\"#sdfootnote3anc\" name=\"sdfootnote3sym\">3<\/a><sup>\u0002<\/sup><span lang=\"sk-SK\">Tento \u010dl\u00e1nok je len informa\u010dn\u00fd, pacient v\u017edy dodr\u017euje pokyny lek\u00e1ra.<\/span><\/p>\n<\/div>\n<p class=\"sdfootnote-western\" lang=\"de-DE\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1491\" src=\"http:\/\/klubcf.sk\/wp-content\/uploads\/2018\/11\/definition-pneumothorax-awesome-something-about-pneumothorax-of-definition-pneumothorax.jpg\" alt=\"\" width=\"638\" height=\"479\" srcset=\"https:\/\/klubcf.sk\/wp-content\/uploads\/2018\/11\/definition-pneumothorax-awesome-something-about-pneumothorax-of-definition-pneumothorax.jpg 638w, https:\/\/klubcf.sk\/wp-content\/uploads\/2018\/11\/definition-pneumothorax-awesome-something-about-pneumothorax-of-definition-pneumothorax-300x225.jpg 300w, https:\/\/klubcf.sk\/wp-content\/uploads\/2018\/11\/definition-pneumothorax-awesome-something-about-pneumothorax-of-definition-pneumothorax-570x428.jpg 570w\" sizes=\"auto, (max-width: 638px) 100vw, 638px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pacienti s CF sa stret\u00e1vaj\u00fa okrem probl\u00e9mu vyka\u0161liavania krvi i s probl\u00e9mom n\u00e1hlej bolesti v p\u013e\u00facach \u2013 Pneumothorax. Pneumothorax znamen\u00e1 pr\u00edtomnos\u0165 vo\u013en\u00e9ho vzduchu v pleur\u00e1lnej dutine, t.j. v priestore medzi pohrudnicou p\u013e\u00facnou a n\u00e1stennou. P\u013e\u00facna pohrudnica je blana pokr\u00fdvaj\u00faca p\u013e\u00faca a n\u00e1stenn\u00e1 pohrudnica je blana pokr\u00fdvaj\u00faca vn\u00fatraj\u0161ok hrudnej dutiny. Za be\u017en\u00fdch okolnost\u00ed to vlastne ani [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1492,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1489","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cysticka-fibroza"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>N\u00e1hle koplik\u00e1cie pri Cystickej fibr\u00f3ze - 2 \u010das\u0165 - Pneumothorax - 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\/11\/09\/nahle-koplikacie-pri-cystickej-fibroze-2-cast-pneumothorax\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"N\u00e1hle koplik\u00e1cie pri Cystickej fibr\u00f3ze - 2 \u010das\u0165 - Pneumothorax - klubcf.sk\" \/>\n<meta property=\"og:description\" content=\"Pacienti s CF sa stret\u00e1vaj\u00fa okrem probl\u00e9mu vyka\u0161liavania krvi i s probl\u00e9mom n\u00e1hlej bolesti v p\u013e\u00facach \u2013 Pneumothorax. Pneumothorax znamen\u00e1 pr\u00edtomnos\u0165 vo\u013en\u00e9ho vzduchu v pleur\u00e1lnej dutine, t.j. v priestore medzi pohrudnicou p\u013e\u00facnou a n\u00e1stennou. P\u013e\u00facna pohrudnica je blana pokr\u00fdvaj\u00faca p\u013e\u00faca a n\u00e1stenn\u00e1 pohrudnica je blana pokr\u00fdvaj\u00faca vn\u00fatraj\u0161ok hrudnej dutiny. 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