{"id":2116,"date":"2023-07-13T15:10:35","date_gmt":"2023-07-13T13:10:35","guid":{"rendered":"https:\/\/apolinar.eu\/?page_id=2116"},"modified":"2023-07-13T15:10:35","modified_gmt":"2023-07-13T13:10:35","slug":"bezne-problemy-novorozence","status":"publish","type":"page","link":"https:\/\/apolinar.capta.cz\/vi\/neonatologie\/fyziologicky-novorozenec\/bezne-problemy-novorozence\/","title":{"rendered":"B\u011b\u017en\u00e9 probl\u00e9my novorozence"},"content":{"rendered":"
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B\u011b\u017en\u00e9 probl\u00e9my novorozence<\/h1>
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Novorozeneck\u00e1 \u017eloutenka<\/h3>\r\n
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Novorozeneck\u00e1 \u017eloutenka (ikterus)<\/strong>\u00a0vznik\u00e1 u poloviny dono\u0161en\u00fdch novorozenc\u016f. V\u011bt\u0161inou sama odezn\u00ed a nem\u00e1 \u017e\u00e1dn\u00e9 dal\u0161\u00ed n\u00e1sledky. Vznik\u00e1 kv\u016fli rozpadu \u010derven\u00fdch krvinek, p\u0159i kter\u00e9m se uvol\u0148uje barvivo bilirubin, kter\u00fd zp\u016fsobuje \u017elut\u00e9 zabarven\u00ed k\u016f\u017ee a o\u010dn\u00edho b\u011blma. \u017dloutenku sledujeme u v\u0161ech miminek 2 x denn\u011b tzv. transkut\u00e1nn\u00ed ikterometri\u00ed \u2013 bezbolestn\u00fdm p\u0159ilo\u017een\u00edm sondy na k\u016f\u017ei miminka. Stoupne-li \u017eloutenka nad ur\u010ditou hranici, m\u016f\u017ee l\u00e9ka\u0159 rozhodnout o kontrole \u017eloutenky z\u202fvy\u0161et\u0159en\u00ed krve miminka. M\u00edrn\u00e9 formy \u017eloutenky nevy\u017eaduj\u00ed l\u00e9\u010dbu. Jakmile je \u017eloutenka z\u00e1va\u017en\u011bj\u0161\u00ed, l\u00e9\u010d\u00edme miminko pomoc\u00ed fototerapie \u2013 l\u00e9\u010dby modr\u00fdm sv\u011btlem, kter\u00e1 prob\u00edh\u00e1 na d\u011btsk\u00e9m boxe, miminko je pod p\u0159\u00edm\u00fdm dohledem d\u011btsk\u00fdch sester. Sestry pravideln\u011b nos\u00ed miminka i b\u011bhem fototerapie mamink\u00e1m ke kojen\u00ed nebo maminka doch\u00e1z\u00ed za miminkem na d\u011btsk\u00fd box.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Sn\u00ed\u017een\u00e1 hladina cukru v\u202fkrvi<\/h3>\r\n
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Sn\u00ed\u017een\u00e1 hladina cukru v\u202fkrvi (hypoglyk\u00e9mie)<\/strong>\u00a0m\u016f\u017ee vznikat u n\u011bkter\u00fdch novorozenc\u016f s\u202fur\u010dit\u00fdm rizikem jako jsou miminka s n\u00edzkou nebo naopak velkou porodn\u00ed hmotnost\u00ed, miminka matek s t\u011bhotenskou \u010di jinou formou cukrovky, nezral\u00e1 miminka, novorozenci s poruchou poporodn\u00ed adaptace. V\u0161em novorozenc\u016fm, kte\u0159\u00ed maj\u00ed toto riziko, kontrolujeme hladinu cukru v krvi odb\u011brem z pati\u010dky.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Kol\u00edsav\u00e1 t\u011blesn\u00e1 teplota<\/h3>\r\n
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Kol\u00edsav\u00e1 t\u011blesn\u00e1 teplota<\/strong>\u00a0se tak\u00e9 \u0159ad\u00ed mezi mo\u017en\u00e9 po\u010d\u00e1te\u010dn\u00ed probl\u00e9my novorozenc\u016f, novorozenci nemaj\u00ed pln\u011b vyvinutou termoregulaci a mohou se snadno podchladit nebo p\u0159eh\u0159\u00e1t. Oboj\u00ed m\u016f\u017ee pro miminko p\u0159edstavovat riziko. V prvn\u00edch dnech \u017eivota m\u011b\u0159\u00edme pravideln\u011b teplotu miminku v podpa\u017e\u00ed (norm\u00e1ln\u00ed rozmez\u00ed 36\u201337\u00b0C) nebo v zade\u010dku (norm\u00e1ln\u00ed rozmez\u00ed 36,5\u201337,5\u00b0C).<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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P\u0159echodn\u00e9 zrychlen\u00e9 nebo nam\u00e1hav\u00e9 d\u00fdch\u00e1n\u00ed<\/h3>\r\n
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P\u0159echodn\u00e9 zrychlen\u00e9 nebo nam\u00e1hav\u00e9 d\u00fdch\u00e1n\u00ed (transientn\u00ed tachypnoe novorozence)<\/strong>\u00a0po narozen\u00ed. Novorozence sledujeme na d\u011btsk\u00e9m boxe odd\u011blen\u00ed \u0161estined\u011bl\u00ed (i pokud vy\u017eaduj\u00ed kysl\u00edkovou terapii). \u010casto se stav d\u00edt\u011bte spont\u00e1nn\u011b uprav\u00ed b\u011bhem n\u011bkolika hodin. V p\u0159\u00edpad\u011b komplikac\u00ed se o miminko postar\u00e1me na na\u0161em specializovan\u00e9m odd\u011blen\u00ed intenzivn\u00ed p\u00e9\u010de.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Z\u00e1n\u011bt spojivek<\/h3>\r\n
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Z\u00e1n\u011bt spojivek (konjunktivitida)<\/strong>, kter\u00fd se m\u016f\u017ee prvn\u00edch dnech po narozen\u00ed projevit sekrec\u00ed z o\u010d\u00ed. P\u0159\u00ed\u010dinou je pr\u016fchod miminka porodn\u00edmi cestami os\u00eddlen\u00fdmi \u0159adou mikrob\u016f. O\u010di o\u0161et\u0159ujeme o\u010dn\u00edmi kapkami.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/section>\r\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":6,"featured_media":0,"parent":4001,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2116","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nB\u011b\u017en\u00e9 probl\u00e9my novorozence - Porodnice U Apolin\u00e1\u0159e<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u011b\u017en\u00e9 probl\u00e9my novorozence - Porodnice U Apolin\u00e1\u0159e\" \/>\n<meta property=\"og:url\" content=\"https:\/\/apolinar.capta.cz\/vi\/neonatologie\/fyziologicky-novorozenec\/bezne-problemy-novorozence\/\" \/>\n<meta property=\"og:site_name\" content=\"Porodnice U Apolin\u00e1\u0159e\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/apolinar.capta.cz\/vi\/neonatologie\/fyziologicky-novorozenec\/bezne-problemy-novorozence\/\",\"url\":\"https:\/\/apolinar.capta.cz\/vi\/neonatologie\/fyziologicky-novorozenec\/bezne-problemy-novorozence\/\",\"name\":\"B\u011b\u017en\u00e9 probl\u00e9my novorozence - Porodnice U Apolin\u00e1\u0159e\",\"isPartOf\":{\"@id\":\"https:\/\/apolinar.capta.cz\/vi\/#website\"},\"datePublished\":\"2023-07-13T13:10:35+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/apolinar.capta.cz\/vi\/neonatologie\/fyziologicky-novorozenec\/bezne-problemy-novorozence\/#breadcrumb\"},\"inLanguage\":\"vi-VN\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/apolinar.capta.cz\/vi\/neonatologie\/fyziologicky-novorozenec\/bezne-problemy-novorozence\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/apolinar.capta.cz\/vi\/neonatologie\/fyziologicky-novorozenec\/bezne-problemy-novorozence\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Dom\u016f\",\"item\":\"https:\/\/apolinar.capta.cz\/vi\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"B\u011b\u017en\u00e9 probl\u00e9my novorozence\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/apolinar.capta.cz\/vi\/#website\",\"url\":\"https:\/\/apolinar.capta.cz\/vi\/\",\"name\":\"Porodnice U Apolin\u00e1\u0159e\",\"description\":\"Klinika gynekologie, porodnictv\u00ed a neonatologie 1. 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