V hematologickej ambulancii ordinuj\u00fa denne.<\/strong> Odbor sa \u010dlen\u00ed na tri \u00faseky, ktor\u00e9 navz\u00e1jom \u00fazko s\u00favisia: klinick\u00e1 hematol\u00f3gia, klinick\u00e1 transfuziol\u00f3gia, laborat\u00f3rna diagnostika. Ako uviedla prim\u00e1rka hematologick\u00e9ho pracoviska Anna Maru\u0161kov\u00e1, klinick\u00e1 hematol\u00f3gia sa zaober\u00e1 chorobami krvi a krvotvorn\u00fdch org\u00e1nov, ich diagnostikou, sledovan\u00edm a lie\u010dbou. \u201eV na\u0161om zdravotn\u00edckom zariaden\u00ed pacientom s t\u00fdmito ochoreniami poskytujeme starostlivos\u0165 v hematologickej ambulancii, kde ordinujeme denne po\u010das pracovn\u00e9ho t\u00fd\u017ed\u0148a, pri\u010dom streda je vyhraden\u00e1 pre deti.\u201c Pod\u013ea slov prim\u00e1rky, okrem diagnostiky ochoren\u00ed vykon\u00e1vaj\u00fa aj niektor\u00e9 v\u00fdkony, ako napr.: pod\u00e1vanie inf\u00fazi\u00ed, parenter\u00e1lnu feroterapiu, pod\u00e1vanie koagula\u010dn\u00fdch faktorov, niektor\u00e9 chemoterapie, venepunkcie, punkcie kostnej drene.<\/p>\n\n\n\n \u201eHospitalizovan\u00fdm pacientom na v\u0161etk\u00fdch oddeleniach nemocnice sa pri zisten\u00ed t\u00fdchto chorobn\u00fdch prejavov poskytuje konzili\u00e1rna slu\u017eba, pri ktorej sa podie\u013eame na diagnostickom dorie\u0161en\u00ed a zabezpe\u010den\u00ed \u010fal\u0161ej terapie pri potvrden\u00ed hematologick\u00e9ho ochorenia.\u201c S\u00fa\u010das\u0165ou oddelenia je imunohematologick\u00e9 laborat\u00f3rium.<\/strong> Z\u00e1kladom ur\u010denia ochorenia je laborat\u00f3rna diagnostika.<\/strong> V\u00edziou je pracova\u0165 so spo\u013eahlivou a \u0161pi\u010dkovou technikou.<\/strong> Hematol\u00f3gia a transfuziol\u00f3gia je samostatn\u00fd \u0161pecializa\u010dn\u00fd odbor, sk\u00famaj\u00faci zlo\u017eenie krvi, krvotvorn\u00fdch org\u00e1nov, ich funkcie za norm\u00e1lnych okolnost\u00ed a chorobn\u00fdch podmienok. \u010cl\u00e1nok zverejnen\u00fd v novin\u00e1ch My Horehronie 25.6.2019. Autor: MONIKA DOL\u0147ANOV\u00c1. Foto: Luk\u00e1\u0161 P\u0161en\u010d\u00edk a arch\u00edv NsPBR. Viac o oddelen\u00ed sa m\u00f4\u017eete do\u010d\u00edta\u0165 tu. Viac o hematologickej ambulancii si pozrite tu. V hematologickej ambulancii ordinuj\u00fa denne. […]<\/p>\n","protected":false},"author":1,"featured_media":2580,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-2747","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-onas"],"_links":{"self":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2747","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/comments?post=2747"}],"version-history":[{"count":3,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2747\/revisions"}],"predecessor-version":[{"id":2755,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2747\/revisions\/2755"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media\/2580"}],"wp:attachment":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media?parent=2747"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/categories?post=2747"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/tags?post=2747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"\"](\"http:\/\/nspbr.sk\/web\/wp-content\/uploads\/2019\/07\/DSC03146-1024x683.jpg\")
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Na \u00faseku hematol\u00f3gie a transfuziol\u00f3gie pracuj\u00fa 2 lek\u00e1ri so \u0161pecializ\u00e1ciou v odbore hematol\u00f3gia a transfuziol\u00f3gia (jeden s \u00fav\u00e4zkom 0,4), 5 zdravotn\u00fdch laborantiek so \u0161pecializ\u00e1ciou, 2 zdravotn\u00e9 laborantky bez \u0161pecializ\u00e1cie, zdravotn\u00e1 sestra a sanit\u00e1rka.<\/p>\n\n\n\n![\"\"](\"http:\/\/nspbr.sk\/web\/wp-content\/uploads\/2019\/07\/DSC03133-Edit-1024x683.jpg\")
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Klinick\u00e1 transfuziol\u00f3gia je pod\u013ea Anny Maru\u0161kovej nosite\u013eom a garantom postupov pri skladovan\u00ed, vyd\u00e1van\u00ed a indikovan\u00ed hemoterapie, pod\u00e1vanie transf\u00faznych liekoverytrocyty, plazma, trombokoncentr\u00e1ty. \u201eJej z\u00e1kladnou s\u00fa\u010das\u0165ou je imunohematol\u00f3gia, \u010do je vedn\u00fd odbor, ktor\u00fd \u0161tuduje z\u00e1konitosti imunitn\u00fdch reakci\u00ed v \u013eudskej krvi zdrav\u00fdch a chor\u00fdch. Imunohematologick\u00e9 laborat\u00f3rium spolu s krvnou bankou je aj s\u00fa\u010das\u0165ou n\u00e1\u0161ho oddelenia. Tu vykon\u00e1vame imunohematologick\u00e9 vy\u0161etrenia pri pr\u00edprave transf\u00faznych liekov pacientom na v\u0161etk\u00fdch oddeleniach nemocnice pod\u013ea po\u017eiadaviek a indik\u00e1ci\u00ed. Ur\u010duj\u00fa zhodu medzi krvou darcu a pr\u00edjemcu, \u010di\u017ee pacienta. Vy\u0161etrujeme krvn\u00e9 skupiny, sk\u00fa\u0161ky kompatibility, kr\u00ed\u017eov\u00e9 sk\u00fa\u0161ky, skr\u00edning protil\u00e1tok pri pr\u00edprave transf\u00fazi\u00ed a u tehotn\u00fdch \u017eien. Taktie\u017e vy\u0161etrujeme chladov\u00e9 protil\u00e1tky. Krvn\u00e1 banka zabezpe\u010duje n\u00e1kup, skladovanie a exped\u00edciu transf\u00faznych liekov.\u201c<\/p>\n\n\n\n![\"\"](\"http:\/\/nspbr.sk\/web\/wp-content\/uploads\/2019\/07\/DSC03141-1024x683.jpg\")
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Popri klinickom vy\u0161etren\u00ed z\u00e1kladom pre pr\u00e1cu lek\u00e1ra na diagnostike ochorenia je laborat\u00f3rna diagnostika. \u201eV na\u0161om zariaden\u00ed m\u00e1me hematologick\u00e9 laborat\u00f3rium, kde vy\u0161etrujeme krvn\u00e9 obrazy, sediment\u00e1ciu erytrocytov, vy\u0161etrenie LE buniek, sprac\u00favame likvor s n\u00e1sledn\u00fdm zhotoven\u00edm cytogramu, osmotick\u00fa rezistenciu erytrocytov. Hemokoagula\u010dn\u00e9 laborat\u00f3rium, kde vy\u0161etrujeme zr\u00e1\u017eanlivos\u0165 krvi, \u010do vyu\u017e\u00edvame pri diagnostike chor\u00f4b hypokoagula\u010dn\u00fdch, dedi\u010dn\u00fd alebo z\u00edskan\u00fd deficit jednotliv\u00fdch faktorov zr\u00e1\u017eania \u2013 verejnosti najzn\u00e1mej\u0161ia napr. hemof\u00edlia, alebo trombofiln\u00fdch, \u010do je opakom a pri t\u00fdchto stavoch je zv\u00fd\u0161en\u00e9 riziko tromboembolick\u00fdch ochoren\u00ed,\u201c povedala Anna Maru\u0161kov\u00e1. Ako pokra\u010dovala, v tomto obdob\u00ed je ve\u013ea pacientov na antikoagula\u010dnej lie\u010dbe z r\u00f4znych pr\u00ed\u010din, naj\u010dastej\u0161ie pri ochoreniach kardiovaskul\u00e1rnych, \u010do vy\u017eaduje sledovanie \u00fa\u010dinnosti a riz\u00edk tejto lie\u010dby. Vy\u0161etrenia podmie\u0148uj\u00face t\u00fato starostlivos\u0165 sa taktie\u017e robia v hemokoagula\u010dnom laborat\u00f3riu.<\/p>\n\n\n\n![\"\"](\"http:\/\/nspbr.sk\/web\/wp-content\/uploads\/2019\/07\/DSC03135-1024x683.jpg\")
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Na vy\u0161etrovanie krvn\u00fdch obrazov v laborat\u00f3riu , ako aj na hemokoagula\u010dn\u00e9 vy\u0161etrenia maj\u00fa k dispoz\u00edcii po dva analyz\u00e1tory, ktor\u00e9 patria do skupiny t\u00fdch najmodernej\u0161\u00edch a \u0161pi\u010dkov\u00fdch analyz\u00e1torov.
\u201ePopri kvalite a v\u00fdkonnosti t\u00fdchto technick\u00fdch zariaden\u00ed je v\u0161ak nevyhnutn\u00e1 kvalitn\u00e1 a odborn\u00e1 pr\u00e1ca laborantiek, podlo\u017een\u00e1 dokonal\u00fdmi vedomos\u0165ami a d\u00f4slednos\u0165ou pri pr\u00e1ci, preto\u017ee je nutn\u00e9 ur\u010dit\u00e9 v\u00fdsledky preverova\u0165 a samostatne hodnoti\u0165, ako napr. mikroskopick\u00fd n\u00e1ter perif\u00e9rnej krvi, v imunohematologickom laborat\u00f3riu samostatne hodnoti\u0165 a od\u010d\u00edtava\u0165 v\u00fdsledky imunologick\u00fdch vy\u0161etren\u00ed.\u201c
Pod\u013ea slov prim\u00e1rky, v\u0161etky vzorky s\u00fa v laborat\u00f3ri\u00e1ch spracovan\u00e9 hne\u010f po doru\u010den\u00ed a v\u00fdsledky s\u00fa k dispoz\u00edcii pod\u013ea \u010dasu potrebn\u00e9ho na pr\u00edpravu k vy\u0161etreniu, ale preva\u017ene do 3 hod\u00edn, statimov\u00e9 urgentn\u00e9 vy\u0161etrenia do hodiny. \u201eDenne vy\u0161etr\u00edme v priemere 200 krvn\u00fdch obrazov, 70 hemokoagula\u010dn\u00fdch vy\u0161etren\u00ed, 20 imunohematologick\u00fdch vy\u0161etren\u00ed. Vo v\u0161etk\u00fdch laborat\u00f3ri\u00e1ch sa pracuje s nepretr\u017eitou 24- hodinovou prev\u00e1dzkou.\u201c
\u201eNa\u0161ou v\u00edziou do bud\u00facnosti je pracova\u0165 so spo\u013eahlivou a \u0161pi\u010dkovou laborat\u00f3rnou technikou, roz\u0161irova\u0165 pod\u013ea potrieb paletu vy\u0161etren\u00ed, ma\u0165 dostatok erudovan\u00e9ho a zodpovedn\u00e9ho zdravotn\u00e9ho person\u00e1lu,\u201c dodala na z\u00e1ver Anna Maru\u0161kov\u00e1.<\/p>\n\n\n\n![\"\"](\"http:\/\/nspbr.sk\/web\/wp-content\/uploads\/2019\/07\/DSC03129-1024x683.jpg\")
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