{"id":3583,"date":"2019-08-23T07:28:00","date_gmt":"2019-08-23T05:28:00","guid":{"rendered":"http:\/\/www.nspbr.sk\/web\/?p=3583"},"modified":"2020-07-07T07:43:17","modified_gmt":"2020-07-07T05:43:17","slug":"okl-pracovisko-klinickej-biochemie","status":"publish","type":"post","link":"https:\/\/www.nspbr.sk\/web\/okl-pracovisko-klinickej-biochemie\/","title":{"rendered":"OKL – pracovisko klinickej bioch\u00e9mie"},"content":{"rendered":"\n

Vy\u0161etrili vy\u0161e 800 pacientov na vitam\u00edn D a len 10 percent z nich malo hladiny tohto horm\u00f3nu v norme<\/strong>. \u010cl\u00e1nok bol pripraven\u00fd redakciou My Horehronie d\u0148a 2.7.2019.<\/p>\n\n\n\n

Mil\u00ed \u010ditatelia, prin\u00e1\u0161ame v\u00e1m s\u00e9riu \u010dl\u00e1nkov, v ktor\u00fdch postupne predstavujeme jednotliv\u00e9 oddelenia Nemocnice s poliklinikou v Brezne. Pokra\u010dujeme pracoviskom klinickej bioch\u00e9mie, kde ako jedni z m\u00e1la na Slovensku vedia presne ur\u010di\u0165 hladinu vybran\u00fdch antibiot\u00edk, ktor\u00e9 maj\u00fa z\u00e1va\u017en\u00e9 ved\u013eaj\u0161ie \u00fa\u010dinky na organizmus, ak sa ordinuj\u00fa bez kontroly hladiny laborat\u00f3rnym vy\u0161etren\u00edm.<\/strong><\/p>\n\n\n\n

BREZNO. <\/strong>Klinick\u00e1 bioch\u00e9mia je medic\u00ednsky odbor, ktor\u00fd patr\u00ed medzi spolo\u010dn\u00e9 vy\u0161etrovacie a lie\u010debn\u00e9 zlo\u017eky zdravotn\u00edckej starostlivosti, tzv. SVaLZ-y.<\/p>\n\n\n\n

Poskytuj\u00fa nepretr\u017eit\u00fa 24-hodinov\u00fa prev\u00e1dzku 7 dn\u00ed v t\u00fd\u017edni<\/strong><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Pracovisko klinickej bioch\u00e9mie pod veden\u00edm \u013dubom\u00edra K\u00f3nyu zabezpe\u010duje laborat\u00f3rne vy\u0161etrenia pre v\u0161etky l\u00f4\u017ekov\u00e9 oddelenia a ambulancie nemocnice, ako aj pre s\u00fakromn\u00e9 ambulancie v okrese Brezno, ktor\u00e9 maj\u00fa o spolupr\u00e1cu z\u00e1ujem. \u201ePoskytujeme nepretr\u017eit\u00fa 24-hodinov\u00fa prev\u00e1dzku 7 dn\u00ed v t\u00fd\u017edni. N\u00e1pl\u0148ou tohto odboru je sledovanie metabolick\u00fdch pochodov v organizme, a to po\u010das zdravia aj po\u010das choroby. Ak je pacient zdrav\u00fd, laborat\u00f3rne vy\u0161etrenia s\u00fa s\u00fa\u010das\u0165ou prevent\u00edvnych prehliadok. Ak je chor\u00fd, pom\u00e1haj\u00fa pri diagnostike a sledovan\u00ed priebehu ochorenia, pri ur\u010den\u00ed rozsahu po\u0161kodenia organizmu, pri stanoven\u00ed progn\u00f3zy a kontrole \u00faspe\u0161nosti lie\u010dby,\u201c vysvetlil \u013dubom\u00edr K\u00f3nya.<\/p>\n\n\n\n

Vy\u0161etrenia stanovuj\u00fa v biologickom materi\u00e1li ako krv,  plazma, mo\u010d…<\/strong><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Pod\u013ea slov z\u00e1stupcu prim\u00e1ra, pracovisko klinickej bioch\u00e9mie v breznianskej nemocnici je vybaven\u00e9 modernou pr\u00edstrojovou technikou \u2013 biochemick\u00e9 a imunochemick\u00e9 analyz\u00e1tory, analyz\u00e1tor krvn\u00fdch plynov, mikroskopick\u00e1 technika a \u010fal\u0161ie laborat\u00f3rne vybavenie. \u201eNa\u0161ou \u00falohou je poskytn\u00fa\u0165 \u010do naj\u0161ir\u0161ie spektrum z\u00e1kladn\u00fdch rutinn\u00fdch i \u0161pecializovan\u00fdch biochemick\u00fdch a imunologick\u00fdch vy\u0161etren\u00ed, ktor\u00e9 lek\u00e1rom pom\u00e1haj\u00fa v diagnostike ochoren\u00ed. Vy\u0161etrenia stanovujeme v biologickom materi\u00e1li: krv, s\u00e9rum, plazma, mo\u010d, likvor, punkt\u00e1ty a stolica. V\u00e4\u010d\u0161ina z nich je k dispoz\u00edcii denne, niektor\u00e9 \u0161peci\u00e1lne rob\u00edme  1- a\u017e 2-kr\u00e1t do t\u00fd\u017ed\u0148a. D\u00f4vodom je predov\u0161etk\u00fdm finan\u010dn\u00e1 n\u00e1ro\u010dnos\u0165 t\u00fdchto \u0161peci\u00e1lnych anal\u00fdz a tie\u017e efekt\u00edvnos\u0165 vyu\u017eitia pr\u00edstrojovej techniky.\u201c<\/p>\n\n\n\n

Pacienta lie\u010dia pod kontrolou a nie \u201enaslepo\u201c<\/strong><\/p>\n\n\n\n

Na pracovisku vykon\u00e1vaj\u00fa napr\u00edklad testy na funkciu obli\u010diek, pe\u010dene, pankreasu, vy\u0161etruj\u00fa hladiny miner\u00e1lov, horm\u00f3nov endokrinn\u00e9ho syst\u00e9mu, reproduk\u010dn\u00fdch horm\u00f3nov, z\u00e1palov\u00e9 parametre. \u201ePom\u00e1hame v ak\u00fatnej diagnostike n\u00e1hlych ochoren\u00ed srdca, v diagnostike n\u00e1dorov\u00fdch ochoren\u00ed, diabetu a mnoh\u00fdch \u010fal\u0161\u00edch. Vykon\u00e1vame laborat\u00f3rne vy\u0161etrenia, ktor\u00e9 s\u00fa s\u00fa\u010das\u0165ou prevent\u00edvnych prehliadok zdrav\u00fdch \u013eud\u00ed, tehotn\u00fdch \u017eien, u chronicky chor\u00fdch s\u00fa to pravideln\u00e9 kontroly dialyzovan\u00fdch pacientov, diabetikov, pacientov s ochoren\u00edm \u0161t\u00edtnej \u017e\u013eazy, s alergick\u00fdmi ochoreniami at\u010f.,\u201c uviedol \u013dubom\u00edr K\u00f3nya. Ako pokra\u010doval, skr\u00edningovo vy\u0161etruj\u00fa mo\u010d na pr\u00edtomnos\u0165 niektor\u00fdch drog a lie\u010div, preto\u017ee zneu\u017e\u00edvanie n\u00e1vykov\u00fdch l\u00e1tok mlad\u00fdmi \u013eu\u010fmi je \u010dastej\u0161ie, ne\u017e by sa predpokladalo. \u201eAko jedno z m\u00e1la pracov\u00edsk na Slovensku vieme presne ur\u010di\u0165 hladinu vybran\u00fdch antibiot\u00edk, ktor\u00e9 maj\u00fa z\u00e1va\u017en\u00e9 ved\u013eaj\u0161ie \u00fa\u010dinky na organizmus, ak sa ordinuj\u00fa bez kontroly hladiny laborat\u00f3rnym vy\u0161etren\u00edm. Preto kontrolou ich terapeutick\u00fdch hlad\u00edn v krvi pom\u00e1hame o\u0161etruj\u00facemu lek\u00e1rovi pri l\u00f4\u017eku nastavi\u0165 ka\u017ed\u00e9mu pacientovi spr\u00e1vnu d\u00e1vku antibiotika tak, aby jeho hladina bola dostato\u010dne \u00fa\u010dinn\u00e1, ale s minim\u00e1lnym ne\u017eiad\u00facim \u00fa\u010dinkom na in\u00e9 org\u00e1ny. Pacienta tak lie\u010dime pod kontrolou a nie \u201enaslepo\u201c. Obrovskou v\u00fdhodou je, \u017ee to vieme realizova\u0165 na na\u0161om pracovisku v Brezne a nemus\u00edme vzorky krvi posiela\u0165 do laborat\u00f3ria v inom okrese. Na\u0161i o\u0161etruj\u00faci lek\u00e1ri maj\u00fa v\u00fdsledok hladiny antibiotika k dispoz\u00edcii vo ve\u013emi kr\u00e1tkom \u010dase.\u201c<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

V\u00e4\u010d\u0161ina popul\u00e1cie m\u00e1 n\u00edzke hladiny vitam\u00ednu D v krvi<\/strong><\/p>\n\n\n\n

V poslednom \u010dase zaviedli napr. vy\u0161etrenie vitam\u00ednu D. \u201e Ako vieme, tento horm\u00f3n m\u00e1 okrem riadenia metabolizmu v\u00e1pnika a fosforu v organizme aj \u010fal\u0161ie vynikaj\u00face vlastnosti \u2013 je kardioprotekt\u00edvny (chr\u00e1ni srdce), pozit\u00edvne ovplyv\u0148uje imunitn\u00fd syst\u00e9m a okrem in\u00e9ho sa sk\u00fama aj jeho protin\u00e1dorov\u00fd \u00fa\u010dinok. V\u00e4\u010d\u0161ina eur\u00f3pskej popul\u00e1cie, vr\u00e1tane tej slovenskej, m\u00e1 n\u00edzke hladiny vitam\u00ednu D v krvi, \u010do je dan\u00e9 nedostato\u010dnou expoz\u00edciou slne\u010dn\u00e9mu \u017eiareniu, ale aj neprimeran\u00fdm pou\u017e\u00edvan\u00edm opa\u013eovac\u00edch kr\u00e9mov s vysok\u00fdm ochrann\u00fdm faktorom proti UV-\u017eiareniu. Za necel\u00e9 tri mesiace sme vy\u0161etrili v na\u0161om laborat\u00f3riu vy\u0161e 800 pacientov na vitam\u00edn D a len 10% z nich malo hladiny tohto horm\u00f3nu v norme,\u201c vysvetlil prim\u00e1r K\u00f3nya.<\/p>\n\n\n\n

Svoju pr\u00e1cu robia radi a vedia kvalifikovane pom\u00f4c\u0165<\/strong><\/p>\n\n\n\n

Na pracovisku pracuj\u00fa sk\u00fasen\u00ed zamestnanci, mnoh\u00ed s 30- a\u017e 40-ro\u010dnou praxou, ktor\u00ed robia svoju pr\u00e1cu radi a vedia kvalifikovane pom\u00f4c\u0165. Pod\u013ea slov \u013dubom\u00edra K\u00f3nyu, podie\u013eaj\u00fa sa na metodickom veden\u00ed pr\u00edpravy vy\u0161etrovan\u00fdch os\u00f4b, sp\u00f4sobe odberu a prepravy biologick\u00e9ho materi\u00e1lu, jeho spracovan\u00ed a interpret\u00e1cii v\u00fdsledkov. V pr\u00edpade z\u00e1ujmu poskytuj\u00fa konzulta\u010dn\u00fa \u010dinnos\u0165.<\/p>\n\n\n\n

   Lek\u00e1r oddelenia, klinick\u00fd biochemik, pom\u00e1ha pri diagnostike pacientov s rozvratom vn\u00fatorn\u00e9ho prostredia, v sepse alebo napr. pri diferenci\u00e1lnej diagnostike punkt\u00e1tov. \u201ePunkt\u00e1t je patologicky zmenen\u00e1 tekutina (v\u00fdpotok), ktor\u00e1 sa odoberie naj\u010dastej\u0161ie z hrudnej alebo bru\u0161nej dutiny, a to pri z\u00e1palov\u00fdch alebo n\u00e1dorov\u00fdch ochoreniach r\u00f4znych org\u00e1nov alebo pri zlyh\u00e1van\u00ed srdca. Podrobn\u00fdm rozborom lek\u00e1r-biochemik ur\u010d\u00ed, o ak\u00fd typ v\u00fdpotku ide, a t\u00fdm ovplyv\u0148uje \u010fal\u0161\u00ed diagnostick\u00fd a terapeutick\u00fd postup.\u201c<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Probl\u00e9mom je politika zdravotn\u00fdch pois\u0165ovn\u00ed<\/strong><\/p>\n\n\n\n

Na pracovisku vykonaj\u00fa pribli\u017ene 580 000 vy\u0161etren\u00ed ro\u010dne, z toho vy\u0161e 130 000 spracuj\u00fa v pohotovostn\u00fdch slu\u017eb\u00e1ch.<\/p>\n\n\n\n

Do bud\u00facna uva\u017euj\u00fa o roz\u0161\u00edren\u00ed diagnostiky n\u00e1dorov\u00fdch ochoren\u00ed, srdcov\u00e9ho zlyh\u00e1vania, o zautomatizovan\u00ed vy\u0161etrenia mo\u010dov\u00e9ho sedimentu, ale aj o zaveden\u00ed vy\u0161etrovania autoprotil\u00e1tok, ktor\u00e9 s\u00fa pr\u00edtomn\u00e9 u autoimunitn\u00fdch chor\u00f4b. \u201eProbl\u00e9m pre n\u00e1s je politika zdravotn\u00fdch pois\u0165ovn\u00ed, ktor\u00e9 n\u00e1s limituj\u00fa, to znamen\u00e1, \u017ee za poskytnut\u00e9 laborat\u00f3rne v\u00fdkony n\u00e1m uhradia iba \u010das\u0165 vynalo\u017een\u00fdch n\u00e1kladov, nikdy nie v\u0161etky. To spoma\u013euje, niekedy a\u017e znemo\u017e\u0148uje, proces zav\u00e1dzania nov\u00fdch laborat\u00f3rnych vy\u0161etren\u00ed do praxe tak, ako by sme si sami predstavovali pri poskytovan\u00ed slu\u017eby o\u0161etruj\u00facim lek\u00e1rom, preto\u017ee laborat\u00f3rna diagnostika na \u0161pi\u010dkovej \u00farovni nie je lacn\u00e1 z\u00e1le\u017eitos\u0165,\u201c uzavrel prim\u00e1r K\u00f3nya.<\/p>\n\n\n\n

MONIKA DOL\u0147ANOV\u00c1<\/p>\n","protected":false},"excerpt":{"rendered":"

Vy\u0161etrili vy\u0161e 800 pacientov na vitam\u00edn D a len 10 percent z nich malo hladiny tohto horm\u00f3nu v norme. \u010cl\u00e1nok bol pripraven\u00fd redakciou My Horehronie d\u0148a 2.7.2019. Mil\u00ed \u010ditatelia, prin\u00e1\u0161ame v\u00e1m s\u00e9riu \u010dl\u00e1nkov, v ktor\u00fdch postupne predstavujeme jednotliv\u00e9 oddelenia Nemocnice s poliklinikou v Brezne. Pokra\u010dujeme pracoviskom klinickej bioch\u00e9mie, kde ako jedni z m\u00e1la na Slovensku […]<\/p>\n","protected":false},"author":1,"featured_media":3584,"comment_status":"closed","ping_status":"closed","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-3583","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\/3583","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=3583"}],"version-history":[{"count":1,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/3583\/revisions"}],"predecessor-version":[{"id":3585,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/3583\/revisions\/3585"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media\/3584"}],"wp:attachment":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media?parent=3583"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/categories?post=3583"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/tags?post=3583"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}