[{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/www.daguerre.cz\/epiduralni-anestezie-ano-ci-ne\/#Article","mainEntityOfPage":"https:\/\/www.daguerre.cz\/epiduralni-anestezie-ano-ci-ne\/","headline":"Epidur\u00e1ln\u00ed anestezie \u2013 ano \u010di ne?","name":"Epidur\u00e1ln\u00ed anestezie \u2013 ano \u010di ne?","description":"Porod je bolestiv\u00fd. O tom si ji\u017e z\u0159ejm\u011b nikdo nedovol\u00ed polemizovat. Medic\u00edna se ale za stolet\u00ed posunula natolik, \u017ee l\u00e9ka\u0159i dok\u00e1\u017e\u00ed porodn\u00ed bolesti \u00fasp\u011b\u0161n\u011b tlumit. V\u011bt\u0161ina \u017een si ale klade ot\u00e1zku, zda bolest nechat utlumit \u010di se bolest sna\u017eit p\u0159ekousnout... <a class=\"more-link\" href=\"https:\/\/www.daguerre.cz\/epiduralni-anestezie-ano-ci-ne\/\">Pokra\u010dovat ve \u010dten\u00ed &rarr;<\/a>","datePublished":"2019-09-17","dateModified":"2019-09-17","author":{"@type":"Person","@id":"https:\/\/www.daguerre.cz\/author\/devene\/#Person","name":"devene","url":"https:\/\/www.daguerre.cz\/author\/devene\/","identifier":1,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/093836c6bc976bea6a4c3cd39f9136c261430c33201aa865249fef2be34e3fdb?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/093836c6bc976bea6a4c3cd39f9136c261430c33201aa865249fef2be34e3fdb?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"daguerre.cz","logo":{"@type":"ImageObject","@id":"\/logo.png","url":"\/logo.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/www.daguerre.cz\/wp-content\/uploads\/img_a354907_w2977_t1569391889.jpg","url":"https:\/\/www.daguerre.cz\/wp-content\/uploads\/img_a354907_w2977_t1569391889.jpg","height":0,"width":0},"url":"https:\/\/www.daguerre.cz\/epiduralni-anestezie-ano-ci-ne\/","about":["Zdrav\u00ed"],"wordCount":390,"articleBody":"Porod je bolestiv\u00fd. O tom si ji\u017e z\u0159ejm\u011b nikdo nedovol\u00ed polemizovat. Medic\u00edna se ale za stolet\u00ed posunula natolik, \u017ee l\u00e9ka\u0159i dok\u00e1\u017e\u00ed porodn\u00ed bolesti \u00fasp\u011b\u0161n\u011b tlumit. V\u011bt\u0161ina \u017een si ale klade ot\u00e1zku, zda bolest nechat utlumit \u010di se bolest sna\u017eit p\u0159ekousnout a rodit \u201ep\u0159irozen\u011b\u201c. Nejd\u0159\u00edve se v\u00a0\u010dl\u00e1nku pod\u00edv\u00e1me na faktografick\u00e9 \u00fadaje o tomto zp\u016fsobu anestezie.Epidur\u00e1ln\u00ed anestezie se pou\u017e\u00edv\u00e1 v\u00a0porodnictv\u00ed k\u00a0ti\u0161en\u00ed bolesti b\u011bhem porodu. Poprv\u00e9 byla pou\u017eita na p\u0159elomu 19. a 20. stolet\u00ed. Ti\u0161en\u00ed se prov\u00e1d\u00ed zaveden\u00edm katetru do epidur\u00e1ln\u00edho prostoru p\u0159i sou\u010dasn\u00e9m lok\u00e1ln\u00edm umrtven\u00ed lidokainem.Efektivn\u00ed p\u016fsoben\u00ed epidur\u00e1lu je nezpochybniteln\u00e9, to ov\u0161em neznamen\u00e1, \u017ee se nevyskytuj\u00ed tak\u00e9 negativn\u00ed \u00fa\u010dinky a n\u00e1sledn\u00e9 komplikace.Mezi v\u00fdhody pou\u017eit\u00ed tohoto zp\u016fsobu anestezie pat\u0159\u00ed:\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sni\u017eov\u00e1n\u00ed intenzity kontrakc\u00ed\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Zv\u00fd\u0161en\u00e1 funkce st\u0159ev\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 L\u00e1tka se nem\u00eds\u00ed s\u00a0krv\u00ed d\u00edt\u011bte\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pom\u00e1h\u00e1 k\u00a0uvoln\u011bn\u00ed rodi\u010dky\u00a0P\u0159es v\u0161echny pozitivn\u00ed efekty by bylo naivn\u00ed si myslet, \u017ee a\u010dkoliv je l\u00e1tka velmi \u00fa\u010dinn\u00e1, nem\u00e1 negativn\u00ed \u00fa\u010dinky a nemohou se objevit dal\u0161\u00ed komplikace.Jednou z\u00a0nev\u00fdhod, kter\u00e1 je v\u011bt\u0161inu \u017een od u\u017eit\u00ed odrazuje je, \u017ee vysok\u00e9 procentu porod\u016f, u kter\u00fdch byl epidur\u00e1l pou\u017eit kon\u010d\u00ed c\u00edsa\u0159sk\u00fdm \u0159ezem, ke kter\u00e9mu se \u017eeny necht\u011bj\u00ed uch\u00fdlit. Mezi dal\u0161\u00ed mo\u017en\u00e9 komplikace je alergick\u00e1 reakce na podanou l\u00e1tku. Dal\u0161\u00ed rodi\u010dky popisuj\u00ed nemo\u017enost mo\u010dit, bolest hlavy a t\u011b\u017ekost nohou, v\u00fdjimkou nen\u00ed ani bolest v\u00a0m\u00edst\u011b vpichu katetru.Shrnut\u00edm lze \u0159\u00edci, \u017ee rizika epidur\u00e1ln\u00ed anestezie jsou pro novorozence t\u00e9m\u011b\u0159 nulov\u00e1, ale pro rodi\u010dku u\u017e to neplat\u00ed.Komplikace vyu\u017eit\u00ed tohoto zp\u016fsobu sice nejsou p\u0159\u00edli\u0161 \u010dast\u00e9, ale rovn\u011b\u017e nejsou v\u00fdjimkou. Epidur\u00e1l tak\u00e9 nem\u016f\u017ee vz\u00edt ka\u017ed\u00e1 rodi\u010dka \u2013 to plat\u00ed zejm\u00e9na pro pacientky se sn\u00ed\u017een\u00fdm krevn\u00edm tlakem a n\u011bjak\u00fdm typem krevn\u00ed nebo ko\u017en\u00ed infekce, d\u00e1le pro pacientky s\u00a0alergi\u00ed na anestetika nebo probl\u00e9my se sr\u00e1\u017elivost\u00ed krve. Je proto nutn\u00e9 v\u017edy mo\u017en\u00e1 rizika probrat s\u00a0l\u00e9ka\u0159em a zv\u00e1\u017eit pro a proti.                                                                                                                                                                                                                                                                                                                                                                                        3.7\/5 - (3 votes)        "},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Epidur\u00e1ln\u00ed anestezie \u2013 ano \u010di ne?","item":"https:\/\/www.daguerre.cz\/epiduralni-anestezie-ano-ci-ne\/#breadcrumbitem"}]}]