{"id":51713,"date":"2023-02-16T08:35:09","date_gmt":"2023-02-16T05:35:09","guid":{"rendered":"https:\/\/demo5.teaser-cube.ru\/2023\/02\/16\/csjake-jsou-vyhody-opozdeneho-dotepani-pupecniku\/"},"modified":"2023-02-16T08:35:09","modified_gmt":"2023-02-16T05:35:09","slug":"csjake-jsou-vyhody-opozdeneho-dotepani-pupecniku","status":"publish","type":"post","link":"https:\/\/forbaby.blog\/cs\/2023\/02\/16\/csjake-jsou-vyhody-opozdeneho-dotepani-pupecniku\/","title":{"rendered":"Jak\u00e9 jsou v\u00fdhody opo\u017ed\u011bn\u00e9ho dotep\u00e1n\u00ed pupe\u010dn\u00edku?"},"content":{"rendered":"<p>Kdy\u017e po porodu po\u010dk\u00e1te asi minutu se zav\u00e1z\u00e1n\u00edm pupe\u010dn\u00ed \u0161\u0148\u016fry, umo\u017en\u00edte, aby z placenty k d\u00edt\u011bti proudilo v\u00edce krve, co\u017e sni\u017euje riziko an\u00e9mie z nedostatku \u017eeleza v kojeneck\u00e9m v\u011bku.\n<\/p>\n<p>U d\u011bt\u00ed, kter\u00e9 se narodily bez komplikac\u00ed, doporu\u010duje American College of Obstetricians and Gynecologists odlo\u017eit zav\u00e1z\u00e1n\u00ed pupe\u010dn\u00edku alespo\u0148 na 30 a\u017e 60 sekund po porodu. Sv\u011btov\u00e1 zdravotnick\u00e1 organizace doporu\u010duje po\u010dkat jednu a\u017e t\u0159i minuty.\n<\/p>\n<p>Opo\u017ed\u011bn\u00e9 p\u0159ilo\u017een\u00ed m\u016f\u017ee b\u00fdt prosp\u011b\u0161n\u00e9 zejm\u00e9na pro p\u0159ed\u010dasn\u011b narozen\u00e9 d\u011bti. Studie prok\u00e1zaly, \u017ee sni\u017euje riziko an\u00e9mie a pot\u0159eby krevn\u00edch transfuz\u00ed u p\u0159ed\u010dasn\u011b narozen\u00fdch d\u011bt\u00ed a tak\u00e9 sni\u017euje riziko nekrotizuj\u00edc\u00ed enterokolitidy (\u017eivot ohro\u017euj\u00edc\u00ed poran\u011bn\u00ed st\u0159ev) a krv\u00e1cen\u00ed do mozku, co\u017e je u p\u0159ed\u010dasn\u011b narozen\u00fdch d\u011bt\u00ed v\u00e1\u017en\u00fd probl\u00e9m.\n<\/p>\n<h2>Existuj\u00ed n\u011bjak\u00e9 nev\u00fdhody opo\u017ed\u011bn\u00e9ho zavinov\u00e1n\u00ed pupe\u010dn\u00edku?<br \/>\n<\/h2>\n<p>Je tu jedna mo\u017en\u00e1 nev\u00fdhoda: pokud va\u0161e d\u00edt\u011b dostane \u017eloutenku po opo\u017ed\u011bn\u00e9m dotep\u00e1n\u00ed pupe\u010dn\u00edku, m\u016f\u017ee b\u00fdt o n\u011bco pravd\u011bpodobn\u011bj\u0161\u00ed, \u017ee bude pot\u0159ebovat l\u00e9\u010dbu UV lampou.\n<\/p>\n<p>\u017dloutenka je zp\u016fsobena neschopnost\u00ed novorozence rychle odbour\u00e1vat p\u0159ebyte\u010dn\u00e9 \u010derven\u00e9 krvinky. (Bilirubin, barvivo, kter\u00e9 zp\u016fsobuje \u017elut\u00fd vzhled k\u016f\u017ee, je vedlej\u0161\u00edm produktem rozpadu star\u00fdch \u010derven\u00fdch krvinek. Kdy\u017e j\u00e1tra novorozence nest\u00edhaj\u00ed odstra\u0148ovat bilirubin, pigment se v krvi hromad\u00ed a k\u016f\u017ee \u017eloutne.)\n<\/p>\n<p>M\u00edrn\u00e1 \u017eloutenka je u novorozenc\u016f pom\u011brn\u011b \u010dast\u00e1 a obvykle se zlep\u0161\u00ed bez zvl\u00e1\u0161tn\u00ed l\u00e9\u010dby. Proto\u017ee se v\u0161ak p\u0159i opo\u017ed\u011bn\u00e9m porodu m\u016f\u017ee do krevn\u00edho ob\u011bhu d\u00edt\u011bte dostat v\u011bt\u0161\u00ed mno\u017estv\u00ed krve z placenty, m\u016f\u017ee b\u00fdt pro d\u00edt\u011b je\u0161t\u011b t\u011b\u017e\u0161\u00ed udr\u017eet se na nohou a zvy\u0161uje se pravd\u011bpodobnost, \u017ee bude nutn\u00e9 \u017eloutenku l\u00e9\u010dit. S t\u00edm, jak se prov\u00e1d\u00ed dal\u0161\u00ed v\u00fdzkum opo\u017ed\u011bn\u00e9ho porodu, v\u0161ak n\u011bkter\u00e9 studie neprokazuj\u00ed \u017e\u00e1dnou souvislost mezi pozdn\u00edm porodem a novorozeneckou \u017eloutenkou.\n<\/p>\n<p>Proto\u017ee u p\u0159ed\u010dasn\u011b narozen\u00fdch d\u011bt\u00ed je tak\u00e9 vy\u0161\u0161\u00ed riziko komplikac\u00ed s d\u00fdch\u00e1n\u00edm a mohou pot\u0159ebovat okam\u017eitou l\u00e9ka\u0159skou pomoc, m\u016f\u017ee se st\u00e1t, \u017ee v\u00e1\u0161 l\u00e9ka\u0159sk\u00fd t\u00fdm nebude ochoten souhlasit s odlo\u017een\u00edm pupe\u010dn\u00edkov\u00e9 svorky u p\u0159ed\u010dasn\u011b narozen\u00e9ho d\u00edt\u011bte.\n<\/p>\n<p>M\u00edsto toho m\u016f\u017eete po\u017e\u00e1dat o podojen\u00ed pupe\u010dn\u00edku, co\u017e je ru\u010dn\u00ed vytla\u010den\u00ed krve z pupe\u010dn\u00edku do novorozence po dobu 10 a\u017e 15 sekund p\u0159ed upnut\u00edm. (P\u0159esto\u017ee dojet\u00ed pupe\u010dn\u00edku nebylo tolik studov\u00e1no jako odlo\u017een\u00e9 dokrven\u00ed, neexistuj\u00ed d\u016fkazy, \u017ee by \u0161kodilo, a m\u016f\u017ee m\u00edt podobn\u00e9 p\u0159\u00edzniv\u00e9 \u00fa\u010dinky.)\n<\/p>\n<h2>Jak funguje odlo\u017een\u00e9 zavinov\u00e1n\u00ed pupe\u010dn\u00edku?<br \/>\n<\/h2>\n<ul>\n<li><font style=\"vertical-align: inherit\"><font style=\"vertical-align: inherit\">Pokud m\u00e1te dono\u0161en\u00fd vagin\u00e1ln\u00ed porod bez komplikac\u00ed, m\u016f\u017eete va\u0161e d\u00edt\u011b polo\u017eit na b\u0159icho a p\u0159ikr\u00fdt teplou p\u0159ikr\u00fdvkou, jakmile se narod\u00ed.<\/font><\/font><\/li>\n<li><font style=\"vertical-align: inherit\"><font style=\"vertical-align: inherit\">V tomto okam\u017eiku je \u0161\u0148\u016fra obvykle sev\u0159ena a p\u0159est\u0159i\u017eena, ale ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f tomu tak b\u00fdt nemus\u00ed. <\/font><font style=\"vertical-align: inherit\">Pokud je ponech\u00e1n s\u00e1m, pupe\u010dn\u00ed \u0161\u0148\u016fra bude je\u0161t\u011b n\u011bkolik minut pulzovat, proto\u017ee krev proud\u00ed z placenty k d\u00edt\u011bti.<\/font><\/font><\/li>\n<li><font style=\"vertical-align: inherit\"><font style=\"vertical-align: inherit\">B\u011bhem t\u00e9to doby by se va\u0161e d\u011bloha m\u011bla za\u010d\u00edt znovu stahovat, abyste mohli porodit placentu. <\/font><font style=\"vertical-align: inherit\">Jakmile porod\u00edte placentu, v\u00e1\u0161 poskytovatel (nebo v\u00e1\u0161 partner) m\u016f\u017ee sev\u0159\u00edt a p\u0159est\u0159ihnout pupe\u010dn\u00ed \u0161\u0148\u016fru va\u0161eho d\u00edt\u011bte.<\/font><\/font><\/li>\n<\/ul>\n<p>(Pokud se va\u0161e d\u011bloha sama nest\u00e1hne, m\u016f\u017ee v\u00e1m l\u00e9ka\u0159 podat injekci pitocinu nebo pitocin do kapa\u010dky, aby stimuloval kontrakce a vypudil placentu.)\n<\/p>\n<p>I kdy\u017e se novorozenec narod\u00ed c\u00edsa\u0159sk\u00fdm \u0159ezem, n\u011bkte\u0159\u00ed poskytovatel\u00e9 po\u010dkaj\u00ed alespo\u0148 minutu, ne\u017e se pupe\u010dn\u00ed \u0161\u0148\u016fra p\u0159isaje.\n<\/p>\n<h2>Mohu si nechat odlo\u017eit porod pupe\u010dn\u00edku, pokud si nech\u00e1v\u00e1m ulo\u017eit pupe\u010dn\u00edkovou krev sv\u00e9ho d\u00edt\u011bte do banky?<br \/>\n<\/h2>\n<p>Je to mo\u017en\u00e9. Opo\u017ed\u011bn\u00e9 zavinut\u00ed pupe\u010dn\u00edku sni\u017euje mno\u017estv\u00ed krve, kter\u00e1 z\u016fst\u00e1v\u00e1 v pupe\u010dn\u00edku k odb\u011bru, ale pupe\u010dn\u00edkov\u00e1 krev m\u016f\u017ee b\u00fdt st\u00e1le odebr\u00e1na.\n<\/p>\n<p>Jedna studie uk\u00e1zala, \u017ee zpo\u017ed\u011bn\u00ed sb\u011bru pupe\u010dn\u00edkov\u00e9 krve o 30 a\u017e 60 sekund m\u00e1 mal\u00fd negativn\u00ed vliv na odb\u011br bun\u011bk pupe\u010dn\u00edkov\u00e9 krve. Doba del\u0161\u00ed ne\u017e 60 sekund v\u00fdznamn\u011b sn\u00ed\u017eila mo\u017enost odb\u011bru u\u017eite\u010dn\u00fdch bun\u011bk pupe\u010dn\u00edkov\u00e9 krve.\n<\/p>\n<p>Pokud m\u00e1te z\u00e1jem o ulo\u017een\u00ed pupe\u010dn\u00edkov\u00e9 krve sv\u00e9ho d\u00edt\u011bte do banky a odlo\u017een\u00ed odb\u011bru pupe\u010dn\u00edkov\u00e9 krve, pora\u010fte se se sv\u00fdm poskytovatelem zdravotn\u00ed p\u00e9\u010de o zv\u00e1\u017een\u00ed v\u00fdhod ka\u017ed\u00e9ho z t\u011bchto zp\u016fsob\u016f pro va\u0161i rodinu a o koordinaci odb\u011bru pupe\u010dn\u00edkov\u00e9 krve.\n<\/p>\n<p>Va\u0161e d\u00edt\u011b je tady a pupe\u010dn\u00ed \u0161\u0148\u016fra je p\u0159est\u0159i\u017eena. Co bude d\u00e1l? N\u00e1\u0161 \u010dl\u00e1nek Co se d\u011bje s va\u0161\u00edm miminkem po porodu v\u00e1m napov\u00ed, co m\u016f\u017eete o\u010dek\u00e1vat.\n<\/p>\n<p>Dal\u0161\u00ed informace:\n<\/p>\n<ul>\n<li><font style=\"vertical-align: inherit\"><font style=\"vertical-align: inherit\">Novorozeneck\u00e9 screeningov\u00e9 testy<\/font><\/font><\/li>\n<li><font style=\"vertical-align: inherit\"><font style=\"vertical-align: inherit\">Jak\u00e9 je sk\u00f3re Apgar?<\/font><\/font><\/li>\n<li><font style=\"vertical-align: inherit\"><font style=\"vertical-align: inherit\">Jak dlouho budete v nemocnici po porodu<\/font><\/font><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Kdy\u017e po porodu po\u010dk\u00e1te asi minutu se zav\u00e1z\u00e1n\u00edm pupe\u010dn\u00ed \u0161\u0148\u016fry, umo\u017en\u00edte, aby z placenty k d\u00edt\u011bti proudilo v\u00edce krve, co\u017e sni\u017euje riziko an\u00e9mie z nedostatku \u017eeleza v kojeneck\u00e9m v\u011bku. U d\u011bt\u00ed, kter\u00e9 se narodily bez komplikac\u00ed, doporu\u010duje American College of Obstetricians and Gynecologists odlo\u017eit zav\u00e1z\u00e1n\u00ed pupe\u010dn\u00edku alespo\u0148 na 30 a\u017e 60 sekund po porodu. Sv\u011btov\u00e1 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":51717,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[92],"tags":[],"class_list":["post-51713","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-pregnancy"],"_links":{"self":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts\/51713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/comments?post=51713"}],"version-history":[{"count":0,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts\/51713\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/media\/51717"}],"wp:attachment":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/media?parent=51713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/categories?post=51713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/tags?post=51713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}