{"id":226,"date":"2023-03-15T17:39:42","date_gmt":"2023-03-15T16:39:42","guid":{"rendered":"https:\/\/mudrstankovska.sk\/?page_id=226"},"modified":"2023-03-15T17:43:10","modified_gmt":"2023-03-15T16:43:10","slug":"crp","status":"publish","type":"page","link":"https:\/\/mudrstankovska.sk\/?page_id=226","title":{"rendered":"CRP"},"content":{"rendered":"\t\t
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Vy\u0161etrujeme nov\u00fdm pr\u00edstrojom\u00a0CUBE<\/span>.<\/strong><\/p>

Pr\u00edstroj umo\u017e\u0148uje stanovi\u0165 z kvapky krvi :
CRP<\/span><\/strong>\u00a0do\u00a0 3 min\u00fat ur\u010d\u00edme aktivitu bakteri\u00e1lneho procesu v organizme.
hsCRP<\/strong>\u00a0– vysokocitliv\u00e9 CRP (ukazovate\u013e kardiovaskul\u00e1rneho rizika)
INR<\/span>\u00a0<\/strong>do 10 min\u00fat vy\u0161etr\u00edme krvn\u00fa zr\u00e1\u017eanlivos\u0165 pacientom u\u017e\u00edvaj\u00facich Warfarin (lie\u010dbu na riedenie krvi).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\u00a0<\/p>

V\u00fdznam vy\u0161etrenia CRP v ambulancii v\u0161eobecn\u00e9ho lek\u00e1ra pre dospel\u00fdch<\/strong>
\u00a0<\/div>
V\u0161etci lek\u00e1ri s\u00fa si vedom\u00ed nebezpe\u010denstva z nadu\u017e\u00edvania antibiot\u00edk (ATB).\u00a0Pri nadmernom a\u00a0nespr\u00e1vnom predpisovan\u00ed ATB\u00a0<\/strong>sa zvy\u0161uje\u00a0riziko vzniku<\/strong>\u00a0tzv. z\u00edskanej \/antibiotickej\/\u00a0bakteri\u00e1lnej rezistencie,\u00a0<\/strong>\u010do znamen\u00e1, \u017ee bakt\u00e9ria z\u00edskala schopnos\u0165 odola\u0165 antibiotiku, na ktor\u00e9 bola predt\u00fdm citliv\u00e1. Antibiotick\u00e1 rezistencia sa stala celosvetovou hrozbou. Probl\u00e9m rezistentn\u00fdch bakt\u00e9ri\u00ed je \u010doraz v\u00e1\u017enej\u0161\u00ed, rezistencia na pou\u017e\u00edvan\u00e9 antibiotik\u00e1 narast\u00e1 r\u00fdchlej\u0161ie, ako s\u00fa do klinickej praxe zav\u00e1dzan\u00e9 nov\u00e9 antibiotik\u00e1.

Vy\u0161etrenie hladiny CRP\u00a0sa pou\u017e\u00edva<\/strong>\u00a0na rozl\u00ed\u0161enie bakteri\u00e1lnej a v\u00edrusovej infekcie<\/strong>, \u010di\u017ee je prostriedkom na predch\u00e1dzanie zbyto\u010dn\u00e9mu u\u017e\u00edvaniu ATB. Sl\u00fa\u017ei ako marker na monitorovanie priebehu ochorenia a efektivity ATB lie\u010dby. Tie\u017e je \u010dasto nevyhnutnou s\u00fa\u010das\u0165ou pri p\u00e1tran\u00ed po pr\u00ed\u010dine r\u00f4znych chorobn\u00fdch stavov.
Infekcie d\u00fdchac\u00edch ciest s\u00fa naj\u010dastej\u0161\u00edmi infek\u010dn\u00fdmi ochoreniami, vyskytuj\u00facimi sa v praxi v\u0161eobecn\u00e9ho lek\u00e1ra\u00a0 a vo v\u00e4\u010d\u0161ine pr\u00edpadov je ve\u013emi \u0165a\u017ek\u00e9 rozl\u00ed\u0161i\u0165 len na z\u00e1klade klinick\u00e9ho vy\u0161etrenia, \u010di ide o\u00a0ochorenie v\u00edrusov\u00e9 alebo bakteri\u00e1lne.\u00a0Pribli\u017ene 80 % infekci\u00ed horn\u00fdch d\u00fdchac\u00edch ciest vyvol\u00e1vaj\u00fa\u00a0<\/strong>v\u00edrusy, nereaguj\u00face na terapiu antibiotikami<\/strong><\/u>. V\u00edrusy nelie\u010dime antibiotikami.

CRP je prote\u00edn ak\u00fatnej f\u00e1zy z\u00e1palu nach\u00e1dzaj\u00faci sa v krvi. Jeho prirodzen\u00e1 hladina u \u010dloveka bez z\u00e1palu a nekr\u00f3zy dosahuje hodnoty 1,0 \u2013 8,0 mg\/l. Hladina v\u00fdraznej\u0161ie st\u00fapa pri bakteri\u00e1lnom z\u00e1palovom procese<\/strong>, po\u0161koden\u00ed tkan\u00edv, po oper\u00e1ci\u00e1ch, pri pop\u00e1lenin\u00e1ch a pod. Merate\u013ene hodnoty je mo\u017en\u00e9 zaznamena\u0165 u\u017e o 4 \u2013 6 hod\u00edn, maximum dosahuje CRP o 24 \u2013 48 hod\u00edn a k poklesu doch\u00e1dza o 4 \u2013 5 dn\u00ed. R\u00fdchly test na stanovenie hladiny CRP je pre lek\u00e1ra cenn\u00fdm n\u00e1strojom pri rozhodovan\u00ed sa medzi nutnos\u0165ou okam\u017eitej antibakteri\u00e1lnej terapie a pr\u00edpadn\u00fdm sledovan\u00edm v\u00fdvoja choroby.

\u00a0<\/div><\/colgroup>
\u00a0\u00a0Hodnota CRP [mg\/l]<\/strong><\/td>\u00a0\u00a0V\u00fdznam<\/strong><\/td><\/tr>
\u00a0 do 6<\/td>\u00a0 norm\u00e1lna hodnota<\/td><\/tr>
\u00a0 6-35<\/td>\u00a0 v\u00edrusov\u00e1 infekcia<\/td><\/tr>
\u00a0 35 – 50<\/td>\u00a0 neur\u010dit\u00e9 rozmedzie<\/td><\/tr>
\u00a0 viac ako 50<\/td>\u00a0 bakteri\u00e1lna infekcia<\/td><\/tr><\/tbody><\/table>

Terapeuticky sa rozhoduje nasledovne: Pacientom s\u00a0hodnotou nad 40 mg\/l je zv\u00e4\u010d\u0161a nutn\u00e9 nasadi\u0165 antibiotik\u00e1. Jedine pri ich dobrom klinickom stave a\u00a0odmietnut\u00ed antibiotickej lie\u010dby sa odpor\u00fa\u010da zopakova\u0165 vy\u0161etrenie o\u00a01 a\u017e 2 dni. Pacientov s\u00a0hodnotou CRP nad 60 mg\/l je nutn\u00e9 takmer v\u017edy lie\u010di\u0165 antibiotikom,\u00a0 a\u017e na v\u00fdnimky ako je salmonel\u00f3za, aft\u00f3zna stomatit\u00edda, syndr\u00f3m periodickej hor\u00fa\u010dky a\u00a0pod . Do \u00favahy treba v\u017edy bra\u0165 fakt, \u017ee pri ve\u013emi kr\u00e1tkom trvan\u00ed choroby, tzn. menej ako 12 hod\u00edn, m\u00f4\u017ee by\u0165 hladina CRP norm\u00e1lna aj v pr\u00edpade v\u00e1\u017enej bakteri\u00e1lnej infekcie, prejavuj\u00facej sa prudk\u00fdmi klinick\u00fdmi pr\u00edznakmi. V takomto pr\u00edpade je nevyhnutn\u00e1 okam\u017eit\u00e1 antibiotick\u00e1 lie\u010dba.

Hladinu CRP m\u00f4\u017ee zv\u00fd\u0161i\u0165 u\u017e\u00edvanie hormon\u00e1lnej antikoncepcie, faj\u010denie, chronick\u00e9 z\u00e1palov\u00e9 ochorenie, vn\u00fatromaternicov\u00e9 teliesko, \u0165a\u017ek\u00e1 podv\u00fd\u017eiva a hormon\u00e1lny deficit. U\u017e\u00edvanie nesteroidn\u00fdch antireumat\u00edk a stat\u00ednov mo\u017ee zni\u017eova\u0165 hladinu CRP v krvi.

Pri n\u00edzkych hodnot\u00e1ch CRP sa m\u00f4\u017ee lek\u00e1r pre \u00a0indik\u00e1ciu antibiot\u00edk rozhodn\u00fa\u0165 a\u017e pod\u013ea \u010fal\u0161ieho rozvoja klinick\u00e9ho stavu a\u00a0opakovan\u00e9ho monitorovania z\u00e1palov\u00e9ho parametra.<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Pre\u010do \u0161kod\u00ed \u010dast\u00e9 u\u017e\u00edvanie antibiot\u00edk?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  • Vznik\u00e1 rezistencia (odolnos\u0165) bakt\u00e9ri\u00ed vo\u010di antibiotik\u00e1m, ktor\u00e9 potom ne\u00fa\u010dinkuj\u00fa v pr\u00edpade z\u00e1va\u017enej bakteri\u00e1lnej infekcie. Je dok\u00e1zan\u00fd vz\u0165ah medzi mno\u017estvom pou\u017eit\u00fdch antibiot\u00edk a vznikom a \u0161\u00edren\u00edm rezistentn\u00fdch bakt\u00e9ri\u00ed.<\/li>
  • Antibiotik\u00e1 nep\u00f4sobia len v mieste z\u00e1palu, ale ni\u010dia aj tzv. „dobr\u00e9 bakt\u00e9rie“, ktor\u00e9 s\u00eddlia v \u010dreve a zohr\u00e1vaj\u00fa d\u00f4le\u017eit\u00fa \u00falohu v procese tr\u00e1venia.<\/li>
  • Gynekologick\u00e1 kvasinkov\u00e1 infekcia vznik\u00e1 ve\u013emi \u010dasto pri a po celkovej lie\u010dbe \u0161irokospektr\u00e1lnymi antibiotikami. ATB lie\u010dba eliminuje fyziologick\u00fa po\u0161vov\u00fa mikrofl\u00f3ru \/tvoren\u00fa pestrou zmesou aer\u00f3bnych a anaer\u00f3bnych mikroorganizmov, ktor\u00e9 s\u00fa vo vz\u00e1jomnej rovnov\u00e1he\/, ktor\u00e1 chr\u00e1ni pred koloniz\u00e1ciou kvasinkami.<\/li><\/ul>
    S\u00fa\u010dasn\u00e1 akceler\u00e1cia negat\u00edvneho v\u00fdvoja rezistencie ukazuje, \u017ee \u00fa\u010deln\u00e9 a\u00a0uv\u00e1\u017eliv\u00e9 pou\u017e\u00edvanie antibiot\u00edk je sp\u00f4sob, ako st\u00fapanie rezistencie spomali\u0165. Pod\u013ea Svetovej zdravotn\u00edckej organiz\u00e1cie najefekt\u00edvnej\u0161\u00edm sp\u00f4sobom boja proti rezistencii na antibiotik\u00e1 je prevent\u00edvne o\u010dkovanie. O\u010dkovanie zn\u00ed\u017ei v\u00fdskyt ochoren\u00ed, zn\u00ed\u017ei sa spotreba antibiot\u00edk a t\u00fdm aj rezistencia na antibiotik\u00e1.<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    Vy\u0161etrujeme nov\u00fdm pr\u00edstrojom\u00a0CUBE. Pr\u00edstroj umo\u017e\u0148uje stanovi\u0165 z kvapky krvi :CRP\u00a0do\u00a0 3 min\u00fat ur\u010d\u00edme aktivitu bakteri\u00e1lneho procesu v organizme.hsCRP\u00a0– vysokocitliv\u00e9 CRP (ukazovate\u013e kardiovaskul\u00e1rneho rizika)INR\u00a0do 10 min\u00fat vy\u0161etr\u00edme krvn\u00fa zr\u00e1\u017eanlivos\u0165 pacientom u\u017e\u00edvaj\u00facich Warfarin (lie\u010dbu na riedenie krvi). \u00a0 V\u00fdznam vy\u0161etrenia CRP v ambulancii v\u0161eobecn\u00e9ho lek\u00e1ra pre dospel\u00fdch\u00a0V\u0161etci lek\u00e1ri s\u00fa si vedom\u00ed nebezpe\u010denstva z nadu\u017e\u00edvania antibiot\u00edk (ATB).\u00a0Pri nadmernom […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":45,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"yoast_head":"\nCRP - mudrstankovska.sk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mudrstankovska.sk\/?page_id=226\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CRP - mudrstankovska.sk\" \/>\n<meta property=\"og:description\" content=\"Vy\u0161etrujeme nov\u00fdm pr\u00edstrojom\u00a0CUBE. 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