{"id":15619,"date":"2024-03-18T15:24:19","date_gmt":"2024-03-18T14:24:19","guid":{"rendered":"https:\/\/nemocnica-bory.sk\/?post_type=ambulance&p=15619"},"modified":"2025-07-07T14:37:13","modified_gmt":"2025-07-07T12:37:13","slug":"pneumologicka","status":"publish","type":"ambulance","link":"https:\/\/nemocnica-bory.sk\/en\/ambulancia\/pneumologicka\/","title":{"rendered":"Pneumologick\u00e1 ambulancia a interven\u010dn\u00e1 bronchoskopia"},"content":{"rendered":"
\n
\n\t\t\"Pneumologick\u00e1\n\t<\/div>\n\n<\/div><\/div>
\n
\n\t

Pneumologick\u00e1 ambulancia sa \u0161pecializuje na\u00a0interven\u010dn\u00fa diagnostiku, lie\u010dbu a prevenciu ochoren\u00ed respira\u010dn\u00e9ho syst\u00e9mu<\/b>.<\/p>\n

Hlavnou n\u00e1pl\u0148ou ambulantnej \u010dinnosti je \u0161pecializovan\u00e1 ambulancia pre\u00a0pacientov s\u00a0p\u013e\u00facnymi uzl\u00edkmi, resp. hrudn\u00edkovou lymfadenopatiou, s\u00a0pohrudni\u010dn\u00fdmi\u00a0<\/span>(pleur\u00e1lnymi) v\u00fdpotkami a s\u00a0podozren\u00edm na interstici\u00e1lne p\u013e\u00facne ochorenia vy\u017eaduj\u00face invaz\u00edvnu diagnostiku.\u00a0<\/span><\/b><\/p>\n

V ambulancii tie\u017e uprednost\u0148ujeme:<\/p>\n

    \n
  • Pacientov odoslan\u00fdch od in\u00fdch pneumol\u00f3gov, klinick\u00fdch alebo radia\u010dn\u00fdch onkol\u00f3gov, ORL a\u00a0in\u00fdch chirurgick\u00fdch \u0161pecialistov<\/strong> s cie\u013eom bronchoskopick\u00e9ho mana\u017ementu pacientov s\u00a0nezhubn\u00fdmi a\u00a0zhubn\u00fdmi ob\u0161truk\u010dn\u00fdmi n\u00e1dormi trachey, hlavn\u00fdch d\u00fdchac\u00edch ciest a\u00a0mediast\u00edna.<\/li>\n
  • Onkologick\u00fdch pacientov alebo pacientov s\u00a0v\u00e1\u017enym podozren\u00edm na p\u013e\u00facnu malignitu<\/strong> s\u00a0nutnos\u0165ou biopsie, re-biopsie, alebo mana\u017ementu pohrudni\u010dn\u00e9ho\u00a0<\/span>v\u00fdpotku.<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div>

    Lek\u00e1ri a sestry ambulancie<\/span><\/h2>\n \t
      \n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t

      MUDr. Katar\u00edna Ilavsk\u00e1<\/h3>\n\t\t\t\t
      pneumol\u00f3g a ftizeol\u00f3g<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t

      MUDr. Franti\u0161ek S\u00e1ndor, PhD., FCCP<\/h3>\n\t\t\t\t
      pneumol\u00f3g a ftizeol\u00f3g<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t

      MUDr. Michal \u0160enitko, DAABIP <\/h3>\n\t\t\t\t
      pneumol\u00f3g a ftizeol\u00f3g<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t

      MUDr. Peter Lehotay<\/h3>\n\t\t\t\t
      sekund\u00e1rny lek\u00e1r<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t

      \u013dubica Hlad\u00edkov\u00e1<\/h3>\n\t\t\t\t
      sestra so \u0161pecializ\u00e1ciou<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t<\/ul>\n \n<\/div>

      Ordina\u010dn\u00e9 hodiny<\/span><\/h2>\n \t
        \n\t\t\t\t\t
      • Pondelok: 08.00 - 16.00<\/li>\n\t\t\t\t\t
      • Utorok: opera\u010dn\u00fd de\u0148<\/li>\n\t\t\t\t\t
      • Streda: 08.00 - 16.00<\/li>\n\t\t\t\t\t
      • \u0160tvrtok: opera\u010dn\u00fd de\u0148<\/li>\n\t\t\t\t\t
      • Piatok: 08.00 - 16.00<\/li>\n\t\t\t<\/ul>\n\t <\/div>
        \n
        \n\t

        Kontakty<\/span><\/h2>\n

        Pneumologick\u00e1 ambulancia<\/strong> sa nach\u00e1dza na pr\u00edzem\u00ed - recepcia A<\/strong>.
        \nP\u013e\u00facne funk\u010dn\u00e9 testy<\/strong> (spirometria a pod.) sa nach\u00e1dzaj\u00fa na pr\u00edzem\u00ed - recepcia C.<\/strong>
        \nBronchoskopick\u00e1 s\u00e1la<\/strong> (endoskopia) sa nach\u00e1dza na 1. poschod\u00ed - recepcia Z\u00a0a S.<\/strong><\/p>\n

        Upozornenie: E-mailov\u00e1 adresa sl\u00fa\u017ei pre existuj\u00facich pacientov pneumologickej ambulancie na konzult\u00e1ciu a predpis receptu. Nesl\u00fa\u017ei na objedn\u00e1vanie nov\u00fdch pacientov.<\/strong><\/p>\n

        pneumologia.ambulancia.bh@pentahospitals.com<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>

        \n
        \n\t

        Pre\u010do si vybra\u0165 pneumologick\u00fa ambulanciu<\/span><\/h2>\n

        N\u00e1\u0161 t\u00edm odborn\u00edkov m\u00e1 dlhoro\u010dn\u00e9 dom\u00e1ce aj zahrani\u010dn\u00e9 sk\u00fasenosti v diagnostike a lie\u010dbe ochoren\u00ed d\u00fdchacieho traktu<\/strong>, v\u00a0minim\u00e1lne invaz\u00edvnych interven\u010dn\u00fdch v\u00fdkonoch a\u00a0v\u00a0intenz\u00edvnej medic\u00edne. P\u013e\u00facna ambulancia je vybaven\u00e1 modern\u00fdm funk\u010dn\u00fdm a\u00a0endoskopick\u00fdm zariaden\u00edm<\/strong> a je tesne prepojen\u00e1 s multidisciplin\u00e1rnym z\u00e1zem\u00edm nemocnice.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>

        \n
        \n\t

        Ako sa objedna\u0165 na vy\u0161etrenie?<\/span><\/h2>\n

        Z kapacitn\u00fdch d\u00f4vodov s\u00fa term\u00edny do pneumologickej ambulancie s mo\u017enos\u0165ou priameho objednania sa pacientom po obdr\u017ean\u00ed v\u00fdmenn\u00e9ho l\u00edstku<\/b> od praktick\u00e9ho lek\u00e1ra limitovan\u00e9<\/b>. K\u202fprv\u00e9mu vy\u0161etreniu v p\u013e\u00facnej ambulancii Nemocnice Bory je tak preferovan\u00e9 odoslanie od lek\u00e1ra \u0161pecialistu, napr. pneumol\u00f3ga, v\u202ftakzvanej n\u00e1slednej zdravotnej starostlivosti.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>

        \n
        \n\t

        Priebeh vy\u0161etrenia v pneumologickej ambulancii<\/span><\/h2>\n

        Vy\u0161etrenie v\u00e4\u010d\u0161inou spo\u010d\u00edva v\u00a0rozhovore s pacientom, fyzik\u00e1lnom vy\u0161etren\u00ed a\u00a0v rozbore zdravotnej dokument\u00e1cie<\/b>. Pacienti m\u00f4\u017eu v\u00a0r\u00e1mci n\u00e1v\u0161tevy tie\u017e absolvova\u0165 p\u013e\u00facne funk\u010dn\u00e9 testy, RTG resp. CT vy\u0161etrenie hrudn\u00edka, EKG, alebo krvn\u00e9 odbery pod\u013ea indik\u00e1cie lek\u00e1ra. Na z\u00e1klade z\u00edskan\u00fdch inform\u00e1ci\u00ed komplexne pos\u00fadime zdravotn\u00fd stav pacienta a\u00a0navrhneme \u010fal\u0161ie optim\u00e1lne diagnostick\u00e9 a\u00a0lie\u010debn\u00e9 postupy.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>

        \n
        \n\t

        Diagn\u00f3zy lie\u010den\u00e9 v pneumologickej ambulancii<\/span><\/h2>\n

        Prim\u00e1rnym zameran\u00edm p\u013e\u00facnej ambulancie s\u00fa minim\u00e1lne invaz\u00edvne endoskopick\u00e9 z\u00e1kroky v\u00a0p\u013e\u00facach alebo v\u00a0pohrudni\u010dnej (pleur\u00e1lnej)\u00a0<\/span>dutine potrebn\u00e9 k diagnostike alebo mana\u017ementu ochoren\u00ed\u00a0<\/span>org\u00e1nov hrudn\u00edka ako napr.:<\/p>\n

          \n
        • Prim\u00e1rne alebo metastatick\u00e9 n\u00e1dory p\u013e\u00fac a\u00a0mediast\u00edna (medzihrudie).<\/li>\n
        • Sarkoid\u00f3za - multisyst\u00e9mov\u00e9\u00a0<\/span>ochorenie charakterizovan\u00e9 rastom mal\u00fdch zhlukov z\u00e1palov\u00fdch. buniek naj\u010dastej\u0161ie postihuj\u00face p\u013e\u00faca a lymfatick\u00e9 uzliny v\u00a0hrudn\u00edku.<\/li>\n
        • Interstici\u00e1lne p\u013e\u00facne ochorenia ako napr. p\u013e\u00facna fibr\u00f3za a in\u00e9 pneumonit\u00eddy (neinfek\u010dn\u00e9 z\u00e1palov\u00e9\u00a0<\/span>procesy v\u00a0p\u013e\u00facach) mnohopo\u010detnej etiol\u00f3gie.<\/li>\n
        • Oportunistick\u00e9 infek\u010dn\u00e9 z\u00e1palov\u00e9 procesy p\u013e\u00fac u\u00a0pacientov so zn\u00ed\u017eenou imunitou.<\/li>\n
        • Rozvinut\u00fd heterog\u00e9nny p\u013e\u00facny emfyz\u00e9m (RV > 150%) vhodn\u00fd na bronchoskopick\u00fa redukciu objemu p\u013e\u00fac.<\/li>\n
        • Pohrudni\u010dn\u00e9\u00a0<\/span>v\u00fdpotky ben\u00edgnej, mal\u00edgnej, alebo nezn\u00e1mej etiol\u00f3gie vy\u017eaduj\u00face intervenciu.<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div>
          \n
          \n\t

          V\u00fdkony pneumologickej ambulancie<\/span><\/h2>\n

          P\u013e\u00facne funk\u010dn\u00e9 testy<\/b><\/p>\n

            \n
          • Spirometria, bodypletyzmografia, vy\u0161etrenie dif\u00faznej kapacity p\u013e\u00fac (DLCO), bronchomotorick\u00e9 testy, spiroergometria, 6 min\u00fatov\u00fd test ch\u00f4dze (6-minute walk test) (6MWT) s\u00a0pulznou oxymetriou a\u00a0vy\u0161etren\u00edm krvn\u00fdch plynov.<\/li>\n
          • T\u00e1to skupina vy\u0161etren\u00ed sa pou\u017e\u00edva pri diagnostike ochoren\u00ed ako napr. bronchi\u00e1lna astma, chronick\u00e1 ob\u0161truk\u010dn\u00e1\u00a0<\/span>choroba p\u013e\u00fac, p\u013e\u00facna fibr\u00f3za, sarkoid\u00f3za,\u00a0<\/span>ale aj pri niektor\u00fdch kardiovaskul\u00e1rnych ochoreniach na zhodnotenie funk\u010dn\u00e9ho stavu kardio-respira\u010dn\u00e9ho syst\u00e9mu. Jednotliv\u00e9 vy\u0161etrenia alebo skupinu vy\u0161etren\u00ed indikuje pneumol\u00f3g pri n\u00e1v\u0161teve ambulancie.<\/li>\n<\/ul>\n

            Diagnostick\u00e1 bronchoskopia<\/b><\/p>\n

              \n
            • Odobratie vzorky z\u00a0p\u013e\u00facneho tkaniva, sliznice d\u00fdchac\u00edch ciest alebo lymfatick\u00fdch uzl\u00edn hrudn\u00edka pomocou\u00a0flexibiln\u00e9ho bronchoskopu.<\/li>\n
            • K\u00a0cielen\u00e9mu odberu vzorky sa vyu\u017e\u00edva ako\u00a0<\/span>\u0161tandardn\u00fd, tak \u0161peci\u00e1lny bronchoskop alebo sonda s endobronchi\u00e1lnym ultrazvukom (EBUS), syst\u00e9m virtu\u00e1lnej\/naviga\u010dnej bronchoskopie a skiaskopick\u00e9 C rameno (slab\u00e9 RTG \u017eiarenie).<\/li>\n
            • Vzorky sa odoberaj\u00fa bu\u010f tenkou ihlou, klie\u0161tikmi r\u00f4znych ve\u013ekost\u00ed, alebo kryo sondou (mrazenie).<\/li>\n
            • Pod\u013ea stavu pacienta a\u00a0rozsahu v\u00fdkonu je pacientovi po\u010das bronchoskopie pod\u00e1van\u00e1\u00a0tzv. analgosed\u00e1cia alebo je pacient v celkovej anest\u00e9zii.\u00a0<\/span><\/li>\n<\/ul>\n

              Terapeutick\u00e1 bronchoskopia<\/b><\/p>\n

                \n
              • Re-kanaliz\u00e1cia hlavn\u00fdch d\u00fdchac\u00edch ciest pomocou rig\u00eddnej bronchoskopie v\u00a0celkovej anest\u00e9zii v\u00a0kombin\u00e1cii s\u00a0<\/span>bal\u00f3nikovou dilat\u00e1ciou,\u00a0<\/span>exc\u00edziou endobronchi\u00e1lneho tumoru, alebo\u00a0zaveden\u00edm stentu do d\u00fdchac\u00edch ciest.\u00a0<\/span><\/li>\n
              • Implant\u00e1cia jednocestn\u00fdch endobronchi\u00e1lnych ventila\u010dn\u00fdch syst\u00e9mov (chlopn\u00ed) s\u00a0cie\u013eom\u00a0<\/span>bronchoskopickej redukcie p\u013e\u00facneho objemu, alebo ako metodika poskytuj\u00faca uz\u00e1ver broncho-pleur\u00e1lnej fistuly.<\/li>\n<\/ul>\n

                Pohrudni\u010dn\u00e9\u00a0<\/span>(pleur\u00e1lne) z\u00e1kroky<\/b><\/p>\n

                  \n
                • Ultrazvukov\u00e9 (USG)\u00a0<\/span>vy\u0161etrenie pohrudni\u010dn\u00e9ho\u00a0 <\/span>priestoru.<\/li>\n
                • Torakocent\u00e9za (jednor\u00e1zov\u00e1 dren\u00e1\u017e) pohrudni\u010dn\u00e9ho\u00a0<\/span>v\u00fdpotku pod USG kontrolou.<\/li>\n
                • Zavedenie ak\u00fatneho alebo chronick\u00e9ho (tunelizovan\u00e9ho) hrudn\u00edkov\u00e9ho\u00a0<\/span>dr\u00e9nu pod USG kontrolou.<\/li>\n
                • Hrudn\u00edkov\u00e1\u00a0<\/span>talk\u00e1\u017e (chemick\u00e1 pleurod\u00e9za) a\u00a0biopsia pohrudnice s\u00a0cie\u013eom diagnostiky a\u00a0lie\u010dby chronick\u00e9ho pleur\u00e1lneho v\u00fdpotku.<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>

                  Ordina\u010dn\u00e9 hodiny pneumologickej ambulancie<\/span><\/h2><\/div>
                  \t
                    \n\t\t\t\t\t
                  • Pondelok: 08.00 - 16.00<\/li>\n\t\t\t\t\t
                  • Utorok: opera\u010dn\u00fd de\u0148<\/li>\n\t\t\t\t\t
                  • Streda: 08.00 - 16.00<\/li>\n\t\t\t\t\t
                  • \u0160tvrtok: opera\u010dn\u00fd de\u0148<\/li>\n\t\t\t\t\t
                  • Piatok: 08.00 - 16.00<\/li>\n\t\t\t<\/ul>\n\t <\/div><\/div>
                    <\/div><\/div><\/div><\/div>
                    \n
                    \n\t

                    Praktick\u00e9 inform\u00e1cie<\/span><\/h2>\n

                    Mo\u017enos\u0165 objednania na prvovy\u0161etrenie<\/strong>: osobne na recepcii, v r\u00e9\u017ei\u00ed ambulancie<\/p>\n

                    Potrebn\u00e1 dokument\u00e1cia pri prvom vy\u0161etren\u00ed<\/strong>: v\u00fdmenn\u00fd l\u00edstok od lek\u00e1ra \u0161pecialistu, origin\u00e1l n\u00e1lez\/lek\u00e1rska spr\u00e1va<\/p>\n

                    Kontakt na spojenie s ambulanciou (pacienti po prvovy\u0161etren\u00ed)<\/strong>: pneumologia.ambulancia.bh@pentahospitals.com<\/p>\n

                    Mo\u017enos\u0165 objednania na kontroln\u00e9 vy\u0161etrenie<\/strong>: osobne na recepcii, v r\u00e9\u017ei\u00ed ambulancie<\/p>\n

                    Zmluvy so zdravotn\u00fdmi pois\u0165ov\u0148ami<\/strong>: D\u00f4vera, Union, V\u0160ZP<\/p>\n

                    Vek o\u0161etrovan\u00fdch pacientov<\/strong>: od 18 rokov<\/p>\n

                    D\u00e1tum spr\u00edstupnenia nov\u00fdch term\u00ednov:<\/strong> 2026-06-10<\/p>\n

                    Stav zaplnenia term\u00ednov ambulancie:<\/strong> inform\u00e1cia o term\u00ednoch na kontaktnom centre\/recepcii<\/p>\n

                    Nepr\u00edtomnosti na ambulancii:<\/strong> <\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>

                    <\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

                    Pneumologick\u00e1 ambulancia sa \u0161pecializuje na\u00a0interven\u010dn\u00fa diagnostiku, lie\u010dbu a prevenciu ochoren\u00ed respira\u010dn\u00e9ho syst\u00e9mu. Hlavnou n\u00e1pl\u0148ou ambulantnej \u010dinnosti je \u0161pecializovan\u00e1 ambulancia pre\u00a0pacientov s\u00a0p\u013e\u00facnymi uzl\u00edkmi, resp. hrudn\u00edkovou lymfadenopatiou, s\u00a0pohrudni\u010dn\u00fdmi\u00a0(pleur\u00e1lnymi) v\u00fdpotkami a s\u00a0podozren\u00edm na interstici\u00e1lne p\u013e\u00facne ochorenia vy\u017eaduj\u00face invaz\u00edvnu diagnostiku.\u00a0 V ambulancii tie\u017e uprednost\u0148ujeme: Pacientov odoslan\u00fdch od in\u00fdch pneumol\u00f3gov, klinick\u00fdch alebo radia\u010dn\u00fdch onkol\u00f3gov, ORL a\u00a0in\u00fdch chirurgick\u00fdch \u0161pecialistov s cie\u013eom […]<\/p>\n","protected":false},"author":13,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","class_list":["post-15619","ambulance","type-ambulance","status-publish","hentry"],"acf":[],"yoast_head":"\nPneumologick\u00e1 (p\u013e\u00facna) ambulancia<\/title>\n<meta name=\"description\" content=\"P\u013e\u00facna ambulancia Nemocnice Bory 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