{"id":5267,"date":"2023-03-31T07:40:14","date_gmt":"2023-03-31T06:40:14","guid":{"rendered":"https:\/\/www.vitaetfutura.cz\/?page_id=5267"},"modified":"2026-06-22T14:53:55","modified_gmt":"2026-06-22T13:53:55","slug":"den-po-dni-phnompenh-2023","status":"publish","type":"page","link":"https:\/\/www.vitaetfutura.cz\/en\/ceske-perinatologicke-ruce-leti-do-kambodze\/den-po-dni-phnompenh-2023\/","title":{"rendered":"Den po dni Phnom Penh 2023"},"content":{"rendered":"\n

P\u00e1tek 5. ledna 2023<\/strong><\/p>\n\n\n\n

\u00dakol \"\ud83c\udde8\ud83c\uddff\"\u010cesk\u00e1 rozvojov\u00e1 agentura – CzechAid<\/a> zn\u00ed jasn\u011b:
\"\u2b07\ufe0f\" sn\u00ed\u017eit \u00famrtnost kambod\u017esk\u00fdch matek u porodu
\"\u2b07\ufe0f\"sn\u00ed\u017eit perinat\u00e1ln\u00ed \u00famrtnost jejich d\u011bt\u00ed
\"\u2b07\ufe0f\"sn\u00ed\u017eit \u00famrt\u00ed d\u011bt\u00ed do 5 let jejich \u017eivota<\/p>\n\n\n\n

Slo\u017een\u00ed na\u0161eho t\u00fdmu se m\u016f\u017ee zd\u00e1t heterogenn\u00ed, ale to pouze na prvn\u00ed pohled. Porodn\u00edci, neonatologov\u00e9, anesteziologov\u00e9, diabetolo\u017eka, prost\u011b l\u00e9ka\u0159i, porodn\u00ed asistentky, d\u011btsk\u00e1 sestra a z\u00e1chran\u00e1\u0159 zejm\u00e9na z V\u0161eobecn\u00e1 fakultn\u00ed nemocnice v Praze – VFN<\/a> a 1. LF UK<\/a> , z\u00e1stupci bioengineeringu a modern\u00edch IT technologi\u00ed tvo\u0159\u00ed jeden kompaktn\u00ed t\u00fdm, kter\u00fd vyr\u00e1\u017e\u00ed sm\u011br Kambod\u017ea\"\ud83c\uddf0\ud83c\udded\"<\/p>\n\n\n\n

P\u0159ipravili jsme rozs\u00e1hl\u00fd multidisciplin\u00e1rn\u00ed program pro vzd\u011bl\u00e1v\u00e1n\u00ed l\u00e9ka\u0159\u016f a porodn\u00edch asistentek v t\u00e9to \u010d\u00e1sti jihov\u00fdchodn\u00ed Asie. Po lo\u0148sk\u00e9 vizita\u010dn\u00ed cest\u011b, p\u0159esn\u011b p\u0159ed rokem, toti\u017e v\u00edme do \u010deho jdeme a \u010dek\u00e1 n\u00e1s p\u011bkn\u00e1 fu\u0161ka… dr\u017ete n\u00e1m palce.<\/p>\n\n\n\n

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6. Leden 2023 <\/strong><\/p>\n\n\n\n

Phnom Penh\"\ud83c\uddf0\ud83c\udded\" leti\u0161t\u011b… Tak jsme na m\u00edst\u011b, kdy\u017e cesta n\u00e1m vzala cel\u00fdch 25 hodin. \"1\ufe0f\u20e3\" \u00fakol spln\u011bn, nep\u0159i\u0161li jsme ani o jednoho \u010dlena v\u00fdpravy, jako tomu bylo pr\u00e1v\u011b p\u0159ed rokem kv\u016fli COVID – 19.<\/p>\n\n\n\n

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7. leden 2023<\/strong><\/p>\n\n\n\n

R\u00e1no, jet lag (trysk\u00e1\u010dov\u00e9 zpo\u017ed\u011bn\u00ed) koordina\u010dn\u00ed meeting, prost\u011b pr\u00e1ce za\u010d\u00edn\u00e1..<\/p>\n\n\n\n

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8. leden 2023<\/strong><\/p>\n\n\n\n

P\u0159\u00edpravy na eduka\u010dn\u00ed konferenci jsou v pln\u00e9m proudu. Na\u0161i skv\u011bl\u00ed IT a audio-video specialist\u00e9 (bez legrace Michal Krsek<\/a> je p\u0159\u00edmo k nezaplacen\u00ed) \u0159e\u0161\u00ed soulad st\u0159edoevropsk\u00fdch Windows a kambod\u017esk\u00fdch projektor\u016f.<\/p>\n\n\n\n

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9. leden 2023<\/strong><\/p>\n\n\n\n

\"\ud83c\uddf0\ud83c\udded\"Na \u00favod hymna Kambod\u017ee, oficialita, kter\u00e1 demonstruje, jakou v\u00e1hu zdej\u0161\u00ed l\u00e9ka\u0159i a porodn\u00ed asistentky d\u00e1vaj\u00ed na\u0161emu mezioborov\u00e9mu eduka\u010dn\u00edmu kongresu v r\u00e1mci humanit\u00e1rn\u00ed pomoci podporovan\u00e9\/organizovan\u00e9 \u010cesk\u00e1 rozvojov\u00e1 agentura – CzechAid<\/a>.\"\ud83c\udde8\ud83c\uddff\"<\/p>\n\n\n\n

Pak kytice kv\u011btin, kterou jsme p\u0159ed zah\u00e1jen\u00edm ocenili p\u016flro\u010dn\u00ed pr\u00e1ci na\u0161\u00ed ambasadorky MUDr. Katka Slab\u00e1<\/a> ve zdej\u0161\u00ed N\u00e1rodn\u00ed pediatrick\u00e9 nemocnici. Pak u\u017e n\u00e1sledovala p\u0159edn\u00e1\u0161ka za p\u0159edn\u00e1\u0161kou. Porodn\u00ed asistentka Mgr. A. N\u011bmcov\u00e1 p\u0159edstavila tri\u00e1\u017e na n\u00edzkorizikov\u00e9 a rizikov\u00e9 t\u011bhotn\u00e9 \u017eeny v na\u0161\u00ed zemi a n\u00e1sledn\u011b p\u00e9\u010di o n\u00edzkorizikov\u00e9 t\u011bhotn\u00e9 a rodi\u010dky porodn\u00ed asistentkou. MUDr. Z. Kokrdov\u00e1 p\u0159edstavila novinky z problematiky preeklampsie. V\u00fdznamn\u011b zaujala p\u0159edn\u00e1\u0161ka MUDr. H. Krej\u010d\u00ed o diabetu t\u011bhotn\u00fdch. Den skon\u010dil v pozdn\u011b odpoledn\u00edch hodin\u00e1ch prezentacemi o p\u0159ed\u010dasn\u00e9m porodu, kdy\u017e poslucha\u010di zejm\u00e9na ocenili videoprezentace zaj\u00edmav\u00fdch kazuistik z na\u0161\u00ed klinick\u00e9 praxe. Mil\u00e9 bylo po roce setk\u00e1n\u00ed s \u0159editelem N\u00e1rodn\u00ed pediatrick\u00e9 nemocnice Nhep Angkeabos<\/a> Vysoce ocenil na\u0161i pr\u00e1ci p\u0159i tvorb\u011b anglicko khmersk\u00fdch slajd\u016f a zejm\u00e9na ob\u011btavou pr\u00e1ci na\u0161eho tlumo\u010dn\u00edka Ratanak Sio<\/a> . Nikdo nev\u00ed, jak budeme st\u00edhat, proto\u017ee kolegov\u00e9 z Kambod\u017ee projevili z\u00e1jem o roz\u0161\u00ed\u0159en\u00ed u\u017e tak velmi nabit\u00e9ho programu.<\/p>\n\n\n\n

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10. leden 2023<\/strong><\/p>\n\n\n\n

V\u010derej\u0161\u00ed den byl velmi v\u00fd\u017eivn\u00fd, dnes modern\u011b ozna\u010dovan\u00fd jako „busy day“.<\/p>\n\n\n\n

Bud\u00ed\u010dek v 6:00, kdy\u017e u n\u011bkoho je\u0161t\u011b dozn\u00edval „jet lag“.
Rychl\u00e1 sn\u00eddan\u011b a pak transport tuk tuky sm\u011br konferen\u010dn\u00ed hotel.
Program za\u010dal p\u0159edstaven\u00edm dne\u0161n\u00edch doporu\u010den\u00fdch postup\u016f pro porod c\u00edsa\u0159sk\u00fdm \u0159ezem (Katka Slab\u00e1<\/a>).<\/p>\n\n\n\n

N\u00e1sledovala prezentace o extrak\u010dn\u00edch metod\u00e1ch v porodnictv\u00ed, vakuumextrakce a porodnick\u00e9 kle\u0161t\u011b. Jedn\u00e1 se o \u017eivot zachra\u0148uj\u00edc\u00ed metody. I kdy\u017e jsou kle\u0161t\u011b celosv\u011btov\u011b na \u00fastupu, tak by je m\u011bl i dnes um\u011bt zvl\u00e1dat ka\u017ed\u00fd porodn\u00edk. St\u00e1le existuj\u00ed situace, kdy se jim v z\u00e1jmu z\u00e1chrany \u017eivota d\u00edt\u011bte nebo matky nelze prost\u011b vyhnout. Pr\u00e1v\u011b porodnick\u00e9 kle\u0161t\u011b vid\u011bli porodn\u00ed asistentky, ale i n\u011bkte\u0159\u00ed l\u00e9ka\u0159i poprv\u00e9 v \u017eivot\u011b.<\/p>\n\n\n\n

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N\u00e1sledovalo p\u0159edstaven\u00ed novinek z oblasti \u017eivot ohro\u017euj\u00edc\u00edho krv\u00e1cen\u00ed p\u0159i porodu, a to jak z pohledu porodn\u00edka (A. Pa\u0159\u00edzek), tak i anesteziologa (J. Bl\u00e1ha).
Po ob\u011bd\u011b K. Slab\u00e1 a porodn\u00ed asistentka A. N\u011bmcov\u00e1 prezentovaly problematiku nitrod\u011blo\u017en\u00edho sledov\u00e1n\u00ed plodu pomoc\u00ed kardiotokografie.<\/p>\n\n\n\n

Po prezentac\u00edch jsme se rychle p\u0159esunuli do N\u00e1rodn\u00ed pediatrick\u00e9 nemocnice. Ve vchodu jsme m\u00edjeli na\u0161e neonatology, kte\u0159\u00ed ve spole\u010dnosti \u0159editele nemocnice Nhep Angkeabos<\/a> pr\u00e1v\u011b opou\u0161t\u011bli perinatologick\u00e9 centrum. Kolegov\u00e9\/porodnici z Kambod\u017ei pro n\u00e1s p\u0159ipravili maminku, kterou \u010dekal opakovan\u00fd c\u00edsa\u0159sk\u00fd \u0159ez. Cht\u011bli vid\u011bt na\u0161i techniku jeho proveden\u00ed. Popravd\u011b, operovat v \u00fapln\u011b ciz\u00edm prost\u0159ed\u00ed, kdy\u017e ne v\u0161ichni zdravotn\u00edci hovo\u0159\u00ed anglicky, s n\u00e1stroji, kter\u00e9 jsou shodn\u00e9 a z\u00e1rove\u0148 odli\u0161n\u00e9, to na klidu moc nep\u0159id\u00e1. Ale ve spin\u00e1ln\u00ed anestezii, kterou brilantn\u011b p\u0159edstavil a provedl J. Bl\u00e1ha s asistenc\u00ed Z. Kokrdov\u00e9, kdy\u017e vedle khmersk\u00e9ho instrument\u00e1\u0159e v\u0161e jistila A. N\u011bmcov\u00e1, \u0161la operace jako po dr\u00e1tku.<\/p>\n\n\n\n

Po n\u00ed se n\u00e1m dostalo potlesku, kter\u00fd n\u011bkdo nazval aplausem, proto\u017ee na opera\u010dn\u00edm s\u00e1le bylo nezvykle velk\u00e9 mno\u017estv\u00ed div\u00e1k\u016f. N\u00e1sledoval p\u0159esun do hotelu, sprcha a pak rychle s Ratanak Sio<\/a> (n\u00e1\u0161 tlumo\u010dn\u00edk) na jedn\u00e1n\u00ed s neju\u017e\u0161\u00edm veden\u00edm nemocnice. P\u0159esto\u017ee \u0161lo o pracovn\u00ed ve\u010de\u0159i s prezentac\u00ed, kde se prob\u00edrala na\u0161e dosavadn\u00ed spolupr\u00e1ce, vl\u00e1dla neskute\u010dn\u011b pohodov\u00e1 atmosf\u00e9ra, posl\u00e9ze p\u0159ed\u00e1n\u00ed pozornost\u00ed od Univerzita Karlova<\/a> a jej\u00ed 1. LF UK<\/a> a nakonec je\u0161t\u011b fotografie s pravou rukou pana \u0159editele Nhip Angkeabos a Soklim Pay .<\/p>\n\n\n\n

P\u0159ed p\u016flnoc\u00ed je\u0161t\u011b sch\u016fzka s t\u00fdmem a pivo na span\u00ed. To byl den\u2026 <\/p>\n\n\n\n

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12. leden 2023<\/strong><\/p>\n\n\n\n

\u00dapln\u011b ka\u017ed\u00fd, kdo pracuje na porodn\u00edm s\u00e1le v\u00ed, \u017ee v p\u0159\u00edpad\u011b zejm\u00e9na akutn\u00edch probl\u00e9m\u016f, je naprosto kl\u00ed\u010dovou osobou anesteziolog<\/p>\n\n\n\n

Je si toho v\u011bdom ka\u017ed\u00fd porodn\u00edk, neonatolog\/pediatr, ale i ka\u017ed\u00e1 porodn\u00ed asistentka. Kdy\u017e se dus\u00ed d\u00edt\u011b (odborn\u011b hypoxie) a je pot\u0159eba ud\u011blat akutn\u00ed c\u00edsa\u0159sk\u00fd \u0159ez, nebo kdy\u017e se \u017eena ztr\u00e1c\u00ed p\u0159ed o\u010dima, proto\u017ee u porodu nastalo ne\u010dekan\u011b rychl\u00e9 a masivn\u00ed krv\u00e1cen\u00ed (odborn\u011b peripart\u00e1ln\u00ed \u017eivot ohro\u017euj\u00edc\u00ed krv\u00e1cen\u00ed), tak v\u0161ichni okam\u017eit\u011b vyt\u00e1\u010dej\u00ed slu\u017ebu maj\u00edc\u00edho anesteziologa.<\/p>\n\n\n\n

Anesteziolog se rychle postar\u00e1 o zaji\u0161t\u011bn\u00ed d\u00fdch\u00e1n\u00ed pro zaji\u0161t\u011bn\u00ed tolik pot\u0159ebn\u00e9ho okysli\u010den\u00ed krve a n\u00e1sledn\u011b tk\u00e1n\u00ed, zejm\u00e9na d\u011blohy. Zajist\u00ed nitro\u017eiln\u00ed p\u0159\u00edstupy, aby bylo mo\u017eno pod\u00e1vat p\u0159\u00edslu\u0161n\u00e9 tekutiny, v\u010detn\u011b krevn\u00edch n\u00e1hrad a sou\u010dasn\u011b pod\u00e1v\u00e1 l\u00e9ky podporuj\u00edc\u00ed krevn\u00ed sr\u00e1\u017elivost. Tyto role a postupy pe\u010dliv\u011b tr\u00e9nujeme. Dnes na simul\u00e1torech procvi\u010dujeme orchestrizaci pr\u00e1ce – porodn\u00edk diagnostikuje a \u0159e\u0161\u00ed obvykle zdroj krv\u00e1cen\u00ed a anesteziolog holisticky pe\u010duje o cel\u00fd organismus t\u011bhotn\u00e9\/rodi\u010dky. Proto byl jeden cel\u00fd den na\u0161eho eduka\u010dn\u00edho kongresu v\u011bnov\u00e1n anest\u00e9zii a intenzivn\u00ed medic\u00edn\u011b. Kambod\u017ean\u00e9 byli nad\u0161eni, a proto p\u0159i\u0161li s po\u017eadavkem, nad r\u00e1mec programu, ud\u011blat workshop p\u0159\u00edmo v jejich nemocnici. Na\u0161i anesteziologov\u00e9 J. Bl\u00e1ha a A. Novotn\u00fd se \u00fakolu zhostili na v\u00fdbornou.
Ostatn\u011b V\u0161eobecn\u00e1 fakultn\u00ed nemocnice v Praze – VFN<\/a> , resp. porodnice U Apolin\u00e1\u0159e, je od roku 1992 referen\u010dn\u00edm centrem pro porodnickou analgezii a anest\u00e9zii, kdy\u017e v souladu s rozvinut\u00fdm zahrani\u010d\u00edm se akcentuje na\u0161e pozornost zejm\u00e9na na region\u00e1ln\u00ed blok\u00e1dy typu epi\/peri\/extradur\u00e1ln\u00ed blok\u00e1dy a spin\u00e1ln\u00ed(synonymum subarachnoid\u00e1ln\u00ed, lumb\u00e1ln\u00ed, intratek\u00e1ln\u00ed) blok\u00e1dy. Za v\u00fdukou k n\u00e1m u\u017e neskute\u010dn\u00fdch 30 let jezd\u00ed l\u00e9ka\u0159i a porodn\u00ed asistentky z cel\u00e9ho \u010cesko&Slovenska. Honzo a Adame za sebe, ale zejm\u00e9na za Kambod\u017eany d\u011bkuji.
Well done.<\/p>\n\n\n\n

Ostatn\u011b jako projev vd\u011b\u010dnosti obdr\u017eeli oba na\u0161i anesteziologov\u00e9 od kambod\u017esk\u00fdch koleg\u016f z ARO dokonce i d\u00e1rky.<\/p>\n\n\n\n

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13. leden 2023<\/strong><\/p>\n\n\n\n

\u0158\u00e1dn\u011b jsme se p\u0159ipravili (resp. volebn\u00ed pr\u016fkazy s sebou p\u0159ivezli) i na volby \u010desk\u00e9ho prezidenta. Spo\u0159\u00e1dan\u011b jsme vyrazili na velvyslanectv\u00ed \u010cesk\u00e9 republiky. Voleb se nemohli \u00fa\u010dastnit z t\u00fdmu ob\u010dan\u00e9 \"\ud83c\uddf8\ud83c\uddf0\"Slovensk\u00e9 republiky, ale paradox…volil n\u00e1\u0161 skv\u011bl\u00fd pomocn\u00edk\/tlumo\u010dn\u00edk Ratanak Sio<\/a> , kter\u00fd u\u017e m\u00e1 \u010desk\u00e9 ob\u010danstv\u00ed\"\ud83c\uddf0\ud83c\udded\"\"\u2795\"\"\ud83c\udde8\ud83c\uddff\" Kambod\u017ean tedy volil v kr\u00e1lovstv\u00ed Kambod\u017ee \u010desk\u00e9ho prezidenta…<\/p>\n\n\n\n

V\u00e1clav Havel by \u0159ekl: “ …a to jsou prrr\u00e1v\u011b ty parrrradoxy“<\/p>\n\n\n\n

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14. leden 2023 <\/strong><\/p>\n\n\n\n

Po porodnick\u00e9 a anesteziologick\u00e9 \u010d\u00e1sti p\u0159i\u0161la na \u0159adu neonatologie. Kolegov\u00e9 z N\u00e1rodn\u00ed pediatrick\u00e9 porodnice projevili velk\u00fd z\u00e1jem o novinky v p\u00e9\u010di nejenom o d\u011bti, kter\u00e9 m\u011bly to \u0161t\u011bst\u00ed a narodily se v term\u00ednu, ale zejm\u00e9na o ty, u kter\u00fdch osud nebyl tak milosrdn\u00fd a hned na startu jejich \u017eivota nad\u011blil komplikace: p\u0159ed\u010dasn\u00fd p\u0159\u00edchod na sv\u011bt.
Nedostatek kysl\u00edku b\u011bhem porodu m\u016f\u017ee u d\u00edt\u011bte zp\u016fsobit z\u00e1va\u017enou katastrofu – po\u0161kozen\u00ed mozku . A \u017ee takov\u00fdch p\u0159\u00edpad\u016f zde je. V cel\u00e9 provincii (11 tis. porod\u016f) nen\u00ed ani jeden kardiotokograf. Proto prvn\u00ed t\u00e9ma na\u0161ich neonatolog\u016f .MUDr. J. Sm\u00ed\u0161ek p\u0159edstavil tuto problematiku (odborn\u011b hypoxicko-ischemick\u00e9 encefalopatie), jej\u00ed diagnostiku a l\u00e9\u010dbu. Upozornil, \u017ee v\u010dasn\u00e1 neonatologick\u00e1\/pediatrick\u00e1 intervence a spr\u00e1vn\u00e1 resuscitace mohou b\u00fdt kl\u00ed\u010dov\u00fdmi prost\u0159edky, jak tuto z\u00e1va\u017enou patologii zvl\u00e1dnout. N\u00e1sledovala problematika \u010dasn\u00fdch a pozdn\u00edch infekc\u00ed novorozence, zejm\u00e9na aby nedoch\u00e1zelo k podpo\u0159e vzniku na ATB rezistentn\u00edch kmen\u016f bakteri\u00ed.<\/p>\n\n\n\n

Profesor R. Plavka zapo\u010dal svou v\u00fduku z\u00e1sadn\u00edm t\u00e9matem-stabilizace novorozence, kde demonstroval plicn\u00ed problematiku ihned po porodu, zm\u00ednil d\u016fle\u017eitost pozdn\u00edho podvazu pupe\u010dn\u00edku, v\u010detn\u011b z\u00e1kladn\u00edch krok\u016f resuscitace. Richard popsal respira\u010dn\u00ed podporu vysokopr\u016ftokov\u00fdch nosn\u00edch kanyl a v\u011bnoval se bronchopulmon\u00e1ln\u00ed dyspl\u00e1zii.Jej\u00ed diagnostice, l\u00e9\u010db\u011b a hlavn\u011b prevenci.<\/p>\n\n\n\n

Velmi prakticky zam\u011b\u0159en\u00e9 p\u0159edn\u00e1\u0161ky m\u011bla MSc. Z. Tom\u00e1\u0161kov\u00e1. Upozornila na d\u016fle\u017eitost termoregulace, a to jak u dono\u0161en\u00fdch, tak nezral\u00fdch novorozenc\u016f. Zuzanina p\u0159edn\u00e1\u0161ka o v\u00fdznamu a technice kojen\u00ed vzbudila z\u00e1jem nejen v pozorn\u00e9m publiku . Kambod\u017e\u0161t\u00ed neonatologov\u00e9 a d\u011btsk\u00e9 sestry se \u00fa\u010dastnili v hojn\u00e9m po\u010dtu a m\u011bli nep\u0159ebern\u00e9 mno\u017estv\u00ed dotaz\u016f.<\/p>\n\n\n\n

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15. leden 2023<\/strong><\/p>\n\n\n\n

\u010c\u00e1st prvn\u00ed:<\/p>\n\n\n\n

Po u\u017e i tak n\u00e1ro\u010dn\u00e9m programu jsme zcela mimo jeho r\u00e1mec vyhov\u011bli p\u0159\u00e1n\u00ed kambod\u017esk\u00fdch l\u00e9ka\u0159\u016f a porodn\u00edch asistentek. P\u0159esto\u017ee jsme ji\u017e z domova online p\u0159en\u00e1\u0161eli t\u011bhotensk\u00fd screening v prvnim, druh\u00e9m i t\u0159et\u00edm trimestru, tak n\u00e1v\u0161t\u011bva expert\u016f zavdala po\u017eadavk\u016fm edukaci prohloubit prezen\u010dn\u011b, neboli na m\u00edst\u011b. <\/p>\n\n\n\n

Dr. Zuzana Kokrdov\u00e1 se v\u011bci ochotn\u011b ujala. V jej\u00edm p\u0159\u00edpad\u011b neplatilo „za dobrotu na \u017eebrotu“, jen pro velk\u00fd \u00fasp\u011bch musela druh\u00fd den sv\u00e9 znalosti a dovednosti formou workshopu opakovat. \"\ud83d\udd01\"<\/p>\n\n\n\n

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\u010c\u00e1st druh\u00e1:<\/strong><\/p>\n\n\n\n

Kdy\u017e nem\u016f\u017ee\u0161, tak p\u0159idej…jakoby i v na\u0161em p\u0159\u00edpad\u011b za\u010dala platit slavn\u00e1 slova Emila Z\u00e1topka. M\u00edsto klidu a odpo\u010dinku na konci n\u00e1ro\u010dn\u00e9ho t\u00fddne, za\u010dala na\u0161e pr\u00e1ce dokonce akcelerovat. Zuzana Tom\u00e1\u0161kov\u00e1 a Radovan Dlugopolsk\u00fd z na\u0161eho neonatologick\u00e9ho t\u00fdmu odvedli dva skv\u011ble p\u0159ipraven\u00e9 workshopy. Prvn\u00ed workshop byl pro n\u00e1cvik resuscitace hypoxick\u00e9ho novorozence po porodu.
Druh\u00fd se v\u011bnoval polohov\u00e1n\u00ed novorozence. Byly zde postupn\u011b probr\u00e1ny z\u00e1kladn\u00ed principy spr\u00e1vn\u00e9ho polohov\u00e1n\u00ed novorozence (stabiln\u00ed, nestabiln\u00ed, s ventila\u010dn\u00ed podporou, dono\u0161en\u00fd, nedono\u0161en\u00fd). Zuzana s Radanem je\u0161t\u011b k tomu odpov\u00eddali na celou \u0159adu praktick\u00fdch dotaz\u016f z oblasti z\u00e1kladn\u00ed p\u00e9\u010de, jako p\u00e9\u010de o o\u010di ,\u00fasta , nos , k\u016f\u017ei. Management bolesti, technika ods\u00e1v\u00e1n\u00ed z \u00fast i nosu d\u00edt\u011bte.<\/p>\n\n\n\n

Zprovoznili zde i modern\u00ed „baby simul\u00e1tory“ zakoupen\u00e9 pro tyto \u00fa\u010dely \u010cesk\u00e1 rozvojov\u00e1 agentura – CzechAid<\/a>, kdy\u017e na\u0161i kolegov\u00e9 z Kambod\u017ee dostali podrobn\u00e9 informace, jak tyto modern\u00ed pom\u016fcky pou\u017e\u00edvat.<\/p>\n\n\n\n

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\u010c\u00e1st t\u0159et\u00ed <\/strong><\/p>\n\n\n\n

Objev roku, to byl pro n\u00e1s Ratanak Sio<\/a> . V\u0161echny na\u0161e prezentace jsme krom\u011b angli\u010dtiny m\u011bli diky n\u011bmu i v khmer\u0161tin\u011b. Koment\u00e1\u0159e k prezentac\u00edm pak je\u0161t\u011b Ratanak s neutuchaj\u00edc\u00ed ochotou a trp\u011blivost\u00ed pr\u016fb\u011b\u017en\u011b do khmer\u0161tiny p\u0159ekl\u00e1dal p\u0159ed auditoriem zdravotn\u00edk\u016f, Cel\u00fd t\u00fdm mu na z\u00e1v\u011br spole\u010dn\u011b pod\u011bkoval a symbolicky jsme mu p\u0159edali tri\u010dko se symbolem na\u0161\u00ed pomoc\u00ed Kambod\u017ei.
Ratanak a Socheata se tak stali pevn\u00fdmi a nepostradateln\u00fdmi \u010dl\u00e1nky na\u0161eho t\u00fdmu. Ratanaku a Socheato, velice v\u00e1m d\u011bkujeme… moc jste n\u00e1m v\u0161em a cel\u00e9mu projektu pomohli.<\/p>\n\n\n\n

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\u010c\u00e1st \u010dtvrt\u00e1:<\/strong><\/p>\n\n\n\n

Cht\u011bli jsme za n\u00e1\u0161 Nada\u010dn\u00ed fond VITA et FUTURA p\u0159edat N\u00e1rodn\u00ed pediatrick\u00e9 nemocnici n\u011bjak\u00fd u\u017eite\u010dn\u00fd dar. V\u00fdb\u011br se poda\u0159il. P\u0159\u00edstroj pro diagnostiku z\u00e1n\u011btu a dal\u0161\u00edch parametr\u016f z kapky krve bude prvn\u00ed sv\u00e9ho druhu v „na\u0161\u00ed“ nemocnici a bude slou\u017eit jak d\u011btem, tak i dosp\u011bl\u00fdm\/matk\u00e1m po jejich porodu. CRP analyz\u00e1tor jsme nejprve p\u0159edstavili v pr\u016fb\u011bhu na\u0161ich prezentac\u00ed, viz. fotografie se Soklim Pay<\/a> a Chy Vina<\/a> pak byl ofici\u00e1ln\u011b p\u0159ed\u00e1n p\u0159\u00edmo panu \u0159editeli nemocnice Nhep Angkeabo<\/a>s<\/p>\n\n\n\n

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\u010c\u00e1st p\u00e1t\u00e1:<\/strong><\/p>\n\n\n\n

Nav\u0161t\u00edvili i soukromou kliniku Tak\u017ee jsme nejen splnili n\u00e1\u0161 vzd\u011bl\u00e1vac\u00ed program, ale mohli jsme vid\u011bt i n\u011bkter\u00e9 dal\u0161\u00ed nemocnice v Kambod\u017ei. <\/p>\n\n\n\n

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16. leden 2023<\/strong><\/p>\n\n\n\n

\u010c\u00e1st prvn\u00ed:<\/strong><\/p>\n\n\n\n

\u017deny v N\u00e1rodn\u00ed pediatrick\u00e9 nemocnici rod\u00ed bez jak\u00e9koliv pomoci pro \u00fatlum porodn\u00edch bolest\u00ed. Aby toho nebylo m\u00e1lo, tak zejm\u00e9na v provincii se prov\u00e1d\u00ed i cel\u00e1 \u0159ada chirurgick\u00fdch v\u00fdkon\u016f bez anestezie (um\u011bl\u00e9 ukon\u010den\u00ed t\u011bhotenstv\u00ed, spont\u00e1nn\u00ed potraty, kyret\u00e1\u017ee atd.). Proto jsme s MUDr. J. Bl\u00e1hou operativn\u011b uspo\u0159\u00e1dali pro porodn\u00edky workshop o epidur\u00e1ln\u00ed analgezii u porodu. O tuto metodu je zde velk\u00fd z\u00e1jem. Ne\u017e k tomu v\u0161ak organiza\u010dn\u011b i person\u00e1ln\u011b dojde, tak jsem za\u0159adil workshop o inhala\u010dn\u00ed analgezii s ENTONOX (lidov\u011b rajsk\u00fd plyn) a zejm\u00e9na o paracervik\u00e1ln\u00ed analgezii\/anest\u00e9zii. K paracervik\u00e1ln\u00ed anest\u00e9zii toti\u017e nen\u00ed pot\u0159eba povol\u00e1vat anesteziologa, m\u016f\u017ee ji ud\u011blat ka\u017ed\u00fd gynekolog anebo porodn\u00edk. Je tak mo\u017en\u00e9 prov\u00e9st celou \u0159adu chirurgick\u00fdch z\u00e1krok\u016f v luxusn\u00ed region\u00e1ln\u00ed anestezii\/analgezii. Doufejme, \u017ee zaveden\u00ed t\u011bchto metod nenaraz\u00ed na finan\u010dn\u00ed \u00fahradu chud\u00fdch pacientek.<\/p>\n\n\n\n

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\u010c\u00e1st druh\u00e1:<\/strong><\/p>\n\n\n\n

Posledn\u00ed den na\u0161\u00ed \u00fa\u010dasti byl v\u011bnov\u00e1n bioin\u017een\u00fdringu, a to p\u0159\u00edmo v prostor\u00e1ch N\u00e1rodn\u00ed pediatrick\u00e9 nemocnice. P\u0159i p\u0159\u00edprav\u011b konference se vedly velk\u00e9 dohady, zda m\u016f\u017ee b\u00fdt organizov\u00e1na i v sobotu, kdy neb\u00fdv\u00e1 zdej\u0161\u00edm zvykem moc pracovat. Realita?<\/p>\n\n\n\n

P\u0159i prezentac\u00edch docenta Petra Kudrny a in\u017een\u00fdrky Lucie Novotn\u00e9 si nebylo kde sednout. P\u0159ijelo i neb\u00fdval\u00e9 mno\u017estv\u00ed zdravotn\u00edk\u016f z provincie Kampong Chnang. Uk\u00e1zalo se, \u017ee bioin\u017een\u00fdring mus\u00ed b\u00fdt ned\u00edlnou sou\u010d\u00e1st\u00ed na\u0161\u00ed humanit\u00e1rn\u00ed pomoci, aby zde lid\u00e9 um\u011bli ovl\u00e1dat mnohdy \u00fazce specializovan\u00e9 p\u0159\u00edstroje, kter\u00e9 jsou za nemal\u00e9 finan\u010dn\u00ed prost\u0159edky poskytnuty prost\u0159ednictv\u00edm \u010cesk\u00e1 rozvojov\u00e1 agentura – Czec<\/a>hAid. BTW Petr v praxi p\u0159ed zraky z\u00e1jemc\u016f zprovoznil n\u00e1\u0161 dar. P\u0159\u00edstroj na anal\u00fdzu C-reaktivn\u00edho proteinu (CRP) pro diagnostiku z\u00e1n\u011btu.<\/p>\n\n\n\n

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\u010c\u00e1st t\u0159et\u00ed:<\/strong><\/p>\n\n\n\n

Prof. Kruy Leang Sim je Vicepresident of Cambodian Society of Gynecology and Obstetrics (SCGO) a Under Sectetary of State of Ministry of Health. Tato v oboru perinatologie v Kambod\u017ei v\u00fdznamn\u011b postaven\u00e1 d\u00e1ma po\u017e\u00e1dala o slovo a vyj\u00e1d\u0159ila n\u00e1m velkou pochvalu a pod\u011bkov\u00e1n\u00ed Uznale hovo\u0159ila o struktu\u0159e na\u0161\u00ed eduka\u010dn\u00ed konference, jej\u00edm obsahu a zejm\u00e9na ocenila multidisciplin\u00e1rn\u00ed p\u0159\u00edstup k p\u00e9\u010di o matku a d\u00edt\u011b.<\/p>\n\n\n\n

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\u010c\u00e1st \u010dtvrt\u00e1:<\/strong><\/p>\n\n\n\n

V sobotu jsme byli po\u017e\u00e1d\u00e1ni o praktickou v\u00fduku a pomoc na neonatologick\u00e9 jednotce intenzivn\u00ed p\u00e9\u010de. Zuzana a Radovan ukazovali v praxi spr\u00e1vnou techniku polohov\u00e1n\u00ed, ods\u00e1v\u00e1n\u00ed z endotrache\u00e1ln\u00edch kanyl, vysv\u011btlovali d\u016fle\u017eitost spr\u00e1vn\u00e9ho nastaven\u00ed alarm\u016f na monitorech a ventil\u00e1torech. \u0158e\u0161ili drobn\u00e9 probl\u00e9my t\u00fdkaj\u00edc\u00ed se b\u011b\u017en\u00e9 p\u00e9\u010de, zodpov\u00eddali mno\u017estv\u00ed praktick\u00fdch dotaz\u016f a zapojili se do p\u0159\u00edm\u00e9 p\u00e9\u010de o mal\u00e9 pacienty.<\/p>\n\n\n\n

M\u00edstn\u00ed zdravotn\u00edci si dokonce mohli vyzkou\u0161et a aplikovat v praxi nov\u00e9 postupy, kter\u00e9 jim byly uk\u00e1z\u00e1ny den p\u0159edem. D\u011bkujeme za skv\u011blou spolupr\u00e1ci, snahu a nad\u0161en\u00ed koleg\u016fm z \u1798\u1793\u17d2\u1791\u17b8\u179a\u1796\u17c1\u1791\u17d2\u1799\u1780\u17bb\u1798\u17b6\u179a\u1787\u17b6\u178f\u17b7 National Pediatric Hospital <\/p>\n\n\n\n

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\u010c\u00e1st p\u00e1t\u00e1:<\/strong><\/p>\n\n\n\n

Nedalo mi to a je\u0161t\u011b p\u0159ed odletem jsem za\u0161el spole\u010dn\u011b s vedouc\u00ed l\u00e9ka\u0159kou porodnick\u00e9 \u010d\u00e1sti Chantheany Huot<\/a> zkontrolovat kambod\u017eskou pacientku, u kter\u00e9 jsme ukon\u010dili t\u011bhotenstv\u00ed c\u00edsa\u0159sk\u00fdm \u0159ezem. Mamince, stejn\u011b jako jej\u00ed dce\u0159i, kter\u00e9 dali rodi\u010de jm\u00e9no Em\u00edlia, se da\u0159\u00ed velmi dob\u0159e, a tak se dom\u016f polet\u00ed s dobr\u00fdm pocitem<\/p>\n\n\n\n

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\u010c\u00e1st \u0161est\u00e1:<\/strong><\/p>\n\n\n\n

N\u00e1\u0161 IT specialista Michal Krsek<\/a> neztratil ani na chv\u00edli pozornost a v naprosto zapadl\u00e9 oblasti „na\u0161\u00ed“ provincie Kampong Chhnang, kterou m\u00e1me na starost, objevil telekomunika\u010dn\u00ed za\u0159\u00edzen\u00ed, kter\u00e9 m\u00e1 velk\u00fd potenci\u00e1l pro dal\u0161\u00ed vyu\u017eit\u00ed k dosa\u017een\u00ed na\u0161ich c\u00edl\u016f.<\/p>\n\n\n\n

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\u010c\u00e1st sedm\u00e1:<\/strong><\/p>\n\n\n\n

T\u011bsn\u011b p\u0159ed odletem z Phnompenhu jsme m\u011bli mo\u017enost se sej\u00edt s panem velvyslancem \u010cR Martinem V\u00e1vrou a Barborou \u017d\u00e1\u010dkovou \"\ud83c\udde8\ud83c\uddff\" S prof. Plavkou, doc. Bl\u00e1hou, Katka Slab\u00e1<\/a> a na\u0161im „IT Magician“ Michal Krsek<\/a> jsme shrnuli dosavadn\u00ed zku\u0161enosti v p\u00e9\u010di o matku a d\u00edt\u011b v Kambod\u017ei.\"\ud83c\uddf0\ud83c\udded\" Resume: nejen tato na\u0161e cesta a hodn\u011b n\u00e1ro\u010dn\u00e1 p\u0159\u00edprava a organizace mezioborov\u00e9ho eduka\u010dn\u00edho kongresu, ale cel\u00fd projekt m\u00e1 hlubok\u00fd rozvojov\u00fd smysl.<\/p>\n\n\n\n

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Mil\u00e1 vzpom\u00ednka<\/p>\n\n\n\n

Je to t\u00fdden od pozv\u00e1n\u00ed kambod\u017esk\u00fdmi porodn\u00edky, pod veden\u00edm vedouc\u00ed l\u00e9ka\u0159ky Chantheany Huot<\/a> N\u00e1rodn\u00ed pediatrick\u00e9 nemocnice do restaurace „na st\u0159e\u0161e“ v Phnom Penhu. Jako v\u00fdraz pod\u011bkov\u00e1n\u00ed za n\u00e1\u0161i eduka\u010dn\u00ed multidisciplin\u00e1rn\u00ed konferenci. Up\u0159\u00edmn\u00e1 slova a d\u00e1rky od koleg\u016f, kter\u00e9 maj\u00ed p\u0159ipom\u00ednat n\u00e1\u0161 pobyt v t\u00e9to kr\u00e1sn\u00e9 v\u00fdchodoasijsk\u00e9 zemi.<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"

P\u00e1tek 5. ledna 2023 \u00dakol \u010cesk\u00e1 rozvojov\u00e1 agentura – CzechAid zn\u00ed jasn\u011b: sn\u00ed\u017eit \u00famrtnost kambod\u017esk\u00fdch matek u porodusn\u00ed\u017eit perinat\u00e1ln\u00ed \u00famrtnost jejich d\u011bt\u00edsn\u00ed\u017eit \u00famrt\u00ed d\u011bt\u00ed do 5 let jejich \u017eivota Slo\u017een\u00ed na\u0161eho t\u00fdmu se m\u016f\u017ee zd\u00e1t heterogenn\u00ed, ale to pouze na<\/p>","protected":false},"author":5,"featured_media":0,"parent":6261,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-5267","page","type-page","status-publish","hentry","","tg-column-two"],"_links":{"self":[{"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/pages\/5267","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/comments?post=5267"}],"version-history":[{"count":11,"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/pages\/5267\/revisions"}],"predecessor-version":[{"id":5467,"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/pages\/5267\/revisions\/5467"}],"up":[{"embeddable":true,"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/pages\/6261"}],"wp:attachment":[{"href":"https:\/\/www.vitaetfutura.cz\/en\/wp-json\/wp\/v2\/media?parent=5267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}