{"id":360,"date":"2023-03-10T11:37:44","date_gmt":"2023-03-10T10:37:44","guid":{"rendered":"https:\/\/www.detskalekarkaradi.sk\/?p=360"},"modified":"2024-09-23T18:06:48","modified_gmt":"2024-09-23T16:06:48","slug":"infekcia-mocovych-ciest","status":"publish","type":"post","link":"https:\/\/www.detskalekarkaradi.sk\/?p=360","title":{"rendered":"Infekcia mo\u010dov\u00fdch ciest"},"content":{"rendered":"\n<p class=\"has-text-align-center\">(<strong><em>Eduk\u00e1cia nenahr\u00e1dza lek\u00e1rske vy\u0161etrenie!<\/em><\/strong>)<\/p>\n\n\n\n<p><em><strong>I.\/ Diagnostika na zis\u0165ovanie infekcie mo\u010dov\u00fdch ciest<\/strong><\/em><\/p>\n\n\n\n<p>Z\u00e1kladn\u00fdm vy\u0161etren\u00edm je vy\u0161etrenie mo\u010du:<\/p>\n\n\n\n<ul>\n<li>ambulantne orienta\u010dn\u00fd test s papierikmi, ktor\u00e9 (<span style=\"text-decoration: underline;\">chemicky<\/span>) reaguj\u00fa na pr\u00edtomnos\u0165 ur\u010dit\u00fdch l\u00e1tok v&nbsp;mo\u010di<\/li>\n\n\n\n<li>mo\u010dov\u00fd <span style=\"text-decoration: underline;\">sediment<\/span>, v ktorom sa v&nbsp;biochemickom laborat\u00f3riu zis\u0165uje mikroskopicky pr\u00edtomnos\u0165 bakt\u00e9ri\u00ed, bielych a&nbsp;\u010derven\u00fdch krviniek<\/li>\n\n\n\n<li>kultiv\u00e1cia mo\u010du v&nbsp;mikrobiologickom laborat\u00f3riu (<span style=\"text-decoration: underline;\">KVB \u2013 kvantitat\u00edvna bakteri\u00faria<\/span>) je k\u013e\u00fa\u010dov\u00fdm vy\u0161etren\u00edm, ktor\u00e9 v\u0161ak trv\u00e1 spravidla 2 \u2013 3 dni, touto met\u00f3dou sa presne ur\u010d\u00ed, o ak\u00fd druh bakt\u00e9rie ide a&nbsp;na ktor\u00e9 antibiotik\u00e1 je citliv\u00e1.<\/li>\n<\/ul>\n\n\n\n<p>Ako odobra\u0165 mo\u010d?<\/p>\n\n\n\n<p>Je potrebn\u00e9, aby bol mo\u010d na rozbor odobrat\u00fd spr\u00e1vne. Za zlat\u00fd \u0161tandard sa pova\u017euje odber stredn\u00e9ho pr\u00fadu mo\u010du: pacient po umyt\u00ed genit\u00e1li\u00ed vymo\u010d\u00ed prv\u00fa \u010das\u0165 mo\u010du mimo sk\u00famavky (do plienky, vane, no\u010dn\u00edka alebo toalety) a a\u017e \u010fal\u0161\u00ed \u2013 <span style=\"text-decoration: underline;\">tzv. stredn\u00fd pr\u00fad mo\u010du<\/span> \u2013 priamo do <em><strong>sterilnej sk\u00famavky <\/strong><\/em>s&nbsp;vrchn\u00e1\u010dikom (po otvoren\u00ed dajte pozor aj na to, aby sa vn\u00fatorn\u00e1 strana vrchn\u00e1\u010dika, ktor\u00e1 je tie\u017e steriln\u00e1, neznesterilnila).<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" width=\"206\" height=\"206\" src=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-34.png\" alt=\"\" class=\"wp-image-1475\" style=\"aspect-ratio:1;width:134px;height:auto\" srcset=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-34.png 206w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-34-150x150.png 150w\" sizes=\"(max-width: 206px) 100vw, 206px\" \/><figcaption class=\"wp-element-caption\">Zdroj: <a href=\"https:\/\/imedical.sk\/skumavka-sterilna-200ml\/?utm_source=Google%20Shopping&amp;utm_campaign=Merchants&amp;utm_medium=cpc&amp;utm_term=14482&amp;gclid=CjwKCAjws9ipBhB1EiwAccEi1HDHewViiHS-OnWJ_T9uv58l0vsKDrA2lkB5z6e-r2ZcnQDL9U1ZaBoCaAEQAvD_BwE\">imedical.sk<\/a><\/figcaption><\/figure>\n\n\n\n<p>Na vy\u0161etrenie mo\u010du <span style=\"text-decoration: underline;\">chemicky a&nbsp;mikroskopicky<\/span> by mal by\u0165 mo\u010d \u010derstv\u00fd (nemus\u00ed by\u0165 rann\u00fd).<\/p>\n\n\n\n<p>Na vy\u0161etrenie <span style=\"text-decoration: underline;\">KVB<\/span> treba rozhodne odobra\u0165 mo\u010d e\u0161te pred u\u017eit\u00edm 1. d\u00e1vky ATB (ak boli die\u0165a\u0165u ATB predp\u00edsan\u00e9, \u010do sa st\u00e1va napr. v pohotovosti), preto\u017ee u\u017e jedna d\u00e1vka ATB m\u00f4\u017ee sp\u00f4sobi\u0165 <strong><em>falo\u0161ne negat\u00edvny v\u00fdsledok<\/em><\/strong> a&nbsp;ak ho hne\u010f nie je mo\u017en\u00e9 odnies\u0165 svojmu o\u0161etruj\u00facemu lek\u00e1rovi (mo\u010d nabrat\u00fd mimo jeho ordina\u010dn\u00fdch hod\u00edn) , treba ho v&nbsp;sk\u00famavke uzavrie\u0165 steriln\u00fdm vrchn\u00e1\u010dikom a&nbsp;do najbli\u017e\u0161ieho ordina\u010dn\u00e9ho d\u0148a svojho lek\u00e1ra (v pr\u00edpade jeho dovolenky zastupuj\u00faceho lek\u00e1ra) uchova\u0165 v&nbsp;chladni\u010dke, preto\u017ee v chlade sa v&nbsp;\u0148om zachyten\u00e9 bakt\u00e9rie nepomno\u017eia (\u010do by mohlo sp\u00f4sobi\u0165 <strong><em>falo\u0161ne pozit\u00edvny v\u00fdsledok<\/em><\/strong>).&nbsp;<\/p>\n\n\n\n<p>Postup v pr\u00edpade zbieran\u00e9ho mo\u010du, napr. <span style=\"text-decoration: underline;\">12-hodinov\u00fd zber mo\u010du<\/span>:<\/p>\n\n\n\n<ul>\n<li>pred zbieran\u00edm mo\u010du &#8211; umy\u0165 genit\u00e1lie mydlom<\/li>\n\n\n\n<li>pred za\u010dat\u00edm zberu sa die\u0165a d\u00f4kladne vymo\u010d\u00ed mimo zbernej n\u00e1doby (napr. ak je zber od 18:00 do 06:00, tak cca o 17:30), aby sa zber za\u010dal s vypr\u00e1zdnen\u00fdm mo\u010dov\u00fdm mech\u00farom<\/li>\n\n\n\n<li>pri ka\u017edom \u010fal\u0161om mo\u010den\u00ed sa sa cel\u00e9 mno\u017estvo mo\u010du zbiera do vopred pripravenej \u010distej a suchej n\u00e1doby (die\u0165a bu\u010f priamo mo\u010d\u00ed do nej alebo do \u010dist\u00e9ho no\u010dn\u00edka a mo\u010d sa potom prelieva)<\/li>\n\n\n\n<li>je potrebn\u00e9 odobra\u0165 cel\u00e9 mno\u017estvo mo\u010du &#8211; nielen vzorku mo\u010du!<\/li>\n\n\n\n<li>v pr\u00edp., \u017ee men\u0161ie deti po\u010das zberu potrebuj\u00fa \u00eds\u0165 na ve\u013ek\u00fa potrebu, nech sa predt\u00fdm vymo\u010dia<\/li>\n\n\n\n<li>na konci zberu mo\u010du sa die\u0165a naposledy vymo\u010d\u00ed (t.j. ak kon\u010d\u00ed zber r\u00e1no o 06:00, die\u0165a zobud\u00edme a odoberieme mo\u010d)<\/li>\n\n\n\n<li>po\u010das zberu prij\u00edma\u0165 primeran\u00e9 mno\u017estvo tekut\u00edn (nie je vhodn\u00fd nadmern\u00fd pr\u00edjem tekut\u00edn, &#8222;aby bolo dos\u0165 mo\u010du&#8220;)<\/li>\n\n\n\n<li>v pr\u00edpade, \u017ee sa die\u0165a v noci pomo\u010d\u00ed, pozna\u010dte si hodinu posledn\u00e9ho odberu pred pomo\u010den\u00edm a \u010falej u\u017e v zbere nepokra\u010dujte, prineste dovtedy nazbieran\u00fd mo\u010d, alebo za\u010dnite zbiera\u0165 mo\u010d od hodiny pomo\u010denia do r\u00e1na a v ambulancii nezabudnite pripomen\u00fa\u0165 re\u00e1lnu dobu zberu mo\u010du<\/li>\n\n\n\n<li>do ambulancie prineste cel\u00fd objem mo\u010du; v pr\u00edpade, \u017ee m\u00e1te mo\u017enos\u0165 zmera\u0165 objem presne na mililitre (nie odhadom!), m\u00f4\u017eete prinies\u0165 len vzorku mo\u010du (aspo\u0148 15-20 ml), pred odliat\u00edm mo\u010d e\u0161te premie\u0161ajte<\/li>\n<\/ul>\n\n\n\n<p><strong><em>II.\/ <\/em><\/strong><em><strong>Prevencia a&nbsp;podporn\u00e1 lie\u010dba z\u00e1palov mo\u010dov\u00fdch ciest<\/strong><\/em><\/p>\n\n\n\n<p>U mal\u00fdch det\u00ed je ve\u013emi d\u00f4le\u017eit\u00e1 pravideln\u00e1 v\u00fdmena plienok, u star\u0161\u00edch det\u00ed zase spr\u00e1vna hygiena po toalete. U diev\u010datiek to znamen\u00e1 utieranie spredu dozadu, aby sme nezan\u00e1\u0161ali bakt\u00e9rie smerom k mo\u010dovej r\u00fare. Okrem bakt\u00e9ri\u00ed m\u00f4\u017eu by\u0165 pr\u00ed\u010dinou dyzurick\u00fdch \u0165a\u017ekost\u00ed aj parazity, ktor\u00e9 sa lie\u010dia antiparazitikami (predpisuje lek\u00e1r), ako podporn\u00fa lie\u010dbu mo\u017eno do stravy zaradi\u0165 tekvicov\u00e9 semienka, cesnak a pod., pr\u00edpadne si k\u00fapi\u0165 aj v\u00fd\u017eivov\u00e9 doplnky s pr\u00edrodn\u00fdmi v\u00fd\u0165a\u017ekami ako s\u00fa napr. <em><strong><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/vermophyt-sirup-467628.html\">Vermophyt<\/a><\/strong><\/em> sirup alebo sirup <em><strong><a href=\"https:\/\/www.futunatura.sk\/traviaci-trakt?kk=a4c629a-18d283b2c14-e0b5fc&amp;kgclid=Cj0KCQiA-62tBhDSARIsAO7twbb7t-5FUI6HJvJ171P920MtKM5UvCGVTvuldXTdNvFYoUyQH1V9nV0aAgooEALw_wcB&amp;utm_source=kelkoosk&amp;utm_medium=cpc&amp;utm_campaign=kelkooclick&amp;utm_term=Pediakid+Sirup+pre+deti+-+tr%C3%A1viaci+trakt\">Pediakid Phytovermil<\/a><\/strong><\/em>. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" width=\"378\" height=\"400\" src=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/02\/image-4.png\" alt=\"\" class=\"wp-image-1607\" style=\"aspect-ratio:0.945;width:158px;height:auto\" srcset=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/02\/image-4.png 378w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/02\/image-4-284x300.png 284w\" sizes=\"(max-width: 378px) 100vw, 378px\" \/><\/figure>\n\n\n\n<p>Pri z\u00e1pale\/\u0161t\u00edpan\u00ed je <em>od 6 rokov veku<\/em> mo\u017en\u00e9 na oplachovanie pou\u017ei\u0165 vagin\u00e1lny roztok <em><strong><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/rosalgin-easy-272510.html\">Rosalgin<\/a><\/strong><\/em>, <em>od narodenia<\/em> obm\u00fdvanie&nbsp;<strong><em>rep\u00edkov\u00fdm odvarom<\/em><\/strong>&nbsp;alebo slaboru\u017eov\u00fdm roztokom <strong><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/manganistan-draselny-interpharm-846651.html\"><em>hypermang\u00e1nu<\/em><\/a><\/strong>&nbsp;(rozpusti\u0165 len p\u00e1r jeho kry\u0161t\u00e1likov vo vode!), n\u00e1sledne po osu\u0161en\u00ed je mo\u017en\u00e9 aplikova\u0165 int\u00edmny g\u00e9l kyseliny hyaluronovej <a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/mucogyne-814651.html\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><em>mucoGYNE<\/em><\/strong><\/a>, alebo <strong><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/medpharma-calcium-pantothenicum-natural-312031.html\"><em>kalciov\u00fa masti\u010dku natural<\/em><\/a><\/strong>&nbsp;(s v\u010del\u00edm voskom,&nbsp;kokosov\u00fdm olejom, vitam\u00ednom B3&nbsp;a vitam\u00ednom E), \u010di <strong><a href=\"https:\/\/www.zahrada.sk\/magazine\/dobrodruzstvo-zacinajucej-mastickarky-neodolate-vyrobite-si-svoju-mast-tiez\/?fbclid=IwAR2ehP-9F9Y8WnqZkPToYJHFNtT54mQW8-dFGw_KIImIxMADhmbBrIZnD4c\"><em>necht\u00edkov\u00fa masti\u010dku<\/em><\/a><\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" width=\"340\" height=\"206\" src=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-32.png\" alt=\"\" class=\"wp-image-1472\" style=\"aspect-ratio:1.6504854368932038;width:178px;height:auto\" srcset=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-32.png 340w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-32-300x182.png 300w\" sizes=\"(max-width: 340px) 100vw, 340px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" width=\"400\" height=\"171\" src=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/02\/image-5.png\" alt=\"\" class=\"wp-image-1608\" style=\"aspect-ratio:2.3391812865497075;width:192px;height:auto\" srcset=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/02\/image-5.png 400w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/02\/image-5-300x128.png 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/figure>\n\n\n\n<p>Neodpor\u00fa\u010da sa ani ve\u013emi tesn\u00e1 bielize\u0148 a oble\u010denie. Ve\u013emi d\u00f4le\u017eit\u00fdm faktorom je aj technika mo\u010denia, die\u0165a by nemalo mo\u010denie vedome od\u010fa\u013eova\u0165.<\/p>\n\n\n\n<p>Zab\u00fada\u0165 netreba ani na spr\u00e1vny posed die\u0165a\u0165a na toalete, malo by ma\u0165 podopret\u00e9 nohy, aby sa svaly panvov\u00e9ho dna dostato\u010dne uvo\u013enili a die\u0165a vymo\u010dilo cel\u00fd obsah mo\u010dov\u00e9ho mech\u00fara.&nbsp;<\/p>\n\n\n\n<p>Samozrejmos\u0165ou by mal by\u0165 aj v\u00a0zdrav\u00ed dostato\u010dn\u00fd <a href=\"https:\/\/www.pediatriepropraxi.cz\/pdfs\/ped\/2007\/03\/02.pdf\"><strong>pitn\u00fd re\u017eim<\/strong><\/a>, pri podozren\u00ed na z\u00e1pal mo\u010dov\u00fdch ciest e\u0161te <strong>zv\u00fd\u0161i\u0165 pr\u00edjem tekut\u00edn<\/strong>. Na udr\u017eanie dobrej hydrat\u00e1cie, zvl\u00e1\u0161\u0165 ke\u010f u\u017e st\u00fapne aj teplota, je vhodn\u00e9 zaradi\u0165, okrem <strong>\u010distej vody<\/strong>, pr\u00edp. miner\u00e1lnej vody bez bubliniek a\u00a0<strong>urologick\u00e9ho bylinkov\u00e9ho \u010daju<\/strong>, aj <strong>rehydrata\u010dn\u00fd roztok<\/strong> (napr. pr\u00e1\u0161ky Kul\u00ed\u0161ek, Enhydrol, alebo \u0161umiv\u00e9 tbl. <strong><em><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/generica-fluidex-127150.html\">Fluidex<\/a><\/em><\/strong> a\u00a0pod.) . V\u0161\u00edmame si mno\u017estvo, farbu a z\u00e1pach mo\u010du, resp. pre presnej\u0161iu orient\u00e1ciu ho m\u00f4\u017eeme aj doma vy\u0161etri\u0165 <strong><em><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/heptaphan-303414.html\">diagnostick\u00fdmi pr\u00fa\u017ekami<\/a><\/em><\/strong> (pri dehydrat\u00e1cii sa do fialova sfarb\u00ed \u0161tvor\u010dek v strede pr\u00fa\u017eka na pr\u00edtomnos\u0165 &#8222;acet\u00f3nu, ketol\u00e1tok, ket\u00f3nov&#8220;, \u010do s\u00fa synonym\u00e1 a pod\u013ea intenzity zafarbenia umo\u017e\u0148uje ur\u010di\u0165 3 stupne z\u00e1va\u017enosti dehydrat\u00e1cie).<\/p>\n\n\n\n<p> <img decoding=\"async\" loading=\"lazy\" width=\"2048\" height=\"1536\" class=\"wp-image-1000\" style=\"width: 150px;\" src=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/365870967_1020027449021108_2181099760827529095_n-2.jpg\" alt=\"\" srcset=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/365870967_1020027449021108_2181099760827529095_n-2.jpg 2048w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/365870967_1020027449021108_2181099760827529095_n-2-300x225.jpg 300w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/365870967_1020027449021108_2181099760827529095_n-2-1024x768.jpg 1024w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/365870967_1020027449021108_2181099760827529095_n-2-768x576.jpg 768w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/365870967_1020027449021108_2181099760827529095_n-2-1536x1152.jpg 1536w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/365870967_1020027449021108_2181099760827529095_n-2-1200x900.jpg 1200w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/365870967_1020027449021108_2181099760827529095_n-2-1980x1485.jpg 1980w\" sizes=\"(max-width: 2048px) 100vw, 2048px\" \/><\/p>\n\n\n\n<p>Prevent\u00edvne je vhodn\u00e9 za\u010da\u0165 u\u017e\u00edva\u0165 aj <strong>probiotik\u00e1<\/strong> a&nbsp;<strong>brusnice<\/strong> (su\u0161en\u00e9 brusnice, brusnicov\u00e9 d\u017e\u00fasy, \u010daje, tablety, sirupy &#8211; napr. <em><strong><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/valosun-uroval-mega-brusnica-forte-634877.html\">Uroval<\/a><\/strong><\/em> sirup <em>od 6. mesiaca veku <\/em>alebo <strong><em><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/urinal-sirup-114982.html\">Urinal<\/a><\/em><\/strong> sirup <em>od 1 roka veku<\/em>), pr\u00edpadne u det\u00ed nad 6 rokov rastlinn\u00fd liek &#8211; tbl. <em><strong><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/canephron-192226.html\">Canephron<\/a><\/strong><\/em>.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" width=\"155\" height=\"225\" src=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-33.png\" alt=\"\" class=\"wp-image-1474\" style=\"aspect-ratio:0.6888888888888889;width:122px;height:auto\"\/><\/figure>\n\n\n\n<p>Pri recidivuj\u00facich infekci\u00e1ch mo\u010dov\u00fdch ciest, pri ktor\u00fdch sa v&nbsp;mo\u010di pacienta opakovane n\u00e1jde bacil Escherichia coli, m\u00f4\u017ee lek\u00e1r predp\u00edsa\u0165 ako prevent\u00edvnu alebo konsolida\u010dn\u00fa lie\u010dbu (ale pod\u013ea jeho zv\u00e1\u017eenia aj ako lie\u010dbu ak\u00fatnej infekcie) \u2013 imunomodula\u010dn\u00fa lie\u010dbu bakteri\u00e1lnym lyz\u00e1tom <a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/detail\/uro-vaxom-320932.html\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><em>Uro-Vaxom<\/em><\/strong><\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" width=\"361\" height=\"206\" src=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-38.png\" alt=\"\" class=\"wp-image-1491\" style=\"aspect-ratio:1.7524271844660195;width:204px;height:auto\" srcset=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-38.png 361w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/10\/image-38-300x171.png 300w\" sizes=\"(max-width: 361px) 100vw, 361px\" \/><\/figure>\n\n\n\n<p>U pacientov s opakovan\u00fdmi infekciami prich\u00e1dza do \u00favahy aj dlhodob\u00e9 pod\u00e1vanie <strong>antibiot\u00edk<\/strong> (vo ve\u010dernej tzv. zais\u0165ovacej d\u00e1vke ATB) ako prevencie \u010fal\u0161ej infekcie.<\/p>\n\n\n\n<p><em><strong>III.\/ Li<\/strong><\/em><strong><em>e\u010dba antibiotikami<\/em><\/strong><\/p>\n\n\n\n<p>Patr\u00ed do r\u00fak lek\u00e1ra. Z\u00e1vis\u00ed od celkov\u00e9ho stavu pacienta.&nbsp;<\/p>\n\n\n\n<p>Pokia\u013e ide o infekciu doln\u00fdch mo\u010dov\u00fdch ciest (<span style=\"text-decoration: underline;\">z\u00e1pal mo\u010dov\u00e9ho mech\u00fara a mo\u010dovej r\u00fary<\/span>), je zvy\u010dajne, ak die\u0165a z\u00e1rove\u0148 aj nevracia, posta\u010duj\u00faca lie\u010dba per os (\u00fastne) antibiotikami a&nbsp;k&nbsp;tomu dostato\u010dn\u00fd pr\u00edjem tekut\u00edn + vy\u0161\u0161ie spomenut\u00e1 podporn\u00e1 lie\u010dba (<strong><em>probiotik\u00e1 pri&nbsp;ATB lie\u010dbe v\u017edy \u201esiln\u00e9 &#8211; forte\u201c a&nbsp;s&nbsp;minim\u00e1lne 3 hodinov\u00fdm odstupom od ATB<\/em><\/strong>).&nbsp;<\/p>\n\n\n\n<p><span style=\"text-decoration: underline;\">U&nbsp;novorodencov a&nbsp;mal\u00fdch det\u00ed<\/span> je nutn\u00e1 ATB lie\u010dba vo forme vn\u00fatro\u017eilovej inf\u00fazie, teda s hospitaliz\u00e1ciou, rovnako ako u pacientov s pyelonefrit\u00eddou (<span style=\"text-decoration: underline;\">z\u00e1palom obli\u010dky<\/span>).<\/p>\n\n\n\n<p>P.S.:  <\/p>\n\n\n\n<p>U det\u00ed jedn\u00fdm z pr\u00edznakov infekcie mo\u010dov\u00fdch ciest m\u00f4\u017ee by\u0165 aj <em><strong>pomo\u010dovanie<\/strong><\/em> <em>po tom, \u010do sa u\u017e aspo\u0148 6 mesiacov pomo\u010dova\u0165 prestalo, bolo predt\u00fdm aspo\u0148 6 mesiacov &#8222;such\u00e9&#8220;<\/em>. Vtedy hovor\u00edme o <em><strong>tzv. s<\/strong><\/em><strong><em>ekund\u00e1rnej enur\u00e9ze<\/em><\/strong> (dennej, no\u010dnej alebo kombinovanej), ktorej pr\u00ed\u010dinou m\u00f4\u017ee by\u0165 napr. aj zv\u00e4\u010d\u0161en\u00e1 nosohltanov\u00e1 mand\u013ea, nejak\u00fd urologick\u00fd, \u010di neurologick\u00fd probl\u00e9m, ve\u013emi \u010dasto psychick\u00fd probl\u00e9m &#8211; v\u00fdznamn\u00e1 zmena v \u017eivote die\u0165a\u0165a (s\u0165ahovanie, n\u00e1stup do \u0161k\u00f4lky, narodenie mlad\u0161ieho s\u00farodenca, rozvod rodi\u010dov, \u00famrtie v rodine a pod.). Preto je potrebn\u00e9 (aj s mo\u010dom) nav\u0161t\u00edvi\u0165 detsk\u00e9ho lek\u00e1ra, aby pr\u00ed\u010dinu vy\u0161etril. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" width=\"768\" height=\"767\" src=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/04\/image.jpg\" alt=\"\" class=\"wp-image-1635\" style=\"aspect-ratio:1.001303780964798;width:162px;height:auto\" srcset=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/04\/image.jpg 768w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/04\/image-300x300.jpg 300w, https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2024\/04\/image-150x150.jpg 150w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><figcaption class=\"wp-element-caption\">Zv\u00e4\u010d\u0161en\u00e1 nosohltanov\u00e1 mand\u013ea (adenoidn\u00e9 veget\u00e1cie)<\/figcaption><\/figure>\n\n\n\n<p>In\u00e1 situ\u00e1cia je, ke\u010f sa die\u0165a neprestane <em>pravidelne pomo\u010dova\u0165 po\u010das sp\u00e1nku aj po 5. roku \u017eivota<\/em>. Vtedy hovor\u00edme o <em><strong>tzv. <\/strong><\/em><strong><em>prim\u00e1rnej no\u010dnej enur\u00e9ze<\/em><\/strong>, pri\u010dom do tejto kateg\u00f3rie patr\u00ed aj pomo\u010dovanie po\u010das popolud\u0148aj\u0161ieho sp\u00e1nku. Tento druh pomo\u010dovania nie je sp\u00f4soben\u00fd poruchou mo\u010dov\u00e9ho mech\u00fara alebo mo\u010dov\u00e9ho syst\u00e9mu a v\u00e4\u010d\u0161inou nie je ani prejavom psychick\u00fdch probl\u00e9mov, \u010di do\u010dasn\u00fdm stavom, z ktor\u00e9ho die\u0165a r\u00fdchlo vyrastie. Jeho pr\u00ed\u010dinou je nedostato\u010dn\u00e1 vlastn\u00e1 tvorba <em>antidiuretick\u00e9ho horm\u00f3nu (ADH)<\/em> zadn\u00e9ho laloka hypof\u00fdzy (neurohypof\u00fdzy) &#8211; <em><strong>vazopres\u00ednu<\/strong><\/em>. Mozog u spiaceho die\u0165a\u0165a nie je schopn\u00fd rozpozna\u0165 sign\u00e1ly preplnen\u00e9ho mo\u010dov\u00e9ho mech\u00fara a prebudi\u0165 sa na mo\u010denie. V\u00fdsledkom je, \u017ee sa die\u0165a vymo\u010d\u00ed do postele po\u010das sp\u00e1nku, pri\u010dom tomu nie je schopn\u00e9 zabr\u00e1ni\u0165 vlastnou v\u00f4\u013eou. Ak m\u00e1te doma die\u0165a, ktor\u00e9 u\u017e dosiahlo vek&nbsp;5 rokov a st\u00e1le sa v noci pocik\u00e1va, ne\u010dakajte, k\u00fdm z toho samo vyrastie. Pre va\u0161e die\u0165a m\u00f4\u017ee by\u0165 t\u00e1to situ\u00e1cia ve\u013emi stresuj\u00faca.&nbsp;M\u00f4\u017ee poci\u0165ova\u0165 zlyhanie a pre\u017e\u00edva\u0165 strach z toho, \u017ee sa znova v noci pocik\u00e1. <em><strong>No\u010dn\u00e9 pomo\u010dovanie sa d\u00e1 \u00fa\u010dinne a bezpe\u010dne lie\u010di\u0165<\/strong><\/em>, z\u00e1jdite s n\u00edm \u010do najsk\u00f4r&nbsp;k detsk\u00e9mu lek\u00e1rovi. \u010cakanie m\u00f4\u017ee znamena\u0165 roky tr\u00e1penia pre cel\u00fa rodinu. Viac inform\u00e1ci\u00ed vi\u010f na <strong><a href=\"https:\/\/suchapostielka.sk\/\">www.suchapostielka.sk<\/a><\/strong>. <\/p>\n\n\n\n<p><strong><a href=\"https:\/\/www.detskalekarkaradi.sk\/?page_id=257\">KEDY  VYH\u013dADA\u0164  LEK\u00c1RA?<\/a><\/strong><\/p>\n\n\n\n<p><a href=\"https:\/\/www.detskalekarkaradi.sk\/?page_id=255\"><strong>OSPRAVEDLNENKY  OD  LEK\u00c1RA<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(Eduk\u00e1cia nenahr\u00e1dza lek\u00e1rske vy\u0161etrenie!) I.\/ Diagnostika na zis\u0165ovanie infekcie mo\u010dov\u00fdch ciest Z\u00e1kladn\u00fdm vy\u0161etren\u00edm je vy\u0161etrenie mo\u010du: Ako odobra\u0165 mo\u010d? Je potrebn\u00e9, aby bol mo\u010d na rozbor odobrat\u00fd spr\u00e1vne. Za zlat\u00fd \u0161tandard sa pova\u017euje odber stredn\u00e9ho pr\u00fadu mo\u010du: pacient po umyt\u00ed genit\u00e1li\u00ed vymo\u010d\u00ed prv\u00fa \u010das\u0165 mo\u010du mimo sk\u00famavky (do plienky, vane, no\u010dn\u00edka alebo toalety) a a\u017e [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":362,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Infekcia mo\u010dov\u00fdch ciest - Detsk\u00e1 lek\u00e1rka rad\u00ed<\/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:\/\/www.detskalekarkaradi.sk\/?p=360\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Infekcia mo\u010dov\u00fdch ciest - Detsk\u00e1 lek\u00e1rka rad\u00ed\" \/>\n<meta property=\"og:description\" content=\"(Eduk\u00e1cia nenahr\u00e1dza lek\u00e1rske vy\u0161etrenie!) I.\/ Diagnostika na zis\u0165ovanie infekcie mo\u010dov\u00fdch ciest Z\u00e1kladn\u00fdm vy\u0161etren\u00edm je vy\u0161etrenie mo\u010du: Ako odobra\u0165 mo\u010d? Je potrebn\u00e9, aby bol mo\u010d na rozbor odobrat\u00fd spr\u00e1vne. Za zlat\u00fd \u0161tandard sa pova\u017euje odber stredn\u00e9ho pr\u00fadu mo\u010du: pacient po umyt\u00ed genit\u00e1li\u00ed vymo\u010d\u00ed prv\u00fa \u010das\u0165 mo\u010du mimo sk\u00famavky (do plienky, vane, no\u010dn\u00edka alebo toalety) a a\u017e [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.detskalekarkaradi.sk\/?p=360\" \/>\n<meta property=\"og:site_name\" content=\"Detsk\u00e1 lek\u00e1rka rad\u00ed\" \/>\n<meta property=\"article:published_time\" content=\"2023-03-10T10:37:44+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-09-23T16:06:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/Zapal-mocovych-ciest_priciny.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"848\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"DetskaLekarkaRadi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Autor\" \/>\n\t<meta name=\"twitter:data1\" content=\"DetskaLekarkaRadi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Predpokladan\u00fd \u010das \u010d\u00edtania\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 min\u00fat\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.detskalekarkaradi.sk\/?p=360\",\"url\":\"https:\/\/www.detskalekarkaradi.sk\/?p=360\",\"name\":\"Infekcia mo\u010dov\u00fdch ciest - Detsk\u00e1 lek\u00e1rka rad\u00ed\",\"isPartOf\":{\"@id\":\"https:\/\/www.detskalekarkaradi.sk\/#website\"},\"datePublished\":\"2023-03-10T10:37:44+00:00\",\"dateModified\":\"2024-09-23T16:06:48+00:00\",\"author\":{\"@id\":\"https:\/\/www.detskalekarkaradi.sk\/#\/schema\/person\/5ae24d4ac7935054c17ff1937c9b1153\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.detskalekarkaradi.sk\/?p=360#breadcrumb\"},\"inLanguage\":\"sk-SK\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.detskalekarkaradi.sk\/?p=360\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.detskalekarkaradi.sk\/?p=360#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.detskalekarkaradi.sk\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Infekcia mo\u010dov\u00fdch ciest\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.detskalekarkaradi.sk\/#website\",\"url\":\"https:\/\/www.detskalekarkaradi.sk\/\",\"name\":\"Detsk\u00e1 lek\u00e1rka rad\u00ed\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.detskalekarkaradi.sk\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"sk-SK\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.detskalekarkaradi.sk\/#\/schema\/person\/5ae24d4ac7935054c17ff1937c9b1153\",\"name\":\"DetskaLekarkaRadi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sk-SK\",\"@id\":\"https:\/\/www.detskalekarkaradi.sk\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/95964e5e0865a082218e0d86cc121471?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/95964e5e0865a082218e0d86cc121471?s=96&d=mm&r=g\",\"caption\":\"DetskaLekarkaRadi\"},\"sameAs\":[\"https:\/\/www.detskalekarkaradi.sk\"],\"url\":\"https:\/\/www.detskalekarkaradi.sk\/?author=1\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Infekcia mo\u010dov\u00fdch ciest - Detsk\u00e1 lek\u00e1rka rad\u00ed","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.detskalekarkaradi.sk\/?p=360","og_locale":"sk_SK","og_type":"article","og_title":"Infekcia mo\u010dov\u00fdch ciest - Detsk\u00e1 lek\u00e1rka rad\u00ed","og_description":"(Eduk\u00e1cia nenahr\u00e1dza lek\u00e1rske vy\u0161etrenie!) I.\/ Diagnostika na zis\u0165ovanie infekcie mo\u010dov\u00fdch ciest Z\u00e1kladn\u00fdm vy\u0161etren\u00edm je vy\u0161etrenie mo\u010du: Ako odobra\u0165 mo\u010d? Je potrebn\u00e9, aby bol mo\u010d na rozbor odobrat\u00fd spr\u00e1vne. Za zlat\u00fd \u0161tandard sa pova\u017euje odber stredn\u00e9ho pr\u00fadu mo\u010du: pacient po umyt\u00ed genit\u00e1li\u00ed vymo\u010d\u00ed prv\u00fa \u010das\u0165 mo\u010du mimo sk\u00famavky (do plienky, vane, no\u010dn\u00edka alebo toalety) a a\u017e [&hellip;]","og_url":"https:\/\/www.detskalekarkaradi.sk\/?p=360","og_site_name":"Detsk\u00e1 lek\u00e1rka rad\u00ed","article_published_time":"2023-03-10T10:37:44+00:00","article_modified_time":"2024-09-23T16:06:48+00:00","og_image":[{"width":1280,"height":848,"url":"https:\/\/www.detskalekarkaradi.sk\/wp-content\/uploads\/2023\/03\/Zapal-mocovych-ciest_priciny.jpeg","type":"image\/jpeg"}],"author":"DetskaLekarkaRadi","twitter_card":"summary_large_image","twitter_misc":{"Autor":"DetskaLekarkaRadi","Predpokladan\u00fd \u010das \u010d\u00edtania":"9 min\u00fat"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.detskalekarkaradi.sk\/?p=360","url":"https:\/\/www.detskalekarkaradi.sk\/?p=360","name":"Infekcia mo\u010dov\u00fdch ciest - Detsk\u00e1 lek\u00e1rka rad\u00ed","isPartOf":{"@id":"https:\/\/www.detskalekarkaradi.sk\/#website"},"datePublished":"2023-03-10T10:37:44+00:00","dateModified":"2024-09-23T16:06:48+00:00","author":{"@id":"https:\/\/www.detskalekarkaradi.sk\/#\/schema\/person\/5ae24d4ac7935054c17ff1937c9b1153"},"breadcrumb":{"@id":"https:\/\/www.detskalekarkaradi.sk\/?p=360#breadcrumb"},"inLanguage":"sk-SK","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.detskalekarkaradi.sk\/?p=360"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.detskalekarkaradi.sk\/?p=360#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.detskalekarkaradi.sk\/"},{"@type":"ListItem","position":2,"name":"Infekcia mo\u010dov\u00fdch ciest"}]},{"@type":"WebSite","@id":"https:\/\/www.detskalekarkaradi.sk\/#website","url":"https:\/\/www.detskalekarkaradi.sk\/","name":"Detsk\u00e1 lek\u00e1rka rad\u00ed","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.detskalekarkaradi.sk\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"sk-SK"},{"@type":"Person","@id":"https:\/\/www.detskalekarkaradi.sk\/#\/schema\/person\/5ae24d4ac7935054c17ff1937c9b1153","name":"DetskaLekarkaRadi","image":{"@type":"ImageObject","inLanguage":"sk-SK","@id":"https:\/\/www.detskalekarkaradi.sk\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/95964e5e0865a082218e0d86cc121471?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/95964e5e0865a082218e0d86cc121471?s=96&d=mm&r=g","caption":"DetskaLekarkaRadi"},"sameAs":["https:\/\/www.detskalekarkaradi.sk"],"url":"https:\/\/www.detskalekarkaradi.sk\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=\/wp\/v2\/posts\/360"}],"collection":[{"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=360"}],"version-history":[{"count":6,"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=\/wp\/v2\/posts\/360\/revisions"}],"predecessor-version":[{"id":1852,"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=\/wp\/v2\/posts\/360\/revisions\/1852"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=\/wp\/v2\/media\/362"}],"wp:attachment":[{"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=360"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=360"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.detskalekarkaradi.sk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}