{"id":4727,"date":"2023-06-13T12:46:28","date_gmt":"2023-06-13T10:46:28","guid":{"rendered":"https:\/\/www.ptc.cz\/moderni-diagnostika\/magneticka-rezonance\/zadanka-na-mr-vysetreni-k-vyplneni-online\/"},"modified":"2024-06-21T13:53:05","modified_gmt":"2024-06-21T11:53:05","slug":"zahtjev-za-mr-pregled-za-ispunjavanje-online","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/hr\/moderna-dijagnostika\/magnetska-rezonanca\/zahtjev-za-mr-pregled-za-ispunjavanje-online\/","title":{"rendered":"Zahtjev za MR pregled <br>(za ispunjavanje online)"},"content":{"rendered":"<div class=\"wpcf7 no-js\" id=\"wpcf7-f2602-o1\" lang=\"cs-CZ\" dir=\"ltr\" data-wpcf7-id=\"2602\">\n<div class=\"screen-reader-response\">\n<p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\">\n<ul><\/ul>\n<\/div>\n<form action=\"\/hr\/wp-json\/wp\/v2\/pages\/4727#wpcf7-f2602-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Kontaktn\u00ed formul\u00e1\u0159\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2602\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"cs_CZ\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2602-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2602,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;jin\\u00e9&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ano&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-6.1&quot;:true,&quot;notice_dismissed_update-cf7-6.1.1&quot;:true}}\" \/><input type=\"hidden\" name=\"_uacf7_hidden_conditional_fields\" value=\"\" \/><br \/>\n<\/fieldset>\n<div class=\"uacf7-form-2602\">\n<p style=\"margin-bottom: 20px !important;\"><strong>Polo\u017eky ozna\u010den\u00e9 * jsou povinn\u00e9<\/strong><\/p>\n<div class=\"rowex__section\">\n<h3 class=\"rowex__section__title\">Telefonn\u00ed \u010d\u00edslo pro objedn\u00e1n\u00ed MR vy\u0161et\u0159en\u00ed: +420 222 999 070<\/h3>\n<div class=\"rowex twice\">\n<div class=\"item\">\n      <span class=\"labelex\">Datum objedn\u00e1n\u00ed<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"datum-objednani\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"dd.mm.rrrr\" value=\"\" type=\"text\" name=\"datum-objednani\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Hodina<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"hodina\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hodina\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<\/div>\n<div class=\"rowex__section\">\n<h3 class=\"rowex__section__title\">Vypln\u00ed odes\u00edlaj\u00edc\u00ed l\u00e9ka\u0159:<\/h3>\n<div class=\"rowex twice\">\n<div class=\"item\">\n      <span class=\"labelex\">P\u0159\u00edjmen\u00ed a jm\u00e9no pacienta *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"jmeno-pacienta\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"jmeno-pacienta\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Rodn\u00e9 \u010d\u00edslo (\u010d. poji\u0161t\u011bnce) *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"rodne-cislo\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rodne-cislo\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex\">\n<div class=\"item\">\n      <span class=\"labelex\">Bydli\u0161t\u011b (ulice, \u010d\u00edslo, PS\u010c, m\u011bsto) *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"adresa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresa\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex third\">\n<div class=\"item\">\n      <span class=\"labelex\">Kontaktn\u00ed telefon *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"telefon-pacient\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"+420\" type=\"text\" name=\"telefon-pacient\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Poji\u0161\u0165ovna *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"pojistovna\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pojistovna\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">\u010c\u00edseln\u00fd k\u00f3d dg. *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"kod-dg\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"kod-dg\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex\">\n<div class=\"item\">\n      <span class=\"labelex\">Z\u00e1kladn\u00ed diagn\u00f3za a epikr\u00edza (podrobn\u011b rozepi\u0161te) *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"diagnoza-epikriza\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"diagnoza-epikriza\"><\/textarea><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex third\">\n<div class=\"item\">\n      <span class=\"labelex\">Alergie na<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"alergie-na\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"alergie-na\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Projevy alergie<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"projevy-alergie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"projevy-alergie\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Diabetes melitus<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"dm\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"dm\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"dm\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex third\">\n<div class=\"item\">\n      <span class=\"labelex\">V\u00fd\u0161ka *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"vyska\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vyska\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">T\u011blesn\u00e1 v\u00e1ha *<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"vaha\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vaha\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Imobilita<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"imobilita\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"imobilita\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"imobilita\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex third\">\n<div class=\"item\">\n    <span class=\"labelex\">Odes\u00edlaj\u00edc\u00ed zdravotnick\u00e9 za\u0159\u00edzen\u00ed *<\/span><br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"zdravotnicke-zarizeni\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zdravotnicke-zarizeni\" \/><\/span>\n  <\/div>\n<div class=\"item\">\n   <span class=\"labelex\">Jm\u00e9no odes\u00edlaj\u00edc\u00edho l\u00e9ka\u0159e *<\/span><br \/>\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"odesilajici-lekar\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"odesilajici-lekar\" \/><\/span>\n <\/div>\n<div class=\"item\">\n  <span class=\"labelex\">I\u010cP za\u0159\u00edzen\u00ed (8-m\u00edstn\u00e9 \u010d\u00edslo vlevo na raz\u00edtku) *<\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"icp-zarizeni\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"icp-zarizeni\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"rowex twice\">\n<div class=\"item\">\n  <span class=\"labelex\">Kontaktn\u00ed telefon *<\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"+420\" type=\"text\" name=\"telefon\" \/><\/span>\n<\/div>\n<div class=\"item\">\n <span class=\"labelex\">E-mail *<\/span><br \/>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"rowex__section subsection\">\n<p>  <span class=\"labelex\" style=\"margin-top: 30px;\">Org\u00e1n \u010di oblast, kter\u00e9 maj\u00ed by\u0301t vy\u0161et\u0159eny:<\/span><\/p>\n<div class=\"rowex twice\">\n<div class=\"item\">\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"ma-byt-vysetreno-1\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Mozek\" \/><span class=\"wpcf7-list-item-label\">Mozek<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Hypofy\u0301za\" \/><span class=\"wpcf7-list-item-label\">Hypofy\u0301za<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Pyramidy a mostomoze\u010dkovy\u0301 kout\" \/><span class=\"wpcf7-list-item-label\">Pyramidy a mostomoze\u010dkovy\u0301 kout<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Orbity\" \/><span class=\"wpcf7-list-item-label\">Orbity<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"C p\u00e1te\u0159\" \/><span class=\"wpcf7-list-item-label\">C p\u00e1te\u0159<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Th p\u00e1te\u0159\" \/><span class=\"wpcf7-list-item-label\">Th p\u00e1te\u0159<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"LS p\u00e1te\u0159\" \/><span class=\"wpcf7-list-item-label\">LS p\u00e1te\u0159<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Kolenn\u00ed kloub\" \/><span class=\"wpcf7-list-item-label\">Kolenn\u00ed kloub<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Ramenn\u00ed kloub\" \/><span class=\"wpcf7-list-item-label\">Ramenn\u00ed kloub<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Ky\u010deln\u00ed kloub\" \/><span class=\"wpcf7-list-item-label\">Ky\u010deln\u00ed kloub<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Hlezenn\u00ed kloub\" \/><span class=\"wpcf7-list-item-label\">Hlezenn\u00ed kloub<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Z\u00e1p\u011bst\u00ed\" \/><span class=\"wpcf7-list-item-label\">Z\u00e1p\u011bst\u00ed<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-1[]\" value=\"Jiny\u0301 kloub (bli\u017e\u0161\u00ed specifikace)\" \/><span class=\"wpcf7-list-item-label\">Jiny\u0301 kloub (bli\u017e\u0161\u00ed specifikace)<\/span><\/label><\/span><\/span><\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"jiny-kloub-specifikace\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text mt8\" aria-invalid=\"false\" placeholder=\"jiny\u0301 kloub (bli\u017e\u0161\u00ed specifikace)\" value=\"\" type=\"text\" name=\"jiny-kloub-specifikace\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"ma-byt-vysetreno-2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-2[]\" value=\"MR krku\" \/><span class=\"wpcf7-list-item-label\">MR krku<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-2[]\" value=\"MR prsu\" \/><span class=\"wpcf7-list-item-label\">MR prsu<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-2[]\" value=\"MR p\u00e1nve\" \/><span class=\"wpcf7-list-item-label\">MR p\u00e1nve<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-2[]\" value=\"MR angiografie intrakrani\u00e1ln\u00edch tepen\" \/><span class=\"wpcf7-list-item-label\">MR angiografie intrakrani\u00e1ln\u00edch tepen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-2[]\" value=\"MR angiografie karotid\" \/><span class=\"wpcf7-list-item-label\">MR angiografie karotid<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"ma-byt-vysetreno-2[]\" value=\"MR b\u0159icha (bli\u017e\u0161\u00ed specifikace)\" \/><span class=\"wpcf7-list-item-label\">MR b\u0159icha (bli\u017e\u0161\u00ed specifikace)<\/span><\/label><\/span><\/span><\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"mr-bricha-specifikace\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text mt8\" aria-invalid=\"false\" placeholder=\"MR b\u0159icha (bli\u017e\u0161\u00ed specifikace)\" value=\"\" type=\"text\" name=\"mr-bricha-specifikace\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex\">\n<div class=\"item\">\n      <span class=\"labelex\">U\u017e\u0161\u00ed ot\u00e1zka<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"uzsi-otazka\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"uzsi-otazka\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<\/div>\n<div class=\"rowex__section subsection\">\n<div class=\"rowex twice\">\n<div class=\"item\">\n      <span class=\"labelex\">Hodnota s\u00e9rov\u00e9ho kreatininu v \u00b5mol\/l<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"kreatinin\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"kreatinin\" \/><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Hodnota s\u00e9rov\u00e9ho UREA v mmol\/l<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"urea\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"urea\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<\/div>\n<div class=\"rowex__section subsection\">\n<div class=\"rowex\">\n<div class=\"item\">\n      <span class=\"labelex\">O\u010dek\u00e1vany\u0301 p\u0159\u00ednos vy\u0161et\u0159en\u00ed<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"ocekavany-prinos-vysetreni\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ocekavany-prinos-vysetreni\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex\">\n<div class=\"item\">\n      <span class=\"labelex\">V\u00fdsledky p\u0159edchoz\u00edch CT, MR, RTG vy\u0161et\u0159en\u00ed (kde, kdy, vy\u0161. oblast)<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"vysledky-predchozich-vysetreni\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vysledky-predchozich-vysetreni\" \/><\/span>\n    <\/div>\n<\/p><\/div>\n<\/div>\n<div class=\"rowex__section\">\n<p><strong>K vy\u0161et\u0159en\u00ed je vhodn\u00e9 zajistit p\u0159edchoz\u00ed obrazovou dokumentaci, vy\u0301sledky je mo\u017en\u00e9 zaslat p\u0159es PACS nebo na CD.<\/strong><\/p>\n<\/div>\n<div class=\"rowex__section subsection\">\n<h3 class=\"rowex__section__subtitle\">Kontraindikace vy\u0161et\u0159en\u00ed (v\u017edy uve\u010fte o jak\u00fd implant\u00e1t jde a datum operace):<\/h3>\n<div class=\"rowex fourth\">\n<div class=\"item\">\n      <span class=\"labelex\">Kardiostimul\u00e1tor<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"kardiostimulator\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"kardiostimulator\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"kardiostimulator\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Defibril\u00e1tor: (ICD, ponechan\u00e9 elektrody)<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"defibrilator\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"defibrilator\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"defibrilator\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Ciz\u00ed kovov\u00e9 t\u011bleso v oku \u010di o\u010dnici<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"cizi-teleso-v-oku\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"cizi-teleso-v-oku\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"cizi-teleso-v-oku\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Kochle\u00e1rn\u00ed implant\u00e1t<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"kochlearni-implantat\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"kochlearni-implantat\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"kochlearni-implantat\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex fourth\">\n<div class=\"item\">\n      <span class=\"labelex\">Kovov\u00e9 st\u0159epiny, \u00falomky, ciz\u00ed t\u011blesa<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"kovove-strepiny-cizi-telesa\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"kovove-strepiny-cizi-telesa\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"kovove-strepiny-cizi-telesa\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Kovov\u00e9 implant\u00e1ty<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"kovove-implantaty\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"kovove-implantaty\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"kovove-implantaty\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">C\u00e9vn\u00ed svorky<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"cevni-svorky\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"cevni-svorky\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"cevni-svorky\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Chlopenn\u00ed n\u00e1hrady<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"chlopenni-nahrady\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"chlopenni-nahrady\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"chlopenni-nahrady\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex fourth\">\n<div class=\"item\">\n      <span class=\"labelex\">C\u00e9vn\u00ed v\u00fdztu\u017e, \u017eiln\u00ed filtr<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"cevni-vyztuz-zilni-filtr\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"cevni-vyztuz-zilni-filtr\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"cevni-vyztuz-zilni-filtr\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Kloubn\u00ed n\u00e1hrady, kovov\u00e9 dlahy, \u0161rouby<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"kloubni-nahrady\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"kloubni-nahrady\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"kloubni-nahrady\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Nitrod\u011blo\u017en\u00ed t\u011bl\u00edska<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"nitrodelozni-teliska\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"nitrodelozni-teliska\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"nitrodelozni-teliska\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">T\u011bhotenstv\u00ed \u2013 I.trimestr<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"tehotenstvi-i-trimestr\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"tehotenstvi-i-trimestr\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"tehotenstvi-i-trimestr\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex twice\">\n<div class=\"item\">\n      <span class=\"labelex\">Tetov\u00e1n\u00ed<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"tetovani\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"tetovani\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"tetovani\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<div class=\"item\">\n      <span class=\"labelex\">Piercing<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"piercing\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"piercing\" value=\"Ano\" \/><span class=\"wpcf7-list-item-label\">Ano<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"piercing\" value=\"Ne\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ne<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex\">\n<div class=\"item\">\n      <span class=\"labelex\">Kontraindikace k vy\u0161et\u0159en\u00ed<\/span><br \/>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"kontraindikace-vysetreni\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"kontraindikace-vysetreni\"><\/textarea><\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"rowex\">\n<hr>\n<p style=\"font-size: 20px; line-height: 26px;\"><strong>Absolutn\u00ed kontraindikac\u00ed MR vy\u0161et\u0159en\u00ed je implantovany\u0301 kardiostimul\u00e1tor (bez potvrzen\u00ed o MR kompatibilit\u011b), implantovany\u0301 defibril\u00e1tor, kochle\u00e1rn\u00ed implant\u00e1t, n\u011bkter\u00e9 chlopenn\u00ed n\u00e1hrady, svorky na intrakrani\u00e1ln\u00edch aneurysmatech, I. trimestr t\u011bhotenstv\u00ed. Potvrzuji, \u017ee pacient nem\u00e1 \u017e\u00e1dnou z uvedeny\u0301ch absolutn\u00edch kontraindikac\u00ed.<\/strong><\/p>\n<\/p><\/div>\n<\/div>\n<div class=\"rowex__section subsection\">\n<h3 class=\"rowex__section__subtitle\">Odes\u00edlaj\u00edc\u00ed indikuj\u00edc\u00ed l\u00e9ka\u0159 je zodpov\u011bdny\u0301 za \u0159\u00e1dn\u00e9 vypln\u011bn\u00ed \u017e\u00e1danky a pou\u010den\u00ed pacienta dle n\u00e1sleduj\u00edc\u00edch pokyn\u016f:<\/h3>\n<ul>\n<li>Pacient se dostav\u00ed cca. 20 minut p\u0159ed \u010dasem vy\u0161et\u0159en\u00ed. Obvykl\u00e1 doba vy\u0161et\u0159en\u00ed je cca. 30-45 minut. Je nutn\u00e9, aby pacient spolupracoval a dovedl setrvat v naprost\u00e9m klidu.<\/li>\n<li>Vy\u0161et\u0159en\u00ed d\u011bt\u00ed dle schopnosti spolupracovat, mo\u017en\u00e9 od cca. 4 let v\u011bku, mo\u017enost celkov\u00e9 anestezie.<\/li>\n<\/ul>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-hidden\" value=\"Zahtjev za MR pregled &lt;br&gt;(za ispunjavanje online)\" type=\"hidden\" name=\"post-title\" \/><br \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"https:\/\/www.ptc.cz\/hr\/moderna-dijagnostika\/magnetska-rezonanca\/zahtjev-za-mr-pregled-za-ispunjavanje-online\/\" type=\"hidden\" name=\"post-url\" \/><br \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"1.5.2026\" type=\"hidden\" name=\"post-date\" \/><br \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"_2026_05_01\" type=\"hidden\" name=\"pdf-date\" \/><br \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"jmeno-pacienta-convert\" \/><br \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"rocnik\" \/><\/p>\n<div class=\"rowex submit rowex__section__submit\">\n <input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Odeslat \u017e\u00e1danku\" \/>\n<\/div>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":4729,"parent":4723,"menu_order":126,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4727","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4727","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/comments?post=4727"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4727\/revisions"}],"predecessor-version":[{"id":4764,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4727\/revisions\/4764"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4723"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media\/4729"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media?parent=4727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}