{"id":5087,"date":"2023-09-14T15:54:55","date_gmt":"2023-09-14T13:54:55","guid":{"rendered":"https:\/\/www.ptc.cz\/sto-lijecimo\/prostata\/jak-poznat-rakovinu-prostaty\/biopsie-prostaty\/"},"modified":"2024-06-21T14:46:50","modified_gmt":"2024-06-21T12:46:50","slug":"biopsija-prostate","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/hr\/sto-lijecimo\/prostata\/rak-prostate\/biopsija-prostate\/","title":{"rendered":"Biopsija prostate"},"content":{"rendered":"<div id=\"collapse8602\" class=\"sp-collapse spcollapse show\" data-parent=\"#sp-ea-860\">\n<div class=\"ea-body\">\n<div class=\"gdc_row\">\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<p>Biopsie prostaty je vy\u0161et\u0159ovac\u00ed metoda, kter\u00e1 spo\u010d\u00edv\u00e1 v&nbsp;odb\u011bru bun\u011bk z&nbsp;prostatick\u00e9 tk\u00e1n\u011b. Hraje kl\u00ed\u010dovou roli p\u0159edev\u0161\u00edm v&nbsp;diagnostice karcinomu prostaty. Bez biopsie a&nbsp;n\u00e1sledn\u00e9ho histologick\u00e9ho vy\u0161et\u0159en\u00ed nen\u00ed mo\u017en\u00e9 diagnostikovat<strong> karcinom prostaty<\/strong>. V&nbsp;p\u0159\u00edpad\u011b prostaty m\u016f\u017ee l\u00e9ka\u0159 pojmout podez\u0159en\u00ed na&nbsp;n\u00e1dor na&nbsp;z\u00e1klad\u011b vy\u0161et\u0159en\u00ed pohmatem nebo zejm\u00e9na na&nbsp;z\u00e1klad\u011b zv\u00fd\u0161en\u00e9 koncentrace PSA, ale teprve rozbor tk\u00e1n\u011b jeho podez\u0159en\u00ed potvrd\u00ed nebo vyvr\u00e1t\u00ed. I&nbsp;v&nbsp;p\u0159\u00edpadech, kdy se nejedn\u00e1 o&nbsp;zhoubn\u00fd n\u00e1dor, pak biopsie a&nbsp;n\u00e1sledn\u00fd rozbor tk\u00e1n\u011b podaj\u00ed informace o&nbsp;povaze zm\u011bn tk\u00e1n\u011b, a&nbsp;m\u016f\u017eeme na&nbsp;jejich z\u00e1klad\u011b rozhodnout o&nbsp;dal\u0161\u00ed l\u00e9\u010db\u011b.<\/p>\n<p>Biopsie se prov\u00e1d\u00ed speci\u00e1ln\u00ed bioptickou jehlou za pomoc\u00ed ultrazvukov\u00e9 sondy zaveden\u00e9 do kone\u010dn\u00edku. B\u011bhem vlastn\u00edho vy\u0161et\u0159en\u00ed se zav\u00e1d\u00ed do kone\u010dn\u00edku nejprve ultrazvukov\u00e1 sonda, kter\u00e1 pom\u00e1h\u00e1 ur\u010dit m\u00edsta, z&nbsp;nich\u017e odeb\u00edr\u00e1me tk\u00e1\u0148. Vlastn\u00ed odb\u011br tk\u00e1n\u011b je proveden ze zhruba 10 \u2013 12 m\u00edst prostaty. Vy\u0161et\u0159en\u00ed nen\u00ed bolestiv\u00e9, ale sp\u00ed\u0161e nep\u0159\u00edjemn\u00e9, proto lze po\u017e\u00e1dat l\u00e9ka\u0159e, kter\u00fd bude biopsii prov\u00e1d\u011bt, o&nbsp;analgesii. \u010casov\u00e1 n\u00e1ro\u010dnost vy\u0161et\u0159en\u00ed je obvykle 10 \u2013 15 minut.<\/p>\n<p><strong>P\u0159ed samotn\u00fdm vy\u0161et\u0159en\u00edm je nutn\u00e9 d\u016fkladn\u00e9 vypr\u00e1zdn\u011bn\u00ed kone\u010dn\u00edku <\/strong>(nejl\u00e9pe pomoc\u00ed glycerinov\u00fdch \u010d\u00edpk\u016f) <strong>a v&nbsp;n\u011bkter\u00fdch p\u0159\u00edpadech t\u00e9\u017e pod\u00e1n\u00ed antibiotik. <\/strong>Pokud u\u017e\u00edv\u00e1te l\u00e9ky na&nbsp;sr\u00e1\u017elivost krve, mus\u00ed se tyto l\u00e9ky, po dohod\u011b s&nbsp;va\u0161\u00edm praktick\u00fdm l\u00e9ka\u0159em nebo specialistou, vysadit 5&nbsp;dn\u00ed p\u0159edem, pop\u0159\u00edpad\u011b je nahradit jin\u00fdmi, vhodn\u011bj\u0161\u00edmi l\u00e9ky.<\/p>\n<p>Odebran\u00e9 vzorky tk\u00e1n\u011b jsou n\u00e1sledn\u011b odes\u00edl\u00e1ny na&nbsp;histologick\u00e9 vy\u0161et\u0159en\u00ed, kter\u00e9 vyvr\u00e1t\u00ed \u010di potvrd\u00ed p\u0159\u00edtomnost n\u00e1dorov\u00fdch bun\u011bk.<\/p>\n<\/div>\n<\/div>\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<h3>V\u00a0sou\u010dasnosti m\u00e1me t\u0159i zp\u016fsoby biopsie prostaty:<\/h3>\n<ul>\n<li><strong>Standardn\u00ed biopsie prostaty<\/strong>, p\u0159i kter\u00e9 v\u00e1m l\u00e9ka\u0159 odebere vzorky prostatick\u00e9 tk\u00e1n\u011b skrze speci\u00e1ln\u00ed n\u00e1stavec ultrazvukov\u00e9 sondy \u201eper rektum\u201c.<\/li>\n<li><strong>Perine\u00e1ln\u00ed biopsie prostaty<\/strong>, kter\u00e1 oproti standardn\u00ed biopsii vyu\u017e\u00edv\u00e1 dokonalej\u0161\u00ed ultrazvukovou sondu propojenou s&nbsp;tzv. \u201esteprem\u201c, tedy za\u0159\u00edzen\u00edm pro fixaci sondy a&nbsp;jej\u00ed p\u0159esnou manipulaci. Tento typ biopsie se prov\u00e1d\u00ed p\u0159es hr\u00e1z, je p\u0159esn\u011b zac\u00edlen a&nbsp;m\u00e1 ni\u017e\u0161\u00ed riziko n\u00e1sledn\u00e9 infekce a&nbsp;krv\u00e1cen\u00ed.<\/li>\n<li><strong>F\u00fazn\u00ed biopsie prostaty<\/strong> spo\u010d\u00edv\u00e1 v&nbsp;z\u00edsk\u00e1v\u00e1n\u00ed dat ze dvou r\u016fzn\u00fdch zdroj\u016f, a&nbsp;to z&nbsp;magnetick\u00e9 rezonance (MR) a&nbsp;ultrazvuku. Funguje to tak, \u017ee skrze MR se identifikuje podez\u0159el\u00e9 lo\u017eisko v&nbsp;prostat\u011b, a&nbsp;vytvo\u0159en\u00fd sn\u00edmek se n\u00e1sledn\u011b propoj\u00ed s&nbsp;ultrazvukem. Propojen\u00ed t\u011bchto dvou obraz\u016f umo\u017e\u0148uje p\u0159esn\u011bj\u0161\u00ed zac\u00edlen\u00ed patologick\u00e9ho lo\u017eiska a&nbsp;jeho bezpe\u010dn\u00fd odb\u011br. Technologie f\u00fazn\u00ed biopsie umo\u017e\u0148uje zachycen\u00ed lo\u017eiska v&nbsp;n\u011bkolika rovin\u00e1ch. Zvy\u0161uje se tak mo\u017enost z\u00e1chytu i&nbsp;velmi mal\u00fdch lo\u017eisek.\u00a0 Tato modalita biopsie se prov\u00e1d\u00ed p\u0159es hr\u00e1z, podobn\u011b jako je to v&nbsp;p\u0159\u00edpad\u011b perine\u00e1ln\u00ed biopsie prostaty.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p style=\"text-align: center;\"><a  target=\"\"  class=\"button\" href=\"\/kontakt\/\">Kontaktujte n\u00e1s<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":9,"featured_media":5088,"parent":5082,"menu_order":473,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-5087","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\/5087","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\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/comments?post=5087"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/5087\/revisions"}],"predecessor-version":[{"id":5133,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/5087\/revisions\/5133"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/5082"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media\/5088"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media?parent=5087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}