{"id":3346,"date":"2023-09-14T15:54:55","date_gmt":"2023-09-14T13:54:55","guid":{"rendered":"https:\/\/www.ptc.cz\/co-liecime\/prostata\/jak-poznat-rakovinu-prostaty\/biopsie-prostaty\/"},"modified":"2024-07-16T13:41:17","modified_gmt":"2024-07-16T11:41:17","slug":"biopsia-prostaty","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/sk\/co-liecime\/prostata\/jak-poznat-rakovinu-prostaty\/biopsia-prostaty\/","title":{"rendered":"Biopsia prostaty"},"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>Biopsia prostaty je vy\u0161etrovacia met\u00f3da, ktor\u00e1 spo\u010d\u00edva v&nbsp;odbere buniek z&nbsp;prostatick\u00e9ho tkaniva. Hr\u00e1 k\u013e\u00fa\u010dov\u00fa \u00falohu predov\u0161etk\u00fdm v&nbsp;diagnostike karcin\u00f3mu prostaty. Bez biopsie a&nbsp;n\u00e1sledn\u00e9ho histologick\u00e9ho vy\u0161etrenia nie je mo\u017en\u00e9 diagnostikova\u0165 karcin\u00f3m prostaty. V&nbsp;pr\u00edpade prostaty m\u00f4\u017ee lek\u00e1r poja\u0165 podozrenie na&nbsp;n\u00e1dor na&nbsp;z\u00e1klade vy\u0161etrenia pohmatom alebo najm\u00e4 na&nbsp;z\u00e1klade zv\u00fd\u0161enej koncentr\u00e1cie PSA, ale a\u017e rozbor tkaniva jeho podozrenie potvrd\u00ed alebo vyvr\u00e1ti. Aj v&nbsp;pr\u00edpadoch, ke\u010f nejde o&nbsp;zhubn\u00fd n\u00e1dor, potom biopsia a&nbsp;n\u00e1sledn\u00fd rozbor tkaniva podaj\u00fa inform\u00e1cie o&nbsp;povahe zmien tkaniva, a&nbsp;m\u00f4\u017eeme na&nbsp;ich z\u00e1klade rozhodn\u00fa\u0165 o&nbsp;\u010fal\u0161ej lie\u010dbe.<\/p>\n<p>Biopsia sa vykon\u00e1va \u0161peci\u00e1lnou bioptickou ihlou za pomoci ultrazvukovej sondy zavedenej do kone\u010dn\u00edka. Po\u010das vlastn\u00e9ho vy\u0161etrenia sa zav\u00e1dza do kone\u010dn\u00edka najsk\u00f4r ultrazvukov\u00e1 sonda, ktor\u00e1 pom\u00e1ha ur\u010di\u0165 miesta, z&nbsp;ktor\u00fdch odober\u00e1me tkanivo. Vlastn\u00fd odber tkaniva je vykonan\u00fd zo zhruba 10 &#8211; 12 miest prostaty. Vy\u0161etrenie nie je bolestiv\u00e9, ale sk\u00f4r nepr\u00edjemn\u00e9, preto mo\u017eno po\u017eiada\u0165 lek\u00e1ra, ktor\u00fd bude biopsiu vykon\u00e1va\u0165, o&nbsp;analg\u00e9ziu. \u010casov\u00e1 n\u00e1ro\u010dnos\u0165 vy\u0161etrenia je obvykle 10 \u2013 15 min\u00fat.<\/p>\n<p>Pred samotn\u00fdm vy\u0161etren\u00edm je nutn\u00e9 d\u00f4kladn\u00e9 vypr\u00e1zdnenie kone\u010dn\u00edka (najlep\u0161ie pomocou glycer\u00ednov\u00fdch \u010dap\u00edkov) av niektor\u00fdch pr\u00edpadoch aj podanie antibiot\u00edk. Pokia\u013e u\u017e\u00edvate lieky na&nbsp;zr\u00e1\u017eanlivos\u0165 krvi, musia sa tieto lieky, po dohode s&nbsp;va\u0161im praktick\u00fdm lek\u00e1rom alebo \u0161pecialistom, vysadi\u0165 5&nbsp;dn\u00ed vopred, popr\u00edpade ich nahradi\u0165 in\u00fdmi, vhodnej\u0161\u00edmi liekmi.<\/p>\n<p>Odobran\u00e9 vzorky tkaniva s\u00fa n\u00e1sledne odosielan\u00e9 na&nbsp;histologick\u00e9 vy\u0161etrenie, ktor\u00e9 vyvr\u00e1ti alebo potvrd\u00ed pr\u00edtomnos\u0165 n\u00e1dorov\u00fdch buniek.<\/p>\n<\/div>\n<\/div>\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<h3>V s\u00fa\u010dasnosti m\u00e1me tri sp\u00f4soby biopsie prostaty:<\/h3>\n<ul>\n<li>\u0160tandardn\u00e1 biopsia prostaty, pri ktorej v\u00e1m lek\u00e1r odoberie vzorky prostatick\u00e9ho tkaniva cez \u0161peci\u00e1lny nadstavec ultrazvukovej sondy \u201eper rektum\u201c.<\/li>\n<li>Perine\u00e1lna biopsia prostaty, ktor\u00e1 oproti \u0161tandardnej biopsii vyu\u017e\u00edva dokonalej\u0161iu ultrazvukov\u00fa sondu prepojen\u00fa s&nbsp;tzv. \u201esteprom\u201c, teda zariaden\u00edm na&nbsp;fix\u00e1ciu sondy a&nbsp;jej presn\u00fa manipul\u00e1ciu. Tento typ biopsie sa vykon\u00e1va cez hr\u00e1dzu, je presne zacielen\u00fd a&nbsp;m\u00e1 ni\u017e\u0161ie riziko n\u00e1slednej infekcie a&nbsp;krv\u00e1cania.<\/li>\n<li>F\u00fazna biopsia prostaty spo\u010d\u00edva v&nbsp;z\u00edskavan\u00ed d\u00e1t z&nbsp;dvoch r\u00f4znych zdrojov, a&nbsp;to z&nbsp;magnetickej rezonancie (MR) a&nbsp;ultrazvuku. Funguje to tak, \u017ee cez MR sa identifikuje podozriv\u00e9 lo\u017eisko v&nbsp;prostate, a&nbsp;vytvoren\u00e1 sn\u00edmka sa n\u00e1sledne prepoj\u00ed s&nbsp;ultrazvukom. Prepojenie t\u00fdchto dvoch obrazov umo\u017e\u0148uje presnej\u0161ie zacielenie patologick\u00e9ho lo\u017eiska a&nbsp;jeho bezpe\u010dn\u00fd odber. Technol\u00f3gia f\u00faznej biopsie umo\u017e\u0148uje zachytenie lo\u017eiska v&nbsp;nieko\u013ek\u00fdch rovin\u00e1ch. Zvy\u0161uje sa tak mo\u017enos\u0165 z\u00e1chytu aj ve\u013emi mal\u00fdch lo\u017e\u00edsk. T\u00e1to modalita biopsie sa vykon\u00e1va cez hr\u00e1dzu, podobne ako je to v&nbsp;pr\u00edpade perine\u00e1lnej biopsie prostaty.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p style=\"text-align: center;\"><a  target=\"\"  class=\"button\" href=\"\/sk\/kontakt\/\">Kontaktujte n\u00e1s<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":9,"featured_media":3033,"parent":3343,"menu_order":475,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-3346","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3346","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/comments?post=3346"}],"version-history":[{"count":4,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3346\/revisions"}],"predecessor-version":[{"id":6798,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3346\/revisions\/6798"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3343"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media\/3033"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media?parent=3346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}