{"id":89,"date":"2023-02-14T13:03:21","date_gmt":"2023-02-14T13:03:21","guid":{"rendered":"https:\/\/new.vwdtest.com\/cz\/?page_id=89"},"modified":"2025-10-09T12:21:34","modified_gmt":"2025-10-09T12:21:34","slug":"vwd-and-denstistry","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/cz\/vwd-and-denstistry\/","title":{"rendered":"vWch A ZUBN\u00cd L\u00c9KA\u0158STV\u00cd"},"content":{"rendered":"
\n
Pacienti s krv\u00e1civ\u00fdmi poruchami, jako je hemofilie nebo von Willebrandova choroba (vWch)<\/a> jsou vystaveni zv\u00fd\u0161en\u00e9mu riziku krv\u00e1cen\u00ed z \u00fast, a to i p\u0159i b\u011b\u017en\u00e9 p\u00e9\u010di o zuby.1,2<\/sup> Krv\u00e1cen\u00ed se m\u016f\u017ee objevit i po \u010di\u0161t\u011bn\u00ed zub\u016f nebo pou\u017e\u00edv\u00e1n\u00ed zubn\u00ed nit\u011b a strach z krv\u00e1cen\u00ed m\u016f\u017ee pacient\u016fm br\u00e1nit v udr\u017eov\u00e1n\u00ed dobr\u00e9 \u00fastn\u00ed hygieny a v pravideln\u00fdch n\u00e1v\u0161t\u011bv\u00e1ch zuba\u0159e.2\u20134<\/sup> I pacienti, kte\u0159\u00ed nav\u0161t\u00edv\u00ed sv\u00e9ho poskytovatele zubn\u00ed p\u00e9\u010de, se mohou kv\u016fli p\u0159edchoz\u00edm \u0161patn\u00fdm zku\u0161enostem ob\u00e1vat zubn\u00edch z\u00e1krok\u016f nebo obavy, \u017ee nebudou l\u00e9\u010deni.4<\/sup> Nav\u00edc mnoho pacient\u016f s vWch nen\u00ed diagnostikov\u00e1no a nev\u011bd\u00ed, \u017ee jejich krv\u00e1cen\u00ed nen\u00ed norm\u00e1ln\u00ed.5<\/sup><\/h5>\n<\/div>\n\n\"vWch\r\n\n\n
\n

Riziko krv\u00e1cen\u00ed a v\u00fdsledn\u00e1 \u00fazkost p\u0159isp\u00edvaj\u00ed ke \u0161patn\u00e9mu stavu zub\u016f u d\u011bt\u00ed a dosp\u00edvaj\u00edc\u00edch s krv\u00e1civ\u00fdmi poruchami.2<\/sup> Bez adekv\u00e1tn\u00edho vzd\u011bl\u00e1n\u00ed a l\u00e9\u010dby se tito pacienti mohou dostat do za\u010darovan\u00e9ho kruhu \u010dast\u00e9ho krv\u00e1cen\u00ed d\u00e1sn\u00ed, zanedb\u00e1n\u00ed p\u00e9\u010de o zuby a zhor\u0161uj\u00edc\u00edho se zdrav\u00ed \u00fastn\u00ed dutiny.3<\/sup> Tito pacienti a jejich pe\u010dovatel\u00e9 jsou v z\u00e1jmu ochrany zdrav\u00ed \u00fastn\u00ed dutiny a kvality \u017eivota siln\u011b z\u00e1visl\u00ed na d\u016fv\u011bryhodn\u00e9m poskytovateli zubn\u00ed p\u00e9\u010de, kter\u00fd jim poskytuje vzd\u011bl\u00e1n\u00ed v oblasti preventivn\u00ed p\u00e9\u010di a zaji\u0161\u0165uje pravideln\u00e9 kontroly.<\/p>\n<\/div>\n\n

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Role poskytovatel\u016f stomatologick\u00e9 p\u00e9\u010de<\/h3>\n<\/div>\n\n
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Jako poskytovatel zubn\u00ed p\u00e9\u010de m\u00e1te jedine\u010dnou pozici, abyste pomohli identifikovat pacienty, kte\u0159\u00ed mohou m\u00edt prosp\u011bch z dal\u0161\u00edho diagnostick\u00e9ho hodnocen\u00ed poruchy krv\u00e1civosti. Pro mnoho lid\u00ed jsou n\u00e1v\u0161t\u011bvy m\u00edstn\u00edho zuba\u0159e jedin\u00fdm pravideln\u00fdm kontaktem s m\u00edstn\u00edm zdravotnick\u00fdm syst\u00e9mem.2<\/sup> Nav\u00edc extrakce zubu m\u016f\u017ee b\u00fdt pro mnoho pacient\u016f \u010dasto prvn\u00edm chirurgick\u00fdm z\u00e1krokem \u2013 a tedy velk\u00fdm hemostatick\u00fdm probl\u00e9mem. Nadm\u011brn\u00e9 krv\u00e1cen\u00ed b\u011bhem takov\u00e9ho postupu nebo po n\u011bm tedy m\u016f\u017ee b\u00fdt prvn\u00ed p\u0159\u00edle\u017eitost\u00ed k diagn\u00f3ze nerozpoznan\u00e9 krv\u00e1civ\u00e9 poruchy.<\/p>\n<\/div>\n\n

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Diagnostika vWch z\u016fst\u00e1v\u00e1 n\u00e1ro\u010dn\u00fdm \u00fakolem kv\u016fli nedostate\u010dn\u00e9 informovanosti a slo\u017eitosti diagnostick\u00e9ho postupu.5<\/sup> Pokud jste u jednoho ze sv\u00fdch pacient\u016f ned\u00e1vno zaznamenali neo\u010dek\u00e1van\u00e9 krv\u00e1cen\u00ed, doporu\u010dujeme prov\u00e9st n\u00e1\u0161 test krv\u00e1cen\u00ed<\/a> se sv\u00fdm pacientem. Test uk\u00e1\u017ee, zda jsou indikov\u00e1na dal\u0161\u00ed vy\u0161et\u0159en\u00ed \u2013 a m\u016f\u017ee zm\u011bnit \u017eivot va\u0161eho pacienta!<\/p>\n<\/div>\n\n

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Vzhledem k tomu, \u017ee pacienti s poruchou krv\u00e1civosti se mohou vyh\u00fdbat zubn\u00edm prohl\u00eddk\u00e1m kv\u016fli strachu z krv\u00e1cen\u00ed, m\u011bly by b\u00fdt podporov\u00e1ny pravideln\u00e9 n\u00e1sledn\u00e9 n\u00e1v\u0161t\u011bvy, aby bylo chr\u00e1n\u011bno zdrav\u00ed \u00fastn\u00ed dutiny a kvalita \u017eivota pacient\u016f.4<\/sup> Pro zubn\u00ed l\u00e9ka\u0159e, kte\u0159\u00ed cht\u011bj\u00ed l\u00e9\u010dit pacienty s poruchami krv\u00e1civosti, jsou k dispozici doporu\u010den\u00e9 postupy.3,6<\/sup> Stomatologick\u00e1 p\u00e9\u010de u pacient\u016f s vWch je obecn\u011b podobn\u00e1 jako u pacient\u016f s hemofili\u00ed.3 <\/sup> V\u011bt\u0161inu rutinn\u00ed nechirurgick\u00e9 l\u00e9\u010dby lze poskytnout ve v\u0161eobecn\u00e9 stomatologick\u00e9 praxi po konzultaci s hematologem, zejm\u00e9na u pacient\u016f s m\u00edrnou vWch.3<\/sup> Pouze l\u00e9\u010dba pacient\u016f se st\u0159edn\u011b t\u011b\u017ek\u00fdm nebo t\u011b\u017ek\u00fdm onemocn\u011bn\u00edm a invazivn\u00ed stomatologick\u00e9 v\u00fdkony by m\u011bly b\u00fdt prov\u00e1d\u011bny v nemocni\u010dn\u00edm prost\u0159ed\u00ed a podle l\u00e9\u010debn\u00e9ho pl\u00e1nu.3,6<\/sup><\/p>\n<\/div>\n\n

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Chcete-li naj\u00edt nejbli\u017e\u0161\u00ed centrum pro l\u00e9\u010dbu hemofilie, klikn\u011bte sem.<\/a> VWDtest.com tak\u00e9 nab\u00edz\u00ed dal\u0161\u00ed informace o etiologii, diagn\u00f3ze a l\u00e9\u010db\u011b vWch a tak\u00e9 vhled do typick\u00e9 situace pacient\u016f s vWch.<\/p>\n<\/div>\n\n

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Dal\u0161\u00ed podrobnosti o diagnostick\u00e9 podpo\u0159e prost\u0159ednictv\u00edm VWDtest.com z\u00edsk\u00e1te na klikn\u011bte sem<\/a>.<\/p>\n<\/div>\n\n

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References<\/h6>\n<\/div>\n\n
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    \n
  1. de Wee EM, et al. Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n
    \n
  2. Brown MC et al. Haemophilia <\/em>2022; 28:73-9.<\/li>\n<\/div>\n\n
    \n
  3. Anderson JAM et al. Br Dent J<\/em> 2013; 215:497-504.<\/li>\n<\/div>\n\n
    \n
  4. Kalsi H et al. Haemophilia<\/em> 2012; 18:510-5.<\/li>\n<\/div>\n\n
    \n
  5. Corrales-Medina FF et al. Blood Rev <\/a><\/em>2022; 101018.<\/li>\n<\/div>\n\n
    \n
  6. WFH guidelines for dental treatment of patients with inherited bleeding disorders; https:\/\/elearning.wfh.org\/resource\/guidelines-for-dental-treatment-of-patients-with-inherited-bleeding-disorders\/<\/a>; posledn\u00ed p\u0159\u00edstup v listopadu 2022.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Pacienti s krv\u00e1civ\u00fdmi poruchami, jako je hemofilie nebo von Willebrandova choroba (vWch) jsou vystaveni zv\u00fd\u0161en\u00e9mu riziku krv\u00e1cen\u00ed z \u00fast, a to i p\u0159i b\u011b\u017en\u00e9 p\u00e9\u010di o zuby.1,2 Krv\u00e1cen\u00ed se m\u016f\u017ee objevit i po \u010di\u0161t\u011bn\u00ed zub\u016f nebo pou\u017e\u00edv\u00e1n\u00ed zubn\u00ed nit\u011b a strach z krv\u00e1cen\u00ed m\u016f\u017ee pacient\u016fm br\u00e1nit v udr\u017eov\u00e1n\u00ed dobr\u00e9 \u00fastn\u00ed hygieny a v pravideln\u00fdch n\u00e1v\u0161t\u011bv\u00e1ch zuba\u0159e.2\u20134 […]<\/p>\n","protected":false},"author":1,"featured_media":233,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\nvWch A ZUBN\u00cd L\u00c9KA\u0158STV\u00cd - Czech Republic<\/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:\/\/vwdtest.com\/cz\/vwd-and-denstistry\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"vWch A ZUBN\u00cd L\u00c9KA\u0158STV\u00cd - 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