{"id":246,"date":"2017-01-25T15:12:07","date_gmt":"2017-01-25T14:12:07","guid":{"rendered":"http:\/\/www.veterinacaslav.cz\/?p=246"},"modified":"2021-01-03T08:38:31","modified_gmt":"2021-01-03T07:38:31","slug":"pooperacni-pece","status":"publish","type":"post","link":"https:\/\/www.veterinacaslav.cz\/?p=246","title":{"rendered":"Poopera\u010dn\u00ed p\u00e9\u010de"},"content":{"rendered":"<p><span class=\"fs20\"><span class=\"ff0 cf0\"><strong>ULO\u017dEN\u00cd PACIENTA<\/strong><br \/>\nNejvhodn\u011bj\u0161\u00ed je tich\u00e9 a klidn\u00e9 m\u00edsto, kde m\u00e1te mo\u017enost neust\u00e1l\u00e9 kontroly a jste kdykoliv schopni poskytnout pot\u0159ebnou pomoc. Abychom zabr\u00e1nili vzniku prole\u017eenin, pou\u017eijeme n\u011bjakou m\u011bkkou podlo\u017eku. Pacient by m\u011bl le\u017eet co nejbl\u00ed\u017ee podlaze, aby p\u0159i p\u0159\u00edpadn\u00e9m p\u00e1du nedo\u0161lo ke zran\u011bn\u00ed. Proto nejsou vhodn\u00e1 k\u0159esla, pohovky apod.<br \/>\n<strong>NEBEZPE\u010c\u00cd PROCHLADNUT\u00cd<\/strong><br \/>\nPacient v postnarkotick\u00e9m sp\u00e1nku nen\u00ed schopen dostate\u010dn\u011b regulovat svou t\u011blesnou teplotu, m\u011bli bychom ho proto p\u0159ikr\u00fdt, nejl\u00e9pe vln\u011bnou p\u0159ikr\u00fdvkou, a um\u00edstit do vyh\u0159\u00e1t\u00e9 m\u00edstnosti. Nevhodn\u00fdmi zdroji tepla jdou oh\u0159\u00edvac\u00ed l\u00e1hve, elektrick\u00e9 oh\u0159\u00edvac\u00ed podu\u0161ky, um\u00edst\u011bn\u00ed v bl\u00edzkosti radi\u00e1toru, event. jin\u00e9ho tepeln\u00e9ho zdroje, proto\u017ee pacient nen\u00ed schopen vyhnout se \u00fa\u010dink\u016fm nadm\u011brn\u00e9 teploty a velmi snadno vznikaj\u00ed pop\u00e1leniny.<br \/>\n<strong>POD\u00c1V\u00c1N\u00cd VODY A KRMIVA<\/strong><br \/>\nZa\u010d\u00edn\u00e1me s pod\u00e1v\u00e1n\u00edm mal\u00e9ho mno\u017estv\u00ed vody (na dno misky, cca 2 cm) zhruba 3-<wbr>4 hod po operaci. Nezvrac\u00ed-<wbr>li pacient, pokra\u010dujeme v nab\u00edzen\u00ed mal\u00fdch d\u00e1vek vody po 1-<wbr>2 hodin\u00e1ch.<br \/>\nZa 8-<wbr>12 hodin po operaci m\u016f\u017eeme nab\u00eddnout mal\u00e9 mno\u017estv\u00ed krmiva (1-<wbr>2 l\u017ei\u010dky). Ide\u00e1ln\u00edm krmivem po operaci je n\u00edzkotu\u010dn\u00e1, lehce straviteln\u00e1 vlhk\u00e1 strava. Tyto po\u017eadavky spl\u0148uj\u00ed speci\u00e1ln\u00ed konzervy (Hills a\/d, p\/d, Eukanuba intestinal) nebo spr\u00e1vn\u011b p\u0159ipraven\u00e1 dom\u00e1c\u00ed strava (tj. dr\u016fbe\u017e\u00ed maso s r\u00fd\u017e\u00ed nebo t\u011bstovinami, zpo\u010d\u00e1tku lze pod\u00e1vat i d\u011btsk\u00e9 pi\u0161koty). Jestli\u017ee pacient p\u0159ijme krmivo a nezvrac\u00ed, je mo\u017en\u00e9 opakovat pod\u00e1n\u00ed krmiva a vody za dal\u0161\u00ed 2-<wbr>3 hodiny. Pokud se objev\u00ed zvracen\u00ed, po\u010dk\u00e1me s pod\u00e1v\u00e1n\u00edm krmiva je\u0161t\u011b alespo\u0148 6 hodin. D\u00e1vky krmiva a vody postupn\u011b zvy\u0161ujeme, a\u017e se dostaneme na mno\u017estv\u00ed norm\u00e1ln\u00ed p\u0159ed operac\u00ed.<br \/>\nPrvn\u00ed den zv\u00ed\u0159e k ni\u010demu nenu\u0165te <\/span><\/span><span class=\"ff1 fs20 cf0\">\u2013<\/span><span class=\"ff0 fs20 cf0\"> p\u0159i n\u00e1siln\u00e9m krmen\u00ed by mohlo doj\u00edt k vdechnut\u00ed potravy s n\u00e1sledn\u00fdm z\u00e1n\u011btem plic. Nebude-<wbr>li zv\u00ed\u0159e p\u0159ij\u00edmat potravu ani vodu druh\u00fd den po operaci, kontaktujte pros\u00edm sv\u00e9ho o\u0161et\u0159uj\u00edc\u00edho veterin\u00e1rn\u00edho l\u00e9ka\u0159e a pora\u010fte se s n\u00edm o \u0159e\u0161en\u00ed takov\u00e9ho stavu.<br \/>\n<strong>\u0158E\u0160EN\u00cd BOLESTIVOSTI<\/strong><br \/>\nP\u0159\u00edznaky bolesti u ps\u016f jsou: \u010dast\u011bj\u0161\u00ed \u0161t\u011bk\u00e1n\u00ed, k\u0148u\u010den\u00ed, z\u00e1jem o bolestiv\u00e9 m\u00edsto, l\u00edz\u00e1n\u00ed chirurgick\u00e9 r\u00e1ny, snaha o kous\u00e1n\u00ed, apod.). Projevy bolestivosti u ko\u010dek se pon\u011bkud li\u0161\u00ed ve srovn\u00e1n\u00ed se psy. Setk\u00e1me se zde p\u0159edev\u0161\u00edm s vyhled\u00e1v\u00e1n\u00edm tmav\u00fdch, bezpe\u010dn\u00fdch m\u00edst (p\u0159epravka, obl\u00edben\u00fd pel\u00ed\u0161ek, sk\u0159\u00ed\u0148, apod.), ko\u010dka se st\u00e1\u010d\u00ed do klub\u00ed\u010dka, odm\u00edt\u00e1 vodu a krmivo. (N\u011bkdy se v\u0161ak takto m\u016f\u017ee chovat i pes.)<br \/>\nPacienti u n\u00e1s dost\u00e1vaj\u00ed p\u0159ed operac\u00ed, b\u011bhem n\u00ed i po n\u00ed analgetika, tj. l\u00e1tky tlum\u00edc\u00ed vn\u00edm\u00e1n\u00ed bolesti i jej\u00ed vznik. Proto po leh\u010d\u00edch z\u00e1kroc\u00edch nen\u00ed nutn\u00e9 jejich dal\u0161\u00ed pod\u00e1v\u00e1n\u00ed. U t\u011b\u017e\u0161\u00edch operac\u00ed d\u00e1v\u00e1me majitel\u016fm dom\u016f analgetika, kter\u00e1 pou\u017eij\u00ed dle na\u0161ich instrukc\u00ed.<br \/>\nPokud byste p\u0159ece jen m\u011bli dojem, \u017ee va\u0161e zv\u00ed\u0159e trp\u00ed bolest\u00ed, obra\u0165te se na sv\u00e9ho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e nebo na n\u00e1s. Nikdy nepod\u00e1vejte bez konzultace s n\u00e1mi l\u00e9ky proti bolesti, kter\u00e9 m\u00e1te doma k dispozici, mohli byste sv\u00e9mu mil\u00e1\u010dkovi p\u0159ivodit z\u00e1n\u011bt \u017ealudku a st\u0159ev s n\u00e1sledn\u00fdm zvracen\u00edm a pr\u016fjmem s mo\u017enou p\u0159\u00edm\u011bs\u00ed krve.<br \/>\n<strong>ZVRACEN\u00cd<\/strong><br \/>\nZvracen\u00ed mal\u00e9ho mno\u017estv\u00ed zp\u011bn\u011bn\u00e9 tekutiny je po operaci norm\u00e1ln\u00ed a nen\u00ed t\u0159eba se ho ob\u00e1vat. Objev\u00ed-<wbr>li se, je sign\u00e1lem pro odlo\u017een\u00ed nab\u00edzen\u00ed vody a krmiva o cca 6 hodin. Doch\u00e1z\u00ed-<wbr>li ke zvracen\u00ed v\u011bt\u0161\u00edho mno\u017estv\u00ed nebo zvrac\u00ed. li pacient \u010dasto (v\u00edce ne\u017e 1-<wbr>2x po operaci), doporu\u010dujeme v\u00e1m kontaktovat va\u0161eho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e a poradit se s n\u00edm o \u0159e\u0161en\u00ed takov\u00e9ho stavu.<br \/>\n<strong>KA\u0160EL<\/strong><br \/>\nB\u011bhem tak\u0159ka ka\u017ed\u00e9 operace prov\u00e1d\u00edme intubaci (zaveden\u00ed endotrache\u00e1ln\u00ed kanyly do pr\u016fdu\u0161nice). Zaru\u010duje voln\u00e9 d\u00fdchac\u00ed cesty, umo\u017e\u0148uje kdykoliv podporu nebo udr\u017eov\u00e1n\u00ed d\u00fdch\u00e1n\u00ed a zabra\u0148uje aspiraci slin nebo \u017ealude\u010dn\u00edho obsahu. I p\u0159es pou\u017eit\u00ed steriln\u00edho lubrikant a lok\u00e1ln\u00edm anestetikem doch\u00e1z\u00ed k m\u00edrn\u00e9mu podr\u00e1\u017ed\u011bn\u00ed d\u00fdchac\u00edch cest, co\u017e se m\u016f\u017ee projevit ka\u0161lem trvaj\u00edc\u00edm maxim\u00e1ln\u011b p\u00e1r dn\u00ed kooperaci.<br \/>\n<strong>P\u00c9\u010cE O R\u00c1NU<\/strong><br \/>\nPo operaci je nutn\u00e9 chr\u00e1nit opera\u010dn\u00ed r\u00e1nu p\u0159ed ne\u017e\u00e1douc\u00edm poru\u0161en\u00edm ze strany pacienta. Proti zevn\u00ed vlhkosti je chr\u00e1n\u011bna plastick\u00fdm obvazem zelen\u00e9 barvy. Proto je zbyte\u010dn\u00e9 r\u00e1nu p\u0159elepovat. Podle operovan\u00e9ho m\u00edsta se pou\u017e\u00edvaj\u00ed r\u016fzn\u00e9 ochrann\u00e9 pom\u016fcky, jako jsou l\u00edmce, fixa\u010dn\u00ed a kryc\u00ed obvazy, apod., ka\u017ed\u00e1 z t\u011bchto pom\u016fcek \u010d\u00e1ste\u010dn\u011b omezuje svobodu pacienta, a proto b\u00fdvaj\u00ed zpo\u010d\u00e1tku odm\u00edt\u00e1ny. &nbsp;S va\u0161\u00ed pomoc\u00ed si na n\u011b \u010d\u00e1ste\u010dn\u011b zvyknou b\u011bhem 1-<wbr>2 dn\u016f a r\u00e1na bude zhojena za 8-<wbr>10 dn\u016f. Naopak rozl\u00edz\u00e1n\u00ed r\u00e1ny vede k jej\u00edmu infikov\u00e1n\u00ed a v\u00fdrazn\u011b pomalej\u0161\u00edmu hojen\u00ed.<br \/>\n<strong>POHYB PACIENTA<\/strong><br \/>\nPo nark\u00f3ze se pacient dost\u00e1v\u00e1 do postnarkotick\u00e9ho sp\u00e1nku. To je stav, kdy jeho reakce jsou velmi zpomalen\u00e9, je spav\u00fd a zpo\u010d\u00e1tku le\u017e\u00ed. Postupn\u011b se sna\u017e\u00ed zvednout a posl\u00e9ze chodit, a\u010dkoli jeho pohyby jsou velmi nekoordinovan\u00e9. Doba t\u00e9to postnarkotick\u00e9 f\u00e1ze z\u00e1vis\u00ed na d\u00e9lce a typu prod\u011blan\u00e9 nark\u00f3zy a v\u011bku pacienta, obvykle jen n\u011bkolik hodin (max 6). Po jej\u00edm uplynut\u00ed m\u016f\u017eete vz\u00edt pacienta ven na kr\u00e1tk\u00e9 ven\u010den\u00ed. Obecn\u011b je nutn\u00e9 se vyhnout se v\u0161em nam\u00e1hav\u00fdm pohyb\u016fm, co\u017e je zejm\u00e9na pohyb po schodech, vyskakov\u00e1n\u00ed na k\u0159eslo, aportov\u00e1n\u00ed obl\u00edben\u00fdch hra\u010dek, a to minim\u00e1ln\u011b po dobu 10-<wbr>14 dn\u016f.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ULO\u017dEN\u00cd PACIENTA Nejvhodn\u011bj\u0161\u00ed je tich\u00e9 a klidn\u00e9 m\u00edsto, kde m\u00e1te mo\u017enost neust\u00e1l\u00e9 kontroly a jste kdykoliv schopni poskytnout pot\u0159ebnou pomoc. Abychom zabr\u00e1nili vzniku prole\u017eenin, pou\u017eijeme n\u011bjakou m\u011bkkou podlo\u017eku. Pacient by m\u011bl le\u017eet co nejbl\u00ed\u017ee podlaze, aby p\u0159i p\u0159\u00edpadn\u00e9m p\u00e1du nedo\u0161lo&#8230; <a href=\"https:\/\/www.veterinacaslav.cz\/?p=246\" class=\"readmore\">Read more<span class=\"screen-reader-text\">Poopera\u010dn\u00ed p\u00e9\u010de<\/span><span class=\"fa fa-angle-double-right\" aria-hidden=\"true\"><\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-246","post","type-post","status-publish","format-standard","hentry","category-informace-a-rady-chovatelum","content-layout-excerpt-thumb"],"_links":{"self":[{"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=\/wp\/v2\/posts\/246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=246"}],"version-history":[{"count":1,"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=\/wp\/v2\/posts\/246\/revisions"}],"predecessor-version":[{"id":247,"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=\/wp\/v2\/posts\/246\/revisions\/247"}],"wp:attachment":[{"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=246"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=246"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.veterinacaslav.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}