{"id":35835,"date":"2019-10-31T22:06:47","date_gmt":"2019-10-31T19:06:47","guid":{"rendered":"https:\/\/prohoster.info\/blog\/chelyustno-litsevaya-hirurgiya-ili-net-vot-v-chem-vopros\/"},"modified":"2019-10-31T22:06:47","modified_gmt":"2019-10-31T19:06:47","slug":"chelyustno-litsevaya-hirurgiya-ili-net-vot-v-chem-vopros","status":"publish","type":"post","link":"https:\/\/prohoster.info\/cs\/blog\/news\/chelyustno-litsevaya-hirurgiya-ili-net-vot-v-chem-vopros","title":{"rendered":"\u010celistn\u00ed a obli\u010dejov\u00e1 chirurgie nebo ne? To je ot\u00e1zka","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"\u010celistn\u00ed
\nDraz\u00ed p\u0159\u00e1tel\u00e9, u\u017e jsme spolu diskutovali jak\u00e9 jsou moudrostn\u00ed zuby<\/a><\/noindex>, co se m\u016f\u017ee st\u00e1t, pokud se jich nedotkneme<\/a><\/noindex>, a jak prob\u00edh\u00e1 samotn\u00e9 odstran\u011bn\u00ed.<\/a><\/noindex>
\n<\/a><\/noindex>
\n\"\u010celistn\u00ed
\n
\n\"\u010celistn\u00ed
\n
\nMohlo by se zd\u00e1t, \u017ee na tom nen\u00ed nic slo\u017eit\u00e9ho.<\/p>\n

Ale! A p\u0159esto st\u00e1le p\u0159ich\u00e1zej\u00ed na konzultaci pacienti a \u0159\u00edkaj\u00ed: \u201eA v jin\u00e9 klinice mi doktor \u0159ekl\u2026\u201c Pr\u00fd, takov\u00e9 extr\u00e9mn\u011b slo\u017eit\u00e9 zuby se mus\u00ed odstra\u0148ovat pouze v nemocnici, odd\u011blen\u00ed \u010delistn\u00ed a obli\u010dejov\u00e9 chirurgie, a je\u0161t\u011b v celkov\u00e9 anestezii to jinak nejde. Pr\u00fd, to nese riziko n\u00e1sledk\u016f.<\/p>\n

Nen\u00ed divu, \u017ee slova \u201enemocnice\u201c a \u201e\u010delistn\u00ed a obli\u010dejov\u00e1 chirurgie\u201c u mnoha pacient\u016f vyvol\u00e1vaj\u00ed strach hrani\u010d\u00edc\u00ed s panick\u00fdm \u00fatokem, a po takov\u00fdch prohl\u00e1\u0161en\u00edch je p\u0159esv\u011bd\u010dit o opaku velmi slo\u017eit\u00e9.<\/p>\n

\"\u010celistn\u00ed
\n
\nPo takov\u00e9m zastra\u0161ov\u00e1n\u00ed, kter\u00e9 jinak nazvat nemohu, mnoz\u00ed skute\u010dn\u011b jdou do nemocnice, sb\u00edraj\u00ed anal\u00fdzy, souhlas\u00ed s intubac\u00ed a tr\u00e1v\u00ed n\u011bkolik dn\u00ed na pokoj\u00edch, vychutn\u00e1vaj\u00edc si m\u00edstn\u00ed spole\u010dnost, pe\u010dliv\u00fd p\u0159\u00edstup zdravotn\u00edch sester a nemocni\u010dn\u00ed infekci.<\/p>\n

Na ot\u00e1zku \u201eJak v\u00e1m obh\u00e1jili nutnost odstran\u011bn\u00ed zubu v\u00fdhradn\u011b na odd\u011blen\u00ed \u010delistn\u00ed a obli\u010dejov\u00e9 chirurgie?\u201c jsem nikdy nez\u00edskal jasnou odpov\u011b\u010f.<\/p>\n

Jedin\u00e9, co obvykle \u0159\u00edkaj\u00ed: \u201eNo, \u0159ekli mi, \u017ee zub je slo\u017eit\u00fd\u2026 je hluboko\u2026 vedle je nerv\u2026\u201c. Ano, mohu si p\u0159edstavit, \u017ee to v\u0161echno je pravda a nerv tam je, a je\u0161t\u011b je d\u00edra hlubok\u00e1, ale\u2026 jak\u00fd z\u00e1sadn\u00ed rozd\u00edl je v technice nemocni\u010dn\u00edho a ambulantn\u00edho odstran\u011bn\u00ed?<\/p>\n

\"\u010celistn\u00ed
\n
\nVy\u0161et\u0159en\u00ed?<\/p>\n

Ano, po\u010d\u00edta\u010dovou tomografii (3D objemov\u00fd sn\u00edmek) si lze ud\u011blat kdekoli.<\/p>\n

Pro\u010d?<\/p>\n

A proto\u017ee ortopantomografie (OPTG, p\u0159ehledn\u00fd nebo panoramatick\u00fd sn\u00edmek zub\u016f) je plo\u0161n\u00e1, a tedy doch\u00e1z\u00ed k p\u0159ekr\u00fdv\u00e1n\u00ed ka\u017ed\u00e9ho detailu sn\u00edmku vrstven\u011b jeden na druh\u00fd. N\u00e1sledn\u011b nelze zkoumat objekt vy\u0161et\u0159ov\u00e1n\u00ed, zejm\u00e9na oblast moudrostn\u00edho zubu, kter\u00e1 le\u017e\u00ed bl\u00edzko doln\u00edho \u010delistn\u00edho nervu, ze v\u0161ech rovin, z jin\u00e9ho \u00fahlu nebo projekce. KLAKT (ku\u017eelov\u00e1 po\u010d\u00edta\u010dov\u00e1 tomografie), naopak, n\u00e1m tuto mo\u017enost poskytuje.<\/p>\n

\"\u010celistn\u00ed
\n
\nMo\u017en\u00e1, v t\u011bch va\u0161ich \u010delistn\u011b-obli\u010dejov\u00fdch chirurgi\u00edch pracuj\u00ed speci\u00e1ln\u011b vy\u0161kolen\u00ed dokto\u0159i, kte\u0159\u00ed maj\u00ed metodu bezkontaktn\u00edho odstra\u0148ov\u00e1n\u00ed zub\u016f? Kte\u0159\u00ed bez \u0159ez\u016f a jak\u00e9hokoliv \u00fasil\u00ed pouze silou my\u0161lenky donut\u00ed osmi\u010dku vst\u0159ebat?<\/p>\n

\"\u010celistn\u00ed
\n
\nAle to tak\u00e9 nen\u00ed pravda!<\/p>\n

I keep asking: \"Apparently the tooth was removed quickly and nothing bothered you?\" Damn! Even here I didn\u2019t make it.<\/p>\n

The average time for the removal of lower impacted wisdom teeth (those completely under the gums) in such institutions, according to patients, is about 2.5 hours. A couple of times I heard, just think, about 4(!) hours. Don't you consider this excessive? In that time, you could perform a sinus lift on both sides, install 8 implants, order lunch, and even have time to take a nap. Many, to put it mildly, look at my statements like \"in our clinic, removing a similar tooth takes on average 25-30 minutes, from anesthesia to stitching,\" with surprise.<\/p>\n

I think that after spending 4 hours in the dental chair, let alone with some professor adorned with accolades, you are unlikely to believe that all this could have been done \"a little\" faster. And in a friendlier, more relaxed, and comfortable atmosphere. Without unnecessary risks and worries.<\/p>\n

\"\u010celistn\u00ed
\n
\nSo why are people sent to the hospital for wisdom tooth removal? Who does this?<\/b><\/p>\n

Here's who:<\/p>\n

\u2014 either the doctor doesn\u2019t know how to \/ is afraid to remove such teeth and wants to play it safe by sending you to another specialist (which is most likely)<\/b><\/p>\n

\u2014 or they want to swindle you out of money.<\/b><\/p>\n

The first point is clear. If you can't do it, pass it to someone else. That's right.<\/p>\n

But what do money have to do with it and why \"swindle\"? Because you are paying for services in which, as we just found out, there is no need:<\/p>\n

\u2014 the cost of the days spent in the hospital is about 4 thousand rubles. Depending on whether you have a single room, or you will spend several nights listening to the snoring of twenty other \"fortunate ones\" with wisdom teeth.<\/p>\n

But that's not all.<\/p>\n

If general anesthesia is necessary, add to your spent money on the room the consultation of an anesthesiologist-resuscitator (about 1.5 thousand rubles), the necessary laboratory examination (on average, 3 thousand rubles), and the procedure of general anesthesia itself. At least, two hours, but it can be more. And this can cost you anywhere from 8 to 30 thousand rubles.<\/p>\n

A samoz\u0159ejm\u011b samotn\u00fd chirurgick\u00fd z\u00e1krok tak\u00e9 n\u011bco stoj\u00ed, \u017ee? Obvykle se odstran\u011bn\u00ed retinovan\u00e9ho zubu pohybuje od 14 do 23 tis\u00edc rubl\u016f. M\u016f\u017eeme p\u0159edpokl\u00e1dat, \u017ee v dobr\u00e9 nemocnici bude cena odstran\u011bn\u00ed srovnateln\u00e1 (nepo\u010d\u00edtaje pokoj, anestezii, testy, konzultace a nark\u00f3zu).<\/p>\n

C\u00edt\u00edte ten rozd\u00edl? Nen\u00ed to podvod? D\u011bs\u00ed v\u00e1s, a pak z v\u00e1s tahaj\u00ed pen\u00edze. Docela dost pen\u011bz.<\/p>\n

Pro\u010d jsem to vlastn\u011b v\u0161echno napsal?<\/b><\/p>\n

Chci v\u00e1m \u0159\u00edct, draz\u00ed p\u0159\u00e1tel\u00e9, \u017ee prakticky neexistuj\u00ed takov\u00e9 zuby moudrosti, kter\u00e9 by nebylo mo\u017en\u00e9 odstranit mimo nemocnici, na b\u011b\u017en\u00e9 ambulantn\u00ed prohl\u00eddce.<\/b> Str\u00e1viv\u0161\u00ed maxim\u00e1ln\u011b \u010dty\u0159icet minut konzultac\u00ed, vy\u0161et\u0159en\u00edm a samotn\u00fdm z\u00e1krokem vy\u0159e\u0161\u00edte probl\u00e9m jednou prov\u017edy. V nejkrat\u0161\u00edm mo\u017en\u00e9m \u010dase se vr\u00e1t\u00edte do b\u011b\u017en\u00e9ho \u017eivota, budete moci d\u011blat sv\u00e9 v\u011bci, skoro nevybo\u010d\u00edte ze sv\u00e9ho obvykl\u00e9ho rytmu. Nen\u00ed t\u0159eba br\u00e1t nemocenskou ani naj\u00edmat o\u0161et\u0159ovatelku. \u017dijte norm\u00e1ln\u00edm \u017eivotem, ale s mal\u00fdmi poopera\u010dn\u00edmi doporu\u010den\u00edmi, p\u0159edpisy a kontrolami.<\/p>\n

D\u011bkuji za pozornost. R\u00e1d odpov\u00edm na va\u0161e ot\u00e1zky v koment\u00e1\u0159\u00edch!<\/p>\n

S pozdravem, Andrej Da\u0161kova<\/p>\n

Co si je\u0161t\u011b p\u0159e\u010d\u00edst o zubech moudrosti a jejich odstran\u011bn\u00ed?<\/b><\/p>\n