{"id":1056,"date":"2017-09-27T10:15:07","date_gmt":"2017-09-27T08:15:07","guid":{"rendered":"https:\/\/new.skamex.com.pl\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii"},"modified":"2025-05-12T12:48:51","modified_gmt":"2025-05-12T10:48:51","slug":"detour-czyli-alternatywa-dla-przewleklej-nefrostomii","status":"publish","type":"post","link":"https:\/\/www.skamex.com.pl\/blog\/urologia\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii","title":{"rendered":"Detour \u2013 czyli alternatywa dla przewlek\u0142ej nefrostomii"},"content":{"rendered":"\n<p class=\" eplus-wrapper\"><strong>lek. Micha\u0142 Piotrows\u00adki<\/strong><\/p>\n\n\n\n<p class=\" eplus-wrapper\"><strong>Skamex Sp. z o.o.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Co to jest Detour?<\/strong><\/span><\/h2>\n\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\"><strong>Detour <\/strong>to <strong>sztuczny moc\u00adzow\u00f3d <\/strong>zak\u0142adany w sytu\u00adacji gdy nie ma mo\u017cli\u00adwo\u015b\u00adci zas\u00adtosowa\u00adnia innego rozwi\u0105za\u00adnia a pac\u00adjent musi mie\u0107 nefros\u00adtomi\u0119, czyli jest skazany na \u017cycie z \u201edzi\u00adur\u0105 w ple\u00adcach\u201d, w kt\u00f3rej umieszc\u00adzony jest cewnik, mo\u017ce on by\u0107 wro\u00adta\u00admi zaka\u017ce\u00adnia co w kon\u00adsek\u00adwencji mo\u017ce doprowadz\u00adi\u0107 do utraty ner\u00adki.&nbsp;<strong>\u017bycie z nefros\u00adtomi\u0105<\/strong> \u2013 czyli <strong>cewnikiem <\/strong>w ple\u00adcach powodu\u00adje ogranicza\u00adnia w wielu aspek\u00adtach \u017cycia. Chorzy nie mog\u0105 korzys\u00adta\u0107 z wcze\u015bniejszych akty\u00adwno\u015b\u00adci \u2013 p\u0142y\u00adwanie, bie\u00adganie, je\u017cd\u017ce\u00adnie samo\u00adcho\u00addem itp. R\u00f3wnie\u017c codzi\u00adenne czyn\u00adno\u015b\u00adci jak mycie, czy spanie jest znacznie utrud\u00adnione.<\/p>\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\"><strong>Nefros\u00adto\u00admia <\/strong>mo\u017ce tak\u017ce doprowadz\u00adi\u0107 do ograniczenia mo\u017cli\u00adwo\u015b\u00adci roz\u00adwo\u00adju \u017cycia zawodowego, gdy\u017c chorzy mog\u0105 mie\u0107 prob\u00adle\u00admy z wykony\u00adwaniem niek\u00adt\u00f3rych czyn\u00adno\u015b\u00adci. Opr\u00f3cz tego chory musi co oko\u0142o 3 miesi\u0105ce odby\u00adwa\u0107 wiz\u00adyt\u0119 u lekarza w celu wymi\u00adany <strong>nefros\u00adtomii<\/strong>.<\/p>\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Je\u015bli masz nefros\u00adtomi\u0119 lub kto\u015b z Twoich zna\u00adjomych ma nefros\u00adtomi\u0119 to ist\u00adnieje rozwi\u0105zanie, kt\u00f3re umo\u017cli\u00adwia powr\u00f3t do akty\u00adwnego \u017cycia. Po wszczepi\u00ade\u00adniu sztucznego moc\u00adzowodu <strong>Detour <\/strong>chory zn\u00f3w mo\u017ce chodz\u00adi\u0107 na basen , nor\u00admal\u00adnie spa\u0107 na ple\u00adcach, je\u017adz\u00adi\u0107 samo\u00adcho\u00addem, pra\u00adcow\u00ada\u0107 \u2013 nie ma nefros\u00adtomii czyli cewni\u00adka kt\u00f3ry wys\u00adta\u00adje z plec\u00f3w \u2013 sztuczny moc\u00adzow\u00f3d detour jest schowany pod sk\u00f3r\u0105.<\/p>\n\n\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Sztuczny moczow\u00f3d Detour<\/strong><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image eplus-wrapper\"><img decoding=\"async\" src=\"\/web\/uploads\/images\/Detour.png\" alt=\"Sztuczny moczow\u00f3d Detour, Detour \u2013 czyli alternatywa dla przewlek\u0142ej nefrostomii,  nefrostomia\"><\/figure>\n\n\n\n<p class=\" eplus-wrapper\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Zestaw Detour<\/strong><\/span><\/h2>\n\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Rozwi\u0105zaniem jest Detour \u2013 sztuczny moc\u00adzow\u00f3d<strong>.<\/strong><strong> Zestaw Detour <\/strong>zaw\u00adiera \u2013 sztuczny moc\u00adzow\u00f3d, tunel\u00ader, koszulk\u0119 Amplatz. Sztuczny moc\u00adzow\u00f3d jest to silikonowa rur\u00adka d\u0142u\u00adgo\u015b\u00adci 840 mm ze \u015bwiat\u0142em wewn\u0119trznym 17Fr\/CH czyli&nbsp;5,8 mm,&nbsp; otoc\u00adzona na d\u0142u\u00adgo\u015b\u00adci 660 mm polie\u00adstrow\u0105 koszulk\u0105. Posi\u00ada\u00adda na do-nerkowym ko\u0144cu ring RTG, kt\u00f3ry u\u0142atwia lokaliza\u00adcj\u0119 w nerce w cza\u00adsie implan\u00adtacji.<\/p>\n\n\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Wskazania do zabiegu<\/strong><\/span><\/h2>\n\n\n\n<p class=\" eplus-wrapper\"><strong>Detour<\/strong> czyli sztuczny moc\u00adzow\u00f3d zak\u0142a\u00adda si\u0119 z r\u00f3\u017cnych przy\u00adczyn najcz\u0119\u015b\u00adciej:<\/p>\n\n\n<ul class=\"eplus-wrapper wp-block-list eplus-styles-uid-4a8755\">\n<li class=\" eplus-wrapper\">Niedro\u017cno\u015b\u0107 moc\u00adzowod\u00f3w w prze\u00adbiegu chor\u00f3b onko\u00adlog\u00adicznych (choro\u00adby gineko\u00adlog\u00adiczne, rak jeli\u00adta grubego, radioter\u00adapia).<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Niedro\u017cno\u015b\u0107 moc\u00adzowod\u00f3w w prze\u00adbiegu choro\u00adby Ormon\u00adda.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Martwica moc\u00adzowod\u00f3w przeszczepi\u00adonej ner\u00adki.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Bark lub uszkodze\u00adnie moc\u00adzowodu.<\/li>\n<\/ul>\n\n\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Przygotowanie do zabiegu<\/strong><\/span><\/h2>\n\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Chory powinien na oko\u0142o 10 dni przed zabiegiem zro\u00adbi\u0107<strong> posiew moczu z nefros\u00adtomii <\/strong>(je\u015bli chory ma nefros\u00adtomi\u0119) a nast\u0119p\u00adnie min\u00adi\u00admum 3 dni przed zabiegiem powinien zacz\u0105\u0107 przyj\u00admowa\u0107 anty\u00adbio\u00adtyk celowany je\u015bli posiew by\u0142 dodat\u00adni lub sze\u00adroko-wid\u00admowy je\u015bli posiew by\u0142 ja\u0142owy.<\/p>\n\n\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Przebieg zabiegu<\/strong><\/span><\/h2>\n\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Zabieg wykony\u00adwany jest najcz\u0119\u015b\u00adciej w znieczu\u00adle\u00adniu og\u00f3l\u00adnym, pac\u00adjent u\u0142o\u017cony jest w taki spos\u00f3b aby by\u0142 dost\u0119p do ner\u00adki i p\u0119cherza moc\u00adzowego. <strong>Pier\u00adwsza cz\u0119\u015b\u0107 <\/strong>zabiegu pole\u00adga na doj\u015b\u00adciu do mied\u00adnicz\u00adki nerkowej i umieszcze\u00adniu na grani\u00adcy mi\u0105\u017cszu ner\u00adki i kielicha ner\u00adki <strong>Detoura<\/strong> ko\u0144cem do-nerkowym tak aby ring RTG widoczny by\u0142 na grani\u00adcy kielicha i mi\u0105\u017cszu. Taka lokaliza\u00adc\u00adja powodu\u00adje, \u017ce w kielichu jest silikon a w mi\u0105\u017cszu jest polie\u00adstrowa koszul\u00adka sztucznego moc\u00adzowodu. <strong>Nast\u0119p\u00adnie <\/strong>lekarze wykonu\u00adj\u0105 naci\u0119\u00adcie nad\u0142onowe i odpreparowu\u00adj\u0105 p\u0119cherz moc\u00adzowy, kt\u00f3ry w tym momen\u00adcie jest wype\u0142\u00adni\u00adany przez cewnik Foleya tak aby u\u0142atwi\u0107 lokaliza\u00adcj\u0119 p\u0119cherza moc\u00adzowego.<\/p>\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\"><strong>P\u0119cherz <\/strong>jest \u0142apa\u00adny 2 szwa\u00admi w tak zwane \u201elejce\u201d, nast\u0119p\u00adnie prze\u00adchodzi si\u0119 do wyko\u00adna\u00adnia tunelu w tkance t\u0142uszc\u00adzowej spec\u00adjal\u00adnym narz\u0119dziem,&nbsp;kt\u00f3re jest w zestaw\u00adie sztucznego moc\u00adzowodu. Przez narz\u0119dzie do wyko\u00adna\u00adnia tunelu w tkance t\u0142uszc\u00adzowej nast\u0119p\u00adnie prze\u00adpuszczany jest <strong>Detour, <\/strong>przymierzany, skra\u00adcany a nast\u0119p\u00adnie wszy\u00adty do p\u0119cherza moc\u00adzowego.<\/p>\n\n\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Po zabiegu<\/strong><\/span><\/h2>\n\n\n\n<p class=\" eplus-wrapper\">Chory przez min\u00adi\u00admum 10 dni otrzy\u00admu\u00adje anty\u00adbio\u00adtykoter\u00adapi\u0119&nbsp;oraz utrzymy\u00adwany jest cewnik Foleya.<\/p>\n\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Pac\u00adjen\u00adci powin\u00adni masowa\u0107 <strong>sztuczny moc\u00adzow\u00f3d<\/strong> min\u00adi\u00admum 3\u20134 razy w tygod\u00adniu aby zapo\u00adb\u00adie\u00adga\u0107 inkrus\u00adtacji, pro\u00addu\u00adcent zale\u00adca taki masa\u017c raz dzi\u00aden\u00adnie. Pac\u00adjent powinien pal\u00adca\u00admi delikat\u00adnie wzd\u0142u\u017c prze\u00adb\u00adie\u00adga\u00adj\u0105cego pod sk\u00f3r\u0105 sztucznego moc\u00adzowodu masowa\u0107 go. Sztuczny moc\u00adzow\u00f3d jest dobrze wyczuwal\u00adny pod sk\u00f3r\u0105.<\/p>\n\n\n<h4 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 14px;\">\u015aredni czas zabiegu oko\u0142o 2h , \u015bredni czas hospitalizacji 5 dni.<\/span><\/h4>\n\n\n\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Najcz\u0119stsze objawy niepo\u017c\u0105dane<\/strong><\/span><\/h2>\n\n\n<ul class=\"eplus-wrapper wp-block-list eplus-styles-uid-2951f8\">\n<li class=\" eplus-wrapper\">Przez okres 2\u20133 tyg. Po zabiegu mo\u017ce wys\u00adt\u0119powa\u0107 b\u00f3l po zabiegu, w p\u00f3\u017aniejszym okre\u00adsie pac\u00adjen\u00adci prak\u00adty\u00adcznie nie czu\u00adj\u0105 sztucznego moc\u00adzowodu.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Sztuczny moc\u00adzow\u00f3d Detour czyli sztuczny moc\u00adzow\u00f3d \u2014 w za\u0142o\u017ce\u00adniu ma s\u0142u\u017cy\u0107 do ko\u0144\u00adca \u017cycia, w wyj\u0105tkowych sytu\u00adac\u00adjach mo\u017ce doj\u015b\u0107 do wymi\u00adany.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Zdarza si\u0119 nieszczel\u00adno\u015b\u0107 i prze\u00adciek od strony p\u0119cherza, najcz\u0119\u015b\u00adciej jest to zwi\u0105zanie ze zbyt kr\u00f3tkim utrzy\u00admaniem cewni\u00adka Foleya po zabiegu.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Detour jak ka\u017cde cia\u0142o obce wszczepi\u00adane do cia\u0142a ludzkiego mo\u017ce zropie\u0107, dlat\u00adego przed i w cza\u00adsie zabiegu nale\u017cy zachowa\u0107 wszys\u00adtkie zasady asep\u00adty\u00adki i anty\u00adsep\u00adty\u00adki.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Je\u015bli chory ma <strong>nefros\u00adtomi\u0119 <\/strong>i nie ma dla niego alter\u00adnaty\u00adwy powinien zapy\u00adta\u0107 swo\u00adjego lekarza o sztuczny moc\u00adzow\u00f3d czyli o <strong>Detour<\/strong>.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Pier\u00adwszy zabieg wyko\u00adnano w maju 2013 Szpi\u00adtalu PSK2 w Szczecinie u pac\u00adjen\u00adta pali\u00adaty\u00adwnego, dru\u00adgi we wrze\u015bniu 2013 w Szpi\u00adtalu Powia\u00adtowym w Miel\u00adcu.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Pac\u00adjen\u00adt\u00adka oper\u00adowana w Miel\u00adcu \u017cyje do dzi\u015b z funkcjonu\u00adj\u0105\u00adcym moc\u00adzowo\u00addem od 4 lat.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Od 2013 przeprowad\u00adzono w Polsce praw\u00adie 40 zabieg\u00f3w *.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Na \u015bwiecie jest ju\u017c pon\u00adad 14 lat do\u015bwiad\u00adcze\u0144 ze sztucznym moc\u00adzowo\u00addem <strong>Colo\u00adplast Porges.<\/strong><\/li>\n<\/ul>\n\n\n<h3 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Rekomendowane o\u015brodki do implantacji Detour<\/strong><\/span><br><span style=\"font-size: 14px;\">Szpital Powiatowy Mielec \u2013 <\/span><strong style=\"font-size: 14px;\">Oddzia\u0142 Urologii Og\u00f3lnej i Onkologicznej&nbsp;<\/strong><br><a href=\"https:\/\/www.szpital.mielec.pl\/jednostki\/oddzialy\/oddzial-urologii-ogolnej-i-onkologicznej\"><span style=\"font-size: 12px;\">https:\/\/www.szpital.mielec.pl\/jednostki\/oddzialy\/oddzial-urologii-ogolnej-i-onkologicznej&nbsp;<\/span><\/a><\/h3>\n\n\n\n<p class=\" eplus-wrapper\"><span style=\"font-size: 14px;\"><strong>Dol\u00adno\u015bl\u0105s\u00adki Szpi\u00adtal Spec\u00adjal\u00adisty\u00adczny im. T. Marcini\u00ada\u00adka Wroc\u0142aw&nbsp;\u2013<\/strong>&nbsp;<\/span><strong style=\"font-size: 14px;\">Odd\u00adzi\u00ada\u0142 Urologii i Onkologii Uro\u00adlog\u00adicznej<\/strong><br><a href=\"http:\/\/www.szpital-marciniak.wroclaw.pl\/p,169,oddzial-urologii-i-onkologii-urologicznej\"><span style=\"font-size: 12px;\">http:\/\/www.szpital-marciniak.wroclaw.pl\/p,169,oddzial-urologii-i-onkologii-urologicznej<\/span><\/a><br><\/p><p style=\"text-align: justify;\"><strong><span style=\"font-size: 14px;\">PSK2 Szczecin<\/span> <span style=\"font-size: 14px;\">\u2013<\/span><\/strong><strong style=\"font-size: 14px;\"> <strong>Klini\u00adka Urologii i Onkologii Uro\u00adlog\u00adicznej&nbsp;<\/strong><\/strong><br><a href=\"http:\/\/www.uroinfo.pl\"><span style=\"font-size: 12px;\">http:\/\/www.uroinfo.pl<\/span><\/a><span style=\"font-size: 12px;\">\u200b<\/span><span style=\"font-size: 14px;\"><strong>\u015awi\u0119\u00adtokrzyskie Cen\u00adtrum Onkologii Kielce<\/strong><\/span><strong style=\"font-size: 14px;\">&nbsp;<\/strong><span style=\"font-size: 14px;\">\u2013<\/span><strong style=\"font-size: 14px;\">&nbsp;<strong>Klini\u00adka Urologii<\/strong><\/strong><br><a style=\"text-align: justify;\" href=\"https:\/\/www.onkol.kielce.pl\/pl\/centrum\/klinika-urologii-im-dr-n-med-stefana-olszewskiego\"><span style=\"font-size: 12px;\">https:\/\/www.onkol.kielce.pl\/pl\/centrum\/klinika-urologii-im-dr-n-med-stefana-olszewskiego<\/span><\/a><\/p>\n\n\n\n<p class=\" eplus-wrapper\"><strong style=\"font-size: 16px;\">Zestaw Detour \u2014 zabieg<\/strong><\/p>\n\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Zabieg odby\u00adwa si\u0119 najcz\u0119\u015b\u00adciej w znieczu\u00adle\u00adniu og\u00f3l\u00adnym, chorzy musz\u0105 mie\u0107 funkcjon\u00adal\u00adny p\u0119cherz, nie mo\u017ce to by\u0107 p\u0119cherz mars\u00adki. W Europie zak\u0142adano Detour r\u00f3wnie\u017c w przy\u00adpad\u00adkach p\u0119cherzy jeli\u00adtowych.<\/p>\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">W 2016 roku pow\u00adsta\u0142 film dla pac\u00adjen\u00adt\u00f3w o <strong>\u017cyciu z nefros\u00adtomi\u0105<\/strong> i zmi\u00adan\u00adie ich \u017cycia po implan\u00adtacji sztucznego moc\u00adzowodu. Bohat\u00adera\u00admi fil\u00admu s\u0105 aut\u00aden\u00adty\u00adczni chorzy z ca\u0142ej Europy, kt\u00f3rzy opowiada\u00adj\u0105 o swoim \u017cyciu.&nbsp;Uda\u0142o nam si\u0119 w\u0142\u0105czy\u0107 do fil\u00admu 3 chorych z Pol\u00ads\u00adki.&nbsp;Film b\u0119dzie dost\u0119p\u00adny w 2017 roku.<\/p>\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">W 2017 ordy\u00adna\u00adtor odd\u00adzi\u00ada\u0142u urologii i urologii onko\u00adlog\u00adicznej <strong>Szpi\u00adta\u00adla Powia\u00adtowego w Miel\u00adcu dr n. med. Andrzej Wrona<\/strong>, zosta\u0142 zapros\u00adzony na kon\u00adfer\u00adencj\u0119 w Medi\u00adolanie, gdzie podzieli\u0142 si\u0119 swoi\u00admi &nbsp;do\u015bwiad\u00adczeni\u00ada\u00admi z wszczepi\u00ada\u00adnia sztucznego moc\u00adzowodu w trak\u00adcie swo\u00adjego wyk\u0142adu dla w\u0142os\u00adkich urolog\u00f3w.<\/p>\n\n\n<p class=\" eplus-wrapper\">Dok\u00adtor Andrzej Wrona ma najwi\u0119k\u00adsze w Polsce do\u015bwiad\u00adcze\u00adnie, wszczepi\u0142 sztuczne moc\u00adzowody u pon\u00adad 25 pac\u00adjen\u00adt\u00f3w.<\/p>\n\n\n\n<p class=\" eplus-wrapper\">*stan na 07.2017<\/p>\n\n\n\n<p class=\"has-text-align-center eplus-wrapper\">&nbsp;<\/p>\n\n\n<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\"><span style=\"font-size: 14px;\"><strong><span style=\"font-size: 16px;\">Skon\u00adtak\u00adtuj si\u0119 z nami:&nbsp;<\/span><a href=\"mailto:urologia@skamex.com.pl?subject=Zapytanie%20dot.%20Detour\"><span style=\"font-size: 16px;\">urologia@skamex.com.p<\/span><\/a><\/strong><\/span><\/p>","protected":false},"excerpt":"lek. Micha\u0142 Piotrows\u00adki Skamex Sp. z o.o. Co to jest Detour? Detour to sztuczny moc\u00adzow\u00f3d zak\u0142adany w sytu\u00adacji gdy nie ma mo\u017cli\u00adwo\u015b\u00adci zas\u00adtosowa\u00adnia innego rozwi\u0105za\u00adnia a pac\u00adjent musi mie\u0107 nefros\u00adtomi\u0119, czyli jest skazany na \u017cycie z \u201edzi\u00adur\u0105 w ple\u00adcach\u201d, w kt\u00f3rej umieszc\u00adzony jest cewnik, mo\u017ce on by\u0107 wro\u00adta\u00admi zaka\u017ce\u00adnia co w kon\u00adsek\u00adwencji mo\u017ce doprowadz\u00adi\u0107 do [&hellip;]","author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"wp_typography_post_enhancements_disabled":false,"editor_plus_post_options":"{}","editor_plus_copied_stylings":"{}","footnotes":""},"categories":[19],"tags":[38,39,36],"class_list":["post-1056","post","type-post","status-publish","format-standard","hentry","category-urologia","tag-detour","tag-nefrostomia","tag-urologia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Detour \u2013 czyli alternatywa dla przewlek\u0142ej nefrostomii - Skamex<\/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:\/\/www.skamex.com.pl\/blog\/urologia\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Detour \u2013 czyli alternatywa dla przewlek\u0142ej nefrostomii - Skamex\" \/>\n<meta property=\"og:description\" content=\"lek. Micha\u0142 Piotrows\u00adki Skamex Sp. z o.o. Co to jest Detour? Detour to sztuczny moc\u00adzow\u00f3d zak\u0142adany w sytu\u00adacji gdy nie ma mo\u017cli\u00adwo\u015b\u00adci zas\u00adtosowa\u00adnia innego rozwi\u0105za\u00adnia a pac\u00adjent musi mie\u0107 nefros\u00adtomi\u0119, czyli jest skazany na \u017cycie z \u201edzi\u00adur\u0105 w ple\u00adcach\u201d, w kt\u00f3rej umieszc\u00adzony jest cewnik, mo\u017ce on by\u0107 wro\u00adta\u00admi zaka\u017ce\u00adnia co w kon\u00adsek\u00adwencji mo\u017ce doprowadz\u00adi\u0107 do [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.skamex.com.pl\/blog\/urologia\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii\" \/>\n<meta property=\"og:site_name\" content=\"Skamex\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/skamex\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-09-27T08:15:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-12T10:48:51+00:00\" \/>\n<meta name=\"author\" content=\"empressia\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napisane przez\" \/>\n\t<meta name=\"twitter:data1\" content=\"empressia\" \/>\n\t<meta name=\"twitter:label2\" content=\"Szacowany czas czytania\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minut\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.skamex.com.pl\/blog\/urologia\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.skamex.com.pl\/blog\/urologia\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii\"},\"author\":{\"name\":\"empressia\",\"@id\":\"https:\/\/www.skamex.com.pl\/#\/schema\/person\/a148d815b29ce9c46f53d4cc87cd7aef\"},\"headline\":\"Detour \u2013 czyli alternatywa dla przewlek\u0142ej nefrostomii\",\"datePublished\":\"2017-09-27T08:15:07+00:00\",\"dateModified\":\"2025-05-12T10:48:51+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.skamex.com.pl\/blog\/urologia\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii\"},\"wordCount\":1053,\"publisher\":{\"@id\":\"https:\/\/www.skamex.com.pl\/#organization\"},\"keywords\":[\"detour\",\"nefrostomia\",\"urologia\"],\"articleSection\":[\"Urologia\"],\"inLanguage\":\"pl-PL\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.skamex.com.pl\/blog\/urologia\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii\",\"url\":\"https:\/\/www.skamex.com.pl\/blog\/urologia\/detour-czyli-alternatywa-dla-przewleklej-nefrostomii\",\"name\":\"Detour \u2013 czyli alternatywa dla przewlek\u0142ej nefrostomii - 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Micha\u0142 Piotrows\u00adki Skamex Sp. z o.o. Co to jest Detour? 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Micha\u0142 Piotrowski<\/strong><\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\"><strong>lek. Micha\u0142 Piotrowski<\/strong><\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-MkJAkA","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\" eplus-wrapper\"><strong>Skamex Sp. z o.o.<\/strong><\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\"><strong>Skamex Sp. z o.o.<\/strong><\/p>\n"]},{"blockName":"core\/heading","attrs":{"epAnimationGeneratedClass":"edplus_anim-PCnIuD","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Co to jest Detour?<\/strong><\/span><\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Co to jest Detour?<\/strong><\/span><\/h2>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-viEC6h","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\"><strong>Detour <\/strong>to <strong>sztuczny moczow\u00f3d <\/strong>zak\u0142adany w sytuacji gdy nie ma mo\u017cliwo\u015bci zastosowania innego rozwi\u0105zania a pacjent musi mie\u0107 nefrostomi\u0119, czyli jest skazany na \u017cycie z \u201edziur\u0105 w plecach\u201d, w kt\u00f3rej umieszczony jest cewnik, mo\u017ce on by\u0107 wrotami zaka\u017cenia co w konsekwencji mo\u017ce doprowadzi\u0107 do utraty nerki.\u00a0<strong>\u017bycie z nefrostomi\u0105<\/strong> \u2013 czyli <strong>cewnikiem <\/strong>w plecach powoduje ograniczania w wielu aspektach \u017cycia. Chorzy nie mog\u0105 korzysta\u0107 z wcze\u015bniejszych aktywno\u015bci \u2013 p\u0142ywanie, bieganie, je\u017cd\u017cenie samochodem itp. R\u00f3wnie\u017c codzienne czynno\u015bci jak mycie, czy spanie jest znacznie utrudnione.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\"><strong>Detour <\/strong>to <strong>sztuczny moczow\u00f3d <\/strong>zak\u0142adany w sytuacji gdy nie ma mo\u017cliwo\u015bci zastosowania innego rozwi\u0105zania a pacjent musi mie\u0107 nefrostomi\u0119, czyli jest skazany na \u017cycie z \u201edziur\u0105 w plecach\u201d, w kt\u00f3rej umieszczony jest cewnik, mo\u017ce on by\u0107 wrotami zaka\u017cenia co w konsekwencji mo\u017ce doprowadzi\u0107 do utraty nerki.&nbsp;<strong>\u017bycie z nefrostomi\u0105<\/strong> \u2013 czyli <strong>cewnikiem <\/strong>w plecach powoduje ograniczania w wielu aspektach \u017cycia. Chorzy nie mog\u0105 korzysta\u0107 z wcze\u015bniejszych aktywno\u015bci \u2013 p\u0142ywanie, bieganie, je\u017cd\u017cenie samochodem itp. R\u00f3wnie\u017c codzienne czynno\u015bci jak mycie, czy spanie jest znacznie utrudnione.<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-hNz0Mg","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\"><strong>Nefrostomia <\/strong>mo\u017ce tak\u017ce doprowadzi\u0107 do ograniczenia mo\u017cliwo\u015bci rozwoju \u017cycia zawodowego, gdy\u017c chorzy mog\u0105 mie\u0107 problemy z wykonywaniem niekt\u00f3rych czynno\u015bci. Opr\u00f3cz tego chory musi co oko\u0142o 3 miesi\u0105ce odbywa\u0107 wizyt\u0119 u lekarza w celu wymiany <strong>nefrostomii<\/strong>.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\"><strong>Nefrostomia <\/strong>mo\u017ce tak\u017ce doprowadzi\u0107 do ograniczenia mo\u017cliwo\u015bci rozwoju \u017cycia zawodowego, gdy\u017c chorzy mog\u0105 mie\u0107 problemy z wykonywaniem niekt\u00f3rych czynno\u015bci. Opr\u00f3cz tego chory musi co oko\u0142o 3 miesi\u0105ce odbywa\u0107 wizyt\u0119 u lekarza w celu wymiany <strong>nefrostomii<\/strong>.<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-JyweUZ","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Je\u015bli masz nefrostomi\u0119 lub kto\u015b z Twoich znajomych ma nefrostomi\u0119 to istnieje rozwi\u0105zanie, kt\u00f3re umo\u017cliwia powr\u00f3t do aktywnego \u017cycia. Po wszczepieniu sztucznego moczowodu <strong>Detour <\/strong>chory zn\u00f3w mo\u017ce chodzi\u0107 na basen , normalnie spa\u0107 na plecach, je\u017adzi\u0107 samochodem, pracowa\u0107 \u2013 nie ma nefrostomii czyli cewnika kt\u00f3ry wystaje z plec\u00f3w \u2013 sztuczny moczow\u00f3d detour jest schowany pod sk\u00f3r\u0105.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\">Je\u015bli masz nefrostomi\u0119 lub kto\u015b z Twoich znajomych ma nefrostomi\u0119 to istnieje rozwi\u0105zanie, kt\u00f3re umo\u017cliwia powr\u00f3t do aktywnego \u017cycia. Po wszczepieniu sztucznego moczowodu <strong>Detour <\/strong>chory zn\u00f3w mo\u017ce chodzi\u0107 na basen , normalnie spa\u0107 na plecach, je\u017adzi\u0107 samochodem, pracowa\u0107 \u2013 nie ma nefrostomii czyli cewnika kt\u00f3ry wystaje z plec\u00f3w \u2013 sztuczny moczow\u00f3d detour jest schowany pod sk\u00f3r\u0105.<\/p>\n"]},{"blockName":"core\/heading","attrs":{"epAnimationGeneratedClass":"edplus_anim-NCtrV7","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Sztuczny moczow\u00f3d Detour<\/strong><\/span><\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Sztuczny moczow\u00f3d Detour<\/strong><\/span><\/h2>\n"]},{"blockName":"core\/image","attrs":{"epAnimationGeneratedClass":"edplus_anim-uWx9su","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<figure class=\"wp-block-image eplus-wrapper\"><img src=\"\/web\/uploads\/images\/Detour.png\" alt=\"Sztuczny moczow\u00f3d Detour, Detour \u2013 czyli alternatywa dla przewlek\u0142ej nefrostomii,  nefrostomia\"\/><\/figure>\n","innerContent":["\n<figure class=\"wp-block-image eplus-wrapper\"><img src=\"\/web\/uploads\/images\/Detour.png\" alt=\"Sztuczny moczow\u00f3d Detour, Detour \u2013 czyli alternatywa dla przewlek\u0142ej nefrostomii,  nefrostomia\"\/><\/figure>\n"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-iW0bfn","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\" eplus-wrapper\"><\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\"><\/p>\n"]},{"blockName":"core\/heading","attrs":{"epAnimationGeneratedClass":"edplus_anim-kxuzGo","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Zestaw Detour<\/strong><\/span><\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Zestaw Detour<\/strong><\/span><\/h2>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-1mj3Ve","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Rozwi\u0105zaniem jest Detour \u2013 sztuczny moczow\u00f3d<strong>.<\/strong><strong> Zestaw Detour <\/strong>zawiera \u2013 sztuczny moczow\u00f3d, tuneler, koszulk\u0119 Amplatz. Sztuczny moczow\u00f3d jest to silikonowa rurka d\u0142ugo\u015bci 840 mm ze \u015bwiat\u0142em wewn\u0119trznym 17Fr\/CH czyli\u00a05,8 mm,\u00a0 otoczona na d\u0142ugo\u015bci 660 mm poliestrow\u0105 koszulk\u0105. Posiada na do-nerkowym ko\u0144cu ring RTG, kt\u00f3ry u\u0142atwia lokalizacj\u0119 w nerce w czasie implantacji.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\">Rozwi\u0105zaniem jest Detour \u2013 sztuczny moczow\u00f3d<strong>.<\/strong><strong> Zestaw Detour <\/strong>zawiera \u2013 sztuczny moczow\u00f3d, tuneler, koszulk\u0119 Amplatz. Sztuczny moczow\u00f3d jest to silikonowa rurka d\u0142ugo\u015bci 840 mm ze \u015bwiat\u0142em wewn\u0119trznym 17Fr\/CH czyli&nbsp;5,8 mm,&nbsp; otoczona na d\u0142ugo\u015bci 660 mm poliestrow\u0105 koszulk\u0105. Posiada na do-nerkowym ko\u0144cu ring RTG, kt\u00f3ry u\u0142atwia lokalizacj\u0119 w nerce w czasie implantacji.<\/p>\n"]},{"blockName":"core\/heading","attrs":{"epAnimationGeneratedClass":"edplus_anim-xf0mJT","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Wskazania do zabiegu<\/strong><\/span><\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Wskazania do zabiegu<\/strong><\/span><\/h2>\n"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-wqA7y9","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\" eplus-wrapper\"><strong>Detour<\/strong> czyli sztuczny moczow\u00f3d zak\u0142ada si\u0119 z r\u00f3\u017cnych przyczyn najcz\u0119\u015bciej:<\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\"><strong>Detour<\/strong> czyli sztuczny moczow\u00f3d 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class=\" eplus-wrapper\">Niedro\u017cno\u015b\u0107 moczowod\u00f3w w przebiegu chor\u00f3b onkologicznych (choroby ginekologiczne, rak jelita grubego, radioterapia).<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Niedro\u017cno\u015b\u0107 moczowod\u00f3w w przebiegu chor\u00f3b onkologicznych (choroby ginekologiczne, rak jelita grubego, radioterapia).<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-N1qrOD","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Niedro\u017cno\u015b\u0107 moczowod\u00f3w w przebiegu choroby Ormonda.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Niedro\u017cno\u015b\u0107 moczowod\u00f3w w przebiegu choroby Ormonda.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-NfaxZ4","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Martwica moczowod\u00f3w przeszczepionej nerki.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Martwica moczowod\u00f3w przeszczepionej nerki.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-z9ZH1F","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Bark lub uszkodzenie moczowodu.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Bark lub uszkodzenie moczowodu.<\/li>\n"]}],"innerHTML":"<ul class=\" eplus-wrapper eplus-styles-uid-4a8755\">\n\n\n\n\n\n<\/ul>","innerContent":["\n<ul class=\" eplus-wrapper\">",null,"\n\n",null,"\n\n",null,"\n\n",null,"<\/ul>\n"]},{"blockName":"core\/heading","attrs":{"epAnimationGeneratedClass":"edplus_anim-fSVzB6","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Przygotowanie do zabiegu<\/strong><\/span><\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Przygotowanie do zabiegu<\/strong><\/span><\/h2>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-LdyoY8","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Chory powinien na oko\u0142o 10 dni przed zabiegiem zrobi\u0107<strong> posiew moczu z nefrostomii <\/strong>(je\u015bli chory ma nefrostomi\u0119) a nast\u0119pnie minimum 3 dni przed zabiegiem powinien zacz\u0105\u0107 przyjmowa\u0107 antybiotyk celowany je\u015bli posiew by\u0142 dodatni lub szeroko-widmowy je\u015bli posiew by\u0142 ja\u0142owy.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\">Chory powinien na oko\u0142o 10 dni przed zabiegiem zrobi\u0107<strong> posiew moczu z nefrostomii <\/strong>(je\u015bli chory ma nefrostomi\u0119) a nast\u0119pnie minimum 3 dni przed zabiegiem powinien zacz\u0105\u0107 przyjmowa\u0107 antybiotyk celowany je\u015bli posiew by\u0142 dodatni lub szeroko-widmowy je\u015bli posiew by\u0142 ja\u0142owy.<\/p>\n"]},{"blockName":"core\/heading","attrs":{"epAnimationGeneratedClass":"edplus_anim-08P43B","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Przebieg zabiegu<\/strong><\/span><\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Przebieg zabiegu<\/strong><\/span><\/h2>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-M47AMI","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Zabieg wykonywany jest najcz\u0119\u015bciej w znieczuleniu og\u00f3lnym, pacjent u\u0142o\u017cony jest w taki spos\u00f3b aby by\u0142 dost\u0119p do nerki i p\u0119cherza moczowego. <strong>Pierwsza cz\u0119\u015b\u0107 <\/strong>zabiegu polega na doj\u015bciu do miedniczki nerkowej i umieszczeniu na granicy mi\u0105\u017cszu nerki i kielicha nerki <strong>Detoura<\/strong> ko\u0144cem do-nerkowym tak aby ring RTG widoczny by\u0142 na granicy kielicha i mi\u0105\u017cszu. Taka lokalizacja powoduje, \u017ce w kielichu jest silikon a w mi\u0105\u017cszu jest poliestrowa koszulka sztucznego moczowodu. <strong>Nast\u0119pnie <\/strong>lekarze wykonuj\u0105 naci\u0119cie nad\u0142onowe i odpreparowuj\u0105 p\u0119cherz moczowy, kt\u00f3ry w tym momencie jest wype\u0142niany przez cewnik Foleya tak aby u\u0142atwi\u0107 lokalizacj\u0119 p\u0119cherza moczowego.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\">Zabieg wykonywany jest najcz\u0119\u015bciej w znieczuleniu og\u00f3lnym, pacjent u\u0142o\u017cony jest w taki spos\u00f3b aby by\u0142 dost\u0119p do nerki i p\u0119cherza moczowego. <strong>Pierwsza cz\u0119\u015b\u0107 <\/strong>zabiegu polega na doj\u015bciu do miedniczki nerkowej i umieszczeniu na granicy mi\u0105\u017cszu nerki i kielicha nerki <strong>Detoura<\/strong> ko\u0144cem do-nerkowym tak aby ring RTG widoczny by\u0142 na granicy kielicha i mi\u0105\u017cszu. Taka lokalizacja powoduje, \u017ce w kielichu jest silikon a w mi\u0105\u017cszu jest poliestrowa koszulka sztucznego moczowodu. <strong>Nast\u0119pnie <\/strong>lekarze wykonuj\u0105 naci\u0119cie nad\u0142onowe i odpreparowuj\u0105 p\u0119cherz moczowy, kt\u00f3ry w tym momencie jest wype\u0142niany przez cewnik Foleya tak aby u\u0142atwi\u0107 lokalizacj\u0119 p\u0119cherza moczowego.<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-HlH7Ce","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\"><strong>P\u0119cherz <\/strong>jest \u0142apany 2 szwami w tak zwane \u201elejce\u201d, nast\u0119pnie przechodzi si\u0119 do wykonania tunelu w tkance t\u0142uszczowej specjalnym narz\u0119dziem,\u00a0kt\u00f3re jest w zestawie sztucznego moczowodu. Przez narz\u0119dzie do wykonania tunelu w tkance t\u0142uszczowej nast\u0119pnie przepuszczany jest <strong>Detour, <\/strong>przymierzany, skracany a nast\u0119pnie wszyty do p\u0119cherza moczowego.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\"><strong>P\u0119cherz <\/strong>jest \u0142apany 2 szwami w tak zwane \u201elejce\u201d, nast\u0119pnie przechodzi si\u0119 do wykonania tunelu w tkance t\u0142uszczowej specjalnym narz\u0119dziem,&nbsp;kt\u00f3re jest w zestawie sztucznego moczowodu. Przez narz\u0119dzie do wykonania tunelu w tkance t\u0142uszczowej nast\u0119pnie przepuszczany jest <strong>Detour, <\/strong>przymierzany, skracany a nast\u0119pnie wszyty do p\u0119cherza moczowego.<\/p>\n"]},{"blockName":"core\/heading","attrs":{"epAnimationGeneratedClass":"edplus_anim-TRNvxY","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Po zabiegu<\/strong><\/span><\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Po zabiegu<\/strong><\/span><\/h2>\n"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-5RdcUB","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\" eplus-wrapper\">Chory przez minimum 10 dni otrzymuje antybiotykoterapi\u0119&nbsp;oraz utrzymywany jest cewnik Foleya.<\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\">Chory przez minimum 10 dni otrzymuje antybiotykoterapi\u0119&nbsp;oraz utrzymywany jest cewnik Foleya.<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-fsMVFC","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Pacjenci powinni masowa\u0107 <strong>sztuczny moczow\u00f3d<\/strong> minimum 3-4 razy w tygodniu aby zapobiega\u0107 inkrustacji, producent zaleca taki masa\u017c raz dziennie. Pacjent powinien palcami delikatnie wzd\u0142u\u017c przebiegaj\u0105cego pod sk\u00f3r\u0105 sztucznego moczowodu masowa\u0107 go. Sztuczny moczow\u00f3d jest dobrze wyczuwalny pod sk\u00f3r\u0105.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\">Pacjenci powinni masowa\u0107 <strong>sztuczny moczow\u00f3d<\/strong> minimum 3-4 razy w tygodniu aby zapobiega\u0107 inkrustacji, producent zaleca taki masa\u017c raz dziennie. Pacjent powinien palcami delikatnie wzd\u0142u\u017c przebiegaj\u0105cego pod sk\u00f3r\u0105 sztucznego moczowodu masowa\u0107 go. Sztuczny moczow\u00f3d jest dobrze wyczuwalny pod sk\u00f3r\u0105.<\/p>\n"]},{"blockName":"core\/heading","attrs":{"level":4,"epAnimationGeneratedClass":"edplus_anim-dDoxOo","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h4 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 14px;\">\u015aredni czas zabiegu oko\u0142o 2h , \u015bredni czas hospitalizacji 5 dni.<\/span><\/h4>\n","innerContent":["\n<h4 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 14px;\">\u015aredni czas zabiegu oko\u0142o 2h , \u015bredni czas hospitalizacji 5 dni.<\/span><\/h4>\n"]},{"blockName":"core\/heading","attrs":{"epAnimationGeneratedClass":"edplus_anim-YS8jhA","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Najcz\u0119stsze objawy niepo\u017c\u0105dane<\/strong><\/span><\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Najcz\u0119stsze objawy niepo\u017c\u0105dane<\/strong><\/span><\/h2>\n"]},{"blockName":"core\/list","attrs":{"epStylingOptions":{"columnsResponsiveEnabled":false,"columnsHoverEnabled":false,"itemsSpacingResponsiveEnabled":false,"itemsSpacingHoverEnabled":false,"listStyleResponsiveEnabled":false,"listStyleHoverEnabled":false,"listIconResponsiveEnabled":false,"listIconHoverEnabled":false,"columns":{"target":"","responsive":true,"hover":true,"options":[{"custom":true,"control":"ToggleOptions"},{"label":"Columns","control":"Range","attribute":"columns","css":"grid-template-columns","customValue":"repeat({{value}}, 1fr)","props":{"max":5,"min":1,"supportedUnits":[]},"defaults":{"desktop":"1"},"show_if":{"className":["ep-custom-list"]}}]},"itemsSpacing":{"target":"","responsive":true,"hover":true,"options":[{"label":"Items 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li:hover:before","options":[{"label":"Icon","control":"IconPicker","attribute":"icon","defaults":{"desktop":"eplusicon-check"},"css":"content","condition":{"relation":"AND","query":[{"field":"attributes.className","compare":"IN","value":"ep-custom-icon-list"}]}},{"label":"Background","control":"ColorPicker","attribute":"iconBackground","css":"background","condition":{"query":[{"field":"attributes.className","compare":"IN","value":"ep-custom-icon-list"}]}},{"label":"Color","control":"ColorPicker","attribute":"iconColor","css":"color","condition":{"query":[{"field":"attributes.className","compare":"IN","value":"ep-custom-icon-list"}]}},{"label":"Size","control":"Range","attribute":"iconSize","css":"font-size","props":{"supportedUnits":["px"],"max":100},"condition":{"query":[{"field":"attributes.className","compare":"IN","value":"ep-custom-icon-list"}]}},{"label":"Radius","control":"Range","attribute":"iconRadius","css":"border-radius","condition":{"query":[{"field":"attributes.className","compare":"IN","value":"ep-custom-icon-list"}]}},{"label":"Padding","control":"Range","attribute":"iconPadding","css":"padding","props":{"supportedUnits":["px"],"max":100},"condition":{"query":[{"field":"attributes.className","compare":"IN","value":"ep-custom-icon-list"}]}}]},"savedStyling":"","clientId":"1ba94e19-bf2a-4050-874b-9a7d10946a27"},"columns":{"desktop":{"value":1,"important":false,"unit":""},"tablet":{"value":"","important":false,"unit":"%"},"tabletModified":false,"mobile":{"value":"","important":false,"unit":"%"},"mobileModified":false,"hover":{"value":"","important":false,"unit":"%"},"hoverModified":false},"itemsSpacing":{"desktop":{"value":"","important":false,"unit":"%"},"tablet":{"value":"","important":false,"unit":"%"},"tabletModified":false,"mobile":{"value":"","important":false,"unit":"%"},"mobileModified":false,"hover":{"value":"","important":false,"unit":"%"},"hoverModified":false},"unorderListStyle":{"desktop":"disc","tablet":"","tabletModified":false,"mobile":"","mobileModified":false,"hover":"","hoverModified":false},"orderListStyle":{"desktop":"decimal","tablet":"","tabletModified":false,"mobile":"","mobileModified":false,"hover":"","hoverModified":false},"icon":{"desktop":{"icon":"eplusicon-check"},"tablet":{"icon":""},"tabletModified":false,"mobile":{"icon":""},"mobileModified":false,"hover":{"icon":""},"hoverModified":false},"iconBackground":{"desktop":{"color":""},"tablet":{"color":""},"tabletModified":false,"mobile":{"color":""},"mobileModified":false,"hover":{"color":""},"hoverModified":false},"iconColor":{"desktop":{"color":""},"tablet":{"color":""},"tabletModified":false,"mobile":{"color":""},"mobileModified":false,"hover":{"color":""},"hoverModified":false},"iconSize":{"desktop":{"value":"","important":false,"unit":"%"},"tablet":{"value":"","important":false,"unit":"%"},"tabletModified":false,"mobile":{"value":"","important":false,"unit":"%"},"mobileModified":false,"hover":{"value":"","important":false,"unit":"%"},"hoverModified":false},"iconRadius":{"desktop":{"value":"","important":false,"unit":"%"},"tablet":{"value":"","important":false,"unit":"%"},"tabletModified":false,"mobile":{"value":"","important":false,"unit":"%"},"mobileModified":false,"hover":{"value":"","important":false,"unit":"%"},"hoverModified":false},"iconPadding":{"desktop":{"value":"","important":false,"unit":"%"},"tablet":{"value":"","important":false,"unit":"%"},"tabletModified":false,"mobile":{"value":"","important":false,"unit":"%"},"mobileModified":false,"hover":{"value":"","important":false,"unit":"%"},"hoverModified":false},"epAnimationGeneratedClass":"edplus_anim-wzuxjd","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-GR9ynp","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Przez okres 2-3 tyg. Po zabiegu mo\u017ce wyst\u0119powa\u0107 b\u00f3l po zabiegu, w p\u00f3\u017aniejszym okresie pacjenci praktycznie nie czuj\u0105 sztucznego moczowodu.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Przez okres 2-3 tyg. Po zabiegu mo\u017ce wyst\u0119powa\u0107 b\u00f3l po zabiegu, w p\u00f3\u017aniejszym okresie pacjenci praktycznie nie czuj\u0105 sztucznego moczowodu.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-EDOyBr","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Sztuczny moczow\u00f3d Detour czyli sztuczny moczow\u00f3d - w za\u0142o\u017ceniu ma s\u0142u\u017cy\u0107 do ko\u0144ca \u017cycia, w wyj\u0105tkowych sytuacjach mo\u017ce doj\u015b\u0107 do wymiany.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Sztuczny moczow\u00f3d Detour czyli sztuczny moczow\u00f3d - w za\u0142o\u017ceniu ma s\u0142u\u017cy\u0107 do ko\u0144ca \u017cycia, w wyj\u0105tkowych sytuacjach mo\u017ce doj\u015b\u0107 do wymiany.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-ZWqdHS","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Zdarza si\u0119 nieszczelno\u015b\u0107 i przeciek od strony p\u0119cherza, najcz\u0119\u015bciej jest to zwi\u0105zanie ze zbyt kr\u00f3tkim utrzymaniem cewnika Foleya po zabiegu.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Zdarza si\u0119 nieszczelno\u015b\u0107 i przeciek od strony p\u0119cherza, najcz\u0119\u015bciej jest to zwi\u0105zanie ze zbyt kr\u00f3tkim utrzymaniem cewnika Foleya po zabiegu.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-7BCSXP","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Detour jak ka\u017cde cia\u0142o obce wszczepiane do cia\u0142a ludzkiego mo\u017ce zropie\u0107, dlatego przed i w czasie zabiegu nale\u017cy zachowa\u0107 wszystkie zasady aseptyki i antyseptyki.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Detour jak ka\u017cde cia\u0142o obce wszczepiane do cia\u0142a ludzkiego mo\u017ce zropie\u0107, dlatego przed i w czasie zabiegu nale\u017cy zachowa\u0107 wszystkie zasady aseptyki i antyseptyki.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-6INuvp","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Je\u015bli chory ma <strong>nefrostomi\u0119 <\/strong>i nie ma dla niego alternatywy powinien zapyta\u0107 swojego lekarza o sztuczny moczow\u00f3d czyli o <strong>Detour<\/strong>.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Je\u015bli chory ma <strong>nefrostomi\u0119 <\/strong>i nie ma dla niego alternatywy powinien zapyta\u0107 swojego lekarza o sztuczny moczow\u00f3d czyli o <strong>Detour<\/strong>.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-m7yeQs","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Pierwszy zabieg wykonano w maju 2013 Szpitalu PSK2 w Szczecinie u pacjenta paliatywnego, drugi we wrze\u015bniu 2013 w Szpitalu Powiatowym w Mielcu.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Pierwszy zabieg wykonano w maju 2013 Szpitalu PSK2 w Szczecinie u pacjenta paliatywnego, drugi we wrze\u015bniu 2013 w Szpitalu Powiatowym w Mielcu.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-yFtX92","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Pacjentka operowana w Mielcu \u017cyje do dzi\u015b z funkcjonuj\u0105cym moczowodem od 4 lat.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Pacjentka operowana w Mielcu \u017cyje do dzi\u015b z funkcjonuj\u0105cym moczowodem od 4 lat.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-zRyPfv","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Od 2013 przeprowadzono w Polsce prawie 40 zabieg\u00f3w *.<\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Od 2013 przeprowadzono w Polsce prawie 40 zabieg\u00f3w *.<\/li>\n"]},{"blockName":"core\/list-item","attrs":{"epAnimationGeneratedClass":"edplus_anim-1iAFhs","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<li class=\" eplus-wrapper\">Na \u015bwiecie jest ju\u017c ponad 14 lat do\u015bwiadcze\u0144 ze sztucznym moczowodem <strong>Coloplast Porges.<\/strong><\/li>\n","innerContent":["\n<li class=\" eplus-wrapper\">Na \u015bwiecie jest ju\u017c ponad 14 lat do\u015bwiadcze\u0144 ze sztucznym moczowodem <strong>Coloplast Porges.<\/strong><\/li>\n"]}],"innerHTML":"<ul class=\" eplus-wrapper eplus-styles-uid-2951f8\">\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<\/ul>","innerContent":["\n<ul class=\" eplus-wrapper\">",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"<\/ul>\n"]},{"blockName":"core\/heading","attrs":{"level":3,"epAnimationGeneratedClass":"edplus_anim-DxSmHq","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<h3 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Rekomendowane o\u015brodki do implantacji Detour<\/strong><\/span><br><span style=\"font-size: 14px;\">Szpital Powiatowy Mielec \u2013 <\/span><strong style=\"font-size: 14px;\">Oddzia\u0142 Urologii Og\u00f3lnej i Onkologicznej\u00a0<\/strong><br><a href=\"https:\/\/www.szpital.mielec.pl\/jednostki\/oddzialy\/oddzial-urologii-ogolnej-i-onkologicznej\"><span style=\"font-size: 12px;\">https:\/\/www.szpital.mielec.pl\/jednostki\/oddzialy\/oddzial-urologii-ogolnej-i-onkologicznej\u00a0<\/span><\/a><\/h3>\n","innerContent":["\n<h3 class=\"wp-block-heading eplus-wrapper\"><span style=\"font-size: 16px;\"><strong>Rekomendowane o\u015brodki do implantacji Detour<\/strong><\/span><br><span style=\"font-size: 14px;\">Szpital Powiatowy Mielec \u2013 <\/span><strong style=\"font-size: 14px;\">Oddzia\u0142 Urologii Og\u00f3lnej i Onkologicznej\u00a0<\/strong><br><a href=\"https:\/\/www.szpital.mielec.pl\/jednostki\/oddzialy\/oddzial-urologii-ogolnej-i-onkologicznej\"><span style=\"font-size: 12px;\">https:\/\/www.szpital.mielec.pl\/jednostki\/oddzialy\/oddzial-urologii-ogolnej-i-onkologicznej\u00a0<\/span><\/a><\/h3>\n"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-nzOGZg","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\" eplus-wrapper\"><span style=\"font-size: 14px;\"><strong>Dolno\u015bl\u0105ski Szpital Specjalistyczny im. T. Marciniaka Wroc\u0142aw\u00a0\u2013<\/strong>\u00a0<\/span><strong style=\"font-size: 14px;\">Oddzia\u0142 Urologii i Onkologii Urologicznej<\/strong><br><a href=\"http:\/\/www.szpital-marciniak.wroclaw.pl\/p,169,oddzial-urologii-i-onkologii-urologicznej\"><span style=\"font-size: 12px;\">http:\/\/www.szpital-marciniak.wroclaw.pl\/p,169,oddzial-urologii-i-onkologii-urologicznej<\/span><\/a><br><p style=\"text-align: justify;\"><strong><span style=\"font-size: 14px;\">PSK2 Szczecin<\/span> <span style=\"font-size: 14px;\">\u2013<\/span><\/strong><strong style=\"font-size: 14px;\"> <strong>Klinika Urologii i Onkologii Urologicznej\u00a0<\/strong><\/strong><br><a href=\"http:\/\/www.uroinfo.pl\"><span style=\"font-size: 12px;\">http:\/\/www.uroinfo.pl<\/span><\/a><span style=\"font-size: 12px;\">\u200b<\/span><span style=\"font-size: 14px;\"><strong>\u015awi\u0119tokrzyskie Centrum Onkologii Kielce<\/strong><\/span><strong style=\"font-size: 14px;\">\u00a0<\/strong><span style=\"font-size: 14px;\">\u2013<\/span><strong style=\"font-size: 14px;\">\u00a0<strong>Klinika Urologii<\/strong><\/strong><br><a style=\"text-align: justify;\" href=\"https:\/\/www.onkol.kielce.pl\/pl\/centrum\/klinika-urologii-im-dr-n-med-stefana-olszewskiego\"><span style=\"font-size: 12px;\">https:\/\/www.onkol.kielce.pl\/pl\/centrum\/klinika-urologii-im-dr-n-med-stefana-olszewskiego<\/span><\/a><\/p><\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\"><span style=\"font-size: 14px;\"><strong>Dolno\u015bl\u0105ski Szpital Specjalistyczny im. T. Marciniaka Wroc\u0142aw\u00a0\u2013<\/strong>\u00a0<\/span><strong style=\"font-size: 14px;\">Oddzia\u0142 Urologii i Onkologii Urologicznej<\/strong><br><a href=\"http:\/\/www.szpital-marciniak.wroclaw.pl\/p,169,oddzial-urologii-i-onkologii-urologicznej\"><span style=\"font-size: 12px;\">http:\/\/www.szpital-marciniak.wroclaw.pl\/p,169,oddzial-urologii-i-onkologii-urologicznej<\/span><\/a><br><p style=\"text-align: justify;\"><strong><span style=\"font-size: 14px;\">PSK2 Szczecin<\/span> <span style=\"font-size: 14px;\">\u2013<\/span><\/strong><strong style=\"font-size: 14px;\"> <strong>Klinika Urologii i Onkologii Urologicznej\u00a0<\/strong><\/strong><br><a href=\"http:\/\/www.uroinfo.pl\"><span style=\"font-size: 12px;\">http:\/\/www.uroinfo.pl<\/span><\/a><span style=\"font-size: 12px;\">\u200b<\/span><span style=\"font-size: 14px;\"><strong>\u015awi\u0119tokrzyskie Centrum Onkologii Kielce<\/strong><\/span><strong style=\"font-size: 14px;\">\u00a0<\/strong><span style=\"font-size: 14px;\">\u2013<\/span><strong style=\"font-size: 14px;\">\u00a0<strong>Klinika Urologii<\/strong><\/strong><br><a style=\"text-align: justify;\" href=\"https:\/\/www.onkol.kielce.pl\/pl\/centrum\/klinika-urologii-im-dr-n-med-stefana-olszewskiego\"><span style=\"font-size: 12px;\">https:\/\/www.onkol.kielce.pl\/pl\/centrum\/klinika-urologii-im-dr-n-med-stefana-olszewskiego<\/span><\/a><\/p><\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-JXvPeS","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\" eplus-wrapper\"><strong style=\"font-size: 16px;\">Zestaw Detour - zabieg<\/strong><\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\"><strong style=\"font-size: 16px;\">Zestaw Detour - zabieg<\/strong><\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-U12rj2","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">Zabieg odbywa si\u0119 najcz\u0119\u015bciej w znieczuleniu og\u00f3lnym, chorzy musz\u0105 mie\u0107 funkcjonalny p\u0119cherz, nie mo\u017ce to by\u0107 p\u0119cherz marski. W Europie zak\u0142adano Detour r\u00f3wnie\u017c w przypadkach p\u0119cherzy jelitowych.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\">Zabieg odbywa si\u0119 najcz\u0119\u015bciej w znieczuleniu og\u00f3lnym, chorzy musz\u0105 mie\u0107 funkcjonalny p\u0119cherz, nie mo\u017ce to by\u0107 p\u0119cherz marski. W Europie zak\u0142adano Detour r\u00f3wnie\u017c w przypadkach p\u0119cherzy jelitowych.<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-ktxGSz","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">W 2016 roku powsta\u0142 film dla pacjent\u00f3w o <strong>\u017cyciu z nefrostomi\u0105<\/strong> i zmianie ich \u017cycia po implantacji sztucznego moczowodu. Bohaterami filmu s\u0105 autentyczni chorzy z ca\u0142ej Europy, kt\u00f3rzy opowiadaj\u0105 o swoim \u017cyciu.\u00a0Uda\u0142o nam si\u0119 w\u0142\u0105czy\u0107 do filmu 3 chorych z Polski.\u00a0Film b\u0119dzie dost\u0119pny w 2017 roku.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\">W 2016 roku powsta\u0142 film dla pacjent\u00f3w o <strong>\u017cyciu z nefrostomi\u0105<\/strong> i zmianie ich \u017cycia po implantacji sztucznego moczowodu. Bohaterami filmu s\u0105 autentyczni chorzy z ca\u0142ej Europy, kt\u00f3rzy opowiadaj\u0105 o swoim \u017cyciu.&nbsp;Uda\u0142o nam si\u0119 w\u0142\u0105czy\u0107 do filmu 3 chorych z Polski.&nbsp;Film b\u0119dzie dost\u0119pny w 2017 roku.<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-dj2Lss","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\">W 2017 ordynator oddzia\u0142u urologii i urologii onkologicznej <strong>Szpitala Powiatowego w Mielcu dr n. med. Andrzej Wrona<\/strong>, zosta\u0142 zaproszony na konferencj\u0119 w Mediolanie, gdzie podzieli\u0142 si\u0119 swoimi \u00a0do\u015bwiadczeniami z wszczepiania sztucznego moczowodu w trakcie swojego wyk\u0142adu dla w\u0142oskich urolog\u00f3w.<\/p>","innerContent":["\n<p class=\" eplus-wrapper\">W 2017 ordynator oddzia\u0142u urologii i urologii onkologicznej <strong>Szpitala Powiatowego w Mielcu dr n. med. Andrzej Wrona<\/strong>, zosta\u0142 zaproszony na konferencj\u0119 w Mediolanie, gdzie podzieli\u0142 si\u0119 swoimi &nbsp;do\u015bwiadczeniami z wszczepiania sztucznego moczowodu w trakcie swojego wyk\u0142adu dla w\u0142oskich urolog\u00f3w.<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-GX6jSL","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\" eplus-wrapper\">Doktor Andrzej Wrona ma najwi\u0119ksze w Polsce do\u015bwiadczenie, wszczepi\u0142 sztuczne moczowody u ponad 25 pacjent\u00f3w.<\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\">Doktor Andrzej Wrona ma najwi\u0119ksze w Polsce do\u015bwiadczenie, wszczepi\u0142 sztuczne moczowody u ponad 25 pacjent\u00f3w.<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-4YdFDs","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\" eplus-wrapper\">*stan na 07.2017<\/p>\n","innerContent":["\n<p class=\" eplus-wrapper\">*stan na 07.2017<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"align":"center","epAnimationGeneratedClass":"edplus_anim-yc6xg5","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"\n<p class=\"has-text-align-center eplus-wrapper\">&nbsp;<\/p>\n","innerContent":["\n<p class=\"has-text-align-center eplus-wrapper\">&nbsp;<\/p>\n"]},{"blockName":"core\/paragraph","attrs":{"epCustomTypography":{"lineHeight":{"value":"","important":false,"unit":"px"},"fontSize":{"value":"","important":false,"unit":"px"},"letterSpacing":{"value":"","important":false,"unit":"px"},"fontWeight":null,"textStyle":[],"textColor":{"color":"","imp":false},"underline":{"color":"","style":""},"lineThrough":{"color":"","style":""},"textAlignment":"justify"},"epAnimationGeneratedClass":"edplus_anim-2Xtwt1","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<p class=\" eplus-wrapper eplus-styles-uid-24b8d8\"><span style=\"font-size: 14px;\"><strong><span style=\"font-size: 16px;\">Skontaktuj si\u0119 z nami:\u00a0<\/span><a href=\"mailto:urologia@skamex.com.pl?subject=Zapytanie%20dot.%20Detour\"><span style=\"font-size: 16px;\">urologia@skamex.com.p<\/span><\/a><\/strong><\/span><\/p>","innerContent":["\n<p class=\" eplus-wrapper\"><span style=\"font-size: 14px;\"><strong><span style=\"font-size: 16px;\">Skontaktuj si\u0119 z nami:&nbsp;<\/span><a href=\"mailto:urologia@skamex.com.pl?subject=Zapytanie%20dot.%20Detour\"><span style=\"font-size: 16px;\">urologia@skamex.com.p<\/span><\/a><\/strong><\/span><\/p>\n"]}],"meta_data":{"toc_selected_heading_levels":["h2"],"toc_enabled":true},"featured_image":false,"main_category":{"name":"Urologia"},"prev_page":{"slug":"hydrauliczna-proteza-pracia-jako-alternatywa-w-leczeniu-zaburzen-erekcji-w-xxi-wieku"},"next_page":{"slug":"jak-wlasciwie-interpretowac-oznakowania-rekawic-ochronnych-stosowanych-w-placowkach-medycznych"},"_links":{"self":[{"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/posts\/1056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/comments?post=1056"}],"version-history":[{"count":7,"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/posts\/1056\/revisions"}],"predecessor-version":[{"id":12895,"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/posts\/1056\/revisions\/12895"}],"wp:attachment":[{"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/media?parent=1056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/categories?post=1056"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.skamex.com.pl\/index.php\/wp-json\/wp\/v2\/tags?post=1056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}