{"id":483,"date":"2025-05-02T10:16:55","date_gmt":"2025-05-02T08:16:55","guid":{"rendered":"https:\/\/www.sos-pas.sk\/?page_id=483"},"modified":"2026-07-10T20:40:52","modified_gmt":"2026-07-10T18:40:52","slug":"diagnostika","status":"publish","type":"page","link":"https:\/\/www.sos-pas.sk\/?page_id=483","title":{"rendered":"Diagnostika"},"content":{"rendered":"\n<p>Prvotn\u00e9 podozrenie, \u017ee je nie\u010do inak, m\u00e1 neraz s\u00e1m rodi\u010d. Pr\u00edpadne ho m\u00f4\u017ee upozorni\u0165 sk\u00fasen\u00fd pediater. Pre vekov\u00fa skupinu det\u00ed 16 a\u017e 30 mesiacov je ur\u010den\u00e1 skr\u00edningov\u00e1 <a href=\"file:\/\/\/C:\/Users\/Zuzka\/Downloads\/Priloha-1_M-CHAT-R-F.pdf\">met\u00f3da M-CHAT R\/F<\/a>. Je to dotazn\u00edk, ktor\u00fd obsahuje 20 ot\u00e1zok a rodi\u010d na ne odpoved\u00e1 \u201e\u00e1no\u201c alebo \u201enie\u201c. \u010casov\u00e1 n\u00e1ro\u010dnos\u0165 na vyplnenie dotazn\u00edka je cca. 5 min\u00fat. Orienta\u010dne je mo\u017en\u00e9 t\u00fato met\u00f3du vykona\u0165 aj vo vy\u0161\u0161om veku die\u0165a\u0165a. Ak skr\u00edning poukazuje na signifikantn\u00e9 riziko PAS symptomatol\u00f3gie, mala by sa uskuto\u010dni\u0165 diagnostika PAS.&nbsp;<\/p>\n\n\n\n<p>U niektor\u00fdch det\u00ed sa odli\u0161nosti s\u00favisiace s Aspergerov\u00fdm syndr\u00f3mom m\u00f4\u017eu v\u00fdraznej\u0161ie prejavi\u0165 a\u017e s n\u00e1stupom do materskej \u0161koly. Preto prvotn\u00fd impulz m\u00f4\u017ee niekedy pr\u00eds\u0165 od pani u\u010diteliek v materskej \u0161kole. Pr\u00e1ve tie m\u00f4\u017eu rodi\u010dov upozorni\u0165 na \u0161pecifik\u00e1 v spr\u00e1van\u00ed die\u0165atka. Pr\u00edpadne to m\u00f4\u017ee by\u0165 in\u00fd odborn\u00edk, ku ktor\u00e9mu s die\u0165atkom pravidelne doch\u00e1dzate, napr. logop\u00e9d.<\/p>\n\n\n\n<p>N\u00e1sledne treba vyh\u013eada\u0165 \u0161pecializovan\u00e9 odborn\u00e9 pracovisko alebo diagnostika s pr\u00edslu\u0161n\u00fdm opr\u00e1vnen\u00edm administrova\u0165 met\u00f3dy ADI-R a ADOS-2. To znamen\u00e1, \u017ee nie ka\u017ed\u00fd psychol\u00f3g m\u00f4\u017ee vykon\u00e1va\u0165 diagnostiku PAS, av\u0161ak m\u00f4\u017ee vyslovi\u0165 podozrenie na PAS a odpor\u00fa\u010da\u0165 V\u00e1m, na koho sa m\u00e1te \u010falej obr\u00e1ti\u0165. \u0160tandardn\u00e9 postupy Ministerstva zdravotn\u00edctva SR v dokumente s n\u00e1zvom <a href=\"file:\/\/\/C:\/Users\/Zuzka\/Downloads\/PAS-Diagnostika_2_revizia%20(2).pdf\">Poruchy autistick\u00e9ho spektra &#8211; Diagnostika &#8211; 2. rev\u00edzia<\/a> uv\u00e1dzaj\u00fa, \u017ee kombin\u00e1cia diagnostick\u00fdch \u0161k\u00e1l <strong>ADI-R<\/strong> a <strong>ADOS-2<\/strong> sa pova\u017euje za \u201ezlat\u00fd \u0161tandard\u201c v diagnostickom procese PAS.<\/p>\n\n\n\n<p><strong>Met\u00f3da ADI-R<\/strong> je zhodnotenie pr\u00edtomnosti deficitov charakteristick\u00fdch pre PAS vo v\u00fdvinovej hist\u00f3rii die\u0165a\u0165a. Rob\u00ed sa prostredn\u00edctvom rozhovoru s rodi\u010dmi. Ide o \u0161trukt\u00farovan\u00e9 interview pre rodi\u010dov alebo prim\u00e1rnych opatrovn\u00edkov die\u0165a\u0165a, ktor\u00e9 m\u00e1 za cie\u013e mapova\u0165 v\u00fdvin a aktu\u00e1lne spr\u00e1vanie die\u0165a\u0165a. Rozohovor obsahuje 90 ot\u00e1zok, ktor\u00e9 sa zameriavaj\u00fa na 8 z\u00e1kladn\u00fdch okruhov, zah\u0155\u0148aj\u00facich:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>rodinn\u00fa a osobn\u00fa anamn\u00e9zu vr\u00e1tane predch\u00e1dzaj\u00facich diagn\u00f3z, medik\u00e1cie;<\/li>\n\n\n\n<li>popis spr\u00e1vania die\u0165a\u0165a;<\/li>\n\n\n\n<li>skor\u00fd v\u00fdvin a v\u00fdznamn\u00e9 osobn\u00e9 m\u00ed\u013eniky;<\/li>\n\n\n\n<li>v\u00fdvin jazyka a pr\u00edpadn\u00fa stratu jazyka alebo in\u00fdch nadobudnut\u00fdch schopnost\u00ed (hodnot\u00ed sa mo\u017en\u00fd regres die\u0165a\u0165a);<\/li>\n\n\n\n<li>aktu\u00e1lne fungovanie vo vz\u0165ahu k jazyku a komunik\u00e1cii (verb\u00e1lnej i neverb\u00e1lnej);<\/li>\n\n\n\n<li>soci\u00e1lny v\u00fdvin a v\u00fdvin imit\u00e1cie, hry a soci\u00e1lnej hry;<\/li>\n\n\n\n<li>\u0161pecifick\u00e9 spr\u00e1vanie a z\u00e1ujmy (stereotypn\u00e9 prejavy, \u00fazko vymedzen\u00e9 z\u00e1ujmy, ritu\u00e1ly&#8230;);<\/li>\n\n\n\n<li>klinicky v\u00fdznamn\u00e9 spr\u00e1vanie, ako je agresivita, sebapo\u0161kodzovanie a in\u00e9, mimoriadne schopnosti die\u0165a\u0165a.<\/li>\n<\/ul>\n\n\n\n<p><br><strong>Met\u00f3da ADOS-2<\/strong> sa pou\u017e\u00edva na zhodnotenie pr\u00edtomnosti deficitov charakteristick\u00fdch pre PAS z priameho pozorovania die\u0165a\u0165a. Ide o \u0161tandardizovan\u00e9 semi\u0161trukturovan\u00e9 vy\u0161etrenie pozost\u00e1vaj\u00face zo skupiny presne definovan\u00fdch aktiv\u00edt a rozhovorov, po\u010das ktor\u00fdch administr\u00e1tor\/ka cielene vyvol\u00e1va \u0161pecifick\u00e9 typy reakci\u00ed die\u0165a\u0165a. Administr\u00e1tor\/ka n\u00e1sledne sleduje prejavy die\u0165a\u0165a a jeho interakciu s rodi\u010dom a\/alebo administr\u00e1torom. Cie\u013eom je zachyti\u0165 vzorku spr\u00e1vania, na z\u00e1klade ktorej je mo\u017en\u00e9 zhodnoti\u0165 deficity v \u0161tyroch hlavn\u00fdch oblastiach, ktor\u00e9 boli identifikovan\u00e9 ako z\u00e1sadn\u00e9 pre diagn\u00f3zu PAS. Sleduje sa :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>jazyk a komunika\u010dn\u00e9 schopnosti,<\/li>\n\n\n\n<li>vz\u00e1jomn\u00e1 soci\u00e1lna interakcia, hra a tvorivos\u0165,<\/li>\n\n\n\n<li>stereotypn\u00e9 prejavy,<\/li>\n\n\n\n<li>\u00fazko vymedzen\u00e9 z\u00e1ujmy.<\/li>\n<\/ul>\n\n\n\n<p>Ak je z\u00e1ver t\u00fdchto vy\u0161etren\u00ed pozit\u00edvny, je potrebn\u00e9 uveden\u00fa diagn\u00f3zu v z\u00e1vere spr\u00e1vy verifikova\u0165 u pedopsychiatra (detsk\u00fd psychiater).<\/p>\n\n\n\n<p>\u010eal\u0161\u00edm krokom preto je objednanie sa na pedopsychiatriu, kde die\u0165atko absolvuje komplexn\u00e9 detsk\u00e9 psychiatrick\u00e9 vy\u0161etrenie. Lek\u00e1r prostredn\u00edctvom rozhovoru s rodi\u010dom (ide\u00e1lne bez pr\u00edtomnosti die\u0165a\u0165a) odoberie anamnestick\u00e9 \u00fadaje a zhodnot\u00ed doteraj\u0161ie vy\u0161etrenia a spr\u00e1vy. Ak to stav a vek die\u0165a\u0165a umo\u017e\u0148uje, tak samostatne (bez pr\u00edtomnosti rodi\u010dov) vykon\u00e1 klinick\u00e9 psychiatrick\u00e9 vy\u0161etrenie die\u0165a\u0165a. N\u00e1sledne vyslov\u00ed diagnostick\u00fd z\u00e1ver, navrhne \u010fal\u0161\u00ed postup vr\u00e1tane doplnkov\u00fdch vy\u0161etren\u00ed (ak je to potrebn\u00e9) a navrhne vhodn\u00e9 terapie alebo lie\u010debn\u00fd postup. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Diagnostick\u00e9 centr\u00e1 PAS<\/strong><\/h2>\n\n\n\n<p><a href=\"https:\/\/acva.sk\/diagnostika\/\">Akademick\u00e9 centrum v\u00fdskumu autizmu<\/a> (ACVA, Bratislava): zameriava sa v\u00fdlu\u010dne na diagnostiku det\u00ed vo veku&nbsp;<strong>od 2,5 do 12 rokov<\/strong>. Diagnostick\u00fd proces je&nbsp;<strong>bezplatn\u00fd,<\/strong>&nbsp;av\u0161ak po\u017eadujeme od V\u00e1s rodi\u010dov spolupr\u00e1cu vo forme zapojenia sa do v\u00fdskumn\u00e9ho procesu.<\/p>\n\n\n\n<p><a href=\"https:\/\/dietaaja.sk\/diagnostika-poruch-autistickeho-spektra\">KVAPKA &#8211; Centrum pre rodinu<\/a> (Bratislava): diagnostiku pon\u00fakaj\u00fa pre deti a mlad\u00fdch \u013eud\u00ed vo veku do 20 rokov.&nbsp;<\/p>\n\n\n\n<p><a href=\"https:\/\/andreas.sk\/sluzby\">ANDREAS &#8211; autistick\u00e9 centrum<\/a> (Bratislava): treba sledova\u0165 na ich str\u00e1nke, niekedy maj\u00fa diagnostiku nov\u00fdch det\u00ed vzh\u013eadom na naplnenos\u0165 kapacity, pozastaven\u00fa.<\/p>\n\n\n\n<p><a href=\"https:\/\/klinikacalma.sk\/\">Klinika du\u0161evn\u00e9ho zdravia CALMA<\/a> (Bratislava)<\/p>\n\n\n\n<p><a href=\"https:\/\/centrumnadania.sk\/scpppap\/cennik\">SCPP CENADA<\/a> (Bratislava)<\/p>\n\n\n\n<p><a href=\"https:\/\/www.poradnaaspely.sk\/\">S\u00fakromn\u00e9 \u0161pecializovan\u00e9 centrum poradenstva a prevencie pre deti a \u017eiakov s autizmom alebo in\u00fdmi PVP<\/a> (Porad\u0148a Aspely, Gbely)<\/p>\n\n\n\n<p><a href=\"http:\/\/cdd.sk\/o-centre\/\">Centrum pre v\u00fdvinov\u00e9 poruchy CDD<\/a> &#8211; PhDr. Daniela J\u00e1no\u0161\u00edkov\u00e1, PhD. (Trnava)<\/p>\n\n\n\n<p><a href=\"https:\/\/adeptzilina.sk\/\">ADEPT &#8211; Ambulancia detskej psychol\u00f3gie a terapi\u00ed<\/a> (\u017dilina). Objedna\u0165 <a href=\"https:\/\/www.objednatvysetrenie.sk\/vyber-druhu-vysetrenia.html?page_id=89960&amp;zid=128394\">tu<\/a>.<\/p>\n\n\n\n<p><a href=\"https:\/\/centrumpoltar.eu\/\">Centrum autizmu<\/a> &#8211; S\u00fakromn\u00e9 \u0161pecializovan\u00e9 centrum poradenstva a prevencie pre deti a \u017eiakov s autizmom alebo \u010fal\u0161\u00edmi pervaz\u00edvnymi v\u00fdvinov\u00fdmi poruchami (Polt\u00e1r)<\/p>\n\n\n\n<p><a href=\"https:\/\/www.autistipresov.sk\/\">AutistiPre\u0161ov<\/a> &#8211; S\u00fakromn\u00e9 \u0161pecializovan\u00e9 centrum poradenstva a prevencie pre deti a \u017eiakov s autizmom alebo \u010fal\u0161\u00edmi pervaz\u00edvnymi v\u00fdvinov\u00fdmi poruchami (Pre\u0161ov): Objedna\u0165 <a href=\"https:\/\/www.autistipresov.sk\/nase-zlozky\/poradenstvo\/sscpap\/pre-rodicov\/objednavanie\/\">tu<\/a>.<\/p>\n\n\n\n<p>Diagnostiku PAS poskytuj\u00fa u\u017e aj vybran\u00e9 Centr\u00e1 poradenstva a prevencie (CPP).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Praktick\u00e9 rady<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ak vn\u00fatorne c\u00edtite pochybnosti, rad\u0161ej sa objednajte na diferenci\u00e1lnu diagnostiku, vy zbyto\u010dne ne\u010dakajte, preto\u017ee samotn\u00e9 \u010dakacie doby na term\u00edn vy\u0161etrenia s\u00fa aj tak dlh\u00e9.<\/li>\n\n\n\n<li>Pred v\u00fdberom diagnostick\u00e9ho zariadenia si vopred overte, \u010di pou\u017e\u00edvaj\u00fa tie diagnostick\u00e9 met\u00f3dy, ktor\u00e9 v&nbsp;pr\u00edpade ich pozit\u00edvneho z\u00e1veru, bude k&nbsp;\u010fal\u0161ej diagnostike potrebova\u0165 pedopsychiater.<\/li>\n\n\n\n<li>Ak je to mo\u017en\u00e9, diagnostick\u00e9ho procesu sa z\u00fa\u010dastnite obidvaja rodi\u010dia. Jednak ka\u017ed\u00fd z&nbsp;rodi\u010dov poskytne svoj poh\u013ead na die\u0165atko a&nbsp;z\u00e1rove\u0148, k\u00fdm psychol\u00f3g vedie s&nbsp;jedn\u00fdm z&nbsp;rodi\u010dov rozhovor a&nbsp;odober\u00e1 anamnestick\u00e9 \u00fadaje, druh\u00fd rodi\u010d v&nbsp;\u010dak\u00e1rni tr\u00e1vi \u010das s&nbsp;die\u0165atkom.<\/li>\n\n\n\n<li>Ak die\u0165atku p\u00ed\u0161ete spomienkovu knihu (napr. Prv\u00fd rok b\u00e1b\u00e4tka, Kniha m\u00ed\u013enikov die\u0165a\u0165a), je vhodn\u00e9 si z&nbsp;nej vyp\u00edsa\u0165 m\u00ed\u013eniky psychomotorick\u00e9ho v\u00fdvinu (napr. kedy \u0161tvorno\u017ekovalo, kedy sedelo, kedy za\u017ealo samostatne beha\u0165, inform\u00e1cie t\u00fdkaj\u00face sa prv\u00fdch  gest, slov a re\u010di), preto\u017ee pr\u00e1ve na tie sa V\u00e1s bud\u00fa po\u010das diagnostiky p\u00fdta\u0165, aby ste si nemuseli potom zd\u013ahavo spom\u00edna\u0165. Ak tak\u00fato detsk\u00fa spomienkov\u00fa knihu nevediete, pom\u00f4c\u0165 upresni\u0165 d\u00e1tumy m\u00ed\u013enikov V\u00e1m m\u00f4\u017eu aj fotografie a&nbsp;vide\u00e1 V\u00e1\u0161ho die\u0165atka v&nbsp;mobile. Spravidla ka\u017ed\u00fd sa tieto v\u00fdznamn\u00e9 chv\u00edle sna\u017e\u00ed zachyti\u0165, pr\u00edpadne ich zdiela\u0165 so svojimi najbli\u017e\u0161\u00edmi. \u010eal\u0161\u00edm zdrojom inform\u00e1ci\u00ed o&nbsp;psychomotorickom v\u00fdvine s\u00fa spr\u00e1vy pediatra z&nbsp;pravideln\u00fdch poradn\u00ed.<\/li>\n\n\n\n<li>Po\u010das diagnostick\u00e9ho stretnutia je vhodn\u00e9, aby bolo die\u0165atko pohodlne oble\u010den\u00e9 a obut\u00e9 (napr. papu\u010de). \u010eal\u0161ie u\u017eito\u010dn\u00e9 rady, ako pripravi\u0165 mlad\u0161ie aj star\u0161ie die\u0165a na diagnostiku n\u00e1jdete <a href=\"https:\/\/www.autistipresov.sk\/nase-zlozky\/poradenstvo\/sscpap\/pre-rodicov\/uzitocne-informacie\/\">tu<\/a>.<\/li>\n\n\n\n<li>Niekde odpor\u00fa\u010daj\u00fa na diagnostick\u00e9 stretnutie prinies\u0165 die\u0165a\u0165u nejak\u00fd ob\u013e\u00faben\u00fd predmet, talizman alebo mal\u00fa hra\u010dku, aby sa die\u0165a c\u00edtilo komfortne a bezpe\u010dne. Tie\u017e je vhodn\u00e9 ma\u0165 nie\u010do na pitie a nie\u010do mal\u00e9 na zjedenie.<\/li>\n\n\n\n<li>Diagnostick\u00fa pr\u00e1cu u\u013eah\u010d\u00ed, ak je die\u0165a dobre vyspat\u00e9, primerane najeden\u00e9 a nejav\u00ed zn\u00e1mky fyzick\u00e9ho ochorenia. Ak je die\u0165a unaven\u00e9, hladn\u00e9 alebo sa u\u0148ho za\u010d\u00ednaj\u00fa prejavova\u0165 zn\u00e1mky fyzick\u00e9ho ochorenia, je vhodn\u00e9 o tom upovedomi\u0165 odborn\u00edka, ktor\u00fd vedie diagnostick\u00fd proces.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Podcasty<\/strong><\/h2>\n\n\n\n<p>Podcast V\u00daDPaP Odborne na slov\u00ed\u010dko: <a href=\"https:\/\/vudpap.sk\/podcasty\/porucha-autistickeho-spektra\/\">Porucha autistick\u00e9ho spektra<\/a> so psychol\u00f3gom Mgr. Ivanom Belica, PhD. (20.9.2022; 19min51s). Dozviete sa, ako sa poruchy autistick\u00e9ho spektra vyv\u00edjali v historickom kontexte, ako vyzer\u00e1 klinick\u00fd obraz die\u0165a\u0165a s poruchou autistick\u00e9ho spektra a <strong>ako prebieha psychodiagnostick\u00e9 vy\u0161etrenie<\/strong> pri podozren\u00ed na pr\u00edtomnos\u0165 tejto poruchy u die\u0165a\u0165a.<\/p>\n\n\n\n<p>Podcast V\u00daDPaP Nahlas o de\u0165och:&nbsp;<a href=\"https:\/\/vudpap.sk\/podcasty\/porucha-autistickeho-spektra-u-dietata-2-cast\/\">Porucha autistick\u00e9ho spektra u die\u0165a\u0165a \u2013 2. \u010das\u0165<\/a>&nbsp;so psychol\u00f3gom Mgr. Ivanom Belicom (18.07.2022; 13min57s)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>U\u017eito\u010dn\u00e9 odkazy<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/eduworld.sk\/cd\/beata-tancsakova\/10773\/asdetect-vcasna-detekcia-autizmu\">Aplik\u00e1ciu ASDetect na v\u010dasn\u00fa detekciu autizmu m\u00f4\u017eu vyu\u017ei\u0165 aj slovensk\u00ed rodi\u010dia<\/a>. Be\u00e1ta Tancs\u00e1kov\u00e1<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Prvotn\u00e9 podozrenie, \u017ee je nie\u010do inak, m\u00e1 neraz s\u00e1m rodi\u010d. Pr\u00edpadne ho m\u00f4\u017ee upozorni\u0165 sk\u00fasen\u00fd pediater. Pre vekov\u00fa skupinu det\u00ed 16 a\u017e 30 mesiacov je ur\u010den\u00e1 skr\u00edningov\u00e1 met\u00f3da M-CHAT R\/F. Je to dotazn\u00edk, ktor\u00fd obsahuje 20 ot\u00e1zok a rodi\u010d na ne odpoved\u00e1 \u201e\u00e1no\u201c alebo \u201enie\u201c. \u010casov\u00e1 n\u00e1ro\u010dnos\u0165 na vyplnenie dotazn\u00edka je cca. 5 min\u00fat. Orienta\u010dne [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-483","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Diagnostika - SOS PAS<\/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.sos-pas.sk\/?page_id=483\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnostika - SOS PAS\" \/>\n<meta property=\"og:description\" content=\"Prvotn\u00e9 podozrenie, \u017ee je nie\u010do inak, m\u00e1 neraz s\u00e1m rodi\u010d. Pr\u00edpadne ho m\u00f4\u017ee upozorni\u0165 sk\u00fasen\u00fd pediater. Pre vekov\u00fa skupinu det\u00ed 16 a\u017e 30 mesiacov je ur\u010den\u00e1 skr\u00edningov\u00e1 met\u00f3da M-CHAT R\/F. Je to dotazn\u00edk, ktor\u00fd obsahuje 20 ot\u00e1zok a rodi\u010d na ne odpoved\u00e1 \u201e\u00e1no\u201c alebo \u201enie\u201c. \u010casov\u00e1 n\u00e1ro\u010dnos\u0165 na vyplnenie dotazn\u00edka je cca. 5 min\u00fat. 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