Profesor MUDr. Jan \u0160tul\u00edk je zn\u00e1m jako vynikaj\u00edc\u00ed ortoped, kter\u00fd se specializuje na l\u00e9\u010den\u00ed onemocn\u011bn\u00ed p\u00e1te\u0159e. Uzn\u00e1van\u00fd l\u00e9ka\u0159 a skv\u011bl\u00fd operat\u00e9r proslul unik\u00e1tn\u00ed operac\u00ed \u2013 odstran\u011bn\u00ed cel\u00e9ho druh\u00e9ho obratle bez nutnosti fixace hlavy a krku. Informace o dosud nepou\u017eit\u00e9 opera\u010dn\u00ed technice se objevila v odborn\u00e9m tisku po cel\u00e9m sv\u011bt\u011b v\u010detn\u011b USA.<\/p>\n
\u00a0 – jak jsou operace p\u00e1te\u0159e n\u00e1ro\u010dn\u00e9 na psychiku operat\u00e9ra?<\/strong><\/p>\n Manu\u00e1ln\u00ed zru\u010dnost a psychick\u00e1 odolnost jsou z\u00e1kladn\u00ed atributy dobr\u00e9ho chirurga. Mnoho se d\u00e1 nau\u010dit, ale z\u00e1klad mus\u00ed b\u00fdt vrozen\u00fd. S po\u010dtem operovan\u00fdch pacient\u016f a \u0159e\u0161en\u00edm nestandardn\u00edch situac\u00ed se zvy\u0161uj\u00ed manu\u00e1ln\u00ed schopnosti a posiluje se psychick\u00e1 odolnost. Obecn\u011b trv\u00e1 vycvi\u010den\u00ed chirurga mnoho let a na nejslo\u017eit\u011bj\u0161\u00ed opera\u010dn\u00ed v\u00fdkony dos\u00e1hnou jen n\u011bkte\u0159\u00ed. A t\u011bch, kte\u0159\u00ed posunou obor kup\u0159edu, je je\u0161t\u011b m\u00e9n\u011b. N\u011bkter\u00e9 typy operac\u00ed jsou fyzicky i psychicky velmi n\u00e1ro\u010dn\u00e9 a tr\u00e9novat na n\u011b je nezbytn\u00e9. Fyzickou kondici udr\u017euji sportem. Pro moji psychiku je velmi d\u016fle\u017eit\u00e9 dobr\u00e9 rodinn\u00e9 z\u00e1zem\u00ed a perfektn\u011b funguj\u00edc\u00ed pracovi\u0161t\u011b.<\/p>\n Existuje v\u016fbec n\u011bjak\u00fd bezpe\u010dn\u00fd sport? A kter\u00fd je z va\u0161eho pohledu nejnebezpe\u010dn\u011bj\u0161\u00ed?<\/strong><\/p>\n Je t\u0159eba dost t\u011b\u017ek\u00e9 se v\u00e1\u017en\u011b poranit u golfu, \u0161achu, kule\u010dn\u00edku a podobn\u011b. Druh\u00fdm p\u00f3lem jsou adrenalinov\u00e9 sporty jako paragliding, sjezd na kole, motosport. Plat\u00ed ov\u0161em pravidlo, \u017ee v\u00e1\u017en\u00e9 \u00farazy utrp\u00ed sp\u00ed\u0161 amat\u00e9\u0159i v ni\u017e\u0161\u00edch sout\u011b\u017e\u00edch. Ve \u0161pi\u010dkov\u00e9m proveden\u00ed jsou v\u011bt\u0161inou bezpe\u010dnostn\u00ed opat\u0159en\u00ed a samoz\u0159ejm\u011b i schopnosti sportovc\u016f \u00fapln\u011b na jin\u00e9 \u00farovni. Z m\u00e9ho pohledu jsou nejnebezpe\u010dn\u011bj\u0161\u00ed sporty provozovan\u00e9 vysoko nad zem\u00ed nebo ve vysok\u00fdch rychlostech.<\/p>\n – Jak napadne \u010desk\u00e9ho l\u00e9ka\u0159e, \u017ee pou\u017eije neov\u011b\u0159en\u00fd zp\u016fsob operace p\u00e1te\u0159e? B\u00e1l jste se mo\u017en\u00fdch komplikac\u00ed?<\/strong><\/p>\n L\u00e9\u010den\u00ed nejslo\u017eit\u011bj\u0161\u00edch medic\u00ednsk\u00fdch probl\u00e9m\u016f v opera\u010dn\u00edm oboru je v\u00fdzvou pro cel\u00fd t\u00fdm, vyl\u00e9\u010dit onemocn\u011bn\u00ed, kter\u00e9 jsme d\u0159\u00edv l\u00e9\u010dit neum\u011bli, je z\u00e1kladn\u00ed c\u00edl u n\u00e1s i ve sv\u011bt\u011b. N\u011bkter\u00e9 unik\u00e1tn\u00ed opera\u010dn\u00ed v\u00fdkony vy\u017eaduj\u00ed mnohaletou p\u0159\u00edpravu, jin\u00e9 jsou d\u00edlem okam\u017eit\u00e9ho n\u00e1padu. V tomto p\u0159\u00edpad\u011b se jednalo o spojen\u00ed oboj\u00edho, to znamen\u00e1 mnoho operovan\u00fdch pacient\u016f ve stejn\u00e9m p\u00e1te\u0159n\u00edm regionu a modifikace v odborn\u00e9 literatu\u0159e ji\u017e popsan\u00fdch postup\u016f. Ka\u017ed\u00fd takov\u00fd opera\u010dn\u00ed v\u00fdkon, kter\u00fd nen\u00ed opakovan\u011b vyzkou\u0161en\u00fd, je riziko \u2013 a velk\u00e9. Je t\u0159eba v\u0161e prodiskutovat s pacientem a dos\u00e1hnout souladu. Komplikac\u00ed se ob\u00e1v\u00e1me i u „ban\u00e1ln\u00edch operac\u00ed“ nato\u017e u t\u011bchto specialit. To v\u00edte, \u017ee se boj\u00edme a jak. Komplikace tak\u00e9 nastaly, ale poda\u0159ilo se je zvl\u00e1dnout a pacient si u\u017e\u00edv\u00e1 plnohodnotn\u00e9ho \u017eivota. V sou\u010dasn\u00e9 dob\u011b m\u00e1me ji\u017e takov\u00fdch pacient\u016f v\u00edce, ne v\u017edy je ale v\u00fdsledek ide\u00e1ln\u00ed. N\u011bkter\u00e9 v\u011bci prost\u011b ani nejmodern\u011bj\u0161\u00ed medic\u00edna zat\u00edm nedovede. Zvl\u00e1dnut\u00ed komplikac\u00ed je pr\u00e1v\u011b to, co d\u011bl\u00e1 kvalitu pracovi\u0161t\u011b. Opakovan\u011b jsem ji\u017e byl dotazov\u00e1n na tento opera\u010dn\u00ed v\u00fdkon, tedy kompletn\u00ed odstran\u011bn\u00ed druh\u00e9ho kr\u010dn\u00edho obratle bez fixace hlavy a krku. Je to v\u0161ak pouze nadstavba na ka\u017edodenn\u00ed b\u011b\u017en\u00fd opera\u010dn\u00ed program, kter\u00fd je odrazov\u00fdm m\u016fstkem pro v\u0161e ostatn\u00ed. J\u00e1 s\u00e1m si v\u00edce v\u00e1\u017e\u00edm dlouhodob\u011b bezvadn\u011b zvl\u00e1dnut\u00e9 denn\u00ed chirurgick\u00e9 rutiny cel\u00fdm opera\u010dn\u00edm t\u00fdmem ne\u017e opera\u010dn\u00edch „exces\u016f“, kter\u00e9 pomohou minimu pacient\u016f.<\/p>\n – Va\u0161imi \u010dast\u00fdmi pacienty v motolsk\u00e9 nemocnici jsou mlad\u00ed lid\u00e9 po v\u00e1\u017en\u00fdch \u00farazech p\u00e1te\u0159e nap\u0159\u00edklad po nejr\u016fzn\u011bj\u0161\u00edch nejen letn\u00edch z\u00e1bav\u00e1ch \u2013 j\u00edzda na motorce, kole, skoky do vody… Jak v\u00e1m je, kdy\u017e vid\u00edte, jak lehce lze doj\u00edt k t\u011b\u017ek\u00e9mu ubl\u00ed\u017een\u00ed na zdrav\u00ed p\u0159ev\u00e1\u017en\u011b vlastn\u00ed lehkomyslnost\u00ed?<\/strong><\/p>\n Poran\u011bn\u00ed p\u00e1te\u0159e s posti\u017een\u00edm uvnit\u0159 ulo\u017een\u00fdch nervov\u00fdch struktur je jedno z nejz\u00e1va\u017en\u011bj\u0161\u00edch s rozs\u00e1hl\u00fdmi n\u00e1sledky pro pacienta, jeho rodinu. V l\u00e9t\u011b sv\u00e1d\u00ed sportovn\u00ed aktivity k neopatrnosti, a tak se v\u00edc setk\u00e1v\u00e1me s poran\u011bn\u00edm po skoku do vody, po p\u00e1du z kola, s \u00farazy na motocyklu, p\u0159i paraglidingu a jin\u00fdch vzdu\u0161n\u00fdch z\u00e1bav\u00e1ch. Na podzim zase vyrostou „vysoko zraj\u00edc\u00ed“ plody a lid\u00e9 padaj\u00ed ze strom\u016f. V zim\u011b \u010dasto l\u00e9\u010d\u00edme pacienty poran\u011bn\u00e9 p\u0159i ly\u017eov\u00e1n\u00ed a snowboardingu. Po cel\u00fd rok v\u0161ak v absolutn\u00edch \u010d\u00edslech p\u0159evl\u00e1daj\u00ed autonehody. Mnoho \u00faraz\u016f je zp\u016fsobeno lehkomyslnost\u00ed a neuk\u00e1zn\u011bnost\u00ed posti\u017een\u00e9ho, ty je mo\u017en\u00e9 ovlivnit. Jsou v\u0161ak \u00farazy, kter\u00fdm zamezit nelze. Auty asi budeme jezdit d\u00e1l, ale sk\u00e1kat do baz\u00e9nu nebo rybn\u00edka bez dostate\u010dn\u00e9 hloubky vody po hlav\u011b je nesmysl a ka\u017edoro\u010dn\u011b od toho potenci\u00e1ln\u00ed „skokany“ zrazujeme. I p\u0159es nesporn\u00e9 pokroky medic\u00edny v l\u00e9\u010db\u011b poran\u011bn\u00ed p\u00e1te\u0159e a m\u00edchy je st\u00e1le nejd\u016fle\u017eit\u011bj\u0161\u00ed prevence. Prost\u011b do vody nap\u0159ed po noh\u00e1ch. Zapnut\u00e9 bezpe\u010dnostn\u00ed p\u00e1sy v aut\u011b, bezpe\u010dnostn\u00ed seda\u010dky pro d\u011bti, p\u0159izp\u016fsoben\u00ed rychlosti j\u00edzdy dan\u00fdm podm\u00ednk\u00e1m je samoz\u0159ejmost\u00ed. N\u011bkdy to ale i tak nesta\u010d\u00ed a \u00faraz je zp\u016fsoben ciz\u00edm zavin\u011bn\u00edm nebo shodou nep\u0159\u00edzniv\u00fdch okolnost\u00ed.<\/p>\n – V\u00e1\u0161 \u017eivot je pln\u011b spojen s Prahou, kde jste se narodil. Va\u0161e matka ale poch\u00e1z\u00ed z v\u00fdchodn\u00edch \u010cech. Jak\u00fd m\u00e1te vztah k tomuto regionu?<\/strong><\/p>\n V Ohni\u0161\u0165anech mezi Nov\u00fdm Byd\u017eovem a Ho\u0159icemi jsem tr\u00e1vil v d\u011btstv\u00ed ka\u017ed\u00e9 pr\u00e1zdniny a mnoho v\u00edkend\u016f. Zde m\u011b t\u00e1ta zasv\u011bcoval do taj\u016f sportovn\u00ed ryba\u0159iny. S celou rodinou se do v\u00fdchodn\u00edch \u010cech r\u00e1di vrac\u00edme a j\u00e1 se sna\u017e\u00edm syn\u016fm tak\u00e9 z p\u0159\u00edrody n\u011bco uk\u00e1zat.<\/p>\n – Jste uzn\u00e1van\u00fd operat\u00e9r, ale p\u00ed\u0161ete i odborn\u00e9 \u010dl\u00e1nky do uzn\u00e1van\u00fdch sv\u011btov\u00fdch periodik, po\u0159\u00e1d\u00e1te p\u0159edn\u00e1\u0161ky. Jak se c\u00edt\u00edte l\u00e9pe, jako operat\u00e9r, nebo v\u011bdec?<\/strong><\/p>\n Jednozna\u010dn\u011b jako operat\u00e9r, na opera\u010dn\u00edm s\u00e1le jsem doma. V\u0161echno ostatn\u00ed je prom\u011b pouze nadstavba nebo nutn\u00e9 zlo. I kdy\u017e je pravda, \u017ee napsat p\u011bknou kn\u00ed\u017eku nebo \u010dl\u00e1nek v presti\u017en\u00edm \u010dasopise tak\u00e9 pot\u011b\u0161\u00ed. Bez toho by o n\u00e1s v\u011bd\u011blo daleko m\u00e9n\u011b lid\u00ed, a to hlavn\u011b v zahrani\u010d\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":" Profesor MUDr. Jan \u0160tul\u00edk je zn\u00e1m jako vynikaj\u00edc\u00ed ortoped, kter\u00fd se specializuje na l\u00e9\u010den\u00ed onemocn\u011bn\u00ed p\u00e1te\u0159e. Uzn\u00e1van\u00fd l\u00e9ka\u0159 a skv\u011bl\u00fd operat\u00e9r proslul unik\u00e1tn\u00ed operac\u00ed \u2013 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":11366,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,11],"tags":[],"class_list":["post-11364","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/11364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11364"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/11364\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/11366"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}