{"id":13658,"date":"2013-12-03T10:38:36","date_gmt":"2013-12-03T09:38:36","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=13658"},"modified":"2014-10-20T20:05:06","modified_gmt":"2014-10-20T18:05:06","slug":"co-mi-tedy-je-ptaji-se-lide-v-ostrove","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=13658","title":{"rendered":"Co mi tedy je? ptaj\u00ed se lid\u00e9 v Ostrov\u011b"},"content":{"rendered":"

Pacient\u016fm z regionu, d\u016fv\u011b\u0159uj\u00edc\u00edm takzvan\u00e9 celostn\u00ed medic\u00edn\u011b, mohou pomoci rady odborn\u00edk\u016f a terapeutick\u00e9 pl\u00e1ny. Krom\u011b Ostrova je nab\u00eddne i pracovi\u0161t\u011b ve Varech. Rozhovor MfD s l\u00e9ka\u0159em Zby\u0148kem Pauchem.<\/strong>
\n
\nPacient Karel p\u0159i\u0161el s bolestmi kr\u010dn\u00ed p\u00e1te\u0159e vyst\u0159eluj\u00edc\u00edmi do hlavy, ob\u010das m\u011bl i to\u010den\u00ed hlavy. Praktick\u00fd l\u00e9ka\u0159 mu p\u0159edepsal l\u00e9ky proti bolesti, ty v\u0161ak stav nezlep\u0161ily. Pot\u00e9 byl u neurologa a n\u00e1sledn\u011b u ortopeda. Oba odborn\u00edci jej d\u016fkladn\u011b vy\u0161et\u0159ili, ale nenalezli p\u0159\u00ed\u010dinu bolest\u00ed.<\/p>\n

„Podstoupil mas\u00e1\u017ee kr\u010dn\u00ed p\u00e1te\u0159e, ale efekt byl jen kr\u00e1tkodob\u00fd. P\u0159i vy\u0161et\u0159en\u00ed jsem nalezl zv\u00fd\u0161en\u00e9 nap\u011bt\u00ed \u0161\u00edjov\u00fdch sval\u016f a blok\u00e1dy kr\u010dn\u00ed p\u00e1te\u0159e.<\/p>\n

Pacient se sv\u011b\u0159il, \u017ee je v posledn\u00ed dob\u011b velmi unaven,“ \u0159ekl l\u00e9ka\u0159 Zbyn\u011bk Pauch, kter\u00fd m\u00e1 soukrom\u00e9 rehabilita\u010dn\u00ed pracovi\u0161t\u011b v Ostrov\u011b. L\u00e9ka\u0159 postupn\u011b zjistil, \u017ee pan Karel soukrom\u011b podnik\u00e1 a m\u00e1 probl\u00e9my s pronaj\u00edmatelem, kter\u00fd nab\u00eddl provozovnu jin\u00e9 firm\u011b.<\/p>\n

– Jak cel\u00fd p\u0159\u00edpad skon\u010dil?<\/strong><\/p>\n

Pr\u00e1vn\u00edci nepomohli, mus\u00ed se p\u0159est\u011bhovat. Vysv\u011btlil jsem mu, \u017ee svalov\u00e9 nap\u011bt\u00ed \u0161\u00edje a s t\u00edm souvisej\u00edc\u00ed bolesti hlavy jsou ze stresu, kter\u00fd pro\u017e\u00edv\u00e1. Kdy\u017e si to uv\u011bdomil, napadlo ho \u0159e\u0161en\u00ed. Upustil od dal\u0161\u00edch pr\u00e1vn\u00edch spor\u016f a velmi rychle si na\u0161el novou provozovnu. P\u0159i dal\u0161\u00ed n\u00e1v\u0161t\u011bv\u011b uvedl, \u017ee jeho obt\u00ed\u017ee jsou podstatn\u011b men\u0161\u00ed. Pokra\u010doval jsem v l\u00e9\u010db\u011b manu\u00e1ln\u00edmi rehabilita\u010dn\u00edmi technikami a akupunkturou a stav se brzy zcela upravil.<\/p>\n

– Co je celostn\u00ed nebo t\u00e9\u017e psychosomatick\u00e1 medic\u00edna?<\/strong><\/p>\n

Jde o p\u0159\u00edstup, kter\u00fd zkoum\u00e1 vztahy mezi t\u011blesnou, neboli somatickou a du\u0161evn\u00ed, tedy psychickou str\u00e1nkou \u010dlov\u011bka. Vysv\u011btluje p\u0159edev\u0161\u00edm vliv psychick\u00fdch funkc\u00ed na chod organismu. Jde o komplexn\u00ed p\u0159\u00edstup k \u010dlov\u011bku a jeho zdrav\u00ed a odhalov\u00e1n\u00ed skute\u010dn\u00fdch p\u0159\u00ed\u010din nemoci.<\/p>\n

– Jak\u00e9 m\u00e1 ve\u0159ejnost o psychosomatice nejv\u011bt\u0161\u00ed zkreslen\u00e9 p\u0159edstavy?<\/strong><\/p>\n

Celostn\u00ed l\u00e9\u010dbu si n\u011bkdy pacienti pletou s l\u00e9\u010ditelstv\u00edm. Vzd\u011blan\u00fd l\u00e9\u010ditel m\u00e1 sice celostn\u00ed pohled na choroby, ale chyb\u00ed mu medic\u00ednsk\u00e9 vzd\u011bl\u00e1n\u00ed. A nav\u00edc nen\u00ed pr\u00e1vn\u011b odpov\u011bdn\u00fd za po\u0161kozen\u00ed sv\u00e9ho klienta. N\u00e1zev psychosomatick\u00e1 medic\u00edna zase vyvol\u00e1 u n\u011bkoho dojem, \u017ee jde o l\u00e9\u010dbu \u010dist\u011b du\u0161evn\u00edch chorob. N\u011bkte\u0159\u00ed pacienti si mysl\u00ed, \u017ee bylinn\u00e9 k\u00fary, mas\u00e1\u017ee, kineziologie, j\u00f3ga, akupunktura a dal\u0161\u00ed mohu zcela nahradit standardn\u00ed l\u00e9\u010dbu. V\u017edy jde o dopl\u0148uj\u00edc\u00ed terapii. Samotn\u00e9 mohou b\u00fdt nasazeny pouze u takzvan\u00fdch funk\u010dn\u00edch posti\u017een\u00ed, kdy chyb\u00ed objektivn\u00ed p\u0159\u00edznaky choroby, ale v\u017edy pod dohledem l\u00e9ka\u0159e.<\/p>\n

– Je v Karlovarsk\u00e9m kraji l\u00e9ka\u0159sk\u00e9 pracovi\u0161t\u011b, kter\u00e9 se soustavn\u011b zab\u00fdv\u00e1 celostn\u00ed medic\u00ednou?<\/strong><\/p>\n

M\u00e1m soukrom\u00e9 rehabilita\u010dn\u00ed pracovi\u0161t\u011b v Ostrov\u011b. Zde se celostn\u00ed medic\u00edn\u011b v\u011bnuji zat\u00edm jen v mal\u00e9m rozsahu. V prosinci zah\u00e1j\u00ed svou \u010dinnost specializovan\u00e9 pracovi\u0161t\u011b celostn\u00ed medic\u00edny na poliklinice Bezru\u010dova 10 v Karlov\u00fdch Varech.<\/p>\n

– Mus\u00ed pacienti v ordinaci platit?<\/strong><\/p>\n

Ano, celostn\u00ed l\u00e9\u010dba bohu\u017eel nen\u00ed hrazena zdravotn\u00edmi poji\u0161\u0165ovnami.<\/p>\n

– Mohou za ch\u0159ipku jen viry?<\/strong><\/p>\n

V\u0161ichni v\u00edme, \u017ee ch\u0159ipka je zp\u016fsobena virem. M\u00e1lokdo v\u010detn\u011b l\u00e9ka\u0159\u016f si klade ot\u00e1zku, pro\u010d u n\u011bkoho nemoc vznikne a u druh\u00e9ho nikoliv, nebo se projev\u00ed jen minim\u00e1ln\u00edmi obt\u00ed\u017eemi. Ji\u017e ve druh\u00e9 polovin\u011b 19. stolet\u00ed se ptal Louis Pasteur, objevitel bakteri\u00e1ln\u00edch p\u016fvodc\u016f nemoci: Co je pro bakterii na \u010dlov\u011bku tak zaj\u00edmav\u00e9ho? Dnes ji\u017e v\u00edme, \u017ee je to sn\u00ed\u017een\u00ed imunity – obranyschopnosti organismu. Vedle nezdrav\u00e9ho \u017eivotn\u00edho prost\u0159ed\u00ed a chronick\u00fdch chorob je to hlavn\u011b deprese, kter\u00e1 sni\u017euje obranyschopnost. Nezvl\u00e1dnut\u00fd stres vede k depres\u00edm, kter\u00fdmi trp\u00ed \u0159ada lid\u00ed.<\/p>\n

– Plat\u00ed to tak\u00e9 u imunitn\u00edch chorob?<\/strong><\/p>\n

N\u011bkter\u00e1 onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy a \u0159ada revmatick\u00fdch chorob jsou ozna\u010dov\u00e1ny jako autoimunitn\u00ed choroby, kdy organismus vytv\u00e1\u0159\u00ed protil\u00e1tky proti vlastn\u00ed tk\u00e1ni. V sou\u010dasn\u00e9 dob\u011b existuj\u00ed n\u00e1zory, \u017ee i zde hraje d\u016fle\u017eitou roli stres. \u0158ada odborn\u00edk\u016f dnes soud\u00ed, \u017ee i na vzniku rakoviny se krom\u011b genetick\u00fdch faktor\u016f v\u00fdrazn\u011b pod\u00edl\u00ed i takzvan\u00fd baz\u00e1ln\u00ed stres. Jde obvykle o v\u00edce ne\u0159e\u0161en\u00fdch t\u011b\u017ek\u00fdch probl\u00e9m\u016f v zam\u011bstn\u00e1n\u00ed, v rodin\u011b a podobn\u011b.<\/p>\n

– A co bolesti zad?<\/strong><\/p>\n

Z \u0159ady v\u011bdeck\u00fdch pozorov\u00e1n\u00ed vypl\u00fdv\u00e1, \u017ee v\u011bt\u0161ina bolesti zad a kr\u010dn\u00ed p\u00e1te\u0159e vznik\u00e1 z nadm\u011brn\u00e9ho nap\u011bt\u00ed n\u011bkter\u00fdch svalov\u00fdch skupin. Jin\u00e9 svaly jsou naopak ochabl\u00e9. Vznik\u00e1 tak svalov\u00e1 nerovnov\u00e1ha, kter\u00e1 nep\u0159\u00edzniv\u011b ovliv\u0148uje stabilitu p\u00e1te\u0159e a kloub\u016f. A pro\u010d jsou n\u011bkter\u00e9 svaly trvale v nap\u011bt\u00ed? Proto\u017ee jsou mimo jin\u00e9 ovlivn\u011bny i nap\u011bt\u00edm psychick\u00fdm – stresem. Bohu\u017eel jsme si tak zvykli na hektick\u00fd \u017eivotn\u00ed styl orientovan\u00fd na bohatstv\u00ed, v\u00fdkonnost a image, \u017ee stres pova\u017eujeme za normu. Ale nen\u00ed tomu tak. P\u0159\u00edroda vymyslela stres jako obrannou reakci na akutn\u00ed nebezpe\u010d\u00ed. V\u00fdsledkem je chov\u00e1n\u00ed typu \u00fatok nebo \u00fanik. B\u011b\u017en\u00e9 \u017eivotn\u00ed situace, jako nap\u0159\u00edklad b\u00fdvaj\u00ed konflikty na pracovi\u0161ti, rodinn\u00e9 neshody a obt\u00ed\u017en\u00e9 spl\u00e1cen\u00ed hypot\u00e9ky, nem\u016f\u017eeme \u0159e\u0161it t\u00edmto prastar\u00fdm p\u0159\u00edrodn\u00edm zp\u016fsobem. Pokud nenalezneme cestu k uspokojuj\u00edc\u00edmu \u0159e\u0161en\u00ed, \u010dasto probl\u00e9m podv\u011bdom\u011b potla\u010dujeme – polyk\u00e1me. Psychologov\u00e9 soud\u00ed, \u017ee co pacient potla\u010duje, co nezvl\u00e1d\u00e1, \u010demu se nepostav\u00ed, \u010di co se nenau\u010dil, to podv\u011bdom\u011b p\u0159esunuje do sv\u00e9ho t\u011blesn\u00e9ho „j\u00e1“, kde se to d\u0159\u00edve \u010di pozd\u011bji projev\u00ed jako p\u0159\u00edznak nemoci.<\/p>\n

– Objev\u00ed modern\u00ed diagnostick\u00e1 technika p\u0159\u00ed\u010dinu nemoci?<\/strong><\/p>\n

Sou\u010dasn\u00e1 modern\u00ed medic\u00edna, n\u011bkdy ozna\u010dovan\u00e1 jako biologick\u00e1, hled\u00e1 v\u017edy n\u011bjakou objektivn\u00ed p\u0159\u00ed\u010dinu. Je statisticky zji\u0161t\u011bno, \u017ee u 60 procent pacient\u016f lze p\u0159\u00ed\u010dinu obt\u00ed\u017e\u00ed bezpe\u010dn\u011b zjistit pomoc\u00ed odb\u011br\u016f, rentgenu, CT vy\u0161et\u0159en\u00ed, sonografie, magnetick\u00e9 rezonance a dal\u0161\u00edch. Nalezen\u00e9 zm\u011bny se l\u00e9\u010d\u00ed pomoc\u00ed l\u00e9k\u016f, fyzik\u00e1ln\u00ed terapie, obst\u0159iky, operacemi a tak d\u00e1le. Ale u 40 procent pacient\u016f s typick\u00fdmi t\u011blesn\u00fdmi probl\u00e9my objektivn\u00ed n\u00e1lez chyb\u00ed. Pro norm\u00e1ln\u00edho l\u00e9ka\u0159e je to ne\u0159e\u0161iteln\u00fd probl\u00e9m. Pacient je odesl\u00e1n k jin\u00e9mu odborn\u00edkovi, ten v\u0161ak stav nem\u016f\u017ee uspokojiv\u011b vy\u0159e\u0161it. \u010casto jde o bolesti hlavy, zad, sval\u016f, brn\u011bn\u00ed kon\u010detin, z\u00e1vrat\u011b, p\u00e1len\u00ed \u017e\u00e1hy, poruchy tr\u00e1ven\u00ed, \u010dast\u00e9 infekce, hu\u010den\u00ed v u\u0161\u00edch, chronickou \u00fanavu, nebo jin\u00e9 „nevysv\u011btliteln\u00e9“ obt\u00ed\u017ee, kter\u00e9 p\u0159ich\u00e1zej\u00ed znovu a znovu.<\/p>\n

– Jak\u00fd je prvn\u00ed krok k vyl\u00e9\u010den\u00ed?<\/strong><\/p>\n

Pokud pochop\u00edme, jak velk\u00fd vliv na zdrav\u00ed m\u00e1 zp\u016fsob \u017eivota a ne\u0159e\u0161en\u00e9 probl\u00e9my, je to prvn\u00ed krok k vyl\u00e9\u010den\u00ed. Pak je t\u0159eba nav\u0161t\u00edvit l\u00e9ka\u0159sk\u00e9 pracovi\u0161t\u011b zab\u00fdvaj\u00edc\u00ed se celostn\u00ed medic\u00ednou. Pracovi\u0161t\u011b nezasahuje do l\u00e9\u010dby jin\u00fdch l\u00e9ka\u0159\u016f. Vypracuje v\u0161ak terapeutick\u00fd pl\u00e1n. V n\u011bm mus\u00ed b\u00fdt zohledn\u011bny z\u00e1kladn\u00ed pil\u00ed\u0159e zdrav\u00e9ho \u017eivotn\u00edho stylu -stravovac\u00ed n\u00e1vyky, p\u0159im\u011b\u0159en\u00e1 pohybov\u00e1 aktivita a rehabilitace a t\u00e9\u017e osobn\u00ed management. St\u00e1le v\u00edce pacient\u016f ch\u00e1pe, \u017ee i pomoc erudovan\u00e9ho psychologa je zde velmi u\u017eite\u010dn\u00e1.<\/p>\n

Vladim\u00edr Zedn\u00edk
\nMlad\u00e1 fronta DNES http:\/\/www.idnes.cz\/<\/p>\n","protected":false},"excerpt":{"rendered":"

Pacient\u016fm z regionu, d\u016fv\u011b\u0159uj\u00edc\u00edm takzvan\u00e9 celostn\u00ed medic\u00edn\u011b, mohou pomoci rady odborn\u00edk\u016f a terapeutick\u00e9 pl\u00e1ny. Krom\u011b Ostrova je nab\u00eddne i pracovi\u0161t\u011b ve Varech. Rozhovor MfD s […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,11],"tags":[],"class_list":["post-13658","post","type-post","status-publish","format-standard","hentry","category-rozhovory","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/13658","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=13658"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/13658\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13658"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13658"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13658"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}