Tik v oku b\u00fdv\u00e1 \u010dasto ter\u010dem r\u016fzn\u00fdch posm\u011b\u0161k\u016f a vtip\u016f. P\u0159itom se jedn\u00e1 o zdravotn\u00ed probl\u00e9m jako ka\u017ed\u00fd jin\u00fd. Tik v oku je varov\u00e1n\u00edm, \u017ee se v lidsk\u00e9m organismu n\u011bco d\u011bje a je t\u0159eba to \u0159e\u0161it. Rozhovor s o\u010dn\u00ed l\u00e9ka\u0159kou Miladou Kr\u00e1lovcovou.<\/p>\n
– Co se n\u00e1m v oku d\u011bje v p\u0159\u00edpad\u011b, \u017ee v n\u011bm m\u00e1me tik?<\/p>\n
Tikem obecn\u011b rozum\u00edme rychl\u00fd, nepravideln\u011b se opakuj\u00edc\u00ed, ale stereotypn\u00ed pohyb, kter\u00fd m\u00edv\u00e1 nutkav\u00fd r\u00e1z a jemu\u017e \u010dasto p\u0159edch\u00e1z\u00ed nep\u0159\u00edjemn\u00fd pocit, kter\u00fd se proveden\u00edm tiku zm\u00edrn\u00ed. Tiky mohou postihovat jednu i v\u00edce svalov\u00fdch skupin. V konkr\u00e9tn\u00edm p\u0159\u00edpad\u011b tiku v oku se jedn\u00e1 o stereotypn\u011b se opakuj\u00edc\u00ed kr\u00e1tkodob\u00e9 pohyby a stahy o\u010dn\u00edch v\u00ed\u010dek, kter\u00e9 maj\u00ed \u0161kubav\u00fd r\u00e1z.<\/p>\n
– Je tik v oku onemocn\u011bn\u00ed nebo je to jen projev n\u011b\u010deho jin\u00e9ho, co v organismu nen\u00ed v po\u0159\u00e1dku?<\/p>\n
Tik je s\u00e1m o sob\u011b velmi nespecifick\u00fd p\u0159\u00edznak, kter\u00fd je v\u011bt\u0161inou projevem psychick\u00e9ho vy\u010derp\u00e1n\u00ed organismu \u010di jin\u00e9ho stresu. Pokud se vyskytuje izolovan\u011b pouze na oku a netrv\u00e1 v\u00edce ne\u017e n\u011bkolik dn\u016f a\u017e t\u00fddn\u016f, nepova\u017eujeme ho za nikterak z\u00e1va\u017en\u00fd probl\u00e9m. V opa\u010dn\u00e9m p\u0159\u00edpad\u011b v\u0161ak m\u016f\u017ee upozornit na z\u00e1va\u017en\u011bj\u0161\u00ed onemocn\u011bn\u00ed, proto je pak rozhodn\u011b vhodn\u00e9 absolvovat i vy\u0161et\u0159en\u00ed neurologem.<\/p>\n
– Jak\u00e9 jsou nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny?<\/p>\n
Jak ji\u017e bylo \u0159e\u010deno, tik je nej\u010dast\u011bji projevem psychick\u00e9ho vyp\u011bt\u00ed, stresu, kdy je nervov\u011b\u2013svalov\u00fd syst\u00e9m v nerovnov\u00e1ze. M\u016f\u017ee b\u00fdt ale vyvol\u00e1n i nedostate\u010dn\u00fdm nebo nekvalitn\u00edm sp\u00e1nkem, n\u011bkdy se tak projevuje i n\u00edzk\u00e1 hladina n\u011bkter\u00fdch miner\u00e1l\u016f v krvi.<\/p>\n
– Po jak\u00e9 dob\u011b t\u011bchto obt\u00ed\u017e\u00ed je nutn\u00e9 vyhledat l\u00e9ka\u0159e a m\u00e1me se obr\u00e1tit rovnou na oftalmologa?<\/p>\n
Tik je pom\u011brn\u011b \u010dast\u00fdm probl\u00e9mem, kter\u00fd v\u011bt\u0161inou po n\u011bkolika dnech s\u00e1m odezn\u00ed bez jak\u00fdchkoli opat\u0159en\u00ed. P\u0159esto pokud trv\u00e1 d\u00e9le ne\u017e rok, vyskytuje-\u00adli se v souvislosti s n\u011bkter\u00fdmi dal\u0161\u00edmi neurologick\u00fdmi projevy, \u010di u d\u011bt\u00ed, je vhodn\u00e9 sp\u00ed\u0161e ne\u017e oftalmologick\u00e9 pr\u00e1v\u011b neurologick\u00e9 vy\u0161et\u0159en\u00ed k vylou\u010den\u00ed onemocn\u011bn\u00ed, kter\u00fdm m\u016f\u017ee tik p\u0159edch\u00e1zet.<\/p>\n
– Co n\u00e1s v ordinaci l\u00e9ka\u0159e \u010dek\u00e1?<\/p>\n
Pokud se pacient obr\u00e1t\u00ed s tikem v oku na oftalmologa, bude pravd\u011bpodobn\u011b n\u00e1sledovat standardn\u00ed biomikroskopick\u00e9 vy\u0161et\u0159en\u00ed o\u010d\u00ed, vy\u0161et\u0159en\u00ed zrakov\u00e9 ostrosti a nitroo\u010dn\u00edho tlaku. Podle n\u00e1lezu a eventu\u00e1ln\u011b dal\u0161\u00edch p\u0159\u00edpadn\u00fdch pot\u00ed\u017e\u00ed pak specializovan\u00e1 vy\u0161et\u0159en\u00ed \u2013 neurologick\u00e9, biochemick\u00e9. V ambulanci o\u010dn\u00edho l\u00e9ka\u0159e je toti\u017e d\u016fle\u017eit\u00e9 odli\u0161it, zda se jedn\u00e1 skute\u010dn\u011b o prav\u00fd tik v\u00ed\u010dek, jak zde byl ji\u017e pops\u00e1n, \u010di o jin\u00fd subjektivn\u00ed pocit podobn\u00fd tiku, kter\u00fd m\u016f\u017ee doprov\u00e1zet r\u016fzn\u00e1 o\u010dn\u00ed a o\u010dnicov\u00e1 onemocn\u011bn\u00ed. Z t\u011bch nej\u010dast\u011bj\u0161\u00edch bych jmenovala nitroo\u010dn\u00ed z\u00e1n\u011bty, tzv. uveitidy, kdy bolest a tlak v oku lze rovn\u011b\u017e vn\u00edmat jako „cuk\u00e1n\u00ed“ v oku. Z o\u010dnicov\u00fdch p\u0159\u00ed\u010din jsou to stavy, kdy je poru\u0161en kost\u011bn\u00fd strop o\u010dnice (vrozen\u011b nebo nap\u0159. tumorem) a pulzace c\u00e9v mozkov\u00fdch plen a mozku se potom p\u0159en\u00e1\u0161\u00ed i na oko a ostatn\u00ed obsah o\u010dnice. Pulsov\u00e1n\u00ed oka spolu s viditeln\u00fdm vystoupen\u00edm oka z o\u010dnice a \u0161elestem, kter\u00fd sly\u0161\u00ed \u010dasto i pacient, se pak objevuje u z\u00e1va\u017en\u00e9ho nitrolebn\u00edho c\u00e9vn\u00edho onemocn\u011bn\u00ed, tzv. karotido\u2013kavernozn\u00ed p\u00ed\u0161t\u011ble.<\/p>\n
– Jak\u00fdm zp\u016fsobem bude prob\u00edhat l\u00e9\u010dba p\u0159i odstra\u0148ov\u00e1n\u00ed tiku v oku?<\/p>\n
Z\u00e1kladem je psychick\u00fd odpo\u010dinek, dostatek sp\u00e1nku a vyvarov\u00e1n\u00ed se stresu. K vyrovn\u00e1n\u00ed n\u00edzk\u00fdch hladin miner\u00e1l\u016f v krvi pom\u016f\u017ee p\u0159echodn\u00e9 u\u017e\u00edv\u00e1n\u00ed vitaminov\u00fdch dopl\u0148k\u016f \u2013 zejm\u00e9na ho\u0159\u010d\u00edku, vitaminu B, v\u00e1pn\u00edku a zinku.<\/p>\n","protected":false},"excerpt":{"rendered":"
Tik v oku b\u00fdv\u00e1 \u010dasto ter\u010dem r\u016fzn\u00fdch posm\u011b\u0161k\u016f a vtip\u016f. P\u0159itom se jedn\u00e1 o zdravotn\u00ed probl\u00e9m jako ka\u017ed\u00fd jin\u00fd. Tik v oku je varov\u00e1n\u00edm, \u017ee […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":20406,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15277","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15277","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=15277"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15277\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/20406"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}