{"id":15280,"date":"2014-03-29T10:02:26","date_gmt":"2014-03-29T09:02:26","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15280"},"modified":"2014-10-20T20:01:29","modified_gmt":"2014-10-20T18:01:29","slug":"amputace-uz-nehrozi-diabetiky-zachrani-prevratna-metoda","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15280","title":{"rendered":"Amputace u\u017e nehroz\u00ed. Diabetiky zachr\u00e1n\u00ed p\u0159evratn\u00e1 metoda"},"content":{"rendered":"

L\u00e9ka\u0159 Emil Z\u00e1humensk\u00fd ze Zl\u00edna usp\u011bl s novou metodou. L\u00e9ka\u0159sk\u00e1 studie potvrdila, \u017ee MDM pom\u016f\u017ee cukrovk\u00e1\u0159\u016fm od hroz\u00edc\u00ed amputace kon\u010detiny. Tu ka\u017edoro\u010dn\u011b v \u010cesku podstoup\u00ed na deset tis\u00edc pacient\u016f.<\/strong><\/p>\n

 <\/p>\n

Za\u010dalo to u n\u011bj stejn\u011b nen\u00e1padn\u011b jako u ostatn\u00edch diabetik\u016f. Ji\u0159\u00ed Rozumek z Napajedel si na prav\u00e9 noze ud\u011blal mal\u00fd puch\u00fd\u0159, kdy\u017e pracoval na zahrad\u011b ve svahu a chodil nahoru a dol\u016f.<\/p>\n

„Puch\u00fd\u0159 na palci se \u010dasem strhl a pod n\u00edm se objevila \u010dern\u00e1 tk\u00e1\u0148. Odum\u00edrala,“ vzpom\u00edn\u00e1 osmasedmdes\u00e1tilet\u00fd mu\u017e.
\nU lid\u00ed, kte\u0159\u00ed trp\u00ed cukrovkou, se podobn\u00e9 probl\u00e9my objevuj\u00ed pom\u011brn\u011b \u010dasto. P\u0159ed dv\u011bma lety evidovali l\u00e9ka\u0159i v\u00edce ne\u017e 40 tis\u00edc pacient\u016f s takzvan\u00fdm syndromem diabetick\u00e9 nohy. Lid\u00e9 p\u0159i n\u011bm trp\u00ed t\u00edm, \u017ee se jim nohy \u0161patn\u011b prokrvuj\u00ed, maj\u00ed je necitliv\u00e9 a d\u011blaj\u00ed se jim nezhojiteln\u00e9 otev\u0159en\u00e9 r\u00e1ny. Maj\u00ed nesnesiteln\u00e9 bolesti, kter\u00e9 je tr\u00e1p\u00ed hlavn\u011b v noci.<\/p>\n

„Trp\u011bl jsem tak, \u017ee jsem ve slab\u00e9 chv\u00edli amputaci pova\u017eoval za vysvobozen\u00ed,“ \u0159\u00edk\u00e1 otev\u0159en\u011b p\u011bta\u0161edes\u00e1tilet\u00fd Rudolf And\u011bl z \u010cesk\u00e9 L\u00edpy.<\/p>\n

Pr\u00e1v\u011b radik\u00e1ln\u00ed operac\u00ed l\u00e9\u010dba \u010dasto kon\u010d\u00ed. Ro\u010dn\u011b ji v \u010cesk\u00e9 republice podstoup\u00ed a\u017e deset tis\u00edc pacient\u016f.
\n„Nejm\u00e9n\u011b polovina je ale zbyte\u010dn\u00e1. A nemus\u00ed k n\u00ed doj\u00edt,“ tvrd\u00ed zku\u0161en\u00fd zl\u00ednsk\u00fd pediatr Emil Z\u00e1humensk\u00fd, kter\u00fd se diabetickou nohou zab\u00fdv\u00e1 u\u017e dvacet let.<\/p>\n

Pot\u00ed\u017ee Ji\u0159\u00edho Rozumka k amputaci nejd\u0159\u00edve sm\u011b\u0159ovaly tak\u00e9. L\u00e9ka\u0159i postupn\u011b odst\u0159\u00edh\u00e1vali odum\u00edraj\u00edc\u00ed tk\u00e1\u0148, a\u017e se dostali na kost. Mezit\u00edm nastaly komplikace na lev\u00e9 noze, kter\u00e9 se uk\u00e1zaly jako mnohem z\u00e1va\u017en\u011bj\u0161\u00ed.
\n„Do\u0161lo na operaci, p\u0159i kter\u00e9 mi vzali t\u0159i prsty. Ale gangr\u00e9na stejn\u011b neustupovala,“ vysv\u011btluje Rozumek. L\u00e9\u010dba nepom\u00e1hala a hrozila amputace cel\u00e9 nohy.<\/p>\n

A\u017e na internetu objevila dcera kontakt na l\u00e9ka\u0159e Z\u00e1humensk\u00e9ho, kter\u00fd u\u017e n\u011bkolik let pou\u017e\u00edv\u00e1 p\u0159evratnou metodu mesodiencefalick\u00e9 modulace neboli MDM na l\u00e9\u010dbu bolesti nohou. Rozumka za\u0159adil do skupiny patn\u00e1cti cukrovk\u00e1\u0159\u016f, na kter\u00fdch cht\u011bl v r\u00e1mci ov\u011b\u0159ovac\u00ed studie prok\u00e1zat mimo\u0159\u00e1dn\u00e9 \u00fa\u010dinky MDM i na l\u00e9\u010dbu chronick\u00fdch ran.<\/p>\n

Ta spo\u010d\u00edvala ve zhruba p\u016flhodinov\u00fdch sezen\u00edch, p\u0159i kter\u00fdch pomoc\u00ed p\u0159\u00edstroje MDM dost\u00e1vali pacienti do mozku slab\u00e9 impulzy elektrick\u00e9ho proudu. Nesm\u011bly b\u00fdt bolestiv\u00e9, ale naopak p\u0159\u00edjemn\u00e9.
\n„Intenzitu impulz\u016f si zvolil ka\u017ed\u00fd s\u00e1m. Mus\u00ed to b\u00fdt natolik p\u0159\u00edjemn\u00e9, \u017ee pacient u toho i usne,“ poznamenal Z\u00e1humensk\u00fd.<\/p>\n

Cena za l\u00e9\u010dbu chronick\u00fdch ran zat\u00edm nen\u00ed jasn\u00e1.<\/em><\/p>\n

Nikde na sv\u011bt\u011b se MDM k t\u011bmto \u00fa\u010del\u016fm nepou\u017e\u00edv\u00e1. P\u0159esto se t\u00fdmu \u010desk\u00fdch l\u00e9ka\u0159\u016f poda\u0159ilo b\u011bhem dev\u00edti m\u011bs\u00edc\u016f \u00fasp\u011b\u0161n\u011b prok\u00e1zat jej\u00ed \u00fa\u010dinky.
\nNikdo ze sledovan\u00fdch klient\u016f nemusel podstoupit radik\u00e1ln\u00ed z\u00e1krok. „U pacient\u016f se tak\u00e9 nastartoval proces hojen\u00ed a pozorovali jsme zmen\u0161en\u00ed r\u00e1ny pr\u016fm\u011brn\u011b o 54 procent,“ potvrdil garant studie Milan Kvapil, m\u00edstop\u0159edseda \u010cesk\u00e9 diabetologick\u00e9 spole\u010dnosti a p\u0159ednosta Intern\u00ed kliniky Fakultn\u00ed nemocnice Motol.<\/p>\n

\u00da\u010dinky studie si pochvaluje i Rozumek. Sed\u00ed sice na invalidn\u00edm voz\u00edku, ale to jen proto, aby nohy zbyte\u010dn\u011b nezat\u011b\u017eoval.
\n„U\u017e jsem si \u0159\u00edkal, \u017ee ze m\u011b bude invalida. Te\u010f se ale r\u00e1na zatahuje a za m\u011bs\u00edc u\u017e bych si mohl vz\u00edt berle a chodit,“ prohl\u00e1sil mu\u017e.<\/p>\n

Metoda MDM se v \u010cesku pou\u017e\u00edv\u00e1 k l\u00e9\u010db\u011b diabetick\u00e9 neuropatie a chronick\u00fdch bolest\u00ed. Za \u010dty\u0159i roky absolvovalo terapii t\u00e9m\u011b\u0159 1 500 pacient\u016f. 80 procent z nich \u0159\u00edk\u00e1, \u017ee jim k\u00fara pomohla od bolest\u00ed, pocitu neklidn\u00fdch nohou, mraven\u010den\u00ed apod. Vr\u00e1tila se jim tak\u00e9 citlivost do kon\u010detin a mohli se po dlouh\u00e9 dob\u011b neru\u0161en\u011b vyspat.<\/p>\n

Za l\u00e9\u010dbu chronick\u00fdch ran si pacienti zaplat\u00ed. Kolik, zat\u00edm nikdo nev\u00ed. Faktem ale je, \u017ee poji\u0161\u0165ovny neplat\u00ed ani l\u00e9\u010dbu chronick\u00fdch bolest\u00ed nohou. Pacient\u016fm ve Zl\u00edn\u011b ji poskytuj\u00ed za necel\u00fdch deset tis\u00edc korun za jednu k\u00faru.<\/p>\n

Jana Fuksov\u00e1
\nMlad\u00e1 fronta DNES<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

L\u00e9ka\u0159 Emil Z\u00e1humensk\u00fd ze Zl\u00edna usp\u011bl s novou metodou. L\u00e9ka\u0159sk\u00e1 studie potvrdila, \u017ee MDM pom\u016f\u017ee cukrovk\u00e1\u0159\u016fm od hroz\u00edc\u00ed amputace kon\u010detiny. Tu ka\u017edoro\u010dn\u011b v \u010cesku podstoup\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":10044,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-15280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15280","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=15280"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15280\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/10044"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}