{"id":15770,"date":"2023-05-05T07:09:50","date_gmt":"2023-05-05T05:09:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15770"},"modified":"2023-05-05T07:12:08","modified_gmt":"2023-05-05T05:12:08","slug":"detska-zraneni-jak-se-na-ne-pripravit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15770","title":{"rendered":"D\u011btsk\u00e1 zran\u011bn\u00ed \u2013 jak se na n\u011b p\u0159ipravit?"},"content":{"rendered":"<p>D\u011bti jsou na\u0161e nejv\u011bt\u0161\u00ed radost, ale tak\u00e9 starost. To si uv\u011bdomujeme ve chv\u00edli, kdy potomek za\u010dne b\u011bhat a \u0161plhat \u2013 a rodi\u010d zjist\u00ed, \u017ee si ani ve snu neum\u011bl p\u0159edstavit, jak\u00e9 \u00farazy hroz\u00ed a jak\u00fdm zp\u016fsobem si je d\u00edt\u011b m\u016f\u017ee p\u0159ivodit.<\/p>\n<p>Mal\u00e1 Nat\u00e1lka je opatrn\u00e1 t\u0159\u00edlet\u00e1 hol\u010di\u010dka. Kdy\u017e m\u00e1 sej\u00edt schod, v\u017edycky se chyt\u00ed z\u00e1bradl\u00ed, po ulici chod\u00ed z\u00e1sadn\u011b za ruku a na odr\u00e1\u017eedle sp\u00ed\u0161 popoj\u00ed\u017ed\u00ed, ne\u017e aby se n\u011bkam \u0159\u00edtila. &#8222;Venku na sebe d\u00e1v\u00e1 opravdu pozor. Ale doma je ne\u0159\u00edzen\u00e1 st\u0159ela. U\u017e shodila televizi, urazila si zub, n\u011bkolikr\u00e1t si prokousla ret, rozsekla si k\u016f\u017ei vedle oka, a dokonce je schopn\u00e1 si ve stoji na m\u00edst\u011b zamotat nohy tak, \u017ee se p\u0159i prvn\u00edm kroku z\u0159\u00edt\u00ed k zemi a ud\u011bl\u00e1 si bouli,&#8220; popisuje Nat\u00e1l\u010dina matka Zuzana a dod\u00e1v\u00e1: &#8222;D\u011bs\u00edm se, co p\u0159ijde, a\u017e bude v\u011bt\u0161\u00ed a za\u010dne b\u00fdt odv\u00e1\u017en\u00e1 i venku.&#8220;<\/p>\n<p>Kdy\u017e dojde na d\u011btsk\u00e9 \u00farazy, daj\u00ed se rodi\u010de a prarodi\u010de rozd\u011blit zhruba na dv\u011b skupiny. Prvn\u00ed \u0159eknou i na z\u00e1va\u017en\u011bj\u0161\u00ed probl\u00e9my &#8222;v\u017edy\u0165 to nen\u00ed \u017e\u00e1dn\u00e1 padavka, to se zahoj\u00ed&#8220;, druz\u00ed pojedou na pohotovost i s od\u0159en\u00fdm kolenem. U nejmen\u0161\u00edch d\u011bt\u00ed rad\u00ed pediat\u0159i sp\u00ed\u0161 \u00fazkostliv\u00fd p\u0159\u00edstup: \u010c\u00edm mlad\u0161\u00ed d\u00edt\u011b je, t\u00edm obez\u0159etn\u011bj\u0161\u00ed maj\u00ed b\u00fdt rodi\u010de, a rad\u011bji zaj\u00edt k l\u00e9ka\u0159i ne\u017e o\u0161et\u0159ovat d\u00edt\u011b doma. Zuzana je k t\u00e9to rad\u011b sp\u00ed\u0161e skeptick\u00e1. &#8222;Pamatuji si, kdy\u017e Nat\u00e1lka asi v deseti m\u011bs\u00edc\u00edch spadla z postele. Plakala jen chv\u00edli, v bezv\u011bdom\u00ed nebyla, ale stejn\u011b jsem jela na pohotovost. Tam j\u00ed za velk\u00e9ho pl\u00e1\u010de ud\u011blali rentgen hlavy \u2013 jen\u017ee t\u00edm se zjist\u00ed leda tak po\u0161kozen\u00ed lebky, ne ot\u0159es mozku nebo krv\u00e1cen\u00ed \u2013 a pak mi \u0159ekli, a\u0165 sleduji, jestli nem\u00e1 r\u016fzn\u011b velk\u00e9 zornice a nen\u00ed nadm\u011brn\u011b spav\u00e1,&#8220; kr\u010dila rameny matka, kter\u00e9 se zd\u00e1lo, \u017ee j\u00ed dokto\u0159i p\u0159\u00edli\u0161 nepomohli. L\u00e9ka\u0159i v\u0161ak p\u0159ed lehkomyslnost\u00ed varuj\u00ed: Pokud kojenec spadl na hlavu nebo pokud rodi\u010d p\u00e1d nevid\u011bl, je v\u017edy na m\u00edst\u011b nechat d\u00edt\u011b vy\u0161et\u0159it l\u00e9ka\u0159em.<\/p>\n<p>U star\u0161\u00edch d\u011bt\u00ed je ale u\u017e na m\u00edst\u011b hledat kompromis mezi \u00fazkostliv\u00fdm a lehkomysln\u00fdm p\u0159\u00edstupem. Doporu\u010duje se jet k l\u00e9ka\u0159i, pokud d\u00edt\u011b utrp\u00ed pohmo\u017ed\u011bninu zejm\u00e9na hlavy, oka, ucha nebo dutiny \u00fastn\u00ed, samoz\u0159ejm\u00fd je z\u00e1sah zdravotn\u00edk\u016f p\u0159i poran\u011bn\u00ed hlavy a p\u00e1te\u0159e nebo zlomenin\u011b. N\u00e1v\u0161t\u011bva l\u00e9ka\u0159e se doporu\u010duje i s dal\u0161\u00edmi poran\u011bn\u00edmi, p\u0159edev\u0161\u00edm krv\u00e1cej\u00edc\u00edmi tr\u017en\u00fdmi a tr\u017en\u011b zhmo\u017ed\u011bn\u00fdmi ranami, p\u0159\u00edpadn\u011b s po\u0159ez\u00e1n\u00edm. Odborn\u00e9 o\u0161et\u0159en\u00ed vy\u017eaduj\u00ed tak\u00e9 pokous\u00e1n\u00ed, pop\u00e1leniny a polept\u00e1n\u00ed i \u00farazy elektrick\u00fdm proudem. N\u011bkter\u00e9 probl\u00e9my p\u0159itom rodi\u010de podce\u0148uj\u00ed pom\u011brn\u011b \u010dasto. Nap\u0159\u00edklad vy\u010di\u0161t\u011bn\u00ed ran n\u011bkdy neprovedou dost pe\u010dliv\u011b, a mohou pak zp\u016fsobit probl\u00e9my p\u0159i hojen\u00ed.<\/p>\n<p>Zat\u00edmco pop\u00e1leniny nebo po\u0159ez\u00e1n\u00ed jsou nehody, jejich\u017e riziko rodi\u010de znaj\u00ed, jin\u00e9 je mohou sv\u00fdm dopadem a z\u00e1va\u017enost\u00ed zasko\u010dit. &#8222;Dcera spolkla p\u0159i h\u0159e minci, a i kdy\u017e se nedusila, \u0159ekli n\u00e1m na lince 155, \u017ee je pot\u0159eba jet do nemocnice. Pokud toti\u017e mince uv\u00edzne v j\u00edcnu, hroz\u00ed z\u00e1n\u011bt a velk\u00e9 komplikace, a je t\u0159eba ji v nark\u00f3ze vyjmout,&#8220; popisovala Zuzana z\u00e1\u017eitek s dcerou. &#8222;Kdy\u017e propadne do \u017ealudku, tak sta\u010d\u00ed \u010dekat: v drtiv\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f vyjde sama. Ta na\u0161e ale samoz\u0159ejm\u011b uv\u00edzla,&#8220; dodala.<\/p>\n<p>P\u0159ekvapiv\u011b rizikov\u00e9 jsou tak\u00e9 elektrick\u00e9 baterie. Ty mal\u00e9 kulat\u00e9 mohou d\u011bti snadno zam\u011bnit za bonbony, a p\u0159itom jsou velmi nebezpe\u010dn\u00e9. B\u011bhem p\u00e1r des\u00edtek minut mohou rozleptat sliznici j\u00edcnu.<br \/>\nPokud d\u00edt\u011b spolkne baterii, volejte okam\u017eit\u011b sanitku!<br \/>\nVelk\u00e9 probl\u00e9my mohou zp\u016fsobit tak\u00e9 magnety, jak v\u011bd\u00ed v\u0161ichni div\u00e1ci seri\u00e1lu Ordinace v r\u016f\u017eov\u00e9 zahrad\u011b.<br \/>\nPokud d\u00edt\u011b pro\u017eene tr\u00e1vic\u00edm traktem jeden, je velmi pravd\u011bpodobn\u00e9, \u017ee se to obejde bez komplikac\u00ed, dva magnety spojen\u00e9 p\u0159es st\u011bnu st\u0159eva ov\u0161em nad\u011blaj\u00ed velk\u00fd pr\u016f\u0161vih.<\/p>\n<p>Mnoho ne\u0161t\u011bst\u00ed se stane i p\u0159i koup\u00e1n\u00ed, kdy tu hroz\u00ed drobn\u00e1 zran\u011bn\u00ed typu po\u0159ezan\u00fdch nohou, ale m\u016f\u017ee j\u00edt i o \u017eivot. Pokud d\u00edt\u011b spadne do vody, instinktivn\u011b se nadechne, aby zavolalo o pomoc. T\u00edm vdechne vodu, b\u011bhem dvou minut pak ztr\u00e1c\u00ed v\u011bdom\u00ed, b\u011bhem \u010dty\u0159 a\u017e p\u011bti minut doch\u00e1z\u00ed k nevratn\u00e9mu po\u0161kozen\u00ed mozku.<br \/>\nDoba, za kterou za\u010dnou rodi\u010de d\u00edt\u011b postr\u00e1dat, je p\u0159itom pr\u016fm\u011brn\u011b p\u011bt minut. Velmi rizikov\u00e9 jsou skoky do nezn\u00e1m\u00e9 vody. P\u0159i skoku \u0161ipkou lid\u00e9 p\u0159edpokl\u00e1daj\u00ed, \u017ee je p\u0159\u00edpadn\u011b zachr\u00e1n\u00ed dop\u0159edu nata\u017een\u00e9 ruce. Ve skute\u010dnosti je to \u010dasto tak, \u017ee ruce neudr\u017e\u00ed prudce padaj\u00edc\u00ed v\u00e1hu t\u011bla a \u00faderem hlavy o dno dojde k po\u0161kozen\u00ed kr\u010dn\u00edch obratl\u016f s okam\u017eit\u00fdm ochrnut\u00edm. Pokud nen\u00ed zran\u011bn\u00fd v\u010das z vody vyta\u017een, utone.<\/p>\n<p>V\u0161ichni v\u00edme, jak \u00faraz\u016fm p\u0159edch\u00e1zet: nenech\u00e1vat nebezpe\u010dn\u00e9 p\u0159edm\u011bty v dosahu d\u011bt\u00ed, varovat je p\u0159ed t\u00edm, \u010d\u00edm si mohou ubl\u00ed\u017eit, m\u00edt d\u011bti st\u00e1le na o\u010d\u00edch a tak d\u00e1le. Kdy\u017e u\u017e se ale p\u0159ihod\u00ed n\u011bjak\u00e1 nehoda, nem\u011bli bychom b\u00fdt zbyte\u010dn\u011b hrdinov\u00e9. Pokud si nejsme naprosto jisti, \u017ee nejde o v\u00e1\u017en\u00fd probl\u00e9m, je t\u0159eba zavolat sv\u00e9mu pediatrovi nebo oper\u00e1tor\u016fm na lince 155, tam maj\u00ed hodn\u011b zku\u0161enost\u00ed a pomohou vyhodnotit, zda jde o akutn\u00ed situaci, a p\u0159\u00edpadn\u011b i po\u0161lou pomoc.<br \/>\nN\u011bkter\u00e9 zdravotn\u00ed poji\u0161\u0165ovny nab\u00edzej\u00ed v r\u00e1mci preventivn\u00edch bal\u00ed\u010dk\u016f poradenstv\u00ed l\u00e9ka\u0159e na telefonu. Po zavol\u00e1n\u00ed oper\u00e1torovi je mo\u017en\u00e9 akutn\u00ed stav probrat s odborn\u00edkem, ani\u017e bychom museli \u010dekat na ordina\u010dn\u00ed hodiny sv\u00e9ho l\u00e9ka\u0159e a cestovat za n\u00edm osobn\u011b.<\/p>\n<p>Doporu\u010den\u00ed k nejb\u011b\u017en\u011bj\u0161\u00edm poran\u011bn\u00edm:<\/p>\n<p>\u010cast\u00e9 jsou mal\u00e9 \u00farazy \u2013 od\u011brky a tr\u017en\u00e9 r\u00e1ny po p\u00e1du nap\u0159\u00edklad na ly\u017e\u00edch nebo z kola \u2013 nebo zran\u011bn\u00ed zp\u016fsoben\u00e1 p\u0159i zach\u00e1zen\u00ed s ostr\u00fdmi n\u00e1stroji.<br \/>\nP\u0159i o\u0161et\u0159ov\u00e1n\u00ed je nutn\u00e9 od\u011brky v\u017edy d\u016fkladn\u011b opl\u00e1chnout vodou, proto\u017ee do r\u00e1ny se m\u016f\u017ee dostat hl\u00edna, \u0161kv\u00e1ra \u010di p\u00edsek \u2013 a takzvan\u00fd silni\u010dn\u00ed li\u0161ej je na sv\u011bt\u011b. Ne\u010distoty je t\u0159eba odstranit; na to je nejlep\u0161\u00ed kart\u00e1\u010dek na ruce a m\u00fddlo. R\u00e1nu je pot\u00e9 t\u0159eba dezinfikovat. V\u011bt\u0161ina z n\u00e1s zn\u00e1 a pou\u017e\u00edv\u00e1 peroxid vod\u00edku, jodovou tinkturu, septonex \u010di ajatin nebo betadinov\u00fd roztok, jen\u017e neobsahuje alkohol, tak\u017ee v r\u00e1n\u011b nep\u00e1l\u00ed.<\/p>\n<p>V p\u0159\u00edpad\u011b pop\u00e1len\u00ed mus\u00edme posti\u017een\u00e9mu sundat tu \u010d\u00e1st od\u011bvu, kter\u00e1 byla ve styku s ohn\u011bm \u010di va\u0159\u00edc\u00ed vodou. M\u00edsto za\u010dneme okam\u017eit\u011b chladit studenou vodou nad pop\u00e1leninou a vodu nech\u00e1me st\u00e9kat dol\u016f po dobu alespo\u0148 20 minut. Pokud je m\u00edsto pouze \u010derven\u00e9, jde z\u0159ejm\u011b o prvn\u00ed stupe\u0148 posti\u017een\u00ed, a pak sta\u010d\u00ed po ochlazen\u00ed nan\u00e9st chladiv\u00fd gel. V p\u0159\u00edpad\u011b, \u017ee jde o druh\u00fd (puch\u00fd\u0159) nebo t\u0159et\u00ed stupe\u0148 pop\u00e1lenin (b\u00edl\u00e9 zbarven\u00ed), je t\u0159eba dopravit pacienta k l\u00e9ka\u0159i nebo zavolat z\u00e1chrannou slu\u017ebu. Do jejich p\u0159\u00edjezdu pop\u00e1leniny chlad\u00edme a pak kryjeme steriln\u00edm obvazem. V p\u0159\u00edpad\u011b nouze sta\u010d\u00ed p\u0159e\u017eehlen\u00fd \u010dist\u00fd kapesn\u00edk, ru\u010dn\u00edk \u010di prost\u011bradlo \u2013 podle rozsahu poran\u011bn\u00ed.<\/p>\n<p>Po ka\u017ed\u00e9m pobytu v lese \u010di na louce bychom m\u011bli d\u011btem prohl\u00e9dnout t\u011blo, zda n\u011bkde neobjev\u00edme p\u0159is\u00e1t\u00e9 kl\u00ed\u0161t\u011b. Mus\u00edme ho ihned odstranit. Nem\u011bli bychom na kl\u00ed\u0161t\u011b d\u00e1vat ani olej, ani \u017e\u00e1dnou mast. Je t\u0159eba m\u00edsto nejprve dezinfikovat, kl\u00ed\u0161t\u011b k\u00fdvav\u00fdm pohybem uvolnit a ranku znovu dezinfikovat. Doporu\u010duje se tak\u00e9 tuto ranku pravideln\u011b asi jeden m\u011bs\u00edc kontrolovat. Pokud m\u00edsto z\u010derven\u00e1, je t\u0159eba nav\u0161t\u00edvit l\u00e9ka\u0159e a informovat ho o situaci. Mohlo by toti\u017e j\u00edt o prvn\u00ed p\u0159\u00edznak lymsk\u00e9 boreli\u00f3zy.<\/p>\n<p>A jak\u00e9 chyby rodi\u010de p\u0159i p\u00e9\u010di o d\u011bti s drobn\u00fdmi zran\u011bn\u00edmi d\u011blaj\u00ed? Asi nejz\u00e1va\u017en\u011bj\u0161\u00ed probl\u00e9m je podcen\u011bn\u00ed poran\u011bn\u00ed, a to jak s ohledem na v\u011bk d\u00edt\u011bte, tak na lokalizaci poran\u011bn\u00ed a mo\u017en\u00e9 komplikace. Jedn\u00e1 se zejm\u00e9na o ot\u0159es mozku, poran\u011bn\u00ed ucha \u010di oka nebo nitrolebn\u00ed a nitrob\u0159i\u0161n\u00ed poran\u011bn\u00ed s n\u00e1sledn\u00fdm krv\u00e1cen\u00edm. \u010casto tak\u00e9 rodi\u010de podcen\u00ed nutnost pe\u010dliv\u011b vy\u010distit r\u00e1nu a n\u011bkdy \u0161patn\u011b odhadnou, jak moc hlubok\u00e1 r\u00e1na je \u2013 m\u016f\u017ee proniknout do hloubky svaloviny, naru\u0161it \u0161lachy nebo zas\u00e1hnout do n\u011bkter\u00e9 z t\u011blesn\u00fdch dutin. Je nutno dezinfikovat r\u00e1ny, aby se p\u0159ede\u0161lo n\u00e1sledn\u00e9mu zhnis\u00e1n\u00ed a obt\u00ed\u017en\u00e9mu hojen\u00ed.<\/p>\n<p>Doma bychom m\u011bli m\u00edt dom\u00e1c\u00ed l\u00e9k\u00e1rni\u010dku a v n\u00ed by m\u011blo b\u00fdt:<\/p>\n<p>N\u00e1plasti r\u016fzn\u00fdch velikost\u00ed, pol\u0161t\u00e1\u0159kov\u00e9 nebo na c\u00edvce, kter\u00e9 se daj\u00ed snadno odtrhnout, p\u0159\u00edpadn\u011b vod\u011bodoln\u00e9<br \/>\nObvazy steriln\u00ed bez pol\u0161t\u00e1\u0159ku nebo s pol\u0161t\u00e1\u0159kem<br \/>\nTrojc\u00edp\u00fd \u0161\u00e1tek k zav\u011b\u0161en\u00ed posti\u017een\u00e9 horn\u00ed kon\u010detiny, p\u0159\u00edpadn\u011b jako pokr\u00fdvka hlavy<br \/>\nSteriln\u00ed \u010dtverce<br \/>\nGumov\u00e9 \u0161krtidlo<br \/>\nPot\u0159eby pro vypl\u00e1chnut\u00ed ciz\u00edho t\u011blesa ze spojivky<br \/>\nRoztok k dezinfekci k\u016f\u017ee p\u0159i od\u0159enin\u00e1ch<br \/>\nZahnut\u00e9 n\u016f\u017eky (se sklonem) v antikorozn\u00ed \u00faprav\u011b se zaoblen\u00fdmi hroty \u2013 d\u00e9lka nejm\u00e9n\u011b 14 cm<br \/>\nPinzeta<br \/>\n<span style=\"font-size: revert; color: initial;\">\u00a0 \u00a0 \u00a0 \u00a0Zav\u00edrac\u00ed \u0161pendl\u00edk<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>D\u011bti jsou na\u0161e nejv\u011bt\u0161\u00ed radost, ale tak\u00e9 starost. To si uv\u011bdomujeme ve chv\u00edli, kdy potomek za\u010dne b\u011bhat a \u0161plhat \u2013 a rodi\u010d zjist\u00ed, \u017ee si <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=15770\" title=\"D\u011btsk\u00e1 zran\u011bn\u00ed \u2013 jak se na n\u011b p\u0159ipravit?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18793,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15770","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\/15770","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=15770"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15770\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18793"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}