{"id":15891,"date":"2023-05-16T15:37:50","date_gmt":"2023-05-16T13:37:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15891"},"modified":"2023-05-16T15:37:50","modified_gmt":"2023-05-16T13:37:50","slug":"nebojte-se-endoprotez","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15891","title":{"rendered":"Nebojte se endoprot\u00e9z"},"content":{"rendered":"<p>Bolest, kter\u00e1 dok\u00e1\u017ee p\u0159ipravit mnoho bezesn\u00fdch noc\u00ed a ka\u017ed\u00fd krok, kter\u00fd se st\u00e1v\u00e1 utrpen\u00edm. Tak se v\u011bt\u0161inou projevuj\u00ed za\u010d\u00ednaj\u00edc\u00ed pot\u00ed\u017ee s klouby. Ve zdrav\u00e9 ky\u010dli zapad\u00e1 kulovit\u00e1 hlavice stehenn\u00ed kosti do kloubn\u00ed jamky kosti p\u00e1nevn\u00ed. Ob\u011b p\u0159itom chr\u00e1n\u00ed chrupavka, kter\u00e1 umo\u017e\u0148uje \u0161irok\u00fd rozsah pohybu. Kloub je d\u00e1le vystl\u00e1n synovi\u00e1ln\u00ed membr\u00e1nou, ta produkuje tekutinu, kter\u00e1 chrupavku vy\u017eivuje a m\u00edrn\u00ed z\u00e1rove\u0148 t\u0159en\u00ed kloubn\u00edch ploch. Bohu\u017eel b\u011bhem let se cel\u00fd syst\u00e9m opot\u0159eb\u00ed a mohou se dostavit bolesti.<\/p>\n<p>Pak b\u00fdv\u00e1 \u0159e\u0161en\u00edm operace. N\u00e1hrada ky\u010deln\u00edho kloubu je dnes ji\u017e b\u011b\u017enou operac\u00ed. St\u00e1le se v\u0161ak jedn\u00e1 o invazivn\u00ed nevratn\u00fd z\u00e1sah, v\u010detn\u011b rizika \u0159ady komplikac\u00ed. <span class=\"highlight\">L\u00e9ka\u0159i<\/span> se proto sna\u017e\u00ed volit alespo\u0148 zpo\u010d\u00e1tku m\u00e9n\u011b n\u00e1ro\u010dn\u00fd zp\u016fsob l\u00e9\u010dby. U siln\u011bj\u0161\u00edch pacient\u016f nap\u0159\u00edklad z\u00e1sadn\u00ed sn\u00ed\u017een\u00ed t\u011blesn\u00e9 hmotnosti, kter\u00e9 odleh\u010d\u00ed tlaku na ky\u010dle. Doporu\u010duje se tak\u00e9 omezen\u00ed dlouhodob\u00e9 fyzick\u00e9 z\u00e1t\u011b\u017ee a no\u0161en\u00ed t\u011b\u017ek\u00fdch b\u0159emen. Pomoci m\u016f\u017ee i c\u00edlen\u00e1 rehabilitace a cvi\u010den\u00ed, kter\u00e9 udr\u017euj\u00ed pevnost a aktivitu svalov\u00e9 hmoty, p\u0159\u00edpadn\u011b <span class=\"highlight\">l\u00e9ky<\/span>.<\/p>\n<p>N\u011bkdy mohou nastat komplikace, proto\u017ee na\u0161e t\u011blo jen tak ka\u017edou n\u00e1hradu nep\u0159ijme. Um\u011bl\u00fd kloub je i p\u0159es pou\u017eit\u00ed nejmodern\u011bj\u0161\u00edch materi\u00e1l\u016f st\u00e1le cizorod\u00fdm prvkem. A tak operat\u00e9\u0159i nahrazuj\u00ed jen n\u011bkter\u00e9 klouby lidsk\u00e9ho t\u011bla. Pat\u0159\u00ed mezi n\u011b kloub ky\u010deln\u00ed, kolenn\u00ed, ramenn\u00ed, loketn\u00ed, hlezenn\u00ed a drobn\u00e9 klouby prst\u016f rukou i nohou. Mezi nej\u010dast\u011bji prov\u00e1d\u011bn\u00e9 operace pak pat\u0159\u00ed v\u00fdm\u011bna kloubu ky\u010deln\u00edho a kolenn\u00edho.<\/p>\n<p>Druhy n\u00e1hrad<\/p>\n<p>Tot\u00e1ln\u00ed endoprot\u00e9zy. <span class=\"highlight\">L\u00e9ka\u0159i<\/span> je vol\u00ed, pokud nahrazuj\u00ed v\u0161echny kloubn\u00ed plochy.<\/p>\n<p>\u010c\u00e1ste\u010dn\u00e9 endoprot\u00e9zy. Ty se pou\u017e\u00edvaj\u00ed v p\u0159\u00edpadech, kdy se nahrazuje jen po\u0161kozen\u00e1 \u010d\u00e1st kloubu.<\/p>\n<p>Cementovan\u00e9 endoprot\u00e9zy. K fixaci prot\u00e9zy se pou\u017e\u00edv\u00e1 takzvan\u00fd kostn\u00ed cement, n\u011bkdy s p\u0159\u00edsadou antibiotik.<\/p>\n<p>Klasick\u00e9 cementovan\u00e9 endoprot\u00e9zy pat\u0159\u00ed k levn\u011bj\u0161\u00edm kloubn\u00edm n\u00e1hrad\u00e1m. Jsou ale kvalitn\u00ed a odborn\u00edci je doporu\u010duj\u00ed p\u0159edev\u0161\u00edm star\u0161\u00edm pacient\u016fm.<\/p>\n<p>Necementov\u00e9 endoprot\u00e9zy. Prot\u00e9za je spojena s kost\u00ed postupn\u00fdm pror\u016fst\u00e1n\u00edm do speci\u00e1ln\u011b upraven\u00e9ho povrchu endoprot\u00e9zy \u2013 nej\u010dast\u011bji s hydroxyapatitov\u00fdm n\u00e1st\u0159ikem.<\/p>\n<p>Necementovan\u00e9 endoprot\u00e9zy. jsou velmi kvalitn\u00ed ov\u0161em podstatn\u011b dra\u017e\u0161\u00ed. Podle dosavadn\u00edch zku\u0161enost\u00ed d\u00e9le vydr\u017e\u00ed a tak\u00e9 zabra\u0148uj\u00ed <span class=\"highlight\">infekc\u00edm<\/span> spojen\u00fdm s operacemi.<\/p>\n<p>Hybridn\u00ed (sm\u00ed\u0161en\u00e9) endoprot\u00e9zy. Jsou to kloubn\u00ed n\u00e1hrady, kter\u00e9 maj\u00ed jednu \u010d\u00e1st cementovanou a druhou necementovanou.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Bolest, kter\u00e1 dok\u00e1\u017ee p\u0159ipravit mnoho bezesn\u00fdch noc\u00ed a ka\u017ed\u00fd krok, kter\u00fd se st\u00e1v\u00e1 utrpen\u00edm. Tak se v\u011bt\u0161inou projevuj\u00ed za\u010d\u00ednaj\u00edc\u00ed pot\u00ed\u017ee s klouby. Ve zdrav\u00e9 ky\u010dli <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=15891\" title=\"Nebojte se endoprot\u00e9z\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27857,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15891","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\/15891","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=15891"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15891\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27857"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15891"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15891"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}