{"id":16848,"date":"2014-07-13T13:03:25","date_gmt":"2014-07-13T11:03:25","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=16848"},"modified":"2014-07-13T13:21:28","modified_gmt":"2014-07-13T11:21:28","slug":"zlomeniny-patere-po-skoku-do-vody-nejnebezpecnejsi-letni-uraz","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=16848","title":{"rendered":"Zlomeniny p\u00e1te\u0159e – nejnebezpe\u010dn\u011bj\u0161\u00ed letn\u00ed \u00faraz"},"content":{"rendered":"

\u00a0Zlomeniny p\u00e1te\u0159e po skoku do vody jsou jedn\u00edm z nejnebezpe\u010dn\u011bj\u0161\u00edch letn\u00edch \u00faraz\u016f. T\u00e9m\u011b\u0159 v\u00fdhradn\u011b se to t\u00fdk\u00e1 mu\u017e\u016f, kte\u0159\u00ed se po hlav\u011b vrhaj\u00ed do ne zcela bezpe\u010dn\u00fdch vodn\u00edch n\u00e1dr\u017e\u00ed, \u0159ekl z\u00e1stupce prim\u00e1\u0159e neurochirurgick\u00e9ho odd\u011blen\u00ed Nemocnice Na Homolce Lud\u011bk Prokop.<\/strong><\/p>\n

P\u0159i \u00farazech p\u00e1te\u0159e mohou b\u00fdt podle Ji\u0159\u00edho Chroboka ze stejn\u00e9ho pracovi\u0161t\u011b v lep\u0161\u00edm p\u0159\u00edpad\u011b po\u0161kozeny jen obratle, v hor\u0161\u00edm i m\u00edcha. Ta nem\u00e1 schopnost regenerace, pacienti kon\u010d\u00ed na voz\u00edku, pokud p\u0159e\u017eij\u00ed.<\/p>\n

Pokud se zran\u00ed v \u00farovni \u010dtvrt\u00e9ho kr\u010dn\u00edho obratle, kde vych\u00e1z\u00ed z m\u00edchy br\u00e1ni\u010dn\u00ed nerv, jeho\u017e prost\u0159ednictv\u00edm je \u0159\u00edzeno b\u0159i\u0161n\u00ed d\u00fdch\u00e1n\u00ed, p\u0159estane poran\u011bn\u00fd d\u00fdchat. P\u0159\u00ed\u010dinou je ochrnut\u00ed mezi\u017eebern\u00edch sval\u016f i br\u00e1nice. „Zachr\u00e1nit ho m\u016f\u017ee jen okam\u017eit\u00e1 l\u00e9ka\u0159sk\u00e1 pomoc spojen\u00e1 s um\u011blou plicn\u00ed ventilac\u00ed poskytnut\u00e1 do p\u011bti minut. Jinak zem\u0159ou udu\u0161en\u00edm,“ \u0159ekl Chrobok.<\/p>\n

Prokop podotkl, \u017ee p\u0159i skoku do vody 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 se po\u0161kod\u00ed kr\u010dn\u00ed obratle. \u010casto je zasa\u017eena m\u00edcha, tak\u017ee n\u00e1sleduj\u00ed okam\u017eit\u00e9 ochrnut\u00ed a bohu\u017eel mnohdy i utonut\u00ed,“ varoval.<\/p>\n

P\u0159i poran\u011bn\u00ed p\u00e1te\u0159e se v\u017edy d\u011bl\u00e1 rentgenov\u00e9 a CT vy\u0161et\u0159en\u00ed, kter\u00e9 uk\u00e1\u017ee rozsah zran\u011bn\u00ed. Konzervativn\u00ed l\u00e9\u010dba je spojena s klidov\u00fdm re\u017eimem, speci\u00e1ln\u00ed gymnastikou z\u00e1dov\u00e9ho svalstva a na m\u00edru vytvo\u0159en\u00fdmi fixa\u010dn\u00edmi korzety.<\/p>\n

Operace se d\u011bl\u00e1 u 20 a\u017e 30 procent \u00faraz\u016f p\u00e1te\u0159e bez m\u00ed\u0161n\u00edho poran\u011bn\u00ed a u v\u011bt\u0161iny poran\u011bn\u00ed p\u00e1te\u0159e s naru\u0161en\u00edm m\u00edchy. Operaci up\u0159ednost\u0148uj\u00ed i n\u011bkte\u0159\u00ed pacienti, kte\u0159\u00ed si p\u0159ej\u00ed rychlej\u0161\u00ed uzdraven\u00ed a hodlaj\u00ed se d\u0159\u00edve vr\u00e1tit do pr\u00e1ce. Pokud jejich zdravotn\u00ed stav dovoluje podstoupit mo\u017en\u00e1 rizika chirurgick\u00e9ho z\u00e1sahu, l\u00e9ka\u0159i jej provedou.
\n\u00a0\u00a0\u00a0\u00a0Jak\u00e9 mohou b\u00fdt n\u00e1sledky zran\u011bn\u00ed m\u00edchy v kr\u010dn\u00ed p\u00e1te\u0159i p\u0159i skoc\u00edch do vody<\/strong><\/p>\n\n\n\n\n\n\n\n\n
m\u00edsto poran\u011bn\u00ed m\u00edchy<\/td>\nn\u00e1sledn\u00e9 posti\u017een\u00ed<\/td>\n<\/tr>\n
nad \u010dtvrt\u00fdm kr\u010dn\u00edm obratlem<\/td>\nOdtud vyb\u00edh\u00e1 br\u00e1ni\u010dn\u00ed nerv, p\u0159estane-li fungovat, \u010dlov\u011bk nem\u016f\u017ee d\u00fdchat ani h\u00fdbat kon\u010detinami a svaly trupu.<\/td>\n<\/tr>\n
p\u00e1t\u00fd kr\u010dn\u00ed obratel<\/td>\nV\u011bt\u0161inou je po\u0161kozena funkce deltov\u00e9ho svalu, \u010dlov\u011bk nedok\u00e1\u017ee zvednout ani ramena.<\/td>\n<\/tr>\n
\u0161est\u00fd kr\u010dn\u00ed obratel<\/td>\n\u010clov\u011bk h\u00fdbe jen rameny, neohne ruku ani jinak neh\u00fdb\u00e1 t\u011blem.<\/td>\n<\/tr>\n
sedm\u00fd kr\u010dn\u00ed obratel<\/td>\nPacient je pouze schopen zvedat pa\u017ee a oh\u00fdbat ruce v loktech.<\/td>\n<\/tr>\n
p\u0159echod kr\u010dn\u00ed a hrudn\u00ed p\u00e1te\u0159e<\/td>\n\u010clov\u011bk u\u017e m\u016f\u017ee ovl\u00e1dat triceps, nat\u00e1hnout ruku v lokti a v\u011bt\u0161inou m\u00e1 ne\u00faplnou manipula\u010dn\u00ed schopnost ruky.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Zdroj: Nemocnice Na Homolce<\/p>\n

ilustra\u010dn\u00ed foto: Photoxpress<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0Zlomeniny p\u00e1te\u0159e po skoku do vody jsou jedn\u00edm z nejnebezpe\u010dn\u011bj\u0161\u00edch letn\u00edch \u00faraz\u016f. T\u00e9m\u011b\u0159 v\u00fdhradn\u011b se to t\u00fdk\u00e1 mu\u017e\u016f, kte\u0159\u00ed se po hlav\u011b vrhaj\u00ed do ne […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16849,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-16848","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16848","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=16848"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16848\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16849"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}