{"id":19153,"date":"2015-01-05T09:56:46","date_gmt":"2015-01-05T08:56:46","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=19153"},"modified":"2015-01-05T09:56:46","modified_gmt":"2015-01-05T08:56:46","slug":"poskozeni-sluchu-muze-skoncit-az-sebevrazdou","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=19153","title":{"rendered":"Po\u0161kozen\u00ed sluchu m\u016f\u017ee skon\u010dit a\u017e sebevra\u017edou"},"content":{"rendered":"<p><strong>A\u017e p\u011btin\u011b lid\u00ed, kte\u0159\u00ed po silvestrovsk\u00fdch oslav\u00e1ch p\u0159ijdou s probl\u00e9my k u\u0161n\u00edm l\u00e9ka\u0159\u016fm, z\u016fst\u00e1vaj\u00ed trval\u00e9 n\u00e1sledky. \u010casto to b\u00fdv\u00e1 neust\u00e1vaj\u00edc\u00ed p\u00edsk\u00e1n\u00ed v u\u0161\u00edch.<\/strong><!--more--><\/p>\n<p><em><strong>Televize Nova<\/strong><\/em><\/p>\n<p><em>ilustra\u010dn\u00ed foto: nickolatte sxc.hu<\/em><\/p>\n<p>A i kdy\u017e to zn\u00ed jako banalita, podle u\u0161n\u00edch l\u00e9ka\u0159\u016f je pr\u00e1v\u011b tento n\u00e1sledek siln\u00e9ho v\u00fdbuchu, nap\u0159\u00edklad petardy, \u010dasto i d\u016fvodem k sebevra\u017ed\u011b.<\/p>\n<p>Petr SKIBA, l\u00e9ka\u0159 ORL, FN Ostrava:\u00a0 Po\u0161kozen\u00ed m\u016f\u017ee b\u00fdt r\u016fzn\u00e9. Od n\u011bjak\u00e9ho nev\u00fdrazn\u00e9ho hu\u010den\u00ed v u\u0161\u00edch po zalehnut\u00ed, po bolest, a\u017e dokonce krv\u00e1cen\u00ed z ucha.<\/p>\n<p>V lep\u0161\u00edm p\u0159\u00edpad\u011b zaberou infuze a kortikoidy, v hor\u0161\u00edm jsou vl\u00e1skov\u00e9 bu\u0148ky potrh\u00e1ny a \u010dlov\u011bk si nese trval\u00e9 n\u00e1sledky.<\/p>\n<p>Ale\u0161 HAHN, p\u0159ednosta ORL Kliniky FN Kr\u00e1lovsk\u00e9 Vinohrady:\u00a0 L\u00e9ta letouc\u00ed m\u00e1me des\u00edtky pacient\u016f, kte\u0159\u00ed jsou zahlu\u0161en\u00ed, kte\u0159\u00ed p\u0159ijdou o sluch, kte\u0159\u00ed trp\u00ed nedosl\u00fdchavost\u00ed, nitrou\u0161n\u00edmi \u0161elesty.<\/p>\n<p>Pr\u00e1v\u011b \u0161um\u011bn\u00ed v u\u0161\u00edch, kter\u00e9 se m\u016f\u017ee vystup\u0148ovat a\u017e do nikdy nekon\u010d\u00edc\u00edho p\u00edsk\u00e1n\u00ed, to je jedno z nej\u010dast\u011bj\u0161\u00edch po\u0161kozen\u00ed sluchu. Pana Kerbera prov\u00e1z\u00ed nep\u0159etr\u017eit\u00e9 p\u00edsk\u00e1n\u00ed v uchu u\u017e cel\u00fdch dvan\u00e1ct let. Vyzkou\u0161ela jsem si to sama, vysok\u00fd vt\u00edrav\u00fd zvuk. J\u00e1 jsem m\u011bla mo\u017enost, sundat sluch\u00e1tka z u\u0161\u00ed a bylo ticho. Pan Kerber tuhle mo\u017enost nem\u00e1. Sly\u0161\u00ed ho \u010dty\u0159iadvacet hodin denn\u011b, kdy\u017e odpo\u010d\u00edv\u00e1, pracuje, us\u00edn\u00e1.<\/p>\n<p>Petr KERBER, pacient:\u00a0 To by \u010dlov\u011bk utekl ze sebe, ale ned\u00e1 se to. J\u00e1 vlastn\u011b od toho roku 2003 nezn\u00e1m ticho.<\/p>\n<p>osoba:\u00a0 Daleko v\u011bt\u0161\u00ed po\u010det sebevra\u017ed v oboru ORL je pr\u00e1v\u011b kv\u016fli tinitu, ne\u017e kv\u016fli zhoubn\u00fdm n\u00e1dor\u016fm.<\/p>\n<p>S oslavami Silvestra l\u00e9ka\u0159i varuj\u00ed, pokud budete m\u00edt pocit, \u017ee v\u00e1m petarda po\u0161kodila sluch, vyhledejte odbornou pomoc co nejd\u0159\u00edve.<\/p>\n<p>\u010c\u00edm pozd\u011bji \u010dlov\u011bk p\u0159ijde, t\u00edm men\u0161\u00ed m\u00e1 \u0161anci na to, \u017ee se \u00fapln\u011b uzdrav\u00ed.<\/p>\n<p>moder\u00e1torka: <strong>Pane doktore, pora\u010fte,<\/strong> <strong>kdy\u017e se nepoda\u0159\u00ed sluch ochr\u00e1nit, jakou roli pak hraje \u010das? Kdy vyhledat odborn\u00e9 o\u0161et\u0159en\u00ed?<\/strong><\/p>\n<p>Ale\u0161 HAHN, p\u0159ednosta ORL Kliniky FN Kr\u00e1lovsk\u00e9 Vinohrady \/\u0158\u00ed\u010dany u Prahy\/: Tak doporu\u010doval bych ne\u010dekat d\u00e9le ne\u017e p\u011bt, \u0161est hodin, pakli\u017ee to zalehnut\u00ed ucha, p\u00edsk\u00e1n\u00ed, p\u0159\u00edpadn\u011b se mohou objevit i z\u00e1vrat\u011b, jsou trval\u00e9, trvaj\u00ed t\u0159i a\u017e \u010dty\u0159i, \u0161est, osm hodin, pak je skute\u010dn\u011b, pak je to akutn\u00ed stav. A je skute\u010dn\u011b naprosto nutn\u00e9, vyhledat u\u0161n\u00edho l\u00e9ka\u0159e tak, aby byla okam\u017eit\u011b zah\u00e1jena adekv\u00e1tn\u00ed l\u00e9\u010dba, to znamen\u00e1 infuze kortikoid\u016f a infuze l\u00e1tek, kter\u00e9 podporuj\u00ed prokrven\u00ed vnit\u0159n\u00edho ucha.<br \/>\n<strong>Pane doktore, jak u\u017e bylo \u0159e\u010deno, n\u00e1sledkem po\u0161kozen\u00ed sluchu petardami m\u016f\u017ee b\u00fdt permanentn\u00ed \u0161um\u011bn\u00ed, nebo p\u00edsk\u00e1n\u00ed v u\u0161\u00edch. Jak z\u00e1va\u017en\u00e9 to je?<\/strong><\/p>\n<p>HAHN: To je velmi z\u00e1va\u017en\u00fd stav, proto\u017ee vede k t\u011b\u017ek\u00e9 neurotizaci, k z\u00e1va\u017en\u00e9mu negativn\u00edmu ovlivn\u011bn\u00ed kvality \u017eivota toho <span class=\"highlight\">posti\u017een\u00e9ho<\/span>. Tak\u017ee skute\u010dn\u011b ten tinitus, nebo p\u00edsk\u00e1n\u00ed v u\u0161\u00edch jsou trval\u00e9 n\u00e1sledky po\u0161kozen\u00ed ucha tou petardou. A pacient\u016f je mnoho. A z\u00e1sadn\u00edm zp\u016fsobem to potom ovliv\u0148uje, koneckonc\u016f m\u00e1m tu zku\u0161enost osobn\u011b tak\u00e9, ovliv\u0148uje to jejich \u017eivot. A m\u016f\u017ee to v\u00e9st i ke katastrof\u00e1ln\u00edm n\u00e1sledk\u016fm.<\/p>\n<p><strong>Pane doktore, d\u011bkuji v\u00e1m za rozhovor a p\u0159eji p\u011bkn\u00fd ve\u010der.<\/strong><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>A\u017e p\u011btin\u011b lid\u00ed, kte\u0159\u00ed po silvestrovsk\u00fdch oslav\u00e1ch p\u0159ijdou s probl\u00e9my k u\u0161n\u00edm l\u00e9ka\u0159\u016fm, z\u016fst\u00e1vaj\u00ed trval\u00e9 n\u00e1sledky. \u010casto to b\u00fdv\u00e1 neust\u00e1vaj\u00edc\u00ed p\u00edsk\u00e1n\u00ed v u\u0161\u00edch.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14558,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-19153","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19153","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=19153"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19153\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14558"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19153"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19153"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}