{"id":21186,"date":"2015-05-05T21:18:40","date_gmt":"2015-05-05T19:18:40","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=21186"},"modified":"2015-05-06T08:09:09","modified_gmt":"2015-05-06T06:09:09","slug":"zivot-s-parkinsonem","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=21186","title":{"rendered":"Neurostimul\u00e1tor pom\u016f\u017ee \u017e\u00edt s Parkinsonem"},"content":{"rendered":"

T\u0159\u00e1sl se mu palec na lev\u00e9 ruce, byl pomalej\u0161\u00ed, m\u011bl probl\u00e9my s pam\u011bt\u00ed. V noci si nemohl s\u00e1m doj\u00edt ani na toaletu. Parkinsonovu chorobu mu l\u00e9ka\u0159i diagnostikovali p\u0159ed 10 lety, to mu bylo 41. Libor J\u00e1\u0161a zvl\u00e1dl p\u0159esto je\u0161t\u011b 7 let pracovat jako n\u00e1stroja\u0159, pak u\u017e to ale ne\u0161lo a o zam\u011bstn\u00e1n\u00ed p\u0159i\u0161el. Jeho zdravotn\u00ed stav se st\u00e1le zhor\u0161oval.<\/strong><\/p>\n

\u010cT 1<\/p>\n

Libor J\u00c1\u0160A, pacient s Parkinsonem: T\u011b\u017eko vysv\u011btl\u00edte n\u011bkomu, \u017ee se, \u017ee se nem\u016f\u017eete pohnout, \u017ee v\u00edte, \u017ee ta noha se m\u00e1 pohnout a ned\u00e1te j\u00ed ten povel, no, to je t\u011b\u017ek\u00fd, tak j\u00e1 jsem m\u011bl je\u0161t\u011b ortopedickej probl\u00e9m, tak\u017ee jsem vlastn\u011b tu ch\u016fzi \u0161ouravou takovou p\u0159isuzoval tomu a ne t\u00e9 nemoci, tomu Parkinsonovi. No, a potom jsem \u0161el teda k obvodn\u00ed l\u00e9ka\u0159ce a ta m\u011b poslala na neurologii a tam u\u017e v\u011bd\u011bli, co to je.<\/p>\n

Nemoc mu zm\u011bnila \u017eivot. L\u00e9ky, kter\u00e9 l\u00e9ta bral, p\u0159estaly po \u010dase zab\u00edrat, a tak mu l\u00e9ka\u0159i p\u0159ed rokem a p\u016fl navrhli l\u00e9\u010dbu hlubokou mozkovou stimulac\u00ed. Spo\u010d\u00edv\u00e1 v implantov\u00e1n\u00ed neurostimul\u00e1toru pod k\u016f\u017ei a voperov\u00e1n\u00ed dvou elektrod do mozku. Po zapojen\u00ed pom\u00e1haj\u00ed regulovat patologick\u00e9 impulsy a pro nemocn\u00e9ho to znamen\u00e1 zpomalen\u00ed nemoci a utlumen\u00ed jejich p\u0159\u00edznak\u016f.<\/p>\n

Marek BAL\u00c1\u017d, z\u00e1stupce p\u0159ednosty, I. Neurologick\u00e1 klinika FNUSA:
\nTo m\u016f\u017ee nastat u n\u011bkoho po 5 letech, u n\u011bkoho po 10 letech, i kdy\u017e v sou\u010dasnosti je taky trend na z\u00e1klad\u011b velk\u00fdch klinick\u00fdch studi\u00ed ne\u010dekat zbyte\u010dn\u011b dlouho s tou operac\u00ed a sp\u00ed\u0161 to posouvat do m\u00edrn\u011b d\u0159\u00edv\u011bj\u0161\u00edch, m\u00edrn\u011bj\u0161\u00edch st\u00e1di\u00ed.<\/p>\n

Dodnes ji v \u010cesku absolvovalo u\u017e 500 pacient\u016f. Jen na brn\u011bnsk\u00e9m neurochirurgick\u00e9m pracovi\u0161ti 120 a \u0159ada z nich se podobn\u011b jako Libor J\u00e1\u0161a mohla vr\u00e1tit k b\u011b\u017en\u00e9mu \u017eivot. D\u00edky n\u00ed znovu za\u010dal d\u011blat b\u011b\u017en\u00e9 \u010dinnosti, jako je t\u0159eba p\u0159\u00edprava k\u00e1vy. Do zam\u011bstn\u00e1n\u00ed u\u017e se vr\u00e1tit nemohl, ale u\u017eite\u010dn\u00fd podle sv\u00fdch slov st\u00e1le je. Pom\u00e1h\u00e1 mu i to, \u017ee m\u016f\u017ee znovu \u0159\u00eddit auto. P\u0159\u00edstroj zabudovan\u00fd v jeho t\u011ble ho vr\u00e1til o n\u011bkolik let zp\u00e1tky.<\/p>\n

Marek BAL\u00c1\u017d,:
\nZa jednu sekundu zhruba stokr\u00e1t prob\u011bhne kr\u00e1tk\u00fd impuls o s\u00edle n\u011bkolika volt\u016f, tak\u017ee to je velmi vysokofrekven\u010dn\u00ed stimulace, ale teda ten proud nen\u00ed moc siln\u00fd a vlastn\u011b to p\u016fsob\u00ed jako ur\u010dit\u00e1 ru\u0161i\u010dka pravd\u011bpodobn\u011b, \u017ee ur\u010dit\u00e9 nespr\u00e1vn\u00e9, chorobn\u00e9 rytmy v mozku se odblokuj\u00ed a n\u00e1sledkem toho se zlep\u0161\u00ed ur\u010dit\u00e9 p\u0159\u00edznaky Parkinsonovy choroby, jako je hlavn\u011b t\u0159es, zpomalenost, ztuhlost, na ty to funguje v\u00fdborn\u011b.<\/p>\n

Parkinsonovou chorobou trp\u00ed v \u010cesku a\u017e 20 tis\u00edc lid\u00ed. Nemoc se obvykle projev\u00ed po \u0161edes\u00e1t\u00e9m roku v\u011bku, ale deset procent pacient\u016f onemocn\u00ed do \u010dty\u0159iceti let. Hlubok\u00e1 mozkov\u00e1 stimulace zlep\u0161\u00ed zpomalenost nebo ztuhlost. Poruchy pam\u011bti a stability ale pacient\u016fm st\u00e1le z\u016fst\u00e1vaj\u00ed. Ty pak tlum\u00ed pr\u00e1\u0161ky nebo speci\u00e1ln\u00ed n\u00e1plast. Pan J\u00e1\u0161a sice je v invalidn\u00edm d\u016fchod\u011b, d\u00edky neurostimul\u00e1toru se ale zvl\u00e1d\u00e1 starat o d\u016fm a z ka\u017ed\u00e9 parkinsoni\u00e1dy si p\u0159iveze alespo\u0148 jedno prvn\u00ed m\u00edsto.<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u0159\u00e1sl se mu palec na lev\u00e9 ruce, byl pomalej\u0161\u00ed, m\u011bl probl\u00e9my s pam\u011bt\u00ed. V noci si nemohl s\u00e1m doj\u00edt ani na toaletu. Parkinsonovu chorobu mu […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":3721,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-21186","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\/21186","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=21186"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21186\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/3721"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21186"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21186"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}