{"id":21431,"date":"2015-05-22T10:03:15","date_gmt":"2015-05-22T08:03:15","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=21431"},"modified":"2015-05-22T10:34:00","modified_gmt":"2015-05-22T08:34:00","slug":"zlinske-mdm-centrum-pomaha-diabetikum-od-bolesti","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=21431","title":{"rendered":"Zl\u00ednsk\u00e9 MDM Centrum pom\u00e1h\u00e1 diabetik\u016fm od bolesti"},"content":{"rendered":"

Pal\u010div\u00e9 bolesti, p\u0159edev\u0161\u00edm nohou, p\u00e1len\u00ed, k\u0159e\u010de. Tak se projevuje diabetick\u00e1 polyneuropatie \u2013 nej\u010dast\u011bj\u0161\u00ed komplikace spojen\u00e1 s cukrovkou, kterou trp\u00ed asi jedna t\u0159etina v\u0161ech diabetik\u016f.<\/strong><\/p>\n

Pacient\u016fm, kter\u00e9 tyto komplikace tr\u00e1p\u00ed, pom\u00e1h\u00e1 p\u0159es t\u0159i roky zl\u00ednsk\u00e9 MDM Centrum pod veden\u00edm \u0161pi\u010dkov\u00e9ho specialisty MUDr. Emila Z\u00e1humensk\u00e9ho.<\/p>\n

Zl\u00ednsk\u00fd kraj se „chlub\u00ed“ nep\u0159\u00edjemn\u00fdm prvenstv\u00edm. Cukrovkou zde trp\u00ed p\u0159es 60 tis\u00edc lid\u00ed, co\u017e je na po\u010det obyvatel nejv\u00edc v republice. T\u0159etina z tohoto po\u010dtu pak bojuje s nej\u010dast\u011bj\u0161\u00ed komplikac\u00ed spojenou s cukrovkou \u2013 diabetickou polyneuropati\u00ed. Pr\u00e1v\u011b od bolesti spojen\u00e9 s diabetem pom\u00e1h\u00e1 ji\u017e t\u0159i roky zl\u00ednsk\u00e9 MDM Centrum. To je z\u00e1rove\u0148 jedin\u00fdm m\u00edstem na Morav\u011b a jedn\u00edm ze t\u0159\u00ed v \u010cesk\u00e9 republice, kde metodu MDM l\u00e9ka\u0159i vyu\u017e\u00edvaj\u00ed tak\u00e9 p\u0159i l\u00e9\u010db\u011b t\u011b\u017ece hojiteln\u00fdch ran, kter\u00e9 jinak \u010dasto kon\u010d\u00ed amputac\u00ed kon\u010detiny.<\/p>\n

Nezhojiteln\u00fdmi r\u00e1nami nej\u010dast\u011bji trp\u00ed pr\u00e1v\u011b cukrovk\u00e1\u0159i posti\u017een\u00ed takzvanou diabetickou neuropati\u00ed. \u0160patn\u00e1 mikrocirkulace v tk\u00e1n\u00edch a sn\u00ed\u017een\u00ed citlivosti kon\u010detin jsou hlavn\u00ed sou\u010d\u00e1st\u00ed takzvan\u00e9ho syndromu diabetick\u00e9 nohy. Postihne zhruba p\u011bt procent diabetik\u016f, t\u00e9m\u011b\u0159 polovina z nich se nakonec mus\u00ed podrobit amputaci (to je asi 7500 amputac\u00ed ro\u010dn\u011b). Za\u010d\u00edn\u00e1 to p\u0159itom velmi nen\u00e1padn\u011b: diabetikovi sta\u010d\u00ed mal\u00e9 poran\u011bn\u00ed, kter\u00e9 v\u0161ak m\u016f\u017ee v\u00e9st do n\u011bkolika dn\u016f k zan\u00edcen\u00ed a riziku \u0161\u00ed\u0159en\u00ed infekce.<\/p>\n

\u010cas je nep\u0159\u00edtel<\/p>\n

„V\u010dasnou diagn\u00f3zou a \u00fa\u010dinnou l\u00e9\u010dbou je mo\u017en\u00e9 zabr\u00e1nit amputac\u00edm a\u017e v 80 procentech p\u0159\u00edpad\u016f,“ d\u00e1v\u00e1 nad\u011bji jeden z p\u0159edn\u00edch podiatr\u016f Emil Z\u00e1humensk\u00fd ze Zl\u00edna. Rozhoduj\u00edc\u00ed je v\u010dasn\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby na specializovan\u00e9m pracovi\u0161ti, kter\u00e9 se zab\u00fdv\u00e1 nejenom bezprost\u0159edn\u00edm o\u0161et\u0159ov\u00e1n\u00edm v\u0159ed\u016f.<\/p>\n

Specializovan\u00ed l\u00e9ka\u0159i \u2013 tzv. podiat\u0159i \u2013 maj\u00ed toti\u017e v posledn\u00edch letech st\u00e1le v\u00edce mo\u017enost\u00ed, jak se pokusit o z\u00e1chranu kon\u010detiny, kter\u00e1 by byla d\u0159\u00edve d\u016fvodem k amputaci. Jednou z metod je pr\u00e1v\u011b dopl\u0148kov\u00e1 fyzik\u00e1ln\u00ed terapie MDM, kter\u00e1 pat\u0159\u00ed mezi neinvazivn\u00ed neurostimula\u010dn\u00ed metody.<\/p>\n

Ta podle ned\u00e1vn\u00fdch v\u00fdsledk\u016f sedl\u010dansk\u00e9 nemocnice, kter\u00e1 terapii MDM pro l\u00e9\u010dbu diabetick\u00e9 neuropatie a chronick\u00fdch ran pou\u017e\u00edv\u00e1, v\u00fdrazn\u011b pomohla 82 procent\u016fm pacient\u016f se syndromem diabetick\u00e9 nohy. „Zlep\u0161en\u00ed b\u00fdv\u00e1 patrn\u00e9 ji\u017e na konci prvn\u00ed desetidenn\u00ed s\u00e9rie, kdy se r\u00e1na zpravidla vy\u010dist\u00ed, ohrani\u010d\u00ed v\u016f\u010di okol\u00ed, ustoup\u00ed okoln\u00ed z\u00e1n\u011bt a otok. Na spodin\u011b r\u00e1ny pozorujeme ostr\u016fvky granuluj\u00edc\u00ed tk\u00e1n\u011b od periferie ke st\u0159edu. Nastartuje se tak proces vlastn\u00edho hojen\u00ed, kter\u00fd ale nad\u00e1le pot\u0159ebuje sv\u016fj \u010das a podporu dal\u0161\u00edch l\u00e9\u010debn\u00fdch postup\u016f. U pacient\u016f, kte\u0159\u00ed p\u0159ich\u00e1z\u00ed po \u010dty\u0159ech a\u017e \u0161esti t\u00fddnech na druhou s\u00e9rii, je patrn\u00e9 plo\u0161n\u00e9 zmen\u0161en\u00ed defektu tak o dvacet a\u017e t\u0159icet procent,“ popisuje MUDr. Ane\u017eka Kul\u00edkov\u00e1, l\u00e9ka\u0159ka sedl\u010dansk\u00e9 nemocnice.<\/p>\n

Na l\u00e9\u010dbu chronick\u00fdch ran se specializuj\u00ed 3 centra<\/p>\n

Ministerstvo zdravotnictv\u00ed \u010cR povoluje pou\u017e\u00edvat p\u0159\u00edstroj MDM pro \u010dty\u0159i diagn\u00f3zy: diabetickou (poly)neuropatii, chronick\u00e9 bolesti, erektiln\u00ed dysfunkce a pr\u00e1v\u011b chronick\u00e9 r\u00e1ny, jako je syndrom diabetick\u00e9 nohy, b\u00e9rcov\u00e9 v\u0159edy, prole\u017eeniny apod.<\/p>\n

Provozovatel nest\u00e1tn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00ed MDM Centrum se rozhodl pou\u017e\u00edvat p\u0159\u00edstroj na l\u00e9\u010dbu chronick\u00fdch ran zat\u00edm jen ve t\u0159ech m\u011bstech v \u010cesku: v Sedl\u010danech, Praze a Zl\u00edn\u011b. „V t\u011bchto regionech toti\u017e spolupracujeme s l\u00e9ka\u0159i, kte\u0159\u00ed se na problematiku diabetick\u00e9 nohy a dal\u0161\u00edch ran specializuj\u00ed, a jsou tak schopn\u00ed zajistit komplexn\u00ed p\u00e9\u010di o pacienta. Uv\u011bdomujeme si toti\u017e, \u017ee nastartov\u00e1n\u00ed procesu hojen\u00ed p\u0159\u00edstrojem MDM neznamen\u00e1 pro lidi ohro\u017een\u00e9 amputac\u00ed v\u00fdhru. O pacienta se mus\u00ed po celou dobu starat specialista, kter\u00fd um\u00ed zapojit modern\u00ed postupy, kter\u00e9 sou\u010dasn\u00e1 medic\u00edna nab\u00edz\u00ed,“ dodala \u0159editelka MDM Center Alena Sv\u00e1tov\u00e1.<\/p>\n

Metoda MDM je vhodn\u00e1 zejm\u00e9na v p\u0159\u00edpadech resistenc\u00ed na l\u00e9\u010dbu, p\u0159i nesn\u00e1\u0161enlivosti \u010di alergick\u00fdch reakc\u00edch na farmaceutick\u00e9 prepar\u00e1ty nebo jako podpora \u00fa\u010dinku standardn\u00ed l\u00e9\u010dby. L\u00e9ka\u0159i diabetik\u016fm terapii MDM doporu\u010duj\u00ed tak\u00e9 jako prevenci p\u0159ed vznikem bolestiv\u00fdch stav\u016f diabetick\u00e9 neuropatie.<\/p>\n

MDM terapie se skl\u00e1d\u00e1 z 13 procedur v trv\u00e1n\u00ed 10 po sob\u011b jdouc\u00edch dn\u016f v\u010detn\u011b v\u00edkendu (prvn\u00ed 3 dny prob\u00edh\u00e1 procedura 2x denn\u011b, pot\u00e9 1x denn\u011b), procedura trv\u00e1 30 minut.<\/p>\n

Klinick\u00e9 studie a statistiky<\/p>\n

Klinick\u00e9 studie i praxe prok\u00e1zaly, \u017ee se p\u0159\u00edzniv\u00e9 \u00fa\u010dinky terapie projevuj\u00ed ji\u017e po n\u011bkolika prvn\u00edch v\u00fdkonech. L\u00e9\u010dba je zcela neinvazivn\u00ed, nebolestiv\u00e1 a pacienta nijak nezat\u011b\u017euje. M\u00e1 minimum kontraindikac\u00ed a t\u00e9m\u011b\u0159 \u017e\u00e1dn\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky.<\/p>\n

L\u00e9\u010dbu chronick\u00fdch ran zah\u00e1jili l\u00e9ka\u0159i v MDM Centrech po dokon\u010den\u00ed l\u00e9ka\u0159sk\u00e9 studie potvrzuj\u00edc\u00ed pozitivn\u00ed vliv MDM na l\u00e9\u010dbu t\u011bchto komplikac\u00ed, kterou prov\u00e1d\u011bl t\u00fdm p\u0159edn\u00edch \u010desk\u00fdch diabetolog\u016f, prof. Milan Kvapil a MUDr. Emil Z\u00e1humensk\u00fd.<\/p>\n

Zkoumali vliv terapie na patn\u00e1ct lid\u00ed, jim\u017e hrozila amputace doln\u00ed kon\u010detiny. Radik\u00e1ln\u00ed z\u00e1krok po dobu klinick\u00e9ho sledov\u00e1n\u00ed nemusel podstoupit nikdo, po roce sledov\u00e1n\u00ed bylo nutn\u00e9 p\u0159istoupit pouze k jedn\u00e9 amputaci a r\u00e1na se zmen\u0161ila v pr\u016fm\u011bru o 54 %.<\/p>\n

Za p\u011bt let l\u00e9ka\u0159sk\u00e9 praxe v \u010cesk\u00e9 republice terapii podstoupilo 2100 pacient\u016f, z nich\u017e 80 procent uvedlo, \u017ee jim terapie pomohla \u00fapln\u011b nebo z \u010d\u00e1sti od pal\u010div\u00fdch bolest\u00ed, zm\u00edrnily se nebo zcela odstranily k\u0159e\u010de a mraven\u010den\u00ed v doln\u00edch kon\u010detin\u00e1ch. \u010c\u00e1sti pacient\u016f se zlep\u0161il cit v nohou a v d\u016fsledku zm\u00edrn\u011bn\u00ed \u010di \u00fastupu bolest\u00ed se po mnoha m\u011bs\u00edc\u00edch mohli op\u011bt vyspat. Pr\u00e1v\u011b zlep\u0161en\u00ed sp\u00e1nku hodnotili pacienti nejpozitivn\u011bji. V sou\u010dasn\u011b dob\u011b p\u016fsob\u00ed v \u010cesk\u00e9 republice osm MDM Center, dv\u011b MDM Centra se v ned\u00e1vn\u00e9 dob\u011b otev\u0159ela tak\u00e9 na Slovensku.<\/p>\n

Na Morav\u011b m\u016f\u017eete absolvovat l\u00e9\u010dbu ve dvou MDM Centrech: ve Zl\u00edn\u011b v ordinaci MUDr. Emila Z\u00e1humensk\u00e9ho, tel.: 576 000 240, v Opav\u011b v ordinaci MUDr. Radomily Pluschke tel.: 553 766 265. Spojte se s diabetology a pora\u010fte se o mo\u017enostech va\u0161\u00ed l\u00e9\u010dby. V\u00edce informac\u00ed najdete na mdmcentrum.com.<\/p>\n

22.05.2015
\nOlomouck\u00fd den\u00edk
\nhttp:\/\/www.olomoucky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Pal\u010div\u00e9 bolesti, p\u0159edev\u0161\u00edm nohou, p\u00e1len\u00ed, k\u0159e\u010de. Tak se projevuje diabetick\u00e1 polyneuropatie \u2013 nej\u010dast\u011bj\u0161\u00ed komplikace spojen\u00e1 s cukrovkou, kterou trp\u00ed asi jedna t\u0159etina v\u0161ech diabetik\u016f.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14132,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-21431","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\/21431","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=21431"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21431\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14132"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21431"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21431"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21431"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}