{"id":22705,"date":"2015-09-11T22:47:34","date_gmt":"2015-09-11T20:47:34","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22705"},"modified":"2015-09-11T22:48:04","modified_gmt":"2015-09-11T20:48:04","slug":"denne-zemre-na-mrtvici-28-cechu-polovina-zbytecne-p","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22705","title":{"rendered":"Denn\u011b zem\u0159e na mrtvici 28 \u010cech\u016f, polovina zbyte\u010dn\u011b"},"content":{"rendered":"

\u010ce\u0161i maj\u00ed spolu s N\u011bmci nejvy\u0161\u0161\u00ed \u0161anci v Evropsk\u00e9 unii p\u0159e\u017e\u00edt mrtvici. Ale mohlo by to b\u00fdt je\u0161t\u011b lep\u0161\u00ed.<\/strong>
\nProbl\u00e9mem nejsou l\u00e9ka\u0159i, ty m\u00e1me skv\u011bl\u00e9, ale pacienti. Infarkt pozn\u00e1 90 procent \u010cech\u016f, av\u0161ak mrtvici st\u011b\u017e\u00ed 30 procent. Pokud polovina lid\u00ed p\u0159ijede po mrtvici do nemocnice pozd\u011b, zaplat\u00ed za to smrt\u00ed nebo trval\u00fdm posti\u017een\u00edm.<\/p>\n

Po srde\u010dn\u00edm onemocn\u011bn\u00ed a rakovin\u011b je c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda (CMP), tedy mrtvice, t\u0159et\u00ed nej\u010dast\u011bj\u0161\u00ed zabij\u00e1k. Na cel\u00e9m sv\u011bt\u011b j\u00ed podlehne ro\u010dn\u011b 5,5 mili\u00f3nu lid\u00ed. V \u010cesku je za rok hospitalizov\u00e1no s CMP 52,5 tis\u00edce pacient\u016f.<\/p>\n

„Tak to uv\u00e1d\u011bj\u00ed nejnov\u011bj\u0161\u00ed statistiky z roku 2013. Z celkov\u00e9ho po\u010dtu pacient\u016f podlehlo mrtvici 10 316. Tedy 28 lid\u00ed denn\u011b. To je podobn\u00e9, jako kdyby se ka\u017ed\u00fd den staly n\u011bjak\u00e9 rozs\u00e1hl\u00e9 katastrofy. Mrtvici podle dotazn\u00edk\u016f nepozn\u00e1 v\u00edce ne\u017e 70 procent lid\u00ed.<\/p>\n

P\u0159itom to nejd\u016fle\u017eit\u011bj\u0161\u00ed p\u0159i z\u00e1chran\u011b takov\u00e9ho pacienta je \u010das. Jenom\u017ee k tomu je t\u0159eba rozpoznat p\u0159\u00edznaky,“ vysv\u011btluje prim\u00e1\u0159 neurologie FN Motol Ale\u0161 Tomek. Proto se spole\u010dn\u011b s dal\u0161\u00edmi kolegy rozhodli odstartovat kampa\u0148 s n\u00e1zvem \u010cas je mozek.<\/p>\n

Doba, kter\u00e1 uplyne od okam\u017eiku, kdy se c\u00e9va ucpe, je rozhoduj\u00edc\u00ed pro to, zda bude pacient nejen \u017e\u00edt, ale tak\u00e9 jak. Pokud tedy nejde o krv\u00e1civou p\u0159\u00edhodu, jej\u00ed\u017e l\u00e9\u010dba je mnohem n\u00e1ro\u010dn\u011bj\u0161\u00ed a progn\u00f3za v\u00fdrazn\u011b hor\u0161\u00ed. Takov\u00e9 na\u0161t\u011bst\u00ed tvo\u0159\u00ed jen asi 12 procent CMP.<\/p>\n

„Dostane-li se k n\u00e1m \u010dlov\u011bk do hodiny, je osmdes\u00e1ti- a\u017e devades\u00e1tiprocentn\u00ed \u0161ance na jeho \u00fapln\u00e9 vyl\u00e9\u010den\u00ed. Podle dlouhodob\u011bj\u0161\u00edch m\u011b\u0159en\u00ed je to tak, \u017ee do 1,5 hodiny se polovina pacient\u016f zcela vyl\u00e9\u010d\u00ed. Po 4,5 hodin\u00e1ch je to s b\u00eddou 15 procent,“ uvedl Tomek.<\/p>\n

„Z t\u011bch, kdo mrtvici p\u0159e\u017eij\u00ed, je jedna t\u0159etina lid\u00ed t\u011b\u017ece posti\u017eena a odk\u00e1z\u00e1na do\u017eivotn\u011b na institucion\u00e1ln\u00ed p\u00e9\u010di, t\u0159etina je lehce posti\u017eena a t\u0159etina \u00fapln\u011b bez n\u00e1sledk\u016f. Pades\u00e1t procent pacient\u016f doraz\u00ed do nemocnice pozd\u011b, po limitu \u010dty\u0159 a p\u016fl hodiny,“ zd\u016fraznil Tomek s t\u00edm, \u017ee ka\u017edou minutu posti\u017een\u00fd pacient p\u0159ijde o t\u00e9m\u011b\u0159 dva mili\u00f3ny neuron\u016f. Ztr\u00e1c\u00ed v\u011bdomosti i vzpom\u00ednky.<\/p>\n

Podle Tomka by se m\u011bly za\u010d\u00edt u\u010dit p\u0159\u00edznaky mrtvice u\u017e na z\u00e1kladn\u00ed \u0161kole.
\nAnglicky nazvan\u00fd test FAST je velmi jednoduch\u00fd \u2013 tv\u00e1\u0159, ruka a \u0159e\u010d. Na probl\u00e9mech s nimi se projev\u00ed i to, jak\u00e1 \u010d\u00e1st mozku je posti\u017eena.<\/p>\n

Volat 155 by m\u011bl ka\u017ed\u00fd, kdo zjist\u00ed: kdy\u017e se usm\u011bje, spadne mu koutek nebo se mu cel\u00e1 \u010d\u00e1st obli\u010deje h\u00fdbe m\u00e9n\u011b.<\/p>\n

P\u0159edpa\u017e\u00ed-li ruce, jedna ruka po zhruba p\u011bti sekund\u00e1ch poklesne nebo s n\u00ed nelze h\u00fdbat v\u016fbec. A nakonec, je-li napadeno centrum \u0159e\u010di, nem\u016f\u017ee posti\u017een\u00fd mluvit v\u016fbec nebo pov\u00edd\u00e1 nesmysly.<\/p>\n

„Pokud nejsou p\u0159\u00edznaky mrtvice zcela paralyzuj\u00edc\u00ed, \u010dasto je pacient v\u016fbec nepozn\u00e1, podcen\u00ed je, \u010di se z nich sna\u017e\u00ed takzvan\u011b vyspat. R\u00e1no se ale probouz\u00ed s rozs\u00e1hl\u00fdm mozkov\u00fdm po\u0161kozen\u00edm, se kter\u00fdm u\u017e l\u00e9ka\u0159i mnoho nezm\u016f\u017eou,“ varuje Miloslav Ro\u010dek, p\u0159edseda \u010cesk\u00e9 spole\u010dnosti interven\u010dn\u00ed radiologie.<\/p>\n

Novinka v l\u00e9\u010db\u011b<\/p>\n

Ro\u010dek tak\u00e9 p\u0159ibl\u00ed\u017eil nov\u00fd zp\u016fsob z\u00e1kroku, kter\u00fd je bezpe\u010dn\u011bj\u0161\u00ed a \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e star\u0161\u00ed trombol\u00fdza: „Nejnov\u011bj\u0161\u00ed metoda \u2013 mechanick\u00e1 trombektomie \u2013 d\u00e1v\u00e1 l\u00e9ka\u0159\u016fm k dispozici p\u00e1r hodin nav\u00edc. Lze l\u00e9\u010dit i do \u0161esti hodin. P\u0159i n\u00ed odstra\u0148ujeme pomoc\u00ed mal\u00e9ho apar\u00e1tu sra\u017eeninu z tepny a t\u00edm obnov\u00edme z\u00e1soben\u00ed mozku krv\u00ed. Z\u00e1krok je miniinvazivn\u00ed a prob\u00edh\u00e1 p\u0159i lok\u00e1ln\u00ed anestezii. Pacient\u016fv organismus je m\u00e9n\u011b zat\u011b\u017eov\u00e1n a u\u017e b\u011bhem z\u00e1kroku poc\u00edt\u00ed odezn\u00edv\u00e1n\u00ed p\u0159\u00edznak\u016f.“<\/p>\n

Za p\u00e1r dn\u00ed je pacient fit. Stejn\u011b jako Pavel Stochla, kter\u00fd se stal tv\u00e1\u0159\u00ed kampan\u011b \u010cas je mozek.<\/p>\n

„P\u0159i takov\u00e9m otoku, se kter\u00fdm p\u0159ivezli pana Stochlu, po\u010d\u00edt\u00e1me s pades\u00e1tiprocentn\u00ed \u00famrtnost\u00ed. Z p\u0159e\u017eiv\u0161\u00edch jsou t\u0159i \u010dtvrtiny trvale le\u017e\u00edc\u00ed pacienti. Av\u0161ak pan Stochla, kter\u00fd podstoupil mechanickou trombektomii, se mohl u\u017e t\u0159et\u00ed den po z\u00e1kroku voln\u011b pohybovat,“ popsal p\u0159\u00edpad 62let\u00e9ho mu\u017ee z Berouna prim\u00e1\u0159 Tomek.<\/p>\n

Celo\u017eivotn\u00ed sportovec, kter\u00fd opustil motolskou nemocnici 29. srpna, si vedle l\u00e9ka\u0159e s lehk\u00fdm dojet\u00edm, ale \u00fasm\u011bvem na tv\u00e1\u0159i vybavuje, co se v osudn\u00fd den stalo.<\/p>\n

„Druh\u00fd den r\u00e1no po v\u00fd\u0161lapu s d\u011btmi se mi ud\u011blalo nevolno a v kuchyni jsem omdlel. Kdy\u017e dorazila z\u00e1chranka, u\u017e jsem neh\u00fdbal ani rukou, ani nohou, a pak u\u017e si toho moc nepamatuji. Dnes, m\u011bs\u00edc po operaci, u\u017e chod\u00edm na proch\u00e1zky a vrac\u00edm se k norm\u00e1ln\u00edmu zp\u016fsobu \u017eivota,“ pochlubil se Pavel Stochla.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

\u010ce\u0161i maj\u00ed spolu s N\u011bmci nejvy\u0161\u0161\u00ed \u0161anci v Evropsk\u00e9 unii p\u0159e\u017e\u00edt mrtvici. Ale mohlo by to b\u00fdt je\u0161t\u011b lep\u0161\u00ed.<\/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-22705","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\/22705","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=22705"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22705\/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=22705"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22705"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22705"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}