{"id":22753,"date":"2015-09-17T11:08:17","date_gmt":"2015-09-17T09:08:17","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22753"},"modified":"2015-09-17T11:43:31","modified_gmt":"2015-09-17T09:43:31","slug":"ocelova-dama-hyperbaricka-komora-slavi-padesatku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22753","title":{"rendered":"Ocelov\u00e1 d\u00e1ma \u2013 hyperbarick\u00e1 komora \u2013 slav\u00ed pades\u00e1tku"},"content":{"rendered":"<p><strong>&#8222;Zpo\u010d\u00e1tku jsem byla trochu skeptick\u00e1, ale te\u010f jsem nad\u0161en\u00e1,&#8220; \u0159\u00edk\u00e1 pan\u00ed Blanka Matu\u0161kov\u00e1. N\u00e1sledkem onemocn\u011bn\u00ed p\u00e1sov\u00fdm oparem p\u0159i\u0161la o sluch v prav\u00e9m uchu a nyn\u00ed se l\u00e9\u010d\u00ed v hyperbarick\u00e9 komo\u0159e v M\u011bstsk\u00e9 nemocnici v Ostrav\u011b (MNO). Jedin\u00e9 na Morav\u011b a nejstar\u0161\u00ed v \u010cesku.<\/strong><!--more--><\/p>\n<p>&#8222;Za sebou m\u00e1m jeden\u00e1ct sezen\u00ed a u\u017e sly\u0161\u00edm mnohem l\u00e9pe. Nerozezn\u00e1m sice je\u0161t\u011b dob\u0159e t\u00f3n hlasu, ale rozum\u00edm,&#8220; \u0159\u00edk\u00e1 \u017eena, kter\u00e1 do Ostravy p\u0159ijela za l\u00e9\u010dbou z Brna.<\/p>\n<p>Jedin\u00e1 v kraji<\/p>\n<p>Hyperbarick\u00e1 komora v M\u011bstsk\u00e9 nemocnici Ostrava slou\u017e\u00ed pacient\u016fm u\u017e pades\u00e1t let. Jde o prvn\u00ed pracovi\u0161t\u011b tohoto typu v na\u0161\u00ed republice. P\u0159esto\u017ee nyn\u00ed jich je v republice t\u0159in\u00e1ct, ostravsk\u00e1 hyperbarick\u00e1 komora je na Morav\u011b a ve Slezsku st\u00e1le jedin\u00e1. Tomu odpov\u00edd\u00e1 i jej\u00ed vyt\u00ed\u017een\u00ed. Ro\u010dn\u011b se zde l\u00e9\u010d\u00ed v\u00edce ne\u017e \u010dty\u0159i stovky pacient\u016f s nejr\u016fzn\u011bj\u0161\u00edmi diagn\u00f3zami a na za\u0159azen\u00ed do programu l\u00e9\u010dby se v neakutn\u00edch p\u0159\u00edpadech \u010dek\u00e1 i t\u0159i t\u00fddny. &#8222;V pr\u016fb\u011bhu pades\u00e1ti let se zkou\u0161ely r\u016fzn\u00e9 indikace, zejm\u00e9na z oblasti neurologie a degenerativn\u00edch onemocn\u011bn\u00ed. Dnes o\u0161et\u0159ujeme zhruba dvacet indikac\u00ed z cel\u00e9ho spektra medic\u00ednsk\u00fdch obor\u016f a \u010dtrn\u00e1ct indikac\u00ed chronick\u00fdch,&#8220; \u0159\u00edk\u00e1 prim\u00e1\u0159 Centra hyperbarick\u00e9 medic\u00edny MNO Michal H\u00e1jek.<\/p>\n<p>Mezi akutn\u00ed p\u0159\u00edpady \u0159ad\u00ed zejm\u00e9na otravy oxidem uhelnat\u00fdm. Jejich po\u010det strm\u011b stoup\u00e1 se za\u010d\u00e1tkem topn\u00e9 sezony. Ro\u010dn\u011b jich l\u00e9\u010d\u00ed kolem pades\u00e1tky. &#8222;To obdob\u00ed za\u010d\u00edn\u00e1 zhruba v \u0159\u00edjnu a kon\u010d\u00ed v dubnu. Vrchol\u00ed v prosinci a lednu, kdy je t\u011bchto otrav nejv\u00edce,&#8220; doplnil prim\u00e1\u0159 H\u00e1jek.<\/p>\n<p>Hyperbarick\u00e1 komora byla otev\u0159ena v roce 1965. Prosadit jej\u00ed vybudov\u00e1n\u00ed pr\u00e1v\u011b v Ostrav\u011b se poda\u0159ilo n\u00e1sledkem nehody v Dole Eduard Urx v Pet\u0159kovic\u00edch. V d\u016fsledku otravy sirovod\u00edkem zde zahynulo dev\u011bt horn\u00edk\u016f.<\/p>\n<p>Vlastn\u00ed komora vypad\u00e1 jako velk\u00e1 uzav\u0159en\u00e1 ocelov\u00e1 n\u00e1doba, v n\u00ed\u017e pacienti d\u00fdchaj\u00ed stoprocentn\u011b \u010dist\u00fd kysl\u00edk pod tlakem. Ten je zde podle prim\u00e1\u0159e H\u00e1jka takov\u00fd, jako kdy\u017e se n\u011bkdo potop\u00ed do dvacetimetrov\u00e9 hloubky. A pr\u00e1v\u011b kysl\u00edk je v tomto p\u0159\u00edpad\u011b l\u00e9\u010debn\u00fd prost\u0159edek. V\u011bt\u0161ina vzdu\u0161n\u00e9ho kysl\u00edku, kter\u00fd d\u00fdch\u00e1me, se toti\u017e v krvi nav\u00e1\u017ee na \u010derven\u00e9 krvinky. P\u0159i zv\u00fd\u0161en\u00ed tlaku nad \u00farove\u0148 tlaku atmosf\u00e9rick\u00e9ho doch\u00e1z\u00ed tak\u00e9 ke zv\u00fd\u0161en\u00ed mno\u017estv\u00ed kysl\u00edku rozpu\u0161t\u011bn\u00e9ho v krvi. Ten se pak sn\u00e1ze dost\u00e1v\u00e1 i do tk\u00e1n\u00ed posti\u017een\u00fdch infekc\u00ed \u010di zu\u017eov\u00e1n\u00edm c\u00e9v, kter\u00e9 jsou pro \u010derven\u00e9 krvinky kv\u016fli jejich velikosti nedostupn\u00e9.<\/p>\n<p>Kde kysl\u00edk pom\u00e1h\u00e1<\/p>\n<p>Kysl\u00edk tak pom\u00e1h\u00e1 nap\u0159\u00edklad p\u0159i dekompresn\u00edm poran\u011bn\u00ed u pot\u00e1p\u011b\u010d\u016f, t\u011b\u017ek\u00fdch \u00farazech a infekc\u00edch, obt\u00ed\u017en\u011b se hoj\u00edc\u00edch ko\u017en\u00edch defektech u diabetik\u016f \u010di ORL indikac\u00edch \u2013 p\u0159edev\u0161\u00edm n\u00e1hl\u00e9 ztr\u00e1t\u011b sluchu \u010di u\u0161n\u00edch \u0161elestech (tinnitus). Zm\u00edr\u0148uje tak\u00e9 n\u011bkter\u00e9 komplikace onkologick\u00e9 l\u00e9\u010dby.<\/p>\n<p>Podle Michala H\u00e1jka by bylo t\u0159eba, aby pracovi\u0161\u0165 s hyperbarickou komorou bylo v \u010cesku podstatn\u011b v\u00edce \u2013 a rovnom\u011brn\u011bji rozm\u00edst\u011bn\u00fdch. \u0158adu onemocn\u011bn\u00ed lze toti\u017e l\u00e9\u010dit i ambulantn\u011b. &#8222;V\u00edme, \u017ee ta s\u00ed\u0165 nen\u00ed rovnom\u011brn\u00e1. V \u010cech\u00e1ch se l\u00e9\u010d\u00ed sedmkr\u00e1t v\u00edce pacient\u016f ne\u017e na Morav\u011b,&#8220; podotkl. &#8222;Na\u0161e p\u0159edstava je takov\u00e1, \u017ee by v ka\u017ed\u00e9 fakultn\u00ed nemocnici, eventu\u00e1ln\u011b i v n\u011bkter\u00fdch krajsk\u00fdch nemocnic\u00edch, m\u011bla b\u00fdt v\u00edcem\u00edstn\u00e1 hyperbarick\u00e1 komora,&#8220; m\u00edn\u00ed.<\/p>\n<p>N\u00e1klady na jej\u00ed vybudov\u00e1n\u00ed se podle jeho slov pohybuj\u00ed mezi 20 a\u017e 30 miliony korun. Z\u00e1le\u017e\u00ed na kapacit\u011b komory.<\/p>\n<p>IVA MU\u0160\u00c1LKOV\u00c1<br \/>\nBrunt\u00e1lsk\u00fd a Krnovsk\u00fd den\u00edk<br \/>\n<a href=\"http:\/\/bruntalsky.denik.cz\/\">http:\/\/bruntalsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>&#8222;Zpo\u010d\u00e1tku jsem byla trochu skeptick\u00e1, ale te\u010f jsem nad\u0161en\u00e1,&#8220; \u0159\u00edk\u00e1 pan\u00ed Blanka Matu\u0161kov\u00e1. N\u00e1sledkem onemocn\u011bn\u00ed p\u00e1sov\u00fdm oparem p\u0159i\u0161la o sluch v prav\u00e9m uchu a nyn\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=22753\" title=\"Ocelov\u00e1 d\u00e1ma \u2013 hyperbarick\u00e1 komora \u2013 slav\u00ed pades\u00e1tku\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-22753","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22753","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=22753"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22753\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22753"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22753"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}