{"id":23280,"date":"2015-10-29T14:36:23","date_gmt":"2015-10-29T13:36:23","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=23280"},"modified":"2015-10-29T14:36:23","modified_gmt":"2015-10-29T13:36:23","slug":"nemoc-vytizenych-starsich-muzu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=23280","title":{"rendered":"Nemoc vyt\u00ed\u017een\u00fdch star\u0161\u00edch mu\u017e\u016f"},"content":{"rendered":"<p><strong>Riziko onemocn\u011bn\u00ed, kv\u016fli n\u011bmu\u017e byl operov\u00e1n Karel Gott, prudce roste s v\u011bkem a stresem.<\/strong><!--more--><\/p>\n<p>Z\u00fa\u017een\u00edm aort\u00e1ln\u00ed chlopn\u011b trp\u00ed v rozvinut\u00e9m sv\u011bt\u011b jen dv\u011b procenta lid\u00ed. Jen\u017ee se st\u00e1rnut\u00edm se riziko prudce zvy\u0161uje: po 75. narozenin\u00e1ch, kter\u00e9 Karel Gott oslavil loni, postihuje st\u0159edn\u011b t\u011b\u017ek\u00e1 a\u017e t\u011b\u017ek\u00e1 forma tohoto srde\u010dn\u00edho onemocn\u011bn\u00ed u\u017e 12 procent populace.<\/p>\n<p>Co p\u0159esn\u011b chorobu spou\u0161t\u00ed a pro\u010d u n\u011bkter\u00fdch lid\u00ed postupuje rychleji ne\u017e u jin\u00fdch, to zat\u00edm nen\u00ed v\u011bdc\u016fm p\u0159\u00edli\u0161 jasn\u00e9.<\/p>\n<p>Krom\u011b v\u011bku pat\u0159\u00ed k rizikov\u00fdm faktor\u016fm nel\u00e9\u010den\u00fd vysok\u00fd tlak \u010di hladina cholesterolu a tak\u00e9 kou\u0159en\u00ed. \u010cast\u011bji onemocn\u00ed mu\u017ei.<\/p>\n<p>Operace je nej\u010dast\u011bj\u0161\u00ed metodou l\u00e9\u010dby. Obvykle se p\u0159i n\u00ed posti\u017een\u00e1 chlope\u0148 cel\u00e1 vym\u011bn\u00ed za implant\u00e1t, jen v n\u011bkter\u00fdch p\u0159\u00edpadech se d\u00e1 &#8222;opravit&#8220; speci\u00e1ln\u00ed plastickou operac\u00ed. Pot\u00ed\u017ee se srdcem v\u0161ak m\u016f\u017ee vy\u0159e\u0161it i zaveden\u00ed balonku na speci\u00e1ln\u00ed c\u00e9vce, takzvan\u00e9m katetru. Balonek se v m\u00edst\u011b z\u00fa\u017een\u00ed nafoukne a chlope\u0148 roz\u0161\u00ed\u0159\u00ed.<\/p>\n<p>Pr\u00e1v\u011b to se z\u0159ejm\u011b stalo v p\u0159\u00edpad\u011b Karla Gotta. L\u00e9ka\u0159i v pra\u017esk\u00e9m IKEM, kde zp\u011bv\u00e1k od \u00faterka le\u017e\u00ed, se pr\u00e1v\u011b na tyto typy operac\u00ed dlouhodob\u011b specializuj\u00ed.<\/p>\n<p>V\u00fdhodou takzvan\u00e9 miniinvazivn\u00ed operace je, \u017ee je pro star\u0161\u00ed organismus mnohem \u0161etrn\u011bj\u0161\u00ed. &#8222;Jak\u00e9koliv zat\u00ed\u017een\u00ed organismu v podob\u011b celkov\u00e9 anestezie p\u0159in\u00e1\u0161\u00ed v tomto v\u011bku vy\u0161\u0161\u00ed riziko. Proto ch\u00e1pu, pro\u010d se tak kolegov\u00e9 rozhodli,&#8220; \u0159ekl anesteziolog Karel Drmola.<\/p>\n<p>Stres p\u0159\u00edznaky zhor\u0161uje<\/p>\n<p>Operaci v IKEM m\u011bl Gott \u00fadajn\u011b dop\u0159edu napl\u00e1novanou, jen na ni nezam\u00fd\u0161lel j\u00edt tak brzy. Do nemocnice v \u00fater\u00fd sp\u011bchal proto, \u017ee se mu n\u00e1hle p\u0159it\u00ed\u017eilo. Z\u00e1krok u\u017e ne\u0161lo d\u00e1l odkl\u00e1dat.<\/p>\n<p>Zp\u011bv\u00e1k m\u011bl sice p\u0159edepsan\u00e9 l\u00e9ky, ty v\u0161ak mohou pouze zm\u00edrnit p\u0159\u00edznaky a p\u0159\u00edpadn\u011b zpomalit postup onemocn\u011bn\u00ed. Jeho p\u0159\u00ed\u010dinu v\u0161ak neodstran\u00ed.<\/p>\n<p>Operace je proto u t\u00e9to diagn\u00f3zy b\u011b\u017en\u00e1 \u2013 z\u00fa\u017een\u00e1 aort\u00e1ln\u00ed chlope\u0148 je v\u016fbec nej\u010dast\u011bji operovanou srde\u010dn\u00ed vadou.<\/p>\n<p>K n\u00e1hl\u00e9mu zhor\u0161en\u00ed zdravotn\u00edho stavu Karla Gotta mohlo snadno p\u0159isp\u011bt i jeho vysok\u00e9 pracovn\u00ed vyp\u011bt\u00ed a s n\u00edm spojen\u00fd stres. P\u0159i n\u00e1maze se toti\u017e mohou zhor\u0161ovat typick\u00e9 zdravotn\u00ed obt\u00ed\u017ee, ke kter\u00fdm pat\u0159\u00ed du\u0161nost nebo intenzivn\u00ed bolest na hrudi.<\/p>\n<p>\u017de ho nemocn\u00e9 srdce nut\u00ed trochu zvolnit, si mnohon\u00e1sobn\u00fd zlat\u00fd slav\u00edk uv\u011bdomoval. Na zimu si nenapl\u00e1noval \u017e\u00e1dn\u00e9 koncerty, po pl\u00e1novan\u00e9 operaci cht\u011bl rehabilitovat a odpo\u010d\u00edvat.<\/p>\n<p>Zru\u0161en\u00e9 koncerty<\/p>\n<p>Moment\u00e1ln\u011b je zp\u011bv\u00e1k na jednotce intenzivn\u00ed p\u00e9\u010de a l\u00e9ka\u0159i hl\u00eddaj\u00ed jeho stav. I jeho podzimn\u00ed koncerty byly zru\u0161eny a\u017e do odvol\u00e1n\u00ed.<\/p>\n<p>Zku\u0161enosti pacient\u016f, kte\u0159\u00ed prod\u011blali stejnou chorobu, ukazuj\u00ed, \u017ee po operaci mohou bu\u010f upravovat sv\u016fj stav za pomoci l\u00e9k\u016f, nebo mohou b\u00fdt v leh\u010d\u00edch p\u0159\u00edpadech dokonce zcela bez l\u00e9\u010dby, jen pod dohledem l\u00e9ka\u0159\u016f.<\/p>\n<p>&#8212;<\/p>\n<p>Co se stalo Karlu Gottovi &#8211; Zjednodu\u0161en\u011b \u0159e\u010deno: zp\u011bv\u00e1kovi se z\u00fa\u017eila tepna, kter\u00e1 odv\u00e1d\u00ed okysli\u010denou krev ze srdce. Z\u00fa\u017een\u00ed se d\u00e1 odstranit klasickou operac\u00ed, nebo takzvanou katetrizac\u00ed. Pr\u00e1v\u011b tu \u00fadajn\u011b podstoupil Karel Gott.<\/p>\n<p>Aort\u00e1ln\u00ed chlope\u0148, kde se tepna z\u00fa\u017eila, pom\u00e1h\u00e1 srdci pumpovat do t\u011bla okysli\u010denou krev. S v\u011bkem se v n\u00ed usazuje v\u00e1pn\u00edk a dal\u0161\u00ed prvky. Ztr\u00e1c\u00ed proto pru\u017enost a otvor mezi c\u00edpy se zu\u017euje. To br\u00e1n\u00ed pr\u016ftoku krve. Srdce mus\u00ed v\u00edce pracovat, aby odpor chlopn\u011b p\u0159ekonalo. P\u0159\u00edznakem je bolest na hrudi, du\u0161nost, \u00fanava. Nel\u00e9\u010den\u00e9 srdce m\u016f\u017ee selhat.<\/p>\n<p>Radka Hrdinov\u00e1, Lenka Petr\u00e1\u0161ov\u00e1<br \/>\nMlad\u00e1 fronta Dnes<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Riziko onemocn\u011bn\u00ed, kv\u016fli n\u011bmu\u017e byl operov\u00e1n Karel Gott, prudce roste s v\u011bkem a stresem.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":18804,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-23280","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\/23280","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=23280"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23280\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18804"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}