Mezi lidmi st\u00e1le p\u0159etrv\u00e1v\u00e1 domn\u011bnka, \u017ee zelen\u00fd z\u00e1kal znamen\u00e1 oslepnut\u00ed. Tato nemoc je, pokud jde o o\u010dn\u00ed choroby, nejv\u011bt\u0161\u00edm stra\u0161\u00e1kem zejm\u00e9na star\u0161\u00edch lid\u00ed, kte\u0159\u00ed mnohdy ze strachu ot\u00e1lej\u00ed s n\u00e1v\u0161t\u011bvou l\u00e9ka\u0159e. Sami sob\u011b t\u00edm ale ubli\u017euj\u00ed, proto\u017ee v\u010das diagnostikovan\u00fd zelen\u00fd z\u00e1kal je u\u017e dnes velice dob\u0159e l\u00e9\u010diteln\u00fd.<\/p>\n
Glaukom neboli zelen\u00fd z\u00e1kal je onemocn\u011bn\u00ed zrakov\u00e9ho nervu. Jedn\u00edm z faktor\u016f, kter\u00fd jej zp\u016fsobuje a kter\u00fd je mo\u017en\u00e9 l\u00e9\u010debn\u011b ovlivnit je nitroo\u010dn\u00ed tlak, kter\u00fd je ovliv\u0148ov\u00e1n mno\u017estv\u00edm nitroo\u010dn\u00ed tekutiny, jej\u00ed\u017e tvorba i odtok z oka by m\u011bly b\u00fdt vyrovnan\u00e9. U n\u011bkter\u00fdch pacient\u016f je nemoc vrozen\u00e1, u jin\u00fdch vznikne b\u011bhem \u017eivota, p\u0159i\u010dem\u017e p\u0159\u00ed\u010dinu jej\u00edho vzniku ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f l\u00e9ka\u0159i zat\u00edm neznaj\u00ed. L\u00e9ka\u0159sk\u00e1 v\u011bda dosud nezn\u00e1 ani l\u00e9k nebo z\u00e1krok, kter\u00fd by um\u011bl z\u00e1kal odstranit, dok\u00e1\u017ee ho v\u0161ak l\u00e9\u010dit a to velice \u00fasp\u011b\u0161n\u011b. V\u011bt\u0161ina zelen\u00fdch z\u00e1kal\u016f se da\u0159\u00ed udr\u017eet v takov\u00fdch mez\u00edch, \u017ee pacienti nejsou touto nemoc\u00ed v b\u011b\u017en\u00e9m \u017eivot\u011b t\u00e9m\u011b\u0159 nijak omezov\u00e1ni. D\u016fle\u017eit\u00e9 je, \u017ee a\u017e do konce \u017eivota vid\u00ed, n\u011bkdy l\u00e9pe, jindy je zrak hor\u0161\u00ed, ale je zachov\u00e1n. „Zelen\u00fd z\u00e1kal pro pacienta znamen\u00e1, \u017ee se bude po cel\u00fd zbytek \u017eivota l\u00e9\u010dit, ov\u0161em to m\u016f\u017ee b\u00fdt tak \u00fasp\u011b\u0161n\u00e9, \u017ee v\u016fbec nedojde k omezen\u00ed funkc\u00ed a to oko bude fungovat jako t\u00e9m\u011b\u0159 zdrav\u00e9. Existuj\u00ed glaukomy, jejich\u017e postup se ani se v\u0161\u00ed dostupnou l\u00e9\u010dbou zastavit nepoda\u0159\u00ed a slepotou skon\u010d\u00ed, takov\u00fdch je ale opravdu m\u00e1lo,“ \u0159ekla prim\u00e1\u0159ka o\u010dn\u00edho odd\u011blen\u00ed Slezsk\u00e9 nemocnice Zde\u0148ka Wandrolov\u00e1.
\nPro \u00fasp\u011b\u0161nou l\u00e9\u010dbu je kl\u00ed\u010dov\u00e9 v\u010dasn\u00e9 rozpozn\u00e1n\u00ed nemoci. Proto by lid\u00e9 p\u0159i ka\u017ed\u00e9m zhor\u0161en\u00ed vid\u011bn\u00ed m\u011bli vyhledat o\u010dn\u00edho l\u00e9ka\u0159e. Ohro\u017een\u011bj\u0161\u00ed vznikem t\u00e9to nemoci jsou lid\u00e9 nad \u010dty\u0159icet let v\u011bku, lid\u00e9 s pozitivn\u00ed rodinnou anamn\u00e9zou, lid\u00e9, kte\u0159\u00ed maj\u00ed hodn\u011b plusov\u00fdch nebo minusov\u00fdch dioptri\u00ed, diabetici a lid\u00e9 trp\u00edc\u00ed onemocn\u011bn\u00edm \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Tito lid\u00e9 by proto m\u011bli nav\u0161t\u011bvovat o\u010dn\u00edho l\u00e9ka\u0159e preventivn\u011b jednou ro\u010dn\u011b.
\nPro pacienty se zelen\u00fdm z\u00e1kalem funguje na o\u010dn\u00edm odd\u011blen\u00ed speci\u00e1ln\u00ed glaukomov\u00e1 ambulance, kter\u00e1 jim zaji\u0161\u0165uje komplexn\u00ed l\u00e9\u010dbu od p\u0159edeps\u00e1n\u00ed kapek po operaci. Pacienti by zde m\u011bli absolvovat t\u0159i a\u017e \u010dty\u0159i kontroly do roka. Nutn\u00e9 je pravideln\u00e9 m\u011b\u0159en\u00ed nitroo\u010dn\u00edho tlaku. L\u00e9ka\u0159i maj\u00ed k dispozici vysoce kvalitn\u00ed a modern\u00ed p\u0159\u00edstroje, nap\u0159\u00edklad statick\u00fd po\u010d\u00edta\u010dov\u00fd perimetr, d\u00edky nim\u017e jsou schopni zaznamenat i tu nejmen\u0161\u00ed zm\u011bnu v oku a pru\u017en\u011b na ni reagovat.
\nPrvn\u00edm krokem v l\u00e9\u010db\u011b b\u00fdvaj\u00ed kapky, p\u0159\u00edpadn\u011b l\u00e9ky. Pokud za\u010dne konzervativn\u00ed l\u00e9\u010dba selh\u00e1vat, k \u010demu\u017e ale v\u016fbec doj\u00edt nemus\u00ed, nebo pokud ji pacient t\u0159eba z d\u016fvodu alergie nesnese, p\u0159istupuje se k laserov\u00e9mu o\u0161et\u0159en\u00ed. To je voleno tak\u00e9 u pacient\u016f po akutn\u00edm glaukomov\u00e9m z\u00e1chvatu nebo u t\u011bch, kde se d\u00e1 tento z\u00e1chvat p\u0159edpokl\u00e1dat. K z\u00e1chvatu doch\u00e1z\u00ed p\u0159i prudk\u00e9m n\u00e1r\u016fstu nitroo\u010dn\u00edho tlaku, kter\u00fd se projev\u00ed ukrutnou bolest\u00ed v oku nebo v jeho okol\u00ed. Oko je zarudl\u00e9, vid\u011bn\u00ed rozmazan\u00e9, \u010dlov\u011bku m\u016f\u017ee vypadnout \u010d\u00e1st zorn\u00e9ho pole, co\u017e znamen\u00e1, \u017ee vid\u00ed t\u0159eba jen \u010d\u00e1st \u010dlov\u011bka, kter\u00fd stoj\u00ed p\u0159ed n\u00edm. Posti\u017een\u00fd m\u016f\u017ee m\u00edt m\u017eitky p\u0159ed o\u010dima, m\u016f\u017ee ho bolet hlava nebo b\u0159icho, m\u016f\u017ee trp\u011bt nevolnost\u00ed, dokonce i zvracet. Pokud \u010dlov\u011bk z\u00e1chvat dostane, je t\u0159eba okam\u017eit\u011b vyhledat l\u00e9ka\u0159e, k \u010demu\u017e m\u00e1 o\u010dn\u00ed odd\u011blen\u00ed k dispozici o\u010dn\u00ed pohotovost. Dal\u0161\u00ed mo\u017enost\u00ed l\u00e9\u010dby, ke kter\u00e9 se v p\u0159\u00edpad\u011b zelen\u00e9ho z\u00e1kalu p\u0159istupuje, pokud laserov\u00e9 o\u0161et\u0159en\u00ed nepom\u016f\u017ee, je mikrochirurgick\u00e9 operace. Jedn\u00e1 se sice o n\u00e1ro\u010dnou operaci, ale o\u010dn\u00ed odd\u011blen\u00ed Slezsk\u00e9 nemocnice m\u00e1 nejen pot\u0159ebn\u00e9 z\u00e1zem\u00ed ale i odborn\u00edky a d\u00edky modern\u00edm technologi\u00edm je zde riziko komplikac\u00ed minim\u00e1ln\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"
Mezi lidmi st\u00e1le p\u0159etrv\u00e1v\u00e1 domn\u011bnka, \u017ee zelen\u00fd z\u00e1kal znamen\u00e1 oslepnut\u00ed. Tato nemoc je, pokud jde o o\u010dn\u00ed choroby, nejv\u011bt\u0161\u00edm stra\u0161\u00e1kem zejm\u00e9na star\u0161\u00edch lid\u00ed, kte\u0159\u00ed mnohdy […]<\/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-24768","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/24768","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=24768"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/24768\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24768"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24768"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}