Minim\u00e1ln\u00ed z\u00e1sah do t\u011bla, mal\u00e1 ztr\u00e1ta krve, rychl\u00e9 zotaven\u00ed a hlavn\u011b n\u00e1vrat do pr\u00e1ce a \u017eivota. To p\u0159in\u00e1\u0161\u00ed modern\u00ed metoda operace p\u00e1te\u0159e MIDLIF, kterou pou\u017e\u00edvaj\u00ed hlavn\u011b p\u0159i z\u00e1kroc\u00edch vyh\u0159ezl\u00e9 plot\u00e9nky.<\/p>\n
Pacientce Alen\u011b Kosov\u00e9 za\u010daly obt\u00ed\u017ee se z\u00e1dy p\u0159ed deseti lety, zpo\u010d\u00e1tku to nebylo nic, co by ji v\u00fdrazn\u011b omezovalo. V posledn\u00edch dvou letech se v\u0161ak jej\u00ed stav v\u00fdrazn\u011b zhor\u0161il.
\n„Nebyla jsem schopn\u00e1 chodit, sp\u00ed\u0161 jsem se kol\u00edbala jak ka\u010dena, nemohla jsem sp\u00e1t ani \u0159\u00eddit auto,“ popisovala. Obe\u0161la n\u011bkolik specialist\u016f, cvi\u010dila, ale nic nepom\u00e1halo. I proto se dvaa\u010dty\u0159icetilet\u00e1 \u017eena stala pro l\u00e9ka\u0159e z hradeck\u00e9 neurochirurgick\u00e9 kliniky vhodn\u00fdm kandid\u00e1tem, kter\u00fd by podstoupil operaci p\u00e1te\u0159e vysp\u011blou metodou se zkratkou MIDLIF.
\nMetodu v \u010cesku zat\u00edm vyu\u017e\u00edv\u00e1 jen n\u011bkolik pracovi\u0161\u0165, kv\u016fli jej\u00ed finan\u010dn\u00ed n\u00e1ro\u010dnosti nav\u00edc nen\u00ed mo\u017en\u00e9, aby tak operovali ka\u017ed\u00e9ho pacienta, u kter\u00e9ho by to bylo vhodn\u00e9. Oproti tradi\u010dn\u00edm postup\u016fm je p\u0159itom mnohem m\u00e9n\u011b invazivn\u00ed, v t\u011ble je nutn\u00e9 ud\u011blat jen n\u011bkolikacentimetrovou r\u00e1nu, kter\u00e1 se mnohem l\u00e9pe hoj\u00ed, a pacient u\u017e p\u0159i operaci neztrat\u00ed mnoho krve.
\nKosov\u00e1 nejd\u0159\u00edve \u0159e\u0161ila bolesti obst\u0159iky, pak j\u00ed ale do\u0161la trp\u011blivost. „L\u00e9ka\u0159i zjistili, \u017ee m\u00e1m v\u00fdrazn\u011b posunut\u00fd obratel. Z operace jsem strach nem\u011bla, byla jsem u\u017e opravdu zoufal\u00e1,“ vzpom\u00ednala. U\u017e za t\u00fdden po z\u00e1kroku byla doma. „C\u00edt\u00edm se skv\u011ble, chod\u00edm na rehabilitace a zvl\u00e1d\u00e1m v\u011bci, na kter\u00e9 jsem d\u0159\u00edve mohla zapomenout,“ pochvalovala si.<\/p>\n
Probl\u00e9my se z\u00e1dy zp\u016fsobuj\u00ed nej\u010dast\u011bji meziobratlov\u00e9 plot\u00e9nky, kter\u00e9 degeneruj\u00ed. Jsou ulo\u017een\u00e9 mezi bedern\u00edmi obratli, kter\u00e9 nesou v\u011bt\u0161inu v\u00e1hy horn\u00ed poloviny t\u011bla. Kdy\u017e vyh\u0159eznou, tlak na nervy v p\u00e1te\u0159n\u00ed oblasti p\u016fsob\u00ed bolest. Pokud se z\u00e1da nel\u00e9\u010d\u00ed, nezb\u00fdv\u00e1 ne\u017e operovat.
\nL\u00e9ka\u0159i zavedou b\u011bhem t\u0159\u00edhodinov\u00e9 operace pacientovi implant\u00e1ty, kter\u00e9 vr\u00e1t\u00ed plot\u00e9nku do p\u016fvodn\u00ed polohy. Pou\u017e\u00edvaj\u00ed speci\u00e1ln\u00ed mikroskopy a \u0161rouby, d\u00edky kter\u00fdm je z\u00e1krok mnohem \u0161etrn\u011bj\u0161\u00ed.
\nZ\u00e1sluhou minim\u00e1ln\u00edch chirurgick\u00fdch z\u00e1sah\u016f je z\u00e1krok metodou MIDLIF m\u00e9n\u011b bolestiv\u00fd a \u0161et\u0159\u00ed se p\u0159i n\u011bm svalstvo, nervov\u00e9 \u00fapony a c\u00e9vn\u00ed z\u00e1soben\u00ed v p\u00e1te\u0159n\u00ed oblasti. Pro pacienta to znamen\u00e1 a\u017e o n\u011bkolik m\u011bs\u00edc\u016f rychlej\u0161\u00ed rekonvalescenci, b\u011b\u017en\u011b o polovinu ve srovn\u00e1n\u00ed s p\u0159ede\u0161l\u00fdmi technikami. Rehabilitovat za\u010dne pacient u\u017e den po operaci.
\nZ\u00e1krok sice hrad\u00ed poji\u0161\u0165ovna, nemocnice si v\u0161ak nemohou dovolit operovat t\u00edmto zp\u016fsobem ka\u017ed\u00e9ho. Jen cena implant\u00e1t\u016f se pohybuje a\u017e kolem 150 tis\u00edc korun.
\nBolest zad zp\u016fsoben\u00e1 degenerativn\u00ed nestabilitou p\u00e1te\u0159e se podle l\u00e9ka\u0159\u016f pomalu st\u00e1v\u00e1 symbolem modern\u00ed doby, civiliza\u010dn\u00ed chorobou zp\u016fsobenou nekone\u010dn\u00fdm sezen\u00edm u po\u010d\u00edta\u010de, obezitou, nedostatkem pohybu i provozov\u00e1n\u00edm jednostrann\u00fdch sport\u016f, kter\u00e9 zat\u011b\u017euj\u00ed jen ur\u010dit\u00e9 \u010d\u00e1sti t\u011bla. Na vin\u011b mohou b\u00fdt i d\u011bdi\u010dn\u00e9 faktory nebo \u00faraz.<\/p>\n
—<\/p>\n
* Proces degenerace p\u00e1te\u0159e v praxi znamen\u00e1 rozvol\u0148ov\u00e1n\u00ed vl\u00e1ken a sni\u017eov\u00e1n\u00ed vody v plot\u00e9nce, kter\u00e1 ztr\u00e1c\u00ed p\u016fvodn\u00ed vlastnosti. V d\u016fsledku toho doch\u00e1z\u00ed k v\u00fdh\u0159ezu plot\u00e9nky. * L\u00e9ka\u0159i pomoc\u00ed implant\u00e1t\u016f vr\u00e1t\u00ed po\u0161kozenou plot\u00e9nku do p\u016fvodn\u00ed polohy. * Aby se dostali ke spr\u00e1vn\u00e9mu m\u00edstu, mus\u00ed proniknout skrze svaly obaluj\u00edc\u00ed p\u00e1te\u0159. * Po\u0161kozen\u00e9 j\u00e1dro plot\u00e9nky odstran\u00ed a vlo\u017e\u00ed implant\u00e1ty, kter\u00e9 nastavuj\u00ed spr\u00e1vnou vzd\u00e1lenost mezi obratli. * Posti\u017eenou \u010d\u00e1st p\u00e1te\u0159e zafixuj\u00ed \u0161rouby<\/p>\n","protected":false},"excerpt":{"rendered":"
Minim\u00e1ln\u00ed z\u00e1sah do t\u011bla, mal\u00e1 ztr\u00e1ta krve, rychl\u00e9 zotaven\u00ed a hlavn\u011b n\u00e1vrat do pr\u00e1ce a \u017eivota. To p\u0159in\u00e1\u0161\u00ed modern\u00ed metoda operace p\u00e1te\u0159e MIDLIF, kterou pou\u017e\u00edvaj\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15661,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-25577","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\/25577","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=25577"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25577\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15661"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25577"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}