{"id":25949,"date":"2016-07-06T12:33:39","date_gmt":"2016-07-06T10:33:39","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25949"},"modified":"2016-07-06T12:33:39","modified_gmt":"2016-07-06T10:33:39","slug":"zivot-jak-na-houpacce","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25949","title":{"rendered":"\u017divot jak na houpa\u010dce"},"content":{"rendered":"<p><strong>Jednu chv\u00edli m\u00e1te pocit, \u017ee m\u016f\u017eete v\u0161echno, v p\u0159\u00ed\u0161t\u00edm okam\u017eiku je to ale jinak. Tak s lidmi zach\u00e1z\u00ed z\u00e1ludn\u00e1 nemoc roztrou\u0161en\u00e1 skler\u00f3za.<\/strong><!--more--><\/p>\n<p>Velmi zjednodu\u0161en\u011b se d\u00e1 \u0159\u00edct, \u017ee p\u0159i roztrou\u0161en\u00e9 skler\u00f3ze (RS) si mozkov\u00e9 a m\u00ed\u0161n\u00ed bu\u0148ky mezi sebou p\u0159estanou \u00bbpov\u00eddat\u00ab. Prvn\u00ed p\u0159\u00edznaky jsou nen\u00e1padn\u00e9: Mraven\u010den\u00ed v kon\u010detin\u00e1ch, ob\u010das se nepovede dob\u0159e koordinovat pohyby. P\u0159esn\u011b to, co obvykle odbydeme jako projevy \u00fanavy. Objev\u00ed se t\u0159eba i ztuhlost sval\u016f, z\u00e1vrat\u011b, poruchy pam\u011bti. I to m\u00e1me sklon odb\u00fdvat, ale nem\u011bli bychom. Takov\u00e9 p\u0159\u00edznaky sice nemus\u00ed znamenat, \u017ee m\u00e1me zrovna roztrou\u0161enou skler\u00f3zu, ale v po\u0159\u00e1dku nejsme.<br \/>\nModern\u00ed l\u00e9ky dovedou lidem s RS hodn\u011b pomoci. Stav se stabilizuje. Nen\u00ed ale zat\u00edm mo\u017en\u00e9 roztrou\u0161enou skler\u00f3zu vyl\u00e9\u010dit. Pot\u00ed\u017e u t\u00e9to choroby je i v tom, \u017ee postupuje ve vln\u00e1ch, tzv.<br \/>\natac\u00edch. Obdob\u00ed, kdy pacient m\u00e1 pot\u00ed\u017ee, se st\u0159\u00edd\u00e1 s dobou, kdy prakticky \u017e\u00e1dn\u00e9 nepoci\u0165uje. RS lidi p\u0159esto invalidizuje. Na z\u00e1klad\u011b obdob\u00ed bez p\u0159\u00edznak\u016f v\u0161ak posudkov\u00ed l\u00e9ka\u0159i, kte\u0159\u00ed rozhoduj\u00ed o p\u0159\u00edsp\u011bvc\u00edch na p\u00e9\u010di pro zdravotn\u011b posti\u017een\u00e9, pacient\u016fm p\u0159i\u0159knou mal\u00e9 \u010d\u00e1stky, nebo dokonce \u017e\u00e1dn\u00e9!<br \/>\nB\u011bhem atak\u016f nemocn\u00ed lid\u00e9 nemohou pracovat, a pot\u0159ebuj\u00ed i pomoc. Sta\u010d\u00ed si jen proj\u00edt, jak\u00e9 pot\u00ed\u017ee maj\u00ed: Z\u00e1n\u011bt o\u010dn\u00edho nervu, kter\u00fd postihuje v\u011bt\u0161inou jen jedno, ale n\u011bkdy i ob\u011b o\u010di. Pacienti maj\u00ed zaml\u017een\u00e9 vid\u011bn\u00ed, oko je p\u0159i pohybu bol\u00ed, n\u011bkdy maj\u00ed v\u00fdpadky ve zrakov\u00e9m poli. Probl\u00e9my s pohybem postihuj\u00ed jednu stranu t\u011bla nebo ob\u011b nohy. Ruce jsou neobratn\u00e9, \u010dlov\u011bk snadno zakop\u00e1v\u00e1. Posti\u017een\u00ed centra hlavov\u00fdch nerv\u016f nebo nervov\u00fdch drah m\u00e1 za n\u00e1sledek nap\u0159. nejistotu p\u0159i ch\u016fzi, dvojit\u00e9 vid\u011bn\u00ed, z\u00e1\u0161kuby o\u010d\u00ed, ochrnut\u00ed l\u00edcn\u00edho nervu nebo obli\u010dejov\u00e9 bolesti. Pacienti m\u016f\u017eou h\u016f\u0159 mluvit a polykat. Posti\u017een\u00ed moze\u010dku b\u00fdv\u00e1 p\u0159\u00ed\u010dinou poruch rovnov\u00e1hy, \u0161patn\u00e9ho odm\u011b\u0159ov\u00e1n\u00ed pohyb\u016f, t\u0159esu rukou a zhor\u0161en\u00ed v\u00fdslovnosti. Velmi nep\u0159\u00edjemn\u00e9 a \u010dast\u00e9 jsou zm\u011bny mo\u010den\u00ed, kdy se \u010dlov\u011bk nedok\u00e1\u017ee norm\u00e1ln\u011b a \u00fapln\u011b vypr\u00e1zdnit. \u010cast\u00e1 je tak\u00e9 inkontinence, probl\u00e9my se stolic\u00ed a u mu\u017e\u016f poruchy erekce. M\u016f\u017eou se objevit pot\u00ed\u017ee se soust\u0159ed\u011bn\u00edm, a tak\u00e9 zhor\u0161en\u00e1 schopnost \u0159e\u0161it b\u011b\u017en\u00e9 probl\u00e9my. Lid\u00e9 s RS m\u00edvaj\u00ed deprese, ale ty samy o sob\u011b nejsou p\u0159\u00edznakem tohoto onemocn\u011bn\u00ed. T\u00edm je mnohem v\u00edc t\u011b\u017ek\u00e1 \u00fanava.<br \/>\nP\u0159es ve\u0161ker\u00e9 pot\u00ed\u017ee s pohybem se pacient\u016fm s RS doporu\u010duje rekrea\u010dn\u00ed sport. Ide\u00e1ln\u00ed je ch\u016fze, turistika, ale i b\u011bh\u00e1n\u00ed nebo j\u00edzda na kole, hodn\u011b se doporu\u010duje j\u00f3ga a tai-\u010di. Samoz\u0159ejm\u011b ale v m\u00ed\u0159e, kter\u00e9 je \u010dlov\u011bk schopen. Sna\u017eit se o vrcholov\u00e9 v\u00fdkony nen\u00ed ide\u00e1ln\u00ed. Je mo\u017en\u00e9 d\u011blat i silov\u00e9 sporty, ale v\u017edycky &#8211; v p\u0159\u00edpad\u011b jak\u00e9koli pravideln\u00e9 sportovn\u00ed aktivity &#8211; je t\u0159eba konzultovat pohybov\u00e9 aktivity s l\u00e9ka\u0159em.<br \/>\nLidem s RS pom\u00e1haj\u00ed pacientsk\u00e1 sdru\u017een\u00ed, nap\u0159\u00edklad Unie Roska v \u010cR (www.roska.eu) nebo Sdru\u017een\u00ed mlad\u00fdch sklerotik\u016f (www.mladisklerotici.cz). A L. A. Ka\u0161parov\u00e1<\/p>\n<p>P\u0158\u00cd\u010cINY NEZN\u00c1M\u00c9<\/p>\n<p>Roztrou\u0161en\u00e1 skler\u00f3za napad\u00e1 b\u00edlou mozkovou hmotu. Je to autoimunitn\u00ed onemocn\u011bn\u00ed, tedy takov\u00e9, kdy imunitn\u00ed syst\u00e9m organismu napad\u00e1 vlastn\u00ed tk\u00e1n\u011b t\u011bla. P\u0159\u00ed\u010dina choroby je dosud nezn\u00e1m\u00e1.<br \/>\nO Jan\u011b Brejchov\u00e9 se p\u0159ed \u010dasem \u0159\u00edkalo, \u017ee RS trp\u00ed. Ona i jej\u00ed rodina to ale pozd\u011bji pop\u0159ely. P\u0159\u00edznaky nemoci jsou natolik nekonkr\u00e9tn\u00ed, \u017ee zm\u00fdlit se nikdy nen\u00ed vylou\u010deno. O marihuan\u011b se i v p\u0159\u00edpad\u011b RS hovo\u0159\u00ed jako o prost\u0159edku, kter\u00fd ulevuje od mnoha pot\u00ed\u017e\u00ed. Nen\u00ed to ale jednozna\u010dn\u00e9. Konop\u00ed m\u016f\u017ee zm\u00edrnit svalov\u00e9 probl\u00e9my, ale m\u00e1 \u00fadajn\u011b p\u0159\u00edli\u0161 kr\u00e1tkodob\u00fd \u00fa\u010dinek.<\/p>\n<p>Nemoc ovliv\u0148uje psychiku pacient\u016f<\/p>\n<p>&nbsp;<\/p>\n<p>Rytmus \u017eivota<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Jednu chv\u00edli m\u00e1te pocit, \u017ee m\u016f\u017eete v\u0161echno, v p\u0159\u00ed\u0161t\u00edm okam\u017eiku je to ale jinak. Tak s lidmi zach\u00e1z\u00ed z\u00e1ludn\u00e1 nemoc roztrou\u0161en\u00e1 skler\u00f3za.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":13669,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-25949","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\/25949","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=25949"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25949\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/13669"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}