P\u0159ednost\u00ed homeopatick\u00e9 l\u00e9\u010dby je jej\u00ed \u0161etrnost, bezpe\u010dnost a absence ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f. Homeopatika proto nach\u00e1zej\u00ed uplatn\u011bn\u00ed mimo jin\u00e9 tam, kde jsou konven\u010dn\u00ed farmakoterapeutick\u00e9 l\u00e9\u010debn\u00e9 postupy kontraindikovan\u00e9, rizikov\u00e9 \u010di m\u00e1lo \u00fa\u010dinn\u00e9. V p\u0159edchoz\u00edch \u010d\u00edslech \u010dasopisu jsme v\u00e1s informovali o mo\u017enostech vyu\u017eit\u00ed homeopatick\u00e9 l\u00e9\u010dby v geriatrii a onkologii, tentokr\u00e1t se zam\u011b\u0159\u00edme na oblast pedopsychiatrie, konkr\u00e9tn\u011b na zku\u0161enosti s homeopati\u00ed u d\u011bt\u00ed s autismem.<\/p>\n
N\u00e1sleduj\u00edc\u00ed text vych\u00e1z\u00ed z p\u0159edn\u00e1\u0161ek, kter\u00e9 zazn\u011bly na konferenc\u00edch Mezin\u00e1rodn\u00ed \u0161koly klinick\u00e9 homeopatie (CEDH) v Praze (Autismus u d\u011bt\u00ed: co mohou ud\u011blat homeopati\u010dt\u00ed l\u00e9ka\u0159i, Dr. Houda Arjounov\u00e1, Tunis, 2015) a v Beverly Hills, USA (Vyu\u017eit\u00ed klinick\u00e9 homeopatie u poruch autistick\u00e9ho spektra, Dr. Robert C. Dumont, USA, 2014).<\/p>\n
Co je autismus<\/p>\n
Autismus je neurov\u00fdvojov\u00e9 onemocn\u011bn\u00ed s prevalenc\u00ed 1\u20132\/1000 obyvatel, charakterizovan\u00e9 poruchou soci\u00e1ln\u00ed interakce, verb\u00e1ln\u00ed a neverb\u00e1ln\u00ed komunikace a opakuj\u00edc\u00edmi se, nutkav\u00fdmi vzorci chov\u00e1n\u00ed. V roce 2013 byl v r\u00e1mci DSM-5 autismus zahrnut pod spole\u010dn\u00fd pojem ozna\u010dovan\u00fd jako poruchy autistick\u00e9ho spektra (PAS). D\u011bti s PAS trp\u00ed \u010dasto komorbiditami, jako je epilepsie, poruchy sp\u00e1nku \u010di gastrointestin\u00e1ln\u00ed abnormality.
\nAutismus, jeho\u017e p\u0159\u00ed\u010dina z\u016fst\u00e1v\u00e1 neobjasn\u011bna, m\u00e1 z\u00e1va\u017en\u00e9 d\u016fsledky pro pacienta, jeho rodinu i zdravotnick\u00fd syst\u00e9m. Hlavn\u00edm c\u00edlem p\u0159i l\u00e9\u010db\u011b autistick\u00fdch d\u011bt\u00ed je sn\u00ed\u017eit z\u00e1t\u011b\u017e spojenou s touto poruchou, rodinn\u00fd stres, zv\u00fd\u0161it kvalitu \u017eivota d\u011bt\u00ed a jejich funk\u010dn\u00ed nez\u00e1vislost. L\u00e9\u010dba je obvykle \u0161it\u00e1 na m\u00edru pot\u0159eb\u00e1m d\u00edt\u011bte a zahrnuje dlouhodob\u00e9 programy speci\u00e1ln\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed a behavio r\u00e1n\u00ed terapie. Z farmak se podp\u016frn\u011b vyu\u017e\u00edvaj\u00ed psychofarmaka \u2013 antikonvulziva, antidepresiva, stimulancia a antipsychotika. Tyto l\u00e9ky v\u0161ak mohou m\u00edt negativn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky a nav\u00edc nedovedou zm\u00edrnit hlavn\u00ed symptomy autismu \u2013 soci\u00e1ln\u00ed a komunika\u010dn\u00ed posti\u017een\u00ed. V\u00fdvoj nov\u00fdch terapeutik bude z\u00e1visl\u00fd na objasn\u011bn\u00ed biologick\u00e9 podstaty onemocn\u011bn\u00ed.<\/p>\n
Homeopatie redukuje symptomy<\/p>\n
Homeopatie m\u016f\u017ee m\u00edt pozitivn\u00ed efekt na kognitivn\u00ed, motorick\u00e9 i behavior\u00e1ln\u00ed projevy autistick\u00fdch pacient\u016f, jak uvedl dr. Dumont ve sv\u00e9 p\u0159edn\u00e1\u0161ce. Efekt homeopatick\u00e9 l\u00e9\u010dby je p\u0159itom t\u00edm lep\u0161\u00ed, \u010d\u00edm d\u0159\u00edve je tato terapie nasazena a \u010d\u00edm d\u00e9le je pod\u00e1v\u00e1na. Dr. Dumont odk\u00e1zal na p\u0159edchoz\u00ed publikovan\u00e9 pr\u00e1ce na toto t\u00e9ma, zejm\u00e9na v\u00fdsledky 9let\u00e9ho sledov\u00e1n\u00ed 123 d\u011bt\u00ed s autismem l\u00e9\u010den\u00fdch homeopatick\u00fdmi l\u00e9ky ve Spandan Holistic Multidisciplinary Institute v obdob\u00ed 1998\u20132009 (Bravalia P, Homeopatic Links Spring 2011). V t\u00e9to studii do\u0161lo b\u011bhem prvn\u00edho \u010dtvrtroku k 34% a v p\u016flroce k 60% zlep\u0161en\u00ed sledovan\u00fdch symptom\u016f (senzorick\u00e9 a kinetick\u00e9 poruchy, poruchy n\u00e1lady a dal\u0161\u00ed).
\nP\u0159edn\u00e1\u0161ej\u00edc\u00ed d\u00e1le pouk\u00e1zal na mo\u017en\u00e9 patofyziologick\u00e9 souvislosti, kter\u00e9 mohou st\u00e1t v pozad\u00ed autistick\u00e9 poruchy a pod\u00edlet se na jej\u00edm rozvoji. Roli v patogenezi by vedle genetick\u00e9 dispozice a imunitn\u00ed dysfunkce mohly hr\u00e1t faktory, jako je st\u0159evn\u00ed dysfunkce a dysbi\u00f3za, potravinov\u00e9 alergie\/ intolerance, oxida\u010dn\u00ed stres, mitochondri\u00e1ln\u00ed dysfunkce, chronick\u00fd z\u00e1n\u011bt, nedostatek n\u011bkter\u00fdch mikronutrient\u016f, hypovitamin\u00f3zy, z\u00e1t\u011b\u017e t\u011b\u017ek\u00fdmi kovy apod.<\/p>\n
Kazuistika<\/p>\n
P\u0159edn\u00e1\u0161ej\u00edc\u00ed d\u00e1le prezentoval kazuistiku, na n\u00ed\u017e demonstroval efekt homeopatick\u00e9 l\u00e9\u010dby. Dvoulet\u00fd pacient byl p\u0159iveden do ordinace s chronickou z\u00e1cpou st\u0159\u00eddaj\u00edc\u00ed se s pr\u016fjmy, bolestivou plynatost\u00ed a behavior\u00e1ln\u00edmi poruchami. U chlapce byla zji\u0161t\u011bna regrese psychomotorick\u00e9ho v\u00fdvoje, kter\u00e1 se projevovala zejm\u00e9na v \u0159e\u010di a p\u0159ij\u00edm\u00e1n\u00ed j\u00eddla, trp\u011bl z\u00e1chvaty hn\u011bvu spojen\u00fdmi s kous\u00e1n\u00edm a ml\u00e1cen\u00edm hlavou do zdi. P\u0159\u00edtomny byly separa\u010dn\u00ed \u00fazkost, senzorick\u00fd deficit, poruchy sp\u00e1nku, soci\u00e1ln\u00ed sta\u017een\u00ed \u2013 chlapec si hr\u00e1l s\u00e1m. Vzhledem k tomu, \u017ee matka ud\u00e1vala za\u010d\u00e1tek gastrointestin\u00e1ln\u00edch obt\u00ed\u017e\u00ed p\u0159i p\u0159echodu na um\u011blou v\u00fd\u017eivu, pacient byl p\u0159eveden na bezlepkovou v\u00fd\u017eivu a byla p\u0159id\u00e1na probiotika. P\u0159i dal\u0161\u00ed n\u00e1v\u0161t\u011bv\u011b je bez pr\u016fjmu, klidn\u011bj\u0161\u00ed, lep\u0161\u00ed o\u010dn\u00ed kontakt. P\u0159etrv\u00e1vaj\u00ed v\u0161ak z\u00e1chvaty hn\u011bvu a zhor\u0161en\u00ed sp\u00e1nku. P\u0159edeps\u00e1na homeopatika: Thuja 12 CH, Pulsatilla 30 CH, Chamomilla 30 CH, v\u017edy 2x denn\u011b.
\nP\u0159i dal\u0161\u00ed n\u00e1v\u0161t\u011bv\u011b ud\u00e1v\u00e1 matka m\u00e9n\u011b z\u00e1chvat\u016f, chlapec je klidn\u011bj\u0161\u00ed, l\u00e9pe sp\u00ed, nen\u00ed tolik z\u00e1visl\u00fd, udr\u017euje del\u0161\u00ed o\u010dn\u00ed kontakt a usm\u00edv\u00e1 se. P\u0159etrv\u00e1vaj\u00ed v\u0161ak probl\u00e9my s plynatost\u00ed a nestr\u00e1ven\u00e9 zbytky j\u00eddla ve stolici. P\u0159edeps\u00e1n Mercurius sollubilis 30 CH a Plumbum metallicum 30 CH 1x denn\u011b. P\u0159i dal\u0161\u00ed kontrole ud\u00e1v\u00e1na lep\u0161\u00ed komunikace, z\u00e1chvaty vzteku vymizely, d\u00edt\u011b si hraje s rodi\u010di, je m\u00e9n\u011b „ve sv\u00e9m vlastn\u00edm sv\u011bt\u011b“, dob\u0159e sp\u00ed. Medikace upravena \u2013 Chamomilla jen v p\u0159\u00edpad\u011b z\u00e1chvat\u016f, Pulsatilla 1x t\u00fddn\u011b.
\nDal\u0161\u00ed kontrola \u2013 nutnost p\u0159id\u00e1n\u00ed Zincum metallicum 30 CH na noc pro syndrom neklidn\u00fdch nohou. Chlapec si ale za\u010d\u00edn\u00e1 hr\u00e1t s ostatn\u00edmi d\u011btmi, sp\u00e1nek se op\u011bt zlep\u0161il, gastrointestin\u00e1ln\u00ed pot\u00ed\u017ee se do\u010dasn\u011b zhor\u0161ily po op\u011btovn\u00e9m p\u0159id\u00e1n\u00ed lepku a s\u00f3ji do stravy. P\u0159i p\u0159\u00ed\u0161t\u00ed n\u00e1v\u0161t\u011bv\u011b p\u0159edeps\u00e1no Arsenicum album 30 CH pro p\u0159\u00edpad opakovan\u00fdch poruch sp\u00e1nku, nasazen t\u00e9\u017e flukonazol. P\u0159i dal\u0161\u00ed kontrole zaznamen\u00e1no v\u0161eobecn\u00e9 zlep\u0161en\u00ed pot\u00ed\u017e\u00ed, o\u010dn\u00ed kontakt, zlep\u0161en\u00ed soci\u00e1ln\u00ed interakce, zm\u00edrn\u011bn\u00ed obsedantn\u011b-kompulzivn\u00ed poruchy chov\u00e1n\u00ed, d\u00edt\u011b je bez z\u00e1chvat\u016f, dob\u0159e sp\u00ed, komunikuje.<\/p>\n
Ter\u00e9nn\u00ed i symptomatick\u00e9 l\u00e9ky<\/p>\n
Zku\u0161enosti s homeopatickou l\u00e9\u010dbou u autistick\u00fdch pacient\u016f prezentovala na konferenci CEDH tak\u00e9 dr. Houda Arjounov\u00e1. Ve studii s 80 d\u011btsk\u00fdmi pacienty (21 % d\u00edvky, 79 % chlapci) sledovaly autorky efekt homeopatick\u00e9 l\u00e9\u010dby pod\u00e1van\u00e9 2\u20133x denn\u011b (symptomatick\u00e1) a 1x t\u00fddn\u011b (ter\u00e9nn\u00ed) na symptomy spojen\u00e9 s autismem. Sou\u010dasn\u011b s homeopatickou l\u00e9\u010dbou podstupovali pacienti tak\u00e9 psychoterapii, pracovn\u00ed terapii a \u0159e\u010dovou terapii. Z ter\u00e9nn\u00edch homeopatick\u00fdch l\u00e9k\u016f u\u017e\u00edvali individu\u00e1ln\u011b \u0161irokou \u0161k\u00e1lu l\u00e9k\u016f \u2013 Medorrhinum (100 %), Silica (91 %), Lycopodium (57 %), Calcarea carbonica (51 %), d\u00e1le Sulfur, Thuja \u010di Natrum muriaticum. Ze symptomatick\u00fdch l\u00e9k\u016f dost\u00e1vali Kalium bromatum (83 %) Tarantula (76 %), Hyoscyamus niger (56 %), Mercurius solubilis (53 %), Causticum (55 %) Ignatia (56 %), Stramonium (27 %) a dal\u0161\u00ed l\u00e9ky.
\nV\u00fdsledky studie uk\u00e1zaly: redukci agitace (z 98 % na 6 %), nav\u00e1z\u00e1n\u00ed o\u010dn\u00edho kontaktu (ze 14 % na 96 %), verb\u00e1ln\u00ed odpov\u011bdi (z 15 % na 90 %), zlep\u0161en\u00ed \u0159e\u010di (z 32 % na 94 %), stereotypn\u00ed pohyby (z 81 % na 6 %), sn\u00ed\u017een\u00ed agresivity (ze 70 % na 1 %) zlep\u0161en\u00ed poruch sp\u00e1nku (ze 79 % na 6 %) a redukci exhibicionistick\u00fdch projev\u016f (ze 78 % na 3 %).
\nJak shrnula dr. Arjounov\u00e1, terapie autismu by m\u011bla b\u00fdt v\u010dasn\u00e1, dlouhodob\u00e1 a multidiciplin\u00e1rn\u00ed. Homeopatick\u00e1 l\u00e9\u010dba m\u016f\u017ee \u00fa\u010dinn\u011b doplnit dal\u0161\u00ed l\u00e9\u010debn\u00e9 intervence, jako je psychoterapie, \u0159e\u010dov\u00e1 a pracovn\u00ed terapie, behavior\u00e1ln\u00ed terapie, a vhodn\u00fdm individu\u00e1ln\u00edm p\u0159\u00edstupem lze zlep\u0161it \u0161irok\u00e9 spektrum obt\u00ed\u017e\u00ed spojen\u00fdch s poruchami autistick\u00e9ho spektra.<\/p>\n
<\/p>\n
MUDr. Andrea Sk\u00e1lov\u00e1<\/p>\n
Zdravotnictv\u00ed a Medic\u00edna<\/p>\n","protected":false},"excerpt":{"rendered":"
P\u0159ednost\u00ed homeopatick\u00e9 l\u00e9\u010dby je jej\u00ed \u0161etrnost, bezpe\u010dnost a absence ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f. Homeopatika proto nach\u00e1zej\u00ed uplatn\u011bn\u00ed mimo jin\u00e9 tam, kde jsou konven\u010dn\u00ed farmakoterapeutick\u00e9 l\u00e9\u010debn\u00e9 postupy kontraindikovan\u00e9, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14126,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26117","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\/26117","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=26117"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26117\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14126"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26117"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26117"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}