Pacienti s po\u0161kozen\u00edm mozku maj\u00ed rehabilitovat i t\u0159i hodiny denn\u011b. Dost\u00e1vaj\u00ed ale jen „lep\u0161\u00ed wellness“<\/p>\n
PRAHA P\u0159ed dev\u00edti lety slavil David t\u0159et\u00ed narozeniny. Dva dny nato se topil v zahradn\u00edm baz\u00e9nu. Zachr\u00e1nit mu \u017eivot se poda\u0159ilo, m\u00e1 ale t\u011b\u017ece po\u0161kozen\u00fd mozek.
\n„Takov\u00e1 v\u011bc se stane z minuty na minutu. L\u00e9ka\u0159i ud\u011blaj\u00ed, co maj\u00ed. Potom v\u00e1s ale s t\u011b\u017ece posti\u017een\u00fdm d\u00edt\u011btem postav\u00ed na ulici a \u0159eknou, \u017ee u\u010dinili v\u0161e pot\u0159ebn\u00e9 a v\u00edc u\u017e nemohou,“ \u0159ekl LN jeho otec Milo\u0161 Svoboda.
\nOsob, kter\u00fdm odborn\u00edci diagnostikuj\u00ed po\u0161kozen\u00fd mozek, jsou v \u010cesku desetitis\u00edce ro\u010dn\u011b. Jde nap\u0159\u00edklad o lidi po nehod\u011b, d\u011bti s mozkovou obrnou, ale tak\u00e9 pacienty po mrtvici. Jenom t\u011bch je podle odhad\u016f a\u017e 40 tis\u00edc ro\u010dn\u011b.
\nMnoho l\u00e9ka\u0159\u016f a fyzioterapeut\u016f se shoduje, \u017ee p\u00e9\u010de o takov\u00e9 pacienty nen\u00ed v sou\u010dasnosti dostate\u010dn\u00e1 a nep\u0159ich\u00e1z\u00ed v\u010das. Ve v\u00fdsledku je tak ohro\u017eena kvalita jejich \u017eivota, nejsou sob\u011bsta\u010dn\u00ed nebo z\u016fstanou upout\u00e1ni na voz\u00edk.
\n„Rehabilitace by v t\u011bchto p\u0159\u00edpadech m\u011bla b\u00fdt v\u00fdrazn\u011b del\u0161\u00ed, ne\u017e standardn\u011b b\u00fdv\u00e1,“ potvrzuje Romana Hol\u00e1\u0148ov\u00e1, fyzioterapeutka ze Sanatori\u00ed Klimkovice u Ostravy. Ide\u00e1ln\u011b by pacienti m\u011bli podstupovat intenzivn\u00ed neurorehabilitaci, b\u011bhem n\u00ed\u017e se tr\u00e9nuje jejich mozek, a to a\u017e t\u0159i hodiny denn\u011b.<\/p>\n
Poji\u0161\u0165ovny p\u00e9\u010di nehrad\u00ed<\/p>\n
Jak\u00e1 je ale skute\u010dnost? „Dostali jsme denn\u011b t\u0159i procedury jako baz\u00e9n, perli\u010dku a v r\u00e1mci toho t\u0159ikr\u00e1t t\u00fddn\u011b individu\u00e1ln\u00ed cvi\u010den\u00ed po dvaceti minut\u00e1ch. B\u011bhem t\u00e9 doby ale musej\u00ed klienta svl\u00e9ci, pak zase obl\u00e9ci,“ popisuje Svoboda. Jde tak podle n\u011bho sp\u00ed\u0161e o „lep\u0161\u00ed wellness“. Intenzivn\u00ed neurorehabilitace vyjdem\u011bs\u00ed\u010dn\u011b zhruba na 50 tis\u00edc korun a probl\u00e9m je v tom, \u017ee ji poji\u0161\u0165ovny nepropl\u00e1cej\u00ed. Odvol\u00e1vaj\u00ed se na ministerstvo zdravotnictv\u00ed, kter\u00e9 m\u00e1 dan\u00fd sazebn\u00edk.
\n„Neurorehabilita\u010dn\u00ed programy v sou\u010dasnosti poji\u0161\u0165ovny nehrad\u00ed, jde o programy, kter\u00e9 jsou poskytov\u00e1ny soukrom\u00fdmi subjekty,“ napsal LN mluv\u010d\u00ed ministerstva zdravotnictv\u00ed Ladislav \u0160ticha.
\nSehnat pen\u00edze je tak pro rodiny obt\u00ed\u017en\u00e9. „Zkou\u0161ej\u00ed, co se d\u00e1. Od sponzor\u016f a nadac\u00ed p\u0159es sb\u011br plastov\u00fdch v\u00ed\u010dek. To je velmi potupn\u00e9,“ \u0159\u00edk\u00e1 Svoboda, kter\u00fd zalo\u017eil asociaci pro rodi\u010de takto posti\u017een\u00fdch d\u011bt\u00ed. Aby v\u00ed\u010dka vyv\u00e1\u017eila cenu m\u011bs\u00ed\u010dn\u00ed l\u00e9\u010dby, muselo by jich b\u00fdt a\u017e 15 tun.<\/p>\n
V Sanatori\u00edch Klimkovice, kter\u00e1 jako jedin\u00e9 l\u00e1zn\u011b v tuzemsku nab\u00edzej\u00ed intenzivn\u00ed neurorehabilitaci, se zotavuje i voj\u00e1k Luk\u00e1\u0161 Hirka, kter\u00fd p\u016fsobil v Afgh\u00e1nist\u00e1nu.
\nSt\u0159epiny talibansk\u00e9 st\u0159ely, kter\u00e1 zas\u00e1hla betonov\u00fd val, a \u00falomky betonu se mu zaryly do hlavy a t\u011b\u017ece poranily mozek. Jeho progn\u00f3za na za\u010d\u00e1tku byla krut\u00e1, m\u011bl jen malou nad\u011bji na p\u0159e\u017eit\u00ed. Fotografie z posledn\u00ed doby tomu ale v\u016fbec neodpov\u00eddaj\u00ed. Stoj\u00ed op\u0159en\u00fd o speci\u00e1ln\u00ed chod\u00edtko a d\u011bl\u00e1 jeden krok za druh\u00fdm.
\nI on v\u0161ak mus\u00ed n\u011bkolik hodin denn\u011b podstupovat intenzivn\u00ed neurorehabilitaci, je\u017e se skl\u00e1d\u00e1 z n\u011bkolika aktivit.
\n„Cvi\u010den\u00ed se odehr\u00e1v\u00e1 velmi individu\u00e1ln\u011b, z\u00e1le\u017e\u00ed, v jak\u00e9 kondici pacient je. P\u0159\u00edprava prob\u00edh\u00e1 nah\u0159\u00edv\u00e1n\u00edm nebo naopak ledov\u00e1n\u00edm pacienta, uvol\u0148ov\u00e1n\u00edm m\u011bkk\u00fdch struktur,“ popisuje fyzioterapeutka Hol\u00e1\u0148ov\u00e1.
\nTo ale po\u0159\u00e1d nen\u00ed v\u0161echno. „Pak se prov\u00e1d\u00ed analytick\u00e9 cvi\u010den\u00ed, cvi\u010den\u00ed v poloh\u00e1ch v\u00fdvojov\u00e9 kineziologie, zavr\u0161en\u00edm jednotky je tr\u00e9nink nejvy\u0161\u0161\u00ed mo\u017en\u00e9 polohy pro lokomoci a pohyb vp\u0159ed, a\u0165 u\u017e s pom\u016fckou, doprovodem terapeuta, nebo samostatn\u011b,“ p\u0159ibl\u00ed\u017eila dal\u0161\u00ed postup.<\/p>\n
Speci\u00e1ln\u00ed klec i kosmick\u00fd oblek<\/p>\n
Pom\u016fcek pro tento typ rehabilitace je n\u011bkolik. „Cvi\u010d\u00edme v prost\u0159ed\u00ed terapeutick\u00e9 klece. Ta umo\u017e\u0148uje terapeutovi c\u00edlen\u011b se zam\u011b\u0159it p\u0159esn\u011b na m\u00edsta, kter\u00e1 pacient pot\u0159ebuje procvi\u010dit. Klece maj\u00ed velkou v\u00fdhodu v tom, \u017eem\u016f\u017eete pracovat v 3D prostoru,“ dopl\u0148uje Hol\u00e1\u0148ov\u00e1.
\nVyu\u017e\u00edvaj\u00ed se r\u016fzn\u00e9 z\u00e1t\u011b\u017ee kladkov\u00e9ho syst\u00e9mu, pevn\u00e9 i pru\u017en\u00e9 tahy. C\u00edlem je bu\u010f uleh\u010dit dan\u00fd pohyb, nebo ho naopak zt\u00ed\u017eit, p\u0159\u00edpadn\u011b navodit postaven\u00ed t\u011bla do pozice, kterou by norm\u00e1ln\u011b \u010dlov\u011bk nebyl schopen zaujmout. „Nato\u017e v t\u00e9to pozici setrvat a cvi\u010dit,“ dodala fyzioterapeutka.
\nOdborn\u00edci vyu\u017e\u00edvaj\u00ed pro klienty i stimula\u010dn\u00ed oblek, kter\u00fd zvy\u0161uje terapeutick\u00fd \u00fa\u010dinek a pom\u00e1h\u00e1 p\u0159i cvi\u010den\u00ed sedu, stoje, ale i ch\u016fze. „Princip jeho \u00fa\u010dinku spo\u010d\u00edv\u00e1 v c\u00edlen\u00e9 korekci pohyb\u016f a dr\u017een\u00ed t\u011bla pomoc\u00ed nastaviteln\u00fdch pru\u017en\u00fdch tah\u016f,“ stoj\u00ed v popisu pom\u016fcky. M\u011bs\u00edc v l\u00e1zn\u00edch samoz\u0159ejm\u011b pro zlep\u0161en\u00ed stavu pacienta nesta\u010d\u00ed. Pro \u0159adu z nich je ale pot\u00ed\u017e sehnat pen\u00edze i na tuto dobu. Sazebn\u00edk ministerstva je v\u0161ak ne\u00faprosn\u00fd. „Rehabilitace neurologick\u00fdch pacient\u016f je hrazena dle sazebn\u00edku na doporu\u010den\u00ed praktick\u00e9ho l\u00e9ka\u0159e \u010di ambulantn\u00edho specialisty nebo v r\u00e1mci o\u0161et\u0159ovac\u00edho dne na rehabilita\u010dn\u00edch odd\u011blen\u00edch \u010di v n\u00e1sledn\u00e9 p\u00e9\u010di,“ popsal mluv\u010d\u00ed resortu \u0160ticha.
\nMinisterstvo podle n\u011bho nem\u00e1 v sou\u010dasnosti \u017e\u00e1dn\u00e9 podn\u011bty od odborn\u00fdch spole\u010dnost\u00ed, kter\u00e9 by se neurorehabilitace t\u00fdkaly.<\/p>\n
Starost v\u00edce resort\u016f<\/p>\n
„Vzhledem k tomu, \u017ee se jedn\u00e1 o problematiku, kter\u00e1 zasahuje do gesce v\u00edce ministerstev, bylo by jist\u011b zapot\u0159eb\u00ed, aby byla \u0159e\u0161ena nejen po zdravotnick\u00e9 str\u00e1nce, ale tak\u00e9 po str\u00e1nce soci\u00e1ln\u00ed, pracovn\u00ed a pedagogick\u00e9,“ dodal.
\nSpole\u010dnost \u010cesk\u00e9 a slovensk\u00e9 neurologie a neurochirurgie, podle kter\u00e9 po\u010det pacient\u016f s po\u0161kozen\u00edm mozku neust\u00e1le roste, nicm\u00e9n\u011b na v\u00fdznam t\u00e9to p\u00e9\u010de upozor\u0148ovala ji\u017e v roce 2006: „Pacienti by po ukon\u010den\u00ed akutn\u00ed zdravotn\u00ed p\u00e9\u010de m\u011bli dos\u00e1hnout optim\u00e1ln\u00ed kvality \u017eivota. Tento po\u017eadavek je z\u00e1va\u017en\u00fd i z etick\u00fdch a zdravotn\u011bpolitick\u00fdch d\u016fvod\u016f.“ Rozhoduj\u00edc\u00ed podle n\u00ed je, aby byla hospitalizace pacienta zah\u00e1jena ji\u017e b\u011bhem akutn\u00ed f\u00e1ze.
\nAsociace rodi\u010d\u016f, jejich\u017e d\u011bti maj\u00ed mozkovou obrnu, nav\u00edc p\u0159ipravila podpisovou v\u00fdzvu, kter\u00e1 m\u00e1 resort na celou situaci upozornit. Nazvala ji Dr\u017e\u00edme spolu. Do sou\u010dasnosti ji podle zakladatele Milo\u0161e Svobody podepsalo deset tis\u00edc lid\u00ed.<\/p>\n
—<\/p>\n
M\u011bs\u00edc v l\u00e1zn\u00edch pro zlep\u0161en\u00ed stavu pacienta nesta\u010d\u00ed. Nicm\u00e9n\u011b pro \u0159adu z nich je pot\u00ed\u017e sehnat pen\u00edze i na tuto dobu. Sazebn\u00edk je v\u0161ak ne\u00faprosn\u00fd.<\/p>\n
Pacienti, kte\u0159\u00ed maj\u00ed po\u0161kozen\u00fd mozek, pot\u0159ebuj\u00ed tzv. intenzivn\u00ed neurorehabilitaci. Jak\u00fd m\u00e1 p\u0159\u00ednos? Tr\u00e9nuje se b\u011bhem n\u00ed mozek, co\u017e se projevuje na \u00farovni jednotliv\u00fdch sval\u016f. Vytv\u00e1\u0159\u00ed se tak b\u011b\u017en\u00e9 pohybov\u00e9 vzorce. Zkr\u00e1cen\u00e9 svaly se protahuj\u00ed, ochabl\u00e9 posiluj\u00ed.<\/p>\n
ZHRUBA 40TIS\u00cdC P\u0158\u00cdPAD\u016e c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody se ro\u010dn\u011b p\u0159ihod\u00ed v tuzemsku ZHRUBA 200 D\u011aTEM ro\u010dn\u011b je diagnostikov\u00e1na n\u011bjak\u00e1 forma d\u011btsk\u00e9 mozkov\u00e9 obrny OKOLO t\u0159\u00ed HODIN by m\u011bla trvat denn\u00ed intenzivn\u00ed neurorehabilitace OKOLO 50 TIS\u00cdC KORUN za m\u011bs\u00edc se pohybuje jej\u00ed cena Poji\u0161\u0165ovny propl\u00e1cej\u00ed t\u0159i p\u016flhodinov\u00e9 procedury denn\u011b \u2013 a\u0165 u\u017e jde o jakoukoliv, m\u016f\u017ee j\u00edt nap\u0159\u00edklad o skupinov\u00e9 cvi\u010den\u00ed v\u00a0baz\u00e9nu<\/p>\n
MICHAELA KAB\u00c1TOV\u00c1<\/p>\n
Lidov\u00e9 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"
Pacienti s po\u0161kozen\u00edm mozku maj\u00ed rehabilitovat i t\u0159i hodiny denn\u011b. Dost\u00e1vaj\u00ed ale jen „lep\u0161\u00ed wellness“<\/p>\n<\/div>","protected":false},"author":1,"featured_media":19202,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-26503","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26503","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=26503"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26503\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19202"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26503"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26503"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26503"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}