{"id":26506,"date":"2016-10-04T11:25:42","date_gmt":"2016-10-04T09:25:42","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26506"},"modified":"2016-10-04T11:25:42","modified_gmt":"2016-10-04T09:25:42","slug":"pacienti-s-roztrousenou-sklerozou-testuji-neurostimulator-ktery-jim-pomaha-chodit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26506","title":{"rendered":"Pacienti s roztrou\u0161enou skler\u00f3zou testuj\u00ed neurostimul\u00e1tor, kter\u00fd jim pom\u00e1h\u00e1 chodit"},"content":{"rendered":"<p><strong>S roztrou\u0161enou skler\u00f3zou nebo po mozkov\u00e9 p\u0159\u00edhod\u011b nemus\u00ed \u010dlov\u011bk hned skon\u010dit na invalidn\u00edm voz\u00edku. V \u010cesku te\u010f des\u00edtky pacient\u016f testuj\u00ed speci\u00e1ln\u00ed p\u0159\u00edstroj, kter\u00fd jim pom\u00e1h\u00e1 p\u0159i ch\u016fzi. Za\u0159\u00edzen\u00ed p\u0159ipevn\u011bn\u00e9 na noze vys\u00edl\u00e1 elektrick\u00e9 impulzy, kter\u00e9 stimuluj\u00ed svaly.<\/strong> <!--more--><\/p>\n<p>A\u010dkoliv nen\u00ed vhodn\u00fd pro ka\u017ed\u00e9ho, n\u011bkter\u00fdm lidem s neurologick\u00fdmi probl\u00e9my m\u016f\u017ee slou\u017eit l\u00e9pe ne\u017e kole\u010dkov\u00e9 k\u0159eslo. Jen\u017ee za\u0159\u00edzen\u00ed na dv\u011b nohy stoj\u00ed jako mal\u00e9 osobn\u00ed auto a zdravotn\u00ed poji\u0161\u0165ovny zat\u00edm na n\u011bj nep\u0159isp\u00edvaj\u00ed\u2026<\/p>\n<p>&#8222;J\u00e1 jsem onemocn\u011bla, kdy\u017e mi bylo 25 let, to znamen\u00e1 p\u0159ed sedmn\u00e1cti lety,&#8220; vypr\u00e1v\u00ed vysok\u00e1, usm\u011bvav\u00e1 Kl\u00e1ra Grammetbauerov\u00e1 z Prahy, kter\u00e1 m\u00e1 roztrou\u0161enou skler\u00f3zu. &#8222;Za\u010dalo se to projevovat tak, \u017ee jsem m\u011bla n\u00e1hl\u00fd nutkav\u00fd pocit j\u00edt na z\u00e1chod a nedok\u00e1zala jsem to ovl\u00e1dnout.&#8220;<\/p>\n<p>P\u0159est\u00e1vaj\u00ed j\u00ed fungovat nervy, kter\u00e9 ovl\u00e1daj\u00ed svaly na nohou, a tak se j\u00ed zhor\u0161ila ch\u016fze. &#8222;Posledn\u00edch p\u011bt let chod\u00edm tak vr\u00e1vorav\u011b. P\u0159edt\u00edm jsem chodila \u00fapln\u011b norm\u00e1ln\u011b, ly\u017eovala jsem, b\u011bhala no\u010dn\u00ed orien\u0165\u00e1k\u2026&#8220;<\/p>\n<p>Kl\u00e1ra toti\u017e \u0161patn\u011b zved\u00e1 \u0161pi\u010dky u nohou a vlastn\u011b o n\u011b zakop\u00e1v\u00e1. To ale dok\u00e1\u017ee odstranit speci\u00e1ln\u00ed za\u0159\u00edzen\u00ed, kter\u00e9 za\u010dala p\u0159ed n\u011bkolika t\u00fddny testovat. Speci\u00e1ln\u00ed krabi\u010dky s elektrodami m\u00e1 p\u0159ipevn\u011bn\u00e9 pod koleny. Vys\u00edlaj\u00ed elektrick\u00e9 impulzy a tak stimuluj\u00ed nervy odpov\u011bdn\u00e9 ze zved\u00e1n\u00ed \u0161pi\u010dky chodila.<\/p>\n<p>Rehabilita\u010dn\u00ed \u00fa\u010dinky<\/p>\n<p>&#8222;Pakli\u017ee m\u00e1m ty pom\u016fcky, tak ujdu v\u011bt\u0161\u00ed vzd\u00e1lenost, ne\u017e bych u\u0161la norm\u00e1ln\u011b. A norm\u00e1ln\u011b ujdu asi 300 metr\u016f. Per\u00f3n v metru je (pro p\u0159edstavu) asi 250 metr\u016f,&#8220; vysv\u011btluje Kl\u00e1ra, &#8222;Ale s t\u00edmhle dok\u00e1\u017eu uj\u00edt v\u00edc. M\u00e1m i v\u011bt\u0161\u00ed jistotu v t\u011bch noh\u00e1ch, tak\u017ee \u010dlov\u011bk nen\u00ed unaven\u00fd z toho, jak jde pomalu.&#8220;<\/p>\n<p>Podle neurolo\u017eky Jany Krasulov\u00e9 z Centra pro l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy ze V\u0161eobecn\u00e9 fakultn\u00ed nemocnice by takov\u00e9 za\u0159\u00edzen\u00ed bylo vhodn\u00e9 pro stovky pacient\u016f, kter\u00e9 postihla i t\u0159eba mozkov\u00e1 p\u0159\u00edhoda. P\u0159\u00edstroj m\u00e1 nav\u00edc rehabilita\u010dn\u00ed \u00fa\u010dinky.<\/p>\n<p>&#8222;Doch\u00e1z\u00ed ke zlep\u0161en\u00ed veden\u00ed sign\u00e1lu perifern\u00edm nervem, a t\u00edm se neust\u00e1le d\u00e1v\u00e1 impulz svalu k ur\u010dit\u00e9 \u010dinnosti. Stejn\u011b jako kdy\u017e s nohou rehabilitujeme a cvi\u010d\u00edme,&#8220; \u0159\u00edk\u00e1 Jana Krasulov\u00e1 a dod\u00e1v\u00e1, \u017ee sval tak m\u016f\u017ee zmohutn\u011bt a zes\u00edlit. Domn\u00edv\u00e1 se, \u017ee by na takov\u00e9 za\u0159\u00edzen\u00ed m\u011bly p\u0159isp\u00edvat zdravotn\u00ed poji\u0161\u0165ovny, proto\u017ee usnad\u0148uj\u00ed mlad\u00fdm pacient\u016fm n\u00e1vrat do pr\u00e1ce.<\/p>\n<p>Pom\u016fcky stanovuje z\u00e1kon<\/p>\n<p>Old\u0159ich Tich\u00fd z V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny \u0159\u00edk\u00e1, \u017ee by to bylo mo\u017en\u00e9 a\u017e po zm\u011bn\u011b p\u0159\u00edslu\u0161n\u00fdch z\u00e1kon\u016f: &#8222;Kompenza\u010dn\u00ed pom\u016fcky a jejich \u00fahrady jsou d\u00e1ny z\u00e1konem. Konkr\u00e9tn\u011b jde o p\u0159\u00edlohu \u010d\u00edslo 3 z\u00e1kona 48 z roku 1997 o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. Za\u0159azen\u00ed zcela nov\u00e9 pom\u016fcky by si tedy vy\u017e\u00e1dalo i p\u0159\u00edpadnou legislativn\u00ed zm\u011bnu, jej\u00ed\u017e prosazen\u00ed samoz\u0159ejm\u011b nen\u00ed v kompetenci VZP.<\/p>\n<p>Kl\u00e1ra pou\u017e\u00edv\u00e1 stimul\u00e1tory dva. Jeden stoj\u00ed zhruba 130 tis\u00edc. Ze sv\u00e9ho invalidn\u00edho d\u016fchodu si je ale nem\u016f\u017ee dovolit. Za\u0159\u00edzen\u00ed by j\u00ed ale pomohlo vr\u00e1tit se do plnohodnotn\u00e9 pr\u00e1ce. A\u010dkoliv m\u00e1 doktor\u00e1t z ekonomie, na pln\u00fd \u00favazek te\u010f pracovat nem\u016f\u017ee. Ch\u016fze bez elektrostimul\u00e1tor\u016f ji p\u0159\u00edli\u0161 zm\u00e1h\u00e1.<\/p>\n<p>Typick\u00fd syndrom u roztrou\u0161en\u00e9 skler\u00f3zy je permanentn\u00ed \u00fanava, zcela jin\u00e1 ne\u017e ta b\u011b\u017en\u00e1. &#8222;My jsme \u00fapln\u011b vys\u00edlen\u00ed a pak to najednou zase hned nasko\u010d\u00ed, co\u017e je hrozn\u011b n\u00e1ro\u010dn\u00e9 pro v\u0161echny,&#8220; popisuje Kl\u00e1ra, &#8222;Chceme se norm\u00e1ln\u011b h\u00fdbat, chceme n\u011bkam j\u00edt, chceme n\u011bco d\u011blat, norm\u00e1ln\u011b \u017e\u00edt.&#8220;<\/p>\n<p>Vy\u0161\u0161\u00ed zam\u011bstnanost, vy\u0161\u0161\u00ed p\u0159\u00edjem<\/p>\n<p>Podle Hany Potm\u011b\u0161ilov\u00e9 z Nada\u010dn\u00edho fondu pro podporu zam\u011bstn\u00e1v\u00e1n\u00ed osob se zdravotn\u00edm posti\u017een\u00edm se st\u00e1tu takov\u00e1 podpora hendikepovan\u00fdch vyplat\u00ed sp\u00ed\u0161, ne\u017e kdy\u017e z\u016fstanou z\u00e1visl\u00ed na soci\u00e1ln\u00edch d\u00e1vk\u00e1ch.<\/p>\n<p>&#8222;N\u011bkdo, kdo m\u00e1 t\u0159eba berle, m\u016f\u017ee d\u011blat pr\u00e1vn\u00edka, \u00fa\u010detn\u00ed nebo pan\u00ed u\u010ditelku. Toto jsou profese, kter\u00e9 \u010dasto p\u0159in\u00e1\u0161ej\u00ed vy\u0161\u0161\u00ed p\u0159\u00edjem. To znamen\u00e1, \u017ee za jeden m\u011bs\u00edc, pokud pracuje, vyd\u011bl\u00e1 si pr\u016fm\u011brn\u00fd v\u00fdd\u011blek, tak odvede st\u00e1tu t\u00e9m\u011b\u0159 18 333 koruny, co\u017e je pom\u011brn\u011b hodn\u011b.&#8220;<\/p>\n<p>V tuto chv\u00edli se ale zdravotn\u00ed poji\u0161\u0165ovny s v\u00fdrobcem p\u0159ou o to, jestli jde o zdravotn\u00ed prost\u0159edek, nebo o kompenza\u010dn\u00ed pom\u016fcku a kter\u00e9 ministerstvo by o p\u0159\u00edsp\u011bvc\u00edch m\u011blo rozhodnout. Pacienti si tak na elektrostimul\u00e1tory mus\u00ed zat\u00edm pen\u00edze sehnat sami.<\/p>\n<p>Iveta V\u00e1vrov\u00e1<br \/>\n<a href=\"http:\/\/www.rozhlas.cz\">http:\/\/www.rozhlas.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>S roztrou\u0161enou skler\u00f3zou nebo po mozkov\u00e9 p\u0159\u00edhod\u011b nemus\u00ed \u010dlov\u011bk hned skon\u010dit na invalidn\u00edm voz\u00edku. V \u010cesku te\u010f des\u00edtky pacient\u016f testuj\u00ed speci\u00e1ln\u00ed p\u0159\u00edstroj, kter\u00fd jim pom\u00e1h\u00e1 <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=26506\" title=\"Pacienti s roztrou\u0161enou skler\u00f3zou testuj\u00ed neurostimul\u00e1tor, kter\u00fd jim pom\u00e1h\u00e1 chodit\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":2052,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26506","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\/26506","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=26506"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26506\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/2052"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26506"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26506"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26506"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}