{"id":26600,"date":"2016-12-27T17:53:42","date_gmt":"2016-12-27T16:53:42","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26600"},"modified":"2016-12-27T17:53:42","modified_gmt":"2016-12-27T16:53:42","slug":"chcete-predejit-artroze-zhubnete","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26600","title":{"rendered":"Chcete p\u0159edej\u00edt artr\u00f3ze? Zhubn\u011bte"},"content":{"rendered":"<p>Ka\u017edou chv\u00edli se objev\u00ed n\u011bjak\u00fd hit na artr\u00f3zu, nej\u010dast\u011bj\u0161\u00ed posti\u017een\u00ed kloub\u016f. T\u00edm posledn\u00edm byla jejich l\u00e9\u010dba kloubn\u00edch chrupavek pomoc\u00ed kmenov\u00fdch bun\u011bk, kter\u00e9 l\u00e9ka\u0159i z\u00edskali z tuku odebran\u00e9ho na b\u0159i\u0161e pacienta. Uk\u00e1zalo se, \u017ee nad\u0161en\u00ed nemocn\u00fdch pro tuto metodu je trochu p\u0159ed\u010dasn\u00e9. <!--more--><\/p>\n<p>N\u00e1zory ortoped\u016f na ni jsou velmi protikladn\u00e9. Jedni ji v\u00edtaj\u00ed a dokonce ji nab\u00edzej\u00ed sv\u00fdm pacient\u016fm, kte\u0159\u00ed za ni mus\u00ed zaplatit, proto\u017ee poji\u0161\u0165ovny tuto l\u00e9\u010dbu nehrad\u00ed. Jedn\u00e1 se o \u010d\u00e1stky v \u0159\u00e1dech des\u00edtek tis\u00edc korun. Druh\u00e1 skupina l\u00e9ka\u0159\u016f tvrd\u00ed, \u017ee \u00fa\u010dinky t\u00e9to metody neprok\u00e1zaly \u017e\u00e1dn\u00e9 v\u011brohodn\u00e9 studie. Pova\u017euj\u00ed ji za oby\u010dejn\u00fd byznys s rozporupln\u00fdmi v\u00fdsledky. Ale hlavn\u011b zd\u016fraz\u0148uj\u00ed, \u017ee rozhodn\u011b nejde o schv\u00e1len\u00fd a odborn\u011b spr\u00e1vn\u00fd postup, tedy postup lege artis.<br \/>\nPodobn\u00e9 jsou i zku\u0161enosti pacient\u016f. Zat\u00edmco jedn\u011bm zm\u00edrnila jejich probl\u00e9my a umo\u017enila jim chodit t\u0159eba na proch\u00e1zky, druh\u00fdm nepomohla a pen\u00edze, kter\u00e9 za ni dali, pova\u017euj\u00ed za vyhozen\u00e9. Co m\u00e1 tedy doopravdy smysl? <\/p>\n<p>Nadv\u00e1ha zrychluje ni\u010den\u00ed kloub\u016f <\/p>\n<p>Ur\u010dit\u011b zhubnout, pokud m\u00e1te nadbyte\u010dn\u00e1 kila. A to v\u011bt\u0161ina lid\u00ed s posti\u017een\u00fdmi klouby m\u00e1. Nadv\u00e1ha p\u0159edstavuje zbyte\u010dnou z\u00e1t\u011b\u017e a zrychluje opot\u0159eben\u00ed kloub\u016f. Podstata artr\u00f3zy spo\u010d\u00edv\u00e1 toti\u017e v tom, \u017ee se ni\u010d\u00ed kloubn\u00ed chrupavky.<br \/>\nTyto m\u011bkk\u00e9 tk\u00e1n\u011b na povrchu kloub\u016f umo\u017e\u0148uj\u00ed hlavic\u00edm kost\u00ed, aby po sob\u011b hladce klouzaly. Nav\u00edc tak\u00e9 pln\u00ed roli tlumi\u010d\u016f nejr\u016fzn\u011bj\u0161\u00edch n\u00e1raz\u016f. K opot\u0159eben\u00ed chrupavek doch\u00e1z\u00ed p\u0159irozen\u011b, v\u011bkem. Zrychlit ho ale m\u016f\u017ee nadv\u00e1ha a tak\u00e9 p\u0159et\u011b\u017eov\u00e1n\u00ed. T\u0159eba p\u0159i sportu, kter\u00e9 neodpov\u00edd\u00e1 v\u011bku a mo\u017enostem konkr\u00e9tn\u00edho \u010dlov\u011bka. <\/p>\n<p>\u0160\u00edlen\u00fd stokilov\u00fd tenista <\/p>\n<p>Typick\u00fdm p\u0159\u00edkladem m\u016f\u017ee b\u00fdt stokilov\u00fd pades\u00e1tn\u00edk, kter\u00fd za\u010dne hr\u00e1t tenis. M\u00e1 pocit, \u017ee d\u011bl\u00e1 n\u011bco pro svou kondici a hubnut\u00ed. M\u00e1lokter\u00fd si uv\u011bdom\u00ed, \u017ee prudk\u00e9 zm\u011bny pohybu p\u0159edstavuj\u00ed pro kloub\u016f n\u011bkolikan\u00e1sobn\u011b n\u011bkolikan\u00e1 vy\u0161\u0161\u00ed z\u00e1t\u011b\u017e. P\u0159i t\u00e9to v\u00e1ze je m\u016f\u017ee zasobn\u011b t\u00ed\u017eit silou odpov\u00eddaj\u00edc\u00ed t\u0159eba 300 a v\u00edce kilogram\u016fm. Lze si snadno p\u0159edstavit, jak moc to asi prosp\u00edv\u00e1 jeho, u\u017e tak dost posti\u017een\u00fdm kloub\u016fm.<br \/>\nKloubn\u00edm chrupavk\u00e1m, pokud nejsou \u00fapln\u011b poni\u010den\u00e9, prosp\u00edv\u00e1 aktivn\u00ed pohyb. Zlep\u0161uje jejich v\u00fd\u017eivu a regeneraci. Pro posti\u017een\u00e9 lidi je vhodn\u00e9 plav\u00e1n\u00ed, j\u00edzda na kole, ch\u016fze nebo nordic walking. Ten d\u00edky vyu\u017e\u00edv\u00e1n\u00ed h\u016flek odleh\u010d\u00ed z\u00e1t\u011b\u017e kloub\u016f v kolenou zhruba o t\u0159etinu. V\u00fdborn\u00e1 je tak\u00e9 j\u00f3ga nebo taj-\u010di, kter\u00e9 vedle fyzick\u00e9 kondice zlep\u0161uj\u00ed i pru\u017enost t\u011bla a d\u00fdch\u00e1n\u00ed. Nav\u00edc p\u0159edstavuj\u00ed velmi plynulou z\u00e1t\u011b\u017e, jej\u00ed\u017e intenzitu si \u010dlov\u011bk m\u016f\u017ee hodn\u011b ur\u010dovat s\u00e1m. <\/p>\n<p>Kdo n\u00e1m m\u016f\u017ee pomoci <\/p>\n<p>S pohybem souvis\u00ed i to, \u017ee by si \u010dlov\u011bk m\u011bl nechat zkontrolovat, jestli ho netr\u00e1p\u00ed nerovnov\u00e1hy sval\u016f, jako\u017ee v\u011bt\u0161in\u011b z n\u00e1s ztrp\u010duj\u00ed \u017eivot. \u010casto jsou toti\u017e oslaben\u00e9 nebo zkr\u00e1cen\u00e9. V\u00fdsledkem b\u00fdvaj\u00ed r\u016fzn\u00e9 bolesti a dal\u0161\u00ed probl\u00e9my. S nimi n\u00e1m m\u016f\u017ee pomoci s\u00e1m fyzioterapeut, na jin\u00e9 n\u00e1m doporu\u010d\u00ed cvi\u010den\u00ed.<br \/>\nD\u016fle\u017eit\u00e9 tak\u00e9 je, abychom m\u011bli klouby ve spr\u00e1vn\u00e9m postaven\u00ed a chodili ve spr\u00e1vn\u00e9 obuvi. I to p\u0159isp\u00edv\u00e1 k men\u0161\u00edmu opot\u0159eben\u00ed kloubn\u00edch chrupavek. Vedle fyzioterapeut\u016f, rehabilita\u010dn\u00edch l\u00e9ka\u0159\u016f a ortoped\u016f n\u00e1m s t\u00edm dok\u00e1\u017ee pomoci doktor specializovan\u00fd na p\u00e9\u010di o nohy, tedy podiatr. Pod\u00edv\u00e1 se na postaven\u00ed kost\u00ed a na dr\u017een\u00ed t\u011bla, stejn\u011b jako na stereotypy na\u0161ich pohyb\u016f a na boty atd. Pokus\u00ed se korigovat chyby pomoc\u00ed cvi\u010den\u00ed nebo t\u0159eba pomoc\u00ed speci\u00e1ln\u00edch vlo\u017eek do bot. To v\u0161echno m\u00e1 toti\u017e vliv na rychlost, s jakou se chrupavky ni\u010d\u00ed. Limity pr\u00e1\u0161k\u016f na bolest <\/p>\n<p>Lid\u00e9, kte\u0159\u00ed zhubnou a nav\u0161t\u00edv\u00ed l\u00e9ka\u0159e ve chv\u00edli, kdy se objev\u00ed prvn\u00ed sign\u00e1ly pot\u00ed\u017e\u00ed, maj\u00ed velkou \u0161anci velice podstatn\u011b odd\u00e1lit destrukci chrupavek kloub\u016f, kter\u00e1 b\u00fdv\u00e1 velmi bolestiv\u00e1. Tato bolest je pak tr\u00e1p\u00ed nejen p\u0159i pohybu, kter\u00fd dramaticky omezuje, ale postupem \u010dasu tak\u00e9 v klidu. V\u010detn\u011b toho, \u017ee je bud\u00ed v noci ze span\u00ed. Lid\u00e9 obvykle \u0159e\u0161\u00ed tyto probl\u00e9my pomoc\u00ed pr\u00e1\u0161k\u016f proti bolestem. Jen\u017ee ty b\u011b\u017en\u00e9 maj\u00ed vedlej\u0161\u00ed \u00fa\u010dinky. T\u0159eba dr\u00e1\u017ed\u00ed \u017ealude\u010dn\u00ed sliznici. N\u011bkdo to zvl\u00e1d\u00e1 p\u0159ijateln\u011b a n\u011bkdo s t\u00edm m\u00e1 v\u011bt\u0161\u00ed probl\u00e9my. Nav\u00edc jejich d\u00e1vky nelze kv\u016fli vedlej\u0161\u00edm \u00fa\u010dink\u016fm p\u0159\u00edli\u0161 stup\u0148ovat. V\u011bt\u0161\u00ed d\u00e1vku jich m\u016f\u017eeme vz\u00edt sp\u00ed\u0161 na akutn\u00ed probl\u00e9my, ne\u017e na ty chronick\u00e9. <\/p>\n<p>Kudy vede racion\u00e1ln\u00ed cesta <\/p>\n<p>Spousta lid\u00ed vid\u00ed \u0159e\u0161en\u00ed v um\u011bl\u00e9m kloubu. Ten v\u0161ak p\u0159edstavuje docela radik\u00e1ln\u00ed z\u00e1sah do organismu. Nav\u00edc operace a vhojen\u00ed prot\u00e9zy do kost\u00ed nemus\u00ed prob\u00edhat bez pot\u00ed\u017e\u00ed. Ale a\u0165 u\u017e v\u00fdm\u011bna kloubu dopadne bez komplikac\u00ed nebo s nimi, v\u011bt\u0161ina lid\u00ed bude asi souhlasit s t\u00edm, \u017ee je rozumn\u011bj\u0161\u00ed probl\u00e9m\u016fm s klouby p\u0159edch\u00e1zet a vyh\u00fdbat se zbyte\u010dn\u00e9mu po\u0161kozov\u00e1n\u00ed kloubn\u00edch chrupavek, ne\u017e spol\u00e9hat na um\u011bl\u00fd kloub. Racion\u00e1ln\u00ed \u0159e\u0161en\u00ed v\u00e1m pom\u016f\u017eou naj\u00edt zm\u00edn\u011bn\u00ed specialist\u00e9 a dob\u0159e veden\u00e9 kurzy hubnut\u00ed. U t\u011bch bych se zam\u011b\u0159il sp\u00ed\u0161 na ty, kter\u00e9 \u00fasp\u011b\u0161n\u011b funguj\u00ed spoustu let, ne\u017e na ty, kter\u00e9 vsadily na m\u00f3dn\u00ed novinky a prodej \u00fa\u017easn\u00fdch prepar\u00e1t\u016f. <\/p>\n<p>PETR VESEL\u00dd<br \/>\nSTYL \u2013 Pr\u00e1vo<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Ka\u017edou chv\u00edli se objev\u00ed n\u011bjak\u00fd hit na artr\u00f3zu, nej\u010dast\u011bj\u0161\u00ed posti\u017een\u00ed kloub\u016f. T\u00edm posledn\u00edm byla jejich l\u00e9\u010dba kloubn\u00edch chrupavek pomoc\u00ed kmenov\u00fdch bun\u011bk, kter\u00e9 l\u00e9ka\u0159i z\u00edskali z <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=26600\" title=\"Chcete p\u0159edej\u00edt artr\u00f3ze? Zhubn\u011bte\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26600","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26600","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=26600"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26600\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26600"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26600"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}