{"id":26808,"date":"2016-11-30T14:30:55","date_gmt":"2016-11-30T13:30:55","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26808"},"modified":"2016-11-30T14:30:55","modified_gmt":"2016-11-30T13:30:55","slug":"pece-o-neslysici-se-stale-zlepsuje","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26808","title":{"rendered":"P\u00e9\u010de o nesly\u0161\u00edc\u00ed se st\u00e1le zlep\u0161uje"},"content":{"rendered":"<p><strong>Sv\u011bt nesly\u0161\u00edc\u00edch je pro ostatn\u00ed st\u00e1le pon\u011bkud uzav\u0159en\u00fd, zejm\u00e9na kv\u016fli probl\u00e9m\u016fm s komunikac\u00ed. Poj\u010fte s n\u00e1mi proto do n\u011bj alespo\u0148 trochu nahl\u00e9dnout, a to prost\u0159ednictv\u00edm prim\u00e1\u0159e Klatovsk\u00e9 nemocnice.<\/strong><!--more--><\/p>\n<p>D\u016fle\u017eitou roli hraj\u00ed podle prim\u00e1\u0159e i zam\u011bstnavatel\u00e9. V po\u010dtech nesly\u0161\u00edc\u00edch v regionu nejsou podle p\u0159ednosty odd\u011blen\u00ed otorhinolaryngologie a chirurgie hlavy a krku Klatovsk\u00e9 nemocnice Ji\u0159\u00edho Kocuma v posledn\u00edch letech v\u00fdkyvy.<\/p>\n<p>&#8222;P\u0159ib\u00fdv\u00e1n\u00ed sledovan\u00fdch vypl\u00fdv\u00e1 z celkov\u011b v\u011bt\u0161\u00edho po\u010dtu pacient\u016f a jejich starosti o vlastn\u00ed zdrav\u00ed, na druhou stranu ub\u00fdv\u00e1n\u00ed je d\u00e1no v\u010dasn\u011bj\u0161\u00ed a kvalitn\u011bj\u0161\u00ed p\u00e9\u010d\u00ed z na\u0161\u00ed strany,&#8220; vysv\u011btlil prim\u00e1\u0159 Kocum.<\/p>\n<p>Co se t\u00fdk\u00e1 d\u011bdi\u010dn\u00e9 a vrozen\u00e9 hluchoty, zde se podle n\u011bj po\u010dty dr\u017e\u00ed na ni\u017e\u0161\u00ed \u00farovni. Je to d\u00e1no lep\u0161\u00ed p\u00e9\u010d\u00ed o t\u011bhotn\u00e9, zdrav\u011bj\u0161\u00edm zp\u016fsobem \u017eivota a lep\u0161\u00ed kvalitou \u017eivota.<\/p>\n<p>&#8222;U hluchoty vznikl\u00e9 b\u011bhem \u017eivota vid\u00edme jasn\u00fd \u00fabytek, zde je to d\u00e1no lep\u0161\u00ed p\u00e9\u010d\u00ed o nedosl\u00fdchav\u00e9, hlavn\u011b o klienty zat\u00ed\u017een\u00e9 rizikov\u00fdmi faktory, hlukem na pracovi\u0161ti a podobn\u011b,&#8220; \u0159ekl Kocum a dodal, \u017ee u hluchoty z\u00edskan\u00e9 b\u011bhem \u017eivota vid\u00ed p\u0159\u00ed\u010diny hlavn\u011b v onemocn\u011bn\u00edch z\u00e1n\u011btliv\u00fdch, typu bakteri\u00e1ln\u00edch a hlavn\u011b virov\u00fdch, d\u00e1le u n\u00e1dor\u016f, \u00faraz\u016f, hlavn\u011b akustick\u00fdch traumat apod.<\/p>\n<p>U zm\u00edn\u011bn\u00fdch akustick\u00fdch traumat jde o traumata akutn\u00ed (poran\u011bn\u00ed hlukem typu st\u0159eln\u00fdch zbran\u00ed, v\u00fdbuch\u016f apod.), u traumat chronick\u00fdch o p\u0159et\u00ed\u017een\u00ed nadm\u011brn\u00fdm hlukem, hlavn\u011b na rizikov\u00fdch pracovi\u0161t\u00edch.<\/p>\n<p>PLASTIKA I IMPLANT\u00c1T<\/p>\n<p>Stejn\u011b jako u jin\u00fdch zdravotn\u00edch probl\u00e9m\u016f m\u016f\u017ee i v tomto p\u0159\u00edpad\u011b pomoci operace. Prim\u00e1\u0159 ale upozor\u0148uje, \u017ee p\u0159i eventu\u00e1ln\u00ed indikaci chirurgick\u00e9ho l\u00e9\u010den\u00ed poruch sluchu obecn\u011b je nejd\u0159\u00edve nutn\u00e9 rozli\u0161en\u00ed typu poruchy a zhodnocen\u00ed mo\u017en\u00e9ho efektu operace.<\/p>\n<p>&#8222;U poruch p\u0159evodn\u00edch, kde jde o poruchu p\u0159evodu st\u0159edn\u00edm uchem do ucha vnit\u0159n\u00edho, jde o operace typu tympanoplastik, zde je pom\u011brn\u011b vysok\u00e1 efektivita z\u00e1kroku. U poruch percep\u010dn\u00edch p\u0159i po\u0161kozen\u00ed vnit\u0159n\u00edho ucha a sluchov\u00e9 dr\u00e1hy jde o stav slo\u017eit\u011bj\u0161\u00ed, posouzen\u00ed mo\u017enosti operace implanta\u010dn\u00ed a jej\u00edho p\u0159\u00edpadn\u00e9ho efektu. Jednodu\u0161e \u0159e\u010deno jde o zaveden\u00ed technick\u00e9ho elektronick\u00e9ho za\u0159\u00edzen\u00ed do oblasti skaln\u00ed kosti za uchem, kter\u00e9 nahrad\u00ed vlastn\u00ed percep\u010dn\u00ed nitrou\u0161n\u00ed org\u00e1n,&#8220; konstatoval Kocum.<\/p>\n<p>JAK CHR\u00c1NIT SLUCH?<\/p>\n<p>&#8222;Chr\u00e1n\u011bn\u00ed sluchu je nutn\u00e9 posuzovat z r\u016fzn\u00fdch pohled\u016f. Z pohledu l\u00e9ka\u0159e jde o spr\u00e1vnou diagnostiku poruchy sluchu u jednotliv\u00e9ho pacienta, o spr\u00e1vn\u00e9 l\u00e9\u010den\u00ed stavu, d\u00e1le je nutn\u00e9 zm\u00ednit preventivn\u00ed vy\u0161et\u0159ov\u00e1n\u00ed novorozenc\u016f, kter\u00e9 u n\u00e1s prov\u00e1d\u00edme ji\u017e del\u0161\u00ed dobu, u dosp\u011bl\u00fdch je nutn\u00e9 zm\u00ednit vy\u0161et\u0159ov\u00e1n\u00ed zam\u011bstnanc\u016f z rizikov\u00fdch pracovi\u0161\u0165, takt\u00e9\u017e u n\u00e1s s dlouhodobou tradic\u00ed. Z pohledu pacienta jde o dodr\u017eov\u00e1n\u00ed spr\u00e1vn\u00e9 \u017eivotospr\u00e1vy, dodr\u017eov\u00e1n\u00ed l\u00e9\u010debn\u00e9ho re\u017eimu u l\u00e9\u010den\u00fdch, velmi d\u016fle\u017eit\u00e9 je dodr\u017eov\u00e1n\u00ed z\u00e1sad a p\u0159edpis\u016f u zam\u011bstnanc\u016f pracuj\u00edc\u00edch v riziku hluku v\u010detn\u011b spr\u00e1vn\u00e9ho u\u017e\u00edv\u00e1n\u00ed chr\u00e1ni\u010d\u016f sluchu apod. V neposledn\u00ed \u0159ad\u011b je zde tak\u00e9 \u00faloha st\u00e1tu p\u0159i tvorb\u011b pot\u0159ebn\u00fdch p\u0159edpis\u016f a hlavn\u011b \u00faloha zam\u011bstnavatel\u016f p\u0159i dodr\u017eov\u00e1n\u00ed t\u011bchto p\u0159edpis\u016f,&#8220; uzav\u0159el Kocum.<\/p>\n<p>Plze\u0148sk\u00fd den\u00edk<br \/>\n<a href=\"http:\/\/plzensky.denik.cz\/\">http:\/\/plzensky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Sv\u011bt nesly\u0161\u00edc\u00edch je pro ostatn\u00ed st\u00e1le pon\u011bkud uzav\u0159en\u00fd, zejm\u00e9na kv\u016fli probl\u00e9m\u016fm s komunikac\u00ed. Poj\u010fte s n\u00e1mi proto do n\u011bj alespo\u0148 trochu nahl\u00e9dnout, a to prost\u0159ednictv\u00edm <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=26808\" title=\"P\u00e9\u010de o nesly\u0161\u00edc\u00ed se st\u00e1le zlep\u0161uje\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":6438,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26808","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\/26808","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=26808"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26808\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/6438"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26808"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26808"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}