{"id":26996,"date":"2017-01-10T16:46:41","date_gmt":"2017-01-10T15:46:41","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26996"},"modified":"2017-01-10T16:46:41","modified_gmt":"2017-01-10T15:46:41","slug":"nos-usi-prsty-vam-muze-vzit-mraz-omrzliny-si-nevybiraji","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26996","title":{"rendered":"Nos, u\u0161i, prsty v\u00e1m m\u016f\u017ee vz\u00edt mr\u00e1z. Omrzliny si (ne)vyb\u00edraj\u00ed"},"content":{"rendered":"

S nejt\u011b\u017e\u0161\u00edmi omrzlinami o\u0161et\u0159\u00ed l\u00e9ka\u0159i v Pardubic\u00edch ro\u010dn\u011b asi p\u011bt pacient\u016f. Nejsou ale jen hrozbou pro bezdomovce.<\/strong><\/p>\n

Pardubicko \u2013 Co za\u010d\u00edn\u00e1 nep\u0159\u00edjemn\u00fdm p\u00e1len\u00edm mrazu, m\u016f\u017ee skon\u010dit amputac\u00ed. Omrzliny nejsou \u00fapln\u011b b\u011b\u017enou z\u00e1le\u017eitost\u00ed, kterou l\u00e9ka\u0159i \u0159e\u0161\u00ed, ale t\u00fdkat se mohou i v\u00e1s.<\/p>\n

Ne ka\u017ed\u00fd p\u0159\u00edpad je natolik drastick\u00fd, aby musel kon\u010dit na opera\u010dn\u00edm s\u00e1le. Tam kon\u010d\u00ed jen nejv\u011bt\u0161\u00ed extr\u00e9my, ale mraziv\u00e9 po\u010das\u00ed t\u011bchto dn\u00ed m\u016f\u017ee potr\u00e1pit doslova ka\u017ed\u00e9ho.<\/p>\n

P\u00c1R PACIENT\u016e RO\u010cN\u011a<\/p>\n

„U n\u00e1s kon\u010d\u00ed jen jednotliv\u00e9 p\u0159\u00edpady. S v\u00e1\u017en\u00fdmi omrzlinami se k n\u00e1m dostane tak p\u011bt pacient\u016f ro\u010dn\u011b. Jsou to v\u011bt\u0161inou lid\u00e9 z ulice, bezdomovci. U t\u00e9to skupiny je to bohu\u017eel d\u00e1no \u017eivotn\u00edm stylem, nedostate\u010dn\u00fdm oble\u010den\u00edm, ale i konzumac\u00ed alkoholu a kou\u0159en\u00edm. To v\u0161e napom\u00e1h\u00e1 vzniku a zhor\u0161en\u00ed omrzlin,“ \u0159\u00edk\u00e1 Martin Carda, prim\u00e1\u0159 odd\u011blen\u00ed \u00farazov\u00e9 chirurgie Pardubick\u00e9 nemocnice.<\/p>\n

Zdej\u0161\u00ed l\u00e9ka\u0159i pr\u00e1v\u011b jednoho pacienta s omrzlinami o\u0161et\u0159uj\u00ed. Jde o bezdomovce a mu\u017ei hroz\u00ed amputace prst\u016f na nohou.<\/p>\n

„Omrzlina je odum\u0159en\u00ed m\u011bkk\u00fdch tk\u00e1n\u00ed, kdy p\u016fsoben\u00edm chladu dojde ke sn\u00ed\u017een\u00ed prokrven\u00ed tk\u00e1n\u00ed. Vlivem nedostatku v\u00fd\u017eivy a ztr\u00e1ty teploty tk\u00e1\u0148 podlehne nekr\u00f3ze. Kdy k tomu dojde, je siln\u011b individu\u00e1ln\u00ed, z\u00e1le\u017e\u00ed na teplot\u011b, z\u00e1le\u017e\u00ed na zdrav\u00ed c\u00e9v, faktorem m\u016f\u017ee b\u00fdt i vlhkost, v\u00edtr i vykou\u0159en\u00e1 cigareta, kter\u00e1 zp\u016fsob\u00ed sta\u017een\u00ed c\u00e9v,“ popisuje Martin Carda.<\/p>\n

Omrzliny se ale zdaleka nemus\u00ed t\u00fdkat jen bezdomovc\u016f. L\u00e9ka\u0159i s nimi o\u0161et\u0159uj\u00ed i ly\u017ea\u0159e nebo horolezce. A ne poka\u017ed\u00e9 to mus\u00ed b\u00fdt omrzlina toho nejhor\u0161\u00edho druhu.<\/p>\n

T\u0158I F\u00c1ZE OMRZLIN<\/p>\n

Rozli\u0161uj\u00ed se t\u0159i f\u00e1ze. V t\u00e9 prvn\u00ed dojde u pacienta pouze k zarudnut\u00ed posti\u017een\u00e9 oblasti. Tento stav se zpravidla s\u00e1m vr\u00e1t\u00ed bez n\u00e1sledk\u016f k norm\u00e1lu.<\/p>\n

Druh\u00fd stupe\u0148 je u\u017e o trochu hor\u0161\u00ed, k\u016f\u017ee u\u017e je p\u0159i n\u011bm po\u0161kozena natolik, \u017ee vznikaj\u00ed puch\u00fd\u0159e. I tento stav se v\u0161ak d\u00e1 relativn\u011b bez n\u00e1sledk\u016f l\u00e9\u010dit.<\/p>\n

Nejhor\u0161\u00ed je t\u0159et\u00ed stupe\u0148, kdy doch\u00e1z\u00ed k nezvratn\u00e9mu po\u0161kozen\u00ed a odum\u0159en\u00ed tk\u00e1n\u011b. Posti\u017een\u00e9 m\u00edsto nejd\u0159\u00edve zb\u011bl\u00e1, zcela znecitliv\u00ed a posl\u00e9ze odum\u0159el\u00e1 tk\u00e1\u0148 \u010dern\u00e1.<\/p>\n

„Omrzlina toho m\u00e1 velmi mnoho spole\u010dn\u00e9ho s pop\u00e1leninami. Jde hlavn\u011b o poruchu prokrven\u00ed a po\u0161kozen\u00ed k\u016f\u017ee vlivem extr\u00e9mn\u00ed teploty. U omrzlin jsou ale nej\u010dast\u011bji zasa\u017eeny okrajov\u00e9 \u010d\u00e1sti t\u011bla, kde je prokrven\u00ed nejhor\u0161\u00ed: nos, u\u0161i, prsty na rukou a nohou. Pr\u00e1v\u011b prsty na nohou je statisticky ten nej\u010dast\u011bj\u0161\u00ed p\u0159\u00edpad, kter\u00fd o\u0161et\u0159ujeme,“ \u0159\u00edk\u00e1 Martin Carda.<\/p>\n

To nejhor\u0161\u00ed k \u010demu u omrzlin m\u016f\u017ee doj\u00edt je pr\u00e1v\u011b ono t\u0159et\u00ed st\u00e1dium. L\u00e9ka\u0159i v takov\u00fdch p\u0159\u00edpadech p\u0159istupuj\u00ed k amputaci posti\u017een\u00fdch \u010d\u00e1st\u00ed t\u011bla.<\/p>\n

„To se d\u011bl\u00e1 hlavn\u011b proto, \u017ee ona \u010d\u00e1st u\u017e nem\u00e1 \u017e\u00e1dnou nad\u011bji na z\u00e1chranu, nekrotick\u00e1 tk\u00e1\u0148 se pak hroz\u00ed st\u00e1t zdrojem infekce, kter\u00e1 m\u016f\u017ee napadnout dal\u0161\u00ed zdrav\u00e9 tk\u00e1n\u011b v okol\u00ed a ohrozit pacienta v\u00e1\u017en\u011b na zdrav\u00ed i \u017eivot\u011b,“ uzav\u00edr\u00e1 prim\u00e1\u0159 Martin Carda.<\/p>\n

Umrzl nebo ne?<\/p>\n

Pardubick\u00e1 policie \u0159e\u0161\u00ed od v\u00edkendu p\u0159\u00edpad mrtv\u00e9ho mu\u017ee. Toho na\u0161li na b\u0159ehu Labe v Pardubic\u00edch v odstaven\u00e9m p\u0159\u00edv\u011bsu. U mrtv\u00e9ho 49let\u00e9ho bezdomovce nebyly zji\u0161t\u011bny zn\u00e1mky n\u00e1sil\u00ed a je\u0161t\u011b r\u00e1no mluvil s p\u0159\u00e1teli. Zda m\u00e1 na jeho \u00famrt\u00ed pod\u00edl i mr\u00e1z ov\u011b\u0159\u00ed vy\u0161et\u0159ovatel\u016fm pitva.<\/p>\n

JI\u0158\u00cd SEJKORA
\nPardubick\u00fd den\u00edk
\nhttp:\/\/pardubicky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

S nejt\u011b\u017e\u0161\u00edmi omrzlinami o\u0161et\u0159\u00ed l\u00e9ka\u0159i v Pardubic\u00edch ro\u010dn\u011b asi p\u011bt pacient\u016f. Nejsou ale jen hrozbou pro bezdomovce.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14745,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26996","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\/26996","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=26996"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26996\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14745"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26996"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26996"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}