\u010casto se nemohou h\u00fdbat nebo maj\u00ed pot\u00ed\u017ee s my\u0161len\u00edm. D\u00edky Klinice rehabilita\u010dn\u00edho l\u00e9ka\u0159stv\u00ed V\u0161eobecn\u00e9 fakultn\u00ed nemocnice se ale pacienti, kte\u0159\u00ed m\u011bli v\u00e1\u017enou nehodu \u010di c\u00e9vn\u00ed mozkovou p\u0159\u00edhodu,p\u0159esto dok\u00e1\u017eou vr\u00e1tit do b\u011b\u017en\u00e9ho \u017eivota.<\/p>\n
PRAHA Pacienti s po\u0161kozen\u00fdm mozkem jsou je\u0161t\u011b na jednotce intenzivn\u00ed p\u00e9\u010de a u\u017e s nimi l\u00e9ka\u0159i poprv\u00e9 rehabilituj\u00ed.
\n„\u010c\u00edm d\u0159\u00edve se za\u010dne, t\u00edm l\u00e9pe. Mozek je schopn\u00fd vyrovnat se s nehodou, je ale omezen\u00fd \u010dasem,“ \u0159\u00edk\u00e1 p\u0159ednostka Kliniky rehabilita\u010dn\u00edho l\u00e9ka\u0159stv\u00ed V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze a 1. l\u00e9ka\u0159sk\u00e9 fakulty UK Olga \u0160vestkov\u00e1 a za\u010dne otev\u00edrat jedny dve\u0159e za druh\u00fdmi. Tak rychle, \u017ee i prohl\u00eddka pracovi\u0161t\u011b, kter\u00e9 pacienti nav\u0161t\u011bvuj\u00ed pot\u00e9, co je propust\u00ed z nemocnice, p\u0159ipom\u00edn\u00e1 z\u00e1vod.
\nKv\u016fli vysok\u00e9 rychlosti se sem ostatn\u011b \u0159ada klient\u016f i dostala. Jde hlavn\u011b o mlad\u00e9 mu\u017ee po hav\u00e1ri\u00edch v autu \u010di na motorce. P\u0159\u00edpadn\u011b ty, co se v\u011bnuj\u00ed rizikov\u00fdm sport\u016fm.
\nDal\u0161\u00edm typem pacient\u016f jsou star\u0161\u00ed osoby, kter\u00e9 prod\u011blaly c\u00e9vn\u00ed mozkovou p\u0159\u00edhodu. „M\u011bli jsme tu ale i 32let\u00e9ho l\u00e9ka\u0159e. Dostal mrtvici na s\u00e1le. Pak jsou tu i lid\u00e9 se z\u00e1n\u011btem nebo s n\u00e1dorem mozku,“ vypo\u010d\u00edt\u00e1v\u00e1 \u0160vestkov\u00e1.
\nI lid\u00e9, kter\u00fdm se podle n\u00ed \u0159eklo, \u017ee u\u017e nikdy nebudou chodit, to do \u010dty\u0159 m\u011bs\u00edc\u016f d\u00edky klinice zvl\u00e1dli. Vy\u017eaduje to ale tvrdou pr\u00e1ci.
\nSedm\u00fd a\u017e \u010dtrn\u00e1ct\u00fd den po nehod\u011b se pacienti v\u011bt\u0161inou dost\u00e1vaj\u00ed ze \u017eivot zachra\u0148uj\u00edc\u00edch odd\u011blen\u00ed na v\u010dasn\u00e1 rehabilita\u010dn\u00ed l\u016f\u017eka.<\/p>\n
Tr\u00e9nink v kuchyni i na chodb\u011b<\/p>\n
Kdy\u017e se pak pacienti dostanou dom\u016f, nast\u00e1v\u00e1 \u010das pro ambulantn\u00ed p\u00e9\u010di. A na \u0159adu p\u0159ich\u00e1z\u00ed pr\u00e1v\u011b odborn\u00edci z Kliniky rehabilita\u010dn\u00edho l\u00e9ka\u0159stv\u00ed na pra\u017esk\u00e9m Albertov\u011b.
\nKdo by zde v ka\u017ed\u00e9 m\u00edstnosti hledal speci\u00e1ln\u00ed p\u0159\u00edstroje, pomoc\u00ed kter\u00fdch se \u010dlov\u011bk s po\u0161kozen\u00edm mozku uzdrav\u00ed, pletl by se.
\nVza\u0159\u00edzen\u00ed sice jsou, nicm\u00e9n\u011b z\u00e1kladem l\u00e9\u010dby je podle p\u0159ednostky n\u00e1cvik b\u011b\u017en\u00fdch situac\u00ed, s nimi\u017e se setk\u00e1 ka\u017ed\u00fd. Jedny dve\u0159e proto skr\u00fdvaj\u00ed kuchy\u0148, kter\u00e1 se m\u016f\u017ee cel\u00e1 posouvat podle pot\u0159eb voz\u00ed\u010dk\u00e1\u0159\u016f, druh\u00e9 koupelnu a toaletu. Na zdi je k tr\u00e9nov\u00e1n\u00ed p\u0159ipraven\u00e1 maketa telefonu nebo r\u016fzn\u00e9 \u00fachyty. Sama p\u0159ednostka zdol\u00e1v\u00e1 patra kliniky v\u00fdtahem. To aby se nepletla na schodech pacient\u016fm tr\u00e9nuj\u00edc\u00edm ch\u016fzi. Pokud m\u00e1 nap\u0159\u00edklad pacient po\u0161kozenou jednu ruku, u\u010d\u00ed se v kuchyni pracovat s fixa\u010dn\u00edm prk\u00e9nkem s p\u0159\u00edsavkami, d\u00edky kter\u00fdm se n\u00e1dob\u00ed na lince nehne.
\nSpeci\u00e1ln\u00ed p\u0159\u00edbory stoj\u00ed 550 korun, prk\u00e9nko 2500 a pacient si je v\u011bt\u0161inou hrad\u00ed s\u00e1m.
\n„V\u017edy \u0159\u00edk\u00e1m klient\u016fm, \u017ee i ta nejdra\u017e\u0161\u00ed pom\u016fcka je levn\u011bj\u0161\u00ed ne\u017e dlouhodob\u00e1 pomoc druh\u00e9 osoby,“ dodala \u0160vestkov\u00e1. Co se nap\u0159\u00edklad koupelny t\u00fd\u010de, u\u017eite\u010dn\u00e1 je pro pacienty \u017eidle do vany, kter\u00e1 funguje na elekt\u0159inu. Klient se na ni p\u0159esedne z voz\u00edku a ovl\u00e1d\u00e1 ji tla\u010d\u00edtkem nahoru a dol\u016f. D\u00edky n\u00ed se do a z vany s\u00e1m dostane.
\nN\u011bkter\u00e9 pom\u016fcky propl\u00e1c\u00ed poji\u0161\u0165ovna, jin\u00e9 si uhrad\u00ed s\u00e1m pacient. D\u016fle\u017eit\u00e9 ale je, aby odch\u00e1zel dom\u016f s takov\u00fdmi, kter\u00e9 bude opravdu um\u011bt pou\u017e\u00edvat. „Chceme, aby nemusel do \u00fastavu. Zvl\u00e1\u0161\u0165 d\u016fle\u017eit\u00e9 je to hlavn\u011b u d\u011bt\u00ed. Mus\u00ed chodit do \u0161koly,“ \u0159ekla \u0160vestkov\u00e1. Pom\u016fcek je na trhu podle n\u00ed nespo\u010det: „Z\u00e1zraky se ale ned\u011bj\u00ed na po\u010dk\u00e1n\u00ed bez t\u011b\u017ek\u00e9 pr\u00e1ce. Vyhled\u00e1v\u00e1me metodiky, u kter\u00fdch je objektivn\u011b dok\u00e1z\u00e1no, \u017ee funguj\u00ed.“
\nPokud se s nimi \u010dlov\u011bk s\u017eije, m\u016f\u017ee se zpravidla vr\u00e1tit i do pr\u00e1ce. Podle \u0160vestkov\u00e9 v rozvinut\u00fdch st\u00e1tech pracuje zhruba t\u0159etina lid\u00ed s p\u016fvodn\u011b t\u011b\u017ekou disabilitou. „Druh\u00e1 t\u0159etina pracuje (i na \u010d\u00e1ste\u010dn\u00fd \u00favazek) a vyu\u017e\u00edv\u00e1 p\u0159itom soci\u00e1ln\u00edch slu\u017eeb. T\u0159et\u00ed z\u016fst\u00e1v\u00e1 t\u011b\u017ece posti\u017een\u00e1, \u010d\u00e1st z nich p\u0159esto \u017eije doma,“ \u0159\u00edk\u00e1 \u0160vestkov\u00e1.
\nPodle odhad\u016f je v \u010cesku 10,2 procenta osob s posti\u017een\u00edm. \u0160v\u00e9dsko je na tom obdobn\u011b, ale 95 procent z t\u011bchto lid\u00ed \u017eije doma. „My m\u00e1me nejv\u00edce \u00fastav\u016f z cel\u00e9 Evropsk\u00e9 unie na po\u010det obyvatelstva,“ popisuje p\u0159ednostka.<\/p>\n
Lampi\u010dkav mozku se rozsv\u00edt\u00ed<\/p>\n
P\u0159ibl\u00ed\u017eit se tomuto stavu klinika sna\u017e\u00ed t\u00edm, \u017ee jako jedin\u00e1 v republice otev\u0159ela denn\u00ed stacion\u00e1\u0159. N\u011bkte\u0159\u00ed pacienti ho nav\u0161t\u011bvuj\u00ed po dobu a\u017e \u0161esti t\u00fddn\u016f. Zapojeni jsou zde do rehabilitace i rodinn\u00ed p\u0159\u00edslu\u0161n\u00edci. Maxim\u00e1ln\u011b se zat\u00edm odborn\u00edci mohou v\u011bnovat \u0161esti pacient\u016fm.
\nDen ve stacion\u00e1\u0159i za\u010d\u00edn\u00e1 v p\u016fl dev\u00e1t\u00e9 r\u00e1no vizitou a kon\u010d\u00ed v 16 hodin odpoledne. Nab\u00edz\u00ed tedy intenzivn\u00ed formu rehabilitace.
\n„Douf\u00e1m, \u017ee se stacion\u00e1\u0159 roz\u0161\u00ed\u0159\u00ed. Kdy\u017e jsou lid\u00e9 z nemocnice brzo doma, jsou motivovan\u00ed k terapii. Z\u00e1kladem rehabilitace lid\u00ed po po\u0161kozen\u00ed mozku je d\u011blat to, co je bav\u00ed. Je to podobn\u00e9, jako kdy\u017e se rozsv\u00edt\u00ed lampi\u010dka v mozku. Synapsevmozku se propoj\u00ed,“ popisuje.
\nDenn\u011b do n\u011bj doj\u00ed\u017ed\u011bj\u00ed i pacienti, kte\u0159\u00ed maj\u00ed na ur\u010ditou dobu otev\u0159enou lebku a hlavu si chr\u00e1n\u00ed speci\u00e1ln\u00ed helmou. Ti by byli d\u0159\u00edve v nemocnici nebo doma, ale nemohli m\u00edt intenzivn\u00ed rehabilitaci. Ostatn\u00ed pacienti mohou za\u0159\u00edzen\u00ed nav\u0161t\u011bvovat n\u00e1razov\u011b.
\nVelk\u00fdm probl\u00e9mem \u010ceska podle p\u0159ednostky je, \u017ee nem\u00e1me z\u00e1kon o rehabilitaci: „\u010clov\u011bk skon\u010d\u00ed zdravotnick\u00fd proces a je ztracen\u00fd.“ Jako p\u0159\u00edklad d\u00e1v\u00e1 N\u011bmecko. Kdy\u017e se pacient po dobu t\u0159\u00ed m\u011bs\u00edc\u016f nezlep\u0161\u00ed, rehabilitace se ukon\u010duje a okam\u017eit\u011b navazuje soci\u00e1ln\u00ed pomoc: „Pokud ale u n\u011bj dojde ke zhor\u0161en\u00ed, do rehabilita\u010dn\u00edho programu se m\u016f\u017ee vr\u00e1tit,“ uzav\u00edr\u00e1.<\/p>\n
MICHAELA KAB\u00c1TOV\u00c1
\nLidov\u00e9 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"
\u010casto se nemohou h\u00fdbat nebo maj\u00ed pot\u00ed\u017ee s my\u0161len\u00edm. D\u00edky Klinice rehabilita\u010dn\u00edho l\u00e9ka\u0159stv\u00ed V\u0161eobecn\u00e9 fakultn\u00ed nemocnice se ale pacienti, kte\u0159\u00ed m\u011bli v\u00e1\u017enou nehodu \u010di c\u00e9vn\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":4884,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27227","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\/27227","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=27227"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27227\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/4884"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27227"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27227"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}