{"id":27413,"date":"2017-03-02T22:25:29","date_gmt":"2017-03-02T21:25:29","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27413"},"modified":"2017-03-02T22:40:04","modified_gmt":"2017-03-02T21:40:04","slug":"pacientum-s-fekalni-inkontinenci-maji-pomoct-neurostimulatory","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27413","title":{"rendered":"Pacient\u016fm s fek\u00e1ln\u00ed inkontinenc\u00ed maj\u00ed pomoct neurostimul\u00e1tory"},"content":{"rendered":"<p>Fakultn\u00ed nemocnice v Hradci Kr\u00e1lov\u00e9 chce letos zav\u00e9st 15 pacient\u016fm s fek\u00e1ln\u00ed inkontinenc\u00ed neurostimul\u00e1tory, kter\u00e9 jim pomohou vy\u0159e\u0161it jejich probl\u00e9my. Po\u010det operac\u00ed bude z\u00e1le\u017eet na v\u00fdsledc\u00edch jedn\u00e1n\u00ed se zdravotn\u00edmi poji\u0161\u0165ovnami, hradeck\u00e1 nemocnice by zat\u00edm m\u011bla b\u00fdt jedin\u00fdm pracovi\u0161t\u011bm v \u010cR, kter\u00e9 bude tuto metodu prov\u00e1d\u011bt. V po\u0159adn\u00edku hradeck\u00e9 nemocnice je zhruba 40 pacient\u016f v pr\u016fm\u011brn\u00e9m v\u011bku pod 60 let, \u0159ekli l\u00e9ka\u0159i hradeck\u00e9 nemocnice.<\/p>\n<p><!--more--><\/p>\n<p>&#8222;Sakr\u00e1ln\u00ed neuromodulace je metoda, kterou se stimuluj\u00ed nervy, kter\u00e9 zasahuj\u00ed oblast kone\u010dn\u00edku a kone\u010dn\u00edkov\u00fdch sv\u011bra\u010d\u016f. Je ur\u010den\u00e1 pro pacienty, kte\u0159\u00ed trp\u00ed neschopnost\u00ed udr\u017eet stolici,&#8220; \u0159ekl l\u00e9ka\u0159 chirurgick\u00e9 kliniky J\u00falius \u00d6rhalmi. Sakr\u00e1ln\u00ed neuromodulace spo\u010d\u00edv\u00e1 v zaveden\u00ed mal\u00e9ho neurostimul\u00e1toru pod k\u016f\u017ei. Za\u0159\u00edzen\u00ed je napojen\u00e9 na nervy v oblasti k\u0159\u00ed\u017eov\u00e9 kosti, u kter\u00fdch za pomoci slab\u00fdch elektrick\u00fdch impulz\u016f obnovuje jejich spr\u00e1vnou aktivitu. Baterie v p\u0159\u00edstroji vydr\u017e\u00ed zhruba sedm let.<\/p>\n<p>Prvn\u00ed neurostimul\u00e1tor v hradeck\u00e9 nemocnici z\u00edskala osmadvacetilet\u00e1 pacientka, kter\u00e1 m\u011bla pot\u00ed\u017ee od sv\u00fdch 19 let. &#8222;T\u011blo si na p\u0159\u00edstroj teprve zvyk\u00e1, ale m\u016fj \u017eivot je u\u017e te\u010f nesrovnateln\u011b lep\u0161\u00ed. T\u011b\u0161\u00edm se, \u017ee kone\u010dn\u011b p\u016fjdu bez obav t\u0159eba do kina nebo v l\u00e9t\u011b na koupali\u0161t\u011b,&#8220; \u0159ekla mlad\u00e1 \u017eena novin\u00e1\u0159\u016fm.<\/p>\n<p>L\u00e9ka\u0159i hradeck\u00e9 nemocnice uvedli, \u017ee sakr\u00e1ln\u00ed neuromodulace je v n\u011bkter\u00fdch zem\u00edch, nap\u0159\u00edklad v N\u011bmecku \u010di It\u00e1lii, u pacient\u016f s fek\u00e1ln\u00ed inkontinenc\u00ed b\u011b\u017en\u00fdm z\u00e1krokem. V \u010cesk\u00e9 republice se v letech 2010 a\u017e 2011 uskute\u010dnilo p\u0159es 30 operac\u00ed pacient\u016f ve t\u0159ech nemocnic\u00edch v r\u00e1mci projektu. &#8222;Nyn\u00ed b\u011b\u017e\u00ed jedn\u00e1n\u00ed s poji\u0161\u0165ovnami a ministerstvem zdravotnictv\u00ed, kde se sk\u00fdt\u00e1 nad\u011bje, \u017ee tento v\u00fdkon bude mo\u017en\u00e9 hradit ze zdravotn\u00edho poji\u0161t\u011bn\u00ed,&#8220; \u0159ekl \u00d6rhalmi.<\/p>\n<p>Podle l\u00e9ka\u0159\u016f postihuje fek\u00e1ln\u00ed inkontinence a\u017e 3,5 procenta populace, pot\u00ed\u017ee mohou m\u00edt nap\u0159\u00edklad \u017eeny v d\u016fsledku poporodn\u00edch poran\u011bn\u00ed, nemoc se m\u016f\u017ee rozvinout i u pacient\u016f s r\u016fzn\u00fdmi neurologick\u00fdmi pot\u00ed\u017eemi. Rizikovou skupinu tak\u00e9 p\u0159edstavuj\u00ed lid\u00e9 po \u00farazech \u010di operac\u00edch v oblasti kone\u010dn\u00edku.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><!--more--><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Fakultn\u00ed nemocnice v Hradci Kr\u00e1lov\u00e9 chce letos zav\u00e9st 15 pacient\u016fm s fek\u00e1ln\u00ed inkontinenc\u00ed neurostimul\u00e1tory, kter\u00e9 jim pomohou vy\u0159e\u0161it jejich probl\u00e9my. Po\u010det operac\u00ed bude z\u00e1le\u017eet na <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27413\" title=\"Pacient\u016fm s fek\u00e1ln\u00ed inkontinenc\u00ed maj\u00ed pomoct neurostimul\u00e1tory\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18804,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27413","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\/27413","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=27413"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27413\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18804"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27413"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27413"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}