{"id":27851,"date":"2017-04-06T12:01:07","date_gmt":"2017-04-06T10:01:07","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27851"},"modified":"2017-04-06T15:51:21","modified_gmt":"2017-04-06T13:51:21","slug":"nejdulezitejsi-faktor-lecby-vstoupit-pacientovi-do-hlavy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27851","title":{"rendered":"Nejd\u016fle\u017eit\u011bj\u0161\u00ed faktor l\u00e9\u010dby? Vstoupit pacientovi do hlavy"},"content":{"rendered":"<p><strong>Zdrav\u00ed m\u00e1me jen jedno, proto bychom se o n\u011bj m\u011bli starat, p\u0159ipom\u00edn\u00e1 7. dubna Sv\u011btov\u00fd den zdrav\u00ed, kter\u00fd ka\u017ed\u00fd rok vyhla\u0161uje Sv\u011btov\u00e1 zdravotnick\u00e1 organizace. Jako epidemii 21. stolet\u00ed ozna\u010duj\u00ed l\u00e9ka\u0159i cukrovku, jde ji p\u0159itom ve velk\u00e9 m\u00ed\u0159e p\u0159edch\u00e1zet.<\/strong><br \/>\n<!--more--><br \/>\n\u201eP\u0159esto\u017ee praktick\u00fd ka\u017edodenn\u00ed \u017eivot v\u011bt\u0161inou neumo\u017e\u0148uje 100% dodr\u017eov\u00e1n\u00ed dietn\u00edch a re\u017eimov\u00fdch opat\u0159en\u00ed, m\u016f\u017eeme ovlivn\u011bn\u00edm energetick\u00e9ho p\u0159\u00edjmu a v\u00fddeje, skladby stravy \u010di za\u0159azen\u00edm vhodn\u00fdch funk\u010dn\u00edch potravin a potravinov\u00fdch dopl\u0148k\u016f situaci v\u00fdrazn\u011b zm\u011bnit k lep\u0161\u00edmu,\u201c \u0159\u00edk\u00e1 uzn\u00e1van\u00fd diabetolog Radomil Pluschke z opavsk\u00e9 kliniky Vesalius, kter\u00e1 se v\u011bnuje diabetu i spr\u00e1vn\u00e9mu \u017eivotn\u00edmu stylu.<\/p>\n<p>Co je tedy nejd\u016fle\u017eit\u011bj\u0161\u00ed faktor pro snesiteln\u00fd \u017eivot s cukrovkou?<\/p>\n<p>Jednozna\u010dn\u011b jej\u00ed v\u010dasn\u00e9 odhalen\u00ed. A tak\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby mnohem d\u0159\u00edve, ne\u017e pacient v\u016fbec poc\u00edt\u00ed, co tato z\u00e1ke\u0159n\u00e1 choroba dok\u00e1\u017ee s t\u011blem ud\u011blat. Zjednodu\u0161en\u011b \u0159e\u010deno: nechte si u sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e m\u011b\u0159it pravideln\u011b hladinu cukru v krvi, a kdy\u017e dostanete zpr\u00e1vu o tom, \u017ee m\u00e1te n\u00e1b\u011bh k diabetu, za\u010dn\u011bte konat. Ne\u010dekejte na bolesti. P\u0159esto\u017ee se diabetu u\u017e nezbav\u00edte, existuje dnes mnoho modern\u00edch l\u00e9ka\u0159sk\u00fdch postup\u016f, jak komplikace odd\u00e1lit a mnohdy jim \u00fapln\u011b p\u0159edej\u00edt.<\/p>\n<p>Jak\u00e9 jsou z\u00e1kladn\u00ed faktory \u00fasp\u011b\u0161n\u00e9 l\u00e9\u010dby?<\/p>\n<p>Pr\u00e1ce diabetologa je komplexn\u00ed tit\u011brn\u00e1 pr\u00e1ce s \u010dlov\u011bkem. Je d\u016fle\u017eit\u00e9 v\u011bnovat se aktivn\u011b v\u00fd\u017eiv\u011b, ale nejde jen o vysv\u011btlen\u00ed diety, jak je n\u011bkdy myln\u011b interpretov\u00e1no. Sv\u00fdm pacient\u016fm zd\u016fraz\u0148uji, \u017ee je t\u0159eba zm\u011bnit jejich my\u0161len\u00ed a zvyklosti a vstoupit jim tak \u0159\u00edkaj\u00edc do hlavy. Je t\u0159eba b\u00fdt trp\u011bliv\u00fd a neh\u00e1zet v\u0161echny pacienty do jednoho pytle. Pak teprve m\u016f\u017eeme slavit \u00fasp\u011bch. L\u00e9\u010dba je pak jen jakousi pomyslnou \u201eberli\u010dkou\u201c.<\/p>\n<p>Tento p\u0159\u00edstup st\u00e1le nen\u00ed mnoh\u00fdm l\u00e9ka\u0159\u016fm bl\u00edzk\u00fd. V \u010dem vid\u00edte v\u00fdznam osobn\u00ed komunikace s pacientem a pro\u010d jej mnoz\u00ed kolegov\u00e9 opom\u00edjej\u00ed?<\/p>\n<p>\u017dijeme v p\u0159ekotn\u00e9 dob\u011b. \u010cesk\u00e9 zdravotnictv\u00ed technologicky je podle m\u00e9ho n\u00e1zoru velmi vysp\u011bl\u00e9. M\u011bl jsem mo\u017enost poznat r\u016fzn\u00e1 pracovi\u0161t\u011b v Evrop\u011b i v z\u00e1mo\u0159\u00ed a mysl\u00edm si, \u017ee se nem\u00e1me za co styd\u011bt. Naopak &#8211; \u010desk\u00e9 zdravotnictv\u00ed je nadstandardn\u00ed i ve sv\u011btov\u00e9m kontextu. N\u011bkdy jsme zbyte\u010dn\u011b zakomplexovan\u00ed. Obecn\u011b je ale v sou\u010dasnosti trendem schov\u00e1vat se za obrazovky po\u010d\u00edta\u010d\u016f, tablet\u016f a mobil\u016f a komunikovat jen elektronicky. Sna\u017e\u00edm se b\u00fdt jin\u00fd, proto\u017ee m\u00e1m pocit, \u017ee u t\u011bch supertechnologi\u00ed a superstroj\u016f chyb\u00ed tzv. \u201elidsk\u00fd faktor\u201c. Ochota \u010dlov\u011bka vysly\u0161et. M\u00edt na n\u011bho \u010das. Pacient je ve stresu, jeliko\u017e se boj\u00ed o sv\u00e9 zdrav\u00ed. Pokud se l\u00e9ka\u0159i poda\u0159\u00ed pacienta stresu zbavit a z\u00edskat si ho pro spolupr\u00e1ci, je kolikr\u00e1t vyhr\u00e1no.<\/p>\n<p>D\u016fle\u017eit\u00e9 jsou ale jist\u011b i nov\u00e9 technologie a metody.<\/p>\n<p>Jist\u011b, pacienti pova\u017euj\u00ed vzd\u011bl\u00e1n\u00ed l\u00e9ka\u0159e a vyu\u017eit\u00ed modern\u00edch p\u0159\u00edstroj\u016f v l\u00e9\u010db\u011b za samoz\u0159ejm\u00e9, co\u017e je dob\u0159e. \u0158ad\u00ed n\u00e1s to mezi vysp\u011bl\u00e9 zem\u011b. Krom\u011b standardn\u00ed farmakoterapie a p\u016fsoben\u00ed na zm\u011bnu \u017eivotn\u00edho stylu a mno\u017estv\u00ed a slo\u017een\u00ed potravy, pou\u017e\u00edv\u00e1me i fyzik\u00e1ln\u00ed diagnostick\u00e9 a l\u00e9\u010debn\u00e9 p\u0159\u00edstupy. Pe\u010dujeme nap\u0159\u00edklad o t\u011bhotn\u00e9 diabeti\u010dky, zaji\u0161\u0165ujeme screening \u201et\u011bhotensk\u00e9 cukrovky\u201c. P\u0159\u00edstroje ke stanoven\u00ed v\u00fdsledk\u016f hodnocen\u00ed cukrovky &#8211; tzv. dlouh\u00fd cukr &#8211; jak se mezi lidmi \u0159\u00edk\u00e1, odborn\u011b pak glykovan\u00fd hemoglobin, m\u00e1me p\u0159\u00edmo v na\u0161ich ambulanc\u00edch a v\u00fdsledky zn\u00e1me za p\u011bt minut.<\/p>\n<p>V\u011bnujete se tak\u00e9 \u0161patn\u011b ovlivniteln\u00e9 l\u00e9\u010db\u011b diabetick\u00fdch bolest\u00ed\u2026<\/p>\n<p>Ano, u diabetick\u00e9 neuropatie, tedy posti\u017een\u00ed nerv\u016f p\u0159i cukrovce, jsme se hodn\u011b posunuli d\u00edky terapii stimsmart. \u00dasp\u011b\u0161nost l\u00e9\u010dby na regeneraci cel\u00e9ho t\u011bla v\u010detn\u011b nervstva je velk\u00e1. Proto\u017ee jde o relaxa\u010dn\u00ed metodu, investovali jsme a stavebn\u011b upravili podm\u00ednky pro toto l\u00e9\u010den\u00ed tak, abychom pacient\u016fm nab\u00eddli co nejvy\u0161\u0161\u00ed komfort. Terapie p\u0159in\u00e1\u0161\u00ed velmi dobr\u00e9 v\u00fdsledky a pacient\u016fm \u00falevu od bolesti.<\/p>\n<p>Velk\u00e1 \u010d\u00e1st va\u0161\u00ed \u010dinnosti z\u00e1rove\u0148 vych\u00e1z\u00ed ze zdrav\u00e9ho \u017eivotn\u00edho stylu, kter\u00fd jsme tu u\u017e zmi\u0148ovali.<\/p>\n<p>M\u00e1me specialistku na v\u00fd\u017eivu, kter\u00e1 se aktivn\u011b v\u011bnuje pouze t\u00e9to problematice. Vyu\u017e\u00edv\u00e1me tak\u00e9 program Metabolic Balance. D\u00edky tomuto programu lid\u00e9 spolehliv\u011b redukuj\u00ed v\u00e1hu. Rekordman, n\u00e1\u0161 pacient diabetik, zhubl 48 kg. D\u0159\u00edve u\u017e\u00edval t\u0159ikr\u00e1t denn\u011b inzul\u00edn a t\u0159i druhy tablet, dnes je bez inzul\u00ednu a u\u017e\u00edv\u00e1 tablety jen jedny. V neposledn\u00ed \u0159ad\u011b je t\u0159eba lidi tla\u010dit aktivn\u011b do pohybov\u00e9 aktivity. A pokud u\u017e komplikace cukrovky p\u0159ijdou, hlavn\u011b ve smyslu bolestivosti doln\u00edch kon\u010detin, n\u011bkdy i s nereaguj\u00edc\u00ed l\u00e9\u010dbou neurolog\u016f, pak m\u016f\u017eeme nab\u00eddnout ji\u017e zmi\u0148ovanou metodu stimsmart, kdy jsme schopni pomoc\u00ed elektrol\u00e9\u010dby tyto probl\u00e9my zcela z\u0159eteln\u011b utlumit na del\u0161\u00ed \u010das.<\/p>\n<p>Vy jste si jako atestaci p\u016fvodn\u011b vybral internu. Pro\u010d jste se nakonec rozhodl v\u011bnovat se diabetologii?<\/p>\n<p>Laici si mysl\u00ed, \u017ee my, l\u00e9ka\u0159i, se profilujeme ji\u017e na vysok\u00e9 \u0161kole. Netu\u0161\u00ed, \u017ee a\u017e b\u011bhem budov\u00e1n\u00ed kari\u00e9ry, po prvn\u00ed atestaci, sm\u011b\u0159ujeme k vyty\u010den\u00e9mu c\u00edli. Osobn\u011b mi byly intern\u00ed obory bl\u00edzk\u00e9 u\u017e b\u011bhem studia. Na odd\u011blen\u00ed interny jsme m\u011bli v\u0161ichni pocit, \u017ee jsme tak trochu diabetologov\u00e9. Jen\u017ee p\u0159idat \u010di ubrat p\u00e1r jednotek inzul\u00ednu k zaveden\u00e9 d\u00e1vce diabetik\u016fm je\u0161t\u011b ned\u011bl\u00e1 z \u010dlov\u011bka profesion\u00e1ln\u00edho diabetologa. Na p\u0159elomu tis\u00edcilet\u00ed u\u017e bylo z\u0159ejm\u00e9, \u017ee se medic\u00edna vyv\u00edj\u00ed m\u00edlov\u00fdmi kroky a dva obory &#8211; diabetologie a onkologie &#8211; se vyv\u00edj\u00ed o to dynami\u010dt\u011bji. Kdy\u017e jsem se po prvn\u00ed atestaci za\u010dal v medic\u00edn\u011b v\u00edce orientovat, byla to pr\u00e1v\u011b diabetologie, kter\u00e1 m\u011b svou dynami\u010dnost\u00ed chytila za srdce. M\u011bl jsem \u0161t\u011bst\u00ed na dobr\u00e9 u\u010ditele v IKEMu, pak u\u017e jsem tu\u0161il, \u017ee diabetologie bude m\u00fdm osudem.<\/p>\n<p>Denisa Ranochov\u00e1<br \/>\nRedak\u010dn\u00ed rozhovor<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Zdrav\u00ed m\u00e1me jen jedno, proto bychom se o n\u011bj m\u011bli starat, p\u0159ipom\u00edn\u00e1 7. dubna Sv\u011btov\u00fd den zdrav\u00ed, kter\u00fd ka\u017ed\u00fd rok vyhla\u0161uje Sv\u011btov\u00e1 zdravotnick\u00e1 organizace. Jako <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27851\" title=\"Nejd\u016fle\u017eit\u011bj\u0161\u00ed faktor l\u00e9\u010dby? Vstoupit pacientovi do hlavy\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27883,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-27851","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27851","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=27851"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27851\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27883"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27851"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27851"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27851"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}