{"id":28476,"date":"2017-06-16T12:53:30","date_gmt":"2017-06-16T10:53:30","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28476"},"modified":"2017-06-16T12:53:30","modified_gmt":"2017-06-16T10:53:30","slug":"novinka-v-lecbe-krecovych-zil-doktori-je-zacali-zalepovat","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28476","title":{"rendered":"Novinka v l\u00e9\u010db\u011b k\u0159e\u010dov\u00fdch \u017eil. Dokto\u0159i je za\u010dali zalepovat"},"content":{"rendered":"

\u010ce\u0161t\u00ed l\u00e9ka\u0159i za\u010dali pou\u017e\u00edvat novou metodu k l\u00e9\u010db\u011b k\u0159e\u010dov\u00fdch \u017eil: posti\u017een\u00e9 v\u00e9ny jednodu\u0161e zalep\u00ed. Z\u00e1krok je podle nich rychl\u00fd a bezbolestn\u00fd. Ve sv\u011bt\u011b je metoda zn\u00e1m\u00e1 p\u011bt let, u n\u00e1s se prov\u00e1d\u00ed od leto\u0161n\u00edho roku.<\/strong> <\/p>\n

Na prvn\u00ed pohled jde o ban\u00e1ln\u00ed kosmetickou vadu: l\u00fdtko pln\u00e9 k\u0159e\u010dov\u00fdch \u017eil. Pokud ale pacient probl\u00e9m ne\u0159e\u0161\u00ed a nech\u00e1 \u017e\u00edly bobtnat pod n\u00e1valy krve, m\u016f\u017ee to skon\u010dit fat\u00e1ln\u011b \u2013 a\u017e amputac\u00ed doln\u00ed kon\u010detiny. V\u00e9nu je proto lep\u0161\u00ed v\u010das zalepit, tvrd\u00ed specialista na \u017eiln\u00ed chirurgii Ota Sch\u00fctz.<\/p>\n

Jako jeden z prvn\u00edch prov\u00e1d\u00ed v \u010cesku z\u00e1kroky, p\u0159i kter\u00fdch lidem \u017e\u00edly skute\u010dn\u011b lep\u00ed. „Zavedu do nich tenk\u00fd katetr, kter\u00fd pak za\u010dnu pomalu vytahovat. Dovnit\u0159 p\u0159itom po kapk\u00e1ch vst\u0159ikuji speci\u00e1ln\u00ed biologick\u00e9 lepidlo, tedy cyano-akryl\u00e1tov\u00fd polymer,“ popisuje prim\u00e1\u0159 pra\u017esk\u00e9 \u017diln\u00ed kliniky. M\u00edsto, do kter\u00e9ho se hmota dostane, pak na t\u0159i minuty stla\u010d\u00ed. Jakmile jsou st\u011bny v\u00e9ny stmelen\u00e9, katetr se vyt\u00e1hne. Cel\u00fd z\u00e1krok trv\u00e1 zhruba p\u016fl hodiny a pacient po n\u011bm nepot\u0159ebuje kompresn\u00ed pun\u010dochy. Je\u0161t\u011b t\u00fd\u017e den jde dom\u016f. „M\u016f\u017ee sportovat i chodit do pr\u00e1ce, l\u00e9\u010debn\u00fd re\u017eim nem\u00e1 prakticky \u017e\u00e1dn\u00e1 omezen\u00ed,“ uv\u00e1d\u00ed l\u00e9ka\u0159.<\/p>\n

KREV SI NAJDE JINOU CESTU<\/p>\n

Uzav\u0159en\u00e1 \u017e\u00edla se po p\u00e1r m\u011bs\u00edc\u00edch vst\u0159eb\u00e1 a zanikne. Odum\u0159el\u00fd kus ale t\u011blu nechyb\u00ed, krev si najde cestu jinudy. Podle prim\u00e1\u0159e nehroz\u00ed ani rozlepen\u00ed v\u00e9ny nebo z\u00e1va\u017en\u00e9 alergick\u00e9 reakce na l\u00e1tku. „Nic z toho prozat\u00edm nebylo zaznamen\u00e1no,“ \u0159\u00edk\u00e1 specialista. Jednu nev\u00fdhodu pr\u00fd p\u0159esto metoda m\u00e1: nehrad\u00ed ji zdravotn\u00ed poji\u0161\u0165ovny. Pacient si tak mus\u00ed na operaci jedn\u00e9 nohy p\u0159ipravit zhruba patn\u00e1ct a\u017e t\u0159icet tis\u00edc korun.<\/p>\n

Pro\u010d poji\u0161\u0165ovny na lepen\u00ed \u017eil nep\u0159isp\u00edvaj\u00ed, vysv\u011btlil mluv\u010d\u00ed VZP Old\u0159ich Tich\u00fd tak, \u017ee se v\u00fdkon prozat\u00edm nedostal do seznamu vytvo\u0159en\u00e9ho ministerstvem zdravotnictv\u00ed. A\u017e tam bude, za\u010dne ho pr\u00fd poji\u0161\u0165ovna propl\u00e1cet. Ministerstvo zdravotnictv\u00ed se k nov\u00e9 metod\u011b doposud nevyj\u00e1d\u0159ilo.<\/p>\n

TR\u00c1P\u00cd T\u0158ETINU POPULACE<\/p>\n

K\u0159e\u010dov\u00e9 \u017e\u00edly jsou jedno z nej\u010dast\u011bj\u0161\u00edch onemocn\u011bn\u00ed \u2013 tr\u00e1p\u00ed asi t\u0159etinu populace. \u010c\u00edm je pacient star\u0161\u00ed, t\u00edm jsou probl\u00e9my pravd\u011bpodobn\u011bj\u0161\u00ed.<\/p>\n

L\u00e9ka\u0159e vyhled\u00e1vaj\u00ed hlavn\u011b \u017eeny, podle odborn\u00edk\u016f tvo\u0159\u00ed asi 84 procent pacient\u016f \u017eiln\u00edch klinik. Pokud se k\u0159e\u010dov\u00e9 \u017e\u00edly vytvo\u0159\u00ed, lidem za\u010dnou ot\u00e9kat a t\u011b\u017eknout nohy. K tomu se postupn\u011b p\u0159idaj\u00ed i k\u0159e\u010de a hn\u011bdav\u00e9 fleky na k\u016f\u017ei. Pokud se probl\u00e9my ne\u0159e\u0161\u00ed, mohou p\u0159er\u016fst v nebezpe\u010dn\u00e9 komplikace \u2013 b\u00e9rcov\u00e9 v\u0159edy, kter\u00e9 mohou v extr\u00e9mn\u00edch p\u0159\u00edpadech skon\u010dit a\u017e amputac\u00ed nohy.<\/p>\n

L\u00e9ka\u0159i proto doporu\u010duj\u00ed \u017e\u00edly l\u00e9\u010dit. Nej\u010dast\u011bji se k tomu pou\u017e\u00edv\u00e1 takzvan\u00e1 sklerotizace, p\u0159i kter\u00e9 se do v\u00e9ny vlo\u017e\u00ed p\u011bnov\u00e1 l\u00e1tka. Ta zp\u016fsob\u00ed steriln\u00ed z\u00e1n\u011bt a \u017e\u00edlu zevnit\u0159 po\u0161kod\u00ed. \u017d\u00edla se tak zajizv\u00ed, uzav\u0159e a vst\u0159eb\u00e1.<\/p>\n

Dal\u0161\u00ed mo\u017enost\u00ed je chirurgick\u00e9 odstran\u011bn\u00ed po\u0161kozen\u00e9 v\u00e9ny, p\u0159ed kterou ale mus\u00ed pacient \u010dasto ubrat na v\u00e1ze. „U m\u011b chirurgick\u00fd z\u00e1krok nedopadl dob\u0159e, za\u017eil jsem si spoustu komplikac\u00ed. Pomohla mi a\u017e metoda lepen\u00ed,“ zhodnotil \u010dty\u0159iat\u0159icetilet\u00fd kucha\u0159 Petr Markus.<\/p>\n

VERONIKA RODRIGUEZ
\nPra\u017esk\u00fd den\u00edk
\nhttp:\/\/www.prazsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\u010ce\u0161t\u00ed l\u00e9ka\u0159i za\u010dali pou\u017e\u00edvat novou metodu k l\u00e9\u010db\u011b k\u0159e\u010dov\u00fdch \u017eil: posti\u017een\u00e9 v\u00e9ny jednodu\u0161e zalep\u00ed. Z\u00e1krok je podle nich rychl\u00fd a bezbolestn\u00fd. Ve sv\u011bt\u011b je metoda […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15606,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-28476","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\/28476","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=28476"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28476\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15606"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28476"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28476"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28476"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}