{"id":29638,"date":"2017-11-28T11:25:59","date_gmt":"2017-11-28T10:25:59","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29638"},"modified":"2017-11-30T08:56:19","modified_gmt":"2017-11-30T07:56:19","slug":"je-moznost-se-zbavit-vyhrezle-plotenky","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29638","title":{"rendered":"Je mo\u017enost se zbavit vyh\u0159ezl\u00e9 plot\u00e9nky?"},"content":{"rendered":"<p><strong>Dotaz: Asi p\u0159ed m\u011bs\u00edcem jsem utrp\u011bl ohromnou bolest v bedern\u00ed \u010dasti zad a byl jsem p\u0159evezen do nemocnice na kapa\u010dky. Po ct mi byla zji\u0161t\u011bna vyh\u0159ezl\u00e1 plot\u00e9nka mezi L5\/S1 obratlem. Po m\u011bs\u00edci rehabilitac\u00ed bolesti tak\u0159ka vymizely. Ale r\u00e1d bych se vyh\u0159ezl\u00e9 plot\u00e9nky zbavil. Je mo\u017enost?<\/strong><!--more--><\/p>\n<p>ODPOV\u011a\u010e<\/p>\n<p>K tomuto tzv. vyh\u0159eznut\u00ed plot\u00e9nek doch\u00e1z\u00ed nej\u010dast\u011bji mezi 30. &#8211; 45. rokem \u017eivota a obvykle se skute\u010dn\u011b jedn\u00e1 o velmi bolestivou z\u00e1le\u017eitost. Zpravidla se aplikuj\u00ed infuze s protiz\u00e1n\u011btliv\u00fdm, protibolestiv\u00fdm efektem. Pokud jsou bolesti m\u00edrn\u011bj\u0161\u00ed, aplikuj\u00ed se l\u00e9ky ve form\u011b mast\u00ed, tablet, p\u0159\u00edpadn\u011b se prov\u00e1d\u00ed obst\u0159iky. Prov\u00e1d\u00ed se tak\u00e9 fyzioterapie, oxygenoterapie, lymfodren\u00e1\u017ee a mohou se pod\u00e1vat efektivn\u00ed podp\u016frn\u00e9 l\u00e9ky. U V\u00e1s, jak p\u00ed\u0161ete, bolesti t\u00e9m\u011b\u0159 vymizely a l\u00e9\u010dba byla tedy \u00fasp\u011b\u0161n\u00e1. T\u011blo se p\u0159irozen\u011b s vyh\u0159ezlou plot\u00e9nkou vyrovn\u00e1v\u00e1. Je v\u0161ak t\u0159eba db\u00e1t pokyn\u016f rehabilita\u010dn\u00edho l\u00e9ka\u0159e nebo fyzioterapeuta a dodr\u017eovat preventivn\u00ed opat\u0159en\u00ed k zabr\u00e1n\u011bn\u00ed opakov\u00e1n\u00ed akutn\u00edho v\u00fdh\u0159ezu, akutn\u00edch bolest\u00ed. Zdravotn\u00edk navrhne individu\u00e1ln\u00ed sestavu cvik\u016f pro obnoven\u00ed spr\u00e1vn\u00e9ho osov\u00e9ho zat\u00ed\u017een\u00ed p\u00e1te\u0159e, speci\u00e1ln\u00ed mas\u00e1\u017ee a doporu\u010d\u00ed \u00fapravy \u017eivotn\u00edho stylu tak, aby do\u0161lo ke zlep\u0161en\u00ed kvality tk\u00e1n\u00ed a v\u00fd\u017eivy plot\u00e9nek. Krom\u011b dlouhodob\u00e9ho nevhodn\u00e9ho zat\u011b\u017eov\u00e1n\u00ed p\u00e1te\u0159e se na v\u00fdh\u0159ezu plot\u00e9nky v\u00fdznamn\u011b pod\u00edl\u00ed degenerativn\u00ed zm\u011bny plot\u00e9nek, kter\u00e9 jsou d\u00e1ny jednak geneticky, jednak chybami v \u017eivotn\u00edm stylu, kdy je nap\u0159\u00edklad nedostate\u010dn\u00fd pitn\u00fd re\u017eim, nevhodn\u00e1 skladba stravy, nedostatek pot\u0159ebn\u00fdch stopov\u00fdch prvk\u016f, p\u0159ekyselen\u00ed organismu, hormon\u00e1ln\u00ed nerovnov\u00e1ha nebo jsou probl\u00e9my s imunitn\u00edm syst\u00e9mem. N\u011bkdy se na p\u0159\u00edhod\u011b pod\u00edl\u00ed i psychick\u00fd stres, kter\u00fd zvy\u0161uje nap\u011bt\u00ed sval\u016f jdouc\u00edch pod\u00e9l p\u00e1te\u0159e, co\u017e m\u016f\u017ee nutit p\u00e1te\u0159 k p\u0159\u00edli\u0161n\u00e9mu zak\u0159iven\u00ed. Je t\u0159eba se vyvarovat nevhodn\u00fdch pohyb\u016f s zat\u00ed\u017een\u00edm b\u0159emenem, vibrac\u00ed, n\u00e1raz\u016f, dlouhodob\u00e9ho \u0159\u00edzen\u00ed vozu. M\u00e1me-li fyzicky n\u00e1ro\u010dn\u00e9 povol\u00e1n\u00ed s nep\u0159im\u011b\u0159en\u00fdm nevhodn\u00fdm zat\u00ed\u017een\u00edm p\u00e1te\u0159e, m\u011bli bychom uva\u017eovat o zm\u011bn\u011b profese. M\u011bli bychom tak\u00e9 sn\u00ed\u017eit t\u011blesnou v\u00e1hu, p\u0159estat kou\u0159it, v\u00edce se pohybovat. <\/p>\n<p>Operace by m\u011bla b\u00fdt v\u017edy tou posledn\u00ed mo\u017enost\u00ed l\u00e9\u010dby. Rizika operace p\u00e1te\u0159e existuj\u00ed a nejsou zcela n\u00edzk\u00e1. Nav\u00edc v\u00fdsledky operace nejsou v\u017edy pln\u011b uspokojiv\u00e9. I po operaci se m\u016f\u017ee probl\u00e9m u n\u011bkter\u00fdch pacient\u016f opakovat.  <\/p>\n<p>MUDr. Jan \u010cin\u010dura<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: Asi p\u0159ed m\u011bs\u00edcem jsem utrp\u011bl ohromnou bolest v bedern\u00ed \u010dasti zad a byl jsem p\u0159evezen do nemocnice na kapa\u010dky. Po ct mi byla zji\u0161t\u011bna <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=29638\" title=\"Je mo\u017enost se zbavit vyh\u0159ezl\u00e9 plot\u00e9nky?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29148,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29638","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\/29638","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=29638"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29638\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29148"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29638"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}