{"id":29676,"date":"2017-12-01T12:47:04","date_gmt":"2017-12-01T11:47:04","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29676"},"modified":"2017-12-01T13:02:23","modified_gmt":"2017-12-01T12:02:23","slug":"nase-dcera-se-trapi-malym-vzrustem-jak-ji-muzeme-pomoci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29676","title":{"rendered":"Na\u0161e dcera se tr\u00e1p\u00ed mal\u00fdm vzr\u016fstem. Jak j\u00ed m\u016f\u017eeme pomoci?"},"content":{"rendered":"

Dotaz: mam dceru, je ji 16 let, bohuzel uzavrene rustove sterbiny, meri 139, hodne se trapi tim, manzelka meri 157, ja 166, dalo by se ji nejak pomoct?<\/strong><\/p>\n

N\u00edzk\u00fd vzr\u016fst b\u00fdv\u00e1 \u010dasto spojen s \u0159adou chronick\u00fdch onemocn\u011bn\u00ed nap\u0159\u00edklad st\u0159ev, ledvin, srdce. Vz\u00e1cn\u011b se m\u016f\u017ee jednat i o poruchu r\u016fstu kost\u00ed (kostn\u00ed dysplazii). <\/p>\n

V\u00fdpo\u010d\u00edtal jsem genetickou dispozici kone\u010dn\u00e9 pr\u016fm\u011brn\u00e9 v\u00fd\u0161ky va\u0161\u00ed dcery podle v\u00fd\u0161ky obou rodi\u010d\u016f na 155 cm. Tato kalkulovan\u00e1 konstitu\u010dn\u00ed v\u00fd\u0161ka by se nem\u011bla li\u0161it o v\u00edce ne\u017e 10 cm zejm\u00e9na sm\u011brem dol\u016f. <\/p>\n

Va\u0161e dcera v\u0161ak m\u011b\u0159\u00ed pouze 139 cm, co\u017e by m\u011blo u ka\u017ed\u00e9ho l\u00e9ka\u0159e vyvolat podez\u0159en\u00ed na patologickou p\u0159\u00ed\u010dinu mal\u00e9ho vzr\u016fstu a m\u011bl by pomoc\u00ed \u0159ady vy\u0161et\u0159en\u00ed p\u00e1trat po p\u0159\u00ed\u010din\u011b zpomalen\u00ed r\u016fstu ji\u017e b\u011bhem d\u011btstv\u00ed, nebo\u0165 b\u011bhem d\u011btstv\u00ed a dosp\u00edv\u00e1n\u00ed je t\u0159eba sledovat r\u016fstovou k\u0159ivku d\u00edt\u011bte, zda nedoch\u00e1z\u00ed k abnormalit\u00e1m. <\/p>\n

Vzhledem k tomu, \u017ee \u017e\u00e1dn\u00e9 jin\u00e9 zdravotn\u00ed obt\u00ed\u017ee neuv\u00e1d\u00edte a neuv\u00e1d\u00edte ani p\u0159\u00ed\u010dinu mal\u00e9ho vzr\u016fstu a s odborn\u00fdm l\u00e9ka\u0159em jste jist\u011b probl\u00e9m konzultovali, nelze vylou\u010dit, \u017ee m\u016f\u017ee ve va\u0161em p\u0159\u00edpad\u011b j\u00edt o d\u00edt\u011b, u n\u011bho\u017e nen\u00ed prokazateln\u00e1 zdravotn\u00ed porucha vedouc\u00ed k mal\u00e9mu vzr\u016fstu a m\u00e1 pouze genetick\u00e9 p\u0159edpoklady k n\u00edzk\u00e9mu vzr\u016fstu zd\u011bd\u011bn\u00e9 od rodi\u010d\u016f (famili\u00e1rn\u00ed mal\u00fd vzr\u016fst), i kdy\u017e odchylka sm\u011brem dol\u016f je skute\u010dn\u011b velmi v\u00fdrazn\u00e1. Zde l\u00e9ka\u0159i ji\u017e l\u00e9\u010dbou r\u016fstov\u00fdm hormonem dosp\u011blou v\u00fd\u0161ku bohu\u017eel neovlivn\u00ed.<\/p>\n

Existuje mo\u017enost zv\u00fd\u0161it o n\u011bkolik centimetr\u016f t\u011blesnou v\u00fd\u0161ku prodlou\u017een\u00edm kost\u00ed doln\u00edch kon\u010detin opera\u010dn\u00ed metodou. L\u00e9ka\u0159i do kosti zav\u00e1d\u011bj\u00ed tzv. distraktor – za\u0159\u00edzen\u00ed, kter\u00e9 dlouhodob\u00fdm tahov\u00fdm nap\u011bt\u00edm postupn\u011b remodeluje kostn\u00ed tk\u00e1\u0148. Pacient s implantovan\u00fdm distraktorem ov\u0161em mus\u00ed str\u00e1vit v p\u00e9\u010di l\u00e9ka\u0159\u016f n\u011bkolik m\u011bs\u00edc\u016f, jedn\u00e1 se o dlouhodobou z\u00e1le\u017eitost. I tato operace m\u00e1 svoje rizika, se kter\u00fdmi v\u00e1s m\u016f\u017ee ortoped, ev plastick\u00fd chirurg, sezn\u00e1mit. Ve va\u0161em p\u0159\u00edpad\u011b by se jednalo o z\u00e1krok plastick\u00e9 chirurgie, kter\u00fd pravd\u011bpodobn\u011b nen\u00ed hrazen zdravotn\u00ed poji\u0161\u0165ovnou. V\u00fdjimkou jsou toti\u017e pacienti, kte\u0159\u00ed maj\u00ed jednu kon\u010detinu zkr\u00e1cenou nap\u0159\u00edklad po t\u011b\u017ek\u00e9m \u00farazu. T\u011bm poji\u0161\u0165ovna l\u00e9\u010dbu obvykle uhrad\u00ed. Velmi dobr\u00e9 v\u00fdsledky v t\u011bchto p\u0159\u00edpadech m\u00e1 II. ortopedick\u00e1 klinika FN Motol v Praze.<\/p>\n

P\u00ed\u0161ete, \u017ee se va\u0161e dcera touto vadou velmi tr\u00e1p\u00ed. Pak pot\u0159ebuje pomoc psychologa, kter\u00fd by j\u00ed pomohl se s touto vadou psychicky vyrovnat a pomohl by j\u00ed z\u00edskat pot\u0159ebn\u00e9 sebev\u011bdom\u00ed v kontaktu s jin\u00fdmi lidmi. Odborn\u00edk by tak\u00e9 m\u011bl poradit, jak n\u00edzkou v\u00fd\u0161ku opticky korigovat. Oproti stejn\u011b posti\u017een\u00fdm chlapc\u016fm m\u00e1 v\u00fdhodu, \u017ee m\u016f\u017ee zcela p\u0159irozen\u011b vyu\u017e\u00edt bot s vysok\u00fdmki podpatky. Postavu m\u016f\u017ee opticky prodlou\u017eit i vhodn\u00e9 oble\u010den\u00ed a \u00fa\u010des. Rozhodn\u011b by se va\u0161e dcera m\u011bla p\u0159estat tr\u00e1pit, i mal\u00e9 d\u00edvky mohou ud\u011blat profesn\u00ed kari\u00e9ru, naj\u00edt si l\u00e1sku a dos\u00e1hnout spole\u010densk\u00e9ho uzn\u00e1n\u00ed.<\/p>\n

MUDr. Jan \u010cin\u010dura <\/p>\n","protected":false},"excerpt":{"rendered":"

Dotaz: mam dceru, je ji 16 let, bohuzel uzavrene rustove sterbiny, meri 139, hodne se trapi tim, manzelka meri 157, ja 166, dalo by se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18738,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29676","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\/29676","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=29676"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29676\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18738"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}