{"id":29679,"date":"2017-12-02T13:38:46","date_gmt":"2017-12-02T12:38:46","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29679"},"modified":"2017-12-02T13:38:46","modified_gmt":"2017-12-02T12:38:46","slug":"zda-se-nam-ze-se-dcera-diva-spis-jen-jednim-okem-melo-by-se-to-resit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29679","title":{"rendered":"Zd\u00e1 se n\u00e1m, \u017ee se dcera d\u00edv\u00e1 sp\u00ed\u0161 jen jedn\u00edm okem. M\u011blo by se to \u0159e\u0161it?"},"content":{"rendered":"

OT\u00c1ZKA : M\u00e1me podez\u0159en\u00ed, \u017ee t\u0159\u00edlet\u00e1 dcera \u0161patn\u011b vid\u00ed \u2013 t\u0159eba p\u0159i kreslen\u00ed hodn\u011b nat\u00e1\u010d\u00ed hlavu na jednu stranu a d\u00edv\u00e1 se sp\u00ed\u0161 jen jedn\u00edm okem. M\u011blo by se to \u0159e\u0161it s o\u010dn\u00edm l\u00e9ka\u0159em?<\/strong><\/p>\n

ODPOV\u011a\u010e:<\/p>\n

Rozhodn\u011b ano, m\u016f\u017eete se obr\u00e1tit na praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost, u n\u011bho\u017e je d\u00edt\u011b registrov\u00e1no, a ten ho po\u0161le na odborn\u00e9 o\u010dn\u00ed vy\u0161et\u0159en\u00ed, nebo na o\u010dn\u00edho l\u00e9ka\u0159e p\u0159\u00edmo. N\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e neodkl\u00e1dejte, mohlo by j\u00edt o tzv. tupozrakost, co\u017e je sn\u00ed\u017een\u00e1 schopnost vid\u011bn\u00ed lev\u00e9ho nebo prav\u00e9ho oka. Takov\u00e9 d\u00edt\u011b na jedno oko vid\u00ed velmi dob\u0159e, ale na druh\u00e9 o mnoho h\u016f\u0159e. N\u011bkdy je to spojeno se \u0161ilh\u00e1n\u00edm, \u010dasto ale tuto vadu neprov\u00e1zej\u00ed viditeln\u00e9 zm\u011bny. Tupozrakost je t\u0159eba podchytit a l\u00e9\u010dit co nejd\u0159\u00edv, nejlep\u0161\u00edch v\u00fdsledk\u016f se dosahuje u d\u011bt\u00ed do 4 let.<\/p>\n

Tupozrakost se l\u00e9\u010d\u00ed pravideln\u00fdm cvi\u010den\u00edm posti\u017een\u00e9ho oka a okluz\u00ed, tedy zakr\u00fdv\u00e1n\u00edm zdrav\u00e9ho oka. Nelze ji \u0159e\u0161it \u017e\u00e1dnou operac\u00ed. L\u00e9\u010dba v\u011bt\u0161inou prob\u00edh\u00e1 ambulantn\u011b na specializovan\u00e9m pracovi\u0161ti; v p\u0159\u00edpad\u011b nutnosti m\u016f\u017ee b\u00fdt d\u00edt\u011b intenzivn\u011b rehabilitov\u00e1no v l\u00e9\u010debn\u011b pro d\u011bti se zrakov\u00fdm posti\u017een\u00edm. Ambulantn\u00ed l\u00e9\u010dbu i rehabilitaci d\u011bt\u00ed s t\u011b\u017e\u0161\u00edmi vadami v l\u00e9\u010debn\u011b poji\u0161\u0165ovna samoz\u0159ejm\u011b hrad\u00ed. P\u0159i l\u00e9\u010db\u011b tupozrakosti je nutn\u00e1 d\u016fsledn\u00e1 spolupr\u00e1ce rodi\u010d\u016f, o\u010dn\u00edho l\u00e9ka\u0159e, ortoptisty a zrakov\u00e9ho terapeuta. Nezbytn\u00e9 jsou pravideln\u00e9 kontroly, proto\u017ee b\u011bhem cvi\u010den\u00ed \u010dasto doch\u00e1z\u00ed ke zm\u011bn\u00e1m (zlep\u0161en\u00ed) v dioptri\u00edch a podle klinick\u00e9ho stavu se mus\u00ed upravovat jak d\u00e9lka cvi\u010den\u00ed, tak i no\u0161en\u00ed okluzoru.<\/p>\n

O\u010dn\u00ed l\u00e9ka\u0159 nejd\u0159\u00edve p\u0159esn\u011b zjist\u00ed u d\u00edt\u011bte p\u0159\u00edpadnou dioptrickou vadu. Po nasazen\u00ed br\u00fdl\u00ed je nejd\u016fle\u017eit\u011bj\u0161\u00ed spr\u00e1vn\u00e9 zakryt\u00ed l\u00e9pe vidouc\u00edho oka tzv. okluzorem. Okluzory poji\u0161\u0165ovna hrad\u00ed podle pot\u0159eby (nen\u00ed stanoven\u00e1 frekvence) v cen\u00e1ch dle \u00dahradov\u00e9ho katalogu. Nej\u010dast\u011bji je pou\u017e\u00edv\u00e1n okluzor n\u00e1plas\u0165ov\u00fd. Lep\u00ed se p\u0159\u00edmo na k\u016f\u017ei a zaji\u0161\u0165uje tak dokonal\u00e9 zakryt\u00ed. Dal\u0161\u00ed mo\u017enost\u00ed je okluzor gumov\u00fd s p\u0159\u00edsavkou na sklo. U n\u011bj ale d\u00edt\u011b m\u016f\u017ee \u201epodkukovat\u201c okolo. Existuj\u00ed i okluzory gelov\u00e9, plastov\u00e9 \u010di l\u00e1tkov\u00e9. Je d\u016fle\u017eit\u00e9 vybrat takov\u00fd, kter\u00fd bude d\u00edt\u011bti vyhovovat. Dokonal\u00e9 zakryt\u00ed zdrav\u00e9ho oka a p\u0159esn\u00e1 korekce o\u010dn\u00ed vady br\u00fdlemi jsou z\u00e1kladn\u00edm p\u0159edpokladem, jak vycvi\u010dit tupozrak\u00e9 oko.<\/p>\n

Cvi\u010den\u00ed pod p\u0159\u00edm\u00fdm dohledem odborn\u00edka je nutn\u00e9 dopl\u0148ovat cvi\u010den\u00edm doma, nesta\u010d\u00ed pouze d\u00edt\u011bti zakr\u00fdt zdrav\u00e9 oko. D\u016fle\u017eit\u00e9 je tupozrak\u00e9 oko co nejv\u00edce nam\u00e1hat p\u0159i jak\u00e9koli \u010dinnosti, p\u0159i kter\u00e9 se d\u00edv\u00e1 do bl\u00edzka, samoz\u0159ejm\u011b po d\u016fkladn\u00e9m zakryt\u00ed l\u00e9pe vidouc\u00edho oka. Vhodn\u00e9 je prohl\u00ed\u017een\u00ed obr\u00e1zkov\u00fdch kn\u00ed\u017eek nebo u v\u011bt\u0161\u00edch d\u011bt\u00ed \u010detba, stavebnicov\u00e9 hry, kreslen\u00ed, navl\u00e9k\u00e1n\u00ed kor\u00e1lk\u016f, ale i po\u010d\u00edta\u010dov\u00e9 hry.<\/p>\n

Podstatnou roli p\u0159i v\u010dasn\u00e9m odhalen\u00ed tupozrakosti hraje pov\u011bdom\u00ed o d\u011bdi\u010dnosti zrakov\u00fdch vad. V rodin\u00e1ch, kde m\u00e1 n\u011bkdo dioptrickou vadu nebo \u0161ilh\u00e1, budou m\u00edt s jistou pravd\u011bpodobnost\u00ed toto posti\u017een\u00ed i d\u011bti. Na ka\u017ed\u00e9 zrakov\u00e9 posti\u017een\u00ed v rodin\u011b je proto t\u0159eba aktivn\u011b upozornit l\u00e9ka\u0159e, i kdy\u017e vy\u0161et\u0159en\u00ed o\u010d\u00ed a zraku je sou\u010d\u00e1st\u00ed preventivn\u00edch prohl\u00eddek u praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost, a to po\u010d\u00ednaje ji\u017e novorozeneck\u00fdm obdob\u00edm. L\u00e9ka\u0159 se ale na mo\u017enou vadu m\u016f\u017ee v\u00edce zam\u011b\u0159it a d\u00edt\u011b v\u010das po\u0161le na odborn\u00e9 o\u010dn\u00ed vy\u0161et\u0159en\u00ed. O tupozrakosti nebo jin\u00e9m probl\u00e9mu se zrakem m\u016f\u017ee sv\u011bd\u010dit nejen nakl\u00e1n\u011bn\u00ed hlavi\u010dky na jednu stranu a p\u0159iv\u00edr\u00e1n\u00ed jednoho oka, ale i to, \u017ee d\u00edt\u011b \u010dasto zakop\u00e1v\u00e1 a nar\u00e1\u017e\u00ed do v\u011bc\u00ed, mne si o\u010di, \u010dasto mrk\u00e1, mhou\u0159\u00ed o\u010d\u00ed apod. Ide\u00e1ln\u00ed je odhalit tupozrakost ve 2\u20133 letech, kdy jsou v\u00fdsledky l\u00e9\u010dby nejp\u0159\u00edzniv\u011bj\u0161\u00ed.<\/p>\n

Mgr. Old\u0159ich Tich\u00fd vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed <\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA : M\u00e1me podez\u0159en\u00ed, \u017ee t\u0159\u00edlet\u00e1 dcera \u0161patn\u011b vid\u00ed \u2013 t\u0159eba p\u0159i kreslen\u00ed hodn\u011b nat\u00e1\u010d\u00ed hlavu na jednu stranu a d\u00edv\u00e1 se sp\u00ed\u0161 jen jedn\u00edm […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14567,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-29679","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29679","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=29679"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29679\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14567"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29679"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29679"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}