{"id":30341,"date":"2018-04-03T13:04:59","date_gmt":"2018-04-03T11:04:59","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30341"},"modified":"2018-04-03T13:11:20","modified_gmt":"2018-04-03T11:11:20","slug":"krecove-zily-se-uz-leci-jinak-nez-za-dob-nasich-babicek-a-dedecku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30341","title":{"rendered":"K\u0159e\u010dov\u00e9 \u017e\u00edly se u\u017e l\u00e9\u010d\u00ed jinak ne\u017e za dob na\u0161ich babi\u010dek a d\u011bde\u010dk\u016f"},"content":{"rendered":"

Posti\u017een\u00ed \u017eiln\u00ed nedostate\u010dnosti, kter\u00e1 vede k n\u011bjak\u00e9mu z projev\u016f onemocn\u011bn\u00ed k\u0159e\u010dov\u00fdmi \u017eilami, nemus\u00ed v\u017edy znamenat pouze estetick\u00fd probl\u00e9m, ale m\u016f\u017ee z\u00e1rove\u0148 p\u016fsobit i velmi z\u00e1va\u017en\u00e9 zdravotn\u00ed pot\u00ed\u017ee. Rozhovor s MUDr. Radkem Vy\u0161ohl\u00eddem, c\u00e9vn\u00edm chirurgem Cleopatra Clinic.<\/strong>
\n
\nKter\u00e9 obt\u00ed\u017ee jsou nej\u010dast\u011bj\u0161\u00ed u va\u0161ich pacient\u016f, co je nejv\u00edce tr\u00e1p\u00ed? <\/p>\n

K\u0159e\u010dov\u00e9 \u017e\u00edly jsou estetick\u00fdm probl\u00e9mem, v pokro\u010dil\u00fdch stadi\u00edch ale znamenaj\u00ed zdravotn\u00ed riziko. Spektrum na\u0161ich pacient\u016f je obdobn\u00e9, od t\u011bch, kte\u0159\u00ed cht\u011bj\u00ed zlep\u0161it sv\u016fj vzhled, a\u017e po ty, kter\u00e9 ji\u017e varixy citeln\u011b omezuj\u00ed v jejich \u017eivot\u011b. <\/p>\n

Jak\u00e9 mohou b\u00fdt p\u0159\u00edznaky? <\/p>\n

Pokud pomineme zevn\u00ed vizu\u00e1ln\u00ed projevy, pak jsou to n\u011bkdy velmi nen\u00e1padn\u00e9 a pl\u00ed\u017eiv\u011b nastupuj\u00edc\u00ed obt\u00ed\u017ee. Mohou sem pat\u0159it pocity t\u011b\u017ek\u00fdch nohou, ot\u00e9k\u00e1n\u00ed, bolestivost a pnut\u00ed p\u0159i del\u0161\u00edm st\u00e1n\u00ed a sezen\u00ed, t\u00e9\u017e no\u010dn\u00ed k\u0159e\u010de b\u00fdvaj\u00ed relativn\u011b \u010dastou p\u0159\u00ed\u010dinou n\u00e1v\u0161t\u011bvy l\u00e9ka\u0159e. <\/p>\n

Hroz\u00ed u nel\u00e9\u010den\u00fdch k\u0159e\u010dov\u00fdch \u017eil komplikace? <\/p>\n

Velmi \u010dasto to b\u00fdv\u00e1 stup\u0148ov\u00e1n\u00ed obt\u00ed\u017e\u00ed, nohy bol\u00ed a n\u011bkdy se nelze obej\u00edt bez pun\u010doch. U velk\u00fdch povrchov\u00fdch varix\u016f hroz\u00ed \u010dast\u00e9 z\u00e1n\u011bty a povrchov\u00e1 tromb\u00f3za.
\nDal\u0161\u00edmi jevy jsou postupn\u00e9 zhor\u0161en\u00ed vitality k\u016f\u017ee, tvorba chronick\u00e9ho otoku, z\u00e1n\u011btu a postupn\u00e9 omezen\u00ed z\u00e1soben\u00ed vlivem dlouhotrvaj\u00edc\u00edho otoku. N\u011bkdy pak sta\u010d\u00ed jen mal\u00fd \u00faraz a r\u00e1ny se velmi \u0161patn\u011b a dlouho hoj\u00ed. V\u00fdsledkem pak m\u016f\u017ee b\u00fdt b\u00e9rcov\u00fd v\u0159ed. <\/p>\n

Daj\u00ed se k\u0159e\u010dov\u00e9 \u017e\u00edly zjistit? <\/p>\n

Pokud u\u017e m\u00e1 \u010dlov\u011bk zevn\u00ed projevy a varixy jsou u\u017e z d\u00e1lky vid\u011bt, tak je diagn\u00f3za d\u00edlem okam\u017eiku. Jist\u00e9 je v\u0161ak to, \u017ee z\u00e1kladem diagnostiky je kvalitn\u00ed ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed. Zm\u00edn\u00edm, \u017ee ultrazvuk se nyn\u00ed velmi \u010dasto pou\u017e\u00edv\u00e1 i v r\u00e1mci operac\u00ed. <\/p>\n

Jak\u00e9 jsou mo\u017enosti l\u00e9\u010dby? <\/p>\n

V sou\u010dasnosti jsou mnohem lep\u0161\u00ed metody, ne\u017e m\u011bli na v\u00fdb\u011br na\u0161i d\u011bde\u010dkov\u00e9 a babi\u010dky. Douf\u00e1m, \u017ee ji\u017e pomalu ustupuje doba, kdy bylo nutn\u00e9 setrv\u00e1vat po operaci n\u011bkolik dn\u00ed v nemocnici a n\u00e1sledn\u011b n\u011bkolik t\u00fddn\u016f v pracovn\u00ed neschopnosti. Trendem posledn\u00edch let jsou endovenozn\u00ed metody l\u00e9\u010dby, kdy se laserov\u00e9 vl\u00e1kno, \u010di radiofrekven\u010dn\u00ed elektroda, p\u0159\u00edpadn\u011b katetr s lepidlem zastr\u010d\u00ed p\u0159\u00edmo do posti\u017een\u00e9 \u017e\u00edly. O\u0161et\u0159en\u00ed, kter\u00e9 trv\u00e1 \u0159\u00e1dov\u011b jednu a\u017e dv\u011b hodiny, lze absolvovat ambulantn\u011b, bez nutnosti pobytu v nemocnici. <\/p>\n

Jsou tyto v\u00fdkony bolestiv\u00e9? <\/p>\n

Nikoli, v sou\u010dasnosti se v\u011bt\u0161ina modern\u00edch z\u00e1krok\u016f prov\u00e1d\u00ed bez nutnosti celkov\u00e9 anestezie, ba dokonce bez svodn\u00e9 anestezie do zad. V\u0161e je \u0159e\u0161eno pomoc\u00ed roztoku anestetika, kter\u00fd se aplikuje p\u0159\u00edmo k posti\u017een\u00e9 \u017e\u00edle a pacienta celkov\u011b neovliv\u0148uje. Ten se pak m\u016f\u017ee vr\u00e1tit po o\u0161et\u0159en\u00ed ke sv\u00fdm b\u011b\u017en\u00fdm denn\u00edm aktivit\u00e1m. <\/p>\n

Nebudou na\u0161emu t\u011blu zni\u010den\u00e9 \u017e\u00edly chyb\u011bt? <\/p>\n

\u017diln\u00ed syst\u00e9m doln\u00edch kon\u010detin m\u00e1 velkou kapacitu a operace vlastn\u011b usm\u011br\u0148uje tok krve spr\u00e1vn\u00fdm sm\u011brem. Nemus\u00edme se tedy b\u00e1t, \u017ee by krev nem\u011bla kudy t\u00e9ct zp\u00e1tky k srd\u00ed\u010dku. Spr\u00e1vn\u00e9 adaptaci na nov\u00e9 podm\u00ednky m\u016f\u017eeme pomoci no\u0161en\u00edm kompresivn\u00edch pun\u010doch, vhodnou fyzickou aktivitou. Pokud vzniknou drobn\u00e1 podr\u00e1\u017ed\u011bn\u00ed k\u016f\u017ee, zarudnut\u00ed, pocity tahu, nap\u011bt\u00ed, odezn\u00edvaj\u00ed v \u0159\u00e1du dn\u00ed a jist\u011b se nevyrovnaj\u00ed pr\u016fb\u011bhu u klasick\u00e9 operace s velk\u00fdmi mod\u0159inami a nutnosti le\u017eet se zdvi\u017een\u00fdmi kon\u010detinami. V\u00fdhodou je mo\u017enost okam\u017eit\u00e9ho pohybu. <\/p>\n

Jak dlouho o\u0161et\u0159en\u00ed vydr\u017e\u00ed a je skute\u010dn\u011b definitivn\u00ed? <\/p>\n

Zde je nutn\u00e9 \u0159\u00edci, \u017ee onemocn\u011bn\u00ed k\u0159e\u010dov\u00fdmi \u017eilami je dlouhodob\u00e9 onemocn\u011bn\u00ed, u kter\u00e9ho jsme schopni modern\u00edmi metodami zvl\u00e1dat klinick\u00e9 projevy tak, aby se pacient dob\u0159e c\u00edtil a byl bez zevn\u00edch projev\u016f. Modern\u00ed metody maj\u00ed na rozd\u00edl od klasick\u00e9 chirurgie v\u00fdznamn\u011b ni\u017e\u0161\u00ed procento recidivy. A doporu\u010duji chodit na pravideln\u00e9 ultrazvukov\u00e9 kontroly. <\/p>\n

Moravskoslezsk\u00fd den\u00edk
\nhttp:\/\/www.moravskoslezsky.denik.cz\/ <\/p>\n","protected":false},"excerpt":{"rendered":"

Posti\u017een\u00ed \u017eiln\u00ed nedostate\u010dnosti, kter\u00e1 vede k n\u011bjak\u00e9mu z projev\u016f onemocn\u011bn\u00ed k\u0159e\u010dov\u00fdmi \u017eilami, nemus\u00ed v\u017edy znamenat pouze estetick\u00fd probl\u00e9m, ale m\u016f\u017ee z\u00e1rove\u0148 p\u016fsobit i velmi z\u00e1va\u017en\u00e9 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":30342,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-30341","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\/30341","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=30341"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30341\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/30342"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}