{"id":31356,"date":"2019-03-12T22:59:21","date_gmt":"2019-03-12T21:59:21","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=31356"},"modified":"2019-03-14T13:21:27","modified_gmt":"2019-03-14T12:21:27","slug":"i-nezavazna-autonehoda-muze-vest-k-invalidite","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=31356","title":{"rendered":"I nez\u00e1va\u017en\u00e1 autonehoda m\u016f\u017ee v\u00e9st k invalidit\u011b"},"content":{"rendered":"<p><strong>Je to jedno z nej\u010dast\u011bj\u0161\u00edch zran\u011bn\u00ed, kter\u00e9 si lid\u00e9 z autonehod odn\u00e1\u0161ej\u00ed. Op\u011brkov\u00e9 trauma (whiplash) je poran\u011bn\u00ed kr\u010dn\u00ed p\u00e1te\u0159e, kter\u00e9 nej\u010dast\u011bji hroz\u00ed p\u0159i n\u00e1razu do automobilu zezadu jin\u00fdm vozem. Mnoho lid\u00ed o whiplash syndromu nev\u00ed a s n\u00e1sledky k l\u00e9ka\u0159i nejde.<\/strong><\/p>\n<p><!--more--><br \/>\nJednou z \u010dast\u00fdch p\u0159\u00ed\u010din dopravn\u00edch nehod v \u010cesku je nedodr\u017een\u00ed bezpe\u010dn\u00e9 vzd\u00e1lenosti mezi auty. P\u0159i n\u00e1razu zezadu hroz\u00ed takzvan\u00fd op\u011brkov\u00fd syndrom, whiplash.\u00a0 M\u016f\u017ee ale k n\u011bmu doj\u00edt i p\u0159i napaden\u00ed nebo n\u00e1sil\u00ed v rodin\u011b, kdy \u00fato\u010dn\u00edk d\u00edt\u011btem t\u0159ese. V\u00fdjimkou nejsou ani \u00farazy tohoto typu ve sportu, t\u0159eba hokeji nebo ly\u017eov\u00e1n\u00ed. Ale tak\u00e9 na horsk\u00e9 dr\u00e1ze, p\u0159i bungee jumpingu, na kole nebo motocyklu. M\u016f\u017ee k n\u011bmu doj\u00edt i p\u0159i n\u00e1razu ze strany nebo zep\u0159edu.<\/p>\n<p>Odhaduje se, \u017ee asi 60 procent dopravn\u00edch nehod je spojeno s op\u011brkov\u00fdm traumatem.&#8220;Pacient\u016f st\u00e1le p\u0159ib\u00fdv\u00e1.<br \/>\nKe zran\u011bn\u00ed doch\u00e1z\u00ed u\u017e p\u0159i rychlostech kolem 25 kilometr\u016f v hodin\u011b. Zp\u016fsob\u00ed je n\u00e1hl\u00fd pohyb hlavou dop\u0159edu a zp\u011bt a n\u00e1sledkem jsou nep\u0159\u00edjemn\u00e9 bolesti nebo otupen\u00ed smysl\u016f a brn\u011bn\u00ed kon\u010detin.<\/p>\n<p>Rozeznat zran\u011bn\u00ed, o kter\u00e9m se p\u0159\u00edli\u0161 nev\u00ed, nen\u00ed jednoduch\u00e9. K symptom\u016fm pat\u0159\u00ed bolest hlavy, zad, kr\u010dn\u00ed p\u00e1te\u0159e nebo bolest ramen. Pacienti maj\u00ed dvojit\u00e9 nebo rozmazan\u00e9 vid\u011bn\u00ed, m\u016f\u017ee b\u00fdt i porucha polyk\u00e1n\u00ed.<br \/>\nTyto n\u00e1sledky se v\u0161ak mnohdy neprojev\u00ed hned, ale a\u017e n\u011bkolik dn\u00ed, nebo dokonce m\u011bs\u00edc\u016f po nehod\u011b.<br \/>\nWhiplash m\u00e1 n\u011bkolik stup\u0148\u016f z\u00e1va\u017enosti, u nejvy\u0161\u0161\u00edho stupn\u011b doch\u00e1z\u00ed ke zlomenin\u011b obratle. Nebezpe\u010dn\u011bj\u0161\u00ed jsou v\u0161ak p\u0159\u00edpady, kdy nen\u00ed z\u0159eteln\u00e1 \u017e\u00e1dn\u00e1 porucha. Tehdy rentgen nebo magnetick\u00e1 rezonance neuk\u00e1\u017eou \u017e\u00e1dn\u00fd n\u00e1lez, negativn\u00ed b\u00fdv\u00e1 i neurologick\u00e9 vy\u0161et\u0159en\u00ed. V prodlou\u017een\u00e9 m\u00ed\u0161e v\u0161ak doch\u00e1z\u00ed k skryt\u00e9mu po\u0161kozen\u00ed, kter\u00e9 ani sebelep\u0161\u00ed vy\u0161et\u0159en\u00ed nemus\u00ed rozpoznat. Zpo\u010d\u00e1tku\u00a0 pacienti nemaj\u00ed \u017e\u00e1dn\u00e9 probl\u00e9my, jen je p\u00e1r dn\u00ed trochu bol\u00ed hlava. Za n\u011bkolik m\u011bs\u00edc\u016f ale p\u0159ijdou nap\u0159\u00edklad velk\u00e9 pot\u00ed\u017ee smyslov\u00fdch org\u00e1n\u016f, zejm\u00e9na rovnov\u00e1\u017en\u00e9, sluchov\u00e9 a zrakov\u00e9 funkce, kter\u00e9 jsou pozdn\u00edm n\u00e1sledkem traumatu.<\/p>\n<p>Velmi d\u016fle\u017eit\u00e1 je c\u00edlen\u00e1 rehabilitace t\u011bchto pacient\u016f. Pokud se za\u010dne v\u010das b\u00fdv\u00e1 l\u00e9\u010dba \u00fasp\u011b\u0161n\u00e1 a n\u00e1sledky nejsou \u017e\u00e1dn\u00e9 nebo jen minim\u00e1ln\u00ed. Pokud ale l\u00e9\u010dba nen\u00ed v\u010das zah\u00e1jena, mnohdy ji\u017e nedoch\u00e1z\u00ed k v\u00fdznamn\u00e9mu zlep\u0161en\u00ed. \u010casto se pak pot\u00ed\u017ee kombinuj\u00ed a pacienti se st\u00e1vaj\u00ed <span class=\"highlight\">invalidn\u00ed. D<\/span>\u016fle\u017eit\u00e9 je proto p\u0159ij\u00edt na vy\u0161et\u0159en\u00ed bezprost\u0159edn\u011b po hav\u00e1rii, kdy se probl\u00e9m m\u016f\u017ee l\u00e9\u010dbou vy\u0159e\u0161it.<\/p>\n<p>V\u00fdrobci aut se dnes ochranou kr\u010dn\u00ed p\u00e1te\u0159e zab\u00fdvaj\u00ed a sna\u017e\u00ed se omezit p\u0159\u00edpadn\u00e9 n\u00e1sledky hav\u00e1ri\u00ed. Pou\u017e\u00edvaj\u00ed r\u016fzn\u00e9 metody aktivn\u00edch sedadel nebo hlavov\u00fdch op\u011brek, kter\u00e9 mechanickou cestou jdou p\u0159i n\u00e1razu naproti hlav\u011b tak, aby zmen\u0161ily prostor pro prudk\u00fd trhav\u00fd pohyb krku a hlavy.<\/p>\n<p>Nep\u0159\u00edjemn\u00e9mu zran\u011bn\u00ed lze p\u0159edej\u00edt spr\u00e1vn\u00fdm nastaven\u00edm hlavov\u00e9 op\u011brky. Ta m\u016f\u017ee zm\u00edrnit poran\u011bn\u00ed a\u017e o t\u0159etinu. Nastaven\u00ed op\u011brky mus\u00ed b\u00fdt ve v\u00fd\u0161ce hlavy. Jej\u00ed horn\u00ed hrana m\u00e1 b\u00fdt optim\u00e1ln\u011b asi p\u011bt centimetr\u016f nad hlavou. Rozhodn\u011b by nem\u011bla b\u00fdt n\u00ed\u017e, proto\u017ee p\u0159i dopravn\u00ed nehod\u011b je t\u011blo b\u011bhem \u010deln\u00edho n\u00e1razu lehce vyzdvi\u017eeno a v p\u0159\u00edpad\u011b vyst\u0159elen\u00ed airbag\u016f je odra\u017eeno zp\u00e1tky do seda\u010dky.<\/p>\n<p>Nejv\u00edce jsou t\u00edmto syndromem ohro\u017eeni lid\u00ed, kte\u0159\u00ed ji\u017e jednou podobn\u00e9 zran\u011bn\u00ed prod\u011blali, d\u00e1le star\u0161\u00ed lid\u00e9 a lid\u00e9, kte\u0159\u00ed trp\u00ed bolestmi p\u00e1te\u0159e a zad.<\/p>\n<p>ze zahrani\u010dn\u00edch materi\u00e1l\u016f Jan \u010cin\u010dura<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Je to jedno z nej\u010dast\u011bj\u0161\u00edch zran\u011bn\u00ed, kter\u00e9 si lid\u00e9 z autonehod odn\u00e1\u0161ej\u00ed. Op\u011brkov\u00e9 trauma (whiplash) je poran\u011bn\u00ed kr\u010dn\u00ed p\u00e1te\u0159e, kter\u00e9 nej\u010dast\u011bji hroz\u00ed p\u0159i n\u00e1razu do <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=31356\" title=\"I nez\u00e1va\u017en\u00e1 autonehoda m\u016f\u017ee v\u00e9st k invalidit\u011b\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27143,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-31356","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\/31356","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=31356"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/31356\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27143"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31356"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}