{"id":32210,"date":"2019-09-11T16:35:21","date_gmt":"2019-09-11T14:35:21","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32210"},"modified":"2019-09-11T16:57:18","modified_gmt":"2019-09-11T14:57:18","slug":"obavate-se-dalsiho-infarktu-da-se-mu-zabranit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32210","title":{"rendered":"Ob\u00e1v\u00e1te se dal\u0161\u00edho infarktu? D\u00e1 se mu zabr\u00e1nit."},"content":{"rendered":"

Pacienti, kte\u0159\u00ed prod\u011blali srde\u010dn\u00ed infarkt, mohou zabr\u00e1nit opakov\u00e1n\u00ed infarktu ovlivn\u011bn\u00edm rizikov\u00fdch faktor\u016f (kou\u0159en\u00ed, v\u00fd\u017eiva, t\u011blesn\u00e1 aktivita a zejm\u00e9na dodr\u017eov\u00e1n\u00ed p\u0159edepsan\u00e9 l\u00e9\u010dby). Uk\u00e1\u017eeme to na p\u0159\u00edb\u011bhu pana Jaroslava, jen\u017e rovn\u011b\u017e infarkt prod\u011blal.\u00a0<\/strong>
\n<\/p>\n

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Ka\u017ed\u00fd pacient by m\u011bl b\u00fdt po prod\u011blan\u00e9m srde\u010dn\u00edm infarktu sledov\u00e1n kardiologem nebo internistou, kter\u00fd by m\u011bl vyhled\u00e1vat a redukovat kardiovaskul\u00e1rn\u00ed rizikov\u00e9 faktory.\u00a0Statistiky dokl\u00e1daj\u00ed, \u017ee p\u0159ibli\u017en\u011b ka\u017ed\u00fd \u010dtvrt\u00fd pacient po prvn\u00edm infarktu dostane po n\u011bjak\u00e9 dob\u011b i druh\u00fd infarkt, na kter\u00fd tak\u00e9 m\u016f\u017ee zem\u0159\u00edt.<\/p>\n

\"\"<\/a>\u201eP\u0159esto\u017ee m\u00e1me k\u00a0dispozici vysoce \u00fa\u010dinn\u00e9 n\u00e1stroje pro prim\u00e1rn\u00ed a sekund\u00e1rn\u00ed prevenci infarktu myokardu a dal\u0161\u00edch komplikac\u00ed ateroskler\u00f3zy, ischemick\u00e1 choroba srde\u010dn\u00ed z\u016fst\u00e1v\u00e1 nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou smrti v\u00a0na\u0161\u00ed spole\u010dnosti,\u201c \u0159\u00edk\u00e1 profesor MUDr. Milo\u0161 T\u00e1borsk\u00fd (na sn\u00edmku), p\u0159ednosta 1. intern\u00ed a kardiologick\u00e9 kliniky Fakultn\u00ed nemocnice v\u00a0Olomouci.<\/p>\n

Infarkt prod\u011blal i pan Jaroslav:<\/strong><\/p>\n

\"\"<\/a>\u201eD\u00edky rychl\u00e9mu z\u00e1sahu l\u00e9ka\u0159\u016f, d\u016fsledn\u00e9mu dodr\u017eov\u00e1n\u00ed p\u0159edepsan\u00e9 l\u00e9\u010dby a sv\u00e9mu optimistick\u00e9mu p\u0159\u00edstupu k\u00a0\u017eivotu, jedu d\u00e1l,\u201c \u0159\u00edk\u00e1 s\u00a0\u00fasm\u011bvem pan Jaroslav (na sn\u00edmku), kter\u00fd i po infarktu v\u00a073 letech ly\u017euje na svaz\u00edch Jesen\u00edk\u016f, na kole sj\u00ed\u017ed\u00ed Moravsk\u00fd kras nebo se toul\u00e1 s\u00a0batohem po kopc\u00edch.<\/p>\n

Cel\u00fd \u017eivot byl pan Jaroslav velmi aktivn\u00ed, m\u011bl n\u00e1ro\u010dnou pr\u00e1ci v\u00a0\u010cSAD Blansko, staral se o velkou rodinu. P\u0159ed sedmi lety nastaly z\u00a0ni\u010deho nic zdravotn\u00ed komplikace a pan Jaroslav byl hospitalizov\u00e1n s\u00a0akutn\u00edm infarktem myokardu.<\/p>\n

P\u0159ed vlastn\u00edm infarktem nem\u011bl \u017e\u00e1dn\u00e9 zdravotn\u00ed pot\u00ed\u017ee. P\u0159\u00edznaky infarktu za\u010daly bolest\u00ed rukou, od prst\u016f sm\u011brem k\u00a0rameni a bolest se neust\u00e1le stup\u0148ovala. Po p\u0159\u00edjezdu rychl\u00e9 z\u00e1chrann\u00e9 slu\u017eby byl pan Jaroslav hospitalizov\u00e1n nejd\u0159\u00edve v\u00a0nemocnici Blansko, po zhor\u0161en\u00ed obt\u00ed\u017e\u00ed byl p\u0159evezen na kardiologickou kliniku do Fakultn\u00ed nemocnice Brno Bohunice. Zde podstoupil operaci, byl mu implantov\u00e1n stent pro zpr\u016fchodn\u011bn\u00ed koron\u00e1rn\u00ed tepny. Po \u010dty\u0159ech dnech byl propu\u0161t\u011bn do dom\u00e1c\u00ed p\u00e9\u010de.<\/p>\n

Z\u00e1sadn\u00ed pro jeho dal\u0161\u00ed zdravotn\u00ed stav byla zm\u011bna \u017eivotn\u00edho stylu a d\u016fsledn\u00e9 dodr\u017eov\u00e1n\u00ed l\u00e9\u010dby. Pan Jaroslav zm\u011bnil sv\u016fj hektick\u00fd \u017eivotn\u00ed styl na klidn\u011bj\u0161\u00ed a za\u010dal se starat o svoji kondici. Db\u00e1 na l\u00e9ka\u0159sk\u00e1 doporu\u010den\u00ed ohledn\u011b l\u00e9\u010dby, stravy, pohybov\u00e9 aktivity. R\u00e1d sportuje, p\u011bstuje turistiku, ly\u017euje, jezd\u00ed na kole a k\u00a0tomu se star\u00e1 o velkou zahradu.<\/p>\n

\u201e\u010clov\u011bk, kter\u00fd pro\u017eije infarkt myokardu a le\u017e\u00ed v\u00a0nemocnici, m\u00e1 \u010das p\u0159em\u00fd\u0161let o sob\u011b, o \u017eivot\u011b, o sv\u00fdch nejbli\u017e\u0161\u00edch. Klade si ot\u00e1zku, jak\u00fd bude jeho budouc\u00ed \u017eivot, jak pro\u017eije \u010das, kter\u00fd dostal d\u00edky um\u011bn\u00ed a p\u00e9\u010di l\u00e9ka\u0159\u016f. To u\u017e je ale na ka\u017ed\u00e9m z\u00a0n\u00e1s, jak se ke sv\u00e9 nemoci postav\u00ed,\u201c dodal pan Jaroslav.<\/p>\n

Jak\u00e9 jsou rizikov\u00e9 faktory pro opakovan\u00fd infarkt?\u00a0<\/strong>
\nZm\u011bny \u017eivotn\u00edho stylu spolu s l\u00e9ky sni\u017euj\u00ed rizikov\u00e9 faktory. T\u011bmi jsou vysok\u00fd cholesterol, vysok\u00fd krevn\u00ed tlak, sedav\u00fd zp\u016fsob \u017eivota, kou\u0159en\u00ed tab\u00e1kov\u00fdch v\u00fdrobk\u016f.<\/p>\n

V\u00a0r\u00e1mci sekund\u00e1rn\u00ed prevence u\u017e\u00edv\u00e1 pacient l\u00e9ky proti vysok\u00e9mu krevn\u00edmu tlaku, proti sr\u00e1\u017een\u00ed krve, na sn\u00ed\u017een\u00ed srde\u010dn\u00ed frekvence a na udr\u017een\u00ed spr\u00e1vn\u00e9 hladiny cholesterolu v\u00a0krvi.<\/p>\n

Novinkou jsou modern\u00ed protidesti\u010dkov\u00e9 l\u00e9ky<\/strong>, kter\u00e9 zabra\u0148uj\u00ed tvorb\u011b krevn\u00edch sra\u017eenin. Jsou \u00fa\u010dinn\u011bj\u0161\u00ed a nejnov\u011bj\u0161\u00ed generaci protidesti\u010dkov\u00fdch l\u00e9k\u016f lze u\u017e\u00edvat i dlouhodob\u011b. D\u00edky n\u00ed klesly celkov\u00e9 po\u010dty \u00famrt\u00ed pacient\u016f o 29 %.<\/strong><\/p>\n

Mezi nejd\u016fle\u017eit\u011bj\u0161\u00ed nefarmakologick\u00e1 doporu\u010den\u00ed pat\u0159\u00ed zanech\u00e1n\u00ed kou\u0159en\u00ed<\/strong>. Vztah mezi kou\u0159en\u00edm a komplikacemi u pacient\u016f s\u00a0nemocemi srdce byl jasn\u011b prok\u00e1z\u00e1n. \u00damrtnost nemocn\u00fdch, kte\u0159\u00ed po infarktu pokra\u010duj\u00ed v\u00a0kou\u0159en\u00ed, je jednozna\u010dn\u011b vy\u0161\u0161\u00ed ne\u017eli u t\u011bch, kte\u0159\u00ed kou\u0159it p\u0159estali.<\/p>\n

Dal\u0161\u00edm doporu\u010den\u00edm b\u00fdv\u00e1 \u010dasto sn\u00ed\u017een\u00ed t\u011blesn\u00e9 hmotnosti<\/strong> a dietn\u00ed opat\u0159en\u00ed. Nemocn\u00ed s\u00a0nadv\u00e1hou a obezitou naj\u00ed zv\u00fd\u0161en\u00e9 riziko infarktu myokardu. Optimalizace t\u011blesn\u00e9 hmotnosti p\u0159\u00edzniv\u011b ovliv\u0148uje i ostatn\u00ed rizikov\u00e9 faktory rozvoje ateroskler\u00f3zy, jako jsou krevn\u00ed tlak, hladina glykemie i hodnoty krevn\u00edch lipid\u016f.<\/p>\n

V\u00a0r\u00e1mci rekonvalescence by m\u011blo doj\u00edt i k postupn\u00e9mu zv\u00fd\u0161en\u00ed t\u011blesn\u00e9 z\u00e1t\u011b\u017ee. Po propu\u0161t\u011bn\u00ed z\u00a0nemocnice pacient bu\u010f podstupuje nemocni\u010dn\u00ed \u0159\u00edzen\u00fd program, individu\u00e1ln\u00ed dom\u00e1c\u00ed tr\u00e9nink nebo l\u00e1ze\u0148skou l\u00e9\u010dbu. V\u0161echny tyto metody vedou ke zlep\u0161en\u00ed funkce kardiovaskul\u00e1rn\u00edho syst\u00e9mu a p\u0159edstavuj\u00ed d\u016fle\u017eit\u00fd krok k\u00a0plnohodnotn\u00e9mu \u017eivotu. Nej\u010dast\u011bj\u0161\u00edmi doporu\u010dovan\u00fdmi aktivitami jsou ch\u016fze, j\u00edzda na rotopedu, plav\u00e1n\u00ed a b\u011bh<\/strong>.<\/p>\n

Nov\u00e9 webov\u00e9 str\u00e1nky www.jetoinfarkt.cz<\/strong>
\nPod z\u00e1\u0161titou \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti vznikly nov\u00e9 webov\u00e9 str\u00e1nky, kter\u00e9 jsou ur\u010deny jak pacient\u016fm, jejich bl\u00edzk\u00fdm, tak \u0161irok\u00e9 ve\u0159ejnosti. V\u011bnuj\u00ed se p\u0159\u00ed\u010din\u00e1m infarktu, rad\u00ed, jak poznat infarkt myokardu, jak postupovat v\u00a0p\u0159\u00edpad\u011b ataku nemoci, jak poskytnout prvn\u00ed pomoc nemocn\u00e9mu. V\u011bnuj\u00ed se prevenci i vlastn\u00ed l\u00e9\u010db\u011b.<\/p>\n

redakce invArena<\/p>\n","protected":false},"excerpt":{"rendered":"

Pacienti, kte\u0159\u00ed prod\u011blali srde\u010dn\u00ed infarkt, mohou zabr\u00e1nit opakov\u00e1n\u00ed infarktu ovlivn\u011bn\u00edm rizikov\u00fdch faktor\u016f (kou\u0159en\u00ed, v\u00fd\u017eiva, t\u011blesn\u00e1 aktivita a zejm\u00e9na dodr\u017eov\u00e1n\u00ed p\u0159edepsan\u00e9 l\u00e9\u010dby). Uk\u00e1\u017eeme to na p\u0159\u00edb\u011bhu […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29445,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-32210","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\/32210","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=32210"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32210\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29445"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32210"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32210"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}