{"id":32222,"date":"2019-03-13T10:35:05","date_gmt":"2019-03-13T09:35:05","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32222"},"modified":"2019-09-16T10:53:29","modified_gmt":"2019-09-16T08:53:29","slug":"operace-ktera-navratila-sluch-12letemu-chlapci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32222","title":{"rendered":"Operace, kter\u00e1 navr\u00e1tila sluch 12let\u00e9mu chlapci"},"content":{"rendered":"

Dvan\u00e1ctilet\u00fd Martin Sko\u010ddopole znovu sly\u0161\u00ed. L\u00e9ka\u0159i D\u011btsk\u00e9 nemocnice v Brn\u011b mu jako v\u016fbec prvn\u00edmu v \u010cesku voperovali u\u0161n\u00ed implant\u00e1t p\u0159\u00edmo do kosti lebky. Report\u00e1\u017e televize \u010cT 24.<\/strong><\/p>\n

moder\u00e1tor
\nPane doktore, je to tedy poprv\u00e9, co se v \u010cesku, jak u\u017e jsme \u0159ekli, poda\u0159ilo d\u00e1t u\u0161n\u00ed implant\u00e1t p\u0159\u00edmo do kosti lebky d\u00edt\u011bte. Jak velk\u00fdm p\u0159elomem toto je?<\/p>\n

Milan UR\u00cdK, p\u0159ednosta, Klinika d\u011btsk\u00e9 ORL FN Brno
\nJ\u00e1 to pova\u017euju za velk\u00fd \u00fasp\u011bch, proto\u017ee tento typ implant\u00e1tu p\u0159edstavuje to nejmodern\u011bj\u0161\u00ed a nejlep\u0161\u00ed pro pacienty, co existuje v sou\u010dasnosti a za\u010dal se implantovat u dosp\u011bl\u00fdch pacient\u016f v roce 2014 a jsem r\u00e1d, \u017ee v \u010cesk\u00e9 republice jsme mohli prov\u00e9st u d\u00edt\u011bte implantaci ji\u017e v podstat\u011b v \u0159\u00edjnu roku 2018.<\/p>\n

moder\u00e1tor
\nM\u016f\u017eete \u0159\u00edci alespo\u0148 stru\u010dn\u011b a laikovi, abych to pochopil i j\u00e1, ten v\u00e1\u0161 n\u00e1stroj tedy obch\u00e1z\u00ed vn\u011bj\u0161\u00ed a st\u0159edn\u00ed ucho, tak\u017ee se do toho vnit\u0159n\u00edho ucha nesou ty vibrace kost\u00ed, je to tak, ch\u00e1pu to spr\u00e1vn\u011b?<\/p>\n

Milan UR\u00cdK,
\nJe to p\u0159esn\u011b tak. Ka\u017ed\u00fd z n\u00e1s m\u00e1 takzvan\u00e9 vzdu\u0161n\u00e9 veden\u00ed, t\u00edm sly\u0161\u00edme norm\u00e1ln\u011b, a pak m\u00e1 veden\u00ed kostn\u00ed a my pr\u00e1v\u011b toto vyu\u017e\u00edv\u00e1me. B\u011bhem t\u00e9 operace d\u011bl\u00e1me \u0159eznou r\u00e1nu za uchem, dost\u00e1v\u00e1me se na kost p\u0159\u00edmo za ucho, kde vyfr\u00e9zujeme l\u016f\u017eko, do kter\u00e9ho implant\u00e1t zavedeme a p\u0159ipevn\u00edme titanov\u00fdmi skrutkami. Pak nech\u00e1me… samoz\u0159ejm\u011b tu r\u00e1nu za\u0161ijeme, nech\u00e1me ji zahojit. A pacient p\u0159ich\u00e1z\u00ed po m\u011bs\u00edci k n\u00e1m na kliniku a za \u00fa\u010dasti bioin\u017een\u00fdra a l\u00e9ka\u0159e prob\u011bhne to prvn\u00ed zapojen\u00ed a postupn\u00e9 lad\u011bn\u00ed toho procesoru.<\/p>\n

moder\u00e1tor
\nPan\u00ed Sko\u010ddopolov\u00e1, co byla prvn\u00ed slova Martinova, kter\u00e1 sly\u0161el?<\/p>\n

Irena SKO\u010cDOPOLOV\u00c1, matka operovan\u00e9ho chlapce
\nNo, to se tak ned\u00e1 \u0159\u00edct. Ono sp\u00ed\u0161 bylo to, jak sly\u0161\u00ed, \u017ee v\u00edc v\u0161echno sly\u0161\u00ed, v\u0161echno bylo pro n\u011bho hlasit\u011bj\u0161\u00ed a musel si na to zvykat, proto\u017ee to nem\u011bl nikdy tak moc nahlas v\u0161echno.<\/p>\n

moder\u00e1tor
\nJak na to tedy reagoval? Co \u0159\u00edkal? Co byla aspo\u0148 teda prvn\u00ed slova, kter\u00e1 \u0159ekl on, kdy\u017e u\u017e ne ta, kter\u00e1 sly\u0161el?<\/p>\n

Irena SKO\u010cDOPOLOV\u00c1,
\n\u017de je to lep\u0161\u00ed, \u017ee sly\u0161\u00ed, a potom s panem in\u017een\u00fdrem ladili tak, aby to pro n\u011bho bylo p\u0159\u00edjemn\u00fd a aby si na to mohl hezky zvyknout a aby ho to p\u0159\u00edli\u0161 neunavovalo, proto\u017ee ono to trvalo dlouho, ne\u017e si zvykl na okoln\u00ed zvuky, kter\u00fd d\u0159\u00edv nesly\u0161el a musel je n\u011bjak vn\u00edmat.<\/p>\n

moder\u00e1tor
\nV\u00e1\u0161 syn si tak\u00e9 st\u011b\u017eoval na to, \u017ee musel d\u0159\u00edv nosit \u010delenku kolem hlavy, \u017ee ho z toho ta hlava bolela. Te\u010f tedy \u017eije \u00fapln\u011b bez omezen\u00ed, je to tak?<\/p>\n

Irena SKO\u010cDOPOLOV\u00c1,
\nTe\u010f je pro n\u011bho velk\u00fdm bonusem, \u017ee ta hlava ho nebol\u00ed. To je \u00fapln\u00e9 v\u00edt\u011bzstv\u00ed pro n\u011bho a sly\u0161\u00ed, sly\u0161\u00ed mnohem l\u00edp, sly\u0161\u00ed perfektn\u011b, vid\u00edme to na n\u011bm, \u017ee sly\u0161\u00ed, proto\u017ee reaguje na d\u011bn\u00ed v rodin\u011b, ve \u0161kole, sly\u0161\u00ed venku, l\u00e9pe sly\u0161\u00ed auta. On p\u0159ed t\u00edm nesly\u0161el, jestli auto jede zezadu, zep\u0159edu, zprava, zleva, to on v\u016fbec nesly\u0161el. Tak\u017ee…<\/p>\n

moder\u00e1tor
\nTohle je podstatn\u00e1 \u010d\u00e1st, kterou \u0159\u00edk\u00e1te, orientace na silnici, ale co t\u0159eba m\u016f\u017ee d\u011blat, co d\u0159\u00edve d\u011blat nemohl?<\/p>\n

Irena SKO\u010cDOPOLOV\u00c1,
\nNo, on je zdrav\u00fd…<\/p>\n

moder\u00e1tor
\nSport?<\/p>\n

Irena SKO\u010cDOPOLOV\u00c1,
\nNo, tak to nemohl, to nemohl d\u011blat \u017e\u00e1dn\u00fd sport, proto\u017ee to ho omezovalo. Jeho vlastn\u011b ta hlava bolela permanentn\u011b, tak\u017ee byl hodn\u011b unaven\u00fd, vys\u00edlen\u00fd, tak\u017ee nemohl chodit do \u017e\u00e1dn\u00e9ho klubu nebo n\u011bjak\u00e9ho odd\u00edlu, proto\u017ee tu \u010delenku by p\u0159i t\u00e9 velk\u00e9 aktivit\u011b, ta by mu padala, tud\u00ed\u017e by ji musel sund\u00e1vat, a pak nesly\u0161el, \u017ee jo, pak sly\u0161el jenom velmi m\u00e1lo a to t\u0159eba p\u0159i kolektivn\u00edch sportech nesly\u0161el ty spoluhr\u00e1\u010de, \u017ee, tak\u017ee to v\u016fbec ne\u0161lo. A byl opravdu hodn\u011b unaven\u00fd. To ho hodn\u011b vysilovalo, \u017ee ho bolela ta hlava.<\/p>\n

moder\u00e1tor
\nPane doktore, ten implant\u00e1t by m\u011bl v kosti vydr\u017eet do\u017eivotn\u011b. Neo\u010dek\u00e1v\u00e1te \u017e\u00e1dn\u00e9 probl\u00e9my? … vy jste \u0159\u00edkal, \u017ee poprv\u00e9 to bylo implantov\u00e1no v roce 2014, to znamen\u00e1, \u017ee ta technologie je\u0161t\u011b asi nen\u00ed \u00fapln\u011b vyzkou\u0161en\u00e1 dek\u00e1dami pou\u017e\u00edv\u00e1n\u00ed, ale neo\u010dek\u00e1v\u00e1te \u017e\u00e1dn\u00e9 probl\u00e9my?<\/p>\n

Milan UR\u00cdK, p\u0159ednosta, Klinika d\u011btsk\u00e9 ORL FN Brno
\nNep\u0159edpokl\u00e1d\u00e1 se to. V\u0161echny tyto p\u0159\u00edstroje, v\u010detn\u011b t\u0159eba i kochle\u00e1rn\u00edch implant\u00e1t\u016f, musej\u00ed proj\u00edt pom\u011brn\u011b p\u0159\u00edsn\u00fdm v\u00fdzkumem a na tom p\u0159\u00edstroji nen\u00ed nic, co by se mohlo pokazit. A p\u0159edpokl\u00e1d\u00e1 se, \u017ee opravdu ten pacient s t\u00edm p\u0159\u00edstrojem do\u017eije. Jedin\u00e9, co se m\u011bn\u00ed, je ten zevn\u00ed procesor, kter\u00fd se p\u0159ikl\u00e1d\u00e1 na hlavu a dr\u017e\u00ed prost\u0159ednictv\u00edm magnetu. Tam je tendence v podstat\u011b od toho v\u00fdrobce neust\u00e1le ten procesor zmen\u0161ovat, aplikovat do n\u011bho nov\u00e9 technologie, tak\u017ee ten pacient m\u00e1 jednou za n\u011bkolik let n\u00e1rok na v\u00fdm\u011bnu nov\u00e9ho modern\u011bj\u0161\u00edho procesoru s t\u00edm, \u017ee v\u011bt\u0161\u00ed \u010d\u00e1st toho zaplat\u00ed zdravotn\u00ed poji\u0161\u0165ovna.<\/p>\n

Martin \u0158EZN\u00cd\u010cEK, moder\u00e1tor
\nVy jste n\u011bkde zm\u00ednil, \u017ee ta operace st\u00e1la 400 tis\u00edc korun. Te\u010f jste mluvil o t\u00e9 zdravotn\u00ed poji\u0161\u0165ovn\u011b. Byla hrazen\u00e1 tedy zdravotn\u00ed poji\u0161\u0165ovnou. Znamen\u00e1 to, \u017ee to byl ojedin\u011bl\u00fd p\u0159\u00edpad nebo je to trend do budoucna a v\u0161echny d\u011bti, kter\u00e9 budou pot\u0159ebovat tenhleten implant\u00e1t a budou vhodn\u00e9 pro tu operaci, tak to dostanou a z\u00e1rove\u0148 ta operace bude kryt\u00e1 poji\u0161\u0165ovnami?<\/p>\n

Milan UR\u00cdK,
\nTak to je velmi t\u011b\u017ek\u00e1 ot\u00e1zka. J\u00e1 bych si to samoz\u0159ejm\u011b p\u0159\u00e1l. V sou\u010dasn\u011b existuj\u00ed jak\u00e9si indika\u010dn\u00ed krit\u00e9ria odborn\u00e9 a na to, aby ten pacient se stal kandid\u00e1tem, se sch\u00e1zej\u00ed indika\u010dn\u00ed komise slo\u017een\u00e1 z odborn\u00edk\u016f a v\u0161ichni se mus\u00ed shodnout na tom, \u017ee ten implant\u00e1t bude m\u00edt pro pacienta benefit a n\u00e1sledn\u011b to podl\u00e9h\u00e1 schv\u00e1len\u00ed zdravotn\u00ed poji\u0161\u0165ovnou. Poji\u0161\u0165ovna v pln\u00e9 v\u00fd\u0161i hrad\u00ed cenu toho implant\u00e1tu, co\u017e je asi 350 tis\u00edc, zbytek jsou n\u00e1klady souvisej\u00edc\u00ed s operac\u00ed a dal\u0161\u00ed p\u00e9\u010d\u00ed. Tam bych cht\u011bl pod\u011bkovat veden\u00ed Fakultn\u00ed nemocnice Brno, kter\u00e1 n\u00e1s podpo\u0159ila v tom za\u010d\u00e1tku a v podstat\u011b to \u010d\u00e1ste\u010dn\u011b zafinancovala ze sv\u00e9ho. Ale j\u00e1 pevn\u011b v\u011b\u0159\u00edm tomu, ty v\u00fdsledky jsou opravdu v\u00fdborn\u00e9, \u017ee ta technologie se stane dostupn\u00e1 pro ka\u017ed\u00e9ho, kdo ji pot\u0159ebuje.<\/p>\n

moder\u00e1tor
\nPan\u00ed Sko\u010ddopolov\u00e1, \u0159ekn\u011bte mi na z\u00e1v\u011br je\u0161t\u011b, ta rekonvalescence trvala n\u011bkolik m\u011bs\u00edc\u016f, sice informujeme o tomhletom p\u0159\u00edpadu te\u010f, ale on u\u017e se stal p\u0159ed n\u011bkolika m\u011bs\u00edci, obr\u00e1til se mezi t\u00edm na v\u00e1s n\u011bkdo, rodi\u010de n\u011bjak\u00e9ho podobn\u011b posti\u017een\u00e9ho d\u00edt\u011bte nebo d\u00edt\u011bte, kter\u00e9 m\u00e1 tohleto posti\u017een\u00ed, se z\u00e1jmem o zku\u0161enost, radu a tak d\u00e1le?<\/p>\n

Irena SKO\u010cDOPOLOV\u00c1,
\nZrovna te\u010f, kdy\u017e jsme byli naposledy v nemocnici na kontrole v \u00fater\u00fd, tak jsme tam potkali maminku, jej\u00ed\u017e chlape\u010dek m\u011bl ou\u0161ko \u00fapln\u011b stejn\u011b jako Mart\u00ednek, tak jsme si popov\u00eddali a pan\u00ed byla pot\u011b\u0161ena, \u017ee ten osud sd\u00edl\u00edme taky a vid\u011bla na Martinovi, jak to v\u0161ecko jde a \u017ee je to vesel\u00fd bystr\u00fd kluk.<\/p>\n

 <\/p>\n

A j\u00e1 v\u00e1m ob\u011bma d\u011bkuju za to, \u017ee jste p\u0159i\u0161li do Ud\u00e1lost\u00ed, koment\u00e1\u0159\u016f<\/p>\n

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

Dvan\u00e1ctilet\u00fd Martin Sko\u010ddopole znovu sly\u0161\u00ed. L\u00e9ka\u0159i D\u011btsk\u00e9 nemocnice v Brn\u011b mu jako v\u016fbec prvn\u00edmu v \u010cesku voperovali u\u0161n\u00ed implant\u00e1t p\u0159\u00edmo do kosti lebky. Report\u00e1\u017e televize […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":32223,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-32222","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32222","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=32222"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32222\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/32223"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32222"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32222"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}