{"id":32415,"date":"2019-10-07T13:18:44","date_gmt":"2019-10-07T11:18:44","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32415"},"modified":"2019-10-07T13:18:44","modified_gmt":"2019-10-07T11:18:44","slug":"kdyz-je-prace-pricinou-zdravotnich-potizi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32415","title":{"rendered":"Kdy\u017e je pr\u00e1ce p\u0159\u00ed\u010dinou zdravotn\u00edch pot\u00ed\u017e\u00ed"},"content":{"rendered":"

Syndrom karp\u00e1ln\u00edho tunelu i sk\u00e1kav\u00fd palec. Nemoci z povol\u00e1n\u00ed dok\u00e1\u017e\u00ed potr\u00e1pit.<\/strong> <\/p>\n

Zl\u00ednsk\u00fd kraj \u2013 Mraven\u010den\u00ed, brn\u011bn\u00ed nebo zm\u011bn\u011bn\u00e1 citlivost v ruce i bolest v prvn\u00edm a\u017e \u010dtvrt\u00e9m prstu ruky. Jde o p\u0159\u00edznaky syndromu karp\u00e1ln\u00edho tunelu, nej\u010dast\u011bj\u0161\u00ed nemoci z povol\u00e1n\u00ed. Onemocn\u011bn\u00ed prov\u00e1z\u00ed tak\u00e9 pocit otekl\u00e9 ruky, p\u0159i\u010dem\u017e otok nen\u00ed patrn\u00fd. „Pot\u00ed\u017ee se objevuj\u00ed v noci, pacienti mus\u00ed vst\u00e1t a prot\u0159epat ruku,“ vysv\u011btlila vedouc\u00ed odd\u011blen\u00ed pracovn\u00edho l\u00e9ka\u0159stv\u00ed a fyziologie pr\u00e1ce Krajsk\u00e9 hygienick\u00e9 stanice doktorka Kate\u0159ina Va\u0159\u00e1kov\u00e1.<\/p>\n

Ve Zl\u00ednsk\u00e9m kraji bylo v roce 2018 hl\u00e1\u0161eno celkem dvacet sedm p\u0159\u00edpad\u016f nemoc\u00ed z povol\u00e1n\u00ed, v cel\u00e9 \u010cesk\u00e9 republice pak v\u00edce ne\u017e tis\u00edc dv\u011b st\u011b. Nej\u010dast\u011bj\u0161\u00ed nemoc\u00ed je syndrom karp\u00e1ln\u00edho tunelu, a to jak ve Zl\u00ednsk\u00e9m kraji, kter\u00fd uv\u00e1d\u00ed 15 p\u0159\u00edpad\u016f, tak i celorepublikov\u011b. V \u010cR trp\u00ed nej\u010dast\u011bj\u0161\u00ed nemoc\u00ed z povol\u00e1n\u00ed v\u00edce ne\u017e 400 lid\u00ed.<\/p>\n

OHRO\u017dEN\u011aJ\u0160\u00cd JSOU \u017dENY<\/p>\n

Syndrom karp\u00e1ln\u00edho tunelu je jedn\u00edm z nejb\u011b\u017en\u011bj\u0161\u00edch onemocn\u011bn\u00ed nerv\u016f horn\u00edch kon\u010detin. „Posti\u017een je st\u0159edov\u00fd nerv v \u00fa\u017ein\u011b v oblasti z\u00e1p\u011bst\u00ed. Velmi \u010dasto doch\u00e1z\u00ed k jeho stla\u010den\u00ed,“ vysv\u011btlila doktorka Va\u0159\u00e1kov\u00e1. Ohro\u017eeny jsou p\u0159edev\u0161\u00edm \u017eeny ve st\u0159edn\u00edm v\u011bku.<\/p>\n

„Pot\u00ed\u017ee se objevuj\u00ed i p\u0159es den v klidu nebo p\u0159i n\u011bjak\u00e9 \u010dinnosti. Nap\u0159\u00edklad p\u0159i dr\u017een\u00ed se v dopravn\u00edm prost\u0159edku nebo dr\u017een\u00ed \u0159id\u00edtek kola. Pot\u00ed\u017ee pozd\u011bji s\u00edl\u00ed,“ uvedla l\u00e9ka\u0159ka. Onemocn\u011bn\u00ed naru\u0161uje jemnou motoriku. „Lidem p\u016fsob\u00ed pot\u00ed\u017ee zapnut\u00ed knofl\u00edku, \u010di\u0161t\u011bn\u00ed zub\u016f nebo manipulace s mincemi,“ p\u0159ibl\u00ed\u017eila.<\/p>\n

NA VIN\u011a M\u016e\u017dE B\u00ddT I CUKROVKA<\/p>\n

P\u0159\u00ed\u010dinou vzniku onemocn\u011bn\u00ed je podle l\u00e9ka\u0159ky bu\u010f samotn\u00e9 jednostrann\u00e9 a nadm\u011brn\u00e9 p\u0159et\u011b\u017eov\u00e1n\u00ed ruky a z\u00e1p\u011bst\u00ed nebo p\u016fsoben\u00ed vibrac\u00ed p\u0159en\u00e1\u0161en\u00fdch na ruce, ale tak\u00e9 spojen\u00ed s jin\u00fdmi onemocn\u011bn\u00edmi. „Nap\u0159\u00edklad cukrovkou, hormon\u00e1ln\u00edmi zm\u011bnami, t\u0159eba v t\u011bhotenstv\u00ed nebo p\u0159i onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy,“ p\u0159ibl\u00ed\u017eila l\u00e9ka\u0159ka. P\u0159\u00ed\u010dinou mohou b\u00fdt i revmatologick\u00e1 onemocn\u011bn\u00ed, zlomeniny v oblasti z\u00e1p\u011bst\u00ed, t\u011blesn\u00e1 konstituce a dal\u0161\u00ed. L\u00e9\u010dba je zah\u00e1jena sn\u00ed\u017een\u00edm z\u00e1t\u011b\u017ee ruky a aplikac\u00ed ort\u00e9zy. „Ned\u00edlnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby je fyzioterapie zalo\u017een\u00e1 na aplikaci ultrazvuku, laseru, iontofor\u00e9zy a na mobilizaci z\u00e1p\u011bstn\u00edch kost\u00ed. St\u0159edn\u011b t\u011b\u017ek\u00e9 a t\u011b\u017ek\u00e9 posti\u017een\u00ed nervu je zpravidla \u0159e\u0161eno chirurgicky,“ uvedl pro m\u00e9dia l\u00e9ka\u0159 Peter Bednar\u010d\u00edk.<\/p>\n

VIBRUJ\u00cdC\u00cd N\u00c1STROJE<\/p>\n

Mezi dal\u0161\u00ed nej\u010dast\u011bj\u0161\u00ed nemoci z povol\u00e1n\u00ed ve Zl\u00ednsk\u00e9m kraji pat\u0159\u00ed sekund\u00e1rn\u00ed Raynaud\u016fv syndrom prst\u016f rukou, kter\u00fd vznik\u00e1 z pr\u00e1ce s vibruj\u00edc\u00edmi n\u00e1stroji. Projevuje se b\u011bl\u00e1n\u00edm prst\u016f. Hl\u00e1\u0161en\u00e1 je i silik\u00f3za, neboli po\u0161kozen\u00ed plic s typick\u00fdmi rentgenov\u00fdmi znaky pra\u0161n\u00fdch zm\u011bn, \u010di kontaktn\u00ed alergick\u00fd ekz\u00e9mem.<\/p>\n

Nemoc\u00ed z povol\u00e1n\u00ed b\u00fdv\u00e1 tak\u00e9 bolestiv\u00e9 posti\u017een\u00ed ramenn\u00edho kloubu nebo sk\u00e1kav\u00fd prst.<\/p>\n

—<\/p>\n

Ve Zl\u00ednsk\u00e9m kraji bylo v roce 2018 hl\u00e1\u0161eno celkem 27 p\u0159\u00edpad\u016f nemoc\u00ed z povol\u00e1n\u00ed (tj. 2,2% z celkov\u00e9ho po\u010dtu hl\u00e1\u0161en\u00fdch nemoc\u00ed z povol\u00e1n\u00ed v \u010cesk\u00e9 republice). Nej\u010dast\u011bji hl\u00e1\u0161enou diagn\u00f3zou onemocn\u011bn\u00ed byl syndrom karp\u00e1ln\u00edho tunelu (15x). D\u00e1le byly hl\u00e1\u0161eny sekund\u00e1rn\u00ed Raynaud\u016fv syndrom prst\u016f rukou z pr\u00e1ce z vibruj\u00edc\u00edmi n\u00e1stroji (2x), silik\u00f3za s typick\u00fdmi RTG znaky pra\u0161n\u00fdch zm\u011bn (2x), kontaktn\u00ed alergick\u00fd ekz\u00e9m (2x), impingement syndrom, neboli po\u0161kozen\u00ed ramene (1x), sk\u00e1kav\u00fd prst (1x) a dal\u0161\u00ed.<\/p>\n

Co je sk\u00e1kav\u00fd prst?<\/p>\n

Nej\u010dast\u011bji b\u00fdv\u00e1 posti\u017een palec a prsten\u00edk, z\u0159\u00eddka b\u00fdv\u00e1 zasa\u017eeno v\u00edce prst\u016f. Bolestiv\u00e9 projevy se nej\u010dast\u011bji vyskytuj\u00ed p\u0159i oh\u00fdb\u00e1n\u00ed a nap\u00edn\u00e1n\u00ed ve v\u00fd\u0161i p\u0159echodu z\u00e1prstn\u00edch k\u016fstek v samotn\u00fd prst. Plynul\u00fd pohyb prstu m\u016f\u017ee b\u00fdt naru\u0161en p\u0159esko\u010den\u00edm, kter\u00e9 je n\u011bkdy doprov\u00e1zeno i sly\u0161iteln\u00fdm lupnut\u00edm. N\u011bkdy se m\u016f\u017ee objevit i nemo\u017enost prst aktivn\u011b nat\u00e1hnout \u010di pokr\u010dit. Mnohdy se st\u00e1v\u00e1, \u017ee se prst zablokuje v ohnut\u00ed, kdy ho lze nat\u00e1hnout pouze pasivn\u011b za bolestiv\u00e9ho lupnut\u00ed, k bloku v opa\u010dn\u00e9m sm\u011bru doch\u00e1z\u00ed pouze z\u0159\u00eddka.<\/p>\n

Zdroj: www.fyzioklinika.cz<\/p>\n

Od\u0161kodn\u011bn\u00ed u nemoci z povol\u00e1n\u00ed<\/p>\n

Zam\u011bstnanci v pracovn\u00ed neschopnosti p\u0159\u00edslu\u0161\u00ed n\u00e1hrada za ztr\u00e1tu na v\u00fdd\u011blku po dobu pracovn\u00ed neschopnosti. Bude mu tak dorovn\u00e1n rozd\u00edl mezi v\u00fd\u0161\u00ed platu a nemocenskou. Trv\u00e1-li nemoc d\u00e9le, m\u016f\u017ee b\u00fdt zam\u011bstnanci uzn\u00e1na invalidita. Pokud zam\u011bstnanec nesm\u00ed kv\u016fli onemocn\u011bn\u00ed nemoc\u00ed z povol\u00e1n\u00ed vykon\u00e1vat svou pr\u00e1ci, m\u016f\u017ee mu d\u00e1t zam\u011bstnavatel v\u00fdpov\u011b\u010f. P\u0159\u00edslu\u0161\u00ed mu odstupn\u00e9 ve v\u00fd\u0161i nejm\u00e9n\u011b dvan\u00e1ctin\u00e1sobku jeho pr\u016fm\u011brn\u00e9ho m\u011bs\u00ed\u010dn\u00edho v\u00fdd\u011blku.<\/p>\n

„Zam\u011bstnance od\u0161kodn\u00ed v\u017edy odpov\u011bdn\u00fd zam\u011bstnavatel, u kter\u00e9ho zam\u011bstnanci vznikla nemoc z povol\u00e1n\u00ed,“ vysv\u011btlila pr\u00e1vni\u010dka Eva Dandov\u00e1.<\/p>\n

V roce 2018 bylo v \u010cR hl\u00e1\u0161eno celkem 1222 nemoc\u00ed z povol\u00e1n\u00ed. Nej\u010dast\u011bji hl\u00e1\u0161enou diagn\u00f3zou onemocn\u011bn\u00ed byl syndrom karp\u00e1ln\u00edho tunelu (411x), d\u00e1le byly hl\u00e1\u0161eny podle \u010detnosti kontaktn\u00ed alergick\u00fd ekz\u00e9m (145x), svrab (83x), astma bronchiale (63x) a pneumokoni\u00f3za uhlokop\u016f prost\u00e1 (57x).<\/p>\n

REN\u00c1TA VE\u010cERKOV\u00c1
\nKrom\u011b\u0159\u00ed\u017esk\u00fd den\u00edk
\nhttp:\/\/kromerizsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Syndrom karp\u00e1ln\u00edho tunelu i sk\u00e1kav\u00fd palec. Nemoci z povol\u00e1n\u00ed dok\u00e1\u017e\u00ed potr\u00e1pit.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":16920,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-32415","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32415","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=32415"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32415\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16920"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32415"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32415"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}