Syt\u00fd nev\u011b\u0159\u00ed hladov\u00e9mu, bohat\u00fd chud\u00e9mu a zdrav\u00fd nemocn\u00e9mu. V p\u0159\u00edpad\u011b poruch sp\u00e1nku to m\u016f\u017ee platit dvojn\u00e1sob. Kdo z\u00e1va\u017enou poruchu sp\u00e1nku neza\u017eil na vlastn\u00ed k\u016f\u017ei nebo nezn\u00e1 ze sv\u00e9ho nejbli\u017e\u0161\u00edho okol\u00ed, nepochop\u00ed. J\u00e1 klidn\u011b vydr\u017e\u00edm sp\u00e1t t\u0159eba cel\u00fd den \u2013 jen nemuset vst\u00e1vat kv\u016fli povinnostem, \u0159ekne si. Lid\u00ed, jejich\u017e probl\u00e9my se sp\u00e1nkem jsou tak z\u00e1va\u017en\u00e9, \u017ee jim „ned\u00e1vaj\u00ed sp\u00e1t“, a dokonce se mohou m\u011bnit v „no\u010dn\u00ed m\u016fru“, jsou ve st\u0159edn\u00edch \u010cech\u00e1ch tis\u00edce.<\/p>\n\n\n\n
Probl\u00e9my s us\u00edn\u00e1n\u00edm, no\u010dn\u00edm probouzen\u00edm i \u010dasn\u00fdm vst\u00e1v\u00e1n\u00edm se p\u0159itom neprojevuj\u00ed pouze v noci. Posti\u017een\u00ed se probouzej\u00ed unaven\u00ed, neodpo\u010dat\u00ed, mohou se objevovat pocity nev\u00fdkonnosti, podr\u00e1\u017ed\u011bnost \u010di hrozit mikrosp\u00e1nek. Nebo se dostav\u00ed i v\u00e1\u017en\u011bj\u0161\u00ed komplikace.
N\u00c1R\u016eST PO\u010cTU PACIENT\u016e
Pacient\u016f v posledn\u00edch letech p\u0159ib\u00fdv\u00e1 t\u00e9m\u011b\u0159 raketov\u00fdm tempem. Kv\u016fli takzvan\u00fdm organick\u00fdm poruch\u00e1m sp\u00e1nku (tedy takov\u00fdm, je\u017e maj\u00ed n\u011bjakou t\u011blesnou p\u0159\u00ed\u010dinu) v roce 2018, pro kter\u00fd jsou k dispozici zat\u00edm nejnov\u011bj\u0161\u00ed souhrnn\u00e1 data, vyhledalo pomoc bezm\u00e1la \u0161est tis\u00edc St\u0159edo\u010dech\u016f: 5977. Je to t\u0159ikr\u00e1t tolik, ne\u017e bylo pacient\u016f v roce 2010. Pom\u011brn\u011b typick\u00fdm pacientem v t\u00e9to kategorii je star\u0161\u00ed mu\u017e, jeho\u017e tr\u00e1p\u00ed sp\u00e1nkov\u00e1 apnoe: k chr\u00e1p\u00e1n\u00ed, je\u017e samo o sob\u011b nep\u0159edstavuje zdravotn\u00ed probl\u00e9m, se p\u0159ipojuj\u00ed pauzy bezde\u0161\u00ed spojen\u00e9 s poklesem hladiny kysl\u00edku v krvi a srde\u010dn\u00ed frekvence, ukon\u010dovan\u00e9 takzvan\u00fdm mikroprobuzen\u00edm. U neorganick\u00fdch poruch sp\u00e1nku naopak maj\u00ed mezi pacienty p\u0159evahu \u017eeny \u2013 a op\u011bt plat\u00ed, \u017ee probl\u00e9my se objevuj\u00ed sp\u00ed\u0161e ve vy\u0161\u0161\u00edm v\u011bku. V tomto p\u0159\u00edpad\u011b jde o pot\u00ed\u017ee, je\u017e nejsou ovlivn\u011bny stavem t\u011blesn\u00e9 schr\u00e1nky; pod\u00edl na nich maj\u00ed t\u0159eba stres, shon a vyp\u011bt\u00ed, ale i nepravideln\u00fd denn\u00ed rytmus. Takov\u00fdch pacient\u016f l\u00e9ka\u0159e vyhled\u00e1v\u00e1 m\u00e9n\u011b: v roce 2018 jich ve st\u0159edn\u00edch \u010cech\u00e1ch bylo 1860. I n\u00e1r\u016fst jejich po\u010dt\u016f je pozvoln\u011bj\u0161\u00ed: ve srovn\u00e1n\u00ed s rokem 2010 je vzestup vyj\u00e1d\u0159en\u00fd 1,5 n\u00e1sobkem.<\/p>\n\n\n\n
Souhrn \u00fadaj\u016f z evidence zdravotn\u00edch poji\u0161\u0165oven Den\u00edk z\u00edskal od \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky.
ELEKTRODY ODHAL\u00cd PROBL\u00c9M
Sp\u00e1nkov\u00e9 poradny, za kter\u00fdmi St\u0159edo\u010de\u0161i nemusej\u00ed jen do hlavn\u00edho m\u011bsta, ale mohou se vydat t\u0159eba do Kutn\u00e9 Hory nebo do N\u00e1rodn\u00edho \u00fastavu du\u0161evn\u00edho zdrav\u00ed v Klecanech, nab\u00edzej\u00ed nejen ambulantn\u00ed vy\u0161et\u0159en\u00ed, ale i celono\u010dn\u00ed polysomnografii. Ta p\u0159edstavuje p\u0159esp\u00e1n\u00ed na l\u016f\u017eku sp\u00e1nkov\u00e9 laborato\u0159e, obvykle v d\u00e9lce sedmi hodin, kdy jsou pomoc\u00ed elektrod upevn\u011bn\u00fdch na hlav\u011b i na t\u011ble a dal\u0161\u00edch \u010didel sn\u00edm\u00e1ny hodnoty d\u016fle\u017eit\u00e9 pro vyhodnocen\u00ed probl\u00e9mu a rozhodnut\u00ed o dal\u0161\u00edm postupu. Zaznamen\u00e1vat se mohou nejen EEG, EKG, dechov\u00fd rytmus a krevn\u00ed tlak, ale tak\u00e9 svalov\u00e1 aktivita \u010di o\u010dn\u00ed pohyby.<\/p>\n\n\n\n
L\u00e9\u010dba sp\u00e1nkov\u00fdch poruch pak m\u016f\u017ee b\u00fdt velmi rozmanit\u00e1: od psychoterapie spojen\u00e9 s odstra\u0148ov\u00e1n\u00edm nespr\u00e1vn\u00fdch n\u00e1vyk\u016f a\u017e po chirurgick\u00fd z\u00e1krok. Zaj\u00edmav\u00e9 jsou metody CPAP a BiPAP s vyu\u017eit\u00edm p\u0159\u00edstroj\u016f pro zaji\u0161t\u011bn\u00ed kontinu\u00e1ln\u00edho p\u0159etlaku v d\u00fdchac\u00edch cest\u00e1ch. P\u0159i sp\u00e1nkov\u00e9 apnoi zajist\u00ed pou\u017eit\u00ed obli\u010dejov\u00e9 masky pr\u016fchodnost d\u00fdchac\u00edch cest po celou dobu sp\u00e1nku, pot\u0159ebnou k n\u00e1le\u017eit\u00e9mu osv\u011b\u017een\u00ed organismu s pat\u0159i\u010dn\u00fdm okysli\u010den\u00edm krve. <\/p>\n\n\n\n
MILAN HOLAKOVSK\u00dd <\/p>\n\n\n\n
P\u0159\u00edbramsk\u00fd den\u00edk<\/p>\n\n\n\n
http:\/\/www.pribramsky.denik.cz\/<\/a> Syt\u00fd nev\u011b\u0159\u00ed hladov\u00e9mu, bohat\u00fd chud\u00e9mu a zdrav\u00fd nemocn\u00e9mu. V p\u0159\u00edpad\u011b poruch sp\u00e1nku to m\u016f\u017ee platit dvojn\u00e1sob. Kdo z\u00e1va\u017enou poruchu sp\u00e1nku neza\u017eil na vlastn\u00ed k\u016f\u017ei nebo […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15254,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-33226","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\/33226","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=33226"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/33226\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15254"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=33226"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=33226"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=33226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/p>\n","protected":false},"excerpt":{"rendered":"