{"id":39173,"date":"2023-04-21T17:27:56","date_gmt":"2023-04-21T15:27:56","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39173"},"modified":"2023-04-21T17:27:57","modified_gmt":"2023-04-21T15:27:57","slug":"diabetikum-operuji-postizene-nohy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39173","title":{"rendered":"Diabetik\u016fm operuj\u00ed posti\u017een\u00e9 nohy"},"content":{"rendered":"\n
V nemocnici v Karvin\u00e9-R\u00e1ji. L\u00e9ka\u0159i operuj\u00ed i diabetiky, kte\u0159\u00ed maj\u00ed velmi rozs\u00e1hl\u00e1 po\u0161kozen\u00ed doln\u00edch kon\u010detin. Jde o v\u00e1\u017en\u00e9 p\u0159\u00edpady tzv. syndromu diabetick\u00e9 nohy, sna\u017e\u00ed se o co nej\u0161etrn\u011bj\u0161\u00ed z\u00e1kroky tak, aby se operovan\u00e1 m\u00edsta co nejl\u00e9pe hojila.  \n\nreport\u00e1\u017e \u010cesk\u00e9 televize\n\n redaktorka  \nUnik\u00e1tn\u00ed z\u00e1krok, kter\u00fd pom\u016f\u017ee pacient\u016fm od velk\u00fdch bolest\u00ed, kter\u00e9 jim zp\u016fsobuj\u00ed deformity nohou. Nej\u010dast\u011bji vlivem diabetu.  \n\nMartin HOLINKA, prim\u00e1\u0159 ortopedick\u00e9ho odd\u011blen\u00ed, Nemocnice Karvin\u00e1-R\u00e1j  \nTa noha m\u016f\u017ee b\u00fdt deformovan\u00e1 a\u017e do n\u011bkdy docela bizarn\u00edch tvar\u016f, v podstat\u011b jde o to, \u017ee tito pacienti s t\u011bmi slo\u017eit\u00fdmi deformitami nohy maj\u00ed bolesti a na tu nohu ani nemohou na\u0161l\u00e1pnout.  \n\n redaktorka  \nTzv. syndrom diabetick\u00e9 nohy je jednou z nej\u010dast\u011bj\u0161\u00edch chronick\u00fdch komplikac\u00ed diabetik\u016f. Nejprve jde o mal\u00e9 ranky, zdeformovan\u00e9 chodidlo a v nejhor\u0161\u00edm p\u0159\u00edpad\u011b i o amputaci kon\u010detiny.  \n\nPetr TEYSSLER, ortoped, IKEM  \n\u010casto se pacienti setk\u00e1vaj\u00ed s t\u00edm, \u017ee se t\u0159eba dozv\u011bd\u00ed, \u017ee s jejich problematikou se ned\u00e1 nic d\u011blat, ale ukazuje se, \u017ee je spousta metod, kter\u00fd jsou aplikovateln\u00fd na rekonstrukci \u010dasto t\u011b\u017ek\u00fdch deformit nohou.  \n\nredaktorka  \nI za pomoci mikroinvazivn\u00edho postupu l\u00e9ka\u0159i nohu pacienta zrekonstruuj\u00ed p\u0159ibli\u017en\u011b za 2 hodiny.  \n\nMartin HOLINKA, prim\u00e1\u0159 ortopedick\u00e9ho odd\u011blen\u00ed, Nemocnice Karvin\u00e1-R\u00e1j  \nV podstat\u011b si to m\u016f\u017eeme p\u0159edstavit tak, \u017ee tu nohu - jako kdybychom to p\u0159evedli na stavebnici lega - tak b\u011bhem operace ji rozd\u011bl\u00e1me na jednotliv\u00e9 kostky a potom sestav\u00edme do nov\u00e9ho celku tak, jak by to m\u011blo norm\u00e1ln\u011b vypadat. To spr\u00e1vn\u00e9 postaven\u00ed zaji\u0161\u0165ujeme r\u016fzn\u00fdmi druhy vnit\u0159n\u00edch fixac\u00ed, aby ta noha dr\u017eela pohromad\u011b a v tom spr\u00e1vn\u00e9m postaven\u00ed ne\u017e se norm\u00e1ln\u011b p\u0159ehoj\u00ed.  \n\n redaktorka  \nV \u010cesku \u017eije t\u00e9m\u011b\u0159 milion diabetik\u016f, po Praze je jich nejv\u00edce v Moravskoslezsk\u00e9m kraji. N\u011bjakou formu operace na nohou z nich pot\u0159ebuje asi 10 %. K t\u011bm nejslo\u017eit\u011bj\u0161\u00edm z\u00e1krok\u016fm se ale podle l\u00e9ka\u0159\u016f dostane jen necel\u00e9 procento pacient\u016f.  \n\nMartin HOLINKA, prim\u00e1\u0159 ortopedick\u00e9ho odd\u011blen\u00ed, Nemocnice Karvin\u00e1-R\u00e1j  \nTi pacienti, pokud nedostanou dobrou p\u00e9\u010di, tak m\u016f\u017eou skon\u010dit s tou nohou, kon\u010d\u00ed amputac\u00ed, a pr\u00e1v\u011b prevence t\u00e9 amputace, dobr\u00e1 p\u00e9\u010de o tu diabetickou nohu, je pr\u00e1v\u011b p\u00e9\u010de nejen diabetologa, ale i ortopeda.  \n\nredaktorka  \nDiabetici jsou p\u0159i operac\u00edch n\u00e1chyln\u00ed k hor\u0161\u00edmu hojen\u00ed a vzniku infekc\u00ed. Forma nov\u00e9 operativy je ale i p\u0159i slo\u017eitosti z\u00e1kroku pro pacienty \u0161etrn\u00e1 v r\u00e1mci rekonvalescence i po o opera\u010dn\u00edch komplikac\u00ed. <\/pre>\n","protected":false},"excerpt":{"rendered":"
V nemocnici v Karvin\u00e9-R\u00e1ji. L\u00e9ka\u0159i operuj\u00ed i diabetiky, kte\u0159\u00ed maj\u00ed velmi rozs\u00e1hl\u00e1 po\u0161kozen\u00ed doln\u00edch kon\u010detin. Jde o v\u00e1\u017en\u00e9 p\u0159\u00edpady tzv. syndromu diabetick\u00e9 nohy, sna\u017e\u00ed se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29185,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-39173","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\/39173","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=39173"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39173\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29185"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39173"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39173"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}