{"id":41560,"date":"2023-08-17T06:55:36","date_gmt":"2023-08-17T04:55:36","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=41560"},"modified":"2023-08-17T06:55:37","modified_gmt":"2023-08-17T04:55:37","slug":"poradna-epilepsie","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=41560","title":{"rendered":"Poradna: epilepsie\u00a0\u00a0"},"content":{"rendered":"\n<p>Ve studiu Dvojky \u010cRo p\u0159iv\u00edtali l\u00e9ka\u0159e, a to neurologa a epileptologa a v\u011bnovali se epilepsii, je\u017e je \u010dtvrtou nej\u010dast\u011bj\u0161\u00ed neurologickou poruchou na sv\u011bt\u011b. Budeme hovo\u0159it o prevenci i o mo\u017enostech l\u00e9\u010den\u00ed a samoz\u0159ejm\u011b d\u00e1me prostor i pro va\u0161e dotazy.<br \/><br \/>moder\u00e1tor<br \/>na\u0161\u00edm hostem je pan Dr. Petr F\u00e1bera, neurolog a epileptolog z polikliniky IPP. v\u00edtejte u n\u00e1s na Dvojce, pane doktore a ur\u010dit\u011b na za\u010d\u00e1tek d\u016fle\u017eit\u00e9 vysv\u011btlen\u00ed, co to vlastn\u011b epilepsie je? O jak\u00e9 onemocn\u011bn\u00ed jde a jak vypad\u00e1 epileptick\u00fd z\u00e1chvat?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>Epilepsie je pova\u017eov\u00e1na za jedno z nej\u010dast\u011bj\u0161\u00edch neurologick\u00fdch onemocn\u011bn\u00ed v\u016fbec. A je charakterizov\u00e1na v\u00fdskytem spont\u00e1nn\u00edch epileptick\u00fdch z\u00e1chvat\u016f. Co to epileptick\u00fd z\u00e1chvat je? Epileptick\u00fd z\u00e1chvat z podstaty vlastn\u011b sv\u00e9ho mechanismu je n\u011bjak\u00e1 enormn\u00ed hypersynchronn\u00ed aktivita nervov\u00fdch bun\u011bk, kter\u00e1 se navenek projevuje r\u016fzn\u00fdmi paroxism\u00e1ln\u00edmi projevy. Jako nap\u0159\u00edklad poruchou v\u011bdom\u00ed, poruchou n\u00e1lad, poruchou chov\u00e1n\u00ed nebo nap\u0159\u00edklad poruchou motorick\u00fdch \u010di senzorick\u00fdch funkc\u00ed. Jako p\u0159\u00edklad m\u016f\u017eu uv\u00e9st, \u017ee to m\u016f\u017ee b\u00fdt prost\u00e9 zahled\u011bn\u00ed, z\u00e1raz v \u010dinnosti nebo nap\u0159\u00edklad n\u011bjak\u00fd tonick\u00fd z\u00e1\u0161kub kon\u010detiny nebo nap\u0159\u00edklad pouze mraven\u010den\u00ed.<br \/><br \/>Ji\u0159\u00ed Holoubek, moder\u00e1tor<br \/>Je n\u011bjak\u00fd v\u011bk, n\u011bjak\u00e9 \u017eivotn\u00ed obdob\u00ed, kdy je daleko v\u011bt\u0161\u00ed \u0161ance, \u017ee se epileptick\u00fd z\u00e1chvat projev\u00ed, nebo je to jedno a m\u016f\u017ee se to st\u00e1t kdykoliv v pr\u016fb\u011bhu \u017eivota?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>M\u016f\u017ee se to st\u00e1t kdykoliv v pr\u016fb\u011bhu \u017eivota, ale samoz\u0159ejm\u011b vzhledem k tomu, \u017ee se jedn\u00e1 o pom\u011brn\u011b \u0161irokou heterogenn\u00ed skupinu onemocn\u011bn\u00ed, tak ty d\u016fvody, pro\u010d k epilepsii vznik\u00e1, m\u016f\u017ee b\u00fdt cel\u00e1 \u0159ada. Co se t\u00fd\u010de hlavn\u00edho p\u00edku t\u00e9 incidence, tak s t\u00edm se setk\u00e1v\u00e1me jak v d\u011btsk\u00e9 populaci, tak i v dosp\u011blosti. T\u0159eba v seniorsk\u00e9m v\u011bku, ale samoz\u0159ejm\u011b ty p\u0159\u00ed\u010diny mohou b\u00fdt r\u016fzn\u00e9. V p\u0159\u00edpad\u011b d\u011bt\u00ed to mohou b\u00fdt n\u011bjak\u00e9 neuroinfekty. Mohou to b\u00fdt poruchy poporodn\u00ed adaptace. Naopak u t\u00e9 seniorsk\u00e9 populace to mohou b\u00fdt traumata, n\u00e1dory nebo c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody.<br \/><br \/>\u0160\u00e1rka Volemanov\u00e1, moder\u00e1torka<br \/>Pane doktore, vy jste zm\u00ednil incidenci, tedy mo\u017enost toho v\u00fdskytu a r\u016fzn\u00e9 v\u011bkov\u00e9 kategorie. Ale ka\u017edop\u00e1dn\u011b dob\u0159e, tak kdy\u017e si \u0159ekneme, p\u0159ijde n\u011bjak\u00fd spou\u0161t\u011b\u010d, kter\u00fd u toho individu\u00e1ln\u00edho \u010dlov\u011bka vyvol\u00e1 epileptick\u00fd z\u00e1chvat. Kde je ten z\u00e1klad, je to u\u017e jako v d\u011bdi\u010dnosti, v genetice, rod\u00edme se s t\u011bmi dispozicemi k tomu, \u017ee se to m\u016f\u017ee st\u00e1t a existuje i varianta, \u017ee nemus\u00ed?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>Za\u010dnu, za\u010dnu t\u00edm koncem. Jist\u011b nemus\u00ed, na druhou stranu my se sna\u017e\u00edme pom\u011brn\u011b, m\u00e1me solidn\u00ed z\u00e1kladnu, z\u00e1kladnu z\u00e1kladn\u00edho v\u00fdzkumu i tady v \u010cesk\u00e9 republice. A nejen v \u010cesk\u00e9 republice. V\u00edme z dostupn\u00fdch dat, \u017ee ur\u010dit\u00fdm spou\u0161t\u011bc\u00edm mechanismem m\u016f\u017ee b\u00fdt t\u0159eba nap\u0159\u00edklad to trauma, c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda a pouze u n\u011bkter\u00fdch jedinc\u016f doch\u00e1z\u00ed k rozvoji epileptick\u00fdch z\u00e1chvat\u016f v budoucnosti. Ten proces se naz\u00fdv\u00e1 epileptogeneze a hraje tam cel\u00e1 \u0159ada faktor\u016f. Jist\u011b tam hraje roli i n\u011bjak\u00e1 genetick\u00e1 predispozice. Ale je to v\u0161echno zat\u00edm ve f\u00e1zi n\u011bjak\u00e9ho intenzivn\u00edho v\u00fdzkumu.<br \/><br \/>poslucha\u010dka<br \/>Dobr\u00fd den, tady poslucha\u010dka z \u010cesk\u00e9ho T\u011b\u0161\u00edna. Pros\u00edm v\u00e1s, pane doktore, moje vnu\u010dka t\u0159in\u00e1ctilet\u00e1 m\u011bla z\u00e1n\u011bt mozkov\u00fdch blan a z toho se j\u00ed objevila slab\u00e1 epilepsie. Ale ona tr\u00e1v\u00ed, i kdy\u017e sportuje, m\u00e1 hodn\u011b kamar\u00e1d\u016f, tr\u00e1v\u00ed t\u0159i \u010dtvrt\u011b dne na po\u010d\u00edta\u010di, na telefonu. Nem\u016f\u017ee to n\u011bjak ovlivnit a zhor\u0161it tu nemoc?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>V z\u00e1sad\u011b ne, samoz\u0159ejm\u011b nezn\u00e1m konkr\u00e9tn\u00ed p\u0159\u00edpad. Jenom je d\u016fkazem toho, \u017ee v t\u00e9 d\u011btsk\u00e9 populaci velice \u010dasto t\u00edm rizikov\u00fdm faktorem je n\u011bjak\u00e1 neuroinfekce. Nap\u0159\u00edklad tady u sle\u010dny meningitida. Z\u00e1le\u017e\u00ed samoz\u0159ejm\u011b, jak ta epilepsie je kompenzovan\u00e1, jak\u00e9\u00a0<strong>l\u00e9ky<\/strong>\u00a0se u\u017e\u00edvaj\u00ed, ale v z\u00e1sad\u011b tr\u00e1ven\u00ed na po\u010d\u00edta\u010di, fotostimulace, kter\u00e1 je s t\u00edm spojen\u00e1, t\u0159eba s hran\u00edm her nebo nevysp\u00e1n\u00ed, m\u016f\u017ee b\u00fdt rizikov\u00fdm faktorem. Ale pokud nem\u00e1te jasn\u011b vypozorovan\u00e9, \u017ee doch\u00e1z\u00ed k zhor\u0161en\u00ed frekvence epileptick\u00e9ho z\u00e1chvatu v n\u00e1vaznosti na tuhle \u010dinnost, tak rizikov\u00fdm faktorem jako takov\u00fdm b\u00fdt nemus\u00ed.<br \/><br \/>Ji\u0159\u00ed Holoubek, moder\u00e1tor<br \/>A kdy\u017e bychom se zastavili, plynule nav\u00e1zali \u00fa\u010dinnost\u00ed jin\u00fdch, kter\u00e9 by rizikov\u00fdmi faktory b\u00fdt mohly. Dejme tomu, sportov\u00e1n\u00ed nebo pit\u00ed alkoholu. Je n\u011bco takov\u00e9ho, \u010deho by se takov\u00ed lid\u00e9 m\u011bli vyvarovat, anebo k tomu p\u0159istupovat opravdu st\u0159\u00eddm\u011b?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>V z\u00e1sad\u011b u ka\u017ed\u00e9ho pacienta postupujeme velmi individu\u00e1ln\u011b. To znamen\u00e1 p\u0159ed t\u00edm, ne\u017e bychom zahajovali l\u00e9\u010dbu antiepileptickou medikac\u00ed, se sna\u017e\u00edme pr\u00e1v\u011b vytipovat rizikov\u00e9 faktory, kter\u00e9 rozvoji epileptick\u00e9ho z\u00e1chvatu p\u0159edch\u00e1z\u00ed. Jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch je sp\u00e1nkov\u00e1 deprivace. V p\u0159\u00edpad\u011b t\u011bchto pacient\u016f samoz\u0159ejm\u011b nedoporu\u010dujeme pr\u00e1ci na sm\u011bnn\u00fd provoz. Nedoporu\u010dujeme n\u011bjak\u00e9 cestov\u00e1n\u00ed v noci autem do Chorvatska, proto\u017ee to riziko rapidn\u011b stoup\u00e1. Nicm\u00e9n\u011b jedn\u00edm z nejrizikov\u011bj\u0161\u00edch faktor\u016f je alkohol. Na druhou stranu v p\u0159\u00edpad\u011b, \u017ee m\u00e1te epilepsii, kter\u00e1 je dob\u0159e kompenzovan\u00e1, u\u017e\u00edv\u00e1te pravideln\u011b\u00a0<strong>l\u00e9ky<\/strong>. Tak to, \u017ee si dop\u0159ejete skleni\u010dku v\u00edna, tak nen\u00ed samo o sob\u011b n\u011bjak\u00fdm velk\u00fdm, velk\u00fdm probl\u00e9mem.<br \/><br \/>\u0160\u00e1rka Volemanov\u00e1, moder\u00e1torka<br \/>Pane doktore, kdy vlastn\u011b nav\u0161t\u00edvit l\u00e9ka\u0159e a vyhledat n\u011bjakou pomoc, jak vypadaj\u00ed takov\u00e9 prvn\u00ed p\u0159\u00edznaky nebo prvn\u00ed sign\u00e1ly toho, \u017ee bysme mohli m\u00edt tu z\u00e1t\u011b\u017e v podob\u011b epilepsie?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>Tak jist\u011b l\u00e9ka\u0159skou pomoc bych vyhledal v p\u0159\u00edpad\u011b, pokud se objev\u00ed epileptick\u00fd z\u00e1chvat v\u016fbec poprv\u00e9 v \u017eivot\u011b. M\u016f\u017ee b\u00fdt toti\u017e, samotn\u00fd epileptick\u00fd z\u00e1chvat je pouze p\u0159\u00edznakem, symptomem a nemus\u00ed je\u0161t\u011b znamenat, \u017ee se u dan\u00e9ho \u010dlov\u011bka rozvine epilepsie. M\u016f\u017ee b\u00fdt ale p\u0159\u00edznakem pr\u00e1v\u011b mozkov\u00e9 mrtvice, m\u016f\u017ee b\u00fdt p\u0159\u00edznakem toho, \u017ee m\u00e1 ten doty\u010dn\u00fd tumor na mozku. V takov\u00e9m p\u0159\u00edpad\u011b ur\u010dit\u011b vyhledla neprodlen\u011b, v\u011bt\u0161inou klidn\u011b z\u00e1chrannou slu\u017ebou, l\u00e9ka\u0159sk\u00e9 o\u0161et\u0159en\u00ed v\u00a0<strong>nemocnici<\/strong>. A pak samoz\u0159ejm\u011b postupujeme dle doporu\u010den\u00ed z t\u011bch urgentn\u00edch p\u0159\u00edjm\u016f nebo od neurolog\u016f, a\u0165 u\u017e dispenzarizace teda ambulantn\u00edm neurologem nebo pak specialistou.<br \/><br \/>Ji\u0159\u00ed Holoubek, moder\u00e1tor<br \/>Je tady jeden stru\u010dn\u00fd esemeskov\u00fd dotaz na dal\u0161\u00ed z t\u011bch aktivit, a to sice l\u00e9t\u00e1n\u00ed letadlem. Je to probl\u00e9m pro \u010dlov\u011bka s epilepsi\u00ed?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>Pokud to letadlo nepilotujete, co\u017e m\u00e1 svoje specifick\u00e9, specifick\u00e9 doporu\u010den\u00ed a specifick\u00e1 pravidla. Tak samotn\u00e9 cestov\u00e1n\u00ed rizikov\u00fdm faktorem nen\u00ed. Pouze v p\u0159\u00edpad\u011b, samoz\u0159ejm\u011b mus\u00edme to n\u011bjak\u00fdm zp\u016fsobem spolu konzultovat, aby se ten \u010dlov\u011bk t\u0159eba vzal n\u011bjakou z\u00e1chrannou medikaci, pokud cestuje nap\u0159\u00ed\u010d jako \u010dasov\u00fdmi p\u00e1smy. Tak op\u011bt v d\u016fsledku nevysp\u00e1n\u00ed, jetlegu, roste riziko toho, \u017ee by ten epileptick\u00fd z\u00e1chvat mohl, mohl p\u0159ij\u00edt.<br \/><br \/>\u0160\u00e1rka Volemanov\u00e1, moder\u00e1torka<br \/>A je\u0161t\u011b jeden dotaz od n\u011bkoho z na\u0161ich poslucha\u010d\u016f. Dobr\u00fd den, pane doktore, cht\u011bla bych se zeptat. Mu\u017e trp\u00ed asi dva roky nekontrolovateln\u00fdmi z\u00e1\u0161kuby prav\u00e9 ruky a n\u011bkdy i samovoln\u00fdm v\u00fdkopem prav\u00e9 nohy. Mohlo by j\u00edt o epilepsii. A mysl\u00edte si, \u017ee se bude jeho stav zhor\u0161ovat? Pt\u00e1 se na\u0161e poslucha\u010dka.<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>P\u0159edem ur\u010dit\u011b nemohu \u0159\u00edct, jestli se stav bude zhor\u0161ovat. Nicm\u00e9n\u011b dle tohohle kr\u00e1tk\u00e9ho sd\u011blen\u00ed bud\u00ed samoz\u0159ejm\u011b podez\u0159en\u00ed, \u017ee se jedn\u00e1 o epilepsii. Tak\u017ee ur\u010dit\u011b, a\u0165 u\u017e p\u0159es praktick\u00e9ho l\u00e9ka\u0159e nebo p\u0159\u00edmo na n\u011bjakou neurologickou ambulanci se objednat. V p\u0159\u00edpad\u011b, \u017ee ten stav je dramatick\u00fd, tak ur\u010dit\u011b nebude na \u0161kodu si klidn\u011b zavolat z\u00e1chrannou slu\u017ebu, aby se ta situace n\u011bjak\u00fdm zp\u016fsobem \u0159e\u0161ila neprodlen\u011b.<br \/><br \/>Ji\u0159\u00ed Holoubek, moder\u00e1tor<br \/>m\u011b je\u0161t\u011b zaj\u00edm\u00e1, pane doktore, jak se m\u00e1me zachovat? Jsme-li sv\u011bdky z\u00e1chvatu epileptick\u00e9ho? Co m\u00e1me d\u011blat, jak m\u016f\u017eeme pomoct?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>Pom\u016f\u017eete zejm\u00e9na t\u00edm, \u017ee doty\u010dn\u00e9mu v p\u0159\u00edpad\u011b, \u017ee se jedn\u00e1 o takov\u00fd ten typick\u00fd, co ve ve\u0159ejnosti v\u0161ichni zn\u00e1me, s poruchou v\u011bdom\u00ed, s p\u00e1dem, s k\u0159e\u010demi kon\u010detin. Z\u00e1kladem je, aby se doty\u010dn\u00fd neporanil. To znamen\u00e1, pokud m\u00e1 v bl\u00edzkosti n\u011bjak\u00e9 p\u0159edm\u011bty, kter\u00e9 by v d\u016fsledku nekontrolovateln\u00fdch z\u00e1\u0161kub\u016f mohly znamenat dal\u0161\u00ed poran\u011bn\u00ed \u010dlov\u011bka, tak tomuhle zamezit. V p\u0159\u00edpad\u011b, \u017ee doch\u00e1z\u00ed k \u00fader\u016fm hlavy o zem, tak mu tam d\u00e1 t\u0159eba n\u011bjakou bundu na to, aby nedo\u0161lo k poran\u011bn\u00ed. V z\u00e1sad\u011b nen\u00ed ve va\u0161ich sil\u00e1ch jakkoliv mechanicky zabr\u00e1nit nebo zkr\u00e1tit d\u00e9lku trv\u00e1n\u00ed t\u011bch z\u00e1chvat\u016f. V p\u0159\u00edpad\u011b, \u017ee se jedn\u00e1 o l\u00e9\u010den\u00e9ho epileptika, takov\u00fd \u010dlov\u011bk m\u00e1 u sebe n\u011bjak\u00e9, n\u011bjak\u00fd pap\u00edrek s t\u00edm, \u017ee t\u0159eba epileptikem je. M\u00e1 u sebe n\u011bjakou z\u00e1chrannou medikaci, tak pak postupovat podle toho.<br \/><br \/>poslucha\u010dka<br \/>Dobr\u00fd, j\u00e1 bych se cht\u011bla zeptat, man\u017eel ro\u010dn\u00edk 50, m\u00e1 od 18 let t\u011b\u017ek\u00e9 epileptick\u00e9 z\u00e1chvaty. Jeho o t\u0159i roky mlad\u0161\u00ed bratr je m\u011bl od 18 let. Moje d\u011bti, syn a dcera, nemaj\u00ed tyto probl\u00e9my. A syn trp\u00ed na migr\u00e9ny. Jestli to m\u016f\u017ee m\u00edt n\u011bjakou souvislost, tak\u017ee jednak d\u011bdi\u010dnost a jednak tahle souvislost.<br \/><br \/>\u0160\u00e1rka Volemanov\u00e1, moder\u00e1torka<br \/>Ano, d\u011bkujeme, nebylo ide\u00e1ln\u00ed spojen\u00ed. Tak mo\u017en\u00e1 jen, \u017ee je tam n\u011bjak\u00e1 genetick\u00e1 z\u00e1t\u011b\u017e. Ale d\u011bti jsou odpro\u0161t\u011bny od genetick\u00e9 z\u00e1t\u011b\u017ei v podob\u011b epilepsie, ale trp\u00ed migr\u00e9nami, tak\u017ee to byly dv\u011b ot\u00e1zky na\u0161\u00ed poslucha\u010dky.<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>Ano, ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je epilepsie sporadick\u00e9 onemocn\u011bn\u00ed. To znamen\u00e1, vyskytuje se u konkr\u00e9tn\u00edho jedince a nem\u00e1 v\u011bt\u0161\u00ed riziko n\u011bjak\u00e9 d\u011bdi\u010dnosti. Nicm\u00e9n\u011b vzhledem k tomu, \u017ee se opravdu jedn\u00e1 o \u0161irokou heterogenn\u00ed skupinu onemocn\u011bn\u00ed, tak jsou i monogenn\u011b v\u00e1zan\u00e9 epileptick\u00e9 syndromy, epilepsie na z\u00e1klad\u011b t\u0159eba rodinn\u00e9ho v\u00fdskytu n\u00e1dor\u016f \u010di jin\u00fdch l\u00e9z\u00ed, kter\u00e9 mohou tu epilepsii spou\u0161t\u011bt. Nicm\u00e9n\u011b v\u016fbec nej\u010dast\u011bj\u0161\u00ed a takzvan\u00e1 genetick\u00e1 generalizovan\u00e1 epilepsie. Z t\u011bch geneticky podm\u00edn\u011bn\u00fdch, kde je pom\u011brn\u011b jasn\u00e1 vazba, dejme tomu s rizikem 10-15 % pro tu dal\u0161\u00ed populaci, \u017ee se epilepsie u dal\u0161\u00edho jedince vyvine. Op\u011bt nezn\u00e1m tento konkr\u00e9tn\u00ed p\u0159\u00edpad, ale genetick\u00e1 epilepsie existuje.<br \/><br \/>moder\u00e1tor<br \/>Vy jste p\u0159ed chv\u00edl\u00ed, ano, chcete je\u0161t\u011b n\u011bco dodat?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>A cht\u011bl jsem je\u0161t\u011b dodat k tomu druh\u00e9mu dotazu, jestli je vazba mezi migr\u00e9nou a epilepsi\u00ed. Ur\u010dit\u00e9 situace tomu nasv\u011bd\u010duj\u00ed. Nicm\u00e9n\u011b vzhledem k po\u010dtu migr\u00e9nik\u016f v \u010cesk\u00e9 republice nevid\u00edme p\u0159\u00edli\u0161 velk\u00e9 riziko u nich s rozvojem epilepsie.<br \/><br \/>Ji\u0159\u00ed Holoubek, moder\u00e1tor<br \/>Mluvil jste p\u0159ed chv\u00edl\u00ed o t\u00e9 medikaci ve druh\u00e9 \u010d\u00e1sti Poradny. Jak se epilepsie l\u00e9\u010d\u00ed, jak to prob\u00edh\u00e1, lze se j\u00ed zbavit?<br \/><br \/>Petr F\u00c1BERA, l\u00e9ka\u0159<br \/>Epilepsie se v, \u0159ekn\u011bme, 80 % p\u0159\u00edpad\u016f l\u00e9\u010d\u00ed zejm\u00e9na pomoc\u00ed antiepileptick\u00e9 medikace, co\u017e je specifick\u00e1 terapie na r\u016fzn\u00fdch podkladech, tedy pomoc\u00ed teda n\u011bjak\u00fdch\u00a0<strong>l\u00e9k\u016f<\/strong>, kter\u00e9 m\u00e1me k dispozici. Na\u0161t\u011bst\u00ed n\u00e1m st\u00e1le p\u0159ib\u00fdvaj\u00ed. Bohu\u017eel ve 30 % p\u0159\u00edpad\u016f ta epilepsie nen\u00ed dostate\u010dn\u011b dob\u0159e kompenzovan\u00e1. Nedoch\u00e1z\u00ed k rapidn\u00edmu sn\u00ed\u017een\u00ed po\u010dtu z\u00e1chvat\u016f. V takov\u00e9m p\u0159\u00edpad\u011b v r\u00e1mci specializovan\u00fdch center konzultujeme, jestli se nehod\u00ed dan\u00fd jedinec k epileptochirurgick\u00e9mu z\u00e1kroku. To znamen\u00e1 odstran\u011bn\u00ed lo\u017eiska, vzniku z\u00e1chvat\u016f opera\u010dn\u00edm z\u00e1krokem. Pomoc\u00ed nap\u0159\u00edklad i stimul\u00e1tor\u016f a magnetoterapie a tak d\u00e1le. Tak\u017ee existuje cel\u00e1 \u0161k\u00e1la mo\u017enosti l\u00e9\u010dby.<br \/><br \/>moder\u00e1torka<br \/>D\u011bkujeme a touhle dobrou zpr\u00e1vou skon\u010d\u00edme. D\u011bkujeme za n\u00e1v\u0161t\u011bvu, pan Dr. Petr Fabera spole\u010dn\u011b s n\u00e1mi v Poradn\u011b na vln\u00e1ch Dvojky. <\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Ve studiu Dvojky \u010cRo p\u0159iv\u00edtali l\u00e9ka\u0159e, a to neurologa a epileptologa a v\u011bnovali se epilepsii, je\u017e je \u010dtvrtou nej\u010dast\u011bj\u0161\u00ed neurologickou poruchou na sv\u011bt\u011b. Budeme hovo\u0159it <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=41560\" title=\"Poradna: epilepsie\u00a0\u00a0\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15379,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-41560","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\/41560","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=41560"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41560\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15379"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41560"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41560"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41560"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}