{"id":41856,"date":"2023-09-05T08:04:05","date_gmt":"2023-09-05T06:04:05","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=41856"},"modified":"2023-09-05T13:39:11","modified_gmt":"2023-09-05T11:39:11","slug":"kazdy-by-mel-mit-intenzivni-rehabilitaci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=41856","title":{"rendered":"Ka\u017ed\u00fd by m\u011bl m\u00edt intenzivn\u00ed rehabilitaci"},"content":{"rendered":"\n

\u201eKa\u017ed\u00fd pacient po z\u00edskan\u00e9m po\u0161kozen\u00ed mozku, bez ohledu na z\u00e1va\u017enost jeho poruchy, by m\u011bl dostat \u0161anci na intenzivn\u00ed rehabilitaci,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Yvona Angerov\u00e1,<\/strong> p\u0159ednostka Kliniky rehabilita\u010dn\u00edho l\u00e9ka\u0159stv\u00ed 1. LF UK a VFN v\u00a0Praze, a dod\u00e1v\u00e1: \u201eV praxi se setk\u00e1v\u00e1me s \u0159adou nemocn\u00fdch, kter\u00fdm bylo v akutn\u00ed f\u00e1zi p\u00e9\u010de \u0159e\u010deno, \u017ee jejich poran\u011bn\u00ed nen\u00ed slu\u010diteln\u00e9 s alespo\u0148 minim\u00e1ln\u00ed kvalitou \u017eivota, a p\u0159esto se u nich po roce \u010di dvou poda\u0159ilo pr\u00e1v\u011b d\u00edky intenzivn\u00edmu rehabilita\u010dn\u00edmu programu dos\u00e1hnout zna\u010dn\u00e9ho pokroku a st\u00e1le je u nich na \u010dem pracovat. D\u016fle\u017eit\u00e9 je v\u017edy sledovat dynamiku funk\u010dn\u00edho stavu pacienta a jeho spolupr\u00e1ci. Pokud doch\u00e1z\u00ed k dlouhodob\u00e9mu zlep\u0161ov\u00e1n\u00ed, pak je nepochybn\u011b vhodn\u00e9 v rehabilitaci pokra\u010dovat t\u0159eba i \u0159adu dal\u0161\u00edch let. Jestli\u017ee po dobu n\u011bkolika m\u011bs\u00edc\u016f i p\u0159es aktivn\u00ed spolupr\u00e1ci u\u017e k \u017e\u00e1dn\u00fdm zm\u011bn\u00e1m nedoch\u00e1z\u00ed a nejsou p\u0159\u00edtomny jin\u00e9 vysv\u011btluj\u00edc\u00ed komplikace, pak je pravd\u011bpodobn\u011b nutn\u00e9 sm\u00ed\u0159it se s t\u00edm, \u017ee dal\u0161\u00ed intenzivn\u00ed rehabilita\u010dn\u00ed l\u00e9\u010dba velk\u00fd efekt nep\u0159inese.<\/em><\/p>\n\n\n\n

T\u00ed\u017eiv\u00fd dopad maj\u00ed na posti\u017een\u00e9ho \u010dlov\u011bka tak\u00e9 psychick\u00e9 n\u00e1sledky. Mnohdy dojde k v\u00fdrazn\u00e9 zm\u011bn\u011b osobnosti, emo\u010dn\u00ed nestabilit\u011b, apatii, fobi\u00edm a z\u00e1va\u017en\u00fdm depresivn\u00edm stav\u016fm. Psychika m\u00e1 na pr\u016fb\u011bh n\u00e1ro\u010dn\u00e9 l\u00e9\u010dby podstatn\u00fd vliv. Pro velkou \u010d\u00e1st pacient\u016f se u\u017e\u00edv\u00e1n\u00ed vhodn\u00fdch antidepresiv st\u00e1v\u00e1 ned\u00edlnou sou\u010d\u00e1sti jejich medikace. Je velmi obt\u00ed\u017en\u00e9 psychicky zvl\u00e1dnout extr\u00e9mn\u00ed z\u00e1t\u011b\u017e spojenou se z\u00e1sadn\u00edm omezen\u00edm dosavadn\u00ed kvality \u017eivota v oblasti z\u00e1kladn\u00ed sebeobsluhy, rodinn\u00fdch vztah\u016f i n\u00e1vratu do zam\u011bstn\u00e1n\u00ed. Znovunalezen\u00ed sv\u00e9ho m\u00edsta ve spole\u010dnosti a chuti do \u017eivota je b\u011bhem na dlouhou tra\u0165.<\/p>\n\n\n\n

\u201eNapomoci zlep\u0161en\u00ed tohoto stavu by mohly pacientsk\u00e9 organizace, jakou je i sdru\u017een\u00ed Cerebrum. Jejich smyslem by toti\u017e nem\u011blo b\u00fdt suplovat pr\u00e1ci zdravotnick\u00e9ho sektoru, ale ve spolupr\u00e1ci se zdravotnick\u00fdmi profesion\u00e1ly upozor\u0148ovat na nenapln\u011bn\u00e9 pot\u0159eby a mezery v p\u00e9\u010di o pacienty se z\u00edskan\u00fdm po\u0161kozen\u00edm mozku \u2013 a\u0165 u\u017e na \u00farovni odborn\u00fdch spole\u010dnost\u00ed, pl\u00e1tc\u016f zdravotn\u00ed p\u00e9\u010de nebo z\u00e1konod\u00e1rc\u016f,\u201c <\/em>p\u0159ipom\u00edn\u00e1doc. MUDr. Yvona Angerov\u00e1.<\/strong><\/p>\n\n\n\n

\u201ePacientsk\u00e9 organizace by z\u00e1rove\u0148 m\u011bly p\u016fsobit osv\u011btov\u011b a motiva\u010dn\u011b. M\u011bly by edukovat pacienty i jejich rodinn\u00e9 p\u0159\u00edslu\u0161n\u00edky nejen o tom, co jim m\u016f\u017ee sou\u010dasn\u00e1 medic\u00edna nab\u00eddnout z hlediska l\u00e9\u010debn\u00e9ho, ale tak\u00e9 o tom, na co maj\u00ed podle platn\u00e9 tuzemsk\u00e9 legislativy n\u00e1rok z hlediska soci\u00e1ln\u011b-ekonomick\u00e9ho. V t\u00e9to souvislosti je t\u0159eba podotknout, \u017ee v \u010cR doposud neexistuje z\u00e1kon o rehabilitaci, kter\u00fd by adekv\u00e1tn\u00ed rehabilita\u010dn\u00ed p\u00e9\u010di definoval. Do budoucna se jako d\u016fle\u017eit\u00e1 jev\u00ed i spolupr\u00e1ce se zam\u011bstnavateli a jejich edukace o tom, aby se pro sv\u00e9 zam\u011bstnance po z\u00edskan\u00e9m po\u0161kozen\u00ed mozku pokusili vytv\u00e1\u0159et vhodn\u00e1 pracovn\u00ed m\u00edsta a umo\u017enili jim n\u00e1vrat do profesn\u00edho \u017eivota, pokud je to mo\u017en\u00e9.\u201c<\/em><\/p>\n\n\n\n

Sou\u010dasn\u00fd syst\u00e9m dlouhodob\u00e9 p\u00e9\u010de o osoby po po\u0161kozen\u00ed mozku je rozt\u0159\u00ed\u0161t\u011bn\u00fd. Nav\u00edc pokud se rodina rozhodne o sv\u00e9ho posti\u017een\u00e9ho \u010dlena pe\u010dovat sama, poskytnut\u00e1 podpora nebo asistence je t\u00e9m\u011b\u0159 nulov\u00e1, a postupn\u011b tak doch\u00e1z\u00ed k naprost\u00e9mu vy\u010derp\u00e1n\u00ed a mnohdy i rozpadu rodiny. Odhaduje se, \u017ee ro\u010dn\u011b m\u016f\u017ee b\u00fdt takto (p\u0159\u00edmo i nep\u0159\u00edmo) zasa\u017eeno a\u017e 120 000 osob \u2013 vych\u00e1z\u00edme-li z po\u010dtu 30 000 osob se z\u00edskan\u00fdm po\u0161kozen\u00edm mozku ro\u010dn\u011b n\u00e1soben\u00e9ho 3\u20134 \u010dleny jejich nejbli\u017e\u0161\u00ed rodiny.<\/p>\n\n\n\n

<\/p>\n\n\n\n

P\u0159e\u017eiv\u0161\u00ed po CMP a po \u00farazech mozku p\u0159itom mohou m\u00edt \u0161irokou \u0161k\u00e1lu negativn\u00edch fyzick\u00fdch a du\u0161evn\u00edch n\u00e1sledk\u016f, kter\u00e9 jsou dlouhodob\u00e9, nap\u0159. probl\u00e9my s mobilitou, zrakem, \u0159e\u010d\u00ed a pam\u011bt\u00ed, zm\u011bny osobnosti, kognitivn\u00ed poruchy, \u00fanavu a deprese. N\u00e1sledky CMP ovliv\u0148uj\u00ed schopnost pacient\u016f vykon\u00e1vat ka\u017edodenn\u00ed \u010dinnosti v dom\u00e1c\u00edm prost\u0159ed\u00ed a \u00fa\u010dastnit se spole\u010densk\u00e9ho \u017eivota.<\/p>\n\n\n\n

Kl\u00ed\u010dovou pro dal\u0161\u00ed osud pacient\u016f se z\u00edskan\u00fdm po\u0161kozen\u00edm mozku, pro zachov\u00e1n\u00ed jejich sob\u011bsta\u010dnosti, sebeobslu\u017enosti a mnohdy i pr\u00e1ceschopnosti, je p\u0159itom \u010dasn\u00e1 rehabilitace a dostupnost dal\u0161\u00edch komplexn\u00edch zdravotn\u00edch slu\u017eeb. V p\u0159\u00edpad\u011b, \u017ee p\u00e9\u010de o nemocn\u00e9ho \u010dlena rodiny vy\u017eaduje dlouhodobou dom\u00e1c\u00ed p\u00e9\u010di, pop\u0159. pokud je z\u00edskan\u00fdm po\u0161kozen\u00edm mozku posti\u017een p\u0159\u00edmo \u017eivitel rodiny, je nezbytn\u00e9 zaji\u0161t\u011bn\u00ed i adekv\u00e1tn\u00edch soci\u00e1ln\u00edch slu\u017eeb a finan\u010dn\u00ed podpory. K tomu v\u0161emu je ale t\u0159eba dob\u0159e nastavit syst\u00e9m, kter\u00fd v t\u00e9to oblasti doposud sp\u00ed\u0161e selh\u00e1v\u00e1.<\/p>\n\n\n\n

CEREBRUM \u2013 Asociace osob po z\u00edskan\u00e9m po\u0161kozen\u00ed mozku, z. s.<\/strong>, je unik\u00e1tn\u00edm poskytovatelem slu\u017eeb a pomoci osob\u00e1m po z\u00edskan\u00e9m po\u0161kozen\u00ed mozku a jejich rodin\u00e1m. \u201eSmyslem na\u0161ich aktivit je jednak samotn\u00e1 podpora osob s poran\u011bn\u00edm mozku v podob\u011b rehabilitac\u00ed, ergoterapie, fyzioterapie aj., d\u00e1le tak\u00e9 pomoc v r\u00e1mci rozvoje kognitivn\u00edch funkc\u00ed, logopedick\u00e9 konzultace a v p\u0159\u00edpad\u011b pot\u0159eby i psychologick\u00e9 intervence,\u201c <\/em>\u0159\u00edk\u00e1 Ing. Viktor H\u00e1je<\/strong>k, \u0159editel asociace CEREBRUM.<\/em><\/p>\n\n\n\n

Dal\u0161\u00edm nosn\u00fdm pil\u00ed\u0159em aktivit CEREBRA je edukace a podpora neform\u00e1ln\u00edch pe\u010duj\u00edc\u00edch, tedy osob, na kter\u00fdch \u010dasto le\u017e\u00ed velk\u00e9 b\u0159\u00edm\u011b v podob\u011b p\u00e9\u010de o bl\u00edzk\u00e9 osoby po poran\u011bn\u00ed mozku. V tomto smyslu se asociace sna\u017e\u00ed i o osv\u011btov\u00e9 kampan\u011b, kter\u00e9 maj\u00ed za c\u00edl p\u0159edej\u00edt poran\u011bn\u00ed mozku.<\/p>\n\n\n\n

\u201eV leto\u0161n\u00edm roce se n\u00e1m poda\u0159ilo z\u00edskat podporu z Fond\u016f EHP \u2013 Norsk\u00e9 fondy na aktivitu, kterou jsme v projektu nazvali MP3.<\/strong> Tedy \u201aMozek: prevence – pomoc – p\u00e9\u010de\u2018<\/strong>. V r\u00e1mci t\u00e9to osv\u011btov\u00e9 kampan\u011b c\u00edl\u00edme na ekonomicky aktivn\u00ed generaci a sna\u017e\u00edme se upozornit na rizika onemocn\u011bn\u00ed mozku v\u010detn\u011b dopad\u016f na soukrom\u00fd \u017eivot. Nedostate\u010dn\u00e1 informovanost v prim\u00e1rn\u00ed prevenci, kter\u00e1 byla v letech 2020\u20132021 v\u00fdrazn\u011b omezena restrikcemi v souvislosti s pandemi\u00ed koronaviru, je spojena i s nedostate\u010dnou znalost\u00ed p\u0159\u00edznak\u016f c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody a n\u011bkter\u00fdch (po)\u00farazov\u00fdch stav\u016f mozku,\u201c <\/em>p\u0159ipom\u00edn\u00e1 Ing. Viktor H\u00e1jek.<\/strong><\/p>\n\n\n\n

P\u0158\u00cd\u010cINY Z\u00cdSKAN\u00c9HO PO\u0160KOZEN\u00cd MOZKU V KOSTCE<\/strong><\/p>\n\n\n\n

C\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda<\/strong> se ud\u00e1v\u00e1 jako druh\u00e1 nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dina \u00famrt\u00ed ve vysp\u011bl\u00fdch zem\u00edch. V\u011bk posti\u017een\u00fdch CMP se rapidn\u011b sni\u017euje, \u010dasto a\u017e k v\u011bkov\u00e9 hranici dvaceti let. Jednou z p\u0159\u00ed\u010din je pravd\u011bpodobn\u011b zrychluj\u00edc\u00ed se \u017eivotn\u00ed tempo a nadm\u011brn\u00fd stres.<\/p>\n\n\n\n

<\/a>Podle statistik v \u010cR postihne CMP cca 30 000 lid\u00ed ro\u010dn\u011b \u2013 zhruba t\u0159etina jich bohu\u017eel zem\u0159e b\u011bhem n\u011bkolika dn\u016f, cca 35 tis\u00edc m\u00e1 trval\u00e9 posti\u017een\u00ed. \u010cast\u00fdm n\u00e1sledkem b\u00fdv\u00e1 trval\u00e1 invalidita, nap\u0159. naru\u0161en\u00ed schopnosti h\u00fdbat jednou polovinou t\u011bla, porucha tvorby \u0159e\u010di, zhor\u0161en\u00ed zraku anebo poruchy pam\u011bti. Pokud se v\u0161ak \u010dlov\u011bku zasa\u017een\u00e9mu akutn\u00ed CMP dostane v\u010dasn\u00e9 pomoci, m\u016f\u017ee vyv\u00e1znout bez jak\u00fdchkoliv n\u00e1sledk\u016f, nebo jen s lehk\u00fdm posti\u017een\u00edm (nap\u0159. m\u00edrn\u00e9 oslaben\u00ed kon\u010detin).<\/p>\n\n\n\n

CMP lze p\u0159edch\u00e1zet kontrolou rizikov\u00fdch faktor\u016f, p\u0159edev\u0161\u00edm \u00fapravou vysok\u00e9ho krevn\u00edho tlaku a sni\u017eov\u00e1n\u00edm hladiny cholesterolu. Z\u00e1kladem je nepodce\u0148ovat pravideln\u00e9 preventivn\u00ed prohl\u00eddky u praktick\u00e9ho l\u00e9ka\u0159e.<\/p>\n\n\n\n

\u00darazy hlavy<\/strong> jsou druh\u00fdm nej\u010dast\u011bj\u0161\u00edm posti\u017een\u00edm centr\u00e1ln\u00ed nervov\u00e9 soustavy hned po cerebrovaskul\u00e1rn\u00edch onemocn\u011bn\u00edch (v\u010detn\u011b CMP). Na vin\u011b jsou zejm\u00e9na dopravn\u00ed nehody, n\u00e1siln\u00e9 \u010diny, p\u00e1dy a st\u00e1le v\u00edce i rekrea\u010dn\u00ed a adrenalinov\u00e9 sporty. Tyto \u00farazy maj\u00ed na sv\u011bdom\u00ed a\u017e t\u0159etinu n\u00e1hl\u00fdch \u00famrt\u00ed ve v\u0161ech v\u011bkov\u00fdch skupin\u00e1ch, v d\u011btsk\u00e9m v\u011bku jsou v\u016fbec nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed.  Pro zdravotn\u00ed a soci\u00e1ln\u00ed syst\u00e9m p\u0159edstavuj\u00ed \u00farazy mozku obvykle vysokou finan\u010dn\u00ed z\u00e1t\u011b\u017e nejen proto, \u017ee l\u00e9\u010dba je drah\u00e1, ale tak\u00e9 proto, \u017ee poran\u011bny b\u00fdvaj\u00ed mnohdy osoby v produktivn\u00edm v\u011bku, u nich\u017e \u00faraz znamen\u00e1 dlouhodobou pracovn\u00ed neschopnost.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u201eKa\u017ed\u00fd pacient po z\u00edskan\u00e9m po\u0161kozen\u00ed mozku, bez ohledu na z\u00e1va\u017enost jeho poruchy, by m\u011bl dostat \u0161anci na intenzivn\u00ed rehabilitaci,\u201c \u0159\u00edk\u00e1 MUDr. Yvona Angerov\u00e1, p\u0159ednostka Kliniky […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29846,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-41856","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\/41856","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=41856"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41856\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29846"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41856"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41856"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}