T\u00e9matem dne\u0161n\u00ed l\u00e9ka\u0159sk\u00e9 poradny jsou pop\u00e1leniny a opa\u0159eniny. Odborn\u00edkem ve studiu \u010cRo – Plze\u0148 je chirurg Ivan \u0158\u00edha z plze\u0148sk\u00e9 Fakultn\u00ed nemocnice. <\/p>\n\n\n\n
\u010cRo – Plze\u0148 T\u00e9matem dne\u0161n\u00ed l\u00e9ka\u0159sk\u00e9 poradny jsou pop\u00e1leniny a opa\u0159eniny. Odborn\u00edkem ve studiu \u010cRo – Plze\u0148 je chirurg Ivan \u0158\u00edha z plze\u0148sk\u00e9 Fakultn\u00ed nemocnice. \u010cRo – Plze\u0148 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14098,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42479","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\/42479","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=42479"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42479\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14098"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
z\u00e1kladn\u00ed pou\u010dka plat\u00ed, pokud je to mal\u00fd fl\u00ed\u010dek, \u0159ekn\u011bme, do velikosti dlan\u011b pouze zarudl\u00fd, tak to ur\u010dit\u011b pacient zvl\u00e1dne doma s\u00e1m. Pokud se objev\u00ed puch\u00fd\u0159e nebo rozsah pop\u00e1len\u00ed je v\u011bt\u0161\u00ed ne\u017e dv\u011b dlan\u011b v\u00edc, tak by m\u011bl nav\u0161t\u00edvit l\u00e9ka\u0159e.
mluv\u010d\u00ed 1,
——————–
Jak\u00e9 komplikace hroz\u00ed, pokud bychom tu pop\u00e1leninu nedostate\u010dn\u011b o\u0161et\u0159ili, dejme tomu, neobr\u00e1tili se na toho l\u00e9ka\u0159e, kdy\u017e bychom vlastn\u011b m\u011bli.
mluv\u010d\u00ed 2,
——————–
Asi ty nejv\u011bt\u0161\u00ed komplikace jsou v \u0159\u00e1du t\u00fddn\u016f po takov\u00e9m termick\u00e9m indrultu, a to je vznik jizev, t\u00fdk\u00e1 se to samoz\u0159ejm\u011b t\u011bch hlub\u0161\u00edch pop\u00e1lenin, kter\u00e9 v\u011bt\u0161inou pacient nenech\u00e1 na dom\u00e1c\u00ed l\u00e9\u010den\u00ed, proto\u017ee samoz\u0159ejm\u011b bolest a projevy klinick\u00e9 na k\u016f\u017ei ho v\u011bt\u0161inou dovedou do nemocnice, tak\u017ee t\u011bchto p\u0159\u00edpad\u016f zanedb\u00e1n\u00ed je na\u0161t\u011bst\u00ed velmi m\u00e1lo, ale komplikac\u00ed obecn\u011b hroz\u00ed infekce, pokud se r\u00e1ny neo\u0161et\u0159uj\u00ed p\u0159\u00edsn\u011b asepticky v l\u00e9ka\u0159sk\u00e9m prost\u0159ed\u00ed a velk\u00e9 jizvy, kter\u00e9 mohou m\u00edt samoz\u0159ejm\u011b negativn\u00ed kosmetick\u00fd efekt.
mluv\u010d\u00ed 1,
——————–
P\u0159i\u0161el n\u00e1m dotaz, jak o\u0161et\u0159it pop\u00e1leninu od bol\u0161evn\u00edku.
mluv\u010d\u00ed 2,
——————–
Mus\u00edm \u0159\u00edct, \u017ee na\u0161t\u011bst\u00ed z praktick\u00e9ho hlediska se s t\u00edm prakticky nesetk\u00e1v\u00e1me. Byla to doba d\u0159\u00edv\u011bj\u0161\u00ed, kdy bol\u0161evn\u00edku bylo opravdu hodn\u011b, zejm\u00e9na v oblasti Mari\u00e1nsk\u00fdch L\u00e1zn\u00ed a podobn\u011b, ale prvn\u00ed pomoc je p\u0159eru\u0161it, chladit vodou a v takov\u00e9m p\u0159\u00edpad\u011b, proto\u017ee v naprost\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f se jednalo o pop\u00e1leniny prvn\u00edho stupn\u011b. Sta\u010d\u00ed nat\u0159\u00edt\u00a0posti\u017een\u00e9<\/strong>\u00a0m\u00edsto hojiv\u00fdmi mat\u011bmi. To znamen\u00e1, jak\u00e9koliv l\u00e1tky s \u00fa\u010dinnou l\u00e1tkou, pantinolem a podobn\u011b by m\u011bly v\u011bt\u0161inou pomoct.
mluv\u010d\u00ed 1,
——————–
Dal\u0161\u00ed dotaz, pros\u00edm pana doktora o radu, jak a \u010d\u00edm o\u0161et\u0159it a zahojit nehoj\u00edc\u00ed se ranku na k\u016f\u017ei. Sp\u00e1lila jsem si to p\u0159i p\u00e1du. St\u00e1le to mokv\u00e1, tak tomu se tak\u00e9 \u0159\u00edk\u00e1 sp\u00e1lenina, je to vlastn\u011b od\u0159enina.
mluv\u010d\u00ed 2,
——————–
Je to vlastn\u011b od\u0159enina, rozli\u0161ujeme potom od\u0159eniny, je to tro\u0161ku jin\u00e1 v\u011bc ne\u017e pop\u00e1leniny. Ka\u017edop\u00e1dn\u011b pokud se neda\u0159\u00ed takov\u00fd defekt zahojit, mysl\u00edm si, \u017ee by pacientka m\u011bla nav\u0161t\u00edvit l\u00e9ka\u0159e, proto\u017ee my nehodnot\u00edme jenom samotn\u00fd defekt, ale nap\u0159\u00edklad i celkov\u00fd stav pacienta, jestli pacient se nel\u00e9\u010d\u00ed s n\u011bjak\u00fdmi dal\u0161\u00edmi chorobami, nap\u0159\u00edklad pokud nem\u00e1 cukrovku, proto\u017ee v\u00edme, \u017ee ty tk\u00e1n\u011b se velmi \u0161patn\u011b hoj\u00ed u pacient\u016f, kte\u0159\u00ed maj\u00ed t\u0159eba cukrovku v n\u011bjak\u00e9m rozvinut\u00e9m stadiu a podobn\u011b, pokava\u010f nemaj\u00ed projevy nap\u0159\u00edklad chronick\u00e9 \u017eiln\u00ed insuficience, pokava\u010f jde o n\u011bjak\u00fd defekt na b\u00e9rc\u00edch nebo doln\u00edch kon\u010detin\u00e1ch. Obecn\u011b. A v\u00edme, \u017ee tyto faktory zhor\u0161uj\u00ed hojen\u00ed r\u00e1ny, proto pacient p\u0159ich\u00e1z\u00ed do ambulance l\u00e9ka\u0159e. My jsme zhodnotili, jestli pr\u00e1v\u011b tento defekt, pr\u00e1v\u011b tato choroba je l\u00e9\u010diteln\u00e1 nap\u0159\u00edklad pomoc\u00ed vlhk\u00e9ho hojen\u00ed ran a podobn\u011b, kter\u00e9 v\u011bt\u0161inou trv\u00e1 i n\u011bkolik t\u00fddn\u016f.
mluv\u010d\u00ed 1,
——————–
Zp\u00e1tky k pop\u00e1lenin\u00e1m jako takov\u00fdm. Co v\u0161echno zahrnuje sou\u010dasn\u00e1 l\u00e9\u010dba pop\u00e1lenin.
mluv\u010d\u00ed 2,
——————–
L\u00e9\u010debn\u00fdch modalit je samoz\u0159ejm\u011b cel\u00e1 \u0159ada, v naprost\u00e9 v\u011bt\u0161in\u011b, trouf\u00e1m si \u0159\u00edct, si vysta\u010d\u00edme s ambulantn\u00ed l\u00e9\u010dbou, to znamen\u00e1 vlhk\u00e9 hojen\u00ed ran v p\u0159\u00edpad\u011b rozs\u00e1hlej\u0161\u00edch pop\u00e1lenin. M\u00e1me r\u016fzn\u00e9 materi\u00e1ly, kter\u00e9 p\u0159ikl\u00e1d\u00e1me pr\u00e1v\u011b na ty\u00a0posti\u017een\u00e9<\/strong>\u00a0plochy, jsou to r\u016fzn\u00e9 syntetick\u00e9 materi\u00e1ly, silikony, p\u011bny a podobn\u011b, jsou to biosyntetick\u00e9 materi\u00e1ly i biologick\u00e9 materi\u00e1ly, kter\u00e9 mohou p\u016fsobit do\u010dasn\u011b i trvale v p\u0159\u00edpad\u011b rozs\u00e1hlej\u0161\u00edch pop\u00e1lenin.
mluv\u010d\u00ed 1,
——————–
Pokud pacienta s pop\u00e1leninu p\u0159ivezou k v\u00e1m do Fakultn\u00ed nemocnice Plze\u0148. Jak\u00fd je sled ud\u00e1lost\u00ed, co ho \u010dek\u00e1?
mluv\u010d\u00ed 2,
——————–
V naprost\u00e9 v\u011bt\u0161in\u011b k n\u00e1m do Fakultn\u00ed nemocnice v Plzni doraz\u00ed v\u011bt\u0161ina pop\u00e1lenin, kter\u00e1 nejsou a\u017e tak v\u00e1\u017en\u00e1. Samoz\u0159ejm\u011b vz\u00e1cn\u011b se stane, \u017ee rozs\u00e1hlej\u0161\u00ed plochy, \u0159ekn\u011bme, na 20 % t\u011blesn\u00e9ho povrchu skon\u010d\u00ed p\u0159\u00edmo na emergency. Fakultn\u00ed nemocnice Plze\u0148, ale v naprost\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je pacient dopraven na urgentn\u00ed p\u0159\u00edjem Fakultn\u00ed nemocnice, kde je p\u0159ed\u00e1n chirurgovi, kter\u00fd se potom o pacienta star\u00e1 a l\u00e9\u010d\u00ed.
Vy jste \u0159\u00edkal, pane doktore, \u017ee vyu\u017e\u00edv\u00e1te pop\u00e1lenin tzv. Vlhk\u00e9 hojen\u00ed. Mohl byste n\u00e1m vysv\u011btlit, na jak\u00e9m principu to funguje.
mluv\u010d\u00ed 2,
——————–
Nejv\u011bt\u0161\u00edm probl\u00e9mem pop\u00e1lenin obecn\u011b je vysu\u0161ov\u00e1n\u00ed k\u016f\u017ee a z\u00e1rove\u0148 v\u00fdrazn\u00e1 produkce tzv. Tk\u00e1\u0148ov\u00e9ho moku, tk\u00e1\u0148ov\u00fd mok, kter\u00fd se hromad\u00ed v defektech, pop\u00e1lenin\u00e1ch a podobn\u011b, br\u00e1n\u00ed, \u0159ekn\u011bme, znovu vytvo\u0159en\u00ed t\u00e9 k\u016f\u017ee, kter\u00e1 tam byla p\u0159edt\u00edm, to znamen\u00e1 vlhk\u00e9 hojen\u00ed ran, n\u00e1m pom\u00e1h\u00e1.Odstran\u011bn\u00ed, tk\u00e1\u0148ov\u00fd p\u0159e, zbyte\u010dn\u00fd mouk, kter\u00fd se schra\u0148uje v dan\u00e9m m\u00edst\u011b a z\u00e1rove\u0148 zara\u0148uje vysu\u0161en\u00ed tak, aby l\u00e1tky, jako nap\u0159\u00edklad kolagen, vazivov\u00e9 slo\u017eky, nov\u00e9 vytvo\u0159en\u00ed c\u00e9v, m\u011bly \u0161anci do dan\u00e9ho defektu nebo pop\u00e1leniny vr\u016fst a znovu vytvo\u0159it k\u016f\u017ei, kter\u00e1 tam byla p\u0159edt\u00edm.
mluv\u010d\u00ed 1,
——————–
Polymerov\u00e9 kryty, ionty, st\u0159\u00edbra, to v\u0161echno pat\u0159\u00ed k tomu vlhk\u00e9mu hojen\u00ed.
mluv\u010d\u00ed 2,
——————–
A Laik u\u017e ne k vlhk\u00e9mu. Nicm\u00e9n\u011b \u0159\u00edk\u00e1te spr\u00e1vn\u011b, \u017ee to pou\u017e\u00edv\u00e1me. Je to zejm\u00e9na u toho druh\u00e9ho stupn\u011b t\u011bch pop\u00e1lenin, kdy u\u017e m\u00e1me n\u011bjak\u00e9 puch\u00fd\u0159e nebo vznikl\u00e9 r\u016fzn\u00e9 defekty, kter\u00e9 mohou b\u00fdt nap\u0159\u00edklad infikovan\u00e9, kde n\u00e1m, jak jste \u0159\u00edkala, spr\u00e1vn\u011b, pomohou t\u0159eba ionty st\u0159\u00edbra, kter\u00e9 zabr\u00e1n\u00ed tro\u0161ku infekci? Pom\u00e1haj\u00ed n\u00e1m nebo r\u016fzn\u00e9 syntetick\u00e9 materi\u00e1ly, kter\u00e9 funguj\u00ed jako p\u0159irozen\u00e1 k\u016f\u017ee nebo do\u010dasn\u00e9 materi\u00e1ly, kter\u00e9 pr\u00e1v\u011b zabra\u0148uj\u00ed tomu vysu\u0161ov\u00e1n\u00ed a podporuj\u00ed r\u016fst t\u00e9 k\u016f\u017ee pod t\u00edm.
mluv\u010d\u00ed 1,
——————–
A s\u016flfadiazinov\u00e9 kr\u00e9my je\u0161t\u011b se pou\u017e\u00edvaj\u00ed nebo u\u017e jste opustily tuto l\u00e9\u010dbu?
mluv\u010d\u00ed 2,
——————–
Ne, ne, ne, samoz\u0159ejm\u011b takov\u00e9 kr\u00e9my jsou, nicm\u00e9n\u011b u\u017e jich je v dne\u0161n\u00ed dob\u011b cel\u00e1 \u0159ada, kter\u00e9 se pou\u017e\u00edvaj\u00ed ale zejm\u00e9na pro pop\u00e1leniny prvn\u00edho stupn\u011b a jak \u0159\u00edk\u00e1m, neexistuje, neexistuje jeden \u00fa\u010dinn\u00fd kr\u00e9m, kter\u00fd by pop\u00e1leninu zahojel, a to je jasn\u00fd d\u016fkaz toho, pro\u010d t\u011bch kr\u00e9m\u016f je opravdu cel\u00e1 \u0159ada. S kyselinou hyaluronovou a podobn\u011b, opravdu toho najdeme celou.
mluv\u010d\u00ed 1,
——————–
\u0158adu a tahle l\u00e9\u010dba, tedy to v\u0161echno, co jsme dosud vyjmenovali, se t\u00fdk\u00e1 pop\u00e1lenin prvn\u00edho a druh\u00e9ho stupn\u011b, ano, kdy\u017e se jedn\u00e1 o pop\u00e1leniny t\u0159et\u00edho stupn\u011b, tam u\u017e je nutn\u00fd v\u017edycky chirurgick\u00fd z\u00e1krok.
mluv\u010d\u00ed 2,
——————–
Mus\u00edm \u0159\u00edct, \u017ee z naprost\u00e9 v\u011bt\u0161iny ano, je t\u0159eba zhodnotit l\u00e9ka\u0159em rozsah toho pop\u00e1len\u00ed a zejm\u00e9na lokalizaci, pokud jde o pop\u00e1leninu t\u0159et\u00edho stupn\u011b na obli\u010deji nebo na oh\u00fdbac\u00edch ploch\u00e1ch, jako jsou t\u0159eba n\u00e1rty a dlan\u011b a podobn\u011b, kdy takovouhle plochu mus\u00edme u\u017e l\u00e9\u010dit chirurgicky, to znamen\u00e1 v p\u0159\u00edpad\u011b t\u0159et\u00edho stupn\u011b odstranit ji\u017e odum\u0159elou tk\u00e1\u0148, a to v\u011bt\u0161inou chirurgicky na opera\u010dn\u00edm s\u00e1le v celkov\u00e9 anestezii. Ide\u00e1ln\u011b potom tento defekt zav\u00edt. Nejlep\u0161\u00edm materi\u00e1lem v tuto chv\u00edli je transplantace k\u016f\u017ee, a to k\u016f\u017ee, vlastn\u00ed.
mluv\u010d\u00ed 1,
——————–
Ko\u017en\u00ed \u0161t\u011bpy, pou\u017e\u00edv\u00e1te tak\u00e9.
mluv\u010d\u00ed 2,
——————–
Ko\u017en\u00ed \u0161t\u011bpy vlastn\u00ed ide\u00e1ln\u011b v tom p\u0159\u00edpad\u011b, kdy u pacienta odebereme ze zdrav\u00e9 plochy \u010d\u00e1st k\u016f\u017ee, kterou m\u016f\u017eeme n\u011bkdy a\u017e dle pot\u0159eby i \u010dty\u0159n\u00e1sobn\u011b rozt\u00e1hnout a pou\u017e\u00edt opravdu k velk\u00fdm defekt\u016fm, kter\u00e9 na pacientovi jsou.
mluv\u010d\u00ed 1,
——————–
Odkud se ta k\u016f\u017ee, ty ko\u017en\u00ed \u010dty\u0159i t\u011bpy nej\u010dast\u011bji odeb\u00edraj\u00ed.
mluv\u010d\u00ed 2,
——————–
V naprost\u00e9 v\u011bt\u0161in\u011b je to z p\u0159edn\u00ed strany stehna. Tato plocha se v\u011bt\u0161inou bez kosmetick\u00e9 vady do 2-3 t\u00fddn\u016f zahoj\u00ed.
mluv\u010d\u00ed 1,
——————–
Tak\u017ee to byly pop\u00e1leniny t\u0159et\u00edho stupn\u011b. Je\u0161t\u011b jsme se zmi\u0148ovali v \u00favodu o pop\u00e1lenin\u00e1ch \u010dtvrt\u00e9ho stupn\u011b.
mluv\u010d\u00ed 2,
——————–
Bohu\u017eel pokud nedojde k pop\u00e1leniny \u010dtvrt\u00e9ho stupn\u011b. Moc terapeutick\u00fdch mo\u017enost\u00ed n\u00e1m nezb\u00fdv\u00e1 a v takov\u00e9m p\u0159\u00edpad\u011b nap\u0159\u00edklad, pokud n\u00e1m kon\u010detiny u\u017e mus\u00edme chirurgicky humpovat.
Probrali jsme l\u00e9\u010dbu pop\u00e1lenin v\u010detn\u011b opera\u010dn\u00ed chirurgick\u00e9 l\u00e9\u010dby, n\u00e1sledn\u00e1 poopera\u010dn\u00ed l\u00e9\u010dba prob\u00edh\u00e1, jak\u00fdm zp\u016fsobem.
mluv\u010d\u00ed 2,
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Samotn\u00e1 l\u00e9\u010dba pop\u00e1len\u00ed, \u0159ekn\u011bme, druh\u00e9ho, t\u0159et\u00edho stupn\u011b, kter\u00e1 vy\u017eaduje ur\u010ditou chirurgickou p\u00e9\u010di, se m\u016f\u017ee prot\u00e1hnout na n\u011bkolik dn\u016f i t\u00fddn\u016f pobytu v nemocnici, kdy danou plochu m\u016f\u017eeme, \u0159ekn\u011bme, p\u0159evazovat n\u011bkolikr\u00e1t, n\u011bkolikr\u00e1t za to dan\u00e9 obdob\u00ed, v ka\u017ed\u00e9m p\u0159\u00edpad\u011b, pokud pacienta pust\u00edme z nemocnice do ambulantn\u00ed p\u00e9\u010de, pacienta si zveme na kontroly jednou, \u0159ekn\u011bme, za 3-5 dn\u016f, kdy k n\u00e1m chod\u00ed na kontroln\u00ed ambulanci k p\u0159evaz\u016fm. A toto obdob\u00ed z\u00e1vis\u00ed samoz\u0159ejm\u011b na stupni toho pop\u00e1len\u00ed, pokud m\u00e1 pacient pop\u00e1leninu prvn\u00edho stupn\u011b. Naprosto spont\u00e1nn\u011b. I v dom\u00e1c\u00edm prost\u0159ed\u00ed se zahoj\u00ed v naprost\u00e9 v\u011bt\u0161in\u011b do t\u00fddne, pokava\u010f se bav\u00edme o pop\u00e1lenin\u00e1ch druh\u00e9ho stupn\u011b povrchov\u00fdch, ty se hoj\u00ed zhruba 10-20 dn\u016f, ale zahoj\u00ed se bez kosmetick\u00e9ho negativn\u00edho dopadu. Pokud se bav\u00edme o pop\u00e1lenin\u00e1ch druh\u00e9ho stupn\u011b, u hlub\u0161\u00edch pop\u00e1len\u00ed je to samoz\u0159ejm\u011b l\u00e9\u010den\u00ed na dobu zhruba 3-6 t\u00fddn\u016f, pokud v r\u00e1mci hojen\u00ed l\u00e9\u010den\u00ed dojde k n\u011bjak\u00e9mu zanedb\u00e1n\u00ed nebo naopak nev\u010dasn\u00e9mu o\u0161et\u0159en\u00ed l\u00e9ka\u0159em, m\u016f\u017ee se tato doba projevit i na n\u011bkolik t\u00fddn\u016f, m\u011bs\u00edc\u016f s kosmetick\u00fdmi defekty, jako jsou nap\u0159\u00edklad ty hypertrofick\u00e9 jizvy, keroidn\u00ed jizvy a podobn\u011b, pigmentace, kter\u00e9 jsou samoz\u0159ejm\u011b u\u017e potom velmi t\u011b\u017eko \u0159e\u0161iteln\u00e9.
mluv\u010d\u00ed 1,
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Ty jizvy b\u00fdvaj\u00ed zarudl\u00e9, \u010dasto bolestiv\u00e9, omezuj\u00ed i pacienta t\u0159eba v pohybu, to se \u0159e\u0161\u00ed, jak\u00fdm zp\u016fsobem.
mluv\u010d\u00ed 2,
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Je to tak. Sna\u017e\u00edme se pacient\u016fm vysv\u011btlit, \u017ee ve chv\u00edli, kdy je pust\u00edme, tak \u0159\u00edkaj\u00edc z dozoru, za\u010d\u00edn\u00e1 ta jejich p\u00e9\u010de, kdy s\u00e1m pacient se st\u00e1v\u00e1 l\u00e9ka\u0159em a rehabilita\u010dn\u00edm pracovn\u00edkem a s\u00e1m mus\u00ed s takovou pop\u00e1leninou pracovat. Aby nevznikly pr\u00e1v\u011b ty velik\u00e9 jizvy, sna\u017e\u00edme se je pou\u010dit, jak o tu danou jizvu a pop\u00e1leninu pe\u010dovat v p\u0159\u00edpad\u011b, \u017ee z chirurgick\u00e9ho hlediska je Rana zahojena, ale trv\u00e1 jizva, sna\u017e\u00edme se pacient\u016fm v\u0161t\u00edpit n\u011bkolika minutovou denn\u00ed mas\u00e1\u017e, to nap\u0159\u00edklad t\u0159ikr\u00e1t, \u010dty\u0159ikr\u00e1t denn\u011b danou jizvu zm\u00e1\u010dknout, aby zb\u011blela, to ud\u011blat t\u0159eba desetkr\u00e1t za sebou, abysme zabr\u00e1nili dal\u0161\u00edmu pr\u016fniku tzv. Vazivov\u00fdch bun\u011bk, nov\u00fdch kapil\u00e1r a nov\u00fdch c\u00e9v, kter\u00e9 vytvo\u0159\u00ed tzv. Tu velkou jizvu, kter\u00e1 se \u010dasem st\u00e1v\u00e1 nepoddajnou a m\u016f\u017ee d\u011blat tzv. Kontraktury, kter\u00e9 u\u017e jsou samoz\u0159ejm\u011b potom velmi t\u011b\u017eko \u0159e\u0161iteln\u00e9.
mluv\u010d\u00ed 1,
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N\u011bkdy i v r\u00e1mci toho rehabilita\u010dn\u00edho obdob\u00ed znovu operujete. To je z kosmetick\u00fdch d\u016fvod\u016f.
mluv\u010d\u00ed 2,
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Nejenom z kosmetick\u00fdch d\u016fvod\u016f, ale pr\u00e1v\u011b z t\u011bch, \u0159ekn\u011bme, limituj\u00edc\u00edch, kdy ta dan\u00e1 jizva m\u016f\u017ee opravdu p\u016fsobit dan\u00e9 mechanick\u00e9 pot\u00ed\u017ee. Sna\u017e\u00edme se. Pokud u\u017e tedy pacient nerehabilituje s\u00e1m a dojde opravdu ke vzniku hypertrofick\u00fdch nebo koloidn\u00edch jizev, m\u00e1me r\u016fzn\u00e9 modality, kter\u00e9 m\u016f\u017eeme pacientovi nab\u00eddnout, jsou to r\u016fzn\u00e9 biostimula\u010dn\u00ed lasery, aplikace r\u016fzn\u00fdch l\u00e1tek do jizev, kter\u00e9 by m\u011bly zabr\u00e1nit dal\u0161\u00ed progresi t\u00e9 jizvy a naopak pomoct v regresi a zahojen\u00ed t\u00e9 dan\u00e9 jizvy a prevenci kontraktur.
mluv\u010d\u00ed 1,
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Co byste r\u00e1d, aby si na\u0161i poslucha\u010di z dne\u0161n\u00ed poradny zapamatovali, pane doktore, mohl byste shrnout to nejd\u016fle\u017eit\u011bj\u0161\u00ed?
mluv\u010d\u00ed 2,
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Nejd\u016fle\u017eit\u011bj\u0161\u00ed je samoz\u0159ejm\u011b b\u00fdt opatrn\u00fd, ale pokud dojde k n\u011bjak\u00e9mu ne\u0161t\u011bst\u00ed a \u017ee ob\u010das bohu\u017eel doch\u00e1z\u00ed, tak zhodnotit stav, mohu o tuto danou pop\u00e1leninu pe\u010dovat doma s\u00e1m, pokud budu m\u00edt opravdu \u010derven\u00fd Fl\u00ed\u010dek na k\u016f\u017ei, zvl\u00e1dnu to pochopiteln\u011b s\u00e1m, pokud se mi vytvo\u0159\u00ed puch\u00fd\u0159e, pokud to za\u010dne bolet, pokava\u010f je rozsah takov\u00e9to pop\u00e1leniny v\u011bt\u0161\u00ed ne\u017e 12 dlan\u011b, pak by bylo ur\u010dit\u011b vhodn\u00e9 nav\u0161t\u00edvit sv\u00e9ho l\u00e9ka\u0159e.
mluv\u010d\u00ed 1,
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Hostem v l\u00e9ka\u0159sk\u00e9 poradn\u011b byl Dr. Ivan \u0158\u00edha z chirurgick\u00e9 kliniky Fakultn\u00ed nemocnice Plze\u0148. Pane doktore, my v\u00e1m d\u011bkujeme za v\u0161echny informace a rady, a\u0165 se v\u00e1m da\u0159\u00ed, <\/p>\n","protected":false},"excerpt":{"rendered":"