{"id":46052,"date":"2024-02-15T09:54:26","date_gmt":"2024-02-15T08:54:26","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=46052"},"modified":"2024-02-15T10:00:55","modified_gmt":"2024-02-15T09:00:55","slug":"na-dotazy-pacientu-odpovidala-zubarka","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=46052","title":{"rendered":"Na dotazy pacient\u016f odpov\u00eddala zuba\u0159ka\u00a0\u00a0"},"content":{"rendered":"\n<p>\u010cRo <br \/><br \/>Hostem poradny byla zuba\u0159ka Jitka Kov\u00e1\u0159ov\u00e1 a hovo\u0159ila o v\u00e1\u010dc\u00edch a ko\u0159enov\u00fdch kan\u00e1lc\u00edch, co\u017e je prostor uvnit\u0159 ko\u0159enu zubu, naz\u00fdv\u00e1 se ko\u0159enov\u00fdm kan\u00e1lkem, je dlouh\u00fd od 14 do 31 mm, a dokonce v jednom zubu jich m\u016f\u017eete m\u00edt p\u011bt, v\u00fdjime\u010dn\u011b dokonce i \u0161est. A je to takov\u00fd tich\u00fd patron, moc o n\u011bm nev\u00edme a\u017e do t\u00e9 doby, dokud se nezan\u00edt\u00ed a neza\u010dne se oz\u00fdvat. Tak v\u00e1\u010dky a ko\u0159enov\u00e9 kan\u00e1lky probereme dnes s pan\u00ed zuba\u0159kou Jitkou Kov\u00e1\u0159ovou. \u010ci\u0161t\u011bn\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f pat\u0159\u00ed k velmi bolestiv\u00fdm o\u0161et\u0159en\u00edm. M\u016f\u017eeme tomuto probl\u00e9mu n\u011bjak\u00fdm zp\u016fsobem p\u0159edej\u00edt?<br \/><br \/>Jitka Kov\u00e1\u0159ov\u00e1,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak ur\u010dit\u011b m\u016f\u017eeme p\u0159edej\u00edt tomuto probl\u00e9mu t\u00edm, \u017ee se o sv\u00e9 zuby pe\u010dliv\u011b star\u00e1me, ale j\u00e1 bych je\u0161t\u011b reagovala na to, \u017ee to v\u017edycky nemus\u00ed b\u00fdt jako n\u011bjak\u00e9 dramatick\u00e9 o\u0161et\u0159en\u00ed, \u017ee dneska v dob\u011b, kdy m\u00e1me anestetika, tak u\u017e to pr\u00e1v\u011b nemus\u00ed b\u00fdt takov\u00e9 dramatick\u00e9.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ale v\u017edycky j\u00e1 to zn\u00e1m za sv\u00e9 rodiny, kdy\u017e se \u0159ekne v\u00e1\u010dky nebo n\u011bkdo m\u011bl zan\u00edcen\u00fd v\u00e1\u010dek, tak to bylo drama, <\/p>\n\n\n\n<p>Jitka Kov\u00e1\u0159ov\u00e1<br \/>tak to potom jako u\u017e jsou takov\u00e9 termin\u00e1ln\u00ed stavy, kdy u\u017e vlastn\u011b ta infekce pronikne skrz ten zub, p\u0159es ten ko\u0159enov\u00fd kan\u00e1lek a\u017e vlastn\u011b do kosti a potom to hodn\u011b tla\u010d\u00ed vlastn\u011b na t\u00e9 kosti, proto\u017ee ta kost je pevn\u00e1, tam vznik\u00e1 velk\u00fd tlak a lidi tomu potom \u0159\u00edkaj\u00ed z\u00e1n\u011bt okostice, tak to u\u017e potom je takov\u00e9 z\u00e1sadn\u011bj\u0161\u00ed. To m\u00e1te pravdu, \u017ee to nen\u00ed \u00fapln\u011b to, co by si \u010dlov\u011bk p\u0159\u00e1l. <br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>M\u016f\u017ee t\u0159eba \u010dlov\u011bk p\u0159ij\u00edt i o zub, kdy\u017e se ten kan\u00e1lek opravdu tak ne\u0161\u0165astn\u011b zan\u00edt\u00ed, \u017ee prost\u011b m\u016f\u017ee vlastn\u011b p\u0159ij\u00edt ten \u010dlov\u011bk i o ten zub, d\u00edky tomu.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>M\u016f\u017ee samoz\u0159ejm\u011b m\u016f\u017ee, kdy\u017e je to potom ten stav n\u011bjak\u00fd rozjet\u00fd, t\u0159eba to i \u010dlov\u011bk si to zanedb\u00e1, vlastn\u011b trv\u00e1 to del\u0161\u00ed dobu, ty bakterie proniknou vlastn\u011b do cel\u00e9ho toho zubu, vlastn\u011b do toho dentinu, do toho j\u00e1dra toho zubu, tak potom u\u017e nepom\u016f\u017ee ani l\u00e9ka\u0159sk\u00e9 o\u0161et\u0159en\u00ed a u\u017e potom mus\u00ed se zub extrahovat.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Vy jste \u0159\u00edkala, \u017ee tam je d\u016fle\u017eit\u00e9 tomu p\u0159edch\u00e1zet n\u011bjakou tedy dobrou zubn\u00ed hygienou, to znamen\u00e1, kdy\u017e si budu odmalinka pravideln\u011b \u010distit zuby, dejme tomu, t\u0159ikr\u00e1t denn\u011b, tak m\u011b zan\u00edcen\u00ed v\u00e1\u010dku nepotk\u00e1.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak samoz\u0159ejm\u011b nen\u00ed to tak \u00fapln\u011b stoprocentn\u00ed, ale eliminuju to riziko, \u017ee n\u011bco takov\u00fdho ve sv\u00e9m \u017eivot\u011b za\u017eiju, tak\u017ee kdy\u017e se star\u00e1m, vlastn\u011b nau\u010d\u00edm se starat u\u017e od toho ml\u00e1d\u00ed, to je takov\u00e9 to, jak se \u0159\u00edk\u00e1, co se v ml\u00e1d\u00ed nau\u010d\u00ed\u0161 to ve st\u00e1\u0159\u00ed jako kdy\u017e najde\u0161. Potom se to riziko eliminuje.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Sta\u010d\u00ed k tomu jenom to pouh\u00e9 \u010di\u0161t\u011bn\u00ed zub\u016f. Anebo byste k tomu je\u0161t\u011b p\u0159idala n\u011bjak\u00e9 vedlej\u0161\u00ed \u010dist\u00edc\u00ed.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>N\u011bjak\u00e9 vychyt\u00e1vky v\u011bt\u0161inou zn\u00e1 dent\u00e1ln\u00ed hygienistka, co v\u017edycky doporu\u010duju, pr\u00e1v\u011b tu n\u00e1v\u0161t\u011bvu dent\u00e1ln\u00ed hygienistky, kter\u00e1 nau\u010d\u00ed lidi \u010distit ty zuby a j\u00e1 v\u017edycky \u0159\u00edk\u00e1m \u010distit, to nen\u00ed \u00fapln\u011b to prav\u00fd slovo, proto\u017ee v\u0161ichni si mysl\u00edme, \u017ee ty zuby si \u010distit um\u00edme, ale opak je pravdou, n\u00e1m jde o to, abysme dok\u00e1zali odstranit pr\u00e1v\u011b ten povlak, ve kter\u00e9m jsou bakterie, kter\u00e9 m\u016f\u017eou zp\u016fsobit ten kaz a n\u00e1sledn\u011b i ten z\u00e1n\u011bt tady t\u011bch zubn\u00edch tk\u00e1n\u00ed uvnit\u0159 t\u011bch kan\u00e1lk\u016f a zubn\u00ed d\u0159e\u0148 v podstat\u011b.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jak \u010dasto by \u010dlov\u011bk m\u011bl tu dent\u00e1ln\u00ed hygienistku nav\u0161t\u011bvovat, tak.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Minim\u00e1ln\u011b, pokud je v\u0161echno v po\u0159\u00e1dku, tak jednou za p\u016fl roku.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jednou za p\u016fl roku, tak\u017ee pom\u011brn\u011b dost \u010dasto, j\u00e1 jsem tak \u010dekala, \u017ee t\u0159eba \u0159eknete jednou za \u010dty\u0159i roky, ale jednou za p\u016fl roku.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tam jde o to, \u017ee v t\u00e9 dutin\u011b \u00fastn\u00ed se ten stav m\u011bn\u00ed. Ono to vypad\u00e1, ty tk\u00e1n\u011b, \u017ee jsou takov\u00e9 pevn\u00e9, ty zuby tvrd\u00e9, \u017ee se tam nic moc jakoby ned\u011bje, ale ono se tam d\u011bje celkem hodn\u011b, u\u017e jenom vlastn\u011b ten stav v t\u00e9 dutin\u011b \u00fastn\u00ed se m\u011bn\u00ed v podstat\u011b ka\u017ed\u00fdm rokem, u\u017e jenom proto, \u017ee jsme o rok star\u0161\u00ed, tak\u017ee tam je v\u017edycky pot\u0159eba<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>To znamen\u00e1, \u017ee dent\u00e1ln\u00ed hygiena se net\u00fdk\u00e1 jenom mlad\u00fdch lid\u00ed, ale m\u016f\u017ee tam \u010dlov\u011bk p\u0159ij\u00edt i v tom star\u0161\u00edm v\u011bku.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ur\u010dit\u011b, ur\u010dit\u011b kdykoliv, kdy\u017e \u010dlov\u011bk zachov\u00e1 zub, si pr\u00e1v\u011b zachov\u00e1 to zdrav\u00ed. A nechce pr\u00e1v\u011b doj\u00edt k bolesttiv\u00fdm symptom\u016fm, jako jsou z\u00e1n\u011bty zubn\u00ed.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/> n\u00e1m m\u016f\u017eete sv\u00e9 ot\u00e1zky pos\u00edlat na adresu apetyt@rozhlas.cz. Dobr\u00fd den, my v\u00e1s moc zdrav\u00edme, Tak co to v\u00e1s tak tr\u00e1p\u00ed? Pov\u00eddejte.<br \/><br \/>mluv\u010d\u00ed 6,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>No, j\u00e1 jsem. Je to tak v\u00edc jak t\u0159i roky, m\u011b v\u00e1m tady doktor ud\u011blal, ud\u011blal korunku a m\u011b to rok a po\u0159\u00e1d bolelo, m\u011b to, sundal, zasedal a nev\u011bd\u011bl si rady, tak mi doporu\u010dil, a\u0165 si najdu jin\u00e9ho l\u00e9ka\u0159e, tak jsem si na\u0161la a on zjistil, \u017ee m\u011b to \u017eiv\u011b zahn\u00edv\u00e1 p\u0159es rok a musel mi opalovat n\u011bkolikr\u00e1t laserem d\u00e1sna, ud\u011blal mi novou korunku, m\u016f\u017eu \u0159\u00edct, \u017ee m\u011b dostal z toho nejhor\u0161\u00edho, ale m\u00e1m po\u0159\u00e1d probl\u00e9my, \u017ee se m\u011b to zase za\u010d\u00edn\u00e1 objevovat, takov\u00e1 nep\u0159\u00edjemn\u00e1 bolest, kdy\u017e si p\u00edch\u00e1te pod d\u00e1se\u0148 a on m\u011b to v\u017edycky mus\u00ed opalovat, jestli se to d\u00e1 po\u0159\u00e1d d\u011blat, proto\u017ee j\u00e1 u\u017e jsem mu \u0159\u00edkala, a\u0165 m\u011b to strhne a trh\u00e1 ten zbytek zubu a d\u00e1 m\u011b tam prost\u011b n\u00e1hradn\u00ed prot\u00e9zu a on nechce, \u017ee to m\u00e1m v po\u0159\u00e1dku, \u017ee m\u00e1m kan\u00e1lky vy\u010di\u0161t\u011bn\u00fd v\u0161echno, jenom teda prost\u011b ta d\u00e1se\u0148 je pot\u0159eba, a\u017e \u00fapln\u011b bude ten, co tam bylo pry\u010d, vyp\u00e1len\u00fd, tak se pt\u00e1m, jestli to takhle m\u016f\u017ee d\u011blat, proto\u017ee ob\u010das mi m\u00e1m v pohod\u011b a te\u010f t\u0159eba mluv\u00edm s v\u00e1ma a c\u00edt\u00edm to, jo, \u017ee to je takov\u00e1 nep\u0159\u00edjemn\u00e1, zvl\u00e1\u0161tn\u00ed bolest.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak d\u011bkujeme za ot\u00e1zku.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak se samoz\u0159ejm\u011b, kdy\u017e se zhotov\u00ed Korunka, tak ta Korunka by m\u011bla b\u00fdt p\u0159esn\u00e1, to znamen\u00e1, nem\u011bl by se vlastn\u011b kolem t\u00e9 korunky a toho zubu dost\u00e1vat \u017e\u00e1dn\u00e9 bakterie, tak\u017ee \u0159\u00edk\u00e1te, \u017ee m\u00e1te novou korunku, tak\u017ee to by m\u011blo b\u00fdt v po\u0159\u00e1dku. A te\u010f jde vlastn\u011b o ty d\u00e1sn\u011b, tady si \u00fapln\u011b nejsem jist\u00e1, musela bych vid\u011bt va\u0161e rentgeny, ale \u0159ekla bych, \u017ee to m\u016f\u017ee b\u00fdt z va\u0161\u00ed strany \u00fapln\u011b ne dob\u0159e vybran\u00fdm mezizubn\u00edm kart\u00e1\u010dkem, kter\u00fd nedos\u00e1hne na dno parodont\u00e1ln\u00ed kapsy, kter\u00e1 tam s nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed je. Tak\u017ee j\u00e1 bych \u0161la tady t\u00edmhle sm\u011brem a pokud pan doktor samoz\u0159ejm\u011b pou\u017e\u00edv\u00e1 laser, tak je to v\u00fdborn\u00e1, v\u00fdborn\u00e1 z\u00e1le\u017eitost, ale m\u011blo by se to do ur\u010dit\u00e9 doby u\u017e zlep\u0161it. \u017de byste m\u011bla b\u00fdt \u00fapln\u011b vlastn\u011b bez bolesti.<br \/><\/p>\n\n\n\n<p>mluv\u010d\u00ed 7,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Dobr\u00fd den, moc zdrav\u00edm, pan\u00ed doktorko, v\u010dera jsem chyb\u011bla nechat vytrhnout zub.A zkr\u00e1tka pan\u00ed doktorka byla moc \u0161ikovn\u00e1. Jen\u017ee \u017ee si to m\u00e1m chladit, tak jsem si to celej den, v\u010dera i dneska a vevnit\u0159 m\u00e1m tro\u0161i\u010dku jako otekl\u00fd, ne, venku to nen\u00ed vid\u011bt a oteklin\u00e1, ale c\u00edt\u00edm to vevnit\u0159, \u017ee to m\u00e1m takov\u00fd zatvrdl. U t\u00e9 Brady je to trojka dole, byla to dole trojka.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak ur\u010dit\u011b je\u0161t\u011b po\u010dkejte, jestli to bylo v\u010dera, tak je to samoz\u0159ejm\u011b v\u010dera, tak je to ten poopera\u010dn\u00ed stav, to znamen\u00e1 stav po t\u00e9 extrakci, tak tady v\u00e1m doporu\u010duju zpomalit, hlavn\u011b, aby se v\u00e1m tam nic nedostalo do t\u00e9 r\u00e1ny a \u010dekat, ono by se to ka\u017ed\u00fdm dnem m\u011blo.<br \/><br \/>mluv\u010d\u00ed 7,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ale trochu, pan\u00ed doktorka u\u017e trochu m\u016f\u017eu, ne.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tro\u0161ku m\u016f\u017eete, ale mus\u00edte si d\u00e1vat pozor na to, aby se v\u00e1m tam do t\u00e9 r\u00e1ny nic nedostalo. To znamen\u00e1, na druh\u00e9 stran\u011b \u00fast&#8230;.<br \/><br \/>mluv\u010d\u00ed 7,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Opravdu ka\u017edou hodinu dvakr\u00e1t.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Sta\u010d\u00ed t\u0159ikr\u00e1t denn\u011b, po 20 minut\u00e1ch.<br \/><br \/>mluv\u010d\u00ed 7,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak to j\u00e1 jsem vid\u011bla po p\u016flhodin\u011b.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Desetkr\u00e1t, abyste se n\u00e1m nenachladila, jo?<br \/><br \/>mluv\u010d\u00ed 7,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>J\u00e1 jsem si pr\u00e1v\u011b myslella, kdy\u017e to bude v\u00edckr\u00e1t, \u017ee to bude lep\u0161\u00ed.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Sta\u010d\u00ed opravdu takhle prvn\u00ed t\u0159i dny potom u\u017e to nem\u00e1 ten efekt.<br \/><br \/>mluv\u010d\u00ed 7,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Moc v\u00e1m d\u011bkuji. A pan\u00ed doktorka v Bohnic\u00edch byla mlad\u00e1 a stra\u0161n\u011b \u0161ikovn\u00e1.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>vr\u00e1tit k t\u011bm zan\u00edcen\u00fdm v\u00e1\u010dk\u016fm a ko\u0159enov\u00fdm kan\u00e1lk\u016fm, jak vypad\u00e1 vlastn\u011b, nebo jak v\u016fbec prob\u00edh\u00e1 to o\u0161et\u0159en\u00ed toho v\u00e1\u010dku, kter\u00fd se n\u00e1m zan\u00edt\u00ed. Vy jste \u0159\u00edkala, \u017ee dneska u\u017e to nen\u00ed nic dramatick\u00e9ho, tak, jak si to m\u00e1me p\u0159edstavit? Pokud se dostanu k v\u00e1m na zuba\u0159sk\u00e9 k\u0159eslo se zan\u00edcen\u00fdm b\u00e1\u010dkem, tak co m\u011b tam \u010dek\u00e1?<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak \u010dek\u00e1 v\u00e1s hlavn\u011b jako takov\u00e9 uklidn\u011bn\u00ed. V\u017edycky p\u0159edt\u00edm. To je stra\u0161n\u011b, stra\u0161n\u011b d\u016fle\u017eit\u00fd, takov\u00e1 prevence psychologick\u00e1, d\u00e1 se \u0159\u00edct, potom samoz\u0159ejm\u011b aplikace anestezie, ty anestezie dneska m\u00e1me opravdu velmi dobr\u00e9, j\u00e1 tomu \u0159\u00edk\u00e1m v\u017edycky, \u017ee usp\u00edme ten jeden Zoubek, to znamen\u00e1, \u017ee ta anestezie jde vlastn\u011b k tomu zubu, d\u00e1v\u00e1me tam takov\u00e9 mal\u00e9 mno\u017estv\u00ed toho anestetika. Velmi dob\u0159e to p\u016fsob\u00ed. Potom v\u00e1m nasad\u00edme kofrdam, j\u00e1 zase \u0159\u00edk\u00e1m, to je takov\u00e1 bl\u00e1na latexov\u00e1, kter\u00e1 m\u00e1 vlastn\u011b uprost\u0159ed d\u00edrku, my to vlastn\u011b navle\u010deme na ten zub v t\u00e9 situaci a zase \u0159\u00edk\u00e1m, \u017ee j\u00e1 si ten zub na chvilku vyp\u016fj\u010d\u00edm, ale \u010destn\u011b vr\u00e1t\u00edm, tak\u017ee j\u00e1 ho kr\u00e1sn\u011b vid\u00edm a v podstat\u011b jsme odizolovan\u00ed, d\u00e1 se \u0159\u00edct, pacient vlastn\u011b od t\u011bch v\u0161ech r\u016fzn\u00fdch dezinfek\u010dn\u00edch l\u00e1tek, kter\u00fd my vlastn\u011b dezinfikujeme, ten vnit\u0159ek toho ko\u0159ene a my zase jsme odizolovan\u00ed od slin a tak d\u00e1l, tak\u017ee je to takov\u00e9 p\u0159\u00edjemn\u00e9 pro pacienta, \u017ee si nemus\u00ed vyplachovat a prost\u011b \u0159\u00edkaj\u00ed lidi, \u017ee to je opravdu komfortn\u00ed, no, a potom se samoz\u0159ejm\u011b ud\u011bl\u00e1 takov\u00e1 d\u00edrka do toho zubu, v podstat\u011b do toho st\u0159edu a dostaneme se k t\u00e9 zubn\u00ed d\u0159eni, kter\u00e1, kdy\u017e je zan\u00edcen\u00e1, tak ji vy\u010dist\u00edme. Na to m\u00e1me zase \u010d\u00edm d\u00e1l t\u00edm sofistikovan\u011bj\u0161\u00ed metody \u010di\u0161t\u011bn\u00ed pr\u00e1v\u011b tady t\u011bch ko\u0159enov\u00fdch kan\u00e1lk\u016f strojov\u011b, co\u017e zase zefektivn\u00ed ten v\u00fdkon, postupn\u011b vyplachujeme a v\u011bt\u0161inou je to v jedn\u00e9 nebo ve dvou n\u00e1v\u0161t\u011bv\u00e1ch, kdy potom se ten zub definitivn\u011b uzav\u00edr\u00e1.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ur\u010dit\u011b pou\u0161t\u00edte n\u011bjakou hezkou hudbu, tak\u017ee to zn\u00ed jako takov\u00e1 indick\u00e1 n\u00e1v\u0161t\u011bva.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Pokud zabere dob\u0159e anestezie. V podstat\u011b vn\u00edm\u00e1me toho \u010dlov\u011bka, prost\u011b je tam n\u011bjak\u00e1 spolupr\u00e1ce, tak v\u011bt\u0161inou to opravdu prob\u00edh\u00e1 velmi slu\u0161n\u011b, my nem\u016f\u017eeme sl\u00edbit v t\u00e9 stomatologii, \u017ee to bude n\u011bco jako Top p\u0159\u00edjemn\u00e9ho a lidi by tam za n\u00e1ma chodili ka\u017ed\u00fd den. <br \/><br \/>Pavla Kindernayov\u00e1, moder\u00e1torka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>U\u017e jsou tak obrovsk\u00e9, \u017ee, ale i ty mo\u017enosti.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jsou opravdu velk\u00e9, tak\u017ee v dne\u0161n\u00ed dob\u011b to opravdu nen\u00ed \u017e\u00e1dn\u00e1 trag\u00e9die.<br \/><br \/>mluv\u010d\u00ed 8,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Dobr\u00fd den, tady Bo\u017eena, dobr\u00fd den. Dobr\u00fd den, d\u011bkuji v\u00e1m za ten po\u0159ad. A j\u00e1 bych se cht\u011bl tak cht\u011bla sp\u00ed\u0161 zkonzultovat. Pou\u017e\u00edv\u00e1m zubn\u00ed kart\u00e1\u010dky v\u0161eho a v\u0161eho druhu, i ty mezizubn\u00ed n\u011bkolika velikost\u00ed. To jsem dostala, mysl\u00edm si, \u017ee m\u011b dali zuby dob\u0159e dohromady, ale prod\u011blala jsem p\u0159ed t\u0159ema rokama chemoterapii a te\u010f teda m\u011b sypo zuby, ten zbytek, m\u00e1m tam ty nov\u00e9 plomby, v\u0161echno, jo, ale pod t\u00edm prost\u011b se m\u011b to sype, najednou se m\u011b p\u0159edev\u010d\u00edrem, \u00fapln\u011b m\u011b z\u016fstala stoli\u010dka, dokonce p\u011btka misi nebo \u0160\u00e1rka dokonce prost\u011b v j\u00eddle a chod\u00edm teda k zuba\u0159i, no, tak postupn\u011b to sprav\u00ed. Je mo\u017en\u00fd, \u017ee to tak m\u016f\u017ee ud\u011blat ta chemoterapie, anebo proto\u017ee mls\u00e1m, ale \u010dist\u00edm ty zuby.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Samoz\u0159ejm\u011b v\u017edycky ty zoubky jsou poplatn\u00e9 pr\u00e1v\u011b tomu celkov\u00e9mu zdravotn\u00edmu stavu, tak\u017ee je mo\u017en\u00e9, \u017ee jak \u0159\u00edk\u00e1te, \u017ee se za\u010d\u00ednaj\u00ed sypat. D\u016fle\u017eit\u00e9 je pr\u00e1v\u011b ta hygiena, \u0159ekla bych, ale spr\u00e1vn\u00e1 hygiena, tak, jak jsem \u0159\u00edkala, opravdu si odstranit ten povlak, tohle je dobr\u00e9 ve spolupr\u00e1ci pr\u00e1v\u011b s dent\u00e1ln\u00ed hygienistkou, proto\u017ee je to takov\u00e1 jako alchymie, nen\u00ed to nic jednoduch\u00e9ho, na co by si \u010dlov\u011bk mohl p\u0159ij\u00edt s\u00e1m, tak\u017ee doporu\u010d\u00edm tu dent\u00e1ln\u00ed hygienu na to mls\u00e1n\u00ed. To vy ur\u010dit\u011b v\u00edte, \u017ee to nen\u00ed \u00fapln\u011b vhodn\u00e9, proto\u017ee kdy\u017e se ty faktory se\u010dtou, tak opravdu to t\u011bm zub\u016fm m\u016f\u017ee v\u00fdrazn\u011b zhor\u0161it ten zdravotn\u00ed stav.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>ot\u00e1zka, kter\u00e1 zaj\u00edm\u00e1 poslucha\u010d \u010cesk\u00e9ho rozhlasu, jestli z\u00e1kroky plat\u00ed poji\u0161\u0165ovna nebo pacient m\u00e1 n\u011bjak\u00fd v\u00fdb\u011br.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Pacient m\u00e1 na v\u00fdb\u011br v podstat\u011b takovou jednodu\u0161\u0161\u00ed formu hrad\u00ed poji\u0161\u0165ovna a potom vzhledem k tomu, \u017ee technick\u00e9 vymo\u017eenosti a ta technika v medic\u00edn\u011b neust\u00e1le se zlep\u0161uje, tak potom m\u016f\u017eeme vlastn\u011b nab\u00eddnout to o\u0161et\u0159en\u00ed, kter\u00e9 u\u017e ale poji\u0161\u0165ovna nehrad\u00ed, kter\u00e9 je daleko sofistikovan\u011bj\u0161\u00ed. V\u00edme o t\u011bch metod\u00e1ch r\u016fzn\u011b pln\u011bn\u00ed, \u017ee potom n\u00e1m pom\u016f\u017eou ten zub zachovat del\u0161\u00ed dobu.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A te\u010f by m\u011b je\u0161t\u011b zaj\u00edmalo, jestli u v\u00e1\u010dk\u016f hraje roli i n\u011bjak\u00e1 d\u011bdi\u010dnost, nebo jestli to t\u0159eba souvis\u00ed se \u0161patnou imunitou.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak hraje samoz\u0159ejm\u011b i ta imunita roli, ale d\u011bdi\u010dnost tam ur\u010dit\u011b je ve stomatologii u t\u011bch zub\u016f pr\u00e1v\u011b s tou d\u011bdi\u010dnost\u00ed se setk\u00e1v\u00e1me, nen\u00ed to samoz\u0159ejm\u011b 100 procent, ale spousta lid\u00ed m\u00e1 t\u0159eba d\u011bdi\u010dn\u011b komplikovan\u011bj\u0161\u00ed ten syst\u00e9m t\u00e9 d\u0159en\u011b, t\u011bch ko\u0159enov\u00fdch kan\u00e1lk\u016f a tam potom t\u0159eba se to o\u0161et\u0159en\u00ed je prost\u011b slo\u017eit\u011bj\u0161\u00ed, abysme to dovedli ke zd\u00e1rn\u00e9mu v\u00fdsledku. <br \/><br \/>Pavla Kindernayov\u00e1, moder\u00e1torka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Byste poradila, jak postupovat, pokud se ty v\u00e1\u010dky d\u011blaj\u00ed u zub\u016f \u010dasto a opakovan\u011b.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>\u010casto a opakovan\u011b, tak to u\u017e potom ten stav je velmi nep\u0159\u00edjemn\u00fd, tak u\u017e je n\u011bco zanedban\u00e9ho, u\u017e je to prost\u011b od za\u010d\u00e1tku n\u011bjak\u00fdm zp\u016fsobem si ty zuby zanedb\u00e1v\u00e1m.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>To znamen\u00e1, \u017ee ten \u010dlov\u011bk mus\u00ed vlastn\u011b po\u010d\u00edtat s t\u00edm, \u017ee to takhle bude m\u00edt dlouho, \u017ee to je vlastn\u011b setrval\u00fd stav, kdy\u017e n\u011bco zanedbal.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Kdy\u017e zanedb\u00e1m v podstat\u011b tu p\u00e9\u010di o ty zuby, tak ono vlastn\u011b to nevznikne jen tak samo o sob\u011b, tak vznikne, jakoby se shora, vznikne nejprve ten kaz a teprve potom to jde do hloubky toho zubu, tak\u017ee, a to stoj\u00ed n\u011bjak\u00fd \u010das, ne\u017e to dojde a\u017e \u00fapln\u011b k tomu ko\u0159eni, k tomu hrotu, kde se vlastn\u011b vytvo\u0159\u00ed, vytvo\u0159\u00ed ten v\u00e1\u010dek, tak\u017ee cel\u00fd ten \u010das m\u016f\u017eeme u\u017e p\u0159edt\u00edm spot\u0159ebovat na to, abysme se o ty zuby po\u0159\u00e1dn\u011b byli schopni postarat.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/> volala star\u0161\u00ed poslucha\u010dka, \u0159\u00edkala, \u017ee m\u00e1 doma \u010dty\u0159iasedmdes\u00e1tilet\u00e9ho mu\u017ee, kter\u00fd m\u00e1 v\u0161echny zuby, \u017ee vloni mu teprve jeden zub vytrhli, ale jinak ji m\u00e1 naprosto v po\u0159\u00e1dku, ale \u017ee j\u00ed se to bohu\u017eel net\u00fdk\u00e1, m\u00e1 zuby dost v nepo\u0159\u00e1dku. Tak \u010d\u00edm to je? Je to genetiku? Nebo jak si to vysv\u011btlit?<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak genetika? Pan\u00ed, j\u00e1 jsem pr\u00e1v\u011b ten dotaz sly\u0161ela, pan\u00ed \u0159\u00edkala, \u017ee si v podstat\u011b o ty zuby pe\u010duje, stejn\u011b jako ten jej\u00ed mu\u017e. Pokud jsem dob\u0159e sly\u0161ela, tak tady hraje roli genetika, ot\u00e1zka je zase, jak\u00fdm zp\u016fsobem ta pan\u00ed se o ty zuby star\u00e1, ale v tom to opravdu to nen\u00ed \u00fapln\u011b spravediv\u00e9, ale kdy\u017e v\u00edm, \u017ee takhle moje zuby fungujou, tak se o n\u011b pot\u0159ebuju postarat l\u00edp, pot\u0159ebuju prost\u011b j\u00edt do detailu, tak\u017ee man\u017eel to m\u016f\u017ee tro\u0161ku&#8230;., kdy\u017e jsem na tom takhle, tak tam t\u011bch 15 minut b\u00fdt mus\u00edm.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>\u0158\u00edk\u00e1 Jitka Kov\u00e1\u0159ov\u00e1, kter\u00e1 byla hostem dopoledn\u00edho vys\u00edl\u00e1n\u00ed, d\u011bkuju moc za setk\u00e1n\u00ed s v\u00e1mi a hodn\u011b zdrav\u00ed n\u00e1m v\u0161em a hlavn\u011b zdrav\u00ed. Chrup n\u00e1m p\u0159eji.<br \/><br \/><br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cRo Hostem poradny byla zuba\u0159ka Jitka Kov\u00e1\u0159ov\u00e1 a hovo\u0159ila o v\u00e1\u010dc\u00edch a ko\u0159enov\u00fdch kan\u00e1lc\u00edch, co\u017e je prostor uvnit\u0159 ko\u0159enu zubu, naz\u00fdv\u00e1 se ko\u0159enov\u00fdm kan\u00e1lkem, je <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=46052\" title=\"Na dotazy pacient\u016f odpov\u00eddala zuba\u0159ka\u00a0\u00a0\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14658,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-46052","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\/46052","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=46052"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/46052\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14658"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=46052"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=46052"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=46052"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}