\u010cRo – Hradec Kr\u00e1lov\u00e9 – Radioporadna
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Na\u0161\u00edm hostem dnes je fyzioterapeut Filip Mr\u00e1z z Rehacentra na Okrouhl\u00edku v Hradci Kr\u00e1lov\u00e9. D\u011bkujeme za n\u00e1v\u0161t\u011bvu i za va\u0161e odpov\u011bdi, m\u011bjte se hezky, na sly\u0161enou.<\/p>\n","protected":false},"excerpt":{"rendered":" \u010cRo – Hradec Kr\u00e1lov\u00e9 – Radioporadna Na\u0161\u00edm hostem dnes je fyzioterapeut Filip Mr\u00e1z z Rehacentra na Okrouhl\u00edku v Hradci Kr\u00e1lov\u00e9. A na\u0161e dne\u0161n\u00ed t\u00e9ma je tzv. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":1253,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-51682","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\/51682","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=51682"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/51682\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/1253"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=51682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=51682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=51682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
A na\u0161e dne\u0161n\u00ed t\u00e9ma je tzv. syndrom karp\u00e1ln\u00edho tunelu a j\u00e1 u\u017e v \u00favodu jsem \u0159\u00edkala, \u017ee podle \u00fadaj\u016f N\u00e1rodn\u00edho registru nemoc\u00ed z povol\u00e1n\u00ed se pr\u00e1v\u011b syndrom karp\u00e1ln\u00edho tunelu pohybuje na p\u0159edn\u00edch p\u0159\u00ed\u010dk\u00e1ch, to u\u017e se pomali\u010dku dost\u00e1v\u00e1me k p\u0159\u00ed\u010din\u00e1m, ur\u010dit\u011b rozebereme i to, jak se syndrom karp\u00e1ln\u00edho tunelu projevuje, ale jsou ohro\u017eeni pr\u00e1v\u011b i lid\u00e9, kte\u0159\u00ed vykon\u00e1vaj\u00ed n\u011bjakou manu\u00e1ln\u00ed pr\u00e1ci.
Filip Mr\u00e1z
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Ur\u010dit\u011b. V\u011bt\u0161inou to jsou lidi, kte\u0159\u00ed hodn\u011b pracuj\u00ed v kancel\u00e1\u0159i, hodn\u011b pracuj\u00ed pr\u00e1v\u011b s po\u010d\u00edta\u010dovou my\u0161\u00ed, kl\u00e1vesnic\u00ed nebo jsou to t\u0159eba takov\u00fd sp\u00ed\u0161 d\u011blnick\u00fd profese, kdy jsou tam t\u0159eba n\u011bjak\u00fd vibra\u010dn\u00ed p\u0159\u00edstroje, kter\u00fd ty vibrace p\u0159en\u00e1\u0161\u00ed na ruce a u\u017e potom doch\u00e1z\u00ed k\u00a0posti\u017een\u00ed<\/strong>\u00a0toho nervu, tak\u017ee sp\u00ed\u0161 manu\u00e1ln\u00ed dlouhodob\u00fd jednor\u00e1zov\u00fd p\u0159et\u011b\u017eov\u00e1n\u00ed horn\u00ed kon\u010detiny v oblasti z\u00e1p\u011bst\u00ed a svalu ruky pr\u00e1v\u011b m\u016f\u017ee v\u00e9st k tomu, \u017ee se ten karp\u00e1ln\u00ed tunel st\u00e1hne a tla\u010d\u00ed na ten nerv.
moder\u00e1torka
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Ano, je to onemocn\u011bn\u00ed rukou, kter\u00e9 potom d\u011bl\u00e1 pot\u00ed\u017ee p\u0159i n\u011bjak\u00e9 mo\u017en\u00e1 i t\u00e9 drobn\u00e9 motorice, jsou to bolesti, je to n\u011bjak\u00e9 brn\u011bn\u00ed, k tomu se ur\u010dit\u011b v\u0161emu dostaneme, ale \u010d\u00edm tam tedy vznikne ten \u00fatlak?
mluv\u010d\u00ed 1,
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Tak jak jsem \u0159\u00edkal, m\u016f\u017eou za to t\u0159eba ty profese, kde jsou n\u011bjak\u00e9 vibrace od t\u011bch p\u0159\u00edstroj\u016f nebo u t\u011bch po\u010d\u00edta\u010dov\u00fdch kl\u00e1vesnic nebo my\u0161\u00ed, kdy tam doch\u00e1z\u00ed k tomu dlouhodob\u00e9mu p\u0159et\u011b\u017eov\u00e1n\u00ed t\u011bch sval\u016f, toho p\u0159edlokt\u00ed, z\u00e1p\u011bst\u00ed a sval\u016f ruky, kdy doch\u00e1z\u00ed k tomu, \u017ee nerv, kter\u00fd je v tom karp\u00e1ln\u00edm tunelu, tak v d\u016fsledku, \u017ee nab\u00fdv\u00e1 jakoby objem t\u011bch \u0161lach, kter\u00fd potom m\u016f\u017eou p\u0159itla\u010dit ten nerv, tak ze za\u010d\u00e1tku doch\u00e1z\u00ed k tomu, \u017ee to utla\u010d\u00ed ty c\u00e9vy, kter\u00fd z\u00e1sobuj\u00ed pr\u00e1v\u011b ten nerv a doch\u00e1z\u00ed k otoku toho nervu a t\u00edm p\u00e1dem je\u0161t\u011b v\u00edc doch\u00e1z\u00ed k \u00fatlaku nervu a pak doch\u00e1z\u00ed pr\u00e1v\u011b k tomu mraven\u010den\u00ed, bolestem prst\u016f a tak.
moder\u00e1torka
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V\u00edm, \u017ee kdy\u017e u\u017e potom jsou ty pot\u00ed\u017ee, tak\u017ee si lid\u00e9 t\u0159eba prot\u0159ep\u00e1vaj\u00ed ruku, \u017ee to tro\u0161i\u010dku pom\u00e1h\u00e1, ale to mo\u017en\u00e1 jsou, ty za\u010d\u00e1tky jsou takov\u00e9 n\u011bjak\u00e9 je\u0161t\u011b p\u0159edp\u0159\u00edznaky, kter\u00e9 by mohli varovat, \u017ee t\u0159eba se v t\u00e9 ruce n\u011bco d\u011bje.
mluv\u010d\u00ed 1,
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Ur\u010dit\u011b \u00fapln\u011b prvn\u00ed takov\u00fd zn\u00e1mky jsou, \u017ee ti pacienti nebo lid\u00e9, kte\u0159\u00ed za\u010d\u00ednaj\u00ed m\u00edt probl\u00e9m s t\u00edm karp\u00e1ln\u00edm tunelem, \u017ee se r\u00e1no probud\u00ed a maj\u00ed pocit n\u011bjak\u00fd tup\u00fdch otekl\u00fdch rukou a prst\u016f, i kdy\u017e tam nen\u00ed \u017e\u00e1dn\u00fd zjevn\u00fd otok. To jsou \u00fapln\u011b ty prvn\u00ed zn\u00e1mky. N\u011bkdy to m\u016f\u017ee spont\u00e1nn\u011b vymizet, n\u011bkdy se to pr\u00e1v\u011b naopak m\u016f\u017ee zhor\u0161ovat, \u017ee u\u017e jsou tam ty no\u010dn\u00ed parestezie neboli to mraven\u010den\u00ed, kter\u00e9 k r\u00e1nu pacienta bud\u00ed, prot\u0159epe si tu ruku a ono to v\u011bt\u0161inou pom\u016f\u017ee potom v tom dal\u0161\u00edm stadiu, kdy u\u017e pr\u00e1v\u011b jsou i ty denn\u00ed klidov\u00e9 bolesti a v nejt\u011b\u017e\u0161\u00edm jako stadiu toho syndromu karp\u00e1ln\u00edho tunelu je, \u017ee se vlastn\u011b m\u016f\u017eou omezovat ty drobn\u00e9 jemn\u00e9 motorick\u00e9 \u00fakony, m\u016f\u017ee vzniknout tzv. \u017el\u00e1bek d\u00edky atrofii sval\u016f palce a potom u\u017e to je ur\u010dit\u011b indikace k operaci.
moder\u00e1torka
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Jde s t\u00edm d\u011blat n\u011bco \u00fapln\u011b v t\u00e9 ran\u00e9 f\u00e1zi, mysl\u00edm te\u010f n\u011bjak\u00e9 cvi\u010den\u00ed, pr\u00e1v\u011b rehabilitaci, protahov\u00e1n\u00ed, ma\u010dk\u00e1n\u00ed t\u011bch antistresov\u00fdch m\u00ed\u010dk\u016f a podobn\u011b, aby se n\u00e1m to nerozjelo.
mluv\u010d\u00ed 1,
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Ur\u010dit\u011b. Ono v prvn\u00ed f\u00e1zi v\u011bt\u0161inou sta\u010d\u00ed, kdy\u017e ten \u010dlov\u011bk samoz\u0159ejm\u011b sn\u00ed\u017e\u00ed tu pohybovou aktivitu, kter\u00e1 mu to zhor\u0161uje, a\u0165 u\u017e n\u011bjak\u00e9 \u0161roubov\u00e1n\u00ed nebo pr\u00e1ce s t\u011bmi vibra\u010dn\u00edmi p\u0159\u00edstroji, ale t\u0159eba i v tom kancel\u00e1\u0159sk\u00e9m prost\u0159ed\u00ed, \u017ee si uprav\u00ed pozici \u017eidle, kl\u00e1vesnice a my\u0161i, aby ta ruka byla v neutr\u00e1ln\u00edm postaven\u00ed v tom z\u00e1p\u011bst\u00ed, \u017ee se tam nel\u00e1me ani jakoby do jednoho sm\u011bru nebo do druh\u00e9ho sm\u011bru, k z\u00e1p\u011bst\u00ed existuj\u00ed m\u011bkk\u00e9 ort\u00e9zy, kter\u00e9 m\u016f\u017eou ti pacienti nosit i na noc, aby tu ruku dr\u017eeli pr\u00e1v\u011b v tom st\u0159edn\u00edm postaven\u00ed z\u00e1p\u011bst\u00ed, tak\u00e9 ergonomick\u00e9 my\u0161i, tak\u017ee t\u011bch takov\u00fdch vychyt\u00e1vek ze za\u010d\u00e1tku m\u016f\u017ee b\u00fdt n\u011bkolik.
moder\u00e1torka
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A to je ten za\u010d\u00e1tek a sta\u010d\u00ed chv\u00edle takov\u00e9ho klidu a pak se to v\u0161echno d\u00e1 do po\u0159\u00e1dku, uprav\u00ed nebo hroz\u00ed. Kdy\u017e se jedn\u00e1 toti\u017e o zam\u011bstn\u00e1n\u00ed, tak asi nen\u00ed \u00fapln\u011b jednoduch\u00e9 ho jen tak ze dne na den zm\u011bnit nebo p\u0159estat tu \u010dinnost vykon\u00e1vat \u00fapln\u011b.
mluv\u010d\u00ed 1,
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P\u0159esn\u011b tak. Pokud ten \u010dlov\u011bk tu aktivitu fakt d\u011bl\u00e1 ka\u017ed\u00fd den, tak m\u016f\u017ee d\u011blat cokoliv a stejn\u011b se to v\u011bt\u0161inou zhor\u0161uje. N\u011bkdy fakt sta\u010d\u00ed nav\u0161t\u00edvit jenom rehabilitaci, nau\u010dit se p\u0159esn\u011b p\u00e1r cvik\u016f, jak s t\u00edm pracovat, zjistit, co ten \u010dlov\u011bk t\u0159eba v t\u00e9 pr\u00e1ci d\u011bl\u00e1 \u0161patn\u011b, jak sed\u00ed, jak m\u00e1 nastavenou tu \u017eidli, my\u0161, po\u010d\u00edta\u010d, prost\u011b v\u0161echno se d\u00e1 upravit a i tohle m\u016f\u017ee pomoct a potom v t\u011bch hor\u0161\u00edch f\u00e1z\u00edch u\u017e se pr\u00e1v\u011b mus\u00ed p\u0159istoupit i k n\u011bjak\u00fdm r\u016fzn\u00fdm manu\u00e1ln\u00edm technik\u00e1m, mobilizaci t\u011bch drobn\u00fdch k\u016fstek z\u00e1p\u011bst\u00ed, aby se zm\u00edrnil ten tlak t\u011bch \u0161lach na ten nerv v tom karp\u00e1ln\u00edm tunelu.
mluv\u010d\u00ed 2,
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Dobr\u00fd den. Tady pan\u00ed Markov\u00e1 m\u016fj dotaz se \u00fapln\u011b net\u00fdk\u00e1 karp\u00e1ln\u00edho tunelu, ale opravdu mi n\u011bco t\u0159eba porad\u00ed na sk\u00e1kac\u00ed prst, prost\u011b j\u00e1 cvi\u010d\u00edm s balonkem. V\u00edte co, to je takov\u00fd probl\u00e9m, \u017ee on \u010dlov\u011bk otev\u0159e dla\u0148 nebo prst prost\u011b nat\u00e1hne a ten prst, bu\u010f se mu mus\u00ed pomoct, anebo prost\u011b se narovn\u00e1, a to ur\u010dit\u011b bolest\u00ed, no, tak nev\u00edm, tohle jako taky pat\u0159\u00ed mo\u017en\u00e1 na ortopedii, ale….
moder\u00e1torka
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Dob\u0159e zkus\u00edme odpov\u011bd\u011bt, na Sly\u0161enou.
mluv\u010d\u00ed 2,
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D\u011bkuji, na shledanou.
moder\u00e1torka
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Tak je to tro\u0161ku jin\u00e9 t\u00e9ma, ale dotaz zazn\u011bl. Tak poj\u010fme na n\u011bj odpov\u011bd\u011bt.
mluv\u010d\u00ed 1,
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Ten syndrom lupav\u00e9ho prstu nebo Digitus salt\u00e1ns, tak to se \u0159e\u0161\u00ed p\u0159edev\u0161\u00edm na t\u00fd ortopedii, proto\u017ee to u\u017e je stav, kdy vlastn\u011b ta \u0161lacha proj\u00ed\u017ed\u00ed v n\u011bjak\u00fdm pouzdru, v n\u011bjak\u00fdm takov\u00fdm tun\u00fdlku, kdy pouzdro se natolik z\u00fa\u017e\u00ed, \u017ee ta \u0161lacha m\u00e1, jakoby zabr\u00e1n\u011bno tomu proj\u00ed\u017ed\u011bn\u00ed v tom tunelku a tomu se potom mus\u00ed pr\u00e1v\u011b pomoct chirurgicky, bu\u010f se op\u00edchne n\u011bjak\u00fdm obst\u0159ikem a povol\u00ed se pr\u00e1v\u011b ta zar\u00e1\u017eka, nebo se to prost\u011b mus\u00ed operativn\u011b tro\u0161ku \u0159\u00edznout, kdy\u017e to \u0159eknu blb\u011b, a to pom\u00e1h\u00e1, ale co se t\u00fd\u010de rehabilitace, tak s t\u00edm u\u017e nem\u00e1me dobrou zku\u0161enost, proto\u017ee u\u017e je to v\u011bt\u0161inou tak pokro\u010dil\u00e1 v\u011bc, \u017ee u\u017e se to mus\u00ed \u0159e\u0161it operativn\u011b.
moder\u00e1torka
——————–
Na ortopedii tedy tak, ale my se vrac\u00edme te\u010f k syndromu karp\u00e1ln\u00edho tunelu, proto\u017ee tu m\u00e1me dotaz je\u0161t\u011b od jin\u00e9 pan\u00ed poslucha\u010dky, kter\u00e1 je 20 let po operaci a pt\u00e1 se, jestli se toto onemocn\u011bn\u00ed m\u016f\u017ee vr\u00e1tit, \u017ee u\u017e c\u00edt\u00ed probl\u00e9my, t\u0159eba kdy\u017e kr\u00e1j\u00ed, tak\u017ee j\u00ed opravdu bol\u00ed ruce, \u017ee i c\u00edt\u00ed, jako kdyby j\u00ed ot\u00e9kali, tak jestli se to zkr\u00e1tka m\u016f\u017ee vr\u00e1tit, i kdy\u017e m\u00e1 odoperov\u00e1no.
mluv\u010d\u00ed 1,
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Ano, m\u016f\u017ee se to samoz\u0159ejm\u011b vr\u00e1tit. Jak jsem ji\u017e zmi\u0148oval, jde o p\u0159et\u011b\u017eov\u00e1n\u00ed \u0161lach a sval\u016f v oblasti z\u00e1p\u011bst\u00ed a p\u0159edlokt\u00ed, kdy ten karp\u00e1ln\u00ed tunel je to fakt malink\u00e1 \u00fa\u017eina, kde je konkr\u00e9tn\u011b 10 struktur, kter\u00fd se tam mus\u00ed vl\u00e9zt a t\u00edm, kdy\u017e jsou p\u0159et\u011b\u017eovan\u00fd \u0161lachy t\u011bch sval\u016f, kter\u00fd oh\u00fdbaj\u00ed pr\u00e1v\u011b ty prsty nebo m\u00e1te dr\u017eet n\u011bjak\u00fd p\u0159edm\u011bt, tak to zase m\u016f\u017ee tla\u010dit na ten nerv i p\u0159esto, \u017ee se to operativn\u011b p\u0159etne to ligamentum transversum carpi, co\u017e je takov\u00fd vaz, kter\u00fd jakoby spojuje ty karp\u00e1ln\u00ed k\u016fstky mezi sebou a tvo\u0159\u00ed jakoby jednu z t\u011bch st\u011bn toho karp\u00e1ln\u00edho tunelu, tak i p\u0159esto m\u016f\u017eou ty \u0161lachy jakoby nab\u00fdt na objemu a potom tla\u010dit i na nerv a zase toto u\u017e je sp\u00ed\u0161 v\u011bc fyzioterapie, rehabilitace, aby upravila pr\u00e1v\u011b nap\u011bt\u00ed t\u011bch \u0161lach a uvolnila nap\u011bt\u00ed i v t\u00e9 \u00fa\u017ein\u011b, v tom karp\u00e1ln\u00edm tunelu.
moder\u00e1torka
——————–
Jak u\u017e jsme zmi\u0148ovali, tak syndrom karp\u00e1ln\u00edho tunelu m\u016f\u017ee m\u00edt n\u011bkolik f\u00e1z\u00ed, ve kter\u00e9 f\u00e1zi u\u017e je potom nutn\u00e1 operace. Ono samoz\u0159ejm\u011b n\u011bkomu se do toho nechce, ale asi v ur\u010dit\u00e9 chv\u00edli u\u017e nen\u00ed jin\u00e9 \u0159e\u0161en\u00ed.
mluv\u010d\u00ed 1,
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Ur\u010dit\u011b ty stadia toho syndromu karp\u00e1ln\u00edho tunelu se rozd\u011bluj\u00ed na n\u011bjak\u00fd \u010dty\u0159i z\u00e1kladn\u00ed. To prvn\u00ed je bez jak\u00fdkoliv p\u0159\u00edznak\u016f, to druh\u00e9, kdy je tam n\u011bjak\u00fd jenom ob\u010dasn\u00fd mraven\u010den\u00ed t\u011bch prst\u016f nebo ten pocit t\u011bch otekl\u00fdch, tup\u00fdch prst\u016f, potom ta operace u\u017e se indikuje v tom t\u0159et\u00edm a \u010dtvrt\u00e9m stadiu, kdy se tomu \u0159\u00edk\u00e1 st\u0159edn\u011b t\u011b\u017ek\u00e9\u00a0posti\u017een\u00ed<\/strong>\u00a0a\u017e t\u011b\u017ek\u00e9\u00a0posti\u017een\u00ed<\/strong>, kdy u\u017e doch\u00e1z\u00ed i t\u0159eba jakoby ke zhor\u0161en\u00ed jemn\u00e9 motoriky, doch\u00e1z\u00ed k atrofii t\u011bch sval\u016f, kdy najednou ty svaly se zmen\u0161ujou, chyb\u00ed s\u00edla v t\u011bch svalech a prstech, a to a\u017e tak, \u017ee ten \u010dlov\u011bk nedok\u00e1\u017ee ud\u011blat \u0161petku, nedok\u00e1\u017ee si zapnout knofl\u00edk, tak to u\u017e jsou prost\u011b stadia, kter\u00e1 jsou nutn\u00e1 pr\u00e1v\u011b k t\u00e9 operaci.
moder\u00e1torka
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No, a jde n\u011bjak prodlou\u017eit ten interval, kdy\u017e na n\u00ed nechceme \u00fapln\u011b hned nebo prost\u011b sna\u017e\u00edme se to oddalovat, oddalovat, tak \u010d\u00edm by se to dalo.
mluv\u010d\u00ed 1,
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Tak prvn\u00ed v\u011bc bych doporu\u010dil samoz\u0159ejm\u011b hnedka nav\u0161t\u00edvit n\u011bjak\u00e9ho odborn\u00edka, a\u0165 u\u017e v r\u00e1mci ortopedie, kter\u00fd by stejn\u011b potom doporu\u010dil n\u011bjakou rehabilitaci, tak\u017ee rovnou m\u016f\u017eou ty lidi p\u0159ij\u00edt k n\u00e1m z ulice s t\u00edm, \u017ee maj\u00ed a\u0165 u\u017e po\u010d\u00e1te\u010dn\u00ed nebo n\u011bjak\u00fd pokro\u010dilej\u0161\u00ed probl\u00e9my s karp\u00e1ln\u00edm tunelem a u\u017e by se s t\u00edm za\u010dalo pracovat na t\u00fd prvn\u00ed konzultaci, v\u010detn\u011b toho vy\u0161et\u0159en\u00ed, u\u017e by se \u0159eklo a domluvilo, jak\u00e1 je progn\u00f3za v konkr\u00e9tn\u00edm p\u0159\u00edpad\u011b toho pacienta, ale d\u00e1 se s t\u00edm samoz\u0159ejm\u011b pracovat i v t\u011bch pokro\u010dilej\u0161\u00edch f\u00e1z\u00edch a d\u00e1 se s minim\u00e1ln\u011b z 80 % t\u00fd operaci vyhnout.
moder\u00e1torka
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Tak\u017ee cvi\u010den\u00edm ur\u010dit\u011b speci\u00e1ln\u011b, ur\u010dit\u00fdmi opat\u0159en\u00edmi, jako je nap\u0159\u00edklad rehabilitace, m\u016f\u017eeme alespo\u0148 odd\u00e1lit operaci, tak m\u016f\u017eeme alespo\u0148 b\u00fdt konkr\u00e9tn\u011bj\u0161\u00ed, t\u0159eba v p\u00e1r v\u011bcech, co je dobr\u00e9 doma d\u011blat nebo co by mohlo pomoct.
mluv\u010d\u00ed 1,
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Ur\u010dit\u011b, tak za prv\u00e9 bu\u010f sn\u00ed\u017eit tu \u010dinnost, kter\u00e1 n\u00e1m provokuje ty bolesti, ur\u010dit\u011b by se dala t\u0159eba nosit n\u011bjak\u00e1 jednoduch\u00e1 m\u011bkk\u00e1 ort\u00e9za, kter\u00e1 by n\u00e1m dr\u017eela tu ruku ve st\u0159edn\u00edm postaven\u00ed v tom z\u00e1p\u011bst\u00ed, ur\u010dit\u011b by pomohlo to m\u00ed\u010dkov\u00e1n\u00ed t\u0159eba, jestli m\u00e1 doma n\u011bkdo n\u011bjak\u00fd tenis\u00e1k nebo takov\u00fd ten bodlinkov\u00fd balonek a jezdit si po t\u011bch svalech v oblasti p\u0159edlokt\u00ed, okolo z\u00e1p\u011bst\u00ed, to taky m\u016f\u017ee b\u00fdt n\u011bjak\u00e1 prvn\u00ed pomoc, potom t\u0159eba st\u0159\u00edd\u00e1n\u00ed studen\u00e9, tepl\u00e9 vody v umyvadle taky m\u016f\u017ee pomoct, ale neplat\u00ed to pro v\u0161echny. Samoz\u0159ejm\u011b v\u0161echny tady ty v\u011bci jsou dost individu\u00e1ln\u00ed a \u0159\u00edk\u00e1m, nemus\u00ed v\u0161echny tady ty v\u011bci pomoct, naopak n\u011bkter\u00fd m\u016f\u017eou i zhor\u0161it p\u0159echodn\u011b ten pr\u016fb\u011bh toho syndromu karp\u00e1ln\u00edho tunelu, tak\u017ee je to dost individu\u00e1ln\u00ed, ale d\u00e1 se s t\u00edm takhle aspo\u0148 pracovat.
moder\u00e1torka
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Co je potom nejd\u016fle\u017eit\u011bj\u0161\u00ed po operaci, aby byl \u010dlov\u011bk zase co nejd\u0159\u00edv fit a mohl tu ruku pou\u017e\u00edvat.
mluv\u010d\u00ed 1,
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Tak ur\u010dit\u011b po operaci je samoz\u0159ejm\u011b d\u016fle\u017eit\u00e9 potom, co se ta jizva aspo\u0148 \u010d\u00e1ste\u010dn\u011b zhoj\u00ed a jsou vyta\u017een\u00e9 stehy, tak ur\u010dit\u011b pracovat s tou jizvou, proto\u017ee hodn\u011b lid\u00ed, po t\u00e9 operaci si potom st\u011b\u017euje, \u017ee ty bolesti jsou t\u0159eba stejn\u00fd nebo nedejbo\u017ee je\u0161t\u011b hor\u0161\u00ed, ale v hodn\u011b p\u0159\u00edpadech za to mohou takov\u00fd ty poopera\u010dn\u00ed sr\u016fsty v oblasti t\u00e9 jizvy, kdy ta jizva nen\u00ed ide\u00e1ln\u011b nastaven\u00e1 d\u00edky t\u011bm svalov\u00fdm smy\u010dk\u00e1m, co v tom na\u0161em t\u011ble funguj\u00ed, tak ty tahy v t\u00e9 jizv\u011b potom m\u016f\u017eou zp\u016fsobit vlastn\u011b dal\u0161\u00ed tlak na ten nerv, tak\u017ee ur\u010dit\u011b pracovat s tou jizvou, aby byla stejn\u011b pohybliv\u00e1 jako okoln\u00ed k\u016f\u017ee, ur\u010dit\u011b tam pracuje z\u00e1p\u011bst\u00ed, a\u0165 u\u017e v r\u00e1mci mobilizace t\u011bch karp\u00e1ln\u00edch k\u016fstek, obnovov\u00e1n\u00ed rozsahu toho pohybu v z\u00e1p\u011bst\u00ed, svalov\u00e9ho nap\u011bt\u00ed, s\u00edly, jemn\u00e9 motoriky, to se tam prost\u011b tr\u00e9nuje.
moder\u00e1torka<\/p>\n\n\n\n