Na s\u00eddli\u0161ti Severn\u00ed Terasa v \u00dast\u00ed nad Labem se mezi panelov\u00fdmi domy tak trochu schov\u00e1v\u00e1 n\u00edzk\u00e1 budova Demosthena. Na prvn\u00ed pohled je oby\u010dejn\u00e1, nen\u00e1padn\u00e1. Kdo m\u00e1 ale mo\u017enost dostat se \u201edovnit\u0159\u201c, je p\u0159ekvapen. Centrum odborn\u00e9 komplexn\u00ed p\u00e9\u010de pro d\u011bti je za\u0159\u00edzen\u00ed, kter\u00e9 u\u017e 25 let pom\u00e1h\u00e1 p\u0159edev\u0161\u00edm rodin\u00e1m s d\u011btmi s neurov\u00fdvojov\u00fdmi poruchami. <\/p>\n\n\n\n
Demosthenes \u2013 spojuje pr\u00e1ci odborn\u00edk\u016f z resort\u016f zdravotnictv\u00ed, \u0161kolstv\u00ed i soci\u00e1ln\u00ed sf\u00e9ry. Najdete zde spolupracuj\u00edc\u00ed ordinace d\u011btsk\u00e9 klinick\u00e9 psychologie, klinick\u00e9 logopedie, fyzioterapie i ergoterapie a d\u0159\u00edve po \u0159adu let tak\u00e9 d\u011btsk\u00e9 neurologie.<\/p>\n\n\n\n
Sv\u00e9 s\u00eddlo tu m\u00e1 z\u00e1rove\u0148 speci\u00e1ln\u00ed mate\u0159sk\u00e1 \u0161kola a speci\u00e1ln\u011b pedagogick\u00e9 centrum (poradna pro \u0161kolky a \u0161koly) a v neposledn\u00ed \u0159ad\u011b m\u016f\u017eete na chodb\u00e1ch potkat i pracovn\u00edky soci\u00e1ln\u00ed slu\u017eby ran\u00e1 p\u00e9\u010de, chystaj\u00edc\u00ed se na v\u00fdjezd do n\u011bkter\u00e9 ze sv\u00fdch rodin. Uspo\u0159\u00e1d\u00e1n\u00edm, komplexnost\u00ed a prov\u00e1zanost\u00ed je jedin\u00fdm a jedine\u010dn\u00fdm centrem tohoto typu v \u00dasteck\u00e9m kraji.<\/p>\n\n\n\n
Pr\u00e1v\u011b v t\u011bchto dnech slav\u00ed Demosthenes \u010dtvrt stolet\u00ed sv\u00e9 existence. Za tu dobu j\u00edm pro\u0161lo t\u00e9m\u011b\u0159 8 tis\u00edc pacient\u016f – klient\u016f od batolec\u00edho v\u011bku po dosp\u00edvaj\u00edc\u00ed i mlad\u00e9 dosp\u011bl\u00e9.<\/p>\n\n\n\n
\u201eNej\u010dast\u011bji se jedn\u00e1 o jedince s nejr\u016fzn\u011bj\u0161\u00edmi p\u0159ekr\u00fdvaj\u00edc\u00edmi kombinacemi neurov\u00fdvojov\u00fdch poruch, jejich typ\u016f a stup\u0148\u016f z\u00e1va\u017enosti, kter\u00e9 vytv\u00e1\u0159ej\u00ed z\u00e1klad pro soci\u00e1ln\u00ed a emo\u010dn\u00ed obt\u00ed\u017ee a sni\u017euj\u00ed kvalitu \u017eivota ve v\u0161ech jeho oblastech,\u201c sd\u011blila \u0159editelka Lenka Posp\u00ed\u0161ilov\u00e1, kter\u00e1 se na tyto pacienty specializuje z pohledu vystudovan\u00fdch obor\u016f klinick\u00e9 logopedie a l\u00e9ka\u0159sk\u00e9 psychologie a psychopatologie.<\/p>\n\n\n\n
A tak je podle jej\u00edch slov b\u011b\u017en\u00e9, \u017ee se na za\u0159\u00edzen\u00ed obracej\u00ed rodi\u010de d\u00edt\u011bte, kter\u00e9 m\u00e1 hned n\u011bkolik probl\u00e9m\u016f najednou: m\u00e1lo mluv\u00ed, je nepozorn\u00e9, h\u016f\u0159e us\u00edn\u00e1, v d\u011btsk\u00e9m kolektivu se chov\u00e1 agresivn\u011b \u010di \u00fazkostn\u011b, t\u0159eba i je\u0161t\u011b nos\u00ed pleny, anebo m\u00e1 obt\u00ed\u017ee se \u017ev\u00fdk\u00e1n\u00edm tu\u017e\u0161\u00edch soust potravy \u010di omezen\u00fd reperto\u00e1r j\u00eddel. Pokud prvn\u011b p\u0159ijde d\u00edt\u011b a\u017e \u0161koln\u00edho \u010di dokonce adolescentn\u00edho v\u011bku, v\u011bt\u0161inou m\u00edv\u00e1 probl\u00e9m se vzd\u011bl\u00e1v\u00e1n\u00edm, chov\u00e1n\u00edm, \u010dasto m\u00e1 znateln\u00e9 psychick\u00e9 obt\u00ed\u017ee a za sebou historii nejr\u016fzn\u011bj\u0161\u00edch klinick\u00fdch p\u0159\u00edznak\u016f, vy\u0161et\u0159en\u00ed a terapi\u00ed.<\/p>\n\n\n\n
\u201eNeurov\u00fdvojov\u00e9 poruchy jsou onemocn\u011bn\u00ed zasahuj\u00edc\u00ed mozek v jeho \u010dasn\u00e9m v\u00fdvoji, zp\u016fsobuj\u00edc\u00ed mu \u010dasto trval\u00e9 jemn\u00e9 struktur\u00e1ln\u00ed a funk\u010dn\u00ed zm\u011bny, kter\u00e9 jsou sice v\u00fdznamn\u011b naprogramov\u00e1ny geneticky, av\u0161ak genetick\u00e9 vy\u0161et\u0159en\u00ed je neodhal\u00ed\u201c, dodala Lenka Posp\u00ed\u0161ilov\u00e1 a pokra\u010dovala: \u201eVe\u0159ejnosti jsou zn\u00e1my poruchy pozornosti a autistick\u00e9ho spektra, a to proto, \u017ee jsou nejv\u00edce zkoum\u00e1ny, pops\u00e1ny i zfilmov\u00e1ny. Mezi nej\u010dast\u011bj\u0161\u00ed neurov\u00fdvojov\u00e9 poruchy v\u0161ak pat\u0159\u00ed onemocn\u011bn\u00ed, kter\u00e9 je z\u00e1va\u017en\u011bj\u0161\u00ed ne\u017e t\u0159eba ADHD, a sice naru\u0161en\u00ed v\u00fdvoje jazykov\u00e9ho syst\u00e9mu \u2013 v\u00fdvojov\u00e1 dysf\u00e1zie. V\u00fdvojov\u00e1 dysf\u00e1zie (DLD) se projevuje sn\u00ed\u017een\u00fdm porozum\u011bn\u00edm slov\u016fm a v\u011bt\u00e1m, hor\u0161\u00ed slovn\u00ed pam\u011bt\u00ed, sn\u00ed\u017eenou kvalitou mluven\u00e9ho i psan\u00e9ho vyjad\u0159ov\u00e1n\u00ed, a z toho d\u016fvodu ni\u017e\u0161\u00ed kvalitou soci\u00e1ln\u00ed komunikace. DLD se s ob\u011bma p\u0159edchoz\u00edmi poruchami m\u016f\u017ee kombinovat a velmi \u010dasto tvo\u0159\u00ed z\u00e1klad poruch\u00e1m u\u010den\u00ed. Do stejn\u00e9 skupiny poruch tak\u00e9 pat\u0159\u00ed porucha motorick\u00e9 koordinace (jedinci r\u016fzn\u011b neobratn\u00ed), v\u011bt\u0161ina poruch intelektu, koktavost, tiky a porucha artikulace \u0159e\u010di, zasahuj\u00edc\u00ed v\u00fdslovnost hl\u00e1sek \u010di cel\u00fdch slov.\u201c<\/p>\n\n\n\n
Aby onemocn\u011bn\u00ed bylo onemocn\u011bn\u00edm, nem\u016f\u017ee b\u00fdt prost\u00fdm opo\u017ed\u011bn\u00edm, a to lze jen zjistit \u0159\u00e1dn\u00fdm vy\u0161et\u0159en\u00edm. \u010c\u00e1st populace m\u00e1 \u201epodprahov\u00e9 neurov\u00fdvojov\u00e9 poruchy\u201c, nespl\u0148uj\u00edc\u00ed \u00fapln\u011b krit\u00e9ria pro stanoven\u00ed diagn\u00f3zy, z\u00e1rove\u0148 v\u0161ak projevy k n\u00ed bl\u00ed\u017e\u00edc\u00ed. Krom\u011b p\u0159echodn\u00fdch tik\u016f a v\u011bt\u0161iny poruch v\u00fdslovnosti maj\u00ed tyto poruchy i p\u0159es l\u00e9\u010debn\u00e9 terapie tendenci p\u0159etrv\u00e1vat do dosp\u011blosti. V \u0161ir\u0161\u00edm slova smyslu m\u016f\u017eeme za neurov\u00fdvojov\u00e1 onemocn\u011bn\u00ed vn\u00edmat i vz\u00e1cn\u00e9 genetick\u00e9 syndromy, anebo epilepsii, dokonce i d\u011btskou mozkovou obrnu.<\/p>\n\n\n\n
Do Demosthena se tak\u00e9 p\u0159ich\u00e1zej\u00ed poradit rodi\u010de s d\u011btmi se zrakovou nebo sluchovou vadou, tedy d\u011bti v trval\u00e9 p\u00e9\u010di o\u010dn\u00edho l\u00e9ka\u0159e nebo foniatra \u010di ORL l\u00e9ka\u0159e. P\u0159edev\u0161\u00edm vstupuj\u00ed do jeho \u0161kolsk\u00e9 \u010d\u00e1sti \u2013 speci\u00e1ln\u011b pedagogick\u00e9ho centra, aby jim byl vypracov\u00e1n vzd\u011bl\u00e1vac\u00ed program \u201ena m\u00edru jejich posti\u017een\u00ed\u201c. Na prvn\u00ed pohled jde o samostatnou skupinu, ve skute\u010dnosti tak\u00e9 tito jedinci jsou protk\u00e1ni soub\u011b\u017en\u00fdmi neurov\u00fdvojov\u00fdmi poruchami a obt\u00ed\u017eemi z nich plynouc\u00edmi.<\/p>\n\n\n\n
\u00dazkosti<\/p>\n\n\n\n
P\u0159edstavme si nap\u0159\u00edklad t\u00edhu hendikepu u d\u00edt\u011bte nedosl\u00fdchav\u00e9ho a sou\u010dasn\u011b dysfatick\u00e9ho \u2013 sluchovou vadu vy\u0159e\u0161\u00ed sluchadlo \u010di kochle\u00e1rn\u00ed implant\u00e1t, ale na DLD l\u00e9k ani p\u0159\u00edstroj neexistuje, v\u011bt\u0161inou celo\u017eivotn\u00ed poruchu lze jen terapeuticky m\u00edrnit a kompenzovat vlastn\u00edmi schopnostmi. A to je je\u0161t\u011b ten lep\u0161\u00ed p\u0159\u00edpad, kdy DLD byla zachycena, nen\u00ed toti\u017e v\u00fdjime\u010dn\u00e9, \u017ee se odborn\u00edci v diagnosticko-terapeutick\u00e9m procesu zam\u011b\u0159\u00ed pouze na sluchovou vadu a nep\u0159epokl\u00e1daj\u00ed jin\u00e9 onemocn\u011bn\u00ed, \u010d\u00edm\u017e z\u00e1konit\u011b dojde k nep\u0159im\u011b\u0159en\u00e9 terapii i po\u017eadavk\u016fm na vzd\u011bl\u00e1v\u00e1n\u00ed, a tak n\u00e1sledn\u00e9 z\u00e1t\u011b\u017ei centr\u00e1ln\u00ed nervov\u00e9 soustavy s pravd\u011bpodobn\u00fdmi dal\u0161\u00edmi psychick\u00fdmi d\u016fsledky (minim\u00e1ln\u011b \u00fazkostmi).<\/p>\n\n\n\n
\u201ePo\u010detn\u011b nejmen\u0161\u00ed skupinu tvo\u0159\u00ed d\u011bti z patologick\u00e9ho soci\u00e1ln\u00edho prost\u0159ed\u00ed, pro kter\u00e9 je typick\u00e9, \u017ee pokud se u nich prost\u0159ed\u00ed poda\u0159\u00ed upravit a ony projdou denn\u00edm pobytem Demosthena s podporou odborn\u00fdch ambulanc\u00ed, p\u0159\u00edpadn\u011b i ranou p\u00e9\u010di p\u0159\u00edmo v rodin\u00e1ch, v\u00fdvoj posko\u010d\u00ed rychleji. Je logick\u00e9, \u017ee i ony b\u00fdvaj\u00ed naru\u0161en\u00e9 neurov\u00fdvojov\u00fdmi poruchami, nebo\u0165 pr\u00e1v\u011b ty dovedly jejich rodi\u010de k probl\u00e9m\u016fm, nap\u0159. k po\u017e\u00edv\u00e1n\u00ed omamn\u00fdch l\u00e1tek, dramatick\u00e9mu rozpadu partnersk\u00e9ho vztahu, neust\u00e1l\u00fdm \u017eivotn\u00edm zm\u011bn\u00e1m a podobn\u011b,\u201c ukon\u010dila v\u00fd\u010det klientely Demosthena jeho zakladatelka.<\/p>\n\n\n\n
N\u011bkte\u0159\u00ed klienti vyu\u017e\u00edvaj\u00ed p\u00e9\u010di jednotliv\u00fdch ambulanc\u00ed \u010di pracovi\u0161\u0165, jin\u00ed pot\u0159ebuj\u00ed vyu\u017e\u00edt p\u00e9\u010di komplexn\u011bj\u0161\u00ed. N\u011bkdo kr\u00e1tkodob\u011b, jin\u00fd doch\u00e1z\u00ed do Demosthena mnoho let. Svou pe\u010dlivou, mraven\u010d\u00ed pr\u016fkopnickou prac\u00ed se DEMOSTHENES postupn\u011b stal uzn\u00e1van\u00fdm odborn\u00fdm centrem, kam se sj\u00ed\u017ed\u011bj\u00ed klienti ze v\u0161ech \u010d\u00e1st\u00ed \u010cesk\u00e9 republiky.<\/p>\n\n\n\n
D\u016fle\u017eitou sou\u010d\u00e1st\u00ed p\u016fsoben\u00ed centra je odborn\u00e1 i v\u011bdeck\u00e1 \u010dinnost \u2013 publikace, p\u0159edn\u00e1\u0161ky, kursy. Nelze nezm\u00ednit mezioborov\u00fd t\u0159\u00edlet\u00fd v\u00fdzkumn\u00fd projekt Fakultn\u00ed nemocnice Motol a 2. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy, na kter\u00e9m se Demosthenes pod veden\u00edm profesor\u016f d\u011btsk\u00e9 neurologie a pedopsychiatrie spolupod\u00edlel. Pr\u00e1v\u011b tato \u010dinnost pom\u00e1h\u00e1 konkr\u00e9tn\u00edm d\u011btem s jejich rodinami v r\u00e1mci cel\u00e9 \u010cesk\u00e9 republiky, aby i ony dost\u00e1valy odbornou p\u00e9\u010di plynouc\u00ed ze sou\u010dasn\u00fdch v\u011bdeck\u00fdch poznatk\u016f (zahrani\u010dn\u00edch i tuzemsk\u00fdch). A tou je: v\u010dasn\u00fd z\u00e1chyt (nejl\u00e9pe ve v\u011bku 2-3 let), koordinovan\u011b mezioborov\u00e1 diagnostika s vysv\u011btlen\u00edm podstaty i progn\u00f3zy onemocn\u011bn\u00ed rodi\u010d\u016fm, nez\u00e1t\u011b\u017eov\u00e9 v\u00fdvojov\u00e9 stimulace s podrobn\u00fdm z\u00e1cvikem rodi\u010d\u016f a pedagog\u016f (jestli\u017ee 5let\u00e9 d\u00edt\u011b mluv\u00ed jako 2let\u00e9, jeho v\u00fdvoji nepom\u016f\u017ee, kdy\u017e s n\u00edm budeme komunikovat na \u00farovni kalend\u00e1\u0159n\u00edho v\u011bku, ale jeho \u0161\u0165astn\u00e9 o\u010di uvid\u00edme tehdy, pokud se dok\u00e1\u017eeme p\u0159ibl\u00ed\u017eit k nam\u011b\u0159en\u00e9 \u00farovni), stimulace v p\u0159irozen\u00e9m kontextu (domova, \u0161kolka, h\u0159i\u0161t\u011b aj.) a pr\u016fb\u011b\u017en\u00e9 sledov\u00e1n\u00ed stavu v odborn\u00fdch ambulanc\u00edch se zp\u011btn\u00fdm naslouch\u00e1n\u00edm rodi\u010d\u016fm a pedagog\u016fm.<\/p>\n\n\n\n
Tato p\u00e9\u010de se odvrac\u00ed od intenzivn\u00edho z\u00e1t\u011b\u017eov\u00e9ho terapeutick\u00e9ho drilu, nevyzdvihuje \u017e\u00e1dnou ucelenou metodu \u010di program s dop\u0159edu dan\u00fdm po\u010dtem terapeutick\u00fdch hodin atd. Sou\u010dasn\u00fd pohled respektuje skute\u010dnost, \u017ee d\u011bti, adolescenti a dosp\u011bl\u00ed s t\u011bmito obt\u00ed\u017eemi jsou natolik r\u016fznorod\u00ed, \u017ee prost\u011b univerz\u00e1ln\u00ed metoda existovat nem\u016f\u017ee.<\/p>\n\n\n\n
Doktorka Posp\u00ed\u0161ilov\u00e1 proto maminky varuje p\u0159ed r\u016fzn\u00fdmi \u201eaktivn\u00edmi\u201c terapeuty, \u010dasto bez pat\u0159i\u010dn\u00e9ho vzd\u011bl\u00e1n\u00ed (nap\u0159\u00edklad, kdy\u017e do slo\u017eit\u00e9ho a dosud zdaleka neprob\u00e1dan\u00e9ho v\u00fdvoje jazykov\u00e9ho syst\u00e9mu v mozku zasahuje ergoterapeut), anebo na internetu vyhledan\u00fdmi \u201ezaru\u010den\u00fdmi\u201c metodami, na kter\u00e9 si n\u011bkte\u0159\u00ed rodi\u010de dokonce i p\u016fj\u010duj\u00ed finan\u010dn\u00ed \u010d\u00e1stky a myln\u011b se domn\u00edvaj\u00ed, \u017ee sv\u00e9mu d\u00edt\u011bti pomohou.<\/p>\n\n\n\n
25 let Demosthena<\/p>\n\n\n\n
Hlavn\u00ed akc\u00ed oslav 25 let Demosthena je bl\u00ed\u017e\u00edc\u00ed se mezioborov\u00e1 konference, po\u0159\u00e1d\u00e1na ve spolupr\u00e1ci s Klinikou d\u011btsk\u00e9 neurologie a FN Motol v prostor\u00e1ch Univerzity Jana Evangelisty Purkyn\u011b v \u00dast\u00ed nad Labem. Toto odborn\u00e9 setk\u00e1n\u00ed se kon\u00e1 u p\u0159\u00edle\u017eitosti dvou v\u00fdro\u010d\u00ed sou\u010dasn\u011b: 100. v\u00fdro\u010d\u00ed narozen\u00ed d\u011btsk\u00e9ho neurologa Miroslava Bej\u0161ovce, na kter\u00e9ho krom\u011b rodiny a dlouholet\u00fdch zam\u011bstnanc\u016f Demosthena bude vzpom\u00ednat jeho \u017e\u00e1k emeritn\u00ed p\u0159ednosta motolsk\u00e9 neurologick\u00e9 kliniky a emeritn\u00ed d\u011bkan 2. LF UK Vladim\u00edr Kom\u00e1rek. \u00da\u010dast p\u0159ijali i dal\u0161\u00ed motol\u0161t\u00ed profeso\u0159i i odborn\u00edci z jin\u00fdch m\u011bst. P\u0159edn\u00e1\u0161ej\u00edc\u00ed, mezi nimi tak\u00e9 zakladatelka a \u0159editelka Demosthena Lenka Posp\u00ed\u0161ilov\u00e1, kr\u00e1tce pohovo\u0159\u00ed o novink\u00e1ch sv\u00fdch odborn\u00fdch t\u00e9mat a n\u00e1sledn\u011b budou debatovat ve spole\u010dn\u00fdch panelov\u00fdch diskus\u00edch, ur\u010den\u00fdch \u0161irok\u00e9mu odborn\u00e9mu publiku.<\/p>\n\n\n\n
Text: Pavla B\u00edl\u00e1<\/p>\n\n\n\n
\u00dasteck\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/ustecky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Na s\u00eddli\u0161ti Severn\u00ed Terasa v \u00dast\u00ed nad Labem se mezi panelov\u00fdmi domy tak trochu schov\u00e1v\u00e1 n\u00edzk\u00e1 budova Demosthena. Na prvn\u00ed pohled je oby\u010dejn\u00e1, nen\u00e1padn\u00e1. Kdo […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14683,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-52418","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52418","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=52418"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52418\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14683"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52418"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52418"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}