{"id":54234,"date":"2025-01-19T05:12:04","date_gmt":"2025-01-19T04:12:04","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=54234"},"modified":"2025-01-19T05:12:13","modified_gmt":"2025-01-19T04:12:13","slug":"prispevek-na-peci-o-dite-se-syndromem-dravetove-byl-snizen","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=54234","title":{"rendered":"P\u0159\u00edsp\u011bvek na p\u00e9\u010di\u00a0o d\u00edt\u011b se syndromem Dravetov\u00e9\u00a0byl sn\u00ed\u017een"},"content":{"rendered":"\n<p>\u010cT 1\u00a0&#8211; \u010cern\u00e9 ovce<br \/><br \/>Jak t\u011b\u017ek\u00e9 je pe\u010dovat o v\u00e1\u017en\u011b nemocn\u00e9 d\u00edt\u011b a z\u00e1rove\u0148 bojovat s \u00fa\u0159ady. Matce sedmilet\u00e9 d\u00edvky se vz\u00e1cn\u00fdm syndromem sn\u00ed\u017eili p\u0159\u00edsp\u011bvek na p\u00e9\u010di. Zlep\u0161il se snad dce\u0159in zdravotn\u00ed stav?<br \/><br \/>Kdy\u017e se pan\u00ed Bro\u017eov\u00e9 narodila dcera, nic nenasv\u011bd\u010dovalo tomu, \u017ee by byla v\u00e1\u017en\u011b nemocn\u00e1. Nemoc se za\u010dala projevovat a\u017e ve t\u0159ech m\u011bs\u00edc\u00edch, kdy dostala sv\u016fj prvn\u00ed epileptick\u00fd z\u00e1chvat.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Silvinka trp\u00ed vz\u00e1cn\u00fdm syndromem, kter\u00fd se naz\u00fdv\u00e1 syndrom Dravetov\u00e9. Je to jedna z nejz\u00e1va\u017en\u011bj\u0161\u00edch epilepsi\u00ed vznikaj\u00edc\u00ed v d\u011btsk\u00e9m v\u011bku a projevuje se velmi t\u011b\u017ek\u00fdmi \u010dast\u00fdmi epileptick\u00fdmi z\u00e1chvaty, ale z\u00e1rove\u0148 ta nemoc s sebou nese je\u0161t\u011b dal\u0161\u00ed\u00a0<strong>posti\u017een\u00ed<\/strong>.<\/p>\n\n\n\n<p>redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>P\u0159esto\u017ee tyto d\u011bti na prvn\u00ed pohled nep\u016fsob\u00ed tak, \u017ee by byly v\u00e1\u017en\u011b nemocn\u00e9, realita je jin\u00e1.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Krom\u011b ment\u00e1ln\u00ed retardace maj\u00ed probl\u00e9my s hyperaktivitou, s poruchou pozornosti, maj\u00ed autistick\u00e9 rysy, maj\u00ed v\u00fdznamn\u00e9 poruchy chov\u00e1n\u00ed, maj\u00ed tzv. moze\u010dkov\u00e9 p\u0159\u00edznaky, tak\u017ee jsou nejist\u00fd v pohybu, padaj\u00ed, jsou rozt\u0159esen\u00fd, maj\u00ed velmi \u0161patnou koordinaci pohybu a i kv\u016fli tomu nezvl\u00e1daj\u00ed b\u011b\u017en\u00e9 aktivity.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Takto nemocn\u00e9 d\u011bti mus\u00ed u\u017e\u00edvat \u0159adu l\u00e9k\u016f, kter\u00e9 maj\u00ed pom\u011brn\u011b velk\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky, jako nap\u0159\u00edklad agresivitu nebo nechutenstv\u00ed.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Za\u010dne se vztekat, za\u010dne se v\u00e1let po zemi, za\u010dne si \u0161kubat vlasy, a dokava\u010f se j\u00ed n\u011bjak\u00fdm zp\u016fsobem ten mozek nevybou\u0159\u00ed, tak ji prost\u011b mus\u00edme nechat.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ten nov\u00fd l\u00e9k, kter\u00fd m\u00e1 a kter\u00fd u n\u00ed opravdu bezvadn\u011b funguje stran z\u00e1chvat\u016f, tak tam mus\u00edme hl\u00eddat srd\u00ed\u010dko, aby nedo\u0161lo k&nbsp;<strong>posti\u017een\u00ed<\/strong>&nbsp;srdce.<br \/><br \/>Lucie Miczov\u00e1, \u0159editelka organizace na pomoc nemocn\u00fdm s epilepsi\u00ed, Epicana z.\u00fa.<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Toto onemocn\u011bn\u00ed opravdu pot\u0159ebuje p\u00e9\u010di 24\/7. Ty d\u011bti mus\u00ed b\u00fdt st\u00e1le pod dohledem, to znamen\u00e1, \u017ee t\u0159eba i v noci mus\u00ed sp\u00e1t s rodi\u010di v jedn\u00e9 m\u00edstnosti, respektive ide\u00e1ln\u011b v jedn\u00e9 posteli, proto\u017ee i z\u00e1chvat m\u016f\u017ee p\u0159ij\u00edt kdykoliv a je opravdu vlastn\u011b i \u017eivotu nebezpe\u010dn\u00fd.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>U syndromu Dravetov\u00e9 je bohu\u017eel velmi zv\u00fd\u0161en\u00e9 riziko n\u00e1hl\u00e9ho ne\u010dekan\u00e9ho \u00famrt\u00ed u pacienta s epilepsi\u00ed.<br \/><br \/>Lucie Miczov\u00e1, \u0159editelka organizace na pomoc nemocn\u00fdm s epilepsi\u00ed, Epicana z.\u00fa.<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ta p\u00e9\u010de je opravdu n\u00e1ro\u010dn\u00e1, to d\u00edt\u011b pot\u0159ebuje asistovat vlastn\u011b u t\u00e9m\u011b\u0159 v\u0161eho.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Proto maj\u00ed takto nemocn\u00e9 d\u011bti n\u00e1rok na p\u0159\u00edsp\u011bvek na p\u00e9\u010di. Dcera pan\u00ed Bro\u017eov\u00e9 m\u011bla t\u0159et\u00ed stupe\u0148, co\u017e znamen\u00e1, \u017ee pot\u0159ebovala v\u011bt\u0161\u00ed p\u00e9\u010di.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Silvince bylo p\u0159izn\u00e1no \u0161est oblast\u00ed t\u011bch pot\u0159eb pomoci, jednalo se o osobn\u00ed aktivity, p\u00e9\u010di o zdrav\u00ed, t\u011blesnou hygienu, obl\u00e9k\u00e1n\u00ed, obouv\u00e1n\u00ed, komunikaci a orientaci.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>V sedmi letech ale do\u0161lo k p\u0159ezkumu jej\u00edho zdravotn\u00edho stavu. O p\u0159\u00edsp\u011bvku na p\u00e9\u010di rozhoduje \u00da\u0159ad pr\u00e1ce, a tak jeho soci\u00e1ln\u00ed pracovnice nav\u0161t\u00edvila Silvinku, aby vid\u011bla, co um\u00ed a neum\u00ed, a navrhla p\u0159iznat je\u0161t\u011b o jednu pomoc nav\u00edc, a to mobilitu. Celkem tedy sedm oblast\u00ed pomoci. O tomto n\u00e1vrhu ale nakonec rozhoduje posudkov\u00fd l\u00e9ka\u0159 \u010cesk\u00e9 spr\u00e1vy soci\u00e1ln\u00edho zabezpe\u010den\u00ed.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Posudkov\u00ed l\u00e9ka\u0159i n\u00e1sledn\u011b vypracovali posudek, ve kter\u00e9m p\u0159iznali pouze p\u011bt t\u011bch pot\u0159eb. Soci\u00e1ln\u00ed pracovnice z \u00da\u0159adu pr\u00e1ce to n\u00e1sledn\u011b rozporovala, vracela jim to zp\u00e1tky.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Navrhla dokonce je\u0161t\u011b jednu pot\u0159ebu nav\u00edc, a to v\u00fdkon fyziologick\u00e9 pot\u0159eby. Posudkov\u00fd l\u00e9ka\u0159 ale trval na p\u0159izn\u00e1n\u00ed pouze p\u011bti pot\u0159eb. Dokonce v n\u00e1sledn\u00e9m rozhodov\u00e1n\u00ed tyto pot\u0159eby je\u0161t\u011b zm\u011bnil, a to tak, aby jich bylo st\u00e1le p\u011bt, a byl tak sn\u00ed\u017een p\u0159\u00edsp\u011bvek na p\u00e9\u010di ze t\u0159et\u00edho na druh\u00fd stupe\u0148.<br \/><br \/>Petr Mikysek, advok\u00e1t<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jednozna\u010dn\u011b tohleto jedn\u00e1n\u00ed p\u016fsob\u00ed dojmem, \u017ee byla urputn\u00e1 snaha nal\u00e9zt jenom v uvozovk\u00e1ch t\u011bch p\u011bt \u017eivotn\u00edch pot\u0159eb tak, aby nemusel b\u00fdt p\u0159izn\u00e1n p\u0159\u00edsp\u011bvek za vy\u0161\u0161\u00ed p\u00e9\u010di, proto\u017ee jestli\u017ee jedna pot\u0159eba je uzn\u00e1na, jako \u017ee nen\u00ed mo\u017en\u00e9 ji vykon\u00e1vat, a n\u00e1sledn\u011b je odvol\u00e1no, p\u0159esto\u017ee podklady jsou stejn\u00e9, tak to nem\u016f\u017ee vyvol\u00e1vat jin\u00fd dojem.<br \/><br \/>V\u00e1clav Kr\u00e1sa, p\u0159edseda N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tady opravdu ten stav neodpov\u00edd\u00e1 druh\u00fdmu stupni. Jednozna\u010dn\u011b. \u0158\u00edk\u00e1 to jak odborn\u00fd l\u00e9ka\u0159, \u0159\u00edk\u00e1 to i soci\u00e1ln\u00ed pracovn\u00edk, j\u00e1 v\u016fbec nerozum\u00edm, jak ten posudkov\u00fd l\u00e9ka\u0159 tohle m\u016f\u017ee ud\u011blat. Ze v\u0161ech t\u011bch dokument\u016f to vypl\u00fdv\u00e1. Pouze rozhodnut\u00ed je potom jin\u00e9.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Vypad\u00e1 to, \u017ee jde o pen\u00edze. Sn\u00ed\u017een\u00ed p\u0159\u00edsp\u011bvku ze t\u0159et\u00edho stupn\u011b na druh\u00fd toti\u017e znamen\u00e1 velk\u00fd finan\u010dn\u00ed rozd\u00edl.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>V \u010dervenci do\u0161lo ke zv\u00fd\u0161en\u00ed p\u0159\u00edsp\u011bvku na p\u00e9\u010di, ve t\u0159et\u00edm stupni \u010dinil kolem 16 000, a kdy\u017e jsme nyn\u00ed spadli do toho druh\u00e9ho, tak \u010din\u00ed 7 400 K\u010d m\u011bs\u00ed\u010dn\u011b, co\u017e je samoz\u0159ejm\u011b markantn\u00ed rozd\u00edl.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A s takovou \u010d\u00e1stkou u\u017e by Bro\u017eovi nebyli schopni pokr\u00fdt pot\u0159eby jejich dcery, kter\u00e1 u\u017e musela nastoupit do \u0161koly, proto\u017ee i takto nemocn\u00e9 d\u011bti mus\u00ed plnit \u0161koln\u00ed doch\u00e1zku. Speci\u00e1ln\u00ed \u0161kola i asistent jsou ale drah\u00e9. Do toho mus\u00ed Silvinka chodit na celou \u0159adu rehabilitac\u00ed.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Pot\u0159ebuje r\u016fzn\u00e9 terapie, aby se jej\u00ed neurologick\u00fd stav zlep\u0161il, aby nebyla tak nestabiln\u00ed v ch\u016fzi, pot\u0159ebuje rehabilitaci, pot\u0159ebuje ergoterapii, aby l\u00e9pe zvl\u00e1dala \u010dinnosti s tou jemnou motorikou. Je toho opravdu spousta.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A v\u011bt\u0161inu t\u011bchto rehabilitac\u00ed mus\u00ed rodi\u010de zaplatit. A je naivn\u00ed se domn\u00edvat, \u017ee si rodi\u010d b\u011bhem \u010dasu, kdy je d\u00edt\u011b ve \u0161kole, m\u016f\u017ee n\u011bco p\u0159ivyd\u011blat.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>I kdy\u017e to d\u00edt\u011b je schopn\u00e9 b\u00fdt ve \u0161kolce t\u0159eba hodinu, dv\u011b, t\u0159i nebo i ve \u0161kole, tak ta maminka v\u011bt\u0161inou, kter\u00e1 to d\u00edt\u011b odveze do t\u00e9 \u0161koly nebo \u0161kolky, tak \u010dasto sed\u00ed venku v aut\u011b a \u010dek\u00e1, co bude.<br \/><br \/>V\u00e1clav Kr\u00e1sa, p\u0159edseda N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>My t\u011bchto p\u0159\u00edpad\u016f m\u00e1me mnoho, \u017ee kdy\u017e jde d\u00edt\u011b do \u0161koly, tak je skoro automaticky sn\u00ed\u017een p\u0159\u00edsp\u011bvek na p\u00e9\u010di.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Po\u017e\u00e1dali jsme o vyj\u00e1d\u0159en\u00ed \u010ceskou spr\u00e1vu soci\u00e1ln\u00edho zabezpe\u010den\u00ed i \u00da\u0159ad pr\u00e1ce. Od obou jsme ale dostali odpov\u011b\u010f, \u017ee se k tomuto p\u0159\u00edpadu vyjad\u0159ovat nebudou. Pod\u00edv\u00e1me se tedy na to, co Silvinka zvl\u00e1d\u00e1 nebo nezvl\u00e1d\u00e1, sami. V\u00edme, \u017ee je na \u00farovni t\u0159\u00edlet\u00e9ho d\u00edt\u011bte. Nikdo nerozporuje to, \u017ee pot\u0159ebuje pomoc s obl\u00e9k\u00e1n\u00edm, hygienou, p\u00e9\u010d\u00ed o zdrav\u00ed, aktivitami a komunikac\u00ed. Podle posudkov\u00e9ho l\u00e9ka\u0159e ale nepot\u0159ebuje pomoc s orientac\u00ed.<br \/><br \/>Petr Mikysek, advok\u00e1t<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jedn\u00edm z t\u011bch bod\u016f je orientace v \u010dase a v m\u00edst\u011b, p\u0159i\u010dem\u017e z vyj\u00e1d\u0159en\u00ed l\u00e9ka\u0159\u016f jasn\u011b plyne, \u017ee hol\u010di\u010dka rozezn\u00e1v\u00e1 jenom den a noc a v \u010dase se neorientuje, a z\u00e1rove\u0148, pokud m\u00e1 p\u0159id\u011blen\u00e9ho ve \u0161kolsk\u00e9m za\u0159\u00edzen\u00ed vlastn\u011b asistenta, no, tak u\u017e z toho je z\u0159ejm\u00e9, \u017ee se neorientuje ani v p\u0159irozen\u00e9m soci\u00e1ln\u00edm prost\u0159ed\u00ed, co\u017e \u0161kolsk\u00e9 za\u0159\u00edzen\u00ed nepochybn\u011b je.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Oni se neorientuj\u00ed v prostoru a taky ned\u00e1vaj\u00ed pozor nebo nemaj\u00ed takov\u00fd ten spr\u00e1vn\u00fd pud sebez\u00e1chovy.<br \/><br \/>V\u00e1clav Kr\u00e1sa, p\u0159edseda N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Posudkov\u00fd l\u00e9ka\u0159 nem\u016f\u017ee neuznat orientaci, kdy\u017e ten odborn\u00fd l\u00e9ka\u0159 \u0159\u00edk\u00e1: ta d\u00edvka se neorientuje. J\u00e1 tomu v\u016fbec nerozum\u00edm. Jak to m\u016f\u017ee ud\u011blat? Prost\u011b takov\u00fd l\u00e9ka\u0159 by m\u011bl skon\u010dit posudkov\u00fd.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Po orientaci nebyla Silvince uznan\u00e1 ani pot\u0159eba stravov\u00e1n\u00ed.<br \/><br \/>Petr Mikysek, advok\u00e1t<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>O stravov\u00e1n\u00ed vyhl\u00e1\u0161ka \u0159\u00edk\u00e1, \u017ee ta posuzovan\u00e1 osoba mus\u00ed b\u00fdt schopn\u00e1 naserv\u00edrovat si j\u00eddlo, nal\u00edt si n\u00e1poj, nap\u00edt se, naj\u00edst se.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Silvinka si j\u00eddlo nep\u0159iprav\u00ed, pit\u00ed si nenalije, a dokonce sama neukousne ani chleba.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ono j\u00ed to moc&#8230; nejde.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Nejde. I chleba mus\u00ed m\u00edt nakr\u00e1jen\u00fd na mal\u00e9 kousky, kter\u00e9 si pak d\u00e1 do pusy. A ani s pit\u00edm to nem\u00e1 jednoduch\u00e9.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jak pije\u0161 teda?<br \/><br \/>Silvie, dcera M. Bro\u017eov\u00e9<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>J\u00e1 piju z br\u010dka.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Z br\u010dka. Tak uka\u017e. Pro\u010d pije z br\u010dka?<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ona by sama p\u0159i \u00fachopu toho hrne\u010dku m\u011bla rozt\u0159esen\u00fd pohyb, tak\u017ee by to pit\u00ed na sebe cel\u00fd vylila.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A mus\u00ed se jim to pit\u00ed neust\u00e1le nab\u00edzet, v\u011bt\u0161ina d\u011bt\u00ed opravdu si sama pit\u00ed nevezme.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Posledn\u00ed pot\u0159eba, kter\u00e1 Silvince nebyla uznan\u00e1, je v\u00fdkon fyziologick\u00e9 pot\u0159eby, co\u017e znamen\u00e1, \u017ee by m\u011bla zvl\u00e1dnout doj\u00edt si na z\u00e1chod.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ona \u00fapln\u011b nerozezn\u00e1 sama v sob\u011b tu pot\u0159ebu, \u017ee na ten z\u00e1chod m\u00e1 nutk\u00e1n\u00ed, tak\u017ee ji p\u0159es den mus\u00edme upozor\u0148ovat, \u017ee je pot\u0159eba se doj\u00edt vy\u010d\u016frat, a na ten z\u00e1chod j\u00ed mus\u00edme pomoct, p\u0159\u00edpadn\u011b posadit ji tam, podr\u017eet ji tam, sundat, pomoct s ut\u0159en\u00edm a n\u00e1sledn\u011b s celou o\u010distou. Silvinko, rozepne\u0161 si sama k\u0161andy? Zvl\u00e1dne\u0161 to sama rozepnout?<br \/><br \/>Silvie, dcera M. Bro\u017eov\u00e9<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ne.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak j\u00e1 pom\u016f\u017eu? Tak uka\u017e.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Nerozepne si ani kalhoty?<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ani kalhoty. J\u00ed d\u011bl\u00e1 obecn\u011b probl\u00e9m zap\u00edn\u00e1n\u00ed, rozep\u00edn\u00e1n\u00ed, a\u0165 u\u017e se jedn\u00e1 o knofl\u00edky, o k\u0161andy, o zipy.<br \/><br \/>Petr Mikysek, advok\u00e1t<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ve vztahu k v\u00fdkonu fyziologick\u00e9 pot\u0159eby vyhl\u00e1\u0161ka hovo\u0159\u00ed o v\u010dasn\u00e9m pou\u017e\u00edv\u00e1n\u00ed WC samostatn\u00e9m a z\u00e1rove\u0148 o proveden\u00ed o\u010disty.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ona pot\u0159ebuje obslou\u017eit vlastn\u011b ve v\u0161ech z\u00e1kladn\u00edch funkc\u00edch \u017eivota.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Posudkov\u00fd l\u00e9ka\u0159 to ale vid\u00ed jinak. U zam\u00edtnut\u00fdch pot\u0159eb uvedl, \u017ee se jedn\u00e1 o pot\u0159eby zv\u00fd\u0161en\u00e9, nikoliv mimo\u0159\u00e1dn\u00e9.<br \/><br \/>Petr Mikysek, advok\u00e1t<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Z\u00e1kon ani vyhl\u00e1\u0161ka nepracuj\u00ed s pojmy zv\u00fd\u0161en\u00e1 p\u00e9\u010de, mimo\u0159\u00e1dn\u00e1 p\u00e9\u010de, nic takov\u00e9ho se tam neuv\u00e1d\u00ed.<br \/><br \/>V\u00e1clav Kr\u00e1sa, p\u0159edseda N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Z\u00e1kon o soci\u00e1ln\u00edch slu\u017eb\u00e1ch jasn\u011b stanov\u00ed, \u017ee jestli\u017ee klient nedok\u00e1\u017ee \u00fakon ud\u011blat standardn\u00edm zp\u016fsobem, pova\u017euje se, \u017ee jej nezvl\u00e1dne.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Pokud si posudkov\u00ed l\u00e9ka\u0159i neum\u00ed \u017eivot takto nemocn\u00fdch d\u011bt\u00ed p\u0159edstavit, m\u011bli by je nav\u0161t\u00edvit u nich doma, aby se p\u0159esv\u011bd\u010dili, jak\u00e9 pot\u0159eby skute\u010dn\u011b zvl\u00e1daj\u00ed a jak\u00e9 ne. Mo\u017en\u00e1 ale s takov\u00fdm onemocn\u011bn\u00edm nemaj\u00ed moc zku\u0161enost\u00ed.<br \/><br \/>Katalin \u0160t\u011brbov\u00e1, l\u00e9ka\u0159ka, Klinika d\u011btsk\u00e9 neurologie 2. LF UK, Fakultn\u00ed nemocnice v Motole<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Podle epidemiologick\u00fdch dat my si mysl\u00edme, \u017ee by v \u010cesk\u00e9 republice m\u011blo b\u00fdt zhruba 100 d\u011bt\u00ed do 18 let v\u011bku se syndromem Dravetov\u00e9.<br \/><br \/>Lucie Miczov\u00e1, \u0159editelka organizace na pomoc nemocn\u00fdm s epilepsi\u00ed, Epicana z.\u00fa.<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jak je to onemocn\u011bn\u00ed vz\u00e1cn\u00e9 pro ty posudkov\u00e9 l\u00e9ka\u0159e, tak za t\u011bmi zpr\u00e1vami od l\u00e9ka\u0159\u016f v\u011bt\u0161inou se skr\u00fdv\u00e1 spoustu jakoby dal\u0161\u00edch probl\u00e9m\u016f, kter\u00e9 tam oni nevid\u00ed a ani t\u0159eba necht\u011bj\u00ed vid\u011bt.<br \/><br \/>Bohunka Fra\u0148kov\u00e1, redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Pan\u00ed Bro\u017eov\u00e1 po\u017eaduje pro svoji dceru minim\u00e1ln\u011b t\u0159et\u00ed stupe\u0148 p\u0159\u00edsp\u011bvku na p\u00e9\u010di, a proto se proti rozhodnut\u00ed posudkov\u00e9ho l\u00e9ka\u0159e odvolala. O p\u0159\u00edsp\u011bvku na p\u00e9\u010di by nyn\u00ed m\u011blo rozhodnout Ministerstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed. Z tiskov\u00e9ho odboru jsme dostali informaci, \u017ee se ministerstvo tomuto p\u0159\u00edpadu u\u017e v\u011bnuje, a pan\u00ed Bro\u017eov\u00e1 n\u00e1m potvrdila, \u017ee si od n\u00ed vy\u017e\u00e1dalo dal\u0161\u00ed podklady.<br \/><br \/>V\u00e1clav Kr\u00e1sa, p\u0159edseda N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ministerstvo by si v tomto m\u011blo ud\u011blat samo po\u0159\u00e1dek. To jsou z\u00e1sadn\u00ed chyby, kter\u00e9 po\u0161kozuj\u00ed ty ob\u010dany.<br \/><br \/>Martina Bro\u017eov\u00e1, matka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Kdy\u017e bude odvol\u00e1n\u00ed zam\u00edtnuto, tak jsme rozhodnut\u00ed, \u017ee budeme pod\u00e1vat \u017ealobu k soudu.<br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cT 1\u00a0&#8211; \u010cern\u00e9 ovce Jak t\u011b\u017ek\u00e9 je pe\u010dovat o v\u00e1\u017en\u011b nemocn\u00e9 d\u00edt\u011b a z\u00e1rove\u0148 bojovat s \u00fa\u0159ady. Matce sedmilet\u00e9 d\u00edvky se vz\u00e1cn\u00fdm syndromem sn\u00ed\u017eili p\u0159\u00edsp\u011bvek <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=54234\" title=\"P\u0159\u00edsp\u011bvek na p\u00e9\u010di\u00a0o d\u00edt\u011b se syndromem Dravetov\u00e9\u00a0byl sn\u00ed\u017een\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":600,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-54234","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/54234","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=54234"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/54234\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/600"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=54234"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=54234"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=54234"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}