Loupe v\u00e1m v koleni? Tak zbyst\u0159ete! M\u016f\u017eete m\u00edt toti\u017e n\u00e1rok na l\u00e1ze\u0148skou l\u00e9\u010dbu hrazenou zdravotn\u00ed poji\u0161\u0165ovnou. Je plno chorob, u kter\u00fdch lid\u00e9 nev\u00ed, \u017ee jim tento n\u00e1rok vznik\u00e1. Pat\u0159\u00ed mezi n\u011b pr\u00e1v\u011b i nemoc pohybov\u00e9ho apar\u00e1tu, kterou m\u00e1 spousta lid\u00ed \u2013 artr\u00f3za. V\u011bt\u0161ina pacient\u016f zbyte\u010dn\u011b \u010dek\u00e1, a\u017e se jim artr\u00f3za zhor\u0161\u00ed natolik, \u017ee je bolesti donut\u00ed absolvovat operaci. P\u0159itom mohou vyu\u017e\u00edt l\u00e9\u010dbu hrazenou zdravotn\u00edm poji\u0161t\u011bn\u00edm, kter\u00e1 i bez operace jejich stav leckdy v\u00fdrazn\u011b zlep\u0161\u00ed.<\/p>\n\n\n\n
Mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00edznaky artr\u00f3zy (degenerativn\u00ed opot\u0159eben\u00ed kloub\u016f) pat\u0159\u00ed podle Humanitas University, mezin\u00e1rodn\u00ed l\u00e9ka\u0159sk\u00e9 \u0161koly s\u00eddl\u00edc\u00ed v Mil\u00e1n\u011b, bolest, otok, ztuhlost a omezen\u00ed v pou\u017e\u00edv\u00e1n\u00ed kloubu. Bolest je mechanick\u00e1, a proto je nejz\u00e1va\u017en\u011bj\u0161\u00ed po cvi\u010den\u00ed nebo p\u0159i zat\u00ed\u017een\u00ed kloubu. Obvykle jsou pak bolesti nejv\u011bt\u0161\u00ed na konci dne a zm\u00edr\u0144uj\u00ed se dobr\u00fdm odpo\u010dinkem.<\/p>\n\n\n\n
Artr\u00f3zou nej\u010dast\u011bji posti\u017een\u00fdmi m\u00edsty na t\u011ble b\u00fdv\u00e1 podle docentky ortopedie Elizavety Kon z Humanitas University p\u00e1te\u0159, zejm\u00e9na v bedern\u00ed oblasti, d\u00e1le jsou to kolena a ky\u010dle. I kdy\u017e artr\u00f3zu nelze \u00fapln\u011b vyl\u00e9\u010dit, jde podle ortopedky ud\u011blat hodn\u011b pro sn\u00ed\u017een\u00ed nepohodl\u00ed, zpomalen\u00ed rozvoje nemoci a zlep\u0161en\u00ed kvality \u017eivota pacienta.<\/p>\n\n\n\n
Jak se l\u00e9\u010d\u00ed artr\u00f3za<\/p>\n\n\n\n
Pacienti trp\u00edc\u00ed t\u011b\u017e\u0161\u00ed artr\u00f3zou hledaj\u00ed informace, jak se mohou l\u00e9\u010dit a zbavit se bolest\u00ed. Obvykle se dozv\u00eddaj\u00ed, \u017ee lze aplikovat injekce do kloubu, \u0159e\u0161it to fyzioterapi\u00ed a rehabilitac\u00ed, u\u017e\u00edvat l\u00e9ky \u010di si pom\u00e1hat ort\u00e9zami. Na \u0159adu m\u016f\u017ee p\u0159ij\u00edt tak\u00e9 operace, a p\u0159i n\u00ed dokonce n\u00e1hrada kloubu.<\/p>\n\n\n\n
P\u0159i hodnocen\u00ed pokro\u010dilosti kloubn\u00ed artr\u00f3zy vych\u00e1z\u00ed ortoped z rentgenov\u00e9ho sn\u00edmku. Obecn\u011b se pou\u017e\u00edv\u00e1 Kellgren-Lawrencova klasifikace, kter\u00e1 artrotick\u00e9 zm\u011bny v kloubu rozd\u011bluje od nejleh\u010d\u00edho stupn\u011b 1 do nejhor\u0161\u00edho 4.<\/p>\n\n\n\n
Ne\u010dekat, a\u017e se kloub rozpadne<\/p>\n\n\n\n
\u201ePacienti s artr\u00f3zou obecn\u011b v\u011bd\u00ed, \u017ee n\u00e1rok na l\u00e1zn\u011b maj\u00ed. Je ale m\u00e1lo zn\u00e1m\u00e9, \u017ee n\u00e1rok vznik\u00e1 ji\u017e od stupn\u011b II B. Nemus\u00ed s l\u00e1zn\u011bmi tedy \u010dekat na to, a\u017e bude kloub \u201arozpadl\u00fd\u2018. Je \u0161koda, \u017ee ortopedi pacient\u016fm v tomto st\u00e1diu artr\u00f3zy l\u00e1zn\u011b v\u00edce nep\u0159edepisuj\u00ed,\u201d \u0159\u00edk\u00e1 Petr P\u0161enica, hlavn\u00ed l\u00e9ka\u0159 spole\u010dnosti L\u00e1zn\u011b Luha\u010dovice.<\/p>\n\n\n\n
Podle l\u00e9ka\u0159e by l\u00e1zn\u011b mohly pro pacienty s ni\u017e\u0161\u00edm stupn\u011bm artr\u00f3zy ud\u011blat v\u00edce ne\u017e v pozdn\u00edch st\u00e1di\u00edch, jeliko\u017e posti\u017een\u00fd kloub je\u0161t\u011b nen\u00ed tak zni\u010den\u00fd.<\/p>\n\n\n\n
Operaci se cht\u011bl za ka\u017edou cenu vyhnout<\/p>\n\n\n\n
V\u00e1clavu Svobodovi byla artr\u00f3za kolenou diagnostikov\u00e1na p\u0159ed dovr\u0161en\u00edm \u010dty\u0159iceti let v\u011bku. Jeho p\u0159\u00edb\u011bh ukazuje, jak d\u016fle\u017eit\u00e1 m\u016f\u017ee b\u00fdt v\u010dasn\u00e1 l\u00e1ze\u0148sk\u00e1 l\u00e9\u010dba nejen pro zm\u00edrn\u011bn\u00ed p\u0159\u00edznak\u016f, ale i pro dlouhodob\u00e9 zlep\u0161en\u00ed kvality \u017eivota.<\/p>\n\n\n\n
\u201eZa\u010dalo to nen\u00e1padn\u011b, p\u0159i ch\u016fzi do kopce mi v kolenou pravideln\u011b loupalo. Nejprve jsem probl\u00e9m \u0159e\u0161il s ortopedem. Cht\u011bl m\u011b poslat na artroskopii obou kolen, jen\u017ee operaci jsem se cht\u011bl za ka\u017edou cenu vyhnout. Nakonec m\u011b jin\u00fd l\u00e9ka\u0159 poslal do l\u00e1zn\u00ed. A to pro m\u011b byla mnohem lep\u0161\u00ed varianta,\u201c popisuje V\u00e1clav Svoboda, kter\u00fd se l\u00e9\u010dil v Luha\u010dovic\u00edch.<\/p>\n\n\n\n
Miner\u00e1ln\u00ed vody uzdravuj\u00ed pohybov\u00e9 \u00fastroj\u00ed<\/p>\n\n\n\n
\u201eP\u0159i l\u00e9\u010db\u011b vyu\u017e\u00edv\u00e1me hlavn\u011b koupel s na\u0161\u00ed p\u0159\u00edrodn\u00ed miner\u00e1lkou. Je bohat\u00e1 nejenom na hydrogenuhli\u010ditan, ale je to tak\u00e9 p\u0159\u00edrodn\u00ed zdroj j\u00f3du v takov\u00e9 koncentraci, kter\u00e1 dok\u00e1\u017ee p\u0159\u00edzniv\u011b ovlivnit pohybov\u00e9 \u00fastroj\u00ed. M\u00e1 tak vliv na pr\u016fb\u011bh rehabilitace u \u0159ady onemocn\u011bn\u00ed,\u201c \u0159\u00edk\u00e1 doktor P\u0161enica.<\/p>\n\n\n\n
P\u0159i l\u00e9\u010db\u011b artr\u00f3zy je v l\u00e1zn\u00edch pro ka\u017ed\u00e9ho pacienta tak\u00e9 individu\u00e1ln\u011b sestavov\u00e1n l\u00e9\u010debn\u011b-rehabilita\u010dn\u00ed program, a to v\u010detn\u011b vyu\u017eit\u00ed fyzioterapie, mas\u00e1\u017e\u00ed a ostatn\u00edch vodn\u00edch procedur.<\/p>\n\n\n\n
Pravideln\u00e9 cvi\u010den\u00ed i na doma<\/p>\n\n\n\n
\u201eNejp\u0159\u00edjemn\u011bj\u0161\u00ed mi byly uhli\u010dit\u00e9 koupele, pak tak\u00e9 r\u016fzn\u00e1 cvi\u010den\u00ed, kter\u00e1 na artr\u00f3zu skv\u011ble plat\u00ed. Podstoupil jsem jak individu\u00e1ln\u00ed, tak skupinov\u00e1 cvi\u010den\u00ed a chodil jsem i na laser. D\u00edky pravideln\u00e9mu cvi\u010den\u00ed a pobyt\u016fm v l\u00e1zn\u00edch se m\u00e9 pot\u00ed\u017ee v\u00fdrazn\u011b zlep\u0161ily. Nau\u010dil jsem se tak\u00e9 cviky, kter\u00e9 te\u010f mohu d\u011blat doma,\u201c pochvaluje si V\u00e1clav Svoboda.<\/p>\n\n\n\n
Do l\u00e1zn\u00ed lid\u00e9 mohou jezdit je\u0161t\u011b v\u00edc<\/p>\n\n\n\n
Podle \u00fadaj\u016f \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky se v roce 2022 v l\u00e1ze\u0148sk\u00fdch pobytech hrazen\u00fdch zdravotn\u00edmi poji\u0161\u0165ovnami, stejn\u011b jako v minul\u00fdch letech, nej\u010dast\u011bji vyskytovaly pr\u00e1v\u011b nemoci pohybov\u00e9ho \u00fastroj\u00ed. \u0160lo o 59 % z celkov\u00e9ho po\u010dtu dosp\u011bl\u00fdch pacient\u016f. P\u0159esto v\u0161ak podle prim\u00e1\u0159e P\u0161enici n\u011bkte\u0159\u00ed pacienti s pohybov\u00fdmi probl\u00e9my, obzvl\u00e1\u0161\u0165 ti s artrotick\u00fdmi, st\u00e1le nev\u011bd\u00ed, kdy je ten spr\u00e1vn\u00fd \u010das do l\u00e1zn\u00ed vyrazit.<\/p>\n\n\n\n
Jak Den\u00edk p\u0159ed \u010dasem radil v \u010dl\u00e1nku Nep\u0159ich\u00e1z\u00edte o l\u00e1zn\u011b zdarma? U t\u011bchto p\u011bti diagn\u00f3z se na n\u011b \u010dasto zapom\u00edn\u00e1, nejsnaz\u0161\u00ed cestou, jak zjistit, zda m\u00e1 pacient na l\u00e1zn\u011b n\u00e1rok, je zeptat se sv\u00e9ho praktick\u00e9ho nebo odborn\u00e9ho l\u00e9ka\u0159e.<\/p>\n\n\n\n
\u201ePokud n\u00e1rok m\u00e1te, l\u00e9ka\u0159 sep\u00ed\u0161e n\u00e1vrh na l\u00e1ze\u0148skou p\u00e9\u010di. Ten se n\u00e1sledn\u011b doru\u010d\u00ed do zdravotn\u00ed poji\u0161\u0165ovny. Jestli\u017ee poji\u0161\u0165ovna n\u00e1vrh schv\u00e1l\u00ed, z\u00edsk\u00e1 pacient pobyt ve form\u011b komplexn\u00ed l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de,\u201c vysv\u011btluje Petr P\u0161enica.<\/p>\n\n\n\n
Komplexn\u00ed l\u00e1ze\u0148sk\u00e1 p\u00e9\u010de znamen\u00e1, \u017ee m\u00e1 pacient pln\u011b hrazenou jak l\u00e1ze\u0148skou l\u00e9\u010dbu, tak stravov\u00e1n\u00ed formou pln\u00e9 penze a ubytov\u00e1n\u00ed ve standardn\u00ed \u00farovni. Dal\u0161\u00ed mo\u017enost\u00ed je, \u017ee poji\u0161\u0165ovna pacientovi schv\u00e1l\u00ed l\u00e9\u010dbu p\u0159\u00edsp\u011bvkovou, kdy si ubytov\u00e1n\u00ed a stravu hrad\u00ed \u010dlov\u011bk s\u00e1m.<\/p>\n\n\n\n
Shrnut\u00ed:<\/p>\n\n\n\n
P\u0159i hodnocen\u00ed pokro\u010dilosti kloubn\u00ed artr\u00f3zy se pou\u017e\u00edv\u00e1 Kellgren-Lawrencova klasifikace, kter\u00e1 artrotick\u00e9 zm\u011bny v kloubu rozd\u011bluje od nejleh\u010d\u00edho stupn\u011b 1 do nejhor\u0161\u00edho 4. Mezi lidmi nen\u00ed p\u0159\u00edli\u0161 zn\u00e1m\u00fdm faktem, \u017ee ji\u017e od stupn\u011b II B jim vznik\u00e1 n\u00e1rok na l\u00e1ze\u0148skou p\u00e9\u010di hrazenou poji\u0161\u0165ovnou.<\/p>\n\n\n\n
Pro pacienty s ni\u017e\u0161\u00edm stupn\u011bm artr\u00f3zy by p\u0159itom l\u00e1zn\u011b mohly ud\u011blat v\u00edce ne\u017e v pozdn\u00edch st\u00e1di\u00edch, jeliko\u017e posti\u017een\u00fd kloub je\u0161t\u011b nen\u00ed tak zni\u010den\u00fd.<\/p>\n\n\n\n
Zeptejte se sv\u00e9ho praktick\u00e9ho nebo odborn\u00e9ho l\u00e9ka\u0159e, jestli se n\u00e1rok na l\u00e1zn\u011b zdarma net\u00fdk\u00e1 i v\u00e1s.<\/p>\n\n\n\n
Zdena Lackov\u00e1<\/p>\n\n\n\n
Berounsk\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/berounsky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Loupe v\u00e1m v koleni? Tak zbyst\u0159ete! M\u016f\u017eete m\u00edt toti\u017e n\u00e1rok na l\u00e1ze\u0148skou l\u00e9\u010dbu hrazenou zdravotn\u00ed poji\u0161\u0165ovnou. Je plno chorob, u kter\u00fdch lid\u00e9 nev\u00ed, \u017ee jim […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29182,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-55140","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\/55140","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=55140"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55140\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29182"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55140"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55140"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}