{"id":55638,"date":"2025-04-03T08:17:59","date_gmt":"2025-04-03T06:17:59","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=55638"},"modified":"2025-04-03T08:18:06","modified_gmt":"2025-04-03T06:18:06","slug":"lide-po-mrtvici-budou-chodit-na-pravidelne-prohlidky-do-specializovanych-poraden","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=55638","title":{"rendered":"Lid\u00e9 po mrtvici budou chodit na pravideln\u00e9 prohl\u00eddky do specializovan\u00fdch poraden\u00a0\u00a0"},"content":{"rendered":"\n

Radio\u017eurn\u00e1l\u00a0

Je to novinka pro lidi po mozkov\u00e9 mrtvici. Nov\u011b budou chodit na pravideln\u00e9 prohl\u00eddky do specializovan\u00fdch poraden, co\u017e stanovuje vyhl\u00e1\u0161ka, kterou zpracovala \u010cesk\u00e1 neurologick\u00e1 spole\u010dnost. Experti ji p\u0159edstavuj\u00ed na dne\u0161n\u00ed Evropsk\u00fd den mozku a platit bude od dubna. Denn\u011b v \u010cesku podle statistik zem\u0159e na mrtvici 20 lid\u00ed. A je to tak. Druh\u00e1 nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dina \u00famrt\u00ed. V. Rann\u00ed interview te\u010f se mnou Ale\u0161 Tomek, prim\u00e1\u0159 Neurologick\u00e9 kliniky pra\u017esk\u00e9 Fakultn\u00ed nemocnice Motol, dobr\u00e9 r\u00e1no. Dobr\u00e9 r\u00e1no. Pro\u010d bylo v\u016fbec pot\u0159eba vytvo\u0159it ta nov\u00e1 pravidla p\u00e9\u010de o pacienty po c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhod\u011b?

mluv\u010d\u00ed 1,
——————–
Tak na\u0161\u00edm c\u00edlem bylo po relativn\u00edm zvl\u00e1dnut\u00ed organizace t\u00e9 akutn\u00ed p\u00e9\u010de se pod\u00edvat na to, co pacient\u016fm chyb\u00ed, a to jsou pravideln\u00e9 kontroly a sledov\u00e1n\u00ed, proto\u017ee jenom tak m\u016f\u017eeme zabr\u00e1nit recidiv\u011b nov\u00e9 mrtvici. Bohu\u017eel plat\u00ed, \u017ee kdy\u017e pacient nen\u00ed spr\u00e1vn\u011b sledov\u00e1n, l\u00e9\u010den a vy\u0161et\u0159ena p\u0159\u00ed\u010dina t\u00e9 mrtvice, tak a\u017e 20 % pacient\u016f dostane v ten dal\u0161\u00ed rok dal\u0161\u00ed mrtvici. To znamen\u00e1, kdy\u017e u\u017e zvl\u00e1dli p\u0159e\u017e\u00edt tu prvn\u00ed, tak pak p\u0159ijde druh\u00e1, kter\u00e1 \u010dasto je mnohem hor\u0161\u00ed a ni\u010div\u011bj\u0161\u00ed pro toho pacienta, ale zase v\u00edme, \u017ee kdy\u017e pacienta budeme \u0159\u00e1dn\u011b sledovat a \u0159e\u0161it jeho rizikov\u00e9 faktory, tak dok\u00e1\u017eeme toto sn\u00ed\u017eit a\u017e t\u0159eba na polovinu.
Co tedy je hlavn\u00edm c\u00edlem? A mo\u017en\u00e1 jenom takov\u00e9 dopln\u011bn\u00ed. Ka\u017ed\u00fd je relativn\u011b zvykl\u00fd chodit na n\u011bjak\u00e9 specializovan\u00e9 kontroly po prod\u011blan\u00e9m t\u0159eba infarktu myokardu, nebo kdy\u017e m\u00e1 cukrovku a my neurologov\u00e9 jsme mnohem \u0161ir\u0161\u00ed obor, kdy\u017e to tak vezmu, tak m\u016f\u017eou b\u00fdt neurologov\u00e9 ambulantn\u00ed, kte\u0159\u00ed se mrtvic\u00edm \u00fapln\u011b nev\u011bnuj\u00ed. A na\u0161\u00edm c\u00edlem pr\u00e1v\u011b je vychovat nov\u00e9 specialisty mezi neurology, kte\u0159\u00ed se mrtvici budou v\u011bnovat.

, moder\u00e1tor
——————–
A co se tedy zm\u011bn\u00ed pro pacienty v t\u011bch specializovan\u00fdch ambulanc\u00edch? Co na n\u011b \u010dek\u00e1.

mluv\u010d\u00ed 1,
——————–
Tak tam se hlavn\u011b zm\u011bn\u00ed to, \u017ee dostanou v\u0161echno, douf\u00e1me, na jednom m\u00edst\u011b, to znamen\u00e1, \u017ee ten c\u00e9vn\u00ed neurolog, ta nov\u00e1 specializace, \u017ee bude moct \u0159e\u0161it i takov\u00e9 ty v\u00edc intern\u00ed v\u011bci, to znamen\u00e1, spr\u00e1vn\u011b pacientovi poradit s l\u00e9\u010dbou t\u011bch z\u00e1kladn\u00edch rizikov\u00fdch faktor\u016f, podobn\u011b jako t\u0159eba kardiolog nebo internista, ale z\u00e1rove\u0148 um\u00ed i ty neurologick\u00e9 probl\u00e9my po mrtvici, proto\u017ee pacient po mrtvici m\u00e1 t\u0159eba probl\u00e9my se spasticitou, s pohybem, s \u0159e\u010d\u00ed, \u017ee, a je spousta r\u016fzn\u00fdch deficit\u016f, kter\u00e9 zase zvl\u00e1dne neurolog.

, moder\u00e1tor
——————–
V\u010dasn\u00e1 pomoc l\u00e9ka\u0159\u016f je u c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody naprosto z\u00e1sadn\u00ed. Jak\u00e1 je pak nad\u011bje na \u00fapln\u00e9 vyl\u00e9\u010den\u00ed? Kdy\u017e se v\u0161echno v\u010das podchyt\u00ed?

mluv\u010d\u00ed 1,
——————–
Tak v\u0161echno z\u00e1vis\u00ed, jak u\u017e jste \u0159ekl, na \u010dase, kdy k n\u00e1m pacient doraz\u00ed a taky na p\u0159\u00ed\u010din\u011b t\u00e9 mrtvice. Ale obecn\u011b z na\u0161ich dat, co m\u00e1me aktu\u00e1ln\u00ed, tak plat\u00ed, \u017ee lehce p\u0159es 60 % pacient\u016f je pln\u011b sob\u011bsta\u010dn\u00fdch po mrtvici, co\u017e je velik\u00fd \u00fasp\u011bch. D\u0159\u00edve to b\u00fdvalo m\u00e9n\u011b ne\u017e polovina tohoto \u010d\u00edsla. Po\u0159\u00e1d plat\u00ed, \u017ee asi 16 % pacient\u016f do t\u0159\u00ed m\u011bs\u00edc\u016f po mrtvici zem\u0159e a ten zbytek n\u011bkde kolem t\u011bch 35 nebo procent pacient\u016f, ti jsou\u00a0posti\u017een\u00ed<\/strong>\u00a0t\u011b\u017ece tak, \u017ee vy\u017eaduj\u00ed p\u00e9\u010di druh\u00e9 osoby. ale je pro n\u00e1s velmi pot\u011b\u0161uj\u00edc\u00ed, \u017ee se zv\u011bt\u0161uje po\u010det pacient\u016f, kte\u0159\u00ed odejdou po mrtvici dom\u016f a jsou schopni d\u00e1l \u017e\u00edt, i kdy\u017e t\u0159eba n\u011bkte\u0159\u00ed s ur\u010dit\u00fdmi omezen\u00edmi.

Petr Kr\u00e1l, moder\u00e1tor
——————–
C\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda, tedy lidov\u011b \u0159e\u010deno, mrtvice, je n\u00e1hl\u00e1 porucha krevn\u00edho ob\u011bhu mozku, jde tedy o akutn\u00ed stav. Poj\u010fte n\u00e1m je\u0161t\u011b, pros\u00edm, popsat, jak vypadaj\u00ed ty prvn\u00ed p\u0159\u00edznaky a co m\u00e1me v, takov\u00e9m p\u0159\u00edpad\u011b, \u017ee je u n\u011bkoho zaznamen\u00e1me, d\u011blat.

mluv\u010d\u00ed 1,
——————–
Tak d\u011bkuju. To je velmi d\u016fle\u017eit\u00e9, proto\u017ee polovina pacient\u016f st\u00e1le dor\u00e1\u017e\u00ed pozd\u011b, proto\u017ee to nepoznaj\u00ed, tak\u017ee kl\u00ed\u010dov\u00e9 je – t\u0159i hlavn\u00ed p\u0159\u00edznaky, kter\u00e9 kdy\u017e n\u011bkdo m\u00e1, i kdyby to bylo jenom t\u0159eba p\u00e1r minut, tak volat z\u00e1chranku a ty p\u0159\u00edznaky jsou n\u00e1hle vznikl\u00fd, pokles \u00fastn\u00edho koutku, n\u00e1hle vznikl\u00e1 slabost jedn\u00e9 strany t\u011bla, to znamen\u00e1 t\u0159eba prav\u00e9 ruky, prav\u00e9 nohy, anebo porucha \u0159e\u010di, tak\u017ee nemus\u00edte m\u00edt v\u0161echny t\u0159i, jak\u00fdkoliv, jeden z nich znamen\u00e1, hned vol\u00e1m z\u00e1chranku.

, moder\u00e1tor
——————–
Co mozkovou mrtvici zp\u016fsobuje a d\u00e1 se tomu n\u011bjak p\u0159edch\u00e1zet?

mluv\u010d\u00ed 1,
——————–
No pr\u00e1v\u011b, d\u00e1 ur\u010dit\u011b ta, jak my tomu \u0159\u00edk\u00e1me, prim\u00e1rn\u00ed prevence, to znamen\u00e1, je\u0161t\u011b ne\u017e mrtvici dostanete, tak je taky podce\u0148ovan\u00e1, ale v z\u00e1sad\u011b plat\u00ed, \u017ee to je krom toho, \u017ee \u017eijete zdrav\u011b, to znamen\u00e1 dostatek pohybu, nekou\u0159it, nep\u00edt alkohol, tak je kl\u00ed\u010dov\u00e9 chodit i na preventivn\u00ed prohl\u00eddky, proto\u017ee hlavn\u00ed rizikov\u00fd faktor mrtvice je nel\u00e9\u010den\u00fd, vysok\u00fd tlak, nel\u00e9\u010den\u00fd, vysok\u00fd cholesterol a \u0161patn\u011b l\u00e9\u010den\u00fd nebo nediagnostikovan\u00fd diabetes, neboli cukrovka. To znamen\u00e1, odhalit v\u010das tyto t\u0159i z\u00e1kladn\u00ed rizikov\u00e9 faktory a spr\u00e1vn\u011b l\u00e9\u010dit je nejlep\u0161\u00ed cesta, jak se mrtvici vyhnout. Krom toho, \u017ee budete \u017e\u00edt tak, jak se obecn\u011b \u0159\u00edk\u00e1, zdrav\u011b, to znamen\u00e1 zdrav\u00e1 strava, hodn\u011b pohybu.

Petr Kr\u00e1l, moder\u00e1tor
——————–
Hostem Rann\u00edho interview byl Ale\u0161 Tomek, prim\u00e1\u0159 neologick\u00e9 kliniky Fakultn\u00ed nemocnice Motol, d\u011bkujeme za v\u00e1\u0161 \u010das a p\u0159ejeme spoustu vyl\u00e9\u010den\u00fdch pacient\u016f a a\u0165 se projekt povede. D\u00edky, na sly\u0161enou.

<\/p>\n","protected":false},"excerpt":{"rendered":"

Radio\u017eurn\u00e1l\u00a0 Je to novinka pro lidi po mozkov\u00e9 mrtvici. Nov\u011b budou chodit na pravideln\u00e9 prohl\u00eddky do specializovan\u00fdch poraden, co\u017e stanovuje vyhl\u00e1\u0161ka, kterou zpracovala \u010cesk\u00e1 neurologick\u00e1 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-55638","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\/55638","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=55638"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55638\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55638"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}