Radio\u017eurn\u00e1l<\/p>\n\n\n\n
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Dlouhodob\u00e9 pot\u00ed\u017ee s pohybem se daj\u00ed u pacient\u016f po mozkov\u00e9 mrtvici, \u00farazech mozku nebo u lid\u00ed s roztrou\u0161enou skler\u00f3zou l\u00e9\u010dit i pomoc\u00ed injekc\u00ed botulotoxinu. L\u00e9ka\u0159i je pod\u00e1vaj\u00ed p\u0159\u00edmo do sval\u016f, kter\u00e9 zas\u00e1hla tzv spastick\u00e1 par\u00e9za.<\/p>\n\n\n\n
pacient,<\/strong> Zlep\u0161\u00ed se pohyblivost, l\u00e9pe se mi oh\u00fdb\u00e1 noha, ruka.<\/p>\n\n\n\n moder\u00e1torka<\/strong> pacient hodnot\u00ed v\u00fdsledky l\u00e9\u010dby botulotoxinem. \u010cty\u0159ia\u0161edes\u00e1tn\u00edk Jan Miller s roztrou\u0161enou skler\u00f3zou se pot\u00fdk\u00e1 u\u017e 25 let. Na kliniku rehabilitace a t\u011blov\u00fdchovn\u00e9ho l\u00e9ka\u0159stv\u00ed Fakultn\u00ed nemocnice v Motole chod\u00ed na pravideln\u00e9 injekce u\u017e od roku 2019. <\/p>\n\n\n\n mluv\u010d\u00ed 14,<\/strong> Za\u010dneme vlastn\u011b m\u011b\u0159en\u00edm loketn\u00edho kloubu. Pros\u00edm, jestli byste povolil, co nejv\u00edce to jde. <\/p>\n\n\n\n moder\u00e1torka<\/strong> \u017d\u00e1d\u00e1 pacienta fyzioterapeutka Lucie Doubkov\u00e1. V ruce m\u00e1 \u00fahlom\u011br, kter\u00fdm m\u011b\u0159\u00ed nastaven\u00ed kloub\u016f, pacient m\u00e1 posti\u017eenou pravou stranu t\u011bla, probl\u00e9my m\u00e1 z rukou i s nohou. <\/p>\n\n\n\n mluv\u010d\u00ed 14,<\/strong> Dok\u00e1\u017eeme ohodnotit, nakolik je tam pod\u00edl zkr\u00e1cen\u00ed t\u011bch sval\u016f, nakolik je to ta spasticita a kolik je tam potom ur\u010dit\u00e1 slabost. <\/p>\n\n\n\n moder\u00e1torka<\/strong> I v\u00fdsledek tohoto vy\u0161et\u0159en\u00ed rozhodne o tom, do kter\u00fdch sval\u016f u\u017e za chv\u00edli prim\u00e1\u0159ka kliniky Martina K\u00f6v\u00e1ri l\u00e9k pod\u00e1. <\/p>\n\n\n\n Martina K\u00f6v\u00e1ri,<\/strong> My ten botulotoxin aplikujeme do svalu, chv\u00edli trv\u00e1, ne\u017e se botulotoxin dostane na nervosvalovou plot\u00fdnku, kde zablokuje uvol\u0148ov\u00e1n\u00ed acetylcholinu, co\u017e je l\u00e1tka, kter\u00e1 pom\u00e1h\u00e1 nervosvalov\u00e9mu p\u0159enosu a pokud ten acetylcholin by se neuvolnil, tak se ten sval nest\u00e1hne. <\/p>\n\n\n\n mluv\u010d\u00ed 11,<\/strong> Nejprve bude aplikovat ten botulutoxin do ruky. <\/p>\n\n\n\n Martina K\u00f6v\u00e1ri,<\/strong> Tady jsme vybrali oh\u00fdba\u010d Lokte, c\u00edlem je sn\u00ed\u017eit tu flexi t\u00e9 kon\u010detiny. <\/p>\n\n\n\n moder\u00e1torka<\/strong> Vysv\u011btluje prim\u00e1\u0159ka rehabilita\u010dn\u00ed kliniky motolsk\u00e9 nemocnice. Zat\u00edmco si sed\u00e1 k l\u016f\u017eku pacienta a zap\u00edn\u00e1 ultrazvuk, ten ji bude p\u0159i aplikaci p\u0159esn\u011b nav\u00e1d\u011bt. <\/p>\n\n\n\n <\/strong>Martina K\u00f6v\u00e1ri<\/strong>, Dostanu se do hloubky zhruba 3 cm, sm\u011brem vlastn\u011b k t\u00e9 kosti, tady vid\u00edme pohyb jehly, se ty spastick\u00e9 svaly stahujou, te\u010f u\u017e c\u00edt\u00edm, \u017ee jsem bl\u00edzko t\u00e9 pa\u017en\u00ed kosti, ale je tam vid\u011bt, jak se rozprost\u00edr\u00e1 ta tekutina. <\/p>\n\n\n\n mluv\u010d\u00ed 16,<\/strong> Nec\u00edtil v\u016fbec nic novin, v\u016fbec ani to p\u00edchnut\u00ed. <\/p>\n\n\n\n moder\u00e1torka<\/strong> Pochvaluje si pacient, kter\u00fd se d\u00edky t\u00e9to l\u00e9\u010db\u011b vr\u00e1til tak\u00e9 k malov\u00e1n\u00ed. Efekt l\u00e9\u010dby botulotoxinem p\u0159etrv\u00e1v\u00e1 jenom do\u010dasn\u011b, pacienti chod\u00ed na injekce obvykle jednou za 3\u20134 m\u011bs\u00edce. <\/p>\n\n\n\n mluv\u010d\u00ed 15,<\/strong> T\u0159eba c\u00edl m\u016f\u017ee b\u00fdt pro pacienta, \u017ee si zvl\u00e1dne um\u00fdt hlavu, \u017ee si zvl\u00e1dne obout boty, tak to u\u017e je jako kr\u00e1sn\u00fd spln\u011bn\u00fd c\u00edl. <\/p>\n\n\n\n moder\u00e1torka<\/strong> Ve spastick\u00fdch centrech, v rehabilita\u010dn\u00edch a neurologick\u00fdch pracovi\u0161t\u00edch hrad\u00ed l\u00e9\u010dbu pacient\u016fm pln\u011b zdravotn\u00ed poji\u0161\u0165ovny. <\/p>\n","protected":false},"excerpt":{"rendered":" Radio\u017eurn\u00e1l Dlouhodob\u00e9 pot\u00ed\u017ee s pohybem se daj\u00ed u pacient\u016f po mozkov\u00e9 mrtvici, \u00farazech mozku nebo u lid\u00ed s roztrou\u0161enou skler\u00f3zou l\u00e9\u010dit i pomoc\u00ed injekc\u00ed botulotoxinu. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":59635,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-59634","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\/59634","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=59634"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/59634\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/59635"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59634"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=59634"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=59634"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}