\u010cT 2<\/p>\n\n\n\n
n\u00e1s \u010dek\u00e1 jedno d\u016fle\u017eit\u00e9 zdravotnick\u00e9 t\u00e9ma. A t\u00edm jsou migr\u00e9ny, migr\u00e9ny jsou z\u00e1va\u017en\u00e9 neurologick\u00e9 onemocn\u011bn\u00ed, kter\u00e9 maj\u00ed prost\u011b velk\u00fd dopad na kvalitu \u017eivota. Vy\u0159ad\u00ed v\u00e1s to z b\u011b\u017en\u00e9ho \u017eivota, z osobn\u00edho \u017eivota, z pracovn\u00edho \u017eivota. Kde se vlastn\u011b vzala? Jak\u00e9 jsou jej\u00ed p\u0159\u00ed\u010diny a jak se l\u00e9\u010d\u00ed? O tom v\u0161em si dnes budeme pov\u00eddat s l\u00e9ka\u0159em prvn\u00ed neurologick\u00e9 kliniky Fakultn\u00ed nemocnice U svat\u00e9 Anny, panem Dr. Pavlem \u0158ehulkou. Pane doktore, v\u00edtejte u n\u00e1s, dobr\u00e9 r\u00e1no. Tak v\u011bt\u0161ina si, kdy\u017e se \u0159ekne migr\u00e9na, tak si vybav\u00ed bolest hlavy, ale to nen\u00ed jedin\u00fd p\u0159\u00edznak a t\u00edm se asi migr\u00e9ny od b\u011b\u017en\u00e9 bolesti hlavy pr\u00e1v\u011b li\u0161\u00ed. <\/p>\n\n\n\n
mluv\u010d\u00ed 5,<\/strong> Migr\u00e9na je samostatn\u00e1 diagn\u00f3za, samoz\u0159ejm\u011b pat\u0159\u00ed do toho portfolia bolesti hlavy, t\u011bch existuje v\u00edc jak 200 typ\u016f nebo podtyp\u016f.<\/p>\n\n\n\n mluv\u010d\u00ed 4,<\/strong> Tak\u017ee 200. Bolest\u00ed hlavy. <\/p>\n\n\n\n mluv\u010d\u00ed 5,<\/strong> Tak\u017ee samoz\u0159ejm\u011b migr\u00e9na pat\u0159\u00ed mezi tzv. prim\u00e1rn\u00ed bolesti hlavy, to je onemocn\u011bn\u00ed samo o sob\u011b, kter\u00e9 nen\u00ed zp\u016fsobeno n\u011bjakou jinou p\u0159\u00ed\u010dinou, krom\u011b toho existuj\u00ed t\u0159eba i sekund\u00e1rn\u00ed bolesti hlavy, kdy \u010dlov\u011bk m\u00e1 epizody, bolesti hlavy v souvislosti s n\u011bjak\u00fdm jin\u00fdm onemocn\u011bn\u00edm.<\/p>\n\n\n\n mluv\u010d\u00ed 4,<\/strong> Dob\u0159e, ale kdy\u017e se budeme bavit obecn\u011b o migr\u00e9n\u011b jako takov\u00e9, co to vlastn\u011b je. <\/p>\n\n\n\n mluv\u010d\u00ed 5,<\/strong> Je to dlouhodob\u00e9 neurologick\u00e9 onemocn\u011bn\u00ed, kter\u00e9 je charakterizovan\u00e9 opakovan\u00fdmi z\u00e1chvaty bolesti hlavy s doprovodn\u00fdmi p\u0159\u00edznaky, u n\u011bkter\u00fdch pacient\u016f skute\u010dn\u011b m\u016f\u017ee b\u00fdt probl\u00e9mem ten jednotliv\u00fd z\u00e1chvat, ale u v\u011bt\u0161iny lid\u00ed je ten z\u00e1sadn\u00ed a velmi \u017eivot komplikuj\u00edc\u00edm, to, \u017ee ty z\u00e1chvaty jsou opakovan\u00e1 a jsou dost \u010dast\u00e9. <\/p>\n\n\n\n mluv\u010d\u00ed 2,<\/strong> Kdo nej\u010dast\u011bji migr\u00e9nami trp\u00ed? Co \u0159\u00edkaj\u00ed \u010d\u00edsla jako \u017eeny versus mu\u017ei, v jak\u00e9m v\u011bku n\u00e1s vlastn\u011b nej\u010dast\u011bji migr\u00e9na postihuje?<\/p>\n\n\n\n mluv\u010d\u00ed 5,<\/strong> Je to onemocn\u011bn\u00ed, kter\u00e9 m\u016f\u017ee postihovat \u010dlov\u011bka v jak\u00e9koliv f\u00e1zi \u017eivota a jsou pacienti u\u017e t\u0159eba od 10 let, v tomto obdob\u00ed p\u0159eva\u017euje dokonce posti\u017een\u00ed chlapc\u016f nad d\u011bv\u010daty, ale jde zejm\u00e9na o onemocn\u011bn\u00ed produktivn\u00edho v\u011bku, to znamen\u00e1, \u017ee v pr\u016fb\u011bhu t\u00e9 \u017eivotn\u00ed f\u00e1ze, kdy \u010dlov\u011bk pot\u0159ebuje co nejl\u00e9pe fungovat, kdy vyd\u011bl\u00e1v\u00e1 pen\u00edze a podobn\u011b, tak je toto onemocn\u00ed, kter\u00e9 mu nejv\u00edce do toho \u017eivota zasahuje. A co se t\u00fdk\u00e1 rozd\u00edlu prevence mezi \u017eenami a mu\u017ei, tak \u017eeny trp\u00ed na migr\u00e9nu 2\u20133kr\u00e1t \u010dast\u011bji ne\u017e mu\u017ei. <\/p>\n\n\n\n mluv\u010d\u00ed 2,<\/strong> V tom pozd\u011bj\u0161\u00edm v\u011bku, jako kdy\u017e jsou to d\u011bti, tak jsou, jak jste \u0159\u00edkal, p\u0159eva\u017euj\u00ed v\u00edce chlapci, co vlastn\u011b tedy migr\u00e9nu zp\u016fsobit? Co vlastn\u011b o migr\u00e9n\u011b v tuto chv\u00edli v\u00edme? Zn\u00e1me p\u0159\u00ed\u010diny? <\/p>\n\n\n\n mluv\u010d\u00ed 5,<\/strong> V t\u00e9to oblasti se za posledn\u00edch 10 let ud\u00e1lo spousta v\u011bc\u00ed, jednak na v\u00fdzkumn\u00e9 \u00farovni, jednak na \u00farovni, \u0159ekn\u011bme, v\u00fdvoje nov\u00fdch l\u00e9\u010div, ale zejm\u00e9na l\u00e9\u010div, kter\u00e9 u\u017e p\u0159i\u0161ly do klinick\u00e9 praxe a kter\u00e9 se b\u011b\u017en\u011b pou\u017e\u00edvaj\u00ed, \u0159\u00edk\u00e1 se jim takov\u00fdm zast\u0159e\u0161uj\u00edc\u00edm n\u00e1zvem c\u00edlen\u00e1 l\u00e9\u010dba a je d\u016fle\u017eit\u00e1 v\u011bc, \u017ee v \u010cesk\u00e9 republice tato l\u00e9\u010dba je dostupn\u00e1.<\/p>\n\n\n\n mluv\u010d\u00ed 4,<\/strong> J\u00e1 m\u00e1m kamar\u00e1da Honzu, na d\u00e1lku ho zdrav\u00edm a\u017e do Zl\u00edna, kter\u00fd na migr\u00e9ny trp\u00ed u\u017e hodn\u011b dlouho. A co v\u00edm, tak mu v\u017edycky pom\u00e1halo b\u00fdt v absolutn\u00edm klidu s vypnut\u00fdm telefonem. Nejl\u00e9pe za \u0161era, \u00fapln\u011b nejl\u00e9pe ve tm\u011b. Pro\u010d vlastn\u011b tohle pom\u00e1h\u00e1? Co to vlastn\u011b lidsk\u00e9mu t\u011blu d\u011bl\u00e1? Jak moc to d\u011bl\u00e1 lidsk\u00e9mu t\u011blu dob\u0159e p\u0159i migr\u00e9n\u011b….<\/p>\n\n\n\n mluv\u010d\u00ed 5,<\/strong> Sou\u010d\u00e1st\u00ed klinick\u00e9ho obrazu migr\u00e9ny je bolest, kter\u00e1 b\u00fdv\u00e1 nej\u010dast\u011bji jednostrann\u00e1 \u2013 na polovin\u011b hlavy, ale m\u016f\u017ee b\u00fdt i oboustrann\u00e1, je st\u0159edn\u00ed a\u017e vysok\u00e9 intenzity, to znamen\u00e1, dost to bol\u00ed, ta bolest m\u016f\u017ee m\u00edt tup\u00fd, ale n\u011bkdy taky pulzuj\u00edc\u00ed charakter. A mezi ty hlavn\u00ed doprovodn\u00e9 p\u0159\u00edznaky, na kter\u00e9 l\u00e9ka\u0159 se v\u00e1s pt\u00e1, je p\u0159ecitliv\u011blost na sv\u011btlo nebo na zvuky, nevolnost nebo zvracen\u00ed. A to, co je d\u016fle\u017eit\u00e9, tak v\u0161echny tyto symptomy se zhor\u0161\u00ed i b\u011b\u017enou fyzickou aktivitu, jako je t\u0159eba ch\u016fze nebo p\u0159edklon hlavy.<\/p>\n\n\n\n mluv\u010d\u00ed 2,<\/strong> Je to, co tady popisoval Ondra, p\u0159\u00edpad sv\u00e9ho kamar\u00e1da, typick\u00fd p\u0159\u00edklad? Nebo jsou p\u0159\u00edklady, kter\u00e9 se naopak li\u0161\u00ed? A komu t\u0159eba pom\u00e1h\u00e1 naopak n\u011bjak\u00e1 aktivita? <\/p>\n\n\n\n mluv\u010d\u00ed 5,<\/strong> Takhle, jak to vyl\u00ed\u010dil kolega, tak je to p\u0159esn\u011b to, co d\u011bl\u00e1 migr\u00e9nu migr\u00e9nou, ta z\u00e1t\u011b\u017e t\u011bch symptom\u016f \u010dlov\u011bku znemo\u017e\u0148uje b\u011b\u017enou fyzickou aktivitu nebo soustavnou pr\u00e1ci. \u010clov\u011bk se stahuje t\u0159eba do ticha, do tmy. Je to vlastn\u011b onemocn\u011bn\u00ed, kter\u00e9 prob\u00edh\u00e1 se zata\u017een\u00fdmi z\u00e1clonami. <\/p>\n\n\n\n mluv\u010d\u00ed 4,<\/strong> Pane doktore, mockr\u00e1t v\u00e1m d\u011bkujeme.<\/p>\n\n\n\n <\/p>\n\n\n\n <\/p>\n\n\n\n <\/p>\n","protected":false},"excerpt":{"rendered":" \u010cT 2 n\u00e1s \u010dek\u00e1 jedno d\u016fle\u017eit\u00e9 zdravotnick\u00e9 t\u00e9ma. A t\u00edm jsou migr\u00e9ny, migr\u00e9ny jsou z\u00e1va\u017en\u00e9 neurologick\u00e9 onemocn\u011bn\u00ed, kter\u00e9 maj\u00ed prost\u011b velk\u00fd dopad na kvalitu \u017eivota. 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