Ve Stodsk\u00e9 nemocnici zah\u00e1jily provoz dv\u011b nov\u00e9 ambulance, a to Poradna pro chronick\u00e9 a nehoj\u00edc\u00ed se r\u00e1ny a pro syndrom diabetick\u00e9 nohy a d\u00e1le C\u00e9vn\u00ed poradna. Vede je zku\u0161en\u00fd l\u00e9ka\u0159 s dlouholetou prax\u00ed v N\u011bmecku Jakub Tolar, kter\u00fd se ve Stodu stal sou\u010d\u00e1st\u00ed t\u00fdmu chirugick\u00e9ho odd\u011blen\u00ed.<\/p>\n\n\n\n
Poradna pro chronick\u00e9 r\u00e1ny je ur\u010dena pacient\u016fm, kte\u0159\u00ed maj\u00ed komplikovanou \u010di d\u00e9le se nehoj\u00edc\u00ed r\u00e1nu. Zejm\u00e9na v t\u00e9to odbornosti nab\u00edz\u00ed Jakub Tolar \u0161irok\u00e9 spektrum l\u00e9\u010debn\u00fdch postup\u016f i s pomoc\u00ed nov\u011b po\u0159izovan\u00fdch p\u0159\u00edstroj\u016f. \u201eM\u016f\u017ee se jednat o opera\u010dn\u00ed r\u00e1nu, jej\u00ed\u017e hojen\u00ed komplikuje infekce. Stejn\u011b tak m\u016f\u017ee j\u00edt o r\u00e1ny vznikl\u00e9 \u00farazem, typick\u00fdm p\u0159\u00edkladem jsou opa\u0159eniny nebo pop\u00e1leniny, kter\u00e9 m\u00edvaj\u00ed komplikovan\u00e9 hojen\u00ed,\u201c popisuje l\u00e9ka\u0159 portfolio pacient\u016f. \u201eD\u00e1le l\u00e9\u010d\u00edme ko\u017en\u00ed defekty, kter\u00e9 vznikly v d\u016fsledku jin\u00e9ho onemocn\u011bn\u00ed, a\u0165 u\u017e \u017eiln\u00ed nedostate\u010dnosti, ischemick\u00fdch chorob doln\u00edch kon\u010detin a podobn\u011b. A v neposledn\u00ed \u0159ad\u011b se zab\u00fdv\u00e1me dekubity,\u201c podot\u00fdk\u00e1.<\/p>\n\n\n\n
\u201eU syndromu diabetick\u00e9 nohy pak nab\u00edz\u00edme vy\u0161et\u0159en\u00ed a l\u00e9\u010dbu pacient\u016f s v\u0159edy a defekty, s Charcotovou osteoartropati\u00ed a dal\u0161\u00edmi posti\u017een\u00edmi kost\u00ed a kloub\u016f nohy spojen\u00e9 s diabetem i v\u010detn\u011b korektury takzvan\u00fdch klad\u00edvkovit\u00fdch prst\u016f,\u201c dopl\u0148uje l\u00e9ka\u0159 s t\u00edm, \u017ee do ordinace p\u0159ij\u00edm\u00e1 pacienty s doporu\u010den\u00edm od jin\u00fdch l\u00e9ka\u0159\u016f, ale i bez doporu\u010den\u00ed. \u201eIde\u00e1ln\u00ed je, pokud se pacienti objednaj\u00ed p\u0159es online rezerva\u010dn\u00ed syst\u00e9m na webu nemocnice,\u201c dod\u00e1v\u00e1. Ambulance nab\u00edz\u00ed p\u0159esnou diagnostiku pot\u00ed\u017e\u00ed, vy\u0161et\u0159en\u00ed a n\u00e1sledn\u011b navrhuje postup l\u00e9\u010dby, aby se pacient pot\u00ed\u017e\u00ed, pokud mo\u017eno, \u00fapln\u011b zbavil, nebo alespo\u0148 probl\u00e9my minimalizoval. M\u016f\u017ee se jednat o konzervativn\u00ed l\u00e9\u010dbu, konkr\u00e9tn\u00ed terapie, p\u0159\u00edpadn\u011b operativn\u00ed l\u00e9\u010dbu a samoz\u0159ejm\u011b tak\u00e9 poradenstv\u00ed, nap\u0159\u00edklad jak\u00e9 pou\u017e\u00edvat pom\u016fcky. \u201ePou\u017e\u00edv\u00e1me modern\u00ed diagnostick\u00e9 a l\u00e9\u010debn\u00e9 metody v\u010detn\u011b nap\u0159\u00edklad pou\u017eiti prepar\u00e1t\u016f vlhk\u00e9ho hojen\u00ed. Ale i tak pl\u00e1nujeme roz\u0161\u00ed\u0159it spektrum l\u00e9\u010dby o nov\u00e9 p\u0159\u00edstroje a postupy. V\u011b\u0159\u00edm, \u017ee u\u017e brzy n\u011bkter\u00e9 z nich p\u0159edstav\u00edme,\u201c dod\u00e1v\u00e1 l\u00e9ka\u0159.<\/p>\n\n\n\n
\u201eC\u00e9vn\u00ed poradna pak zaji\u0161\u0165uje diagnostiku a l\u00e9\u010dbu pacient\u016f s onemocn\u011bn\u00edm tepen a \u017eil v\u010detn\u011b detailn\u00edho ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed c\u00e9vn\u00edho syst\u00e9mu, kter\u00e9 umo\u017e\u0148uje p\u0159esn\u011b zhodnotit stav c\u00e9v a navrhnout individu\u00e1ln\u00ed c\u00edlenou l\u00e9\u010dbu. Ambulance zat\u00edm funguj\u00ed spole\u010dn\u011b ve stejn\u00e9 ordinaci i ordina\u010dn\u00ed dob\u011b,“ p\u0159ipom\u00edn\u00e1 mluv\u010d\u00ed nemocnice Ji\u0159\u00ed Koko\u0161ka.<\/p>\n\n\n\n
Jakub Tolar je absolventem L\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy v Plzni. Posledn\u00edch deset let se v\u011bnuje p\u0159edev\u0161\u00edm c\u00e9vn\u00ed chirurgii. \u201eSpecializaci v tomto oboru z\u00edskal v N\u011bmecku, kde pracoval mezi roky 2014 a 2025 na klinik\u00e1ch hrudn\u00ed a c\u00e9vn\u00ed chirurgie Nemocnice Milosrdn\u00fdch brat\u0159\u00ed v Regensburgu. Tam byl mimo jin\u00e9 expertem v l\u00e9\u010db\u011b chronick\u00fdch ran a garantem p\u00e9\u010de o pacienty se syndromem diabetick\u00e9 nohy. Ve Stodu ordinuje v\u017edy ve st\u0159edu,“ p\u0159edstavuje mluv\u010d\u00ed novou posilu t\u00fdmu chirurg\u016f.<\/p>\n\n\n\n
Stodsk\u00e1 nemocnice z\u0159izovan\u00e1 Plze\u0148sk\u00fdm krajem letos otev\u0159ela krom\u011b uveden\u00fdch ordinac\u00ed je\u0161t\u011b ambulanci ischemick\u00fdch chorob a ortopedickou pro dosp\u011bl\u00e9 i d\u011btsk\u00e9 pacienty a d\u00e1le lymfologickou poradnu. Nemocnice tak\u00e9 roz\u0161\u00ed\u0159ila provoz ordinace praktick\u00e9ho l\u00e9ka\u0159e pro dosp\u011bl\u00e9.<\/p>\n\n\n\n
Veronika Kr\u00e1tk\u00e1<\/p>\n\n\n\n
Plze\u0148sk\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/plzensky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Ve Stodsk\u00e9 nemocnici zah\u00e1jily provoz dv\u011b nov\u00e9 ambulance, a to Poradna pro chronick\u00e9 a nehoj\u00edc\u00ed se r\u00e1ny a pro syndrom diabetick\u00e9 nohy a d\u00e1le C\u00e9vn\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-61542","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\/61542","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=61542"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61542\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}