Ve Stodsk\u00e9 nemocnici na ji\u017en\u00edm Plze\u0148sku nov\u011b operuj\u00ed syndrom karp\u00e1ln\u00edho tunelu bezpe\u010dn\u011bji a s krat\u0161\u00ed dobou rekonvalescence. Chirurgick\u00e9 odd\u011blen\u00ed od \u0159\u00edjna vyu\u017e\u00edv\u00e1 k t\u011bmto z\u00e1krok\u016fm endoskopii. Reaguje tak na zvy\u0161uj\u00edc\u00ed se popt\u00e1vku a z\u00e1rove\u0148 na po\u017eadavek pacient\u016f vr\u00e1tit se co nejd\u0159\u00edve do zam\u011bstn\u00e1n\u00ed. \u010cekac\u00ed lh\u016fty jsou velmi kr\u00e1tk\u00e9.<\/p>\n\n\n\n
Chirurgick\u00e9 odd\u011blen\u00ed Stodsk\u00e9 nemocnice za\u010dalo od \u0159\u00edjna operovat syndrom karp\u00e1ln\u00edho tunelu endoskopickou metodou tedy mininvazivn\u011b. Tento \u0161etrn\u00fd z\u00e1krok prov\u00e1d\u00ed prim\u00e1\u0159 chirurgick\u00e9ho odd\u011blen\u00ed David \u0160m\u00edd, kter\u00fd z\u00edskal certifikaci od p\u0159edn\u00edho \u010desk\u00e9ho specialisty v oboru chirurgie ruky Radka Kebrleho. Operaci hrad\u00ed syst\u00e9m zdravotn\u00edho poji\u0161t\u011bn\u00ed, \u010dekac\u00ed lh\u016fty jsou velmi kr\u00e1tk\u00e9.<\/p>\n\n\n\n
\u201eOperativn\u00ed l\u00e9\u010dbu syndromu karp\u00e1ln\u00edho tunelu nab\u00edz\u00edme dlouhodob\u011b. Pat\u0159\u00ed to k tradi\u010dn\u00edm z\u00e1krok\u016fm, kter\u00fdch nav\u00edc st\u00e1le p\u0159ib\u00fdv\u00e1, nebo\u0165 v populaci roste po\u010det lid\u00ed, kte\u0159\u00ed maj\u00ed pot\u00ed\u017ee s karp\u00e1ly. Ro\u010dn\u011b t\u011bch z\u00e1krok\u016f provedeme ve Stodu des\u00edtky,\u201c popisuje prim\u00e1\u0159 s t\u00edm, \u017ee ale dosud se jednalo o operace takzvan\u011b otev\u0159en\u00e9, tedy s b\u011b\u017en\u00fdm \u0159ezem v oblasti z\u00e1p\u011bst\u00ed. Endoskopick\u00e1 metoda spo\u010d\u00edv\u00e1 v tom, \u017ee z\u00e1krok se prov\u00e1d\u00ed z velmi mal\u00e9ho \u0159ezu, kdy se pod k\u016f\u017ei zavede jen miniaturn\u00ed n\u00e1stroj a minikamera.<\/p>\n\n\n\n
\u201eJe to v podstat\u011b obdobn\u00fd z\u00e1krok, jen \u0161etrn\u011bj\u0161\u00ed, s minim\u00e1ln\u00edm z\u00e1sahem do tk\u00e1n\u011b. To znamen\u00e1, \u017ee je krat\u0161\u00ed i rekonvalescence a pacient m\u016f\u017ee pou\u017e\u00edvat ruku v b\u011b\u017en\u00e9 z\u00e1t\u011b\u017ei d\u0159\u00edv. Pr\u00e1v\u011b to je hlavn\u00ed po\u017eadavek pacient\u016f, a proto jsme metodu nov\u011b zavedli. Je i bezpe\u010dn\u011bj\u0161\u00ed a men\u0161\u00ed \u0159ez nen\u00ed po zhojen\u00ed skoro v\u016fbec vid\u011bt,\u201c dopl\u0148uje David \u0160m\u00edd. Stodsk\u00e1 nemocnice nab\u00edz\u00ed pro z\u00e1kroky tak\u00e9 kr\u00e1tk\u00e9 \u010dekac\u00ed term\u00edny v \u0159\u00e1dech dn\u016f. Metoda se postupn\u011b zav\u00e1d\u00ed i v dal\u0161\u00edch \u010desk\u00fdch nemocnic\u00edch. Dost \u010dasto si ji ale pacient plat\u00ed s\u00e1m. Ve Stodu je zdarma.<\/p>\n\n\n\n
Ob\u011b metody, jak otev\u0159en\u00e1, tak endoskopick\u00e1, se prov\u00e1d\u00ed v ambulantn\u00edm re\u017eimu v lok\u00e1ln\u00ed anestezii tedy p\u0159i znecitliv\u011bn\u00ed pouze ruky a trvaj\u00ed zhruba 10 a\u017e 30 minut. Po z\u00e1kroku odch\u00e1z\u00ed pacient dom\u016f s doporu\u010den\u00edm, jak s rukou rehabilitovat.<\/p>\n\n\n\n
Syndrom karp\u00e1ln\u00edho tunelu je stav zp\u016fsoben\u00fd \u00fatlakem st\u0159edov\u00e9ho nervu v z\u00e1p\u011bst\u00ed. Projevuje se bolest\u00ed, brn\u011bn\u00edm a\u017e necitlivost\u00ed a slabost\u00ed ruky. Projevy jsou \u010dast\u011bj\u0161\u00ed v noci.<\/p>\n\n\n\n
Po\u010det pacient\u016f se syndromem karp\u00e1ln\u00edho tunelu dlouhodob\u011b roste, a to hlavn\u011b u \u017een. K diagn\u00f3ze doch\u00e1z\u00ed p\u0159ibli\u017en\u011b u 180 a\u017e 350 lid\u00ed na 100 tis\u00edc obyvatel ro\u010dn\u011b.<\/p>\n\n\n\n
Ve dvou t\u0159etin\u00e1ch p\u0159\u00edpad\u016f je posti\u017een\u00ed karp\u00e1ln\u00edch tunel\u016f oboustrann\u00e9 tedy na obou rukou najednou.<\/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 na ji\u017en\u00edm Plze\u0148sku nov\u011b operuj\u00ed syndrom karp\u00e1ln\u00edho tunelu bezpe\u010dn\u011bji a s krat\u0161\u00ed dobou rekonvalescence. Chirurgick\u00e9 odd\u011blen\u00ed od \u0159\u00edjna vyu\u017e\u00edv\u00e1 k t\u011bmto z\u00e1krok\u016fm […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":40540,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-61669","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\/61669","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=61669"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61669\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/40540"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61669"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61669"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61669"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}