Josef Nov\u00e1k \u017eije s n\u00e1sledky mrtvice u\u017e osm let. Pravideln\u011b cvi\u010d\u00ed, doch\u00e1z\u00ed na rehabilitaci a dnes zvl\u00e1dne uj\u00edt kolem \u010dty\u0159 kilometr\u016f. Po mrtvici p\u0159itom nemohl chodit a postupn\u011b se u n\u011bj projevila tak\u00e9 spasticita. Lev\u00e1 ruka mu ztuhla, pohyb je obt\u00ed\u017en\u011bj\u0161\u00ed a ob\u010das ho v noci probud\u00ed bolestiv\u00e1 k\u0159e\u010d. Pom\u00e1h\u00e1 mu mimo jin\u00e9 l\u00e9\u010dba botulotoxinem, po kter\u00e9 je ruka voln\u011bj\u0161\u00ed a l\u00e9pe se mu cvi\u010d\u00ed.<\/p>\n\n\n\n
Pr\u00e1v\u011b na pacienty, u nich\u017e se po mrtvici mohou pot\u00ed\u017ee rozvinout a\u017e s odstupem \u010dasu, mysl\u00ed nov\u00e1 aplikace Spastic Prevent. Na jej\u00edm v\u00fdvoji se odborn\u011b pod\u00edleli l\u00e9ka\u0159i z \u010deskobud\u011bjovick\u00e9 nemocnice. M\u00e1 pacient\u016fm i jejich bl\u00edzk\u00fdm pomoci v\u010das poznat varovn\u00e9 sign\u00e1ly a p\u0159iv\u00e9st je ke specialist\u016fm.<\/p>\n\n\n\n
Pot\u00ed\u017ee mohou p\u0159ij\u00edt a\u017e za n\u011bkolik m\u011bs\u00edc\u016f<\/p>\n\n\n\n
Spasticita znamen\u00e1 zv\u00fd\u0161en\u00e9 svalov\u00e9 nap\u011bt\u00ed, kter\u00e9 zt\u011b\u017euje pohyb a m\u016f\u017ee zp\u016fsobovat bolest. \u010clov\u011bk m\u016f\u017ee m\u00edt probl\u00e9m s ch\u016fz\u00ed, obl\u00e9k\u00e1n\u00edm, hygienou nebo pou\u017e\u00edv\u00e1n\u00edm ruky. Podle l\u00e9ka\u0159\u016f se p\u0159itom nemus\u00ed projevit bezprost\u0159edn\u011b po mrtvici.<\/p>\n\n\n\n
\u201eSpastick\u00e1 par\u00e9za se vyv\u00edj\u00ed v \u010dase. M\u016f\u017ee se rozvinout a\u017e za m\u011bs\u00edc, dva nebo t\u0159i. Pacient si pak m\u016f\u017ee v\u0161imnout, \u017ee se mu nap\u0159\u00edklad ruka st\u00e1\u010d\u00ed do ur\u010dit\u00e9 polohy, bol\u00ed ho rameno, h\u016f\u0159e se mu chod\u00ed nebo za\u010d\u00edn\u00e1 zakop\u00e1vat,\u201c vysv\u011btluje rehabilita\u010dn\u00ed l\u00e9ka\u0159ka Marcela M\u00edkov\u00e1 z Region\u00e1ln\u00edho centra spasticity Nemocnice \u010cesk\u00e9 Bud\u011bjovice.<\/p>\n\n\n\n
U p\u0159ibli\u017en\u011b deseti a\u017e patn\u00e1cti procent pacient\u016f dos\u00e1hne spasticita b\u011bhem prvn\u00edho roku takov\u00e9 m\u00edry, \u017ee vy\u017eaduje c\u00edlenou l\u00e9\u010dbu. Tou je p\u0159edev\u0161\u00edm rehabilitace, u vhodn\u00fdch pacient\u016f tak\u00e9 botulotoxin. Ten se aplikuje do posti\u017een\u00fdch sval\u016f a sni\u017euje jejich nadm\u011brn\u00e9 nap\u011bt\u00ed.<\/p>\n\n\n\n
D\u016fle\u017eit\u00e9 je zachytit probl\u00e9m v\u010das<\/p>\n\n\n\n
\u010c\u00edm d\u0159\u00edve se poda\u0159\u00ed pot\u00ed\u017ee odhalit, t\u00edm l\u00e9pe lze nastavit dal\u0161\u00ed l\u00e9\u010dbu a rehabilitaci. Probl\u00e9m ov\u0161em m\u016f\u017ee nastat ve chv\u00edli, kdy u\u017e je \u010dlov\u011bk po propu\u0161t\u011bn\u00ed z nemocnice doma a znovu se u\u010d\u00ed zvl\u00e1dat b\u011b\u017en\u00e9 \u010dinnosti.<\/p>\n\n\n\n
\u201eU pacient\u016f po c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhod\u011b jsou prvn\u00ed m\u011bs\u00edce rozhoduj\u00edc\u00ed. Po\u010d\u00e1te\u010dn\u00ed projevy spasticity b\u00fdvaj\u00ed nev\u00fdrazn\u00e9 a objevuj\u00ed se \u010dasto a\u017e po n\u00e1vratu dom\u016f,\u201c \u0159\u00edk\u00e1 prim\u00e1\u0159 neurologick\u00e9ho odd\u011blen\u00ed a vedouc\u00ed l\u00e9ka\u0159 region\u00e1ln\u00edho centra spasticity Svatopluk Ostr\u00fd.<\/p>\n\n\n\n
Pacient nav\u00edc nemus\u00ed v\u011bd\u011bt, \u017ee ztuhl\u00e1 ruka, bolest nebo hor\u0161\u00ed ch\u016fze mohou souviset pr\u00e1v\u011b se spasticitou. A ne ka\u017ed\u00e9 ztuhnut\u00ed \u010di k\u0159e\u010d po mrtvici j\u00ed skute\u010dn\u011b je. I proto je d\u016fle\u017eit\u00e9, aby se \u010dlov\u011bk dostal k odborn\u00edkovi, kter\u00fd stav spr\u00e1vn\u011b posoud\u00ed.<\/p>\n\n\n\n
Telefon m\u016f\u017ee pacienta upozornit<\/p>\n\n\n\n
Pr\u00e1v\u011b tady chce pomoci Spastic Prevent. Pacient do aplikace zad\u00e1 datum mrtvice a v n\u00e1sleduj\u00edc\u00edch m\u011bs\u00edc\u00edch ho sama vyz\u00fdv\u00e1 k opakovan\u00e9mu zhodnocen\u00ed stavu.<\/p>\n\n\n\n
Pomoc\u00ed jednoduch\u00fdch ot\u00e1zek a obr\u00e1zk\u016f sleduje zm\u011bny v pohybu, svalov\u00e9m nap\u011bt\u00ed, bolest nebo pot\u00ed\u017ee p\u0159i b\u011b\u017en\u00fdch denn\u00edch \u010dinnostech. Pokud odpov\u011bdi uk\u00e1\u017eou mo\u017en\u00e9 riziko spasticity, aplikace nab\u00eddne kontakty na region\u00e1ln\u00ed centra spasticity a p\u0159iprav\u00ed p\u0159ehled v\u00fdsledk\u016f, kter\u00fd m\u016f\u017ee pacient uk\u00e1zat l\u00e9ka\u0159i.<\/p>\n\n\n\n
\u201eAplikace m\u016f\u017ee fungovat jako praktick\u00fd most mezi pacientem doma, pe\u010duj\u00edc\u00ed rodinou a specializovan\u00fdm centrem. \u010c\u00edm d\u0159\u00edve pacienta vy\u0161et\u0159\u00edme, t\u00edm l\u00e9pe dok\u00e1\u017eeme nastavit rehabilitaci a dal\u0161\u00ed postup,\u201c dopl\u0148uje Marcela M\u00edkov\u00e1.<\/p>\n\n\n\n
Nem\u00e1 nahradit l\u00e9ka\u0159e<\/p>\n\n\n\n
Aplikace proto nen\u00ed ur\u010dena k tomu, aby \u010dlov\u011bku stanovila diagn\u00f3zu. Jej\u00edm smyslem je p\u0159edev\u0161\u00edm upozornit, \u017ee se n\u011bco m\u011bn\u00ed a bylo by dobr\u00e9 pot\u00ed\u017ee \u0159e\u0161it.<\/p>\n\n\n\n
Pomoci m\u016f\u017ee i rodin\u011b. N\u011bkte\u0159\u00ed pacienti \u017eij\u00ed sami a zm\u011bn si nemus\u00ed v\u0161imnout, jin\u00ed sv\u00e9 pot\u00ed\u017ee pova\u017euj\u00ed za b\u011b\u017en\u00fd n\u00e1sledek mrtvice. Pravideln\u00e9 p\u0159ipomenut\u00ed v telefonu jim m\u016f\u017ee d\u00e1t impuls, aby vyhledali odbornou pomoc.<\/p>\n\n\n\n
\u201eMrtvice p\u0159ich\u00e1z\u00ed n\u00e1hle a ne\u010dekan\u011b. Zvl\u00e1dnut\u00ed prvn\u00ed f\u00e1ze je z\u00e1sadn\u00ed, ale je to teprve prvn\u00ed krok. Bez kvalitn\u00ed n\u00e1sledn\u00e9 p\u00e9\u010de cel\u00fd proces nen\u00ed dokon\u010den,\u201c p\u0159ipom\u00edn\u00e1 Svatopluk Ostr\u00fd.<\/p>\n\n\n\n
\u0160anci m\u00e1 pacient i po letech<\/p>\n\n\n\n
Nejv\u011bt\u0161\u00ed prostor pro motorick\u00e9 zotaven\u00ed b\u00fdv\u00e1 b\u011bhem prvn\u00edch m\u011bs\u00edc\u016f po mrtvici a n\u00e1sledn\u011b v pr\u016fb\u011bhu prvn\u00edho roku. Pokud jsou ale omezen\u00ed zp\u016fsoben\u00e1 spasticitou, m\u016f\u017ee l\u00e9\u010dba p\u0159in\u00e9st zlep\u0161en\u00ed i po del\u0161\u00ed dob\u011b.<\/p>\n\n\n\n
Dokl\u00e1d\u00e1 to i p\u0159\u00edpad Josefa Nov\u00e1ka. Kdy\u017e po mrtvici poprv\u00e9 znovu st\u00e1l, u\u0161el jen 13 metr\u016f. Dnes zvl\u00e1dne n\u011bkolik kilometr\u016f a st\u00e1le cvi\u010d\u00ed. Do Centra spasticity doch\u00e1z\u00ed na rehabilitaci a l\u00e9\u010dbu botulotoxinem. \u201ePo\u0159\u00e1d se pracuje,\u201c \u0159\u00edk\u00e1.<\/p>\n\n\n\n
A pr\u00e1v\u011b o to podle Marcely M\u00edkov\u00e9 jde \u2013 dostat pacienta co nejbl\u00ed\u017ee k b\u011b\u017en\u00e9mu \u017eivotu, a\u0165 u\u017e znamen\u00e1 n\u00e1vrat do pr\u00e1ce, p\u00e9\u010di o rodinu nebo zvl\u00e1d\u00e1n\u00ed ka\u017edodenn\u00edch \u010dinnost\u00ed.<\/p>\n\n\n\n
Kl\u00e1ra Sk\u00e1lov\u00e1<\/p>\n\n\n\n
\u010ceskobud\u011bjovick\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/ceskobudejovicky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Josef Nov\u00e1k \u017eije s n\u00e1sledky mrtvice u\u017e osm let. Pravideln\u011b cvi\u010d\u00ed, doch\u00e1z\u00ed na rehabilitaci a dnes zvl\u00e1dne uj\u00edt kolem \u010dty\u0159 kilometr\u016f. Po mrtvici p\u0159itom nemohl […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15438,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-64906","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\/64906","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=64906"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/64906\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15438"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64906"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64906"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64906"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}