{"id":24404,"date":"2023-10-26T06:43:57","date_gmt":"2023-10-26T04:43:57","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/?page_id=24404"},"modified":"2023-12-11T07:52:11","modified_gmt":"2023-12-11T06:52:11","slug":"informace-pro-pacienty","status":"publish","type":"page","link":"https:\/\/webnemji.azurewebsites.net\/en\/oddeleni\/neurologicke-oddeleni\/informace-pro-pacienty\/","title":{"rendered":"Information for patients"},"content":{"rendered":"<div id=\"cmsmasters_row_6iluctg3hk\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_overlay\"><\/div>\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_sybg7he2sg\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_b3c74b95a0\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center pageheadingtitle\">\n\t<h1 class=\"cmsmasters_heading\">Neurologick\u00e9 odd\u011blen\u00ed<\/h1>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_ly5ze1hf8e\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_v67ee6nvg7\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p><nav aria-label=\"breadcrumbs\">\n            <div class=\"breadcrumb-container theme1\">\n                <ol>\n                                    <\/ol>\n            <\/div>\n        <\/nav>    <script type=\"application\/ld+json\">\n        {\n            \"@context\": \"http:\/\/schema.org\",\n            \"@type\": \"BreadcrumbList\",\n            \"itemListElement\": [\n                            ]\n        }\n    <\/script>\n   \n    <script>\n            <\/script>\n<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_3f2f8816dd\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_0a1c5940f5\" class=\"cmsmasters_column one_third stickyinfocolumn\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_rva6m2t32d\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center\">\n\t<h3 class=\"cmsmasters_heading\">Informace o odd\u011blen\u00ed<\/h3>\n<\/div>\n<div id=\"cmsmasters_divider_dpp34mcdj5\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_center\"><\/div>\n<div class=\"cmsmasters_sidebar sidebar_layout_11 sidebar-custom-menu\"><aside id=\"nav_menu-41\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-neurologie-container\"><ul id=\"menu-oddeleni-neurologie\" class=\"menu\"><li id=\"menu-item-23600\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-23600\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/#popis-oddeleni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-info\"><\/i> Popis odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-23601\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-23601\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/#personalni-obsazeni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-user-doctor\"><\/i> Person\u00e1ln\u00ed obsazen\u00ed<\/a><\/li>\n<li id=\"menu-item-23602\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-23602\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/#ordinacni-hodiny\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-clock\"><\/i> Ordina\u010dn\u00ed hodiny<\/a><\/li>\n<li id=\"menu-item-23603\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-23603\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-23604\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-23604\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/#kde-nas-najdete\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-location-dot\"><\/i> Kde n\u00e1s najdete<\/a><\/li>\n<li id=\"menu-item-23605\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-23605\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-23606\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-23606\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-23607\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-23607\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/neurologicke-ambulance\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-house-medical\"><\/i> Ambulance<\/a><\/li>\n<li id=\"menu-item-23608\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-23608\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/luzkova-cast\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-bed\"><\/i> L\u016f\u017ekov\u00e1 \u010d\u00e1st<\/a><\/li>\n<li id=\"menu-item-23609\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-23609\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/spektrum-pece\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-stethoscope\"><\/i> Spektrum p\u00e9\u010de<\/a><\/li>\n<li id=\"menu-item-23610\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-23610\"><a href=\"\/oddeleni\/neurologicke-oddeleni\/informace-pro-pacienty\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-circle-info\"><\/i> Informace pro pacienty<\/a><\/li>\n<\/ul><\/div><\/aside><div class=\"cl\"><\/div>\n<\/div>\n<\/div><\/div>\n<div id=\"cmsmasters_column_k7vlyuz4yq\" class=\"cmsmasters_column two_third\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_0cx4mcjjyd\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_left\">\n\t<h2 class=\"cmsmasters_heading\">Informace pro pacienty<\/h2>\n<\/div>\n<div id=\"cmsmasters_divider_kul4awri6m\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_left\"><\/div>\n<div id=\"cmsmasters_divider_6etaua2ynr\" class=\"cl\"><\/div>\n<div class=\"cmsmasters_text\">\n<p><span class=\"zvyrazneni\">Co vz\u00edt sebou do nemocnice se dozv\u00edte<\/span>\u00a0<a href=\"\/informace-pro-pacienty-a-navstevy\/\">ZDE<\/a>.\u00a0<span class=\"zvyrazneni\">Mezi nejd\u016fle\u017eit\u011bj\u0161\u00ed pat\u0159\u00ed seznam pravideln\u011b u\u017e\u00edvan\u00fdch l\u00e9k\u016f v\u010detn\u011b d\u00e1vkov\u00e1n\u00ed. U akutn\u00edch hospitalizac\u00ed pros\u00edme o dod\u00e1n\u00ed seznamu rodinn\u00fdmi p\u0159\u00edslu\u0161n\u00edky.<\/span><\/p>\n<p style=\"font-weight: 400;\">Pacienti k\u00a0<strong>pl\u00e1novan\u00e9 hospitalizaci<\/strong>\u00a0jsou sv\u00fdm o\u0161et\u0159uj\u00edc\u00edm neurologem objedn\u00e1ni k p\u0159ijet\u00ed na neurologick\u00e9 odd\u011blen\u00ed na konkr\u00e9tn\u00ed den, z\u00e1kladn\u00ed administrativn\u00ed p\u0159\u00edjem prob\u00edh\u00e1 7.30 &#8211;\u00a08.30 na informa\u010dn\u00edm centru p\u0159i vchodu do nemocnice.\u00a0Pot\u00e9 v pr\u016fb\u011bhu dopoledn\u00edch hodin prob\u00edh\u00e1 p\u0159\u00edjem pacienta sestrou a l\u00e9ka\u0159em. Pacient je t\u00e1z\u00e1n na\u00a0<strong>anamnestick\u00e1 data<\/strong>, kam pat\u0159\u00ed p\u0159edev\u0161\u00edm\u00a0rodinn\u00e1 anamn\u00e9za &#8211; informace o chorob\u00e1ch rodi\u010d\u016f, sourozenc\u016f atd., osobn\u00ed anamn\u00e9za &#8211; l\u00e9\u010den\u00e9 choroby pacienta, prob\u011bhl\u00e9 operace a z\u00e1va\u017en\u00e9 \u00farazy, trvale u\u017e\u00edvan\u00e9 l\u00e9ky, alergie &#8211; l\u00e9kov\u00e9 i ostatn\u00ed, dieta a vlastn\u00ed onemocn\u011bn\u00ed. Pot\u00e9 prob\u00edh\u00e1 klinick\u00e9 vy\u0161et\u0159en\u00ed pacienta s n\u00e1slednou rozvahou o l\u00e9\u010debn\u00e9m postupu a pl\u00e1nem pot\u0159ebn\u00fdch vy\u0161et\u0159en\u00ed.<\/p>\n<p style=\"font-weight: 400;\">V r\u00e1mci p\u0159ijet\u00ed do nemocnice pacient podepisuje informovan\u00fd souhlas s hospitalizac\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong><span class=\"zvyrazneni\">Informace k specifick\u00fdm hospitalizac\u00edm<\/span><\/strong><\/h5>\n<style type=\"text\/css\"><\/style><section id='' \n                class='helpie-faq accordions groupSettings-336__enabled' \n                data-collection='' \n                data-pagination='0' \n                data-search='0' \n                data-pagination-enabled='0'\n                role='region'\n                aria-label='FAQ Section'\n                aria-live='polite'><article class=\"accordion \"><div class='helpie-faq-row'><div class='helpie-faq-col helpie-faq-col-12' ><ul><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24409\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24409\"\r\n                data-id=\"post-24409\" \r\n                data-item=\"hfaq-post-24409\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Periradikuloterapie (PRT)<\/div><\/div><div id=\"accordion-content-post-24409\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24409\"\r\n                style=\"background:transparent;\"><p>Jedn\u00e1 se o p\u0159ijet\u00ed pacienta k c\u00edlen\u00e9mu obst\u0159iku nervov\u00e9ho ko\u0159ene za asistence po\u010d\u00edta\u010dov\u00e9 tomografie (CT). Jedn\u00e1 se o variantu neoperativn\u00ed l\u00e9\u010dby dlouhodob\u00fdch bolest\u00ed zad. Je prov\u00e1d\u011bn na\u00a0<em>odd\u011blen\u00ed zobrazovac\u00edch metod<\/em>\u00a0radiologem. P\u0159ed aplikac\u00ed pacient podepisuje informovan\u00fd souhlas s podrobn\u00fdm popisem z\u00e1kroku, kter\u00fd obdr\u017e\u00ed p\u0159i p\u0159ijet\u00ed (ke sta\u017een\u00ed n\u00ed\u017ee).<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24410\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24410\"\r\n                data-id=\"post-24410\" \r\n                data-item=\"hfaq-post-24410\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Lumb\u00e1ln\u00ed punkce<\/div><\/div><div id=\"accordion-content-post-24410\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24410\"\r\n                style=\"background:transparent;\"><p>Jedn\u00e1 se o kr\u00e1tkou hospitalizaci s vy\u0161et\u0159en\u00edm mozkom\u00ed\u0161n\u00edho moku, d\u016fvodem vy\u0161et\u0159en\u00ed jsou p\u0159edev\u0161\u00edm r\u016fzn\u00e1 z\u00e1n\u011btliv\u00e1 onemocn\u011bn\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, nap\u0159. roztrou\u0161en\u00e1 skler\u00f3za mozkom\u00ed\u0161n\u00ed. Jedn\u00e1 se o odb\u011br mal\u00e9ho mno\u017estv\u00ed mozkom\u00ed\u0161n\u00edho moku vpichem v bedern\u00ed krajin\u011b. Vy\u0161et\u0159en\u00ed se ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f provad\u00ed\u00a0<em>atraumatickou jehlou<\/em>\u00a0s c\u00edlem minimalizovat mo\u017en\u00e9 komplikace, jedn\u00e1 se o jehlu se &#8222;zaoblen\u00fdm&#8220; hrotem.\u00a0P\u0159ed vlastn\u00edm v\u00fdkonem pacient podepisuje podrobn\u00fd informovan\u00fd souhlas s vy\u0161et\u0159en\u00edm (ke sta\u017een\u00ed n\u00ed\u017ee).<\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/article><\/section>\n<p>&nbsp;<\/p>\n<h5><strong><span class=\"zvyrazneni\">Informace k\u00a0nej\u010dast\u011bj\u0161\u00edm neurologick\u00fdm onemocn\u011bn\u00edm<\/span><\/strong><\/h5>\n<style type=\"text\/css\"><\/style><section id='' \n                class='helpie-faq accordions groupSettings-337__enabled' \n                data-collection='' \n                data-pagination='0' \n                data-search='0' \n                data-pagination-enabled='0'\n                role='region'\n                aria-label='FAQ Section'\n                aria-live='polite'><article class=\"accordion \"><div class='helpie-faq-row'><div class='helpie-faq-col helpie-faq-col-12' ><ul><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24411\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24411\"\r\n                data-id=\"post-24411\" \r\n                data-item=\"hfaq-post-24411\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">C\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody<\/div><\/div><div id=\"accordion-content-post-24411\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24411\"\r\n                style=\"background:transparent;\"><p>Jedn\u00e1 se o n\u00e1hle vzniklou poruchu mozkov\u00e9 funkce, kter\u00e1 je zp\u016fsoben\u00e1 poruchou prokrven\u00ed ur\u010dit\u00e9 \u010d\u00e1sti mozkov\u00e9 tk\u00e1n\u011b &#8211; 80% p\u0159\u00edpad\u016f a nebo mozkov\u00fdm krv\u00e1cen\u00edm &#8211; 20% pacient\u016f. V diagnostice dominuje zobrazovac\u00ed vy\u0161et\u0159en\u00ed mozku (v\u011bt\u0161inou je dosta\u010duj\u00edc\u00ed po\u010d\u00edta\u010dov\u00e1 tomografie &#8211; CT, ojedin\u011ble je nezbytn\u00e9 doplnit magnetickou rezonanci), d\u00e1le prov\u00e1d\u00edme sonografick\u00e9 c\u00e9vn\u00ed vy\u0161et\u0159en\u00ed kr\u010dn\u00edch a mozkov\u00fdch tepen. U neobjasn\u011bn\u00fdch p\u0159\u00ed\u010din c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody je nutn\u00e9 doplnit podrobn\u011bj\u0161\u00ed ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed srdce. Mozkov\u00e1 p\u0159\u00edhoda se m\u016f\u017ee projevit poruchou hybnosti, citlivosti, bolestmi hlavy, poruchou \u0159e\u010di, zraku \u010di z\u00e1vrat\u011bmi. P\u0159\u00edm\u00e1 l\u00e9\u010dba v\u011bt\u0161\u00ed skupiny c\u00e9vn\u00edch mozkov\u00fdch p\u0159\u00edhod vznikl\u00fdch na poklad\u011b poruchy cirkulace je v akutn\u00edm st\u00e1diu p\u0159i spln\u011bn\u00ed dan\u00fdch krit\u00e9ri\u00ed (p\u0159edev\u0161\u00edm \u010dasov\u00e9ho okna) mo\u017en\u00e1 nitro\u017eiln\u00ed aplikac\u00ed l\u00e1tky (trombolytika), kter\u00e1 m\u016f\u017ee zpr\u016fchodnit ucpanou tepnu &#8211; <strong>intraven\u00f3zn\u00ed trombol\u00fdza<\/strong>\u00a0&#8211; metodiku zaji\u0161\u0165ujeme v na\u0161em iktov\u00e9m centru. Pro indikovan\u00e9 pacienty je dal\u0161\u00ed mo\u017enost\u00ed mechanick\u00e9 zpr\u016fchodn\u011bn\u00ed tepny, ke\u00a0kter\u00e9mu odes\u00edl\u00e1me pacienty do n\u011bkter\u00e9ho z brn\u011bnsk\u00fdch komplexn\u00edch iktov\u00fdch center.\u00a0V druh\u00e9 dob\u011b je d\u016fle\u017eit\u00e1 sekund\u00e1rn\u00ed prevence, kter\u00e1 m\u00e1 za c\u00edl minimalizovat riziko opakov\u00e1n\u00ed mozkov\u00e9ho p\u0159\u00edhody, sem pat\u0159\u00ed opera\u010dn\u00ed l\u00e9\u010dba z\u00fa\u017een\u00fdch p\u0159\u00edvodn\u00fdch mozkov\u00fdch tepen, medikament\u00f3zn\u00ed ovlivn\u011bn\u00ed krevn\u00ed sr\u00e1\u017elivosti, zm\u011bna \u017eivotn\u00edho stylu apod. U pacient\u016f, u kter\u00fdch\u00a0p\u0159es ve\u0161kerou l\u00e9\u010dbu trv\u00e1\u00a0neurologick\u00fd deficit, spolupracujeme s na\u0161\u00edm rehabilita\u010dn\u00edm odd\u011blen\u00edm. Rehabilitaci zahajujeme ji\u017e v akutn\u00ed f\u00e1zi choroby na jednotce intenzivn\u00ed p\u00e9\u010de.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24412\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24412\"\r\n                data-id=\"post-24412\" \r\n                data-item=\"hfaq-post-24412\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Epilepsie<\/div><\/div><div id=\"accordion-content-post-24412\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24412\"\r\n                style=\"background:transparent;\"><p>Epilepsie je skupina poruch mozku projevuj\u00edc\u00edch se opakovan\u00fdmi z\u00e1chvaty &#8211; paroxysmy r\u016fzn\u00e9ho charakteru. Z\u00e1chvaty jsou zp\u016fsobeny lo\u017eiskem abnorm\u00e1ln\u00edho dr\u00e1\u017ed\u011bn\u00ed mozkov\u00fdch bun\u011bk \u2013 neuron\u016f. Klinick\u00e9 projevy t\u011bchto paroxysm\u016f jsou r\u016fzn\u00e9: poruchy v\u011bdom\u00ed a vn\u00edm\u00e1n\u00ed, k\u0159e\u010de kon\u010detin, vegetativn\u00ed projevy, psychick\u00e9 p\u0159\u00edznaky. Klasick\u00fdm z\u00e1chvatem je tzv. grandmal &#8211; z\u00e1chvat s n\u00e1hl\u00fdm bezv\u011bdom\u00edm, k\u0159e\u010demi, pomo\u010den\u00edm, pokous\u00e1n\u00edm. K jin\u00fdm z\u00e1chvat\u016fm pat\u0159\u00ed absence \u2013 z\u00e1razy (n\u011bkdy sotva post\u0159ehnuteln\u00e9 okol\u00edm), d\u00e1le z\u00e1chvaty lo\u017eiskov\u00e9 &#8211; z\u00e1\u0161kuby v ur\u010dit\u00fdch svalov\u00fdch skupin\u00e1ch bez ztr\u00e1ty v\u011bdom\u00ed, \u010dichov\u00e9 z\u00e1chvaty aj. Charakter z\u00e1chvatu z\u00e1vis\u00ed na m\u00edst\u011b, kter\u00e9 je v mozku posti\u017eeno. P\u0159\u00ed\u010dina je n\u011bkdy nezn\u00e1m\u00e1, jindy je d\u016fsledkem jin\u00e9ho posti\u017een\u00ed mozku &#8211; nap\u0159. n\u00e1doru, poran\u011bn\u00ed, c\u00e9vn\u00edch zm\u011bn, vrozen\u00fdch v\u00fdvojov\u00fdch vad. Epilepsie je nej\u010dast\u011bj\u0161\u00ed ze v\u0161ech z\u00e1va\u017en\u00fdch neurologick\u00fdch onemocn\u011bn\u00ed postihuj\u00edc\u00ed dosp\u011bl\u00e9 i d\u011btsk\u00e9 pacienty, postihuje zhruba 0,5-1% ve\u0161ker\u00e9 populace. Onemocn\u011bn\u00ed pacienta velmi obt\u011b\u017euje, omezuje a limituje, v\u00a0\u0159ad\u011b aktivit v\u00fdrazn\u011b m\u011bn\u00ed jeho \u017eivot. Asi 60% posti\u017een\u00fdch prod\u011bl\u00e1 jen n\u011bkolik z\u00e1chvat\u016f a nebo jsou z\u00e1chvaty dob\u0159e kompenzov\u00e1ny antiepileptickou l\u00e9\u010dbou s\u00a0jistou mo\u017enost\u00ed jej\u00edho vysazen\u00ed, u 20% posti\u017een\u00fdch lze z\u00e1chvaty potla\u010dit trvalou \u017eivotospr\u00e1vou a trvalou medikamentosn\u00ed l\u00e9\u010dbou a zhruba 20% epileptik\u016f se nepoda\u0159\u00ed kompenzovat ani t\u011bmito celo\u017eivotn\u00edmi opat\u0159en\u00edmi a l\u00e9\u010dbou \u2013 ti jsou ozna\u010dov\u00e1ni jako farmakorezistentn\u00ed. Pro diagn\u00f3su epilepsie m\u00e1 velkou d\u016fle\u017eitost z\u00edsk\u00e1n\u00ed\u00a0<b>anamnestick\u00fdch\u00a0<\/b>dat od samotn\u00e9ho pacienta, ale i tzv. anamnesa\u00a0<b>objektivn\u00ed\u00a0<\/b>od sv\u011bdk\u016f paroxysmu, d\u00e1le z\u00e1kladn\u00ed\u00a0<b>klinick\u00e9 neurologick\u00e9 vy\u0161et\u0159en\u00ed<\/b>, laboratorn\u00ed vy\u0161et\u0159en\u00ed, dom\u00e1c\u00ed video,\u00a0<b>elektroencefalogram \u2013 EEG<\/b>, neurozobrazovac\u00ed vy\u0161et\u0159en\u00ed\u00a0<b>CT\u00a0<\/b>a\u00a0<b>MR<\/b>\u00a0a cel\u00e1 \u0159ada dal\u0161\u00edch vy\u0161et\u0159en\u00ed nap\u0159. neuropsychologick\u00e9, kardiologick\u00e9 a v\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech tak\u00e9 genetick\u00e9 vy\u0161et\u0159en\u00ed. Pro maxim\u00e1ln\u00ed efekt l\u00e9\u010dby k\u00a0dosa\u017een\u00ed dobr\u00fdch v\u00fdsledk\u016f je nutn\u00e1 nadpr\u016fm\u011brn\u00e1 spolupr\u00e1ce pacienta a erudice (d\u016fkladn\u00e9 vzd\u011bl\u00e1n\u00ed a znalost) l\u00e9ka\u0159e.\u00a0<b>Sou\u010d\u00e1st\u00ed neurologick\u00e9 ambulance je i specializovan\u00e1 ambulance zab\u00fdvaj\u00edc\u00ed se diagnostikou a l\u00e9\u010dbou epilepsie, veden\u00e1 l\u00e9ka\u0159em s\u00a0licenc\u00ed epileptologa. Epileptolog m\u016f\u017ee konzultovat nekompenzovan\u00e9 (rezistentn\u00ed) pacienty s\u00a0epilepsi\u00ed od koleg\u016f ambulantn\u00edch specialist\u016f, rozhoduje tak\u00e9 o konzultaci takov\u00fdchto pacient\u016f na vy\u0161\u0161\u00edm pracovi\u0161ti. Tato vy\u0161\u0161\u00ed pracovi\u0161t\u011b (z\u0159\u00edzen\u00e1 v\u011bt\u0161inou p\u0159i fakultn\u00edch nemocnic\u00edch \u2013 Praha, Brno) pak disponuj\u00ed dal\u0161\u00edmi roz\u0161\u00ed\u0159en\u00fdmi diagnostick\u00fdmi metodami, v\u010detn\u011b mo\u017enosti l\u00e9\u010dby opera\u010dn\u00ed.<\/b><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24413\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24413\"\r\n                data-id=\"post-24413\" \r\n                data-item=\"hfaq-post-24413\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Roztrou\u0161en\u00e1 skler\u00f3za mozkom\u00ed\u0161n\u00ed<\/div><\/div><div id=\"accordion-content-post-24413\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24413\"\r\n                style=\"background:transparent;\"><p>Jedn\u00e1 se o chronick\u00e9 nevyl\u00e9\u010diteln\u00e9 onemocn\u011bn\u00ed zp\u016fsoben\u00e9 nespr\u00e1vnou aktivac\u00ed imunitn\u00edho syst\u00e9mu v\u016f\u010di obal\u016fm nervov\u00fdch struktur &#8211; <strong>myelinu<\/strong>. P\u0159\u00ed\u010dina nen\u00ed objasn\u011bna, diskutuje se nad vlivem vitam\u00ednu D, prod\u011blan\u00fdmi infek\u010dn\u00edmi chorobami i\u00a0genetickou z\u00e1t\u011b\u017e\u00ed. Rizikov\u00fdm faktorem je ale i kou\u0159en\u00ed. Nej\u010dast\u011bji za\u010d\u00edn\u00e1 mezi 20-40 lety v\u011bku, v\u00fdrazn\u011b \u010dast\u011bji u \u017een. Mezi typick\u00e9 prvn\u00ed p\u0159\u00edznaky pat\u0159\u00ed zhor\u0161en\u00ed zraku, brn\u011bn\u00ed kon\u010detin, porucha hybnosti kon\u010detin, \u010di z\u00e1vra\u0165. V diagnostice dominuje vy\u0161et\u0159en\u00ed\u00a0<strong>magnetickou rezonanc\u00ed<\/strong>, kter\u00e9 m\u016f\u017ee odhalit z\u00e1n\u011btliv\u00e1 (demyeliniza\u010dn\u00ed) lo\u017eiska v mozkov\u00e9 tk\u00e1ni, d\u00e1le se prov\u00e1d\u00ed vy\u0161et\u0159en\u00ed\u00a0<strong>mozkom\u00ed\u0161n\u00edho moku<\/strong>\u00a0a\u00a0zrakov\u00e9 dr\u00e1hy &#8211; VEP. L\u00e9ky prvn\u00ed volby jsou injek\u010dn\u00ed\u00a0<strong>imunomodula\u010dn\u00ed prepar\u00e1ty<\/strong>\u00a0s prok\u00e1zan\u00fdm pozitivn\u00edm efektem na v\u00fdvoj choroby. P\u0159i ne\u00fa\u010dinnosti injek\u010dn\u00ed l\u00e9\u010dby\u00a0jsou variantou l\u00e9ky 2. Linie (natalizumab, fingolimod, fumar\u00e1t).\u00a0Takt\u00e9\u017e d\u016fle\u017eitou slo\u017ekou v terapii roztrou\u0161en\u00e9 skler\u00f3zy je rehabilitace, zde op\u011bt spolupracujeme s rehabilita\u010dn\u00edm odd\u011blen\u00edm na\u0161\u00ed nemocnice. Kompletn\u00ed l\u00e9\u010debn\u00e9 mo\u017enosti RS\u00a0zaji\u0161\u0165ujeme v na\u0161em MS centru.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24414\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24414\"\r\n                data-id=\"post-24414\" \r\n                data-item=\"hfaq-post-24414\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Vertebrogenn\u00ed onemocn\u011bn\u00ed<\/div><\/div><div id=\"accordion-content-post-24414\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24414\"\r\n                style=\"background:transparent;\"><p>Bolesti\u00a0zad pat\u0159\u00ed mezi civiliza\u010dn\u00ed onemocn\u011bn\u00ed,\u00a0s kter\u00fdmi se alespo\u0148 jednou v \u017eivot\u011b setk\u00e1 v\u011bt\u0161ina lid\u00ed. V l\u00e9\u010db\u011b\u00a0je obvykle posta\u010duj\u00edc\u00ed\u00a0klidov\u00fd re\u017eim, b\u011b\u017en\u00e1 analgetika a\u00a0z dlouhodob\u00e9ho hlediska\u00a0<strong>pravideln\u00e9 cvi\u010den\u00ed<\/strong>\u00a0se zam\u011b\u0159en\u00edm na p\u00e1te\u0159. U men\u0161iny pacient\u016f\u00a0obt\u00ed\u017ee p\u0159etrv\u00e1vaj\u00ed,\u00a0objevuje se bolest vyst\u0159eluj\u00edc\u00ed do n\u011bkter\u00e9 z doln\u00edch\u00a0kon\u010detin. V diagnostice je pak nutn\u00e9 proveden\u00ed rentgenu p\u00e1te\u0159e, p\u0159i podez\u0159en\u00ed na v\u00fdh\u0159ez plot\u00e9nky a \u00favaze o nutnosti opera\u010dn\u00edho \u0159e\u0161en\u00ed (p\u0159edev\u0161\u00edm v p\u0159\u00edpad\u011b oslaben\u00ed hybnosti \u010di poru\u0161e sv\u011bra\u010d\u016f) pak i\u00a0<strong>magnetick\u00e9 rezonance<\/strong>\u00a0p\u00e1te\u0159e. Vyjma opera\u010dn\u00edho \u0159e\u0161en\u00ed\u00a0se v l\u00e9\u010db\u011b uplat\u0148uje i c\u00edlen\u00fd obst\u0159ik posti\u017een\u00e9ho nervov\u00e9ho ko\u0159ene za\u00a0asistence po\u010d\u00edta\u010dov\u00e9 tomografie &#8211; PRT (<strong>periradikuloterapie<\/strong>). V r\u00e1mci l\u00e9\u010dby vertebrogenn\u00edch onemocn\u011bn\u00ed spolupracujeme s na\u0161\u00edm rehabilita\u010dn\u00edm odd\u011blen\u00edm.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24415\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24415\"\r\n                data-id=\"post-24415\" \r\n                data-item=\"hfaq-post-24415\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Extrapyramidov\u00e1 onemocn\u011bn\u00ed<\/div><\/div><div id=\"accordion-content-post-24415\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24415\"\r\n                style=\"background:transparent;\"><p>Extrapyramidov\u00e1 onemocn\u011bn\u00ed jsou pom\u011brn\u011b \u0161irokou skupinou nemoc\u00ed, p\u0159i kter\u00fdch doch\u00e1z\u00ed r\u016fzn\u00fdm mechanismem k posti\u017een\u00ed tzv. baz\u00e1ln\u00edch gangli\u00ed. To\u00a0je oblast v mozku, kter\u00e1 je zodpov\u011bdn\u00e1 za plynulost pohybu, jeho spr\u00e1vnou\u00a0rychlost a na\u010dasov\u00e1n\u00ed a pod\u00edl\u00ed se na vytv\u00e1\u0159en\u00ed pohybov\u00fdch stereotyp\u016f.\u00a0Klinicky se tedy jedn\u00e1 o zhor\u0161en\u00ed n\u011bkter\u00e9 z t\u011bchto funkc\u00ed.\u00a0Nejv\u00fdznamn\u011bj\u0161\u00ed pod\u00edl maj\u00ed neurodegenerativn\u00ed onemocn\u011bn\u00ed, kdy doch\u00e1z\u00ed ke ztr\u00e1t\u011b funk\u010dnosti mozku jakoby &#8222;samo od sebe&#8220;. Z nich asi nejzn\u00e1m\u011bj\u0161\u00ed\u00a0je\u00a0<strong>Parkinsonova choroba.<\/strong>\u00a0Nejv\u00fdznamn\u011bj\u0161\u00edmi p\u0159\u00edznaky jsou t\u0159es, svalov\u00e1 ztuhlost a v\u00fdrazn\u00e9 omezen\u00ed hybnosti, kter\u00e9 postupn\u011b nar\u016fstaj\u00ed. Existuj\u00ed i nemoci, jejich\u017e p\u0159\u00edznaky jsou prakticky &#8222;zrcadlov\u011b&#8220; obr\u00e1cen\u00e9. V dne\u0161n\u00ed dob\u011b se pomalu zlep\u0161uj\u00ed mo\u017enosti l\u00e9\u010dby extrapyramidov\u00fdch chorob, p\u0159ib\u00fdvaj\u00ed l\u00e9ky s lep\u0161\u00edm c\u00edlen\u00edm a m\u00edrn\u011bj\u0161\u00edm ne\u017e\u00e1douc\u00edmi p\u0159\u00edznaky. \u017d\u00e1douc\u00ed jsou zku\u0161enosti s touto l\u00e9\u010dbou u v\u011bt\u0161\u00edho po\u010dtu pacient\u016f, proto jsme na podzim roku 2009 otev\u0159eli\u00a0<strong>ambulanci pro extrapyramidov\u00e1 onemocn\u011bn\u00ed<\/strong>, kam doch\u00e1z\u00ed pacienti, kte\u0159\u00ed byli p\u0159edt\u00edm &#8222;roztrou\u0161eni&#8220;\u00a0u r\u016fzn\u00fdch neurolog\u016f. Na\u0161e ambulance m\u00e1 napojen\u00ed na centrum s podobn\u00fdm zam\u011b\u0159en\u00edm ve Fakultn\u00ed nemocnici Brno U sv. Anny a na centrum v Praze, kde se pod\u00edl\u00edme na\u00a0vyhled\u00e1v\u00e1n\u00ed pacient\u016f vhodn\u00fdch pro tzv.\u00a0<strong>hlubokou mozkovou stimulaci<\/strong>,\u00a0kdy je do mozku zavedena sonda, kter\u00e1 za pomoc\u00ed elektrick\u00fdch impuls\u016f ovliv\u0148uje \u010dinnost zmi\u0148ovan\u00fdch gangli\u00ed. V n\u011bkter\u00fdch speci\u00e1ln\u00edch p\u0159\u00edpadech (nehod\u00ed se pro ka\u017ed\u00e9ho!) je to jedin\u00e1 mo\u017enost, kdy\u017e medikament\u00f3zn\u00ed terapie selh\u00e1v\u00e1 nebo se nem\u016f\u017ee d\u00e1le pod\u00e1vat.\u00a0Ambulance funguje ka\u017edou st\u0159edu od 13:30 do 15:30 a pacienti jsou objedn\u00e1v\u00e1ni telefonicky na t.\u010d. 567157652.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24416\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24416\"\r\n                data-id=\"post-24416\" \r\n                data-item=\"hfaq-post-24416\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Bolesti hlavy<\/div><\/div><div id=\"accordion-content-post-24416\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24416\"\r\n                style=\"background:transparent;\"><p>Bolest hlavy (cefalea) je jedna z nej\u010dast\u011bj\u0161\u00edch pot\u00ed\u017e\u00ed na neurologick\u00e9 ambulanci. M\u016f\u017ee b\u00fdt r\u016fzn\u00e9ho p\u016fvodu, proto je d\u016fle\u017eit\u00e9 odhalit pravou p\u0159\u00ed\u010dinu. Jenom tak se d\u00e1 probl\u00e9m \u00fasp\u011b\u0161n\u011b l\u00e9\u010dit od sam\u00e9ho za\u010d\u00e1tku a lze t\u00edm dos\u00e1hnout zlep\u0161en\u00ed kvality \u017eivota pacient\u016f a vyhnout se dlouh\u00e9, \u010dasto n\u00e1kladn\u00e9 l\u00e9\u010db\u011b. Bolest hlavy se definuje jako bolestiv\u00fd pocit, kter\u00fd se objevuje na \u00farovni lebe\u010dn\u00ed klenby, t.j. od o\u010d\u00ed a\u017e po kr\u010dn\u00ed p\u00e1te\u0159. Bolest hlavy ale m\u016f\u017ee v n\u011bkter\u00fdch p\u0159\u00edpadech upozornit na z\u00e1va\u017en\u011bj\u0161\u00ed onemocn\u011bn\u00ed, kter\u00e9 ve sv\u00fdch po\u010d\u00e1tc\u00edch nem\u00e1 jin\u00e9 klinick\u00e9 projevy. Podle vyvol\u00e1vaj\u00edc\u00ed p\u0159\u00ed\u010diny rozli\u0161ujeme r\u016fzn\u00e9 typy bolest\u00ed hlavy:\u00a0<b>1\/ prim\u00e1rn\u00ed\u00a0<\/b>&#8211; samostatn\u00e1 chorobn\u00e1 jednotka (migr\u00e9na, tenz\u00ed bolest hlavy) a\u00a0<b>2\/ sekund\u00e1rn\u00ed\u00a0<\/b>\u2013 m\u016f\u017ee b\u00fdt p\u0159\u00edznakem jin\u00e9ho onemocn\u011bn\u00ed (v\u00a0r\u00e1mci c\u00e9vn\u00edch onemocn\u011bn\u00ed mozku, po\u00farazov\u00e1, bolesti trojklann\u00e9ho nervu\u2026.). Z\u00a0hlediska diagnostiky je d\u016fle\u017eit\u00e1\u00a0<b>anamn\u00e9za\u00a0<\/b>(p\u0159edchorob\u00ed \u2013 p\u0159idru\u017een\u00e9 nemoci, v\u00fdskyt nemoc\u00ed v\u00a0rodin\u011b, u bolest\u00ed hlavy pak popis charakteru bolesti hlavy, p\u0159\u00edpadn\u00e9 doprovodn\u00e9 p\u0159\u00edznaky &#8211; pocit na zvracen\u00ed a zvracen\u00ed, zrakov\u00e9 poruchy; z\u00e1vrat\u011b, hor\u0161en\u00ed pam\u011bti aj.) a\u00a0<b>fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed.\u00a0<\/b>Na z\u00e1klad\u011b anamn\u00e9zy a fyzik\u00e1ln\u00edho vy\u0161et\u0159en\u00ed l\u00e9ka\u0159 ur\u010d\u00ed dal\u0161\u00ed pot\u0159ebn\u00fd diagnostick\u00fd postup: jako nap\u0159.\u00a0<strong>RTG\u00a0<\/strong>(lebky, kr\u010dn\u00ed p\u00e1te\u0159e, vedlej\u0161\u00edch dutin nosn\u00edch),\u00a0<b>elektroencefalogram (<\/b>sn\u00edm\u00e1n\u00ed elektrick\u00e9 mozkov\u00e9 aktivity prost\u0159ednictv\u00edm elektrod um\u00edstn\u011bn\u00fdch na ur\u010dit\u00fdch m\u00edstech lebky),\u00a0<b>rozbor krve a mozkom\u00ed\u0161n\u00edho moku, zobrazovac\u00ed vy\u0161et\u0159en\u00ed\u00a0<\/b>(pomoc\u00ed po\u010d\u00edta\u010dov\u00e9 tomografie &#8211; CT, nebo pomoc\u00ed magnetick\u00e9 rezonance &#8211; MR). Spr\u00e1vn\u011b stanoven\u00e1 diagn\u00f3za, prevence a l\u00e9\u010dba prim\u00e1rn\u00edch bolest\u00ed hlavy dok\u00e1\u017ee v sou\u010dasn\u00e9 dob\u011b v\u00fdrazn\u011b zlep\u0161it kvalitu \u017eivota pacient\u016f. U tzv. sekund\u00e1rn\u00edch bolest\u00ed hlavy jejich dal\u0161\u00ed pr\u016fb\u011bh z\u00e1vis\u00ed od z\u00e1kladn\u00edho onemocn\u011bn\u00ed, kter\u00e9 je jejich p\u0159\u00ed\u010dinou. Progn\u00f3za bolest\u00ed hlavy, kter\u00e9 vznikaj\u00ed n\u00e1sledkem z\u00e1va\u017en\u011bj\u0161\u00edch onemocn\u011bn\u00ed, bude logicky z\u00e1viset od jejich pr\u016fb\u011bhu. Na\u0161e neurologick\u00e1 ambulance (v\u0161eobecn\u00e1, ale i specializovan\u00e1 se zam\u011b\u0159en\u00edm na bolesti hlavy) zaji\u0161\u0165uje kompletn\u00ed diagnostiku a l\u00e9\u010dbu bolest\u00ed hlavy. L\u00e9\u010dba pak prob\u00edh\u00e1 mnohdy i ve spolupr\u00e1ci s\u00a0jin\u00fdmi specialisty (rehabilita\u010dn\u00ed l\u00e9ka\u0159, ORL l\u00e9ka\u0159, o\u010dn\u00ed l\u00e9ka\u0159, psycholog). Z\u00a0hlediska pacient\u016f je \u017e\u00e1douc\u00ed zodpov\u011bdn\u00fd p\u0159\u00edstup a spolupr\u00e1ce.<\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/article><\/section>\n<\/div>\n<div class=\"cmsmasters_text download-links-large\">\n<h5><strong>Informovan\u00e9 souhlasy<\/strong><\/h5>\n<p><a href=\"\/wp-content\/uploads\/2023\/10\/IS-Aplikace-botulotoxinu.pdf\" target=\"_blank\" rel=\"noopener\">IS Aplikace botulotoxinu<\/a><\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/10\/IS-Epiduralni-obstrik.pdf\" target=\"_blank\" rel=\"noopener\">IS Epidur\u00e1ln\u00ed obst\u0159ik<\/a><\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/10\/IS-Kontrastni-vysetreni-patere.pdf\" target=\"_blank\" rel=\"noopener\">IS Kontrastn\u00ed vy\u0161et\u0159en\u00ed p\u00e1te\u0159e<\/a><\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/10\/IS-Lumbalni-punkce.pdf\" target=\"_blank\" rel=\"noopener\">IS Lumb\u00e1ln\u00ed punkce<\/a><\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/10\/IS-Obstrik-karpalniho-tunelu.pdf\" target=\"_blank\" rel=\"noopener\">IS Obst\u0159ik karp\u00e1ln\u00edho tunelu<\/a><\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_4kb0apw7ag\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_nwwitfqy0a\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":17121,"parent":23599,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[85],"class_list":["post-24404","page","type-page","status-publish","has-post-thumbnail","hentry","category-page-oddeleni"],"publishpress_future_action":{"enabled":false,"date":"2026-04-21 23:57:13","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/24404","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/comments?post=24404"}],"version-history":[{"count":0,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/24404\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/23599"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media\/17121"}],"wp:attachment":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media?parent=24404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/categories?post=24404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}