{"id":24940,"date":"2023-10-30T07:03:52","date_gmt":"2023-10-30T06:03:52","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/?page_id=24940"},"modified":"2023-10-30T09:01:33","modified_gmt":"2023-10-30T08:01:33","slug":"informace-pro-pacienty","status":"publish","type":"page","link":"https:\/\/webnemji.azurewebsites.net\/en\/oddeleni\/ortopedicke-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\">Ortopedick\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-49\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-ort-container\"><ul id=\"menu-oddeleni-ort\" class=\"menu\"><li id=\"menu-item-24611\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-24611\"><a href=\"\/oddeleni\/ortopedicke-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-24612\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-24612\"><a href=\"\/oddeleni\/ortopedicke-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-24613\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-24613\"><a href=\"\/oddeleni\/ortopedicke-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-24614\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-24614\"><a href=\"\/oddeleni\/ortopedicke-oddeleni\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-24615\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-24615\"><a href=\"\/oddeleni\/ortopedicke-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-24616\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-24616\"><a href=\"\/oddeleni\/ortopedicke-oddeleni\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-24617\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-24617\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-24618\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-24618\"><a href=\"\/oddeleni\/ortopedicke-oddeleni\/ortopedicke-ambulance\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-house-medical\"><\/i> Ambulance<\/a><\/li>\n<li id=\"menu-item-24619\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-24619\"><a href=\"\/oddeleni\/ortopedicke-oddeleni\/luzkova-cast\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-bed-pulse\"><\/i> L\u016f\u017ekov\u00e1 \u010d\u00e1st + JIP<\/a><\/li>\n<li id=\"menu-item-24620\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-24620\"><a href=\"\/oddeleni\/ortopedicke-oddeleni\/informace-pro-pacienty\/\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-circle-question\"><\/i> Informace pro pacienty<\/a><\/li>\n<li id=\"menu-item-24621\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-24621\"><a href=\"\/oddeleni\/ortopedicke-oddeleni\/nadstandardni-sluzby\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-star\"><\/i> Nadstandardn\u00ed slu\u017eby<\/a><\/li>\n<li id=\"menu-item-28690\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-28690\"><a href=\"\/oddeleni\/ortopedicke-oddeleni\/edukacni-setkani\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-book-open-reader\"><\/i> Eduka\u010dn\u00ed setk\u00e1n\u00ed<\/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 class=\"cmsmasters_text\">\n<style type=\"text\/css\"><\/style><section id='' \n                class='helpie-faq accordions groupSettings-353__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'><form class=\"search\" onSubmit=\"return false;\"><div class=\"search__wrapper\"><input type=\"text\" class=\"search__input\" aria-label=\"Search\" role=\"searchbox\" placeholder=\"Vyhledat\"><span class=\"search__icon\"><svg class=\"svg-icon--search\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 22 22\">\r\n                        <g fill=\"none\" stroke=\"#171717\">\r\n                            <path stroke-linecap=\"square\" stroke-width=\"2\" d=\"M18.5 18.3l-5.4-5.4\"\/>\r\n                            <circle cx=\"8\" cy=\"8\" r=\"7\" stroke-width=\"2\"\/>\r\n                        <\/g>\r\n                    <\/svg><\/span><\/div><div class=\"search__message\"><\/div><\/form><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-33498\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-33498\"\r\n                data-id=\"post-33498\" \r\n                data-item=\"hfaq-post-33498\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Informace k fixaci pomoc\u00ed Opencastu<\/div><\/div><div id=\"accordion-content-post-33498\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-33498\"\r\n                style=\"background:transparent;\"><p>M\u00e1te-li z\u00e1jem o fixaci zlomeniny u d\u00edt\u011bte pomoc\u00ed\u00a0<strong>Opencastu<\/strong>, kontaktujte n\u00e1s pros\u00edm e-mailem. K posouzen\u00ed vhodnosti t\u00e9to metody a k domluv\u011b term\u00ednu pot\u0159ebujeme n\u00e1sleduj\u00edc\u00ed informace:<\/p>\n<ul>\n<li>v\u011bk d\u00edt\u011bte,<\/li>\n<li>v\u00e1hu d\u00edt\u011bte,<\/li>\n<li>typ zlomeniny,<\/li>\n<li>RTG sn\u00edmky zaslan\u00e9 do syst\u00e9mu\u00a0<strong>Jivex Nemocnice Jihlava<\/strong>.<\/li>\n<\/ul>\n<p>Na z\u00e1klad\u011b t\u011bchto \u00fadaj\u016f bude posouzena vhodnost pou\u017eit\u00ed Opencastu a domluven dal\u0161\u00ed postup.<\/p>\n<p><strong>Kontaktn\u00ed e-maily:<\/strong><\/p>\n<ul>\n<li><a href=\"mailto:kohoutp@nemji.cz\" target=\"_parent\"><strong>kohoutp@nemji.cz<\/strong><\/a><\/li>\n<li><a href=\"mailto:ceperal@nemji.cz\" target=\"_parent\"><strong>ceperal@nemji.cz<\/strong><\/a><\/li>\n<\/ul>\n<p><strong>Telefonick\u00e9 konzultace:<\/strong><\/p>\n<p>V p\u0159\u00edpad\u011b pot\u0159eby n\u00e1s m\u016f\u017eete kontaktovat tak\u00e9 telefonicky na \u010d\u00edsle\u00a0<strong>567 157 709<\/strong>, a to\u00a0<strong>v pond\u011bl\u00ed, st\u0159edu a \u010dtvrtek mezi 7:00 a 7:30 hodinou<\/strong>.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24949\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24949\"\r\n                data-id=\"post-24949\" \r\n                data-item=\"hfaq-post-24949\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Terapie ACP - l\u00e9\u010dba krevn\u00ed plasmou<\/div><\/div><div id=\"accordion-content-post-24949\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24949\"\r\n                style=\"background:transparent;\"><p>Metoda autologn\u00ed kondiciovan\u00e9 plasmy &#8211; APC plasma &#8211; Autologous Conditioned Plasm.<br \/>\nOd roku 2012 se zavedla do praxe metoda l\u00e9\u010den\u00ed po\u0161kozen\u00ed kloub\u016f vlastn\u00ed krevn\u00ed plasmou. Toto l\u00e9\u010den\u00ed je ve sv\u011bt\u011b popul\u00e1rn\u00ed hlavn\u011b proto, \u017ee \u00fa\u010dinn\u00e9 l\u00e1tky (tzv. r\u016fstov\u00e9 faktory, kter\u00e9 napom\u00e1haj\u00ed hojen\u00ed) poskytuje vlastn\u00ed t\u011blo, nejste tedy zat\u011b\u017eov\u00e1ni aplikac\u00ed ciz\u00edch chemick\u00fdch l\u00e1tek, nehroz\u00ed ani\u00a0 alergick\u00e1 reakce apod.<\/p>\n<h5><strong>Kde pom\u00e1h\u00e1 ?<\/strong><\/h5>\n<ul>\n<li>Bolestiv\u00e9 artr\u00f3zy kloub\u016f &#8211; hlavn\u011b I. a II. stupn\u011b.<\/li>\n<li>P\u0159i hojen\u00ed poran\u011bn\u00ed kloub\u016f &#8211; poran\u011bn\u00ed kloubn\u00ed chrupavky.<\/li>\n<li>P\u0159i poran\u011bn\u00ed \u0161lach a sval\u016f.<\/li>\n<li>Pom\u00e1h\u00e1 p\u0159i stavech po p\u0159et\u00ed\u017een\u00ed kloub\u016f- urychluje kloubn\u00ed regeneraci.<\/li>\n<\/ul>\n<p><strong>V p\u0159\u00edpad\u011b z\u00e1jmu kontaktujte na\u0161i ortopedickou ambulanci. Vysv\u011btl\u00edme mo\u017enosti a zhodnot\u00edme zda je tato l\u00e9\u010dba pro V\u00e1s vhodn\u00e1.<\/strong><br \/>\n<strong>Procedura nen\u00ed hrazena zdr. poji\u0161\u0165ovnami.<\/strong><br \/>\n<strong>Cena 1 aplikace je 2900 K\u010d, v\u011bt\u0161inou se pod\u00e1vaj\u00ed 3 injekce.<\/strong><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24952\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24952\"\r\n                data-id=\"post-24952\" \r\n                data-item=\"hfaq-post-24952\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Visionaire<\/div><\/div><div id=\"accordion-content-post-24952\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24952\"\r\n                style=\"background:transparent;\"><p>Unik\u00e1tn\u00ed technologie Visionaire umo\u017e\u0148uje spole\u010dnosti Smith&amp;Nephew navrhnout a vyrobit sadu origin\u00e1ln\u00edch \u0159ezac\u00edch blok\u016f na z\u00e1klad\u011b pacientovy vlastn\u00ed anatomie. S pou\u017eit\u00edm magnetick\u00e9 rezonance (MR) kolena pacienta spolu s kompletn\u00edm rentgenov\u00fdm sn\u00edmkem doln\u00ed kon\u010detiny se navrhne a vyrob\u00ed dva \u0159ezac\u00ed bloky (na stehenn\u00ed a holenn\u00ed kost), pomoc\u00ed kter\u00fdch bude provedena v\u00fdm\u011bna (artroplastika) kolenn\u00edho kloubu pacienta. Toto napasov\u00e1n\u00ed na m\u00edru umo\u017e\u0148uje ortopedovi prov\u00e9st naprosto p\u0159esn\u00e9 \u0159ezy kost\u00ed v ide\u00e1ln\u00ed rotaci a sklonu, pot\u0159ebn\u00e9 pro optim\u00e1ln\u00ed um\u00edst\u011bn\u00ed kolenn\u00edho implant\u00e1tu. Firma Smith&amp;Nephew je v \u010cesk\u00e9 republice prvn\u00ed, kter\u00e1 tuto technologii nab\u00edz\u00ed, a kter\u00e1 m\u00e1 pot\u0159ebn\u00e9 schv\u00e1len\u00ed (CE certifik\u00e1t). \u0158ezac\u00ed bloky jsou vyrobeny z vysoce bezpe\u010dn\u00e9ho materi\u00e1lu &#8211; medic\u00ednsk\u00e9ho nilonu\u00a0a dod\u00e1v\u00e1ny ve steriln\u00edm balen\u00ed spolu se jm\u00e9nem a \u010d\u00edslem pacienta tak, aby nemohlo doj\u00edt k z\u00e1m\u011bn\u011b. V sou\u010dasn\u00e9 dob\u011b je implantov\u00e1no na cel\u00e9m sv\u011bt\u011b pomoc\u00ed technologie Visionaire cca 20 000 endoprot\u00e9z a ka\u017ed\u00fdm dnem tento po\u010det roste.<\/p>\n<p><a class=\"download-links-small-faq\" href=\"\/wp-content\/uploads\/2023\/10\/Image_PM047713_1332178144282_Redigovano.pdf\" target=\"_blank\" rel=\"noopener\">Jak se postupuje<\/a><\/p>\n<h5><\/h5>\n<h5><strong>Jak\u00e9 jsou v\u00fdhody pro pacienta?<\/strong><\/h5>\n<ul>\n<li>Absolutn\u011b p\u0159esn\u00e9 um\u00edst\u011bn\u00ed implant\u00e1tu &#8211; endoprot\u00e9zy kolenn\u00edho kloubu, kter\u00e9 je rozhoduj\u00edc\u00ed pro\u00a0 jej\u00ed spr\u00e1vnou funkci a \u017eivotnost.<\/li>\n<li>V\u00fdrazn\u011b rychlej\u0161\u00ed operace &#8211; zkr\u00e1cen\u00ed \u010dasu str\u00e1ven\u00e9ho na opera\u010dn\u00edm s\u00e1le.<\/li>\n<li>V\u011bt\u0161\u00ed bezpe\u010dnost pro pacienta &#8211; a\u017e o 22 opera\u010dn\u00edch krok\u016f m\u00e9n\u011b.<\/li>\n<li>Pacient m\u00e1 men\u0161\u00ed krevn\u00ed ztr\u00e1ty (sni\u017euje se pot\u0159eba krevn\u00ed transfuze).<\/li>\n<li>V\u00fdznamn\u011b ni\u017e\u0161\u00ed riziko infekce d\u00edky krat\u0161\u00edmu opera\u010dn\u00edmu \u010dasu a men\u0161\u00edmu po\u010dtu nutn\u00fdch opera\u010dn\u00edch n\u00e1stroj\u016f.<\/li>\n<li>Krat\u0161\u00ed a \u0161etrn\u011bj\u0161\u00ed anestezie &#8211; pacient je krat\u0161\u00ed dobu v nark\u00f3ze.<\/li>\n<li>Ni\u017e\u0161\u00ed riziko ostatn\u00edch komplikac\u00ed &#8211; tukov\u00e9 embolie, hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy.<\/li>\n<li>M\u00e9n\u011b invazivn\u00ed opera\u010dn\u00ed technika (\u0161etrn\u011bj\u0161\u00ed z\u00e1sah do tk\u00e1n\u00ed a kost\u00ed pacienta).<\/li>\n<li>M\u00e9n\u011b bolestiv\u00fd z\u00e1krok.<\/li>\n<li>Rychlej\u0161\u00ed a efektivn\u011bj\u0161\u00ed rekonvalescence (zotaven\u00ed) a n\u00e1vrat k aktivn\u00edmu \u017eivotu.<\/li>\n<\/ul>\n<p><a href=\"\/wp-content\/uploads\/2023\/10\/Image-34.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-24953\" src=\"\/wp-content\/uploads\/2023\/10\/Image-34.jpg\" alt=\"\" width=\"281\" height=\"331\" srcset=\"\/wp-content\/uploads\/2023\/10\/Image-34.jpg 700w, \/wp-content\/uploads\/2023\/10\/Image-34-255x300.jpg 255w, \/wp-content\/uploads\/2023\/10\/Image-34-580x684.jpg 580w\" sizes=\"auto, (max-width: 281px) 100vw, 281px\" \/><\/a><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24960\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24960\"\r\n                data-id=\"post-24960\" \r\n                data-item=\"hfaq-post-24960\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Ortopedick\u00e9 operace<\/div><\/div><div id=\"accordion-content-post-24960\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24960\"\r\n                style=\"background:transparent;\"><h5><strong>\u010cekac\u00ed doby:<\/strong><\/h5>\n<p>Endoprot\u00e9zy velk\u00fdch kloub\u016f (ky\u010del, koleno, rameno) <strong>13-14 m\u011bs\u00edc\u016f.<\/strong><br \/>\nArtroskopie a &#8222;men\u0161\u00ed&#8220; opera\u010dn\u00ed v\u00fdkony (n\u00e1hrady p\u0159edn\u00edho zk\u0159\u00ed\u017een\u00e9ho vazu, korek\u010dn\u00ed operace na rukou i nohou v\u010detn\u011b vbo\u010den\u00fd palec &#8211; hallux valgus)\u00a0<strong>2-4 t\u00fddny<\/strong>\u00a0dle po\u010dtu pacient\u016f.<br \/>\n<em>Pozn\u00e1mka: Men\u0161\u00ed opera\u010dn\u00ed v\u00fdkon &#8211; operace, kter\u00e1 je pro pacienta m\u00e9n\u011b invazivn\u00ed a zpravidla vy\u017eaduje krat\u0161\u00ed hospitalizaci, 1 &#8211; 4 dny.<\/em><\/p>\n<h4><strong>Artroskopick\u00e9 operace<\/strong><\/h4>\n<p>Jedn\u00e1 se l\u00e9\u010debn\u00e9 a diagnostick\u00e9 operace kloub\u016f proveden\u00e9 pomoc\u00ed artroskopu. Obraz se pomoc\u00ed sv\u011bteln\u00fdch kabel\u016f p\u0159en\u00e1\u0161\u00ed na obrazovku. Samotn\u00fd opera\u010dn\u00ed z\u00e1krok se prov\u00e1d\u00ed speci\u00e1ln\u00edmi n\u00e1stroji, kdy je kloub pln\u011bn fyziologick\u00fdm roztokem pumpou.<br \/>\nNej\u010dast\u011bji operovan\u00fd kloub je koleno, d\u00e1le rameno, m\u00e9n\u011b ji\u017e hlezno a loket. Tyto operace jsou velmi \u0161etrn\u00e9, umo\u017e\u0148uj\u00ed rychlou rehabilitaci a rekonvalescenci, vy\u017eaduj\u00ed velmi kr\u00e1tkou hospitalizaci. Nezanedbateln\u00fd je t\u00e9\u017e kosmetick\u00fd efekt &#8211; jen dv\u011b drobn\u00e9 ranky na p\u0159edn\u00ed \u010d\u00e1sti kolenn\u00edho kloubu.<br \/>\nOperace se prov\u00e1d\u00edme na modern\u00edm opera\u010dn\u00edm s\u00e1le vybaven\u00e9m artroskopickou v\u011b\u017e\u00ed. K dispozici m\u00e1me speci\u00e1ln\u00ed artroskopick\u00e9 p\u0159\u00edstroje jako jsou shaver (miniaturn\u00ed fr\u00e9zka) a Vulk\u00e1n (vysokofrekven\u010dn\u00ed koagulace).<\/p>\n<h4><strong>Artroskopick\u00e9 operace na kolenn\u00edm kloubu<\/strong><\/h4>\n<h5><strong>O\u0161et\u0159en\u00ed menisk\u016f<\/strong><\/h5>\n<p>Nej\u010dast\u011bj\u0161\u00ed artroskopick\u00fd v\u00fdkon &#8211; relativn\u011b nen\u00e1ro\u010dn\u00fd v\u00fdkon, kdy se po\u0161kozen\u00e1 \u010d\u00e1st menisku bu\u010f odstran\u00ed (parci\u00e1ln\u00ed menisektomie), nebo se utr\u017een\u00fd meniskus zp\u011bt p\u0159i\u0161ije vst\u0159ebateln\u00fdmi stehy.<br \/>\nPacient je po operaci druh\u00fd den propu\u0161t\u011bn dom\u016f. Po proveden\u00ed menisektomie je mo\u017eno kon\u010detinu zat\u011b\u017eovat dle tolerance a je zapo\u010data okam\u017eit\u00e1 rehabilitace. U sutury menisku je pooper. re\u017eim vzhledem k mo\u017enosti op\u011btovn\u00e9ho utr\u017een\u00ed menisku pomal\u00fd, 4-6 t\u00fddn\u016f rigidn\u00ed ort\u00e9za, pot\u00e9 opatrn\u00e1 rehabilitace, z\u00e1t\u011b\u017e, tedy do\u0161lap na oper. kon\u010detinu je mo\u017en\u00fd ihned. Z dlouhodob\u00e9ho hlediska je l\u00e9pe meniskus zachovat. Anestezie je spin\u00e1ln\u00ed nebo celkov\u00e1. Komplikace vz\u00e1cn\u00e9.<\/p>\n<h5><strong>Plastika p\u0159edn\u00edho zk\u0159\u00ed\u017een\u00e9ho vazu<\/strong><\/h5>\n<p>P\u0159etr\u017een\u00ed p\u0159edn\u00edho zk\u0159\u00ed\u017een\u00e9ho vazu pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed sportovn\u00ed poran\u011bn\u00ed. Nej\u010dast\u011bji se vaz trh\u00e1 p\u0159i rota\u010dn\u00edm a nekoordinovan\u00e9m pohybu. Je doprov\u00e1zen bolest\u00ed, \u010dasto pocitem lupnut\u00ed v kloubu, omezen\u00edm hybnosti a \u010dasn\u00fdm vznikem otoku kloubu.<br \/>\n\u010casn\u00e1 l\u00e9\u010dba spo\u010d\u00edv\u00e1 nejd\u0159\u00edve v klidov\u00e9m re\u017eimu, punkce hemartrosu (krev v kloubu), ledovan\u00ed, ort\u00e9ze. P\u0159i diagnostick\u00e9 nejistot\u011b \u010di podez\u0159en\u00ed na sou\u010dasn\u00e9 po\u0161kozen\u00ed menisku je indikov\u00e1na \u010dasn\u00e1 artroskopie. Se\u0161it\u00ed vazu prok\u00e1zalo \u0161patn\u00e9 v\u00fdsledky, proto se od t\u00e9to metody upustilo. 4 a v\u00edce t\u00fddn\u016f od \u00farazu lze prov\u00e9st plastiku vazu, tedy rekontsrukci vazu \u0161t\u011bpem. Ten odeb\u00edr\u00e1me bu\u010f z patel\u00e1rn\u00edho ligamnenta (vaz pod \u010de\u0161kou) \u010di z tzv. hamstring\u016f (\u0161lacha na vnit\u0159n\u00ed stran\u011b kolena) a to v z\u00e1vislosti na m\u00ed\u0159e budouc\u00ed sportovn\u00ed z\u00e1t\u011b\u017ee, povol\u00e1n\u00ed a t\u00e9\u017e pohlav\u00ed. Lze tak\u00e9 \u0161t\u011bp objednat z tk\u00e1\u0148ov\u00e9 banky. Ke kotven\u00ed \u0161t\u011bpu pou\u017e\u00edv\u00e1me \u0159adu speci\u00e1ln\u00ed a v\u011bt\u0161inou vst\u0159ebateln\u00fdch implant\u00e1t\u016f.<br \/>\nPo operaci je zapo\u010data okam\u017eit\u00e1 RHB, ch\u016fze a do\u0161lap dle tolerance bolesti, ort\u00e9za je indikov\u00e1na jen v n\u011bkter\u00fdch p\u0159\u00edpadech. Hospitalizace trv\u00e1 3-4 dny. Rehabilitace a z\u00e1t\u011b\u017e je pozvoln\u00e1 a dlouhodob\u00e1. Pln\u00e9 sportovn\u00ed zat\u00ed\u017een\u00ed je mo\u017en\u00e9 za 5-6 m\u011bs\u00edc\u016f.<br \/>\nL\u00e9\u010dba neopera\u010dn\u00ed spo\u010d\u00edv\u00e1 v pos\u00edlen\u00ed stehenn\u00edch sval\u016f (hlavn\u011b zadn\u00ed svalov\u00e1 skupina), elektrostimulaci a fyzik\u00e1ln\u00ed terapii. Na sport se pou\u017e\u00edv\u00e1 speci\u00e1ln\u00ed ort\u00e9za.<\/p>\n<h5><strong>O\u0161et\u0159en\u00ed po\u0161kozen\u00e9 chrupavky<\/strong><\/h5>\n<p>Po\u0161kozen\u00e1 chrupavka pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed artroskopick\u00e9 n\u00e1lezy. V indikovan\u00fdch p\u0159\u00edpadech prov\u00e1d\u00edme zakryt\u00ed defektu p\u0159enosem chrupavky takzvanou mozaikovou plastikou. Jindy se provede tzv. debridement chrupavky, tedy odstran\u011bn\u00ed (zarovn\u00e1n\u00ed) po\u0161kozen\u00e9 chrupavky. U v\u011bt\u0161\u00edch defekt\u016f je mo\u017eno prov\u00e9st kultivaci chondrocyt\u016f v tk\u00e1\u0148ov\u00e9 bance.<\/p>\n<h5><strong>Dal\u0161\u00ed artroskopick\u00e9 v\u00fdkony v kolenn\u00edm kloubu<\/strong><\/h5>\n<p>Odstran\u011bn\u00ed voln\u00fdch t\u011bles (kloubn\u00edch my\u0161ek), o\u0161et\u0159en\u00ed symptomatick\u00fdch plik, posouzen\u00ed artrotick\u00e9ho posti\u017een\u00ed kolena vzhledem k dal\u0161\u00edmu opera\u010dn\u00edmu z\u00e1kroku, o\u0161et\u0159en\u00ed nitrokloubn\u00edch zlomenin, odstran\u011bn\u00ed zdu\u0159el\u00e9 kloubn\u00ed v\u00fdstelky a jej\u00ed odb\u011br k histologick\u00e9mu vy\u0161et\u0159en\u00ed.<\/p>\n<h4><strong>Artroskopick\u00e9 operace na ramenn\u00edm kloubu<\/strong><\/h4>\n<p>Metoda podobn\u00e1 jako u kolenn\u00edho kloubu. V\u011bt\u0161inou se operuje v celkov\u00e9 nark\u00f3ze. K zp\u0159ehledn\u011bn\u00ed kloubu se pou\u017e\u00edv\u00e1 speci\u00e1ln\u00ed trak\u010dn\u00ed za\u0159\u00edzen\u00ed. Nej\u010dast\u011bj\u0161\u00ed v\u00fdkony jsou stabilizace pro opakovan\u00e9 luxace, o\u0161et\u0159en\u00ed chrupavek, odstran\u011bn\u00ed zdu\u0159el\u00e9 kloubn\u00ed v\u00fdstelky, o\u0161et\u0159en\u00ed p\u0159i tzv. impingement syndromu akromioplastikou, se\u0161it\u00ed roztr\u017een\u00fdch \u0161lach rot\u00e1torov\u00e9 man\u017eety.<\/p>\n<h5><\/h5>\n<h5><strong>Artroskopick\u00e1 stabilizace ramena<\/strong><\/h5>\n<p>P\u0159i opakovan\u00fdch luxac\u00edch ramena je nutno zrekonstruovat kloubn\u00ed pouzdro a vazy, kter\u00e9 udr\u017euj\u00ed hlavici v jamce. D\u0159\u00edve se tyto operace prov\u00e1d\u011bli otev\u0159en\u011b, dnes t\u00e9m\u011b\u0159 v\u017edy artroskopicky.\u00a0K p\u0159i\u0161it\u00ed \u010di z\u0159asen\u00ed po\u0161kozen\u00fdch struktur pou\u017e\u00edv\u00e1me \u0159adu implant\u00e1tu vst\u0159ebateln\u00fdch i titanov\u00fdch. Po operaci se kon\u010detina fixuje ort\u00e9zou na 4-6 t\u00fddn\u016f. Druh\u00fd den po operaci je pacient propu\u0161t\u011bn dom\u016f.<\/p>\n<h5><strong>Akromioplastika<\/strong><\/h5>\n<p>V d\u016fsledku degenerace kloubu \u010di \u00farazov\u00e9mu po\u0161kozen\u00ed \u0161lach a vaz\u016f ramena doch\u00e1z\u00ed ke z\u00fa\u017een\u00ed prostoru mezi hlavic\u00ed a nadpa\u017ekem. P\u0159i zved\u00e1n\u00ed pa\u017ee pot\u00e9 doch\u00e1z\u00ed k n\u00e1razu (impingementu) hlavice do nadpa\u017eku co\u017e je doprov\u00e1zen\u00e9 bolest\u00ed. P\u0159i vy\u010derp\u00e1n\u00ed konzervativn\u00ed l\u00e9\u010dby je indikov\u00e1no opera\u010dn\u00ed \u0159e\u0161en\u00ed spo\u010d\u00edvaj\u00edc\u00ed v odstran\u011bn\u00ed doln\u00ed \u010d\u00e1sti nadpa\u017eku. Dnes tyto operace prov\u00e1d\u00edme v\u00edce artroskopicky za pou\u017eit\u00ed speci\u00e1ln\u00ed kost\u011bn\u00e9 fr\u00e9zy. Po t\u00e9to operaci je zapo\u010data okam\u017eit\u00e1 rehabilitace, je v\u0161ak nutno po\u010d\u00edtat s t\u00edm, \u017ee rehabilitace ramena je v\u017edy dlouhodob\u011bj\u0161\u00ed.<\/p>\n<h5><strong>Sutura rot\u00e1torov\u00e9 man\u017eety<\/strong><\/h5>\n<p>Po\u0161kozen\u00ed \u0161lach v oblasti pletence horn\u00ed kon\u010detiny pat\u0159\u00ed k \u010dast\u00fdm p\u0159\u00ed\u010din\u00e1m bolesti ramena. P\u0159ev\u00e1\u017en\u011b se trh\u00e1 \u0161lacha supraspin\u00e1tn\u00edho svalu, kter\u00e1 je sou\u010d\u00e1st\u00ed tzv. rot\u00e1torov\u00e9 man\u017eety. V indikovan\u00fdch p\u0159\u00edpadech je nutn\u00e9 prov\u00e9st jej\u00ed se\u0161it\u00ed. Operaci lez prov\u00e9st otev\u0159en\u011b a v posledn\u00ed dob\u011b za pou\u017eit\u00ed speci\u00e1ln\u00edch n\u00e1stroj\u016f i artroskopicky. Po t\u00e9to operaci je nutn\u00e1 fixace ort\u00e9zou na 3-6 t\u00fddn\u016f s n\u00e1slednou rehabilitac\u00ed, kter\u00e1 je i zde zpravidla dlouhodob\u011bj\u0161\u00ed.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24969\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24969\"\r\n                data-id=\"post-24969\" \r\n                data-item=\"hfaq-post-24969\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Vy\u0161et\u0159en\u00ed d\u011btsk\u00fdch ky\u010dl\u00ed<\/div><\/div><div id=\"accordion-content-post-24969\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24969\"\r\n                style=\"background:transparent;\"><p>V\u00e1\u017een\u00ed rodi\u010de,<br \/>\nna z\u00e1klad\u011b Metodick\u00e9ho n\u00e1vodu Ministerstva zdravotnictv\u00ed \u010cR z roku 1996 se prov\u00e1d\u00ed vy\u0161et\u0159ov\u00e1n\u00ed ky\u010deln\u00edch kloub\u016f novorozenc\u016f a kojenc\u016f k vylou\u010den\u00ed vrozen\u00e9ho vyklouben\u00ed ky\u010deln\u00edch kloub\u016f. Jedn\u00e1 se o v\u00e1\u017enou v\u00fdvojovou vadu ky\u010deln\u00edho kloubu, kter\u00e1 se vyskytuje asi u 5 % d\u011bt\u00ed. Pokud tato vada nen\u00ed rozpozn\u00e1na a v\u010dasn\u011b l\u00e9\u010dena, vede k z\u00e1va\u017en\u00e9mu po\u0161kozen\u00ed ky\u010deln\u00edho kloubu. Vy\u0161et\u0159ov\u00e1n\u00ed ky\u010deln\u00edch kloub\u016f prob\u00edh\u00e1 ve 3 etap\u00e1ch v takzvan\u00e9m\u00a0\u00a0\u201e syst\u00e9mu troj\u00edho s\u00edta \u201c a prov\u00e1d\u00ed je ortoped. Vy\u0161et\u0159en\u00ed spo\u010d\u00edv\u00e1 v prohl\u00eddce novorozence nebo kojence a vy\u0161et\u0159en\u00ed ky\u010deln\u00edch kloub\u016f ultrazvukem. Vy\u0161et\u0159en\u00ed nijak nezat\u011b\u017euje a nem\u016f\u017ee po\u0161kodit Va\u0161e d\u00edt\u011b. Prvn\u00ed etapa vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 v porodnici a nebo po Va\u0161em propu\u0161t\u011bn\u00ed, nejpozd\u011bji do 3 t\u00fddn\u016f v\u011bku. Druh\u00e1 etapa potom n\u00e1sleduje v 6 \u2013 9 t\u00fddnu a t\u0159et\u00ed etapa ve 12 \u2013 16 t\u00fddnu v\u011bku d\u00edt\u011bte.<\/p>\n<p>Pokud je n\u00e1lez na ky\u010deln\u00edch klubech d\u00edt\u011bte norm\u00e1ln\u00ed, doporu\u010dujeme b\u011b\u017en\u00e9 balen\u00ed. Vhodn\u00e9 jsou jednor\u00e1zov\u00e9 kalhotky nebo pou\u017eit\u00ed b\u011b\u017en\u00e9 l\u00e1tkov\u00e9 pleny. Jestli\u017ee je p\u0159i vy\u0161et\u0159en\u00ed zji\u0161t\u011bn opo\u017ed\u011bn\u00fd v\u00fdvoj ky\u010deln\u00edch kloub\u016f, nejedn\u00e1 se je\u0161t\u011b o vadu, kterou je nutn\u00e9 l\u00e9\u010dit. V takov\u00e9m p\u0159\u00edpad\u011b doporu\u010dujeme tzv. \u0161irok\u00e9 nebo abduk\u010dn\u00ed balen\u00ed. To spo\u010d\u00edv\u00e1 v zakl\u00e1d\u00e1n\u00ed 3 plen. Tyto potom udr\u017euj\u00ed ky\u010deln\u00ed klub d\u00edt\u011bte v postaven\u00ed, kter\u00e9 zaru\u010duje spr\u00e1vn\u00fd v\u00fdvoj.<\/p>\n<p>Pouze p\u0159i n\u00e1lezu v\u00fdvojov\u00e9 vady ky\u010deln\u00edch kloub\u016f p\u0159ikl\u00e1d\u00e1me l\u00e9\u010debnou pom\u016fcku, kterou je nej\u010dast\u011bji tzv. abduk\u010dn\u00ed Frejkova pe\u0159inka, nebo v z\u00e1va\u017en\u011bj\u0161\u00edch p\u0159\u00edpadech Pavl\u00edkovy t\u0159meny. O spr\u00e1vn\u00e9m balen\u00ed V\u00e1s pou\u010d\u00ed person\u00e1l novorozeneck\u00e9ho odd\u011blen\u00ed, o p\u0159ikl\u00e1d\u00e1n\u00ed l\u00e9\u010debn\u00e9 pom\u016fcky v\u017edy ortoped.<\/p>\n<p>Jestli\u017ee je d\u00edt\u011b l\u00e9\u010deno n\u011bkterou z abduk\u010dn\u00edch pom\u016fcek, p\u0159ikl\u00e1dejte norm\u00e1ln\u00ed balen\u00ed. Na l\u00e9\u010debnou pom\u016fcku si d\u00edt\u011b rychle p\u0159ivykne, pokud je neklidn\u00e9 a pl\u00e1\u010de v prvn\u00edch dnech l\u00e9\u010dby, pom\u016fcku sejm\u011bte a dostavte se k vy\u0161et\u0159en\u00ed na ortopedii.<\/p>\n<p>Jakmile p\u0159i l\u00e9\u010db\u011b dojde k norm\u00e1ln\u00edmu v\u00fdvoji ky\u010deln\u00edch kloub\u016f, l\u00e9\u010debn\u00e1 pom\u016fcka se odkl\u00e1d\u00e1. L\u00e9\u010den\u00e9 d\u011bti jsou potom d\u00e1le sledov\u00e1ny, n\u00e1sleduj\u00ed kontroly ve\u00a0\u00a03, 6 a 10 letech, kdy na rentgenov\u00e9m sn\u00edmku kontroluje norm\u00e1ln\u00ed v\u00fdvoj ky\u010deln\u00edch kloub\u016f.<br \/>\nU d\u011bt\u00ed, kter\u00e9 nebyly l\u00e9\u010deny se dnes rentgenov\u00e9 vy\u0161et\u0159en\u00ed ky\u010deln\u00edch kloub\u016f ji\u017e neprov\u00e1d\u00ed.<\/p>\n<p><strong>ST\u0158EDA: 13:00 &#8211; 13:30<\/strong> (Pro l\u00e9\u010den\u00e9 a nel\u00e9\u010den\u00e9 d\u011bti)<\/p>\n<p>U l\u00e9\u010den\u00fdch d\u011bt\u00ed se kontroly ve 3, 6 a 10 letech prov\u00e1d\u011bj\u00ed v ortopedick\u00e9 ambulanci pro d\u011bti p\u0159i ortopedick\u00e9m odd\u011blen\u00ed nemocnice.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24971\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24971\"\r\n                data-id=\"post-24971\" \r\n                data-item=\"hfaq-post-24971\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Seznam v\u011bc\u00ed pot\u0159ebn\u00fdch k hospitalizaci<\/div><\/div><div id=\"accordion-content-post-24971\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24971\"\r\n                style=\"background:transparent;\"><ul>\n<li>Karta zdravotn\u00ed poji\u0161\u0165ovny.<\/li>\n<li>Ob\u010dansk\u00fd pr\u016fkaz.<\/li>\n<li>Pracovn\u00ed neschopnost, pokud je vystaven\u00e1.<\/li>\n<li>Hygienick\u00e9 pot\u0159eby.<\/li>\n<li>Berle a dal\u0161\u00ed protetick\u00e9 pom\u016fcky (ramenn\u00ed z\u00e1v\u011bs atd.).<\/li>\n<li>Obuv na p\u0159ezut\u00ed \u2013 pokud je p\u0159edpoklad pou\u017e\u00edv\u00e1n\u00ed berl\u00ed, pak je vhodn\u00e1 obuv uzav\u0159en\u00e1 (l\u017e\u00edce na obut\u00ed).<\/li>\n<li>Toaletn\u00ed pap\u00edr.<\/li>\n<li>Py\u017eamo, no\u010dn\u00ed ko\u0161ili.<\/li>\n<li>Osobn\u00ed l\u00e9ky.<\/li>\n<li>Elastick\u00e9 band\u00e1\u017ee.<\/li>\n<\/ul>\n<p>Hlaste se k p\u0159ijet\u00ed na kontaktn\u00edm centru nebo o v\u00edkendu na odd\u011blen\u00ed budovy G ve 3. poschod\u00ed.<br \/>\nZ vlastn\u00edch v\u011bc\u00ed m\u016f\u017eete pou\u017e\u00edvat ru\u010dn\u00edky, radiop\u0159ij\u00edma\u010de nebo magnetofon se sluch\u00e1tky, samoz\u0159ejm\u011b knihy, \u010dasopisy. Doneste si k\u00e1vovou l\u017ei\u010dku, hrnek a dle mo\u017enost\u00ed p\u0159\u00edbor.<br \/>\nD\u00e1le V\u00e1s \u017e\u00e1d\u00e1me, neberte s sebou do nemocnice \u0161perky a v\u011bt\u0161\u00ed obnos pen\u011bz.<br \/>\nPob\u00edr\u00e1te-li starobn\u00ed \u010di jin\u00fd d\u016fchod, zajist\u011bte si na Va\u0161\u00ed doru\u010dovac\u00ed po\u0161t\u011b, aby V\u00e1m tento d\u016fchod do propu\u0161t\u011bn\u00ed ulo\u017eila.<br \/>\n\u017deny p\u0159ijat\u00e9 k opera\u010dn\u00edmu v\u00fdkonu odlakujte si nehty.<\/p>\n<p>Dal\u0161\u00ed informace m\u016f\u017eete z\u00edskat na str\u00e1nk\u00e1ch nemocnice <a href=\"\/informace-pro-pacienty-a-navstevy\/\"><span style=\"text-decoration: underline\"><strong>ZDE<\/strong><\/span><\/a>.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24975\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24975\"\r\n                data-id=\"post-24975\" \r\n                data-item=\"hfaq-post-24975\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Rehabilitace po ortopedick\u00fdch operac\u00edch<\/div><\/div><div id=\"accordion-content-post-24975\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24975\"\r\n                style=\"background:transparent;\"><h4><strong>Cvi\u010den\u00ed a \u017eivotospr\u00e1va po tot\u00e1ln\u00ed endoprot\u00e9ze ky\u010deln\u00edho kloubu<\/strong><\/h4>\n<p>V\u00e1\u017een\u00ed p\u0159\u00e1tel\u00e9,<br \/>\npr\u00e1v\u011b jste se navr\u00e1tili z nemocnice dom\u016f s pocitem \u00falevy, \u017ee jste vy i t\u00fdm l\u00e9ka\u0159\u016f \u00fasp\u011b\u0161n\u011b zvl\u00e1dli pom\u011brn\u011b z\u00e1va\u017enou operaci bolestiv\u00e9ho ky\u010deln\u00edho kloubu. Jste si v\u011bdom toho, \u017ee v\u00e1m byl posti\u017een\u00fd kloub nahrazen bu\u010f \u010d\u00e1ste\u010dn\u011b, nebo (a to mnohem \u010dast\u011bji) zcela kloubem um\u011bl\u00fdm, tzv. tot\u00e1ln\u00ed endoprot\u00e9zou ky\u010deln\u00edho kloubu.<\/p>\n<p>C\u00edlem opera\u010dn\u00edho t\u00fdmu l\u00e9ka\u0159\u016f bylo nejen zbavit v\u00e1s bolesti v posti\u017een\u00e9m kloubu, kter\u00e1 v\u00e1s v\u011bt\u0161inou po dlouh\u00e1 l\u00e9ta tr\u00e1pila a znep\u0159\u00edjem\u0148ovala v\u00e1m osobn\u00ed i spole\u010densk\u00fd \u017eivot, ale i zachovat \u010di obnovit pohyb v operovan\u00e9m kloubu tak, aby byl pokud mo\u017eno rovnocenn\u00fd hybnosti kloubu zdrav\u00e9ho.<\/p>\n<p>Jak v\u0161ak s touto sou\u010d\u00e1st\u00ed va\u0161eho organismu zach\u00e1zet, aby v\u00e1m co nejd\u00e9le vydr\u017eela? P\u0159edev\u0161\u00edm si mus\u00edte uv\u011bdomit, \u017ee vlastn\u00ed opera\u010dn\u00ed v\u00fdkon byl pouze podstatnou \u010d\u00e1st\u00ed celkov\u00e9 l\u00e9\u010debn\u00e9 p\u00e9\u010de o posti\u017een\u00fd kloub \u010di klouby. Vlastn\u00ed p\u0159\u00edprava na \u017eivot s um\u011bl\u00fdm kloubem spo\u010d\u00edvala ji\u017e v p\u0159edopera\u010dn\u00ed rehabilita\u010dn\u00ed p\u00e9\u010di, kdy jste se nau\u010dili za pomoci rehabilita\u010dn\u00edho pracovn\u00edka nebo l\u00e9ka\u0159e speci\u00e1ln\u00ed cviky, nutn\u00e9 k pos\u00edlen\u00ed oslaben\u00fdch sval\u016f nebo svalov\u00fdch skupin, nebo naopak k uvoln\u011bn\u00ed zkr\u00e1cen\u00fdch a bolestiv\u00fdch sval\u016f. D\u016fle\u017eitou bylo rovn\u011b\u017e to, \u017ee jste se nau\u010dili r\u016fzn\u00e9 typy ch\u016fze s oporou jak o vysok\u00fdch a francouzsk\u00fdch berl\u00edch, tak o holi. M\u00e1te dojem, \u017ee v\u00e1m nyn\u00ed bolest v operovan\u00e9m kloubu zcela ustoupila, a proto nen\u00ed nutn\u00e9 ani cvi\u010den\u00ed, ani pou\u017e\u00edv\u00e1n\u00ed opory p\u0159i ch\u016fzi? M\u00fdl\u00edte se, nadm\u011brn\u00e9 p\u0159et\u011b\u017eov\u00e1n\u00ed operovan\u00e9ho kloubu by s trochou nads\u00e1zky bylo porovnateln\u00e9 s t\u00edm, kdybyste ob\u010das zkou\u0161eli v um\u011bl\u00e9m chrupu louskat o\u0159\u00ed\u0161ky. Tak\u00e9 by se mohl po\u0161kodit nebo p\u0159ed\u010dasn\u011b opot\u0159ebovat. \u017divotnost tot\u00e1ln\u00ed endoprot\u00e9zy je rovn\u011b\u017e \u010dasov\u011b omezena a po jej\u00edm po\u0161kozen\u00ed je nutn\u00fd nov\u00fd opera\u010dn\u00ed v\u00fdkon.<\/p>\n<p>Pr\u00e1v\u011b proto, aby v\u00e1m nov\u00fd ky\u010deln\u00ed kloub vydr\u017eel co nejd\u00e9le, je nutn\u00e9 zachov\u00e1vat ur\u010dit\u00e1 pravidla i po n\u00e1vratu z nemocnice do dom\u00e1c\u00edho, p\u0159\u00edpadn\u011b i pracovn\u00edho prost\u0159ed\u00ed. S t\u011bmito pravidly v\u00e1s nyn\u00ed sezn\u00e1m\u00edme.<\/p>\n<p>V \u010dasn\u00e9m poopera\u010dn\u00edm obdob\u00ed v\u00e1m l\u00e9ka\u0159 zpravidla doporu\u010d\u00ed ch\u016fzi o vysok\u00fdch podpa\u017en\u00edch berl\u00edch s pln\u00fdm odleh\u010den\u00edm operovan\u00e9 doln\u00ed kon\u010detiny. Znamen\u00e1 to, \u017ee operovanou kon\u010detinu prakticky nezat\u011b\u017eujeme. Tohoto typu odleh\u010den\u00ed dos\u00e1hneme tzv. t\u0159\u00edbodovou ch\u016fzi. Nejprve ob\u011b berle p\u0159edsuneme p\u0159ed sebe p\u0159ibli\u017en\u011b do vzd\u00e1lenosti va\u0161eho kr\u00e1tk\u00e9ho kroku. Kdy\u017e jsme na berl\u00edch pevn\u011b vzep\u0159eni, vykro\u010d\u00ed operovan\u00e1 doln\u00ed kon\u010detina (nesm\u00ed v\u0161ak p\u0159ekro\u010dit p\u0159ed berle), kterou n\u00e1sleduje kon\u010detina neoperovan\u00e1. Nezapome\u0148te, \u017ee p\u0159i ch\u016fzi ze schod\u016f p\u0159edsuneme nejprve ob\u011b berle o jeden schod n\u00ed\u017ee, potom op\u011bt vykro\u010d\u00ed operovan\u00e1 doln\u00ed kon\u010detina, kterou n\u00e1sleduje kon\u010detina neoperovan\u00e1. Pozor, opa\u010dn\u011b je tomu p\u0159i ch\u016fzi do schod\u016f! Jako prvn\u00ed vykro\u010d\u00ed neoperovan\u00e1 doln\u00ed kon\u010detina, pevn\u011b se vzep\u0159eme na berle, p\u0159isuneme operovanou doln\u00ed kon\u010detinu a jako posledn\u00ed p\u0159isuneme berle.<\/p>\n<ul>\n<li>Na schodi\u0161ti si s nik\u00fdm nepov\u00eddejte!<\/li>\n<li>Neohl\u00ed\u017eejte se, i kdyby na v\u00e1s n\u011bkdo zavolal.<\/li>\n<li>C\u00edt\u00edte-li se unaveni nebo nejist\u00ed, vlo\u017ete mezi ch\u016fzi pauzy klidu.<\/li>\n<li>Neseskakujte se schod\u016f, neposkakujte!<\/li>\n<\/ul>\n<h4><strong>Opora<\/strong><\/h4>\n<p>V\u00fd\u0161ka ka\u017ed\u00e9 opory, to znamen\u00e1 francouzsk\u00fdch berl\u00ed i hol\u00ed, mus\u00ed b\u00fdt p\u0159im\u011b\u0159en\u00e1 va\u0161\u00ed t\u011blesn\u00e9 v\u00fd\u0161ce. Vysok\u00e9 berle se mus\u00ed p\u0159i stoji lehce dot\u00fdkat podpa\u017en\u00edch jamek, nesm\u00edte se k nim skl\u00e1n\u011bt nebo naopak na nich viset. Vhodn\u00e1 d\u00e9lka francouzsk\u00fdch berl\u00ed se m\u011b\u0159\u00ed od st\u0159edu dlan\u011b v lokti lehce pokr\u010den\u00e9 horn\u00ed kon\u010detiny, va\u0161e p\u0159edlokt\u00ed se lehce dot\u00fdk\u00e1 obj\u00edmky berle. Rovn\u011b\u017e vych\u00e1zkov\u00e9 hole nesm\u00ed b\u00fdt ani p\u0159\u00edli\u0161 vysok\u00e9, ani p\u0159\u00edli\u0161 kr\u00e1tk\u00e9. P\u0159i lehce pokr\u010den\u00e9m lokti (p\u0159ibli\u017en\u011b 30 stup\u0148\u016f) se m\u00e1 va\u0161e dla\u0148 dot\u00fdkat rukojeti holi u va\u0161eho t\u011bla. Nezapome\u0148te, \u017ee ka\u017ed\u00fd nov\u00fd typ ch\u016fze v\u00e1m mus\u00ed schv\u00e1lit v\u00e1\u0161 l\u00e9ka\u0159!<\/p>\n<ul>\n<li>Nesty\u010fte se za n\u00e1cvik ch\u016fze p\u0159ed zrcadlem.<\/li>\n<li>Cho\u010fte pomalu, ale v p\u0159irozen\u00e9m rytmu.<\/li>\n<li>Pozor na kluzk\u00fd a nerovn\u00fd ter\u00e9n.<\/li>\n<li>Odlo\u017ete trepky \u010di dokonce ba\u010dkory, jako vhodn\u00e1 obuv v\u00e1m poslou\u017e\u00ed pouze pevn\u00e9 st\u0159ev\u00edce upevn\u011bn\u00e9 i p\u0159es patu.<\/li>\n<li>P\u0159i nestejn\u00e9 d\u00e9lce doln\u00edch kon\u010detin si po porad\u011b s o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em dejte zv\u00fd\u0161it pode\u0161ev boty pro zkr\u00e1cenou kon\u010detinu.<\/li>\n<\/ul>\n<h4><strong>Re\u017eim dne<\/strong><\/h4>\n<p>Omezte dlouhodob\u00e1 st\u00e1n\u00ed, zejm\u00e9na ve front\u00e1ch, Mezi proch\u00e1zky vkl\u00e1dejte chvilky odpo\u010dinku vsed\u011b. Pamatujte na to, \u017ee ky\u010deln\u00ed kloub je p\u0159i ch\u016fzi zat\u011b\u017eov\u00e1n p\u0159ibli\u017en\u011b \u010dty\u0159n\u00e1sobkem va\u0161\u00ed t\u011blesn\u00e9 hmotnosti. Toto zat\u00ed\u017een\u00ed kloubu se je\u0161t\u011b zn\u00e1sobuje p\u0159i stoji. Pokud va\u0161e t\u011blesn\u00e1 hmotnost p\u0159esahuje ide\u00e1ln\u00ed \u00fadaje (kilogramy by m\u011bly odpov\u00eddat p\u0159ibli\u017en\u011b po\u010dtu centimetr\u016f va\u0161\u00ed v\u00fd\u0161ky nad 1 metr), sna\u017ete se ji rozumn\u011b sn\u00ed\u017eit.<\/p>\n<ul>\n<li>Nep\u0159eb\u00edrejte r\u016fzn\u00e9 typy diet od zn\u00e1m\u00fdch.<\/li>\n<li>Vhodnou dietu v\u00e1m doporu\u010d\u00ed v\u00e1s o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159.<\/li>\n<li>Upravte si pracovn\u00ed i dom\u00e1c\u00ed prost\u0159ed\u00ed tak, abyste st\u00e1n\u00ed co nejv\u00edce omezili. P\u0159i vhodn\u00e9 v\u00fd\u0161ce, p\u0159\u00edpadn\u011b i sklonu pracovn\u00edho stolu a vhodn\u00e9m typu vy\u0161\u0161\u00ed, p\u0159\u00edpadn\u011b i oto\u010dn\u00e9 \u017eidle (prohl\u00e9dn\u011bte si ji nap\u0159. u zubn\u00edho l\u00e9ka\u0159e) lze po ur\u010dit\u00e9m tr\u00e9ninku vykon\u00e1vat v\u011bt\u0161inu prac\u00ed stejn\u011b tak dob\u0159e vsed\u011b jako vstoje. Tot\u00e9\u017e plat\u00ed \u017een\u00e1m v dom\u00e1cnosti. Nau\u010dte se zejm\u00e9na \u017eehlit a p\u0159ipravovat pokrmy vsed\u011b. K nutn\u00fdm n\u00e1kup\u016fm dob\u0159e poslou\u017e\u00ed poj\u00edzdn\u00e1 ta\u0161ka.<\/li>\n<li>V poopera\u010dn\u00edm obdob\u00ed nese\u010fte d\u00e9le ne\u017e \u00bd hodiny, potom vyst\u0159\u00eddejte polohu<\/li>\n<li>Nese\u010fte s nohou p\u0159es nohu. Sed\u00edte-li s plo\u0161kami nohou op\u0159en\u00fdmi o zem, kla\u010fte chodidla daleko od sebe, t\u00edm zamez\u00edte vyt\u00e1\u010den\u00ed kolenn\u00edch a ky\u010deln\u00edch kloub\u016f zevn\u011b.<\/li>\n<li>Upravte si l\u016f\u017eko tak, aby bylo vy\u0161\u0161\u00ed a m\u011blo sice tvrd\u00fd podklad, ale bylo z\u00e1rove\u0148 m\u011bkk\u00e9 a pru\u017en\u00e9 s v\u00fd\u0161kou matrace kolem 12 cm. Vhodn\u00e1 je i matrace molitanov\u00e1. Zpo\u010d\u00e1tku sp\u011bte a ot\u00e1\u010dejte se s pol\u0161t\u00e1\u0159kem mezi stehny a koleny.<\/li>\n<\/ul>\n<h4><strong>Cvi\u010den\u00ed<\/strong><\/h4>\n<p>Pravideln\u00e9 ka\u017edodenn\u00ed cvi\u010den\u00ed je nezbytnou \u010d\u00e1st\u00ed va\u0161eho l\u00e9\u010debn\u00e9ho re\u017eimu. Cvi\u010dte vle\u017ee \u010di vsed\u011b na vhodn\u011b upraven\u00e9m l\u016f\u017eku (tvrd\u00e1, ale m\u011bkk\u00e1 podlo\u017eka) ve cvi\u010debn\u00edm \u00faboru, pokud mo\u017eno u otev\u0159en\u00e9ho okna. Jednotliv\u00e9 cviky vykon\u00e1vejte p\u0159esn\u011b podle uveden\u00fdch pokyn\u016f. Ka\u017ed\u00fd cvik se nau\u010dte p\u0159ed zrcadlem. Zpo\u010d\u00e1tku opakujte ka\u017ed\u00fd cvik 3x, postupn\u011b zvy\u0161ujte a\u017e na 10x. Nejl\u00e9pe vyhovuje rann\u00ed cvi\u010den\u00ed, slou\u017e\u00edc\u00ed k rozh\u00fdb\u00e1n\u00ed, p\u0159i druh\u00e9m odpoledn\u00edm nebo ve\u010dern\u00edm cvi\u010den\u00ed se v\u00edce zam\u011b\u0159\u00edme na obt\u00ed\u017en\u011bj\u0161\u00ed cviky. P\u0159i pocitu \u00fanavy nebo v\u011bt\u0161\u00ed bolesti cvi\u010den\u00ed zkr\u00e1t\u00edme.<\/p>\n<h5><strong>VLE\u017dE NA Z\u00c1DECH:<\/strong><\/h5>\n<p>Stahujeme p\u0159ibli\u017en\u011b na dobu 5 sekund h\u00fd\u017ed\u011b k sob\u011b, p\u0159ibli\u017en\u011b na dobu 10-15 sekund h\u00fd\u017ed\u011b op\u011bt uvoln\u00edme.<br \/>\nZ lehu na z\u00e1dech s nata\u017een\u00fdmi doln\u00edmi kon\u010detinami p\u0159itahujeme k b\u0159ichu doln\u00ed kon\u010detinu levou, kterou vyst\u0159\u00edd\u00e1me pravou.<br \/>\nKolenn\u00ed kloub pokr\u010den\u00e9 doln\u00ed kon\u010detiny nesm\u00edme vyt\u00e1\u010det sm\u011brem k rameni, sp\u00ed\u0161e k nosu.<br \/>\nNikdy nezved\u00e1me doln\u00ed kon\u010detinu nata\u017eenou!<br \/>\nMezi stehna a kolena vsuneme mal\u00fd pru\u017en\u00fd pol\u0161t\u00e1\u0159, kter\u00fd p\u0159ibli\u017en\u011b na dobu 5 sekund pevn\u011b sev\u0159eme stehny, p\u0159ibli\u017en\u011b na dobu 10-15 sekund op\u011bt uvoln\u00edme.<br \/>\nSt\u0159\u00eddav\u011b uno\u017eujeme levou a pravou doln\u00ed kon\u010detinu. Kolenn\u00ed kloub ani vlastn\u00ed noha se nesm\u00ed vyt\u00e1\u010det zevn\u011b \u2013 \u0161pi\u010dka nohy i koleno sm\u011b\u0159uj\u00ed vzh\u016fru.<br \/>\nZ lehu na z\u00e1dech postupn\u011b odv\u00edj\u00edme hlavu, krk a lopatky od podlo\u017eky. Postupn\u011b op\u011bt p\u0159ikl\u00e1d\u00e1me lopatky, krk a hlavu na podlo\u017eku. Individu\u00e1ln\u011b, po ur\u010dit\u00e9m tr\u00e9ninku m\u016f\u017eeme t\u00edmto zp\u016fsobem doc\u00edlit a\u017e \u00fapln\u00e9ho sedu. Nikdy v\u0161ak nepo\u017e\u00edv\u00e1me k posazen\u00ed \u0161vihu.<\/p>\n<h5><strong>VLE\u017dE NA B\u0158I\u0160E<\/strong><\/h5>\n<p>Stahujeme h\u00fd\u017ed\u011b na dobu 5 sekund, p\u0159ibli\u017en\u011b na dobu 10-15 sekund h\u00fd\u017ed\u011b op\u011bt uvoln\u00edme.<br \/>\nZano\u017eujeme st\u0159\u00eddav\u011b levou a pravou doln\u00ed kon\u010detinu, slabiny mus\u00ed z\u016fstat p\u0159itisknuty na podlo\u017ece.<br \/>\nSt\u0159\u00eddav\u011b pokr\u010dujeme v kolenn\u00edm kloubu levou a pravou doln\u00ed kon\u010detinu. Slabiny op\u011bt mus\u00ed z\u016fstat p\u0159itisknuty na podlo\u017ece, pokr\u010den\u00e1 kon\u010detina nesm\u00ed sm\u011brovat ven ani dovnit\u0159.<br \/>\nP\u0159i n\u00e1dechu zved\u00e1me trup vzh\u016fru, p\u0159i v\u00fddechu op\u011bt polo\u017e\u00edme.<\/p>\n<h5><strong>VSED\u011a NOHY VOLN\u011a SPU\u0160T\u011aN\u00c9<\/strong><\/h5>\n<p>Protahujeme horn\u00ed kon\u010detiny vzh\u016fru a sou\u010dasn\u011b zdvih\u00e1me pokr\u010denou doln\u00ed kon\u010detinu (st\u0159\u00eddav\u011b levou a pravou).<br \/>\nVoln\u011b kom\u00edh\u00e1me st\u0159\u00eddav\u011b levou a pravou doln\u00ed kon\u010detinou s h\u00fd\u017ed\u011bmi p\u0159itisknut\u00fdmi k podlo\u017ece.<br \/>\nP\u0159i oto\u010den\u00ed trupu vlevo nadechneme, p\u0159i oto\u010den\u00ed trupu vpravo vydechneme.<br \/>\nMezi jednotliv\u00e9 cviky vkl\u00e1dejte dechov\u00e1 cvi\u010den\u00ed. Aktivn\u00ed n\u00e1dech spojte s pohybem horn\u00edch kon\u010detin do vzpa\u017een\u00ed, p\u0159i v\u00fddechu postupn\u011b p\u0159ipa\u017eujte.<\/p>\n<h4><strong>Sportovn\u00ed a rekrea\u010dn\u00ed \u010dinnost<\/strong><\/h4>\n<p>Krom\u011b pravideln\u00e9ho cvi\u010den\u00ed je vhodn\u00e9 zejm\u00e9na plav\u00e1n\u00ed, kter\u00e9 posiluje svaly a zvy\u0161uje odolnost a v\u00fdkonnost organismu. Mo\u017en\u00e1 je rovn\u011b\u017e j\u00edzda na kole v rovn\u00e9m ter\u00e9nu. Pozor v\u0161ak na p\u00e1dy. Pozor p\u0159i nastupov\u00e1n\u00ed a vystupov\u00e1n\u00ed z auta. K j\u00edzd\u011b autem jsou vhodn\u00e1 pouze zv\u00fd\u0161en\u00e1 sedadla.<\/p>\n<p>Z\u00e1v\u011brem v\u00e1m p\u0159ejeme mnoho vytrvalosti a \u00fasp\u011bch\u016f. Nezapome\u0148te, \u017ee s dobrou n\u00e1ladou jde v\u0161echno l\u00e9pe.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24982\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24982\"\r\n                data-id=\"post-24982\" \r\n                data-item=\"hfaq-post-24982\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Konzervativn\u00ed ortopedick\u00e1 l\u00e9\u010dba<\/div><\/div><div id=\"accordion-content-post-24982\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24982\"\r\n                style=\"background:transparent;\"><h4><strong>Artr\u00f3za kloub\u016f<\/strong><\/h4>\n<h5><strong>Co je to osteoartr\u00f3za?<\/strong><\/h5>\n<p>Artr\u00f3za je degenerativn\u00ed nez\u00e1n\u011btliv\u00e9 kloubn\u00ed onemocn\u011bn\u00ed, charakteristick\u00e9 po\u0161kozen\u00edm kloubn\u00ed chrupavky, sklerotizac\u00ed (zes\u00edlen\u00edm) kosti pod chrupavkou, zm\u011bnou kloubn\u00edho pouzdra a ve sv\u00e9m d\u016fsledku deformac\u00ed a omezen\u00edm hybnosti kloubu. Artr\u00f3za je doprov\u00e1zena bolestivost\u00ed, kter\u00e1 je z\u00e1visl\u00e1 na \u0159ad\u011b faktor\u016f, nap\u0159. na m\u00ed\u0159e po\u0161kozen\u00ed kloubu, z\u00e1t\u011b\u017ei, p\u0159\u00edtomnosti v\u00fdpotku v klub\u016f, po\u010das\u00ed, ro\u010dn\u00ed dob\u011b.<\/p>\n<h5><strong>Pro\u010d osteoartroza vznik\u00e1?<\/strong><\/h5>\n<p>Artr\u00f3za vznik\u00e1 v kloubu, kde byla poru\u0161ena rovnov\u00e1ha mezi repara\u010dn\u00edmi schopnostmi chrupavky a m\u00edrou zat\u00ed\u017een\u00ed (po\u0161kozen\u00ed) kloubn\u00ed chrupavky. U tzv. prim\u00e1rn\u00ed p\u0159\u00ed\u010diny nemus\u00ed b\u00fdt p\u0159\u00ed\u010dina jasn\u00e1. U sekund\u00e1rn\u00ed artr\u00f3zy vnik\u00e1 v d\u016fsledku po\u0161kozen\u00ed menisk\u016f a vaz\u016f, \u00farazov\u00fdch po\u0161kozen\u00ed chrupavky \u010di osov\u00fdch zm\u011bn kon\u010detiny po zlomenin\u011b kost\u00ed. D\u00e1le v d\u016fsledku z\u00e1n\u011btliv\u00fdch onemocn\u011bn\u00ed (revmatoidn\u00ed artitida, bakteri\u00e1ln\u00ed z\u00e1n\u011bt kloubu), neuromuskul\u00e1rn\u00edch \u010di metabolick\u00fdch onemocn\u011bn\u00ed.<\/p>\n<h5><strong>Rizikov\u00e9 faktory:<\/strong><\/h5>\n<p><strong>V\u011bk:<\/strong> artr\u00f3za je nej\u010dast\u011bj\u0161\u00edm chronick\u00fdm onemocn\u011bn\u00edm star\u0161\u00edho v\u011bku (nad 75 let je posti\u017eeno 80 % osob).<\/p>\n<p><strong>Pohlav\u00ed:<\/strong> \u017eeny jsou posti\u017eeny \u010dast\u011bji.<\/p>\n<p><strong>Hmotnost resp. nadv\u00e1ha:<\/strong> zv\u00fd\u0161en\u00edm z\u00e1t\u011b\u017ee p\u0159i zachov\u00e1n\u00ed repara\u010dn\u00edch schopnost\u00ed je spojena s vy\u0161\u0161\u00edm v\u00fdskytem artr\u00f3zy.<\/p>\n<p><strong>Stavy po \u00farazech kloub\u016f \u010di p\u0159ilehl\u00fdch kost\u00ed.<\/strong><\/p>\n<p><strong>Dal\u0161\u00ed faktory:<\/strong> genetick\u00e1 dispozice, geografick\u00e9 vlivy.<\/p>\n<h5><strong>Kter\u00fd kloub m\u016f\u017ee artr\u00f3za postihnout?<\/strong><\/h5>\n<p>V podstat\u011b ka\u017ed\u00fd kloub. Nej\u010dast\u011bji v\u0161ak velk\u00e9 klouby doln\u00edch kon\u010detiny &#8211; ky\u010deln\u00ed a kolenn\u00ed kloub, meziobratlov\u00e9 klouby p\u00e1te\u0159e, mal\u00e9 klouby ruky, ko\u0159enov\u00e9 klouby palce ruky a nohy, m\u00e9n\u011b \u010dast\u011bji hlezna, ramena, lokty \u010di z\u00e1p\u011bst\u00ed.<\/p>\n<h5><strong>Lze artr\u00f3zu l\u00e9\u010dit?<\/strong><\/h5>\n<p>L\u00e9\u010dba artr\u00f3zy je pom\u011brn\u011b obt\u00ed\u017en\u00e1, v podstat\u011b zcela vyl\u00e9\u010dit nelze. U t\u011b\u017ek\u00fdch forem lze pomoci n\u00e1hradou posti\u017een\u00e9ho kloubu za um\u011bl\u00fd. U leh\u010d\u00edch forem lze ovlivnit pr\u016fb\u011bh onemocn\u011bn\u00ed zm\u011bnou z\u00e1t\u011b\u017ee a pohybov\u00fdch aktivit, sn\u00ed\u017een\u00edm hmotnosti a zv\u00fd\u0161en\u00edm odolnosti a regenera\u010dn\u00edch schopnost\u00ed chrupavky vhodnou farmakol\u00e9\u010dbou.<\/p>\n<p>L\u00e9\u010dba osteoartr\u00f3zy je shrnuta v doporu\u010den\u00ed OARSI- mezin\u00e1rodn\u00ed odborn\u00e9 spole\u010dnosti pro osteoartr\u00f3zu. V podstat\u011b se jedn\u00e1 o kombinaci re\u017eimov\u00fdch opat\u0159en\u00ed, farmakologick\u00e9 a opera\u010dn\u00ed l\u00e9\u010dby. Mezi re\u017eimov\u00e1 opat\u0159en\u00ed pat\u0159\u00ed nap\u0159. p\u0159im\u011b\u0159en\u00e1 fyzick\u00e1 aktivita. I posti\u017een\u00fd kloub pot\u0159ebuje ur\u010ditou z\u00e1t\u011b\u017e, jen\u017e zaji\u0161\u0165uje v\u00fd\u017eivu kloubn\u00ed chrupavky. Naopak nep\u0159im\u011b\u0159en\u00e1 z\u00e1t\u011b\u017e vede k po\u0161kozen\u00ed chrupavky. U ob\u00e9zn\u00edch je d\u016fle\u017eit\u00e1 redukce hmotnosti. Preventivn\u00ed o\u0161et\u0159en\u00ed kloubn\u00edch po\u0161kozen\u00ed \u010di deformit kon\u010detin (o\u0161et\u0159en\u00ed po\u0161kozen\u00fdch menisk\u016f a vaz\u016f, traumatick\u00fdch l\u00e9z\u00ed chrupavky, \u0159e\u0161en\u00ed osov\u00fdch deformit kon\u010detin). Pou\u017e\u00edv\u00e1n\u00ed vhodn\u00e9 ortopedick\u00e9 pom\u016fcky a jin\u00e1 opat\u0159en\u00ed.<\/p>\n<h4><strong>Kter\u00e9 l\u00e9ky lze u\u017e\u00edvat na osteoartrozu?<\/strong><\/h4>\n<p><strong>Chondroprotektiva:<\/strong> tzv. SYSADOA neboli l\u00e9ky modifikuj\u00edc\u00ed chorobu. Pat\u0159\u00ed sem nap\u0159. glukosamin \u010di chodroitin sulf\u00e1t, MSM (methylsulfonylmethan), kolagen, kyselina hyaluronov\u00e1.<br \/>\nV\u00fdhodnou t\u011bchto l\u00e9k\u016f jsou minim\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky a studiemi dok\u00e1zan\u00e9 \u00fa\u010dinky na artr\u00f3zu.<br \/>\nZv\u00fd\u0161enou nab\u00eddkou ve strav\u011b m\u016f\u017ee doj\u00edt ke zlep\u0161en\u00ed regenerace chrupavky. Popisov\u00e1n je t\u00e9\u017e protiz\u00e1n\u011btliv\u00fd efekt a sn\u00ed\u017een\u00ed bolesti. V\u011bt\u0161inou jsou voln\u011b prodejn\u00e9.<\/p>\n<p><strong>Antirevmatika:<\/strong>\u00a0vhodn\u00e1 v p\u0159\u00edpad\u011b dekompenzace artr\u00f3zy (p\u0159\u00edtomnost otoku \u010di v\u00fdpotku v kloubu) nebo jako ob\u010dasn\u00e9 analgetikum. Mohou m\u00edt ne\u017e\u00e1douc\u00ed \u00fa\u010dinky, nej\u010dast\u011bji na za\u017e\u00edvac\u00ed trakt.<\/p>\n<p><strong>Analgetika:<\/strong>\u00a0tlum\u00ed bolest u t\u011b\u017e\u0161\u00edch forem artr\u00f3zy, neovliv\u0148uj\u00ed chorobu jako takovou. Pat\u0159\u00ed mezi n\u011b nap\u0159 i Paralen, kter\u00fd dle mezin\u00e1rodn\u00ed spole\u010dnosti pro artr\u00f3zu je l\u00e9kem prvn\u00ed volby.<\/p>\n<p><strong>Injek\u010dn\u00ed prepar\u00e1ty:<\/strong><\/p>\n<p><strong>Aplikace r\u016fstov\u00fdch faktor\u016f, tzv. autologn\u00ed biologick\u00e1 l\u00e9\u010dba:<\/strong> spo\u010d\u00edv\u00e1 v aktivaci chondrocyt\u016f (bun\u011bk chrupavky) pomoc\u00ed r\u016fstov\u00fdch faktor\u016f. U t\u00e9to metody zat\u00edm chyb\u00ed jasn\u00fd d\u016fkaz o jej\u00ed \u00fa\u010dinnosti \u010di vlivu na p\u0159\u00ed\u010dinu nemoci. Nicm\u00e9n\u011b lze o\u010dek\u00e1vat, \u017ee v bl\u00edzk\u00e9 budoucnosti pr\u00e1v\u011b zde m\u016f\u017ee doj\u00edt k z\u00e1sadn\u00ed zm\u011bn\u011b v l\u00e9\u010db\u011b t\u00e9to nemoci. Tato l\u00e9\u010dba nen\u00ed ur\u010dena p\u0159i t\u011b\u017e\u0161\u00ed formy artr\u00f3zy a nev\u00fdhodou je relativn\u011b vysok\u00e1 cena.<\/p>\n<p><strong>Aplikace kyseliny hyaluronov\u00e9:<\/strong>\u00a0nitrokloubn\u00ed instalac\u00ed t\u00e9to makromolekuly se zlep\u0161uje biochemick\u00e1 prost\u0159ed\u00ed v kloubu, co\u017e m\u016f\u017ee v\u00e9st ke zklidn\u011bn\u00ed artr\u00f3zy a stimulaci chondrocyt\u016f.<\/p>\n<p><strong>Aplikace kortikoidu:<\/strong> p\u0159i spr\u00e1vn\u00e9 indikaci vede ke zklidn\u011bn\u00ed artr\u00f3zy, sn\u00ed\u017een\u00ed toku a zabr\u00e1n\u011bn\u00ed vzniku v\u00fdpotku, co\u017e je subjektivn\u011b vn\u00edm\u00e1no sn\u00ed\u017een\u00edm bolesti kloubu. P\u0159i p\u0159\u00edli\u0161 \u010dast\u00e9 \u010di nespr\u00e1vn\u00e9 aplikaci m\u016f\u017ee naopak negativn\u011b p\u016fsobit na kloubn\u00ed chrupavku. (injek\u010dn\u00ed l\u00e9ky mus\u00ed aplikovat l\u00e9ka\u0159, nejl\u00e9pe ortoped)<\/p>\n<h4><strong>Opera\u010dn\u00ed l\u00e9\u010dba:<\/strong><\/h4>\n<p><strong>TEP<\/strong> &#8211; tot\u00e1ln\u00ed endoprot\u00e9za \u2013 neboli n\u00e1hrada kloubu: v dne\u0161n\u00ed dob\u011b pat\u0159\u00ed mez\u00ed nej\u010dast\u011bj\u0161\u00ed a z\u00e1kladn\u00ed operace prov\u00e1d\u011bn\u00e9 na ortopedick\u00fdch pracovi\u0161t\u00edch. Zdokonalov\u00e1n\u00edm implant\u00e1t\u016f TEP, opera\u010dn\u00edch postup\u016f a technik, a v neposledn\u00ed \u0159ad\u011b z intenzivn\u011bn\u00edm rehabilitace vytla\u010duje tento typ v\u00fdkonu jin\u00e9 operace(osteotomie a artrod\u00e9zy) a je prov\u00e1d\u011bn i u mlad\u0161\u00edch pacient\u016f. Bli\u017e\u0161\u00ed informace m\u016f\u017eete nal\u00e9zt ve slo\u017ece \u201e informace pro pacienty\u201c.<\/p>\n<p><strong>UNI TEP &#8211; unikomp\u00e1rtment\u00e1ln\u00ed n\u00e1hrada kloubu:<\/strong> n\u00e1hrada \u00bd kolenn\u00edho kloubu: je indikov\u00e1na v p\u0159\u00edpad\u011b po\u0161kozen\u00ed vnit\u0159n\u00ed nebo zevn\u00ed strany kolena. Tato operace m\u00e1 \u0159adu v\u00fdhod (miniinvazivn\u00ed opera\u010dn\u00ed p\u0159\u00edstup, snadn\u011bj\u0161\u00ed rehabilitace), m\u00e1 v\u0161ak pom\u011brn\u011b \u00fazk\u00e1 indika\u010dn\u00ed krit\u00e9ria.<\/p>\n<p><strong>Dal\u0161\u00ed opera\u010dn\u00ed v\u00fdkony p\u0159i osteoatr\u00f3ze:<\/strong> ASK, osteotomie, artrod\u00e9zy.<\/p>\n<p><strong>L\u00e9\u010dba osteoartr\u00f3zy kloub\u016f dle doporu\u010den\u00ed OARSI<\/strong>\/mezin\u00e1rodn\u00ed odborn\u00e9 spole\u010dnosti pro osteoartr\u00f3zu.<\/p>\n<h5><strong>Nefarmakologick\u00e1:<\/strong><\/h5>\n<p>Kombinace nefarmakologick\u00e9 l\u00e9\u010dby a farmakoterapie<\/p>\n<ul>\n<li>Edukace pacienta, \u00faprava \u017eivotospr\u00e1vy.<\/li>\n<li>Pravideln\u00e9 telefonick\u00e9 kontroly.<\/li>\n<li>Vy\u0161et\u0159en\u00ed fyzioterapeutem a instrukt\u00e1\u017e ke cvi\u010den\u00ed.<\/li>\n<li>Pravideln\u00e9 cvi\u010den\u00ed.<\/li>\n<li>Redukce hmotnosti u ob\u00e9zn\u00edch.<\/li>\n<li>Op\u011brn\u00e9 pom\u016fcky ( hole, berle).<\/li>\n<li>Ort\u00e9zy u nestabilit kloub\u016f.<\/li>\n<li>Zdravotn\u00ed obuv a ortopedick\u00e9 vlo\u017eky.<\/li>\n<li>Aplikace tepla.<\/li>\n<li>TENS-transkut\u00e1nn\u00ed elektrick\u00e1 nervov\u00e1 stimulace.<\/li>\n<li>Akupunktura.<\/li>\n<\/ul>\n<h5><strong>Farmakoterapie:<\/strong><\/h5>\n<ul>\n<li>Paracetamol-paralen v d\u00e1vk\u00e1ch do 3g denn\u011b.<\/li>\n<li>Nesteroidn\u00ed antirevmatika- NSA.<\/li>\n<li>Lok\u00e1ln\u00ed NSA a kapsaicin u artr\u00f3zy kolena.<\/li>\n<li>Intraartikul\u00e1rn\u00ed injekce glukokortikoid\u016f.<\/li>\n<li>Intraartikul\u00e1rn\u00ed injekce kyseliny hyaluronov\u00e9.<\/li>\n<li>Glukosamin a chondroitin sulf\u00e1t pro \u00falevu od bolestivosti.<\/li>\n<li>Glukosamin, chondroitin a diacerein-pravd\u011bpodobn\u00fd struktur\u00e1ln\u00ed efekt.<\/li>\n<li>Slab\u00e9 a st\u0159edn\u011b siln\u00e9 opioidy.<\/li>\n<\/ul>\n<h5><strong>Chirurgick\u00e1 l\u00e9\u010dba:<\/strong><\/h5>\n<ul>\n<li>Tot\u00e1ln\u00ed kloubn\u00ed n\u00e1hrady.<\/li>\n<li>Unikompartment\u00e1ln\u00ed kloubn\u00ed n\u00e1hrady.<\/li>\n<li>Osteotomie a preventivn\u00ed chirurgick\u00e9 v\u00fdkony na kloubech.<\/li>\n<li>Kloubn\u00ed lav\u00e1\u017e a artroskopick\u00e9 o\u0161et\u0159en\u00ed u gonartr\u00f3zy.<\/li>\n<li>Artrod\u00e9za.<\/li>\n<\/ul>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-24984\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-24984\"\r\n                data-id=\"post-24984\" \r\n                data-item=\"hfaq-post-24984\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Eduka\u010dn\u00ed setk\u00e1n\u00ed pacient\u016f p\u0159ed TEP<\/div><\/div><div id=\"accordion-content-post-24984\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-24984\"\r\n                style=\"background:transparent;\"><p>Mil\u00ed pacienti,<br \/>\npokud v\u00e1s \u010dek\u00e1 TEP kolenn\u00edho a ky\u010deln\u00edho kloubu, m\u016f\u017eete p\u0159ij\u00edt na setk\u00e1n\u00ed, kter\u00e1 pravideln\u011b pro pacienty po\u0159\u00e1d\u00e1me. Dozv\u00edte se na nich v\u00edce o v\u00fdkonu, kter\u00fd v\u00e1s \u010dek\u00e1,\u00a0 co si m\u00e1te za\u0159\u00eddit p\u0159ed hospitalizac\u00ed, co je t\u0159eba zajistit na dobu po operaci. Krok po kroku s\u00a0v\u00e1mi v\u0161e probereme, jednotliv\u00e9 \u00faseky hospitalizace od dne p\u0159ijet\u00ed a\u017e do propu\u0161t\u011bn\u00ed. Sou\u010d\u00e1st\u00ed je i instrukt\u00e1\u017e a n\u00e1zorn\u00e1 uk\u00e1zka pou\u017eit\u00ed francouzsk\u00fdch hol\u00ed a jin\u00fdch pom\u016fcek od na\u0161\u00ed fyzioterapeutky. Samoz\u0159ejm\u011b zodpov\u00edme va\u0161e dotazy, porad\u00edme, pom\u016f\u017eeme.<\/p>\n<p><b>Term\u00edny setk\u00e1n\u00ed sledujte v aktualit\u00e1ch na hlavn\u00ed str\u00e1nce.<\/b><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-25895\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-25895\"\r\n                data-id=\"post-25895\" \r\n                data-item=\"hfaq-post-25895\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Miniinvazivn\u00ed operace nohy - MICA<\/div><\/div><div id=\"accordion-content-post-25895\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-25895\"\r\n                style=\"background:transparent;\"><p>Od roku 2022 na\u0161e pracovi\u0161t\u011b prov\u00e1d\u00ed nov\u011b miniinvazivn\u00ed operace p\u0159edno\u017e\u00ed- nej\u010dast\u011bji se jedn\u00e1 o korekci vbo\u010den\u00fdch palc\u016f a plochono\u017e\u00ed,\u00a0\u00a0d\u00e1le korekci deformit ostatn\u00edch prst\u016f, nebo \u0159e\u0161en\u00ed degenerativn\u00edch onemocn\u011bn\u00ed drobn\u00fdch kloub\u016f nohy. Nov\u00e1 metoda spo\u010d\u00edv\u00e1 v pou\u017eit\u00ed speci\u00e1ln\u00edch fr\u00e9z a modern\u00edch implant\u00e1t\u016f. Miniinvazivn\u00ed operace nab\u00edz\u00ed oproti b\u011b\u017en\u00fdm &#8222;otev\u0159en\u00fdm&#8220; v\u00fdkon\u016fm men\u0161\u00ed riziko komplikac\u00ed, rychlej\u0161\u00ed hojen\u00ed a tedy i \u010dasn\u011bj\u0161\u00ed\u00a0\u00a0n\u00e1vrat pacient\u016f k b\u011b\u017en\u00e9mu zp\u016fsobu \u017eivota.<\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/article><\/section>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":17142,"parent":24607,"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-24940","page","type-page","status-publish","has-post-thumbnail","hentry","category-page-oddeleni"],"publishpress_future_action":{"enabled":false,"date":"2026-04-21 13:29:08","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\/24940","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=24940"}],"version-history":[{"count":0,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/24940\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/24607"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media\/17142"}],"wp:attachment":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media?parent=24940"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/categories?post=24940"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}