{"id":2902,"date":"2020-05-16T06:06:45","date_gmt":"2020-05-16T06:06:45","guid":{"rendered":"http:\/\/www.mojemedunka.cz\/?p=2902"},"modified":"2020-05-14T13:26:05","modified_gmt":"2020-05-14T13:26:05","slug":"cevni-mozkova-prihoda","status":"publish","type":"post","link":"https:\/\/www.mojemedunka.cz\/index.php\/2020\/05\/16\/cevni-mozkova-prihoda\/","title":{"rendered":"C\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda:"},"content":{"rendered":"<p><strong>Patn\u00e1ct\u00e9ho kv\u011btna si p\u0159ipom\u00edn\u00e1me Sv\u011btov\u00fd den proti mrtvici. <\/strong>Ta pat\u0159\u00ed mezi <strong>nej\u010dast\u011bj\u0161\u00ed p\u0159i\u010diny \u00famrt\u00ed<\/strong> ve vysp\u011bl\u00fdch zem\u00edch a mnoho pacient\u016f se dlouhodob\u011b nebo dokonce do\u017eivotn\u011b pot\u00fdk\u00e1 s jej\u00edmi n\u00e1sledky.<br \/>\nN\u00e1sleduj\u00edc\u00ed \u010dl\u00e1nek p\u0159ipravila p\u0159ed \u010dasem pro Medu\u0148ku <strong><em>MUDr. Zuzana Van\u010du\u0159\u00edkov\u00e1<\/em>,<\/strong> kter\u00e1 se l\u00e9ta v\u011bnuje tradi\u010dn\u00ed \u010d\u00ednsk\u00e9 medic\u00edn\u011b. Zab\u00fdv\u00e1 se v n\u011bm ot\u00e1zkou, <strong>jak mohou p\u0159isp\u011bt postupy tradi\u010dn\u00ed \u010d\u00ednsk\u00e9 medic\u00edny k\u00a0prevenci a l\u00e9\u010db\u011b c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody<\/strong> a tak\u00e9 popisuje sv\u00e9 zku\u0161enosti z tehdej\u0161\u00edho pobytu na neurologick\u00e9m odd\u011blen\u00ed \u010d\u00ednsk\u00e9 nemocnice.<strong><br \/>\n<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>C\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda<\/strong><br \/>\nC\u00e9vn\u00ed\u00a0 mozkov\u00e1 p\u0159\u00edhoda (CMP, mozkov\u00e1 mrtvice, iktus) je z\u00e1va\u017en\u00fd stav, kter\u00fd ohro\u017euje \u017eivot jedince nebo n\u00e1sledn\u011b v\u00fdrazn\u011b zhor\u0161uje kvalitu jeho \u017eivota. Postihuje p\u0159ev\u00e1\u017en\u011b pacienty ve v\u011bku vy\u0161\u0161\u00edm ne\u017e 55 let (3\/4 p\u0159\u00edpad\u016f) a \u010detnost v\u00fdskytu s\u00a0v\u011bkem stoup\u00e1. P\u0159esto\u017ee v\u00a0dne\u0161n\u00ed dob\u011b v\u011bt\u0161ina pacient\u016f CMP p\u0159e\u017eije, je toto onemocn\u011bn\u00ed jednou z\u00a0nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din \u00famrt\u00ed. Velmi z\u00e1va\u017en\u00e9 jsou pro pacienta i pro jeho okol\u00ed n\u00e1sledky c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody, jako jsou obrny hlavov\u00fdch nerv\u016f, ochrnut\u00ed poloviny t\u011bla, poruchy v\u00fdslovnosti, pot\u00ed\u017ee s\u00a0porozum\u011bn\u00edm \u0159e\u010di, poruchy rovnov\u00e1hy apod.<\/p>\n<p><strong>P\u0159\u00ed\u010diny a p\u0159\u00edznaky<\/strong><br \/>\nP\u0159\u00ed\u010dinou tohoto urgentn\u00edho stavu podle z\u00e1padn\u00ed medic\u00edny je posti\u017een\u00ed funkc\u00ed mozku v\u00a0d\u016fsledku poruchy mozkov\u00e9ho krevn\u00edho ob\u011bhu. V\u00a080 % p\u0159\u00edpad\u016f je p\u0159\u00ed\u010dinou ischemick\u00fd stav (porucha prokrven\u00ed), zp\u016fsoben\u00fd tromb\u00f3zou nebo emboli\u00ed, v\u00a0men\u0161\u00edm procentu doch\u00e1z\u00ed k\u00a0mozkov\u00e9mu posti\u017een\u00ed n\u00e1hl\u00fdm krv\u00e1cen\u00edm. Souvisej\u00edc\u00edmi chorobami jsou arterioskler\u00f3za, vysok\u00fd krevn\u00ed tlak, cukrovka, vady srde\u010dn\u00edch chlopn\u00ed, fibrilace srde\u010dn\u00edch s\u00edn\u00ed a dal\u0161\u00ed. Proto diagnostika i l\u00e9\u010dba mus\u00ed b\u00fdt komplexn\u00ed a individu\u00e1ln\u00ed. V\u010dasn\u00fd z\u00e1sah, do 3-6 hodin po p\u0159\u00edhod\u011b, je velmi d\u016fle\u017eit\u00fd co se t\u00fd\u010de z\u00e1chrany \u017eivota\u00a0 i omezen\u00ed n\u00e1sledn\u00fdch posti\u017een\u00ed.<br \/>\nP\u0159ed vlastn\u00ed atakou se m\u016f\u017ee objevovat \u00fanava, spavost, bolesti hlavy, kol\u00eds\u00e1n\u00ed krevn\u00edho tlaku, zhor\u0161en\u00ed zraku, zvuky v\u00a0u\u0161\u00edch, psychick\u00e1 excitace, lehk\u00e9 pot\u00ed\u017ee s\u00a0vyjad\u0159ov\u00e1n\u00edm, poruchy \u010dit\u00ed v\u00a0kon\u010detin\u00e1ch\u2026 Vlastn\u00ed c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda je pak charakterizovan\u00e1 \u0159adou p\u0159edev\u0161\u00edm neurologick\u00fdch p\u0159\u00edznak\u016f. Objevuj\u00ed se poruchy hybnosti r\u016fzn\u00fdch \u010d\u00e1st\u00ed t\u011bla, obrny hlavov\u00fdch nerv\u016f, p\u0159edev\u0161\u00edm l\u00edcn\u00edho nervu, poruchy citu v\u00a0nohou, rukou a obli\u010deji, poruchy rovnov\u00e1hy, poruchy tvorby a porozum\u011bn\u00ed \u0159e\u010di, v\u00fdpadky zrakov\u00e9ho pole, poruchy v\u011bdom\u00ed od zmatenosti a\u017e po bezv\u011bdom\u00ed\u2026<\/p>\n<p><strong>Pohled \u010d\u00ednsk\u00e9 medic\u00edny<\/strong><br \/>\nI tradi\u010dn\u00ed \u010d\u00ednsk\u00e1 medic\u00edna pe\u010dliv\u011b p\u00e1tr\u00e1 po p\u0159\u00ed\u010din\u00e1ch p\u0159\u00edznak\u016f, kter\u00e9 tvo\u0159\u00ed v\u00fd\u0161e zm\u00edn\u011bn\u00fd obraz nemoci, aby dok\u00e1zala ovlivnit n\u00e1sledky a p\u0159edej\u00edt opakov\u00e1n\u00ed\u00a0 stavu. Sleduje z\u00e1kladn\u00ed nerovnov\u00e1hu v\u00a0organismu (nerovnov\u00e1ha jinu a jangu, poruchy cirkulace \u010dchi a krve, p\u0159\u00edtomnost hlen\u016f, oslaben\u00ed funkce sleziny a \u017ealudku\u2026). V\u00a0diagnostick\u00e9 rozvaze pak ozna\u010duje p\u0159\u00ed\u010diny mrtvice jako\u00a0 p\u016fsoben\u00ed vnit\u0159n\u00edho ohn\u011b, \u00fader vnit\u0159n\u00edho v\u011btru, hleny, blok\u00e1da krve, oslaben\u00ed st\u0159edn\u00edho ohni\u0161t\u011b apod.\u00a0 K\u00a0t\u011bmto stav\u016fm se v\u0161ak \u010dlov\u011bk mus\u00ed propracovat. Ten, kdo nerespektuje vrozen\u00e9 dispozice, m\u00e1 nepravidelnou a nespr\u00e1vnou\u00a0 \u017eivotospr\u00e1vu, \u0161patn\u011b se stravuje, fyzicky a psychicky se p\u0159et\u011b\u017euje a nezvl\u00e1d\u00e1 sv\u00e9 emoce, se bohu\u017eel m\u00edlov\u00fdmi kroky p\u0159ibli\u017euje k\u00a0v\u00e1\u017en\u00e9 nemoci, jakou je i mrtvice.<\/p>\n<p><strong>Prevence\u00a0\u00a0 <\/strong><br \/>\nCo m\u016f\u017ee tradi\u010dn\u00ed \u010d\u00ednsk\u00e1 medic\u00edna nab\u00eddnout v\u00a0oblasti prevence t\u00e9to nemoci? M\u016f\u017ee poradit p\u0159edev\u0161\u00edm lidem s\u00a0vrozen\u00fdmi dispozicemi k\u00a0srde\u010dn\u011b c\u00e9vn\u00edm onemocn\u011bn\u00edm, \u010dasto to b\u00fdvaj\u00ed t\u011blnat\u00ed, zlostn\u00ed lid\u00e9, bu\u010f choleri\u010dt\u00ed, pedanti\u010dt\u00ed nebo p\u0159\u00edli\u0161 potla\u010duj\u00edc\u00ed sv\u00e9 emoce, trp\u00ed vysok\u00fdm krevn\u00edm tlakem a v\u00a0jejich rodin\u00e1ch se vyskytuj\u00ed mozkov\u00e9 p\u0159\u00edhody, infarkty, tromboembolick\u00e1 nemoc \u010di dal\u0161\u00ed faktory, kter\u00e9 riziko tohoto onemocn\u011bn\u00ed zvy\u0161uj\u00ed. Rady se budou individu\u00e1ln\u011b t\u00fdkat p\u0159edev\u0161\u00edm \u017eivotospr\u00e1vy, tedy vyv\u00e1\u017een\u00ed n\u00e1mahy a odpo\u010dinku, za\u0159azen\u00ed energetick\u00fdch cvi\u010den\u00ed, spr\u00e1vn\u00e9ho sp\u00e1nku, d\u016fle\u017eit\u00e9 je vytvo\u0159en\u00ed individu\u00e1ln\u00ed ho j\u00eddeln\u00ed\u010dku, kter\u00fd by m\u011bl respektovat jednak ro\u010dn\u00ed obdob\u00ed, jednak konstituci a choroby pacienta. Nejde jen o spr\u00e1vnou skladbu potravin, ale i o pravidelnost v\u00a0j\u00eddle, spr\u00e1vnou \u00fapravu j\u00eddla, kvalitu a pestrost potravin, nezbytn\u00e1 je samoz\u0159ejm\u011b pacientova spolupr\u00e1ce. Z\u00e1sadn\u00ed roli hraj\u00ed psychologick\u00e9 faktory &#8212; emoce se pod\u00edlej\u00ed na vzniku choroby minim\u00e1ln\u011b 60 %! Proto je pro d\u016fle\u017eit\u00fdm a nezbytn\u00fdm \u00fakolem terapeuta nau\u010dit pacienta d\u00edvat se na v\u011bci s\u00a0v\u011bt\u0161\u00edm nadhledem, spr\u00e1vn\u011b postavit priority, um\u00edrnit jeho n\u00e1ro\u010dnost a nadm\u011brnou sout\u011b\u017eivost a zv\u00fd\u0161it jeho toleranci ke stresu. K\u00a0dosa\u017een\u00ed t\u011bchto c\u00edl\u016f m\u016f\u017ee terapeut samoz\u0159ejm\u011b vyu\u017e\u00edt i byliny, mas\u00e1\u017ee\u00a0 nebo akupunkturu.<\/p>\n<p><strong>Stavy po mrtvic\u00edch<\/strong><br \/>\nP\u0159i l\u00e9\u010db\u011b stav\u016f po mrtvic\u00edch m\u016f\u017ee tradi\u010dn\u00ed \u010d\u00ednsk\u00e1 medic\u00edna z\u00e1padn\u00ed medic\u00edn\u011b v\u00fdrazn\u011b pomoci. Pro stabilizaci zdravotn\u00edho stavu a sn\u00ed\u017een\u00ed n\u00e1sledk\u016f c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody je d\u016fle\u017eit\u00e9 zejm\u00e9na \u010dasn\u00e9, ale dlouhodob\u011b prob\u00edhaj\u00edc\u00ed za\u0159azen\u00ed akupunktury mezi l\u00e9\u010debn\u00e9 metody. Akupunkturou a sou\u010dasn\u011b i c\u00edlenou terapi\u00ed bylinami sledujeme jednak zlep\u0161en\u00ed nejz\u00e1va\u017en\u011bj\u0161\u00edch p\u0159\u00edznak\u016f nemoci jako jsou obrny, poruchy \u0159e\u010di atd., jednak ovlivn\u011bn\u00ed z\u00e1kladn\u00edho patologick\u00e9ho stavu. Individu\u00e1ln\u011b se vyb\u00edraj\u00ed body a bylinn\u00e9 sm\u011bsi, kter\u00e9 napravuj\u00ed tok \u010dchi a krve v\u00a0jejich cest\u00e1ch, uti\u0161uj\u00ed j\u00e1tra, uklid\u0148uj\u00ed v\u00edtr, pro\u010di\u0161\u0165uj\u00ed ohe\u0148, odstra\u0148uj\u00ed hleny, posiluj\u00ed funkce sleziny a \u017ealudku, aby se p\u0159ede\u0161lo opakov\u00e1n\u00ed z\u00e1va\u017en\u00e9 situace.<\/p>\n<p><strong>Na vlastn\u00ed o\u010di\u2026<\/strong><br \/>\nM\u011bla jsem mo\u017enost sledovat p\u016fsoben\u00ed \u010d\u00ednsk\u00e9 medic\u00edny p\u0159i l\u00e9\u010db\u011b n\u00e1sledk\u016f c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody p\u0159i sv\u00e9m t\u0159\u00edt\u00fddenn\u00edm pobytu na neurologick\u00e9m odd\u011blen\u00ed v\u00a0\u010d\u00ednsk\u00e9 nemocnici. S\u00a0pom\u011brn\u011b velk\u00fdm p\u0159ekvapen\u00edm jsem pozorovala zlep\u0161uj\u00edc\u00ed se stav pacient\u016f, kte\u0159\u00ed na odd\u011blen\u00ed pravideln\u011b doch\u00e1zeli na o\u0161et\u0159en\u00ed akupunkturou. Velmi zaj\u00edmav\u00fd a pro m\u011b pou\u010dn\u00fd byl p\u0159\u00edstup l\u00e9ka\u0159\u016f, ale i \u00a0samotn\u00fdch pacient\u016f. L\u00e9ka\u0159i kombinovali mo\u017enosti nov\u00fdch vy\u0161et\u0159ovac\u00edch metod (CT, magnetick\u00e1 rezonance) a akutn\u00edho z\u00e1sahu podle z\u00e1padn\u00ed medic\u00edny s\u00a0akupunkturou (prov\u00e1d\u011bnou na odd\u011blen\u00ed, kam jsme doch\u00e1zeli), kter\u00e1 m\u00e1 daleko v\u011bt\u0161\u00ed efekt, pokud se nasad\u00ed co nejd\u0159\u00edve. Pacienti byli akupunkturou o\u0161et\u0159ov\u00e1ni denn\u011b, a to deset dn\u00ed za sebou, pak v\u011bt\u0161inou n\u00e1sledovala stejn\u011b dlouh\u00e1 pauza, a op\u011bt se opakovala stejn\u011b dlouh\u00e1 s\u00e9rie o\u0161et\u0159en\u00ed akupunkturou. O\u0161et\u0159en\u00ed prob\u00edhalo ve v\u011bt\u0161\u00edch m\u00edstnostech, v\u00a0ka\u017ed\u00e9 bylo 6-10 l\u016f\u017eek, odd\u011blen\u00fdch plenami, a p\u0159esto\u017ee l\u00e9ka\u0159i nem\u011bli na pacienty p\u0159\u00edli\u0161 mnoho \u010dasu, d\u00e1vali jasn\u011b najevo z\u00e1jem o ka\u017ed\u00e9ho z\u00a0nich. Pacienti\u00a0 byli velmi trp\u011bliv\u00ed, nevid\u011bla jsem, \u017ee by si n\u011bkter\u00fd z\u00a0nich st\u011b\u017eoval. Ka\u017ed\u00e9ho pacienta doprov\u00e1zel aspo\u0148 jeden rodinn\u00fd p\u0159\u00edslu\u0161n\u00edk, \u010dasto jich bylo v\u00edce, t\u0159eba i p\u011bt.<br \/>\nNemohu \u0159\u00edci, \u017ee se mi v\u0161e l\u00edbilo, vid\u011bla jsem \u0159adu situac\u00ed, kter\u00e9 nebyly v\u00a0souladu s\u00a0na\u0161imi p\u0159edstavami a z\u00e1sadami p\u00e9\u010de o pacienty (nap\u0159. hygienick\u00e9 z\u00e1zem\u00ed, mno\u017estv\u00ed pacient\u016f i dal\u0161\u00edch lid\u00ed v\u00a0ordinaci, m\u00e1lo \u010dasu na pacienta\u2026). Za velmi d\u016fle\u017eit\u00fd v\u0161ak pova\u017euji fakt, \u017ee se na t\u00e9to klinice spojily r\u016fzn\u00e9 metody o\u0161et\u0159en\u00ed a l\u00e9\u010dby pacient\u016f, co\u017e je p\u0159i tak z\u00e1va\u017en\u00fdch stavech, jak\u00fdm stavy po c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhod\u011b bezpochyby jsou, ur\u010dit\u011b pacient\u016fm ku prosp\u011bchu.<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 MUDr. Zuzana Van\u010du\u0159\u00edkov\u00e1<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Patn\u00e1ct\u00e9ho kv\u011btna si p\u0159ipom\u00edn\u00e1me Sv\u011btov\u00fd den proti mrtvici. Ta pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed p\u0159i\u010diny \u00famrt\u00ed ve vysp\u011bl\u00fdch zem\u00edch a mnoho pacient\u016f se dlouhodob\u011b nebo dokonce do\u017eivotn\u011b pot\u00fdk\u00e1 s jej\u00edmi n\u00e1sledky. N\u00e1sleduj\u00edc\u00ed \u010dl\u00e1nek p\u0159ipravila p\u0159ed \u010dasem pro Medu\u0148ku MUDr. Zuzana Van\u010du\u0159\u00edkov\u00e1, kter\u00e1 se l\u00e9ta v\u011bnuje tradi\u010dn\u00ed \u010d\u00ednsk\u00e9 medic\u00edn\u011b. Zab\u00fdv\u00e1 se v n\u011bm ot\u00e1zkou, jak mohou p\u0159isp\u011bt postupy tradi\u010dn\u00ed \u010d\u00ednsk\u00e9 medic\u00edny k\u00a0prevenci a l\u00e9\u010db\u011b c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody a tak\u00e9 popisuje sv\u00e9 zku\u0161enosti z tehdej\u0161\u00edho pobytu na neurologick\u00e9m odd\u011blen\u00ed \u010d\u00ednsk\u00e9 nemocnice. &nbsp; \u00a0 C\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda C\u00e9vn\u00ed\u00a0 mozkov\u00e1 p\u0159\u00edhoda (CMP, mozkov\u00e1 mrtvice, iktus) je z\u00e1va\u017en\u00fd stav, kter\u00fd ohro\u017euje \u017eivot jedince nebo n\u00e1sledn\u011b v\u00fdrazn\u011b zhor\u0161uje kvalitu jeho \u017eivota. Postihuje p\u0159ev\u00e1\u017en\u011b pacienty ve v\u011bku vy\u0161\u0161\u00edm ne\u017e 55 let (3\/4 p\u0159\u00edpad\u016f) a \u010detnost v\u00fdskytu s\u00a0v\u011bkem stoup\u00e1. P\u0159esto\u017ee v\u00a0dne\u0161n\u00ed dob\u011b v\u011bt\u0161ina pacient\u016f CMP p\u0159e\u017eije, je toto onemocn\u011bn\u00ed jednou z\u00a0nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din \u00famrt\u00ed. Velmi z\u00e1va\u017en\u00e9 jsou pro pacienta i pro jeho okol\u00ed n\u00e1sledky c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody, jako jsou obrny hlavov\u00fdch nerv\u016f, ochrnut\u00ed poloviny t\u011bla, poruchy v\u00fdslovnosti, pot\u00ed\u017ee s\u00a0porozum\u011bn\u00edm \u0159e\u010di, poruchy rovnov\u00e1hy apod. P\u0159\u00ed\u010diny a p\u0159\u00edznaky P\u0159\u00ed\u010dinou tohoto urgentn\u00edho stavu podle z\u00e1padn\u00ed medic\u00edny je posti\u017een\u00ed funkc\u00ed mozku v\u00a0d\u016fsledku poruchy mozkov\u00e9ho krevn\u00edho ob\u011bhu. V\u00a080 % p\u0159\u00edpad\u016f je p\u0159\u00ed\u010dinou ischemick\u00fd stav (porucha prokrven\u00ed), zp\u016fsoben\u00fd tromb\u00f3zou nebo emboli\u00ed, v\u00a0men\u0161\u00edm procentu doch\u00e1z\u00ed k\u00a0mozkov\u00e9mu posti\u017een\u00ed n\u00e1hl\u00fdm krv\u00e1cen\u00edm. Souvisej\u00edc\u00edmi chorobami jsou arterioskler\u00f3za, vysok\u00fd krevn\u00ed tlak, cukrovka, vady srde\u010dn\u00edch chlopn\u00ed, fibrilace srde\u010dn\u00edch s\u00edn\u00ed a dal\u0161\u00ed. Proto diagnostika i l\u00e9\u010dba mus\u00ed b\u00fdt komplexn\u00ed a individu\u00e1ln\u00ed. V\u010dasn\u00fd z\u00e1sah, do 3-6 hodin po p\u0159\u00edhod\u011b, je velmi d\u016fle\u017eit\u00fd co se t\u00fd\u010de z\u00e1chrany \u017eivota\u00a0 i omezen\u00ed n\u00e1sledn\u00fdch posti\u017een\u00ed. P\u0159ed vlastn\u00ed atakou se m\u016f\u017ee objevovat \u00fanava, spavost, bolesti hlavy, kol\u00eds\u00e1n\u00ed krevn\u00edho tlaku, zhor\u0161en\u00ed zraku, zvuky v\u00a0u\u0161\u00edch, psychick\u00e1 excitace, lehk\u00e9 pot\u00ed\u017ee s\u00a0vyjad\u0159ov\u00e1n\u00edm, poruchy \u010dit\u00ed v\u00a0kon\u010detin\u00e1ch\u2026 Vlastn\u00ed c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda je pak charakterizovan\u00e1 \u0159adou p\u0159edev\u0161\u00edm neurologick\u00fdch p\u0159\u00edznak\u016f. Objevuj\u00ed se poruchy hybnosti r\u016fzn\u00fdch \u010d\u00e1st\u00ed t\u011bla, obrny hlavov\u00fdch nerv\u016f, p\u0159edev\u0161\u00edm l\u00edcn\u00edho nervu, poruchy citu v\u00a0nohou, rukou a obli\u010deji, poruchy rovnov\u00e1hy, poruchy tvorby a porozum\u011bn\u00ed \u0159e\u010di, v\u00fdpadky zrakov\u00e9ho pole, poruchy v\u011bdom\u00ed od zmatenosti a\u017e po bezv\u011bdom\u00ed\u2026 Pohled \u010d\u00ednsk\u00e9 medic\u00edny I tradi\u010dn\u00ed \u010d\u00ednsk\u00e1 medic\u00edna pe\u010dliv\u011b p\u00e1tr\u00e1 po p\u0159\u00ed\u010din\u00e1ch p\u0159\u00edznak\u016f, kter\u00e9 tvo\u0159\u00ed v\u00fd\u0161e zm\u00edn\u011bn\u00fd obraz nemoci, aby dok\u00e1zala ovlivnit n\u00e1sledky a p\u0159edej\u00edt opakov\u00e1n\u00ed\u00a0 stavu. Sleduje z\u00e1kladn\u00ed nerovnov\u00e1hu v\u00a0organismu (nerovnov\u00e1ha jinu a jangu, poruchy cirkulace \u010dchi a krve, p\u0159\u00edtomnost hlen\u016f, oslaben\u00ed funkce sleziny a \u017ealudku\u2026). V\u00a0diagnostick\u00e9 rozvaze pak ozna\u010duje p\u0159\u00ed\u010diny mrtvice jako\u00a0 p\u016fsoben\u00ed vnit\u0159n\u00edho ohn\u011b, \u00fader vnit\u0159n\u00edho v\u011btru, hleny, blok\u00e1da krve, oslaben\u00ed st\u0159edn\u00edho ohni\u0161t\u011b apod.\u00a0 K\u00a0t\u011bmto stav\u016fm se v\u0161ak \u010dlov\u011bk mus\u00ed propracovat. Ten, kdo nerespektuje vrozen\u00e9 dispozice, m\u00e1 nepravidelnou a nespr\u00e1vnou\u00a0 \u017eivotospr\u00e1vu, \u0161patn\u011b se stravuje, fyzicky a psychicky se p\u0159et\u011b\u017euje a nezvl\u00e1d\u00e1 sv\u00e9 emoce, se bohu\u017eel m\u00edlov\u00fdmi kroky p\u0159ibli\u017euje k\u00a0v\u00e1\u017en\u00e9 nemoci, jakou je i mrtvice. Prevence\u00a0\u00a0 Co m\u016f\u017ee tradi\u010dn\u00ed \u010d\u00ednsk\u00e1 medic\u00edna nab\u00eddnout v\u00a0oblasti prevence t\u00e9to nemoci? M\u016f\u017ee poradit p\u0159edev\u0161\u00edm lidem s\u00a0vrozen\u00fdmi dispozicemi k\u00a0srde\u010dn\u011b c\u00e9vn\u00edm onemocn\u011bn\u00edm, \u010dasto to b\u00fdvaj\u00ed t\u011blnat\u00ed, zlostn\u00ed lid\u00e9, bu\u010f choleri\u010dt\u00ed, pedanti\u010dt\u00ed nebo p\u0159\u00edli\u0161 potla\u010duj\u00edc\u00ed sv\u00e9 emoce, trp\u00ed vysok\u00fdm krevn\u00edm tlakem a v\u00a0jejich rodin\u00e1ch se vyskytuj\u00ed mozkov\u00e9 p\u0159\u00edhody, infarkty, tromboembolick\u00e1 nemoc \u010di dal\u0161\u00ed faktory, kter\u00e9 riziko tohoto onemocn\u011bn\u00ed zvy\u0161uj\u00ed. Rady se budou individu\u00e1ln\u011b t\u00fdkat p\u0159edev\u0161\u00edm \u017eivotospr\u00e1vy, tedy vyv\u00e1\u017een\u00ed n\u00e1mahy a odpo\u010dinku, za\u0159azen\u00ed energetick\u00fdch cvi\u010den\u00ed, spr\u00e1vn\u00e9ho sp\u00e1nku, d\u016fle\u017eit\u00e9 je vytvo\u0159en\u00ed individu\u00e1ln\u00ed ho j\u00eddeln\u00ed\u010dku, kter\u00fd by m\u011bl respektovat jednak ro\u010dn\u00ed obdob\u00ed, jednak konstituci a choroby pacienta. Nejde jen o spr\u00e1vnou skladbu potravin, ale i o pravidelnost v\u00a0j\u00eddle, spr\u00e1vnou \u00fapravu j\u00eddla, kvalitu a pestrost potravin, nezbytn\u00e1 je samoz\u0159ejm\u011b pacientova spolupr\u00e1ce. Z\u00e1sadn\u00ed roli hraj\u00ed psychologick\u00e9 faktory &#8212; emoce se pod\u00edlej\u00ed na vzniku choroby minim\u00e1ln\u011b 60 %! Proto je pro d\u016fle\u017eit\u00fdm a nezbytn\u00fdm \u00fakolem terapeuta nau\u010dit pacienta d\u00edvat se na v\u011bci s\u00a0v\u011bt\u0161\u00edm nadhledem, spr\u00e1vn\u011b postavit priority, um\u00edrnit jeho n\u00e1ro\u010dnost a nadm\u011brnou sout\u011b\u017eivost a zv\u00fd\u0161it jeho toleranci ke stresu. K\u00a0dosa\u017een\u00ed t\u011bchto c\u00edl\u016f m\u016f\u017ee terapeut samoz\u0159ejm\u011b vyu\u017e\u00edt i byliny, mas\u00e1\u017ee\u00a0 nebo akupunkturu. Stavy po mrtvic\u00edch P\u0159i l\u00e9\u010db\u011b stav\u016f po mrtvic\u00edch m\u016f\u017ee tradi\u010dn\u00ed \u010d\u00ednsk\u00e1 medic\u00edna z\u00e1padn\u00ed medic\u00edn\u011b v\u00fdrazn\u011b pomoci. Pro stabilizaci zdravotn\u00edho stavu a sn\u00ed\u017een\u00ed n\u00e1sledk\u016f c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody je d\u016fle\u017eit\u00e9 zejm\u00e9na \u010dasn\u00e9, ale dlouhodob\u011b prob\u00edhaj\u00edc\u00ed za\u0159azen\u00ed akupunktury mezi l\u00e9\u010debn\u00e9 metody. Akupunkturou a sou\u010dasn\u011b i c\u00edlenou terapi\u00ed bylinami sledujeme jednak zlep\u0161en\u00ed nejz\u00e1va\u017en\u011bj\u0161\u00edch p\u0159\u00edznak\u016f nemoci jako jsou obrny, poruchy \u0159e\u010di atd., jednak ovlivn\u011bn\u00ed z\u00e1kladn\u00edho patologick\u00e9ho stavu. Individu\u00e1ln\u011b se vyb\u00edraj\u00ed body a bylinn\u00e9 sm\u011bsi, kter\u00e9 napravuj\u00ed tok \u010dchi a krve v\u00a0jejich cest\u00e1ch, uti\u0161uj\u00ed j\u00e1tra, uklid\u0148uj\u00ed v\u00edtr, pro\u010di\u0161\u0165uj\u00ed ohe\u0148, odstra\u0148uj\u00ed hleny, posiluj\u00ed funkce sleziny a \u017ealudku, aby se p\u0159ede\u0161lo opakov\u00e1n\u00ed z\u00e1va\u017en\u00e9 situace. Na vlastn\u00ed o\u010di\u2026 M\u011bla jsem mo\u017enost sledovat p\u016fsoben\u00ed \u010d\u00ednsk\u00e9 medic\u00edny p\u0159i l\u00e9\u010db\u011b n\u00e1sledk\u016f c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody p\u0159i sv\u00e9m t\u0159\u00edt\u00fddenn\u00edm pobytu na neurologick\u00e9m odd\u011blen\u00ed v\u00a0\u010d\u00ednsk\u00e9 nemocnici. S\u00a0pom\u011brn\u011b velk\u00fdm p\u0159ekvapen\u00edm jsem pozorovala zlep\u0161uj\u00edc\u00ed se stav pacient\u016f, kte\u0159\u00ed na odd\u011blen\u00ed pravideln\u011b doch\u00e1zeli na o\u0161et\u0159en\u00ed akupunkturou. Velmi zaj\u00edmav\u00fd a pro m\u011b pou\u010dn\u00fd byl p\u0159\u00edstup l\u00e9ka\u0159\u016f, ale i \u00a0samotn\u00fdch pacient\u016f. L\u00e9ka\u0159i kombinovali mo\u017enosti nov\u00fdch vy\u0161et\u0159ovac\u00edch metod (CT, magnetick\u00e1 rezonance) a akutn\u00edho z\u00e1sahu podle z\u00e1padn\u00ed medic\u00edny s\u00a0akupunkturou (prov\u00e1d\u011bnou na odd\u011blen\u00ed, kam jsme doch\u00e1zeli), kter\u00e1 m\u00e1 daleko v\u011bt\u0161\u00ed efekt, pokud se nasad\u00ed co nejd\u0159\u00edve. Pacienti byli akupunkturou o\u0161et\u0159ov\u00e1ni denn\u011b, a to deset dn\u00ed za sebou, pak v\u011bt\u0161inou n\u00e1sledovala stejn\u011b dlouh\u00e1 pauza, a op\u011bt se opakovala stejn\u011b dlouh\u00e1 s\u00e9rie o\u0161et\u0159en\u00ed akupunkturou. O\u0161et\u0159en\u00ed prob\u00edhalo ve v\u011bt\u0161\u00edch m\u00edstnostech, v\u00a0ka\u017ed\u00e9 bylo 6-10 l\u016f\u017eek, odd\u011blen\u00fdch plenami, a p\u0159esto\u017ee l\u00e9ka\u0159i nem\u011bli na pacienty p\u0159\u00edli\u0161 mnoho \u010dasu, d\u00e1vali jasn\u011b najevo z\u00e1jem o ka\u017ed\u00e9ho z\u00a0nich. Pacienti\u00a0 byli velmi trp\u011bliv\u00ed, nevid\u011bla jsem, \u017ee by si n\u011bkter\u00fd z\u00a0nich st\u011b\u017eoval. Ka\u017ed\u00e9ho pacienta doprov\u00e1zel aspo\u0148 jeden rodinn\u00fd p\u0159\u00edslu\u0161n\u00edk, \u010dasto jich bylo v\u00edce, t\u0159eba i p\u011bt. Nemohu \u0159\u00edci, \u017ee se mi v\u0161e l\u00edbilo, vid\u011bla jsem \u0159adu situac\u00ed, kter\u00e9 nebyly v\u00a0souladu s\u00a0na\u0161imi p\u0159edstavami a z\u00e1sadami p\u00e9\u010de o pacienty (nap\u0159. hygienick\u00e9 z\u00e1zem\u00ed, mno\u017estv\u00ed pacient\u016f i dal\u0161\u00edch lid\u00ed v\u00a0ordinaci, m\u00e1lo \u010dasu na pacienta\u2026). Za velmi d\u016fle\u017eit\u00fd v\u0161ak pova\u017euji fakt, \u017ee se na t\u00e9to klinice spojily r\u016fzn\u00e9 metody o\u0161et\u0159en\u00ed a l\u00e9\u010dby pacient\u016f, co\u017e je p\u0159i tak z\u00e1va\u017en\u00fdch stavech, jak\u00fdm stavy po c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhod\u011b bezpochyby jsou, ur\u010dit\u011b pacient\u016fm ku prosp\u011bchu. &nbsp; \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 MUDr. Zuzana Van\u010du\u0159\u00edkov\u00e1 &nbsp;<\/p>\n","protected":false},"author":3,"featured_media":2907,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,1,10],"tags":[],"class_list":["post-2902","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alternativni-medicina","category-medunka","category-zdravi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/2902","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/comments?post=2902"}],"version-history":[{"count":5,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/2902\/revisions"}],"predecessor-version":[{"id":2908,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/2902\/revisions\/2908"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media\/2907"}],"wp:attachment":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media?parent=2902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/categories?post=2902"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/tags?post=2902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}