[et_pb_section fb_built=”1″ next_background_color=”#ffffff” _builder_version=”4.16″ _module_preset=”default” background_image=”https:\/\/caro-gard.cz\/wp-content\/uploads\/2021\/12\/zahlavi_pozadi.png” min_height=”304.2px” bottom_divider_style=”slant” bottom_divider_flip=”horizontal” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” width=”70%” custom_margin=”|auto|-59px|auto||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.20.4″ _module_preset=”default” text_font=”Inria Serif|700|||||||” text_text_color=”#FFFFFF” text_font_size=”30px” text_line_height=”1.3em” header_font=”Inria Serif|700|||||||” header_text_align=”left” header_text_color=”#FFFFFF” header_line_height=”1.2em” header_2_font=”Inria Serif||||||||” header_2_text_color=”#FFFFFF” header_2_font_size=”24px” header_2_line_height=”1.2em” header_6_font=”Inria Serif|700|||||||” header_6_text_color=”#FFFFFF” header_6_font_size=”16px” header_6_line_height=”4.7em” background_enable_image=”off” max_width=”70%” max_width_tablet=”70%” max_width_phone=”90%” max_width_last_edited=”on|phone” header_font_size_tablet=”” header_font_size_phone=”25px” header_font_size_last_edited=”on|phone” header_2_font_size_tablet=”24px” header_2_font_size_phone=”20px” header_2_font_size_last_edited=”on|phone” header_6_font_size_tablet=”16px” header_6_font_size_phone=”14px” header_6_font_size_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n
<\/em><\/p>\n <\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” width=”70%” min_height=”1238.4px” custom_margin=”-43px|auto||auto||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.20.4″ _module_preset=”default” text_font=”Open Sans||||||||” text_text_color=”#404040″ text_font_size=”16px” header_3_font=”Inria Serif|700|||||||” header_3_text_color=”#0082AD” header_3_line_height=”1.4em” header_4_font=”Inria Serif||on||||||” header_4_text_color=”#0082AD” header_4_font_size=”20px” header_4_line_height=”1.3em” header_6_font=”Inria Serif|700|||||||” header_6_text_color=”#DF428B” max_width=”80%” max_width_tablet=”80%” max_width_phone=”100%” max_width_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n Mal\u00e1tnost, poruchy srde\u010dn\u00edho rytmu, nebo dokonce smrt \u2013 to v\u0161echno m\u016f\u017ee zp\u016fsobit zv\u00fd\u0161en\u00e1 koncentrace oxidu uhli\u010dit\u00e9ho v\u00a0krvi \u2013 tzv. hyperkapnie. Trp\u00ed j\u00ed p\u0159edev\u0161\u00edm lid\u00e9 s\u00a0chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed (CHOPN). Pacient\u016fm dok\u00e1\u017ee ulevit speci\u00e1ln\u00ed p\u0159\u00edstroj, kter\u00fd jim m\u016f\u017ee prodlou\u017eit \u017eivot o \u0159adu m\u011bs\u00edc\u016f a\u017e let. Lid\u00e9 o jeho existenci ale mnohdy nev\u00ed.\u00a0<\/span><\/strong><\/p>\n \u201eHyperkapnie je zr\u00e1dn\u00e1, proto\u017ee nem\u00e1 specifick\u00e9 p\u0159\u00edznaky. N\u011bkte\u0159\u00ed lid\u00e9 mohou m\u00edt spojivky podlit\u00e9 krv\u00ed a trp\u00ed nadm\u011brnou \u00fanavou, p\u0159\u00edpadn\u011b us\u00edn\u00e1n\u00edm ve dne, nebo naopak neklidem. Postihuje v\u00edce ob\u00e9zn\u00ed pacienty. Tyto p\u0159\u00edznaky ale nemus\u00ed b\u00fdt u v\u0161ech vyj\u00e1d\u0159eny a pacient nemus\u00ed p\u0159\u00edznaky nadbytku oxidu uhli\u010dit\u00e9ho v krvi v\u016fbec zpozorovat. Vliv na jeho organismus m\u00e1 v\u0161ak z\u00e1sadn\u00ed,\u201c<\/em> vysv\u011btluje prof. MUDr. Martina Koziar Va\u0161\u00e1kov\u00e1, Ph.D., p\u0159edsedkyn\u011b \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti (\u010cPFS) \u010cLS JEP.<\/p>\n Pacient\u016fm v\u00a0t\u011b\u017ek\u00e9m a velmi t\u011b\u017ek\u00e9m stadiu CHOPN hroz\u00ed hyperkapnie proto, \u017ee u nich kv\u016fli omezen\u00e9 funkci d\u00fdch\u00e1n\u00ed nedoch\u00e1z\u00ed ke spr\u00e1vn\u00e9 v\u00fdm\u011bn\u011b plyn\u016f. Maj\u00ed tud\u00ed\u017e v\u00a0krvi v\u00edce oxidu uhli\u010dit\u00e9ho a chyb\u00ed jim naopak kysl\u00edk. Nejv\u00edce se hyperkapnie projevuje p\u0159edev\u0161\u00edm v noci b\u011bhem sp\u00e1nku. \u201eAktu\u00e1ln\u011b m\u016f\u017ee hrozit a\u017e 20 tis\u00edc\u016fm lid\u00ed. Vy\u0161et\u0159en\u00ed obsahu plyn\u016f v krvi neb\u00fdv\u00e1 standardn\u00ed procedurou, a u \u0159ady pacient\u016f tak hyperkapnii l\u00e9ka\u0159 v\u016fbec nemus\u00ed odhalit,\u201c<\/em>upozor\u0148uje doc. Milan Sova, Ph.D., p\u0159ednosta Kliniky nemoc\u00ed plicn\u00edch a\u00a0tuberkul\u00f3zy ve Fakultn\u00ed nemocnici v\u00a0Brn\u011b. L\u00e9\u010dba hyperkapnie p\u0159itom m\u016f\u017ee pacient\u016fm s\u00a0CHOPN v\u00fdznamn\u011b zlep\u0161it kvalitu \u017eivota. Sni\u017euje riziko zhor\u0161en\u00ed CHOPN a tak\u00e9 po\u010det hospitalizac\u00ed. \u201eOdborn\u00e9 studie tak\u00e9 potvrzuj\u00ed, \u017ee lid\u00e9 s\u00a0CHOPN, kte\u0159\u00ed se s\u00a0hyperkapni\u00ed l\u00e9\u010d\u00ed, \u017eij\u00ed d\u00e9le, a to v\u00a0\u0159\u00e1du n\u011bkolika m\u011bs\u00edc\u016f a\u017e let,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Ond\u0159ej Zela, MBA, prim\u00e1\u0159 Plicn\u00edho odd\u011blen\u00ed Nemocnice ve Fr\u00fddku-M\u00edstku. Hyperkapnii plicn\u00ed l\u00e9ka\u0159i l\u00e9\u010d\u00ed pomoc\u00ed neinvazivn\u00ed plicn\u00ed ventilace, kterou maj\u00ed pacienti u sebe doma. P\u0159\u00edstroj s\u00a0d\u00fdchac\u00ed maskou vyu\u017eij\u00ed p\u0159edev\u0161\u00edm v\u00a0dob\u011b sp\u00e1nku, kdy jim pom\u016f\u017ee zajistit v\u00fdm\u011bnu plyn\u016f a sn\u00ed\u017eit obsah oxidu uhli\u010dit\u00e9ho v\u00a0krvi. Pou\u017e\u00edvat jej ale mohou i ve dne.<\/p>\n L\u00e9\u010dbu hrad\u00ed pacient\u016fm zdravotn\u00ed poji\u0161\u0165ovna, ale mus\u00ed ji v\u017edy doporu\u010dit pneumolog, kter\u00fd zhodnot\u00ed, zdali bude pro pacienta prosp\u011b\u0161n\u00e1. \u201eP\u0159\u00edstroj je skute\u010dn\u011b neinvazivn\u00ed, tak\u017ee se lid\u00e9 nemus\u00ed b\u00e1t, \u017ee jim do krku povedou trubi\u010dky. P\u0159esto\u017ee m\u00e1me p\u0159\u00edstroj k\u00a0dispozici ji\u017e n\u011bkolik let, tak se st\u00e1le p\u0159\u00edli\u0161 \u010dasto nevyu\u017e\u00edv\u00e1, co\u017e je \u0161koda. V\u00a0sou\u010dasnosti jej m\u00e1 k dispozici p\u0159ibli\u017en\u011b 10 % pacient\u016f s\u00a0hyperkapni\u00ed, pomohl by ale v\u00edce lidem,\u201c<\/em> popisuje doc. Sova.<\/p>\n Pacienti s\u00a0CHOPN v\u00a0t\u011b\u017ek\u00e9m a velmi t\u011b\u017ek\u00e9m stadiu, kter\u00fdch je p\u0159ibli\u017en\u011b 50 tis\u00edc, by se proto podle n\u011bj m\u011bli u sv\u00e9ho pneumologa informovat o vy\u0161et\u0159en\u00ed krve na hyperkapnii. V\u00a0p\u0159\u00edpad\u011b, \u017ee by p\u0159em\u00edrou oxidu uhli\u010dit\u00e9ho v\u00a0krvi skute\u010dn\u011b trp\u011bli, je pak na m\u00edst\u011b debata o l\u00e9\u010db\u011b pomoc\u00ed neinvazivn\u00ed plicn\u00ed ventilace. S\u00a0CHOPN se v\u00a0\u010cesku l\u00e9\u010d\u00ed p\u0159ibli\u017en\u011b 250\u00a0000 lid\u00ed, ale dal\u0161\u00edch zhruba 450\u00a0000 o n\u011bm zat\u00edm nev\u00ed a nel\u00e9\u010d\u00ed se.<\/p>\n <\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Pacient\u016fm s\u00a0nemoc\u00ed plic koluje v\u00a0krvi p\u0159\u00edli\u0161 oxidu uhli\u010dit\u00e9ho S l\u00e9\u010dbou jim pom\u016f\u017ee p\u0159\u00edstroj, ten m\u00e1 ale jen 10 % z nich Mal\u00e1tnost, poruchy srde\u010dn\u00edho rytmu, nebo dokonce smrt \u2013 to v\u0161echno m\u016f\u017ee zp\u016fsobit zv\u00fd\u0161en\u00e1 koncentrace oxidu uhli\u010dit\u00e9ho v\u00a0krvi \u2013 tzv. hyperkapnie. Trp\u00ed j\u00ed p\u0159edev\u0161\u00edm lid\u00e9 s\u00a0chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed (CHOPN). Pacient\u016fm dok\u00e1\u017ee ulevit speci\u00e1ln\u00ed p\u0159\u00edstroj, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages\/976"}],"collection":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=976"}],"version-history":[{"count":5,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages\/976\/revisions"}],"predecessor-version":[{"id":1209,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages\/976\/revisions\/1209"}],"wp:attachment":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=976"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}