{"id":294747,"date":"2024-01-08T13:59:24","date_gmt":"2024-01-08T12:59:24","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=294747"},"modified":"2024-01-10T12:53:46","modified_gmt":"2024-01-10T11:53:46","slug":"jizni-cechy-stale-vice-deti-konci-v-nemocnici-v-souvislosti-s-drogami","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=294747","title":{"rendered":"JI\u017dN\u00cd \u010cECHY: St\u00e1le v\u00edce d\u011bt\u00ed kon\u010d\u00ed v nemocnici v souvislosti s u\u017e\u00edv\u00e1n\u00edm drog"},"content":{"rendered":"
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Prim\u00e1\u0159 Karel Chytr\u00fd<\/figcaption><\/figure>\n

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V rukou l\u00e9ka\u0159\u016f D\u011btsk\u00e9ho a dorostov\u00e9ho odd\u011blen\u00ed Nemocnice P\u00edsek kon\u010d\u00ed st\u00e1le v\u00edce pacient\u016f, jejich\u017e zdravotn\u00ed pot\u00ed\u017ee souvisej\u00ed s u\u017e\u00edv\u00e1n\u00edm drog. V r\u016fzn\u00e9 form\u011b se to t\u00fdk\u00e1 jak ileg\u00e1ln\u00edch n\u00e1vykov\u00fdch l\u00e1tek, tak t\u011bch voln\u011b dostupn\u00fdch. Podle prim\u00e1\u0159e odd\u011blen\u00ed Karla Chytr\u00e9ho jde o t\u0159icetin\u00e1sobn\u00fd n\u00e1r\u016fst oproti obdob\u00ed p\u0159ed deseti lety.<\/h6>\n

\"\"\u201eS pacienty, jejich\u017e hospitalizace souvis\u00ed s drogami, se setk\u00e1v\u00e1me n\u011bkolikr\u00e1t do m\u011bs\u00edce. A\u0165 u\u017e jde o d\u011bti, kter\u00e9 samy omamnou a psychotropn\u00ed l\u00e1tku u\u017eily a s n\u00e1sledn\u00fdmi pot\u00ed\u017ei se u n\u00e1s l\u00e9\u010dily, nebo o novorozence drogov\u011b z\u00e1visl\u00fdch matek,<\/em>\u201c sd\u011blil prim\u00e1\u0159 D\u011btsk\u00e9ho a dorostov\u00e9ho odd\u011blen\u00ed Nemocnice P\u00edsek Karel Chytr\u00fd.<\/p>\n

Takov\u00ed novorozenci se \u010dasto rod\u00ed p\u0159ed\u010dasn\u011b a prvn\u00ed dny po porodu jev\u00ed abstinen\u010dn\u00ed p\u0159\u00edznaky. \u201eNovorozeneck\u00fd abstinen\u010dn\u00ed syndrom se projevuje nap\u0159\u00edklad podr\u00e1\u017ed\u011bnost\u00ed, k\u0159e\u010demi, poruchami sp\u00e1nku, zvracen\u00edm a nap\u0159\u00edklad pr\u016fjmem. Intenzitu t\u011bchto p\u0159\u00edznak\u016f ovliv\u0148uje druh n\u00e1vykov\u00e9 l\u00e1tky, frekvence u\u017e\u00edv\u00e1n\u00ed i d\u00e9lka z\u00e1vislosti,<\/em>\u201c \u0159ekl Karel R\u016f\u017ei\u010dka, l\u00e9ka\u0159 Neonatologick\u00e9ho odd\u011blen\u00ed Nemocnice P\u00edsek.<\/p>\n

Podobn\u00e9 symptomy maj\u00ed d\u011bti, kter\u00e9 omamnou l\u00e1tku samy po\u017eily. \u201eP\u0159ij\u00edm\u00e1me je kv\u016fli k\u0159e\u010d\u00edm, zvracen\u00ed, \u00fazkostem. V\u011bt\u0161inou jde o teenagery. A na vin\u011b je bu\u010f ileg\u00e1ln\u00ed droga, nap\u0159\u00edklad pervitin, nebo voln\u011b dostupn\u00e1 l\u00e1tka typu HHC, Kratom, nikotinov\u00e9 s\u00e1\u010dky, alkohol, pop\u0159\u00edpad\u011b r\u016fzn\u00e9 kombinace t\u011bchto l\u00e1tek,<\/em>\u201c \u0159ekl Karel Chytr\u00fd.<\/p>\n

Enormn\u00edmu n\u00e1r\u016fstu d\u011btsk\u00fdch drogov\u00fdch p\u0159\u00edpad\u016f se l\u00e9ka\u0159i p\u0159izp\u016fsobili u\u017e p\u0159i p\u0159\u00edjmu pacient\u016f. \u201eKdy\u017e jsme d\u0159\u00edve p\u0159ij\u00edmali d\u00edt\u011b ve \u0161patn\u00e9m stavu, tak jsme mezi p\u016fvodce t\u011bchto obt\u00ed\u017e\u00ed drogy hned nezahrnovali. Dnes je naopak m\u00e1me mezi hlavn\u00edmi mo\u017en\u00fdmi p\u0159\u00ed\u010dinami a p\u0159izp\u016fsobujeme tomu i vy\u0161et\u0159ov\u00e1n\u00ed pacient\u016f. D\u00edky v\u010dasn\u00e9 diagnostice m\u016f\u017eeme rychleji zah\u00e1jit l\u00e9\u010dbu. Ani pot\u00e9, co vy\u0159e\u0161\u00edme akutn\u00ed stav, ale nem\u00e1 pacient vyhr\u00e1no. Aby se k n\u00e1m s podobn\u00fdmi nebo dal\u0161\u00edmi navazuj\u00edc\u00edmi pot\u00ed\u017ei znovu nedostal, \u010dek\u00e1 ho zpravidla dlouhodob\u00e1 l\u00e9\u010dba z\u00e1vislosti,<\/em>\u201c dodal Karel Chytr\u00fd.<\/p>\n

Akutn\u00ed stavy souvisej\u00edc\u00ed s u\u017e\u00edv\u00e1n\u00edm drog se net\u00fdkaj\u00ed pouze d\u011btsk\u00e9ho odd\u011blen\u00ed. Na rostouc\u00ed po\u010det p\u0159\u00edpad\u016f upozor\u0148uj\u00ed nap\u0159\u00edklad tak\u00e9 internist\u00e9, anesteziologov\u00e9 a dal\u0161\u00ed odborn\u00edci. Omamn\u00fdm a psychotropn\u00edm l\u00e1tk\u00e1m se nap\u0159\u00edklad v\u011bnuj\u00ed ve sv\u00e9 kazuistice (pozn. p\u0159\u00edpadov\u00e9 studii) David Rand\u00e1k a Pavel Malina z Odd\u011blen\u00ed klinick\u00e9 biochemie Nemocnice P\u00edsek a Ladislav Gergely z Intern\u00edho odd\u011blen\u00ed. Spole\u010dn\u011b popsali p\u0159\u00edpad pades\u00e1tn\u00edka, kter\u00e9ho do nemocnice p\u0159ijali v bezv\u011bdom\u00ed.<\/p>\n

\u201ePacient u n\u00e1s byl hospitalizov\u00e1n u\u017e p\u0159ed lety, tehdy m\u011bl z neobjasn\u011bn\u00fdch p\u0159\u00ed\u010din hore\u010dku. Tentokr\u00e1t mu z nezn\u00e1m\u00fdch d\u016fvod\u016f selh\u00e1valy dechov\u00e9 funkce i ledviny. P\u0159edpokl\u00e1d\u00e1me, \u017ee na po\u010d\u00e1tku tohoto stavu byly drogy, kter\u00e9 zp\u016fsobily takzvan\u00fd Serotoninov\u00fd syndrom. Zjednodu\u0161en\u011b, \u0161lo o otravu drogami,<\/em>\u201c \u0159ekl Pavel Malina, prim\u00e1\u0159 Odd\u011blen\u00ed klinick\u00e9 biochemie Nemocnice P\u00edsek.<\/p>\n

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Text a foto: (tz-nem)<\/strong><\/p>\n

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