{"id":318193,"date":"2024-08-19T09:57:44","date_gmt":"2024-08-19T08:57:44","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=318193"},"modified":"2024-08-19T09:57:44","modified_gmt":"2024-08-19T08:57:44","slug":"vseobecna-zdravotni-pojistovna-lecba-dnave-artritidy","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=318193","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: L\u00e9\u010dba dnav\u00e9 artritidy"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Jak prob\u00edh\u00e1 vy\u0161et\u0159en\u00ed dny a jak se l\u00e9\u010d\u00ed?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Dna neboli dnav\u00e1 artritida je revmatologick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed, kter\u00e9 vznik\u00e1 zv\u00fd\u0161enou hladinou kyseliny mo\u010dov\u00e9 v krvi (hyperurikemie) a hromad\u011bn\u00edm jej\u00edch krystal\u016f v\u00a0kloubn\u00edch a m\u011bkk\u00fdch tk\u00e1n\u00edch. Onemocn\u011bn\u00ed m\u016f\u017ee prob\u00edhat \u0159adu let bez p\u0159\u00edznak\u016f.\u00a0D\u016fle\u017eit\u00e9 je, aby nemoc byla l\u00e9\u010dena \u2013 v\u00a0opa\u010dn\u00e9m p\u0159\u00edpad\u011b m\u016f\u017ee doj\u00edt k\u00a0po\u0161kozen\u00ed kloub\u016f, onemocn\u011bn\u00ed ledvin, za\u017e\u00edvac\u00edm probl\u00e9m\u016fm<\/b>\u00a0(nad\u00fdman\u00ed, pr\u016fjem) atd.\u00a0Sou\u010d\u00e1st\u00ed l\u00e9\u010dby je \u00faprava a dodr\u017eov\u00e1n\u00ed \u017eivotospr\u00e1vy a za\u0159azen\u00ed vhodn\u00e9ho pohybu.<\/b><\/p>\n

Jak se dna projevuje?<\/b><\/h6>\n

N\u00e1hle bez d\u0159\u00edv\u011bj\u0161\u00edch p\u0159\u00edznak\u016f m\u016f\u017ee propuknout tzv. akutn\u00ed dnav\u00fd z\u00e1chvat, kter\u00fd se ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f objevuje jako z\u00e1n\u011bt palce nohy. M\u016f\u017ee se tak\u00e9 projevit i\u00a0jinde na kloubech horn\u00edch nebo doln\u00edch kon\u010detin \u2013 na ostatn\u00edch prstech, kotn\u00edc\u00edch, kolenech, loktech nebo z\u00e1p\u011bst\u00edch.\u00a0P\u0159i projevu nemoci je\u00a0posti\u017een\u00fd kloub\u00a0zarudl\u00fd, otekl\u00fd, tepl\u00fd a bolestiv\u00fd na dotek. A\u010dkoli po\u010d\u00e1te\u010dn\u00ed projevy v\u00a0podob\u011b akutn\u00edho dnav\u00e9ho z\u00e1chvatu mohou po p\u00e1r dnech ustoupit, nemoc sama nezmiz\u00ed. V\u00a0p\u0159\u00edpad\u011b, \u017ee se symptomy objevuj\u00ed opakovan\u011b, vyskytuje se na v\u00edce m\u00edstech \u010di zp\u016fsobuje trval\u00e9 zdravotn\u00ed n\u00e1sledky, m\u016f\u017ee se\u00a0jednat o\u00a0chronick\u00fd stav onemocn\u011bn\u00ed.<\/p>\n

Jak\u00e9 jsou p\u0159\u00ed\u010diny dnav\u00e9 artritidy?<\/b><\/h6>\n

P\u0159\u00ed\u010dina tohoto onemocn\u011bn\u00ed \u010dasto souvis\u00ed s\u00a0nezdrav\u00fdm \u017eivotn\u00edm stylem a \u0161patnou \u017eivotospr\u00e1vou \u2013 nadm\u011brnou konzumac\u00ed potravin s\u00a0obsahem b\u00edlkovin, nadm\u011brnou konzumac\u00ed alkoholu, nedostate\u010dn\u00fdm pitn\u00fdm re\u017eimem, nedostatkem pohybu. Nemoc se\u00a0m\u016f\u017ee tak\u00e9 objevit v kombinaci s jin\u00fdm onemocn\u011bn\u00edm (nap\u0159. se\u00a0selh\u00e1n\u00edm ledvin, lup\u00e9nkou, vysok\u00fdm krevn\u00edm tlakem, p\u0159i diabetu 2. typu, obezit\u011b atd.), p\u0159i\u00a0u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f (nap\u0159. diuretika, imunosupresiva, antiparkinsonika), p\u0159\u00edpadn\u011b u lid\u00ed s genetick\u00fdmi p\u0159edpoklady.<\/p>\n

Kam se objednat na vy\u0161et\u0159en\u00ed?<\/b><\/h6>\n

V\u00a0p\u0159\u00edpad\u011b p\u0159\u00edznak\u016f\u00a0<\/b>(viz v\u00fd\u0161e)\u00a0by se m\u011bl pacient objednat na vy\u0161et\u0159en\u00ed k v\u0161eobecn\u00e9mu praktick\u00e9mu l\u00e9ka\u0159i.<\/b>\u00a0Ten s\u00a0pacientem projde jeho anamn\u00e9zu a aktu\u00e1ln\u00ed zdravotn\u00ed obt\u00ed\u017ee, n\u00e1sleduje komplexn\u00ed fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed.<\/b>\u00a0L\u00e9ka\u0159 pacienta ode\u0161le na laboratorn\u00ed odb\u011br krve<\/b>\u00a0\u2013 laboratorn\u00ed vy\u0161et\u0159en\u00ed hladiny kyseliny mo\u010dov\u00e9 m\u00e1 sp\u00ed\u0161e pomocn\u00fd v\u00fdznam. Pro spr\u00e1vnou diagnostiku je\u00a0kl\u00ed\u010dov\u00e9 stanoven\u00ed krystal\u016f kyseliny mo\u010dov\u00e9 v kloubn\u00ed tekutin\u011b.\u00a0V\u00a0p\u0159\u00edpad\u011b pot\u0159eby je proveden rentgen<\/b>\u00a0(RTG)\u00a0nebo ultrasonografick\u00e9 vy\u0161et\u0159en\u00ed<\/b>\u00a0(USG)\u00a0posti\u017een\u00e9ho kloubu<\/b>.<\/p>\n

Na\u00a0z\u00e1klad\u011b v\u00fdsledk\u016f vy\u0161et\u0159en\u00ed zvol\u00ed praktick\u00fd l\u00e9ka\u0159 vhodnou l\u00e9\u010dbu.<\/b>\u00a0V\u00a0p\u0159\u00edpad\u011b akutn\u00edho dnav\u00e9ho z\u00e1chvatu je d\u016fle\u017eit\u00e9 v\u010dasn\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby.\u00a0<\/b>Praktick\u00fd l\u00e9ka\u0159 pacienta m\u016f\u017ee doporu\u010dit k\u00a0dal\u0161\u00edmu vy\u0161et\u0159en\u00ed u\u00a0l\u00e9ka\u0159e specialisty \u2013 revmatologa, p\u0159\u00edpadn\u011b tak\u00e9 ortopeda.<\/p>\n

Vy\u0161et\u0159en\u00ed v\u00a0revmatologick\u00e9 ambulanci<\/b><\/h6>\n

Revmatologie je specializovan\u00fd l\u00e9ka\u0159sk\u00fd obor se zam\u011b\u0159en\u00edm na prevenci, vy\u0161et\u0159en\u00ed a l\u00e9\u010dbu nechirurgick\u00fdch onemocn\u011bn\u00ed pohybov\u00e9ho apar\u00e1tu (nap\u0159. kloub\u016f, kost\u00ed, p\u00e1te\u0159e, sval\u016f, vaz\u016f).\u00a0L\u00e9ka\u0159 specialista \u2013 revmatolog absolvuje s\u00a0pacientem kr\u00e1tk\u00fd pohovor, b\u011bhem kter\u00e9ho si dopln\u00ed pot\u0159ebn\u00e9<\/b>\u00a0informace v\u00a0anamn\u00e9ze.<\/b>\u00a0D\u00e1le\u00a0provede fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed a zhodnot\u00ed zdravotn\u00ed stav pohybov\u00e9ho apar\u00e1tu pacienta, p\u0159\u00edpadn\u011b provede punkci kloubn\u00ed tekutiny a vylou\u010d\u00ed jin\u00e9 mo\u017en\u00e9 revmatoidn\u00ed onemocn\u011bn\u00ed. N\u00e1sledn\u011b stanov\u00ed diagn\u00f3zu a navrhne l\u00e9\u010debn\u00fd postup<\/b>.<\/p>\n

L\u00e9\u010dba dny<\/b><\/h6>\n

C\u00edlem l\u00e9\u010dby je z\u00a0dlouhodob\u00e9ho hlediska p\u0159edch\u00e1zen\u00ed akutn\u00edch dnav\u00fdch z\u00e1chvat\u016f a sn\u00ed\u017een\u00ed koncentrace kyseliny mo\u010dov\u00e9 v\u00a0krvi.\u00a0<\/b>L\u00e9\u010dba je individu\u00e1ln\u00ed \u2013 odv\u00edj\u00ed se od stavu onemocn\u011bn\u00ed, p\u0159\u00edtomnosti rizikov\u00fdch faktor\u016f a p\u0159idru\u017een\u00fdch onemocn\u011bn\u00ed.<\/b><\/p>\n

O\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 pacientovi v r\u00e1mci l\u00e9\u010dby doporu\u010d\u00ed \u2013 dodr\u017eov\u00e1n\u00ed dietn\u00edch opat\u0159en\u00ed\u00a0<\/b>(doporu\u010duje se\u00a0omezit konzumaci vnit\u0159nost\u00ed, zv\u011b\u0159iny, masov\u00fdch v\u00fdvar\u016f, mo\u0159sk\u00fdch ryb a plod\u016f, hub, lu\u0161t\u011bnin, kv\u011bt\u00e1ku a brokolice, ch\u0159estu, kvasnic, \u010dokol\u00e1dy atd.)\u00a0a pitn\u00e9ho re\u017eimu\u00a0<\/b>(omezit siln\u00fd \u010dern\u00fd \u010daj a zrnkovou k\u00e1vu, p\u00edt dostatek neslazen\u00e9 vody atd.), zm\u011bnu \u017eivotn\u00edho stylu, abstinenci\u00a0<\/b>(vynechat obzvl\u00e1\u0161t\u011b pivo), za\u0159azen\u00ed pohybov\u00e9 aktivity, v\u00a0p\u0159\u00edpad\u011b obezity sn\u00ed\u017een\u00ed hmotnosti.<\/b>\u00a0Pacient tak\u00e9 doch\u00e1z\u00ed na\u00a0pravideln\u00e9 kontroly, a to v\u010detn\u011b kontrol p\u0159idru\u017een\u00fdch onemocn\u011bn\u00ed.<\/b><\/a><\/p>\n

<\/a>V\u00a0r\u00e1mci farmakoterapie o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 pacientovi p\u0159edepisuje l\u00e9ky<\/b>\u00a0\u2013 v dob\u011b akutn\u00edho dnav\u00e9ho z\u00e1chvatu zejm\u00e9na nesteroidn\u00ed antirevmatika (l\u00e9ky sni\u017euj\u00edc\u00ed bolest kloub\u016f a potla\u010duj\u00edc\u00ed z\u00e1n\u011bt), d\u00e1le urikosurika (l\u00e9ky sni\u017euj\u00edc\u00ed tvorbu kyseliny mo\u010dov\u00e9), glukokortikoidy a dal\u0161\u00ed l\u00e9ky k\u00a0p\u0159edch\u00e1zen\u00ed zhor\u0161en\u00ed stavu.<\/p>\n

\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b><\/h6>\n

Ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 jsou pacientovi indikov\u00e1na, jsou hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. V\u0161echna vy\u0161et\u0159en\u00ed je nutn\u00e9 prov\u00e9st ve\u00a0smluvn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch<\/b>\u00a0(tedy u\u00a0poskytovatele zdravotn\u00edch slu\u017eeb, kter\u00fd m\u00e1 smlouvu se\u00a0zdravotn\u00ed poji\u0161\u0165ovnou pacienta).<\/p>\n

(vzp)<\/strong><\/p>\n

\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA: Jak <\/p>\n","protected":false},"author":2,"featured_media":318195,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/08\/19\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/318193"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=318193"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/318193\/revisions"}],"predecessor-version":[{"id":318194,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/318193\/revisions\/318194"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/318195"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=318193"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=318193"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=318193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}