{"id":3701,"date":"2020-05-15T14:40:12","date_gmt":"2020-05-15T12:40:12","guid":{"rendered":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/?p=3701"},"modified":"2021-02-01T11:44:38","modified_gmt":"2021-02-01T10:44:38","slug":"nemoci-ktere-lide-zanedbavali-se-ozvou","status":"publish","type":"post","link":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/2020\/05\/15\/nemoci-ktere-lide-zanedbavali-se-ozvou\/","title":{"rendered":"Nemoci, kter\u00e9 lid\u00e9 kv\u016fli covidu zanedb\u00e1vali, se v horizontu n\u011bkolika m\u011bs\u00edc\u016f v\u00fdrazn\u011b ozvou\u00a0"},"content":{"rendered":"

Koronavirus n\u00e1s pomalu pou\u0161t\u00ed ze sp\u00e1r\u016f. Ale nen\u00ed to bohu\u017eel jenom dobr\u00e1 zpr\u00e1va. Sv\u011bt prost\u011b nen\u00ed \u010dernob\u00edl\u00fd. Ur\u010dit\u011b jsme ud\u011blali pokrok v telemedic\u00edn\u011b a pacienti se nau\u010dili v\u00edc telefonovat a m\u00ed\u0148 plnit \u010dek\u00e1rny. Jin\u00ed ale l\u00e9ka\u0159e nekonzultovali v\u016fbec a odborn\u00edci se te\u010f, co provedou zanedb\u00e1van\u00e9 nemoci. V rozhovoru s internistou MUDr. V\u00e1clavem Vom\u00e1\u010dkou jsme zji\u0161\u0165ovali, co b\u011bhem epidemie \u0159e\u0161\u00ed praktick\u00fd l\u00e9ka\u0159, kter\u00fd m\u00e1 ke sv\u00fdm pacient\u016fm tradi\u010dn\u011b nejbl\u00ed\u017ee.\u00a0 \u00a0<\/b><\/p>\n

Foto:\u00a0Online Marketing<\/a><\/p>\n

Pane doktore, jak\u00e1 jsou dnes z\u00e1kladn\u00ed doporu\u010den\u00ed pro va\u0161e pacienty?\u00a0<\/b><\/p>\n

Krom\u011b standardn\u00edch doporu\u010den\u00ed Ministerstva zdravotnictv\u00ed a WHO jim rad\u00edm, aby posilovali imunitu (<\/span>vitam\u00edn C a D, dostatek zeleniny a ovoce, pohyb na \u010derstv\u00e9m vzduchu). Co nejv\u00edce sportovat, cvi\u010dit doma i venku, b\u011bhat, st\u00e1hnout si n\u011bjakou aplikaci.<\/strong> Ani te\u010f ur\u010dit\u011b nen\u00ed nutn\u00e9 m\u00edt kontinu\u00e1ln\u011b zapnut\u00e9 zpravodajstv\u00ed a po uklidn\u011bn\u00ed zase n\u00e1ru\u017eiv\u011b sledovat, jestli se epidemie nevrac\u00ed. Rozhodn\u011b to nezlep\u0161uje psychick\u00fd stav a \u00fazkosti<\/a> se u \u0159ady pacient\u016f \u0161\u00ed\u0159\u00ed jako lavina. Sna\u017eit se udr\u017eet si pozitivn\u00ed my\u0161len\u00ed a nadhled \u2013 pom\u016f\u017ee sm\u00edch i sex. <\/span>\u263a<\/span><\/p>\n

Zm\u011bnil se s epidemi\u00ed chod va\u0161\u00ed ordinace?<\/b><\/p>\n

V\u00fdrazn\u011b. D\u0159\u00edve se pr\u016fm\u011brn\u00fd po\u010det pacient\u016f pohyboval okolo \u010dty\u0159iceti denn\u011b, v nejkriti\u010dt\u011bj\u0161\u00ed dob\u011b koronaviru jsme denn\u011b \u0159e\u0161ili zhruba 40 telefon\u00e1t\u016f a 40 e-mail\u016f. A dodnes to zase a\u017e tolik nekleslo. To p\u0159edstavuje enormn\u00ed z\u00e1t\u011b\u017e pro l\u00e9ka\u0159e i pro sestru. P\u0159ib\u00fdv\u00e1 tak\u00e9 p\u0159\u00edpad\u016f samodiagnostiky a sebel\u00e9\u010den\u00ed se v\u0161emi negativn\u00edmi d\u016fsledky.<\/strong>\u00a0Sna\u017e\u00edme se minimalizovat kontakt s\u00a0pacienty, ale v\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech to opravdu nejde. Ka\u017ed\u00fd den o\u0161et\u0159\u00edme pr\u016fm\u011brn\u011b 10 pacient\u016f s\u00a0takov\u00fdmi pot\u00ed\u017eemi, kter\u00e9 nelze diagnostikovat po telefonu ani l\u00e9\u010dit na d\u00e1lku.\u00a0<\/span><\/p>\n

\u0158e\u0161il jste n\u011bjak plo\u0161n\u00fd nedostatek ochrann\u00fdch pom\u016fcek?<\/b><\/p>\n

Samoz\u0159ejm\u011b. V\u011bt\u0161ina praktick\u00fdch ordinac\u00ed byla na\u0161t\u011bst\u00ed vybavena zbytkem ochrann\u00fdch pom\u016fcek je\u0161t\u011b z p\u0159\u00edpravy na epidemii eboly. Ty ale v\u011bt\u0161inou vydr\u017eely jen na p\u00e1r dn\u00ed. J\u00e1 jsem si v\u00a0prvn\u00edm t\u00fddnu p\u0159ivezl a upravil ochrann\u00fd \u0161t\u00edt z\u00a0chalupy, ve\u00a0kter\u00e9m b\u011b\u017en\u011b t\u0159eba \u0159e\u017eu rozbruskou<\/strong>. V\u00a0dob\u011b, kdy to je\u0161t\u011b \u0161lo, jsem koupil pro sebe a sest\u0159i\u010dku respir\u00e1tory FFP3 za asi ston\u00e1sobek b\u011b\u017en\u00e9 ceny. Obrovsk\u00fd d\u00edk za m\u011b pat\u0159\u00ed Josefu Pr\u016f\u0161ovi a jeho projektu <\/span>Tiskne cel\u00e9 \u010cesko<\/span><\/a>. Doma vyti\u0161t\u011bn\u00fd 3D \u0161t\u00edt mi do ordinace p\u0159inesl kamar\u00e1d, kter\u00fd je z\u00e1rove\u0148 i m\u016fj pacient.\u00a0<\/span><\/p>\n

\"\"
\u201eV\u00a0prvn\u00edm t\u00fddnu epidemie jsem si p\u0159ivezl a upravil ochrann\u00fd \u0161t\u00edt z\u00a0chalupy, ve\u00a0kter\u00e9m b\u011b\u017en\u011b t\u0159eba \u0159e\u017eu rozbruskou,\u201c vzpom\u00edn\u00e1 MUDr. Vom\u00e1\u010dka na po\u010d\u00e1te\u010dn\u00ed dny karant\u00e9ny.<\/span><\/em><\/figcaption><\/figure>\n

\u010cesk\u00e1 psychiatrick\u00e1 spole\u010dnost zaznamenala v\u00a0souvislosti s\u00a0karant\u00e9nn\u00edmi opat\u0159en\u00edmi strm\u00fd n\u00e1r\u016fst psychick\u00fdch poruch, \u00fazkost\u00ed a deprese. Pozoroval jste to i mezi sv\u00fdmi pacienty?<\/b><\/p>\n

Samoz\u0159ejm\u011b. Vysok\u00e1 m\u00edra stresu<\/a> je spojen\u00e1 nejen s\u00a0obavami o zdrav\u00ed, zam\u011bstn\u00e1n\u00ed nebo s nedostate\u010dn\u00fdmi finan\u010dn\u00edmi rezervami, ale i s klasickou \u201eponorkou\u201c. Doch\u00e1z\u00ed ke konfliktn\u00edm a kolizn\u00edm situac\u00edm v\u00a0rodin\u00e1ch.<\/strong> Lid\u00e9 byli \u010dasto zav\u0159en\u00ed doma a byli nuceni b\u00fdt pohromad\u011b, na co\u017e nebyli zvykl\u00ed. Chyb\u011blo a chyb\u00ed jim \u010dasto i te\u010f soukrom\u00ed i obvykl\u00e9 ventily v\u00a0podob\u011b volno\u010dasov\u00fdch aktivit a hlavn\u011b spole\u010densk\u00e9ho \u017eivota.\u00a0\u00a0<\/span><\/p>\n

Jak situaci zvl\u00e1dali pacienti s\u00a0chronick\u00fdmi onemocn\u011bn\u00edmi, jako nap\u0159\u00edklad diabetes, hypertenze nebo lid\u00e9 se srde\u010dn\u00edm \u010di ledvinov\u00fdm selh\u00e1n\u00edm?<\/b><\/p>\n

To je d\u016fle\u017eit\u00e1 ot\u00e1zka. Spole\u010dnost jako by si dlouho neuv\u011bdomovala, \u017ee krom\u011b Covidu-19 tu z\u016fstala i v\u0161echny ostatn\u00ed, tedy chronick\u00e1 i akutn\u00ed onemocn\u011bn\u00ed.\u00a0 Jejich \u0159e\u0161en\u00ed je \u010dasto je\u0161t\u011b st\u00e1le odsunuto do pozad\u00ed, po\u0159ad\u00ed priorit je jasn\u00e9. Ale dluh, kter\u00fd vznik\u00e1 odsouv\u00e1n\u00edm pravideln\u00fdch a preventivn\u00edch prohl\u00eddek v\u00fdrazn\u011b poc\u00edt\u00edme v\u00a0pr\u016fb\u011bhu n\u00e1sleduj\u00edc\u00edch m\u011bs\u00edc\u016f.\u00a0<\/span><\/p>\n

M\u00e1te pocit, \u017ee krize p\u0159in\u00e1\u0161\u00ed v\u00a0d\u016fsledku i n\u011bco pozitivn\u00edho? Zvedla se nap\u0159\u00edklad obrovsk\u00e1 vlna solidarity se zdravotn\u00edky, \u0159ada lid\u00ed za\u010dala v\u00a0karant\u00e9n\u011b b\u011bhat, cvi\u010dit nebo v\u00edce myslet na ostatn\u00ed. Mysl\u00edte, \u017ee n\u00e1m to vydr\u017e\u00ed?\u00a0<\/b><\/p>\n

Samoz\u0159ejm\u011b vn\u00edm\u00e1m, \u017ee \u010d\u00e1st lid\u00ed se za\u010dala h\u00fdbat v\u00edc ne\u017e obvykle. Na z\u00e1klad\u011b zku\u0161enost\u00ed s\u00a0reprezentativn\u00edm vzorkem populace nicm\u00e9n\u011b v\u00edm, \u017ee sportuj\u00ed zejm\u00e9na ti, kdo to m\u011bli ve zvyku u\u017e p\u0159edt\u00edm. Ostatn\u00ed se bohu\u017eel h\u00fdbou je\u0161t\u011b m\u00e9n\u011b ne\u017e d\u0159\u00edv a mnoz\u00ed se nav\u00edc p\u0159ej\u00eddaj\u00ed nebo rezignovali na jakoukoli aktivitu.\u00a0\u00a0<\/span><\/p>\n

T\u011b\u0161\u00ed n\u00e1s v\u0161echny formy podpory i pozitivn\u00ed ve\u0159ejn\u00e9 iniciativy a tak\u00e9, \u017ee na\u0161e zdravotnictv\u00ed v\u00a0t\u00e9to zkou\u0161ce zat\u00edm obst\u00e1lo. Faktem nicm\u00e9n\u011b z\u016fst\u00e1v\u00e1, \u017ee jestli\u017ee v\u00a0dob\u011b p\u0159ed covidem fungovalo \u010desk\u00e9 zdravotnictv\u00ed jako dob\u0159e promazan\u00fd stroj, bylo to p\u0159edev\u0161\u00edm d\u00edky ob\u011btav\u00e9 pr\u00e1ci l\u00e9ka\u0159\u016f a dal\u0161\u00edho zdravotnick\u00e9ho person\u00e1lu<\/strong>. V\u00a0budoucnu se nevyhneme koncep\u010dn\u00edmu \u0159e\u0161en\u00ed probl\u00e9m\u016f \u010desk\u00e9ho zdravotnictv\u00ed jako celku.\u00a0\u00a0<\/span><\/p>\n

 <\/p>\n

MUDR. V\u00e1clav Vom\u00e1\u010dka, 42 let<\/strong>, p\u016fsob\u00ed jako praktick\u00fd l\u00e9ka\u0159 na poliklinice Mod\u0159any na Praze 4. V\u00edce ne\u017e 11 let pracoval jako internista na odd\u011blen\u00ed urgentn\u00edho intern\u00edho p\u0159\u00edjmu v pra\u017esk\u00e9 nemocnici Na Bulovce. Ve voln\u00e9m \u010dase sportuje, jezd\u00ed na hory a v\u011bnuje se rodin\u011b a v\u010del\u00e1m.\u00a0<\/span><\/p>\n

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<\/div>\n

Jak \u0159\u00edk\u00e1 pan doktor, prevence a v\u010dasn\u00e9 podchycen\u00ed nemoc\u00ed je z\u00e1klad. Proto ostatn\u011b klienti\u00a0 Mutumutu<\/a>\u00a0z\u00edsk\u00e1vaj\u00ed slevu na poji\u0161t\u011bn\u00ed i za to, \u017ee chod\u00ed na prohl\u00eddky. A proto dlouhodob\u011b podporujeme i projekty jako nap\u0159\u00edklad Loono<\/a>, kter\u00e9 na d\u016fle\u017eitost prevence\u00a0 upozor\u0148uj\u00ed. V jejich rozcestn\u00edku\u00a0 prevence<\/a> se z\u00e1bavn\u00fdm zp\u016fsobem dozv\u00edte, jak se o sebe, svoje prsa, varlata, mozek i srdce spr\u00e1vn\u011b starat a tak\u00e9, kam a kdy zaj\u00edt na preventivn\u00ed prohl\u00eddku. A proto\u017ee se \u010dasto pt\u00e1te, zda m\u016f\u017eete u\u0161et\u0159en\u00e9 pojistn\u00e9 vyu\u017e\u00edt i pro dobro\u010dinn\u00e9 \u00fa\u010dely, m\u016f\u017eeme sl\u00edbit, \u017ee pr\u00e1v\u011b s Loono o takov\u00e9 mo\u017enosti jedn\u00e1me. D\u011bkujeme za n\u00e1pad!<\/i><\/b>\u00a0<\/i><\/b><\/p>\n

V\u00a0Mutumutu<\/a>\u00a0m\u00e1me taky r\u00e1di pohyb a zdrav\u00fd \u017eivotn\u00ed styl.\u00a0 Za radost ze sportu v\u00e1s odm\u011bn\u00edme vr\u00e1cen\u00edm 20 % z ceny poji\u0161t\u011bn\u00ed. Dal\u0161\u00edch 5 % z\u00edsk\u00e1te za to, \u017ee nekou\u0159\u00edte a 5 % za to, \u017ee chod\u00edte na pravideln\u00e9 l\u00e9ka\u0159sk\u00e9 prohl\u00eddky.<\/strong><\/em><\/p>\n

A\u017e 30 % zp\u011bt<\/a><\/div><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Koronavirus n\u00e1s pomalu pou\u0161t\u00ed ze sp\u00e1r\u016f. Ale nen\u00ed to bohu\u017eel jenom dobr\u00e1 zpr\u00e1va. Sv\u011bt prost\u011b nen\u00ed \u010dernob\u00edl\u00fd. Ur\u010dit\u011b jsme ud\u011blali pokrok v telemedic\u00edn\u011b a pacienti se nau\u010dili v\u00edc telefonovat a m\u00ed\u0148 plnit \u010dek\u00e1rny. Jin\u00ed ale l\u00e9ka\u0159e nekonzultovali v\u016fbec a odborn\u00edci se te\u010f, co provedou zanedb\u00e1van\u00e9 nemoci. V rozhovoru s internistou MUDr. V\u00e1clavem Vom\u00e1\u010dkou jsme zji\u0161\u0165ovali, …<\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,30,5],"tags":[437,56,110,220,234,40],"class_list":["post-3701","post","type-post","status-publish","format-standard","hentry","category-nezarazene","category-zdravi","category-zivotni-styl","tag-covid-19","tag-imunita","tag-jednoduche-zivotni-pojisteni-online","tag-nemoc","tag-psychicke-zdravi","tag-zdravi"],"_links":{"self":[{"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/posts\/3701","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/users\/43"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/comments?post=3701"}],"version-history":[{"count":0,"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/posts\/3701\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/media?parent=3701"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/categories?post=3701"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.new.prod.mutu.creativedock.cloud\/blog\/wp-json\/wp\/v2\/tags?post=3701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}