{"id":4744,"date":"2022-02-16T13:55:35","date_gmt":"2022-02-16T12:55:35","guid":{"rendered":"https:\/\/bleskovenoviny.cz\/?p=4744"},"modified":"2022-02-16T13:55:37","modified_gmt":"2022-02-16T12:55:37","slug":"krecove-zily-co-znamena-kdyz-je-jiz-potvrzena-diagnoza","status":"publish","type":"post","link":"https:\/\/bleskovenoviny.cz\/?p=4744","title":{"rendered":"K\u0159e\u010dov\u00e9 \u017e\u00edly. Co znamen\u00e1, kdy\u017e je ji\u017e potvrzena diagn\u00f3za?"},"content":{"rendered":"\n

Namodral\u00e9, otekl\u00e9 a nehezky hrudkovit\u00e9 \u017e\u00edly. Na kr\u00e1se rozhodn\u011b nep\u0159id\u00e1vaj\u00ed, nav\u00edc ale k\u0159e\u010dov\u00e9 \u017e\u00edly nebo varixy pat\u0159\u00ed mezi \u010dast\u00e1 onemocn\u011bn\u00ed \u017eiln\u00edho syst\u00e9mu. Poslouchejte proto sv\u00e9 nohy d\u0159\u00edve, ne\u017e propukne jejich onemocn\u011bn\u00ed.<\/p>\n\n\n\n

Pocit t\u011b\u017ek\u00fdch nohou, bolesti a p\u00edch\u00e1n\u00ed v nohou, otoky, p\u00e1len\u00ed, no\u010dn\u00ed k\u0159e\u010de, sv\u011bd\u011bn\u00ed \u010di pocit chladu nepat\u0159\u00ed mezi b\u011b\u017en\u00e9 projevy p\u0159et\u00ed\u017een\u00ed. Signalizuj\u00ed probl\u00e9m, kter\u00fd je t\u0159eba neprodlen\u011b konzultovat s l\u00e9ka\u0159em. \u010casn\u00e1 diagnostika a l\u00e9\u010dba dok\u00e1\u017eou zabr\u00e1nit pozd\u011bj\u0161\u00edm komplikac\u00edm, kter\u00e9 v\u00fdrazn\u011b znep\u0159\u00edjem\u0148uj\u00ed ka\u017edodenn\u00ed \u017eivot pacient\u016f a \u010dasto jsou p\u0159\u00ed\u010dinou jejich pracovn\u00ed neschopnosti.<\/p>\n\n\n\n

Pokud v\u00e1s tedy n\u011bkdy bolely nohy po celodenn\u00edm sezen\u00ed \u010di st\u00e1n\u00ed v pr\u00e1ci nebo jen tak, bez zjevn\u00e9 p\u0159\u00ed\u010diny, s velkou pravd\u011bpodobnost\u00ed se hl\u00e1s\u00ed o slovo pr\u00e1v\u011b va\u0161e \u017e\u00edly. I kdy\u017e jste na sv\u00fdch nohou nezpozorovali \u017e\u00e1dn\u00e9 jin\u00e9 p\u0159\u00edznaky, jako jsou nap\u0159\u00edklad viditeln\u00e9 modr\u00e9 \u017eilky, pat\u0159\u00edte do skupiny v\u00edce ne\u017e 20 % pacient\u016f, u kter\u00fdch se projevilo prvn\u00ed stadium chronick\u00e9ho \u017eiln\u00edho onemocn\u011bn\u00ed lidov\u011b zvan\u00e9ho i k\u0159e\u010dov\u00e9 \u017e\u00edly.<\/p>\n\n\n\n

Chirurg J\u00falius Muransk\u00fd: Jak se operuj\u00ed k\u0159e\u010dov\u00e9 \u017e\u00edly?
\u201eVy\u0161et\u0159en\u00ed k\u0159e\u010dov\u00fdch \u017eil je bezbolestn\u00e9 a trv\u00e1 p\u0159ibli\u017en\u011b 20 a\u017e 30 minut. L\u00e9ka\u0159 si k\u0159e\u010dov\u00e9 \u017e\u00edly nejprve podrobn\u011b prohl\u00e9dne a vy\u0161et\u0159\u00ed je pohmatem. N\u00e1sledn\u011b provede ultrasonografick\u00e9 vy\u0161et\u0159en\u00ed ke stanoven\u00ed parametr\u016f a rychlosti pr\u016ftoku krve v c\u00e9v\u00e1ch \u2013 tzv. dopplerovsk\u00e9 vy\u0161et\u0159en\u00ed. Jeho c\u00edlem je zjistit, zda jsou \u017e\u00edly zdrav\u00e9 nebo nemocn\u00e9. Ultrazvukem sledujeme zejm\u00e9na pr\u016ftoky, zp\u011btn\u00e9 toky krve a spojky mezi hlubok\u00fdm a povrchov\u00fdm \u017eiln\u00edm syst\u00e9mem. Na z\u00e1klad\u011b v\u00fdsledk\u016f ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed pak l\u00e9ka\u0159 ur\u010d\u00ed p\u0159esnou diagn\u00f3zu a vzhledem k rozsahu a stadiu onemocn\u011bn\u00ed navrhne nejvhodn\u011bj\u0161\u00ed metodu l\u00e9\u010dby,\u201c vysv\u011btluje diagnostick\u00fd postup doktor J\u00falius Muransk\u00fd, chirurg z Kliniky jednodenn\u00ed chirurgie REVIVE v Bratislav\u011b.<\/p>\n\n\n\n

Nej\u010dast\u011bj\u0161\u00ed rizikov\u00e9 faktory?
d\u011bdi\u010dn\u00e1 predispozice
v\u011bk (se zvy\u0161uj\u00edc\u00edm se v\u011bkem riziko vzniku chronick\u00fdch \u017eiln\u00edch onemocn\u011bn\u00ed nar\u016fst\u00e1, v kategorii v\u00edce ne\u017e 65 let t\u0159\u00ed- a\u017e \u010dty\u0159n\u00e1sobn\u011b oproti 40let\u00fdm)
\u017eensk\u00e9 pohlav\u00ed, zejm\u00e9na b\u011bhem obdob\u00ed p\u0159echodu (klimakteria)
t\u011bhotenstv\u00ed (zejm\u00e9na opakovan\u00e9 t\u011bhotenstv\u00ed) a n\u00e1r\u016fst hmotnosti b\u011bhem n\u011bj; tloustnut\u00ed se p\u0159irozen\u011b nelze vyhnout, jde o kontrolovan\u00fd n\u00e1r\u016fst
u\u017e\u00edv\u00e1n\u00ed antikoncepce nebo hormon\u00e1ln\u00ed l\u00e9\u010dba
nadv\u00e1ha a obezita
nedostatek pohybu, dlouh\u00e9 sezen\u00ed, st\u00e1n\u00ed, ale tak\u00e9 nep\u0159im\u011b\u0159en\u00e1 svalov\u00e1 z\u00e1t\u011b\u017e (nespr\u00e1vn\u00e9 posilov\u00e1n\u00ed, silov\u00e9 sporty) a \u010dast\u00e9 zved\u00e1n\u00ed t\u011b\u017ek\u00fdch b\u0159emen
nevhodn\u00e9 oble\u010den\u00ed a obuv, zejm\u00e9na t\u011bsn\u00e9 spodn\u00ed pr\u00e1dlo a obuv na vysok\u00fdch podpatc\u00edch
hork\u00e9 prost\u0159ed\u00ed, kter\u00e9 zp\u016fsobuje nep\u0159irozen\u00e9 rozta\u017een\u00ed c\u00e9vn\u00edho syst\u00e9mu a zv\u00fd\u0161enou z\u00e1t\u011b\u017e na jeho funk\u010dnost
kou\u0159en\u00ed (vede ke zu\u017eov\u00e1n\u00ed a oslabov\u00e1n\u00ed c\u00e9vn\u00edch st\u011bn)
strava s n\u00edzk\u00fdm obsahem vl\u00e1kniny a n\u00e1sledn\u00e1 z\u00e1cpa (na c\u00e9vy v podb\u0159i\u0161\u00ed a t\u0159\u00edslech p\u016fsob\u00ed vnit\u0159n\u00ed tlak, kter\u00fd zt\u011b\u017euje \u010dinnost \u017eil)
p\u0159ekonan\u00e1 \u017eiln\u00ed tromb\u00f3za \u2013 tedy chorobn\u00fd vznik krevn\u00edch sra\u017eenin v srdci a c\u00e9v\u00e1ch (nejt\u011b\u017e\u0161\u00ed formy chronick\u00e9 \u017eiln\u00ed nedostate\u010dnosti maj\u00ed osoby, kter\u00e9 v minulosti prod\u011blaly na doln\u00edch kon\u010detin\u00e1ch \u017eiln\u00ed tromb\u00f3zu, zejm\u00e9na pokud ta nebyla v\u010das a spr\u00e1vn\u011b l\u00e9\u010dena)
Kdy\u017e je potvrzena diagn\u00f3za, znamen\u00e1 to, \u017ee onemocn\u011bn\u00ed je ji\u017e morfologick\u00e9, tedy je po\u0161kozen\u00e1 tk\u00e1\u0148. \u201eRoz\u0161\u00ed\u0159en\u00e9 c\u00e9vy proto pot\u0159ebujeme zu\u017eovat, a to u\u017e po zbytek \u017eivota. L\u00e9ky by se m\u011bly u\u017e\u00edvat do\u017eivotn\u011b, s drobn\u00fdmi p\u0159est\u00e1vkami, nap\u0159\u00edklad v zim\u011b. K\u0159e\u010dov\u00e9 \u017e\u00edly jsou obecn\u011b v hor\u0161\u00edm stavu v l\u00e9t\u011b a \u017e\u00edly se p\u0159irozen\u011b v\u00edce roztahuj\u00ed,\u201c \u0159\u00edk\u00e1 doktor Muransk\u00fd.<\/p>\n\n\n\n

\u201eL\u00e9ky a dopl\u0148ky stravy mohou m\u00edt stejnou \u00fa\u010dinnou l\u00e1tku. Rozd\u00edl je pouze ve form\u011b, p\u0159\u00edprav\u011b, m\u011b\u0159en\u00ed a dodr\u017eov\u00e1n\u00ed limit\u016f, kter\u00e9 jsou d\u00e1ny. L\u00e9ky jsou p\u0159\u00edsn\u011bji sledov\u00e1ny, jsou registrov\u00e1ny a mus\u00ed spl\u0148ovat p\u0159\u00edsn\u00e1 opat\u0159en\u00ed. Dopl\u0148ky stravy nemaj\u00ed deklarovan\u00fd l\u00e9\u010div\u00fd \u00fa\u010dinek, ale mohou zp\u016fsobovat v\u00fdrazn\u00e9 zlep\u0161en\u00ed stavu \u010di odd\u00e1len\u00ed probl\u00e9mu. Ne v\u0161echno, co je v l\u00e9c\u00edch, je ve v\u00fd\u017eivov\u00fdch dopl\u0148c\u00edch a naopak. Rozd\u00edl je samoz\u0159ejm\u011b iv tom, \u017ee l\u00e9ky p\u0159edepisuje v\u017edy l\u00e9ka\u0159 a dopl\u0148ky stravy jsou voln\u011b prodejn\u00e9. \u010casto je vhodn\u00e1 pr\u00e1v\u011b kombinace l\u00e9k\u016f a dopl\u0148k\u016f stravy,\u201c p\u0159ibli\u017euje l\u00e9\u010dbu doktor Muransk\u00fd.<\/p>\n\n\n\n

Nej\u010dast\u011bji subjektivn\u00ed p\u0159\u00edznaky, jak\u00fdmi se k\u0159e\u010dov\u00e9 \u017e\u00edly projevuj\u00ed:
pocit \u201et\u011b\u017ek\u00fdch nohou\u201c<\/p>\n\n\n\n

\u00fanava doln\u00edch kon\u010detin<\/p>\n\n\n\n

pocity horka p\u0159\u00edpadn\u011b naopak pocit chladu<\/p>\n\n\n\n

sv\u011bd\u011bn\u00ed k\u016f\u017ee<\/p>\n\n\n\n

k\u0159e\u010de v l\u00fdtk\u00e1ch<\/p>\n\n\n\n

zv\u00fd\u0161en\u00e1 potivost<\/p>\n\n\n\n

bolesti (zejm\u00e9na po dlouhodob\u00e9m sezen\u00ed \u010di st\u00e1n\u00ed)<\/p>\n\n\n\n

otoky<\/p>\n\n\n\n

\"\"<\/a><\/figure><\/div>\n\n\n\n

Doporu\u010denou sou\u010d\u00e1st\u00ed l\u00e9\u010dby jsou tak\u00e9 kompresivn\u00ed pun\u010dochy \u010di podkolenky. Podle doktora Muransk\u00e9ho to, zda l\u00e9ka\u0159 p\u0159edep\u00ed\u0161e pacientovi jedno nebo druh\u00e9, z\u00e1vis\u00ed na tom, kde je posti\u017een\u00ed. \u201eKdy\u017e je posti\u017een\u00ed \u017eil pouze na b\u00e9rci, tehdy sta\u010d\u00ed podkolenky. Kdy\u017e je posti\u017een\u00ed \u017eil i ve stehnov\u00e9 oblasti nebo spojka z hlavn\u00ed \u017e\u00edly na stehn\u011b, doporu\u010duj\u00ed se bu\u010f stehenn\u00ed, nebo pun\u010dochov\u00e9 kalhoty. D\u016fle\u017eit\u00e9 je ale hlavn\u011b to, jak se pacient v nich c\u00edt\u00ed. M\u016fj n\u00e1zor je takov\u00fd, \u017ee dobr\u00e9 jsou jen ty, co se nos\u00ed a nejsou jen ve sk\u0159\u00edni. Nejlep\u0161\u00ed jsou ty, kter\u00e9 je pacient ochoten nosit,\u201c \u0159\u00edk\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"

Namodral\u00e9, otekl\u00e9 a nehezky hrudkovit\u00e9 \u017e\u00edly. Na kr\u00e1se rozhodn\u011b nep\u0159id\u00e1vaj\u00ed, nav\u00edc ale k\u0159e\u010dov\u00e9 \u017e\u00edly nebo varixy pat\u0159\u00ed mezi \u010dast\u00e1 onemocn\u011bn\u00ed \u017eiln\u00edho syst\u00e9mu. Poslouchejte proto sv\u00e9 nohy d\u0159\u00edve, ne\u017e propukne jejich onemocn\u011bn\u00ed. Pocit t\u011b\u017ek\u00fdch nohou, bolesti a p\u00edch\u00e1n\u00ed v nohou, otoky, p\u00e1len\u00ed, no\u010dn\u00ed k\u0159e\u010de, sv\u011bd\u011bn\u00ed \u010di pocit chladu nepat\u0159\u00ed mezi b\u011b\u017en\u00e9 projevy p\u0159et\u00ed\u017een\u00ed. Signalizuj\u00ed probl\u00e9m, kter\u00fd […]<\/p>\n","protected":false},"author":101,"featured_media":4745,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[278],"tags":[],"class_list":["post-4744","post","type-post","status-publish","format-standard","has-post-thumbnail","category-rady-a-navody"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts\/4744","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/users\/101"}],"replies":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4744"}],"version-history":[{"count":0,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts\/4744\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/media\/4745"}],"wp:attachment":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4744"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4744"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4744"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}