{"id":78,"date":"2016-09-06T15:58:57","date_gmt":"2016-09-06T15:58:57","guid":{"rendered":"http:\/\/chirurgruky.cz\/?p=78"},"modified":"2016-09-06T16:42:31","modified_gmt":"2016-09-06T16:42:31","slug":"paklouby-zapesti-a-ruky","status":"publish","type":"post","link":"http:\/\/chirurgruky.cz\/?p=78","title":{"rendered":"Paklouby z\u00e1p\u011bst\u00ed a ruky"},"content":{"rendered":"<p>Pakloub \u2013 nezhojen\u00e1 zlomenina \u2013 jedn\u00e1 se nezhojenou zlomeninu. V m\u00edst\u011b zlomeniny doch\u00e1z\u00ed k pohybu a pokud je ponech\u00e1n bez l\u00e9\u010dby doch\u00e1z\u00ed k dal\u0161\u00edm zm\u011bn\u00e1m na okoln\u00edch tk\u00e1n\u00edch, kloubech apod.<\/p>\n<h3>P\u0159\u00edznaky<\/h3>\n<p>Bolesti a otoky v z\u00e1p\u011bst\u00ed, omezen\u00ed hybnosti, ztuhlost, omezen\u00ed svalov\u00e9 s\u00edly z\u00e1p\u011bst\u00ed a ruky. Citlivost a\u017e bolestivost nad posti\u017eenou kosti.<\/p>\n<h3>Diagnosa a l\u00e9\u010dba<\/h3>\n<p>Ve valn\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je nutn\u00e1 opera\u010dn\u00ed l\u00e9\u010dba, kter\u00e1 m\u00e1 za c\u00edl zhojen\u00ed pakloubu a obnoven\u00ed funkce kosti a t\u00edm cel\u00e9 ruky a z\u00e1p\u011bst\u00ed. Nej\u010dast\u011bj\u0161\u00edm onemocn\u011bn\u00edmi v oblasti ruky a z\u00e1p\u011bst\u00ed pakloub \u010dlunkov\u00e9 kosti (scaphoidea), kdy ponechan\u00e1 bez l\u00e9\u010dby po n\u011bkolika letech zp\u016fsobuje ji\u017e nezvratn\u00e9 zm\u011bny v z\u00e1p\u011bst\u00ed.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Pakloub scaphoidea p\u0159ed l\u00e9\u010dbou\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Pakloub\/Pakloub_1.JPG\" alt=\"Pakloub scaphoidea p\u0159ed l\u00e9\u010dbou.JPG, 43kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Pakloub scaphoidea p\u0159ed l\u00e9\u010dbou II\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Pakloub\/Pakloub_2.JPG\" alt=\"Pakloub scaphoidea p\u0159ed l\u00e9\u010dbou II.JPG, 42kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Pakloub po l\u00e9\u010db\u011b\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Pakloub\/Pakloub_3.jpg\" alt=\"Pakloub po l\u00e9\u010db\u011b.jpg, 19kB\" width=\"240\" height=\"180\" border=\"0\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pakloub \u2013 nezhojen\u00e1 zlomenina \u2013 jedn\u00e1 se nezhojenou zlomeninu. V m\u00edst\u011b zlomeniny doch\u00e1z\u00ed k pohybu a pokud je ponech\u00e1n bez l\u00e9\u010dby doch\u00e1z\u00ed k dal\u0161\u00edm zm\u011bn\u00e1m na okoln\u00edch tk\u00e1n\u00edch, kloubech apod. P\u0159\u00edznaky Bolesti a otoky v z\u00e1p\u011bst\u00ed, omezen\u00ed hybnosti, ztuhlost, omezen\u00ed svalov\u00e9 s\u00edly z\u00e1p\u011bst\u00ed a ruky. Citlivost a\u017e bolestivost nad posti\u017eenou kosti. Diagnosa a l\u00e9\u010dba Ve valn\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je nutn\u00e1 opera\u010dn\u00ed l\u00e9\u010dba, kter\u00e1 m\u00e1 za c\u00edl zhojen\u00ed pakloubu a obnoven\u00ed <a class=\"read-more\" href=\"http:\/\/chirurgruky.cz\/?p=78\">\u010c\u00edst v\u00edc &#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/78"}],"collection":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=78"}],"version-history":[{"count":1,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/78\/revisions"}],"predecessor-version":[{"id":79,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/78\/revisions\/79"}],"wp:attachment":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=78"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=78"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=78"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}