{"id":86,"date":"2016-09-06T16:00:49","date_gmt":"2016-09-06T16:00:49","guid":{"rendered":"http:\/\/chirurgruky.cz\/?p=86"},"modified":"2024-06-15T11:03:51","modified_gmt":"2024-06-15T11:03:51","slug":"dupuytrenova-kontraktura","status":"publish","type":"post","link":"http:\/\/chirurgruky.cz\/?p=86","title":{"rendered":"Dupuytrenova kontraktura"},"content":{"rendered":"<p>Posti\u017een\u00ed vazivov\u00e9 plot\u00e9nky ve dlani, kdy doch\u00e1z\u00ed ke zbytn\u011bn\u00ed, tvorb\u011b uzlu a pruh\u016f a kontraktur\u00e1m ve dlani a prstech horn\u00edch kon\u010detin.<\/p>\n<h3>P\u0159\u00edznaky<\/h3>\n<p>Tuh\u00e9 zdu\u0159en\u00ed ve dlani, kter\u00e9 nemus\u00ed \u010dinit \u017e\u00e1dn\u00e9, obt\u00ed\u017ee, vz\u00e1cn\u011bji se projevuje bolesti spont\u00e1nn\u011b \u010di p\u0159i \u00fachopu. Postupn\u011b doch\u00e1z\u00ed k progresi a omezen\u00ed hybnosti (pln\u00e9ho nata\u017een\u00ed) nej\u010dast\u011bji z mal\u00edku a IV prstu, ale mohou b\u00fdt posti\u017eeny v\u0161echny prsty v\u010detn\u011b palce<\/p>\n<h3>Diagnosa a l\u00e9\u010dba<\/h3>\n<p>Diagnosa je pouze klinick\u00e1. L\u00e9\u010dba je p\u0159i omezen\u00ed nata\u017een\u00ed prstu pouze opera\u010dn\u00ed.<\/p>\n<h3>Nechirurgick\u00e1 forma terapie<\/h3>\n<p>Nechirurgick\u00e1 forma terapie Dupuytrenovy kontraktury za pomoci enzym\u016f. Prov\u00e1d\u00ed se injek\u010dn\u00ed aplikac\u00ed l\u00e9ku Xiapex do posti\u017een\u00e9 tk\u00e1n\u011b dlan\u011b ruky a prst\u016f. Sm\u00ed aplikovat pouze pro\u0161kolen\u00fd l\u00e9ka\u0159.<\/p>\n<p>Doch\u00e1z\u00ed k rozpu\u0161t\u011bn\u00ed posti\u017een\u00e9 tk\u00e1n\u011b a obnoven\u00ed hybnosti a rozsahu pohyb\u016f prstu\/\u016f.<\/p>\n<p>P\u0159ipravek ani jeho aplikace nen\u00ed hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed \u2013 cena p\u0159\u00edpravku a aplikace 25.000,-.<\/p>\n<p><strong>Bohu\u017eel tato forma l\u00e9\u010dby ji\u017e nen\u00ed v EU dostupn\u00e1<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Dupuytren p\u0159ed l\u00e9\u010dbou\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Dupuytren\/Dupuytren_1.jpg\" alt=\"Dupuytren p\u0159ed l\u00e9\u010dbou.jpg, 24kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Dupuytren p\u0159ed operac\u00ed\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Dupuytren\/Dupuytren_2.jpg\" alt=\"Dupuytren p\u0159ed operac\u00ed.jpg, 25kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Dupuytren po operaci\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Dupuytren\/Dupuytren_3.jpg\" alt=\"Dupuytren po operaci.jpg, 29kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Dupuytren po l\u00e9\u010db\u011b\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Dupuytren\/Dupuytren_4.jpg\" alt=\"Dupuytren po l\u00e9\u010db\u011b.jpg, 30kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Dupuytren po l\u00e9\u010db\u011b II\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Dupuytren\/Dupuytren_5.jpg\" alt=\"Dupuytren po l\u00e9\u010db\u011b II.jpg, 22kB\" width=\"240\" height=\"180\" border=\"0\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Posti\u017een\u00ed vazivov\u00e9 plot\u00e9nky ve dlani, kdy doch\u00e1z\u00ed ke zbytn\u011bn\u00ed, tvorb\u011b uzlu a pruh\u016f a kontraktur\u00e1m ve dlani a prstech horn\u00edch kon\u010detin. P\u0159\u00edznaky Tuh\u00e9 zdu\u0159en\u00ed ve dlani, kter\u00e9 nemus\u00ed \u010dinit \u017e\u00e1dn\u00e9, obt\u00ed\u017ee, vz\u00e1cn\u011bji se projevuje bolesti spont\u00e1nn\u011b \u010di p\u0159i \u00fachopu. Postupn\u011b doch\u00e1z\u00ed k progresi a omezen\u00ed hybnosti (pln\u00e9ho nata\u017een\u00ed) nej\u010dast\u011bji z mal\u00edku a IV prstu, ale mohou b\u00fdt posti\u017eeny v\u0161echny prsty v\u010detn\u011b palce Diagnosa a l\u00e9\u010dba Diagnosa je pouze klinick\u00e1. L\u00e9\u010dba <a class=\"read-more\" href=\"http:\/\/chirurgruky.cz\/?p=86\">\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\/86"}],"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=86"}],"version-history":[{"count":2,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/86\/revisions"}],"predecessor-version":[{"id":338,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/86\/revisions\/338"}],"wp:attachment":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=86"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=86"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}