{"id":179,"date":"2018-10-12T17:08:16","date_gmt":"2018-10-12T15:08:16","guid":{"rendered":"http:\/\/new.studioblanche.cz\/?page_id=179"},"modified":"2018-11-04T20:17:25","modified_gmt":"2018-11-04T19:17:25","slug":"karpalni-tunely","status":"publish","type":"page","link":"https:\/\/www.studioblanche.cz\/index.php\/sluzby\/karpalni-tunely\/","title":{"rendered":"Karp\u00e1ln\u00ed tunely"},"content":{"rendered":"

[et_pb_section fb_built=“1″ _builder_version=“3.0.47″ custom_padding=“0|0px|54px|0px|false|false“][et_pb_row custom_padding=“0|0px|27px|0px|false|false“ _builder_version=“3.0.48″ background_size=“initial“ background_position=“top_left“ background_repeat=“repeat“][et_pb_column type=“4_4″ _builder_version=“3.0.47″ parallax=“off“ parallax_method=“on“][et_pb_image src=“\/wp-content\/uploads\/2018\/09\/homepage-services.jpg“ _builder_version=“3.12.2″][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=“3.0.48″ background_size=“initial“ background_position=“top_left“ background_repeat=“repeat“][et_pb_column type=“1_2″ _builder_version=“3.0.47″ parallax=“off“ parallax_method=“on“][et_pb_text module_class=“service-detail-text-box“ _builder_version=“3.12.2″]<\/p>\n

Speci\u00e1ln\u00ed mas\u00e1\u017e na karp\u00e1ln\u00ed tunely\u00a0<\/h2>\n

U l\u00e9ka\u0159e se v\u011bt\u0161inou bolestiv\u00fd syndrom karp\u00e1ln\u00edho tunelu \u0159e\u0161\u00ed operac\u00ed, p\u0159i kter\u00e9 jsou odstran\u011bny \u201eusazeniny v karp\u00e1ln\u00ed oblasti\u201c, bohu\u017eel v\u0161ak toto nen\u00ed dlouhodob\u00e9 \u0159e\u0161en\u00ed, po n\u00e1vratu pacienta do b\u011b\u017en\u00e9ho denn\u00edho a pracovn\u00edho re\u017eimu se velmi \u010dasto po kr\u00e1tk\u00e9 dob\u011b mus\u00ed operativn\u00ed z\u00e1krok znovu opakovat.<\/p>\n

Existuje v\u0161ak mo\u017enost velmi \u00fa\u010dinn\u00e9 mas\u00e1\u017ee, kter\u00e1 p\u0159i spr\u00e1vn\u00e9m a d\u016fkladn\u00e9m proveden\u00ed pacientovi velmi ulev\u00ed od bolestiv\u00fdch projev\u016f nemoci, v mnoha p\u0159\u00edpadech – dok\u00e1\u017ee tato mas\u00e1\u017e i odvr\u00e1tit hroz\u00edc\u00ed operativn\u00ed z\u00e1krok. Mas\u00e1\u017e je vhodn\u00e1 i po operaci pro udr\u017een\u00ed zdrav\u00e9ho bezbolestn\u00e9ho stavu a samoz\u0159ejm\u011b i jako v\u00fdborn\u00e1 prevence.
Ji\u017e p\u0159i prvn\u00ed n\u00e1v\u0161t\u011bv\u011b terapeuta a po prvn\u00ed mas\u00e1\u017ei pacient c\u00edt\u00ed v\u00fdraznou \u00falevu, ruce se uvoln\u00ed, opadnou otoky,. bolesti v\u00fdrazn\u011b ustupuj\u00ed a velmi \u010dasto se dostavuje i \u00fa\u017easn\u00fd vizu\u00e1ln\u00ed dojem: \u201e moje ruce vypadaj\u00ed \u00fapln\u011b jinak !!!\u201c<\/p>\n

V oblasti p\u0159edn\u00ed strany z\u00e1p\u011bst\u00ed prob\u00edh\u00e1 mnoho anatomick\u00fdch struktur, z nich\u017e nejz\u0159ejm\u011bj\u0161\u00ed jsou \u0161lachy. Pro pr\u016fb\u011bh t\u011bchto „prov\u00e1zk\u016f“ je v z\u00e1p\u011bst\u00ed vyhrazeno n\u011bkolik odd\u011blen\u00fdch a uzav\u0159en\u00fdch tunel\u016f. V jednom z t\u011bchto kan\u00e1lk\u016f prob\u00edh\u00e1 i jeden z hlavn\u00edch velk\u00fdch nerv\u016f, kter\u00e9 v oblasti z\u00e1p\u011bst\u00ed jsou. Jedn\u00e1 se o tzv. nervus medianus.<\/p>\n

Dlouhodob\u00fd \u00fatlak tohoto nervu se projev\u00ed jako syndrom karp\u00e1ln\u00edho tunelu. Vlivem nadm\u011brn\u00e9ho p\u0159et\u011b\u017eov\u00e1n\u00ed toti\u017e dojde ke zmno\u017een\u00ed vaziva v tomto tunelu, usad\u00ed se ne\u017e\u00e1douc\u00ed odpadn\u00ed l\u00e1tky a t\u00edm dojde k \u00fatlaku nervu. P\u0159edev\u0161\u00edm p\u0159i p\u0159et\u00ed\u017een\u00ed ruky nadm\u011brnou prac\u00ed.<\/p>\n

Nej\u010dast\u011bj\u0161\u00edmi p\u0159\u00edznaky jsou no\u010dn\u00ed brn\u011bn\u00ed prst\u016f, siln\u00e9 otoky z\u00e1p\u011bst\u00ed a prst\u016f, porucha jemn\u00e9 citlivosti a bolesti vyst\u0159eluj\u00edc\u00ed a\u017e do lokte \u010di ramene. Vyskytnout se mohou tak\u00e9 pot\u00ed\u017ee s rozezn\u00e1v\u00e1n\u00edm a udr\u017een\u00edm jemn\u00fdch p\u0159edm\u011bt\u016f, pocit rann\u00ed ztuhlosti ruky a necitlivosti prst\u016f, kter\u00e1 je a\u017e bolestiv\u00e1. Tyto pot\u00ed\u017ee jsou hor\u0161\u00ed v klidu. Typick\u00fd je tak\u00e9 bolestiv\u00fd poklep nad oblast\u00ed z\u00e1p\u011bst\u00ed a neschopnost pacienta ud\u011blat \u201e\u0161petku\u201c kv\u016fli ochabnut\u00ed sval\u016f ruky a palce.<\/p>\n

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V\u00fdhody<\/h3>\n