{"id":98,"date":"2023-03-04T15:29:46","date_gmt":"2023-03-04T15:29:46","guid":{"rendered":"https:\/\/www.kuzdraveni.cz\/?p=98"},"modified":"2023-03-28T14:17:17","modified_gmt":"2023-03-28T14:17:17","slug":"co-je-to-crohn","status":"publish","type":"post","link":"https:\/\/www.kuzdraveni.cz\/?p=98","title":{"rendered":"Co je to Crohn?"},"content":{"rendered":"[vc_row type=&#8220;in_container&#8220; full_screen_row_position=&#8220;middle&#8220; column_margin=&#8220;default&#8220; column_direction=&#8220;default&#8220; column_direction_tablet=&#8220;default&#8220; column_direction_phone=&#8220;default&#8220; scene_position=&#8220;center&#8220; text_color=&#8220;dark&#8220; text_align=&#8220;left&#8220; row_border_radius=&#8220;none&#8220; row_border_radius_applies=&#8220;bg&#8220; overflow=&#8220;visible&#8220; overlay_strength=&#8220;0.3&#8243; gradient_direction=&#8220;left_to_right&#8220; shape_divider_position=&#8220;bottom&#8220; bg_image_animation=&#8220;none&#8220;][vc_column column_padding=&#8220;no-extra-padding&#8220; column_padding_tablet=&#8220;inherit&#8220; column_padding_phone=&#8220;inherit&#8220; column_padding_position=&#8220;all&#8220; column_element_direction_desktop=&#8220;default&#8220; column_element_spacing=&#8220;default&#8220; desktop_text_alignment=&#8220;default&#8220; tablet_text_alignment=&#8220;default&#8220; phone_text_alignment=&#8220;default&#8220; background_color_opacity=&#8220;1&#8243; background_hover_color_opacity=&#8220;1&#8243; column_backdrop_filter=&#8220;none&#8220; column_shadow=&#8220;none&#8220; column_border_radius=&#8220;none&#8220; column_link_target=&#8220;_self&#8220; column_position=&#8220;default&#8220; gradient_direction=&#8220;left_to_right&#8220; overlay_strength=&#8220;0.3&#8243; width=&#8220;1\/1&#8243; tablet_width_inherit=&#8220;default&#8220; animation_type=&#8220;default&#8220; bg_image_animation=&#8220;none&#8220; border_type=&#8220;simple&#8220; column_border_width=&#8220;none&#8220; column_border_style=&#8220;solid&#8220;][vc_column_text]\n<p><strong>Definice a projevy Crohnovy choroby<\/strong><\/p>\n\n<p>Crohnova choroba je autoimunitn\u00ed chronick\u00e9 onemocn\u011bn\u00ed tr\u00e1vic\u00edho traktu. Zp\u016fsobuje z\u00e1n\u011btliv\u00e9 procesy v r\u016fzn\u00fdch \u010d\u00e1stech tr\u00e1vic\u00ed soustavy, nej\u010dast\u011bji v\u0161ak v oblasti spojen\u00ed tenk\u00e9ho a tlust\u00e9ho st\u0159eva. Pronik\u00e1 hluboko do vrstev posti\u017een\u00e9 tk\u00e1n\u011b a m\u016f\u017ee m\u00edt bolestiv\u00fd a oslabuj\u00edc\u00ed pr\u016fb\u011bh s \u017eivot ohro\u017euj\u00edc\u00edmi komplikacemi.<\/p>\n<p>Nej\u010dast\u011bji se projevuje <strong>bolestmi b\u0159icha, dlouhotrvaj\u00edc\u00edm pr\u016fjmem, ale tak\u00e9 \u00fanavou a \u00fabytkem hmotnosti, a\u017e podv\u00fd\u017eivou.<\/strong> Tr\u00e1p\u00ed v\u00e1s n\u011bco podobn\u00e9ho? Tak v\u00e1m t\u0159eba tento \u010dl\u00e1nek a m\u016fj blog pom\u016f\u017ee.<\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-108 alignright\" src=\"http:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/Matej_Hrabek_universe_where_Crohns_disease_is_no_longer_a_threa_2e18d364-f5d8-46d3-8696-71ba2ad1dd3e-300x300.png\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/Matej_Hrabek_universe_where_Crohns_disease_is_no_longer_a_threa_2e18d364-f5d8-46d3-8696-71ba2ad1dd3e-300x300.png 300w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/Matej_Hrabek_universe_where_Crohns_disease_is_no_longer_a_threa_2e18d364-f5d8-46d3-8696-71ba2ad1dd3e-150x150.png 150w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/Matej_Hrabek_universe_where_Crohns_disease_is_no_longer_a_threa_2e18d364-f5d8-46d3-8696-71ba2ad1dd3e-100x100.png 100w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/Matej_Hrabek_universe_where_Crohns_disease_is_no_longer_a_threa_2e18d364-f5d8-46d3-8696-71ba2ad1dd3e-140x140.png 140w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/Matej_Hrabek_universe_where_Crohns_disease_is_no_longer_a_threa_2e18d364-f5d8-46d3-8696-71ba2ad1dd3e-500x500.png 500w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/Matej_Hrabek_universe_where_Crohns_disease_is_no_longer_a_threa_2e18d364-f5d8-46d3-8696-71ba2ad1dd3e-350x350.png 350w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/Matej_Hrabek_universe_where_Crohns_disease_is_no_longer_a_threa_2e18d364-f5d8-46d3-8696-71ba2ad1dd3e.png 565w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/strong><\/p>\n<p><strong>A jak jsem v\u00fd\u0161e zm\u00edn\u011bn\u00e9 projevy poci\u0165oval j\u00e1 osobn\u011b? Nebyla to ob\u010das \u017e\u00e1dn\u00e1 poh\u00e1dka. <\/strong><\/p>\n<p>Pros\u00edm v\u0161ak ka\u017ed\u00e9ho z v\u00e1s, aby se od tohoto \u010dl\u00e1nku emo\u010dn\u011b oprostil a nesna\u017eil se, s\u00e1m sebe, diagnostikovat. Ano, bolesti b\u0159icha zn\u00e1m velmi dob\u0159e. V\u0161e za\u010dalo velmi nen\u00e1padn\u011b, lehk\u00fdm \u0161imr\u00e1n\u00edm a mikro k\u0159e\u010demi do b\u0159icha na r\u016fzn\u00fdch m\u00edstech. To v\u0161echno zvl\u00e1dnu, myslel jsem si. Abych v\u0161e je\u0161t\u011b vylep\u0161il, tak jsem v\u0161echny sv\u00e9 pocity zaj\u00eddal. Zvy\u0161uj\u00edc\u00ed se \u00fanavu jsem dlouho ignoroval a potla\u010doval, zvy\u0161uj\u00edc\u00edmi se d\u00e1vkami cukru. Nakonec jsem nemohl skoro ani vst\u00e1t z postele. Mal\u00e1tnost a mot\u00e1n\u00ed hlavy? Skoro jsem nevystoupil z metra. V Praze na Kobylis\u00edch. Dodnes se div\u00edm, \u017ee jsem sebou nesekl. To sam\u00e9 se mi zopakovalo, kdy\u017e jsem u obvodn\u00edho l\u00e9ka\u0159e \u0161el znovu skoro k zemi. Projevy, kter\u00e9 jsem dlouhou dobu potla\u010doval v sob\u011b, se za\u010daly dr\u00e1t na povrch. Z nedostatku \u017eeleza v krvi jsem byl b\u00edl\u00fd jako st\u011bna. Dal\u0161\u00edmi projevy je zvracen\u00ed a \u010dast\u00e9 nutk\u00e1n\u00ed nav\u0161t\u011bvovat toaletu. Ano tak\u00e9 m\u011b to potkalo. O to v\u00edc m\u011b to vyd\u011bsilo. Vzhledem k tomu, \u017ee z\u00e1sadn\u011b nezvrac\u00edm. Dokud to nen\u00ed opravdu kritick\u00e9. A to by asi sta\u010dilo ne?<\/p>\n<p>Ale te\u010f u\u017e zvesela a poj\u010fme spole\u010dn\u011b naj\u00edt \u0159e\u0161en\u00ed t\u011bchto probl\u00e9m\u016f. Ne\u017e se pust\u00edme hloub\u011bji do t\u00e9matu tohoto \u010dl\u00e1nku, sd\u00edlejte pros\u00edm tento \u010dl\u00e1nek s p\u0159\u00e1teli. Pokud se v\u00e1m bude l\u00edbit. P\u0159\u00edpadn\u011b mi napi\u0161te, co v\u00e1m v \u010dl\u00e1nku chyb\u011blo a j\u00e1 \u010dl\u00e1nek obohat\u00edm o odpov\u011bdi na va\u0161e dotazy.<\/p>\n<p>Kdy\u017e jsem se s Crohnem setkal poprv\u00e9, skoro nikdo ho neznal. Dnes o x let pozd\u011bji je tento probl\u00e9m civiliza\u010dn\u00ed chorobou. Dle n\u011bkter\u00fdch dostupn\u00fdch zdroj\u016f v\u011bdci nev\u011bd\u00ed, pro\u010d po\u010det lid\u00ed s t\u00edmto probl\u00e9mem, tak rapidn\u011b roste. <strong>M\u00e1m-li vyu\u017e\u00edt v\u0161echny sv\u00e9 zku\u0161enosti, od\u016fvodnil bych tento n\u00e1r\u016fst hektickou dobou \u2013 stresem a \u0161patnou \u017eivotospr\u00e1vou. <\/strong>I kdy\u017e jsem to dlouho nemohl pochopit, je tady vliv stresu markantn\u00ed. Potom cesta k vyl\u00e9\u010den\u00ed jednoduch\u00e1 je, stresu m\u00e9n\u011b, j\u00eddla zdrav\u00e9ho v\u00edce a z vlivu syst\u00e9mu hektick\u00e9ho vymanit se mus\u00ed\u0161. I kdy\u017e ob\u010das to netu\u0161\u00ed\u0161. <strong>P\u0159ed 12 ti lety <\/strong>mi l\u00e9ka\u0159i \u0159ekli, \u017ee je C-CH (Crohnova choroba) nevyl\u00e9\u010diteln\u00e1. Ne pane doktore, j\u00e1 ud\u011bl\u00e1m v\u0161e pro to, abych se vyl\u00e9\u010dil a prvn\u00edm krokem bylo uv\u011b\u0159it. Jestli je Crohn ne-moc, potom j\u00e1 se rozhoduji vz\u00edt si tuto moc zp\u011bt a m\u00e1m tak moc uzdravit se a b\u00fdt zdrav\u00fd. A co vy? V\u011b\u0159te, \u017ee r\u00e1doby oby\u010dejn\u00e1 hra se slovy m\u00e1 obrovskou moc.<\/p>\n\n<p>Ale o tom t\u0159eba n\u011bkdy jindy. Mat\u011bji a jak to jako v\u00ed\u0161, \u017ee Crohn je l\u00e9\u010diteln\u00fd, a \u017ee slova a my\u0161lenky maj\u00ed takovou moc? Pravdou je, \u017ee jsem si to v knih\u00e1ch nep\u0159e\u010detl. Tam to naj\u00edt nelze.<\/p>\n<p>Musel jsem si v\u0161e pro\u017e\u00edt na vlastn\u00ed k\u016f\u017ei. A tak v\u00e1m tady a te\u010f s vd\u011b\u010dnost\u00ed mohu \u0159\u00edci, \u017ee je, jen a jen na n\u00e1s, zda vstaneme s my\u0161lenkou, \u017ee dne\u0161ek bude kr\u00e1sn\u00fd a \u00fasp\u011b\u0161n\u00fd den. Nebo si vybereme, \u017ee tento den se mi prost\u011b da\u0159it nebude. A t\u00edmto zp\u016fsobem lze nahl\u00ed\u017eet na v\u0161e. V\u010detn\u011b n\u00e1s a na\u0161eho zdrav\u00ed. Je t\u011b\u017ek\u00e9, pochopit, je\u0161t\u011b t\u011b\u017e\u0161\u00ed uv\u011b\u0159it. S\u00e1m jsem st\u00e1le na cest\u011b, ale \u017eivot mne nau\u010dil, \u017ee v\u0161e je mo\u017en\u00e9 a z\u00e1zraky se d\u011bj\u00ed. D\u00edky jednomu z nich mohu sd\u00edlet tato slova s v\u00e1mi, d\u011bkuji.<\/p>\n<p><strong>Neberme Crohna na lehkou v\u00e1hu <\/strong><\/p>\n<p>Po v\u00edce jak 12 ti letech mi p\u0159ijde pojem Crohnova nemoc, jako naprosto b\u011b\u017en\u00fd pojem. Kdy\u017e jsem se nad t\u00edm zamyslel hloub\u011bji, tak to b\u011b\u017en\u00fd pojem nen\u00ed. A to pro m\u011b ze dvou d\u016fvod\u016f. Prvn\u00ed je, \u017ee lid\u00e9, kte\u0159\u00ed tuto nemoc nemus\u00ed \u0159e\u0161it nebo ji ne\u0159e\u0161\u00ed n\u011bkdo z jejich rodiny, nemus\u00ed a nepot\u0159ebuj\u00ed tento pojem zn\u00e1t. J\u00e1 osobn\u011b toto t\u00e9ma tak\u00e9 nechci \u0159e\u0161it, i kdy\u017e ze sv\u00e9 mysli u\u017e ho nesma\u017eu. Tak snad m\u00e9 vzpom\u00ednky pomohou co nejv\u00edce v\u00e1m, m\u00fdm \u010dten\u00e1\u0159\u016fm. Vezm\u011bme to ale postupn\u011b. <strong>O Crohnovi nejsp\u00ed\u0161e n\u011bkdo \u0159ekl v roce 1932 doktoru Burrillu Crohnovi a jeho koleg\u016fm, Leonu Ginzbergovi a Gordonu D. Oppenheimerovi. <\/strong>A tak v\u0161e mohlo za\u010d\u00edt nap\u0159\u00edklad slovy: \u201cpoj\u010fte ho\u0161i, mus\u00edme to probrat.\u201d Takhle se z nezn\u00e1m\u00e9 a b\u011b\u017en\u00e9 nemoci mohla st\u00e1t nevyl\u00e9\u010diteln\u00e1 nemoc. Pro\u010d? Proto\u017ee n\u011bkdo \u0159ekl, \u017ee je nevyl\u00e9\u010diteln\u00e1. Jak u\u017e jsem zmi\u0148oval, na\u0161e mysl je mocn\u00e1 a dok\u00e1\u017ee p\u0159it\u00e1hnout v\u0161e, co si dok\u00e1\u017ee p\u0159edstavit. Sta\u010d\u00ed jen p\u0159ipustit danou mo\u017enost a na\u0161e mysl za\u010dne konat.<\/p>\n<p><strong>Kdy, jak a kde se vzal Crohn?<\/strong><\/p>\n<p>Tak\u00e9 si n\u011bkdy \u0159\u00edk\u00e1te, \u017ee byste si t\u00e9 chyby nev\u0161imli, pokud by v\u00e1s n\u011bkdo neupozornil? Neud\u011blali byste chybu, kdyby v\u00e1m n\u011bkdo ne\u0159ekl: \u201chlavn\u011b neud\u011blej chybu.\u201d Mal\u00e9 batole nespadne, pokud by mu matka neopakovala: \u201chlavn\u011b nespadni?\u201d Mysl\u00edm, \u017ee podobn\u011b to m\u016f\u017ee b\u00fdt se vznikem Cronovy choroby. Za\u010dalo se o n\u00ed mluvit. N\u011bkdo vymyslel jej\u00ed n\u00e1zev a p\u0159ipustil, \u017ee m\u016f\u017ee existovat.<\/p>\n<p>Nav\u00edc to, pan Crohn, \u0159ekl sv\u00fdm dv\u011bma koleg\u016fm a v\u0161echno za\u010dali \u0159e\u0161it a prob\u00edrat. Mo\u017en\u00e1 se slovy: \u201cjak je to mo\u017en\u00e9?\u201d J\u00e1 jsem \u0159\u00edkal, \u017ee slov\u00ed\u010dko ne, ale, i, jak, pro\u010d a podobn\u011b vesm\u00edr nezn\u00e1. <strong>Vesm\u00edr sly\u0161el, \u017ee je to mo\u017en\u00e9 a splnil tak vysloven\u00e9 a dal\u0161\u00edmi lidmi podpo\u0159en\u00e9 \u201cp\u0159\u00e1n\u00ed\u201d.<\/strong> Zn\u00ed to, jako science-fiction? Jakou s\u00edlu m\u00e1 my\u0161lenka a vysloven\u00e9 slovo? Z \u010dl\u00e1nku o vyt\u011blesn\u011bn\u00ed u\u017e m\u016f\u017eete v\u011bd\u011bt, \u017ee mozek dok\u00e1\u017ee ovliv\u0148ovat projevy v t\u011ble a je schopn\u00fd se oprostit od vlivu vn\u011bj\u0161\u00edho okol\u00ed. To jenom n\u011bco k zamy\u0161len\u00ed.<\/p>\n<p>Nejprve se psal rok 1875, kdy vzniklo pojmenov\u00e1n\u00ed ulcer\u00f3zn\u00ed kolitidy. Takov\u00e1 star\u0161\u00ed Crohnova sestry. <strong>A\u017e v roce 1932 pojmenoval a t\u00edm p\u0159ipustil existenci Crohnovy choroby l\u00e9ka\u0159 Burrill Crohn<\/strong>, kter\u00fd se o tuto my\u0161lenku pod\u011blil s kolegy,<strong> Leonem Ginzbergem a Gordonem D. Openheimerem. <\/strong>V\u0161e bylo do t\u00e9 doby pova\u017eov\u00e1no za st\u0159evn\u00ed tuberkul\u00f3zu. Tito t\u0159i p\u00e1nov\u00e9 ale nashrom\u00e1\u017edili informace o p\u0159\u00edznac\u00edch od 14 ti pacient\u016f, a tak se z k\u0159e\u010d\u00ed v b\u0159i\u0161e, dehydratace, hore\u010dky a ztr\u00e1t\u011b na v\u00e1ze vyvinula elieitida a n\u00e1sledn\u011b Crohnova choroba.<\/p>\n<p><strong>K nalezen\u00ed l\u00e9ku pomohl pacient<\/strong><\/p>\n<p>Ub\u011bhlo dlouh\u00fdch 24 let. Ne\u017e se od zkoum\u00e1n\u00ed samotn\u00e9 nemoci, za\u010dalo p\u00e1trat po l\u00e9ku. Tento impulz musela p\u0159in\u00e9st a\u017e state\u010dn\u00e1 \u017eena, kter\u00e1 \u0159e\u0161ila Crohna na vlastn\u00ed k\u016f\u017ei a jej\u00ed man\u017eel. <strong>Suzanne Ronethal a jej\u00ed man\u017eel Irwin se tak v 60. letech pustili do vlastn\u00edho v\u00fdzkumu. <\/strong>K nim se tak\u00e9 p\u0159idala rodina Modellov\u00fdch (Modells) s jejich 13 ti let\u00fdm synem a spole\u010dn\u011b s doktorem Henry Janowitzem nechali <strong>vzniknout, na konci roku 1967, nadaci pro ileatitidu a kolitidu<\/strong>. <strong>Pozd\u011bji pak Crohnovu chorobu<\/strong>. Tato slova mne o to v\u00edce inspiruj\u00ed k tomu, abych pokra\u010doval v pr\u00e1ci na tomto webu a p\u0159ed\u00e1val zku\u0161enosti. Aby se tak skrze m\u016fj p\u0159\u00edpad do\u0161lo a\u017e k vyl\u00e9\u010den\u00ed t\u00e9to choroby. Dnes je to 91. rok od p\u0159ipu\u0161t\u011bn\u00ed Crohna a jeho existence panem doktorem Crohnem a j\u00e1 v\u011b\u0159\u00edm, \u017ee dojde k obrovsk\u00e9mu objevu, kter\u00e9mu budu mo\u017en\u00e1 n\u00e1pomocen. A to v\u0161echno d\u0159\u00edve ne\u017e bude Crohnovi 100 let.<\/p>\n<p>Za v\u0161\u00edm od za\u010d\u00e1tku st\u00e1lo jen p\u00e1r lidi. L\u00e9ka\u0159 B. Crohn, L.Ginzberg a Gordon D. Oppenheimer.\u00a0A tak\u00e9 \u00a0Irwin Rosenthal, l\u00e9ka\u0159 H. Janowitz a William D. Modell, kter\u00fd byl otcem zm\u00edn\u011bn\u00e9ho 13 ti let\u00e9ho, state\u010dn\u00e9ho chlapce. Ten se do\u017eil 47 let a zem\u0159el v roce 2001. My\u0161lenka t\u011bchto lid\u00ed kvete dodnes. Dnes se po cel\u00fdch Spojen\u00fdch st\u00e1tech uskute\u010d\u0148uje na 100 ud\u00e1lost\u00ed na podporu nadace. A to ka\u017ed\u00fd rok. Dnes m\u00e1 nadace 280 zam\u011bstnanc\u016f a v\u00edce jak 500 dobrovoln\u00edk\u016f. <strong>Prvn\u00ed grant na v\u00fdzkum ud\u011blila nadace, po 11 ti letech od jej\u00edho vzniku, v roce 1967. Doktoru Danielu H. Presentovi.<\/strong> Doktor Present obojevil pozitivn\u00ed dopady na l\u00e9\u010dbu Crohnovy choroby pomoc\u00ed 6-mercaptopurine (6-MP). Ten asi m\u00e1lokdo z n\u00e1s laik\u016f zn\u00e1 a j\u00e1 jsem na tom stejn\u011b. V 90. Letech 20. stolet\u00ed se Dr. Present dost\u00e1v\u00e1 do n\u00e1m zn\u00e1m\u011bj\u0161\u00edch vod. <strong>V t\u00e9 dob\u011b se dostal k v\u00fdzkumu infliximabu. Tedy v\u00edce zn\u00e1m\u00fd n\u00e1zev Remicade. <\/strong>Nedlouho pot\u00e9 p\u0159ich\u00e1z\u00ed na \u0159adu tak\u00e9 druh\u00fd zn\u00e1m\u00fd p\u0159\u00edpravek Humira. C\u00edlem tohoto \u010dl\u00e1nku je p\u0159edstavit a nast\u00ednit, co je to Crohnova choroba. Dnes nechci zach\u00e1zet do dal\u0161\u00edch a slo\u017eit\u011bj\u0161\u00edch t\u00e9mat.<\/p>\n<p><strong>Nenechme si br\u00e1t na\u0161i moc ne-moc\u00ed<\/strong><\/p>\n<p>Jak\u00e1koliv ne-moc, tedy stav, kdy \u010dlov\u011bk nem\u00e1 moc nad sv\u00fdm t\u011blem a ne-moc tak t\u011blo m\u016f\u017ee ovl\u00e1dnout. Z \u010dl\u00e1nku o vyt\u011blesn\u011bn\u00ed ji\u017e m\u016f\u017eete v\u011bd\u011bt, \u017ee <strong>jako lid\u00e9 m\u00e1me schopnost, ovl\u00e1dat \u201cdokonale\u201d svoji mysl<\/strong> a skrze mysl pak svoje t\u011blo. Zvolme si tedy, \u017ee <strong>jsme mocn\u00ed a nikoliv ne-mocn\u00ed<\/strong> a nenechme se vylekat lekama z lek\u00e1rny. Vypad\u00e1 to, \u017ee jsem v t\u011bchto dvou slovech ud\u011blal v\u00edce gramatick\u00fdch chyb ne\u017e v cel\u00e9m \u010dl\u00e1nku. Nen\u00ed tomu tak. <strong>Tak\u00e9 m\u00edv\u00e1te ten divn\u00fd, sv\u00edrav\u00fd pocit, kdy\u017e p\u0159ijdete k l\u00e9ka\u0159i?<\/strong> A\u0165 u\u017e je to zuba\u0159, chirurg \u010di obvodn\u00ed l\u00e9ka\u0159?<\/p>\n<p>Tito \u201c\u00fa\u0159edn\u00edci\u201d na \u201cl\u00e9\u010debn\u00fdch \u00fa\u0159adech\u201d n\u00e1s vlastn\u011b jenom lekaj\u00ed diagn\u00f3zami a podporuj\u00ed n\u00e1\u0161 strach dal\u0161\u00edmi a dal\u0161\u00edmi lekamy. Mo\u017en\u00e1 to vypad\u00e1 jako bl\u00e1zniv\u00e9 science-fiction, ale na druhou stranu se nad t\u00edm zkuste zamyslet. Ka\u017ed\u00fd leka\u0159 m\u00e1 za ka\u017ed\u00e9ho vylekan\u00e9ho pacienta nebo napsan\u00fd recept pen\u00edze&#8230; Rad\u011bji nebudeme to v\u00edce rozpitv\u00e1vat. V\u011b\u0159\u00edm, \u017ee jste, m\u00ed \u010dten\u00e1\u0159i, moud\u0159\u00ed a ud\u011bl\u00e1te si sv\u016fj n\u00e1zor. Ale zp\u011bt k samotn\u00e9mu Crohnovi.<\/p>\n<p>\u017d\u00e1dn\u00fd u\u010den\u00fd z nebe nespadl. J\u00e1 osobn\u011b nesn\u00e1\u0161\u00edm l\u00e9ka\u0159e. Tedy konkr\u00e9tn\u011b gastroenterologii. samoz\u0159ejm\u011b. Krk se mi poka\u017ed\u00e9 sv\u00edr\u00e1 a tep let\u00ed k v\u00fd\u0161in\u00e1m. V hlav\u011b okno a t\u011blo ztuhl\u00e9 jako k\u00e1men. Nezvl\u00e1dl jsem ovl\u00e1dnout svoji mysl a mysl ovl\u00e1dla m\u011b. Dobr\u00fdm p\u0159\u00edkladem m\u016f\u017ee b\u00fdt z\u00e1\u017eitek, kter\u00fd se mi stal p\u0159i jedn\u00e9 z n\u00e1v\u0161t\u011bv leka\u0159sk\u00e9ho \u00fa\u0159adu. Zrovna jsem proch\u00e1zel dietn\u00ed k\u016frou, pro vyl\u00e9\u010den\u00ed z\u00e1n\u011btu, kter\u00e1 velmi \u00fa\u010dinkovala.<\/p>\n<p>Byl jsem unaven\u00fd fyzicky, ale jinak jsem se c\u00edtil dob\u0159e. I tep jsem m\u011bl norm\u00e1ln\u00ed. To se zm\u011bnilo p\u0159i p\u0159ekro\u010den\u00ed prahu nemocnice. Vytr\u00e1cela se mi slova, j\u00edmala se m\u011b panika a srdce jsem m\u011bl a\u017e v krku. Tlak byl v po\u0159\u00e1dku. Jako v\u017edy. N\u011bjak\u00fdch 110\/70. \u201cUf pro\u0161el jsem,\u201d \u0159\u00edkal jsem si. A pak to p\u0159i\u0161lo.\u201c Pane, Hr\u00e1bek, m\u00e1te vysok\u00fd tep hrani\u010d\u00edc\u00ed s tachykardi\u00ed,\u201d \u0159\u00edk\u00e1 doktor. <strong>\u201cMus\u00edme si v\u00e1s tady nechat,\u201d pokra\u010duje. J\u00e1 jsem v\u011bd\u011bl, \u017ee se jedn\u00e1 o projev m\u00e9 psychiky, a to minim\u00e1ln\u011b z 80 ti procent. Nav\u00edc jsem vid\u011bl na sv\u00e9m t\u011ble uzdravuj\u00edc\u00ed se proces, kter\u00fd mi b\u011b\u017eel p\u0159ed o\u010dima. <\/strong>Smutn\u00e9 je, \u017ee to l\u00e9ka\u0159e v\u016fbec nezaj\u00edmalo. Ale o tom n\u011bkdy p\u0159\u00ed\u0161t\u011b.<\/p>\n<p>Kdy\u017e se vr\u00e1t\u00edm k p\u0159\u00edhod\u011b, byl jsem p\u0159ipraven\u00fd podepsat revers. Vlastn\u011b u\u017e jsem ho m\u011bl podepsan\u00fd. V\u011bd\u011bl jsem, \u017ee v\u0161e funguje a zvl\u00e1dnu to uko\u010d\u00edrovat doma. Ano dojde i na p\u0159\u00edhodu, kdy jsem v\u011bd\u011bl, \u017ee to doma neuko\u010d\u00edruji. To nebyl dne\u0161n\u00ed p\u0159\u00edpad. Byl jsem ochoten spolupracovat s l\u00e9ka\u0159i na 100 % ale tachykardie? To u\u017e bylo moc. Nakonec ud\u011blali je\u0161t\u011b n\u011bjak\u00e9 testy, jejich\u017e v\u00fdsledky jsem ani nevid\u011bl a poslali mi do \u017eil kapa\u010dku s vodou a miner\u00e1ly. To jsem ch\u00e1pal. Co jsem ale nepochopil? I p\u0159es mnou podepsan\u00fd revers m\u011b posadili na voz\u00ed\u010dek a u\u017e m\u011b vezli na l\u016f\u017ekov\u00e9 odd\u011blen\u00ed. A j\u00e1 rezignoval. Posledn\u00ed v\u00fdchodisko by bylo ut\u00e9ct nebo snad n\u011bco hor\u0161\u00edho. V\u0161e trvalo na\u0161t\u011bst\u00ed jen t\u0159i dny a j\u00e1 byl zase brzy doma. Touto p\u0159\u00edhodou jsem cht\u011bl jen pouk\u00e1zat na to, jakou moc maj\u00ed v rukou l\u00e9ka\u0159i. A my jim nesm\u00edme vkl\u00e1dat do rukou moc nad na\u0161imi t\u011bly. Pros\u00edm, nepova\u017eujte m\u011b za n\u011bkoho, kdo nerespektuje l\u00e9ka\u0159e a jejich pr\u00e1ci. Chirurgov\u00e9 a j\u00edm podobn\u00ed jsou mach\u0159i a maj\u00ed m\u016fj obdiv. L\u00e9ka\u0159 v\u0161ak nem\u00e1 pr\u00e1vo, n\u00e1m n\u011bco na\u0159\u00eddit. A to je jen \u0161pi\u010dka ledovce, kter\u00e1 je vid\u011bt. <strong>Znovu se m\u016f\u017eeme vr\u00e1tit k tomu, \u017ee n\u00e1s leka\u0159 vylek\u00e1 diagn\u00f3zou a p\u0159edep\u00ed\u0161e n\u00e1m leky.<\/strong><\/p>\n<p><strong>Z\u00e1v\u011brem: Va\u0159en\u00ed a\u0165 je v\u00e1m l\u00e9kem<\/strong><\/p>\n<p>Na z\u00e1v\u011br si pov\u011bzme, jak tedy lze mysl vytr\u00e9novat, aby dob\u0159e zvl\u00e1dala strach. Napadaj\u00ed m\u011b 2 z mnoha r\u016fzn\u00fdch technik. Zkusme v\u0161ak tu jednodu\u0161\u0161\u00ed. Zam\u011b\u0159\u00edme se na p\u0159\u00edtomn\u00fd okam\u017eik. Pouze tady a te\u010f. Tuto techniku doporu\u010duji zkou\u0161et u va\u0159en\u00ed. D\u00edky n\u00ed bude men\u0161\u00ed pravd\u011bpodobnost, \u017ee se \u0159\u00edznete. A te\u010f u\u017e za\u010dn\u011bme. Zpomalte my\u0161lenky. Dne\u0161n\u00edm \u00fakolem pro v\u00e1s je, uva\u0159it hov\u011bz\u00ed po burgundsku. Na oleji se za\u010d\u00edn\u00e1 sma\u017eit cibulka. Maso se zat\u00e1hlo. Te\u010f p\u0159idejte ko\u0159en\u00ed. Potom u\u017e jenom ko\u0159enovou zeleninu a dal\u0161\u00ed. V\u0161e za\u010d\u00edn\u00e1 kr\u00e1sn\u011b von\u011bt. C\u00edt\u00edte? J\u00e1 r\u00e1d p\u0159id\u00e1v\u00e1m tak\u00e9 kousek z\u00e1zvoru, sta\u010d\u00ed 10 gram\u016f. Zkuste to. Zb\u00fdv\u00e1 u\u017e jen v\u00edno, kter\u00e9 ale p\u0159id\u00e1vat nemus\u00edte. Je to jen a jen na v\u00e1s. Te\u010f va\u0159\u00edte vy, nenechte se nik\u00fdm a ni\u010d\u00edm vyru\u0161it. Na \u010dem p\u0159i va\u0159en\u00ed z\u00e1le\u017e\u00ed nejv\u00edce? Krom\u011b l\u00e1sky, kterou do j\u00eddla vlo\u017e\u00edte? To a mnoho dal\u0161\u00edch rad, tip\u016f a recept\u016f v\u00e1m pov\u00edm ve zvl\u00e1\u0161tn\u00ed sekci jen pro v\u00e1s, nejv\u011brn\u011bj\u0161\u00ed \u010dten\u00e1\u0159e, kterou zp\u0159\u00edstupn\u00edm do konce dubna 2023. (Pokud \u010dte\u0161 \u010dl\u00e1nek v kv\u011btnu a pozd\u011bji, \u010dlenskou sekci bys u\u017e m\u011bl\/a zde naj\u00edt.) A co vy, ano mluv\u00edm pr\u00e1v\u011b o v\u00e1s. U\u017e m\u00e1te v mysli uva\u0159eno? A te\u010f u\u017e do praxe, hur\u00e1 do akce.<img loading=\"lazy\" decoding=\"async\" class=\"wp-image-328 alignright\" src=\"http:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/IMG_1221-transformed-1-300x129.png\" alt=\"\" width=\"139\" height=\"60\" srcset=\"https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/IMG_1221-transformed-1-300x129.png 300w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/IMG_1221-transformed-1-1024x442.png 1024w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/IMG_1221-transformed-1-768x331.png 768w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/IMG_1221-transformed-1-1536x663.png 1536w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/IMG_1221-transformed-1-2048x884.png 2048w, https:\/\/www.kuzdraveni.cz\/wp-content\/uploads\/2023\/03\/IMG_1221-transformed-1-600x259.png 600w\" sizes=\"auto, (max-width: 139px) 100vw, 139px\" \/><\/p>\n<p>\u00a0<\/p>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>Crohnova choroba je z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed projevuj\u00edc\u00ed se \u00fanavou a za\u017e\u00edvac\u00edmi probl\u00e9my. Doktor Crohn ji objevil roku1932 a k nalezen\u00ed l\u00e9ku pomohl pacient.<\/p>\n","protected":false},"author":2,"featured_media":108,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29,28],"tags":[],"class_list":{"0":"post-98","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-crohn-2","8":"category-top"},"_links":{"self":[{"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=\/wp\/v2\/posts\/98","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=98"}],"version-history":[{"count":8,"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=\/wp\/v2\/posts\/98\/revisions"}],"predecessor-version":[{"id":329,"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=\/wp\/v2\/posts\/98\/revisions\/329"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=\/wp\/v2\/media\/108"}],"wp:attachment":[{"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=98"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=98"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kuzdraveni.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=98"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}