{"id":188727,"date":"2026-08-23T07:29:13","date_gmt":"2026-08-23T07:29:13","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/188727\/"},"modified":"2026-08-23T07:29:13","modified_gmt":"2026-08-23T07:29:13","slug":"neurochirurg-netuka-nadory-mozku-nejsou-z-telefonovani-ani-stresu-jejich-pricinu-vetsinou-nezname","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/188727\/","title":{"rendered":"Neurochirurg Netuka: N\u00e1dory mozku nejsou z\u00a0telefonov\u00e1n\u00ed ani stresu. Jejich p\u0159\u00ed\u010dinu v\u011bt\u0161inou nezn\u00e1me"},"content":{"rendered":"

Neurochirurgie pat\u0159\u00ed k\u00a0nejn\u00e1ro\u010dn\u011bj\u0161\u00edm medic\u00ednsk\u00fdm obor\u016fm. Co v\u00e1s na n\u00ed i\u00a0po letech praxe st\u00e1le nejv\u00edc p\u0159itahuje?<\/p>\n

Fascinuje m\u011b, \u017ee mozek a\u00a0cel\u00fd centr\u00e1ln\u00ed nervov\u00fd syst\u00e9m jsou t\u00edm, co z\u00a0n\u00e1s d\u011bl\u00e1 \u010dlov\u011bka. Pr\u00e1v\u011b tady s\u00eddl\u00ed na\u0161e osobnost, vzpom\u00ednky i\u00a0v\u011bdom\u00ed. Z\u00e1rove\u0148 jde o\u00a0oblast, kterou kdy\u017e po\u0161kod\u00edme, tak ji nelze opravit. Neurochirurgie je proto o\u00a0mimo\u0159\u00e1dn\u011b jemn\u00e9 a\u00a0precizn\u00ed pr\u00e1ci s\u00a0p\u0159\u00edm\u00fdm dopadem na kvalitu \u017eivota pacient\u016f. Nav\u00edc mozek je jedin\u00fd org\u00e1n, kter\u00fd nikdy nebude mo\u017en\u00e9 transplantovat, proto\u017ee je nositelem lidsk\u00e9 identity.<\/p>\n

Jak\u00e9 vlastnosti by m\u011bl m\u00edt podle v\u00e1s v\u00fdborn\u00fd neurochirurg?<\/p>\n

Krom\u011b pracovitosti by dle m\u00e9ho m\u011bl b\u00fdt lehce obsedantn\u00ed, aby dok\u00e1zal pl\u00e1novat a\u00a0p\u0159ipravovat se na v\u0161e do naprost\u00e9ho detailu a\u00a0pot\u00e9 neust\u00e1le v\u0161e hl\u00eddal, kontroloval, a\u00a0to nejen b\u011bhem z\u00e1kroku, ale i\u00a0po n\u011bm. D\u00e1le mus\u00ed um\u011bt zvl\u00e1dat stres, jeliko\u017e p\u0159i v\u00fdkonu m\u016f\u017ee doj\u00edt k\u00a0n\u011bjak\u00e9 z\u00e1sadn\u00ed komplikaci, kter\u00e1 velmi dramaticky m\u016f\u017ee ovlivnit kvalitu \u017eivota pacienta, proto je d\u016fle\u017eit\u00e9 i\u00a0ve velmi napjat\u00e9m okam\u017eiku z\u016fstat neust\u00e1le soust\u0159ed\u011bn\u00fd a\u00a0v klidu, a\u00a0tedy um\u011bt se stresem pracovat.<\/p>\n

Neurochirurg by nem\u011bl b\u00fdt ani cynick\u00fd oprav\u00e1\u0159 t\u011bla, kter\u00fd by \u0159ekl: \u201eTohle se nepovedlo, pacient ochrnul na p\u016flku t\u011bla, ale ne\u0161lo ud\u011blat nic jinak.\u201c To je \u0161patn\u011b. Stejn\u011b tak ale nen\u00ed dob\u0159e, kdy\u017e se p\u0159i komplikac\u00edch, kter\u00e9 jsou dnes sice raritn\u00ed, zhrout\u00ed a\u00a0nen\u00ed schopen pracovat. V\u00a0na\u0161em oboru se komplikace mohou objevit a\u00a0ka\u017ed\u00fd neurochirurg by s\u00a0t\u00edm m\u011bl um\u011bt pracovat, okam\u017eit\u011b situaci zanalyzovat a\u00a0v\u0161e zvl\u00e1dnout.<\/p>\n

<\/a><\/p>\n

V praxi se setk\u00e1v\u00e1m i\u00a0s kolegy, kte\u0159\u00ed ani necht\u011bj\u00ed moc d\u011blat ty nejt\u011b\u017e\u0161\u00ed z\u00e1kroky, u\u00a0nich\u017e existuje jedno a\u017e p\u011btiprocentn\u00ed riziko z\u00e1sadn\u00edch komplikac\u00ed, proto\u017ee s\u00a0t\u00edm neum\u011bj\u00ed \u00fapln\u011b pracovat. N\u011bkte\u0159\u00ed neurochirurgov\u00e9 i\u00a0z tohoto d\u016fvodu d\u011blaj\u00ed jen defenzivn\u00ed medic\u00ednu, kdy v\u00a0r\u00e1mci minimalizace rizika z\u00e1sadn\u00ed komplikace neprovedou z\u00e1krok v\u00a0takov\u00e9m rozsahu \u010di tak radik\u00e1ln\u011b, jak by bylo spr\u00e1vn\u00e9.<\/p>\n

A jakou roli hraj\u00ed ve va\u0161\u00ed pr\u00e1ci emoce?<\/p>\n

Mysl\u00edm, \u017ee velmi d\u016fle\u017eitou. Samoz\u0159ejm\u011b b\u011bhem z\u00e1kroku n\u00e1s emoce nesm\u00ed svazovat, mus\u00edme b\u00fdt naprost\u00ed profesion\u00e1lov\u00e9, \u0159\u00eddit se dan\u00fdmi postupy a\u00a0zku\u0161enostmi, ale p\u0159i p\u0159\u00edprav\u011b a\u00a0rozhodov\u00e1n\u00ed o\u00a0z\u00e1kroku je d\u016fle\u017eit\u00e9 hled\u011bt i\u00a0na pot\u0159eby a\u00a0priority v\u00a0\u017eivot\u011b ka\u017ed\u00e9ho pacienta. A\u00a0tedy volit typ i\u00a0agresivitu v\u00fdkonu i\u00a0podle toho, jak moc to dok\u00e1\u017ee ovlivnit jeho n\u00e1sledn\u00fd \u017eivot. A\u00a0to se neobejde bez emoc\u00ed. Mus\u00edme um\u011bt nemocn\u00e9mu naslouchat.<\/p>\n

V ned\u00e1vn\u00e9m rozhovoru jste zm\u00ednil, \u017ee se i\u00a0neurochirurgie pomalu st\u00e1v\u00e1 \u017eensk\u00fdm oborem. <\/p>\n

Ano, je\u0161t\u011b p\u0159ed dvaceti lety byla neurochirurgie takov\u00fd p\u00e1nsk\u00fd doutn\u00edk\u00e1\u0159sk\u00fd klub, kam se zejm\u00e9na tady v\u00a0\u010cech\u00e1ch \u017eeny p\u0159\u00edli\u0161 nepou\u0161t\u011bly. Spole\u010dnost se ale prom\u011bnila a\u00a0tyto um\u011ble vytvo\u0159en\u00e9 z\u00e1brany byly p\u0159ekon\u00e1ny. Z\u00e1rove\u0148 je to d\u00e1no i\u00a0t\u00edm, \u017ee a\u017e 80\u00a0% absolvent\u016f l\u00e9ka\u0159sk\u00fdch fakult tvo\u0159\u00ed \u017eeny a\u00a0tak\u00e9 neurochirurgie jako takov\u00e1 se zm\u011bnila. Dnes se jedn\u00e1 o\u00a0mnohem techni\u010dt\u011bj\u0161\u00ed a\u00a0precizn\u011bj\u0161\u00ed obor, kter\u00fd je ji\u017e mnohem m\u00e9n\u011b fyzicky n\u00e1ro\u010dn\u00fd, ne\u017e tomu d\u0159\u00edve b\u00fdvalo. Mezi ty fyzicky n\u00e1ro\u010dn\u00e9 z\u00e1kroky pat\u0159ily operace p\u00e1te\u0159e, u\u00a0kter\u00fdch dnes ji\u017e dominuj\u00ed miniinvazivn\u00ed, navigovan\u00e9 v\u00fdkony, kter\u00e9 \u017eeny s\u00a0p\u0159ehledem zvl\u00e1daj\u00ed. <\/p>\n

Mezi neatestovan\u00fdmi l\u00e9ka\u0159i i\u00a0u n\u00e1s na klinice p\u0159eva\u017euj\u00ed \u017eeny a\u00a0j\u00e1 v\u00a0tom nevid\u00edm \u017e\u00e1dn\u00fd probl\u00e9m. Nav\u00edc zku\u0161enosti koleg\u016f ze zahrani\u010d\u00ed ukazuj\u00ed, \u017ee \u017eeny v\u00a0r\u00e1mci p\u0159\u00edpravy k\u00a0atestaci jsou v\u00a0pr\u016fm\u011bru lep\u0161\u00ed ne\u017e mu\u017ei. Z\u00e1rove\u0148 jsou zodpov\u011bdn\u011bj\u0161\u00ed a\u00a0ambici\u00f3zn\u011bj\u0161\u00ed. V\u00a0m\u00e9m t\u00fdmu m\u00e1m kolegyni, kter\u00e1 je velmi opatrn\u00e1, ale i\u00a0kolegyni, kter\u00e1 je tro\u0161ku st\u0159elec. Vy\u017eaduj\u00ed tedy \u00fapln\u011b stejn\u00fd p\u0159\u00edstup, jako je tomu u\u00a0mu\u017esk\u00fdch koleg\u016f.<\/p>\n

\u201eDoktore, pro\u010d se s\u00a0t\u00edm tak crc\u00e1te?\u201cN\u011bkter\u00e9 operace mozku prob\u00edhaj\u00ed p\u0159i v\u011bdom\u00ed pacienta. Vybav\u00ed se v\u00e1m n\u011bjak\u00e1 situace, kdy v\u00e1s b\u011bhem z\u00e1kroku pacient n\u011b\u010d\u00edm p\u0159ekvapil?<\/p>\n

V\u017edycky v\u00a0nads\u00e1zce \u0159\u00edk\u00e1m, \u017ee by se tyto operace daly pou\u017e\u00edvat m\u00edsto detektoru l\u017ei. Lid\u00e9 p\u0159i nich \u0159eknou ze sv\u00e9ho osobn\u00edho \u017eivota stra\u0161n\u011b moc. Nej\u010dast\u011bji jsou to historky o\u00a0tchyn\u00edch, \u0161vagrech a\u00a0dal\u0161\u00edch rodinn\u00fdch z\u00e1le\u017eitostech. Ale m\u011bli jsme i\u00a0pacienta, kter\u00fd n\u00e1m neust\u00e1le opakoval, abychom hlavn\u011b nezapomn\u011bli informovat o\u00a0v\u00fdsledku operace ve \u010dty\u0159i\u00a0hodiny man\u017eelku a\u00a0v p\u011bt hodin dal\u0161\u00ed d\u00e1mu, kter\u00e1 p\u0159ijde. <\/p>\n

R\u00e1d ale vzpom\u00edn\u00e1m i\u00a0na pacienta, kter\u00fd m\u011bl speci\u00e1ln\u00ed \u017e\u00e1dost, kdy cht\u011bl sledovat sv\u016fj mozek b\u011bhem operace n\u00e1doru v\u00a0p\u0159\u00edm\u00e9m p\u0159enosu. Po n\u011bjak\u00e9 dob\u011b mi tak \u0159ekl: \u201eDoktore, pro\u010d se s\u00a0t\u00edm tak crc\u00e1te?\u201c Musel jsem mu tedy vysv\u011btlit, \u017ee se s\u00a0t\u00edm necrc\u00e1m, ale sna\u017e\u00edm se to d\u011blat jemn\u011b a\u00a0bezpe\u010dn\u011b, abych mu odstranil jen ten n\u00e1dor. Ve skute\u010dnosti to pro m\u011b byla ale skv\u011bl\u00e1 zpr\u00e1va, proto\u017ee kdy\u017e byl schopen \u0159\u00edct b\u011bhem z\u00e1kroku i\u00a0tak t\u011b\u017ek\u00e9 slovo jako \u201ecrcat\u201c, tak jsem v\u011bd\u011bl, \u017ee to d\u011bl\u00e1m dob\u0159e.<\/p>\n

Roste skute\u010dn\u011b incidence mozkov\u00fdch n\u00e1dor\u016f, nebo jde sp\u00ed\u0161 o\u00a0lep\u0161\u00ed diagnostiku?<\/p>\n

Jde o\u00a0lep\u0161\u00ed, a\u00a0tedy p\u0159edev\u0161\u00edm \u010dasn\u011bj\u0161\u00ed diagnostiku. Roz\u0161i\u0159ov\u00e1n\u00edm magnetick\u00fdch rezonanc\u00ed t\u00e9m\u011b\u0159 do v\u0161ech nemocnic do\u0161lo k\u00a0vy\u0161\u0161\u00edmu z\u00e1chytu jak c\u00e9vn\u00edch, tak n\u00e1dorov\u00fdch abnormalit, a\u00a0to \u010dasto v\u00a0je\u0161t\u011b bezp\u0159\u00edznakov\u00fdch stadi\u00edch, co\u017e na\u0161i p\u0159edch\u016fdci p\u0159ed 30\u00a0lety je\u0161t\u011b neza\u017e\u00edvali. Operovali v\u011bt\u0161inou a\u017e velk\u00e9 n\u00e1dory, kter\u00e9 ji\u017e zp\u016fsobovaly rozs\u00e1hl\u00e9 neurologick\u00e9 probl\u00e9my. Dnes naopak za\u010d\u00edn\u00e1 p\u0159eva\u017eovat tzv. preventivn\u00ed neurochirurgie.<\/p>\n

Je to na jednu stranu dob\u0159e, ale i\u00a0to m\u00e1 sv\u00e1 nebezpe\u010d\u00ed. Jde o\u00a0to, \u017ee spousta n\u00e1lez\u016f se nem\u00e1 aktivn\u011b l\u00e9\u010dit, nem\u00e1 se tedy ani operovat, ani oza\u0159ovat. Maj\u00ed se v\u011bt\u0161inou jen sledovat. Nem\u00e1me ze zdrav\u00e9ho \u010dlov\u011bka bez jak\u00fdchkoliv zdravotn\u00edch pot\u00ed\u017e\u00ed d\u011blat pacienta. Ve skute\u010dnosti toti\u017e m\u016f\u017ee j\u00edt o\u00a0vedlej\u0161\u00ed n\u00e1lez, kter\u00fd nebude nikdy pot\u0159ebovat \u017e\u00e1dn\u00fd z\u00e1krok. Mus\u00edme tak v\u017edy podle v\u011bku, ulo\u017een\u00ed a\u00a0typu anom\u00e1lie vy\u010d\u00edslit rizika operace a\u00a0diskutovat s\u00a0pacientem, zda preventivn\u00ed z\u00e1krok provedeme, \u010di ne. A\u00a0tohle m\u016f\u017ee b\u00fdt pro \u0159adu lid\u00ed velmi psychicky n\u00e1ro\u010dn\u00e9.<\/p>\n

Ka\u017ed\u00fd neurochirurg by m\u011bl d\u00e1t v\u00a0tento okam\u017eik pacientovi doporu\u010den\u00ed. Jestli n\u011bco \u00fapln\u011b nesn\u00e1\u0161\u00edm, tak je to, kdy\u017e doktor nemocn\u00e9mu \u0159ekne: \u201eBu\u010f v\u00e1s budeme sledovat, nebo operovat, rozhodn\u011bte se.\u201c Takov\u00fd \u010dlov\u011bk by nem\u011bl d\u011blat doktora.<\/p>\n

J\u00e1 ve sv\u00e9 praxi na z\u00e1klad\u011b sv\u00fdch zku\u0161enost\u00ed, znalost\u00ed a\u00a0dat d\u00e1v\u00e1m doporu\u010den\u00ed v\u00a0procentech. Jsou t\u0159eba situace, kdy \u0159eknu, \u017ee m\u00e9 doporu\u010den\u00ed je 70:30\u00a0pro pozorov\u00e1n\u00ed \u010di naopak pro konkr\u00e9tn\u00ed z\u00e1krok apod. Nikdy ne\u0159eknu, \u017ee je to 50:50.\u00a0V\u017edy je ale v\u0161e o\u00a0emoc\u00edch a\u00a0o tom, jak je ka\u017ed\u00fd jednotlivec schopen s\u00a0tou informac\u00ed pracovat.<\/p>\n

<\/a><\/p>\n

Dnes r\u00e1no jsem zde m\u011bl pacienta, kter\u00fd m\u00e1 neprasklou c\u00e9vn\u00ed mozkovou malformaci. Kdy\u017e jsem mu \u0159ekl, \u017ee mu doporu\u010duji sledov\u00e1n\u00ed, tak byl v\u00a0ten okam\u017eik obrovsky \u0161\u0165astn\u00fd a\u00a0\u0159\u00edkal mi, \u017ee tedy p\u0159ijde a\u017e zase za rok na kontrolu a\u00a0bude v\u00a0po\u0159\u00e1dku. V\u0161e vypust\u00ed z\u00a0hlavy a\u00a0nebude se kv\u016fli tomu stresovat. Ale jsou i\u00a0pacienti, kte\u0159\u00ed mi p\u0159es m\u00e9 doporu\u010den\u00ed \u0159eknou, \u017ee na to neust\u00e1le mus\u00ed myslet, \u017ee je hned po probuzen\u00ed za\u010dne bolet hlava, p\u0159epadne je nevolnost a\u00a0oni budou nonstop \u0159e\u0161it, zda to nen\u00ed t\u00edm, \u017ee n\u00e1dor povyrostl, nebo c\u00e9vn\u00ed malformace neza\u010dala krv\u00e1cet<\/p>\n

Nebo za\u010dnou m\u00edt strach cokoliv d\u011blat, sportovat, l\u00e9tat letadlem, vyh\u00fdbat se sexu jen proto, aby malformace p\u0159itom nepraskla. Naprosto se jim tak zhor\u0161\u00ed kvalita \u017eivota. I\u00a0na tohle tedy mus\u00edme br\u00e1t z\u0159etel a\u00a0podle toho se rozhodovat, zda pacienta jen sledovat, \u010di postupovat aktivn\u011b.<\/p>\n

Tot\u00e9\u017e plat\u00ed i\u00a0pro pl\u00e1nov\u00e1n\u00ed samotn\u00e9ho z\u00e1kroku. Samoz\u0159ejm\u011b tam, kde se jedn\u00e1 o\u00a0akutn\u00ed stav, je to dan\u00e9. Ale u\u00a0neakutn\u00edch stav\u016f je tak\u00e9 d\u016fle\u017eit\u00e9 br\u00e1t ohled na samotn\u00e9ho pacienta. <\/p>\n

T\u0159eba u\u00a0pacientky s\u00a0jinou c\u00e9vn\u00ed anom\u00e1li\u00ed, s\u00a0kavernomem (shluk abnorm\u00e1ln\u011b roz\u0161\u00ed\u0159en\u00fdch drobn\u00fdch krevn\u00edch c\u00e9v, kter\u00e9 p\u0159ipom\u00ednaj\u00ed malou \u201emalinu\u201c nebo \u201ehoubu\u201c vypln\u011bnou krv\u00ed; nej\u010dast\u011bji se vyskytuje v\u00a0mozku nebo m\u00ed\u0161e, pozn. red.), jsme se bavili o\u00a0tom, \u017ee m\u00e1 d\u016fvod k\u00a0operaci a\u00a0v jak\u00e9m \u010dasov\u00e9m horizontu by bylo dobr\u00e9 ji prov\u00e9st. Doporu\u010dil jsem operaci prov\u00e9st b\u011bhem n\u00e1sleduj\u00edc\u00edho p\u016fl roku a\u00a0\u0159ekl j\u00ed i\u00a0pro\u010d. Kone\u010dn\u00e9 rozhodnut\u00ed ale mus\u00ed u\u010dinit sama. V\u011bt\u0161ina lid\u00ed v\u00a0ten okam\u017eik zohled\u0148uje sv\u00e9 pracovn\u00ed a\u00a0rodinn\u00e9 povinnosti, ale i\u00a0dal\u0161\u00ed pl\u00e1ny. Z\u00e1le\u017e\u00ed, jak m\u00e1 poskl\u00e1dan\u00e9 priority.<\/p>\n

Kter\u00e9 n\u00e1dory mozku jsou ty nejz\u00e1ke\u0159n\u011bj\u0161\u00ed a\u00a0jak\u00e9 jsou dnes mo\u017enosti l\u00e9\u010dby?<\/p>\n

T\u00edm nejhor\u0161\u00edm a\u00a0nejz\u00e1ke\u0159n\u011bj\u0161\u00edm zhoubn\u00fdm mozkov\u00fdm n\u00e1dorem je glioblastom. U\u00a0n\u011bj prob\u00edh\u00e1 kombinovan\u00e1 l\u00e9\u010dba – operace, oza\u0159ov\u00e1n\u00ed, tabletkov\u00e1 chemoterapie a\u00a0n\u011bkdy se pou\u017e\u00edv\u00e1 i\u00a0TTF radiov\u00e1 terapie, kterou ji\u017e i\u00a0u n\u00e1s m\u016f\u017eeme za ur\u010dit\u00fdch pravidel poskytovat v\u00a0r\u00e1mci zdravotn\u00edho poji\u0161t\u011bn\u00ed. P\u0159esto v\u0161echno progn\u00f3za tohoto onemocn\u011bn\u00ed st\u00e1le nen\u00ed dobr\u00e1. <\/p>\n

U tzv. n\u00edzkostup\u0148ov\u00fdch mozkov\u00fdch n\u00e1dor\u016f je v\u017edy d\u016fle\u017eit\u00e9 p\u0159ed samotnou l\u00e9\u010dbou si stanovit, jak by m\u011bl nemocn\u00fd fungovat za 5, 10, 15\u00a0let. N\u00e1sledn\u011b doch\u00e1z\u00ed op\u011bt ke kombinovan\u00e9 l\u00e9\u010db\u011b, kde z\u00e1kladn\u00ed l\u00e9\u010dbu v\u00a0podob\u011b operace, oza\u0159ov\u00e1n\u00ed, chemoterapie dnes dopl\u0148uje u\u017e i\u00a0c\u00edlen\u00e1 l\u00e9\u010dba, kter\u00e1 se stanovuje na z\u00e1klad\u011b molekul\u00e1rn\u00edch mutac\u00ed n\u00e1dor\u016f. <\/p>\n

Z\u00e1sadn\u00edm krokem v\u00a0l\u00e9\u010db\u011b n\u00e1dor\u016f ale i\u00a0nad\u00e1le z\u016fstane operace, a\u00a0tedy odstran\u011bn\u00ed n\u00e1doru. Podle studi\u00ed je d\u016fle\u017eit\u00e9, aby do\u0161lo k\u00a0co nejradik\u00e1ln\u011bj\u0161\u00ed a\u00a0z\u00e1rove\u0148 bezpe\u010dn\u00e9 resekci, proto\u017ee zlep\u0161uje podm\u00ednky pro \u00fa\u010dinnost n\u00e1sledn\u00e9 l\u00e9\u010dby. Nicm\u00e9n\u011b krom\u011b toho je v\u017edy d\u016fle\u017eit\u00e9 hled\u011bt i\u00a0na priority samotn\u00fdch pacient\u016f. U\u00a0t\u011bchto n\u00e1dor\u016f se \u010dasto jedn\u00e1 o\u00a0nemocn\u00e9 ve v\u011bku 35\u00a0a\u017e 40\u00a0let, u\u00a0nich\u017e do\u0161lo k\u00a0prvn\u00edmu epileptick\u00e9mu z\u00e1chvatu a\u00a0po nasazen\u00ed antiepileptik nemaj\u00ed \u017e\u00e1dn\u00e9 pot\u00ed\u017ee. P\u0159i rozhodov\u00e1n\u00ed, jak moc radik\u00e1ln\u00ed z\u00e1krok u\u00a0nich zvol\u00edme, mus\u00edme op\u011bt br\u00e1t ohled na jejich \u017eivotn\u00ed priority. \u010c\u00e1st t\u011bchto z\u00e1krok\u016f prob\u00edh\u00e1 p\u0159i v\u011bdom\u00ed, kdy se b\u011bhem odstra\u0148ov\u00e1n\u00ed n\u00e1doru testuje \u0159e\u010d, v\u00a0jin\u00fdch p\u0159\u00edpadech pou\u017e\u00edv\u00e1me tzv. elektrofyziologick\u00e9 monitorov\u00e1n\u00ed funkc\u00ed.<\/p>\n

O \u00fasp\u011b\u0161nosti l\u00e9\u010dby mnoha mozkov\u00fdch n\u00e1dor\u016f nerozhoduje jen operat\u00e9r. Je to v\u00fdsledek pr\u00e1ce cel\u00e9ho t\u00fdmu. <\/p>\n

Existuj\u00ed samoz\u0159ejm\u011b i\u00a0dal\u0161\u00ed kategorie n\u00e1dor\u016f. Mezi ty \u010dast\u00e9 pak pat\u0159\u00ed n\u00e1dory vych\u00e1zej\u00edc\u00ed z\u00a0obalu kolem mozku, tzv. meningiomy, co\u017e jsou pomalu rostouc\u00ed n\u00e1dory, kter\u00e9 mohou zp\u016fsobovat v\u00fdznamn\u00e9 neurologick\u00e9 obt\u00ed\u017ee. V\u00a080.\u00a0letech minul\u00e9ho stolet\u00ed se v\u011b\u0159ilo, \u017ee je d\u016fle\u017eit\u00e9 tyto n\u00e1dory v\u017edy cel\u00e9 odstranit. Dnes u\u017e ale v\u00edme, \u017ee u\u00a0\u010d\u00e1sti nemocn\u00fdch je lep\u0161\u00ed hned neoperovat a\u00a0sledovat je, u\u00a0n\u011bkter\u00fdch je pak rozumn\u00e9 zvolit neradik\u00e1ln\u00ed v\u00fdkon a\u00a0v\u00a0okam\u017eiku, kdy by do\u0161lo k\u00a0n\u011bjak\u00e9mu r\u016fstu n\u00e1doru, p\u0159istoupit k\u00a0radiochirurgick\u00e9mu oz\u00e1\u0159en\u00ed n\u00e1doru. V\u0161e je o\u00a0tom, aby ka\u017ed\u00fd nemocn\u00fd mohl \u017e\u00edt kvalitn\u00ed \u017eivot a\u00a0pokud mo\u017eno fungoval jako p\u0159ed onemocn\u011bn\u00edm. <\/p>\n

Dal\u0161\u00ed kategori\u00ed jsou nap\u0159\u00edklad n\u00e1dory na sluchov\u00e9m nervu, tzv. schwannomy, kter\u00e9 jsou op\u011bt velmi pomalu rostouc\u00ed, a\u00a0proto se op\u011bt nemocn\u00ed p\u0159edn\u011b sleduj\u00ed a\u00a0a\u017e v\u00a0p\u0159\u00edpad\u011b r\u016fstu n\u00e1doru doch\u00e1z\u00ed k\u00a0operaci a\u00a0oz\u00e1\u0159en\u00ed. N\u011bkdy je to rozhodov\u00e1n\u00ed o\u00a0konkr\u00e9tn\u00edm postupu l\u00e9\u010dby velmi t\u011b\u017ek\u00e9. Posledn\u00ed velkou kategori\u00ed n\u00e1dor\u016f mozku jsou n\u00e1dory na podv\u011bsku mozkov\u00e9m (hypof\u00fdze). <\/p>\n

Do jak\u00e9 m\u00edry je d\u016fle\u017eit\u00e9, na jak\u00e9m pracovi\u0161ti jsou \u0159e\u0161eny n\u00e1dory mozku? <\/p>\n

Nap\u0159\u00edklad na\u0161e pracovi\u0161t\u011b lze pova\u017eovat v\u00a0r\u00e1mci l\u00e9\u010dby n\u00e1dor\u016f na hypof\u00fdze za nejv\u011bt\u0161\u00ed v\u00a0\u010cesk\u00e9 republice. M\u00e1me zde naprosto profesion\u00e1ln\u00ed t\u00fdm, jeho\u017e sou\u010d\u00e1st\u00ed jsou krom\u011b neurochirurg\u016f a\u00a0neurolog\u016f i\u00a0endokrinologov\u00e9, ale t\u0159eba i\u00a0patolog prov\u00e1d\u011bj\u00edc\u00ed histologii n\u00e1dor\u016f, kter\u00fd je p\u0159\u00edmo specializovan\u00fd na neuropatologii. <\/p>\n

O \u00fasp\u011b\u0161nosti l\u00e9\u010dby mnoha mozkov\u00fdch n\u00e1dor\u016f toti\u017e nerozhoduje jen samotn\u00fd operat\u00e9r, ale je to v\u00fdsledek pr\u00e1ce cel\u00e9ho multidisciplin\u00e1rn\u00edho t\u00fdmu. A\u00a0to je i\u00a0d\u016fvod, pro\u010d je dob\u0159e, kdy\u017e tyto z\u00e1kroky \u0159e\u0161\u00ed jen velk\u00e1 centra a\u00a0ne okresn\u00ed nemocnice. <\/p>\n

Zobrazit v\u0161e<\/p>\n","protected":false},"excerpt":{"rendered":"Neurochirurgie pat\u0159\u00ed k\u00a0nejn\u00e1ro\u010dn\u011bj\u0161\u00edm medic\u00ednsk\u00fdm obor\u016fm. Co v\u00e1s na n\u00ed i\u00a0po letech praxe st\u00e1le nejv\u00edc p\u0159itahuje? Fascinuje m\u011b, \u017ee…\n","protected":false},"author":2,"featured_media":188728,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[7],"tags":[39612,43,42,41,40,24094,5869],"class_list":["post-188727","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cesko","tag-aneurysma","tag-ceska-republika","tag-cesko","tag-czech-republic","tag-czechia","tag-glioblastom","tag-mozek"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/117143651509550030","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/188727","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/comments?post=188727"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/188727\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/188728"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=188727"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=188727"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=188727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}