{"id":166,"date":"2023-05-31T15:54:42","date_gmt":"2023-05-31T15:54:42","guid":{"rendered":"https:\/\/www.salonklararevnice.cz\/?page_id=166"},"modified":"2023-05-31T15:54:42","modified_gmt":"2023-05-31T15:54:42","slug":"pneuven-lymfodrenaz","status":"publish","type":"page","link":"https:\/\/www.salonklararevnice.cz\/?page_id=166","title":{"rendered":"Pneuven-lymfodren\u00e1\u017e"},"content":{"rendered":"\n<p>Lymfodren\u00e1\u017en\u00ed p\u0159\u00edstroje Pneuven pro lymfatickou mas\u00e1\u017e. Lymfomas\u00e1\u017e se pou\u017e\u00edv\u00e1 pro l\u00e9\u010dbu lymfatick\u00fdch, tzn. m\u00edzn\u00edch otok\u016f, \u017eiln\u00ed nedostate\u010dnosti, je vhodn\u00e1 jako p\u0159edopera\u010dn\u00ed a poopera\u010dn\u00ed prevence hlubok\u00e9 tromb\u00f3zy, rehabilitace po\u00farazov\u00fdch stav\u016f spojen\u00e1 s otoky posti\u017een\u00fdch kon\u010detin. Lymfatick\u00e1 mas\u00e1\u017e rovn\u011b\u017e slou\u017e\u00ed k regeneraci p\u0159i rehabilitaci sportovc\u016f a pracovn\u00edk\u016f, kte\u0159\u00ed maj\u00ed nadm\u011brn\u00e9 zat\u00ed\u017een\u00ed doln\u00edch kon\u010detin<\/p>\n\n\n\n<p>P\u0159\u00edstroj pneuven medi pracuje na principu sekven\u010dn\u00ed kompresivn\u00ed dren\u00e1\u017ee a je ur\u010den pro l\u00e9\u010debn\u00e9 \u00fa\u010dely do zdravotnick\u00fdch za\u0159\u00edzen\u00ed a pro odborn\u00e1 rehabilita\u010dn\u00ed pracovi\u0161t\u011b. Uplat\u0148uje se zejm\u00e9na v oborech angiologie, flebologie, lymfologie, dermatologie a l\u00e9\u010debn\u00e1 rehabilitace. Samotn\u00e1 terapie se prov\u00e1d\u00ed pomoc\u00ed n\u011bkolika-u n\u00e1s 14 komorov\u00fdch n\u00e1vlek\u016f, kter\u00e9 p\u0159en\u00e1\u0161ej\u00ed \u00fa\u010dinky tlaku na jednotliv\u00e9 \u010d\u00e1sti t\u011bla.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Co je lymfa a m\u00edzn\u00ed syst\u00e9m<\/strong><\/p>\n\n\n\n<p>M\u00edzn\u00ed syst\u00e9m zast\u00e1v\u00e1 v\u00a0na\u0161em organismu velice d\u016fle\u017eitou funkci. Chr\u00e1n\u00ed t\u011blo p\u0159ed nejr\u016fzn\u011bj\u0161\u00edmi chorobami a infekcemi, pom\u00e1h\u00e1 p\u0159i vst\u0159eb\u00e1v\u00e1n\u00ed b\u00edlkovin a jin\u00fdch makromolekul\u00e1rn\u00edch l\u00e1tek z\u00a0mezibun\u011b\u010dn\u00fdch prostor jednotliv\u00fdch tk\u00e1n\u00ed a z\u00e1rove\u0148\u00a0<strong>odv\u00e1d\u00ed tk\u00e1\u0148ovou tekutinu, kter\u00e1 se ozna\u010duje jako lymfa, do krevn\u00edho ob\u011bhu<\/strong>. Za norm\u00e1ln\u00edch okolnost\u00ed lidsk\u00e9 t\u011blo denn\u011b vyprodukuje zhruba 2-4 litry lymfy, kter\u00e1 obsahuje 80-200 gram\u016f protein\u016f<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Co je Lymfed\u00e9m<\/strong><\/p>\n\n\n\n<p><strong>Lymfed\u00e9m je m\u00edzn\u00ed otok, kter\u00fd se m\u016f\u017ee vytvo\u0159it na jak\u00e9koliv m\u011bkk\u00e9 tk\u00e1ni lidsk\u00e9ho t\u011bla, ale nej\u010dast\u011bji postihuje horn\u00ed \u010di doln\u00ed kon\u010detiny. Jedn\u00e1 se o komplikaci zp\u016fsobenou poruchou vst\u0159eb\u00e1vac\u00ed funkce lymfatick\u00fdch c\u00e9v, kdy se na posti\u017een\u00e9m m\u00edst\u011b hromad\u00ed tekutina a vyvol\u00e1v\u00e1 chronick\u00fd z\u00e1n\u011bt. Pokud se otok spr\u00e1vn\u011b nel\u00e9\u010d\u00ed, m\u00edv\u00e1 za n\u00e1sledek velk\u00e9 zdravotn\u00ed obt\u00ed\u017ee.<\/strong> <\/p>\n\n\n\n<p>Pokud lymfatick\u00fd syst\u00e9m nen\u00ed u pacienta dostate\u010dn\u011b vyvinut\u00fd nebo dojde k&nbsp;jeho po\u0161kozen\u00ed, m\u00edzn\u00ed ob\u011bh nen\u00ed schopn\u00fd dostate\u010dn\u011b plnit svou vst\u0159eb\u00e1vac\u00ed a transportn\u00ed funkci. V&nbsp;mezibun\u011b\u010dn\u00e9m prostoru posti\u017een\u00e9 oblasti se proto za\u010d\u00edn\u00e1 hromadit tekutina, kter\u00e1 k&nbsp;sob\u011b pout\u00e1 vodu a vytv\u00e1\u0159\u00ed&nbsp;<strong>otok bohat\u00fd na b\u00edlkoviny, jen\u017e se ozna\u010duje jako lymfed\u00e9m<\/strong>. N\u00e1sledn\u011b tak\u00e9 doch\u00e1z\u00ed k&nbsp;vazivov\u00e9mu bujen\u00ed a r\u016fzn\u00fdm degenerativn\u00edm zm\u011bn\u00e1m.<\/p>\n\n\n\n<p>Lymfed\u00e9m je tedy zvl\u00e1\u0161tn\u00ed druh otoku, kter\u00fd u pacient\u016f vznik\u00e1\u00a0<strong>v\u00a0d\u016fsledku poruchy odtoku tk\u00e1\u0148ov\u00e9 tekutiny z\u00a0posti\u017een\u00e9 \u010d\u00e1sti tk\u00e1n\u011b<\/strong>. A\u010dkoliv se m\u016f\u017ee objevit prakticky kdekoliv na t\u011ble, mezi nej\u010dast\u011bji diagnostikovan\u00e9 probl\u00e9my tohoto typu pat\u0159\u00ed lymfed\u00e9m doln\u00edch kon\u010detin a lymfed\u00e9m horn\u00edch kon\u010detin. M\u00e9n\u011b \u010dasto pak b\u00fdv\u00e1 posti\u017eena t\u0159eba oblast b\u0159icha, krku a obli\u010deje nebo genit\u00e1lie.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\"><strong>V\u00fdskyt<\/strong><\/h2>\n\n\n\n<p>M\u00edzn\u00ed otok, kter\u00fd p\u0159edstavuje velice \u010dastou komplikaci onkologick\u00fdch onemocn\u011bn\u00ed, pat\u0159\u00ed mezi zdravotn\u00ed obt\u00ed\u017ee, s&nbsp;nimi\u017e se pacienti musej\u00ed pot\u00fdkat po cel\u00fd zbytek \u017eivota, co\u017e pro n\u011b p\u0159edstavuje velkou fyzickou i psychickou z\u00e1t\u011b\u017e. L\u00e9ka\u0159i odhaduj\u00ed, \u017ee&nbsp;<strong>lymfed\u00e9m tr\u00e1p\u00ed zhruba 2 % populace<\/strong>, p\u0159i\u010dem\u017e \u017eeny b\u00fdvaj\u00ed posti\u017eeny mnohem \u010dast\u011bji ne\u017e mu\u017ei.<\/p>\n\n\n\n<p>S&nbsp;lymfed\u00e9mem se velmi \u010dasto pot\u00fdkaj\u00ed&nbsp;<strong>pacientky s&nbsp;<a href=\"https:\/\/zdravi.euro.cz\/leky\/rakovina-prsu-priznaky-lecba\/\">n\u00e1dorem prsu<\/a><\/strong>. Dal\u0161\u00ed ohro\u017eenou skupinou jsou pot\u00e9 \u017eeny s&nbsp;gynekologick\u00fdmi n\u00e1dory a tato zdravotn\u00ed komplikace m\u016f\u017ee nep\u0159\u00edjemn\u011b potr\u00e1pit tak\u00e9 pacienty s&nbsp;jin\u00fdm n\u00e1dorov\u00fdm onemocn\u011bn\u00edm, nap\u0159\u00edklad u&nbsp;<a href=\"https:\/\/zdravi.euro.cz\/leky\/rakovina-prostaty-priznaky-lecba\/\">n\u00e1doru prostaty<\/a>&nbsp;\u010di n\u00e1doru ledvin.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\"><strong>P\u0159\u00ed\u010dina vzniku lymfatick\u00e9ho otoku<\/strong><\/h2>\n\n\n\n<p>Podle toho, co vznik lymfed\u00e9mu zp\u016fsobilo, l\u00e9ka\u0159i rozli\u0161uj\u00ed&nbsp;<strong>dva r\u016fzn\u00e9 typy<\/strong>&nbsp;t\u00e9to zdravotn\u00ed komplikace. Zat\u00edmco prim\u00e1rn\u00ed lymfed\u00e9m je vrozen\u00fd, sekund\u00e1rn\u00ed je naopak z\u00edskan\u00fd.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\"><strong>Prim\u00e1rn\u00ed lymfed\u00e9m (later\u00e1ln\u00ed)<\/strong><\/h3>\n\n\n\n<p>Vrozen\u00fd lymfed\u00e9m vznik\u00e1\u00a0<strong>v\u00a0d\u016fsledku nedostate\u010dn\u00e9ho v\u00fdvoje lymfatick\u00e9ho syst\u00e9mu<\/strong>. V\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech b\u00fdv\u00e1 podm\u00edn\u011bn geneticky (nap\u0159\u00edklad u Nonne-Milroy syndromu) nebo kongenit\u00e1ln\u00ed anom\u00e1li\u00ed m\u00edzn\u00edho syst\u00e9mu (absence, hypoplazie \u010di lymfektazie m\u00edzn\u00edch c\u00e9v). Podle v\u011bku pacienta, u n\u011bho\u017e se otok objevil, se pot\u00e9 rozli\u0161uj\u00ed t\u0159i r\u016fzn\u00e9 druhy prim\u00e1rn\u00edho lymfed\u00e9mu:<\/p>\n\n\n\n<p>Prim\u00e1rn\u00ed lymfed\u00e9m v\u011bt\u0161inou vznik\u00e1 pozvolna,&nbsp;<strong>nejprve se objevuje na periferii kon\u010detin a postupn\u011b se \u0161\u00ed\u0159\u00ed sm\u011brem vzh\u016fru<\/strong>. Z&nbsp;latentn\u00ed f\u00e1ze do st\u00e1dia klinick\u00e9 manifestace p\u0159ech\u00e1z\u00ed v&nbsp;d\u016fsledku v\u011bt\u0161\u00edho zat\u00ed\u017een\u00ed m\u00edzn\u00edho syst\u00e9mu, kter\u00e9 m\u016f\u017ee b\u00fdt zp\u016fsobeno t\u0159eba hormon\u00e1ln\u00edmi zm\u011bnami, t\u011bhotenstv\u00edm, infekc\u00ed \u010di velkou n\u00e1mahou.<\/p>\n\n\n\n<p>D\u011bdi\u010dn\u00fd typ m\u00edzn\u00edho otoku, kter\u00fd je podm\u00edn\u011bn\u00fd v\u00fdvojovou poruchou, postihuje p\u0159edev\u0161\u00edm \u017eeny a vykazuje zhruba 40% famili\u00e1rn\u00ed v\u00fdskyt. Ned\u011bdi\u010dn\u00e1 forma je tak\u00e9 vrozen\u00e1, ale projevuje se sp\u00ed\u0161e v&nbsp;pubert\u011b nebo a\u017e b\u011bhem dosp\u011blosti.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\"><strong>Sekund\u00e1rn\u00ed lymfed\u00e9m (proxim\u00e1ln\u00ed)<\/strong><\/h3>\n\n\n\n<p>Z\u00edskan\u00fd lymfed\u00e9m&nbsp;<strong>obvykle vznik\u00e1 druhotn\u00fdm po\u0161kozen\u00edm lymfatick\u00e9ho syst\u00e9mu<\/strong>&nbsp;a je tedy d\u016fsledkem patologick\u00e9ho procesu, kter\u00fd m\u00e1 p\u016fvod mimo tuto soustavu. M\u016f\u017ee b\u00fdt zp\u016fsoben nap\u0159\u00edklad diagnostick\u00fdm \u010di chirurgick\u00fdm v\u00fdkonem, \u00farazem, rakovinotvorn\u00fdm bujen\u00edm, oza\u0159ov\u00e1n\u00edm nebo r\u016fzn\u00fdmi z\u00e1n\u011bty.<\/p>\n\n\n\n<p>Na rozd\u00edl od prim\u00e1rn\u00edho lymfed\u00e9mu sekund\u00e1rn\u00ed otok nevznik\u00e1 na periferii kon\u010detin, ale\u00a0<strong>obvykle se objev\u00ed pod p\u0159ek\u00e1\u017ekou, odkud se postupn\u011b \u0161\u00ed\u0159\u00ed pod\u00e9l toku lymfy na periferii<\/strong>. Zda se vyskytne ihned po operaci, \u00farazu \u010di jin\u00e9m po\u0161kozen\u00ed syst\u00e9mu, nebo a\u017e o n\u011bkolik let pozd\u011bji, je u jednotliv\u00fdch pacient\u016f individu\u00e1ln\u00ed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\"><strong>Jak\u00e9 m\u00e1 lymfed\u00e9m p\u0159\u00edznaky?<\/strong><\/h2>\n\n\n\n<p>A\u0165 u\u017e se jedn\u00e1 o lymfed\u00e9m horn\u00ed kon\u010detiny, lymfed\u00e9m doln\u00ed kon\u010detiny nebo otok jin\u00e9 m\u011bkk\u00e9 tk\u00e1n\u011b,&nbsp;<strong>zpo\u010d\u00e1tku b\u00fdv\u00e1 bled\u00fd, chladn\u00fd a nebolestiv\u00fd<\/strong>. Obvykle m\u00e1 m\u011bk\u010d\u00ed konzistenci a p\u0159i vy\u0161et\u0159en\u00ed pohmatem v&nbsp;n\u011bm m\u016f\u017eete snadno vytvo\u0159it d\u016flek. Pom\u011brn\u011b brzy se v\u0161ak lymfed\u00e9m m\u011bn\u00ed v&nbsp;tuh\u00fd \u00fatvar, a pokud se nel\u00e9\u010d\u00ed, m\u016f\u017ee v\u00e9st k&nbsp;rozvoji dal\u0161\u00edch nep\u0159\u00edjemn\u00fdch obt\u00ed\u017e\u00ed v\u010detn\u011b v\u00fdrazn\u00fdch ko\u017en\u00edch zm\u011bn.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Charakteristick\u00e9 p\u0159\u00edznaky lymfed\u00e9mu:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Such\u00e1 k\u016f\u017ee<\/li>\n\n\n\n<li>Pocit tlaku \u010di bolesti pod k\u016f\u017e\u00ed<\/li>\n\n\n\n<li>Znecitliv\u011bn\u00ed kon\u010detiny, mraven\u010den\u00ed<\/li>\n\n\n\n<li>Hyperkerat\u00f3za (ztlu\u0161t\u011bn\u00ed poko\u017eky)<\/li>\n\n\n\n<li>Zv\u00fdrazn\u011bn\u00ed papil\u00e1rn\u00edch lini\u00ed<\/li>\n\n\n\n<li>Sn\u00ed\u017een\u00ed r\u016fstu ochlupen\u00ed<\/li>\n\n\n\n<li>Po\u0161kozen\u00e9 nehtov\u00e9 plot\u00e9nky<\/li>\n\n\n\n<li>Vznik ko\u017en\u00edch pl\u00edsn\u00ed a tvorba puch\u00fd\u0159k\u016f (chyloderma)<\/li>\n\n\n\n<li>Verrucosis lymphostatica \u2013 bradavi\u010dnat\u00e9 zm\u011bny k\u016f\u017ee<\/li>\n<\/ul>\n\n\n\n<p>Postupem \u010dasu se chorobn\u00e9 zm\u011bny spojen\u00e9 s&nbsp;lymfatick\u00fdm otokem prohlubuj\u00ed,&nbsp;<strong>doch\u00e1z\u00ed k&nbsp;poru\u0161e l\u00e1tkov\u00e9 v\u00fdm\u011bny a fibrotizaci<\/strong>&nbsp;(vazivov\u00e9 bujen\u00ed). Objevuj\u00ed se projevy lymphorrhey, kdy m\u00edzn\u00ed tekutina prosakuje na k\u016f\u017ei pacienta, na povrchu lymfed\u00e9mu se rozv\u00edj\u00ed&nbsp;<strong>akutn\u00ed z\u00e1n\u011btliv\u00e9 reakce<\/strong>&nbsp;(nap\u0159\u00edklad&nbsp;<a href=\"https:\/\/zdravi.euro.cz\/leky\/kozni-mykoza-priznaky-lecba\/\">myk\u00f3zy<\/a>&nbsp;\u010di erysipel) a v&nbsp;nejhor\u0161\u00edm p\u0159\u00edpad\u011b m\u016f\u017ee b\u00fdt omezena tak\u00e9 hybnost jednotliv\u00fdch kloub\u016f.<\/p>\n\n\n\n<p>Krom\u011b toho, \u017ee se lymfed\u00e9m manifestuje fyzick\u00fdmi p\u0159\u00edznaky, v\u00fdrazn\u011b tak\u00e9\u00a0<strong>ovliv\u0148uje kvalitu \u017eivota pacient\u016f<\/strong>. Naru\u0161uje toti\u017e jejich b\u011b\u017en\u00e9 aktivity, p\u0159in\u00e1\u0161\u00ed s\u00a0sebou probl\u00e9my pro ka\u017edodenn\u00ed fungov\u00e1n\u00ed (nap\u0159\u00edklad pot\u00ed\u017ee p\u0159\u00ed v\u00fdb\u011bru obuvi a \u0161atstva) a m\u00e1 z\u00e1rove\u0148 negativn\u00ed vliv i na psychiku, soci\u00e1ln\u00ed za\u0159azen\u00ed nemocn\u00fdch a jejich vztahy s\u00a0okol\u00edm.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>O\u0161et\u0159en\u00ed <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>F\u00e1ze redukce otoku<\/strong>&nbsp;\u2013 V&nbsp;t\u00e9to intenzivn\u00ed f\u00e1zi, kter\u00e1 trv\u00e1 zhruba 4-6 t\u00fddn\u016f, se prov\u00e1d\u00ed dekongestivn\u00ed terapie (manu\u00e1ln\u00ed lymfodren\u00e1\u017e, p\u0159\u00edstrojov\u00e1 lymfodren\u00e1\u017e a band\u00e1\u017eov\u00e1n\u00ed). D\u016fle\u017eitou sou\u010d\u00e1st\u00ed terapie jsou v\u0161ak i dal\u0161\u00ed l\u00e9\u010debn\u00e9 metody, celkov\u00e1 p\u00e9\u010de o k\u016f\u017ei, speci\u00e1ln\u00ed cvi\u010den\u00ed s&nbsp;kompres\u00ed, farmakoterapie a ochrann\u00fd re\u017eim.<\/li>\n\n\n\n<li><strong>F\u00e1ze udr\u017eovac\u00ed<\/strong>&nbsp;\u2013 Jak u\u017e samotn\u00fd n\u00e1zev napov\u00edd\u00e1, tato f\u00e1ze je dlouhodob\u00e1. Zahrnuje no\u0161en\u00ed elastick\u00e9ho n\u00e1vleku, speci\u00e1ln\u00ed cvi\u010den\u00ed, d\u016fkladnou p\u00e9\u010di o poko\u017eku a v&nbsp;p\u0159\u00edpad\u011b pot\u0159eby tak\u00e9&nbsp;<a href=\"https:\/\/zdravi.euro.cz\/leky\/lymfodrenaz-manualni-a-pristrojova\/\">lymfodren\u00e1\u017e&nbsp;<\/a>(tu m\u016f\u017ee pacient doma prov\u00e1d\u011bt s\u00e1m, nebo tak\u00e9 pomoc\u00ed p\u0159\u00edstroje<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\"><strong>Manu\u00e1ln\u00ed lymfodren\u00e1\u017e<\/strong><\/h3>\n\n\n\n<p>Jedn\u00e1 se o jemnou, nebolestivou manu\u00e1ln\u00ed techniku, kterou prov\u00e1d\u00ed lymfoterapeut za pomoci speci\u00e1ln\u00edch hmat\u016f. Jej\u00edm \u00fakolem je\u00a0<strong>stimulovat fyziologick\u00fd tok lymfy<\/strong>\u00a0a t\u00edm pos\u00edlit nebo dokonce zv\u00fd\u0161it dosud zachovalou vst\u0159eb\u00e1vac\u00ed a transportn\u00ed funkci m\u00edzn\u00edho syst\u00e9mu. Tato l\u00e9\u010debn\u00e1 mas\u00e1\u017e obvykle trv\u00e1 30-60 minut.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\"><strong>P\u0159\u00edstrojov\u00e1 lymfodren\u00e1\u017e<\/strong><\/h3>\n\n\n\n<p>V&nbsp;n\u011bkter\u00fdch p\u0159\u00edpadech je manu\u00e1ln\u00ed lymfodren\u00e1\u017e nahrazena p\u0159\u00edstrojovou presoterapi\u00ed. Po&nbsp;napojen\u00ed p\u0159\u00edstroje na speci\u00e1ln\u00ed v\u00edcekomorov\u00fd n\u00e1vlek, kter\u00fd se um\u00edst\u00ed na posti\u017eenou kon\u010detinu, se jednotliv\u00e9 komory pln\u00ed pod tlakem 25-50 mm Hg (od centr\u00e1ln\u00ed oblasti sm\u011brem k&nbsp;periferii) a&nbsp;<strong>na dan\u00e9 m\u00edsto p\u016fsob\u00ed tlakov\u00e1 vlna<\/strong>. I zde je ov\u0161em vhodn\u00e9 nejprve o\u0161et\u0159it proxim\u00e1ln\u00ed partie m\u00edzn\u00edho syst\u00e9mu manu\u00e1ln\u00ed lymfodren\u00e1\u017e\u00ed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\"><strong>Kompresivn\u00ed band\u00e1\u017eov\u00e1n\u00ed<\/strong><\/h3>\n\n\n\n<p>Ned\u00edlnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby lymfed\u00e9mu (p\u0159edev\u0161\u00edm v&nbsp;oblasti kon\u010detin) je i kompresivn\u00ed terapie. Ve f\u00e1zi redukce otoku l\u00e9ka\u0159i obvykle&nbsp;<strong>aplikuj\u00ed zes\u00edlenou v\u00edcevrstevnou band\u00e1\u017e<\/strong>, u men\u0161\u00edch lymfed\u00e9m\u016f pot\u00e9 band\u00e1\u017e kr\u00e1tkota\u017en\u00fdmi obinadly. V&nbsp;udr\u017eovac\u00ed f\u00e1zi, kdy se ji\u017e otok nem\u011bn\u00ed, je mo\u017en\u00e9 pacient\u016fm p\u0159edepsat&nbsp;<strong>kompresivn\u00ed n\u00e1vleky nebo pun\u010dochy.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\"><strong>Cvi\u010den\u00ed<\/strong><\/h3>\n\n\n\n<p>Pacienti by samoz\u0159ejm\u011b nem\u011bli zapom\u00ednat ani na t\u011blesn\u00e9 cvi\u010den\u00ed. To by m\u011bl v\u00e9st vy\u0161kolen\u00fd pracovn\u00edk a&nbsp;<strong>v\u017edy by se m\u011blo prov\u00e1d\u011bt s&nbsp;band\u00e1\u017e\u00ed<\/strong>, aby bylo maxim\u00e1ln\u011b efektivn\u00ed. Vhodn\u00e9 cviky zvy\u0161uj\u00ed \u00fa\u010dinnost svalov\u00fdch kontrakc\u00ed na stimulaci lymfatick\u00e9ho syst\u00e9mu a napom\u00e1haj\u00ed urychlen\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed a toku lymfy.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Pou\u017e\u00edv\u00e1n\u00ed Pneuvenu<\/strong><\/p>\n\n\n\n<p>Programov\u00e9 vybaven\u00ed umo\u017e\u0148uje provozovat p\u0159\u00edstroj v programov\u00e9m re\u017eimu z\u00e1kladn\u00edm, kdy zvolen\u00e1 rychlost tlakov\u00e9 vlny a v\u00fdsledn\u00fd zvolen\u00fd tlak ve v\u0161ech komor\u00e1ch n\u00e1vleku je konstantn\u00ed \u00a0a v re\u017eimu GRADIENT, kdy\u00a0 zvolen\u00fd tlak v komor\u00e1ch n\u00e1vleku kles\u00e1 od periferie\u00a0 k  centru.<\/p>\n\n\n\n<p>Po uplynut\u00ed zvolen\u00e9 doby terapie nebo po prob\u011bhnut\u00ed zvolen\u00e9ho po\u010dtu cykl\u016f je automaticky zah\u00e1jeno vyprazd\u0148ov\u00e1n\u00ed n\u00e1vleku, v\u010detn\u011b jeho nucen\u00e9ho ods\u00e1v\u00e1n\u00ed. Koncepce p\u0159\u00edstroje rovn\u011b\u017e umo\u017e\u0148uje pracovat v podtlakov\u00e9m re\u017eimu. <\/p>\n\n\n\n<p>Pr\u016fb\u011bh terapie je mo\u017eno kontrolovat na sv\u011bteln\u00e9m displeji, kde sv\u011bteln\u00e9 diody ozna\u010duj\u00ed aktivn\u00ed komory a&nbsp; sou\u010dasn\u011b jsou zobrazeny okam\u017eit\u00e9 parametry&nbsp; prob\u00edhaj\u00edc\u00ed&nbsp; terapie (tlak, \u010das, gradient, typ programu a typ n\u00e1vleku).<\/p>\n\n\n\n<p>P\u0159\u00edstroj PNEUVEN MEDI umo\u017e\u0148uje individu\u00e1ln\u011b upravit rozsah pou\u017e\u00edvan\u00fdch komor. Funkce INDIVIDU\u00c1LN\u00cd PROGRAM &nbsp; se &nbsp;pou\u017e\u00edv\u00e1 v p\u0159\u00edpad\u011b, \u017ee z jak\u00e9hokoliv d\u016fvodu (obvykle&nbsp; u otev\u0159en\u00fdch&nbsp; ran, nebo jin\u00fdch defekt\u016f ) je pot\u0159ebn\u00e9 n\u011bkterou komoru \u010di komory vy\u0159adit z provozu.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lymfodren\u00e1\u017en\u00ed p\u0159\u00edstroje Pneuven pro lymfatickou mas\u00e1\u017e. Lymfomas\u00e1\u017e se pou\u017e\u00edv\u00e1 pro l\u00e9\u010dbu lymfatick\u00fdch, tzn. m\u00edzn\u00edch otok\u016f, \u017eiln\u00ed nedostate\u010dnosti, je vhodn\u00e1 jako p\u0159edopera\u010dn\u00ed a poopera\u010dn\u00ed prevence hlubok\u00e9 tromb\u00f3zy, rehabilitace po\u00farazov\u00fdch stav\u016f spojen\u00e1 s otoky posti\u017een\u00fdch kon\u010detin. Lymfatick\u00e1 mas\u00e1\u017e rovn\u011b\u017e slou\u017e\u00ed k regeneraci p\u0159i rehabilitaci sportovc\u016f a pracovn\u00edk\u016f, kte\u0159\u00ed maj\u00ed nadm\u011brn\u00e9 zat\u00ed\u017een\u00ed doln\u00edch kon\u010detin P\u0159\u00edstroj pneuven medi pracuje &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.salonklararevnice.cz\/?page_id=166\" class=\"more-link\">Pokra\u010dovat ve \u010dten\u00ed<span class=\"screen-reader-text\"> &#8222;Pneuven-lymfodren\u00e1\u017e&#8220;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":271,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-166","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=\/wp\/v2\/pages\/166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=166"}],"version-history":[{"count":1,"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=\/wp\/v2\/pages\/166\/revisions"}],"predecessor-version":[{"id":408,"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=\/wp\/v2\/pages\/166\/revisions\/408"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=\/wp\/v2\/media\/271"}],"wp:attachment":[{"href":"https:\/\/www.salonklararevnice.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}