{"id":74971,"date":"2021-12-13T11:12:23","date_gmt":"2021-12-13T10:12:23","guid":{"rendered":"https:\/\/www.nadaciaadeli.sk\/?p=74971"},"modified":"2021-12-13T11:12:23","modified_gmt":"2021-12-13T10:12:23","slug":"chut-zit-lieci","status":"publish","type":"post","link":"https:\/\/nadaciaadeli.sk\/en\/chut-zit-lieci\/","title":{"rendered":"Chu\u0165 \u017ei\u0165 lie\u010di"},"content":{"rendered":"

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Keby mali lek\u00e1ri \u010darovn\u00fd pr\u00fatik, priali by si pacientov, ktor\u00ed nezanedb\u00e1vaj\u00fa pravideln\u00e9 prehliadky. N\u00e1hla cievna mozgov\u00e1 pr\u00edhoda, ak sa u\u017e udeje, je zasa sk\u00fa\u0161kou sily rodiny. Neurologi\u010dka Dr. Krist\u00edna Saienko \u0160ug\u00e1rov\u00e1 m\u00e1 prax z\u00a0kliniky v\u00a0Leviciach a\u00a0Nov\u00fdch Z\u00e1mkoch, z vlastnej ambulancie a\u00a0zbiera sk\u00fasenosti p\u00f4soben\u00edm v rehabilita\u010dnom centre ADELI v Pie\u0161\u0165anoch. Jej odborn\u00e9 aj \u013eudsk\u00e9 poznanie zapadaj\u00fa ako kamienky do mozaiky: Bojova\u0165 s\u00a0cievnou mozgovou pr\u00edhodou sa d\u00e1. Bojova\u0165 sa oplat\u00ed a\u00a0chu\u0165 \u017ei\u0165 sa dostav\u00ed.<\/p>\n

Do nemocnice sa r\u00fati sanitka s pacientom so znakmi m\u0155tvice. Pred vchodom na asfalte u\u017e \u010dak\u00e1 mlad\u00e1 neurologi\u010dka, vyzbrojen\u00e1 na odbery a podanie prvej d\u00e1vky lie\u010dby. Pacienta vylo\u017eia a\u00a0ona stl\u00e1\u010da stopky. Ak nie je pr\u00e1ve k\u00a0dispoz\u00edcii o\u0161etrovate\u013e, preto\u017ee mo\u017eno pr\u00e1ve sadruje zlomeninu, pom\u00e1ha pri prevoze na CT z\u00e1chran\u00e1rom sama. K\u00fdm sa nezobraz\u00ed sie\u0165 ciev v\u00a0mozgu na CT, v\u00edria v jej hlave sam\u00e9 ot\u00e1zky: Volal pacient z\u00e1chranku hne\u010f alebo vy\u010dk\u00e1val? Po\u010das ka\u017edej min\u00faty nedokrven\u00e9ho mozgu krvnou zrazeninou umiera 1,9 mili\u00f3na nervov\u00fdch buniek. Ka\u017ed\u00e1 straten\u00e1 min\u00fata m\u00f4\u017ee znamena\u0165 rozsiahlej\u0161ie \u0161kody v\u00a0mozgu pacienta. Ak\u00fd typ cievnej mozgovej pr\u00edhody pacienta postihol? Stopky be\u017eia. Od pr\u00edjmu pacienta na CT pracovisko po podanie prv\u00e9ho s\u00fasta lie\u010dby \u2013 tzv. bolusu je rekord mladej doktorky Krist\u00edny 11 min\u00fat. Inde a\u00a0inokedy to m\u00f4\u017ee by\u0165 aj 40 min\u00fat! Dne\u0161ku prialo \u0161\u0165astie. Vznik\u00e1 pl\u00e1n \u010fal\u0161\u00edch krokov lie\u010dby. Jedno je ist\u00e9: Ak sa re\u0165az spolupr\u00e1ce v ak\u00fatnej medic\u00edne zdr\u017e\u00ed, skaza v\u00a0mozgu pokra\u010duje. \u0160ance pacienta vr\u00e1ti\u0165 mu pln\u00e9 zdravie redn\u00fa.<\/p>\n

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NA \u017dIVOTE Z\u00c1LE\u017d\u00cd<\/h3>\n

D\u00e1 sa poveda\u0165, \u017ee samotn\u00e9 stretnutie s neurologi\u010dkou Dr. Krist\u00ednou Saienko \u0160ug\u00e1rovou m\u00e1 lie\u010div\u00fd \u00fa\u010dinok.\u00a0 Ke\u010f sa rozhovor\u00ed o \u201efint\u00e1ch\u201c, ktor\u00fdmi sa daj\u00fa e\u0161te ubra\u0165 pri z\u00e1chrane pacienta v mana\u017emente starostlivosti \u017eivot-uberaj\u00face min\u00faty, c\u00edtite bezpe\u010die a pokoj. Ak\u00fatna lie\u010dba cievnej mozgovej pr\u00edhody je pod\u013ea nej najvzru\u0161uj\u00facej\u0161ia \u010das\u0165 neurol\u00f3gie. \u201eAk V\u00e1m privez\u00fa pacienta s\u00a0mozgovou por\u00e1\u017ekou a\u00a0vy sa s\u00a0n\u00edm na druh\u00fd de\u0148 m\u00f4\u017eete rozpr\u00e1va\u0165,\u00a0pacient alebo pacientka je sebesta\u010dn\u00e1, funk\u010dn\u00e1 \u2013 je to pocit na nezaplatenie. T\u00e1to pr\u00e1ca v\u00e1m d\u00e1 poc\u00edti\u0165 silu ak\u00fatneho rozhodnutia o\u00a0bud\u00facnosti pacienta.<\/i>\u201c Zvl\u00e1\u0161\u0165, ke\u010f si uvedom\u00edme \u0165a\u017ek\u00e9 pracovn\u00e9 podmienky na\u0161ich lek\u00e1rov, je ka\u017ed\u00e1 spr\u00e1va o\u00a0tom, ako na pacientovi z\u00e1le\u017e\u00ed, balzamom pre du\u0161u. Krist\u00edna nie je v\u010faka Bohu vymyslenou ak\u010dnou hrdinkou, neodi\u0161la do zahrani\u010dia a p\u00f4sob\u00ed tu, na Slovensku. Pre n\u00e1s ako pacientov sa potvrdzuje, \u017ee n\u00e1dej existuje. Ako pacienti by sme v\u0161ak mali by\u0165 tie\u017e ak\u010dnej\u0161\u00ed\u2026<\/p>\n

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KE\u010e SA DRUH\u00ddKR\u00c1T NAROD\u00cdME<\/h3>\n

Mlad\u00fa neurologi\u010dku znepokojuj\u00fa po\u010dty t\u00fdch \u201eodvr\u00e1tite\u013en\u00fdch\u201c pr\u00edpadov. \u010cast\u00e9 s\u00fa pr\u00edpady pacientov, ktor\u00ed nekonali a ot\u00e1\u013eali vyh\u013eada\u0165 lek\u00e1ra, ke\u010f pr\u00edznaky straty funk\u010dnosti boli o\u010dividn\u00e9. \u201eOvisnut\u00fd k\u00fatik \u00fast, necitlivos\u0165 prstov, zmena re\u010di, dezorientovanos\u0165, dokonca len z\u00e1vraty\u201c-<\/i>vymenuje Dr. Saienko \u0160ug\u00e1rov\u00e1 len niektor\u00e9 z prejavov zmien vo v\u00fd\u017eive mozgu. Tieto m\u00f4\u017eu vy\u00fasti\u0165 do trval\u00e9ho, nezvratn\u00e9ho po\u0161kodenia a\u00a0zn\u00ed\u017eenia kvality \u017eivota. Svoju da\u0148\u00a0 v\u00a0podobe m\u0155tvice si vyberaj\u00fa viac pacienti, ktor\u00ed netu\u0161ia, \u017ee maj\u00fa poruchu srdcov\u00e9ho rytmu alebo zr\u00e1\u017eanlivosti krvi, i t\u00ed, \u010do si nesleduj\u00fa vysok\u00fd krvn\u00fd tlak. Mnoh\u00ed potom (a\u00a0neskoro) h\u013eadaj\u00fa \u201e\u010darovn\u00fd pr\u00fatik\u201c u\u00a0lek\u00e1ra v\u00a0podobe lieku, ktor\u00fd by im vr\u00e1til pohyblivos\u0165 a\u00a0re\u010d. In\u00ed pacienti z\u00a0ambulancie Dr. \u0160ug\u00e1rovej zasa vn\u00edmaj\u00fa m\u0155tvicu ako zdvihnut\u00fd prst osudu a\u00a0prehodnotia svoj vz\u0165ah k\u00a0vlastn\u00e9mu zdraviu. Za\u010d\u00ednaj\u00fa si \u017eivot v\u00e1\u017ei\u0165.<\/p>\n

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

N\u00c1VOD NA ZLEP\u0160ENIE EXISTUJE: REHABILITOVA\u0164, REHABILITOVA\u0164, REHABILITOVA\u0164<\/h3>\n

Ide\u00e1lny scen\u00e1r r\u00fdchlej zdravotnej pomoci v\u0161ak nie je v\u017edy mo\u017en\u00fd a rozsah po\u0161kodenia sp\u00f4sob\u00ed nefunk\u010dnos\u0165 mozgu. Pacient zost\u00e1va imobiln\u00fd, plienkovan\u00fd, nie je schopn\u00fd obsl\u00fa\u017ei\u0165 sa s\u00e1m a je odk\u00e1zan\u00fd na 24 hodinov\u00fa starostlivos\u0165. \u201eV ak\u00fatnej medic\u00edne zachra\u0148ujeme mozog, stabilizujeme pacienta. Z fyziologick\u00fdmi n\u00e1sledkami u\u017e nepracujeme, to je parketa rehabilita\u010dn\u00fdch lek\u00e1rov a\u00a0fyzioterapeutov<\/i>. Je d\u00f4le\u017eit\u00e9, ak\u00e1 bude kvalita \u017eivota po cievnej pr\u00edhode. Ve\u010f v\u00e1\u017ene postihnutie \u010dlena rodiny je aj socioekonomick\u00fd probl\u00e9m. A\u017e v\u00a0ADELI som si uvedomila neuverite\u013en\u00fd rozsah mo\u017enost\u00ed, ktor\u00fdmi sa pacientovi d\u00e1 zlep\u0161i\u0165 \u017eivot. Do m\u00f4jho pr\u00edchodu do ADELI som toto centrum poznala len z\u00a0po\u010dutia od pacientov, ktor\u00ed v\u00a0bezn\u00e1dejnom stave op\u00fa\u0161\u0165ali nemocnicu a\u00a0smerovali sem.<\/b> T\u00ed pacienti mali jedno spolo\u010dn\u00e9: rodinu, ktor\u00e1 s\u010dasti bojovala za nich a\u00a0i\u0161li na rehabilit\u00e1ciu vy\u0165a\u017ei\u0165 maximum. Po rokoch som teraz stretla b\u00fdval\u00fa pacientku. Chod\u00ed u\u017e len s\u00a0franc\u00fazskou barlou.\u201c<\/i><\/p>\n

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

KE\u010e S\u00c1M LEK\u00c1R ZOST\u00c1VA \u0160OKOVAN\u00dd\u2026<\/h3>\n

\u201e\u00da\u010dinok rehabilit\u00e1cie z\u00e1vis\u00ed samozrejme od ve\u013ekej intenzity. Ale je to i\u00a0o\u00a0srde\u010dnosti, s\u00a0ktorou sa tu pracuje s\u00a0pacientami. Terapeuti \u017een\u00fa pacientov vpred. Rodinn\u00e1 atmosf\u00e9ra hr\u00e1 obrovsk\u00fa rolu, preto\u017ee vid\u00edm, ako sa pacienti te\u0161ia na \u013eud\u00ed, ktor\u00ed v\u00a0ADELI pracuj\u00fa. Vid\u00edm fantastick\u00e9 v\u00fdsledky. Po 2 t\u00fd\u017ed\u0148och bada\u0165 pokroky a\u00a0nielen u\u00a0pacientov po por\u00e1\u017eke. Stret\u00e1vam sa s\u00a0pacientami, ktor\u00ed mali \u00farazy mozgu, boli v\u00a0k\u00f3me. Jedn\u00e9ho mlad\u00e9ho pacienta odporu\u010dili matke umiestni\u0165 do domova soci\u00e1lnej starostlivosti d\u00f4stojne do\u017ei\u0165. Teraz chod\u00ed o\u00a0pali\u010dke, komunikuje \u2013 je to z\u00e1zrak. Z\u00a0h\u013eadiska medic\u00edny je to neuverite\u013en\u00e9. Oni sa v\u0161ak tak nabudili, \u017ee on chce \u017ei\u0165 a\u00a0bojova\u0165, aj kv\u00f4li mamke, aj kv\u00f4li sebe\u2026 za\u010d\u00ednam rozumie\u0165 tomu, \u017ee v\u00a0ADELI sa naozaj tieto sny plnia. Dokazuje sa, \u017ee medic\u00edna nem\u00e1 kone\u010dn\u00e9 slovo v\u00a0ur\u010den\u00ed progn\u00f3zy pacienta\u201c.\u00a0\u00a0 <\/em><\/p>\n

LEKCIA Z\u00a0ADELI<\/h3>\n

\u201eT\u00e1 znie jednoducho. B\u00fdvala som skeptick\u00e1, prizn\u00e1m sa. Po prekvapeniach, ktor\u00e9 vid\u00edm v\u00a0ADELI, hovor\u00edm aj ka\u017ed\u00e9mu na ambulancii: \u0160ANCA JE V\u017dDY. Navy\u0161e u\u017e rozozn\u00e1m pr\u00edpady, ktor\u00e9 maj\u00fa jednozna\u010dn\u00fa \u0161ancu.\u201c <\/em><\/p>\n

Dr. Krist\u00edna Saienko \u0160ug\u00e1rov\u00e1 <\/strong>(31) je rod\u00e1\u010dkou zo \u0160iah. Lek\u00e1rkou sa t\u00fa\u017eila sta\u0165 od detstva. Po vzore mamy, zdravotnej sestry, o\u0161etrovala b\u00e1biky, ps\u00edkov a\u00a0ma\u010dky. V\u00a0roku 2009 bola prijat\u00e1 na Lek\u00e1rsku fakultu UK v\u00a0Bratislave, po\u010das \u0161t\u00fadia, od 4. ro\u010dn\u00edka ka\u017ed\u00e9 pr\u00e1zdniny praxovala na Neurol\u00f3gii v\u00a0levickej nemocnici. V\u00a0apr\u00edli 2021 z\u00edskala\u00a0\u0161pecializ\u00e1ciu v\u00a0odbore neurol\u00f3gia na SZU Bratislava. Od roku 2015 pracovala na Neurologickom oddelen\u00ed v\u00a0levickej nemocnici a\u00a0ako extern\u00fd zamestnanec FN v Nov\u00fdch Z\u00e1mkoch. Aktu\u00e1lne sa venuje ambulantn\u00fdm pacientom v\u00a0Leviciach, pacientom neurorehabilita\u010dn\u00e9ho centra ADELI ako aj osvete prevencie n\u00e1hlych cievnych mozgov\u00fdch pr\u00edhod. Je vydat\u00e1, man\u017eel Dr. Maksym Saienko je prim\u00e1rom Intern\u00e9ho oddelenia nemocnice AGEL v\u00a0Leviciach.<\/p>","protected":false},"excerpt":{"rendered":"

Keby mali lek\u00e1ri \u010darovn\u00fd pr\u00fatik, priali by si pacientov, ktor\u00ed nezanedb\u00e1vaj\u00fa pravideln\u00e9 prehliadky. N\u00e1hla cievna mozgov\u00e1 pr\u00edhoda, ak sa u\u017e udeje, je zasa sk\u00fa\u0161kou sily rodiny. <\/p>","protected":false},"author":1,"featured_media":74975,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"none","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_breakdance_hide_in_design_set":false,"_breakdance_tags":"","footnotes":""},"categories":[56,5],"tags":[],"class_list":["post-74971","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","category-novinky"],"acf":[],"_links":{"self":[{"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/posts\/74971","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/comments?post=74971"}],"version-history":[{"count":0,"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/posts\/74971\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/media\/74975"}],"wp:attachment":[{"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/media?parent=74971"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/categories?post=74971"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nadaciaadeli.sk\/en\/wp-json\/wp\/v2\/tags?post=74971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}