Typ pacient\u016f, o kter\u00fdch budu ps\u00e1t dnes, zn\u00e1 prakticky ka\u017ed\u00fd l\u00e9ka\u0159. Ob\u00edhaj\u00ed nejprve praktick\u00e9ho l\u00e9ka\u0159e, pak r\u016fzn\u00e9 specialisty a hledaj\u00ed exaktn\u00ed odpov\u011b\u010f na pot\u00ed\u017ee, kter\u00e9 poci\u0165uj\u00ed. Na tom samoz\u0159ejm\u011b nen\u00ed nic neobvykl\u00e9ho. Nicm\u00e9n\u011b l\u00e9ka\u0159i somatick\u00fdch obor\u016f znaj\u00ed kompletn\u00ed obraz ka\u017ed\u00e9 t\u011blesn\u00e9 nemoci. A pot\u00ed\u017ee, se kter\u00fdmi p\u0159ich\u00e1zej\u00ed tito pacienti , do \u017e\u00e1dn\u00e9 z nich nezapadaj\u00ed. V takov\u00e9 situaci je somatick\u00fd l\u00e9ka\u0159 v konc\u00edch a pacientovi \u0159ekne n\u011bco ve smyslu:“To bude psychika, to v\u00e1m d\u011bl\u00e1 hlava, m\u00e1te to ze stresu, dojd\u011bte si k psychiatrovi.“ S tak plytk\u00fdm vysv\u011btlen\u00edm se ale sebev\u011bdom\u00fd pacient nem\u016f\u017ee sm\u00ed\u0159it a se spravedliv\u00fdm hn\u011bvem odch\u00e1z\u00ed dom\u016f. “ Nejsem p\u0159ece bl\u00e1zen. Ten doktor toho asi moc nena\u0161tudoval, kdy\u017e nepoznal, co mi je. Asi m\u00e1m n\u011bjakou vz\u00e1cnou nemoc, se kterou nem\u00e1 zku\u0161enosti. Nebo na m\u011b \u0161kudl\u00ed a nechce m\u011b poslat na to specializovan\u00e9 vy\u0161et\u0159en\u00ed. No, na to j\u00e1 m\u00e1m ale pr\u00e1vo, v\u017edy\u0165 jsem da\u0148ov\u00fd poplatn\u00edk..“, \u0159\u00edk\u00e1 si sebev\u011bdom\u00fd pacient, kdy\u017e doraz\u00ed dom\u016f. Zasedne k po\u010d\u00edta\u010di a zept\u00e1 se Googlu:“Co mi je?“. Po\u010d\u00edta\u010d vychrl\u00ed mno\u017estv\u00ed mo\u017en\u00fdch nemoc\u00ed k p\u0159edkl\u00e1dan\u00e9mu p\u0159\u00edznaku a pacient se op\u011bt zaraduje. U\u017e se seznamem mo\u017en\u00fdch nemoc\u00ed za\u010dne nav\u0161t\u011bvovat p\u0159\u00edmo specialisty (u praktika u\u017e byl a ten \u010dlov\u011bk to nepoznal a to m\u00e1 vysokou\u2026). Kdy\u017e nevyjde jedna nemoc, tak zkus\u00ed dal\u0161\u00ed a popravd\u011b..kdo hled\u00e1, v\u017edycky najde. V\u011bt\u0161inou ale ke \u0161kod\u011b pacienta, kter\u00fd se tak dere za rozlousknut\u00ed sv\u00fdch zdravotn\u00edch obt\u00ed\u017e\u00ed. Ned\u00e1vno jsem \u010detla kazuistiku (tedy popsan\u00fd p\u0159\u00edpad) pacientky, kter\u00e1 ve sv\u00fdch 30 letech byla v invalidn\u00edm d\u016fchodu, m\u011bla v\u00fdvod tlust\u00e9ho st\u0159eva (dle dokumentace odleh\u010dovac\u00ed) a aplikovala si denn\u011b opi\u00e1ty (pro nevysv\u011btlitelnou bolest) a to v\u0161e samoz\u0159ejm\u011b za ve\u0159ejn\u00e9 pen\u00edze. \u017dila pro svou nemoc a ma\u0161inerie na\u0161eho zdravotnictv\u00ed j\u00ed v tom pomohla. Kdyby na za\u010d\u00e1tku toho v\u0161eho byl empatick\u00fd psychiatr, tak mohla \u017e\u00edt norm\u00e1ln\u00ed \u017eivot.<\/p>\n\n\n\n
Psychika je komplikovan\u00e1 v\u011bc. Po\u010d\u00edta\u010d, kter\u00fd m\u00e1me v hlav\u011b ne\u0159\u00edd\u00ed jen na\u0161e my\u0161len\u00ed, ale v\u0161echny pochody v t\u011ble. A proto opravdu existuje mno\u017estv\u00ed nep\u0159\u00edjemn\u00fdch stav\u016f, kter\u00e9 imituj\u00ed p\u0159\u00edznaky t\u011blesn\u00e9 nemoci, ale jsou takzvan\u011b bez somatick\u00e9ho korel\u00e1tu (tedy nap\u0159\u00edklad je ka\u0161el, ale chyb\u00ed p\u0159\u00edznaky infekce sliznic). V medic\u00edn\u011b se pro takov\u00e9 pot\u00ed\u017ee za\u010dalo u\u017e\u00edvat slovo „funk\u010dn\u00ed“, proto\u017ee slovo „psychogenn\u00ed“ pacienty odrazovalo od vlastn\u00ed l\u00e9\u010dby. Existuje tak opravdu psychogenn\u00ed ka\u0161el, kdy pacient po n\u011bkolik m\u011bs\u00edc\u016f ka\u0161le ani\u017e by byla zan\u00edcen\u00e1 sliznice hrtanu, \u010dast\u00e9 jsou bolesti r\u016fzn\u00e9ho druhu (zvl\u00e1\u0161\u0165 u d\u011bt\u00ed), r\u016fzn\u00e9 typy t\u0159es\u016f nebo necitlivosti, kter\u00e9 imituj\u00ed neurologick\u00e1 onemocn\u011bn\u00ed. Na\u0161i p\u0159edci to v\u011bd\u011bli a proto t\u011bmto pot\u00ed\u017e\u00edm dali i trefn\u00e1 p\u0159irovn\u00e1ni: Ka\u0161le na to, le\u017e\u00ed mu to v \u017ealudku, nalo\u017eil si toho moc na z\u00e1da, nedok\u00e1\u017ee to str\u00e1vit. To p\u0159esn\u011b vyjad\u0159uje psychick\u00fd p\u016fvod nap\u0159\u00edklad \u017ealude\u010dn\u00ed neurozy, dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku nebo i bolest\u00ed zad. U v\u0161ech t\u011bchto pot\u00ed\u017e\u00ed je p\u016fvod v my\u0161lenk\u00e1ch a emoc\u00edch. P\u0159i \u00fazkosti se nap\u00ednaj\u00ed svalov\u00e9 skupiny, kter\u00e9 d\u0159\u00edve slou\u017eily k obran\u011b, sv\u00edr\u00e1 se svalov\u00fd krun\u00fd\u0159 a n\u011bkter\u00e9 svaly naopak ochabuj\u00ed. P\u0159i \u00fanav\u011b \u010di smutku, chod\u00edme se sv\u011b\u0161enou hlavou, op\u011bt to m\u00e1 vliv na skelet a svaly hrudn\u00edku a zad. P\u0159i stresu se do krve vyl\u00e9vaj\u00ed hormony, kter\u00e9 mohou zrychlit st\u0159evn\u00ed peristaltiku. D\u016fle\u017eit\u00e9 je l\u00e9\u010dit p\u0159\u00ed\u010dinu a nikoliv p\u0159\u00edznak.<\/p>\n\n\n\n
V l\u00e9\u010db\u011b psychosomatick\u00fdch nemoc\u00ed v\u00e1m m\u016f\u017ee pomoci praktick\u00fd l\u00e9ka\u0159, psychiatr, psycholog nejl\u00e9pe v\u0161ak psychoterapeut se vzd\u011bl\u00e1n\u00edm ve zdravotnick\u00e9m oboru. Jak\u00fd je mezi v\u00fd\u0161e zm\u00edn\u011bn\u00fdmi odborn\u00edky rozd\u00edl a koho nav\u0161t\u00edvit pro jak\u00e9 obt\u00ed\u017ee si pov\u00edme v dal\u0161\u00edm \u010dl\u00e1nku.<\/p>\n","protected":false},"excerpt":{"rendered":"
Typ pacient\u016f, o kter\u00fdch budu ps\u00e1t dnes, zn\u00e1 prakticky ka\u017ed\u00fd l\u00e9ka\u0159. Ob\u00edhaj\u00ed nejprve praktick\u00e9ho l\u00e9ka\u0159e, pak r\u016fzn\u00e9 specialisty a hledaj\u00ed exaktn\u00ed odpov\u011b\u010f na pot\u00ed\u017ee, kter\u00e9 poci\u0165uj\u00ed. Na tom samoz\u0159ejm\u011b nen\u00ed nic neobvykl\u00e9ho. Nicm\u00e9n\u011b l\u00e9ka\u0159i somatick\u00fdch obor\u016f znaj\u00ed kompletn\u00ed obraz ka\u017ed\u00e9… Pokra\u010dovat ve \u010dten\u00ed →<\/a><\/p>\n","protected":false},"author":1,"featured_media":138,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-92","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky"],"_links":{"self":[{"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=\/wp\/v2\/posts\/92","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=92"}],"version-history":[{"count":1,"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=\/wp\/v2\/posts\/92\/revisions"}],"predecessor-version":[{"id":93,"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=\/wp\/v2\/posts\/92\/revisions\/93"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=\/wp\/v2\/media\/138"}],"wp:attachment":[{"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=92"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=92"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.novotnalenka.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=92"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}