Do t\u00e9 doby, ne\u017e jsem ho pot\u0159ebovala, bych vlastn\u011b ani nedok\u00e1zala dost dob\u0159e a stoprocentn\u011b spr\u00e1vn\u011b vysv\u011btlit, co p\u0159esn\u011b ortotik- protetik d\u011bl\u00e1 a s \u010d\u00edm v\u0161\u00edm se na n\u011bj m\u016f\u017ee \u010dlov\u011bk obr\u00e1tit. P\u0159itom mi hrozn\u011b moc uleh\u010dil \u017eivot p\u0159i probl\u00e9mech s ch\u016fz\u00ed. J\u00e1 jsem m\u011bla \u0161t\u011bst\u00ed a dostala doporu\u010den\u00ed ke skv\u011bl\u00e9mu a sympatick\u00e9mu odborn\u00edkovi. A proto jsem ho poprosila, aby m\u011b do taj\u016f t\u00e9hle profese zasv\u011btil. Nav\u00edc dal skv\u011bl\u00fd tip, co mysl\u00edm je pro n\u00e1s pacienty k nezaplacen\u00ed a sice, jak vybrat tu spr\u00e1vnou pom\u016fcku.<\/p>\n\n\n\n
Ortotik-protetik je specialista, kter\u00fd pom\u00e1h\u00e1 lidem s pohybov\u00fdmi probl\u00e9my nebo po amputaci kon\u010detiny. Zab\u00fdv\u00e1 se indikac\u00ed, konstrukc\u00ed a aplikac\u00ed ort\u00e9z (pom\u016fcky na podporu oslaben\u00fdch \u010d\u00e1st\u00ed t\u011bla) a prot\u00e9z (n\u00e1hrady chyb\u011bj\u00edc\u00edch \u010d\u00e1st\u00ed t\u011bla). Dohl\u00ed\u017e\u00ed nad v\u00fdrobou nebo zhotovuje, upravuje, opravuje a pak vysv\u011btl\u00ed, jak je spr\u00e1vn\u011b pou\u017e\u00edvat.<\/p>\n\n\n\n
Nep\u0159edstavujte si ale d\u011bln\u00edka v mont\u00e9rk\u00e1ch, kter\u00fd bu\u0161\u00ed kladivem do sv\u011br\u00e1ku a vyr\u00e1b\u00ed n\u011bjakou pom\u016fcku ze stavebnice. Je to vysoko\u0161kolsky vzd\u011blan\u00fd odborn\u00edk se znalostmi lidsk\u00e9ho t\u011bla, biomechaniky a technologi\u00ed v\u00fdroby ortopedick\u00fdch a protetick\u00fdch pom\u016fcek. Krom\u011b studia se mus\u00ed neust\u00e1le vzd\u011bl\u00e1vat a absolvovat r\u016fzn\u00e9 certifikovan\u00e9 kurzy, aby byl v\u017edy obezn\u00e1men s nejnov\u011bj\u0161\u00edmi technologick\u00fdmi mo\u017enostmi v ortopedick\u00e9 protetice. Mus\u00ed tak\u00e9 um\u011bt pacienta vy\u0161et\u0159it, navrhnout vhodn\u00e9 \u0159e\u0161en\u00ed a zajistit, aby pom\u016fcka odpov\u00eddala jeho individu\u00e1ln\u00edm pot\u0159eb\u00e1m. Tak\u017ee, pokud jste si p\u0159edstavovali ortotika jako n\u011bkoho, kdo \u201ebouch\u00e1 kladivem do sv\u011br\u00e1ku\u201c, jste vedle. Spr\u00e1vn\u011b se sice \u0159\u00edk\u00e1 ortotik-protetik, ale ruku na srdce, nen\u00ed to zrovna nejleh\u010d\u00ed na vysloven\u00ed. Douf\u00e1m, \u017ee mi prominete drobnou zjednodu\u0161enost, kdy\u017e budu \u0159\u00edkat jen ortotik. Koneckonc\u016f, m\u011b jde hlavn\u011b o ortopedick\u00e9 pom\u016fcky.<\/p>\n\n\n\n
J\u00e1 jsem \u0161la k ortotikovi s jasnou p\u0159edstavou toho, co chci, zkou\u0161eli jsme toti\u017e v\u0161eljak\u00e9 pom\u016fcky na fyzioterapii, a nakonec jsme jednu s fyzioterapeutem i vybrali. Ale po t\u00e9, co m\u011b ortotik vy\u0161et\u0159il, p\u0159e\u010detl l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy a vid\u011bl moj\u00ed ch\u016fzi, dostala doporu\u010den\u00ed na jinou pom\u016fcku. Ta p\u016fvodn\u00ed by pro m\u011b spr\u00e1vn\u00e1 nebyla a nepomohla by mi, jak bych pot\u0159ebovala. To mi vrtalo hlavou – pro\u010d a jak se v tom te\u010f vyznat, kdo m\u00e1 pravdu? To mi pan ortotik jednodu\u0161e a logicky vysv\u011btlil. Doporu\u010den\u00ed se skute\u010dn\u011b m\u016f\u017ee li\u0161it od fyzioterapeutova. Ortotik se specializuje na nov\u00e9 technologie a materi\u00e1ly v\u00a0oblasti protetiky a ortotiky, zat\u00edmco fyzioterapeut m\u00e1 jin\u00e9 zam\u011b\u0159en\u00ed a znalosti. Obecn\u011b ale plat\u00ed, kdy\u017e pacient doraz\u00ed s doporu\u010den\u00edm, podle metodiky se m\u00e1 j\u00edt p\u0159esn\u011b podle toho, co l\u00e9ka\u0159 p\u0159edepsal. Tak\u017ee je to nakonec hlavn\u011b o tom, jak moc je ortotik-protetik osv\u00edcen\u00fd a ochotn\u00fd se do toho op\u0159\u00edt.<\/p>\n\n\n\n
Co jsem zjistila p\u0159i psan\u00ed \u010dl\u00e1nk\u016f a co se mi zd\u00e1 pro n\u00e1s pacienty kl\u00ed\u010dov\u00fd fakt je, \u017ee pro \u00fasp\u011bch ortotick\u00e9 a protetick\u00e9 p\u00e9\u010de, tedy proto, abyste byli se svoji pom\u016fckou na konci dne spokojeni, je kl\u00ed\u010dov\u00e9 p\u0159esn\u011b definovat od o\u0161et\u0159uj\u00edc\u00edho po\u017eadavky na pom\u016fcku v\u010detn\u011b \u00fa\u010delu a mechanismu jej\u00edho p\u016fsoben\u00ed. Z\u00e1sadn\u00ed je proto komunikace mezi \u010dleny va\u0161eho o\u0161et\u0159uj\u00edc\u00edho t\u00fdmu fyzioterapeutem, ergoterapeutem, l\u00e9ka\u0159em a ortotikem. Podle zku\u0161enost\u00ed m\u00e9ho ortotika, pana \u010cerven\u00e9ho, n\u011bkte\u0159\u00ed l\u00e9ka\u0159i a fyzioterapeuti st\u00e1le nev\u011bd\u00ed jak\u00e9 probl\u00e9my lze ort\u00e9zami \u0159e\u0161it. Doporu\u010duji je pr\u00e1v\u011b, bohu\u017eel, a\u017e kdy\u017e je stav nem\u011bnn\u00fd, z jejich pohledu tedy nezlep\u0161iteln\u00fd. Pan ortotik \u0159\u00edk\u00e1 \u017ee opak je pravdou, kdy\u017e budete m\u00edt tu spr\u00e1vnou pom\u016fcku v\u010das, krom\u011b toho, \u017ee u\u0161et\u0159\u00edte energii vynalo\u017eenou na pohyb, tak po \u010dase pou\u017e\u00edv\u00e1n\u00ed si mozek m\u016f\u017ee zvyknout na spr\u00e1vn\u00e9 fungov\u00e1n\u00ed a nemus\u00edte si po\u0161kozovat dal\u0161\u00ed \u010d\u00e1sti t\u011bla, kter\u00e9 budou \u0161patn\u00fdm stereotypem p\u0159et\u00ed\u017een\u00e9. <\/p>\n\n\n\n
Ide\u00e1ln\u00ed pro spr\u00e1vn\u00fd v\u00fdb\u011br pom\u016fcky rozhodn\u011b je, kdy\u017e l\u00e9ka\u0159, fyzioterapeut \u010di ergoterapeut detailn\u011b pop\u00ed\u0161e stav pacienta a sv\u00e9 c\u00edle, co chce v r\u00e1mci stavu pacienta zlep\u0161it.<\/p>\n\n\n\n
\n\u00a0\u201c\u010casto p\u0159ijde pacient pouze se z\u00e1kladn\u00ed diagn\u00f3zou, s\u00a0kr\u00e1tkou propou\u0161t\u011bc\u00ed l\u00e9ka\u0159skou zpr\u00e1vou, ale to ji\u017e neukazuje historii, jak se situace vyv\u00edjela a m\u011bnila, pokud jste nemocni v\u00edce let. Sta\u010dilo by si i jen zavolat.\u201d<\/p>\n<\/blockquote>\n\n\n\n
Ort\u00e9zy ji\u017e hotov\u00e9, i ty na m\u00edru<\/strong><\/h2>\n\n\n\n
J\u00e1 se na sv\u00e9m blogu budu v\u011bnovat pouze ort\u00e9z\u00e1m, to je ten typ pom\u016fcek, se kter\u00fdm m\u00e1m zku\u0161enosti. Ort\u00e9za je tedy extern\u00ed aplikovan\u00e1 pom\u016fcka, kter\u00e1 pom\u00e1h\u00e1 upravovat nebo modifikovat funkci pohybov\u00e9ho apar\u00e1tu.<\/p>\n\n\n\n
S panem \u010cerven\u00fdm jsem nahl\u00e9dla i do taj\u016f toho, do jak\u00fdch kategori\u00ed se d\u011bl\u00ed. M\u016f\u017ee to b\u00fdt podle n\u011bkolika krit\u00e9ri\u00ed, jako je zp\u016fsob v\u00fdroby (s\u00e9riov\u011b vyr\u00e1b\u011bn\u00e9 vs. individu\u00e1ln\u011b zhotoven\u00e9), materi\u00e1l, \u00fa\u010del pou\u017eit\u00ed, funkce, konstrukce nebo lokalizace na t\u011ble. Ka\u017ed\u00e1 z pom\u016fcek m\u00e1 za c\u00edl podpo\u0159it ur\u010dit\u00fd deficit, kter\u00fd vznikl nemoc\u00ed, \u00farazem nebo jako v\u00fdvojov\u00e1 vada. <\/p>\n\n\n\n
U leh\u010d\u00edch posti\u017een\u00ed se za\u010d\u00edn\u00e1 u takzvan\u00fdch prefabrikovan\u00fdch stavebnicov\u00fdch pom\u016fcek s nutnost\u00ed individu\u00e1ln\u00ed \u00fapravy p\u0159\u00edmo pro pacienta. P\u0159edstavte si to takhle: jde o univerz\u00e1ln\u00ed pom\u016fcku, kter\u00e1 pot\u0159ebuje je\u0161t\u011b trochu poladit, aby v\u00e1m padla jako ulit\u00e1. V p\u0159\u00edpad\u011b \u017ee je na v\u00e1s ale tento typ pom\u016fcky nedosta\u010duj\u00edc\u00ed, je t\u0159eba p\u0159\u00edli\u0161 m\u011bkk\u00e1 nebo nepln\u00ed po\u017eadovanou funkci je to p\u0159esn\u011b ten moment kdy p\u0159ich\u00e1z\u00ed na \u0159adu p\u0159echod z t\u011bch stavebnicov\u00fdch ort\u00e9z na individu\u00e1ln\u011b upraven\u00e9 a vyroben\u00e9. <\/p>\n\n\n\n
Ty se li\u0161\u00ed ve v\u00fdrob\u011b a zkou\u0161k\u00e1ch. N\u011bkter\u00e9 typy t\u011bch prefabrikovan\u00fdch stavebnicov\u00fdch je mo\u017en\u00e9 si vyzkou\u0161et. Naproti tomu u individu\u00e1ln\u00edch pom\u016fcek \u010dekejte i v\u00edce zkou\u0161ek vyr\u00e1b\u011bn\u00e9 pom\u016fcky. Konstrukci toti\u017e u\u017e nejde b\u011bhem v\u00fdroby v\u00fdrazn\u011b m\u011bnit. Sestava pom\u016fcky mus\u00ed b\u00fdt zvolena ji\u017e na schv\u00e1len\u00ed poji\u0161\u0165ovnou, a to m\u016f\u017ee b\u00fdt v\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech velk\u00fdm probl\u00e9mem. P\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159 a ortotik maj\u00ed jeden pokus. To, co se schv\u00e1l\u00ed by se m\u011blo i vyrobit. Pokud se b\u011bhem v\u00fdroby uk\u00e1\u017ee, \u017ee je t\u0159eba konstrukci pom\u016fcky a komponent\u016f v\u00fdrazn\u011b zm\u011bnit, m\u016f\u017ee b\u00fdt velmi obt\u00ed\u017en\u00e9 takovou situaci vy\u0159e\u0161it se zdravotn\u00ed poji\u0161\u0165ovnou. Tak\u017ee dobrou ruku ve volb\u0115 ortotika.<\/p>\n\n\n\n
A co si z toho vz\u00edt do \u017eivota<\/strong><\/h2>\n\n\n\n
Co jsem se tedy b\u011bhem sv\u00e9 cesty s ortotikem nau\u010dila? Nejv\u011bt\u0161\u00edm poznatkem je, \u017ee nen\u00ed hrdinstv\u00ed odm\u00edtat pom\u016fcku a p\u0159itom si d\u00e1l ni\u010dit t\u011blo. I kdy\u017e n\u011bkte\u0159\u00ed l\u00e9ka\u0159i pom\u016fcky doporu\u010duji a\u017e v p\u0159\u00edpad\u011b, kdy pova\u017euj\u00ed stav pacienta za nem\u011bnn\u00fd, spr\u00e1vn\u011b zvolen\u00e1 pom\u016fcka nejen ulev\u00ed p\u0159i pohybu, ale m\u016f\u017ee tak\u00e9 \u201enau\u010dit\u201c t\u011blo fungovat l\u00e9pe a zabr\u00e1n\u00edte dal\u0161\u00edmu p\u0159et\u011b\u017eov\u00e1n\u00ed jin\u00fdch \u010d\u00e1st\u00ed t\u011bla. Tak si o n\u00ed nesty\u010fte sv\u00e9mu o\u0161et\u0159uj\u00edc\u00edmu l\u00e9ka\u0159i \u0159\u00edct.<\/p>\n\n\n\n
A pokud chcete m\u00edt tu nejlep\u0161\u00ed pom\u016fcku, propojte ortotika se sv\u00fdm o\u0161et\u0159uj\u00edc\u00edm t\u00fdmem, a\u0165 proberou historick\u00fd v\u00fdvoj va\u0161eho stavu a jak\u00e9 je o\u010dek\u00e1v\u00e1n\u00ed p\u0159\u00ednos\u016f pom\u016fcky.<\/p>\n\n\n\n
Je ale tak\u00e9 d\u016fle\u017eit\u00e9 si uv\u011bdomit, \u017ee nejde pom\u016fcku jen nasadit a \u010dekat z\u00e1zraky. Pom\u016fcka v\u00e1s nevyl\u00e9\u010d\u00ed, nevr\u00e1t\u00ed ztracen\u00e9 funkce – pom\u016fcka pom\u00e1h\u00e1. Pro udr\u017een\u00ed situace nebo p\u0159\u00edpadn\u00e9 zlep\u0161en\u00ed mus\u00ed \u010dlov\u011bk prost\u011b pravideln\u011b cvi\u010dit a sna\u017eit se i v dal\u0161\u00edch oblastech sv\u00e9 l\u00e9\u010dby.<\/p>\n\n\n\n
<\/p>\n\n\n\n
<\/p>\n\n\n\n
Zdroje:
Informace poskytl Ing. Jan \u010cerven\u00fd, Protetika Medica Praha (26.4.2024)
N\u00e1rodn\u00ed zdravotnick\u00fd informa\u010dn\u00ed port\u00e1l, Rejst\u0159\u00edk pojm\u016f. (cit. 21.8.2024)
https:\/\/www.nzip.cz\/rejstrikovy-pojem\/1286
Univerzita Karlova, Fakulta t\u011blesn\u00e9 v\u00fdchovy a sportu, Ortotik-protetik. (cit. 21.8.2024)
https:\/\/ftvs.cuni.cz\/FTVS-572.html
Wikiskripta, Ortotika. (cit. 21.8.2024)
https:\/\/www.wikiskripta.eu\/w\/Ortotika<\/p>\n","protected":false},"excerpt":{"rendered":"Do t\u00e9 doby, ne\u017e jsem ho pot\u0159ebovala, bych vlastn\u011b ani nedok\u00e1zala dost dob\u0159e a stoprocentn\u011b spr\u00e1vn\u011b vysv\u011btlit, co p\u0159esn\u011b ortotik- protetik d\u011bl\u00e1 a s \u010d\u00edm v\u0161\u00edm se na n\u011bj m\u016f\u017ee \u010dlov\u011bk obr\u00e1tit. P\u0159itom mi hrozn\u011b moc uleh\u010dil \u017eivot p\u0159i probl\u00e9mech s ch\u016fz\u00ed. J\u00e1 jsem m\u011bla \u0161t\u011bst\u00ed a dostala doporu\u010den\u00ed ke skv\u011bl\u00e9mu a sympatick\u00e9mu odborn\u00edkovi. A […]<\/p>\n","protected":false},"author":1,"featured_media":926,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[25,29,24],"class_list":["post-944","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pomucky","tag-ortezy","tag-ortotik","tag-ortotik-protetik","entry","has-media"],"_links":{"self":[{"href":"https:\/\/www.trefnos.org\/index.php?rest_route=\/wp\/v2\/posts\/944","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.trefnos.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.trefnos.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.trefnos.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.trefnos.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=944"}],"version-history":[{"count":2,"href":"https:\/\/www.trefnos.org\/index.php?rest_route=\/wp\/v2\/posts\/944\/revisions"}],"predecessor-version":[{"id":948,"href":"https:\/\/www.trefnos.org\/index.php?rest_route=\/wp\/v2\/posts\/944\/revisions\/948"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.trefnos.org\/index.php?rest_route=\/wp\/v2\/media\/926"}],"wp:attachment":[{"href":"https:\/\/www.trefnos.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=944"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.trefnos.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=944"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.trefnos.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=944"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}