{"id":11385673,"date":"2015-12-27T00:00:00","date_gmt":"2015-12-26T23:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/barotrauma-v-bonaire\/"},"modified":"2015-12-27T00:00:00","modified_gmt":"2015-12-26T23:00:00","slug":"barotrauma-v-bonaire","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/barotrauma-v-bonaire\/","title":{"rendered":"Barotrauma v Bonaire"},"content":{"rendered":"<h3 style=\"text-align: justify;\">Pot&aacute;p\u011b\u010d<\/h3>\n<p style=\"text-align: justify;\">Na sv&eacute; ned&aacute;vn&eacute; v&yacute;prav\u011b s pot&aacute;p\u011b\u010dsk&yacute;m klubem do Bonaire dokon\u010doval Rick (jm&eacute;no zm\u011bn\u011bno) sv\u016fj \u010dtvrt&yacute; denn&iacute; ponor, co\u017e byl jeho \u010dtrn&aacute;ct&yacute; ponor za posledn&iacute; t\u0159i dny a celkov\u011b 145. ponor jeho dosavadn&iacute; pot&aacute;p\u011b\u010dsk&eacute; kari&eacute;ry. Rick (38 let), dr\u017eitel asi 2 roky star&eacute; certifikace, se t\u011b&scaron;il dobr&eacute;mu zdrav&iacute; bez jak&eacute;koliv v&yacute;znamn\u011bj&scaron;&iacute; zdravotn&iacute; anamn&eacute;zy, snad vyjma d&yacute;chac&iacute;ch pot&iacute;\u017e&iacute;, kter&eacute; s&aacute;m ozna\u010doval za &bdquo;poz&aacute;t\u011b\u017eov&eacute; astma&ldquo;, kter&yacute;m trp\u011bl v d\u011btstv&iacute;.<\/p>\n<blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/vR-lSMNsQZ\/\" data-instgrm-version=\"8\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:658px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\">\n<div style=\"padding:8px;\">\n<div style=\" background:#F8F8F8; line-height:0; margin-top:40px; padding:50% 0; text-align:center; width:100%;\">\n<div style=\" background:url(data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAACwAAAAsCAMAAAApWqozAAAABGdBTUEAALGPC\/xhBQAAAAFzUkdCAK7OHOkAAAAMUExURczMzPf399fX1+bm5mzY9AMAAADiSURBVDjLvZXbEsMgCES5\/P8\/t9FuRVCRmU73JWlzosgSIIZURCjo\/ad+EQJJB4Hv8BFt+IDpQoCx1wjOSBFhh2XssxEIYn3ulI\/6MNReE07UIWJEv8UEOWDS88LY97kqyTliJKKtuYBbruAyVh5wOHiXmpi5we58Ek028czwyuQdLKPG1Bkb4NnM+VeAnfHqn1k4+GPT6uGQcvu2h2OVuIf\/gWUFyy8OWEpdyZSa3aVCqpVoVvzZZ2VTnn2wU8qzVjDDetO90GSy9mVLqtgYSy231MxrY6I2gGqjrTY0L8fxCxfCBbhWrsYYAAAAAElFTkSuQmCC); display:block; height:44px; margin:0 auto -44px; position:relative; top:-22px; width:44px;\"><\/div>\n<\/div>\n<p style=\"color: rgb(201, 200, 205); font-family: Arial, sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0px; margin-top: 8px; overflow: hidden; padding: 8px 0px 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;\"><\/p>\n<\/div>\n<\/blockquote>\n<h3 style=\"text-align: justify;\"><\/h3>\n<h3 style=\"text-align: justify;\">P\u0159&iacute;hoda<\/h3>\n<p style=\"text-align: justify;\">P\u0159ed t\u0159et&iacute;m ponorem toho dne za\u010dal Rick poci\u0165ovat tlak v oblasti hrudn&iacute;ku. P\u0159i\u010d&iacute;tal to zbytku pizzy, kterou sn\u011bdl k ob\u011bdu a dokonce se koleg\u016fm zmi\u0148oval, \u017ee si musel vz&iacute;t antacidum (l&eacute;k na p\u0159ekyselen&iacute; \u017ealudku). B\u011bhem j&iacute;zdy \u010dlunem na m&iacute;sto pot&aacute;p\u011bn&iacute; nep\u0159&iacute;jemn&yacute; pocit v hrudn&iacute;ku zmizel, proto se rozhodl v ponorech pokra\u010dovat a sestoupil do maxim&aacute;ln&iacute; hloubky 15 metr\u016f. B\u011bhem ponoru hodn\u011b fotografoval a ob\u010das se ve vod\u011b obracel, aby si mohl prohl&eacute;dnout hlub&scaron;&iacute; v&yacute;klenky &uacute;tes\u016f. Kdy\u017e se vyno\u0159il po dal&scaron;&iacute;m ponoru a vystoupil do \u010dlunu, okam\u017eit\u011b zaznamenal zm\u011bnu hlasu, bolest v hrdle a krepitace (poslechov&eacute; fenom&eacute;ny podobn&eacute; prask&aacute;n&iacute;) pod k\u016f\u017e&iacute; kolem krku.<\/p>\n<p style=\"text-align: justify;\">Kdy\u017e Rick p\u0159ed rokem prov&aacute;d\u011bl sv\u016fj druh&yacute; ponor p\u0159i zkou&scaron;k&aacute;ch na certifikaci pro pot&aacute;p\u011bn&iacute; do vrak\u016f, vyno\u0159il se zcela vy\u010derpan&yacute; a s pocitem p&aacute;len&iacute; v hrdle. Jakmile si sundal v&yacute;stroj, v&scaron;imnul si tak&eacute; zm\u011bny hlasu a stavu, kter&yacute; popisoval, jako kdyby m\u011bl &bdquo;vodu pod k\u016f\u017e&iacute; kolem cel&eacute;ho krku&ldquo;. Ostatn&iacute; \u010dlenov&eacute; skupiny to zleh\u010dovali a pova\u017eovali za p\u0159&iacute;znaky souvisej&iacute;c&iacute; s nad&yacute;m&aacute;n&iacute;m, nebo vodou v u&scaron;&iacute;ch. Tehdy si ve\u010der vzal voln\u011b prodejn&yacute; p\u0159&iacute;pravek proti bolesti a Benadryl (p\u0159&iacute;pravek v\u011bt&scaron;inou obsahuj&iacute;c&iacute; antihistaminikum, v n\u011bkter&yacute;ch zem&iacute;ch v&scaron;ak obsahuje pouze expectorancium a dekongescens, v \u010cR toho \u010dasu nen&iacute; obchodov&aacute;n) a &scaron;el brzy sp&aacute;t. Do n&aacute;sleduj&iacute;c&iacute;ho dne v&scaron;echny p\u0159&iacute;znaky zmizely a posledn&iacute; dva ponory v r&aacute;mci certifika\u010dn&iacute;ho procesu prob\u011bhly naprosto bez probl&eacute;m\u016f.<\/p>\n<blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/BBak8X_Op2h\/\" data-instgrm-version=\"8\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:658px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\">\n<div style=\"padding:8px;\">\n<div style=\" background:#F8F8F8; line-height:0; margin-top:40px; padding:45.64814814814815% 0; text-align:center; width:100%;\">\n<div style=\" background:url(data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAACwAAAAsCAMAAAApWqozAAAABGdBTUEAALGPC\/xhBQAAAAFzUkdCAK7OHOkAAAAMUExURczMzPf399fX1+bm5mzY9AMAAADiSURBVDjLvZXbEsMgCES5\/P8\/t9FuRVCRmU73JWlzosgSIIZURCjo\/ad+EQJJB4Hv8BFt+IDpQoCx1wjOSBFhh2XssxEIYn3ulI\/6MNReE07UIWJEv8UEOWDS88LY97kqyTliJKKtuYBbruAyVh5wOHiXmpi5we58Ek028czwyuQdLKPG1Bkb4NnM+VeAnfHqn1k4+GPT6uGQcvu2h2OVuIf\/gWUFyy8OWEpdyZSa3aVCqpVoVvzZZ2VTnn2wU8qzVjDDetO90GSy9mVLqtgYSy231MxrY6I2gGqjrTY0L8fxCxfCBbhWrsYYAAAAAElFTkSuQmCC); display:block; height:44px; margin:0 auto -44px; position:relative; top:-22px; width:44px;\"><\/div>\n<\/div>\n<p style=\"color: rgb(201, 200, 205); font-family: Arial, sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0px; margin-top: 8px; overflow: hidden; padding: 8px 0px 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;\"><\/p>\n<\/div>\n<\/blockquote>\n<h3 style=\"text-align: justify;\"><\/h3>\n<h3 style=\"text-align: justify;\">Diagn&oacute;za<\/h3>\n<p style=\"text-align: justify;\">L&eacute;ka\u0159 v m&iacute;stn&iacute; nemocnici v Bonaire Ricka celkov\u011b neurologicky vy&scaron;et\u0159il a diagnostikoval plicn&iacute; barotrauma (zran\u011bn&iacute; zp\u016fsoben&eacute; zv&yacute;&scaron;en&yacute;m tlakem v plic&iacute;ch) a podko\u017en&iacute; emfyz&eacute;m (vzduch pod k\u016f\u017e&iacute;). Rentgenov&yacute; sn&iacute;mek hrudn&iacute;ku neuk&aacute;zal nic v&yacute;znamn&eacute;ho. O&scaron;et\u0159uj&iacute;c&iacute; l&eacute;ka\u0159 nezaznamenal krom\u011b podko\u017en&iacute;ho emfyz&eacute;mu, kter&yacute; nesni\u017eoval pr\u016fchodnost d&yacute;chac&iacute;ch cest, \u017e&aacute;dn&eacute; komplikace. Podal tedy kysl&iacute;k o vysok&eacute;m pr\u016ftoku a povolil Rickovi n&aacute;vrat do rezortu. CT vy&scaron;et\u0159en&iacute; n&aacute;sleduj&iacute;c&iacute; den odhalilo mno\u017estv&iacute; vzduchu v mediastinu (mezihrud&iacute; &ndash; prostor mezi pl&iacute;cemi, kde je ulo\u017eena \u0159ada org&aacute;n\u016f, p\u0159edev&scaron;&iacute;m srdce) kolem srdce, plic a v krku. Rovn\u011b\u017e se zjistily nejm&eacute;n\u011b dv\u011b velk&eacute; vzduchov&eacute; kolekce (patologick&eacute; &bdquo;bubliny&ldquo; vzduchu v plic&iacute;ch, tzv. &bdquo;blebs&ldquo;) v oblasti plicn&iacute;ch hrot\u016f. Rick nav&scaron;t\u011bvoval nemocnici ka\u017ed&yacute; den, aby l&eacute;ka\u0159i mohli sledovat v&yacute;voj jeho zdravotn&iacute;ho stavu.<\/p>\n<p style=\"text-align: justify;\">Kv\u016fli nebezpe\u010d&iacute; mo\u017en&eacute;ho pneumotoraxu b\u011bhem letu byl Rick p\u0159ijat dva dny po p\u0159&iacute;hod\u011b do nemocnice k aplikaci 100% kysl&iacute;ku po dobu &scaron;esti hodin. Takto razantn&iacute; p\u0159&iacute;stup zvolil l&eacute;ka\u0159 proto, aby se urychlilo Rickovo uzdraven&iacute; a on se mohl vr&aacute;tit dom\u016f se svou skupinou. Dal&scaron;&iacute; CT vy&scaron;et\u0159en&iacute; t\u0159i dny po ud&aacute;losti (jeden den p\u0159ed pl&aacute;novan&yacute;m n&aacute;vratem dom\u016f) prok&aacute;zalo stejn&eacute; &bdquo;bubliny&ldquo; jako p\u0159edt&iacute;m, ale mnohem m&eacute;n\u011b vzduchu v mediastinu. Po konzultac&iacute;ch s m&iacute;stn&iacute;mi i americk&yacute;mi plicn&iacute;mi specialisty se o&scaron;et\u0159uj&iacute;c&iacute; l&eacute;ka\u0159 rozhodl Rickovi povolit n&aacute;vrat dom\u016f s celou skupinou.<\/p>\n<blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/BV3APs3Dm5l\/\" data-instgrm-version=\"8\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:658px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\">\n<div style=\"padding:8px;\">\n<div style=\" background:#F8F8F8; line-height:0; margin-top:40px; padding:50.0% 0; text-align:center; width:100%;\">\n<div style=\" background:url(data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAACwAAAAsCAMAAAApWqozAAAABGdBTUEAALGPC\/xhBQAAAAFzUkdCAK7OHOkAAAAMUExURczMzPf399fX1+bm5mzY9AMAAADiSURBVDjLvZXbEsMgCES5\/P8\/t9FuRVCRmU73JWlzosgSIIZURCjo\/ad+EQJJB4Hv8BFt+IDpQoCx1wjOSBFhh2XssxEIYn3ulI\/6MNReE07UIWJEv8UEOWDS88LY97kqyTliJKKtuYBbruAyVh5wOHiXmpi5we58Ek028czwyuQdLKPG1Bkb4NnM+VeAnfHqn1k4+GPT6uGQcvu2h2OVuIf\/gWUFyy8OWEpdyZSa3aVCqpVoVvzZZ2VTnn2wU8qzVjDDetO90GSy9mVLqtgYSy231MxrY6I2gGqjrTY0L8fxCxfCBbhWrsYYAAAAAElFTkSuQmCC); display:block; height:44px; margin:0 auto -44px; position:relative; top:-22px; width:44px;\"><\/div>\n<\/div>\n<p style=\"color: rgb(201, 200, 205); font-family: Arial, sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0px; margin-top: 8px; overflow: hidden; padding: 8px 0px 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;\"><\/p>\n<\/div>\n<\/blockquote>\n<h3 style=\"text-align: justify;\"><\/h3>\n<h3 style=\"text-align: justify;\">Diskuse<\/h3>\n<p style=\"text-align: justify;\">K plicn&iacute;mu barotraumatu doch&aacute;z&iacute; zpravidla ke konci ponoru v p\u0159&iacute;pad\u011b, \u017ee je zadr\u017eov&aacute;n&iacute;m dechu nebo n\u011bjak&yacute;m probl&eacute;mem v plic&iacute;ch zabr&aacute;n\u011bno norm&aacute;ln&iacute;mu v&yacute;dechu. Vzduch &bdquo;uv\u011bzn\u011bn&yacute;&ldquo; v plic&iacute;ch potom zp\u016fsobuje, \u017ee se plicn&iacute; skl&iacute;pky b\u011bhem v&yacute;stupu rozp&iacute;naj&iacute; a\u017e k mo\u017en&eacute;mu prasknut&iacute;. Plyn z praskl&eacute; pl&iacute;ce potom m\u016f\u017ee pronikat do jedn&eacute; nebo v&iacute;ce z n&aacute;sleduj&iacute;c&iacute;ch oblast&iacute;:<\/p>\n<p style=\"text-align: justify;\">1. do oblasti kolem srdce (pneumomediastinum &ndash; tak&eacute; zn&aacute;m&eacute; jako mezihrudn&iacute; emfyz&eacute;m)<\/p>\n<p style=\"text-align: justify;\">2. do pohrudni\u010dn&iacute;ho prostoru mezi pl&iacute;cemi a st\u011bnou hrudn&iacute;ku (pneumotorax)<\/p>\n<p style=\"text-align: justify;\">3. do krevn&iacute;ho \u0159e\u010di&scaron;t\u011b (tepenn&aacute; plynov&aacute; embolie)<\/p>\n<p style=\"text-align: justify;\">4. pod k\u016f\u017ei v oblasti horn&iacute;ho hrudn&iacute;ku a krku (podko\u017en&iacute; emfyz&eacute;m)<\/p>\n<p style=\"text-align: justify;\">Nebezpe\u010d&iacute; plicn&iacute;ho barotraumatu je vy&scaron;&scaron;&iacute; u lid&iacute;, kte\u0159&iacute; maj&iacute; v plic&iacute;ch blebsy. Blebsy jsou abnorm&aacute;ln&iacute; bal&oacute;nkovit&eacute; vzduchov&eacute; bubliny \u010dasto zp\u016fsoben&eacute; z&aacute;n\u011btem, kter&yacute; ni\u010d&iacute; tenk&eacute; st\u011bny odd\u011bluj&iacute;c&iacute; od sebe jednotliv&eacute; plicn&iacute; skl&iacute;pky. I kdy\u017e se zpravidla vyskytuj&iacute; u ku\u0159&aacute;k\u016f, mohou se objevit i u neku\u0159&aacute;k\u016f. Z blebs\u016f unik&aacute; kv\u016fli jejich tenk&eacute; a m&aacute;lo poddajn&eacute; st\u011bn\u011b vzduch pouze velmi pomalu. P\u0159i vydechov&aacute;n&iacute; b\u011bhem v&yacute;stupu m\u016f\u017ee tlak v t\u011bchto oblastech nar\u016fstat a\u017e k jejich n&aacute;sledn&eacute;mu prasknut&iacute;.&nbsp;<\/p>\n<p style=\"text-align: justify;\">Lidem s blebsy rovn\u011b\u017e hroz&iacute; spont&aacute;nn&iacute; pneumotorax (kolaps pl&iacute;ce). Mezi l&eacute;ka\u0159i, kte\u0159&iacute; se specializuj&iacute; na pot&aacute;p\u011bn&iacute;, panuje v&scaron;eobecn&aacute; shoda, \u017ee navzdory norm&aacute;ln&iacute;mu obrazu plic z&iacute;skan&eacute;mu zobrazovac&iacute;mi vy&scaron;et\u0159ovac&iacute;mi metodami, se lid&eacute;, kte\u0159&iacute; n\u011bkdy utrp\u011bli spont&aacute;nn&iacute; pneumotorax, nesm\u011bj&iacute; pot&aacute;p\u011bt kv\u016fli vysok&eacute;mu riziku plicn&iacute;ho barotraumatu. Rickovo plicn&iacute; barotrauma se projevilo jako mezihrudn&iacute; emfyz&eacute;m, kter&eacute; se obvykle projevuje bolest&iacute; pod hrudn&iacute; kost&iacute; nebo tlakem v hrudn&iacute;ku. Pr&aacute;v\u011b tyto p\u0159&iacute;znaky z\u0159ejm\u011b Rick zaznamenal p\u0159ed sv&yacute;m t\u0159et&iacute;m ponorem. N\u011bkdy m\u016f\u017ee pot&aacute;p\u011b\u010d tak&eacute; poci\u0165ovat ostrou bolest v ramenech, z&aacute;dech, nebo krku, kter&aacute; m\u016f\u017ee s&iacute;lit p\u0159i hlubok&eacute;m n&aacute;dechu, polyk&aacute;n&iacute;, pohybech krku nebo trupu, ka&scaron;li, nebo ve vodorovn&eacute; poloze. B\u011b\u017en&eacute; jsou tak&eacute; zm\u011bny hlasu p\u0159ipom&iacute;naj&iacute;c&iacute; hlas zm\u011bn\u011bn&yacute; d&yacute;ch&aacute;n&iacute;m h&eacute;lia. Prask&aacute;n&iacute; pod k\u016f\u017e&iacute; kolem krku, o kter&eacute;m se Rick tak&eacute; zmi\u0148oval, se naz&yacute;v&aacute; podko\u017en&iacute; krepitace. Vzduch se dostane do podko\u017e&iacute;, kdy\u017e unik&aacute; z hrudn&iacute; dutiny do m\u011bkk&yacute;ch tk&aacute;n&iacute; krku.<\/p>\n<p style=\"text-align: justify;\">Zadr\u017eov&aacute;n&iacute; dechu, rychl&yacute; v&yacute;stup k hladin\u011b a n\u011bkter&aacute; plicn&iacute; onemocn\u011bn&iacute; mohou zp\u016fsobit plicn&iacute; barotrauma, p\u0159i\u010dem\u017e riziko se zvy&scaron;uje v p\u0159&iacute;tomnosti astmatu (nen&iacute;-li spr&aacute;vn\u011b l&eacute;\u010deno), proto\u017ee hroz&iacute; vznik bronchospazmu (sev\u0159en&iacute; pr\u016fdu&scaron;ek) a\/nebo obstrukce d&yacute;chac&iacute;ch cest. Tak&eacute; p\u0159&iacute;tomnost jizev v plic&iacute;ch, nebo jejich z&aacute;n\u011bt zap\u0159&iacute;\u010din\u011bn&yacute; sarkoid&oacute;zou (t. j. granulomat&oacute;zn&iacute;m z&aacute;n\u011btliv&yacute;m onemocn\u011bn&iacute;m), nebo interstici&aacute;ln&iacute; fibr&oacute;zou br&aacute;n&iacute; \u0159&aacute;dn&eacute; v&yacute;m\u011bn\u011b plyn\u016f a zvy&scaron;uj&iacute; nebezpe\u010d&iacute; vzniku plicn&iacute;ho barotraumatu. Nebezpe\u010d&iacute; je zv&yacute;&scaron;eno tak&eacute; u jedinc\u016f, kte\u0159&iacute; n\u011bkdy za\u017eili spont&aacute;nn&iacute; pneumotorax nebo mezihrudn&iacute; emfyz&eacute;m. Lidem se zdravotn&iacute;mi stavy, kter&eacute; mohou zvy&scaron;ovat riziko plicn&iacute;ho barotraumatu, se p\u0159&iacute;strojov&eacute; pot&aacute;p\u011bn&iacute; nedoporu\u010duje. U jedinc\u016f s plicn&iacute;m onemocn\u011bn&iacute;m, kter&eacute; je predisponuje k barotraumatu, se riziko traumatu zvy&scaron;uje p\u0159i rychl&yacute;ch v&yacute;stupech, p\u0159edev&scaron;&iacute;m bl&iacute;zko u hladiny, kde doch&aacute;z&iacute; k nejv\u011bt&scaron;&iacute;m zm\u011bn&aacute;m relativn&iacute;ho tlaku.<\/p>\n<p style=\"text-align: justify;\">L&eacute;ka\u0159i specializovan&iacute; na pot&aacute;p\u011b\u010dskou medic&iacute;nu doporu\u010duj&iacute;, aby ka\u017ed&yacute;, kdo prod\u011blal plicn&iacute; barotrauma, p\u0159ed n&aacute;vratem k pot&aacute;p\u011bn&iacute; podstoupil d\u016fkladn&eacute; vy&scaron;et\u0159en&iacute;. B\u011bhem cvi\u010dn&yacute;ch ponor\u016f p\u0159ed rokem Rick bohu\u017eel sv&eacute; p\u0159&iacute;znaky nerozpoznal jako podko\u017en&iacute; emfyz&eacute;m, proto v pot&aacute;p\u011bn&iacute; pokra\u010doval bez toho, aby vyhledal l&eacute;ka\u0159e. Na&scaron;t\u011bst&iacute; v&scaron;ak tyto p\u0159&iacute;znaky rozpoznal p\u0159i jejich druh&eacute;m v&yacute;skytu, tak\u017ee se mu nakonec dostalo \u0159&aacute;dn&eacute; l&eacute;\u010dby.<\/p>\n<p style=\"text-align: justify;\">Po dvou &uacute;sp\u011b&scaron;n&yacute;ch operac&iacute;ch, p\u0159i kter&yacute;ch do&scaron;lo k odstran\u011bn&iacute; blebs\u016f, se Rick k pot&aacute;p\u011bn&iacute; vr&aacute;til.<\/p>\n<p style=\"text-align: justify;\"><\/p>\n<hr>\n<p style=\"text-align: justify;\"><\/p>\n<p style=\"text-align: justify;\">Nezapome\u0148te se ujistit o sv&eacute;m aktivn&iacute;m \u010dlenstv&iacute; v DAN. Pokud v&aacute;m \u010dlenstv&iacute; vypr&scaron;elo, nav&scaron;tivte DAN na <a href=\"http:\/\/www.daneurop.org\/\" target=\"_blank\" rel=\"noopener\">www.daneurop.org<\/a> a \u010dlenstv&iacute; si obnovte.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pot&aacute;p\u011b\u010d Na sv&eacute; ned&aacute;vn&eacute; v&yacute;prav\u011b s pot&aacute;p\u011b\u010dsk&yacute;m klubem do Bonaire dokon\u010doval Rick (jm&eacute;no zm\u011bn\u011bno) sv\u016fj \u010dtvrt&yacute; denn&iacute; ponor, co\u017e byl jeho \u010dtrn&aacute;ct&yacute; ponor za posledn&iacute;&#8230;<\/p>\n","protected":false},"author":1,"featured_media":11375596,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[1951],"authors":[1264],"class_list":["post-11385673","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","tag-podrobnosti-k-prihodam","authors-lana-sorrell-emt-dmt-cs_cz"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - 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