{"id":11385686,"date":"2016-08-01T00:00:00","date_gmt":"2016-07-31T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/"},"modified":"2016-08-01T00:00:00","modified_gmt":"2016-07-31T22:00:00","slug":"dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/","title":{"rendered":"Dysfunkce Eustachovy trubice: l\u00e9\u010dba pomoc\u00ed bal\u00f3nkov\u00e9 tuboplastiky"},"content":{"rendered":"<p style=\"text-align: justify;\">Dysfunkce Eustachovy trubice (ETD) je b\u011b\u017en&yacute; klinick&yacute; probl&eacute;m st\u0159edn&iacute;ho ucha, kter&yacute; postihuje pacienty v&scaron;ech v\u011bkov&yacute;ch kategori&iacute;. P\u0159&iacute;\u010diny ETD jsou vn\u011bj&scaron;&iacute; i vnit\u0159n&iacute;, \u010dasto souvisej&iacute; s nosem, nosohltanem nebo se z&aacute;n\u011btem \u010di chorobn&yacute;m z&uacute;\u017een&iacute;m samotn&eacute; Eustachovy trubice. K p\u0159&iacute;znak\u016fm pat\u0159&iacute; ztr&aacute;ta sluchu, &bdquo;tup&eacute;&ldquo; sly&scaron;en&iacute; a n\u011bkdy (velmi v&yacute;jime\u010dn\u011b) i bolest ucha. Tyto p\u0159&iacute;znaky se mohou dostavit po r\u016fzn&yacute;ch \u010dinnostech: cestov&aacute;n&iacute; letadlem nebo velmi rychl&yacute;m vlakem, horsk&eacute; turistice, ale hlavn\u011b b\u011bhem pot&aacute;p\u011bn&iacute;, a to jak p\u0159i voln&eacute;m pot&aacute;p\u011bn&iacute;, tak i p\u0159i pot&aacute;p\u011bn&iacute; p\u0159&iacute;strojov&eacute;m.<\/p>\n<p style=\"text-align: justify;\">Tento velmi d\u016fle\u017eit&yacute; kan&aacute;lek, kter&yacute; spojuje st\u0159edn&iacute; ucho (bub&iacute;nkovou dutinu a vedlej&scaron;&iacute; dutiny) s nosohltanem, byl zn&aacute;m&yacute; ji\u017e v 16. stolet&iacute;. Eustachova trubice je tvo\u0159ena kostnatou \u010d&aacute;st&iacute; a fibrokartilagin&oacute;zn&iacute; (vazivovou) \u010d&aacute;st&iacute;. Jej&iacute; funkce spo\u010d&iacute;v&aacute; ve ventilaci, dren&aacute;\u017ei a ochran\u011b st\u0159edn&iacute;ho ucha, jako\u017e i v udr\u017eov&aacute;n&iacute; takov&eacute;ho tlaku v bub&iacute;nkov&eacute; dutin\u011b, aby odpov&iacute;dal tlaku existuj&iacute;c&iacute;mu ve vn\u011bj&scaron;&iacute;m prost\u0159ed&iacute; (atmosf&eacute;rick&eacute;mu tlaku). Jen d&iacute;ky t&eacute;to vyrovn&aacute;vac&iacute; funkci umo\u017en\u011bn&eacute; Eustachovou trubic&iacute; m\u016f\u017ee syst&eacute;m sest&aacute;vaj&iacute;c&iacute; z u&scaron;n&iacute;ho bub&iacute;nku a sluchov&yacute;ch k\u016fstek fungovat spr&aacute;vn&yacute;m zp\u016fsobem, nav&iacute;c tento kan&aacute;lek zabra\u0148uje hromad\u011bn&iacute; tekut&yacute;ch nebo katar&aacute;ln&iacute;ch sekrec&iacute; v bub&iacute;nkov&eacute; dutin\u011b.<\/p>\n<p style=\"text-align: justify;\"><img decoding=\"async\" class=\"fr-dib fr-draggable\" src=\"\/wp-content\/uploads\/imgimport\/848\/eustachian-tube.jpg\" style=\"width: auto;\"><\/p>\n<p style=\"text-align: justify;\">ETD vyvol&aacute;v&aacute; probl&eacute;my s ventilac&iacute; ve vnit\u0159n&iacute;m uchu, co\u017e m&iacute;v&aacute; za n&aacute;sledek nedokonal&eacute; vyrovn&aacute;v&aacute;n&iacute; tlaku mezi vnit\u0159n&iacute;m uchem a vn\u011bj&scaron;&iacute;m prost\u0159ed&iacute;m, jako\u017e i tvorbu a setrv&aacute;v&aacute;n&iacute; sekrec&iacute; v bub&iacute;nkov&eacute; dutin\u011b. To m\u016f\u017ee vyvrcholit siln&yacute;m barotraumatem st\u0159edn&iacute;ho ucha, tedy stavem, kter&eacute;ho se pot&aacute;p\u011b\u010di tak ob&aacute;vaj&iacute;.<\/p>\n<p style=\"text-align: justify;\">Jestli\u017ee dojde k ETD b\u011bhem p\u0159&iacute;strojov&eacute;ho pot&aacute;p\u011bn&iacute;, nap\u0159. z d\u016fvodu rychl&eacute;ho n&aacute;r\u016fstu okoln&iacute;ho tlak p\u0159i sestupu, nen&iacute; mo\u017en&eacute; spont&aacute;nn\u011b vyrovn&aacute;vat tlak v dutin&aacute;ch st\u0159edn&iacute;ho ucha, proto\u017ee fyziologick&eacute;mu otev\u0159en&iacute; Eustachovy trubice br&aacute;n&iacute; kr&aacute;tkodob&yacute; negativn&iacute; bub&iacute;nkov&yacute; tlak, kter&yacute; udr\u017euje st\u011bny trubice &bdquo;vm&aacute;\u010dknut&eacute;&ldquo;.<\/p>\n<p style=\"text-align: justify;\">Kdy\u017e nefunguje norm&aacute;ln&iacute; vyrovn&aacute;v&aacute;n&iacute; tlaku, m\u016f\u017ee se pot&aacute;p\u011b\u010d pokusit prov&eacute;st n\u011bjak&yacute; speci&aacute;ln&iacute; vyrovn&aacute;vac&iacute; man&eacute;vr. Z&aacute;kladem pro &uacute;\u010dinn&eacute; a bezrizikov&eacute; vyrovn&aacute;v&aacute;n&iacute; tlaku ve st\u0159edn&iacute;m uchu p\u0159i sestupu je v\u010dasn&eacute; zah&aacute;jen&iacute; a spr&aacute;vn&eacute; prov&aacute;d\u011bn&iacute; vyrovn&aacute;vac&iacute;ch man&eacute;vr\u016f, jin&yacute;mi slovy &ndash; otv&iacute;r&aacute;n&iacute; Eustachovy trubice pomoc&iacute; mal&yacute;ch &bdquo;tlakov&yacute;ch posun\u016f&ldquo; (ji\u017e od prvn&iacute;ch metr\u016f sestupu).<\/p>\n<p style=\"text-align: justify;\">Diagn&oacute;zu ETD lze stanovit odborn&yacute;m vy&scaron;et\u0159en&iacute;m ORL, ale tak&eacute; p\u0159&iacute;strojov&yacute;m vy&scaron;et\u0159en&iacute;m funk\u010dnosti sluchu a kladen&eacute;ho odporu. T&iacute;mto zp\u016fsobem lze tak&eacute; objasnit p\u0159&iacute;\u010diny dysfunkce: p\u0159&iacute;tomnost adenoidn&iacute; vegetace nebo novotvaru v nosohltanu, deformace nosn&iacute; p\u0159ep&aacute;\u017eky, hypertrofie nosn&iacute;ch sko\u0159ep, z&aacute;n\u011bt Eustachovy trubice atd.<\/p>\n<p style=\"text-align: justify;\">Nav&iacute;c k b\u011b\u017en\u011b pou\u017e&iacute;van&yacute;m terapi&iacute;m (term&aacute;ln&iacute; intratympanick&eacute; profukov&aacute;n&iacute;, kinesioterapie pou\u017eit&iacute;m bal&oacute;nku Otovent, pou\u017eit&iacute; Ear Popper) se dnes rovn\u011b\u017e pou\u017e&iacute;v&aacute; chirurgick&aacute; metoda, kter&aacute; tento klinick&yacute; probl&eacute;m m\u016f\u017ee tak&eacute; vyl&eacute;\u010dit &ndash; bal&oacute;nkov&aacute; tuboplastika. &nbsp;<\/p>\n<p style=\"text-align: justify;\">P\u0159i tomto postupu se pou\u017eije upraven&yacute; kat&eacute;tr PTA, kter&yacute; se zavede do Eustachovy trubice za pou\u017eit&iacute; speci&aacute;ln&iacute;ho mikroendoskopu, kter&yacute; umo\u017en&iacute; jeho jemn&eacute; a p\u0159esn&eacute; polohov&aacute;n&iacute;. Jakmile je kat&eacute;tr zaveden, nafoukne se soln&yacute;m roztokem bal&oacute;nek um&iacute;st\u011bn&yacute; na jeho dist&aacute;ln&iacute;m konci, a sice a\u017e na tlak 10 bar. Tento tlak se udr\u017euje po dobu dvou minut. Potom se bal&oacute;nek vypust&iacute; a kat&eacute;tr se opatrn\u011b (op\u011bt pod endoskopickou kontrolou) vyt&aacute;hne.<\/p>\n<p style=\"text-align: justify;\">Pooperativn&iacute; v&yacute;sledky se vyhodnocuj&iacute; na speci&aacute;ln&iacute; stupnici ETS, kde jsou uvedeny rozsahy objektivn&iacute;ch a subjektivn&iacute;ch parametr\u016f.<\/p>\n<p style=\"text-align: justify;\">V&yacute;sledky t&eacute;to metody prokazuj&iacute;, \u017ee dilatace Eustachovy trubice je bezpe\u010dn&yacute; a jednoduch&yacute; postup, kter&yacute; v&yacute;znamn\u011b usnad\u0148uje l&eacute;\u010dbu sten&oacute;zy (chorobn&eacute;ho z&uacute;\u017een&iacute;) u&scaron;n&iacute; trubice.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dysfunkce Eustachovy trubice (ETD) je b\u011b\u017en&yacute; klinick&yacute; probl&eacute;m st\u0159edn&iacute;ho ucha, kter&yacute; postihuje pacienty v&scaron;ech v\u011bkov&yacute;ch kategori&iacute;. P\u0159&iacute;\u010diny ETD jsou vn\u011bj&scaron;&iacute; i vnit\u0159n&iacute;, \u010dasto souvisej&iacute; s&#8230;<\/p>\n","protected":false},"author":1,"featured_media":11375726,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[1881],"authors":[809],"class_list":["post-11385686","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","tag-zdravotni-cast","authors-cosimo-muscianisi-cs_cz"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dysfunkce Eustachovy trubice: l\u00e9\u010dba pomoc\u00ed bal\u00f3nkov\u00e9 tuboplastiky - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dysfunkce Eustachovy trubice: l\u00e9\u010dba pomoc\u00ed bal\u00f3nkov\u00e9 tuboplastiky - Alert Diver\" \/>\n<meta property=\"og:description\" content=\"Dysfunkce Eustachovy trubice (ETD) je b\u011b\u017en&yacute; klinick&yacute; probl&eacute;m st\u0159edn&iacute;ho ucha, kter&yacute; postihuje pacienty v&scaron;ech v\u011bkov&yacute;ch kategori&iacute;. P\u0159&iacute;\u010diny ETD jsou vn\u011bj&scaron;&iacute; i vnit\u0159n&iacute;, \u010dasto souvisej&iacute; s...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/\" \/>\n<meta property=\"og:site_name\" content=\"Alert Diver\" \/>\n<meta property=\"article:published_time\" content=\"2016-07-31T22:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/balloon-tuboplasty-banner-2560x1120-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1120\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"microfilla\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napsal(a)\" \/>\n\t<meta name=\"twitter:data1\" content=\"microfilla\" \/>\n\t<meta name=\"twitter:label2\" content=\"Odhadovan\u00e1 doba \u010dten\u00ed\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minut\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/\"},\"author\":{\"name\":\"microfilla\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b\"},\"headline\":\"Dysfunkce Eustachovy trubice: l\u00e9\u010dba pomoc\u00ed bal\u00f3nkov\u00e9 tuboplastiky\",\"datePublished\":\"2016-07-31T22:00:00+00:00\",\"dateModified\":\"2016-07-31T22:00:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/\"},\"wordCount\":1014,\"publisher\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#organization\"},\"image\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/balloon-tuboplasty-banner-2560x1120-1.jpg\",\"keywords\":[\"Zdravotn\u00ed \u010d\u00e1st\"],\"articleSection\":[\"Clanky\"],\"inLanguage\":\"cs\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/\",\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/dysfunkce-eustachovy-trubice-lecba-pomoci-balonkove-tuboplastiky\/\",\"name\":\"Dysfunkce Eustachovy trubice: l\u00e9\u010dba pomoc\u00ed bal\u00f3nkov\u00e9 tuboplastiky - 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