{"id":50322,"date":"2022-01-19T09:58:14","date_gmt":"2022-01-19T08:58:14","guid":{"rendered":"https:\/\/www.garcar.at\/penova-skleroterapia-alternativa-k-chirurgii\/"},"modified":"2025-03-29T10:37:02","modified_gmt":"2025-03-29T09:37:02","slug":"penova-skleroterapia-alternativa-k-chirurgii","status":"publish","type":"page","link":"https:\/\/garcar.at\/sk\/penova-skleroterapia-alternativa-k-chirurgii\/","title":{"rendered":"Penov\u00e1 skleroterapia Alternat\u00edva k chirurgii"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8220;1&#8243; custom_padding_last_edited=&#8220;on|phone&#8220; disabled_on=&#8220;on|on|off&#8220; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; background_enable_color=&#8220;off&#8220; background_image=&#8220;https:\/\/garcar.at\/wp-content\/uploads\/2022\/01\/Besenreiser-Sklerosierung-1.png&#8220; custom_padding=&#8220;44.5vh||38.5vh||false|false&#8220; custom_padding_tablet=&#8220;70px||70px||true|false&#8220; custom_padding_phone=&#8220;50px||50px||false|false&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_row column_structure=&#8220;1_3,2_3&#8243; use_custom_gutter=&#8220;on&#8220; gutter_width=&#8220;1&#8243; make_equal=&#8220;on&#8220; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; max_width=&#8220;80%&#8220; custom_padding=&#8220;1px||1px||true|false&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;1_3&#8243; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; custom_padding=&#8220;17vh||||false|false&#8220; custom_padding_tablet=&#8220;0vh||||false|false&#8220; custom_padding_phone=&#8220;0vh||||false|false&#8220; custom_padding_last_edited=&#8220;on|phone&#8220; animation_style=&#8220;slide&#8220; animation_direction=&#8220;top&#8220; animation_speed_curve=&#8220;ease&#8220; global_colors_info=&#8220;{}&#8220;][\/et_pb_column][et_pb_column type=&#8220;2_3&#8243; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; header_font=&#8220;Sora|600|||||||&#8220; header_text_align=&#8220;center&#8220; header_text_color=&#8220;#efc55e&#8220; header_font_size=&#8220;8vh&#8220; header_letter_spacing=&#8220;1px&#8220; header_line_height=&#8220;1.2em&#8220; custom_margin=&#8220;-3.5vh||||false|false&#8220; custom_margin_tablet=&#8220;0vh||||false|false&#8220; custom_margin_phone=&#8220;0vh||||false|false&#8220; custom_margin_last_edited=&#8220;on|phone&#8220; header_font_size_tablet=&#8220;100px&#8220; header_font_size_phone=&#8220;50px&#8220; header_font_size_last_edited=&#8220;on|phone&#8220; header_letter_spacing_tablet=&#8220;0vh&#8220; header_letter_spacing_phone=&#8220;0vh&#8220; header_letter_spacing_last_edited=&#8220;on|phone&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h1><span>Penov\u00e1 skleroterapia Alternat\u00edva k chirurgii<\/span><\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8220;1&#8243; disabled_on=&#8220;off|off|on&#8220; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; custom_padding=&#8220;0px||0px|||&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_row disabled_on=&#8220;off|off|on&#8220; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; background_color=&#8220;#011c3c&#8220; width=&#8220;100%&#8220; custom_padding=&#8220;170px||0px||false|&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_image src=&#8220;https:\/\/garcar.at\/wp-content\/uploads\/2022\/01\/Penova\u0301-skleroterapia-Alternati\u0301va-k-chirurgii.png&#8220; title_text=&#8220;Penova\u0301 skleroterapia Alternati\u0301va k chirurgii&#8220; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; custom_margin=&#8220;0px||||false|false&#8220; custom_padding=&#8220;||||false|false&#8220; global_colors_info=&#8220;{}&#8220;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8220;1&#8243; _builder_version=&#8220;4.16&#8243; custom_padding=&#8220;80px|0px|70px|0px|false|false&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_row _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; animation_style=&#8220;slide&#8220; animation_direction=&#8220;left&#8220; animation_delay=&#8220;500ms&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;|300|||||||&#8220; header_2_text_color=&#8220;#011c3c&#8220; header_3_text_color=&#8220;#efc55e&#8220; hover_enabled=&#8220;0&#8243; global_colors_info=&#8220;{}&#8220; sticky_enabled=&#8220;0&#8243;]<\/p>\n<h3 data-start=\"375\" data-end=\"443\" class=\"\">O lie\u010dbe k\u0155\u010dov\u00fdch \u017e\u00edl sklerotiz\u00e1ciou Aethoxysclerolovou penou<\/h3>\n<p data-start=\"445\" data-end=\"1005\" class=\"\">Sklerotiz\u00e1cia penou je modern\u00e1, minim\u00e1lne invaz\u00edvna lie\u010debn\u00e1 met\u00f3da, pri ktorej sa vyu\u017e\u00edva Aethoxysclerol \u2013 \u00fa\u010dinn\u00fd sclerozuj\u00faci prostriedok. <span style=\"vertical-align: inherit;\">Skleroterapiu je mo\u017en\u00e9 realizova\u0165 aj pod kontrolou ultrazvuku &#8211; ambulantne alebo v r\u00e1mci oper\u00e1cie. Bo\u010dn\u00e9 vetvi\u010dky \u017e\u00edl, drobn\u00e9 pav\u00fa\u010die \u017eilky, ale aj ve\u013ek\u00e9 kme\u0148ov\u00e9 \u017eily sa daj\u00fa penou uzavrie\u0165. T\u00e1to technika je obzvl\u00e1\u0161\u0165 vhodn\u00e1 aj pri opakovan\u00fdch k\u0155\u010dov\u00fdch \u017eil\u00e1ch, takzvan\u00fdch recid\u00edvach v slabin\u00e1ch alebo za kolenom, a mo\u017eno ju kombinova\u0165 aj s in\u00fdmi mo\u017enos\u0165ami terapie. <\/span>Pri tejto technike sa pripravuje pena zmie\u0161an\u00edm Aethoxysclerolu s vhodn\u00fdm m\u00e9diom (napr\u00edklad so vzduchom alebo CO\u2082) za \u00fa\u010delom dosiahnutia optim\u00e1lnej konzistencie pre rovnomern\u00fa aplik\u00e1ciu do postihnutej \u017eily. Aethoxysclerolov\u00e1 pena p\u00f4sob\u00ed v porovnan\u00ed s Aethoxysclerolom v tekutej forme lok\u00e1lne na cievnu stenu dlh\u0161ie, kde vyvol\u00e1va c<span style=\"vertical-align: inherit;\">hemick\u00fa zmenu \u0161trukt\u00far vn\u00fatornej \u017eilnej steny<\/span>, \u010do n\u00e1sledne indukuje <span style=\"vertical-align: inherit;\"> steriln\u00fa z\u00e1palov\u00fa reakciu s uzavret\u00edm zodpovedaj\u00facich \u017e\u00edl<\/span> a vedie k fibr\u00f3znej premene \u2013 procesu, ktor\u00fd zabezpe\u010d\u00ed trval\u00e9 uzavretie lie\u010denej \u017eily. <span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Mno\u017estvo aplikovanej peny je obmedzen\u00e9 na maxim\u00e1lne 10ml peny na jedno o\u0161etrenie. \u00a0<\/span><span style=\"vertical-align: inherit;\">V porovnan\u00ed s chirurgick\u00fdm odstr\u00e1nen\u00edm alebo tepelnou abl\u00e1ciou kme\u0148ov\u00fdch \u017e\u00edl je penov\u00e1 skleroterapia menej \u00fa\u010dinn\u00e1 a m\u00f4\u017ee vy\u017eadova\u0165 opakovan\u00e9 o\u0161etrenie, po\u010det o\u0161etren\u00ed sa odv\u00edja od kontroly efektu lie\u010dby ultrazvukom a spokojnosti pacienta.\u00a0<\/span><\/span><\/p>\n<h3 data-start=\"1012\" data-end=\"1036\" class=\"\">Priebeh proced\u00fary<\/h3>\n<p data-start=\"1038\" data-end=\"1698\" class=\"\">Lie\u010dba za\u010d\u00edna d\u00f4kladnou konzult\u00e1ciou a ultrazvukov\u00fdm vy\u0161etren\u00edm, po\u010das ktor\u00e9ho lek\u00e1r identifikuje presn\u00fd stav a rozsah postihnut\u00fdch \u017e\u00edl. Po dezinfekcii a pr\u00edpadnej aplik\u00e1cii lok\u00e1lneho anestetika sa <span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\" class=\"\">prakticky bezbolestne<\/span><\/span> pomocou ihly \u010di kanyly do cie\u013eovej \u017eily aplikuje predpripraven\u00e1 Aethoxysclerolov\u00e1 pena. <span>Cel\u00fd z\u00e1krok zvy\u010dajne trv\u00e1 30 a\u017e 45 min\u00fat a pacient poci\u0165uje len minim\u00e1lny diskomfort.<\/span> O\u0161etren\u00e1 \u017eila sa n\u00e1sledne stla\u010d\u00ed pomocou vatovej asymetrickej band\u00e1\u017ee pun\u010dochou. S\u00fa\u010das\u0165ou o\u0161etrenia je aj povinn\u00e1 30 min\u00fatov\u00e1 prech\u00e1dzka, ako prevencia tromb\u00f3zy. Asi 2-3 t\u00fd\u017edne po o\u0161etren\u00ed sa odpor\u00fa\u010da kontrola, pri ktorej sa pod\u013ea potreby vykon\u00e1 do u\u017e uzavretej \u017eily nieko\u013eko vpichov, cez ktor\u00e9 je mo\u017en\u00e9 vytla\u010di\u0165 zvy\u0161ky zrazenej krvi v \u017eile a dosiahnu\u0165 t\u00fdm zlep\u0161enie estetick\u00e9ho efektu, ako aj zn\u00ed\u017eenie pr\u00edpadn\u00fdch bolest\u00ed po\u010das fibr\u00f3znej premeny \u017eily.<\/p>\n<h3 data-start=\"1705\" data-end=\"1727\" class=\"\">V\u00fdhody a rizik\u00e1<\/h3>\n<p data-start=\"1729\" data-end=\"1742\" class=\"\"><strong data-start=\"1729\" data-end=\"1740\">V\u00fdhody:<\/strong><\/p>\n<ul data-start=\"1743\" data-end=\"2242\">\n<li data-start=\"1743\" data-end=\"1880\" class=\"\">\n<p data-start=\"1745\" data-end=\"1880\" class=\"\"><strong data-start=\"1745\" data-end=\"1772\">Presnos\u0165 a efekt\u00edvnos\u0165:<\/strong> Aethoxysclerolov\u00e1 pena umo\u017e\u0148uje presn\u00fa a rovnomern\u00fa aplik\u00e1ciu, \u010do prispieva k vysokej \u00faspe\u0161nosti z\u00e1kroku.<\/p>\n<\/li>\n<li data-start=\"1881\" data-end=\"1998\" class=\"\">\n<p data-start=\"1883\" data-end=\"1998\" class=\"\"><strong data-start=\"1883\" data-end=\"1909\">Trval\u00e9 uzavretie \u017eily:<\/strong> Proced\u00fara vedie k fibr\u00f3znej premene, ktor\u00e1 zabezpe\u010duje trval\u00e9 uzavretie lie\u010denej \u017eily.<\/p>\n<\/li>\n<li data-start=\"1999\" data-end=\"2120\" class=\"\">\n<p data-start=\"2001\" data-end=\"2120\" class=\"\"><strong data-start=\"2001\" data-end=\"2027\">Minim\u00e1lna invaz\u00edvnos\u0165:<\/strong> Mal\u00e9 vpichy a kr\u00e1tky z\u00e1krok zni\u017euj\u00fa riziko komplik\u00e1ci\u00ed a umo\u017e\u0148uj\u00fa r\u00fdchlu rekonvalescenciu.<\/p>\n<\/li>\n<li data-start=\"2121\" data-end=\"2242\" class=\"\">\n<p data-start=\"2123\" data-end=\"2242\" class=\"\"><strong data-start=\"2123\" data-end=\"2147\">Estetick\u00e9 zlep\u0161enie:<\/strong> Odstr\u00e1nen\u00edm k\u0155\u010dov\u00fdch \u017e\u00edl doch\u00e1dza k v\u00fdrazn\u00e9mu zlep\u0161eniu vzh\u013eadu poko\u017eky v o\u0161etrovanej oblasti.<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2244\" data-end=\"2257\" class=\"\"><strong data-start=\"2244\" data-end=\"2255\">Rizik\u00e1:<\/strong><\/p>\n<ul>\n<li data-start=\"2258\" data-end=\"2388\" class=\"\">\n<p data-start=\"2260\" data-end=\"2388\" class=\"\"><strong data-start=\"2260\" data-end=\"2288\">Do\u010dasn\u00e9 reakcie:<\/strong> M\u00f4\u017ee d\u00f4js\u0165 k do\u010dasn\u00e9mu v\u00fdskytu bolesti, opuchu, za\u010dervenaniu alebo tvorby modr\u00edn v mieste vpichu. Vzh\u013eadom k obsahu vzduchov\u00fdch bubliniek v pene, m\u00f4\u017eu tieto pri vstreknut\u00ed do krvn\u00e9ho obehu sp\u00f4sobi\u0165 migren\u00f3zne bolesti hlavy, nevo\u013enos\u0165, alebo kr\u00e1tkodob\u00fa poruchu videnia<\/p>\n<\/li>\n<li data-start=\"2389\" data-end=\"2499\" class=\"\">\n<p data-start=\"2391\" data-end=\"2499\" class=\"\"><strong data-start=\"2391\" data-end=\"2414\">Vz\u00e1cne komplik\u00e1cie:<\/strong> Patr\u00ed sem riziko infekcie, \u00a0mo\u017enos\u0165 individu\u00e1lnej lok\u00e1lnej reakcie ko\u017ee na Aethoxysclerol v r\u00f4znom rozsahu a\u017e po mo\u017en\u00fa nekr\u00f3zu, celkov\u00e1 alergick\u00e1 reakcia na Aethoxysclerol, \u017eiln\u00e1 tromb\u00f3za<\/p>\n<\/li>\n<li data-start=\"2502\" data-end=\"2687\"><strong data-start=\"2502\" data-end=\"2532\">Nutnos\u0165 opakovanej lie\u010dby:<\/strong> V niektor\u00fdch pr\u00edpadoch, najm\u00e4 pri rozsiahlych alebo chronick\u00fdch stavoch, m\u00f4\u017ee by\u0165 potrebn\u00e9 absolvova\u0165 s\u00e9riu z\u00e1krokov pre dosiahnutie optim\u00e1lneho v\u00fdsledku.<\/li>\n<\/ul>\n<h3 data-start=\"2694\" data-end=\"2727\" class=\"\">\u010casto kladen\u00e9 ot\u00e1zky (FAQ)<\/h3>\n<p data-start=\"2729\" data-end=\"3068\" class=\"\"><strong data-start=\"2729\" data-end=\"2806\">Ako prebieha lie\u010dba k\u0155\u010dov\u00fdch \u017e\u00edl sklerotiz\u00e1ciou penou s Aethoxysclerolom?<\/strong><br data-start=\"2806\" data-end=\"2809\" \/>Proced\u00fara za\u010d\u00edna konzult\u00e1ciou a ultrazvukov\u00fdm vy\u0161etren\u00edm, po ktorom nasleduje aplik\u00e1cia Aethoxysclerolovej peny do postihnutej \u017eily. Pena po\u0161kodzuje endotel, \u010do vedie k z\u00e1palovej reakcii a n\u00e1slednej fibr\u00f3znej premeny cievnej steny, \u010d\u00edm sa \u017eila trvale uzavrie.<\/p>\n<p data-start=\"3070\" data-end=\"3190\" class=\"\"><strong data-start=\"3070\" data-end=\"3095\">Ako dlho trv\u00e1 z\u00e1krok?<\/strong><br data-start=\"3095\" data-end=\"3098\" \/>Celkov\u00fd z\u00e1krok trv\u00e1 zvy\u010dajne 30 a\u017e 45 min\u00fat, v z\u00e1vislosti od po\u010dtu a ve\u013ekosti lie\u010den\u00fdch \u017e\u00edl.<\/p>\n<p data-start=\"3192\" data-end=\"3403\" class=\"\"><strong data-start=\"3192\" data-end=\"3225\">Kedy m\u00f4\u017eem o\u010dak\u00e1va\u0165 v\u00fdsledky?<\/strong><br data-start=\"3225\" data-end=\"3228\" \/>Prv\u00e9 zlep\u0161enia m\u00f4\u017eu by\u0165 vidite\u013en\u00e9 u\u017e po nieko\u013ek\u00fdch t\u00fd\u017ed\u0148och, pri\u010dom kone\u010dn\u00fd estetick\u00fd a funk\u010dn\u00fd efekt sa hodnot\u00ed po nieko\u013ek\u00fdch mesiacoch, ke\u010f d\u00f4jde k \u00faplnej fibr\u00f3znej premeny.<\/p>\n<p data-start=\"3405\" data-end=\"3532\" class=\"\"><strong data-start=\"3405\" data-end=\"3429\">Je z\u00e1krok bolestiv\u00fd?<\/strong><br data-start=\"3429\" data-end=\"3432\" \/>Pacienti poci\u0165uj\u00fa zvy\u010dajne len mierny diskomfort, ktor\u00fd je zmiernen\u00fd pou\u017eit\u00edm lok\u00e1lneho anestetika.<\/p>\n<p data-start=\"3534\" data-end=\"3711\" class=\"\"><strong data-start=\"3534\" data-end=\"3567\">Ko\u013eko z\u00e1krokov je potrebn\u00fdch?<\/strong><br data-start=\"3567\" data-end=\"3570\" \/>Po\u010det z\u00e1krokov z\u00e1vis\u00ed od rozsahu postihnutia. U niektor\u00fdch pacientov posta\u010d\u00ed jeden z\u00e1krok, zatia\u013e \u010do in\u00fdm m\u00f4\u017ee by\u0165 odporu\u010den\u00e1 s\u00e9ria z\u00e1krokov.<\/p>\n<p data-start=\"3713\" data-end=\"3967\" class=\"\"><strong data-start=\"3713\" data-end=\"3742\">Existuj\u00fa kontraindik\u00e1cie?<\/strong><br data-start=\"3742\" data-end=\"3745\" \/>Medzi kontraindik\u00e1cie patria akt\u00edvne ko\u017en\u00e9 infekcie, \u0165a\u017ek\u00e9 dermatologick\u00e9 ochorenia, srdcov\u00e9 vady (napr. foramen ovale), alebo individu\u00e1lna alergia na Aethoxysclerol. Relat\u00edvnou kontraindik\u00e1ciou s\u00fa opakovan\u00e9 \u017eiln\u00e9 tromb\u00f3zy a migr\u00e9na. Pred z\u00e1krokom je preto nevyhnutn\u00e9 absolvova\u0165 d\u00f4kladn\u00e9 vy\u0161etrenie a konzult\u00e1ciu s odborn\u00edkom.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Penov\u00e1 skleroterapia Alternat\u00edva k chirurgiiO lie\u010dbe k\u0155\u010dov\u00fdch \u017e\u00edl sklerotiz\u00e1ciou Aethoxysclerolovou penou Sklerotiz\u00e1cia penou je modern\u00e1, minim\u00e1lne invaz\u00edvna lie\u010debn\u00e1 met\u00f3da, pri ktorej sa vyu\u017e\u00edva Aethoxysclerol \u2013 \u00fa\u010dinn\u00fd sclerozuj\u00faci prostriedok. Skleroterapiu je mo\u017en\u00e9 realizova\u0165 aj pod kontrolou ultrazvuku &#8211; ambulantne alebo v r\u00e1mci oper\u00e1cie. Bo\u010dn\u00e9 vetvi\u010dky \u017e\u00edl, drobn\u00e9 pav\u00fa\u010die \u017eilky, ale aj ve\u013ek\u00e9 kme\u0148ov\u00e9 \u017eily sa daj\u00fa [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-50322","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/garcar.at\/sk\/wp-json\/wp\/v2\/pages\/50322","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/garcar.at\/sk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/garcar.at\/sk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/garcar.at\/sk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/garcar.at\/sk\/wp-json\/wp\/v2\/comments?post=50322"}],"version-history":[{"count":12,"href":"https:\/\/garcar.at\/sk\/wp-json\/wp\/v2\/pages\/50322\/revisions"}],"predecessor-version":[{"id":50927,"href":"https:\/\/garcar.at\/sk\/wp-json\/wp\/v2\/pages\/50322\/revisions\/50927"}],"wp:attachment":[{"href":"https:\/\/garcar.at\/sk\/wp-json\/wp\/v2\/media?parent=50322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}