{"id":1094,"date":"2019-03-26T13:36:58","date_gmt":"2019-03-26T12:36:58","guid":{"rendered":"https:\/\/www.welovecycling.com\/cs\/?p=1094"},"modified":"2019-08-16T09:44:36","modified_gmt":"2019-08-16T07:44:36","slug":"s-helmou-nebo-bez-aneb-kazdy-je-zodpovedny-za-sve-zdravi","status":"publish","type":"post","link":"https:\/\/www.welovecycling.com\/cs\/2019\/03\/26\/s-helmou-nebo-bez-aneb-kazdy-je-zodpovedny-za-sve-zdravi\/","title":{"rendered":"S helmou, nebo bez? Aneb ka\u017ed\u00fd je zodpov\u011bdn\u00fd za sv\u00e9 zdrav\u00ed"},"content":{"rendered":"

Kdy\u017e startuje do etapov\u00e9ho z\u00e1vodu Masiv MTB Stage Race, m\u00e1 na hlav\u011b helmu, a to nejen proto, \u017ee je sou\u010d\u00e1st\u00ed povinn\u00e9 v\u00fdbavy z\u00e1vodn\u00edka. Ortoped a traumatolog MUDr. Pavel Cinegr z\u00a0pra\u017esk\u00e9 Bulovky vid\u011bl spoustu zran\u011bn\u00fdch cyklist\u016f. \u010casto jde o zran\u011bn\u00ed hlavy, kter\u00e1 mohou b\u00fdt extr\u00e9mn\u011b nebezpe\u010dn\u00e1, proto\u017ee hroz\u00ed trval\u00e9 po\u0161kozen\u00ed. Jak\u00fdm rizik\u016fm se vystavujeme kdy\u017e vyjedeme na kole? P\u0159e\u010dt\u011bte si n\u00e1zor renomovan\u00e9ho l\u00e9ka\u0159e.<\/strong><\/p>\n

\u201eCyklistika je m\u016fj obl\u00edben\u00fd sport, tak\u017ee tady nechci p\u0159ehnan\u011b moralizovat a n\u011bkoho od cyklistiky zrazovat. Tak\u00e9 j\u00e1 n\u011bkdy poru\u0161uji pravidla pro bezpe\u010dnou j\u00edzdu. P\u0159esto mus\u00edm zm\u00ednit rizika, kter\u00e1 v\u00a0tomto kr\u00e1sn\u00e9m sportu jsou,\u201c<\/em> \u0159\u00edk\u00e1 Pavel Cinegr.<\/p>\n

Trojn\u00e1sobn\u00fd n\u00e1r\u016fst zran\u011bn\u00ed<\/strong><\/h2>\n

\u201eKa\u017ed\u00fd sport m\u00e1 sv\u00e1 specifick\u00e1 zran\u011bn\u00ed. Cyklistika pat\u0159\u00ed k nejnebezpe\u010dn\u011bj\u0161\u00edm sport\u016fm kv\u016fli vysok\u00fdm rychlostem a riziku kolize s\u00a0pevn\u00fdm objektem,\u201c<\/em> p\u0159ipom\u00edn\u00e1 \u010desk\u00fd l\u00e9ka\u0159 a dod\u00e1v\u00e1, \u017ee \u0161k\u00e1la zran\u011bn\u00ed zp\u016fsoben\u00fdch v\u00a0sedle kola je velmi pestr\u00e1. \u201eNa\u0161t\u011bst\u00ed se v\u011bt\u0161inou jedn\u00e1 o men\u0161\u00ed zran\u011bn\u00ed, jako je fraktura kl\u00ed\u010dn\u00ed kosti nebo struktur ramene. Tak\u00e9 jsou \u010dast\u00e9 fraktury z\u00e1p\u011bst\u00ed, \u017eeber a kompresivn\u00ed zlomeniny obratl\u016f. Samoz\u0159ejm\u011b ve vy\u0161\u0161\u00ed rychlosti je riziko v\u011bt\u0161\u00edho zran\u011bn\u00ed, ale i p\u0159i minim\u00e1ln\u00edch nebo nulov\u00fdch rychlostech je mo\u017en\u00e9 si p\u0159i p\u00e1du na bok zlomit kr\u010dek femuru (stehenn\u00ed kosti) nebo jin\u00e9 \u010d\u00e1sti ky\u010deln\u00edho kloubu.<\/em>\u201c<\/p>\n

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V\u00e1\u0161niv\u00fd cyklista, ortoped a traumatolog Pavel Cinegr (v pop\u0159ed\u00ed) p\u0159i MASIV MTB Stage Race.<\/figcaption><\/figure>\n

Od roku 2002 narostl po\u010det zran\u011bn\u00ed p\u0159i volno\u010dasov\u00fdch aktivit\u00e1ch trojn\u00e1sobn\u011b. Nejv\u00edce je zran\u011bn\u00fdch cyklist\u016f, in-line brusla\u0159\u016f a chodc\u016f sra\u017een\u00fdch cyklistou nebo brusla\u0159em.<\/p>\n

\u201eDal\u0161\u00edm \u010dast\u00fdm zran\u011bn\u00edm jsou zlomeniny \u017eeber a obratl\u016f. Na\u0161t\u011bst\u00ed jsou zlomeniny obratl\u016f nej\u010dast\u011bji ve form\u011b kompresivn\u00ed fraktury, co\u017e znamen\u00e1, \u017ee je obratel \u201arozdrcen\u2018, ani\u017e by zasahoval do p\u00e1te\u0159n\u00edho kan\u00e1lu a po\u0161kodil m\u00edchu. I tak mus\u00ed takto zran\u011bn\u00ed cyklist\u00e9 nosit n\u011bkolik m\u011bs\u00edc\u016f korzet a \u010dasto dokonce podstoupit operaci. Tak\u017ee i kdy\u017e se jedn\u00e1 o \u201amal\u00e9\u2018 zran\u011bn\u00ed, nen\u00ed to \u017e\u00e1dn\u00e1 proch\u00e1zka r\u016f\u017eov\u00fdm sadem,\u201c<\/em> \u0159\u00edk\u00e1 bez obalu v\u00e1\u0161niv\u00fd cyklista v\u00a0b\u00edl\u00e9m pl\u00e1\u0161ti.<\/p>\n

Kolize s pevn\u00fdmi objekty<\/strong><\/h2>\n

Nejz\u00e1va\u017en\u011bj\u0161\u00ed zran\u011bn\u00ed se podle n\u011bj obvykle stanou p\u0159i nehod\u00e1ch v\u00a0provozu, kdy hroz\u00ed zran\u011bn\u00ed hlavy, hrudn\u00edho ko\u0161e, b\u0159icha nebo jejich kombinace – polytrauma. Zran\u011bn\u00ed hlavy p\u0159edstavuj\u00ed nejv\u011bt\u0161\u00ed riziko ohro\u017een\u00ed \u017eivota a trval\u00fdch n\u00e1sledk\u016f. M\u016f\u017eou se st\u00e1t p\u0159i kolizi s\u00a0pevn\u00fdm objektem, jako je strom, sloup nebo auto, ale i p\u0159i zd\u00e1nliv\u011b ne\u0161kodn\u00fdch p\u00e1dech. \u201ePamatuji si na p\u0159\u00edpad cyklisty, kter\u00fd bez helmy narazil do z\u00e1bradl\u00ed. To m\u011blo za n\u00e1sledek krv\u00e1cen\u00ed do mozku s\u00a0permanentn\u00edm po\u0161kozen\u00edm. Helma ne\u0159e\u0161\u00ed v\u0161e, ale d\u00e1v\u00e1 v\u00e1m mo\u017enost p\u0159edej\u00edt ur\u010dit\u00fdm typ\u016fm zran\u011bn\u00ed nebo alespo\u0148 sn\u00ed\u017eit jejich n\u00e1sledky.\u201c<\/em><\/p>\n

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Silni\u010dn\u00ed cyklisti – nejohro\u017een\u011bj\u0161\u00ed skupina jezdc\u016f.<\/figcaption><\/figure>\n

Nejv\u00edce ohro\u017eenou skupinou jsou podle Pavla Cinegra silni\u010dn\u00ed cyklist\u00e9. S\u00a0ohledem na mechanismus zran\u011bn\u00ed jsou pochopiteln\u011b nejnebezpe\u010dn\u011bj\u0161\u00ed p\u0159\u00edm\u00e9 n\u00e1razy, takzvan\u011b hlavou nap\u0159ed. \u201eTakov\u00ed pacienti \u010dasto kon\u010d\u00ed na specializovan\u00fdch traumatologick\u00fdch jednotk\u00e1ch. Kdy\u017e nezem\u0159ou na m\u00edst\u011b nebo chv\u00edli po p\u0159\u00edjezdu do nemocnice, z\u016fst\u00e1vaj\u00ed \u010dasto ve vegetativn\u00edm stavu – k\u00f3matu. Takto z\u00e1va\u017en\u00e9 poran\u011bn\u00ed mozku znemo\u017e\u0148uje voln\u00ed pohyb, mluven\u00ed nebo schopnost se samostatn\u011b stravovat. To z\u00a0nich \u010din\u00ed pln\u011b z\u00e1visl\u00e9 na p\u00e9\u010di druh\u00e9 osoby.\u201c<\/em><\/p>\n

D\u011btsk\u00e1 cyklistika bohu\u017eel nen\u00ed co do statistik zran\u011bn\u00ed nijak pozitivn\u00ed. D\u011bti jsou nejv\u00edce ohro\u017eeny tup\u00fdmi ranami do oblasti b\u0159icha, nap\u0159\u00edklad p\u0159i p\u00e1du p\u0159es \u0159\u00edd\u00edtka. \u201eM\u016f\u017ee to vypadat, \u017ee se nic z\u00e1va\u017en\u00e9ho nestalo, proto\u017ee d\u011bti maj\u00ed tendenci si nest\u011b\u017eovat. N\u011bkdy nep\u0159iznaj\u00ed svoji bolest, proto\u017ee se c\u00edt\u00ed provinile. Nicm\u00e9n\u011b n\u00e1razem \u0159\u00edd\u00edtek do b\u0159icha m\u016f\u017ee doj\u00edt k\u00a0poran\u011bn\u00ed jater nebo slinivky, kdy poran\u011bn\u00ed slinivky m\u016f\u017ee b\u00fdt spojeno i s\u00a0masivn\u00edm vnit\u0159n\u00edm krv\u00e1cen\u00edm s\u00a0potenci\u00e1ln\u011b fat\u00e1ln\u00edmi dopady.\u201c<\/em><\/p>\n

V roli vin\u00edka nehody<\/strong><\/h2>\n

Pod\u00edvejme se tak\u00e9 na cyklisty v\u00a0roli vin\u00edk\u016f nehod. P\u0159\u00edli\u0161 \u010dasto si milovn\u00edci kol neuv\u011bdomuj\u00ed, \u017ee mohou zp\u016fsobit z\u00e1va\u017en\u00e9 zran\u011bn\u00ed ostatn\u00edm, co\u017e m\u016f\u017ee m\u00edt nejen mor\u00e1ln\u00ed, ale i finan\u010dn\u00ed a pr\u00e1vn\u00ed d\u016fsledky. Existuje \u0159ada zran\u011bn\u00fdch, kte\u0159\u00ed krom\u011b vlastn\u00edho zran\u011bn\u00ed museli \u0159e\u0161it i krimin\u00e1ln\u00ed n\u00e1sledky sv\u00fdch chyb. Podm\u00edn\u011bn\u00fd trest za \u00fajmu na zdrav\u00ed i vysok\u00e9 finan\u010dn\u00ed kompenzace jsou celkem b\u011b\u017en\u00e9.<\/p>\n

\"\"<\/a>
„Helma l\u00e9pe chr\u00e1n\u00ed cyklisty p\u0159ed zlomeninami lebky a p\u0159\u00edm\u00fdmi zran\u011bn\u00edmi mozku. N\u011bkte\u0159\u00ed ale zjednodu\u0161uj\u00ed mo\u017en\u00e9 riziko \u00farazu na pouh\u00fd ot\u0159es mozku, a to je vede ke kac\u00ed\u0159sk\u00e9 my\u0161lence vyrazit bez helmy,“ \u0159\u00edk\u00e1 Pavel Cinegr.<\/figcaption><\/figure>\n

Nebezpe\u010dn\u00fdm trendem je podle l\u00e9ka\u0159e Cinegra nedisciplinovanost ve ve\u0159ejn\u00fdch parc\u00edch \u010di na cyklostezk\u00e1ch, kde je vysok\u00fd po\u010det dal\u0161\u00edch lid\u00ed – rodiny, b\u011b\u017eci, matky se sv\u00fdmi ratolestmi nebo in-line brusla\u0159i. Cyklista sna\u017e\u00edc\u00ed se o p\u0159ekon\u00e1n\u00ed rekordu v\u00a0jejich t\u011bsn\u00e9 bl\u00edzkosti tak ohro\u017euje nejen sebe, ale i spoustu ostatn\u00edch. Tv\u016frci cyklotras i jejich u\u017eivatel\u00e9 by se m\u011bli zamyslet a v\u00a0lokalit\u00e1ch, kter\u00e1 nen\u00ed vyhrazena jen cyklist\u016fm, pohyb, rychlost a agresivitu omezit<\/p>\n

Helma jako povinnost?<\/strong><\/h2>\n

Pavel Cinegr m\u00e1 jasno. \u201eOb\u010das sly\u0161\u00edm nebo se p\u0159\u00edmo \u00fa\u010dastn\u00edm debaty o povinn\u00e9m no\u0161en\u00ed helmy. Nejsem fanou\u0161kem syst\u00e9mov\u00fdch opat\u0159en\u00ed, ka\u017ed\u00fd je zodpov\u011bdn\u00fd za sv\u00e9 zdrav\u00ed. Helma l\u00e9pe chr\u00e1n\u00ed cyklisty p\u0159ed zlomeninami lebky a p\u0159\u00edm\u00fdmi zran\u011bn\u00edmi mozku. N\u011bkte\u0159\u00ed ale zjednodu\u0161uj\u00ed mo\u017en\u00e9 riziko \u00farazu na pouh\u00fd ot\u0159es mozku, a to je vede ke kac\u00ed\u0159sk\u00e9 my\u0161lence vyrazit bez helmy. Vyrostl jsem v\u00a0dob\u011b, kdy bylo obvykl\u00e9 jezdit bez helmy, tak\u017ee mi n\u011bjak\u00fd \u010das trvalo, ne\u017e jsem si zvykl. V\u00a0pr\u00e1ci ale v\u00edd\u00e1m n\u00e1sledky v\u00e1\u017en\u00fdch poran\u011bn\u00ed hlavy, a proto je pro mne j\u00edzda v\u00a0helm\u011b samoz\u0159ejmost.\u201c<\/em><\/p>\n

P\u00e1dy a zran\u011bn\u00ed jsou sou\u010d\u00e1st\u00ed cyklistiky a stoj\u00ed za adrenalinem, kter\u00fd d\u011bl\u00e1 tento sport tak z\u00e1bavn\u00fdm. \u201eSouhlas\u00edm. Nicm\u00e9n\u011b je dobr\u00e9 se ob\u010das zamyslet nad p\u0159\u00edpadn\u00fdmi n\u00e1sledky. P\u0159eji v\u0161em \u010dten\u00e1\u0159\u016fm mnoho \u0161\u0165astn\u00fdch kilometr\u016f bez nehod,\u201c<\/em> uzav\u00edr\u00e1 na\u0161e pov\u00edd\u00e1n\u00ed MUDr. Pavel Cinegr.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kdy\u017e startuje do etapov\u00e9ho z\u00e1vodu Masiv MTB Stage Race, m\u00e1 na hlav\u011b helmu, a to nejen proto, \u017ee je sou\u010d\u00e1st\u00ed […]<\/p>\n","protected":false},"author":95,"featured_media":1098,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,244],"tags":[13,111,112,113],"global-categories":[],"class_list":["post-1094","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bezpecnost","category-safety","tag-bezpecnost","tag-mudr-pavel-cinegr","tag-traumatologie","tag-zraneni"],"yoast_head":"\nS helmou, nebo bez? 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