{"id":4532,"date":"2021-03-15T14:24:09","date_gmt":"2021-03-15T14:24:09","guid":{"rendered":"https:\/\/neuraxpharm.com\/v2\/?p=4532"},"modified":"2022-12-13T10:06:30","modified_gmt":"2022-12-13T10:06:30","slug":"zivot-s-chronickou-bolesti","status":"publish","type":"post","link":"https:\/\/www.neuraxpharm.com\/cz\/blog\/zivot-s-chronickou-bolesti","title":{"rendered":"\u017divot s chronickou bolest\u00ed"},"content":{"rendered":"

Definice ve slovn\u00edku ji dostate\u010dn\u011b nevystihuj\u00ed. Chronick\u00e1 bolest je komplexn\u00ed stav, kter\u00fd se jen z\u0159\u00eddkakdy vy\u0159e\u0161\u00ed rychle a \u010dasto vy\u017eaduje jak emo\u010dn\u00ed, tak i fyzick\u00e1 \u0159e\u0161en\u00ed.<\/p>\n

Bolest m\u016f\u017ee b\u00fdt jak\u00e1koli, od tup\u00e9 p\u0159etrv\u00e1vaj\u00edc\u00ed bolesti a\u017e po ostr\u00e9 ataky a pocity p\u00e1len\u00ed v posti\u017een\u00fdch oblastech jak\u00e9koli \u010d\u00e1sti t\u011bla, a aby byla chronick\u00e1, mus\u00ed trvat \u2013 v ust\u00e1len\u00e9m nebo p\u0159eru\u0161ovan\u00e9m stavu \u2013 alespo\u0148 12 t\u00fddn\u016f.<\/p>\n

Hlavn\u00edmi p\u0159\u00ed\u010dinami chronick\u00e9 bolesti jsou muskuloskelet\u00e1ln\u00ed probl\u00e9my, migr\u00e9na a bolesti hlavy, fibromyalgie, artritida, rakovina, cukrovka a neurologick\u00e1 onemocn\u011bn\u00ed, ale subjektivn\u00ed a osobn\u00ed prvky zt\u011b\u017euj\u00ed stanoven\u00ed z\u00e1kladn\u00ed p\u0159\u00ed\u010diny a m\u011b\u0159en\u00ed jej\u00edho dopadu.<\/p>\n

Jej\u00ed z\u00e1t\u011b\u017e je v\u0161ak z\u0159ejm\u00e1, nebo\u0165 s devastuj\u00edc\u00edm efektem naru\u0161uje fyzick\u00e9 a psychick\u00e9 funkce, vyza\u0159uje probl\u00e9my nap\u0159\u00ed\u010d rodinou, p\u0159\u00e1teli a zam\u011bstn\u00e1n\u00edm.<\/p>\n

Chronick\u00e1 bolest je hlavn\u00ed p\u0159\u00ed\u010dinou invalidity a m\u00e1 potenci\u00e1l infikovat v\u0161echny aspekty \u017eivota. Organizace Pain Alliance Europe, kter\u00e1 sdru\u017euje l\u00e9ka\u0159sk\u00e9 odborn\u00edky a pacientsk\u00e9 skupiny, odhaduje, \u017ee 95 milion\u016f lid\u00ed v Evrop\u011b trp\u00ed chronickou bolest\u00ed a pravideln\u011b se pot\u00fdk\u00e1 s diskriminac\u00ed a stigmatem v pr\u00e1ci a ve sv\u00e9m spole\u010densk\u00e9m \u017eivot\u011b1<\/sup>.<\/p>\n

Na dalekos\u00e1hl\u00e9 d\u016fsledky \u017eivota s chronickou bolest\u00ed upozornila nez\u00e1visl\u00e1 skupina evropsk\u00fdch odborn\u00edk\u016f The Pain Proposal, kter\u00e1 shrom\u00e1\u017edila v\u00fdzkumy ukazuj\u00edc\u00ed na to, \u017ee posti\u017een\u00ed trp\u00ed soci\u00e1ln\u00ed izolac\u00ed, maj\u00ed obavy ze vztah\u016f a ztr\u00e1ty zam\u011bstn\u00e1n\u00ed a to negativn\u011b dopad\u00e1 na jejich p\u0159\u00e1tele a rodinu2<\/sup>.<\/p>\n

To podpo\u0159ila i studie publikovan\u00e1 v evropsk\u00e9m \u010dasopise European Journal of Pain,3<\/sup> ve kter\u00e9 se zaznamen\u00e1val dopad na osoby \u017eij\u00edc\u00ed s chronickou bolest\u00ed:<\/p>\n

u 21 % byla diagnostikov\u00e1na deprese<\/p>\n

61 % mohlo s obt\u00ed\u017eemi nebo nemohlo v\u016fbec pracovat mimo sv\u016fj domov<\/p>\n

19 % p\u0159i\u0161lo o pr\u00e1ci a 13 % zm\u011bnilo zam\u011bstn\u00e1n\u00ed<\/p>\n

Pouze 2 % byla l\u00e9\u010dena specialistou na zvl\u00e1d\u00e1n\u00ed bolesti<\/p>\n

33 % nedost\u00e1valo \u017e\u00e1dnou l\u00e9\u010dbu<\/p>\n

Bolest byla dlouho pova\u017eov\u00e1na sp\u00ed\u0161e za symptom ne\u017e za stav jako takov\u00fd, ale d\u00edky kampani organizace The European Pain Federation, kter\u00e1 zastupuje 20 000 zdravotn\u00edk\u016f a v\u00fdzkumn\u00edk\u016f, byla chronick\u00e1 prim\u00e1rn\u00ed bolest uzn\u00e1na Sv\u011btovou zdravotnickou organizac\u00ed jako nemoc.<\/p>\n

Odborn\u00edci se domn\u00edvaj\u00ed, \u017ee aktualizovan\u00fd stav by mohl v\u00e9st k lep\u0161\u00edmu zaji\u0161t\u011bn\u00ed pacient\u016f, urychlen\u00ed diagnostiky a l\u00e9\u010dby.<\/p>\n

Zvl\u00e1d\u00e1n\u00ed bolesti je jedn\u00edm z nejn\u00e1ro\u010dn\u011bj\u0161\u00edch \u00fakol\u016f, kter\u00fdm l\u00e9ka\u0159i \u010del\u00ed, proto\u017ee jej\u00ed p\u0159\u00ed\u010diny a n\u00e1sledky nejsou jasn\u00e9 a d\u00e1le je zkresluje stres, kter\u00fd bolest u pacient\u016f vyvol\u00e1v\u00e1. Revmatolo\u017eka Dr. Leslie J. Crofford, poznamenala: \u201eKdy\u017e eliminujete 90 % bolesti pacienta, zb\u00fdvaj\u00edc\u00edch 10 % je 100 % z toho, co zbylo.\u00a0To n\u00e1m p\u0159ipom\u00edn\u00e1, \u017ee jak\u00e1koliv bolest je st\u00e1le bolest.\u201c Dodala: \u201eKdy\u017e se bolest stane chronickou, c\u00edlem je ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f sp\u00ed\u0161e l\u00e9\u010dba ne\u017e jej\u00ed eliminace4<\/sup>.\u201d<\/p>\n

Slo\u017eit\u00e1 sple\u0165 fyzick\u00fdch a psychick\u00fdch symptom\u016f chronick\u00e9 bolesti v\u00fdrazn\u011b sni\u017euje kvalitu \u017eivota. Ale existuj\u00ed mo\u017enosti l\u00e9\u010dby a podp\u016frn\u00e9 mechanismy, kter\u00e9 mohou pomoci stav stabilizovat, a medic\u00edna nyn\u00ed \u0159e\u0161\u00ed chronickou bolest jako nal\u00e9hav\u00fd probl\u00e9m.<\/p>\n

Techniky zvl\u00e1d\u00e1n\u00ed chronick\u00e9 bolesti<\/h2>\n

Uvoln\u011bte se a d\u00fdchejte<\/h3>\n

Chronick\u00e1 bolest m\u016f\u017ee zp\u016fsobovat svalov\u00e9 nap\u011bt\u00ed a k\u0159e\u010de, zat\u00edmco pocity nedostate\u010dn\u00e9 kontroly nad \u00farovn\u00ed bolesti p\u0159edstavuj\u00ed dal\u0161\u00ed stres, kter\u00fd stav pouze zhor\u0161uje.<\/p>\n

Relaxa\u010dn\u00ed techniky jsou \u017eivotn\u011b d\u016fle\u017eit\u00e9 n\u00e1stroje pro zm\u00edrn\u011bn\u00ed svalov\u00e9ho a kloubn\u00edho stresu, p\u0159eru\u0161en\u00ed sign\u00e1l\u016f bolesti vyza\u0159uj\u00edc\u00edch kolem mozku a navozen\u00ed pocitu klidn\u00e9 kontroly.<\/p>\n

Jejich osvojen\u00ed m\u016f\u017ee n\u011bjak\u00fd \u010das trvat a m\u011bly by se praktikovat denn\u011b. Pacienti v\u0161ak uv\u00e1d\u011bj\u00ed men\u0161\u00ed bolest, uvol\u0148ov\u00e1n\u00ed endorfin\u016f, kter\u00e9 p\u0159irozen\u011b neutralizuj\u00ed bolest, a schopnost u\u017e\u00edvat si v\u00edce sp\u00e1nku.<\/p>\n

Relaxace by m\u011bla prob\u00edhat v tich\u00e9m prost\u0159ed\u00ed bez vyru\u0161ov\u00e1n\u00ed a jedn\u00edm z nej\u00fa\u010dinn\u011bj\u0161\u00edch zp\u016fsob\u016f, jak toho dos\u00e1hnout, je hlubok\u00e9 d\u00fdch\u00e1n\u00ed. Pravideln\u00fd rytmus dechu uvol\u0148uje svaly a lze ho navodit pomoc\u00ed vizualiza\u010dn\u00edch cvi\u010den\u00ed, jako je p\u0159edstava zrnka p\u00edsku mezi ukazov\u00e1\u010dkem a palcem a jeho ot\u00e1\u010den\u00ed v \u010dase s dechov\u00fdm cyklem.<\/p>\n

Vzorce d\u00fdch\u00e1n\u00ed se b\u011bhem epizod bolesti m\u011bn\u00ed, zkracuj\u00ed se a jsou m\u011bl\u010d\u00ed. Zpomalen\u00ed procesu a soust\u0159ed\u011bn\u00ed se na fyzick\u00e9 aspekty pomal\u00e9ho, klouzav\u00e9ho n\u00e1dechu nosem a v\u00fddechem \u00fasty uvoln\u00ed t\u011blo.<\/p>\n

Nalezen\u00ed t\u011bch spr\u00e1vn\u00fdch kombinac\u00ed podporuj\u00edc\u00edch relaxaci je v\u011bc\u00ed pravideln\u00e9ho cvi\u010den\u00ed a pokus\u016f a omyl\u016f. M\u016f\u017ee se nap\u0159\u00edklad jednat o pu\u0161t\u011bn\u00ed uklid\u0148uj\u00edc\u00ed hudby nebo p\u0159edstavu obl\u00edben\u00e9 sc\u00e9ny nebo krajiny.<\/p>\n

Jakmile jsou tyto techniky zvl\u00e1dnuty, mohou se pou\u017e\u00edvat i na ve\u0159ejnosti, aby pomohly minimalizovat dopad stresu z tlak\u016f ka\u017edodenn\u00edho \u017eivota.<\/p>\n

L\u00e9\u010dba a medikace<\/h3>\n

Pokud m\u00e1te pocit, \u017ee bolest nezvl\u00e1d\u00e1te, nev\u00e1hejte vyhledat odbornou pomoc. Nen\u00ed \u017e\u00e1dnou ostudou po\u017e\u00e1dat o l\u00e9\u010dbu, kter\u00e1 v\u00e1m vyhovuje a odborn\u00fd l\u00e9ka\u0159 v\u00e1m m\u016f\u017ee navrhnout terapii, kter\u00e1 zohledn\u00ed va\u0161e specifick\u00e9 pot\u0159eby. Chronick\u00e1 bolest m\u016f\u017ee b\u00fdt velkou p\u0159ek\u00e1\u017ekou v norm\u00e1ln\u00edm, plnohodnotn\u00e9m \u017eivot\u011b, a pokud v\u00e1m v tomto sm\u011bru m\u016f\u017ee pomoci spr\u00e1vn\u00e1 medikament\u00f3zn\u00ed l\u00e9\u010dba, zeptejte se na to sv\u00e9ho l\u00e9ka\u0159e.<\/p>\n

Hudba ti\u0161\u00ed chronickou bolest<\/h3>\n

Liter\u00e1rn\u00ed v\u011bta \u201eHudba m\u00e1 kouzlo, kter\u00e9 uklidn\u00ed divokou hru\u010f“ je cit\u00e1t z trag\u00e9die ze 17.stolet\u00ed<\/sup>, ale pokud jde o bolest, je st\u00e1le aktu\u00e1ln\u00ed. V\u0161ichni v\u00edme, \u017ee na\u0161e n\u00e1lady lze zlep\u0161it nebo osv\u011b\u017eit hudbou. V\u00fdzkumy prok\u00e1zaly, \u017ee hudba m\u00e1 pozitivn\u00ed vliv na bolest ji\u017e za 20 a\u017e 30 minut5<\/sup>.<\/p>\n

Muzikoterapie se pravideln\u011b pou\u017e\u00edv\u00e1 k l\u00e9\u010db\u011b neurologick\u00fdch stav\u016f, proto\u017ee aktivuje neuronov\u00e9 s\u00edt\u011b v mozku, kter\u00e9 jsou spojeny s odm\u011bnou a emocemi. M\u016f\u017ee sn\u00ed\u017eit vn\u00edm\u00e1n\u00ed bolesti a zm\u00edrnit depresi, \u010d\u00edm\u017e se podpo\u0159\u00ed lep\u0161\u00ed kontrola bolesti.<\/p>\n

Cvi\u010den\u00ed<\/h3>\n

Cvi\u010den\u00ed udr\u017euje va\u0161e svaly, \u0161lachy a klouby pru\u017en\u00e9 a aktivita m\u016f\u017ee zm\u00edrnit \u00fa\u010dinky chronick\u00e9 bolesti. Nejlep\u0161\u00ed je v\u0161ak poradit se se sv\u00fdm l\u00e9ka\u0159em, abyste se ujistili, \u017ee \u017e\u00e1dn\u00e9 nov\u00e9 cvi\u010debn\u00ed rutiny nejsou p\u0159\u00edli\u0161 nam\u00e1hav\u00e9 a \u017ee se zvy\u0161uj\u00ed postupn\u011b, aby nedo\u0161lo ke zran\u011bn\u00ed.<\/p>\n

T\u011blo z nedostatku aktivity zesl\u00e1bne, co\u017e m\u016f\u017ee vn\u00edm\u00e1n\u00ed bolesti zv\u00fd\u0161it, tak\u017ee m\u016f\u017ee pomoci i lehk\u00fd fitness program, proto\u017ee tak\u00e9 udr\u017e\u00ed va\u0161\u00ed v\u00e1hu a sn\u00ed\u017e\u00ed riziko kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed.<\/p>\n

P\u0159i cvi\u010den\u00ed se tak\u00e9 uvol\u0148uj\u00ed endorfiny zlep\u0161uj\u00edc\u00ed n\u00e1ladu, kter\u00e9 neutralizuj\u00ed bolestiv\u00e9 sign\u00e1ly a odv\u00e1d\u011bj\u00ed pozornost od jejich p\u0159\u00edznak\u016f.<\/p>\n

Zlep\u0161ov\u00e1n\u00ed kondice je snaha o dobr\u00fd pocit, kter\u00fd je v souladu s dodr\u017eov\u00e1n\u00edm zdrav\u00e9 v\u00fd\u017eivy.<\/p>\n

Jezte zdrav\u011b<\/h3>\n

Dob\u0159e vyv\u00e1\u017een\u00e1 strava s \u010derstv\u00fdm ovocem a zeleninou, tu\u010dn\u00fdmi rybami obsahuj\u00edc\u00edmi Omega-3 tuky a libov\u00fdm masem pom\u00e1h\u00e1 udr\u017eovat v\u00e1hu, zlep\u0161uje hladinu krevn\u00edho cukru a chr\u00e1n\u00ed p\u0159ed z\u00e1n\u011bty, toto v\u0161e m\u016f\u017ee p\u0159isp\u011bt k \u00farovni bolesti.<\/p>\n

Z\u00e1kladn\u00edm doporu\u010den\u00edm je dodr\u017eov\u00e1n\u00ed st\u0159edomo\u0159sk\u00e9 stravy a k dispozici je n\u011bkolik l\u00e9ka\u0159sky prov\u011b\u0159en\u00fdch kucha\u0159ek, kter\u00e9 poskytuj\u00ed recepty a informace. D\u016frazn\u011b se doporu\u010duje se zcela vyvarovat kou\u0159en\u00ed, drasticky sn\u00ed\u017eit p\u0159\u00edjem nezdrav\u00e9 stravy a alkohol konzumovat pouze s m\u00edrou, pokud v\u016fbec.<\/p>\n

Organizace The European Pain Federation uv\u00e1d\u00ed, \u017ee dobr\u00e1 v\u00fd\u017eiva m\u016f\u017ee pos\u00edlit funkci nervov\u00e9ho, imunitn\u00edho a endokrinn\u00edho syst\u00e9mu, zat\u00edmco p\u0159i hubnut\u00ed nebo udr\u017een\u00ed t\u011blesn\u00e9 hmotnosti se sni\u017euje z\u00e1t\u011b\u017e kloub\u016f6<\/sup>.<\/p>\n

Zv\u00fd\u0161en\u00ed obsahu vl\u00e1kniny ve va\u0161\u00ed strav\u011b a pit\u00ed dostate\u010dn\u00e9ho mno\u017estv\u00ed vody jsou z\u00e1kladn\u00edmi slo\u017ekami zdrav\u00e9 stravy.<\/p>\n

Sledujte svou bolest<\/h3>\n

Z\u00e1znam o cyklech a \u00farovn\u00edch bolesti poskytne va\u0161emu l\u00e9ka\u0159i d\u016fle\u017eit\u00e9 informace pro diagnostiku a nasazen\u00ed terapie. Poskytne tak\u00e9 ur\u010ditou m\u00edru kontroly, proto\u017ee identifikuje vzorce bolesti a jejich spou\u0161t\u011b\u010de.<\/p>\n

Bolest se jen z\u0159\u00eddka \u0159\u00edd\u00ed \u010dasov\u00fdm rozvrhem nebo m\u00e1 st\u00e1le stejnou \u00farove\u0148. Den\u00edk bolesti s ud\u00e1lostmi ozna\u010den\u00fdmi stupn\u011bm z\u00e1va\u017enosti od 1 do 10 d\u00e1 jej\u00edm rytm\u016fm identitu a m\u00edt s\u00e1m tyto znalosti m\u016f\u017ee b\u00fdt posiluj\u00edc\u00ed.<\/p>\n

Um\u011bt p\u0159esn\u011b sd\u011blit, jak jste se v r\u016fzn\u00fdch dnech c\u00edtili, poskytne l\u00e9ka\u0159i z\u00e1sadn\u00ed n\u00e1hled, kter\u00fd nen\u00ed k dispozici, pokud si pacient vybav\u00ed \u0159adu v\u00e1gn\u00edch vzpom\u00ednek. Progresi va\u0161eho stavu a reakci na jakoukoli terapii lze p\u0159esn\u011bji posoudit, co\u017e d\u00e1v\u00e1 v\u011bt\u0161\u00ed p\u0159\u00edle\u017eitost kontrolovat chronickou bolest.<\/p>\n

Nebu\u010fte sami<\/h3>\n

Poskytnut\u00ed l\u00e9ka\u0159sk\u00e9 pomoci je pro nalezen\u00ed cesty ke zvl\u00e1dnut\u00ed chronick\u00e9 bolesti z\u00e1sadn\u00ed, ale velkou roli p\u0159i sni\u017eov\u00e1n\u00ed z\u00e1t\u011b\u017ee m\u016f\u017ee hr\u00e1t tak\u00e9 podpora rodiny, p\u0159\u00e1tel a vrstevn\u00edk\u016f.<\/p>\n

Studie prok\u00e1zala, \u017ee pacienti s fibromyalgi\u00ed, kte\u0159\u00ed m\u011bli partnera, poci\u0165ovali v\u00fdrazn\u011b m\u00e9n\u011b bolesti ne\u017e ti, kte\u0159\u00ed byli sami. Toto je d\u016fle\u017eit\u00e9, proto\u017ee mnoho lid\u00ed \u017eij\u00edc\u00edch s chronickou bolest\u00ed c\u00edt\u00ed nutk\u00e1n\u00ed izolovat se od p\u0159\u00e1tel a rodiny.<\/p>\n

Rozpaky a pocit viny jsou b\u011b\u017en\u00fdmi emocemi, kter\u00e9 lidi vedou k omezen\u00ed kontaktu, posilou ale m\u016f\u017ee b\u00fdt pozn\u00e1n\u00ed va\u0161eho stavu a bolesti, abyste to mohli vysv\u011btlit ostatn\u00edm. Bo\u0159en\u00ed m\u00fdt\u016f fakty a jasn\u00fdmi informacemi jim umo\u017e\u0148uje porozum\u011bt a sn\u00e1ze jim nab\u00eddnout pomoc.<\/p>\n

Ve v\u011bt\u0161in\u011b zem\u00ed jsou tak\u00e9 k dispozici podp\u016frn\u00e9 skupiny a stoj\u00ed za to je vyhledat, proto\u017ee m\u016f\u017eete hovo\u0159it s ostatn\u00edmi, kte\u0159\u00ed maj\u00ed podobn\u00e9 zku\u0161enosti a u\u010dit se od nich strategie zvl\u00e1d\u00e1n\u00ed dan\u00fdch probl\u00e9m\u016f.<\/p>\n

Jin\u00e1 l\u00e9\u010dba<\/h2>\n

Akupunktura, mindfulness a mas\u00e1\u017ee jsou obvykl\u00fdmi procedurami k \u00falev\u011b od bolesti, st\u00e1le v\u00edce p\u0159\u00edstroj\u016f je ale navr\u017eeno tak, aby stimulovaly nervy a naru\u0161ovaly sign\u00e1ly bolesti.<\/p>\n

Nejpou\u017e\u00edvan\u011bj\u0161\u00edmi jsou p\u0159\u00edstroje TENS – l\u00e9\u010dba transkut\u00e1nn\u00ed elektrickou stimulac\u00ed nerv\u016f – ty kdysi b\u00fdvaly objemn\u00fdmi stroji, nyn\u00ed ale pat\u0159\u00ed mezi kapesn\u00ed za\u0159\u00edzen\u00ed.<\/p>\n

L\u00e9ka\u0159sk\u00e9 poradenstv\u00ed je st\u00e1le nej\u00fa\u010dinn\u011bj\u0161\u00ed cestou ke zm\u00edrn\u011bn\u00ed bolesti, p\u0159\u00edstroje a alternativn\u00ed terapie v\u0161ak mohou hr\u00e1t podp\u016frnou roli.<\/p>\n

 <\/p>\n

Odkazy:<\/h3>\n
    \n
  1. Pain Alliance Europe. Survey on Chronic Pain 2017: Diagnosis, treatment and impact of pain. June 2017. Accessed January 2021. https:\/\/www.pae-eu.eu\/wp-content\/uploads\/2017\/12\/PAE-Survey-on-Chronic-Pain-June-2017.pdf<\/a><\/li>\n
  2. European Pain Federation. Pain Proposal. Improving the current and future management of chronic pain. Accessed January 2021. https:\/\/europeanpainfederation.eu\/wp-content\/uploads\/2016\/06\/pain_proposal.pdf<\/a><\/li>\n
  3. Breivik, H., Collett, B., Ventafridda, V., Cohen, R. and Gallacher, D. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain. 2005;10: 287-287. doi: 10.1016\/j.ejpain.2005.06.009<\/li>\n
  4. Crofford LJ. Chronic Pain: Where the Body Meets the Brain.\u00a0Trans Am Clin Climatol Assoc<\/em>. 2015;126:167-183.<\/li>\n
  5. Richard-Lalonde M, G\u00e9linas C, Boitor M, et al. The Effect of Music on Pain in the Adult Intensive Care Unit: A Systematic Review of Randomized Controlled Trials. J Pain Symptom Manage<\/em>. 2020;59(6):1304-1319.e6. doi:10.1016\/j.jpainsymman.2019.12.359<\/li>\n
  6. International Association for the Study of Pain. Nutrition and Chronic Pain Factsheet. Accessed January 2021. https:\/\/europeanpainfederation.eu\/wp-content\/uploads\/2020\/03\/European-Year-2020-Nutrition-and-Chronic-Pain-Fact-Sheet.pdf<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Definice ve slovn\u00edku ji dostate\u010dn\u011b nevystihuj\u00ed. Chronick\u00e1 bolest je komplexn\u00ed stav, kter\u00fd se jen z\u0159\u00eddkakdy vy\u0159e\u0161\u00ed rychle a \u010dasto vy\u017eaduje jak emo\u010dn\u00ed, tak i fyzick\u00e1 \u0159e\u0161en\u00ed.<\/p>\n","protected":false},"author":11,"featured_media":6845,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[94],"tags":[],"class_list":["post-4532","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chronicka-bolest"],"yoast_head":"\n\u017divot s chronickou bolest\u00ed - Neuraxpharm CZ<\/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:\/\/www.neuraxpharm.com\/cz\/blog\/zivot-s-chronickou-bolesti\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u017divot s chronickou bolest\u00ed\" \/>\n<meta property=\"og:description\" content=\"Definice ve slovn\u00edku ji dostate\u010dn\u011b nevystihuj\u00ed. 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