{"id":13022,"date":"2013-11-14T08:51:49","date_gmt":"2013-11-14T07:51:49","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=13022"},"modified":"2013-11-14T08:55:54","modified_gmt":"2013-11-14T07:55:54","slug":"cukrovkaru-kterym-se-musi-rezat-noha-je-stale-mene","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=13022","title":{"rendered":"Cukrovk\u00e1\u0159\u016f, kter\u00fdm se mus\u00ed \u0159ezat noha, je st\u00e1le m\u00e9n\u011b"},"content":{"rendered":"

V p\u00e9\u010di o diabetiky pat\u0159\u00ed \u010cR podle m\u00edstop\u0159edsedy \u010cesk\u00e9 diabetologick\u00e9 spole\u010dnosti profesora Milana Kvapila k evropsk\u00e9 \u0161pi\u010dce. D\u016fkazem podle n\u011bj je to, \u017ee d\u00edky v\u010dasn\u00e9 a kvalitn\u00ed l\u00e9\u010db\u011b st\u00e1le m\u00e9n\u011b cukrovk\u00e1\u0159\u016fm je nutn\u00e9 amputovat nohu.<\/strong><\/p>\n

Po\u010dty diabetik\u016f stoupaj\u00ed rychleji ne\u017e po\u010dty amputac\u00ed. V\u0161ude krom\u011b seversk\u00fdch st\u00e1t\u016f a \u010cR amputac\u00ed u diabetik\u016f p\u0159ib\u00fdv\u00e1, \u0159ekl profesor\u00a0 p\u0159i p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne diabetu, kter\u00fd je dnes 14. listopadu.<\/p>\n

Loni se v \u010cR l\u00e9\u010dilo 841.000 diabetik\u016f, dal\u0161\u00edch 200.000 o sv\u00e9 cukrovce nev\u00ed, pot\u00ed\u017ee zat\u00edm nemaj\u00ed. Ka\u017ed\u00fd rok se zjist\u00ed cukrovka u 40.000 a\u017e 50.000 lid\u00ed, po ode\u010dten\u00ed \u00famrt\u00ed je n\u00e1r\u016fst l\u00e9\u010den\u00fdch ro\u010dn\u011b o 20.000 a\u017e 30.000. \u201eCukrovka je metlou sou\u010dasn\u00e9ho sv\u011bta, raketov\u011b p\u0159ib\u00fdv\u00e1 zejm\u00e9na cukrovky druh\u00e9ho typu,\u201c varoval profesor a doporu\u010dil, aby lid\u00e9 vyu\u017e\u00edvali toho, \u017ee zdravotn\u00ed poji\u0161\u0165ovny hrad\u00ed vy\u0161et\u0159en\u00ed cukru v krvi.<\/p>\n

Spr\u00e1vn\u00e1 hladina je do 5,5 mmol na litr krve, m\u011b\u0159eno na la\u010dno, p\u0159edstupe\u0148 cukrovky je od 5,6 do sedmi, cukrovka je od sedmi v\u00fd\u0161e. Od sam\u00e9ho po\u010d\u00e1tku cukrovka po\u0161kozuje c\u00e9vy, i kdy\u017e je\u0161t\u011b pot\u00ed\u017ee nep\u016fsob\u00ed. Trv\u00e1 p\u011bt a\u017e sedm let, ne\u017e se po\u0161kozen\u00ed projev\u00ed v takov\u00e9 m\u00ed\u0159e, \u017ee pacient mus\u00ed vyhledat l\u00e9ka\u0159e. V hor\u0161\u00edm p\u0159\u00edpad\u011b m\u016f\u017ee b\u00fdt prvn\u00ed komplikac\u00ed infarkt.<\/p>\n

O kvalit\u011b p\u00e9\u010de podle profesora sv\u011bd\u010d\u00ed i to, \u017ee 80 procent diabetik\u016f je v p\u00e9\u010di odborn\u00e9 diabetologick\u00e9 ambulance, jen men\u0161\u00ed \u010d\u00e1st sleduj\u00ed praktici. Podiatrick\u00e9 ambulance nov\u011b maj\u00ed k\u00f3d pro p\u00e9\u010di o diabetickou nohu a poji\u0161\u0165ovny jim ji hrad\u00ed.<\/p>\n

Podle odborn\u00fdch doporu\u010den\u00ed za\u010d\u00edn\u00e1 l\u00e9\u010dba cukrovky edukac\u00ed. Pacient se dozv\u00ed, jak m\u00e1 zm\u011bnit j\u00eddeln\u00ed\u010dek a jak\u00fd pohyb pro n\u011bj je vhodn\u00fd. Po p\u00e1r t\u00fddnech ho l\u00e9ka\u0159 znovu vy\u0161et\u0159\u00ed a zm\u011b\u0159\u00ed hladinu cukru. Pokud \u00faprava \u017eivotospr\u00e1vy nezabrala, nasad\u00ed mu l\u00e9ky. Po\u010dty l\u00e9\u010den\u00fdch jen dietou v \u010cR klesaj\u00ed a p\u0159ib\u00fdv\u00e1 diabetik\u016f l\u00e9\u010den\u00fdch l\u00e9ky.<\/p>\n

Kvapil to vysv\u011btlil t\u00edm, \u017ee d\u0159\u00edv se s nasazen\u00edm l\u00e9k\u016f \u010dekalo, te\u010f se nasazuj\u00ed co nejd\u0159\u00edv, odd\u00e1l\u00ed se tak i o \u0159adu let komplikace, ke kter\u00fdm \u010dasem ka\u017ed\u00fd diabetik dosp\u011bje. V prevenci komplikac\u00ed jsou \u00fa\u010dinn\u00e9 zejm\u00e9na gliptiny, bere je na cukrovku i prezident Milo\u0161 Zeman. Nov\u00e9 l\u00e9ky jsou sice a\u017e desetkr\u00e1t dra\u017e\u0161\u00ed, podle Kvapila se ale poji\u0161\u0165ovn\u00e1m vyplat\u00ed, proto\u017ee l\u00e9\u010dba komplikac\u00ed je mnohem dra\u017e\u0161\u00ed.
\n\u00a0\u00a0\u00a0\u00a0Po\u010det diabetik\u016f v \u010cR a jejich l\u00e9\u010dba<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n
<\/td>\n2005<\/td>\n2007<\/td>\n2008<\/td>\n2009<\/td>\n2010<\/td>\n2011<\/td>\n2012<\/td>\n<\/tr>\n
po\u010det l\u00e9\u010den\u00fdch celkem<\/td>\n739.305<\/td>\n754.961<\/td>\n773.561<\/td>\n783.321<\/td>\n806.230<\/td>\n825.382<\/td>\n841.227<\/td>\n<\/tr>\n
-z toho v ordinaci praktika<\/td>\n120.517<\/td>\n116.008<\/td>\n122.407<\/td>\n122.608<\/td>\n134.013<\/td>\n152.072<\/td>\n165.990<\/td>\n<\/tr>\n
po\u010det l\u00e9\u010den\u00fdch na 100.000 obyvatel<\/td>\n7212<\/td>\n7314<\/td>\n7417<\/td>\n7466<\/td>\n7666<\/td>\n7863<\/td>\n8005<\/td>\n<\/tr>\n
l\u00e9\u010dba pouze dietou<\/td>\n244.703<\/td>\n223.738<\/td>\n209.968<\/td>\n188.226<\/td>\n170.605<\/td>\n134.579<\/td>\n119.538<\/td>\n<\/tr>\n
l\u00e9\u010dba l\u00e9ky<\/td>\n378.574<\/td>\n405.188<\/td>\n435.676<\/td>\n462.910<\/td>\n504.000<\/td>\n665.853+<\/td>\n708.085+<\/td>\n<\/tr>\n
l\u00e9\u010dba inzul\u00ednem<\/td>\n168.018<\/td>\n188.276<\/td>\n200.104<\/td>\n215.165<\/td>\n226.428<\/td>\n205.049+<\/td>\n209.102+<\/td>\n<\/tr>\n
po\u010det nov\u011b zji\u0161t\u011bn\u00fdch onemocn\u011bn\u00ed<\/td>\n56.545<\/td>\n56.398<\/td>\n55.975<\/td>\n61.357<\/td>\n64.997<\/td>\n68.494<\/td>\n72.063<\/td>\n<\/tr>\n
po\u010det \u00famrt\u00ed<\/td>\n23.326<\/td>\n22.869<\/td>\n22.259<\/td>\n21.747<\/td>\n22.286<\/td>\n23.290<\/td>\n23.886<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

+zm\u011bna metodiky a v\u00fdkazu v \u010d\u00e1sti L\u00e9\u010dba
\nZdroj: \u00dastav zdravotnick\u00fdch informac\u00ed a statistiky<\/p>\n","protected":false},"excerpt":{"rendered":"

V p\u00e9\u010di o diabetiky pat\u0159\u00ed \u010cR podle m\u00edstop\u0159edsedy \u010cesk\u00e9 diabetologick\u00e9 spole\u010dnosti profesora Milana Kvapila k evropsk\u00e9 \u0161pi\u010dce. D\u016fkazem podle n\u011bj je to, \u017ee d\u00edky v\u010dasn\u00e9 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-13022","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/13022","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13022"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/13022\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13022"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13022"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13022"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}