{"id":14363,"date":"2014-01-31T04:26:44","date_gmt":"2014-01-31T03:26:44","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=14363"},"modified":"2014-01-31T14:26:57","modified_gmt":"2014-01-31T13:26:57","slug":"trapeni-kuze-i-psychiky","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=14363","title":{"rendered":"Tr\u00e1pen\u00ed k\u016f\u017ee i psychiky"},"content":{"rendered":"<p><strong>Lup\u00e9nka je velmi nep\u0159\u00edjemn\u00e9 ko\u017en\u00ed onemocn\u011bn\u00ed, kter\u00e9 tr\u00e1p\u00ed d\u011bti i dosp\u011bl\u00e9. Jak zm\u00edr\u0148ovat jej\u00ed p\u0159\u00edznaky, jakou \u017eivotospr\u00e1vu bychom m\u011bli m\u00edt?<\/strong> <!--more--><\/p>\n<p>&nbsp;<\/p>\n<p>Projevy t\u00e9to nemoci jsou nejen velmi nep\u0159\u00edjemn\u00e9 a bolestiv\u00e9, ale i viditeln\u00e9. \u010cerven\u00e1 a olupuj\u00edc\u00ed se lo\u017eiska toti\u017e b\u00fdvaj\u00ed rozeseta po cel\u00e9m t\u011ble v\u010detn\u011b hlavy a rukou.<\/p>\n<p>Nemoc je ale tak\u00e9 hodn\u011b o po\u0161ramocen\u00e9 psychice. Pacienti se proto \u010dasto pot\u00fdkaj\u00ed s depresemi, pocity m\u00e9n\u011bcennosti, styd\u00ed se chodit &#8222;mezi lidi&#8220; a uzav\u00edraj\u00ed se sami do sebe. Nemoc ale nen\u00ed naka\u017eliv\u00e1.<\/p>\n<p><strong>\u00a0Kdo je vin\u00edkem<\/strong><\/p>\n<p>Mezi faktory vyvol\u00e1vaj\u00edc\u00ed lup\u00e9nku pat\u0159\u00ed <strong>genetick\u00e9<\/strong> dispozice a\u00a0<strong>provoka\u010dn\u00ed faktory.<\/strong> M\u016f\u017ee j\u00edt nap\u0159\u00edklad o <strong>infekce<\/strong> d\u00fdchac\u00edch cest, <strong>poran\u011bn\u00ed<\/strong> k\u016f\u017ee \u010di <strong>hormon\u00e1ln\u00ed<\/strong> procesy. Vliv na toto onemocn\u011bn\u00ed maj\u00ed i <strong>stres, alkohol, sp\u00e1len\u00ed sluncem<\/strong>, n\u00edzk\u00e9 teploty nebo such\u00fd vzduch.<\/p>\n<p><strong>V rukou odborn\u00edka<\/strong><\/p>\n<p>Diagn\u00f3zu ur\u010duje v p\u0159\u00edpad\u011b lup\u00e9nky dermatolog. Ten posl\u00e9ze vybere nejvhodn\u011bj\u0161\u00ed l\u00e9\u010dbu, kter\u00e1 dok\u00e1\u017ee projevy nemoci zm\u00edrnit na minimum.<\/p>\n<p>&#8211; Pou\u017e\u00edvaj\u00ed se lok\u00e1ln\u00ed l\u00e9ky, kter\u00e9 napom\u00e1haj\u00ed odstran\u011bn\u00ed \u0161upin z lo\u017eisek.<\/p>\n<p>&#8211; L\u00e9ky s obsahem rostlinn\u00fdch deht\u016f, je\u017e k\u016f\u017ei stahuj\u00ed a zamezuj\u00ed jej\u00edmu sv\u011bd\u011bn\u00ed.<\/p>\n<p>&#8211;\u00a0 kortikosteroidy. Pou\u017e\u00edvaj\u00ed se sp\u00ed\u0161e kr\u00e1tkodob\u011b ke zklidn\u011bn\u00ed dr\u00e1\u017ediv\u00fdch projev\u016f.<\/p>\n<p>&#8211; retinoidy (l\u00e9ky ovliv\u0148uj\u00edc\u00ed rohovat\u011bn\u00ed k\u016f\u017ee), cyklosporiny a p\u0159\u00edpravky podporuj\u00edc\u00ed imunitu.<\/p>\n<p>&#8211; U pacient\u016f s t\u011b\u017ekou lo\u017eiskovou psori\u00e1zou m\u016f\u017ee b\u00fdt p\u0159edeps\u00e1na <strong>biologick\u00e1<\/strong> l\u00e9\u010dba, kter\u00e1 c\u00edlen\u011bji zasahuje do imunologick\u00fdch proces\u016f a je l\u00e9pe sn\u00e1\u0161ena. Jde o modern\u00ed a \u00fa\u010dinn\u00fd, av\u0161ak finan\u010dn\u011b velmi n\u00e1kladn\u00fd zp\u016fsob.<\/p>\n<p>U chronick\u00e9 formy lup\u00e9nky se osv\u011bd\u010duje <strong>fototerapie<\/strong>.<\/p>\n<p>Jedn\u00e1 se o vystaven\u00ed k\u016f\u017ee ultrafi alov\u00e9mu z\u00e1\u0159en\u00ed UVB, je\u017e je p\u0159irozenou sou\u010d\u00e1st\u00ed slune\u010dn\u00edch paprsk\u016f. K dispozici jsou celot\u011blov\u00e9 kabiny, p\u0159\u00edstroje na o\u0161et\u0159en\u00ed rukou nebo nohou, p\u0159i lup\u00e9nce ve k\u0161tici je mo\u017en\u00e9 pou\u017e\u00edt tzv. UV h\u0159eben. \u00da\u010dinn\u00fd je p\u0159\u00edstroj vyza\u0159uj\u00edc\u00ed UVB z\u00e1\u0159en\u00ed, jeho\u017e sou\u010d\u00e1st\u00ed je t\u00e9\u017e vana, kde se pacient koupe ve vod\u011b obohacen\u00e9 nap\u0159. o p\u0159\u00edpravky s mrtvou sol\u00ed. V \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b nelze tuto l\u00e9\u010dbu srovn\u00e1vat s kabinou v sol\u00e1riu, jak se lid\u00e9 n\u011bkdy domn\u00edvaj\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Balneoterapie<\/strong><\/p>\n<p>Jde o l\u00e9\u010dbu pomoc\u00ed sirovod\u00edkov\u00e9 miner\u00e1ln\u00ed vody a z\u00e1bal\u016f ze siln\u011b sirnat\u00e9ho bahna nebo ze soli z Mrtv\u00e9ho mo\u0159e.<\/p>\n<p>Odborn\u00edk Katky <strong>MUDr. Lucie R\u016f\u017ei\u010dkov\u00e1 Jare\u0161ov\u00e1, dermatolo\u017eka, FN Na Homolce<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00daprava \u017eivotospr\u00e1vy<\/strong><\/p>\n<p>* Konzumujte dostatek \u010derstv\u00e9 zeleniny.<\/p>\n<p>* Denn\u011b vypijte 2-3 litry \u010dist\u00e9 vody (vynechejte \u010daj, miner\u00e1lku nebo k\u00e1vu).<\/p>\n<p>* Vyh\u00fdbejte se j\u00eddl\u016fm okyseluj\u00edc\u00edm organizmus (vejce, alkohol, sladkosti, \u010derven\u00e9 maso, uzeniny).<\/p>\n<p>* Pozor na p\u0159\u00edm\u00fd kontakt s chemick\u00fdmi a \u010distic\u00edmi l\u00e1tkami a barvami.<\/p>\n<p>* Pe\u010dliv\u011b si vyb\u00edrejte kosmetiku, nejl\u00e9pe ur\u010denou p\u0159\u00edmo pro osoby s lup\u00e9nkou.<\/p>\n<p>* Vyh\u00fdbejte se stresov\u00fdm situac\u00edm, relaxujte, v\u011bnujte se j\u00f3ze nebo tai-\u010di.<\/p>\n<p>Zuzana Heralov\u00e1<\/p>\n<p><strong>\u010dasopis Katka<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Lup\u00e9nka je velmi nep\u0159\u00edjemn\u00e9 ko\u017en\u00ed onemocn\u011bn\u00ed, kter\u00e9 tr\u00e1p\u00ed d\u011bti i dosp\u011bl\u00e9. Jak zm\u00edr\u0148ovat jej\u00ed p\u0159\u00edznaky, jakou \u017eivotospr\u00e1vu bychom m\u011bli m\u00edt?<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14162,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-14363","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14363","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=14363"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14363\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14162"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14363"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}