{"id":18078,"date":"2014-10-26T18:23:20","date_gmt":"2014-10-26T17:23:20","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=18078"},"modified":"2014-10-26T18:23:20","modified_gmt":"2014-10-26T17:23:20","slug":"biologicka-lecba-roztrousene-sklerozy-umozni-pracovat","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=18078","title":{"rendered":"Biologick\u00e1 l\u00e9\u010dba roztrou\u0161en\u00e9 skler\u00f3zy umo\u017en\u00ed pracovat"},"content":{"rendered":"<p><strong>P\u0159es 60 procent pacient\u016f s roztrou\u0161enou skler\u00f3zou p\u0159i biologick\u00e9 l\u00e9\u010db\u011b m\u016f\u017ee st\u00e1le pracovat. V invalidn\u00edm d\u016fchodu je jich 33 procent.<\/strong> <!--more--><\/p>\n<p>Vypl\u00fdv\u00e1 to z nejnov\u011bj\u0161\u00edch dat celost\u00e1tn\u00edho registru pacient\u016f s roztrou\u0161enou skler\u00f3zou (ReMuS), kter\u00fd od roku 2013 provozuje nada\u010dn\u00ed fond Impuls, sd\u011blila vedouc\u00ed MS centra neurologick\u00e9 kliniky prvn\u00ed l\u00e9ka\u0159sk\u00e9 fakulty a V\u0161eobecn\u00e9 fakultn\u00ed nemocnice profesorka Eva Havrdov\u00e1.<\/p>\n<p>Podle statistik a\u017e 80 procent nel\u00e9\u010den\u00fdch pacient\u016f ztr\u00e1c\u00ed do deseti let schopnost pracovat. Data z celost\u00e1tn\u00edho registru cht\u011bj\u00ed l\u00e9ka\u0159i vyu\u017e\u00edt p\u0159i vyjedn\u00e1n\u00ed se zdravotn\u00edmi poji\u0161\u0165ovnami o prosp\u011b\u0161nosti \u00fahrad biologick\u00e9 l\u00e9\u010dby i pro dal\u0161\u00ed pacienty. Nyn\u00ed se v \u010cesku l\u00e9\u010d\u00ed biologick\u00fdmi l\u00e9ky mezi 7000 a\u017e 8000 pacient\u016f. Dal\u0161\u00ed asi 2000 by ji podle Havrdov\u00e9 pot\u0159ebovaly.<\/p>\n<p>V registru je zaps\u00e1no 4715 pacient\u016f s touto nemoc\u00ed. Dal\u0161\u00ed se budou zapisovat, nap\u0159\u00edklad ti, kte\u0159\u00ed se l\u00e9\u010d\u00ed v centrech v Brn\u011b a Olomouci. Registr poprv\u00e9 zmapuje po\u010dty l\u00e9\u010den\u00fdch, terapii i jej\u00ed v\u00fdsledky. V pl\u00e1nu je prov\u00e1zat z\u00edskan\u00e9 informace s registry jinde v Evrop\u011b i na sv\u011bt\u011b.<\/p>\n<p>Podle registru pracuje na pln\u00fd \u00favazek 2327 sledovan\u00fdch pacient\u016f, na \u010d\u00e1ste\u010dn\u00fd 594. \u017d\u00e1dn\u00e9 soci\u00e1ln\u00ed d\u00e1vky nepob\u00edr\u00e1 46,1 procenta pacient\u016f. &#8222;D\u0159\u00edve se l\u00e9ky nasazovaly a\u017e po letech nemoci, kdy\u017e u\u017e byla pln\u011b rozvinuta. Nyn\u00ed jsme schopni u vybran\u00fdch pacient\u016f za\u010d\u00edt l\u00e9\u010dit nejd\u00e9le do roka od stanoven\u00ed diagn\u00f3zy, a zastavit tak onemocn\u011bn\u00ed v\u010das,&#8220; uvedla l\u00e9ka\u0159ka pra\u017esk\u00e9ho centra Dana Hor\u00e1kov\u00e1.<\/p>\n<p>P\u0159i konven\u010dn\u00ed l\u00e9\u010db\u011b nemoci se pou\u017e\u00edvaj\u00ed kortikosteroidy, kter\u00e9 v\u0161ak maj\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky. Biologick\u00e1 l\u00e9\u010diva lze rozd\u011blit na dv\u011b skupiny: prvn\u00ed jsou protil\u00e1tky proti bu\u0148k\u00e1m imunitn\u00edho syst\u00e9mu, kter\u00fd napad\u00e1 nervov\u00e9 bu\u0148ky, a druhou tvo\u0159\u00ed l\u00e9\u010diva, kter\u00e1 nemoc modifikuj\u00ed. Biologickou l\u00e9\u010dbu dost\u00e1vaj\u00ed pacienti nej\u010dast\u011bji formou injekc\u00ed.<\/p>\n<p>Roztrou\u0161en\u00e1 skler\u00f3za je chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu. Propuk\u00e1 v\u011bt\u0161inou v mlad\u0161\u00edm v\u011bku, \u010dast\u011bji postihuje \u017eeny. Typick\u00e9 je st\u0159\u00edd\u00e1n\u00ed z\u00e1chvat\u016f s obdob\u00edmi zd\u00e1nliv\u00e9ho klidu. Proces je nep\u0159edv\u00eddateln\u00fd, proto i l\u00e9\u010dba a prevence jsou slo\u017eit\u00e9.<\/p>\n<p>ilustra\u010dn\u00ed foto: Flickr.com<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>P\u0159es 60 procent pacient\u016f s roztrou\u0161enou skler\u00f3zou p\u0159i biologick\u00e9 l\u00e9\u010db\u011b m\u016f\u017ee st\u00e1le pracovat. V invalidn\u00edm d\u016fchodu je jich 33 procent.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":4884,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-18078","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18078","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=18078"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18078\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/4884"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18078"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18078"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18078"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}