{"id":19958,"date":"2015-02-17T09:24:32","date_gmt":"2015-02-17T08:24:32","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=19958"},"modified":"2015-02-17T11:25:16","modified_gmt":"2015-02-17T10:25:16","slug":"roztrousena-skleroza-prichazi-uz-v-mladi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=19958","title":{"rendered":"Roztrou\u0161en\u00e1 skler\u00f3za. P\u0159ich\u00e1z\u00ed u\u017e v ml\u00e1d\u00ed"},"content":{"rendered":"<p><strong>Dnes 61let\u00fd Bohuslav Ve\u010de\u0159a b\u00fdval aktivn\u00ed sportovec. Kr\u00e1tce po sv\u00e9 t\u0159ic\u00edtce ale za\u010dal m\u00edt drobn\u00e9 pohybov\u00e9 probl\u00e9my. &#8222;Na rovin\u011b jsem za\u010dal zakop\u00e1vat, p\u0159i sportovn\u00edm utk\u00e1n\u00ed jsem najednou zavadil nohama o parkety,&#8220; popisuje sv\u016fj \u017eivotn\u00ed \u00fad\u011bl.<\/strong><!--more--><\/p>\n<p>Praha \u2013 L\u00e9ka\u0159i se o n\u011bj za\u010dali starat, svou diagn\u00f3zu se ale nedozv\u011bd\u011bl. &#8222;Mluvili na m\u011b latinsk\u00fdmi v\u011btami, jedl jsem pr\u00e1\u0161ky, co mi dali, prost\u011b, byl jsem hodn\u00fd pacient,&#8220; pokra\u010doval v l\u00ed\u010den\u00ed pro region\u00e1ln\u00ed Den\u00edk.<\/p>\n<p>A\u017e kdy\u017e v roce 1996 zm\u011bnil zam\u011bstn\u00e1n\u00ed, prozradil mu doktor p\u0159i n\u00e1stupn\u00ed prohl\u00eddce, \u017ee trp\u00ed roztrou\u0161enou skler\u00f3zou. Ale ani pot\u00e9 mu nikdo neporadil, co je to vlastn\u011b za nemoc a jak proti n\u00ed bojovat. &#8222;Chodil jsem norm\u00e1ln\u011b do pr\u00e1ce, jenom mi bylo divn\u00e9, \u017ee jsem ve\u010der b\u00fdval hrozn\u011b unaven\u00fd. Nic m\u011b nebavilo, ztratil jsem radost ze \u017eivota,&#8220; \u0159\u00edk\u00e1 pan Ve\u010de\u0159a. Kdy\u017e firma, ve kter\u00e9 pracoval, p\u0159ech\u00e1zela na t\u0159\u00edsm\u011bnn\u00fd provoz, odm\u00edtl na n\u011bj nastoupit. Zam\u011bstnavatel, aby mu dok\u00e1zal, \u017ee pr\u00e1ci je\u0161t\u011b zvl\u00e1dne, ho poslal na dal\u0161\u00ed l\u00e9ka\u0159skou prohl\u00eddku. Z t\u00e9 ode\u0161el rovnou do pln\u00e9ho invalidn\u00edho d\u016fchodu. Jak je na tom dnes?<\/p>\n<p>&#8222;\u00danava p\u0159etrv\u00e1v\u00e1, kdy\u017e vyjdu do t\u0159et\u00edho poschod\u00ed, mus\u00edm si sednout a zbytek dne str\u00e1v\u00edm v polosp\u00e1nku,&#8220; popisuje sv\u016fj nejv\u011bt\u0161\u00ed handicap pan Ve\u010de\u0159a. Neztr\u00e1c\u00ed ale p\u0159i boji s nemoc\u00ed dobrou n\u00e1ladu, v sou\u010dasnosti se znovu i se svoj\u00ed man\u017eelkou d\u00edky elektrick\u00e9 t\u0159\u00edkolce sna\u017e\u00ed aktivn\u011b jezdit na v\u00fdlety a sb\u00edrat sv\u00e9 obl\u00edben\u00e9 turistick\u00e9 zn\u00e1mky.<\/p>\n<p>Kolik pacient\u016f v \u010cR trp\u00ed touto nemoc\u00ed a jak\u00e9 pou\u017e\u00edvaj\u00ed l\u00e9ky, se p\u0159esn\u011b nev\u00ed. A\u017e v posledn\u00edch letech se za\u010dal vytv\u00e1\u0159et registr pacient\u016f. &#8222;Registr se v pilotn\u00ed period\u011b zam\u011b\u0159il na data od pacient\u016f l\u00e9\u010den\u00fdch v centrech n\u00e1kladn\u00fdmi prepar\u00e1ty, tedy modern\u00ed biologickou l\u00e9\u010dbou. Zat\u00edm posledn\u00ed data, kter\u00e1 m\u00e1me k dispozici, jsou z lo\u0148sk\u00e9ho \u010dervna od 4715 pacient\u016f z 12 center. Aktu\u00e1ln\u00ed data budou zn\u00e1ma v kv\u011btnu 2015,&#8220; \u0159ekla Aurin Nedbalov\u00e1, \u0159editelka Nada\u010dn\u00edho fondu Impuls, kter\u00fd pacientsk\u00fd registr spravuje a financuje.<\/p>\n<p>Zat\u00edm projekt st\u00e1l dev\u011bt milion\u016f korun, pokud se roz\u0161\u00ed\u0159\u00ed i na dal\u0161\u00ed pacienty, po\u010d\u00edt\u00e1 fond s obdobnou \u010d\u00e1stkou. Podle registru skoro polovina (46,1 procenta) pacient\u016f nepob\u00edr\u00e1 \u017e\u00e1dn\u00e9 soci\u00e1ln\u00ed d\u00e1vky. Nemoc p\u0159itom hroz\u00ed trvalou invaliditou. &#8222;D\u0159\u00edve se l\u00e9ky nasazovaly a\u017e po letech nemoci, kdy u\u017e byla rozvinuta,&#8220; upozornila Dana Hor\u00e1kov\u00e1 z centra p\u0159i neurologick\u00e9 klinice 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy. Budoucnost vid\u00ed pr\u00e1v\u011b v biologick\u00e9 l\u00e9\u010db\u011b. Ta dnes nemoc dok\u00e1\u017ee zpomalit, v n\u011bkter\u00fdch p\u0159\u00edpadech i zastavit.<\/p>\n<p>T\u011bhotenstv\u00ed se u\u017e nezakazuje<\/p>\n<p>Proto\u017ee nemoc \u010dast\u011bji napad\u00e1 \u017eeny a nej\u010dast\u011bji propuk\u00e1 kolem 30. roku \u017eivota, \u0159e\u0161\u00ed v\u011bt\u0161ina \u017een, kter\u00fdm se nemoc diagnostikuje, velk\u00e9 dilema. M\u00edt, \u010di nem\u00edt d\u00edt\u011b. Je\u0161t\u011b p\u0159ed desetilet\u00edm l\u00e9ka\u0159i graviditu u pacientek neschvalovali, kv\u016fli genetick\u00e9mu riziku propuknut\u00ed nemoci u plodu, ale tak\u00e9 kv\u016fli rozvoji nemoci u pacientky.<\/p>\n<p>Nyn\u00ed odborn\u00edci obr\u00e1tili, t\u011bhotenstv\u00ed by ale m\u011blo b\u00fdt pl\u00e1novan\u00e9. &#8222;Pro nemocnou \u017eenu, kter\u00e1 nem\u00e1 dobr\u00e9 z\u00e1zem\u00ed a je na v\u0161echno sama, je vy\u010derpan\u00e1 a nevyspan\u00e1, je p\u00e9\u010de o d\u00edt\u011b velk\u00fdm stresem, kter\u00fd m\u016f\u017ee zp\u016fsobit destabilizaci choroby. \u017divot se sice ne\u0159\u00edd\u00ed na\u0161imi doporu\u010den\u00edmi, ale pokud to je jen trochu mo\u017en\u00e9, pak rad\u00edme, aby t\u011bhotenstv\u00ed bylo pl\u00e1novan\u00e9 a aby \u017eena na d\u00edt\u011b nez\u016fstala sama,&#8220; dodala Hor\u00e1kov\u00e1. St\u00e1le by se ale pacientky i jejich d\u011bti m\u011bly vyvarovat \u0161kodliv\u00fdch faktor\u016f, kter\u00e9 riziko zvy\u0161uj\u00ed. &#8222;V p\u0159\u00edpad\u011b roztrou\u0161en\u00e9 skler\u00f3zy ji\u017e jednozna\u010dn\u011b v\u00edme, \u017ee pacienti a jejich d\u011bti by nem\u011bly kou\u0159it a m\u011bly by od d\u011btstv\u00ed dost\u00e1vat zv\u00fd\u0161en\u00fd p\u0159\u00edsun vitaminu D,&#8220; \u0159ekla l\u00e9ka\u0159ka z Fakultn\u00ed nemocnice Ostrava Olga Zapletalov\u00e1.<\/p>\n<p>JAN DRAHOR\u00c1D<br \/>\nPra\u017esk\u00fd den\u00edk<br \/>\n<a href=\"http:\/\/www.prazsky.denik.cz\/\">http:\/\/www.prazsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dnes 61let\u00fd Bohuslav Ve\u010de\u0159a b\u00fdval aktivn\u00ed sportovec. Kr\u00e1tce po sv\u00e9 t\u0159ic\u00edtce ale za\u010dal m\u00edt drobn\u00e9 pohybov\u00e9 probl\u00e9my. &#8222;Na rovin\u011b jsem za\u010dal zakop\u00e1vat, p\u0159i sportovn\u00edm utk\u00e1n\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=19958\" title=\"Roztrou\u0161en\u00e1 skler\u00f3za. P\u0159ich\u00e1z\u00ed u\u017e v ml\u00e1d\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":13669,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-19958","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19958","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=19958"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19958\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/13669"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19958"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19958"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19958"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}