{"id":21798,"date":"2015-06-17T10:21:30","date_gmt":"2015-06-17T08:21:30","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=21798"},"modified":"2015-06-17T10:21:30","modified_gmt":"2015-06-17T08:21:30","slug":"lupenka-dokaze-trapit-cely-zivot","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=21798","title":{"rendered":"Lup\u00e9nka dok\u00e1\u017ee tr\u00e1pit cel\u00fd \u017eivot"},"content":{"rendered":"

Lup\u00e9nka pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed ko\u017en\u00ed onemocn\u011bn\u00ed. Ud\u00e1v\u00e1 se, \u017ee j\u00ed trp\u00ed a\u017e t\u0159i sta tis\u00edc lid\u00ed v republice.<\/strong><\/p>\n

P\u0159esto\u017ee nen\u00ed nebezpe\u010dn\u00e1, pro doty\u010dn\u00e9ho m\u016f\u017ee b\u00fdt velmi nep\u0159\u00edjemn\u00e1. Zejm\u00e9na pokud jsou jej\u00ed projevy viditeln\u00e9. Na toto t\u00e9ma hovo\u0159\u00edme s Lenkou Slez\u00e1kovou, l\u00e9ka\u0159kou ko\u017en\u00ed ambulance Podhorsk\u00e9 nemocnice v T\u0159inci.<\/p>\n

– Co to v\u016fbec lup\u00e9nka je?<\/p>\n

Lup\u00e9nka (Psoriasis vulgaris) je neinfek\u010dn\u00ed z\u00e1n\u011bt k\u016f\u017ee. V etiopatogenezi se uplat\u0148uj\u00ed genetick\u00e9 faktory a imunitn\u00ed zm\u011bny, kter\u00e9 jsou provokov\u00e1ny r\u016fzn\u00fdmi vnit\u0159n\u00edmi \u010di vn\u011bj\u0161\u00edmi faktory. K rozvoji nebo zhor\u0161en\u00ed projev\u016f psori\u00e1zy mohou v\u00e9st infek\u010dn\u00ed nemoci, fyzick\u00e1 i stresov\u00e1 z\u00e1t\u011b\u017e, tak\u00e9 alkohol a kou\u0159en\u00ed i n\u011bkter\u00e9 l\u00e9ky.<\/p>\n

– Jak se projevuje?<\/p>\n

Tvo\u0159\u00ed se ost\u0159e ohrani\u010den\u00e1 zarudl\u00e1 lo\u017eiska s n\u00e1nosy b\u011blav\u00fdch \u0161upin. Posti\u017eeny b\u00fdvaj\u00ed zejm\u00e9na takzvan\u00e9 predilek\u010dn\u00ed lokalizace, tedy k\u016f\u017ee nad lokty, koleny, v bedern\u00ed oblasti a tak\u00e9 k\u0161tici. Projevy ov\u0161em mohou postihovat i jin\u00e9 oblasti k\u016f\u017ee, dlan\u011b a plosky, ko\u017en\u00ed z\u00e1hyby a genit\u00e1l, mohou b\u00fdt generalizovan\u00e9. Na nehtech se lup\u00e9nka projevuje dol\u00ed\u010dkov\u00e1n\u00edm, ztlu\u0161t\u011bn\u00edm a \u017elut\u011b hn\u011bd\u00fdmi skvrnami (takzvan\u00e9 olejov\u00e9 skvrny). U n\u011bkter\u00fdch pacient\u016f se p\u0159id\u00e1v\u00e1 posti\u017een\u00ed kloub\u016f.<\/p>\n

– Kdo je k onemocn\u011bn\u00ed n\u00e1chyln\u011bj\u0161\u00ed?<\/p>\n

Existuj\u00ed dv\u011b formy lup\u00e9nky. Ta prvn\u00ed za\u010d\u00edn\u00e1 do \u010dty\u0159iceti let v\u011bku \u017eivota a v\u00fdskyt v rodin\u011b b\u00fdv\u00e1 \u010dast\u011bj\u0161\u00ed. Ve druh\u00e9m p\u0159\u00edpad\u011b se prvn\u00ed projevy objevuj\u00ed a\u017e po \u010dty\u0159ic\u00e1t\u00e9m roce a posti\u017een\u00ed ostatn\u00edch \u010dlen\u016f rodiny je \u0159\u00eddk\u00e9. U n\u011bkter\u00fdch typ\u016f lup\u00e9nky jsou \u010dast\u011bji posti\u017eeny \u017eeny. V p\u0159\u00edpad\u011b posti\u017een\u00ed jednoho rodi\u010de psori\u00e1zou je pravd\u011bpodobnost vzniku lup\u00e9nky u d\u00edt\u011bte osm a\u017e t\u0159icet procent. Pokud se onemocn\u011bn\u00ed vyskytuje u obou rodi\u010d\u016f, pak jedna\u010dty\u0159icet a\u017e sedmdes\u00e1t p\u011bt procent.<\/p>\n

– Jak se lup\u00e9nka l\u00e9\u010d\u00ed?<\/p>\n

L\u00e9\u010dba lup\u00e9nky v prvn\u00ed \u0159ad\u011b zahrnuje lok\u00e1ln\u00ed prost\u0159edky, mezi n\u011b\u017e pat\u0159\u00ed emoliencia \u2013 promaz\u00e1v\u00e1n\u00ed k\u016f\u017ee, olejov\u00e9 koupele, hormon\u00e1ln\u00ed (kortikosteroidn\u00ed) masti, prepar\u00e1ty vitaminu D, dehty. Nutn\u00e9 je odstran\u011bn\u00ed provokuj\u00edc\u00edch faktor\u016f. V p\u0159\u00edpad\u011b neefektivnosti zevn\u00ed terapie a \u00fapornosti projev\u016f psori\u00e1zy p\u0159ich\u00e1z\u00ed na \u0159adu celkov\u00e1 l\u00e9\u010dba. Zde p\u0159ich\u00e1z\u00ed v \u00favahu klasick\u00e9 l\u00e9ky, jako cyklosporin A, metotrex\u00e1t \u010di retinoidy (deriv\u00e1ty vitaminu A). Posledn\u00ed mo\u017enost je pak biologick\u00e1 l\u00e9\u010dba, kter\u00e1 prob\u00edh\u00e1 v dan\u00fdch centrech. K biologick\u00e9 terapii se p\u0159istupuje v p\u0159\u00edpad\u011b selh\u00e1n\u00ed p\u0159edchoz\u00ed l\u00e9\u010dby \u2013 a pokud nelze pou\u017e\u00edt jin\u00e9 mo\u017enosti. Sou\u010d\u00e1st\u00ed l\u00e9\u010dby b\u00fdv\u00e1 tak\u00e9 fototerapie, l\u00e1ze\u0148sk\u00e1 l\u00e9\u010dba a psychoterapie. Jako dopln\u011bk je mo\u017en\u00e9 vyu\u017e\u00edt p\u0159\u00edrodn\u00edch prepar\u00e1t\u016f, pobytu u mo\u0159e. Ty maj\u00ed pozitivn\u00ed vliv na zdravotn\u00ed i psychick\u00fd stav pacienta.<\/p>\n

– D\u00e1 se zcela vyl\u00e9\u010dit?<\/p>\n

Psori\u00e1za je chronick\u00e9 onemocn\u011bn\u00ed, pr\u016fb\u011bh je nep\u0159edv\u00eddateln\u00fd. L\u00e9\u010dba tlum\u00ed projevy choroby. \u010cetn\u00e9 provokuj\u00edc\u00ed faktory vedou ale ke vzniku nov\u00fdch projev\u016f. Z\u0159\u00eddka se m\u016f\u017ee lup\u00e9nka objevit jednou za \u017eivot, u n\u011bkter\u00fdch pacient\u016f mohou b\u00fdt projevy trval\u00e9. V r\u00e1mci prevence je d\u016fle\u017eit\u00e1 udr\u017eovac\u00ed terapie, kter\u00e1 zahrnuje pravideln\u00e9 promaz\u00e1v\u00e1n\u00ed k\u016f\u017ee a tak\u00e9 p\u0159edch\u00e1zen\u00ed vzniku provokuj\u00edc\u00edch faktor\u016f. Z\u00e1kladem je zdrav\u00fd \u017eivotn\u00ed styl.<\/p>\n

IVA MU\u0160\u00c1LKOV\u00c1
\nBrunt\u00e1lsk\u00fd a Krnovsk\u00fd den\u00edk
\nhttp:\/\/www.bruntalsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Lup\u00e9nka pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed ko\u017en\u00ed onemocn\u011bn\u00ed. Ud\u00e1v\u00e1 se, \u017ee j\u00ed trp\u00ed a\u017e t\u0159i sta tis\u00edc lid\u00ed v republice.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":17871,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-21798","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\/21798","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=21798"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21798\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17871"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21798"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21798"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}