{"id":22227,"date":"2015-07-24T01:01:10","date_gmt":"2015-07-23T23:01:10","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22227"},"modified":"2015-07-24T16:04:41","modified_gmt":"2015-07-24T14:04:41","slug":"odbornici-varuji-pred-nebezpecnymi-paprsky-pocet-nemocnych-koznim-melanomem-stale-vzrusta","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22227","title":{"rendered":"Odborn\u00edci varuj\u00ed p\u0159ed nebezpe\u010dn\u00fdmi paprsky: po\u010det nemocn\u00fdch ko\u017en\u00edm melanomem st\u00e1le vzr\u016fst\u00e1"},"content":{"rendered":"

M\u00e1te rakovinu k\u016f\u017ee. Tato slova si u n\u00e1s ro\u010dn\u011b vyslechne st\u00e1le v\u00edce lid\u00ed. <\/strong><\/p>\n

V minul\u00e9m roce bylo s diagn\u00f3zou zhoubn\u00e9ho ko\u017en\u00edho melanomu l\u00e9\u010deno p\u0159es 8 tis\u00edc poji\u0161t\u011bnc\u016f \u010cesk\u00e9 pr\u016fmyslov\u00e9 zdravotn\u00ed poji\u0161\u0165ovny. Ta na jejich l\u00e9\u010dbu vynalo\u017eila v\u00edce ne\u017e 68 milion\u016f korun. To je t\u00e9m\u011b\u0159 o 17 milion\u016f korun v\u00edce ne\u017e v roce 2013, kdy bylo s diagn\u00f3zou zhoubn\u00e9ho melanomu v \u010cPZP evidov\u00e1no zhruba 7 600 lid\u00ed.<\/p>\n

Mate\u0159sk\u00e1 znam\u00e9nka i pihy jsou b\u011b\u017en\u00e9 ko\u017en\u00ed projevy, kter\u00e9 se na k\u016f\u017ei nach\u00e1zej\u00ed bu\u010f od d\u011btstv\u00ed, mohou ale p\u0159ib\u00fdvat i b\u011bhem dosp\u011blosti. Jejich zbarven\u00ed se zintenziv\u0148uje UV z\u00e1\u0159en\u00edm, k jin\u00fdm zm\u011bn\u00e1m by u nich v dosp\u011blosti ale nem\u011blo doch\u00e1zet. Revizn\u00ed l\u00e9ka\u0159 \u010cPZP MUDr. Ji\u0159\u00ed \u0158epi\u0161\u0165\u00e1k upozor\u0148uje: \u201eP\u0159i nadm\u011brn\u00e9m slun\u011bn\u00ed hroz\u00ed riziko po\u0161kozen\u00ed poko\u017eky. U znam\u00e9nek je t\u0159eba hl\u00eddat vzhled. Jak\u00e1koli zm\u011bna, nap\u0159\u00edklad vyvy\u0161ov\u00e1n\u00ed, tmavnut\u00ed, rozp\u00edjen\u00ed znam\u00e9nka do plochy, zarudnut\u00ed, krv\u00e1cen\u00ed \u010di pocit sv\u011bd\u011bn\u00ed m\u016f\u017ee signalizovat probl\u00e9m, kter\u00fd je t\u0159eba urychlen\u011b \u0159e\u0161it s o\u0161et\u0159uj\u00edc\u00edm ko\u017en\u00edm l\u00e9ka\u0159em. Velmi d\u016fle\u017eit\u00e9 je prov\u00e1d\u011bn\u00ed samovy\u0161et\u0159en\u00ed poko\u017eky, nezapom\u00ednat na k\u0161tici, podpa\u017e\u00ed, t\u0159\u00edsla, oblast intimn\u00edch parti\u00ed, oblast oka, nehty a sliznice a plosky nohou.\u201c
\nRok\tPo\u010det poji\u0161t\u011bnc\u016f se zhoubn\u00fdm ko\u017en\u00edm melanomem\tCelkov\u00e9 n\u00e1klady na jejich l\u00e9\u010dbu v K\u010d\tPr\u016fm\u011brn\u00e9 n\u00e1klady na poji\u0161t\u011bnce v K\u010d
\n2013\t7 613\t51 677 828,63\t6 788,10
\n2014\t8 029\t68 389 962,72\t8 517,87<\/p>\n

Melanomu, tedy velmi nebezpe\u010dn\u00e9mu typu rakoviny k\u016f\u017ee, kter\u00fd rychle metast\u00e1zuje, lze p\u0159i aktivn\u00edm p\u0159\u00edstupu poji\u0161t\u011bnc\u016f p\u0159itom p\u0159edej\u00edt. \u201eS rakovinou k\u016f\u017ee bojuj\u00ed \u010d\u00edm d\u00e1l t\u00edm mlad\u0161\u00ed ro\u010dn\u00edky. Mnoho lid\u00ed podce\u0148uje sv\u00e9 probl\u00e9my a nedb\u00e1 dostate\u010dn\u011b na prevenci, na kterou m\u00e1 ka\u017ed\u00fd n\u00e1rok. V\u010dasn\u00e1 diagnostika melanomu je p\u0159itom rozhoduj\u00edc\u00ed. Sv\u00fdm klient\u016fm nab\u00edz\u00ed \u010cesk\u00e1 pr\u016fmyslov\u00e1 zdravotn\u00ed poji\u0161\u0165ovna speci\u00e1ln\u00ed p\u0159\u00edsp\u011bvky na nadstandardn\u00ed zhodnocen\u00ed stavu poko\u017eky, a to ve v\u00fd\u0161i a\u017e 500 K\u010d,\u201c uv\u00e1d\u00ed Elenka Mazurov\u00e1, mluv\u010d\u00ed \u010cPZP.
\nDb\u00e1t zv\u00fd\u0161en\u00e9 opatrnosti by m\u011bli lid\u00e9, kte\u0159\u00ed pat\u0159\u00ed do rizikov\u00fdch skupin. Jsou to lid\u00e9 sv\u011btl\u00e9ho fototypu (se sv\u011btlou plet\u00ed rezav\u00fdmi vlasy a pihami). Dal\u0161\u00edm faktorem je pozitivn\u00ed rodinn\u00e1 anamn\u00e9za \u010di v\u00fdskyt zhoubn\u00e9ho melanomu v minulosti. Ohro\u017eeni jsou tak\u00e9 lid\u00e9 se sn\u00ed\u017eenou funkc\u00ed imunitn\u00edho syst\u00e9mu, nap\u0159\u00edklad osoby po transplantaci org\u00e1n\u016f, kter\u00e9 u\u017e\u00edvaj\u00ed imunosupresiva.
\nPrevenci melanomu by ale nem\u011bl podce\u0148ovat nikdo. Mezi obecn\u00e9 z\u00e1sady plat\u00ed vyh\u00fdbat se p\u0159\u00edm\u00e9mu slune\u010dn\u00edmu z\u00e1\u0159en\u00ed mezi 11 a 14 hodinou, u\u017e\u00edv\u00e1n\u00ed dostate\u010dn\u00e9ho mno\u017estv\u00ed kr\u00e9m\u016f s UV faktorem (SPF 30 a\u017e 50) a p\u0159edev\u0161\u00edm v letn\u00edch m\u011bs\u00edc\u00edch volba vhodn\u00e9ho od\u011bvu (vyr\u00e1b\u00ed se i od\u011bv uzp\u016fsoben\u00fd pro no\u0161en\u00ed na slunce), kter\u00fd chr\u00e1n\u00ed poko\u017eku p\u0159ed paprsky. Je nutno si uv\u011bdomit, \u017ee zvhl\u010den\u00e1 poko\u017eka p\u0159edev\u0161\u00edm mo\u0159skou vodou absorbuje a\u017e o 20 procent v\u00edce UV z\u00e1\u0159en\u00ed. Ochrann\u00fd kr\u00e9m je t\u0159eba nan\u00e1\u0161et pravideln\u011b v pr\u016fb\u011bhu dne, i \u201evod\u011bodoln\u00e9\u201c p\u0159\u00edpravky jsou toti\u017e sm\u00fdv\u00e1ny nejen vodou, ale i potem. Chr\u00e1nit p\u0159ed paprsky je t\u0159eba i opom\u00edjen\u00e9 \u010d\u00e1sti t\u011bla, jako jsou u\u0161n\u00ed boltce, rty \u010di n\u00e1rty. \u201eRodi\u010de by zvl\u00e1\u0161t\u011b v tomto extr\u00e9mn\u011b slunn\u00e9m l\u00e9t\u011b m\u011bli db\u00e1t na nezbytnou ochranu sv\u00fdch ratolest\u00ed. Opakovan\u00e1 sp\u00e1len\u00ed mohou b\u00fdt rizikov\u00fdm faktorem i po mnoha letech,\u201c varuje MUDr. Ji\u0159\u00ed \u0158epi\u0161\u0165\u00e1k.
\nSe samovy\u0161et\u0159en\u00edm, kter\u00e9 odborn\u00edci doporu\u010duj\u00ed prov\u00e1d\u011bt pravideln\u011b, m\u016f\u017ee pomoci pravidlo ABCDE. Varovn\u00e9 p\u0159\u00edznaky, kv\u016fli kter\u00fdm by lid\u00e9 m\u011bli nav\u0161t\u00edvit ordinaci, jsou:
\n A – asymetrie: skvrna m\u00e1 nepravideln\u00fd tvar.
\n B – ohrani\u010den\u00ed (border): skvrna by m\u011bla b\u00fdt pravideln\u00e1. Pokud nen\u00ed, jde o varovn\u00fd p\u0159\u00edznak.
\n C – barva (colour): skvrna by m\u011bla upoutat va\u0161\u00ed pozornost, pokud m\u00e1 skvrnitou pigmentaci s r\u016fzn\u00fdmi odst\u00edny, nebo je tmav\u011b hn\u011bd\u00e1 a\u017e \u010dern\u00e1.
\n D – pr\u016fm\u011br (diameter): d\u00e1vejte si dobr\u00fd pozor na znam\u00e9nka, jejich\u017e pr\u016fm\u011br je v\u011bt\u0161\u00ed ne\u017e 5 milimetr\u016f.
\n E – vyv\u00fd\u0161en\u00ed (elevation): projevem r\u016fstu n\u00e1doru m\u016f\u017ee b\u00fdt to, kdy\u017e znam\u00e9nko roste do v\u00fd\u0161ky. Pokud je v\u0161ak znam\u00e9nko n\u011bkolik vyv\u00fd\u0161en\u00e9 a nijak se nem\u011bn\u00ed, nemus\u00ed to znamenat nebezpe\u010d\u00ed, nicm\u00e9n\u011b je dobr\u00e9 to pro jistotu konzultovat s dermatologem.
\nV klinick\u00e9 praxi se tak\u00e9 vyhodnocuje varovn\u00fd p\u0159\u00edznak \u201eo\u0161kliv\u00e9ho k\u00e1\u010d\u00e1tka\u201c: jde o skvrnu, kter\u00e1 se diametr\u00e1ln\u011b odli\u0161uje od ostatn\u00edch znam\u00e9nek.<\/p>\n

Tiskov\u00e1 zpr\u00e1va \u010cPZP<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u00e1te rakovinu k\u016f\u017ee. Tato slova si u n\u00e1s ro\u010dn\u011b vyslechne st\u00e1le v\u00edce lid\u00ed.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":22007,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-22227","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\/22227","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=22227"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22227\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/22007"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22227"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22227"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}