{"id":22594,"date":"2015-09-28T08:52:54","date_gmt":"2015-09-28T06:52:54","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22594"},"modified":"2015-09-28T08:56:09","modified_gmt":"2015-09-28T06:56:09","slug":"roztrousena-skleroza-na-biologickou-lecbu-nedosahne-az-tisicovka-vhodnych-pacientu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22594","title":{"rendered":"Roztrou\u0161en\u00e1 skler\u00f3za: Na biologickou l\u00e9\u010dbu nedos\u00e1hne a\u017e tis\u00edcovka vhodn\u00fdch pacient\u016f"},"content":{"rendered":"<p><strong>V\u010dasn\u00e9 zah\u00e1jen\u00ed biologick\u00e9 l\u00e9\u010dby z\u00e1sadn\u011b oddaluje invaliditu pacient\u016f s roztrou\u0161enou skler\u00f3zou. Kv\u016fli p\u0159\u00edsn\u00fdm krit\u00e9ri\u00edm ji v\u0161ak l\u00e9ka\u0159i nemohou nasadit v\u0161em nemocn\u00fdm, kter\u00fdm by pomohla. <\/strong><!--more--><\/p>\n<p>Ze zahrani\u010d\u00ed v\u00edme, \u017ee pacient, kter\u00fd dostane l\u00e9\u010dbu hned, po osmi letech v\u011bt\u0161inou norm\u00e1ln\u011b funguje a pracuje, zat\u00edmco pacient, kter\u00fd ji nedostane, je \u010dast\u011bji v daleko hor\u0161\u00edm stavu. M\u011bs\u00ed\u010dn\u011b stoj\u00ed l\u00e9\u010dba jednoho \u010dlov\u011bka s roztrou\u0161enou skler\u00f3zou 15 a\u017e 19 tis\u00edc korun, ale bez terapie se n\u00e1klady na n\u011bj \u010dasem vy\u0161plhaj\u00ed na dvojn\u00e1sobek,&#8220; konstatuje vedouc\u00ed Centra pro demyeliniza\u010dn\u00ed onemocn\u011bn\u00ed Neurologick\u00e9 kliniky 1. LF UK a VFN v Praze prof. MUDr. Eva Havrdov\u00e1, CSc. <\/p>\n<p>Jde o ka\u017ed\u00fd den <\/p>\n<p>&#8222;V pr\u016fm\u011bru se lid\u00e9 o diagn\u00f3ze dozv\u011bd\u00ed kolem t\u0159ic\u00edtky a do konce \u017eivota se j\u00ed u\u017e nezbav\u00ed. Hrajeme tady o ka\u017ed\u00fd den, abychom udr\u017eeli pacienty v pr\u00e1ci, aktivn\u00ed a bez p\u0159\u00edznak\u016f. A k tomu n\u00e1m pom\u00e1h\u00e1 biologick\u00e1 l\u00e9\u010dba. Ta se v\u0161ak bohu\u017eel nedostane a\u017e k tis\u00edcovce vhodn\u00fdch pacient\u016f a je\u0161t\u011b vy\u0161\u0161\u00edmu po\u010dtu nemocn\u00fdch, u kter\u00fdch nezabrala dosavadn\u00ed terapie,&#8220; uv\u00e1d\u00ed neurolo\u017eka. &#8222;V\u0161ichni nemocn\u00ed, u nich\u017e to indika\u010dn\u00ed krit\u00e9ria umo\u017e\u0148uj\u00ed, maj\u00ed v \u010cesku jistotu, \u017ee jim poji\u0161\u0165ovna biologickou l\u00e9\u010dbu uhrad\u00ed. Po\u010det pacient\u016f, kter\u00fdm tuto terapii hrad\u00ed V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna, vzrostl za posledn\u00edch osm let o 104 procent,&#8220; dopl\u0148uje vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed VZP Mgr. Old\u0159ich Tich\u00fd. <\/p>\n<p>Tvrd\u00e1 data \u2013 siln\u00e9 argumenty <\/p>\n<p>&#8222;O tom, \u017ee v\u010dasn\u00e9 nasazen\u00ed modern\u00ed biologick\u00e9 l\u00e9\u010dby z\u00e1sadn\u011b oddaluje invaliditu pacient\u016f, jasn\u011b vypov\u00eddaj\u00ed data z kontrolovan\u00fdch klinick\u00fdch studi\u00ed i \u00fadaje ze zahrani\u010dn\u00edch registr\u016f, kter\u00e9 shroma\u017e\u010fovaly \u00fadaje ji\u017e p\u0159ed \u00e9rou biologick\u00e9 l\u00e9\u010dby, deset a v\u00edce let zp\u00e1tky,&#8220; dopl\u0148uje doc. MUDr. Dana Hor\u00e1kov\u00e1, Ph. D., z centra veden\u00e9ho profesorkou Havrdovou.<br \/>\nZ\u00edskat spolehliv\u00e1, reprezentativn\u00ed a dlouhodob\u00e1 data o v\u00fdskytu, pr\u016fb\u011bhu a efektu l\u00e9\u010dby nemoci a t\u00edm zmapovat re\u00e1lnou situaci v \u010cR se od kv\u011btna 2013 sna\u017e\u00ed registr pacient\u016f s roztrou\u0161enou skler\u00f3zou ReMuS (Register Multiple Sclerosis), jeho\u017e z\u0159izovatelem a provozovatelem je Nada\u010dn\u00ed fond IMPULS ve spolupr\u00e1ci se sekc\u00ed neuroimunologie a likvorologie \u010cesk\u00e9 neurologick\u00e9 spole\u010dnosti \u010cLS JEP.<br \/>\nDo registru vkl\u00e1daj\u00ed ve\u0161ker\u00e9 \u00fadaje l\u00e9ka\u0159i a sestry 12 z celkem 15 center pro demyeliniza\u010dn\u00ed onemocn\u011bn\u00ed, kde se roztrou\u0161en\u00e1 skler\u00f3za v na\u0161\u00ed republice l\u00e9\u010d\u00ed. C\u00edlem je shrom\u00e1\u017edit siln\u00e9 argumenty pro poji\u0161\u0165ovny a dal\u0161\u00ed zdravotnick\u00e9 instituce, aby zp\u0159\u00edstupnily modern\u00ed efektivn\u00ed l\u00e9\u010dbu za podm\u00ednek platn\u00fdch ve vysp\u011bl\u00e9m sv\u011bt\u011b. <\/p>\n<p>Nemoc mlad\u00fdch \u017een <\/p>\n<p>S roztrou\u0161enou skler\u00f3zou se v \u010cesku pot\u00fdk\u00e1 asi 17 tis\u00edc pacient\u016f, z nich\u017e je zhruba 70<br \/>\n% \u017een. Nejv\u00edce nemocn\u00fdch je ve v\u011bku mezi 30 a 40 lety. Onemocn\u011bn\u00ed vede patrn\u011b autoimunitn\u00edmi mechanismy k po\u0161kozen\u00ed nervov\u00fdch vl\u00e1ken v mozku i m\u00ed\u0161e a jeho p\u0159esn\u00e1 p\u0159\u00ed\u010dina zat\u00edm nen\u00ed zn\u00e1ma. Nemoc m\u00e1 u jednotliv\u00fdch pacient\u016f zna\u010dn\u011b r\u016fznorod\u00e9 projevy a v\u00fdvoj, v r\u016fzn\u00fdch obdob\u00edch se mohou objevit poruchy ch\u016fze a hybnosti, citlivosti, \u0159e\u010di a mo\u010den\u00ed, obrny nebo posti\u017een\u00ed zrakov\u00e9ho nervu.<br \/>\nPr\u016fb\u011bh je kol\u00edsav\u00fd, st\u0159\u00eddaj\u00ed se ataky s obdob\u00edmi klidu, u drtiv\u00e9 v\u011bt\u0161iny pacient\u016f v\u0161ak nemoc bez l\u00e9\u010dby vede k z\u00e1va\u017en\u00e9 invalidit\u011b s ekonomick\u00fdmi dopady na celou spole\u010dnost. <\/p>\n<p>&#8222;Krit\u00e9ria pro nasazen\u00ed biologick\u00e9 l\u00e9\u010dby jsou v \u010cesk\u00e9 republice podstatn\u011b p\u0159\u00edsn\u011bj\u0161\u00ed ne\u017e v dal\u0161\u00edch vysp\u011bl\u00fdch zem\u00edch, a \u0159ada pacient\u016f proto dostane sv\u016fj l\u00e9k pozd\u011b,&#8220; \u0159\u00edk\u00e1 profesorka Havrdov\u00e1. <\/p>\n<p>Roztrou\u0161en\u00e1 skler\u00f3za a biologick\u00e1 l\u00e9\u010dba 68,8 % pacient\u016f s RS proch\u00e1zej\u00edc\u00edch biologickou l\u00e9\u010dbou m\u016f\u017ee pracovat na pln\u00fd nebo \u010d\u00e1ste\u010dn\u00fd \u00favazek. Nejv\u011bt\u0161\u00ed d\u00edl pacient\u016f (36,5 %) m\u00e1 jen lehk\u00e9 pot\u00ed\u017ee, kter\u00e9 nekomplikuj\u00ed b\u011b\u017en\u00fd \u017eivot. D\u00edky biologick\u00fdm l\u00e9k\u016fm se pacientk\u00e1m s RS da\u0159\u00ed zvl\u00e1dat i t\u011bhotenstv\u00ed<\/p>\n<p>Dita V\u00e1chov\u00e1<br \/>\nMoje zdrav\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V\u010dasn\u00e9 zah\u00e1jen\u00ed biologick\u00e9 l\u00e9\u010dby z\u00e1sadn\u011b oddaluje invaliditu pacient\u016f s roztrou\u0161enou skler\u00f3zou. Kv\u016fli p\u0159\u00edsn\u00fdm krit\u00e9ri\u00edm ji v\u0161ak l\u00e9ka\u0159i nemohou nasadit v\u0161em nemocn\u00fdm, kter\u00fdm by pomohla.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":19818,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-22594","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\/22594","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=22594"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22594\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19818"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}