{"id":22698,"date":"2015-09-11T10:08:36","date_gmt":"2015-09-11T08:08:36","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22698"},"modified":"2015-09-11T10:08:36","modified_gmt":"2015-09-11T08:08:36","slug":"koureni-zabije-kazdou-hodinu-dva-lidi-vzp-prida-na-odvykani-az-25-tisice","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22698","title":{"rendered":"Kou\u0159en\u00ed zabije ka\u017edou hodinu dva lidi. VZP p\u0159id\u00e1 na odvyk\u00e1n\u00ed a\u017e 2,5 tis\u00edce"},"content":{"rendered":"<p><strong> VZP se rozhodla ku\u0159\u00e1k\u016fm v jejich odvykac\u00edch snah\u00e1ch pomoci. Od z\u00e1\u0159\u00ed proto nov\u011b nab\u00edz\u00ed p\u0159\u00edsp\u011bvek a\u017e 2,5 tis\u00edce korun na n\u00e1hradn\u00ed nikotinovou l\u00e9\u010dbu nebo na nehrazen\u00fd l\u00e9k na odvyk\u00e1n\u00ed kou\u0159en\u00ed, p\u0159edepsan\u00fd l\u00e9ka\u0159em.<\/strong><br \/>\n<!--more--><\/p>\n<p>ilustra\u010dn\u00ed foto: Dmitri MIkitenko \/ Photoxpress<\/p>\n<p>Ka\u017edou hodinu zem\u0159ou v\u00a0\u010cesku dva lid\u00e9 kv\u016fli nemocem zp\u016fsoben\u00fdm kou\u0159en\u00edm. Celkem je kou\u0159en\u00ed v\u00a0tuzemsku p\u0159\u00ed\u010dinou ka\u017ed\u00e9ho p\u00e1t\u00e9ho \u00famrt\u00ed. Pr\u016fzkumy ukazuj\u00ed, \u017ee z\u00a0\u00fahrnn\u00e9ho po\u010dtu v\u00edce ne\u017e dvou milion\u016f \u010desk\u00fdch a moravsk\u00fdch ku\u0159\u00e1k\u016f by jich 1,7\u00a0milionu rad\u011bji nekou\u0159ilo a 1 milion se ka\u017ed\u00fd rok pokou\u0161\u00ed p\u0159estat.<\/p>\n<p> VZP se te\u010f rozhodla jim v\u00a0jejich odvykac\u00edch snah\u00e1ch pomoci. Od z\u00e1\u0159\u00ed proto nov\u011b nab\u00edz\u00ed p\u0159\u00edsp\u011bvek a\u017e 2,5 tis\u00edce korun na n\u00e1hradn\u00ed nikotinovou l\u00e9\u010dbu nebo na nehrazen\u00fd l\u00e9k na odvyk\u00e1n\u00ed kou\u0159en\u00ed, p\u0159edepsan\u00fd l\u00e9ka\u0159em.<\/p>\n<p>VZP na projektu nazvan\u00e9m \u201eCesta k\u00a0neku\u0159\u00e1ctv\u00ed\u201c spolupracuje se Spole\u010dnost\u00ed pro l\u00e9\u010dbu z\u00e1vislosti na tab\u00e1ku a s\u00a0\u010ceskou l\u00e9k\u00e1rnickou komorou. Spole\u010dn\u00e1 aktivita potrv\u00e1 do konce roku 2016, do kdy je tak\u00e9 mo\u017en\u00e9 \u010derpat uveden\u00fd p\u0159\u00edsp\u011bvek.<\/p>\n<p>\u010c\u00e1stku a\u017e 2,5 tis\u00edce korun mohou klienti VZP z\u00edskat na l\u00e9\u010div\u00fd p\u0159\u00edpravek, kter\u00fd jim p\u0159edep\u00ed\u0161e l\u00e9ka\u0159 z\u00a0Centra pro z\u00e1visl\u00e9 na tab\u00e1ku (seznam pracovi\u0161\u0165 najdete zde), nebo na voln\u011b prodejn\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky, jejich v\u00fddej potvrd\u00ed l\u00e9k\u00e1rn\u00edk \u2013 odborn\u00fd konzultant (seznam zde nebo zde). Jedn\u00e1 se o p\u0159\u00edpravky k\u00a0n\u00e1hradn\u00ed l\u00e9\u010db\u011b nikotinem, jako jsou nap\u0159. n\u00e1plasti, pastilky, \u00fastn\u00ed spreje \u010di \u017ev\u00fdka\u010dky. Podrobnosti najdete zde. <\/p>\n<p>\u201e\u00da\u010dinek l\u00e9\u010dby z\u00e1vislosti na tab\u00e1ku z\u00e1vis\u00ed na d\u00e9lce a m\u00ed\u0159e odborn\u00e9 intervence. Bez n\u00ed je \u00fasp\u011b\u0161nost kolem 5 %, s\u00a0intenzivn\u00ed dlouhou intervenc\u00ed to m\u016f\u017ee b\u00fdt a\u017e 40 %,\u201c upozornila Eva Kr\u00e1l\u00edkov\u00e1, vedouc\u00ed centra pro z\u00e1visl\u00e9 na tab\u00e1ku II. intern\u00ed kliniky VFN v\u00a0Praze na Karlov\u011b n\u00e1m\u011bst\u00ed.<\/p>\n<p>Farmakoterapie z\u00e1vislosti na tab\u00e1ku je vhodn\u011bj\u0161\u00ed pro v\u00edce z\u00e1visl\u00e9 ku\u0159\u00e1ky a m\u011bla by trvat nejm\u00e9n\u011b 3 a\u017e 6 m\u011bs\u00edc\u016f. S\u00a0u\u017e\u00edv\u00e1n\u00edm voln\u011b prodejn\u00fdch l\u00e9\u010div porad\u00ed i l\u00e9k\u00e1rn\u00edci. \u201eVe vybran\u00fdch l\u00e9k\u00e1rn\u00e1ch nab\u00edzej\u00ed speci\u00e1ln\u011b pro\u0161kolen\u00ed l\u00e9k\u00e1rn\u00edci odborn\u00e9 konzultace,\u201c p\u0159ipomn\u011bl prezident \u010cesk\u00e9 l\u00e9k\u00e1rnick\u00e9 komory Lubom\u00edr Chudoba.<\/p>\n<p>Kou\u0159en\u00ed v\u00fdznamn\u011b negativn\u011b ovliv\u0148uje kvalitu i d\u00e9lku \u017eivota. Krom\u011b toho, \u017ee m\u00e1 z\u00e1sadn\u00ed vliv na vznik rakoviny plic a r\u016fzn\u00e1 respira\u010dn\u00ed onemocn\u011bn\u00ed, zvy\u0161uje tak\u00e9 riziko vysok\u00e9ho krevn\u00edho tlaku, \u0159\u00eddnut\u00ed kost\u00ed, roztrou\u0161en\u00e9 skler\u00f3zy, cukrovky, psychiatrick\u00fdch onemocn\u011bn\u00ed v\u010detn\u011b deprese a \u00fazkost\u00ed, zhor\u0161uje hojen\u00ed ran, bolesti sval\u016f a kloub\u016f, poruchy sp\u00e1nku. Odhadem 10\u00a0% v\u00fddaj\u016f na zdravotn\u00ed p\u00e9\u010di souvis\u00ed s\u00a0nemocemi zp\u016fsoben\u00fdmi kou\u0159en\u00edm.<\/p>\n<p>N\u011bkter\u00e9 n\u00e1sledky kou\u0159en\u00ed v \u010d\u00edslech<br \/>\n30 % ku\u0159\u00e1k\u016f trp\u00ed depresemi \u2013 nutno l\u00e9\u010dit \u2013 dodate\u010dn\u00e9 n\u00e1klady.<br \/>\nKu\u0159\u00e1k s\u00a0psychiatrickou nemoc\u00ed um\u00edr\u00e1 o 10\u201325 let d\u0159\u00edve oproti b\u011b\u017en\u00e9 populaci.<br \/>\nMlad\u00fd ku\u0159\u00e1k, kter\u00fd vykou\u0159\u00ed v\u00edce ne\u017e 20 cigaret denn\u011b, m\u00e1 riziko vzniku infarktu 5,6x vy\u0161\u0161\u00ed ne\u017e stejn\u011b star\u00fd neku\u0159\u00e1k.<br \/>\nU cel\u00e9 populace plat\u00ed, \u017ee ku\u0159\u00e1k m\u00e1 3x vy\u0161\u0161\u00ed riziko fat\u00e1ln\u00edho infarktu, riziko n\u00e1hl\u00e9 srde\u010dn\u00ed smrti je 2,3x vy\u0161\u0161\u00ed a posti\u017een\u00ed tepen doln\u00edch kon\u010detin je u ku\u0159\u00e1k\u016f 7x vy\u0161\u0161\u00ed, amputace doln\u00edch kon\u010detin je 2x \u010dast\u011bj\u0161\u00ed.<br \/>\nKou\u0159en\u00ed zvy\u0161uje pravd\u011bpodobnost v\u00fdskytu n\u00e1doru plic, bronchogenn\u00edch n\u00e1dor\u016f, n\u00e1dor\u016f hlavy a krku, j\u00edcnu, \u017ealudku, ledvin, gynekologick\u00fdch n\u00e1dor\u016f atd.<br \/>\nKu\u0159\u00e1k m\u00e1 2\u20134x v\u011bt\u0161\u00ed pravd\u011bpodobnost vzniku n\u00e1doru mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e.<br \/>\nRiziko vzniku leuk\u00e9mie je u ku\u0159\u00e1k\u016f o 30\u201350 % vy\u0161\u0161\u00ed.<br \/>\nDvakr\u00e1t v\u011bt\u0161\u00ed je u ku\u0159\u00e1k\u016f riziko vzniku roztrou\u0161en\u00e9 skler\u00f3zy.<br \/>\nPasivn\u00ed kou\u0159en\u00ed m\u00e1 v \u010cR ro\u010dn\u011b na sv\u011bdom\u00ed zhruba 1\u00a0500\u20133 000 \u00famrt\u00ed.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd<br \/>\nvedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>VZP se rozhodla ku\u0159\u00e1k\u016fm v jejich odvykac\u00edch snah\u00e1ch pomoci. Od z\u00e1\u0159\u00ed proto nov\u011b nab\u00edz\u00ed p\u0159\u00edsp\u011bvek a\u017e 2,5 tis\u00edce korun na n\u00e1hradn\u00ed nikotinovou l\u00e9\u010dbu nebo na <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=22698\" title=\"Kou\u0159en\u00ed zabije ka\u017edou hodinu dva lidi. VZP p\u0159id\u00e1 na odvyk\u00e1n\u00ed a\u017e 2,5 tis\u00edce\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16359,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-22698","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\/22698","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=22698"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22698\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16359"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22698"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22698"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22698"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}