{"id":25771,"date":"2017-03-12T09:56:56","date_gmt":"2017-03-12T08:56:56","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25771"},"modified":"2017-03-12T09:56:56","modified_gmt":"2017-03-12T08:56:56","slug":"9-otazek-pro-mudr-pavla-kubu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25771","title":{"rendered":"9 ot\u00e1zek pro MUDr. Pavla Kub\u016f"},"content":{"rendered":"<p>O l\u00e9\u010debn\u00fdch \u00fa\u010dinc\u00edch konop\u00ed se v\u00ed u\u017e tis\u00edce let, vypad\u00e1 to ale, \u017ee se tato rostlina za\u010dala po\u0159\u00e1dn\u011b zkoumat a\u017e te\u010f.<br \/>\nPro\u010d tomu tak je?<!--more--><\/p>\n<p>V medic\u00edn\u011b je samoz\u0159ejm\u011b skute\u010dn\u011b u\u017e n\u011bkolik tis\u00edcilet\u00ed zn\u00e1m jeho protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek, stejn\u011b tak \u00fa\u010dinek psychoaktivn\u00ed i protibolestiv\u00fd. A b\u011b\u017en\u011b se s n\u00edm pracovalo. Je\u0161t\u011b ani ne p\u0159ed sto lety se p\u0159edepisovaly konopn\u00e9 a ha\u0161i\u0161ov\u00e9 tinktury \u017een\u00e1m v prvn\u00edm trimestru t\u011bhotenstv\u00ed na \u00falevu od bolesti a proti zvracen\u00ed, co\u017e najdete ve star\u00fdch l\u00e9kopisech. Ale teprve ve druh\u00e9 polovin\u011b 20. stolet\u00ed byly objeveny prvn\u00ed receptory, n\u00e1sledn\u011b se zjistilo, \u017ee t\u011bch typ\u016f je n\u011bkolik, jsou jinak rozm\u00edst\u011bny, n\u011bkter\u00e9 jsou jenom v mozku, jin\u00e9 pouze na periferii. No a a\u017e koncem 20. stolet\u00ed byl objeven prvn\u00ed endokanabinoid &#8211; anandamid, tedy kanabinoid, kter\u00fd si dok\u00e1\u017ee t\u011blo produkovat samo. Ale v tak n\u00edzk\u00fdch hladin\u00e1ch, \u017ee v d\u0159\u00edv\u011bj\u0161\u00edch analytick\u00fdch metod\u00e1ch nebyl z plazmy odli\u0161iteln\u00fd. Doned\u00e1vna jsme po\u0159\u00e1dn\u011b nev\u011bd\u011bli, co a jak vlastn\u011b \u00fa\u010dinkuje a jak se zprost\u0159edkov\u00e1v\u00e1 ovlivn\u011bn\u00ed endokanabinoidov\u00e9ho syst\u00e9mu, kter\u00fd, jak se ukazuje, je v\u00fdznamn\u00fdm regul\u00e1torem homeost\u00e1zy, tedy rovnov\u00e1hy vnit\u0159n\u00edho prost\u0159ed\u00ed organismu. Nav\u00edc nebyly a vlastn\u011b je\u0161t\u011b ani dnes v mnoha p\u0159\u00edpadech nem\u00e1me dostate\u010dn\u011b vyvinut\u00e9 analytick\u00e9 metody a p\u0159\u00edstroje. Je to podobn\u00e9, jako kdy\u017e byl sestrojen prvn\u00ed mikroskop. Ten vid\u011bl do n\u011bjak\u00e9ho detailu. Pak p\u0159i\u0161la nov\u00e1 generace mikroskop\u016f a ejhle &#8211; objevily se dal\u0161\u00ed detaily, kter\u00e9 p\u0159edt\u00edm nebyly viditeln\u00e9.<\/p>\n<p>&#8211; St\u00e1le v\u00edc lid\u00ed si konop\u00ed p\u011bstuje doma. Vyr\u00e1b\u011bj\u00ed si pak masti, tinktury, p\u0159id\u00e1vaj\u00ed su\u0161inu do j\u00eddla. Mohou si n\u011bjak ubl\u00ed\u017eit?<\/p>\n<p>Americk\u00fd National Institute on Drug Abuse (N\u00e1rodn\u00ed institut na zneu\u017e\u00edv\u00e1n\u00ed drog) v r\u00e1mci boje proti drog\u00e1m miliardy dolar\u016f na studie, p\u0159i nich\u017e se hledala takzvan\u00e1 let\u00e1ln\u00ed, tedy smrteln\u00e1 d\u00e1vka a\u0165 u\u017e jednotliv\u00fdch kanabinoid\u016f, nebo cel\u00e9ho rostlinn\u00e9ho komplexu. Ale ani po spoust\u011b let intenzivn\u00edch v\u00fdzkum\u016f se to nepoda\u0159ilo. Tak\u017ee to lze interpretovat tak, \u017ee neexistuje. Proto\u017ee kdyby existovala, tak by byla velmi pravd\u011bpodobn\u011b u\u017e d\u00e1vno objevena. Tud\u00ed\u017e lze \u0159\u00edci, \u017ee konop\u00ed je netoxick\u00e9, tedy \u010dlov\u011bka nem\u016f\u017ee ohrozit na \u017eivot\u011b v podstat\u011b v libovoln\u00e9 d\u00e1vce. Nav\u00edc z mast\u00ed u\u017e\u00edvan\u00fdch zevn\u011b se do krve m\u016f\u017ee dostat jen minim\u00e1ln\u00ed d\u00e1vka t\u011bchto l\u00e1tek. A kdy\u017e se konop\u00ed d\u00e1v\u00e1 do j\u00eddla, v podstat\u011b jedin\u00fd ne\u017e\u00e1douc\u00ed \u00fa\u010dinek, kter\u00fd m\u016f\u017ee nastat, je vyvol\u00e1n\u00ed psychoaktivn\u00edho stavu, kter\u00fd ne v\u0161ichni sn\u00e1\u0161ej\u00ed pozitivn\u011b. Konop\u00ed je toti\u017e jedna z m\u00e1la substanc\u00ed, kter\u00e9 maj\u00ed takzvan\u00fd modula\u010dn\u00ed \u00fa\u010dinek, kdy n\u011bkter\u00e9 \u00fa\u010dinky zprost\u0159edkuj\u00ed v\u0161em stejn\u011b, ale to, jak s nimi pak pracuje roz\u0161\u00ed\u0159en\u00e9 vn\u00edm\u00e1n\u00ed, u\u017e je do zna\u010dn\u00e9 m\u00edry v\u00fdsledkem toho, jak je konkr\u00e9tn\u00ed jedinec \u00fazkostn\u011b nalad\u011bn\u00fd.<\/p>\n<p>&#8211; A co kou\u0159en\u00ed marihuany?<\/p>\n<p>S\u00edla \u00fa\u010dinku je v obou p\u0159\u00edpadech ovlivn\u011bna d\u00e1vkou. Rozd\u00edl je v tom, \u017ee n\u00e1stup \u00fa\u010dinku p\u0159i kou\u0159en\u00ed \u010dehokoliv je v\u017edycky rychlej\u0161\u00ed, ne\u017e p\u0159i po\u017eit\u00ed \u00fasty. Tak\u017ee pro n\u011bjak\u00e9 akutn\u00ed stavy typu k\u0159e\u010d\u00ed \u010di n\u00e1hl\u00fdch bolest\u00ed se inhala\u010dn\u00ed metoda jev\u00ed jako efektivn\u011bj\u0161\u00ed, proto\u017ee t\u011blo zareaguje rychle. Naopak pro dosa\u017een\u00ed dlouhodob\u00fdch \u00fa\u010dink\u016f, t\u0159eba protiz\u00e1n\u011btliv\u00fdch nebo na neuropatickou bolest, kter\u00e1 je p\u0159\u00edtomna v podstat\u011b po\u0159\u00e1d, je lep\u0161\u00ed pod\u00e1n\u00ed \u00fasty, jeliko\u017e se p\u016fsoben\u00ed rozlo\u017e\u00ed \u017e\u00ed do del\u0161\u00edho \u010dasu. Na druhou\u00a0 stranu u inhalaci lze rychleji zareagovat na p\u0159\u00edpadnou nadm\u011brnou d\u00e1vku.<\/p>\n<p>&#8211; A plat\u00ed, \u017ee pravideln\u00fd ku\u0159\u00e1k marihuany, jemn\u011b \u0159e\u010deno, zhloupne?<\/p>\n<p>Existuje \u0159ada studi\u00ed, kter\u00e9 nazna\u010dovaly, \u017ee se n\u011bco takov\u00e9ho d\u011bje. A kdy\u017e byly n\u00e1sledn\u011b ov\u011b\u0159ov\u00e1ny, se z\u00e1sadn\u00ed metodologick\u00e1 &#8211; pochyben\u00ed. Nicm\u00e9n\u011b konzumace konop\u00ed m\u00e1 vliv na kr\u00e1tkodobou pam\u011b\u0165, jin\u00fdmi slovy ovliv\u0148uje to, jak poznatky z kr\u00e1tkodob\u00e9 pam\u011bti p\u0159ech\u00e1zej\u00ed do jej\u00edch dal\u0161\u00edch typ\u016f, tedy do dlouhodob\u00e9 pam\u011bti. V\u00edte, je opravdu velk\u00fd rozd\u00edl v tom, kdy\u017e kanabinoidy za\u010dne u\u017e\u00edvat zdrav\u00fd \u010dlov\u011bk a pokud je u\u017e\u00edv\u00e1 osoba s n\u011bjakou zdravotn\u00ed poruchou. T\u011blo s l\u00e1tkou pracuje tak, \u017ee se sna\u017e\u00ed vyu\u017e\u00edt ji k narovn\u00e1n\u00ed vnit\u0159n\u00ed rovnov\u00e1hy. Jestli\u017ee je \u010dlov\u011bk zdrav\u00fd, pot\u00e9, co u\u017eije konop\u00ed, jde z norm\u00e1ln\u00edho stavu do stavu zm\u011bn\u011bn\u00e9ho vn\u00edm\u00e1n\u00ed. Ale kdy\u017e m\u00e1 zdravotn\u00ed probl\u00e9m a jeho v\u00fdchoz\u00ed stav je pod zdrav\u00fdm optimem, konop\u00ed mu naopak pom\u00e1h\u00e1 k dosa\u017een\u00ed stability. Pak m\u016f\u017ee norm\u00e1ln\u011b fungovat.<\/p>\n<p>&#8211; M\u00e1 v\u00fdznam u\u017e\u00edvat konopn\u00e9 produkty preventivn\u011b?<\/p>\n<p>Prok\u00e1zat preventivn\u00ed \u00fa\u010dinek \u010dehokoliv je obecn\u011b dost obt\u00ed\u017en\u00e9. Pokud neonemocn\u00edte, jak v\u00edte, \u017ee by to nebylo stejn\u00e9, kdybyste preventivn\u011b nic nebrali? Samoz\u0159ejm\u011b jsme schopni dolo\u017eit t\u0159eba preventivn\u00ed \u00fa\u010dinky o\u010dkov\u00e1n\u00ed na odolnost proti infekc\u00edm nebo zdrav\u00e9 stravy na riziko vzniku kardiovaskul\u00e1rn\u00edch chorob. Ale s ohledem na to, co v\u0161echno je\u0161t\u011b o konop\u00ed nen\u00ed zn\u00e1mo, jak funguje komplex bioaktivn\u00edch \u00fa\u010dink\u016f a z\u00e1rove\u0148 co v\u0161echno a jak reguluje endokanabinoidn\u00ed syst\u00e9m, je dohadov\u00e1n\u00ed se o n\u011bjak\u00fdch preventivn\u00edch \u00fa\u010dinc\u00edch do zna\u010dn\u00e9 m\u00edry poskytov\u00e1n\u00edm fale\u0161n\u00e9 nad\u011bje.<\/p>\n<p>&#8211; M\u011bly by leg\u00e1ln\u00ed l\u00e9\u010dbu konop\u00edm hradit poji\u0161\u0165ovny? P\u0159ece jen m\u016f\u017ee vyj\u00edt na desetitis\u00edce korun m\u011bs\u00ed\u010dn\u011b&#8230;<\/p>\n<p>Pravda je, \u017ee existuje \u0159ada lid\u00ed, e kte\u0159\u00ed na to nemaj\u00ed pen\u00edze. Ale z\u00e1rove\u0148 j je tu mnoho t\u011bch, kdo nemaj\u00ed probl\u00e9m platit daleko vy\u0161\u0161\u00ed sumy za laserov\u00e9 \u00fapravy zevn\u011bj\u0161ku a podobn\u011b. Ministerstvo zdravotnictv\u00ed p\u0159ipravuje takzvan\u00fd \u00fahradov\u00fd pilotn\u00ed projekt, v n\u011bm\u017e se snad poda\u0159\u00ed prosadit, \u017ee soci\u00e1ln\u011b pot\u0159ebn\u00fdm a invalidn\u00edm pacient\u016fm by bylo l\u00e9\u010debn\u00e9 konop\u00ed pln\u011b hrazeno.<\/p>\n<p>&#8211; ICCI funguje zhruba p\u016fl roku. M\u00e1 u\u017e n\u011bjak\u00e9 v\u00fdsledky?<\/p>\n<p>M\u00e1me n\u011bkolik poznatk\u016f, kter\u00e9 jsme u\u017e mezin\u00e1rodn\u011b prezentovali. Tak\u00e9 p\u0159ipravujeme prvn\u00ed klinicky placebo studii, kter\u00e1 je zam\u011b\u0159en\u00e1 na l\u00e9\u010dbu atopick\u00e9 dermatitidy. P\u016fjde-li v\u0161echno dob\u0159e, na podzim za\u010dneme nab\u00edrat pacienty. Medic\u00edna v posledn\u00edch f\u00e1z\u00edch v\u00fdzkumu toti\u017e kontroluje \u00fa\u010dinnost ka\u017ed\u00e9 nov\u00e9 metody oproti placebu, jenom\u017ee tyhle placebem kontrolovan\u00e9 studie u konop\u00ed chyb\u00ed. M\u00e1me aktivity ve t\u0159ech v\u011bdeck\u00fdch oblastech: Jedna je biomedic\u00ednsk\u00e1, druh\u00e1 jsou p\u0159\u00edrodn\u00ed v\u011bdy a t\u0159et\u00ed se t\u00fdk\u00e1 politick\u00fdch v\u011bd. Podepsali jsme tak\u00e9 licen\u010dn\u00ed smlouvu pro Patients-Focused Certifi cation (PFC &#8211; certifikace zam\u011b\u0159en\u00e1 na bezpe\u010d\u00ed pacient\u016f), kterou vytvo\u0159ila americk\u00e1 asociace pacient\u016f Americans for Safe Access ve spolupr\u00e1ci s American Herbal Products Association a dal\u0161\u00edmi autoritami v t\u00e9to oblasti. Je to v podstat\u011b prvn\u00ed program certifikace kvality konopn\u00fdch produkt\u016f ur\u010den\u00fdch k lidsk\u00e9 spot\u0159eb\u011b, a\u0165 pro vnit\u0159n\u00ed, nebo zevn\u00ed pou\u017eit\u00ed, a je jedno, zda jsou z technick\u00e9ho, \u010di netechnick\u00e9ho konop\u00ed. Certifikace kvalit konopn\u00fdch produkt\u016f je u\u017e povinn\u011b vy\u017eadov\u00e1na v \u0161estn\u00e1cti st\u00e1tech USA a my usilujeme o to, aby to bylo i u n\u00e1s. PFC je jedin\u00fd takov\u00fd program na sv\u011bt\u011b a ICCI se stalo poskytovatelem t\u00e9to certifikace pro zbytek sv\u011bta.<\/p>\n<p>&#8211; Jak se stalo, \u017ee volba padla pr\u00e1v\u011b na \u010cesko?<\/p>\n<p>M\u00e1me leg\u00e1ln\u00ed l\u00e9\u010debn\u00e9 konop\u00ed, co\u017e ve sv\u011bt\u011b v\u016fbec nen\u00ed b\u011b\u017en\u00e1 z\u00e1le\u017eitost. V \u010dem jsme v\u0161ak skute\u010dn\u011b jedine\u010dn\u00ed, je multioborovost, kter\u00e9 dosahujeme d\u00edky spolupracuj\u00edc\u00edm centr\u016fm excelence (v\u00fdzkumn\u00e1 st\u0159ediska, kter\u00e1 spojuj\u00ed teoretick\u00fd a aplikovan\u00fd v\u00fdzkum). \u010cesk\u00e1 republika disponuje skute\u010dn\u011b unik\u00e1tn\u00ed v\u011bdeckov\u00fdzkumnou infrastrukturou. A z\u00e1rove\u0148 jsou tady velice \u0161ikovn\u00ed lid\u00e9, kte\u0159\u00ed ji v nezn\u00e1m\u00e9m a nepopsan\u00e9m prost\u0159ed\u00ed dok\u00e1\u017eou smyslupln\u011b vyu\u017e\u00edvat a zkoumat nov\u00e9 obzory.<\/p>\n<p>&#8211; Mysl\u00edte, \u017ee v\u00e1s konop\u00ed je\u0161t\u011b v budoucnu p\u0159ekvap\u00ed?<\/p>\n<p>O tom jsem naprosto p\u0159esv\u011bd\u010den\u00fd. Jsme na za\u010d\u00e1tku, v\u0161echno teprve p\u0159ich\u00e1z\u00ed. Konop\u00ed je ur\u010dit\u011b unik\u00e1tn\u00ed l\u00e9\u010div\u00e1 bylina, ale jeho pozn\u00e1n\u00ed je teprve v plenk\u00e1ch. A douf\u00e1m, \u017ee to, kde v\u0161ude najdeme jeho rozumn\u00e9 uplatn\u011bn\u00ed, bude pozitivn\u011b p\u0159ekvapovat \u010d\u00edm d\u00e1l v\u011bt\u0161\u00ed skupiny nejen pacient\u016f, ale obecn\u011b ve\u0159ejnosti.<\/p>\n<p>&nbsp;<\/p>\n<p>Tina<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>O l\u00e9\u010debn\u00fdch \u00fa\u010dinc\u00edch konop\u00ed se v\u00ed u\u017e tis\u00edce let, vypad\u00e1 to ale, \u017ee se tato rostlina za\u010dala po\u0159\u00e1dn\u011b zkoumat a\u017e te\u010f. Pro\u010d tomu tak je?<\/p>\n<\/div>","protected":false},"author":1,"featured_media":15436,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-25771","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\/25771","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=25771"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25771\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15436"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25771"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25771"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25771"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}