Roztrou\u0161en\u00e1 skler\u00f3za zpo\u010d\u00e1tku m\u016f\u017ee vypadat ne\u0161kodn\u011b, po odezn\u011bn\u00ed prvn\u00edch p\u0159\u00edznak\u016f se pacient mnohdy c\u00edt\u00ed zdr\u00e1v. P\u0159esto je nezbytn\u00e9 ihned po diagnostikov\u00e1n\u00ed za\u010d\u00edt s l\u00e9\u010dbou. Nemocn\u00fdch s roztrou\u0161enou skler\u00f3zou (RS) bohu\u017eel rychle p\u0159ib\u00fdv\u00e1. \u00dapln\u011b nov\u00e1 generace l\u00e9k\u016f by si v\u0161ak s nemoc\u00ed m\u011bla um\u011bt nadobro poradit.\u00a0<\/p>\n
Jak se nemoc projevuje<\/p>\n
RS je autoimunitn\u00ed onemocn\u011bn\u00ed, kdy imunitn\u00ed syst\u00e9m napad\u00e1 nervov\u00e1 spojen\u00ed na r\u016fzn\u00fdch m\u00edstech mozku a zp\u016fsobuje postupnou degeneraci. „Po v\u011bt\u0161inu \u010dasu se pacient c\u00edt\u00ed zdrav\u00fd. Pouze jednou za \u010das se dostav\u00ed ataka nemoci, tzv. relaps. Ta se projevuje u ka\u017ed\u00e9ho jinak, \u010dasto ale zdvojen\u00fdm \u010di rozmazan\u00fdm vid\u011bn\u00edm, brn\u011bn\u00edm kon\u010detin, netypick\u00fdmi bolestmi v obli\u010deji, zakop\u00e1v\u00e1n\u00edm nebo slabost\u00ed doln\u00edch kon\u010detin p\u0159i ch\u016fzi,“ vypo\u010d\u00edt\u00e1v\u00e1 MUDr. Eva Medov\u00e1, specialistka na l\u00e9\u010dbu t\u00e9to nemoci MS Centra FN Kr\u00e1lovsk\u00e9 Vinohrady.
\nTyto relapsy by se m\u011bly p\u0159el\u00e9\u010dit. Krom\u011b toho je ale pot\u0159eba „nov\u00e9mu“ “ pacientovi nasadit dit i dlouhodobou l\u00e9\u010dbu.<\/p>\n
L\u00e9ky nov\u00e9 generace<\/p>\n
Nemoc m\u00e1 dv\u011b z\u00e1sadn\u00ed f\u00e1ze. V t\u00e9 prvn\u00ed l\u00e9ka\u0159i je\u0161t\u011b mohou pomoci. V t\u00e9 dal\u0161\u00ed, kdy p\u0159eva\u017euje degenerace (ztr\u00e1ta) nervov\u00fdch bun\u011bk, u\u017e ale l\u00e9\u010dba nezab\u00edr\u00e1 a t\u011blesn\u00e1 posti\u017een\u00ed pacienta se rychle zhor\u0161uj\u00ed. Doned\u00e1vna byly l\u00e9ky pouze ve form\u011b injekc\u00ed, kter\u00e9 si pacient p\u00edchal n\u011bkolikr\u00e1t t\u00fddn\u011b. Od lo\u0148sk\u00e9ho roku jsou na trhu i tablety, tak\u017ee komfort pro pacienta se v\u00fdrazn\u011b zv\u00fd\u0161il.<\/p>\n
Pokud l\u00e9ky nepom\u00e1haj\u00ed a pacient m\u00e1 v\u00edc ne\u017e dv\u011b ataky za rok, eventu\u00e1ln\u011b n\u00e1lez aktivn\u00edch lo\u017eisek na magnetick\u00e9 rezonanci, nahrad\u00ed je l\u00e9ka\u0159i \u00fa\u010dinn\u011bj\u0161\u00edmi, ale z\u00e1rove\u0148 rizikov\u011bj\u0161\u00edmi. „Ta \u00fapln\u011b nov\u00e1 generace l\u00e9k\u016f by si se z\u00e1n\u011btem m\u011bla um\u011bt nadobro poradit. Pacient dostane v prvn\u00edm roce p\u011bt infuz\u00ed a ve druh\u00e9m roce se l\u00e9\u010dba v ni\u017e\u0161\u00edch d\u00e1vk\u00e1ch zopakuje. B\u011bhem dvou let l\u00e9\u010dba vyhub\u00ed v\u0161echny lymfocyty, kter\u00e9 se pod\u00edlej\u00ed na progresi nemoci, a t\u00edm by m\u011bla b\u00fdt degenerace nerv\u016f zastavena nadobro,“ popisuje MUDr. Medov\u00e1.<\/p>\n
<\/p>\n
Claudia<\/p>\n","protected":false},"excerpt":{"rendered":"
Roztrou\u0161en\u00e1 skler\u00f3za zpo\u010d\u00e1tku m\u016f\u017ee vypadat ne\u0161kodn\u011b, po odezn\u011bn\u00ed prvn\u00edch p\u0159\u00edznak\u016f se pacient mnohdy c\u00edt\u00ed zdr\u00e1v. P\u0159esto je nezbytn\u00e9 ihned po diagnostikov\u00e1n\u00ed za\u010d\u00edt s l\u00e9\u010dbou. Nemocn\u00fdch […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":904,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-25945","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\/25945","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=25945"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25945\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/904"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25945"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25945"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}