{"id":26447,"date":"2016-09-23T11:34:50","date_gmt":"2016-09-23T09:34:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26447"},"modified":"2016-09-23T11:34:50","modified_gmt":"2016-09-23T09:34:50","slug":"vcasne-rozpoznani-priznaku-rakoviny-v-oblasti-hlavy-a-krku-je-velmi-dulezite","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26447","title":{"rendered":"V\u010dasn\u00e9 rozpozn\u00e1n\u00ed p\u0159\u00edznak\u016f rakoviny v oblasti hlavy a krku je velmi d\u016fle\u017eit\u00e9"},"content":{"rendered":"

Kdy\u017e se \u0159ekne rakovina hlavy a krku, v\u011bt\u0161ina z n\u00e1s asi nebude p\u0159esn\u011b v\u011bd\u011bt, kde v\u0161ude se tento zhoubn\u00fd n\u00e1dor m\u016f\u017ee nach\u00e1zet. Pravd\u011bpodobn\u011b spr\u00e1vn\u011b tref\u00edme nap\u0159\u00edklad hlasivky, dutinu \u00fastn\u00ed, hltan a hrtan. Ale pat\u0159\u00ed tam i mozkov\u00e9 n\u00e1dory, \u010di o\u010di, anebo \u0161t\u00edtn\u00e1 \u017el\u00e1za? Jak je to tedy spr\u00e1vn\u011b?<\/strong> <\/p>\n

Bene\u0161ov \u2013 „N\u00e1rodn\u00ed onkologick\u00fd registr zahrnuje pod pojem rakoviny hlavy a krku n\u00e1dorov\u00e9 posti\u017een\u00ed rt\u016f, dutiny \u00fastn\u00ed, hrtanu, hltanu, nosohltanu, dutiny nosn\u00ed i dutin paranaz\u00e1ln\u00edch a posti\u017een\u00ed slinn\u00fdch \u017el\u00e1z,“ vysv\u011btlila MUDr. Lucie Bene\u0161ov\u00e1 z ORL odd\u011blen\u00ed Nemocnice Rudolfa a Stefanie Bene\u0161ov.<\/p>\n

Z dat zad\u00e1van\u00fdch do N\u00e1rodn\u00edho onkologick\u00e9ho registru lze vy\u010d\u00edst, \u017ee ro\u010dn\u011b je rakovina hlavy a krku diagnostikov\u00e1na u 1500 mu\u017e\u016f a 430 \u017een, a je tak 10. nej\u010dast\u011bji nov\u011b diagnostikovan\u00fdm typem rakoviny.<\/p>\n

„Po\u010det nov\u011b diagnostikovan\u00fdch p\u0159\u00edpad\u016f rakoviny hlavy a krku se mezi lety 2000 a 2010 zv\u00fd\u0161il u mu\u017e\u016f o v\u00edce ne\u017e 11 %, u \u017een dokonce t\u00e9m\u011b\u0159 o 37 %. A bohu\u017eel u \u017een ani \u00famrtnost nekles\u00e1 (18 %),“ doplnila MUDr. Bene\u0161ov\u00e1.<\/p>\n

Vznik tohoto n\u00e1dorov\u00e9ho onemocn\u011bn\u00ed jednozna\u010dn\u011b podporuje zejm\u00e9na kou\u0159en\u00ed, nadm\u011brn\u00e1 konzumace alkoholu (p\u0159edev\u0161\u00edm tvrd\u00e9ho, pota\u017emo kombinace kou\u0159en\u00ed a alkoholu) a v posledn\u00edch p\u0159ibli\u017en\u011b 20 letech se jako t\u0159et\u00ed nejd\u016fle\u017eit\u011bj\u0161\u00ed rizikov\u00fd faktor uv\u00e1d\u00ed infekce lidsk\u00fdm papilomavirem HPV, kter\u00fd v\u011bt\u0161ina z n\u00e1s zn\u00e1 sp\u00ed\u0161e p\u0159edev\u0161\u00edm jako p\u016fvodce rakoviny d\u011blo\u017en\u00edho \u010d\u00edpku.<\/p>\n

„Statistiky ukazuj\u00ed, \u017ee asi 70 % n\u011bkter\u00fdch n\u00e1dor\u016f \u00fastn\u00ed \u010d\u00e1sti hltanu (orofaryngu) je zp\u016fsobeno pr\u00e1v\u011b infekc\u00ed HPV, a v\u00fdskyt nov\u011b zachycen\u00fdch n\u00e1dor\u016f s prok\u00e1zanou infekc\u00ed HPV strm\u011b stoup\u00e1 po cel\u00e9m sv\u011bt\u011b. N\u00e1dory orofaryngu tvo\u0159\u00ed v \u010cesk\u00e9 republice t\u00e9m\u011b\u0159 \u010dtvrtinu v\u0161ech n\u00e1dor\u016f spadaj\u00edc\u00edch do ORL oblasti. V posledn\u00ed dek\u00e1d\u011b do\u0161lo v jejich v\u00fdskytu k suver\u00e9nn\u011b nejv\u00fdrazn\u011bj\u0161\u00edmu n\u00e1r\u016fstu. Mezi lety 2000 \u2013 2010 se po\u010det nov\u011b diagnostikovan\u00fdch karcinom\u016f orofaryngu skoro zdvojn\u00e1sobil,“ uvedla l\u00e9ka\u0159ka ORL odd\u011blen\u00ed bene\u0161ovsk\u00e9 nemocnice.<\/p>\n

Infekce virem HPV se \u010dasto spojuje s rizikov\u00fdm sexu\u00e1ln\u00edm chov\u00e1n\u00edm (or\u00e1ln\u00ed sex) a obecn\u011b s postupn\u00fdm uvol\u0148ov\u00e1n\u00edm sexu\u00e1ln\u00edch tabu v n\u011bkolika posledn\u00edch dek\u00e1d\u00e1ch.<\/p>\n

V n\u011bkter\u00fdch vysp\u011bl\u00fdch zem\u00edch se proto ji\u017e p\u0159istoupilo k plo\u0161n\u00e9mu o\u010dkov\u00e1n\u00ed nejen d\u011bv\u010dat ve v\u011bku 11-14 let, ale tak\u00e9 chlapc\u016f. I u n\u00e1s je mo\u017en\u00e9 si toto o\u010dkov\u00e1n\u00ed proti HPV u chlapc\u016f zajistit, av\u0161ak bez p\u0159\u00edsp\u011bvku \u010di \u00fahrady ze v\u0161eobecn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

„V ordinac\u00edch l\u00e9ka\u0159\u016f se d\u00edky vzr\u016fstaj\u00edc\u00ed promo\u0159enosti populace virem HPV st\u00e1le \u010dast\u011bji objevuj\u00ed lid\u00e9 mlad\u0161\u00edho v\u011bku, vy\u0161\u0161\u00edho dosa\u017een\u00e9ho vzd\u011bl\u00e1n\u00ed a socioekonomick\u00e9ho postaven\u00ed a v dobr\u00e9m zdravotn\u00edm stavu. A\u010dkoli typick\u00fd v\u011bt\u0161inov\u00fd pacient s rakovinou v oblasti hlavy\/krku odpov\u00edd\u00e1 sp\u00ed\u0161e profilu mu\u017ee ve v\u011bku 60 \u2013 65 let s pramal\u00fdm z\u00e1jmem o vlastn\u00ed zdrav\u00ed, kter\u00fd je siln\u00fdm ku\u0159\u00e1kem a kou\u0159en\u00ed kombinuje s vy\u0161\u0161\u00ed konzumac\u00ed alkoholu,“ popsala MUDr. Bene\u0161ov\u00e1.<\/p>\n

Je a\u017e pozoruhodn\u00e9, nakolik na\u0161e \u010desk\u00e1 legislativa odol\u00e1v\u00e1 protiku\u0159\u00e1ck\u00fdm tendenc\u00edm a tzv. protiku\u0159\u00e1ck\u00fd z\u00e1kon nem\u00e1 dostate\u010dnou podporu u n\u00e1mi volen\u00fdch politik\u016f. Zat\u00edm sp\u00ed\u0161e nesm\u011blou iniciativou je povinn\u00e9 um\u00edst\u011bn\u00ed odstra\u0161uj\u00edc\u00edch fotografi\u00ed d\u016fsledk\u016f kou\u0159en\u00ed na 65 % povrchu krabi\u010dek cigaret (od z\u00e1\u0159\u00ed 2016), ale i to lze chyt\u0159e zakr\u00fdt elegantn\u00edmi pouzdry a efekt se t\u00edm ztr\u00e1c\u00ed. V zem\u00edch, kde se kampan\u011b proti kou\u0159en\u00ed t\u011b\u0161\u00ed vysok\u00e9 politick\u00e9 podpo\u0159e, jako je USA, doch\u00e1z\u00ed k v\u00fdrazn\u00e9mu poklesu v\u00fdskytu onkologick\u00fdch onemocn\u011bn\u00ed zp\u016fsoben\u00fdch kou\u0159en\u00edm, jako je rakovina plic \u010di pr\u00e1v\u011b rakovina hlavy a krku.<\/p>\n

„Dal\u0161\u00edm smutn\u00fdm faktem je, \u017ee rakovina hlavy a krku je diagnostikov\u00e1na a l\u00e9\u010dena a\u017e v pozdn\u00edch st\u00e1di\u00edch, nebo\u0165 pacienti p\u0159ich\u00e1zej\u00ed k l\u00e9ka\u0159i pozd\u011b. Bohu\u017eel se v \u010cesk\u00e9 republice tento trend neda\u0159\u00ed nijak obracet a zastoupen\u00ed nejz\u00e1va\u017en\u011bj\u0161\u00edho st\u00e1dia (stadium 4) st\u00e1le prudce roste. P\u0159itom v\u010dasn\u00e1 n\u00e1v\u0161t\u011bva l\u00e9ka\u0159e, stanoven\u00ed spr\u00e1vn\u00e9 diagn\u00f3zy a brzk\u00e9 doporu\u010den\u00ed ke specialistovi by mohlo v\u00fdrazn\u011b zlep\u0161it \u0161ance pacient\u016f na p\u0159e\u017eit\u00ed,“ zd\u016fraznila MUDr. Lucie Bene\u0161ov\u00e1.<\/p>\n

Vzhledem k v\u00fd\u0161e uveden\u00fdm negativn\u00edm \u010desk\u00fdm statistik\u00e1m, a nejen proto, se letos \u010cesk\u00e1 republika u\u017e po 5. p\u0159ipojila k celoevropsk\u00e9 iniciativ\u011b nazvan\u00e9 MAKE SENSE, v r\u00e1mci kter\u00e9 se ve dnech 19. a\u017e 23. z\u00e1\u0159\u00ed 2016 uskute\u010dnil T\u00fdden osv\u011bty rakoviny hlavy a krku. C\u00edlem kampan\u011b bylo p\u0159edev\u0161\u00edm zv\u00fd\u0161en\u00ed informovanosti ve\u0159ejnosti o tomto z\u00e1va\u017en\u00e9m onkologick\u00e9m onemocn\u011bn\u00ed a vyburcov\u00e1n\u00ed k vy\u0161\u0161\u00ed zodpov\u011bdnosti za vlastn\u00ed zdrav\u00ed. L\u00e9ka\u0159i kladli hlavn\u011b d\u016fraz na vzd\u011bl\u00e1v\u00e1n\u00ed o prevenci, na pochopen\u00ed v\u00e1\u017enosti p\u0159\u00edznak\u016f onemocn\u011bn\u00ed ze strany pacient\u016f i praktick\u00fdch l\u00e9ka\u0159\u016f, kter\u00e9 by m\u011blo v\u00e9st k v\u010dasn\u00e9 diagnostice n\u00e1dor\u016f.<\/p>\n

Ve\u0159ejnost tak mohla d\u00edky zapojen\u00ed n\u011bkolika p\u0159edn\u00edch \u010desk\u00fdch ORL pracovi\u0161\u0165 nav\u0161t\u00edvit nap\u0159\u00edklad speci\u00e1ln\u011b z\u0159\u00edzen\u00e9 ambulance pro v\u010dasnou diagn\u00f3zu v Brn\u011b, Bene\u0161ov\u011b\u2026 Motolsk\u00e1 klinika pod veden\u00edm pana prof. Jana Klozara se nav\u00edc rozhodla pro netradi\u010dn\u00ed vy\u0161et\u0159ov\u00e1n\u00ed p\u0159\u00edmo v ter\u00e9nu, v nejmenovan\u00fdch pra\u017esk\u00fdch restaura\u010dn\u00edch za\u0159\u00edzen\u00edch ni\u017e\u0161\u00edch cenov\u00fdch skupin.<\/p>\n

K t\u00fddnu osv\u011bty rakoviny hlavy a krku se p\u0159ipojilo i ORL odd\u011blen\u00ed bene\u0161ovsk\u00e9 nemocnice, a to akc\u00ed Den v\u010dasn\u00e9 diagn\u00f3zy, kter\u00e1 se uskute\u010dnila ve dnech 22. a 23. z\u00e1\u0159\u00ed 2016 a jej\u00edm\u017e c\u00edlem bylo upozornit na nebezpe\u010d\u00ed zvy\u0161uj\u00edc\u00edho se v\u00fdskytu rakoviny v oblasti hlavy a krku a apelovat na d\u016fslednou prevenci, kter\u00e1 je hlavn\u011b spjata s rizikov\u00fdmi faktory \u2013 p\u0159edev\u0161\u00edm s kou\u0159en\u00edm jako\u017eto jedn\u00edm z hlavn\u00edch rizikov\u00fdch faktor\u016f, ale tak\u00e9 i s dal\u0161\u00edmi faktory jako jsou alkohol a HPV infekce.<\/p>\n

V r\u00e1mci Dne v\u010dasn\u00e9 diagn\u00f3zy se mohli lid\u00e9 v Bene\u0161ov\u011b nechat zdarma vy\u0161et\u0159it od odborn\u00e9ho l\u00e9ka\u0159sk\u00e9ho t\u00fdmu ORL a to rovnou ve dvou dnech a na dvou m\u00edstech: ve \u010dtvrtek 22. z\u00e1\u0159\u00ed od 8.30 do 15.30 b\u011bhem Dne otev\u0159en\u00fdch dve\u0159\u00ed na odd\u011blen\u00ed ORL bene\u0161ovsk\u00e9 nemocnice a v p\u00e1tek 23. z\u00e1\u0159\u00ed od 11 do 15 hodin na Masarykov\u011b n\u00e1m\u011bst\u00ed, kde byl k dispozici st\u00e1nek prevence.<\/p>\n

„Preventivn\u00ed vy\u0161et\u0159en\u00ed jsme prov\u00e1d\u011bli tak\u00e9 v ter\u00e9nu, kdy jsme nav\u0161t\u00edvili N\u00edzkoprahov\u00e9 denn\u00ed centrum pro osoby bez p\u0159\u00edst\u0159e\u0161ku a Domov senior\u016f Bene\u0161ov,“ doplnila MUDr. Lucie Bene\u0161ov\u00e1 z ORL odd\u011blen\u00ed Nemocnice Rudolfa a Stefanie Bene\u0161ov.<\/p>\n

Vy\u0161et\u0159en\u00ed by m\u011bli podstoupit p\u0159edev\u0161\u00edm ku\u0159\u00e1ci a osoby, u kter\u00fdch se objevuje jeden z n\u00e1sleduj\u00edc\u00edch p\u0159\u00edznak\u016f trvaj\u00edc\u00ed v\u00edce ne\u017e t\u0159i t\u00fddny: bolestivost jazyka a nehoj\u00edc\u00ed se v\u0159ed v \u00fastech, bolest krku, dlouhodob\u011b trvaj\u00edc\u00ed chrapot, bolest p\u0159i polyk\u00e1n\u00ed, bulka na krku a jednostrann\u00e1 nosn\u00ed nepr\u016fchodnost s hlenov\u00fdm v\u00fdtokem.<\/p>\n

JANA HELM MUSILOV\u00c1
\nBene\u0161ovsk\u00fd den\u00edk
\nhttp:\/\/www.benesovsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Kdy\u017e se \u0159ekne rakovina hlavy a krku, v\u011bt\u0161ina z n\u00e1s asi nebude p\u0159esn\u011b v\u011bd\u011bt, kde v\u0161ude se tento zhoubn\u00fd n\u00e1dor m\u016f\u017ee nach\u00e1zet. Pravd\u011bpodobn\u011b spr\u00e1vn\u011b tref\u00edme […]<\/a><\/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-26447","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\/26447","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=26447"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26447\/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=26447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}