{"id":26575,"date":"2016-12-29T11:13:58","date_gmt":"2016-12-29T10:13:58","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26575"},"modified":"2016-12-29T11:13:58","modified_gmt":"2016-12-29T10:13:58","slug":"rakovina-kuraku-a-pijaku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26575","title":{"rendered":"Rakovina ku\u0159\u00e1k\u016f a pij\u00e1k\u016f"},"content":{"rendered":"<p>O rakovin\u011b hlavy a krku se ve ve\u0159ejnosti mnoho nev\u00ed. P\u0159esto je ro\u010dn\u011b diagnostikov\u00e1na u 1 500 mu\u017e\u016f a 430 \u017een. Po\u010det nov\u00fdch p\u0159\u00edpad\u016f se mezi lety 2000 a 2010 zv\u00fd\u0161il u mu\u017e\u016f o v\u00edce ne\u017e 11 %, u \u017een dokonce o t\u00e9m\u011b\u0159 37 %. <!--more--><\/p>\n<p>Pojem rakovina hlavy a krku zahrnuje n\u00e1dorov\u00e9 posti\u017een\u00ed rt\u016f, dutiny \u00fastn\u00ed, hrtanu, hltanu, slinn\u00fdch \u017el\u00e1z, nosohltanu a dutiny nosn\u00ed. &#8222;V\u011bt\u0161in\u011b n\u00e1dor\u016f hlavy a krku lze p\u0159edch\u00e1zet, v prvn\u00ed \u0159ad\u011b omezen\u00edm kou\u0159en\u00ed. V zem\u00edch s \u00fasp\u011b\u0161n\u00fdmi protitab\u00e1kov\u00fdmi opat\u0159en\u00edmi, jako je v\u00fdrazn\u00e9 zdan\u011bn\u00ed tab\u00e1kov\u00fdch v\u00fdrobk\u016f a absolutn\u00ed z\u00e1kaz kou\u0159en\u00ed ve ve\u0159ejn\u00e9m prostoru, doch\u00e1z\u00ed k v\u00fdrazn\u00e9mu poklesu v\u00fdskytu onkologick\u00fdch onemocn\u011bn\u00ed, zejm\u00e9na rakoviny plic a tak\u00e9 rakoviny hlavy a krku,&#8220; \u0159\u00edk\u00e1 prof. Jan Klozar z Kliniky otorinolaryngologie a chirurgie hlavy a krku z FN Motol. &#8222;Je a\u017e pozoruhodn\u00e9, nakolik \u010desk\u00e1 legislativa odol\u00e1v\u00e1 protiku\u0159\u00e1ck\u00fdm n\u00e1vrh\u016fm a tzv. protiku\u0159\u00e1ck\u00fd z\u00e1kon nem\u00e1 u na\u0161ich politik\u016f dostate\u010dnou podporu, co\u017e osobn\u011b s ohledem na sv\u00e9 ka\u017edodenn\u00ed zku\u0161enosti nech\u00e1pu.&#8220;<br \/>\nAsi 70 % n\u00e1dor\u016f \u00fastn\u00ed \u010d\u00e1sti hltanu (orofaryngu) je zp\u016fsobeno infekc\u00ed HPV. V posledn\u00ed sledovan\u00e9 dek\u00e1d\u011b do\u0161lo v \u010cR k jejich suver\u00e9nn\u011b nejv\u00fdrazn\u011bj\u0161\u00edmu n\u00e1r\u016fstu \u2013 po\u010det nov\u011b diagnostikovan\u00fdch karcinom\u016f orofaryngu se t\u00e9m\u011b\u0159 zdvojn\u00e1sobil. Infekce virem HPV se \u010dasto spojuje s rizikov\u00fdm sexem a obecn\u011b s uvol\u0148ov\u00e1n\u00edm sexu\u00e1ln\u00edch tabu. \u00da\u010dinnou prevenci p\u0159edstavuje o\u010dkov\u00e1n\u00ed, a to nejen d\u00edvek v souvislosti s karcinomem d\u011blo\u017en\u00edho hrdla, ale tak\u00e9 chlapc\u016f. &#8222;Vzhledem k dosavadn\u00edmu v\u00fdvoji v\u00fdskytu n\u00e1dor\u016f bude ji\u017e v dohledn\u00e9 dob\u011b rakovina hlavy a krku zp\u016fsoben\u00e1 virem HPV v\u011bt\u0161\u00ed probl\u00e9m ne\u017e karcinom d\u011blo\u017en\u00edho hrdla. I z tohoto pohledu je v\u00fdhodn\u00e9 proo\u010dkovat ob\u011b pohlav\u00ed,&#8220; soud\u00ed prof. Klozar. V n\u011bkter\u00fdch zem\u00edch, nap\u0159\u00edklad v Austr\u00e1lii, se ji\u017e p\u0159istoupilo k plo\u0161n\u00e9mu o\u010dkov\u00e1n\u00ed nejen d\u011bv\u010dat, ale tak\u00e9 chlapc\u016f. Ty lze u n\u00e1s tak\u00e9 o\u010dkovat, a rozumn\u00ed rodi\u010de tak \u010din\u00ed, ov\u0161em bez \u00fahrady z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<br \/>\nBolestiv\u00fd jazyk, nehoj\u00edc\u00ed se v\u0159ed v \u00fastech, \u010derven\u00e9 \u010di b\u00edl\u00e9 skvrny tamt\u00e9\u017e, dlouhotrvaj\u00edc\u00ed chrapot, bolest v krku, bolest \u010di pot\u00ed\u017ee p\u0159i polyk\u00e1n\u00ed, bulka na krku, jednostrann\u00e1 nosn\u00ed nepr\u016fchodnost, krv\u00e1civ\u00fd v\u00fdtok z nosu \u2013 pokud n\u011bkter\u00fd z t\u011bchto p\u0159\u00edznak\u016f trv\u00e1 v\u00edce ne\u017e t\u0159i t\u00fddny, je na m\u00edst\u011b vyhledat l\u00e9ka\u0159skou pomoc.<br \/>\n&#8222;Pacienti v\u0161ak \u010dasto p\u0159ich\u00e1zej\u00ed k l\u00e9ka\u0159i pozd\u011b. P\u0159itom pokro\u010dilost n\u00e1doru je nejv\u00fdznamn\u011bj\u0161\u00edm negativn\u00edm prognostick\u00fdm faktorem.<br \/>\nV\u010dasn\u00e1 n\u00e1v\u0161t\u011bva l\u00e9ka\u0159e, stanoven\u00ed spr\u00e1vn\u00e9 diagn\u00f3zy a brzk\u00e9 doporu\u010den\u00ed ke specialistovi m\u016f\u017ee v\u00fdrazn\u011b zlep\u0161it \u0161ance pacient\u016f na p\u0159e\u017eit\u00ed,&#8220; upozor\u0148uje MUDr. B\u0159etislav G\u00e1l, Ph. D., p\u0159ednosta Kliniky otorinolaryngologie a chirurgie hlavy a krku ve FN u sv. Anny v Brn\u011b.<br \/>\nNegativn\u00ed \u010desk\u00e9 statistiky a progn\u00f3zy t\u00fdkaj\u00edc\u00ed se rakoviny hlavy a krku byly jedn\u00edm z d\u016fvod\u016f, pro\u010d se \u010cR ned\u00e1vno p\u0159ipojila k celoevropsk\u00e9 kampani Make Sense, jej\u00edm\u017e c\u00edlem je zv\u00fd\u0161it informovanost ve\u0159ejnosti o tomto onkologick\u00e9m onemocn\u011bn\u00ed. <\/p>\n<p>&#8212; <\/p>\n<p>Dal\u0161\u00ed informace na webech: www.rakovinahlavyakrku.cz, www.makesensecampaign.eu<\/p>\n<p>Kv\u011bty<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>O rakovin\u011b hlavy a krku se ve ve\u0159ejnosti mnoho nev\u00ed. P\u0159esto je ro\u010dn\u011b diagnostikov\u00e1na u 1 500 mu\u017e\u016f a 430 \u017een. Po\u010det nov\u00fdch p\u0159\u00edpad\u016f se <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=26575\" title=\"Rakovina ku\u0159\u00e1k\u016f a pij\u00e1k\u016f\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18247,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26575","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\/26575","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=26575"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26575\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18247"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}