{"id":26750,"date":"2016-12-25T10:34:15","date_gmt":"2016-12-25T09:34:15","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26750"},"modified":"2016-12-25T10:34:15","modified_gmt":"2016-12-25T09:34:15","slug":"kuraky-zabiji-nemoc-o-ktere-ani-nevedi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26750","title":{"rendered":"Ku\u0159\u00e1ky zab\u00edj\u00ed nemoc, o kter\u00e9 ani nev\u011bd\u00ed"},"content":{"rendered":"<p>L\u00e9\u010dil lidi s nemoc\u00ed ku\u0159\u00e1k\u016f a pak ji s\u00e1m dostal. &#8222;Chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc toti\u017e postihuje i patn\u00e1ct procent neku\u0159\u00e1k\u016f, \u0159\u00edk\u00e1 Stanislav Kos.<!--more--><\/p>\n<p>Loni na takzvanou nemoc ku\u0159\u00e1k\u016f zem\u0159elo 3 500 \u010cech\u016f. A pacient\u016f ka\u017edoro\u010dn\u011b p\u0159ib\u00fdv\u00e1. P\u0159ed p\u011bti lety se mezi n\u011b za\u0159adil i plicn\u00ed l\u00e9ka\u0159 Stanislav Kos, b\u00fdval\u00fd p\u0159edseda \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti a tak\u00e9 prim\u00e1\u0159 L\u00e9\u010debny tuberkul\u00f3zy a respira\u010dn\u00edch nemoc\u00ed v Janov\u011b. &#8222;M\u00e1me dnes k dispozici nejlep\u0161\u00ed l\u00e9ky. N\u00e1rok na jejich proplacen\u00ed poji\u0161\u0165ovnou ale maj\u00ed jen neku\u0159\u00e1ci, i kdy\u017e postihuje 85 procent ku\u0159\u00e1k\u016f,&#8220; \u0159\u00edk\u00e1 l\u00e9ka\u0159 v penzi.<\/p>\n<p>&#8211; P\u0159es t\u0159icet let jste se v\u011bnoval pacient\u016fm s chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed (CHOPN) a p\u0159ed p\u011bti lety jste zjistil, \u017ee ji s\u00e1m tak\u00e9 m\u00e1te. Jak jste na to p\u0159i\u0161el?<\/p>\n<p>Rozv\u00edjelo se to postupn\u011b. Prod\u011blal jsem operaci b\u0159icha a po n\u00ed do\u0161lo k tomu, \u017ee jedna polovina m\u00e9 br\u00e1nice p\u0159estala pracovat. Tak\u017ee jsem m\u011bl t\u0159eba p\u0159i plav\u00e1n\u00ed du\u0161nost. Neuplaval jsem tolik, kolik jsem byl zvykl\u00fd. Ale nem\u011bl jsem ty hlavn\u00ed p\u0159\u00edznaky jako ka\u0161el, to jen sezonn\u011b. Ty nem\u00e1m ani te\u010f. Du\u0161nost jsem p\u0159isuzoval n\u00e1sledk\u016fm operace. Kdy\u017e jsem se ale zad\u00fdch\u00e1val \u010d\u00edm d\u00e1l v\u00edce, ud\u011blal jsem si spirometrii (vy\u0161et\u0159en\u00ed plic \u2013 pozn. red.) a ta prok\u00e1zala dechov\u00e9 omezen\u00ed. Pozd\u011bji se prok\u00e1zala i CHOPN.<\/p>\n<p>&#8211; Jak\u00e1 byla va\u0161e prvn\u00ed reakce?<\/p>\n<p>\u010clov\u011bk je v\u017edy p\u0159ekvapen\u00fd. Alergie a astma jsem m\u011bl od ml\u00e1d\u00ed, ale \u017ee se postupn\u011b zkombinuje s CHOPN, jsem ne\u010dekal. Ale d\u00edky v\u010dasn\u00e9mu nasazen\u00ed l\u00e9\u010dby a rehabilitaci se m\u016fj stav rychle stabilizoval.<\/p>\n<p>&#8211; Omezuje v\u00e1s nemoc n\u011bjak?<\/p>\n<p>V b\u011b\u017en\u00e9m \u017eivot\u011b omezen\u00ed nec\u00edt\u00edm, jen u\u017e nevyb\u011bhnu strm\u00e9 schody a nebudu sprintovat za tramvaj\u00ed. Sp\u00ed\u0161e m\u011b to omezuje rekrea\u010dn\u011b.<\/p>\n<p>&#8211; Minul\u00fd t\u00fdden prob\u011bhl Sv\u011btov\u00fd den boje proti chronick\u00e9 obstruk\u010dn\u00ed plicn\u00ed nemoci. Jak je na tom \u010cesko s touto chorobou?<\/p>\n<p>Situace je podobn\u00e1 jako u cukrovky \u2013 asi osm procent obyvatelstva trp\u00ed touto nemoc\u00ed. Nav\u00edc jde o jednu z m\u00e1la chorob, kterou se zat\u00edm neda\u0159\u00ed potla\u010dovat. Naopak po\u010dty pacient\u016f nar\u016fstaj\u00ed v d\u016fsledku epidemie kou\u0159en\u00ed.<\/p>\n<p>&#8211; Co to vlastn\u011b je chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc?<\/p>\n<p>Je to chronick\u00fd z\u00e1n\u011bt sliznice d\u00fdchac\u00edch cest. Jejich bu\u0148ky maj\u00ed u zdrav\u00e9ho \u010dlov\u011bka \u0159asinky, kter\u00e9 odstra\u0148uj\u00ed hlen a ne\u010distoty z d\u00fdchac\u00edch cest. Vlivem kou\u0159en\u00ed \u0159asinky odum\u00edraj\u00ed. Chroni\u010dt\u00ed ku\u0159\u00e1ci jsou pak dr\u00e1\u017ed\u011bni ke ka\u0161li t\u00edm, \u017ee jim z\u016fst\u00e1v\u00e1 hlen v pr\u016fdu\u0161k\u00e1ch a mus\u00ed ho s \u00fasil\u00edm dostat ven.<\/p>\n<p>&#8211; To je i prvn\u00ed p\u0159\u00edznak t\u00e9to nemoci?<\/p>\n<p>Ano, dlouhodob\u00fd ka\u0161el a asi v 70 procentech vyka\u0161l\u00e1v\u00e1n\u00ed hlenu. Dal\u0161\u00ed je du\u0161nost. Pacient nejd\u0159\u00edve nezvl\u00e1d\u00e1 stejn\u00e9 \u010dinnosti jako vrstevn\u00edci. A\u0165 u\u017e se jedn\u00e1 o turistickou ch\u016fzi, \u010di v\u00fd\u0161lap do schod\u016f. A du\u0161nost se m\u016f\u017ee postupn\u011b zhor\u0161ovat. Pozd\u011bji m\u016f\u017ee nastat, i kdy\u017e je pacient v klidu. Znemo\u017e\u0148uje mu to obl\u00e9ci se, uva\u0159it si.<\/p>\n<p>&#8211; Tak\u017ee nesta\u010d\u00ed s dechem u b\u011b\u017en\u00fdch denn\u00edch \u010dinnost\u00ed?<\/p>\n<p>P\u0159esn\u011b tak. To je jen d\u016fsledek toho, \u017ee pr\u016fdu\u0161ky nefunguj\u00ed spr\u00e1vn\u011b. Je zde mal\u00fd p\u0159enos kysl\u00edku z nadechovan\u00e9ho vzduchu do krve a nedostate\u010dn\u00e9 odstra\u0148ov\u00e1n\u00ed kysli\u010dn\u00edku uhli\u010dit\u00e9ho z organismu. V pokro\u010dil\u00fdch f\u00e1z\u00edch mohou m\u00edt pak lid\u00e9 promodral\u00e9 prsty, rty nebo \u0161pi\u010dku nosu.<\/p>\n<p>&#8211; CHOPN se p\u0159ezd\u00edv\u00e1 nemoc ku\u0159\u00e1k\u016f. P\u0159itom, pokud v\u00edm, vy nekou\u0159\u00edte a nemoc v\u00e1s postihla tak\u00e9.<\/p>\n<p>Vliv kou\u0159en\u00ed je patrn\u00fd. Ale asi patn\u00e1ct procent v\u0161ech nemocn\u00fdch jsou neku\u0159\u00e1ci, v\u010detn\u011b m\u011b.<\/p>\n<p>&#8211; Co jejich nemoc zp\u016fsob\u00ed?<\/p>\n<p>M\u016f\u017ee na to m\u00edt vliv pracovn\u00ed prost\u0159ed\u00ed, t\u0159eba kdy\u017e je pra\u0161n\u00e9 nebo kdy\u017e n\u011bkdo pracuje v dolech. M\u00e1 na to vliv i \u017eivotn\u00ed prost\u0159ed\u00ed, kter\u00e9 n\u00e1s obklopuje. A v\u011bt\u0161inou onemocn\u00ed lid\u00e9, kte\u0159\u00ed maj\u00ed pr\u016fdu\u0161ky u\u017e od narozen\u00ed n\u011bjak po\u0161kozen\u00e9. T\u0159eba trp\u00ed od d\u011btstv\u00ed alergiemi \u010di astmatem. To je zrovna m\u016fj p\u0159\u00edpad.<\/p>\n<p>&#8211; M\u00e1 na to vliv i d\u011bdi\u010dnost?<\/p>\n<p>Tak\u00e9. Jsou ur\u010dit\u00e9 rodiny, kter\u00e9 maj\u00ed pr\u016fdu\u0161ky \u010dast\u011bji posti\u017een\u00e9. Takovou zvl\u00e1\u0161tnost\u00ed je, \u017ee nap\u0159\u00edklad v zem\u00edch D\u00e1ln\u00e9ho v\u00fdchodu, kde \u017eeny va\u0159\u00ed v chatr\u010d\u00edch se \u0161patn\u00fdm odv\u011btr\u00e1v\u00e1n\u00edm, je tato choroba \u010dast\u011bj\u0161\u00ed.<\/p>\n<p>&#8211; Tak\u017ee rizikov\u00e1 je i n\u00e1v\u0161t\u011bva zakou\u0159en\u00fdch podnik\u016f?<\/p>\n<p>Samoz\u0159ejm\u011b, pasivn\u00ed kou\u0159en\u00ed m\u00e1 vliv tak\u00e9.<\/p>\n<p>&#8211; Jak je na tom \u010cesko v porovn\u00e1n\u00ed se sv\u011btem?<\/p>\n<p>V procentech nemocn\u00fdch se p\u0159\u00edli\u0161 neli\u0161\u00edme. Ale v n\u011bkter\u00fdch velk\u00fdch m\u011bstech jako Buenos Aires maj\u00ed v\u00fdskyt choroby vy\u0161\u0161\u00ed.<\/p>\n<p>&#8211; A co l\u00e9\u010dba v \u010cesku?<\/p>\n<p>M\u00e1me k dispozici nejlep\u0161\u00ed a nej\u00fa\u010dinn\u011bj\u0161\u00ed l\u00e9ky. Jedin\u00e9, co vy\u010d\u00edt\u00e1m zdravotn\u00edm poji\u0161\u0165ovn\u00e1m, je to, \u017ee nejlep\u0161\u00ed l\u00e9ky nem\u016f\u017eete d\u00e1t ku\u0159\u00e1k\u016fm.<\/p>\n<p>&#8211; Pro\u010d?<\/p>\n<p>Proto\u017ee si kou\u0159en\u00edm zhor\u0161uj\u00ed zdravotn\u00ed stav. A tak jim poji\u0161\u0165ovna tyto l\u00e9ky neproplat\u00ed. Ale p\u0159edstavte si, \u017ee byste diabetikovi, kter\u00fd nedr\u017e\u00ed dietu, odm\u00edtla d\u00e1t inzulin. Je to nesmysl.<\/p>\n<p>&#8211; Chcete \u0159\u00edct, \u017ee pokud jsem ku\u0159\u00e1k a m\u00e1m CHOPN, tak mi l\u00e9ka\u0159 nem\u016f\u017ee p\u0159edepsat nejlep\u0161\u00ed l\u00e9ky, ale mus\u00ed mi d\u00e1t m\u00e9n\u011b \u00fa\u010dinnou n\u00e1hradu?<\/p>\n<p>P\u0159esn\u011b tak. Lid\u00e9 s CHOPN jsou jedinou skupinou, kter\u00e1 m\u00e1 takov\u00e9 omezen\u00ed. A i mn\u011b jako neku\u0159\u00e1kovi a bojovn\u00edkovi proti kou\u0159en\u00ed to vad\u00ed.<\/p>\n<p>&#8211; P\u0159edpokl\u00e1d\u00e1m, \u017ee si je pacient m\u016f\u017ee uhradit s\u00e1m?<\/p>\n<p>To m\u016f\u017ee. Ale jde o drah\u00e9 l\u00e9ky. Jedno balen\u00ed stoji asi tis\u00edc korun a vydr\u017e\u00ed tak m\u011bs\u00edc.<\/p>\n<p>&#8211; A co kdyby pacient l\u00e9ka\u0159i za\u010dal tvrdit, \u017ee p\u0159estal kou\u0159il?<\/p>\n<p>Zku\u0161en\u00fd l\u00e9ka\u0159 by se jeho tvrzen\u00edm nem\u011bl nechat zm\u00e1st, proto\u017ee ku\u0159\u00e1ka pozn\u00e1me i z odstupu za pou\u017eit\u00ed vlastn\u00edch smysl\u016f. Nav\u00edc m\u00e1me k dispozici p\u0159\u00edstroje, kter\u00e9 dok\u00e1\u017eou kou\u0159en\u00ed prok\u00e1zat. A kdyby l\u00e9ka\u0159 napsal ku\u0159\u00e1kovi recept, kter\u00fd propl\u00e1c\u00ed poji\u0161\u0165ovna, a p\u0159i\u0161el by na to zp\u011btn\u011b revizn\u00ed l\u00e9ka\u0159, tak to nakonec zaplat\u00ed p\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159.<\/p>\n<p>&#8211; D\u00e1 se s t\u00edmto probl\u00e9mem n\u011bco d\u011blat?<\/p>\n<p>U\u017e jsem to p\u0159ednesl na sch\u016fzi pacientsk\u00fdch organizac\u00ed na ministerstvu. Jen\u017ee oni nech\u00e1pou, \u017ee odep\u00edr\u00e1me nemocn\u00fdm ten nej\u00fa\u010dinn\u011bj\u0161\u00ed l\u00e9k, a \u017ee kdybychom to ud\u011blali kter\u00e9koli jin\u00e9 skupin\u011b pacient\u016f, tak by to dopadlo \u0161patn\u011b. T\u0159eba lidem s cukrovkou. Nebo epileptik\u016fm. Spousta z nich nedodr\u017euje zdravou \u017eivotospr\u00e1vu a t\u00edm si zhor\u0161uje stav. A p\u0159esto maj\u00ed n\u00e1rok na propl\u00e1cen\u00ed l\u00e9k\u016f. Nikde toto omezen\u00ed neexistuje, jen u CHOPN.<\/p>\n<p>&#8211; Pro\u010d?<\/p>\n<p>Nech\u00e1pu to. Asi jde o lidskou omezenost a \u0161et\u0159en\u00ed. Tak\u00e9 poji\u0161\u0165ovny \u0161et\u0159\u00ed.<\/p>\n<p>&#8211; P\u0159ib\u00fdv\u00e1 nemocn\u00fdch s CHOPN?<\/p>\n<p>Ano. Pom\u011brn\u011b v\u00fdrazn\u011b. Dnes se p\u0159edpokl\u00e1d\u00e1, \u017ee je u n\u00e1s osm set tis\u00edc nemocn\u00fdch. Ale jen t\u0159etina, tedy asi dv\u011b st\u011b pades\u00e1t tis\u00edc, je v p\u00e9\u010di l\u00e9ka\u0159\u016f. Ti ostatn\u00ed o n\u00ed nev\u011bd\u00ed.<\/p>\n<p>&#8211; P\u0159ib\u00fdv\u00e1 i \u00famrt\u00ed na tuto chorobu?<\/p>\n<p>Ano. Zat\u00edmco v roce 2007 na ni zem\u0159elo dva tis\u00edce lid\u00ed, loni u\u017e to bylo t\u0159i tis\u00edce p\u011bt set lid\u00ed. I proto d\u011bl\u00e1me propaga\u010dn\u00ed akce, aby si lid\u00e9 za\u0161li na kontrolu. \u0158ada z nich nejde nikam, dokud nemaj\u00ed v\u00e1\u017en\u00e9 probl\u00e9my. I proto jsme vyzvali t\u0159i sta pades\u00e1t plicn\u00edch ambulanc\u00ed v \u010cesku, aby tento t\u00fdden, konkr\u00e9tn\u011b 24. listopadu, nab\u00eddly lidem bezplatn\u00e9 vy\u0161et\u0159en\u00ed, kter\u00e9 by nemoc odhalilo v\u010das.<\/p>\n<p>&#8211; D\u00e1 se n\u011bkde naj\u00edt jejich seznam?<\/p>\n<p>Ano. Na str\u00e1nk\u00e1ch pneumologie.cz, v sekci Pro ve\u0159ejnost.<\/p>\n<p>&#8211; Pokud v\u00edm, tak chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc je nevyl\u00e9\u010diteln\u00e1?<\/p>\n<p>To sice ano, ale je l\u00e9\u010diteln\u00e1. L\u00e9\u010dba nav\u00edc m\u016f\u017ee v\u00fdrazn\u011b zlep\u0161it stav a zm\u00edrnit obt\u00ed\u017ee.<\/p>\n<p>&#8211; A ty se u nel\u00e9\u010den\u00fdch lid\u00ed st\u00e1le zhor\u0161uj\u00ed?<\/p>\n<p>Ano, ale to zhor\u0161ov\u00e1n\u00ed m\u016f\u017ee b\u00fdt velice pozvoln\u00e9, i v \u0159\u00e1du let.<\/p>\n<p>&#8211; Jak l\u00e9\u010dba t\u00e9to choroby prob\u00edh\u00e1?<\/p>\n<p>Je rozd\u011blena do n\u011bkolika stup\u0148\u016f. Z\u00e1klad je stejn\u00fd pro v\u0161echny. Je to prevence. Pokud pacient kou\u0159\u00ed, m\u011bl by p\u0159estat. Do prevence spad\u00e1 i o\u010dkov\u00e1n\u00ed, hlavn\u011b proti ch\u0159ipce. Ta m\u016f\u017ee pr\u016fb\u011bh nemoci velmi zhor\u0161it. Druh\u00fd stupe\u0148 je inhala\u010dn\u00ed l\u00e9\u010dba, tedy inhal\u00e1tory, jak\u00e9 se pou\u017e\u00edvaj\u00ed p\u0159i astmatu. A pak je t\u0159et\u00ed stupe\u0148, kter\u00e9mu se \u0159\u00edk\u00e1 fenotypicky c\u00edlen\u00e1 l\u00e9\u010dba. A ta u\u017e je specifick\u00e1 u ka\u017ed\u00e9ho pacienta.<\/p>\n<p>&#8211; Tak\u017ee CHOPN m\u00e1 v\u00edce podob?<\/p>\n<p>Ano. Ka\u017ed\u00fd podtyp vy\u017eaduje ur\u010dit\u00e9 zvl\u00e1\u0161tn\u00ed l\u00e9ky. K z\u00e1kladn\u00edmu inhal\u00e1toru se p\u0159id\u00e1vaj\u00ed specifick\u00e9 protiz\u00e1n\u011btliv\u00e9 l\u00e9ky, l\u00e9ky na odka\u0161l\u00e1v\u00e1n\u00ed a podobn\u011b. A doporu\u010duje se dechov\u00e1 rehabilitace a cvi\u010den\u00ed.<\/p>\n<p>&#8211; T\u0159eba i j\u00f3ga?<\/p>\n<p>Tak\u00e9, ale jsou na to i speci\u00e1ln\u011b \u0161kolen\u00ed fyzioterapeuti. S nimi pacienti cvi\u010d\u00ed, jak d\u00fdchat do b\u0159icha, jak ovl\u00e1dat br\u00e1nici, kter\u00e1 je hlavn\u00edm d\u00fdchac\u00edm svalem, a jak relaxovat. Kdy\u017e \u010dlov\u011bk za\u010dne b\u00fdt du\u0161n\u00fd, tak za\u010dne zmatkovat. Je t\u0159eba se um\u011bt zklidnit.<\/p>\n<p>&#8211; Zm\u011bnila se l\u00e9\u010dba za posledn\u00ed l\u00e9ta?<\/p>\n<p>P\u0159ib\u00fdvaj\u00ed nov\u00e9 prepar\u00e1ty. D\u0159\u00edve se muselo inhalovat t\u0159eba p\u011btkr\u00e1t denn\u011b. Dnes sta\u010d\u00ed r\u00e1no a ve\u010der. Je to jednodu\u0161\u0161\u00ed.<\/p>\n<p>&#8211; A zm\u011bnila choroba n\u011bjak v\u00e1\u0161 pohled l\u00e9ka\u0159e na ni?<\/p>\n<p>Kdy\u017e jsem za\u010dal u\u017e\u00edvat l\u00e9ky na roz\u0161\u00ed\u0159en\u00ed pr\u016fdu\u0161ek, uv\u011bdomil jsem si, jak je d\u016fle\u017eit\u00e9 to, co klademe pacient\u016fm na srdce, aby se spr\u00e1vn\u011b nau\u010dili ovl\u00e1dat inhal\u00e1tor.<\/p>\n<p>&#8211; Zm\u00ednil jste, \u017ee v\u00e1s nemoc tolik neomezuje. To je asi d\u00e1no i t\u00edm, \u017ee jste si ji v\u010das diagnostikoval. Jak ale omezuje v p\u0159\u00edpad\u011b, \u017ee se na ni nep\u0159ijde tak brzy?<\/p>\n<p>Krom\u011b zm\u00edn\u011bn\u00e9 du\u0161nosti a ka\u0161le mus\u00ed m\u00edt pacient u sebe st\u00e1le rychle p\u016fsob\u00edc\u00ed inhala\u010dn\u00ed l\u00e9k. Lid\u00e9, kte\u0159\u00ed u\u017e jsou v hodn\u011b pokro\u010dil\u00e9m stadiu nemoci, mus\u00ed b\u00fdt na dom\u00e1c\u00edm pod\u00e1v\u00e1n\u00ed kysl\u00edku.<\/p>\n<p>&#8211; Na kysl\u00edkov\u00e9 bomb\u011b?<\/p>\n<p>Ano. Maj\u00ed doma p\u0159\u00edstroj, kter\u00fd jim vyr\u00e1b\u00ed kysl\u00edk. Je zapojen\u00fd do elekt\u0159iny. A oni mus\u00ed alespo\u0148 \u0161estn\u00e1ct hodin denn\u011b inhalovat. To je v\u00fdznamn\u00e9 omezen\u00ed. A v posledn\u00ed \u0159ad\u011b pak m\u016f\u017ee p\u0159ij\u00edt i transplantace plic.<\/p>\n<p>&#8211; Mysl\u00edte si, \u017ee bude n\u011bkdy tato choroba \u00fapln\u011b vyl\u00e9\u010diteln\u00e1?<\/p>\n<p>To bych byl asi p\u0159\u00edli\u0161 velk\u00fd optimista. Sp\u00ed\u0161 si mysl\u00edm, \u017ee ne. Ale asi budou ji\u017e brzy existovat je\u0161t\u011b lep\u0161\u00ed a \u00fa\u010dinn\u011bj\u0161\u00ed kombinovan\u00e9 l\u00e9ky, kter\u00e9 bude sta\u010dit u\u017e\u00edvat jen r\u00e1no.<\/p>\n<p>&#8212;<\/p>\n<p>L\u00e9ka\u0159 a pacient Stanislav Kos vedl p\u0159es 33 let L\u00e9\u010debnu tuberkul\u00f3zy a respira\u010dn\u00edch nemoc\u00ed v Janov\u011b u Rokycan. Dvan\u00e1ct let byl p\u0159edsedou \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti a st\u00e1le je \u010dlenem jej\u00edho v\u00fdboru. Pot\u00e9 spoluzalo\u017eil \u010cesk\u00fd ob\u010dansk\u00fd spolek proti plicn\u00edm nemocem. P\u016fsob\u00ed v n\u011bm jako p\u0159edseda. P\u0159ed p\u011bti let zjistil, \u017ee m\u00e1 chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc, kterou s\u00e1m l\u00e9\u010dil.<\/p>\n<p>O autorovi: Tereza Bla\u017ekov\u00e1, redaktorka MF DNES<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>L\u00e9\u010dil lidi s nemoc\u00ed ku\u0159\u00e1k\u016f a pak ji s\u00e1m dostal. &#8222;Chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc toti\u017e postihuje i patn\u00e1ct procent neku\u0159\u00e1k\u016f, \u0159\u00edk\u00e1 Stanislav Kos.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":16097,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-26750","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\/26750","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=26750"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26750\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16097"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26750"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}