S revmatoidn\u00ed artritidou se u n\u00e1s pot\u00fdk\u00e1 p\u0159es 85 tis\u00edc lid\u00ed, ka\u017edoro\u010dn\u011b jich kolem \u010dty\u0159 tis\u00edcovek p\u0159ibude.<\/p>\n
Revma je star\u0161\u00ed, obecn\u00fd a nep\u0159\u00edli\u0161 p\u0159esn\u00fd v\u00fdraz pro \u0159adu revmatick\u00fdch onemocn\u011bn\u00ed. K nej\u010dast\u011bj\u0161\u00edm pat\u0159\u00ed revmatoidn\u00ed artritida, kter\u00e9 se proto \u010dasto \u0159\u00edk\u00e1 pouze „revma“. Jde o bolestiv\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed postihuj\u00edc\u00ed \u010dast\u011bji \u017eeny ne\u017e mu\u017ee.<\/p>\n
VYL\u00c9\u010cIT SE NED\u00c1<\/p>\n
Choroba \u010dasto propuk\u00e1 u\u017e v mlad\u0161\u00edm v\u011bku, nej\u010dast\u011bji se prvn\u00ed p\u0159\u00edznaky objev\u00ed mezi 30. a\u017e 50. rokem. Za\u010d\u00edn\u00e1 to obvykle ztuhlost\u00ed a bolestiv\u00fdmi otoky nejprve drobn\u00fdch kloub\u016f na rukou a z\u00e1p\u011bst\u00ed.
\nAle posti\u017eeny m\u016f\u017eou b\u00fdt tak\u00e9 velk\u00e9 klouby (ramena, kolena, ky\u010dle) i p\u00e1te\u0159 a nemoc v\u00fdjime\u010dn\u011b zas\u00e1hne tak\u00e9 vnit\u0159n\u00ed org\u00e1ny nebo o\u010di. Nad\u011bj\u00ed pro nemocn\u00e9 je v\u010dasn\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby, kter\u00e1 dok\u00e1\u017ee dal\u0161\u00edmu po\u0161kozen\u00ed kloub\u016f zabr\u00e1nit, rozvoj nemoci pozastavit a dostat ji do bezp\u0159\u00edznakov\u00e9 f\u00e1ze (remise). \u00dapln\u011b vyl\u00e9\u010dit v\u0161ak revmatoidn\u00ed artritidu zat\u00edm medic\u00edna nedovede.<\/p>\n
CHYBA V SYST\u00c9MU<\/p>\n
Toto onemocn\u011bn\u00ed pat\u0159\u00ed mezi tzv. autoimunitn\u00ed (stejn\u011b jako nap\u0159. roztrou\u0161en\u00e1 skler\u00f3za). To znamen\u00e1, \u017ee imunitn\u00ed syst\u00e9m posti\u017een\u00e9ho za\u010dne pracovat chybn\u011b \u2013 napad\u00e1 klouby vlastn\u00edho t\u011bla a vyvol\u00e1v\u00e1 chronick\u00fd z\u00e1n\u011bt, kter\u00fd je trvale po\u0161kozuje. D\u016fsledkem toho je pak v\u00fdrazn\u011b omezen\u00e1 hybnost, bolestivost a otoky.<\/p>\n
\u010c\u00cdM TO M\u016e\u017dE B\u00ddT<\/p>\n
P\u0159\u00ed\u010diny, pro\u010d se u n\u011bkoho imunitn\u00ed syst\u00e9m takto chybn\u011b zachov\u00e1, zat\u00edm odborn\u00edci p\u0159esn\u011b neznaj\u00ed. Je jist\u00e9, \u017ee svou roli hraj\u00ed d\u011bdi\u010dn\u00e9 vlivy \u2013 pravd\u011bpodobnost, \u017ee se u potomk\u016f \u010dlov\u011bka trp\u00edc\u00edho revmatickou artritidou choroba projev\u00ed tak\u00e9, je pom\u011brn\u011b velk\u00e1. K rizikov\u00fdm faktor\u016fm pat\u0159\u00ed tak\u00e9 n\u011bkter\u00e9 prod\u011blan\u00e9 infekce, e, kou\u0159en\u00ed \u010di nadv\u00e1ha.<\/p>\n
V\u010cASN\u00c1 DIAGN\u00d3ZA<\/p>\n
Ta je rozhoduj\u00edc\u00ed! \u010c\u00edm d\u0159\u00edv se zah\u00e1j\u00ed l\u00e9\u010dba, t\u00edm sp\u00ed\u0161 se poda\u0159\u00ed zabr\u00e1nit \u00fapln\u00e9 destrukci kloub\u016f.
\nProto jakmile poc\u00edt\u00edte i mal\u00e9 pot\u00ed\u017ee, n\u00e1v\u0161t\u011bvu revmatologa neodkl\u00e1dejte. Mo\u017enost\u00ed terapie nab\u00edz\u00ed sou\u010dasn\u00e1 medic\u00edna v\u00edce a l\u00e9ka\u0159 by v\u00e1s m\u011bl infor informovat o v\u0161ech a v\u0161e v\u00e1m d\u016fkladn\u011b vysv\u011btlit.<\/p>\n
MO\u017dNOSTI TERAPIE<\/p>\n
Nefarmakologick\u00e1 l\u00e9\u010dba spo\u010d\u00edv\u00e1 hlavn\u011b v re\u017eimov\u00fdch opat\u0159en\u00edch, rehabilitac\u00edch, motivaci ke cvi\u010den\u00ed, pop\u0159. soci\u00e1ln\u00edch opat\u0159en\u00edch. P\u0159i farmakoterapii se m\u016f\u017eou pod\u00e1vat nesteroidn\u00ed antirevmatika, va, analgetika, glukokortikoidy, syntetick\u00e9 chorobu u modifikuj\u00edc\u00ed l\u00e9ky (DMARD), biologick\u00e9 l\u00e9ky a pomocn\u00e9 p\u0159\u00edpravky (antipyretika, antidepresiva, vitaminy).
\nTzv. biologick\u00e9 l\u00e9ky jsou nejmodern\u011bj\u0161\u00ed p\u0159\u00edpravky vyroben\u00e9 \u00e9 speci\u00e1ln\u00edmi postupy py z bun\u011bk \u017eiv\u00fdch organism\u016f. Pou\u017e\u00edvaj\u00ed se k l\u00e9\u010db\u011b \u0159ady chorob, t\u011bm na artritidu se \u0159\u00edk\u00e1 „antiantiou -TN TNF“. Bohu\u017eel jsou drah\u00e9, proto je u n\u00e1s dra \u00e1s zat\u00edm poji\u0161\u0165ovny hrad\u00ed zat rad\u00ed jen pacient\u016fm s nejt\u011b\u017e\u0161\u00edm stupn\u011bm nemoci.<\/p>\n
PTEJTE SE<\/p>\n
Revmatolog l\u00e9ky r\u016fzn\u011b kombinuje e a m\u011bn\u00ed. Nebojte se ho pt\u00e1t, pro\u010d to \u010di ono p no d\u011bl\u00e1. Nikdy bez jeho svolen\u00ed N volen\u00ed nep\u0159est\u00e1vejte p\u0159edepsan\u00e9 psan\u00e9 l\u00e9ky br\u00e1t ani si sami l\u00e9k mi nic „ne neordinujte“.<\/p>\n
POHYB JE NUTN\u00dd N\u00dd<\/p>\n
P\u0159esto\u017ee revma bol\u00ed, je pravideln\u00fd pohyb nezbytn\u00fd kv\u016fli v\u016fli zachov\u00e1n\u00ed svalov\u00e9 s\u00edly a rozsahu hybnosti i kloub\u016f. Vhodn\u00e9 pohybov\u00e9 aktivity v\u00e1m individu\u00e1ln\u011b doporu\u010d\u00ed v\u00e1\u0161 fyzioterapeut. *<\/p>\n
V\u011bt\u0161\u00ed \u0161ance Na nemoc upozor\u0148uje spole\u010dn\u00e1 kampa\u0148 pacientsk\u00e9 organizace Revma liga a \u00dastavu l\u00e9kov\u00e9ho pr\u016fvodce s n\u00e1zvem Revma v\u00fdzva \u2013 druh\u00e9 pod\u00e1n\u00ed. C\u00edlem kampan\u011b je mimo jin\u00e9 dos\u00e1hnout toho, aby byla biologick\u00e1 l\u00e9\u010dba dostupn\u00e1 v\u011bt\u0161\u00edmu mno\u017estv\u00ed pacient\u016f ne\u017e dosud. V\u00edce informac\u00ed na www.revmavyzva.cz.<\/p>\n
N\u00c1ZOR ODBORN\u00cdKA V nejnov\u011bj\u0161\u00edch doporu\u010den\u00edch na\u0161\u00ed odborn\u00e9 Revmatologick\u00e9 spole\u010dnosti hovo\u0159\u00edme o tzv. principu „l\u00e9\u010dby k c\u00edli“. V praxi jde o to, \u017ee mus\u00edme pacienta za\u010d\u00edt l\u00e9\u010dit intenzivn\u011b u\u017e v za\u010d\u00e1tku nemoci a pravideln\u011b sledovat aktivitu choroby. Sna\u017e\u00edme se postupn\u011b nasadit v\u0161echny dostupn\u00e9 prost\u0159edky, abychom nemoc co nejrychleji dostali do bezp\u0159\u00edznakov\u00e9ho obdob\u00ed neboli remise. Jen tak m\u016f\u017eeme zabr\u00e1nit dal\u0161\u00edmu po\u0161kozen\u00ed kloub\u016f.<\/p>\n
Prof. MUDr. Ji\u0159\u00ed Vencovsk\u00fd, DrSc., \u010cLS JEP<\/p>\n
Hana Primusov\u00e1
\nChvilka pro tebe<\/p>\n","protected":false},"excerpt":{"rendered":"
S revmatoidn\u00ed artritidou se u n\u00e1s pot\u00fdk\u00e1 p\u0159es 85 tis\u00edc lid\u00ed, ka\u017edoro\u010dn\u011b jich kolem \u010dty\u0159 tis\u00edcovek p\u0159ibude.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26811","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26811","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=26811"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26811\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}