Roztrou\u0161en\u00e1 skler\u00f3za (RS) je chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, jeho\u017e p\u0159\u00ed\u010dina nen\u00ed doposud zn\u00e1ma. V \u010cesku postihuje asi osmn\u00e1ct tis\u00edc lid\u00ed a zhruba tis\u00edc jich ro\u010dn\u011b nov\u011b p\u0159ibude.<\/p>\n
V centru, kde se nemoc l\u00e9\u010d\u00ed, na Neurologick\u00e9 klinice V\u0161eobecn\u00e9 fakultn\u00ed nemocnice (VFN) v Praze, te\u010f maj\u00ed dva nejmodern\u011bj\u0161\u00ed p\u0159\u00edstroje pro diagnostiku a l\u00e9\u010dbu tohoto onemocn\u011bn\u00ed.
\nNemoc se m\u016f\u017ee projevovat r\u016fzn\u011b \u2013 poruchami zraku, citlivosti a hybnosti, dvojit\u00fdm vid\u011bn\u00edm, pohybov\u00fdmi probl\u00e9my, t\u0159esem \u010di poruchami mo\u010den\u00ed. Nemoc je zat\u00edm nevyl\u00e9\u010diteln\u00e1. Po v\u010dasn\u00e9m nasazen\u00ed biologick\u00e9 l\u00e9\u010dby a spr\u00e1vn\u00fdch rehabilita\u010dn\u00edch technik v\u0161ak m\u016f\u017ee \u010dlov\u011bk d\u00e1l pracovat a \u017e\u00edt plnohodnotn\u00fd \u017eivot. V opa\u010dn\u00e9m p\u0159\u00edpad\u011b hroz\u00ed rychlej\u0161\u00ed rozvoj onemocn\u011bn\u00ed \u010di z\u00e1va\u017en\u00e9 posti\u017een\u00ed.
\n„Onemocn\u011bn\u00ed propuk\u00e1 v\u011bt\u0161inou v mlad\u0161\u00edm v\u011bku, \u010dast\u011bji postihuje \u017eeny. Typick\u00e9 je pro n\u011bj st\u0159\u00edd\u00e1n\u00ed obdob\u00ed z\u00e1chvat\u016f a obdob\u00ed zd\u00e1nliv\u00e9ho klidu. Tento proces je nep\u0159edv\u00eddateln\u00fd, a proto i l\u00e9\u010dba \u010di prevence jsou t\u011b\u017ek\u00e9,“ vysv\u011btluje prof. MUDr. Eva Havrdov\u00e1, vedouc\u00ed RS centra Neurologick\u00e9 kliniky VFN.
\nV sou\u010dasn\u00e9 dob\u011b se v \u010cesk\u00e9 republice s roztrou\u0161enou skler\u00f3zou pot\u00fdk\u00e1 kolem 18 tis\u00edc lid\u00ed, z toho p\u0159ibli\u017en\u011b 50 d\u011bt\u00ed. Ro\u010dn\u011b p\u0159ib\u00fdv\u00e1 zhruba tis\u00edc dal\u0161\u00edch pacient\u016f. Podle epidemiologick\u00fdch pr\u016fzkum\u016f je v \u010cR nejv\u00edce pacient\u016f s roztrou\u0161enou skler\u00f3zou na severu \u010cech. L\u00e9ka\u0159i to p\u0159isuzuj\u00ed zhor\u0161en\u00e9mu \u017eivotn\u00edmu prost\u0159ed\u00ed v t\u00e9to oblasti.
\nNa cel\u00e9m sv\u011bt\u011b trp\u00ed nemoc\u00ed 2,5 mili\u00f3nu pacient\u016f. Nemoc se vyskytuje hlavn\u011b ve st\u0159edn\u00edch a chladn\u011bj\u0161\u00edch zem\u011bpisn\u00fdch \u0161\u00ed\u0159k\u00e1ch. Rizikov\u00fdmi faktory nemoci jsou, krom\u011b genetick\u00e9 dispozice, EB virus (zp\u016fsobuj\u00edc\u00ed infek\u010dn\u00ed mononukle\u00f3zu), kou\u0159en\u00ed a nedostatek vitam\u00ednu D.<\/p>\n
Netradi\u010dn\u00ed d\u00e1rek<\/p>\n
Netradi\u010dn\u00ed v\u00e1no\u010dn\u00ed d\u00e1rek obdr\u017eela VFN v Praze od Nada\u010dn\u00edho fondu IMPULS. Dva modern\u00ed p\u0159\u00edstroje pro diagnostiku a l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy za v\u00edce ne\u017e t\u0159i mili\u00f3ny korun poslou\u017e\u00ed pacient\u016fm RS centra zdej\u0161\u00ed neurologick\u00e9 kliniky.
\n„Obdr\u017eeli jsme vy\u0161et\u0159ovac\u00ed syst\u00e9m GAITRite, speci\u00e1ln\u00ed koberec na m\u011b\u0159en\u00ed ch\u016fze, kter\u00e1 b\u00fdv\u00e1 u pacient\u016f s roztrou\u0161enou skler\u00f3zou nejv\u00edce posti\u017eena. Druh\u00fd p\u0159\u00edstroj, Spectralis, umo\u017e\u0148uje rychl\u00e9 a nadstandardn\u00ed vy\u0161et\u0159en\u00ed o\u010dn\u00ed s\u00edtnice, kter\u00e9 odhaluje velmi \u010dast\u00e1 zrakov\u00e1 posti\u017een\u00ed. Jedn\u00e1 se tedy o p\u0159\u00edstroje, kter\u00e9 n\u00e1m pomohou rychle a efektivn\u011b vyhodnotit \u00fa\u010dinnost l\u00e9\u010dby, a v kone\u010dn\u00e9m d\u016fsledku tak u\u0161et\u0159it pacient\u016fm \u010das a st\u00e1tu pen\u00edze,“ sd\u011blila Pr\u00e1vu Dana Jur\u00e1skov\u00e1, \u0159editelka V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze.<\/p>\n
O\u010di a koberec<\/p>\n
Optick\u00e1 koheren\u010dn\u00ed tomografie (OCT) umo\u017e\u0148uje rychl\u00e9, bezdotykov\u00e9 vy\u0161et\u0159en\u00ed s\u00edtnice. P\u0159\u00edstroj Spectralis, kter\u00fd je p\u0159edstavitelem spektr\u00e1ln\u011b dom\u00e9nov\u00e9 OCT, tedy pat\u0159\u00ed ke \u0161pi\u010dce t\u011bchto za\u0159\u00edzen\u00ed, umo\u017enil zalo\u017een\u00ed OCT laborato\u0159e v RS centru V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze.
\n„Vy\u0161et\u0159en\u00ed pomoc\u00ed OCT slou\u017e\u00ed zejm\u00e9na ke zhodnocen\u00ed m\u00edry po\u0161kozen\u00ed s\u00edtnice, ke kter\u00e9mu u pacient\u016f s RS doch\u00e1z\u00ed jednak p\u0159i akutn\u00edch z\u00e1n\u011btech o\u010dn\u00edho nervu, jednak i pomal\u00fdm procesem neurodegenerace. Proto\u017ee je OCT neinvazivn\u00ed, rychl\u00e1, p\u0159esn\u00e1 a pro lidsk\u00e9 t\u011blo celkov\u011b nezat\u011b\u017euj\u00edc\u00ed, je ide\u00e1ln\u00ed vy\u0161et\u0159ovac\u00ed metodou z hlediska l\u00e9ka\u0159e i pacienta,“ vysv\u011btluje prof. MUDr. Eva Havrdov\u00e1, vedouc\u00ed RS centra Neurologick\u00e9 kliniky VFN.
\nVy\u0161et\u0159ovac\u00ed syst\u00e9m GAITRite je speci\u00e1ln\u00ed koberec pro m\u011b\u0159en\u00ed \u010dasoprostorov\u00fdch parametr\u016f ch\u016fze, kter\u00fd se vyu\u017e\u00edv\u00e1 zejm\u00e9na pro m\u011b\u0159en\u00ed neurologick\u00fdch, rehabilita\u010dn\u00edch nebo ortopedick\u00fdch pacient\u016f. V koberci jsou vlo\u017eeny senzory, kter\u00e9 sn\u00edmaj\u00ed d\u00e9lku jednotliv\u00fdch krok\u016f a d\u00e9lku trv\u00e1n\u00ed jednotliv\u00fdch f\u00e1z\u00ed kroku. Koberec je p\u0159ipojen k notebooku se speci\u00e1ln\u00edm softwarem, na n\u011bm\u017e se vy\u0161et\u0159uj\u00edc\u00edmu okam\u017eit\u011b zobrazuj\u00ed v\u00fdsledky vy\u0161et\u0159en\u00ed ch\u016fze. D\u00edky p\u0159esn\u00e9mu m\u011b\u0159en\u00ed, kter\u00e9 syst\u00e9m GAITRite poskytuje, m\u016f\u017ee b\u00fdt p\u0159esn\u011bji zhodnocen vliv farmakologick\u00e9 nebo rehabilita\u010dn\u00ed l\u00e9\u010dby na parametry ch\u016fze.<\/p>\n
Pe\u010duj\u00ed o 4500 pacient\u016f<\/p>\n
RS centrum Neurologick\u00e9 kliniky V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze bylo zalo\u017eeno jako prvn\u00ed z celkem 15 RS center v \u010cesk\u00e9 republice.
\nV sou\u010dasn\u00e9 dob\u011b pe\u010duje o v\u00edce ne\u017e 4500 pacient\u016f a pat\u0159\u00ed k jedn\u011bm z m\u00e1la pracovi\u0161\u0165, kter\u00e1 poskytuj\u00ed komplexn\u00ed p\u00e9\u010di zahrnuj\u00edc\u00ed i p\u00e9\u010di fyzioterapeut\u016f, psychoterapeuta \u010di odborn\u00e9 soci\u00e1ln\u00ed poradenstv\u00ed. U jeho zrodu st\u00e1l i Nada\u010dn\u00ed fond IMPULS. „RS centrum V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze podporujeme stabiln\u011b od roku 2001. Za tuto dobu jsme v\u011bnovali vybaven\u00ed, l\u00e9\u010debn\u00e9 a rehabilita\u010dn\u00ed p\u0159\u00edstroje \u010di finan\u010dn\u00ed p\u0159\u00edsp\u011bvky ve v\u00fd\u0161i v\u00edce ne\u017e dev\u011bt mili\u00f3n\u016f korun. Jak se uk\u00e1zalo, funguj\u00edc\u00ed spolupr\u00e1ce mezi neziskov\u00fdm sektorem a nemocnic\u00ed pom\u016f\u017ee zajistit pacient\u016fm slu\u017eby, na kter\u00e9 nezb\u00fdvaj\u00ed pen\u00edze z ve\u0159ejn\u00fdch zdroj\u016f,“ dopl\u0148uje Ing. Kate\u0159ina B\u00e9mov\u00e1, p\u0159edsedkyn\u011b spr\u00e1vn\u00ed rady NF IMPULS.<\/p>\n
Pr\u00e1vo<\/p>\n","protected":false},"excerpt":{"rendered":"
Roztrou\u0161en\u00e1 skler\u00f3za (RS) je chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, jeho\u017e p\u0159\u00ed\u010dina nen\u00ed doposud zn\u00e1ma. V \u010cesku postihuje asi osmn\u00e1ct tis\u00edc lid\u00ed a zhruba tis\u00edc […]<\/a><\/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-26992","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26992","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=26992"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26992\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26992"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26992"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26992"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}