{"id":27003,"date":"2017-01-10T17:05:57","date_gmt":"2017-01-10T16:05:57","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27003"},"modified":"2017-01-10T17:05:57","modified_gmt":"2017-01-10T16:05:57","slug":"jak-rozpoznat-rakovinu-hlavy-a-krku-radi-primar-a-zdravotni-reditel-protonoveho-centra-mudr-jiri-kubes","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27003","title":{"rendered":"Jak rozpoznat rakovinu hlavy a krku, rad\u00ed prim\u00e1\u0159 a zdravotn\u00ed \u0159editel Protonov\u00e9ho centra MUDr. Ji\u0159\u00ed Kube\u0161"},"content":{"rendered":"<p><strong>\u017de je\u0161t\u011b v\u016fbec nev\u00edte, co to je rakovina hlavy a krku a kde v t\u011ble m\u016f\u017ee n\u00e1dor vzniknout? Rakovina hlavy a krku m\u016f\u017ee postihnout ka\u017ed\u00e9ho z n\u00e1s. Co to v\u016fbec je?<\/strong> <!--more--><\/p>\n<p>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.<\/p>\n<p>&#8222;Statistiky ukazuj\u00ed, \u017ee n\u00e1dory \u00fastn\u00ed \u010d\u00e1sti hltanu (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,&#8220; uvedl prim\u00e1\u0159 Protonov\u00e9ho centra MUDr. Kube\u0161.<\/p>\n<p>Kdo je ohro\u017een\u00fd rakovinou hlavy a krku?<\/p>\n<p>V ordinac\u00edch l\u00e9ka\u0159\u016f se bohu\u017eel \u010dast\u011bji objevuj\u00ed dokonce i lid\u00e9 mlad\u0161\u00edho v\u011bku. Data N\u00e1rodn\u00edho onkologick\u00e9ho registru ukazuj\u00ed, \u017ee je ka\u017ed\u00fd rok rakovina hlavy a krku nalezena u 1 500 mu\u017e\u016f a 430 \u017een, je tak des\u00e1t\u00fdm nej\u010dast\u011bji diagnostikovan\u00fdm typem rakoviny. &#8222;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 %&#8220;, dopl\u0148uje MUDr. Kube\u0161.<\/p>\n<p>Jsou PROTONY vhodn\u00e9 pro l\u00e9\u010dbu rakoviny hlavy a krku?<\/p>\n<p>Ano, jsou doporu\u010dov\u00e1ny a protonovou l\u00e9\u010dbu v \u010cesku poji\u0161\u0165ovny hrad\u00ed. \u00da\u010dinnost protonov\u00e9 terapie potvrzuj\u00ed celosv\u011btov\u00e9 studie p\u0159edn\u00edch onkologick\u00fdch center nap\u0159. americk\u00e9ho MD Anderson Cancer Center v Texasu. Ve srovn\u00e1n\u00ed s b\u011b\u017enou fotonovou l\u00e9\u010dbou umo\u017e\u0148uje l\u00e9\u010dba protonov\u00e1, a zejm\u00e9na pak technika tu\u017ekov\u00e9ho skenov\u00e1n\u00ed, kterou u n\u00e1s v Protonov\u00e9m centru m\u00e1me k dispozici, aplikovat vy\u0161\u0161\u00ed d\u00e1vky z\u00e1\u0159en\u00ed s lep\u0161\u00ed distribuc\u00ed. Proto je tato technika vysoce p\u0159\u00ednosn\u00e1 i pro komplikovan\u00e9 n\u00e1dory hlavy a krku. P\u0159esn\u00e1 d\u00e1vka protonov\u00e9ho z\u00e1\u0159en\u00ed umo\u017e\u0148uje chr\u00e1nit okoln\u00ed tk\u00e1\u0148 a sn\u00ed\u017eit riziko akutn\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f.<\/p>\n<p>Pro v\u0161echny onkologick\u00e9 pacienty, a zejm\u00e9na pak pro mlad\u00e9, to znamen\u00e1 \u0161anci na mnohem vy\u0161\u0161\u00ed kvalitu \u017eivota. S konven\u010dn\u00ed fotonovou l\u00e9\u010dbou je bohu\u017eel spojeno v\u00edce ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f a pacienti pot\u0159ebuj\u00ed nez\u0159\u00eddka i akutn\u00ed hospitalizaci, um\u011blou v\u00fd\u017eivu a \u010dast\u011bj\u0161\u00ed kontroly. V\u00fdsledky PTC jasn\u011b ukazuj\u00ed, \u017ee protonov\u00e1 l\u00e9\u010dba otev\u00edr\u00e1 zcela nov\u00e9 mo\u017enosti v l\u00e9\u010db\u011b n\u00e1dor\u016f hlavy a krku a nab\u00edz\u00ed pacient\u016fm \u0161anci na vyl\u00e9\u010den\u00ed s mnohem men\u0161\u00edmi ne\u017e\u00e1douc\u00edmi \u00fa\u010dinky.<\/p>\n<p>Srovn\u00e1n\u00ed protonov\u00e9 a klasick\u00e9 fotonov\u00e9 radioterapie d\u00e1v\u00e1 jednozna\u010dnou odpov\u011b\u010f, kde le\u017e\u00ed v\u00fdhody modern\u00ed l\u00e9\u010dby. Dokonce i pacient\u016fm s dosud velmi \u0161patn\u011b l\u00e9\u010diteln\u00fdmi n\u00e1dory ulo\u017een\u00fdmi v bl\u00edzkosti zdrav\u00fdch tk\u00e1n\u00ed a s omezenou toleranc\u00ed k z\u00e1\u0159en\u00ed (zrakov\u00fd nerv, s\u00edtnice, zrakov\u00e9 chiasma, mozkov\u00fd kmen, m\u00edcha) nab\u00edz\u00ed protonov\u00e1 terapie zcela novou \u0161anci na vyl\u00e9\u010den\u00ed. Lze ji aplikovat jako radik\u00e1ln\u00ed terapii pro lokalizovan\u00e9 nebo lok\u00e1ln\u011b pokro\u010dil\u00e9 n\u00e1dory vedlej\u0161\u00edch dutin nosn\u00edch, nosohltanu a slinn\u00fdch \u017el\u00e1z a adjuvantn\u00ed nebo salvage radioterapii po operaci.<\/p>\n<p>Barbora Richterov\u00e1<br \/>\nParlamentn\u00ed Listy<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u017de je\u0161t\u011b v\u016fbec nev\u00edte, co to je rakovina hlavy a krku a kde v t\u011ble m\u016f\u017ee n\u00e1dor vzniknout? Rakovina hlavy a krku m\u016f\u017ee postihnout ka\u017ed\u00e9ho <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27003\" title=\"Jak rozpoznat rakovinu hlavy a krku, rad\u00ed prim\u00e1\u0159 a zdravotn\u00ed \u0159editel Protonov\u00e9ho centra MUDr. Ji\u0159\u00ed Kube\u0161\">[&#8230;]<\/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-27003","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27003","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=27003"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27003\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27003"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}