{"id":27619,"date":"2017-03-21T11:45:09","date_gmt":"2017-03-21T10:45:09","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27619"},"modified":"2017-03-21T11:45:09","modified_gmt":"2017-03-21T10:45:09","slug":"zvrat-v-lecbe-roztrousene-sklerozy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27619","title":{"rendered":"Zvrat v l\u00e9\u010db\u011b roztrou\u0161en\u00e9 skler\u00f3zy"},"content":{"rendered":"<p><strong>\u010cesk\u00fd l\u00e9ka\u0159 vedl mezin\u00e1rodn\u00ed v\u00fdzkum, kter\u00fd m\u016f\u017ee z\u00e1sadn\u011b zm\u011bnit l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy. D\u00edky nov\u00e9mu l\u00e9ku mohou pacienti \u017e\u00edt t\u00e9m\u011b\u0159 norm\u00e1ln\u011b.<\/strong> <!--more--><\/p>\n<p>PRAHA Z\u00e1ke\u0159n\u00e1 nemoc, kter\u00e1 \u010dasto ude\u0159\u00ed v ran\u00e9m ml\u00e1d\u00ed kolem dvaceti let. Pokud \u010dlov\u011bk nedostane v\u010das vhodn\u00e9 l\u00e9ky, m\u016f\u017ee skon\u010dit na invalidn\u00edm voz\u00edku. Ale i v\u010dasn\u00e1 l\u00e9\u010dba je\u0161t\u011b neznamen\u00e1, \u017ee pacientovi l\u00e9ky skute\u010dn\u011b zaberou.<\/p>\n<p>Te\u010f maj\u00ed l\u00e9ka\u0159i proti roztrou\u0161en\u00e9 skler\u00f3ze dal\u0161\u00ed zbra\u0148. T\u00fdm \u010desk\u00e9ho l\u00e9ka\u0159e Tom\u00e1\u0161e Kalin\u010d\u00edka zjistil, \u017ee l\u00e9k alemutuzab velmi dob\u0159e zab\u00edr\u00e1 u pacient\u016f s ranou formou nemoci.<\/p>\n<p>Porovn\u00e1val \u00fa\u010dinky dev\u00edti l\u00e9k\u016f na v\u00edce ne\u017e \u010dty\u0159ech tis\u00edc\u00edch pacient\u016f v jedenadvaceti zem\u00edch sv\u011bta.<\/p>\n<p>&#8222;Zjistili jsme, \u017ee tento l\u00e9k dok\u00e1\u017ee n\u011bkter\u00fdm pacient\u016fm s po\u010d\u00ednaj\u00edc\u00ed roztrou\u0161enou skler\u00f3zou zajistit \u017eivot bez p\u0159\u00edznak\u016f,&#8220; uvedl pro MF DNES Tom\u00e1\u0161 Kalin\u010d\u00edk, jeho\u017e studii otiskl presti\u017en\u00ed v\u011bdeck\u00fd \u010dasopis The Lancet Neurology. Podobn\u00e9 \u010dasopisy p\u0159itom publikuj\u00ed jen pr\u016flomov\u00e9 studie. Pacienti s roztrou\u0161enou skler\u00f3zou trp\u00ed nap\u0159\u00edklad t\u011b\u017ek\u00fdmi poruchami zraku, nehybnost\u00ed nohou a rukou. N\u011bkte\u0159\u00ed z nich jsou pln\u011b z\u00e1visl\u00ed na pomoci druh\u00fdch.<\/p>\n<p>L\u00e9k pot\u0159ebuje v\u00edc pacient\u016f Doktor Kalin\u010d\u00edk, kter\u00fd dnes p\u016fsob\u00ed v australsk\u00e9m Melbourne, spolupracoval na v\u00fdzkumu s neurologickou klinikou pra\u017esk\u00e9 V\u0161eobecn\u00e9 fakultn\u00ed nemocnice. Klinika poskytla mezin\u00e1rodn\u00edmu v\u00fdzkumu kl\u00ed\u010dov\u00e1 data d\u00edky \u010desk\u00e9mu celost\u00e1tn\u00edmu registru pacient\u016f ReMuS. &#8222;Alemutuzab nen\u00ed nov\u00fd l\u00e9k, je u\u017e na trhu n\u011bkolik let. Studie potvrzuje, \u017ee je pro pacienty s \u010dasnou formou nemoci vysoce \u00fa\u010dinn\u00fd,&#8220; potvrzuje docentka Dana Hor\u00e1kov\u00e1 z VFN.<\/p>\n<p>\u00da\u010dinky tohoto l\u00e9ku pozorovala i na jednom ze sv\u00fdch pacient\u016f na klinice. &#8222;T\u0159icetilet\u00fd pacient m\u011bl kv\u016fli roztrou\u0161en\u00e9 skler\u00f3ze t\u011b\u017ek\u00e9 posti\u017een\u00ed &#8211; t\u00e9m\u011b\u0159 oslepl a kv\u016fli nemoci se nemohl norm\u00e1ln\u011b h\u00fdbat. Pot\u00e9, co jsme mu nasadili l\u00e9\u010dbu t\u00edmto l\u00e9kem, p\u0159\u00edznaky odezn\u011bly, dnes se c\u00edt\u00ed mnohem l\u00e9pe,&#8220; poznamen\u00e1v\u00e1 docentka Hor\u00e1kov\u00e1.<\/p>\n<p>Pacient p\u0159itom nemus\u00ed te\u010f br\u00e1t u\u017e \u017e\u00e1dn\u00e9 dal\u0161\u00ed l\u00e9ky. Nem\u00e1 vyhr\u00e1no &#8211; vyl\u00e9\u010den\u00fd nen\u00ed, ale m\u00e1 vysokou \u0161anci, \u017ee n\u00e1sleduj\u00edc\u00edch p\u011bt let pro\u017eije kvalitn\u00ed \u017eivot. A pokud pot\u00e9 dostane l\u00e9k znovu, postup nemoci se pravd\u011bpodobn\u011b op\u011bt odd\u00e1l\u00ed.<\/p>\n<p>Stejnou \u0161anci m\u00e1 zhruba 80 procent pacient\u016f, kte\u0159\u00ed tento l\u00e9k dostanou. Oproti tomu &#8222;star\u00e9&#8220; l\u00e9ky maj\u00ed ve stejn\u00fdch p\u0159\u00edpadech jen polovi\u010dn\u00ed \u00fasp\u011bch. Modern\u00ed l\u00e9k je v\u0161ak velmi drah\u00fd &#8211; jedna l\u00e9\u010dba stoj\u00ed poji\u0161\u0165ovnu 1,5 milionu korun. Roztrou\u0161enou skler\u00f3zou trp\u00ed v \u010cesku celkem 17 tis\u00edc lid\u00ed.<\/p>\n<p>&#8222;Stovky pacient\u016f se dnes k modern\u00ed l\u00e9\u010db\u011b nedostanou. Z\u00e1kony jsou nastaven\u00e9 tak, \u017ee tyto l\u00e9ky dost\u00e1vaj\u00ed pacienti a\u017e pot\u00e9, co jim star\u0161\u00ed l\u00e9ky nepom\u016f\u017eou,&#8220; \u0159\u00edk\u00e1 pacientka V\u011bra Such\u00e1, kter\u00e1 z\u00e1rove\u0148 pracuje jako zdravotn\u00ed sestra na neurologii.<\/p>\n<p>Jej\u00ed slova potvrzuj\u00ed l\u00e9ka\u0159i. &#8222;Trendem by m\u011blo b\u00fdt, aby tuto l\u00e9\u010dbu dost\u00e1valo v\u00edce pacient\u016f ne\u017e dnes,&#8220; \u0159\u00edk\u00e1 tak\u00e9 neurolo\u017eka Hor\u00e1kov\u00e1.<\/p>\n<p>Ministerstvo zdravotnictv\u00ed i poji\u0161\u0165ovny na podobn\u00e9 n\u00e1mitky opakovan\u011b odpov\u00eddaj\u00ed, \u017ee probl\u00e9mem jsou omezen\u00e9 finance, kter\u00e9 zdravotnictv\u00ed m\u00e1.<\/p>\n<p>&#8212;<\/p>\n<p>17 tis\u00edc \u010cech\u016f trp\u00ed roztrou\u0161enou skler\u00f3zou. Modern\u00ed l\u00e9\u010dbu dost\u00e1v\u00e1 10 tis\u00edc z nich.<\/p>\n<p>1,5 milionu korun stoj\u00ed l\u00e9\u010dba alemutuzabem pro jednoho pacienta, \u00fa\u010dinkuje p\u011bt let.<\/p>\n<p>Iva Bezd\u011bkov\u00e1<br \/>\nMlad\u00e1 fronta Dnes<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cesk\u00fd l\u00e9ka\u0159 vedl mezin\u00e1rodn\u00ed v\u00fdzkum, kter\u00fd m\u016f\u017ee z\u00e1sadn\u011b zm\u011bnit l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy. D\u00edky nov\u00e9mu l\u00e9ku mohou pacienti \u017e\u00edt t\u00e9m\u011b\u0159 norm\u00e1ln\u011b.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14162,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27619","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\/27619","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=27619"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27619\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14162"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}