{"id":28307,"date":"2017-05-24T08:39:37","date_gmt":"2017-05-24T06:39:37","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28307"},"modified":"2017-05-24T08:39:37","modified_gmt":"2017-05-24T06:39:37","slug":"senioru-s-nadory-krve-pribyva-lecba-je-draha","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28307","title":{"rendered":"Senior\u016f s n\u00e1dory krve p\u0159ib\u00fdv\u00e1 \u2013 l\u00e9\u010dba je drah\u00e1"},"content":{"rendered":"<p><strong>Do kolika let je mo\u017en\u00e9 l\u00e9\u010dit pacienty s poruchou krvetvorby? To je hlavn\u00edm t\u00e9matem Olomouck\u00fdch hematologick\u00fdch dn\u016f, nejv\u011bt\u0161\u00edho hematologick\u00e9ho kongresu, kam se sjede p\u0159es 700 specialist\u016f z cel\u00e9 \u010cesk\u00e9 republiky. Spole\u010dn\u011b budou \u0159e\u0161it, zda existuj\u00ed v\u011bkov\u00e9 limity pro nasazen\u00ed drah\u00e9 l\u00e9\u010dby nemocn\u00fdm, kte\u0159\u00ed bojuj\u00ed s hematologick\u00fdmi n\u00e1dory. Ty v tuzemsku zabij\u00ed v\u00edce ne\u017e 2 100 lid\u00ed ro\u010dn\u011b. Zat\u00edmco doposud l\u00e9ka\u0159i nasazovali intenzivn\u011bj\u0161\u00ed chemoterapii lidem do nejv\u00fd\u0161e 65 let v\u011bku, nyn\u00ed se tato hranice posouv\u00e1. Z nov\u00e9, c\u00edlen\u00e9 a biologick\u00e9 l\u00e9\u010dby, kter\u00e1 stoj\u00ed m\u011bs\u00ed\u010dn\u011b i 250 tis\u00edc korun, tak nov\u011b mohou profitovat i pacienti star\u0161\u00ed 70 let. Kongres letos za\u010dne symbolicky 28. kv\u011btna, co\u017e je Sv\u011btov\u00fd den n\u00e1dor\u016f krve.<\/strong><!--more--><\/p>\n<p>\u201ePr\u016fm\u011brn\u00e1 doba do\u017eit\u00ed v \u010cesk\u00e9 republice se ka\u017edoro\u010dn\u011b zvy\u0161uje a\u017e o 7 m\u011bs\u00edc\u016f. \u017deny se v pr\u016fm\u011bru do\u017e\u00edvaj\u00ed t\u00e9m\u011b\u0159 82 let a mu\u017ei 76 let. Do roku 2030 bude p\u0159ibli\u017en\u011b 25 % populace star\u0161\u00ed 70 let. Lid\u00e9 se tak sv\u00e9ho n\u00e1doru v nar\u016fstaj\u00edc\u00edm po\u010dtu p\u0159\u00edpad\u016f do\u017eij\u00ed. Na tento fakt mus\u00ed reagovat i medic\u00edna,\u201c uv\u00e1d\u00ed prezident sjezdu prof. MUDr. Tom\u00e1\u0161 Papaj\u00edk, CSc. \u201eNov\u00e9 l\u00e9ky jsou v\u00fdrazn\u011b \u00fa\u010dinn\u011bj\u0161\u00ed, ale l\u00e9\u010dba je drah\u00e1. Stoj\u00edme tedy st\u00e1le \u010dast\u011bji p\u0159ed volbou, komu a kdy l\u00e9ky nasadit a kdy u\u017e je t\u0159eba protin\u00e1dorov\u00e1 l\u00e9\u010dba ne\u00fa\u010deln\u00e1,\u201c dod\u00e1v\u00e1.<\/p>\n<p>Jedn\u00edm z p\u0159edn\u00e1\u0161ej\u00edc\u00edch bude i \u010desk\u00fd \u0159\u00edmskokatolick\u00fd kn\u011bz, teolog a p\u0159\u00edrodov\u011bdec Mgr. Marek V\u00e1cha, Ph.D. Jeho t\u00e9matem budou etick\u00e9 aspekty futiln\u00ed l\u00e9\u010dby, tedy kdy je\u0161t\u011b l\u00e9\u010dit a kdy u\u017e ne. \u201eNikdy nemluv\u00edme o ukon\u010den\u00ed l\u00e9\u010dby, proto\u017ee l\u00e9\u010dbu neukon\u010dujeme nikdy. Sp\u00ed\u0161e m\u011bn\u00edme l\u00e9\u010dbu kurativn\u00ed na l\u00e9\u010dbu paliativn\u00ed. Futiln\u00ed, tedy zbyte\u010dn\u00e1 nebo marn\u00e1 l\u00e9\u010dba, nast\u00e1v\u00e1 v p\u0159\u00edpad\u011b, kdy jsme nap\u0159\u00edklad tent\u00fd\u017e postup ji\u017e n\u011bkolikr\u00e1t zkusili, ov\u0161em bez v\u00fdsledku,\u201c \u0159\u00edk\u00e1 V\u00e1cha.<\/p>\n<p>\u201eSt\u00e1vaj\u00edc\u00ed l\u00e9\u010dba (chemoterapie) zat\u011b\u017euje velmi \u010dasto pacienta toxicitou v podob\u011b \u00fatlumu kostn\u00ed d\u0159en\u011b, po\u0161kozen\u00ed srdce, ledvin, plic, st\u0159eva, sliznic a infekc\u00ed. Jej\u00ed pod\u00e1n\u00ed je proto limitov\u00e1no v\u011bkem a stavem pacienta, resp. jeho p\u0159idru\u017een\u00fdmi chorobami. Nov\u00e9 l\u00e9ky jsou c\u00edlen\u00e9, v\u00fdrazn\u011b m\u00e9n\u011b toxick\u00e9 a p\u0159edev\u0161\u00edm dob\u0159e tolerovan\u00e9 i star\u0161\u00edmi pacienty. To znamen\u00e1, \u017ee m\u016f\u017eeme l\u00e9\u010dit mnohem v\u00edce pacient\u016f ne\u017e doposud, jeliko\u017e v\u011bkov\u00e1 hranice pacient\u016f t\u00e9m\u011b\u0159 neexistuje. \u0158ada n\u00e1dor\u016f se st\u00e1v\u00e1 \u201echronick\u00fdm\u201c onemocn\u011bn\u00edm, kdy je mo\u017en\u00e9 a nutn\u00e9 opakovat l\u00e9\u010dbu \u010di terapii pod\u00e1vat dlouhodob\u011b,\u201c \u0159\u00edk\u00e1 prof. MUDr. Tom\u00e1\u0161 Papaj\u00edk, CSc.<\/p>\n<p>Krom\u011b tohoto \u00fast\u0159edn\u00edho t\u00e9matu budou hematologov\u00e9 \u0159e\u0161it nap\u0159\u00edklad humanistickou psychoterapii a formy pr\u00e1ce s onkologick\u00fdmi pacienty \u010di p\u0159\u00edstup k l\u00e9\u010db\u011b senior\u016f s akutn\u00edmi a chronick\u00fdmi leuk\u00e9miemi. Sou\u010d\u00e1st\u00ed bude i setk\u00e1n\u00ed pacient\u016f, kter\u00e9 prob\u011bhne den p\u0159ed ofici\u00e1ln\u00edm za\u010d\u00e1tkem konference. Tento rok se Pacientsk\u00fd den ponese ve znamen\u00ed v\u00fdro\u010d\u00ed 20 let transplantac\u00ed kostn\u00ed d\u0159en\u011b na Hemato-onkologick\u00e9 klinice v Olomouci.<\/p>\n<p>Mezi nej\u010dast\u011bj\u0161\u00ed hematologick\u00e1 onemocn\u011bn\u00ed se \u0159ad\u00ed chronick\u00e1 lymfocyt\u00e1rn\u00ed leuk\u00e9mie, mnoho\u010detn\u00fd myelom, ne-hodgkinsk\u00e9 lymfomy, myelodysplastick\u00fd syndrom, akutn\u00ed a chronick\u00e1 myeloidn\u00ed leuk\u00e9mie \u010di chronick\u00e1 myeloproliferativn\u00ed onemocn\u011bn\u00ed. Ka\u017ed\u00fd rok je v \u010cesk\u00e9 republice nov\u011b diagnostikov\u00e1no t\u00e9m\u011b\u0159 4 500 pacient\u016f s novotvarem m\u00edzn\u00ed nebo krvetvorn\u00e9 tk\u00e1n\u011b. Ke konci roku 2014 \u017eilo v \u010cR 30 712 osob s novotvarem m\u00edzn\u00ed nebo krvetvorn\u00e9 tk\u00e1n\u011b nebo s minulost\u00ed tohoto onemocn\u011bn\u00ed.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Do kolika let je mo\u017en\u00e9 l\u00e9\u010dit pacienty s poruchou krvetvorby? To je hlavn\u00edm t\u00e9matem Olomouck\u00fdch hematologick\u00fdch dn\u016f, nejv\u011bt\u0161\u00edho hematologick\u00e9ho kongresu, kam se sjede p\u0159es 700 <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28307\" title=\"Senior\u016f s n\u00e1dory krve p\u0159ib\u00fdv\u00e1 \u2013 l\u00e9\u010dba je drah\u00e1\">[&#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-28307","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28307","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=28307"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28307\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28307"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28307"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}