{"id":28738,"date":"2017-07-19T12:00:15","date_gmt":"2017-07-19T10:00:15","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28738"},"modified":"2017-07-19T12:00:15","modified_gmt":"2017-07-19T10:00:15","slug":"91-procent-lidi-s-lupenkou-v-cr-celi-ponizovani-a-diskriminaci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28738","title":{"rendered":"91 procent lid\u00ed s lup\u00e9nkou v \u010cR \u010del\u00ed poni\u017eov\u00e1n\u00ed a diskriminaci"},"content":{"rendered":"<p><strong>Na 84 procent lid\u00ed s psori\u00e1zou (lup\u00e9nkou) trp\u00ed diskriminac\u00ed nebo poni\u017eov\u00e1n\u00edm, v \u010cesk\u00e9 republice je to dokonce 91 procent. Vypl\u00fdv\u00e1 to z celosv\u011btov\u00e9ho pr\u016fzkumu, kter\u00fd uskute\u010dnila spole\u010dnost Novartis spolu s v\u00fdzkumnou spole\u010dnost\u00ed GFK.<\/strong><br \/>\n<!--more--><br \/>\nPoda\u0159ilo se z\u00edskat odpov\u011bdi reprezentativn\u00edho vzorku bezm\u00e1la 8400 nemocn\u00fdch lup\u00e9nkou z 31 zem\u00ed sv\u011bta, v\u010detn\u011b 103 pacient\u016f z \u010cesk\u00e9 republiky. Podle pr\u016fzkumu t\u00e9m\u011b\u0159 polovina nemocn\u00fdch mus\u00ed \u010delit nep\u0159\u00edjemn\u00fdm dotaz\u016fm, zda jsou naka\u017eliv\u00ed. A\u017e 17 procent lid\u00ed s psori\u00e1zou se setk\u00e1v\u00e1 s odm\u00edtnut\u00edm p\u0159i n\u00e1v\u0161t\u011bv\u011b kade\u0159n\u00edka, kosmetiky nebo p\u0159i n\u00e1kupu v obchod\u011b.<\/p>\n<p>Psori\u00e1za je chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed, kter\u00e9 se projevuje tvorbou za\u010dervenal\u00fdch, olupuj\u00edc\u00edch se lo\u017eisek na poko\u017ece cel\u00e9ho t\u011bla. Tyto nevzhledn\u00e9 plaky doprov\u00e1z\u00ed nep\u0159\u00edjemn\u00e9 sv\u011bd\u011bn\u00ed. U mnoha pacient\u016f psori\u00e1za nepostihuje jen k\u016f\u017ei, ale tak\u00e9 nehty a klouby. P\u0159esto\u017ee nen\u00ed naka\u017eliv\u00e1, v\u011bt\u0161ina nemocn\u00fdch se setk\u00e1v\u00e1 s diskriminac\u00ed v r\u016fzn\u00fdch sf\u00e9r\u00e1ch \u017eivota.<\/p>\n<p>V\u00fdsm\u011bch v pr\u00e1ci<\/p>\n<p>Ka\u017ed\u00e9mu druh\u00e9mu pacientovi s lup\u00e9nkou zasahuje nemoc do pracovn\u00edho \u017eivota. Z t\u00e9to skupiny celkem 18 (v \u010cR 21) procent se ob\u00e1v\u00e1, \u017ee ztrat\u00ed svou pr\u00e1ci, 14 (v \u010cR 15) procent dost\u00e1v\u00e1 \u00fakoly s omezen\u00fdm kontaktem s ostatn\u00edmi, z 23 (v \u010cesku 28) procent dot\u00e1zan\u00fdch si d\u011blaj\u00ed kolegov\u00e9 v pr\u00e1ci legraci a 38 (v \u010cR 44) procent se nec\u00edt\u00ed pln\u011b produktivn\u00ed kv\u016fli neust\u00e1l\u00e9mu sv\u011bd\u011bn\u00ed k\u016f\u017ee.<\/p>\n<p>V\u00edce ne\u017e t\u0159etina respondent\u016f (38 procent) s lup\u00e9nkou tak\u00e9 uv\u00e1d\u00ed, \u017ee se v d\u016fsledku onemocn\u011bn\u00ed pot\u00fdk\u00e1 se zhor\u0161en\u00fdm psychick\u00fdm stavem, zejm\u00e9na za\u017e\u00edvaj\u00ed pocity deprese (24 procent) a \u00fazkosti (25 procent). Propojen\u00ed t\u011bla a du\u0161e je podle psycholog\u016f za\u010darovan\u00fd kruh. \u201eStav k\u016f\u017ee chronicky nemocn\u00e9ho psoriatika m\u016f\u017ee kol\u00edsat na z\u00e1klad\u011b aktu\u00e1ln\u00edho du\u0161evn\u00edho stavu a pocitu \u017eivotn\u00ed spokojenosti. Stresov\u00e9 podn\u011bty a z\u00e1va\u017en\u00e9 situace se projevuj\u00ed na k\u016f\u017ei a na druh\u00e9 stran\u011b mohou zm\u011bny na k\u016f\u017ei zp\u011btn\u011b velmi intenzivn\u011b p\u016fsobit na emo\u010dn\u00ed pro\u017e\u00edv\u00e1n\u00ed nemocn\u00e9ho a negativn\u011b ovlivnit jeho soci\u00e1ln\u00ed fungov\u00e1n\u00ed,\u201c uv\u00e1d\u00ed klinick\u00e1 psycholo\u017eka PhDr. Alena Jav\u016frkov\u00e1, Ph.D., vedouc\u00ed Odd\u011blen\u00ed klinick\u00e9 psychologie Fakultn\u00ed nemocnice Kr\u00e1lovsk\u00e9 Vinohrady.<\/p>\n<p>Rozchod kv\u016fli k\u016f\u017ei<\/p>\n<p>Tak\u0159ka polovina (43 procent) nemocn\u00fdch c\u00edt\u00ed, \u017ee psori\u00e1za negativn\u011b ovliv\u0148uje jejich partnersk\u00e9 vztahy. Z t\u00e9to \u010d\u00e1sti za\u017eilo 37 % rozchod s partnerem kv\u016fli nemoci, t\u0159etina se ve vztahu c\u00edt\u00ed m\u00e9n\u011bcenn\u011b a polovina se kv\u016fli lup\u00e9nce vyh\u00fdb\u00e1 sexu\u00e1ln\u00edm nebo intimn\u00edm vztah\u016fm. Tabu je pro n\u011b dokonce i rand\u011bn\u00ed, kter\u00e9ho se stran\u00ed 26 (v \u010cR dokonce 32) procent nemocn\u00fdch, 40 procent nesnese my\u0161lenku, \u017ee se n\u011bkdo dot\u00fdk\u00e1 jejich k\u016f\u017ee. V \u010cR bylo 55 procent z dotazovan\u00fdch psoriatik\u016f nezadan\u00fdch.<\/p>\n<p>Psori\u00e1za postihuje dv\u011b a\u017e t\u0159i procenta populace v zem\u00edch z\u00e1padn\u00ed Evropy a ve Spojen\u00fdch st\u00e1tech. Prevalence kol\u00eds\u00e1 v z\u00e1vislosti na geografick\u00e9 lokalit\u011b. Nejvy\u0161\u0161\u00ed v\u00fdskyt je v seversk\u00fdch zem\u00edch Evropy. D\u011bl\u00ed se na dva typy. Typ I s obvykle z\u00e1va\u017en\u011bj\u0161\u00edm pr\u016fb\u011bhem za\u010d\u00edn\u00e1 p\u0159ed \u010dty\u0159ic\u00e1t\u00fdm rokem v\u011bku, tvo\u0159\u00ed dv\u011b t\u0159etiny nemocn\u00fdch. Vznik m\u00e1 obvykle autoimunitn\u00ed \u010di d\u011bdi\u010dn\u00e9 p\u0159\u00ed\u010diny. Pr\u016fb\u011bh nemoci v\u00fdrazn\u011b zhor\u0161uje krom\u011b stresu i kou\u0159en\u00ed \u010di alkohol.<\/p>\n<p>Pavel Gejdo\u0161,<br \/>\nTiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Na 84 procent lid\u00ed s psori\u00e1zou (lup\u00e9nkou) trp\u00ed diskriminac\u00ed nebo poni\u017eov\u00e1n\u00edm, v \u010cesk\u00e9 republice je to dokonce 91 procent. Vypl\u00fdv\u00e1 to z celosv\u011btov\u00e9ho pr\u016fzkumu, kter\u00fd <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28738\" title=\"91 procent lid\u00ed s lup\u00e9nkou v \u010cR \u010del\u00ed poni\u017eov\u00e1n\u00ed a diskriminaci\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":28278,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28738","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28738","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=28738"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28738\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/28278"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28738"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28738"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28738"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}