{"id":29245,"date":"2017-10-07T18:53:07","date_gmt":"2017-10-07T16:53:07","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29245"},"modified":"2017-10-07T18:53:07","modified_gmt":"2017-10-07T16:53:07","slug":"revma-liga-vyzvala-pacienty-aby-se-ptali-na-biologickou-lecbu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29245","title":{"rendered":"Revma Liga vyzvala pacienty, aby se ptali na biologickou l\u00e9\u010dbu"},"content":{"rendered":"<p><strong>Pacientsk\u00fd spolek Revma Liga vyzval nemocn\u00e9, aby se na ministerstvu zdravotnictv\u00ed a St\u00e1tn\u00edm \u00fastavu pro kontrolu l\u00e9\u010div (S\u00daKL) ptali na biologickou l\u00e9\u010dbu. Zat\u00edm se j\u00ed do\u010dkaj\u00ed jen pacienti s t\u011b\u017ek\u00fdm st\u00e1diem revmatoidn\u00ed artritidy. Na dne\u0161n\u00ed tiskov\u00e9 konferenci to \u0159ekla p\u0159edsedkyn\u011b spolku Revma Liga Edita M\u00fcllerov\u00e1.<\/strong><!--more--><\/p>\n<p> Do m\u011bs\u00edce by S\u00daKL m\u011bl vydat hodnot\u00edc\u00ed zpr\u00e1vu, ke kter\u00e9 se mohou pacienti i zdravotn\u00ed poji\u0161\u0165ovny vyj\u00e1d\u0159it, \u0159ekla Hana Pavl\u00ed\u010dkov\u00e1 z tiskov\u00e9ho odd\u011blen\u00ed \u00fastavu.<\/p>\n<p>Nevyl\u00e9\u010ditelnou autoimunitn\u00ed chorobou, kter\u00e1 se projevuje z\u00e1n\u011bty kloub\u016f a \u00fapornou bolest\u00ed, v \u010cesku podle odhad\u016f trp\u00ed p\u0159es 80.000 lid\u00ed. Ro\u010dn\u011b p\u0159ib\u00fdv\u00e1 asi 4000 nov\u00fdch p\u0159\u00edpad\u016f.<\/p>\n<p>Takzvan\u00e1 biologick\u00e1 l\u00e9\u010dba, kter\u00e1 je finan\u010dn\u011b n\u00e1ro\u010dn\u00e1, p\u016fsob\u00ed pouze na molekuly a pochody v lidsk\u00e9m t\u011ble typick\u00e9 pro bu\u0148ky spojen\u00e9 s n\u00e1dorov\u00fdm nebo autoimunitn\u00edm onemocn\u011bn\u00edm. L\u00e9\u010diva tak zlep\u0161uj\u00ed \u010di opravuj\u00ed schopnost sebeobrany organismu. V \u010cesku ji poskytuj\u00ed zejm\u00e9na vysoce specializovan\u00e1 centra. N\u00e1klady na tyto l\u00e9ky vyr\u00e1b\u011bn\u00e9 z bun\u011bk \u017eiv\u00fdch organism\u016f rostou meziro\u010dn\u011b \u0159\u00e1dov\u011b o miliardy korun.<\/p>\n<p>V p\u0159\u00edpad\u011b revmatoidn\u00ed artritidy stoj\u00ed l\u00e9\u010dba pacienta 200.000 a\u017e 300.000 korun ro\u010dn\u011b. Poji\u0161\u0165ovny ji propl\u00e1cej\u00ed jen pacient\u016fm s t\u011b\u017ek\u00fdm st\u00e1diem, kte\u0159\u00ed nereaguj\u00ed na jinou l\u00e9\u010dbu. Podle dat z roku 2014 to bylo 2295 osob, co\u017e je asi 4,2 procenta nemocn\u00fdch artritidou. Na Slovensku je to deset procent, v z\u00e1padn\u00ed Evrop\u011b a\u017e 30 procent.<\/p>\n<p>Nasazen\u00ed i u pacient\u016f od st\u0159edn\u00edch st\u00e1di\u00ed doporu\u010duje \u010cesk\u00e1 revmatologick\u00e1 spole\u010dnost. &#8222;\u017d\u00e1dost farmaceutick\u00e9 firmy na stanoven\u00ed \u00fahrad l\u00e9k\u016f byla na S\u00daKL pod\u00e1na p\u0159ed dv\u011bma lety. Zat\u00edm nebyla vy\u0159\u00edzena ani zam\u00edtnuta,&#8220; \u0159ekla M\u00fcllerov\u00e1.<\/p>\n<p>Hodnot\u00edc\u00ed zpr\u00e1va, kter\u00e1 je prvn\u00edm krokem k posouzen\u00ed, bude vyd\u00e1na do m\u011bs\u00edce. &#8222;Samotn\u00e9 vyd\u00e1n\u00ed zpr\u00e1vy nep\u0159edj\u00edm\u00e1 v\u00fdsledek spr\u00e1vn\u00edho \u0159\u00edzen\u00ed. K hodnot\u00edc\u00ed zpr\u00e1v\u011b se d\u00e1le mohou vyjad\u0159ovat odborn\u00e9 spole\u010dnosti, dr\u017eitel rozhodnut\u00ed o registraci, zdravotn\u00ed poji\u0161\u0165ovna,&#8220; vysv\u011btlila Pavl\u00ed\u010dkov\u00e1. Dr\u017eitel registrace je firma, kter\u00e1 l\u00e9k na \u010desk\u00fd trh dod\u00e1v\u00e1. D\u00e9lka posuzov\u00e1n\u00ed nasazen\u00ed nov\u00e9ho l\u00e9ku podle n\u00ed z\u00e1vis\u00ed nap\u0159\u00edklad na po\u010dtu p\u0159edlo\u017een\u00fdch klinick\u00fdch studi\u00ed nebo farmakoekonomick\u00fdch anal\u00fdz.<\/p>\n<p>L\u00e9ka\u0159i upozor\u0148uj\u00ed na to, \u017ee biologick\u00e1 l\u00e9\u010dba m\u016f\u017ee m\u00edt z\u00e1va\u017en\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky, proto\u017ee jej\u00ed l\u00e1tky zasahuj\u00ed do z\u00e1kladn\u00edch kamen\u016f imunitn\u00edho syst\u00e9mu. &#8222;Kdy\u017e jsem si p\u0159e\u010detla ve\u0161ker\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky, dal\u0161\u00ed komplikace, obre\u010dela jsem to,&#8220; \u0159ekla pacientka Jana Burgrov\u00e1, kter\u00e9 byla biologick\u00e1 l\u00e9\u010db\u011b nasazena po 26 letech s nemoc\u00ed. Bolesti kloub\u016f podle n\u00ed byly tak \u00faporn\u00e9, \u017ee se rozhodla rizika podstoupit. &#8222;P\u0159edstavte si, jak v\u00e1s bol\u00ed klouby, kdy\u017e m\u00e1te ch\u0159ipku. A zn\u00e1sobte si to stokr\u00e1t,&#8220; dodala.<\/p>\n<p>Onemocn\u011bn\u00ed \u010dast\u011bji postihuje \u017eeny ne\u017e mu\u017ee, nejv\u00edc mezi 40 a 50 roky v\u011bku. V 80 procentech p\u0159\u00edpad\u016f se projev\u00ed u lid\u00ed v produktivn\u00edm v\u011bku. Revmatoidn\u00ed artritida je podobn\u011b jako celiakie a roztrou\u0161en\u00e1 skler\u00f3za takzvan\u00e9 autoimunitn\u00ed onemocn\u011bn\u00ed, tedy nemoc, kdy n\u011bkter\u00e1 ze slo\u017eek imunitn\u00edho syst\u00e9mu napadne tk\u00e1n\u011b vlastn\u00edho t\u011bla. Nemoc nen\u00ed vyl\u00e9\u010diteln\u00e1 a l\u00e9ka\u0159i neznaj\u00ed p\u0159esn\u011b jej\u00ed p\u0159\u00ed\u010diny. Vliv m\u00e1 genetika, hormony i vn\u011bj\u0161\u00ed prost\u0159ed\u00ed.<\/p>\n<p>Nemoc vy\u0159ad\u00ed pacienty \u010dasto i z pracovn\u00edho procesu. Podle studie z roku 2005 citovan\u00e9 Tom\u00e1\u0161em Dole\u017ealem z Institutu pro zdravotn\u00ed ekonomiku a technology assesment je po roce nemoci pracovn\u00ed neschopnost 20 procent, po deseti letech 32 procent. Pacienti, kte\u0159\u00ed artritidou trp\u00ed 30 let, nejsou schopni v pracovat v 90 procentech p\u0159\u00edpad\u016f. N\u00e1klady tak nese nejen syst\u00e9m zdravotnictv\u00ed, ale i soci\u00e1ln\u00ed oblast.<\/p>\n<p>Z\u00e1sadn\u00ed je podle odborn\u00edk\u016f objevit nemoc v\u010das. Podle Hany Cifersk\u00e9 z Revmatologick\u00e9 kliniky 1. l\u00e9ka\u0159sk\u00e9 fakulty a Revmatologick\u00e9ho \u00fastavu by m\u011bl praktick\u00fd l\u00e9ka\u0159 poslat ke specialistovi i pacienta, kter\u00fd m\u00e1 otekl\u00fd i jen jeden kloub a drobn\u00e1 posti\u017een\u00ed na kloubech rukou. Zejm\u00e9na takov\u00e9ho, pro kter\u00e9ho je bolestiv\u00fd i stisk ruky. Pokud je l\u00e9\u010dba zah\u00e1jena do 12 t\u00fddn\u016f od objeven\u00ed p\u0159\u00edznak\u016f, je \u0161ance na minimalizaci posti\u017een\u00ed nejvy\u0161\u0161\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Pacientsk\u00fd spolek Revma Liga vyzval nemocn\u00e9, aby se na ministerstvu zdravotnictv\u00ed a St\u00e1tn\u00edm \u00fastavu pro kontrolu l\u00e9\u010div (S\u00daKL) ptali na biologickou l\u00e9\u010dbu. Zat\u00edm se j\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=29245\" title=\"Revma Liga vyzvala pacienty, aby se ptali na biologickou l\u00e9\u010dbu\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29245","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\/29245","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=29245"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29245\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29245"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}