{"id":29644,"date":"2017-11-29T11:50:38","date_gmt":"2017-11-29T10:50:38","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29644"},"modified":"2017-11-29T11:50:38","modified_gmt":"2017-11-29T10:50:38","slug":"nova-lecba-virove-hepatitidy-c-ucinnost-je-temer-100","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29644","title":{"rendered":"Nov\u00e1 l\u00e9\u010dba virov\u00e9 hepatitidy C: \u00fa\u010dinnost je t\u00e9m\u011b\u0159 100%"},"content":{"rendered":"<p><strong>Z\u00e1ludn\u00e9 a velice v\u00e1\u017en\u00e9 onemocn\u011bn\u00ed, kter\u00e9 m\u016f\u017ee i des\u00edtky let prob\u00edhat s minim\u00e1ln\u00edmi p\u0159\u00edznaky. To je virov\u00e1 hepatitida typu C (HCV). Sv\u00fdm nositel\u016fm t\u00e9m\u011b\u0159 ve v\u0161ech p\u0159\u00edpadech p\u0159ivod\u00ed fibr\u00f3zu a mnoh\u00fdm i cirh\u00f3zu jater, v nejhor\u0161\u00edm p\u0159\u00edpad\u011b selh\u00e1n\u00ed jater nebo hepatocelul\u00e1rn\u00ed karcinom, kter\u00e9 mohou bez transplantace v\u00e9st a\u017e ke smrti.<\/strong><br \/>\n<!--more--><br \/>\nL\u00e9\u010dba tohoto virov\u00e9ho onemocn\u011bn\u00ed, jeho\u017e p\u016fvodce byl objeven teprve v r. 1989, byla je\u0161t\u011b ned\u00e1vno n\u00e1ro\u010dn\u00e1 a zdlouhav\u00e1. P\u0159i terapii zalo\u017een\u00e9 na pod\u00e1v\u00e1n\u00ed interferon\u016f pacienti trp\u011bli nesnesitelnou \u00fanavou, bolestmi i psychick\u00fdmi probl\u00e9my. \u010casto proto rad\u011bji terapii sami p\u0159ed\u010dasn\u011b opustili nebo jim musela b\u00fdt ukon\u010dena t\u0159eba pro z\u00e1va\u017en\u00e9 bakteri\u00e1ln\u00ed infekce nebo poruchy krvetvorby. A ani ti, kte\u0159\u00ed ji dokon\u010dili, nem\u011bli zdaleka vyhr\u00e1no. V\u017edy\u0165 p\u0159ed deseti lety se z HCV uzdravilo jen n\u011bco p\u0159es 40 procent l\u00e9\u010den\u00fdch a je\u0161t\u011b p\u0159ed p\u011bti lety max. 60 procent. Tomu je ale konec!<\/p>\n<p>Uplynulo n\u011bco m\u00e1lo p\u0159es \u010dtvrt stolet\u00ed od objevu viru a hepatitida C se stala t\u00e9m\u011b\u0159 ve 100 procentech p\u0159\u00edpad\u016f vyl\u00e9\u010ditelnou. Takov\u00e9ho pokroku v tak kr\u00e1tk\u00e9m \u010dase dosud \u017e\u00e1dn\u00e1 jin\u00e1 oblast medic\u00edny nedos\u00e1hla! A co v\u00edc \u2013 k \u00fapln\u00e9mu vyl\u00e9\u010den\u00ed sta\u010d\u00ed po dobu 12 t\u00fddn\u016f polykat jednu tabletu jednou denn\u011b, to v\u0161e bez z\u00e1va\u017en\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f, kter\u00e9 pro mnoh\u00e9 pacienty v minulosti m\u011bnily l\u00e9\u010dbu v peklo. Nejmodern\u011bj\u0161\u00ed kombinace dvou \u00fa\u010dinn\u00fdch l\u00e1tek v jedn\u00e9 tablet\u011b toti\u017e umo\u017e\u0148uje velmi c\u00edlen\u011b zas\u00e1hnout uvnit\u0159 viru v p\u0159esn\u00fdch okam\u017eic\u00edch jeho \u017eivotn\u00edho cyklu. Zabr\u00e1n\u00ed tak jeho dal\u0161\u00edmu mno\u017een\u00ed.<\/p>\n<p>\u201e\u00dasp\u011b\u0161nost modern\u00ed l\u00e9\u010dby HCV je konzistentn\u011b vysok\u00e1 u v\u0161ech skupin pacient\u016f a\u0165 u\u017e se v minulosti ne\u00fasp\u011b\u0161n\u011b l\u00e9\u010dili, nebo jsou l\u00e9\u010deni poprv\u00e9, nav\u00edc bez ohledu na to, s jak\u00fdm mno\u017estv\u00edm viru v t\u011ble do terapie vstupuj\u00ed, zda jsou po transplantaci jater a podobn\u011b,\u201c \u0159\u00edk\u00e1 MUDr. Jan \u0160PERL, CSc., koordin\u00e1tor programu l\u00e9\u010dby virov\u00fdch hepatitid Kliniky hepatogastroenterologie, IKEM, Praha, a dod\u00e1v\u00e1: \u201eBohu\u017eel, po cel\u00e9 republice \u017eije dnes velk\u00e9 mno\u017estv\u00ed nemocn\u00fdch s HCV, kte\u0159\u00ed v d\u016fsledku p\u0159edchoz\u00ed n\u00e1ro\u010dn\u00e9, ale ne\u00fasp\u011b\u0161n\u00e9 l\u00e9\u010dby rezignovali a se sv\u00fdm onemocn\u011bn\u00edm se ji\u017e jen v tichosti tr\u00e1p\u00ed obavami z dal\u0161\u00edho osudu a z komplikac\u00ed. Mnoz\u00ed po p\u0159edchoz\u00edch negativn\u00edch z\u00e1\u017eitc\u00edch ve strachu z dal\u0161\u00ed l\u00e9\u010dby rad\u011bji p\u0159estali doch\u00e1zet do ambulanc\u00ed a vypadli tak ze sledov\u00e1n\u00ed.\u201c<\/p>\n<p>Jeho kolegyn\u011b z Kliniky hepatogastroenterologie, IKEM, Praha MUDr. So\u0148a FRA\u0147KOV\u00c1, Ph.D., v t\u00e9to souvislosti zd\u016fraz\u0148uje, \u017ee v\u0161ichni tito nemocn\u00ed by se m\u011bli \u2013 i d\u00edky sd\u011blovac\u00edm prost\u0159edk\u016fm \u2013 dozv\u011bd\u011bt, \u017ee pro n\u011b medic\u00edna m\u00e1 nov\u00e9, \u00fa\u010dinn\u00e9 a p\u0159itom dob\u0159e sn\u00e1\u0161en\u00e9 \u0159e\u0161en\u00ed. \u201eAby byla zachov\u00e1na vysok\u00e1 kvalita i bezpe\u010dnost p\u00e9\u010de, mohou tyto nejmodern\u011bj\u0161\u00ed p\u0159\u00edpravky l\u00e9\u010dby HCV pod\u00e1vat pouze vybran\u00e1 specializovan\u00e1 centra. Ka\u017ed\u00fd nemocn\u00fd s HCV by m\u011bl v\u011bd\u011bt, \u017ee se na n\u011b m\u016f\u017ee obr\u00e1tit i s\u00e1m od sebe. Pokud se, dostane do jejich p\u00e9\u010de, dostane s modern\u00ed l\u00e9\u010dbou i \u0161anci na nov\u00fd \u017eivot.\u201c<\/p>\n<p>Seznam pracovi\u0161\u0165 pro l\u00e9\u010dbu HCV bezinterferonov\u00fdmi re\u017eimy<br \/>\nIKEM, Klinika hepatogastroenterologie, V\u00edde\u0148sk\u00e1 1958\/9, 14021 Praha 4<br \/>\n\u00daVN Praha, Intern\u00ed klinika 1. LF a \u00daVN Praha, U Vojensk\u00e9 Nemocnice 1200, 16902 Praha 2<br \/>\nIV. intern\u00ed klinika 1. LF UK a VFN Praha, U nemocnice 2, 128 00 Praha 2<br \/>\nREMEDIS s.r.o., Vladim\u00edrova 10, 140 00 Praha 4<br \/>\nFN Plze\u0148, 1. intern\u00ed klinika, Alej Svobody 80, 304 60 Plze\u0148 Lochot\u00edn<br \/>\nFN Olomouc, 2. intern\u00ed klinika gastro-enterologick\u00e1 a hepatologick\u00e1<br \/>\nHepato-gastroenterologie HK s.r.o., T\u0159\u00edda Edvarda Bene\u0161e 1549, 500 12 Hradec Kr\u00e1lov\u00e9<br \/>\nCKTCH, Transplanta\u010dn\u00ed odd\u011blen\u00ed, Peka\u0159sk\u00e1 53, 656 91 Brno<br \/>\nPardubick\u00e1 Krajsk\u00e1 nemocnice, Infek\u010dn\u00ed odd\u011blen\u00ed, Kyjevsk\u00e1 44, 532 03 Pardubice<br \/>\nMasarykova nemocnice, Infek\u010dn\u00ed odd\u011blen\u00ed, Soci\u00e1ln\u00ed p\u00e9\u010de 3316 \/12A, 401 13 \u00dast\u00ed nad Labem<br \/>\nSlezsk\u00e1 nemocnice v Opav\u011b, Infek\u010dn\u00ed odd\u011blen\u00ed, Olomouck\u00e1 86, Opava<br \/>\nFN Brno-Bohunice, Klinika infek\u010dn\u00edch chorob, Jihlavsk\u00e1 20, 602 00 Brno<br \/>\nFN Motol Praha, Infek\u010dn\u00ed odd\u011blen\u00ed, V \u00davalu 84, 150 06 Praha<br \/>\nFN Hradec Kr\u00e1lov\u00e9, Klinika infek\u010dn\u00edch nemoc\u00ed, Sokolsk\u00e1 581, 500 05 Hradec Kr\u00e1lov\u00e9<br \/>\nNemocnice \u010cesk\u00e9 Bud\u011bjovice a.s., Infek\u010dn\u00ed odd\u011blen\u00ed, B. N\u011bmcov\u00e9 585\/54, 370 01 \u010cesk\u00e9 Bud\u011bjovice<br \/>\nNemocnice na Bulovce, Infek\u010dn\u00ed klinika, Bud\u00ednova 2, Praha 8<\/p>\n<p>Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Z\u00e1ludn\u00e9 a velice v\u00e1\u017en\u00e9 onemocn\u011bn\u00ed, kter\u00e9 m\u016f\u017ee i des\u00edtky let prob\u00edhat s minim\u00e1ln\u00edmi p\u0159\u00edznaky. To je virov\u00e1 hepatitida typu C (HCV). Sv\u00fdm nositel\u016fm t\u00e9m\u011b\u0159 ve <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=29644\" title=\"Nov\u00e1 l\u00e9\u010dba virov\u00e9 hepatitidy C: \u00fa\u010dinnost je t\u00e9m\u011b\u0159 100%\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14127,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-29644","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\/29644","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=29644"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29644\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14127"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29644"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29644"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29644"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}