{"id":30224,"date":"2018-03-02T20:07:09","date_gmt":"2018-03-02T19:07:09","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30224"},"modified":"2018-03-02T20:07:09","modified_gmt":"2018-03-02T19:07:09","slug":"rada-typu-rakoviny-se-meni-v-dlouhodobe-zvladatelne-chronicke-onemocneni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30224","title":{"rendered":"\u0158ada typ\u016f rakoviny se m\u011bn\u00ed v dlouhodob\u011b zvladateln\u00e9 chronick\u00e9 onemocn\u011bn\u00ed"},"content":{"rendered":"<p><strong>V l\u00e9\u010db\u011b rakoviny prob\u00edh\u00e1 bou\u0159liv\u00fd v\u00fdvoj. Snad \u017e\u00e1dn\u00fd jin\u00fd obor nezaznamenal v posledn\u00edch dek\u00e1d\u00e1ch takovou prom\u011bnu. V\u00fdsledkem je trochu paradoxn\u011b n\u00e1r\u016fst po\u010dtu onkologick\u00fdch pacient\u016f.<\/strong><br \/>\n<!--more--><br \/>\nPo\u010d\u00e1tkem devades\u00e1t\u00fdch let 20. stolet\u00ed se o rakovin\u011b hovo\u0159ilo s hr\u016fzou a \u0161eptem. Onkologick\u00e1 diagn\u00f3za se spojovala s p\u0159edzv\u011bst\u00ed brzk\u00e9 smrti a z\u00e1rove\u0148 znamenala ur\u010dit\u00e9 stigma. V arzen\u00e1lu l\u00e9ka\u0159\u016f byla (krom\u011b dodnes \u0161iroce u\u017e\u00edvan\u00e9ho chirurgick\u00e9ho \u0159e\u0161en\u00ed) chemoterapie s v\u00fdrazn\u00fdmi ne\u017e\u00e1douc\u00edmi \u00fa\u010dinky a nep\u0159\u00edli\u0161 c\u00edlen\u00e9 oza\u0159ov\u00e1n\u00ed. Vyhl\u00eddky pacienta s rakovinou odhalenou v pozd\u011bj\u0161\u00edch f\u00e1z\u00edch v\u0161ak nebyly dobr\u00e9.<br \/>\nO 25 let pozd\u011bji vypad\u00e1 situace o dost jinak. Zna\u010dn\u00e1 \u010d\u00e1st n\u00e1dorov\u00fdch chorob odhalen\u00fdch v \u010dasn\u00fdch stadi\u00edch je zcela vyl\u00e9\u010diteln\u00e1. Vysokou rychlost\u00ed p\u0159ib\u00fdv\u00e1 nov\u00fdch p\u0159evratn\u00fdch l\u00e9\u010div. \u201eRok 2017 byl z hlediska po\u010dtu nov\u00fdch l\u00e9k\u016f v\u00fdjime\u010dn\u00fd. Schv\u00e1len\u00edm pro\u0161ly nap\u0159\u00edklad l\u00e9ky na akutn\u00ed lymfoblastickou leuk\u00e9mii, ur\u010dit\u00e9 formy n\u00e1dor\u016f prsu, kolorekt\u00e1ln\u00edho karcinomu nebo n\u00e1dor\u016f jater. V p\u0159\u00edpad\u011b karcinomu jater se objevil prvn\u00ed p\u0159evratn\u00fd p\u0159\u00edpravek po n\u011bkolika letech,\u201c uv\u00e1d\u00ed Mgr. Jakub Dvo\u0159\u00e1\u010dek, MHA, v\u00fdkonn\u00fd \u0159editel Asociace inovativn\u00edho farmaceutick\u00e9ho pr\u016fmyslu.<br \/>\nK l\u00e9\u010db\u011b karcinomu jater byly podle n\u011bj nov\u011b indikov\u00e1ny i ji\u017e d\u0159\u00edve existuj\u00edc\u00ed p\u0159\u00edpravky, p\u016fvodn\u011b ur\u010den\u00e9 pro l\u00e9\u010dbu jin\u00fdch typ\u016f n\u00e1dor\u016f.<br \/>\nPacienti \u017eij\u00ed d\u00e9le \u2013 proto jich p\u0159ib\u00fdv\u00e1<br \/>\nZ n\u011bkter\u00fdch typ\u016f rakoviny se d\u00edky lep\u0161\u00ed l\u00e9\u010db\u011b st\u00e1v\u00e1 v podstat\u011b chronick\u00e9 onemocn\u011bn\u00ed, s n\u00edm\u017e pacient \u017eije i dlouh\u00e1 desetilet\u00ed. Stejn\u011b jako s astmatem, diabetem nebo srde\u010dn\u00edm onemocn\u011bn\u00edm. Zd\u00e1nliv\u011b paradoxn\u00edm, ale logick\u00fdm d\u016fsledkem je n\u00e1r\u016fst po\u010dtu onkologick\u00fdch pacient\u016f.<br \/>\nPacient\u016f v populaci d\u00e1l p\u0159ib\u00fdv\u00e1 i kv\u016fli lep\u0161\u00ed diagnostice \u2013 p\u0159ijde se i na n\u00e1dory, kter\u00e9 by d\u0159\u00edve z\u016fstaly nepov\u0161imnuty \u2013 a kv\u016fli st\u00e1rnut\u00ed populace, proto\u017ee se v\u00edce lid\u00ed \u201edo\u017eije sv\u00e9ho n\u00e1doru\u201c. Riziko vzniku rakoviny toti\u017e roste s v\u011bkem. Lze usuzovat i na vlivy vn\u011bj\u0161\u00edho prost\u0159ed\u00ed.<br \/>\n\u201eP\u0159edev\u0161\u00edm ale kles\u00e1 mortalita a mnohem v\u00edc lid\u00ed se ka\u017edoro\u010dn\u011b dozv\u00ed, \u017ee maj\u00ed rakovinu, ne\u017e kolik jich na tuto nemoc zem\u0159e,\u201c shrnuje situaci Jakub Dvo\u0159\u00e1\u010dek. Pohled na l\u00e9\u010dbu se podle jeho slov m\u011bn\u00ed opravdu dramaticky. \u201eD\u016fkazem pokroku je nap\u0159\u00edklad to, \u017ee byl ned\u00e1vno poprv\u00e9 schv\u00e1len l\u00e9k na n\u00e1dory definovan\u00e9 jejich genetickou povahou, nikoliv t\u00edm, kter\u00fd org\u00e1n v t\u011ble zasahuj\u00ed,\u201c informoval. <\/p>\n<p>Jednou z nejslibn\u011bj\u0161\u00edch oblast\u00ed sou\u010dasn\u00e9 onkologie je takzvan\u00e1 imunoterapie, kter\u00e1 pracuje s vlastn\u00edm imunitn\u00edm syst\u00e9mem pacienta a pom\u00e1h\u00e1 mu n\u00e1dorov\u00e9 bujen\u00ed p\u0159ekonat. Imunoterapie mnohdy zajist\u00ed dlouhodob\u00e9 p\u0159e\u017eit\u00ed pacienta. \u00dasp\u011b\u0161n\u011b se vyu\u017e\u00edv\u00e1 v l\u00e9\u010db\u011b malign\u00edho melanomu, p\u0159edstavuje velkou nad\u011bji i pro pacienty s n\u00e1dorem plic a mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, kter\u00e9 jsou \u0161patn\u011b l\u00e9\u010diteln\u00e9. \u201eV budoucnu imunoterapie pravd\u011bpodobn\u011b pronikne do dal\u0161\u00edch oblast\u00ed a bude se kombinovat s dal\u0161\u00edmi technologiemi. V sou\u010dasnosti je ve v\u00fdvoji p\u0159es 240 molekul pro imunoterapii v onkologii,\u201c dodal Dvo\u0159\u00e1\u010dek. <\/p>\n<p>Nemocn\u00fdm pom\u00e1haj\u00ed pacientsk\u00e9 organizace<br \/>\nJak se \u0159ada onkologick\u00fdch nemoc\u00ed p\u0159ibli\u017euje definici chronick\u00e9ho onemocn\u011bn\u00ed a p\u0159ib\u00fdv\u00e1 dlouhodob\u011b p\u0159e\u017e\u00edvaj\u00edc\u00edch pacient\u016f, roste v \u010cR zvolna i po\u010det lid\u00ed dlouhodob\u011b aktivn\u00edch v \u201eonkologick\u00fdch\u201c pacientsk\u00fdch organizac\u00edch.<br \/>\nP\u0159\u00edkladem takov\u00e9ho \u010dlov\u011bka je pan\u00ed Eva Vrkoslavov\u00e1 ze severn\u00edch \u010cech, kter\u00e9 byl diagnostikov\u00e1n karcinom prsu ji\u017e p\u0159ed dlouh\u00fdmi 17 lety. \u201eV dob\u011b m\u00e9 diagn\u00f3zy ji\u017e byla onkologickou pacientkou moje maminka.  Ta v\u011bd\u011bla o region\u00e1ln\u011b p\u016fsob\u00edc\u00ed organizaci AMA, tak jsme do n\u00ed za\u010daly ob\u011b doch\u00e1zet,\u201c \u0159\u00edk\u00e1. Nedlouho pot\u00e9 se pan\u00ed Eva stala p\u0159edsedkyn\u00ed AMA. Organizace po\u0159\u00e1d\u00e1 rekondi\u010dn\u00ed pobyty, v\u00fdlety a sportovn\u00ed akce, m\u00e1 \u0159adu u\u017eite\u010dn\u00fdch projekt\u016f. Nap\u0159\u00edklad projekt \u201ePodej mi ruku, j\u00e1 t\u011b podr\u017e\u00edm\u201c \u2013 v jeho r\u00e1mci AMA prost\u0159ednictv\u00edm soci\u00e1ln\u00ed poradkyn\u011b nab\u00edz\u00ed bezplatn\u00e9 poradenstv\u00ed pacient\u016fm a jejich rodin\u00e1m. Za rok projekt pom\u016f\u017ee 600 lidem. D\u00e1le prov\u00e1d\u00ed t\u0159eba osv\u011btu o samovy\u0161et\u0159en\u00ed prsu na \u0161kol\u00e1ch. \u201eMal\u00e9 pacientsk\u00e9 organizace z\u016fstanou v\u017edy pot\u0159ebn\u00e9. Tvo\u0159\u00ed toti\u017e s\u00ed\u0165 nezbytnou v regionech, pom\u00e1haj\u00ed konkr\u00e9tn\u00edm jednotliv\u00fdm rodin\u00e1m,\u201c mysl\u00ed si Eva Vrkoslavov\u00e1.<\/p>\n<p>Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V l\u00e9\u010db\u011b rakoviny prob\u00edh\u00e1 bou\u0159liv\u00fd v\u00fdvoj. Snad \u017e\u00e1dn\u00fd jin\u00fd obor nezaznamenal v posledn\u00edch dek\u00e1d\u00e1ch takovou prom\u011bnu. V\u00fdsledkem je trochu paradoxn\u011b n\u00e1r\u016fst po\u010dtu onkologick\u00fdch pacient\u016f.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":19818,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-30224","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\/30224","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=30224"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30224\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19818"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30224"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30224"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}