{"id":30379,"date":"2018-04-16T01:41:45","date_gmt":"2018-04-15T23:41:45","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30379"},"modified":"2018-04-16T21:43:02","modified_gmt":"2018-04-16T19:43:02","slug":"lekari-varuji-jen-vcasna-lecba-cukrovky-v-prvnich-stadiich-zabrani-neuropatii-s-hrozbou-amputace-nohou-i-srdecnich-problemu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30379","title":{"rendered":"L\u00e9ka\u0159i varuj\u00ed: jen v\u010dasn\u00e1 l\u00e9\u010dba cukrovky v prvn\u00edch st\u00e1di\u00edch zabr\u00e1n\u00ed neuropatii s hrozbou amputace nohou i srde\u010dn\u00edch probl\u00e9m\u016f"},"content":{"rendered":"

S n\u011bkterou z forem cukrovky (diabetes mellitus) se pot\u00fdk\u00e1 na osm procent obyvatel \u010cR. Po\u010det nemocn\u00fdch st\u00e1le stoup\u00e1, bez ohledu na v\u011bk \u010di pohlav\u00ed. Meziro\u010dn\u011b se po\u010det nov\u00fdch p\u0159\u00edpad\u016f navy\u0161uje p\u0159ibli\u017en\u011b o 3 000 pacient\u016f.<\/strong>
\n
\nNemoc m\u00e1 \u0159adu chronick\u00fdch komplikac\u00ed. Nej\u010dast\u011bj\u0161\u00ed je diabetick\u00e1 neuropatie, nez\u00e1n\u011btliv\u00e9 po\u0161kozen\u00ed funkce a struktury perifern\u00edch nerv\u016f vlivem dlouhodob\u011b zv\u00fd\u0161en\u00e9 hladiny cukru v krvi. Pacientovi s nel\u00e9\u010denou diabetickou neuropati\u00ed hroz\u00ed amputace nohy \u010di probl\u00e9my se srdcem. Hlavn\u00ed p\u0159\u00ed\u010dinou diabetick\u00e9 neuropatie je zv\u00fd\u0161en\u00fd krevn\u00ed cukr.
\nDal\u0161\u00edmi rizikov\u00fdmi faktory diabetick\u00e9 neuropatie jsou vysok\u00fd krevn\u00ed tlak, dyslipidemie neboli zv\u00fd\u0161en\u00fd cholesterol v krvi, kou\u0159en\u00ed a obezita, d\u00e9lka trv\u00e1n\u00ed diabetu, v\u011bk nemocn\u00e9ho a jeho v\u00fd\u0161ka. \u201eDiabetick\u00e1 neuropatie je jednou z nejz\u00e1ludn\u011bj\u0161\u00edch komplikac\u00ed diabetu. Jej\u00ed p\u0159\u00edznaky jsou v\u011bt\u0161inou nen\u00e1padn\u00e9, d\u016fsledky hroziv\u00e9. Zkracuje \u017eivot, je p\u0159\u00ed\u010dinou amputac\u00ed a tak\u00e9 \u0159ady dal\u0161\u00edch komplikac\u00ed,\u201c vysv\u011btluje prof. MUDr. Milan Kvapil, CSc. MBA, prezident Diabetick\u00e9 asociace \u010cesk\u00e9 republiky a p\u0159ednosta Intern\u00ed kliniky 2. LF UK a Fakultn\u00ed Nemocnice Motol. Pomoci m\u016f\u017ee dob\u0159e zvolen\u00e1 l\u00e9\u010dba. A\u017e polovina pacient\u016f s neuropati\u00ed z\u016fst\u00e1v\u00e1 bez symptom\u016f. Ti jsou paradoxn\u011b nejv\u00edce ohro\u017eeni syndromem diabetick\u00e9 nohy, kter\u00e1 vede k amputac\u00edm a zvy\u0161uje riziko smrti, proto\u017ee postihuje i nervov\u00fd syst\u00e9m, \u0159\u00edd\u00edc\u00ed funkci srdce. Proto je nutn\u00e9 jim v\u011bnovat zvl\u00e1\u0161tn\u00ed p\u00e9\u010di.
\nL\u00e9\u010dba neuropatie m\u00e1 jen omezen\u00e9 mo\u017enosti, proto je velmi d\u016fle\u017eit\u00e1 prevence – v\u010dasn\u00e9 odhalen\u00ed prvn\u00edch st\u00e1di\u00ed diabetu a jeho d\u016fsledn\u00e1 l\u00e9\u010dba. \u201eAktivn\u00ed vy\u0161et\u0159ov\u00e1n\u00ed na p\u0159\u00edtomnost diabetick\u00e9 neuropatie je kriticky d\u016fle\u017eit\u00e9 pr\u00e1v\u011b proto, \u017ee v\u010dasn\u00e9 odhalen\u00ed d\u00e1v\u00e1 alespo\u0148 n\u011bjakou mo\u017enost zpomalen\u00ed, nebo zastaven\u00ed jej\u00edho pr\u016fb\u011bhu. V pokro\u010dil\u00fdch st\u00e1di\u00edch je l\u00e9\u010dba sv\u00edzeln\u00e1, prakticky nemo\u017en\u00e1,\u201c \u0159\u00edk\u00e1 prof. Kvapil. Vy\u0161et\u0159en\u00ed senzorickomotorick\u00e9 neuropatie v ambulanci diabetologa (internisty, praktick\u00e9ho l\u00e9ka\u0159e) p\u0159itom zabere jen 15 a\u017e 20 minut. Zahrnuje aktivn\u00ed dotazy, m\u011b\u0159en\u00ed speci\u00e1ln\u00edmi p\u0159\u00edstroji i odpov\u011bdi na c\u00edlen\u00fd dotazn\u00edk.
\nPro informovanost a vzd\u011bl\u00e1n\u00ed pacient\u016f s diabetem i jejich bl\u00edzk\u00fdch slou\u017e\u00ed webov\u00fd port\u00e1l www.cukrovka.cz. Komplexn\u00ed a odborn\u011b garantovan\u00e9 informace pacient\u016fm p\u0159ehledn\u011b vysv\u011btl\u00ed podstatu onemocn\u011bn\u00ed, jeho rozd\u011blen\u00ed na I. a II. typ a t\u011bhotenskou cukrovku i mo\u017en\u00e9 vlivy d\u011bdi\u010dnosti. Velmi podrobn\u011b se web v\u011bnuje prevenci, diagnostice a l\u00e9\u010db\u011b cukrovky. Krom\u011b diety doporu\u010duje pohyb, l\u00e9ky i p\u0159\u00edpravky z l\u00e9\u010div\u00fdch rostlin, miner\u00e1l\u016f a stopov\u00fdch prvk\u016f. P\u0159edstavuje vhodnou \u017eivotospr\u00e1vu i uk\u00e1zky vhodn\u00e9ho j\u00eddeln\u00ed\u010dku.
\nNov\u011b vznikla i dv\u011b videa demonstruj\u00edc\u00ed pr\u016fb\u011bh vy\u0161et\u0159en\u00ed diabetick\u00e9 neuropatie \u2013 li\u0161\u00ed se c\u00edlovou skupinou. Jedno je ur\u010deno pro laiky, aby se vy\u0161et\u0159en\u00ed neb\u00e1li, druh\u00e9 pro odborn\u00edky s c\u00edlem prakticky zobrazit spr\u00e1vn\u00fd postup. Ukazuj\u00ed nap\u0159\u00edklad, jak spr\u00e1vn\u011b vy\u0161et\u0159ovat p\u0159\u00edtomnost diabetick\u00e9 senzitivn\u00ed neuropatie na doln\u00edch kon\u010detin\u00e1ch pomoci takzvan\u00e9 ladi\u010dky, kter\u00e1 vyd\u00e1v\u00e1 vibrace a je mapov\u00e1no, zda je pacient c\u00edt\u00ed. K zji\u0161t\u011bn\u00ed povrchov\u00e9 jemn\u00e9 senzitivity slou\u017e\u00ed tzv. monofilament – tuh\u00e9 silonov\u00e9 vl\u00e1kno, kter\u00fdm se l\u00e9ka\u0159 dot\u00fdk\u00e1 plosek nohou pacienta a hodnot\u00ed, zda c\u00edt\u00ed dotek. Vl\u00e1kno je kalibrovan\u00e9, tak\u017ee p\u016fsob\u00ed v\u017edy stejn\u00fdm tlakem. Citlivost na teplotu zji\u0161\u0165uje p\u0159ikl\u00e1d\u00e1n\u00ed chladn\u00fdch a tepl\u00fdch p\u0159edm\u011bt\u016f \u2013 nap\u0159\u00edklad zkumavky s teplou a ledovou vodou. Videa p\u0159edstavuj\u00ed i uk\u00e1zky obuvi pro pacienty s pot\u0159ebn\u00fdmi vlastnostmi, aby se minimalizovalo riziko zran\u011bn\u00ed \u010di rozvoj syndromu diabetick\u00e9 nohy.<\/p>\n

DA\u010cR
\nDiabetick\u00e1 asociace \u010cesk\u00e9 republiky (DA\u010cR) vznikla v roce 2006 jako spole\u010dn\u00e1 platforma pro koordinaci po\u017eadavk\u016f na poskytnut\u00ed odpov\u00eddaj\u00edc\u00edch p\u0159\u00edle\u017eitost\u00ed pro l\u00e9\u010dbu a prevenci diabetu v \u010cR. Sdru\u017euje tyto subjekty: \u010cesk\u00e1 diabetologick\u00e1 spole\u010dnost, Sdru\u017een\u00ed rodi\u010d\u016f a p\u0159\u00e1tel diabetick\u00fdch d\u011bt\u00ed, Spole\u010dnost v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed a Svaz diabetik\u016f. C\u00edlem organizace je sjednotit p\u0159\u00edstup ke zlep\u0161en\u00ed p\u00e9\u010de o pacienty, vytvo\u0159it vhodn\u00fd legislativn\u00ed r\u00e1mec pro opat\u0159en\u00ed v jejich prosp\u011bch a kl\u00e1st d\u016fraz na dodr\u017eov\u00e1n\u00ed pravidel l\u00e9\u010dby, a to sm\u011brem k odborn\u00e9 ve\u0159ejnosti i k pacient\u016fm.<\/p>\n

Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

S n\u011bkterou z forem cukrovky (diabetes mellitus) se pot\u00fdk\u00e1 na osm procent obyvatel \u010cR. Po\u010det nemocn\u00fdch st\u00e1le stoup\u00e1, bez ohledu na v\u011bk \u010di pohlav\u00ed. Meziro\u010dn\u011b […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14132,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-30379","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\/30379","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=30379"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30379\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14132"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30379"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30379"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}