{"id":30479,"date":"2018-05-15T15:10:58","date_gmt":"2018-05-15T13:10:58","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30479"},"modified":"2018-05-15T15:10:58","modified_gmt":"2018-05-15T13:10:58","slug":"pred-bechterevovou-nemoci-jiz-neni-nutne-ohybat-hrbet","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30479","title":{"rendered":"P\u0159ed Becht\u011brevovou nemoc\u00ed ji\u017e nen\u00ed nutn\u00e9 oh\u00fdbat h\u0159bet"},"content":{"rendered":"

Becht\u011brevovu nemoc (ankylozuj\u00edc\u00ed spondylitidu) \u0159ad\u00edme mezi z\u00e1n\u011btliv\u00e1 autoimunitn\u00ed chronick\u00e1 revmatick\u00e1 onemocn\u011bn\u00ed. Trp\u00ed j\u00ed p\u0159ibli\u017en\u011b ka\u017ed\u00fd st\u00fd \u010cech. Postihuje p\u0159edev\u0161\u00edm p\u00e1te\u0159 a p\u00e1te\u0159n\u00ed struktury a bez \u00fa\u010dinn\u00e9 l\u00e9\u010dby se p\u00e1te\u0159 st\u00e1v\u00e1 st\u00e1le m\u00e9n\u011b a m\u00e9n\u011b ohebnou a v kone\u010dn\u00e9m st\u00e1diu se u n\u011bkter\u00fdch nemocn\u00fdch m\u011bn\u00ed v tuhou, neohebnou ty\u010d. I kdy\u017e pokroky v r\u016fzn\u00fdch oblastech medic\u00edny jsou v dne\u0161n\u00ed dob\u011b ohromuj\u00edc\u00ed, terapie Becht\u011brevovy nemoci doned\u00e1vna spo\u010d\u00edvala t\u00e9m\u011b\u0159 v\u00fdlu\u010dn\u011b v m\u00edrn\u011bn\u00ed p\u0159\u00edznak\u016f. Nad\u011bje pacient\u016fm svitla a\u017e s p\u0159\u00edchodem modern\u00ed l\u00e9\u010dby, jej\u00edm\u017e c\u00edlem je zpomalit postup onemocn\u011bn\u00ed, p\u0159edch\u00e1zet komplikac\u00edm a umo\u017enit pacient\u016fm pro\u017e\u00edt bez bolesti a bez dal\u0161\u00edch p\u0159\u00edznak\u016f onemocn\u011bn\u00ed co nejdel\u0161\u00ed plnohodnotn\u00fd \u017eivot \u2013 pracovn\u00ed i osobn\u00ed.<\/strong>
\n
\n\u201eBecht\u011brevovu nemoc v \u0161ir\u0161\u00edm kontextu \u0159ad\u00edme mezi z\u00e1n\u011btliv\u00e1 autoimunitn\u00ed chronick\u00e1 revmatick\u00e1 onemocn\u011bn\u00ed. Postihuje p\u0159edev\u0161\u00edm p\u00e1te\u0159 a p\u00e1te\u0159n\u00ed struktury a nejen to, vyskytuj\u00ed se i projevy na perifern\u00edch kloubech, nebo \u0161lachov\u00fdch \u00faponech. \u010c\u00e1st pacient\u016f trp\u00ed tzv. mimoskelet\u00e1ln\u00edmi p\u0159\u00edznaky nap\u0159. posti\u017een\u00edm o\u010d\u00ed, lup\u00e9nkou nebo idiopatick\u00fdmi st\u0159evn\u00edmi z\u00e1n\u011bty,\u201c uvedl prof. MUDr. Karel Pavelka, DrSc. v Klubu Terapie po\u0159\u00e1dan\u00e9m u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne Becht\u011brevovy nemoci. Nemoc se poprv\u00e9 projev\u00ed v\u011bt\u0161inou ji\u017e v ml\u00e1d\u00ed, mezi 18. a 30. rokem \u017eivota, dvakr\u00e1t a\u017e t\u0159ikr\u00e1t \u010dast\u011bji u mu\u017e\u016f ne\u017e u \u017een. Jedn\u00e1 se o onemocn\u011bn\u00ed velice z\u00e1va\u017en\u00e9, kter\u00e9 podstatn\u011b ovliv\u0148uje kvalitu \u017eivota \u2013 30 a\u017e 40 procent pacient\u016f b\u00fdv\u00e1 do 10 let od diagn\u00f3zy v invalidn\u00edm d\u016fchodu.<\/p>\n

Ankylozuj\u00edc\u00ed spondylitida za\u010d\u00edn\u00e1 nen\u00e1padn\u011b \u00fanavou, zv\u00fd\u0161enu teplotou nebo no\u010dn\u00edm pocen\u00edm. Pak se ale p\u0159id\u00e1 bolest v p\u00e1te\u0159i, nej\u010dast\u011bji v m\u00edst\u011b sklouben\u00ed k\u0159\u00ed\u017eov\u00e9 kosti s p\u00e1nv\u00ed. \u201ePrvn\u00edm dominantn\u00edm p\u0159\u00edznakem jsou bolesti v doln\u00edch z\u00e1dech. Jedn\u00e1 se o tzv. z\u00e1n\u011btliv\u00fd typ bolesti, kter\u00fd je relativn\u011b specifick\u00fd \u2013 na rozd\u00edl od bolesti z jin\u00fdch p\u0159\u00ed\u010din se projevuje v klidu, zejm\u00e9na v noci. D\u00e1le je pro tento typ bolesti typick\u00e9, \u017ee se zlep\u0161uje rozcvi\u010den\u00edm,\u201c dodal prof. Pavelka.<\/p>\n

Becht\u011brevova nemoc zkracuje sv\u00fdm nositel\u016fm \u017eivot o 5 a\u017e 7 let. Z\u00e1kladem \u00fasp\u011b\u0161n\u00e9 l\u00e9\u010dby je v\u010dasn\u00e1 diagnostika, co\u017e se ale v mnoha p\u0159\u00edpadech neda\u0159\u00ed. Pr\u016fm\u011brn\u00e1 doba zpo\u017ed\u011bn\u00ed diagn\u00f3zy je v \u010cesk\u00e9 republice 9,3 roku. Pozn\u00e1n\u00ed imunitn\u00edch mechanism\u016f v sou\u010dasnosti umo\u017e\u0148uje vyv\u00edjet l\u00e9ky, kter\u00e9 p\u016fsob\u00ed c\u00edlen\u011b proti ur\u010dit\u00fdm l\u00e1tk\u00e1m zp\u016fsobuj\u00edc\u00edm z\u00e1n\u011bt. Po inhibitorech tumor nekrotizuj\u00edc\u00edho faktoru alfa (TNF-\u03b1), p\u0159ich\u00e1zej\u00ed do klinick\u00e9 praxe i v \u010cR dal\u0161\u00ed l\u00e9ky, kter\u00e9 jsou \u00fa\u010dinn\u00e9 i u t\u011bch becht\u011brevik\u016f, u kter\u00fdch terapie proti TNF-\u03b1 nezab\u00edr\u00e1. C\u00edlem modern\u00ed l\u00e9\u010dby Becht\u011brevovy nemoci je zpomalit postup onemocn\u011bn\u00ed, p\u0159edch\u00e1zet komplikac\u00edm a umo\u017enit pacient\u016fm pro\u017e\u00edt bez bolesti a \u017e\u00edt bez dal\u0161\u00edch p\u0159\u00edznak\u016f onemocn\u011bn\u00ed.<\/p>\n

Klub becht\u011brevik\u016f \u010cesk\u00e9 republiky z.s.<\/p>\n

Klub becht\u011brevik\u016f \u010cesk\u00e9 republiky z.s. (KB \u010cR) je voln\u00fdm a dobrovoln\u00fdm sdru\u017een\u00edm zdravotn\u011b posti\u017een\u00fdch ob\u010dan\u016f Becht\u011brevovou chorobou (diagn\u00f3za ankylozuj\u00edc\u00ed spondylitida), rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f a v\u0161ech p\u0159\u00edznivc\u016f a z\u00e1jemc\u016f a zlep\u0161en\u00ed \u017eivotn\u00edch podm\u00ednek takto zdravotn\u011b posti\u017een\u00fdch ob\u010dan\u016f. Hlavn\u00edm c\u00edlem \u010dinnosti KB \u010cR je obhajoba, prosazov\u00e1n\u00ed a napl\u0148ov\u00e1n\u00ed z\u00e1jm\u016f a pot\u0159eb osob posti\u017een\u00fdch Becht\u011brevovou chorobou v sou\u010dinnosti s org\u00e1ny st\u00e1tn\u00ed spr\u00e1vy, organizacemi zdravotn\u011b posti\u017een\u00fdch v jin\u00fdch zem\u00edch. \u010clenstv\u00ed v KB \u010cR je ur\u010deno zejm\u00e9na v\u0161em zdravotn\u011b posti\u017een\u00fdm Becht\u011brevovou chorobou a jejich rodinn\u00fdm p\u0159\u00edslu\u0161n\u00edk\u016fm, d\u00e1le i v\u0161em fyzick\u00fdm a pr\u00e1vnick\u00fdm osob\u00e1m, kter\u00e9 se ztoto\u017en\u00ed s c\u00edli a z\u00e1jmy KB \u010cR. Podm\u00ednkou \u010dlenstv\u00ed nen\u00ed st\u00e1tn\u00ed ob\u010danstv\u00ed \u010cesk\u00e9 republiky, ani s\u00eddlo pr\u00e1vnick\u00e9 osoby na \u00fazem\u00ed \u010cesk\u00e9 republiky. Kolektivn\u00edm \u010dlenem se mohou st\u00e1t za stejn\u00fdch podm\u00ednek fyzick\u00e9 a pr\u00e1vnick\u00e9 osoby. Rovn\u011b\u017e KB \u010cR m\u016f\u017ee b\u00fdt kolektivn\u00edm \u010dlenem jin\u00fdch pr\u00e1vnick\u00fdch osob. \u010cestn\u00fdm \u010dlenem KB \u010cR se mohou st\u00e1t fyzick\u00e9 osoby, kter\u00e9 se v\u00fdznamnou m\u011brou zaslou\u017eily o zdravotn\u011b posti\u017een\u00e9 Becht\u011brevovou chorobou, nebo o chod spolku
\nPro v\u00edce informac\u00ed na www.klub-bechtereviku.cz<\/a>.<\/p>\n

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

Becht\u011brevovu nemoc (ankylozuj\u00edc\u00ed spondylitidu) \u0159ad\u00edme mezi z\u00e1n\u011btliv\u00e1 autoimunitn\u00ed chronick\u00e1 revmatick\u00e1 onemocn\u011bn\u00ed. Trp\u00ed j\u00ed p\u0159ibli\u017en\u011b ka\u017ed\u00fd st\u00fd \u010cech. Postihuje p\u0159edev\u0161\u00edm p\u00e1te\u0159 a p\u00e1te\u0159n\u00ed struktury a bez […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-30479","post","type-post","status-publish","format-standard","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30479","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=30479"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30479\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}