{"id":30959,"date":"2018-10-11T14:31:10","date_gmt":"2018-10-11T12:31:10","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30959"},"modified":"2018-10-11T14:31:10","modified_gmt":"2018-10-11T12:31:10","slug":"revmatoidni-artritida-boj-proti-imunite-i-se-systemem","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30959","title":{"rendered":"Revmatoidn\u00ed artritida. Boj proti imunit\u011b i se syst\u00e9mem"},"content":{"rendered":"

Bolesti a otoky kloub\u016f rukou, rann\u00ed ztuhlost kloub\u016f. To je dennodenn\u00ed chl\u00e9b asi procenta \u010cech\u016f. Podle VZP se po\u010det pacient\u016f s revmatoidn\u00ed artritidou nav\u00edc za posledn\u00edch p\u011bt let zv\u00fd\u0161il zhruba o deset procent. Pro\u010d nemoc vlastn\u011b vznik\u00e1, nen\u00ed jasn\u00e9. Jasn\u00e9 ale je, \u017ee a\u017e polovinu nemocn\u00fdch p\u0159iprav\u00ed o zam\u011bstn\u00e1n\u00ed a \u017ee boj imunitn\u00edho syst\u00e9mu s klouby m\u016f\u017ee skon\u010dit trvalou invaliditou.<\/strong> <\/p>\n

Artritida znamen\u00e1 z\u00e1n\u011bt kloubu. Nemoc\u00ed, kter\u00e9 ho ale mohou p\u0159ivodit, je cel\u00e1 \u0159ada. Mezi nej\u010dast\u011bj\u0161\u00ed pat\u0159\u00ed revmatoidn\u00ed artritida, lidov\u011b revma, p\u0159i n\u00ed\u017e imunitn\u00ed syst\u00e9m napad\u00e1 klouby.<\/p>\n

POZNAT TU PRAVOU<\/p>\n

„Jednotliv\u00e9 druhy se mezi sebou li\u0161\u00ed rozsahem posti\u017een\u00ed, kombinac\u00ed s dal\u0161\u00edmi projevy, jako jsou z\u00e1n\u011bt p\u00e1te\u0159e, po\u0161kozen\u00ed vnit\u0159n\u00edch org\u00e1n\u016f, oka \u010di k\u016f\u017ee. N\u011bkter\u00e9, na\u0161t\u011bst\u00ed vz\u00e1cn\u011bj\u0161\u00ed nemoci, mohou z\u00e1rove\u0148 postihnout i srdce, pl\u00edce nebo ledviny. Tam pak maj\u00ed projevy z\u00e1va\u017en\u011bj\u0161\u00ed dopad ne\u017e samotn\u00fd z\u00e1n\u011bt kloub\u016f,“ \u0159ekl k dal\u0161\u00edm nemocem, je\u017e jsou spojeny s artritidou, profesor Ji\u0159\u00ed Vencovsk\u00fd, p\u0159edseda \u010cesk\u00e9 revmatologick\u00e9 spole\u010dnosti.<\/p>\n

\u017de i l\u00e9ka\u0159i bojuj\u00ed s nemoc\u00ed bez jasn\u00e9 p\u0159\u00ed\u010diny a s fat\u00e1ln\u00edmi n\u00e1sledky zpo\u010d\u00e1tku donkichotsky, potvrdila i Kate\u0159ina B\u00e1rtkov\u00e1 z Fakultn\u00ed nemocnice v Ostrav\u011b: „Rozli\u0161en\u00ed revmatoidn\u00ed artritidy od jin\u00fdch artritid m\u016f\u017ee b\u00fdt obt\u00ed\u017en\u00e9 p\u0159edev\u0161\u00edm na po\u010d\u00e1tku nemoci a mnohdy vy\u017eaduje dal\u0161\u00ed vy\u0161et\u0159en\u00ed.“<\/p>\n

TIS\u00cdCE NOV\u00ddCH KA\u017dD\u00dd ROK<\/p>\n

Podle profesora Vencovsk\u00e9ho je v populaci asi 0,8\u20131 procento nemocn\u00fdch, kte\u0159\u00ed trp\u00ed revmatoidn\u00ed artritidou r\u016fzn\u00e9 z\u00e1va\u017enosti. Ro\u010dn\u011b se podle n\u011bj objev\u00ed asi 20\u201330 nov\u00fdch p\u0159\u00edpad\u016f revmatoidn\u00ed artritidy na 100 tis\u00edc obyvatel, co\u017e je u n\u00e1s p\u0159ibli\u017en\u011b dva a\u017e t\u0159i tis\u00edce za rok.<\/p>\n

„Prvn\u00ed zn\u00e1mkou je bolest a otok kloub\u016f, v\u011bt\u0161inou n\u011bkolika a nej\u010dast\u011bji kloub\u016f na rukou. Nemocn\u00ed b\u00fdvaj\u00ed tak\u00e9 v\u00edce unaveni a maj\u00ed zejm\u00e9na po r\u00e1nu ztuhl\u00e9 ruce. Typick\u00e1 je tak\u00e9 symetri\u010dnost pot\u00ed\u017e\u00ed, tedy na obou stran\u00e1ch t\u011bla,“ uv\u00e1d\u00ed prvn\u00ed varovn\u00e9 symptomy Vencovsk\u00fd. Z\u00e1le\u017e\u00ed v\u0161ak na z\u00e1va\u017enosti nemoci. V\u0161ichni nemocn\u00ed toti\u017e nemaj\u00ed t\u011b\u017ek\u00e9 stavy s posti\u017een\u00edm mnoha kloub\u016f.<\/p>\n

„V sou\u010dasn\u00e9 dob\u011b je d\u016fraz kladen zejm\u00e9na na v\u010dasnou diagnostiku a rychl\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby, \u010d\u00edm\u017e m\u016f\u017eeme p\u0159edej\u00edt nevratn\u00e9mu po\u0161kozen\u00ed kloub\u016f. Z\u00e1kladem je l\u00e9\u010dba farmakologick\u00e1. D\u016fle\u017eit\u00e1 je tak\u00e9 fyzik\u00e1ln\u00ed terapie a rehabilitace. V p\u0159\u00edpad\u011b z\u00e1va\u017en\u00e9ho kloubn\u00edho po\u0161kozen\u00ed p\u0159istupujeme rovn\u011b\u017e k l\u00e9\u010db\u011b chirurgick\u00e9,“ uvedla k metod\u00e1m l\u00e9\u010dby B\u00e1rtkov\u00e1.<\/p>\n

T\u0159etina pacient\u016f m\u00e1 d\u00edky modern\u00ed l\u00e9\u010db\u011b bu\u010f \u017e\u00e1dn\u00e9 nebo jen minim\u00e1ln\u00ed p\u0159\u00edznaky. L\u00e9ka\u0159i podle Vencovsk\u00e9ho dok\u00e1\u017eou u dal\u0161\u00edch 30-40 procent lid\u00ed navodit stav, kdy nemoc d\u00e1le nepokra\u010duje, nebo jen pomalu a nevede tak k v\u00fdrazn\u00e9mu funk\u010dn\u00edmu po\u0161kozen\u00ed.<\/p>\n

L\u00c9KY EXISTUJ\u00cd. CESTA K NIM JE ALE DLOUH\u00c1<\/p>\n

„Autoimunitn\u00ed revmatick\u00e9 choroby mohou postihnout i mlad\u00e9ho \u010dlov\u011bka a b\u011bhem n\u011bkolika let dokonce zp\u016fsobit invaliditu. A na\u0161t\u011bst\u00ed pr\u00e1v\u011b nejh\u016f\u0159e posti\u017een\u00fdm revmatik\u016fm, tedy t\u011bm, kter\u00fdm nemoc zkracovala \u017eivot, pomohly modern\u00ed biologick\u00e9 l\u00e9ky nejv\u00edce,“ uv\u00e1d\u00ed Vencovsk\u00fd.<\/p>\n

Nejde v\u0161ak o z\u00e1zra\u010dn\u00e9 v\u0161el\u00e9ky. U \u010d\u00e1sti pacient\u016f k l\u00e9\u010debn\u00e9 odpov\u011bdi v\u016fbec nedojde, u jin\u00fdch biologick\u00e9 l\u00e9ky zaberou, ale odpov\u011b\u010f na l\u00e9\u010dbu se \u010dasem vytrat\u00ed. Pot\u00e9 musej\u00ed l\u00e9ka\u0159i hledat jinou \u00fa\u010dinnou l\u00e1tku. L\u00e9\u010dba jednoho pacienta nav\u00edc stoj\u00ed nemal\u00e9 prost\u0159edky a lehce se vejde do rozmez\u00ed 200 a\u017e 300 tis\u00edc korun za rok. \u00da\u010dinn\u00e1 biologick\u00e1 l\u00e9\u010dba, kter\u00e1 nemoc zastav\u00ed nebo alespo\u0148 potla\u010d\u00ed, se ale k mnoh\u00fdm dost\u00e1v\u00e1 pozd\u011b. Na vin\u011b jsou indika\u010dn\u00ed krit\u00e9ria, kter\u00e1 zdravotn\u00edm poji\u0161\u0165ovn\u00e1m neumo\u017e\u0148uj\u00ed hradit l\u00e9k d\u0159\u00edve. Boj s nemoc\u00ed tak \u010dasto st\u00edh\u00e1 i z\u00e1pas o \u017eivot se syst\u00e9mem.<\/p>\n

P\u0159\u00ed\u010dina onemocn\u011bn\u00ed<\/p>\n

Genetick\u00e9 faktory \u2013 u d\u011bdi\u010dn\u011b n\u00e1chyln\u00e9ho jedince se nemoc spou\u0161t\u00ed aktivac\u00ed imunitn\u00edho syst\u00e9mu dosud nezji\u0161t\u011bnou l\u00e1tkou pravd\u011bpodobn\u011b virov\u00e9ho nebo bakteri\u00e1ln\u00edho p\u016fvodu.
\nHormon\u00e1ln\u00ed faktory \u2013 nemoc \u010dast\u011bji za\u00fato\u010d\u00ed na \u017eeny v produktivn\u00edm v\u011bku, na vzniku choroby se tak\u00e9 mohou podepisovat \u017eensk\u00e9 pohlavn\u00ed hormony.
\nKou\u0159en\u00ed \u2013 je jedn\u00edm z v\u00fdrazn\u00fdch rizikov\u00fdch faktor\u016f, nemoc se u ku\u0159\u00e1k\u016f vyskytuje t\u0159ikr\u00e1t \u010dast\u011bji ne\u017e u neku\u0159\u00e1k\u016f.<\/p>\n

Jak na zdrav\u00e9 klouby<\/p>\n

Zpest\u0159ete sv\u016fj j\u00eddeln\u00ed\u010dek \u2013 nejlep\u0161\u00ed prevenc\u00ed je pestr\u00fd j\u00eddeln\u00ed\u010dek bohat\u00fd na vitam\u00edny, jako jsou ovoce a zelenina, obiloviny, lu\u0161t\u011bniny, ml\u00e9\u010dn\u00e9 v\u00fdrobky, vejce, ryby, ku\u0159ec\u00ed a jin\u00e9 kvalitn\u00ed maso.
\nPivo jako prevence \u2013 \u017eeny, je\u017e si dop\u0159ej\u00ed n\u011bkolikr\u00e1t t\u00fddn\u011b skleni\u010dku piva, onemocn\u00ed m\u00e9n\u011b \u010dast\u011bji ne\u017e abstinentky. Podobnou slu\u017ebu m\u016f\u017ee prok\u00e1zat i p\u0159\u00edle\u017eitostn\u00e1 sklenka v\u00edna nebo dou\u0161ek lik\u00e9ru.
\nSportem ke zdrav\u00fdm kloub\u016fm \u2013 cvi\u010den\u00ed zachov\u00e1v\u00e1 klouby pohybliv\u00e9, svaly siln\u00e9, zabr\u00e1n\u00ed \u00fabytku kostn\u00ed hmoty a zlep\u0161uje tak\u00e9 kvalitu sp\u00e1nku. Velmi vhodn\u00e9 jsou plav\u00e1n\u00ed, svi\u017en\u00e1 ch\u016fze nebo j\u00f3ga.<\/p>\n

DENIS DRAHO\u0160
\n\u010ceskobud\u011bjovick\u00fd den\u00edk
\nhttp:\/\/ceskobudejovicky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Bolesti a otoky kloub\u016f rukou, rann\u00ed ztuhlost kloub\u016f. To je dennodenn\u00ed chl\u00e9b asi procenta \u010cech\u016f. Podle VZP se po\u010det pacient\u016f s revmatoidn\u00ed artritidou nav\u00edc za […]<\/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":[9],"tags":[],"class_list":["post-30959","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30959","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=30959"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30959\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30959"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30959"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}