{"id":30963,"date":"2018-10-12T14:22:44","date_gmt":"2018-10-12T12:22:44","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30963"},"modified":"2018-10-12T14:22:44","modified_gmt":"2018-10-12T12:22:44","slug":"nemocni-s-lupenkou-by-meli-aktivne-hledat-ucinne-moznosti-lecby","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30963","title":{"rendered":"Nemocn\u00ed s lup\u00e9nkou by m\u011bli aktivn\u011b hledat \u00fa\u010dinn\u00e9 mo\u017enosti l\u00e9\u010dby"},"content":{"rendered":"

100 milion\u016f nemocn\u00fdch lup\u00e9nkou na cel\u00e9m sv\u011bt\u011b znamen\u00e1 glob\u00e1ln\u00ed probl\u00e9m. Podle Sv\u011btov\u00e9 zdravotnick\u00e9 organizace by mu m\u011bli v\u011bnovat pozornost odborn\u00edci ve zdravotnictv\u00ed a politici, aktivn\u00ed v hled\u00e1n\u00ed vhodn\u00fdch mo\u017enost\u00ed l\u00e9\u010dby ale mus\u00ed b\u00fdt i pacienti.<\/strong><\/p>\n

Praha 11.10. 2018 – Lup\u00e9nka je chronick\u00e9, z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed k\u016f\u017ee, kter\u00fdm je ve sv\u011bt\u011b posti\u017eeno nejm\u00e9n\u011b 100 milion\u016f lid\u00ed. V \u010cesk\u00e9 republice je to 200-300 tis\u00edc osob. Nen\u00ed to ale jen nemoc k\u016f\u017ee, s lup\u00e9nkou souvis\u00ed i jin\u00e9 z\u00e1va\u017en\u00e9 nemoci, k nim\u017e pat\u0159\u00ed z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed kloub\u016f (psoriatick\u00e1 artritida), kardiovaskul\u00e1rn\u00ed choroby, metabolick\u00fd syndrom, vysok\u00fd krevn\u00ed tlak, cukrovka nebo deprese. Lup\u00e9nka prokazateln\u011b sni\u017euje d\u00e9lku \u017eivota o 3,5-10 let. Sv\u011btov\u00e1 zdravotnick\u00e1 organizace (WHO) mluv\u00ed o lup\u00e9nce jako o z\u00e1va\u017en\u00e9m, nep\u0159enosn\u00e9m onemocn\u011bn\u00ed. \u0158ada lid\u00ed podle n\u00ed trp\u00ed lup\u00e9nkou zbyte\u010dn\u011b v d\u016fsledku nespr\u00e1vn\u00e9 nebo opo\u017ed\u011bn\u00e9 diagn\u00f3zy, neadekv\u00e1tn\u00edch mo\u017enost\u00ed l\u00e9\u010dby, nedostate\u010dn\u00e9ho p\u0159\u00edstupu k p\u00e9\u010di, a tak\u00e9 v d\u016fsledku soci\u00e1ln\u00ed stigmatizace. Nemocn\u00ed s lup\u00e9nkou by proto m\u011bli aktivn\u011b hledat \u00fa\u010dinn\u00e9 mo\u017enosti l\u00e9\u010dby a konzultovat je se sv\u00fdm l\u00e9ka\u0159em nebo ve specializovan\u00fdch dermatologick\u00fdch centrech, kter\u00fdch je v \u010cesk\u00e9 republice osmn\u00e1ct.<\/p>\n

Ost\u0159e ohrani\u010den\u00e9, za\u010dervenal\u00e9 a olupuj\u00edc\u00ed se skvrny, to jsou typick\u00e9 p\u0159\u00edznaky lup\u00e9nky na k\u016f\u017ei. P\u0159\u00ed\u010diny tohoto nevyl\u00e9\u010diteln\u00e9ho onemocn\u011bn\u00ed nejsou zcela zn\u00e1my, ale existuj\u00ed d\u016fkazy o vrozen\u00fdch p\u0159edpokladech a souvislost s imunitn\u00edm syst\u00e9mem. Lup\u00e9nku mohou spustit r\u016fznorod\u00e9 vn\u011bj\u0161\u00ed i vnit\u0159n\u00ed faktory, jako jsou stresov\u00e9 situace, dlouhodob\u00e1 fyzick\u00e1 n\u00e1maha, zran\u011bn\u00ed, jin\u00e9 prod\u011blan\u00e9 onemocn\u011bn\u00ed a infekce nebo i drobnosti jako sp\u00e1lenina od slunce. Nen\u00ed to ale jen onemocn\u011bn\u00ed k\u016f\u017ee, pota\u017emo neht\u016f, jedn\u00e1 se o onemocn\u011bn\u00ed cel\u00e9ho t\u011bla, kter\u00e9 mnohdy prov\u00e1z\u00ed dal\u0161\u00ed p\u0159idru\u017een\u00e1 onemocn\u011bn\u00ed (tzv.komorbidity), k nim\u017e pat\u0159\u00ed psoriatick\u00e1 artritida (z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed kloub\u016f), kardiovaskul\u00e1rn\u00ed a metabolick\u00e9 choroby i psychick\u00e9 pot\u00ed\u017ee.<\/p>\n

Lup\u00e9nka zat\u011b\u017euje v\u0161echny oblasti \u017eivota pacient\u016f<\/p>\n

Nedostate\u010dn\u011b l\u00e9\u010den\u00e1 lup\u00e9nka p\u0159edstavuje zna\u010dnou fyzickou, emo\u010dn\u00ed a soci\u00e1ln\u00ed z\u00e1t\u011b\u017e a v\u00fdznamn\u00e9 sn\u00ed\u017een\u00ed kvality \u017eivota. Nemocn\u00ed maj\u00ed ve zv\u00fd\u0161en\u00e9 m\u00ed\u0159e deprese, c\u00edt\u00ed se nebo jsou vylou\u010deni kv\u016fli sv\u00e9mu posti\u017een\u00ed ze spole\u010dnosti, trp\u00ed diskriminac\u00ed. Lup\u00e9nka ovliv\u0148uje i osobn\u00ed a rodinn\u00fd \u017eivot nemocn\u00fdch. M\u016f\u017ee m\u00edt negativn\u00ed dopad na vztahy doma, ve \u0161kole \u010di v pr\u00e1ci, sexu\u00e1ln\u00ed vztahy, a sni\u017eovat tak kvalitu \u017eivota a zp\u016fsobovat tlak na psychiku. Nemocn\u00ed \u010dasto b\u00fdvaj\u00ed vylou\u010deni z norm\u00e1ln\u00edho soci\u00e1ln\u00edho prost\u0159ed\u00ed. Nav\u00edc n\u00e1klady na l\u00e9\u010dbu a omezen\u00e9 pracovn\u00ed p\u0159\u00edle\u017eitosti mohou p\u0159edstavovat v\u00fdznamnou socioekonomickou z\u00e1t\u011b\u017e. P\u0159itom p\u0159\u00ed\u010dinou soci\u00e1ln\u00edho vylou\u010den\u00ed nen\u00ed samotn\u00e1 lup\u00e9nka, n\u00fdbr\u017e p\u0159ev\u00e1\u017en\u011b reakce spole\u010dnosti na ni. To v\u0161ak lze zm\u011bnit.<\/p>\n

L\u00e9\u010dba lup\u00e9nky<\/p>\n

\u201eLup\u00e9nka je v sou\u010dasnosti nevyl\u00e9\u010diteln\u00e9 onemocn\u011bn\u00ed. C\u00edlem l\u00e9\u010dby tedy je dosa\u017een\u00ed remise (vymizen\u00ed v\u0161ech zn\u00e1mek nemoci) a obvykle mus\u00ed b\u00fdt celo\u017eivotn\u00ed. L\u00e9ka\u0159i maj\u00ed k dispozici t\u0159i hlavn\u00ed formy l\u00e9\u010dby: lok\u00e1ln\u00ed l\u00e9\u010dbu lo\u017eisek, syst\u00e9movou l\u00e9\u010dbu a fototerapii. V praxi se \u010dasto pou\u017e\u00edv\u00e1 kombinace t\u011bchto metod. V r\u00e1mci l\u00e9\u010dby je v\u0161ak nutn\u00e9 se zam\u011b\u0159ovat na cel\u00e9ho \u010dlov\u011bka, tedy v\u011bnovat pozornost nejen ko\u017en\u00edm projev\u016fm a posti\u017een\u00ed kloub\u016f, ale i dal\u0161\u00edm p\u0159idru\u017een\u00fdm onemocn\u011bn\u00edm,\u201c uv\u00e1d\u00ed k l\u00e9\u010debn\u00fdm mo\u017enostem profesor MUDr. Petr Arenberger, DrSc., MBA, FCMA, p\u0159ednosta Dermatovenerologick\u00e9 kliniky 3. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a Fakultn\u00ed nemocnice Kr\u00e1lovsk\u00e9 Vinohrady v Praze.<\/p>\n

Pacienti mus\u00ed b\u00fdt aktivn\u00ed p\u0159i hled\u00e1n\u00ed mo\u017enost\u00ed l\u00e9\u010dby<\/p>\n

Podle Sv\u011btov\u00e9 zdravotnick\u00e9 organizace je jedn\u00edm ze z\u00e1sadn\u00edch glob\u00e1ln\u00edch probl\u00e9m\u016f nedostate\u010dn\u00fd po\u010det zdravotnick\u00fdch odborn\u00edk\u016f, a tud\u00ed\u017e n\u00edzk\u00e1 informovanost o l\u00e9\u010db\u011b lup\u00e9nky mezi zdravotn\u00edky. Ta v kone\u010dn\u00e9m d\u016fsledku vede k poddiagnostikov\u00e1n\u00ed a ne\u00fa\u010dinn\u00e9 l\u00e9\u010db\u011b, kter\u00e1 nenapl\u0148uje pot\u0159eby pacienta. \u201eZv\u00fd\u0161en\u00ed informovanosti o tomto onemocn\u011bn\u00ed mezi odbornou i laickou ve\u0159ejnost\u00ed je nezbytn\u00e9. Nemocn\u00ed s lup\u00e9nkou by m\u011bli b\u00fdt p\u0159i \u0159e\u0161en\u00ed sv\u00e9 nemoci aktivn\u00ed, pt\u00e1t se sv\u00e9ho l\u00e9ka\u0159e na v\u0161echny dostupn\u00e9 mo\u017enosti l\u00e9\u010dby, p\u0159\u00edpadn\u011b se objednat do n\u011bkter\u00e9ho z center specializovan\u00e9 l\u00e9\u010dby,\u201c uv\u00e1d\u00ed MUDr. Spyridon Gkalpakiotis, Ph.D., MBA, prim\u00e1\u0159 Dermatovenerologick\u00e9 kliniky Fakultn\u00ed nemocnice Kr\u00e1lovsk\u00e9 Vinohrady v Praze.<\/p>\n

L\u00e9\u010dba a informa\u010dn\u00ed kampan\u011b v \u010cesk\u00e9 republice<\/p>\n

Profesor Petr Arenberger, p\u0159ednosta Dermatovenerologick\u00e9 kliniky 3. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a Fakultn\u00ed nemocnice Kr\u00e1lovsk\u00e9 Vinohrady v Praze syst\u00e9m l\u00e9\u010dby lup\u00e9nky v na\u0161\u00ed zemi komentuje: \u201eV \u010cesk\u00e9 republice existuje 18 center specializovan\u00e9 p\u00e9\u010de, v nich\u017e je pacient\u016fm poskytov\u00e1na nejmodern\u011bj\u0161\u00ed l\u00e9\u010dba. Pro pos\u00edlen\u00ed informovanosti pacient\u016f i ve\u0159ejnosti ji\u017e druh\u00fdm rokem prob\u00edh\u00e1 informa\u010dn\u00ed kampa\u0148, kterou jako odborn\u00edci pova\u017eujeme za velmi d\u016fle\u017eitou. V\u00fdzvou \u201eZeptejte se sv\u00e9ho dermatologa na v\u0161echny mo\u017enosti l\u00e9\u010dby\u201c si kampa\u0148 klade za c\u00edl pacienty s lup\u00e9nkou motivovat, aby o sv\u00e9 nemoci a mo\u017enostech jej\u00ed l\u00e9\u010dby hovo\u0159ili se sv\u00fdm ko\u017en\u00edm l\u00e9ka\u0159em, neboli dermatologem.\u201c<\/p>\n

V\u00edce informac\u00ed o kampani naleznete na www.cistakuze.cz<\/a><\/p>\n

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

100 milion\u016f nemocn\u00fdch lup\u00e9nkou na cel\u00e9m sv\u011bt\u011b znamen\u00e1 glob\u00e1ln\u00ed probl\u00e9m. Podle Sv\u011btov\u00e9 zdravotnick\u00e9 organizace by mu m\u011bli v\u011bnovat pozornost odborn\u00edci ve zdravotnictv\u00ed a politici, aktivn\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30963","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30963","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=30963"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30963\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30963"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30963"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}