{"id":32746,"date":"2019-11-14T14:04:50","date_gmt":"2019-11-14T13:04:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32746"},"modified":"2019-11-15T09:25:12","modified_gmt":"2019-11-15T08:25:12","slug":"moderni-leky-na-chopn-jiz-dostanou-i-spolupracujici-kuraci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32746","title":{"rendered":"Modern\u00ed l\u00e9ky na CHOPN ji\u017e dostanou i „spolupracuj\u00edc\u00ed“ ku\u0159\u00e1ci"},"content":{"rendered":"\n

Nad\u011bje sv\u00edt\u00e1 t\u011bm, kte\u0159\u00ed maj\u00ed chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN), ale dosud nep\u0159estali kou\u0159it. Pokud spolupracuj\u00ed a kou\u0159en\u00ed postupn\u011b omez\u00ed, mohou jim plicn\u00ed l\u00e9ka\u0159i p\u0159edepsat modern\u00ed l\u00e9ky. Ku\u0159\u00e1k\u016fm je toti\u017e dosud p\u0159edepsat nemohli. T\u00fdk\u00e1 se to p\u0159ibli\u017en\u011b 45 000 z celkem 300 000 pacient\u016f, kte\u0159\u00ed se s CHOPN v \u010cR l\u00e9\u010d\u00ed. <\/strong><\/p>\n\n\n\n

\u201eV\u0161ichni pacienti, kte\u0159\u00ed absolvovali intervenci proti kou\u0159en\u00ed tab\u00e1kov\u00fdch v\u00fdrobk\u016f a pro odvyk\u00e1n\u00ed kou\u0159en\u00ed, u\u017e\u00edvaj\u00ed l\u00e9ky dle pokyn\u016f l\u00e9ka\u0159e a sni\u017euj\u00ed po\u010det vykou\u0159en\u00fdch cigaret, se nov\u011b za\u0159azuj\u00ed do kolonky spolupracuj\u00edc\u00ed ku\u0159\u00e1k a otev\u00edraj\u00ed se jim dve\u0159e k modern\u00ed l\u00e9\u010db\u011b. V\u011bt\u0161ina z nich nedok\u00e1\u017ee ze dne na den p\u0159estat kou\u0159it \u2013 z\u00e1vislost na nikotinu lze p\u0159irovnat k z\u00e1vislosti na heroinu. Kdy\u017e vid\u00edme, \u017ee se pacient sna\u017e\u00ed, pro\u010d bychom jej m\u011bli nechat se dusit?\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Martina Va\u0161\u00e1kov\u00e1, Ph.D., p\u0159edsedkyn\u011b \u010cPFS a p\u0159ednostka Pneumologick\u00e9 kliniky 1. LF UK a Thomayerovy nemocnice. <\/p>\n\n\n\n

S nedostatkem vzduchu toti\u017e pacient s CHOPN bojuje ka\u017ed\u00fd den a podle plicn\u00edch expert\u016f mu modern\u00ed l\u00e9ky umo\u017en\u00ed nabrat dech a bojovat jak s nemoc\u00ed, tak se z\u00e1vislost\u00ed. <\/p>\n\n\n\n

\u201eKrom\u011b toho nebudou tak \u010dasto, nebo dokonce v\u016fbec muset do nemocnice s v\u00fdrazn\u00fdm zhor\u0161en\u00edm p\u0159\u00edznak\u016f (exacerbac\u00ed), kde pak podstupuj\u00ed dra\u017e\u0161\u00ed l\u00e9\u010dbu v\u010detn\u011b nap\u0159\u00edklad pobytu na jednotk\u00e1ch intenzivn\u00ed p\u00e9\u010de. Pacienti s diabetem II. typu tak\u00e9 dost\u00e1vaj\u00ed l\u00e9ky, i kdy\u017e kou\u0159\u00ed nebo nedodr\u017euj\u00ed dietu, podobn\u011b lid\u00e9 s infarktem. Nevid\u00edme d\u016fvod, pro\u010d by lid\u00e9 s CHOPN, kte\u0159\u00ed se nav\u00edc sna\u017e\u00ed, m\u011bli b\u00fdt v\u00fdjimkou,\u201c <\/em>dod\u00e1v\u00e1 prof. Va\u0161\u00e1kov\u00e1. <\/p>\n\n\n\n

Odborn\u00edci odhaduj\u00ed,\n\u017ee zat\u00edmco 300 000 lid\u00ed se s CHOPN l\u00e9\u010d\u00ed, dal\u0161\u00edch 300 000 o\nnemoci nev\u00ed. \u201ePot\u00fdkaj\u00ed se s chronick\u00fdm ka\u0161lem, \u00fanavou,\nzad\u00fdch\u00e1vaj\u00ed se, ale k l\u00e9ka\u0159i nejdou. Pro n\u011b po\u0159\u00e1d\u00e1me\nka\u017edoro\u010dn\u011b ve\u0159ejn\u00e1 m\u011b\u0159en\u00ed v obchodn\u00edch centrech,\norganizujeme den otev\u0159en\u00fdch ambulanc\u00ed u plicn\u00edch l\u00e9ka\u0159\u016f\npo cel\u00e9 republice, kter\u00fd letos p\u0159ipadne na 20. 11., podporujeme\nscreeningov\u00e9 akce. Zkr\u00e1tka vyhla\u0161ujeme boj na v\u0161ech front\u00e1ch,\u201c<\/em>\n\u0159\u00edk\u00e1 MUDr. Stanislav Kos, CSc., p\u0159edseda \u010cesk\u00e9ho ob\u010dansk\u00e9ho\nspolku proti plicn\u00edm nemocem (\u010cOPN). Podle n\u011bj je CHOPN\nnej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou transplantace plic \u2013 ro\u010dn\u011b jich\nl\u00e9ka\u0159i provedou 42\u201344, 36 % z nich kv\u016fli CHOPN. \n<\/p>\n\n\n\n

\u010cOPN celoro\u010dn\u011b u\u010d\u00ed ty, kte\u0159\u00ed nemoc maj\u00ed, spr\u00e1vn\u011b pou\u017e\u00edvat inhal\u00e1tory s l\u00e9\u010divem. \u201eP\u0159ibli\u017en\u011b u poloviny pacient\u016f se potk\u00e1v\u00e1me s t\u00edm, \u017ee je neum\u00ed spr\u00e1vn\u011b pou\u017e\u00edvat,\u201c<\/em> komentuje MUDr. Kos. To ostatn\u011b potvrzuje unik\u00e1tn\u00ed pr\u016fzkum Plicn\u00ed kliniky Fakultn\u00ed nemocnice v Hradci Kr\u00e1lov\u00e9, na kter\u00e9m spolupracovala se 14 nejv\u011bt\u0161\u00edmi plicn\u00edmi centry v republice a farmaceuty. <\/p>\n\n\n\n

\u201eSpr\u00e1vn\u011b l\u00e9ky inhaluje pouh\u00fdch 40 % pacient\u016f ze 700 sledovan\u00fdch. U 60 % tak l\u00e9ky nemaj\u00ed \u0161anci p\u016fsobit. My pak zbyte\u010dn\u011b p\u0159edepisujeme st\u00e1le dra\u017e\u0161\u00ed prepar\u00e1ty,\u201c<\/em> \u0159\u00edk\u00e1 doc. MUDr. Vladim\u00edr Kobl\u00ed\u017eek, Ph.D., p\u0159ednosta Plicn\u00ed kliniky Fakultn\u00ed nemocnice a L\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy v Hradci Kr\u00e1lov\u00e9 a v\u011bdeck\u00fd sekret\u00e1\u0159 \u010cPFS. <\/p>\n\n\n\n

Zp\u016fsoby pou\u017eit\u00ed pr\u00e1\u0161kov\u00fdch a aerosolov\u00fdch inhal\u00e1tor\u016f jsou r\u016fzn\u00e9 a jejich aplikace se sest\u00e1v\u00e1 a\u017e z p\u011bti z\u00e1kladn\u00edch krok\u016f. \u201eNejv\u011bt\u0161\u00ed slabiny jsme objevili v okam\u017eiku, kdy m\u00e1 pacient co mo\u017en\u00e1 nejv\u00edce vydechnout p\u0159edt\u00edm, ne\u017e inhaluje l\u00e9k, co\u017e velmi \u010dasto ned\u011bl\u00e1. Zejm\u00e9na pro star\u0161\u00ed ro\u010dn\u00edky je spr\u00e1vn\u00e9 u\u017e\u00edv\u00e1n\u00ed inhal\u00e1toru slo\u017eit\u00e9 a mnohdy p\u0159ipom\u00edn\u00e1 gymnastick\u00e9 cvi\u010den\u00ed. Instrukce, kter\u00e9 dostali p\u0159ed dlouhou dobou, se jim sl\u00e9vaj\u00ed, \u010dasto u\u017e\u00edvaj\u00ed r\u016fzn\u00e9 formy l\u00e9k\u016f stejn\u011b, by\u0165 se nap\u0159\u00edklad aerosolov\u00fd inhal\u00e1tor pou\u017e\u00edv\u00e1 \u00fapln\u011b jinak ne\u017e pr\u00e1\u0161kov\u00fd,\u201c<\/em> vysv\u011btluje doc. Kobl\u00ed\u017eek nutnost kontroly spr\u00e1vn\u00e9ho u\u017e\u00edv\u00e1n\u00ed l\u00e9ku. <\/p>\n\n\n\n

P\u0159esto\u017ee se CHOPN t\u00fdk\u00e1 v drtiv\u00e9 v\u011bt\u0161in\u011b ku\u0159\u00e1k\u016f a lid\u00ed nad 50 let, posledn\u00ed dobou se objevuj\u00ed pacienti mlad\u0161\u00ed 40 let. \u201eRoste n\u00e1m generace lid\u00ed, kte\u0159\u00ed se narodili p\u0159ed\u010dasn\u011b a jejich pl\u00edce se nesta\u010dily \u0159\u00e1dn\u011b vyvinout. U nich hroz\u00ed vznik CHOPN dokonce i v pubert\u011b,\u201c<\/em> varuje doc. Kobl\u00ed\u017eek. \u201eP\u0159ibli\u017en\u011b ka\u017ed\u00fd dvan\u00e1ct\u00fd novorozenec se narod\u00ed p\u0159ed\u010dasn\u011b. Tato skupina m\u00e1 40% riziko rozvoje dlouhodob\u00e9ho posti\u017een\u00ed respira\u010dn\u00edho syst\u00e9mu. Nedovyvinut\u00e9 pl\u00edce jsou oslaben\u00e9 a n\u00e1chyln\u00e9 k plicn\u00edm nemocem, jako je CHOPN.\u201c<\/em><\/p>\n\n\n\n

redakce invArena<\/p>\n","protected":false},"excerpt":{"rendered":"

Nad\u011bje sv\u00edt\u00e1 t\u011bm, kte\u0159\u00ed maj\u00ed chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN), ale dosud nep\u0159estali kou\u0159it. Pokud spolupracuj\u00ed a kou\u0159en\u00ed postupn\u011b omez\u00ed, mohou jim plicn\u00ed l\u00e9ka\u0159i p\u0159edepsat […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27092,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-32746","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\/32746","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=32746"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32746\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27092"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32746"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32746"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32746"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}