Praha, 14.4. 2021 \u2013 Lep\u0161\u00ed kontrolu nad svou nemoc\u00ed a nasazen\u00ed t\u00e9 nejmodern\u011bj\u0161\u00ed l\u00e9\u010dby \u2013 to v\u0161e mohou diabetici m\u00edt, pokud pravideln\u011b chod\u00ed na l\u00e9ka\u0159sk\u00e9 prohl\u00eddky za sv\u00fdm diabetologem. B\u011bhem pandemie ale specialisty na cukrovku nav\u0161t\u011bvuje a\u017e o 30 % pacient\u016f m\u00e9n\u011b ne\u017e v necovidov\u00e9m obdob\u00ed, do ordinac\u00ed jim br\u00e1n\u00ed p\u0159ij\u00edt strach z n\u00e1kazy koronavirem. Diabetologov\u00e9 v\u0161ak upozor\u0148uj\u00ed, \u017ee jejich ordinace jsou bezpe\u010dn\u00e9. A \u017ee d\u00edky osobn\u00ed kontrole um\u00ed u pacienta zav\u010das odhalit zhor\u0161en\u00ed nemoci a v\u010das zakro\u010dit \u2013 nap\u0159\u00edklad nasazen\u00edm nejmodern\u011bj\u0161\u00ed l\u00e9\u010dby. Ta pom\u00e1h\u00e1 lidem zhubnout a regulac\u00ed cukru chr\u00e1n\u00ed \u017eivotn\u011b d\u016fle\u017eit\u00e9 org\u00e1ny. Odkl\u00e1d\u00e1n\u00ed n\u00e1v\u0161t\u011bv je podle l\u00e9ka\u0159\u016f v\u011bt\u0161\u00edm rizikem ne\u017e koronavirus. \u0158ada z pacient\u016f \u201ebez dozoru\u201c p\u0159ibrala p\u0159i pandemii osm a v\u00edce kilogram\u016f, p\u0159edev\u0161\u00edm kv\u016fli nedostatku pohybu v lockdownu. <\/p>\n\n\n\n
\u201eJednozna\u010dn\u011b pozorujeme, \u017ee na kontroly chod\u00ed mnohem m\u00e9n\u011b pacient\u016f, odhadem o 20\u201330 %. V\u011bt\u0161inou se jedn\u00e1 o star\u0161\u00ed pacienty s cukrovkou 2. typu, kte\u0159\u00ed se obecn\u011b boj\u00ed chodit kamkoli, t\u00edm sp\u00ed\u0161 do nemocnic,\u201c \u0159\u00edk\u00e1 prof. MUDr. Martin Haluz\u00edk, DrSc., p\u0159ednosta Centra diabetologie IKEM. Podle n\u011bj se p\u0159itom lid\u00e9 nemaj\u00ed \u010deho ob\u00e1vat, proto\u017ee nemocnice dodr\u017euj\u00ed p\u0159\u00edsn\u00e1 hygienick\u00e1 opat\u0159en\u00ed. Osobn\u00ed kontroly pova\u017euje za velice d\u016fle\u017eit\u00e9. \u201eTelefonick\u00e9 konzultace a e-recepty n\u00e1m pomohly zvl\u00e1dnout prvn\u00ed vlnu pandemie, ale bez fyzick\u00e9ho setk\u00e1n\u00ed nap\u0159\u00edklad neodhal\u00edm od\u011brky na noh\u00e1ch, kter\u00e9 mohou v\u00e9st k \u201ediabetick\u00e9 noze\u201c, nebo nemohu pacientovi nato\u010dit EKG a zachytit po\u010d\u00ednaj\u00edc\u00ed infarkt. Ob\u00e1v\u00e1m se, \u017ee jakmile dojde k uvoln\u011bn\u00ed restrikc\u00ed, p\u0159ijde vlna pacient\u016f s t\u011bmito komplikacemi,\u201c vypo\u010d\u00edt\u00e1v\u00e1 prof. Haluz\u00edk.<\/p>\n\n\n\n
Pacienti podle n\u011bj podl\u00e9haj\u00ed neust\u00e1l\u00e9 \u201emas\u00e1\u017ei\u201c o nebezpe\u010d\u00ed covidu a \u00fapln\u011b zanedb\u00e1vaj\u00ed sv\u016fj vlastn\u00ed chronick\u00fd stav. \u201eP\u0159esto\u017ee maj\u00ed probl\u00e9my, potla\u010duj\u00ed je v sob\u011b a rad\u011bji si \u0159eknou, \u017ee je\u0161t\u011b t\u0159i m\u011bs\u00edce vydr\u017e\u00ed, a nejdou ani na proch\u00e1zku do parku. My\u0161lenkov\u011b \u00fapln\u011b vypou\u0161t\u00ed mo\u017en\u00e9 d\u016fsledky cukrovky i dal\u0161\u00edch chronick\u00fdch nemoc\u00ed, v\u0161e proto, aby se nenakazili covidem-19,\u201c popisuje prof. Haluz\u00edk.<\/p>\n\n\n\n
Protipandemick\u00e9 restrikce se p\u0159itom na diabetic\u00edch podepisuj\u00ed \u010d\u00edm d\u00e1l v\u00edce. \u201eZ na\u0161ich dat vypl\u00fdv\u00e1, \u017ee p\u0159ib\u00edraj\u00ed hodn\u011b na hmotnosti a jejich hodnoty krevn\u00edho cukru se hor\u0161\u00ed. Pacienti omezili pohyb a zhor\u0161ila se jejich \u017eivotospr\u00e1va, h\u016f\u0159 jsou na tom tak\u00e9 psychicky, proto\u017ee se boj\u00ed a jsou ve stresu,\u201c \u0159\u00edk\u00e1 prof. Haluz\u00edk. <\/p>\n\n\n\n
Podle l\u00e9ka\u0159e pacienti p\u0159i pandemii p\u0159ib\u00edrali na hmotnosti mnohem rychleji. \u201eV\u011bt\u0161ina pacient\u016f u\u017e nav\u00edc n\u011bjakou nadv\u00e1hu m\u011bla, n\u011bkte\u0159\u00ed p\u0159ibrali i osm a v\u00edce kilo, co\u017e u\u017e je opravdu velk\u00fd n\u00e1r\u016fst,\u201c vysv\u011btluje. Tloustnut\u00ed je p\u0159itom pro diabetiky 2. typu krom\u011b zhor\u0161en\u00ed cukrovky spojeno nap\u0159\u00edklad s rizikem kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed, jako je infarkt nebo c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda. \u0160patn\u011b l\u00e9\u010den\u00e1 cukrovka tak\u00e9 zp\u016fsobuje pot\u00ed\u017ee s ledvinami nebo zrakem.<\/p>\n\n\n\n
Nasazen\u00ed modern\u00edch l\u00e9k\u016f, kter\u00e9 pom\u00e1haj\u00ed \u010dlov\u011bku dr\u017eet cukrovku pod kontrolou, tak\u00e9 nen\u00ed mo\u017en\u00e9 bez p\u0159edchoz\u00ed osobn\u00ed n\u00e1v\u0161t\u011bvy l\u00e9ka\u0159e. Takzvan\u00e9 glifloziny, kter\u00e9 diabetik\u016fm sni\u017euj\u00ed hladinu cukru v krvi t\u00edm, \u017ee navozuj\u00ed vylu\u010dov\u00e1n\u00ed p\u0159ebyte\u010dn\u00e9ho cukru v mo\u010di, nem\u016f\u017ee l\u00e9ka\u0159 p\u0159edepsat pacientovi napoprv\u00e9 \u201eonline\u201c. \u201eKrom\u011b toho p\u0159i nasazen\u00ed t\u011bchto l\u00e9k\u016f pacienti obvykle hubnou, a to je v\u00edce motivuje, aby se sami p\u0159i\u010dinili a hmotnost udr\u017eeli. Sna\u017e\u00edme se jim vysv\u011btlovat, \u017ee dostali l\u00e9ky, kter\u00e9 jsou v\u00fdborn\u00e9 a d\u011blaj\u00ed mnohem v\u00edce, ne\u017e jen l\u00e9\u010d\u00ed cukrovku, a \u017ee si toho maj\u00ed v\u00e1\u017eit,\u201c \u0159\u00edk\u00e1 prof. Haluz\u00edk. U diabetik\u016f br\u00e1n\u00ed glifloziny i vzniku srde\u010dn\u00edho selh\u00e1n\u00ed, 30\u201340 % lid\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm m\u00e1 toti\u017e z\u00e1rove\u0148 cukrovku. Ta je nav\u00edc jedna z nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din chronick\u00e9ho onemocn\u011bn\u00ed ledvin, kter\u00e9 m\u016f\u017ee v\u00e9st a\u017e k jejich selh\u00e1n\u00ed a dial\u00fdze.<\/p>\n\n\n\n
V \u010cesku je v\u00edce ne\u017e milion diabetik\u016f a \u010d\u00edsla st\u00e1le rostou. Za posledn\u00edch t\u0159icet let se po\u010det nemocn\u00fdch ztrojn\u00e1sobil a podle odborn\u00edk\u016f jich v p\u0159\u00ed\u0161t\u00edch deseti letech p\u0159ibude dal\u0161\u00edch 250 000 a\u017e 300 000. Naprost\u00e1 v\u011bt\u0161ina pacient\u016f trp\u00ed cukrovkou 2. typu. <\/p>\n\n\n\n
Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"
Praha, 14.4. 2021 \u2013 Lep\u0161\u00ed kontrolu nad svou nemoc\u00ed a nasazen\u00ed t\u00e9 nejmodern\u011bj\u0161\u00ed l\u00e9\u010dby \u2013 to v\u0161e mohou diabetici m\u00edt, pokud pravideln\u011b chod\u00ed na l\u00e9ka\u0159sk\u00e9 […]<\/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":[9],"tags":[],"class_list":["post-36093","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\/36093","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=36093"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36093\/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=36093"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36093"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}