Praha, 21. 4. 2021 \u2013 Nejen kardiaci, ale tak\u00e9 diabetici, astmatici, ku\u0159\u00e1ci a osoby nad 50 let \u2013 pr\u00e1v\u011b ti \u010del\u00ed zv\u00fd\u0161en\u00e9mu riziku n\u00e1kazy pneumokoky. Krom\u011b toho, \u017ee se infekc\u00ed mohou \u010dast\u011bji nakazit, m\u00edvaj\u00ed tak\u00e9 hor\u0161\u00ed pr\u016fb\u011bh nemoci. Pneumokoky zp\u016fsobuj\u00ed z\u00e1va\u017en\u00e1 onemocn\u011bn\u00ed, jako jsou z\u00e1pal plic, z\u00e1n\u011bt pr\u016fdu\u0161ek nebo mozkov\u00fdch blan. Nej\u00fa\u010dinn\u011bj\u0161\u00ed ochranou je vakcinace. Proo\u010dkovanost je ale p\u0159esto v \u010cesku oproti z\u00e1padn\u00edm zem\u00edm st\u00e1le velmi n\u00edzk\u00e1. U senior\u016f star\u0161\u00edch 65 let je to pouze 13,7 %. <\/p>\n\n\n\n
\u201ePacient s\u00a0nemocn\u00fdm srdcem je pneumokokovou infekc\u00ed ohro\u017een hned dvakr\u00e1t. Kardiaci se m\u00e9n\u011b h\u00fdbou, kles\u00e1 jejich v\u00fdkonost, a maj\u00ed proto oslabenou imunitu. Riziko, \u017ee se nakaz\u00ed, je tak u lid\u00ed s\u00a0nemocn\u00fdm srdcem podstatn\u011b vy\u0161\u0161\u00ed. Druh\u00fdm probl\u00e9m je, \u017ee zpravidla m\u00edvaj\u00ed i t\u011b\u017e\u0161\u00ed pr\u016fb\u011bh nemoci. Celkov\u00e1 schopnost se s\u00a0nemoc\u00ed takzvan\u011b poprat je toti\u017e men\u0161\u00ed,\u201c \u0159\u00edk\u00e1 MUDr. Ji\u0159\u00ed Vesel\u00fd, \u010dlen v\u00fdboru \u010cesk\u00e9 asociace ambulantn\u00edch kardiolog\u016f a ambulantn\u00ed kardiolog z\u00a0EDUMED.<\/p>\n\n\n\n
Riziko, \u017ee se kardiak nakaz\u00ed z\u00e1va\u017enou pneumokokovou infekc\u00ed, je a\u017e desetkr\u00e1t vy\u0161\u0161\u00ed ne\u017e u zdrav\u00e9ho \u010dlov\u011bka. Ohro\u017eeni ale nejsou pouze kardiaci, sedmkr\u00e1t v\u011bt\u0161\u00ed riziko n\u00e1kazy pneumokokem maj\u00ed tak\u00e9 pacienti s nemocemi plic, a\u0165 u\u017e jde o astma, chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN) nebo plicn\u00ed fibr\u00f3zu. <\/p>\n\n\n\n
\u201eKdy\u017e se pacient\u016fm k jejich dlouhodob\u00e9 nemoci p\u0159id\u00e1 i pneumokokov\u00e1 n\u00e1kaza, mohou jim hrozit zdravotn\u00ed komplikace a kapacita jejich plic spolu s d\u00fdchac\u00edmi parametry se \u010dasto nen\u00e1vratn\u011b zhor\u0161\u00ed,\u201c vysv\u011btluje prim. MUDr. Ivana \u010ciern\u00e1 Peterov\u00e1, m\u00edstop\u0159edsedkyn\u011b \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti (\u010cPFS) \u010cLS JEP a p\u0159edsedkyn\u011b Sekce ambulantn\u00edch pneumolog\u016f. <\/p>\n\n\n\n
Nej\u00fa\u010dinn\u011bj\u0161\u00ed prevenc\u00ed je o\u010dkov\u00e1n\u00ed. Kojenc\u016fm, senior\u016fm a tzv. rizikov\u00fdm skupin\u00e1m \u2013 tedy nap\u0159\u00edklad pacient\u016fm, kte\u0159\u00ed maj\u00ed nemocnou slezinu \u2013 hrad\u00ed o\u010dkov\u00e1n\u00ed proti pneumokok\u016fm zdravotn\u00ed poji\u0161\u0165ovny. Odborn\u00edci se v\u0161ak shoduj\u00ed, \u017ee vakcinace je d\u016fle\u017eit\u00e1 tak\u00e9 pro kardiaky, diabetiky a pacienty s astmatem, tedy pacienty se zv\u00fd\u0161en\u00fdm rizikem, kte\u0159\u00ed si o\u010dkov\u00e1n\u00ed mus\u00ed hradit sami. <\/p>\n\n\n\n
\u201eV\u011bt\u0161ina m\u00fdch pacient\u016f je star\u0161\u00edch 65 let, tud\u00ed\u017e maj\u00ed o\u010dkov\u00e1n\u00ed zdarma. Doporu\u010duji jej ale i mlad\u0161\u00edm pacient\u016fm. Bohu\u017eel se \u010dasto setk\u00e1v\u00e1m s tzv. odm\u00edta\u010di, kte\u0159\u00ed na o\u010dkov\u00e1n\u00ed jednodu\u0161e nev\u011b\u0159\u00ed. Z\u00e1pal plic nevn\u00edmaj\u00ed jako nemoc, kter\u00e1 je m\u016f\u017ee zab\u00edt. P\u0159ijde mi ale, \u017ee koronavirov\u00e1 pandemie vr\u00e1tila \u010d\u00e1sti t\u011bchto pacient\u016f respekt z infek\u010dn\u00edch nemoc\u00ed a z\u00e1jem o o\u010dkov\u00e1n\u00ed se postupn\u011b zvy\u0161uje,\u201c vysv\u011btluje MUDr. Vesel\u00fd. Zv\u00fd\u0161en\u00fd z\u00e1jem o o\u010dkov\u00e1n\u00ed proti pneumokok\u016fm, ch\u0159ipce a dal\u0161\u00edm nemocem zaznamenala u sv\u00fdch pacient\u016f i prim. \u010ciern\u00e1 Peterov\u00e1. <\/p>\n\n\n\n
Podle praktick\u00e9ho l\u00e9ka\u0159e ze Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) \u010cLS JEP MUDr. Josefa \u0160tolfy je z\u00e1sadn\u00ed, aby pacient sv\u00e9mu l\u00e9ka\u0159i d\u016fv\u011b\u0159oval. \u201eV\u017edy se sna\u017e\u00edm pacientovi vysv\u011btlit, v \u010dem ho infekce ohro\u017euje a pro\u010d je pro n\u011bj o\u010dkov\u00e1n\u00ed vhodn\u00e9. Do ni\u010deho jej ale nenut\u00edm. Z 30let\u00e9 praxe v\u00edm, \u017ee si to pacient v\u011bt\u0161inou nech\u00e1 proj\u00edt hlavou a pak mi \u0159ekne, jak se rozhodl. \u010casto se m\u011b tak\u00e9 ptaj\u00ed, jestli bych se s\u00e1m nechal o\u010dkovat, proto je d\u016fle\u017eit\u00e9, aby byl l\u00e9ka\u0159 s\u00e1m p\u0159esv\u011bd\u010den o vhodnosti vakc\u00edny,\u201c \u0159\u00edk\u00e1 MUDr.\u0160tolfa.<\/p>\n\n\n\n
Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"
Praha, 21. 4. 2021 \u2013 Nejen kardiaci, ale tak\u00e9 diabetici, astmatici, ku\u0159\u00e1ci a osoby nad 50 let \u2013 pr\u00e1v\u011b ti \u010del\u00ed zv\u00fd\u0161en\u00e9mu riziku n\u00e1kazy pneumokoky. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14171,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36202","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\/36202","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=36202"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36202\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14171"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36202"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36202"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}