Praha, 27. 7. 2021 \u2013 Rakovina plic je nemoc, kter\u00e1 zabije drtivou v\u011bt\u0161inu t\u011bch, u nich\u017e se objev\u00ed. Ni\u010divost choroby spo\u010d\u00edv\u00e1 v jej\u00edm \u201etich\u00e9m\u201c postupu. Zprvu se v\u00fdrazn\u011b nehl\u00e1s\u00ed, nebol\u00ed, a lid\u00e9 s u\u017e jasn\u00fdmi p\u0159\u00edznaky tak p\u0159ich\u00e1zej\u00ed pro l\u00e9\u010dbu pozd\u011b. Osm z deseti nemocn\u00fdch um\u00edr\u00e1 zbyte\u010dn\u011b \u2013 v \u010dasn\u00fdch stadi\u00edch by \u0161lo n\u00e1dor odstranit. Takto l\u00e9ka\u0159i bojuj\u00ed o co nejdel\u0161\u00ed a nejkvalitn\u011bj\u0161\u00ed \u017eivot s pokro\u010dilou nemoc\u00ed. Naprost\u00fd p\u0159ed\u011bl v situaci bude znamenat spu\u0161t\u011bn\u00ed \u010dtvrt\u00e9ho n\u00e1rodn\u00edho screeningu plic, kter\u00fd by m\u011bl odstartovat na za\u010d\u00e1tku p\u0159\u00ed\u0161t\u00edho roku. Plicn\u00ed l\u00e9ka\u0159i o tento n\u00e1stroj usilovali \u0159adu let a slibuj\u00ed si od n\u011bj zv\u00fd\u0161en\u00ed pod\u00edlu pacient\u016f, kter\u00fdm lze n\u00e1dor operativn\u011b odstranit \u2013 ze sou\u010dasn\u00fdch 15 % a\u017e na 50 %. Na z\u00e1ludnost nemoci upozor\u0148uj\u00ed v r\u00e1mci Sv\u011btov\u00e9ho dne rakoviny plic, jen\u017e tradi\u010dn\u011b p\u0159ipad\u00e1 na 1. srpna. <\/p>\n\n\n\n
\u201eChod\u00ed n\u00e1m st\u00e1le v\u00edce pacient\u016f s pokro\u010dil\u00fdm stadiem rakovin plic, \u010d\u00e1ste\u010dn\u011b i kv\u016fli aktu\u00e1ln\u00ed situaci s pandemi\u00ed, kdy se p\u0159\u00edznaky v podob\u011b ka\u0161le a zad\u00fdch\u00e1v\u00e1n\u00ed p\u0159isuzovaly covidu. S rozvinut\u00fdm onemocn\u011bn\u00edm se u n\u00e1s objevovali i mlad\u00ed lid\u00e9. Operativa pro v\u0161echna onkologick\u00e1 onemocn\u011bn\u00ed minul\u00fd rok odhadem klesla o 20 %. Kdy\u017e lid\u00e9 nep\u0159ijdou, nelze je operovat. Pak u\u017e nebojujeme o \u00fapln\u00e9 uzdraven\u00ed, ale o maxim\u00e1ln\u00ed p\u0159e\u017eit\u00ed. M\u00e1me k dispozici skv\u011bl\u00e9 modern\u00ed l\u00e9ky, kter\u00e9 m\u016f\u017eeme nasazovat u\u017e v prvn\u00ed linii. Ale samoz\u0159ejm\u011b chceme vid\u011bt pacienty uzdraven\u00e9 nebo je v na\u0161ich ambulanc\u00edch nevid\u011bt v\u016fbec a v tom n\u00e1m pom\u016f\u017ee pouze prevence \u2013 nekou\u0159en\u00ed, a pr\u00e1v\u011b kontrola rizikov\u00fdch jedinc\u016f, aby se u nich p\u0159\u00edpadn\u00fd n\u00e1dor na\u0161el v\u010das,\u201c \u0159\u00edk\u00e1 prof. MUDr. Martina KoziarVa\u0161\u00e1kov\u00e1, Ph.D., p\u0159edsedkyn\u011b \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti (\u010cPFS) \u010cLS JEP. Program v\u010dasn\u00e9ho z\u00e1chytu karcinomu plic se m\u00e1 t\u00fdkat asi 30 000 vysoce rizikov\u00fdch osob mezi 55. a 75. rokem, je\u017e vykou\u0159\u00ed alespo\u0148 jednu krabi\u010dku cigaret denn\u011b. <\/p>\n\n\n\n
Pro program \u010dasn\u00e9 detekce karcinomu plic v \u010cR je v\u0161ak dle odborn\u00edk\u016f vhodn\u00fdch a\u017e p\u0159ibli\u017en\u011b 0,5 milionu ku\u0159\u00e1k\u016f.<\/p>\n\n\n\n
Na radiologick\u00e1 pracovi\u0161t\u011b je k\u00a0vy\u0161et\u0159en\u00ed za pomoci n\u00edzkod\u00e1vkovan\u00e9ho CT po\u0161lou jak plicn\u00ed, tak prakti\u010dt\u00ed l\u00e9ka\u0159i. \u201eNyn\u00ed prob\u00edh\u00e1 akreditace radiologick\u00fdch pracovi\u0161\u0165, kter\u00e1 budou screening prov\u00e1d\u011bt,\u201c dopl\u0148uje prof. KoziarVa\u0161\u00e1kov\u00e1. <\/p>\n\n\n\n
Podle p\u0159edsedy \u010cesk\u00e9 aliance proti chronick\u00fdm respira\u010dn\u00edm onemocn\u011bn\u00edm prim. doc. MUDr. Milana Sovy, Ph.D. nelze u t\u00e9to nemoci bez screeningu o\u010dek\u00e1vat razantn\u00ed zlep\u0161en\u00ed. \u201eV 85 % p\u0159\u00edpad\u016f se na n\u00e1dor p\u0159ijde pozd\u011b. Nyn\u00ed kv\u016fli covidu je\u0161t\u011b \u0159ada lid\u00ed sv\u00e9 obt\u00ed\u017ee zleh\u010dovala, proto\u017ee se b\u00e1la j\u00edt k l\u00e9ka\u0159i, a to pak vedlo k tomu, \u017ee bylo pozd\u011b na opera\u010dn\u00ed v\u00fdkon. D\u016fle\u017eitost screeningu pro zlep\u0161en\u00ed p\u0159e\u017eit\u00ed pacient\u016f dok\u00e1zala i studie NELSON. Podle n\u00ed screening sn\u00ed\u017eil \u00famrt\u00ed na rakovinu plic ve sledovan\u00e9 skupin\u011b o 24 %,\u201c vysv\u011btluje doc. Sova.<\/p>\n\n\n\n
Plicn\u00ed l\u00e9ka\u0159i a onkologov\u00e9 se shoduj\u00ed na tom, \u017ee diagnostika, tedy rozpozn\u00e1n\u00ed n\u00e1doru mus\u00ed prob\u00edhat na specializovan\u00e9m pracovi\u0161ti. \u201eM\u00e1me zde dostate\u010dnou s\u00ed\u0165 komplexn\u00edch onkologick\u00fdch center a specializovan\u00fdch pracovi\u0161\u0165 s multidisciplin\u00e1rn\u00edmi t\u00fdmy, kter\u00e9 jsou schopny se sej\u00edt a p\u0159\u00edpad probrat osobn\u011b \u010di elektronicky. Na\u0161\u00edm c\u00edlem je dostat pacienty i ze vzd\u00e1len\u011bj\u0161\u00edch region\u016f, na v\u011bt\u0161\u00ed pracovi\u0161t\u011b, kde se jim dostane kvalitn\u00ed diagnostiky acentrov\u00e9, syst\u00e9mov\u00e9 p\u00e9\u010de a l\u00e9\u010dby. Mechanismus posouv\u00e1n\u00ed pacienta zdravotn\u00edm syst\u00e9mem nesm\u00ed b\u00fdt stresuj\u00edc\u00ed, aby lid\u00e9 byli ochotni p\u0159ijet do jin\u00e9ho m\u011bsta a dostali to nejlep\u0161\u00ed, co tady je. Jenom u n\u00e1s v Praze je minim\u00e1ln\u011b polovina onkologick\u00fdch pacient\u016f z jin\u00fdch oblast\u00ed. V \u010cesku je onkologick\u00e1 p\u00e9\u010de na vysok\u00e9 \u00farovni \u2013 a co tady hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovny je naprost\u00e1 rarita ve srovn\u00e1n\u00ed se zahrani\u010d\u00edm,\u201c vysv\u011btluje doc. MUDr. Jana Prausov\u00e1, Ph.D., MBA, p\u0159edsedkyn\u011b \u010cesk\u00e9 onkologick\u00e9 spole\u010dnosti \u010cLS JEP. P\u0159elom v l\u00e9\u010db\u011b karcinomu plic p\u0159inesly nov\u00e9 biologick\u00e9 a imunoonkologick\u00e9 l\u00e9ky, n\u011bkter\u00e9 z nich mohou l\u00e9ka\u0159i nasazovat u\u017e tzv. v prvn\u00ed linii, tedy ihned na po\u010d\u00e1tku l\u00e9\u010dby. Tyto l\u00e9ky otev\u0159ely pacient\u016fm, kte\u0159\u00ed m\u011bli v lep\u0161\u00edm p\u0159\u00edpad\u011b dev\u011bt m\u011bs\u00edc\u016f \u017eivota, \u0161anci na \u010dty\u0159n\u00e1sobn\u011b del\u0161\u00ed p\u0159e\u017eit\u00ed \u2013 v dobr\u00e9 kvalit\u011b. Podle prof. MUDr. Jany Sk\u0159i\u010dkov\u00e9, CSc., p\u0159edsedkyn\u011b pneumoonkologick\u00e9 sekce \u010cPFS, schv\u00e1lily zdravotn\u00ed poji\u0161\u0165ovny za posledn\u00ed rok \u00fahradu t\u0159em dal\u0161\u00edm biologick\u00fdm a imunoonkologick\u00fdm l\u00e9k\u016fm a dal\u0161\u00ed tyto l\u00e9ky m\u016f\u017ee dost\u00e1vat \u0161ir\u0161\u00ed spektrum pacient\u016f. \u201eEvropsk\u00e1 l\u00e9kov\u00e1 agentura nav\u00edc schv\u00e1lila dal\u0161\u00ed indikace, tak\u017ee maxim\u00e1ln\u011b do dvou let zde m\u016f\u017eeme op\u011bt \u010dekat v\u00edce mo\u017enost\u00ed, jak na\u0161e pacienty l\u00e9\u010dit a m\u011bnit nemoc na chronickou,\u201c dopl\u0148uje prof. Sk\u0159i\u010dkov\u00e1. Podle prim\u00e1\u0159e Sovy je pro pacienty jednozna\u010dn\u011b lep\u0161\u00ed j\u00edt do v\u011bt\u0161\u00edch center, kter\u00e1 maj\u00ed lep\u0161\u00ed p\u0159\u00edstrojov\u00e1 vybaven\u00ed, krat\u0161\u00ed term\u00edny a poskytuj\u00ed komplexn\u00ed p\u00e9\u010di. V \u010cesku je sedm pneumoonkochirurgick\u00fdch center a patn\u00e1ct komplexn\u00edch onkologick\u00fdch center. Jak uv\u00e1d\u00ed MUDr. Stanislav Kos, CSc., FCCP, p\u0159edseda \u010cesk\u00e9ho ob\u010dansk\u00e9ho spolku proti plicn\u00edm nemocem, p\u0159\u00ed\u010dinou tohoto typu karcinomu \u2013 stejn\u011b jako v\u011bt\u0161iny ostatn\u00edch plicn\u00edch nemoc\u00ed \u2013 je v 90 % kou\u0159en\u00ed, a\u0165 u\u017e aktivn\u00ed nebo pasivn\u00ed. V tuzemsku ro\u010dn\u011b rakovinou plic onemocn\u00ed t\u00e9m\u011b\u0159 7 000 lid\u00ed, asi 5 500 na ni zem\u0159e.<\/p>\n\n\n\n
————————<\/p>\n\n\n\n
\u010cesk\u00e1 pneumologick\u00e1 a ftizeologick\u00e1 spole\u010dnosti \u010cLS JEP (\u010cPFS)<\/p>\n\n\n\n
Odborn\u00e1 l\u00e9ka\u0159sk\u00e1 spole\u010dnost, kter\u00e1 \u0159e\u0161\u00ed problematiku\nv\u0161ech respira\u010dn\u00edch nemoc\u00ed v\u010detn\u011b tuberkul\u00f3zy po str\u00e1nce prevence, vyhled\u00e1v\u00e1n\u00ed,\ndiagnostiky i terapie. \u010cPFS vytv\u00e1\u0159\u00ed doporu\u010den\u00e9 klinick\u00e9 postupy, vypracov\u00e1v\u00e1\nodborn\u00e1 stanoviska k r\u016fzn\u00fdm probl\u00e9m\u016fm z vlastn\u00ed iniciativy nebo na \u017e\u00e1dost\norg\u00e1n\u016f st\u00e1tn\u00ed spr\u00e1vy. Odborn\u00e9 sekce \u010cPFS prohlubuj\u00ed a roz\u0161i\u0159uj\u00ed informace v\njednotliv\u00fdch funk\u010dn\u00edch specializac\u00edch obor\u016f pneumologie a ftizeologie.\nHlavn\u00edmi sm\u011bry odborn\u00e9ho zam\u011b\u0159en\u00ed t\u011bchto obor\u016f jsou nemoci spojen\u00e9 s\nbronchi\u00e1ln\u00ed obstrukc\u00ed, n\u00e1dory d\u00fdchac\u00edho \u00fastroj\u00ed, infek\u010dn\u00ed z\u00e1n\u011bty v\u010detn\u011b\ntuberkul\u00f3zy, interstici\u00e1ln\u00ed a granulomat\u00f3zn\u00ed plicn\u00ed procesy, poruchy d\u00fdch\u00e1n\u00ed ve\nsp\u00e1nku, l\u00e9\u010dba cystick\u00e9 fibr\u00f3zy dosp\u011bl\u00fdch a dal\u0161\u00ed plicn\u00ed nemoci. Informace\no spole\u010dnosti lze nal\u00e9zt na www.pneumologie.cz<\/a>. <\/p>\n\n\n\n \u010cesk\u00fd ob\u010dansk\u00fd spolek proti plicn\u00edm nemocem (\u010cOPN)<\/p>\n\n\n\n C\u00edlem spolku je prohlouben\u00ed vz\u00e1jemn\u00e9 informovanosti a spolupr\u00e1ce mezi laiky a odborn\u00edky, zlep\u0161en\u00ed obecn\u00e9ho pov\u011bdom\u00ed o problematice plicn\u00edch nemoc\u00ed a organizov\u00e1n\u00ed aktivit slou\u017e\u00edc\u00edch ke zlep\u0161en\u00ed situace pacient\u016f se z\u00e1va\u017en\u00fdmi plicn\u00edmi nemocemi. Od roku 2019 se v\u011bnuje i pacient\u016fm s rakovinou plic. Odborn\u011b \u010dinnost \u010cOPN garantuje odborn\u00e1 spole\u010dnost (\u010cPFS). Informace o \u010cOPN lze nal\u00e9zt na port\u00e1le www.copn.cz<\/a>. <\/p>\n\n\n\n \u010cesk\u00e1 aliance proti chronick\u00fdm respira\u010dn\u00edm onemocn\u011bn\u00edm (\u010cARO)<\/p>\n\n\n\n Instituce, kter\u00e1 napom\u00e1h\u00e1 zmen\u0161ovat z\u00e1t\u011b\u017e chronick\u00fdmi respira\u010dn\u00edmi nemocemi v populaci \u010cesk\u00e9 republiky. \u010cARO se hl\u00e1s\u00ed ke sv\u011btov\u00e9 organizaci GARD (GlobalAllianceagainstChronicRespiratoryDiseases) a jej\u00ed \u010dinnost prob\u00edh\u00e1 pod patronac\u00ed Sv\u011btov\u00e9 zdravotnick\u00e9 organizace (WHO). C\u00edlem je na n\u00e1rodn\u00ed \u00farovni v\u00fdrazn\u011b zv\u00fd\u0161it spole\u010densk\u00e9 pov\u011bdom\u00ed o chronick\u00fdch chorob\u00e1ch d\u00fdchac\u00edho syst\u00e9mu na v\u0161ech \u00farovn\u00edch zdravotn\u00ed p\u00e9\u010de. \u010cARO sdru\u017euje p\u0159es 20 odborn\u00fdch i laick\u00fdch organizac\u00ed, kter\u00e9 se zab\u00fdvaj\u00ed diagnostikou, l\u00e9\u010dbou a popularizac\u00ed nejz\u00e1va\u017en\u011bj\u0161\u00edch respira\u010dn\u00edch onemocn\u011bn\u00ed, kam pat\u0159\u00ed chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN), bronchi\u00e1ln\u00ed astma, rakovina plic, TBC a \u0159ada dal\u0161\u00edch z\u00e1va\u017en\u00fdch nemoc\u00ed. \u010cARO apeluje na zlep\u0161en\u00ed prevence a v\u010dasn\u00e9 diagnostiky u rizikov\u00e9 \u010d\u00e1sti populace s c\u00edlem zv\u00fd\u0161it \u00fa\u010dinnost racion\u00e1ln\u00ed l\u00e9\u010dby. V\u00edce informac\u00ed na www.caro-gard.cz<\/a><\/p>\n\n\n\n Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":" Praha, 27. 7. 2021 \u2013 Rakovina plic je nemoc, kter\u00e1 zabije drtivou v\u011bt\u0161inu t\u011bch, u nich\u017e se objev\u00ed. Ni\u010divost choroby spo\u010d\u00edv\u00e1 v jej\u00edm \u201etich\u00e9m\u201c postupu. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16359,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36428","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\/36428","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=36428"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36428\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16359"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}