{"id":36459,"date":"2021-08-10T16:38:19","date_gmt":"2021-08-10T14:38:19","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=36459"},"modified":"2021-08-10T16:38:21","modified_gmt":"2021-08-10T14:38:21","slug":"svedi-boli-deformuje-lupenku-leci-jen-zlomek-pacientu-existuje-pritom-reseni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=36459","title":{"rendered":"Sv\u011bd\u00ed, bol\u00ed, deformuje. Lup\u00e9nku l\u00e9\u010d\u00ed jen zlomek pacient\u016f, existuje p\u0159itom \u0159e\u0161en\u00ed"},"content":{"rendered":"\n<p>Stud za \u0161upinat\u00e1 b\u00edlorud\u00e1 kola na k\u016f\u017ei, opakovan\u00e9\nhospitalizace, opovr\u017eliv\u00e9 pohledy ostatn\u00edch, z\u00e1pach \u010dern\u00e9 dehtov\u00e9 masti. T\u00e9m\u011b\u0159\n\u010dty\u0159i des\u00edtky let trp\u011bl \u0160umavan V\u00e1clav Dufek lup\u00e9nkou neboli psori\u00e1zou. Po\n\u0161edes\u00e1tce se jeho stav je\u0161t\u011b zhor\u0161il za hranici snesitelnosti.<\/p>\n\n\n\n<p>\u201eLo\u017eiska se roz\u0161\u00ed\u0159ila a kv\u016fli sv\u011bd\u011bn\u00ed jsem je m\u011bl \u010dasto\nrozedran\u00e1 a\u017e do krve a dost to bolelo. I proto jsem se donutil doj\u00edt na\nkliniku,\u201c popisuje V\u00e1clav Dufek. Dob\u0159e ud\u011blal. Podstoupil takzvanou\nbiosimil\u00e1rn\u00ed l\u00e9\u010dbu a lup\u00e9nku se poda\u0159ilo zkrotit.<\/p>\n\n\n\n<p>\u201eV sou\u010dasn\u00e9 dob\u011b si jednou za \u010dtrn\u00e1ct dn\u00ed p\u00edch\u00e1m injekci a\nm\u016fj stav je velice dobr\u00fd. Nem\u00e1m prakticky \u017e\u00e1dn\u00e9 p\u0159\u00edznaky a v\u0161echna ta m\u00edsta,\nkter\u00e1 jsem m\u011bl pom\u011brn\u011b dosti posti\u017een\u00e1, se mi zhojila, na k\u016f\u017ei mi zbyly pouze\ntemn\u011bj\u0161\u00ed fl\u00ed\u010dky a jsem naprosto spokojen\u00fd,\u201c pochvaluje si.<\/p>\n\n\n\n<p>Podobn\u00fd za\u010d\u00e1tek p\u0159\u00edb\u011bhu se dot\u00fdk\u00e1 v\u00edce ne\u017e \u010dtvrt milionu\n\u010cech\u016f. Lup\u00e9nka je nej\u010dast\u011bj\u0161\u00edm ko\u017en\u00edm onemocn\u011bn\u00edm, kter\u00e9 nav\u00edc m\u016f\u017ee propuknout\nkdykoli. \u201eNej\u010dast\u011bji se objevuje mezi dvac\u00e1t\u00fdm a\u017e t\u0159ic\u00e1t\u00fdm rokem nebo mezi\npades\u00e1ti a\u017e \u0161edes\u00e1ti lety. Psori\u00e1za v d\u011btsk\u00e9m v\u011bku je na\u0161t\u011bst\u00ed m\u00e9n\u011b \u010dast\u00e1, jej\u00ed\nprevalence je kolem 0,7 procenta,\u201c vypo\u010d\u00edt\u00e1v\u00e1 Spyridon Gkalpakiotis, prim\u00e1\u0159\ndermatovenerologick\u00e9 kliniky 3. LF UK a FNKV.<\/p>\n\n\n\n<p>Podle statistik webu Mam-lupenku.cz, kter\u00fd provozuje\nbiofarmaceutick\u00e1 spole\u010dnost Abbvie, se ale l\u00e9\u010d\u00ed za dohledu l\u00e9ka\u0159\u016f jen t\u0159etina\nnemocn\u00fdch. Ostatn\u00ed se v\u011bt\u0161inou op\u00edraj\u00ed o desetilet\u00ed p\u0159ed\u00e1van\u00e9 rady, kter\u00e9\nzahrnuj\u00ed hlavn\u011b \u010dast\u00e9 promaz\u00e1v\u00e1n\u00ed lo\u017eisek.<\/p>\n\n\n\n<p>P\u0159\u00edpadn\u011b lup\u00e9nku l\u00e9\u010d\u00ed pobyty u mo\u0159e a v l\u00e1zn\u00edch. To pro\nt\u011b\u017ek\u00fd pr\u016fb\u011bh nemoci, jakou m\u011bl V\u00e1clav Dufek, b\u00fdv\u00e1 zbyte\u010dn\u011b m\u00e1lo. L\u00e9ka\u0159i \u0159e\u0161en\u00ed\nmaj\u00ed. \u201eLup\u00e9nka je moment\u00e1ln\u011b jedna z nejl\u00e9pe l\u00e9\u010diteln\u00fdch chorob v\u016fbec. Neum\u00edme\nji kompletn\u011b vyl\u00e9\u010dit, ale um\u00edme ji potla\u010dit, a to i dlouhodob\u011b,\u201c vysv\u011btluje\nprim\u00e1\u0159 Spyridon Gkalpakiotis.<\/p>\n\n\n\n<p>\u201eI u t\u011b\u017ek\u00fdch p\u0159\u00edpad\u016f jsme schopni pacientovi velmi pomoci\nd\u00edky takzvan\u00e9 biologick\u00e9 a biosimil\u00e1rn\u00ed terapii. Tyto l\u00e9ky c\u00edlen\u011b interferuj\u00ed\nna molekul\u00e1rn\u00ed \u00farovni s patogenetick\u00fdmi pochody vzniku psori\u00e1zy,\u201c dopl\u0148uje\nl\u00e9ka\u0159.<\/p>\n\n\n\n<p>Ni\u017e\u0161\u00ed d\u00e9lka \u017eivota <\/p>\n\n\n\n<p>Na prvn\u00ed pohled to m\u016f\u017ee vypadat, \u017ee nejv\u011bt\u0161\u00ed probl\u00e9m u\nlup\u00e9nky je v estetice a nepohodl\u00ed. B\u00edl\u00e9 \u0161upinat\u00e9 fleky jsou ale jen jedn\u00edm z\npr\u016fvodn\u00edch znak\u016f chronick\u00e9ho onemocn\u011bn\u00ed.<\/p>\n\n\n\n<p>\u201eJe rovn\u011b\u017e spojena s \u0159adou komorbidit, jak\u00fdmi jsou\npsoriatick\u00e1 artritida, Crohnova choroba, ulcer\u00f3zn\u00ed kolitida, Becht\u011brevova\nchoroba, nealkoholick\u00e1 jatern\u00ed steat\u00f3za, psychiatrick\u00e1 onemocn\u011bn\u00ed a zejm\u00e9na\nslo\u017eky metabolick\u00e9ho syndromu, tedy diabetes mellitus 2. typu, arteri\u00e1ln\u00ed\nhypertenze nebo dyslipid\u00e9mie,\u201c vyjmenov\u00e1v\u00e1 Spyridon Gkalpakiotis.<\/p>\n\n\n\n<p>To v\u0161e m\u016f\u017ee sn\u00ed\u017eit d\u00e9lku \u017eivota psoriatika a\u017e o deset let.<\/p>\n\n\n\n<p>Biologickou a biosimil\u00e1rn\u00ed terapii je mo\u017en\u00e9 nasadit\npacientovi, kter\u00fd m\u00e1 lup\u00e9nkou zasa\u017eeno v\u00edce ne\u017e deset procent povrchu t\u011bla,\nnebo jin\u00e1 celkov\u00e1 terapie nebyla \u00fasp\u011b\u0161n\u00e1 nebo nasazena b\u00fdt nem\u016f\u017ee.<\/p>\n\n\n\n<p>Podle \u00fadaj\u016f VZP ji v roce 2015 absolvovalo 818 klient\u016f, v roce 2019 to bylo u\u017e v\u00edce ne\u017e 1,3 tis\u00edce lid\u00ed. N\u00e1klady vystoupaly na t\u00e9m\u011b\u0159 167 milion\u016f korun. \u010cesk\u00e1 pr\u016fmyslov\u00e1 zdravotn\u00ed poji\u0161\u0165ovna v roce 2017 uvedla, \u017ee za l\u00e9\u010dbu lup\u00e9nky sv\u00fdch pacient\u016f zaplatila 93 milion\u016f korun. <\/p>\n\n\n\n<p>Kamila Mina\u0159\u00edkov\u00e1<\/p>\n\n\n\n<p>den\u00edk.cz<\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" aria-label=\" (otev\u0159e se na nov\u00e9 z\u00e1lo\u017ece)\" href=\"https:\/\/www.denik.cz\/\" target=\"_blank\">https:\/\/www.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Stud za \u0161upinat\u00e1 b\u00edlorud\u00e1 kola na k\u016f\u017ei, opakovan\u00e9 hospitalizace, opovr\u017eliv\u00e9 pohledy ostatn\u00edch, z\u00e1pach \u010dern\u00e9 dehtov\u00e9 masti. T\u00e9m\u011b\u0159 \u010dty\u0159i des\u00edtky let trp\u011bl \u0160umavan V\u00e1clav Dufek lup\u00e9nkou <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=36459\" title=\"Sv\u011bd\u00ed, bol\u00ed, deformuje. Lup\u00e9nku l\u00e9\u010d\u00ed jen zlomek pacient\u016f, existuje p\u0159itom \u0159e\u0161en\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":17871,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36459","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\/36459","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=36459"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36459\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17871"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36459"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36459"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}