Praha, 26. 10. 2021 \u2013 \u010ce\u0161i jsou n\u00e1rodem tlou\u0161t\u00edk\u016f a protipandemick\u00e1 opat\u0159en\u00ed tento stav je\u0161t\u011b podtrhla. Kv\u016fli nedostatku pohybu a hor\u0161\u00ed \u017eivotospr\u00e1v\u011b tak na v\u00e1ze nyn\u00ed najdou v\u00a0pr\u016fm\u011bru o t\u0159i a\u017e p\u011bt kilo v\u00edc ne\u017e p\u0159ed pandemi\u00ed. L\u00e9ka\u0159i p\u0159ed p\u0159ib\u00fdvaj\u00edc\u00edmi kily varuj\u00ed, proto\u017ee jsou \u010dasto rozn\u011btkou ke vzniku rozvoje diabetu 2. typu. Pacienti si mimo jin\u00e9 zad\u011bl\u00e1vaj\u00ed na v\u00e1\u017en\u00e9 srde\u010dn\u00ed \u010di ledvinn\u00e9 komplikace u\u017e ve chv\u00edli, kdy cukrovka vznik\u00e1 a je\u0161t\u011b se neprojevuje. A\u017e 55 % obyvatel \u010cesk\u00e9 republiky m\u00e1 probl\u00e9m s\u00a0nadv\u00e1hou, t\u00e9m\u011b\u0159 polovina z\u00a0tohoto po\u010dtu je vylo\u017een\u011b ob\u00e9zn\u00ed. V\u00a0\u010cesku je podle l\u00e9ka\u0159\u016f v\u00a0sou\u010dasn\u00e9 dob\u011b p\u0159es milion diabetik\u016f a ka\u017edoro\u010dn\u011b jich tis\u00edce p\u0159ib\u00fdvaj\u00ed. Nad\u011bj\u00ed je p\u0159\u00edchod modern\u00edch l\u00e9\u010div \u2013 tzv. gliflozin\u016f \u2013 kter\u00e9 terapii cukrovky z\u00e1sadn\u011b m\u011bn\u00ed. L\u00e9ka\u0159i volaj\u00ed tak\u00e9 po lep\u0161\u00ed prevenci a zdrav\u00e9m \u017eivotn\u00edm stylu. <\/p>\n\n\n\n
\u201eBez velk\u00e9ho p\u0159eh\u00e1n\u011bn\u00ed lze \u0159\u00edci, \u017ee v\u00a0\u010cesku nyn\u00ed \u010del\u00edme pandemii diabetu 2. typu. Pacient\u016f line\u00e1rn\u011b p\u0159ib\u00fdv\u00e1 s\u00a0t\u00edm, jak populace tloustne a tak\u00e9 st\u00e1rne,\u201c \u0159\u00edk\u00e1 internista MUDr. Tom\u00e1\u0161 Hauer z\u00a0C\u00e9vn\u00edho centra \u010cesk\u00e9 Bud\u011bjovice. \u201eV\u011bt\u0161ina diabetik\u016f 2. typu m\u00e1 nadv\u00e1hu, ob\u00e9zn\u00edch je p\u0159ibli\u017en\u011b 60 %. Z\u00e1rove\u0148 m\u00e1 v\u011bt\u0161ina ob\u00e9zn\u00edch cukrovku. Mezi nadv\u00e1hou a rizikem diabetu je jasn\u00e1 p\u0159\u00edm\u00e1 \u00fam\u011bra,\u201c dod\u00e1v\u00e1. Podle l\u00e9ka\u0159\u016f situaci je\u0161t\u011b zhor\u0161il covid-19 a opat\u0159en\u00ed s\u00a0n\u00edm souvisej\u00edc\u00ed. \u201eP\u0159i pandemii pacienti chodili mnohem m\u00e9n\u011b na prohl\u00eddky, tak\u017ee za posledn\u00ed p\u016flrok, kdy se k\u00a0l\u00e9ka\u0159i do ordinace op\u011bt odhodlali, se po\u010det nov\u00fdch diagn\u00f3z diabetu a prediabetu percentu\u00e1ln\u011b zvedl. Krom\u011b toho, \u017ee ztloustli, p\u0159ich\u00e1zeli diabeti\u010dt\u00ed pacienti \u010dasto s\u00a0rozkol\u00edsanou nemoc\u00ed nebo dokonce dekompenzovan\u00ed,\u201c \u0159\u00edk\u00e1 MUDr. Jozef \u010cupka, MPH, praktick\u00fd l\u00e9ka\u0159 a \u010dlen v\u00fdboru Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed. <\/p>\n\n\n\n
Dal\u0161\u00edm probl\u00e9mem je to, \u017ee \u0159ada lid\u00ed nev\u00ed, \u017ee u\u017e u nich cukrovka propuk\u00e1, tak\u017ee ji nel\u00e9\u010d\u00ed. Podle odborn\u00edk\u016f v\u0161ak v\u00e1\u017en\u00e9 zdravotn\u00ed komplikace startuj\u00ed u\u017e ve stadi\u00edch, kter\u00e9 diabetu p\u0159edch\u00e1zej\u00ed. \u201eU lid\u00ed, kte\u0159\u00ed trp\u00ed inzulinovou rezistenc\u00ed nebo tzv. prediabetem, doch\u00e1z\u00ed k po\u0161kozov\u00e1n\u00ed c\u00e9v. A to jak t\u011bch mikroskopick\u00fdch, kter\u00e9 vy\u017eivuj\u00ed ledviny nebo perifern\u00ed nervy, tak velk\u00fdch tepen. Tito lid\u00e9 p\u0159itom o sv\u00e9 vy\u0161\u0161\u00ed hladin\u011b cukru v krvi mnohdy ani nev\u00ed, p\u0159\u00edpadn\u011b ji sice maj\u00ed zv\u00fd\u0161enou, ale je\u0161t\u011b nedos\u00e1hnou na l\u00e9\u010dbu,\u201c \u0159\u00edk\u00e1 MUDr. Hauer. <\/p>\n\n\n\n
Mezi po\u010detn\u00e9 komplikace v pozd\u011bj\u0161\u00ed f\u00e1zi cukrovky pat\u0159\u00ed probl\u00e9my se zrakem nebo neuropatie. Nemoc zp\u016fsobuje i kornat\u011bn\u00ed tepen a razantn\u011b zvy\u0161uje riziko infarktu a c\u00e9vn\u00edch mozkov\u00fdch p\u0159\u00edhod. \u010cast\u00e1 je tak\u00e9 ischemick\u00e1 porucha doln\u00edch kon\u010detin, kter\u00e1 m\u016f\u017ee v\u00e9st i k amputaci. Podle MUDr. Hauera si nav\u00edc komplikace diabetu nevyb\u00edraj\u00ed \u2013 postupn\u011b na jednu z nich p\u0159i podrobn\u011bj\u0161\u00edm vy\u0161et\u0159en\u00ed naraz\u00ed u prakticky ka\u017ed\u00e9ho pacienta. <\/p>\n\n\n\n
Odborn\u00edci se v\u0161ak shoduj\u00ed, \u017ee p\u0159\u00edchod modern\u00edch l\u00e9\u010div \u2013 tzv. gliflozin\u016f \u2013 terapii cukrovky z\u00e1sadn\u011b m\u011bn\u00ed. \u201eJe\u0161t\u011b doned\u00e1vna mohla b\u00fdt l\u00e9\u010dba cukrovky jakkoli dobr\u00e1, ale nedok\u00e1zala sn\u00ed\u017eit po\u010dty kardiovaskul\u00e1rn\u00edch a ledvinn\u00fdch komplikac\u00ed. Glifloziny l\u00e9\u010d\u00ed nejen cukrovku, ale i nemoci s n\u00ed spojen\u00e9. Chr\u00e1n\u00ed pacienty p\u0159ed srde\u010dn\u00edm selh\u00e1n\u00edm nebo po\u0161kozen\u00edm ledvin, co\u017e d\u0159\u00edve \u017e\u00e1dn\u00e1 antidiabetick\u00e1 l\u00e9\u010dba nedok\u00e1zala,\u201c vysv\u011btluje MUDr. Hauer. \u201eP\u0159esto\u017ee existuj\u00ed doporu\u010den\u00ed a m\u00e1me data, na kter\u00e9 diagn\u00f3zy jsou tyto l\u00e9ky vhodn\u00e9, nemaj\u00ed bohu\u017eel zat\u00edm ve v\u0161ech p\u0159\u00edpadech \u00fahradu od zdravotn\u00edch poji\u0161\u0165oven. Ale v\u011b\u0159\u00edm, \u017ee se situace bude postupn\u011b m\u011bnit, proto\u017ee pokud budeme muset l\u00e9\u010dit m\u00e9n\u011b n\u00e1sledk\u016f t\u011bchto chorob, u\u0161et\u0159\u00ed cel\u00fd syst\u00e9m zdravotn\u00edho poji\u0161t\u011bn\u00ed,\u201c dod\u00e1v\u00e1.<\/p>\n\n\n\n
I p\u0159es mo\u017enost \u00fa\u010dinn\u00e9 l\u00e9\u010dby v\u0161ak l\u00e9ka\u0159i zd\u016fraz\u0148uj\u00ed nutnost prevence. <\/a>\u201eJe d\u016fle\u017eit\u00e9, aby si lid\u00e9 po ukon\u010den\u00ed pandemick\u00fdch omezen\u00ed znovu osvojili zdrav\u011bj\u0161\u00ed \u017eivotn\u00ed styl a kil nav\u00edc se zbavili. Vztah diabetu a nadv\u00e1hy je jasn\u00fd a nejefektivn\u011bji se l\u00e9\u010d\u00ed diabetes, kter\u00fd v\u016fbec nevznikne. D\u016fle\u017eit\u00e9 je tak\u00e9 chodit pravideln\u011b na preventivn\u00ed prohl\u00eddky, kde l\u00e9ka\u0159 m\u016f\u017ee po\u010d\u00ednaj\u00edc\u00ed nemoc odhalit a doporu\u010dit postup, kter\u00fd m\u016f\u017ee jej\u00ed rozvoj zvr\u00e1tit,\u201c <\/a>vyz\u00fdv\u00e1 MUDr. \u010cupka.<\/p>\n\n\n\n Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":" Praha, 26. 10. 2021 \u2013 \u010ce\u0161i jsou n\u00e1rodem tlou\u0161t\u00edk\u016f a protipandemick\u00e1 opat\u0159en\u00ed tento stav je\u0161t\u011b podtrhla. Kv\u016fli nedostatku pohybu a hor\u0161\u00ed \u017eivotospr\u00e1v\u011b tak na v\u00e1ze […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29173,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36860","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\/36860","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=36860"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36860\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29173"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36860"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36860"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}