Praha, 4. 11. 2021 \u2013 Lid\u00e9, kter\u00fdm hroz\u00ed rakovina slinivky, by mohli pravideln\u011b chodit na kontroly ke specialist\u016fm. \u010ctvrt\u00e1 nejsmrteln\u011bj\u0161\u00ed rakovina postihne ro\u010dn\u011b 2 300 lid\u00ed, v\u011bt\u0161inou star\u0161\u00edch 45 let. V\u011bt\u0161ina z nich do roka um\u00edr\u00e1 a jen 8 % p\u0159e\u017eije s nemoc\u00ed v\u00edce ne\u017e p\u011bt let. U p\u0159ibli\u017en\u011b 10 % z celkov\u011b nemocn\u00fdch p\u0159itom lze vznik choroby p\u0159edv\u00eddat \u2013 nap\u0159\u00edklad kv\u016fli tomu, \u017ee ji maj\u00ed v rodin\u011b. T\u011bch by se m\u011bl t\u00fdkat screening, kter\u00fd by p\u0159i pravideln\u00fdch prohl\u00eddk\u00e1ch na specializovan\u00fdch pracovi\u0161t\u00edch odhalil zm\u011bny na slinivce ve f\u00e1zi, kdy s nimi jde je\u0161t\u011b n\u011bco d\u011blat. To, jestli se program opravdu uskute\u010dn\u00ed, z\u00e1vis\u00ed na z\u0159\u00edzen\u00ed s\u00edt\u011b Center digestivn\u00ed endoskopie, kterou domluvili s ministerstvem zdravotnictv\u00ed a zdravotn\u00edmi poji\u0161\u0165ovnami \u010de\u0161t\u00ed gastroenterologov\u00e9. Do startu chyb\u00ed zaps\u00e1n\u00ed do vyhl\u00e1\u0161ky ministerstva.<\/p>\n\n\n\n
Gastroenterologov\u00e9 se o tom budou bavit na sv\u00e9m 7. kongresu, kter\u00fd startuje v online podob\u011b 10. listopadu. \u201eRakovina slinivky b\u0159i\u0161n\u00ed pat\u0159\u00ed mezi nejz\u00e1ke\u0159n\u011bj\u0161\u00ed n\u00e1dory v\u016fbec, a\u017e do konce je prakticky bez p\u0159\u00edznak\u016f, ve chv\u00edli, kdy se projev\u00ed, je u\u017e pozd\u011b. Neust\u00e1le j\u00ed p\u0159ib\u00fdv\u00e1 jak u n\u00e1s, tak ve sv\u011bt\u011b. P\u0159edpokl\u00e1d\u00e1me, \u017ee do roku 2030 p\u016fjde o nej\u010dast\u011bj\u0161\u00ed smrteln\u00e9 onemocn\u011bn\u00ed tr\u00e1vic\u00edho traktu v\u016fbec,\u201c \u0159\u00edk\u00e1 doc. MUDr. Ond\u0159ej Urban, Ph.D., p\u0159edseda \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti. \u010cesk\u00e1 republika je, co se v\u00fdskytu rakoviny slinivky t\u00fd\u010de, dokonce na \u0161est\u00e9m m\u00edst\u011b v Evrop\u011b. Stav by m\u011bl zlep\u0161it pr\u00e1v\u011b c\u00edlen\u00fd screening. Vybran\u00ed lid\u00e9 ve vysok\u00e9m riziku by ka\u017edoro\u010dn\u011b doch\u00e1zeli na jedno z 30 vysoce specializovan\u00fdch endoskopick\u00fdch pracovi\u0161\u0165, kde by jim slinivku kontrolovali zvl\u00e1\u0161\u0165 vy\u0161kolen\u00ed endoskopist\u00e9. \u201eNa klasick\u00e9m CT vy\u0161et\u0159en\u00ed vid\u00edme n\u00e1dor slinivky a\u017e od 2 centimetr\u016f a to je pozd\u011b, tehdy u\u017e jen 13 % pacient\u016f p\u0159e\u017eije d\u00e9le ne\u017e p\u011bt let. Speci\u00e1ln\u00ed gastroskop s ultrazvukovou sondou a vy\u0161kolen\u00fd zku\u0161en\u00fd endoskopista, kter\u00fd v\u00ed, kam a na co se m\u00e1 d\u00edvat, um\u00ed odhalit n\u00e1dor u\u017e v 5 milimetrech a tady je \u0161ance na \u00fapln\u00e9 uzdraven\u00ed pacienta. Statistiky prav\u00ed, \u017ee kdy\u017e je n\u00e1dor men\u0161\u00ed ne\u017e 1centimetr, p\u0159e\u017e\u00edv\u00e1 p\u011bt let p\u0159ibli\u017en\u011b 40 % pacient\u016f, jakmile je v\u011bt\u0161\u00ed ne\u017e 1 centimetr a men\u0161\u00ed ne\u017e 2, p\u0159e\u017eije u\u017e p\u011bt let jen 20 % nemocn\u00fdch,\u201c vysv\u011btluje l\u00e9ka\u0159. \u201eP\u0159esto\u017ee se takov\u00fd n\u00e1dor vyv\u00edj\u00ed patn\u00e1ct a v\u00edce let, nijak se neprojevuje a nen\u00ed vid\u011bt. Na diagnostiku tak m\u00e1me velmi \u00fazk\u00e9 okno. Situaci nijak nepom\u00e1h\u00e1 ani to, \u017ee lid\u00e9 nemaj\u00ed a\u017e do posledn\u00ed chv\u00edle \u017e\u00e1dn\u00e9 pot\u00ed\u017ee.\u201c<\/p>\n\n\n\n
Proto se\n\u010de\u0161t\u00ed experti na tr\u00e1vic\u00ed trakt inspirovali americk\u00fdmi studiemi, kter\u00e9 jasn\u011b\nprok\u00e1zaly sn\u00ed\u017een\u00ed \u00famrtnosti ve skupin\u011b t\u011bch, kde se dal vznik n\u00e1doru p\u0159edv\u00eddat.\nU v\u0161ech sledovan\u00fdch, kde l\u00e9ka\u0159i n\u00e1dor objevili, byl v operovateln\u00e9m\nstadiu. <\/p>\n\n\n\n
Podle\ngastroenterolog\u016f je d\u016fle\u017eit\u00e9 rizikov\u00e9 skupiny naj\u00edt a dostat je na jedno\nz 30 specializovan\u00fdch center digestivn\u00ed endoskopie po cel\u00e9 republice, 20\njich v republice ji\u017e existuje, 10 by m\u011blo je\u0161t\u011b vzniknout. <\/p>\n\n\n\n
Mezi t\u011bmi, jich\u017e by se screening m\u011bl t\u00fdkat, jsou lid\u00e9, kte\u0159\u00ed maj\u00ed rakovinu slinivky v rodin\u011b, nebo ti, kde se vyskytuje tzv. BRCA gen, jen\u017e m\u016f\u017ee za karcinom prsu, ale je tak\u00e9 faktorem, kter\u00fd ke vzniku rakoviny slinivky siln\u011b p\u0159isp\u00edv\u00e1. Dal\u0161\u00edmi adepty na pravideln\u00e9 prohl\u00eddky jsou lid\u00e9 s polyp\u00f3zn\u00edm syndromem (v tlust\u00e9m st\u0159ev\u011b nebo v jin\u00fdch \u010d\u00e1stech tr\u00e1vic\u00ed trubice se tvo\u0159\u00ed mnoho\u010detn\u00e9 polypy) nebo jedinci, kte\u0159\u00ed trp\u00ed dlouhodob\u00fdm z\u00e1n\u011btem slinivky. <\/p>\n\n\n\n
\u201ePot\u0159ebujeme tak\u00e9 co nejv\u00edce zkr\u00e1tit interval mezi diagn\u00f3zou a l\u00e9\u010dbou, chceme, aby se po\u010d\u00edtala na dny, a ne na t\u00fddny, jak je tomu doposud. Pro pacienty s rakovinou slinivky je d\u016fle\u017eit\u00fd ka\u017ed\u00fd den,\u201c vysv\u011btluje doc. Urban. Podle n\u011bj se rakovina pankreatu u \u010d\u00e1sti nemocn\u00fdch ob\u010das projevuje p\u0159edem, ale velmi netypicky. \u201eP\u0159ibli\u017en\u011b dva a\u017e t\u0159i roky p\u0159ed vznikem n\u00e1doru postihuje \u010d\u00e1st lid\u00ed tzv. t\u0159et\u00ed typ cukrovky. Od prvn\u00edho nebo druh\u00e9ho typu se li\u0161\u00ed. \u010clov\u011bk nep\u0159ib\u00fdv\u00e1 na hmotnosti, nen\u00ed tlust\u00fd, naopak m\u00e1 v t\u011ble m\u00e1lo tuku a ub\u00fdv\u00e1 mu svalov\u00e1 hmota. Nyn\u00ed se v USA pracuje na vytipov\u00e1n\u00ed speci\u00e1ln\u00edho markeru, podle n\u011bho\u017e by bylo mo\u017en\u00e9 odhalit u takov\u00fdch diabetik\u016f, zda jim nehroz\u00ed pr\u00e1v\u011b rakovina slinivky. Ale to bude trvat je\u0161t\u011b roky,\u201c dod\u00e1v\u00e1 l\u00e9ka\u0159. <\/p>\n\n\n\n
Mezi u\u017e viditeln\u00e9 p\u0159\u00edznaky n\u00e1doru slinivky pat\u0159\u00ed nap\u0159\u00edklad bolest b\u0159icha v\u00a0okol\u00ed pupku, kter\u00e1 n\u011bkdy vyst\u0159eluje do zad, \u00fabytek hmotnosti, ze\u017eloutnut\u00ed k\u016f\u017ee a b\u011blma \u010di dlouhodob\u011b zv\u00fd\u0161en\u00e1 teplota. Do preventivn\u00edch opat\u0159en\u00ed gastroenterologov\u00e9 \u0159ad\u00ed nekou\u0159en\u00ed, udr\u017een\u00ed hmotnosti v\u00a0rozumn\u00fdch mez\u00edch, omezen\u00ed \u010derven\u00e9ho masa a uzen\u00e1\u0159sk\u00fdch v\u00fdrobk\u016f, st\u0159\u00eddmost v\u00a0pit\u00ed alkoholu a vyh\u00fdb\u00e1n\u00ed se nebezpe\u010dn\u00e9mu pracovn\u00edmu prost\u0159ed\u00ed, zejm\u00e9na chemik\u00e1li\u00edm.\u00a0 <\/p>\n\n\n\n
Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"
Praha, 4. 11. 2021 \u2013 Lid\u00e9, kter\u00fdm hroz\u00ed rakovina slinivky, by mohli pravideln\u011b chodit na kontroly ke specialist\u016fm. \u010ctvrt\u00e1 nejsmrteln\u011bj\u0161\u00ed rakovina postihne ro\u010dn\u011b 2 300 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14877,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36883","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\/36883","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=36883"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36883\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14877"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}