{"id":37618,"date":"2022-05-09T16:20:15","date_gmt":"2022-05-09T14:20:15","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=37618"},"modified":"2022-05-09T16:20:15","modified_gmt":"2022-05-09T14:20:15","slug":"krev-v-moci-muze-byt-priznakem-vazne-nemoci-pokud-je-viditelna-pouhym-okem-je-treba-navstivit-urologa","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=37618","title":{"rendered":"Krev v\u00a0mo\u010di m\u016f\u017ee b\u00fdt p\u0159\u00edznakem v\u00e1\u017en\u00e9 nemoci. Pokud je viditeln\u00e1 pouh\u00fdm okem je t\u0159eba nav\u0161t\u00edvit urologa"},"content":{"rendered":"\n

Praha, 9. 5. 2022 \u2013 Jdete na \u201emalou\u201c a vid\u00edte p\u0159i tom krev? P\u0159ij\u010fte hned k\u00a0n\u00e1m \u2013 apeluj\u00ed na ve\u0159ejnost \u010de\u0161t\u00ed urologov\u00e9. Krev v\u00a0mo\u010di, kter\u00e1 je viditeln\u00e1 okem, toti\u017e m\u016f\u017ee b\u00fdt projevem z\u00e1va\u017en\u00e9ho n\u00e1dorov\u00e9ho onemocn\u011bn\u00ed. Aby nebylo fat\u00e1ln\u00ed, je d\u016fle\u017eit\u00e9 p\u0159ij\u00edt v\u010das. Zvl\u00e1\u0161t\u011b u n\u00e1doru mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, kter\u00fd postupuje velmi agresivn\u011b, a krev v\u00a0mo\u010di je pr\u00e1v\u011b jedn\u00edm z\u00a0jeho p\u0159\u00edznak\u016f. \u0158ada lid\u00ed ji v\u0161ak ignoruje nebo \u010dek\u00e1, zda nezmiz\u00ed sama. Toto t\u00e9ma budou \u010de\u0161t\u00ed urologov\u00e9 mimo jin\u00e9 prob\u00edrat na sv\u00e9 odborn\u00e9 konferenci zvan\u00e9 Komplexn\u00ed novinky v\u00a0uroonkologii (KNOU), kter\u00e1 startuje 13. kv\u011btna v\u00a0Praze.<\/strong><\/p>\n\n\n\n

\u201eA\u017e 85 % pacient\u016f s\u00a0n\u00e1dory mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e m\u00e1 jako prvn\u00ed p\u0159\u00edznak krev v\u00a0mo\u010di \u2013 tzv. hematurii. Ta nebol\u00ed, a proto ji \u0159ada lid\u00ed zprvu ignoruje a douf\u00e1, \u017ee zmiz\u00ed sama. P\u0159\u00ed\u010diny v\u00fdskytu krve v\u00a0mo\u010di mohou b\u00fdt r\u016fzn\u00e9, karcinom mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e se \u0159ad\u00ed na druh\u00e9 m\u00edsto, hned za akutn\u00ed z\u00e1n\u011bt m\u011bch\u00fd\u0159e,\u201c<\/em> vysv\u011btluje as. MUDr. Anton\u00edn Brisuda, FEBU,\u00a0Ph.D. z\u00a0Urologick\u00e9 kliniky 2. LF UK a FN Motol. Krev v\u00a0mo\u010di m\u016f\u017ee b\u00fdt viditeln\u00e1 (makrohematurie) nebo okem neviditeln\u00e1 (mikrohematurie). U t\u00e9, co je vid\u011bt pouh\u00fdm okem, je nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou (z\u00a025 %) akutn\u00ed z\u00e1n\u011bt mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, kter\u00fdm trp\u00ed p\u0159edev\u0161\u00edm \u017eeny. Druh\u00fdm nej\u010dast\u011bj\u0161\u00edm d\u016fvodem je karcinom mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e (a\u017e 17 %), na t\u0159et\u00edm m\u00edst\u011b je na vin\u011b zv\u011bt\u0161en\u00e1 prostata (asi 12 %) a na \u010dtvrt\u00e9m (z\u00a0asi 10 %) jsou p\u0159\u00ed\u010dinou mo\u010dov\u00e9 kameny. \u201eDal\u0161\u00edmi, m\u00e9n\u011b \u010dast\u00fdmi d\u016fvody jsou karcinom prostaty, ledvin, ale i mechanick\u00e9 poran\u011bn\u00ed mo\u010dov\u00fdch cest atp. D\u016fle\u017eit\u00e9 v\u0161ak je, abychom my, urologov\u00e9, vid\u011bli pacienta v\u010das a mohli p\u0159\u00ed\u010dinu krv\u00e1cen\u00ed ur\u010dit a pot\u00e9 spr\u00e1vn\u011b l\u00e9\u010dit,\u201c<\/em> pokra\u010duje as. MUDr. Brisuda. Jak dopl\u0148uje prezident konference KNOU prof. MUDr. Marek Babjuk, CSc., krev se v\u00a0mo\u010di m\u016f\u017ee objevit jen ob\u010das a pak spont\u00e1nn\u011b zmizet. \u201eOnemocn\u011bn\u00ed v\u0161ak neust\u00e1le postupuje a rozv\u00edj\u00ed se, tak\u017ee by lid\u00e9 nem\u011bli s\u00a0n\u00e1v\u0161t\u011bvou odborn\u00edka ot\u00e1let. Nem\u011bli by zkr\u00e1tka spol\u00e9hat na to, \u017ee kdy\u017e u\u017e krev v mo\u010di nevid\u00ed, je v\u0161e v\u00a0po\u0159\u00e1dku,\u201c<\/em> \u0159\u00edk\u00e1 prof. Babjuk.<\/p>\n\n\n\n

N\u00e1dory mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e jsou dle odborn\u00edk\u016f nejagresivn\u011bj\u0161\u00edmi urologick\u00fdmi n\u00e1dory v\u016fbec \u2013 rychle postupuj\u00ed, maj\u00ed nejvy\u0161\u0161\u00ed smrtnost. Ro\u010dn\u011b jimi v\u00a0\u010cesku onemocn\u00ed p\u0159es 2000 lid\u00ed, necel\u00e1 tis\u00edcovka na n\u011b zem\u0159e. Nejrizikov\u011bj\u0161\u00edm pacientem u tohoto onemocn\u011bn\u00ed je podle as. MUDr. Brisudy mu\u017e nad 65 let, kter\u00fd kou\u0159\u00ed nebo je vystaven karcinogen\u016fm nap\u0159\u00edklad v\u00a0pr\u00e1ci. Ve dvojn\u00e1sobn\u00e9m riziku jsou tak\u00e9 ti, kde se nemoc vyskytuje v\u00a0rodin\u011b. \u201ePrevence karcinomu mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e prakticky neexistuje, ale pom\u00e1h\u00e1 p\u0159estat kou\u0159it. Pro ilustraci \u2013 pokud \u010dlov\u011bk p\u0159estane s\u00a0kou\u0159en\u00edm, sni\u017euje se u n\u011bj u\u017e po roce riziko vzniku tohoto n\u00e1doru o 30 % a po dal\u0161\u00edch p\u011bti letech dokonce o 60 %,\u201c<\/em> uv\u00e1d\u00ed as. MUDr. Brisuda.<\/p>\n\n\n\n

Ku\u0159\u00e1k je dle prof. Babjuka ve \u010dty\u0159ikr\u00e1t vy\u0161\u0161\u00edm riziku, \u017ee rakovinou mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e onemocn\u00ed ne\u017e neku\u0159\u00e1k a kou\u0159en\u00ed je tak, hned po rakovin\u011b plic, nej\u010dast\u011bji p\u0159\u00ed\u010dinou tohoto typu zhoubn\u00e9ho onemocn\u011bn\u00ed. \u201e\u010c\u00edm v\u00edce cigaret \u010dlov\u011bk spot\u0159eboval, t\u00edm je riziko vzniku n\u00e1doru vy\u0161\u0161\u00ed, a i kdy\u017e s kou\u0159en\u00edm p\u0159estane neznamen\u00e1 to, \u017ee se t\u00e9to nemoci zcela vyhne. Bohu\u017eel se po\u010d\u00edt\u00e1 v\u0161e, co u\u017e vykou\u0159il v minulosti,\u201c <\/em>\u0159\u00edk\u00e1 prof. Babjuk.<\/p>\n\n\n\n

Tendence ignorovat krev v\u00a0mo\u010di maj\u00ed podle odborn\u00edk\u016f a studi\u00ed sp\u00ed\u0161e mu\u017ei s\u00a0ni\u017e\u0161\u00edm stupn\u011bm vzd\u011bl\u00e1n\u00ed, v\u00edce ti svobodn\u00ed. \u201eUsuzujeme, \u017ee mu\u017ei, kte\u0159\u00ed jsou \u017eenat\u00ed nebo \u017eij\u00ed s\u00a0partnerkou, jsou pod v\u011bt\u0161\u00edm tlakem sv\u00e9 polovi\u010dky, aby s\u00a0hematuri\u00ed n\u011bkam za\u0161li,\u201c<\/em> komentuje as. MUDr. Brisuda.<\/p>\n\n\n\n

\u017deny v\u0161ak tak\u00e9 nejsou vyjmuty ze skupiny t\u011bch, kte\u0159\u00ed krev v\u00a0mo\u010di podcen\u00ed nebo \u0161patn\u011b vyhodnot\u00ed. Ob\u010das si ji nap\u0159\u00edklad myln\u011b spoj\u00ed s\u00a0menstruac\u00ed nebo pr\u00e1v\u011b se z\u00e1n\u011btem mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e. \u201eKarcinom mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e se u \u017een vyskytuje m\u00e9n\u011b, ale na druhou stranu k\u00a0n\u00e1m p\u0159ich\u00e1zej\u00ed u\u017e v\u00a0pokro\u010dilej\u0161\u00edch stadi\u00edch nemoci,\u201c<\/em> dopl\u0148uje expert.<\/p>\n\n\n\n

Urologov\u00e9 maj\u00ed k\u00a0dispozici pro ka\u017ed\u00e9 stadium tohoto typu rakoviny \u00fa\u010dinn\u00e9 l\u00e9ky. U pokro\u010dil\u00fdch forem, s\u00a0metast\u00e1zami, u\u017e v\u0161ak nebojuj\u00ed o \u00fapln\u00e9 uzdraven\u00ed, ale o prodlou\u017een\u00ed \u017eivota v\u00a0co nejlep\u0161\u00ed kvalit\u011b. Proto apeluj\u00ed na v\u010dasn\u00fd p\u0159\u00edchod, pokud za\u010dnou pot\u00ed\u017ee. Na sv\u00e9 konferenci budou tak\u00e9 mluvit o vysok\u00e9 n\u00e1vratnosti n\u00e1dor\u016f mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e u t\u011bch, kte\u0159\u00ed nemoc u\u017e jednou prod\u011blali. \u201eU povrchov\u00fdch n\u00e1dor\u016f mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e se recidiva vyskytuje mezi 40 a\u017e 70 %. Pacienti, kte\u0159\u00ed touto nemoc\u00ed pro\u0161li, by tak m\u011bli pravideln\u011b chodit na kontrolu a cystoskopii, co\u017e je drah\u00e9, a ne \u00fapln\u011b p\u0159\u00edjemn\u00e9 vy\u0161et\u0159en\u00ed. Proto jej tak\u00e9 ob\u010das oddaluj\u00ed. Vedeme nyn\u00ed diskuzi, zda by tyto kontroly bylo mo\u017en\u00e9 prov\u00e9st neinvazivn\u011b. Pacient by poslal svoji mo\u010d do laborato\u0159e, kde by zm\u011b\u0159ili ur\u010dit\u00e9 markery a potvrdili, nebo vylou\u010dili recidivu nemoci,\u201c<\/em> dod\u00e1v\u00e1 as. MUDr. Brisuda. I v\u00a0recidiv\u011b nemoci hraje roli kou\u0159en\u00ed. Podle prof. Babjukase u t\u011bch, co nemoc prod\u011blali, a pak p\u0159estali kou\u0159it, riziko opakov\u00e1n\u00ed n\u00e1doru po asi dvou letech za\u010d\u00edn\u00e1 sni\u017eovat.<\/p>\n\n\n\n

Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

Praha, 9. 5. 2022 \u2013 Jdete na \u201emalou\u201c a vid\u00edte p\u0159i tom krev? P\u0159ij\u010fte hned k\u00a0n\u00e1m \u2013 apeluj\u00ed na ve\u0159ejnost \u010de\u0161t\u00ed urologov\u00e9. Krev v\u00a0mo\u010di, kter\u00e1 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":24987,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-37618","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\/37618","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=37618"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/37618\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/24987"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=37618"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=37618"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=37618"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}