{"id":37994,"date":"2022-08-22T16:33:44","date_gmt":"2022-08-22T14:33:44","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=37994"},"modified":"2022-08-22T16:33:45","modified_gmt":"2022-08-22T14:33:45","slug":"cukrovka-nici-srdce-a-cevy-varuji-lekari-umi-je-ochranit-glifloziny-ty-ale-zatim-nedostane-kazdy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=37994","title":{"rendered":"Cukrovka ni\u010d\u00ed srdce a c\u00e9vy, varuj\u00ed l\u00e9ka\u0159i. Um\u00ed je ochr\u00e1nit glifloziny, ty ale zat\u00edm nedostane ka\u017ed\u00fd"},"content":{"rendered":"\n

Praha, 22.8. 2022 \u2013 Ohro\u017euje ka\u017ed\u00e9ho des\u00e1t\u00e9ho \u010cecha a kaz\u00ed v\u00fdhled na st\u00e1\u0159\u00ed pro\u017eit\u00e9 ve zdrav\u00ed. \u0158e\u010d je o cukrovce 2. typu, kterou u\u017e l\u00e9ka\u0159i kv\u016fli rychle rostouc\u00edm \u010d\u00edsl\u016fm ozna\u010duj\u00ed za novou epidemii. Diabetes zp\u016fsobuje lidsk\u00e9mu t\u011blu celou \u0159adu zdravotn\u00edch komplikac\u00ed. Po\u0161kozuje nap\u0159\u00edklad srdce a c\u00e9vy \u2013 to podle odborn\u00edk\u016f plat\u00ed a\u017e u 30 % l\u00e9\u010den\u00fdch pacient\u016f. Ni\u010d\u00ed tak\u00e9 zrak \u2013 to se t\u00fdk\u00e1 p\u0159ibli\u017en\u011b 27 % lid\u00ed s\u00a0cukrovkou. L\u00e9ka\u0159i maj\u00ed k\u00a0dispozici modern\u00ed l\u00e9\u010dbu tzv. glifloziny, d\u00edky nim\u017e t\u011blo vylu\u010duje p\u0159ebyte\u010dn\u00fd cukr v\u00a0mo\u010di, a l\u00e9ky tak chr\u00e1n\u00ed i\u00a0ledviny a kardiovaskul\u00e1rn\u00ed syst\u00e9m p\u0159ed po\u0161kozen\u00edm zp\u016fsoben\u00fdm diabetem. Glifloziny se v\u0161ak zat\u00edm dostanou pouze ke zlomku pacient\u016f.<\/strong><\/p>\n\n\n\n

\u201e\u00da\u010dinn\u011b reguluj\u00ed hladinu cukru v\u00a0krvi, pacienti p\u0159ebyte\u010dn\u00fd cukr vylou\u010d\u00ed a da\u0159\u00ed se jim d\u00edky tomu i zhubnout. V\u00a0sou\u010dasn\u00e9 dob\u011b je v\u0161ak l\u00e9ka\u0159i nemohou p\u0159edepisovat ka\u017ed\u00e9mu pacientovi, proto se zat\u00edm dostaly jen k\u00a010% pacient\u016f s\u00a0diabetem. P\u0159itom by jich mohlo b\u00fdt n\u00e1sobn\u011b v\u00edce,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Martin Pr\u00e1zn\u00fd, CSc., Ph.D., p\u0159edseda \u010cesk\u00e9 diabetologick\u00e9 spole\u010dnosti \u010cLS JEP. \u201eV sou\u010dasn\u00e9 dob\u011b zdravotn\u00ed poji\u0161\u0165ovny \u00fahradu omezuj\u00ed nap\u0159\u00edklad hodnotami glykovan\u00e9ho hemoglobinu, kter\u00e9 jsou v\u0161ak nastaven\u00e9 a\u017e nesmysln\u011b vysoko, tak\u017ee na l\u00e9\u010dbu nedos\u00e1hne \u0159ada pacient\u016f, je\u017e by glifloziny paradoxn\u011b mohly chr\u00e1nit preventivn\u011b. To se douf\u00e1m poda\u0159\u00ed \u010dasem zm\u011bnit, aby l\u00e9k byl dostupn\u00fd v\u00edce pacient\u016fm,\u201c <\/em>dod\u00e1v\u00e1. Podle prof. MUDr. Ale\u0161e Linharta, CSc., p\u0159edsedy \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti, glifloziny nav\u00edc v\u00fdznamn\u011b ovliv\u0148uj\u00ed riziko hospitalizace nebo smrti v\u00a0d\u016fsledku srde\u010dn\u00edho selh\u00e1n\u00ed. \u201ePodle studi\u00ed se riziko sni\u017euje o\u00a025%, co\u017e je ve srovn\u00e1n\u00ed s\u00a0dosavadn\u00edmi mo\u017enostmi l\u00e9\u010dby obrovsk\u00fd pokrok. Pacienti d\u00edky tomu maj\u00ed nad\u011bji na kvalitn\u011bj\u0161\u00ed \u017eivot bez nutnosti opakovan\u011b tr\u00e1vit dny v\u00a0nemocnici,\u201c <\/em>\u0159\u00edk\u00e1 kardiolog.<\/p>\n\n\n\n

Odborn\u00edci se shoduj\u00ed, \u017ee lid\u00ed s\u00a0diabetem 2. typu dlouhodob\u011b p\u0159ib\u00fdv\u00e1. \u201eV posledn\u00edch letech evidujeme asi 20 tis\u00edc nov\u011b nemocn\u00fdch ro\u010dn\u011b. V\u00fdjimku tvo\u0159\u00ed posledn\u00ed dva pandemick\u00e9 roky, kdy po\u010dty pacient\u016f klesaly, a\u0165 u\u017e kv\u016fli tomu, \u017ee nechodili s\u00a0pot\u00ed\u017eemi k\u00a0l\u00e9ka\u0159i, tak bohu\u017eel v\u00a0d\u016fsledku \u00famrt\u00ed na covid-19. V\u00a0souvislosti s\u00a0n\u00edm jsou diabetici jedni z\u00a0nejrizikov\u011bj\u0161\u00edch pacient\u016f,\u201c<\/em> \u0159\u00edk\u00e1 prof. Pr\u00e1zn\u00fd. Po\u010dty pacient\u016f podle n\u011bj rostou hlavn\u011b kv\u016fli obezit\u011b a\u00a0celkov\u00e9mu st\u00e1rnut\u00ed populace \u2013 pacienti \u017eij\u00ed d\u00e9le a z\u00e1rove\u0148 p\u0159ib\u00fdvaj\u00ed st\u00e1le mlad\u0161\u00ed. A\u017e 55\u00a0%\u00a0obyvatel \u010cesk\u00e9 republiky m\u00e1 probl\u00e9m s\u00a0nadv\u00e1hou \u2013 obezita je p\u0159itom jednou z\u00a0rozn\u011btek k\u00a0rozvoji diabetu 2. typu. Podle zku\u0161enost\u00ed odborn\u00edk\u016f si v\u011bt\u0161ina potenci\u00e1ln\u00edch pacient\u016f neuv\u011bdomuje, \u017ee u\u017e v ran\u00e9 f\u00e1zi cukrovky doch\u00e1z\u00ed k\u00a0po\u0161kozen\u00ed \u017eivotn\u011b d\u016fle\u017eit\u00fdch org\u00e1n\u016f, \u010dasto nevratn\u00e9mu. \u201eV d\u016fsledku vy\u0161\u0161\u00ed hladiny krevn\u00edho cukru doch\u00e1z\u00ed k p\u0159ed\u010dasn\u00e9mu ni\u010den\u00ed c\u00e9v. A to jak t\u011bch mikroskopick\u00fdch, kter\u00e9 vy\u017eivuj\u00ed ledviny nebo perifern\u00ed nervy, tak velk\u00fdch tepen,\u201c <\/em>popisuje MUDr. Barbora Dole\u017ealov\u00e1, diabetolo\u017eka z\u00a0INTENDIA kliniky v\u00a0Chrudimi. \u201eDiabetes je jedn\u00edm z\u00a0hlavn\u00edch rizik vzniku kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed, jako jsou infarkt, mozkov\u00e1 p\u0159\u00edhoda nebo onemocn\u011bn\u00ed perifern\u00edch tepen. Je tak\u00e9 jednou z\u00a0nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din poruch zraku a vede i k selh\u00e1n\u00ed ledvin,\u201c <\/em>dod\u00e1v\u00e1.<\/p>\n\n\n\n

Podle posledn\u00edch dat trp\u00ed onemocn\u011bn\u00edm srdce a c\u00e9v asi 30 % pacient\u016f, kte\u0159\u00ed se l\u00e9\u010d\u00ed s\u00a0diabetem 2. typu. \u201e\u010casto se n\u00e1m st\u00e1v\u00e1, \u017ee do ordinac\u00ed p\u0159ich\u00e1zej\u00ed pacienti s\u00a0probl\u00e9my se srdcem a teprve pot\u00e9 jim najdeme diabetes. Ten jim p\u0159itom pot\u00ed\u017ee s\u00a0velkou pravd\u011bpodobnost\u00ed zp\u016fsobil,\u201c <\/em>popisuje prof. Linhart. Diabetici jsou podle n\u011bj d\u0159\u00edve nebo pozd\u011bji srde\u010dn\u00edm selh\u00e1n\u00edm ohro\u017eeni v\u00a0ka\u017ed\u00e9m p\u0159\u00edpad\u011b. \u201eDiabetes ti\u0161e devastuje c\u00e9vy, a zat\u00edmco ty velk\u00e9 jsme schopni do ur\u010dit\u00e9 m\u00edry opravit, ty nejmen\u0161\u00ed bohu\u017eel spravit nelze. Pacient\u016fm nav\u00edc hroz\u00ed v\u00fdrazn\u011b vy\u0161\u0161\u00ed riziko infarkt\u016f a srde\u010dn\u00edho selh\u00e1n\u00ed, kter\u00e9 bohu\u017eel vy\u017eaduje dlouhodobou p\u00e9\u010di a \u010dasto vede k hospitalizaci \u010di p\u0159ed\u010dasn\u00e9mu \u00famrt\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 kardiolog.<\/p>\n\n\n\n

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

Praha, 22.8. 2022 \u2013 Ohro\u017euje ka\u017ed\u00e9ho des\u00e1t\u00e9ho \u010cecha a kaz\u00ed v\u00fdhled na st\u00e1\u0159\u00ed pro\u017eit\u00e9 ve zdrav\u00ed. \u0158e\u010d je o cukrovce 2. typu, kterou u\u017e l\u00e9ka\u0159i […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14132,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-37994","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\/37994","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=37994"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/37994\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14132"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=37994"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=37994"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=37994"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}