\/ROZHOVOR\/ Migr\u00e9nou trp\u00ed a\u017e milion obyvatel na\u0161\u00ed republiky, snad ka\u017ed\u00fd des\u00e1t\u00fd \u010dlov\u011bk se s n\u00ed setkal anebo se s n\u00ed pot\u00fdk\u00e1. Nen\u00ed to p\u0159itom n\u011bjak\u00fd m\u00f3dn\u00ed v\u00fdst\u0159elek nebo v\u00fdmluva, ale pom\u011brn\u011b z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, kter\u00e9 izoluje a zejm\u00e9na velmi omezuje \u010dlov\u011bka v b\u011b\u017en\u00e9m \u017eivot\u011b. V Krajsk\u00e9 nemocnici Liberec vzniklo p\u0159ed necel\u00fdmi t\u0159emi lety p\u0159i neurologick\u00e9m odd\u011blen\u00ed specializovan\u00e9 Centrum pro diagnostiku a l\u00e9\u010dbu bolest\u00ed hlavy, kter\u00e9 vede l\u00e9ka\u0159ka Mark\u00e9ta Syk\u00e1\u010dkov\u00e1.<\/p>\n\n\n\n
„Otev\u0159\u00edt centrum se rozhodn\u011b vyplatilo. Jsme jedin\u00e9 v kraji, pacienty k n\u00e1m pos\u00edlaj\u00ed neurologov\u00e9 z \u0161irok\u00e9ho okol\u00ed. Nej\u010dast\u011bji jde o komplikovan\u011bj\u0161\u00ed pacienty, u kter\u00fdch ji\u017e bylo vyzkou\u0161eno n\u011bkolik preventivn\u00edch l\u00e9k\u016f bez v\u011bt\u0161\u00edho efektu,“ \u0159\u00edk\u00e1 v rozhovoru pro Den\u00edk.<\/p>\n\n\n\n
Bolesti hlavy a migr\u00e9ny jsou pom\u011brn\u011b \u0161irok\u00e9 t\u00e9ma a postihuj\u00ed pacienty od d\u011btsk\u00e9ho v\u011bku a\u017e do seniorsk\u00fdch let, nebo se m\u00fdl\u00edm?<\/p>\n\n\n\n
Ano, je to tak. I kdy\u017e u d\u011bt\u00ed mohou bolesti hlavy vypadat tro\u0161ku jinak, ale tam to \u0159e\u0161\u00ed d\u011btsk\u00fd neurolog. U n\u00e1s v centru se soust\u0159ed\u00edme na dosp\u011bl\u00e9 pacienty. Migr\u00e9nami obecn\u011b \u010dast\u011bji trp\u00ed \u017eeny, p\u0159esn\u011bji v d\u011btstv\u00ed sp\u00ed\u0161e mu\u017ei a po pubert\u011b se to p\u0159ehoupne a jsou to \u010dast\u011bji \u017eeny. Nejv\u00edc je posti\u017een\u00e1 skupina \u017een mezi 30 \u2013 40 lety.<\/p>\n\n\n\n
V\u00ed se, pro\u010d tomu tak je? Je n\u011bjak\u00fd spou\u0161t\u011b\u010d nebo je to vlivem hormon\u016f?<\/p>\n\n\n\n
Hormon\u00e1ln\u00ed zm\u011bny jsou u \u017een \u010dast\u00fdm spou\u0161t\u011b\u010dem migr\u00e9n, \u010dasto je dan\u00e1 i genetick\u00e1 predispozice ke vzniku migr\u00e9n\u00f3zn\u00edch bolest\u00ed hlavy. Ka\u017ed\u00fd pacient m\u016f\u017ee individu\u00e1ln\u011b vypozorovat jin\u00fd spou\u0161t\u011b\u010d.<\/p>\n\n\n\n
Jak se typick\u00e1 migr\u00e9na projevuje? Obecn\u011b se v\u00ed, \u017ee \u010dlov\u011bka tr\u00e1p\u00ed nejen \u00faporn\u00e1 bolest hlavy, ale tak\u00e9 je sv\u011btloplach\u00fd, vad\u00ed mu hluk, n\u011bkdy i zvrac\u00ed. Jsou je\u0161t\u011b jin\u00e9 p\u0159\u00edznaky?<\/p>\n\n\n\n
V\u011bt\u0161inou se projevuje pr\u00e1v\u011b takto, bolest hlavy je jednostrann\u00e1, pulzuj\u00edc\u00ed. N\u011bkdo u migr\u00e9ny t\u0159eba nezvrac\u00ed, ale v\u011bt\u0161inou to tak je. \u010clov\u011bka migr\u00e9na velmi omezuje, mus\u00ed si lehnout do temn\u00e9 m\u00edstnosti, m\u00edt ticho a klid a nem\u016f\u017ee nijak zvl\u00e1\u0161\u0165 fungovat v pr\u00e1ci ani v osobn\u00edm \u017eivot\u011b pr\u00e1v\u011b pro t\u011b\u017ek\u00e9 bolesti hlavy.<\/p>\n\n\n\n
Postihuje migr\u00e9na \u010dlov\u011bka jen v ur\u010dit\u00e9m \u00faseku \u017eivota, anebo se ho dr\u017e\u00ed cel\u00fd \u017eivot?<\/p>\n\n\n\n
\u010clov\u011bk m\u016f\u017ee migr\u00e9nou trp\u011bt cel\u00fd \u017eivot, ale jsou \u010dasto i pacientky, kter\u00fdm t\u0159eba po p\u0159echodu migr\u00e9na sama odezn\u00ed a u\u017e nemaj\u00ed bolesti hlavy v\u016fbec. L\u00e9\u010diteln\u00e1 migr\u00e9na nen\u00ed, ale daj\u00ed se vhodn\u00fdm zp\u016fsobem potla\u010dovat p\u0159\u00edznaky a jej\u00ed projevy.<\/p>\n\n\n\n
Existuje n\u011bco podobn\u00e9ho, jako je t\u0159eba o\u010dkov\u00e1n\u00ed, kter\u00e9 si \u010dlov\u011bk nech\u00e1 aplikovat a ono migr\u00e9ny utlum\u00ed nebo ode\u017eene? Jak se v\u016fbec daj\u00ed projevy potla\u010dovat?<\/p>\n\n\n\n
Nyn\u00ed je u n\u00e1s pom\u011brn\u011b kr\u00e1tkou dobu dostupn\u00e1 biologick\u00e1 l\u00e9\u010dba, kter\u00e1 je velmi dobr\u00e1. Ale pacient mus\u00ed splnit ur\u010dit\u00e1 krit\u00e9ria, aby na ni dos\u00e1hl. Je ur\u010den\u00e1 pro pacienty, kte\u0159\u00ed trp\u00ed \u010dty\u0159i a v\u00edce dn\u00ed v m\u011bs\u00edci bolest\u00ed hlavy a ji\u017e se ne\u00fasp\u011b\u0161n\u011b l\u00e9\u010dili dv\u011bma a v\u00edce konven\u010dn\u00edmi profylaktiky. Biologick\u00e1 l\u00e9\u010dba je pak pod\u00e1van\u00e1 subkut\u00e1nn\u011b ve form\u011b p\u0159edpln\u011bn\u00fdch injek\u010dn\u00edch per a aplikuje se jednou m\u011bs\u00ed\u010dn\u011b. A tam ty v\u00fdsledky jsou hodn\u011b dobr\u00e9. U mnoha pacient\u016f pozoruji u\u017e po prvn\u00edm m\u011bs\u00edci opravdu velkou zm\u011bnu a doch\u00e1z\u00ed tam ke sn\u00ed\u017een\u00ed frekvence, ale i intenzity bolest\u00ed hlavy. Od roku 2020 je u t\u00e9to biologick\u00e9 l\u00e9\u010dby schv\u00e1len\u00e1 \u00fahrada zdravotn\u00edmi poji\u0161\u0165ovnami a vyu\u017e\u00edv\u00e1me ji i u n\u00e1s v centru. Podm\u00ednkou k pokra\u010dov\u00e1n\u00ed v l\u00e9\u010db\u011b je, \u017ee po t\u0159ech m\u011bs\u00edc\u00edch od jej\u00edho zah\u00e1jen\u00ed bychom m\u011bli pozorovat sn\u00ed\u017een\u00ed \u010detnosti z\u00e1chvat\u016f alespo\u0148 o 50 procent. D\u00e9lka biologick\u00e9 l\u00e9\u010dby zat\u00edm nen\u00ed zn\u00e1m\u00e1, ale pokud je u pacienta s efektem, tak pokra\u010dujeme dlouhodob\u011b.<\/p>\n\n\n\n
Jak jinak lze migr\u00e9nu, respektive jej\u00ed projevy, l\u00e9\u010dit, pokud pominu biologickou l\u00e9\u010dbu?<\/p>\n\n\n\n
Za\u010d\u00edn\u00e1me v\u017edy se standardn\u00edmi profylaktiky ve form\u011b tablet. Nap\u0159\u00edklad u chronick\u00e9 migr\u00e9ny je pak d\u00e1le mo\u017enost aplikace botulotoxinu do p\u0159esn\u011b dan\u00fdch bod\u016f v oblasti hlavy. Ale tam si to pacient mus\u00ed hradit s\u00e1m.<\/p>\n\n\n\n
Botulotoxin m\u00e1m sp\u00ed\u0161 spojen\u00fd s plastickou chirurgi\u00ed. Jak zp\u016fsob\u00ed, \u017ee hlava bude bolet m\u00e9n\u011b?<\/p>\n\n\n\n
Jsou p\u0159esn\u011b dan\u00e9 oblasti, body, kde se aplikuje a prov\u00e1d\u00ed se to opakovan\u011b. Nyn\u00ed u n\u00e1s \u017e\u00e1dn\u00fd pacient na tento druh l\u00e9\u010dby nedoch\u00e1z\u00ed, ale m\u00e1m pacienty, se kter\u00fdmi tuto mo\u017enost prob\u00edr\u00e1me, proto\u017ee t\u0159eba u nich selhala biologick\u00e1 l\u00e9\u010dba.<\/p>\n\n\n\n
Jak moc je va\u0161e centrum, specializovan\u00e9 na bolesti hlavy, vyt\u00ed\u017een\u00e9? Je opravdu tolik lid\u00ed trp\u00edc\u00edch pr\u00e1v\u011b t\u00edmto neduhem?<\/p>\n\n\n\n
Otev\u0159\u00edt centrum se rozhodn\u011b vyplatilo. Jsme jedin\u00e9 v kraji, pacienty k n\u00e1m pos\u00edlaj\u00ed neurologov\u00e9 z \u0161irok\u00e9ho okol\u00ed. Nej\u010dast\u011bji jde o komplikovan\u011bj\u0161\u00ed pacienty, u kter\u00fdch ji\u017e bylo vyzkou\u0161eno n\u011bkolik preventivn\u00edch l\u00e9k\u016f bez v\u011bt\u0161\u00edho efektu.<\/p>\n\n\n\n
Lze v\u016fbec migr\u00e9n\u011b p\u0159edch\u00e1zet, je nap\u0159\u00edklad n\u011bjak\u00e1 prevence, d\u00e1 se bolesti p\u0159edej\u00edt?<\/p>\n\n\n\n
Pokud vypozoruje \u010dlov\u011bk trp\u00edc\u00ed na migr\u00e9ny n\u011bjak\u00e9 spou\u0161t\u011bc\u00ed faktory, tak se jim sna\u017eit vyh\u00fdbat. Ur\u010dit\u011b je vhodn\u00e9 dodr\u017eovat pravideln\u00fd pitn\u00fd re\u017eim i re\u017eim j\u00eddla, rovn\u011b\u017e sp\u00e1nkov\u00fd re\u017eim. Ale spou\u0161t\u011b\u010de jsou individu\u00e1ln\u00ed, ka\u017ed\u00fd to m\u00e1 jinak, nelze \u0159\u00edci, \u010demu konkr\u00e9tn\u011b je vhodn\u00e9 se vyh\u00fdbat.<\/p>\n\n\n\n
Jak\u00e9 jsou je\u0161t\u011b jin\u00e9 typy bolest\u00ed hlavy, krom\u011b migr\u00e9n, jimi\u017e se u v\u00e1s v obdobn\u00e9m centru zab\u00fdv\u00e1te?<\/p>\n\n\n\n
Nej\u010dast\u011bj\u0161\u00ed jsou tenzn\u00ed bolesti hlavy, to je tup\u00e1 st\u00e1l\u00e1 bolest v\u011bt\u0161inou cel\u00e9 hlavy. A potom jsou tu dal\u0161\u00ed bolesti, nap\u0159\u00edklad autonomn\u00ed bolesti hlavy, kam pat\u0159\u00ed i takzvan\u00e1 Cluster headache (Horton\u016fv syndrom pozn. red.). Tato bolest je \u010dast\u011bj\u0161\u00ed u mu\u017e\u016f, je siln\u00e1, prudk\u00e1, \u0161lehav\u00e1 na jedn\u00e9 stran\u011b hlavy za okem, p\u0159i kter\u00e9 m\u016f\u017ee pacient slzet z oka nebo ho m\u00edt zarudl\u00e9 nebo mu m\u016f\u017ee kapat z nosu. V\u011bt\u0161inou pacienti nemohou ani le\u017eet a mus\u00ed pouze chodit, ale v\u00fdskyt t\u00e9to bolesti na\u0161t\u011bst\u00ed nen\u00ed tak \u010dast\u00fd. B\u00fdv\u00e1 to sez\u00f3nn\u00ed z\u00e1le\u017eitost, objevuje se \u010dasto v period\u011b, pacienty bol\u00ed hlava nap\u0159\u00edklad na ja\u0159e a na podzim a mezit\u00edm ne. Ale nap\u0159\u00edklad na tento typ bolest\u00ed je u\u017e ve Spojen\u00fdch st\u00e1tech schv\u00e1len\u00e1 tak\u00e9 biologick\u00e9 l\u00e9\u010dba, d\u00e1 se tedy o\u010dek\u00e1vat, \u017ee by v bl\u00edzk\u00e9 dob\u011b mohla b\u00fdt schv\u00e1len\u00e1 i u n\u00e1s.<\/p>\n\n\n\n
Souvis\u00ed bolesti hlavy i s dr\u017een\u00edm t\u011bla, s t\u00edm, jak se \u010dlov\u011bk h\u00fdbe, jak\u00e9 m\u00e1 povol\u00e1n\u00ed?<\/p>\n\n\n\n
Ano, m\u016f\u017ee to souviset s bolest\u00ed kr\u010dn\u00ed p\u00e1te\u0159e. \u010casto tak\u00e9 pacient\u016fm doporu\u010duji ambulantn\u011b rehabilitaci kr\u010dn\u00ed p\u00e1te\u0159e a u n\u011bkoho zlep\u0161en\u00ed potom nast\u00e1v\u00e1.<\/p>\n\n\n\n
A jak je to s medikamenty? Je vhodn\u00e9 rozh\u00e1n\u011bt bolest hlavy brufeny nebo podobn\u00fdmi, voln\u011b dostupn\u00fdmi, l\u00e9ky?<\/p>\n\n\n\n
Ur\u010dit\u011b. Pouze s t\u011bmi l\u00e9ky opatrn\u011b, aby se nebraly ka\u017ed\u00fd den nebo obden. Pak tam hroz\u00ed bolest z nadu\u017e\u00edv\u00e1n\u00ed l\u00e9\u010div, kter\u00e1 nen\u00ed \u00fapln\u011b vz\u00e1cn\u00e1. M\u00e1me hodn\u011b pacient\u016f, kte\u0159\u00ed pro \u010dast\u00e9 bolesti berou moc analgetik, a to u\u017e samo potom potencuje bolesti hlavy.<\/p>\n\n\n\n
————–<\/p>\n\n\n\n
Den otev\u0159en\u00e9ho Centra pro l\u00e9\u010dbu migr\u00e9ny<\/p>\n\n\n\n
Chcete zkonzultovat sv\u00e9 probl\u00e9my s bolest\u00ed hlavy s l\u00e9ka\u0159em nebo se dozv\u011bd\u011bt v\u00edce nejen o migr\u00e9n\u011b? Pak m\u00e1te jedine\u010dnou mo\u017enost ve st\u0159edu 19. \u0159\u00edjna od 15 do 18 hodin.<\/p>\n\n\n\n
Akce se kon\u00e1 v Krajsk\u00e9 nemocnici Liberec, v p\u0159edn\u00e1\u0161kov\u00e9m s\u00e1le pavilonu P.<\/p>\n\n\n\n
P\u0159ij\u010fte na kr\u00e1tkou konzultaci s odborn\u00edky. Sezn\u00e1m\u00edte se tak\u00e9 s aktivitami pacientsk\u00e9 organizace Migr\u00e9na-Help a tipy psychologa, jak mluvit o migr\u00e9n\u011b s bl\u00edzk\u00fdmi.<\/p>\n\n\n\n
Blanka Freiwilligov\u00e1<\/p>\n\n\n\n
Den\u00edk.cz<\/p>\n\n\n\n
https:\/\/www.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" \/ROZHOVOR\/ Migr\u00e9nou trp\u00ed a\u017e milion obyvatel na\u0161\u00ed republiky, snad ka\u017ed\u00fd des\u00e1t\u00fd \u010dlov\u011bk se s n\u00ed setkal anebo se s n\u00ed pot\u00fdk\u00e1. Nen\u00ed to p\u0159itom n\u011bjak\u00fd […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18738,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-38154","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\/38154","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=38154"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/38154\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18738"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38154"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38154"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}