{"id":38622,"date":"2023-02-27T16:10:01","date_gmt":"2023-02-27T15:10:01","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=38622"},"modified":"2023-02-27T16:10:02","modified_gmt":"2023-02-27T15:10:02","slug":"poruchy-pameti-mohou-byt-zdravi-nebezpecne-upozornuji-experti","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=38622","title":{"rendered":"Poruchy pam\u011bti mohou b\u00fdt zdrav\u00ed nebezpe\u010dn\u00e9, upozor\u0148uj\u00ed experti"},"content":{"rendered":"\n

Ka\u017ed\u00fd n\u011bkdy zapomn\u011bl doma kl\u00ed\u010de nebo mobil. V\u00a0p\u0159\u00edpad\u011b poruch pam\u011bti zp\u016fsoben\u00fdch Alzheimerovou nemoc\u00ed v\u0161ak n\u011bkdy nejde jen o zapomenut\u00e9 drobnosti, ale doslova o \u017eivot. Pacienti u\u017e v\u00a0po\u010d\u00ednaj\u00edc\u00edch f\u00e1z\u00edch nemoci mohou zapom\u00ednat br\u00e1t d\u016fle\u017eit\u00e9 l\u00e9ky, nebo se jimi naopak p\u0159ed\u00e1vkovat. I proto je podle l\u00e9ka\u0159\u016f d\u016fle\u017eit\u00e9, aby nemoc objevili co nejd\u0159\u00edve a nau\u010dili s\u00a0n\u00ed pracovat nejen samotn\u00e9ho pacienta, ale tak\u00e9 jeho bl\u00edzk\u00e9. L\u00e9ka\u0159i to p\u0159ipom\u00ednaj\u00ed p\u0159i Sv\u011btov\u00e9m dni Alzheimerovy nemoci \u2013 21. z\u00e1\u0159\u00ed. V\u010dasn\u00e1 diagnostika a rychl\u00fd p\u0159\u00edstup k\u00a0modern\u00ed l\u00e9\u010db\u011b jsou tak\u00e9 p\u0159edm\u011btem nov\u00fdch doporu\u010den\u00fdch postup\u016f.<\/strong><\/p>\n\n\n\n

Po\u010dty pacient\u016f s\u00a0Alzheimerovou nemoc\u00ed \u010di jin\u00fdm druhem demence dlouhodob\u011b rostou \u2013 v\u00a0\u010cesku s demenc\u00ed \u017eije 140 000 lid\u00ed, z\u00a0toho p\u0159ibli\u017en\u011b 60 % m\u00e1 Alzheimerovou nemoc. Velk\u00e9 mno\u017estv\u00ed nemocn\u00fdch o sv\u00e9 chorob\u011b ale podle l\u00e9ka\u0159\u016f nev\u00ed, a re\u00e1ln\u00e9 \u010d\u00edslo tak m\u016f\u017ee b\u00fdt a\u017e o\u00a0polovinu vy\u0161\u0161\u00ed. Poruchy pam\u011bti jsou dle expert\u016f jedn\u00edm z\u00a0prvn\u00edch p\u0159\u00edznak\u016f Alzheimerovy nemoci. \u201eVelmi \u010dasto se setk\u00e1v\u00e1me se situac\u00ed, kdy \u010dlov\u011bk, kter\u00fd trp\u00ed i pouze m\u00edrnou poruchou kr\u00e1tkodob\u00e9 pam\u011bti, ud\u011bl\u00e1 chybu p\u0159i u\u017e\u00edv\u00e1n\u00ed sv\u00fdch l\u00e9k\u016f. T\u00edm sp\u00ed\u0161, pokud \u017eije s\u00e1m, tehdy se to m\u016f\u017ee st\u00e1t opravdu snadno. \u0160patn\u00e9 u\u017eit\u00ed l\u00e9k\u016f pak \u010dlov\u011bka m\u016f\u017ee snadno ohrozit na \u017eivot\u011b nebo v\u00e9st k jeho hospitalizaci,\u201c <\/em>popisuje MUDr. Hana Va\u0148kov\u00e1, Ph.D., \u010dlenka v\u00fdboru \u010cesk\u00e9 gerontologick\u00e9 a geriatrick\u00e9 spole\u010dnosti \u010cLS JEP. Proto je podle n\u00ed kl\u00ed\u010dov\u00e1 v\u010dasn\u00e1 diagn\u00f3za. Diagn\u00f3za je za\u010d\u00e1tkem l\u00e9\u010dby a tak\u00e9 vede k\u00a0lep\u0161\u00edmu porozum\u011bn\u00ed pot\u0159eb\u00e1m nemocn\u00e9ho a\u00a0rizik\u016fm prov\u00e1zej\u00edc\u00edm jeho nemoc. Do komplexn\u00ed p\u00e9\u010de p\u0159i Alzheimerov\u011b nemoci pat\u0159\u00ed i\u00a0podpora spr\u00e1vn\u00e9ho u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f, a\u0165 u\u017e ji poskytuje pou\u010den\u00e1 rodina, nebo komunitn\u00ed slu\u017eby, tak aby k\u00a0rizikov\u00fdm situac\u00edm nedoch\u00e1zelo.<\/p>\n\n\n\n

\u201eTypick\u00fdm p\u0159\u00edkladem je senior, kter\u00fd \u017eije s\u00e1m a u\u017e n\u011bkolik let se mu hor\u0161\u00ed pam\u011b\u0165 \u2013 lid\u00e9 v\u00a0jeho okol\u00ed si probl\u00e9m uv\u011bdom\u00ed a\u017e ve chv\u00edli, kdy je za\u010dne obvi\u0148ovat, \u017ee mu schov\u00e1vaj\u00ed v\u011bci nebo se ho sna\u017e\u00ed otr\u00e1vit a podobn\u011b. Takov\u00e9 stavy p\u0159itom nen\u00ed radno podce\u0148ovat,\u201c<\/em> \u0159\u00edk\u00e1 prim\u00e1\u0159ka MUDr. Vanda Frankov\u00e1, m\u00edstop\u0159edsedkyn\u011b gerontopsychiatrick\u00e9 sekce Psychiatrick\u00e9 spole\u010dnosti \u010cLS JEP. Nejsnaz\u0161\u00ed zp\u016fsob prvotn\u00edho vy\u0161et\u0159en\u00ed je podle n\u00ed v\u00a0ordinaci praktick\u00e9ho l\u00e9ka\u0159e p\u0159i preventivn\u00ed prohl\u00eddce. \u201eV\u00a0r\u00e1mci syst\u00e9mu v\u010dasn\u00e9ho z\u00e1chytu vy\u0161et\u0159ujeme ka\u017ed\u00e9ho pacienta nad 65 let p\u0159i preventivn\u00ed prohl\u00eddce na zn\u00e1mky po\u010d\u00ednaj\u00edc\u00ed demence. Pak tak\u00e9 samoz\u0159ejm\u011b i ty, kte\u0159\u00ed sami p\u0159ijdou s\u00a0podez\u0159en\u00edm, \u017ee n\u011bco nen\u00ed v\u00a0po\u0159\u00e1dku. Ka\u017ed\u00fd m\u011bs\u00edc provedeme \u0159\u00e1dov\u011b des\u00edtky kontrol a p\u0159\u00edpad\u016f bohu\u017eel st\u00e1le p\u0159ib\u00fdv\u00e1,\u201c <\/em>\u0159\u00edk\u00e1 doc. MUDr. Bohumil Seifert, Ph.D., praktick\u00fd l\u00e9ka\u0159 a v\u011bdeck\u00fd sekret\u00e1\u0159 Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) \u010cLS JEP. <\/p>\n\n\n\n

Z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed praktici prov\u00e1d\u00ed jednoduch\u00fdm testem, kter\u00fd zabere jen n\u011bkolik minut. \u201ePacienti p\u0159i n\u011bm dost\u00e1vaj\u00ed za \u00fakol zapamatovat si t\u0159i z\u00e1kladn\u00ed slova a zakreslit \u010das do ru\u010di\u010dkov\u00fdch hodin. Podle v\u00fdsledn\u00e9ho sk\u00f3re pak ur\u010d\u00edme, zda se ji\u017e u pacienta projevuj\u00ed prvn\u00ed zn\u00e1mky onemocn\u011bn\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 doc. Seifert. Podle expert\u016f je v\u0161ak syst\u00e9m p\u00e9\u010de o pacienty s\u00a0demenc\u00ed v\u00a0\u010cesku st\u00e1le rozt\u0159\u00ed\u0161t\u011bn\u00fd \u2013 zm\u011bnit by to m\u011bl nov\u00fd tzv. mezioborov\u00fd konsensus. Ten bude definovat role, kompetence a dostupnost jednotliv\u00fdch l\u00e9ka\u0159sk\u00fdch specialist\u016f a optim\u00e1ln\u00ed postup diagnostiky a l\u00e9\u010dby. Vznik tohoto mezioborov\u00e9ho konsensu je podpo\u0159en z Fond\u016f EHP\/Norska 2014\u20132021.<\/p>\n\n\n\n

\u201eLoni vl\u00e1da schv\u00e1lila tak\u00e9 tzv. N\u00e1rodn\u00ed ak\u010dn\u00ed pl\u00e1n pro Alzheimerovu nemoc a obdobn\u00e1 onemocn\u011bn\u00ed 2020\u20132030 (NAPAN). Ten krom\u011b nov\u00fdch doporu\u010den\u00fdch postup\u016f po\u010d\u00edt\u00e1 s\u00a0vytvo\u0159en\u00edm specializovan\u00fdch center pro l\u00e9\u010dbu Alzheimerovy nemoci, kde by se kvalitn\u011b diagnostikovan\u00ed pacienti dostali i\u00a0k\u00a0nejmodern\u011bj\u0161\u00ed biologick\u00e9 l\u00e9\u010db\u011b, kter\u00e1 u n\u00e1s bude, jak douf\u00e1me, brzy k\u00a0dispozici,\u201c<\/em> \u0159\u00edk\u00e1 doc.\u00a0MUDr. Robert Rusina, Ph.D., p\u0159ednosta Neurologick\u00e9 kliniky 3. LF UK a Fakultn\u00ed Thomayerovy nemocnice v Praze. Alzheimerova nemoc podle dostupn\u00fdch dat postihuje zhruba 2 % populace ve v\u011bku 65+ let. Ka\u017ed\u00fdch 5 let se pak podle odborn\u00edk\u016f procentu\u00e1ln\u00ed v\u00fdskyt dvojn\u00e1sob\u00ed \u2013 80 letech je tedy pravd\u011bpodobnost onemocn\u011bn\u00ed a\u017e 16 %, v 90 letech p\u0159es 40 %. Nemoc v\u00edce zasahuje \u017eeny, zhruba dvakr\u00e1t \u010dast\u011bji ne\u017e mu\u017ee.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ka\u017ed\u00fd n\u011bkdy zapomn\u011bl doma kl\u00ed\u010de nebo mobil. V\u00a0p\u0159\u00edpad\u011b poruch pam\u011bti zp\u016fsoben\u00fdch Alzheimerovou nemoc\u00ed v\u0161ak n\u011bkdy nejde jen o zapomenut\u00e9 drobnosti, ale doslova o \u017eivot. Pacienti […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":19372,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-38622","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/38622","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=38622"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/38622\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19372"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38622"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}