{"id":38656,"date":"2023-03-02T21:40:08","date_gmt":"2023-03-02T20:40:08","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=38656"},"modified":"2023-03-02T21:40:10","modified_gmt":"2023-03-02T20:40:10","slug":"chopn-vznika-v-mladi-casto-predchazi-rakovine-plic","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=38656","title":{"rendered":"CHOPN vznik\u00e1 v\u00a0ml\u00e1d\u00ed, \u010dasto p\u0159edch\u00e1z\u00ed rakovin\u011b plic"},"content":{"rendered":"\n

\u010casnou diagnostiku obou nemoc\u00ed m\u016f\u017ee zlep\u0161it chystan\u00fd n\u00e1rodn\u00ed screening plicn\u00ed rakoviny<\/em>. U lid\u00ed s\u00a0chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed (CHOPN) se m\u016f\u017ee rozvinout i rakovina plic, a to a\u017e p\u011btkr\u00e1t \u010dast\u011bji ve srovn\u00e1n\u00ed se zdravou populac\u00ed \u2013 upozornili na to \u010de\u0161t\u00ed pneumologov\u00e9. Asi 70 % zhoubn\u00fdch n\u00e1dor\u016f plic vznik\u00e1 pr\u00e1v\u011b v\u00a0souvislosti s\u00a0CHOPN \u2013 tato \u010d\u00edsla jsou alarmuj\u00edc\u00ed. Jen na CHOPN se toti\u017e nyn\u00ed u specialist\u016f dlouhodob\u011b l\u00e9\u010d\u00ed asi 250\u00a0000 lid\u00ed a dal\u0161\u00edch 450\u00a0000 o tom, \u017ee nemoc m\u00e1, nev\u00ed. Pr\u00e1v\u011b kv\u016fli souvislosti, propojen\u00ed obou nemoc\u00ed a jejich z\u00e1ludnosti v\u00a0tom, \u017ee se zpo\u010d\u00e1tku t\u00e9m\u011b\u0159 nijak neprojevuj\u00ed, cht\u011bj\u00ed plicn\u00ed l\u00e9ka\u0159i v\u00a0r\u00e1mci unik\u00e1tn\u00edho n\u00e1rodn\u00edho screeningu rakoviny plic sledovat i CHOPN.<\/strong><\/p>\n\n\n\n

\u201eKa\u017ed\u00fd t\u0159et\u00ed \u201azdrav\u00fd\u2018 \u010dlov\u011bk nad 40 let, kter\u00fd trp\u00ed du\u0161nost\u00ed p\u0159i ch\u016fzi do schod\u016f a p\u0159edt\u00edm alespo\u0148 deset let kou\u0159il, m\u00e1 podle na\u0161ich v\u00fdsledk\u016f dosud nerozpoznanou a nel\u00e9\u010denou CHOPN. Nemoc propuk\u00e1 \u010dasto des\u00edtky let p\u0159ed t\u00edm, ne\u017e ji \u010dlov\u011bk pln\u011b poc\u00edt\u00ed, do t\u00e9 doby je prakticky neviditeln\u00e1. Podobn\u011b je tomu s\u00a0rakovinou plic \u2013 ta m\u00e1 sice rychlej\u0161\u00ed postup, ale projevuje se tak\u00e9 velmi\u00a0pozd\u011b, v dob\u011b, kdy se ned\u00e1 operovat,\u201c<\/em> \u0159\u00edk\u00e1 doc. MUDr. Vladim\u00edr Kobl\u00ed\u017eek, Ph.D., p\u0159ednosta Plicn\u00ed kliniky LF UK a FN v Hradci Kr\u00e1lov\u00e9. Podle n\u011bj dosud prob\u00edhaj\u00edc\u00ed pilotn\u00ed program zam\u011b\u0159en\u00fd na \u010dasn\u00fd z\u00e1chyt CHOPN jasn\u011b uk\u00e1zal, \u017ee u 55let\u00fdch a star\u0161\u00edch osob s\u00a020letou histori\u00ed kou\u0159en\u00ed cigaret a s\u00a0dechov\u00fdmi obt\u00ed\u017eemi p\u0159i b\u011b\u017en\u00e9 fyzick\u00e9 z\u00e1t\u011b\u017ei je dosud neviditeln\u00e1 CHOPN p\u0159\u00edtomna dokonce v 54 % p\u0159\u00edpad\u016f. A pr\u00e1v\u011b takov\u00ed pacienti z\u00e1rove\u0148 spl\u0148uj\u00ed podm\u00ednky vstupu do chystan\u00e9ho screeningov\u00e9ho programu zam\u011b\u0159en\u00e9ho na \u010dasnou diagnostiku plicn\u00ed rakoviny.<\/p>\n\n\n\n

\u201eV bl\u00edzk\u00e9 budoucnosti je tak logick\u00e9 uva\u017eovat o efektivn\u00edm propojen\u00ed projektu \u010dasn\u00e9ho z\u00e1chytu CHOPN s nov\u00fdm screeningem,\u201c <\/em>dopl\u0148uje specialista na pl\u00edce. V\u00a0praxi jde o to, \u017ee plicn\u00ed l\u00e9ka\u0159 krom\u011b c\u00edlen\u00e9ho p\u00e1tr\u00e1n\u00ed po plicn\u00edm n\u00e1doru jednor\u00e1zov\u011b provede nebolestiv\u00e9 vy\u0161et\u0159en\u00ed plicn\u00edch funkc\u00ed. Podle prof. MUDr. Martiny Koziar Va\u0161\u00e1kov\u00e9, Ph.D., p\u0159edsedkyn\u011b \u010desk\u00fdch plicn\u00edch l\u00e9ka\u0159\u016f, by toto sledov\u00e1n\u00ed dalo l\u00e9ka\u0159\u016fm \u0161anci zas\u00e1hnout v\u010das a ob\u011b nemoci zastavit nebo zpomalit. <\/p>\n\n\n\n

\u201eChronick\u00e9 nen\u00e1dorov\u00e9 plicn\u00ed nemoci, zejm\u00e9na CHOPN, ale t\u0159eba i idiopatick\u00e1 plicn\u00ed fibr\u00f3za, zhor\u0161uj\u00ed l\u00e9\u010dbu plicn\u00edch n\u00e1dor\u016f \u2013 ub\u00edraj\u00ed mo\u017enosti, jak nemocn\u00e9ho operovat, a plicn\u00ed fibr\u00f3za nav\u00edc omezuje \u010di znemo\u017e\u0148uje mo\u017enost oz\u00e1\u0159en\u00ed i c\u00edlen\u00e9 l\u00e9\u010dby. Od ledna startuje n\u00e1rodn\u00ed screening plic, kter\u00fdm by m\u011bly proj\u00edt des\u00edtky tis\u00edc rizikov\u00fdch osob. A proto\u017ee pro vznik a v\u00fdvoj plicn\u00edho karcinomu plat\u00ed podobn\u00e1 rizika jako pro CHOPN a idiopatickou plicn\u00ed fibr\u00f3zu, budeme ve screeningu sledovat tyto nemoci spole\u010dn\u011b,\u201c \u0159\u00edk\u00e1 <\/em>prof. Koziar Va\u0161\u00e1kov\u00e1. Jak uv\u00e1d\u00ed prim. MUDr. Ivana \u010ciern\u00e1 Peterov\u00e1, p\u0159edsedkyn\u011b Sekce ambulantn\u00edch pneumolog\u016f, lid\u00e9 nemus\u00ed na nic \u010dekat, a pokud jim je mezi 55 a 74 lety a pravideln\u011b kou\u0159ili nebo dosud kou\u0159\u00ed, mohou kontaktovat plicn\u00edho l\u00e9ka\u0159e nap\u0159\u00edmo a ten posoud\u00ed, zda by m\u011bli vy\u0161et\u0159en\u00edm proj\u00edt. <\/p>\n\n\n\n

\u201eVyhledat plicn\u00edho l\u00e9ka\u0159e si mohou v\u00a0odkaze <\/em>www.pneumologie.cz\/najdi-svyho-pneumologa<\/em><\/a>,\u201c<\/em> dod\u00e1v\u00e1 MUDr. \u010ciern\u00e1 Peterov\u00e1.<\/p>\n\n\n\n

P\u0159edpoklady k\u00a0rozvoji CHOPN se datuj\u00ed u\u017e do\u00a0d\u011btstv\u00ed, n\u011bkdy jsou vrozen\u00e9 nebo zp\u016fsoben\u00e9 kou\u0159en\u00edm matky v\u00a0t\u011bhotenstv\u00ed \u010di t\u00edm, \u017ee se d\u00edt\u011b narod\u00ed nedono\u0161en\u00e9. V\u00fdvoj plic ovliv\u0148uj\u00ed i d\u011btsk\u00e9 nemoci, astma \u010di dokonce obezita. <\/p>\n\n\n\n

\u201eNemoc se zkr\u00e1tka chyst\u00e1 l\u00e9ta p\u0159ed t\u00edm, ne\u017e ji jedinec poc\u00edt\u00ed. Bu\u0148ky v\u00a0oblasti mal\u00fdch d\u00fdchac\u00edch cest se za\u010d\u00ednaj\u00ed chovat podivn\u011b kolem 30. roku v\u011bku a to, zda a kdy CHOPN propukne, lze mezi 25. a 30. rokem v\u011bku velmi pravd\u011bpodobn\u011b preventivn\u011b ovlivnit. Pom\u00e1h\u00e1 sport, zdrav\u00fd \u017eivotn\u00ed styl, udr\u017een\u00ed norm\u00e1ln\u00ed t\u011blesn\u00e9 hmotnosti a \u0159\u00e1dn\u00e9 dol\u00e9\u010den\u00ed respira\u010dn\u00edch infekc\u00ed nebo astmatu \u2013 zkr\u00e1tka v\u0161e, co umo\u017en\u00ed plic\u00edm zd\u00e1rn\u011b fungovat a dob\u0159e se vyv\u00edjet,\u201c<\/em> vysv\u011btluje doc. Kobl\u00ed\u017eek. CHOPN m\u016f\u017ee vzniknout tak\u00e9 u dosud zdrav\u00fdch, geneticky nezat\u00ed\u017een\u00fdch lid\u00ed, kte\u0159\u00ed si ji p\u0159ivod\u00ed kou\u0159en\u00edm, prac\u00ed nebo dlouhodob\u00fdm pobytem ve zne\u010di\u0161t\u011bn\u00e9m prost\u0159ed\u00ed. T\u011bm, kte\u0159\u00ed maj\u00ed k\u00a0nemoci p\u0159edpoklady z\u00a0d\u011btstv\u00ed, je toto chov\u00e1n\u00ed o to v\u00edce nebezpe\u010dn\u00e9. Postup nebo rozvoj nemoci v\u0161ak lze zastavit \u010di odd\u00e1lit, pokud se \u010dlov\u011bk z\u00a0rizikov\u00fdch faktor\u016f co mo\u017en\u00e1 nejd\u0159\u00edve vyman\u00ed. <\/p>\n\n\n\n

\u201ePacient sice nedok\u00e1\u017ee ovlivnit, co se mu stalo v\u00a0minulosti, kdy\u017e byl mal\u00fd, ale to, jestli kou\u0159\u00ed a kde pracuje, ano. U 20\u201330 % pacient\u016f je\u00a0CHOPN ovlivn\u011bn povol\u00e1n\u00edm,\u201c<\/em> \u0159\u00edk\u00e1 doc. Kobl\u00ed\u017eek. Pr\u016fm\u011brn\u00fd v\u011bk \u010desk\u00fdch pacient\u016f, u nich\u017e l\u00e9ka\u0159 nemoc potvrd\u00ed, se pohybuje mezi 66 a 67 lety. \u201eV \u010desk\u00e9 v\u00fdzkumn\u00e9 datab\u00e1zi je ji\u017e osm let sledov\u00e1no bezm\u00e1la 800 CHOPN nemocn\u00fdch. \u0160patnou zpr\u00e1vou je, \u017ee asi polovina z\u00a0nich b\u011bhem sledov\u00e1n\u00ed um\u00edr\u00e1 v\u00a0p\u0159\u00edm\u00e9m d\u016fsledku CHOPN a komplikuj\u00edc\u00edch onemocn\u011bn\u00ed,\u201c <\/em>dod\u00e1v\u00e1 pneumolog. \u201eC\u00edlem v\u00fd\u0161e popsan\u00e9ho programu je nemoc nal\u00e9zt co nejd\u0159\u00edve a sna\u017eit se zabr\u00e1nit jej\u00edmu postupu \u2013 nejefektivn\u011bj\u0161\u00ed je co nejp\u0159\u00edsn\u011bj\u0161\u00ed zabr\u00e1n\u011bn\u00ed vdechov\u00e1n\u00ed \u0161kodliv\u00fdch l\u00e1tek.\u201c<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u010casnou diagnostiku obou nemoc\u00ed m\u016f\u017ee zlep\u0161it chystan\u00fd n\u00e1rodn\u00ed screening plicn\u00ed rakoviny. U lid\u00ed s\u00a0chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed (CHOPN) se m\u016f\u017ee rozvinout i rakovina plic, a […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":38658,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-38656","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\/38656","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=38656"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/38656\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/38658"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38656"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38656"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38656"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}