{"id":39338,"date":"2023-05-02T11:12:38","date_gmt":"2023-05-02T09:12:38","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39338"},"modified":"2023-05-02T11:12:39","modified_gmt":"2023-05-02T09:12:39","slug":"i-plice-mohou-mit-vysoky-tlak-varuji-lekari","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39338","title":{"rendered":"I pl\u00edce mohou m\u00edt vysok\u00fd tlak, varuj\u00ed l\u00e9ka\u0159i"},"content":{"rendered":"\n

Pokud po kr\u00e1tk\u00e9 proch\u00e1zce lap\u00e1te po dechu a c\u00edt\u00edte\u00a0bolest na hrudi, nemus\u00ed to b\u00fdt pouze d\u016fsledek zimn\u00ed zah\u00e1lky. Tyto p\u0159\u00edznaky m\u016f\u017ee zp\u016fsobit plicn\u00ed hypertenze, tedy zv\u00fd\u0161en\u00fd krevn\u00ed tlak v\u00a0plic\u00edch. Projevy jsou zam\u011bniteln\u00e9 s\u00a0jin\u00fdmi nemocemi, o to d\u016fle\u017eit\u011bj\u0161\u00ed je v\u010dasn\u00e1 spr\u00e1vn\u00e1 diagn\u00f3za. M\u016f\u017ee toti\u017e zabr\u00e1nit v\u00e1\u017en\u00fdm zdravotn\u00edm n\u00e1sledk\u016fm, nebo dokonce smrti, i d\u00edky sou\u010dasn\u00fdm pokrok\u016fm v\u00a0l\u00e9\u010db\u011b, kter\u00e9 v budoucnu pomohou tis\u00edc\u016fm lid\u00ed, kte\u0159\u00ed trp\u00ed z\u00e1va\u017en\u00fdmi formami t\u00e9to nemoci. Pokud se chorobu poda\u0159\u00ed odhalit v\u010das, nemus\u00ed b\u00fdt d\u00edky inovac\u00edm v\u00a0l\u00e9\u010db\u011b p\u0159ek\u00e1\u017ekou nap\u0159\u00edklad ani t\u011bhotenstv\u00ed. <\/strong><\/p>\n\n\n\n

Experti na to poukazuj\u00ed u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne plicn\u00ed hypertenze (5. kv\u011btna), kter\u00fd tradi\u010dn\u011b p\u0159ipomenou mod\u0159e nasv\u00edcen\u00e9 v\u00fdznamn\u00e9 budovy v\u00a0Praze, Brn\u011b a Olomouci. Modrou barvu pro nasv\u00edcen\u00ed vol\u00ed proto, \u017ee pacient\u016fm kv\u016fli nemoci \u010dasto modraj\u00ed rty.<\/strong> <\/p>\n\n\n\n

Pr\u00e1v\u011b modr\u00e9 zbarven\u00ed rt\u016f je d\u016fsledkem nedostate\u010dn\u00e9ho okysli\u010den\u00ed krve, kter\u00fdm pacienti s\u00a0plicn\u00ed hypertenz\u00ed trp\u00ed, spolu s otoky kotn\u00edk\u016f a nohou. \u201eP\u0159i plicn\u00ed hypertenzi doch\u00e1z\u00ed ke zv\u00fd\u0161en\u00e9 n\u00e1maze prav\u00e9 komory srde\u010dn\u00ed, kter\u00e1 se postupn\u011b zv\u011bt\u0161uje. To m\u016f\u017ee v \u010dase v\u00e9st k jej\u00edmu\u00a0selh\u00e1n\u00ed. Z\u00e1rove\u0148 se nedostate\u010dn\u011b okysli\u010duje krev, proto pacienti trp\u00ed du\u0161nost\u00ed, \u00fanavou nebo z\u00e1vrat\u011bmi a mdlobami,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Pavel Jansa, kardiolog z II. intern\u00ed kliniky kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice a 1. LF UK v\u00a0Praze. <\/p>\n\n\n\n

Diagn\u00f3za plicn\u00ed hypertenze se podle studi\u00ed t\u00fdk\u00e1 a\u017e jednoho procenta populace, specifickou l\u00e9\u010dbu p\u0159itom vy\u017eaduje jenom \u010d\u00e1st z\u00a0nich. Proto\u017ee je onemocn\u011bn\u00ed relativn\u011b vz\u00e1cn\u00e9, l\u00e9ka\u0159i tuto mo\u017enost podle prof. Jansy zva\u017euj\u00ed a\u017e mezi posledn\u00edmi. \u201eM\u016f\u017ee se tak st\u00e1t, \u017ee nejd\u0159\u00edve pacienty l\u00e9\u010d\u00ed nap\u0159\u00edklad na astma. Lid\u00e9 se tak ke spr\u00e1vn\u00e9 diagn\u00f3ze propracuj\u00ed mnohdy pozd\u011bji, kdy\u017e u\u017e je choroba v\u00a0pokro\u010dil\u00e9m stadiu. L\u00e9\u010dba je pak mnohem slo\u017eit\u011bj\u0161\u00ed,\u201c<\/em> vysv\u011btluje prof.\u00a0Jansa. <\/p>\n\n\n\n

Pokud v\u0161ak du\u0161nost nelze zd\u016fvodnit jin\u00fdm onemocn\u011bn\u00edm, m\u011bl by pacient absolvovat ultrazvuk srdce a n\u00e1sledn\u011b nav\u0161t\u00edvit specialisty. Nej\u010dast\u011bji plicn\u00ed hypertenzi l\u00e9ka\u0159i diagnostikuj\u00ed jako komplikaci jin\u00e9ho onemocn\u011bn\u00ed plic a\u00a0srdce. M\u00e1 ov\u0161em tak\u00e9 celou \u0159adu jin\u00fdch p\u0159\u00ed\u010din, za jej\u00edm vznikem mohou st\u00e1t i autoimunitn\u00ed onemocn\u011bn\u00ed nebo plicn\u00ed embolie. \u201eV posledn\u00edch n\u011bkolika letech odstartovala \u0159ada slibn\u00fdch studi\u00ed s\u00a0modern\u00edmi l\u00e9\u010div\u00fdmi p\u0159\u00edpravky, kter\u00e9 pom\u00e1haj\u00ed sni\u017eovat krevn\u00ed tlak v\u00a0plic\u00edch. Pokroky d\u011bl\u00e1me tak\u00e9 v\u00a0oblasti l\u00e9\u010dby plicn\u00ed hypertenze po plicn\u00ed embolii, kde se vedle chirurgick\u00e9 l\u00e9\u010dby nov\u011b v\u00fdznamn\u011b uplat\u0148uje tak\u00e9 miniinvazivn\u00ed l\u00e9\u010dba katetriza\u010dn\u00ed a farmakoterapie. D\u00edky tomu jsme dok\u00e1zali v\u00fdrazn\u011b sn\u00ed\u017eit \u00famrtnost na tuto nemoc,\u201c<\/em> \u0159\u00edk\u00e1 prof. Jansa. <\/p>\n\n\n\n

Modern\u00ed terapie podle n\u011bj pacient\u016fm p\u0159in\u00e1\u0161\u00ed mo\u017enosti v\u00a0minulosti nev\u00eddan\u00e9. \u201ePostupn\u011b tak st\u00e1le \u010dast\u011bji \u00fasp\u011bchy v\u00a0l\u00e9\u010db\u011b plicn\u00ed hypertenze umo\u017e\u0148uj\u00ed pacientk\u00e1m t\u011bhotenstv\u00ed a porod. To bylo v\u00a0minulosti nemysliteln\u00e9. Nutnost\u00ed je v\u0161ak z\u00e1zem\u00ed interdisciplin\u00e1rn\u00edho t\u00fdmu slo\u017een\u00e9ho z\u00a0kardiolog\u016f, porodn\u00edk\u016f a anesteziolog\u016f, jako je tomu ve V\u0161eobecn\u00e9 fakultn\u00ed nemocnici v\u00a0Praze,\u201c <\/em>dopl\u0148uje doc. MUDr. Michal Kouck\u00fd, vedouc\u00ed perinatologick\u00e9ho centra Gynekologicko-porodnick\u00e9 kliniky V\u0161eobecn\u00e9 fakultn\u00ed nemocnice a 1. LF UK v\u00a0Praze. <\/p>\n\n\n\n

S plicn\u00ed hypertenz\u00ed se v\u00a0\u010cesku l\u00e9\u010d\u00ed p\u0159ibli\u017en\u011b 1 000 pacient\u016f, ka\u017ed\u00fd rok jich p\u0159ibli\u017en\u011b
150\u2013200 p\u0159ibude. Podle odhad\u016f l\u00e9ka\u0159\u016f dal\u0161\u00ed tis\u00edce lid\u00ed o sv\u00e9 diagn\u00f3ze v\u016fbec nev\u00ed. V\u010dasn\u00e1 diagn\u00f3za podle expert\u016f pacient\u016fm s\u00a0plicn\u00ed hypertenz\u00ed p\u0159in\u00e1\u0161\u00ed del\u0161\u00ed a kvalitn\u011bj\u0161\u00ed \u017eivot.<\/p>\n\n\n\n

\u201eI proto je jak\u00e1koli osv\u011bta, kter\u00e1 povede k\u00a0\u010dasn\u011bj\u0161\u00edmu rozpozn\u00e1n\u00ed nemoci, velmi d\u016fle\u017eit\u00e1. V\u00a0leto\u0161n\u00edm roce symbolicky<\/em> v\u011bnujeme dech pacient\u016fm, kte\u0159\u00ed touto chorobou trp\u00ed, v\u00fdstupem na Vy\u0161ehrad,\u201c<\/em> \u0159\u00edk\u00e1 Milena Kaftanov\u00e1 ze Sdru\u017een\u00ed pacient\u016f s\u00a0plicn\u00ed hypertenz\u00ed.<\/p>\n\n\n\n

V\u00a0sou\u010dasn\u00e9 dob\u011b jsou v\u00a0\u010cesku t\u0159i specializovan\u00e1 centra pro l\u00e9\u010dbu plicn\u00ed hypertenze \u2013 II. intern\u00ed klinika kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v\u00a0Praze, Kardiologick\u00e1 klinika IKEM a I. intern\u00ed klinika FN Olomouc.<\/p>\n\n\n\n

Na nemoc tak\u00e9 5. kv\u011btna v Praze upozorn\u00ed mod\u0159e nasv\u00edcen\u00e1 budova Tan\u010d\u00edc\u00edho domu, jeliko\u017e ud\u00e1lost podporuje spole\u010dnost PSN. V Brn\u011b mod\u0159e zaz\u00e1\u0159\u00ed budovy Jan\u00e1\u010dkova divadla, Divadla Husa na prov\u00e1zku a OC OMEGA, v Olomouci pak budova radnice na Horn\u00edm n\u00e1m\u011bst\u00ed. <\/p>\n","protected":false},"excerpt":{"rendered":"

Pokud po kr\u00e1tk\u00e9 proch\u00e1zce lap\u00e1te po dechu a c\u00edt\u00edte\u00a0bolest na hrudi, nemus\u00ed to b\u00fdt pouze d\u016fsledek zimn\u00ed zah\u00e1lky. Tyto p\u0159\u00edznaky m\u016f\u017ee zp\u016fsobit plicn\u00ed hypertenze, tedy […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27092,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-39338","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\/39338","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=39338"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39338\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27092"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}