<\/p>\n\n\n\n
Pacienti mus\u00ed na vy\u0161et\u0159en\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy u specialisty \u010dekat i p\u016fl roku, proto\u017ee endokrinolog\u016f je m\u00e1lo a jejich kapacitn\u00ed mo\u017enosti nejsou neomezen\u00e9. O pacienty s m\u00edrn\u00fdmi poruchami nebo ty, kte\u0159\u00ed jsou stabilizovan\u00ed a maj\u00ed zavedenou l\u00e9\u010dbu, by se p\u0159itom v\u00a0budoucnu mohli starat v\u0161eobecn\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i. Odborn\u00fdm ambulanc\u00edm by se t\u00edm uvolnily kapacity pro nov\u011b diagnostikovan\u00e9 a z\u00e1va\u017en\u011bj\u0161\u00ed p\u0159\u00edpady a v\u00fdrazn\u011b by se zkr\u00e1tily \u010dekac\u00ed lh\u016fty. Endokrinologov\u00e9 a prakti\u010dt\u00ed l\u00e9ka\u0159i proto spole\u010dn\u011b vydali doporu\u010den\u00fd postup, jak by takov\u00e1 p\u00e9\u010de fungovala v\u00a0praxi. Na t\u00e9ma upozor\u0148uj\u00ed u p\u0159\u00edle\u017eitosti T\u00fddne \u0161t\u00edtn\u00e9 \u017el\u00e1zy, kter\u00fd letos p\u0159ipad\u00e1 na 25.\u201331. kv\u011btna.<\/strong><\/p>\n\n\n\n \u00a0\u201eZv\u00fd\u0161enou nebo naopak sn\u00ed\u017eenou funkci \u0161t\u00edtn\u00e9 \u017el\u00e1zy diagnostikujeme pom\u011brn\u011b snadno. L\u00e9\u010dba sn\u00ed\u017een\u00e9 funkce spo\u010d\u00edv\u00e1 v tom, \u017ee se hormon \u0161t\u00edtn\u00e9 \u017el\u00e1zy nahrad\u00ed ve form\u011b tablet a pot\u00e9 se prov\u00e1d\u00ed pravideln\u00e9 kontroly. Tuto \u010d\u00e1st p\u00e9\u010de o nekomplikovan\u00e9 pacienty se sn\u00ed\u017eenou funkc\u00ed u\u017e mohou p\u0159evz\u00edt prakti\u010dt\u00ed l\u00e9ka\u0159i, a uvolnit n\u00e1m tak ruce pro komplikovan\u00e9 pacienty. Tak to u\u017e l\u00e9ta funguje \u201eTito pacienti jsou v dne\u0161n\u00ed dob\u011b \u010dasto odes\u00edl\u00e1ni na endokrinologii, co\u017e vede k zahlcov\u00e1n\u00ed specialist\u016f. \u0158ada z\u00e1va\u017en\u00fdch p\u0159\u00edpad\u016f p\u0159itom nesnese dlouh\u00fd odklad, a proto pot\u0159ebujeme kapacitu endokrinologick\u00fdch pracovi\u0161\u0165 uvolnit,\u201c<\/em> vysv\u011btluje doc. MUDr. Jan Jiskra, Ph.D., z III. intern\u00ed kliniky 1. LF UK a VFN v Praze. Podle prof. Kr\u0161ka mus\u00ed b\u00fdt na prvn\u00edm m\u00edst\u011b pacient. \u201ePro nemocn\u00e9 je d\u016fle\u017eit\u00e9, aby podstoupili vy\u0161et\u0159en\u00ed v\u010das, a pokud je to mo\u017en\u00e9, z\u016fstali u sv\u00e9ho praktika a nemuseli za p\u00e9\u010d\u00ed jezdit daleko. Prakti\u010dt\u00ed l\u00e9ka\u0159i samoz\u0159ejm\u011b nad\u00e1le budou v\u00a0pravideln\u00e9m kontaktu s\u00a0n\u00e1mi, specialisty,\u201c <\/em>dopl\u0148uje prof. Kr\u0161ek. Diskuse se tak vedou u\u017e jenom o tom, zda by se funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy m\u011bla vy\u0161et\u0159ovat i v r\u00e1mci preventivn\u00edch prohl\u00eddek. Onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy se t\u00fdk\u00e1 velk\u00e9 \u010d\u00e1sti populace (prevalence m\u00edrn\u00fdch laboratorn\u00edch odchylek m\u016f\u017ee b\u00fdt a\u017e 15\u201320 %) a je \u010dast\u011bj\u0161\u00ed u \u017een a ve vy\u0161\u0161\u00edm v\u011bku. Funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy je velmi \u010dasto sn\u00ed\u017eena kv\u016fli autoimunitn\u00edmu z\u00e1n\u011btu. Se \u0161t\u00edtnou \u017el\u00e1zou se v\u00a0\u010cesku l\u00e9\u010d\u00ed p\u0159es 620\u00a0000 lid\u00ed.<\/p>\n\n\n\n <\/p>\n\n\n\n O T\u00fddnu \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/strong><\/p>\n\n\n\n Leto\u0161n\u00ed 15. ro\u010dn\u00edk osv\u011btov\u00e9 kampan\u011b T\u00fdden \u0161t\u00edtn\u00e9 \u017el\u00e1zy nese podtitul \u201eSpolupr\u00e1ce endokrinologa <\/p>\n\n\n\n <\/p>\n","protected":false},"excerpt":{"rendered":" Pacienti mus\u00ed na vy\u0161et\u0159en\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy u specialisty \u010dekat i p\u016fl roku, proto\u017ee endokrinolog\u016f je m\u00e1lo a jejich kapacitn\u00ed mo\u017enosti nejsou neomezen\u00e9. O pacienty s […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":19818,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,11],"tags":[],"class_list":["post-39748","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39748","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=39748"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39748\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19818"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39748"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39748"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39748"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
u praktick\u00fdch l\u00e9ka\u0159\u016f v z\u00e1padn\u00ed Evrop\u011b \u010di v USA,\u201c<\/em> \u0159\u00edk\u00e1 p\u0159edseda \u010cesk\u00e9 endokrinologick\u00e9 spole\u010dnosti prof. MUDr. Michal Kr\u0161ek. Praktici by krom\u011b nekomplikovan\u00fdch forem hormon\u00e1ln\u00edch poruch mohli m\u00edt v p\u00e9\u010di i pacienty s drobn\u00fdmi n\u00e1hodn\u011b zachycen\u00fdmi uzl\u00edky a cystami. V\u00edce ne\u017e 95 % z nich m\u00e1 toti\u017e nezhoubn\u00fd charakter a nezp\u016fsobuj\u00ed \u017e\u00e1dnou hormon\u00e1ln\u00ed poruchu.<\/p>\n\n\n\n
\u201eK praktick\u00fdm l\u00e9ka\u0159\u016fm by se dle p\u0159edb\u011b\u017en\u00fdch odhad\u016f mohlo p\u0159esunout 5\u201310 % na\u0161ich pacient\u016f. P\u00e9\u010de o n\u011b mus\u00ed m\u00edt jasn\u00e1 pravidla, a proto vznikl doporu\u010den\u00fd postup,\u201c<\/em> dod\u00e1v\u00e1 odborn\u00edk. \u010cesk\u00e1 endokrinologick\u00e1 spole\u010dnost a Spole\u010dnost v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) ho vydaly v dubnu. \u201eSna\u017eili jsme se vytvo\u0159it srozumiteln\u00fd a p\u0159ehledn\u00fd n\u00e1vod, kter\u00fd bude pro praktiky v ordinac\u00edch u\u017eite\u010dn\u00fdm pomocn\u00edkem. Vych\u00e1zeli jsme z postup\u016f vydan\u00fdch v roce 2015, kter\u00e9 jsme zjednodu\u0161ili,\u201c<\/em> vysv\u011btluje praktick\u00e1 l\u00e9ka\u0159ka MUDr. Dana Morav\u010d\u00edkov\u00e1, \u010dlenka v\u00fdboru SVL. \u201eDoporu\u010den\u00fd postup byl zasl\u00e1n
do v\u0161ech ordinac\u00ed praktik\u016f, kte\u0159\u00ed se z n\u011bj dozv\u00ed, jak\u00e9ho typu onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy se maj\u00ed ujmout sami, co p\u0159esn\u011b v\u00a0takov\u00e9m p\u0159\u00edpad\u011b d\u011blat, a kdy by naopak m\u011bli pacienta odeslat
k endokrinologovi<\/em>.\u201c<\/p>\n\n\n\n
a v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e\u201c. Dlouhodob\u00fdm c\u00edlem kampan\u011b je zv\u00fd\u0161it pov\u011bdom\u00ed ve\u0159ejnosti o poruch\u00e1ch \u0161t\u00edtn\u00e9 \u017el\u00e1zy, co\u017e m\u016f\u017ee n\u00e1sledn\u011b pomoci\u00a0l\u00e9pe a v\u010das diagnostikovat pacienty, kte\u0159\u00ed o sv\u00e9m onemocn\u011bn\u00ed\u00a0nev\u011bd\u00ed. Onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy je \u010dasto bezp\u0159\u00edznakov\u00e9, ale v\u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dba p\u0159edejdou mo\u017en\u00fdm komplikac\u00edm. Je t\u0159eba tak\u00e9 opakovan\u011b vyvracet mnoh\u00e9 omyly a m\u00fdty, kter\u00e9 jsou ve spole\u010dnosti v\u00a0souvislosti se \u0161t\u00edtnou \u017el\u00e1zou a jej\u00ed l\u00e9\u010dbou zako\u0159en\u011bn\u00e9. Jedn\u00edm z\u00a0nich je pr\u00e1v\u011b myln\u00e1 p\u0159edstava, \u017ee v\u0161echny poruchy \u0161t\u00edtn\u00e9 \u017el\u00e1zy mus\u00ed b\u00fdt v\u00a0trval\u00e9 p\u00e9\u010di specialisty \u2013 endokrinologa. V\u00a0\u010cesk\u00e9 republice je projekt, kter\u00fd podporuje spole\u010dnost Merck, odborn\u011b za\u0161t\u00edt\u011bn \u010ceskou endokrinologickou spole\u010dnost\u00ed \u010cLS JEP. V\u00edce informac\u00ed nawww.tydenstitnezlazy.cz<\/em><\/a>.<\/p>\n\n\n\n