{"id":39778,"date":"2023-05-23T12:33:49","date_gmt":"2023-05-23T10:33:49","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39778"},"modified":"2023-05-23T12:33:50","modified_gmt":"2023-05-23T10:33:50","slug":"revmatologu-je-malo-potrebujeme-dvojnasobek-rikaji-odbornici","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39778","title":{"rendered":"Revmatolog\u016f je m\u00e1lo, pot\u0159ebujeme dvojn\u00e1sobek, \u0159\u00edkaj\u00ed odborn\u00edci"},"content":{"rendered":"\n

Odborn\u00edci upozor\u0148uj\u00ed tak\u00e9 na to, \u017ee tis\u00edce pacient\u016f s\u00a0revmatick\u00fdmi chorobami v \u010cesku nejsou v\u00a0p\u00e9\u010di l\u00e9ka\u0159e a n\u011bkte\u0159\u00ed nemaj\u00ed nasazenou vhodnou l\u00e9\u010dbu. Experti volaj\u00ed i po intenzivn\u011bj\u0161\u00edm zav\u00e1d\u011bn\u00ed biologick\u00e9 l\u00e9\u010dby \u2013 ta by pomohla dal\u0161\u00edm stovk\u00e1m lid\u00ed, kter\u00e9 na ni zat\u00edm \u010dekaj\u00ed v\u00a0po\u0159adn\u00edc\u00edch.<\/strong><\/strong><\/p>\n\n\n\n

P\u0159esto\u017ee trp\u00ed bolestiv\u00fdm onemocn\u011bn\u00edm – revmatoidn\u00ed artritidou<\/strong>, mus\u00ed za l\u00e9ka\u0159em cestovat i\u00a0150 kilometr\u016f. Revmatolog\u016f je v\u00a0\u010cesku dlouhodob\u011b m\u00e1lo. \u010cesk\u00e1 populace ale st\u00e1rne a ka\u017edoro\u010dn\u011b p\u0159ibude asi 3 000 nov\u00fdch pacient\u016f. Podle odborn\u00edk\u016f se tak sou\u010dasn\u00fd stav, kdy lid\u00e9 \u010dasto \u010dekaj\u00ed dlouh\u00e9 m\u011bs\u00edce na sv\u00e9ho l\u00e9ka\u0159e a mus\u00ed doj\u00ed\u017ed\u011bt daleko, bude jenom zhor\u0161ovat. <\/strong><\/p>\n\n\n\n

V\u00a0sou\u010dasn\u00e9 dob\u011b v\u00a0\u010desk\u00fdch nemocnic\u00edch nebo soukrom\u00fdch ambulanc\u00edch p\u016fsob\u00ed p\u0159ibli\u017en\u011b 200\u00a0revmatolog\u016f. \u201eV pr\u016fm\u011bru tedy m\u00e1me jednoho l\u00e9ka\u0159e na 50 tis\u00edc obyvatel, co\u017e je opravdu m\u00e1lo. Sice nejsme v\u00a0Evrop\u011b nejhor\u0161\u00ed, ale v\u011bt\u0161ina st\u00e1t\u016f je na tom l\u00e9pe. Pot\u0159ebovali bychom jich dvakr\u00e1t tolik,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Ladislav \u0160enolt, p\u0159edseda \u010cesk\u00e9 revmatologick\u00e9 spole\u010dnosti \u010cLS JEP a vedouc\u00ed Odd\u011blen\u00ed experiment\u00e1ln\u00ed revmatologie v\u00a0Revmatologick\u00e9m \u00fastavu v\u00a0Praze. <\/p>\n\n\n\n

Pot\u00ed\u017e podle n\u011bj p\u0159edstavuje i nerovnom\u011brn\u00e9 rozlo\u017een\u00ed revmatolog\u016f v\u00a0zemi. Nejhor\u0161\u00ed situace s\u00a0nedostupnost\u00ed l\u00e9ka\u0159\u016f je nap\u0159\u00edklad v\u00a0kraji \u00dasteck\u00e9m nebo na Vyso\u010din\u011b a\u00a0zhor\u0161uje se. \u201eStejn\u011b jako n\u00e1m st\u00e1rnou a ub\u00fdvaj\u00ed l\u00e9ka\u0159i, tak st\u00e1rnou a p\u0159ib\u00fdvaj\u00ed pacienti. Ur\u010ditou formou revmatick\u00e9ho onemocn\u011bn\u00ed u n\u00e1s trp\u00ed stovky tis\u00edc pacient\u016f, do budoucna to mo\u017en\u00e1 budou miliony a re\u00e1ln\u011b hroz\u00ed, \u017ee o n\u011b nebude m\u00edt kdo pe\u010dovat,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Tom\u00e1\u0161 Dole\u017eal, farmakoekonom a \u0159editel spole\u010dnosti Value Outcomes. <\/p>\n\n\n\n

Experti upozor\u0148uj\u00ed i na dal\u0161\u00ed bolest, kter\u00e1 su\u017euje syst\u00e9m p\u00e9\u010de o pacienty s\u00a0revmatoidn\u00ed artritidou: \u201eV \u010cesku m\u00e1me tis\u00edce pacient\u016f, kte\u0159\u00ed nejen\u017ee nemaj\u00ed tu nejvhodn\u011bj\u0161\u00ed l\u00e9\u010dbu, ale bohu\u017eel mnohdy nemaj\u00ed v\u016fbec \u017e\u00e1dnou \u00fa\u010dinnou l\u00e9\u010dbu. Obecn\u011b m\u00e1me extr\u00e9mn\u011b m\u00e1lo dat o tom, jak vypad\u00e1 p\u00e9\u010de o\u00a0revmatologick\u00e9 pacienty mimo centra biologick\u00e9 l\u00e9\u010dby, a proto nem\u016f\u017eeme plo\u0161n\u011b sledovat jej\u00ed kvalitu,\u201c<\/em> popisuje Edita M\u00fcllerov\u00e1, p\u0159edsedkyn\u011b pacientsk\u00e9 organizace Revma Liga. <\/p>\n\n\n\n

Odborn\u00edci volaj\u00ed i po tom, aby v\u00edce ambulanc\u00ed a revmatologick\u00fdch pracovi\u0161\u0165 z\u00edskalo status specializovan\u00e9ho centra se zvl\u00e1\u0161tn\u00ed smlouvou, a mohlo tak pacient\u016fm s\u00a0revmatoidn\u00ed artritidou pod\u00e1vat modern\u00ed biologickou l\u00e9\u010dbu. Tu m\u00e1 v\u00a0\u010cesku nyn\u00ed nasazenou asi 10\u00a0%\u00a0pacient\u016f, podle expert\u016f by to v\u0161ak m\u011blo b\u00fdt a\u017e 20 %. <\/p>\n\n\n\n

\u201eSamoz\u0159ejm\u011b bychom si p\u0159\u00e1li, aby biologick\u00e1 l\u00e9\u010dba byla dostupn\u00e1 co nejv\u011bt\u0161\u00edmu po\u010dtu pacient\u016f, kte\u0159\u00ed na ni maj\u00ed n\u00e1rok. Lid\u00e9 cht\u011bj\u00ed b\u00fdt l\u00e9\u010deni, \u017e\u00edt d\u00edky tomu norm\u00e1ln\u00ed \u017eivoty a tohle je jeden ze zp\u016fsob\u016f, jak toho dos\u00e1hnout,\u201c<\/em> \u0159\u00edk\u00e1 M\u00fcllerov\u00e1. <\/p>\n\n\n\n

V\u00a0\u010cesku \u017eije v\u00a0sou\u010dasnosti s\u00a0diagn\u00f3zou revmatoidn\u00ed artritidy p\u0159ibli\u017en\u011b 90\u00a0000 lid\u00ed, ka\u017edoro\u010dn\u011b si tuto diagn\u00f3zu vyslechne t\u0159i tis\u00edce pacient\u016f. <\/p>\n\n\n\n

Sch\u00e1zej\u00edc\u00ed revmatologov\u00e9 ov\u0161em l\u00e9\u010d\u00ed i dal\u0161\u00ed choroby podobn\u00e9ho typu jako Becht\u011brevova choroba, syst\u00e9mov\u00fd lupus, sklerodermie, myozitida a dal\u0161\u00ed. I proto volaj\u00ed experti po kroc\u00edch, kter\u00e9 by tuto neradostnou situaci alespo\u0148 trochu zm\u011bnily k lep\u0161\u00edmu. \u201eAkutn\u00ed nedostatek revmatolog\u016f nevy\u0159e\u0161\u00edme z\u00a0roku na rok. V\u011b\u0159\u00edm, \u017ee je nutn\u00e9 za\u010d\u00edt u\u017e od syst\u00e9mu vzd\u011bl\u00e1v\u00e1n\u00ed, aby byl obor atraktivn\u011bj\u0161\u00ed a my jsme alespo\u0148 zastavili trend \u00fabytku l\u00e9ka\u0159\u016f. Nicm\u00e9n\u011b mus\u00edme hledat i\u00a0zp\u016fsoby, jak zefektivnit st\u00e1vaj\u00edc\u00ed syst\u00e9m, nap\u0159\u00edklad v\u011bt\u0161\u00ed spoluprac\u00ed s\u00a0praktick\u00fdmi l\u00e9ka\u0159i, aby revmatiky mohli o\u0161et\u0159ovat podobn\u011b jako kardiaky nebo diabetiky,\u201c<\/em> vysv\u011btluje prof. \u0160enolt.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Odborn\u00edci upozor\u0148uj\u00ed tak\u00e9 na to, \u017ee tis\u00edce pacient\u016f s\u00a0revmatick\u00fdmi chorobami v \u010cesku nejsou v\u00a0p\u00e9\u010di l\u00e9ka\u0159e a n\u011bkte\u0159\u00ed nemaj\u00ed nasazenou vhodnou l\u00e9\u010dbu. Experti volaj\u00ed i po […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-39778","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\/39778","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=39778"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39778\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39778"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39778"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}