Mnoha\u010detn\u00fd myelom, druh\u00e9 nej\u010dast\u011bj\u0161\u00ed onkologick\u00e9 onemocn\u011bn\u00ed krve. D\u00edky nov\u00fdm terapi\u00edm se da\u0159\u00ed prodlu\u017eovat d\u00e9lku do\u017eit\u00ed pacient\u016f. I kdy\u017e se jim ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f rakovina vrac\u00ed. Nemoc se nej\u010dast\u011bji projevuje \u0161patnou \u010dinnost\u00ed ledvin, k\u0159ehnut\u00edm kost\u00ed a chudokrevnost\u00ed, a to u lid\u00ed po 60. roce \u017eivota. <\/p>\n\n\n\n
report\u00e1\u017e \u010cT
Na preventivn\u00ed prohl\u00eddce v 60 letech na\u0161li Ev\u011b B\u0159ezinov\u00e9 b\u00edlkoviny v mo\u010di. Trvalo dva roky, ne\u017e l\u00e9ka\u0159i zjistili p\u0159\u00ed\u010dinu a rozhodli o transplantaci kostn\u00ed d\u0159en\u011b. To u\u017e poci\u0165ovala i p\u0159\u00edznaky.<\/p>\n\n\n\n
Eva B\u0158EZINOV\u00c1, pacientka s mnoho\u010detn\u00fdm myelomem
Pak u\u017e jsem za\u010dala i zhubnout, m\u011bla jsem ve\u010der teploty, za\u010dala jsem m\u00edt \u010dast\u011bj\u0161\u00ed nachlazen\u00ed a prost\u011b u\u017e ten myelom tam hodn\u011b stoupal.<\/p>\n\n\n\n
Jan STRAUB (vedouc\u00ed l\u00e9ka\u0159, I. intern\u00ed klinika – hematologie VFN v Praze) ,
Tady vid\u00edme, \u017ee pacientka p\u0159i\u0161la s obrovsk\u00fdmi hodnotami v t\u00e9 patologick\u00e9 b\u00edlkovin\u011b paraproteinu, zah\u00e1jila se l\u00e9\u010dba a vid\u00edte, jak kr\u00e1sn\u011b na l\u00e9\u010dbu zareagovala, a potom v podstat\u011b 2-3 roky dr\u017eela v tzv. remisi, to znamen\u00e1 v klidov\u00e9m obdob\u00ed.<\/p>\n\n\n\n
Eva B\u0158EZINOV\u00c1, pacientka s mnoho\u010detn\u00fdm myelomem
Tohleto u\u017e je z doby, kdy jsem se l\u00e9\u010dila.<\/p>\n\n\n\n
redaktorka
V t\u00e9 dob\u011b se mohla vr\u00e1tit i ke sv\u00e9 pr\u00e1ci v mate\u0159sk\u00e9 \u0161kole. Rakovina se ale po \u010dase znovu rozvinula. Tentokr\u00e1t j\u00ed nasadili biologickou l\u00e9\u010dbu a taky ta zabrala. Na jak dlouho, Eva B\u0159ezinov\u00e1 nev\u00ed.<\/p>\n\n\n\n
Eva B\u0158EZINOV\u00c1,
V \u010dlov\u011bku m\u016f\u017ee p\u0159evl\u00e1dnout bu\u010f strach, anebo nad\u011bje. Tak\u017ee ve mn\u011b p\u0159evl\u00e1d\u00e1 ta nad\u011bje.<\/p>\n\n\n\n
Jan STRAUB (vedouc\u00ed l\u00e9ka\u0159, I. intern\u00ed klinika – hematologie VFN v Praze) ,
P\u0159e\u017eit\u00ed t\u011bchto pacient\u016f se ztrojn\u00e1sobilo a\u017e zp\u011btin\u00e1sobilo, dneska nen\u00ed v\u00fdjimkou, \u017ee pacient je u n\u00e1s sledov\u00e1n 10, 15 let.<\/p>\n\n\n\n
redaktorka
A to zejm\u00e9na d\u00edky pokrok\u016fm v l\u00e9\u010db\u011b.<\/p>\n\n\n\n
Jakub RADOCHA, odborn\u00fd l\u00e9ka\u0159
Vch\u00e1z\u00edme do prostoru na\u0161eho stacion\u00e1\u0159e, kde se pod\u00e1vaj\u00ed v\u0161echny typy chemoterapi\u00ed, to vlastn\u011b vypad\u00e1 velice jednodu\u0161e, asi takhle, kdy pacient dost\u00e1v\u00e1 mal\u00fd s\u00e1\u010dek s v\u011bt\u0161inou \u010dirou tekutinou, kter\u00e1 mu kape do \u017e\u00edly.<\/p>\n\n\n\n
redaktorka
Tuhle formu vyu\u017e\u00edvaj\u00ed hematoonkologov\u00e9 u pacient\u016f s mnoha\u010detn\u00fdm myolomem. \u010c\u00edm d\u00e1l t\u00edm m\u00e9n\u011b.<\/p>\n\n\n\n
Jakub RADOCHA, odborn\u00fd l\u00e9ka\u0159
Z\u016fstala vlastn\u011b v r\u00e1mci pouze tzv. autologn\u00ed transplantace a zbytek l\u00e9k\u016f je vlastn\u011b z kategorie tzv. t\u011bch biologick\u00fdch l\u00e9\u010div, protil\u00e1tek, modern\u00ed imunoterapie a podobn\u011b.<\/p>\n\n\n\n
redaktorka
I proto by si ale sestry z onkologick\u00fdch odd\u011blen\u00ed m\u011bly nov\u011b dopl\u0148ovat vzd\u011bl\u00e1n\u00ed. Vl\u00e1da to schv\u00e1lila na za\u010d\u00e1tku b\u0159ezna. Ministerstvo te\u010f p\u0159ipravuje p\u0159esnou podobu. Darja Hrab\u00e1nkov\u00e1 Navr\u00e1tilov\u00e1 se v oboru pohybuje u\u017e 40 let. Zm\u011bnu v r\u00e1mci Asociace sester spoluiniciovala.<\/p>\n\n\n\n
Darja HRAB\u00c1NKOV\u00c1 NAVR\u00c1TILOV\u00c1, vrchn\u00ed sestra hematologie VFN v Praze
U\u017e jenom to, \u017ee my pracujeme s nov\u00fdmi l\u00e9\u010divy, s nov\u00fdmi, kter\u00fd se teprve zkou\u0161\u00ed v r\u00e1mci klinick\u00fdch studi\u00ed, kter\u00e9 v\u016fbec nev\u00edme, co d\u011blaj\u00ed.<\/p>\n\n\n\n
redaktorka
Nov\u00fd specializa\u010dn\u00ed obor by m\u011bl ale sestry u\u010dit t\u0159eba taky pr\u00e1ci s psychikou. Tou vlastn\u00ed i pacient\u016f a jejich rodin. <\/p>\n\n\n\n
\u010cesk\u00e1 televize.<\/p>\n\n\n\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Mnoha\u010detn\u00fd myelom, druh\u00e9 nej\u010dast\u011bj\u0161\u00ed onkologick\u00e9 onemocn\u011bn\u00ed krve. D\u00edky nov\u00fdm terapi\u00edm se da\u0159\u00ed prodlu\u017eovat d\u00e9lku do\u017eit\u00ed pacient\u016f. I kdy\u017e se jim ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f rakovina vrac\u00ed. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":13142,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-40501","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\/40501","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=40501"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40501\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/13142"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=40501"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=40501"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=40501"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}