{"id":40932,"date":"2023-07-18T12:20:27","date_gmt":"2023-07-18T10:20:27","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=40932"},"modified":"2023-07-18T12:24:11","modified_gmt":"2023-07-18T10:24:11","slug":"migrena-stoji-penize-lecit-ji-ale-prijde-levneji","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=40932","title":{"rendered":"Migr\u00e9na stoj\u00ed pen\u00edze \u2013 l\u00e9\u010dit ji ale \u201ep\u0159ijde\u201c levn\u011bji"},"content":{"rendered":"\n

Paientsk\u00e1 organizace zve\u0159ej\u0148uje unik\u00e1tn\u00ed pr\u016fzkum. <\/em><\/p>\n\n\n\n

Ni\u017e\u0161\u00ed v\u00fdkon v pr\u00e1ci nebo nutnost n\u00e1hle odej\u00edt dom\u016f \u2013 to je ned\u00edlnou sou\u010d\u00e1st\u00ed \u017eivota t\u011bch, kte\u0159\u00ed trp\u00ed migr\u00e9nou. V \u010cesku to je p\u0159es milion lid\u00ed, v\u011bt\u0161inou v produktivn\u00edm v\u011bku. Jak moc dopad\u00e1 nemoc na \u010deskou ekonomiku, zmapoval unik\u00e1tn\u00ed pr\u016fzkum, kter\u00fd poprv\u00e9 zve\u0159ej\u0148uje pacientsk\u00e1 organizace Migr\u00e9na-help. Analytici v tomto pr\u016fzkumu vy\u010d\u00edslili ztr\u00e1ty zp\u016fsoben\u00e9 poklesem pracovn\u00ed produktivity na jednoho pacienta na t\u00e9m\u011b\u0159 321 000 korun za rok. Migr\u00e9nu lze p\u0159itom v \u010cR \u00fa\u010dinn\u011b l\u00e9\u010dit u\u017e t\u0159i roky, z\u00e1rove\u0148 se na trhu objevuj\u00ed dal\u0161\u00ed l\u00e9\u010debn\u00e9 mo\u017enosti. P\u0159esto\u017ee jsou podle l\u00e9ka\u0159\u016f tyto inovativn\u00ed terapie pom\u011brn\u011b n\u00e1kladn\u00e9, spole\u010dnosti se ve fin\u00e1le vyplat\u00ed.<\/strong><\/p>\n\n\n\n

\u201eMigr\u00e9na je dlouhodob\u00e9 neurologick\u00e9 onemocn\u011bn\u00ed, kter\u00e9 zp\u016fsobuje v\u00fdznamnou individu\u00e1ln\u00ed i celospole\u010denskou z\u00e1t\u011b\u017e. Ka\u017ed\u00fd z\u00e1chvat migr\u00e9ny je toti\u017e spojen se sn\u00ed\u017eenou schopnost\u00ed vykon\u00e1vat b\u011b\u017en\u00e9 denn\u00ed aktivity nebo pracovn\u00ed \u010dinnost. T\u00fdk\u00e1 se to p\u0159edev\u0161\u00edm lid\u00ed v produktivn\u00edm v\u011bku,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Pavel \u0158ehulka, Ph.D., z I. neurologick\u00e9 kliniky Fakultn\u00ed nemocnice u sv. Anny v Brn\u011b a L\u00e9ka\u0159sk\u00e9 fakulty Masarykovy univerzity. \u201eA\u010dkoliv migr\u00e9nu zat\u00edm nelze zcela vyl\u00e9\u010dit, s pomoc\u00ed nov\u00fdch l\u00e9\u010div je mo\u017en\u00e9 ji zvl\u00e1dat mnohem l\u00e9pe, ne\u017e tomu bylo v minulosti. Inovativn\u00ed terapie pacient\u016fm umo\u017e\u0148uje vr\u00e1tit se zp\u011bt do norm\u00e1ln\u00edho \u017eivota. Roky ztracen\u00e9 onemocn\u011bn\u00edm sice nelze z\u00edskat zp\u011bt, ale s pomoc\u00ed \u00fa\u010dinn\u00e9 l\u00e9\u010dby m\u016f\u017eeme zamezit budouc\u00edm ztr\u00e1t\u00e1m,<\/em>\u201c pokra\u010duje vedouc\u00ed l\u00e9ka\u0159 brn\u011bnsk\u00e9ho centra pro diagnostiku a l\u00e9\u010dbu bolest\u00ed hlavy.<\/p>\n\n\n\n

Podle MUDr. \u0158ehulky je to pr\u00e1v\u011b migr\u00e9na, kter\u00e1 ze v\u0161ech typ\u016f bolest\u00ed hlavy stoj\u00ed spole\u010dnost nejv\u00edce pen\u011bz. \u201eV\u00fddaje za zdravotn\u00ed p\u00e9\u010di d\u0159\u00edve tvo\u0159ily jen asi 10 % n\u00e1klad\u016f utracen\u00fdch za migr\u00e9nu. V\u011bt\u0161ina ekonomick\u00fdch ztr\u00e1t, tedy a\u017e 90 % v\u00fddaj\u016f, byla p\u0159ekvapiv\u011b zp\u016fsobena nep\u0159\u00edm\u00fdmi n\u00e1klady ze sn\u00ed\u017een\u00e9 pr\u00e1ceschopnosti,\u201c <\/em>uv\u00e1d\u00ed MUDr. \u0158ehulka.<\/p>\n\n\n\n

Podle pr\u016fzkumu mapuj\u00edc\u00edho dopady migr\u00e9ny na pacienty, spole\u010dnost a ekonomiku \u010cesk\u00e9 republiky \u010din\u00ed celkov\u00e1 ztr\u00e1ta produktivity pacient\u016f v pr\u016fm\u011bru 42,8 %, a\u0165 u\u017e kv\u016fli nucen\u00e9 absenci, \u010di poklesu v\u00fdkonu. Situaci p\u0159\u00edli\u0161 neprosp\u00edv\u00e1, \u017ee \u0159ada lid\u00ed svou nemoc p\u0159ed okol\u00edm taj\u00ed, proto\u017ee se boj\u00ed zleh\u010dov\u00e1n\u00ed a posm\u011b\u0161k\u016f ze strany okol\u00ed, p\u0159ibli\u017en\u011b 40 % nemocn\u00fdch ani nev\u00ed, \u017ee za jejich pot\u00ed\u017eemi stoj\u00ed pr\u00e1v\u011b migr\u00e9na. K l\u00e9\u010db\u011b, kter\u00e1 by jim razantn\u011b pomohla sn\u00ed\u017eit po\u010det atak, se tak dost\u00e1v\u00e1 zlomek nemocn\u00fdch. Odborn\u00edci nap\u0159\u00edklad odhaduj\u00ed, \u017ee inovativn\u00ed terapii, kter\u00e1 z\u00e1chvat\u016fm migr\u00e9ny p\u0159edch\u00e1z\u00ed, by v \u010cesku mohlo m\u00edt p\u0159es 20 000 pacient\u016f, re\u00e1ln\u011b se k n\u00ed v\u0161ak dostane m\u00e9n\u011b ne\u017e 10 % z nich. Do \u010cR st\u00e1le p\u0159ich\u00e1zej\u00ed nov\u00e9 preventivn\u00ed i akutn\u00ed l\u00e9ky. Ne v\u0161echny jsou hrazeny zdravotn\u00ed poji\u0161\u0165ovnou a pacienti si je tak plat\u00ed sami.<\/p>\n\n\n\n

 \u201eAktu\u00e1ln\u00ed pr\u016fzkum potvrzuje, \u017ee pro celou spole\u010dnost je v\u00fdhodn\u011bj\u0161\u00ed migr\u00e9nu l\u00e9\u010dit ne\u017e nel\u00e9\u010dit.<\/em> Pacient, kter\u00fd m\u016f\u017ee norm\u00e1ln\u011b fungovat, p\u0159in\u00e1\u0161\u00ed spole\u010dnosti i ekonomice v\u00fdrazn\u011b v\u00edce, ne\u017e kdy\u017e trp\u00ed, a \u0159e\u0161en\u00ed je p\u0159itom na dosah,\u201c<\/em> komentuje v\u00fdsledky pr\u016fzkumu R\u00fdza Bla\u017eejovsk\u00e1, p\u0159edsedkyn\u011b pacientsk\u00e9 organizace Migr\u00e9na-help. Pr\u016fzkum podle n\u00ed jasn\u011b uk\u00e1zal, jak je nemoc devastuj\u00edc\u00ed \u2013 z dat vyplynulo, \u017ee kv\u016fli nedostate\u010dn\u00e9 kontrole migr\u00e9ny lid\u00e9 \u010dasto nav\u0161t\u011bvuj\u00ed r\u016fzn\u00e9 l\u00e9ka\u0159e ve snaze dobrat se \u00falevy, od praktika (21,8 %) a\u017e po specializovan\u00e9 ambulance (64,6 %). Za fyzioterapeutem, ortopedem, psychologem \u010di psychiatrem p\u0159i\u0161lo v d\u016fsledku nemoci za posledn\u00edho p\u016fl roku 34,7 % dotazovan\u00fdch. \u201eKdy\u017e netu\u0161\u00edte, kdy dostanete dal\u0161\u00ed z\u00e1chvat a kolik jich v dan\u00e9m m\u011bs\u00edci je\u0161t\u011b p\u0159ijde, je pracovn\u00ed \u017eivot slo\u017eit\u011bj\u0161\u00ed. Pom\u00e1h\u00e1 nap\u0159\u00edklad mo\u017enost pr\u00e1ce z domu nebo na \u010d\u00e1ste\u010dn\u00fd \u00favazek, ale ne ka\u017ed\u00fd zam\u011bstnavatel na to p\u0159istoup\u00ed,\u201c <\/em>dod\u00e1v\u00e1 R\u00fdza Bla\u017eejovsk\u00e1. \u201eDal\u0161\u00ed kapitolou jsou nepl\u00e1novan\u00e9 absence v pr\u00e1ci. V uplynul\u00fdch 6 m\u011bs\u00edc\u00edch skon\u010dilo 5 % dotazovan\u00fdch pacient\u016f kv\u016fli migr\u00e9n\u011b v nemocnici a 15 % muselo nav\u0161t\u00edvit pohotovost.\u201c<\/em><\/p>\n\n\n\n

Alespo\u0148 jedn\u00edm p\u0159idru\u017een\u00fdm onemocn\u011bn\u00edm, souvisej\u00edc\u00edm s onemocn\u011bn\u00edm migr\u00e9ny trp\u011blo 46,9 % pacient\u016f, nej\u010dast\u011bji uv\u00e1d\u011bli bolesti zad a kr\u010dn\u00ed p\u00e1te\u0159e, \u00fazkost, poruchy sp\u00e1nku nebo depresi. D\u016fvodem, pro\u010d i p\u0159es rozs\u00e1hlou s\u00ed\u0165 center pro l\u00e9\u010dbu bolest\u00ed hlavy nejsou v\u0161ichni pacienti spr\u00e1vn\u011b zal\u00e9\u010deni, je hned n\u011bkolik. Podle R\u00fdzy Bla\u017eejovsk\u00e9 hraje roli i fakt, \u017ee o nich nemocn\u00ed nev\u011bd\u00ed. \u201e\u010c\u00e1st na\u0161ich \u010dlen\u016f se o existenci specializovan\u00fdch pracovi\u0161\u0165 dozv\u011bd\u011bla a\u017e od n\u00e1s,\u201c <\/em>dod\u00e1v\u00e1 p\u0159edsedkyn\u011b Migr\u00e9na-help.<\/p>\n\n\n\n

Cel\u00e9 v\u00fdsledky pr\u016fzkumu \u201eDopady migr\u00e9ny na pacienty, spole\u010dnost a ekonomiku \u010cesk\u00e9 republiky\u201c, proveden\u00e9ho spole\u010dnost\u00ed Value Outcomes, lze nal\u00e9zt zde: Pr\u016fzkum<\/a>. Z\u00fa\u010dastnilo se ho 147 respondent\u016f, kte\u0159\u00ed m\u011bli ataky migr\u00e9ny v\u00edce ne\u017e 4x m\u011bs\u00ed\u010dn\u011b.<\/p>\n\n\n\n


Migr\u00e9na<\/strong><\/p>\n\n\n\n

Migr\u00e9na je dlouhodob\u00e9 onemocn\u011bn\u00ed, kter\u00e9 se projevuje opakovan\u00fdmi z\u00e1chvaty bolesti hlavy s doprovodn\u00fdmi p\u0159\u00edznaky (sv\u011btloplachost, p\u0159ecitliv\u011blost na zvuky, nevolnost nebo zvracen\u00ed). Tyto p\u0159\u00edznaky se b\u011bhem z\u00e1chvatu, kter\u00fd obvykle trv\u00e1 jeden a\u017e t\u0159i dny, zhor\u0161uj\u00ed i p\u0159i b\u011b\u017en\u00fdch denn\u00edch aktivit\u00e1ch. Podle po\u010dtu dn\u016f v m\u011bs\u00edci s bolest\u00ed hlavy se rozli\u0161uje epizodick\u00e1 (0-14 dn\u016f migren\u00f3zn\u00edch dn\u016f v m\u011bs\u00edci) a chronick\u00e1 migr\u00e9na (\u226515 migren\u00f3zn\u00edch dn\u016f v m\u011bs\u00edci). Zah\u00e1jen\u00ed preventivn\u00ed l\u00e9\u010dby migr\u00e9ny se obvykle zva\u017euje p\u0159i v\u00edce ne\u017e 4 migren\u00f3zn\u00edch dnech v m\u011bs\u00edci, nutn\u00e9 je v\u0161ak vy\u0161et\u0159en\u00ed l\u00e9ka\u0159em.  <\/p>\n\n\n\n

Migr\u00e9na-help<\/strong><\/p>\n\n\n\n

Migr\u00e9na-help je prvn\u00ed pacientsk\u00e1 organizace v\u202f\u010cesk\u00e9 republice podporuj\u00edc\u00ed osoby s\u202fmigr\u00e9nou a jejich bl\u00edzk\u00e9. \u0160\u00ed\u0159\u00ed osv\u011btu, poskytuje informa\u010dn\u00ed servis a poradenstv\u00ed, koordinuje setk\u00e1v\u00e1n\u00ed kruh\u016f sd\u00edlen\u00ed, kde si lid\u00e9 s migr\u00e9nou navz\u00e1jem pom\u00e1haj\u00ed, zprost\u0159edkov\u00e1v\u00e1 psychoterapii, realizuje pr\u016fzkumy apod. Jde o neziskovou organizaci, kter\u00e1 sv\u00e9 slu\u017eby nab\u00edz\u00ed za symbolick\u00fd poplatek nebo zdarma. V\u00edce informac\u00ed na https:\/\/www.migrena-help.cz<\/a><\/p>\n\n\n\n

Centra pro diagnostiku a l\u00e9\u010dbu bolesti hlavy<\/strong><\/p>\n\n\n\n

V\u00a0\u010cesku existuje s\u00ed\u0165 specializovan\u00fdch center pro diagnostiku a l\u00e9\u010dbu bolest\u00ed hlavy. V\u00a0ka\u017ed\u00e9m kraji je tak pro pacienty p\u0159\u00edstupn\u00e9 pracovi\u0161t\u011b, kter\u00e9 se v\u011bnuje t\u00e9to problematice a disponuje ve\u0161ker\u00fdmi dostupn\u00fdmi diagnostick\u00fdmi i l\u00e9\u010debn\u00fdmi mo\u017enostmi. Seznam center je k dispozici na webu http:\/\/czech-headache.cz\/centra-pro-lecbu-bolesti-hlavy\/<\/a> nebo na https:\/\/www.migrena-help.cz\/l\/poradny-bolesti-hlavy\/<\/a> V\u00a0centrech l\u00e9ka\u0159i nab\u00edzej\u00ed jak terapii biologickou, tak i dal\u0161\u00ed profylaktick\u00e9 l\u00e9ky, n\u011bkter\u00e9 jsou hrazeny poji\u0161\u0165ovnou a \u010d\u00e1st si pacienti mus\u00ed platit sami.<\/p>\n\n\n\n

<\/p>\n\n\n\n

Konkr\u00e9tn\u00ed kroky, kter\u00e9 dle Migr\u00e9na-help povedou ke zlep\u0161en\u00ed situace:<\/strong><\/p>\n\n\n\n


– Praktick\u00fd l\u00e9ka\u0159 spr\u00e1vn\u011b diagnostikuje migr\u00e9nu a nepodce\u0148uje pacientovy pot\u00ed\u017ee.
– Ambulantn\u00ed neurolog indikuje relevantn\u00ed preventivn\u00ed l\u00e9\u010dbu.
– Ambulantn\u00ed neurolog varuje p\u0159ed nebezpe\u010d\u00edm nadu\u017e\u00edv\u00e1n\u00ed triptan\u016f a analgetik.
– Ambulantn\u00ed neurolog v\u010das doporu\u010d\u00ed pacienta do centra. Centra jsou dostupn\u00e1 rovnom\u011brn\u011b ve v\u0161ech regionech \u010cR. Centra maj\u00ed dostate\u010dn\u00e9 person\u00e1ln\u00ed kapacity.
– Centra maj\u00ed dostate\u010dn\u00e9 rozpo\u010dty jak pro st\u00e1vaj\u00edc\u00ed, tak pro nov\u00e9 pacienty.
– Centra maj\u00ed uzav\u0159en\u00e9 smlouvy se v\u0161emi poji\u0161\u0165ovnami. Pacienti jsou informovan\u00ed a dodr\u017euj\u00ed l\u00e9\u010dbu.<\/p>\n","protected":false},"excerpt":{"rendered":"

Paientsk\u00e1 organizace zve\u0159ej\u0148uje unik\u00e1tn\u00ed pr\u016fzkum. Ni\u017e\u0161\u00ed v\u00fdkon v pr\u00e1ci nebo nutnost n\u00e1hle odej\u00edt dom\u016f \u2013 to je ned\u00edlnou sou\u010d\u00e1st\u00ed \u017eivota t\u011bch, kte\u0159\u00ed trp\u00ed migr\u00e9nou. V \u010cesku to […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18738,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-40932","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\/40932","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=40932"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40932\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18738"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=40932"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=40932"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=40932"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}