{"id":41772,"date":"2023-08-31T07:09:06","date_gmt":"2023-08-31T05:09:06","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=41772"},"modified":"2023-08-31T07:09:06","modified_gmt":"2023-08-31T05:09:06","slug":"biologicka-lecba-snizuje-pocet-zachvatu-migreny","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=41772","title":{"rendered":"Biologick\u00e1 l\u00e9\u010dba sni\u017euje po\u010det z\u00e1chvat\u016f migr\u00e9ny"},"content":{"rendered":"\n

Biologick\u00e1 l\u00e9\u010dba v\u00fdznamn\u011b sni\u017euje po\u010det dn\u00ed, kter\u00e9 mus\u00ed lid\u00e9 pro\u017e\u00edt s migr\u00e9nou, a zlep\u0161uje tak v\u00fdrazn\u011b kvalitu jejich \u017eivota. Vypl\u00fdv\u00e1 to z dat nov\u011b zalo\u017een\u00e9ho \u010cesk\u00e9ho registru pacient\u016f s migr\u00e9nou na nov\u00e9 preventivn\u00ed l\u00e9\u010db\u011b (ReMig), kter\u00fd je zve\u0159ej\u0148uje v\u016fbec poprv\u00e9. Zat\u00edmco <\/strong>p\u0159ed zah\u00e1jen\u00edm biologick\u00e9 l\u00e9\u010dby pro\u017eili pacienti v pr\u016fm\u011bru 10,9 dn\u00ed s migr\u00e9nou m\u011bs\u00ed\u010dn\u011b, po dev\u00edti m\u011bs\u00edc\u00edch od zah\u00e1jen\u00ed terapie do\u0161lo k v\u00fdrazn\u00e9mu poklesu \u2013 na 3,1 dn\u016f. Lid\u00e9 trp\u00edc\u00ed migr\u00e9nou podle dat z registru tak\u00e9 p\u0159estali u\u017e po \u0161esti m\u011bs\u00edc\u00edch nadu\u017e\u00edvat akutn\u00ed l\u00e9ky na bolest hlavy.<\/strong><\/p>\n\n\n\n

\u201eP\u0159\u00edli\u0161n\u00e1 konzumace akutn\u00edch l\u00e9k\u016f, jako jsou analgetika nebo triptany, paradoxn\u011b vede ke vzniku bolesti hlavy, a lid\u00e9 se tak ocitaj\u00ed v za\u010darovan\u00e9m kruhu, kdy na bolest hlavy berou l\u00e9\u010diva, kter\u00e1 ji p\u0159i nadm\u011brn\u00e9m u\u017e\u00edv\u00e1n\u00ed zp\u016fsobuj\u00ed,\u201c <\/em>vysv\u011btluje sledov\u00e1n\u00ed t\u00e9to hodnoty p\u0159edseda spr\u00e1vn\u00ed rady ReMig MUDr. Tom\u00e1\u0161 Ne\u017e\u00e1dal, Ph.D., kter\u00fd je z\u00e1rove\u0148 p\u0159edsedou Sekce pro diagnostiku a l\u00e9\u010dbu bolesti hlavy \u010cesk\u00e9 neurologick\u00e9 spole\u010dnosti.<\/p>\n\n\n\n

\u00dakolem registru ReMig, kter\u00fd je jedn\u00edm z\u00a0prvn\u00edch v\u00a0Evrop\u011b, je l\u00e9pe a \u00fa\u010dinn\u011bji bojovat s\u00a0nemoc\u00ed, kterou v\u00a0\u010cesku trp\u00ed odhadem p\u0159es milion lid\u00ed. Dle sv\u011btov\u00fdch studi\u00ed by to dokonce mohlo b\u00fdt 15 % cel\u00e9 populace, nej\u010dast\u011bji \u017een ve v\u011bku mezi 30 a 39 lety. <\/p>\n\n\n\n

\u201eO\u010dek\u00e1v\u00e1me, \u017ee \u00fadaje z registru povedou k lep\u0161\u00edmu pochopen\u00ed pot\u0159eb pacient\u016f, k\u00a0v\u010dasn\u00e9mu odesl\u00e1n\u00ed spr\u00e1vn\u011b diagnostikovan\u00fdch do specializovan\u00fdch center a ke zmapov\u00e1n\u00ed efektu biologick\u00e9 l\u00e9\u010dby t\u00e9to nemoci,\u201c<\/em> pokra\u010duje MUDr. Ne\u017e\u00e1dal. P\u0159esto\u017ee zdravotn\u00ed poji\u0161\u0165ovny ji\u017e biologickou l\u00e9\u010dbu propl\u00e1c\u00ed v\u00edce ne\u017e dva roky, v\u00a0\u010cesku ji u\u017e\u00edv\u00e1 jen zlomek t\u011bch, kte\u0159\u00ed by na ni m\u011bli n\u00e1rok.<\/p>\n\n\n\n

\u201eD\u016fvodem je mimo jin\u00e9 to, \u017ee \u0159ada lid\u00ed nemoc p\u0159ed sv\u00fdm okol\u00edm taj\u00ed \u2013 boj\u00ed se zleh\u010dov\u00e1n\u00ed a posm\u011bchu \u2013 a odhadem 40 % pacient\u016f v\u016fbec nev\u00ed, \u017ee jejich probl\u00e9my m\u00e1 na sv\u011bdom\u00ed pr\u00e1v\u011b migr\u00e9na. Z\u00e1chvat migr\u00e9ny p\u0159itom dok\u00e1\u017ee jedince zcela zneschopnit. Nen\u00ed s\u00a0to pracovat, studovat, starat se o b\u011b\u017en\u00e9 denn\u00ed v\u011bci, a to n\u011bkdy i n\u011bkolik dn\u016f v\u00a0kuse,\u201c<\/em> popisuje neurolog.<\/p>\n\n\n\n

L\u00e9ka\u0159i mohou biologickou l\u00e9\u010dbu nasadit v centrech pro diagnostiku a l\u00e9\u010dbu bolest\u00ed hlavy, kter\u00fdch je v \u010cesku jednat\u0159icet, jejich seznam lze nal\u00e9zt nap\u0159\u00edklad na www.migrena-kompas.cz\/centra-pro-lecbu\/<\/a>. Pacient mus\u00ed splnit ur\u010dit\u00e1 krit\u00e9ria \u2013 m\u00edt v\u00edce ne\u017e \u010dty\u0159i z\u00e1chvaty m\u011bs\u00ed\u010dn\u011b a proj\u00edt klasickou preventivn\u00ed l\u00e9\u010dbou. Teprve kdy\u017e ta nezabere, m\u016f\u017ee odborn\u00edk uva\u017eovat o l\u00e9\u010db\u011b monoklon\u00e1ln\u00edmi protil\u00e1tkami. \u201eData ukazuj\u00ed, \u017ee tato l\u00e9\u010dba<\/em> um\u00ed sn\u00ed\u017eit po\u010det atak o polovinu a v\u00edce, krom\u011b toho zkracuje dobu trv\u00e1n\u00ed z\u00e1chvatu a zm\u00edr\u0148uje jeho intenzitu. U biologick\u00fdch l\u00e9k\u016f tak\u00e9 pozorujeme minimum ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f<\/em>,\u201c dod\u00e1v\u00e1 MUDr. Ne\u017e\u00e1dal.<\/p>\n\n\n\n

Registr v sou\u010dasn\u00e9 dob\u011b nab\u00edr\u00e1 data ze specializovan\u00fdch center. K z\u00e1v\u011bru lo\u0148sk\u00e9ho roku poskytlo \u00fadaje deset z nich, a to o 231 pacientech na biologick\u00e9 l\u00e9\u010db\u011b, z toho pod\u00edl \u017een \u010dinil 87,9 %. Pr\u016fm\u011brn\u00fd v\u011bk pacient\u016f byl 46,8 let, nejmlad\u0161\u00edmu bylo 21 a nejstar\u0161\u00edmu 75 let. V\u011bt\u0161ina pacient\u016f (55 %) je st\u0159edo\u0161kolsky vzd\u011blan\u00e1, dal\u0161\u00edch v\u00edce ne\u017e 30 % m\u00e1 vysokou \u0161kolu. P\u0159es 70 % lid\u00ed v registru pracuje na pln\u00fd \u00favazek, 10 % na \u010d\u00e1ste\u010dn\u00fd, invalidn\u00ed d\u016fchod pob\u00edr\u00e1 jen 7,4 % pacient\u016f. V\u00edce ne\u017e 64 % l\u00e9\u010den\u00fdch m\u00e1 migr\u00e9nu v rodin\u011b. V\u011bt\u0161ina si nepamatuje, co jejich nemoc poprv\u00e9 spustilo. Ti, co si to pamatuj\u00ed, uv\u00e1d\u00ed nej\u010dast\u011bji stres, 9,5 % pacientek uvedlo jako spou\u0161t\u011bc\u00ed ud\u00e1lost prvn\u00ed menstruaci. Celkem 58,9 % pacient\u016f trp\u00ed krom\u011b migr\u00e9ny dal\u0161\u00edm p\u0159idru\u017een\u00fdm onemocn\u011bn\u00edm, nej\u010dast\u011bji psychiatrick\u00fdm (32,4 %), p\u0159edev\u0161\u00edm depresemi a \u00fazkostmi, pot\u00e9 nemocemi srdce (28,7 %).  <\/p>\n\n\n\n

O l\u00e9\u010db\u011b migr\u00e9ny<\/strong><\/p>\n\n\n\n

V sou\u010dasn\u00e9 dob\u011b je na migr\u00e9nu k dispozici \u00fa\u010dinn\u00e1 l\u00e9\u010dba, kter\u00e1 se d\u011bl\u00ed na akutn\u00ed a preventivn\u00ed. V p\u0159\u00edpad\u011b, \u017ee m\u00e1 pacient jen \u010dty\u0159i dny s migr\u00e9nou (MMD) do m\u011bs\u00edce a pom\u016f\u017ee mu od bolesti tableta l\u00e9ku ze skupiny triptan\u016f, sta\u010d\u00ed akutn\u00ed l\u00e9\u010dba a nen\u00ed t\u0159eba nasazovat l\u00e9\u010dbu preventivn\u00ed. Ov\u0161em p\u0159i vy\u0161\u0161\u00edm po\u010dtu dn\u016f s migr\u00e9nou \u2013 \u010dty\u0159i a v\u00edce do m\u011bs\u00edce \u2013 doch\u00e1z\u00ed k v\u00fdrazn\u00e9mu sn\u00ed\u017een\u00ed kvality \u017eivota pacienta. Zde je vhodn\u00e9 nasadit preventivn\u00ed (tzv. profylaktickou) l\u00e9\u010dbu, jej\u00edm\u017e c\u00edlem je sn\u00ed\u017eit po\u010det a intenzitu z\u00e1chvat\u016f a omezit d\u00e9lku jejich trv\u00e1n\u00ed. V\u00edce o migr\u00e9n\u011b na www.migrena-kompas.cz<\/a><\/p>\n\n\n\n

O registru ReMig<\/strong><\/p>\n\n\n\n

Registr ReMig je \u010desk\u00fd registr pacient\u016f s migr\u00e9nou na biologick\u00e9 terapii. Registr byl zalo\u017een v roce 2021 a spr\u00e1vcem je nada\u010dn\u00ed fond Hedalga ve spolupr\u00e1ci s v\u00fdborem Sekce pro diagnostiku a l\u00e9\u010dbu bolest\u00ed hlavy \u010cesk\u00e9 neurologick\u00e9 spole\u010dnosti \u010cLS JEP (Czech Headache Society). Provoz registru, technick\u00e9 zabezpe\u010den\u00ed a anal\u00fdzu dat zaji\u0161\u0165uje spole\u010dnost Value Outcomes s.r.o., kter\u00e1 je sou\u010dasn\u011b zpracovatelem osobn\u00edch \u00fadaj\u016f v r\u00e1mci registru. V\u00edce informac\u00ed na https:\/\/remig.cz<\/a>.<\/p>\n\n\n\n

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

Biologick\u00e1 l\u00e9\u010dba v\u00fdznamn\u011b sni\u017euje po\u010det dn\u00ed, kter\u00e9 mus\u00ed lid\u00e9 pro\u017e\u00edt s migr\u00e9nou, a zlep\u0161uje tak v\u00fdrazn\u011b kvalitu jejich \u017eivota. Vypl\u00fdv\u00e1 to z dat nov\u011b zalo\u017een\u00e9ho \u010cesk\u00e9ho registru […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":10615,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-41772","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\/41772","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=41772"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41772\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/10615"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}