{"id":41833,"date":"2023-09-04T07:26:42","date_gmt":"2023-09-04T05:26:42","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=41833"},"modified":"2023-09-04T07:26:42","modified_gmt":"2023-09-04T05:26:42","slug":"petina-muzu-s-rakovinou-prostaty-umira-zbytecne","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=41833","title":{"rendered":"P\u011btina mu\u017e\u016f s\u00a0rakovinou prostaty um\u00edr\u00e1 zbyte\u010dn\u011b"},"content":{"rendered":"\n

Ignoruj\u00ed prvotn\u00ed p\u0159\u00edznaky a p\u0159ich\u00e1zej\u00ed k l\u00e9ka\u0159i pozd\u011b<\/em>. P\u0159i jak\u00fdchkoli probl\u00e9mech s mo\u010den\u00edm by m\u011bl zbyst\u0159it ka\u017ed\u00fd mu\u017e po \u010dty\u0159ic\u00edtce \u2013 m\u016f\u017ee toti\u017e j\u00edt o prvn\u00ed p\u0159\u00edznak rakoviny prostaty. V \u010cesku si tuto diagn\u00f3zu ro\u010dn\u011b vyslechne p\u0159ibli\u017en\u011b 8 000 mu\u017e\u016f, 20 % z nich ve chv\u00edli, kdy u\u017e maj\u00ed metast\u00e1zy v jin\u00fdch \u010d\u00e1stech t\u011bla a n\u00e1dor nen\u00ed mo\u017en\u00e9 operativn\u011b odstranit. P\u0159esto\u017ee i t\u011bmto pacient\u016fm um\u00ed l\u00e9ka\u0159i d\u00edky modern\u00edm l\u00e9k\u016fm prodlou\u017eit \u017eivot v dobr\u00e9 kvalit\u011b, \u00fapln\u00e9 uzdraven\u00ed u nich nen\u00ed mo\u017en\u00e9, a pacienti tak um\u00edraj\u00ed p\u0159ed\u010dasn\u011b. Pandemie stav zhor\u0161ila \u2013 odradila \u0159adu lid\u00ed od n\u00e1v\u0161t\u011bv ordinac\u00ed. <\/strong><\/p>\n\n\n\n

\u201e\u010c\u00edm d\u0159\u00edve rakovinu prostaty u pacienta odhal\u00edme, t\u00edm v\u011bt\u0161\u00ed nad\u011bji na \u00fapln\u00e9 uzdraven\u00ed m\u00e1. V \u010dasn\u00e9 f\u00e1zi onemocn\u011bn\u00ed lze n\u00e1dor odstranit chirurgicky nebo radioterapi\u00ed, n\u011bkdy v kombinaci s hormon\u00e1ln\u00ed l\u00e9\u010dbou. Bohu\u017eel pro ty, kte\u0159\u00ed p\u0159ijdou v pokro\u010dil\u00e9 f\u00e1zi nemoci, je fat\u00e1ln\u00ed konec nevyhnuteln\u00fd. P\u0159itom bychom mohli \u010dasn\u00fdm z\u00e1chytem rozvoji nemoci zabr\u00e1nit,\u201c<\/em> vysv\u011btluje MUDr. Jana Katolick\u00e1, Ph.D., prim\u00e1\u0159ka Onkologicko-chirurgick\u00e9ho odd\u011blen\u00ed Fakultn\u00ed nemocnice u sv. Anny v Brn\u011b. <\/p>\n\n\n\n

Jako pokro\u010dil\u00e9 stadium rakoviny prostaty odborn\u00edci ozna\u010duj\u00ed stav, kdy se u pacienta vyskytnou metast\u00e1zy a \u010dasem tato f\u00e1ze nemoci p\u0159estane reagovat na hormon\u00e1ln\u00ed terapii. \u201eTakzvan\u00fd metastatick\u00fd kastra\u010dn\u011b rezistentn\u00ed karcinom prostaty se t\u00fdk\u00e1 20 % pacient\u016f, u nich\u017e rakovinu odhal\u00edme. Tyto n\u00e1dory nej\u010dast\u011bji, a\u017e v 75 % p\u0159\u00edpad\u016f, metastazuj\u00ed do kost\u00ed. Pacienty, kte\u0159\u00ed dlouhodob\u011b p\u0159ehl\u00ed\u017e\u00ed probl\u00e9my s mo\u010den\u00edm, tak k l\u00e9ka\u0159i \u010dasto<\/em> p\u0159ivedou a\u017e siln\u00e9 bolesti pohybov\u00e9ho apar\u00e1tu,\u201c <\/em>upozor\u0148uje doc. MUDr. Renata Soumarov\u00e1, Ph.D., MBA, p\u0159ednostka Onkologick\u00e9 kliniky Fakultn\u00ed nemocnice Kr\u00e1lovsk\u00e9 Vinohrady a 3. LF UK. <\/p>\n\n\n\n

V takov\u00fdch p\u0159\u00edpadech um\u00ed l\u00e9ka\u0159i d\u00edky modern\u00edm l\u00e9k\u016fm pacient\u016fm prodlou\u017eit \u017eivot p\u0159i zachov\u00e1n\u00ed jeho dobr\u00e9 kvality. \u201eJe\u0161t\u011b ned\u00e1vno jsme pro t\u011b\u017ek\u00e9 p\u0159\u00edpady nem\u011bli mnoho mo\u017enost\u00ed efektivn\u00ed terapie. Ale s p\u0159\u00edchodem nov\u00fdch l\u00e9k\u016f dok\u00e1\u017eeme i t\u011bmto pacient\u016fm zajistit a\u017e n\u011bkolikalet\u00e9 p\u0159e\u017eit\u00ed bez nep\u0159\u00edjemn\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f, kter\u00e9 jsou spojen\u00e9 nap\u0159\u00edklad s chemoterapi\u00ed. Nav\u00edc jsou tyto l\u00e9ky ve form\u011b tablet, tak\u017ee je pacienti mohou u\u017e\u00edvat pohodln\u011b doma,\u201c<\/em> vysv\u011btluje doc. Soumarov\u00e1.<\/p>\n\n\n\n

I kdy\u017e l\u00e9ka\u0159i nov\u00e9 mo\u017enosti l\u00e9\u010dby pokro\u010dil\u00fdch n\u00e1dor\u016f v\u00edtaj\u00ed, z\u016fst\u00e1v\u00e1 jejich hlavn\u00edm z\u00e1jmem \u010dasn\u00fd z\u00e1chyt nemoci. \u010ce\u0161t\u00ed mu\u017ei v\u0161ak preventivn\u00ed prohl\u00eddky \u010dasto zanedb\u00e1vaj\u00ed. P\u0159esto\u017ee maj\u00ed probl\u00e9my s mo\u010den\u00edm, typicky nap\u0159\u00edklad obt\u00ed\u017en\u00e9 nebo \u010dast\u00e9 mo\u010den\u00ed, slab\u00fd p\u0159eru\u0161ovan\u00fd proud nebo \u00faniky, k l\u00e9ka\u0159i nejdou. Pro \u0159adu mu\u017e\u016f je toti\u017e rakovina prostaty zvl\u00e1\u0161t\u011b citliv\u00e9 t\u00e9ma, a proto se mnohdy boj\u00ed na vy\u0161et\u0159en\u00ed vyrazit. <\/p>\n\n\n\n

Odkl\u00e1d\u00e1n\u00ed umocnila pandemie koronaviru, je\u017e pacienty odradila od n\u00e1v\u0161t\u011bv zdravotnick\u00fdch za\u0159\u00edzen\u00ed. L\u00e9ka\u0159i v t\u00e9to souvislosti eviduj\u00ed n\u00e1r\u016fst po\u010dtu pacient\u016f, kte\u0159\u00ed do ordinac\u00ed p\u0159ich\u00e1zej\u00ed ji\u017e v pokro\u010dil\u00e9m stadiu nemoci. Tuto trend na sv\u00fdch pracovi\u0161t\u00edch potvrzuje jak doc. Soumarov\u00e1, tak prim. Katolick\u00e1.<\/p>\n\n\n\n

\u201eZr\u00e1dn\u00e9 je u rakoviny prostaty tak\u00e9 to, \u017ee v po\u010d\u00e1te\u010dn\u00ed f\u00e1zi nemoci se p\u0159\u00edznaky nemus\u00ed objevit v\u016fbec. Je proto d\u016fle\u017eit\u00e9, aby mu\u017ei na preventivn\u00ed prohl\u00eddky k urologovi chodili, i kdy\u017e pot\u00ed\u017ee nemaj\u00ed. Pravideln\u00e9 kontroly by m\u011bli p\u00e1nov\u00e9, kte\u0159\u00ed nemaj\u00ed tento typ rakoviny v rodin\u011b, zah\u00e1jit po dosa\u017een\u00ed pades\u00e1ti let v\u011bku. V p\u0159\u00edpad\u011b rodinn\u00e9 anamn\u00e9zy je to vhodn\u00e9 u\u017e po \u010dty\u0159ic\u00edtce,\u201c <\/em>doporu\u010duje prim. Katolick\u00e1 a dod\u00e1v\u00e1: \u201eVy\u0161et\u0159en\u00ed se mu\u017ei nemus\u00ed b\u00e1t, je kr\u00e1tk\u00e9 a nebolestiv\u00e9. Zahrnuje odb\u011br krve ke stanoven\u00ed hladiny tzv. prostatick\u00e9ho specifick\u00e9ho antigenu (PSA) a vy\u0161et\u0159en\u00ed kone\u010dn\u00edku.\u201c<\/em><\/p>\n\n\n\n

P\u0159ibli\u017en\u011b 70 % bezp\u0159\u00edznakov\u00fdch karcinom\u016f rakoviny prostaty roste pomalu, ale kdy\u017e u\u017e se ohl\u00e1s\u00ed obt\u00ed\u017eemi, m\u016f\u017ee b\u00fdt na kompletn\u00ed odstran\u011bn\u00ed pozd\u011b. \u010cesk\u00e1 urologick\u00e1 spole\u010dnost \u010cLS JEP p\u0159edloni spustila pilotn\u00ed projekt \u010dasn\u00e9 detekce karcinomu prostaty. V r\u00e1mci n\u011bj se sna\u017e\u00ed co nejl\u00e9pe zachytit ty, jich\u017e by se n\u00e1dor mohl t\u00fdkat a v\u00e1\u017en\u011b je ohrozit.<\/p>\n\n\n\n

Rakovina prostaty je u mu\u017e\u016f v \u010cesku nej\u010dast\u011bj\u0161\u00edm solidn\u00edm zhoubn\u00fdm n\u00e1dorov\u00fdm onemocn\u011bn\u00edm. Podle urolog\u016f nyn\u00ed \u017eije v tuzemsku p\u0159ibli\u017en\u011b 60 000 mu\u017e\u016f, kte\u0159\u00ed se s n\u00e1dorem v n\u011bjak\u00e9 f\u00e1zi l\u00e9\u010d\u00ed nebo l\u00e9\u010dili. P\u0159ibli\u017en\u011b 1 500 pacient\u016f ro\u010dn\u011b nemoci podlehne. Ve srovn\u00e1n\u00ed s ostatn\u00edmi evropsk\u00fdmi zem\u011bmi je \u010cesko \u0161est\u00e9, co se po\u010dtu nemocn\u00fdch t\u00fd\u010de. Ve sv\u011bt\u011b je na t\u0159in\u00e1ct\u00e9m m\u00edst\u011b.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ignoruj\u00ed prvotn\u00ed p\u0159\u00edznaky a p\u0159ich\u00e1zej\u00ed k l\u00e9ka\u0159i pozd\u011b. P\u0159i jak\u00fdchkoli probl\u00e9mech s mo\u010den\u00edm by m\u011bl zbyst\u0159it ka\u017ed\u00fd mu\u017e po \u010dty\u0159ic\u00edtce \u2013 m\u016f\u017ee toti\u017e j\u00edt o prvn\u00ed p\u0159\u00edznak […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21147,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-41833","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\/41833","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=41833"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41833\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21147"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}