{"id":41942,"date":"2023-09-07T04:57:00","date_gmt":"2023-09-07T02:57:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=41942"},"modified":"2023-09-07T05:57:59","modified_gmt":"2023-09-07T03:57:59","slug":"vysoky-tlak-v-plicich-ohrozuje-tisice-cechu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=41942","title":{"rendered":"Vysok\u00fd tlak v plic\u00edch ohro\u017euje tis\u00edce \u010cech\u016f"},"content":{"rendered":"\n

Jste bez dechu a c\u00edt\u00edte\u00a0bolest na hrudi po jarn\u00ed vych\u00e1zce? Na vin\u011b nemus\u00ed b\u00fdt jen \u0161patn\u00e1 kondice po zimn\u00edm leno\u0161en\u00ed. Tyto p\u0159\u00edznaky mohou signalizovat plicn\u00ed hypertenzi, tedy zv\u00fd\u0161en\u00fd krevn\u00ed tlak v\u00a0plic\u00edch. V\u00a0\u010cesku mohou b\u00fdt a\u017e tis\u00edce lid\u00ed, kte\u0159\u00ed trp\u00ed z\u00e1va\u017en\u00fdmi formami t\u00e9to nemoci, ale \u0159ada z\u00a0nich o tom nev\u00ed. V\u010dasn\u00e1 diagn\u00f3za a l\u00e9\u010dba p\u0159itom podle l\u00e9ka\u0159\u016f m\u016f\u017ee zabr\u00e1nit v\u00e1\u017en\u00fdm zdravotn\u00edm n\u00e1sledk\u016fm nebo i smrti. <\/strong><\/p>\n\n\n\n

\u201eP\u0159i plicn\u00ed hypertenzi doch\u00e1z\u00ed ke zv\u00fd\u0161en\u00e9 n\u00e1maze prav\u00e9 komory srde\u010dn\u00ed, kter\u00e1 se postupn\u011b zv\u011bt\u0161uje. To m\u016f\u017ee v \u010dase v\u00e9st k jej\u00edmu\u00a0selh\u00e1n\u00ed. Z\u00e1rove\u0148 se nedostate\u010dn\u011b okysli\u010duje krev, proto pacienti trp\u00ed du\u0161nost\u00ed, \u00fanavou nebo z\u00e1vrat\u011bmi a mdlobami,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Pavel Jansa, kardiolog z II. intern\u00ed kliniky V\u0161eobecn\u00e9 fakultn\u00ed nemocnice a 1. LF UK v\u00a0Praze. Kv\u016fli nedostate\u010dn\u00e9mu okysli\u010den\u00ed krve maj\u00ed pacienti \u010dasto tak\u00e9 mod\u0159e zbarven\u00e9 rty a k\u016f\u017ei nebo trp\u00ed otoky kotn\u00edk\u016f a nohou. Diagn\u00f3za plicn\u00ed hypertenze se podle studi\u00ed t\u00fdk\u00e1 a\u017e jednoho procenta populace.<\/p>\n\n\n\n

\u201eOnemocn\u011bn\u00ed plicn\u00ed hypertenz\u00ed je relativn\u011b vz\u00e1cn\u00e9, a proto i l\u00e9ka\u0159i tuto mo\u017enost zva\u017euj\u00ed a\u017e mezi posledn\u00edmi. M\u016f\u017ee se st\u00e1t, \u017ee nejd\u0159\u00edve pacienty l\u00e9\u010d\u00ed nap\u0159\u00edklad na astma. Lid\u00e9 se tak ke spr\u00e1vn\u00e9 diagn\u00f3ze propracuj\u00ed mnohdy pozd\u011b, kdy\u017e u\u017e je choroba v\u00a0pokro\u010dil\u00e9m stadiu. L\u00e9\u010dba je pak mnohem slo\u017eit\u011bj\u0161\u00ed,\u201c<\/em> vysv\u011btluje prof. Jansa. Pokud v\u0161ak du\u0161nost nelze zd\u016fvodnit jin\u00fdm onemocn\u011bn\u00edm, m\u011bl by pacient absolvovat ultrazvuk srdce a n\u00e1sledn\u011b nav\u0161t\u00edvit specialisty. To se s\u00a0nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed bude t\u00fdkat i pacient\u016f s\u00a0plicn\u00ed hypertenz\u00ed, kte\u0159\u00ed do \u010ceska doraz\u00ed v d\u016fsledku \u00fat\u011bku p\u0159ed v\u00e1lkou na Ukrajin\u011b. \u201eV tuto chv\u00edli se bude sp\u00ed\u0161e jednat jen o des\u00edtky p\u0159\u00edpad\u016f, nicm\u00e9n\u011b jsme samoz\u0159ejm\u011b p\u0159ipraveni poskytnout pot\u0159ebnou p\u00e9\u010di v\u0161em, kte\u0159\u00ed ji budou pot\u0159ebovat. Vzhledem k vy\u0161\u0161\u00edmu v\u00fdskytu neoperovan\u00fdch vrozen\u00fdch srde\u010dn\u00edch vad na Ukrajin\u011b lze o\u010dek\u00e1vat, \u017ee tato p\u0159\u00ed\u010dina plicn\u00ed hypertenze m\u016f\u017ee p\u0159eva\u017eovat. Nav\u00edc \u0159ada pacient\u016f o sv\u00e9m onemocn\u011bn\u00ed ani nebude v\u011bd\u011bt,\u201c <\/em>\u0159\u00edk\u00e1 prof. Jansa.<\/p>\n\n\n\n

Podle Mileny Kaftanov\u00e9 ze Sdru\u017een\u00ed pacient\u016f s\u00a0plicn\u00ed hypertenz\u00ed d\u00e1v\u00e1 v\u010dasn\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby pacient\u016fm \u0161anci na del\u0161\u00ed a kvalitn\u011bj\u0161\u00ed \u017eivot. \u201eI proto je jak\u00e1koli osv\u011bta, kter\u00e1 povede k\u00a0\u010dasn\u011bj\u0161\u00edmu rozpozn\u00e1n\u00ed nemoci, velmi d\u016fle\u017eit\u00e1. V\u00a0leto\u0161n\u00edm roce Sv\u011btov\u00fd den plicn\u00ed hypertenze podpo\u0159\u00edme v\u00fdstupem na Pet\u0159\u00ednskou rozhlednu. Symbolicky tak v\u011bnujeme dech pacient\u016fm, kte\u0159\u00ed touto chorobou trp\u00ed,\u201c<\/em> \u0159\u00edk\u00e1. Nej\u010dast\u011bji plicn\u00ed hypertenzi l\u00e9ka\u0159i diagnostikuj\u00ed jako komplikaci jin\u00e9ho onemocn\u011bn\u00ed plic a\u00a0srdce. M\u00e1 ov\u0161em celou \u0159adu p\u0159\u00ed\u010din, za jej\u00edm vznikem mohou st\u00e1t i autoimunitn\u00ed onemocn\u011bn\u00ed nebo plicn\u00ed embolie.<\/p>\n\n\n\n

\u201eExistuje n\u011bkolik druh\u016f plicn\u00ed hypertenze. V\u00a0centru na\u0161eho z\u00e1jmu se v\u00a0posledn\u00edch letech ocit\u00e1 zejm\u00e9na plicn\u00ed arteri\u00e1ln\u00ed hypertenze a chronick\u00e1 tromboembolick\u00e1 plicn\u00ed hypertenze vznikaj\u00edc\u00ed po plicn\u00ed embolii. P\u0159edev\u0161\u00edm d\u00edky v\u00fdznamn\u00fdm pokrok\u016fm v\u00a0l\u00e9\u010db\u011b jsme dok\u00e1zali v\u00fdrazn\u011b sn\u00ed\u017eit \u00famrtnost na tuto nemoc,\u201c<\/em> \u0159\u00edk\u00e1 prof. Jansa. Se zm\u00edn\u011bn\u00fdmi druhy plicn\u00ed hypertenze se v\u00a0\u010cesku l\u00e9\u010d\u00ed p\u0159ibli\u017en\u011b 1 000 pacient\u016f, ka\u017ed\u00fd rok jich p\u0159ibli\u017en\u011b 150 p\u0159ibude. Podle odhad\u016f l\u00e9ka\u0159\u016f dal\u0161\u00edch n\u011bkolik tis\u00edc lid\u00ed o sv\u00e9 diagn\u00f3ze v\u016fbec nev\u00ed. Tromboembolick\u00e1 hypertenze se l\u00e9\u010d\u00ed chirurgicky nebo angioplastikou a farmakoterapi\u00ed. Ro\u010dn\u011b se v\u00a0\u010cesku provede kolem 30 operac\u00ed a 80\u2013100 angioplastik pro tromboembolickou plicn\u00ed hypertenzi. V\u00a0sou\u010dasn\u00e9 dob\u011b jsou v\u00a0\u010cesku t\u0159i specializovan\u00e1 centra na l\u00e9\u010dbu plicn\u00ed hypertenze \u2013 II. intern\u00ed klinika V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v\u00a0Praze, Kardiologick\u00e1 klinika IKEM a I. intern\u00ed klinika FN Olomouc.<\/p>\n\n\n\n

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

Jste bez dechu a c\u00edt\u00edte\u00a0bolest na hrudi po jarn\u00ed vych\u00e1zce? Na vin\u011b nemus\u00ed b\u00fdt jen \u0161patn\u00e1 kondice po zimn\u00edm leno\u0161en\u00ed. Tyto p\u0159\u00edznaky mohou signalizovat plicn\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27092,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-41942","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\/41942","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=41942"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41942\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27092"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41942"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41942"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41942"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}