{"id":42051,"date":"2023-09-11T04:01:00","date_gmt":"2023-09-11T02:01:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42051"},"modified":"2023-09-11T04:40:55","modified_gmt":"2023-09-11T02:40:55","slug":"kazdy-druhy-diabetik-ma-poskozene-ledviny-varuji-lekari","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42051","title":{"rendered":"Ka\u017ed\u00fd druh\u00fd diabetik m\u00e1 po\u0161kozen\u00e9 ledviny, varuj\u00ed l\u00e9ka\u0159i"},"content":{"rendered":"\n

Nebol\u00ed a zpo\u010d\u00e1tku jejich \u0161patn\u00e9 fungov\u00e1n\u00ed \u010dlov\u011bka nijak neomezuje. Postupn\u011b v\u0161ak mohou vypov\u00eddat slu\u017ebu, a \u0159e\u0161en\u00edm je pak jen transplantace nebo dial\u00fdza. \u0158e\u010d je o ledvin\u00e1ch zat\u00ed\u017een\u00fdch cukrovkou 2. typu. Ta se v \u010cesku t\u00fdk\u00e1 zhruba milionu obyvatel. Podle l\u00e9ka\u0159\u016f m\u00e1 po\u0161kozen\u00e9 ledviny minim\u00e1ln\u011b polovina z nich. Experti varuj\u00ed, \u017ee \u0159ada pacient\u016f o tom, \u017ee m\u00e1 cukrovku, nev\u00ed. P\u0159itom k po\u0161kozen\u00ed r\u016fzn\u00fdch org\u00e1n\u016f v d\u016fsledku vysok\u00e9 hladiny cukru v organismu doch\u00e1z\u00ed u\u017e v ran\u00e9 f\u00e1zi onemocn\u011bn\u00ed diabetem. I proto je podle l\u00e9ka\u0159\u016f d\u016fle\u017eit\u00e1 v\u010dasn\u00e1 prevence a pravideln\u00e9 prohl\u00eddky. \u017divotn\u011b d\u016fle\u017eit\u00e9 org\u00e1ny dok\u00e1\u017ee ochr\u00e1nit tak\u00e9 modern\u00ed l\u00e9\u010dba tzv. glifloziny. Zat\u00edm ji podle odhadu l\u00e9ka\u0159\u016f m\u00e1 nasazenou zhruba pouze 7 % pacient\u016f.<\/strong><\/p>\n\n\n\n

\u201ePrvn\u00edm sign\u00e1lem, \u017ee ledviny jsou po\u0161kozen\u00e9, m\u016f\u017ee b\u00fdt b\u00edlkovina v mo\u010di. Tu zpravidla objev\u00ed praktick\u00fd l\u00e9ka\u0159 p\u0159i preventivn\u00ed prohl\u00eddce nebo p\u0159i sledov\u00e1n\u00ed nemocn\u00fdch s diabetem. Sice to hned neznamen\u00e1 komplikace a sn\u00ed\u017eenou kvalitu \u017eivota, ale je to varov\u00e1n\u00ed, \u017ee je nejvy\u0161\u0161\u00ed \u010das dostat diabetes, krevn\u00ed tlak a dal\u0161\u00ed nemoci v co nejv\u011bt\u0161\u00ed m\u00ed\u0159e pod kontrolu,\u201c<\/em> upozor\u0148uje na jednu z komplikac\u00ed nezal\u00e9\u010den\u00e9 cukrovky MUDr. Barbora Dole\u017ealov\u00e1, diabetolo\u017eka z INTENDIA kliniky v Chrudimi. <\/p>\n\n\n\n

\u201eP\u0159\u00edtomnost b\u00edlkoviny v mo\u010di znamen\u00e1 zv\u00fd\u0161enou prostupnost filtru v ledvinov\u00fdch klub\u00ed\u010dk\u00e1ch. U diabetu 2. typu pak po n\u011bjak\u00e9 dob\u011b v d\u016fsledku po\u0161kozen\u00ed tohoto filtru doch\u00e1z\u00ed i k nedostate\u010dn\u00e9mu o\u010di\u0161\u0165ov\u00e1n\u00ed krve a eventu\u00e1ln\u00ed nutnosti n\u00e1hrady funkce ledvin dial\u00fdzou nebo transplantac\u00ed,\u201c<\/em> vysv\u011btluje prof. MUDr. Vladim\u00edr Tesa\u0159, p\u0159ednosta Kliniky nefrologie 1. LF UK a VFN v Praze. <\/p>\n\n\n\n

Po\u0161kozen\u00ed v d\u016fsledku diabetu m\u016f\u017ee zaj\u00edt tak daleko, \u017ee ledviny za\u010dnou \u00fapln\u011b selh\u00e1vat. \u201eV tom p\u0159\u00edpad\u011b nem\u00e1 pacient jinou mo\u017enost ne\u017e absolvovat transplantaci ledvin, a pokud to nen\u00ed mo\u017en\u00e9, tak je odk\u00e1z\u00e1n na dial\u00fdzu. V sou\u010dasn\u00e9 dob\u011b v \u010cesku podstupuje dial\u00fdzu zhruba 7 000 pacient\u016f, z toho asi 35 % kv\u016fli cukrovce,\u201c <\/em>\u0159\u00edk\u00e1 prof. Tesa\u0159. Zr\u00e1dnost choroby podle n\u011bj tkv\u00ed i v tom, \u017ee hroz\u00ed trval\u00e9 po\u0161kozen\u00ed ledvin. <\/p>\n\n\n\n

\u201eDoned\u00e1vna jsme se domn\u00edvali, \u017ee po\u0161kozen\u00ed je nevratn\u00e9 v\u017edy, ale ukazuje se, \u017ee d\u00edky modern\u00edm l\u00e9k\u016fm lze v \u00fapln\u011b po\u010d\u00e1te\u010dn\u00ed f\u00e1zi onemocn\u011bn\u00ed n\u00e1sledky zvr\u00e1tit. I proto je kl\u00ed\u010dov\u00e9, aby pacient dbal na prevenci, a o diabetu a diabetick\u00e9m onemocn\u011bn\u00ed ledvin se dozv\u011bd\u011bl co nejd\u0159\u00edve,\u201c <\/em>dod\u00e1v\u00e1.<\/p>\n\n\n\n

Po\u0161kozen\u00ed ledvin ov\u0161em nen\u00ed jedinou komplikac\u00ed, kter\u00e9 diabetici \u010del\u00ed. D\u0159\u00edv nebo pozd\u011bji jsou podle odborn\u00edk\u016f ohro\u017eeni srde\u010dn\u00edm selh\u00e1n\u00edm. \u201eDiabetes ti\u0161e devastuje c\u00e9vy, a zat\u00edmco ty velk\u00e9 jsme schopni do ur\u010dit\u00e9 m\u00edry opravit, ty nejmen\u0161\u00ed, kter\u00e9 vy\u017eivuj\u00ed nap\u0159\u00edklad srdce, bohu\u017eel spravit nejde. Pacienti tak maj\u00ed v\u00fdrazn\u011b vy\u0161\u0161\u00ed riziko infarkt\u016f a srde\u010dn\u00edho selh\u00e1n\u00ed, kter\u00e9 bohu\u017eel vy\u017eaduje dlouhodobou p\u00e9\u010di a \u010dasto vede i k hospitalizaci,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Dole\u017ealov\u00e1. Riziko po\u0161kozen\u00ed srdce stoup\u00e1 s d\u00e9lkou onemocn\u011bn\u00ed, av\u0161ak pacienti se o sv\u00e9 diagn\u00f3ze \u010dasto dozv\u00eddaj\u00ed pozd\u011b. <\/p>\n\n\n\n

\u201eNez\u0159\u00eddka p\u0159ich\u00e1zej\u00ed pacienti do ordinac\u00ed s probl\u00e9my se srdcem a teprve pot\u00e9 jim najdeme diabetes. Ten jim p\u0159itom pot\u00ed\u017ee s velkou pravd\u011bpodobnost\u00ed zp\u016fsobil,\u201c <\/em>popisuje prof. MUDr. Ale\u0161 Linhart, CSc., p\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti. Podle n\u011bj tvo\u0159\u00ed p\u0159ibli\u017en\u011b t\u0159etinu v\u0161ech pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm v \u010cesku diabetici. Pro n\u011b maj\u00ed nyn\u00ed l\u00e9ka\u0159i k dispozici modern\u00ed l\u00e9ky, tzv. glifloziny. Ty krom\u011b toho, \u017ee l\u00e9\u010d\u00ed cukrovku, um\u00ed ochr\u00e1nit i srdce a ledviny. <\/p>\n\n\n\n

\u201ePraxe ukazuje, \u017ee \u00fa\u010dinn\u011b reguluj\u00ed hladinu cukru v krvi. P\u0159ebyte\u010dn\u00fd cukr ledviny vylou\u010d\u00ed do mo\u010di a d\u00edky tomu l\u00e9\u010den\u00ed lid\u00e9 i hubnou. Z\u00e1rove\u0148 v\u0161ak glifloziny dok\u00e1\u017e\u00ed sni\u017eovat filtra\u010dn\u00ed tlak v ledvin\u00e1ch, a t\u00edm br\u00e1n\u00ed jejich zjizven\u00ed, po\u0161kozen\u00ed a ztr\u00e1t\u011b funkce. Riziko nevratn\u00e9ho po\u0161kozen\u00ed ledvin sni\u017euj\u00ed asi o 50 %,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Dole\u017ealov\u00e1. Jak uv\u00e1d\u00ed prof. Linhart, glifloziny tak\u00e9 v\u00fdznamn\u011b ovliv\u0148uj\u00ed riziko hospitalizace nebo smrti v d\u016fsledku srde\u010dn\u00edho selh\u00e1n\u00ed. \u201ePodle studi\u00ed se riziko sni\u017euje o 25 %, co\u017e je ve srovn\u00e1n\u00ed s dosavadn\u00edmi mo\u017enostmi l\u00e9\u010dby obrovsk\u00fd pokrok. Pacienti d\u00edky tomu maj\u00ed nad\u011bji na kvalitn\u011bj\u0161\u00ed \u017eivot bez nutnosti opakovan\u011b tr\u00e1vit dny v nemocnici,\u201c <\/em>uzav\u00edr\u00e1.<\/p>\n\n\n\n

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

Nebol\u00ed a zpo\u010d\u00e1tku jejich \u0161patn\u00e9 fungov\u00e1n\u00ed \u010dlov\u011bka nijak neomezuje. Postupn\u011b v\u0161ak mohou vypov\u00eddat slu\u017ebu, a \u0159e\u0161en\u00edm je pak jen transplantace nebo dial\u00fdza. \u0158e\u010d je o […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27310,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42051","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\/42051","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=42051"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42051\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27310"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42051"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42051"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}