{"id":42255,"date":"2023-09-19T10:59:40","date_gmt":"2023-09-19T08:59:40","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42255"},"modified":"2023-09-19T10:59:41","modified_gmt":"2023-09-19T08:59:41","slug":"pacientum-s-dychacimi-problemy-muze-prodlouzit-zivot-ventilace","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42255","title":{"rendered":"Pacient\u016fm s d\u00fdchac\u00edmi probl\u00e9my m\u016f\u017ee prodlou\u017eit \u017eivot ventilace"},"content":{"rendered":"\n

K nemocn\u00fdm se ale nedost\u00e1v\u00e1 v\u010das, ventila\u010dn\u00edch center je m\u00e1lo<\/em><\/p>\n\n\n\n

Pacient\u016fm s\u00a0respira\u010dn\u00edmi probl\u00e9my um\u00ed v\u00fdznamn\u011b zkvalitnit a prodlou\u017eit \u017eivot tzv. neinvazivn\u00ed plicn\u00ed ventilace (NIV) \u2013 l\u00e9\u010dba pomoc\u00ed p\u0159\u00edstroje s\u00a0d\u00fdchac\u00ed maskou. Lid\u00e9 tak nemus\u00ed do nemocnice, masku pou\u017e\u00edvaj\u00ed doma. Ventila\u010dn\u00edch center, kter\u00e9 mohou tuto l\u00e9\u010dbu nemocn\u00fdm \u201enaordinovat\u201c, je ale v tuzemsku nedostatek a v\u00a0\u0159ad\u011b region\u016f \u00fapln\u011b chyb\u00ed. <\/strong><\/p>\n\n\n\n

Dlouh\u00e9 \u010dekac\u00ed doby, s\u00a0nimi\u017e se pacienti pot\u00fdkaj\u00ed, aby se do center, a tedy i k\u00a0p\u0159\u00edstroj\u016fm dostali, mohou v\u00e9st v\u00a0krajn\u00edch p\u0159\u00edpadech a\u017e k p\u0159ed\u010dasn\u00e9 smrti. Specialist\u00e9 se t\u00edmto t\u00e9matem budou zab\u00fdvat na 23. kongresu \u010cesk\u00e9 a\u00a0Slovensk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti, kter\u00fd se kon\u00e1 21.\u201323. z\u00e1\u0159\u00ed v\u00a0Brn\u011b.<\/strong><\/p>\n\n\n\n

\u201eNemocn\u00ed bohu\u017eel v sou\u010dasn\u00e9 dob\u011b \u010dekaj\u00ed na vy\u0161et\u0159en\u00ed i p\u016fl roku. Dlouh\u00e9 objednac\u00ed lh\u016fty s sebou nav\u00edc nesou vy\u0161\u0161\u00ed rizika jin\u00fdch onemocn\u011bn\u00ed, nap\u0159\u00edklad infarktu. Pokud se jedn\u00e1 o \u201at\u011b\u017ek\u00e9\u2018 pacienty, v krajn\u00edm p\u0159\u00edpad\u011b mohou zem\u0159\u00edt d\u0159\u00edv, ne\u017e se k l\u00e9\u010db\u011b v\u016fbec dostanou,\u201c <\/em>\u0159\u00edk\u00e1 doc. MUDr. Milan Sova, Ph.D., p\u0159ednosta Kliniky nemoc\u00ed plicn\u00edch a tuberkul\u00f3zy Fakultn\u00ed nemocnice v Brn\u011b.<\/p>\n\n\n\n

Vy\u0161et\u0159en\u00ed ve ventila\u010dn\u00edch centrech pot\u0159ebuj\u00ed tis\u00edce pacient\u016f \u2013 a\u0165 u\u017e s apnoe, p\u0159i n\u00ed\u017e doch\u00e1z\u00ed ve sp\u00e1nku k\u00a0opakovan\u00fdm z\u00e1stav\u00e1m dechu, s\u00a0chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed (CHOPN), nebo hyperkapni\u00ed, kdy v\u00a0krvi pacient\u016f koluje kv\u016fli nemoci p\u0159\u00edli\u0161 oxidu uhli\u010dit\u00e9ho. \u201eNa specializovan\u00e1 centra se ale obrac\u00ed tak\u00e9 nemocn\u00ed s amyotrofickou later\u00e1ln\u00ed skler\u00f3zou, kte\u0159\u00ed se kv\u016fli ztr\u00e1t\u011b nervov\u00fdch bun\u011bk postupn\u011b p\u0159est\u00e1vaj\u00ed h\u00fdbat a maj\u00ed probl\u00e9my s d\u00fdch\u00e1n\u00edm,\u201c <\/em>popisuje doc. Sova. <\/p>\n\n\n\n

\u201eV\u0161em t\u011bmto skupin\u00e1m pacient\u016f dok\u00e1\u017ee zlep\u0161it a prodlou\u017eit \u017eivot neinvazivn\u00ed plicn\u00ed ventilace, kterou mohou dostat dom\u016f jen po vy\u0161et\u0159en\u00ed ve ventila\u010dn\u00edm centru a n\u00e1sledn\u00e9 indikaci l\u00e9ka\u0159em,\u201c <\/em>dod\u00e1v\u00e1. P\u0159\u00edstroj s d\u00fdchac\u00ed maskou vyu\u017e\u00edvaj\u00ed nemocn\u00ed p\u0159edev\u0161\u00edm v dob\u011b sp\u00e1nku, kdy jim pom\u00e1h\u00e1 zaji\u0161\u0165ovat v\u00fdm\u011bnu plyn\u016f a sni\u017eovat obsah oxidu uhli\u010dit\u00e9ho v\u00a0krvi. Pou\u017e\u00edvat jej ale mohou tak\u00e9 ve dne. L\u00e9\u010dbu hrad\u00ed pacient\u016fm zdravotn\u00ed poji\u0161\u0165ovna, mus\u00ed ji v\u0161ak v\u017edy doporu\u010dit pneumolog, kter\u00fd zhodnot\u00ed, jestli bude pro pacienta prosp\u011b\u0161n\u00e1.<\/p>\n\n\n\n

Nemocn\u00ed s\u00a0chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed \u010dasto trp\u00ed tzv. hyperkapni\u00ed, kter\u00e1 se projevuje zv\u00fd\u0161enou koncentrac\u00ed oxidu uhli\u010dit\u00e9ho v\u00a0krvi. I ta se l\u00e9\u010d\u00ed pomoc\u00ed neinvazivn\u00ed plicn\u00ed ventilace. Proto\u017ee ale nem\u00e1 specifick\u00e9 p\u0159\u00edznaky, je u pacient\u016f s\u00a0CHOPN velmi d\u016fle\u017eit\u00e9 vy\u0161et\u0159en\u00ed obsahu plyn\u016f v\u00a0krvi, to toti\u017e dok\u00e1\u017ee hyperkapnii odhalit. \u201eHyperkapnie je hodn\u011b zr\u00e1dn\u00e1, proto\u017ee m\u00e1 r\u016fzn\u00e9 p\u0159\u00edznaky. N\u011bkte\u0159\u00ed lid\u00e9 mohou m\u00edt spojivky podlit\u00e9 krv\u00ed a trp\u00ed nadm\u011brnou \u00fanavou, p\u0159\u00edpadn\u011b us\u00edn\u00e1n\u00edm ve dne, nebo naopak neklidem. \u0158ada nemocn\u00fdch naopak nemus\u00ed p\u0159\u00edznaky nadbytku oxidu uhli\u010dit\u00e9ho v krvi v\u016fbec zpozorovat. Vliv na jejich organismus m\u00e1 p\u0159itom tato nemoc z\u00e1sadn\u00ed,\u201c <\/em>zd\u016fraz\u0148uje prof. MUDr. Martina Koziar Va\u0161\u00e1kov\u00e1, p\u0159edsedkyn\u011b \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti \u010cLS JEP. <\/p>\n\n\n\n

Vy\u0161et\u0159en\u00ed na hyperkapnii se prov\u00e1d\u00ed tak\u00e9 ve specializovan\u00fdch ventila\u010dn\u00edch centrech. \u201ePokud se u pacient\u016f hyperkapnie potvrd\u00ed, m\u011blo by se uva\u017eovat o neinvazivn\u00ed ventila\u010dn\u00ed l\u00e9\u010db\u011b. Lid\u00e9 se p\u0159\u00edstroje nemus\u00ed b\u00e1t, proto\u017ee jim do krku nevedou v\u016fbec \u017e\u00e1dn\u00e9 trubi\u010dky,\u201c <\/em>vysv\u011btluje MUDr. Jaroslav Ln\u011bni\u010dka, vedouc\u00ed l\u00e9ka\u0159 chronick\u00fdch ambulanc\u00ed Fakultn\u00ed nemocnice Bulovka.<\/p>\n\n\n\n

O tom, jak d\u016fle\u017eitou roli neinvazivn\u00ed plicn\u00ed ventilace u pacient\u016f s d\u00fdchac\u00edmi probl\u00e9my hraje, se bude hovo\u0159it na z\u00e1\u0159ijov\u00e9m pneumologick\u00e9m kongresu v Brn\u011b. \u00da\u010dastn\u00edci se zde mimo jin\u00e9 sezn\u00e1m\u00ed s v\u00fdsledky studie, z n\u00ed\u017e vypl\u00fdv\u00e1, \u017ee u nemocn\u00fdch, kte\u0159\u00ed dostali NIV v\u010das, doch\u00e1z\u00ed k t\u00e9m\u011b\u0159 trojn\u00e1sobn\u00e9mu sn\u00ed\u017een\u00ed po\u010dtu hospitalizac\u00ed a \u00famrt\u00ed. \u201eV\u00fdsledky studie dokl\u00e1daj\u00ed, \u017ee neinvazivn\u00ed plicn\u00ed ventilace je metoda, kter\u00e1 m\u00e1 velmi \u00fa\u010dinn\u00fd preventivn\u00ed potenci\u00e1l. O to v\u011bt\u0161\u00ed je \u0161koda, \u017ee nen\u00ed vyu\u017e\u00edvan\u00e1 tak, jak by m\u011bla. V n\u011bkter\u00fdch regionech bohu\u017eel v sou\u010dasn\u00e9 dob\u011b nen\u00ed tato l\u00e9\u010dba pacient\u016fm v\u016fbec dostupn\u00e1,\u201c<\/em> uzav\u00edr\u00e1 MUDr. Ln\u011bni\u010dka.<\/p>\n\n\n\n

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

K nemocn\u00fdm se ale nedost\u00e1v\u00e1 v\u010das, ventila\u010dn\u00edch center je m\u00e1lo Pacient\u016fm s\u00a0respira\u010dn\u00edmi probl\u00e9my um\u00ed v\u00fdznamn\u011b zkvalitnit a prodlou\u017eit \u017eivot tzv. neinvazivn\u00ed plicn\u00ed ventilace (NIV) \u2013 l\u00e9\u010dba […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":41200,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42255","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\/42255","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=42255"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42255\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/41200"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42255"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42255"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}