{"id":42389,"date":"2023-09-26T12:08:54","date_gmt":"2023-09-26T10:08:54","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42389"},"modified":"2023-09-26T12:13:41","modified_gmt":"2023-09-26T10:13:41","slug":"zhruba-100-000-lidi-v-cesku-trpi-nelecitelnou-alzheimerovou-nemoci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42389","title":{"rendered":"Rozhovor o Alzheimerov\u011b nemoc\u00ed s MUDr. Ivou Holmerovou\u00a0\u00a0"},"content":{"rendered":"\n

Zhruba 100 000 lid\u00ed aktu\u00e1ln\u011b v \u010cesku trp\u00ed nel\u00e9\u010ditelnou Alzheimerovou nemoc\u00ed. Podle predikc\u00ed \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky to bude za p\u00e1r let v roce 2030 u\u017e zhruba 174 000 lid\u00ed. A lid\u00ed posti\u017een\u00fdch<\/strong> demenc\u00ed bude se st\u00e1rnouc\u00ed populac\u00ed z\u0159ejm\u011b p\u0159ib\u00fdvat je\u0161t\u011b mnohem rychleji. P\u0159ipravujeme na to? O tom budu te\u010f mluvit s Ivou Holmerovou, vedouc\u00ed Centra pro studium dlouhov\u011bkosti a dlouhodob\u00e9 p\u00e9\u010de na Fakult\u011b humanitn\u00edch studi\u00ed Univerzity Karlovy. Dobr\u00fd den.<\/p>\n\n\n\n

Radio\u017eurn\u00e1l
moder\u00e1torka
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Tak jak\u00e1 je ta aktu\u00e1ln\u00ed situace, pokud jde o \u0161ance na nalezen\u00ed l\u00e9ku?

Iva Holmerov\u00e1, Centrum pro studium dlouhov\u011bkosti a dlouhodob\u00e9 p\u00e9\u010de na Fakult\u011b humanitn\u00edch studi\u00ed UK
——————–
Vy, kdy\u017e jste hovo\u0159ila o t\u011bch \u010d\u00edslech, kdy\u017e jste za\u010d\u00ednala sv\u016fj \u00favod a j\u00e1 bych \u0159ekla, \u017ee ta \u010d\u00edsla jsou je\u0161t\u011b v\u011bt\u0161\u00ed, proto\u017ee v podstat\u011b to jsou \u010d\u00edsla, kter\u00e1 hovo\u0159\u00ed o Alzheimerov\u011b nemoci, a to je onemocn\u011bn\u00ed, pro kter\u00e9 se v sou\u010dasn\u00e9 dob\u011b nejintenzivn\u011bji hled\u00e1 l\u00e9k. T\u011bch ostatn\u00edch demenc\u00ed je vlastn\u011b je\u0161t\u011b daleko v\u00edce, tak\u017ee ten celkov\u00fd po\u010det lid\u00ed s demenc\u00ed je u n\u00e1s asi 170, 180 000, ale m\u00e1te pravdu, \u017ee nejv\u00edce se soust\u0159ed\u00edme na Alzheimerovu nemoc a tam tak\u00e9 v\u00fdzkum l\u00e9k\u016f nejv\u00edce pokro\u010dil, tak\u017ee v sou\u010dasn\u00e9 dob\u011b je u\u017e ur\u010dit\u00e1 nad\u011bje, \u017ee budou l\u00e9ky, nebo \u017ee existuj\u00ed l\u00e9ky, kter\u00e9 n\u011bjak\u00fdm zp\u016fsobem alespo\u0148 zpomaluj\u00ed, pozastavuj\u00ed rozvoj toho onemocn\u011bn\u00ed. Jsou to l\u00e9ky na b\u00e1zi protil\u00e1tek, ale abych nebudila plan\u00e9 nad\u011bje, proto\u017ee to mysl\u00edm, \u017ee je velice \u0161kodliv\u00e9 tyto l\u00e9ky nejsou zat\u00edm dostupn\u00e9, nejsou v\u0161eobecn\u011b dostupn\u00e9, pravd\u011bpodobn\u011b ani v budoucnu v\u0161eobecn\u011b dostupn\u00e9, proto\u017ee to jejich indika\u010dn\u00ed spektrum, lid\u00e9, kte\u0159\u00ed by z nich profitovali, tak t\u011bch je relativn\u011b velice m\u00e1lo, proto\u017ee to jsou lid\u00e9, u nich\u017e se Alzheimerova nemoc skute\u010dn\u011b nach\u00e1z\u00ed v t\u011bch nejv\u00edce po\u010d\u00e1te\u010dn\u00edch f\u00e1z\u00edch, lid\u00e9 s m\u00edrnou kognitivn\u00ed poruchou nebo dokonce s tzv. takzvan\u011b preklinickou Alzheimerovou nemoc\u00ed, kde se to je\u0161t\u011b vlastn\u011b neprojevilo. Nav\u00edc vlastn\u011b ta diagn\u00f3za je postavena na velice drah\u00fdch sofistikovan\u00fdch metod\u00e1ch a ne ur\u010den\u00e1 pro ka\u017ed\u00e9ho, proto\u017ee jenom tam, kde skute\u010dn\u011b je ve h\u0159e patologie bez amyloidu, tak tam ty l\u00e9ky budou m\u00edt ur\u010dit\u00fd efekt. A v neposledn\u00ed \u0159ad\u011b tak\u00e9 maj\u00ed z\u00e1va\u017en\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky. \u010cili ano, jsme do jist\u00e9 m\u00edry optimisti\u010dt\u00ed nyn\u00ed oproti p\u0159edchoz\u00edm, dejme tomu desetilet\u00edm…

V\u011bra \u0160techrov\u00e1, moder\u00e1torka
——————–
Ale vyhr\u00e1no v\u016fbec nen\u00ed.

Iva Holmerov\u00e1, Centrum pro studium dlouhov\u011bkosti a dlouhodob\u00e9 p\u00e9\u010de na Fakult\u011b humanitn\u00edch studi\u00ed UK
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Ale ten optimismus je zat\u00edm velice um\u00edrn\u011bn\u00fd, ano. M\u00e1me k dispozici mnoho dal\u0161\u00edch prost\u0159edk\u016f.

V\u011bra \u0160techrov\u00e1, moder\u00e1torka
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D\u00e1 se v t\u00e9hle souvislosti \u0159\u00edct, jak rychle u n\u00e1s poroste ten po\u010det lid\u00ed s Alzheimerovou chorobou nebo jin\u00fdmi formami demence obecn\u011b? P\u016fjde sp\u00ed\u0161 o skokov\u00fd n\u00e1r\u016fst, anebo n\u011bjak\u00fd postupn\u00fd p\u0159irozen\u00fd n\u00e1r\u016fst?

Iva Holmerov\u00e1, Centrum pro studium dlouhov\u011bkosti a dlouhodob\u00e9 p\u00e9\u010de na Fakult\u011b humanitn\u00edch studi\u00ed UK
——————–
Ono se bude jednat o postupn\u00fd, jak \u0159\u00edk\u00e1te doslova, to je velice v\u00fdsti\u017en\u00e9, doslova p\u0159irozen\u00fd n\u00e1r\u016fst, proto\u017ee v\u00edcem\u00e9n\u011b v\u00edme, \u017ee v\u00fdskyt Alzheimerovy nemoci je pravd\u011bpodobn\u011bj\u0161\u00ed s vy\u0161\u0161\u00edm v\u011bkem a u n\u00e1s se zvy\u0161uje velice v\u00fdrazn\u011b po\u010det lid\u00ed v t\u011bch nejstar\u0161\u00edch v\u011bkov\u00fdch skupin\u00e1ch, \u010dili lidi star\u0161\u00edch zejm\u00e9na 80 let a podobn\u011b, \u010dili to je pr\u00e1v\u011b zp\u016fsobuje to, \u017ee tak\u00e9 lid\u00e9 s Alzheimerovou chorobou budou po\u010detn\u011bj\u0161\u00ed skupinou, ne\u017e je tomu dosud, tak\u017ee prakticky t\u00e9m\u011b\u0159 dvojn\u00e1sobn\u00fd po\u010det do poloviny tohoto stolet\u00ed.

V\u011bra \u0160techrov\u00e1, moder\u00e1torka
——————–
No, a jak je na to n\u00e1\u0161 syst\u00e9m p\u0159ipraven\u00fd? T\u0159eba pokud jde o zdravotn\u00ed poji\u0161\u0165ovny nebo podporu p\u00e9\u010de o lidi s demenc\u00ed?

Iva Holmerov\u00e1, Centrum pro studium dlouhov\u011bkosti a dlouhodob\u00e9 p\u00e9\u010de na Fakult\u011b humanitn\u00edch studi\u00ed UK
——————–
Do syst\u00e9mu zdravotn\u00ed poji\u0161\u0165oven, to je velice komplexn\u00ed ot\u00e1zka, to mo\u017en\u00e1 je ot\u00e1zka sp\u00ed\u0161e na zdravotn\u00ed poji\u0161\u0165ovny, ale co se t\u00fdk\u00e1 toho cel\u00e9ho spektra slu\u017eeb, tak ono se \u0159\u00edk\u00e1 ne nadarmo, \u017ee demence je takov\u00fdm prub\u00ed\u0159sk\u00fdm kamenem vlastn\u011b propojenosti funk\u010dnosti syst\u00e9mu zdravotn\u00ed a soci\u00e1ln\u00ed p\u00e9\u010de, proto\u017ee je to onemocn\u011bn\u00ed, kter\u00e9 za\u010d\u00edn\u00e1 vlastn\u011b jako onemocn\u011bn\u00ed, poruchy pam\u011bti, chov\u00e1n\u00ed. Potom nastupuj\u00ed poruchy sob\u011bsta\u010dnosti, ale vlastn\u011b vyskytuje se tam tak\u00e9 mnoho jin\u00fdch p\u0159\u00edznak\u016f, nejenom psychick\u00fdch a tak\u00e9 t\u011blesn\u00fdch v pr\u016fb\u011bhu toho somatick\u00fdch, v pr\u016fb\u011bhu toho onemocn\u011bn\u00ed, \u010dili ten p\u0159\u00edstup mus\u00ed b\u00fdt skute\u010dn\u011b komplexn\u00ed, proto\u017ee se to onemocn\u011bn\u00ed net\u00fdk\u00e1 jenom dan\u00e9ho \u010dlov\u011bka nemocn\u00e9ho, ale tak\u00e9 jeho rodiny, m\u00e1 prost\u011b v\u00fdznamn\u00e9 soci\u00e1ln\u00ed dopady, tak\u017ee ta n\u00e1vaznost zdravotn\u00ed p\u00e9\u010de, kvalitn\u00ed erudovan\u00e9 odborn\u00e9 zdravotn\u00ed p\u00e9\u010de a potom t\u011bch dal\u0161\u00edch slu\u017eeb je nesm\u00edrn\u011b d\u016fle\u017eit\u00e1.

V\u011bra \u0160techrov\u00e1, moder\u00e1torka
——————–
No a vid\u00edte tu takov\u00fd p\u0159\u00edstup?

Iva Holmerov\u00e1, Centrum pro studium dlouhov\u011bkosti a dlouhodob\u00e9 p\u00e9\u010de na Fakult\u011b humanitn\u00edch studi\u00ed UK
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My l\u00e9ta letouc\u00ed ji\u017e definujeme pomez\u00ed, tedy hranici mezi zdravotn\u00ed, soci\u00e1ln\u00ed p\u00e9\u010di, na co\u017e vlastn\u011b dopl\u00e1cej\u00ed zejm\u00e9na lid\u00e9 s touto problematikou, tak\u017ee je to zejm\u00e9na na dohod\u011b a na spolupr\u00e1ci obou ministerstev, aby se kone\u010dn\u011b tahle ta problematika \u0159e\u0161ila nejenom s ohledem na lidi s demenc\u00ed.

V\u011bra \u0160techrov\u00e1, moder\u00e1torka
——————–
No, jak\u00e9 m\u00e1te zku\u0161enosti t\u0159eba s p\u0159\u00edstupem st\u00e1tu, co se t\u00fdk\u00e1 p\u0159\u00edsp\u011bvk\u016f na p\u00e9\u010di o tyto lidi, kte\u0159\u00ed na prvn\u00ed pohled p\u016fsob\u00ed, \u017ee se o sebe um\u011bj\u00ed postarat, ale realita je, \u017ee t\u0159eba pot\u0159ebuj\u00ed dohled 24 hodin denn\u011b?

Iva Holmerov\u00e1, Centrum pro studium dlouhov\u011bkosti a dlouhodob\u00e9 p\u00e9\u010de na Fakult\u011b humanitn\u00edch studi\u00ed UK
——————–
Ano, prost\u011b \u0165ukla h\u0159eb\u00ed\u010dek na hlavi\u010dku, proto\u017ee tady vid\u00edm tak\u00e9 jeden velik\u00fd probl\u00e9m. Posuzov\u00e1n\u00ed p\u0159\u00edsp\u011bvku na p\u00e9\u010di je paradoxn\u00ed, proto\u017ee vlastn\u011b ti, kte\u0159\u00ed za t\u011bmi lidmi doch\u00e1zej\u00ed do jejich dom\u00e1cnost\u00ed, jsou soci\u00e1ln\u00ed pracovn\u00edci, nic proti soci\u00e1ln\u00edm pracovn\u00edk\u016fm, oni jsou ti, kte\u0159\u00ed skute\u010dn\u011b to soci\u00e1ln\u00ed z\u00e1zem\u00ed dok\u00e1\u017e\u00ed posoudit, ale nedok\u00e1\u017e\u00ed posoudit vlastn\u011b stav toho nemocn\u00e9ho \u010dlov\u011bka a nesob\u011bsta\u010dnost, z\u00e1vislost na p\u00e9\u010di nevznik\u00e1 nikdy, u zdrav\u00e9ho \u010dlov\u011bka je to zpravidla d\u016fsledkem n\u011bjak\u00e9ho onemocn\u011bn\u00ed, \u010dasto pr\u00e1v\u011b onemocn\u011bn\u00ed, kter\u00e9 zp\u016fsobuje demenci a vlastn\u011b teprve zdravotn\u00edci, kvalifikovan\u00ed zdravotn\u00edci, posudk\u00e1\u0159i, eventu\u00e1ln\u011b jejich spolupracovn\u00edci, dal\u0161\u00ed zdravotn\u00edci dost\u00e1vaj\u00ed pouze podklady a vlastn\u011b nemaj\u00ed mo\u017enost n\u011bjak\u00fdm zp\u016fsobem se na tom komplexn\u00edm procesu pod\u00edlet, a proto jsou ta rozhodov\u00e1n\u00ed \u010dasto problematick\u00e1, abych to \u0159ekla eufemisticky.

V\u011bra \u0160techrov\u00e1, moder\u00e1torka
——————–
\u0158\u00edk\u00e1 Iva Holmerov\u00e1, vedouc\u00ed Centra pro studium dlouhov\u011bkosti na Fakult\u011b humanitn\u00edch studi\u00ed Univerzity Karlovy. D\u011bkuju, na sly\u0161enou.

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

Zhruba 100 000 lid\u00ed aktu\u00e1ln\u011b v \u010cesku trp\u00ed nel\u00e9\u010ditelnou Alzheimerovou nemoc\u00ed. Podle predikc\u00ed \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky to bude za p\u00e1r let v roce […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14131,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-42389","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42389","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=42389"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42389\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14131"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42389"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42389"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42389"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}