{"id":42567,"date":"2023-10-02T08:41:41","date_gmt":"2023-10-02T06:41:41","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42567"},"modified":"2023-10-02T08:41:42","modified_gmt":"2023-10-02T06:41:42","slug":"revmatoidni-artritida-neni-jen-nemoc-kloubu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42567","title":{"rendered":"Revmatoidn\u00ed artritida nen\u00ed jen nemoc kloub\u016f"},"content":{"rendered":"\n

Pacient\u016fm hroz\u00ed vy\u0161\u0161\u00ed riziko zlomenin, infarktu \u010di plicn\u00ed embolie<\/em><\/p>\n\n\n\n

Ka\u017ed\u00fd rok p\u0159ibude v\u00a0\u010cesku p\u0159ibli\u017en\u011b 3\u00a0000 nov\u00fdch pacient\u016f s\u00a0revmatoidn\u00ed artritidou. Imunitn\u00ed syst\u00e9m napad\u00e1 jejich klouby, nevratn\u011b je po\u0161kozuje a\u00a0zp\u016fsobuje chronick\u00e9 bolesti a m\u016f\u017ee v\u00e9st a\u017e k\u00a0trval\u00e9 invalidit\u011b. Revma ale zdaleka nen\u00ed jenom o kloubn\u00edch probl\u00e9mech \u2013 pacient\u016fm s\u00a0t\u00edmto z\u00e1n\u011btliv\u00fdm autoimunitn\u00edm onemocn\u011bn\u00edm toti\u017e hroz\u00ed vy\u0161\u0161\u00ed riziko zlomenin kost\u00ed, infarktu myokardu, plicn\u00ed embolie nebo infekc\u00ed. <\/strong><\/p>\n\n\n\n

Pacientsk\u00e1 organizace Revma Liga \u010cesk\u00e1 republika na to upozorn\u00ed na akci, kterou po\u0159\u00e1d\u00e1 u\u00a0p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne artritidy. Doraz\u00ed na ni l\u00e9ka\u0159i a dal\u0161\u00ed specialist\u00e9, a p\u0159\u00edchoz\u00ed tak mohou sv\u00e9 p\u0159\u00edpadn\u00e9 zdravotn\u00ed pot\u00ed\u017ee konzultovat p\u0159\u00edmo s\u00a0nimi. Chyb\u011bt nebude ani dopl\u0148kov\u00fd program, v\u00fdstava fotografi\u00ed nebo ze\u010f p\u0159\u00e1n\u00ed. Osv\u011btov\u00fd den odstartuje v pra\u017esk\u00e9m Karl\u00edn\u011b 8. \u0159\u00edjna v\u00a010 hodin.<\/strong><\/p>\n\n\n\n

\u201eAkce tohoto typu po\u0159\u00e1d\u00e1me ji\u017e \u0159adu let. Pacienti na nich maj\u00ed mo\u017enost konzultovat sv\u00e9 probl\u00e9my s\u00a0odborn\u00edky, na kter\u00e9 jinak mnohdy mus\u00ed \u010dekat i dlouh\u00e9 m\u011bs\u00edce. Leto\u0161n\u00ed osv\u011btov\u00fd den s mottem V\u010dasn\u00e1 p\u00e9\u010de \u2013 siln\u011bj\u0161\u00ed obrana je v\u00fdjime\u010dn\u00fd t\u00edm, \u017ee na n\u011bm n\u00e1v\u0161t\u011bvn\u00edk\u016fm nebudou k\u00a0dispozici jenom revmatologov\u00e9, ale i ostatn\u00ed specialist\u00e9 \u2013 plicn\u00ed l\u00e9ka\u0159, dermatolog, osteolog, fyzioterapeut a ergoterapeut,\u201c <\/em>\u0159\u00edk\u00e1 David K\u0159\u00ed\u017e, koordin\u00e1tor projekt\u016f pacientsk\u00e9 organizace Revma Liga \u010cR.<\/p>\n\n\n\n

\u201ePacienty a ve\u0159ejnost chceme upozornit na to, \u017ee revmatoidn\u00ed artritidu \u010dasto doprov\u00e1z\u00ed\u00a0v\u00edce nemoc\u00ed, nap\u0159\u00edklad osteopor\u00f3za a psoriatick\u00e1 artritida. Na akci jim ke v\u0161em t\u011bmto onemocn\u011bn\u00edm poskytneme v\u00edce informac\u00ed,\u201c <\/em>vysv\u011btluje K\u0159\u00ed\u017e.<\/p>\n\n\n\n

Revma, jak se nemoc nespr\u00e1vn\u011b lidov\u011b ozna\u010duje, je zpo\u010d\u00e1tku spojeno p\u0159edev\u0161\u00edm s otoky men\u0161\u00edch kloub\u016f a\u00a0bolestmi v\u00a0rann\u00edch hodin\u00e1ch. \u201eZa\u010d\u00e1tek nemoci je v\u011bt\u0161inou pozvoln\u00fd \u2013 pacient\u016fm ote\u010de p\u00e1r, v\u011bt\u0161inou mal\u00fdch, kloub\u016f, ty jsou bolestiv\u00e9, ztuhl\u00e9 a postupn\u011b se p\u0159id\u00e1vaj\u00ed dal\u0161\u00ed pot\u00ed\u017ee. Posti\u017eeny mohou b\u00fdt tak\u00e9 lokty, ramena, ky\u010dle nebo kolena,\u201c<\/em> popisuje prof. MUDr. Ladislav \u0160enolt, Ph.D., z\u00a0Revmatologick\u00e9ho \u00fastavu v\u00a0Praze. Jak ale zd\u016fraz\u0148uje, u\u00a0pacient\u016f s\u00a0t\u00edmto onemocn\u011bn\u00edm je t\u0159eba p\u00e1trat i po jin\u00fdch org\u00e1nov\u00fdch probl\u00e9mech.<\/p>\n\n\n\n

\u201eP\u0159ibli\u017en\u011b u 10 % nemocn\u00fdch m\u016f\u017ee doch\u00e1zet k\u00a0vazivov\u00fdm zm\u011bn\u00e1m na plic\u00edch, tzv. plicn\u00ed fibr\u00f3ze, co\u017e se m\u016f\u017ee projevit ka\u0161lem nebo du\u0161nost\u00ed. Oproti zdrav\u00fdm lidem maj\u00ed pacienti i\u00a0dvakr\u00e1t vy\u0161\u0161\u00ed riziko kardiovaskul\u00e1rn\u00edch nemoc\u00ed, a ohro\u017euje je tak infarkt myokardu, mozkov\u00e1 p\u0159\u00edhoda, tromb\u00f3za \u010di plicn\u00ed embolie,\u201c<\/em> dod\u00e1v\u00e1 prof. \u0160enolt, kter\u00fd se akce po\u0159\u00e1dan\u00e9 ke Sv\u011btov\u00e9mu dni artritidy tak\u00e9 z\u00fa\u010dastn\u00ed. S\u00a0nemocn\u00fdmi zkonzultuje jejich pot\u00ed\u017ee a v\u00a0p\u0159\u00edpad\u011b pot\u0159eby je nasm\u011bruje k\u00a0dal\u0161\u00edm specialist\u016fm. N\u011bkter\u00e1 vy\u0161et\u0159en\u00ed mohou n\u00e1v\u0161t\u011bvn\u00edci podstoupit p\u0159\u00edmo na m\u00edst\u011b \u2013 nap\u0159\u00edklad spirometrii, kdy jim plicn\u00ed l\u00e9ka\u0159i zm\u011b\u0159\u00ed kapacitu plic.<\/p>\n\n\n\n

S\u00a0revmatoidn\u00ed artritidou b\u00fdv\u00e1 \u010dasto spojen\u00e1 i osteopor\u00f3za \u2013 \u0159\u00eddnut\u00ed kost\u00ed. Projevuje se zlomeninami i po drobn\u00fdch \u00farazech, n\u011bkdy dokonce bez \u00farazov\u00e9ho d\u011bje. Tato nemoc je bezp\u0159\u00edznakov\u00e1, a tak na ni pacienty dop\u0159edu nic neupozor\u0148uje. \u201eOsteopor\u00f3za bol\u00ed a\u017e tehdy, kdy\u017e si \u010dlov\u011bk n\u011bco zlom\u00ed. Jedn\u00edm z\u00a0jej\u00edch v\u00fdznamn\u00fdch rizikov\u00fdch faktor\u016f je prob\u00edhaj\u00edc\u00ed z\u00e1n\u011btliv\u00e9 revmatick\u00e9 onemocn\u011bn\u00ed \u2013 u lid\u00ed s\u00a0revmatoidn\u00ed artritidou je tedy pot\u0159eba zav\u010das vy\u0161et\u0159it, jestli tuto nemoc tak\u00e9 nemaj\u00ed,\u201c <\/em>upozor\u0148uje osteolog a revmatolog MUDr. Jan Rosa z\u00a0osteocentra Affidea Praha.<\/p>\n\n\n\n

Zv\u00fd\u0161en\u00e9 riziko jej\u00edho vzniku nav\u00edc maj\u00ed ti, kte\u0159\u00ed se dlouhodob\u011b l\u00e9\u010d\u00ed kortikoidy, co\u017e je u pacient\u016f s\u00a0revmatoidn\u00ed artritidou relativn\u011b \u010dast\u00e9. \u201eNemocn\u00e9 na to upozorn\u00edme pr\u00e1v\u011b na osv\u011btov\u00e9m dni v Praze. Pro n\u00e1v\u0161t\u011bvn\u00edky p\u0159ipravujeme i speci\u00e1ln\u00ed dotazn\u00edk, pomoc\u00ed kter\u00e9ho u nich vy\u010d\u00edsl\u00edme riziko zlomenin v\u00a0n\u00e1sleduj\u00edc\u00edch 10 letech,\u201c<\/em> popisuje MUDr. Rosa.<\/p>\n\n\n\n

Z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed kloub\u016f m\u016f\u017ee souviset tak\u00e9 s\u00a0lup\u00e9nkou neboli psori\u00e1zou. Ka\u017ed\u00fd \u010dtvrt\u00fd pacient s\u00a0lup\u00e9nkou m\u00e1 posti\u017een\u00e9 i klouby. \u201ePsori\u00e1za se m\u016f\u017ee projevovat r\u016fzn\u011b \u2013 lupy ve vlasech, za\u010derven\u00e1n\u00edm a \u0161upinkami na loktech a kolenou nebo hrubou k\u016f\u017e\u00ed na dlan\u00edch, ale tak\u00e9 z\u00e1n\u011btliv\u00fdm posti\u017een\u00edm k\u016f\u017ee cel\u00e9ho t\u011bla i n\u011bkter\u00fdch vnit\u0159n\u00edch org\u00e1n\u016f. Jej\u00ed l\u00e9\u010dbou lze v\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech artritid\u011b \u00fa\u010dinn\u011b p\u0159edch\u00e1zet,\u201c <\/em>popisuje prof. MUDr. Petr Arenberger, DrSc., MBA, FCMA, p\u0159ednosta Dermatovenerologick\u00e9 kliniky 3. LF UK a Fakultn\u00ed nemocnice Kr\u00e1lovsk\u00e9 Vinohrady v\u00a0Praze.<\/p>\n\n\n\n

\u201ePokud nasad\u00edme u pacient\u016f s\u00a0t\u011b\u017e\u0161\u00ed formou lup\u00e9nky syst\u00e9movou l\u00e9\u010dbu a n\u00e1sledn\u011b biologickou nebo jinou c\u00edlenou l\u00e9\u010dbu, zablokujeme t\u00edm z\u00e1rove\u0148 m\u00edrn\u00e9 formy artritidy. U nemocn\u00fdch pak nedojde k\u00a0takov\u00e9mu posti\u017een\u00ed kloub\u016f, kter\u00e9 by u nich mohlo vyvolat trval\u00e9 \u0161kody na pohybov\u00e9m apar\u00e1tu,\u201c<\/em> dod\u00e1v\u00e1 prof. Arenberger, kter\u00fd se ud\u00e1losti ke Sv\u011btov\u00e9mu dni artritidy tak\u00e9 z\u00fa\u010dastn\u00ed.<\/p>\n\n\n\n

Akce po\u0159\u00e1dan\u00e1 Revma Ligou \u010cR zahrne i doprovodn\u00fd program a p\u0159edn\u00e1\u0161ky. \u201eKrom\u011b toho si<\/em> n\u00e1v\u0161t\u011bvn\u00edci budou moci vyrobit n\u00e1ramky na pam\u00e1tku. P\u0159ipravujeme pro n\u011b tak\u00e9 v\u00fdstavu fotografi\u00ed pacientsk\u00fdch skupin Skleroderma a Myozitida nebo ze\u010f p\u0159\u00e1n\u00ed, na kterou budou moci napsat sv\u00e9 vzkazy l\u00e9ka\u0159\u016fm nebo na\u0161\u00ed organizaci,\u201c <\/em>popisuje David K\u0159\u00ed\u017e z Revma Ligy \u010cR. Akce, kter\u00e1 se kon\u00e1 pod z\u00e1\u0161titou prvn\u00ed d\u00e1my \u010cesk\u00e9 republiky Evy Pavlov\u00e9 a ministra zdravotnictv\u00ed Vlastimila V\u00e1lka, je zdarma a konat se bude 8. \u0159\u00edjna od 10 do 14 hodin v pra\u017esk\u00e9m Karl\u00edn\u011b. \u201eJe otev\u0159en\u00e1 v\u0161em, kte\u0159\u00ed n\u00e1s pot\u0159ebuj\u00ed, nejenom pacient\u016fm, a nen\u00ed pot\u0159eba se na ni nikde registrovat. Prvn\u00edch 50 p\u0159\u00edchoz\u00edch od n\u00e1s nav\u00edc dostane speci\u00e1ln\u00ed d\u00e1rek,\u201c<\/em> dod\u00e1v\u00e1 K\u0159\u00ed\u017e.<\/p>\n\n\n\n

V\u00edce o akci najdete na: www.denartritidy.cz<\/a>.<\/p>\n\n\n\n

<\/p>\n\n\n\n

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

Pacient\u016fm hroz\u00ed vy\u0161\u0161\u00ed riziko zlomenin, infarktu \u010di plicn\u00ed embolie Ka\u017ed\u00fd rok p\u0159ibude v\u00a0\u010cesku p\u0159ibli\u017en\u011b 3\u00a0000 nov\u00fdch pacient\u016f s\u00a0revmatoidn\u00ed artritidou. Imunitn\u00ed syst\u00e9m napad\u00e1 jejich klouby, nevratn\u011b […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42567","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\/42567","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=42567"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42567\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42567"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42567"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42567"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}