{"id":42856,"date":"2023-10-12T11:39:47","date_gmt":"2023-10-12T09:39:47","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42856"},"modified":"2023-10-12T11:40:03","modified_gmt":"2023-10-12T09:40:03","slug":"selhani-srdce-pribyva-nasledna-pece-o-nemocne-pokulhava","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42856","title":{"rendered":"Selh\u00e1n\u00ed srdce p\u0159ib\u00fdv\u00e1, n\u00e1sledn\u00e1 p\u00e9\u010de o nemocn\u00e9 pokulh\u00e1v\u00e1"},"content":{"rendered":"\n

Projekt Znovu do \u017eivota testuje n\u00e1slednou terapii pacient\u016f<\/em><\/p>\n\n\n\n

Nezvl\u00e1dnou u\u017e tolik, co d\u0159\u00edve, pot\u0159ebuj\u00ed spoustu l\u00e9k\u016f a \u010dasto se je\u0161t\u011b v\u016fbec nec\u00edt\u00ed dob\u0159e \u2013 n\u00e1vrat z\u00a0nemocnice je pro pacienty se srde\u010dn\u00edm selh\u00e1n\u00edm \u010dasto velmi n\u00e1ro\u010dn\u00fd. Z\u00e1rove\u0148 se v\u0161ak mus\u00ed se sv\u00fdm zdravotn\u00edm stavem rychle nau\u010dit \u017e\u00edt, jinak riskuj\u00ed jeho zhor\u0161en\u00ed a dal\u0161\u00ed hospitalizaci. Kardiologov\u00e9 proto v\u00a0r\u00e1mci projektu Znovu do \u017eivota nov\u011b zkou\u0161ej\u00ed formu p\u00e9\u010de, kter\u00e1 m\u00e1 nemocn\u00fdm lidem pomoci kritick\u00e9 obdob\u00ed po n\u00e1vratu z nemocnice p\u0159eklenout. <\/strong><\/p>\n\n\n\n

V\u00a0r\u00e1mci m\u011bs\u00ed\u010dn\u00edho programu se tak pacient\u016fm dost\u00e1v\u00e1 rehabilitace, psychologick\u00e9 podpory, vzd\u011bl\u00e1v\u00e1n\u00ed v\u00a0oblasti sebep\u00e9\u010de s\u00a0ohledem na dan\u00e9 onemocn\u011bn\u00ed nebo mo\u017enost\u00ed soci\u00e1ln\u00ed podpory. Od projektu si auto\u0159i slibuj\u00ed zejm\u00e9na zkr\u00e1cen\u00ed \u010dasu n\u00e1vratu pacient\u016f do b\u011b\u017en\u00e9ho \u017eivota a tak\u00e9 sn\u00ed\u017een\u00ed rizika jejich dal\u0161\u00ed hospitalizace. Do budoucna by se pak podobn\u00e1 n\u00e1sledn\u00e1 p\u00e9\u010de m\u011bla st\u00e1t standardem.<\/strong><\/p>\n\n\n\n

P\u0159\u00edpad\u016f srde\u010dn\u00edho selh\u00e1n\u00ed v\u00a0\u010cesku raketov\u011b p\u0159ib\u00fdv\u00e1, odborn\u00edci naprosto v\u00e1\u017en\u011b mluv\u00ed o\u00a0epidemii. Srde\u010dn\u00ed selh\u00e1n\u00ed je jednou z\u00a0nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din hospitalizace u lid\u00ed nad 60 let. \u201eHlavn\u00edm c\u00edlem projektu je nab\u00eddnout pacient\u016fm se srde\u010dn\u00edm selh\u00e1n\u00edm po ukon\u010den\u00ed pobytu v\u00a0nemocnici mo\u017enost komplexn\u00ed intenzivn\u00ed rekondice, d\u00edky kter\u00e9 z\u00edskaj\u00ed ur\u010dit\u00fd p\u0159echodov\u00fd stupe\u0148 mezi hospitalizac\u00ed a dom\u00e1c\u00ed p\u00e9\u010d\u00ed. T\u00edm dojde ke sn\u00ed\u017een\u00ed rizika jejich op\u011btovn\u00e9 hospitalizace,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Jan B\u011blohl\u00e1vek, prim\u00e1\u0159 II. intern\u00ed kliniky kardiologie a\u00a0angiologie 1. LF UK a VFN, kter\u00fd je autorem projektu.<\/p>\n\n\n\n

Propu\u0161t\u011bn\u00ed pacienti podle n\u011bj toti\u017e nejsou natolik nemocn\u00ed, aby nad\u00e1le z\u016fst\u00e1vali v\u00a0nemocnici, ale z\u00e1rove\u0148 mnohdy pot\u0159ebuj\u00ed pom\u011brn\u011b intenzivn\u00ed p\u00e9\u010di, kter\u00e1 je pro n\u011b p\u0159\u00edli\u0161 drah\u00e1 a poji\u0161\u0165ovny ji nehrad\u00ed. O p\u00e9\u010di a vzd\u011bl\u00e1v\u00e1n\u00ed se staraj\u00ed vy\u0161kolen\u00ed zdravotni\u010dt\u00ed pracovn\u00edci, kte\u0159\u00ed za pacienty doj\u00ed\u017ed\u00ed. <\/em><\/p>\n\n\n\n

\u201eLid\u00e9 se srde\u010dn\u00edm selh\u00e1n\u00edm jsou v\u011bt\u0161inou omezen\u00ed ve v\u00fdkonnosti nebo pohybu, s\u00a0\u010d\u00edm\u017e se jim sna\u017e\u00edme pomoci intenzivn\u00ed rehabilitac\u00ed. Tak\u00e9 je vzd\u011bl\u00e1v\u00e1me o chorob\u011b jako takov\u00e9, aby se s\u00a0n\u00ed nau\u010dili co nejrychleji \u017e\u00edt a mohli se alespo\u0148 p\u0159ibl\u00ed\u017eit k\u00a0\u017eivotu p\u0159ed hospitalizac\u00ed. P\u0159\u00edpadn\u011b aby v\u011bd\u011bli, kde si \u0159\u00edct nap\u0159\u00edklad o pomoc v\u00a0dom\u00e1cnosti. Pracovat mus\u00edme i s\u00a0rodinami pacient\u016f, pro kter\u00e9 je situace tak\u00e9 mnohdy nov\u00e1 a obt\u00ed\u017en\u00e1,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Iveta Svobodov\u00e1, kardiolo\u017eka z II. intern\u00ed kliniky kardiologie a angiologie 1. LF UK a VFN, kter\u00e1 se na projektu Znovu do \u017eivota tak\u00e9 pod\u00edl\u00ed. <\/p>\n\n\n\n

Jej\u00ed slova potvrzuj\u00ed i sami pacienti, kte\u0159\u00ed se v\u00a0podobn\u00e9 situaci ocitli. \u201eZ m\u00e9 vlastn\u00ed zku\u0161enosti a ze zku\u0161enost\u00ed dal\u0161\u00edch pacient\u016f v\u00edm, \u017ee jednou z\u00a0nejd\u016fle\u017eit\u011bj\u0161\u00edch v\u011bc\u00ed po n\u00e1vratu z\u00a0nemocnice je st\u00e1le c\u00edtit podporu ze strany l\u00e9ka\u0159\u016f. Je to obdob\u00ed, kdy se pacient c\u00edt\u00ed nejv\u00edce nejist\u00fd. Obrovskou pomoc\u00ed je i mo\u017enost psychologick\u00e9 konzultace, proto\u017ee kdy\u017e se \u010dlov\u011bk octne na hran\u011b \u017eivota a n\u011bkdy i za n\u00ed, je n\u00e1ro\u010dn\u00e9 se s\u00a0t\u00edm sm\u00ed\u0159it. Mnohdy hlavn\u011b pro nejbli\u017e\u0161\u00ed okol\u00ed pacienta,\u201c <\/em>\u0159\u00edk\u00e1 Ing. Marie Fr\u00fddmanov\u00e1, \u0159editelka pacientsk\u00e9 organizace Znovu do \u017eivota, kter\u00e1 se na projektu pod\u00edl\u00ed a je\u017e sama p\u0159ed n\u011bkolika lety prod\u011blala srde\u010dn\u00ed z\u00e1stavu.<\/p>\n\n\n\n

V\u00a0sou\u010dasn\u00e9 dob\u011b prob\u00edh\u00e1 pilotn\u00ed \u010d\u00e1st projektu a auto\u0159i do n\u00ed pl\u00e1nuj\u00ed za\u0159adit celkem deset pacient\u016f. N\u00e1klady spojen\u00e9 s\u00a0n\u00e1slednou p\u00e9\u010d\u00ed maj\u00ed pacienti z\u00a080 % hrazeny od pacientsk\u00e9 organizace. \u201eV drtiv\u00e9 v\u011bt\u0161in\u011b lid\u00e9 tuto mo\u017enost velmi oce\u0148uj\u00ed, proto\u017ee se dozv\u00ed, jak d\u011blat v\u0161e spr\u00e1vn\u011b, a pom\u00e1h\u00e1 jim to v\u00a0n\u00e1vratu do b\u011b\u017en\u00e9ho \u017eivota,\u201c<\/em> popisuje prof. B\u011blohl\u00e1vek. Kompletn\u00ed zhodnocen\u00ed projektu podle n\u011bj prob\u011bhne do konce roku, ale u\u017e nyn\u00ed je patrn\u00e9, \u017ee podobn\u00e1 p\u00e9\u010de by m\u011bla b\u00fdt dostupn\u00e1 i pro dal\u0161\u00ed pacienty se srde\u010dn\u00edm selh\u00e1n\u00edm. <\/p>\n\n\n\n

\u201eProzat\u00edm je projekt omezen\u00fd pouze na na\u0161e pracovi\u0161t\u011b a vybran\u00e9 pacienty. Cht\u011bli jsme si p\u0159edev\u0161\u00edm ov\u011b\u0159it, zda je podobn\u00e1 intervence v\u016fbec provediteln\u00e1. Do budoucna by samoz\u0159ejm\u011b bylo ide\u00e1ln\u00ed, kdyby se tento rekondi\u010dn\u00ed program stal b\u011b\u017enou sou\u010d\u00e1st\u00ed p\u00e9\u010de pro pacienty se srde\u010dn\u00edm selh\u00e1n\u00edm, nicm\u00e9n\u011b k\u00a0tomu bude pot\u0159eba spolupr\u00e1ce v\u0161ech kardiologick\u00fdch pracovi\u0161\u0165 a p\u0159edev\u0161\u00edm zdravotn\u00edch poji\u0161\u0165oven,\u201c <\/em>uzav\u00edr\u00e1 prof. B\u011blohl\u00e1vek.<\/p>\n\n\n\n

Odborn\u00edci odhaduj\u00ed, \u017ee v\u00a0\u010cesku \u017eije asi 330\u00a0000 pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm, ka\u017edoro\u010dn\u011b nav\u00edc p\u0159ibli\u017en\u011b 40\u00a0000\u00a0lid\u00ed p\u0159ibude. Do roku 2030 tak kardiologov\u00e9 p\u0159edpokl\u00e1daj\u00ed, \u017ee v \u010cesku budou l\u00e9\u010dit asi 450 000 nemocn\u00fdch. Na projektu Znovu do \u017eivota se vedle V\u0161eobecn\u00e9 fakultn\u00ed nemocnice pod\u00edl\u00ed tak\u00e9 spole\u010dnost Boehringer Ingelheim.<\/p>\n\n\n\n

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

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

Projekt Znovu do \u017eivota testuje n\u00e1slednou terapii pacient\u016f Nezvl\u00e1dnou u\u017e tolik, co d\u0159\u00edve, pot\u0159ebuj\u00ed spoustu l\u00e9k\u016f a \u010dasto se je\u0161t\u011b v\u016fbec nec\u00edt\u00ed dob\u0159e \u2013 n\u00e1vrat […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":38620,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42856","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\/42856","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=42856"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42856\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/38620"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42856"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42856"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}