V\u00edce ne\u017e jeden milion lid\u00ed v \u010cesk\u00e9 republice trp\u00ed diabetem a pr\u00e1v\u011b 14. listopadu se ka\u017edoro\u010dn\u011b slav\u00ed Sv\u011btov\u00fd den diabetu, kter\u00fd m\u00e1 pouk\u00e1zat na prevenci.<\/p>\n\n\n\n
Pokud se nemoc nel\u00e9\u010d\u00ed, ohro\u017euje dal\u0161\u00ed org\u00e1ny, a jednu z \u010dast\u00fdch komplikac\u00ed diabetu p\u0159edstavuje posti\u017een\u00ed o\u010d\u00ed. Pravideln\u00fdm vy\u0161et\u0159en\u00edm o\u010dn\u00edho pozad\u00ed je nicm\u00e9n\u011b mo\u017en\u00e9 odhalit u\u017e minim\u00e1ln\u00ed zm\u011bny na s\u00edtnici a v\u010dasn\u00fdm o\u0161et\u0159en\u00edm pak zabr\u00e1nit v\u00e1\u017en\u00e9mu po\u0161kozen\u00ed zraku. S diagnostikou zraku pacient\u016fm v libereck\u00e9 nemocnici, kde doposud o\u010dn\u00ed pozad\u00ed nevy\u0161et\u0159ovali, nov\u011b pom\u00e1h\u00e1 i p\u0159\u00edstroj zvan\u00fd fundus kamera.<\/p>\n\n\n\n
\u201eTato metoda byla nicm\u00e9n\u011b nov\u011b schv\u00e1lena i pro diabetologick\u00e1 pracovi\u0161t\u011b, na\u0161e nemocnice proto tuto fundus kameru zakoupila a na diabetologii za\u010d\u00edn\u00e1me o\u010dn\u00ed pozad\u00ed nov\u011b vy\u0161et\u0159ovat u na\u0161ich diabetologick\u00fdch pacient\u016f 1. i 2. typu. Z\u00e1rove\u0148 chceme tuto slu\u017ebu nab\u00eddnout i praktick\u00fdm l\u00e9ka\u0159\u016fm, kte\u0159\u00ed maj\u00ed obrovsk\u00e9 mno\u017estv\u00ed pacient\u016f s diabetem 2. typu v p\u00e9\u010di,\u201c \u0159ekla prim\u00e1\u0159ka diabetologie a vedouc\u00ed diabetologick\u00e9ho centra Jindra Vejrychov\u00e1 s t\u00edm, \u017ee vy\u0161et\u0159en\u00ed se obejde bez roz\u0161\u00ed\u0159en\u00ed zorni\u010dky pomoc\u00ed rozkap\u00e1n\u00ed oka. Pacient jenom p\u0159ilo\u017e\u00ed hlavu ke kame\u0159e a ta vyfot\u00ed o\u010dn\u00ed pozad\u00ed bez nutnosti rozkap\u00e1v\u00e1n\u00ed. \u201ePacient tedy p\u0159ijde a za deset minut v po\u0159\u00e1dku odch\u00e1z\u00ed a m\u016f\u017ee t\u0159eba \u0159\u00eddit auto,\u201c dodala.<\/p>\n\n\n\n
Sn\u00edmek s\u00edtnice oka vyhodnot\u00ed um\u011bl\u00e1 inteligence. Kamera oko pacienta vyfot\u00ed a AI by n\u00e1sledn\u011b m\u011bla b\u00fdt schopna rozpoznat po\u010d\u00ednaj\u00edc\u00ed zm\u011bny, kter\u00e9 souvis\u00ed s retinopati\u00ed, tedy posti\u017een\u00edm oka u diabetu. Podle v\u00fdsledku pak n\u00e1sleduje bu\u010f objedn\u00e1n\u00ed na dal\u0161\u00ed kontrolu za rok anebo odesl\u00e1n\u00ed k o\u010dn\u00edmu l\u00e9ka\u0159i.<\/p>\n\n\n\n
Toto preventivn\u00ed vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed u v\u011bt\u0161iny diabetick\u00fdch pacient\u016f. \u201eC\u00edlem prov\u00e1d\u011bn\u00ed tohoto vy\u0161et\u0159en\u00ed na diabetologii je odfiltrov\u00e1n\u00ed velk\u00e9 \u010d\u00e1sti pacient\u016f, kte\u0159\u00ed nemaj\u00ed \u017e\u00e1dn\u00e9 zn\u00e1mky retinopatie, od o\u010dn\u00edch l\u00e9ka\u0159\u016f. Vy\u0161et\u0159en\u00ed je jednoduch\u00e9, bezbolestn\u00e9, rychl\u00e9 a jednou ro\u010dn\u011b pln\u011b hrazen\u00e9 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed. \u010cekac\u00ed doby jsou u n\u00e1s nyn\u00ed minim\u00e1ln\u00ed, pacient se s\u00e1m objedn\u00e1 p\u0159es internet na term\u00edn, kter\u00fd mu vyhovuje,\u201c zd\u016fraznila Vejrychov\u00e1 s t\u00edm, \u017ee \u010dlov\u011bk odch\u00e1z\u00ed zhruba za 15 minut s v\u00fdsledkem.<\/p>\n\n\n\n
Libereck\u00e1 diabetologie nov\u011b p\u0159ipravuje rozs\u00e1hl\u00fd vzd\u011bl\u00e1vac\u00ed program pro pacienty s nov\u011b diagnostikovan\u00fdm diabetem. Ten pom\u016f\u017ee nemocn\u00fdm rozpoznat ve\u0161ker\u00e9 z\u00e1ludnosti choroby a sezn\u00e1m\u00ed je s mo\u017enostmi monitorace glyk\u00e9mi\u00ed a sou\u010dasnou modern\u00ed l\u00e9\u010dbou.<\/p>\n\n\n\n
SV\u011aTOV\u00dd DEN DIABETU<\/p>\n\n\n\n
Objevitel inzul\u00ednu Sir Frederick Grant Banting se narodil 14. listopadu1891. Na jeho po\u010dest v roce 1991 Sv\u011btov\u00e1 zdravotnick\u00e1 organizace (WHO) vyhl\u00e1sila 14. 11. Sv\u011btov\u00fdm dnem diabetu. Tento den m\u00e1 p\u0159ipomenout v\u0161em, \u017ee diabetes mellitus \u2013 cukrovka je velmi nebezpe\u010dn\u00e9 onemocn\u011bn\u00ed, kter\u00e9 m\u00e1 z\u00e1va\u017en\u00e9 dopady na zdrav\u00ed a osud pacient\u016f.<\/p>\n\n\n\n
Hlavn\u00edm znakem nemoci je neschopnost organismu zpracov\u00e1vat cukr. Projevuje se hyperglyk\u00e9mi\u00ed, vysokou hladinou krevn\u00edho cukru a jeho vylu\u010dov\u00e1n\u00edm do mo\u010di. Proto m\u00e1 pacient v\u011bt\u0161\u00ed \u017e\u00edze\u0148, v\u00edce mo\u010d\u00ed, hubne. Onemocn\u011bn\u00ed ale m\u016f\u017ee b\u011b\u017eet i mnoho let bez p\u0159\u00edznak\u016f a projev\u00ed se a\u017e pozdn\u00edmi komplikacemi. Nedostate\u010dn\u011b kontrolovan\u00fd diabetes je spojen s vysok\u00fdm rizikem posti\u017een\u00ed o\u010d\u00ed, ledvin, nerv\u016f, pojivov\u00e9 tk\u00e1n\u011b, k\u016f\u017ee a c\u00e9v. Ve sv\u00e9m d\u016fsledku pak m\u016f\u017ee zp\u016fsobit slepotu, selh\u00e1n\u00ed ledvin, v\u0159edy na doln\u00edch kon\u010detin\u00e1ch a amputace \u010di urychlit kornat\u011bn\u00ed tepen \u2013 ateroskler\u00f3zu a vysok\u00fdm rizikem mrtvice nebo infarktu myokardu.<\/p>\n\n\n\n
V \u010cesk\u00e9 republice v sou\u010dasn\u00e9 dob\u011b touto nemoc\u00ed trp\u00ed v\u00edce ne\u017e 1 000 000 obyvatel. Ka\u017ed\u00fd rok se nejm\u00e9n\u011b 110 000 lid\u00ed dozv\u00ed, \u017ee maj\u00ed diabetes mellitus, a dal\u0161\u00edch 300 000 o sv\u00e9 diagn\u00f3ze zat\u00edm nev\u00ed. 85 % pacient\u016f onemocn\u00ed diabetem 2. typu, 6,5 % diabetem 1. typu, 7,4 % m\u00e1 prediabetes, zb\u00fdvaj\u00edc\u00ed pak sekund\u00e1rn\u00ed diabetes. N\u00e1klady na l\u00e9\u010dbu diabetu, a zvl\u00e1\u0161t\u011b pak jeho komplikac\u00ed spot\u0159ebuj\u00ed v \u010cesk\u00e9 republice a\u017e 20 % ve\u0161ker\u00fdch n\u00e1klad\u016f na zdravotnictv\u00ed.<\/p>\n\n\n\n
Diabetes mellitus 2. typu je onemocn\u011bn\u00ed, kter\u00e9 je sice geneticky v\u00e1zan\u00e9, ale z velk\u00e9 m\u00edry souvis\u00ed se \u017eivotn\u00edm stylem. Spr\u00e1vn\u00fdmi stravovac\u00edmi n\u00e1vyky, pohybem, udr\u017een\u00edm si optim\u00e1ln\u00ed hmotnosti mohou i lid\u00e9 ve vysok\u00e9m riziku manifestace diabetes mellitus ovlivnit, kdy se u nich nemoc projev\u00ed a jak\u00e9 pro n\u011b bude m\u00edt zdravotn\u00ed d\u016fsledky. Oproti tomu diabetes mellitus 1. typu postihuje \u010dast\u011bji d\u011bti a mlad\u0161\u00ed osoby, nen\u00ed ov\u0161em vylou\u010den i ve star\u0161\u00edm v\u011bku. D\u016fvod vzniku t\u00e9to nemoci nen\u00ed zcela jasn\u00fd. Je pro ni charakteristick\u00e9, \u017ee se v t\u011ble nevyr\u00e1b\u00ed dostatek inzul\u00ednu, proto jsou pacienti celo\u017eivotn\u011b z\u00e1visl\u00ed na jeho dod\u00e1v\u00e1n\u00ed.<\/p>\n\n\n\n
Diabetes mellitus je z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed a je t\u0159eba zjistit v\u010das jeho p\u0159\u00edtomnost a spr\u00e1vn\u011b jej l\u00e9\u010dit, aby nedo\u0161lo k rozvoji komplikac\u00ed, kter\u00e9 pak nemocn\u00e9mu mohou velmi znep\u0159\u00edjemnit \u010di i zkr\u00e1tit \u017eivot. Je velmi d\u016fle\u017eit\u00e9, aby pacienti o sv\u00e9 nemoci v\u011bd\u011bli co nejv\u00edce, pravideln\u011b si kontrolovali hladinu krevn\u00edho cukru, dodr\u017eovali dietu, u\u017e\u00edvali doporu\u010den\u00e9 l\u00e9ky a dostate\u010dn\u011b se h\u00fdbali. Diabetolog nebo praktick\u00fd l\u00e9ka\u0159 pak pomoc\u00ed krevn\u00edch test\u016f kontroluje, zda je onemocn\u011bn\u00ed stabilizovan\u00e9 a zda se neobjevuj\u00ed prvn\u00ed zn\u00e1mky mo\u017en\u00e9ho po\u0161kozen\u00ed ledvin. Zdroj: KNL<\/p>\n\n\n\n
Ji\u0159\u00ed Louda<\/p>\n\n\n\n
Libereck\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/liberecky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" V\u00edce ne\u017e jeden milion lid\u00ed v \u010cesk\u00e9 republice trp\u00ed diabetem a pr\u00e1v\u011b 14. listopadu se ka\u017edoro\u010dn\u011b slav\u00ed Sv\u011btov\u00fd den diabetu, kter\u00fd m\u00e1 pouk\u00e1zat na prevenci. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14173,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-43680","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\/43680","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=43680"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43680\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14173"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43680"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}