{"id":47187,"date":"2024-03-19T15:24:21","date_gmt":"2024-03-19T14:24:21","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=47187"},"modified":"2024-03-19T15:24:21","modified_gmt":"2024-03-19T14:24:21","slug":"tisice-pacientu-prisly-k-praktikum-zjistit-zda-jim-ridnou-kosti","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=47187","title":{"rendered":"Tis\u00edce pacient\u016f p\u0159i\u0161ly k\u00a0praktik\u016fm zjistit, zda jim \u0159\u00eddnou kosti"},"content":{"rendered":"\n

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Zachytit v\u00a0ordinac\u00edch praktick\u00fdch l\u00e9ka\u0159\u016f pacienty s\u00a0rizikem \u0159\u00eddnut\u00ed kost\u00ed d\u0159\u00edv, ne\u017e maj\u00ed prvn\u00ed zlomeniny \u2013 to je c\u00edl Popula\u010dn\u00edho programu \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy, kter\u00fd v\u00a0\u010cesku odstartoval loni v\u00a0dubnu. Doposud se ho z\u00fa\u010dastnily tis\u00edce pacient\u016f. Ordinac\u00ed, kde mohou lid\u00e9 podstoupit specializovan\u00e9 vy\u0161et\u0159en\u00ed kost\u00ed, nav\u00edc st\u00e1le p\u0159ib\u00fdv\u00e1. Osteopor\u00f3zou, kter\u00e1 zp\u016fsobuje zlomeniny i p\u0159i drobn\u00fdch \u00farazech, v tuzemsku trp\u00ed a\u017e 750\u00a0000 lid\u00ed. Odborn\u00edci se t\u00e9matu budou v\u011bnovat na 18. kongresu prim\u00e1rn\u00ed p\u00e9\u010de, kter\u00fd startuje 22. b\u0159ezna v\u00a0Praze.<\/strong><\/p>\n\n\n\n

\u201eOsteopor\u00f3za je jednou z\u00a0nej\u010dast\u011bj\u0161\u00edch metabolick\u00fdch chorob a t\u00fdk\u00e1 se hlavn\u011b star\u0161\u00edch lid\u00ed. Zp\u016fsobuje zlomeniny i p\u0159i minim\u00e1ln\u00edm podn\u011btu. Je ale bezp\u0159\u00edznakov\u00e1, a tak pacienty p\u0159edem nic nevaruje. Proto je velmi d\u016fle\u017eit\u00e1 v\u010dasn\u00e1 diagnostika,\u201c <\/em>popisuje MUDr. Petr \u0160onka, p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f. Osteopor\u00f3za se n\u011bkdy ozna\u010duje jako \u201etich\u00fd zlod\u011bj kost\u00ed\u201c, projevuje se toti\u017e \u0159\u00eddnut\u00edm kost\u00ed a\u00a0n\u00e1sledn\u00fdmi zlomeninami. <\/p>\n\n\n\n

V\u00a0\u010cesku utrp\u00ed osteoporotickou frakturu ka\u017ed\u00e1 druh\u00e1 \u017eena a ka\u017ed\u00fd p\u00e1t\u00fd mu\u017e ve v\u011bku nad 50 let. \u201eOsoby s\u00a0rizikem osteopor\u00f3zy je t\u0159eba zachytit co nejd\u0159\u00edve, d\u016fsledky jejich zlomenin toti\u017e mohou b\u00fdt v\u00e1\u017en\u00e9 a zvy\u0161ovat riziko \u00famrt\u00ed. Do jednoho roku po zlomenin\u011b kr\u010dku stehenn\u00ed kosti u n\u00e1s um\u00edr\u00e1 31 % nemocn\u00fdch. Na vy\u0161et\u0159en\u00ed ale rizikov\u00ed pacienti mus\u00ed \u010dasto dlouho \u010dekat, ordinace odborn\u00fdch l\u00e9ka\u0159\u016f jsou toti\u017e p\u0159epln\u011bn\u00e9,\u201c <\/em>dod\u00e1v\u00e1 MUDr. \u0160onka.
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Probl\u00e9m s\u00a0nedostate\u010dnou kapacitou specialist\u016f na kostn\u00ed metabolismus \u2013 osteolog\u016f \u2013 \u0159e\u0161\u00ed pr\u00e1v\u011b Popula\u010dn\u00ed program \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy. Vy\u0161et\u0159en\u00ed kost\u00ed mohou d\u00edky n\u011bmu ji\u017e t\u00e9m\u011b\u0159 rok prov\u00e1d\u011bt tak\u00e9 pro\u0161kolen\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i a gynekologov\u00e9. Pacienti v rizikov\u00e9 skupin\u011b nejprve v\u00a0r\u00e1mci dvoulet\u00fdch preventivn\u00edch prohl\u00eddek absolvuj\u00ed pohovor a vypln\u00ed diagnostick\u00fd dotazn\u00edk.<\/p>\n\n\n\n

\u201eT\u00fdk\u00e1 se to \u017een rok po menopauze a\u017e do v\u011bku 59 let a mu\u017e\u016f od 65\u201369 let. L\u00e9ka\u0159i u nich vyhodnot\u00ed riziko osteopor\u00f3zy, a\u00a0pokud je vysok\u00e9, pacienti n\u00e1sledn\u011b podstoup\u00ed denzitometrii \u2013 podrobn\u00e9 vy\u0161et\u0159en\u00ed kost\u00ed,\u201c <\/em>up\u0159es\u0148uje MUDr. \u0160onka a dod\u00e1v\u00e1, \u017ee \u017eeny nad 60 let a mu\u017ei nad 70 let maj\u00ed na vy\u0161et\u0159en\u00ed pomoc\u00ed denzitometru n\u00e1rok u\u017e p\u0159i v\u0161ech preventivn\u00edch prohl\u00eddk\u00e1ch.
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P\u0159ed startem programu \u010dasn\u00e9ho z\u00e1chytu bylo v\u00a0\u010cesku dostupn\u00fdch asi 100 denzitometr\u016f, co\u017e je p\u0159ibli\u017en\u011b polovina ve srovn\u00e1n\u00ed se standardem zem\u00ed Evropsk\u00e9 unie. Jedn\u00edm z\u00a0c\u00edl\u016f popula\u010dn\u00edho programu tak je do roku 2026 s\u00ed\u0165 denzitometr\u016f zdvojn\u00e1sobit. \u201eVzhledem k\u00a0tomu, jak rychle jich p\u0159ib\u00fdv\u00e1, se to podle m\u011b poda\u0159\u00ed u\u017e v leto\u0161n\u00edm roce,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. \u0160onka, kter\u00fd denzitometr vyu\u017e\u00edv\u00e1 tak\u00e9. Ide\u00e1ln\u00ed stav podle n\u011bj nastane, a\u017e bude na 50\u00a0000 obyvatel dostupn\u00fd alespo\u0148 jeden takov\u00fd p\u0159\u00edstroj. Denzitometry v\u00a0sou\u010dasn\u00e9 dob\u011b chyb\u00ed hlavn\u011b v\u00a0regionech; ve v\u011bt\u0161\u00edch m\u011bstech, nap\u0159\u00edklad v\u00a0Praze a\u00a0v\u00a0Brn\u011b, jich u\u017e je dostatek.<\/p>\n\n\n\n

\u201eD\u016fle\u017eit\u00fd je jak v\u010dasn\u00fd z\u00e1chyt pacient\u016f v m\u00e9n\u011b z\u00e1va\u017en\u00e9m stadiu osteopor\u00f3zy, tak prok\u00e1z\u00e1n\u00ed tohoto onemocn\u011bn\u00ed v\u00a0p\u0159\u00edpad\u011b podez\u0159en\u00ed,\u201c <\/em>dopl\u0148uje MUDr. Ivo Proch\u00e1zka, \u010dlen v\u00fdboru Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f. Vy\u0161et\u0159en\u00ed pomoc\u00ed denzitometru za\u010dal pacient\u016fm nab\u00edzet na za\u010d\u00e1tku leto\u0161n\u00edho roku a doposud jich provedl asi 250. <\/p>\n\n\n\n

\u201eJakmile zn\u00e1me v\u00fdsledky, pacienty pou\u010d\u00edme o\u00a0rizic\u00edch, kter\u00e1 jim hroz\u00ed. Vysv\u011btl\u00edme jim tak\u00e9, jak by m\u011bl vypadat jejich \u017eivotn\u00ed styl a stravovac\u00ed n\u00e1vyky, a doporu\u010d\u00edme vhodnou terapii. T\u00edm v\u0161\u00edm se sna\u017e\u00edme p\u0159edej\u00edt nep\u0159\u00edjemn\u00fdm zlomenin\u00e1m, kter\u00e9 osteopor\u00f3za zp\u016fsobuje. Jejich l\u00e9\u010dba je n\u00e1ro\u010dn\u00e1, zdlouhav\u00e1 a bolestiv\u00e1. V\u00a0mnoha p\u0159\u00edpadech nav\u00edc s\u00a0trval\u00fdmi a \u017eivot ohro\u017euj\u00edc\u00edmi n\u00e1sledky,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Proch\u00e1zka.
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Pokud praktick\u00fd l\u00e9ka\u0159 v\u00a0ordinaci denzitometr nem\u00e1, m\u011bl by p\u0159i preventivn\u00edch prohl\u00eddk\u00e1ch vystavit \u017e\u00e1danku na m\u011b\u0159en\u00ed hustoty kostn\u00ed tk\u00e1n\u011b v\u0161em pacient\u016fm, kte\u0159\u00ed maj\u00ed na tento typ vy\u0161et\u0159en\u00ed n\u00e1rok. \u201e\u017d\u00e1danku m\u016f\u017ee vystavit tak\u00e9 gynekolog. V\u0161em pacient\u016fm doporu\u010duji, aby se sv\u00e9ho l\u00e9ka\u0159e na proveden\u00ed tohoto vy\u0161et\u0159en\u00ed zeptali p\u0159i pravideln\u00fdch prohl\u00eddk\u00e1ch a zkonzultovali s\u00a0n\u00edm, kde denzitometrii podstoupit,\u201c<\/em> dod\u00e1v\u00e1 MUDr. \u0160onka.
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Od 1. ledna leto\u0161n\u00edho roku mohou prakti\u010dt\u00ed l\u00e9ka\u0159i nemocn\u00e9 s osteopor\u00f3zou ve sv\u00fdch ordinac\u00edch i l\u00e9\u010dit. \u201eVysoce rizikov\u00e9 pacienty a komplikovan\u00e9 p\u0159\u00edpady l\u00e9\u010d\u00ed i nad\u00e1le specialist\u00e9 osteologov\u00e9. O ty ostatn\u00ed se u\u017e ale m\u016f\u017eeme postarat my. Pacient\u016fm nasad\u00edme vhodnou l\u00e9\u010dbu a stanov\u00edme term\u00edn kontroln\u00ed denzitometrie, kter\u00fd je d\u016fle\u017eit\u00fd jak z\u00a0hlediska efektu terapie, tak jako psychick\u00e9 povzbuzen\u00ed pacienta,\u201c<\/em> uzav\u00edr\u00e1 MUDr. Proch\u00e1zka.<\/p>\n","protected":false},"excerpt":{"rendered":"

Zachytit v\u00a0ordinac\u00edch praktick\u00fdch l\u00e9ka\u0159\u016f pacienty s\u00a0rizikem \u0159\u00eddnut\u00ed kost\u00ed d\u0159\u00edv, ne\u017e maj\u00ed prvn\u00ed zlomeniny \u2013 to je c\u00edl Popula\u010dn\u00edho programu \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy, kter\u00fd v\u00a0\u010cesku odstartoval […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":47189,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-47187","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\/47187","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=47187"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/47187\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/47189"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=47187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=47187"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=47187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}