{"id":47256,"date":"2024-03-21T07:56:02","date_gmt":"2024-03-21T06:56:02","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=47256"},"modified":"2024-03-21T07:56:06","modified_gmt":"2024-03-21T06:56:06","slug":"cesti-polsti-a-slovensti-praktici-se-sjizdeji-na-poradu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=47256","title":{"rendered":"\u010ce\u0161t\u00ed, pol\u0161t\u00ed a sloven\u0161t\u00ed praktici se sj\u00ed\u017ed\u011bj\u00ed na poradu"},"content":{"rendered":"\n<p><strong>Sloven\u0161t\u00ed a pol\u0161t\u00ed praktici p\u0159ijedou do Prahy radit se s\u00a0\u010desk\u00fdmi kolegy, jak \u010delit vln\u011b pacient\u016f, kte\u0159\u00ed trp\u00ed chronick\u00fdm selh\u00e1n\u00edm srdce, ledvin nebo cukrovkou. Postkomunistick\u00e9 zem\u011b maj\u00ed v\u00fdrazn\u011b vy\u0161\u0161\u00ed po\u010dty takto nemocn\u00fdch ne\u017e zem\u011b z\u00e1padn\u00edho bloku. Praktici ze Slovenska, Polska a \u010cR tak budou \u0159e\u0161it, co d\u00e1l. Setk\u00e1n\u00ed se odehraje hned prvn\u00ed den 18. kongresu prim\u00e1rn\u00ed p\u00e9\u010de.<\/strong><\/p>\n\n\n\n<p>\u201e<em>S chronick\u00fdm selh\u00e1n\u00edm ledvin, srdce nebo s diabetem 2. typu se v\u00a0\u010cesku pot\u00fdkaj\u00ed statis\u00edce lid\u00ed. Celosv\u011btov\u011b je takto nemocn\u00fdch p\u0159es miliardu a asi 20 milion\u016f osob na tyto choroby zem\u0159e. \u010cesk\u00e1 republika, Polsko a Slovensko i 30 let po p\u00e1du <\/em><em>\u201a\u017eelezn\u00e9 opony\u2018 st\u00e1le bojuj\u00ed s\u00a0vysok\u00fdm v\u00fdskytem kardiovaskul\u00e1rn\u00edch a metabolick\u00fdch onemocn\u011bn\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f (SPL) MUDr. Petr \u0160onka. I kdy\u017e se podle n\u011bj situace pomalu zlep\u0161uje, st\u00e1le se neda\u0159\u00ed dohnat zem\u011b na z\u00e1pad od n\u00e1s. <\/p>\n\n\n\n<p>Podle prof. MUDr. Michala Vrabl\u00edka, p\u0159edsedy \u010cesk\u00e9 asociace preventivn\u00ed kardiologie, kter\u00fd bude setk\u00e1n\u00ed praktik\u016f moderovat, \u010dasto jedno z\u00a0t\u011bchto onemocn\u011bn\u00ed prov\u00e1z\u00ed, podmi\u0148uje a zhor\u0161uje druh\u00e9. <em>\u201eA\u017e 60 % lid\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm trp\u00ed z\u00e1rove\u0148 selh\u00e1n\u00edm ledvin. P\u0159ibli\u017en\u011b 37 % pacient\u016f s diabetem m\u00e1 chronick\u00e9 onemocn\u011bn\u00ed ledvin a 44 % osob se selh\u00e1n\u00edm srdce m\u00e1 z\u00e1rove\u0148 cukrovku 2. typu. V\u0161echno m\u00e1 nav\u00edc stejn\u00e9ho jmenovatele \u2013 v\u011bk, obezitu, vysok\u00fd tlak a aterosklerotick\u00e9 onemocn\u011bn\u00ed tepen. Tito pacienti tak\u00e9 m\u00edvaj\u00ed vysok\u00fd cholesterol, nebo depresi,\u201c <\/em>popisuje prof. Vrabl\u00edk. <\/p>\n\n\n\n<p>Jak d\u00e1le uv\u00e1d\u00ed, na vin\u011b je \u0161patn\u00e1 zdravotn\u00ed gramotnost a \u010dasto postoj zako\u0159en\u011bn\u00fd z\u00a0minul\u00fdch dob \u2013 \u201eo m\u00e9 zdrav\u00ed se star\u00e1 l\u00e9ka\u0159 a ne j\u00e1\u201c. \u201e<em>V\u00a0\u010cesku se po\u0159\u00e1d hodn\u011b kou\u0159\u00ed, jsme 2. a\u017e 3. v Evrop\u011b v\u00a0konzumaci alkoholu, m\u00e1lo se h\u00fdbeme, a nej\u00edme dost ovoce a zeleniny. Celkem 66 % \u010cech\u016f trp\u00ed nadv\u00e1hou a obezitou. M\u00e1me tady 2,5 milionu lid\u00ed s\u00a0vysok\u00fdm tlakem, 1,2 milionu osob s cukrovkou a 85 % dosp\u011bl\u00e9 populace s dyslipidemi\u00ed,\u201c <\/em>pokra\u010duje prof. Vrabl\u00edk a p\u0159ipom\u00edn\u00e1, \u017ee v\u00fdhled do budoucna nen\u00ed o nic r\u016f\u017eov\u011bj\u0161\u00ed &#8211; 33 % d\u011bt\u00ed m\u00e1 nadv\u00e1hu a obezitu a u zna\u010dn\u00e9 \u010d\u00e1sti adolescent\u016f je st\u00e1le popul\u00e1rn\u00ed kou\u0159en\u00ed. Podle prof. Vrabl\u00edka by situaci pomohlo pos\u00edlen\u00ed role praktik\u016f, p\u0159edev\u0161\u00edm v\u010dasn\u00e9 zachycen\u00ed rizikov\u00fdch pacient\u016f, kte\u0159\u00ed k\u00a0jedn\u00e9 z\u00a0chorob sm\u011b\u0159uj\u00ed.<\/p>\n\n\n\n<p>\u201e<em>Pracujeme intenzivn\u011b na zm\u011bn\u011b n\u00e1pln\u011b preventivn\u00edch prohl\u00eddek abychom um\u011bli tato onemocn\u011bn\u00ed d\u0159\u00edve zachytit. Jen to ale nesta\u010d\u00ed. S\u00a0lidmi, kte\u0159\u00ed jsou v\u00a0riziku, mus\u00edme b\u00fdt schopni n\u011bco d\u011blat a k\u00a0tomu n\u00e1m chyb\u011bj\u00ed kompetence. P\u0159edev\u0161\u00edm mo\u017enost p\u0159edepisovat modern\u00ed l\u00e9ky, kter\u00e9 by rozvoji nemoc\u00ed zabr\u00e1nily. Stejn\u00fd probl\u00e9m \u0159e\u0161\u00ed kolegov\u00e9 v\u00a0na Slovensku a doned\u00e1vna i v\u00a0Polsku, kde ale praktici mohou p\u0159edepisovat ve\u0161ker\u00e9 modern\u00ed l\u00e9ky bez omezen\u00ed,\u201c <\/em>vysv\u011btluje MUDr. \u0160onka. <\/p>\n\n\n\n<p>Zpo\u010d\u00e1tku je toti\u017e mo\u017en\u00e9 vzniku nemoci zabr\u00e1nit \u2013 kdy\u017e nap\u0159\u00edklad pacient spolupracuje a zm\u011bn\u00ed dosavadn\u00ed nezdrav\u00fd \u017eivotn\u00ed styl. Nebo nemoc o n\u011bkolik let odd\u00e1lit t\u00edm, \u017ee se zav\u010das nasad\u00ed l\u00e9ky, kter\u00e9 ji zkrot\u00ed. <em>\u201eDnes u\u017e m\u00e1me prost\u0159edky, jak sledovat, zda u rizikov\u00e9ho jedince nedoch\u00e1z\u00ed k\u00a0selh\u00e1n\u00ed ledvin, k\u00a0rozvoji cukrovky nebo srde\u010dn\u00edmu kolapsu,\u201c<\/em> dod\u00e1v\u00e1 MUDr. \u0160onka. Pol\u0161t\u00ed, sloven\u0161t\u00ed a \u010de\u0161t\u00ed praktici se podle n\u011bj nach\u00e1z\u00ed v\u00a0p\u0159ibli\u017en\u011b stejn\u00e9 situaci, a proto se mohou navz\u00e1jem inspirovat, jak st\u00e1vaj\u00edc\u00ed bari\u00e9ry p\u0159ekonat.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Sloven\u0161t\u00ed a pol\u0161t\u00ed praktici p\u0159ijedou do Prahy radit se s\u00a0\u010desk\u00fdmi kolegy, jak \u010delit vln\u011b pacient\u016f, kte\u0159\u00ed trp\u00ed chronick\u00fdm selh\u00e1n\u00edm srdce, ledvin nebo cukrovkou. Postkomunistick\u00e9 zem\u011b <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=47256\" title=\"\u010ce\u0161t\u00ed, pol\u0161t\u00ed a sloven\u0161t\u00ed praktici se sj\u00ed\u017ed\u011bj\u00ed na poradu\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15438,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-47256","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\/47256","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=47256"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/47256\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15438"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=47256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=47256"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=47256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}