<\/p>\n\n\n\n
Bolest b\u0159icha, \u010dast\u00e9 pr\u016fjmy \u010di z\u00e1cpy, ztr\u00e1ta chuti k\u00a0j\u00eddlu \u2013 toto v \u010cesku denn\u011b za\u017e\u00edv\u00e1 v\u00edce ne\u017e 70 000 lid\u00ed. Tzv. idiopatick\u00e9 st\u0159evn\u00ed z\u00e1n\u011bty (IBD), nej\u010dast\u011bji v podob\u011b Crohnovy choroby nebo ulcer\u00f3zn\u00ed kolitidy, l\u00e9ka\u0159i ro\u010dn\u011b nov\u011b najdou p\u0159ibli\u017en\u011b u dal\u0161\u00edch 2\u00a0500 osob. Vzhledem k\u00a0tomu, \u017ee jde o nemoci chronick\u00e9, kter\u00e9 v\u00fdznamn\u011b nesni\u017euj\u00ed pr\u016fm\u011brnou d\u00e9lku \u017eivota, po\u010det pacient\u016f v \u010cR trvale roste. <\/strong><\/p>\n\n\n\n K\u00a0nejmodern\u011bj\u0161\u00ed, tzv. c\u00edlen\u00e9 terapii se v\u0161ak nyn\u00ed dostane p\u0159ibli\u017en\u011b jen 20\u201330 % z\u00a0nich. Dal\u0161\u00ed u\u017e\u00edvaj\u00ed tzv. konven\u010dn\u00ed l\u00e9\u010dbu, nap\u0159\u00edklad v\u00a0podob\u011b kortikoid\u016f, antibiotik nebo imunosupresivn\u00edch l\u00e9\u010div. Jak situaci zlep\u0161it, \u0159e\u0161ily stovky expert\u016f na choroby tr\u00e1vic\u00edho traktu. Ti se v\u00a0z\u00e1v\u011bru minul\u00e9ho t\u00fddne <\/strong>sjeli do Prahy na 1. IBD kongres.<\/strong><\/p>\n\n\n\n \u201eV\u00fdskyt st\u0159evn\u00edch z\u00e1n\u011bt\u016f je v\u00a0\u010cesk\u00e9 republice podobn\u00fd jako v z\u00e1padn\u00ed Evrop\u011b. Tam se ale na rozd\u00edl od n\u00e1s dostane k\u00a0modern\u00ed l\u00e9\u010db\u011b v\u00fdznamn\u011b v\u011bt\u0161\u00ed pod\u00edl pacient\u016f. V\u00a0posledn\u00edch letech za\u017e\u00edv\u00e1me revoluci v\u00a0terapii z\u00e1n\u011bt\u016f st\u0159ev \u2013 m\u00e1me k dispozici modern\u00ed biologickou l\u00e9\u010dbu a\u00a0c\u00edlenou terapii zahrnuj\u00edc\u00ed tzv. \u201amal\u00e9 molekuly\u2018. A t\u011bmi bychom mohli a cht\u011bli l\u00e9\u010dit o n\u011bkolik tis\u00edc pacient\u016f v\u00edce, ne\u017e je tomu nyn\u00ed,\u201c <\/em>vysv\u011btluje gastroenterolog prof. MUDr. Milan Luk\u00e1\u0161, prezident kongresu.\u00a0<\/p>\n\n\n\n D\u016fvod\u016f, pro\u010d se modern\u00ed l\u00e9ky nedostanou ke v\u0161em pacient\u016fm, je podle n\u011bj hned n\u011bkolik: omezen\u00e9 rozpo\u010dty specializovan\u00fdch center, kde se l\u00e9\u010dba pod\u00e1v\u00e1, fakt, \u017ee se \u0159ada pacient\u016f dost\u00e1v\u00e1 do t\u011bchto center pozd\u011b a n\u011bkdy ve stavu, kdy je t\u0159eba \u010d\u00e1st po\u0161kozen\u00e9ho st\u0159eva chirurgicky odstranit.<\/p>\n\n\n\n \u201eSituaci neprosp\u00edv\u00e1 ani to, \u017ee n\u011bkter\u00e9 modern\u00ed l\u00e9ky pat\u0159\u00ed a\u017e do druh\u00e9 l\u00e9\u010debn\u00e9 linie, t<\/em>o znamen\u00e1, \u017ee pacient mus\u00ed nejd\u0159\u00edve podstoupit l\u00e9\u010dbu prvn\u00ed linie nebo u\u017e\u00edv\u00e1 kortikoidy, antibiotika \u010di l\u00e9ky potla\u010duj\u00edc\u00ed imunitn\u00ed reakce \u2013 imunosupresiva<\/em>,\u201c<\/em> dopl\u0148uje prof. Luk\u00e1\u0161. O tom, aby se modern\u00ed l\u00e9ky posunuly do linie prvn\u00ed, jednaj\u00ed gastroenterologov\u00e9 jak se zdravotn\u00edmi poji\u0161\u0165ovnami, tak se St\u00e1tn\u00edm \u00fa\u0159adem pro kontrolu l\u00e9\u010div.<\/p>\n\n\n\n Jak \u0159\u00edk\u00e1 m\u00edstop\u0159edseda \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti doc. MUDr. Martin Bortl\u00edk, Ph.D., v\u00a0\u010cesk\u00e9 republice m\u016f\u017ee v\u00a0roce 2035 \u017e\u00edt se st\u0159evn\u00edmi z\u00e1n\u011bty a\u017e 100\u00a0000 osob. \u201eT\u011bmito chronick\u00fdmi autoimunitn\u00edmi chorobami v\u011bt\u0161ina lid\u00ed onemocn\u00ed v\u00a0mlad\u00e9m v\u011bku, kolem 20. a\u017e 30. roku. Z\u00e1n\u011bty <\/em>sice zhor\u0161uj\u00ed kvalitu <\/em>\u017eivota, ale nezkracuj\u00ed ho. <\/em><\/p>\n\n\n\n Podle na\u0161ich zku\u0161enost\u00ed modern\u00ed l\u00e9\u010dba \u017eivot pacient\u016f v\u00fdrazn\u011b zlep\u0161uje. Z\u00a0invalid\u016f d\u011bl\u00e1 pr\u00e1ceschopn\u00e9 jedince, kte\u0159\u00ed mohou norm\u00e1ln\u011b fungovat v\u00a0rodin\u011b a udr\u017eovat soci\u00e1ln\u00ed kontakty,\u201c<\/em> vysv\u011btluje doc. Bortl\u00edk. N\u00e1vrat pacient\u016f do b\u011b\u017en\u00e9ho \u017eivota se tak podle n\u011bj st\u00e1tu ekonomicky vyplat\u00ed i za cenu \u00fahrad modern\u00edch l\u00e9k\u016f.<\/p>\n","protected":false},"excerpt":{"rendered":" Bolest b\u0159icha, \u010dast\u00e9 pr\u016fjmy \u010di z\u00e1cpy, ztr\u00e1ta chuti k\u00a0j\u00eddlu \u2013 toto v \u010cesku denn\u011b za\u017e\u00edv\u00e1 v\u00edce ne\u017e 70 000 lid\u00ed. Tzv. idiopatick\u00e9 st\u0159evn\u00ed z\u00e1n\u011bty (IBD), […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14126,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-47804","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\/47804","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=47804"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/47804\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14126"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=47804"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=47804"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=47804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}