{"id":48083,"date":"2024-04-15T11:41:01","date_gmt":"2024-04-15T09:41:01","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=48083"},"modified":"2024-04-15T11:41:05","modified_gmt":"2024-04-15T09:41:05","slug":"pacienty-z-byvaleho-vychodniho-bloku-trapi-stejne-nemoci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=48083","title":{"rendered":"Pacienty z b\u00fdval\u00e9ho v\u00fdchodn\u00edho bloku tr\u00e1p\u00ed stejn\u00e9 nemoci"},"content":{"rendered":"\n

Praktici mus\u00ed m\u00edt v\u011bt\u0161\u00ed pravomoci v\u00a0l\u00e9\u010db\u011b chronick\u00e9ho selh\u00e1n\u00ed srdce, ledvin nebo cukrovky. Shodli se na tom \u010de\u0161t\u00ed, sloven\u0161t\u00ed a pol\u0161t\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i, kte\u0159\u00ed se v\u00a0b\u0159eznu sjeli do Prahy, aby \u0159e\u0161ili, jak vln\u011b pacient\u016f s\u00a0t\u011bmito chorobami \u010delit. Postkomunistick\u00e9 zem\u011b toti\u017e tr\u00e1p\u00ed v\u00fdrazn\u011b vy\u0161\u0161\u00ed po\u010dty pacient\u016f s\u00a0nemocn\u00fdm srdcem \u010di ledvinami ne\u017e zem\u011b z\u00e1padn\u00edho bloku. <\/strong><\/p>\n\n\n\n

Praktici ze Slovenska, Polska a \u010cR vid\u00ed \u0159e\u0161en\u00ed ve v\u011bt\u0161\u00edch investic\u00edch do prevence a ve v\u010dasn\u00e9m z\u00e1chytu nemoc\u00ed. Pos\u00edlen\u00ed pravomoc\u00ed praktik\u016f by podle nich m\u011blo j\u00edt ruku v\u00a0ruce s\u00a0mo\u017enost\u00ed p\u0159edepisovat na tato onemocn\u011bn\u00ed modern\u00ed l\u00e9ky.<\/strong><\/p>\n\n\n\n

\u201eS 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>\u017eelezn\u00e9 opony st\u00e1le bojuj\u00ed s\u00a0vysok\u00fdm v\u00fdskytem kardiovaskul\u00e1rn\u00edch a metabolick\u00fdch onemocn\u011bn\u00ed,\u201c<\/em> prohl\u00e1sil 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. Jak se experti z\u00a0\u010ceska, Polska a Slovenska shodli, situaci by pomohlo pos\u00edlen\u00ed role praktik\u016f, p\u0159edev\u0161\u00edm aby mohli v\u010das zachytit rizikov\u00e9 pacienty, kte\u0159\u00ed k\u00a0jedn\u00e9 z\u00a0chorob sm\u011b\u0159uj\u00ed. Nutn\u00e9 je podle nich tak\u00e9 p\u00e9\u010di l\u00e9pe koordinovat \u2013 praktici by v\u00a0tomto ohledu m\u011bli fungovat jako \u201emana\u017ee\u0159i\u201c p\u00e9\u010de o pacienty.<\/p>\n\n\n\n

\u201ePracujeme 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 na Slovensku a doned\u00e1vna i v\u00a0Polsku, kde u\u017e ale praktici mohou p\u0159edepisovat ve\u0161ker\u00e9 modern\u00ed l\u00e9ky bez omezen\u00ed,\u201c <\/em>zm\u00ednil na jedn\u00e1n\u00ed MUDr. \u0160onka.<\/p>\n\n\n\n

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. \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> dodal MUDr. \u0160onka.<\/p>\n\n\n\n

Pol\u0161t\u00ed, sloven\u0161t\u00ed a\u00a0\u010de\u0161t\u00ed praktici se podle n\u011bj nach\u00e1z\u00ed v\u00a0p\u0159ibli\u017en\u011b stejn\u00e9 situaci. \u201ePo t\u00e9m\u011b\u0159 60 letech sov\u011btsk\u00e9ho modelu poskytov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de je t\u0159eba d\u00e1t v\u0161eobecn\u00fdm l\u00e9ka\u0159\u016fm co nejv\u00edce kompetenc\u00ed k\u00a0tomu, aby mohli poskytovat p\u00e9\u010di, kter\u00e1 bude komplexn\u00ed. Na tomto poli s\u00a0\u010desk\u00fdmi a\u00a0polsk\u00fdmi kolegy sd\u00edl\u00edme spole\u010dnou minulost a d\u011bdictv\u00ed v\u00a0podob\u011b vysok\u00e9ho po\u010dtu pacient\u016f s chronick\u00fdm selh\u00e1n\u00edm ledvin, srdce nebo s diabetem. \u0158e\u0161en\u00ed v\u00a0jednotliv\u00fdch zem\u00edch se ale m\u00edrn\u011b li\u0161\u00ed, proto se navz\u00e1jem st\u00e1le inspirujeme a intenzivn\u011b si p\u0159ed\u00e1v\u00e1me zku\u0161enosti,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Peter Lipovsk\u00fd, viceprezident Slovensk\u00e9 spo\u013eo\u010dnosti v\u0161eobecn\u00e9ho praktick\u00e9ho lek\u00e1rstva. <\/p>\n\n\n\n

Pol\u0161t\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i nap\u0159\u00edklad v reakci na vlnu nov\u00fdch pacient\u016f ji\u017e druh\u00fdm rokem zav\u00e1d\u00ed tzv. koordinovanou p\u00e9\u010di, kdy m\u00e1 praktik v\u011bt\u0161\u00ed pravomoci v oblasti diabetologie, kardiologie, endokrinologie, pneumologie a\u00a0nefrologie. \u201eDob\u0159e zaveden\u00e1 koordinovan\u00e1 p\u00e9\u010de p\u0159edstavuje velmi dobr\u00fd model pro fungov\u00e1n\u00ed prim\u00e1rn\u00ed p\u00e9\u010de. S rostouc\u00edm po\u010dtem pacient\u016f trp\u00edc\u00edch cukrovkou, hypertenz\u00ed nebo jin\u00fdmi civiliza\u010dn\u00edmi chorobami jsou takov\u00e1 \u0159e\u0161en\u00ed st\u00e1le d\u016fle\u017eit\u011bj\u0161\u00ed. St\u00e1rnouc\u00ed spole\u010dnosti nebudeme moci poskytovat p\u00e9\u010di pouze s vyu\u017eit\u00edm ambulantn\u00edch specialist\u016f,\u201c <\/em>\u0159ekl Dr. Aleksander Biesiada z\u00a0Polsk\u00e9 spole\u010dnosti rodinn\u00e9ho l\u00e9ka\u0159stv\u00ed.<\/p>\n\n\n\n

Podle prof. MUDr. Michala Vrabl\u00edka, Ph.D., p\u0159edsedy \u010cesk\u00e9 asociace preventivn\u00ed kardiologie, \u010dasto jedno z civiliza\u010dn\u00edch onemocn\u011bn\u00ed prov\u00e1z\u00ed, podmi\u0148uje a zhor\u0161uje druh\u00e9. \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\u00a0diabetem 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.\u00a0Vrabl\u00edk. Jak d\u00e1le uv\u00e1d\u00ed, na vin\u011b je \u0161patn\u00e1 zdravotn\u00ed gramotnost a \u010dasto i postoj zako\u0159en\u011bn\u00fd z\u00a0minul\u00fdch dob \u2013 \u201eo m\u00e9 zdrav\u00ed se star\u00e1 l\u00e9ka\u0159, ne j\u00e1\u201c.<\/p>\n\n\n\n

\u201eV\u00a0\u010cesku se po\u0159\u00e1d hodn\u011b kou\u0159\u00ed, jsme 2. a\u017e 3.\u00a0v\u00a0Evrop\u011b v\u00a0konzumaci alkoholu, m\u00e1lo se h\u00fdbeme a nej\u00edme dost ovoce a zeleniny. Celkem 66 %\u00a0\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 \u2013 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.<\/p>\n","protected":false},"excerpt":{"rendered":"

Praktici mus\u00ed m\u00edt v\u011bt\u0161\u00ed pravomoci v\u00a0l\u00e9\u010db\u011b chronick\u00e9ho selh\u00e1n\u00ed srdce, ledvin nebo cukrovky. Shodli se na tom \u010de\u0161t\u00ed, sloven\u0161t\u00ed a pol\u0161t\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i, kte\u0159\u00ed se v\u00a0b\u0159eznu […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":24867,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-48083","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\/48083","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=48083"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/48083\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/24867"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48083"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48083"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}