{"id":48620,"date":"2024-05-03T06:35:36","date_gmt":"2024-05-03T04:35:36","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=48620"},"modified":"2024-05-03T06:35:37","modified_gmt":"2024-05-03T04:35:37","slug":"vysoky-tlak-v-plicich-mohou-mit-i-deti-varuji-lekari","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=48620","title":{"rendered":"Vysok\u00fd tlak v\u00a0plic\u00edch mohou m\u00edt i d\u011bti, varuj\u00ed l\u00e9ka\u0159i"},"content":{"rendered":"\n

Nesta\u010d\u00edte s\u00a0dechem, bol\u00ed v\u00e1s na hrudi? Nemus\u00ed to b\u00fdt jen nedostatkem fyzick\u00e9 kondice. Podobn\u00e9 p\u0159\u00edznaky s\u00a0sebou m\u016f\u017ee n\u00e9st zv\u00fd\u0161en\u00fd krevn\u00ed tlak v\u00a0plic\u00edch neboli plicn\u00ed hypertenze. A proto\u017ee se projevy p\u0159\u00edli\u0161 neli\u0161\u00ed od \u0159ady dal\u0161\u00edch nemoc\u00ed, l\u00e9ka\u0159i volaj\u00ed po v\u010dasn\u00e9 diagnostice \u2013 ta m\u016f\u017ee pacienty ochr\u00e1nit od v\u00e1\u017en\u00fdch zdravotn\u00edch n\u00e1sledk\u016f, nebo dokonce smrti. Sou\u010dasn\u00e9 pokroky v\u00a0l\u00e9\u010db\u011b p\u0159itom sk\u00fdtaj\u00ed \u0161anci pro tis\u00edce lid\u00ed, kte\u0159\u00ed trp\u00ed z\u00e1va\u017en\u00fdmi formami t\u00e9to nemoci. Plicn\u00ed hypertenze se m\u016f\u017ee vyskytnout tak\u00e9 u mlad\u0161\u00edch pacient\u016f, dokonce i u d\u011bt\u00ed.<\/strong><\/p>\n\n\n\n

Pokud se chorobu poda\u0159\u00ed odhalit v\u010das, maj\u00ed d\u00edky inovac\u00edm v\u00a0l\u00e9\u010db\u011b velkou nad\u011bji na norm\u00e1ln\u00ed \u017eivot. Experti na to poukazuj\u00ed u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne plicn\u00ed hypertenze (5. kv\u011btna), kter\u00fd tradi\u010dn\u011b p\u0159ipomenou mod\u0159e nasv\u00edcen\u00e9 v\u00fdznamn\u00e9 budovy v\u00a0Praze, Brn\u011b a Olomouci. Modrou barvu pro nasv\u00edcen\u00ed vol\u00ed proto, \u017ee pacient\u016fm kv\u016fli nemoci \u010dasto modraj\u00ed rty.<\/strong><\/p>\n\n\n\n

Diagn\u00f3za plicn\u00ed hypertenze se podle studi\u00ed t\u00fdk\u00e1 a\u017e 1 % populace a nej\u010dast\u011bji ji l\u00e9ka\u0159i objev\u00ed jako komplikaci jin\u00e9ho onemocn\u011bn\u00ed srdce a plic. M\u00e1 ov\u0161em tak\u00e9 celou \u0159adu jin\u00fdch p\u0159\u00ed\u010din. Za jej\u00edm vznikem mohou st\u00e1t autoimunitn\u00ed onemocn\u011bn\u00ed nebo plicn\u00ed embolie. P\u0159i chorob\u011b se\u00a0pacient\u016fm \u010dasto nedostate\u010dn\u011b okysli\u010duje krev, co\u017e se mimo jin\u00e9 projevuje modr\u00fdm zbarven\u00edm rt\u016f. <\/em><\/p>\n\n\n\n

\u201eP\u0159i plicn\u00ed hypertenzi doch\u00e1z\u00ed ke zv\u00fd\u0161en\u00e9 n\u00e1maze prav\u00e9 komory srde\u010dn\u00ed, kter\u00e1 se postupn\u011b zv\u011bt\u0161uje. To m\u016f\u017ee v\u00e9st k\u00a0jej\u00edmu postupn\u00e9mu\u00a0selh\u00e1n\u00ed. Z\u00e1rove\u0148 se nedostate\u010dn\u011b okysli\u010duje krev, proto pacienti trp\u00ed du\u0161nost\u00ed, \u00fanavou nebo z\u00e1vrat\u011bmi a mdlobami,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Pavel Jansa, kardiolog z\u00a0II.\u00a0intern\u00ed kliniky \u2013 kliniky kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice a 1. LF UK v\u00a0Praze. <\/p>\n\n\n\n

\u010cast\u00fdm, ale ji\u017e pozdn\u00edm p\u0159\u00edznakem jsou podle n\u011bj otoky kotn\u00edk\u016f a nohou. Proto\u017ee je onemocn\u011bn\u00ed relativn\u011b vz\u00e1cn\u00e9, l\u00e9ka\u0159i tuto mo\u017enost podle prof. Jansy zva\u017euj\u00ed a\u017e mezi posledn\u00edmi. \u201eL\u00e9\u010dba choroby v\u00a0pokro\u010dil\u00e9m stadiu je mnohem slo\u017eit\u011bj\u0161\u00ed, proto je d\u016fle\u017eit\u00e9 se k\u00a0diagn\u00f3ze dopracovat co nejd\u0159\u00edve. Bohu\u017eel se st\u00e1v\u00e1, \u017ee pacienti se nejd\u0159\u00edve l\u00e9\u010d\u00ed nap\u0159\u00edklad na astma,\u201c <\/em>vysv\u011btluje prof.\u00a0Jansa. Pokud v\u0161ak du\u0161nost nelze od\u016fvodnit jin\u00fdm onemocn\u011bn\u00edm, m\u011bl by pacient absolvovat ultrazvuk srdce a n\u00e1sledn\u011b nav\u0161t\u00edvit specialisty. I proto byly ned\u00e1vno aktualizov\u00e1ny doporu\u010den\u00e9 postupy pro l\u00e9\u010dbu t\u011b\u017ek\u00e9ho astmatu a pro praktick\u00e9 l\u00e9ka\u0159e doporu\u010den\u00e9 postupy pro chronickou tromboembolickou plicn\u00ed nemoc.<\/p>\n\n\n\n

V posledn\u00edch letech d\u00edky funguj\u00edc\u00edmu syst\u00e9mu referuj\u00edc\u00edch pracovi\u0161\u0165 pozoruj\u00ed l\u00e9ka\u0159i nejen rostouc\u00ed po\u010dty diagnostikovan\u00fdch pacient\u016f s plicn\u00ed hypertenz\u00ed u dosp\u011bl\u00fdch, ale objevuj\u00ed se i pacienti v\u00a0adolescentn\u00edm \u010di d\u011btsk\u00e9m v\u011bku. \u201eV posledn\u00edm roce jsme ve spolupr\u00e1ci s d\u011btsk\u00fdmi kardiology zah\u00e1jili l\u00e9\u010dbu u n\u011bkolika d\u011bt\u00ed. Sou\u010dasn\u00e1 terapie, zejm\u00e9na ta v\u010dasn\u00e1, sk\u00fdt\u00e1 velkou \u0161anci na v\u00fdznamn\u00e9 zlep\u0161en\u00ed obt\u00ed\u017e\u00ed a progn\u00f3zy mal\u00fdch a velk\u00fdch pacient\u016f,\u201c <\/em>\u0159\u00edk\u00e1 prof. Jansa.<\/p>\n\n\n\n

\u201eV posledn\u00edch n\u011bkolika letech odstartovala \u0159ada slibn\u00fdch studi\u00ed s\u00a0modern\u00edmi l\u00e9\u010div\u00fdmi p\u0159\u00edpravky, kter\u00e9 pom\u00e1haj\u00ed sni\u017eovat tlak v\u00a0plic\u00edch. Pokroky d\u011bl\u00e1me tak\u00e9 v\u00a0oblasti l\u00e9\u010dby plicn\u00ed hypertenze po plicn\u00ed embolii, kde se krom\u011b chirurgick\u00e9 l\u00e9\u010dby nov\u011b v\u00fdznamn\u011b uplat\u0148uje miniinvazivn\u00ed l\u00e9\u010dba katetriza\u010dn\u00ed a farmakoterapie. D\u00edky tomu jsme dok\u00e1zali v\u00fdrazn\u011b sn\u00ed\u017eit \u00famrtnost na tuto nemoc, ale hlavn\u011b pacient\u016fm prodlou\u017eit kvalitn\u00ed \u017eivot,\u201c<\/em> dod\u00e1v\u00e1 prof. Jansa. Ve srovn\u00e1n\u00ed s\u00a0dobou p\u0159ed 20 lety tak podle n\u011bj maj\u00ed l\u00e9ka\u0159i v\u00a0rukou naprosto nev\u00eddan\u00e9 prost\u0159edky.<\/p>\n\n\n\n

Se\u00a0vz\u00e1cn\u00fdmi formami plicn\u00ed hypertenze se v\u00a0\u010cesku l\u00e9\u010d\u00ed p\u0159ibli\u017en\u011b 1 000 pacient\u016f, ka\u017ed\u00fd rok jich pak 150\u2013200 p\u0159ibude. Podle odhadu l\u00e9ka\u0159\u016f dal\u0161\u00ed stovky lid\u00ed o sv\u00e9 nemoci v\u016fbec nev\u00ed. V\u010dasn\u00e1 diagn\u00f3za podle expert\u016f p\u0159in\u00e1\u0161\u00ed pacient\u016fm s\u00a0plicn\u00ed hypertenz\u00ed del\u0161\u00ed a kvalitn\u011bj\u0161\u00ed \u017eivot. \u201eI v\u00a0leto\u0161n\u00edm roce symbolicky v\u011bnujeme dech pacient\u016fm, kte\u0159\u00ed touto chorobou trp\u00ed, a to v\u00fdstupem na Vy\u0161ehrad. Sna\u017e\u00edme se o jakoukoliv osv\u011btu, kter\u00e1 u p\u0159\u00edpad\u016f plicn\u00ed hypertenze pom\u016f\u017ee ke v\u010dasn\u00e9 diagn\u00f3ze a\u00a0rychlej\u0161\u00edmu zah\u00e1jen\u00ed l\u00e9\u010dby,\u201c<\/em> \u0159\u00edk\u00e1 Milena Kaftanov\u00e1 ze Sdru\u017een\u00ed pacient\u016f s\u00a0plicn\u00ed hypertenz\u00ed. <\/p>\n\n\n\n

Na nemoc tak\u00e9 5. kv\u011btna v\u00a0Praze upozorn\u00ed mod\u0159e nasv\u00edcen\u00e1 budova Tan\u010d\u00edc\u00edho domu, jeliko\u017e ud\u00e1lost podporuje spole\u010dnost PSN, a budova FIVE, ve kter\u00e9 s\u00eddl\u00ed farmaceutick\u00e1 spole\u010dnost MSD \u010cesk\u00e1 republika. V\u00a0Brn\u011b mod\u0159e zaz\u00e1\u0159\u00ed budovy Jan\u00e1\u010dkova divadla, Divadla Husa na prov\u00e1zku a OC OMEGA, v\u00a0Olomouci pak budova radnice na Horn\u00edm n\u00e1m\u011bst\u00ed.<\/p>\n\n\n\n

V sou\u010dasn\u00e9 dob\u011b jsou v \u010cesku t\u0159i specializovan\u00e1 centra pro l\u00e9\u010dbu plicn\u00ed hypertenze: II. intern\u00ed klinika \u2013 klinika kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze, Kardiologick\u00e1 klinika IKEM a I. intern\u00ed klinika \u2013 kardiologick\u00e1, FN Olomouc.<\/p>\n","protected":false},"excerpt":{"rendered":"

Nesta\u010d\u00edte s\u00a0dechem, bol\u00ed v\u00e1s na hrudi? Nemus\u00ed to b\u00fdt jen nedostatkem fyzick\u00e9 kondice. Podobn\u00e9 p\u0159\u00edznaky s\u00a0sebou m\u016f\u017ee n\u00e9st zv\u00fd\u0161en\u00fd krevn\u00ed tlak v\u00a0plic\u00edch neboli plicn\u00ed hypertenze. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":48623,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-48620","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\/48620","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=48620"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/48620\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/48623"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48620"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48620"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}