{"id":49163,"date":"2024-05-21T05:43:00","date_gmt":"2024-05-21T03:43:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=49163"},"modified":"2024-05-21T05:43:05","modified_gmt":"2024-05-21T03:43:05","slug":"lide-se-stydi-za-migrenu-spolecnost-se-jim-posmiva","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=49163","title":{"rendered":"Lid\u00e9 se styd\u00ed za migr\u00e9nu, spole\u010dnost se jim posm\u00edv\u00e1\u00a0"},"content":{"rendered":"\n

Uk\u00e1zal to nov\u00fd pr\u016fzkum pacientsk\u00e9 organizace <\/em><\/p>\n\n\n\n

Nepopsateln\u00e1 bolest hlavy, zvracen\u00ed, z\u00e1vrat\u011b, p\u0159echodn\u00e1 ztr\u00e1ta zraku \u2013 tyto a\u00a0dal\u0161\u00ed p\u0159\u00edznaky za\u017e\u00edv\u00e1 n\u011bkolikr\u00e1t do m\u011bs\u00edce p\u0159es milion lid\u00ed s\u00a0migr\u00e9nou. P\u0159esto\u017ee je migr\u00e9na jako nemoc zn\u00e1m\u00e1, pacienti se st\u00e1le setk\u00e1vaj\u00ed s odsuzov\u00e1n\u00edm, nepochopen\u00edm, a to ob\u010das i ze strany zdravotn\u00edk\u016f. \u201eJe to jen bolest hlavy,\u201c sl\u00fdch\u00e1vaj\u00ed. Drtiv\u00e1 v\u011bt\u0161ina lid\u00ed s\u00a0migr\u00e9nou tak nemoc taj\u00ed, proto\u017ee se boj\u00ed v\u00fdsm\u011bchu. Vypl\u00fdv\u00e1 to z\u00a0\u010derstv\u00e9ho pr\u016fzkumu pacientsk\u00e9 organizace Migr\u00e9na-help, kter\u00e9ho se z\u00fa\u010dastnilo v\u00edce ne\u017e 500 respondent\u016f.\u00a0<\/strong><\/p>\n\n\n\n

\u201eZdrav\u00ed lid\u00e9 si neum\u00ed p\u0159edstavit, \u010d\u00edm \u010dlov\u011bk s\u00a0migr\u00e9nou proch\u00e1z\u00ed. Co pova\u017eujeme za obzvl\u00e1\u0161\u0165 alarmuj\u00edc\u00ed, je to, \u017ee pacienti i v\u00a0dob\u011b nejsiln\u011bj\u0161\u00edho z\u00e1chvatu migr\u00e9ny v\u00e1haj\u00ed, zda j\u00edt na pohotovost \u010di za l\u00e9ka\u0159em. Sna\u017e\u00ed se stav utlumit velk\u00fdm mno\u017estv\u00edm b\u011b\u017en\u011b dostupn\u00fdch l\u00e9k\u016f proti bolesti, a migr\u00e9na se tak m\u016f\u017ee naopak zhor\u0161it. Bez ohledu na to, kolik d\u011bt\u00ed a dosp\u011bl\u00fdch migr\u00e9nu v\u00a0\u010cesk\u00e9 republice m\u00e1, pacienti st\u00e1le \u0159e\u0161\u00ed podce\u0148ov\u00e1n\u00ed a n\u011bkdy i ur\u00e1\u017eky \u2013 pak si o sob\u011b sami mysl\u00ed, \u017ee jsou k\u00a0ni\u010demu,\u201c <\/em>zd\u016fraz\u0148uje skute\u010dnost vypl\u00fdvaj\u00edc\u00ed z pr\u016fzkumu Stigma vs. migr\u00e9na p\u0159edsedkyn\u011b pacientsk\u00e9 organizace Migr\u00e9na-help R\u00fdza Bla\u017eejovsk\u00e1.<\/p>\n\n\n\n

To, \u017ee ostatn\u00ed nerozum\u00ed, co ataky migr\u00e9ny obn\u00e1\u0161\u00ed, a bolest zleh\u010duj\u00ed, pak zp\u011btn\u011b vede k\u00a0v\u011bt\u0161\u00edmu stresu pacient\u016f, depresi, skr\u00fdv\u00e1n\u00ed nemoci (co\u017e p\u0159izn\u00e1v\u00e1 70 % dot\u00e1zan\u00fdch) a paradoxn\u011b k\u00a0\u010dast\u011bj\u0161\u00edm z\u00e1chvat\u016fm. Z\u00a0toho, jak s\u00a0nimi okol\u00ed zach\u00e1z\u00ed, se c\u00edt\u00ed \u0161patn\u011b t\u00e9m\u011b\u0159\u00a057 % dotazovan\u00fdch. S\u00a0nepochopen\u00edm l\u00e9ka\u0159\u016f a zdravotn\u00edho person\u00e1lu se v\u00a0\u017eivot\u011b setkalo 51 % respondent\u016f. N\u011bkte\u0159\u00ed pacienti uv\u00e1d\u011bj\u00ed, \u017ee je l\u00e9ka\u0159i odkazuj\u00ed i bez pe\u010dliv\u00e9 diagn\u00f3zy rovnou na psychiatra, podle odpov\u011bd\u00ed z\u00a0dotazn\u00edku se \u010d\u00e1st nemocn\u00fdch boj\u00ed l\u00e9ka\u0159e v\u016fbec vyhledat. N\u011bkte\u0159\u00ed respondenti ale p\u0159izn\u00e1vaj\u00ed, \u017ee je n\u011bkolikadenn\u00ed z\u00e1chvat i p\u0159es jejich obavy nakonec donut\u00ed z\u00e1chranku zavolat.<\/p>\n\n\n\n

\u201eOd pacient\u016f n\u011bkdy sl\u00fdch\u00e1v\u00e1m, \u017ee jim o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 odm\u00edtl p\u0159edepsat speci\u00e1ln\u00ed l\u00e9ky na migr\u00e9nu a\u00a0odk\u00e1zal je na analgetika. U n\u00e1s v\u00a0nemocnici ale v\u0161ichni v\u00ed, jak z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed migr\u00e9na je,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. \u013dubica Joppekov\u00e1 z\u00a0Neurologick\u00e9 kliniky FN Brno. Podle vlastn\u00edch zku\u0161enost\u00ed nej\u010dast\u011bji p\u0159ij\u00ed\u017ed\u011bj\u00ed do nemocnice ti, kter\u00e9 postihl v\u016fbec prvn\u00ed z\u00e1chvat migr\u00e9ny. Obvykle je vyd\u011bs\u00ed \u00faporn\u00e9 zvracen\u00ed, porucha vid\u011bn\u00ed, brn\u011bn\u00ed nebo porucha \u0159e\u010di \u2013 p\u0159\u00edznaky, kter\u00e9 jsou podobn\u00e9 mozkov\u00e9 mrtvici. Podle neurolo\u017eky z\u00a0Nemocnice Strakonice MUDr. Lucie Pokorn\u00e9 jsou pacienti, kte\u0159\u00ed p\u0159ich\u00e1z\u00ed, v\u011bt\u0161inou viditeln\u011b schv\u00e1ceni bolest\u00ed. \u201ePoskytneme jim nitro\u017eiln\u011b l\u00e9ky proti bolesti a p\u0159\u00edpadn\u011b dal\u0161\u00ed, kter\u00e9 ovlivn\u00ed doprovodn\u00e9 p\u0159\u00edznaky,\u201c <\/em>popisuje l\u00e9ka\u0159ka.<\/p>\n\n\n\n

\u00a0Ob\u011b neurolo\u017eky doporu\u010duj\u00ed, aby \u010dlov\u011bk, kter\u00fd svou bolest hlavy zn\u00e1, p\u0159i\u0161el na pohotovost ve chv\u00edli, kdy z\u00e1chvat trv\u00e1 d\u00e9le ne\u017e obvykle, dosud \u00fa\u010dinn\u00e9 l\u00e9ky nezab\u00edraj\u00ed a ataku prov\u00e1z\u00ed \u00faporn\u00e9 zvracen\u00ed. I ten, kdo se s\u00a0migr\u00e9nou l\u00e9\u010d\u00ed, by m\u011bl podle l\u00e9ka\u0159ek zbyst\u0159it, kdy\u017e se objev\u00ed nezn\u00e1m\u00fd typ bolesti, nov\u011b aura \u010di jin\u00e9 neurologick\u00e9 pot\u00ed\u017ee typu brn\u011bn\u00ed, ospalost. \u201eP\u0159esn\u00e1 hranice, kdy by \u010dlov\u011bk m\u011bl na urgent p\u0159ij\u00edt, neexistuje \u2013 ka\u017ed\u00fd vn\u00edm\u00e1 bolest jinak. Pacienti s\u00a0migr\u00e9nou v\u0161ak mohou trp\u011bt i sekund\u00e1rn\u00ed bolest\u00ed hlavy. Za t\u00edm se m\u016f\u017ee skr\u00fdvat mrtvice, krv\u00e1cen\u00ed, tumor a dal\u0161\u00ed.<\/em> Nemocn\u00ed s\u00a0migr\u00e9nou a aurou jsou dvojn\u00e1sobn\u011b n\u00e1chyln\u011bj\u0161\u00ed k\u00a0mozkov\u00e9 mrtvici ne\u017e zdrav\u00ed lid\u00e9. Riziko mrtvice nav\u00edc roste, pokud jde o \u017eeny, kter\u00e9 u\u017e\u00edvaj\u00ed dvouslo\u017ekovou antikoncepci,\u201c <\/em>dopl\u0148uje MUDr.\u00a0Joppekov\u00e1.<\/p>\n\n\n\n

Jak uv\u00e1d\u00ed tiskov\u00e1 mluv\u010d\u00ed pra\u017esk\u00e9 z\u00e1chranky Jana Po\u0161tov\u00e1, v prvn\u00edch t\u0159ech m\u011bs\u00edc\u00edch tohoto roku z\u00e1chranka vezla k o\u0161et\u0159en\u00ed p\u0159ibli\u017en\u011b 50 lid\u00ed s migr\u00e9nou. Na ji\u017en\u00ed Morav\u011b to podle tiskov\u00e9 mluv\u010d\u00ed Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby Jihomoravsk\u00e9ho kraje Michaely Bothov\u00e9 loni bylo 90 v\u00fdjezd\u016f kv\u016fli z\u00e1chvat\u016fm migr\u00e9ny.<\/p>\n\n\n\n

Dotazn\u00edk Stigma vs. migr\u00e9na upozor\u0148uje na to, jak velk\u00fd probl\u00e9m podce\u0148ov\u00e1n\u00ed migr\u00e9ny je. \u201ePokud pacient nevyhled\u00e1 odbornou pomoc a sna\u017e\u00ed se pomoci si s\u00e1m, <\/em>riskuje, \u017ee se z jeho epizodick\u00e9 migr\u00e9ny stane <\/em>chronick\u00e1 \u2013 m\u016f\u017ee pak za\u017e\u00edvat i v\u00edce ne\u017e 15 migren\u00f3zn\u00edch dn\u00ed za m\u011bs\u00edc<\/em>. Nemluv\u011b o riziku nadu\u017e\u00edv\u00e1n\u00ed analgetik, triptan\u016f nebo jin\u00e9 akutn\u00ed medikace a p\u0159ivozen\u00ed si z\u00e1va\u017en\u00fdch stav\u016f, jako je nap\u0159\u00edklad status migrenosus, tj. z\u00e1chvat trvaj\u00edc\u00ed v\u00edce ne\u017e 3 dny<\/em>, \u010di<\/em> dokonce migren\u00f3zn\u00ed mrtvice,\u201c <\/em>uzav\u00edr\u00e1 R\u00fdza Bla\u017eejovsk\u00e1.<\/p>\n\n\n\n

Z v\u00edce ne\u017e 500 respondent\u016f bylo 92 % \u017een, 33 % m\u00e1 z\u00e1chvaty 1\u20134\u00d7 za m\u011bs\u00edc, na 28 % migr\u00e9na \u00fato\u010d\u00ed a\u017e 7\u00d7 do m\u011bs\u00edce a chronickou bolest (v\u00edce ne\u017e 15 dn\u00ed v m\u011bs\u00edci) m\u011blo 8,5 % dot\u00e1zan\u00fdch. Z dotazn\u00edku vypl\u00fdv\u00e1, \u017ee a\u017e t\u0159etina respondent\u016f n\u011bkdy odkl\u00e1dala nebo se vyh\u00fdbala vyhled\u00e1n\u00ed l\u00e9ka\u0159sk\u00e9 pomoci, proto\u017ee se za svoji migr\u00e9nu styd\u011bli. Pouze pro t\u0159etinu respondent\u016f (33,5 %) nebylo obt\u00ed\u017en\u00e9 adekv\u00e1tn\u00ed l\u00e9\u010dbu z\u00edskat. K p\u0159\u00edle\u017eitosti pr\u016fzkumu vyd\u00e1v\u00e1 organizace nov\u00fd e-book Den pln\u00fd zm\u011bn, kter\u00fd t\u00e9ma p\u0159\u00edb\u011bhov\u011b zpracov\u00e1v\u00e1. Ten je ke sta\u017een\u00ed na https:\/\/www.migrena-help.cz\/den-plny-zmen\/<\/a>.<\/p>\n\n\n\n

Migr\u00e9na <\/strong><\/p>\n\n\n\n

Migr\u00e9na je dlouhodob\u00e9 onemocn\u011bn\u00ed, kter\u00e9 se projevuje opakovan\u00fdmi z\u00e1chvaty bolesti hlavy s doprovodn\u00fdmi p\u0159\u00edznaky (sv\u011btloplachost, p\u0159ecitliv\u011blost na zvuky, nevolnost nebo zvracen\u00ed). Tyto p\u0159\u00edznaky se b\u011bhem z\u00e1chvatu, kter\u00fd obvykle trv\u00e1 jeden a\u017e t\u0159i dny, zhor\u0161uj\u00ed i p\u0159i b\u011b\u017en\u00fdch denn\u00edch aktivit\u00e1ch. Podle po\u010dtu dn\u016f v m\u011bs\u00edci s bolest\u00ed hlavy se rozli\u0161uje epizodick\u00e1 (0\u201314 migren\u00f3zn\u00edch dn\u016f v m\u011bs\u00edci) a chronick\u00e1 migr\u00e9na (\u2265 15 migren\u00f3zn\u00edch dn\u016f v m\u011bs\u00edci). P\u0159i v\u00edce ne\u017e 4 migren\u00f3zn\u00edch dnech v m\u011bs\u00edci se obvykle zva\u017euje zah\u00e1jen\u00ed preventivn\u00ed l\u00e9\u010dby, nutn\u00e9 je v\u0161ak vy\u0161et\u0159en\u00ed l\u00e9ka\u0159em, a to bu\u010f ambulantn\u00edm neurologem, nebo l\u00e9ka\u0159em v centru pro diagnostiku a l\u00e9\u010dbu bolest\u00ed hlavy. Jejich seznam je k dispozici na www.migrena-help.cz\/poradny\/. <\/p>\n","protected":false},"excerpt":{"rendered":"

Uk\u00e1zal to nov\u00fd pr\u016fzkum pacientsk\u00e9 organizace  Nepopsateln\u00e1 bolest hlavy, zvracen\u00ed, z\u00e1vrat\u011b, p\u0159echodn\u00e1 ztr\u00e1ta zraku \u2013 tyto a\u00a0dal\u0161\u00ed p\u0159\u00edznaky za\u017e\u00edv\u00e1 n\u011bkolikr\u00e1t do m\u011bs\u00edce p\u0159es milion lid\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":10615,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-49163","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\/49163","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=49163"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/49163\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/10615"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=49163"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=49163"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=49163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}