{"id":49245,"date":"2024-05-23T06:14:08","date_gmt":"2024-05-23T04:14:08","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=49245"},"modified":"2024-05-23T06:14:08","modified_gmt":"2024-05-23T04:14:08","slug":"o-nemocne-se-stitnou-zlazou-se-stara-cim-dal-vic-praktiku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=49245","title":{"rendered":"O nemocn\u00e9 se \u0161t\u00edtnou \u017el\u00e1zou se star\u00e1 \u010d\u00edm d\u00e1l v\u00edc praktik\u016f"},"content":{"rendered":"\n

Do jejich p\u00e9\u010de p\u0159ejde a\u017e p\u011btina pacient\u016f<\/em><\/p>\n\n\n\n

Po\u010dty t\u011bch, kter\u00e9 tr\u00e1p\u00ed \u0161t\u00edtn\u00e1 \u017el\u00e1za a o n\u011b\u017e pe\u010duje praktik, st\u00e1le rostou. Prakti\u010dt\u00ed l\u00e9ka\u0159i tak ulevuj\u00ed p\u0159et\u00ed\u017een\u00fdm endokrinologick\u00fdm ambulanc\u00edm, kde na term\u00edn \u010dekali pacienti dlouh\u00e9 m\u011bs\u00edce. Endokrinologov\u00e9 d\u00edky tomu maj\u00ed v\u00edce \u010dasu na komplikovan\u00e9 p\u0159\u00edpady nebo na t\u011bhotn\u00e9, u kter\u00fdch je t\u0159eba \u0159e\u0161it p\u0159\u00edpadn\u00e9 probl\u00e9my co nejd\u0159\u00edve. K\u00a0v\u0161eobecn\u00fdm praktick\u00fdm l\u00e9ka\u0159\u016fm by se postupn\u011b mohlo p\u0159esunout 10\u201320 % nemocn\u00fdch. Odborn\u00edci na t\u00e9ma upozor\u0148uj\u00ed u p\u0159\u00edle\u017eitosti T\u00fddne \u0161t\u00edtn\u00e9 \u017el\u00e1zy, kter\u00fd p\u0159ipad\u00e1 na 25.\u201331. kv\u011btna.<\/strong><\/p>\n\n\n\n

\u201eO pacienty s\u00a0m\u00edrn\u00fdmi poruchami \u0161t\u00edtn\u00e9 \u017el\u00e1zy nebo nemocn\u00e9, kte\u0159\u00ed ji\u017e maj\u00ed zavedenou l\u00e9\u010dbu, bez probl\u00e9m\u016f pe\u010duj\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i. V n\u011bkter\u00fdch regionech je vz\u00e1jemn\u00e1 spolupr\u00e1ce n\u00e1s specialist\u016f a\u00a0praktik\u016f v\u00fdborn\u00e1, ale jsou i oblasti, kde je to hor\u0161\u00ed. Situace se ale st\u00e1le lep\u0161\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 p\u0159edseda \u010cesk\u00e9 endokrinologick\u00e9 spole\u010dnosti (\u010cES) prof. MUDr. Michal Kr\u0161ek. <\/p>\n\n\n\n

P\u00e9\u010de o nemocn\u00e9 se \u0161t\u00edtnou \u017el\u00e1zou m\u00e1 od lo\u0148sk\u00e9ho roku jasn\u00e1 pravidla, kter\u00e1 sepsali endokrinologov\u00e9 pro l\u00e9ka\u0159e jin\u00fdch obor\u016f. Doporu\u010den\u00fd postup vydala \u010cesk\u00e1 endokrinologick\u00e1 spole\u010dnost a Spole\u010dnost v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed. \u201eDo p\u00e9\u010de na\u0161ich koleg\u016f z\u00a0praktick\u00fdch ordinac\u00ed p\u0159ech\u00e1z\u00ed v\u00a0sou\u010dasn\u00e9 dob\u011b zejm\u00e9na nov\u011b diagnostikovan\u00ed pacienti,\u201c<\/em> vysv\u011btluje endokrinolog l\u00e9ka\u0159sk\u00e9ho centra V\u00e1clavka v\u00a0Praze MUDr. Richard Stejskal a zd\u016fraz\u0148uje, \u017ee se ale odborn\u00e9 ambulance pro pacienty s\u00a0m\u00edrn\u011bj\u0161\u00edmi poruchami \u0161t\u00edtn\u00e9 \u017el\u00e1zy neuzav\u00edraj\u00ed. I tyto nemocn\u00e9 by toti\u017e m\u011bli ide\u00e1ln\u011b jednou za 2\u20133 roky zkontrolovat endokrinologov\u00e9 a rozhodnout, zda mohou prakti\u010dt\u00ed l\u00e9ka\u0159i v\u00a0zaveden\u00e9 p\u00e9\u010di pokra\u010dovat. \u201eS\u00a0praktiky jsme proto v\u00a0pravideln\u00e9m kontaktu a m\u00e1me domluven\u00fd zp\u016fsob spolupr\u00e1ce,\u201c <\/em>dopl\u0148uje MUDr. Stejskal.<\/p>\n\n\n\n

Se \u0161t\u00edtnou \u017el\u00e1zou se v\u00a0\u010cesku l\u00e9\u010d\u00ed p\u0159es 620\u00a0000 lid\u00ed. Onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy je \u010dast\u011bj\u0161\u00ed u \u017een a ve vy\u0161\u0161\u00edm v\u011bku. Nejb\u011b\u017en\u011bj\u0161\u00ed poruchou je sn\u00ed\u017een\u00e1 funkce tohoto org\u00e1nu, jej\u00ed\u017e p\u0159\u00ed\u010dinou b\u00fdv\u00e1 v\u011bt\u0161inou autoimunitn\u00ed onemocn\u011bn\u00ed. Pr\u00e1v\u011b pacienty s\u00a0tzv. hypotyre\u00f3zou mohou podle endokrinolog\u016f pravideln\u011b sledovat praktici. \u201eNa z\u00e1pad od na\u0161ich hranic je to zcela b\u011b\u017en\u00e1 praxe. D\u00edky tomu nedoch\u00e1z\u00ed k\u00a0zahlcov\u00e1n\u00ed specialist\u016f,\u201c<\/em> popisuje prof. Kr\u0161ek.<\/p>\n\n\n\n

Na probl\u00e9my se \u0161t\u00edtnou \u017el\u00e1zou pacienty v\u00a0\u0159ad\u011b p\u0159\u00edpad\u016f dop\u0159edu nic neupozor\u0148uje a l\u00e9ka\u0159i na n\u011b naraz\u00ed nap\u0159\u00edklad a\u017e tehdy, kdy\u017e se rozhodnou funkci \u017el\u00e1zy zkontrolovat p\u0159i preventivn\u00ed prohl\u00eddce. \u201eV tuzemsku neexistuje jednozna\u010dn\u00e9 doporu\u010den\u00ed, zda a od jak\u00e9ho v\u011bku by m\u011bla b\u00fdt kontrola funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy sou\u010d\u00e1st\u00ed preventivn\u00edch prohl\u00eddek u praktick\u00fdch l\u00e9ka\u0159\u016f. Zejm\u00e9na u vy\u0161\u0161\u00edch v\u011bkov\u00fdch skupin by to ur\u010dit\u011b bylo vhodn\u00e9. A tak\u00e9 u t\u011bhotn\u00fdch \u017een \u2013 t\u011bch se ale nov\u011b t\u00fdk\u00e1 samostatn\u00fd screeningov\u00fd program,\u201c<\/em> dod\u00e1v\u00e1 p\u0159edseda \u010cES.<\/p>\n\n\n\n

Hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy kontroluj\u00ed u t\u011bhotn\u00fdch \u017een jejich gynekologov\u00e9 a v\u00a0p\u0159\u00edpad\u011b probl\u00e9m\u016f odes\u00edlaj\u00ed pacientky k dal\u0161\u00edmu vy\u0161et\u0159en\u00ed k endokrinologovi. \u201eV \u010cesku trp\u00ed poruchou funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy a\u017e 5\u201310 % t\u011bhotn\u00fdch \u017een. Pokud maj\u00ed sn\u00ed\u017eenou hladinu hormon\u016f \u0161t\u00edtn\u00e9 \u017el\u00e1zy, mohou v\u00a0t\u011bhotenstv\u00ed za\u017e\u00edvat \u0159adu komplikac\u00ed. Nap\u0159\u00edklad t\u011bhotenskou cukrovku, hypertenzi, p\u0159ed\u010dasn\u00fd porod, nebo mohou dokonce potratit,\u201c <\/em>vysv\u011btluje doc. MUDr. Jan Jiskra, Ph.D., z III. intern\u00ed kliniky 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze.<\/em><\/p>\n\n\n\n

\u201eV\u00a0sou\u010dasnosti by se m\u011bl test prov\u00e1d\u011bt povinn\u011b u rizikov\u00fdch t\u011bhotn\u00fdch \u017een, kter\u00fdch je t\u00e9m\u011b\u0159 80 %. Bohu\u017eel p\u0159i testov\u00e1n\u00ed v\u00fdhradn\u011b rizikov\u00fdch t\u011bhotn\u00fdch \u017een m\u016f\u017ee t\u0159etina a\u017e polovina p\u0159\u00edpad\u016f sn\u00ed\u017een\u00e9 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy uniknout. Nav\u00edc posouzen\u00ed, zda je \u017eena rizikov\u00e1, vy\u017eaduje pe\u010dliv\u00e9 zhodnocen\u00ed ur\u010dit\u00fdch faktor\u016f, kter\u00e9 je pom\u011brn\u011b \u010dasov\u011b n\u00e1ro\u010dn\u00e9, a dle \u00fadaj\u016f \u00daZIS jej prov\u00e1d\u00ed necel\u00e1 polovina gynekolog\u016f. Proto je d\u016fle\u017eit\u00fd plo\u0161n\u00fd screening, kter\u00fd je efektivn\u011bj\u0161\u00ed a odhal\u00ed poruchu funkce v\u010das a\u00a0m\u011bl by b\u00fdt od roku 2024 v\u00a0\u010cR, ve zku\u0161ebn\u00edm provozu, preferov\u00e1n a pr\u016fb\u011b\u017en\u011b vyhodnocov\u00e1n,\u201c<\/em> dopl\u0148uje doc. Jiskra. Se startem screeningu se v\u00a0\u010cesku rozb\u00edh\u00e1 i \u0159ada vzd\u011bl\u00e1vac\u00edch kurz\u016f pro l\u00e9ka\u0159e, kter\u00e9 jim pomohou s\u00a0orientac\u00ed v\u00a0problematice screeningu a managementu nemoc\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy v\u00a0t\u011bhotenstv\u00ed.<\/p>\n\n\n\n

O \u010cesk\u00e9 endokrinologick\u00e9 spole\u010dnosti<\/strong><\/p>\n\n\n\n

\u010cesk\u00e1 endokrinologick\u00e1 spole\u010dnost (\u010cES) je jednou z organiza\u010dn\u00edch slo\u017eek \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti JEP. Je z\u00e1rove\u0148 p\u0159idru\u017een\u00fdm \u010dlenem European Society of Endocrinology (ESE) a \u010dlenem International Society for Endocrinology (ISE). Vzd\u011bl\u00e1v\u00e1 odbornou i laickou ve\u0159ejnost, organizuje odborn\u00e9 konference a prov\u00e1d\u00ed v\u011bdeckou \u010dinnost. Jej\u00ed \u010dlenov\u00e9 jsou v kontaktu s mezin\u00e1rodn\u00ed v\u011bdeckou komunitou a publikuj\u00ed v odborn\u00fdch \u010dasopisech. V\u00edce informac\u00ed na www.endokrinologie.cz<\/em><\/a>.<\/p>\n\n\n\n

O T\u00fddnu \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/strong><\/p>\n\n\n\n

Leto\u0161n\u00ed 16. ro\u010dn\u00edk osv\u011btov\u00e9 kampan\u011b T\u00fdden \u0161t\u00edtn\u00e9 \u017el\u00e1zy nese podtitul \u201eT\u00e1hneme za jeden provaz\u201c. Dlouhodob\u00fdm c\u00edlem kampan\u011b je zv\u00fd\u0161it pov\u011bdom\u00ed ve\u0159ejnosti o poruch\u00e1ch \u0161t\u00edtn\u00e9 \u017el\u00e1zy, co\u017e m\u016f\u017ee n\u00e1sledn\u011b pomoci l\u00e9pe a v\u010das diagnostikovat pacienty, kte\u0159\u00ed o sv\u00e9m onemocn\u011bn\u00ed nev\u011bd\u00ed. Onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy je \u010dasto bezp\u0159\u00edznakov\u00e9, ale v\u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dba p\u0159edejdou mo\u017en\u00fdm komplikac\u00edm. Je t\u0159eba tak\u00e9 opakovan\u011b vyvracet mnoh\u00e9 omyly a m\u00fdty, kter\u00e9 jsou ve spole\u010dnosti v souvislosti se \u0161t\u00edtnou \u017el\u00e1zou a jej\u00ed l\u00e9\u010dbou zako\u0159en\u011bn\u00e9. Jedn\u00edm z nich je pr\u00e1v\u011b myln\u00e1 p\u0159edstava, \u017ee v\u0161echny poruchy \u0161t\u00edtn\u00e9 \u017el\u00e1zy mus\u00ed b\u00fdt v trval\u00e9 p\u00e9\u010di specialisty \u2013 endokrinologa. V \u010cesk\u00e9 republice je projekt, kter\u00fd podporuje spole\u010dnost Merck, odborn\u011b za\u0161t\u00edt\u011bn \u010ceskou endokrinologickou spole\u010dnost\u00ed \u010cLS JEP. V\u00edce informac\u00ed nawww.tydenstitnezlazy.cz<\/em><\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Do jejich p\u00e9\u010de p\u0159ejde a\u017e p\u011btina pacient\u016f Po\u010dty t\u011bch, kter\u00e9 tr\u00e1p\u00ed \u0161t\u00edtn\u00e1 \u017el\u00e1za a o n\u011b\u017e pe\u010duje praktik, st\u00e1le rostou. Prakti\u010dt\u00ed l\u00e9ka\u0159i tak ulevuj\u00ed p\u0159et\u00ed\u017een\u00fdm […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14164,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-49245","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\/49245","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=49245"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/49245\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14164"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=49245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=49245"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=49245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}