{"id":50100,"date":"2024-06-24T19:40:33","date_gmt":"2024-06-24T17:40:33","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=50100"},"modified":"2024-06-24T19:40:34","modified_gmt":"2024-06-24T17:40:34","slug":"pacienti-s-rakovinou-slinivky-mohou-zit-nasobne-dele","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=50100","title":{"rendered":"Pacienti s rakovinou slinivky mohou \u017e\u00edt n\u00e1sobn\u011b d\u00e9le"},"content":{"rendered":"\n

Kdy\u017e se na jejich nemoc p\u0159ijde v\u010das<\/em><\/p>\n\n\n\n

Praha, 24. 6. 2024 \u2013 Zachytit nemocn\u00e9 s\u00a0rakovinou slinivky v\u00a0ran\u00e9m stadiu, a prodlou\u017eit jim tak a\u017e \u0161estkr\u00e1t \u017eivot. To je c\u00edl programu v\u010dasn\u00e9ho vyhled\u00e1v\u00e1n\u00ed karcinomu pankreatu, kter\u00fd odstartoval v\u00a0\u010cesku v\u00a0lo\u0148sk\u00e9m roce. Preventivn\u00ed prohl\u00eddky ji\u017e podstupuj\u00ed pacienti po cel\u00e9 \u010cR. Rakovina slinivky bude podle expert\u016f v\u00a0roce 2030 druh\u00fdm nej\u010dast\u011bj\u0161\u00edm smrt\u00edc\u00edm n\u00e1dorem po karcinomu plic. O tom, jak proti t\u00e9to z\u00e1ke\u0159n\u00e9 nemoci bojovat, diskutovaly minul\u00fd t\u00fdden v\u00a0Olomouci stovky gastroenterolog\u016f a l\u00e9ka\u0159\u016f jin\u00fdch specializac\u00ed na dvou mezin\u00e1rodn\u00edch akc\u00edch \u2013 XXII. pankreatologick\u00e9m dni a XIX. Olomouc Live Endoscopy (OLE 2024).<\/strong><\/p>\n\n\n\n

\u201eSlinivka b\u0159i\u0161n\u00ed je velice d\u016fle\u017eit\u00fd org\u00e1n, kter\u00fd pln\u00ed n\u011bkolik funkc\u00ed souvisej\u00edc\u00edch s\u00a0tr\u00e1ven\u00edm a\u00a0zpracov\u00e1n\u00edm \u017eivin. Bohu\u017eel st\u00e1le nar\u016fst\u00e1 po\u010det p\u0159\u00edpad\u016f onemocn\u011bn\u00ed pankreatu, v\u010detn\u011b rakoviny. N\u00e1dory nav\u00edc v\u011bt\u0161inou odhal\u00edme a\u017e v\u00a0pokro\u010dil\u00e9m stadiu. P\u0159i l\u00e9\u010db\u011b je nezbytn\u00e1 intenzivn\u00ed spolupr\u00e1ce n\u00e1s gastroenterolog\u016f a dal\u0161\u00edch specialist\u016f \u2013 nap\u0159\u00edklad onkolog\u016f, chirurg\u016f nebo radiolog\u016f,\u201c<\/em> popisuje prof.\u00a0MUDr.\u00a0Ond\u0159ej Urban, p\u0159ednosta II. intern\u00ed kliniky \u2013 gastroenterologick\u00e9 a geriatrick\u00e9 Fakultn\u00ed nemocnice Olomouc.<\/p>\n\n\n\n

Jedn\u00edm z\u00a0c\u00edl\u016f olomouck\u00e9ho kongresu proto byla pr\u00e1v\u011b mezioborov\u00e1 v\u00fdm\u011bna informac\u00ed. \u201eV\u011bnovali jsme se spole\u010dn\u011b nejenom diagnostice a l\u00e9\u010db\u011b rakoviny slinivky b\u0159i\u0161n\u00ed, ale i tomu, jak nemocn\u00e9 zachytit co nejd\u0159\u00edv,\u201c<\/em> dopl\u0148uje prof. Urban.<\/p>\n\n\n\n

Rakovinu slinivky l\u00e9ka\u0159i ro\u010dn\u011b diagnostikuj\u00ed 2 400 lidem a t\u00e9m\u011b\u0159 2 200 pacient\u016f na ni za stejn\u00fd \u010dasov\u00fd \u00fasek um\u00edr\u00e1.<\/p>\n\n\n\n

Odhalit p\u0159edn\u00e1dorov\u00e9 zm\u011bny nebo rakovinu tohoto org\u00e1nu v\u00a0ran\u00e9 f\u00e1zi pom\u00e1h\u00e1 od lo\u0148sk\u00e9ho roku program v\u010dasn\u00e9ho z\u00e1chytu vyhled\u00e1v\u00e1n\u00ed karcinomu pankreatu. Je ur\u010den pro osoby, jejich\u017e celo\u017eivotn\u00ed riziko tohoto druhu rakoviny je vy\u0161\u0161\u00ed ne\u017e 5 %.<\/p>\n\n\n\n

\u201eV\u00a0roce 2030 bude rakovina slinivky druhou nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed na n\u00e1dorov\u00e1 onemocn\u011bn\u00ed. Sna\u017e\u00edme se nal\u00e9zt nemocn\u00e9 je\u0161t\u011b p\u0159edt\u00edm, ne\u017e se u nich za\u010dnou objevovat prvn\u00ed obt\u00ed\u017ee,\u201c <\/em>vysv\u011btluje prof. Urban. \u201eRizikov\u00ed jsou ti, kte\u0159\u00ed maj\u00ed dva a v\u00edce p\u0159\u00edm\u00fdch p\u0159\u00edbuzn\u00fdch s\u00a0rakovinou slinivky,<\/em> trp\u00ed<\/em> opakovan\u00fdmi akutn\u00edmi z\u00e1n\u011bty \u010di chronick\u00fdm z\u00e1n\u011btem slinivky b\u0159i\u0161n\u00ed. Ohro\u017eeni jsou tak\u00e9 nositel\u00e9 genetick\u00fdch mutac\u00ed, kter\u00e9 dok\u00e1\u017eeme identifikovat u osob i s jin\u00fdmi n\u00e1dorov\u00fdmi onemocn\u011bn\u00edmi,\u201c <\/em>dod\u00e1v\u00e1. <\/p>\n\n\n\n

U nemocn\u00fdch zachycen\u00fdch a\u017e v\u00a0p\u0159\u00edpad\u011b pokro\u010dil\u00e9ho stadia rakoviny se podle n\u011bj pr\u016fm\u011brn\u00e1 doba do\u017eit\u00ed pohybuje kolem 1,5 roku. Pokud se poda\u0159\u00ed odhalit pacienty v\u010das, mohou \u017e\u00edt a\u017e \u0161estkr\u00e1t d\u00e9le. \u201eNad\u011bje do\u017eit\u00ed je v\u00a0takov\u00e9m p\u0159\u00edpad\u011b 9,5 let. Proto vznikl program v\u010dasn\u00e9ho z\u00e1chytu karcinomu pankreatu, kter\u00fd je nyn\u00ed koordinov\u00e1n \u010ceskou gastroenterologickou spole\u010dnost\u00ed. Nejv\u00edce osob zat\u00edm sledujeme ve Fakultn\u00ed nemocnici Olomouc, kde jsme s programem za\u010dali. Kontrolovan\u00fdch pacient\u016f ale v\u00fdznamn\u011b p\u0159ib\u00fdv\u00e1 po cel\u00e9 \u010cR,\u201c<\/em> popisuje prof. Urban.<\/p>\n\n\n\n

Vy\u0161et\u0159en\u00ed rizikov\u00fdch osob prov\u00e1d\u00ed l\u00e9ka\u0159i jednou ro\u010dn\u011b ve specializovan\u00fdch centrech. Doporu\u010dit ho mohou prakti\u010dt\u00ed l\u00e9ka\u0159i, gastroenterologov\u00e9, chirurgov\u00e9, onkologov\u00e9 nebo genetici. Pokud se domn\u00edvaj\u00ed, \u017ee jejich pacient pat\u0159\u00ed do rizikov\u00e9 skupiny, vypln\u00ed na webov\u00fdch str\u00e1nk\u00e1ch \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti (\u010cGS) speci\u00e1ln\u00ed dotazn\u00edk<\/a>. Odborn\u00edci z \u010cGS na z\u00e1klad\u011b n\u011bj rozhodnou, zda bude pacient za\u0159azen do programu v\u010dasn\u00e9ho vyhled\u00e1v\u00e1n\u00ed. <\/p>\n\n\n\n

\u201eNa webu na\u0161\u00ed spole\u010dnosti je krom\u011b dotazn\u00edku zve\u0159ejn\u011bn\u00fd i <\/em>seznam 18 pracovi\u0161\u0165<\/em><\/a>, kter\u00e1 jsou aktu\u00e1ln\u011b do programu zapojena. Jedn\u00e1 se o centra <\/em>vysoce specializovan\u00e9 p\u00e9\u010de pro digestivn\u00ed endoskopii. Rizikov\u00e9 osoby v\u00a0t\u011bchto centrech pravideln\u011b podstupuj\u00ed vy\u0161et\u0159en\u00ed slinivky magnetickou rezonanc\u00ed a endoskopickou ultrasonografi\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 doc. MUDr. Ilja Tachec\u00ed, p\u0159edseda \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti a p\u0159ednosta II. intern\u00ed gastroenterologick\u00e9 kliniky LF UK a FN Hradec Kr\u00e1lov\u00e9. \u201eVe spolupr\u00e1ci s\u00a0MZ usilujeme o to, aby se po\u010det center nav\u00fd\u0161il na 30 a aby byla centra pro tyto \u00fakoly optim\u00e1ln\u011b person\u00e1ln\u011b i p\u0159\u00edstrojov\u011b vybavena. Pro pacienty jsou velmi d\u016fle\u017eit\u00e1 i z\u00a0toho d\u016fvodu, \u017ee v\u00a0nich jejich nejlep\u0161\u00ed mo\u017enou l\u00e9\u010dbu posuzuje t\u00fdm odborn\u00edk\u016f z\u00a0r\u016fzn\u00fdch specializac\u00ed. Z\u00edskaj\u00ed zde komplexn\u00ed p\u00e9\u010di,\u201c<\/em> dopl\u0148uje.<\/p>\n\n\n\n

Z dat Fakulty biomedic\u00ednsk\u00e9ho in\u017een\u00fdrstv\u00ed \u010cVUT v Praze, na nich\u017e spolupracuje s\u00a0Kancel\u00e1\u0159\u00ed zdravotn\u00edho poji\u0161t\u011bn\u00ed, vypl\u00fdv\u00e1, \u017ee k\u00a0multidisciplin\u00e1rn\u00edm t\u00fdm\u016fm do specializovan\u00fdch center v \u010cesku se dost\u00e1v\u00e1 dosud pouze p\u0159ibli\u017en\u011b 50 % pacient\u016f s rakovinou pankreatu. <\/p>\n\n\n\n

\u201eP\u0159esto jsme v r\u00e1mci na\u0161\u00ed pilotn\u00ed studie t\u00fdkaj\u00edc\u00ed se cesty nemocn\u00fdch s karcinomem slinivky za p\u00e9\u010d\u00ed zjistili, \u017ee po\u010det pacient\u016f l\u00e9\u010den\u00fdch ve specializovan\u00fdch centrech nar\u016fst\u00e1,\u201c<\/em> popisuje doc. Ale\u0161 Tichop\u00e1d, vedouc\u00ed t\u00fdmu CzechHTA Fakulty biomedic\u00ednsk\u00e9ho in\u017een\u00fdrstv\u00ed \u010cVUT.<\/p>\n\n\n\n

Podle profesora Ond\u0159eje Urbana souvis\u00ed tento po\u010det s\u00a0t\u00edm, \u017ee je karcinom pankreatu u nemocn\u00fdch odhalen v\u011bt\u0161inou pozd\u011b. \u201eCentra u\u017e jim v\u00a0t\u00e9to f\u00e1zi \u010dasto nemohou pomoci. Nemocn\u00ed jsou nav\u00edc mnohdy v\u00a0takov\u00e9m stavu, \u017ee je pro n\u011b n\u00e1v\u0161t\u011bva, zejm\u00e9na vzd\u00e1len\u011bj\u0161\u00edch za\u0159\u00edzen\u00ed, velkou komplikac\u00ed,\u201c<\/em> vysv\u011btluje prof. Urban. \u201ePokud se n\u00e1m d\u00edky programu v\u010dasn\u00e9ho z\u00e1chytu poda\u0159\u00ed odhalovat rakovinu slinivky v\u00a0ran\u00e9m stadiu, zv\u00fd\u0161\u00ed se tak\u00e9 pod\u00edl nemocn\u00fdch l\u00e9\u010den\u00fdch ve specializovan\u00fdch centrech s\u00a0lep\u0161\u00edmi v\u00fdsledky,\u201c <\/em>dod\u00e1v\u00e1.<\/p>\n\n\n\n

\u201eCelosv\u011btov\u00fdm trendem je tedy posilovat roli specializovan\u00fdch center s\u00a0garantovanou kvalitou p\u00e9\u010de, adekv\u00e1tn\u00edm person\u00e1ln\u00edm a \u0161pi\u010dkov\u00fdm p\u0159\u00edstrojov\u00fdm vybaven\u00edm. T\u00edmto sm\u011brem c\u00edl\u00ed priority a aktivity \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti v\u00a0dan\u00e9 oblasti,\u201c<\/em> uzav\u00edr\u00e1 doc. Tachec\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kdy\u017e se na jejich nemoc p\u0159ijde v\u010das Praha, 24. 6. 2024 \u2013 Zachytit nemocn\u00e9 s\u00a0rakovinou slinivky v\u00a0ran\u00e9m stadiu, a prodlou\u017eit jim tak a\u017e \u0161estkr\u00e1t \u017eivot. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":46976,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-50100","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\/50100","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=50100"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/50100\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/46976"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50100"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50100"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}