{"id":52203,"date":"2024-09-30T13:34:50","date_gmt":"2024-09-30T11:34:50","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=52203"},"modified":"2024-09-30T13:34:51","modified_gmt":"2024-09-30T11:34:51","slug":"prach-a-menici-se-klima-nici-nase-zdravi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=52203","title":{"rendered":"Prach a m\u011bn\u00edc\u00ed se klima ni\u010d\u00ed na\u0161e zdrav\u00ed"},"content":{"rendered":"\n<p><strong>Praha, 30. 9. 2024 \u2013 Pokud si \u010dlov\u011bk pro sv\u016fj kondi\u010dn\u00ed b\u011bh zvol\u00ed trasu kolem ru\u0161n\u00e9 silnice v\u00a0dob\u011b dopravn\u00ed \u0161pi\u010dky, prokazuje sv\u00e9mu zdrav\u00ed medv\u011bd\u00ed slu\u017ebu. \u010cin\u00ed-li tak opakovan\u011b, zad\u011bl\u00e1v\u00e1 si toti\u017e na astma, respira\u010dn\u00ed infekce, po\u0161kozen\u00ed funkce plic, na demenci \u010di onemocn\u011bn\u00ed srdce a c\u00e9v. To v\u0161e jsou choroby, jejich\u017e riziko se zvy\u0161uje s\u00a0t\u00edm, jak moc zne\u010di\u0161t\u011bn\u00fd vzduch \u010dlov\u011bk d\u00fdch\u00e1. <\/strong><\/p>\n\n\n\n<p><strong>Problematick\u00e9 je podle odborn\u00edk\u016f p\u0159edev\u0161\u00edm dlouhodob\u00e9 vdechov\u00e1n\u00ed drobn\u00fdch prachov\u00fdch \u010d\u00e1stic. Ty se do vzduchu dost\u00e1vaj\u00ed nap\u0159\u00edklad p\u0159i pr\u016fmyslov\u00e9 \u010dinnosti, p\u0159esunu stavebn\u00edch hmot, z\u00a0intenzivn\u00ed automobilov\u00e9 i leteck\u00e9 dopravy nebo p\u0159i rozs\u00e1hl\u00fdch lesn\u00edch po\u017e\u00e1rech a erozi, kter\u00e9 nep\u0159\u00edmo souvis\u00ed se zm\u011bnou klimatu.<\/strong><\/p>\n\n\n\n<p><strong> Zm\u011bna klimatu je a bude spojena tak\u00e9 s\u00a0extr\u00e9mn\u00edmi v\u00fdkyvy po\u010das\u00ed, jak jsme mohli vid\u011bt b\u011bhem posledn\u00edch t\u00fddn\u016f nejen ve st\u0159edn\u00ed Evrop\u011b. Vliv zne\u010di\u0161t\u011bn\u00ed ovzdu\u0161\u00ed a m\u011bn\u00edc\u00edho se klimatu na zdrav\u00ed je jedn\u00edm z\u00a0mnoha\u00a0t\u00e9mat, kter\u00fdmi se na konci z\u00e1\u0159\u00ed zab\u00fdval VII. kongres \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti \u010cLS JEP a XXXII. moravskoslezsk\u00e9 pneumologick\u00e9 dny.<\/strong><\/p>\n\n\n\n<p>\u201e<em>WHO vypo\u010d\u00edtalo hodnotu, p\u0159i kter\u00e9 je mno\u017estv\u00ed pol\u00e9tav\u00fdch \u010d\u00e1stic PM<\/em><sub><em>2,5<\/em><\/sub><em> ve vzduchu bezpe\u010dn\u00e9 pro zdrav\u00ed. V\u00a0\u010cesk\u00e9 republice ji spl\u0148uje pouze n\u011bkolik m\u00e1lo horsk\u00fdch odlehl\u00fdch oblast\u00ed. L\u00e9pe na tom nejsou ani dal\u0161\u00ed zem\u011b st\u0159edn\u00ed Evropy,\u201c<\/em> dopl\u0148uje doc. MUDr. Vladim\u00edr Kobl\u00ed\u017eek, Ph.D., p\u0159edseda \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti \u010cLS JEP. Jemn\u00e9 \u010d\u00e1stice <em>PM<\/em><sub><em>2,5<\/em><\/sub>jsou p\u0159ibli\u017en\u011b 30\u00d7 ten\u010d\u00ed ne\u017e lidsk\u00fd vlas. Snadno tak p\u0159i n\u00e1dechu proniknou do plicn\u00ed tk\u00e1n\u011b, kde p\u0159isp\u00edvaj\u00ed k\u00a0rozvoji v\u00e1\u017en\u00fdch zdravotn\u00edch probl\u00e9m\u016f. <\/p>\n\n\n\n<p>Zdrav\u00ed \u0161kodliv\u00e9 je zejm\u00e9na dlouhodob\u00e9 vdechov\u00e1n\u00ed t\u011bchto jemn\u00fdch \u010d\u00e1stic. Krom\u011b zv\u00fd\u0161en\u00e9ho rizika respira\u010dn\u00edch infekc\u00ed mohou b\u00fdt pol\u00e9tav\u00e9 \u010d\u00e1stice spolup\u0159\u00ed\u010dinou astmatu, chronick\u00e9 obstruk\u010dn\u00ed choroby nebo p\u0159i vy\u0161\u0161\u00edch koncentrac\u00edch a del\u0161\u00ed expozici tak\u00e9 rakoviny plic. Podle posledn\u00edch studi\u00ed se v\u0161ak pot\u00ed\u017ee zp\u016fsoben\u00e9 pol\u00e9tav\u00fdm prachem net\u00fdkaj\u00ed pouze plic. D\u011bti, jejich\u017e matky v\u00a0dob\u011b t\u011bhotenstv\u00ed d\u00fdchaly zne\u010di\u0161t\u011bn\u00fd vzduch, se mohou rodit s\u00a0n\u00edzkou porodn\u00ed v\u00e1hou a pozd\u011bji se u nich m\u016f\u017ee projevit ADHD nebo autismus. U star\u0161\u00edch lid\u00ed zase \u010dast\u011bji hroz\u00ed nemoci srdce nebo r\u016fzn\u00e9 formy demence.<\/p>\n\n\n\n<p>Studie zkoumaj\u00edc\u00ed zdrav\u00ed \u017een \u017eij\u00edc\u00edch v\u00a0bl\u00edzkosti d\u00e1lnic odhalila, \u017ee tyto \u017eeny \u010dast\u011bji onemocn\u00ed rakovinou prsu. L\u00e9ka\u0159i proto doporu\u010duj\u00ed vyb\u00edrat si pro fyzickou aktivitu m\u00edsto a \u010das, v nich\u017e je zne\u010di\u0161t\u011bn\u00ed vzduchu minim\u00e1ln\u00ed. Jako prevence pom\u016f\u017ee tak\u00e9 zdrav\u00e1 strava, vyh\u00fdb\u00e1n\u00ed se pra\u0161n\u00fdm prostor\u016fm zejm\u00e9na p\u0159i fyzick\u00e9 aktivit\u011b a vynech\u00e1n\u00ed kou\u0159en\u00ed. \u201e<em>Na zdravotn\u00ed probl\u00e9my si v\u0161ak m\u016f\u017eeme zad\u011blat tak\u00e9 p\u0159ehnanou \u010distotnost\u00ed. Hojn\u00e9 vyu\u017e\u00edv\u00e1n\u00ed dezinfekce v\u00a0dom\u00e1cnostech m\u016f\u017ee v\u00e9st k\u00a0rozvoji astmatu. Na ned\u00e1vn\u00e9m sv\u011btov\u00e9m pneumologick\u00e9m kongresu, kter\u00fd se uskute\u010dnil ve V\u00eddni, na to upozornili skandin\u00e1v\u0161t\u00ed kolegov\u00e9,\u201c<\/em> vysv\u011btluje doc. MUDr. Vladim\u00edr Kobl\u00ed\u017eek.<\/p>\n\n\n\n<p>Proti n\u011bkter\u00fdm akutn\u00edm respira\u010dn\u00edm onemocn\u011bn\u00edm je mo\u017en\u00e9 se preventivn\u011b o\u010dkovat. K\u00a0dispozici jsou nyn\u00ed vakc\u00edny proti ch\u0159ipce, covidu-19, RS vir\u00f3ze, pneumokokov\u00fdm infekc\u00edm a\u00a0\u010dern\u00e9mu ka\u0161li. L\u00e9ka\u0159i o\u010dkov\u00e1n\u00ed doporu\u010duj\u00ed p\u0159edev\u0161\u00edm lidem star\u0161\u00edm 60 let a chronick\u00fdm pacient\u016fm. <em>\u201eI kdy\u017e je pandemie covid-19 za n\u00e1mi, nemoc nezmizela a st\u00e1le m\u016f\u017ee zp\u016fsobovat velk\u00e9 zdravotn\u00ed komplikace, zejm\u00e9na u star\u0161\u00edch osob s\u00a0dal\u0161\u00edmi chorobami. V\u00a0sou\u010dasn\u00e9 dob\u011b nejsou zavedena z\u00e1vazn\u00e1 pravidla t\u00fdkaj\u00edc\u00ed se izolace nebo testov\u00e1n\u00ed p\u0159i podez\u0159en\u00ed na covid-19. Lid\u00e9 by se m\u011bli chovat stejn\u011b jako v\u00a0p\u0159\u00edpad\u011b jin\u00e9ho vysoce naka\u017eliv\u00e9ho onemocn\u011bn\u00ed. To znamen\u00e1 z\u016fstat doma, tlumit p\u0159\u00edznaky a omezit kontakty s\u00a0dal\u0161\u00edmi lidmi, p\u0159edev\u0161\u00edm s\u00a0t\u011bmi, kte\u0159\u00ed pat\u0159\u00ed do n\u011bkter\u00e9 z rizikov\u00fdch skupin. V\u00a0p\u0159\u00edpad\u011b zhor\u0161en\u00ed p\u0159\u00edznak\u016f je t\u0159eba poradit se s o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em. Rizikov\u00fdm skupin\u00e1m doporu\u010dujeme obr\u00e1tit se na n\u011bj u\u017e v\u00a0po\u010d\u00e1tku onemocn\u011bn\u00ed,\u201c<\/em> rad\u00ed doc. Kobl\u00ed\u017eek.<\/p>\n\n\n\n<p> Na podobn\u00e9m principu jako o\u010dkov\u00e1n\u00ed proti covidu-19 m\u00e1 fungovat tak\u00e9 nov\u011b vyv\u00edjen\u00e1 protin\u00e1dorov\u00e1 terapeutick\u00e1 vakc\u00edna proti rakovin\u011b plic. L\u00e1tka, kter\u00e1 je v\u00a0n\u00ed obsa\u017eena, m\u00e1 za \u00fakol nau\u010dit t\u011blo nemocn\u00e9ho vyhled\u00e1vat a ni\u010dit rakovinov\u00e9 bu\u0148ky. V\u00a0sou\u010dasn\u00e9 dob\u011b je l\u00e1tka v\u00a0\u010dasn\u00e9 f\u00e1zi klinick\u00e9ho zkou\u0161en\u00ed, jej\u00ed \u00fa\u010dinnost se nyn\u00ed testuje v\u00a0sedmi zem\u00edch.<\/p>\n\n\n\n<p>\u201e<em>Jedn\u00e1 se o\u00a0p\u0159evratn\u00fd objev, kter\u00fd by v\u00a0p\u0159\u00edpad\u011b, \u017ee klinick\u00e9 zkou\u0161en\u00ed dopadne dob\u0159e, mohl v\u00a0bl\u00edzk\u00e9 budoucnosti v\u00fdrazn\u011b zm\u011bnit statistiky onemocn\u011bn\u00ed rakovinou plic, kter\u00e1 je i p\u0159es mnoh\u00e9 l\u00e9\u010debn\u00e9 pokroky st\u00e1le v\u00e1\u017en\u00e1,\u201c<\/em> komentuje doc. Kobl\u00ed\u017eek. Rakovinou plic v\u00a0\u010cR ro\u010dn\u011b onemocn\u00ed asi 6 600 lid\u00ed a 5\u00a0200 na ni zem\u0159e. V\u00a0posledn\u00edch letech prod\u011blala l\u00e9\u010dba rakoviny plic revolu\u010dn\u00ed zm\u011bny, kter\u00e9 v\u00fdznamn\u011b prodlou\u017eily dobu p\u0159e\u017eit\u00ed t\u00e9to nemoci. L\u00e9ka\u0159i v\u00a0sou\u010dasnosti navrhuj\u00ed pacient\u016fm l\u00e9\u010dbu na m\u00edru, p\u0159i kter\u00e9 kombinuj\u00ed imunoterapii, chemoterapii, radioterapii, biologickou l\u00e9\u010dbu a chirurgick\u00fd z\u00e1krok. Nejv\u011bt\u0161\u00ed \u0161anci na vyl\u00e9\u010den\u00ed maj\u00ed pacienti, u kter\u00fdch l\u00e9ka\u0159i odhal\u00ed n\u00e1dor v\u00a0prvn\u00edm nebo druh\u00e9m stadiu, a pr\u00e1v\u011b takov\u00e9 pacienty zachyt\u00e1v\u00e1 pilotn\u00ed program \u010dasn\u00e9ho z\u00e1chytu rakoviny plic.<\/p>\n\n\n\n<p> Projekt funguje od roku 2022, kdy se jej poda\u0159ilo prosadit \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti, v\u00a0t\u00e9 dob\u011b pod veden\u00edm prof. MUDr. Martiny Koziar Va\u0161\u00e1kov\u00e9, Ph.D., ve spolupr\u00e1ci s\u00a0\u00dastavem zdravotnick\u00fdch informac\u00ed a statistiky \u010cR. <em>\u201ePodobn\u00fd program maj\u00ed tak\u00e9 v\u00a0n\u011bkolika dal\u0161\u00edch zem\u00edch st\u0159edn\u00ed Evropy. M\u00e1lokdy je v\u0161ak propojen s instituc\u00ed, kter\u00e1 by sou\u010dasn\u011b sb\u00edrala a analyzovala statistick\u00e1 data (u n\u00e1s \u00daZIS \u010cR). Z\u00a0tohoto pohledu je na\u0161e pojet\u00ed screeningu jedn\u00edm z\u00a0nejlep\u0161\u00edch v\u00a0Evrop\u011b. V sou\u010dasnosti se tento projekt postupn\u011b roz\u0161i\u0159uje do dal\u0161\u00edch nemocnic a pro v\u0161echny \u00fa\u010dastn\u00edky je zdarma,\u201c <\/em>dod\u00e1v\u00e1 doc. MUDr. Vladim\u00edr Kobl\u00ed\u017eek. Podrobnosti o preventivn\u00edm programu najdete na <a href=\"http:\/\/www.prevenceproplice.cz\/\">www.prevenceproplice.cz<\/a>.<\/p>\n\n\n\n<p><strong>\u010cesk\u00e1 pneumologick\u00e1 a ftizeologick\u00e1 spole\u010dnost \u010cLS JEP (\u010cPFS)<\/strong><\/p>\n\n\n\n<p>.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Praha, 30. 9. 2024 \u2013 Pokud si \u010dlov\u011bk pro sv\u016fj kondi\u010dn\u00ed b\u011bh zvol\u00ed trasu kolem ru\u0161n\u00e9 silnice v\u00a0dob\u011b dopravn\u00ed \u0161pi\u010dky, prokazuje sv\u00e9mu zdrav\u00ed medv\u011bd\u00ed slu\u017ebu. <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=52203\" title=\"Prach a m\u011bn\u00edc\u00ed se klima ni\u010d\u00ed na\u0161e zdrav\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27098,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-52203","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\/52203","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=52203"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52203\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27098"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}