S nov\u00fdmi metodami a l\u00e9\u010debn\u00fdmi postupy nemus\u00ed m\u00edt onkologick\u00e9 onemocn\u011bn\u00ed fat\u00e1ln\u00ed n\u00e1sledky. Nebo se spr\u00e1vnou l\u00e9\u010dbou m\u016f\u017ee doba \u017eivota nemocn\u00e9ho alespo\u0148 v\u00fdrazn\u011b prodlou\u017eit. 42let\u00e9mu Petru Benediktovi byl n\u00e1hle diagnostikov\u00e1n n\u00e1dor na mozku; a nav\u00edc jeho nejagresivn\u011bj\u0161\u00ed forma. \u00da\u010dinn\u00e1 metoda Optune TTF m\u016f\u017ee otci dvou d\u011bt\u00ed v\u00fdrazn\u011b prodlou\u017eit \u017eivot. Je ale velice n\u00e1kladn\u00e1.<\/p>\n\n\n\n
Petr Benedikt je t\u00e1ta dvou d\u011bt\u00ed \u2013 Ani\u010dky a P\u00e9ti. Celo\u017eivotn\u00ed neku\u0159\u00e1k, sportovec a je\u0161t\u011b p\u0159ed rokem zcela zdrav\u00fd mu\u017e, kter\u00fd nezme\u0161kal \u017e\u00e1dnou preventivn\u00ed prohl\u00eddku. Osudn\u00fd den, shodou okolnost\u00ed p\u00e1tek t\u0159in\u00e1ct\u00e9ho, p\u0159ijel dom\u016f ze slu\u017eebn\u00ed cesty. Od toho dne se jeho \u017eivot nevratn\u011b zm\u011bnil.<\/p>\n\n\n\n
P\u016fvodn\u011b si Petr myslel, \u017ee se pot\u00fdk\u00e1 jen s b\u011b\u017en\u00fdm nachlazen\u00edm. B\u011bhem n\u00e1sleduj\u00edc\u00edch dn\u00ed se v\u0161ak musel za\u010d\u00edt smi\u0159ovat s krutou pravdou: je onkologick\u00fdm pacientem.<\/p>\n\n\n\n
Na magnetick\u00e9 rezonanci mu byl odhalen karcinom na mozku. Glioblastom grade IV. (viz n\u00ed\u017ee) je ozna\u010dov\u00e1n jako nejv\u00edce agresivn\u00ed zhoubn\u00fd n\u00e1dor, s n\u00edm\u017e pacienti p\u0159e\u017e\u00edvaj\u00ed maxim\u00e1ln\u011b t\u0159i roky. V\u011bt\u0161inou v\u0161ak mnohem krat\u0161\u00ed dobu.<\/p>\n\n\n\n
Od praktika rovnou na CT<\/p>\n\n\n\n
\u201eMan\u017eel mi volal do pr\u00e1ce hned r\u00e1no, \u017ee pot\u0159ebuje k l\u00e9ka\u0159i. V\u00fdsledky uk\u00e1zaly na Covid-19. M\u011bl vysok\u00e9 teploty, zakop\u00e1val a byl apatick\u00fd. Pan doktor ho proto odeslal na CT mozku. Man\u017eel ale nespolupracoval a vy\u0161et\u0159en\u00ed odm\u00edtal. S velk\u00fdm strachem a se slzami v o\u010d\u00edch jsem jela i s na\u0161\u00edm panem doktorem za n\u00edm,\u201c popisuje prvn\u00ed okam\u017eiky man\u017eelka Eva Benediktov\u00e1.<\/p>\n\n\n\n
Man\u017eela se j\u00ed nakonec poda\u0159ilo p\u0159emluvit, aby vy\u0161et\u0159en\u00ed podstoupil. Pak ale p\u0159i\u0161el l\u00e9ka\u0159 s v\u00fdsledkem a informac\u00ed, \u017ee je nutn\u00e9 CT opakovat s kontrastn\u00ed l\u00e1tkou. V tu chv\u00edli ji\u017e Petrova man\u017eelka tu\u0161ila, \u017ee je n\u011bco \u0161patn\u011b.<\/p>\n\n\n\n
\u201eJen jsem sed\u011bla v \u010dek\u00e1rn\u011b a proudem mi tekly slzy. Je\u0161t\u011b jsem zavolala Petrov\u011b mamce, kter\u00e1 ihned p\u0159ijela. V\u00fdsledek jsme se dozv\u011bd\u011bli vz\u00e1p\u011bt\u00ed. Pan doktor n\u00e1m p\u0159edal ve\u0161kerou dokumentaci a odeslal n\u00e1s sanitkou na neurologii do nemocnice v Chomutov\u011b,\u201c pokra\u010duje man\u017eelka.<\/p>\n\n\n\n
\u201eNa mozku je l\u00e9ze\u201c<\/p>\n\n\n\n
Jej\u00ed domn\u011bnky se bohu\u017eel potvrdily. \u201eNa mozku je l\u00e9ze,\u201c ozn\u00e1mil doktor. Nastoupila proto do sanitky jako doprovod sv\u00e9ho man\u017eela a cestou na neurologii si za\u010dala pro\u010d\u00edtat l\u00e9ka\u0159skou zpr\u00e1vu.<\/p>\n\n\n\n
\u201eSt\u00e1lo v n\u00ed: podez\u0159en\u00ed na n\u00e1dor mozku. Co\u017ee? To nen\u00ed mo\u017en\u00e9! Petr byl dote\u010f \u00fapln\u011b zdrav\u00fd chlap, neku\u0159\u00e1k, sportovec. To nem\u016f\u017ee b\u00fdt pravda,\u201c nech\u00e1pala v tu chv\u00edli Petrova man\u017eelka.<\/p>\n\n\n\n
Po p\u0159\u00edjezdu do nemocnice se nav\u00edc v\u0161e zkomplikovalo kv\u016fli tehdy prob\u00edhaj\u00edc\u00ed covidov\u00e9 infekci. Pl\u00e1novan\u00e1 magnetick\u00e1 rezonance se proto musela odlo\u017eit. I vysoce postaven\u00ed chirurgov\u00e9 se v\u0161ak ji\u017e v tu chv\u00edli shodovali, \u017ee se podle sn\u00edmk\u016f bohu\u017eel p\u0159ikl\u00e1n\u011bj\u00ed k diagn\u00f3ze Glioblastomu mozku. Petra proto p\u0159evezli na vy\u0161\u0161\u00ed pracovi\u0161t\u011b \u2013 na neurochirurgii v \u00dast\u00ed nad Labem.<\/p>\n\n\n\n
Kolik m\u00e1me \u010dasu?<\/p>\n\n\n\n
V \u00dast\u00ed nad Labem ov\u0161em ne\u010dekala na man\u017eel\u00e9 Benediktovi o nic p\u0159\u00edzniv\u011bj\u0161\u00ed zpr\u00e1va. Na z\u00e1klad\u011b dohody cel\u00e9ho t\u00fdmu l\u00e9ka\u0159\u016f bylo rozhodnuto, \u017ee se odebere vzorek n\u00e1doru na vy\u0161et\u0159en\u00ed a Petr byl propu\u0161t\u011bn dom\u016f. Po \u010dtrn\u00e1cti dnech se na pracovi\u0161t\u011b vr\u00e1til, aby si vyslechl sv\u00e9 v\u00fdsledky.<\/p>\n\n\n\n
\u201eBylo des\u00e1t\u00e9ho listopadu. Sed\u011bli jsme v \u010dek\u00e1rn\u011b. Pan doktor n\u00e1m podal ruku a sest\u0159i\u010dka p\u0159inesla druhou \u017eidli. Vyzvala m\u011b, abych se posadila. Doktor n\u00e1m ozn\u00e1mil, \u017ee je to opravdu zhoubn\u00fd n\u00e1dor mozku Glioblastom grade IV. Byl to pro n\u00e1s \u0161ok. A dal\u0161\u00ed r\u00e1na? Odstranit nelze. Operaci by man\u017eel nep\u0159e\u017eil,\u201c popisuje krut\u00e9 procitnut\u00ed Petrova man\u017eelka.<\/p>\n\n\n\n
Jej\u00edmu mu\u017ei byla n\u00e1sledn\u011b doporu\u010dena paliativn\u00ed l\u00e9\u010dba, kter\u00e1 zahrnovala oza\u0159ov\u00e1n\u00ed, chemoterapie, kontroln\u00ed magnetick\u00e9 rezonance mozku a EEG vy\u0161et\u0159en\u00ed.<\/p>\n\n\n\n
\u201eCestou z neurologie dom\u016f jsem nad v\u0161\u00edm p\u0159em\u00fd\u0161lela a nemohla tomu uv\u011b\u0159it. I kdy\u017e jsem v\u011bd\u011bla, jak\u00e1 je progn\u00f3za, neust\u00e1le se m\u011b mozek ptal: kolik m\u00e1me \u010dasu?\u201c popisuje Petrova \u017eena.<\/p>\n\n\n\n
P\u0159evratn\u00e1 metoda z \u010cech<\/p>\n\n\n\n
Petr se svou diagn\u00f3zou nyn\u00ed \u017eije u\u017e t\u00e9m\u011b\u0159 rok. \u010cek\u00e1 na invalidn\u00ed d\u016fchod a je z\u00e1visl\u00fd na p\u00e9\u010di rodiny. Je sob\u011bsta\u010dn\u00fd, bez epileptick\u00fdch z\u00e1chvat\u016f, ale jeho kr\u00e1tkodob\u00e1 pam\u011b\u0165 se zhor\u0161ila, zm\u011bnilo se citov\u00e9 vn\u00edm\u00e1n\u00ed i osobnost.<\/p>\n\n\n\n
\u010cichov\u00e9 a sluchov\u00e9 vjemy u n\u011bj vyvol\u00e1vaj\u00ed siln\u00e9 bolesti hlavy, kter\u00e9 n\u011bkdy p\u0159er\u016fstaj\u00ed a\u017e v agresi. L\u00e9\u010dba ho unavuje a vy\u0159azuje z aktivn\u00edho \u017eivota.<\/p>\n\n\n\n
\u201eNad\u011bj\u00ed, jak Petr\u016fv \u017eivot co nejv\u00edce prodlou\u017eit, je speci\u00e1ln\u00ed elektrostimula\u010dn\u00ed l\u00e9\u010dba p\u0159\u00edstrojem Optune TTF (viz n\u00ed\u017ee). V \u010cesk\u00e9 republice ji sice lze podstoupit, ale na rozd\u00edl od jin\u00fdch st\u00e1t\u016f u n\u00e1s nen\u00ed hrazen\u00e1 z ve\u0159ejn\u00e9ho poji\u0161t\u011bn\u00ed,\u201c hovo\u0159\u00ed Eva Benediktov\u00e1 ve sb\u00edrce na Donio o nad\u011bji, kter\u00e1 m\u016f\u017ee \u017eivot jej\u00edho man\u017eela v\u00fdrazn\u011b prodlou\u017eit.<\/p>\n\n\n\n
M\u011bs\u00edc l\u00e9\u010dby v\u0161ak stoj\u00ed 620 tis\u00edc korun. Aby ji mohl Petr podstoupit, mus\u00ed zajistit finance na cel\u00fd rok l\u00e9\u010dby. Z pot\u0159ebn\u00fdch 6 milion\u016f v\u0161ak zat\u00edm vybral pouh\u00fdch 468 tis\u00edc (k 27. z\u00e1\u0159\u00ed 2024). To zat\u00edm nepokryje ani jeden m\u011bs\u00edc l\u00e9\u010dby.<\/p>\n\n\n\n
Nikdo nav\u00edc nev\u00ed, jak dlouho si je\u0161t\u011b m\u016f\u017ee Petr dovolit na zah\u00e1jen\u00ed l\u00e9\u010dby \u010dekat. V\u0161ichni naopak v\u011bd\u00ed, \u017ee \u010das je v tuto chv\u00edli jeho nep\u0159\u00edtelem.<\/p>\n\n\n\n
P\u0159isp\u011bt Petrovi na pot\u0159ebnou l\u00e9\u010dbu m\u016f\u017eete ZDE: https:\/\/donio.cz\/boj-s-nadorem-mozku<\/a><\/p>\n\n\n\n Glioblastom grade IV.<\/p>\n\n\n\n \u201eGlioblastom je nej\u010dast\u011bj\u0161\u00ed a nejagresivn\u011bj\u0161\u00ed prim\u00e1rn\u00ed mozkov\u00fd n\u00e1dor. Vznik\u00e1 de novo (od po\u010d\u00e1tku; pozn. red.) z gliov\u00fdch bun\u011bk (podp\u016frn\u00e9 bu\u0148ky neuron\u016f), nebo malign\u00ed transformac\u00ed ni\u017e\u0161\u00edch gliom\u016f,\u201c popisuje zhoubn\u00fd mozkov\u00fd n\u00e1dor odborn\u00fd l\u00e9ka\u0159sk\u00fd \u010dasopis \u010cesk\u00e1 a Slovensk\u00e1 neurologie a neurochirurgie.<\/p>\n\n\n\n Objevuje se u 3 a\u017e 4 pacient\u016f na 100 000 obyvatel ka\u017ed\u00fd rok. Nej\u010dast\u011bji vznik\u00e1 ve v\u011bku mezi 45 a\u017e 75 lety.<\/p>\n\n\n\n I p\u0159es kombinovan\u00e9 l\u00e9\u010debn\u00e9 postupy je v\u0161ak progn\u00f3za nep\u0159\u00edzniv\u00e1 a vyzna\u010duje se vysokou mortalitou. Pacienti b\u011b\u017en\u011b p\u0159e\u017e\u00edvaj\u00ed 12 a\u017e 18 m\u011bs\u00edc\u016f. V\u011bt\u0161ina um\u00edr\u00e1 do t\u0159\u00ed let. P\u0159e\u017eit\u00ed del\u0161\u00ed ne\u017e 10 let je vz\u00e1cn\u00e9.<\/p>\n\n\n\n Typick\u00fdmi p\u0159\u00edznaky jsou podle \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky \u010cR (\u00daZIS \u010cR) poruchy hybnosti, \u0159e\u010di, sluchu nebo zraku. D\u00e1le v\u00fdpadky pam\u011bti, poruchy chov\u00e1n\u00ed, epileptick\u00e9 z\u00e1chvaty, n\u00e1hl\u00e9 p\u00e1dy, zv\u00fd\u0161en\u00fd tlak uvnit\u0159 lebky, z\u00e1vrat\u011b, bolesti hlavy, probl\u00e9my s pam\u011bt\u00ed a koncentrac\u00ed, a dal\u0161\u00ed.<\/p>\n\n\n\n Metoda OPTUNE TTF (Tumor treating fields)<\/p>\n\n\n\n Schv\u00e1len\u00e1 metoda zalo\u017een\u00e1 na principu, \u017ee proch\u00e1z\u00ed-li bu\u0148kou st\u0159\u00eddav\u00fd elektrick\u00fd proud ur\u010dit\u00fdch charakteristik, bu\u0148ka ztr\u00e1c\u00ed schopnost se d\u011blit.<\/p>\n\n\n\n \u201ePilotn\u00ed studie t\u00e9to metody prob\u011bhla v \u010cesk\u00e9 republice (v roce 2004; pozn. red.). Po patn\u00e1cti letech \u017eije 20 % pacient\u016f, kte\u0159\u00ed do n\u00ed byli za\u0159azeni,\u201c tvrdil prim\u00e1\u0159 Radiodiagnostick\u00e9ho odd\u011blen\u00ed Nemocnice Na Homolce Josef Vymazal v odborn\u00e9m onkologick\u00e9m \u010dasopise Onkologick\u00e1 Revue (rok vyd\u00e1n\u00ed 2019; pozn. red.).<\/p>\n\n\n\n \u010cty\u0159i z 20 pacient\u016f Josefa Vymazala \u017eij\u00ed dokonce dodnes, tedy ji\u017e 20 let.<\/p>\n\n\n\n Metoda je to neinvazivn\u00ed. Mezi hlavn\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky pat\u0159\u00ed p\u0159edev\u0161\u00edm podr\u00e1\u017ed\u011bn\u00ed k\u016f\u017ee.<\/p>\n\n\n\n V n\u011bkter\u00fdch zem\u00edch je l\u00e9\u010dba hrazena ze zdravotn\u00edho poji\u0161t\u011bn\u00ed. U n\u00e1s jedn\u00e1n\u00ed se zdravotn\u00edmi poji\u0161\u0165ovnami teprve prob\u00edhaj\u00ed.<\/p>\n\n\n\n Kate\u0159ina N\u011bmcov\u00e1<\/p>\n\n\n\n \u010ceskobud\u011bjovick\u00fd den\u00edk<\/p>\n\n\n\n https:\/\/ceskobudejovicky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" S nov\u00fdmi metodami a l\u00e9\u010debn\u00fdmi postupy nemus\u00ed m\u00edt onkologick\u00e9 onemocn\u011bn\u00ed fat\u00e1ln\u00ed n\u00e1sledky. Nebo se spr\u00e1vnou l\u00e9\u010dbou m\u016f\u017ee doba \u017eivota nemocn\u00e9ho alespo\u0148 v\u00fdrazn\u011b prodlou\u017eit. 42let\u00e9mu Petru […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":1875,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-52239","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52239","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=52239"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52239\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/1875"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52239"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52239"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}