{"id":52477,"date":"2024-10-14T11:12:19","date_gmt":"2024-10-14T09:12:19","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=52477"},"modified":"2024-10-14T11:12:22","modified_gmt":"2024-10-14T09:12:22","slug":"statisicum-cechu-ridnou-kosti-nevi-o-tom","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=52477","title":{"rendered":"Statis\u00edc\u016fm \u010cech\u016f \u0159\u00eddnou kosti \u2013 nev\u00ed o tom"},"content":{"rendered":"\n

Praktici um\u00ed nemoc objevit \u2013 maj\u00ed denzitometry<\/em><\/p>\n\n\n\n

Praha, 14. 10. 2024 \u2013 Statis\u00edc\u016fm \u010cech\u016f \u0159\u00eddnou kosti \u2013 kdy\u017e to zjist\u00ed, le\u017e\u00ed u\u017e v\u011bt\u0161inou v nemocnici se zlomeninou, kter\u00e1 se nehoj\u00ed. Pro star\u0161\u00ed a oslaben\u00e9 pacienty m\u016f\u017ee b\u00fdt tato zlomenina fat\u00e1ln\u00ed \u2013 \u010dasto se toti\u017e poj\u00ed se z\u00e1palem plic kv\u016fli znemo\u017en\u011bn\u00ed pohybu. Sv\u00e9 by o tom mohla \u0159\u00edct slavn\u00e1 historick\u00e1 postava Karel IV., kter\u00fd osteopor\u00f3zou trp\u011bl a zem\u0159el na z\u00e1pal plic pot\u00e9, co si po seskoku z kon\u011b zlomil kr\u010dek stehenn\u00ed kosti. L\u00e9ka\u0159i odhaduj\u00ed, \u017ee probl\u00e9m s \u0159\u00eddnut\u00edm kost\u00ed se v \u010cR t\u00fdk\u00e1 p\u0159ibli\u017en\u011b 750 000 osob. Praktici um\u00ed z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed objevit v\u010das \u2013 s pomoc\u00ed denzitometr\u016f. Apeluj\u00ed tak na star\u0161\u00ed pacienty, a\u0165 se o vy\u0161et\u0159en\u00ed p\u0159ihl\u00e1s\u00ed. S v\u00fdzvou p\u0159ich\u00e1zej\u00ed ve Sv\u011btov\u00fd den osteopor\u00f3zy, kter\u00fd p\u0159ipad\u00e1 na 20. \u0159\u00edjna.<\/strong><\/p>\n\n\n\n

\u201eOsteopor\u00f3za je z\u00e1va\u017en\u00e9 metabolick\u00e9 onemocn\u011bn\u00ed, kter\u00e9 postihuje nejen seniory. V d\u016fsledku \u0159\u00eddnut\u00ed kost\u00ed jsou lid\u00e9 n\u00e1chyln\u011bj\u0161\u00ed ke zlomenin\u00e1m i p\u0159i drobn\u00e9m \u00farazu. Po p\u011bta\u0161edes\u00e1tce se riziko vzniku osteoporotick\u00e9 fraktury zvy\u0161uje a\u017e na 40 %. Onemocn\u011bn\u00ed ale nebol\u00ed, a tak pacienty dop\u0159edu nic nevaruje. Proto je velmi d\u016fle\u017eit\u00e9 \u0159\u00eddnut\u00ed kost\u00ed zav\u010das odhalit,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Ji\u0159\u00ed Zdra\u017eil ze Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f. S osteoporotickou zlomeninou se v \u010cesku setk\u00e1 ka\u017ed\u00e1 t\u0159et\u00ed \u017eena a ka\u017ed\u00fd p\u00e1t\u00fd mu\u017e. \u201eNa komplikace spojen\u00e9 s frakturou kr\u010dku zem\u0159e celkov\u011b v\u00edce \u017een ne\u017e na rakovinu d\u011blo\u017en\u00edho \u010d\u00edpku, d\u011blohy a vaje\u010dn\u00edk\u016f dohromady,\u201c<\/em> upozor\u0148uje MUDr. Zdra\u017eil.<\/p>\n\n\n\n

D\u016fle\u017eit\u00e9 proto podle n\u011bj je nepodce\u0148ovat prevenci. Od lo\u0148sk\u00e9ho jara mohou vy\u0161et\u0159en\u00ed kost\u00ed pomoc\u00ed denzitometru prov\u00e1d\u011bt krom\u011b osteolog\u016f a dal\u0161\u00edch specialist\u016f tak\u00e9 pro\u0161kolen\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i a gynekologov\u00e9. \u201eP\u0159ed za\u010d\u00e1tkem Popula\u010dn\u00edho programu \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy bylo v \u010cesku k dispozici asi 100 denzitometr\u016f. Aktu\u00e1ln\u011b jsme na dvojn\u00e1sobku po\u010dtu p\u0159\u00edstroj\u016f. Poda\u0159ilo se n\u00e1m tak zajistit dostate\u010dn\u00e9 pokryt\u00ed ve v\u0161ech regionech nap\u0159\u00ed\u010d republikou,\u201c<\/em> uv\u00e1d\u00ed MUDr. Zdra\u017eil.<\/p>\n\n\n\n

Od ledna nab\u00edz\u00ed vy\u0161et\u0159en\u00ed denzitometrem ve sv\u00e9 ordinaci tak\u00e9 praktick\u00fd l\u00e9ka\u0159 MUDr. Ivo Proch\u00e1zka. \u201eZa tuto dobu jsem vy\u0161et\u0159il 1 180 pacient\u016f. Asi 45 % m\u011blo osteopenii, tedy \u00fabytek kostn\u00ed hmoty, kter\u00fd signalizuje riziko do budoucna. Osteopor\u00f3zou trp\u011blo asi 16 % pacient\u016f, u \u010d\u00e1sti z nich hrozilo vysok\u00e9 riziko vzniku zlomeniny,\u201c<\/em> \u0159\u00edk\u00e1 l\u00e9ka\u0159. Vysok\u00fd z\u00e1chyt osteopenie a osteopor\u00f3zy p\u0159ekvapil i MUDr. Zdra\u017eila, kter\u00fd m\u00e1 denzitometr ve sv\u00e9 ordinaci od \u010dervence. Stihl vy\u0161et\u0159it u\u017e 190 pacient\u016f, zna\u010dn\u00e9 mno\u017estv\u00ed lid\u00ed z rizikov\u00e9 skupiny v\u0161ak podle n\u011bj o mo\u017enosti prohl\u00eddky st\u00e1le nev\u00ed. \u201eV sou\u010dasnosti u\u017e denzitometrick\u00e1 vy\u0161et\u0159en\u00ed nejsou v\u00e1z\u00e1na pouze na preventivn\u00ed prohl\u00eddky. Pokud m\u00e1 pacient o vy\u0161et\u0159en\u00ed hustoty kostn\u00ed hmoty z\u00e1jem, m\u016f\u017ee o n\u011bj kdykoli po\u017e\u00e1dat sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e,\u201c<\/em> vysv\u011btluje MUDr. Zdra\u017eil.<\/p>\n\n\n\n

Podle p\u0159edsedy Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f MUDr. Petra \u0160onky by m\u011bly zbyst\u0159it \u017eeny rok po menopauze. Riziko osteopor\u00f3zy u nich, stejn\u011b jako u mu\u017e\u016f ve v\u011bku od 65 do 69 let, zhodnot\u00ed l\u00e9ka\u0159 nap\u0159\u00edklad pomoc\u00ed diagnostick\u00e9ho dotazn\u00edku. \u201ePokud je vysok\u00e9, pacienti n\u00e1sledn\u011b podstoup\u00ed denzitometrii. U mu\u017e\u016f po sedmdes\u00e1tce a \u017een star\u0161\u00edch 60 let by u\u017e m\u011blo b\u00fdt vy\u0161et\u0159en\u00ed automatick\u00e9,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. \u0160onka.<\/p>\n\n\n\n

Denzitometrie je bezbolestn\u00e1, trv\u00e1 maxim\u00e1ln\u011b 20 minut a pln\u011b ji hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovny. \u201ePacient le\u017e\u00ed na leh\u00e1tku na z\u00e1dech, nohy pokr\u010den\u00e9 v ky\u010dl\u00edch a kolenou. Nad n\u00edm jezd\u00ed rameno p\u0159\u00edstroje, kter\u00e9 ho sn\u00edm\u00e1,\u201c<\/em> popisuje MUDr. Proch\u00e1zka. Z\u00a0nam\u011b\u0159en\u00fdch \u00fadaj\u016f l\u00e9ka\u0159i zjist\u00ed, jak\u00e1 je hustota kostn\u00edch miner\u00e1l\u016f a jak se li\u0161\u00ed od hodnot mlad\u00e9ho, zdrav\u00e9ho \u010dlov\u011bka. Na z\u00e1klad\u011b toho pak ur\u010d\u00ed vhodnou l\u00e9\u010dbu. <\/p>\n\n\n\n

\u201ePacient\u016fm doporu\u010duji, aby se v\u00edce h\u00fdbali, p\u0159idali pobyt na slun\u00ed\u010dku a u\u017e\u00edvali prepar\u00e1ty na dopln\u011bn\u00ed miner\u00e1l\u016f, v\u00e1pn\u00edku, vitaminu D a protein\u016f. U osteopor\u00f3zy p\u0159istupujeme tak\u00e9 k antiresorp\u010dn\u00ed l\u00e9\u010db\u011b, jej\u00edm\u017e c\u00edlem je sn\u00ed\u017eit aktivitu osteoblast\u016f, kter\u00e9 odbour\u00e1vaj\u00ed kostn\u00ed hmotu. Pokud \u0159\u00eddnut\u00ed kost\u00ed vznik\u00e1 v\u00a0d\u016fsledku jin\u00e9ho onemocn\u011bn\u00ed nebo jeho l\u00e9\u010dby, p\u0159ed\u00e1v\u00e1me pacienty do rukou dan\u00fdch specialist\u016f,\u201c <\/em>up\u0159es\u0148uje MUDr. Proch\u00e1zka.<\/p>\n\n\n\n

K \u0159\u00eddnut\u00ed kost\u00ed doch\u00e1z\u00ed nej\u010dast\u011bji u \u017een po menopauze vlivem \u00fabytku estrogenu. Ne v\u017edy je to ale pravidlem. \u201eVy\u0161et\u0159oval jsem ned\u00e1vno man\u017eelsk\u00fd p\u00e1r. P\u0159edpokl\u00e1dal jsem, \u017ee u pan\u00ed (76 let) odhal\u00edm osteopenii, ne-li osteopor\u00f3zu, a \u017ee p\u00e1n (81 let) bude v po\u0159\u00e1dku. V\u00fdsledky ale p\u0159ekvapily. Zat\u00edmco \u017eena byla bez probl\u00e9m\u016f, jej\u00ed man\u017eel m\u011bl pom\u011brn\u011b v\u00fdraznou osteopor\u00f3zu obou kr\u010dk\u016f stehenn\u00edch kost\u00ed. P\u0159esto\u017ee byl cel\u00fd \u017eivot aktivn\u00ed, p\u0159ed 9 lety spadl ze \u017eeb\u0159\u00edku, zlomil si kotn\u00edk a t\u00e9m\u011b\u0159 1,5 roku le\u017eel. Kdyby denzitometrii absolvoval u\u017e tehdy, velmi pravd\u011bpodobn\u011b by se p\u0159i\u0161lo na to, \u017ee m\u00e1 zm\u011bny v hustot\u011b kostn\u00ed tk\u00e1n\u011b. Nasadili bychom l\u00e9\u010dbu, kter\u00e1 by rozvoji osteopor\u00f3zy zabr\u00e1nila,\u201c<\/em> uv\u00e1d\u00ed MUDr. Zdra\u017eil.<\/p>\n\n\n\n

V sou\u010dasnosti m\u00e1 denzitometr ve sv\u00e9 ordinaci n\u011bkolik des\u00edtek praktick\u00fdch l\u00e9ka\u0159\u016f a gynekolog\u016f nap\u0159\u00ed\u010d regiony. \u201eV ka\u017ed\u00e9m okrese m\u00e1me minim\u00e1ln\u011b jeden p\u0159\u00edstroj. L\u00e9ka\u0159i, kte\u0159\u00ed denzitometr ve sv\u00e9 ordinaci nemaj\u00ed, p\u0159esn\u011b v\u011bd\u00ed, kam mohou sv\u00e9 pacienty se \u017e\u00e1dankou poslat,\u201c<\/em> dopl\u0148uje MUDr. \u0160onka.<\/p>\n\n\n\n

T\u011b\u017ekou osteopor\u00f3zou trp\u011bl tak\u00e9 Karel IV. \u201eKdy\u017e 6. listopadu 1378 po vyj\u00ed\u017e\u010fce seskakoval z kon\u011b, upadl a zlomil si kr\u010dek stehenn\u00ed kosti. N\u00e1sledn\u011b ulehl a dne 29. listopadu 1378 zem\u0159el ve v\u011bku 62 let na z\u00e1pal plic, kter\u00fd je klasickou komplikac\u00ed osteoporotick\u00e9 zlomeniny,\u201c <\/em>dod\u00e1v\u00e1 MUDr. Zdra\u017eil.<\/p>\n\n\n\n

Seznam m\u00edst, kde je v \u010cesku mo\u017en\u00e9 denzitometrii podstoupit, bude brzy dostupn\u00fd na webu praktik\u016f<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Praktici um\u00ed nemoc objevit \u2013 maj\u00ed denzitometry Praha, 14. 10. 2024 \u2013 Statis\u00edc\u016fm \u010cech\u016f \u0159\u00eddnou kosti \u2013 kdy\u017e to zjist\u00ed, le\u017e\u00ed u\u017e v\u011bt\u0161inou v nemocnici se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":11952,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-52477","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\/52477","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=52477"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52477\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/11952"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52477"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52477"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52477"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}