{"id":52924,"date":"2024-11-06T14:56:44","date_gmt":"2024-11-06T13:56:44","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=52924"},"modified":"2024-11-06T14:56:45","modified_gmt":"2024-11-06T13:56:45","slug":"pacienti-cekaji-na-revmatologa-i-pul-roku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=52924","title":{"rendered":"Pacienti \u010dekaj\u00ed na revmatologa i p\u016fl roku"},"content":{"rendered":"\n<p><em>\u010cesko se pot\u00fdk\u00e1 s&nbsp;nedostatkem specialist\u016f<\/em><\/p>\n\n\n\n<p> <strong>Praha, 6. 11. 2024 \u2013 P\u0159ibli\u017en\u011b 3\u20138 m\u011bs\u00edc\u016f je rozmez\u00ed, ve kter\u00e9m se pohybuj\u00ed obvykl\u00e9 \u010dekac\u00ed lh\u016fty na vy\u0161et\u0159en\u00ed u revmatologa. Z\u00e1n\u011btliv\u00e1 revmatick\u00e1 onemocn\u011bn\u00ed zasahuj\u00ed do soukrom\u00e9ho i pracovn\u00edho \u017eivota pacient\u016f, nevratn\u011b ni\u010d\u00ed jejich klouby a su\u017euj\u00ed je bolest\u00ed, kter\u00e1 m\u016f\u017ee postupn\u011b vy\u00fastit v\u00a0deprese, \u00fazkosti a probl\u00e9my se sp\u00e1nkem. Ka\u017ed\u00fd den \u010dek\u00e1n\u00ed na \u00fa\u010dinnou l\u00e9\u010dbu zvy\u0161uje tak\u00e9 riziko vzniku p\u0159idru\u017een\u00fdch nemoc\u00ed, jako jsou srde\u010dn\u00ed choroby nebo posti\u017een\u00ed plic. V\u00a0dev\u00edti \u010desk\u00fdch okresech nav\u00edc revmatologov\u00e9 zcela chyb\u00ed. <\/strong><\/p>\n\n\n\n<p><strong>Na probl\u00e9m nedostupnosti v\u010dasn\u00e9 p\u00e9\u010de o pacienty s\u00a0revmatick\u00fdmi nemocemi upozor\u0148uje nov\u00fd dokument Evropsk\u00e9 aliance revmatologick\u00fdch asociac\u00ed. T\u00e9matem se tento t\u00fdden zab\u00fdvali tak\u00e9 odborn\u00edci, d\u00edky organizaci Revma Liga \u010cR, kter\u00e1 podn\u00edtila sch\u016fzku u kulat\u00e9ho stolu na p\u016fd\u011b Poslaneck\u00e9 sn\u011bmovny.<\/strong><\/p>\n\n\n\n<p>\u201e<em>Pacienti v akutn\u00ed f\u00e1zi revmatick\u00e9ho onemocn\u011bn\u00ed \u010dasto pot\u0159ebuj\u00ed l\u00e9\u010dbu v \u0159\u00e1du dn\u00ed \u010di t\u00fddn\u016f, nikoli m\u011bs\u00edc\u016f. Bohu\u017eel sou\u010dasn\u00fd nedostatek revmatolog\u016f znamen\u00e1, \u017ee mnoho z nich mus\u00ed \u010dekat ne\u00fam\u011brn\u011b dlouho. To znamen\u00e1 prodlu\u017eov\u00e1n\u00ed obdob\u00ed bolest\u00ed a pro n\u011bkter\u00e9 pacienty i\u00a0rozvoj nevratn\u00fdch po\u0161kozen\u00ed kloub\u016f,\u201c<\/em>vysv\u011btluje d\u016fle\u017eitost v\u010dasn\u00e9 l\u00e9\u010dby organiz\u00e1tor kulat\u00e9ho stolu MUDr. Tom Philipp, Ph.D., MBA, m\u00edstop\u0159edseda V\u00fdboru pro zdravotnictv\u00ed Poslaneck\u00e9 sn\u011bmovny Parlamentu \u010cR, kter\u00fd je s\u00e1m specializac\u00ed revmatolog. <\/p>\n\n\n\n<p>\u010cesko se dlouhodob\u011b pot\u00fdk\u00e1 s\u00a0nedostatkem revmatolog\u016f. L\u00e9ka\u0159i v\u00a0\u010cesku nyn\u00ed pe\u010duj\u00ed o v\u00edce ne\u017e 239\u00a0tis\u00edc pacient\u016f s\u00a0nejv\u00fdznamn\u011bj\u0161\u00edmi revmatick\u00fdmi nemocemi jako jsou revmatoidn\u00ed artritida, psoriatrick\u00e1 artritida, juveniln\u00ed artritida, lupus erythematosus nebo ankylozuj\u00edc\u00ed spondylitida (Becht\u011brevova nemoc). Za posledn\u00edch 5 let se po\u010det pacient\u016f s\u00a0t\u011bmito nemocemi zv\u00fd\u0161il o 18\u00a0%.<\/p>\n\n\n\n<p>Revmatick\u00e1 z\u00e1n\u011btliv\u00e1 onemocn\u011bn\u00ed postupn\u011b po\u0161kozuj\u00ed klouby a p\u00e1te\u0159, a v\u00fdrazn\u011b tak omezuj\u00ed pohyb pacienta. Nej\u010dast\u011bj\u0161\u00ed z\u00a0nich je revmatoidn\u00ed artritida. Revmatik se svou chorobou \u017eije des\u00edtky let. <em>\u201ePouze 9,4 % z\u00a0celkov\u00e9ho po\u010dtu pacient\u016f s\u00a0revmatoidn\u00ed artritidou, kte\u0159\u00ed jsou v\u00a0p\u00e9\u010di l\u00e9ka\u0159\u016f, \u010derp\u00e1 p\u0159\u00edsp\u011bvek na p\u00e9\u010di, p\u0159i\u010dem\u017e pouze v\u00a01,2 % jde o p\u0159\u00edsp\u011bvek stupn\u011b IV,\u201c<\/em> upozor\u0148uje RNDr. Ji\u0159\u00ed Jarkovsk\u00fd, Ph.D., vedouc\u00ed odboru anal\u00fdzy dat z\u00a0\u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky \u010cR (\u00daZIS \u010cR). D\u00edky biologick\u00e9 l\u00e9\u010db\u011b nyn\u00ed kon\u010d\u00ed v\u00a0nemocnic\u00edch kv\u016fli zhor\u0161en\u00ed stavu o\u00a031\u00a0%\u00a0pacient\u016f m\u00e9n\u011b ne\u017e v\u00a0dob\u011b, kdy tato l\u00e9\u010dba k\u00a0dispozici nebyla. V\u00a0\u010cesku ji ale u\u017e\u00edv\u00e1 jen m\u00e9n\u011b ne\u017e 10 % pacient\u016f.<\/p>\n\n\n\n<p> <em>\u201eData \u00daZIS ukazuj\u00ed, \u017ee pokud se pacienti za\u010dnou l\u00e9\u010dit v\u010das a spr\u00e1vn\u011b, mohou pracovat a \u017e\u00edt plnohodnotn\u00fd \u017eivot. P\u0159\u00e1li bychom si, aby biologick\u00e1 l\u00e9\u010dba byla dostupn\u00e1 v\u0161em, kte\u0159\u00ed na ni maj\u00ed n\u00e1rok. Bohu\u017eel situace posledn\u00edch t\u00fddn\u016f ukazuje sp\u00ed\u0161 opa\u010dn\u00fd trend. Se znepokojen\u00edm sledujeme, jak se pl\u00e1tci zdravotn\u00ed p\u00e9\u010de vypo\u0159\u00e1daj\u00ed s\u00a0p\u0159esunem p\u0159ibli\u017en\u011b 400 milion\u016f korun z\u00a0centrov\u00e9 l\u00e9\u010dby, kter\u00e1 se dot\u00fdk\u00e1 i na\u0161ich pacient\u016f,\u201c <\/em>zd\u016fraz\u0148uje Edita M\u00fcllerov\u00e1, p\u0159edsedkyn\u011b pacientsk\u00e9 organizace Revma Liga \u010cR.<\/p>\n\n\n\n<p>Zat\u00edmco po\u010det nemocn\u00fdch neust\u00e1le roste, revmatolog\u016f nep\u0159ib\u00fdv\u00e1. P\u0159ibli\u017en\u011b t\u0159etina revmatolog\u016f je star\u0161\u00ed 60 let. Podle l\u00e9ka\u0159\u016f odpov\u00edd\u00e1 optimum hodnot\u011b 4,2&nbsp;revmatolog\u016f na 100 000 obyvatel. V&nbsp;\u010cesku, ale i v&nbsp;\u0159ad\u011b jin\u00fdch evropsk\u00fdch zem\u00edch, je jich o polovinu m\u00e9n\u011b.<\/p>\n\n\n\n<p>\u201e<em>V&nbsp;sou\u010dasn\u00e9 dob\u011b m\u00e1 v\u011bt\u0161ina l\u00e9ka\u0159sk\u00fdch fakult omezenou v\u00fduku revmatologie. Medik, kter\u00fd se i p\u0159esto pro tento obor rozhodne, mus\u00ed po vystudov\u00e1n\u00ed medic\u00edny absolvovat intern\u00ed kmen a teprve pot\u00e9 revmatologickou specializaci. \u010casto doch\u00e1z\u00ed k tomu, \u017ee takov\u00fd l\u00e9ka\u0159 nen\u00ed vyu\u017e\u00edv\u00e1n pouze v revmatologii, ale tak\u00e9 v&nbsp;intern\u00edch nebo osteologick\u00fdch ambulanc\u00edch, pro kter\u00e9 m\u00e1 rovn\u011b\u017e kvalifikaci,\u201c<\/em> vysv\u011btluje prof. MUDr. Ladislav \u0160enolt, Ph.D., p\u0159edseda \u010cesk\u00e9 revmatologick\u00e9 spole\u010dnosti \u010cLS JEP a p\u0159ednosta Revmatologick\u00e9 kliniky 1. LF UK v&nbsp;Revmatologick\u00e9m \u00fastavu v&nbsp;Praze.<\/p>\n\n\n\n<p> Rozlo\u017een\u00ed revmatologick\u00e9 p\u00e9\u010de v\u00a0\u010cesku je nerovnom\u011brn\u00e9. Nejhor\u0161\u00ed situace je p\u0159edev\u0161\u00edm v\u00a0p\u0159\u00edhrani\u010dn\u00edch oblastech. \u0158e\u0161en\u00edm by podle l\u00e9ka\u0159\u016f mohla b\u00fdt residen\u010dn\u00ed m\u00edsta, motivace student\u016f a mlad\u00fdch l\u00e9ka\u0159\u016f, podpora revmatologick\u00fdch ambulanc\u00ed v\u00a0regionech a bli\u017e\u0161\u00ed spolupr\u00e1ce s\u00a0praktick\u00fdmi l\u00e9ka\u0159i, kte\u0159\u00ed by mohli p\u0159evz\u00edt p\u00e9\u010di o m\u00e9n\u011b slo\u017eit\u00e9 pacienty. Pot\u0159ebn\u00e9 jsou tak\u00e9 ambulance pro \u010dasn\u00fd z\u00e1chyt pacient\u016f se z\u00e1n\u011btliv\u00fdmi revmatick\u00fdmi chorobami, kter\u00fdch je v \u010cesku nedostatek. Jejich \u00fakolem je b\u011bhem rychl\u00e9ho vy\u0161et\u0159en\u00ed vyhodnotit, kte\u0159\u00ed pacienti pot\u0159ebuj\u00ed odbornou p\u00e9\u010di. <\/p>\n\n\n\n<p>Dostat se k\u00a0l\u00e9ka\u0159i v\u010das je d\u016fle\u017eit\u00e9 tak\u00e9 kv\u016fli tzv. oknu p\u0159\u00edle\u017eitosti. Jde o konkr\u00e9tn\u00ed \u010dasov\u00fd \u00fasek pro nasazen\u00ed l\u00e9\u010dby. Pokud za\u010dne l\u00e9\u010dba v\u00a0dob\u011b, kdy je okno p\u0159\u00edle\u017eitosti otev\u0159en\u00e9, existuje velk\u00e1 \u0161ance, \u017ee se v\u00fdznamn\u011b zlep\u0161\u00ed klinick\u00fd stav pacienta, nedojde k trval\u00e9mu po\u0161kozen\u00ed kloub\u016f a nemoc se dostane do remise \u2013 tedy f\u00e1ze, kdy sice existuje, ale ne\u0161kod\u00ed. <em>\u201eToto okno trv\u00e1 p\u0159ibli\u017en\u011b 3\u00a0m\u011bs\u00edce od prvn\u00edch projev\u016f nemoci. Proto\u017ee je t\u0159eba po\u010d\u00edtat s\u00a0t\u00edm, \u017ee diagnostika nemoci zabere n\u011bjak\u00fd \u010das, je ide\u00e1ln\u00ed, aby se pacient k l\u00e9ka\u0159i dostal nejpozd\u011bji do 6 t\u00fddn\u016f,\u201c<\/em> dod\u00e1v\u00e1 prof. \u0160enolt.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cesko se pot\u00fdk\u00e1 s&nbsp;nedostatkem specialist\u016f Praha, 6. 11. 2024 \u2013 P\u0159ibli\u017en\u011b 3\u20138 m\u011bs\u00edc\u016f je rozmez\u00ed, ve kter\u00e9m se pohybuj\u00ed obvykl\u00e9 \u010dekac\u00ed lh\u016fty na vy\u0161et\u0159en\u00ed u <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=52924\" title=\"Pacienti \u010dekaj\u00ed na revmatologa i p\u016fl roku\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-52924","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\/52924","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=52924"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52924\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52924"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52924"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52924"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}