{"id":5312,"date":"2013-05-21T10:10:48","date_gmt":"2013-05-21T08:10:48","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=5312"},"modified":"2014-10-20T20:12:58","modified_gmt":"2014-10-20T18:12:58","slug":"nadory-ktere-nedavno-zabijely-uz-umime-lecit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=5312","title":{"rendered":"N\u00e1dory, kter\u00e9 ned\u00e1vno zab\u00edjely, u\u017e um\u00edme l\u00e9\u010dit"},"content":{"rendered":"

V\u011bdci a l\u00e9ka\u0159i nasadili v boji proti rakovin\u011b ohromuj\u00edc\u00ed tempo. Za rok ud\u011bl\u00e1 v\u00fdvoj v l\u00e9\u010db\u011b takov\u00fd skok, jak\u00fd kdysi trval deset let. Kdyby se legend\u00e1rn\u00ed \u0161\u00e9f lidovc\u016f Josef Lux l\u00e9\u010dil dnes, nemusel by na leukemii zem\u0159\u00edt. \u00da\u010dinn\u00fd l\u00e9k se objevil p\u011bt let po jeho smrti.<\/strong><\/p>\n

<\/p>\n

A to i u n\u00e1s, kde onkologov\u00e9 \u010dasto sahaj\u00ed po chemoterapii, kter\u00e1 postihuje cel\u00e9 t\u011blo, m\u00edsto aby zvolili \u0161etrn\u011bj\u0161\u00ed oza\u0159ov\u00e1n\u00ed. Modern\u00edch metod p\u0159ib\u00fdv\u00e1. T\u0159eba hormon\u00e1ln\u00ed terapie nebo \u010depi\u010dka s elektrick\u00fdmi impulzy.<\/p>\n

Podobn\u00e9 je to s n\u00e1dory, kter\u00e9 metast\u00e1zuj\u00ed do jater. „Je\u0161t\u011b p\u0159ed dvaceti lety jsme takov\u00e9 pacienty pova\u017eovali za ztracen\u00e9, nem\u011bli jsme co nab\u00eddnout. Nyn\u00ed je operujeme a chirurgov\u00e9 jim um\u011bj\u00ed v\u00fdznamn\u011b prodlou\u017eit \u017eivot,“ \u0159\u00edk\u00e1 p\u0159edseda onkologick\u00e9 spole\u010dnosti Ji\u0159\u00ed Vorl\u00ed\u010dek.<\/p>\n

A ztraceni u\u017e nemus\u00ed b\u00fdt ani lid\u00e9, kte\u0159\u00ed maj\u00ed jinak stoprocentn\u011b smrteln\u00e9 zhoubn\u00e9 n\u00e1dory mozku, p\u0159esn\u011bji centr\u00e1ln\u00ed nervov\u00e9 soustavy \u2013 takzvan\u00e9 glioblastomy. Pror\u016fstaj\u00ed nap\u0159\u00ed\u010d cel\u00fdm mozkem, nedaj\u00ed se operovat a l\u00e9ka\u0159i si dlouho mysleli, \u017ee se s nimi ned\u00e1 nic d\u011blat.<\/p>\n

A\u017e do chv\u00edle, ne\u017e jedna izraelsk\u00e1 spole\u010dnost vynalezla \u010depi\u010dku nap\u00e1jenou baterkami, kter\u00e1 d\u00e1v\u00e1 mozku drobn\u00e9 pravideln\u00e9 elektrick\u00e9 impulzy. A t\u00edm zab\u00edj\u00ed n\u00e1dor.<\/p>\n

„Uk\u00e1zalo se, \u017ee to pacient\u016fm v\u00fdznamn\u011b prodlou\u017e\u00ed \u017eivot z perspektivy n\u011bkolika m\u011bs\u00edc\u016f a\u017e na l\u00e9ta,“ uv\u00e1d\u00ed prim\u00e1\u0159 Radiodiagnostick\u00e9ho odd\u011blen\u00ed Nemocnice Na Homolce Josef Vymazal.<\/p>\n

Petr Jane\u010dek z Olomouce byl jedn\u00edm z prvn\u00edch, kdo se testov\u00e1n\u00ed „protirakovinn\u00e9 \u010depi\u010dky“ z\u00fa\u010dastnil. Kdy\u017e se mu n\u00e1dor objevil, m\u011bl p\u0159ed sebou podle progn\u00f3zy jen sedm m\u011bs\u00edc\u016f \u017eivota. Je to dev\u011bt let a on st\u00e1le \u017eije.<\/p>\n

„Te\u010f jsme rok a p\u016fl v dal\u0161\u00ed f\u00e1zi klinick\u00fdch test\u016f, z dev\u00edti pacient\u016f jich osm \u017eije a da\u0159\u00ed se jim dob\u0159e,“ konstatuje Vymazal. A to p\u0159esto, \u017ee pr\u016fm\u011brn\u00e1 doba p\u0159e\u017eit\u00ed u tohoto n\u00e1doru je sedm m\u011bs\u00edc\u016f a\u017e jeden rok. A je\u0161t\u011b jedno pozitivum: \u010ce\u0161i b\u011bhem posledn\u00edch p\u011bti let pomalu doh\u00e1n\u011bj\u00ed vysp\u011bl\u00fd sv\u011bt, co se t\u00fd\u010de oza\u0159ov\u00e1n\u00ed.<\/p>\n

Trend sou\u010dasnosti: pou\u017e\u00edvat m\u00e9n\u011b chemoterapii <\/strong><\/p>\n

Je\u0161t\u011b v roce 2003 m\u011bli pacienti z \u010ceska o polovinu hor\u0161\u00ed dostupnost radioterapie \u2013 tedy l\u00e9\u010dby pomoc\u00ed oza\u0159ov\u00e1n\u00ed \u2013 ne\u017e ostatn\u00ed Evropan\u00e9. Na jeden oza\u0159ovac\u00ed p\u0159\u00edstroj p\u0159ipadalo 416 tis\u00edc obyvatel, p\u0159itom pr\u016fm\u011br Evropsk\u00e9 unie tehdy d\u011blal n\u011bco p\u0159es 220 tis\u00edc. To znamenalo, \u017ee l\u00e9\u010dba byla pro \u0159adu \u010desk\u00fdch pacient\u016f nedostupn\u00e1.<\/p>\n

„Nyn\u00ed jsme se d\u00edky investic\u00edm do nov\u00fdch p\u0159\u00edstroj\u016f co do jejich po\u010dtu na obyvatele dostali v\u00edcem\u00e9n\u011b na pr\u016fm\u011br Evropy. M\u00e1me u n\u00e1s 44 oza\u0159ovac\u00edch p\u0159\u00edstroj\u016f, takov\u00e9 Bulharsko m\u00e1 pouze dva, tak\u017ee jsme na tom teoreticky velmi dob\u0159e,“ podotkl p\u0159edseda spole\u010dnosti radia\u010dn\u00ed onkologie Ji\u0159\u00ed Petera.<\/p>\n

Slovo „teoreticky“ je v\u0161ak na m\u00edst\u011b. \u010casto se toti\u017e st\u00e1v\u00e1, \u017ee m\u00edsto aby se pacienti l\u00e9\u010dili oza\u0159ov\u00e1n\u00edm (paprsky ni\u010d\u00ed n\u00e1dor c\u00edlen\u011b), l\u00e9ka\u0159i na\u0159\u00edd\u00ed chemoterapii, kter\u00e1 neblaze zas\u00e1hne cel\u00e9 t\u011blo.<\/p>\n

Ve vysp\u011bl\u00fdch evropsk\u00fdch zem\u00edch se oza\u0159ov\u00e1n\u00edm l\u00e9\u010d\u00ed 70 procent pacient\u016f. U n\u00e1s se pom\u011br t\u011bch, kter\u00e9 l\u00e9ka\u0159i po\u0161lou na oz\u00e1\u0159en\u00ed, teprve bl\u00ed\u017e\u00ed \u0161edes\u00e1ti procent\u016fm. Co\u017e je m\u00e1lo.<\/p>\n

Vysv\u011btlen\u00ed spo\u010d\u00edv\u00e1 v tom, \u017ee po sametov\u00e9 revoluci se do zem\u011b, ve kter\u00e9 byl hlad po modern\u00ed l\u00e9\u010db\u011b, dostaly d\u00edky drav\u00fdm farmaceutick\u00fdm firm\u00e1m nejnov\u011bj\u0161\u00ed koktejly chemoterapeutik. A poji\u0161\u0165ovny l\u00e9\u010dbu bez pot\u00ed\u017e\u00ed propl\u00e1cely. Kde\u017eto na modern\u00ed oza\u0159ovac\u00ed p\u0159\u00edstroje nemocnice nem\u011bly pen\u00edze, proto\u017ee to znamenalo a znamen\u00e1 investovat des\u00edtky milion\u016f korun.<\/p>\n

P\u0159\u00edkladem je gamma n\u016f\u017e v Praze na Homolce, na kter\u00fd se skl\u00e1dali v\u0161ichni \u010ce\u0161i v celon\u00e1rodn\u00ed sb\u00edrce.<\/p>\n

„Pravda je, \u017ee chemoterapie se u n\u00e1s rozbujela hodn\u011b. L\u00e9ka\u0159i si je\u0161t\u011b \u00fapln\u011b nezvykli oza\u0159ov\u00e1n\u00ed pou\u017e\u00edvat, proto\u017ee dovybaven\u00ed \u010ceska p\u0159\u00edstroji se datuje do roku 2007, a to je na zm\u011bnu p\u0159\u00edstupu a my\u0161len\u00ed l\u00e9ka\u0159\u016f p\u0159\u00edli\u0161 kr\u00e1tk\u00e1 doba. P\u0159itom kdy\u017e se l\u00e9\u010dba kombinuje, m\u00e1 nejlep\u0161\u00ed v\u00fdsledky,“ upozor\u0148uje Petera.<\/p>\n

M\u00e1 na mysli fakt, \u017ee kdy\u017e l\u00e9ka\u0159 nejprve po\u0161le pacienta na oza\u0159ov\u00e1n\u00ed, n\u00e1dor se \u010dasto poda\u0159\u00ed zmen\u0161it a pak jej chirurgov\u00e9 sn\u00e1z odstran\u00ed.<\/p>\n

„Nejnov\u011bji se trubi\u010dky s oza\u0159ova\u010di zav\u00e1d\u011bj\u00ed do t\u011bla, kde oza\u0159uj\u00ed p\u0159\u00edmo l\u016f\u017eko n\u00e1doru. \u0158\u00edk\u00e1 se tomu brachyterapie a cel\u00e1 procedura trv\u00e1 dv\u011b hodiny, a ne obvykl\u00fdch \u0161est t\u00fddn\u016f. Je to pro pacienta hlavn\u011b s rakovinou prostaty mnohem \u0161etrn\u011bj\u0161\u00ed ne\u017e cokoliv jin\u00e9ho,“ popisuje Petera. Z\u00e1krok si v\u0161ak za 180 tis\u00edc korun mohou dovolit jen bohat\u0161\u00ed nemocn\u00ed, proto\u017ee poji\u0161\u0165ovny jej zat\u00edm nepropl\u00e1cej\u00ed.<\/p>\n

„V ka\u017ed\u00e9m p\u0159\u00edpad\u011b jde o trend sou\u010dasnosti \u2013 vyu\u017e\u00edvat chemoterapii m\u00e9n\u011b,“ upozornil Vorl\u00ed\u010dek. Je to mo\u017en\u00e9 i d\u00edky tomu, \u017ee existuj\u00ed genetick\u00e9 testy, kter\u00e9 pomohou u\u0161\u00edt l\u00e9\u010dbu pacient\u016fm na m\u00edru \u2013 odhal\u00ed, co l\u00e9pe zabere. Vyu\u017e\u00edv\u00e1 se jich nap\u0159\u00edklad p\u0159i l\u00e9\u010db\u011b n\u00e1dor\u016f prsu. „Kdy\u017e m\u00e1me genetickou anal\u00fdzu, uk\u00e1\u017ee se, \u017ee chemoterapie v n\u011bkter\u00fdch p\u0159\u00edpadech nen\u00ed vhodn\u00e1, a nasazuje se t\u0159eba hormon\u00e1ln\u00ed terapie,“ dodal Vorl\u00ed\u010dek.<\/p>\n

Vyl\u00e9\u010dili jste se z rakoviny?\u00a0 Porazili jste onkologick\u00e9 onemocn\u011bn\u00ed? Co v\u00e1m nejv\u00edce pomohlo? <\/strong><\/em>
\nSv\u00e9 zku\u0161enosti pi\u0161te na lenka.petrasova@mfdnes.cz<\/strong><\/em><\/p>\n

Rakovina plic\u00a0 <\/strong><\/p>\n

Rok 1989: onemocn\u011blo 4 848 mu\u017e\u016f a zem\u0159elo 4 468. Rok 2010: onemocn\u011blo 4 636 mu\u017e\u016f a zem\u0159elo 3 866.<\/p>\n

Rakovina st\u0159eva\u00a0 <\/strong><\/p>\n

Rok 1989: onemocn\u011blo 1 534 mu\u017e\u016f, zem\u0159elo 1 024. Rok 2010: onemocn\u011blo 2 864 mu\u017e\u016f, zem\u0159elo 1 268.<\/p>\n

Rakovina varlat<\/strong><\/p>\n

Rok 1989: onemocn\u011blo 276 mu\u017e\u016f, zem\u0159elo 70. Rok 2010: onemocn\u011blo 485 mu\u017e\u016f, zem\u0159elo 39.<\/p>\n

Rakovina ledvin<\/strong><\/p>\n

Rok 1989: onemocn\u011blo 846 mu\u017e\u016f, zem\u0159elo 537. Rok 2010: onemocn\u011blo 1 817 mu\u017e\u016f, zem\u0159elo 738.<\/p>\n

Rakovina k\u016f\u017ee<\/strong><\/p>\n

Rok 1989: onemocn\u011blo 380 mu\u017e\u016f, zem\u0159elo 174. Rok 2010: onemocn\u011blo 1 030 mu\u017e\u016f, zem\u0159elo 268.<\/p>\n

Mlad\u00e1 fronta Dnes<\/p>\n

Lenka Petr\u00e1\u0161ov\u00e1<\/p>\n","protected":false},"excerpt":{"rendered":"

V\u011bdci a l\u00e9ka\u0159i nasadili v boji proti rakovin\u011b ohromuj\u00edc\u00ed tempo. Za rok ud\u011bl\u00e1 v\u00fdvoj v l\u00e9\u010db\u011b takov\u00fd skok, jak\u00fd kdysi trval deset let. Kdyby se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-5312","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/5312","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=5312"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/5312\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5312"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}