{"id":53168,"date":"2024-11-15T10:17:15","date_gmt":"2024-11-15T09:17:15","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=53168"},"modified":"2024-11-15T10:17:16","modified_gmt":"2024-11-15T09:17:16","slug":"co-trapi-tisice-ceskych-jater-zloutenka-typu-c","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=53168","title":{"rendered":"Co tr\u00e1p\u00ed tis\u00edce \u010desk\u00fdch jater? \u017dloutenka typu C"},"content":{"rendered":"\n

Loni p\u0159ibylo nejv\u00edce naka\u017een\u00fdch za posledn\u00edch 10 let<\/em><\/p>\n\n\n\n

Praha, 12. 11. 2024 \u2013 Loni testy odhalily n\u00e1kazu virem \u017eloutenky typu C u nejv\u00edce \u010cech\u016f za posledn\u00edch deset let. Nemoc prok\u00e1zaly u 1 301 lid\u00ed. Infekce t\u00edmto virem je celosv\u011btov\u011b jednou z\u00a0hlavn\u00edch p\u0159\u00ed\u010din chronick\u00e9ho onemocn\u011bn\u00ed jater. Tento \u017eivotn\u011b d\u016fle\u017eit\u00fd org\u00e1n ti\u0161e ni\u010d\u00ed cel\u00e9 roky. Pokud se infekce nezlikviduje protivirov\u00fdmi l\u00e9ky, vede k rakovin\u011b jater nebo k\u00a0jejich selh\u00e1n\u00ed. Nemocn\u00fdm pak zb\u00fdv\u00e1 jedin\u00e9 \u0159e\u0161en\u00ed \u2013 transplantace. Pokud to ji\u017e nejde, je pro n\u011b nemoc fat\u00e1ln\u00ed. <\/strong><\/p>\n\n\n\n

Odborn\u00edci proto vyz\u00fdvaj\u00ed v\u0161echny rizikov\u00e9 osoby, aby se nechaly na p\u0159\u00edtomnost infekce HCV (hepatitis C virus) otestovat. Jen tak se\u00a0toti\u017e dostanou k\u00a0l\u00e9\u010db\u011b v\u010das. T\u00e9matu se ned\u00e1vno v\u011bnovaly stovky l\u00e9ka\u0159\u016f na 10.\u00a0kongresu klinick\u00e9 mikrobiologie, infek\u010dn\u00edch nemoc\u00ed a\u00a0epidemiologie\u00a0(KMINE) v\u00a0Ostrav\u011b.<\/strong><\/p>\n\n\n\n

\u201eJe extr\u00e9mn\u011b d\u016fle\u017eit\u00e9 v\u011bd\u011bt, \u017ee krevn\u00ed testy p\u0159edstavuj\u00ed jedin\u00fd zp\u016fsob, jak infekci virem hepatitidy\u00a0C\u00a0zjistit. M\u011bl by je podstoupit ka\u017ed\u00fd, kdo byl vystaven riziku n\u00e1kazy nebo m\u00e1 zv\u00fd\u0161en\u00e9 jatern\u00ed testy,\u201c <\/em>vysv\u011btluje prim. MUDr. Pavel Dlouh\u00fd, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed a\u00a0viceprezident kongresu KMINE. Mezi rizikov\u00e9 jedince podle n\u011bj pat\u0159\u00ed b\u00fdval\u00ed a sou\u010dasn\u00ed u\u017eivatel\u00e9 nitro\u017eiln\u00edch drog, kte\u0159\u00ed si p\u016fj\u010duj\u00ed injek\u010dn\u00ed st\u0159\u00edka\u010dky nebo sd\u00edlej\u00ed pom\u016fcky k aplikaci n\u00e1vykov\u00fdch l\u00e1tek. <\/p>\n\n\n\n

Na testy by m\u011bli p\u0159ij\u00edt i ti, ji\u017e si drogu aplikovali t\u0159eba jen jednou \u2013 nap\u0159\u00edklad na ve\u010d\u00edrku. K\u00a0p\u0159enosu m\u016f\u017ee doj\u00edt tak\u00e9 pohlavn\u00edm stykem. Ohro\u017eeni mohou b\u00fdt i lid\u00e9, kte\u0159\u00ed dostali transfuzi p\u0159ed rokem 1992, kdy bylo povinn\u011b zavedeno testov\u00e1n\u00ed d\u00e1rc\u016f krve, a tak\u00e9 v\u011bzni \u2013 \u017eloutenku mezi sebou p\u0159en\u00e1\u0161\u00ed nap\u0159\u00edklad nesteriln\u00edm tetov\u00e1n\u00edm. \u201eVyl\u00e9\u010dit um\u00edme ka\u017ed\u00e9ho. Terapie je bezbolestn\u00e1 a trv\u00e1 2\u20133 m\u011bs\u00edce. Bez test\u016f se k\u00a0n\u00ed ale nemocn\u00ed nedostanou,\u201c <\/em>\u0159\u00edk\u00e1 l\u00e9ka\u0159.<\/p>\n\n\n\n

\u017dloutenky typu C je v\u00a0\u010cesk\u00e9 republice st\u00e1le v\u00edc \u2013 jen do poloviny leto\u0161n\u00edho roku l\u00e9ka\u0159i zachytili hepatitidu typu C u 852 osob. Hepatitida je dlouho bezp\u0159\u00edznakov\u00e1. Pacienti nemaj\u00ed \u017e\u00e1dn\u00e9 obt\u00ed\u017ee, kter\u00e9 by je na nemoc upozornily, a infekce tak j\u00e1tra ni\u010d\u00ed i roky. Je zodpov\u011bdn\u00e1 za p\u0159ibli\u017en\u011b 20 % akutn\u00edch a\u00a070\u00a0% chronick\u00fdch hepatitid, 40 % jatern\u00edch cirh\u00f3z a 60 % karcinom\u016f jater. \u201eTato nemoc m\u016f\u017ee m\u00edt velmi \u0161patn\u00fd konec. Pokud se terapie nezah\u00e1j\u00ed v\u010das, hroz\u00ed pacient\u016fm selh\u00e1n\u00ed jater nebo rakovina,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Petr Husa z\u00a0Kliniky infek\u010dn\u00edch chorob Fakultn\u00ed nemocnice v Brn\u011b a dod\u00e1v\u00e1, \u017ee nemocn\u00ed neohro\u017euj\u00ed jen sami sebe, ale i sv\u00e9 okol\u00ed. Infekce se toti\u017e p\u0159en\u00e1\u0161\u00ed krv\u00ed, pohlavn\u00edm stykem nebo z\u00a0matky na d\u00edt\u011b p\u0159i porodu.<\/p>\n\n\n\n

Testov\u00e1n\u00ed na p\u0159\u00edtomnost infekce HCV prov\u00e1d\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i i specialist\u00e9. Anonymn\u011b se lid\u00e9 mohou otestovat tak\u00e9 v\u00a0HIV checkpointech<\/a>, kter\u00e9 jsou dostupn\u00e9 po cel\u00e9 republice. \u201eN\u011bkte\u0159\u00ed lid\u00e9 si rizika souvisej\u00edc\u00ed se \u017eloutenkou typu C uv\u011bdomuj\u00ed, na testy ale z\u00e1m\u011brn\u011b nejdou \u2013 bu\u010f se boj\u00ed toho, \u017ee nemoc se stejn\u011b ned\u00e1 vyl\u00e9\u010dit, nebo \u017ee terapie bude dlouh\u00e1 a vysiluj\u00edc\u00ed. Oboje je m\u00fdtus. L\u00e9\u010dba protivirov\u00fdmi l\u00e9ky je vysoce \u00fa\u010dinn\u00e1 a dnes u\u017e zcela bezbolestn\u00e1,\u201c<\/em> vysv\u011btluje prim. MUDr. Ale\u0161 Chrdle z\u00a0Infek\u010dn\u00edho odd\u011blen\u00ed Nemocnice \u010cesk\u00e9 Bud\u011bjovice. <\/p>\n\n\n\n

Testovat by se podle odborn\u00edk\u016f m\u011bli pravideln\u011b i zdravotn\u00edci nebo osoby zasahuj\u00edc\u00ed u autonehod. A tak\u00e9 pacienti, u nich\u017e l\u00e9ka\u0159i p\u0159i jatern\u00edch testech zjistili i m\u00edrn\u011b zv\u00fd\u0161en\u00e9 hodnoty. \u201eBohu\u017eel se n\u00e1m st\u00e1le nepoda\u0159ilo prosadit povinn\u00e9 testov\u00e1n\u00ed t\u011bhotn\u00fdch \u017een. Je to velmi ne\u0161\u0165astn\u00e9, proto\u017ee \u017eeny nemocn\u00e9 \u017eloutenkou typu C v\u00e1\u017en\u011b ohro\u017euj\u00ed sv\u00e9 miminko,\u201c<\/em> dopl\u0148uje prim.\u00a0Dlouh\u00fd. \u201eT\u011bhotn\u00fdm \u017een\u00e1m doporu\u010dujeme, aby o test na hepatitidu C aktivn\u011b \u017e\u00e1daly sv\u00e9ho gynekologa nebo praktick\u00e9ho l\u00e9ka\u0159e.\u201c<\/em><\/p>\n\n\n\n

Na 10.\u00a0kongresu klinick\u00e9 mikrobiologie, infek\u010dn\u00edch nemoc\u00ed a\u00a0epidemiologie se odborn\u00edci shodli, \u017ee je pot\u0159eba soust\u0159edit se na vyhled\u00e1v\u00e1n\u00ed a l\u00e9\u010dbu nemocn\u00fdch s chronickou hepatitidou C, a to d\u0159\u00edve, ne\u017e u\u00a0nich onemocn\u011bn\u00ed pokro\u010d\u00ed. <\/p>\n\n\n\n

\u201eL\u00e9\u010dba je sou\u010dasn\u011b prevenc\u00ed.<\/em> Celosv\u011btov\u00fdm c\u00edlem je hepatitidu C \u00fapln\u011b vym\u00fdtit, co\u017e mo\u017en\u00e9 je. Nejenom u n\u00e1s, ale i ve sv\u011bt\u011b v\u0161ak mus\u00edme v\u0161echny nemocn\u00e9 aktivn\u011b vyhled\u00e1vat. Pokud je modern\u00ed l\u00e9\u010dbou infekce zbav\u00edme, nemohou p\u0159en\u00e1\u0161et virus na nikoho dal\u0161\u00edho,\u201c<\/em> uzav\u00edr\u00e1 prim.\u00a0Dlouh\u00fd.<\/p>\n","protected":false},"excerpt":{"rendered":"

Loni p\u0159ibylo nejv\u00edce naka\u017een\u00fdch za posledn\u00edch 10 let Praha, 12. 11. 2024 \u2013 Loni testy odhalily n\u00e1kazu virem \u017eloutenky typu C u nejv\u00edce \u010cech\u016f za […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14203,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-53168","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\/53168","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=53168"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/53168\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14203"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=53168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=53168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=53168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}