{"id":53271,"date":"2024-11-20T05:55:25","date_gmt":"2024-11-20T04:55:25","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=53271"},"modified":"2024-11-20T05:55:25","modified_gmt":"2024-11-20T04:55:25","slug":"vcasne-odhaleni-rakoviny-slinivky-zachrani-ci-prodlouzi-zivot","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=53271","title":{"rendered":"V\u010dasn\u00e9 odhalen\u00ed rakoviny slinivky zachr\u00e1n\u00ed \u010di prodlou\u017e\u00ed \u017eivot"},"content":{"rendered":"\n<p><em>L\u00e9ka\u0159i od lo\u0148ska vy\u0161et\u0159ili stovky rizikov\u00fdch pacient\u016f<\/em><\/p>\n\n\n\n<p><strong>Praha, 19. 11. 2024 \u2013 <\/strong><strong>Dv\u011b stovky. Tolik rizikov\u00fdch pacient\u016f l\u00e9ka\u0159i zkontrolovali v prvn\u00edm roce fungov\u00e1n\u00ed programu c\u00edlen\u00e9ho vyhled\u00e1v\u00e1n\u00ed rakoviny slinivky b\u0159i\u0161n\u00ed. <\/strong><strong>U n\u011bkolika z&nbsp;nich zjistili p\u0159edn\u00e1dorov\u00e9 l\u00e9ze.<\/strong><strong> D\u00edky tomu mohou zah\u00e1jit l\u00e9\u010dbu v\u010das a nemocn\u00fdm prodlou\u017eit \u017eivot. Onemocn\u011bn\u00ed zpo\u010d\u00e1tku nem\u00e1 \u017e\u00e1dn\u00e9 p\u0159\u00edznaky, co\u017e velmi komplikuje jeho diagnostiku. C\u00edlem programu je proto odhalit karcinom pankreatu d\u0159\u00edve, ne\u017e se naplno rozvine.<\/strong><strong> Prvn\u00ed v\u00fdsledky c\u00edlen\u00e9ho vyhled\u00e1v\u00e1n\u00ed odborn\u00edci sd\u00edleli minul\u00fd t\u00fdden v Karlov\u00fdch Varech na 18. vzd\u011bl\u00e1vac\u00edch a&nbsp;diskuzn\u00edch gastroenterologick\u00fdch dnech. D\u016fle\u017eitost v\u010dasn\u00e9ho z\u00e1chytu l\u00e9ka\u0159i p\u0159ipom\u00ednaj\u00ed tak\u00e9 p\u0159i p\u0159\u00edle\u017eitosti <\/strong><strong>Mezin\u00e1rodn\u00edho dne karcinomu pankreatu, kter\u00fd p\u0159ipad\u00e1 na 21. listopadu.<\/strong><\/p>\n\n\n\n<p>Rakovina slinivky b\u0159i\u0161n\u00ed pat\u0159\u00ed k&nbsp;nejagresivn\u011bj\u0161\u00edm n\u00e1dor\u016fm v\u016fbec. Prvn\u00ed p\u0159\u00edznaky se projev\u00ed v\u011bt\u0161inou a\u017e v&nbsp;pokro\u010dil\u00e9m stadiu, kdy nemocn\u00fdm zb\u00fdv\u00e1 jen n\u011bkolik m\u011bs\u00edc\u016f \u017eivota. Proto l\u00e9ka\u0159i od lo\u0148sk\u00e9ho roku c\u00edlen\u011b vyhled\u00e1vaj\u00ed ohro\u017een\u00e9 pacienty, aby l\u00e9\u010dbu zah\u00e1jili d\u0159\u00edve, ne\u017e se onemocn\u011bn\u00ed pln\u011b rozvine. V&nbsp;takov\u00e9m p\u0159\u00edpad\u011b m\u00e1 terapie vy\u0161\u0161\u00ed \u00fasp\u011b\u0161nost. <em>\u201ePokud karcinom zachyt\u00edme a\u017e v pokro\u010dil\u00e9 f\u00e1zi, pr\u016fm\u011brn\u00e1 doba do\u017eit\u00ed nemocn\u00e9ho se pohybuje okolo 1,5 roku. V\u010das diagnostikovan\u00ed pacienti ale mohou \u017e\u00edt a\u017e \u0161estkr\u00e1t d\u00e9le. Nad\u011bje do\u017eit\u00ed je v&nbsp;takov\u00e9m p\u0159\u00edpad\u011b 9,5 roku,\u201c<\/em> p\u0159ibli\u017euje prof.&nbsp;MUDr.&nbsp;Ond\u0159ej Urban, Ph.D., p\u0159ednosta II. intern\u00ed kliniky \u2013 gastroenterologick\u00e9 a geriatrick\u00e9 Fakultn\u00ed nemocnice Olomouc.<\/p>\n\n\n\n<p>Od spu\u0161t\u011bn\u00ed screeningov\u00e9ho programu l\u00e9ka\u0159i vy\u0161et\u0159ili ji\u017e 200 pacient\u016f po cel\u00e9m \u010cesku. U \u0161esti z&nbsp;nich odhalili p\u0159edn\u00e1dorov\u00e9 zm\u011bny. Diagnostika se t\u00fdk\u00e1 t\u011bch osob, kter\u00e9 maj\u00ed celo\u017eivotn\u00ed riziko vzniku tohoto druhu rakoviny vy\u0161\u0161\u00ed ne\u017e 5 %. <em>\u201eJsou to lid\u00e9, kte\u0159\u00ed<\/em> <em>maj\u00ed dva a v\u00edce p\u0159\u00edm\u00fdch p\u0159\u00edbuzn\u00fdch s&nbsp;rakovinou slinivky nebo trp\u00ed opakovan\u00fdmi akutn\u00edmi z\u00e1n\u011bty \u010di chronick\u00fdm z\u00e1n\u011btem slinivky b\u0159i\u0161n\u00ed. Ohro\u017eeni jsou tak\u00e9 nositel\u00e9 ur\u010dit\u00fdch genetick\u00fdch mutac\u00ed,\u201c<\/em> vysv\u011btluje prof. Urban.<\/p>\n\n\n\n<p>Ro\u010dn\u011b l\u00e9ka\u0159i rakovinu slinivky b\u0159i\u0161n\u00ed objev\u00ed u 2 400 pacient\u016f a skoro 2 200 nemocn\u00fdch s\u00a0n\u00ed ve stejn\u00e9m \u010dasov\u00e9m \u00faseku boj prohraje. <em>\u201eKarcinom pankreatu je mezi n\u00e1dorov\u00fdmi onemocn\u011bn\u00edmi t\u0159et\u00ed nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed. Nemocn\u00fdch nav\u00edc neust\u00e1le p\u0159ib\u00fdv\u00e1,\u201c<\/em> \u0159\u00edk\u00e1 prof. Urban. Podle gastroenterolog\u016f je kl\u00ed\u010dov\u00e9, aby rizikov\u00fdm osob\u00e1m vy\u0161et\u0159en\u00ed doporu\u010dovali i l\u00e9ka\u0159i jin\u00fdch odbornost\u00ed, kte\u0159\u00ed maj\u00ed o zdravotn\u00edm stavu, p\u0159\u00edpadn\u011b o genov\u00fdch mutac\u00edch pacient\u016f p\u0159ehled. Proto se neust\u00e1le sna\u017e\u00ed pos\u00edlit takzvanou mezioborovou spolupr\u00e1ci s\u00a0praktiky, chirurgy, onkology a tak\u00e9 genetiky.<\/p>\n\n\n\n<p> <em>\u201eD\u016fle\u017eit\u00e9 je, aby l\u00e9ka\u0159i, kte\u0159\u00ed vy\u0161et\u0159uj\u00ed nebo jsou obezn\u00e1meni s mutacemi, mysleli na to, \u017ee n\u011bkter\u00e9 mohou zp\u016fsobit tak\u00e9 n\u00e1dor slinivky. Nap\u0159\u00edklad pacienti s BRCA pozitivitou, kter\u00e1 je \u010dastou p\u0159\u00ed\u010dinou rakoviny prsu, maj\u00ed zv\u00fd\u0161en\u00e9 riziko karcinomu ovaria, co\u017e je obecn\u011b zn\u00e1m\u00e9. M\u00e9n\u011b u\u017e se v\u00ed, \u017ee je u nich tak\u00e9 vy\u0161\u0161\u00ed riziko propuknut\u00ed karcinomu pankreatu,\u201c<\/em> \u0159\u00edk\u00e1 prof. Urban. Pokud l\u00e9ka\u0159 usoud\u00ed, \u017ee jeho pacient spad\u00e1 do rizikov\u00e9 skupiny, vypln\u00ed speci\u00e1ln\u00ed <a href=\"https:\/\/www.cgs-cls.cz\/wp-content\/uploads\/2024\/04\/cadef.pdf\">dotazn\u00edk<\/a> na webu \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti (\u010cGS). <\/p>\n\n\n\n<p>Gastroenterologov\u00e9 na z\u00e1klad\u011b n\u011bj pak zhodnot\u00ed, zda pacienta do programu za\u0159ad\u00ed a ode\u0161lou na vy\u0161et\u0159en\u00ed do n\u011bkter\u00e9ho z center vysoce specializovan\u00e9 p\u00e9\u010de pro digestivn\u00ed endoskopii. T\u011bch je v\u00a0sou\u010dasnosti po cel\u00e9 republice devaten\u00e1ct. <em>\u201eUsilujeme o to, aby t\u011bchto center bylo do budoucna p\u0159ibli\u017en\u011b t\u0159icet. Rizikov\u00ed pacienti zde jednou ro\u010dn\u011b podstupuj\u00ed vy\u0161et\u0159en\u00ed slinivky b\u0159i\u0161n\u00ed magnetickou rezonanc\u00ed a endoskopickou ultrasonografi\u00ed<\/em> <em>(vy\u0161et\u0159en\u00ed pomoc\u00ed speci\u00e1ln\u00ed hadi\u010dky s\u00a0ultrazvukem),\u201c<\/em> \u0159\u00edk\u00e1 doc. MUDr. Ilja Tachec\u00ed, p\u0159edseda \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti a p\u0159ednosta II. intern\u00ed gastroenterologick\u00e9 kliniky LF UK a\u00a0FN\u00a0Hradec Kr\u00e1lov\u00e9. <\/p>\n\n\n\n<p>D\u00edky roz\u0161\u00ed\u0159en\u00ed po\u010dtu pracovi\u0161\u0165 budou moct odborn\u00edci zajistit pacient\u016fm stejn\u011b kvalitn\u00ed zdravotn\u00ed p\u00e9\u010di nap\u0159\u00ed\u010d celou republikou. P\u0159isp\u011bt by k\u00a0tomu m\u011blo i p\u0159ipravovan\u00e9 zapojen\u00ed takzvan\u00fdch minim\u00e1ln\u00edch datov\u00fdch standard\u016f, na kter\u00fdch gastroenterologov\u00e9 pracuj\u00ed a o nich\u017e jednali tak\u00e9 na kongresu. Spole\u010dn\u011b s\u00a0pl\u00e1novanou digitalizac\u00ed zdravotnick\u00e9 dokumentace umo\u017en\u00ed\u00a0lep\u0161\u00ed pr\u00e1ci s\u00a0daty. <em>\u201eC\u00edlem je sjednotit podobu zpr\u00e1v z\u00a0endoskopick\u00fdch vy\u0161et\u0159en\u00ed na v\u0161ech pracovi\u0161t\u00edch v\u00a0\u010cesku. V\u00a0sou\u010dasn\u00e9 dob\u011b toti\u017e nejsou nijak regulov\u00e1ny a z\u00e1le\u017e\u00ed na ka\u017ed\u00e9m l\u00e9ka\u0159i, jakou klasifikaci ve zpr\u00e1v\u011b pou\u017eije. Jednotn\u00e1 data pomohou k\u00a0tomu, abychom mohli vytvo\u0159it celistvou datab\u00e1zi a nap\u0159\u00ed\u010d cel\u00fdm syst\u00e9mem vyhled\u00e1vat informace,\u201c<\/em> vysv\u011btluje doc. Tachec\u00ed. To by mimo jin\u00e9 mohlo zdokonalit v\u010dasn\u00fd z\u00e1chyt rizikov\u00fdch pacient\u016f nejen p\u0159i karcinomu slinivky b\u0159i\u0161n\u00ed.<\/p>\n\n\n\n<p>S diagnostikou rakoviny pankreatu by do budoucna mohly pomoci i krevn\u00ed testy. Jedn\u00edm z&nbsp;nich je tak\u00e9 tzv. lipidomick\u00fd test. Studie, kter\u00e1 zkoum\u00e1 jeho \u00fa\u010dinnost v&nbsp;odhalen\u00ed ran\u00fdch f\u00e1z\u00ed n\u00e1doru \u010di p\u0159edn\u00e1dorov\u00fdch zm\u011bn, odstartovala letos a do t\u0159\u00ed let by j\u00ed m\u011blo proj\u00edt v\u00edce ne\u017e 400 \u00fa\u010dastn\u00edk\u016f. Pokud se specificita a citlivost testu potvrd\u00ed, mohl by se st\u00e1t n\u00e1strojem pro screening n\u00e1dorov\u00fdch onemocn\u011bn\u00ed slinivky b\u0159i\u0161n\u00ed.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>L\u00e9ka\u0159i od lo\u0148ska vy\u0161et\u0159ili stovky rizikov\u00fdch pacient\u016f Praha, 19. 11. 2024 \u2013 Dv\u011b stovky. Tolik rizikov\u00fdch pacient\u016f l\u00e9ka\u0159i zkontrolovali v prvn\u00edm roce fungov\u00e1n\u00ed programu c\u00edlen\u00e9ho <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=53271\" title=\"V\u010dasn\u00e9 odhalen\u00ed rakoviny slinivky zachr\u00e1n\u00ed \u010di prodlou\u017e\u00ed \u017eivot\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":46976,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-53271","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\/53271","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=53271"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/53271\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/46976"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=53271"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=53271"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=53271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}