{"id":53285,"date":"2024-11-21T06:55:30","date_gmt":"2024-11-21T05:55:30","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=53285"},"modified":"2024-11-21T06:55:31","modified_gmt":"2024-11-21T05:55:31","slug":"pribyva-pacientu-s-chronickymi-zanety-strev","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=53285","title":{"rendered":"P\u0159ib\u00fdv\u00e1 pacient\u016f s\u00a0chronick\u00fdmi z\u00e1n\u011bty st\u0159ev"},"content":{"rendered":"\n

Invalidit\u011b zabr\u00e1n\u00ed v\u010dasn\u00e1 a modern\u00ed l\u00e9\u010dba<\/em><\/p>\n\n\n\n

Praha, 19. 11. 2024 \u2013 V \u010cesku v\u00fdznamn\u011b p\u0159ib\u00fdv\u00e1 pacient\u016f s Crohnovou chorobou a ulcer\u00f3zn\u00ed kolitidou. Podle odborn\u00edk\u016f se po\u010det nemocn\u00fdch s tzv. idiopatick\u00fdmi st\u0159evn\u00edmi z\u00e1n\u011bty (IBD), mezi kter\u00e9 ob\u011b nemoci pat\u0159\u00ed, vy\u0161plh\u00e1 p\u0159ibli\u017en\u011b do p\u011bti let a\u017e na 100 000. IBD choroby nej\u010dast\u011bji propukaj\u00ed kolem 20. a\u017e 30. roku v\u011bku. L\u00e9\u010dit se mus\u00ed v\u010das a spr\u00e1vn\u011b. Jen tak se dle expert\u016f pacienti vyhnou nevratn\u00e9mu po\u0161kozen\u00ed st\u0159eva a p\u0159ed\u010dasn\u00e9mu invalidn\u00edmu d\u016fchodu. Nad\u011bji na plnohodnotn\u00fd \u017eivot p\u0159in\u00e1\u0161\u00ed nemocn\u00fdm, kter\u00fdm nezab\u00edr\u00e1 tzv. konven\u010dn\u00ed l\u00e9\u010dba, modern\u00ed terapie. Tu ale v \u010cesku u\u017e\u00edv\u00e1 jen polovina pacient\u016f, kte\u0159\u00ed ji pot\u0159ebuj\u00ed. D\u016fvodem je nedostatek specializovan\u00fdch center a omezen\u00e9 rozpo\u010dty. T\u00e9ma \u0159e\u0161ili odborn\u00edci na tr\u00e1vic\u00ed trakt \u2013 gastroenterologov\u00e9 \u2013 minul\u00fd t\u00fdden v Karlov\u00fdch Varech na 18. vzd\u011bl\u00e1vac\u00edch a diskuzn\u00edch gastroenterologick\u00fdch dnech.<\/strong><\/p>\n\n\n\n

\u201ePo\u010det nemocn\u00fdch s ulcer\u00f3zn\u00ed kolitidou a Crohnovou chorobou v\u00a0\u010cesku st\u00e1le roste. Podle \u00fadaj\u016f \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky u n\u00e1s ka\u017ed\u00fd rok p\u0159ibude asi 6 000 nov\u00fdch pacient\u016f. Za n\u011bkolik let se po\u010det nemocn\u00fdch p\u0159ibl\u00ed\u017e\u00ed k hranici 100\u00a0000,\u201c <\/em>\u0159\u00edk\u00e1 m\u00edstop\u0159edseda \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti (\u010cGS) doc. MUDr. Martin Bortl\u00edk, Ph.D., a prezident 18.\u00a0vzd\u011bl\u00e1vac\u00edch a diskuzn\u00edch gastroenterologick\u00fdch dn\u016f. \u201ePacienty neum\u00edme zcela vyl\u00e9\u010dit. Pokud jim ale nasad\u00edme vhodnou terapii v\u010das, mohou \u017e\u00edt stejn\u011b kvalitn\u011b jako zdrav\u00ed lid\u00e9,\u201c<\/em> dopl\u0148uje.<\/p>\n\n\n\n

Idiopatick\u00e9 st\u0159evn\u00ed z\u00e1n\u011bty, s\u00a0nimi\u017e se na za\u010d\u00e1tku leto\u0161n\u00edho roku v\u00a0\u010cesku pot\u00fdkalo p\u0159ibli\u017en\u011b 70\u00a0000\u00a0lid\u00ed, se nej\u010dast\u011bji l\u00e9\u010d\u00ed tzv. konven\u010dn\u00ed terapi\u00ed \u2013 pomoc\u00ed korktikoid\u016f, imunosupresiv nebo aminosalicyl\u00e1t\u016f. Tato l\u00e9\u010dba ale nezb\u00edr\u00e1 v\u0161em. Pacienti se nav\u00edc p\u0159i n\u00ed mnohdy pot\u00fdkaj\u00ed s\u00a0vedlej\u0161\u00edmi \u00fa\u010dinky, a \u010delit tak mus\u00ed dal\u0161\u00edm komplikac\u00edm, nap\u0159\u00edklad infekc\u00edm. Nad\u011bji na plnohodnotn\u00fd \u017eivot p\u0159in\u00e1\u0161\u00ed modern\u00ed, tzv. c\u00edlen\u00e1 terapie. \u201eTento druh l\u00e9\u010dby by u n\u00e1s m\u011bla dost\u00e1vat p\u0159ibli\u017en\u011b polovina pacient\u016f s Crohnovou chorobou a p\u011btina nemocn\u00fdch s ulcer\u00f3zn\u00ed kolitidou. V\u00a0sou\u010dasn\u00e9 dob\u011b ji ale podstupuje jen p\u0159ibli\u017en\u011b 12\u00a0000 pacient\u016f. Re\u00e1ln\u00e1 pot\u0159eba t\u00e9to terapie je minim\u00e1ln\u011b dvojn\u00e1sobn\u00e1,\u201c<\/em> popisuje doc. Bortl\u00edk.<\/p>\n\n\n\n

D\u016fvody, pro\u010d se modern\u00ed l\u00e9\u010dba dost\u00e1v\u00e1 jen k\u00a0polovin\u011b osob, kter\u00e9 ji pot\u0159ebuj\u00ed, jsou podle n\u011bj p\u0159edev\u0161\u00edm ekonomick\u00e9. Specializovan\u00e1 centra, je\u017e terapii nab\u00edz\u00ed, se toti\u017e pot\u00fdkaj\u00ed s\u00a0omezen\u00fdmi rozpo\u010dty. \u201eFinan\u010dn\u00ed prost\u0159edky ur\u010den\u00e9 na centrovou l\u00e9\u010dbu se mus\u00ed nad\u00e1le navy\u0161ovat. Nem\u011bly by b\u00fdt zdrojem rezerv, na kter\u00e9 se sah\u00e1 pro \u00fa\u010dely jin\u00fdch zdravotnick\u00fdch segment\u016f. Do jednotliv\u00fdch kapitol zdravotnick\u00e9ho syst\u00e9mu by se m\u011bly finance rozd\u011blovat efektivn\u011bji,\u201c<\/em> zd\u016fraz\u0148uje m\u00edstop\u0159edseda \u010cGS.<\/p>\n\n\n\n

Specializovan\u00fdch center nav\u00edc nen\u00ed dostatek. \u201eTak\u00e9 kapacity m\u00edst poskytuj\u00edc\u00edch modern\u00ed terapii jsou omezen\u00e9. \u0158ada pacient\u016f se do nich nedostane v\u010das. To m\u016f\u017ee zp\u016fsobit z\u00e1va\u017en\u00e9 komplikace, nap\u0159\u00edklad v\u00a0podob\u011b nevratn\u00e9ho po\u0161kozen\u00ed st\u0159eva,\u201c<\/em> dopl\u0148uje doc.\u00a0MUDr. Ilja Tachec\u00ed, Ph.D., p\u0159edseda \u010cGS a p\u0159ednosta II. intern\u00ed gastroenterologick\u00e9 kliniky LF\u00a0UK a FN Hradec Kr\u00e1lov\u00e9. \u201e\u010cesk\u00e1 gastroenterologick\u00e1 spole\u010dnost tak vznik nov\u00fdch center v\u00a0oblastech, kde je jich nedostatek, jednozna\u010dn\u011b podporuje. Kl\u00ed\u010dov\u00e1 je kvalita a dostate\u010dn\u00e9 person\u00e1ln\u00ed zaji\u0161t\u011bn\u00ed takov\u00fdch pracovi\u0161\u0165,\u201c <\/em>\u0159\u00edk\u00e1 doc. Tachec\u00ed.<\/p>\n\n\n\n

Modern\u00ed l\u00e9\u010dba, podle obou l\u00e9ka\u0159\u016f, \u017eivot pacient\u016f s\u00a0IBD v\u00fdrazn\u011b zlep\u0161uje. Nemocn\u00ed mohou pracovat a t\u00e9m\u011b\u0159 bez omezen\u00ed funguj\u00ed i v\u00a0b\u011b\u017en\u00e9m \u017eivot\u011b. \u201eV praxi se setk\u00e1v\u00e1me s\u00a0mnoha mlad\u00fdmi lidmi, kte\u0159\u00ed kon\u010d\u00ed zbyte\u010dn\u011b v\u00a0p\u0159ed\u010dasn\u00e9m invalidn\u00edm d\u016fchodu. Investovat do modern\u00edch l\u00e9k\u016f i\u00a0specializovan\u00fdch center se proto rozhodn\u011b vyplat\u00ed. St\u00e1t d\u00edky tomu u\u0161et\u0159\u00ed na soci\u00e1ln\u00edch d\u00e1vk\u00e1ch,\u201c <\/em>podot\u00fdk\u00e1 doc. Bortl\u00edk.<\/p>\n\n\n\n

Pov\u011bdom\u00ed o modern\u00ed terapii vzr\u016fst\u00e1 i d\u00edky organizaci Pacienti IBD<\/a>. Ta po\u0159\u00e1d\u00e1 pro nemocn\u00e9 se z\u00e1n\u011bty st\u0159ev vzd\u011bl\u00e1vac\u00ed akce, provozuje bezplatnou on-line poradnu a vyd\u00e1v\u00e1 odborn\u00e9 publikace. To v\u0161e pom\u00e1h\u00e1 pacient\u016fm celo\u017eivotn\u00ed boj s\u00a0Crohnovou chorobou a ulcer\u00f3zn\u00ed kolitidou l\u00e9pe zvl\u00e1dat. \u201eKl\u00ed\u010dov\u00e1 je nejenom spr\u00e1vn\u00e1 komunikace pacient\u016f s l\u00e9ka\u0159i. D\u016fle\u017eit\u00e9 je, aby nemocn\u00ed v\u011bd\u011bli, kde mohou z\u00edskat dal\u0161\u00ed cenn\u00e9 rady a informace. Aktivity organizace Pacienti IBD proto vn\u00edm\u00e1me velmi pozitivn\u011b a sna\u017e\u00edme se obdobn\u00e9 \u010dinnosti podporovat tak\u00e9 u dal\u0161\u00edch chronick\u00fdch onemocn\u011bn\u00ed,\u201c<\/em> uzav\u00edr\u00e1 doc. Tachec\u00ed.<\/p>\n\n\n\n

\u010cesk\u00e1 gastroenterologick\u00e1 spole\u010dnost je tak\u00e9 velice aktivn\u00ed ve spole\u010densk\u00e9m i medi\u00e1ln\u00edm prostoru a sna\u017e\u00ed se b\u00fdt zodpov\u011bdnou sou\u010d\u00e1st\u00ed \u017eivota v\u00a0\u010cesk\u00e9 republice. <\/strong>V\u00a0\u0159\u00edjnu leto\u0161n\u00edho roku poskytla \u010cGS (mimo jin\u00e9) dar 100\u00a0000 K\u010d na st\u0159edisko Slezsk\u00e9 diakonie SILOE Ostrava pe\u010duj\u00edc\u00ed o seniory s demenc\u00ed, kter\u00e9 v\u00fdrazn\u011b postihly z\u00e1\u0159ijov\u00e9 povodn\u011b.<\/p>\n","protected":false},"excerpt":{"rendered":"

Invalidit\u011b zabr\u00e1n\u00ed v\u010dasn\u00e1 a modern\u00ed l\u00e9\u010dba Praha, 19. 11. 2024 \u2013 V \u010cesku v\u00fdznamn\u011b p\u0159ib\u00fdv\u00e1 pacient\u016f s Crohnovou chorobou a ulcer\u00f3zn\u00ed kolitidou. Podle odborn\u00edk\u016f se po\u010det nemocn\u00fdch […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":46030,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-53285","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/53285","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=53285"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/53285\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/46030"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=53285"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=53285"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=53285"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}