{"id":54136,"date":"2025-01-10T06:42:48","date_gmt":"2025-01-10T05:42:48","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=54136"},"modified":"2025-01-10T06:45:05","modified_gmt":"2025-01-10T05:45:05","slug":"rychly-test-odhali-ohrozene-srdce-i-ledviny","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=54136","title":{"rendered":"Rychl\u00fd test odhal\u00ed ohro\u017een\u00e9 srdce i ledviny"},"content":{"rendered":"\n

B\u00edlkovinu v mo\u010di si lid\u00e9 mohou nechat vy\u0161et\u0159it u sv\u00e9ho praktika<\/em><\/p>\n\n\n\n

Praha, 9. 1. 2025 \u2013 Zv\u00fd\u0161en\u00e1 hladina b\u00edlkoviny v\u00a0mo\u010di nebol\u00ed, p\u0159esto nen\u00ed radno ji podce\u0148ovat. Ukazuje toti\u017e na \u0159adu zdravotn\u00edch probl\u00e9m\u016f. Nap\u0159\u00edklad na po\u0161kozen\u00ed ledvin nebo riziko ischemick\u00e9 choroby srde\u010dn\u00ed \u010di selh\u00e1n\u00ed srdce. Podle l\u00e9ka\u0159\u016f maj\u00ed lid\u00e9, kter\u00fdm se b\u00edlkovina v\u00a0mo\u010di objev\u00ed, a\u017e trojn\u00e1sobn\u011b vy\u0161\u0161\u00ed riziko srde\u010dn\u00edho selh\u00e1n\u00ed \u2013 co\u017e odpov\u00edd\u00e1 riziku, kter\u00e9 podstupuj\u00ed lid\u00e9 po prod\u011blan\u00e9m infarktu. Odhalit b\u00edlkovinu p\u0159itom dnes nen\u00ed slo\u017eit\u00e9 \u2013 sta\u010d\u00ed rychl\u00fd test ze vzorku mo\u010di, o kter\u00fd mohou pacienti po\u017e\u00e1dat p\u0159i preventivn\u00ed prohl\u00eddce u sv\u00e9ho praktika.<\/strong><\/p>\n\n\n\n

Diabetici a lid\u00e9 s\u00a0vysok\u00fdm krevn\u00edm tlakem by podle odborn\u00edk\u016f m\u011bli vy\u0161et\u0159en\u00ed absolvovat alespo\u0148 jednou ro\u010dn\u011b. Praxe je v\u0161ak \u010dasto jin\u00e1. Zat\u00edmco o rizic\u00edch spojen\u00fdch s vysok\u00fdm cholesterolem \u010di krevn\u00edm tlakem lid\u00e9 v\u011bt\u0161inou v\u011bd\u00ed, b\u00edlkovina v\u00a0mo\u010di b\u00fdv\u00e1 velkou nezn\u00e1mou. Vy\u0161et\u0159en\u00ed tak podstoup\u00ed jen zlomek pacient\u016f, co\u017e se net\u00fdk\u00e1 jen \u010cesk\u00e9 republiky.<\/strong><\/p>\n\n\n\n

\u201eB\u00edlkovina v mo\u010di ukazuje na po\u0161kozen\u00ed ledvin. Nej\u010dast\u011bji se s n\u00ed setk\u00e1v\u00e1me u rizikov\u00fdch skupin pacient\u016f, jak\u00fdmi jsou diabetici, lid\u00e9 s vysok\u00fdm krevn\u00edm tlakem a kardiaci. Pr\u00e1v\u011b nemoci srdce se ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f poj\u00ed s onemocn\u011bn\u00edm c\u00e9v. A k pr\u016fniku b\u00edlkoviny do mo\u010di doch\u00e1z\u00ed ve chv\u00edli, kdy se po\u0161kod\u00ed v\u00fdstelka c\u00e9v v ledvin\u00e1ch. K tomuto poru\u0161en\u00ed p\u0159isp\u00edv\u00e1 zm\u00edn\u011bn\u00e1 cukrovka a tak\u00e9 hypertenze,\u201c<\/em> popisuje MUDr. Ji\u0159\u00ed Vesel\u00fd, \u010dlen v\u00fdboru \u010cesk\u00e9 asociace ambulantn\u00edch kardiolog\u016f. \u0160patn\u00e1 funkce ledvin ale nen\u00ed jedin\u00fdm probl\u00e9mem, na kter\u00fd b\u00edlkovina upozor\u0148uje. \u201eVy\u0161et\u0159en\u00ed n\u00e1m d\u00e1v\u00e1 dobr\u00fd obraz o celkov\u00e9m stavu c\u00e9v v t\u011ble pacienta. Pom\u00e1h\u00e1 n\u00e1m vyhodnotit budouc\u00ed riziko vzniku srde\u010dn\u00edho selh\u00e1n\u00ed \u010di ischemick\u00e9 choroby srde\u010dn\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Jan Krej\u010d\u00ed, Ph.D., FHFA, p\u0159ednosta I. intern\u00ed kardioangiologick\u00e9 kliniky FNUSA v Brn\u011b.<\/p>\n\n\n\n

Odhalit b\u00edlkovinu v mo\u010di dnes p\u0159itom nen\u00ed slo\u017eit\u00e9, sta\u010d\u00ed absolvovat rychl\u00fd test. \u201eV minulosti se parametr vy\u0161et\u0159oval prost\u0159ednictv\u00edm 24hodinov\u00e9ho sb\u011bru mo\u010di. Pro pacienta to bylo nepohodln\u00e9 a v\u00fdsledky nebyly p\u0159\u00edli\u0161 p\u0159esn\u00e9. Dnes se test prov\u00e1d\u00ed z jednor\u00e1zov\u00e9ho odb\u011bru, kdy je vzorek mo\u010di n\u00e1sledn\u011b odesl\u00e1n k anal\u00fdze do laborato\u0159e. Jde o rychlou a relativn\u011b levnou metodu, kter\u00e1 n\u00e1m ale um\u00ed \u0159\u00edct hodn\u011b o budouc\u00edch zdravotn\u00edch rizic\u00edch pacient\u016f,\u201c<\/em> p\u0159ibli\u017euje prof. Krej\u010d\u00ed. O vy\u0161et\u0159en\u00ed mohou lid\u00e9 po\u017e\u00e1dat sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e p\u0159i preventivn\u00ed prohl\u00eddce, ale i specialistu \u2013 nap\u0159\u00edklad diabetologa, kardiologa \u010di internistu. Rizikov\u00ed pacienti by podle odborn\u00edk\u016f m\u011bli test podstupovat opakovan\u011b, alespo\u0148 jednou ro\u010dn\u011b.<\/p>\n\n\n\n

Tomuto vy\u0161et\u0159en\u00ed se ale zat\u00edm nep\u0159ikl\u00e1d\u00e1 dostate\u010dn\u00fd v\u00fdznam. Letos publikovan\u00e1 n\u011bmeck\u00e1 studie analyzovala z\u00e1znamy t\u00e9m\u011b\u0159 450 000 pacient\u016f z v\u00edce ne\u017e 1 200 ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f. S hypertenz\u00ed se pot\u00fdkalo t\u00e9m\u011b\u0159 76 % pacient\u016f, s kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm dal\u0161\u00edch 35 % a diabetem 2. typu trp\u011blo p\u0159es 32 % lid\u00ed. Testem na p\u0159\u00edtomnost b\u00edlkoviny pro\u0161lo jen necel\u00fdch 8 % t\u011bchto pacient\u016f.<\/p>\n\n\n\n

\u201eUv\u00e1d\u00ed se, \u017ee b\u00edlkovinu v mo\u010di m\u00e1 a\u017e 40 % diabetik\u016f a a\u017e 20 % lid\u00ed bez cukrovky nad 65 let v\u011bku. Pokud se n\u00e1m ji poda\u0159\u00ed pomoc\u00ed testu zav\u010das odhalit, jsme schopni d\u00edky modern\u00edm l\u00e9k\u016fm jej\u00ed v\u00fdskyt zredukovat, a sn\u00ed\u017eit tak riziko srde\u010dn\u00edho selh\u00e1n\u00ed. Lid\u00e9, kte\u0159\u00ed maj\u00ed b\u00edlkovinu v mo\u010di, jsou toti\u017e selh\u00e1n\u00edm srdce ohro\u017eeni stejn\u011b jako pacienti, kte\u0159\u00ed d\u0159\u00edve prod\u011blali infarkt. Zabr\u00e1nit dok\u00e1\u017eeme tak\u00e9 samotn\u00e9mu po\u0161kozen\u00ed ledvin,\u201c<\/em> upozor\u0148uje MUDr. Vesel\u00fd a popisuje, \u017ee pokud pacient situaci dlouhodob\u011b ne\u0159e\u0161\u00ed, p\u0159est\u00e1vaj\u00ed mu ledviny dostate\u010dn\u011b filtrovat krev. Ve v\u00fdsledku pak m\u016f\u017ee jejich funkce klesnout natolik, \u017ee je nutn\u00e1 transplantace nebo dial\u00fdza.<\/p>\n\n\n\n

Selh\u00e1n\u00ed srdce, po\u0161kozen\u00ed ledvin a cukrovka 2. typu jsou onemocn\u011bn\u00ed, kter\u00e1 \u010dasto b\u00fdvaj\u00ed prov\u00e1zan\u00e1 \u2013 poj\u00ed se s obezitou i vy\u0161\u0161\u00edm v\u011bkem. Podle odborn\u00edk\u016f a\u017e 60 % pacient\u016f s chronicky po\u0161kozen\u00fdmi ledvinami trp\u00ed z\u00e1rove\u0148 kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm. P\u0159ibli\u017en\u011b u jednoho ze t\u0159\u00ed pacient\u016f s cukrovkou 2. typu nefunguje spr\u00e1vn\u011b srdce. A\u017e 40 % pacient\u016f s diabetem m\u00e1 i chronick\u00e9 onemocn\u011bn\u00ed ledvin.<\/p>\n\n\n\n

Na probl\u00e9my s ledvinami m\u016f\u017ee krom\u011b vy\u0161et\u0159en\u00ed b\u00edlkoviny v mo\u010di upozornit tak\u00e9 jednoduch\u00fd krevn\u00ed test.<\/a> L\u00e9ka\u0159i proto doporu\u010duj\u00ed, aby lid\u00e9 nezanedb\u00e1vali preventivn\u00ed prohl\u00eddky, kter\u00e9 mohou pot\u00ed\u017ee zav\u010das odhalit.<\/p>\n\n\n\n

O srde\u010dn\u00edm selh\u00e1n\u00ed:<\/strong><\/p>\n\n\n\n

Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed postihuje v\u00edce ne\u017e 60 milion\u016f lid\u00ed na cel\u00e9m sv\u011bt\u011b. V \u010cR je nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou hospitalizace u lid\u00ed nad 65 let. V p\u0159\u00ed\u0161t\u00edch 25 letech lze dle odborn\u00edk\u016f o\u010dek\u00e1vat 50% n\u00e1r\u016fst hospitalizac\u00ed pro srde\u010dn\u00ed selh\u00e1n\u00ed. Obecn\u011b kardiologov\u00e9 odhaduj\u00ed, \u017ee v roce 2030 se bude v \u010cesku l\u00e9\u010dit a\u017e 600 000 nemocn\u00fdch s touto diagn\u00f3zou. Mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00edznaky srde\u010dn\u00edho selh\u00e1n\u00ed pat\u0159\u00ed du\u0161nost, otoky nohou a \u00fanava. P\u0159\u00ed\u010diny selh\u00e1n\u00ed srdce jsou r\u016fzn\u00e9, m\u016f\u017ee je m\u00edt na sv\u011bdom\u00ed nap\u0159\u00edklad prod\u011blan\u00fd infarkt, chlopenn\u00ed vada, nel\u00e9\u010den\u00fd vysok\u00fd krevn\u00ed tlak \u010di arytmie. V\u00edce informac\u00ed a jednoduch\u00fd test p\u0159\u00edznak\u016f srde\u010dn\u00edho selh\u00e1n\u00ed je na www.srdcedycha.cz<\/a>.<\/p>\n\n\n\n

O chronick\u00e9m onemocn\u011bn\u00ed ledvin (CKD):<\/strong><\/p>\n\n\n\n

<\/a> Jde o dlouh\u00fd a obvykle pomal\u00fd proces, v jeho\u017e pr\u016fb\u011bhu ledviny postupn\u011b ztr\u00e1cej\u00ed svou funkci. Zpo\u010d\u00e1tku si pacient ani nemus\u00ed v\u0161imnout, \u017ee je nemocn\u00fd. M\u016f\u017ee ztratit a\u017e 90 % funkce ledvin, ani\u017e by m\u011bl jak\u00e9koliv p\u0159\u00edznaky. CKD postihuje a\u017e 10 % populace, trp\u00ed j\u00edm jeden z p\u011bti mu\u017e\u016f a jedna ze \u010dty\u0159 \u017een ve v\u011bku 65 a\u017e 74 let. CKD je jednou z chronick\u00fdch komplikac\u00ed diabetu (1. i 2. typu). V\u00edce informac\u00ed na www.chronickeonemocneniledvin.cz<\/a>.<\/p>\n\n\n\n

O cukrovce 2. typu:<\/strong><\/p>\n\n\n\n

Diabetes je chronick\u00e9 onemocn\u011bn\u00ed, p\u0159i kter\u00e9m t\u011blo nen\u00ed schopno vyr\u00e1b\u011bt anebo \u00fa\u010dinn\u011b vyu\u017e\u00edvat inzulin. To zp\u016fsobuje dlouhodob\u00e9 zv\u00fd\u0161en\u00ed hladiny cukru v krvi, co\u017e m\u016f\u017ee v\u00e9st k po\u0161kozen\u00ed \u0159ady org\u00e1n\u016f v t\u011ble, nap\u0159\u00edklad ledvin, srdce, o\u010d\u00ed, nerv\u016f a dal\u0161\u00edch. Zpo\u010d\u00e1tku se cukrovka v\u00fdrazn\u011b neprojevuje, pozd\u011bji lid\u00e9 poci\u0165uj\u00ed \u017e\u00edze\u0148, \u010dast\u011bji chod\u00ed mo\u010dit, jsou unaven\u00ed, maj\u00ed hlad, c\u00edt\u00ed mraven\u010den\u00ed v rukou a nohou, vid\u00ed rozmazan\u011b a hoj\u00ed se jim h\u016f\u0159e poran\u011bn\u00ed. Z\u00e1va\u017en\u00fdm komplikac\u00edm lze p\u0159edej\u00edt \u00fapravou \u017eivotn\u00edho stylu a u\u017e\u00edv\u00e1n\u00edm modern\u00edch l\u00e9k\u016f. V\u00edce informac\u00ed na www.osladtocukrovce.cz<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u00edlkovinu v mo\u010di si lid\u00e9 mohou nechat vy\u0161et\u0159it u sv\u00e9ho praktika Praha, 9. 1. 2025 \u2013 Zv\u00fd\u0161en\u00e1 hladina b\u00edlkoviny v\u00a0mo\u010di nebol\u00ed, p\u0159esto nen\u00ed radno ji podce\u0148ovat. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14161,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-54136","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\/54136","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=54136"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/54136\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14161"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=54136"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=54136"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=54136"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}