{"id":55066,"date":"2025-02-19T12:32:01","date_gmt":"2025-02-19T11:32:01","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=55066"},"modified":"2025-02-19T12:32:41","modified_gmt":"2025-02-19T11:32:41","slug":"dychani-ztizil-vysoky-tlak-v-plicich","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=55066","title":{"rendered":"D\u00fdch\u00e1n\u00ed zt\u00ed\u017eil vysok\u00fd tlak v plic\u00edch – p\u0159\u00edb\u011bh pacientky"},"content":{"rendered":"\n

Prvn\u00ed probl\u00e9my s d\u00fdch\u00e1n\u00edm se u Kate\u0159iny (35) z Prahy objevily p\u0159ed \u0161esti lety \u2013 v dob\u011b, kdy \u010dekala miminko. \u201eL\u00e9ka\u0159i to p\u0159i\u010d\u00edtali t\u011bhotenstv\u00ed. Pot\u00ed\u017ee s dechem jsem ale m\u011bla i po porodu a p\u0159etrv\u00e1valy tak\u00e9 po \u0161estined\u011bl\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 Kate\u0159ina.Gynekolog ji proto objednal na plicn\u00ed vy\u0161et\u0159en\u00ed. \u201eZ pneumologick\u00e9 ambulance m\u011b odeslali do IKEM na dal\u0161\u00ed vy\u0161et\u0159en\u00ed. Pan\u00ed doktorka cht\u011bla m\u00edt jistotu, \u017ee jsem v po\u0159\u00e1dku,\u201c <\/em>vysv\u011btluje. L\u00e9ka\u0159i v IKEM na nic z\u00e1va\u017en\u00e9ho nep\u0159i\u0161li, a tak m\u011bla Kate\u0159ina na dal\u0161\u00ed kontrolu p\u0159ij\u00edt za rok.<\/p>\n\n\n\n

Probl\u00e9my s d\u00fdch\u00e1n\u00edm ale neust\u00e1valy. \u201eBylo to jako na houpa\u010dce. N\u011bkdy mi bylo dob\u0159e, jindy jsem nemohla s ko\u010d\u00e1rkem vyj\u00edt ani mal\u00fd kope\u010dek,\u201c <\/em>\u0159\u00edk\u00e1 Kate\u0159ina. <\/em>Kdy\u017e m\u011bla jej\u00ed dcera necel\u00fd rok, d\u00fdchalo se Kate\u0159in\u011b u\u017e tak \u0161patn\u011b, \u017ee se do IKEM rad\u011bji objednala na d\u0159\u00edv\u011bj\u0161\u00ed kontrolu. ECHO vy\u0161et\u0159en\u00ed tehdy odhalilo vysok\u00fd krevn\u00ed tlak v plic\u00edch.<\/p>\n\n\n\n

\u201eNorm\u00e1ln\u00ed hodnota systolick\u00e9ho tlaku je do 30 mmHg. U m\u011b se vy\u0161plhala na 60 mmHG,\u201c <\/em>up\u0159es\u0148uje Kate\u0159ina, kterou l\u00e9ka\u0159i ihned hospitalizovali. Po n\u011bkolika dal\u0161\u00edch vy\u0161et\u0159en\u00edch se dozv\u011bd\u011bla, \u017ee m\u00e1 tzv. idiopatickou plicn\u00ed arteri\u00e1ln\u00ed hypertenzi \u2013 onemocn\u011bn\u00ed, u kter\u00e9ho doch\u00e1z\u00ed k abnorm\u00e1ln\u00edmu vzestupu krevn\u00edho tlaku v plicn\u00edch c\u00e9v\u00e1ch. Ten br\u00e1n\u00ed spr\u00e1vn\u00e9mu okysli\u010dov\u00e1n\u00ed krve. <\/p>\n\n\n\n

\u201eV\u016fbec jsem tuto nemoc neznala a prvotn\u00ed informace o n\u00ed jsem hledala na internetu, kde jsem na\u0161la i skupinu pacient\u016f se stejn\u00fdm onemocn\u011bn\u00edm, s nimi\u017e jsem se spojila. L\u00e9ka\u0159i mi pak vysv\u011btlili, \u017ee se u tohoto typu plicn\u00ed hypertenze ned\u00e1 zjistit p\u0159\u00ed\u010dina. Uklid\u0148ovali m\u011b t\u00edm, \u017ee se na nemoc p\u0159i\u0161lo v\u010das, a i kdy\u017e ji nelze vyl\u00e9\u010dit, existuje terapie, kter\u00e1 um\u00ed jej\u00ed pr\u016fb\u011bh zm\u00edrnit,\u201c <\/em>vysv\u011btluje Kate\u0159ina. S chorobou se nevyrovn\u00e1vala snadno \u2013 i kv\u016fli tomu, \u017ee musela doma nechat dceru, kterou v t\u00e9 dob\u011b je\u0161t\u011b kojila. \u201eNebylo to v\u016fbec jednoduch\u00e9. O dcerku se sice staral p\u0159\u00edtel a maminka, odm\u00edtala ale um\u011bl\u00e9 ml\u00e9ko. Kv\u016fli l\u00e9\u010db\u011b, kterou mi v nemocnici nasadili, jsem toti\u017e musela p\u0159estat kojit,\u201c<\/em> dopl\u0148uje maminka dnes \u0161estilet\u00e9 Emy.<\/p>\n\n\n\n

Kate\u0159ina dost\u00e1vala \u010d\u00e1st l\u00e9k\u016f prost\u0159ednictv\u00edm podko\u017en\u00edch infuz\u00ed. \u201ePravideln\u011b mi je d\u00e1vkovala pumpa, kterou jsem m\u011bla st\u00e1le na rameni,\u201c<\/em> popisuje. S pumpi\u010dkou ode\u0161la po t\u00fddnu dom\u016f. Na pravideln\u00e9 kontroly pak d\u00e1l doch\u00e1zela do IKEM. \u201eL\u00e9ka\u0159i se o m\u011b pe\u010dliv\u011b starali u\u017e p\u0159i m\u00e9m pobytu v nemocnici. Vysv\u011btlili mi, co plicn\u00ed hypertenze obn\u00e1\u0161\u00ed. Pochopila jsem, \u017ee bez pumpy u\u017e se neobejdu,\u201c <\/em>vysv\u011btluje Kate\u0159ina.<\/p>\n\n\n\n

Terapie, kterou podstupovala, fungovala a jej\u00ed pot\u00ed\u017ee s dechem se postupn\u011b m\u00edrnily. Tr\u00e1pily ji ale velk\u00e9 bolesti, zejm\u00e9na po p\u0159epichov\u00e1n\u00ed pumpy na jin\u00e1 m\u00edsta. V m\u00edstech vpichu se j\u00ed nav\u00edc tvo\u0159ily z\u00e1n\u011bty. V t\u00e9 dob\u011b tak\u00e9 \u010dasto nosila malou dceru, a musela d\u00e1vat pozor na to, aby se j\u00ed pumpa nevytrhla. Po roce a p\u016fl se proto po dohod\u011b s l\u00e9ka\u0159em rozhodla pro implantaci pumpy pod k\u016f\u017ei v m\u00edst\u011b b\u0159icha. Z IKEM ji na tento z\u00e1krok poslali do Centra pro plicn\u00ed hypertenzi ve V\u0161eobecn\u00e9 fakultn\u00ed nemocnici v Praze. \u201eDo p\u00e9\u010de si m\u011b vzal pan profesor Pavel Jansa,\u201c<\/em> \u0159\u00edk\u00e1 Kate\u0159ina, kter\u00e1 po n\u011bkolika m\u011bs\u00edc\u00edch podstoupila operaci. <\/p>\n\n\n\n

Z\u00e1krok dopadl dob\u0159e a Kate\u0159in\u011b se ulevilo. \u201eTento zp\u016fsob l\u00e9\u010dby je pro m\u011b mnohem pohodln\u011bj\u0161\u00ed. Pumpu v b\u0159i\u0161e sice c\u00edt\u00edm, ale nijak zvl\u00e1\u0161\u0165 m\u011b neomezuje. Pan profesor Jansa mi do n\u00ed jednou za \u010dty\u0159i t\u00fddny dopl\u0148uje injekc\u00ed l\u00e9k. Terapii upravuje podle pot\u0159eby,\u201c<\/em> up\u0159es\u0148uje Kate\u0159ina a dod\u00e1v\u00e1, \u017ee se d\u00edky panu profesorovi dostala p\u0159ibli\u017en\u011b p\u0159ed dv\u011bma lety v r\u00e1mci klinick\u00e9 studie k modern\u00edm l\u00e9\u010div\u00fdm p\u0159\u00edpravk\u016fm. Od t\u00e9 doby, co p\u0159e\u0161la na novou terapii, jej\u00ed pot\u00ed\u017ee s dechem ustoupily.<\/p>\n\n\n\n

\u201eVyjdu nap\u0159\u00edklad bez zastaven\u00ed v\u00edce pater,\u201c<\/em> usm\u00edv\u00e1 se Kate\u0159ina. P\u0159i v\u011bt\u0161\u00ed n\u00e1maze nebo ch\u016fzi do kopc\u016f se ale zad\u00fdch\u00e1v\u00e1 st\u00e1le. \u201eBez l\u00e9\u010dby u\u017e bych tady nebyla. Jsem vd\u011b\u010dn\u00e1 l\u00e9ka\u0159\u016fm v IKEM i panu profesoru Jansovi z V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze za to, \u017ee \u017eiji,\u201c<\/em> zd\u016fraz\u0148uje.<\/p>\n\n\n\n

V sou\u010dasn\u00e9 dob\u011b Kate\u0159ina pracuje jako realitn\u00ed makl\u00e9\u0159ka a aktivn\u011b p\u016fsob\u00ed ve Sdru\u017een\u00ed pacient\u016f s plicn\u00ed hypertenz\u00ed<\/a>. \u201eSna\u017e\u00edm se ostatn\u00edm nemocn\u00fdm co nejv\u00edc pom\u00e1hat. Pravideln\u011b se spolu setk\u00e1v\u00e1me a vz\u00e1jemn\u011b si vym\u011b\u0148ujeme informace, \u010dasto i s l\u00e9ka\u0159i. Mn\u011b samotn\u00e9 na za\u010d\u00e1tku nemoci tak\u00e9 hodn\u011b pomohl kontakt s ostatn\u00edmi pacienty s plicn\u00ed hypertenz\u00ed, hlavn\u011b po psychick\u00e9 str\u00e1nce. Na\u0161la jsem je na soci\u00e1ln\u00edch s\u00edt\u00edch,\u201c <\/em>\u0159\u00edk\u00e1 Kate\u0159ina. O sv\u00e9 nemoci p\u00ed\u0161e tak\u00e9 blog s n\u00e1zvem M\u016fj dech \u2013 m\u016fj \u017eivot<\/a>.<\/p>\n\n\n\n

Koment\u00e1\u0159 prof. MUDr. Pavla Jansy, Ph.D. (II. intern\u00ed klinika kardiologie a angiologie VFN a 1. LF UK, Centrum pro plicn\u00ed hypertenzi VFN):<\/p>\n\n\n\n

\u201ePlicn\u00ed hypertenze znamen\u00e1 zv\u00fd\u0161en\u00ed krevn\u00edho tlaku v plicn\u00edch c\u00e9v\u00e1ch. Postihuje zhruba 1 % dosp\u011bl\u00e9 populace, ve v\u011bku nad 60 let je je\u0161t\u011b \u010dast\u011bj\u0161\u00ed. V\u011bt\u0161ina p\u0159\u00edpad\u016f (95 %) souvis\u00ed s onemocn\u011bn\u00edm srdce a plic. Asi 1 % plicn\u00edch hypertenz\u00ed p\u0159edstavuje plicn\u00ed arteri\u00e1ln\u00ed hypertenze (PAH). Jedn\u00e1 se o onemocn\u011bn\u00ed, kter\u00e9 postihuje mu\u017ee i \u017eeny ve v\u0161ech v\u011bkov\u00fdch skupin\u00e1ch. Je zp\u016fsobeno z\u00fa\u017een\u00edm a p\u0159estavbou mal\u00fdch plicn\u00edch c\u00e9v, kter\u00e9 vede k vzestupu tlaku v plicn\u00edm ob\u011bhu a k dlouhodob\u00e9 z\u00e1t\u011b\u017ei prav\u00e9 komory srde\u010dn\u00ed. Pr\u00e1v\u011b t\u00edmto typem plicn\u00ed hypertenze Kate\u0159ina onemocn\u011bla. L\u00e9\u010dba PAH stoj\u00ed na kombinaci l\u00e9k\u016f, kter\u00e9 vedou p\u0159edev\u0161\u00edm k roz\u0161i\u0159ov\u00e1n\u00ed plicn\u00edch c\u00e9v. N\u011bkter\u00e9 z t\u011bchto l\u00e9k\u016f vy\u017eaduj\u00ed pod\u00e1n\u00ed kontinu\u00e1ln\u00ed infuz\u00ed z mal\u00e9 pumpy. D\u016fsledkem je pokles krevn\u00edho tlaku v plicn\u00edch c\u00e9v\u00e1ch a sn\u00ed\u017een\u00ed z\u00e1t\u011b\u017ee prav\u00e9 srde\u010dn\u00ed komory. <\/em>Aktu\u00e1ln\u00ed v\u00fdvoj ve farmakoterapii PAH vede i k mo\u017enosti ovlivnit p\u0159estavbu mal\u00fdch plic\u00edch c\u00e9v.<\/em>To v kombinaci s \u00fa\u010dinkem st\u00e1vaj\u00edc\u00ed terapie p\u0159edstavuje zcela z\u00e1sadn\u00ed pokrok. L\u00e9\u010dba PAH je komplexn\u00ed a n\u00e1kladn\u00e1. Nav\u00edc se jedn\u00e1 o vz\u00e1cn\u00e9 onemocn\u011bn\u00ed. Proto je p\u00e9\u010de o tyto nemocn\u00e9 soust\u0159ed\u011bna do specializovan\u00fdch center, kter\u00e1 v \u010cR p\u016fsob\u00ed ve V\u0161eobecn\u00e9 fakultn\u00ed nemocnici v Praze, v IKEM v Praze a ve Fakultn\u00ed nemocnici Olomouc.\u201c<\/em><\/p>\n\n\n\n

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Kate\u0159ina se dcerou<\/figcaption><\/figure>\n\n\n\n
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Kate\u0159ina<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

Prvn\u00ed probl\u00e9my s d\u00fdch\u00e1n\u00edm se u Kate\u0159iny (35) z Prahy objevily p\u0159ed \u0161esti lety \u2013 v dob\u011b, kdy \u010dekala miminko. \u201eL\u00e9ka\u0159i to p\u0159i\u010d\u00edtali t\u011bhotenstv\u00ed. Pot\u00ed\u017ee s dechem jsem ale […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":55069,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-55066","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\/55066","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=55066"}],"version-history":[{"count":1,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55066\/revisions"}],"predecessor-version":[{"id":55074,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55066\/revisions\/55074"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/55069"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}