{"id":55506,"date":"2025-03-06T06:12:10","date_gmt":"2025-03-06T05:12:10","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=55506"},"modified":"2025-03-06T06:12:10","modified_gmt":"2025-03-06T05:12:10","slug":"dialyza-lidem-ukradne-z-kazdeho-roku-mesic-normalniho-zivota","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=55506","title":{"rendered":"Dial\u00fdza lidem ukradne z ka\u017ed\u00e9ho roku m\u011bs\u00edc norm\u00e1ln\u00edho \u017eivota"},"content":{"rendered":"\n

Odd\u00e1lit ji m\u016f\u017ee v\u010dasn\u00e1 l\u00e9\u010dba nemocn\u00fdch ledvin<\/em><\/p>\n\n\n\n

Praha, 5. 3. 2025 \u2013 Jeden milion \u010cech\u016f \u2013 p\u0159ibli\u017en\u011b tolik lid\u00ed se v tuzemsku pot\u00fdk\u00e1 s chronick\u00fdm onemocn\u011bn\u00edm ledvin (CKD).Mnoz\u00ed z\u00a0nich to v\u0161ak nev\u00ed, proto\u017ee je po\u0161kozen\u00e9 ledviny zpo\u010d\u00e1tku nebol\u00ed. Pokud se nel\u00e9\u010d\u00ed, hroz\u00ed ale nemocn\u00fdm \u0159ada zdravotn\u00edch komplikac\u00ed. V\u00a0krajn\u00edm p\u0159\u00edpad\u011b m\u016f\u017ee doj\u00edt a\u017e k selh\u00e1n\u00ed ledvin, kter\u00e9 vy\u017eaduje transplantaci nebo dial\u00fdzu. Pr\u00e1v\u011b na dial\u00fdzu, p\u0159i n\u00ed\u017e l\u00e9ka\u0159i pacientovi \u010dist\u00ed krev pomoc\u00ed speci\u00e1ln\u00edho p\u0159\u00edstroje, doch\u00e1z\u00ed v\u00a0\u010cesku v\u00a0sou\u010dasn\u00e9 dob\u011b asi 6\u00a0500 lid\u00eda ka\u017ed\u00fd pacient na n\u00ed za rok str\u00e1v\u00ed v\u00a0sou\u010dtu p\u0159ibli\u017en\u011b m\u011bs\u00edc. Podle specialist\u016f je tomu mo\u017en\u00e9 p\u0159edej\u00edt v\u010dasn\u00fdm z\u00e1chytem onemocn\u011bn\u00ed ledvin a vhodnou terapi\u00ed.<\/strong><\/p>\n\n\n\n

Lid\u00e9 by si proto m\u011bli nechat funkci ledvin pravideln\u011b kontrolovat \u2013 na preventivn\u00edch prohl\u00eddk\u00e1ch u praktick\u00fdch l\u00e9ka\u0159\u016f. Odborn\u00edci na to upozor\u0148uj\u00ed u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne ledvin, kter\u00fd p\u0159ipad\u00e1 na 13.\u00a0b\u0159ezna.<\/strong><\/p>\n\n\n\n

\u201eChronick\u00fdm onemocn\u011bn\u00edm ledvin trp\u00ed ve vysp\u011bl\u00fdch zem\u00edch\u00a0ka\u017ed\u00fd des\u00e1t\u00fd \u010dlov\u011bk. U n\u00e1s je to asi jeden milion lid\u00ed. V\u011bt\u0161ina z\u00a0nich o tom ale nev\u00ed,\u201c <\/em>vysv\u011btluje prof. MUDr. Ond\u0159ej Viklick\u00fd, p\u0159ednosta Kliniky nefrologie, Transplantcentra a vedouc\u00ed l\u00e9ka\u0159 Transplanta\u010dn\u00ed laborato\u0159e Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM). \u201eM\u00edrn\u011b sn\u00ed\u017een\u00e1 funkce ledvin je p\u0159itom dokonce rizikem dal\u0161\u00edch komplikac\u00ed, zejm\u00e9na vzniku onemocn\u011bn\u00ed srdce a c\u00e9v. Pokud ledviny nefunguj\u00ed spr\u00e1vn\u011b a nel\u00e9\u010d\u00ed se, m\u016f\u017ee doj\u00edt v\u00a0nejv\u00e1\u017en\u011bj\u0161\u00edch p\u0159\u00edpadech a\u017e k\u00a0jejich selh\u00e1n\u00ed,\u201c <\/em>dod\u00e1v\u00e1.<\/p>\n\n\n\n

Hlavn\u00edmi p\u0159\u00ed\u010dinami chronick\u00e9ho onemocn\u011bn\u00ed ledvin jsou cukrovka 2. typu a vysok\u00fd krevn\u00ed tlak.\u201eT\u00fdk\u00e1 se to p\u0159ibli\u017en\u011b poloviny pacient\u016f. V\u011bt\u0161ina z nich je nav\u00edc ob\u00e9zn\u00ed nebo m\u00e1 nadv\u00e1hu. Choroby ledvin v\u0161ak mohou b\u00fdt i vrozen\u00e9 nebo autoimunitn\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 prof. Viklick\u00fd. Podle n\u011bj zde hraje kl\u00ed\u010dovou roli \u010das. Pokud se l\u00e9\u010dba zah\u00e1j\u00ed v po\u010d\u00e1te\u010dn\u00ed f\u00e1zi onemocn\u011bn\u00ed, v\u00fdznamn\u011b se zpomal\u00ed jej\u00ed rozvoj. \u201e\u010cesk\u00e1 nefrologick\u00e1 spole\u010dnost vypracovala doporu\u010den\u00fd postup pro diagnostiku a l\u00e9\u010dbu chronick\u00e9ho onemocn\u011bn\u00ed ledvin u praktick\u00fdch l\u00e9ka\u0159\u016f. Ti by m\u011bli v r\u00e1mci preventivn\u00edch prohl\u00eddek kontrolovat, jestli ledviny funguj\u00ed spr\u00e1vn\u011b, a to ka\u017ed\u00e9 dva roky u v\u0161ech osob star\u0161\u00edch 50 let. A tak\u00e9 u pacient\u016f mlad\u0161\u00edch 50 let s vysok\u00fdm krevn\u00edm tlakem, vysok\u00fdm cholesterolem, fibrilac\u00ed s\u00edn\u00ed a srde\u010dn\u00edm selh\u00e1n\u00edm. K tomu slou\u017e\u00ed vy\u0161et\u0159en\u00ed krve a jednoduch\u00fd test ze vzorku mo\u010di na p\u0159\u00edtomnost b\u00edlkoviny. Zvl\u00e1\u0161t\u011b u diabetik\u016f je t\u0159eba kontrolovat ledviny jednou ro\u010dn\u011b,\u201c <\/em>popisuje prof. Viklick\u00fd a dod\u00e1v\u00e1, \u017ee pacienti s cukrovkou by m\u011bli toto vy\u0161et\u0159en\u00ed podstupovat ka\u017ed\u00fd rok bez ohledu na v\u011bk.<\/p>\n\n\n\n

Pokud test b\u00edlkovinu v mo\u010di odhal\u00ed, znamen\u00e1 to, \u017ee jsou v ledvin\u00e1ch po\u0161kozen\u00e9 drobn\u00e9 c\u00e9vy. \u201eJe to jasn\u00fd varovn\u00fd sign\u00e1l. Ukazuje nejenom na po\u0161kozen\u00ed ledvin, ale i na zv\u00fd\u0161en\u00e9 riziko v\u00fdskytu onemocn\u011bn\u00ed srdce a c\u00e9v. Nemocn\u00ed se mus\u00ed ihned za\u010d\u00edt l\u00e9\u010dit,\u201c <\/em>\u0159\u00edk\u00e1 l\u00e9ka\u0159.<\/p>\n\n\n\n

O pacienty s m\u00edrn\u00fdm po\u0161kozen\u00edm ledvin se mohou starat prakti\u010dt\u00ed l\u00e9ka\u0159i nebo internist\u00e9. Pokud je stav z\u00e1va\u017en\u011bj\u0161\u00ed, p\u0159ech\u00e1z\u00ed do p\u00e9\u010de nefrolog\u016f. \u201eNemocn\u00e9 v sou\u010dasn\u00e9 dob\u011b l\u00e9\u010d\u00edme pomoc\u00ed terapie, kter\u00e1 je nejv\u011bt\u0161\u00ed revoluc\u00ed v nefrologii za posledn\u00edch dvacet let. Pr\u016fb\u011bh onemocn\u011bn\u00ed um\u00ed v\u00fdznamn\u011b zpomalit. Podle na\u0161ich odhad\u016f odd\u00e1l\u00ed selh\u00e1n\u00ed ledvin a n\u00e1slednou dial\u00fdzu nebo transplantaci o deset a\u017e dvacet let,\u201c<\/em> popisuje prof. Viklick\u00fd.<\/p>\n\n\n\n

Dial\u00fdza se v\u00a0sou\u010dasn\u00e9 dob\u011b t\u00fdk\u00e1 v\u00a0\u010cesku p\u0159ibli\u017en\u011b 6\u00a0500 pacient\u016f. Jejich ledviny bez n\u00ed nezvl\u00e1dnou filtrovat stovky litr\u016f krve denn\u011b. \u201eDial\u00fdza nepochybn\u011b zachra\u0148uje a prodlu\u017euje \u017eivot, ale omezuje jeho kvalitu,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Silvie Rajnochov\u00e1-Bloud\u00ed\u010dkov\u00e1, Ph.D., DBA, vedouc\u00ed Nefrologick\u00e9 a\u00a0transplanta\u010dn\u00ed ambulance IKEM. Na dial\u00fdzu, kter\u00e1 trv\u00e1 4\u20135 hodin, doch\u00e1z\u00ed pacienti t\u0159ikr\u00e1t t\u00fddn\u011b. \u201eRo\u010dn\u011b jim tak ukradne m\u011bs\u00edc norm\u00e1ln\u00edho \u017eivota,\u201c<\/em> vypo\u010d\u00edt\u00e1v\u00e1 l\u00e9ka\u0159ka. <\/p>\n\n\n\n

Pacient\u016fm podle n\u00ed nav\u00edc po dial\u00fdze neb\u00fdv\u00e1 v\u017edy, zejm\u00e9na zpo\u010d\u00e1tku, nejl\u00e9pe. Mus\u00ed si tak\u00e9 hl\u00eddat j\u00eddeln\u00ed\u010dek a\u00a0vyvarovat se n\u011bkter\u00fdch potravin, nap\u0159\u00edklad ovoce a zeleniny nebo nadm\u011brn\u00e9ho p\u0159\u00edjmu soli. \u201eOmezen\u00ed spojen\u00fdch s dial\u00fdzou je v\u00edce, \u0159ada nemocn\u00fdch nap\u0159\u00edklad nem\u016f\u017ee chodit do pr\u00e1ce. Pokud je to mo\u017en\u00e9, vol\u00edme ide\u00e1ln\u011bj\u0161\u00ed variantu l\u00e9\u010dby \u2013 transplantaci ledviny,\u201c<\/em> dopl\u0148uje l\u00e9ka\u0159ka.<\/p>\n\n\n\n

Na d\u016fle\u017eitost v\u010dasn\u00e9ho z\u00e1chytu upozorn\u00ed akce Kryjte z\u00e1da ledvin\u00e1m, kterou 13. a 14. b\u0159ezna<\/strong>, u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne ledvin, po\u0159\u00e1d\u00e1 v Praze <\/strong>IKEM ve spolupr\u00e1ci se spole\u010dnost\u00ed Boehringer Ingelheim a pod z\u00e1\u0161titou \u010cesk\u00e9 nefrologick\u00e9 spole\u010dnosti. A to od 10 do 16 hodin<\/strong> v obchodn\u00edm centru Nov\u00fd Sm\u00edchov<\/strong>. P\u0159\u00edchoz\u00ed si mohou nechat ve stanu u hlavn\u00edho vchodu zm\u011b\u0159it krevn\u00ed tlak \u010di hladinu cukru v krvi. \u201eZdravotn\u00edci, kte\u0159\u00ed budou na m\u00edst\u011b, nav\u00edc z\u00e1jemc\u016fm provedou i orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed funkce ledvin. Z kapky krve zjist\u00ed jejich hodnotu kreatininu. Ta napov\u00ed, zda maj\u00ed ledviny v po\u0159\u00e1dku,\u201c<\/em> popisuje MUDr. Rajnochov\u00e1-Bloud\u00ed\u010dkov\u00e1, kter\u00e1 se akce s n\u011bkolika dal\u0161\u00edmi l\u00e9ka\u0159i a sestrami tak\u00e9 z\u00fa\u010dastn\u00ed. \u201eNa m\u00edst\u011b s pacienty v\u00fdsledky zkonzultujeme a p\u0159\u00edpadn\u011b doporu\u010d\u00edme dal\u0161\u00ed vy\u0161et\u0159en\u00ed. R\u00e1di bychom, aby si lid\u00e9 uv\u011bdomili, \u017ee prevenc\u00ed mohou jen z\u00edskat a \u017ee do zdrav\u00ed se vyplat\u00ed investovat,\u201c<\/em> uzav\u00edr\u00e1 l\u00e9ka\u0159ka.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Odd\u00e1lit ji m\u016f\u017ee v\u010dasn\u00e1 l\u00e9\u010dba nemocn\u00fdch ledvin Praha, 5. 3. 2025 \u2013 Jeden milion \u010cech\u016f \u2013 p\u0159ibli\u017en\u011b tolik lid\u00ed se v tuzemsku pot\u00fdk\u00e1 s chronick\u00fdm […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27310,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-55506","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\/55506","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=55506"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55506\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27310"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55506"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55506"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55506"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}