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Praha, 24. 4. 2025 \u2013 \u0160patn\u011b se v\u00e1m d\u00fdch\u00e1, nem\u016f\u017eete vyj\u00edt do schod\u016f a b\u00fdv\u00e1te unaven\u00ed? Na vin\u011b m\u016f\u017ee b\u00fdt vysok\u00fd tlak v plic\u00edch. Tzv. plicn\u00ed hypertenzi maj\u00ed v\u00a0\u010cesku tis\u00edce lid\u00ed. Jedn\u00e1 se o v\u00e1\u017en\u00e9 onemocn\u011bn\u00ed, kter\u00e9 postupuje pomalu a \u010dasto se zam\u011b\u0148uje s\u00a0jin\u00fdmi chorobami, nap\u0159\u00edklad s\u00a0astmatem. Pokud se ale na n\u011bj p\u0159ijde a\u017e v\u00a0pokro\u010dil\u00e9m stadiu, hroz\u00ed pacient\u016fm v\u00e1\u017en\u00e9 zdravotn\u00ed komplikace \u2013 v\u00a0krajn\u00edm p\u0159\u00edpad\u011b i smrt. <\/strong><\/p>\n\n\n\n Nemocn\u00ed v\u011bt\u0161inou kon\u010d\u00ed v invalidn\u00edm d\u016fchodu a jsou odk\u00e1z\u00e1ni na pomoc druh\u00fdch. Sou\u010dasn\u00fd pokrok v\u00a0terapii plicn\u00ed hypertenze p\u0159itom sk\u00fdt\u00e1 nad\u011bji na kvalitn\u011bj\u0161\u00ed a del\u0161\u00ed \u017eivot. D\u016fle\u017eit\u00e9 v\u0161ak je odhalit nemoc v\u010das. Odborn\u00edci na to upozor\u0148uj\u00ed u\u00a0p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne plicn\u00ed hypertenze, kter\u00fd p\u0159ipad\u00e1 na 5. kv\u011btna.<\/strong><\/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 a ve v\u011bku nad 60 let je je\u0161t\u011b \u010dast\u011bj\u0161\u00ed,\u201c <\/em>popisuje prof. MUDr. Pavel Jansa z II.\u202fintern\u00ed kliniky \u2013 kliniky kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice a 1. LF UK v\u202fPraze. Nej\u010dast\u011bj\u0161\u00edm p\u0159\u00edznakem nemoci je du\u0161nost, kter\u00e1 se postupn\u011b zhor\u0161uje. K\u00a0n\u00ed se p\u0159id\u00e1v\u00e1 such\u00fd dr\u00e1\u017ediv\u00fd ka\u0161el, \u00fanava, vy\u010derp\u00e1n\u00ed a bolest na hrudi. <\/p>\n\n\n\n \u201eV pozd\u011bj\u0161\u00edch f\u00e1z\u00edch onemocn\u011bn\u00ed za\u010d\u00edn\u00e1 pacient\u016fm postupn\u011b selh\u00e1vat prav\u00e1 komora srde\u010dn\u00ed, proto\u017ee p\u0159i plicn\u00ed hypertenzi doch\u00e1z\u00ed k\u00a0jej\u00ed zv\u00fd\u0161en\u00e9 n\u00e1maze. Projevuje se to modrav\u00fdm zbarven\u00edm k\u016f\u017ee a rt\u016f nebo otoky doln\u00edch kon\u010detin. Pacienti tak\u00e9 mohou vyka\u0161l\u00e1vat krev a omdl\u00e9vat,\u201c<\/em> dopl\u0148uje prof. Jansa.<\/p>\n\n\n\n P\u0159ibli\u017en\u011b 95 % p\u0159\u00edpad\u016f plicn\u00ed hypertenze souvis\u00ed s onemocn\u011bn\u00edm srdce a plic. Jej\u00ed p\u0159\u00ed\u010dinou m\u016f\u017ee b\u00fdt ale tak\u00e9 plicn\u00ed embolie nebo autoimunitn\u00ed nemoci. Zejm\u00e9na v po\u010d\u00e1te\u010dn\u00edm stadiu se plicn\u00ed hypertenze \u010dasto zam\u011b\u0148uje s jin\u00fdmi chorobami, jako je nap\u0159\u00edklad astma. \u201eZ\u00e1va\u017en\u00e9 formy plicn\u00ed hypertenze p\u0159edstavuj\u00ed vz\u00e1cn\u00e9 onemocn\u011bn\u00ed, a tak l\u00e9ka\u0159i nejprve uva\u017euj\u00ed o b\u011b\u017en\u011bj\u0161\u00edch diagn\u00f3z\u00e1ch. Z\u00e1sadn\u00ed p\u0159itom je za\u010d\u00edt s l\u00e9\u010dbou v\u010das. Jen tak dok\u00e1\u017eeme p\u0159edej\u00edt v\u00e1\u017en\u00fdm zdravotn\u00edm komplikac\u00edm, nebo dokonce \u00famrt\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 kardiolog. \u201eU pacient\u016f po prod\u011blan\u00e9 plicn\u00ed embolii pom\u00e1h\u00e1 s v\u010dasn\u00fdm z\u00e1chytem <\/em>screeningov\u00fd program<\/em><\/a>, kter\u00fd v \u010cesku funguje od roku 2023,\u201c<\/em> dopl\u0148uje.<\/p>\n\n\n\n Asi 1 % plicn\u00edch hypertenz\u00ed p\u0159edstavuje tzv. plicn\u00ed arteri\u00e1ln\u00ed hypertenze (PAH). Ta postihuje mu\u017ee i\u00a0\u017eeny ve v\u0161ech v\u011bkov\u00fdch skupin\u00e1ch. Krom\u011b zdravotn\u00edch komplikac\u00ed m\u00e1 i v\u00fdrazn\u00fd socioekonomick\u00fd dopad. P\u0159ibli\u017en\u011b 81 % pacient\u016f s\u00a0PAH v produktivn\u00edm v\u011bku pob\u00edr\u00e1 invalidn\u00ed d\u016fchod, dv\u011b t\u0159etiny z\u00a0nich dokonce nejvy\u0161\u0161\u00ed \u2013 t\u0159et\u00ed stupe\u0148. Jen 31 % nemocn\u00fdch je ekonomicky aktivn\u00edch a pouze 14 %\u00a0z\u00a0nich pracuje na pln\u00fd \u00favazek.<\/p>\n\n\n\n \u201ePAH v\u00fdznamn\u011b ovliv\u0148uje kvalitu \u017eivota pacient\u016f, kte\u0159\u00ed jsou \u010dasto odk\u00e1z\u00e1ni na pomoc druh\u00fdch. P\u00e9\u010de o n\u011b je podobn\u00e1 jako o nemocn\u00e9 se z\u00e1va\u017en\u00fdmi formami rakoviny,\u201c <\/em>p\u0159ibli\u017euje prof. Jansa. Plicn\u00ed arteri\u00e1ln\u00ed hypertenze se l\u00e9\u010d\u00ed kombinac\u00ed l\u00e9k\u016f, kter\u00e9 vedou p\u0159edev\u0161\u00edm k\u00a0roz\u0161i\u0159ov\u00e1n\u00ed plicn\u00edch c\u00e9v. \u201eAktu\u00e1ln\u00ed v\u00fdvoj ve farmakoterapii PAH sm\u011b\u0159uje i k\u00a0mo\u017enosti ovlivnit p\u0159estavbu mal\u00fdch plicn\u00edch c\u00e9v.To v\u00a0kombinaci s\u00a0\u00fa\u010dinkem st\u00e1vaj\u00edc\u00ed terapie p\u0159edstavuje zcela z\u00e1sadn\u00ed pokrok,\u201c <\/em>p\u0159ibli\u017euje prof. Jansa. V\u202fsou\u010dasn\u00e9 dob\u011b v\u202f\u010cesku funguj\u00ed t\u0159i specializovan\u00e1 centra pro l\u00e9\u010dbu plicn\u00ed hypertenze: II. intern\u00ed klinika \u2013 klinika kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v\u202fPraze, Klinika kardiologie IKEM a I. intern\u00ed klinika \u2013 kardiologick\u00e1, FN Olomouc.\u00a0\u201eL\u00e9\u010dba tohoto onemocn\u011bn\u00ed je komplexn\u00ed a n\u00e1kladn\u00e1. Proto je nutn\u00e9 soust\u0159edit p\u00e9\u010di o\u00a0pacienty do specializovan\u00fdch center,\u201c <\/em>vysv\u011btluje prof. Jansa.<\/p>\n\n\n\n K\u00a0modern\u00edm l\u00e9\u010div\u00fdm p\u0159\u00edpravk\u016fm se v\u00a0r\u00e1mci klinick\u00e9 studie dostala jeho pacientka Kate\u0159ina (35 let) z\u00a0Prahy. Po \u00faprav\u011b terapie jej\u00ed pot\u00ed\u017ee s\u00a0dechem ustoupily. \u201eVyjdu nap\u0159\u00edklad bez zastaven\u00ed v\u00edce pater,\u201c<\/em> popisuje Kate\u0159ina. Naplno ale pracovat nem\u016f\u017ee a jako v\u011bt\u0161ina ostatn\u00edch pacient\u016f s\u00a0PAH pob\u00edr\u00e1 invalidn\u00ed d\u016fchod. Kate\u0159ina aktivn\u011b p\u016fsob\u00ed ve Sdru\u017een\u00ed pacient\u016f s\u00a0plicn\u00ed hypertenz\u00ed<\/a>, kter\u00e9 v\u00a0\u010cesku existuje od roku 2005. Jak uv\u00e1d\u00ed jeho p\u0159edsedkyn\u011b Milena Kaftanov\u00e1, pacient\u016fm psychicky pom\u00e1h\u00e1 kontakt s\u00a0ostatn\u00edmi nemocn\u00fdmi.<\/p>\n\n\n\n \u201eOrganizujeme proto \u0159adu spole\u010dn\u00fdch akc\u00ed, vz\u00e1jemn\u011b si vym\u011b\u0148ujeme informace a \u0161\u00ed\u0159\u00edme osv\u011btu,\u201c<\/em> dopl\u0148uje. U p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne plicn\u00ed hypertenze po\u0159\u00e1d\u00e1 sdru\u017een\u00ed setk\u00e1n\u00ed na pra\u017esk\u00e9m vrchu V\u00edtkov. \u201eZ\u00fa\u010dastnit se ho m\u016f\u017ee kdokoli, nejenom nemocn\u00ed, ale i jejich rodiny a p\u0159\u00e1tel\u00e9,\u201c<\/em> \u0159\u00edk\u00e1 Milena Kaftanov\u00e1.<\/p>\n\n\n\n Na nemoc tak\u00e9 5. kv\u011btna upozorn\u00ed n\u011bkolik mod\u0159e nasv\u00edcen\u00fdch v\u00fdznamn\u00fdch budov \u2013 v Praze Tan\u010d\u00edc\u00ed d\u016fm a budova Riverview, ve kter\u00e9 s\u00eddl\u00ed farmaceutick\u00e1 spole\u010dnost MSD \u010cesk\u00e1 republika. V Brn\u011b mod\u0159e zaz\u00e1\u0159\u00ed budovy Jan\u00e1\u010dkova divadla, Divadla Husa na prov\u00e1zku a OC OMEGA a v Olomouci budova radnice na Horn\u00edm n\u00e1m\u011bst\u00ed. Mod\u0159e nasv\u00edcen\u00e9 budovy maj\u00ed symbolizovat jeden z p\u0159\u00edznak\u016f nemoci \u2013 modr\u00e9 rty.<\/p>\n","protected":false},"excerpt":{"rendered":" Praha, 24. 4. 2025 \u2013 \u0160patn\u011b se v\u00e1m d\u00fdch\u00e1, nem\u016f\u017eete vyj\u00edt do schod\u016f a b\u00fdv\u00e1te unaven\u00ed? Na vin\u011b m\u016f\u017ee b\u00fdt vysok\u00fd tlak v plic\u00edch. Tzv. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":48623,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-56685","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\/56685","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=56685"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56685\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/48623"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=56685"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=56685"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=56685"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}