{"id":57744,"date":"2025-05-28T12:02:53","date_gmt":"2025-05-28T10:02:53","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=57744"},"modified":"2025-05-28T12:03:38","modified_gmt":"2025-05-28T10:03:38","slug":"lekari-jiz-dokazi-zastavit-roztrousenou-sklerozu-musi-ale-na-ni-prijit-vcas","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=57744","title":{"rendered":"L\u00e9ka\u0159i ji\u017e dok\u00e1\u017e\u00ed zastavit roztrou\u0161enou skler\u00f3zu. Mus\u00ed ale na ni p\u0159ij\u00edt v\u010das"},"content":{"rendered":"\n

Pom\u016f\u017ee jim v\u00a0tom magnetick\u00e1 rezonance<\/em><\/p>\n\n\n\n

Praha, 28. 5. 2025 \u2013 Lze zastavit nebo zabrzdit roztrou\u0161enou skler\u00f3zu d\u0159\u00edve, ne\u017e se projev\u00ed? Podle neurolog\u016f ano \u2013 pokud se poda\u0159\u00ed zachytit prvn\u00ed varovn\u00e9 sign\u00e1ly, kter\u00e9 t\u011blo vys\u00edl\u00e1 u\u017e roky p\u0159ed nemoc\u00ed. Roztrou\u0161en\u00e1 skler\u00f3za (RS) napad\u00e1 mozek a m\u00edchu. Je nevyl\u00e9\u010diteln\u00e1 a v \u010cesk\u00e9 republice j\u00ed trp\u00ed p\u0159es 26 000 p\u0159ev\u00e1\u017en\u011b mlad\u0161\u00edch lid\u00ed. K odhalen\u00ed prvn\u00edch zn\u00e1mek RS pom\u016f\u017ee l\u00e9ka\u0159\u016fm magnetick\u00e1 rezonance. V\u010dasn\u00e1 l\u00e9\u010dba a \u00faprava \u017eivotn\u00edho stylu by mohla podle odborn\u00edk\u016f vzplanut\u00ed nemoci \u00fapln\u011b zastavit. <\/strong><\/p>\n\n\n\n

Upozor\u0148uj\u00ed na to u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne roztrou\u0161en\u00e9 skler\u00f3zy, kter\u00fd p\u0159ipad\u00e1 na 30. kv\u011btna. Z\u00e1rove\u0148 zve\u0159ej\u0148uj\u00ed nov\u00e1 data z registru pacient\u016f s RS ReMuS.<\/strong><\/p>\n\n\n\n

\u201eStoj\u00edme na prahu nov\u00e9 \u00e9ry. Posouv\u00e1me se ze sou\u010dasnosti, kdy l\u00e9\u010d\u00edme rozvinutou nemoc, do minulosti. Z \u010detn\u00fdch studi\u00ed v\u00edme, \u017ee nemoc se vyv\u00edj\u00ed roky p\u0159edt\u00edm, ne\u017e se ohl\u00e1s\u00ed fyzicky. Lid\u00e9 \u010dast\u011bji nav\u0161t\u011bvuj\u00ed praktika u\u017e 10 let p\u0159ed vypuknut\u00edm nemoci, o 50 % \u010dast\u011bji psychiatra, jsou unaven\u00ed, pot\u00fdkaj\u00ed s bolest\u00ed, infekcemi mo\u010dov\u00fdch a d\u00fdchac\u00edch cest, za\u017e\u00edvac\u00edmi probl\u00e9my, se sp\u00e1nkem,\u201c<\/em> popisuje prof. MUDr. Eva Kubala Havrdov\u00e1, vedouc\u00ed Centra pro demyeliniza\u010dn\u00ed onemocn\u011bn\u00ed Neurologick\u00e9 kliniky 1. LF UK a VFN v Praze.<\/p>\n\n\n\n

D\u016fle\u017eitou \u00falohu v hled\u00e1n\u00ed p\u0159edstup\u0148\u016f choroby maj\u00ed radiologov\u00e9. Pr\u00e1v\u011b oni toti\u017e mohou na sn\u00edmc\u00edch magnetick\u00e9 rezonance objevit typick\u00fd po\u010d\u00e1te\u010dn\u00ed sign\u00e1l \u2013 radiologicky izolovan\u00fd syndrom (RIS). \u201eJsou to l\u00e9ze, kter\u00e9 jsou na sn\u00edmc\u00edch dob\u0159e viditeln\u00e9 a nazna\u010duj\u00ed, \u017ee se u pacienta \u010dasem m\u016f\u017ee rozvinout roztrou\u0161en\u00e1 skler\u00f3za. N\u011bkte\u0159\u00ed jedinci sice mohou z\u016fstat nad\u00e1le bez projev\u016f, ale u 75 % z nich se b\u011bhem 15 let vyvine prvn\u00ed klinick\u00fd p\u0159\u00edznak nemoci. RIS n\u00e1m otev\u00edr\u00e1 terapeutick\u00e9 okno, kdy je\u0161t\u011b m\u016f\u017eeme zvr\u00e1tit postup. Rychlost je naprosto z\u00e1sadn\u00ed. Onemocn\u011bn\u00ed se projev\u00ed, a\u017e se vy\u010derp\u00e1 mozkov\u00e1 rezerva. Na\u0161\u00edm c\u00edlem je za\u010d\u00edt podnikat kroky je\u0161t\u011b v t\u00e9to rezerv\u011b. Magnetick\u00e1 rezonance bude na\u0161ima o\u010dima \u2013 m\u016f\u017eeme sledovat, jak se, sportovn\u00ed terminologi\u00ed \u0159e\u010deno, vyv\u00edj\u00ed hra na h\u0159i\u0161ti,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Manuela Van\u011b\u010dkov\u00e1, vedouc\u00ed Odd\u011blen\u00ed magnetick\u00e9 rezonance Radiodiagnostick\u00e9 kliniky 1. LF UK a VFN v Praze.<\/p>\n\n\n\n

Pacient obvykle na magnetickou rezonanci p\u0159ich\u00e1z\u00ed kv\u016fli jin\u00e9mu zdravotn\u00edmu probl\u00e9mu, nap\u0159\u00edklad kv\u016fli bolestem hlavy, onemocn\u011bn\u00ed podv\u011bsku mozkov\u00e9ho, poru\u0161e sluchu nebo po \u00farazu. \u201eP\u0159i vy\u0161et\u0159en\u00ed je t\u0159eba myslet i na jin\u00e9 nemoci, pod\u00edvat se na sn\u00edmek komplexn\u011b,\u201c<\/em> vysv\u011btluje prof. Van\u011b\u010dkov\u00e1.<\/p>\n\n\n\n

Pokud radiologov\u00e9 RIS objev\u00ed, m\u011bli by pacienta poslat na dal\u0161\u00ed vy\u0161et\u0159en\u00ed do centra pro l\u00e9\u010dbu RS. Projekt RIS bude koordinovat Nada\u010dn\u00ed fond Impuls, kter\u00fd zajist\u00ed i dostatek informac\u00ed pro pacienty. \u201eZ\u00e1n\u011bt je v t\u011ble u\u017e \u0159adu let a postupn\u011b ni\u010d\u00ed mozek. Na\u0161\u00edm c\u00edlem je zastavit ho, a\u0165 u\u017e l\u00e9ky, nebo \u00fapravou \u017eivotn\u00edho stylu, tedy dietou, dod\u00e1n\u00edm vitaminu D nebo t\u00edm, \u017ee pacient p\u0159estane kou\u0159it. U n\u011bkter\u00fdch by to dle na\u0161ich hypot\u00e9z mohlo k zabrzd\u011bn\u00ed postupu nemoci sta\u010dit,\u201c <\/em>up\u0159es\u0148ujeodborn\u00e1 garantka celost\u00e1tn\u00edho registru pacient\u016f s roztrou\u0161enou skler\u00f3zou prof. MUDr. Dana Hor\u00e1kov\u00e1. <\/p>\n\n\n\n

Pr\u00e1v\u011b registr ReMuS hraje v \u010dasn\u00e9 intervenci z\u00e1sadn\u00ed roli. \u201eAbychom stoprocentn\u011b v\u011bd\u011bli, u kter\u00fdch osob se RS rozvine a v jak\u00e9 s\u00edle, pot\u0159ebujeme data. A v tom tkv\u00ed nenahraditelnost registru. Zat\u00edm o lidech, u nich\u017e je nemoc v z\u00e1rodku, nem\u00e1me dost informac\u00ed. To se ale za 5\u201310 let m\u016f\u017ee zm\u011bnit. Se souhlasem t\u011bch, kter\u00e9 za\u010dneme v registru sledovat, zjist\u00edme, jak jim zab\u00edr\u00e1 l\u00e9\u010dba, zda je pro n\u011b bezpe\u010dn\u00e1 a dal\u0161\u00ed parametry. Budou pod kontrolou l\u00e9ka\u0159e,\u201c<\/em> dod\u00e1v\u00e1 prof. Hor\u00e1kov\u00e1.<\/p>\n\n\n\n

Data o nemoci sb\u00edr\u00e1 ReMuS od roku 2013, nyn\u00ed u\u017e od v\u0161ech 15 center pro l\u00e9\u010dbu RS v \u010cesk\u00e9 republice. \u201eV registru evidujeme 23 391 pacient\u016f a \u00fadaje z n\u011bj n\u00e1m umo\u017e\u0148uj\u00ed detailn\u011b zmapovat samotn\u00e9 onemocn\u011bn\u00ed, \u00fa\u010dinnost l\u00e9\u010dby, kvalitu p\u00e9\u010de i odhalovat potenci\u00e1ln\u00ed slab\u00e1 m\u00edsta ve zdravotn\u00edm syst\u00e9mu. D\u00edky dat\u016fm m\u016f\u017eeme c\u00edlen\u011bji, bezpe\u010dn\u011bji a efektivn\u011bji \u0159\u00eddit l\u00e9\u010dbu a argumentovat p\u0159i jedn\u00e1n\u00edch se zdravotn\u00edmi poji\u0161\u0165ovnami,\u201c<\/em> vysv\u011btluje \u0159editel registru ReMuS Ing. Ji\u0159\u00ed Drahota. <\/p>\n\n\n\n

Podle aktu\u00e1ln\u00edch dat z registru tvo\u0159ily \u017eeny 70,92 % a mu\u017ei 29,08 % v\u0161ech pacient\u016f l\u00e9\u010den\u00fdch ve specializovan\u00fdch centrech. Biologickou terapii u\u017e\u00edvalo celkem 17 342 pacient\u016f. Vysoce \u00fa\u010dinn\u00e9 p\u0159\u00edpravky tvo\u0159ily ke konci lo\u0148sk\u00e9ho roku tvo\u0159ily 60,9 % v\u0161ech nasazen\u00fdch biologick\u00fdch l\u00e9k\u016f. \u201eD\u00edky nov\u00fdm mo\u017enostem a roz\u0161\u00ed\u0159en\u00fdm \u00fahradov\u00fdm krit\u00e9ri\u00edm zdravotn\u00edch poji\u0161\u0165oven se tato l\u00e9\u010dba dost\u00e1v\u00e1 i k nov\u011b diagnostikovan\u00fdm pacient\u016fm \u2013 80,3 % z nich dost\u00e1v\u00e1 pr\u00e1v\u011b vysoce \u00fa\u010dinnou terapii,\u201c<\/em> dod\u00e1v\u00e1 \u0159editel registru.<\/p>\n\n\n\n

O roztrou\u0161en\u00e9 skler\u00f3ze<\/strong><\/p>\n\n\n\n

Roztrou\u0161en\u00e1 skler\u00f3za (RS) je chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, jeho\u017e p\u0159\u00ed\u010dina nen\u00ed doposud zn\u00e1m\u00e1. Toto onemocn\u011bn\u00ed propuk\u00e1 v\u011bt\u0161inou v mlad\u0161\u00edm v\u011bku, \u010dast\u011bji postihuje \u017eeny. Pro RS je typick\u00e9 st\u0159\u00edd\u00e1n\u00ed obdob\u00ed z\u00e1chvat\u016f (atak) a obdob\u00ed zd\u00e1nliv\u00e9ho klidu. Tento proces je nep\u0159edv\u00eddateln\u00fd, a proto i l\u00e9\u010dba \u010di prevence je t\u011b\u017ek\u00e1. Na cel\u00e9m sv\u011bt\u011b trp\u00ed RS 2,8 milionu nemocn\u00fdch, v \u010cesku se odhaduje po\u010det pacient\u016f na 26 tis\u00edc. Ka\u017ed\u00fd rok v \u010cesku p\u0159ibude 700 a\u017e 800 nemocn\u00fdch. Nemoc se vyskytuje p\u0159edev\u0161\u00edm ve st\u0159edn\u00edch a chladn\u011bj\u0161\u00edch zem\u011bpisn\u00fdch \u0161\u00ed\u0159k\u00e1ch. Rizikov\u00fdmi faktory nemoci jsou krom\u011b genetick\u00e9 dispozice EB virus (virus Epsteina-Barrov\u00e9), kou\u0159en\u00ed a nedostatek vitaminu D.<\/p>\n\n\n\n

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

Pom\u016f\u017ee jim v\u00a0tom magnetick\u00e1 rezonance Praha, 28. 5. 2025 \u2013 Lze zastavit nebo zabrzdit roztrou\u0161enou skler\u00f3zu d\u0159\u00edve, ne\u017e se projev\u00ed? Podle neurolog\u016f ano \u2013 pokud […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":31583,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-57744","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\/57744","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=57744"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/57744\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/31583"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=57744"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=57744"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=57744"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}