{"id":59446,"date":"2025-07-23T10:13:00","date_gmt":"2025-07-23T08:13:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=59446"},"modified":"2025-07-23T10:14:16","modified_gmt":"2025-07-23T08:14:16","slug":"lecit-za-kazdou-cenu-rozhodnout-musi-pacient","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=59446","title":{"rendered":"L\u00e9\u010dit za ka\u017edou cenu? Rozhodnout mus\u00ed pacient"},"content":{"rendered":"\n

Praha, 22. \u010dervence 2025 \u2013 L\u00e9\u010dit za ka\u017edou cenu? To je ot\u00e1zka, p\u0159ed n\u00ed\u017e stoj\u00ed l\u00e9ka\u0159i, a p\u0159edev\u0161\u00edm pacienti s\u00a0pokro\u010dilou rakovinou plic.<\/strong> Ka\u017ed\u00e1 onkologick\u00e1 l\u00e9\u010dba s sebou nese rizika \u2013 m\u016f\u017ee prodlou\u017eit \u017eivot, ale tak\u00e9 sn\u00ed\u017eit jeho kvalitu. Lid\u00e9 tak \u010dasto \u010del\u00ed rozhodnut\u00ed, zda podstoupit toxickou terapii, nebo zvolit krat\u0161\u00ed, ale klidn\u00fd z\u00e1v\u011br \u017eivota. L\u00e9ka\u0159 by s\u00a0nimi m\u011bl v\u0161e d\u016fkladn\u011b probrat a nast\u00ednit jim, co jak\u00e1 l\u00e9\u010dba obn\u00e1\u0161\u00ed. To se ale v\u017edy ned\u011bje, a \u0159ada nemocn\u00fdch pro\u017e\u00edv\u00e1 posledn\u00ed m\u011bs\u00edce sv\u00e9ho \u017eivota v\u00a0utrpen\u00ed. Na d\u016fle\u017eitost citliv\u00e9 a d\u016fkladn\u00e9 komunikace s\u00a0pacientem upozor\u0148uj\u00ed pneumologov\u00e9 <\/strong>v\u00a0r\u00e1mci Sv\u011btov\u00e9ho dne rakoviny plic, kter\u00fd p\u0159ipad\u00e1 na 1. srpna.<\/strong><\/p>\n\n\n\n

\u201eRakovinou plic k<\/em>a\u017ed\u00fd rok <\/em>onemocn\u00edp\u0159ibli\u017en\u011b 6 600 lid\u00ed. V\u011bt\u0161ina k\u00a0n\u00e1m p\u0159ich\u00e1z\u00ed pozd\u011b, v\u00a0dob\u011b, kdy u\u017e nelze n\u00e1dor operovat, a nad\u011bje na pln\u00e9 uzdraven\u00ed je tak t\u00e9m\u011b\u0159 nulov\u00e1. U t\u011bchto pacient\u016f se sna\u017e\u00edme o prodlou\u017een\u00ed \u017eivota v\u00a0co nejlep\u0161\u00ed kvalit\u011b, k\u00a0\u010demu\u017e n\u00e1m pom\u00e1h\u00e1 \u0159ada modern\u00edch l\u00e9k\u016f. \u00da\u010dinn\u00e1 terapie v\u0161ak \u010dasto b\u00fdv\u00e1 z\u00e1rove\u0148 toxick\u00e1 a prov\u00e1z\u00ed ji ne\u017e\u00e1douc\u00ed \u00fa\u010dinky. Ty mohou nemocn\u00e9 velmi potr\u00e1pit, a p\u0159itom prodlou\u017eit \u017eivot jen o n\u011bkolik m\u011bs\u00edc\u016f. Bohu\u017eel nemocn\u00ed ob\u010das nedost\u00e1vaj\u00ed dost srozumiteln\u00fdch informac\u00ed, aby se mohli kvalifikovan\u011b rozhodnout, jak d\u00e1l. L\u00e9ka\u0159i by m\u011bli s\u00a0pacienty d\u016fkladn\u011b a otev\u0159en\u011b hovo\u0159it o tom, co l\u00e9\u010dba skute\u010dn\u011b obn\u00e1\u0161\u00ed \u2013 fyzicky, psychicky i\u00a0\u010dasov\u011b,\u201c \u0159\u00edk\u00e1 doc.\u00a0MUDr. Martin\u00a0Svato\u0148, Ph.D., p\u0159ednosta Kliniky pneumologie a ftizeologie FN\u00a0Plze\u0148.<\/p>\n\n\n\n

Mezi ne\u017e\u00e1douc\u00ed projevy \u00fa\u010dinn\u00e9 l\u00e9\u010dby mohou pat\u0159it nap\u0159\u00edklad nevolnost, \u00fanava, vyr\u00e1\u017eka, za\u017e\u00edvac\u00ed obt\u00ed\u017ee a \u0159ada dal\u0161\u00edch. \u201eModern\u00ed l\u00e9ky jsou velmi \u00fa\u010dinn\u00e9 a pacient\u016fm um\u00ed prodlou\u017eit \u017eivot. Je v\u0161ak pot\u0159eba v\u017edy zv\u00e1\u017eit, jak \u010dlov\u011bka ovlivn\u00ed. Zejm\u00e9na u star\u0161\u00edch lid\u00ed se setk\u00e1v\u00e1me s ostychem, boj\u00ed se zeptat. A n\u011bkdy my sami hovo\u0159\u00edme jazykem, kter\u00e9mu pacienti po\u0159\u00e1dn\u011b nerozum\u00ed. U n\u00e1s v nemocnici \u00fazce spolupracujeme s paliativn\u00edm t\u00fdmem na tom, abychom pochopili, jak chce \u010dlov\u011bk z\u00e1v\u011br sv\u00e9ho \u017eivota pro\u017e\u00edt, jak\u00fd je jeho c\u00edl, a podle toho l\u00e9\u010dbu citliv\u011b uzp\u016fsobili,\u201c<\/em> pokra\u010duje doc. Svato\u0148. P\u0159ipom\u00edn\u00e1, \u017ee nelehk\u00e9mu rozhodnut\u00ed \u010del\u00ed i nejbli\u017e\u0161\u00ed p\u0159\u00edbuzn\u00ed nemocn\u00fdch.<\/p>\n\n\n\n

Pneumologov\u00e9 dlouhodob\u011b usiluj\u00ed o co nej\u010dasn\u011bj\u0161\u00ed z\u00e1chyt rakoviny plic, kter\u00e1 zpo\u010d\u00e1tku nebol\u00ed ani se nijak neprojevuje. Proto se na ni ve v\u00edce ne\u017e 70 % p\u0159ijde pozd\u011b. Od roku 2022 pom\u00e1h\u00e1 program \u010dasn\u00e9ho z\u00e1chytu rakoviny plic zam\u011b\u0159en\u00fd na sou\u010dasn\u00e9 \u010di b\u00fdval\u00e9 ku\u0159\u00e1ky mezi 55. a 74. rokem. <\/p>\n\n\n\n

Podle p\u0159ednostky Pneumologick\u00e9 kliniky Fakultn\u00ed Thomayerovy nemocnice a 1. LF UK prof. MUDr. Martiny Koziar Va\u0161\u00e1kov\u00e9, l\u00e9ka\u0159i od roku 2022 do 2024 vy\u0161et\u0159ili 20\u00a0349 lid\u00ed. N\u00edzkod\u00e1vkov\u00e9 CT na akreditovan\u00fdch pracovi\u0161t\u00edch absolvovalo 14\u00a0989 osob. \u201eU 3,7 % vy\u0161et\u0159en\u00fdch byl v\u00fdsledek rizikov\u00fd. Ze z\u00e1pisu v\u00a0N\u00e1rodn\u00edm onkologick\u00e9m registru (NOR) v\u00edme, \u017ee 126 z\u00a0nich m\u00e1 rakovinu plic, na z\u00e1pis do NOR je\u0161t\u011b \u010dek\u00e1 35 % osob s n\u00e1lezem. U 48 % lid\u00ed se d\u00edky programu na\u0161el n\u00e1dor v\u010das, ve stadiu 1. P\u0159ibli\u017en\u011b u 34 % u\u017e to bylo v pokro\u010dil\u00fdch stadi\u00edch 3 a 4,\u201c<\/em> p\u0159ibli\u017euje dosavadn\u00ed v\u00fdsledky prof. Koziar Va\u0161\u00e1kov\u00e1.<\/p>\n\n\n\n

Nezbytnou sou\u010d\u00e1st\u00ed diagnostiky rakoviny plic je bronchoskopie. Slou\u017e\u00ed k\u00a0p\u0159esn\u00e9mu ur\u010den\u00ed polohy, typu \u010di velikosti n\u00e1doru v\u00a0plic\u00edch. Jak \u0159\u00edk\u00e1 doc. MUDr. Ji\u0159\u00ed Votruba, Ph.D., p\u0159ednosta I. kliniky tuberkul\u00f3zy a respira\u010dn\u00edch nemoc\u00ed VFN v\u00a0Praze, \u010cesk\u00e1 republika pokulh\u00e1v\u00e1 za z\u00e1padn\u00edm sv\u011btem v\u00a0kvalit\u011b technologi\u00ed, kter\u00e9 umo\u017e\u0148uj\u00ed precizn\u00ed vy\u0161et\u0159en\u00ed. \u201eV posledn\u00ed letech do\u0161lo k\u00a0prudk\u00e9mu rozvoji v diagnostice plicn\u00edch n\u00e1dor\u016f. K p\u0159esn\u00e9mu zobrazen\u00ed a c\u00edlen\u00e9mu odb\u011bru vzork\u016f se st\u00e1le \u010dast\u011bji vyu\u017e\u00edv\u00e1 kombinace 3D zobrazen\u00ed a navigovan\u00e9 bronchoskopie. Metoda umo\u017e\u0148uje vy\u0161et\u0159it i perifern\u00ed plicn\u00ed lo\u017eiska, l\u00e9pe navigovat p\u0159i odb\u011bru vzork\u016f. Zobrazuje anatomii d\u00fdchac\u00edch cest s\u00a0vysok\u00fdm rozli\u0161en\u00edm a do budoucna bychom d\u00edky n\u00ed mohli prov\u00e1d\u011bt i l\u00e9\u010debn\u00e9 z\u00e1kroky, co\u017e by pro pacienta bylo v\u00fdrazn\u011b komfortn\u011bj\u0161\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 doc. Votruba. V\u00a0\u010cR ale tato technologie dosud chyb\u00ed, i kv\u016fli neochot\u011b pl\u00e1tc\u016f p\u00e9\u010de v\u00fdkony hradit.<\/p>\n\n\n\n

Plicn\u00ed l\u00e9ka\u0159i se tak\u00e9 sna\u017e\u00ed o to, aby m\u011bli v\u0161ichni nemocn\u00ed s\u00a0rakovinou plic stejn\u00fd p\u0159\u00edstup k\u00a0l\u00e9\u010db\u011b ve v\u0161ech \u010d\u00e1stech republiky. Ve spolupr\u00e1ci s\u00a0pacientskou organizac\u00ed Hlas onkologick\u00fdch pacient\u016f tak vznikla Cesta pacienta s\u00a0karcinomem plic<\/a>. Ta pom\u00e1h\u00e1 nov\u011b diagnostikovan\u00fdm l\u00e9pe se zorientovat, na koho se p\u0159i pot\u00ed\u017e\u00edch obr\u00e1tit a jak\u00e1 vy\u0161et\u0159en\u00ed a kde absolvovat. <\/p>\n\n\n\n

\u201eKdy\u017e \u010dlov\u011bk onemocn\u00ed, je obvykle v\u00a0\u0161oku a \u0159adu informac\u00ed v\u016fbec nevn\u00edm\u00e1. Nev\u00ed, kam m\u00e1 j\u00edt, co m\u00e1 d\u011blat \u2013 v\u00a0tom by m\u011bl tento n\u00e1vod pomoci. V\u00edme o kraj\u00edch, kde z\u00e1chyt pacient\u016f s\u00a0rakovinou plic a jejich n\u00e1sledn\u00e9 rychl\u00e9 p\u0159evzet\u00ed do specializovan\u00e9ho centra v\u00e1zne. Abychom situaci zlep\u0161ili, obj\u00ed\u017ed\u00edme tyto kraje a domlouv\u00e1me se se v\u0161emi zodpov\u011bdn\u00fdmi, jak zlep\u0161en\u00ed dos\u00e1hnout,\u201c<\/em> vysv\u011btluje p\u0159edseda \u010cesk\u00e9 pneumologick\u00e9 a\u00a0ftizeologick\u00e9 spole\u010dnosti \u010cLS JEP doc. MUDr. Vladim\u00edr Kobl\u00ed\u017eek. P\u0159ipom\u00edn\u00e1, \u017ee na karcinom plic v\u00a0tuzemsku ro\u010dn\u011b zem\u0159e t\u00e9m\u011b\u0159 5 400 lid\u00ed.<\/p>\n\n\n\n

Pomoc pacient\u016fm p\u0159in\u00e1\u0161\u00ed i \u010cesk\u00fd ob\u010dansk\u00fd spolek proti plicn\u00edm nemocem, kter\u00fd letos na podzim zakl\u00e1d\u00e1 Klub pacient\u016f s rakovinou plic.<\/p>\n","protected":false},"excerpt":{"rendered":"

Praha, 22. \u010dervence 2025 \u2013 L\u00e9\u010dit za ka\u017edou cenu? To je ot\u00e1zka, p\u0159ed n\u00ed\u017e stoj\u00ed l\u00e9ka\u0159i, a p\u0159edev\u0161\u00edm pacienti s\u00a0pokro\u010dilou rakovinou plic. Ka\u017ed\u00e1 onkologick\u00e1 l\u00e9\u010dba […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":59448,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-59446","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\/59446","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=59446"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/59446\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/59448"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59446"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=59446"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=59446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}