{"id":60711,"date":"2025-09-15T08:02:06","date_gmt":"2025-09-15T06:02:06","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=60711"},"modified":"2025-09-15T08:02:06","modified_gmt":"2025-09-15T06:02:06","slug":"moderni-lecba-meni-osudy-lidi-s-hiv","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=60711","title":{"rendered":"Modern\u00ed l\u00e9\u010dba m\u011bn\u00ed osudy lid\u00ed s HIV"},"content":{"rendered":"\n<p>Na nemoc u\u017e dnes v\u011bt\u0161inou neum\u00edraj\u00ed<br \/><\/p>\n\n\n\n<p>Po\u010det lid\u00ed \u017eij\u00edc\u00edch s HIV v \u010cesku letos poprv\u00e9 p\u0159ekro\u010dil hranici p\u011bti tis\u00edc.<br \/>Pacienti v\u0161ak maj\u00ed mnohem lep\u0161\u00ed vyhl\u00eddky na kvalitn\u00ed \u017eivot ne\u017e kdy d\u0159\u00edv. Za pomoci<br \/>modern\u00edch l\u00e9k\u016f \u2013 pokud se nemoc odhal\u00ed v\u010das \u2013 mohou v\u00e9st \u017eivot bez v\u011bt\u0161\u00edch omezen\u00ed,<br \/>do\u017e\u00edt se vysok\u00e9ho v\u011bku a m\u00edt i d\u011bti. V posledn\u00edch letech stoup\u00e1 pod\u00edl HIV pozitivn\u00edch<br \/>heterosexu\u00e1l\u016f a tvo\u0159\u00ed dnes t\u00e9m\u011b\u0159 polovinu nov\u011b naka\u017een\u00fdch. Kl\u00ed\u010dov\u00e9 je nechat se v\u010das<br \/>otestovat, zah\u00e1jit l\u00e9\u010dbu, a t\u00edm z\u00e1rove\u0148 zastavit \u0161\u00ed\u0159en\u00ed viru. Pacienti p\u0159esto st\u00e1le \u010del\u00ed<br \/>stigmatizaci a nepochopen\u00ed. <\/p>\n\n\n\n<p>O v\u00fdvoji, novink\u00e1ch v l\u00e9\u010db\u011b i prevenci HIV budou odborn\u00edci diskutovat na leto\u0161n\u00edm Kongresu klinick\u00e9 mikrobiologie, infek\u010dn\u00edch nemoc\u00ed a epidemiologie, kter\u00fd za\u010d\u00edn\u00e1 ve \u010dtvrtek 18. z\u00e1\u0159\u00ed.<\/p>\n\n\n\n<p>V \u010cesku ka\u017ed\u00fd rok odhal\u00ed testy p\u0159ibli\u017en\u011b 250 lid\u00ed, kte\u0159\u00ed maj\u00ed HIV. Medic\u00ednsk\u00e9 pokroky jsou v\u0161ak<br \/>tak velk\u00e9, \u017ee umo\u017e\u0148uj\u00ed lidem s HIV pro\u017e\u00edt kvalitn\u00ed \u017eivot, kter\u00fd se p\u0159\u00edli\u0161 neli\u0161\u00ed od ostatn\u00edch.<br \/>\u201eD\u00edky modern\u00ed l\u00e9\u010db\u011b maj\u00ed pacienti velmi dobrou progn\u00f3zu pro \u017eivot, HIV se st\u00e1v\u00e1 v podstat\u011b<br \/>chronickou infekc\u00ed a pacient n\u00e1m obvykle zem\u0159e v osmdes\u00e1ti letech na civiliza\u010dn\u00ed chorobu,<br \/>kter\u00e1 s HIV v\u016fbec nesouvis\u00ed,\u201c \u0159\u00edk\u00e1 MUDr. Pavel Dlouh\u00fd, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho<br \/>l\u00e9ka\u0159stv\u00ed \u010cLS JEP a prim\u00e1\u0159 Infek\u010dn\u00edho odd\u011blen\u00ed Masarykovy nemocnice v \u00dast\u00ed nad Labem.<\/p>\n\n\n\n<p>Jestli\u017ee ale l\u00e9ka\u0159i odhal\u00ed HIV infekci pozd\u011b, m\u016f\u017ee doj\u00edt k v\u00fdrazn\u00e9mu po\u0161kozen\u00ed imunity a\u017e do<br \/>nejpokro\u010dilej\u0161\u00ed f\u00e1ze onemocn\u011bn\u00ed, zn\u00e1m\u00e9 jako AIDS. \u201ePacienti pak \u010del\u00ed \u0159ad\u011b infek\u010dn\u00edch<br \/>i n\u00e1dorov\u00fdch komplikac\u00ed a \u010dasto na nemoc um\u00edraj\u00ed. Naopak pokud se za\u010dnou l\u00e9\u010dit v\u010das,<br \/>pravideln\u011b a dlouhodob\u011b, tak nemaj\u00ed zdravotn\u00ed pot\u00ed\u017ee a vedou norm\u00e1ln\u00ed \u017eivot. Krom\u011b polknut\u00ed<br \/>jedn\u00e9 tablety denn\u011b je nemoc v \u017eivot\u011b nijak neomezuje,\u201c popisuje doc. MUDr. Svatava<br \/>Snopkov\u00e1, Ph.D., vedouc\u00ed HIV centra Fakultn\u00ed nemocnice v Brn\u011b. Lid\u00e9 s HIV, kte\u0159\u00ed maj\u00ed dob\u0159e<br \/>nastavenou l\u00e9\u010dbou, mohou m\u00edt dokonce nechr\u00e1n\u011bn\u00fd sex a p\u0159irozen\u011b po\u010d\u00edt a porodit d\u00edt\u011b.<\/p>\n\n\n\n<p>Podle odborn\u00edk\u016f je \u010dasn\u00fd z\u00e1chyt naka\u017een\u00fdch zcela z\u00e1sadn\u00ed, proto\u017ee l\u00e9\u010dba chr\u00e1n\u00ed nejen<br \/>nemocn\u00e9ho, ale celou spole\u010dnost. Pacient s HIV infekc\u00ed a dob\u0159e nastavenou terapi\u00ed nen\u00ed pro<br \/>sv\u00e9 okol\u00ed nebezpe\u010dn\u00fd \u2013 virus se v jeho krvi p\u0159estane mno\u017eit, a pokud dos\u00e1hne nulov\u00e9<br \/>hodnoty, tak u\u017e nem\u016f\u017ee nakazit nikoho dal\u0161\u00edho. P\u0159esto lid\u00e9, kte\u0159\u00ed \u017eij\u00ed s HIV, st\u00e1le \u010del\u00ed<br \/>p\u0159edsudk\u016fm jak ze strany ve\u0159ejnosti, tak i n\u011bkter\u00fdch zdravotn\u00edk\u016f. \u201eRiziko p\u0159itom p\u0159edstavuj\u00ed<br \/>lid\u00e9, o kter\u00fdch zat\u00edm nev\u00edme, jsou bez l\u00e9\u010dby a maj\u00ed miliony vir\u016f v ka\u017ed\u00e9m mililitru krve,\u201c<br \/>upozor\u0148uje prim. Dlouh\u00fd.<\/p>\n\n\n\n<p>Lid\u00e9, kte\u0159\u00ed maj\u00ed podez\u0159en\u00ed, \u017ee by mohli b\u00fdt HIV pozitivn\u00ed, se mohou nechat otestovat. \u010cesk\u00e1<br \/>spole\u010dnost AIDS nab\u00edz\u00ed bezplatn\u00e9 a anonymn\u00ed testov\u00e1n\u00ed ve sv\u00fdch checkpointech a v mobiln\u00edch<br \/>sanitk\u00e1ch, se kter\u00fdmi jezd\u00ed nap\u0159\u00edklad na festivaly. Lid\u00e9 p\u0159edem pouze vypln\u00ed anonymn\u00ed<br \/>dotazn\u00edk a na z\u00e1klad\u011b k\u00f3du, kter\u00fd po jeho vypln\u011bn\u00ed obdr\u017e\u00ed, se mohou p\u0159ij\u00edt otestovat. \u201eP\u0159ed<br \/>deseti lety byla nejpo\u010detn\u011bj\u0161\u00ed skupina naka\u017een\u00fdch mezi MSM (mu\u017ei maj\u00edc\u00ed sex s mu\u017ei). Tato<br \/>skupina je u\u017e ale pom\u011brn\u011b dob\u0159e informovan\u00e1 a soust\u0159ed\u00ed se hlavn\u011b ve v\u011bt\u0161\u00edch m\u011bstech. Nyn\u00ed<br \/>chceme pos\u00edlit testov\u00e1n\u00ed po cel\u00e9 republice a v\u00edce c\u00edlit na cizince a rezidenty mimo velk\u00e1 m\u011bsta.<br \/>Nav\u00e1zali jsme spolupr\u00e1ci s neziskov\u00fdmi organizacemi i se st\u00e1tn\u00edmi institucemi a spole\u010dn\u011b<br \/>\u0161\u00ed\u0159\u00edme osv\u011btu,\u201c \u0159\u00edk\u00e1 Ing. Stanislav Pek\u00e1rek, \u0159editel \u010cesk\u00e9 spole\u010dnosti AIDS pomoc.<\/p>\n\n\n\n<p><br \/>K infekci doch\u00e1z\u00ed nej\u010dast\u011bji p\u0159i pohlavn\u00edm styku, sd\u00edlen\u00edm jehel p\u0159i u\u017e\u00edv\u00e1n\u00ed drog nebo p\u0159i<br \/>p\u0159enosu z matky na d\u00edt\u011b. V \u010cesku je v\u011bt\u0161ina p\u0159\u00edpad\u016f p\u0159enosu sexu\u00e1ln\u00ed. D\u0159\u00edve dominovala gay<br \/>komunita, dnes je t\u00e9m\u011b\u0159 polovina naka\u017een\u00fdch mezi heterosexu\u00e1ly. Nejlep\u0161\u00ed ochranou<br \/>je bezpe\u010dn\u00fd sex \u2013 pou\u017e\u00edv\u00e1n\u00ed kondomu a omezen\u00ed po\u010dtu sexu\u00e1ln\u00edch partner\u016f. Ing. Pek\u00e1rek<br \/>z\u00e1rove\u0148 upozor\u0148uje na trend tzv. chemsexu, jeho\u017e obliba se k n\u00e1m dost\u00e1v\u00e1 ze z\u00e1padn\u00edch<br \/>zem\u00ed. \u201eLid\u00e9, kte\u0159\u00ed p\u0159i sexu u\u017e\u00edvaj\u00ed drogy za \u00fa\u010delem zv\u00fd\u0161en\u00ed pro\u017eitku, jsou vystaveni a\u017e t\u0159ikr\u00e1t<br \/>vy\u0161\u0161\u00edmu riziku n\u00e1kazy HIV nebo jin\u00e9 pohlavn\u011b p\u0159enosn\u00e9 infekce.\u201c<\/p>\n\n\n\n<p>HIV negativn\u00ed, kte\u0159\u00ed jsou vystaveni vy\u0161\u0161\u00edmu riziku n\u00e1kazy, se mohou chr\u00e1nit tak\u00e9 u\u017e\u00edv\u00e1n\u00edm<br \/>preexpozi\u010dn\u00ed profylaxe neboli PrEPu. Jde o l\u00e9ky, kter\u00e9 zabr\u00e1n\u00ed usazen\u00ed viru v t\u011ble. U\u017e\u00edvaj\u00ed se<br \/>nej\u010dast\u011bji denn\u011b a lze je na l\u00e9ka\u0159sk\u00fd p\u0159edpis z\u00edskat ve specializovan\u00fdch centrech, tzv. PrEP<br \/>Pointech. \u201eNovinkou je PrEP ve form\u011b injekce, kterou doty\u010dn\u00fd dostane jednou za dva a\u017e \u0161est<br \/>m\u011bs\u00edc\u016f. Do budoucna je to siln\u00e1 zbra\u0148, kter\u00e1 m\u016f\u017ee pomoci vym\u00fdtit epidemii HIV. P\u0159ek\u00e1\u017ekou<br \/>m\u016f\u017ee b\u00fdt dostupnost preventivn\u00edch injekc\u00ed a jejich vysok\u00e1 cena,\u201c dod\u00e1v\u00e1 prim. Dlouh\u00fd.<br \/>Budoucnost n\u00e1kazy HIV v \u010cesku podle odborn\u00edk\u016f nejv\u00edce ovlivn\u00ed v\u010dasn\u00e9 testov\u00e1n\u00ed a modern\u00ed<br \/>l\u00e9\u010dba.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Na nemoc u\u017e dnes v\u011bt\u0161inou neum\u00edraj\u00ed Po\u010det lid\u00ed \u017eij\u00edc\u00edch s HIV v \u010cesku letos poprv\u00e9 p\u0159ekro\u010dil hranici p\u011bti tis\u00edc.Pacienti v\u0161ak maj\u00ed mnohem lep\u0161\u00ed vyhl\u00eddky na <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=60711\" title=\"Modern\u00ed l\u00e9\u010dba m\u011bn\u00ed osudy lid\u00ed s HIV\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21346,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-60711","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60711","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=60711"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60711\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21346"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}