{"id":61002,"date":"2025-10-01T11:03:35","date_gmt":"2025-10-01T09:03:35","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=61002"},"modified":"2025-10-01T11:03:06","modified_gmt":"2025-10-01T09:03:06","slug":"poruchy-dechu-ve-spanku-odbornici-leci-i-na-dalku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=61002","title":{"rendered":"Poruchy dechu ve sp\u00e1nku odborn\u00edci l\u00e9\u010d\u00ed i na d\u00e1lku"},"content":{"rendered":"\n<p><br \/>Za chv\u00edli tak budou \u0159e\u0161it i astma<br \/><\/p>\n\n\n\n<p>Praha, 29. 9. 2025 \u2013 Z\u00e1stava dechu na n\u011bkolik vte\u0159in a\u017e stokr\u00e1t za noc \u2013 realita pacient\u016f se<br \/>sp\u00e1nkovou apnoe. M\u00edsto zdlouhav\u00e9ho doj\u00ed\u017ed\u011bn\u00ed do specializovan\u00fdch center se des\u00edtky tis\u00edc<br \/>z nich l\u00e9\u010d\u00ed na d\u00e1lku. Odborn\u00edci toti\u017e mohou pomoc\u00ed modern\u00edch p\u0159\u00edstroj\u016f a aplikac\u00ed sledovat, jak<br \/>se nemocn\u00e9mu da\u0159\u00ed, ani\u017e by jej museli vid\u011bt osobn\u011b \u2013 pou\u017e\u00edvaj\u00ed telemedic\u00ednu. <\/p>\n\n\n\n<p>Metodu vzd\u00e1len\u00e9 monitorace a l\u00e9\u010dby nejv\u00edce vyu\u017e\u00edvaj\u00ed u nemoc\u00ed, kter\u00e9 vy\u017eaduj\u00ed ventila\u010dn\u00ed p\u0159\u00edstroje, nap\u0159\u00edklad u sp\u00e1nkov\u00e9 apnoe nebo chronick\u00e9 hyperkapnie. V budoucnu by mohli data vyhodnocovat<br \/>krom\u011b l\u00e9ka\u0159\u016f tak\u00e9 vy\u0161kolen\u00e9 zdravotn\u00ed sestry nebo techni\u010dt\u00ed pracovn\u00edci. <\/p>\n\n\n\n<p>Telemedic\u00edna se za\u010d\u00edn\u00e1 vyu\u017e\u00edvat i p\u0159i l\u00e9\u010db\u011b dal\u0161\u00edch plicn\u00edch nemoc\u00ed. Nyn\u00ed odborn\u00edci pracuj\u00ed na doporu\u010den\u00e9m postupu v telemedic\u00edn\u011b p\u0159i l\u00e9\u010db\u011b astmatu. <\/p>\n\n\n\n<p>O zapojen\u00ed digit\u00e1ln\u00edch technologi\u00ed v p\u00e9\u010di o pacienty budou odborn\u00edci diskutovat na XXXIII. moravskoslezsk\u00fdch pneumologick\u00fdch dnech, kter\u00e9 startuj\u00ed tento p\u00e1tek.<\/p>\n\n\n\n<p>L\u00e9\u010dba poruch sp\u00e1nku pomoc\u00ed ventila\u010dn\u00edch p\u0159\u00edstroj\u016f spo\u010d\u00edv\u00e1 v tom, \u017ee pacient sp\u00ed s maskou, kter\u00e1 vh\u00e1n\u00ed<br \/>vzduch do d\u00fdchac\u00edch cest. V\u0161echny \u00fadaje p\u0159\u00edstroj odes\u00edl\u00e1 do centra pro l\u00e9\u010dbu poruch sp\u00e1nku, kde je<br \/>l\u00e9ka\u0159 vyhodnot\u00ed. \u201eJsme schopni st\u00e1hnout data, jak \u010dasto pacient p\u0159\u00edstroj pou\u017e\u00edv\u00e1, zda mu neunik\u00e1<br \/>maska, jestli je l\u00e9\u010dba efektivn\u00ed a z\u00e1stavy dechu miz\u00ed. Pokud nap\u0159\u00edklad zjist\u00edm, \u017ee pacient masku<br \/>nepou\u017e\u00edv\u00e1, zavol\u00e1m mu, spole\u010dn\u011b najdeme \u0159e\u0161en\u00ed a zabr\u00e1n\u00edme zhor\u0161en\u00ed stavu je\u0161t\u011b p\u0159ed kontrolou<br \/>v ordinaci,\u201c vysv\u011btluje doc. MUDr. Samuel Genzor, z Kliniky plicn\u00edch nemoc\u00ed a tuberkul\u00f3zy Fakultn\u00ed<br \/>nemocnice v Olomouci.<\/p>\n\n\n\n<p>Pacient\u016fm, u kter\u00fdch st\u00e1le doch\u00e1z\u00ed k velk\u00e9mu po\u010dtu z\u00e1stav dechu, m\u016f\u017ee odborn\u00edk upravit nastaven\u00ed p\u0159\u00edstroje na d\u00e1lku. Podle l\u00e9ka\u0159e je telemedic\u00edna nejvhodn\u011bj\u0161\u00ed pro ty, kte\u0159\u00ed se s poruchou sp\u00e1nku l\u00e9\u010d\u00ed dlouhodob\u011b a dodr\u017euj\u00ed nastavenou l\u00e9\u010dbu.<\/p>\n\n\n\n<p><br \/>V budoucnu by mohli data z p\u0159\u00edstroj\u016f vyhodnocovat i kvalifikovan\u00e9 sestry nebo technici, \u010d\u00edm\u017e by se<br \/>zefektivnila p\u00e9\u010de a bylo by mo\u017en\u00e9 sledovat v\u00edce pacient\u016f sou\u010dasn\u011b.<\/p>\n\n\n\n<p>Se sp\u00e1nkovou apnoe se v \u010cesku l\u00e9\u010d\u00ed asi 200 000 lid\u00ed, odborn\u00edci ale odhaduj\u00ed, \u017ee lid\u00ed, kte\u0159\u00ed o tom, \u017ee se jim<br \/>v noci zastavuje d\u00fdch\u00e1n\u00ed, nev\u00ed, je n\u00e1sobn\u011b v\u00edce. Nemoc p\u0159itom po\u0161kozuje i srdce a c\u00e9vy. Typick\u00fd pacient<br \/>je ob\u00e9zn\u00ed mu\u017e ve vy\u0161\u0161\u00edm v\u011bku. \u201eOrganismus, kter\u00fd ka\u017edou minutu na deset i v\u00edce vte\u0159in ned\u00fdch\u00e1, je<br \/>dlouhodob\u011b vystaven obrovsk\u00e9mu stresu. Nejnov\u011bj\u0161\u00ed studie tak\u00e9 ukazuj\u00ed, \u017ee poruchy sp\u00e1nku vyvol\u00e1vaj\u00ed<br \/>v t\u011ble chronick\u00fd z\u00e1n\u011bt,\u201c dod\u00e1v\u00e1 doc. Genzor.<\/p>\n\n\n\n<p>\u010cesko se zapojuje do mezin\u00e1rodn\u00ed studie Importance, kter\u00e1 zkoum\u00e1, jak se pacienti s poruchami sp\u00e1nku<br \/>l\u00e9\u010d\u00ed, jak\u00e9 p\u0159\u00edstroje pou\u017e\u00edvaj\u00ed a jak vyu\u017e\u00edvaj\u00ed telemedic\u00ednu. Pacienti se do studie mohou zapojit vypln\u011bn\u00edm<br \/>dotazn\u00edku. Nov\u011b si tak\u00e9 mohou pomoc\u00ed tzv. ventila\u010dn\u00ed mapy naj\u00edt sp\u00e1dov\u00e9 odborn\u00e9 pracovi\u0161t\u011b, v\u010detn\u011b<br \/>kontaktu na vedouc\u00edho l\u00e9ka\u0159e centra, okruhu vy\u0161et\u0159ovan\u00fdch diagn\u00f3z a typu poskytovan\u00e9 p\u00e9\u010de.<\/p>\n\n\n\n<p>Telemedic\u00edna za\u010d\u00edn\u00e1 pronikat i do l\u00e9\u010dby dal\u0161\u00edch plicn\u00edch nemoc\u00ed. Odborn\u00edci z cel\u00e9 republiky nyn\u00ed vytv\u00e1\u0159\u00ed<br \/>spolu s N\u00e1rodn\u00edm institutem kvality a excelence zdravotnictv\u00ed (NIKEZ) doporu\u010den\u00fd postup pro pou\u017eit\u00ed<br \/>telemetrick\u00fdch postup\u016f v l\u00e9\u010db\u011b astmatu. <\/p>\n\n\n\n<p>Technicky zdatn\u00ed pacienti by si nap\u0159\u00edklad mohli doma vy\u0161et\u0159it funkce sv\u00fdch plic pomoc\u00ed spirometrie \u2013 data by p\u0159\u00edstroj automaticky pos\u00edlal l\u00e9ka\u0159i. Pomoc\u00ed senzor\u016f a aplikac\u00ed by astmatici mohli tak\u00e9 sledovat kvalitu ovzdu\u0161\u00ed doma a venku. D\u00edky chytr\u00e9mu inhal\u00e1toru by zase l\u00e9ka\u0159 v\u011bd\u011bl, jestli pacient inhaluje l\u00e9ky pravideln\u011b a spr\u00e1vn\u011b.<\/p>\n\n\n\n<p>\u201eP\u0159i vypracov\u00e1n\u00ed metodick\u00e9ho pokynu si mus\u00edme nejprve ur\u010dit, kter\u00e9 \u00fadaje z p\u0159\u00edstroj\u016f budou pro l\u00e9ka\u0159e u\u017eite\u010dn\u00e9 a mohou ovlivnit l\u00e9\u010dbu,\u201c uzav\u00edr\u00e1 doc. Genzor.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Za chv\u00edli tak budou \u0159e\u0161it i astma Praha, 29. 9. 2025 \u2013 Z\u00e1stava dechu na n\u011bkolik vte\u0159in a\u017e stokr\u00e1t za noc \u2013 realita pacient\u016f sesp\u00e1nkovou <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=61002\" title=\"Poruchy dechu ve sp\u00e1nku odborn\u00edci l\u00e9\u010d\u00ed i na d\u00e1lku\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15254,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-61002","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\/61002","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=61002"}],"version-history":[{"count":1,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61002\/revisions"}],"predecessor-version":[{"id":61627,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61002\/revisions\/61627"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15254"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61002"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61002"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}