Sousedsk\u00e9 vztahy org\u00e1n\u016f b\u00fdvaj\u00ed ob\u010das napjat\u00e9
Praha, 29. 9. 2025 \u2013 Tr\u00e1vic\u00ed \u00fastroj\u00ed a pl\u00edce \u2013 na prvn\u00ed pohled zcela odli\u0161n\u00e9 org\u00e1ny. P\u0159esto m\u016f\u017ee
onemocn\u011bn\u00ed jednoho p\u0159\u00edmo ovlivnit kondici druh\u00e9ho. Nejzn\u00e1m\u011bj\u0161\u00edm p\u0159\u00edkladem je refluxn\u00ed
choroba, p\u0159i n\u00ed\u017e se kysel\u00fd obsah \u017ealudku vrac\u00ed zp\u011bt do j\u00edcnu. Nejen\u017ee lept\u00e1 sliznici, ale z\u00e1rove\u0148
jej \u010dlov\u011bk mikroskopicky vdechuje. V d\u00fdchac\u00edch cest\u00e1ch pak dr\u00e1\u017ed\u00ed ke ka\u0161li a m\u016f\u017ee pl\u00edce i trvale
po\u0161kodit. <\/p>\n\n\n\n
O propojen\u00ed nemoc\u00ed tr\u00e1vic\u00edho traktu s pl\u00edcemi budou odborn\u00edci hovo\u0159it na XXXIII.
moravskoslezsk\u00fdch pneumologick\u00fdch dnech, kter\u00e9 se uskute\u010dn\u00ed tento p\u00e1tek a sobotu.<\/p>\n\n\n\n
\u201ePl\u00edce a \u017ealudek spolu soused\u00ed \u2013 odd\u011bluje je br\u00e1nice, kter\u00e1 d\u011bl\u00ed hrudn\u00ed a b\u0159i\u0161n\u00ed dutinu. Onemocn\u011bn\u00ed
jednoho org\u00e1nu obvykle dr\u00e1\u017ed\u00ed org\u00e1n druh\u00fd. <\/p>\n\n\n\n
Nej\u010dast\u011bj\u0161\u00ed kombinac\u00ed je reflux j\u00edcnu, jen\u017e m\u00e1 v populaci odhadem a\u017e 20 % lid\u00ed a kter\u00fd m\u016f\u017ee zp\u016fsobit chronick\u00fd chrapot, ka\u0161el \u010di astma. Naopak plicn\u00ed choroby jako pr\u00e1v\u011b astma nebo CHOPN mohou vyvolat za\u017e\u00edvac\u00ed pot\u00ed\u017ee. \u010casto kv\u016fli l\u00e9k\u016fm, kter\u00e9 pacienti dlouhodob\u011b u\u017e\u00edvaj\u00ed,\u201c vysv\u011btluje prof. MUDr. Ond\u0159ej Urban, p\u0159ednosta II. intern\u00ed kliniky \u2013 gastroenterologick\u00e9 a geriatrick\u00e9 Fakultn\u00ed nemocnice Olomouc.<\/p>\n\n\n\n
S rozvojem rizikov\u00fdch faktor\u016f, jako je obezita, v\u00fdskyt refluxu v \u010desk\u00e9 populaci podle l\u00e9ka\u0159\u016f roste.
\u201eZat\u00edmco ke kontrole ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f refluxu v j\u00edcnu m\u00e1me v dne\u0161n\u00ed dob\u011b velice \u00fa\u010dinn\u00e9 l\u00e9ky,
jejich vliv na mimoj\u00edcnov\u00e9 projevy refluxu nen\u00ed tak dobr\u00fd,\u201c vysv\u011btluje prof. Urban.
Plicn\u00ed l\u00e9ka\u0159i by tak m\u011bli dle sv\u00e9ho p\u0159edsedy myslet na to, \u017ee za such\u00fdm ka\u0161lem nemus\u00ed b\u00fdt
astma, ale pr\u00e1v\u011b nemoc tr\u00e1vic\u00edho traktu. <\/p>\n\n\n\n
\u201eNem\u011blo by se st\u00e1vat, \u017ee se l\u00e9\u010d\u00ed pot\u00ed\u017ee, kter\u00e9 jsou pouze projevem jin\u00e9 nemoci,\u201c pokra\u010duje doc. MUDr. Vladim\u00edr Kobl\u00ed\u017eek, p\u0159edseda \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti.
Gastroenterologov\u00e9 ale upozor\u0148uj\u00ed na to, \u017ee d\u016fkladnou diagnostiku refluxu nelze z kapacitn\u00edch
d\u016fvod\u016f prov\u00e9st ka\u017ed\u00e9mu. Prvn\u00ed z\u00e1v\u011bry by tak podle nich m\u011bl prov\u00e9st praktick\u00fd l\u00e9ka\u0159, nap\u0159\u00edklad
kdy\u017e si pacient st\u011b\u017euje na p\u00e1len\u00ed \u017e\u00e1hy, co\u017e je jeden z typick\u00fdch p\u0159\u00edznak\u016f nemoci. \u201eTo lze o\u0161et\u0159it
dostupn\u00fdmi l\u00e9ky. My bychom m\u011bli \u0159e\u0161it sp\u00ed\u0161e komplikovan\u011bj\u0161\u00ed p\u0159\u00edpady,\u201c \u0159\u00edk\u00e1 prof. Urban.
S du\u0161n\u00fdmi pacienty se budou pneumologov\u00e9 v ordinac\u00edch potk\u00e1vat \u010d\u00edm d\u00e1l \u010dast\u011bji. \u201eZejm\u00e9na
kv\u016fli rostouc\u00edmu po\u010dtu lid\u00ed s vy\u0161\u0161\u00ed t\u011blesnou v\u00e1hou. Obezita v\u00fdrazn\u011b zhor\u0161uje d\u00fdch\u00e1n\u00ed \u2013 tuk
v oblasti b\u0159icha tla\u010d\u00ed na br\u00e1nici a omezuje pohyb plic, zvy\u0161uje se riziko sp\u00e1nkov\u00e9 apnoe
a nadm\u011brn\u00e1 hmotnost podporuje i vznik refluxu, kter\u00fd pak vyvol\u00e1v\u00e1 ka\u0161el, s\u00edp\u00e1n\u00ed a m\u016f\u017ee d\u00e1le
zhor\u0161ovat d\u00fdch\u00e1n\u00ed.\u201c
Podle doc. Kobl\u00ed\u017eka nen\u00ed refluxn\u00ed choroba jedin\u00fdm onemocn\u011bn\u00edm tr\u00e1v\u00edc\u00edho traktu, kter\u00e9 m\u016f\u017ee
po\u0161kodit pl\u00edce. Probl\u00e9m mohou m\u00edt nap\u0159\u00edklad lid\u00e9 s \u010dast\u00fdm zvracen\u00edm \u2013 p\u0159i vdechnut\u00ed
\u017ealude\u010dn\u00edho obsahu m\u016f\u017ee vzniknout chemick\u00fd z\u00e1pal plic. Vdechov\u00e1n\u00ed men\u0161\u00edho i v\u011bt\u0161\u00edho
mno\u017estv\u00ed obsahu \u017ealudku m\u016f\u017ee tak\u00e9 podle l\u00e9ka\u0159e v\u00e9st k trval\u00e9mu po\u0161kozen\u00ed pr\u016fdu\u0161ek.<\/p>\n","protected":false},"excerpt":{"rendered":"
Sousedsk\u00e9 vztahy org\u00e1n\u016f b\u00fdvaj\u00ed ob\u010das napjat\u00e9 Praha, 29. 9. 2025 \u2013 Tr\u00e1vic\u00ed \u00fastroj\u00ed a pl\u00edce \u2013 na prvn\u00ed pohled zcela odli\u0161n\u00e9 org\u00e1ny. P\u0159esto m\u016f\u017eeonemocn\u011bn\u00ed jednoho […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16059,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-61033","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\/61033","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=61033"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61033\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16059"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61033"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61033"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61033"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}