Odborn\u00edci varuj\u00ed p\u0159ed podce\u0148ov\u00e1n\u00edm \u201etich\u00e9ho zlod\u011bje\u201c
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Praha, 14. 10. 2025 \u2013 \u0158\u00eddnut\u00ed kost\u00ed neboli osteopor\u00f3za pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed metabolick\u00e1 onemocn\u011bn\u00ed kostry. V \u010cesk\u00e9 republice se t\u00fdk\u00e1 a\u017e 750 000 lid\u00ed, v\u011bt\u0161ina z nich v\u0161ak o sv\u00e9 diagn\u00f3ze nev\u00ed \u010dasto a\u017e do chv\u00edle, kdy dojde k prvn\u00ed zlomenin\u011b nebo jin\u00e9mu z\u00e1va\u017en\u011bj\u0161\u00edmu klinick\u00e9mu projevu. Nov\u011b vytvo\u0159en\u00e1 Cesta pacienta je ur\u010dena v\u0161em \u2013 od osob v rizikov\u00fdch skupin\u00e1ch a\u017e po pacienty vy\u017eaduj\u00edc\u00ed dlouhodobou p\u00e9\u010di.<\/p>\n\n\n\n
Poskytuje p\u0159ehledn\u00fd n\u00e1vod, na koho se obr\u00e1tit a jak postupovat v l\u00e9\u010db\u011b i v b\u011b\u017en\u00e9m \u017eivot\u011b. Dokument p\u0159ipravila Revma Liga \u010cR a po\u0161le jej do center, kam pacienti doch\u00e1z\u00ed, do ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f a gynekolog\u016f. Na osteopor\u00f3zu upozor\u0148uj\u00ed odborn\u00edci u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne osteopor\u00f3zy, kter\u00fd p\u0159ipad\u00e1 na 20. \u0159\u00edjna.<\/p>\n\n\n\n
\u201eOsteopor\u00f3za je z\u00e1va\u017en\u00e9 metabolick\u00e9 onemocn\u011bn\u00ed kostn\u00ed tk\u00e1n\u011b, p\u0159i kter\u00e9m doch\u00e1z\u00ed ke sn\u00ed\u017een\u00ed kostn\u00ed miner\u00e1ln\u00ed hustoty a poru\u0161en\u00ed vnit\u0159n\u00ed struktury kostn\u00ed hmoty. V\u00fdsledkem je zv\u00fd\u0161en\u00e9 riziko zlomenin i p\u0159i naprosto ban\u00e1ln\u00edch \u00farazech. N\u011bkdy proto nemoc ozna\u010dujeme za tich\u00e9ho zlod\u011bje kost\u00ed,\u201c \u0159\u00edk\u00e1 prof. MUDr. Vladim\u00edr Pali\u010dka, p\u0159edseda Spole\u010dnosti pro metabolick\u00e1 onemocn\u011bn\u00ed skeletu.<\/p>\n\n\n\n
Riziko onemocn\u011bn\u00ed se zvy\u0161uje zejm\u00e9na u \u017een po menopauze a u mu\u017e\u016f ve vy\u0161\u0161\u00edm v\u011bku. V\u00fdznamnou roli hraj\u00ed i genetick\u00e9 predispozice, \u017eivotn\u00ed styl a u\u017e\u00edv\u00e1n\u00ed n\u011bkter\u00fdch l\u00e9\u010div. \u201eNejv\u00edce ohro\u017eeni jsou lid\u00e9, kte\u0159\u00ed maj\u00ed nemoc v rodin\u011b, d\u00e1le pak velmi \u0161t\u00edhl\u00ed pacienti s n\u00edzk\u00fdm BMI a nedostate\u010dn\u00fdm p\u0159\u00edjmem v\u00e1pn\u00edku a vitaminu D. Velkou skupinu tvo\u0159\u00ed tak\u00e9 nemocn\u00ed se sekund\u00e1rn\u00ed osteopor\u00f3zou \u2013 nap\u0159\u00edklad pacienti s revmatoidn\u00ed artritidou \u010di jin\u00fdmi chronick\u00fdmi z\u00e1n\u011btliv\u00fdmi chorobami. Z l\u00e9k\u016f je rizikov\u00e1 zejm\u00e9na dlouhodob\u00e1 terapie kortikoidy, n\u011bkter\u00fdmi antiepileptiky nebo inhibitory protonov\u00e9 pumpy,\u201c dod\u00e1v\u00e1 prof. Pali\u010dka.<\/p>\n\n\n\n
Podle MUDr. Ji\u0159\u00edho Zdra\u017eila ze Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f je rozsah probl\u00e9mu alarmuj\u00edc\u00ed: \u201eDle dostupn\u00fdch \u00fadaj\u016f trp\u00ed v \u010cesk\u00e9 republice osteopor\u00f3zou 500 a\u017e 750 000 osob. Ka\u017ed\u00e1 druh\u00e1 \u017eena a ka\u017ed\u00fd p\u00e1t\u00fd mu\u017e nad 50 let utrp\u00ed osteoporotickou zlomeninu. Bohu\u017eel jde o onemocn\u011bn\u00ed, kter\u00e9 se st\u00e1le podce\u0148uje.\u201c<\/p>\n\n\n\n
Zlomov\u00fdm krokem v odhalen\u00ed nemoci byl start Popula\u010dn\u00edho programu \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy v roce 2023. \u201eZa dva roky jsme vy\u0161et\u0159ili p\u0159es 300 000 lid\u00ed. U \u017een nad 60 let m\u011blo osteopor\u00f3zu p\u0159ibli\u017en\u011b 20 % z nich a v p\u0159\u00edpad\u011b mu\u017e\u016f v obdobn\u00e9 v\u011bkov\u00e9 skupin\u011b jsme nemoc objevili asi u 11 %. Program b\u011b\u017e\u00ed d\u00e1l, a proto m\u00e1me k dispozici re\u00e1ln\u00e1 data o prevalenci onemocn\u011bn\u00ed v populaci,\u201c vysv\u011btluje prof. Pali\u010dka. <\/p>\n\n\n\n
Program \u010dasn\u00e9ho z\u00e1chytu je v mezin\u00e1rodn\u00edm kontextu unik\u00e1tn\u00ed. \u201eNa kongresu osteolog\u016f byly prezentov\u00e1ny v\u00fdsledky a kolegov\u00e9 ze zahrani\u010d\u00ed, zejm\u00e9na ze Slovenska, byli velmi p\u0159ekvapeni \u00fasp\u011b\u0161nost\u00ed programu. Tento projekt nem\u00e1 v Evrop\u011b a pravd\u011bpodobn\u011b ani ve sv\u011bt\u011b obdoby,\u201c dopl\u0148uje MUDr. Zdra\u017eil.<\/p>\n\n\n\n
D\u00edky programu \u010dasn\u00e9ho z\u00e1chytu se prudce zvedla dostupnost denzitometrick\u00fdch vy\u0161et\u0159en\u00ed. \u201eP\u0159ed dv\u011bma lety nem\u011blo p\u0159ibli\u017en\u011b 34 % okres\u016f v \u010cesk\u00e9 republice k dispozici \u017e\u00e1dn\u00fd denzitometr. Dnes tato technologie chyb\u00ed u\u017e jen ve dvou. Vy\u0161et\u0159en\u00ed hustoty kost\u00ed se nav\u00edc stalo sou\u010d\u00e1st\u00ed preventivn\u00edch prohl\u00eddek u vybran\u00fdch v\u011bkov\u00fdch skupin \u017een a mu\u017e\u016f,\u201c uv\u00e1d\u00ed prof. Pali\u010dka.<\/p>\n\n\n\n
Denzitometrie je neinvazivn\u00ed, rychl\u00e9 a p\u0159esn\u00e9 vy\u0161et\u0159en\u00ed. \u201eJedn\u00e1 se o jednoduchou, pro pacienta naprosto nezat\u011b\u017euj\u00edc\u00ed a nebolestivou metodu. Cel\u00e9 vy\u0161et\u0159en\u00ed trv\u00e1 n\u011bkolik minut a radia\u010dn\u00ed d\u00e1vka je mnohon\u00e1sobn\u011b ni\u017e\u0161\u00ed ne\u017e p\u0159i b\u011b\u017en\u00e9m rentgenov\u00e9m sn\u00edmku,\u201c popisuje prof. Pali\u010dka.<\/p>\n\n\n\n
Prakti\u010dt\u00ed l\u00e9ka\u0159i, kte\u0159\u00ed ji\u017e maj\u00ed s vy\u0161et\u0159en\u00edm zku\u0161enosti, potvrzuj\u00ed vysok\u00fd z\u00e1chyt. \u201eZa 14 m\u011bs\u00edc\u016f jsme vy\u0161et\u0159ili asi 1 600 pacient\u016f. Osteopor\u00f3zu jsme na\u0161li u 20 % z nich, sn\u00ed\u017eenou hustotu kost\u00ed m\u011blo 54 % vy\u0161et\u0159en\u00fdch a norm\u00e1ln\u00ed n\u00e1lez jen 26 % lid\u00ed. Po\u010det lid\u00ed s osteopor\u00f3zou m\u011b p\u0159ekvapil, potvrzuje to, \u017ee jde o onemocn\u011bn\u00ed velmi \u010dast\u00e9 a dosud podce\u0148ovan\u00e9,\u201c dod\u00e1v\u00e1 MUDr. Zdra\u017eil.<\/p>\n\n\n\n
V\u00fdznamnou novinku v t\u00e9to oblasti p\u0159in\u00e1\u0161\u00ed projekt pacientsk\u00e9 organizace Revma Liga \u010cR s n\u00e1zvem Cesta pacienta. \u201eP\u0159ipravili jsme Cestu pacienta s osteopor\u00f3zou, kter\u00e1 popisuje postup od rizikov\u00fdch skupin a\u017e po dlouhodobou p\u00e9\u010di. Dokument distribuujeme prost\u0159ednictv\u00edm ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f, gynekolog\u016f i revmatolog\u016f. Pacienti tak z\u00edskaj\u00ed jasn\u00fd n\u00e1vod, jak postupovat, jak\u00e1 vy\u0161et\u0159en\u00ed je \u010dekaj\u00ed a co mohou sami ud\u011blat \u2013 nap\u0159\u00edklad pravideln\u011b cvi\u010dit, zm\u011bnit stravovac\u00ed n\u00e1vyky \u010di doplnit vitamin D a v\u00e1pn\u00edk,\u201c vysv\u011btluje David K\u0159\u00ed\u017e z Revma Ligy \u010cR.<\/p>\n","protected":false},"excerpt":{"rendered":"
Odborn\u00edci varuj\u00ed p\u0159ed podce\u0148ov\u00e1n\u00edm \u201etich\u00e9ho zlod\u011bje\u201c Praha, 14. 10. 2025 \u2013 \u0158\u00eddnut\u00ed kost\u00ed neboli osteopor\u00f3za pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed metabolick\u00e1 onemocn\u011bn\u00ed kostry. V \u010cesk\u00e9 republice se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":47189,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-61340","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\/61340","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=61340"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61340\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/47189"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61340"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61340"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61340"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}