{"id":61801,"date":"2025-11-11T20:38:57","date_gmt":"2025-11-11T19:38:57","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=61801"},"modified":"2025-11-11T20:39:01","modified_gmt":"2025-11-11T19:39:01","slug":"chopn-a-spankova-apnoe-smrtici-dvojka-kterou-lze-zkrotit-lecbou","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=61801","title":{"rendered":"CHOPN a sp\u00e1nkov\u00e1 apnoe: smrt\u00edc\u00ed dvojka, kterou lze zkrotit l\u00e9\u010dbou"},"content":{"rendered":"\n<p><strong>Praha, 11. 11. 2025 \u2013 Lid\u00e9, kte\u0159\u00ed trp\u00ed z\u00e1stavami dechu ve sp\u00e1nku a z\u00e1rove\u0148 chronick\u00fdm onemocn\u011bn\u00edm plic, \u010del\u00ed a\u017e 3\u00d7 v\u011bt\u0161\u00edmu riziku smrti ne\u017e ti, kter\u00fdm se tyto dv\u011b nemoci nep\u0159ekr\u00fdvaj\u00ed. \u00damrtnost lze v\u00fdznamn\u011b sn\u00ed\u017eit l\u00e9\u010dbou \u2013 probl\u00e9m je, \u017ee v\u011bt\u0161ina lid\u00ed o tom, \u017ee t\u011bmito nemocemi trp\u00ed, v\u016fbec nev\u00ed. Pneumologov\u00e9 na to upozor\u0148uj\u00ed v r\u00e1mci Dne pro zdrav\u00e9 pl\u00edce, po\u0159\u00e1dan\u00e9ho u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne chronick\u00e9 obstruk\u010dn\u00ed plicn\u00ed nemoci (19. listopadu).<\/strong><\/p>\n\n\n\n<p>L\u00e9ka\u0159i odhaduj\u00ed, \u017ee o chronick\u00e9 obstruk\u010dn\u00ed plicn\u00ed nemoci (CHOPN)nev\u00ed a\u017e 450&nbsp;000 osob, kter\u00e9 j\u00ed trp\u00ed \u2013 l\u00e9\u010d\u00ed se \u201ejen\u201c asi 250&nbsp;000 pacient\u016f. U apnoe je to je\u0161t\u011b hor\u0161\u00ed. O tom, \u017ee se jim ve span\u00ed zastavuje dech, nev\u00ed odhadem 80 % nemocn\u00fdch. Tedy dal\u0161\u00edch p\u0159ibli\u017en\u011b 200\u2013300 000 lid\u00ed bez diagn\u00f3zy, a tedy i l\u00e9\u010dby. <em>\u201eCHOPN a sp\u00e1nkov\u00e1 apnoe se bohu\u017eel \u010dasto p\u0159ekr\u00fdvaj\u00ed. U pacient\u016f tak doch\u00e1z\u00ed k&nbsp;hlub\u0161\u00edm a del\u0161\u00edm pokles\u016fm kysl\u00edku&nbsp;v krvi ne\u017e u ka\u017ed\u00e9 z t\u011bch nemoc\u00ed samostatn\u011b. To zat\u011b\u017euje&nbsp;srdce, mozek i pl\u00edce. Pacienti s&nbsp;takovou kombinac\u00ed \u010del\u00ed&nbsp;vy\u0161\u0161\u00edmu riziku komplikac\u00ed a&nbsp;\u00famrtnosti. CHOPN sama o sob\u011b zkracuje \u017eivot o 5\u201310 let v&nbsp;z\u00e1vislosti na z\u00e1va\u017enosti stadia a&nbsp;nel\u00e9\u010den\u00e1 sp\u00e1nkov\u00e1 apnoe o 7\u201310 let. Kombinace t\u011bchto nemoc\u00ed je proto doslova vra\u017eedn\u00e1,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr.&nbsp;Milan Sova, Ph.D., p\u0159ednosta Kliniky nemoc\u00ed plicn\u00edch a tuberkul\u00f3zy Fakultn\u00ed nemocnice Brno. Na p\u0159ekryv chorob by m\u011bli l\u00e9ka\u0159i myslet, kdy\u017e si nap\u0159\u00edklad \u010dlov\u011bk s&nbsp;CHOPN st\u011b\u017euje na rann\u00ed bolest hlavy, denn\u00ed spavost nebo chr\u00e1p\u00e1n\u00ed. A kdy\u017e naopak \u010dlov\u011bk se sp\u00e1nkovou apnoe ka\u0161le, zad\u00fdch\u00e1v\u00e1 se \u010di kou\u0159\u00ed.<\/p>\n\n\n\n<p>Kou\u0159en\u00ed je jednou z nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din vzniku obou nemoc\u00ed \u2013 odvyknout cigaret\u00e1m se ale poda\u0159\u00ed jen zlomku u\u017eivatel\u016f. <em>\u201eJistou dobu jsme doufali, \u017ee v\u00fdm\u011bna cigaret za vapov\u00e1n\u00ed pom\u016f\u017ee, ale ned\u00e1vn\u00e9 studie uk\u00e1zaly, \u017ee ani to v&nbsp;odvyk\u00e1n\u00ed nepom\u00e1h\u00e1. Sp\u00ed\u0161e naopak, z\u00e1vislost na nikotinu prodlu\u017euje,\u201c<\/em> \u0159\u00edk\u00e1 prim. MUDr. Ivana \u010ciern\u00e1 Peterov\u00e1, p\u0159edsedkyn\u011b Sekce ambulantn\u00edch pneumolog\u016f \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti \u010cLS JEP.<\/p>\n\n\n\n<p>V\u010dasnou l\u00e9\u010dbu CHOPN komplikuje fakt, \u017ee kdy\u017e u\u017e lid\u00e9 dojdou k&nbsp;l\u00e9ka\u0159i s&nbsp;t\u00edm, \u017ee se jim \u0161patn\u011b d\u00fdch\u00e1, obvykle p\u0159ich\u00e1z\u00ed v pokro\u010dil\u00e9 f\u00e1zi nemoci. <em>\u201eBohu\u017eel ke mn\u011b drtiv\u00e1 v\u011bt\u0161ina pacient\u016f p\u0159ijde a\u017e s&nbsp;t\u011b\u017ece omezen\u00fdmi plicn\u00edmi funkcemi. Kdy\u017e se CHOPN rozv\u00edj\u00ed, maj\u00ed 100 % plicn\u00edch funkc\u00ed a nemoc se dlouho neprojevuje. Pak se funkce pomalu hor\u0161\u00ed, ale to si pacienti vysv\u011btluj\u00ed \u0161patnou fyzickou kondic\u00ed, kou\u0159en\u00edm nebo v\u011bkem. Ti, co maj\u00ed sedav\u00e9 zam\u011bstn\u00e1n\u00ed, poznaj\u00ed, \u017ee je n\u011bco \u0161patn\u011b je\u0161t\u011b pozd\u011bji ne\u017e nap\u0159\u00edklad sportovci. Pro l\u00e9\u010dbu si tak p\u0159ich\u00e1zej\u00ed velmi pozd\u011b, a pl\u00edce u\u017e nelze p\u0159im\u011bt k&nbsp;tomu, aby fungovaly jako d\u0159\u00edve. V sou\u010dasnosti v\u0161ak du\u0161nost u CHOPN um\u00edme v\u00fdrazn\u011b sn\u00ed\u017eit, a&nbsp;l\u00e9\u010dit tak dopady tohoto onemocn\u011bn\u00ed, i kdy\u017e zat\u00edm samo o sob\u011b z\u016fst\u00e1v\u00e1 nevyl\u00e9\u010diteln\u00e9,\u201c v<\/em>ysv\u011btluje doc. MUDr. Norbert Pauk, Ph.D., p\u0159edseda \u010cesk\u00e9ho ob\u010dansk\u00e9ho spolku proti plicn\u00edm nemocem (\u010cOPN) a p\u0159ednosta Kliniky pneumologie 3. LF UK a FN Bulovka. P\u0159ipom\u00edn\u00e1, \u017ee kv\u016fli snaze o \u010dasn\u00fd z\u00e1chyt CHOPN po\u0159\u00e1daj\u00ed plicn\u00ed l\u00e9ka\u0159i \u0159adu akc\u00ed, aby vy\u0161et\u0159en\u00ed dostali co nejbl\u00ed\u017e lidem. I letos se tak lid\u00e9 na <a href=\"https:\/\/www.copn.cz\/cs\/aktivity\/akce-svtovho-dne-chopn-den-pro-zdrav-plce-186\">n\u011bkolika m\u00edstech v&nbsp;\u010cR<\/a> mohou nechat zkontrolovat. Leto\u0161n\u00ed p\u0159edn\u00e1\u0161kov\u00e1 vzd\u011bl\u00e1vac\u00ed akce Den pro zdrav\u00e9 pl\u00edce se uskute\u010dn\u00ed 21. listopadu od 9 do 13.30 hodin, sledovat ji lze online na str\u00e1nk\u00e1ch <a href=\"http:\/\/www.copn.cz\/\">www.copn.cz<\/a>.<\/p>\n\n\n\n<p>Pneumologov\u00e9 tak\u00e9 upozor\u0148uj\u00ed, \u017ee lid\u00e9 s&nbsp;CHOPN by se m\u011bli nechat pravideln\u011b o\u010dkovat proti covidu-19, pneumokok\u016fm, RS vir\u016fm, p\u00e1sov\u00e9mu oparu a ch\u0159ipce. <em>\u201ePat\u0159\u00ed mezi ohro\u017een\u00e9 skupiny, u&nbsp;nich\u017e by tyto infekce mohly v\u00fdrazn\u011b zhor\u0161it pr\u016fb\u011bh p\u016fvodn\u00edho onemocn\u011bn\u00ed,\u201c<\/em> dod\u00e1v\u00e1 MUDr.&nbsp;Ivana \u010ciern\u00e1 Peterov\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Praha, 11. 11. 2025 \u2013 Lid\u00e9, kte\u0159\u00ed trp\u00ed z\u00e1stavami dechu ve sp\u00e1nku a z\u00e1rove\u0148 chronick\u00fdm onemocn\u011bn\u00edm plic, \u010del\u00ed a\u017e 3\u00d7 v\u011bt\u0161\u00edmu riziku smrti ne\u017e ti, <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=61801\" title=\"CHOPN a sp\u00e1nkov\u00e1 apnoe: smrt\u00edc\u00ed dvojka, kterou lze zkrotit l\u00e9\u010dbou\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":61803,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-61801","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\/61801","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=61801"}],"version-history":[{"count":1,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61801\/revisions"}],"predecessor-version":[{"id":61808,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61801\/revisions\/61808"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/61803"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61801"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61801"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61801"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}