{"id":61974,"date":"2025-11-19T17:40:24","date_gmt":"2025-11-19T16:40:24","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=61974"},"modified":"2025-11-19T17:40:33","modified_gmt":"2025-11-19T16:40:33","slug":"interniste-varuji-pacienti-si-casto-sami-upravuji-lecbu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=61974","title":{"rendered":"Internist\u00e9 varuj\u00ed: Pacienti si \u010dasto sami upravuj\u00ed l\u00e9\u010dbu"},"content":{"rendered":"\n

Pomohou akce Vyb\u00edrej moud\u0159e a SAMI DOMA<\/em><\/p>\n\n\n\n

\u201eAhoj tati, vzal sis l\u00e9ky na tlak?\u201c \u201eNe.\u201c \u201eA pro\u010d?\u201c \u201eDneska ho m\u00e1m dobrej.\u201c Tuto a podobnou konverzaci za\u017e\u00edv\u00e1 se sv\u00fdmi star\u0161\u00edmi rodi\u010di \u0159ada lid\u00ed. A stejn\u011b tak i l\u00e9ka\u0159i se sv\u00fdmi pacienty, kte\u0159\u00ed \u010dasto l\u00e9\u010diva vysazuj\u00ed a nasazuj\u00ed podle toho, jak se zrovna c\u00edt\u00ed. <\/strong><\/p>\n\n\n\n

Na rizika \u201esamol\u00e9\u010dby\u201c a tak\u00e9 na racion\u00e1ln\u00ed d\u00e1vkov\u00e1n\u00ed l\u00e9k\u016f upozor\u0148uj\u00ed odborn\u00edci na sv\u00e9 nejv\u011bt\u0161\u00ed leto\u0161n\u00ed akci \u2013 XXXII. kongresu \u010cesk\u00e9 internistick\u00e9 spole\u010dnosti (\u010cIS). Ten startuje 19. listopadu.<\/strong><\/p>\n\n\n\n

\u201eB\u011b\u017en\u011b se u pacient\u016f setk\u00e1v\u00e1me s t\u00edm, \u017ee u\u017eij\u00ed v\u00edce pr\u00e1\u0161k\u016f na tlak ne\u017e b\u011b\u017en\u011b, proto\u017ee si zrovna nam\u011b\u0159ili vysok\u00e9 hodnoty. Anebo si naopak nevezmou \u017e\u00e1dn\u00fd, kdy\u017e jsou v\u00fdsledky v norm\u011b a c\u00edt\u00ed se dob\u0159e. To sam\u00e9 plat\u00ed pro l\u00e9\u010dbu cholesterolu. Kdy\u017e odejdou z test\u016f s dobr\u00fdmi v\u00fdsledky, ob\u010das l\u00e9ky sami \u2013 i p\u0159es na\u0161e doporu\u010den\u00ed u\u017e\u00edvat je dlouhodob\u011b \u2013 vysad\u00ed, proto\u017ee u\u017e se c\u00edt\u00ed zdrav\u00ed,\u201c<\/em> jmenuje n\u011bkter\u00e9 z typick\u00fdch situac\u00ed prof. MUDr. Jan V\u00e1clav\u00edk, p\u0159ednosta Intern\u00ed a kardiologick\u00e9 kliniky Fakultn\u00ed nemocnice Ostrava a L\u00e9ka\u0159sk\u00e9 fakulty Ostravsk\u00e9 univerzity.<\/p>\n\n\n\n

Podobn\u00e9 z\u00e1\u017eitky s pacienty m\u00e1 internista z Fakultn\u00ed nemocnice v Hradci Kr\u00e1lov\u00e9 MUDr. Petr Grenar. \u201eSamol\u00e9\u010dba, kdy si pacient podle vlastn\u00edho uv\u00e1\u017een\u00ed upravuje p\u0159edepsanou l\u00e9\u010dbu, nen\u00ed nijak neobvykl\u00e1. Plat\u00ed v\u0161ak, \u017ee \u010d\u00edm l\u00e9pe je pacient informov\u00e1n a rozum\u00ed v\u00fdznamu sv\u00e9 terapie, t\u00edm men\u0161\u00ed m\u00e1 tendenci ji s\u00e1m m\u011bnit. S dodr\u017eov\u00e1n\u00edm l\u00e9\u010dby maj\u00ed pot\u00ed\u017ee p\u0159edev\u0161\u00edm ti, kte\u0159\u00ed denn\u011b u\u017e\u00edvaj\u00ed v\u00edce ne\u017e p\u011bt r\u016fzn\u00fdch l\u00e9k\u016f,\u201c <\/em>vysv\u011btluje l\u00e9ka\u0159.<\/p>\n\n\n\n

Podle odborn\u00edk\u016f u\u017e\u00edvaj\u00ed \u010de\u0161t\u00ed pacienti zbyte\u010dn\u011b moc l\u00e9\u010div a proch\u00e1zej\u00ed \u0159adou vy\u0161et\u0159en\u00ed, kter\u00e1 nejsou v\u017edy nutn\u00e1 a zat\u011b\u017euj\u00ed je. Ve snaze tento stav zlep\u0161it se \u010de\u0161t\u00ed internist\u00e9 ji\u017e p\u0159ed \u010dasem p\u0159ipojili ke kampani Choosing Wisely (aneb Vyb\u00edrej moud\u0159e). Ve vybran\u00fdch pracovi\u0161t\u00edch v \u010cesk\u00e9 republice zji\u0161\u0165ovali, kter\u00e1 vy\u0161et\u0159en\u00ed se prov\u00e1d\u011bj\u00ed duplicitn\u011b a kde se l\u00e9ky p\u0159edepisuj\u00ed v\u00edc, ne\u017e je pot\u0159eba. V r\u00e1mci aktivity vznikla i sada ot\u00e1zek, kter\u00e9 by m\u011bl l\u00e9ka\u0159 s pacientem d\u016fkladn\u011b probrat, aby pacient l\u00e9\u010dbu pochopil, p\u0159ijal a dodr\u017eoval:<\/p>\n\n\n\n

    \n
  1. Opravdu toto vy\u0161et\u0159en\u00ed nebo l\u00e9\u010dbu pot\u0159ebuji?<\/li>\n\n\n\n
  2. Jak\u00e1 rizika a p\u0159\u00ednosy tato l\u00e9\u010dba nebo vy\u0161et\u0159en\u00ed maj\u00ed?<\/li>\n\n\n\n
  3. Existuj\u00ed jin\u00e9, bezpe\u010dn\u011bj\u0161\u00ed nebo jednodu\u0161\u0161\u00ed mo\u017enosti?<\/li>\n\n\n\n
  4. Co se stane, kdy\u017e s l\u00e9\u010dbou nebo vy\u0161et\u0159en\u00edm po\u010dk\u00e1me?<\/li>\n\n\n\n
  5. Kolik m\u011b toto vy\u0161et\u0159en\u00ed nebo l\u00e9\u010dba bude st\u00e1t? (Jak finan\u010dn\u011b, nap\u0159. zda za l\u00e9k nebo l\u00e9\u010debnou metodu dopl\u00e1c\u00edm, tak p\u0159enesen\u011b, tj. kolik m\u011b bude st\u00e1t \u010dasu? Budu muset le\u017eet kv\u016fli vy\u0161et\u0159en\u00ed v nemocnici \u010di budu muset p\u0159i t\u00e9to l\u00e9\u010db\u011b \u010dasto na kontrolu?)<\/li>\n<\/ol>\n\n\n\n

    Jak \u0159\u00edk\u00e1 l\u00e9ka\u0159 z Fakultn\u00ed Thomayerovy nemocnice v Praze MUDr. Dan Raku\u0161an, kter\u00fd se v projektu Choosing Wisely v \u010cesk\u00e9 republice anga\u017euje, internist\u00e9 se nyn\u00ed sna\u017e\u00ed aktivitu prosadit i u koleg\u016f. \u201eVelice vst\u0159\u00edcn\u011b se k aplikaci princip\u016f Vyb\u00edrej moud\u0159e stav\u00ed nap\u0159\u00edklad kolegov\u00e9 ze spole\u010dnosti urgentn\u00ed medic\u00edny \u010di klinick\u00e9 farmacie nebo endokrinologov\u00e9. Leto\u0161n\u00ed internistick\u00fd kongres je v\u011bnov\u00e1n p\u0159edev\u0161\u00edm tomuto t\u00e9matu a \u00favodn\u00ed p\u0159edn\u00e1\u0161ku na t\u00e9ma p\u0159im\u011b\u0159enosti l\u00e9\u010dby a diagnostiky bude m\u00edt i zvolen\u00fd budouc\u00ed prezident Evropsk\u00e9 federace intern\u00ed medic\u00edny Fredrik von Wowern,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Raku\u0161an. <\/p>\n\n\n\n

    Do aktivity se zapojila tak\u00e9 \u010cesk\u00e1 odborn\u00e1 spole\u010dnost klinick\u00e9 farmacie (\u010cOSKF), kter\u00e1 na kongresu uk\u00e1\u017ee \u010desk\u00fd manu\u00e1l pro zdravotn\u00edky a pacienty. V n\u011bm p\u0159ehledn\u011b popisuje,<\/strong>kter\u00e9 l\u00e9ky m\u016f\u017ee pacient p\u0159i akutn\u00ed nemoci na p\u00e1r dn\u00ed vysadit a kdy je bezpe\u010dn\u00e9 je znovu za\u010d\u00edt br\u00e1t.<\/p>\n\n\n\n

    \u201eJe pom\u011brn\u011b b\u011b\u017en\u00e9, \u017ee kdy\u017e maj\u00ed lid\u00e9 hore\u010dku nebo <\/em>zvrac\u00ed, neu\u017e\u00edvaj\u00ed sv\u00e9 l\u00e9ky na chronick\u00e1 onemocn\u011bn\u00ed. Aby v\u0161ak do\u010dasn\u011b vysadili jen ty l\u00e9\u010div\u00e9 p\u0159\u00edpravky, u kter\u00fdch je to skute\u010dn\u011b vhodn\u00e9, p\u0159ipravili jsme p\u0159ehledn\u00fd n\u00e1vod SAMI DOMA. Ten p\u0159esn\u011b popisuje, jak\u00e9 skupiny l\u00e9k\u016f lze v dob\u011b nemoci do\u010dasn\u011b vynechat. N\u011bkter\u00e9 b\u011b\u017en\u011b u\u017e\u00edvan\u00e9 l\u00e9ky toti\u017e mohou b\u00fdt p\u0159i hore\u010dce, zvracen\u00ed nebo nedostatku tekutin pro t\u011blo nebezpe\u010dn\u00e9, i kdy\u017e jsou za norm\u00e1ln\u00edch okolnost\u00ed nezbytn\u00e9. <\/em><\/p>\n\n\n\n

    C\u00edlem projektu SAMI DOMA je, aby se tato pravidla stala v \u010cesku b\u011b\u017en\u011b zn\u00e1m\u00e1, byla doporu\u010dov\u00e1na l\u00e9ka\u0159i a pom\u00e1hala p\u0159edch\u00e1zet komplikac\u00edm z l\u00e9k\u016f u senior\u016f a chronicky nemocn\u00fdch,\u201c <\/em>vysv\u011btluje vedouc\u00ed Odd\u011blen\u00ed klinick\u00e9 farmacie Fakultn\u00ed nemocnice Hradec Kr\u00e1lov\u00e9 PharmDr. Petra Rozs\u00edvalov\u00e1. N\u00e1vod vych\u00e1z\u00ed z mezin\u00e1rodn\u00edch pravidel Sick Day Rules (pravidel pro dny nemoci).<\/p>\n","protected":false},"excerpt":{"rendered":"

    Pomohou akce Vyb\u00edrej moud\u0159e a SAMI DOMA \u201eAhoj tati, vzal sis l\u00e9ky na tlak?\u201c \u201eNe.\u201c \u201eA pro\u010d?\u201c \u201eDneska ho m\u00e1m dobrej.\u201c Tuto a podobnou konverzaci […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-61974","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\/61974","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=61974"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61974\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}