{"id":63508,"date":"2026-04-07T12:23:25","date_gmt":"2026-04-07T10:23:25","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=63508"},"modified":"2026-04-07T12:23:19","modified_gmt":"2026-04-07T10:23:19","slug":"pocet-pacientu-se-strevnimi-zanety-dramaticky-roste","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=63508","title":{"rendered":"Po\u010det pacient\u016f se st\u0159evn\u00edmi z\u00e1n\u011bty dramaticky roste"},"content":{"rendered":"\n<p><em>Modern\u00ed l\u00e9\u010dbu dost\u00e1v\u00e1 jen zlomek z&nbsp;nich \u2013 zbytek se l\u00e9\u010d\u00ed \u201epostaru\u201c<\/em><\/p>\n\n\n\n<p><strong>Praha, 7. 4. 2026 \u2013 V \u010cesku v\u00a0posledn\u00edch letech dramaticky p\u0159ibylo pacient\u016f s Crohnovou chorobou a ulcer\u00f3zn\u00ed kolitidou. Gastroenterologov\u00e9 varuj\u00ed, \u017ee v\u00fdvoj je alarmuj\u00edc\u00ed. Upozor\u0148uj\u00ed na z\u00e1sadn\u00ed probl\u00e9m: modern\u00ed l\u00e9\u010dbu, kter\u00e1 m\u016f\u017ee pacient\u016fm v\u00fdrazn\u011b zlep\u0161it \u017eivot, dost\u00e1v\u00e1 jen men\u0161ina z\u00a0nich \u2013 15 %. <\/strong><\/p>\n\n\n\n<p><strong>T\u00e9ma budou odborn\u00edci diskutovat na sv\u00e9m\u00a03. IBD kongresu a\u00a023.\u00a0\u010desk\u00e9m a\u00a0slovensk\u00e9m IBD dni, kter\u00fd za\u010d\u00edn\u00e1 9. a kon\u010d\u00ed 10. 4. v\u00a0Praze.<\/strong><\/p>\n\n\n\n<p>\u201e<em>Sou\u010dasn\u00e1 praxe v l\u00e9\u010db\u011b pacient\u016f s idiopatick\u00fdmi st\u0159evn\u00edmi z\u00e1n\u011bty je z velk\u00e9 \u010d\u00e1sti zastaral\u00e1 a pro pacienty nedostate\u010dn\u00e1. Pod\u00edl t\u011bch, kte\u0159\u00ed se dostanou k modern\u00ed l\u00e9\u010db\u011b, by m\u011bl b\u00fdt minim\u00e1ln\u011b trojn\u00e1sobn\u00fd. Tato l\u00e9\u010dba je toti\u017e nejen \u00fa\u010dinn\u011bj\u0161\u00ed, ale i bezpe\u010dn\u011bj\u0161\u00ed a ve v\u00fdsledku ekonomicky v\u00fdhodn\u011bj\u0161\u00ed ne\u017e p\u00e9\u010de o pacienty, u nich\u017e se nemoc kv\u016fli nedostate\u010dn\u00e9 l\u00e9\u010db\u011b zhor\u0161\u00ed a vede ke komplikac\u00edm. Znamenalo by to m\u00e9n\u011b hospitalizac\u00ed, m\u00e9n\u011b operac\u00ed a v\u00fdrazn\u011b ni\u017e\u0161\u00ed dopady na kvalitu \u017eivota pacient\u016f,\u201c <\/em>\u0159\u00edk\u00e1 m\u00edstop\u0159edseda \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti (\u010cGS) doc.\u00a0MUDr. Martin Bortl\u00edk. Stav srovn\u00e1v\u00e1 s\u00a0modern\u00ed l\u00e9\u010dbou infarktu: <em>\u201ePacienty dnes taky nel\u00e9\u010d\u00edme stejn\u011b jako p\u0159ed 40 lety \u2013 klidem na l\u016f\u017eku, ale naopak rychl\u00fdm zpr\u016fchodn\u011bn\u00edm tepny se zaveden\u00edm stentu.\u201c<\/em><\/p>\n\n\n\n<p>Ke konven\u010dn\u00ed l\u00e9\u010db\u011b tla\u010d\u00ed podle doc. Bortl\u00edka pl\u00e1tci p\u00e9\u010de \u2013 zdravotn\u00ed poji\u0161\u0165ovny. <em>\u201ePomohly by indik\u00e1tory kvality p\u00e9\u010de v&nbsp;oblasti st\u0159evn\u00edch z\u00e1n\u011bt\u016f. Zkultivovaly by syst\u00e9m tak, aby fungoval podobn\u011b, jak je tomu nap\u0159\u00edklad ve Slovinsku, kde m\u00e1 modern\u00ed l\u00e9\u010dbu kolem 40 %&nbsp;pacient\u016f,\u201c <\/em>dod\u00e1v\u00e1 doc. Bortl\u00edk. <em>\u201eKdyby zde platila jasn\u00e1 pravidla a metriky, jak se pacienti skute\u010dn\u011b l\u00e9\u010d\u00ed a s&nbsp;jak\u00fdmi v\u00fdsledky, syst\u00e9m by musel fungovat l\u00e9pe.\u201c<\/em> C\u00edlenou terapii by podle gastroenterolog\u016f m\u011blo dost\u00e1vat 30\u201340 % pacient\u016f.<\/p>\n\n\n\n<p>Jak uv\u00e1d\u00ed prof. MUDr. Milan Luk\u00e1\u0161, p\u0159ednosta klinick\u00e9ho centra ISCARE, n\u00e1r\u016fst nemocn\u00fdch je vy\u0161\u0161\u00ed, ne\u017e se \u010dekalo. <em>\u201ePodle p\u016fvodn\u00edch p\u0159edpoklad\u016f \u00daZIS MZ \u010cR m\u011blo b\u00fdt v\u00a0lo\u0148sk\u00e9m roce kolem 70\u00a0000 nemocn\u00fdch s\u00a0IBD. V\u00a0registru hrazen\u00fdch zdravotn\u00edch slu\u017eeb je jich 91\u00a0000, tedy o\u00a020\u00a0000 v\u00edce. Do roku 2030 by jejich po\u010det mohl vzr\u016fst a\u017e na 100 000,\u201c <\/em>\u0159\u00edk\u00e1 prof.\u00a0Luk\u00e1\u0161.<\/p>\n\n\n\n<p> A\u017e polovina nemocn\u00fdch podle n\u011bj nem\u016f\u017ee pravideln\u011b pracovat. <em>\u201ePacienti \u010dasto nezvl\u00e1daj\u00ed b\u011b\u017en\u00e9 denn\u00ed aktivity, maj\u00ed opakovan\u00e9 bolesti b\u0159icha, pr\u016fjmy a jsou chronicky unaven\u00ed a vy\u010derpan\u00ed. Nemoc jim znemo\u017e\u0148uje pracovat, studovat nebo v\u00e9st b\u011b\u017en\u00fd spole\u010densk\u00fd \u017eivot. Kv\u016fli tomu, \u017ee mus\u00ed m\u00edt\u00a0neust\u00e1le dostupnou toaletu, se nap\u0159\u00edklad boj\u00ed cestovat, a to i m\u011bstskou dopravou,\u201c<\/em> vysv\u011btluje prof. Luk\u00e1\u0161. Pokud se ale l\u00e9\u010dba modern\u00edmi l\u00e9ky zah\u00e1j\u00ed v\u010das, dok\u00e1\u017ee podle n\u011bj pacient\u016fm kvalitu \u017eivota v\u00fdrazn\u011b zlep\u0161it a sn\u00ed\u017eit riziko z\u00e1va\u017en\u00fdch komplikac\u00ed.<\/p>\n\n\n\n<p>\u201e<em>Nav\u00fd\u0161en\u00ed dostupnosti biologick\u00e9 l\u00e9\u010dby je jednou z hlavn\u00edch priorit cel\u00e9 gastroenterologick\u00e9 spole\u010dnosti. Jde o kl\u00ed\u010dov\u00fd krok ke zlep\u0161en\u00ed p\u00e9\u010de o pacienty s idiopatick\u00fdmi st\u0159evn\u00edmi z\u00e1n\u011bty,\u201c <\/em>uji\u0161\u0165ujep\u0159edseda \u010desk\u00fdch gastroenterolog\u016f prof. MUDr. Ilja Tachec\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Modern\u00ed l\u00e9\u010dbu dost\u00e1v\u00e1 jen zlomek z&nbsp;nich \u2013 zbytek se l\u00e9\u010d\u00ed \u201epostaru\u201c Praha, 7. 4. 2026 \u2013 V \u010cesku v\u00a0posledn\u00edch letech dramaticky p\u0159ibylo pacient\u016f s Crohnovou <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=63508\" title=\"Po\u010det pacient\u016f se st\u0159evn\u00edmi z\u00e1n\u011bty dramaticky roste\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":61820,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-63508","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\/63508","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=63508"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63508\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/61820"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63508"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63508"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63508"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}