{"id":63813,"date":"2026-05-03T22:33:01","date_gmt":"2026-05-03T20:33:01","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=63813"},"modified":"2026-05-03T22:33:01","modified_gmt":"2026-05-03T20:33:01","slug":"lecbu-ktera-dokaze-vylecit-respiracni-alergii-vetsina-pacientu-nedostane","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=63813","title":{"rendered":"L\u00e9\u010dbu, kter\u00e1 dok\u00e1\u017ee vyl\u00e9\u010dit respira\u010dn\u00ed alergii, v\u011bt\u0161ina pacient\u016f nedostane"},"content":{"rendered":"\n<p><strong>Do alergologick\u00fdch ambulanc\u00ed m\u00ed\u0159\u00ed v\u00a0t\u011bchto t\u00fddnech tis\u00edce pacient\u016f s\u00a0akutn\u00edmi zdravotn\u00edmi obt\u00ed\u017eemi kv\u016fli pyl\u016fm z\u00a0kvetouc\u00edch strom\u016f a trav. Nej\u010dast\u011bji je tr\u00e1p\u00ed r\u00fdma, sv\u011bd\u011bn\u00ed o\u010d\u00ed a celkov\u00e1 \u00fanava. Nel\u00e9\u010den\u00e1 respira\u010dn\u00ed alergie m\u016f\u017ee v\u00e9st k\u00a0rozvoji alergick\u00e9ho astmatu. Alergenov\u00e1 imunoterapie m\u016f\u017ee nejen toto riziko sn\u00ed\u017eit, ale i alergii vyl\u00e9\u010dit. P\u016fsob\u00ed toti\u017e na jej\u00ed p\u0159\u00ed\u010dinu. C\u00edlem terapie je \u201ep\u0159e\u0161kolit\u201c imunitn\u00ed syst\u00e9m, aby na alergeny nereagoval p\u0159ehnan\u011b. L\u00e9\u010dbu ale dostane pouze 10\u201315 % pacient\u016f z\u00a0t\u011bch, kter\u00fdm by mohla pomoci. Na probl\u00e9m upozor\u0148uj\u00ed l\u00e9ka\u0159i u\u00a0p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne alergie a\u00a0astmatu, kter\u00fd p\u0159ipad\u00e1 na 5. kv\u011btna.<\/strong><\/p>\n\n\n\n<p>\u201e<em>Ide\u00e1ln\u00edm pacientem pro alergenovou imunoterapii (AIT) je \u010dlov\u011bk, u kter\u00e9ho lze pot\u00ed\u017ee jednozna\u010dn\u011b spojit s jedn\u00edm konkr\u00e9tn\u00edm dominantn\u00edm alergenem. P\u0159esto\u017ee je AIT kr\u00e1tkodob\u011b dra\u017e\u0161\u00ed ne\u017e jin\u00e9 formy terapie, dlouhodob\u011b dok\u00e1\u017ee zdravotn\u00edmu syst\u00e9mu v\u00fdrazn\u011b u\u0161et\u0159it. Krom\u011b toho, \u017ee v\u00fdznamn\u011b tlum\u00ed projevy alergi\u00ed, sni\u017euje i riziko vzniku a rozvoje astmatu,\u201c<\/em> vysv\u011btluje doc.\u00a0MUDr.\u00a0Jakub Novosad z \u00dastavu imunologie a alergologie Fakultn\u00ed nemocnice Hradec Kr\u00e1lov\u00e9.<\/p>\n\n\n\n<p>AIT spo\u010d\u00edv\u00e1 v&nbsp;opakovan\u00e9m pod\u00e1v\u00e1n\u00ed p\u0159esn\u011b stanoven\u00fdch d\u00e1vek alergenu po dobu 3\u20135 let tak, aby si imunitn\u00ed syst\u00e9m vybudoval toleranci. Projevy alergie se touto l\u00e9\u010dbou zna\u010dn\u011b zm\u00edrn\u00ed nebo zcela vymiz\u00ed. L\u00e9ka\u0159i mohou AIT p\u0159edepsat nejen na pylov\u00e9 alergie, ale tak\u00e9 na alergie na rozto\u010de, epitelie dom\u00e1c\u00edch zv\u00ed\u0159at (ko\u010dku a psa), plevele, n\u011bkter\u00e9 pl\u00edsn\u011b nebo hmyz\u00ed jed. AIT se naopak b\u011b\u017en\u011b nevyu\u017e\u00edv\u00e1 v p\u0159\u00edpadech, kdy t\u011blo p\u0159ehnan\u011b reaguje na n\u011bkter\u00e9 potraviny nebo l\u00e9ky.<\/p>\n\n\n\n<p>\u201e<em>L\u00e9\u010dba AIT vy\u017eaduje od pacienta trp\u011blivost a spolupr\u00e1ci s l\u00e9ka\u0159em, proto\u017ee dlouhodob\u00e9ho \u00fa\u010dinku lze dos\u00e1hnout pouze p\u0159i sv\u011bdomit\u00e9m dodr\u017eov\u00e1n\u00ed l\u00e9\u010debn\u00e9ho re\u017eimu. Imunita se toti\u017e u\u010d\u00ed jako d\u00edt\u011b \u2013 \u010d\u00edm v\u00edcekr\u00e1t zopakujeme vystaven\u00ed organismu men\u0161\u00ed d\u00e1vce alergenu, t\u00edm l\u00e9pe a&nbsp;dlouhodob\u011bji se tolerance proti n\u011bmu zafixuje. Pacient\u016f s&nbsp;alergiemi n\u00e1m v&nbsp;posledn\u00edch letech v\u00fdrazn\u011b p\u0159ibylo. M\u016f\u017ee za to genetika, ale tak\u00e9 vysoce pr\u016fmyslov\u011b upravovan\u00e1 strava, \u017eivotn\u00ed prost\u0159ed\u00ed a v&nbsp;neposledn\u00ed \u0159ad\u011b tak\u00e9 zm\u011bna klimatu, kter\u00e1 prom\u011b\u0148uje spektrum alergen\u016f,\u201c<\/em> dopl\u0148uje MUDr. Mojm\u00edr Ra\u010dansk\u00fd z Odd\u011blen\u00ed alergologie a klinick\u00e9 imunologie Fakultn\u00ed nemocnice Olomouc.<\/p>\n\n\n\n<p>Alergologov\u00e9 v \u010cR ro\u010dn\u011b provedou p\u0159es 2 miliony vy\u0161et\u0159en\u00ed. Kv\u016fli vysok\u00e9 vyt\u00ed\u017eenosti l\u00e9ka\u0159\u016f se ale \u010dekac\u00ed lh\u016fty pohybuj\u00ed v\u00a0rozmez\u00ed 4\u20136 m\u011bs\u00edc\u016f, v\u00a0n\u011bkter\u00fdch regionech i d\u00e9le.<em> \u201eV \u010cesk\u00e9 republice p\u016fsob\u00ed p\u0159ibli\u017en\u011b 500 alergolog\u016f. Po pediatrech jsme hned druh\u00fd obor, kter\u00fd m\u00e1 nejvy\u0161\u0161\u00ed pr\u016fm\u011brn\u00fd v\u011bk l\u00e9ka\u0159\u016f. Kolegov\u00e9 st\u00e1rnou a nov\u00ed nep\u0159ich\u00e1zej\u00ed. D\u016fvodem je nepochybn\u011b i\u00a0to, \u017ee jde o pom\u011brn\u011b slo\u017eitou a komplexn\u00ed discipl\u00ednu, kter\u00e1 vy\u017eaduje n\u00e1ro\u010dn\u00e9 celo\u017eivotn\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed l\u00e9ka\u0159\u016f,\u201c <\/em>vysv\u011btluje prof. MUDr. Petr Panzner, p\u0159ednosta \u00dastavu imunologie a\u00a0alergologie Fakultn\u00ed nemocnice Plze\u0148 a LF UK Plze\u0148.\u00a0<\/p>\n\n\n\n<p>L\u00e9\u010dba alergi\u00ed zahrnuje tak\u00e9 re\u017eimov\u00e1 opat\u0159en\u00ed. Z\u00e1kladem je vyh\u00fdb\u00e1n\u00ed se tomu, co alergii zp\u016fsobuje. Pacienti by m\u011bli dodr\u017eovat sp\u00e1nkovou hygienu, zdrav\u011b j\u00edst, nekou\u0159it a udr\u017eovat si optim\u00e1ln\u00ed hmotnost. Pokud se alergie nel\u00e9\u010d\u00ed, m\u016f\u017ee krom\u011b astmatu v\u00e9st nap\u0159\u00edklad k\u00a0\u010dast\u00fdm infekc\u00edm, atopick\u00e9mu ekz\u00e9mu nebo k probl\u00e9m\u016fm za\u017e\u00edvac\u00edho traktu. Alergie m\u016f\u017ee propuknout v\u00a0jak\u00e9mkoliv v\u011bku, a proto je podle l\u00e9ka\u0159\u016f vhodn\u00e9 p\u0159edch\u00e1zet j\u00ed u\u017e v\u00a0ran\u00e9m d\u011btstv\u00ed. V dob\u011b, kdy je imunitn\u00ed syst\u00e9m pru\u017en\u00fd a u\u010d\u00ed se reagovat na to, co t\u011blu skute\u010dn\u011b \u0161kod\u00ed, je podle nich vhodn\u00e9 vystavovat jej r\u016fzn\u00fdm podn\u011bt\u016fm<em>. <\/em><\/p>\n\n\n\n<p><em>\u201eD\u016fle\u017eit\u00e9 je podporovat p\u0159irozen\u00fd kontakt d\u011bt\u00ed s\u00a0vn\u011bj\u0161\u00edm prost\u0159ed\u00edm a dodr\u017eovat pravideln\u00e9 o\u010dkov\u00e1n\u00ed, kter\u00e9 nep\u0159isp\u00edv\u00e1 ke vzniku atopick\u00fdch onemocn\u011bn\u00ed, naopak jim m\u016f\u017ee pomoci p\u0159edch\u00e1zet. Mezi dal\u0161\u00ed preventivn\u00ed p\u0159\u00edstupy se \u0159ad\u00ed nap\u0159\u00edklad v\u010dasn\u00e9 zav\u00e1d\u011bn\u00ed i potenci\u00e1ln\u011b alergenn\u00edch potravin do stravy \u010di kojen\u00ed po dobu alespo\u0148 3\u20134 m\u011bs\u00edc\u016f. V\u00fdznamnou roli hraje tak\u00e9 expozice cigaretov\u00e9mu kou\u0159i,\u201c<\/em> uv\u00e1d\u00ed doc. MUDr. Zita Chovancov\u00e1, p\u0159ednostka \u00dastavu klinick\u00e9 imunologie a\u00a0alergologie FN u sv. Anny v\u00a0Brn\u011b.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Do alergologick\u00fdch ambulanc\u00ed m\u00ed\u0159\u00ed v\u00a0t\u011bchto t\u00fddnech tis\u00edce pacient\u016f s\u00a0akutn\u00edmi zdravotn\u00edmi obt\u00ed\u017eemi kv\u016fli pyl\u016fm z\u00a0kvetouc\u00edch strom\u016f a trav. Nej\u010dast\u011bji je tr\u00e1p\u00ed r\u00fdma, sv\u011bd\u011bn\u00ed o\u010d\u00ed a celkov\u00e1 <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=63813\" title=\"L\u00e9\u010dbu, kter\u00e1 dok\u00e1\u017ee vyl\u00e9\u010dit respira\u010dn\u00ed alergii, v\u011bt\u0161ina pacient\u016f nedostane\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":17175,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-63813","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\/63813","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=63813"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63813\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17175"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63813"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63813"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63813"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}