{"id":63870,"date":"2026-05-09T13:21:32","date_gmt":"2026-05-09T11:21:32","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=63870"},"modified":"2026-05-09T13:21:32","modified_gmt":"2026-05-09T11:21:32","slug":"vysoky-tlak-v-plicich-casto-vypada-jako-jina-nemoc","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=63870","title":{"rendered":"Vysok\u00fd tlak v\u00a0plic\u00edch \u010dasto vypad\u00e1 jako jin\u00e1 nemoc"},"content":{"rendered":"\n

Spr\u00e1vn\u00e1 diagn\u00f3za trv\u00e1 i dva roky<\/em><\/p>\n\n\n\n

Jeden a\u017e dva roky. P\u0159ibli\u017en\u011b tak dlouho trv\u00e1, ne\u017e se pacienti, kte\u0159\u00ed maj\u00ed vysok\u00fd tlak v plic\u00edch, dozv\u00ed, \u017ee maj\u00ed pr\u00e1v\u011b plicn\u00ed hypertenzi. Tato v\u00e1\u017en\u00e1 nemoc, kter\u00e1 m\u016f\u017ee v\u00e9st a\u017e k\u00a0selh\u00e1n\u00ed srdce, postupuje pl\u00ed\u017eiv\u011b. Zejm\u00e9na v\u00a0po\u010d\u00e1te\u010dn\u00ed f\u00e1zi se projevuje stejn\u011b jako \u0159ada b\u011b\u017en\u011bj\u0161\u00edch chorob, nap\u0159\u00edklad jako astma: pacienti \u0161patn\u011b d\u00fdchaj\u00ed, b\u00fdvaj\u00ed unaven\u00ed a bol\u00ed je na hrudi. Na to, \u017ee jde o v\u011bt\u0161\u00ed probl\u00e9m, je po del\u0161\u00ed dob\u011b upozorn\u00ed a\u017e modraj\u00edc\u00ed rty nebo kone\u010dky prst\u016f. <\/strong><\/p>\n\n\n\n

L\u00e9ka\u0159i varuj\u00ed, \u017ee jenom v\u010dasn\u00e9 odhalen\u00ed p\u0159\u00ed\u010diny pot\u00ed\u017e\u00ed a nasazen\u00ed spr\u00e1vn\u00e9 l\u00e9\u010dby p\u0159edejde z\u00e1va\u017en\u00fdm zdravotn\u00edm komplikac\u00edm. <\/strong><\/p>\n\n\n\n

\u201ePlicn\u00ed hypertenzi maj\u00ed v\u00a0\u010cesku tis\u00edce lid\u00ed, pot\u00fdk\u00e1 se s\u00a0n\u00ed p\u0159ibli\u017en\u011b 1 % dosp\u011bl\u00fdch. Ve vy\u0161\u0161\u00edm v\u011bku, u\u00a0osob star\u0161\u00edch 60 let, se vyskytuje je\u0161t\u011b \u010dast\u011bji,\u201c <\/em>popisuje prof. MUDr. Pavel Jansa z II.\u202fintern\u00ed kliniky \u2013 kliniky kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice a 1. LF UK v\u202fPraze.<\/p>\n\n\n\n

Typick\u00fdm p\u0159\u00edznakem plicn\u00ed hypertenze, kter\u00e1 zvy\u0161uje krevn\u00ed tlak v plicn\u00edch c\u00e9v\u00e1ch, je du\u0161nost p\u0159i n\u00e1maze. Nemoc prov\u00e1z\u00ed tak\u00e9 such\u00fd ka\u0161el, \u00fanava a n\u00edzk\u00e1 fyzick\u00e1 v\u00fdkonnost. V pokro\u010dil\u00fdch stadi\u00edch se p\u0159id\u00e1vaj\u00ed otoky, promodral\u00e9 rty nebo kone\u010dky prst\u016f, vyka\u0161l\u00e1v\u00e1n\u00ed krve nebo mdloby. <\/p>\n\n\n\n

\u201ePr\u00e1v\u011b nen\u00e1padn\u00fd za\u010d\u00e1tek a podobnost plicn\u00ed hypertenze s jin\u00fdmi chorobami \u010dasto vedou k pozdn\u00ed diagn\u00f3ze. Zejm\u00e9na v\u00a0ran\u00e9 f\u00e1zi se \u010dasto zam\u011b\u0148uje za astma,\u201c<\/em> vysv\u011btluje prof. Jansa.<\/p>\n\n\n\n

Plicn\u00ed hypertenze existuje ve v\u00edce variant\u00e1ch. Stovky lid\u00ed se v\u00a0tuzemsku pot\u00fdkaj\u00ed s tzv. plicn\u00ed arteri\u00e1ln\u00ed hypertenz\u00ed (PAH), kter\u00e1 v\u00fdznamn\u011b ovliv\u0148uje kvalitu jejich \u017eivota. S postupem nemoci pacienti p\u0159est\u00e1vaj\u00ed zvl\u00e1dat b\u011b\u017en\u00e9 denn\u00ed \u010dinnosti a jednoduch\u00e9 aktivity, jako je n\u00e1v\u0161t\u011bva l\u00e9ka\u0159e nebo n\u00e1kup. \u010casto jsou tak odk\u00e1zan\u00ed na pomoc druh\u00fdch. P\u00e9\u010de o n\u011b je podobn\u00e1 jako p\u00e9\u010de o pacienty se z\u00e1va\u017en\u00fdmi formami rakoviny, a nav\u00edc m\u00e1 i v\u00fdrazn\u00fd socioekonomick\u00fd dopad.<\/p>\n\n\n\n

V\u011bt\u0161ina pacient\u016f s\u00a0PAH v produktivn\u00edm v\u011bku pob\u00edr\u00e1 invalidn\u00ed d\u016fchod a jen p\u0159ibli\u017en\u011b t\u0159etina z\u00a0nich z\u016fst\u00e1v\u00e1 ekonomicky aktivn\u00ed. \u201eNad\u011bji na kvalitn\u011bj\u0161\u00ed a del\u0161\u00ed \u017eivot p\u0159in\u00e1\u0161\u00ed modern\u00ed terapie. Jej\u00edm c\u00edlem je zm\u00edrnit nebo \u00fapln\u011b zastavit nep\u0159\u00edzniv\u00e9 dopady plicn\u00ed arteri\u00e1ln\u00ed hypertenze na srdce a ob\u011bhov\u00fd syst\u00e9m,\u201c <\/em>p\u0159ibli\u017euje prof.\u00a0Jansa.<\/p>\n\n\n\n

V \u010cesku se l\u00e9\u010dba plicn\u00ed hypertenze soust\u0159ed\u00ed do t\u0159\u00ed specializovan\u00fdch center, kter\u00e1 jsou ve V\u0161eobecn\u00e9 fakultn\u00ed nemocnici v Praze, v IKEM v Praze a ve Fakultn\u00ed nemocnici Olomouc.<\/p>\n\n\n\n

V\u011bt\u0161ina p\u0159\u00edpad\u016f plicn\u00ed hypertenze souvis\u00ed s onemocn\u011bn\u00edm srdce a plic. P\u0159\u00ed\u010dinou ale mohou b\u00fdt i\u00a0autoimunitn\u00ed choroby nebo plicn\u00ed embolie. Pr\u00e1v\u011b na pacienty, kte\u0159\u00ed prod\u011blali akutn\u00ed plicn\u00ed embolii, c\u00edl\u00ed v\u00a0\u010cesku od roku 2023 screeningov\u00fd program<\/em><\/a>, kter\u00fd pom\u00e1h\u00e1 s\u00a0jejich v\u010dasn\u00fdm z\u00e1chytem. <\/p>\n\n\n\n

V\u00a0sou\u010dasn\u00e9 dob\u011b je program sou\u010d\u00e1st\u00ed projektu Podpora plicn\u00edho zdrav\u00ed v\u00a0\u010cR. \u201eBez v\u010dasn\u00e9 l\u00e9\u010dby m\u016f\u017ee onemocn\u011bn\u00ed skon\u010dit fat\u00e1ln\u011b, pacient\u016fm toti\u017e postupn\u011b selh\u00e1v\u00e1 prav\u00e1 komora srde\u010dn\u00ed,\u201c <\/em>upozor\u0148uje prof. Jansa.<\/p>\n\n\n\n

Plicn\u00ed hypertenze v\u00fdrazn\u011b zasahuje i do psychiky pacient\u016f. \u010cast\u00e9 jsou \u00fazkosti a deprese, kter\u00e9 souvis\u00ed nejen s pr\u016fb\u011bhem nemoci, ale i s \u00fanavou a nejistotou do budoucna. \u201eD\u016fle\u017eitou sou\u010d\u00e1st\u00ed p\u00e9\u010de je proto tak\u00e9 psychologick\u00e1 podpora,\u201c<\/em> \u0159\u00edk\u00e1 Milena Kaftanov\u00e1, p\u0159edsedkyn\u011b Sdru\u017een\u00ed pacient\u016f s\u00a0plicn\u00ed hypertenz\u00ed<\/a>, kter\u00e9 nemocn\u00fdm v\u00a0tuzemsku pom\u00e1h\u00e1 u\u017e v\u00edce ne\u017e 20 let. <\/p>\n\n\n\n

Sdru\u017een\u00ed \u0161\u00ed\u0159\u00ed osv\u011btu a\u00a0pro pacienty a jejich bl\u00edzk\u00e9 organizuje \u0159adu akc\u00ed.Jednou z\u00a0nich je v\u00fdstup na brn\u011bnsk\u00fd hrad \u0160pilberk, kter\u00fd sdru\u017een\u00ed po\u0159\u00e1d\u00e1 10. kv\u011btna, u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne plicn\u00ed hypertenze. Z\u00fa\u010dastnit se ho mohou nejenom nemocn\u00ed, ale i jejich rodiny a p\u0159\u00e1tel\u00e9. \u201eSpole\u010dn\u011b jsme siln\u011bj\u0161\u00ed, tak zn\u00ed i na\u0161e motto,\u201c <\/em>dod\u00e1v\u00e1 Milena Kaftanov\u00e1.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Spr\u00e1vn\u00e1 diagn\u00f3za trv\u00e1 i dva roky Jeden a\u017e dva roky. P\u0159ibli\u017en\u011b tak dlouho trv\u00e1, ne\u017e se pacienti, kte\u0159\u00ed maj\u00ed vysok\u00fd tlak v plic\u00edch, dozv\u00ed, \u017ee […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":59442,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-63870","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\/63870","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=63870"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63870\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/59442"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63870"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63870"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63870"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}