{"id":63956,"date":"2026-05-28T02:50:18","date_gmt":"2026-05-28T00:50:18","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=63956"},"modified":"2026-05-28T11:24:39","modified_gmt":"2026-05-28T09:24:39","slug":"roztrousenou-sklerozu-lze-vcas-diagnostikovat-analyzou-reci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=63956","title":{"rendered":"Roztrou\u0161enou skler\u00f3zu lze v\u010das diagnostikovat anal\u00fdzou \u0159e\u010di"},"content":{"rendered":"\n<p><em>Registr pacient\u016f zve\u0159ej\u0148uje nov\u00e1 data<\/em><\/p>\n\n\n\n<p><strong>Praha, 27. 5. 2026 \u2013 V\u011bt\u0161ina pacient\u016f (84 %) s nov\u011b diagnostikovanou roztrou\u0161enou skler\u00f3zou se rovnou za\u010d\u00edn\u00e1 l\u00e9\u010dit vysoce \u00fa\u010dinn\u00fdmi l\u00e9ky. Je\u0161t\u011b p\u0159ed 10 lety to bylo jen<br \/>5\u201310 %&nbsp;pacient\u016f. V\u010dasn\u00e9 nasazen\u00ed modern\u00ed terapie oddaluje okam\u017eik, kdy pacient kon\u010d\u00ed na voz\u00edku. P\u0159esn\u00e1 data o tom, jak l\u00e9\u010dba funguje, a tak\u00e9 o mo\u017en\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dinc\u00edch p\u0159in\u00e1\u0161\u00ed <\/strong><strong>registr pacient\u016f s roztrou\u0161enou skler\u00f3zou ReMuS. Ten nyn\u00ed zve\u0159ej\u0148uje \u010derstv\u00e1 data. <\/strong><strong>Navzdory pokroku v\u0161ak roztrou\u0161en\u00e1 skler\u00f3za z\u016fst\u00e1v\u00e1 z\u00e1va\u017en\u00fdm a nevyl\u00e9\u010diteln\u00fdm onemocn\u011bn\u00edm, upozor\u0148uj\u00ed l\u00e9ka\u0159i u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne roztrou\u0161en\u00e9 skler\u00f3zy (30.&nbsp;kv\u011btna).<\/strong> <strong>V \u010cesk\u00e9 republice s&nbsp;touto nemoc\u00ed \u017eije odhadem 26 000 lid\u00ed.<\/strong><\/p>\n\n\n\n<p>\u201e<em>V r\u00e1mci Evropy je registr je sv\u00fdm rozsahem a obsahem dat jedine\u010dn\u00fd. Sb\u00edr\u00e1 data o stavu pacient\u016f, kte\u0159\u00ed se l\u00e9\u010d\u00ed v&nbsp;15 specializovan\u00fdch centrech pro l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy. O tyto anal\u00fdzy maj\u00ed z\u00e1jem nejen l\u00e9ka\u0159i, pacienti a v\u00fdrobci l\u00e9\u010div, ale tak\u00e9 st\u00e1t a zdravotn\u00ed poji\u0161\u0165ovny, kter\u00e9 d\u00edky nim mohou sledovat kvalitu poskytovan\u00e9 p\u00e9\u010de,\u201c<\/em> vysv\u011btluje \u00falohu registru jeho \u0159editel Ing. Ji\u0159\u00ed Drahota. Nov\u00e1 data podle n\u011bj uk\u00e1zala pot\u011b\u0161uj\u00edc\u00ed trend. <em>\u201eDoba od prvn\u00edch p\u0159\u00edznak\u016f nemoci k nasazen\u00ed l\u00e9\u010dby se zkr\u00e1tila ze 7,5 m\u011bs\u00edce v roce 2024 na lo\u0148sk\u00fdch 6,4 m\u011bs\u00edce. Pacienti se z\u00e1rove\u0148 dost\u00e1vaj\u00ed do specializovan\u00fdch center do&nbsp;3\u20134 m\u011bs\u00edc\u016f od prvn\u00edch p\u0159\u00edznak\u016f. V posledn\u00edm roce se tato doba zkr\u00e1tila p\u0159ibli\u017en\u011b o jeden m\u011bs\u00edc,\u201c<\/em> jmenuje Ing.&nbsp;Drahota.<\/p>\n\n\n\n<p>Hlavn\u00ed \u00fasp\u011bchy na bitevn\u00edm poli s\u00a0roztrou\u0161enou skler\u00f3zou jsou v\u00fdsledkem nov\u00fdch l\u00e9k\u016f a \u00fasil\u00ed \u010desk\u00fdch neurolog\u016f z\u00a0center pro l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy. Kl\u00ed\u010dem je objevit nemoc v\u010das a\u00a0um\u011bt jej\u00ed v\u00fdvoj detailn\u011b analyzovat. Podle prof. MUDr. Evy Kubala Havrdov\u00e9, vedouc\u00ed Centra pro demyeliniza\u010dn\u00ed onemocn\u011bn\u00ed 1.\u00a0l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy (1. LF UK) a V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v\u00a0Praze (VFN), m\u016f\u017ee i\u00a0nepatrn\u00e9 zhor\u0161en\u00ed zdravotn\u00edho stavu zachytit technologie vyvinut\u00e1 \u010cVUT. Ta analyzuje \u0159e\u010d pacienta a um\u00ed na jej\u00edm z\u00e1klad\u011b vyhodnotit zm\u011bny zdravotn\u00edho stavu. <\/p>\n\n\n\n<p><em>\u201eNemoc se projev\u00ed v\u00a0emoc\u00edch, v\u00a0my\u0161len\u00ed a ve zp\u016fsobu \u0159e\u010di, nap\u0159\u00edklad v\u00a0artikulaci. Tyto zm\u011bny v\u00a0ordinaci p\u0159esn\u011b nezachyt\u00edme. Pacient m\u016f\u017ee m\u00edt zrovna dobr\u00fd den, ale o chv\u00edli pozd\u011bji je u\u017e situace \u00fapln\u011b jin\u00e1,\u201c <\/em>vysv\u011btluje prof. Kubala Havrdov\u00e1. Na studii spolupracuj\u00ed v\u011bdci z\u00a0\u010cVUT s<strong>\u00a0<\/strong>l\u00e9ka\u0159i z\u00a01.\u00a0l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy 1. LF UK a VFN. <\/p>\n\n\n\n<p><em>\u201eDo projektu pl\u00e1nujeme zapojit 100-150 pacient\u016f, v\u00fdhledov\u011b a\u017e\u00a0300. Prvn\u00ed z\u00a0nich ji\u017e dost\u00e1vaj\u00ed mobiln\u00ed telefony, kter\u00e9 monitoruj\u00ed jejich hovory a pom\u00e1haj\u00ed sledovat v\u00fdvoj nemoci,\u201c<\/em> dopl\u0148uje<strong> <\/strong>doc.\u00a0MUDr. Tom\u00e1\u0161 Uher z 1. LF UK a VFN. Tato data by se mohla v\u00a0p\u0159\u00ed\u0161t\u00edch letech ve vhodn\u00e9 podob\u011b prom\u00edtnout do registru ReMuS, stejn\u011b jako data z dal\u0161\u00edho projektu zam\u011b\u0159en\u00e9ho na tzv. radiologicky izolovan\u00fd syndrom (RIS). <\/p>\n\n\n\n<p><em>\u201eJsou to l\u00e9ze, kter\u00e9 jsou dob\u0159e viditeln\u00e9 na sn\u00edmc\u00edch z magnetick\u00e9 rezonance a\u00a0jsou typick\u00fdm po\u010d\u00e1te\u010dn\u00edm sign\u00e1lem, \u017ee se u \u010dlov\u011bka v\u00a0n\u00e1sleduj\u00edc\u00edch letech m\u016f\u017ee rozvinout roztrou\u0161en\u00e1 skler\u00f3za. Pokud je zachyt\u00edme, m\u016f\u017eeme zas\u00e1hnout je\u0161t\u011b p\u0159ed propuknut\u00edm nemoci,\u201c <\/em>popisuje odborn\u00e1 garantka ReMuS prof. MUDr. Dana Hor\u00e1kov\u00e1.<\/p>\n\n\n\n<p>P\u0159ipom\u00edn\u00e1, \u017ee je to pr\u00e1v\u011b ReMuS, kter\u00fd propojuje v\u0161echny projekty a cel\u00fd syst\u00e9m p\u00e9\u010de. <em>\u201eDok\u00e1\u017ee rychle vyhodnotit, co funguje a co ne, a sd\u00edlet data nap\u0159\u00ed\u010d centry v cel\u00e9 republice. Propracovan\u00fd syst\u00e9m specializovan\u00e9 centrov\u00e9 p\u00e9\u010de a registr n\u00e1m z\u00e1vid\u00ed cel\u00e1 Evropa,\u201c<\/em> vysv\u011btluje prof. Hor\u00e1kov\u00e1. Je kl\u00ed\u010dov\u00fd pro argumentaci se zdravotn\u00edmi poji\u0161\u0165ovnami, kdy se vypl\u00e1c\u00ed l\u00e9\u010dbu pacient\u016fm hradit, a poskytuje cenn\u00e1 data o mo\u017en\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dinc\u00edch l\u00e9k\u016f.<\/p>\n\n\n\n<p> <em>\u201eAby byl registr je\u0161t\u011b p\u0159esn\u011bj\u0161\u00ed, pilotn\u011b ji\u017e prob\u00edh\u00e1 jeho propojen\u00ed s laboratorn\u00edmi daty z\u00a0center a tak\u00e9 vytvo\u0159en\u00ed celost\u00e1tn\u00edho \u00falo\u017ei\u0161t\u011b sn\u00edmk\u016f z magnetick\u00e9 rezonance. Zapoj\u00edme i\u00a0um\u011blou inteligenci. Tyto kroky posunou diagnostiku, l\u00e9\u010dbu a jej\u00ed bezpe\u010dnost na\u00a0dal\u0161\u00ed \u00farove\u0148,\u201c<\/em> dod\u00e1v\u00e1 Ing. Drahota.<\/p>\n\n\n\n<p>V registru je nyn\u00ed 24 696 pacient\u016f s RS, z toho 70,8 % tvo\u0159\u00ed \u017eeny. Pr\u016fm\u011brn\u00fd v\u011bk za\u010d\u00e1tku onemocn\u011bn\u00ed je&nbsp;33,1 roku.<\/p>\n\n\n\n<p><strong>O roztrou\u0161en\u00e9 skler\u00f3ze<\/strong><\/p>\n\n\n\n<p>Roztrou\u0161en\u00e1 skler\u00f3za (RS) je chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, jeho\u017e p\u0159\u00ed\u010dina nen\u00ed doposud zn\u00e1ma. Toto onemocn\u011bn\u00ed propuk\u00e1 v\u011bt\u0161inou v mlad\u0161\u00edm v\u011bku, \u010dast\u011bji postihuje \u017eeny. Pro RS je&nbsp;typick\u00e9 st\u0159\u00edd\u00e1n\u00ed obdob\u00ed z\u00e1chvat\u016f (atak) a obdob\u00ed zd\u00e1nliv\u00e9ho klidu. Tento proces je nep\u0159edv\u00eddateln\u00fd, a&nbsp;proto i&nbsp;l\u00e9\u010dba \u010di prevence je t\u011b\u017ek\u00e1. Na cel\u00e9m sv\u011bt\u011b trp\u00ed RS 2,8 milionu nemocn\u00fdch, v \u010cesku se odhaduje po\u010det pacient\u016f na 26 tis\u00edc. Ka\u017ed\u00fd rok v&nbsp;\u010cesku p\u0159ibude 700 a\u017e 800 nemocn\u00fdch. Nemoc se vyskytuje p\u0159edev\u0161\u00edm ve st\u0159edn\u00edch a chladn\u011bj\u0161\u00edch zem\u011bpisn\u00fdch \u0161\u00ed\u0159k\u00e1ch. Rizikov\u00fdmi faktory nemoci jsou krom\u011b genetick\u00e9 dispozice EB&nbsp;virus (virus Epsteina-Barrov\u00e9), kou\u0159en\u00ed a nedostatek vitaminu D.<\/p>\n\n\n\n<p><strong>ReMuS, nada\u010dn\u00ed fond<\/strong><\/p>\n\n\n\n<p>Registr pacient\u016f s&nbsp;roztrou\u0161enou skler\u00f3zou (ReMuS) byl zalo\u017een v&nbsp;roce 2013 Nada\u010dn\u00edm fondem IMPULS. S&nbsp;c\u00edlem zajistit dlouhodobou stabilitu a co nejefektivn\u011bj\u0161\u00ed fungov\u00e1n\u00ed registru z\u0159\u00eddil Nada\u010dn\u00ed fond IMPULS v&nbsp;roce 2024 pro tento \u00fa\u010del samostatn\u00fd nada\u010dn\u00ed fond ReMuS. Jako jedin\u00fd celost\u00e1tn\u00ed registr v \u010cesk\u00e9 republice se zam\u011b\u0159uje na shroma\u017e\u010fov\u00e1n\u00ed kl\u00ed\u010dov\u00fdch informac\u00ed o roztrou\u0161en\u00e9 skler\u00f3ze a&nbsp;dal\u0161\u00edch neuroimunologick\u00fdch onemocn\u011bn\u00edch. Spolupracuje s odborn\u00fdmi centry po cel\u00e9 zemi a&nbsp;jeho data slou\u017e\u00ed nejen l\u00e9ka\u0159sk\u00e9 komunit\u011b pro v\u011bdeck\u00fd v\u00fdzkum, ale tak\u00e9 pacient\u016fm, kte\u0159\u00ed hledaj\u00ed lep\u0161\u00ed porozum\u011bn\u00ed sv\u00e9 nemoci a mo\u017enostem l\u00e9\u010dby. C\u00edlem registru ReMuS je p\u0159isp\u00edvat k soustavn\u00e9mu zlep\u0161ov\u00e1n\u00ed p\u00e9\u010de o pacienty prost\u0159ednictv\u00edm zaji\u0161\u0165ov\u00e1n\u00ed kl\u00ed\u010dov\u00fdch a spolehliv\u00fdch dat i anal\u00fdz. V\u00edce informac\u00ed na webu <a href=\"http:\/\/www.multiplesclerosis.cz\/\"><em><strong>www.multiplesclerosis.cz<\/strong><\/em><\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Registr pacient\u016f zve\u0159ej\u0148uje nov\u00e1 data Praha, 27. 5. 2026 \u2013 V\u011bt\u0161ina pacient\u016f (84 %) s nov\u011b diagnostikovanou roztrou\u0161enou skler\u00f3zou se rovnou za\u010d\u00edn\u00e1 l\u00e9\u010dit vysoce \u00fa\u010dinn\u00fdmi <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=63956\" title=\"Roztrou\u0161enou skler\u00f3zu lze v\u010das diagnostikovat anal\u00fdzou \u0159e\u010di\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":61845,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-63956","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\/63956","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=63956"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63956\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/61845"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63956"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63956"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63956"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}