Z\u00e1\u0159\u00ed je M\u011bs\u00edcem plicn\u00edch fibr\u00f3z
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Typick\u00fd zvuk p\u0159ipom\u00ednaj\u00edc\u00ed ch\u016fzi po zmrzl\u00e9m sn\u011bhu nebo rozepnut\u00ed such\u00e9ho zipu zn\u00ed v plic\u00edch asi 1 500 \u010cech\u016f. M\u016f\u017ee znamenat, \u017ee maj\u00ed idiopatickou plicn\u00ed fibr\u00f3zu (IPF). Bez l\u00e9\u010dby \u017eije po p\u011bti letech od stanoven\u00ed diagn\u00f3zy jen ka\u017ed\u00fd druh\u00fd z nich. \u00damrtnost u t\u00e9to nemoci je vy\u0161\u0161\u00ed ne\u017e u \u0159ady onkologick\u00fdch onemocn\u011bn\u00ed, p\u0159esto je pov\u011bdom\u00ed o n\u00ed st\u00e1le n\u00edzk\u00e9. Pneumologov\u00e9 se sna\u017e\u00ed nemocn\u00fdm zajistit del\u0161\u00ed a kvalitn\u011bj\u0161\u00ed \u017eivot pomoc\u00ed antifibrotick\u00fdch l\u00e9k\u016f, kter\u00e9 postup nemoci brzd\u00ed, a netrp\u011bliv\u011b \u010dekaj\u00ed na dal\u0161\u00ed modern\u00ed l\u00e9ky, kter\u00e9 by mohli pacient\u016fm nab\u00eddnout. M\u011bs\u00edcem plicn\u00edch fibr\u00f3z je z\u00e1\u0159\u00ed.<\/p>\n\n\n\n
\u201eV Evrop\u011b byla letos po v\u00edce ne\u017e deseti letech schv\u00e1lena nov\u00e1 mo\u017enost l\u00e9\u010dby idiopatick\u00e9 plicn\u00ed fibr\u00f3zy, kterou lze pod\u00e1vat samostatn\u011b nebo v kombinaci se sou\u010dasn\u00fdmi antifibrotick\u00fdmi l\u00e9ky. Nyn\u00ed se jedn\u00e1 o jej\u00ed cen\u011b a podm\u00ednk\u00e1ch \u00fahrady. Ne\u017e bude dosa\u017eeno dohody, prob\u00edhaj\u00ed jedn\u00e1n\u00ed s pl\u00e1tci o dostupnosti l\u00e9\u010dby a jej\u00ed mimo\u0159\u00e1dn\u00e9 \u00fahrad\u011b v p\u0159echodn\u00e9m obdob\u00ed. Zde se jako odborn\u00e1 plicn\u00ed spole\u010dnost sna\u017e\u00edme, aby byl l\u00e9k co nejd\u0159\u00edve k dispozici pro co nejv\u00edce \u010desk\u00fdch pacient\u016f,\u201c \u0159\u00edk\u00e1 p\u0159ednostka Pneumologick\u00e9 kliniky Fakultn\u00ed Thomayerovy nemocnice a 1. LF UK prof. MUDr. Martina Koziar Va\u0161\u00e1kov\u00e1, <\/p>\n\n\n\n
Nemoc, kter\u00e1 postupn\u011b jizv\u00ed pl\u00edce a pomalu odeb\u00edr\u00e1 prostor k d\u00fdch\u00e1n\u00ed, lze zat\u00edm jen brzdit. \u201ePokud zachyt\u00edme nemoc v\u010das, d\u00edky st\u00e1vaj\u00edc\u00edm l\u00e9k\u016fm dok\u00e1\u017eeme prodlou\u017eit dobu do\u017eit\u00ed a\u017e dvojn\u00e1sobn\u011b. Velmi bychom ale uv\u00edtali ka\u017edou dal\u0161\u00ed mo\u017enost l\u00e9\u010dby pro na\u0161e pacienty,\u201c pokra\u010duje doc. MUDr. Martina \u0160terclov\u00e1, p\u0159edsedkyn\u011b Sekce pro interstici\u00e1ln\u00ed plicn\u00ed procesy (SIPP) \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti (\u010cPFS) \u010cLS JEP.<\/p>\n\n\n\n
Pacienti mohou modern\u00ed terapii podstoupit pouze v n\u011bkter\u00e9m ze 16 specializovan\u00fdch pracovi\u0161\u0165 pro diagnostiku a l\u00e9\u010dbu interstici\u00e1ln\u00edch plicn\u00edch proces\u016f (IPP). Dosud ji v\u0161ak podle odborn\u00edk\u016f u\u017e\u00edv\u00e1 jen asi 800 nemocn\u00fdch s IPF. Kl\u00ed\u010dov\u00e9 je zachytit nemoc v\u010das, co\u017e b\u00fdv\u00e1 problematick\u00e9, proto\u017ee se zpo\u010d\u00e1tku projevuje \u00fanavou a st\u00e1le v\u011bt\u0161\u00edmi obt\u00ed\u017eemi s d\u00fdch\u00e1n\u00edm p\u0159i n\u00e1maze. \u201eTyto p\u0159\u00edznaky lid\u00e9 obvykle p\u0159isuzuj\u00ed \u0161patn\u00e9 fyzi\u010dce nebo sv\u00e9mu v\u011bku,\u201c vysv\u011btluje doc. \u0160terclov\u00e1.<\/p>\n\n\n\n
V\u00fdznamnou roli hraje tak\u00e9 screening rakoviny plic, kter\u00fd v \u010cesk\u00e9 republice b\u011b\u017e\u00ed u\u017e p\u00e1t\u00fdm rokem. P\u0159esto\u017ee p\u0159i n\u011bm l\u00e9ka\u0159i vyhled\u00e1vaj\u00ed p\u0159edev\u0161\u00edm n\u00e1dory, zachyt\u00ed i dal\u0161\u00ed plicn\u00ed nemoci, fibr\u00f3zy nevyj\u00edmaje. \u201eP\u0159ibli\u017en\u011b u 3,5 % vy\u0161et\u0159en\u00fdch odhal\u00edme fibrotick\u00e9 zm\u011bny na plic\u00edch. \u010c\u00e1st z nich je zp\u016fsobena pr\u00e1v\u011b plicn\u00ed fibr\u00f3zou. Proto se na n\u011b v r\u00e1mci screeningu zam\u011b\u0159\u00edme,\u201c uv\u00e1d\u00ed prof. Koziar Va\u0161\u00e1kov\u00e1.<\/p>\n\n\n\n
Typick\u00fdm vn\u011bj\u0161\u00edm znakem nemoci jsou pali\u010dkovit\u00e9 prsty s vyklenut\u00fdmi nehty ve tvaru hodinov\u00fdch skl\u00ed\u010dek a p\u0159etrv\u00e1vaj\u00edc\u00ed ka\u0161el. Dal\u0161\u00edm charakteristick\u00fdm p\u0159\u00edznakem je ji\u017e zm\u00edn\u011bn\u00fd k\u0159upav\u00fd zvuk, kter\u00fd je patrn\u00fd p\u0159i poslechu plic fonendoskopem. \u201eNemoc tak m\u016f\u017ee zachytit u\u017e praktick\u00fd l\u00e9ka\u0159,\u201c dod\u00e1v\u00e1 doc. \u0160terclov\u00e1. Zvuk IPF lze sly\u0161et v p\u0159\u00edsp\u011bvku na Instagramu plicn\u00edch l\u00e9ka\u0159\u016f: https:\/\/www.instagram.com\/p\/Dc0IrgAtNDw\/.<\/p>\n\n\n\n
O plicn\u00ed fibr\u00f3ze
Plicn\u00ed fibr\u00f3za (PF) je z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, p\u0159i n\u011bm\u017e doch\u00e1z\u00ed ke zjizven\u00ed p\u016fvodn\u011b zdrav\u00e9 plicn\u00ed tk\u00e1n\u011b a k jej\u00edmu ztlu\u0161t\u011bn\u00ed a ztuhnut\u00ed. Pacient tak ztr\u00e1c\u00ed prostor k d\u00fdch\u00e1n\u00ed a postupn\u011b se u n\u011bj sni\u017euje schopnost
nadechnout se. Mezi nej\u010dast\u011bj\u0161\u00ed projevy PF pat\u0159\u00ed zv\u00fd\u0161en\u00e1 du\u0161nost, a to u\u017e p\u0159i vykon\u00e1v\u00e1n\u00ed m\u00edrn\u00e9 fyzick\u00e9 aktivity, chronick\u00fd ka\u0161el, pali\u010dkovit\u00e9 prsty (roz\u0161\u00ed\u0159en\u00e9 a zakulacen\u00e9 kone\u010dk\u016f prst\u016f na rukou nebo nohou), \u00fanava a postupn\u00e9 samovoln\u00e9 ub\u00fdv\u00e1n\u00ed na v\u00e1ze. Postup nemoci m\u016f\u017ee zpomalit l\u00e9\u010dba, kter\u00e1 je v \u010cesk\u00e9 republice hrazena zdravotn\u00edmi poji\u0161\u0165ovnami. Je v\u0161ak pot\u0159eba, aby se k n\u00ed pacient dostal v\u010das. PF m\u016f\u017ee b\u00fdt pr\u016fvodn\u00edm jevem v\u00edce ne\u017e 200 plicn\u00edch onemocn\u011bn\u00ed, kter\u00e1 se ozna\u010duj\u00ed souhrnn\u00fdm n\u00e1zvem interstici\u00e1ln\u00ed plicn\u00ed procesy. V sou\u010dasn\u00e9 dob\u011b jimi na cel\u00e9m sv\u011bt\u011b trp\u00ed p\u0159ibli\u017en\u011b 3 miliony lid\u00ed. V\u00edce o plicn\u00ed fibr\u00f3ze najdete na www.zivotsplicnifibrozou.cz a tak\u00e9 v tomto videu.<\/p>\n","protected":false},"excerpt":{"rendered":"
Z\u00e1\u0159\u00ed je M\u011bs\u00edcem plicn\u00edch fibr\u00f3z Typick\u00fd zvuk p\u0159ipom\u00ednaj\u00edc\u00ed ch\u016fzi po zmrzl\u00e9m sn\u011bhu nebo rozepnut\u00ed such\u00e9ho zipu zn\u00ed v plic\u00edch asi 1 500 \u010cech\u016f. M\u016f\u017ee znamenat, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":60475,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-64920","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\/64920","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=64920"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/64920\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/60475"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64920"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64920"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}