{"id":65140,"date":"2026-09-23T13:28:50","date_gmt":"2026-09-23T11:28:50","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=65140"},"modified":"2026-09-23T13:29:04","modified_gmt":"2026-09-23T11:29:04","slug":"nemocne-plice-kradou-lidem-spanek","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=65140","title":{"rendered":"Nemocn\u00e9 pl\u00edce kradou lidem sp\u00e1nek"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>L\u00e9ka\u0159i: Pozor na ve\u010dern\u00ed inhalaci a pr\u00e1\u0161ky na span\u00ed<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ka\u0161el, zahlen\u011bn\u00ed nebo pocit nedostatku vzduchu tr\u00e1p\u00ed pacienty s\u00a0respira\u010dn\u00edm onemocn\u011bn\u00edm ve dne v noci. Pr\u00e1v\u011b p\u0159es noc se pot\u00ed\u017ee obvykle je\u0161t\u011b zhor\u0161uj\u00ed a\u00a0p\u0159ipravuj\u00ed nemocn\u00e9 o sp\u00e1nek. Plicn\u00ed l\u00e9ka\u0159i rad\u00ed opakovan\u00e9 no\u010dn\u00ed obt\u00ed\u017ee nepodce\u0148ovat, spr\u00e1vn\u011b na\u010dasovat inhalaci a b\u00fdt opatrn\u00fd s\u00a0u\u017e\u00edv\u00e1n\u00edm l\u00e9k\u016f na span\u00ed. Jak plicn\u00ed nemoci ovliv\u0148uj\u00ed sp\u00e1nek a co mohou pacienti ud\u011blat pro to, aby si v\u00a0noci odpo\u010dinuli, budou \u0159e\u0161it odborn\u00edci na XXXIV. moravskoslezsk\u00fdch pneumologick\u00fdch dnech, kter\u00e9 startuj\u00ed tento \u010dtvrtek v Brn\u011b.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201e<em>Snad ka\u017ed\u00fd z n\u00e1s n\u011bkdy prod\u011blal ch\u0159ipku nebo vir\u00f3zu prov\u00e1zenou ka\u0161lem. A v\u00edme, jak v&nbsp;takov\u00e9 chv\u00edli vypad\u00e1, nebo sp\u00ed\u0161 nevypad\u00e1 sp\u00e1nek, kdy\u017e se t\u011blo sna\u017e\u00ed ka\u0161lem zbavit hlenu v&nbsp;plic\u00edch. Zdrav\u00fd \u010dlov\u011bk se ale z p\u0159echodn\u00e9 nemoci zotav\u00ed a probd\u011bl\u00e9 noci se stanou jen nep\u0159\u00edjemnou vzpom\u00ednkou. Na\u0161i pacienti v\u0161ak maj\u00ed sp\u00e1nek naru\u0161en\u00fd velmi \u010dasto a&nbsp;dlouhodob\u011b,<\/em><em>\u201c<\/em> <em>\u0159\u00edk\u00e1<\/em> prof. MUDr. Milan Sova, Ph.D., p\u0159ednosta Kliniky nemoc\u00ed plicn\u00edch a&nbsp;tuberkul\u00f3zy Fakultn\u00ed nemocnice Brno.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Probl\u00e9my se \u010dasto zv\u00fdrazn\u00ed pr\u00e1v\u011b po ulehnut\u00ed.Vle\u017ee se hlen dost\u00e1v\u00e1 z d\u00fdchac\u00edch cest h\u016f\u0159e ven a \u010dlov\u011bk ho obt\u00ed\u017en\u011bji vyka\u0161l\u00e1v\u00e1. Pl\u00edce se nav\u00edc h\u016f\u0159 rozp\u00ednaj\u00ed, a d\u00fdch\u00e1n\u00ed tak m\u016f\u017ee b\u00fdt nam\u00e1hav\u011bj\u0161\u00ed. Ve sp\u00e1nku se tak\u00e9 p\u0159irozen\u011b zpomaluje d\u00fdch\u00e1n\u00ed a t\u011blo reaguje na nedostatek kysl\u00edku m\u00e9n\u011b intenzivn\u011b ne\u017e v bd\u011bl\u00e9m stavu.&nbsp;<em>\u201ePokud nap\u0159\u00edklad u pacienta u\u017e b\u011bhem dne doch\u00e1z\u00ed k respira\u010dn\u00edmu selh\u00e1v\u00e1n\u00ed a m\u00e1 nedostatek kysl\u00edku nebo zv\u00fd\u0161en\u00e9 mno\u017estv\u00ed oxidu uhli\u010dit\u00e9ho v t\u011ble, b\u011bhem sp\u00e1nku se tento stav obvykle je\u0161t\u011b zhor\u0161\u00ed,\u201c<\/em>&nbsp;vysv\u011btluje prof. Sova.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zpozorn\u011bt by m\u011bli zejm\u00e9na pacienti s\u00a0chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed (CHOPN), kte\u0159\u00ed v\u00fdrazn\u011b chr\u00e1pou nebo u nich bl\u00edzc\u00ed pozoruj\u00ed z\u00e1stavy dechu b\u011bhem sp\u00e1nku. M\u016f\u017ee se u nich toti\u017e sou\u010dasn\u011b vyskytovat obstruk\u010dn\u00ed sp\u00e1nkov\u00e1 apnoe. Spojen\u00ed t\u011bchto dvou nemoc\u00ed l\u00e9ka\u0159i ozna\u010duj\u00ed jako overlap syndrom. <em>\u201eOrganismus, kter\u00fd ka\u017edou minutu na deset i v\u00edce vte\u0159in p\u0159estane d\u00fdchat, je dlouhodob\u011b vystaven obrovsk\u00e9mu stresu. Nejnov\u011bj\u0161\u00ed studie tak\u00e9 ukazuj\u00ed, \u017ee poruchy sp\u00e1nku vyvol\u00e1vaj\u00ed v\u00a0t\u011ble chronick\u00fd z\u00e1n\u011bt,\u201c<\/em> vysv\u011btluje doc. MUDr. Samuel Genzor, Ph.D., z\u00a0Kliniky plicn\u00edch nemoc\u00ed a tuberkul\u00f3zy Fakultn\u00ed nemocnice v Olomouci. Z\u00e1n\u011bt pak souvis\u00ed zejm\u00e9na se zv\u00fd\u0161en\u00fdm rizikem kardiovaskul\u00e1rn\u00edch komplikac\u00ed. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u201eV\u00edme, \u017ee pacient\u016fm, kte\u0159\u00ed maj\u00ed takzvan\u00fd overlap syndrom, tedy sou\u010dasn\u011b CHOPN a obstruk\u010dn\u00ed sp\u00e1nkovou apnoi, hroz\u00ed v\u00fdznamn\u011b vy\u0161\u0161\u00ed mortalita a um\u00edraj\u00ed d\u0159\u00edve ne\u017e ti, kte\u0159\u00ed maj\u00ed pouze jedno z t\u011bchto onemocn\u011bn\u00ed,\u201c<\/em> dod\u00e1v\u00e1 prof. Sova. Ke klidn\u011bj\u0161\u00ed noci m\u016f\u017ee p\u0159isp\u011bt i spr\u00e1vn\u00e9 na\u010dasov\u00e1n\u00ed inhalace. Zejm\u00e9na l\u00e9ky na \u0159ed\u011bn\u00ed hlenu mohou po pod\u00e1n\u00ed vyvolat ka\u0161el, proto nen\u00ed vhodn\u00e9 nech\u00e1vat jejich u\u017eit\u00ed a\u017e t\u011bsn\u011b p\u0159ed ulehnut\u00edm.\u00a0<em>\u201eObecn\u011b bych doporu\u010dil inhalovat p\u0159ibli\u017en\u011b dv\u011b hodiny p\u0159ed span\u00edm, p\u0159\u00edpadn\u011b i d\u0159\u00edve,\u201c<\/em>\u00a0\u0159\u00edk\u00e1 prof. Sova.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pozor je t\u0159eba d\u00e1t tak\u00e9 na l\u00e9ky na span\u00ed. N\u011bkter\u00e9 z nich mohou b\u011bhem noci tlumit d\u00fdch\u00e1n\u00ed, proto je vhodn\u00e9 jejich u\u017e\u00edv\u00e1n\u00ed konzultovat s l\u00e9ka\u0159em. <em>\u201ePokud se \u010dlov\u011bk kv\u016fli ka\u0161li nebo du\u0161nosti opakovan\u011b bud\u00ed, nem\u011bl by tyto pot\u00ed\u017ee p\u0159ehl\u00ed\u017eet. Stejn\u011b tak by m\u011bl zpozorn\u011bt, pokud ka\u0161el p\u0159etrv\u00e1v\u00e1 d\u00e9le ne\u017e osm t\u00fddn\u016f. V takov\u00e9m p\u0159\u00edpad\u011b je nam\u00edst\u011b obr\u00e1tit se na l\u00e9ka\u0159e,\u201c<\/em>&nbsp;uzav\u00edr\u00e1 prof. Sova.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>L\u00e9ka\u0159i: Pozor na ve\u010dern\u00ed inhalaci a pr\u00e1\u0161ky na span\u00ed Ka\u0161el, zahlen\u011bn\u00ed nebo pocit nedostatku vzduchu tr\u00e1p\u00ed pacienty s\u00a0respira\u010dn\u00edm onemocn\u011bn\u00edm ve dne v noci. Pr\u00e1v\u011b p\u0159es <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=65140\" title=\"Nemocn\u00e9 pl\u00edce kradou lidem sp\u00e1nek\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":61628,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-65140","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\/65140","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=65140"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/65140\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/61628"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=65140"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=65140"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=65140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}