{"id":11067,"date":"2020-12-09T14:00:03","date_gmt":"2020-12-09T12:00:03","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=11067"},"modified":"2020-12-09T15:56:43","modified_gmt":"2020-12-09T13:56:43","slug":"pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/","title":{"rendered":"Pravda a m\u00fdty o kortikosteroidech \u2013 kortikofobie je p\u0159e\u017eitek"},"content":{"rendered":"

Seznamte se s\u00a0kortikosteroidy<\/strong><\/p>\n

Nejprve si \u0159ekn\u011bme, co jsou to kortikosteroidy. Obecn\u011b m\u016f\u017eeme \u0159\u00edct, \u017ee se jedn\u00e1 o l\u00e9ky sni\u017euj\u00edc\u00ed z\u00e1n\u011bt v\u00a0t\u011ble. Kortikosteroidy tak pom\u00e1haj\u00ed zm\u00edrnit otoky, sv\u011bd\u011bn\u00ed, zarudnut\u00ed nebo i\u00a0jin\u00e9 alergick\u00e9 reakce, a proto je l\u00e9ka\u0159i \u010dasto p\u0159edepisuj\u00ed lidem trp\u00edc\u00edm astmatem, artritidou nebo alergiemi.3<\/sup> Kortikosteroidy jsou steroidn\u00ed hormony p\u0159irozen\u011b se vytv\u00e1\u0159ej\u00edc\u00ed v k\u016f\u0159e nadledvin. Lid\u00e9 je v\u0161ak zam\u011b\u0148uj\u00ed za tzv. kortikoidy, co\u017e jsou um\u011ble vytvo\u0159en\u00e9 obdoby t\u011bchto hormon\u016f.4<\/sup> Kortikosteroidy se pod\u00e1vaj\u00ed prost\u0159ednictv\u00edm ple\u0165ov\u00fdch kr\u00e9m\u016f, o\u010dn\u00edch kapek, injekc\u00ed, tobolek nebo pr\u00e1v\u011b pomoc\u00ed inhal\u00e1tor\u016f p\u0159i l\u00e9\u010db\u011b astmatu.3<\/sup><\/p>\n

Pravdy a m\u00fdty o kortikosteroidech\u200b<\/strong><\/p>\n

Inhala\u010dn\u00ed kortikosteroidy pom\u00e1haj\u00ed pacient\u016fm ji\u017e od konce 80. let 20. stolet\u00ed. I p\u0159esto\u017ee jsou dnes pokl\u00e1d\u00e1ny za nej\u00fa\u010dinn\u011bj\u0161\u00ed protiz\u00e1n\u011btliv\u00e1 antiastmatika,1<\/sup> \u0159ada lid\u00ed z nich m\u00e1 obavy kv\u016fli koluj\u00edc\u00edm m\u00fdt\u016fm. Zaj\u00edm\u00e1 v\u00e1s, jak\u00e9 m\u00fdty m\u00e1me na mysli? \u010ct\u011bte d\u00e1le.<\/p>\n

    \n
  1. m\u00fdtus:<\/strong> Inhala\u010dn\u00ed kortikosteroidy jsou zdrav\u00ed \u0161kodliv\u00e9 a maj\u00ed spoustu negativn\u00edch vedlej\u0161\u00edch \u00fa\u010dink\u016f.<\/li>\n<\/ol>\n

    Pravda:<\/strong> Pro lidi trp\u00edc\u00ed astmatem je v\u00fdhodou, \u017ee se kortikosteroidy inhalov\u00e1n\u00edm dost\u00e1vaj\u00ed do pr\u016fdu\u0161ek v\u00a0mal\u00fdch d\u00e1vk\u00e1ch, co\u017e sni\u017euje mo\u017enost jak\u00fdchkoliv ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f a l\u00e9ky se mohou u\u017e\u00edvat i po mnoho let. Inhala\u010dn\u00ed kortikosteroidy se nav\u00edc d\u00edky vdechnut\u00ed dostanou p\u0159\u00edmo do d\u00fdchac\u00edch cest, kde maj\u00ed maxim\u00e1ln\u00ed l\u00e9\u010debn\u00fd \u00fa\u010dinek a z\u00e1rove\u0148 se t\u00edmto p\u0159\u00edm\u00fdm zac\u00edlen\u00edm zvy\u0161uje i jejich bezpe\u010dnost. Po pou\u017eit\u00ed inhal\u00e1toru si nezapome\u0148te vypl\u00e1chnout \u00fasta, aby v\u00e1m tam zbytky kortikosteroidu nez\u016fstaly a nezp\u016fsobily r\u016fzn\u00e9 z\u00e1n\u011bty, kter\u00e9 se mohou \u0159adit mezi potenci\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky.1,5<\/sup><\/p>\n

      \n
    1. m\u00fdtus:<\/strong> Kortikosteroidy sni\u017euj\u00ed imunitu.<\/li>\n<\/ol>\n

      Pravda:<\/strong> Pacienti s\u00a0astmatem u\u017e\u00edvaj\u00edc\u00ed kortikosteroidy pomoc\u00ed inhal\u00e1toru nemus\u00ed m\u00edt strach, \u017ee by l\u00e9ky sni\u017eovaly imunitu, \u010d\u00edm\u017e by pak spadali do rizikov\u00e9 skupiny nap\u0159\u00edklad v\u00a0obdob\u00ed ch\u0159ipek nebo sou\u010dasn\u00e9 koronavirov\u00e9 situace. Naopak je d\u016fle\u017eit\u00e9, aby nad\u00e1le pokra\u010dovali v p\u0159edepsan\u00e9 l\u00e9\u010db\u011b a m\u011bli t\u00edm astma pod kontrolou. Riziko naka\u017een\u00ed koronavirem pak nen\u00ed vy\u0161\u0161\u00ed ne\u017e u\u00a0ostatn\u00edch lid\u00ed.6<\/sup><\/p>\n

        \n
      1. m\u00fdtus:<\/strong> U\u017e\u00edv\u00e1n\u00ed inhala\u010dn\u00edch kortikosteroid\u016f zp\u016fsobuje zv\u00fd\u0161en\u00fd r\u016fst sval\u016f a vlas\u016f.<\/li>\n<\/ol>\n

        Pravda:<\/strong> Kortikosteroidy pod\u00e1van\u00e9 p\u0159i l\u00e9\u010db\u011b astmatu jsou odli\u0161n\u00fdm typem l\u00e9\u010div, ne\u017e u\u017e\u00edvaj\u00ed lid\u00e9 za \u00fa\u010delem r\u016fstu svaloviny nebo vlas\u016f. Kortikosteroid ur\u010den\u00fd pro inhalov\u00e1n\u00ed jde p\u0159\u00edmo do va\u0161ich plic, kde je pot\u0159eba, a nem\u00e1 \u017e\u00e1dn\u00fd vliv na svaly \u010di vlasy.5<\/sup><\/p>\n

          \n
        1. m\u00fdtus:<\/strong> U\u017e\u00edv\u00e1n\u00ed inhala\u010dn\u00edch kortikosteroid\u016f z\u00e1sadn\u011b brzd\u00ed v\u00fdvoj a r\u016fst d\u011bt\u00ed.<\/li>\n<\/ol>\n

          Pravda:<\/strong> U d\u011bt\u00ed m\u016f\u017ee doj\u00edt pouze k\u00a0m\u00edrn\u00e9mu zpomalen\u00ed r\u016fstu a tento vedlej\u0161\u00ed \u00fa\u010dinek l\u00e9k\u016f je velmi vz\u00e1cn\u00fd. Pro v\u011bt\u0161inu lid\u00ed je to nav\u00edc kompenzov\u00e1no lep\u0161\u00ed schopnost\u00ed d\u00fdchat d\u00edky pozitivn\u00edm \u00fa\u010dink\u016fm l\u00e9ku. V celkov\u00e9m v\u00fdvoji d\u00edt\u011bte pak nehraj\u00ed kortikosteroidy \u017e\u00e1dnou roli.5<\/sup><\/p>\n

            \n
          1. m\u00fdtus: <\/strong>Inhala\u010dn\u00ed kortikosteroidy zp\u016fsobuj\u00ed r\u016fzn\u00e9 psychick\u00e9 poruchy, deprese, nespavost, agresivitu, euforii a emo\u010dn\u00ed labilitu.<\/li>\n<\/ol>\n

            Pravda:<\/strong> Psychiatrick\u00e9 poruchy u lid\u00ed u\u017e\u00edvaj\u00edc\u00edch inhala\u010dn\u00ed kortikosteroidy jsou op\u011bt jen velmi vz\u00e1cn\u00e9 a u v\u011bt\u0161iny astmatik\u016f nebyla jasn\u011b prok\u00e1z\u00e1na souvislost.1<\/sup><\/p>\n

            Role kortikosteroid\u016f je p\u0159i l\u00e9\u010db\u011b astmatu\u200b kl\u00ed\u010dov\u00e1 <\/strong><\/p>\n

            V\u00a0sou\u010dasn\u00e9 dob\u011b lze inhala\u010dn\u00ed kortikosteroidy p\u0159i l\u00e9\u010db\u011b astmatu pod\u00e1vat v\u00a0nejr\u016fzn\u011bj\u0161\u00edch proveden\u00edch (inhala\u010dn\u00ed, tabletov\u00e9, injek\u010dn\u00ed) a l\u00e9ka\u0159 tak m\u016f\u017ee individu\u00e1ln\u011b ka\u017ed\u00e9mu astmatikovi naj\u00edt tu nejpohodln\u011bj\u0161\u00ed mo\u017enost k u\u017e\u00edv\u00e1n\u00ed l\u00e9ku.7<\/sup> P\u0159esto pat\u0159\u00ed inhala\u010dn\u00ed pod\u00e1n\u00ed l\u00e9ku k\u00a0t\u011bm v\u00fdhodn\u011bj\u0161\u00edm, nebo\u0165 p\u016fsob\u00ed nejrychleji p\u0159\u00edmo v\u00a0m\u00edst\u011b probl\u00e9mu.7<\/sup> Je d\u016fle\u017eit\u00e9 si uv\u011bdomit, \u017ee l\u00e9\u010dba astmatu kortikosteroidy se mus\u00ed pod\u00e1vat dlouhodob\u011b a pravideln\u011b. Jedin\u011b s t\u00edmto p\u0159\u00edstupem je terapie maxim\u00e1ln\u011b \u00fa\u010dinn\u00e1 a chronick\u00fd z\u00e1n\u011bt d\u00fdchac\u00edch cest potla\u010den.1<\/sup>Aby ale l\u00e9\u010dba byla \u00fa\u010dinn\u00e1, je d\u016fle\u017eit\u00e9 um\u011bt spr\u00e1vn\u011b inhalovat. V\u00edce ne\u017e 50\u00a0% lid\u00ed s\u00a0diagnostikovan\u00fdm astmatem nebo CHOPN toti\u017e pou\u017e\u00edv\u00e1 inhal\u00e1tor \u0161patn\u00fdm zp\u016fsobem a jejich nemoci se tak nedost\u00e1v\u00e1 pot\u0159ebn\u00e9 l\u00e9\u010dby.8<\/sup> Jestli\u017ee si proto nejste jisti, \u017ee s\u00a0inhal\u00e1torem pracujete spr\u00e1vn\u011b, pod\u00edvejte se na www.mujinhalator.cz<\/a>, kde najdete n\u00e1vody k\u00a0r\u016fzn\u00fdm typ\u016fm inhal\u00e1tor\u016f.9<\/sup><\/p>\n

            Kontakt pro m\u00e9dia:\u00a0<\/strong><\/p>\n

            Mark\u00e9ta\u00a0Stillerov\u00e1 (Hrab\u00e1nkov\u00e1), Senior PR\u00a0Director,\u00a0Havas, 702\u00a0213 341,\u00a0marketa.stillerova@havaspr.com<\/a><\/p>\n

            Michaela\u00a0Jura\u010d\u00e1kov\u00e1, PR\u00a0Executive,\u00a0Havas, 602 766 398,\u00a0michaela.juracakova@havaspr.com<\/a><\/p>\n

            Zdroje:<\/strong><\/p>\n

              \n
            1. HUTYROV\u00c1, Be\u00e1ta. Inhala\u010dn\u00ed kortikosteroidy v\u00a0l\u00e9\u010db\u011b bronchi\u00e1ln\u00edho astmatu \u2013 m\u00e1me se jich b\u00e1t, nebo b\u00fdt r\u00e1di za jejich efekt? In: cz <\/em>[online]. <\/em>Dostupn\u00e9 z: https:\/\/www.klinickafarmakologie.cz\/pdfs\/far\/2015\/03\/05.pdf<\/a><\/li>\n
            2. \u010cesk\u00e1 iniciativa pro astma. Pr\u016fdu\u0161kov\u00e9 astma \u2013 4. d\u00edl. Jak se astma l\u00e9\u010d\u00ed<\/em> [online].<\/em> Dostupn\u00e9 z: https:\/\/www.cipa.cz\/informace-o-astmatu\/pruduskove-astma-4-dil-53<\/a><\/li>\n
            3. Corticosteroids: What Are They?<\/em> [online]. Dostupn\u00e9 z: https:\/\/www.healthline.com\/health\/corticosteroids-what-are-they<\/a><\/li>\n
            4. Zdravotnictv\u00ed a medic\u00edna. Kortikoidy maj\u00ed sv\u00e1 pro i proti. Jak p\u016fsob\u00ed na na\u0161e zdrav\u00ed? <\/em>[online]. Dostupn\u00e9 z: https:\/\/zdravi.euro.cz\/leky\/kortikoidy-lecba-nezadouci-ucinky\/<\/a><\/li>\n
            5. Michigan Medicine University of Michigan. Steroid Medicine for Asthma: Myths and Facts<\/em> [online]. Dostupn\u00e9 z: https:\/\/www.uofmhealth.org\/health-library\/abo6502<\/a><\/li>\n
            6. POHUNEK, Petr. Astma a koronavirov\u00e1 epidemie<\/em> [online]. Dostupn\u00e9 z: https:\/\/www.cipa.cz\/dokumenty\/astma-koronavirus.pdf<\/a><\/li>\n
            7. POHUNEK, Petr. Pr\u016fdu\u0161kov\u00e9 astma \u2013 4. d\u00edl <\/em>[online]. Dostupn\u00e9 z: https:\/\/www.cipa.cz\/informace-o-astmatu\/pruduskove-astma-4-dil-53<\/a><\/li>\n
            8. Respiratory\u00a0Medicine<\/em>. 2018<\/li>\n
            9. M\u016fj inhal\u00e1tor. Dostupn\u00e9 z: https:\/\/www.mujinhalator.cz<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

              Onemocn\u011bn\u00ed d\u00fdchac\u00edch cest, jako je astma nebo chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN), zat\u011b\u017euje ka\u017edodenn\u00ed \u017eivot cel\u00e9 \u0159ady dosp\u011bl\u00fdch i d\u011bt\u00ed. D\u00edky dne\u0161n\u00ed medic\u00edn\u011b se v\u0161ak da\u0159\u00ed tyto nemoci dr\u017eet pod dlouhodobou kontrolou, u\u017e\u00edv\u00e1-li pacient vhodn\u00e9 l\u00e9ky tak, jak m\u00e1. Na astma, jeho\u017e p\u0159\u00ed\u010dinou je z\u00e1n\u011btliv\u00e1 reakce v pr\u016fdu\u0161kov\u00e9 sliznici, nejl\u00e9pe p\u016fsob\u00ed protiz\u00e1n\u011btliv\u00e9 kortikosteroidy.1<\/sup> Pomoc\u00ed inhalace se dost\u00e1vaj\u00ed p\u0159\u00edmo do d\u00fdchac\u00edch cest, \u010d\u00edm\u017e se zvy\u0161uje jejich \u00fa\u010dinnost.2<\/sup> P\u0159esto o kortikosteroidech ve spole\u010dnosti koluj\u00ed r\u016fzn\u00e9 m\u00fdty. Poj\u010fme se proto spole\u010dn\u011b pod\u00edvat na n\u011bkter\u00e9 z nich a vysv\u011btlit si, jak to s kortikosteroidy doopravdy je a pro\u010d jsou obavy p\u0159i jejich inhala\u010dn\u00edm u\u017e\u00edv\u00e1n\u00ed neopr\u00e1vn\u011bn\u00e9. <\/p>\n","protected":false},"author":48,"featured_media":9716,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-11067","pressroom","type-pressroom","status-publish","has-post-thumbnail","hentry","pressroom_tag-zdravi"],"yoast_head":"\nPravda a m\u00fdty o kortikosteroidech \u2013 kortikofobie je p\u0159e\u017eitek - Havas Prague<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pravda a m\u00fdty o kortikosteroidech \u2013 kortikofobie je p\u0159e\u017eitek - Havas Prague\" \/>\n<meta property=\"og:description\" content=\"Onemocn\u011bn\u00ed d\u00fdchac\u00edch cest, jako je astma nebo chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN), zat\u011b\u017euje ka\u017edodenn\u00ed \u017eivot cel\u00e9 \u0159ady dosp\u011bl\u00fdch i d\u011bt\u00ed. D\u00edky dne\u0161n\u00ed medic\u00edn\u011b se v\u0161ak da\u0159\u00ed tyto nemoci dr\u017eet pod dlouhodobou kontrolou, u\u017e\u00edv\u00e1-li pacient vhodn\u00e9 l\u00e9ky tak, jak m\u00e1. Na astma, jeho\u017e p\u0159\u00ed\u010dinou je z\u00e1n\u011btliv\u00e1 reakce v pr\u016fdu\u0161kov\u00e9 sliznici, nejl\u00e9pe p\u016fsob\u00ed protiz\u00e1n\u011btliv\u00e9 kortikosteroidy.1 Pomoc\u00ed inhalace se dost\u00e1vaj\u00ed p\u0159\u00edmo do d\u00fdchac\u00edch cest, \u010d\u00edm\u017e se zvy\u0161uje jejich \u00fa\u010dinnost.2 P\u0159esto o kortikosteroidech ve spole\u010dnosti koluj\u00ed r\u016fzn\u00e9 m\u00fdty. Poj\u010fme se proto spole\u010dn\u011b pod\u00edvat na n\u011bkter\u00e9 z nich a vysv\u011btlit si, jak to s kortikosteroidy doopravdy je a pro\u010d jsou obavy p\u0159i jejich inhala\u010dn\u00edm u\u017e\u00edv\u00e1n\u00ed neopr\u00e1vn\u011bn\u00e9.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/\" \/>\n<meta property=\"og:site_name\" content=\"Havas Prague\" \/>\n<meta property=\"article:modified_time\" content=\"2020-12-09T13:56:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/havas.cz\/wp-content\/uploads\/2020\/07\/inhalator1200x600-0000-spravne-uziti-inhalatoru-je-pro-lecbu-klicove.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/\",\"url\":\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/\",\"name\":\"Pravda a m\u00fdty o kortikosteroidech \u2013 kortikofobie je p\u0159e\u017eitek - Havas Prague\",\"isPartOf\":{\"@id\":\"https:\/\/havas.cz\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/havas.cz\/wp-content\/uploads\/2020\/07\/inhalator1200x600-0000-spravne-uziti-inhalatoru-je-pro-lecbu-klicove.jpg\",\"datePublished\":\"2020-12-09T12:00:03+00:00\",\"dateModified\":\"2020-12-09T13:56:43+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/#primaryimage\",\"url\":\"https:\/\/havas.cz\/wp-content\/uploads\/2020\/07\/inhalator1200x600-0000-spravne-uziti-inhalatoru-je-pro-lecbu-klicove.jpg\",\"contentUrl\":\"https:\/\/havas.cz\/wp-content\/uploads\/2020\/07\/inhalator1200x600-0000-spravne-uziti-inhalatoru-je-pro-lecbu-klicove.jpg\",\"width\":1200,\"height\":600},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/havas.cz\/pressroom\/pravda-a-myty-o-kortikosteroidech-kortikofobie-je-prezitek\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Dom\u016f\",\"item\":\"https:\/\/havas.cz\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pressroom\",\"item\":\"https:\/\/havas.cz\/pressroom\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Pravda a m\u00fdty o kortikosteroidech \u2013 kortikofobie je p\u0159e\u017eitek\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/havas.cz\/#website\",\"url\":\"https:\/\/havas.cz\/\",\"name\":\"Havas Prague\",\"description\":\"Agentura Havas Prague. 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