{"id":6220,"date":"2019-08-15T11:07:47","date_gmt":"2019-08-15T09:07:47","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=6220"},"modified":"2020-02-19T15:42:16","modified_gmt":"2020-02-19T13:42:16","slug":"dalsi-pokroky-v-medicine-nebojte-se-zmenit-lecbu-radi-lekar-lidem-se-zanety-kuze","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/dalsi-pokroky-v-medicine-nebojte-se-zmenit-lecbu-radi-lekar-lidem-se-zanety-kuze\/","title":{"rendered":"Dal\u0161\u00ed pokroky v medic\u00edn\u011b. Nebojte se zm\u011bnit l\u00e9\u010dbu, rad\u00ed l\u00e9ka\u0159 lidem se z\u00e1n\u011bty k\u016f\u017ee"},"content":{"rendered":"\n

Toto z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed k\u016f\u017ee se m\u016f\u017ee objevit v podstat\u011b kdykoli a dnes tr\u00e1p\u00ed v \u010cesku asi 200 a\u017e 300 tis\u00edc lid\u00ed.1 <\/sup>\u0158ada z nich m\u016f\u017ee m\u00edt pocit, \u017ee jejich l\u00e9\u010dba nem\u00e1 smysl. Lup\u00e9nku zcela vyl\u00e9\u010dit nelze, ale pomoc\u00ed nov\u00fdch metod je mo\u017en\u00e9 p\u0159\u00edznaky dlouhodob\u011b zcela potla\u010dit nebo alespo\u0148 v\u00fdznamnou m\u011brou sn\u00ed\u017eit jejich z\u00e1va\u017enost. S modern\u00ed l\u00e9\u010dbou je mo\u017en\u00e9 \u00fapln\u00e9 potla\u010den\u00ed ko\u017en\u00edch projev\u016f nebo sn\u00ed\u017een\u00ed hodnoty indexu PASI, kter\u00fdm dermatologov\u00e9 hodnot\u00ed z\u00e1va\u017enost ko\u017en\u00edch projev\u016f lup\u00e9nky, o 90 % a v\u00edce. Takov\u00fd v\u00fdsledek l\u00e9\u010dby je obvykle spojen\u00fd s v\u00fdznamn\u00fdm zlep\u0161en\u00edm kvality \u017eivota.2,3<\/sup><\/strong><\/p>\n\n\n\n

To u\u017e je p\u00e1dn\u00fd d\u016fvod zeptat se l\u00e9ka\u0159e, jestli nen\u00ed \u010das na zm\u011bnu l\u00e9\u010dby. Bohu\u017eel pacienti v \u010cesku b\u00fdvaj\u00ed velmi pasivn\u00ed a ti s lup\u00e9nkou nejsou v\u00fdjimkou.4 <\/sup>\u201eP\u0159esto\u017ee pacient m\u016f\u017ee m\u00edt pocit, \u017ee u\u017e vyzkou\u0161el v\u0161echno, nen\u00ed to d\u016fvod boj vzd\u00e1vat. D\u016fle\u017eit\u00e9 je se sv\u00fdm l\u00e9ka\u0159em spolupracovat, b\u00fdt otev\u0159en\u00fd mo\u017enostem dne\u0161n\u00ed l\u00e9\u010dby a nespokojit se s pr\u016fm\u011brn\u00fdm v\u00fdsledkem. Medic\u00edna jde toti\u017e dop\u0159edu neskute\u010dn\u011b rychle,\u201c <\/em>\u0159\u00edk\u00e1 p\u0159ednosta Kliniky chorob ko\u017en\u00edch a pohlavn\u00edch FN Olomouc, as. MUDr. Martin Tich\u00fd, Ph.D. <\/p>\n\n\n\n

Skvrny na t\u011ble i na du\u0161i<\/strong><\/p>\n\n\n\n

P\u0159\u00ed\u010diny lup\u00e9nky nejsou zcela zn\u00e1my, ale existuj\u00ed d\u016fkazy o d\u011bdi\u010dnosti p\u0159edpoklad\u016f k tomuto onemocn\u011bn\u00ed, jeho\u017e projevy jsou zp\u016fsobeny nep\u0159im\u011b\u0159enou aktivitou vlastn\u00edho imunitn\u00edho syst\u00e9mu pacienta.3 <\/sup>V\u011bt\u0161ina nemocn\u00fdch, asi 80 %, trp\u00ed formou lo\u017eiskov\u00e9 lup\u00e9nky (psoriasis vulgaris). Tento typ lup\u00e9nky zp\u016fsobuje \u010derven\u00e9 skvrny, \u010dasto pokryt\u00e9 vrstvou b\u00edl\u00fdch \u0161upin, a doprov\u00e1z\u00ed ho tak\u00e9 bolest a sv\u011bd\u011bn\u00ed k\u016f\u017ee.1,6<\/sup><\/p>\n\n\n\n

Lup\u00e9nka nen\u00ed zcela vyl\u00e9\u010diteln\u00e1 a nemocn\u00e9ho prov\u00e1z\u00ed v r\u016fzn\u00e9 intenzit\u011b obvykle po zbytek \u017eivota.6 <\/sup>Bolestiv\u00e9 a viditeln\u00e9 skvrny na k\u016f\u017ei p\u0159itom nemus\u00ed b\u00fdt v d\u016fsledku t\u00edm nejhor\u0161\u00edm. P\u0159edstavuje tak\u00e9 velkou psychickou z\u00e1t\u011b\u017e.6 <\/sup>Pacienti s lup\u00e9nkou prokazateln\u011b \u010dast\u011bji trp\u00ed depresemi a dal\u0161\u00edmi psychiatrick\u00fdmi obt\u00ed\u017eemi.7 <\/sup>V\u00fdskyt lo\u017eisek na nejv\u00edce viditeln\u00fdch m\u00edstech, tedy na obli\u010deji a na rukou, u pacient\u016f vyvol\u00e1v\u00e1 stud, \u00fazkost a vede k nedobrovoln\u00e9 soci\u00e1ln\u00ed izolaci.8<\/sup><\/p>\n\n\n\n

Pacienti s lup\u00e9nkou ud\u00e1vaj\u00ed, \u017ee poci\u0165uj\u00ed hn\u011bv nebo bezmoc, a p\u0159izn\u00e1vaj\u00ed \u010dast\u011bj\u0161\u00ed \u00favahy o sebevra\u017ed\u011b ne\u017e jin\u00ed pacienti. A\u017e 91 % pacient\u016f v \u010cesk\u00e9 republice trp\u00ed v t\u00e9to souvislosti diskriminac\u00ed nebo poni\u017eov\u00e1n\u00edm, jak vypl\u00fdv\u00e1 z pr\u016fzkumu agentury GfK.9 <\/sup>Ka\u017ed\u00e9mu druh\u00e9mu pacientovi s lup\u00e9nkou zasahuje nemoc do pracovn\u00edho \u017eivota. Tak\u0159ka polovina nemocn\u00fdch c\u00edt\u00ed, \u017ee psori\u00e1za negativn\u011b ovliv\u0148uje jejich partnersk\u00e9 vztahy. Z t\u00e9to \u010d\u00e1sti 37 % za\u017eilo rozchod s partnerem kv\u016fli nemoci, t\u0159etina se ve vztahu c\u00edt\u00ed m\u00e9n\u011bcenn\u011b a polovina se kv\u016fli lup\u00e9nce vyh\u00fdb\u00e1 sexu\u00e1ln\u00edm nebo intimn\u00edm vztah\u016fm.<\/p>\n\n\n\n

Nad\u011bje na zm\u011bnu<\/strong><\/p>\n\n\n\n

V tuto chv\u00edli existuje mno\u017estv\u00ed r\u016fzn\u00fdch zp\u016fsob\u016f l\u00e9\u010dby lup\u00e9nky. M\u016f\u017eeme je rozd\u011blit do dvou hlavn\u00edch kategori\u00ed: lok\u00e1ln\u00ed l\u00e9\u010dba lo\u017eisek, kter\u00e1 se aplikuje p\u0159\u00edmo na k\u016f\u017ei a zahrnuje r\u016fzn\u00e9 kr\u00e9my a masti, a syst\u00e9mov\u00e1 l\u00e9\u010dba, pod\u00e1van\u00e1 ve form\u011b tablet nebo injekc\u00ed \u010di infuz\u00ed, kter\u00e1 p\u016fsob\u00ed v cel\u00e9m organismu. Mezi mo\u017enosti l\u00e9\u010dby pat\u0159\u00ed tak\u00e9 fototerapie, kter\u00e1 vyu\u017e\u00edv\u00e1 ultrafialov\u00e9 z\u00e1\u0159en\u00ed.1 <\/sup>\u201eMezisyst\u00e9mov\u00e9 formy l\u00e9\u010dby pat\u0159\u00ed i nejmodern\u011bj\u0161\u00ed \u2013 biologick\u00e1 l\u00e9\u010dba, kter\u00e1 c\u00edlen\u011b zasahuje do mechanismu vzniku z\u00e1n\u011btu. Pod\u00e1v\u00e1 se ve form\u011b infuz\u00ed nebo podko\u017en\u00edch injekc\u00ed. Biologick\u00e1 l\u00e9\u010dba m\u016f\u017ee b\u00fdt efektivn\u00edm \u0159e\u0161en\u00edm pro pacienty s t\u011b\u017ekou psori\u00e1zou, u nich\u017e nebyly \u00fa\u010dinn\u00e9 alespo\u0148 dv\u011b p\u0159edchoz\u00ed metody tzv. konven\u010dn\u00ed syst\u00e9mov\u00e9 l\u00e9\u010dby,<\/em>\u201cdod\u00e1v\u00e1 MUDr. Martin Tich\u00fd, Ph.D. \u201eJe d\u016fle\u017eit\u00e9, aby se pacienti nestali pasivn\u00ed, neztr\u00e1celi nad\u011bji a \u0161li l\u00e9\u010db\u011b lup\u00e9nky naproti.\u201c<\/em><\/p>\n\n\n\n

Nep\u0159est\u00e1vejte se sv\u00e9ho l\u00e9ka\u0159e pt\u00e1t na nov\u00e9 zp\u016fsoby l\u00e9\u010dby a nespokojte se s polovi\u010dn\u00edm v\u00fdsledkem. Bu\u010fte kone\u010dn\u011b ve sv\u00e9 k\u016f\u017ei. V\u00edce informac\u00ed na www.cistakuze.cz<\/a>.<\/p>\n\n\n\n

Kontakt pro m\u00e9dia: 
<\/strong>Mark\u00e9ta Hrab\u00e1nkov\u00e1, Senior PR Manager, Havas, 702 213 341, marketa.hrabankova@havaspr.com<\/a>
Krist\u00fdna Hudeov\u00e1, PR Executive, Havas, 727 818 975, kristyna.hudeova@havaspr.com<\/a><\/p>\n\n\n\n

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

1. Drozenov\u00e1, H. Lup\u00e9nka. Dermatol. praxi 2008; 2,3: 121\u2013125.2.
2. Gisondi, P., et al. J. Eur. Acad. Dermatol. Venereol. 2017; 31: 774\u2013790.
3. Daud\u00e9n, E., et al. J. Eur. Acad. Dermatol. Venereol. 2016; 30: 1\u201318.
4. Gkalpakiotis, S. L\u00e9\u010dbu lup\u00e9nky \u010dasto brzd\u00ed n\u00edzk\u00e1 informovanost i opo\u017ed\u011bn\u00e1 diagn\u00f3za,  https:\/\/www.ceskenoviny.cz\/zpravy\/lecbu-lupenky-casto-brzdi-nizka-informovanost-i-opozdena-diagnoza\/1673490<\/a>
5. Gkalpakiotis, S. Komorbidity psori\u00e1zy. \u010cas. L\u00e9k. \u010des. 2017; 156: 119\u2013122.
6. Kolli, S.S., et al. Psychosocial Impact of Psoriasis: A Review for Dermatology Residents. Cutis, 2018. 102(5s): p. 21\u201325.
7. Rabin, F., et al. Mymensingh Med J. 2012; 21(4): 780\u20136.
8. Global report on psoriasis, WHO 2016 
9. ZN PLUS: Dermatovenerologie. Psori\u00e1za z pohledu pacient\u016f aneb \u201eClear about Psoriasis\u201c, 30\/2018: 8\u201310.<\/p>\n","protected":false},"excerpt":{"rendered":"

S rychl\u00fdm v\u00fdvojem medic\u00edny se otev\u00edraj\u00ed nov\u00e9 mo\u017enosti i pacient\u016fm, kte\u0159\u00ed nad sv\u00fdm zdrav\u00edm d\u00e1vno zlomili h\u016fl. Pat\u0159\u00ed mezi n\u011b t\u0159eba lid\u00e9 trp\u00edc\u00ed lup\u00e9nkou neboli psori\u00e1zou.<\/p>\n","protected":false},"author":48,"featured_media":7545,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-6220","pressroom","type-pressroom","status-publish","has-post-thumbnail","hentry","pressroom_tag-zdravi"],"yoast_head":"\nDal\u0161\u00ed pokroky v medic\u00edn\u011b. 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