{"id":7073,"date":"2019-05-31T16:05:20","date_gmt":"2019-05-31T14:05:20","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=7073"},"modified":"2020-02-05T16:05:51","modified_gmt":"2020-02-05T14:05:51","slug":"tvrda-pravda-o-migrene-zadne-boleni-hlavy","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/","title":{"rendered":"Tvrd\u00e1 pravda o migr\u00e9n\u011b: \u017e\u00e1dn\u00e9 \u201ebolen\u00ed hlavy\u201c"},"content":{"rendered":"\r\n

Toto z\u00e1va\u017en\u00e9 neurologick\u00e9 onemocn\u011bn\u00ed postihuje p\u0159edev\u0161\u00edm populaci v nejproduktivn\u011bj\u0161\u00edm v\u011bku, mezi 18.a 60. rokem \u017eivota, a je dom\u00e9nou \u017een.\u00a04<\/sup>\u00a0Rozhodn\u011b nen\u00ed jen tak n\u011bjak\u00fdm \u201ebolen\u00edm hlavy\u201c, vyzna\u010duje se paralyzuj\u00edc\u00ed bolest\u00ed doprov\u00e1zenou nevolnost\u00ed, poruchou vid\u011bn\u00ed a citlivost\u00ed na sv\u011btlo a zvuky. Jeho vliv na kvalitu \u017eivota je z\u00e1sadn\u00ed. P\u0159edstavuje st\u00e1l\u00fd probl\u00e9m, u kter\u00e9ho \u010dlov\u011bk nikdy nev\u00ed, kdy mu p\u0159ekaz\u00ed pl\u00e1ny. Ke zm\u00edrn\u011bn\u00ed migr\u00e9ny doposud pom\u00e1hala analgetika, triptany a nec\u00edlen\u00e1 preventivn\u00ed l\u00e9\u010dba. Novinkou v oblasti prevence je c\u00edlen\u00e1 biologick\u00e1 l\u00e9\u010dba.\u00a05 6 7<\/sup><\/strong><\/p>\r\n\r\n\r\n\r\n

T\u011bm, kte\u0159\u00ed znaj\u00ed \u201ejen\u201c klasickou bolest hlavy, se t\u011b\u017eko vysv\u011btluje, jak moc odli\u0161nou bolest poci\u0165uj\u00ed migrenici. Migr\u00e9na se od b\u011b\u017en\u00e9 bolesti hlavy odli\u0161uje celou \u0159adou dal\u0161\u00edch p\u0159\u00edznak\u016f, kter\u00e9 dok\u00e1\u017e\u00ed pacienta p\u0159i akutn\u00edm migren\u00f3zn\u00edm stavu komplexn\u011b ochromit a vy\u0159adit ze \u017eivota. V\u016fl\u00ed je rozhodn\u011b nep\u0159em\u016f\u017eete. U ka\u017ed\u00e9ho pacienta m\u016f\u017ee m\u00edt ataka migr\u00e9ny jin\u00fd pr\u016fb\u011bh a jej\u00ed trv\u00e1n\u00ed se pohybuje mezi 4 a 72 hodinami. Projevuje se jednostrannou nebo pulzuj\u00edc\u00ed bolest\u00ed hlavy, \u010dasto doprov\u00e1zenou \u017ealude\u010dn\u00ed nevolnost\u00ed a zvracen\u00edm, p\u0159ecitliv\u011blost\u00ed na sv\u011btlo a hluk, pocen\u00edm, extr\u00e9mn\u00ed \u00fanavou a\u017e depresivn\u00edmi stavy. V\u00fdjimkou nen\u00ed ani zimnice, n\u00e1valy horka, pr\u016fjem a m\u017eitky p\u0159ed o\u010dima.5,\u00a06,\u00a07<\/sup><\/p>\r\n\r\n\r\n\r\n

Od tlumen\u00ed bolesti k\u00a0preventivn\u00ed l\u00e9\u010db\u011b<\/strong><\/p>\r\n\r\n\r\n\r\n

A\u010dkoli je migr\u00e9na t\u0159et\u00edm nejb\u011b\u017en\u011bj\u0161\u00edm onemocn\u011bn\u00edm na sv\u011bt\u011b,8<\/sup>lid\u00e9 o tomto probl\u00e9mu \u010dasto nemluv\u00ed s\u00a0l\u00e9ka\u0159em. I to m\u016f\u017ee b\u00fdt d\u016fvodem, pro\u010d v\u00edce ne\u017e 40\u00a0% pacient\u016f nem\u00e1 nemoc diagnostikovanou.3\u00a0<\/sup>Pr\u00e1v\u011b informovan\u00fd praktick\u00fd l\u00e9ka\u0159 toti\u017e m\u016f\u017ee sv\u00e9ho pacienta v\u010das p\u0159edat do p\u00e9\u010de specializovan\u00e9ho l\u00e9ka\u0159e, neurologa, kter\u00fd se o n\u011bj po str\u00e1nce migr\u00e9ny n\u00e1sledn\u011b star\u00e1. Pacienti se ale v\u00a0\u0159ad\u011b p\u0159\u00edpad\u016f sna\u017e\u00ed \u0159e\u0161it akutn\u00ed stavy pomoc\u00ed voln\u011b prodejn\u00fdch l\u00e9k\u016f proti bolesti. Kombinace a zvy\u0161uj\u00edc\u00ed se d\u00e1vky analgetik znamenaj\u00ed velkou z\u00e1t\u011b\u017e pro organismus a mohou v\u00e9st k postupn\u00e9mu vytvo\u0159en\u00ed rezistence proti t\u00e9to form\u011b l\u00e9\u010dby. L\u00e9ky proti bolesti p\u0159est\u00e1vaj\u00ed \u00fa\u010dinkovat a jejich nadu\u017e\u00edv\u00e1n\u00ed m\u016f\u017ee naopak vy\u00fastit v\u00a0siln\u00e9 bolesti hlavy.9,\u00a010,\u00a011<\/sup>\u201eVoln\u011b prodejn\u00e1 analgetika nejsou \u0159e\u0161en\u00edm. Pacienti bez konzultace s\u00a0l\u00e9ka\u0159em u\u017e\u00edvaj\u00ed i n\u011bkolik tablet l\u00e9k\u016f proti bolesti denn\u011b, p\u0159esto\u017ee na akutn\u00ed l\u00e9\u010dbu migr\u00e9ny jsou ur\u010deny l\u00e9ky ze skupiny triptan\u016f. Ka\u017ed\u00fd pacient by m\u011bl za\u010d\u00edt u sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, s\u00a0n\u00edm\u017e sv\u016fj probl\u00e9m zkonzultuje, a on jej n\u00e1sledn\u011b dle z\u00e1va\u017enosti onemocn\u011bn\u00ed doporu\u010d\u00ed na specializovan\u00e9 neurologick\u00e9 pracovi\u0161t\u011b,\u201c\u00a0<\/em>\u0159\u00edk\u00e1 MUDr. David Dole\u017eil, Ph.D., MBA, p\u0159edseda Spole\u010dnosti pro diagnostiku a l\u00e9\u010dbu bolest\u00ed hlavy a neurolog z\u00a0Headache Centra Praha.<\/p>\r\n\r\n\r\n\r\n

Den migrenika<\/strong><\/p>\r\n\r\n\r\n\r\n

Neust\u00e1l\u00e9 o\u010dek\u00e1v\u00e1n\u00ed mo\u017en\u00e9ho z\u00e1chvatu, to je ka\u017edodenn\u00ed rutina migrenika. P\u0159ibli\u017en\u011b 20\u00a0% migrenik\u016f dok\u00e1\u017ee bl\u00ed\u017e\u00edc\u00ed se z\u00e1chvat poznat.12<\/sup>Tito pacienti za\u017e\u00edvaj\u00ed tzv. auru, kter\u00e1 p\u0159\u00edchod migr\u00e9ny ohla\u0161uje. F\u00e1ze aury netrv\u00e1 v\u00edce ne\u017e 60 minut a je charakteristick\u00e1 v\u00fdpadky vid\u011bn\u00ed v\u00a0\u010d\u00e1sti zorn\u00e9ho pole, poruchou citlivosti, zhor\u0161enou schopnost\u00ed mluvit a omezenou hybnost\u00ed kon\u010detin.Pot\u00e9 nastupuj\u00ed klasick\u00e9 p\u0159\u00edznaky migr\u00e9ny, kter\u00e9 vy\u0159azuj\u00ed pacienta z\u00a0b\u011b\u017en\u00fdch denn\u00edch \u010dinnost\u00ed \u2013 z\u00a0rodinn\u00e9ho, pracovn\u00edho i spole\u010densk\u00e9ho \u017eivota. Nejde p\u0159edem odhadnout, kdy se ataka migr\u00e9ny objev\u00ed.5,\u00a013,\u00a014<\/sup><\/p>\r\n\r\n\r\n\r\n

\u0158adapacient\u016f na probl\u00e9m migr\u00e9ny po ur\u010dit\u00e9 dob\u011b rezignuje, proto\u017ee b\u00fdv\u00e1 obt\u00ed\u017en\u00e9 naj\u00edt vhodnou l\u00e9\u010dbu. Kl\u00ed\u010dov\u00e9 v\u0161ak je dostat se k\u00a0odborn\u00edkovi, kter\u00fd m\u00e1 nejv\u011bt\u0161\u00ed p\u0159ehled o nov\u00fdch metod\u00e1ch l\u00e9\u010dby a dok\u00e1\u017ee spr\u00e1vn\u011b ur\u010dit typ migr\u00e9ny. \u201eNovou mo\u017enost\u00ed v\u00a0l\u00e9\u010db\u011b migr\u00e9ny je c\u00edlen\u00e1 biologick\u00e1 l\u00e9\u010dba, kter\u00e1 m\u016f\u017ee sn\u00ed\u017eit po\u010det migren\u00f3zn\u00edch dn\u016f, intenzitu z\u00e1chvat\u016f a jejich \u010detnost,<\/em>\u201d dod\u00e1v\u00e1 MUDr. David Dole\u017eil, Ph.D., MBA.5<\/sup>Kl\u00ed\u010dem k\u00a0nalezen\u00ed individu\u00e1ln\u00edho \u0159e\u0161en\u00ed migr\u00e9ny je aktivn\u00ed p\u0159\u00edstup pacienta.Nebojte se proto mluvit o sv\u00e9m onemocn\u011bn\u00ed s\u00a0l\u00e9ka\u0159em, rodinou a sv\u00fdm okol\u00edm. Jen tak dok\u00e1\u017eou pochopit, jak migr\u00e9na ovliv\u0148uje v\u00e1\u0161 \u017eivot a\u00a0jak v\u00e1m mohou pomoci.\u00a0<\/p>\r\n\r\n\r\n\r\n

Na podporu osob s migr\u00e9nou vznikl nap\u0159\u00edklad projekt Migr\u00e9na-help, v\u00edce informac\u00ed na\u00a0www.migrena-help.cz<\/a>. Dal\u0161\u00ed informace o migr\u00e9n\u011b najdete tak\u00e9 na port\u00e1le V\u0161echno o zdrav\u00ed\u00a0www.vsechnoozdravi.cz\/migrena<\/a>.\u00a0<\/p>\r\n\r\n\r\n\r\n

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

1. Vos T et al. Lancet. 2016;388(10053):1545\u20131602.
2. Woldeamanuel YW, Cowan RP. J Neurol Sci. 2017;372:307\u2013315.
3. Diamond S et al. Headache. 2007;47:355\u2013363.
4. Lipton RB et al. Neurology. 2007;68:343\u2013349.
5. V\u00edce viz Adele M et al. Journal of Pain Research 2017:10 2751\u20132760v.
6. Linde_Eur J Neurol_2012, Munakata_Headache_2009, Vos_Lancet_2012, Steiner_J Headache Pain_2014 .
7. Headache Classification Committee of the International Headache Society (IHS). Cephalalgia. 2013;33:629\u2013808.
8. Czech Headache Society. Patofyziologie migr\u00e9ny.\u00a0http:\/\/www.czech-hs.cz\/odborna-verejnost\/popis-onemocneni\/migrena\/patofyziologie-\/<\/a>
9. Markov\u00e1 J. Bolesti hlavy p\u0159i nadu\u017e\u00edv\u00e1n\u00ed akutn\u00ed analgetick\u00e9 medikace, Neurol. praxi. 2012;13(1):14\u201316
10. Diener HC, Limmroth V. Medication-overuse headache: a worldwide problem. Lancet Neurology. 2004, s. 475\u201383. DOI:10.1016\/S1474-4422(04)00824-5. PMID 15261608.\u00a0
11. Fritsche G, Diener H-Ch. Medication overuse headaches \u2013 what is new? Expert Opinion on Drug Safety. 2002, s. 331\u20138. DOI:10.1517\/14740338.1.4.331. PMID 12904133.
12. Markov\u00e1 J. 2009. Migr\u00e9na. \u010cesk\u00e1 a slovensk\u00e1 neurologie a neurochirurgie.\u00a0http:\/\/www.csnn.eu\/ceska-slovenska-neurologie-clanek\/migrena-33073?confirm_rules=1<\/a>
13. Charles A. The evolution of a migraine attack: a review of recent evidence. Headache. 2013;53(2):413\u2013419.
14. Goadsby PJ, Holland PR, Martins-Oliveira M, Hoffmann J, Schankin C, Akerman S. Pathophysiology of migraine: a disorder of sensory processing. Physio Rev. 2017,97(2):553\u2013622<\/p>\r\n

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Migr\u00e9nou trp\u00ed p\u0159ibli\u017en\u011b ka\u017ed\u00fd des\u00e1t\u00fd \u010dlov\u011bk. ¹ ² P\u0159esto v\u00edce ne\u017e 40 % pacient\u016f nem\u00e1 diagn\u00f3zu potvrzenou l\u00e9ka\u0159em. ³ <\/p>\n","protected":false},"author":48,"featured_media":7074,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-7073","pressroom","type-pressroom","status-publish","has-post-thumbnail","hentry","pressroom_tag-zdravi"],"yoast_head":"\nTvrd\u00e1 pravda o migr\u00e9n\u011b: \u017e\u00e1dn\u00e9 \u201ebolen\u00ed hlavy\u201c - 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\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tvrd\u00e1 pravda o migr\u00e9n\u011b: \u017e\u00e1dn\u00e9 \u201ebolen\u00ed hlavy\u201c - Havas Prague\" \/>\n<meta property=\"og:description\" content=\"Migr\u00e9nou trp\u00ed p\u0159ibli\u017en\u011b ka\u017ed\u00fd des\u00e1t\u00fd \u010dlov\u011bk. ¹ ² P\u0159esto v\u00edce ne\u017e 40 % pacient\u016f nem\u00e1 diagn\u00f3zu potvrzenou l\u00e9ka\u0159em. ³\" \/>\n<meta property=\"og:url\" content=\"https:\/\/havas.cz\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/\" \/>\n<meta property=\"og:site_name\" content=\"Havas Prague\" \/>\n<meta property=\"article:modified_time\" content=\"2020-02-05T14:05:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/havas.cz\/wp-content\/uploads\/2020\/02\/1200x600-0000-deti.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\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/\",\"url\":\"https:\/\/havas.cz\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/\",\"name\":\"Tvrd\u00e1 pravda o migr\u00e9n\u011b: \u017e\u00e1dn\u00e9 \u201ebolen\u00ed hlavy\u201c - Havas Prague\",\"isPartOf\":{\"@id\":\"https:\/\/havas.cz\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/havas.cz\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/havas.cz\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/havas.cz\/wp-content\/uploads\/2020\/02\/1200x600-0000-deti.jpg\",\"datePublished\":\"2019-05-31T14:05:20+00:00\",\"dateModified\":\"2020-02-05T14:05:51+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/havas.cz\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/havas.cz\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/havas.cz\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/#primaryimage\",\"url\":\"https:\/\/havas.cz\/wp-content\/uploads\/2020\/02\/1200x600-0000-deti.jpg\",\"contentUrl\":\"https:\/\/havas.cz\/wp-content\/uploads\/2020\/02\/1200x600-0000-deti.jpg\",\"width\":1200,\"height\":600},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/havas.cz\/pressroom\/tvrda-pravda-o-migrene-zadne-boleni-hlavy\/#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\":\"Tvrd\u00e1 pravda o migr\u00e9n\u011b: \u017e\u00e1dn\u00e9 \u201ebolen\u00ed hlavy\u201c\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/havas.cz\/#website\",\"url\":\"https:\/\/havas.cz\/\",\"name\":\"Havas Prague\",\"description\":\"Agentura Havas Prague. 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