{"id":7574,"date":"2019-08-15T15:51:30","date_gmt":"2019-08-15T13:51:30","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=7574"},"modified":"2020-02-19T15:56:32","modified_gmt":"2020-02-19T13:56:32","slug":"pacienti-se-srdecnim-selhanim-mohou-chtit-od-zivota-vic-ani-toto-vazne-onemocneni-neni-stopka","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/pacienti-se-srdecnim-selhanim-mohou-chtit-od-zivota-vic-ani-toto-vazne-onemocneni-neni-stopka\/","title":{"rendered":"Pacienti se srde\u010dn\u00edm selh\u00e1n\u00edm mohou cht\u00edt od \u017eivota v\u00edc. Ani toto v\u00e1\u017en\u00e9 onemocn\u011bn\u00ed nen\u00ed stopka"},"content":{"rendered":"\n

Pozitivn\u00ed na cel\u00e9 v\u011bci je fakt, \u017ee dlouhodob\u00e9 posuny medic\u00edny mohou znamenat i zvy\u0161uj\u00edc\u00ed se kvalitu \u017eivota pacient\u016f s chronick\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm. To je ale podm\u00edn\u011bno jejich proaktivn\u00edm p\u0159\u00edstupem. Pacient, kter\u00fd se sv\u00fdm l\u00e9ka\u0159em komunikuje, pt\u00e1 se na nov\u00e9 mo\u017enosti a dodr\u017euje re\u017eimov\u00e1 opat\u0159en\u00ed, z\u00e1sadn\u011b p\u0159isp\u00edv\u00e1 ke sv\u00e9 l\u00e9\u010db\u011b. Naopak bez aktivn\u00edho postoje pacient\u016f je \u00fasp\u011b\u0161n\u00e9 veden\u00ed l\u00e9\u010dby velmi obt\u00ed\u017en\u00e9.2,3,4 <\/sup>Ocit\u00e1me se v dob\u011b, kdy je role pacienta kl\u00ed\u010dov\u00e1.<\/strong><\/p>\n\n\n\n

Jedn\u00edm z hlavn\u00edch \u00fakol\u016f lidsk\u00e9ho srdce je p\u0159e\u010derp\u00e1vat krev pot\u0159ebnou k v\u00fd\u017eiv\u011b tk\u00e1n\u00ed a org\u00e1n\u016f cel\u00e9ho t\u011bla. P\u0159i chronick\u00e9m srde\u010dn\u00edm selh\u00e1n\u00ed v\u0161ak srdce nezvl\u00e1d\u00e1 dostatek krve pumpovat. Pacienti se pak mohou pot\u00fdkat s du\u0161nost\u00ed, otoky doln\u00edch kon\u010detin a b\u0159icha, vy\u010derp\u00e1n\u00edm, kter\u00e9 nen\u00ed adekv\u00e1tn\u00ed vynalo\u017een\u00e9 n\u00e1maze, rychl\u00fdm tlukotem srdce, \u010dast\u011bj\u0161\u00edm mo\u010den\u00edm a n\u00e1hl\u00fdm n\u00e1r\u016fstem v\u00e1hy. Charakter a nen\u00e1padnost p\u0159\u00edznak\u016f vedou k tomu, \u017ee je lid\u00e9 b\u011b\u017en\u011b ignoruj\u00ed. O sv\u00e9m onemocn\u011bn\u00ed se \u010dasto dozv\u00ed a\u017e p\u0159i prvn\u00ed hospitalizaci. P\u0159ibli\u017en\u011b \u010dtvrtina pacient\u016f je pak v pr\u016fb\u011bhu 3 m\u011bs\u00edc\u016f od propu\u0161t\u011bn\u00ed z nemocnice znovu hospitalizov\u00e1na.4,5,6<\/sup><\/p>\n\n\n\n

Jedn\u00edm z d\u016fvod\u016f opakovan\u00fdch hospitalizac\u00ed m\u016f\u017ee b\u00fdt nedodr\u017eov\u00e1n\u00ed doporu\u010den\u00e9ho re\u017eimu. P\u0159itom pr\u00e1v\u011b tato \u010d\u00e1st l\u00e9\u010dby je pln\u011b v rukou pacient\u016f, ale i jejich bl\u00edzk\u00fdch. Nevhodn\u00fd re\u017eim m\u016f\u017ee zhor\u0161it progn\u00f3zu onemocn\u011bn\u00ed i do budoucna. Uv\u00e1d\u00ed se, \u017ee 50 % pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm um\u00edr\u00e1 do 5 let po stanoven\u00ed diagn\u00f3zy. Tato progn\u00f3za je dokonce hor\u0161\u00ed ne\u017e u \u0159ady b\u011b\u017en\u00fdch onkologick\u00fdch onemocn\u011bn\u00edch.6,7 <\/sup>V\u010dasn\u00e1 diagnostika, vhodn\u00e1 l\u00e9\u010dba a dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed jsou z\u00e1sadn\u00ed pro zaji\u0161t\u011bn\u00ed kvality \u017eivota pacienta.4,5,6 <\/sup><\/p>\n\n\n\n

Aktivn\u00ed dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed sni\u017euje riziko dal\u0161\u00ed hospitalizace<\/strong><\/p>\n\n\n\n

Diagn\u00f3zu srde\u010dn\u00ed selh\u00e1n\u00ed si vyslechne zhruba ka\u017ed\u00fd p\u00e1t\u00fd \u010dlov\u011bk nad 40 let v\u011bku.8, 9 <\/sup>\u201ePo stanoven\u00ed diagn\u00f3zy v \u0159ad\u011b p\u0159\u00edpad\u016f pacient z\u016fst\u00e1v\u00e1 v dom\u00e1c\u00ed p\u00e9\u010di a je nutn\u00e9, aby rozum\u011bl v\u0161em re\u017eimov\u00fdm opat\u0159en\u00edm v\u010detn\u011b t\u011bch dietn\u00edch. <\/em>P\u0159esto\u017ee je srde\u010dn\u00ed selh\u00e1n\u00ed z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, nen\u00ed t\u0159eba rezignovat na aktivn\u00ed \u017eivotn\u00ed styl. Po porad\u011b s l\u00e9ka\u0159em je mo\u017en\u00e9 st\u00e1le provozovat n\u011bkter\u00e9 fyzick\u00e9 aktivity. Je v\u0161ak t\u0159eba myslet i na odpo\u010dinek a dal\u0161\u00ed opat\u0159en\u00ed, kter\u00e1 maj\u00ed v\u00fdznamn\u00fd vliv na kvalitu pacientova \u017eivota. Aktivn\u00ed p\u0159\u00edstup pacienta je u zvl\u00e1d\u00e1n\u00ed tohoto onemocn\u011bn\u00ed kl\u00ed\u010dov\u00fd,\u201c  <\/em>vysv\u011btluje doc. MUDr. \u0160t\u011bp\u00e1n Havr\u00e1nek, Ph.D. z II. Intern\u00ed kliniky kardiologie a angiologie, 1. l\u00e9ka\u0159sk\u00e1 fakulta UK a VFN. <\/p>\n\n\n\n

L\u00e9\u010dba srde\u010dn\u00edho selh\u00e1n\u00ed je t\u00fdmov\u00e1 pr\u00e1ce<\/strong><\/p>\n\n\n\n

P\u0159esto\u017ee je srde\u010dn\u00ed selh\u00e1n\u00ed z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, rozhodn\u011b nen\u00ed stopkou do \u017eivota. N\u011bkdy mus\u00ed \u010dlov\u011bk trochu p\u0159ibrzdit, aby mohl jet st\u00e1le d\u00e1l, rezignace v\u0161ak nen\u00ed na m\u00edst\u011b. Pacient by nem\u011bl v\u00e1hat a u sv\u00e9ho l\u00e9ka\u0159e se pr\u016fb\u011b\u017en\u011b informovat o tom, co pro sebe m\u016f\u017ee ud\u011blat a jak\u00e9 jsou nov\u00e9 l\u00e9\u010debn\u00e9 mo\u017enosti. St\u011b\u017eejn\u00ed je potom dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed. Pacienti by m\u011bli u\u017e\u00edvat l\u00e9ky dle domluvy s l\u00e9ka\u0159em a tak\u00e9 sledovat projevy sv\u00e9ho onemocn\u011bn\u00ed, prost\u0159ednictv\u00edm pravideln\u00e9ho m\u011b\u0159en\u00ed krevn\u00edho tlaku, v\u00e1hy, obvodu pasu i kon\u010detin. V\u0161echny tyto informace je pak dobr\u00e9 p\u0159edat l\u00e9ka\u0159i. Pro kontrolu projev\u016f onemocn\u011bn\u00ed je vhodn\u00fd nap\u0159. dotazn\u00edk kontroly p\u0159\u00edznak\u016f<\/a> voln\u011b dostupn\u00fd na www.rukunasrdce.cz<\/a>, kter\u00fd lze vz\u00edt s sebou p\u0159i n\u00e1v\u0161t\u011bv\u011b l\u00e9ka\u0159e. Stejn\u011b d\u016fle\u017eit\u00e9 je naj\u00edt si po domluv\u011b s l\u00e9ka\u0159em fyzickou aktivitu, kter\u00e1 bude pacienta t\u011b\u0161it i prosp\u00edvat jeho zdrav\u00ed. Zapom\u00ednat se nesm\u00ed ani na pravideln\u00fd odpo\u010dinek, sledov\u00e1n\u00ed pitn\u00e9ho re\u017eimu i p\u0159\u00edjmu soli. <\/p>\n\n\n\n

L\u00e9\u010dba srde\u010dn\u00edho selh\u00e1n\u00ed je t\u00fdmov\u00e1 pr\u00e1ce, nebojte se proto po\u017e\u00e1dat o pomoc sv\u00e9 bl\u00edzk\u00e9 a mluvte s l\u00e9ka\u0159em o projevech onemocn\u011bn\u00ed i o nov\u00fdch l\u00e9\u010debn\u00fdch mo\u017enostech. Medic\u00edna jde st\u00e1le kup\u0159edu a d\u00edky spr\u00e1vn\u00e9 l\u00e9\u010db\u011b a dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed jde onemocn\u011bn\u00ed zvl\u00e1dat, p\u0159i zachov\u00e1n\u00ed vysok\u00e9 kvality \u017eivota.4,10 <\/sup>V\u00edce informac\u00ed o srde\u010dn\u00edm selh\u00e1n\u00ed m\u016f\u017eete naj\u00edt na www.rukunasrdce.cz<\/a>.  <\/p>\n\n\n\n

Srde\u010dn\u00ed selh\u00e1n\u00ed <\/strong><\/p>\n\n\n\n

Srde\u010dn\u00ed selh\u00e1n\u00ed je onemocn\u011bn\u00ed, kter\u00e9 postihuje kolem 230 tis\u00edc \u010cech\u016f.11 <\/sup>B\u011bhem \u017eivota se rozvine u jednoho z p\u011bti nad 40 let8,9 <\/sup>a jeho progn\u00f3za je hor\u0161\u00ed ne\u017e u n\u011bkter\u00fdch b\u011b\u017en\u00fdch druh\u016f rakoviny.7 <\/sup>Hlavn\u00ed funkc\u00ed na\u0161eho srdce je udr\u017eovat krevn\u00ed ob\u011bh a z\u00e1sobovat tak v\u0161echny na\u0161e org\u00e1ny kysl\u00edkem a \u017eivinami. P\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed srdce nezvl\u00e1d\u00e1 tuto \u00falohu plnit a org\u00e1ny nejsou dostate\u010dn\u011b prokrven\u00e9. Mezi p\u0159\u00edznaky se \u0159ad\u00ed du\u0161nost, otoky nohou a kotn\u00edk\u016f, n\u00e1r\u016fst v\u00e1hy, \u00fanava, nechu\u0165 k j\u00eddlu, nadm\u011brn\u00e9 bu\u0161en\u00ed srdce a vy\u0161\u0161\u00ed frekvence mo\u010den\u00ed.3 <\/sup>Kdy\u017e nen\u00ed siln\u00e9 va\u0161e srdce, nebudete ani vy. Ruku na srdce, star\u00e1te se o n\u011bj? Mluvte se sv\u00fdm l\u00e9ka\u0159em. Co na srdci to na jazyku. Zdrav\u00ed m\u00e1te jedno. Ptejte se. Nen\u00ed to jedno. <\/p>\n\n\n\n

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

Mark\u00e9ta Hrab\u00e1nkov\u00e1, Senior PR Manager, Havas, 702 213 341, marketa.hrabankova@havaspr.com<\/a><\/p>\n\n\n\n

Krist\u00fdna Hudeov\u00e1, PR Executive, Havas, 727 818 975, kristyna.hudeova@havaspr.com<\/a><\/p>\n\n\n\n

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

  1. Gheorghiade M, Pang P Journal of the American College of Cardiology 2009; 53 (7):557\u201373. Heidenreich PA et al. Forecasting the Impact of Heart Failure in the United States: A Policy Statement From the American Heart Association<\/li>
  2. IKEM. Srde\u010dn\u00ed selh\u00e1n\u00ed. https:\/\/www.ikem.cz\/cs\/srdecni-selhani\/a-414\/<\/a><\/li>
  3. Ponikowski P, Voors AA, Anker SD, et al. Authors\/Task Force Members. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016 Jul 14; 37(27): 2129-2200.<\/li>
  4. J.\u0160pinar, et al.,Summary of the 2016 ESC Guidelines on the diagnosis and treatment of acute and chronic heart failure. Prepared by the Czech Society of Cardiology, Cor et Vasa 58 (2016) e530e568. <\/li>
  5. \u010ce\u0161ka R et al. Interna 1. vyd\u00e1n\u00ed. Praha\/Krom\u011b\u0159\u00ed\u017e: Triton 2010, 855 stran. ISBN: 978-80-387-423-0. <\/li>
  6. Epstein AM, Jha AK, Orav EJ. The Relationship between Hospital Admission Rates and Rehospitalizations. New Engl J Med 2011; 365: 2287\u20132295.<\/li>
  7. Stewart S et al. More ‘malignant’ than cancer? Five-year survival following a first admission for heart failure. European Journal of Heart Failure. 2001;3:315\u2013322<\/li>
  8. Go et al. Heart Disease and Stroke Statistics\u2212\u22122014 Update: A Report From the American Heart Association, Circulation 2014;4;129:e28\u2013e292 <\/li>
  9. Lloyd-Jones DM et al. Lifetime risk for developing congestive heart failure: the Framingham Heart Study. Circulation 2002;106:3068\u201372<\/li>
  10. Cleland JGF, Louis AA, Rigby AS, et al. Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death \u2013 The trans-European ne- twork-home-care system (TEN-HMS) study. J Am Coll Cardi- ol 2005; 45: 1654\u20131664. In Lazarov\u00e1 M, M\u00e1lek F, T\u00e1borsk\u00fd M, P\u00e9\u010de o pacienty s chronick\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm. Intern\u00ed medic\u00edna. 2012. Naposledny dostupn\u00e9 21.6.2019 z https:\/\/www.internimedicina.cz\/pdfs\/int\/2012\/06\/02.pdf<\/a><\/li>
  11. Pavlu\u0161ov\u00e1 M, Klimes J, \u0160pinar J et al. Chronic heart failure \u2013 Impact of the condition on patients and the healthcare system in the Czech Republic: A retrospective cost-of-illness analysis, Cor et Vasa 2018;60:e224\u2013e233<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"

    P\u0159\u00edpad\u016f srde\u010dn\u00edho selh\u00e1n\u00ed st\u00e1le p\u0159ib\u00fdv\u00e1. T\u00fdk\u00e1 se jak \u017een, tak mu\u017e\u016f. V sou\u010dasnosti j\u00edm na sv\u011bt\u011b trp\u00ed minim\u00e1ln\u011b 26 milion\u016f lid\u00ed a dle progn\u00f3z bude toto \u010d\u00edslo v roce 2030 o 25 % vy\u0161\u0161\u00ed. &sup1<\/p>\n","protected":false},"author":48,"featured_media":7592,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-7574","pressroom","type-pressroom","status-publish","has-post-thumbnail","hentry","pressroom_tag-zdravi"],"yoast_head":"\nPacienti se srde\u010dn\u00edm selh\u00e1n\u00edm mohou cht\u00edt od \u017eivota v\u00edc. 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