{"id":9326,"date":"2020-06-24T09:02:51","date_gmt":"2020-06-24T07:02:51","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=9326"},"modified":"2020-07-15T15:18:50","modified_gmt":"2020-07-15T13:18:50","slug":"cesi-si-uvedomuji-dulezitost-rezimovych-opatreni-mezery-tu-ale-jsou","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/cesi-si-uvedomuji-dulezitost-rezimovych-opatreni-mezery-tu-ale-jsou\/","title":{"rendered":"\u010ce\u0161i si uv\u011bdomuj\u00ed d\u016fle\u017eitost re\u017eimov\u00fdch opat\u0159en\u00ed, mezery tu ale jsou"},"content":{"rendered":"

Re\u017eimov\u00e1 opat\u0159en\u00ed jsou ned\u00edlnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby \u0159ady onemocn\u011bn\u00ed. Jejich role je o to podstatn\u011bj\u0161\u00ed u\u00a0chronick\u00fdch onemocn\u011bn\u00ed, se kter\u00fdmi \u017eij\u00ed pacienti zna\u010dnou \u010d\u00e1st \u017eivota. M\u016f\u017ee se jednat nap\u0159\u00edklad o\u00a0cukrovku, migr\u00e9nu, vysok\u00fd krevn\u00ed tlak nebo kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed \u2013 s\u00a0t\u011bmi se l\u00e9\u010d\u00ed v\u00edce ne\u017e t\u0159etina \u010desk\u00e9 populace. A tyto po\u010dty nar\u016fstaj\u00ed.1,3<\/sup> \u201eU\u017e\u00edv\u00e1n\u00ed p\u0159edepsan\u00fdch l\u00e9k\u016f dle pokyn\u016f l\u00e9ka\u0159e je velmi d\u016fle\u017eit\u00e9, t\u00edm to ale nekon\u010d\u00ed. Pacient by se m\u011bl na sv\u00e9 l\u00e9\u010db\u011b aktivn\u011b pod\u00edlet, kup\u0159\u00edkladu u chronick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed se bez dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed neobejdeme. Pom\u00e1haj\u00ed ke zlep\u0161en\u00ed zdravotn\u00edho stavu pacienta a mohou zabr\u00e1nit tak\u00e9 akutn\u00edmu zhor\u0161en\u00ed a zbyte\u010dn\u00fdm hospitalizac\u00edm,\u201c <\/em>zd\u016fraz\u0148uje doc. MUDr. Jan B\u011blohl\u00e1vek, Ph.D., vedouc\u00ed l\u00e9ka\u0159 Centra srde\u010dn\u00edho selh\u00e1n\u00ed II. intern\u00ed kliniky kardiologie a angiologie 1. LF UK a VFN.<\/p>\n

Ka\u017ed\u00fd p\u00e1t\u00fd re\u017eimov\u00e1 opat\u0159en\u00ed \u010dasto poru\u0161\u00ed<\/strong><\/p>\n

Dle\u00a0v\u00fdzkumu STEM\/MARK jsou si \u010ce\u0161i dob\u0159e v\u011bdomi d\u016fle\u017eitosti re\u017eimov\u00fdch opat\u0159en\u00ed.2<\/sup> Jejich roli p\u0159i l\u00e9\u010db\u011b kardiovaskul\u00e1rn\u00edch nemoc\u00ed si uv\u011bdomuj\u00ed dokonce 3 ze 4 \u010cech\u016f.2<\/sup> V\u00edce ne\u017e polovina lid\u00ed, kter\u00fdm l\u00e9ka\u0159 doporu\u010dil zm\u011bnu re\u017eimu p\u0159i l\u00e9\u010db\u011b jejich nemoci, ji a\u017e na ob\u010dasn\u00e1 zav\u00e1h\u00e1n\u00ed dodr\u017euje. P\u0159esto re\u017eimov\u00e1 opat\u0159en\u00ed ka\u017ed\u00fd p\u00e1t\u00fd poru\u0161uje \u010dasto a 8\u00a0% je sp\u00ed\u0161e nebo dokonce v\u016fbec nedodr\u017euje. \u010cast\u00fdm d\u016fvodem pro nedodr\u017eov\u00e1n\u00ed opat\u0159en\u00ed je pocit, \u017ee jsou p\u0159\u00edli\u0161 obt\u00ed\u017en\u00e1. P\u011btina pacient\u016f uv\u00e1d\u00ed, \u017ee je nedodr\u017euje, nebo\u0165 v\u011b\u0159\u00ed, \u017ee hlavn\u00ed roli hraje genetika.2<\/sup> \u201eV\u00a0souvislosti se srde\u010dn\u00edm selh\u00e1n\u00edm se setk\u00e1v\u00e1me s \u0159adou rizikov\u00fdch faktor\u016f, kter\u00e9 mohou zap\u0159\u00ed\u010di\u0148ovat vznik nemoci, ale tak\u00e9 negativn\u011b ovliv\u0148ovat jej\u00ed dal\u0161\u00ed v\u00fdvoj. P\u0159\u00edkladem m\u016f\u017ee b\u00fdt obezita, o n\u00ed\u017e \u0159ada lid\u00ed tvd\u00ed, \u017ee ji m\u00e1 takzvan\u011b v\u00a0rodin\u011b. P\u0159edstavuje jak riziko pro rozvoj nemoci, tak pro zhor\u0161ov\u00e1n\u00ed stavu pacienta. Pacienti nicm\u00e9n\u011b mohou svoje zdrav\u00ed a\u00a0dal\u0161\u00ed v\u00fdvoj nemoci opravdu v\u00fdznamn\u011b ovlivnit pr\u00e1v\u011b dodr\u017eov\u00e1n\u00edm re\u017eimov\u00fdch opat\u0159en\u00ed, mezi kter\u00e1 se krom\u011b zdrav\u00e9ho \u017eivotn\u00edho stylu \u0159ad\u00ed i tzv. selfmonitorace, tj. nap\u0159. pravideln\u00e9 m\u011b\u0159en\u00ed tlaku a pulsu, sledov\u00e1n\u00ed v\u00e1hy, obvodu b\u0159icha a otok\u016f doln\u00edch kon\u010detin. Je to podstatn\u00e1 sou\u010d\u00e1st l\u00e9\u010dby, zejm\u00e9na vezmeme-li v\u00a0potaz, \u017ee srde\u010dn\u00edm selh\u00e1n\u00edm trp\u00ed v\u00a0sou\u010dasnosti p\u0159ibli\u017en\u011b 230 tis\u00edc \u010cech\u016f a p\u0159edpokl\u00e1d\u00e1 se, \u017ee dal\u0161\u00edch 200\u00a0tis\u00edc nen\u00ed prozat\u00edm diagnostikov\u00e1no. Genetika by nem\u011bla b\u00fdt v\u00fdmluvou, ale naopak dal\u0161\u00edm d\u016fvodem pro aktivitu pacienta,\u201c <\/em>\u0159\u00edk\u00e1 kardiolog doc. MUDr. Jan B\u011blohl\u00e1vek, Ph.D.<\/p>\n

Co d\u011bl\u00e1 \u010cech\u016fm probl\u00e9m dodr\u017eovat a jak se s\u00a0t\u00edm poprat<\/strong><\/p>\n

\u0158adu re\u017eimov\u00fdch opat\u0159en\u00ed, kter\u00e1 jsou doporu\u010dov\u00e1na jako sou\u010d\u00e1st l\u00e9\u010dby srde\u010dn\u00edho selh\u00e1n\u00ed, lze snadno aplikovat i u dal\u0161\u00edch onemocn\u011bn\u00ed. Pro \u010cechy je paradoxn\u011b nejn\u00e1ro\u010dn\u011bj\u0161\u00ed dodr\u017eovat t\u0159i ze \u010dty\u0159 opat\u0159en\u00ed, kter\u00e1 podle nich mohou nejv\u011bt\u0161\u00ed m\u011brou p\u0159isp\u011bt k\u00a0l\u00e9\u010db\u011b kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed. Jedn\u00e1 se o\u00a0zdravou stravu, redukci v\u00e1hy a pravideln\u00fd pohyb.2<\/sup> \u201eSpr\u00e1vn\u00fd re\u017eim dok\u00e1\u017ee nemocn\u00e9mu srdci zna\u010dn\u011b ulevit, proto jsou zdrav\u00e9 stravov\u00e1n\u00ed a pravideln\u00fd pohyb p\u0159i l\u00e9\u010db\u011b kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed kl\u00ed\u010dov\u00e9. P\u0159i chronick\u00e9m srde\u010dn\u00edm selh\u00e1n\u00ed srdce nezvl\u00e1d\u00e1 plnit svoji funkci v\u00a0pln\u00e9m rozsahu. Pokud ho ne\u00fam\u011brn\u011b zat\u00ed\u017e\u00edme nevhodnou stravou, tekutinami nebo ne\u00fam\u011brnou fyzickou aktivitou, m\u016f\u017ee se stav pacienta v\u00fdrazn\u011b zhor\u0161it. Naopak vhodn\u00e1 a pravideln\u00e1 pohybov\u00e1 aktivita m\u016f\u017ee i u pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm zlep\u0161it pr\u00e1ci sval\u016f a sn\u00ed\u017eit tak n\u00e1roky na pr\u00e1ci srdce. To pak d\u00edky tomu zvl\u00e1d\u00e1 v\u011bt\u0161\u00ed z\u00e1t\u011b\u017e. Nav\u00edc pokud se pacienti s\u00a0nadv\u00e1hou a obezitou dob\u0159e stravuj\u00ed a pravideln\u011b h\u00fdbou, ub\u00fdv\u00e1 jako prvn\u00ed i tukov\u00e1 hmota, kter\u00e1 obaluje srdce. Dle l\u00e9ka\u0159sk\u00e9 praxe dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed opravdu zvy\u0161uje kvalitu \u017eivota pacient\u016f a vede k\u00a0jejich v\u011bt\u0161\u00ed sob\u011bsta\u010dnosti,\u201c <\/em>\u0159\u00edk\u00e1 kardiolog doc. MUDr. Vladim\u00edr Tuka, Ph.D., z\u00a0II. intern\u00ed kliniky kardiologie a angiologie 1. LF UK a VFN.<\/p>\n

Nen\u00ed to jen zdrav\u00fd \u017eivotn\u00ed styl <\/strong><\/p>\n

Ke zdrav\u00e9 strav\u011b, pravideln\u00e9mu pohybu a mo\u017en\u00e9 redukci v\u00e1hy se p\u0159i l\u00e9\u010db\u011b srde\u010dn\u00edho selh\u00e1n\u00ed p\u0159id\u00e1v\u00e1 je\u0161t\u011b v\u00fdrazn\u00e9 omezen\u00ed alkoholu a skoncov\u00e1n\u00ed s kou\u0159en\u00edm. Tato re\u017eimov\u00e1 opat\u0159en\u00ed ozna\u010dilo 66\u00a0% \u010cech\u016f jako zcela nen\u00e1ro\u010dn\u00e1. D\u016fle\u017eit\u00fd je ale i odpo\u010dinek, omezen\u00ed soli a regulace p\u0159\u00edsunu tekutin. V\u00edce ne\u017e 7\u00a0z\u00a010 \u010cech\u016f si v\u0161ak mysl\u00ed, \u017ee je dostate\u010dn\u00fd pitn\u00fd re\u017eim vhodn\u00fd za ka\u017ed\u00fdch okolnost\u00ed.2<\/sup> Ale pozor, nen\u00ed tomu tak.4<\/sup> \u201eZvyknout si na re\u017eimov\u00e1 opat\u0159en\u00ed m\u016f\u017ee b\u00fdt zpo\u010d\u00e1tku slo\u017eit\u00e9, proto je t\u0159eba ve\u0161ker\u00e9 nejasnosti konzultovat s\u00a0l\u00e9ka\u0159em. T\u0159eba p\u0159\u00edsun tekutin se u srde\u010dn\u00edho selh\u00e1n\u00ed doporu\u010duje sp\u00ed\u0161e omezovat. Neplat\u00ed tady \u010d\u00edm v\u00edce, t\u00edm l\u00e9pe. Sou\u010d\u00e1st\u00ed re\u017eimu by m\u011blo b\u00fdt tak\u00e9 ka\u017edodenn\u00ed m\u011b\u0159en\u00ed tlaku, pulsu, v\u00e1hy a vn\u00edm\u00e1n\u00ed z\u00e1va\u017enosti projev\u016f nemoci, jako jsou otoky a du\u0161nost<\/em>,\u201c zd\u016fraz\u0148uje doc. MUDr. Jan B\u011blohl\u00e1vek, Ph.D.<\/p>\n

Discipl\u00edna m\u016f\u017ee p\u0159in\u00e1\u0161et v\u011bt\u0161\u00ed kvalitu \u017eivota <\/strong><\/p>\n

Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed se rozv\u00edj\u00ed u ka\u017ed\u00e9ho p\u00e1t\u00e9ho nad 40 let.5<\/sup> Existenci rizikov\u00fdch faktor\u016f, kter\u00e9 mohou p\u0159isp\u011bt k\u00a0rozvoji pr\u00e1v\u011b t\u00e9to choroby, si uv\u011bdomuje 8 z\u00a010 \u010cech\u016f. Odborn\u00edci mezi n\u011b \u0159ad\u00ed nap\u0159\u00edklad vysok\u00fd krevn\u00ed tlak, obezitu, kou\u0159en\u00ed a nezdrav\u00fd \u017eivotn\u00ed styl.6<\/sup> P\u0159esto\u017ee pov\u011bdom\u00ed o srde\u010dn\u00edm selh\u00e1n\u00ed u \u010desk\u00e9 ve\u0159ejnosti nar\u016fst\u00e1, re\u017eimov\u00e1 opat\u0159en\u00ed jsou st\u00e1le n\u011bco, na \u010dem mohou \u010ce\u0161i zapracovat.2<\/sup> Pacienti s chronick\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm mohou \u017e\u00edt des\u00edtky let a dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed m\u016f\u017ee m\u00edt velk\u00fd vliv na to, jak kvalitn\u011b budou tyto roky pro\u017e\u00edvat.4<\/sup> Ruku na srdce, zdrav\u00ed je va\u0161e zodpov\u011bdnost a dodr\u017eov\u00e1n\u00edm re\u017eimov\u00fdch opat\u0159en\u00ed m\u016f\u017eete sami p\u0159isp\u011bt ke sv\u00e9 l\u00e9\u010db\u011b a spokojenosti.6<\/sup> V\u0161e o re\u017eimov\u00fdch opat\u0159en\u00edch p\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed a nejen to na www.rukunasrdce.cz<\/a>.<\/p>\n

 <\/p>\n

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

Mark\u00e9ta Stillerov\u00e1, PR Director, Havas, 702\u00a0213\u00a0341, marketa.stillerova@havaspr.com<\/a><\/p>\n

Krist\u00fdna Hudeov\u00e1, PR Manager, Havas, 727\u00a0818\u00a0975, kristyna.hudeova@havaspr.com<\/a><\/p>\n

Zdroje:<\/p>\n

    \n
  1. Dostupn\u00e9 z: https:\/\/www.ikem.cz\/cs\/ustavni-lekarna\/pro-pacienty\/materialy-ke-stazeni\/a-1269\/<\/a>, posledn\u00ed p\u0159\u00edstup 1.\u00a04. 2020.<\/li>\n
  2. STEM\/MARK. \u010ce\u0161i a re\u017eimov\u00e1 opat\u0159en\u00ed<\/em>, b\u0159ezen 2020.<\/li>\n
  3. Ministerstvo zdravotnictv\u00ed \u010cR. Zpr\u00e1va o zdrav\u00ed obyvatel \u010cR, 2004<\/em>. Dostupn\u00e9 z: http:\/\/www.szu.cz\/uploads\/documents\/czzp\/aktuality\/Cesi_ziji_dele_ale_trapi_je_civilizacni_nemoci\/Zprava_o_zdravi_obyvatel_CR_.pdf<\/a>, posledn\u00ed p\u0159\u00edstup 1.\u00a04. 2020.<\/li>\n
  4. BEDN\u00c1\u0158 F. Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed.<\/em> Novartis, 2018<\/li>\n
  5. \u0160PINAR J et al. Souhrn Doporu\u010den\u00fdch postup\u016f ESC pro diagnostiku a l\u00e9\u010dbu akutn\u00edho a chronick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed z roku 2016. P\u0159ipraven \u010ceskou kardiologickou spole\u010dnost\u00ed, Cor et Vasa<\/em> 2016;58: e597\u2013e637.<\/li>\n
  6. Srde\u010dn\u00ed selh\u00e1n\u00ed.<\/em> Dostupn\u00e9 z: https:\/\/www.ikem.cz\/cs\/srdecni-selhani\/a-414\/<\/a>, posledn\u00ed p\u0159\u00edstup 5. 6. 2020.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Zdrav\u00fd \u017eivotn\u00ed styl je donekone\u010dna om\u00edlan\u00e9 t\u00e9ma. M\u00e9n\u011b u\u017e se ale mluv\u00ed o skute\u010dn\u00fdch a konkr\u00e9tn\u00edch re\u017eimov\u00fdch opat\u0159en\u00edch, kter\u00e1 l\u00e9ka\u0159 doporu\u010duje dodr\u017eovat jako sou\u010d\u00e1st l\u00e9\u010dby \u0159ady onemocn\u011bn\u00ed. Jejich role je ale pro \u00fasp\u011b\u0161nou l\u00e9\u010dbu kl\u00ed\u010dov\u00e1.1<\/sup> Ot\u00e1zkou v\u0161ak z\u016fst\u00e1v\u00e1, jakou d\u016fle\u017eitost t\u011bmto opat\u0159en\u00edm p\u0159isuzuj\u00ed \u010ce\u0161i a jak moc je doopravdy dodr\u017euj\u00ed. Dle v\u00fdzkumu STEM\/MARK z b\u0159ezna roku 2020 si \u010ce\u0161i d\u016fle\u017eitost re\u017eimov\u00fdch opat\u0159en\u00ed uv\u011bdomuj\u00ed, prostor pro zlep\u0161en\u00ed je tu ale velk\u00fd. V\u00edce ne\u017e polovina lid\u00ed, kter\u00fdm l\u00e9ka\u0159 doporu\u010dil zm\u011bnu re\u017eimu p\u0159i l\u00e9\u010db\u011b nemoci, ji a\u017e na ob\u010dasn\u00e9 zav\u00e1h\u00e1n\u00ed dodr\u017euje, ka\u017ed\u00fd p\u00e1t\u00fd ale \u010dasto poru\u0161\u00ed. \u010cast\u00fdm d\u016fvodem nedodr\u017eov\u00e1n\u00ed opat\u0159en\u00ed je pocit, \u017ee jsou obt\u00ed\u017en\u00e1, anebo dojem, \u017ee hlavn\u00ed roli hraje genetika.2<\/sup><\/p>\n","protected":false},"author":48,"featured_media":9333,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-9326","pressroom","type-pressroom","status-publish","has-post-thumbnail","hentry","pressroom_tag-zdravi"],"yoast_head":"\n\u010ce\u0161i si uv\u011bdomuj\u00ed d\u016fle\u017eitost re\u017eimov\u00fdch opat\u0159en\u00ed, mezery tu ale jsou - Havas Prague<\/title>\n<meta name=\"description\" content=\"Zdrav\u00fd \u017eivotn\u00ed styl je donekone\u010dna om\u00edlan\u00e9 t\u00e9ma. 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