{"id":9725,"date":"2020-08-04T10:22:29","date_gmt":"2020-08-04T08:22:29","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=9725"},"modified":"2020-10-14T10:35:14","modified_gmt":"2020-10-14T08:35:14","slug":"roztrousena-skleroza-nemoc-nekolika-tvari","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/roztrousena-skleroza-nemoc-nekolika-tvari\/","title":{"rendered":"Roztrou\u0161en\u00e1 skler\u00f3za, nemoc n\u011bkolika tv\u00e1\u0159\u00ed"},"content":{"rendered":"

Roztrou\u0161en\u00e1 skler\u00f3za je sice komplikovanou nemoc\u00ed, ov\u0161em v\u00a0\u010cesku jej\u00ed l\u00e9\u010dbu zaji\u0161\u0165uj\u00ed specializovan\u00ed neurologov\u00e9 v\u00a015 centrech vysoce specializovan\u00e9 p\u00e9\u010de pro roztrou\u0161enou skler\u00f3zu a neuromyelitis optica po cel\u00e9 republice, kde maj\u00ed pacienti k\u00a0dispozici komplexn\u00ed p\u00e9\u010di zahrnuj\u00edc\u00ed i pot\u0159ebnou rehabilitaci. Dle v\u00fdzkumu STEM\/MARK se 64\u00a0% lid\u00ed spr\u00e1vn\u011b ztoto\u017e\u0148uje s\u00a0t\u00edm, \u017ee je roztrou\u0161en\u00e1 skler\u00f3za l\u00e9\u010diteln\u00e1, ov\u0161em nevyl\u00e9\u010diteln\u00e1. Ale naopak 24\u00a0% na\u0161\u00ed populace si nespr\u00e1vn\u011b mysl\u00ed, \u017ee se roztrou\u0161en\u00e1 skler\u00f3za t\u00fdk\u00e1 star\u00fdch lid\u00ed a 22\u00a0% dotazovan\u00fdch m\u00e1 pak nemoc nespr\u00e1vn\u011b spojenou se zapom\u00edn\u00e1n\u00edm v\u00a0pokro\u010dil\u00e9m v\u011bku.4<\/sup><\/p>\n

Roztrou\u0161en\u00e1 skler\u00f3za se vyv\u00edj\u00ed<\/strong><\/p>\n

Roztrou\u0161en\u00e1 skler\u00f3za je u ka\u017ed\u00e9ho jin\u00e1, a to jak s\u00a0ohledem na v\u00fdvoj, tak projevy, i proto se j\u00ed \u010dasto p\u0159ezd\u00edv\u00e1 nemoc mnoha tv\u00e1\u0159\u00ed. Projevy t\u00e9to diagn\u00f3zy se toti\u017e li\u0161\u00ed \u010dlov\u011bk od \u010dlov\u011bka dle toho, na jak\u00e9m m\u00edst\u011b v\u00a0mozku a m\u00ed\u0161e dojde k\u00a0po\u0161kozen\u00ed neuron\u016f. Kv\u016fli tomuto naru\u0161en\u00ed nemohou b\u00fdt spr\u00e1vn\u011b p\u0159en\u00e1\u0161eny sign\u00e1ly mezi mozkem a zbytkem t\u011bla, co\u017e zaznamen\u00e1me pr\u00e1v\u011b r\u016fzn\u00fdmi projevy. U n\u011bkoho jde o pot\u00ed\u017ee se zrakem, \u00fanavou nebo t\u0159eba koordinac\u00ed pohyb\u016f. U jin\u00e9ho jde zase o probl\u00e9my se svalovou slabost\u00ed, k\u0159e\u010demi \u010di rovnov\u00e1hou. Krom\u011b rozd\u00edln\u00fdch projev\u016f je v\u0161ak u lid\u00ed s roztrou\u0161enou skler\u00f3zou tak\u00e9 velmi individu\u00e1ln\u00ed pr\u016fb\u011bh nemoci.5<\/sup> V\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech je v\u00fdvoj nemoci pomalej\u0161\u00ed a\u00a0p\u0159echod do dal\u0161\u00ed f\u00e1ze trv\u00e1 \u0159adu let. V\u00a0jin\u00fdch p\u0159\u00edpadech m\u00e1 v\u0161ak nemoc rychl\u00fd sp\u00e1d a m\u016f\u017ee vy\u00fastit v\u00a0invaliditu a mnoho nezm\u011bn\u00ed ani ta nejmodern\u011bj\u0161\u00ed l\u00e9\u010dba. V\u011bt\u0161ina pacient\u016f se nach\u00e1z\u00ed n\u011bkde mezi t\u011bmito dv\u011bma extr\u00e9my. Podstatn\u00e9 je v\u011bd\u011bt, \u017ee se roztrou\u0161en\u00e1 skler\u00f3za v\u00a0pr\u016fb\u011bhu \u017eivota vyv\u00edj\u00ed a obecn\u011b ji tak lze d\u011blit na n\u011bkolik r\u016fzn\u00fdch typ\u016f.3 <\/sup><\/p>\n

Relaps-remitentn\u00ed f\u00e1ze<\/strong><\/p>\n

Nejb\u011b\u017en\u011bj\u0161\u00ed form\u011b roztrou\u0161en\u00e9 skler\u00f3zy, kter\u00e1 se na po\u010d\u00e1tku nemoci vyskytuje a\u017e u 85\u00a0% lid\u00ed s\u00a0touto diagn\u00f3zou, se \u0159\u00edk\u00e1 relaps-remitentn\u00ed. Tato f\u00e1ze je typick\u00e1 obdob\u00edm atak (odborn\u011b relaps\u016f), kdy \u010dlov\u011bk poci\u0165uje projevy nemoci. Ataka trv\u00e1 v\u017edy v\u00edce ne\u017e 24\u00a0hodin, ale ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f sp\u00ed\u0161e n\u011bkolik dn\u00ed. Po atace nast\u00e1v\u00e1 alespo\u0148 30denn\u00ed obdob\u00ed klidu (odborn\u011b remise).1<\/sup><\/p>\n

\u201eU relaps-remitentn\u00ed formy je b\u011b\u017en\u00e9, \u017ee se pacient v\u00a0obdob\u00edch klidu c\u00edt\u00ed t\u00e9m\u011b\u0159 v\u00a0po\u0159\u00e1dku. Stupe\u0148 neurologick\u00e9ho posti\u017een\u00ed v\u0161ak s\u00a0ka\u017edou atakou nar\u016fst\u00e1, i kdy\u017e to na prvn\u00ed pohled nemus\u00ed b\u00fdt zjevn\u00e9. Zcela z\u00e1sadn\u00ed proto je za\u010d\u00edt s\u00a0l\u00e9\u010dbou roztrou\u0161en\u00e9 skler\u00f3zy, co nejd\u0159\u00edve je to mo\u017en\u00e9. Relaps-remitentn\u00ed f\u00e1ze nemoci je toti\u017e nejl\u00e9pe ovlivniteln\u00e1 l\u00e9\u010dbou a p\u0159i poskytnut\u00ed v\u010dasn\u00e9 odborn\u00e9 p\u00e9\u010de je tak \u0161ance p\u0159edch\u00e1zet zhor\u0161en\u00ed nemoc\u00ed s\u00a0vidinou co nejv\u00edce plnohodnotn\u00e9ho \u017eivota<\/em>,\u201c<\/em> vysv\u011btluje prof. MUDr. Eva Kubala Havrdov\u00e1, CSc., vedouc\u00ed Centra pro\u00a0demyeliniza\u010dn\u00ed onemocn\u011bn\u00ed Neurologick\u00e9 kliniky 1. LF UK a VFN v Praze.<\/p>\n

Sekund\u00e1rn\u011b progresivn\u00ed f\u00e1ze <\/strong><\/p>\n

Stejn\u011b jako se vyv\u00edj\u00ed n\u00e1\u0161 \u017eivot, vyv\u00edj\u00ed se i roztrou\u0161en\u00e1 skler\u00f3za a v\u00a0pr\u016fb\u011bhu \u010dasu m\u016f\u017ee p\u0159ej\u00edt z\u00a0relaps-remitentn\u00ed f\u00e1ze do sekund\u00e1rn\u011b progresivn\u00ed. Zhruba u 50\u00a0% lid\u00ed s\u00a0roztrou\u0161enou skler\u00f3zou p\u0159ich\u00e1z\u00ed sekund\u00e1rn\u011b progresivn\u00ed forma bez l\u00e9\u010dby po 10\u00a0letech a po 25\u00a0letech pak u 85\u201390\u00a0% nemocn\u00fdch.3<\/sup><\/p>\n

\u201eTato f\u00e1ze se projevuje m\u00e9n\u011b v\u00fdrazn\u00fdmi atakami nebo zcela \u017e\u00e1dn\u00fdmi. Neznamen\u00e1 to v\u0161ak, \u017ee by se postup nemoci zastavil.<\/em> Naopak z\u00e1n\u011btliv\u00fd proces roztrou\u0161en\u00e9 skler\u00f3zy v\u00a0t\u011ble st\u00e1le pokra\u010duje a neurologick\u00e9 projevy se postupn\u011b zhor\u0161uj\u00ed, a\u017e p\u0159ech\u00e1z\u00ed k trval\u00e9 invalidit\u011b. L\u00e9ka\u0159i v\u0161ak nedok\u00e1\u017eou odhadnout rychlost a z\u00e1va\u017enost n\u00e1stupu zm\u011bn, a proto je velmi d\u016fle\u017eit\u00e9, aby pacienti sledovali zm\u011bny sv\u00e9ho stavu a neb\u00e1li se o nich \u0159\u00edct sv\u00e9mu neurologovi. V\u010dasn\u00e9 sd\u00edlen\u00ed informac\u00ed je st\u011b\u017eejn\u00ed pro spr\u00e1vn\u00e9 a \u00fasp\u011b\u0161n\u00e9 l\u00e9\u010den\u00ed roztrou\u0161en\u00e9 skler\u00f3zy, a to i v\u00a0sekund\u00e1rn\u011b progresivn\u00ed f\u00e1zi<\/em>,\u201c<\/em> zd\u016fraz\u0148uje prof. MUDr. Eva Kubala Havrdov\u00e1, CSc.<\/p>\n

Prim\u00e1rn\u011b progresivn\u00ed f\u00e1ze <\/strong><\/p>\n

Posledn\u00ed zm\u00edn\u011bn\u00e1 forma, a to prim\u00e1rn\u011b progresivn\u00ed, je pom\u011brn\u011b vz\u00e1cn\u00e1 a vyskytuje se u 10\u201315\u00a0% lid\u00ed s\u00a0roztrou\u0161enou skler\u00f3zou. U t\u00e9to formy se nevyskytuj\u00ed ataky (a\u017e na v\u00fdjime\u010dn\u00e9 p\u0159\u00edpady) a neurologick\u00e9 pot\u00ed\u017ee se zhor\u0161uj\u00ed u\u017e od za\u010d\u00e1tku nemoci. Dan\u00e1 forma za\u010d\u00edn\u00e1 v\u00a0pozd\u011bj\u0161\u00edm v\u011bku, okolo 40\u00a0let, \u010dast\u011bji se vyskytuje u mu\u017e\u016f a typicky p\u0159i n\u00ed doch\u00e1z\u00ed k\u00a0probl\u00e9m\u016fm s\u00a0ch\u016fz\u00ed.3<\/sup> Stejn\u011b jako u jin\u00fdch forem roztrou\u0161en\u00e9 skler\u00f3zy je i u t\u00e9to d\u016fle\u017eit\u00e9 obr\u00e1tit se p\u0159i jak\u00fdchkoli zm\u011bn\u00e1ch na l\u00e9ka\u0159e a\u00a0mluvit s\u00a0n\u00edm o nich, aby dok\u00e1zal odli\u0161it prim\u00e1rn\u011b progresivn\u00ed f\u00e1zi od jin\u00fdch forem roztrou\u0161en\u00e9 skler\u00f3zy.<\/p>\n

Jak dostat RS pod kontrolu<\/strong><\/p>\n

Kl\u00ed\u010dem ke zv\u00fd\u0161en\u00ed kvality \u017eivota s\u00a0roztrou\u0161enou skler\u00f3zou a rovn\u011b\u017e k\u00a0udr\u017een\u00ed co nejv\u011bt\u0161\u00ed produktivity je pravideln\u00e9 sledov\u00e1n\u00ed projev\u016f a jejich konzultov\u00e1n\u00ed s\u00a0l\u00e9ka\u0159em. Post\u0159ehy pacienta jsou pro l\u00e9ka\u0159e st\u011b\u017eejn\u00ed pro spr\u00e1vn\u00e9 stanoven\u00ed v\u00fdvoje nemoci a nasazen\u00ed vhodn\u00e9 l\u00e9\u010dby.<\/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

Michaela Jura\u010d\u00e1kov\u00e1, PR Executive, Havas, 602 766\u00a0398, michaela.juracakova@havaspr.com<\/a><\/p>\n

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

    \n
  1. SL\u00c1DKOV\u00c1,\u00a0Vladim\u00edra. Diagnostika roztrou\u0161en\u00e9 skler\u00f3zy, typick\u00e9 klinick\u00e9 p\u0159\u00edznaky.\u00a0Medic\u00edna pro praxi<\/em>[online].\u00a02015; 12(5): 236\u2013242. Dostupn\u00e9 z:\u00a0https:\/\/www.medicinapropraxi.cz\/pdfs\/med\/2015\/05\/07.pdf<\/a><\/li>\n
  2. Nada\u010dn\u00ed fond Impuls. Tiskov\u00e1 zpr\u00e1va: Lid\u00e9 s roztrou\u0161enou skler\u00f3zou maj\u00ed p\u0159ed koronavirem n\u00e1skok. 2020. Dostupn\u00e9 na: https:\/\/nfimpuls.cz\/images\/press_releases\/TZ_ReMuS_2020-05.pdf<\/a><\/li>\n
  3. Nada\u010dn\u00ed fond Impuls. Roztrou\u0161en\u00e1 skler\u00f3za \u2013 f\u00e1ze nemoci. Dostupn\u00e9 na: https:\/\/www.nfimpuls.cz\/index.php\/roztrousena-skleroza\/o-roztrousene-skleroze\/132-faze-nemoci<\/a><\/li>\n
  4. STEM\/MARK. \u010ce\u0161i a roztrou\u0161en\u00e1 skler\u00f3za, <\/em>b\u0159ezen 2020.<\/li>\n
  5. MALINOV\u00c1, Renata a NOVOTN\u00c1, Kl\u00e1ra.\u00a0Bro\u017eura pro pacienty.<\/em> vyd\u00e1n\u00ed 2017.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Roztrou\u0161en\u00e1 skler\u00f3za je nemoc\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu. Jej\u00ed p\u0159esn\u00e1 p\u0159\u00ed\u010dina zat\u00edm nen\u00ed zn\u00e1m\u00e1. Sou\u010dasn\u00e1 medic\u00edna je ov\u0161em dnes schopn\u00e1 toto v\u00e1\u017en\u00e9 chronick\u00e9 onemocn\u011bn\u00ed dr\u017eet co nejv\u00edce pod kontrolou. Nemoc se objevuje zpravidla v mlad\u00e9m dosp\u011bl\u00e9m v\u011bku mezi 20. a\u017e 40. rokem \u017eivota a postihuje v\u00edce \u017eeny.1<\/sup> V \u010cesku j\u00ed trp\u00ed odhadem 22 000 lid\u00ed.2<\/sup> U roztrou\u0161en\u00e9 skler\u00f3zy neexistuje standardn\u00ed pr\u016fb\u011bh, a u \u017e\u00e1dn\u00e9ho pacienta nelze proto jednozna\u010dn\u011b \u0159\u00edci, jak\u00fdm zp\u016fsobem se bude vyv\u00edjet. P\u0159esto\u017ee se v\u00fdvoj onemocn\u011bn\u00ed individu\u00e1ln\u011b li\u0161\u00ed, l\u00e9ka\u0159i rozli\u0161uj\u00ed t\u0159i z\u00e1kladn\u00ed formy neboli f\u00e1ze nemoci, a to relaps-remitentn\u00ed, sekund\u00e1rn\u011b progresivn\u00ed a prim\u00e1rn\u011b progresivn\u00ed.3<\/sup> Dle v\u00fdzkumu STEM\/MARK z\u202fb\u0159ezna roku 2020 t\u00e9m\u011b\u0159 dv\u011b t\u0159etiny \u010cech\u016f sly\u0161ely o tom, \u017ee roztrou\u0161en\u00e1 skler\u00f3za m\u00e1 r\u016fzn\u00e9 formy neboli f\u00e1ze, ov\u0161em 64 % lid\u00ed nikdy nesly\u0161elo nap\u0159\u00edklad o sekund\u00e1rn\u011b progresivn\u00ed f\u00e1zi.4<\/sup> St\u011b\u017eejn\u00edm elementem l\u00e9\u010dby je pr\u00e1v\u011b sledov\u00e1n\u00ed v\u00fdvoje nemoci, p\u0159i \u010dem\u017e hraje d\u016fle\u017eitou roli s\u00e1m pacient. Zachycen\u00ed p\u0159\u00edpadn\u00fdch zm\u011bn m\u016f\u017ee pomoci l\u00e9ka\u0159i efektivn\u011bji kontrolovat onemocn\u011bn\u00ed a volit tu nejvhodn\u011bj\u0161\u00ed l\u00e9\u010dbu. To je cesta k p\u0159evzet\u00ed kontroly nad roztrou\u0161enou skler\u00f3zou a ke kvalitn\u00edmu \u017eivotu navzdory nemoci.<\/p>\n","protected":false},"author":48,"featured_media":8772,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-9725","pressroom","type-pressroom","status-publish","has-post-thumbnail","hentry","pressroom_tag-zdravi"],"yoast_head":"\nRoztrou\u0161en\u00e1 skler\u00f3za, nemoc n\u011bkolika tv\u00e1\u0159\u00ed - 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\/roztrousena-skleroza-nemoc-nekolika-tvari\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Roztrou\u0161en\u00e1 skler\u00f3za, nemoc n\u011bkolika tv\u00e1\u0159\u00ed - Havas Prague\" \/>\n<meta property=\"og:description\" content=\"Roztrou\u0161en\u00e1 skler\u00f3za je nemoc\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu. Jej\u00ed p\u0159esn\u00e1 p\u0159\u00ed\u010dina zat\u00edm nen\u00ed zn\u00e1m\u00e1. Sou\u010dasn\u00e1 medic\u00edna je ov\u0161em dnes schopn\u00e1 toto v\u00e1\u017en\u00e9 chronick\u00e9 onemocn\u011bn\u00ed dr\u017eet co nejv\u00edce pod kontrolou. Nemoc se objevuje zpravidla v mlad\u00e9m dosp\u011bl\u00e9m v\u011bku mezi 20. a\u017e 40. rokem \u017eivota a postihuje v\u00edce \u017eeny.1 V \u010cesku j\u00ed trp\u00ed odhadem 22 000 lid\u00ed.2 U roztrou\u0161en\u00e9 skler\u00f3zy neexistuje standardn\u00ed pr\u016fb\u011bh, a u \u017e\u00e1dn\u00e9ho pacienta nelze proto jednozna\u010dn\u011b \u0159\u00edci, jak\u00fdm zp\u016fsobem se bude vyv\u00edjet. P\u0159esto\u017ee se v\u00fdvoj onemocn\u011bn\u00ed individu\u00e1ln\u011b li\u0161\u00ed, l\u00e9ka\u0159i rozli\u0161uj\u00ed t\u0159i z\u00e1kladn\u00ed formy neboli f\u00e1ze nemoci, a to relaps-remitentn\u00ed, sekund\u00e1rn\u011b progresivn\u00ed a prim\u00e1rn\u011b progresivn\u00ed.3 Dle v\u00fdzkumu STEM\/MARK z\u202fb\u0159ezna roku 2020 t\u00e9m\u011b\u0159 dv\u011b t\u0159etiny \u010cech\u016f sly\u0161ely o tom, \u017ee roztrou\u0161en\u00e1 skler\u00f3za m\u00e1 r\u016fzn\u00e9 formy neboli f\u00e1ze, ov\u0161em 64 % lid\u00ed nikdy nesly\u0161elo nap\u0159\u00edklad o sekund\u00e1rn\u011b progresivn\u00ed f\u00e1zi.4 St\u011b\u017eejn\u00edm elementem l\u00e9\u010dby je pr\u00e1v\u011b sledov\u00e1n\u00ed v\u00fdvoje nemoci, p\u0159i \u010dem\u017e hraje d\u016fle\u017eitou roli s\u00e1m pacient. Zachycen\u00ed p\u0159\u00edpadn\u00fdch zm\u011bn m\u016f\u017ee pomoci l\u00e9ka\u0159i efektivn\u011bji kontrolovat onemocn\u011bn\u00ed a volit tu nejvhodn\u011bj\u0161\u00ed l\u00e9\u010dbu. 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