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[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” min_height=”1238.4px” custom_margin=”-43px|auto||auto||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.27.6″ _module_preset=”default” text_font=”Open Sans||||||||” text_text_color=”#404040″ text_font_size=”16px” header_3_font=”Inria Serif|700|||||||” header_3_text_color=”#0082AD” header_3_line_height=”1.4em” header_4_font=”Inria Serif||on||||||” header_4_text_color=”#0082AD” header_4_font_size=”20px” header_4_line_height=”1.3em” header_6_font=”Inria Serif|700|||||||” header_6_text_color=”#DF428B” max_width=”80%” max_width_tablet=”80%” max_width_phone=”100%” max_width_last_edited=”on|phone” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]Franz Kafka, Karel Havl\u00ed\u010dek Borovsk\u00fd nebo Ji\u0159\u00ed Wolker. To jsou p\u0159\u00edklady osobnost\u00ed, kter\u00e9 zem\u0159ely na tuberkul\u00f3zu. I kdy\u017e \u010cesk\u00e1 republika pat\u0159\u00ed st\u00e1le k zem\u00edm s nejni\u017e\u0161\u00edm v\u00fdskytem t\u00e9to nemoci, po\u010det naka\u017een\u00fdch roste. A dopady nejsou jen zdravotn\u00ed. Spousta nemocn\u00fdch s TBC nespolupracuje, a nav\u00edc za sebou nech\u00e1vaj\u00ed milionov\u00e9 dluhy, proto\u017ee \u0159ada z nich je nepoji\u0161t\u011bn\u00fdch. Pneumologov\u00e9 volaj\u00ed po vstupn\u00edm vy\u0161et\u0159en\u00ed cizinc\u016f a dal\u0161\u00edch opat\u0159en\u00edch. Jak\u00fdch?<\/strong><\/p>\n \u010cesk\u00e1 republika pat\u0159\u00ed k zem\u00edm s nejni\u017e\u0161\u00edm v\u00fdskytem tuberkul\u00f3zy (TBC). \u201ePo\u010det nov\u011b nemocn\u00fdch se pohybuje kolem 4,8 na 100 000 obyvatel ro\u010dn\u011b. N\u00edzk\u00e1 \u010d\u00edsla jsou v\u00fdsledkem pe\u010dliv\u00e9 a systematick\u00e9 pr\u00e1ce \u010desk\u00fdch pneumolog\u016f. M\u016f\u017eeme se srovn\u00e1vat se sousedn\u00edm N\u011bmeckem s 4,8 TBC pacient\u016f na 100 000 obyvatel ro\u010dn\u011b nebo Rakouskem s 5,0 na 100 000 obyvatel,\u201c<\/i> uvedla na tiskov\u00e9 konferenci prof. Koziar Va\u0161\u00e1kov\u00e1, Ph.D., p\u0159ednostka Pneumologick\u00e9 kliniky Fakultn\u00ed Thomayerovy nemocnice a 1. LF UK.<\/p>\n Tato \u010d\u00edsla se v\u0161ak mohou m\u011bnit k hor\u0161\u00edmu, a to p\u0159edev\u0161\u00edm kv\u016fli migraci ze zem\u00ed s vy\u0161\u0161\u00edm v\u00fdskytem TBC. \u201eTo jsou v podstat\u011b v\u0161echny zem\u011b na v\u00fdchod od n\u00e1s, nap\u0159\u00edklad Ukrajina s incidenc\u00ed 112\/100 000, Rumunsko 55\/100 000 nebo Bulharsko 16\/100 000. Neust\u00e1le \u017e\u00e1d\u00e1me o to, aby nov\u011b p\u0159\u00edchoz\u00ed absolvovali zdravotn\u00ed prohl\u00eddku v\u010detn\u011b zji\u0161t\u011bn\u00ed z\u00e1kladn\u00edch infek\u010dn\u00edch onemocn\u011bn\u00ed. Pokud cht\u011bj\u00ed v \u010cesku z\u016fstat, m\u011bli by b\u00fdt vy\u0161et\u0159eni na z\u00e1kladn\u00ed p\u0159enosn\u00e1 onemocn\u011bn\u00ed, zejm\u00e9na na tuberkul\u00f3zu, a v p\u0159\u00edpad\u011b d\u011bt\u00ed je t\u0159eba nechat doplnit v\u0161echna povinn\u00e1 o\u010dkov\u00e1n\u00ed,\u201c<\/em> dodala profesorka Koziar Va\u0161\u00e1kov\u00e1.<\/p>\n Podle nov\u00fdch dat z n\u00e1rodn\u00edho registru TBC se po\u010det lid\u00ed v \u010cesk\u00e9 republice, kte\u0159\u00ed maj\u00ed tuberkul\u00f3zu, dr\u017e\u00ed na obdobn\u00fdch \u010d\u00edslech jako v roce 2023. Nemoc m\u00e1 454 lid\u00ed, z toho 337 mu\u017e\u016f a 117 \u017een. \u201ePod\u00edl osob narozen\u00fdch mimo \u010ceskou republiku \u010din\u00ed 48 % a pr\u016fm\u011brn\u00fd v\u011bk nemocn\u00fdch je 48 let. Evidujeme 18 p\u0159\u00edpad\u016f TBC u d\u011bt\u00ed do 15 let, z toho 12 je narozen\u00fdch v \u010cesk\u00e9 republice, \u010dty\u0159i na Ukrajin\u011b a po jednom v Rumunsku a ve Vietnamu,\u201c<\/i> \u0159ekl MUDr. Ji\u0159\u00ed Wallenfels, vedouc\u00ed N\u00e1rodn\u00ed jednotky dohledu nad tuberkul\u00f3zou FN Bulovka. V porovn\u00e1n\u00ed jednotliv\u00fdch kraj\u016f zaznamenal nejv\u011bt\u0161\u00ed r\u016fst po\u010dtu nemocn\u00fdch s TBC kraj Jihomoravsk\u00fd \u2013 meziro\u010dn\u011b o deset p\u0159\u00edpad\u016f, na 56 lid\u00ed.<\/p>\n To, \u017ee se situace m\u016f\u017ee rychle zvrtnout, m\u00e1 n\u011bkolik d\u016fvod\u016f. L\u00e9\u010dba tuberkul\u00f3zy je povinn\u00e1, jen\u017ee nen\u00ed pln\u011b hrazen\u00e1. Nemoc p\u0159itom postihuje hlavn\u011b soci\u00e1ln\u011b slab\u00e9 a okrajov\u00e9 skupiny.<\/p>\n \u201eTo vede zejm\u00e9na u lid\u00ed bez zdravotn\u00edho poji\u0161t\u011bn\u00ed ke zna\u010dn\u00fdm pohled\u00e1vk\u00e1m zdravotn\u00edch za\u0159\u00edzen\u00ed. I kdy\u017e je ka\u017ed\u00fd druh\u00fd pacient s TBC cizinec a WHO m\u00e1 seznam rizikov\u00fdch zem\u00ed, chyb\u00ed pravideln\u00e9 vyhled\u00e1v\u00e1n\u00ed nel\u00e9\u010den\u00fdch nemocn\u00fdch mezi uchaze\u010di o pr\u00e1ci. Dal\u0161\u00edm probl\u00e9mem je nedostatek pravidel pro zadr\u017een\u00ed pacient\u016f, kte\u0159\u00ed odm\u00edtaj\u00ed l\u00e9\u010dbu a jsou agresivn\u00ed \u2013 nemocnice tak mus\u00ed jednat samostatn\u011b, aby zabr\u00e1nily \u0161\u00ed\u0159en\u00ed nemoci. Nav\u00edc si pacienti na okraji spole\u010dnosti \u010dasto nemohou dovolit doplatky za antituberkulotika a pr\u00e1vn\u00ed r\u00e1mec pro kontrolu l\u00e9\u010dby mimo nemocnice (nap\u0159. telemetrick\u00e9 nebo ter\u00e9nn\u00ed kontroly) chyb\u00ed. K tomu se p\u0159id\u00e1v\u00e1 zdlouhav\u00e9 schvalov\u00e1n\u00ed l\u00e9k\u016f pro rezistentn\u00ed TBC, co\u017e je opravdov\u00e1 komplikace. Apelujeme na Ministerstvo zdravotnictv\u00ed, aby tyto probl\u00e9my co nejd\u0159\u00edve \u0159e\u0161ilo,\u201c<\/i> upozornil p\u0159edseda \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti (\u010cPFS) doc. MUDr. Vladim\u00edr Kobl\u00ed\u017eek, Ph.D.<\/p>\n Screening na TBC se u p\u0159ich\u00e1zej\u00edc\u00edch cizinc\u016f neprov\u00e1d\u00ed a do nemocnic \u010dasto p\u0159ich\u00e1z\u00ed cizinci s vysp\u011blou formou nemoci a ve \u0161patn\u00e9m zdravotn\u00edm stavu, co\u017e vede k \u00famrt\u00edm i p\u0159es intenzivn\u00ed p\u00e9\u010di. \u201eOb\u010das se setk\u00e1v\u00e1me i s vz\u00e1cn\u00fdmi fat\u00e1ln\u00edmi formami, nap\u0159\u00edklad s tuberkul\u00f3zou st\u0159ev, kter\u00e1 zp\u016fsobuje jejich akutn\u00ed nepr\u016fchodnost,\u201c <\/i>doplnila prof. MUDr. Martina Koziar Va\u0161\u00e1kov\u00e1.<\/p>\n Nepoji\u0161t\u011bn\u00ed pacienti jsou podle l\u00e9ka\u0159\u016f zkr\u00e1tka velk\u00fdm probl\u00e9mem. Podle prof. MUDr. Milana Sovy, Ph.D., p\u0159ednosty Kliniky nemoc\u00ed plicn\u00edch a tuberkul\u00f3zy Fakultn\u00ed nemocnice Brno jsou pacienti s TBC \u010dasto nepoji\u0161t\u011bni. \u201eN\u00e1klady na jejich l\u00e9\u010dbu jdou za n\u00e1mi. Zrovna te\u010f m\u00e1me na odd\u011blen\u00ed cizince bez zdravotn\u00edho poji\u0161t\u011bn\u00ed, kter\u00fd u\u017e nyn\u00ed dlu\u017e\u00ed 664 000 korun. Ne\u017e jej pln\u011b vyl\u00e9\u010d\u00edme, vy\u0161plh\u00e1 se \u010d\u00e1stka na milion,\u201c<\/i> uv\u00e1d\u00ed prof. Sova. Loni zde hospitalizovali 36 pacient\u016f s tuberkul\u00f3zou, co\u017e je o dev\u011bt v\u00edce ne\u017e v roce 2023. Cizinec sice podep\u00ed\u0161e souhlas, \u017ee dlu\u017e\u00ed takhle vysokou \u010d\u00e1stku, ale vymoci ji, je podle l\u00e9ka\u0159\u016f v podstat\u011b nemo\u017en\u00e9.<\/p>\n Vedle neplati\u010d\u016f je tak\u00e9 velk\u00fdm probl\u00e9mem agresivita. S agresivn\u00edm pacientem se loni museli nap\u0159\u00edklad vypo\u0159\u00e1dat na uzav\u0159en\u00e9m odd\u011blen\u00ed pro l\u00e9\u010dbu TBC pacient\u016f v nemocnici v \u017damberku.<\/p>\n \u201eP\u0159ijali jsme pacienta s tuberkul\u00f3zou. Neum\u011bl se sm\u00ed\u0159it s izolac\u00ed, opakovan\u011b slovn\u011b napadal person\u00e1l, ostatn\u00ed pacienty, kradl, ut\u00edkal, po\u0161kozoval majetek nemocnice. Situace vygradovala ve chv\u00edli, kdy vyhro\u017eoval person\u00e1lu zn\u00e1siln\u011bn\u00edm a zabit\u00edm, rozbil dve\u0159e a \u00fato\u010dil na spolupacienty \u2013 tehdy jsme na doporu\u010den\u00ed policie zakoupili paralyz\u00e9ry a policie musela b\u00fdt na odd\u011blen\u00ed p\u0159\u00edtomna nonstop n\u011bkolik dn\u016f,\u201c<\/i> vzpom\u00edn\u00e1 MUDr. M\u00e1ria Michalovi\u010dov\u00e1, prim\u00e1\u0159ka odd\u011blen\u00ed Pneumologie a ftizeologie odborn\u00e9ho l\u00e9\u010debn\u00e9ho \u00fastavu Albertinum.<\/p>\n \u201eProto\u017ee pacient nebyl odsouzen\u00fd, ne\u0161lo jej p\u0159edat do vazby. O radu a pomoc jsme \u017e\u00e1dali Ministerstvo zdravotnictv\u00ed, \u010ceskou l\u00e9ka\u0159skou komoru, pr\u00e1vn\u00edky. Nikdo n\u00e1m ale nebyl schopen pomoci, proto\u017ee dle sou\u010dasn\u00e9 legislativy m\u016f\u017ee b\u00fdt infek\u010dn\u00ed pacient um\u00edst\u011bn pouze do izolace ve zdravotnick\u00e9m za\u0159\u00edzen\u00ed,\u201c <\/i>pokra\u010duje MUDr. Michalovi\u010dov\u00e1.<\/p>\n Po 3 m\u011bs\u00edc\u00edch hospitalizace tohoto pacienta pot\u0159ebovala \u010d\u00e1st person\u00e1lu krizovou intervenci a pomoc psychologa. By\u0165 jde zat\u00edm o jednotky p\u0159\u00edpad\u016f, agresivn\u00edch lid\u00ed s TBC podle pneumolog\u016f p\u0159ib\u00fdv\u00e1. Jak \u0159\u00edk\u00e1 prof. Koziar Va\u0161\u00e1kov\u00e1, Ph.D., pomohlo by psychiatrick\u00e9 uzav\u0159en\u00e9 za\u0159\u00edzen\u00ed. D\u0159\u00edve takov\u00e9 fungovalo v Dob\u0159anech, nyn\u00ed je v\u0161ak mimo provoz.<\/p>\n T\u00e9mata l\u00e9ka\u0159i otev\u0159eli p\u0159i p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne boje proti tuberkul\u00f3ze, jen\u017e p\u0159ipad\u00e1 na 24. b\u0159ezna. Ve stejn\u00fd den o 143 let d\u0159\u00edve ozn\u00e1mil n\u011bmeck\u00fd l\u00e9ka\u0159 Robert Koch objev z\u00e1ke\u0159n\u00e9ho bacilu Mycobacterium tuberculosis, jen\u017e nemoc zp\u016fsobuje.<\/p>\n Autor: Redakce Na\u0161ezdravotnictv\u00ed.cz<\/strong><\/p>\n<\/div>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Agresivn\u00edch a nepoji\u0161t\u011bn\u00fdch pacient\u016f s TBC zanech\u00e1vaj\u00edc\u00edch milionov\u00e9 dluhy p\u0159ib\u00fdv\u00e1. Pneumologov\u00e9 volaj\u00ed po \u0159e\u0161en\u00ed situace Zdroj: nasezdravotnictvi.cz Franz Kafka, Karel Havl\u00ed\u010dek Borovsk\u00fd nebo Ji\u0159\u00ed Wolker. To jsou p\u0159\u00edklady osobnost\u00ed, kter\u00e9 zem\u0159ely na tuberkul\u00f3zu. I kdy\u017e \u010cesk\u00e1 republika pat\u0159\u00ed st\u00e1le k zem\u00edm s nejni\u017e\u0161\u00edm v\u00fdskytem t\u00e9to nemoci, po\u010det naka\u017een\u00fdch roste. A dopady nejsou jen zdravotn\u00ed. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages\/1250"}],"collection":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1250"}],"version-history":[{"count":3,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages\/1250\/revisions"}],"predecessor-version":[{"id":1255,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages\/1250\/revisions\/1255"}],"wp:attachment":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1250"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Povinnost l\u00e9\u010dby<\/strong><\/h1>\n
Agresivita a vyho\u0159en\u00ed l\u00e9ka\u0159\u016f<\/strong><\/h1>\n