{"id":93,"date":"2021-12-18T21:28:11","date_gmt":"2021-12-18T20:28:11","guid":{"rendered":"https:\/\/mave.honzicek.com\/?page_id=93"},"modified":"2026-02-23T12:50:05","modified_gmt":"2026-02-23T11:50:05","slug":"startuje-ctvrty-narodni-screening-plic","status":"publish","type":"page","link":"https:\/\/caro-gard.cz\/?page_id=93","title":{"rendered":"Startuje \u010dtvrt\u00fd n\u00e1rodn\u00ed screening \u2013 plic"},"content":{"rendered":"

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Startuje \u010dtvrt\u00fd n\u00e1rodn\u00ed screening \u2013 plic<\/h1>\n

M\u011bl by z\u00e1sadn\u011b ovlivnit vysokou \u00famrtnost lid\u00ed na pneumologick\u00e9 n\u00e1dory<\/strong><\/em><\/h2>\n
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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=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” min_height=”1238.4px” custom_margin=”-43px|auto||auto||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _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” global_colors_info=”{}”]<\/p>\n

Rakovina plic je nemoc, kter\u00e1 zabije drtivou v\u011bt\u0161inu t\u011bch, u nich\u017e se objev\u00ed. Ni\u010divost choroby spo\u010d\u00edv\u00e1 v jej\u00edm \u201etich\u00e9m\u201c postupu. Zprvu se v\u00fdrazn\u011b nehl\u00e1s\u00ed, nebol\u00ed, a lid\u00e9 s u\u017e jasn\u00fdmi p\u0159\u00edznaky tak p\u0159ich\u00e1zej\u00ed pro l\u00e9\u010dbu pozd\u011b.<\/strong><\/p>\n

Osm z deseti nemocn\u00fdch um\u00edr\u00e1 zbyte\u010dn\u011b, proto\u017ee v \u010dasn\u00fdch stadi\u00edch by \u0161lo n\u00e1dor odstranit. Takto l\u00e9ka\u0159i bojuj\u00ed o co nejdel\u0161\u00ed a nejkvalitn\u011bj\u0161\u00ed \u017eivot s pokro\u010dilou nemoc\u00ed.<\/p>\n

Naprost\u00fd p\u0159ed\u011bl v situaci bude znamenat spu\u0161t\u011bn\u00ed \u010dtvrt\u00e9ho n\u00e1rodn\u00edho screeningu \u2013 plic, kter\u00fd by m\u011bl odstartovat na za\u010d\u00e1tku p\u0159\u00ed\u0161t\u00edho roku. Plicn\u00ed l\u00e9ka\u0159i o tento n\u00e1stroj usilovali \u0159adu let a slibuj\u00ed si od n\u011bj zv\u00fd\u0161en\u00ed pod\u00edlu pacient\u016f, kter\u00fdm lze n\u00e1dor operativn\u011b odstranit \u2013 ze sou\u010dasn\u00fdch 15 % a\u017e na 50 %. Na z\u00e1ludnost nemoci upozor\u0148uj\u00ed v r\u00e1mci Sv\u011btov\u00e9ho dne rakoviny plic, jen\u017e tradi\u010dn\u011b p\u0159ipad\u00e1 na 1. srpna.<\/p>\n

\u201eChod\u00ed n\u00e1m st\u00e1le v\u00edce pacient\u016f s pokro\u010dil\u00fdm stadiem rakovin plic, \u010d\u00e1ste\u010dn\u011b i kv\u016fli aktu\u00e1ln\u00ed situaci s pandemi\u00ed, kdy se p\u0159\u00edznaky v podob\u011b ka\u0161le a zad\u00fdch\u00e1v\u00e1n\u00ed p\u0159isuzovaly covidu. S rozvinut\u00fdm onemocn\u011bn\u00edm se u n\u00e1s objevovali i mlad\u00ed lid\u00e9. Operativa pro v\u0161echna onkologick\u00e1 onemocn\u011bn\u00ed minul\u00fd rok klesla odhadem o 20 %. Kdy\u017e lid\u00e9 nep\u0159ijdou, nelze je operovat. Pak u\u017e nebojujeme o \u00fapln\u00e9 uzdraven\u00ed, ale o maxim\u00e1ln\u00ed p\u0159e\u017eit\u00ed. M\u00e1me k dispozici skv\u011bl\u00e9 modern\u00ed l\u00e9ky, kter\u00e9 m\u016f\u017eeme nasazovat u\u017e v prvn\u00ed linii. Ale samoz\u0159ejm\u011b chceme vid\u011bt pacienty uzdraven\u00e9 nebo je v na\u0161ich ambulanc\u00edch nevid\u011bt v\u016fbec a v tom n\u00e1m pom\u016f\u017ee pouze prevence \u2013 nekou\u0159en\u00ed a pr\u00e1v\u011b kontrola rizikov\u00fdch jedinc\u016f, aby se u nich p\u0159\u00edpadn\u00fd n\u00e1dor na\u0161el v\u010das,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Martina Koziar Va\u0161\u00e1kov\u00e1, Ph.D.,<\/strong> p\u0159edsedkyn\u011b \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti (\u010cPFS) \u010cLS JEP.<\/p>\n

Program v\u010dasn\u00e9ho z\u00e1chytu karcinomu plic se m\u00e1 t\u00fdkat asi\u00a030 000 vysoce rizikov\u00fdch osob mezi 55. a 75. rokem, je\u017e vykou\u0159\u00ed alespo\u0148 jednu krabi\u010dku cigaret denn\u011b. Pro program \u010dasn\u00e9 detekce karcinomu plic v \u010cR je v\u0161ak dle odborn\u00edk\u016f vhodn\u00fdch a\u017e p\u0159ibli\u017en\u011b 0,5 milionu ku\u0159\u00e1k\u016f.<\/p>\n

Na radiologick\u00e1 pracovi\u0161t\u011b je k vy\u0161et\u0159en\u00ed za pomoci n\u00edzkod\u00e1vkovan\u00e9ho CT po\u0161lou jak plicn\u00ed, tak prakti\u010dt\u00ed l\u00e9ka\u0159i.
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\u201eNyn\u00ed prob\u00edh\u00e1 akreditace radiologick\u00fdch pracovi\u0161\u0165, kter\u00e1 budou screening prov\u00e1d\u011bt,\u201c\u00a0<\/em>dopl\u0148uje prof. Koziar Va\u0161\u00e1kov\u00e1.<\/p>\n

Podle p\u0159edsedy \u010cesk\u00e9 aliance proti chronick\u00fdm respira\u010dn\u00edm onemocn\u011bn\u00edm prim. doc. MUDr. Milana Sovy, Ph.D.<\/strong> nelze u t\u00e9to nemoci bez screeningu o\u010dek\u00e1vat razantn\u00ed zlep\u0161en\u00ed.<\/p>\n

\u00a0<\/em>\u201eV 85 % p\u0159\u00edpad\u016f se na n\u00e1dor p\u0159ijde pozd\u011b. Nyn\u00ed kv\u016fli covidu je\u0161t\u011b \u0159ada lid\u00ed sv\u00e9 obt\u00ed\u017ee zleh\u010dovala, proto\u017ee se b\u00e1la j\u00edt k l\u00e9ka\u0159i, a to pak vedlo k tomu, \u017ee bylo pozd\u011b na opera\u010dn\u00ed v\u00fdkon. D\u016fle\u017eitost screeningu pro zlep\u0161en\u00ed p\u0159e\u017eit\u00ed pacient\u016f dok\u00e1zala i studie NELSON. Podle n\u00ed screening sn\u00ed\u017eil \u00famrt\u00ed na rakovinu plic ve sledovan\u00e9 skupin\u011b o 24 %,\u201c\u00a0<\/em><\/em>vysv\u011btluje doc. Sova.<\/p>\n

Plicn\u00ed l\u00e9ka\u0159i a onkologov\u00e9 se shoduj\u00ed na tom, \u017ee diagnostika, tedy rozpozn\u00e1n\u00ed n\u00e1doru mus\u00ed prob\u00edhat na specializovan\u00e9m pracovi\u0161ti.
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\u201eM\u00e1me zde dostate\u010dnou s\u00ed\u0165 komplexn\u00edch onkologick\u00fdch center a specializovan\u00fdch pracovi\u0161\u0165 s multidisciplin\u00e1rn\u00edmi t\u00fdmy, kter\u00e9 jsou schopny se sej\u00edt a p\u0159\u00edpad probrat osobn\u011b \u010di elektronicky. Na\u0161\u00edm c\u00edlem je dostat pacienty i ze vzd\u00e1len\u011bj\u0161\u00edch region\u016f na v\u011bt\u0161\u00ed pracovi\u0161t\u011b, kde se jim dostane kvalitn\u00ed diagnostiky a centrov\u00e9, syst\u00e9mov\u00e9 p\u00e9\u010de a l\u00e9\u010dby. Mechanismus posouv\u00e1n\u00ed pacienta zdravotn\u00edm syst\u00e9mem nesm\u00ed b\u00fdt stresuj\u00edc\u00ed, aby lid\u00e9 byli ochotni p\u0159ijet do jin\u00e9ho m\u011bsta a dostali to nejlep\u0161\u00ed, co tady je. Jenom u n\u00e1s v Praze je minim\u00e1ln\u011b polovina onkologick\u00fdch pacient\u016f z jin\u00fdch oblast\u00ed. V \u010cesku je onkologick\u00e1 p\u00e9\u010de na vysok\u00e9 \u00farovni \u2013 a co tady hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovny je naprost\u00e1 <\/em>rarita ve srovn\u00e1n\u00ed se zahrani\u010d\u00edm,\u201c\u00a0<\/em>vysv\u011btluje doc. MUDr. Jana Prausov\u00e1, Ph.D., MBA,<\/strong> p\u0159edsedkyn\u011b \u010cesk\u00e9 onkologick\u00e9 spole\u010dnostiosti \u010cLS JEP.<\/p>\n

P\u0159elom v l\u00e9\u010db\u011b karcinomu plic p\u0159inesly nov\u00e9 biologick\u00e9 a imunoonkologick\u00e9 l\u00e9ky, n\u011bkter\u00e9 z nich mohou l\u00e9ka\u0159i nasazovat u\u017e tzv. v prvn\u00ed linii, tedy ihned na po\u010d\u00e1tku l\u00e9\u010dby. Tyto l\u00e9ky otev\u0159ely pacient\u016fm, kte\u0159\u00ed m\u011bli v lep\u0161\u00edm p\u0159\u00edpad\u011b dev\u011bt m\u011bs\u00edc\u016f \u017eivota, \u0161anci na \u010dty\u0159n\u00e1sobn\u011b del\u0161\u00ed p\u0159e\u017eit\u00ed \u2013 v dobr\u00e9 kvalit\u011b. Podle prof. MUDr. Jany Sk\u0159i\u010dkov\u00e9, CSc.,<\/strong> p\u0159edsedkyn\u011b pneumoonkologick\u00e9 sekce \u010cPFS, schv\u00e1lily zdravotn\u00ed poji\u0161\u0165ovny za posledn\u00ed rok \u00fahradu t\u0159em dal\u0161\u00edm biologick\u00fdm a imunoonkologick\u00fdm l\u00e9k\u016fm a dal\u0161\u00ed tyto l\u00e9ky m\u016f\u017ee dost\u00e1vat \u0161ir\u0161\u00ed spektrum pacient\u016f.<\/p>\n

\u201eEvropsk\u00e1 l\u00e9kov\u00e1 agentura nav\u00edc schv\u00e1lila dal\u0161\u00ed indikace, tak\u017ee maxim\u00e1ln\u011b do dvou let zde m\u016f\u017eeme op\u011bt \u010dekat v\u00edce mo\u017enost\u00ed, jak na\u0161e pacienty l\u00e9\u010dit a m\u011bnit nemoc na chronickou,\u201c\u00a0<\/em>dopl\u0148uje prof. Sk\u0159i\u010dkov\u00e1. Podle prim\u00e1\u0159e Sovy je pro pacienty jednozna\u010dn\u011b lep\u0161\u00ed j\u00edt do v\u011bt\u0161\u00edch center, kter\u00e1 maj\u00ed lep\u0161\u00ed p\u0159\u00edstrojov\u00e1 vybaven\u00ed, krat\u0161\u00ed term\u00edny a poskytuj\u00ed komplexn\u00ed p\u00e9\u010di.<\/p>\n

V \u010cesku je sedm pneumoonkochirurgick\u00fdch center a patn\u00e1ct komplexn\u00edch onkologick\u00fdch center. Jak uv\u00e1d\u00ed MUDr. Stanislav Kos, CSc., FCCP,<\/strong> p\u0159edseda \u010cesk\u00e9ho ob\u010dansk\u00e9ho spolku proti plicn\u00edm nemocem, p\u0159\u00ed\u010dinou tohoto typu karcinomu \u2013 stejn\u011b jako v\u011bt\u0161iny ostatn\u00edch plicn\u00edch nemoc\u00ed \u2013 je v 90 % kou\u0159en\u00ed, a\u0165 u\u017e aktivn\u00ed nebo pasivn\u00ed. V tuzemsku ro\u010dn\u011b rakovinou plic onemocn\u00ed t\u00e9m\u011b\u0159 7 000 lid\u00ed, asi 5 500 na ni zem\u0159e.<\/p>\n

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\u010cesk\u00e1 pneumologick\u00e1 a ftizeologick\u00e1 spole\u010dnosti \u010cLS JEP (\u010cPFS)<\/strong><\/h3>\n

Odborn\u00e1 l\u00e9ka\u0159sk\u00e1 spole\u010dnost, kter\u00e1 \u0159e\u0161\u00ed problematiku v\u0161ech respira\u010dn\u00edch nemoc\u00ed v\u010detn\u011b tuberkul\u00f3zy po str\u00e1nce prevence, vyhled\u00e1v\u00e1n\u00ed, diagnostiky i terapie. \u010cPFS vytv\u00e1\u0159\u00ed doporu\u010den\u00e9 klinick\u00e9 postupy, vypracov\u00e1v\u00e1 odborn\u00e1 stanoviska k r\u016fzn\u00fdm probl\u00e9m\u016fm z vlastn\u00ed iniciativy nebo na \u017e\u00e1dost org\u00e1n\u016f st\u00e1tn\u00ed spr\u00e1vy. Odborn\u00e9 sekce \u010cPFS prohlubuj\u00ed a roz\u0161i\u0159uj\u00ed informace v jednotliv\u00fdch funk\u010dn\u00edch specializac\u00edch obor\u016f pneumologie a ftizeologie. Hlavn\u00edmi sm\u011bry odborn\u00e9ho zam\u011b\u0159en\u00ed t\u011bchto obor\u016f jsou nemoci spojen\u00e9 s bronchi\u00e1ln\u00ed obstrukc\u00ed, n\u00e1dory d\u00fdchac\u00edho \u00fastroj\u00ed, infek\u010dn\u00ed z\u00e1n\u011bty v\u010detn\u011b tuberkul\u00f3zy, interstici\u00e1ln\u00ed a granulomat\u00f3zn\u00ed plicn\u00ed procesy, poruchy d\u00fdch\u00e1n\u00ed ve sp\u00e1nku, l\u00e9\u010dba cystick\u00e9 fibr\u00f3zy dosp\u011bl\u00fdch a dal\u0161\u00ed plicn\u00ed nemoci. Informace o spole\u010dnosti lze nal\u00e9zt na www.pneumologie.cz.<\/p>\n

\u00a0<\/strong><\/p>\n

\u010cesk\u00fd ob\u010dansk\u00fd spolek proti plicn\u00edm nemocem (\u010cOPN)<\/strong><\/h3>\n

C\u00edlem spolku je prohlouben\u00ed vz\u00e1jemn\u00e9 informovanosti a spolupr\u00e1ce mezi laiky a odborn\u00edky, zlep\u0161en\u00ed obecn\u00e9ho pov\u011bdom\u00ed o problematice plicn\u00edch nemoc\u00ed a organizov\u00e1n\u00ed aktivit slou\u017e\u00edc\u00edch ke zlep\u0161en\u00ed situace pacient\u016f se z\u00e1va\u017en\u00fdmi plicn\u00edmi nemocemi. Od roku 2019 se v\u011bnuje i pacient\u016fm s rakovinou plic. Odborn\u011b \u010dinnost \u010cOPN garantuje odborn\u00e1 spole\u010dnost (\u010cPFS). Informace o \u010cOPN lze nal\u00e9zt na port\u00e1le www.copn.cz.<\/p>\n

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\u010cesk\u00e1 aliance proti chronick\u00fdm respira\u010dn\u00edm onemocn\u011bn\u00edm (\u010cARO)<\/strong><\/h3>\n

Instituce, kter\u00e1 napom\u00e1h\u00e1 sni\u017eovat z\u00e1t\u011b\u017e chronick\u00fdmi respira\u010dn\u00edmi nemocemi v populaci \u010cesk\u00e9 republiky. \u010cARO se hl\u00e1s\u00ed ke sv\u011btov\u00e9 organizaci GARD (Global Alliance against Chronic Respiratory Diseases) a jej\u00ed \u010dinnost prob\u00edh\u00e1 pod patronac\u00ed Sv\u011btov\u00e9 zdravotnick\u00e9 organizace (WHO). C\u00edlem je na n\u00e1rodn\u00ed \u00farovni v\u00fdrazn\u011b zv\u00fd\u0161it spole\u010densk\u00e9 pov\u011bdom\u00ed o chronick\u00fdch chorob\u00e1ch d\u00fdchac\u00edho syst\u00e9mu na v\u0161ech \u00farovn\u00edch zdravotn\u00ed p\u00e9\u010de. \u010cARO sdru\u017euje p\u0159es 20 odborn\u00fdch i laick\u00fdch organizac\u00ed, kter\u00e9 se zab\u00fdvaj\u00ed diagnostikou, l\u00e9\u010dbou a popularizac\u00ed nejz\u00e1va\u017en\u011bj\u0161\u00edch respira\u010dn\u00edch onemocn\u011bn\u00ed, kam pat\u0159\u00ed chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN), bronchi\u00e1ln\u00ed astma, rakovina plic, TBC a \u0159ada dal\u0161\u00edch z\u00e1va\u017en\u00fdch nemoc\u00ed. \u010cARO apeluje na zlep\u0161en\u00ed prevence a v\u010dasn\u00e9 diagnostiky u rizikov\u00e9 \u010d\u00e1sti populace s c\u00edlem zv\u00fd\u0161it \u00fa\u010dinnost racion\u00e1ln\u00ed l\u00e9\u010dby. V\u00edce informac\u00ed na www.caro-gard.cz.<\/p>\n

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Startuje \u010dtvrt\u00fd n\u00e1rodn\u00ed screening \u2013 plic M\u011bl by z\u00e1sadn\u011b ovlivnit vysokou \u00famrtnost lid\u00ed na pneumologick\u00e9 n\u00e1dory   Rakovina plic je nemoc, kter\u00e1 zabije drtivou v\u011bt\u0161inu t\u011bch, u nich\u017e se objev\u00ed. Ni\u010divost choroby spo\u010d\u00edv\u00e1 v jej\u00edm \u201etich\u00e9m\u201c postupu. Zprvu se v\u00fdrazn\u011b nehl\u00e1s\u00ed, nebol\u00ed, a lid\u00e9 s u\u017e jasn\u00fdmi p\u0159\u00edznaky tak p\u0159ich\u00e1zej\u00ed pro l\u00e9\u010dbu pozd\u011b. Osm z […]<\/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\/93"}],"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=93"}],"version-history":[{"count":9,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages\/93\/revisions"}],"predecessor-version":[{"id":1200,"href":"https:\/\/caro-gard.cz\/index.php?rest_route=\/wp\/v2\/pages\/93\/revisions\/1200"}],"wp:attachment":[{"href":"https:\/\/caro-gard.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=93"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}