{"id":261330,"date":"2022-08-23T12:44:57","date_gmt":"2022-08-23T11:44:57","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=261330"},"modified":"2022-08-24T13:24:12","modified_gmt":"2022-08-24T12:24:12","slug":"jizni-cechy-nemocnice-prachatice-byla-zarazena-do-pilotniho-programu-casneho-zachytu-karcinomu-plic","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=261330","title":{"rendered":"PRACHATICE: Nemocnice byla za\u0159azena do pilotn\u00edho programu \u010dasn\u00e9ho z\u00e1chytu zhoubn\u00e9ho karcinomu plic"},"content":{"rendered":"

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Nemocnice Prachatice byla za\u0159azena do pilotn\u00edho programu \u010dasn\u00e9ho z\u00e1chytu karcinomu plic. Akreditovan\u00e9mu radiologick\u00e9mu pracovi\u0161ti se poda\u0159ilo z\u00edskat Osv\u011bd\u010den\u00ed o spln\u011bn\u00ed podm\u00ednek a za\u0159azen\u00ed do programu. Toto osv\u011bd\u010den\u00ed je platn\u00e9 do konce roku 2024.<\/h6>\n

\"\"Ku\u0159\u00e1ci jsou v\u00fdznamn\u011b ohro\u017eeni vznikem r\u016fzn\u00fdch kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed. Jak je v\u0161eobecn\u011b zn\u00e1mo, tak\u00e9 rakovinou plic. Nejv\u011bt\u0161\u00edm rizikem vzniku rakoviny plic je kou\u0159en\u00ed. Doposud v\u011bt\u0161ina ku\u0159\u00e1k\u016f s rakovinou plic p\u0159ich\u00e1z\u00ed na prvn\u00ed vy\u0161et\u0159en\u00ed ve st\u00e1diu, kdy je n\u00e1dor tak pokro\u010dil\u00fd (st\u00e1dium 3 a 4), \u017ee mo\u017enosti l\u00e9\u010dby jsou omezen\u00e9.<\/p>\n

Po\u010d\u00e1te\u010dn\u00ed st\u00e1dia rakoviny plic prob\u00edhaj\u00ed ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f bez p\u0159\u00edznak\u016f. Kdy\u017e se poda\u0159\u00ed zachytit n\u00e1dor v ran\u00e9m st\u00e1diu, je velk\u00e1 nad\u011bje, \u017ee n\u00e1sleduj\u00edc\u00ed l\u00e9\u010dba bude \u00fa\u010dinn\u00e1 a v nejlep\u0161\u00edm p\u0159\u00edpad\u011b zachr\u00e1n\u00edme pacientovi \u017eivot (92% pravd\u011bpodobnost p\u0159e\u017eit\u00ed 60 m\u011bs\u00edc\u016f u \u010dasn\u00fdch n\u00e1dor\u016f plic ve st\u00e1diu 1a).<\/p>\n

Tedy \u0159e\u0161en\u00edm, jak situaci zlep\u0161it, je odhalit n\u00e1dor v\u010das. Proto byl v lednu 2022 v \u010cesk\u00e9 republice zah\u00e1jen celoplo\u0161n\u00fd program \u010dasn\u00e9ho z\u00e1chytu rakoviny plic, jeho\u017e c\u00edlem je aktivn\u011b vyhled\u00e1vat rizikov\u00e9 pacienty \u2013 ku\u0159\u00e1ky, u kter\u00fdch se provede vy\u0161et\u0159en\u00ed pomoc\u00ed tzv. LDCT (z anglick\u00e9ho low dose computed tomography), co\u017e je CT s n\u00edzkou d\u00e1vkou z\u00e1\u0159en\u00ed. Vy\u0161et\u0159en\u00ed nen\u00ed nijak n\u00e1ro\u010dn\u00e9, prov\u00e1d\u00ed se bez pod\u00e1n\u00ed kontrastn\u00ed l\u00e1tky a nen\u00ed nutn\u00e1 \u017e\u00e1dn\u00e1 p\u0159\u00edprava pacienta p\u0159ed vy\u0161et\u0159en\u00edm. Vlastn\u00ed vy\u0161et\u0159en\u00ed trv\u00e1 n\u011bkolik minut a v\u00fdsledky hodnot\u00ed l\u00e9ka\u0159 radiolog.<\/p>\n

Screeningov\u00e9 LDCT vy\u0161et\u0159en\u00ed plic je mo\u017eno prov\u00e9st jen na akreditovan\u00e9m radiologick\u00e9m pracovi\u0161ti, kter\u00e9 m\u00e1 osv\u011bd\u010den\u00ed pro realizaci tohoto programu. M\u00edstem prim\u00e1rn\u00edho kontaktu programu je pro pacienta praktick\u00fd l\u00e9ka\u0159. Do programu budou za\u0159azeni aktivn\u00ed nebo ex-ku\u0159\u00e1ci ve v\u011bku 55 a\u017e 74 let, kte\u0159\u00ed vykou\u0159\u00ed 20 a v\u00edce bal\u00ed\u010dkorok\u016f. (Jeden bal\u00ed\u010dkorok znamen\u00e1, \u017ee \u010dlov\u011bk kou\u0159il jeden rok jednu krabi\u010dku cigaret denn\u011b (nebo 2 krabi\u010dky p\u016fl roku, nebo p\u016fl krabi\u010dky 2 roky apod.). Pro \u00fa\u010dast v tomto programu tedy 1 krabi\u010dku cigaret denn\u011b po dobu 20 let.) \u00da\u010dast v tomto pilotn\u00edm screeningov\u00e9m programu je dobrovoln\u00e1 a bezplatn\u00e1.<\/p>\n

Pro na\u0161e pracovi\u0161t\u011b program spo\u010d\u00edv\u00e1 v tom, \u017ee je u praktick\u00e9ho l\u00e9ka\u0159e na z\u00e1klad\u011b vstupn\u00edch krit\u00e9ri\u00ed identifikov\u00e1n a osloven pacient, kter\u00fd je n\u00e1sledn\u011b odesl\u00e1n ke spolupracuj\u00edc\u00edmu ambulantn\u00edmu pneumologovi. Ten po celou dobu pacienta screeningem prov\u00e1d\u00ed, tzn. potvrd\u00ed spr\u00e1vnost vstupn\u00edch krit\u00e9ri\u00ed, provede u n\u011bj pneumo vy\u0161et\u0159en\u00ed a vypln\u00ed s pacientem dotazn\u00edk a souhlas se zpracov\u00e1n\u00edm osobn\u00edch \u00fadaj\u016f. Nakonec mu p\u0159ed\u00e1 \u017e\u00e1danku na CT vy\u0161et\u0159en\u00ed. Pacient se pot\u00e9 objedn\u00e1 na vy\u0161et\u0159en\u00ed a absolvuje LDCT na na\u0161em akreditovan\u00e9m radiologick\u00e9m pracovi\u0161ti. Vyhodnocen\u00ed a pl\u00e1n pro dal\u0161\u00ed kroky prov\u00e1d\u00ed op\u011bt pacientovo o\u0161et\u0159uj\u00edc\u00ed ambulantn\u00ed pneumolog.<\/p>\n

\u201ePilotn\u00ed program v prachatick\u00e9 nemocnici bychom r\u00e1di spustili 1. z\u00e1\u0159\u00ed 2022. Nyn\u00ed n\u00e1s \u010dek\u00e1 je\u0161t\u011b spolupr\u00e1ce s N\u00e1rodn\u00edm screeningov\u00fdm centrem \u00daZIS \u010cR, abychom doladili posledn\u00ed \u00fakony k realizaci, a to nastaven\u00ed technick\u00fdch krok\u016f ke spr\u00e1vn\u00e9 implementaci dat apod. Dal\u0161\u00edmi \u00fakoly pro veden\u00ed nemocnice je nasmlouv\u00e1n\u00ed v\u00fdkon\u016f screeningov\u00e9ho CT hrudn\u00edku u v\u0161ech zdravotn\u00edch poji\u0161\u0165oven,\u201c<\/em> sd\u011blil \u0159editel nemocnice Michal \u010carva\u0161.<\/p>\n

\u201eRole radiologick\u00e9ho pracovi\u0161t\u011b je z\u00e1sadn\u00ed v realizaci kl\u00ed\u010dov\u00e9ho LDCT vy\u0161et\u0159en\u00ed. Zde tak\u00e9 dojde k vyhodnocen\u00ed a informov\u00e1n\u00ed plicn\u00edho l\u00e9ka\u0159e. Radiologick\u00e9 pracovi\u0161t\u011b je z\u00e1rove\u0148 kontaktn\u00edm m\u00edstem pro sb\u011br a p\u0159ed\u00e1v\u00e1n\u00ed dat pro \u00daZIS \u010cR,\u201c<\/em> doplnil prim\u00e1\u0159 radiodiagnostick\u00e9ho odd\u011blen\u00ed Roman \u010cerkl s t\u00edm, \u017ee vyzval v\u0161echny ku\u0159\u00e1ky, aby se vy\u0161et\u0159en\u00ed neb\u00e1li, je bezbolestn\u00e9, a podstoupili ho v\u010das.<\/p>\n

Text a foto: (tz-nem)<\/strong><\/p>\n

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  Nemocnice <\/p>\n","protected":false},"author":2,"featured_media":261333,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[24,10],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2022\/08\/21\/nem-pt-program.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/261330"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=261330"}],"version-history":[{"count":9,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/261330\/revisions"}],"predecessor-version":[{"id":261457,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/261330\/revisions\/261457"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/261333"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=261330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=261330"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=261330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}