{"id":376437,"date":"2026-05-28T11:51:17","date_gmt":"2026-05-28T10:51:17","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=376437"},"modified":"2026-05-28T11:51:17","modified_gmt":"2026-05-28T10:51:17","slug":"vseobecna-zdravotni-pojistovna-roztrousena-skleroza-trapi-casteji-zeny-vice-nez-polovina-pacientu-uz-ma-biologickou-lecbu","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=376437","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Roztrou\u0161en\u00e1 skler\u00f3za tr\u00e1p\u00ed \u010dast\u011bji \u017eeny, v\u00edce ne\u017e polovina pacient\u016f u\u017e m\u00e1 biologickou l\u00e9\u010dbu"},"content":{"rendered":"

\"\"<\/p>\n

T\u00e9m\u011b\u0159 3 miliardy korun vloni vydala V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna na l\u00e9\u010dbu klient\u016f s\u00a0roztrou\u0161enou skler\u00f3zou. Z celkov\u00fdch n\u00e1klad\u016f bylo p\u0159es 83 % ur\u010deno na biologickou l\u00e9\u010dbu nejt\u011b\u017e\u0161\u00edch p\u0159\u00edpad\u016f. Pr\u00e1v\u011b d\u00edky t\u011bmto modern\u00edm l\u00e9\u010div\u00fdm p\u0159\u00edpravk\u016fm maj\u00ed pacienti s\u00a0roztrou\u0161enou skler\u00f3zou vy\u0161\u0161\u00ed \u0161anci na plnohodnotn\u00fd \u017eivot. N\u00e1klady na\u00a0biologickou l\u00e9\u010dbu za 10 let vzrostly o\u00a0miliardu na lo\u0148sk\u00fdch 2,41 miliardy korun. Tiskovou zpr\u00e1vu vyd\u00e1v\u00e1me ke\u00a0Sv\u011btov\u00e9mu dni roztrou\u0161en\u00e9 skler\u00f3zy (30. 5.).\u00a0<\/b><\/h6>\n

\u201eN\u00e1klady na l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy dlouhodob\u011b rostou zejm\u00e9na v souvislosti s roz\u0161i\u0159uj\u00edc\u00edm se vyu\u017e\u00edv\u00e1n\u00edm modern\u00ed biologick\u00e9 l\u00e9\u010dby, kter\u00e1 je sice finan\u010dn\u011b n\u00e1ro\u010dn\u00e1, ale pacient\u016fm p\u0159in\u00e1\u0161\u00ed v\u00fdrazn\u011b lep\u0161\u00ed progn\u00f3zu i kvalitu \u017eivota,\u201c<\/em> \u0159\u00edk\u00e1\u00a0Miroslav Jank\u016fj, pov\u011b\u0159en\u00fd n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di, a dod\u00e1v\u00e1: \u201eV\u00edce ne\u017e polovina v\u0161ech klient\u016f s\u00a0rozstrou\u0161enou skler\u00f3zou je tak dnes l\u00e9\u010dena biologickou l\u00e9\u010dbou. P\u0159itom pr\u016fm\u011brn\u00e9 ro\u010dn\u00ed n\u00e1klady na tuto l\u00e9\u010dbu u jednoho pacienta p\u0159edstavuj\u00ed zhruba 230 tis\u00edc korun.\u201c<\/em><\/p>\n

Roztrou\u0161en\u00e1 skler\u00f3za je chronick\u00e9 autoimunitn\u00ed onemocn\u011bn\u00ed, p\u0159i kter\u00e9m doch\u00e1z\u00ed k po\u0161kozen\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, tedy mozku a m\u00edchy. P\u0159esn\u00e1 p\u0159\u00ed\u010dina vzniku nemoci nen\u00ed dosud zn\u00e1ma. Nej\u010dast\u011bji se objevuje ve v\u011bku mezi 20 a 40 lety. Roztrou\u0161enou skler\u00f3zou onemocn\u00ed \u010dast\u011bji \u017eeny ne\u017e mu\u017ei. Pokud m\u00e1 pacient rodi\u010de nebo sourozence s roztrou\u0161enou skler\u00f3zou, zvy\u0161uje se pravd\u011bpodobnost, \u017ee se u n\u011bj objev\u00ed, a\u010dkoli samotn\u00e1 roztrou\u0161en\u00e1 skler\u00f3za nen\u00ed d\u011bdi\u010dn\u00e1 porucha. V\u00fdzkum nazna\u010duje, \u017ee stovky gen\u016f a genov\u00fdch variant (naz\u00fdvan\u00fdch tak\u00e9 mutace) se kombinuj\u00ed a vytv\u00e1\u0159ej\u00ed n\u00e1chylnost k roztrou\u0161en\u00e9 skler\u00f3ze. I kdy\u017e zat\u00edm nelze roztrou\u0161enou skler\u00f3zu zcela vyl\u00e9\u010dit, zejm\u00e9na v ran\u00fdch stadi\u00edch je mo\u017en\u00e9 jej\u00ed pr\u016fb\u011bh \u00fa\u010dinn\u011b ovliv\u0148ovat pomoc\u00ed l\u00e9k\u016f.<\/p>\n

\u201eNejv\u011bt\u0161\u00ed \u00faskal\u00ed vid\u00edm v objasn\u011bn\u00ed p\u0159\u00ed\u010diny vzniku roztrou\u0161en\u00e9 skler\u00f3zy a s t\u00edm \u00fazce souvisej\u00edc\u00ed nalezen\u00ed kauz\u00e1ln\u00ed l\u00e9\u010dby. Dynamika v\u00fdvoje v\u00fdzkumu a l\u00e9\u010dby je velmi nad\u011bjn\u00e1, co\u017e jasn\u011b podporuje fakt, \u017ee\u00a0v\u00a0sou\u010dasnosti m\u00e1me k dispozici asi 15 p\u0159\u00edpravk\u016f pro l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy (biologick\u00e1 l\u00e9\u010dba), kter\u00e9 podstatn\u011b ovliv\u0148uj\u00ed pr\u016fb\u011bh onemocn\u011bn\u00ed a zpomaluj\u00ed jeho progresi. Nicm\u00e9n\u011b st\u00e1le nem\u00e1me l\u00e9k, kter\u00fd by onemocn\u011bn\u00ed definitivn\u011b vyl\u00e9\u010dil. Vzhledem k tomu, \u017ee p\u0159\u00edpravky v r\u00e1mci biologick\u00e9 l\u00e9\u010dby byly vyvinuty a\u00a0uvedeny na trh od poloviny devades\u00e1t\u00fdch let, lze doufat, \u017ee nalezen\u00ed kauz\u00e1ln\u00edho l\u00e9ku na sebe nenech\u00e1 dlouho \u010dekat,\u201c \u0159\u00edk\u00e1\u00a0prof. MUDr. Pavel \u0160toura\u010d, Ph.D.<\/b>, z\u00a0Fakultn\u00ed nemocnice v\u00a0Brn\u011b.<\/p>\n

Mo\u017en\u00e9 p\u0159\u00edznaky\u00a0roztrou\u0161en\u00e9 skler\u00f3zy<\/a><\/strong>:
\n\u27a4\u00a0Probl\u00e9my se zrakem
\n\u27a4\u00a0Pot\u00ed\u017ee s ch\u016fz\u00ed nebo udr\u017een\u00edm rovnov\u00e1hy
\n\u27a4\u00a0Pot\u00ed\u017ee s jasn\u00fdm my\u0161len\u00edm
\n\u27a4\u00a0Necitlivost nebo slabost, zejm\u00e9na v pa\u017e\u00edch a nohou
\n\u27a4\u00a0Ztuhlost sval\u016f
\n\u27a4\u00a0Deprese
\n\u27a4\u00a0Probl\u00e9my se sexu\u00e1ln\u00ed funkc\u00ed nebo mo\u010den\u00edm
\n\u27a4\u00a0Pocit velk\u00e9 \u00fanavy<\/p>\n

Roztrou\u0161en\u00e1 skler\u00f3za\u00a0pat\u0159\u00ed do skupiny autoimunitn\u00edch onemocn\u011bn\u00ed<\/a>,<\/strong> jich\u017e je zhruba stovka. Nejzn\u00e1m\u011bj\u0161\u00ed jsou diabetes 1. typu, revmatoidn\u00ed artritida, Crohnova choroba, ulcer\u00f3zn\u00ed kolitida, sn\u00ed\u017een\u00e1 \u010di naopak zv\u00fd\u0161en\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy, celiakie, lup\u00e9nka, lupus, sklerodermie. V\u0161em je spole\u010dn\u00e9, \u017ee imunitn\u00ed syst\u00e9m napad\u00e1 vlastn\u00ed t\u011blo.<\/p>\n

Pr\u016fb\u011bh roztrou\u0161en\u00e9 skler\u00f3zy<\/a><\/strong>\u00a0je u ka\u017ed\u00e9ho \u010dlov\u011bka jin\u00fd, co\u017e tak\u00e9 zt\u011b\u017euje odhad, jak se nemoc bude vyv\u00edjet. I proto se l\u00e9\u010dba u ka\u017ed\u00e9ho pacienta li\u0161\u00ed. Z\u00e1le\u017e\u00ed na st\u00e1diu onemocn\u011bn\u00ed a symptomech. C\u00edlem l\u00e9\u010dby roztrou\u0161en\u00e9 skler\u00f3zy je sn\u00ed\u017eit frekvenci a z\u00e1va\u017enost relaps\u016f, zpomalit progresi onemocn\u011bn\u00ed, zvl\u00e1dat symptomy a zlep\u0161it kvalitu \u017eivota.<\/p>\n

U \u010d\u00e1sti pacient\u016f m\u00e1 pom\u011brn\u011b m\u00edrn\u00fd pr\u016fb\u011bh s\u00a0ob\u010dasn\u00fdmi relapsy a dlouh\u00fdmi obdob\u00edmi bez obt\u00ed\u017e\u00ed, zat\u00edmco u jin\u00fdch doch\u00e1z\u00ed ji\u017e od po\u010d\u00e1te\u010dn\u00edho z\u00e1chvatu k postupn\u00e9mu a trval\u00e9mu zhor\u0161ov\u00e1n\u00ed stavu, kter\u00e9 m\u016f\u017ee ve st\u0159edn\u00edm v\u011bku v\u00e9st k trval\u00e9 imobilit\u011b a inkontinenci.\u00a0Nej\u010dast\u011bj\u0161\u00edm klinick\u00fdm projevem<\/a><\/strong>\u00a0RS je tzv. relaps-remitentn\u00ed forma, p\u0159i n\u00ed\u017e se st\u0159\u00edd\u00e1 vzplanut\u00ed onemocn\u011bn\u00ed (relapsy) a relativn\u011b klidov\u00e1 obdob\u00ed mezi nimi.<\/p>\n

S roztrou\u0161enou skler\u00f3zou \u017eije na sv\u011bt\u011b odhadem 2,9 milionu lid\u00ed; po\u010det p\u0159\u00edpad\u016f dlouhodob\u011b roste, a to jak d\u00edky lep\u0161\u00ed diagnostice, tak mo\u017en\u00fdm zm\u011bn\u00e1m v rizikov\u00fdch faktorech a st\u00e1rnut\u00ed populace.<\/p>\n

\"\"<\/p>\n

Po\u010det pacient\u016f l\u00e9\u010den\u00fdch modern\u00ed vysoce \u00fa\u010dinnou terapi\u00ed v posledn\u00edch letech v\u00fdrazn\u011b roste. Zat\u00edmco v\u00a0roce 2017 bylo touto biologickou l\u00e9\u010dbou l\u00e9\u010deno\u00a06488 klient\u016f VZP \u010cR<\/b>, v lo\u0148sk\u00e9m roce jejich po\u010det p\u0159es\u00e1hl\u00a010,5 tis\u00edce<\/b>. Spolu s po\u010dtem l\u00e9\u010den\u00fdch pacient\u016f rostou i n\u00e1klady, kter\u00e9 s touto l\u00e9\u010dbou souvisej\u00ed. Jen za rok 2025 uhradila VZP biologickou l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy za v\u00edce ne\u017e\u00a02,4 miliardy korun<\/b>.<\/p>\n

\"\"<\/p>\n

Rostouc\u00ed pod\u00edl klient\u016f l\u00e9\u010den\u00fdch biologickou l\u00e9\u010dbou jasn\u011b ukazuje, \u017ee VZP \u010cR trvale zaji\u0161\u0165uje dostupnost nejmodern\u011bj\u0161\u00edch l\u00e9\u010debn\u00fdch metod v\u0161em pacient\u016fm, kte\u0159\u00ed je skute\u010dn\u011b pot\u0159ebuj\u00ed. Investice do biologick\u00e9 l\u00e9\u010dby se p\u0159itom vrac\u00ed v podob\u011b lep\u0161\u00ed kvality \u017eivota pacient\u016f a ni\u017e\u0161\u00edho po\u010dtu hospitalizac\u00ed \u010di invalidizace.<\/p>\n

(vzp)<\/strong><\/p>\n

\n

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T\u00e9m\u011b\u0159 3 <\/p>\n","protected":false},"author":2,"featured_media":376440,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2026\/05\/28\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/376437"}],"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=376437"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/376437\/revisions"}],"predecessor-version":[{"id":376441,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/376437\/revisions\/376441"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/376440"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=376437"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=376437"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=376437"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}