{"id":2838,"date":"2021-09-12T14:45:02","date_gmt":"2021-09-12T14:45:02","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=2838"},"modified":"2021-09-12T14:45:02","modified_gmt":"2021-09-12T14:45:02","slug":"endoscopy-demand-is-up-and-not-just-for-detecting-cancer","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/cs_cz\/endoscopy-demand-is-up-and-not-just-for-detecting-cancer\/","title":{"rendered":"Popt\u00e1vka po endoskopii stoup\u00e1 \u2013 a to nejen pro detekci rakoviny"},"content":{"rendered":"

Gastroskopie je nap\u0159\u00edklad \u201ezlat\u00fdm standardem\u201c pro diagnostiku celiakie, celosv\u011btov\u011b st\u00e1le \u010dast\u011bj\u0161\u00edho onemocn\u011bn\u00ed. Zat\u00edmco p\u0159\u00edznaky jsou m\u00e9n\u011b znepokojuj\u00edc\u00ed ne\u017e podez\u0159en\u00ed na rakovinu, l\u00e9ka\u0159sk\u00e1 diagn\u00f3za je st\u00e1le d\u016fle\u017eit\u00e1 a pacienti mus\u00ed \u010dekat d\u00e9le ne\u017e kdy jindy.\n\n St\u00e1le \u010dast\u011bj\u0161\u00ed stav\n<\/strong>\nCeliakie je stav, kdy imunitn\u00ed syst\u00e9m \u010dlov\u011bka abnorm\u00e1ln\u011b reaguje na lepek, protein nach\u00e1zej\u00edc\u00ed se v p\u0161enici a jin\u00fdch obilovin\u00e1ch, a zp\u016fsobuje po\u0161kozen\u00ed tenk\u00e9ho st\u0159eva. Pokud nen\u00ed stav diagnostikov\u00e1n nebo spr\u00e1vn\u011b l\u00e9\u010den, m\u016f\u017ee to v\u00e9st k v\u00e1\u017en\u00fdm zdravotn\u00edm n\u00e1sledk\u016fm.<\/p>\n

Odhaduje se, \u017ee celiakie postihuje v pr\u016fm\u011bru kolem\n\n 1 ze 100 lid\u00ed\n<\/a>\npo cel\u00e9m sv\u011bt\u011b, i kdy\u017e se sazby v jednotliv\u00fdch zem\u00edch li\u0161\u00ed. V\u011bt\u0161ina lid\u00ed s t\u00edmto onemocn\u011bn\u00edm v\u0161ak nem\u00e1 l\u00e9ka\u0159skou diagn\u00f3zu \u2013 m\u00e1 se za to, \u017ee a\u017e 80% t\u011bch, kte\u0159\u00ed \u017eij\u00ed s celiaki\u00ed, z\u016fst\u00e1v\u00e1 nediagnostikov\u00e1no.<\/p>\n

Zlep\u0161en\u00ed technologie testov\u00e1n\u00ed celiakie za posledn\u00ed desetilet\u00ed odhalilo, \u017ee celiakie je roz\u0161\u00ed\u0159en\u011bj\u0161\u00ed, ne\u017e se d\u0159\u00edve myslelo. P\u016fvodn\u011b se m\u011blo za to, \u017ee postihuje p\u0159edev\u0161\u00edm b\u00edl\u00e9 kavkazsk\u00e9 populace, v\u00fdzkum odhalil, \u017ee tento stav je p\u0159\u00edtomen celosv\u011btov\u011b a \u017ee\n\n nejvy\u0161\u0161\u00ed prevalence\n<\/a>\nCeliakie kdekoli na sv\u011bt\u011b byla ve skute\u010dnosti nalezena v severn\u00ed Africe.<\/p>\n

V sou\u010dasnosti je tak\u00e9 diagnostikov\u00e1no v\u00edce lid\u00ed ne\u017e p\u0159ed 10 lety. Ned\u00e1vn\u00e1\n\n glob\u00e1ln\u00ed studium\n<\/a>\nzjistili, \u017ee nov\u00e1 diagn\u00f3za celiakie vzrostla ka\u017ed\u00fd rok o v\u00edce ne\u017e 7,51 TP3T a zjistila, \u017ee vzorec rostouc\u00ed incidence v pr\u016fb\u011bhu \u010dasu byl konzistentn\u00ed nap\u0159\u00ed\u010d zem\u011bpisnou polohou, pohlav\u00edm a v\u011bkem, a\u010dkoli n\u00e1r\u016fst byl m\u00edrn\u011b vy\u0161\u0161\u00ed u \u017een a d\u011bt\u00ed.<\/p>\n

A\u010dkoli n\u00e1r\u016fst po\u010dtu lid\u00ed diagnostikovan\u00fdch v posledn\u00edch letech lze \u010d\u00e1ste\u010dn\u011b p\u0159ipsat lep\u0161\u00ed informovanosti o tomto stavu a lep\u0161\u00edmu p\u0159\u00edstupu k testov\u00e1n\u00ed, skute\u010dn\u00fd n\u00e1r\u016fst v\u00fdskytu celiakie je celosv\u011btov\u011b \u0161iroce uzn\u00e1v\u00e1n. To p\u0159isp\u00edv\u00e1 ke zvy\u0161uj\u00edc\u00ed se z\u00e1t\u011b\u017ei zdravotnick\u00fdch syst\u00e9m\u016f, v\u010detn\u011b vy\u0161\u0161\u00ed popt\u00e1vky po endoskopii.\n\n Diagnostika pomoc\u00ed gastroskopie\n<\/strong>\nJedn\u00edm z d\u016fvod\u016f, pro\u010d je l\u00e9ka\u0159sky diagnostikov\u00e1no pouze 20% pacient\u016f s t\u00edmto onemocn\u011bn\u00edm, je to, \u017ee a\u017e 50% pacient\u016f s celiaki\u00ed je pova\u017eov\u00e1no za asymptomatick\u00fdch. Tento stav nen\u00ed rutinn\u011b vy\u0161et\u0159ov\u00e1n; je zachycen pouze tehdy, kdy\u017e jsou hl\u00e1\u0161eny a vy\u0161et\u0159eny p\u0159\u00edznaky. A i tak m\u016f\u017ee diagn\u00f3za trvat n\u011bkolik let, proto\u017ee p\u0159\u00edznaky jsou tak rozmanit\u00e9.<\/p>\n

A\u017e 99% pacient\u016f, kte\u0159\u00ed onemocn\u00ed touto chorobou, m\u00e1 genetickou predispozici, ale a\u017e polovina populace m\u016f\u017ee b\u00fdt nositeli gen\u016f, tak\u017ee to samo o sob\u011b nen\u00ed markerem celiakie. Testov\u00e1n\u00ed genotypu v\u0161ak m\u016f\u017ee b\u00fdt pou\u017eito k vylou\u010den\u00ed celiakie, pokud je diagn\u00f3za nejist\u00e1.<\/p>\n

Imunitn\u00ed odpov\u011b\u010f na celiakii produkuje protil\u00e1tky, kter\u00e9 lze m\u011b\u0159it. Ale p\u0159esto\u017ee testov\u00e1n\u00ed protil\u00e1tek m\u00e1 vysokou senzitivitu a specificitu, vyskytuj\u00ed se fale\u0161n\u011b negativn\u00ed a fale\u0161n\u011b pozitivn\u00ed testy\n\n p\u0159ibli\u017en\u011b 5% test\u016f\n<\/a>\n. Jedin\u00fd zp\u016fsob, jak z\u00edskat definitivn\u00ed diagn\u00f3zu, tedy vy\u017eaduje gastroskopii a duoden\u00e1ln\u00ed biopsii, b\u011bhem n\u00ed\u017e se vy\u0161et\u0159uje potenci\u00e1ln\u00ed po\u0161kozen\u00ed sliznice tenk\u00e9ho st\u0159eva.<\/p>\n

Obr - Diagnostika celiakie\n\"\"\n\n Zdroj:\n<\/em>\n\n \n Testov\u00e1n\u00ed na celiakii\n <\/em>\n<\/a>\nHistoricky mnoho pacient\u016f s podez\u0159en\u00edm na celiakii nebylo nikdy doporu\u010deno nebo l\u00e9ka\u0159sky diagnostikov\u00e1no, ale m\u00edsto toho jim bylo doporu\u010deno p\u0159ijmout bezlepkovou dietu, aby se zjistilo, zda se p\u0159\u00edznaky zlep\u0161ily. I kdy\u017e je tomu tak i dnes, st\u00e1le v\u011bt\u0161\u00ed po\u010det pacient\u016f nyn\u00ed p\u0159ech\u00e1z\u00ed k definitivn\u00ed diagn\u00f3ze pomoc\u00ed gastroskopie.\n\n D\u016fle\u017eit\u00e1 je l\u00e9ka\u0159sk\u00e1 diagn\u00f3za\n<\/strong>\nP\u0159\u00edznaky onemocn\u011bn\u00ed jsou p\u0159edev\u0161\u00edm gastrointestin\u00e1ln\u00ed, jako je nevolnost, bolesti b\u0159icha a v\u0159edy v \u00fastech, ale zahrnuj\u00ed tak\u00e9 ztr\u00e1tu hmotnosti, \u00fanavu, abnorm\u00e1ln\u00ed jatern\u00ed testy a nedostatek vitam\u00edn\u016f a miner\u00e1l\u016f.<\/p>\n

Dlouhodob\u00e9 n\u00e1sledky nel\u00e9\u010den\u00e9 celiakie zahrnuj\u00ed obecn\u011b \u0161patn\u00fd zdravotn\u00ed stav, syst\u00e9mov\u00fd z\u00e1n\u011bt, \u0161patnou v\u00fd\u017eivu nebo malabsorpci \u017eivin a je spojov\u00e1n s \u010dasn\u00fdm n\u00e1stupem osteopor\u00f3zy, neplodnosti, potratu, deprese a defekt\u016f zubn\u00ed skloviny. V\u010dasn\u00e1 diagn\u00f3za a celo\u017eivotn\u00ed p\u0159\u00edsn\u00e1 bezlepkov\u00e1 dieta mohou zabr\u00e1nit nebo zvr\u00e1tit mnoho souvisej\u00edc\u00edch zdravotn\u00edch stav\u016f.<\/p>\n

Odstran\u011bn\u00edm p\u0159\u00ed\u010diny onemocn\u011bn\u00ed se v\u00fdstelka tenk\u00e9ho st\u0159eva nech\u00e1 vyl\u00e9\u010dit a symptomy se vy\u0159e\u0161\u00ed, i kdy\u017e p\u0159i op\u011btovn\u00e9m zaveden\u00ed lepku do stravy dojde k recidiv\u011b. Zah\u00e1jen\u00ed p\u0159\u00edsn\u00e9 celo\u017eivotn\u00ed bezlepkov\u00e9 diety bez definitivn\u00ed diagn\u00f3zy celiakie by v\u0161ak mohlo m\u00edt sv\u00e9 vlastn\u00ed n\u00e1sledky, a proto\u017ee krevn\u00ed testy maj\u00ed vysokou fale\u0161nou pozitivitu, biopsie je st\u00e1le \u010dast\u011bji\n\n doporu\u010deno pro v\u0161echny pacienty\n<\/a>\nk potvrzen\u00ed diagn\u00f3zy.\n\n Jin\u00e9 zdroje popt\u00e1vky po endoskopii\n<\/strong>\nNemno\u017e\u00ed se jen celiakie. A\u010dkoli gastroezofage\u00e1ln\u00ed refluxn\u00ed choroba nen\u00ed obecn\u011b nebezpe\u010dn\u00fd stav, je\n\n prevalence se zvy\u0161uje\n<\/a>\nproto\u017ee populace st\u00e1rne a \u00farove\u0148 obezity stoup\u00e1, a k vylou\u010den\u00ed v\u00e1\u017en\u011bj\u0161\u00edho stavu m\u016f\u017ee b\u00fdt provedena gastroskopie.<\/p>\n

Helicobacter (pylori), kter\u00fd m\u016f\u017ee zp\u016fsobit bolest a \u017ealude\u010dn\u00ed v\u0159edy a m\u016f\u017ee zv\u00fd\u0161it riziko vzniku rakoviny \u017ealudku, je tak\u00e9 detekov\u00e1n pomoc\u00ed\n\n gastroskop\n<\/a>\n. A\u010dkoli rakovina \u017ealudku a rakovina j\u00edcnu jsou m\u00e9n\u011b \u010dast\u00e9, lid\u00e9 s p\u0159\u00edznaky mohou pot\u0159ebovat gastroskopii, aby je vylou\u010dili.<\/p>\n

Podobn\u00fdm zp\u016fsobem lze p\u0159i gastroskopii pozorovat zm\u011bny zp\u016fsoben\u00e9 Barrettov\u00fdm j\u00edcnem, co\u017e je stav, kdy se m\u011bn\u00ed v\u00fdstelka doln\u00ed \u010d\u00e1sti j\u00edcnu a zn\u00e1mky onemocn\u011bn\u00ed jater. Ulcer\u00f3zn\u00ed kolitida a Crohnova choroba jsou n\u011bkter\u00e9 ze stav\u016f, kter\u00e9 lze detekovat kolonoskopi\u00ed.<\/p>\n

V\u010dasn\u00e1 detekce, prevence a l\u00e9\u010dba rakoviny st\u0159ev je jedn\u00edm z hlavn\u00edch d\u016fvod\u016f, pro\u010d se prov\u00e1d\u011bj\u00ed kolonoskopie, a screening \u010dasn\u00fdch p\u0159\u00edznak\u016f je st\u00e1le \u010dast\u011bj\u0161\u00ed.\n\n Popt\u00e1vka po endoskopii stoup\u00e1\n<\/strong>\nPo\u010det proveden\u00fdch endoskopi\u00ed nad\u00e1le meziro\u010dn\u011b stoup\u00e1. Ofici\u00e1ln\u00ed \u00fadaje z\n\n Australsk\u00fd institut zdrav\u00ed a soci\u00e1ln\u00ed p\u00e9\u010de\n<\/a>\nukazuje, \u017ee jen mezi roky 2016\/17 a 2018\/19 se po\u010det endoskopick\u00fdch v\u00fdkon\u016f zv\u00fd\u0161il a\u017e o 12%, zat\u00edmco \u00fadaje z\n\n NHS Anglie\n<\/a>\no diagnostick\u00fdch \u010dekac\u00edch dob\u00e1ch a aktivit\u011b ukazuje, \u017ee v Anglii se po\u010det proveden\u00fdch endoskopi\u00ed za posledn\u00edch 10 let zv\u00fd\u0161il o 47%. A zd\u00e1 se, \u017ee popt\u00e1vka roste je\u0161t\u011b rychleji.<\/p>\n

Dopad Covid-19 byl v\u00fdznamn\u00fd v zem\u00edch, kter\u00e9 \u010delily dlouh\u00fdm obdob\u00edm zru\u0161en\u00ed. V Anglii aktivita endoskopie klesla o v\u00edce ne\u017e 80% v ran\u00fdch f\u00e1z\u00edch po\u010d\u00e1te\u010dn\u00ed vlny Covid-19 a navzdory tomu, \u017ee se \u00farovn\u011b od t\u00e9 doby pon\u011bkud zotavily, na n\u00e1rodn\u00ed \u00farovni st\u00e1le \u010dek\u00e1 o v\u00edce ne\u017e 40% v\u00edce lid\u00ed na endoskopii ne\u017e p\u0159ed pandemi\u00ed.<\/p>\n

V Austr\u00e1lii, kter\u00e1 byla po\u010d\u00e1te\u010dn\u00edm ohniskem zasa\u017eena m\u00e9n\u011b v\u00e1\u017en\u011b, screeningov\u00e1 kolonoskopie z velk\u00e9 \u010d\u00e1sti pokra\u010dovala jako sou\u010d\u00e1st n\u00e1rodn\u00edho programu screeningu rakoviny tlust\u00e9ho st\u0159eva. Ale i tak do\u0161lo i tam k podstatn\u00e9mu sn\u00ed\u017een\u00ed endoskopick\u00e9 aktivity. A\n\n nov\u00e9 studium\n<\/a>\nodhalil, \u017ee b\u011bhem Covid-19 bylo provedeno o 66% m\u00e9n\u011b v\u00fdkon\u016f, p\u0159i\u010dem\u017e kolonoskopie byla sn\u00ed\u017eena na 46% \u00farovn\u00ed p\u0159ed Covidem a gastroskopie na 25%.<\/p>\n

A\u010dkoli sch\u016fzky souvisej\u00edc\u00ed s rakovinou pokra\u010dovaly i b\u011bhem pandemie a mnoho st\u00e1t\u016f za\u010dalo doh\u00e1n\u011bt nevy\u0159\u00edzen\u00e9 z\u00e1le\u017eitosti, z\u016fst\u00e1vaj\u00ed ot\u00e1zky ohledn\u011b skute\u010dn\u00e9ho dopadu na endoskopick\u00e9 slu\u017eby. Po\u010det n\u00e1v\u0161t\u011bv prim\u00e1rn\u00ed p\u00e9\u010de pro gastrointestin\u00e1ln\u00ed symptomy bude t\u0159eba vyhodnotit, ale za posledn\u00ed rok se sn\u00ed\u017eil, zejm\u00e9na u m\u00e9n\u011b z\u00e1va\u017en\u00fdch stav\u016f, a je pravd\u011bpodobn\u00e9, \u017ee se t\u00edm skr\u00fdv\u00e1 v\u00fdznamn\u011bj\u0161\u00ed zpo\u017ed\u011bn\u00ed, ne\u017e je v sou\u010dasnosti jasn\u011b viditeln\u00e9.\n\n Zna\u010dn\u00e1 kapacita je pot\u0159eba dlouhodob\u011b\n<\/strong>\nKrom\u011b zotaven\u00ed z COVID-19 znamen\u00e1 dal\u0161\u00ed z\u00e1t\u011b\u017e \u010dast\u011bj\u0161\u00edho odes\u00edl\u00e1n\u00ed ke gastroenterolog\u016fm pro celiakii a dal\u0161\u00ed m\u00e9n\u011b z\u00e1va\u017en\u00e9 stavy, veden\u00e1 zlep\u0161en\u00edm krevn\u00edch test\u016f, v\u011bt\u0161\u00ed informovanost\u00ed a zv\u00fd\u0161en\u00fdm screeningem t\u011bchto stav\u016f, znamen\u00e1 pokra\u010dovat v prov\u00e1d\u011bn\u00ed diagnostick\u00fdch endoskopick\u00fdch postup\u016f v\u00fd\u0161e. minim\u00e1ln\u00ed pr\u00e1h m\u016f\u017ee b\u00fdt kritick\u00fd, aby se zabr\u00e1nilo tomu, \u017ee \u010dekac\u00ed listiny v bl\u00edzk\u00e9 budoucnosti p\u0159ekro\u010d\u00ed p\u0159ijatelnou \u00farove\u0148.<\/p>\n

K tomu bude zapot\u0159eb\u00ed dal\u0161\u00ed kapacita. To m\u016f\u017ee p\u0159ij\u00edt ve form\u011b v\u011bt\u0161\u00edch diagnostick\u00fdch center nebo supercenter, kter\u00e9 mohou m\u00edt v\u011bt\u0161\u00ed v\u00fdznam pro v\u00edce lid\u00ed, nebo jako v\u00edce lokalizovan\u00e9 slu\u017eby v z\u00e1vislosti na pot\u0159eb\u00e1ch ka\u017ed\u00e9 zem\u011b. Je v\u0161ak jasn\u00e9, \u017ee zaveden\u00ed t\u00e9to infrastruktury vy\u017eaduje zna\u010dn\u00e9 investice a \u010das. Ale vzhledem k tomu, \u017ee nyn\u00ed nal\u00e9hav\u011b pot\u0159ebujeme dal\u0161\u00ed kapacitu, jak\u00e9 dal\u0161\u00ed mo\u017enosti existuj\u00ed?<\/p>\n

Jedn\u00edm ze zp\u016fsob\u016f, jak zv\u00fd\u0161it kapacitu podstatn\u011b ve velmi kr\u00e1tk\u00e9m \u010dase, je uv\u00e9st do provozu mobiln\u00ed nebo modul\u00e1rn\u00ed\n\n endoskopick\u00e1 souprava\n<\/a>\n. Takov\u00e9 za\u0159\u00edzen\u00ed m\u016f\u017ee b\u00fdt uvedeno do provozu b\u011bhem n\u011bkolika t\u00fddn\u016f a m\u016f\u017ee b\u00fdt vybaveno vestav\u011bn\u00fdmi dekontamina\u010dn\u00edmi za\u0159\u00edzen\u00edmi, kter\u00e9 podporuj\u00ed posun v \u010dinnosti nahoru.<\/p>","protected":false},"excerpt":{"rendered":"

Endoskopie je \u010dasto spojena s diagn\u00f3zou rakoviny, ale pomoc\u00ed r\u016fzn\u00fdch typ\u016f endoskopie se diagnostikuj\u00ed i jin\u00e9 stavy \u2013 a mnoho z t\u011bchto onemocn\u011bn\u00ed je odhalov\u00e1no ve st\u00e1le v\u011bt\u0161\u00ed m\u00ed\u0159e.<\/p>","protected":false},"author":1,"featured_media":1301,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,123],"tags":[134,130],"class_list":["post-2838","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-procedures","tag-endoscope-decontamination","tag-endoscopy-suite"],"acf":[],"yoast_head":"\nEndoscopy demand is up - and not just for detecting cancer - Q-bital Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Endoscopy demand is up and not just for detecting cancer, other conditions are also diagnosed using different types of endoscopy\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.q-bital.com\/cs_cz\/endoscopy-demand-is-up-and-not-just-for-detecting-cancer\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy demand is up - 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