{"id":4611,"date":"2026-02-22T16:42:07","date_gmt":"2026-02-22T16:42:07","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/4611\/"},"modified":"2026-02-22T16:42:07","modified_gmt":"2026-02-22T16:42:07","slug":"babis-o-rakovine-plic-na-screening-staci-rentgen-a-prohlidky-na-gynekologii-jen-jednou-za-5-let","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/4611\/","title":{"rendered":"Babi\u0161 o rakovin\u011b plic: Na screening sta\u010d\u00ed rentgen. A prohl\u00eddky na gynekologii jen jednou za 5 let"},"content":{"rendered":"

Nemocnice by m\u011bly m\u00edt mo\u017enost vyr\u00e1b\u011bt radiofarmaka. Screening plic by se omezil na jejich rentgen. \u017deny by mohly chodit na gynekologick\u00e9 prohl\u00eddky jednou za p\u011bt let. A zat\u00edm se investovalo do mimopra\u017esk\u00fdch nemocnic, zat\u00edmco pra\u017esk\u00e9 FN nevypadaj\u00ed dob\u0159e. V\u00a0ned\u011bln\u00edm videu na Facebooku to \u0159ekl premi\u00e9r Andrej Babi\u0161.<\/p>\n

Babi\u0161 chce, aby nemocnice mohly vyr\u00e1b\u011bt radiofarmaka pou\u017e\u00edvan\u00e9 v nukle\u00e1rn\u00ed medic\u00edn\u011b k diagnostice a l\u00e9\u010db\u011b n\u00e1dorov\u00fdch \u010di jin\u00fdch onemocn\u011bn\u00ed. \u201eMus\u00edme zm\u011bnit legislativu, mus\u00ed to schv\u00e1lit S\u00daKL (St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div). Ale t\u00edm p\u00e1dem, pokud to na\u0161e nemocnice budu moci d\u011blat, bude m\u00edt podstatn\u011b v\u011bt\u0161\u00ed po\u010det pacient\u016f mo\u017enost t\u00e9to terapie,\u201c \u0159ekl.<\/p>\n

Jde o rakovinu prostaty<\/p>\n

Na \u010desk\u00e9m trhu dominuj\u00ed diagnostick\u00e1 radiofarmaka, kter\u00e1 tvo\u0159\u00ed p\u0159ibli\u017en\u011b 85\u201390 % objemu podan\u00fdch l\u00e1tek. Premi\u00e9r m\u00e1 v\u0161ak z\u0159ejm\u011b na mysli desetiprocentn\u00ed segment l\u00e9\u010debn\u00fdch (terapeutick\u00fdch) radiofarmak, kter\u00fd vykazuje nejrychlej\u0161\u00ed finan\u010dn\u00ed r\u016fst. C\u00edlen\u00e1 radionuklidov\u00e1 terapie za\u017e\u00edv\u00e1 revoluci d\u00edky l\u00e9\u010div\u00fdm p\u0159\u00edpravk\u016fm na b\u00e1zi Lutecia-177 pro l\u00e9\u010dbu zejm\u00e9na rakoviny prostaty, ale i dal\u0161\u00edch n\u00e1dor\u016f. Klasikou z\u016fst\u00e1v\u00e1 J\u00f3d-131 pro l\u00e9\u010dbu \u0161t\u00edtn\u00e9 \u017el\u00e1zy.<\/p>\n

Z\u00a0minul\u00fdch vyj\u00e1d\u0159en\u00ed premi\u00e9ra je z\u0159ejm\u00e9, \u017ee se mu jedn\u00e1 pr\u00e1v\u011b o l\u00e9\u010dbu rakovinu prostaty. Nutno zd\u016fraznit, \u017ee nyn\u00ed maj\u00ed \u010de\u0161t\u00ed pacienti s\u00a0t\u00edmto onemocn\u011bn\u00edm k\u00a0dispozici \u0161pi\u010dkovou radioligandovou terapii, kter\u00e1 pro\u0161la v\u0161emi n\u00e1ro\u010dn\u00fdmi testy a povolen\u00edmi, garantuj\u00edc\u00edmi jej\u00ed bezpe\u010dnost a \u00fa\u010dinnost. Ta budou muset p\u0159edlo\u017eit n\u011bjak\u00fdm zp\u016fsobem i nemocnice, pokud budou cht\u00edt radiofarmaka samy produkovat.\u00a0<\/p>\n

Premi\u00e9r tak\u00e9 pova\u017euje za d\u016fle\u017eit\u00e9, \u017ee jeho vl\u00e1da pokra\u010duje v projektu nov\u00e9 pra\u017esk\u00e9 nemocnice<\/a>. \u201eJedin\u00e9 nov\u00e9. Prost\u011b paradoxn\u011b nemocnice nap\u0159\u00edklad v\u00a0Brn\u011b nebo v\u00a0Olomouci, tam se stav\u00ed za 7 miliard, nebo i v\u00a0Liberci, tam se stav\u00ed za 5 miliard, nebo i v\u00a0Plzni nebo v \u00dasteck\u00e9m kraji vypadaj\u00ed o mnoho l\u00e9pe ne\u017e v\u00a0Praze: Bulovka, Vinohrady, Karl\u00e1k,\u201c konstatoval.<\/p>\n

Prodlou\u017een\u00ed intervalu u vy\u0161et\u0159en\u00ed rakoviny d\u011blo\u017en\u00edho hrdla<\/p>\n

Babi\u0161 ve videu tak\u00e9 zm\u00ednil, \u017ee se ve st\u0159edu p\u0159i jeho n\u00e1v\u0161t\u011bv\u011b nov\u00e9ho\u00a0onkologick\u00e9ho pavilonu v\u00a0Olomouci konal onkologick\u00fd semin\u00e1\u0159. Konkr\u00e9tn\u011b zm\u00ednil dv\u011b p\u0159edn\u00e1\u0161ky. Jedna se podle n\u011bj t\u00fdkala onkogynekologie. \u201eDnes je vlastn\u011b povinnost, \u017ee by \u017eeny m\u011bly chodit ke gynekologovi jednou za rok. Zn\u00e1m\u00fd profesor p\u0159ich\u00e1z\u00ed s\u00a0jin\u00fdm zp\u016fsobem testov\u00e1n\u00ed, a chodili byste jen jednou za p\u011bt let. To by mysl\u00edm ka\u017ed\u00fd p\u0159iv\u00edtal,\u201c sd\u011blil bez dal\u0161\u00edch podrobnost\u00ed.<\/p>\n

O n\u00e1vrhu t\u011bchto zm\u011bn u\u017e Zdravotnick\u00fd den\u00edk informoval<\/a>. Onkogynekologick\u00e1 sekce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti na podzim prezentovala n\u011bkolik krok\u016f, kter\u00e9 maj\u00ed zlep\u0161it screening rakoviny d\u011blo\u017en\u00edho hrdla. Mezi nimi jsou jak zm\u011bny o\u010dkovac\u00edho kalend\u00e1\u0159e vakcinace proti HPV viru, tak po\u017eadavek na \u00fahradu samoodb\u011brov\u00fdch souprav k detekci DNA tohoto viru u gynekolog\u016f a praktik\u016f za ur\u010dit\u00fdch podm\u00ednek. Sou\u010dasn\u011b by pak bylo mo\u017en\u00e9 prodlou\u017eit screeningov\u00fd interval ze sou\u010dasn\u00e9ho jednoho roku a\u017e na p\u011bt let. A to u \u017een o\u010dkovan\u00fdch nebo u \u017een s\u00a0negativn\u00edm v\u00fdsledkem HPV testu a cytologick\u00e9ho st\u011bru.<\/p>\n

Mohlo by v\u00e1s zaj\u00edmat<\/p>\n


\n \"\"
\n <\/a><\/p>\n

Spor o screening rakoviny plic<\/p>\n

Druh\u00e1 Babi\u0161ova zm\u00ednka se t\u00fdkala screeningu rakoviny plic. \u201ePan docent tvrd\u00ed, \u017ee spr\u00e1vn\u00e9 vy\u0161et\u0159en\u00ed plic je CT plic. P\u0159edt\u00edm mus\u00edte absolvovat dv\u011b vy\u0161et\u0159en\u00ed, kter\u00e9 nejsou a\u017e tak pot\u0159ebn\u00e9, ale rovnou byste \u0161li na rentgen plic,\u201c \u0159ekl.<\/p>\n

Jak u\u017e d\u0159\u00edve napsal Zdravotnick\u00fdch den\u00edk, podle p\u0159ednosty I. kliniky tuberkul\u00f3zy a respira\u010dn\u00edch nemoc\u00ed V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v\u00a0Praze Ji\u0159\u00edho Votruby m\u016f\u017ee b\u00fdt a\u017e 20 % n\u00e1lez\u016f v\u00fdpo\u010detn\u00ed tomografie (CT) plic fale\u0161n\u011b pozitivn\u00edch<\/a>. Tis\u00edce pacient\u016f kv\u016fli tomu podle n\u011bj podstupuj\u00ed zbyte\u010dn\u00e1 a drah\u00e1 opakovan\u00e1 vy\u0161et\u0159en\u00ed. Na limity sou\u010dasn\u00e9 techniky tak nar\u00e1\u017e\u00ed i screening rakoviny plic. \u0158e\u0161en\u00edm je podle n\u011bj zobrazovan\u00ed metoda CBCT (Cone Beam Computed Tomography), p\u0159i n\u00ed\u017e jsou rentgenov\u00e9 paprsky vyza\u0159ov\u00e1ny ve tvaru ku\u017eelu, co\u017e umo\u017e\u0148uje prostorov\u00e9 zobrazen\u00ed tk\u00e1n\u00ed. V\u00a0\u010cesku ale zat\u00edm \u017e\u00e1dn\u00fd takov\u00fd p\u0159\u00edstroj nen\u00ed.<\/p>\n

Vedouc\u00ed N\u00e1rodn\u00edho screeningov\u00e9ho centra (NSC) a z\u00e1stupci dvou l\u00e9ka\u0159sk\u00fdch spole\u010dnost\u00ed tvrd\u00ed, \u017ee Votrubova \u010d\u00edsla jsou zav\u00e1d\u011bj\u00edc\u00ed a ohro\u017euj\u00ed d\u016fv\u011bru ve screening<\/a>. \u201ePo str\u00e1nce radiologick\u00e9 je garantov\u00e1na kvalita i bezpe\u010dnost cel\u00e9ho vy\u0161et\u0159en\u00ed. V\u0161echna pracovi\u0161t\u011b, kter\u00e1 screening prov\u00e1d\u011bj\u00ed, jsou akreditov\u00e1na a pravideln\u011b kontrolov\u00e1na, v\u010detn\u011b kontrol St\u00e1tn\u00edm \u00fastavem pro jadernou bezpe\u010dnost. Tvrzen\u00ed, \u017ee 20 % n\u00e1lez\u016f CT plic je fale\u0161n\u011b pozitivn\u00edch, nem\u00e1 racion\u00e1ln\u00ed podklad a nezakl\u00e1d\u00e1 se na pravd\u011b,\u201c p\u00ed\u0161e se v\u00a0prohl\u00e1\u0161en\u00ed vedouc\u00edho NSC Karla Hejduka, p\u0159edsedy \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti Vladim\u00edra Kobl\u00ed\u017eka, p\u0159edsedy Radiologick\u00e9 spole\u010dnosti Hynka M\u00edrky a p\u0159edsedkyn\u011b Komise pro program \u010dasn\u00e9ho z\u00e1chytu karcinomu plic Martiny Koziar Va\u0161\u00e1kov\u00e9.<\/p>\n

P\u011btina fale\u0161n\u011b pozitivn\u00edch n\u00e1lez\u016f<\/p>\n

Rozporuj\u00ed i pou\u017eit\u00ed CBCT p\u0159i screeningu.\u00a0\u201eCone beam CT nen\u00ed diagnostick\u00e1 metoda pro rakovinu plic, ale pouze jedna z metod pro zacentrov\u00e1n\u00ed n\u00e1lezu pro biopsii uzl\u00edku, nikoli pro jejich zobrazovac\u00ed diagnostiku,\u201c uvedli signat\u00e1\u0159i prohl\u00e1\u0161en\u00ed.<\/p>\n

Votruba se ohradil, \u017ee nezpochyb\u0148uje screening, ale jeho sou\u010dasn\u00fd zp\u016fsob. \u201eHled\u00e1me milimetrov\u00e9 l\u00e9ze v org\u00e1nu, kter\u00fd se pohybuje a je struktur\u00e1ln\u011b zm\u011bn\u011bn kou\u0159en\u00edm, emfyz\u00e9mem a z\u00e1n\u011bty. Ka\u017ed\u00fd fale\u0161n\u011b pozitivn\u00ed n\u00e1lez znamen\u00e1 dal\u0161\u00ed CT, PET\/CT, bronchoskopii \u010di perkut\u00e1nn\u00ed biopsii \u2013 tedy invazivn\u00ed nebo radia\u010dn\u011b zat\u011b\u017euj\u00edc\u00ed v\u00fdkony s vlastn\u00ed morbiditou a n\u00e1klady,\u201c vysv\u011btlil.<\/p>\n

Tvrzen\u00ed, \u017ee zhruba p\u011btina vy\u0161et\u0159en\u00fdch vstupuje do dal\u0161\u00ed diagnostiky na z\u00e1klad\u011b fale\u0161n\u011b pozitivn\u00edho n\u00e1lezu, je podle n\u011bj pln\u011b podlo\u017eeno daty a nen\u00ed medi\u00e1ln\u00ed nads\u00e1zkou. Prok\u00e1zala to studie NLST\u00a0(americk\u00e1 klinick\u00e1 studie National Lung Screening Trial, pozn. red.). \u201eNen\u00ed sporn\u00e9, \u017ee screening generuje vysok\u00fd pod\u00edl fale\u0161n\u011b pozitivn\u00edch n\u00e1lez\u016f,\u201c zd\u016fraznil Votruba.<\/p>\n

Tohle v\u0161echno d\u011bl\u00e1m pro v\u00e1s, \u0159ekl premi\u00e9r<\/p>\n

Ministr zdravotnictv\u00ed Adam Vojt\u011bch ve st\u0159edu uvedl, \u017ee je znepokojen velmi n\u00edzkou \u00fa\u010dast\u00ed lid\u00ed na screeningu rakoviny plic<\/a> i dal\u0161\u00edch podobn\u00fdch program\u016f. \u201eBudeme chystat s odborn\u00fdm t\u00fdmem z\u00e1sadn\u00ed revizi v\u0161ech p\u011bti screening\u016f, abychom zv\u00fd\u0161ili \u00fa\u010dast,\u201c sd\u011blil.<\/p>\n

Babi\u0161 tak\u00e9 ve sv\u00e9m ned\u011bln\u00edm videu pochv\u00e1lil eRecept. \u201eProsadili jsme ho a mysl\u00edm, \u017ee funguje skv\u011ble,\u201c \u0159ekl. \u201eA kdy\u017e zavedeme e\u017d\u00e1danku, tak budeme v\u011bd\u011bt, jak dlouho \u010dek\u00e1te na mamograf, na c\u00e9t\u00e9\u010dko, na magnet, na PET\u2026 A potom se budeme sna\u017eit zkracovat lh\u016fty vy\u0161et\u0159en\u00ed a ud\u011bl\u00e1me opat\u0159en\u00ed, aby se tak dlouho ne\u010dekalo,\u201c sd\u011blil d\u00e1le Babi\u0161.<\/p>\n

\u201eZat\u00edm m\u00e1me e\u017d\u00e1danky otestovan\u00e9 jen v n\u011bjak\u00e9m \u201adietn\u00edm krou\u017eku\u2018. Od za\u010d\u00e1tku ledna se ale toto rozhran\u00ed rozjede i mimo v\u00fdchoz\u00ed pilotn\u00ed pracovi\u0161t\u011b. Ty se k n\u011bmu dostanou u\u017e v listopadu nebo prosinci. Proto\u017ee to bude seznamov\u00e1n\u00ed pozvoln\u00e9, o\u010dek\u00e1v\u00e1me v prvn\u00edm pololet\u00ed p\u0159\u00ed\u0161t\u00edho roku pomal\u00fd n\u00e1b\u011bh,\u201c sd\u011blil k\u00a0tomu koncem minul\u00e9ho roku \u0159editel N\u00e1rodn\u00edho centra elektronick\u00e9ho zdravotnictv\u00ed Petr Folt\u00fdn<\/a>.<\/p>\n

\u201eTohle v\u0161echno d\u011bl\u00e1m pro v\u00e1s, ne pro m\u011b. J\u00e1 samoz\u0159ejm\u011b bych si to v\u0161echno za\u0159\u00eddil, j\u00e1 chci, abyste vy v\u0161ichni m\u011bli tu mo\u017enost. Nap\u0159\u00edklad nem\u00e1me v\u00a0\u010cesk\u00e9 republice celot\u011blov\u00fd PET, ten stoj\u00ed 300 milion\u016f,\u201c sd\u011blil je\u0161t\u011b Babi\u0161 ve videu. A dodal, \u017ee mu zn\u00e1m\u00fd kardiolog poradil, co je dobr\u00e9 na kondici. \u201eZa\u010dal jsem hr\u00e1t tenis, kter\u00fd prodlu\u017euje \u017eivot nejv\u00edc, o 9,7 roku. Nap\u0159\u00edklad takov\u00e9 kolo o 3,7, fotbal o 4,7 roku,\u201c podotkl.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"Nemocnice by m\u011bly m\u00edt mo\u017enost vyr\u00e1b\u011bt radiofarmaka. Screening plic by se omezil na jejich rentgen. \u017deny by mohly…\n","protected":false},"author":2,"featured_media":4612,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[266,43,42,41,40,3483,3484,346,99,2811,3485,3486,3487,3488,3489,3490],"class_list":{"0":"post-4611","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cesko","8":"tag-andrej-babis","9":"tag-ceska-republika","10":"tag-cesko","11":"tag-czech-republic","12":"tag-czechia","13":"tag-e-recept","14":"tag-ezadanka","15":"tag-nemocnice","16":"tag-praha","17":"tag-rakovina","18":"tag-rakovina-delozniho-hrdla","19":"tag-rakovina-plic","20":"tag-screening","21":"tag-screening-karcinomu-plic","22":"tag-screeningove-programy","23":"tag-supernemocnice"},"share_on_mastodon":{"url":"","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/4611","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/comments?post=4611"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/4611\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/4612"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=4611"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=4611"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=4611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}