{"id":4959,"date":"2023-08-17T16:00:25","date_gmt":"2023-08-17T14:00:25","guid":{"rendered":"https:\/\/www.ptc.cz\/sto-lijecimo\/nadory-u-deti\/proc-zvolit-protonovou-lecbu\/"},"modified":"2024-06-21T14:33:13","modified_gmt":"2024-06-21T12:33:13","slug":"zasto-odabrati-protonsko-lijecenje","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/hr\/sto-lijecimo\/tumori-kod-djece\/zasto-odabrati-protonsko-lijecenje\/","title":{"rendered":"Za\u0161to odabrati protonsko lije\u010denje"},"content":{"rendered":"<h3>V\u00fdhody protonov\u00e9 l\u00e9\u010dby p\u0159i oza\u0159ov\u00e1n\u00ed d\u011bt\u00ed proti b\u011b\u017en\u00e9 radioterapii<\/h3>\n<p>Tk\u00e1n\u011b a&nbsp;org\u00e1ny u&nbsp;d\u011bt\u00ed jsou na&nbsp;oz\u00e1\u0159en\u00ed velmi citliv\u00e9. <strong>Nav\u00edc jsou d\u011bti mnohem n\u00e1chyln\u011bj\u0161\u00ed ke vzniku sekund\u00e1rn\u00edch n\u00e1dor\u016f ne\u017e dosp\u011bl\u00ed.<\/strong> Pokud chceme zv\u00fd\u0161it \u0161anci na&nbsp;zdrav\u00fd v\u00fdvoj d\u00edt\u011bte i&nbsp;po l\u00e9\u010db\u011b, je nezbytn\u00e9 sna\u017eit se p\u0159edch\u00e1zet ne\u017e\u00e1douc\u00edm vedlej\u0161\u00edm \u00fa\u010dink\u016fm oz\u00e1\u0159en\u00ed. <strong>V tom je protonov\u00e1 l\u00e9\u010dba mimo\u0159\u00e1dn\u011b p\u0159\u00ednosn\u00e1.<\/strong><\/p>\n<ul>\n<li><strong>Umo\u017e\u0148uje men\u0161\u00ed oz\u00e1\u0159en\u00ed m\u00edchy<\/strong><\/li>\n<\/ul>\n<p>Protonov\u00e1 l\u00e9\u010dba sni\u017euje d\u00e1vku na&nbsp;m\u00edchu u&nbsp;n\u00e1dor\u016f ulo\u017een\u00fdch v&nbsp;jej\u00ed bl\u00edzkosti. Je tak minimalizov\u00e1no riziko jej\u00edho po\u0161kozen\u00ed.<\/p>\n<ul>\n<li><strong>Zachov\u00e1v\u00e1 ment\u00e1ln\u00ed v\u00fdkonnost<\/strong><\/li>\n<\/ul>\n<p>D\u00edky protonov\u00e9 terapii je zachov\u00e1na v&nbsp;maxim\u00e1ln\u00ed mo\u017en\u00e9 m\u00ed\u0159e ment\u00e1ln\u00ed v\u00fdkonnost.<\/p>\n<ul>\n<li><strong>Sni\u017euje riziko ztr\u00e1ty sluchu<\/strong><\/li>\n<\/ul>\n<p>Protonov\u00e1 l\u00e9\u010dba redukuje d\u00e1vky na&nbsp;st\u0159edn\u00ed a&nbsp;vnit\u0159n\u00ed ucho, t\u00edm je sn\u00ed\u017een\u00e9 riziko poruchy po\u0161kozen\u00ed nebo ztr\u00e1ty sluchu.<\/p>\n<ul>\n<li><strong>Sni\u017euje riziko po\u0161kozen\u00ed zraku<\/strong><\/li>\n<\/ul>\n<p>Protonov\u00e1 l\u00e9\u010dba minimalizuje oz\u00e1\u0159en\u00ed o\u010dn\u00edho apar\u00e1tu. N\u00e1sledn\u011b tak sni\u017euje riziko vzniku o\u010dn\u00edch pot\u00ed\u017e\u00ed a&nbsp;komplikac\u00ed.<\/p>\n<p style=\"text-align: left;\"><strong>Protonov\u00e1 l\u00e9\u010dba je, na&nbsp;rozd\u00edl od b\u011b\u017en\u011b pou\u017e\u00edvan\u00e9ho oza\u0159ov\u00e1n\u00ed, \u0161etrn\u011bj\u0161\u00ed a&nbsp;bezpe\u010dn\u011bj\u0161\u00ed.<\/strong> D\u00edky p\u0159esn\u00e9mu zac\u00edlen\u00ed protonov\u00e9ho paprsku, dok\u00e1\u017eeme v\u00fdznamn\u011b sn\u00ed\u017eit riziko vzniku ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f a&nbsp;omezit p\u0159\u00edpadn\u00e1 rizika jako jsou po\u0161kozen\u00ed srdce a&nbsp;plic, v\u00fdskyt endokrinn\u00edch probl\u00e9m\u016f, poruchy r\u016fstu, poruchy smyslov\u00fdch funkc\u00ed, sn\u00ed\u017een\u00ed intelektu, po\u0161kozen\u00ed ledvin a&nbsp;mo\u010dov\u00fdch cest, ohro\u017een\u00ed plodnosti, vznik druhotn\u00fdch n\u00e1dor\u016f.<\/p>\n<h5><span style=\"color: #f7b018;\">\u2e3a<\/span><\/h5>\n<h4 style=\"text-align: left;\"><strong>Na schematick\u00e9m obr\u00e1zku je zn\u00e1zorn\u011bn\u00e9 rozlo\u017een\u00ed d\u00e1vky z\u00e1\u0159en\u00ed v&nbsp;t\u011ble p\u0159i pou\u017eit\u00ed protonov\u00e9 a&nbsp;fotonov\u00e9 terapie.\u00a0<\/strong><\/h4>\n<p style=\"text-align: left;\">Je patrn\u00e9, \u017ee protonov\u00fd svazek oza\u0159uje pouze tzv. c\u00edlov\u00fd objem (oblast kraniospin\u00e1ln\u00ed osy), tedy z\u00e1\u0159en\u00ed je sm\u011brov\u00e1no tak\u0159ka v\u00fdlu\u010dn\u011b jenom do tk\u00e1n\u011b, kter\u00e1 je posti\u017een\u00e1 nebo pravd\u011bpodobn\u011b posti\u017een\u00e1. Naopak fotonov\u00e9 z\u00e1\u0159en\u00ed d\u00edky sv\u00fdm fyzik\u00e1ln\u00edm vlastnostem zasahuje v\u00fdznamn\u011b i&nbsp;okoln\u00ed zdrav\u00e9 struktury, kter\u00fdmi jsou v\u00a0tomto p\u0159\u00edpad\u011b m\u00edcha, srdce, pl\u00edce, j\u00e1tra a&nbsp;st\u0159eva.<\/p>\n<div class=\"gdc_row\">\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2437\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/DETI-_-porovnani-proton-1000x12000-1-250x300.jpg\" alt=\"\" width=\"450\" height=\"540\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/DETI-_-porovnani-proton-1000x12000-1-250x300.jpg 250w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/DETI-_-porovnani-proton-1000x12000-1-768x922.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/DETI-_-porovnani-proton-1000x12000-1.jpg 1000w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/p>\n<\/div>\n<\/div>\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2436\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/DETI-_-porovnani-foton-1000x12000-1-250x300.jpg\" alt=\"\" width=\"450\" height=\"540\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/DETI-_-porovnani-foton-1000x12000-1-250x300.jpg 250w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/DETI-_-porovnani-foton-1000x12000-1-768x922.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/DETI-_-porovnani-foton-1000x12000-1.jpg 1000w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p style=\"text-align: left;\"><strong>L\u00e9ka\u0159sk\u00e9 studie porovn\u00e1vaj\u00edc\u00ed<\/strong> protonovou a&nbsp;fotonovou l\u00e9\u010dbu prok\u00e1zaly, \u017ee u&nbsp;d\u011bt\u00ed l\u00e9\u010den\u00fdch fotonovou radioterapi\u00ed do\u0161lo k&nbsp;poklesu IQ. Po dobu t\u0159\u00ed Let od oz\u00e1\u0159en\u00ed se IQ sni\u017eovalo cca o&nbsp;10,3 bod\u016f za rok, po protonov\u00e9 terapii z\u016fstalo IQ po dobu t\u0159\u00ed let t\u00e9m\u011b\u0159 stabiln\u00ed. <strong>Zaznamen\u00e1n byl pokles pouze o&nbsp;0,1 bodu ro\u010dn\u011b.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>V\u00fdhody protonov\u00e9 l\u00e9\u010dby p\u0159i oza\u0159ov\u00e1n\u00ed d\u011bt\u00ed proti b\u011b\u017en\u00e9 radioterapii Tk\u00e1n\u011b a&nbsp;org\u00e1ny u&nbsp;d\u011bt\u00ed jsou na&nbsp;oz\u00e1\u0159en\u00ed velmi citliv\u00e9. Nav\u00edc jsou d\u011bti mnohem n\u00e1chyln\u011bj\u0161\u00ed ke vzniku sekund\u00e1rn\u00edch n\u00e1dor\u016f ne\u017e dosp\u011bl\u00ed. Pokud chceme zv\u00fd\u0161it \u0161anci na&nbsp;zdrav\u00fd v\u00fdvoj d\u00edt\u011bte i&nbsp;po l\u00e9\u010db\u011b, je nezbytn\u00e9 sna\u017eit se p\u0159edch\u00e1zet ne\u017e\u00e1douc\u00edm vedlej\u0161\u00edm \u00fa\u010dink\u016fm oz\u00e1\u0159en\u00ed. V&nbsp;tom je protonov\u00e1 l\u00e9\u010dba mimo\u0159\u00e1dn\u011b p\u0159\u00ednosn\u00e1. Umo\u017e\u0148uje men\u0161\u00ed oz\u00e1\u0159en\u00ed&#8230;<\/p>\n","protected":false},"author":1,"featured_media":4830,"parent":4953,"menu_order":333,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-4959","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4959","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/comments?post=4959"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4959\/revisions"}],"predecessor-version":[{"id":4976,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4959\/revisions\/4976"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4953"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media\/4830"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media?parent=4959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}