{"id":3259,"date":"2024-01-19T14:33:07","date_gmt":"2024-01-19T13:33:07","guid":{"rendered":"https:\/\/www.ptc.cz\/co-liecime\/hlava-a-krk\/rakovina-krcni-mandle\/"},"modified":"2024-07-26T14:51:08","modified_gmt":"2024-07-26T12:51:08","slug":"rakovina-krcnej-mandle","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/sk\/co-liecime\/hlava-a-krk\/rakovina-krcnej-mandle\/","title":{"rendered":"Rakovina kr\u010dnej mandle"},"content":{"rendered":"

N\u00e1dory kr\u010dn\u00fdch mandl\u00ed postihuj\u00fa sk\u00f4r mlad\u0161ie vekov\u00e9 kateg\u00f3rie pacientov. Incidencia, teda v\u00fdskyt, ochorenie rap\u00eddne vzrast\u00e1, v \u010ceskej republike je teraz 3x vy\u0161\u0161ia ako pred 30 rokmi. Tento n\u00e1rast m\u00e1 priamu s\u00favislos\u0165 s roz\u0161\u00edren\u00edm \u013eudsk\u00e9ho papilomav\u00edrusu HPV 16, ktor\u00e9ho pr\u00edtomnos\u0165 je v posledn\u00fdch rokoch u mnoh\u00fdch chor\u00fdch potvrden\u00e1*.<\/p>\n

Naj\u010dastej\u0161\u00edmi pr\u00edznakmi, ktor\u00e9 pacienta prived\u00fa k lek\u00e1rovi s\u00fa:<\/h3>\n
\n
\n
\n
    \n
  • bolesti v krku a u\u0161iach,<\/li>\n
  • pocit cudzieho telesa,<\/li>\n
  • bolestivos\u0165 pri preh\u013atan\u00ed,<\/li>\n
  • \u0165a\u017ekosti pri preh\u013atan\u00edm,<\/li>\n
  • z\u00e1pach z \u00fast,<\/li>\n
  • krv\u00e1canie z \u00fastnej dutiny,<\/li>\n
  • zdurenie na krku.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n
    \n
    \n

    Lie\u010dba zhubn\u00fdch n\u00e1dorov oblasti hlavy a krku, teda aj kr\u010dn\u00fdch mandl\u00ed, mus\u00ed by\u0165 komplexn\u00e1 a t\u00edmov\u00e1. Riadi sa lokaliz\u00e1ciou prim\u00e1rneho n\u00e1doru, histol\u00f3giou, rozsahom ochorenia, celkov\u00fdm stavom pacienta.<\/p>\n

    Hlavn\u00fdmi lie\u010debn\u00fdmi modalitami pri n\u00e1doroch kr\u010dn\u00fdch mandl\u00ed s\u00fa chirurgia a r\u00e1dioterapia. U skor\u00fdch \u0161t\u00e1di\u00ed s\u00fa chirurgick\u00fd z\u00e1krok \u010di r\u00e1dioterapia indikovan\u00e9 ako samostatn\u00e9 lie\u010debn\u00e9 modality. Pokro\u010dil\u00e9 \u0161t\u00e1di\u00e1 zvy\u010dajne vy\u017eaduj\u00fa lie\u010dbu kombinovan\u00fa (chirurgia, r\u00e1dioterapia, chemoterapia).<\/p>\n<\/div>\n<\/div>\n<\/div>\n

    *\u013dudsk\u00fd papilomav\u00edrus sa v \u013eudskej popul\u00e1cii vyskytuje be\u017ene, ale iba u malej skupiny infikovan\u00fdch os\u00f4b d\u00f4jde k v\u00fdvoju karcin\u00f3mu. Je zn\u00e1mych viac ako 150 r\u00f4znych podtypov, vysoko rizikov\u00fd je v\u0161ak najm\u00e4 HPV16. Prekvapivou charakteristikou HPV pozit\u00edvneho ochorenia s\u00fa ve\u013ek\u00e9 uzliny, pri relat\u00edvne malom n\u00e1leze prim\u00e1rneho n\u00e1doru, t\u00edto chor\u00ed s\u00fa \u010dasto v \u010dase stanovenia diagn\u00f3zy v klinicky pokro\u010dilom stave ochorenia.<\/h6>\n
    HPV pozit\u00edvne n\u00e1dory hlavy a krku maj\u00fa lep\u0161iu progn\u00f3zu v porovnan\u00ed s n\u00e1dormi HPV negat\u00edvnymi, lep\u0161ie reaguj\u00fa na chemoterapiu a r\u00e1dioterapiu. HPV pozit\u00edvne n\u00e1dory maj\u00fa v porovnan\u00ed s n\u00e1dormi HPV negat\u00edvnymi 60-80% redukciu rizika \u00famrtia.<\/h6>\n","protected":false},"excerpt":{"rendered":"

    N\u00e1dory kr\u010dn\u00fdch mandl\u00ed postihuj\u00fa sk\u00f4r mlad\u0161ie vekov\u00e9 kateg\u00f3rie pacientov. Incidencia, teda v\u00fdskyt, ochorenie rap\u00eddne vzrast\u00e1, v \u010ceskej republike je teraz 3x vy\u0161\u0161ia ako pred 30 rokmi. Tento n\u00e1rast m\u00e1 priamu s\u00favislos\u0165 s roz\u0161\u00edren\u00edm \u013eudsk\u00e9ho papilomav\u00edrusu HPV 16, ktor\u00e9ho pr\u00edtomnos\u0165 je v posledn\u00fdch rokoch u mnoh\u00fdch chor\u00fdch potvrden\u00e1*. Naj\u010dastej\u0161\u00edmi pr\u00edznakmi, ktor\u00e9 pacienta prived\u00fa k lek\u00e1rovi s\u00fa: *\u013dudsk\u00fd papilomav\u00edrus sa v \u013eudskej popul\u00e1cii…<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":3255,"menu_order":308,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-anchor-sidebar.php","meta":{"footnotes":""},"class_list":["post-3259","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3259","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/comments?post=3259"}],"version-history":[{"count":4,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3259\/revisions"}],"predecessor-version":[{"id":7058,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3259\/revisions\/7058"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3255"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media?parent=3259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}