{"id":3275,"date":"2023-08-17T16:00:25","date_gmt":"2023-08-17T14:00:25","guid":{"rendered":"https:\/\/www.ptc.cz\/co-liecime\/nadory-u-deti\/proc-zvolit-protonovou-lecbu\/"},"modified":"2024-06-17T14:22:05","modified_gmt":"2024-06-17T12:22:05","slug":"preco-zvolit-protonovu-liecbu","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/sk\/co-liecime\/nadory-u-deti\/preco-zvolit-protonovu-liecbu\/","title":{"rendered":"Pre\u010do zvoli\u0165 prot\u00f3nov\u00fa lie\u010dbu"},"content":{"rendered":"<h3><strong>V\u00fdhody prot\u00f3novej lie\u010dby pri o\u017earovan\u00ed det\u00ed proti be\u017enej r\u00e1dioterapii<\/strong><\/h3>\n<p>Tkaniv\u00e1 a&nbsp;org\u00e1ny u&nbsp;det\u00ed s\u00fa na&nbsp;o\u017eiarenie ve\u013emi citliv\u00e9. Navy\u0161e s\u00fa deti ove\u013ea n\u00e1chylnej\u0161ie na&nbsp;vznik sekund\u00e1rnych n\u00e1dorov ako dospel\u00ed. Pokia\u013e chceme zv\u00fd\u0161i\u0165 \u0161ancu na&nbsp;zdrav\u00fd v\u00fdvoj die\u0165a\u0165a aj po lie\u010dbe, je nevyhnutn\u00e9 sna\u017ei\u0165 sa predch\u00e1dza\u0165 ne\u017eiaducim ved\u013eaj\u0161\u00edm \u00fa\u010dinkom o\u017eiarenia. V&nbsp;tom je prot\u00f3nov\u00e1 lie\u010dba mimoriadne pr\u00ednosn\u00e1.<\/p>\n<ul>\n<li>\n<h4>Umo\u017e\u0148uje men\u0161ie o\u017eiarenie miechy<\/h4>\n<\/li>\n<\/ul>\n<p>Prot\u00f3nov\u00e1 lie\u010dba zni\u017euje d\u00e1vku na&nbsp;miechu pri n\u00e1doroch ulo\u017een\u00fdch v&nbsp;jej bl\u00edzkosti. Je tak minimalizovan\u00e9 riziko jej po\u0161kodenia.<\/p>\n<ul>\n<li><strong>Zachov\u00e1va ment\u00e1lnu v\u00fdkonnos\u0165<\/strong><\/li>\n<\/ul>\n<p>V\u010faka prot\u00f3novej terapii je zachovan\u00e1 v&nbsp;maxim\u00e1lnej mo\u017enej miere ment\u00e1lna v\u00fdkonnos\u0165.<\/p>\n<ul>\n<li>\n<h4>Zni\u017euje riziko straty sluchu<\/h4>\n<\/li>\n<\/ul>\n<p>Prot\u00f3nov\u00e1 lie\u010dba redukuje d\u00e1vky na&nbsp;stredn\u00e9 a&nbsp;vn\u00fatorn\u00e9 ucho, t\u00fdm je zn\u00ed\u017een\u00e9 riziko poruchy po\u0161kodenia alebo straty sluchu.<\/p>\n<ul>\n<li>\n<h4>Zni\u017euje riziko po\u0161kodenia zraku<\/h4>\n<\/li>\n<\/ul>\n<p>Prot\u00f3nov\u00e1 lie\u010dba minimalizuje o\u017eiarenie o\u010dn\u00e9ho apar\u00e1tu. N\u00e1sledne tak zni\u017euje riziko vzniku o\u010dn\u00fdch probl\u00e9mov a&nbsp;komplik\u00e1ci\u00ed.<\/p>\n<p>Prot\u00f3nov\u00e1 lie\u010dba je, na&nbsp;rozdiel od be\u017ene pou\u017e\u00edvan\u00e9ho o\u017earovania, \u0161etrnej\u0161ia a&nbsp;bezpe\u010dnej\u0161ia. V\u010faka presn\u00e9mu zacieleniu prot\u00f3nov\u00e9ho l\u00fa\u010da, dok\u00e1\u017eeme v\u00fdznamne zn\u00ed\u017ei\u0165 riziko vzniku ne\u017eiaducich \u00fa\u010dinkov a&nbsp;obmedzi\u0165 pr\u00edpadn\u00e9 rizik\u00e1 ako s\u00fa po\u0161kodenie srdca a&nbsp;p\u013e\u00fac, v\u00fdskyt endokrinn\u00fdch probl\u00e9mov, poruchy rastu, poruchy zmyslov\u00fdch funkci\u00ed, zn\u00ed\u017eenie intelektu, po\u0161kodenie obli\u010diek a&nbsp;mo\u010dov\u00fdch ciest, ohrozenie plodnosti, vznik druhotn\u00fdch n\u00e1dorov.<\/p>\n<h6>Na schematickom obr\u00e1zku je zn\u00e1zornen\u00e9 rozlo\u017eenie d\u00e1vky \u017eiarenia v&nbsp;tele pri pou\u017eit\u00ed prot\u00f3novej a&nbsp;fot\u00f3novej terapie. Je zrejm\u00e9, \u017ee prot\u00f3nov\u00fd zv\u00e4zok o\u017earuje iba tzv. cie\u013eov\u00fd objem (oblas\u0165 kraniospin\u00e1lnej osi), teda \u017eiarenie je smerovan\u00e9 takmer v\u00fdlu\u010dne len do tkaniva, ktor\u00e9 je postihnut\u00e9, alebo pravdepodobne postihnut\u00e9. Naopak fot\u00f3nov\u00e9 \u017eiarenie v\u010faka svojim fyzik\u00e1lnym vlastnostiam zasahuje v\u00fdznamne aj okolit\u00e9 zdrav\u00e9 \u0161trukt\u00fary, ktor\u00fdmi s\u00fa v&nbsp;tomto pr\u00edpade miecha, srdce, p\u013e\u00faca, pe\u010de\u0148 a&nbsp;\u010drev\u00e1.<\/h6>\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=\"aligncenter size-full wp-image-3967\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_DETI-_proton-_SK.jpg\" alt=\"\" width=\"768\" height=\"922\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_DETI-_proton-_SK.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_DETI-_proton-_SK-250x300.jpg 250w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n<p>&nbsp;<\/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=\"aligncenter size-full wp-image-3973\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_DETI-_foton-_SK.jpg\" alt=\"\" width=\"768\" height=\"922\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_DETI-_foton-_SK.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_DETI-_foton-_SK-250x300.jpg 250w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n<p>&nbsp;<\/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 prot\u00f3novej lie\u010dby pri o\u017earovan\u00ed det\u00ed proti be\u017enej r\u00e1dioterapii Tkaniv\u00e1 a&nbsp;org\u00e1ny u&nbsp;det\u00ed s\u00fa na&nbsp;o\u017eiarenie ve\u013emi citliv\u00e9. Navy\u0161e s\u00fa deti ove\u013ea n\u00e1chylnej\u0161ie na&nbsp;vznik sekund\u00e1rnych n\u00e1dorov ako dospel\u00ed. Pokia\u013e chceme zv\u00fd\u0161i\u0165 \u0161ancu na&nbsp;zdrav\u00fd v\u00fdvoj die\u0165a\u0165a aj po lie\u010dbe, je nevyhnutn\u00e9 sna\u017ei\u0165 sa predch\u00e1dza\u0165 ne\u017eiaducim ved\u013eaj\u0161\u00edm \u00fa\u010dinkom o\u017eiarenia. V&nbsp;tom je prot\u00f3nov\u00e1 lie\u010dba mimoriadne pr\u00ednosn\u00e1. Umo\u017e\u0148uje men\u0161ie o\u017eiarenie miechy&#8230;<\/p>\n","protected":false},"author":1,"featured_media":2879,"parent":3272,"menu_order":333,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-3275","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3275","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/comments?post=3275"}],"version-history":[{"count":4,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3275\/revisions"}],"predecessor-version":[{"id":3976,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3275\/revisions\/3976"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3272"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media\/2879"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media?parent=3275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}