{"id":3336,"date":"2023-12-29T11:00:02","date_gmt":"2023-12-29T10:00:02","guid":{"rendered":"https:\/\/www.ptc.cz\/co-liecime\/prostata\/protonova-lecba-rakoviny-prostaty-2\/"},"modified":"2024-06-17T14:31:42","modified_gmt":"2024-06-17T12:31:42","slug":"protonova-liecba-rakoviny-prostaty","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/sk\/co-liecime\/prostata\/protonova-liecba-rakoviny-prostaty\/","title":{"rendered":"Prot\u00f3nov\u00e1 lie\u010dba rakoviny prostaty"},"content":{"rendered":"<h4><span style=\"color: #3366ff;\">Pr\u016fb\u011b\u017en\u00e9 hodnocen\u00ed na\u0161ich v\u00fdsledk\u016f ukazuje, \u017ee se n\u00e1m poda\u0159ilo vyl\u00e9\u010dit 96,5&nbsp;% pacient\u016f s&nbsp;n\u00edzce rizikov\u00fdm stadiem rakoviny prostaty, z&nbsp;toho <strong>99&nbsp;% pacient\u016f netrp\u00ed probl\u00e9my s&nbsp;inkontinenc\u00ed.<\/strong><\/span><\/h4>\n<p><strong>Protonov\u00e1 radioterapie je p\u0159esn\u00e1 a&nbsp;\u0161etrn\u00e1 metoda l\u00e9\u010dby <\/strong>rakoviny prostaty<strong>\u00a0s\u00a0minim\u00e1ln\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky.<\/strong><\/p>\n<p>Od roku 2012, kdy bylo Protonov\u00e9 centrum otev\u0159eno, jsme l\u00e9\u010dili\u00a0<strong>tis\u00edce pacient\u016f<\/strong>\u00a0s rakovinou prostaty. Na&nbsp;z\u00e1klad\u011b jejich dlouhodob\u00e9ho sledov\u00e1n\u00ed se pra\u017esk\u00e9 Protonov\u00e9 centrum m\u016f\u017ee prezentovat vynikaj\u00edc\u00edmi v\u00fdsledky a&nbsp;\u00fasp\u011bchy protonov\u00e9 radioterapie.<\/p>\n<p><strong>C\u00edlem modern\u00ed onkologick\u00e9 l\u00e9\u010dby je zajistit pacient\u016fm maxim\u00e1ln\u00ed \u0161anci na&nbsp;vyl\u00e9\u010den\u00ed p\u0159i minimalizaci vedlej\u0161\u00edch \u00fa\u010dink\u016f spojen\u00fdch s\u00a0l\u00e9\u010dbou. Tohoto c\u00edle je dnes mo\u017en\u00e9 dos\u00e1hnout pomoc\u00ed protonov\u00e9 l\u00e9\u010dby.<\/strong><\/p>\n<h2>Inkontinence<\/h2>\n<p><strong>Inkontinence je nedobrovoln\u00fd \u00fanik men\u0161\u00edho mno\u017estv\u00ed mo\u010di<\/strong>, kter\u00fd je pro pacienta spole\u010densk\u00fdm i&nbsp;hygienick\u00fdm probl\u00e9mem. Pro aktivn\u00edho mu\u017ee je trval\u00e9 no\u0161en\u00ed inkontinen\u010dn\u00edch pom\u016fcek probl\u00e9mem z\u00e1sadn\u00edm.\u00a0<strong>V p\u0159\u00edpad\u011b protonov\u00e9 l\u00e9\u010dby je riziko minimalizovan\u00e9 na\u00a0<\/strong>pouh\u00e9<strong><strong class=\"custom-bold\">\u00a01&nbsp;%<\/strong><strong class=\"custom-bold\">,<\/strong>\u00a0zat\u00edmco nap\u0159. po operaci<\/strong>\u00a0(kompletn\u00edm odstran\u011bn\u00ed prostaty)\u00a0<strong>a\u017e 15&nbsp;% pacient\u016f\u00a0<\/strong>trp\u00ed samovoln\u00fdm \u00fanikem mo\u010di.\u00a0<strong>U b\u011b\u017en\u00e9ho oza\u0159ov\u00e1n\u00ed<\/strong>\u00a0se tato komplikace\u00a0<strong>vyskytuje u&nbsp;5&nbsp;% pacient\u016f.<\/strong><\/p>\n<p><a href=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Inkontinence.png\" data-rel=\"lightbox-image-0\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-321\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Inkontinence.png\" alt=\"\" width=\"1200\" height=\"479\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Inkontinence.png 1200w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Inkontinence-300x120.png 300w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Inkontinence-768x307.png 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><\/p>\n<p><strong>D\u00edky p\u0159esnosti protonov\u00e9ho paprsku je\u00a0riziko impotence<\/strong>\u00a0(erektiln\u00ed dysfunkce)\u00a0<strong>oproti b\u011b\u017en\u00fdm metod\u00e1m l\u00e9\u010dby v\u00fdznamn\u011b sn\u00ed\u017eeno.<\/strong>\u00a0P\u0159esnost z\u00e1kroku toti\u017e hraje nejd\u016fle\u017eit\u011bj\u0161\u00ed roli pro zachov\u00e1n\u00ed mu\u017esk\u00e9 potence. Rizikov\u00fdm faktorem p\u0159i operaci je z\u00e1sah v&nbsp;bl\u00edzkosti nerv\u016f, jejich\u017e poru\u0161en\u00ed zp\u016fsobuje erektiln\u00ed dysfunkci. Protony nav\u00edc umo\u017e\u0148uj\u00ed sn\u00ed\u017eit ne\u017e\u00e1douc\u00ed oz\u00e1\u0159en\u00ed v&nbsp;oblasti bulbu penisu (ko\u0159ene penisu), kter\u00e9 je jednou z&nbsp;p\u0159\u00ed\u010din vzniku erektiln\u00ed dysfunkce po radioterapii.<\/p>\n<p>Na&nbsp;z\u00e1klad\u011b zku\u0161enost\u00ed a&nbsp;dlouhodob\u00fdch v\u00fdsledk\u016f je z\u0159ejm\u00e9, \u017ee pacienti po protonov\u00e9 l\u00e9\u010db\u011b maj\u00ed vy\u0161\u0161\u00ed kvalitu \u017eivota ne\u017e ti, kte\u0159\u00ed podstoupili operaci.\u00a0<strong>Po operaci toti\u017e a\u017e 75&nbsp;% mu\u017e\u016f trp\u00ed \u00faplnou ztr\u00e1tou erekce<\/strong> (erektiln\u00ed dysfunkc\u00ed). Pro ka\u017ed\u00e9ho mu\u017ee je toto enormn\u011b vysok\u00e9 riziko z&nbsp;psychologick\u00e9ho hlediska velkou komplikac\u00ed a&nbsp;m\u00e1 obrovsk\u00fd vliv na&nbsp;jeho budouc\u00ed \u017eivot.<\/p>\n<p><a href=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Impotence.png\" data-rel=\"lightbox-image-1\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-318\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Impotence.png\" alt=\"\" width=\"1200\" height=\"436\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Impotence.png 1200w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Impotence-300x109.png 300w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/08\/Impotence-768x279.png 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><\/p>\n<p>Pochopiteln\u011b nejz\u00e1va\u017en\u011bj\u0161\u00ed obavou pacienta je, zda se m\u016f\u017ee nemoc vr\u00e1tit.\u00a0<strong>Po operaci doch\u00e1z\u00ed k&nbsp;n\u00e1vratu onemocn\u011bn\u00ed u&nbsp;10&nbsp;% p\u0159\u00edpad\u016f, po b\u011b\u017en\u00e9m oza\u0159ov\u00e1n\u00ed je to 5&nbsp;%.<\/strong>\u00a0Po des\u00edtk\u00e1ch let zku\u0161enost\u00ed protonov\u00fdch center v&nbsp;USA a&nbsp;Japonsku je\u00a0<strong>po protonov\u00e9 l\u00e9\u010db\u011b n\u00e1vrat nemoci zji\u0161t\u011bn\u00e9 v&nbsp;\u010dasn\u00e9m stadiu pouze kolem 3 %\u00a0<\/strong>(plat\u00ed pro n\u00edzcerizikov\u00e9 karcinomy prostaty).<\/p>\n<p><a href=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/07\/Navrat-nemoci.png\" data-rel=\"lightbox-image-2\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-297\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/07\/Navrat-nemoci.png\" alt=\"\" width=\"1200\" height=\"489\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/07\/Navrat-nemoci.png 1200w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/07\/Navrat-nemoci-300x122.png 300w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/07\/Navrat-nemoci-768x313.png 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><\/p>\n<p><strong>Protonov\u00e1 l\u00e9\u010dba v&nbsp;PTC je l\u00e9\u010dba ambulantn\u00ed.\u00a0\u00a0<\/strong>Dle stadia onemocn\u011bn\u00ed, kter\u00e9 v\u00e1m bylo zji\u0161t\u011bno, <strong>trv\u00e1 protonov\u00e1 l\u00e9\u010dba v&nbsp;PTC\u00a0 5, 19<\/strong>\u00a0<strong>nebo 21 pracovn\u00edch dn\u00ed.<\/strong> P\u0159ed zah\u00e1jen\u00edm protonov\u00e9 terapie je t\u0159eba p\u0159ipravit pe\u010dliv\u00fd oza\u0159ovac\u00ed pl\u00e1n, a&nbsp;to pro ka\u017ed\u00e9ho pacienta p\u0159esn\u011b nam\u00edru. P\u0159\u00edpravu oza\u0159ovac\u00edho pl\u00e1nu maj\u00ed na&nbsp;starosti l\u00e9ka\u0159i spole\u010dn\u011b s&nbsp;klinick\u00fdmi fyziky<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"\/kontakt\/\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1425\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2023\/10\/kontakt.png\" alt=\"\" width=\"150\" height=\"36\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pr\u016fb\u011b\u017en\u00e9 hodnocen\u00ed na\u0161ich v\u00fdsledk\u016f ukazuje, \u017ee se n\u00e1m poda\u0159ilo vyl\u00e9\u010dit 96,5&nbsp;% pacient\u016f s&nbsp;n\u00edzce rizikov\u00fdm stadiem rakoviny prostaty, z&nbsp;toho 99&nbsp;% pacient\u016f netrp\u00ed probl\u00e9my s&nbsp;inkontinenc\u00ed. Protonov\u00e1 radioterapie je p\u0159esn\u00e1 a&nbsp;\u0161etrn\u00e1 metoda l\u00e9\u010dby rakoviny prostaty\u00a0s\u00a0minim\u00e1ln\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky. Od roku 2012, kdy bylo Protonov\u00e9 centrum otev\u0159eno, jsme l\u00e9\u010dili\u00a0tis\u00edce pacient\u016f\u00a0s rakovinou prostaty. Na&nbsp;z\u00e1klad\u011b jejich dlouhodob\u00e9ho sledov\u00e1n\u00ed se pra\u017esk\u00e9 Protonov\u00e9 centrum&#8230;<\/p>\n","protected":false},"author":5,"featured_media":3020,"parent":3335,"menu_order":439,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-anchor-sidebar.php","meta":{"footnotes":""},"class_list":["post-3336","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\/3336","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=3336"}],"version-history":[{"count":3,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3336\/revisions"}],"predecessor-version":[{"id":4044,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3336\/revisions\/4044"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3335"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media\/3020"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media?parent=3336"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}