{"id":8,"date":"2016-03-06T17:30:10","date_gmt":"2016-03-06T16:30:10","guid":{"rendered":"https:\/\/filozofia.nett.to\/farmakologia\/2016\/03\/06\/kriza-zdravotnictva-na-slovensku-najvaecsie-problemy\/"},"modified":"2026-01-30T17:20:02","modified_gmt":"2026-01-30T16:20:02","slug":"kriza-zdravotnictva-na-slovensku-najvaecsie-problemy","status":"publish","type":"post","link":"https:\/\/filozofia.nett.to\/farmakologia\/sk\/kriza-zdravotnictva-na-slovensku-najvaecsie-problemy\/","title":{"rendered":"Kr\u00edza zdravotn\u00edctva na Slovensku, najv\u00e4\u010d\u0161ie probl\u00e9my"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/filozofia.nett.to\/farmakologia\/sk\/kriza-zdravotnictva-na-slovensku-najvaecsie-problemy\/#Psychiatria\" >Psychiatria<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/filozofia.nett.to\/farmakologia\/sk\/kriza-zdravotnictva-na-slovensku-najvaecsie-problemy\/#Hypertenzia\" >Hypertenzia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/filozofia.nett.to\/farmakologia\/sk\/kriza-zdravotnictva-na-slovensku-najvaecsie-problemy\/#Chemoterapia\" >Chemoterapia<\/a><\/li><\/ul><\/nav><\/div>\n<p><h2><span class=\"ez-toc-section\" id=\"Psychiatria\"><\/span>Psychiatria<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>A niekedy sa m\u00f4\u017ee sta\u0165, \u017ee lek\u00e1r urob\u00ed &#8220;eutan\u00e1ziu&#8221; pacientovi aj ne\u00famyselne v d\u00f4sledku nedostatku medic\u00ednsko-farmakologick\u00fdch vedomost\u00ed. Lek\u00e1ri sa riadia pr\u00edbalov\u00fdch let\u00e1\u010dikov od \u0160\u00daKL a tam sa nach\u00e1dza aj ve\u013ea odborn\u00fdch nepresnost\u00ed ako je nadhodnotenie \u010di podhodnotenie alebo neuvedenie niektor\u00fdch kontraindik\u00e1cii. Smrte\u013en\u00e1 kombin\u00e1cia liekov je napr. <strong>MAO inhib\u00edtor<\/strong> (\u010do m\u00f4\u017ee by\u0165 psychiatrick\u00fd alebo parkinsonick\u00fd liek) s niektor\u00fdmi <strong>agonistami dopam\u00ednu<\/strong>, ktor\u00e9 maj\u00fa neselekt\u00edvny \u00fa\u010dinok &#8211; ved\u013eaj\u00ed \u00fa\u010dinok s vysokou afinitou na serotin\u00ednove receptory. V takom pr\u00edpade je aktivita seroton\u00ednov\u00fdch receptorov pr\u00edli\u0161 vysok\u00e1 a srdce pacienta to ur\u010dite nevydr\u017e\u00ed. MAO inhib\u00edtor s agonistom dopam\u00ednu rad\u0161ej nekombinova\u0165. <strong>Ob\u00e1vam sa \u017ee raz za \u010das sa st\u00e1va, \u017ee neurol\u00f3g alebo geriater m\u00f4\u017ee ne\u00famyselne posla\u0165 na druh\u00fd svet parkinsonick\u00e9ho pacienta.<\/strong><br \/>\n<a href=\"https:\/\/en.wikipedia.org\/wiki\/Monoamine_oxidase_inhibitor\" target=\"_blank\" rel=\"noopener\">https:\/\/en.wikipedia.org\/wiki\/Monoamine_oxidase_inhibitor<\/a><br \/>\n<a href=\"https:\/\/en.wikipedia.org\/wiki\/Dopamine_agonist\" target=\"_blank\" rel=\"noopener\">https:\/\/en.wikipedia.org\/wiki\/Dopamine_agonist<\/a><br \/><br \/>\u010ealej <strong>psychiatrick\u00ed pacienti<\/strong> to maj\u00fa tie\u017e na ve\u013emi tenkom lade, ak ich id\u00fa uspa\u0165 <strong>v celkovej anest\u00e9ze<\/strong> na oper\u00e1ciu. Viem, \u017ee jeden druh celkovej anest\u00e9zy <strong>sevoflur\u00e1n<\/strong>, pou\u017e\u00edvan\u00fd v SR m\u00e1 ten ved\u013eaj\u0161\u00ed \u00fa\u010dinok, \u017ee je agonista na seroton\u00ednov\u00e9 receptory. Ak by sa skombinovala t\u00e1to \u00fa\u010dinn\u00e1 l\u00e1tka anest\u00e9zy s ktor\u00fdmko\u013evek psychiatrick\u00fdm niekom ktor\u00fd zvy\u0161uje aktivtu serotin\u00ednov\u00fdm receptorom, tak pacient z najv\u00e4\u010d\u0161ou pravdepodobnos\u0165ou \u017eiv\u00fd po tejto oper\u00e1cii nezostane. Tu u\u017e ale viem celkom isto, \u017ee anesteziol\u00f3govia o tejto kontraindik\u00e1cii ur\u010dite nevedia. V lep\u0161om pr\u00edpade m\u00f4\u017ee d\u00f4js\u0165 ku katastrof\u00e1lnej forme zvracania, \u010do m\u00f4\u017ee trva\u0165 aj 4 hodiny.<br \/>\n<a href=\"https:\/\/en.wikipedia.org\/wiki\/Sevoflurane#Pharmacology\" target=\"_blank\" rel=\"noopener\">https:\/\/en.wikipedia.org\/wiki\/Sevoflurane#Pharmacology<\/a><br \/>\n<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20885002\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20885002<\/a><br \/>\n<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8230689\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8230689<\/a><br \/><br \/>Ketam\u00edn aj ten je v kontraindik\u00e1cii s agonisticko &#8211; serotoninov\u00fdmi psychiatrick\u00fdmi liekmi, ke\u010f\u017ee zdv\u00edha krvn\u00fd tlak a okrem toho je ketam\u00edn tie\u017e okrem in\u00e9ho inhib\u00edtor sp\u00e4tn\u00e9ho vychyt\u00e1vania seroton\u00ednu, nako\u013eko m\u00e1 neselekt\u00edvny \u00fa\u010dinok.<br \/>\nVysok\u00e1 aktivita seroton\u00ednov\u00fdch receptorov nesp\u00f4sobuje hypertenzn\u00fa kr\u00edzu, ale extr\u00e9mne fibril\u00e1cie na srdci<br \/><br \/><strong>Cel\u00fd zdravotn\u00edcky syst\u00e9m je zl\u00fd &#8211; na medic\u00edne sa u\u010dia kopu nepraktick\u00fdch hl\u00fapost\u00ed, ktor\u00e9 nikdy v praxi nepotrebuj\u00fa, ale farmakol\u00f3gii sa rozumej\u00fa najmenej.<\/strong> Lek\u00e1ri na Slovensku sa cel\u00fa svoju kari\u00e9ru dlh\u00e9 roky m\u00f4\u017eu dr\u017ea\u0165 nespr\u00e1vne zau\u017e\u00edvan\u00fdch lie\u010debn\u00fdch postupov, ktor\u00e9 s\u00fa v rozpore so s\u00fa\u010dasn\u00fdm vedeck\u00fdm poznan\u00edm. A odborn\u00e9 semin\u00e1re pre lek\u00e1rov \u010di Slovensk\u00e9 a \u010desk\u00e9 lek\u00e1rske \u010dasopisy s\u00fa na ve\u013emi biednej odbornej \u00farovni.<\/p>\n\n<h2><span class=\"ez-toc-section\" id=\"Hypertenzia\"><\/span>Hypertenzia<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p><strong>A asi tak\u00e9 najv\u00fdznamnej\u0161ie zlyhanie lek\u00e1rov vn\u00edmam liek prvej vo\u013eby na hypertenziu.<\/strong> Pod\u013ea &#8220;zau\u017e\u00edvan\u00e9ho modelu&#8221; (tentokr\u00e1t nie len na Slovensku) na to lek\u00e1ri predpisuj\u00fa viacero druhov liekov ktor\u00e9 nep\u00f4sobia na srdce ale funguj\u00fa <strong>na princ\u00edpe v\u00fdlu\u010dne dehydrat\u00e1cie, \u010do je ve\u013emi kontroverzn\u00e9<\/strong>. A z dehydrat\u00e1cie m\u00f4\u017eu vznika\u0165 predispoz\u00edcie na cel\u00fa radu \u010fal\u0161\u00edch ochoren\u00ed. Rad\u0161ej sa ani nerobia vedeck\u00e9 v\u00fdskumy ako dlhodobo tak\u00e9to lieky p\u00f4sobia na zdravie pacientov, lebo ak by sa tieto v\u00fdskumy robili, tak by sa mohlo d\u00f4js\u0165 k ve\u013emi stra\u0161ideln\u00fdm z\u00e1verom.<br \/>\nPokia\u013e si dobre pam\u00e4t\u00e1m,tak jedn\u00e9mu druhu t\u00fdchto dehydrata\u010dn\u00fdch liekov, u\u017e existuje \u0161t\u00fadia, ktor\u00e1 dokazuje, \u017ee sp\u00f4sobuj\u00fa rakovinu. Bezpochyby tak\u00e9to lieky skracuj\u00fa \u017eivot, z logick\u00e9ho h\u013eadiska <strong>tak\u00e9to lieky zahus\u0165uj\u00fa krv, \u010d\u00edm mnohon\u00e1sobne zvy\u0161uj\u00fa pravdepodobnos\u0165 emb\u00f3lie, tromb\u00f3zy \u010di mozgovej m\u0155tvice. <\/strong><br \/>\n\u010co sa t\u00fdka hypertenzie, tak liek prvej vo\u013eby by mal by\u0165 <strong>beta-blok\u00e1tor<\/strong> (na neho sa ale ve\u013emi r\u00fdchlo vytv\u00e1ra tolerancia \u010do je nev\u00fdhoda)<br \/>\nalebo e\u0161te lep\u0161ie <strong>agonista imidazol\u00ednov\u00fdch receptorov<\/strong> ktor\u00fd funguje na princ\u00edpe priameho zni\u017eovania sekr\u00e9cie adrenal\u00ednu a jemu podobn\u00fdch chemick\u00fdch l\u00e1tok katecholam\u00ednov. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7533226\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7533226<\/a> (presnej\u0161ie funguj\u00fa na princ\u00edpe zn\u00ed\u017eenie hladiny katecholam\u00ednov, \u010do s\u00fa l\u00e1tky ve\u013emi podobn\u00e9 adreanl\u00ednu <a href=\"https:\/\/en.wikipedia.org\/wiki\/Catecholamine\" target=\"_blank\" rel=\"noopener\">https:\/\/en.wikipedia.org\/wiki\/Catecholamine<\/a> )<br \/>\nDobr\u00e9 s\u00fa aj lieky typu <strong>agonisty adrenal\u00edn alfa dva recepotorov<\/strong> (napr. klonid\u00edn \u010di guanfac\u00edn), ktor\u00e9 funguj\u00fa na princ\u00edpe zni\u017eovania hladiny noradrenal\u00ednu v krvi a v mozgu <a href=\"https:\/\/en.wikipedia.org\/wiki\/Alpha-2_adrenergic_receptor\" target=\"_blank\" rel=\"noopener\">https:\/\/en.wikipedia.org\/wiki\/Alpha-2_adrenergic_receptor<\/a><br \/>\nA najlep\u0161\u00ed takmer z\u00e1zra\u010dn\u00fd liek <strong>Dipyridamol, <\/strong>ktor\u00fd funguje adenoz\u00ednovom princ\u00edpe adenoz\u00ednov\u00fdch receptorov <a href=\"https:\/\/web.archive.org\/web\/20150819121231\/http:\/\/www.adcc.sk:80\/web\/humanne-lieky\/ucinna-latka\/dipyridamol-6439.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.adcc.sk\/web\/humanne-lieky\/ucinna-latka\/dipyridamol-6439.html<\/a><br \/>\n<strong>Najd\u00f4le\u017eitej\u0161\u00ed faktor v krvnom tlaku zohr\u00e1va srdce<\/strong>. Dehydrata\u010dn\u00e9 lieky by sa mali po spr\u00e1vnosti pou\u017ei\u0165 len pre \u00fa\u010del pr\u00edpadn\u00e9ho odstr\u00e1nenia ved\u013eaj\u0161\u00edch \u00fa\u010dinkov beta-blok\u00e1torov ako s\u00fa napr ed\u00e9my.<\/p>\n\n<h2><span class=\"ez-toc-section\" id=\"Chemoterapia\"><\/span>Chemoterapia<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>Mimochodom aj naj\u010dastej\u0161ie pou\u017e\u00edvan\u00fd druh <strong>chemoterapie <\/strong><strong>Paclitaxel <\/strong>je ve\u013emi kontroverzn\u00e1 t\u00e9ma. Na \u010do ho predpisuj\u00fa lek\u00e1ri, ke\u010f existuj\u00fa omnoho lep\u0161ie a \u0161etrnnej\u0161ie typy chemoterapie, z ktor\u00fdch nevypad\u00e1vaj\u00fa vlasy? A ultra kontroverzn\u00e9 je pou\u017e\u00edva\u0165 na lie\u010dbu rakoviny liek Bevacizumab (pou\u017e\u00edva sa ve\u013emi \u010dasto), \u010do je v naprostom rozpore s vedou, preto\u017ee funguje na princ\u00edpe zu\u017eovania a spoma\u013eovania rastu ciev.<br \/><br \/><strong>Mysl\u00edm, \u017ee d\u00f4vody pre\u010do predpisuj\u00fa lek\u00e1ri tak\u00e9 lieky, ktor\u00e9 im skracuj\u00fa \u017eivot m\u00f4\u017ee by\u0165 viacero<\/strong>. Od nevedomosti, zl\u00fdch &#8220;odborn\u00fdch&#8221; odpor\u00fa\u010dan\u00ed zo strany framaceutickej loby, ktor\u00e9 s\u00fa v rozpore s vedeck\u00fdm poznan\u00edm, a\u017e po predpisovanie lieku skorumpovan\u00e9ho lek\u00e1ra, aby mal od danej farmaceutickej firmy zadarmo dovolenku.<br \/><br \/>Ale na druhej strane, ak to poviem tak cynicky, m\u00e1 to aj &#8220;v\u00fdhodu&#8221;: z chor\u00fdch pacientov sa te\u0161ia farmaceutick\u00e9 firmy, ke\u010f sa na nich viac zarobia a tie\u017e je to dobr\u00e1 spr\u00e1va pre soci\u00e1lnu pois\u0165ov\u0148u, ke\u010f nemus\u00ed plati\u0165 d\u00f4chodky, ke\u010f \u013eudia skorej zomr\u00fa.<\/p><\/p>","protected":false},"excerpt":{"rendered":"Niekedy sa m\u00f4\u017ee sta\u0165, \u017ee lek\u00e1r urob\u00ed &#8220;eutan\u00e1ziu&#8221; pacientovi aj ne\u00famyselne v d\u00f4sledku nedostatku medic\u00ednsko-farmakologick\u00fdch vedomost\u00ed.","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-8","post","type-post","status-publish","format-standard","hentry","category-farmakologia"],"_links":{"self":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":0,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts\/8\/revisions"}],"wp:attachment":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/media?parent=8"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/categories?post=8"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/tags?post=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}