"P\u00E9\u010De o diabetika s nemoc\u00ED ledvin a s c\u00E9vn\u00EDm posti\u017Een\u00EDm je typick\u00FDm p\u0159\u00EDkladem pot\u0159eby multioborov\u00E9 p\u00E9\u010De. C\u00E9vn\u00ED posti\u017Een\u00ED u diabetik\u016F m\u016F\u017Ee b\u00FDt p\u0159\u00ED\u010Dinou onemocn\u011Bn\u00ED ledvin (ischemick\u00E1 nefropatie, kter\u00E1 je u diabetik\u016F \u010Dast\u00E1 a ne v\u017Edy rozpoznan\u00E1). Ischemie ledvin p\u0159i hypoperfuzi vlivem c\u00E9vn\u00EDch zm\u011Bn p\u0159isp\u00EDv\u00E1 k progresi nefropatie a urychluje z\u00E1nik funk\u010Dn\u00EDho ren\u00E1ln\u00EDho parenchymu. C\u00E9vn\u00ED posti\u017Een\u00ED u pacient\u016F v dialyza\u010Dn\u00EDm programu je v sou\u010Dasn\u00E9 dob\u011B nejz\u00E1va\u017En\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dinou morbidity i mortality. Amputace jsou popisov\u00E1ny v 6 % a zvy\u0161uj\u00ED riziko \u00FAmrt\u00ED nejm\u00E9n\u011B o 50 %. V\u0161echny tyto okolnosti podtrhuj\u00ED nutnost komplexn\u00ED a v\u010Dasn\u00E9 multioborov\u00E9 p\u00E9\u010De o diabetiky, se zam\u011B\u0159en\u00EDm na ochranu c\u00E9vn\u00EDho syst\u00E9mu, tj. na rozpozn\u00E1n\u00ED a eliminaci pokud mo\u017Eno v\u0161ech faktor\u016F, kter\u00E9 k c\u00E9vn\u00EDmu posti\u017Een\u00ED p\u0159isp\u00EDvaj\u00ED." . "266506" . . "Clinical significance of vascular damage in patients with diabetes and renal impairment - a nephrologist's view"@en . "Klinick\u00FD v\u00FDznam c\u00E9vn\u00EDho posti\u017Een\u00ED u diabetik\u016F s onemocn\u011Bn\u00EDm ledvin - pohled nefrologa"@cs . "5"^^ . "Klinick\u00FD v\u00FDznam c\u00E9vn\u00EDho posti\u017Een\u00ED u diabetik\u016F s onemocn\u011Bn\u00EDm ledvin - pohled nefrologa"@cs . . "Klinick\u00FD v\u00FDznam c\u00E9vn\u00EDho posti\u017Een\u00ED u diabetik\u016F s onemocn\u011Bn\u00EDm ledvin - pohled nefrologa" . "CZ - \u010Cesk\u00E1 republika" . "Dusilov\u00E1 - Sulkov\u00E1, Sylvie" . "0042-773X" . "P\u00E9\u010De o diabetika s nemoc\u00ED ledvin a s c\u00E9vn\u00EDm posti\u017Een\u00EDm je typick\u00FDm p\u0159\u00EDkladem pot\u0159eby multioborov\u00E9 p\u00E9\u010De. C\u00E9vn\u00ED posti\u017Een\u00ED u diabetik\u016F m\u016F\u017Ee b\u00FDt p\u0159\u00ED\u010Dinou onemocn\u011Bn\u00ED ledvin (ischemick\u00E1 nefropatie, kter\u00E1 je u diabetik\u016F \u010Dast\u00E1 a ne v\u017Edy rozpoznan\u00E1). Ischemie ledvin p\u0159i hypoperfuzi vlivem c\u00E9vn\u00EDch zm\u011Bn p\u0159isp\u00EDv\u00E1 k progresi nefropatie a urychluje z\u00E1nik funk\u010Dn\u00EDho ren\u00E1ln\u00EDho parenchymu. C\u00E9vn\u00ED posti\u017Een\u00ED u pacient\u016F v dialyza\u010Dn\u00EDm programu je v sou\u010Dasn\u00E9 dob\u011B nejz\u00E1va\u017En\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dinou morbidity i mortality. Amputace jsou popisov\u00E1ny v 6 % a zvy\u0161uj\u00ED riziko \u00FAmrt\u00ED nejm\u00E9n\u011B o 50 %. V\u0161echny tyto okolnosti podtrhuj\u00ED nutnost komplexn\u00ED a v\u010Dasn\u00E9 multioborov\u00E9 p\u00E9\u010De o diabetiky, se zam\u011B\u0159en\u00EDm na ochranu c\u00E9vn\u00EDho syst\u00E9mu, tj. na rozpozn\u00E1n\u00ED a eliminaci pokud mo\u017Eno v\u0161ech faktor\u016F, kter\u00E9 k c\u00E9vn\u00EDmu posti\u017Een\u00ED p\u0159isp\u00EDvaj\u00ED."@cs . "4" . "[1A7F59AA714F]" . "Klinick\u00FD v\u00FDznam c\u00E9vn\u00EDho posti\u017Een\u00ED u diabetik\u016F s onemocn\u011Bn\u00EDm ledvin - pohled nefrologa" . "Clinical significance of vascular damage in patients with diabetes and renal impairment - a nephrologist's view"@en . . . . "diabetes mellitus; diabetic nephropathy; ischemic nephropathy"@en . . "56" . . . . . . "RIV/00023001:_____/10:00002368" . "Care for diabetic patients with renal impairment and vascular damage is a typical example of care requiring inter-professional approach. Vascular damage in patients with diabetes may lead to renal disease (ischemic nephropathy, high incidence but frequently unrecognised in diabetic patients). Renal ischemia resulting from hypoperfusion due to vascular changes contributes to progression of nephropathy and accelerates destruction of functional renal parenchyma. Vascular damage is the leading cause of morbidity and mortality in patients on dialysis. Amputations are reported in 6% of patients and increase the risk of death by at least 50%. All these issues highlight the need for comprehensive and early inter-professional care aimed at protecting the vascular system, i.e. recognition and, whenever possible, elimination of all factors contributing to vascular damage in diabetic patients."@en . "1"^^ . "V" . "RIV/00023001:_____/10:00002368!RIV11-MZ0-00023001" . . . . "1"^^ . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" .