{"id":2235,"date":"2020-01-14T13:28:43","date_gmt":"2020-01-14T13:28:43","guid":{"rendered":"https:\/\/schizofrenie.cz\/verejne\/?page_id=2235"},"modified":"2025-12-19T11:17:27","modified_gmt":"2025-12-19T10:17:27","slug":"vyvoj-schizofrenie","status":"publish","type":"page","link":"https:\/\/schizofrenie.cz\/verejne\/vyvoj-schizofrenie\/","title":{"rendered":"Klinick\u00fd pr\u016fb\u011bh nemoci"},"content":{"rendered":"\n<div class=\"wp-block-rea-inpage-nav-rea-inpage-nav-block rea-inpage-nav-block front has-margin\"><div class=\"rea-inpage-nav-block__image\" style=\"background-image: url(https:\/\/schizofrenie.cz\/verejne\/wp-content\/uploads\/2019\/03\/wooden.png)\"><img decoding=\"async\" class=\"inpage-nav-background\" alt=\"\" src=\"https:\/\/schizofrenie.cz\/verejne\/wp-content\/uploads\/2019\/03\/wooden.png\"><\/div><div class=\"rea-inpage-nav-block__content\"><div class=\"rea-inpage-nav-block__content--wrapper\"><div class=\"text-wrapper\"><h2 class=\"inpage-nav-title\">Klinick\u00fd pr\u016fb\u011bh nemoci <\/h2><ul class=\"inpage-nav-list\"><li>Schizofrenie m\u00e1 r\u016fzn\u00fd klinick\u00fd profil podle toho, jak\u00e9ho jedince postihne a v jak\u00e9m je stadiu. P\u0159esn\u00e9 stanoven\u00ed f\u00e1ze onemocn\u011bn\u00ed m\u016f\u017ee pomoci naj\u00edt nejlep\u0161\u00ed mo\u017enou l\u00e9\u010dbu a p\u0159\u00edstup k veden\u00ed l\u00e9\u010dby. <\/li><\/ul><\/div><div class=\"section-nav\"><h4 class=\"section-nav--title\">V t\u00e9to \u010d\u00e1sti<\/h4><div class=\"section-nav--nav-items js-inpage-nav-items\"><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-title-rea-title-block rea-title-block front\"><div class=\"rea-title-block__content\"><h3 id=\"strongfzestrongsupstrong12strongsup\" class=\"content-title \"><strong>F\u00e1ze<\/strong><sup><strong>1-2<\/strong><\/sup><\/h3><h4 class=\"content-subtitle rea-hidden\"><\/h4><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-paragraph-rea-paragraph-block rea-paragraph-block front\"><div class=\"rea-paragraph-block__content\"><p class=\"content-text\">Vzhledem k tomu, \u017ee se schizofrenie nerozv\u00edj\u00ed podle p\u0159esn\u011b dan\u00e9ho vzoru, nejlep\u0161\u00edm zp\u016fsobem, jak popsat jej\u00ed pr\u016fb\u011bh, jsou f\u00e1ze.<br>Rozli\u0161ujeme t\u0159i hlavn\u00ed f\u00e1ze \u2013 prodrom\u00e1ln\u00ed f\u00e1zi, akutn\u00ed f\u00e1zi a stabiln\u00ed f\u00e1zi. <sup>1,2<\/sup><br>Slovo prodrom\u00e1ln\u00ed znamen\u00e1 obdob\u00ed p\u0159ed prvn\u00ed akutn\u00ed epizodou. Prodrom\u00e1ln\u00ed f\u00e1ze odpov\u00edd\u00e1 \u010dasov\u00e9mu obdob\u00ed p\u0159ed prvn\u00ed psychotickou epizodou a m\u016f\u017ee trvat n\u011bkolik dn\u00ed a\u017e 18 m\u011bs\u00edc\u016f. B\u011bhem t\u00e9to f\u00e1ze se u jedince se schizofreni\u00ed m\u016f\u017ee objevovat neobvykl\u00e9 jedn\u00e1n\u00ed a chov\u00e1n\u00ed, m\u016f\u017ee m\u00edt probl\u00e9my s pam\u011bt\u00ed, obt\u00ed\u017ee se soust\u0159ed\u011bn\u00edm, nebo pot\u00ed\u017ee s komunikac\u00ed a zapojen\u00edm do spole\u010densk\u00fdch aktivit.<sup>2<\/sup><br>Po prodrom\u00e1ln\u00ed f\u00e1zi obvykle za\u010d\u00edn\u00e1 akutn\u00ed f\u00e1ze. V tomto obdob\u00ed m\u016f\u017ee m\u00edt jedinec se schizofreni\u00ed n\u011bkter\u00e9 pozitivn\u00ed p\u0159\u00edznaky, nap\u0159. halucinace nebo bludy, kter\u00e9 u n\u011bj mohou vyvpol\u00e1vat zna\u010dnou \u00fazkost.<br>Akutn\u00ed epizoda se obvykle vy\u0159e\u0161\u00ed pomoc\u00ed l\u00e9k\u016f a psychologick\u00e9 podpory, kter\u00e9 vedou k tomu, \u017ee se p\u0159\u00edznaky zm\u00edrn\u00ed, nebo ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f zcela vymiz\u00ed. P\u0159etrv\u00e1vat mohou n\u011bkter\u00e9 negativn\u00ed symptomy (nap\u0159. sn\u00ed\u017een\u00fd z\u00e1jem o ka\u017edodenn\u00ed \u010dinnosti nebo spole\u010densk\u00e9 ud\u00e1losti). Tato f\u00e1ze m\u016f\u017ee trvat n\u011bkolik let. Naz\u00fdv\u00e1me ji stabiln\u00ed f\u00e1ze.<sup>2<\/sup><br>U n\u011bkter\u00fdch lid\u00ed se akutn\u00ed f\u00e1ze mohou objevovat po cel\u00fd \u017eivot &#8211; i ty lze \u0159e\u0161it l\u00e9ky a pschologickou podporou. <\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-illustration-rea-illustration-block rea-illustration-block front\"><img class=\"illustration-bg\" alt=\"\"><div class=\"rea-illustration-block__content\"><div class=\"rea-illustration-block__image image-wrapper\"><a href=\"https:\/\/schizofrenie.cz\/verejne\/wp-content\/uploads\/2020\/10\/K009_01_1366px_CZ.png\" rel=\"noopener noreferrer\" target=\"_blank\" class=\"\"><img decoding=\"async\" class=\"illustration center\" alt=\"\" src=\"https:\/\/schizofrenie.cz\/verejne\/wp-content\/uploads\/2020\/10\/K009_01_1366px_CZ.png\" style=\"max-width: 100%\"><img decoding=\"async\" class=\"rea-mobile illustration-mobile\" alt=\"\" src=\"https:\/\/schizofrenie.cz\/verejne\/wp-content\/uploads\/2020\/10\/K009_01_1366px_CZ.png\"><\/a><\/div><p class=\"rea-site__caption caption-text align-center\">Obr\u00e1zek 1: P\u0159\u00edklad, jak se mohou v \u010dase vyv\u00edjet f\u00e1ze schizofrenie (upraveno podle Lieberman a First, 2018)<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-separator-rea-separator-block rea-separator-block front\"><div class=\"rea-separator-block__content\"><hr class=\"rea-separator-block__separator\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-title-rea-title-block rea-title-block front\"><div class=\"rea-title-block__content\"><h3 id=\"strongprbhstrongsupstrong12strongsup\" class=\"content-title \"><strong>Pr\u016fb\u011bh<\/strong><sup><strong>1-2<\/strong><\/sup><\/h3><h4 class=\"content-subtitle rea-hidden\"><\/h4><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-paragraph-rea-paragraph-block rea-paragraph-block front\"><div class=\"rea-paragraph-block__content\"><p class=\"content-text\">Podle uveden\u00fdch f\u00e1z\u00ed by se mohlo zd\u00e1t, \u017ee schizofrenie m\u00e1 velmi p\u0159edv\u00eddateln\u00fd pr\u016fb\u011bh \u2013 bohu\u017eel je ale pr\u016fb\u011bh nemoci velmi individu\u00e1ln\u00ed a ka\u017ed\u00fd \u010dlov\u011bk m\u016f\u017ee m\u00edt zcela jin\u00fd pr\u016fb\u011bh epizod a typ p\u0159\u00edznak\u016f. Akutn\u00ed epizody s pozitivn\u00edmi p\u0159\u00edznaky mohou b\u00fdt u n\u011bkter\u00fdch jedinc\u016f velmi kr\u00e1tk\u00e9 a u jin\u00fdch mohou trvat i n\u011bkolik let. U n\u011bkter\u00fdch lid\u00ed se schizofreni\u00ed se nikdy neprojev\u00ed zjevn\u00e1 prodrom\u00e1ln\u00ed f\u00e1ze \u2013 diagn\u00f3za je stanovena po prvn\u00ed n\u00e1hl\u00e9 akutn\u00ed epizod\u011b.<sup>2<\/sup><br>Obr\u00e1zek n\u00ed\u017ee ukazuje, \u017ee osoby se schizofreni\u00ed lze za\u0159adit do n\u011bkter\u00e9ho ze \u010dty\u0159 typ\u016f pr\u016fb\u011bhu nemoci. Po jedn\u00e9 akutn\u00ed epizod\u011b, se u jednoho z p\u011bti lid\u00ed neprojev\u00ed po zbytek \u017eivota \u017e\u00e1dn\u00e9 dal\u0161\u00ed p\u0159\u00edznaky. U \u010dty\u0159 z p\u011bti lid\u00ed se budou akutn\u00ed epizody v budoucnu opakovat. Neznamen\u00e1 to, \u017ee v\u0161echny n\u00e1sleduj\u00edc\u00ed akutn\u00ed epizody budou m\u00edt stejnou intenzitu a mezi jednotliv\u00fdmi epizodami m\u016f\u017ee ub\u011bhnout i velmi dlouh\u00e1 doba.<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-illustration-rea-illustration-block rea-illustration-block front\"><img class=\"illustration-bg\" alt=\"\"><div class=\"rea-illustration-block__content\"><div class=\"rea-illustration-block__image image-wrapper\"><a href=\"https:\/\/schizofrenie.cz\/verejne\/wp-content\/uploads\/2020\/10\/G03_03_1366px_CZ.png\" rel=\"noopener noreferrer\" target=\"_blank\" class=\"\"><img decoding=\"async\" class=\"illustration center\" alt=\"\" src=\"https:\/\/schizofrenie.cz\/verejne\/wp-content\/uploads\/2020\/10\/G03_03_1366px_CZ.png\" style=\"max-width: 100%\"><img decoding=\"async\" class=\"rea-mobile illustration-mobile\" alt=\"\" src=\"https:\/\/schizofrenie.cz\/verejne\/wp-content\/uploads\/2020\/10\/G03_03_1366px_CZ.png\"><\/a><\/div><p class=\"rea-site__caption caption-text align-center\">Obr. 2: Shepherd, M. The Natural History of Schizophrenia: A Five-Year Follow-up Study of Outcome and Prediction in a Representative Sample of Schizophrenics, Psychological Medicine Monograph, supplement 15, 1989.<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-references-rea-references-block rea-references-block front\"><div class=\"rea-references-block__references\"><p class=\"references-title\">Literatura<\/p><ol class=\"references-list\"><li>AIPC Overview of Schizophrenia. https:\/\/www.aipc.net.au\/articles\/an-overview-of-schizophrenia\/ [Accessed July 2019]<\/li><li>CPA Schizophrenia: A journey to recovery. https:\/\/www.schizophrenia.ca\/docs\/RoadtoRecoveryschzhioph-web.pdf [Accessed July 2019]<\/li><li>Lieberman and First. N Engl J Med. 2018;379:270-80<\/li><li>Shepherd et al. Psychol Med Monogr Suppl. 1989;15:1-46<\/li><\/ol><\/div><\/div>\n\n\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1145,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-fullwidth.php","meta":{"rea_page_title_signed_in_meta_block_field":"jak se schizofrenie rozvine?","rea_page_title_signed_out_meta_block_field":"jak se schizofrenie rozvine?","rea_page_description_signed_in_meta_block_field":"Vzhledem k tomu, \u017ee se schizofrenie nerozv\u00edj\u00ed podle p\u0159esn\u011b dan\u00e9ho vzoru, nejlep\u0161\u00edm zp\u016fsobem, jak popsat jej\u00ed pr\u016fb\u011bh, jsou f\u00e1ze. Rozli\u0161ujeme t\u0159i hlavn\u00ed f\u00e1ze \u2013 prodrom\u00e1ln\u00ed f\u00e1zi, akutn\u00ed f\u00e1zi a stabiln\u00ed f\u00e1zi.","rea_page_description_signed_out_meta_block_field":"Vzhledem k tomu, \u017ee se schizofrenie nerozv\u00edj\u00ed podle p\u0159esn\u011b dan\u00e9ho vzoru, nejlep\u0161\u00edm zp\u016fsobem, jak popsat jej\u00ed pr\u016fb\u011bh, jsou f\u00e1ze. Rozli\u0161ujeme t\u0159i hlavn\u00ed f\u00e1ze \u2013 prodrom\u00e1ln\u00ed f\u00e1zi, akutn\u00ed f\u00e1zi a stabiln\u00ed f\u00e1zi.","rea_page_footer_id_meta_block_field":"","rea_page_footer_date_meta_block_field":"","footnotes":""},"class_list":["post-2235","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages\/2235","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/comments?post=2235"}],"version-history":[{"count":34,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages\/2235\/revisions"}],"predecessor-version":[{"id":3312,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages\/2235\/revisions\/3312"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/media\/1145"}],"wp:attachment":[{"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/media?parent=2235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}