{"id":10711,"date":"2013-09-19T17:01:58","date_gmt":"2013-09-19T15:01:58","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=10711"},"modified":"2013-09-19T17:01:58","modified_gmt":"2013-09-19T15:01:58","slug":"rakovina-prsu-ohrozuje-i-tehotne-zeny-riziko-roste-s-vekem","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=10711","title":{"rendered":"Rakovina prsu ohro\u017euje i t\u011bhotn\u00e9 \u017eeny, riziko roste s v\u011bkem"},"content":{"rendered":"<p><strong>Rakovina prsu ohro\u017euje tak\u00e9 t\u011bhotn\u00e9 \u017eeny. Riziko je vy\u0161\u0161\u00ed u t\u011bch, kter\u00e9 maj\u00ed prvn\u00ed d\u00edt\u011b po t\u0159ic\u00edtce. V tomto v\u011bku rod\u00ed prvn\u00ed d\u00edt\u011b st\u00e1le v\u00edce \u010ce\u0161ek, a tak n\u00e1dor\u016f prsu v t\u011bhotenstv\u00ed v \u010cR p\u0159ib\u00fdv\u00e1, ro\u010dn\u011b je to 30 a\u017e 40 \u017een.<!--more--><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>\u0158ekla to na klubu ZN Petra Tesa\u0159ov\u00e1 z onkologick\u00e9 kliniky V\u0161eobecn\u00e9 fakultn\u00ed nemocnice.<\/p>\n<p>L\u00e9ka\u0159i vol\u00ed takovou l\u00e9\u010dbu, aby zachr\u00e1nili \u017eenu i d\u00edt\u011b, co\u017e se podle n\u00ed t\u00e9m\u011b\u0159 v\u017edy poda\u0159\u00ed.<\/p>\n<p>&#8222;Ro\u010dn\u011b v \u010cR onemocn\u00ed rakovinou prsu 7000 \u017een, z nich 125 do 35 let v\u011bku, 300 do 40 let a 600 do 45 let. Je tedy v\u011bt\u0161\u00ed pravd\u011bpodobnost p\u0159i pozd\u011bj\u0161\u00edm v\u011bku t\u011bhotenstv\u00ed, \u017ee \u017eena onemocn\u00ed rakovinou prsu,&#8220; uvedla Tesa\u0159ov\u00e1.<\/p>\n<p>Prim\u00e1\u0159ka pracovi\u0161t\u011b Breast Unit Prague Miroslava Skovajsov\u00e1 doplnila, \u017ee riziko zvy\u0161uj\u00ed vedle v\u011bku tak\u00e9 opakovan\u00e9 hormon\u00e1ln\u00ed l\u00e9\u010dby p\u0159i um\u011bl\u00e9m oplodn\u011bn\u00ed. Star\u0161\u00ed p\u00e1ry \u010dast\u011bji nemohou po\u010d\u00edt p\u0159irozen\u011b a vyu\u017e\u00edvaj\u00ed asistovan\u00e9 reprodukce. Ob\u011b rizika se tak s\u010d\u00edtaj\u00ed.<\/p>\n<p>Onkologov\u00e9 musej\u00ed \u0159e\u0161it, zda zah\u00e1jit l\u00e9\u010dbu hned, nebo s n\u00ed po\u010dkat po porodu a podstoupit riziko, \u017ee prop\u00e1snou \u0161anci zachr\u00e1nit \u017eivot matce. Podle Tesa\u0159ov\u00e9 kon\u010d\u00ed t\u011bhotenstv\u00ed potratem zcela v\u00fdjime\u010dn\u011b, jde o p\u0159\u00edpady, kdy se n\u00e1dor zjist\u00ed v prvn\u00ed t\u0159etin\u011b t\u011bhotenstv\u00ed a nelze ho operovat.<\/p>\n<p>V\u00fdb\u011br l\u00e9\u010debn\u00fdch postup\u016f je z\u00fa\u017een\u00fd, proto\u017ee n\u011bkter\u00e9 mohou d\u00edt\u011bti ubl\u00ed\u017eit. Situaci komplikuje i to, \u017ee rakovina prsu u t\u011bhotn\u00fdch b\u00fdv\u00e1 agresivn\u011bj\u0161\u00ed, a tak p\u0159i odkl\u00e1d\u00e1n\u00ed l\u00e9\u010dby roste ohro\u017een\u00ed nemocn\u00e9 matky. Pou\u017e\u00edt modern\u00ed biologickou l\u00e9\u010dbu ani hormon\u00e1ln\u00ed l\u00e9\u010dbu l\u00e9ka\u0159i u t\u011bhotn\u00fdch nesm\u011bj\u00ed.<\/p>\n<p>N\u00e1dor mohou vyoperovat. Kdy\u017e necht\u011bj\u00ed ohrozit d\u00edt\u011b, musej\u00ed po\u010dkat s operac\u00ed do 16. a\u017e 18. t\u00fddne, kdy z\u00e1sadn\u011b kles\u00e1 riziko potratu. Operace ale nezabr\u00e1n\u00ed \u0161\u00ed\u0159en\u00ed n\u00e1doru do t\u011bla. Oza\u0159ov\u00e1n\u00ed se v\u011bt\u0161inou odkl\u00e1d\u00e1 po porodu.<\/p>\n<p>&#8222;Zb\u00fdv\u00e1 chemoterapie, i zde ov\u0161em z\u00e1le\u017e\u00ed na pokro\u010dilosti t\u011bhotenstv\u00ed &#8211; v jeho po\u010d\u00e1tc\u00edch je chemoterapie rizikov\u00e1. Za\u010d\u00edn\u00e1 se s n\u00ed a\u017e po 16. t\u00fddnu t\u011bhotenstv\u00ed, kdy z\u00e1sadn\u011b kles\u00e1 nebezpe\u010d\u00ed potratu,&#8220; up\u0159esnila Tesa\u0159ov\u00e1.<\/p>\n<p>Touto l\u00e9\u010dbou se podle n\u00ed da\u0159\u00ed &#8222;udr\u017eet n\u00e1dor na uzd\u011b&#8220;, ne\u017e je mo\u017en\u00e9 prov\u00e9st porod, ten b\u00fdv\u00e1 kolem 34. t\u00fddne, kdy je d\u00edt\u011b dostate\u010dn\u011b zral\u00e9. Pak \u017eena v l\u00e9\u010db\u011b rakoviny pokra\u010duje. M\u016f\u017ee podstoupit oza\u0159ov\u00e1n\u00ed, dostat biologickou l\u00e9\u010dbu, n\u011bkdy je nutn\u00e1 i dal\u0161\u00ed chemoterapie.<\/p>\n<p>D\u011bti narozen\u00e9 \u017een\u00e1m po l\u00e9\u010db\u011b rakoviny prsu jsou zdrav\u00e9 a nemaj\u00ed \u010dast\u011bji vrozenou vadu \u010di jin\u00e9 po\u0161kozen\u00ed ne\u017e d\u011bti narozen\u00e9 zdrav\u00fdm matk\u00e1m. Po l\u00e9\u010db\u011b m\u016f\u017ee \u017eena znovu ot\u011bhotn\u011bt a m\u00edt dal\u0161\u00ed d\u00edt\u011b, riziko n\u00e1vratu nemoci u n\u00ed nen\u00ed v\u011bt\u0161\u00ed, ne\u017e kdyby po l\u00e9\u010db\u011b u\u017e dal\u0161\u00ed t\u011bhotenstv\u00ed nepodstoupila.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Rakovina prsu ohro\u017euje tak\u00e9 t\u011bhotn\u00e9 \u017eeny. Riziko je vy\u0161\u0161\u00ed u t\u011bch, kter\u00e9 maj\u00ed prvn\u00ed d\u00edt\u011b po t\u0159ic\u00edtce. V tomto v\u011bku rod\u00ed prvn\u00ed d\u00edt\u011b st\u00e1le v\u00edce <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=10711\" title=\"Rakovina prsu ohro\u017euje i t\u011bhotn\u00e9 \u017eeny, riziko roste s v\u011bkem\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":6176,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-10711","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/10711","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10711"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/10711\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/6176"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}