{"id":11311,"date":"2013-10-02T21:23:57","date_gmt":"2013-10-02T19:23:57","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=11311"},"modified":"2013-10-02T21:23:57","modified_gmt":"2013-10-02T19:23:57","slug":"otehotnet-a-mit-zdrave-dite-mohou-i-zeny-s-roztrousenou-sklerozou","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=11311","title":{"rendered":"Ot\u011bhotn\u011bt a m\u00edt zdrav\u00e9 d\u00edt\u011b mohou i \u017eeny s roztrou\u0161enou skler\u00f3zou"},"content":{"rendered":"<p><strong>\u00a0Ot\u011bhotn\u011bt a donosit zdrav\u00e9 d\u00edt\u011b mohou p\u0159i spr\u00e1vn\u011b veden\u00e9 l\u00e9\u010db\u011b tak\u00e9 \u017eeny s roztrou\u0161enou skler\u00f3zou. \u00a0D\u0159\u00edve byly pacientky od t\u011bhotenstv\u00ed odrazov\u00e1ny, \u017ee zhor\u0161\u00ed pr\u016fb\u011bh jejich nemoci.<!--more--><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&#8222;V pr\u016fb\u011bhu let jsme sledovali 55 maminek s roztrou\u0161enou skler\u00f3zou, pouze p\u011bt m\u011blo v t\u011bhotenstv\u00ed lehkou ataku nemoci,&#8220; \u0159ekla l\u00e9ka\u0159ka Eva Meluz\u00ednov\u00e1 z Fakultn\u00ed nemocnice Motol s t\u00edm, \u017ee v\u00e1\u017en\u011bj\u0161\u00ed komplikace nehroz\u00ed, pokud \u017eena napl\u00e1nuje t\u011bhotenstv\u00ed v souladu s pr\u016fb\u011bhem nemoci a je po cel\u00e9 t\u011bhotenstv\u00ed v p\u00e9\u010di gynekologa i neurologa.<\/p>\n<p>Podle nejnov\u011bj\u0161\u00edch doporu\u010den\u00ed m\u016f\u017ee pacientka ot\u011bhotn\u011bt, kdy\u017e rok p\u0159ed po\u010det\u00edm nem\u011bla z\u00e1chvat nemoci, v\u00fdsledky vy\u0161et\u0159en\u00ed na magnetick\u00e9 rezonanci se nezhor\u0161ily a nebere l\u00e9ky, kter\u00e9 mohou po\u0161kodit plod. V\u011bt\u0161ina pacientek bere vitamin D, p\u0159\u00edpadn\u011b kortikoidy v d\u00e1vce, kter\u00e1 neohroz\u00ed v\u00fdvoj plodu. V t\u011bhotenstv\u00ed si t\u011blo tvo\u0159\u00ed hormony chr\u00e1n\u00edc\u00ed matku i d\u00edt\u011b. Hormon\u00e1ln\u00ed v\u00fdkyvy jsou jen v prvn\u00ed t\u0159etin\u011b, pak se stav srovn\u00e1.<\/p>\n<p>Rodi\u010de se podle l\u00e9ka\u0159ky \u010dasto ptaj\u00ed, zda nemoc bude m\u00edt i d\u00edt\u011b. &#8222;Studie \u0159\u00edkaj\u00ed, \u017ee pokud m\u00e1 jeden z rodi\u010d\u016f roztrou\u0161enou skler\u00f3zu, tak je t\u0159\u00edprocentn\u00ed pravd\u011bpodobnost, \u017ee onemocn\u00ed i potomek. To znamen\u00e1, \u017ee 97 ze 100 d\u011bt\u00ed se narod\u00ed zdrav\u00fdch. Pokud maj\u00ed roztrou\u0161enou skler\u00f3zu oba rodi\u010de, stoupne riziko na 30 procent,&#8220; up\u0159esnila l\u00e9ka\u0159ka.<\/p>\n<p>Tak\u00e9 riziko potratu nen\u00ed podle n\u00ed u \u017een s roztrou\u0161enou skler\u00f3zou v\u011bt\u0161\u00ed ne\u017e u \u017een zdrav\u00fdch, v\u00fdvoj plodu toti\u017e nen\u00ed ovliv\u0148ov\u00e1n nemoc\u00ed samotnou. Po porodu stoup\u00e1 vlivem poklesu hormon\u016f riziko zhor\u0161en\u00ed nemoci. N\u011bkter\u00e9 \u017eeny proto dost\u00e1vaj\u00ed do \u017e\u00edly imunoglobulin, aby se riziko zm\u00edrnilo. Pokud se p\u0159esto jejich stav zhor\u0161\u00ed, musej\u00ed p\u0159estat kojit a za\u010dnou br\u00e1t l\u00e9ky, kter\u00e9 u\u017e\u00edvaly p\u0159ed t\u011bhotenstv\u00edm. V\u00edce na www.rskompas.cz.<\/p>\n<p>T\u00edmto v\u00e1\u017en\u00fdm neurologick\u00fdm onemocn\u011bn\u00edm mozku a m\u00edchy trp\u00ed v \u010cR 19.000 lid\u00ed, bez l\u00e9\u010dby kon\u010d\u00ed na voz\u00edku. \u010cast\u011bji postihuje \u017eeny, v\u011bt\u0161inou se objev\u00ed mezi 20. a 40. rokem v\u011bku.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u00a0Ot\u011bhotn\u011bt a donosit zdrav\u00e9 d\u00edt\u011b mohou p\u0159i spr\u00e1vn\u011b veden\u00e9 l\u00e9\u010db\u011b tak\u00e9 \u017eeny s roztrou\u0161enou skler\u00f3zou. \u00a0D\u0159\u00edve byly pacientky od t\u011bhotenstv\u00ed odrazov\u00e1ny, \u017ee zhor\u0161\u00ed pr\u016fb\u011bh jejich <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=11311\" title=\"Ot\u011bhotn\u011bt a m\u00edt zdrav\u00e9 d\u00edt\u011b mohou i \u017eeny s roztrou\u0161enou skler\u00f3zou\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-11311","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/11311","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=11311"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/11311\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11311"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11311"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}