Osteopor\u00f3za neboli \u0159\u00eddnut\u00ed kost\u00ed nen\u00ed jen nemoc st\u00e1\u0159\u00ed, ale \u010dasto postihuje i mnohem mlad\u0161\u00ed pacienty, kte\u0159\u00ed jsou kortikoidy l\u00e9\u010den\u00ed pro syst\u00e9movou z\u00e1n\u011btlivou chorobu, jako je revmatoidn\u00ed artritida, lupus, astma aj.<\/p>\n
I kdy\u017e je ka\u017ed\u00fd pacient o mo\u017en\u00fdch rizic\u00edch l\u00e9\u010dby kortikoidy pou\u010den, a to nejen kv\u016fli pot\u0159ebn\u00e9 \u00faprav\u011b \u017eivotospr\u00e1vy, ale i proto, aby si osteopor\u00f3zu p\u0159\u00edpadn\u011b s\u00e1m ohl\u00eddal, skute\u010dnost je jin\u00e1. Jen v \u010cesku se odhaduje po\u010det posti\u017een\u00fdch osteopor\u00f3zou a\u017e na 850 000 lid\u00ed, p\u0159ev\u00e1\u017en\u011b \u017een.<\/p>\n
Kortikoidy d\u00edky sv\u00fdm jedine\u010dn\u00fdm protiz\u00e1n\u011btliv\u00fdm \u00fa\u010dink\u016fm dok\u00e1\u017e\u00ed pomoci i tam, kde jin\u00e9 l\u00e9ky ji\u017e selh\u00e1vaj\u00ed, ale z\u00e1rove\u0148 nad nimi ve vzduchu st\u00e1le vis\u00ed hrozba ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f. Mezi v\u00fdrazn\u00e1 rizika pat\u0159\u00ed hlavn\u011b \u00fabytek kostn\u00ed hmoty, kter\u00fd je zp\u016fsoben mimo jin\u00e9 dlouhodob\u00fdm a mnohdy i do\u017eivotn\u00edm u\u017e\u00edv\u00e1n\u00edm t\u011bchto l\u00e9k\u016f.<\/p>\n
Kortikoidy sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed v\u00e1pn\u00edku z tenk\u00e9ho st\u0159eva a sou\u010dasn\u011b zvy\u0161uj\u00ed jeho vylu\u010dov\u00e1n\u00ed ledvinami. Jsou tak\u00e9 p\u0159\u00ed\u010dinou sn\u00ed\u017een\u00e9 hladiny pohlavn\u00edch hormon\u016f, co\u017e zase vede k dal\u0161\u00edmu kostn\u00edmu \u00fabytku. K nejrychlej\u0161\u00ed a nejv\u011bt\u0161\u00ed kostn\u00ed ztr\u00e1t\u011b doch\u00e1z\u00ed b\u011bhem prvn\u00edch 12 m\u011bs\u00edc\u016f po zah\u00e1jen\u00ed l\u00e9\u010dby, kdy tak\u00e9 hroz\u00ed nejv\u011bt\u0161\u00ed riziko zlomenin kr\u010dku stehenn\u00ed kosti nebo obratl\u016f.<\/p>\n
Mlad\u0161\u00ed lid\u00e9 maj\u00ed pom\u011brn\u011b dobrou \u0161anci, \u017ee se osteopor\u00f3zy, zp\u016fsoben\u00e9 u\u017e\u00edv\u00e1n\u00edm kortikoid\u016f, zbav\u00ed po vysazen\u00ed l\u00e9ku. Nen\u00ed v\u0161ak d\u016fvod \u010dekat na prvn\u00ed nep\u0159\u00edjemn\u00e9 p\u0159\u00edznaky v podob\u011b zlomenin. Velmi opatrn\u00ed bychom m\u011bli b\u00fdt, pokud se v rodin\u011b u\u017e p\u0159\u00edpad zlomeniny kr\u010dku stehenn\u00ed kosti vyskytl. Je toti\u017e pravd\u011bpodobn\u00e9, \u017ee tuto genetickou z\u00e1t\u011b\u017e si neseme tak\u00e9. Denzitometrick\u00e9 vy\u0161et\u0159en\u00ed kost\u00ed, kter\u00e9 stanov\u00ed hustotu kostn\u00ed tk\u00e1n\u011b, je pak u\u017eite\u010dn\u00fdm preventivn\u00edm opat\u0159en\u00edm. Je to bezbolestn\u00e9 a uk\u00e1\u017ee n\u00e1m, jak na tom orienta\u010dn\u011b jsme.<\/p>\n
Ne\u017e se l\u00e9\u010dit pro osteopor\u00f3zu, je l\u00e9pe v\u010das db\u00e1t na prevenci. Z\u00e1kladem je dostate\u010dn\u00e9 mno\u017estv\u00ed v\u00e1pn\u00edku a vitam\u00ednu D. Je pot\u0159eba d\u016fsledn\u011b omezit alkohol i kou\u0159en\u00ed a m\u00edsto toho v\u011bnovat voln\u00fd \u010das pravideln\u00e9mu pohybu, zejm\u00e9na ch\u016fzi, proto\u017ee dostate\u010dn\u00e1 z\u00e1t\u011b\u017e kost\u00ed br\u00e1n\u00ed rozvoji osteopor\u00f3zy.<\/p>\n","protected":false},"excerpt":{"rendered":"
Osteopor\u00f3za neboli \u0159\u00eddnut\u00ed kost\u00ed nen\u00ed jen nemoc st\u00e1\u0159\u00ed, ale \u010dasto postihuje i mnohem mlad\u0161\u00ed pacienty, kte\u0159\u00ed jsou kortikoidy l\u00e9\u010den\u00ed pro syst\u00e9movou z\u00e1n\u011btlivou chorobu, jako je […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":22862,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-13654","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\/13654","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=13654"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/13654\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/22862"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}