A\u017e p\u011btina \u017een a mu\u017e\u016f se pot\u00fdk\u00e1 se syndromem hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, kter\u00fd jim nedovoluje \u017e\u00edt norm\u00e1ln\u00edm zp\u016fsobem. Pan\u00ed Anna u\u017e p\u00e1r let nebyla v divadle, v kin\u011b ani na koncert\u011b. Tak\u00e9 autobusem jezd\u00ed nanejv\u00fd\u0161 p\u00e1r stanic, a kdy\u017e mus\u00ed cestovat, tak jedin\u011b vlakem, kde m\u00e1 jistotu bl\u00edzk\u00e9ho z\u00e1chodku.
\nTuto m\u00edstnost pot\u0159ebuje k \u017eivotu skoro stejn\u011b nutn\u011b jako kysl\u00edk \u2013 vydr\u017e\u00ed bez n\u00ed maxim\u00e1ln\u011b p\u016fl hodiny, ale ani to nen\u00ed to jist\u00e9. V nedlouh\u00fdch intervalech toti\u017e poci\u0165uje neodbytn\u00e9 nutk\u00e1n\u00ed na mo\u010den\u00ed, tak\u017ee j\u00ed nezb\u00fdv\u00e1 ne\u017e neust\u00e1le b\u011bhat na toaletu a v\u017edy se jen trochu vymo\u010dit.
\nZkou\u0161ela u\u017e maxim\u00e1ln\u011b omezit tekutiny, relaxovat, nucen\u00ed p\u0159ekonat, ale v\u0161echno marn\u00e9. Postupn\u011b se smi\u0159uje s t\u00edm, \u017ee p\u0159\u00edjemn\u00fd spole\u010densk\u00fd \u017eivot skon\u010dil a te\u010f u\u017e bude jen tr\u00e1pen\u00ed, proto\u017ee na to m\u00e1 skoro v sedmdes\u00e1ti letech u\u017e prost\u011b v\u011bk.<\/p>\n
Podobn\u00e9 p\u0159\u00edb\u011bhy sl\u00fdchaj\u00ed urologov\u00e9 pom\u011brn\u011b \u010dasto. To, co pan\u00ed Anna pro\u017e\u00edv\u00e1, se naz\u00fdv\u00e1 urgence. O n\u00ed hovo\u0159\u00edme tehdy, kdy\u017e \u010dlov\u011bk trp\u00ed n\u00e1hl\u00fdm nutkav\u00fdm pocitem nutnosti se vymo\u010dit, kter\u00fd je obt\u00ed\u017en\u00e9 odd\u00e1lit.\u00a0Jedn\u00e1 se o jeden z p\u0159\u00edznak\u016f, kter\u00fd spolu s dal\u0161\u00edmi vytv\u00e1\u0159\u00ed tzv. syndrom hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e.<\/p>\n
O syndromu hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e panuje p\u0159edstava, \u017ee se jedn\u00e1 o soubor p\u0159\u00edznak\u016f tr\u00e1p\u00edc\u00edch star\u00e9 \u017eeny. Ve skute\u010dnosti jde o pom\u011brn\u011b roz\u0161\u00ed\u0159en\u00fd zdravotn\u00ed probl\u00e9m, kter\u00fd se vyskytuje u obou pohlav\u00ed v ka\u017ed\u00e9 v\u011bkov\u00e9 kategorii v\u010detn\u011b d\u011bt\u00ed. Pravdou je, \u017ee postihuje do \u0161edes\u00e1tky \u010dast\u011bji \u017eeny, pot\u00e9 se ale pom\u011br \u017een a mu\u017e\u016f vyrovn\u00e1v\u00e1 a pozd\u011bji p\u0159evl\u00e1d\u00e1 u mu\u017e\u016f.
\nOnemocn\u011bn\u00ed tr\u00e1p\u00ed jen zhruba 5 procent \u017een mlad\u0161\u00edch 25 let, ale ve skupin\u011b \u017een nad 65 let se roz\u0161i\u0159uje a\u017e na 31 procent. V pr\u016fm\u011bru hyperaktivn\u00ed mo\u010dov\u00fd m\u011bch\u00fd\u0159 potr\u00e1p\u00ed n\u011bkdy b\u011bhem \u017eivota p\u011btinu \u017een.<\/p>\n
Pro\u010d se o hyperaktivn\u00edm mo\u010dov\u00e9m m\u011bch\u00fd\u0159i mluv\u00ed jako o syndromu? Nejde o p\u0159esn\u011b definovanou chorobu, ale o soubor p\u0159\u00edznak\u016f. Posti\u017een\u00fd obvykle trp\u00ed t\u0159emi, n\u011bkdy \u010dty\u0159mi hlavn\u00edmi p\u0159\u00edznaky.<\/p>\n
Prvn\u00edm je naprosto neodkladn\u00e9 nucen\u00ed na mo\u010den\u00ed, kter\u00e9 prost\u011b nelze odd\u00e1lit, a mus\u00ed se mu vyhov\u011bt \u2013 odborn\u011b se tomu \u0159\u00edk\u00e1 urgence.<\/p>\n
Druh\u00fdm p\u0159\u00edznakem je hodn\u011b \u010dast\u00e9 mo\u010den\u00ed. Za norm\u00e1ln\u00ed se pokl\u00e1d\u00e1 maxim\u00e1ln\u011b sedm mo\u010den\u00ed za den, osm a v\u00edce n\u00e1v\u0161t\u011bv toalety je u\u017e zv\u00fd\u0161en\u00e1 frekvence.<\/p>\n
Na t\u0159et\u00edm m\u00edst\u011b je pravideln\u00e9 no\u010dn\u00ed vst\u00e1v\u00e1n\u00ed na mo\u010den\u00ed, odborn\u011b zvan\u00e9 nykturie.<\/p>\n
\u010ctvrt\u00fdm p\u0159\u00edznakem je necht\u011bn\u00fd \u00fanik mo\u010di, kter\u00e9mu p\u0159edch\u00e1z\u00ed siln\u00e9 neodbytn\u00e9 nucen\u00ed.<\/p>\n
Syndrom hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e l\u00e9ka\u0159i u pacienta diagnostikuj\u00ed, pokud u n\u011bj objev\u00ed prvn\u00ed t\u0159i zm\u00edn\u011bn\u00e9 p\u0159\u00edznaky. \u010c\u00e1st pacientek nav\u00edc pro\u017e\u00edv\u00e1 to, \u017ee ve chv\u00edli, kdy uc\u00edt\u00ed nucen\u00ed na mo\u010den\u00ed, vyb\u011bhnou sm\u011brem k toalet\u011b, chytnou za kliku, a v tom moment\u011b se ji\u017e po\u010duraj\u00ed. To je \u010dtvrt\u00fd z vyjmenovan\u00fdch p\u0159\u00edznak\u016f. Jeho p\u0159\u00edtomnost je pak ozna\u010dov\u00e1na za mokrou formu syndromu hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e; kdy\u017e nen\u00ed prov\u00e1zen \u00fanikem mo\u010di, mluv\u00edme o form\u011b such\u00e9.<\/p>\n
K rozvoji hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e vedou opakovan\u00e9 z\u00e1n\u011bty mo\u010dov\u00fdch cest, nespr\u00e1vn\u00fd pitn\u00fd re\u017eim a \u0161patn\u00fd re\u017eim mo\u010den\u00ed. Mohlo by se zd\u00e1t, \u017ee \u010dast\u00e9 nutk\u00e1n\u00ed na mo\u010den\u00ed souvis\u00ed s nadm\u011brnou konzumac\u00ed tekutin. Paradoxn\u011b je tomu pr\u00e1v\u011b naopak. Nespr\u00e1vn\u00fdm pitn\u00fdm re\u017eimem v tomto p\u0159\u00edpad\u011b neb\u00fdv\u00e1 nadbytek tekutin, ale naopak jejich nedostate\u010dn\u00fd p\u0159\u00edjem.
\nLid\u00e9 trp\u00edc\u00ed t\u00edmto syndromem t\u00e9m\u011b\u0159 nepij\u00ed ve snaze vyhnout se \u010dast\u00fdm n\u00e1v\u0161t\u011bv\u00e1m toalety. Jen\u017ee to je \u0161patn\u011b, proto\u017ee jejich mo\u010dov\u00fd m\u011bch\u00fd\u0159 si tak pouze zvykne udr\u017eet je\u0161t\u011b men\u0161\u00ed mno\u017estv\u00ed mo\u010di, ne\u017e zvl\u00e1dal d\u0159\u00edve. Navzdory velk\u00e9mu omezen\u00ed tekutin pak tito lid\u00e9 b\u011bhaj\u00ed na toaletu ka\u017edou chv\u00edli.<\/p>\n
Urolo\u017eka Jeannette Brownov\u00e1 z Kalifornsk\u00e9 univerzity prohl\u00e1sila: „Hyperaktivn\u00ed mo\u010dov\u00fd m\u011bch\u00fd\u0159 v\u00e1s nezabije, pouze v\u00e1m ukradne \u017eivot.“<\/p>\n
Lid\u00e9 trp\u00edc\u00ed t\u00edmto onemocn\u011bn\u00edm mu opravdu \u010dasto pod\u0159izuj\u00ed osobn\u00ed i profesn\u00ed \u017eivot, omez\u00ed cestov\u00e1n\u00ed i kon\u00ed\u010dky a pl\u00e1nuj\u00ed sv\u00e9 \u010dinnosti pouze s ohledem na mo\u017enost se vymo\u010dit.\u00a0V n\u011bkter\u00fdch p\u0159\u00edpadech onemocn\u011bn\u00ed zp\u016fsob\u00ed, \u017ee lid\u00e9 musej\u00ed opustit zam\u011bstn\u00e1n\u00ed nebo maj\u00ed rodinn\u00e9 probl\u00e9my. \u017deny m\u00edvaj\u00ed \u010dasto probl\u00e9m v sexu\u00e1ln\u00edm \u017eivot\u011b nebo s hled\u00e1n\u00edm partnera.
\nSyndrom mohou prov\u00e1zet i dal\u0161\u00ed zdravotn\u00ed probl\u00e9my, nap\u0159\u00edklad zv\u00fd\u0161en\u00e1 frekvence infekc\u00ed mo\u010dov\u00fdch cest a ko\u017en\u00edch infekc\u00ed. V n\u011bkter\u00fdch p\u0159\u00edpadech onemocn\u011bn\u00ed vede k rozvoji depresivn\u00edho syndromu. A u star\u0161\u00edch osob se p\u0159id\u00e1v\u00e1 je\u0161t\u011b jedno riziko: Hyperaktivn\u00ed mo\u010dov\u00fd m\u011bch\u00fd\u0159 nut\u00ed k velk\u00e9mu sp\u011bchu na toaletu. Senior b\u011b\u017e\u00ed, snadno upadne a zlom\u00ed si t\u0159eba kr\u010dek stehenn\u00ed kosti.<\/p>\n
Probl\u00e9my s inkontinenc\u00ed nejsou z\u00e1le\u017eitost\u00ed modern\u00ed doby. Na\u0161e babi\u010dky \u010di prababi\u010dky obvykle prod\u011blaly n\u011bkolik potrat\u016f a porodily t\u0159i a\u017e \u010dty\u0159i d\u011bti, tak\u017ee s pozd\u011bj\u0161\u00edm necht\u011bn\u00fdm \u00fanikem mo\u010di m\u011bly pravd\u011bpodobn\u011b dost zku\u0161enost\u00ed. Jen\u017ee tehdy se o tom nemluvilo, z\u0159ejm\u011b i proto, \u017ee \u017eeny m\u00edvaly jin\u00fd \u017eivotn\u00ed styl. Kdy\u017e cel\u00fd den pracujete na poli \u010di v lese a pak se star\u00e1te o dom\u00e1cnost a hospod\u00e1\u0159stv\u00ed, ur\u010dit\u011b nen\u00ed \u010dast\u00e9 nucen\u00ed na mo\u010den\u00ed takov\u00fdm probl\u00e9mem, jako kdy\u017e jste v pozici mana\u017eerky, \u010dasto cestujete nebo chcete \u017e\u00edt intenzivn\u00edm spole\u010densk\u00fdm \u017eivotem.<\/p>\n
Dne\u0161n\u00ed lid\u00e9 jsou p\u0159esto n\u011bkdy kv\u016fli sv\u00e9 neinformovanosti nebo studu ochotni rad\u011bji sn\u00e1\u0161et nejr\u016fzn\u011bj\u0161\u00ed omezen\u00ed, kter\u00e1 jim syndrom p\u0159in\u00e1\u0161\u00ed. Nejen zhor\u0161en\u00e1 kvalita \u017eivota by ale m\u011bla pacienty p\u0159iv\u00e9st do ordinac\u00ed l\u00e9ka\u0159\u016f. P\u0159\u00edznaky hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e toti\u017e nejsou spojeny v\u00fdlu\u010dn\u011b s n\u00edm, ale mohly by znamenat i z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, nap\u0159\u00edklad rakovinu mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, kter\u00e9 by l\u00e9ka\u0159 m\u011bl vy\u0161et\u0159en\u00edm vylou\u010dit.
\nSe sv\u00fdmi pot\u00ed\u017eemi se pacienti mohou obr\u00e1tit na praktick\u00e9ho l\u00e9ka\u0159e, na urologa, \u017eeny pak tak\u00e9 na gynekologa. L\u00e9ka\u0159 p\u0159i vy\u0161et\u0159en\u00ed krom\u011b jin\u00e9ho k posouzen\u00ed p\u0159\u00edznak\u016f pou\u017eije takzvan\u00fd mik\u010dn\u00ed den\u00edk. Do n\u011bj si pacienti zaznamen\u00e1vaj\u00ed mno\u017estv\u00ed vypit\u00fdch tekutin, frekvenci mo\u010den\u00ed a mno\u017estv\u00ed mo\u010di po dobu nejm\u00e9n\u011b t\u0159\u00ed po sob\u011b jdouc\u00edch dn\u016f.
\nProv\u00e1d\u00ed se i vy\u0161et\u0159en\u00ed mo\u010di, aby se zjistil p\u0159\u00edpadn\u00fd z\u00e1n\u011bt nebo p\u0159\u00edtomnost krve a n\u00e1dorov\u00fdch bun\u011bk. U mu\u017e\u016f l\u00e9ka\u0159 vy\u0161et\u0159uje tak\u00e9 prostatu, u \u017een se prov\u00e1d\u00ed gynekologick\u00e9 vy\u0161et\u0159en\u00ed. Pokud je t\u0159eba, odes\u00edlaj\u00ed l\u00e9ka\u0159i pacienty do specializovan\u00fdch center, kde je mo\u017en\u00e9 doplnit dal\u0161\u00ed vy\u0161et\u0159en\u00ed, nap\u0159\u00edklad ultrazvuk, cystoskopii neboli zaveden\u00ed n\u00e1stroje s optikou do mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e nebo urodynamick\u00e9 vy\u0161et\u0159en\u00ed, hodnot\u00edc\u00ed tlakov\u00e9 pom\u011bry a tok mo\u010di v mo\u010dov\u00e9m m\u011bch\u00fd\u0159i a mo\u010dov\u00e9 trubici.<\/p>\n
Hyperaktivn\u00ed mo\u010dov\u00fd m\u011bch\u00fd\u0159 se v 80 procentech p\u0159\u00edpad\u016f l\u00e9\u010d\u00ed konzervativn\u011b a jen ve 20 procentech je pot\u0159ebn\u00e1 operace. Postup l\u00e9\u010dby se odv\u00edj\u00ed od toho, co syndrom zap\u0159\u00ed\u010dinilo. N\u011bkdy probl\u00e9my zp\u016fsobuj\u00ed anatomick\u00e9 zm\u011bny, nap\u0159\u00edklad pokles p\u0159edn\u00ed st\u011bny po\u0161evn\u00ed zap\u0159\u00ed\u010din\u00ed nedostate\u010dn\u00e9 vyprazd\u0148ov\u00e1n\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e. Kv\u016fli tomu vznikaj\u00ed opakovan\u00e9 z\u00e1n\u011bty m\u011bch\u00fd\u0159e, je\u017e prov\u00e1z\u00ed urgence a dal\u0161\u00ed p\u0159\u00edznaky syndromu.
\nP\u0159\u00edznaky mohou b\u00fdt vyvol\u00e1ny i rakovinou nebo p\u0159\u00edtomnost\u00ed ciz\u00edho t\u011blesa v m\u011bch\u00fd\u0159i. V takov\u00fdch p\u0159\u00edpadech je nutn\u00e9 nejprve anatomick\u00e9 zm\u011bny \u010di jin\u00e9 p\u0159\u00ed\u010diny \u0159e\u0161it opera\u010dn\u011b a a\u017e pot\u00e9 dol\u00e9\u010dovat syndrom pomoc\u00ed l\u00e9k\u016f.
\nNekontrolovateln\u00e9 stahy mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, a t\u00edm i p\u0159\u00edznaky syndromu, b\u00fdvaj\u00ed \u010dasto zp\u016fsobeny bu\u010f poruchou nervov\u00e9ho \u0159\u00edzen\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, nebo jeho \u0161patn\u011b funguj\u00edc\u00ed svalovinou, p\u0159\u00edpadn\u011b se jedn\u00e1 o n\u00e1sledek opakovan\u00fdch z\u00e1n\u011bt\u016f m\u011bch\u00fd\u0159e. Ne v\u017edy se ale l\u00e9ka\u0159\u016fm poda\u0159\u00ed p\u0159\u00ed\u010dinu odhalit: pak nezb\u00fdv\u00e1 ne\u017e pouze \u0159e\u0161it p\u0159\u00edznaky.<\/p>\n
Nejd\u016fle\u017eit\u011bj\u0161\u00ed metodou l\u00e9\u010dby syndromu je \u00faprava \u017eivotn\u00edho stylu. To znamen\u00e1 nap\u0159\u00edklad omezen\u00ed nebo \u00fapln\u00e9 vy\u0161krtnut\u00ed ko\u0159en\u011bn\u00fdch j\u00eddel z j\u00eddeln\u00ed\u010dku. Tot\u00e9\u017e plat\u00ed pro citrusov\u00e9 plody, alkohol a k\u00e1vu. Nemocn\u00fd by m\u011bl vyp\u00edt alespo\u0148 dva litry tekutin b\u011bhem dne, ale omezit pit\u00ed po 18. hodin\u011b a nep\u00edt t\u0159i hodiny p\u0159ed usnut\u00edm.<\/p>\n
Jeliko\u017e syndrom hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e leckdy doprov\u00e1z\u00ed obezitu, m\u011bli by pacienti tak\u00e9 db\u00e1t na dostate\u010dn\u00fd p\u0159\u00edjem vl\u00e1kniny, aby se jim upravila stolice a sn\u00ed\u017eila t\u011blesn\u00e1 hmotnost.
\nL\u00e9ka\u0159i p\u0159i terapii doporu\u010duj\u00ed tr\u00e9nink mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, tedy postupn\u00e9 prodlu\u017eov\u00e1n\u00ed interval\u016f mezi mo\u010den\u00edm. A dobr\u00e9 je i cvi\u010den\u00ed sval\u016f p\u00e1nevn\u00edho dna. Zn\u00e1m\u00e9 jsou tzv. Kegelovy cviky na pos\u00edlen\u00ed p\u00e1nevn\u00edho dna a objevuj\u00ed se i dal\u0161\u00ed postupy.
\nNe v\u0161echna cvi\u010den\u00ed jsou pro pos\u00edlen\u00ed sval\u016f p\u00e1nevn\u00edho dna vhodn\u00e1. By\u0165 by se mohlo zd\u00e1t, \u017ee v posilovn\u011b p\u0159i zved\u00e1n\u00ed t\u011b\u017ek\u00fdch z\u00e1va\u017e\u00ed automaticky posilujeme v\u0161echny svaly, nen\u00ed tomu tak. Svaly p\u00e1nevn\u00edho dna mohou v d\u016fsledku nespr\u00e1vn\u00e9ho cvi\u010den\u00ed i \u0161patn\u011b fungovat.
\nV n\u011bkter\u00fdch p\u0159\u00edpadech nemus\u00ed b\u00fdt u \u017een jak\u00e9koliv posilov\u00e1n\u00ed dostate\u010dn\u011b \u00fa\u010dinn\u00e9. V pr\u016fb\u011bhu gynekologick\u00e9ho vy\u0161et\u0159en\u00ed l\u00e9ka\u0159i zji\u0161\u0165uj\u00ed i kvalitu sval\u016f p\u00e1nevn\u00edho dna a jejich inervace.
\nK poru\u0161e inervace, a t\u00edm i k nedostate\u010dn\u00e9mu fungov\u00e1n\u00ed t\u011bchto sval\u016f m\u016f\u017ee doj\u00edt n\u00e1sledkem dlouh\u00e9ho, t\u011b\u017ek\u00e9ho porodu, co\u017e se st\u00e1v\u00e1 nap\u0159\u00edklad u v\u011bt\u0161\u00edch plod\u016f. Hlavi\u010dka plodu p\u0159i pr\u016fchodu malou p\u00e1nv\u00ed del\u0161\u00ed dobu tla\u010d\u00ed na nerv, kter\u00fd tento sval inervuje, a t\u00edm zp\u016fsob\u00ed poruchu jeho funkce. U t\u011bchto \u017een pak b\u00fdv\u00e1 l\u00e9\u010debn\u00fd efekt cvi\u010den\u00ed sval\u016f p\u00e1nevn\u00edho dna leckdy nedostate\u010dn\u00fd.<\/p>\n
V \u0159ad\u011b p\u0159\u00edpad\u016f terapie syndromu l\u00e9ka\u0159i sahaj\u00ed po l\u00e9c\u00edch. C\u00edlem l\u00e9\u010dby nen\u00ed jen sn\u00ed\u017een\u00ed nadm\u011brn\u00e9 aktivity svaloviny mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, ale hlavn\u011b zv\u00fd\u0161en\u00ed jeho celkov\u00e9 kapacity, a to v\u010detn\u011b zv\u011bt\u0161en\u00ed jeho objemu p\u0159i prvn\u00edm nucen\u00ed na mo\u010den\u00ed.
\nK dispozici jsou krom\u011b jin\u00fdch l\u00e9ky s takzvan\u011b spasmolytick\u00fdm \u00fa\u010dinkem. Ty uvol\u0148uj\u00ed mo\u010dov\u00fd m\u011bch\u00fd\u0159 p\u0159i jeho pln\u011bn\u00ed a t\u00edm zvy\u0161uj\u00ed jeho kapacitu. Pocit nucen\u00ed na mo\u010den\u00ed se pak objevuje v del\u0161\u00edch \u010dasov\u00fdch intervalech.
\nU\u017e\u00edv\u00e1n\u00ed l\u00e9ku prodlou\u017e\u00ed \u010das, kter\u00fd pacientka pot\u0159ebuje, aby se od za\u010d\u00e1tku pocitu urgence dostala na toaletu. Pokud se interval zv\u00fd\u0161\u00ed z deseti vte\u0159in na t\u0159i minuty, je to v\u00fdznamn\u00e1 pomoc. L\u00e9\u010dba nemus\u00ed syndrom zcela vy\u0159e\u0161it, ale dostane jej do mez\u00ed, kter\u00e9 jsou u\u017e l\u00e9pe kontrolovateln\u00e9. Probl\u00e9mem je, \u017ee tyto l\u00e9ky m\u00edvaj\u00ed \u0159adu ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f. Kup\u0159\u00edkladu sni\u017euj\u00ed \u010dinnost slinn\u00fdch \u017el\u00e1z, tak\u017ee \u017eeny trp\u00ed suchem v \u00fastech, rovn\u011b\u017e ovliv\u0148uj\u00ed zrak a pacientky mohou vid\u011bt mlhav\u011b. Dal\u0161\u00edm ne\u017e\u00e1douc\u00edm \u00fa\u010dinkem m\u016f\u017ee b\u00fdt porucha peristaltiky st\u0159ev, co\u017e vyvol\u00e1 z\u00e1cpu, n\u011bkdy l\u00e9ky zhor\u0161uj\u00ed pam\u011b\u0165.
\nM\u00e9n\u011b ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f maj\u00ed l\u00e9ky s \u00fa\u010dinnou l\u00e1tkou mirabegron.<\/p>\n
Posledn\u00ed pr\u016fzkum, prezentovan\u00fd na kongresu Evropsk\u00e9 urologick\u00e9 asociace v Mil\u00e1n\u011b, p\u0159inesl nov\u00e1 zji\u0161t\u011bn\u00ed. Ukazuj\u00ed, \u017ee nykturie \u2013 no\u010dn\u00ed probouzen\u00ed za \u00fa\u010delem vymo\u010den\u00ed \u2013 m\u00e1 za n\u00e1sledek pokles produktivity v pracovn\u00edch i mimopracovn\u00edch aktivit\u00e1ch a\u017e o \u010dtvrtinu.<\/p>\n","protected":false},"excerpt":{"rendered":"
A\u017e p\u011btina \u017een a mu\u017e\u016f se pot\u00fdk\u00e1 se syndromem hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, kter\u00fd jim nedovoluje \u017e\u00edt norm\u00e1ln\u00edm zp\u016fsobem. Pan\u00ed Anna u\u017e p\u00e1r let nebyla v […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":13998,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-14894","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\/14894","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=14894"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14894\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/13998"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14894"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14894"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14894"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}