{"id":18772,"date":"2014-12-05T10:44:42","date_gmt":"2014-12-05T09:44:42","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=18772"},"modified":"2014-12-05T10:45:08","modified_gmt":"2014-12-05T09:45:08","slug":"jak-hubnout-s-leky","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=18772","title":{"rendered":"Jak hubnout s l\u00e9ky?"},"content":{"rendered":"

\u010cesk\u00fd rozhlas v seri\u00e1lu Hubn\u011bte zdrav\u011b hovo\u0159il s doktorkou Kate\u0159inou Cajthamlovpu o tom,\u00a0 jak hubnout s l\u00e9ky<\/span>, jestli to jde skloubit, jestli b\u00fdvaj\u00ed pot\u00ed\u017ee, kdy\u017e se berou l\u00e9ky<\/span>, s hubnut\u00edm, nebo naopak \u010dlov\u011bk nab\u00edr\u00e1….<\/strong> <\/p>\n

ilustra\u010dn\u00ed foto: PhotoXpress.com<\/em><\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, dietolo\u017eka:
\nJ\u00e1 jsem za toto t\u00e9ma velmi r\u00e1da a jako \u00fapln\u011b prvn\u00ed v\u011btu mi dovolte \u0159\u00edct, \u017ee my jsme rozhlas, nezn\u00e1me v\u00e1\u0161 zdravotn\u00ed<\/span> stav, nev\u00edme jak\u00e9 v\u0161echny v\u011bci v\u00e1s tr\u00e1p\u00ed a nezn\u00e1me va\u0161i konkr\u00e9tn\u00ed situaci, to znamen\u00e1 jakoukoliv radu tady usly\u0161\u00edte, tak by bylo moc dobr\u00e9 zkonzultovat to se sv\u00fdm l\u00e9ka\u0159em<\/span>, jestli to na v\u00e1s plat\u00ed. Tohle to toti\u017e v dne\u0161n\u00ed dob\u011b informac\u00ed, kter\u00fdch je sp\u00ed\u0161 v\u0161ude mnoho, a ty informace jsou sp\u00ed\u0161 povrchn\u00ed a obecn\u00e9, tak tohle to je velik\u00e9 hlavn\u00ed nebezpe\u010d\u00ed, to znamen\u00e1 lid\u00e9 n\u011bco zaslechnou od kamar\u00e1dky, p\u0159e\u010dtou si na internetu, zaslechnou v rozhlase a automaticky to aplikuj\u00ed na sebe. Tak\u017ee j\u00e1 se budu sna\u017eit hovo\u0159it velmi obecn\u011b, o l\u00e9c\u00edch<\/span> a jejich vlivu na hubnut\u00ed a postavu v\u00edme, ale ve va\u0161em konkr\u00e9tn\u00edm p\u0159\u00edpad\u011b to m\u016f\u017ee b\u00fdt jinak a v\u00e1\u0161 l\u00e9ka\u0159<\/span> to v\u00ed nejl\u00edp.<\/p>\n

P\u0159esto, existuj\u00ed n\u011bjak\u00e9 l\u00e9ky<\/span>, u kter\u00fdch se to d\u00e1 p\u0159edpokl\u00e1dat, maj\u00ed to t\u0159eba i v tom sv\u00e9m p\u0159\u00edbalov\u00e9m let\u00e1\u010dku, jak se \u0159\u00edk\u00e1?<\/strong><\/p>\n

To by bylo taky fajn, kdyby lid\u00e9 \u010detli p\u0159\u00edbalov\u00e9 let\u00e1\u010dky. To by bylo v\u00fdborn\u00e9, d\u011bkuju za tuhle tu pozn\u00e1mku. Tak o l\u00e9c\u00edch<\/span>, o kter\u00fdch se to obecn\u011b v\u00ed, bych pohovo\u0159ila jako prvn\u00ed, a to jsou hormony. O hormon\u00e1ln\u00ed l\u00e9\u010db\u011b je zn\u00e1mo, \u017ee p\u0159i n\u00ed se p\u0159ib\u00fdv\u00e1. Pros\u00edm p\u011bkn\u011b, v ur\u010dit\u00e9m p\u0159\u00edpad\u011b to m\u016f\u017ee b\u00fdt pozitivn\u00ed, a to je tam, kde nap\u0159\u00edklad se \u017eeny l\u00e9\u010d\u00ed p\u0159i neplodnosti, maj\u00ed n\u00edzk\u00e9 mno\u017estv\u00ed aktivn\u00ed hmoty, kter\u00e9 vlastn\u011b neumo\u017e\u0148uje to, aby ta \u017eena donosila d\u00edt\u011b, aby v\u016fbec se zahn\u00edzdilo vaj\u00ed\u010dko, v tu chv\u00edli to, \u017ee \u017eena p\u0159ibere, je pozitivn\u00ed a nem\u011bla by se sna\u017eit to zase zhubnout. Tady si mysl\u00edm, \u017ee zejm\u00e9na ty sou\u010dasn\u00e9 d\u00edvenky, kter\u00e9 si velmi zakl\u00e1daj\u00ed na sv\u00e9m body mass indexu v hranici podv\u00fd\u017eivy, budou pravd\u011bpodobn\u011b ty, kter\u00e9 budou muset p\u0159ibrat, proto\u017ee na to, abychom ot\u011bhotn\u011bly, tak pot\u0159ebujeme m\u00edt opravdu reservy, a d\u00edvky, kter\u00e9 jsou huben\u00e9, reservy nemaj\u00ed. Tak\u017ee pohlavn\u00ed hormony vedou ke spr\u00e1vn\u00e9mu p\u0159ibr\u00e1n\u00ed aktivn\u00ed hmoty.<\/p>\n

moder\u00e1tor:\u00a0 ty, kter\u00e9 zp\u016fsobuj\u00ed t\u0159eba p\u0159ib\u00edr\u00e1n\u00ed na v\u00e1ze,\u00a0 jsou hormon\u00e1ln\u00ed l\u00e9ky<\/span> a sl\u00edbili jsme i dal\u0161\u00ed hormony, tak kter\u00e9 to budou, pan\u00ed doktorko?<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nDal\u0161\u00ed hormon\u00e1ln\u00ed l\u00e9ky<\/span>, kter\u00e9 bere spousta lid\u00ed a n\u011bkter\u00e9 u\u017e i d\u011bti, jsou kortikoidy. U kortikoid\u016f je zn\u00e1m\u00e9 to, \u017ee vznik\u00e1 takov\u00fd zvl\u00e1\u0161tn\u00ed typ obezity, takzvan\u00e9ho centripet\u00e1ln\u00edho typu, to znamen\u00e1, \u017ee se zv\u011bt\u0161uje objem b\u0159\u00ed\u0161ka a\u0165 u\u017e u d\u011bt\u00ed nebo u dosp\u011bl\u00fdch. B\u00fdvaj\u00ed takov\u00e9 zarudl\u00e9 tv\u00e1\u0159i\u010dky a strie, \u010dili takov\u00e9 ty pajiz\u00e9vky, kter\u00e9 se tvo\u0159\u00ed v podko\u017e\u00ed, m\u00edvaj\u00ed na nafialov\u011blou barvu. Tady chci \u0159\u00edct, \u017ee k n\u00e1m chod\u00ed spousta lid\u00ed, kte\u0159\u00ed kortikoidy berou z velmi z\u00e1va\u017en\u00fdch d\u016fvod\u016f, nap\u0159\u00edklad pro n\u011bjak\u00e9 autoimunitn\u00ed onemocn\u011bn\u00ed, pro z\u00e1va\u017en\u011b prob\u00edhaj\u00edc\u00ed astmu nebo jako dopln\u011bk l\u00e9\u010dby p\u0159i n\u00e1dorov\u00e9m onemocn\u011bn\u00ed. U t\u011bhle t\u011bch lid\u00ed to zoufalstv\u00ed z toho, \u017ee vlastn\u011b p\u0159ib\u00edraj\u00ed, by m\u011blo b\u00fdt n\u011bjak\u00fdm zp\u016fsobem tro\u0161ku omezeno t\u00edm, \u017ee vlastn\u011b jejich z\u00e1kladn\u00ed choroba se t\u011bmito l\u00e9ky<\/span> velmi dob\u0159e l\u00e9\u010d\u00ed a bez nich by prob\u00edhala bolestiv\u011b nebo velmi nep\u0159\u00edzniv\u011b. Kortikoidy maj\u00ed n\u011bkolik negativn\u00edch efekt\u016f. Zvy\u0161uj\u00ed takzvanou inzulinorezistenci, proto\u017ee glukokortikoidy p\u016fsob\u00ed proti inzulinu, proti vlastn\u011b funkci inzulinu, to znamen\u00e1 tk\u00e1n\u011b, zejm\u00e9na i tukov\u00e1 tk\u00e1\u0148, jsou odoln\u00e9 proti odbour\u00e1v\u00e1n\u00ed, a proto ten \u010dlov\u011bk, a\u0165 cvi\u010d\u00ed, necvi\u010d\u00ed, tak prost\u011b nehubne. Dal\u0161\u00ed, vytv\u00e1\u0159\u00ed se v\u011bt\u0161\u00ed mno\u017estv\u00ed viscer\u00e1ln\u00edho tuku, to je ten tuk, kter\u00fd je mezi kli\u010dkami st\u0159evn\u00edmi pod j\u00e1try a v j\u00e1trech, proto se zv\u011bt\u0161uje objem pasu. Dal\u0161\u00ed, doch\u00e1z\u00ed k odbour\u00e1n\u00ed kostry a aktivn\u00ed hmoty, to je negativn\u00ed efekt, a tam z\u00e1le\u017e\u00ed na d\u00e1vce. Tahle ta v\u011bc je vratn\u00e1, to znamen\u00e1 ten \u010dlov\u011bk, pokud dostate\u010dn\u011b j\u00ed, tak m\u016f\u017ee a d\u011bl\u00e1 n\u011bjakou nez\u00e1t\u011b\u017eovou formu pohybu, kterou mu jeho zdravotn\u00ed<\/span> stav dovol\u00ed, \u010dili neznehybn\u00ed zejm\u00e9na u t\u0159eba n\u011bjak\u00fdch bolestiv\u00fdch kloubn\u00edch onemocn\u011bn\u00ed. Je d\u016fle\u017eit\u00e9 tu pohyblivost udr\u017eet. Tak tro\u0161ku antidotuje tenhle negativn\u00ed efekt. Dal\u0161\u00ed, to je v\u00fdznamn\u00e9 u d\u011bt\u00ed, sni\u017euje se vylu\u010dov\u00e1n\u00ed r\u016fstov\u00e9ho hormonu, to znamen\u00e1 ty d\u011bti mohou b\u00fdt, pokud pot\u0159ebuj\u00ed t\u0159eba mal\u00ed astmatici kortikoidy, kter\u00e9 jsou aplikov\u00e1ny nikoli inhala\u010dn\u011b, ale celkov\u011b, \u010dili v tablet\u00e1ch, m\u016f\u017ee se p\u0159ibrzdit r\u016fst a m\u016f\u017ee potom doj\u00edt k tomu, \u017ee celo\u017eivotn\u011b maj\u00ed zv\u00fd\u0161en\u00fd body mass index. Jinak dal\u0161\u00ed, co se d\u011bje, jsou zm\u011bny vylu\u010dov\u00e1n\u00ed pohlavn\u00edch hormon\u016f, doch\u00e1z\u00ed ke ztr\u00e1t\u011b ochlupen\u00ed a dal\u0161\u00ed, co je d\u016fle\u017eit\u00e9 pro v\u0161echny, kte\u0159\u00ed se zaj\u00edmaj\u00ed o zdravou v\u00fd\u017eivu, sn\u00ed\u017e\u00ed se pocit hladu a \u017e\u00edzn\u011b. To znamen\u00e1 \u010dlov\u011bk, kter\u00fd bere tyhle l\u00e9ky<\/span>, vydr\u017e\u00ed del\u0161\u00ed dobu jakoby o hladu, ale je pot\u0159eba, aby pravideln\u011b jedl, aby o tom v\u011bd\u011bl.<\/p>\n

poslucha\u010dka bere l\u00e9ky<\/span>, m\u00e1 zelen\u00fd z\u00e1kal, a tak si pr\u00fd hl\u00edd\u00e1, jestli ty l\u00e9ky<\/span>, kter\u00e9 od doktora dost\u00e1v\u00e1, nemaj\u00ed n\u011bjak\u00fd ten efekt<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1,
\npan\u00ed Gito, moc d\u011bkuji . Cht\u011bla jsem \u0159\u00edct, \u017ee v\u00e1\u0161 postup je naprosto spr\u00e1vn\u00fd, proto\u017ee l\u00e9ky<\/span>, kter\u00e9 se u\u017e\u00edvaj\u00ed proti glaukomu, by\u0165 se u\u017e\u00edvaj\u00ed v kapk\u00e1ch a lok\u00e1ln\u011b, tak mohou m\u00edt interakce nebo vedlej\u0161\u00ed \u00fa\u010dinky nebo m\u011bnit vlastn\u011b n\u011bjak dal\u0161\u00ed, dal\u0161\u00ed funkci vlastn\u011b jin\u00fdch l\u00e9k\u016f<\/span>, ale hlavn\u011b pacient s glaukomem m\u00e1 velk\u00fd probl\u00e9m s velkou spoustou l\u00e9k\u016f<\/span> a nesm\u00ed je u\u017e\u00edvat. \u010cili \u010d\u00edst p\u0159\u00edbalov\u00e9 let\u00e1ky je stra\u0161n\u011b d\u016fle\u017eit\u00e9 a cht\u011bla bych to doporu\u010dit v\u0161em a v\u00e1\u017e\u00edm si toho, \u017ee jste n\u00e1m volala a \u0159\u00edkala, \u017ee vy to d\u011bl\u00e1te. Tak\u017ee to je moc dob\u0159e, a to, \u017ee se rad\u00edte s l\u00e9ka\u0159em<\/span>, je velmi d\u016fle\u017eit\u00e9. Pravd\u011bpodobn\u011b asi pacienti s glaukomem v\u011bd\u00ed, \u017ee ka\u017ed\u00e9mu zdravotn\u00edkovi, s kter\u00fdm p\u0159ijdou do kontaktu, o sv\u00e9m glaukomu mus\u00ed \u0159\u00edct, proto\u017ee to je velk\u00e1 vlastn\u011b p\u0159ek\u00e1\u017eka. My se ale bav\u00edme tady o r\u016fzn\u00fdch efektech vlastn\u011b na hubnut\u00ed. Patriku, m\u00e1te vy s\u00e1m n\u011bjakou zku\u0161enost s l\u00e9ky<\/span>?<\/p>\n

moder\u00e1tor: hodn\u011b lid\u00ed t\u0159eba tvrd\u00ed, \u017ee i antidepresiva jsou takov\u00fdm t\u00edm podpisem potom na t\u011ble. \u010clov\u011bk p\u0159ibere, nate\u010de jakoby, funguje to tak, v\u017edycky u v\u0161ech?<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nJe to pravda, Antidepresiva jsou l\u00e9ky<\/span>, kter\u00e9 vlastn\u011b zvy\u0161uj\u00ed celkov\u011b n\u00e1ladu pacienta, zvy\u0161uj\u00ed jeho vn\u00edm\u00e1n\u00ed, omezuj\u00ed jeho pocity negativn\u00ed, to znamen\u00e1, \u017ee vedlej\u0161\u00edm pro n\u011bkter\u00e9 ne\u017e\u00e1douc\u00edm, pro n\u011bkter\u00e9 \u017e\u00e1douc\u00edm efektem je zv\u00fd\u0161en\u00ed chuti k j\u00eddlu, zejm\u00e9na star\u0161\u00ed pacienti toti\u017e, kdy\u017e za\u010dnou trp\u011bt depres\u00ed, tak hubnou. A tady to, \u017ee ty l\u00e9ky<\/span> zvy\u0161uj\u00ed chu\u0165 k j\u00eddlu, je velk\u00e1 vlastn\u011b dobr\u00e1 v\u011bc, proto\u017ee ta aktivn\u00ed hmota, kterou takto ztr\u00e1cej\u00ed, se nab\u00edr\u00e1 zp\u00e1tky. Dal\u0161\u00ed l\u00e9ky<\/span>, kter\u00e9 zvy\u0161uj\u00ed chu\u0165 k j\u00eddlu, jsou l\u00e9ky<\/span>, kter\u00e9 p\u016fsob\u00ed na nervov\u00fd syst\u00e9m, to jsou antiepileptika nebo n\u011bkter\u00e1 neuroleptika. Tady zase je velmi d\u016fle\u017eit\u00e9, aby ten pacient necht\u011bl n\u011bjak v\u00fdrazn\u011b hubnout, proto\u017ee zejm\u00e9na u epilepsie v\u00fdrazn\u00e9 omezov\u00e1n\u00ed tuk\u016f ve stav\u011b a n\u011bjak\u00e9 hektick\u00e9 cvi\u010den\u00ed zejm\u00e9na ve\u010der by naopak mohlo v\u00fdrazn\u011b zhor\u0161it vlastn\u011b progn\u00f3zu t\u00e9 z\u00e1kladn\u00ed choroby, \u010dili epilepsie. Tak\u017ee ur\u010dit\u011b to zv\u00fd\u0161en\u00ed chuti k j\u00eddlu a chuti na tu\u010dn\u00e9 je sp\u00ed\u0161 jako zase bohu\u017eel \u017e\u00e1douc\u00ed tro\u0161ku efekt. Dal\u0161\u00ed l\u00e9ky<\/span>, kter\u00e9 maj\u00ed vliv na chu\u0165 k j\u00eddlu, jsou l\u00e9ky<\/span> vlastn\u011b, kter\u00e9 zase naopak ji omezuj\u00ed, to je digoxin, kter\u00fd pou\u017e\u00edvaj\u00ed pacienti t\u0159eba se srde\u010dn\u00edm selh\u00e1n\u00edm nebo s n\u011bjakou vrozenou srde\u010dn\u00ed vadou, p\u0159i kter\u00e9 je oslabena funkce stahov\u00e1n\u00ed srd\u00ed\u010dka. N\u011bkter\u00e9 protiz\u00e1n\u011btliv\u00e9 l\u00e9ky<\/span>, antiparkinsonika, to je zase v\u00fdznamn\u00e9 pro lidi star\u0161\u00edho v\u011bku. Antibiotika a n\u011bkter\u00e9 cytostatika. Tito pacienti hubnou, ale bohu\u017eel nehubnou t\u00edm zdrav\u00fdm zp\u016fsobem, ale ztr\u00e1cej\u00ed aktivn\u00ed hmotu.<\/p>\n

moder\u00e1tor: Co n\u011bjak\u00e9 omezen\u00e9 vst\u0159eb\u00e1v\u00e1n\u00ed, jak vy dokto\u0159i \u0159\u00edk\u00e1te s t\u011bmi l\u00e9ky<\/span>, je s t\u00edm n\u011bjak\u00fd probl\u00e9m?<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nUr\u010dit\u011b ano. V\u0161ichni vlastn\u011b, kte\u0159\u00ed brali n\u011bkdy Tetracyklin nebo tetracyklinov\u00e9 typy l\u00e9k\u016f<\/span>, Tetracyklin, to jsou v podstat\u011b antibiotika dalo by se \u0159\u00edct, bakteriostatick\u00e1, to znamen\u00e1 berou se t\u0159eba v n\u011bkter\u00fdch indikac\u00edch i na akn\u00e9, \u010dili na v podstatn\u011b ban\u00e1ln\u00ed v\u011bc. Dal\u0161\u00ed jsou chinolony, to jsou zase l\u00e1tky taky v podstat\u011b terapeutika r\u016fzn\u00fdch infekc\u00ed<\/span>. Tady se omezuje vst\u0159eb\u00e1v\u00e1n\u00ed iont\u016f, zejm\u00e9na iont\u016f kov\u016f, tak\u017ee t\u0159eba pokud n\u011bkdo k tomu bere \u017eelezo nebo bere zinek, tak vlastn\u011b se mu nevst\u0159eb\u00e1v\u00e1.<\/p>\n

Patrik ROZEHNAL, moder\u00e1tor:
\nM\u00e1me telefon, zd\u00e1 se, tak vezmeme si poslucha\u010de nebo poslucha\u010dku do vys\u00edl\u00e1n\u00ed, z\u00e1le\u017e\u00ed kdo vol\u00e1, dobr\u00fd den.<\/p>\n

osoba:A j\u00e1 bych pot\u0159ebovala poradit, proto\u017ee dcera bere opi\u00e1ty a mimo toho je\u0161t\u011b Diclofenac, Stra\u0161n\u011b se spravuje po tom. Ona m\u00e1 artr\u00f3zu t\u011b\u017ekou. Kortikoidy, kortikoidy.<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nPokud m\u00e1 artr\u00f3zu a pravd\u011bpodobn\u011b i z\u00e1n\u011btlivou formu t\u00e9 artr\u00f3zy, tak samoz\u0159ejm\u011b to je velice bolestiv\u00fd stav, na omezen\u00ed toho vlastn\u011b procesu, bere ty kortikoidy, kter\u00e9 bohu\u017eel vedou t\u00edm mechanismem, jak jsem o tom mluvila, k hormon\u00e1ln\u00edmu tloustnut\u00ed.\u00a0 Dal\u0161\u00ed, pokud m\u00e1 bolest, tak bolestiv\u00e9 stavy obecn\u011b vedou k tomu, \u017ee \u010dlov\u011bk ztr\u00e1c\u00ed aktivn\u00ed hmotu a n\u011bkdy vlastn\u011b p\u0159est\u00e1v\u00e1 m\u00edt chu\u0165 k j\u00eddlu a potom je ten mechanismus, \u017ee j\u00ed t\u0159eba jenom jednou denn\u011b, v\u011bt\u0161inou ve\u010der a utlumuje ty bolestiv\u00e9 situace zase j\u00eddlem. Tady bych cht\u011bla \u0159\u00edct, \u017ee snaha o hubnut\u00ed je v\u0161\u00edm t\u00edmhle t\u00edm naru\u0161ena a ten pacient pat\u0159\u00ed bu\u010f do n\u011bjak\u00e9ho programu rehabilita\u010dn\u00edho, kde by bez z\u00e1t\u011b\u017ee kloub\u016f n\u011bjak\u00fdm zp\u016fsobem mohl cvi\u010dit. Mus\u00ed to b\u00fdt ve f\u00e1zi, kdy nem\u00e1 tu z\u00e1n\u011btlivou komplikaci vlastn\u011b vzplanulou, to znamen\u00e1 ve f\u00e1zi klidu. Ale v sou\u010dasnosti tak, jak to \u0159\u00edk\u00e1te, \u017ee bere i opi\u00e1ty, tak se ob\u00e1v\u00e1m, \u017ee nen\u00ed ta vhodn\u00e1 doba na hubnut\u00ed. A znovu, pros\u00edm, jedn\u00e1 se o tloustnut\u00ed hormon\u00e1ln\u00ed, ne to, \u017ee by se dcera p\u0159ej\u00eddala nebo tak.<\/p>\n

osoba:Ne, ne, to se nep\u0159ej\u00edd\u00e1. J\u00e1 v\u00e1m \u0159eknu jej\u00ed j\u00eddeln\u00ed\u010dek. R\u00e1no j\u00ed jenom \u0161\u0165\u00e1vy ovocn\u00fd, prost\u011b to potom minim\u00e1ln\u011b nem\u00e1 ani moc chut\u011b a minim\u00e1ln\u011b ob\u011bd a i ve\u010der, \u017e\u00e1dn\u00fd velk\u00fd j\u00eddlo.<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nTady bych pr\u00e1v\u011b doporu\u010dila, aby jedla alespo\u0148 to mno\u017estv\u00ed b\u00edlkovin a \u0161krobovin, tedy polysacharid\u016f, kter\u00e9 jej\u00ed t\u011blo pot\u0159ebuje, proto\u017ee ona pokud nej\u00ed dostate\u010dn\u011b, tak ani ten z\u00e1n\u011bt se nem\u016f\u017ee dostate\u010dn\u011b l\u00e9\u010dit. Ty \u0161\u0165\u00e1vy k sn\u00eddani, to fakt nesta\u010d\u00ed. Tak\u017ee tady by bylo pot\u0159eba v tomto z\u00e1va\u017en\u00e9m stavu po\u017e\u00e1dat toho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e<\/span>, aby ji ud\u011blal konzultaci s dietn\u00ed sestrou, aby to probrala s n\u00ed.<\/p>\n

osoba:Ano, to ona je po\u0159\u00e1d pod kontrolou. Dneska jde na celkov\u00fd vy\u0161et\u0159en\u00ed, proto\u017ee m\u00e1 naru\u0161en\u00fd j\u00e1tra.<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nJasn\u011b. Tak\u017ee ten stav je z\u00e1va\u017en\u00fd a tam opravdu je pot\u0159eba br\u00e1t i stravu jako vlastn\u011b l\u00e9k<\/span>, i kdy\u017e nem\u00e1 p\u0159\u00edli\u0161 mnoho chuti, tak pravideln\u011b j\u00edst.<\/p>\n

osoba:Ano, ona tedy \u0159\u00edk\u00e1, \u017ee to mus\u00ed sn\u00ed\u017eit ty l\u00e9ky<\/span>, \u017ee to v\u00ed, \u017ee je to asi z toho. Tak sn\u00ed\u017eila na \u010dtvrtinu t\u011bch pr\u00e1\u0161k\u016f.<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nJ\u00e1 jenom chci \u0159\u00edct, \u017ee bohu\u017eel tady jsme, jak tomu \u0159\u00edkali \u0158ekov\u00e9, mezi Skyllou a Charybdou, to znamen\u00e1 pokud sn\u00ed\u017e\u00ed l\u00e9ky<\/span>, tak se zhor\u0161\u00ed p\u0159\u00edznaky a pokud zase zv\u00fd\u0161\u00ed l\u00e9ky<\/span>, tak p\u0159ibere. \u010cili tady opravdu se mus\u00ed velmi opatrn\u011b podle aktu\u00e1ln\u00edho stavu.<\/p>\n

osoba:Ona p\u0159ib\u00edr\u00e1, a ona byla drobn\u00e1,\u00a0 v\u00e1\u017eila do 60 kil.J\u00e1 jenom jsem cht\u011bla radu, jak prost\u011b, v\u00edm, \u017ee m\u00e1 bolesti a \u017ee je unaven\u00e1, stra\u0161livou \u00fanavu v sob\u011b m\u00e1.<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nRozum\u00edm. J\u00e1 to shrnu, tak\u017ee je d\u016fle\u017eit\u00e9, aby udr\u017eela p\u0159\u00edjem potravy, to znamen\u00e1 sn\u00eddat, ob\u011bdvat, ve\u010de\u0159et, t\u0159eba po mal\u00fdch d\u00e1vk\u00e1ch, ale pravideln\u011b. Dostatek b\u00edlkovin, \u010dili ml\u00e9ko, ml\u00e9\u010dn\u00e9 v\u00fdrobky. Tam je d\u016fle\u017eit\u00e9 i to, aby vlastn\u011b se udr\u017eela mineralizace kost\u00ed. Dal\u0161\u00ed neomezovat p\u0159\u00edli\u0161 tuky, br\u00e1t jich aspo\u0148 dostate\u010dn\u00e9 mno\u017estv\u00ed, ne nadbyte\u010dn\u00e9, jo. To znamen\u00e1 nemus\u00ed \u00fapln\u011b beztu\u010dnou dietu, m\u011bla by jenom s ohledem na j\u00e1tra tro\u0161ku sni\u017eovat mno\u017estv\u00ed tuk\u016f, a m\u011bla by udr\u017eet dostate\u010dn\u00e9 mno\u017estv\u00ed sacharid\u016f, \u010dili p\u0159\u00edlohy. Ne mls\u00e1n\u00ed, ne slazen\u00ed, ale opravdu ty \u0161kroboviny, to znamen\u00e1 chl\u00e9b, p\u0159\u00edlohy, brambory, r\u00fd\u017ei, lu\u0161t\u011bniny, pohanku, prost\u011b to, co vlastn\u011b ji dod\u00e1 energii, aby nebyla tak unaven\u00e1. Ta \u00fanava m\u016f\u017ee b\u00fdt z toho, \u017ee opravdu j\u00ed m\u00e1lo.<\/p>\n

moder\u00e1tor: M\u00e1me t\u011bm l\u00e9k\u016fm<\/span> uzp\u016fsobovat j\u00eddeln\u00ed\u010dek, aby l\u00e9pe zabraly, abychom vy\u0161li vst\u0159\u00edc tomu, co pot\u0159ebujeme, nebo naopak jsme moc nehubli, moc neub\u00edrali na v\u00e1ze, anebo naopak nep\u0159ib\u00edrali?<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nB\u00e1je\u010dn\u00fd dotaz. Cht\u011bla bych \u0159\u00edct, \u017ee jakmile za\u010dne br\u00e1t jak\u00e9koli l\u00e9ky<\/span>, tak mus\u00edme v\u0161em sv\u00fdm l\u00e9ka\u0159\u016fm<\/span>, kte\u0159\u00ed n\u00e1m cokoli p\u0159edepisuj\u00ed, \u0159\u00edct co d\u011bl\u00e1me, a to do relativn\u011b detail\u016f, to znamen\u00e1, jestli sami bereme n\u011bjak\u00e9 vitaminy, jestli zrovna jsme se rozhodli hubnout, jestli n\u011bjak\u00fdm zp\u016fsobem za\u010d\u00edn\u00e1me v\u00fdrazn\u011b cvi\u010dit, p\u0159\u00edpadn\u011b, \u017ee za\u010d\u00edn\u00e1me p\u00edt n\u011bjak\u00e9 k\u00fary l\u00e9\u010div\u00fdch \u010daj\u016f od n\u011bjak\u00e9ho t\u0159eba \u010d\u00ednsk\u00fdho l\u00e9\u010ditele, toti\u017e je velmi podce\u0148ovan\u00e1 interakce l\u00e9k\u016f<\/span> s n\u011bkolika v\u011bcmi, s grepfruitovou \u0161\u0165\u00e1vou, s t\u0159ezalkou te\u010dkovanou a se s\u00fdry. Ty s\u00fdry, zejm\u00e9na takov\u00e9 ty aromatick\u00e9, star\u00e9 s\u00fdry, p\u0159\u00edpadn\u011b n\u011bkter\u00e9 s\u00fdry pl\u00eds\u0148ov\u00e9ho typu obsahuj\u00ed l\u00e1tky, kter\u00e9 mohou \u00fapln\u011b zm\u011bnit funkci n\u011bkter\u00fdch l\u00e9k\u016f<\/span>, t\u0159eba na vysok\u00fd krevn\u00ed tlak nebo l\u00e9k\u016f<\/span> stabilizuj\u00edc\u00edch n\u00e1ladu. Grepfruitov\u00e1 \u0161\u0165\u00e1va m\u016f\u017ee zm\u011bnit funkci antibiotik, m\u016f\u017ee zm\u011bnit jejich vst\u0159eb\u00e1v\u00e1n\u00ed. A t\u0159ezalka, ta zase takov\u00fdm zvl\u00e1\u0161tn\u00edm mechanismem, kter\u00fd tady nebudeme rozeb\u00edrat, proto\u017ee je to p\u0159\u00edli\u0161 slo\u017eit\u00e9, tak m\u016f\u017ee omezovat, j\u00e1 \u0159eknu a\u0165 ned\u011bl\u00e1m tajnosti, funkc\u00ed p\u0159es cytochrom vlastn\u011b, co\u017e je sou\u010d\u00e1st toho, jak se l\u00e9ky<\/span> vst\u0159eb\u00e1vaj\u00ed a jak se z nich vytv\u00e1\u0159ej\u00ed ty \u00fa\u010dinn\u00e9 substance v na\u0161em t\u011ble, tak t\u0159ezalka tohle to blokuje. Tot\u00e9\u017e nebo podobn\u011b funguj\u00ed r\u016fzn\u00e9 jin\u00e9 bylinn\u00e9 \u010daje. Prost\u011b ten bylinn\u00fd \u010daj m\u00e1-li b\u00fdt \u00fa\u010dinn\u00fd, tak je vlastn\u011b l\u00e9kem<\/span> a j\u00e1 ho mus\u00edm zm\u00ednit u sv\u00e9ho l\u00e9ka\u0159e<\/span>. Naopak interakce Warfarinu, co\u017e je l\u00e9k<\/span> na \u0159ed\u011bn\u00ed krve a podobn\u00fdch tedy substanc\u00ed, se zeleninou je tro\u0161ku p\u0159eh\u00e1n\u011bn\u00e1, pokud j\u00e1 nezm\u011bn\u00edm n\u011bjak\u00fdm v\u00fdrazn\u00fdm zp\u016fsobem mno\u017estv\u00ed t\u00e9 zeleniny, tak ten Warfarin zejm\u00e9na, kdy\u017e se nasazuje, tak je vlastn\u011b kontrolov\u00e1n takzvan\u00fdm quickov\u00fdm testem, a pokud j\u00e1 tu zeleninu j\u00edm stejn\u011b a nep\u0159eh\u00e1n\u00edm to, \u017ee bych prost\u011b jeden den sn\u011bdla jenom p\u016fl kila zeleniny a druh\u00fd den \u017e\u00e1dnou, tak vlastn\u011b ty v\u00fdkyvy v t\u00e9 hladin\u011b, t\u00e9 sr\u00e1\u017elivosti krv\u00e1civosti nejsou tak velik\u00e9.<\/p>\n

moder\u00e1tor:Kdy\u017e to vezmu na z\u00e1v\u011br, tak rozhodn\u011b \u010d\u00edst p\u0159\u00edbalov\u00e9 let\u00e1ky, a\u0165 v\u00edme jak l\u00e9ky<\/span> p\u016fsob\u00ed, probrat to s t\u00edm doktorem, na to jsme te\u010f trochu apelovali.A po\u010d\u00edtat, \u017ee prost\u011b u n\u011bkter\u00fdch l\u00e9k\u016f<\/span> to, \u017ee p\u0159ib\u00edr\u00e1me, je i pozitivn\u00ed efekt, by\u0165 se n\u00e1m to t\u0159eba nel\u00edb\u00ed kv\u016fli postav\u011b a nevysnili jsme si to takto v ml\u00e1d\u00ed, ale pom\u016f\u017ee n\u00e1m to.<\/p>\n

MUDr. Kate\u0159ina CAJTHAMLOV\u00c1, :
\nTak, a je\u0161t\u011b bych \u0159ekla z\u00e1v\u011brem , je d\u016fle\u017eit\u00e9, pokud jsou nasazeny l\u00e9ky<\/span>, aby se nejprve zlep\u0161ila ta z\u00e1kladn\u00ed choroba a teprv potom jsme za\u010dli \u0159e\u0161it p\u0159\u00edpadn\u00e9 p\u0159ibr\u00e1n\u00ed.
\nJ\u00e1 d\u011bkuju volaj\u00edc\u00edm a p\u0159eji v\u00e1m kr\u00e1sn\u00fd advent. Na shledanou.<\/p>\n

zkr\u00e1cen\u00fd p\u0159epis<\/p>\n

zaznamenala invArena<\/p>\n","protected":false},"excerpt":{"rendered":"

\u010cesk\u00fd rozhlas v seri\u00e1lu Hubn\u011bte zdrav\u011b hovo\u0159il s doktorkou Kate\u0159inou Cajthamlovpu o tom,\u00a0 jak hubnout s l\u00e9ky, jestli to jde skloubit, jestli b\u00fdvaj\u00ed pot\u00ed\u017ee, kdy\u017e […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16678,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-18772","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\/18772","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=18772"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18772\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16678"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}