{"id":24206,"date":"2016-01-17T22:21:16","date_gmt":"2016-01-17T21:21:16","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=24206"},"modified":"2016-01-17T22:21:16","modified_gmt":"2016-01-17T21:21:16","slug":"lekari-varuji-pred-nedodrzovanim-diabeticke-lecby-kvuli-hubnuti","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=24206","title":{"rendered":"L\u00e9ka\u0159i varuj\u00ed p\u0159ed nedodr\u017eov\u00e1n\u00edm diabetick\u00e9 l\u00e9\u010dby kv\u016fli hubnut\u00ed"},"content":{"rendered":"<p><strong>Zejm\u00e9na u diabeti\u010dek po odhalen\u00ed cukrovky se l\u00e9ka\u0159i setk\u00e1vaj\u00ed s tzv. diabulimi\u00ed, kdy \u017eeny cht\u011bj\u00ed nedodr\u017eov\u00e1n\u00edm l\u00e9\u010dby bez n\u00e1mahy zhubnout.L\u00e9ka\u0159i p\u0159ed t\u00edmto postupem varuj\u00ed.<\/strong><!--more--><\/p>\n<p>ilustra\u010dn\u00ed foto: stockimages-FreeDigitalPhotos.net<\/p>\n<p> Diabulimie nen\u00ed zat\u00edm uzn\u00e1na jako ofici\u00e1ln\u00ed l\u00e9ka\u0159sk\u00fd term\u00edn, je to slo\u017eenina slov diabetes a bulimie. Jde vlastn\u011b o psychickou poruchu, kdy pacienti v\u011bdom\u011b zanedb\u00e1vaj\u00ed l\u00e9\u010dbu za \u00fa\u010delem hubnut\u00ed. <\/p>\n<p>&#8222;Nejen\u017ee pacientky nedodr\u017euj\u00ed terapii, ale dokonce d\u011blaj\u00ed jej\u00ed p\u0159esn\u00fd opak. Poj\u00edd\u00e1n\u00ed sladk\u00fdch j\u00eddel pln\u00fdch jednoduch\u00fdch cukr\u016f u nich p\u0159ich\u00e1z\u00ed v nezastaviteln\u00fdch bulimick\u00fdch n\u00e1valech. Diabulimie v\u0161ak vede k \u0159ad\u011b komplikac\u00ed, a to nejen akutn\u00edch, vznikaj\u00edc\u00edch z t\u011b\u017ek\u00e9 dekompenzace cukrovky,&#8220; varuj\u00ed v Den\u00edku diabetika l\u00e9ka\u0159i.<\/p>\n<p>Pro diabetiky je p\u0159itom dodr\u017eov\u00e1n\u00ed p\u0159\u00edsn\u00e9 diety a po\u010d\u00edt\u00e1n\u00ed p\u0159\u00edjmu cukr\u016f \u017eivotn\u011b d\u016fle\u017eit\u00e9. Nadm\u00edra cukru v krvi jim po\u0161kozuje c\u00e9vy, co\u017e m\u016f\u017ee vy\u00fastit v infarkt \u010di mrtvici. Hroz\u00ed i kolaps ledvin nebo oslepnut\u00ed.<\/p>\n<p>Pokud diabetici dodr\u017euj\u00ed dietu a berou pravideln\u011b inzulin, pozvolna p\u0159ib\u00fdvaj\u00ed na v\u00e1ze. Kdy\u017e si \u010derstv\u011b diagnostikovan\u00fd pacient p\u0159e\u010dte o nemoci v\u00edc, mnoh\u00e9ho napadne, \u017ee by nedodr\u017een\u00edm l\u00e9\u010dby mohl zhubnout.<\/p>\n<p>Mechanismus vych\u00e1z\u00ed z toho, \u017ee v\u0161echny bu\u0148ky t\u011bla pot\u0159ebuj\u00ed pro fungov\u00e1n\u00ed gluk\u00f3zu. Ta je po t\u011ble rozn\u00e1\u0161ena krv\u00ed a za jej\u00ed p\u0159enos z krve do bun\u011bk je zodpov\u011bdn\u00fd hormon inzul\u00edn. Kdy\u017e se ho tvo\u0159\u00ed m\u00e1lo, nebo na n\u011bj bu\u0148ky nereaguj\u00ed, z\u016fst\u00e1v\u00e1 gluk\u00f3za v krvi a bu\u0148ky hladov\u00ed &#8211; vznik\u00e1 cukrovka. Pokud se l\u00e9\u010dbou neobnov\u00ed spr\u00e1vn\u00fd metabolismus cukr\u016f, s\u00e1hnou hladov\u011bj\u00edc\u00ed bu\u0148ky do \u017eelezn\u00fdch z\u00e1sob, t\u011blesn\u00e9ho tuku.<\/p>\n<p>S cukrovkou souvis\u00ed i ztr\u00e1ta vody. Gluk\u00f3zu, ji\u017e bu\u0148ky nevyu\u017e\u00edvaj\u00ed, vylou\u010d\u00ed t\u011blo mo\u010d\u00ed. Cukr v mo\u010di na sebe ale stahuje vodu, pacient nadm\u011brn\u011b mo\u010d\u00ed. Ztr\u00e1ta vody se projev\u00ed tak\u00e9 na poklesu v\u00e1hy.<\/p>\n<p>Diabulimie m\u016f\u017ee postihnout kohokoli, nej\u010dast\u011bji \u017eeny s cukrovkou prvn\u00edho typu. Jejich nemoc se toti\u017e projev\u00ed u\u017e v ran\u00e9m dosp\u00edv\u00e1n\u00ed, kdy na vzhled kladou obzvl\u00e1\u0161tn\u00ed d\u016fraz. D\u00edvky si z\u00e1rove\u0148 m\u00e9n\u011b p\u0159ipou\u0161t\u011bj\u00ed hroziv\u00e9 dopady poru\u0161ov\u00e1n\u00ed l\u00e9\u010dby. Vn\u00edmaj\u00ed poru\u0161en\u00ed jen jako mal\u00fd podvod, kter\u00fd jim zajist\u00ed lep\u0161\u00ed postavu bez n\u00e1mahy. V takov\u00e9m p\u0159\u00edpad\u011b je t\u0159eba spolupr\u00e1ce diabetologa s rodi\u010di pacientky, n\u011bkdy i s psychologem \u010di psychiatrem.<\/p>\n<p>Pacientka mus\u00ed p\u0159edev\u0161\u00edm pochopit, \u017ee hubnut\u00ed z nel\u00e9\u010den\u00e9 cukrovky je pro ni nebezpe\u010dn\u00e9. Krom\u011b toho efekt hubnut\u00ed zmiz\u00ed, kdy\u017e znovu za\u010dne br\u00e1t l\u00e9ky, v\u0161echna ztracen\u00e1 voda a tuk se velmi rychle op\u011bt dopln\u00ed. &#8222;\u0158e\u0161en\u00ed le\u017e\u00ed jinde: v discipl\u00edn\u011b ohledn\u011b j\u00eddla, ve fyzick\u00e9 aktivit\u011b, a p\u0159edev\u0161\u00edm ve zdrav\u00e9m a laskav\u00e9m p\u0159\u00edstupu k sob\u011b samotn\u00e9,&#8220; doporu\u010duj\u00ed l\u00e9ka\u0159i.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Zejm\u00e9na u diabeti\u010dek po odhalen\u00ed cukrovky se l\u00e9ka\u0159i setk\u00e1vaj\u00ed s tzv. diabulimi\u00ed, kdy \u017eeny cht\u011bj\u00ed nedodr\u017eov\u00e1n\u00edm l\u00e9\u010dby bez n\u00e1mahy zhubnout.L\u00e9ka\u0159i p\u0159ed t\u00edmto postupem varuj\u00ed.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-24206","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\/24206","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=24206"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/24206\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}