{"id":25778,"date":"2016-06-09T11:56:36","date_gmt":"2016-06-09T09:56:36","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25778"},"modified":"2016-06-09T11:56:36","modified_gmt":"2016-06-09T09:56:36","slug":"onkologicke-onemocneni-neznamena-konec-sexualniho-zivota","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25778","title":{"rendered":"Onkologick\u00e9 onemocn\u011bn\u00ed neznamen\u00e1 konec sexu\u00e1ln\u00edho \u017eivota"},"content":{"rendered":"<p><strong>\u017deny nemocn\u00e9 rakovinou vyhled\u00e1vaj\u00ed pomoc sexuolog\u016f m\u00e9n\u011b ne\u017e mu\u017ei. Zat\u00edmco mu\u017ei p\u0159ich\u00e1zej\u00ed hlavn\u011b kv\u016fli poruch\u00e1m erekce, \u017eeny tr\u00e1p\u00ed ztr\u00e1ta vzru\u0161ivosti, orgasmu a probl\u00e9my s plodnost\u00ed. L\u00e9ka\u0159i v\u0161ak mohou pomoci i v sexu\u00e1ln\u00ed oblasti. <\/strong><!--more--><\/p>\n<p>foto: Flickr.com<\/p>\n<p>V \u010cR zauj\u00edmaj\u00ed onkologick\u00e9 nemoci druh\u00e9 m\u00edsto v po\u010dtu \u00famrt\u00ed lid\u00ed a p\u0159edstavuj\u00ed tak velk\u00fd zdravotn\u00ed probl\u00e9m. Ka\u017ed\u00fd t\u0159et\u00ed \u010dlov\u011bk u n\u00e1s onemocn\u00ed n\u011bjak\u00fdm typem zhoubn\u00e9ho n\u00e1doru a ka\u017ed\u00fd \u010dtvrt\u00fd na n\u011bj zem\u0159e. P\u0159esto\u017ee po\u010det onkologicky nemocn\u00fdch roste, zlep\u0161uje se jejich progn\u00f3za d\u00edky v\u010dasn\u00e9mu z\u00e1chytu onemocn\u011bn\u00ed a \u00fa\u010dinn\u00e9 l\u00e9\u010db\u011b i pokro\u010dil\u00fdch st\u00e1di\u00ed. C\u00edlem komplexn\u00ed l\u00e9\u010dby ka\u017ed\u00e9ho pacienta je n\u00e1vrat do b\u011b\u017en\u00e9ho \u017eivota, ke kter\u00e9mu bezesporu pat\u0159\u00ed i sex.<\/p>\n<p>Onkologick\u00e9 onemocn\u011bn\u00ed v\u017edy v men\u0161\u00ed \u010di v\u011bt\u0161\u00ed m\u00ed\u0159e naru\u0161\u00ed partnersk\u00fd sexu\u00e1ln\u00ed \u017eivot, a to jak na stran\u011b pacienta, tak i jeho prot\u011bj\u0161ku. Ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f jsou v\u0161ak tyto poruchy sexu\u00e1ln\u00edch funkc\u00ed nerozpozn\u00e1ny, t\u00edm p\u00e1dem nediagnostikov\u00e1ny, podce\u0148ov\u00e1ny a tud\u00ed\u017e tak\u00e9 nel\u00e9\u010deny. Mal\u00fd po\u010det onkologick\u00fdch pacient\u016f \u0159e\u0161\u00ed sv\u016fj sexu\u00e1ln\u00ed probl\u00e9m s l\u00e9ka\u0159em, p\u0159itom obnoven\u00ed t\u00e9to str\u00e1nky \u017eivota m\u00e1 podstatn\u00fd vliv na jeho kvalitu.<\/p>\n<p>Obdob\u00ed diagnostiky n\u00e1dorov\u00e9ho onemocn\u011bn\u00ed p\u0159edstavuje pro pacienta n\u00e1ro\u010dn\u00fd proces, kter\u00fd je doprov\u00e1zen strachem a \u00fazkost\u00ed z o\u010dek\u00e1v\u00e1n\u00ed. P\u0159irozen\u00fdm d\u016fsledkem se tak st\u00e1v\u00e1, \u017ee doch\u00e1z\u00ed k vytr\u00e1cen\u00ed sexu\u00e1ln\u00ed touhy. Velk\u00e1 \u010d\u00e1st nemocn\u00fdch trp\u00ed jej\u00edm sn\u00ed\u017een\u00edm nebo \u00faplnou ztr\u00e1tou v obdob\u00ed protin\u00e1dorov\u00e9 l\u00e9\u010dby.<\/p>\n<p>Nej\u010dast\u011bji v\u0161ak pacienti v souvislosti s onkologick\u00fdm onemocn\u011bn\u00edm p\u0159ich\u00e1zej\u00ed kv\u016fli poruch\u00e1m vzru\u0161ivosti (erekce u mu\u017e\u016f, lubrikace u \u017een), orgasmu\/ejakulace \u010di probl\u00e9m\u016fm s plodnost\u00ed. Sexualitu a sexu\u00e1ln\u00ed \u017eivot negativn\u011b ovliv\u0148uje i \u0159ada dal\u0161\u00edch faktor\u016f, jako jsou pokles sebed\u016fv\u011bry, \u00fanava, n\u011bkdy deprese, \u00fazkost, z\u00e1rmutek, bolest a fyzick\u00e9 omezen\u00ed, ale i v\u00e1znouc\u00ed komunikace s partnerem.<\/p>\n<p>P\u0159esto\u017ee se na sexuologa obrac\u00ed jen mal\u00fd po\u010det pacient\u016f, vyhledaj\u00ed jeho odbornou pomoc mu\u017ei nej\u010dast\u011bji po l\u00e9\u010db\u011b zhoubn\u00e9ho n\u00e1doru prostaty, st\u0159ev, kone\u010dn\u00edku \u010di trp\u00edc\u00ed hematoonkologick\u00fdm onemocn\u011bn\u00edm. \u017deny p\u0159ich\u00e1zej\u00ed po l\u00e9\u010db\u011b zhoubn\u00e9ho n\u00e1doru prsu.<\/p>\n<p>\u201eRakovina prostaty a prsu jsou nej\u010dast\u011bj\u0161\u00edmi n\u00e1dory v \u010cesk\u00e9 republice. V n\u00e1sleduj\u00edc\u00edch letech o\u010dek\u00e1v\u00e1me dle progn\u00f3z n\u00e1r\u016fst po\u010dtu nemocn\u00fdch, tak\u017ee po\u010det \u017eij\u00edc\u00edch pacient\u016f s n\u00e1dorem prostaty a prsu p\u0159es\u00e1hne u n\u00e1s v roce 2020 stotis\u00edcovou hranici. Typick\u00fdm pacientem, kter\u00fd vyhled\u00e1 pomoc sexuologa, je mu\u017e s rakovinou prostaty ve v\u011bku mezi 45\u201365 lety. V roce 2020 bude dle statistick\u00fdch odhad\u016f v \u010cR \u017e\u00edt v\u00edce ne\u017e 100 000 mu\u017e\u016f s n\u00e1dorem prostaty. Optimistick\u00e9 je, \u017ee n\u00e1r\u016fst po\u010dtu pacient\u016f nevede k r\u016fstu \u00famrtnosti,\u201c vysv\u011btluje doc. MUDr. Michal Pohanka, Ph.D., p\u0159ednosta Sexuologick\u00e9ho \u00fastavu V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze a 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy.<\/p>\n<p>Nej\u010dast\u011bj\u0161\u00ed sexu\u00e1ln\u00ed poruchou, je\u017e zavede mu\u017ee do ordinace sexuologa, je erektiln\u00ed dysfunkce. Tou trp\u00ed a\u017e 90 % pacient\u016f po opera\u010dn\u00edm odstran\u011bn\u00ed prostaty, kter\u00e1 je zlat\u00fdm standardem l\u00e9\u010dby tohoto onemocn\u011bn\u00ed. V\u017edy je proto nezbytn\u00e9 zah\u00e1jit ji co nejd\u0159\u00edve. V dne\u0161n\u00ed dob\u011b disponujeme takov\u00fdmi mo\u017enostmi l\u00e9\u010dby, d\u00edky nim\u017e jsme schopni pomoct t\u00e9m\u011b\u0159 100 % posti\u017een\u00fdch mu\u017e\u016f s jakoukoli p\u0159\u00ed\u010dinou poruchy erekce.<\/p>\n<p>\u201eV prvn\u00ed linii doporu\u010dujeme tabletovou l\u00e9\u010dbu, ve druh\u00e9 injek\u010dn\u00ed l\u00e9\u010dbu, t\u0159et\u00ed linii p\u0159edstavuje implantace peniln\u00ed prot\u00e9zy,\u201c uv\u00e1d\u00ed MUDr. Ta\u0165\u00e1na \u0160r\u00e1mkov\u00e1, CSc., l\u00e9ka\u0159ka Sexuologick\u00e9ho \u00fastavu V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze a 1. LF UK.<\/p>\n<p>\u017deny po komplexn\u00ed l\u00e9\u010db\u011b karcinomu prsu si nej\u010dast\u011bji st\u011b\u017euj\u00ed na mal\u00fd z\u00e1jem o sex, na sn\u00ed\u017een\u00ed touhy a z toho pramen\u00edc\u00ed ni\u017e\u0161\u00ed frekvenci sexu\u00e1ln\u00edch styk\u016f, poruchu vzru\u0161ivosti a v polovin\u011b p\u0159\u00edpad\u016f i na probl\u00e9m s dosa\u017een\u00edm orgasmu. Popisuj\u00ed, \u017ee se nec\u00edt\u00ed sexu\u00e1ln\u011b atraktivn\u00ed. \u201e\u017densk\u00e9 sexu\u00e1ln\u00ed dysfunkce po prod\u011blan\u00e9m onkologick\u00e9m onemocn\u011bn\u00ed maj\u00ed v\u00fdznamnou psychogenn\u00ed<\/p>\n<p>sou\u010d\u00e1st a jsou ovlivn\u011bn\u00e9 i vztahov\u00fdmi probl\u00e9my, l\u00e9\u010dba proto mus\u00ed b\u00fdt komplexn\u00ed. \u017deny n\u00e1s sexuology vyhled\u00e1vaj\u00ed mnohem m\u00e9n\u011b ve srovn\u00e1n\u00ed s mu\u017ei. Na vin\u011b m\u016f\u017ee b\u00fdt ostych, ale tak\u00e9 obava \u0159\u00edci si o pomoc,\u201c konstatuje MUDr. Ta\u0165\u00e1na \u0160r\u00e1mkov\u00e1, CSc., a dod\u00e1v\u00e1: \u201eNa\u0161im c\u00edlem je navr\u00e1tit onkologicky nemocn\u00fdm schopnost realizace sexu\u00e1ln\u00ed aktivity, obnovit jejich touhu a radost ze sexu.\u201c<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u017deny nemocn\u00e9 rakovinou vyhled\u00e1vaj\u00ed pomoc sexuolog\u016f m\u00e9n\u011b ne\u017e mu\u017ei. Zat\u00edmco mu\u017ei p\u0159ich\u00e1zej\u00ed hlavn\u011b kv\u016fli poruch\u00e1m erekce, \u017eeny tr\u00e1p\u00ed ztr\u00e1ta vzru\u0161ivosti, orgasmu a probl\u00e9my s plodnost\u00ed. <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=25778\" title=\"Onkologick\u00e9 onemocn\u011bn\u00ed neznamen\u00e1 konec sexu\u00e1ln\u00edho \u017eivota\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21706,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-25778","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25778","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=25778"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25778\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21706"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25778"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25778"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}