{"id":26532,"date":"2016-12-29T11:25:45","date_gmt":"2016-12-29T10:25:45","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26532"},"modified":"2016-12-29T11:25:45","modified_gmt":"2016-12-29T10:25:45","slug":"mate-dost-vapniku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26532","title":{"rendered":"M\u00e1te dost v\u00e1pn\u00edku?"},"content":{"rendered":"<p>Osteopor\u00f3za pat\u0159\u00ed mezi civiliza\u010dn\u00ed choroby sou\u010dasnosti. Celosv\u011btov\u011b trp\u00ed touto nemoc\u00ed ka\u017ed\u00e1 t\u0159et\u00ed \u017eena a ka\u017ed\u00fd p\u00e1t\u00fd mu\u017e ve v\u011bku nad 50 let. Podle odborn\u00edk\u016f lze za hlavn\u00ed p\u0159\u00ed\u010dinu ozna\u010dit nedostate\u010dn\u00fd p\u0159\u00edjem v\u00e1pn\u00edku ve strav\u011b.<!--more--><\/p>\n<p>Z\u00e1ke\u0159n\u00e1 a nen\u00e1padn\u00e1 nemoc zp\u016fsobuje ztr\u00e1tu pevnosti a pru\u017enosti kosti, nav\u00edc bobu\u017eel bez prvotn\u00edch p\u0159\u00edznak\u016f. \u0158\u00eddnut\u00ed kost\u00ed n\u00e1sledn\u011b vede k jejich oslaben\u00ed a vzniku zlomenin, p\u0159edev\u0161\u00edm kr\u010dku kosti stehenn\u00ed, p\u0159edlokt\u00ed nebo obratl\u016f. V\u00e1\u017en\u00e9 \u00farazy mohou m\u00edt bohu\u017eel za d\u016fsledek trval\u00e9 posti\u017een\u00ed a invaliditu.<\/p>\n<p>Pades\u00e1tka, &#8222;zlomov\u00fd&#8220; v\u011bk<\/p>\n<p>Mezi rizikov\u00e9 faktory vzniku osteopor\u00f3zy pat\u0159\u00ed genetick\u00e9 p\u0159edpoklady (mal\u00fd vzr\u016fst, sv\u011btl\u00e1 barva k\u016f\u017ee), \u010dasn\u00e1 menopauza, n\u00edzk\u00fd p\u0159\u00edjem v\u00e1pn\u00edku, u\u017e\u00edv\u00e1n\u00ed n\u011bkter\u00fdch l\u00e9k\u016f, ale tak\u00e9 sedav\u00fd \u017eivotn\u00ed styl, kou\u0159en\u00ed nebo nadm\u011brn\u00fd p\u0159\u00edjem alkoholu a kofeinu. V\u00fdskyt osteopor\u00f3zy v populaci se nav\u00edc neust\u00e1le zvy\u0161uje, v civilizovan\u00fdch zem\u00edch se jedn\u00e1 o 7 a\u017e 8 % populace. V\u00e1pn\u00edku v kostech ub\u00fdv\u00e1 u\u017e od 30. roku \u017eivota, typick\u00e9 je ale toto onemocn\u011bn\u00ed pro obdob\u00ed menopauzy, kdy se t\u00fdk\u00e1 \u017een ve v\u011bku nad 50 let. Proto hlavn\u011b v tomto stadiu \u017eivota v\u011bnujte dostate\u010dnou pozornost sv\u00e9mu zdravotn\u00edmu stavu. Pro klid v du\u0161i m\u016f\u017eete doch\u00e1zet na bezbolestn\u00e9 vy\u0161et\u0159en\u00ed osteopor\u00f3zy (tzv. denzitometrie), kter\u00e9 se pou\u017e\u00edv\u00e1 ke stanoven\u00ed hustoty kostn\u00ed tk\u00e1n\u011b a k ur\u010den\u00ed mno\u017estv\u00ed miner\u00e1l\u016f v kostech.<\/p>\n<p>P\u0159edch\u00e1zejte \u0159\u00eddnut\u00ed kost\u00ed<\/p>\n<p>Osteopor\u00f3zu lze l\u00e9\u010dit bu\u010f potla\u010dov\u00e1n\u00edm \u0159\u00eddnut\u00ed kost\u00ed, nebo podporou tvorby nov\u00e9 kostn\u00ed hmoty. Prevence m\u00e1 sv\u016fj v\u00fdznam. Ve vy\u0161\u0161\u00edm v\u011bku dbejte na bezpe\u010dnost p\u0159i b\u011b\u017en\u00fdch \u010dinnostech a sportu, sna\u017ete se p\u0159edch\u00e1zet hlavn\u011b p\u00e1d\u016fm, kter\u00e9 mohou vy\u00fastit ve zlomeniny.<br \/>\nZ\u00e1kladem l\u00e9\u010dby i samotn\u00e9 prevence je pravideln\u00fd pohyb a zdrav\u00e1 \u017eivotospr\u00e1va.<br \/>\nPozornost v\u011bnujte strav\u011b bohat\u00e9 na v\u00e1pn\u00edk (ml\u00e9ko, ml\u00e9\u010dn\u00e9 v\u00fdrobky, m\u00e1k, sezam nebo tvaroh) a vitamin D (ryby a plody mo\u0159e).<br \/>\nDopl\u0148kov\u00fdm zdrojem v\u00e1pn\u00edku m\u016f\u017ee b\u00fdt i brokolice nebo kv\u011bt\u00e1k. Doporu\u010den\u00fd p\u0159\u00edjem tohoto miner\u00e1lu pro dosp\u011bl\u00e9 osoby nad 50 let je 1200 a\u017e 1500 mg denn\u011b. Pokud m\u00e1te pocit, \u017ee va\u0161e strava neobsahuje dostatek v\u00e1pn\u00edku, m\u016f\u017eete s\u00e1hnout po voln\u011b prodejn\u00fdch l\u00e9\u010div\u00fdch p\u0159\u00edpravc\u00edch s kostn\u00edmi miner\u00e1ly.<\/p>\n<p>doc. MUDr. V\u00e1clav Vysko\u010dil, Ph. D.<br \/>\nvedouc\u00ed Osteocentra Fakultn\u00ed nemocnice Plze\u0148-Bory<br \/>\n&#8222;V \u010cesk\u00e9 republice je jednou z hlavn\u00edch p\u0159\u00ed\u010din vzniku osteopor\u00f3zy nedostate\u010dn\u00fd p\u0159\u00edjem v\u00e1pn\u00edku. T\u00e9m\u011b\u0159 78 % \u010desk\u00fdch \u017een po menopauze nedosahuje podle pr\u016fzkumu ani minim\u00e1ln\u00edho denn\u00edho p\u0159\u00edjmu, co\u017e je 1 300 mg. Krom\u011b v\u00e1pn\u00edku jsou v r\u00e1mci prevence osteopor\u00f3zy d\u016fle\u017eit\u00e9 i kostn\u00ed miner\u00e1ly, jako nap\u0159\u00edklad zinek, kter\u00fd podporuje r\u016fst a hojen\u00ed kost\u00ed, \u010di m\u011b\u010f, je\u017e je nezbytn\u00e1 pro vazbu kolagenu a elastanu.&#8220;<\/p>\n<p>Doporu\u010den\u00e1 dieta s vysok\u00fdm obsahem v\u00e1pn\u00edku<\/p>\n<p>&#8211; Nejprve rozd\u011blte denn\u00ed j\u00eddlo do v\u00edce men\u0161\u00edch d\u00e1vek.<br \/>\n&#8211; V\u011bt\u0161\u00ed \u010d\u00e1st pokrm\u016f s vy\u0161\u0161\u00edm obsahem v\u00e1pn\u00edku pod\u00e1vejte v odpoledn\u00edch a ve\u010dern\u00edch hodin\u00e1ch, proto\u017ee v\u00e1pn\u00edk se nejl\u00e9pe vst\u0159eb\u00e1v\u00e1 v noci.<br \/>\n&#8211; Jeho vst\u0159eb\u00e1v\u00e1n\u00ed podporuje kysel\u00e9 prost\u0159ed\u00ed. Do stravy proto za\u0159a\u010fte kyselej\u0161\u00ed potraviny (pijte ovocn\u00e9 \u0161\u0165\u00e1vy a mo\u0161ty, konzumujte kysel\u00e9 zeleninov\u00e9 sal\u00e1ty).<br \/>\n&#8211; Omezte pokrmy obsahuj\u00edc\u00ed kyselinu \u0161\u0165avelovou, jako \u0161pen\u00e1t, ryb\u00edz, angre\u0161t, a pokrmy s vy\u0161\u0161\u00edm obsahem hrub\u00e9 vl\u00e1kniny, jako otruby, celozrnn\u00e9 mouky, chl\u00e9b Graham apod.<br \/>\n&#8211; Omezte pit\u00ed alkoholu, k\u00e1vy a kofeinov\u00fdch n\u00e1poj\u016f v\u016fbec.<\/p>\n<p>&#8212;<\/p>\n<p>V\u00edte, \u017ee&#8230;?<br \/>\nSlovo osteopor\u00f3za vzniklo slo\u017een\u00edm latinsk\u00fdch slov &#8222;osteo&#8220; Z kost a &#8222;porosis&#8220; Z pro\u0159\u00eddnut\u00ed. Osteopor\u00f3za je z\u00e1ludn\u00e1 t\u00edm, \u017ee prob\u00edh\u00e1 \u010dasto i des\u00edtky let bez p\u0159\u00edznak\u016f. Jej\u00ed v\u00fdskyt p\u0159ib\u00fdv\u00e1 s rostouc\u00edm po\u010dtem aut, jezdic\u00edch schod\u016f a klesaj\u00edc\u00edm po\u010dtem krok\u016f, kter\u00e9 denn\u011b ujdete. Brzkou zn\u00e1mkou osteopor\u00f3zy m\u016f\u017ee b\u00fdt ztr\u00e1ta kostn\u00ed hmoty v \u010delisti, kterou odhal\u00ed rentgen zub\u016f. Osteopor\u00f3za zp\u016fsob\u00ed 90 % v\u0161ech zlomenin kr\u010dku kosti stehenn\u00ed. M\u016f\u017ee se osteopor\u00f3za st\u00e1t tak\u00e9 va\u0161\u00edm probl\u00e9mem?<br \/>\n&#8211; Utrp\u011bla jste n\u011bkdy i po mal\u00e9m \u00farazu zlomeninu?<br \/>\n&#8211; U\u017e\u00edv\u00e1te po dlouhou dobu kortikoidy?<br \/>\n&#8211; M\u00e1te \u0161t\u00edhlou nebo malou postavu?<br \/>\n&#8211; Vynechala v\u00e1m n\u011bkdy menstruace na dobu del\u0161\u00ed ne\u017e p\u016fl roku?<br \/>\n&#8211; Byla jste n\u011bkdy v \u017eivot\u011b upout\u00e1na alespo\u0148 na n\u011bkolik t\u00fddn\u016f na l\u016f\u017eko (\u00faraz, nemoc)?<br \/>\n&#8211; Str\u00e1v\u00edte denn\u011b na \u010derstv\u00e9m vzduchu m\u00e9n\u011b ne\u017e 1 hodinu?<br \/>\n&#8211; D\u011bl\u00e1te pravidelnou pohybovou aktivitu m\u00e9n\u011b ne\u017e 2x t\u00fddn\u011b? * Kou\u0159\u00edte pravideln\u011b?<br \/>\n&#8211; Vypijete v\u00edce ne\u017e 3 \u0161\u00e1lky k\u00e1vy denn\u011b?<br \/>\n&#8211; Vypijete denn\u011b m\u00e9n\u011b ne\u017e 0,5 l ml\u00e9ka nebo sn\u00edte m\u00e9n\u011b ne\u017e<\/p>\n<p>100 g polotu\u010dn\u00e9ho s\u00fdra? Jestli\u017ee na 3 a v\u00edce ot\u00e1zek odpov\u00edte ANO, potom i v\u00e1m hroz\u00ed riziko osteopor\u00f3zy.<\/p>\n<p>&nbsp;<\/p>\n<p>Jana Uhl\u00ed\u0159ov\u00e1<\/p>\n<p>Katka<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Osteopor\u00f3za pat\u0159\u00ed mezi civiliza\u010dn\u00ed choroby sou\u010dasnosti. Celosv\u011btov\u011b trp\u00ed touto nemoc\u00ed ka\u017ed\u00e1 t\u0159et\u00ed \u017eena a ka\u017ed\u00fd p\u00e1t\u00fd mu\u017e ve v\u011bku nad 50 let. Podle odborn\u00edk\u016f lze <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=26532\" title=\"M\u00e1te dost v\u00e1pn\u00edku?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14127,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26532","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\/26532","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=26532"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26532\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14127"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26532"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26532"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26532"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}