Projev\u00ed se bez varov\u00e1n\u00ed. To je na tromb\u00f3ze nejz\u00e1ke\u0159n\u011bj\u0161\u00ed. P\u0159itom se j\u00ed m\u00e1lokdo z n\u00e1s ob\u00e1v\u00e1. A je\u0161t\u011b m\u00e9n\u011b se v\u00ed, jak j\u00ed p\u0159edch\u00e1zet.<\/p>\n
Krevn\u00ed sra\u017eenina \u010dili tromb\u00f3za m\u00e1 na sv\u011bdom\u00ed jednoho ze \u010dty\u0159 lid\u00ed, kte\u0159\u00ed na cel\u00e9m sv\u011bt\u011b zem\u0159ou. To je \u0161\u00edlen\u00e9 \u010d\u00edslo. Krevn\u00ed sra\u017eeniny jsou hlavn\u00ed p\u0159\u00ed\u010dinou srde\u010dn\u00edho infarktu i mrtvice, a samoz\u0159ejm\u011b tak\u00e9 plicn\u00ed embolie, kdy se p\u0159i \u017eiln\u00ed tromb\u00f3ze tvo\u0159\u00ed krevn\u00ed sra\u017eenina v hlubok\u00fdch \u017eil\u00e1ch doln\u00edch kon\u010detin, odkud m\u016f\u017ee cestovat ob\u011bhov\u00fdm syst\u00e9mem pr\u00e1v\u011b a\u017e do plic (slovo embol znamen\u00e1 vmetek), kde zablokuje n\u011bkterou z c\u00e9v. Pak hovo\u0159\u00edme o tromboembolii. Riziko tromb\u00f3zy je vy\u0161\u0161\u00ed u onkologick\u00fdch pacient\u016f, zvl\u00e1\u0161\u0165 kv\u016fli chemoterapii.
\nU hospitalizovan\u00fdch lid\u00ed je tromb\u00f3za zodpov\u011bdn\u00e1 za v\u00edce \u00famrt\u00ed a p\u0159\u00edpad\u016f, kdy se pacient stane invalidn\u00edm, ne\u017e z\u00e1pal plic a infekce.
\nP\u0159\u00edmou p\u0159\u00ed\u010dinou probl\u00e9mu je shlukov\u00e1n\u00ed krevn\u00edch desti\u010dek. Za b\u011b\u017en\u00e9 situace krevn\u00ed desti\u010dky voln\u011b pluj\u00ed v krvi. Z r\u016fzn\u00fdch d\u016fvod\u016f se v\u0161ak m\u016f\u017ee st\u00e1t, \u017ee za\u010dnou b\u00fdt n\u00e1chyln\u011bj\u0161\u00ed ke sr\u00e1\u017een\u00ed. Pak maj\u00ed tendenci shlukovat se a vytv\u00e1\u0159et krevn\u00ed sra\u017eeninu. Ta m\u016f\u017ee nab\u00fdt takov\u00e9 velikosti, \u017ee v\u00fdrazn\u011b omez\u00ed pr\u016ftok krve v c\u00e9v\u011b, nebo ji dokonce ucpe.
\nNa vzniku tromb\u00f3zy se v\u017edy pod\u00edl\u00ed v\u00edce \u010dinitel\u016f. Nejsiln\u011bj\u0161\u00edm rizikov\u00fdm faktorem je vrozen\u00fd sklon k tvorb\u011b \u017eiln\u00edch sra\u017eenin. Pat\u0159\u00ed sem tak\u00e9 \u00bbvelk\u00e9\u00ab operace (kloubn\u00ed, b\u0159i\u0161n\u00ed, onkologick\u00e9), v\u00e1\u017en\u00e9 \u00farazy, dlouhodob\u00e1 nepohyblivost nebo u\u017e\u00edv\u00e1n\u00ed n\u011bkter\u00fdch l\u00e9k\u016f. Ty obvykle b\u00fdvaj\u00ed d\u016fvodem k preventivn\u00edmu pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f proti sr\u00e1\u017elivosti krve. K dal\u0161\u00edm rizik\u016fm pat\u0159\u00ed s\u00e1drov\u00e1 fixace kon\u010detin, dlouh\u00fd let, p\u0159\u00edpadn\u011b j\u00edzda autobusem, t\u011bhotenstv\u00ed a \u0161estined\u011bl\u00ed \u010di d\u00e9letrvaj\u00edc\u00ed l\u00e9\u010dba kortikoidy. Zna\u010dn\u00fdm hazardem je kou\u0159en\u00ed \u010di obezita, pravd\u011bpodobnost vzniku tromb\u00f3zy stoup\u00e1 i s v\u011bkem. U \u017een pat\u0159\u00ed k rizikov\u00fdm faktor\u016fm u\u017e\u00edv\u00e1n\u00ed hormon\u00e1ln\u00ed antikoncepce, ale tak\u00e9 hormon\u00e1ln\u00ed substitu\u010dn\u00ed l\u00e9\u010dba (t\u0159eba v menopauze). Nebezpe\u010d\u00ed zvy\u0161uj\u00ed tzv. trombofiln\u00ed mutace, tedy genetick\u00fd sklon k tromb\u00f3z\u00e1m. \u017deny, kter\u00e9 cht\u011bj\u00ed u\u017e\u00edvat antikoncepci, by si m\u011bly nechat ov\u011b\u0159it, zda se jich trombofiln\u00ed mutace net\u00fdkaj\u00ed. U n\u00e1s m\u00e1 n\u011bkterou p\u0159ibli\u017en\u011b osm procent lid\u00ed. N\u011bkter\u00e9 poji\u0161\u0165ovny na test p\u0159isp\u00edvaj\u00ed, zeptejte se na to.
\nP\u0159\u00edznaky hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy jsou bolest, otok a pocit nap\u011bt\u00ed v posti\u017een\u00e9 doln\u00ed kon\u010detin\u011b (obvykle v l\u00fdtku), siln\u00e1 bolest v posti\u017een\u00e9m m\u00edst\u011b, tepl\u00e1 poko\u017eka v m\u00edst\u011b, kde se utvo\u0159ila krevn\u00ed sra\u017eenina a z\u010derven\u00e1n\u00ed k\u016f\u017ee, zejm\u00e9na na zadn\u00ed stran\u011b posti\u017een\u00e9 doln\u00ed kon\u010detiny v oblasti pod kolenem. Pokud se hlubok\u00e1 \u017eiln\u00ed tromb\u00f3za nel\u00e9\u010d\u00ed, m\u016f\u017ee vzniknout plicn\u00ed embolie. P\u0159\u00edznaky jsou du\u0161nost, kter\u00e1 se m\u016f\u017ee vyskytnout bu\u010f n\u00e1hle, nebo postupn\u011b nar\u016fstat, bolest na hrudi, kter\u00e1 se zhor\u0161uje p\u0159i d\u00fdch\u00e1n\u00ed, a n\u00e1hl\u00e1 ztr\u00e1ta v\u011bdom\u00ed. N\u00e1v\u0161t\u011bva l\u00e9ka\u0159e a zah\u00e1jen\u00ed l\u00e9\u010dby jsou nutn\u00e9 hned!<\/p>\n
Bolest v noze m\u016f\u017ee signalizovat nebezpe\u010d\u00ed<\/p>\n
OBY\u010cEJN\u00c1 PREVENCE<\/p>\n
Na\u0161e babi\u010dky \u0159\u00edkaly, \u017ee kdy\u017e hodn\u011b pijeme, \u00bbna\u0159ed\u00edme\u00ab krev. Je to opravdu tak. Ostatn\u011b v\u00edme, \u017ee kdy\u017e m\u00e1me j\u00edt na odb\u011br krve, doporu\u010duje se n\u00e1m p\u0159edt\u00edm hodn\u011b p\u00edt. D\u016fle\u017eit\u00fd je pohyb, pro\u0161lap\u00e1vejte chodidla, oh\u00fdbejte nohy. Kdy\u017e dlouho jedete, ud\u011blejte si p\u0159est\u00e1vku a vypl\u0148te ji protahov\u00e1n\u00edm nohou a \u00bb\u010dap\u00edm\u00ab krokem.<\/p>\n
L.A. Ka\u0161parov\u00e1<\/p>\n
Rytmus \u017eivota<\/p>\n","protected":false},"excerpt":{"rendered":"
Projev\u00ed se bez varov\u00e1n\u00ed. To je na tromb\u00f3ze nejz\u00e1ke\u0159n\u011bj\u0161\u00ed. P\u0159itom se j\u00ed m\u00e1lokdo z n\u00e1s ob\u00e1v\u00e1. A je\u0161t\u011b m\u00e9n\u011b se v\u00ed, jak j\u00ed p\u0159edch\u00e1zet.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14587,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26555","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\/26555","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=26555"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26555\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14587"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}