M\u00e1te tak\u00e9 „sm\u016flu“ na do\u017eivotn\u00edho spole\u010dn\u00edka v podob\u011b t\u00e9to nep\u0159\u00edjemn\u00e9 nemoci? A m\u016f\u017eete se i v tomto p\u0159\u00edpad\u011b st\u00e1t maminkou? Co ud\u011bl\u00e1 t\u011bhotenstv\u00ed s va\u0161\u00edm t\u011blem? A nen\u00ed onemocn\u011bn\u00ed d\u011bdi\u010dn\u00e9? Odpov\u011bdi jsou optimistick\u00e9.<\/p>\n
Mlad\u00fdch \u017een s roztrou\u0161enou skler\u00f3zou st\u00e1le p\u0159ib\u00fdv\u00e1 (jen j\u00e1 jich osobn\u011b zn\u00e1m p\u011bt). Pro\u010d? Na tuto ot\u00e1zku si netrouf\u00e1 jednozna\u010dn\u011b odpov\u011bd\u011bt \u017e\u00e1dn\u00fd l\u00e9ka\u0159. Ka\u017edop\u00e1dn\u011b jde o v\u00e1\u017enou autoimunitn\u00ed chorobu, kter\u00e1 nej\u010dast\u011bji p\u0159ekvap\u00ed \u017eeny mezi 20. a 40. rokem \u017eivota, tedy pr\u00e1v\u011b v dob\u011b, kdy pl\u00e1nuj\u00ed t\u011bhotenstv\u00ed a tou\u017e\u00ed zalo\u017eit rodinu.<\/p>\n
VY ALE NEM\u016e\u017dETE M\u00cdT D\u00cdT\u011a!<\/p>\n
Takovou odpov\u011b\u010f si je\u0161t\u011b p\u0159ed zhruba patn\u00e1cti lety vyslechla ka\u017ed\u00e1 \u017eena s touto nemoc\u00ed, kter\u00e1 si troufl a sv\u011b\u0159it l\u00e9ka\u0159i, \u017ee by r\u00e1da ot\u011bhotn\u011bla. Ano, d\u0159\u00edve se pacientk\u00e1m s „ereskou“ t\u011bhotenstv\u00ed d\u016frazn\u011b nedoporu\u010dovalo, dnes ji\u017e ale l\u00e9ka\u0159i nejsou tak nekompromisn\u00ed. V\u00fdsledky v\u011bdeck\u00fdch studi\u00ed toti\u017e uk\u00e1zaly, \u017ee t\u011bhotenstv\u00ed naopak nemocn\u00fdm \u017een\u00e1m sv\u011bd\u010d\u00ed, zm\u00edr\u0148uje pr\u016fb\u011bh choroby a nast\u00e1vaj\u00edc\u00ed maminky se ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f c\u00edt\u00ed dob\u0159e. P\u0159ed jej\u00edmi p\u0159\u00edpadn\u00fdmi ataky je toti\u017e chr\u00e1n\u00ed hormony a jimi zp\u016fsoben\u00e1 zm\u011bna imunitn\u00edch pochod\u016f v t\u011ble.
\n„Pacientk\u00e1m z\u00e1sadn\u011b t\u011bhotenstv\u00ed nezakazujeme, naprost\u00e1 v\u011bt\u0161ina \u017een s roztrou\u0161enou skler\u00f3zou projde graviditou bez komplikac\u00ed. Jen minimum \u017een m\u00e1 takov\u00fd pr\u016fb\u011bh onemocn\u011bn\u00ed, \u017ee pro n\u011b nen\u00ed t\u011bhotenstv\u00ed vhodn\u00e9,“ uv\u00e1d\u00ed doc. MUDr. Dana Hor\u00e1kov\u00e1, Ph. D., z Centra pro demyeliniza\u010dn\u00ed onemocn\u011bn\u00ed 1. l\u00e9ka\u0159sk\u00e9 fakulty UK a VFN Praha.<\/p>\n
PO\u010cET\u00cd PODLE PL\u00c1NU<\/p>\n
Z\u00e1sadn\u00ed podm\u00ednkou je, \u017ee t\u011bhotenstv\u00ed mus\u00ed b\u00fdt p\u0159edem napl\u00e1nov\u00e1no, a to spole\u010dn\u011b s gynekologem i neurologem, jeliko\u017e u\u017e v dob\u011b, kdy se o miminko za\u010dnete sna\u017eit, bude vysazena nebo omezena l\u00e9\u010dba kortikosteroidy, kter\u00e9 by mohly p\u0159i ran\u00e9m v\u00fdvoji embrya \u0161kodit. A \u017e\u00e1dn\u00fd l\u00e9ka\u0159 nedok\u00e1\u017ee s jistotou \u0159\u00edci, co absence d\u016fle\u017eit\u00fdch l\u00e9k\u016f s organismem \u017eeny ud\u011bl\u00e1.
\nMo\u017en\u00e1 v\u00e1s p\u0159ekvap\u00ed, \u017ee za nejrizikov\u011bj\u0161\u00ed obdob\u00ed na cest\u011b k miminku se nepova\u017euje t\u011bhotenstv\u00ed ani porod, ale \u0161estined\u011bl\u00ed a n\u011bkolik dal\u0161\u00edch m\u011bs\u00edc\u016f. V tuto dobu se (zejm\u00e9na d\u00edky obrovsk\u00fdm hormon\u00e1ln\u00edm i psychick\u00fdm zm\u011bn\u00e1m, oslaben\u00ed organismu po porodu, nevysp\u00e1n\u00ed\u2026) zvy\u0161uje riziko ataky nemoci. Zdaleka to ale neznamen\u00e1, \u017ee mus\u00ed postihnout ka\u017edou maminku!<\/p>\n
T\u011bhotensk\u00e9 hormony kupodivu pom\u00e1ha j\u00ed nast\u00e1va j\u00edc\u00ed mamince chorobu l\u00e9pe zvl\u00e1dn out .<\/p>\n
CO TO VLASTN\u011a „ERESKA“ JE?<\/p>\n
Roztrou\u0161en\u00e1 skler\u00f3za postihuje centr\u00e1ln\u00ed nervov\u00fd syst\u00e9m a vyskytuje se \u010dast\u011bji u \u017een. Jde o chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed, kter\u00e9 m\u00e1 n\u011bkolik f\u00e1z\u00ed. Prvn\u00ed f\u00e1ze se zpravidla projevuje tzv. atakami, tedy z\u00e1chvaty \u010dasto s brn\u011bn\u00edm kon\u010detin nebo v obli\u010deji, poruchami vid\u011bn\u00ed, urputn\u00fdmi bolestmi hlavy a extr\u00e9mn\u00ed \u00fanavou a \u0159adou dal\u0161\u00edch pot\u00ed\u017e\u00ed. Roztrou\u0161en\u00e1 skler\u00f3za m\u016f\u017ee doj\u00edt a\u017e do t\u0159et\u00ed f\u00e1ze – stavu svalov\u00e9 dystrofi e, tedy ochabov\u00e1n\u00ed svalstva. Typick\u00e9 je st\u0159\u00edd\u00e1n\u00ed obdob\u00ed z\u00e1chvat\u016f a obdob\u00ed zd\u00e1nliv\u00e9ho klidu. Tento proces je nep\u0159edv\u00eddateln\u00fd, a proto i l\u00e9\u010dba a prevence jsou slo\u017eit\u00e9. Mezi spou\u0161t\u011b\u010de choroby pat\u0159\u00ed genetick\u00e9 dispozice, dlouhodob\u00fd stres, nel\u00e9\u010den\u00e9 psychick\u00e9 a nervov\u00e9 obt\u00ed\u017ee, \u017eivotn\u00ed trauma (n\u00e1ro\u010dn\u00fd rozvod, \u00famrt\u00ed v rodin\u011b, nehoda\u2026), EB virus (zp\u016fsobuj\u00edc\u00ed infek\u010dn\u00ed mononukle\u00f3zu), nedostatek vitaminu D a n\u011bkter\u00e9 dal\u0161\u00ed nezdrav\u00e9 stavy.<\/p>\n
—<\/p>\n
V\u00cdTE, \u017dE\u2026
\nJen v \u010cesku se s touto nemoc\u00ed pot\u00fdk\u00e1 aktu\u00e1ln\u011b zhruba 12 tis\u00edc \u017een. Riziko, \u017ee maminka (nebo tat\u00ednek) p\u0159enesou svou nemoc na potomka, je podle genetik\u016f zhruba 20%, tedy ve srovn\u00e1n\u00ed s rizikem posti\u017een\u00ed d\u011bt\u00ed zdrav\u00fdch rodi\u010d\u016f je jen m\u00edrn\u011b zv\u00fd\u0161en\u00e9. St\u00e1le v\u00edce pacient\u016f si pochvaluje p\u0159\u00edrodn\u00ed konopn\u00fd olej (s obsahem l\u00e9\u010div\u00e9 l\u00e1tky kannabidiol) jako v\u00fdborn\u00fd prost\u0159edek k \u00falev\u011b od mraven\u010den\u00ed, svalov\u00e9ho nap\u011bt\u00ed a k\u0159e\u010d\u00ed. Olej m\u00e1 nav\u00edc siln\u00e9 protiz\u00e1n\u011btliv\u00e9 \u00fa\u010dinky. (carun.cz) V\u00edce informac\u00ed hledejte: multiplesclerosis.cz, aktivnizivot.cz, rskompas.cz, ereska.cz<\/p>\n
SIMONA PROCH\u00c1ZKOV\u00c1
\nBetynka<\/p>\n","protected":false},"excerpt":{"rendered":"
M\u00e1te tak\u00e9 „sm\u016flu“ na do\u017eivotn\u00edho spole\u010dn\u00edka v podob\u011b t\u00e9to nep\u0159\u00edjemn\u00e9 nemoci? A m\u016f\u017eete se i v tomto p\u0159\u00edpad\u011b st\u00e1t maminkou? Co ud\u011bl\u00e1 t\u011bhotenstv\u00ed s va\u0161\u00edm […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14538,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27108","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\/27108","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=27108"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27108\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14538"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27108"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27108"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}