{"id":27154,"date":"2017-02-03T19:10:06","date_gmt":"2017-02-03T18:10:06","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27154"},"modified":"2017-02-03T19:10:06","modified_gmt":"2017-02-03T18:10:06","slug":"aby-krev-lehce-proudila","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27154","title":{"rendered":"Aby krev lehce proudila"},"content":{"rendered":"<p>\u017diln\u00ed probl\u00e9my v\u00e1m mohou p\u011bkn\u011b ztrp\u010dovat \u017eivot &#8211; a o ten m\u016f\u017ee dokonce n\u011bkdy i j\u00edt. To, \u017ee m\u00e1me v t\u011ble n\u011bjak\u00e9 \u017e\u00edly, si uv\u011bdom\u00edme v\u011bt\u0161inou jen v p\u0159\u00edpad\u011b odb\u011bru krve. A pak tak\u00e9 v okam\u017eiku, kdy n\u00e1s za\u010dnou tr\u00e1pit.<br \/>\n<!--more--><\/p>\n<p>Bol\u00ed v\u00e1s \u010dasto nohy? Ot\u00e9kaj\u00ed v\u00e1m po del\u0161\u00edm st\u00e1n\u00ed, sezen\u00ed nebo k ve\u010deru? M\u00e1vnout nad t\u00edm rukou nen\u00ed dobr\u00e9, m\u016f\u017ee j\u00edt o \u017eiln\u00ed onemocn\u011bn\u00ed. Nej\u010dast\u011bji to b\u00fdvaj\u00ed k\u0159e\u010dov\u00e9 \u017e\u00edly nebo i tromb\u00f3za. <\/p>\n<p>K\u0159e\u010dov\u00e9 \u017e\u00edly <\/p>\n<p>\u010clov\u011bk je jedin\u00fd tvor v cel\u00e9 \u017eivo\u010di\u0161n\u00e9 \u0159\u00ed\u0161i, u kter\u00e9ho se k\u0159e\u010dov\u00e9 \u017e\u00edly neboli varixy vyskytuj\u00ed. Pravd\u011bpodobn\u011b je to zp\u016fsobeno nap\u0159\u00edmen\u00edm postavy b\u011bhem evoluce. Dnes pat\u0159\u00ed &#8222;k\u0159e\u010d\u00e1ky&#8220; mezi nej\u010dast\u011bj\u0161\u00ed civiliza\u010dn\u00ed onemocn\u011bn\u00ed a t\u00fdk\u00e1 se to jak \u017een, tak mu\u017e\u016f. <\/p>\n<p>Nepodce\u0148ujte je <\/p>\n<p>Jako prvn\u00ed p\u0159\u00edznaky se objevuj\u00ed na k\u016f\u017ei nohou takzvan\u00e9 metli\u010dky nebo pavou\u010dkov\u00e9 n\u00e9vy. Z t\u011bch se pozd\u011bji mohou st\u00e1t nevzhledn\u00e9 vystoupl\u00e9 pletence. Nejde jen o kosmetick\u00fd defekt, ale p\u0159edev\u0161\u00edm o sn\u00ed\u017eenou funk\u010dnost \u017eiln\u00ed st\u011bny. To p\u0159in\u00e1\u0161\u00ed dal\u0161\u00ed obt\u00ed\u017ee: ekz\u00e9my, otoky, pigmentaci, zm\u011bnu v\u00fd\u017eivy tk\u00e1n\u011b b\u00e9rce a v krajn\u00edch p\u0159\u00edpadech b\u00e9rcov\u00fd v\u0159ed. <\/p>\n<p>Zbavte se jich v\u010das <\/p>\n<p>Krom\u011b viditeln\u00fdch projev\u016f k\u0159e\u010dov\u00fdch \u017eil m\u016f\u017ee p\u0159ij\u00edt tak\u00e9 bolest a pocit t\u011b\u017ek\u00fdch nohou, no\u010dn\u00ed k\u0159e\u010de, neklidn\u00e9 nohy, pocit p\u00e1len\u00ed nohou nebo sv\u011bd\u011bn\u00ed. Typick\u00e9 b\u00fdv\u00e1 zhor\u0161en\u00ed p\u0159\u00edznak\u016f k ve\u010deru. Probl\u00e9my se zhor\u0161uj\u00ed dlouh\u00fdm st\u00e1n\u00edm, sezen\u00edm a teplem. Funguje zde tak\u00e9 sezonn\u00ed z\u00e1vislost &#8211; zhor\u0161en\u00ed obt\u00ed\u017e\u00ed b\u011bhem l\u00e9ta a zlep\u0161en\u00ed v zim\u011b. Ke zv\u00fdrazn\u011bn\u00ed probl\u00e9m\u016f u \u017een m\u016f\u017ee doj\u00edt tak\u00e9 v obdob\u00ed menstruace a menopauzy. Existuje sice \u0159ada l\u00e9k\u016f, takzvan\u00fdch venofarmak, kter\u00e9 dok\u00e1\u017eou od p\u0159\u00edznak\u016f ulevit, ne v\u0161echny v\u0161ak maj\u00ed stejnou \u00fa\u010dinnost. A vzhledem k tomu, \u017ee zm\u00edn\u011bn\u00e9 p\u0159\u00edznaky mohou signalizovat i spoustu jin\u00fdch onemocn\u011bn\u00ed, je v\u017edy lep\u0161\u00ed nav\u0161t\u00edvit l\u00e9ka\u0159e, kter\u00fd pomoc\u00ed ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed zjist\u00ed, v jak\u00e9m stavu \u017e\u00edly jsou a zda jde o k\u0159e\u010dov\u00e9 \u017e\u00edly, tromb\u00f3zu, nebo \u00fapln\u011b jinou nemoc. <\/p>\n<p>Opakovan\u00e9 n\u00e1vraty <\/p>\n<p>\u010casto se st\u00e1v\u00e1, \u017ee k\u0159e\u010dov\u00e9 \u017e\u00edly maj\u00ed tendenci se po operaci po n\u011bjak\u00e9m \u010dase znovu objevit. Zda bude sta\u010dit operace jedna, dv\u011b, nebo v\u00edce, z\u00e1le\u017e\u00ed hodn\u011b na va\u0161em \u017eivotn\u00edm stylu v\u010detn\u011b stravov\u00e1n\u00ed a genetick\u00fdch dispozic\u00edch. Spr\u00e1vnou p\u00e9\u010d\u00ed o nohy i \u017eiln\u00ed syst\u00e9m a v\u010dasn\u00fdm vy\u0161et\u0159en\u00edm m\u016f\u017eete zabr\u00e1nit zhor\u0161en\u00ed stavu a p\u0159edej\u00edt v\u011bt\u0161\u00edm l\u00e9ka\u0159sk\u00fdm z\u00e1krok\u016fm. <\/p>\n<p>Tromb\u00f3za <\/p>\n<p>\u017diln\u00ed tromb\u00f3za je ucp\u00e1n\u00ed \u017e\u00edly krevn\u00ed sra\u017eeninou. Doch\u00e1z\u00ed k n\u00ed vlivem n\u011bkolika faktor\u016f, nap\u0159\u00edklad zpomalen\u00ed krevn\u00edho toku v \u017e\u00edle, po\u0161kozen\u00e9 \u017eiln\u00ed st\u011bny a zv\u00fd\u0161en\u00e9 sr\u00e1\u017elivosti krve. Hroz\u00ed i p\u0159i \u00farazech nebo po operac\u00edch. <\/p>\n<p>Ob\u00e1van\u00e1 sra\u017eenina <\/p>\n<p>\u010c\u00e1ste\u010dn\u00e9 ucp\u00e1n\u00ed \u017e\u00edly m\u00e1 za n\u00e1sledek nedokrvenost posti\u017een\u00e9 oblasti. V \u010cesku tromb\u00f3zu prod\u011bl\u00e1 ka\u017ed\u00fd rok asi dvacet tis\u00edc lid\u00ed, nav\u00edc toto onemocn\u011bn\u00ed \u010dasto unik\u00e1 spr\u00e1vn\u00e9 diagnostice. Nebezpe\u010dn\u00e9 je, kdy\u017e se sra\u017eenina od \u017eiln\u00ed st\u011bny uvoln\u00ed a krevn\u00edm ob\u011bhem pak doputuje do plic, srdce nebo mozku. Tam zp\u016fsob\u00ed embolii (akutn\u00ed nedostatek kysl\u00edku v tk\u00e1ni), kter\u00e1 m\u016f\u017ee m\u00edt za n\u00e1sledek i smrt. <\/p>\n<p>Varovn\u00e9 p\u0159\u00edznaky <\/p>\n<p>Naprost\u00e1 v\u011bt\u0161ina p\u0159\u00edpad\u016f \u017eiln\u00edch tromb\u00f3z se odehr\u00e1v\u00e1 na doln\u00edch kon\u010detin\u00e1ch. Pokud v\u00e1s bez vn\u011bj\u0161\u00ed p\u0159\u00ed\u010diny (nap\u0159\u00edklad po dlouh\u00e9 nam\u00e1hav\u00e9 ch\u016fzi nebo sportu) bol\u00ed nohy, ot\u00e9kaj\u00ed v\u00e1m nebo pozorujete barevn\u00e9 zm\u011bny na poko\u017ece, m\u016f\u017ee se jednat o \u017eiln\u00ed tromb\u00f3zu. Proto\u017ee v\u0161ak podobn\u00e9 p\u0159\u00edznaky m\u00edvaj\u00ed i jin\u00e9, nec\u00e9vn\u00ed stavy, nav\u0161tivte co nejd\u0159\u00edve l\u00e9ka\u0159e, kter\u00fd stanov\u00ed spr\u00e1vnou diagn\u00f3zu. <\/p>\n<p>Diagnostika a l\u00e9\u010dba <\/p>\n<p>Pro zji\u0161t\u011bn\u00ed \u017eiln\u00ed tromb\u00f3zy se jako hlavn\u00ed vy\u0161et\u0159ovac\u00ed metoda pou\u017e\u00edv\u00e1 ultrazvukov\u00e9 zobrazen\u00ed \u017eil, kter\u00e9 je samoz\u0159ejm\u011b bezbolestn\u00e9. Tomu p\u0159edch\u00e1z\u00ed pe\u010dliv\u00e9 l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed v\u010detn\u011b anamn\u00e9zy a rozboru rizikov\u00fdch faktor\u016f. Jestli\u017ee se potvrd\u00ed tromb\u00f3za, l\u00e9\u010dba je zah\u00e1jena ihned. <\/p>\n<p>5 OT\u00c1ZEK PRO&#8230;<br \/>\nMUDr. Jana Maru\u0161iaka, PhD., prim\u00e1\u0159e Odd\u011blen\u00ed c\u00e9vn\u00ed a rekonstruk\u010dn\u00ed chirurgie Krajsk\u00e9 nemocnice Liberec, a. s. <\/p>\n<p>&#8211; 1 Jak\u00e9 jsou u n\u00e1s nejnov\u011bj\u0161\u00ed metody l\u00e9\u010dby k\u0159e\u010dov\u00fdch \u017eil? <\/p>\n<p>V t\u00e9to oblasti do\u0161lo v minul\u00fdch deseti letech k v\u00fdrazn\u00e9mu posunu sm\u011brem k miniinvazivn\u00edm z\u00e1krok\u016fm, kter\u00e9 lze prov\u00e1d\u011bt ambulantn\u011b nebo jen s 24hodinovou hospitalizac\u00ed a sou\u010dasn\u011b zanech\u00e1vaj\u00ed minim\u00e1ln\u00ed mno\u017estv\u00ed jizev. Spole\u010dn\u00fdm principem t\u011bchto nov\u00fdch metod je z\u00e1krok na hlavn\u00ed povrchn\u00ed kmenov\u00e9 \u017e\u00edle, kter\u00e1 jde od t\u0159\u00edsla ke kotn\u00edku, a na jej\u00edch spojk\u00e1ch. Jde vpravd\u011b o operace bez krve, prov\u00e1d\u011bn\u00e9 pomoc\u00ed speci\u00e1ln\u00ed sondy, tenk\u00e9ho katetru, s vyu\u017eit\u00edm tepeln\u00e9 energie, tedy radiofrekvence \u010di laseru, nebo v kombinaci s chemickou l\u00e1tkou, kter\u00e1 \u017e\u00edlu a jej\u00ed spojky vypln\u00ed a zabr\u00e1n\u00ed existenci nevzhledn\u00fdch uzl\u016f a boul\u00ed na noze. Nov\u00fdch metod je dnes p\u011bt a\u017e sedm, v\u0161echny jsou zalo\u017eeny na v\u00fd\u0161e popsan\u00e9m principu. <\/p>\n<p>&#8211; 2 Hodn\u011b lid\u00ed varixy ne\u0159e\u0161\u00ed. Pro\u010d mysl\u00edte, \u017ee to tak je? <\/p>\n<p>K\u0159e\u010dov\u00e9 \u017e\u00edly jsou po zubn\u00edm kazu z\u0159ejm\u011b nej\u010dast\u011bj\u0161\u00edm onemocn\u011bn\u00edm, jejich v\u00fdskyt stoup\u00e1 s v\u011bkem. Ve t\u0159iceti letech je to a\u017e dvacet procent pacient\u016f a v pades\u00e1ti letech a\u017e pades\u00e1t procent. Nejde v\u0161ak jen o kosmetickou vadu na kon\u010detin\u011b. Hroz\u00ed riziko z\u00e1n\u011btu k\u0159e\u010dov\u00e9 \u017e\u00edly, p\u0159\u00edpadn\u011b jej\u00edho uzav\u0159en\u00ed &#8211; tromb\u00f3zy, co\u017e je nep\u0159\u00edjemn\u00e1 komplikace. S v\u011bkem m\u016f\u017ee hrozit i vznik b\u00e9rcov\u00e9ho v\u0159edu. N\u011bkte\u0159\u00ed lid\u00e9 tyto v\u011bci podce\u0148uj\u00ed. P\u0159itom plat\u00ed zn\u00e1m\u00e1 z\u00e1sada, \u017ee v ran\u00fdch stadi\u00edch nemoci lze probl\u00e9m snadno \u0159e\u0161it. <\/p>\n<p>&#8211; 3 N\u011bkdo se t\u0159eba ob\u00e1v\u00e1, \u017ee ho opera\u010dn\u00ed z\u00e1krok bude st\u00e1t moc pen\u011bz. Co v p\u0159\u00edpad\u011b l\u00e9\u010dby k\u0159e\u010dov\u00fdch \u017eil hrad\u00ed poji\u0161\u0165ovna a co u\u017e je nadstandard? <\/p>\n<p>Obecn\u011b lze \u0159\u00edct, \u017ee poji\u0161\u0165ovna nov\u00e9 modern\u00ed z\u00e1kroky na \u017eil\u00e1ch pacient\u016fm nehrad\u00ed a cena za z\u00e1krok kol\u00eds\u00e1 podle druhu metody i m\u00edsta zdravotnick\u00e9ho za\u0159\u00edzen\u00ed od 13 000 K\u010d do 25 000 K\u010d za jednu operovanou kon\u010detinu. Pro n\u011bkter\u00e9 pacienty je to \u010d\u00e1stka moc vysok\u00e1 &#8211; ti potom podstupuj\u00ed klasickou operaci. Ta ale zanech\u00e1v\u00e1 v\u00edve jizev, je bolestiv\u011bj\u0161\u00ed, je po n\u00ed v\u00fdrazn\u011b del\u0161\u00ed pracovn\u00ed neschopnost a dlouhodob\u00e9 v\u00fdsledky jsou \u0161patn\u00e9. Nemoc se tak\u00e9 ve srovn\u00e1n\u00ed s operac\u00ed s vyu\u017eit\u00edm n\u011bkter\u00e9 z nov\u00fdch metod d\u0159\u00edve vrac\u00ed. <\/p>\n<p>&#8211; 4 M\u00e1 na vzniku k\u0159e\u010dov\u00fdch \u017eil opravdu velk\u00fd pod\u00edl d\u011bdi\u010dnost? <\/p>\n<p>Nen\u00ed to jednozna\u010dn\u011b prok\u00e1zan\u00e9. Ur\u010dit\u00e9 dispozice, jako je vrozen\u00e1 slabost \u017eiln\u00ed st\u011bny, se ale d\u011bdit mohou. Nep\u0159\u00edmo mohou hr\u00e1t roli t\u00e9\u017e \u017eivotn\u00ed styl, nedostatek pohybu \u010di nadv\u00e1ha. <\/p>\n<p>&#8211; 5 Jak\u00e1 je souvislost mezi k\u0159e\u010dov\u00fdmi \u017eilami a \u017eiln\u00ed tromb\u00f3zou? <\/p>\n<p>Riziko vzniku hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy a n\u00e1sledn\u00e9 hroz\u00edc\u00ed plicn\u00ed embolie je obecn\u011b men\u0161\u00ed, ne\u017e se mezi ve\u0159ejnost\u00ed traduje. Tromb\u00f3za postihuje v p\u0159\u00edpadech k\u0159e\u010dov\u00fdch \u017eil povrchn\u00ed \u017eiln\u00ed syst\u00e9m, a z toho embolie nehroz\u00ed -pokud se ve vz\u00e1cn\u00fdch p\u0159\u00edpadech neroz\u0161\u00ed\u0159\u00ed do syst\u00e9mu hlubok\u00e9ho. Nen\u00ed nam\u00edst\u011b pacienty stra\u0161it. Jsou ale zn\u00e1m\u00e9 p\u0159\u00edpady, kdy existuje sou\u010dasn\u011b vrozen\u00e1 porucha krevn\u00ed sr\u00e1\u017elivosti, je to ve dvou a\u017e p\u011bti procentech p\u0159\u00edpad\u016f. Zde je riziko v\u00fdrazn\u011b vy\u0161\u0161\u00ed, a pacient\u016fm proto doporu\u010dujeme podstoupit krevn\u00ed testy na poruchu krevn\u00ed sr\u00e1\u017elivosti. Pr\u00e1v\u011b na t\u00e9to poru\u0161e m\u00edv\u00e1 v\u00fdrazn\u00fd pod\u00edl d\u011bdi\u010dnost. <\/p>\n<p>&#8212; <\/p>\n<p>RADA TINY <\/p>\n<p>Po\u0159i\u010fte si mas\u00e1\u017en\u00ed roho\u017eku nebo podobnou pom\u016fcku. Mas\u00e1\u017e prosp\u00edv\u00e1 prokrven\u00ed chodidel, a t\u00edm ulevuje i od bolesti. <\/p>\n<p>C\u00c9VN\u00cd SYST\u00c9M <\/p>\n<p>C\u00e9vn\u00ed syst\u00e9m tvo\u0159\u00ed tepny, kter\u00e9 rozv\u00e1d\u011bj\u00ed okysli\u010denou krev ze srdce, a \u017e\u00edly, je\u017e odv\u00e1d\u011bj\u00ed krev do srdce, a hust\u00e1 s\u00ed\u0165 vl\u00e1se\u010dnic spojuj\u00edc\u00edch tep\u00e9nky a \u017eilky. <\/p>\n<p>CO M\u016e\u017dETE UD\u011aLAT SAMI? <\/p>\n<p>Prevenci i \u00falev\u011b od pot\u00ed\u017e\u00ed prosp\u00edv\u00e1: <\/p>\n<p>&#8211; strava s vysok\u00fdm obsahem vl\u00e1kniny<br \/>\n&#8211; prevence obezity a z\u00e1cpy<br \/>\n&#8211; dostate\u010dn\u00fd p\u0159\u00edjem tekutin<br \/>\n&#8211; omezen\u00ed nasycen\u00fdch tuk\u016f (m\u00e1sla, tu\u010dn\u00e9ho masa)<br \/>\n&#8211; dostatek pohybu<br \/>\n&#8211; odpo\u010dinek s nohama ve zv\u00fd\u0161en\u00e9 poloze<br \/>\n&#8211; sprchov\u00e1n\u00ed nohou od chodidel v\u00fd\u0161 studenou vodou<br \/>\n&#8211; no\u0161en\u00ed voln\u011bj\u0161\u00edho oble\u010den\u00ed, (t\u00fdk\u00e1 se to p\u0159edev\u0161\u00edm pono\u017eek)<br \/>\n&#8211; Pokud v zam\u011bstn\u00e1n\u00ed dlouhou dobu sed\u00edte nebo naopak stoj\u00edte, d\u011blejte si b\u011bhem dne kr\u00e1tk\u00e9 p\u0159est\u00e1vky a b\u011bhem nich prov\u00e1d\u011bjte nohama jednoduch\u00e9 cviky, nap\u0159\u00edklad krou\u017een\u00ed chodidly \u010di protahov\u00e1n\u00ed. <\/p>\n<p>HLAVN\u00cd METODY L\u00c9\u010cBY \u017eiln\u00ed tromb\u00f3zy <\/p>\n<p>&#8211; Ambulantn\u00ed &#8211; pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f p\u016fsob\u00edc\u00edch proti sr\u00e1\u017een\u00ed krve. Terapie trv\u00e1 n\u011bkolik m\u011bs\u00edc\u016f.<br \/>\n&#8211; Katetriza\u010dn\u00ed &#8211; do \u017e\u00edly se zavede katetr (hadi\u010dka), pomoc\u00ed n\u011bj\u017e se sra\u017eenina mechanicky i chemicky rozru\u0161\u00ed. N\u011bkdy se do z\u00fa\u017een\u00e9ho m\u00edsta vlo\u017e\u00ed v\u00fdztu\u017e, takzvan\u00fd stent. N\u00e1sledn\u011b se op\u011bt pod\u00e1vaj\u00ed l\u00e9ky proti sr\u00e1\u017een\u00ed krve. Prov\u00e1d\u00ed se p\u0159i rozs\u00e1hl\u00e9m posti\u017een\u00ed \u017eil.<br \/>\n&#8211; Chirurgick\u00e1 &#8211; prov\u00e1d\u00ed se ojedin\u011ble v p\u0159\u00edpadech, kdy pacientovi ze zdravotn\u00edch p\u0159\u00ed\u010din nelze pod\u00e1vat protitromboticky p\u016fsob\u00edc\u00ed l\u00e9ky. <\/p>\n<p>\u017diln\u00ed tromb\u00f3za <\/p>\n<p>CO ZVY\u0160UJE RIZIKO? <\/p>\n<p>&#8211; dlouhodob\u00e1 nehybnost doln\u00edch kon\u010detin (nap\u0159\u00edklad p\u0159i nemoci)<br \/>\n&#8211; obezita<br \/>\n&#8211; t\u011bhotenstv\u00ed<br \/>\n&#8211; stavy po velk\u00fdch chirurgick\u00fdch v\u00fdkonech<br \/>\n&#8211; hormon\u00e1ln\u00ed antikoncepce<br \/>\n&#8211; Leidensk\u00e1 mutace a j\u00ed podobn\u00e9 poruchy koagula\u010dn\u00edho syst\u00e9mu<br \/>\n&#8211; poruchy chlopenn\u00edho apar\u00e1tu doln\u00edch kon\u010detin p\u0159i chronick\u00e9 \u017eiln\u00ed nedostate\u010dnosti<br \/>\n&#8211; kou\u0159en\u00ed<br \/>\n&#8211; k\u0159e\u010dov\u00e9 \u017e\u00edly <\/p>\n<p>TIP REDAKCE: <\/p>\n<p>Tr\u00e1p\u00ed v\u00e1s otekl\u00e9 nohy, bolesti nohou nebo k\u0159e\u010dov\u00e9 \u017e\u00edly? St\u00e1hn\u011bte si aplikaci pro chytr\u00e9 telefony BOL\u00cd V\u00c1S NOHY? s tipy a radami t\u00fdkaj\u00edc\u00edmi se t\u011bchto probl\u00e9m\u016f. Najdete v n\u00ed pot\u0159ebn\u00e9 informace o chronick\u00e9m \u017eiln\u00edm onemocn\u011bn\u00ed doln\u00edch kon\u010detin roz\u010dlen\u011bn\u00e9 do jednotliv\u00fdch stadi\u00ed, vysv\u011btlen\u00ed mo\u017enost\u00ed l\u00e9\u010dby i doporu\u010den\u00e1 vhodn\u00e1 cvi\u010den\u00ed. Aplikace je ke sta\u017een\u00ed zdarma pro Android a iOS. <\/p>\n<p>NOVINKY PRO ZDRAV\u00cd <\/p>\n<p>Pro budouc\u00ed maminky <\/p>\n<p>Francouzsk\u00fd dopln\u011bk stravy Ogestan, novinka na na\u0161em trhu, obsahuje vitaminy E a D, kyselinu listovou, j\u00f3d a omegaml 3 nenasycen\u00e9 mastn\u00e9 g kyseliny. Tedy v\u0161e pot\u0159ebn\u00e9 pro t\u011bhotn\u00e9 a koj\u00edc\u00ed \u017eeny, ale i pro ty, kter\u00e9 miminko teprve pl\u00e1nuj\u00ed. Koup\u00edte ho v v l\u00e9k\u00e1rn\u00e1ch nebo p\u0159es internet za 410 K\u010d. <\/p>\n<p>Pro &#8222;mimi&#8220; pacienty <\/p>\n<p>U miminek je alarmuj\u00edc\u00ed, kdy\u017e teplota p\u0159es\u00e1hne 38 stup\u0148\u016f. K utlumen\u00ed hore\u010dky d\u011bt\u00ed s hmotnost\u00ed nad sedm kilo slou\u017e\u00ed \u010d\u00edpky Paralen 100. Ulev\u00ed z\u00e1rove\u0148 od m\u00edrn\u00e9 bolesti hlavy, kloub\u016f a sval\u016f prov\u00e1zej\u00edc\u00ed ch\u0159ipku \u010di bolesti p\u0159i pro\u0159ez\u00e1v\u00e1n\u00ed zoubk\u016f. Balen\u00ed 5 \u010d\u00edpk\u016f stoj\u00ed v l\u00e9k\u00e1rn\u00e1ch 25 K\u010d. <\/p>\n<p>P\u0159\u00edrodn\u011b proti pocen\u00ed <\/p>\n<p>Biodeodorant Naturalis Better hypoalergenn\u00ed z \u0159ady italsk\u00e9 biokosmetiky je vyroben\u00fd z t\u011bch nejkvalitn\u011bj\u0161\u00edch p\u0159\u00edrodn\u00edch slo\u017eek v biokvalit\u011b. Cel\u00fd den spolehliv\u011b chr\u00e1n\u00ed p\u0159ed potem i bez sol\u00ed hlin\u00edku a neobsahuje parabeny, SLS, ropn\u00e9 deriv\u00e1ty ani silikony. K dost\u00e1n\u00ed na www.biorganica.cz za 250 K\u010d. <\/p>\n<p>\u010cajov\u00ed pomocn\u00edci <\/p>\n<p>P\u0159i hubnut\u00ed v\u00e1m mohou pomoci tak\u00e9 lahodn\u00e9 \u010daje Teekanne. Podporuj\u00ed p\u0159irozenou \u010dinnost metabolismu a schopnost o\u010disty. Vyberte si \u010dajovou sm\u011bs Detox &#038; Slim s kop\u0159ivou a zelen\u00fdm \u010dajem, Fit &#038; Slim s cesm\u00ednou nebo Purify Slim s kombinac\u00ed \u00ed pu-erh, m\u00e1ty ty klasnat\u00e9 a m\u00e1ty peprn\u00e9. Cena asi 50 K\u010d za krabi\u010dku.<\/p>\n<p>Eva Hou\u0161kov\u00e1<br \/>\nTina<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u017diln\u00ed probl\u00e9my v\u00e1m mohou p\u011bkn\u011b ztrp\u010dovat \u017eivot &#8211; a o ten m\u016f\u017ee dokonce n\u011bkdy i j\u00edt. To, \u017ee m\u00e1me v t\u011ble n\u011bjak\u00e9 \u017e\u00edly, si uv\u011bdom\u00edme <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27154\" title=\"Aby krev lehce proudila\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27154","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27154","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=27154"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27154\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27154"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27154"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}