Myomy v d\u011bloze ztrp\u010duj\u00ed \u017eivot a\u017e 40 procent\u016fm \u017een. Jedin\u00fdm \u0159e\u0161en\u00edm byla doned\u00e1vna operace. Te\u010f ale maj\u00ed l\u00e9ka\u0159i i pacientky v\u00edc na v\u00fdb\u011br. Vyhnout se n\u00e1ro\u010dn\u00e9mu z\u00e1kroku mohou nap\u0159\u00edklad pomoc\u00ed nov\u00fdch l\u00e9k\u016f, kter\u00e9 dok\u00e1\u017eou v\u00fdrazn\u011b zmen\u0161it velikost myom\u016f. Pr\u00e1v\u011b ty toti\u017e zp\u016fsobuje nejv\u00edc pot\u00ed\u017e\u00ed, kter\u00e9 \u017een\u00e1m komplikuj\u00ed \u017eivot.<\/p>\n
Myomy jsou nezhoubn\u00e9 \u00fatvary, kter\u00e9 se vytv\u00e1\u0159ej\u00ed ve svalovin\u011b d\u011blohy. A to jak uvnit\u0159 dutiny d\u011blo\u017en\u00ed, tak na jej\u00edm povrchu, p\u0159\u00edpadn\u011b v samotn\u00e9 svalovin\u011b. Podle um\u00edst\u011bn\u00ed a velikosti vyvol\u00e1vaj\u00ed r\u016fzn\u00e9 probl\u00e9my. T\u011bmi nej\u010dast\u011bj\u0161\u00edmi jsou bolestiv\u00e1 menstruace, siln\u00e9, dlouh\u00e9 krv\u00e1cen\u00ed a \u010dasto i \u0161pin\u011bn\u00ed pr\u00e1dla b\u011bhem pravideln\u00e9ho cyklu. Ale tak\u00e9 tlak nebo nap\u011bt\u00ed v b\u0159i\u0161e, kter\u00e9 p\u0159ech\u00e1zej\u00ed v bolesti a k\u0159e\u010de. N\u011bkdy \u017eeny bol\u00ed i pohlavn\u00ed styk. Spousta jich vn\u00edm\u00e1 tyto pot\u00ed\u017ee jako nep\u0159\u00edjemnost, se kterou mus\u00ed \u017e\u00edt. Netu\u0161\u00ed, \u017ee v\u011bt\u0161inou nemus\u00ed.
\nPokud myomy vzniknou na povrchu d\u011blohy, mohou utla\u010dovat mo\u010dov\u00e9 cesty i m\u011bch\u00fd\u0159 a vyvol\u00e1vat pot\u00ed\u017ee s mo\u010den\u00edm. Stejn\u011b tak dok\u00e1\u017eou tla\u010dit na st\u0159eva, kone\u010dn\u00edk nebo na dal\u0161\u00ed org\u00e1ny a vyvol\u00e1vat pot\u00ed\u017ee tam. N\u011bkdy naopak nezp\u016fsobuj\u00ed \u017e\u00e1dn\u00e9 komplikace a sta\u010d\u00ed, kdy\u017e l\u00e9ka\u0159 sleduje p\u0159i pravideln\u00fdch kontrol\u00e1ch, jak se chovaj\u00ed.<\/p>\n
V d\u011bloze m\u016f\u017ee b\u00fdt nejen jeden, ale i cel\u00e1 \u0159ada myom\u016f. Mohou m\u011b\u0159il n\u011bkolik centimetr\u016f.<\/p>\n
U\u017e\u00edvaj\u00ed se nap\u0159. l\u00e9ky s \u00fa\u010dinnou l\u00e1tkou ulipristal-acet\u00e1t. Zm\u00edrn\u00ed pot\u00ed\u017ee a s velkou pravd\u011bpodobnost\u00ed v\u00fdrazn\u011b zmen\u0161\u00ed myomy. Podle zku\u0161enost\u00ed z praxe funguje tak u v\u011bt\u0161iny pacientek. T\u00e9m\u011b\u0159 90 procent z nich se d\u00edky tomu vyhne operaci, na kterou by jinak musely j\u00edt. Pilulky se u\u017e\u00edvaj\u00ed ve dvou t\u0159\u00edm\u011bs\u00ed\u010dn\u00edch cyklech, tedy p\u016fl roku. Pot\u00ed\u017ee, kter\u00e9 ztrp\u010duj\u00ed menstruaci, brzy ustupuj\u00ed. Miz\u00ed i \u00fanava, kterou vyvol\u00e1vaj\u00ed velk\u00e9 ztr\u00e1ty krve.<\/p>\n
Myomy n\u011bkdy br\u00e1n\u00ed \u017een\u00e1m, aby ot\u011bhotn\u011bly nebo donosily d\u00edt\u011b. I v tomto p\u0159\u00edpad\u011b pro n\u011b m\u016f\u017ee b\u00fdt \u0159e\u0161en\u00edm l\u00e9k s ulipristal-acet\u00e1tem.<\/p>\n
Pro\u010d \u017eeny tr\u00e1p\u00ed myomy, to l\u00e9ka\u0159i \u00fapln\u011b p\u0159esn\u011b nev\u011bd\u00ed. P\u0159edpokl\u00e1daj\u00ed v\u0161ak, \u017ee z\u00e1sadn\u00ed roli hraj\u00ed p\u0159i jejich tvorb\u011b \u017eensk\u00e9 pohlavn\u00ed hormony estrogeny. Proto jejich vzniku nelze zabr\u00e1nit. Riziko, \u017ee znep\u0159\u00edjemn\u00ed pacientce \u017eivot, zvy\u0161uj\u00ed z\u0159ejm\u011b i opera\u010dn\u00ed v\u00fdkony na d\u011bloze, p\u0159eru\u0161en\u00ed t\u011bhotenstv\u00ed a porody. \u010c\u00edm v\u00edc jich \u017eena podstoupila, t\u00edm \u010dast\u011bji se objevuj\u00ed.
\nV\u00edc postihuj\u00ed pacientky s nepravideln\u00fdm menstrua\u010dn\u00edm cyklem a tak\u00e9 ty s nadbyte\u010dn\u00fdmi kily. V tukov\u00e9 tk\u00e1ni se toti\u017e tvo\u0159\u00ed p\u0159\u00edli\u0161 mnoho estrogen\u016f a vznik\u00e1 tak nerovnov\u00e1ha mezi nimi a dal\u0161\u00edmi hormony, gestageny, kter\u00e9 nezvl\u00e1daj\u00ed kompenzovat jejich vliv.<\/p>\n
Myomy nej\u010dast\u011bji postihuj\u00ed \u017eeny mezi 40 a 50 roky. Ale nejsou \u017e\u00e1dnou v\u00fdjimkou ani u \u017een mezi 20 a 30 lety. Zp\u016fsob\u016f, jak je zmen\u0161it nebo odstranit, existuje n\u011bkolik. Ka\u017ed\u00fd m\u00e1 sv\u00e9 v\u00fdhody a nev\u00fdhody. \u0158e\u0161en\u00ed navrhuje pacientce l\u00e9ka\u0159. Vych\u00e1z\u00ed z toho, kolik myom\u016f m\u00e1, kde jsou um\u00edst\u011bn\u00e9, jak\u00e9 velikosti dosahuj\u00ed a jak\u00e9 j\u00ed d\u011blaj\u00ed pot\u00ed\u017ee. Ale i z toho, jestli chce m\u00edt je\u0161t\u011b d\u011bti, a z dal\u0161\u00edch v\u011bc\u00ed.<\/p>\n
Mo\u017en\u00fdm \u0159e\u0161en\u00edm m\u016f\u017ee b\u00fdt: – N\u011bkdy ale b\u00fdv\u00e1 n\u00e1lez tak velk\u00fd a rozs\u00e1hl\u00fd, \u017ee je nejlep\u0161\u00edm \u0159e\u0161en\u00edm to, kdy\u017e gynekolog odstran\u00ed celou d\u011blohu a zachov\u00e1 pouze vaje\u010dn\u00edky, aby mohly d\u00e1l tvo\u0159it \u017eensk\u00e9 pohlavn\u00ed hormony. To ale nen\u00ed dobr\u00e9 \u0159e\u0161en\u00ed pro mlad\u00e9 \u017eeny, kter\u00e9 cht\u011bj\u00ed m\u00edt d\u00edt\u011b.<\/p>\n – L\u00e9k s ulipristal-acet\u00e1tem dok\u00e1\u017ee zmen\u0161it myomy a t\u00edm i probl\u00e9my, kter\u00e9 vyvol\u00e1vaj\u00ed. Zhruba deseti procent\u016fm \u017een v\u0161ak pom\u016f\u017ee m\u00e1lo nebo v\u016fbec. V naprost\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f v\u0161ak zm\u00edrn\u00ed nebo odstran\u00ed probl\u00e9my posti\u017een\u00fdch \u017een, p\u0159\u00edpadn\u011b umo\u017en\u00ed jejich \u0161etrn\u011bj\u0161\u00ed operaci. Pokud se myomy zmen\u0161\u00ed v\u00fdrazn\u011b nebo se t\u00e9m\u011b\u0159 vytrat\u00ed, pacientka ji \u010dasto nemus\u00ed ani podstoupit. Myomy dok\u00e1\u017eou zmen\u0161it tak\u00e9 n\u011bkter\u00e9 dal\u0161\u00ed l\u00e9ky, obvykle na b\u00e1zi hormon\u016f. Specializovan\u00e1 centra<\/p>\n Centra zam\u011b\u0159en\u00e1 na l\u00e9\u010dbu myom\u016f najdete na www.vfn.cz, www.ftn.cz nebo na http:\/\/lecbamyomu.cz\/<\/p>\n","protected":false},"excerpt":{"rendered":" Myomy v d\u011bloze ztrp\u010duj\u00ed \u017eivot a\u017e 40 procent\u016fm \u017een. Jedin\u00fdm \u0159e\u0161en\u00edm byla doned\u00e1vna operace. Te\u010f ale maj\u00ed l\u00e9ka\u0159i i pacientky v\u00edc na v\u00fdb\u011br. Vyhnout se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15165,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-27620","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27620","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=27620"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27620\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15165"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27620"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27620"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n– \u0160etrn\u00e1 endoskopick\u00e1 operace, p\u0159i kter\u00e9 l\u00e9ka\u0159 odstran\u00ed nejv\u011bt\u0161\u00ed myom nebo myomy bu\u010fto p\u0159es pochvu, nebo z mal\u00fdch \u0159ez\u016f na b\u0159i\u0161e. V\u00fdhodou t\u011bchto v\u00fdkon\u016f je to, \u017ee sni\u017euj\u00ed riziko poopera\u010dn\u00edch komplikac\u00ed, zkracuj\u00ed hojen\u00ed a n\u00e1sledn\u011b i rekonvalescenci. Nev\u00fdhodou jsou u v\u011bt\u0161\u00edch myom\u016f jizvy, kter\u00e9 mohou komplikovat ot\u011bhotn\u011bn\u00ed i vlastn\u00ed t\u011bhotenstv\u00ed.<\/span><\/p>\n
\n– Fokusovan\u00fd ultrazvuk zah\u0159eje n\u00e1dor na ur\u010ditou teplotu a zp\u016fsob\u00ed odum\u00edr\u00e1n\u00ed tk\u00e1n\u00ed myomu a jeho zmen\u0161en\u00ed. Nehod\u00ed se v\u0161ak na v\u0161echny typy t\u011bchto \u00fatvar\u016f.
\n– P\u0159i embolizaci se l\u00e9ka\u0159i sna\u017e\u00ed omezit p\u0159\u00edtok krve do myomu, t\u0159eba pomoc\u00ed emboliza\u010dn\u00ed l\u00e1tky. Zhor\u0161\u00ed tak jeho v\u00fd\u017eivu. \u010c\u00e1st tk\u00e1n\u00ed odum\u0159e a \u00fatvar se zmen\u0161\u00ed. Zp\u016fsob\u016f, jak omezit p\u0159\u00edtok krve, je n\u011bkolik. Mus\u00ed se v\u0161ak d\u011blat v anestezii, proto\u017ee jde o bolestiv\u00fd z\u00e1krok. Mu\u017ee b\u00fdt ale dobr\u00fdm \u0159e\u0161en\u00edm pro pacientky, kter\u00e9 prod\u011blaly n\u011bjakou operaci v dutin\u011b b\u0159i\u0161n\u00ed a hroz\u00ed u nich zv\u00fd\u0161en\u00e9 riziko sr\u016fst\u016f. P\u0159\u00edpadn\u011b pro \u017eeny s velk\u00fdm po\u010dtem myom\u016f.<\/p>\n