{"id":28291,"date":"2017-05-23T08:09:45","date_gmt":"2017-05-23T06:09:45","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28291"},"modified":"2017-05-23T08:09:45","modified_gmt":"2017-05-23T06:09:45","slug":"pokud-se-manzelum-nedari-otehotnet-dele-nez-rok-meli-by-zacit-premyslet-o-odborne-pomoci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28291","title":{"rendered":"Pokud se man\u017eel\u016fm neda\u0159\u00ed ot\u011bhotn\u011bt d\u00e9le ne\u017e rok, m\u011bli by za\u010d\u00edt p\u0159em\u00fd\u0161let o odborn\u00e9 pomoci"},"content":{"rendered":"<p><strong>V\u00a0posledn\u00ed dob\u011b p\u0159ib\u00fdv\u00e1 dotaz\u016f mlad\u00fdch man\u017eelsk\u00fdch p\u00e1r\u016f \u010di partner\u016f, kte\u0159\u00ed cht\u011bj\u00ed ot\u011bhotn\u011bt, ale neda\u0159\u00ed se jim to. Po jak dlouh\u00e9 dob\u011b lze mluvit o tom, kdy je to norm\u00e1ln\u00ed a kdy u\u017e je pot\u0159eba vyhledat odbornou pomoc?<\/strong><!--more--><\/p>\n<p>Tak\u00e9 na tuto ot\u00e1zku jsme se zeptali oV\u00a0posledn\u00ed dob\u011b p\u0159ib\u00fdv\u00e1 dotaz\u016f mlad\u00fdch man\u017eelsk\u00fdch p\u00e1r\u016f \u010di partner\u016f, kte\u0159\u00ed cht\u011bj\u00ed ot\u011bhotn\u011bt, ale neda\u0159\u00ed se jim to. Po jak dlouh\u00e9 dob\u011b lze mluvit o tom, kdy je to norm\u00e1ln\u00ed a kdy u\u017e je pot\u0159eba vyhledat odbornou pomoc? dborn\u00edk\u016f z\u00a0Centra asistovan\u00e9 reprodukce FN Brno na Obiln\u00edm trhu 11. Na ot\u00e1zky odpov\u00edd\u00e1 Ing. Michal Je\u0161eta, Ph.D., z\u00a0CAR Brno.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Po jak dlouh\u00e9 dob\u011b spole\u010dn\u00e9ho sexu\u00e1ln\u00edho \u017eivota by partne\u0159i m\u011bli za\u010d\u00edt p\u0159em\u00fd\u0161let o mo\u017enostech um\u011bl\u00e9ho oplodn\u011bn\u00ed?\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Obecn\u011b se uv\u00e1d\u00ed, \u017ee\u00a0po 1 a\u017e 2 letech spole\u010dn\u00e9 snahy o koncepci je vhodn\u00e9 vyhledat l\u00e9ka\u0159e.\u00a0V\u00a0posledn\u00ed dob\u011b st\u00e1le \u010dast\u011bji n\u011bkte\u0159\u00ed l\u00e9ka\u0159i doporu\u010duj\u00ed ne\u010dekat d\u00e9le ne\u017e 1 rok.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Jak\u00fd je trend\u2026Neplodnost mu\u017e\u016f \u010di \u017een? \u010c\u00edm si to vysv\u011btlujete?\u00a0<\/strong><\/p>\n<p>V\u00a0posledn\u00edch letech se jednozna\u010dn\u011b jev\u00ed nejv\u011bt\u0161\u00edm probl\u00e9mem, kter\u00fd ovliv\u0148uje po\u010det neplodn\u00fdch p\u00e1r\u016f, odsouv\u00e1n\u00ed mate\u0159stv\u00ed do pozd\u011bj\u0161\u00edho v\u011bku. V\u00a0roce 2007 byl pr\u016fm\u011brn\u00fd v\u011bk \u017een v\u00a0\u010cR, kter\u00e9 se za\u010daly na neplodnost l\u00e9\u010dit 33,4 rok\u016f, v\u00a0roce 2014 to bylo ji\u017e 35,1 rok\u016f (data z\u00a0N\u00e1rodn\u00edho registru).\u00a0Hodnoty spermiogramu mu\u017e\u016f v\u00a0na\u0161\u00ed republice v\u00a0horizontu posledn\u00edch 30 let\u00a0tak\u00e9 klesaj\u00ed.\u00a0Pod\u00edl\u00ed se na tom \u017eivotn\u00ed styl mu\u017e\u016f, chemik\u00e1lie v\u00a0prost\u0159ed\u00ed, kter\u00e9 n\u00e1s obklopuj\u00ed, hormony ve vod\u011b a j\u00eddle, kou\u0159en\u00ed, omamn\u00e9 l\u00e1tky atd.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Je pravdou, \u017ee spermie vhodn\u00e9 k\u00a0oplodn\u011bn\u00ed jsou aktivn\u00ed jen 48 hodin?\u00a0<\/strong><\/p>\n<p>Spermie mohou p\u0159e\u017e\u00edvat v\u00a0pohlavn\u00ed soustav\u011b \u017eeny i n\u011bkolik dn\u00ed po ejakulaci (jsou zn\u00e1my i p\u0159\u00edpady t\u011bhotenstv\u00ed, kter\u00e9 nastalo, kdy\u017e do\u0161lo k\u00a0pohlavn\u00edmu \u00a0styku 5 dn\u00ed p\u0159ed ovulac\u00ed). Je to ov\u0161em velice individu\u00e1ln\u00ed a siln\u011b z\u00e1le\u017e\u00ed na \u017eivotaschopnosti spermi\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Jak prob\u00edhaj\u00ed prvn\u00ed vy\u0161et\u0159en\u00ed na CAR?\u00a0<\/strong><\/p>\n<p>Prvn\u00edm vstupn\u00edm vy\u0161et\u0159en\u00edm u mu\u017e\u016f je z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed spermiogramu, kter\u00e9 je rychl\u00e9 a p\u0159in\u00e1\u0161\u00ed prvn\u00ed informace o mu\u017ei. Vzorek na vy\u0161et\u0159en\u00ed je mo\u017en\u00e9\u00a0po domluv\u011b p\u0159in\u00e9st\u00a0i z\u00a0domova a je to tak snadno realizovateln\u00fd prvn\u00ed krok. V\u00a0p\u0159\u00edpad\u011b \u017een je v\u00fdznamn\u00fdm krokem\u00a0anamn\u00e9za,\u00a0vy\u0161et\u0159en\u00ed pr\u016fchodnosti vejcovod\u016f, stanoven\u00ed hladiny hormon\u016f a ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Jak\u00e1 je\u00a0\u00fasp\u011b\u0161nost ot\u011bhotn\u011bn\u00ed<\/strong>?<\/p>\n<p>Na tuto ot\u00e1zku nelze odpov\u011bd\u011bt jednou v\u011btou nebo jedn\u00edm \u010d\u00edslem. \u00dasp\u011b\u0161nost z\u00e1vis\u00ed na mnoha faktorech. Na p\u0159\u00ed\u010din\u011b neplodnosti, na v\u011bku, na pou\u017eit\u00fdch metod\u00e1ch l\u00e9\u010dby. V\u0161eobecn\u011b je mo\u017eno \u0159\u00edci 25 \u2013 35 %.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V\u00a0posledn\u00ed dob\u011b p\u0159ib\u00fdv\u00e1 dotaz\u016f mlad\u00fdch man\u017eelsk\u00fdch p\u00e1r\u016f \u010di partner\u016f, kte\u0159\u00ed cht\u011bj\u00ed ot\u011bhotn\u011bt, ale neda\u0159\u00ed se jim to. Po jak dlouh\u00e9 dob\u011b lze mluvit o tom, <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28291\" title=\"Pokud se man\u017eel\u016fm neda\u0159\u00ed ot\u011bhotn\u011bt d\u00e9le ne\u017e rok, m\u011bli by za\u010d\u00edt p\u0159em\u00fd\u0161let o odborn\u00e9 pomoci\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21706,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28291","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\/28291","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=28291"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28291\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21706"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28291"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28291"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}