{"id":29618,"date":"2017-11-25T15:11:36","date_gmt":"2017-11-25T14:11:36","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29618"},"modified":"2017-11-25T15:28:34","modified_gmt":"2017-11-25T14:28:34","slug":"proc-zenam-po-padesatce-praskaji-kosti-vic-nez-muzum-muze-za-to-osteoporoza","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29618","title":{"rendered":"Pro\u010d \u017een\u00e1m po pades\u00e1tce praskaj\u00ed kosti v\u00edc ne\u017e mu\u017e\u016fm? M\u016f\u017ee za to osteopor\u00f3za"},"content":{"rendered":"<p><strong>Nej\u010dast\u011bji b\u00fdv\u00e1 osteopor\u00f3za  diagnostikov\u00e1na u \u017een po 50. roce \u017eivota, co\u017e souvis\u00ed s hormon\u00e1ln\u00edmi zm\u011bnami p\u0159i menopauze. Mu\u017esk\u00fdch p\u00faacient\u016f je desetkr\u00e1t m\u00e9n\u011b. <\/strong><!--more--><\/p>\n<p><strong>Jak\u00e1 rizika s sebou \u0159\u00eddnut\u00ed kost\u00ed p\u0159in\u00e1\u0161\u00ed?<\/strong><\/p>\n<p>O osteopor\u00f3ze se \u010dasto hovo\u0159\u00ed jako o tich\u00e9m zabij\u00e1kovi kost\u00ed. Nem\u00e1 mnoho varovn\u00fdch p\u0159\u00edznak\u016f, ale vede ke zlomenin\u00e1m a z\u00e1vislosti na pomoci druh\u00fdch. Prvn\u00edm projevem onemocn\u011bn\u00ed osteopor\u00f3zou m\u016f\u017ee b\u00fdt a\u017e zlomenina po mal\u00e9m \u00farazu, nap\u0159\u00edklad po p\u00e1du ze stoje. Zlomeniny dramaticky zhor\u0161uj\u00ed kvalitu \u017eivota, jsou spojeny s bolest\u00ed, utrpen\u00edm, invaliditou, z\u00e1vislost\u00ed na pomoci druh\u00fdch, ale tak\u00e9 zv\u00fd\u0161enou pravd\u011bpodobnost\u00ed \u00famrt\u00ed. \u201eZa hlavn\u00ed osteoporotick\u00e9 zlomeniny se pova\u017euj\u00ed zlomeniny obratl\u016f, doln\u00edho p\u0159edlokt\u00ed, pa\u017e\u00ed a p\u00e1nve. Nejz\u00e1va\u017en\u011bj\u0161\u00ed jsou zlomeniny v oblasti ky\u010dle, na jejich\u017e komplikace um\u00edr\u00e1 b\u011bhem 1. roku 1\/5 pacient\u016f a 1\/3 posti\u017een\u00fdch z\u016fst\u00e1v\u00e1 trvale invalidn\u00edch,\u201c upozor\u0148uje MUDr. Eva Dokoupilov\u00e1. <\/p>\n<p><strong>Lze p\u0159edch\u00e1zet komplikac\u00edm v d\u016fsledku osteopor\u00f3zy?<\/strong><\/p>\n<p> Projevy nemoci jsou ze za\u010d\u00e1tku velmi nen\u00e1padn\u00e9. A\u017e v pozd\u011bj\u0161\u00edm v\u011bku se za\u010d\u00edn\u00e1 objevovat typick\u00fd pokles t\u011blesn\u00e9 v\u00fd\u0161ky \u2013 n\u011bkdy o 10 a\u017e 15 cm. Dal\u0161\u00edmi symptomy jsou bolesti zad \u010di kloub\u016f.<\/p>\n<p><strong>Osteopor\u00f3za ohro\u017euje p\u0159edev\u0161\u00edm \u017eeny<\/strong><\/p>\n<p>V\u011bt\u0161ina pacient\u016f trp\u00edc\u00edch osteopor\u00f3zou jsou \u017eeny. T\u00edmto onemocn\u011bn\u00edm trp\u00ed ka\u017ed\u00e1 3. \u017eena ve v\u011bku nad 50 let. Nejv\u011bt\u0161\u00edmu ohro\u017een\u00ed jsou vystaveny v p\u0159echodu a po n\u011bm. Ztr\u00e1c\u00ed toti\u017e ochranu poskytovanou \u017eensk\u00fdmi pohlavn\u00edmi hormony estrogeny, kter\u00e9 \u0159\u00eddnut\u00ed kost\u00ed zpomaluj\u00ed. \u201ePo p\u0159echodu se u \u017een velmi \u010dasto objev\u00ed prudk\u00fd pokles hustoty kost\u00ed, kter\u00fd vede k osteopor\u00f3ze. Tento pokles m\u016f\u017ee nastat velmi rychle, u n\u011bkter\u00fdch pacientek i 2 a\u017e 3 roky po klimakteriu, nej\u010dast\u011bji v\u0161ak p\u0159ibli\u017en\u011b po 5 a\u017e 8 letech,\u201c varuje MUDr. Eva Dokoupilov\u00e1.<br \/>\n<strong><br \/>\n\u00da\u010dinn\u00e1 l\u00e9\u010dba existuje<\/strong><\/p>\n<p>Osteopor\u00f3za je z\u00e1va\u017en\u00e1 choroba, kter\u00e1 se ale d\u00e1 \u00fasp\u011b\u0161n\u011b l\u00e9\u010dit. D\u016fle\u017eit\u00e9 je upravit \u017eivotn\u00ed styl a \u017eivotospr\u00e1vu, zam\u011b\u0159it se v\u00edce na pravideln\u00fd pohyb, dostatek p\u0159\u00edjmu v\u00e1pn\u00edku a vitam\u00ednu D. \u201eHlavn\u00edm c\u00edlem l\u00e9\u010dby osteopor\u00f3zy je sn\u00ed\u017een\u00ed rizika zlomeniny obratle, kr\u010dku stehenn\u00ed kosti a p\u0159edlokt\u00ed. Z\u00e1kladn\u00edm l\u00e9kem st\u00e1le z\u016fst\u00e1v\u00e1 v\u00e1pn\u00edk a vitamin D. U pacient\u016f s vysok\u00fdm rizikem t\u011bchto zlomenin pak pod\u00e1v\u00e1me biologick\u00fd l\u00e9k, kter\u00fd se aplikuje podko\u017en\u011b jednou za 6 m\u011bs\u00edc\u016f a v\u00fdrazn\u011b zmen\u0161uje \u00fabytek kostn\u00ed hmoty,\u201c dopl\u0148uje MUDr. Eva Dokoupilov\u00e1. <\/p>\n<p>Kl\u00ed\u010dem v\u0161ak z\u016fst\u00e1v\u00e1 v\u010dasn\u00e9 odhalen\u00ed: \u201eV\u011bt\u0161ina lid\u00ed o sv\u00e9m onemocn\u011bn\u00ed osteopor\u00f3zou a tedy ani o sv\u00e9m riziku nev\u00ed, p\u0159itom sta\u010d\u00ed nav\u0161t\u00edvit nejbli\u017e\u0161\u00ed osteologickou ambulanci a podstoupit denzitometrick\u00e9 vy\u0161et\u0159en\u00ed,\u201c uzav\u00edr\u00e1 MUDr. Eva Dokoupilov\u00e1.\u201eKa\u017ed\u00fd pacient star\u0161\u00ed 50 let s prod\u011blanou zlomeninou by m\u011bl podstoupit vy\u0161et\u0159en\u00ed celot\u011blov\u00fdm denzitometrem, aby se osteopor\u00f3za v\u010das diagnostikovala a bylo v\u010das zapo\u010dato s l\u00e9\u010dbou,\u201c dod\u00e1v\u00e1 MUDr. Eva Dokoupilov\u00e1. <\/p>\n<p>Pro <strong>prevenci <\/strong>osteopor\u00f3zy se doporu\u010duje p\u0159edev\u0161\u00edm pestr\u00e1 strava bohat\u00e1 na vitaminy a miner\u00e1ly. Lid\u00e9 by m\u011bli db\u00e1t p\u0159edev\u0161\u00edm na dostate\u010dn\u00fd p\u0159\u00edjem v\u00e1pn\u00edku a vitaminu D, a\u0165 u\u017e ze slune\u010dn\u00edho svitu nebo z potravy. Nem\u00e9n\u011b d\u016fle\u017eit\u00fd je tak\u00e9 pravideln\u00fd pohyb, a to ji\u017e od d\u011btsk\u00e9ho v\u011bku. Kvalit\u011b na\u0161ich kost\u00ed naopak neprosp\u00edv\u00e1 kou\u0159en\u00ed, \u010dast\u00e9 pit\u00ed velk\u00e9ho mno\u017estv\u00ed alkoholu, sedav\u00fd \u017eivotn\u00ed styl a nedostatek vyv\u00e1\u017een\u00e9 stravy.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nej\u010dast\u011bji b\u00fdv\u00e1 osteopor\u00f3za diagnostikov\u00e1na u \u017een po 50. roce \u017eivota, co\u017e souvis\u00ed s hormon\u00e1ln\u00edmi zm\u011bnami p\u0159i menopauze. Mu\u017esk\u00fdch p\u00faacient\u016f je desetkr\u00e1t m\u00e9n\u011b.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":29620,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-29618","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\/29618","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=29618"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29618\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29620"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29618"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29618"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29618"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}