{"id":30937,"date":"2018-10-04T14:36:07","date_gmt":"2018-10-04T12:36:07","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30937"},"modified":"2018-10-04T14:36:07","modified_gmt":"2018-10-04T12:36:07","slug":"osteoporoza-pocet-nemocnych-roste-lecenych-je-jen-desetina-z-nich","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30937","title":{"rendered":"Osteopor\u00f3za: po\u010det nemocn\u00fdch roste, l\u00e9\u010den\u00fdch je jen desetina z nich"},"content":{"rendered":"

A\u017e milion \u010cech\u016f trp\u00ed \u0159\u00eddnut\u00edm kost\u00ed. Osteopor\u00f3za postihuje dokonce ka\u017edou t\u0159et\u00ed \u017eenu a p\u00e1t\u00e9ho mu\u017ee star\u0161\u00ed 50 let. Z\u00e1sadn\u00ed vliv na rozvoj osteopor\u00f3zy v pozd\u011bj\u0161\u00edm v\u011bku m\u00e1 p\u0159itom u\u017e chov\u00e1n\u00ed v d\u011btstv\u00ed. Rizika z\u00e1ke\u0159n\u00e9 nemoci p\u0159ipom\u00edn\u00e1 20. \u0159\u00edjen \u2013 Sv\u011btov\u00fd den osteopor\u00f3zy.<\/strong>
\n
\nNemoc p\u0159ich\u00e1z\u00ed pomalu a v\u011bt\u0161ina pacient\u016f si prvotn\u00edch p\u0159\u00edznak\u016f ani nev\u0161imne. Proto si vyslou\u017eila p\u0159ezd\u00edvku \u201atich\u00fd zlod\u011bj\u2018 – \u010dlov\u011bka ob\u00edr\u00e1 o kostern\u00ed hmotu tak dlouho, dokud na probl\u00e9m neupozorn\u00ed prvn\u00ed zlomenina. V tu chv\u00edli u\u017e sta\u010d\u00ed jen minim\u00e1ln\u00ed n\u00e1raz nebo upadnut\u00ed. Nejv\u00edc n\u00e1chyln\u00e9 k fraktur\u00e1m bez zjevn\u00fdch p\u0159\u00ed\u010din b\u00fdvaj\u00ed obratle, kr\u010dky stehenn\u00edch kost\u00ed nebo p\u0159edlokt\u00ed.<\/p>\n

\u201eMnoho lid\u00ed sv\u00e9 probl\u00e9my myln\u011b pokl\u00e1d\u00e1 za p\u0159irozen\u00fd projev st\u00e1rnut\u00ed. Zakulacuj\u00edc\u00ed se z\u00e1da, sn\u00ed\u017een\u00ed v\u00fd\u0161ky postavy i o t\u0159i centimetry, bolesti p\u00e1te\u0159e a dlouh\u00fdch kost\u00ed nebo pot\u00ed\u017ee p\u0159i hlubok\u00e9m n\u00e1dechu do b\u0159icha nepova\u017euj\u00ed za podstatn\u00e9 a p\u0159ehl\u00ed\u017e\u00ed je. V\u010dasn\u00e1 diagnostika p\u0159itom v\u00fdrazn\u011b napom\u00e1h\u00e1 zpomalit nebo zastavit progres nemoci,\u201c upozornila hlavn\u00ed fyzioterapeutka FYZIOkliniky Iva B\u00edlkov\u00e1.<\/p>\n

Jak uv\u00e1d\u00ed St\u00e1tn\u00ed zdravotn\u00ed \u00fastav, osteopor\u00f3zou trp\u00ed sedm a\u017e deset procent sv\u011btov\u00e9 populace, p\u0159ev\u00e1\u017en\u011b star\u0161\u00edch ro\u010dn\u00edk\u016f. Vzhledem ke zvy\u0161ov\u00e1n\u00ed pr\u016fm\u011brn\u00e9 d\u00e9lky \u017eivota \u010d\u00edsla neust\u00e1le rostou, p\u0159esto je l\u00e9\u010deno odhadem jen 10 a\u017e 20 procent nemocn\u00fdch. P\u0159ekvapiv\u00e9 zlomeniny pak b\u00fdvaj\u00ed v pokro\u010dil\u00e9m v\u011bku velk\u00fdm stra\u0161\u00e1kem, zbavuj\u00ed pacienty sob\u011bsta\u010dnosti a velmi sni\u017euj\u00ed kvalitu \u017eivota.<\/p>\n

Na vin\u011b v\u0161ak nen\u00ed pouze vy\u0161\u0161\u00ed v\u011bk, ale p\u0159edev\u0161\u00edm \u0161patn\u00fd \u017eivotn\u00ed styl v \u010dele s nedostatkem pohybu. \u201eA\u010d se osteopor\u00f3za vyskytuje p\u0159edev\u0161\u00edm mezi star\u0161\u00edmi ro\u010dn\u00edky, zakl\u00e1d\u00e1me si na ni u\u017e od mala a v nads\u00e1zce ji m\u016f\u017eeme p\u0159ipodobnit k \u201ad\u011btsk\u00e9 nemoci\u2018. Tvorba kostn\u00ed hmoty a kostern\u00edho apar\u00e1tu toti\u017e prob\u00edh\u00e1 do t\u0159iceti let, pot\u00e9 za\u010dne ub\u00fdvat. Pokud jsme se jako d\u011bti a b\u011bhem dosp\u00edv\u00e1n\u00ed nebyli zvykl\u00ed h\u00fdbat, pozd\u011bji se to na kostech projev\u00ed,\u201c uvedla Iva B\u00edlkov\u00e1.<\/p>\n

Rozvoj osteopor\u00f3zy m\u016f\u017ee sekund\u00e1rn\u011b zp\u016fsobovat i dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f ovliv\u0148uj\u00edc\u00edch metabolismus v\u00e1pn\u00edku, jako jsou nap\u0159\u00edklad glukokortikoidy. \u201eMezi onemocn\u011bn\u00ed, kter\u00e1 maj\u00ed ve sv\u00fdch d\u016fsledc\u00edch vliv na kostn\u00ed tk\u00e1\u0148 a mohou tak zap\u0159\u00ed\u010dinit vznik osteopor\u00f3zy, pat\u0159\u00ed nap\u0159\u00edklad poruchy \u0161t\u00edtn\u00e9 \u017el\u00e1zy, revmatoidn\u00ed artritida, diabetes mellitus 1. typu, stavy po transplantac\u00edch, onkologick\u00e1 onemocn\u011bn\u00ed \u010di chronick\u00e1 gastrointestin\u00e1ln\u00ed onemocn\u011bn\u00ed,\u201c doplnila B\u00edlkov\u00e1.<\/p>\n

P\u0159i diagnostice osteopor\u00f3zy hraje z\u00e1sadn\u00ed \u00falohu fyzioterapie \u2013 spr\u00e1vn\u00fd pohyb podpo\u0159en\u00fd dostate\u010dn\u00fdm p\u0159\u00edjmem v\u00e1pn\u00edku a vitaminu D z potravy zamez\u00ed dal\u0161\u00edmu \u0159\u00eddnut\u00ed kost\u00ed a pos\u00edl\u00ed svalov\u00fd apar\u00e1t. Aktivn\u00ed l\u00e9\u010dba osteopor\u00f3zy spo\u010d\u00edv\u00e1 v medikaci, p\u0159ev\u00e1\u017en\u011b antiresorp\u010dn\u00edmi l\u00e9ky, kter\u00e9 tlum\u00ed odbour\u00e1v\u00e1n\u00ed kostn\u00ed hmoty, a l\u00e9ky osteoanabolick\u00fdmi, zvy\u0161uj\u00edc\u00edmi novotvorbu kostn\u00ed tk\u00e1n\u011b.<\/p>\n

\u201eVe fyzioterapeutick\u00e9 l\u00e9\u010db\u011b se zam\u011b\u0159ujeme na cvi\u010den\u00ed spr\u00e1vn\u00e9ho dr\u017een\u00ed t\u011bla, centraci nosn\u00fdch kloub\u016f a trupu a odstran\u011bn\u00ed svalov\u00fdch dysbalanc\u00ed. S pacienty cvi\u010d\u00edme techniky pro uvoln\u011bn\u00ed nap\u011bt\u00ed m\u011bkk\u00fdch tk\u00e1n\u00ed a zlep\u0161en\u00ed pohybov\u00fdch funkc\u00ed i koordinace. Ulevuj\u00ed od bolesti a jsou vhodnou prevenc\u00ed proti p\u00e1d\u016fm a zlomenin\u00e1m. K modern\u00edm metod\u00e1m pat\u0159\u00ed tak\u00e9 l\u00e9\u010dba pomoc\u00ed fokusovan\u00e9 r\u00e1zov\u00e9 vlny, u n\u00ed\u017e se prok\u00e1zal pozitivn\u00ed vliv na stimulaci novotvorby kostn\u00ed tk\u00e1n\u011b v kr\u00e1tk\u00e9m obdob\u00ed po aplikaci,\u201c popsala Iva B\u00edlkov\u00e1.<\/p>\n

V r\u00e1mci prevence a l\u00e9\u010dby osteopor\u00f3zy je ide\u00e1ln\u00ed jak\u00fdkoli pohyb ve vzp\u0159\u00edmen\u00e9 poloze proti gravitaci \u2013 b\u011bh, ch\u016fze, popul\u00e1rn\u00ed nordic walking, tanec nebo cvi\u010den\u00ed s vlastn\u00ed vahou, jako nap\u0159\u00edklad j\u00f3ga \u010di pilates. S v\u00fdb\u011brem vhodn\u00e9 aktivity m\u016f\u017ee pomoci fyzioterapeut, ov\u0161em v\u016fle a ochota h\u00fdbat se alespo\u0148 p\u016fl a\u017e t\u0159i \u010dtvrt\u011b hodiny \u010dty\u0159ikr\u00e1t t\u00fddn\u011b z\u00e1vis\u00ed na pacientovi. V\u00fdznamnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby je tak\u00e9 \u00faprava j\u00eddeln\u00ed\u010dku, omezen\u00ed kofeinu, alkoholu, vyvarov\u00e1n\u00ed se kou\u0159en\u00ed a nadm\u00edry stresu.<\/p>\n

Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

A\u017e milion \u010cech\u016f trp\u00ed \u0159\u00eddnut\u00edm kost\u00ed. Osteopor\u00f3za postihuje dokonce ka\u017edou t\u0159et\u00ed \u017eenu a p\u00e1t\u00e9ho mu\u017ee star\u0161\u00ed 50 let. Z\u00e1sadn\u00ed vliv na rozvoj osteopor\u00f3zy v pozd\u011bj\u0161\u00edm […]<\/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":[11,9],"tags":[],"class_list":["post-30937","post","type-post","status-publish","format-standard","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30937","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=30937"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30937\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}