{"id":3226,"date":"2013-03-27T18:20:43","date_gmt":"2013-03-27T17:20:43","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=3226"},"modified":"2013-03-27T18:23:43","modified_gmt":"2013-03-27T17:23:43","slug":"chronicky-unavovy-syndrom-nebo-jarni-unava","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=3226","title":{"rendered":"Chronick\u00fd \u00fanavov\u00fd syndrom, nebo jarn\u00ed \u00fanava?"},"content":{"rendered":"<p><strong>Chronick\u00fdm \u00fanavov\u00fdm syndromem trp\u00ed a\u017e 40 tis\u00edc \u010cech\u016f \u2013 \u00fapln\u011b se vyl\u00e9\u010d\u00ed jen polovina z\u00a0nich. Jak ale pozn\u00e1me, \u017ee se nejedn\u00e1 &#8222;jen&#8220; o jarn\u00ed \u00fanavu? To prozradil docent Lubom\u00edr Nov\u00e1k (foto), vedouc\u00ed intern\u00edho odd\u011blen\u00ed Kliniky GHC Praha.<\/strong> <!--more--><\/p>\n<p>Bolesti hlavy, poruchy sp\u00e1nku, unaven\u00e9 svaly nebo deprese \u2013 to v\u0161e jsou p\u0159\u00edznaky<strong> jarn\u00ed \u00fanavy.<\/strong> Spolu se zv\u00fd\u0161enou teplotou v\u0161ak i <strong>chronick\u00e9ho \u00fanavov\u00e9ho syndromu<\/strong>. Ten nej\u010dast\u011bji postihuje \u017eeny ve v\u011bku od 25 do 45 let. Zhruba 65 procent nemocn\u00fdch tvo\u0159\u00ed alergici. V\u011bt\u0161ina lid\u00ed v\u00a0tomto obdob\u00ed chybn\u011b zam\u011b\u0148uje onemocn\u011bn\u00ed za pouhou jarn\u00ed \u00fanavu.<\/p>\n<p>\u201ePro <strong>chronick\u00fd \u00fanavov\u00fd syndrom<\/strong> je typick\u00e1 vracej\u00edc\u00ed se \u00fanava, kter\u00e1 trv\u00e1 d\u00e9le ne\u017e p\u016fl roku a zp\u016fsobuje v\u00edce ne\u017e 50 procent sn\u00ed\u017een\u00ed \u017eivotn\u00ed aktivity. \u00danava m\u00e1 charakter vy\u010derp\u00e1n\u00ed organismu a \u010din\u00ed jakoukoli fyzickou \u010di psychickou \u010dinnost t\u00e9m\u011b\u0159 nemo\u017enou.<\/p>\n<p>Dal\u0161\u00edmi p\u0159\u00edznaky mohou b\u00fdt bolesti hlavy, poruchy sp\u00e1nku a pam\u011bti nebo neschopnost soust\u0159ed\u011bn\u00ed. \u010cast\u00e1 je nervozita, deprese, psychick\u00e9 vy\u010derp\u00e1n\u00ed, zv\u00fd\u0161en\u00e1 teplota, bolesti sval\u016f nebo kloub\u016f, bolesti v krku, zv\u011bt\u0161en\u00e9 uzliny na krku nebo v podpa\u017e\u00ed,\u201c popsal p\u0159\u00edznaky onemocn\u011bn\u00ed docent Lubom\u00edr Nov\u00e1k, vedouc\u00ed intern\u00edho odd\u011blen\u00ed Kliniky GHC Praha.<\/p>\n<p>Lid\u00e9 \u010dasto chronick\u00fd \u00fanavov\u00fd syndrom zam\u011b\u0148uj\u00ed za <strong>jarn\u00ed \u00fanavu<\/strong>, ta v\u0161ak m\u00e1 m\u00edrn\u011bj\u0161\u00ed pr\u016fb\u011bh a jej\u00ed l\u00e9\u010dba je v\u00fdrazn\u011b snaz\u0161\u00ed. Jarn\u00ed \u00fanava je p\u0159echodn\u00fd stav, kter\u00fd je zp\u016fsoben p\u0159ev\u00e1\u017en\u011b deficitem ur\u010dit\u00fdch vitamin\u016f a l\u00e1tek s antioxida\u010dn\u00edm p\u016fsoben\u00edm. Ve srovn\u00e1n\u00ed s \u00fanavov\u00fdm syndromem netrv\u00e1 jarn\u00ed \u00fanava d\u00e9le ne\u017e \u0161est m\u011bs\u00edc\u016f a lze ji vyl\u00e9\u010dit \u00fapravou stravy a \u017eivotospr\u00e1vy.<\/p>\n<p>\u201eL\u00e9\u010dba syndromu chronick\u00e9 \u00fanavy je obt\u00ed\u017en\u011bj\u0161\u00ed. Podle n\u011bkter\u00fdch americk\u00fdch studi\u00ed se \u00fapln\u011b uzdrav\u00ed m\u00e9n\u011b ne\u017e 50 procent lid\u00ed. V\u00fdskyt syndromu chronick\u00e9 \u00fanavy v populaci se odhaduje na 40\u2013400 nemocn\u00fdch na 100 tis\u00edc obyvatel. V\u00a0\u010cesku by tedy mohlo b\u00fdt a\u017e 40 tis\u00edc nemocn\u00fdch. V\u011bt\u0161ina diagnostikovan\u00fdch p\u0159\u00edpad\u016f jsou \u017eeny ve v\u011bkov\u00e9m rozmez\u00ed 25 a\u017e 45 let. Obecn\u011b panuje n\u00e1zor, \u017ee dne\u0161n\u00ed usp\u011bchan\u00fd a nevyv\u00e1\u017een\u00fd \u017eivotn\u00ed styl je n\u00e1ro\u010dn\u011bj\u0161\u00ed pro \u017eeny, proto\u017ee zvl\u00e1daj\u00ed v\u00edce rol\u00ed najednou. Nen\u00ed nap\u0159\u00edklad v\u00fdjimkou, \u017ee \u017eeny na mate\u0159sk\u00e9 dovolen\u00e9 z\u00e1rove\u0148 pracuj\u00ed. Dost\u00e1vaj\u00ed se proto do stresov\u00fdch situac\u00ed \u010dast\u011bji ne\u017e mu\u017ei,\u201c vysv\u011btlil MUDr. Nov\u00e1k.<\/p>\n<p>Rizikov\u00fdmi faktory jsou vysok\u00e9 pracovn\u00ed nasazen\u00ed, dlouhodob\u00e9 psychick\u00e9 a fyzick\u00e9 p\u0159ep\u011bt\u00ed, stres a neschopnost relaxovat. Onemocn\u011bn\u00ed se vyskytuje u lid\u00ed, kte\u0159\u00ed h\u016f\u0159e zvl\u00e1daj\u00ed stresov\u00e9 situace. Lid\u00e9 s \u00fanavov\u00fdm syndromem maj\u00ed \u010dast\u011bji poruchy imunity, asi 65 procent tvo\u0159\u00ed alergici. \u010cast\u00fdm spou\u0161t\u011bc\u00edm faktorem b\u00fdv\u00e1 ch\u0159ipka \u010di kvasinkov\u00e9 infekce.<\/p>\n<p>\u201eChronick\u00fd \u00fanavov\u00fd syndrom je onemocn\u011bn\u00ed, kter\u00e9 nelze l\u00e9\u010dit p\u0159\u00edmo. Je nutn\u00e9 ovlivnit jeho p\u0159\u00edznaky a spou\u0161t\u011bc\u00ed faktory, jako jsou nap\u0159\u00edklad d\u00e9letrvaj\u00edc\u00ed vir\u00f3zy nebo z\u00e1t\u011b\u017eov\u00fd zp\u016fsob \u017eivota. D\u016fle\u017eit\u00e1 je vstupn\u00ed konzultace, b\u011bhem kter\u00e9 v\u00a0jeden den provede l\u00e9ka\u0159 klinick\u00e1, laboratorn\u00ed a zobrazovac\u00ed vy\u0161et\u0159en\u00ed. D\u00edky v\u00fdsledk\u016fm z\u00edsk\u00e1 komplexn\u00ed informace o zdravotn\u00edm stavu pacienta a navrhne postup l\u00e9\u010dby,\u201c dodal Nov\u00e1k.<\/p>\n<p>Chronick\u00fd \u00fanavov\u00fd syndrom nen\u00ed zcela nov\u00fdm onemocn\u011bn\u00edm. Term\u00edn byl poprv\u00e9 pou\u017eit v USA u\u017e ve 30. letech minul\u00e9ho stolet\u00ed. Souvisel s epidemi\u00ed n\u00e1hle vznikl\u00e9 a d\u00e9le trvaj\u00edc\u00ed \u00fanavy, kter\u00e1 se objevila ve vesni\u010dce Incline Village v roce 1934. Epidemie se objevila u v\u011bt\u0161\u00edho mno\u017estv\u00ed lid\u00ed s velk\u00fdm smyslem pro odpov\u011bdnost a povinnost, kte\u0159\u00ed byli zvykl\u00ed pod\u00e1vat vysok\u00e9 pracovn\u00ed v\u00fdkony. Jednozna\u010dn\u00e1 p\u0159\u00ed\u010dina tehdy nebyla odhalena. Diagnostick\u00e1 krit\u00e9ria chronick\u00e9ho \u00fanavov\u00e9ho syndromu byla definov\u00e1na a\u017e v\u00a0roce 1988.<\/p>\n<p>invArena<\/p>\n<p>MUDr. Jan \u010cin\u010dura<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Chronick\u00fdm \u00fanavov\u00fdm syndromem trp\u00ed a\u017e 40 tis\u00edc \u010cech\u016f \u2013 \u00fapln\u011b se vyl\u00e9\u010d\u00ed jen polovina z\u00a0nich. Jak ale pozn\u00e1me, \u017ee se nejedn\u00e1 &#8222;jen&#8220; o jarn\u00ed \u00fanavu? <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=3226\" title=\"Chronick\u00fd \u00fanavov\u00fd syndrom, nebo jarn\u00ed \u00fanava?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":3227,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-3226","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\/3226","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=3226"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/3226\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/3227"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3226"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3226"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}