{"id":32392,"date":"2019-10-02T15:56:17","date_gmt":"2019-10-02T13:56:17","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32392"},"modified":"2019-10-02T16:12:59","modified_gmt":"2019-10-02T14:12:59","slug":"pul-kila-tresni-me-malem-zabilo-vypravi-cukrovkar","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32392","title":{"rendered":"P\u016fl kila t\u0159e\u0161n\u00ed m\u011b m\u00e1lem zabilo, vypr\u00e1v\u00ed cukrovk\u00e1\u0159"},"content":{"rendered":"
O tom, \u017ee se zanedb\u00e1n\u00ed l\u00e9\u010dby cukrovky nevypl\u00e1c\u00ed, v\u00ed sv\u00e9 pan Robert. Rady l\u00e9ka\u0159\u016f podce\u0148oval a\u017e do doby, kdy za\u010dal m\u00edt u\u017e zna\u010dn\u00e9 probl\u00e9my a selh\u00e1valy mu ledviny. Najednou si musel za\u010d\u00edt odp\u00edrat i zeleninu a ovoce, kter\u00e9 m\u011bl r\u00e1d. O tom, jak m\u00e1lem um\u0159el po t\u0159e\u0161n\u00edch i o mnoh\u00e9m dal\u0161\u00edm, vypr\u00e1v\u00ed dnes ji\u017e 51let\u00fd Robert v n\u00e1sleduj\u00edc\u00edm p\u0159\u00edb\u011bhu.\u00a0<\/strong><\/div>\n

<\/p>\n

\"\"<\/a>Pan Robertovi (na sn\u00edmku) byla cukrovka diagnostikov\u00e1na v\u00a021 letech, po n\u00e1vratu z\u00a0vojny. L\u00e9ka\u0159i zjistili, \u017ee m\u00e1 cukr 57 mmol\/l (referen\u010dn\u00ed hodnota je 3,3-6,6 mmol\/l na la\u010dno).
\nPan Robert nem\u011bl v\u00a0dob\u011b odhalen\u00ed nemoci \u017e\u00e1dn\u00e9 p\u0159\u00edznaky, jak s\u00e1m \u0159\u00edk\u00e1, bylo to t\u011bsn\u011b po revoluci, osv\u011bta, co se t\u00fd\u010de cukrovky, nebyla. Byla to v\u00a0uvozovk\u00e1ch mlad\u00e1 nemoc. Kdy\u017e se te\u010f zamysl\u00ed zp\u011btn\u011b, n\u011bjak\u00e9 p\u0159\u00edznaky p\u0159eci jenom m\u011bl, sv\u011bd\u011bn\u00ed k\u016f\u017ee, \u00fanava, v\u011bt\u0161\u00ed, ne\u017e je obvykl\u00e1. Po pr\u00e1ci si v\u011bt\u0161inou musel j\u00edt lehnout, m\u00edsto abych \u0161el s\u00a0vrstevn\u00edky t\u0159eba na pivo. P\u0159\u00edznaky byly, ale netu\u0161il, \u017ee by to mohla b\u00fdt nemoc, nap\u0159\u00edklad cukrovka. Co se t\u00fd\u010de t\u0159eba \u017e\u00edzn\u011b, kter\u00e1 cukrovku prov\u00e1z\u00ed, byl povol\u00e1n\u00edm kucha\u0159, v\u00a0hork\u00e9m provozu kuchyn\u011b \u017e\u00edze\u0148 pova\u017eoval za standardn\u00ed v\u011bc.<\/p>\n

Za\u010dal se tedy l\u00e9\u010dit, ale ze za\u010d\u00e1tku nedbal na p\u0159edepsan\u00e1 doporu\u010den\u00ed. Cukrovka toti\u017e nebol\u00ed, tak\u017ee nechodil na pravideln\u00e9 kontroly, jen si v\u017edy za\u0161el pro inzul\u00edn. Ani ten v\u0161ak nebral tak, jak by m\u011bl. Kdy\u017e si po p\u00e1r letech uv\u011bdomil, \u017ee asi opravdu nebude n\u011bco v\u00a0po\u0159\u00e1dku, u\u017e ho za\u010daly p\u00e1lit nohy a nastoupil po\u010d\u00e1tek neuropatie. V\u00a0t\u00e9 dob\u011b je\u0161t\u011b pracoval, a to 18 hodin denn\u011b, na kontroly si v\u011bt\u0161inou \u010das neud\u011blal, ale alespo\u0148 se sna\u017eil br\u00e1t po\u0159\u00e1dn\u011b p\u0159edepsan\u00fd inzul\u00edn, kter\u00fd si ji\u017e musel p\u00edchat 3kr\u00e1t denn\u011b. Z\u00e1rove\u0148 ho za\u010daly zlobit o\u010di. O\u010dn\u00ed l\u00e9ka\u0159ka \u017e\u00e1dnou z\u00e1vadu neshledala, po n\u011bjak\u00e9 dob\u011b byl posl\u00e1n do St\u0159e\u0161ovick\u00e9 nemocnice, kde mu vy\u0161et\u0159ili o\u010dn\u00ed pozad\u00ed a zjistili, \u017ee sta\u010dilo p\u00e1r t\u00fddn\u016f a p\u0159i\u0161el by vinou cukrovky o zrak, musel podstoupit laserovou operaci. Nakonec se p\u0159idalo i onemocn\u011bn\u00ed ledvin.<\/p>\n

P\u0159i b\u011b\u017en\u00e9 kontrole na diabetologii zjistili nedostate\u010dnou funkci ledvin a odeslali ho na specializovan\u00e9 pracovi\u0161t\u011b. M\u011bl probl\u00e9my s\u00a0mo\u010den\u00edm, bral diuretika. Jeho zdravotn\u00ed stav do\u0161el do f\u00e1ze, kdy u\u017e pot\u0159eboval nejen \u010distit krev, co\u017e jeho vlastn\u00ed ledviny nezvl\u00e1daly, ale i t\u00e9m\u011b\u0159 nemo\u010dil. Za\u010dal hodn\u011b p\u0159ib\u00fdvat na v\u00e1ze, proto\u017ee tekutiny, kter\u00e9 b\u011bhem dne do t\u011bla dostal, nevylou\u010dil mo\u010den\u00edm. Dial\u00fdzou mu krom\u011b \u010di\u0161t\u011bn\u00ed krve odvedli i nahromad\u011bnou mo\u010d z\u00a0t\u011bla (\u00fabytek v\u00e1hy 65 kilo).<\/p>\n

Nemoc ho velmi omezuje, vzhledem k\u00a0tomu, \u017ee m\u00e1 pan Robert v\u00a0tuto chv\u00edli celkem 31 diagn\u00f3z, je u\u017e t\u0159eba i tak p\u0159\u00edsn\u00fd diabetick\u00fd j\u00eddeln\u00ed\u010dek pro n\u011bj je\u0161t\u011b komplikovan\u011bj\u0161\u00ed. Pokud je pacient na dial\u00fdze, jsou stravovac\u00ed omezen\u00ed velk\u00e1. Pacienti nesm\u00ed nap\u0159\u00edklad zeleninu, ovoce v\u00a0\u010derstv\u00e9m nebo su\u0161en\u00e9m stavu. Nejhor\u0161\u00ed jsou peckoviny, pan Robert po jedn\u00e9 sv\u00e9 dietn\u00ed chyb\u011b, kdy sn\u011bdl necel\u00e9 p\u016fl kilo t\u0159e\u0161n\u00ed, zkolaboval. Peckoviny obsahuj\u00ed velk\u00e9 mno\u017estv\u00ed drasl\u00edku, kter\u00fd z\u00a0t\u011bla odbour\u00e1vaj\u00ed ledviny. Pan Robert p\u0159est\u00e1val najednou c\u00edtit nohy, ruce, upadal do bezv\u011bdom\u00ed, po okam\u017eit\u00e9m p\u0159evozu do nemocnice a napojen\u00edm na dial\u00fdzu se mu ale ud\u011blalo dob\u0159e. Dal\u0161\u00edmi l\u00e1tkami krom\u011b drasl\u00edku, kter\u00e9 je t\u0159eba omezit, jsou sod\u00edk a fosfor.<\/p>\n

Na druhou stranu pan Robert pot\u0159ebuje hodn\u011b b\u00edlkovin k\u00a0podpo\u0159e hojen\u00ed, kter\u00e9 je pro n\u011bj d\u016fle\u017eit\u00e9 i po prod\u011blan\u00e9 amputaci nohy z\u00a0d\u016fvodu nekr\u00f3zy tk\u00e1n\u011b zp\u016fsoben\u00e9 cukrovkou p\u0159ed 8 lety a prst\u016f i chodidel na druh\u00e9 noze p\u0159ed t\u0159emi lety. B\u00edlkoviny v\u00a0j\u00eddeln\u00ed\u010dku dopl\u0148uje zejm\u00e9na prost\u0159ednictv\u00edm mo\u0159sk\u00fdch plod\u016f a steak\u016f. Kv\u016fli p\u00e9\u010di o nohy je mus\u00ed i pravideln\u011b doch\u00e1zet na podiatrii, kde mu kontroluj\u00ed nohy a neuropatii (necitlivost nohou), kter\u00e1 cukrovku velmi \u010dasto prov\u00e1z\u00ed. K\u00a0amputaci nohy do\u0161lo po gangr\u00e9n\u011b, kter\u00e1 se mu do nohy dostala formou infekce z\u00a0kam\u00ednku, kter\u00fd nec\u00edtil v\u00a0bot\u011b pr\u00e1v\u011b vlivem neuropatie.<\/p>\n

S\u00a0postupem nemoci a p\u0159id\u00e1n\u00edm se dal\u0161\u00edch chorob, musel pan Robert skon\u010dit s\u00a0prac\u00ed kucha\u0159e,\u00a0a to zhruba p\u0159ed 10 lety, nyn\u00ed je v\u00a0invalidn\u00edm d\u016fchodu. Na dial\u00fdzu doch\u00e1z\u00ed t\u0159ikr\u00e1t t\u00fddn\u011b a vinou dal\u0161\u00edch nemoc\u00ed jako je t\u0159eba onemocn\u011bn\u00ed srdce musel ve\u0161ker\u00e9 sv\u00e9 aktivity v\u00fdznamn\u011b omezit. Pohybuje se na invalidn\u00edm voz\u00edku, v\u017edy ale k\u00a0sob\u011b pot\u0159ebuje asistenci zdrav\u00e9ho \u010dlov\u011bka, nej\u010dast\u011bji maminky. R\u00e1di spolu jezd\u00ed na v\u00fdlety, pan Robert je aktivn\u00edm \u0159idi\u010dem. T\u011b\u017ece vn\u00edm\u00e1, \u017ee tak\u0159ka devades\u00e1t procent pam\u00e1tek i muze\u00ed nen\u00ed p\u0159izp\u016fsobeno pro voz\u00ed\u010dk\u00e1\u0159e. Mezi jeho z\u00e1liby pat\u0159\u00ed i n\u00e1kupy a televize. Bydl\u00ed s\u00e1m v\u00a0byt\u011b v dom\u011b s\u00a0pe\u010dovatelskou slu\u017ebou.<\/p>\n

\n

Nyn\u00ed u\u017e mnoho let dodr\u017euje p\u0159edepsanou l\u00e9\u010dbu tak, jak m\u00e1. Toho, \u017ee se v\u00a0ml\u00e1d\u00ed stav\u011bl k\u00a0l\u00e9\u010db\u011b dost nedisciplinovan\u011b, nyn\u00ed lituje. \u201eTo v\u00edte, ml\u00e1d\u00ed u\u017e je takov\u00e9 a cukrovka nebol\u00ed. N\u011bkte\u0159\u00ed lid\u00e9 zjist\u00ed, \u017ee maj\u00ed cukrovku i u\u017e 15 let. P\u0159\u00edznaky jako je \u00fanava, \u017e\u00edze\u0148 p\u0159ipisuj\u00ed t\u0159eba sv\u00e9mu n\u00e1ro\u010dn\u00e9mu povol\u00e1n\u00ed atd. P\u0159i ozn\u00e1men\u00ed diagn\u00f3zy si nedovedete p\u0159edstavit, jak z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed to je a co v\u0161echno s\u00a0k\u00a0n\u011bmu m\u016f\u017ee p\u0159idru\u017eit,\u201c \u0159\u00edk\u00e1 pan Robert.<\/p>\n

P\u0159esto v\u0161echno pan Robert opl\u00fdv\u00e1 velk\u00fdm \u017eivotn\u00edm optimismem. \u017dije zejm\u00e9na pro svou maminku a energii do \u017eil mu v\u017edy nalej\u00ed i sest\u0159i\u010dky na dialyza\u010dn\u00edm odd\u011blen\u00ed Fakultn\u00ed nemocnice Vinohrady. \u201ePokud t\u0159eba sly\u0161\u00edte sm\u00e1t se sest\u0159i\u010dku Ivu\u0161ku p\u0159es t\u0159i s\u00e1ly, v\u0161echny chmury v\u00e1s opust\u00ed,\u201c usm\u00edv\u00e1 se pan Robert.<\/p>\n

Modern\u00ed l\u00e9\u010dba cukrovky m\u016f\u017ee zabr\u00e1nit po\u0161kozen\u00ed ledvin<\/strong><\/p>\n

\"\"<\/a>Onemocn\u011bn\u00ed ledvin je komplikac\u00ed, kter\u00e1 postihuje ka\u017ed\u00e9ho t\u0159et\u00edho pacienta s cukrovkou 2. typu. Nedostate\u010dn\u00e9 fungov\u00e1n\u00ed ledvin s\u00a0sebou p\u0159in\u00e1\u0161\u00ed i zdravotn\u00ed komplikace. L\u00e9ka\u0159i u takov\u00fdch pacient\u016f zaznamen\u00e1vaj\u00ed a\u017e 90procentn\u00ed zv\u00fd\u0161en\u00e9 riziko srde\u010dn\u011b-c\u00e9vn\u00edch p\u0159\u00edhod oproti diabetik\u016fm bez t\u00e9to komplikace.<\/p>\n

\u201eChronick\u00e9 selh\u00e1n\u00ed ledvin za\u010d\u00edn\u00e1 nen\u00e1padn\u011b a pacient nepoci\u0165uje \u017e\u00e1dn\u00e9 obt\u00ed\u017ee. Po\u010d\u00e1te\u010dn\u00ed p\u0159\u00edznaky jsou snadno zam\u011bniteln\u00e9 s\u00a0jinou nemoc\u00ed,\u201c \u0159\u00edk\u00e1 profesor MUDr. Ivan Rychl\u00edk z\u00a0Fakultn\u00ed nemocnice Kr\u00e1lovsk\u00e9 Vinohrady (na sn\u00edmku) . N\u00e1sledky nel\u00e9\u010den\u00e9ho selh\u00e1n\u00ed ledvin bohu\u017eel b\u00fdvaj\u00ed fat\u00e1ln\u00ed, nebo\u0165 ledviny p\u0159estanou \u010distit krev a v\u00a0t\u011ble pacienta se za\u010dnou hromadit odpadn\u00ed l\u00e1tky. Mezi hlavn\u00ed rizikov\u00e9 faktory vzniku chronick\u00e9ho onemocn\u011bn\u00ed ledvin pat\u0159\u00ed p\u0159edev\u0161\u00edm genetick\u00e1 z\u00e1t\u011b\u017e, v\u011bk >50 let, nedostate\u010dn\u011b l\u00e9\u010den\u00e1 cukrovka a vysok\u00fd krevn\u00ed tlak.<\/p>\n

Mo\u017enosti l\u00e9\u010dby<\/strong><\/p>\n

Odborn\u00e9 spole\u010dnosti zd\u016fraz\u0148uj\u00ed v\u00fdznam kombinovan\u00e9 l\u00e9\u010dby vidalgliptidu a metforminu ve srovn\u00e1n\u00ed se sou\u010dasnou standardn\u00ed l\u00e9\u010dbou pouze metforminem.<\/p>\n

L\u00e9\u010dba se standardn\u011b zahajuje \u00fapravou \u017eivotn\u00edho stylu zahrnuj\u00edc\u00ed pravideln\u00e9 fyzick\u00e9 aktivity a \u00fapravu j\u00eddeln\u00ed\u010dku (dieta, pohyb, redukce hmotnosti, ukon\u010den\u00ed kou\u0159en\u00ed) a hled\u00e1n\u00ed nov\u00fdch zp\u016fsob\u016f l\u00e9\u010dby.<\/p>\n

\"\"<\/a>Pokud nen\u00ed diabetes l\u00e9\u010den\u00fd, m\u016f\u017ee po\u0161kodit ledviny, srdce, o\u010di a nervy. M\u016f\u017ee se vyskytnout vysok\u00fd krevn\u00ed tlak a ztvrdnut\u00ed tepen, co\u017e vede k\u00a0onemocn\u011bn\u00ed srdce a<\/p>\n

V\u00a0\u010cesku je p\u0159es 800\u00a0000 diabetik\u016f, ale p\u0159edpokl\u00e1d\u00e1 se, \u017ee jich je je\u0161t\u011b v\u00edce. Zejm\u00e9na diabetes 2. typu prob\u00edh\u00e1 dlouhodob\u011b skryt\u011b bez z\u0159ejm\u00fdch p\u0159\u00edznak\u016f a \u010dasto b\u00fdv\u00e1 odhalen n\u00e1hodn\u011b. \u201eJsou d\u016fkazy z\u00a0mnoha klinick\u00fdch studi\u00ed, \u017ee \u0161patn\u011b l\u00e9\u010den\u00fd diabetik m\u00e1 \u010dast\u011bj\u0161\u00ed v\u00fdskyt komplikac\u00ed. Pokud je l\u00e9\u010dba vedena v\u00a0souladu se sou\u010dasnou modern\u00ed koncepc\u00ed \u010dasn\u00e9 intenzifikace l\u00e9\u010dby vedouc\u00ed k\u00a0udr\u017een\u00ed dobr\u00e9 hladiny glyk\u00e9mie, doch\u00e1z\u00ed k\u00a0odd\u00e1len\u00ed komplikac\u00ed diabetu. Intenzivn\u00ed a komplexn\u00ed l\u00e9\u010dba veden\u00e1 odborn\u00edkem prokazateln\u011b sni\u017euje i\u00a0\u00famrtnost,\u201c \u0159\u00edk\u00e1 profesor MUDr. Milan Kvapil (na sn\u00edmku) z\u00a0Fakultn\u00ed nemocnice v\u00a0Motole.<\/p>\n

V\u00a0sou\u010dasn\u00e9 dob\u011b se l\u00e9\u010dba diabetu zahajuje, krom\u011b dietn\u00edch a re\u017eimov\u00fdch opat\u0159en\u00ed, l\u00e9kem metforminem. Nej\u010dast\u011bj\u0161\u00edmi antidiabetiky p\u0159idan\u00fdmi k\u00a0metforminu jsou gliptiny a glifloziny. Studie prok\u00e1zaly, \u017ee l\u00e9ky volen\u00e9 ve 2. kroku po metforminu jsou velmi \u00fa\u010dinn\u00e9 nejen na kompenzaci diabetu, ale i na sn\u00ed\u017een\u00ed hmotnosti a p\u0159\u00edzniv\u011b ovliv\u0148uj\u00ed i krevn\u00ed tlak a lipidy. L\u00e9\u010dba kombinac\u00ed metforminu s\u00a0gliptiny, glifloziny \u010di inkretinov\u00fdmi analogy je nej\u00fa\u010dinn\u011bj\u0161\u00ed l\u00e9\u010dbou p\u0159i\u00a0nedostate\u010dn\u00e9m efektu metforminu. Kombinac\u00ed t\u011bchto l\u00e9k\u016f z\u00edskala progn\u00f3za pacient\u016f zcela jin\u00e9 rozm\u011bry, jejich \u017eivot se prodlou\u017eil, zkvalitnil.<\/p>\n

Diabetik\u016fm ledviny sel\u017eou \u010dast\u011bji<\/strong><\/p>\n

U diabetik\u016f doch\u00e1z\u00ed k\u00a0selh\u00e1v\u00e1n\u00ed ledvin u ka\u017ed\u00e9ho t\u0159et\u00edho pacienta. Nedostate\u010dn\u00e9 fungov\u00e1n\u00ed ledvin s\u00a0sebou p\u0159in\u00e1\u0161\u00ed i dal\u0161\u00ed zdravotn\u00ed probl\u00e9my. L\u00e9ka\u0159i u pacient\u016f s\u00a0diabetem a ledvinov\u00fdm posti\u017een\u00edm zaznamen\u00e1vaj\u00ed a\u017e o 90 procent zv\u00fd\u0161en\u00e9 riziko srde\u010dn\u011b-c\u00e9vn\u00edch p\u0159\u00edhod oproti diabetik\u016fm bez t\u00e9to komplikace.<\/p>\n

\u201ePrvn\u00ed zn\u00e1mkou nespr\u00e1vn\u00e9ho fungov\u00e1n\u00ed ledvin u diabetik\u016f je zv\u00fd\u0161en\u00e1 hladina b\u00edlkoviny v\u00a0mo\u010di,\u201c \u0159\u00edk\u00e1 prof. MUDr. Ivan Rychl\u00edk z\u00a0Fakultn\u00ed nemocnice Kr\u00e1lovsk\u00e9 Vinohrady v\u00a0Praze. Toto vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed preventivn\u011b jednou ro\u010dn\u011b diabetolog nebo praktick\u00fd l\u00e9ka\u0159.<\/p>\n

\u201e\u010cast\u011bj\u0161\u00ed v\u00fdskyt ledvinov\u00e9ho selh\u00e1n\u00ed evidujeme u \u017een. To je z\u0159ejm\u011b mimo jin\u00e9 zp\u016fsobeno i vy\u0161\u0161\u00edm v\u011bkem, kter\u00e9ho se do\u017e\u00edvaj\u00ed. Maj\u00ed tud\u00ed\u017e i v\u011bt\u0161\u00ed \u0161anci, \u017ee se do\u017eij\u00ed komplikac\u00ed cukrovky, v\u010detn\u011b selh\u00e1n\u00ed ledvin a\u00a0kardiovaskul\u00e1rn\u00edch nemoc\u00ed,\u201c \u0159\u00edk\u00e1 profesor Rychl\u00edk. Diabetici s\u00a0diabetick\u00fdm onemocn\u011bn\u00edm ledvin maj\u00ed v\u00fdznamn\u011b zv\u00fd\u0161enou mortalitu.<\/p>\n

zpracoval Jan \u010cin\u010dura<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

O tom, \u017ee se zanedb\u00e1n\u00ed l\u00e9\u010dby cukrovky nevypl\u00e1c\u00ed, v\u00ed sv\u00e9 pan Robert. Rady l\u00e9ka\u0159\u016f podce\u0148oval a\u017e do doby, kdy za\u010dal m\u00edt u\u017e zna\u010dn\u00e9 probl\u00e9my a […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":32397,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-32392","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32392","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=32392"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32392\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/32397"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}