P\u0159es dvacet let je prim\u00e1\u0159em na neonatologick\u00e9m odd\u011blen\u00ed \u010deskobud\u011bjovick\u00e9 nemocnice, kde se staraj\u00ed o novorozence. Na konci roku p\u011bta\u0161edes\u00e1tilet\u00fd prim\u00e1\u0159 Milan Hanzl kon\u010d\u00ed. \u201eSou\u010dasn\u00e1 p\u00e9\u010de o nedono\u0161ence se ned\u00e1 srovn\u00e1vat s tou v dob\u011b hus\u00e1kov\u00fdch d\u011bt\u00ed. Dnes se star\u00e1me o novorozence u\u017e od ukon\u010den\u00e9ho 22. t\u00fddne,\u201c \u0159\u00edk\u00e1 l\u00e9ka\u0159.<\/p>\n\n\n\n
Jak velkou roli hraje v\u011bk matky u nedono\u0161en\u00fdch d\u011bt\u00ed?<\/p>\n\n\n\n
Zvy\u0161uj\u00edc\u00ed se v\u011bk vede p\u0159edev\u0161\u00edm k n\u00e1r\u016fstu rizika t\u011bhotensk\u00fdch patologi\u00ed \u2013 vysok\u00e9ho tlaku, t\u011bhotensk\u00e9 cukrovky a dal\u0161\u00edch poruch zdrav\u00ed maminky, kter\u00e9 velmi \u010dasto vedou nucen\u011b k ukon\u010den\u00ed t\u011bhotenstv\u00ed p\u0159ed term\u00ednem. \u0158ada \u017een ve vy\u0161\u0161\u00edm v\u011bku tak\u00e9 podstupuje um\u011bl\u00e9 oplodn\u011bn\u00ed a metody asistovan\u00e9 reprodukce b\u00fdvaj\u00ed mnohdy spojeny s v\u00edce\u010detn\u00fdm t\u011bhotenstv\u00edm. Ta vedou desetkr\u00e1t a\u017e jeden\u00e1ctkr\u00e1t \u010dast\u011bji k p\u0159ed\u010dasn\u00e9mu porodu, co\u017e je dal\u0161\u00ed zdroj d\u011bt\u00ed s n\u00edzkou porodn\u00ed hmotnost\u00ed.
Dok\u00e1\u017eete si s t\u00edm poradit?<\/p>\n\n\n\n
A\u0165 jde o zvl\u00e1d\u00e1n\u00ed t\u011bhotensk\u00fdch patologi\u00ed, nebo asistovanou reprodukci, jdeme d\u00edky zvy\u0161uj\u00edc\u00ed se porodnick\u00e9 p\u00e9\u010di dop\u0159edu. Trend n\u00e1r\u016fstu d\u011bt\u00ed s n\u00edzkou porodn\u00ed hmotnost\u00ed, kter\u00fd kulminoval asi tak p\u0159ed p\u011bti lety, se obr\u00e1til a po\u010det nedono\u0161en\u00fdch anebo d\u011bt\u00ed s n\u00edzkou porodn\u00ed hmotnost\u00ed n\u00e1m kles\u00e1.
Skute\u010dn\u011b kles\u00e1?<\/p>\n\n\n\n
V\u0161ichni po\u0159\u00e1d opakuj\u00ed jako mantru, \u017ee stoup\u00e1. Kdy\u017e budeme poslouchat neinformovan\u00e9ho politika v televizi, kter\u00fd \u0159ekne, \u017ee nedono\u0161enc\u016f je \u010d\u00edm d\u00e1l v\u00edc a t\u00edm stoup\u00e1 po\u010det posti\u017een\u00fdch d\u011bt\u00ed, a proto mus\u00edme d\u00e1t pen\u00edze na n\u011bjak\u00e9 soci\u00e1ln\u00ed slu\u017eby (nic proti soci\u00e1ln\u00edm slu\u017eb\u00e1m, naopak), je to le\u017e jako v\u011b\u017e. Ve vysp\u011bl\u00fdch zem\u00edch zachra\u0148ov\u00e1n\u00ed p\u0159ed\u010dasn\u011b narozen\u00fdch nevede ke kumulaci posti\u017een\u00fdch v populaci. To je zav\u00e1d\u011bj\u00edc\u00ed. Ze statistik v mezin\u00e1rodn\u00edch datab\u00e1z\u00edch, kde jsme zapojeni, je vid\u011bt opak.
Jak m\u00e1te vyu\u017eitou stanici resuscita\u010dn\u00ed a intenzivn\u00ed p\u00e9\u010de pro nejmen\u0161\u00ed pacienty?<\/p>\n\n\n\n
Vyt\u00ed\u017eenost kol\u00eds\u00e1. N\u011bkdy je zcela zapln\u011bna a pak n\u00e1m v p\u0159ij\u00edm\u00e1n\u00ed maminek, u kter\u00fdch hroz\u00ed p\u0159ed\u010dasn\u00fd porod, vypom\u00e1haj\u00ed jin\u00e1 perinatologick\u00e1 centra.
Kolik novorozenc\u016f se tu ro\u010dn\u011b vyst\u0159\u00edd\u00e1?<\/p>\n\n\n\n
Novorozenc\u016f s extr\u00e9mn\u011b n\u00edzkou porodn\u00ed v\u00e1hou pod tis\u00edc gram\u016f m\u00e1me ro\u010dn\u011b kolem t\u0159iceti, n\u011bkdy i v\u00edce. D\u011bt\u00ed, kter\u00e9 p\u0159i narozen\u00ed v\u00e1\u017e\u00ed pod 1 500 gram\u016f v\u010detn\u011b v\u00fd\u0161e zm\u00edn\u011bn\u00fdch a vinou t\u011b\u017ek\u00e9 \u010di extr\u00e9mn\u00ed nezralosti jsou bezprost\u0159edn\u011b ohro\u017een\u00e9 na \u017eivot\u011b, je zhruba stovka ro\u010dn\u011b.<\/p>\n\n\n\n
\u010c\u00edm jsou nejv\u00edce ohro\u017eeny?<\/p>\n\n\n\n
Dominuj\u00ed poruchy d\u00fdch\u00e1n\u00ed, r\u016fzn\u00e9 ob\u011bhov\u00e9 komplikace, probl\u00e9my s v\u00fd\u017eivou. A proto\u017ee jejich imunitn\u00ed syst\u00e9m je skute\u010dn\u011b v plenk\u00e1ch, nedovedou se br\u00e1nit p\u0159i setk\u00e1n\u00ed s infekc\u00ed. Nav\u00edc \u010d\u00e1st infekc\u00ed si p\u0159enesou p\u0159ed porodem a b\u011bhem porodu od maminky. Proto u n\u00e1s panuje p\u0159\u00edsn\u00fd re\u017eim.
M\u016f\u017eete porovnat, kolik nedono\u0161enc\u016f se rodilo v dob\u011b va\u0161ich za\u010d\u00e1tk\u016f na neonatologii a dnes?<\/p>\n\n\n\n
Te\u010f se ro\u010dn\u011b narod\u00ed necel\u00fdch osm procent nedono\u0161enc\u016f ze 120 tis\u00edc novoroze\u0148at v zemi. V dob\u011b \u00e9ry Hus\u00e1kov\u00fdch d\u011bt\u00ed p\u0159ich\u00e1zelo na sv\u011bt ro\u010dn\u011b 200 tis\u00edc d\u011bt\u00ed. Ale dne\u0161n\u00ed statistiky nelze srovn\u00e1vat s t\u011bmi p\u0159ed 30 a\u017e 40 lety, tehdy mimina s porodn\u00ed v\u00e1hou pod tis\u00edc gram\u016f nemohla dostat p\u00e9\u010di odpov\u00eddaj\u00edc\u00ed dne\u0161n\u00edm standard\u016fm a i centralizace maminek s hroz\u00edc\u00edm p\u0159ed\u010dasn\u00fdm porodem prakticky neexistovala, co\u017e limitovalo p\u00e9\u010di o \u017eeny.
Od kolik\u00e1t\u00e9ho t\u00fddne se dnes star\u00e1te o nedono\u0161ence?<\/p>\n\n\n\n
Na neonatologii se star\u00e1me o novorozence od ukon\u010den\u00e9ho 22. t\u00fddne t\u011bhotenstv\u00ed. U t\u011bchto extr\u00e9mn\u011b nezral\u00fdch d\u011bt\u00ed v\u0161ak o m\u00ed\u0159e poskytovan\u00e9 p\u00e9\u010de spolurozhoduj\u00ed i rodi\u010de.
Bav\u00edte se s rodi\u010di o rizic\u00edch?<\/p>\n\n\n\n
Ano. Ne\u0159\u00edk\u00e1me jim statistiky, proto\u017ee je to velmi individu\u00e1ln\u00ed. Ned\u00e1vno jsem \u010detl \u010dl\u00e1nek sv\u00e9ho p\u0159edch\u016fdce profesora Milo\u0161e Velem\u00ednsk\u00e9ho. Star\u00e1 se jako praktick\u00fd l\u00e9ka\u0159 v T\u0159eboni o d\u011bti z 23.t\u00fddne a jsou na tom bezvadn\u011b, ale m\u00e1 taky jin\u00e9 z 34. t\u00fddne a ty bezvadn\u00e9 t\u0159eba nejsou. Uzav\u00edr\u00e1 to slovy \u2013 a potom su\u010fte. \u010cili my pracujeme s velkou m\u00edrou nejistoty. Dneska se modern\u00ed neonatologie sp\u00ed\u0161 sune k tomu, \u017ee mimina i kolem hranice \u017eivotaschopnosti si zasluhuj\u00ed dostat \u0161anci.<\/p>\n\n\n\n
L\u00e9ka\u0159i se p\u0159ou o to, kdy o\u010dkovat nedono\u0161en\u00e9 d\u011bti. Spor si rozetnou sami. A co ostatn\u00ed?<\/p>\n\n\n\n
Je poctiv\u00e9 \u0159\u00edct, \u017ee ani dnes v\u0161echny mali\u010dk\u00e9 pacienty zachr\u00e1nit neum\u00edme, medic\u00edna to prost\u011b nen\u00ed schopn\u00e1 zvl\u00e1dnout. Nebo se n\u00e1m je poda\u0159\u00ed zachr\u00e1nit, ale budou p\u0159es ve\u0161kerou p\u00e9\u010di posti\u017een\u00ed. Je to velmi slo\u017eit\u00e1 etick\u00e1, medic\u00ednsk\u00e1 i pr\u00e1vn\u00ed ot\u00e1zka.
M\u00e1te v t\u00fdmu i psychologa?<\/p>\n\n\n\n
Ano, bez toho se neobejdeme. M\u00e1me krizov\u00e9 interventy, m\u00e1me psychology znal\u00e9 na\u0161eho prost\u0159ed\u00ed. P\u00e9\u010de o rodinu a o maminku je na t\u011bchto pracovi\u0161t\u00edch jednou z priorit. U extr\u00e9mn\u011b nezral\u00fdch d\u011bt\u00ed existuje nezanedbateln\u00e9 v\u00fdvojov\u00e9 riziko, co\u017e se rodi\u010d\u016fm p\u0159irozen\u011b st\u00e1le hon\u00ed hlavou. Je t\u0159eba je udr\u017eet v klidu, vysv\u011btlit jim, \u017ee pro d\u00edt\u011b mohou mnoh\u00e9 ud\u011blat. To nen\u00ed kli\u0161\u00e9, ale skute\u010dnost. Prost\u011b bojovat spolu s d\u00edt\u011btem od za\u010d\u00e1tku a st\u00e1t se \u010dlenem o\u0161et\u0159ovatelsk\u00e9ho t\u00fdmu, to je dneska modern\u00ed neonatologie.
Nedono\u0161en\u00e9 d\u011bti le\u017e\u00ed ve vyh\u0159\u00edvan\u00e9m inkub\u00e1toru. Jak jim mohou rodi\u010de pomoci?<\/p>\n\n\n\n
Rodi\u010de mohou b\u00fdt s d\u00edt\u011btem v bezprost\u0159edn\u00edm kontaktu u inkub\u00e1toru, i kdy\u017e je t\u0159eba na d\u00fdchac\u00edm p\u0159\u00edstroji. M\u016f\u017eou na n\u011b mluvit, i takhle mal\u00e9 velmi dob\u0159e rozli\u0161uje dotyky person\u00e1lu a vlastn\u00ed maminky. Podn\u011bty m\u016f\u017eou b\u00fdt zvukov\u00e9, zrakov\u00e9. Nav\u00edc i d\u011bti, kter\u00e9 jsou p\u0159ipojen\u00e9 na d\u00fdchac\u00ed p\u0159\u00edstroj, se dnes neboj\u00edme vyndat, d\u00e1t je mamink\u00e1m za ko\u0161ili a umo\u017enit jim blahod\u00e1rn\u00fd kontakt k\u016f\u017ee na k\u016f\u017ei.
Tak\u017ee i mali\u010dk\u00e9 d\u011bti jsou p\u0159i optim\u00e1ln\u00ed p\u00e9\u010di odoln\u011bj\u0161\u00ed, ne\u017e jste p\u0159edpokl\u00e1dali?<\/p>\n\n\n\n
Dnes i s nedono\u0161en\u00fdmi d\u011btmi zach\u00e1z\u00edme trochu jinak ne\u017e d\u0159\u00edv, kdy jsme prakticky v\u0161echny hned napojovali na p\u0159\u00edstroje. Uk\u00e1zalo se, \u017ee malink\u00e9 d\u011bti toho um\u011bj\u00ed po narozen\u00ed v\u00edc, ne\u017e jsme si mysleli. I ty, kter\u00e9 maj\u00ed m\u00e9n\u011b ne\u017e kilo, jsou schopn\u00e9 po porodu z 80 a\u017e 90 procent vlastn\u00edho d\u00fdch\u00e1n\u00ed. V\u011b\u0159ilo se, \u017ee nemaj\u00ed sac\u00ed a polykac\u00ed reflexy, ale ukazuje se, \u017ee je nemus\u00edme dlouho dr\u017eet na kapa\u010dk\u00e1ch a mohou b\u00fdt od prvn\u00edch hodin \u017eiveny \u010derstv\u00fdm mate\u0159sk\u00fdm ml\u00e9kem.
Kolik v\u00e1\u017eilo nejleh\u010d\u00ed d\u00edt\u011b, o kter\u00e9 jste se starali?<\/p>\n\n\n\n
Za necel\u00fdch 23 let, co jsem tu prim\u00e1\u0159em, jsme se starali o n\u011bkolik d\u011bt\u00ed, kter\u00e9 m\u011bly po narozen\u00ed pod 500 gram\u016f. Nejmen\u0161\u00ed v\u00e1\u017eilo 380 gram\u016f, m\u011blo v\u0161ak n\u011bjak\u00e9 posti\u017een\u00ed. Ale j\u00e1 nem\u00e1m r\u00e1d tyto v\u00e1hov\u00e9 rekordy, kv\u016fli tomu tu nejsme. Pro n\u00e1s je nejd\u016fle\u017eit\u011bj\u0161\u00ed zam\u011b\u0159it se na rezervu ve zlep\u0161ov\u00e1n\u00ed p\u00e9\u010de o d\u011bti na hranici \u017eivotaschopnosti od 23. do 25. t\u00fddne. S t\u011bmi se je\u0161t\u011b mus\u00edme nau\u010dit l\u00e9pe zach\u00e1zet. Kdy\u017e to zvl\u00e1dneme, bude m\u00edt i v t\u00e9to nejrizikov\u011bj\u0161\u00ed skupin\u011b minimum d\u011bt\u00ed, na kter\u00fdch je vid\u011bt n\u011bjak\u00e9 posti\u017een\u00ed. Nesm\u00edme tak\u00e9 zapom\u00ednat, \u017ee na\u0161e odd\u011blen\u00ed pe\u010duje i o v\u0161echny novorozence se z\u00e1va\u017en\u00fdmi onemocn\u011bn\u00edmi. U nich tak\u00e9 existuje riziko trval\u00fdch n\u00e1sledk\u016f a jejich prevence je ned\u00edlnou sou\u010d\u00e1st\u00ed na\u0161\u00ed p\u00e9\u010de.
Co si pod t\u00edm m\u00e1m p\u0159edstavit?<\/p>\n\n\n\n
Syst\u00e9m ve v\u011bt\u0161in\u011b vysp\u011bl\u00fdch zem\u00ed je nastaven tak, \u017ee pro n\u00e1s p\u00e9\u010de nekon\u010d\u00ed, kdy\u017e jdou dom\u016f. Vezm\u011bme si p\u0159\u00edklad \u010cesk\u00fdch Bud\u011bjovic, kde propou\u0161t\u00edme d\u011bti, kter\u00e9 jsou naprosto stabilizovan\u00e9. Maminky s nimi um\u011bj\u00ed zach\u00e1zet, lidov\u011b \u0159e\u010deno, nen\u00ed co l\u00e9\u010dit. Nedono\u0161en\u00e9 d\u011bti pou\u0161t\u00edme dom\u016f s v\u00e1hou 1,90 kilogramu a pak je sledujeme v ambulantn\u00ed p\u00e9\u010di. Korigujeme p\u00e9\u010di o n\u011b, dohl\u00ed\u017e\u00edme na rehabilitaci, \u0159e\u0161\u00edme odchylky zdravotn\u00edho stavu spojen\u00e9 s nedono\u0161enost\u00ed, jako nap\u0159\u00edklad optim\u00e1ln\u00ed v\u00fd\u017eivu nebo chudokrevnost. A kdy\u017e dosp\u011bj\u00ed do dvou let korigovan\u00e9ho v\u011bku (u p\u0159ed\u010dasn\u011b narozen\u00fdch miminek l\u00e9ka\u0159i pracuj\u00ed s datem, kdy se m\u011bla narodit, ne kdy se narodila \u2013 pozn. red.), detailn\u011b zhodnot\u00edme s ostatn\u00edmi odborn\u00edky na z\u00e1klad\u011b mezin\u00e1rodn\u011b platn\u00fdch standard\u016f jejich v\u00fdvoj. Teprve v tomto v\u011bku m\u016f\u017eeme mluvit o tom, zda d\u00edt\u011b m\u00e1, nebo nem\u00e1 n\u011bjak\u00e9 posti\u017een\u00ed.
A jak jsou na tom?<\/p>\n\n\n\n
Stejn\u011b jako jin\u00e9 p\u0159ed\u010dasn\u011b narozen\u00e9 d\u011bti ve vysp\u011bl\u00e9m sv\u011bt\u011b. U\u017e mnoho let je jedin\u00fdm krit\u00e9riem na\u0161\u00ed p\u00e9\u010de, jestli maj\u00ed ve dvou letech, p\u0159\u00edpadn\u011b pozd\u011bji, n\u011bjak\u00e9 posti\u017een\u00ed kv\u016fli probl\u00e9m\u016fm v t\u011bhotenstv\u00ed \u010di po porodu. Jejich sledov\u00e1n\u00ed se v\u0161ak zvolna posunuje d\u00e1l, jestli maj\u00ed n\u011bjak\u00e9 pot\u00ed\u017ee v p\u0159ed\u0161koln\u00edm, \u0161koln\u00edm v\u011bku s u\u010den\u00edm, pozornost\u00ed a podobn\u011b. A tam m\u00e1 kl\u00ed\u010dovou roli v\u00fdvojov\u00e1 p\u00e9\u010de, do kter\u00e9 u\u017e za pobytu u n\u00e1s zapojujeme rodi\u010de.
Bav\u00ed se s v\u00e1mi rodi\u010de i pot\u00e9, co jejich d\u011bti p\u00e9\u010di p\u0159estanou pot\u0159ebovat?<\/p>\n\n\n\n
N\u011bkte\u0159\u00ed ano, jin\u00e9 u\u017e nikdy nevid\u00edme, p\u0159esto\u017ee \u010das od \u010dasu d\u011bl\u00e1me Dny nedono\u0161en\u00fdch. Nen\u00ed tak\u00e9 vz\u00e1cn\u00e9, \u017ee se p\u0159\u00edmo na odd\u011blen\u00ed objev\u00ed rodi\u010de s dvan\u00e1cti nebo patn\u00e1ctilet\u00fdm klukem, holkou. N\u011bkter\u00e9 si budeme pamatovat do smrti. A kdy\u017e jdu m\u011bstem, nau\u010dil jsem se rad\u011bji zdravit t\u00e9m\u011b\u0159 v\u0161echny maminky s ko\u010d\u00e1rky. Ob\u010das jich p\u00e1r potk\u00e1m na n\u00e1m\u011bst\u00ed u st\u00e1nku s pun\u010dem a oni m\u011b najednou mezi sebe za\u010dlen\u00ed. To v\u017edycky pot\u011b\u0161\u00ed.<\/p>\n\n\n\n
Boj o \u017eivot nedono\u0161en\u00e9ho d\u00edt\u011bte l\u00e9ka\u0159i nevzd\u00e1vaj\u00ed. S\u00e1m jste posledn\u00ed t\u00fddny ve funkci prim\u00e1\u0159e. Nen\u00ed v\u00e1m l\u00edto, \u017ee opou\u0161t\u00edte dob\u0159e funguj\u00edc\u00ed t\u00fdm?<\/p>\n\n\n\n
Odchod jsem m\u011bl napl\u00e1novan\u00fd u\u017e dva t\u0159i roky. \u0158ekl jsem si, \u017ee v 65 letech je dobr\u00e9 jako jinde ve sv\u011bt\u011b p\u0159ej\u00edt do pozice emeritn\u00edho a vyu\u017e\u00edt znalost\u00ed a kreativity mlad\u00fdch. Budu d\u011blat jen na \u010d\u00e1st \u00favazku v\u00fduku a v ambulanci a tak\u00e9 pracuji na Jiho\u010desk\u00e9 univerzit\u011b.
Netrp\u011bla va\u0161e rodina t\u00edm, \u017ee tr\u00e1v\u00edte v\u011bt\u0161inu \u010dasu v nemocnici?<\/p>\n\n\n\n
M\u00e1m v\u00fdhodu, \u017ee bydl\u00edm p\u0159es ulici od nemocnice. Neztr\u00e1c\u00edm \u010das doj\u00ed\u017ed\u011bn\u00edm, nav\u00edc je to praktick\u00e9, kdy\u017e v pr\u00e1ci n\u011bco ho\u0159elo. Mysl\u00edm si, \u017ee kontakt s rodinou byl v\u017edy perfektn\u00ed, kdy\u017e to man\u017eelka se mnou vydr\u017eela. Je taky zdravotnice, zubn\u00ed instrument\u00e1\u0159ka, a za\u010d\u00ednala svou praxi v nemocnici. Zdravotnictv\u00ed si vybraly i ob\u011b dcery, star\u0161\u00ed je zuba\u0159ka a mlad\u0161\u00ed fyzioterapeutka. U vnou\u010dat to zat\u00edm jasn\u00e9 nen\u00ed.<\/p>\n\n\n\n
———————–<\/p>\n\n\n\n
Milan Hanzl – Neonatolog<\/p>\n\n\n\n
Je prim\u00e1\u0159em neonatologick\u00e9ho odd\u011blen\u00ed v \u010deskobud\u011bjovick\u00e9 nemocnici, kter\u00e9 zaji\u0161\u0165uje vysoce specializovanou p\u00e9\u010di o novorozence pro cel\u00fd Jiho\u010desk\u00fd kraj a \u010d\u00e1st Vyso\u010diny. Vystudoval 2. l\u00e9ka\u0159skou fakultu Univerzity Karlovy v Praze. Po promoci v roce 1979 nastoupil na d\u011btsk\u00e9 odd\u011blen\u00ed v jind\u0159ichohradeck\u00e9 nemocnici, po \u0161esti letech p\u0159e\u0161el na neonatologick\u00e9 odd\u011blen\u00ed do \u010cesk\u00fdch Bud\u011bjovic. V roce 1997 se stal jeho prim\u00e1\u0159em. Provoz odd\u011blen\u00ed je \u00fazce prov\u00e1z\u00e1n s porodnickou \u010d\u00e1st\u00ed gynekologicko-porodnick\u00e9ho odd\u011blen\u00ed, se kterou tvo\u0159\u00ed akreditovan\u00e9 Perinatologick\u00e9 centrum intenzivn\u00ed p\u00e9\u010de.<\/p>\n\n\n\n
idnes.cz: https:\/\/www.idnes.cz\/ceske-budejovice\/zpravy\/milan-hanzl-nenatologie-miminka.A191215_172259_budejovice-zpravy_jum<\/a> P\u0159es dvacet let je prim\u00e1\u0159em na neonatologick\u00e9m odd\u011blen\u00ed \u010deskobud\u011bjovick\u00e9 nemocnice, kde se staraj\u00ed o novorozence. Na konci roku p\u011bta\u0161edes\u00e1tilet\u00fd prim\u00e1\u0159 Milan Hanzl kon\u010d\u00ed. \u201eSou\u010dasn\u00e1 p\u00e9\u010de […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21938,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-32990","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\/32990","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=32990"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32990\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21938"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32990"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32990"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32990"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/p>\n","protected":false},"excerpt":{"rendered":"