Praha, 24. 11. 2021 – Bu\u0161en\u00ed srdce, nemo\u017enost popadnout dech, slabost, obrovsk\u00e1 \u00fanava, zhor\u0161en\u00ed st\u00e1vaj\u00edc\u00ed choroby \u2013 to jsou p\u0159\u00edznaky nedostatku z\u00e1sobn\u00edho \u017eeleza v\u00a0krvi, kter\u00fdm trp\u00ed t\u00e9m\u011b\u0159 polovina lid\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm. Zat\u00edmco zdrav\u00ed lid\u00e9 se mohou nedostatek \u017eeleza pokusit dohnat krvav\u00fdm steakem, tofu nebo ho\u0159kou \u010dokol\u00e1dou, lidem s\u00a0nemocn\u00fdm srdcem je \u010dasto t\u0159eba dodat \u017eelezo p\u0159\u00edmo do krevn\u00edho ob\u011bhu. Z\u00a0potravin ani z\u00a0dopl\u0148k\u016f stravy jej dostate\u010dn\u011b nevst\u0159ebaj\u00ed. V\u00a0\u010cesku trp\u00ed srde\u010dn\u00edm selh\u00e1n\u00edm p\u0159es 280\u00a0000 lid\u00ed, a ka\u017ed\u00fd rok p\u0159ib\u00fdv\u00e1 dal\u0161\u00edch 60 000. Dopln\u011bn\u00ed vysoce koncentrovan\u00fdm \u017eelezem u\u017e t\u00e9to skupin\u011b nemocn\u00fdch p\u0159i spln\u011bn\u00ed ur\u010dit\u00fdch podm\u00ednek plat\u00ed zdravotn\u00ed poji\u0161\u0165ovny a l\u00e9ka\u0159i \u2013 kardiologov\u00e9 \u010di internisti tak mohou sv\u00fdm pacient\u016fm bez p\u0159ek\u00e1\u017eek pomoci. Specialist\u00e9 na srdce to p\u0159ipom\u00ednaj\u00ed v\u00a0r\u00e1mci Dne nedostatku \u017eeleza, kter\u00fd p\u0159ipad\u00e1 na 26. listopadu.<\/p>\n\n\n\n
\u201eLidsk\u00e9 t\u011blo m\u00e1 v sob\u011b 3 a\u017e 4 gramy \u017eeleza, kter\u00e9 je z\u00e1sadn\u00ed pro fungov\u00e1n\u00ed cel\u00e9 \u0159ady d\u011bj\u016f v lidsk\u00e9m t\u011ble. \u017delezo je nap\u0159\u00edklad sou\u010d\u00e1st\u00ed \u010derven\u00e9ho krevn\u00edho barviva \u2013 hemoglobinu, kde umo\u017e\u0148uje p\u0159enos kysl\u00edku. \u017delezo je ale pot\u0159eba i pro fungov\u00e1n\u00ed mitochondri\u00ed, bun\u011b\u010dn\u00fdch sou\u010d\u00e1st\u00ed \u2013 kter\u00e9 jsou v t\u011ble centrem d\u00fdch\u00e1n\u00ed a tvorby energie. U lid\u00ed, kde srdce nefunguje, jak m\u00e1, a selh\u00e1v\u00e1, je nedostatek \u017eeleza obzvl\u00e1\u0161\u0165 nebezpe\u010dn\u00fd \u2013 srde\u010dn\u00ed sval nem\u00e1 dostate\u010dn\u011b siln\u00e9 kontrakce, v p\u0159\u00edpad\u011b sebemen\u0161\u00ed n\u00e1mahy nem\u00e1 t\u011blo kde br\u00e1t, doch\u00e1z\u00ed k p\u0159et\u00ed\u017een\u00ed \u017eivotn\u011b d\u016fle\u017eit\u00e9ho svalu a selh\u00e1n\u00ed zrychluje,\u201c vysv\u011btluje prof. MUDr. Ale\u0161 Linhart, DrSc., p\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti. Dod\u00e1v\u00e1n\u00ed \u017eeleza je tak d\u016fle\u017eit\u00e9 pro ovlivn\u011bn\u00ed pr\u016fb\u011bhu a progn\u00f3zy onemocn\u011bn\u00ed, dod\u00e1n\u00ed z\u00e1sobn\u00edho \u017eeleza lidem se srde\u010dn\u00edm selh\u00e1n\u00edm nov\u011b doporu\u010duje i Evropsk\u00e1 kardiologick\u00e1 spole\u010dnost.<\/p>\n\n\n\n
Podle l\u00e9ka\u0159\u016f m\u00e1 paradoxn\u011b \u010d\u00e1st pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm hladinu hemoglobinu relativn\u011b v po\u0159\u00e1dku, p\u0159esto\u017ee evidentn\u011b nedostatkem \u017eeleza trp\u00ed. \u201eZat\u00edmco u \u0159ady chorob \u0159e\u0161\u00edme nedostatek \u017eeleza jeho pod\u00e1v\u00e1n\u00edm v r\u016fzn\u00fdch form\u00e1ch tablet \u010di kapsl\u00ed, tato l\u00e9\u010dba nen\u00ed schopna nahradit velk\u00fd nedostatek, kter\u00fd nemocn\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm maj\u00ed. Takto pod\u00e1van\u00e9 \u017eelezo se u nich \u0161patn\u011b vst\u0159eb\u00e1v\u00e1 a pacienti l\u00e9\u010dbu nesn\u00e1\u0161ej\u00ed dob\u0159e. \u0158e\u0161en\u00edm je nitro\u017eiln\u00ed pod\u00e1n\u00ed a je d\u016fle\u017eit\u00e9, aby \u0161lo o l\u00e9\u010div\u00fd p\u0159\u00edpravek s velk\u00fdm mno\u017estv\u00ed \u017eeleza a minimem ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f,\u201c \u0159\u00edk\u00e1 prof. Linhart. <\/p>\n\n\n\n
Nedostatek \u017eeleza u lid\u00ed s chronick\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm m\u00e1 n\u011bkolik p\u0159\u00ed\u010din. Nemocn\u00ed podle kardiolog\u016f \u010dasto trp\u00ed nechutenstv\u00edm, a tak ani p\u0159irozen\u011b do sebe nedostanou v\u0161e, co by jejich t\u011blo pot\u0159ebovalo, \u017eelezo se u nich nav\u00edc h\u016f\u0159e vst\u0159eb\u00e1v\u00e1 nap\u0159\u00edklad kv\u016fli z\u00e1n\u011btu, otok\u016fm, nebo nedostatku vitam\u00edn\u016f nutn\u00fdch ke vst\u0159eb\u00e1v\u00e1n\u00ed \u017eeleza do organismu. \u201ePacienti mohou m\u00edt i zv\u00fd\u0161en\u00e9 ztr\u00e1ty \u017eeleza kv\u016fli mal\u00e9mu a nepozorovan\u00e9mu krv\u00e1cen\u00ed do tr\u00e1vic\u00edho traktu, \u010dasto zes\u00edlen\u00e9mu pod\u00e1v\u00e1n\u00edm l\u00e9k\u016f na jejich nemoc,\u201c dod\u00e1v\u00e1 prof. Linhart. <\/p>\n\n\n\n
Kardiologov\u00e9 zji\u0161\u0165uj\u00ed hladinu z\u00e1sobn\u00edho \u017eeleza u sv\u00fdch pacient\u016f laboratorn\u00ed anal\u00fdzou krve. Pokud zjist\u00ed jeho z\u00e1sadn\u00ed nedostatek, dopln\u00ed jej pacientovi nitro\u017eiln\u011b, v 90 % formou kapa\u010dky. \u201eAplikace na kardiologick\u00fdch nebo internistick\u00fdch odd\u011blen\u00edch trv\u00e1 p\u0159ibli\u017en\u011b 10-15 minut a d\u00e1vka takto podan\u00e9ho \u017eeleza sta\u010d\u00ed pacientovi na p\u016fl roku a\u017e na rok,\u201c dod\u00e1v\u00e1 prof. Linhart. <\/p>\n\n\n\n
Podle odhad\u016f \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti se v\u00a0posledn\u00edch p\u011bti letech zvedlo mno\u017estv\u00ed lid\u00ed s\u00a0diagn\u00f3zou srde\u010dn\u00edho selh\u00e1n\u00ed o v\u00edce ne\u017e polovinu. Do roku 2030 by m\u011bl jejich po\u010det dokonce vzr\u016fst o 50 % na p\u0159ibli\u017en\u011b 450\u00a0000.<\/p>\n\n\n\n
Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"
Praha, 24. 11. 2021 – Bu\u0161en\u00ed srdce, nemo\u017enost popadnout dech, slabost, obrovsk\u00e1 \u00fanava, zhor\u0161en\u00ed st\u00e1vaj\u00edc\u00ed choroby \u2013 to jsou p\u0159\u00edznaky nedostatku z\u00e1sobn\u00edho \u017eeleza v\u00a0krvi, kter\u00fdm […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29445,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36932","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\/36932","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=36932"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36932\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29445"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36932"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36932"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36932"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}