{"id":38660,"date":"2023-03-02T21:46:26","date_gmt":"2023-03-02T20:46:26","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=38660"},"modified":"2023-03-02T21:47:35","modified_gmt":"2023-03-02T20:47:35","slug":"pozor-na-zpomaleny-rust-deti-muze-signalizovat-vaznejsi-nemoc","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=38660","title":{"rendered":"Pozor na zpomalen\u00fd r\u016fst d\u011bt\u00ed, m\u016f\u017ee signalizovat v\u00e1\u017en\u011bj\u0161\u00ed nemoc"},"content":{"rendered":"\n

Pokud se \u010d\u00e1rka na zdi nebo z\u00e1rubn\u00edch dve\u0159\u00ed zaznamen\u00e1vaj\u00edc\u00ed r\u016fst d\u00edt\u011bte p\u0159estane posouvat vzh\u016fru, je na\u010dase zpozorn\u011bt. Poruchy r\u016fstu u d\u011bt\u00ed toti\u017e mohou signalizovat v\u00e1\u017en\u00e9 zdravotn\u00ed pot\u00ed\u017ee, kter\u00e9 se je\u0161t\u011b nestihly projevit. U n\u011bkter\u00fdch d\u011bt\u00ed zas ke zpomalen\u00ed r\u016fstu doch\u00e1z\u00ed bez zjevn\u00e9 p\u0159\u00ed\u010diny a dor\u016fst do \u201espr\u00e1vn\u00e9 velikosti\u201c jim pom\u016f\u017ee speci\u00e1ln\u00ed l\u00e9\u010dba r\u016fstov\u00fdm hormonem. A p\u0159esto\u017ee se kolem nich podle l\u00e9ka\u0159\u016f to\u010d\u00ed \u0159ada m\u00fdt\u016f, l\u00e9\u010dba u\u0161et\u0159ila ji\u017e n\u011bkolik generac\u00ed d\u011bt\u00ed od posm\u011b\u0161k\u016f a pocit\u016f m\u00e9n\u011bcennosti z mal\u00e9ho vzr\u016fstu. <\/strong><\/p>\n\n\n\n

\u201eOt\u00e1zka poruch r\u016fstu je \u010dasto podobn\u00e1 r\u00e9busu o slepici a vejci, tedy co je p\u0159\u00ed\u010dinou a co n\u00e1sledkem. M\u016f\u017ee je toti\u017e zp\u016fsobovat vcelku jak\u00e9koliv vlekl\u00e9 chronick\u00e9 onemocn\u011bn\u00ed t\u011bln\u00edho syst\u00e9mu a zpomalen\u00fd r\u016fst m\u016f\u017ee b\u00fdt prvn\u00edm projevem tohoto onemocn\u011bn\u00ed, kter\u00e9 jinak nen\u00ed patrn\u00e9. Proto je d\u016fle\u017eit\u00e9 tyto p\u0159\u00edpady zachycovat v co nejv\u011bt\u0161\u00ed m\u00ed\u0159e, proto\u017ee onemocn\u011bn\u00ed, kter\u00e1 poruchy r\u016fstu zp\u016fsobuj\u00ed, znamenaj\u00ed \u010dasto v\u011bt\u0161\u00ed riziko ne\u017e mal\u00fd vzr\u016fst,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Jan Lebl, CSc., p\u0159ednosta Pediatrick\u00e9 kliniky 2. LF UK a FN Motol.<\/p>\n\n\n\n

Typick\u00fdm p\u0159\u00edpadem, kdy d\u00edt\u011b p\u0159estane r\u016fst kv\u016fli jin\u00e9 nemoci, je podle l\u00e9ka\u0159e nap\u0159\u00edklad choroba za\u017e\u00edvac\u00edho traktu typu Crohnova nemoc nebo n\u011bkter\u00e9 nemoci ledvin. Pokud se poda\u0159\u00ed vy\u0159e\u0161it p\u0159\u00ed\u010dinu, r\u016fst se \u010dasto vr\u00e1t\u00ed do norm\u00e1lu.<\/p>\n\n\n\n

Drtiv\u00e1 v\u011bt\u0161ina poruch r\u016fstu je v\u0161ak tzv. idiopatick\u00e1, tedy bez zjevn\u00e9ho d\u016fvodu. \u201eVe vybran\u00fdch p\u0159\u00edpadech m\u016f\u017ee b\u00fdt mo\u017enost\u00ed l\u00e9\u010dby pod\u00e1v\u00e1n\u00ed r\u016fstov\u00e9ho hormonu. Je to vyzkou\u0161en\u00e1 a v\u011bt\u0161inou \u00fa\u010dinn\u00e1 terapie, kter\u00e1 se pou\u017e\u00edv\u00e1 ji\u017e od 80. let minul\u00e9ho stolet\u00ed. Star\u0161\u00ed ro\u010dn\u00edky si mo\u017en\u00e1 je\u0161t\u011b pamatuj\u00ed, \u017ee d\u0159\u00edve nebylo nic neobvykl\u00e9ho potkat \u010dlov\u011bka s hluboce podpr\u016fm\u011brn\u00fdm vzr\u016fstem. Dnes u\u017e je to d\u00edky v\u010dasn\u00e9mu z\u00e1chytu a l\u00e9\u010db\u011b sp\u00ed\u0161e rarita,\u201c<\/em> vysv\u011btluje prof. Lebl. <\/p>\n\n\n\n

I p\u0159es minim\u00e1ln\u00ed vedlej\u0161\u00ed \u00fa\u010dinky panuje o terapii st\u00e1le \u0159ada m\u00fdt\u016f. \u201eU mnoh\u00fdch rodi\u010d\u016f vyvol\u00e1v\u00e1 samotn\u00e9 slovo hormon odm\u00edtavou reakci, boj\u00ed se vedlej\u0161\u00edch \u00fa\u010dink\u016f a negativn\u00ed reakce d\u00edt\u011bte. P\u0159itom v\u011bt\u0161inou sta\u010d\u00ed vysv\u011btlit rozd\u00edly mezi jednotliv\u00fdmi hormony a jejich pozitivn\u00ed \u00falohu v t\u011ble. R\u016fstov\u00fd hormon je l\u00e1tkou t\u011blu vlastn\u00ed, jeho d\u00e1vkov\u00e1n\u00ed odpov\u00edd\u00e1 p\u0159irozen\u00e9 produkci, zvl\u00e1\u0161t\u011b kdy\u017e j\u00edm nahrazujeme jeho deficit. \u010castou obavou je tak\u00e9 zv\u00fd\u0161en\u00e9 riziko rakovinn\u00e9ho bujen\u00ed, nicm\u00e9n\u011b i tento efekt ji\u017e vyvr\u00e1tila \u0159ada v\u011bdeck\u00fdch studi\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Zden\u011bk \u0160umn\u00edk, Ph.D., z Pediatrick\u00e9 kliniky 2. LF UK a FN Motol. <\/p>\n\n\n\n

\u201ePokud je d\u00edt\u011bti p\u011bt let a i s men\u0161\u00edm vzr\u016fstem m\u00e1 \u0161\u0165astn\u00e9 d\u011btstv\u00ed, tak mu zd\u00e1nliv\u011b nic nesch\u00e1z\u00ed a je ob\u010das obt\u00ed\u017en\u00e9 rodi\u010d\u016fm argumentovat, pro\u010d jej za\u010d\u00edt l\u00e9\u010dit. V sedmn\u00e1cti letech v\u0161ak m\u016f\u017ee b\u00fdt vn\u00edm\u00e1n\u00ed probl\u00e9mu mal\u00e9ho vzr\u016fstu dost jin\u00e9. Mal\u00fd vzr\u016fst d\u011bti ne\u017e\u00e1douc\u00edm zp\u016fsobem odli\u0161uje a zvl\u00e1\u0161\u0165 u dosp\u00edvaj\u00edc\u00edch chlapc\u016f m\u016f\u017ee v\u00e9st k pocit\u016fm m\u00e9n\u011bcennosti nebo k jin\u00fdm psychick\u00fdm pot\u00ed\u017e\u00edm,\u201c<\/em> dod\u00e1v\u00e1. I proto podle prof. \u0160umn\u00edka d\u011bti l\u00e9\u010dbu obvykle poctiv\u011b dodr\u017euj\u00ed, a to i ve slo\u017eit\u011bj\u0161\u00edch pubert\u00e1ln\u00edch letech.<\/p>\n\n\n\n

Ne\u017e v\u0161ak za\u010dnou rodi\u010de houfn\u011b vytahovat metr a \u0161ikovat sv\u00e9 d\u011bti do ordinac\u00ed pediatr\u016f, doporu\u010duj\u00ed odborn\u00edci nejd\u0159\u00edve ov\u011b\u0159it re\u00e1ln\u00fd stav. \u201eI zd\u00e1nliv\u011b pomal\u00fd r\u016fst m\u016f\u017ee b\u00fdt v norm\u011b, pokud je stabiln\u00ed. Rodi\u010de si mohou r\u016fst d\u011bt\u00ed ov\u011b\u0159it v tzv. percentilov\u00e9m grafu, kter\u00fd ur\u010duje tempo r\u016fstu v z\u00e1vislosti na v\u011bku a pohlav\u00ed d\u00edt\u011bte,\u201c<\/em> vysv\u011btluje prof. Lebl u p\u0159\u00edle\u017eitosti sympozia. Podle n\u011bj se v\u0161ak d\u011bti s poruchami r\u016fstu da\u0159\u00ed \u00fasp\u011b\u0161n\u011b odhalit i d\u00edky spolupr\u00e1ci s d\u011btsk\u00fdmi praktiky, kte\u0159\u00ed v\u00fd\u0161ku pr\u016fb\u011b\u017en\u011b zaznamen\u00e1vaj\u00ed a d\u011bti p\u0159\u00edpadn\u011b v\u010das odes\u00edlaj\u00ed za specialisty.<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Pokud se \u010d\u00e1rka na zdi nebo z\u00e1rubn\u00edch dve\u0159\u00ed zaznamen\u00e1vaj\u00edc\u00ed r\u016fst d\u00edt\u011bte p\u0159estane posouvat vzh\u016fru, je na\u010dase zpozorn\u011bt. Poruchy r\u016fstu u d\u011bt\u00ed toti\u017e mohou signalizovat v\u00e1\u017en\u00e9 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":31381,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-38660","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\/38660","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=38660"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/38660\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/31381"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}