{"id":41151,"date":"2023-08-02T09:14:57","date_gmt":"2023-08-02T07:14:57","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=41151"},"modified":"2023-08-02T09:14:57","modified_gmt":"2023-08-02T07:14:57","slug":"detsky-urolog-o-funkcnim-postizeni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=41151","title":{"rendered":"D\u011btsk\u00fd urolog o funk\u010dn\u00edm posti\u017een\u00ed\u00a0\u00a0"},"content":{"rendered":"\n<p>Poradna \u010cRo k urologick\u00fdm probl\u00e9m\u016fm d\u011bt\u00ed i dosp\u011bl\u00fdch <br \/><br \/>Jak\u00fdmi vy\u0161et\u0159en\u00edmi pro\u0161la, u koho?<br \/><br \/>mluv\u010d\u00ed 2,<br \/>Byla pouze v laborato\u0159i<br \/><br \/>mluv\u010d\u00ed 1,<br \/>\u010cili prozkoum\u00e1n\u00ed laboratorn\u00ed t\u00e9 mo\u010di. Pane docente.<br \/><br \/>mluv\u010d\u00ed 3 doc. Dr. Old\u0159ich \u0160makal,<br \/>Dobr\u00fd den, d\u011bkuji za dotaz. Po\u010dur\u00e1v\u00e1 se v noci?<br \/><br \/>mluv\u010d\u00ed 2,<br \/>V noci se nepo\u010d\u016fr\u00e1v\u00e1, ale dneska ano. <br \/><br \/>mluv\u010d\u00ed 3,<br \/>Pochopil jsem tedy, \u017ee p\u0159es den je frekventn\u00ed mo\u010den\u00ed, chod\u00ed \u010dasto mo\u010dit, s ob\u010dasn\u00fdm \u00fanikem mo\u010de. Ano.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>Nedob\u011bhne, nedob\u011bhne, ona to v\u00ed, ona to v\u00ed, ale nedob\u011bhne, ano.<br \/><br \/>mluv\u010d\u00ed 3,<br \/>To je funk\u010dn\u00ed porucha mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e. Nep\u0159edpokl\u00e1d\u00e1m, \u017ee by tam n\u011bco m\u011blo b\u00fdt anatomick\u00e9ho, jedn\u00e1 se o to, \u017ee to vy\u0161et\u0159en\u00ed by m\u011blo b\u00fdt strukturovan\u00e9 tak, \u017ee v prvn\u00ed f\u00e1zi se vypln\u00ed mik\u010dn\u00ed di\u00e1\u0159. Je to tabulka, kdy m\u011b\u0159\u00edte ka\u017edou porci mo\u010di, to znamen\u00e1, d\u00e1te na z\u00e1chod odm\u011brku, hol\u010di\u010dka \u010dur\u00e1 do t\u00e9to odm\u011brky a do t\u00e9 tabulky zap\u00ed\u0161ete \u010das a mno\u017estv\u00ed mo\u010de. My podle toho vid\u00edme, jak \u010dasto chod\u00ed \u010durat, jak\u00e9 mno\u017estv\u00ed mo\u010de vymo\u010d\u00ed. A je\u0161t\u011b pozn\u00e1mku, jestli do\u0161lo k \u00faniku mo\u010de, jestli je t\u0159eba \u00fanik stolice sou\u010dasn\u011b, tak\u00e9 by tam m\u011bl b\u00fdt zaznamen\u00e1no, jak \u010dasto chod\u00ed na stolici. A s t\u00edmto vypln\u011bn\u00fdm dotazn\u00edkem potom u\u017e je dobr\u00e9 prov\u00e9st nefrologick\u00e9 nebo urologick\u00e9 vy\u0161et\u0159en\u00ed, to znamen\u00e1 doplnit o ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a tato vada se d\u00e1 l\u00e9\u010dit, Jsou na to l\u00e9\u010debn\u00e9 prost\u0159edky.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>Jenom posledn\u00ed jako je\u0161t\u011b p\u0159ipom\u00ednka. Ona tvrd\u00ed svou hol\u010di\u010di \u0159e\u010di, \u017ee jakoby se nedo\u010d\u016fr\u00e1.<br \/><br \/>mluv\u010d\u00ed 3,<br \/>Ano, to je subjektivn\u00ed pocit, ona m\u00e1 jako by dr\u00e1\u017ed\u011bn\u00ed na mo\u010den\u00ed, v\u00edte, ale to pr\u00e1v\u011b mus\u00edme zjistit p\u0159i vy\u0161et\u0159en\u00ed ultrazvukem, jestli n\u00e1hodou nez\u016fst\u00e1v\u00e1 v mo\u010dov\u00fdm m\u011bch\u00fd\u0159i zbytkov\u00e1 mo\u010d, to by potom bylo na je\u0161t\u011b podrobn\u011bj\u0161\u00ed vy\u0161et\u0159en\u00ed, muselo by se prov\u00e9st je\u0161t\u011b zm\u011b\u0159en\u00ed pr\u016ftoku mo\u010de, p\u0159\u00edpadn\u011b kdybychom zjistili, \u017ee tam je p\u0159ek\u00e1\u017eka odtoku mo\u010di, tak potom je tu cystoskopie zm\u011b\u0159en\u00edm pr\u016fm\u011bru mo\u010dov\u00e9 trubice, ale v\u011bt\u0161ina t\u011bchto poruch je subjektivn\u00ed pocit, \u017ee m\u00e1 to nucen\u00ed na mo\u010den\u00ed, sna\u017e\u00ed se tomu vyhov\u011bt. Ale je tam zv\u00fd\u0161en\u00e1 aktivita toho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a tato aktivita se d\u00e1 tlumit mal\u00fdmi d\u00e1vkami speci\u00e1ln\u00edch l\u00e9k\u016f.<br \/><br \/>mluv\u010d\u00ed 1,<br \/>funk\u010dn\u00ed\u00a0<strong>posti\u017een\u00ed<\/strong>\u00a0mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e nejsp\u00ed\u0161e a te\u010f cesta p\u0159es praktick\u00e9ho l\u00e9ka\u0159e k d\u011btsk\u00e9mu urologovi a tam dostane ten mik\u010dn\u00ed den\u00edk k z\u00e1znamu toho vyprazd\u0148ov\u00e1n\u00ed. Dal\u0161\u00ed t\u0159eba zobrazovac\u00ed metody, tak\u017ee jak postupovat?<br \/><br \/>mluv\u010d\u00ed 3,<br \/>Tabulka se d\u00e1 st\u00e1hnout na internetu. Anebo si vytvo\u0159\u00ed sami, v\u017edycky mus\u00ed b\u00fdt je\u0161t\u011b p\u0159\u00edjem tekutin. s t\u00edm den\u00edkem vypln\u011bn\u00fdm zaj\u00edt k tomu praktick\u00e9mu d\u011btsk\u00e9mu L\u00e9ka\u0159i, toto dok\u00e1\u017ee zvl\u00e1dnout i praktick\u00fd l\u00e9ka\u0159 a ve v\u011bt\u0161in\u011b p\u0159\u00edpadech tyto d\u011bti odes\u00edl\u00e1 k vy\u0161et\u0159en\u00ed, bu\u010fto k nefrologovi nebo k urologovi.<br \/><br \/>mluv\u010d\u00ed 1,<br \/>A te\u010f zase chlapci. Dobr\u00fd den, p\u00ed\u0161e se v SMS dotaze. Syn bude m\u00edt \u010dty\u0159i roky. P\u0159es m\u011bs\u00edc ho tr\u00e1p\u00ed \u010dast\u00e9 \u010d\u016fr\u00e1n\u00ed, ve\u0161ker\u00e9 v\u00fdsledky mo\u010di v po\u0159\u00e1dku. V noci sp\u00ed a nepo\u010d\u016fr\u00e1v\u00e1 se. Chod\u00ed zhruba tak desetkr\u00e1t do hodiny, jak kter\u00fd den. Tady se p\u00ed\u0161e, \u017ee p\u0159edko\u017eka jde p\u0159es 90 % p\u0159et\u00e1hnout. Tak, hlavn\u011b tedy ta mikce, \u010dast\u00e9 mo\u010den\u00ed, nikoliv v\u0161ak v noci.<br \/><br \/>mluv\u010d\u00ed 3,<br \/>Tam se bude jednat o tzv. Idiopatick\u00e9, to znamen\u00e1 z nezn\u00e1m\u00fdch p\u0159\u00ed\u010din frekventn\u00ed mo\u010den\u00ed, ano, a chlape\u010dek by m\u011bl b\u00fdt vy\u0161et\u0159en\u00fd pro jistotu, jestli n\u00e1hodou nen\u00ed p\u0159epln\u011bn\u00fd mo\u010dov\u00fd m\u011bch\u00fd\u0159, jestli tam je n\u011bjak\u00e1 chyba na \u00farovni mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, pop\u0159\u00edpad\u011b jestli je dostate\u010dn\u00e1 kapacita toho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, to se d\u00e1 zm\u011b\u0159it zase. M\u011bl by se vyplnit ten mik\u010dn\u00ed di\u00e1\u0159 a potom nav\u0161t\u00edvit odborn\u00edka, d\u011btsk\u00e9ho urologa. Jedn\u00e1 se o jednu v\u011bc, \u017ee m\u016f\u017ee to b\u00fdt projev neurotizace, kdy reaguje na n\u011bjakou zm\u011bnu prost\u0159ed\u00ed, nap\u0159. n\u011bkter\u00e9 d\u00edt\u011b za\u010dne Koktat, jin\u00e9 d\u00edt\u011b dostane tik a n\u011bkdo za\u010dne takhle frekventn\u011b mo\u010dit, doporu\u010duji men\u0161\u00ed d\u00e1vky ho\u0159\u010d\u00edku, b komplex, ale nejd\u0159\u00edve je t\u0159eba vylou\u010dit n\u011bjakou z\u00e1va\u017enou vadu funkce mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a n\u00e1sledn\u011b oddiferencovat, \u010d\u00edm to vlastn\u011b<br \/>M\u016f\u017ee b\u00fdt.<br \/><br \/>mluv\u010d\u00ed 1,<br \/>A je\u0161t\u011b mo\u017en\u00e1 na okraj, kdy jsme zmi\u0148ovali, \u017ee p\u0159ed rokem byl cel\u00fd po\u0159ad v\u011bnovan\u00fd prostate, seniorsk\u00e9 problematice, tak p\u0159esto\u017ee jste d\u011btsk\u00fd urolog, \u0159\u00edkal jste, \u017ee porad\u00edte. P\u0159\u00ed\u010diny \u010dast\u00e9ho mo\u010den\u00ed po operaci prostaty, p\u0159edpokl\u00e1d\u00e1m u dosp\u011bl\u00e1ka seniora.<br \/><br \/>mluv\u010d\u00ed 3,<br \/>Tak tam samoz\u0159ejm\u011b to, \u017ee se odstran\u00ed prostata nebo \u010d\u00e1ste\u010dn\u011b se zmen\u0161\u00ed prostata, neznamen\u00e1, \u017ee se \u00fapln\u011b uprav\u00ed inervace mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, kter\u00e1 je s rozvojem t\u00e9 prostaty \u010d\u00e1ste\u010dn\u011b zm\u011bn\u011bna a tam se mus\u00ed vy\u0161et\u0159it, jestli nez\u016fst\u00e1v\u00e1 zbytkov\u00e1 mo\u010d v mo\u010dov\u00e9m m\u011bch\u00fd\u0159i, to pov\u00ed mo\u010den\u00ed, jestli jsou mo\u010dov\u00e9 infekce, v p\u0159\u00edpad\u011b, \u017ee tohle bude v po\u0159\u00e1dku, tak potom je l\u00e9\u010dba, kter\u00e1 pr\u00e1v\u011b je podobn\u00e1 jako u t\u011bch d\u011bt\u00ed, \u017ee se ta zv\u00fd\u0161en\u00e1 aktivita toho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, kter\u00e1 u\u017e byla nastartovan\u00e1 p\u0159ed tou operac\u00ed prostaty, utlum\u00ed ur\u010dit\u00fdmi l\u00e9ky, nem\u011bl by to b\u00fdt probl\u00e9m u urologa po operaci Prostaty.<br \/><br \/>mluv\u010d\u00ed 1,<br \/>bolest \u017e\u00e1dnou nem\u00e1 p\u0159i mo\u010den\u00ed Mluvili jsme tady o tom synovi. \u010cty\u0159i roky. \u010cast\u00e9 \u010d\u016fr\u00e1n\u00ed, a to je dopln\u011bn\u00ed dotazu. \u017ee bolest \u017e\u00e1dnou p\u0159i mo\u010den\u00ed nem\u00e1. Co d\u00e1l? Jestli to m\u016f\u017ee samo p\u0159ej\u00edt, pan\u00ed poslucha\u010dka Iveta, tak to bylo to \u010dast\u00e9 tr\u00e1pen\u00ed u chlapce \u010dty\u0159let\u00e9ho. v noci ale v po\u0159\u00e1dku, ale jinak desetkr\u00e1t do hodiny p\u0159es den.<br \/><br \/>mluv\u010d\u00ed 3,<br \/>Ano, \u0159\u00edk\u00e1m, je to ur\u010dit\u00e1 forma zlozvyku, ano, proto\u017ee pokud by byly tyto probl\u00e9my spojen\u00e9 s infekc\u00ed, tak se pomo\u010duje i v noci nebo m\u011bl b\u00fdt p\u0159epln\u011bn\u00fd mo\u010dov\u00fd m\u011bchy, byl by vid\u011bt tady. Je to forma zlozvyku, v\u00edcem\u00e9n\u011b to trochu bagatelizovat, \u0159\u00edct, tady dostane\u0161 tabletku, m\u016f\u017ee to b\u00fdt b komplex, kter\u00e1 ti pom\u016f\u017ee a p\u0159estane\u0161 se pomo\u010dovat, ale taky se zamyslet nad ten, jestli to d\u00edt\u011b nen\u00ed ur\u010dit\u00fdm zp\u016fsobem stresov\u00e1no, jestli t\u0159eba takhle nereaguje na vstup do \u0161kolky nebo narozen\u00ed sourozence nebo n\u011bjak\u00e9 probl\u00e9my Tohoto typu.<br \/><br \/>mluv\u010d\u00ed 1,<br \/>Jsme se v\u011bnovali pomo\u010dov\u00e1n\u00ed. Mohli bychom se je\u0161t\u011b zastavit u t\u00e9 hypospadie? Ten tzv. Roz\u0161t\u011bp, ano, je\u0161t\u011b jednou, jenom zmi\u0148me, o\u010d vlastn\u011b b\u011b\u017e\u00ed a \u0159e\u0161\u00ed se to v\u017edycky, proto\u017ee p\u0159edpokl\u00e1d\u00e1m, \u017ee tam ur\u010dit\u011b pacient s\u00e1m spokojen nen\u00ed, a\u0165 u\u017e je to jak\u00e1koliv f\u00e1ze t\u00e9 hypospadie.<br \/><br \/>mluv\u010d\u00ed 3,<br \/>Je to porucha v\u00fdvoje penisu, je to porucha p\u0159edn\u00ed strany penisu, tak\u017ee to znamen\u00e1, \u017ee ta porucha nen\u00ed sm\u011brem k b\u0159i\u0161n\u00ed st\u011bn\u011b, ale na druh\u00e9 stran\u011b. A ty nejjednodu\u0161\u0161\u00ed formy hypospadie se \u0159e\u0161it nemus\u00ed. J\u00e1 rodi\u010d\u016fm vysv\u011btluji, \u017ee penis by m\u011bl spl\u0148ovat t\u0159i v\u011bci. M\u011bl by b\u00fdt rovn\u00fd, m\u011bl by dob\u0159e mo\u010dit a m\u011bl by dob\u0159e vypadat a te\u010fka je ot\u00e1zka, co je, aby dob\u0159e vypadal. Podle m\u011b je rozhoduj\u00edc\u00ed tvar \u017ealudu a p\u0159im\u011b\u0159en\u00fd tvar p\u0159edko\u017eky, ano, kdy\u017e toto spl\u0148uje, tak\u017ee i kdy\u017e by vy\u00fast\u011bn\u00ed mo\u010dov\u00e9 trubice bylo lehce n\u00ed\u017ee, tak nevad\u00ed to, nemus\u00ed se to \u0159e\u0161it. Je celosv\u011btov\u00fd \u00fastup od \u0159e\u0161en\u00ed t\u011bchto nejjednodu\u0161\u0161\u00edch typ\u016f hypospadie, proto\u017ee ka\u017ed\u00e1 operace hypospadie je zat\u00ed\u017eena ur\u010dit\u00fdm procentem komplikac\u00ed, u t\u011bch nejt\u011b\u017e\u0161\u00edch forem se ud\u00e1v\u00e1 a\u017e pades\u00e1t procent komplikac\u00ed a u t\u011bch nejleh\u010d\u00edch 10 %. Tak v\u017edycky pokud mo\u017eno nezasahovat do v\u00fdvoje toho penisu a pokud by to nevadilo a ten penis bude rovn\u00fd, bude dob\u0159e mo\u010dit.<br \/><\/p>\n\n\n\n<p>No a kdy\u017e, kdy u\u017e to opravdu vad\u00ed, v jak\u00e9 f\u00e1zi, v jak\u00e9m um\u00edst\u011bn\u00ed ta d\u00edrka, kdy\u017e jsme tady laicky popisovali hypospadii, jako kde u\u017e by opravdu b\u00fdt nem\u011bla, kdy je to \u00fapln\u011b jasn\u00fd, indikov\u00e1no.<br \/><br \/>mluv\u010d\u00ed 3,<br \/>Tam nen\u00ed jenom ta d\u00edrka, tam je v\u011bt\u0161inou to, \u017ee to b\u00fdv\u00e1 velmi \u010dasto spojen\u00fd s atypi\u00ed toho ko\u017en\u00edho krytu, zak\u0159iven\u00ed penisu m\u016f\u017ee b\u00fdt a \u0159eknu, tak 4 mm pod korunou glandis, to znamen\u00e1 pod t\u00edm \u017ealudem.<br \/><br \/>mluv\u010d\u00ed 1,<br \/>Chlapce i dosp\u011bl\u00e9 mu\u017ee zaj\u00edm\u00e1 zak\u0159iven\u00ed penisu a pr\u00fd, jestli je to, \u017ee ka\u017ed\u00e9mu chlapovi tro\u0161ku oh\u00fdb\u00e1 penis t\u0159eba p\u0159i erekci, n\u011bkomu do t\u00e9 strany, n\u011bkomu v\u00edc, n\u011bkomu v\u00fdrazn\u011bji, anebo jestli je to, kdy\u017e na hr\u00e1zi anatomicky nahmat\u00e1m, \u017ee nejde st\u0159edem Vnit\u0159n\u00ed \u010d\u00e1st, jakoby ta, co nen\u00ed vid\u011bt.<br \/><br \/>mluv\u010d\u00ed 3,<br \/>Tak tohle je zaj\u00edmav\u00fd dotaz, zak\u0159iven\u00ed penisu, rodi\u010d\u016fm vysv\u011btluji, \u017ee prakticky \u017e\u00e1dn\u00fd penis nen\u00ed zcela rovn\u00fd. Ve v\u0161ech oblastech je t\u0159icet procent se zak\u0159iven\u00edm penisu, vych\u00e1z\u00ed se z toho, \u017ee by se m\u011blo \u0159e\u0161it takov\u00e9 zak\u0159iven\u00ed penisu, kter\u00e9 vad\u00ed pohlavn\u00edmu styku, ano, tam pokud by bylo zak\u0159iven\u00ed v\u011bt\u0161\u00ed, tak m\u016f\u017ee doj\u00edt k ruptu\u0159e penisu, prost\u011b naru\u0161en\u00ed t\u00e9 integrity.<br \/><br \/>mluv\u010d\u00ed 1,<br \/>p\u0159edpokl\u00e1d\u00e1m, \u017ee stihneme u\u017e jenom kratince zodpov\u011bd\u011bt vlastn\u011b ty n\u00e1vyky, kdy jsme tady mluvili hlavn\u011b asi o fim\u00f3ze, z\u00fa\u017een\u00ed p\u0159edko\u017eky a r\u016fzn\u00fdch deformit\u00e1ch, jak \u010dasto vlastn\u011b by se m\u011bla p\u0159etahovat p\u0159edko\u017eka? Asi p\u0159edpokl\u00e1d\u00e1m, u dosp\u00edvaj\u00edc\u00edho mlad\u00edka, jak p\u00ed\u0161e maminka Helena v SMS zpr\u00e1v\u011b?<\/p>\n\n\n\n<p>mluv\u010d\u00ed 3,<br \/>Jakmile za\u010dne chlapec dosp\u00edvat, u t\u011bch d\u011bt\u00ed b\u011b\u017en\u00e1 hygiena, do 6-8 let, jednou t\u00fddn\u011b, dvakr\u00e1t t\u00fddn\u011b p\u0159i koup\u00e1n\u00ed p\u0159et\u00e1hnout. N\u011bkdo to d\u011bl\u00e1 pravideln\u011b, ale jakmile za\u010dne dosp\u00edvat, nastoup\u00ed puberta, tak se zvy\u0161uje \u010dinnost mazov\u00fdch \u017el\u00e1zek a tam se zv\u00fd\u0161\u00ed nutnost zv\u00fd\u0161it tu hygienu ka\u017ed\u00fd den, prost\u011b dosp\u00edvaj\u00edc\u00ed kluk, ka\u017ed\u00fd den p\u0159et\u00e1hnout, um\u00fdt neagresivn\u00edm prost\u0159edkem, kvalitn\u00ed m\u00fddlo nebo kvalitn\u00ed myc\u00ed prost\u0159edek.<\/p>\n\n\n\n<p>mluv\u010d\u00ed 1,<br \/>Ale kdy\u017e u\u017e to za\u010dne bolet nebo nep\u016fjde to zkr\u00e1tka, tak to u\u017e by se.<\/p>\n\n\n\n<p>mluv\u010d\u00ed 3,<br \/>to by se m\u011blo \u0159e\u0161it. nemo\u017enost p\u0159eta\u017een\u00ed p\u0159edko\u017eky, nem\u011bl by to d\u011blat n\u00e1sil\u00edm, nikdy to nesm\u00ed b\u00fdt p\u0159es bolest. V p\u0159\u00edpad\u011b, \u017ee m\u00e1 tyhle probl\u00e9my nav\u0161t\u00edvit odborn\u00edka.<\/p>\n\n\n\n<p>mluv\u010d\u00ed 1,<br \/>Kdy\u017e se ale najdou bohu\u017eel jak u t\u0159eba dosp\u00edvaj\u00edc\u00edch, Se najdou p\u0159\u00edpady, \u017ee to t\u0159eba ne\u0159e\u0161\u00ed, \u017ee mu to nejde nebo \u017ee se toho vlastn\u011b boj\u00ed<\/p>\n\n\n\n<p>mluv\u010d\u00ed 3,<br \/>Tyto zku\u0161enosti bohu\u017eel m\u00e1me. Kolikr\u00e1t p\u0159ijdou rodi\u010de a dovedou kr\u00e1sn\u00e9ho kluka, a p\u0159itom on si v 15,16, letech nechce p\u0159et\u00e1hnout p\u0159edko\u017eku. \u00dapln\u00e1 panick\u00e1 hr\u016fza. A potom si vzpomenou, \u017ee kdysi, kdy\u017e byl \u00fapln\u011b malink\u00fd, \u017ee mu rozru\u0161ovali slepenou p\u0159edko\u017eku, \u017ee ho to bodn\u011b bolelo. Pravd\u011bpodobn\u011b je tam pam\u011b\u0165ov\u00e1 stopa a on m\u00e1 negativn\u00ed zku\u0161enost, kterou m\u00e1 zak\u00f3dovanou a tam \u017e\u00e1d\u00e1m o pomoc psychologii, v n\u011bkter\u00fdch p\u0159\u00edpadech, kdy je to panick\u00e1 hr\u016fza, a\u017e psychiatrii.<\/p>\n\n\n\n<p>mluv\u010d\u00ed 1,<br \/>Dok\u00e1\u017ee pomoct a vlastn\u011b zm\u011bnit \u017eivot<\/p>\n\n\n\n<p>mluv\u010d\u00ed 3,<br \/>V n\u011bkter\u00fdch p\u0159\u00edpadech to dopadlo tak, \u017ee ta p\u0159edko\u017eka, na kterou necht\u011bl v \u017e\u00e1dn\u00fdm p\u0159\u00edpad\u011b s\u00e1hnout, jsme museli ob\u0159ezat a v ten okam\u017eik se mu \u00fapln\u011b ulevilo. Za\u010dal \u017e\u00edt norm\u00e1ln\u00edm \u017eivotem, tak\u017ee.<\/p>\n\n\n\n<p>mluv\u010d\u00ed 1,<br \/>z\u00e1v\u011br kr\u00e1sn\u00e9 rady. Moc v\u00e1m d\u011bkujeme za dne\u0161n\u00ed n\u00e1v\u0161t\u011bvu v apatyce \u010cesk\u00e9ho rozhlasu Olomouc doc. Dr. Old\u0159ich \u0160makal z urologick\u00e9 kliniky nemocnice Olomouc d\u00edky v\u00e1m i va\u0161emu t\u00fdmu a pozdravujte na klinice. D\u00edky.<\/p>\n\n\n\n<p>\u010cesk\u00fd rozhlas Olomouc <\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Poradna \u010cRo k urologick\u00fdm probl\u00e9m\u016fm d\u011bt\u00ed i dosp\u011bl\u00fdch Jak\u00fdmi vy\u0161et\u0159en\u00edmi pro\u0161la, u koho? mluv\u010d\u00ed 2,Byla pouze v laborato\u0159i mluv\u010d\u00ed 1,\u010cili prozkoum\u00e1n\u00ed laboratorn\u00ed t\u00e9 mo\u010di. 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