{"id":42054,"date":"2023-09-11T04:06:00","date_gmt":"2023-09-11T02:06:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42054"},"modified":"2023-09-11T04:40:11","modified_gmt":"2023-09-11T02:40:11","slug":"kdyz-se-druhe-dite-nedari","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42054","title":{"rendered":"Kdy\u017e se druh\u00e9 d\u00edt\u011b neda\u0159\u00ed"},"content":{"rendered":"\n

Poprv\u00e9 ot\u011bhotn\u011bly bez probl\u00e9m\u016f, druh\u00e9 d\u00edt\u011b se ale po\u010d\u00edt neda\u0159\u00ed \u2013 s tzv. sekund\u00e1rn\u00ed neplodnost\u00ed se pot\u00fdk\u00e1 a\u017e 1 z 5 \u010desk\u00fdch p\u00e1r\u016f a jejich po\u010det st\u00e1le roste. Na vin\u011b m\u016f\u017ee b\u00fdt podle l\u00e9ka\u0159\u016f zhor\u0161en\u00e1 kvalita vaj\u00ed\u010dek nebo spermi\u00ed i zm\u011bna partnera.<\/strong><\/p>\n\n\n\n

Sekund\u00e1rn\u00ed neplodnost\u00ed ozna\u010duj\u00ed l\u00e9ka\u0159i stav, kdy se \u017een\u011b neda\u0159\u00ed ot\u011bhotn\u011bt, i kdy\u017e v minulosti ji\u017e jednou po\u010dala. \u201eP\u0159\u00ed\u010diny mohou b\u00fdt r\u016fzn\u00e9. Z praxe v\u00edme, \u017ee v\u011bt\u0161inou je probl\u00e9m v ovulaci \u017eeny. Typicky se jedn\u00e1 o syndrom polycystick\u00fdch vaje\u010dn\u00edk\u016f. Pacientk\u00e1m se v polovin\u011b menstrua\u010dn\u00edho cyklu neuvoln\u00ed vaj\u00ed\u010dko a nemohou tud\u00ed\u017e p\u0159irozen\u011b ot\u011bhotn\u011bt. Probl\u00e9m se p\u0159i prvn\u00edm t\u011bhotenstv\u00ed nemusel projevit, proto\u017ee nebyl natolik rozs\u00e1hl\u00fd a \u017eena byla mlad\u0161\u00ed. S p\u0159ib\u00fdvaj\u00edc\u00edm v\u011bkem se ale pot\u00ed\u017ee zhor\u0161ily,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Pavel Otev\u0159el, vedouc\u00ed l\u00e9ka\u0159 reproduk\u010dn\u00ed kliniky Reprofit. <\/p>\n\n\n\n

Dal\u0161\u00edm d\u016fvodem m\u016f\u017eou b\u00fdt tak\u00e9 imunitn\u00ed zm\u011bny, kter\u00e9 vyvolalo prvn\u00ed t\u011bhotenstv\u00ed nebo probl\u00e9my se \u0161t\u00edtnou \u017el\u00e1zou, kdy se v t\u011ble \u017eeny nevytv\u00e1\u0159\u00ed dostatek hormon\u016f pro \u00fasp\u011b\u0161n\u00e9 po\u010det\u00ed d\u00edt\u011bte. Plodnost negativn\u011b ovliv\u0148uje tak\u00e9 obezita a kila nav\u00edc, kter\u00e1 \u017eena z\u00edskala p\u0159i prvn\u00edm t\u011bhotenstv\u00ed. Nadbytek tukov\u00e9 tk\u00e1n\u011b toti\u017e zp\u016fsobuje poruchy menstrua\u010dn\u00edho cyklu a zhor\u0161uje tvorbu vaj\u00ed\u010dek. \u201eProbl\u00e9m m\u016f\u017ee b\u00fdt samoz\u0159ejm\u011b i na stran\u011b mu\u017ee. Nap\u0159\u00edklad kdy\u017e mezi t\u011bhotenstv\u00edmi onemocn\u011bl p\u0159\u00edu\u0161nicemi a do\u0161lo k po\u0161kozen\u00ed jeho reproduk\u010dn\u00edch org\u00e1n\u016f. Kvalitu spermi\u00ed tak\u00e9 mohl zhor\u0161it sv\u00fdm \u017eivotn\u00edm stylem \u2013 za\u010dal kou\u0159it nebo varlata opakovan\u011b p\u0159eh\u0159\u00edv\u00e1 p\u0159i j\u00edzd\u011b na kole,\u201c<\/em> vysv\u011btluje specialista na reprodukci MUDr. \u0160t\u011bp\u00e1n Macha\u010d, Ph.D., z IVF Clinic.<\/p>\n\n\n\n

\u0158ada t\u011bch, kte\u0159\u00ed se ne\u00fasp\u011b\u0161n\u011b sna\u017e\u00ed o dal\u0161\u00ed d\u00edt\u011b, jsou nov\u011b vznikl\u00e9 p\u00e1ry. \u201eLid\u00e9 maj\u00ed d\u00edt\u011b z p\u0159edchoz\u00edho man\u017eelstv\u00ed, ale s nov\u00fdm partnerem se jim potomek po\u010d\u00edt neda\u0159\u00ed. V\u011bt\u0161inou za to m\u016f\u017ee v\u011bk pacientek, kter\u00e9 v t\u011bchto p\u0159\u00edpadech maj\u00ed \u010dasto kolem 37 let i v\u00edce a kvalita jejich vaj\u00ed\u010dek ji\u017e nen\u00ed dobr\u00e1. Tyto pacientky velmi tou\u017e\u00ed upevnit nov\u00fd vztah spole\u010dn\u00fdm d\u00edt\u011btem a s ne\u00fasp\u011bchem se smi\u0159uj\u00ed t\u011b\u017ece,\u201c<\/em> popisuje MUDr. Macha\u010d. Rozveden\u00fdm \u017een\u00e1m nad 30 let proto doporu\u010duje zv\u00e1\u017eit zmra\u017een\u00ed vaj\u00ed\u010dek. \u201ePokud se nap\u0159\u00edklad 32let\u00e1 pacientka rozvede a nech\u00e1 si zmrazit vaj\u00ed\u010dka, kdy\u017e si pak o p\u011bt let pozd\u011bji najde nov\u00e9ho partnera, s n\u00edm\u017e tou\u017e\u00ed zalo\u017eit rodinu, m\u00e1 v\u00fdrazn\u011b vy\u0161\u0161\u00ed \u0161ance.\u201c<\/em><\/p>\n\n\n\n

Podle l\u00e9ka\u0159\u016f obecn\u011b plat\u00ed, \u017ee p\u00e1ry, kter\u00e9 tou\u017e\u00ed po druh\u00e9m d\u00edt\u011bti, by m\u011bly nav\u0161t\u00edvit reproduk\u010dn\u00ed kliniku po roce ne\u00fasp\u011b\u0161n\u00e9ho sna\u017een\u00ed od chv\u00edle, kdy \u017eena p\u0159estala kojit.<\/p>\n\n\n\n

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

Poprv\u00e9 ot\u011bhotn\u011bly bez probl\u00e9m\u016f, druh\u00e9 d\u00edt\u011b se ale po\u010d\u00edt neda\u0159\u00ed \u2013 s tzv. sekund\u00e1rn\u00ed neplodnost\u00ed se pot\u00fdk\u00e1 a\u017e 1 z 5 \u010desk\u00fdch p\u00e1r\u016f a jejich po\u010det st\u00e1le roste. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":24131,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42054","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\/42054","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=42054"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42054\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/24131"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42054"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42054"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}