{"id":42815,"date":"2023-10-10T08:49:47","date_gmt":"2023-10-10T06:49:47","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42815"},"modified":"2023-10-10T08:49:50","modified_gmt":"2023-10-10T06:49:50","slug":"myomy-mohou-zkomplikovat-poceti-i-tehotenstvi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42815","title":{"rendered":"Myomy mohou zkomplikovat po\u010det\u00ed i t\u011bhotenstv\u00ed"},"content":{"rendered":"\n<p><em>Nemocn\u00fdm <\/em><em>pom\u00e1h\u00e1 asistovan\u00e1 reprodukce<\/em><\/p>\n\n\n\n<p><strong>Popt\u00e1vka po um\u011bl\u00e9m oplodn\u011bn\u00ed (IVF) st\u00e1le roste. P\u00e1ry do reproduk\u010dn\u00edch klinik nep\u0159iv\u00e1d\u00ed jenom vy\u0161\u0161\u00ed v\u011bk \u017een, ale tak\u00e9 gynekologick\u00e9 probl\u00e9my, mezi kter\u00e9 pat\u0159\u00ed myomy. Tyto nezhoubn\u00e9 n\u00e1dory \u017eivot sice neohro\u017euj\u00ed, pokud ale rostou v\u00a0d\u011blo\u017en\u00ed dutin\u011b, za\u010dnou ji deformovat, a mohou tak zp\u016fsobit neplodnost. D\u016fle\u017eit\u00e1 je proto jejich v\u010dasn\u00e1 l\u00e9\u010dba. Odborn\u00edci upozor\u0148uj\u00ed, \u017ee by \u017eeny, kter\u00e9 probl\u00e9m s myomy \u0159e\u0161\u00ed a pl\u00e1nuj\u00ed rodinu, m\u011bly ot\u011bhotn\u011bt co nejd\u0159\u00edve.<\/strong><\/p>\n\n\n\n<p><em>\u201eD\u011blo\u017en\u00ed myomy jsou nezhoubn\u00e9 n\u00e1dory, kter\u00e9 vyr\u016fstaj\u00ed z&nbsp;hladk\u00e9 svaloviny. U \u017een se objevuj\u00ed ve st\u0159edn\u00edm v\u011bku a jejich po\u010det i velikost se r\u016fzn\u00ed,\u201c <\/em>popisujeMUDr. Pavel Otev\u0159el, vedouc\u00ed l\u00e9ka\u0159 \u010desk\u00e9 reproduk\u010dn\u00ed kliniky Reprofit. V\u00fdskyt myom\u016f je podle n\u011bj velmi \u010dast\u00fd zejm\u00e9na ve vy\u0161\u0161\u00edm v\u011bku \u2013 po \u010dty\u0159ic\u00edtce je m\u00e1 a\u017e 40 % \u017een. Mlad\u0161\u00ed \u017eeny tyto n\u00e1dory tr\u00e1p\u00ed m\u00e9n\u011b, do 40 let v\u011bku se s&nbsp;nimi pot\u00fdk\u00e1 p\u0159ibli\u017en\u011b 10\u201320 % z&nbsp;nich<em>. \u201ePokud se u \u017een myomy objev\u00ed, sna\u017e\u00edme se je p\u0159esv\u011bd\u010dit, aby t\u011bhotenstv\u00ed neodkl\u00e1daly. Nikdy toti\u017e nev\u00edme, jak\u00e9 pot\u00ed\u017ee mohou zp\u016fsobit, a odstranit je nen\u00ed tak jednoduch\u00e9,\u201c<\/em> vysv\u011btluje MUDr. Otev\u0159el.<\/p>\n\n\n\n<p>\u00datvary, kter\u00e9 se nach\u00e1z\u00ed mimo d\u011blo\u017en\u00ed dutinu, \u0161anci na po\u010det\u00ed neovliv\u0148uj\u00ed. Pokud jsou ale myomy uvnit\u0159 d\u011blohy, jedn\u00e1 se u\u017e o \u201emechanickou\u201c p\u0159ek\u00e1\u017eku k&nbsp;tomu, aby se t\u011bhotenstv\u00ed rozvinulo norm\u00e1ln\u011b a bezpe\u010dn\u011b. \u201e<em>Podce\u0148ovat by se v\u0161ak nem\u011bly ani ty, kter\u00e9 rostou na povrchu d\u011blohy. \u017deny sice v&nbsp;takov\u00e9m p\u0159\u00edpad\u011b ot\u011bhotn\u00ed bez komplikac\u00ed, myomy ale m\u011bn\u00ed sta\u017eitelnost d\u011blohy a reaktivitu svaloviny. S&nbsp;p\u0159ib\u00fdvaj\u00edc\u00edm t\u011bhotenstv\u00edm proto mohou b\u00fdt p\u0159\u00ed\u010dinou potratu nebo p\u0159ed\u010dasn\u00e9ho porodu,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Martina Novotn\u00e1, gynekolo\u017eka z&nbsp;reproduk\u010dn\u00ed kliniky Reprofit.<\/p>\n\n\n\n<p>Mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00edznaky myom\u016f pat\u0159\u00ed bolesti a tlak v&nbsp;podb\u0159i\u0161ku, zm\u011bna charakteru menstruace, nepravideln\u00e9 krv\u00e1cen\u00ed nebo \u010dast\u00e9 nutk\u00e1n\u00ed k mo\u010den\u00ed. Na myomy v\u0161ak mnohdy nemus\u00ed upozornit v\u016fbec nic \u2013 pokud jsou mal\u00e9 a nerostou rychle, \u017eeny \u017e\u00e1dn\u00e9 p\u0159\u00edznaky nezpozoruj\u00ed. N\u00e1dory v&nbsp;takov\u00e9m p\u0159\u00edpad\u011b dok\u00e1\u017ee odhalit a\u017e ultrazvuk. <em>\u201eGynekologov\u00e9 jej u\u017e dnes b\u011b\u017en\u011b pou\u017e\u00edvaj\u00ed p\u0159i pravideln\u00fdch ro\u010dn\u00edch prohl\u00eddk\u00e1ch. Jakmile myom zachyt\u00ed, zvou pak \u017eeny na \u010dast\u011bj\u0161\u00ed kontroln\u00ed vy\u0161et\u0159en\u00ed, aby sledovali, jestli n\u00e1dor\u016f nep\u0159ib\u00fdv\u00e1 nebo jak rychle rostou,\u201c<\/em> popisuje MUDr. Novotn\u00e1.<\/p>\n\n\n\n<p>U n\u011bkter\u00fdch \u017een myomy vy\u017eaduj\u00ed operaci \u2013 tu je ale v\u017edy pot\u0159eba pe\u010dliv\u011b zv\u00e1\u017eit. <em>\u201ePokud se k\u00a0operaci p\u0159istoup\u00ed a jedn\u00e1 se o \u017eenu, kter\u00e1 doposud nem\u00e1 d\u00edt\u011b a pl\u00e1nuje zalo\u017eit rodinu, je naprostou prioritou zachov\u00e1n\u00ed jej\u00ed d\u011blohy.<\/em> <em>\u017deny by po takov\u00e9m z\u00e1kroku m\u011bly co nejrychleji ot\u011bhotn\u011bt, myomy toti\u017e mohou zejm\u00e9na u t\u011bch mlad\u0161\u00edch rychle vyr\u016fst znovu,\u201c<\/em> zd\u016fraz\u0148uje MUDr.\u00a0Pavel Otev\u0159el. <\/p>\n\n\n\n<p>Pacientky by se podle n\u011bj m\u011bly po rekonvalescenci nejprve pokusit ot\u011bhotn\u011bt p\u0159irozenou cestou. Pokud se jim to do p\u016fl roku nepoda\u0159\u00ed, doporu\u010duje \u017een\u00e1m podstoupit um\u011bl\u00e9 oplodn\u011bn\u00ed, tzv. IVF, dokud je d\u011bloha v\u00a0co nejlep\u0161\u00edm stavu. <em>\u201ePo operaci se mohou v\u00a0d\u011bloze za\u010d\u00edt objevovat dal\u0161\u00ed myomy, kter\u00e9 zp\u016fsob\u00ed akutn\u00ed pot\u00ed\u017ee. \u010cas ot\u011bhotn\u011bn\u00ed tak hraje v\u00a0tomto p\u0159\u00edpad\u011b opravdu d\u016fle\u017eitou roli,\u201c<\/em> uzav\u00edr\u00e1 MUDr. Otev\u0159el.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nemocn\u00fdm pom\u00e1h\u00e1 asistovan\u00e1 reprodukce Popt\u00e1vka po um\u011bl\u00e9m oplodn\u011bn\u00ed (IVF) st\u00e1le roste. P\u00e1ry do reproduk\u010dn\u00edch klinik nep\u0159iv\u00e1d\u00ed jenom vy\u0161\u0161\u00ed v\u011bk \u017een, ale tak\u00e9 gynekologick\u00e9 probl\u00e9my, mezi <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=42815\" title=\"Myomy mohou zkomplikovat po\u010det\u00ed i t\u011bhotenstv\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":20867,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42815","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\/42815","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=42815"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42815\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/20867"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42815"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}