{"id":42824,"date":"2023-10-10T15:38:27","date_gmt":"2023-10-10T13:38:27","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42824"},"modified":"2023-10-10T15:38:28","modified_gmt":"2023-10-10T13:38:28","slug":"7-tipu-jak-si-udrzet-zdrave-ledviny","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42824","title":{"rendered":"7 tip\u016f, jak si udr\u017eet zdrav\u00e9 ledviny"},"content":{"rendered":"\n

V ohro\u017een\u00ed jsou hlavn\u011b diabetici<\/em><\/p>\n\n\n\n

Ka\u017ed\u00fd den jimi projde a\u017e 1 500 litr\u016f krve a p\u0159efiltruj\u00ed a\u017e 170 litr\u016f mo\u010di. \u0158e\u010d je o ledvin\u00e1ch, kter\u00e9 jsou v\u00a0lidsk\u00e9m t\u011ble naprosto kl\u00ed\u010dov\u00fdm org\u00e1nem. A\u017e 10 % dosp\u011bl\u00e9 populace v\u00a0\u010cesku m\u00e1 p\u0159itom ledviny, \u010dasto kv\u016fli diabetu 2. typu, po\u0161kozen\u00e9, a ty pak nefunguj\u00ed, jak by m\u011bly. Jak si udr\u017eet ledviny v\u00a0kondici, a vyhnout se tak zdravotn\u00edm komplikac\u00edm v\u00a0budoucnu, rad\u00ed MUDr. Ji\u0159\u00ed Ors\u00e1g, Ph.D., nefrolog z III. intern\u00ed kliniky \u2013 nefrologick\u00e9, revmatologick\u00e9 a endokrinologick\u00e9 FN Olomouc.<\/strong><\/p>\n\n\n\n

Dostatek vody je z\u00e1klad<\/strong><\/p>\n\n\n\n

Aby ledviny mohly \u00fa\u010dinn\u011b filtrovat odpadn\u00ed l\u00e1tky z t\u011bla, nezbytn\u011b pot\u0159ebuj\u00ed vodu. \u201eNen\u00ed t\u0159eba mno\u017estv\u00ed p\u0159eh\u00e1n\u011bt, obecn\u011b se uv\u00e1d\u00ed 35 ml vody na kg t\u011blesn\u00e9 v\u00e1hy za den. Samoz\u0159ejm\u011b ale tak\u00e9 z\u00e1le\u017e\u00ed na t\u011blesn\u00e9 aktivit\u011b nebo m\u00edst\u011b, kde se \u010dlov\u011bk pohybuje. Pokud fyzicky pracuje na slunci, vypot\u00ed za hodinu a\u017e litr vody a adekv\u00e1tn\u011b tomu mus\u00ed p\u00edt. To stejn\u00e9 v\u0161ak neplat\u00ed pro \u010dlov\u011bka, kter\u00fd sed\u00ed cel\u00fd den v klimatizovan\u00e9 kancel\u00e1\u0159i,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Ji\u0159\u00ed Ors\u00e1g, nefrolog z Fakultn\u00ed nemocnice Olomouc. P\u0159i nedostatku vody se ledviny mus\u00ed v\u00edce nam\u00e1hat, aby odpadn\u00ed l\u00e1tky z t\u011bla vylou\u010dily. Z\u00e1rove\u0148 je mo\u010d siln\u011b koncentrovan\u00e1, co\u017e nahr\u00e1v\u00e1 vzniku krystal\u016f a mo\u010dov\u00fdch kamen\u016f.<\/p>\n\n\n\n

Nep\u0159eh\u00e1n\u011bjte to se sol\u00ed a miner\u00e1lkami<\/strong><\/p>\n\n\n\n

Ne\u017e by pili vodu z kohoutku, s\u00e1hne \u0159ada lid\u00ed rad\u011bji po balen\u00e9 vod\u011b. L\u00e9ka\u0159i v\u0161ak odrazuj\u00ed od nahrazov\u00e1n\u00ed oby\u010dejn\u00e9 vody miner\u00e1lkami. \u201eSlab\u011b mineralizovan\u00e9 vody, jako je nap\u0159\u00edklad \u201amattonka\u2018, jsou v po\u0159\u00e1dku, u st\u0159edn\u011b mineralizovan\u00fdch u\u017e v\u00edce ne\u017e p\u016fl litru denn\u011b nen\u00ed vhodn\u00e9. Vysoce mineralizovan\u00e9 vody by pak zdrav\u00fd \u010dlov\u011bk nem\u011bl p\u00edt prakticky v\u016fbec, ty jsou ur\u010deny pouze pro l\u00e9\u010debn\u00e9 \u00fa\u010dely. \u010casto obsahuj\u00ed sod\u00edk a dal\u0161\u00ed ionty, kter\u00e9 zat\u011b\u017euj\u00ed nejen ledviny, ale i kardiovaskul\u00e1rn\u00ed syst\u00e9m,\u201c<\/em> vysv\u011btluje MUDr. Ors\u00e1g. Podobn\u011b tak\u00e9 varuje p\u0159ed nadbyte\u010dn\u00fdm solen\u00edm \u2013 s\u016fl a dal\u0161\u00ed miner\u00e1ly toti\u017e ledviny mus\u00ed op\u011bt vylou\u010dit z t\u011bla a p\u0159edstavuje to pro n\u011b zbyte\u010dnou z\u00e1t\u011b\u017e.<\/p>\n\n\n\n

Zdrav\u00e1 strava a pohyb ochr\u00e1n\u00ed p\u0159ed cukrovkou<\/strong><\/p>\n\n\n\n

Zam\u011b\u0159te se na vyv\u00e1\u017eenou stravu s dostate\u010dn\u00fdm mno\u017estv\u00edm ovoce, zeleniny, celozrnn\u00fdch produkt\u016f a b\u00edlkovin. \u201eZdrav\u00fd j\u00eddeln\u00ed\u010dek v kombinaci s pravideln\u00fdm pohybem pom\u016f\u017ee p\u0159edch\u00e1zet chorob\u00e1m, kter\u00e9 po\u0161kozuj\u00ed ledviny nej\u010dast\u011bji, tedy diabetu 2. typu, vysok\u00e9mu krevn\u00edmu tlaku a ateroskler\u00f3ze neboli kornat\u011bn\u00ed tepen. Pozor tak\u00e9 na zbyte\u010dn\u011b velk\u00e9 mno\u017estv\u00ed b\u00edlkovin ve strav\u011b, i to m\u016f\u017ee p\u0159i dlouhodob\u00e9 konzumaci v\u00e9st k po\u0161kozen\u00ed ledvin,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Ors\u00e1g. Pravideln\u00fd pohyb alespo\u0148 3\u00d7 t\u00fddn\u011b pak podle n\u011bj udr\u017euje v kondici nejen svaly, ale i kardiovaskul\u00e1rn\u00ed syst\u00e9m a pom\u00e1h\u00e1 udr\u017eovat spr\u00e1vnou hmotnost. To je op\u011bt velmi d\u016fle\u017eit\u00e9 jako prevence diabetu 2. typu.<\/p>\n\n\n\n

Omezte konzumaci alkoholu<\/strong><\/p>\n\n\n\n

P\u0159esto\u017ee alkohol jako takov\u00fd samotn\u00e9 ledviny podle l\u00e9ka\u0159\u016f nepo\u0161kozuje, jeho konzumace je pro tento d\u016fle\u017eit\u00fd org\u00e1n n\u00e1ro\u010dn\u00e1. \u201eP\u0159i odbour\u00e1v\u00e1n\u00ed alkoholu vznikaj\u00ed v t\u011ble r\u016fzn\u00e9 odpadn\u00ed l\u00e1tky, kter\u00e9 mus\u00ed organismus vylou\u010dit, co\u017e se d\u011bje \u010d\u00e1ste\u010dn\u011b i p\u0159es ledviny. Ledviny v\u00fdznamn\u011b zat\u011b\u017euje nap\u0159\u00edklad pit\u00ed piva, kter\u00e9ho do sebe \u010dlov\u011bk dostane hodn\u011b v kr\u00e1tk\u00e9m \u010dase. Pivo tak\u00e9 obsahuje r\u016fzn\u00e9 miner\u00e1ly, kter\u00e9 p\u0159es ledviny mus\u00ed proj\u00edt,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Ors\u00e1g. P\u0159ipom\u00edn\u00e1, \u017ee alkohol p\u016fsob\u00ed tak\u00e9 diureticky, tedy zvy\u0161uje vylu\u010dov\u00e1n\u00ed tekutin. Konzumace v\u011bt\u0161\u00edho mno\u017estv\u00ed piva tak paradoxn\u011b m\u016f\u017ee zp\u016fsobit dehydrataci.  <\/p>\n\n\n\n

Dr\u017ete cukrovku pod kontrolou<\/strong><\/p>\n\n\n\n

Pokud m\u00e1te diabetick\u00e9 onemocn\u011bn\u00ed, d\u016fsledn\u011b sledujte hladinu cukru v krvi a sv\u016fj stav pravideln\u011b konzultujte s l\u00e9ka\u0159em. Diabetes 2. typu je toti\u017e jednou z nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din po\u0161kozen\u00ed ledvin a v\u010dasn\u00e1 l\u00e9\u010dba m\u016f\u017ee jeho postup zpomalit hned v po\u010d\u00e1tku. \u201eDne\u0161n\u00ed medic\u00edna nab\u00edz\u00ed celou \u0159adu zp\u016fsob\u016f a prost\u0159edk\u016f modern\u00ed l\u00e9\u010dby, kter\u00e9 diabetick\u00fdm pacient\u016fm chr\u00e1n\u00ed ledviny u\u017e v po\u010d\u00e1te\u010dn\u00ed f\u00e1zi onemocn\u011bn\u00ed. Je velk\u00e1 \u0161koda, kdy\u017e k n\u00e1m p\u0159ijdou ve stavu, kdy u\u017e jejich ledvin\u00e1m nem\u016f\u017eeme pomoci,\u201c <\/em>popisuje MUDr. Ors\u00e1g. Jedn\u011bmi z modern\u00edch l\u00e9k\u016f jsou tzv. glifloziny, kter\u00e9 krom\u011b l\u00e9\u010dby cukrovky chr\u00e1n\u00ed pacient\u016fm i ledviny. Podobnou pozornost jako cukrovce v\u0161ak l\u00e9ka\u0159i doporu\u010duj\u00ed v\u011bnovat i vysok\u00e9mu krevn\u00edmu tlaku nebo srde\u010dn\u00edmu selh\u00e1n\u00ed, kter\u00e9 se \u010dasto s cukrovkou poj\u00ed a zdrav\u00ed ledvin v\u00fdrazn\u011b \u0161kod\u00ed.<\/p>\n\n\n\n

Vyhn\u011bte se kou\u0159en\u00ed<\/strong><\/p>\n\n\n\n

Kou\u0159en\u00ed dlouhodob\u011b po\u0161kozuje c\u00e9vy, v\u010detn\u011b t\u011bch, kter\u00e9 vy\u017eivuj\u00ed ledviny. To po \u010dase vede k po\u0161kozov\u00e1n\u00ed samotn\u00e9ho org\u00e1nu. Krev ku\u0159\u00e1k\u016f nav\u00edc do ledvin p\u0159en\u00e1\u0161\u00ed m\u00e9n\u011b kysl\u00edku, co\u017e jim v\u016fbec neprosp\u00edv\u00e1. \u201ePokud u pacienta zjist\u00edme, \u017ee m\u00e1 sn\u00ed\u017eenou funkci ledvin, kou\u0159en\u00ed je prvn\u00ed v\u011bc, se kterou mu rad\u00edme p\u0159estat. Doporu\u010den\u00ed je to jednoduch\u00e9, pro pacienty je v\u0161ak \u010dasto slo\u017eit\u00e9 se j\u00edm \u0159\u00eddit, proto nen\u00ed od v\u011bci vyhledat odbornou pomoc,\u201c<\/em> nab\u00e1d\u00e1 MUDr. Ors\u00e1g.<\/p>\n\n\n\n

Nezat\u011b\u017eujte sv\u016fj organismus l\u00e9ky<\/strong><\/p>\n\n\n\n

N\u011bkter\u00e9 voln\u011b prodejn\u00e9 p\u0159\u00edpravky mohou p\u0159i nadu\u017e\u00edv\u00e1n\u00ed p\u0159edstavovat pro ledviny riziko. Odborn\u00edci upozor\u0148uj\u00ed hlavn\u011b na l\u00e9ky proti bolesti. \u201eU protiz\u00e1n\u011btliv\u00fdch l\u00e9k\u016f typu ibuprofen m\u016f\u017ee p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed doch\u00e1zet k hor\u0161\u00edmu prokrvov\u00e1n\u00ed ledvin, a t\u00edm p\u00e1dem i k jejich po\u0161kozen\u00ed. Je proto vhodn\u00e9 takov\u00e9 u\u017e\u00edv\u00e1n\u00ed konzultovat s l\u00e9ka\u0159em,\u201c<\/em> popisuje MUDr. Ors\u00e1g a dod\u00e1v\u00e1: \u201eJedna a\u017e dv\u011b tabletky za m\u011bs\u00edc na bolest hlavy v\u0161ak riziko nep\u0159edstavuj\u00ed.\u201c<\/em> L\u00e9ky na b\u00e1zi paracetamolu podle n\u011bj ledvin\u00e1m ne\u0161kod\u00ed, re\u00e1ln\u011b v\u0161ak u nich hroz\u00ed p\u0159ed\u00e1vkov\u00e1n\u00ed a po\u0161kozen\u00ed jater. U l\u00e9k\u016f na p\u0159edpis je dobr\u00e9 \u0159\u00eddit se doporu\u010den\u00edm l\u00e9ka\u0159e.<\/p>\n\n\n\n

Dal\u0161\u00ed informace najdete na specializovan\u00e9m webu osladtocukrovce.cz<\/a>.<\/p>\n\n\n\n

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

V ohro\u017een\u00ed jsou hlavn\u011b diabetici Ka\u017ed\u00fd den jimi projde a\u017e 1 500 litr\u016f krve a p\u0159efiltruj\u00ed a\u017e 170 litr\u016f mo\u010di. \u0158e\u010d je o ledvin\u00e1ch, kter\u00e9 jsou […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16678,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42824","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\/42824","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=42824"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42824\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16678"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42824"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42824"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42824"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}