{"id":43263,"date":"2023-11-05T19:45:24","date_gmt":"2023-11-05T18:45:24","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=43263"},"modified":"2023-11-05T19:45:24","modified_gmt":"2023-11-05T18:45:24","slug":"poradna-mudr-cajthamlove-o-inkontinenci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=43263","title":{"rendered":"Poradna MUDr. Cajthamlov\u00e9\u00a0o inkontinenci"},"content":{"rendered":"\n

Ve studiu \u010cRo – Plze\u0148\u00a0MUDr. Kate\u0159ina Cajthamlov\u00e1, psychoterapeutka, internistka a v\u00fd\u017eivov\u00e1 poradkyn\u011b poskytovala rady na telefonick\u00e9 dotazy poslucha\u010d\u016f. Dnes rad\u00ed s t\u00edm, jak bojovat t\u0159eba se samovoln\u00fdmi \u00faniky mo\u010di, \u0159e\u0161ili jsme i operace prostaty a podobn\u011b
——————–
Dal\u0161\u00ed dotaz, kter\u00fd jste zanechali na na\u0161em telefonn\u00edm z\u00e1znamn\u00edku
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Dobr\u00fd den, tady Libor z Vyso\u010diny. Je mi 65 rok\u016f a jsem m\u011bs\u00edc po operaci prostaty. M\u00e1m takov\u00fd probl\u00e9m, \u017ee m\u00e1m inkontinenci st\u00e1le, hlavn\u011b, kdy\u017e si stoupnu, kdy\u017e sed\u00edm nebo le\u017e\u00edm, tak je to jak\u017etak\u017e, ale jaksi stoupnu nebo chod\u00edm. Tak je to nekontrolovateln\u00fd \u00fanik mo\u010di. D\u011bkuju mockr\u00e1t.

Kate\u0159ina Cajthamlov\u00e1,
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Tak p\u00e1novi bych rozhodn\u011b doporu\u010dila jednak si d\u011blat mik\u010dn\u00ed den\u00edk, co\u017e je takov\u00fd den\u00edk, do kter\u00e9ho si zapisuje, kdy, kolik, \u010deho vypije a p\u0159i jak\u00e9m pohybu se ta situace vlastn\u011b objev\u00ed. Ur\u010dit\u011b. Pros\u00edm, a\u0165 si po\u0159\u00edd\u00ed n\u011bjak\u00e9 ty inkontinen\u010dn\u00ed vlo\u017eky a pom\u016fcky, a\u0165 se toho p\u00e1n neboj\u00ed, m\u016f\u017ee to b\u00fdt p\u0159echodn\u00e1 situace. Moc bych mu to p\u0159\u00e1la, ale pokud by to bylo n\u011bco trvalej\u0161\u00edho r\u00e1zu, jednak popros\u00edm, aby se obr\u00e1til na pracovi\u0161t\u011b, kde mu ten z\u00e1krok d\u011blali, proto\u017ee tam s t\u00edm maj\u00ed nejv\u00edc zku\u0161enost\u00ed, jak dlouho po operaci inkontinence trv\u00e1 a co s n\u00ed a potom je mo\u017en\u00e9 vlastn\u011b absolvovat n\u011bjak\u00e9 typy operac\u00ed, kter\u00e9 by to tro\u0161i\u010dku zlep\u0161ily.

mluv\u010d\u00ed 1,
——————–
potom i dotazy psan\u00e9.

Kate\u0159ina Cajthamlov\u00e1,
——————–
Ano, dv\u011b d\u00e1my se ptaj\u00ed v podstat\u011b na podobnou v\u011bc, jedna pan\u00ed Em\u00edlie, man\u017eel, 72 let po oza\u0159ov\u00e1n\u00ed prostaty a pot\u00e9 odstran\u011bn neinvazivn\u00ed papilokarcinom mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, tady bych cht\u011bla \u0159\u00edct, \u017ee po odstran\u011bn\u00ed v\u011bt\u0161inou n\u00e1dorov\u00fdch onemocn\u011bn\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e ta inkontinence b\u00fdv\u00e1 relativn\u011b \u010dast\u00e1. Potom po z\u00e1kroku dostal dva l\u00e9ky. Pan\u00ed je tady popisuje bez viditeln\u00e9ho efektu, p\u00e1n nechce chodit mezi lidi, uzav\u00edr\u00e1 se doma, je podr\u00e1\u017ed\u011bn\u00fd, velmi doporu\u010duju, aby zase se netr\u00e1pil t\u00edmto zp\u016fsobem, ale zkusil kompenza\u010dn\u00ed pom\u016fcky, aby mohl v\u016fbec chodit ven. No a zase zaj\u00edt za urologem a poptat se po mo\u017enosti p\u0159\u00edpadn\u011b operace, kter\u00e1 by tu zlep\u0161ila. Tot\u00e9\u017e. Pan\u00ed Dana, p\u0159ed dev\u00edti lety. Man\u017eel na operaci s prostatou zase zhoubn\u00fd n\u00e1dor. Oza\u0159ov\u00e1n\u00ed. Prov\u00e1d\u011bli biopsii. Je to v po\u0159\u00e1dku. A od t\u00e9 doby m\u00e1 \u00fanik mo\u010di. Zase. Bylo by moc fajn, aby se poradili na urologii, na pracovi\u0161ti, kde d\u011blali ten z\u00e1krok a ur\u010dit\u011b tady popisuje magnetoterapii, laser, hypex, ur\u010dit\u011b zkusit v\u0161echny mo\u017en\u00e9 formy, proto\u017ee ka\u017ed\u00fd pacient reaguje tro\u0161ku jinak. M\u016f\u017ee b\u00fdt, \u017ee man\u017eelovi n\u011bco z toho pom\u016f\u017ee.

mluv\u010d\u00ed 1,
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I v\u00e1m ostatn\u00edm se budeme sna\u017eit pomoci s probl\u00e9my, kter\u00e9 souvis\u00ed se samovoln\u00fdm \u00fanikem mo\u010di.
Vesele a zdrav\u011b volejte pr\u00e1v\u011b te\u010f na\u0161i studiovou linku 731 800 900.
m\u00e1me tu i reakci jednoho z na\u0161ich poslucha\u010d\u016f, p\u0159ejeme dobr\u00fd den.

mluv\u010d\u00ed 4,
——————–
Pan doktor p\u0159ed operac\u00ed mi doporu\u010dil, aby si cvi\u010dil sv\u011bra\u010d mo\u010dov\u00fd prost\u011b na mo\u010dov\u00fd trubici,, proto\u017ee tam jsou dva sv\u011bra\u010de a odstran\u00ed se a z\u016fstane jenom jeden, tak\u017ee cvi\u010dit t\u0159eba i stokr\u00e1t denn\u011b takov\u00fdto jakoby zastaven\u00ed mo\u010di, ano, jako kdy\u017e \u010dlov\u011bk mo\u010d\u00ed a te\u010f to chce zastavit a mn\u011b se to velice osv\u011bd\u010dilo, velice, j\u00e1 jsem m\u011bl poruchy inkontinence nebo sedm\u00fd kontinent, tak tro\u0161i\u010dku mo\u017en\u00e1 prvn\u00ed m\u011bs\u00edc, a to jenom, kdy\u017e jsem d\u00e1val nohy z auta a nohy do auta atd. a pak jsem zn\u00e1m\u00e9mu ty, co jsem dostal, pom\u016fcky v l\u00e9k\u00e1rn\u011b, dal a v\u016fbec nem\u00e1m pot\u00ed\u017ee. Tak\u017ee v\u00fdborn\u011b, velice vyplat\u00ed.

mluv\u010d\u00ed 5,
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V\u00fdborn\u011b. Moc d\u011bkujeme. A je to i dobr\u00e1 rada i po t\u00e9 operaci, proto\u017ee to se d\u00e1 d\u011blat i potom tr\u00e9novat.

mluv\u010d\u00ed 1,
——————–
Dal\u0161\u00ed dotaz v po\u0159adu vesel\u00e9 zdrav\u011b k t\u00e9matu samovoln\u00e9 \u00faniky mo\u010di. Dobr\u00fd den.

mluv\u010d\u00ed 6,
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Dobr\u00fd den, cht\u011bla bych v\u00e1s pozdravit, pod\u011bkovat v\u00e1m za va\u0161e odborn\u00e9 rady a poinformovat se, pros\u00edm v\u00e1s. M\u00e1m 88 let\u016fm maminku, kter\u00e1 m\u00e1 zlomeninu bedern\u00ed p\u00e1te\u0159e a \u0161patn\u011b se pohybuje, je imobiln\u00ed.

mluv\u010d\u00ed 6,
——————–
A ona m\u00e1 taky ten probl\u00e9m s inkontinenc\u00ed t\u0159et\u00edho stupn\u011b, a proto\u017ee u\u017e vlastn\u011b to m\u00e1 dlouhodob\u00e9ho charakteru, cht\u011bla jsem se poinformovat, jestli i v tomto v\u011bku by byla mo\u017en\u00e1 operace, proto\u017ee cvi\u010den\u00ed a takov\u00e9 podobn\u00e9 nebo d\u00fd\u0148ov\u00e1 sem\u00ednka jsme zkou\u0161eli, ale v tomto pokro\u010dil\u00e9m stadiu nepom\u00e1h\u00e1, jestli by pan\u00ed doktorka doporu\u010dila i v tomto v\u011bku operaci na n\u011bjak\u00e9m specializovan\u00e9m pracovi\u0161ti. My jsme vlastn\u011b Vyso\u010dina, tak asi by spadalo do \u00favahy Fakultn\u00ed nemocnice Brno nebo n\u011bjak\u00e9 takov\u00e9 odborn\u00e9 pracovi\u0161t\u011b?

Kate\u0159ina Cajthamlov\u00e1, psychoterapeutka, internistka, v\u00fd\u017eivov\u00e1 poradkyn\u011b
——————–
d\u011bkuju za dotaz. Ka\u017edop\u00e1dn\u011b to mus\u00ed posoudit urolog, kter\u00fd m\u00e1 maminku v p\u00e9\u010di, pokud takov\u00fd je. A pevn\u011b douf\u00e1m, \u017ee ano, proto\u017ee to, co vy \u0159\u00edk\u00e1te po zlomenin\u011b p\u00e1te\u0159e, tam m\u016f\u017ee j\u00edt o neurogenn\u00ed\u00a0posti\u017een\u00ed<\/strong>, to znamen\u00e1, \u017ee vlastn\u011b je to v\u00fdpadek inervace toho sv\u011bra\u010de a tam by mo\u017en\u00e1 operace pomoci mohla, ale nejsem si t\u00edm jista. \u010cili bylo by opravdu d\u016fle\u017eit\u00e9 zeptat se a p\u0159\u00edpadn\u011b m\u011b to je\u0161t\u011b konzultovat i s neurologem, kter\u00fd m\u00e1 maminku v p\u00e9\u010di, aby vlastn\u011b tihle ti dva ud\u011blali konzilium a domluvili se, co s t\u00edm.

mluv\u010d\u00ed 1,
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Z\u00e1v\u011br, tedy vlastn\u011b neb\u00e1t se v\u017edy l\u00e9ka\u0159e, zeptat se na cokoliv l\u00e9ka\u0159e. Pochybnosti? Ptejte se p\u0159\u00edmo toho doktora, kter\u00e9ho m\u00e1te. Ale d\u011bkujeme, kdo vol\u00e1 te\u010f?

mluv\u010d\u00ed 8,
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Dobr\u00fd den, pan\u00ed doktorko, j\u00e1 jsem poslucha\u010dka z Brna. Maizie. Takov\u00fd vaj\u00ed\u010dko do, mysl\u00edm, \u017ee um\u00fdvala, gynekolog mn\u011b \u0159ekl, \u017ee mi pad\u00e1 mo\u010dov\u00fd m\u011bch\u00fd\u0159, tak mn\u011b doporu\u010dil operaci, tak jsem \u0161la na operaci, kde m\u011b ud\u011blali, \u0159\u00edkali t\u0159i, v jednom vzal d\u011blohu n\u011bjakou plastiku a s\u00ed\u0165ku mi tam na\u0161il, ano, a nem\u011bla jsem, pak jsem m\u011bla do l\u00e1zn\u00ed, bylo to v pohod\u011b, pak jsem, ale man\u017eel um\u00edr\u00e1 a j\u00e1 jsem ho jako doma o\u0161et\u0159ovala, no, a jak jsem ho zvedala? Kdy\u017e spadl on m\u011b 80 kilo, no, tak se m\u011b tam n\u011bco jako utrhlo, jejda \u0161la do nemocnice, \u0159ekli, \u017ee se tam n\u011bco trochu utrhlo, ale \u017ee m\u011b reoperaci nedoporu\u010d\u00ed, \u017ee ta nedopal d\u00e1v\u00e1. Dob\u0159e, no, a te\u010f teda jsem m\u011bla vlo\u017eky, kdy\u017e jenom se \u0161la na del\u0161\u00ed cestu, m\u00e1m a doma jsem nemusela a v noci, ale te\u010f v posledn\u00ed dob\u011b i doma, mus\u00edm mi tu vlo\u017eku, \u017ee m\u011b unik\u00e1 ta mo\u010d. No, jestli s t\u00edm m\u00e1m j\u00edt na tu operaci znovu nebo znovu pan\u00ed doktorce?

Kate\u0159ina Cajthamlov\u00e1, psychoterapeutka, internistka, v\u00fd\u017eivov\u00e1 poradkyn\u011b
——————–
Vzhledem k tomu, \u017ee l\u00e9ka\u0159i, kte\u0159\u00ed znaj\u00ed situaci ve va\u0161\u00ed p\u00e1nvi, proto\u017ee v\u00e1m d\u011blali tu p\u016fvodn\u00ed operaci, te\u010fko \u0159\u00edkaj\u00ed, \u017ee ty v\u00fdsledky jsou ne \u00fapln\u011b p\u0159edpov\u011bditeln\u00e9 a mus\u00ed to b\u00fdt dobr\u00e9, a p\u0159ece jenom jde o anestezii. Tak j\u00e1 bych jim asi v\u011b\u0159ila, sp\u00ed\u0161 by se zkusila zeptat u sv\u00e9ho gynekologa, jestli by ve va\u0161em p\u0159\u00edpad\u011b ne\u0161lo pou\u017e\u00edt tzv. pesar, jo? To je v\u011bc, kter\u00e1 se pou\u017e\u00edv\u00e1, je to vlastn\u011b n\u011bco, co pom\u00e1h\u00e1 vlastn\u011b \u0159e\u0161it tu situaci sestupu p\u00e1nevn\u00edch org\u00e1n\u016f a je to n\u011bco, co je takov\u00fd kruhov\u00fd pesar, kter\u00fd vlastn\u011b m\u016f\u017ee udr\u017eet na m\u00edst\u011b vlastn\u011b ten mo\u010dov\u00fd m\u011bch\u00fd\u0159, aby nesklouz, tak\u017ee toto zkonzultovat s doktor, poj\u010fme na to na gynekologii, jo. Dr\u017e\u00edme moc palce, na shledanou.

m\u00e1me tu i poslucha\u010dku, kter\u00e1 se n\u00e1m dovolala, p\u0159ejeme dobr\u00fd den a v\u00edt\u00e1me v\u00e1s ve vys\u00edl\u00e1n\u00ed. Dobr\u00fd den, pov\u00eddejte.

mluv\u010d\u00ed 8,
——————–
Dobr\u00fd, tady poslucha\u010dka 65 let. Stra\u0161n\u011b \u010dasto p\u0159es den chod\u00edm na malou stranu mo\u010dit, boj\u00ed se j\u00edt na proch\u00e1zku, boj\u00edm se j\u00ed v\u0161ude, v noci nemus\u00edm chodit na z\u00e1chod v\u016fbec a p\u0159es den po\u0159\u00e1d. Jestli by mi pan\u00ed doktorka, pros\u00edm, j\u00ed p\u011bkn\u011b, mohla.

Kate\u0159ina Cajthamlov\u00e1,
——————–
Popisujete to n\u00e1dhern\u011b Pravd\u011bpodobn\u011b v\u00e1m sl\u00e1bne p\u00e1nevn\u00ed dno. A mysl\u00edm si, \u017ee v t\u00e9to situaci by bylo v\u00fdborn\u00e9 probrat se svou gynekolo\u017ekou mo\u017enost elektrostimulace. Je to takov\u00fd bateriov\u00fd p\u0159\u00edstroj, kter\u00fd nejd\u0159\u00edv si to vyzkou\u0161\u00edte, a kdy\u017e to bude fungovat, tak v\u00e1m ho daj\u00ed dom\u016f a on zlep\u0161uje vlastn\u011b tonus nebo nap\u011bt\u00ed sval\u016f p\u00e1nevn\u00edho DNA a m\u016f\u017ee v\u00e1m pomoct i vlastn\u011b s tou u retro, to znamen\u00e1 se sv\u011bra\u010di mo\u010dov\u00e9 trubice. Je to je\u0161t\u011b v\u010das? Proto\u017ee jak sly\u0161\u00edm, tak vy nepopisujete \u00fanik mo\u010di, ale popisujete jenom \u010dast\u011bj\u0161\u00ed mo\u010den\u00ed v t\u00e9 poloze vlastn\u011b, kdy gravitace tro\u0161ku tomu p\u00e1nevn\u00edm dnu \u0161kod\u00ed, tak\u017ee elektrostimulaci vyzkou\u0161ejte, m\u016f\u017ee v\u00e1m hodn\u011b pomoct.

mluv\u010d\u00ed 1,
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D\u011bkujeme za ten dotaz i pro ostatn\u00ed, kter\u00e9 tr\u00e1p\u00ed n\u011bco podobn\u00e9ho, kdopak vol\u00e1 d\u00e1l? Dobr\u00fd den.
<\/p>\n\n\n\n

mluv\u010d\u00ed 10,
——————–
J\u00e1 m\u00e1m \u010dasto, ale chod\u00edm \u010dasto, ano, v noci t\u0159eba jdu sedmkr\u00e1t. V noci aha, naopak, sp\u00ed\u0161 jdu m\u00ed\u0148.

Kate\u0159ina Cajthamlov\u00e1,
——————–
Jo, pros\u00edm p\u011bkn\u011b, nev\u00edm, kolik v\u00e1m je let.

mluv\u010d\u00ed 10,
——————–
66.

mluv\u010d\u00ed 5,
——————–
M\u011bla jste n\u011bkdy v posledn\u00ed dob\u011b funk\u010dn\u00ed vy\u0161et\u0159en\u00ed ledvin? Proto\u017ee to, \u017ee vlastn\u011b v okam\u017eiku, kdy si lehnete, chod\u00edte \u010dast\u011bji mo\u010dit a p\u0159es den p\u0159\u00edli\u0161 ne? Vypad\u00e1, \u017ee ta ledvinn\u00e1 funkce tro\u0161i\u010dku kles\u00e1 a ty ledviny v okam\u017eiku, kdy vy si lehnete, tak se l\u00e9pe prokrv\u00ed a chod\u00ed se potom vlastn\u011b v noci, jo, tak\u017ee j\u00e1 bych ur\u010dit\u011b doporu\u010dila vy\u0161et\u0159en\u00ed ledvinn\u00e9 funkce, to se d\u011bl\u00e1 ze sb\u00edran\u00e9 mo\u010di nebo v\u00e1m to m\u016f\u017eou vy\u0161et\u0159it z cynti graficky? Prost\u011b rozhodn\u011b bych to na urologii probrala tohle to, jo. Dob\u0159e.

mluv\u010d\u00ed 1,
——————–
D\u011bkujeme. Za dotaz, na shledanou. To znamen\u00e1 i opravdu rozd\u00edly, jestli n\u00e1s takov\u00e9 probl\u00e9my tr\u00e1p\u00ed, v noci to mohou b\u00fdt t\u0159eba ledviny a je\u0161t\u011b n\u00e1s tr\u00e1p\u00ed ve dne.

Kate\u0159ina Cajthamlov\u00e1,
——————–
Ano, proto\u017ee ve dne doch\u00e1z\u00ed k tomu, \u017ee zejm\u00e9na, kdy\u017e se pohybujeme, chod\u00edme, vst\u00e1v\u00e1me ze \u017eidle, vystupujeme z auta, tak m\u00e1me gravitaci a m\u00e1me to p\u00e1nevn\u00ed dno, kter\u00e9 v tom m\u016f\u017ee p\u016fsobit, ale v okam\u017eiku, kdy si v noci lehneme, tak tomu p\u00e1nevn\u00edmu dnu vlastn\u011b ulev\u00edme, a kdy\u017e p\u0159esto chod\u00edme \u010dasto mo\u010dit, tak je to sp\u00ed\u0161 ten mechanismus prokrven\u00ed ledviny a zv\u00fd\u0161en\u00ed vlastn\u011b tvorby mo\u010di.

mluv\u010d\u00ed 1,
——————–
Pt\u00e1te se, d\u00e1? M\u00e1te tu mo\u017enost pt\u00e1t se pan\u00ed doktorky kate\u0159i Cajthamlov\u00e9? \u0158e\u0161\u00edme probl\u00e9my s mo\u010den\u00edm. Dobr\u00fd den.

mluv\u010d\u00ed 10,
——————–
Cht\u011bla \u0159\u00edct, j\u00e1 m\u00e1m v podstat\u011b 77 rok\u016f a je to u\u017e asi 30 let, co j\u00e1 jsem m\u011bla velk\u00e9 probl\u00e9my tady s t\u00edm \u00fanikem. Ano? A mne velmi pomohlo a dodne\u0161ka nic jin\u00e9 nepou\u017e\u00edv\u00e1m, jenom studenou sprchu. Um\u00fdt se zespodu, kdy p\u0159ed span\u00edm. Mi opravdu pomohlo a nepot\u0159ebujeme \u017e\u00e1dn\u00e9 l\u00e9ky, operaci, nic.

Kate\u0159ina Cajthamlov\u00e1,
——————–
No, vy jste \u00fa\u017easn\u00e1, ano.

Kate\u0159ina Cajthamlov\u00e1,
——————–
Pravd\u011bpodobn\u011b jste trp\u011bl\u00e1 reflexn\u00ed inkontinenc\u00ed a tam vlastn\u011b to, \u017ee si ochlad\u00edte p\u00e1nevn\u00ed dno, m\u016f\u017ee p\u016fsobit pr\u00e1v\u011b jako reflexn\u00ed sta\u017een\u00ed a podpora toho, \u017ee ten sv\u011bra\u010d l\u00e9pe dr\u017e\u00ed. Kr\u00e1sa. Tak d\u011bkujeme moc.

mluv\u010d\u00ed 1,
——————–
\u00daniky mo\u010di, ty dnes \u0159e\u0161\u00edme, dokonce p\u0159i\u0161lo opravdu velk\u00e9 mno\u017estv\u00ed dotaz\u016f i v psan\u00e9 form\u011b. Tady je dal\u0161\u00ed, kter\u00fd zm\u00edn\u00ed pan\u00ed doktorka.

Kate\u0159ina Cajthamlov\u00e1,
——————–
Sp\u00ed\u0161 n\u00e1m\u011bt sedmdes\u00e1tilet\u00e9 pan\u00ed Ane\u017eky, kter\u00fd se mi moc a moc l\u00edb\u00ed, ona trp\u00ed t\u00edm, \u017ee m\u00e1 tro\u0161ku imperativn\u00ed mo\u010den\u00ed, nen\u00ed to je\u0161t\u011b tedy urgentn\u00ed inkontinence, ale skoro se to k n\u00ed bl\u00ed\u017e\u00ed, ona cvi\u010d\u00ed, ale \u0159\u00edk\u00e1, kdy\u017e jdu z proch\u00e1zky, v\u0161e je v pohod\u011b. \u010c\u00edm v\u00edc bl\u00ed\u017e\u00edm domovu, t\u00edm v\u011bt\u0161\u00ed pot\u0159ebu m\u00e1m jen \u010d\u016frat. A te\u010f to \u0159e\u0161\u00ed, kdy\u017e se bude d\u00edvat na stop, nikoliv se p\u0159edkl\u00e1n\u011bt do p\u0159edklonu. A kdy\u017e si bude p\u0159edstavovat, \u017ee dob\u011bhne v\u010das, tak sp\u00ed\u0161 ty my\u0161lenky orientuje na to, \u017ee je v pohod\u011b, v\u0161echno zvl\u00e1dne, v\u0161e se j\u00ed poda\u0159\u00ed. V\u016fbec mi to nep\u0159ijde komick\u00e9, ale to je p\u0159esn\u011b pr\u00e1ce s psychikou a vlastn\u011b vytv\u00e1\u0159en\u00ed pozitivn\u00edho sc\u00e9n\u00e1\u0159e, a to jednozna\u010dn\u011b pom\u00e1h\u00e1. Tak\u017ee d\u011bkujeme a gratuluju, pan\u00ed Ane\u017eko.

mluv\u010d\u00ed 1,
——————–
T\u00edm se dost\u00e1v\u00e1me i k tomu, co tedy d\u011blal preventivn\u011b proti \u00fanik\u016fm mo\u010di, \u010d\u00edm si pom\u00e1hat.

Kate\u0159ina Cajthamlov\u00e1,
——————–
Tak je velmi d\u016fle\u017eit\u00e9 sd\u00edlet jak\u00e9koliv drobn\u00e9 \u00faniky mo\u010di, \u010d\u00edm d\u0159\u00edv, t\u00edm l\u00edp, to znamen\u00e1 u\u017e t\u0159eba p\u0159i gynekologick\u00e9m vy\u0161et\u0159en\u00ed, kdy\u017e to m\u00e1m jednou za m\u011bs\u00edc, tak to rad\u0161i \u0159\u00edct. Optim\u00e1ln\u00ed pitn\u00fd re\u017eim, dobr\u00e1 t\u011blesn\u00e1 aktivita. Bez toho, \u017ee bychom zvedali moc t\u011b\u017ek\u00e9 n\u00e1klady, je d\u016fle\u017eit\u00e9 cvi\u010dit p\u00e1nevn\u00ed dno. Zazn\u011blo tady, jak se d\u00e1 cvi\u010dit p\u0159eru\u0161ovan\u00e9 mo\u010den\u00ed, vyzkou\u0161et i to otu\u017eov\u00e1n\u00ed p\u00e1nevn\u00edho DNA, v\u00fdborn\u00fd n\u00e1pad, no a posilov\u00e1n\u00ed p\u00e1nevn\u00edho DNA s t\u00edm, \u017ee se budeme radit s fyzioterapeuty, tohle to v\u0161echno pom\u00e1h\u00e1, no, a potom, kdy\u017e u\u017e se to za\u010d\u00edn\u00e1 n\u011bjak rozj\u00ed\u017ed\u011bt, tak ud\u011blat dobrou diagnostiku, neb\u00e1t se, se na to v\u0161echno vyptat a zkusit inkontinen\u010dn\u00ed pom\u016fcky pou\u017e\u00edvat aspo\u0148 preventivn\u011b, abychom byli du\u0161evn\u011b v klidu.

mluv\u010d\u00ed 1,
——————–
Toho se opravdu neb\u00e1t, neb\u00e1t, jak by \u0159ekli mlad\u00ed. Je to cool.

Kate\u0159ina Cajthamlov\u00e1,
——————–
Je to cool, ano? Tak \u0159\u00edk\u00e1 se, k\u016f\u0148 je jednou h\u0159\u00edb\u011btem, \u010dlov\u011bk dvakr\u00e1t d\u00edt\u011btem. V b\u00e1sni\u010dce to rovn\u011b\u017e zazn\u011blo. J\u00e1 u\u017e se taky na n\u011bco podobn\u00e9ho chyst\u00e1m, tak\u017ee prost\u011b je to tak.

mluv\u010d\u00ed 1,
——————–
D\u011bkujeme moc a pan\u00ed doktorko, kr\u00e1sn\u00fd zbytek dne\u0161n\u00edho dne p\u0159eju.

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

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

Ve studiu \u010cRo – Plze\u0148\u00a0MUDr. Kate\u0159ina Cajthamlov\u00e1, psychoterapeutka, internistka a v\u00fd\u017eivov\u00e1 poradkyn\u011b poskytovala rady na telefonick\u00e9 dotazy poslucha\u010d\u016f. Dnes rad\u00ed s t\u00edm, jak bojovat t\u0159eba […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-43263","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\/43263","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=43263"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43263\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}