\u010cl\u00e1nek obsahuje p\u0159epis r\u00e1dioporadny, kde byl hostem MUDr. Pavel Kopeck\u00fd Ph.D. p\u0159ednosta gynekologicko-porodnick\u00e9 kliniky Fakultn\u00ed nemocnice Hradec Kr\u00e1lov\u00e9, kter\u00fd odpov\u00edd\u00e1 na dotazy poslucha\u010d\u016f nap\u0159. o pot\u00ed\u017e\u00edch v\u00a0hormon\u00e1ln\u00ed l\u00e9\u010db\u011b v\u00a0obdob\u00ed klimakteria, nebo vyvol\u00e1n\u00ed p\u0159ed\u010dasn\u00e9ho klimakteria a dal\u0161\u00edch.<\/p>\n\n\n\n
\u010cRo – Hradec Kr\u00e1lov\u00e9
——————–
Dobr\u00fd den, tady je poslucha\u010dka z Rychnova a j\u00e1 bych se cht\u011bla pana doktora zeptat. Ze zdravotn\u00edch d\u016fvod\u016f m\u011b pan doktor ud\u011blal sterilitu a vyvolal um\u011bl\u00fd p\u0159echod. A k tomu m\u011b nasadil ACTIVELLE, proto\u017ee jsem se opravdu hrozn\u011b potila, to bylo p\u0159\u00ed\u0161ern\u00fd a nemohla jsem vst\u00e1t a prost\u011b ty p\u0159\u00edznaky, co popisoval, co jsem v\u0161echno m\u011bla. A j\u00e1 se chci zeptat, te\u010fka u\u017e asi rok u\u017e se nepot\u00edm, jestli mus\u00edm ty l\u00e9ky br\u00e1t a\u017e do konce \u017eivota? D\u011bkuju za odpov\u011b\u010f.
Pavel Kopeck\u00fd ——————–
——————–
Ur\u010dit\u011b. Aktivel je prepar\u00e1t, kter\u00fd je kombinovan\u00fd a je vhodn\u00fd pro obdob\u00ed t\u011bchto preklimatick\u00fdch probl\u00e9m\u016f. Prakticky u\u017e\u00edv\u00e1n\u00ed z\u00e1vis\u00ed jednak na v\u011bku pacientky a doba u\u017e\u00edv\u00e1n\u00ed by m\u011bla b\u00fdt p\u011bt let. Po p\u011bti letech by se m\u011bla ta situace p\u0159ehodnotit, eventu\u00e1ln\u011b vysadit a podle toho se pokra\u010duje d\u00e1l, pokud se u\u017e neobjev\u00ed ty pot\u00ed\u017ee klimatick\u00e9, je mo\u017en\u00e9 to vysadit definitivn\u011b, pokud se objev\u00ed, je to mo\u017eno zase nasadit zp\u00e1tky a pokra\u010dovat dal\u0161\u00edch cca p\u011bt let. Tak\u017ee podle aktu\u00e1ln\u00ed situace a lze to vysadit i samoz\u0159ejm\u011b d\u0159\u00edve ne\u017e p\u011bt let, jako z\u00e1vis\u00ed na situaci.
Pavla Kindernayov\u00e1, moder\u00e1torka
——————–
Dal\u0161\u00ed dotaz p\u0159i\u0161el od pan\u00ed Radky, kter\u00e1 se pt\u00e1, jak pozn\u00e1 menopauzu, pokud m\u00e1 nitrod\u011blo\u017en\u00ed t\u011bl\u00edsko? Souvis\u00ed s menopauzou vagin\u00e1ln\u00ed suchost, \u010dast\u00e9 p\u00e1len\u00ed sliznic a tak\u00e9 probl\u00e9m s mo\u010dov\u00fdm m\u011bch\u00fd\u0159em? D\u011bkuji za odpov\u011b\u010f.
Pavel Kopeck\u00fd
——————–
Tak nitrod\u011blo\u017en\u00ed t\u011bl\u00edsko samoz\u0159ejm\u011b limituje probl\u00e9m s krv\u00e1cen\u00edm, tak\u017ee skon\u010den\u00ed krv\u00e1cen\u00ed a t\u00edm nastaven\u00ed t\u00e9 menopauzy nebo n\u011bjak\u00e9ho p\u0159\u00edznaku tady odpad\u00e1. Nicm\u00e9n\u011b ty p\u0159\u00edznaky, kter\u00e9 poslucha\u010dka uv\u00e1d\u00ed, jsou zcela jednozna\u010dn\u00e9 pro hormon\u00e1ln\u00ed deficit a daj\u00ed se samoz\u0159ejm\u011b tak\u00e9 \u0159e\u0161it, pokud to je obt\u011b\u017euj\u00edc\u00ed, t\u0159eba p\u0159i pohlavn\u00edm styku nebo obecn\u011b suchost, p\u00e1len\u00ed atd. v oblasti t\u011bch rodidel a pochvy, tak tam je na m\u00edst\u011b bu\u010f teda celkov\u00e1, anebo i lok\u00e1ln\u00ed estrogenn\u00ed l\u00e9\u010dba, kter\u00e1 ty pot\u00ed\u017ee odstran\u00ed.
Pavla Kindernayov\u00e1, moder\u00e1torka
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To mluv\u00edme o hormonech op\u011bt, jak dlouho trv\u00e1 takov\u00e1 hormon\u00e1ln\u00ed l\u00e9\u010dba?
Pavel Kopeck\u00fd
——————–
Ta l\u00e9\u010dba lok\u00e1ln\u00ed je dlouhodob\u00e1, ale pou\u017e\u00edvaj\u00ed se minim\u00e1ln\u00ed d\u00e1vky hormon\u016f, kter\u00e9 minim\u00e1ln\u011b p\u0159ech\u00e1z\u00ed do organismu, je opravdu p\u0159\u00edmo c\u00edlen\u00e1 na oblast pochvy a zevn\u00edch rodidel, tak\u017ee tam bych doporu\u010doval dlouhodob\u011b i n\u011bkolik let.
Pavla Kindernayov\u00e1, moder\u00e1torka
——————–
Ale ur\u010dit\u011b se zaznamenalo ve spole\u010dnosti diskuze, kdy se n\u011bkte\u0159\u00ed opravdu zuby nehty br\u00e1n\u00ed jak\u00fdmkoliv hormon\u016fm, kter\u00e9 jsou n\u00e1sledn\u011b vylu\u010dov\u00e1ny, tak\u017ee asi je to p\u0159\u00edpad od p\u0159\u00edpadu.
Pavel Kopeck\u00fd
——————–
Ano samoz\u0159ejm\u011b, mus\u00ed se nab\u00eddnout i jin\u00e9 \u0159e\u0161en\u00ed. Jin\u00fdm \u0159e\u0161en\u00edm je pou\u017e\u00edv\u00e1n\u00ed nehormon\u00e1ln\u00edch p\u0159\u00edpravk\u016f, kter\u00e9 jsou k dispozici na trhu, jakoby dopl\u0148ky t\u00e9 l\u00e9\u010dby, a to jsou r\u016fzn\u00e9 \u010d\u00edpky nebo r\u016fzn\u00e9 kr\u00e9my, kter\u00e9 obsahuj\u00ed v\u011bt\u0161inou kyselinu hyaluronovou. To je te\u010f takov\u00fd hit, ale ty jsou schopn\u00fd jenom \u010d\u00e1ste\u010dn\u011b ty probl\u00e9my odstranit, proto\u017ee p\u016fsob\u00ed pouze na tu sliznici sv\u00fdm lok\u00e1ln\u00edm efektem, ale nejdou do hloubky a ne\u0159e\u0161\u00ed ten probl\u00e9m toho hormon\u00e1ln\u00edho deficitu.
Pavla Kindernayov\u00e1, moder\u00e1torka
——————–
Tak\u017ee vy osobn\u011b byste \u017een\u00e1m doporu\u010dil, aby se nebr\u00e1nily hormon\u016fm, pokud jsou doporu\u010den\u00e9?
Pavel Kopeck\u00fd
——————–
Pokud jsou probl\u00e9my, tak hormony jsou naprosto v po\u0159\u00e1dku a nen\u00ed pot\u0159eba se jich b\u00e1t. Naopak mohou b\u00fdt velice protektivn\u00ed a mohou zlep\u0161it \u017eivot a v\u0161echno ostatn\u00ed, co s t\u00edm souvis\u00ed, tak\u017ee pokud ty probl\u00e9my jsou, tak hormony jsou naprosto v\u00a0po\u0159\u00e1dku. Samoz\u0159ejm\u011b, pokud ta \u017eena m\u00e1 p\u0159echod bezprobl\u00e9mov\u00fd, tak je zcela zbyte\u010dn\u00e9, d\u00e1vat hormony jenom kv\u016fli tomu, \u017ee je v p\u0159echodu.
Pavla Kindernayov\u00e1, moder\u00e1torka
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Pan\u00ed Petra p\u00ed\u0161e: padaj\u00ed mi vlasy, u\u017e m\u00e1m kouty. A k tomu za\u010daly r\u016fst chloupky na brad\u011b. D\u00e1 se to eliminovat?
Pavel Kopeck\u00fd
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Zase, to je jeden z t\u011bch p\u0159\u00edznak\u016f toho p\u0159echodu, tam bohu\u017eel ty estrogeny p\u016fsob\u00ed i na tzv. ko\u017en\u00ed adnexa, to jsou vlasy, chlupy atd. tak\u017ee i tady ten efekt m\u016f\u017ee b\u00fdt. Tak\u017ee zase bych doporu\u010doval nejd\u0159\u00edv prov\u00e9st hormon\u00e1ln\u00ed vy\u0161et\u0159en\u00ed. Tady v tomto p\u0159\u00edpad\u011b, pokud tam je teda i r\u016fst vous\u016f, tak i kompletn\u00ed hormon\u00e1ln\u00ed profil, proto\u017ee tam m\u016f\u017ee b\u00fdt i n\u011bjak\u00fd jin\u00fd probl\u00e9m. M\u016f\u017ee tam b\u00fdt vy\u0161\u0161\u00ed hladina androgenu, to jsou mu\u017esk\u00e9 pohlavn\u00ed hormony, kter\u00e9 se mohou za\u010d\u00edt zvy\u0161ovat z n\u011bjak\u00fdch d\u016fvod\u016f, t\u0159eba i z\u00e1va\u017en\u011bj\u0161\u00edch, tak\u017ee ur\u010dit\u011b hormon\u00e1ln\u00ed profil a podle toho zajistit dal\u0161\u00ed l\u00e9\u010dbu. Samoz\u0159ejm\u011b z\u00e1vis\u00ed na tom, v jak\u00e9m rozsahu je.
Pavla Kindernayov\u00e1, moder\u00e1torka
——————–
Je mi 79 rok\u016f. A zni\u010dehonic m\u011b za\u010dala bolet prsa. Co by to mohlo b\u00fdt?
Pavel Kopeck\u00fd
——————–
Tady v ka\u017ed\u00e9m p\u0159\u00edpad\u011b, pokud v klidov\u00e9 f\u00e1zi se n\u011bco d\u011bje, tak co nejd\u0159\u00edve nav\u0161t\u00edvit mamologick\u00e9 centrum, proto\u017ee to nen\u00ed v po\u0159\u00e1dku.
mluv\u010d\u00ed 2,
——————–
Dobr\u00fd den, m\u00e1m takovou prosbu, je mi jedna\u0161edes\u00e1t let, ve 30. Letech jsem m\u011bla takov\u00e9 probl\u00e9my, \u017ee jsem musela chodit furt na injekce, proto\u017ee jsem to dost\u00e1vala hrozn\u011b pozd\u011b a te\u010f jsem to m\u011bla je\u0161t\u011b 13. \u010dervence. A pr\u00e1v\u011b nikdy m\u011b nebolely prsa a te\u010f m\u011b pobol\u00edvaj\u00ed v\u017edycky, ka\u017ed\u00fd m\u011bs\u00edc, kdy\u017e to m\u00e1m dostat. K panu doktorovi chod\u00edm ka\u017ed\u00fd rok a m\u00e1m to v\u0161echno v po\u0159\u00e1dku.
Pavla Kindernayov\u00e1, moder\u00e1torka
——————–
Tak\u017ee v 61 letech je\u0161t\u011b pravideln\u00e1.
Pavel Kopeck\u00fd
——————–
V ka\u017ed\u00e9m p\u0159\u00edpad\u011b bolesti jsou, souvis\u00ed s hormon\u00e1ln\u00ed disbalanc\u00ed, tak\u017ee tady ur\u010dit\u011b n\u011bjak\u00fd probl\u00e9m v t\u011bch hormonech bude a v 61 letech pravideln\u00e9 krv\u00e1cen\u00ed nen\u00ed \u00fapln\u011b v po\u0159\u00e1dku. Tak\u017ee pokud teda poslucha\u010dka chod\u00ed na pravideln\u00e9 kontroly, je to v norm\u011b, ten n\u00e1lez se tam nem\u011bn\u00ed, tak bohu\u017eel asi m\u00e1 sm\u016flu tro\u0161ku. Takhle dlouho to funguje v\u0161echno, ale m\u016f\u017ee to i souviset s t\u00edm hormon\u00e1ln\u00edm stavem, s nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed.
Pavla Kindernayov\u00e1, moder\u00e1torka
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N\u011bkter\u00e9 \u017eeny to mo\u017en\u00e1 nevn\u00edmaj\u00ed jako sm\u016flu. Plodn\u00e1 \u017eena v jedena \u0161edes\u00e1ti Letech. Ot\u00e1zka na z\u00e1v\u011br, kter\u00e1 m\u011b, nechci \u0159\u00edct, pobavila, ale pr\u00e1v\u011b pan Ji\u0159\u00ed reaguje, man\u017eelka p\u0159i\u0161la do menopauzy a je stra\u0161n\u011b protivn\u00e1. Co s t\u00edm?
Pavel Kopeck\u00fd
——————–
No, tak samoz\u0159ejm\u011b je pot\u0159eba si o tom promluvit. Ten dotaz je, jako, jestli ta \u017eena nem\u00e1 n\u011bjak\u00e9 probl\u00e9my Pr\u00e1v\u011b v oblasti t\u00e9 menopauzy. Proto\u017ee opravdu to i rodina nebo okol\u00ed m\u016f\u017ee vn\u00edmat. A jist\u011b\u017ee je na m\u00edst\u011b se dohodnout, \u017ee nen\u00ed v\u0161echno v po\u0159\u00e1dku a poslat man\u017eelku na vy\u0161et\u0159en\u00ed a potom eventu\u00e1ln\u011b na n\u011bjakou l\u00e9\u010dbu.
Pavla Kindernayov\u00e1, moder\u00e1torka
——————–
Jestli bude cht\u00edt ale man\u017eelka.
Pavel Kopeck\u00fd
——————–
Jestli bude cht\u00edt, tak to z\u00e1vis\u00ed na tom, jak ji man\u017eel p\u0159esv\u011bd\u010d\u00ed.
Pavla Kindernayov\u00e1, moder\u00e1torka
——————–
Ono to nen\u00ed humorn\u00e9, samoz\u0159ejm\u011b, on pan Ji\u0159\u00ed, mysl\u00edm, \u017ee to psal tro\u0161i\u010dku s tou nads\u00e1zkou, ale je to ur\u010dit\u011b o t\u00e9 toleranci v tomto obdob\u00ed. Doktor, p\u0159ednosta gynekologicko porodnick\u00e9 kliniky Fakultn\u00ed nemocnice Hradec Kr\u00e1lov\u00e9 Pavel Kopeck\u00fd byl dne\u0161n\u00edm hostem r\u00e1dio poradny \u010cesk\u00e9ho rozhlasu Hradec Kr\u00e1lov\u00e9, d\u011bkujeme, \u017ee jste si na\u0161el \u010das na na\u0161e poslucha\u010de, za v\u0161echny rady, na shledanou.
<\/p>\n","protected":false},"excerpt":{"rendered":"
\u010cl\u00e1nek obsahuje p\u0159epis r\u00e1dioporadny, kde byl hostem MUDr. Pavel Kopeck\u00fd Ph.D. p\u0159ednosta gynekologicko-porodnick\u00e9 kliniky Fakultn\u00ed nemocnice Hradec Kr\u00e1lov\u00e9, kter\u00fd odpov\u00edd\u00e1 na dotazy poslucha\u010d\u016f nap\u0159. o […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14538,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-43629","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\/43629","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=43629"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43629\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14538"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43629"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43629"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43629"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}