{"id":43795,"date":"2023-11-21T06:15:19","date_gmt":"2023-11-21T05:15:19","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=43795"},"modified":"2023-11-21T07:00:39","modified_gmt":"2023-11-21T06:00:39","slug":"mate-paleni-zahy-nechte-si-poradit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=43795","title":{"rendered":"Jak na p\u00e1len\u00ed \u017e\u00e1hy?"},"content":{"rendered":"\n

V hlavn\u00edm l\u00e9ka\u0159sk\u00e9m t\u00e9matu se \u010cT 1\u00a0v po\u0159adu Sama Doma\u00a0<\/strong>v\u011bnovala refluxn\u00ed chorob\u011b j\u00edcnu, kdy na dotazy poslucha\u010d\u016f odpov\u00eddala Dr. Kate\u0159ina Ko\u0161\u0165\u00e1lov\u00e1.

——————–
dotaz\u016f je velmi mnoho a zaj\u00edmaj\u00ed se zejm\u00e9na o to, jak se d\u00e1 ta refluxn\u00ed choroba j\u00edcnu l\u00e9\u010dit.
A to je p\u0159esn\u011b t\u00e9ma, kter\u00e9 m\u00e1me spolu prob\u00edrat, tak tedy jak pan\u00ed doktorko.

Dr. Kate\u0159ina Ko\u0161\u0165\u00e1lov\u00e1
——————–
Tak vlastn\u011b hlavn\u00edm pil\u00ed\u0159em l\u00e9\u010dby refluxn\u00ed choroby j\u00edcnu je konzervativn\u00ed l\u00e9\u010dba, to znamen\u00e1 pou\u010den\u00ed o spr\u00e1vn\u00fdch dietn\u00edch re\u017eimov\u00fdch opat\u0159en\u00edch, pot\u00e9 je vhodn\u00e9 tak\u00e9 pacient\u016fm p\u0159edepsat l\u00e9ky, \u0159\u00edk\u00e1 se jim inhibitory, protonov\u00e9 pumpy a tyto l\u00e9ky sni\u017euj\u00ed kyselost \u017ealude\u010dn\u00edch \u0161\u0165\u00e1v a t\u00edm p\u00e1dem ty \u0161\u0165\u00e1vy nejsou tolik kysel\u00e9 a tolik nedr\u00e1\u017ed\u00ed a tak\u00e9 dal\u0161\u00ed mo\u017en\u00e1 dopl\u0148kov\u00e1 l\u00e9\u010dba je takov\u00e1 speci\u00e1ln\u00ed fyzioterapie, br\u00e1ni\u010dn\u00ed d\u00fdch\u00e1n\u00ed, proto\u017ee v\u00edme, \u017ee j\u00edcen proch\u00e1z\u00ed br\u00e1nic\u00ed a pokud se dob\u0159e natr\u00e9nuje br\u00e1nice, proto\u017ee br\u00e1nice, hlavn\u00ed dechov\u00fd sval, m\u016f\u017ee sekund\u00e1rn\u011b pos\u00edlit i ten \u0161patn\u00fd doln\u00ed j\u00edcnov\u00fd sv\u011bra\u010d, tak\u017ee pokud je n\u011bkdo motivovan\u00fd a chce cvi\u010dit, tak ur\u010dit\u011b doporu\u010duj\u00ed fyzioterapii, cvi\u010den\u00ed br\u00e1nice.

moder\u00e1torka
——————–
Mohla byste, pros\u00edm, tro\u0161ku jenom nazna\u010dit, jak\u00fdm zp\u016fsobem to d\u00fdch\u00e1n\u00ed m\u00e1 vypadat?

mluv\u010d\u00ed 3,
——————–
No, ur\u010dit\u011b bych doporu\u010dila konzultovat u fyzioterapeuta, proto\u017ee ten toho pacienta spr\u00e1vn\u011b vy\u0161et\u0159\u00ed, ur\u010dit\u011b mu vy\u0161et\u0159\u00ed i spr\u00e1vn\u00fd postoj, jestli spr\u00e1vn\u011b stoj\u00ed, jestli nem\u00e1 n\u011bjak\u00fd jin\u00e9 poruchy postoje a pot\u00e9 doporu\u010d\u00ed takov\u00e9 speci\u00e1ln\u00ed d\u00fdch\u00e1n\u00ed jako do b\u0159icha, b\u0159i\u0161n\u00ed d\u00fdch\u00e1n\u00ed, tak\u017ee ur\u010dit\u011b doporu\u010duju fyzioterapeuta a podle toho pacient potom je instruov\u00e1n a potom si m\u016f\u017ee cvi\u010dit s\u00e1m doma podle sv\u00e9ho.

Barbora \u010cerno\u0161kov\u00e1, moder\u00e1torka
——————–
Promi\u0148te, ale p\u0159eru\u0161ila jsem v\u00e1s v toku my\u0161lenek, je\u0161t\u011b jste n\u011bco cht\u011bla dopnout.

mluv\u010d\u00ed 3,
——————–
J\u00e1 bych cht\u011bla je\u0161t\u011b zm\u00ednit i dietn\u00ed a re\u017eimov\u00e1 opat\u0159en\u00ed, proto\u017ee o tom jsem mluvila obecn\u011b, tak bych te\u010fka \u0159ekla tro\u0161ku konkr\u00e9tn\u011bji. Ur\u010dit\u011b v\u0161em pacient\u016fm doporu\u010duju, aby jedli pravideln\u011b, aby se na to j\u00eddlo soust\u0159edili, aby nevynech\u00e1vali t\u0159eba ob\u011bd, to se m\u016f\u017ee st\u00e1vat, \u017ee p\u0159ijdou dom\u016f, daj\u00ed si po\u0159\u00e1dnou ve\u010de\u0159i, po\u0159\u00e1dn\u011b se naj\u00ed, pak si jdou lehnout a potom maj\u00ed obt\u00ed\u017ee, tak\u017ee toto je to hlavn\u00ed – j\u00edst pravideln\u011b, sp\u00ed\u0161e v men\u0161\u00edch porc\u00edch v\u00edcekr\u00e1t denn\u011b, no a nej\u00edst takov\u00fd ty ostr\u00fd ko\u0159eniny. Pikantn\u00ed j\u00eddla, tu\u010dn\u00e1 j\u00eddla, p\u0159\u00edli\u0161 sladk\u00e1 j\u00eddla, pak samoz\u0159ejm\u011b, jak u\u017e jsem \u0159\u00edkala, alkohol, kou\u0159en\u00ed, to v\u0161ecko m\u016f\u017ee zhor\u0161ovat z t\u011bch j\u00eddel cibule, \u010desnek nap\u0159\u00edklad nebo papriky, raj\u010data, v\u0161ecko toto m\u016f\u017ee, pacient mus\u00ed db\u00e1t na to, aby to stravov\u00e1n\u00ed bylo pro n\u011bho p\u0159\u00edjemn\u00e9, v podstat\u011b, aby mu nevyvol\u00e1valo p\u0159\u00edznaky. No a pokud teda m\u00e1 pacient obt\u00ed\u017ee, tak je dobr\u00e9, kdy\u017e sp\u00ed s vyv\u00fd\u0161enou horn\u00ed polovinou t\u011bla, proto\u017ee velmi \u010dasto tr\u00e1p\u00ed tzv. no\u010dn\u00ed reflux. Pacienti jsou probouzeni ze sp\u00e1nku \u00fapornou p\u00e1len\u00edm \u017e\u00e1hy. A kdy\u017e se takhle zv\u00fd\u0161\u00ed, tak vlastn\u011b pom\u00e1h\u00e1 gravitace. P\u0159\u00edpadn\u011b nenosit p\u0159\u00edli\u0161 t\u011bsn\u00e9 oble\u010den\u00ed, kter\u00e9 tla\u010d\u00ed na \u017ealudek. Nepracovat dlouho v p\u0159edklonu nebo nezvedat t\u011b\u017ek\u00e1 b\u0159emena, to jsou dal\u0161\u00ed opat\u0159en\u00ed. A refluxu velmi napom\u00e1h\u00e1 stres, jak\u00fdkoliv p\u0159et\u00ed\u017een\u00ed fyzick\u00e9 nebo psychick\u00e9, tak ur\u010dit\u011b je velmi d\u016fle\u017eit\u00e9 se sna\u017eit n\u011bjak se zrelaxovat, zvolnit, m\u00edt dostatek sp\u00e1nku, dostatek odpo\u010dinku, proto\u017ee to stresov\u00e9 obdob\u00ed m\u016f\u017ee ty refuxn\u00ed obt\u00ed\u017ee zhor\u0161ovat tak\u00e9.

Barbora \u010cerno\u0161kov\u00e1, moder\u00e1torka
——————–
Vybavuju si jeden takov\u00fd moment u sv\u00e9ho pana doktora, kde jsme pr\u00e1v\u011b hovo\u0159ili o refluxu a \u0159\u00edkal, tak \u010desnek pry\u010d, b\u00edl\u00e9 v\u00edno pry\u010d a je to. J\u00e1 jsem se zhroutila.

mluv\u010d\u00ed 3,
——————–
Ale tohle jsou sam\u00e9 dobr\u00e9 v\u011bci. Tady v\u0161ichni r\u00e1di m\u011bn\u00edme.

Barbora \u010cerno\u0161kov\u00e1, moder\u00e1torka
——————–
Ano, o tom jindy, ale je to tak, \u017ee vlastn\u011b u ka\u017ed\u00e9ho toho \u010dlov\u011bka je tam m\u00edra jin\u00e1, \u017ee n\u011bkomu t\u0159eba vad\u00ed raj\u010data a n\u011bkomu ne a \u017ee je tam pot\u0159eba si to nastavit s\u00e1m.

mluv\u010d\u00ed 3,
——————–
Jo, ur\u010dit\u011b to tak je, ka\u017ed\u00fd jsme tro\u0161ku jedine\u010dn\u00ed, ka\u017ed\u00fd vn\u00edm\u00e1me a tolerujeme to j\u00eddlo tro\u0161ku jinak. J\u00e1 jsem mluvila tak sp\u00ed\u0161e obecn\u011b, ale je pravda, \u017ee n\u011bkomu papriky t\u0159eba v\u016fbec nevad\u00ed, ale n\u011bkomu t\u0159eba po paprik\u00e1ch je velmi \u0161patn\u011b, \u010dlov\u011bk s\u00e1m sebe zn\u00e1 nejl\u00e9pe a je pot\u0159eba vlastn\u011b si to s\u00e1m sob\u011b analyzovat, co d\u011bl\u00e1 dob\u0159e, co ned\u011bl\u00e1 dob\u0159e.

mluv\u010d\u00ed 1,
——————–
Jsou n\u011bjak\u00e9 novinky v t\u00e9 l\u00e9\u010db\u011b?

mluv\u010d\u00ed 3,
——————–
Ur\u010dit\u011b jsou novinky ve sv\u011bt\u011b, co u\u017e v podstat\u011b novinka \u00fapln\u011b nen\u00ed, jsou tzv. endoskopick\u00e9 metody l\u00e9\u010dby refluxn\u00ed choroby j\u00edcnu, a p\u0159\u00edpadn\u011b p\u0159i t\u011b\u017ek\u00fdch zn\u00e1mk\u00e1ch refluxu pak m\u016f\u017eeme pacienty poslat i na chirurgii, kde se m\u016f\u017ee ten reflux vy\u0159e\u0161it opera\u010dn\u00edm \u0159e\u0161en\u00edm, ale pak jsou pr\u00e1v\u011b ty endoskopick\u00e9 metody, kter\u00e9 m\u016f\u017eeme nab\u00eddnout pacient\u016fm, kte\u0159\u00ed je\u0161t\u011b tak z\u00e1va\u017en\u00fd reflux nemaj\u00ed. Ale po\u0159\u00e1dn\u011b jim u\u017e nezab\u00edr\u00e1 konzervativn\u00ed l\u00e9\u010dba. Ve sv\u011bt\u011b t\u011bch metod je mnoho, ale jako tak n\u011bjak Nejv\u00edce prostudovan\u00e1, nejv\u00edce pou\u017e\u00edvan\u00e1 metoda je tzv. stretta procedura, kdy zav\u00e1d\u00edme do j\u00edcnu speci\u00e1ln\u00ed katetr, kter\u00fdm aplikujeme p\u0159\u00edmo do oblasti toho sv\u011bra\u010de, kter\u00fd je pr\u00e1v\u011b povolen\u00fd u pacient\u016f s refluxem, tam aplikujeme radiofrekven\u010dn\u00ed energii a tato energie m\u00e1 za c\u00edl stimulovat r\u016fst bun\u011bk t\u00e9 hladk\u00e9 svaloviny. A p\u0159ibli\u017en\u011b po \u010dty\u0159ech m\u011bs\u00edc\u00edch od t\u00e9to procedury doch\u00e1z\u00ed k funk\u010dn\u00edmu zbytn\u011bn\u00ed, zpevn\u011bn\u00ed t\u011bch bun\u011bk hladk\u00e9 svaloviny a t\u00edm p\u00e1dem k zm\u00edrn\u011bn\u00ed t\u011bch refluxn\u00edch epizod.

Barbora \u010cerno\u0161kov\u00e1, moder\u00e1torka
——————–
Moc d\u011bkuju, pan\u00ed doktorko.


V rubrice dom\u00e1c\u00ed ekonomika se dnes zam\u011b\u0159\u00edme na aktu\u00e1ln\u00ed novinky, kter\u00e9 se t\u00fdkaj\u00ed rodi\u010dovsk\u00e9ho p\u0159\u00edsp\u011bvku. A mnoh\u00e9 pr\u00e1v\u011b o tom v\u00ed Kate\u0159ina Hovorkov\u00e1, ekonomick\u00e1 redakce, redaktorka, dobr\u00fd den. Kate\u0159ino, dobr\u00fd den, tak vl\u00e1da schv\u00e1lila n\u00e1vrh novely z\u00e1kona o st\u00e1tn\u00ed soci\u00e1ln\u00ed podpo\u0159e, kter\u00fd se t\u00fdk\u00e1 tak\u00e9 rodi\u010dovsk\u00e9ho p\u0159\u00edsp\u011bvku, ta novela by m\u011bla platit od za\u010d\u00e1tku p\u0159\u00ed\u0161t\u00edho roku, tak za\u010dneme t\u0159eba t\u00edm, jak se m\u011bn\u00ed v\u00fd\u0161e rodi\u010dovsk\u00e9ho p\u0159\u00edsp\u011bvku. Ano, je to tak.

mluv\u010d\u00ed 8,<\/p>\n","protected":false},"excerpt":{"rendered":"

V hlavn\u00edm l\u00e9ka\u0159sk\u00e9m t\u00e9matu se \u010cT 1\u00a0v po\u0159adu Sama Doma\u00a0v\u011bnovala refluxn\u00ed chorob\u011b j\u00edcnu, kdy na dotazy poslucha\u010d\u016f odpov\u00eddala Dr. Kate\u0159ina Ko\u0161\u0165\u00e1lov\u00e1. ——————–dotaz\u016f je velmi mnoho […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-43795","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\/43795","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=43795"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43795\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43795"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43795"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}