{"id":44945,"date":"2024-01-09T12:29:08","date_gmt":"2024-01-09T11:29:08","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=44945"},"modified":"2024-01-09T12:29:13","modified_gmt":"2024-01-09T11:29:13","slug":"na-co-si-dat-pozor-pri-vyberu-reprodukcni-kliniky","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=44945","title":{"rendered":"Na co si d\u00e1t pozor p\u0159i v\u00fdb\u011bru reproduk\u010dn\u00ed kliniky?"},"content":{"rendered":"\n<p><strong>\u00a0Probl\u00e9my s\u00a0neplodnost\u00ed tr\u00e1p\u00ed v\u00a0\u010cesku t\u00e9m\u011b\u0159 p\u011btinu p\u00e1r\u016f. D\u016fvodem jsou nejenom zdravotn\u00ed komplikace, ale i rostouc\u00ed v\u011bk \u017een. Pomoc v\u00a0podob\u011b asistovan\u00e9 reprodukce nab\u00edz\u00ed v\u00a0tuzemsku des\u00edtky klinik, v\u011bt\u0161ina p\u00e1r\u016f se ale jen t\u011b\u017eko orientuje v\u00a0tom, kterou z\u00a0nich si vybrat. Jak by m\u011bla p\u00e9\u010de na klinice spr\u00e1vn\u011b vypadat, na co maj\u00ed p\u00e1ry n\u00e1rok a co by je naopak m\u011blo varovat, rad\u00ed MUDr. \u0160t\u011bp\u00e1n Macha\u010d, Ph.D., <\/strong><strong>p\u0159edseda Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti \u010cLS JEP<\/strong> <strong>a z\u00e1rove\u0148 vedouc\u00ed l\u00e9ka\u0159 IVF Clinic v\u00a0Olomouci. A\u00a0tak\u00e9 MUDr. Pavel Otev\u0159el, vedouc\u00ed l\u00e9ka\u0159 Reprofitu a v\u011bdeck\u00fd sekret\u00e1\u0159 <\/strong><strong>Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti \u010cLS JEP.<\/strong><\/p>\n\n\n\n<p><strong>Napov\u00ed po\u010dty pacient\u016f i recenze<\/strong><\/p>\n\n\n\n<p>\u0158ada reproduk\u010dn\u00edch klinik m\u00e1 sice v\u00fdbornou marketingovou kampa\u0148 a informace nab\u00edz\u00ed na modern\u00edch webov\u00fdch str\u00e1nk\u00e1ch, o jejich kvalit\u011b to ale vypov\u00eddat nemus\u00ed. <em>\u201e\u00dasp\u011b\u0161nost kliniky se neposuzuje lehce. D\u016fle\u017eit\u00fdm ukazatelem je po\u010det l\u00e9\u010den\u00fdch pacient\u016f a po\u010det narozen\u00fdch d\u011bt\u00ed \u2013 \u010d\u00edm jich je v\u00edc, t\u00edm v\u00edce dobr\u00fdch specialist\u016f tam pracuje, a klinika m\u00e1 pak lep\u0161\u00ed v\u00fdsledky,\u201c<\/em> \u0159\u00edk\u00e1 MUDr.&nbsp;\u0160t\u011bp\u00e1n Macha\u010d, Ph.D. \u017den\u00e1m, kter\u00e9 teprve do procesu vstupuj\u00ed, pomohou p\u0159i v\u00fdb\u011bru kliniky i recenze ostatn\u00edch pacientek, kter\u00e9 najdou na webu \u010di soci\u00e1ln\u00edch s\u00edt\u00edch. Poradit jim um\u00ed tak\u00e9 jejich gynekologov\u00e9 \u2013 pr\u00e1v\u011b k&nbsp;nim se toti\u017e z&nbsp;reproduk\u010dn\u00edch klinik t\u011bhotn\u00e9 pacientky vrac\u00ed. <em>\u201eGynekologov\u00e9 v\u00ed, z&nbsp;jak\u00fdch za\u0159\u00edzen\u00ed si jejich pacientky odnesly dobrou zku\u0161enost, komu d\u016fv\u011b\u0159ovaly. Ostatn\u00edm \u017een\u00e1m tak mohou poskytnout u\u017eite\u010dn\u00e9 reference,\u201c <\/em>dopl\u0148uje MUDr. Pavel Otev\u0159el.<\/p>\n\n\n\n<p><strong>D\u016fle\u017eit\u00e1 je osobn\u00ed konzultace<\/strong><\/p>\n\n\n\n<p>P\u00e1r\u016fm, kter\u00e9 v\u00e1haj\u00ed s v\u00fdb\u011brem reproduk\u010dn\u00ed kliniky, hodn\u011b napov\u00ed osobn\u00ed n\u00e1v\u0161t\u011bva a pohovor se specialisty p\u0159\u00edmo na m\u00edst\u011b \u2013 \u00favodn\u00ed konzultace je nav\u00edc v\u011bt\u0161inou zdarma. <em>\u201eRozhodn\u011b bych se sna\u017eil vyvarovat klinik, kter\u00e9 p\u00e1r\u016fm nab\u00edz\u00ed cen\u00edky a r\u016fzn\u00e9 bal\u00ed\u010dky je\u0161t\u011b p\u0159edt\u00edm, ne\u017e z\u00e1jemce vyzpov\u00eddaj\u00ed. P\u00e1ry by m\u011bly zdravotnick\u00e1 za\u0159\u00edzen\u00ed v\u017edy osobn\u011b nav\u0161t\u00edvit, s&nbsp;l\u00e9ka\u0159i probrat sv\u00e9 probl\u00e9my a pobavit se o mo\u017en\u00fdch zp\u016fsobech \u0159e\u0161en\u00ed,\u201c <\/em>vysv\u011btluje MUDr. Otev\u0159el. Teprve po vy\u0161et\u0159en\u00edch, kter\u00e1 n\u00e1sleduj\u00ed, pak odborn\u00edci na klinice zvol\u00ed ide\u00e1ln\u00ed postup l\u00e9\u010dby, sezn\u00e1m\u00ed s&nbsp;n\u00edm pacienty a nab\u00eddnou konkr\u00e9tn\u00ed slu\u017eby.<\/p>\n\n\n\n<p><strong>Pozor na placen\u00ed zbyte\u010dn\u00fdch vy\u0161et\u0159en\u00ed<\/strong><\/p>\n\n\n\n<p>Vstupn\u00ed vy\u0161et\u0159en\u00ed na klinik\u00e1ch, krom\u011b n\u011bkter\u00fdch specializovan\u00fdch, pln\u011b hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovny. Jejich rozsah posuzuje o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159. <em>\u201ePokud kliniky nab\u00eddnou v\u0161echna vy\u0161et\u0159en\u00ed v\u0161em pacient\u016fm, nap\u0159\u00edklad genetiku, imunologii \u010di hysteroskopii, nemus\u00ed k&nbsp;tomu v\u00e9st jednozna\u010dn\u00e9 zdravotn\u00ed d\u016fvody a nezn\u00ed to moc d\u016fv\u011bryhodn\u011b,\u201c<\/em> zd\u016fraz\u0148uje MUDr. Otev\u0159el. Prim\u00e1rn\u011b by se m\u011bli l\u00e9ka\u0159i soust\u0159edit na ur\u010den\u00ed spr\u00e1vn\u00e9 diagn\u00f3zy a neprov\u00e1d\u011bt nav\u00edc specializovan\u00e1 vy\u0161et\u0159en\u00ed, za kter\u00e1 mus\u00ed pacienti dopl\u00e1cet<em>. \u201eCo se t\u00fdk\u00e1 l\u00e9\u010dby, \u017eeny do 40 let maj\u00ed \u010dty\u0159i cykly um\u011bl\u00e9ho oplodn\u011bn\u00ed (IVF) hrazeny z&nbsp;v\u011bt\u0161\u00ed \u010d\u00e1sti ze zdravotn\u00edho poji\u0161t\u011bn\u00ed,\u201c<\/em> dopl\u0148uje MUDr. Macha\u010d v\u00fd\u010det toho, na co maj\u00ed pacientky n\u00e1rok.<\/p>\n\n\n\n<p><strong>N\u011bkter\u00e9 metody jsou slepou cestou<\/strong><\/p>\n\n\n\n<p>Jakmile specialist\u00e9 vyberou konkr\u00e9tn\u00ed metodu l\u00e9\u010dby neplodnosti, m\u011bli by s&nbsp;n\u00ed v\u017edy pacienty podrobn\u011b sezn\u00e1mit. <em>\u201eV oblasti asistovan\u00e9 reprodukce se setk\u00e1v\u00e1me i se&nbsp;spoustou komer\u010dn\u00edch firem. Klinik\u00e1m nab\u00edz\u00ed r\u016fzn\u00e9 vitam\u00edny, prepar\u00e1ty \u010di technologie, kter\u00e9 maj\u00ed teoreticky zv\u00fd\u0161it \u0161anci na ot\u011bhotn\u011bn\u00ed \u2013 \u0159ada z&nbsp;nich je ale slepou cestou. Proto by m\u011bli l\u00e9ka\u0159i nab\u00edzet jen takov\u00e9 metody, u&nbsp;nich\u017e um\u00ed vysv\u011btlit, v&nbsp;\u010dem spo\u010d\u00edv\u00e1 jejich p\u0159\u00ednos,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Macha\u010d. Nejenom pacient\u016fm, ale i&nbsp;l\u00e9ka\u0159\u016fm podle n\u011bj m\u016f\u017ee napov\u011bd\u011bt \u201e<a href=\"https:\/\/www.hfea.gov.uk\/treatments\/treatment-add-ons\/\">semafor<\/a>\u201c, kter\u00fd zpracovala anglick\u00e1 asociace reguluj\u00edc\u00ed l\u00e9\u010dbu neplodnosti (HFEA). <em>\u201eMetody, kter\u00e9 pom\u00e1haj\u00ed v\u0161em a jsou v\u011bdecky ov\u011b\u0159en\u00e9, maj\u00ed zelenou barvu. Oran\u017eov\u00e1 barva zna\u010d\u00ed, \u017ee je metoda vhodn\u00e1 jenom pro ur\u010dit\u00e9 pacienty. S&nbsp;otazn\u00edkem nebo \u010derven\u011b jsou ozna\u010deny metody, jejich\u017e \u00fa\u010dinek je sporn\u00fd,\u201c <\/em>dod\u00e1v\u00e1 MUDr. Macha\u010d.<\/p>\n\n\n\n<p><strong>\u00dasp\u011b\u0161nost asistovan\u00e9 reprodukce nen\u00ed stoprocentn\u00ed<\/strong><\/p>\n\n\n\n<p>Oborn\u00edci na asistovanou reprodukci by m\u011bli pacienty v\u017edy upozornit na to, \u017ee ani modern\u00ed medic\u00edna nedok\u00e1\u017ee z\u00e1zraky a neum\u00ed zv\u00fd\u0161it kvalitu pohlavn\u00edch bun\u011bk. \u00dasp\u011b\u0161nost asistovan\u00e9 reprodukce proto nikdy nem\u016f\u017ee b\u00fdt stoprocentn\u00ed<em>. \u201ePokud k&nbsp;n\u00e1m p\u0159ijdou dva nemocn\u00ed lid\u00e9 a my spoj\u00edme jejich spermie a vaj\u00ed\u010dka, nikdy \u201aneud\u011bl\u00e1me\u2018 lep\u0161\u00ed embryo ne\u017e to, kter\u00e9 by vzniklo p\u0159irozenou cestou. To je velmi naivn\u00ed p\u0159edstava. Pohlavn\u00ed bu\u0148ky dok\u00e1\u017eeme vyb\u00edrat a spojovat, ale neum\u00edme zvy\u0161ovat jejich kvalitu,\u201c<\/em> vysv\u011btluje MUDr. Macha\u010d. Pokud jsou ale d\u00e1rci vaj\u00ed\u010dek i spermi\u00ed zdrav\u00ed a \u017eeny nejsou v&nbsp;pokro\u010dil\u00e9m v\u011bku, dosahuje podle n\u011bj v&nbsp;tuzemsku asistovan\u00e1 reprodukce v\u00fdborn\u00fdch v\u00fdsledk\u016f.<\/p>\n\n\n\n<p><strong>Kvalitn\u00ed klinika funguje 24 hodin denn\u011b 7 dn\u00ed v t\u00fddnu<\/strong><\/p>\n\n\n\n<p>P\u0159i v\u00fdb\u011bru reproduk\u010dn\u00ed kliniky by si m\u011bly p\u00e1ry zjistit, jestli se v&nbsp;n\u00ed mohou v&nbsp;p\u0159\u00edpad\u011b urgentn\u00edch probl\u00e9m\u016f obr\u00e1tit na specialisty 24 hodin denn\u011b 7 dn\u00ed v t\u00fddnu. <em>\u201eKa\u017ed\u00e1 kvalitn\u00ed klinika by m\u011bla m\u00edt pro pacienty k&nbsp;dispozici horkou linku, kter\u00e1 funguje nep\u0159etr\u017eit\u011b. Pokud maj\u00ed pacientky bolesti nebo nap\u0159\u00edklad krv\u00e1c\u00ed, je velmi d\u016fle\u017eit\u00e9, aby sv\u00e9 pot\u00ed\u017ee ihned konzultovaly s&nbsp;odborn\u00edky,\u201c<\/em> \u0159\u00edk\u00e1 MUDr.&nbsp;Macha\u010d. D\u016fle\u017eit\u00fdm krit\u00e9riem v\u00fdb\u011bru kliniky je tak\u00e9 mo\u017enost absolvovat pl\u00e1novan\u00fd l\u00e9\u010debn\u00fd z\u00e1krok kter\u00fdkoli den v&nbsp;t\u00fddnu. Kliniky by m\u011bly poskytovat i dal\u0161\u00ed slu\u017eby. <em>\u201eV&nbsp;p\u0159\u00edpad\u011b pot\u0159eby by m\u011bly zajistit nap\u0159\u00edklad genetick\u00e9 nebo urologick\u00e9 vy\u0161et\u0159en\u00ed. D\u016fle\u017eit\u00e1 je i spolupr\u00e1ce s&nbsp;ostatn\u00edmi specialisty, a\u0165 u\u017e se jedn\u00e1 o centra pro l\u00e9\u010dbu endometri\u00f3zy, nebo o psychology,\u201c<\/em> uzav\u00edr\u00e1 MUDr.&nbsp;Otev\u0159el.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u00a0Probl\u00e9my s\u00a0neplodnost\u00ed tr\u00e1p\u00ed v\u00a0\u010cesku t\u00e9m\u011b\u0159 p\u011btinu p\u00e1r\u016f. D\u016fvodem jsou nejenom zdravotn\u00ed komplikace, ale i rostouc\u00ed v\u011bk \u017een. Pomoc v\u00a0podob\u011b asistovan\u00e9 reprodukce nab\u00edz\u00ed v\u00a0tuzemsku des\u00edtky klinik, <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=44945\" title=\"Na co si d\u00e1t pozor p\u0159i v\u00fdb\u011bru reproduk\u010dn\u00ed kliniky?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":38629,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-44945","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\/44945","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=44945"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/44945\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/38629"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=44945"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=44945"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=44945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}