{"id":46239,"date":"2024-02-20T16:34:08","date_gmt":"2024-02-20T15:34:08","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=46239"},"modified":"2024-02-20T16:34:08","modified_gmt":"2024-02-20T15:34:08","slug":"pricinou-neplodnosti-muze-byt-i-netradicni-tvar-delohy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=46239","title":{"rendered":"P\u0159\u00ed\u010dinou neplodnosti m\u016f\u017ee b\u00fdt i netradi\u010dn\u00ed tvar d\u011blohy"},"content":{"rendered":"\n

Komplikuje po\u010det\u00ed i t\u011bhotenstv\u00ed<\/em><\/p>\n\n\n\n

Netradi\u010dn\u00ed tvar d\u011blohy m\u016f\u017ee b\u00fdt p\u0159\u00ed\u010dinou neplodnosti, samovoln\u00fdch potrat\u016f nebo komplikovan\u00e9ho po\u010det\u00ed. L\u00e9ka\u0159i upozor\u0148uj\u00ed, \u017ee na tento d\u016fvod neplodnosti se \u010dasto nemysl\u00ed a vy\u0161et\u0159en\u00ed, kter\u00e1 um\u00ed vady d\u011blohy odhalit, se opom\u00edj\u00ed. Jin\u00fd ne\u017e klasick\u00fd tvar d\u011blohy maj\u00ed podle specialist\u016f na reprodukci v\u00a0\u010cesku stovky \u017een.<\/strong><\/p>\n\n\n\n

\u201eD\u011bloha se skl\u00e1d\u00e1 z d\u011blo\u017en\u00edho hrdla a d\u011blo\u017en\u00edho t\u011bla a podob\u00e1 se hru\u0161ce. Pokud m\u00e1 tvar jin\u00fd, m\u016f\u017ee \u017een\u00e1m v\u00fdznamn\u011b zkomplikovat po\u010det\u00ed i t\u011bhotenstv\u00ed,\u201c <\/em>vysv\u011btluje MUDr. Jana Da\u0148kov\u00e1 Ku\u010derov\u00e1, gynekolo\u017eka z\u00a0ostravsk\u00e9 reproduk\u010dn\u00ed kliniky Reprofit. Velikost d\u011blo\u017en\u00edho t\u011bla a hrdla se b\u011bhem v\u011bku m\u011bn\u00ed, v d\u011btstv\u00ed je hrdlo velk\u00e9, dosp\u00edv\u00e1n\u00edm nar\u016fst\u00e1 d\u011blo\u017en\u00ed t\u011blo a ve st\u00e1\u0159\u00ed se hrdlo i t\u011blo zmen\u0161uj\u00ed. D\u011blo\u017en\u00ed dutina m\u00e1 tvar troj\u00faheln\u00edku. <\/p>\n\n\n\n

\u201eN\u011bkter\u00e9 \u017eeny maj\u00ed d\u011blo\u017en\u00ed dutinu velmi \u00fazkou, ve tvaru T. V\u00a0praxi jsem se dokonce setkala i s\u00a0\u0161\u00ed\u0159kou o velikosti pouh\u00e9ho br\u010dka. V\u00a0takov\u00e9m p\u0159\u00edpad\u011b \u010del\u00ed pacientky p\u0159i snaze po\u010d\u00edt d\u00edt\u011b vy\u0161\u0161\u00ed pravd\u011bpodobnosti komplikac\u00ed a tak\u00e9 riziku samovoln\u00e9ho potratu,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Jana Da\u0148kov\u00e1 Ku\u010derov\u00e1.<\/p>\n\n\n\n

Vady d\u011blohy jsou p\u0159\u00ed\u010dinou neplodnosti asi v 5 % p\u0159\u00edpad\u016f. Komplikace zp\u016fsobuj\u00ed bu\u010f myomy a\u00a0polypy \u2013 tedy \u00fatvary, kter\u00e9 se objev\u00ed na d\u011bloze v\u00a0pr\u016fb\u011bhu \u017eivota, nebo pr\u00e1v\u011b vrozen\u00e9 v\u00fdvojov\u00e9 vady d\u011blohy. Pacientky m\u016f\u017ee na probl\u00e9my s\u00a0d\u011blohou upozornit slab\u00e1 \u010di chyb\u011bj\u00edc\u00ed menstruace, v\u00a0\u0159ad\u011b p\u0159\u00edpad\u016f ale \u017eeny \u017e\u00e1dn\u00e9 pot\u00ed\u017ee nemaj\u00ed. O tom, \u017ee jejich d\u011bloha nen\u00ed v\u00a0po\u0159\u00e1dku, se tak dozv\u00ed a\u017e ve chv\u00edli, kdy se sna\u017e\u00ed ot\u011bhotn\u011bt. \u201ePokud se jim to del\u0161\u00ed dobu neda\u0159\u00ed nebo n\u011bkolikr\u00e1t potrat\u00ed, m\u011bly by se obr\u00e1tit na specialisty, kte\u0159\u00ed je vy\u0161et\u0159\u00ed a provedou ultrazvuk. Jestli\u017ee l\u00e9ka\u0159i pojmou podez\u0159en\u00ed na netradi\u010dn\u00ed tvar d\u011blohy, m\u011bli by pacientky poslat na dal\u0161\u00ed, podrobn\u011bj\u0161\u00ed vy\u0161et\u0159en\u00ed,\u201c<\/em> up\u0159es\u0148uje MUDr. Martina Novotn\u00e1, specialistka na asistovanou reprodukci z\u00a0brn\u011bnsk\u00e9 kliniky Reprofit.<\/p>\n\n\n\n

Ultrazvuk v\u0161ak nemus\u00ed uk\u00e1zat v\u0161e \u2013 jedn\u00e1 se toti\u017e jen o zobrazovac\u00ed metodu, kter\u00e1 m\u00e1 sv\u00e9 limity. \u201eP\u0159i klasick\u00e9m 2D zobrazen\u00ed nemus\u00ed b\u00fdt vady d\u011blohy patrn\u00e9. Odhalit je um\u00ed a\u017e 3D\u00a0ultrazvuk nebo speci\u00e1ln\u00ed vy\u0161et\u0159en\u00ed d\u011blohy, tzv. hysteroskopie. V sou\u010dasn\u00e9 dob\u011b se ale tato vy\u0161et\u0159en\u00ed m\u00edrn\u011b opom\u00edj\u00ed,\u201c <\/em>dod\u00e1v\u00e1 MUDr. Jana Da\u0148kov\u00e1 Ku\u010derov\u00e1.<\/p>\n\n\n\n

P\u0159i hysteroskopii l\u00e9ka\u0159i d\u011blohu prohl\u00e9dnou a zjist\u00ed, jestli je tvar v\u00a0po\u0159\u00e1dku. Odebrat z\u00a0n\u00ed mohou tak\u00e9 vzorky tk\u00e1n\u011b k dal\u0161\u00edmu prozkoum\u00e1n\u00ed. Podle odborn\u00edk\u016f je v\u0161ak tento z\u00e1krok u\u017e m\u00edrn\u011b invazivn\u00ed, a pr\u00e1v\u011b z\u00a0toho d\u016fvodu se \u010dasto odkl\u00e1d\u00e1. \u201eV ambulantn\u00edm re\u017eimu se p\u0159itom hysteroskopie prov\u00e1d\u00ed v \u0159\u00e1du minut. Je to \u0161etrn\u00fd a bezbolestn\u00fd z\u00e1krok bez usp\u00e1n\u00ed, tak\u017ee z\u00a0n\u011bj pacientky nemus\u00ed m\u00edt \u017e\u00e1dn\u00e9 obavy,\u201c <\/em>vysv\u011btluje MUDr. Da\u0148kov\u00e1 Ku\u010derov\u00e1. <\/p>\n\n\n\n

V\u00a0p\u0159\u00edpad\u011b, \u017ee hysteroskopie abnormality d\u011blohy odhal\u00ed, zkonzultuj\u00ed specialist\u00e9 s\u00a0pacientkou dal\u0161\u00ed l\u00e9\u010debn\u00fd postup. \u201e\u017den\u00e1m m\u016f\u017ee pomoci operace. Ta je ale krajn\u00edm \u0159e\u0161en\u00edm a p\u0159istupuje se k\u00a0n\u00ed a\u017e v\u00a0moment\u011b, kdy l\u00e9ka\u0159i vylou\u010d\u00ed v\u0161echny ostatn\u00ed mo\u017en\u00e9 p\u0159\u00ed\u010diny neplodnosti. Celosv\u011btov\u011b v\u0161ak takov\u00fdch operac\u00ed p\u0159ib\u00fdv\u00e1,\u201c<\/em> uzav\u00edr\u00e1 MUDr.\u00a0Martina Novotn\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"

Komplikuje po\u010det\u00ed i t\u011bhotenstv\u00ed Netradi\u010dn\u00ed tvar d\u011blohy m\u016f\u017ee b\u00fdt p\u0159\u00ed\u010dinou neplodnosti, samovoln\u00fdch potrat\u016f nebo komplikovan\u00e9ho po\u010det\u00ed. L\u00e9ka\u0159i upozor\u0148uj\u00ed, \u017ee na tento d\u016fvod neplodnosti se \u010dasto […]<\/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-46239","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\/46239","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=46239"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/46239\/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=46239"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=46239"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=46239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}