{"id":50212,"date":"2024-08-13T05:17:32","date_gmt":"2024-08-13T03:17:32","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=50212"},"modified":"2024-08-13T05:17:33","modified_gmt":"2024-08-13T03:17:33","slug":"lekar-zena-ktera-ma-bolestivou-menstruaci-by-mela-byt-vysetrena","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=50212","title":{"rendered":"L\u00e9ka\u0159: \u017dena, kter\u00e1 m\u00e1 bolestivou menstruaci, by m\u011bla b\u00fdt vy\u0161et\u0159ena"},"content":{"rendered":"\n<p>\u010cRo<\/p>\n\n\n\n<p><br \/>Budeme te\u010f mluvit o endometri\u00f3ze. Ta sice nen\u00ed vid\u011bt, ale p\u0159esto tr\u00e1p\u00ed velk\u00e9 mno\u017estv\u00ed \u017een a d\u00edvek. Podle statistik postihuje ka\u017edou des\u00e1tou \u017eenu. Na jejich diagn\u00f3zu se te\u010f \u010dek\u00e1 v pr\u016fm\u011bru a\u017e sedm let a b\u00fdv\u00e1 \u010dastou p\u0159\u00ed\u010dinou neplodnosti.<br \/><br \/>V\u00edc u\u017e n\u00e1m k t\u00e9matu \u0159ekne l\u00e9ka\u0159 gynekologick\u00e9 kliniky Fakultn\u00ed nemocnice v Plzni Dr. Jan Humpl\u00edk. <br \/><br \/> Dr. Jan Humpl\u00edk<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Endometri\u00f3za je chronick\u00e9 onemocn\u011bn\u00ed, kter\u00e9 postihuje \u017eeny v reproduk\u010dn\u00edm v\u011bku, je charakterizov\u00e1no p\u0159\u00edtomnost\u00ed bun\u011bk v\u00fdstelky dutiny d\u011blo\u017en\u00ed mimo dutinu d\u011blo\u017en\u00ed, nej\u010dast\u011bji postihuje p\u00e1nev, ale m\u016f\u017eeme naj\u00edt lo\u017eiska i kdekoliv jinde po t\u011ble, jak je individu\u00e1ln\u00ed ka\u017ed\u00e1 \u017eena, tak je individu\u00e1ln\u00ed i ka\u017ed\u00e1 forma nebo vn\u00edm\u00e1n\u00ed ka\u017ed\u00e9 formy t\u00e9 endometri\u00f3zy, u ka\u017ed\u00e9 \u017eeny jsou \u017eeny, kter\u00e9 maj\u00ed rozs\u00e1hl\u00e9\u00a0<strong>posti\u017een\u00ed<\/strong>, mal\u00e9 p\u00e1nve jsou prakticky bez bolest\u00ed, m\u016f\u017eou norm\u00e1ln\u011b ot\u011bhotn\u011bt, maj\u00ed probl\u00e9my a pak jsou \u017eeny s minim\u00e1ln\u00edm n\u00e1lezem, kter\u00e9 jsou siln\u011b symptomatick\u00e9, to znamen\u00e1, maj\u00ed siln\u00e9 bolesti, maj\u00ed probl\u00e9my s ot\u011bhotn\u011bn\u00edm, m\u016f\u017eou m\u00edt i nepravideln\u00e9 krv\u00e1cen\u00ed.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Zm\u00ednil jste bolestivou menstruaci jako jeden z \u010dast\u00fdch projev\u016f endometri\u00f3zy, pokud tedy d\u00edvky a \u017eeny menstruace bol\u00ed, znamen\u00e1 to automaticky, \u017ee maj\u00ed endometri\u00f3zu.<br \/><br \/> Dr. Jan Humpl\u00edk<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ne, p\u0159\u00ed\u010din dysmenorey, to znamen\u00e1 bolestiv\u00e9 menstruace je cel\u00e1 \u0159ada, ale samoz\u0159ejm\u011b nej\u010dast\u011bj\u0161\u00ed a z hlediska budoucnosti nejv\u00edc, nejv\u00edc limituj\u00edc\u00ed pro tu \u017eenu je pr\u00e1v\u011b endometri\u00f3za, a proto ka\u017ed\u00e1 d\u00edvka nebo \u017eena, kter\u00e1 m\u00e1 bolestiv\u00e9 menstruace, by m\u011bla b\u00fdt vy\u0161et\u0159ena odborn\u00edkem.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jak endometri\u00f3za vznik\u00e1, zn\u00e1me dnes s jistotou p\u0159ijme p\u0159\u00ed\u010diny nemoci.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ne, po\u0159\u00e1d je endometri\u00f3za nemoc, u kter\u00e9 nezn\u00e1me etiopatogenezi, to znamen\u00e1 to, jak vznik\u00e1, pro\u010d vznik\u00e1 a co m\u016f\u017ee zp\u016fsobit jej\u00ed vznik. Jedinou v\u011bc, kterou v\u00edme, je to, \u017ee je to hormon\u00e1ln\u011b podm\u00edn\u011bn\u00e9 onemocn\u011bn\u00ed, to znamen\u00e1, pokud zas\u00e1hneme do hladin hormon\u016f u t\u00e9 dan\u00e9 pacientky s velkou m\u00edrou pravd\u011bpodobnosti, dok\u00e1\u017eeme ovlivnit i jej\u00ed symptomy i jej\u00ed p\u0159\u00edznaky.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Co m\u016f\u017ee endometri\u00f3za zp\u016fsobit a zhor\u0161uje se, kdy\u017e se nemoc nijak ne\u0159e\u0161\u00ed.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Endometri\u00f3za p\u0159edev\u0161\u00edm bol\u00ed, je to nemoc kvality \u017eivota. Samoz\u0159ejm\u011b u n\u011bkter\u00fdch specifick\u00fdch lokalizac\u00edch, to znamen\u00e1 p\u0159i v\u00fdskytu na n\u011bkter\u00fdch m\u00edstech v t\u011ble, m\u016f\u017ee zp\u016fsobit zdravotn\u00ed probl\u00e9m.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>D\u00e1 se endometri\u00f3za v\u016fbec l\u00e9\u010dit a vyl\u00e9\u010dit.<br \/><br \/> Dr. Jan Humpl\u00edk<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Vyl\u00e9\u010dit se ned\u00e1. A my dok\u00e1\u017eeme \u017een\u011b pomoc od p\u0159\u00edznak\u016f, to bu\u010f n\u011bjakou formou re\u017eimov\u00e9 nebo hormon\u00e1ln\u00ed terapie, m\u016f\u017eeme samoz\u0159ejm\u011b ten n\u00e1lez vyndat, ale endometri\u00f3za je zr\u00e1dn\u00e1 v tom, \u017ee i kdy\u017e vynd\u00e1me v\u0161echna lo\u017eiska, kter\u00e1 vid\u00edme, tak m\u016f\u017ee m\u00edt \u017eena v p\u00e1nvi mikroskopick\u00e1 lo\u017eiska, kter\u00e1 se z n\u011bjak\u00e9ho d\u016fvodu vzbud\u00ed a ta nemoc se vr\u00e1t\u00ed.<br \/><br \/>mluv\u010d\u00ed 5,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>V \u010cesk\u00e9 republice existuje n\u011bkolik odborn\u00fdch pracovi\u0161\u0165, kde se na endometri\u00f3zu vylo\u017een\u011b specializuj\u00ed, nen\u00ed jich zase tolik, ale zaj\u00edm\u00e1 m\u011b. Pat\u0159\u00ed tam i Fakultn\u00ed nemocnice Plze\u0148. Ur\u010dit\u011b ano. Odpov\u00edd\u00e1 p\u0159ednosta gynekologicko porodnick\u00e9 kliniky Fakultn\u00ed nemocnice Plze\u0148 doc. Ji\u0159\u00ed Presl.<br \/><br \/>mluv\u010d\u00ed 6,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Je zjevn\u00e9, \u017ee na\u0161e Fakultn\u00ed nemocnice disponuje skv\u011bl\u00fdm t\u00fdmem, kter\u00fd se dovede o pacientky s endometri\u00f3zou postarat. My jsme r\u00e1di, \u017ee jsme letos v kv\u011btnu roz\u0161\u00ed\u0159ili mapu center pro endometri\u00f3zu, kdy jsme z\u00edskali statut centra excelence, tedy nejvy\u0161\u0161\u00ed stupe\u0148 certifikace takov\u00e9ho centra a opravdu jsme tedy vlastn\u011b pro z\u00e1padn\u00ed \u010cechy jedin\u00e9 centrum, kter\u00e9 tuto p\u00e9\u010di poskytuje a jsme za to velice r\u00e1di.<br \/><br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cRo Budeme te\u010f mluvit o endometri\u00f3ze. Ta sice nen\u00ed vid\u011bt, ale p\u0159esto tr\u00e1p\u00ed velk\u00e9 mno\u017estv\u00ed \u017een a d\u00edvek. Podle statistik postihuje ka\u017edou des\u00e1tou \u017eenu. Na <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=50212\" title=\"L\u00e9ka\u0159: \u017dena, kter\u00e1 m\u00e1 bolestivou menstruaci, by m\u011bla b\u00fdt vy\u0161et\u0159ena\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":24131,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-50212","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\/50212","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=50212"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/50212\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/24131"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}