{"id":51708,"date":"2024-09-02T22:25:24","date_gmt":"2024-09-02T20:25:24","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=51708"},"modified":"2024-09-02T22:25:25","modified_gmt":"2024-09-02T20:25:25","slug":"ceska-populace-vymira-umele-oplodneni-brzdi-pad","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=51708","title":{"rendered":"\u010cesk\u00e1 populace vym\u00edr\u00e1 \u2013 um\u011bl\u00e9 oplodn\u011bn\u00ed brzd\u00ed p\u00e1d"},"content":{"rendered":"\n

K odkl\u00e1d\u00e1n\u00ed po\u010det\u00ed d\u00edt\u011bte do pozd\u011bj\u0161\u00edho v\u011bku vede \u017eeny i \u010dek\u00e1n\u00ed na \u201etoho prav\u00e9ho\u201c<\/em><\/p>\n\n\n\n

Praha, 2. z\u00e1\u0159\u00ed 2024 \u2013 Dnes m\u00ed\u0159\u00ed do lavic prvn\u00edch t\u0159\u00edd p\u0159es 100 000 d\u011bt\u00ed. P\u0159esto\u017ee zn\u00ed \u010d\u00edslo \u00factyhodn\u011b, ka\u017ed\u00fd rok mno\u017estv\u00ed prv\u0148\u00e1\u010dk\u016f nel\u00edtostn\u011b kles\u00e1. Stejn\u011b jako po\u010det d\u011bt\u00ed, kter\u00e9 se v \u010cesku rod\u00ed. Zat\u00edmco \u010desk\u00e9 porodnice v\u00edtaj\u00ed m\u00e9n\u011b budouc\u00edch maminek, na kliniky reproduk\u010dn\u00ed medic\u00edny se obrac\u00ed st\u00e1le v\u00edce t\u011bch, kte\u0159\u00ed po miminku tou\u017e\u00ed. A jsou \u010d\u00edm d\u00e1l star\u0161\u00ed \u2013 ve v\u011bku, kdy po\u010det\u00ed d\u00edt\u011bte mnohdy br\u00e1n\u00ed biologick\u00e9 faktory, zejm\u00e9na v\u011bk a s t\u00edm spojen\u00e9 zdravotn\u00ed komplikace. Nej\u010dast\u011bj\u0161\u00edm d\u016fvodem pozdn\u00edch p\u0159\u00edchod\u016f jsou dle reproduk\u010dn\u00edch specialist\u016f partnersk\u00e9 vztahy. \u010cek\u00e1n\u00ed na \u201etoho prav\u00e9ho\u201c \u2013 vhodn\u00e9ho otce d\u00edt\u011bte \u2013 se protahuje za biologickou hranici, kdy m\u016f\u017ee \u017eena po\u010d\u00edt snadno a p\u0159irozen\u011b.<\/strong><\/p>\n\n\n\n

\u201eTolik prop\u00edran\u00e1 kari\u00e9ra nestoj\u00ed v cest\u011b za potomkem zdaleka tak jako \u010dek\u00e1n\u00ed na \u201aspr\u00e1vn\u00e9ho\u2018 partnera. \u017dena \u010dasto str\u00e1v\u00ed s mu\u017eem n\u011bkolik let, ne\u017e nazn\u00e1, \u017ee nen\u00ed vhodn\u00fdm otcem jejich potenci\u00e1ln\u00edho potomka. Nebo se partne\u0159i rozejdou z jin\u00fdch d\u016fvod\u016f. Ne\u017e se znovu sezn\u00e1m\u00ed a zjist\u00ed, zda je nov\u00fd vztah pro zalo\u017een\u00ed rodiny vhodn\u00fd, m\u016f\u017ee uplynout \u0159ada \u2013 bohu\u017eel plodn\u00fdch \u2013 let<\/em>,\u201c vysv\u011btluje MUDr. \u0160t\u011bp\u00e1n Macha\u010d, Ph.D., p\u0159edseda v\u00fdboru Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti \u010cLS JEP.<\/p>\n\n\n\n

Loni p\u0159i\u0161lo jen do nejv\u011bt\u0161\u00ed \u010desk\u00e9 kliniky Reprofit pro pomoc tis\u00edce p\u00e1r\u016f \u2013 v desetilet\u00e9m srovn\u00e1n\u00ed je to o 93,8 % v\u00edce. Zv\u00fd\u0161il se i v\u011bk nov\u011b p\u0159\u00edchoz\u00edch. \u201eP\u0159ed 15 lety to bylo 29\u201330 let, nyn\u00ed se pohybujeme za hranic\u00ed 36 let. Po 35. roku p\u0159itom za\u010d\u00edn\u00e1 plodnost \u017eeny rychle klesat. Do 30 let v\u011bku \u017eeny se v pr\u016fm\u011bru uchyt\u00ed ka\u017ed\u00e9 druh\u00e9 embryo. Od 40. roku se \u0161ance na t\u011bhotenstv\u00ed v\u00fdrazn\u011b sni\u017euje, asi na 10 %, a od 45. roku je to pak jen 1 %. P\u0159esto\u017ee medic\u00edna pokro\u010dila a \u0159ad\u011b p\u00e1r\u016f um\u00edme pomoci, nestihnou m\u00edt tolik d\u011bt\u00ed, kolik by si p\u0159\u00e1ly. Um\u011bl\u00e9 oplodn\u011bn\u00ed tak popula\u010dn\u00ed k\u0159ivku z\u00e1sadn\u00edm zp\u016fsobem nezvr\u00e1t\u00ed, jen ji zpomal\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Pavel Otev\u0159el, vedouc\u00ed l\u00e9ka\u0159 Reprofitu a v\u011bdeck\u00fd sekret\u00e1\u0159 v\u00fdboru Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti \u010cLS JEP.\u017dena m\u016f\u017ee v \u010cesku podstoupit um\u011bl\u00e9 oplodn\u011bn\u00ed nejpozd\u011bji ve 49 letech, do 40 let hrad\u00ed a\u017e \u010dty\u0159i cykly zdravotn\u00ed poji\u0161\u0165ovny.<\/p>\n\n\n\n

Ned\u00e1vn\u00e1 data z \u010cesk\u00e9ho statistick\u00e9ho \u00fa\u0159adu (\u010cS\u00da) uk\u00e1zala, \u017ee se v prvn\u00edm \u010dtvrtlet\u00ed leto\u0161n\u00edho roku v tuzemsku narodilo 20,3 tis\u00edce d\u011bt\u00ed. \u201ePokud bude trend pokra\u010dovat, znamen\u00e1 to, \u017ee letos p\u0159iv\u00edt\u00e1 \u010cR jen n\u011bco m\u00e1lo p\u0159es 80 000 novorozenc\u016f. Pro srovn\u00e1n\u00ed, v roce 2022 to bylo 101,3 tis\u00edce d\u011bt\u00ed a v roce 2023 p\u0159ibli\u017en\u011b 91 000 novorozenc\u016f \u2013 nejslab\u0161\u00ed \u010d\u00edslo za posledn\u00edch 22 let,\u201c<\/em> \u0159\u00edk\u00e1 expert na neplodnost MUDr. Macha\u010d.<\/p>\n\n\n\n

Na trend reaguj\u00ed \u010desk\u00e9 kliniky reproduk\u010dn\u00ed medic\u00edny \u2013 krom\u011b pokro\u010dil\u00fdch medic\u00ednsk\u00fdch metod se sna\u017e\u00ed neplodn\u00fdm p\u00e1r\u016fm pomoci nap\u0159\u00edklad poradenstv\u00edm. Nap\u0159\u00edklad klinika Reprofit v z\u00e1\u0159\u00ed otev\u00edr\u00e1 v Brn\u011b centrum \u017eensk\u00e9ho zdrav\u00ed. \u201eKrom\u011b jednodenn\u00ed operativy a l\u00e9\u010dby chronick\u00fdch z\u00e1n\u011bt\u016f u \u017een rad\u00edme mlad\u00fdm lidem, na co si d\u00e1t p\u0159i cest\u011b za potomkem pozor. V ordinac\u00edch toti\u017e zji\u0161\u0165ujeme, \u017ee pov\u011bdom\u00ed o lidsk\u00e9m t\u011ble je u \u010desk\u00e9 populace st\u00e1le miziv\u00e9. V centru jsme schopni zm\u011b\u0159it hladiny hormon\u016f, mu\u017e\u016fm vy\u0161et\u0159it spermiogram a zjistit, jak na tom lid\u00e9 s plodnost\u00ed v dan\u00e9m okam\u017eiku jsou,\u201c <\/em>vysv\u011btluje MUDr. Otev\u0159el.<\/p>\n\n\n\n

V r\u00e1mci centra \u017eensk\u00e9ho zdrav\u00ed spustil Reprofit \u2013 jako prvn\u00ed klinika v \u010cR \u2013 program s n\u00e1zvem Podpora na cest\u011b za miminkem. \u201e<\/em>Za\u010dali jsme s podp\u016frnou pacientskou skupinou na WhatsAppu<\/em>,\u201c<\/em> vzpom\u00edn\u00e1 gynekolo\u017eka a fertility kou\u010dka Dr. Maria Khutorskaya. \u201ePostupn\u011b se slu\u017eba rozrostla do emo\u010dn\u00ed, psychick\u00e9 a l\u00e9ka\u0159sk\u00e9 podpory \u017een, kter\u00e9 usiluj\u00ed o d\u00edt\u011b.\u201c<\/em> Jak l\u00e9ka\u0159ka d\u00e1le uv\u00e1d\u00ed, dle nejnov\u011bj\u0161\u00edch dat prezentovan\u00fdch na kongresu Evropsk\u00e9 spole\u010dnosti pro lidskou reprodukci a embryologii a\u017e 30 % p\u00e1r\u016f ukon\u010duje p\u0159ed\u010dasn\u011b l\u00e9\u010dbu na klinik\u00e1ch um\u011bl\u00e9ho oplodn\u011bn\u00ed kv\u016fli vysok\u00e9 emo\u010dn\u00ed z\u00e1t\u011b\u017ei. \u201eTito lid\u00e9 by m\u011bli \u0161anci d\u00edt\u011b m\u00edt, kdyby vydr\u017eeli. Na\u0161\u00edm c\u00edlem je tak pomoci v\u0161em, kte\u0159\u00ed proces um\u011bl\u00e9ho oplodn\u011bn\u00ed podstupuj\u00ed, aby neztr\u00e1celi nad\u011bji a motivaci,\u201c<\/em> pokra\u010duje Dr. Khutorskaya. Pacientk\u00e1m zdarma nab\u00edz\u00ed v re\u017eimu 24\/7 odpov\u011bdi na v\u0161e, co se jejich zdravotn\u00edho stavu t\u00fd\u010de, a tak\u00e9 psychickou podporu a kou\u010dink. Bo\u0159\u00ed i n\u011bkter\u00e9 m\u00fdty, kter\u00e9 jsou s reproduk\u010dn\u00ed medic\u00ednou spojen\u00e9. \u201eV\u011bd\u011bn\u00ed p\u0159in\u00e1\u0161\u00ed klid,\u201c <\/em>dod\u00e1v\u00e1 l\u00e9ka\u0159ka.<\/p>\n\n\n\n

Dal\u0161\u00ed slu\u017ebou, o ni\u017e jev\u00ed z\u00e1jem st\u00e1le v\u00edce \u017een, je tzv, \u201esocial freezing\u201c, tedy zamrazen\u00ed vaj\u00ed\u010dek (oocyt\u016f) v plodn\u00e9m v\u011bku. \u201e\u017den\u00e1m to umo\u017en\u00ed prodlou\u017eit si biologickou mladost a prot\u00e1hnout \u010das po\u010det\u00ed prvn\u00edho d\u00edt\u011bte do pozd\u011bj\u0161\u00ed doby,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Macha\u010d.<\/p>\n\n\n\n

Podle N\u00e1rodn\u00edho registru reproduk\u010dn\u00edho zdrav\u00ed se pr\u016fm\u011brn\u00fd v\u011bk prvn\u011b rod\u00edc\u00edch \u017een v \u010cesk\u00e9 republice loni vy\u0161plhal na 29,7 \u2013 od roku 2000 tak narostl o t\u00e9m\u011b\u0159 5 let. V Praze \u010dinil 31,5. Dle predikc\u00ed statistik\u016f bude v dal\u0161\u00edch letech p\u0159ipadat nejv\u00edce rozen\u00fdch d\u011bt\u00ed na \u017eeny ve v\u011bkov\u00e9 skupin\u011b 30\u201334 let. \u00dahrnn\u00e1 plodnost (pr\u016fm\u011brn\u00fd po\u010det d\u011bt\u00ed na jednu \u017eenu) m\u00e1 v dal\u0161\u00edch letech v \u010cR klesat. P\u0159ed dv\u011bma lety byla hodnota na 1,63. \u201ePro p\u0159irozenou obnovu populace je pot\u0159eba reproduk\u010dn\u00ed \u010d\u00edslo 2,1. Za dv\u011b a\u017e t\u0159i generace to bude obrovsk\u00e1 komplikace, proto\u017ee ve sv\u011bt\u011b nebude dostatek mlad\u00fdch lid\u00ed na u\u017eiven\u00ed t\u011bch star\u0161\u00edch. To je koneckonc\u016f probl\u00e9m cel\u00e9 z\u00e1padn\u00ed spole\u010dnosti. Pokud bude cht\u00edt euroatlantick\u00e1 spole\u010dnost r\u016fst, bude muset b\u00fdt z\u00e1visl\u00e1 na migraci,\u201c <\/em>pokra\u010duje MUDr. Otev\u0159el.<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

K odkl\u00e1d\u00e1n\u00ed po\u010det\u00ed d\u00edt\u011bte do pozd\u011bj\u0161\u00edho v\u011bku vede \u017eeny i \u010dek\u00e1n\u00ed na \u201etoho prav\u00e9ho\u201c Praha, 2. z\u00e1\u0159\u00ed 2024 \u2013 Dnes m\u00ed\u0159\u00ed do lavic prvn\u00edch t\u0159\u00edd […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":51453,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-51708","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\/51708","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=51708"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/51708\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/51453"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=51708"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=51708"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=51708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}