{"id":52676,"date":"2024-10-24T10:07:28","date_gmt":"2024-10-24T08:07:28","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=52676"},"modified":"2024-10-24T10:07:28","modified_gmt":"2024-10-24T08:07:28","slug":"az-ctvrtina-paru-ma-problem-s-pocetim-dalsiho-ditete","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=52676","title":{"rendered":"A\u017e \u010dtvrtina p\u00e1r\u016f m\u00e1 probl\u00e9m s po\u010det\u00edm dal\u0161\u00edho d\u00edt\u011bte"},"content":{"rendered":"\n

Praha, 24. 10. 2024 \u2013 \u0158ada lid\u00ed se myln\u011b domn\u00edv\u00e1, \u017ee kdy\u017e se poda\u0159ilo p\u0159irozen\u011b po\u010d\u00edt potomka poprv\u00e9, povede se to bez probl\u00e9m\u016f znovu. Realita je ale jin\u00e1 \u2013 l\u00e9ka\u0159i se st\u00e1le \u010dast\u011bji setk\u00e1vaj\u00ed s takzvanou sekund\u00e1rn\u00ed neplodnost\u00ed, kdy se \u017een\u011b podruh\u00e9 ot\u011bhotn\u011bt neda\u0159\u00ed. S probl\u00e9mem se pot\u00fdk\u00e1 asi \u010dtvrtina p\u00e1r\u016f, kter\u00e9 p\u0159ijdou na reproduk\u010dn\u00ed kliniku. Hlavn\u00edm d\u016fvodem je p\u0159edev\u0161\u00edm odkl\u00e1d\u00e1n\u00ed rodi\u010dovstv\u00ed na pozd\u011bji.<\/strong><\/p>\n\n\n\n

\u201ePr\u016fm\u011brn\u00fd v\u011bk prvorodi\u010dek je dnes 30 let, o dal\u0161\u00ed d\u00edt\u011b se pak \u017eeny pokou\u0161ej\u00ed zhruba kolem p\u011btat\u0159ic\u00edtky, kdy ale plodnost v\u00fdrazn\u011b kles\u00e1,\u201c<\/em> p\u0159ibli\u017euje jeden z\u00a0d\u016fvod\u016f MUDr. Pavel Otev\u0159el, vedouc\u00ed l\u00e9ka\u0159 brn\u011bnsk\u00e9 reproduk\u010dn\u00ed kliniky Reprofit. Na vin\u011b b\u00fdv\u00e1 nejen zhor\u0161en\u00ed kvality vaj\u00ed\u010dek \u010di spermi\u00ed, ale i r\u016fzn\u00e9 hormon\u00e1ln\u00ed zm\u011bny. <\/p>\n\n\n\n

\u201eM\u016f\u017ee se jednat nap\u0159\u00edklad o endometri\u00f3zu nebo<\/em> syndrom polycystick\u00fdch vaje\u010dn\u00edk\u016f, p\u0159i kter\u00e9m nedoch\u00e1z\u00ed k\u00a0ovulaci. Pacientce se tak v\u00a0polovin\u011b cyklu neuvoln\u00ed vaj\u00ed\u010dko, a t\u00edm p\u00e1dem nem\u016f\u017ee p\u0159irozen\u011b ot\u011bhotn\u011bt,\u201c<\/em> vysv\u011btluje MUDr. Otev\u0159el. Plodnost ve vy\u0161\u0161\u00edm v\u011bku ovliv\u0148uj\u00ed i dal\u0161\u00ed metabolick\u00e9 choroby, jako je nap\u0159\u00edklad cukrovka, vysok\u00fd krevn\u00ed tlak nebo obezita, kter\u00e1 m\u016f\u017ee naru\u0161it menstrua\u010dn\u00ed cyklus a p\u0159\u00edpadn\u011b komplikovat samotn\u00e9 t\u011bhotenstv\u00ed. Ne v\u017edy je ale probl\u00e9m se sekund\u00e1rn\u00ed neplodnost\u00ed na stran\u011b \u017een. <\/p>\n\n\n\n

\u201eV\u011bk 35 a\u017e 40 let je hrani\u010dn\u00ed nejen pro \u017eeny, ale i pro mu\u017ee. U t\u011bch pozorujeme postupn\u00e9 zhor\u0161ov\u00e1n\u00ed spermiogramu s v\u011bt\u0161\u00edm po\u0161kozen\u00edm DNA neboli fragmentac\u00ed DNA.<\/em> \u010c\u00edm je mu\u017e star\u0161\u00ed, t\u00edm je vy\u0161\u0161\u00ed riziko nap\u0159. autismu nebo monogenn\u00edch onemocn\u011bn\u00ed,\u201c<\/em> popisuje MUDr. Andrea R\u00e1kosov\u00e1 Kag\u00e1nkov\u00e1, vedouc\u00ed l\u00e9ka\u0159ka ostravsk\u00e9 kliniky Reprofit. Dvojic, kter\u00e9 sekund\u00e1rn\u00ed neplodnost tr\u00e1p\u00ed, podle odborn\u00edk\u016f v\u00a0posledn\u00edch letech neust\u00e1le p\u0159ib\u00fdv\u00e1. \u201eP\u0159ibli\u017en\u011b ka\u017ed\u00fd \u010dtvrt\u00fd p\u00e1r, kter\u00fd vyhled\u00e1 reproduk\u010dn\u00ed kliniku, u\u017e jedno d\u00edt\u011b m\u00e1, ale druh\u00e9 se jim opakovan\u011b neda\u0159\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. R\u00e1kosov\u00e1 Kag\u00e1nkov\u00e1.<\/p>\n\n\n\n

Ne v\u017edy se ale \u017eena o dal\u0161\u00edho potomka sna\u017e\u00ed se stejn\u00fdm partnerem, se kter\u00fdm u\u017e d\u00edt\u011b m\u00e1. Mnohdy na kliniku p\u0159ich\u00e1z\u00ed nov\u011b vznikl\u00e9 p\u00e1ry, kter\u00e9 se o miminko \u201esna\u017e\u00ed\u201c, aby vztah je\u0161t\u011b upevnily. \u201eSetk\u00e1v\u00e1me se pom\u011brn\u011b \u010dasto s\u00a0t\u00edm, \u017ee \u017eena m\u00e1 u\u017e odrostl\u00e9 d\u011bti nap\u0159\u00edklad z\u00a0prvn\u00edho man\u017eelstv\u00ed \u2013 poprv\u00e9 rodila je\u0161t\u011b p\u0159ed t\u0159ic\u00edtkou, kdy \u017e\u00e1dn\u00fd probl\u00e9m s po\u010det\u00edm nebyl. V\u00a0pozd\u011bj\u0161\u00edm v\u011bku si pak na\u0161la nov\u00e9ho partnera, se kter\u00fdm by cht\u011bla miminko, jen\u017ee p\u0159irozenou cestou u\u017e se to neda\u0159\u00ed,\u201c<\/em> vysv\u011btluje MUDr. Otev\u0159el. <\/p>\n\n\n\n

D\u016fle\u017eit\u00e9 je podle n\u011bj vyhledat pomoc odborn\u00edk\u016f co nejd\u0159\u00edve. P\u00e1ry, kter\u00e9 d\u0159\u00edve po\u010daly bez probl\u00e9m\u016f, si toti\u017e \u010dasto necht\u011bj\u00ed p\u0159ipustit, \u017ee by se jich neplodnost mohla t\u00fdkat, a proto n\u00e1v\u0161t\u011bvu reproduk\u010dn\u00ed kliniky oddaluj\u00ed. \u201eIde\u00e1ln\u00ed je p\u0159ij\u00edt po roce ne\u00fasp\u011b\u0161n\u00e9 snahy o po\u010det\u00ed. U p\u00e1r\u016f nad 35 let je to pak o n\u011bco d\u0159\u00edve \u2013 nejl\u00e9pe po p\u016fl roce,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. R\u00e1kosov\u00e1 Kag\u00e1nkov\u00e1. <\/p>\n\n\n\n

Samotn\u00e1 l\u00e9\u010dba sekund\u00e1rn\u00ed neplodnosti se od t\u00e9 prim\u00e1rn\u00ed v\u00a0z\u00e1sad\u011b neli\u0161\u00ed. P\u0159esto ale n\u011bkter\u00e9 kroky l\u00e9ka\u0159i urychluj\u00ed, aby \u017eena ot\u011bhotn\u011bla co nejd\u0159\u00edve. \u201eU mlad\u00fdch \u017een na za\u010d\u00e1tku l\u00e9\u010dby infertility sledujeme ovulaci a \u010dek\u00e1me, co se bude d\u00edt. Tuto takzvanou konzervativn\u00ed f\u00e1zi u star\u0161\u00edch \u017een p\u0159eskakujeme a\u00a0p\u0159ech\u00e1z\u00edme rovnou k\u00a0l\u00e9\u010db\u011b pomoc\u00ed asistovan\u00e9 reprodukce, abychom neztr\u00e1celi \u010das,\u201c <\/em>popisuje MUDr. Otev\u0159el. <\/p>\n\n\n\n

Mlad\u00fdm \u017een\u00e1m, kter\u00e9 v\u00ed, \u017ee by cht\u011bly sv\u00e9 mate\u0159stv\u00ed odlo\u017eit, specialist\u00e9 doporu\u010duj\u00ed nechat si zav\u010das zamrazit vaj\u00ed\u010dka (tzv. social freezing). \u0160ance na ot\u011bhotn\u011bn\u00ed pak bude mnohem vy\u0161\u0161\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"

Praha, 24. 10. 2024 \u2013 \u0158ada lid\u00ed se myln\u011b domn\u00edv\u00e1, \u017ee kdy\u017e se poda\u0159ilo p\u0159irozen\u011b po\u010d\u00edt potomka poprv\u00e9, povede se to bez probl\u00e9m\u016f znovu. Realita […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":51864,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-52676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52676","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=52676"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52676\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/51864"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}