\u010cT 1<\/p>\n\n\n\n
ve studiu m\u016f\u017eeme p\u0159iv\u00edtat pan\u00ed Dr. Mark\u00e9tu Matou\u0161kovou, gynekolo\u017eku. Pan\u00ed doktorko, d\u00edky, \u017ee jste tady u n\u00e1s. Budeme se v\u011bnovat r\u016fzn\u00fdm infekc\u00edm v t\u011bhotenstv\u00ed, samoz\u0159ejm\u011b p\u0159edev\u0161\u00edm s v\u00e1mi, t\u011bm gynekologick\u00fdm, ale poj\u010fme se mo\u017en\u00e1 na to nejd\u0159\u00edv pod\u00edvat tro\u0161ku v\u00edce. Vcelku je to tak, \u017ee \u017eena v t\u011bhotenstv\u00ed je v\u00edce n\u00e1chyln\u00e1 k r\u016fzn\u00fdm infekc\u00edm obecn\u011b.<\/p>\n\n\n\n
Dr. Mark\u00e9ta Matou\u0161kov\u00e1
——————–
Dalo by se \u0159\u00edci, \u017ee to tak je, v t\u011bhotenstv\u00ed prob\u00edh\u00e1 mnoho zm\u011bn v t\u011ble t\u011bhotn\u00e9 a souvis\u00ed to hlavn\u011b se zm\u011bnami hormon\u00e1ln\u00edmi, kter\u00e9 potom souvis\u00ed i se zm\u011bnami os\u00eddlen\u00ed jednotliv\u00fdmi bakteriemi a viry a kvasinkami v r\u016fzn\u00fdch \u010d\u00e1stech t\u011bla, tak\u00e9 s t\u00edm souvis\u00ed zm\u011bna imunitn\u00edho syst\u00e9mu, kdy \u017eena mus\u00ed chr\u00e1nit svoje d\u00edt\u011b, kter\u00e9 v n\u00ed roste. A ten imunitn\u00ed syst\u00e9m je \u00fapln\u011b jinak nastaven ne\u017e u net\u011bhotn\u00e9, t\u00edm p\u00e1dem je n\u011bkdy zraniteln\u011bj\u0161\u00ed proti n\u011bkter\u00fdm infekc\u00edm a m\u016f\u017eou se u n\u00ed opakovan\u011b v pr\u016fb\u011bhu gravidity objevovat.<\/p>\n\n\n\n
mluv\u010d\u00ed 3,
——————–
Pan\u00ed prim\u00e1\u0159ko, co p\u0159esn\u011b ty gynekologick\u00e9 z\u00e1n\u011bty zp\u016fsobuj\u00ed v tom t\u011ble? Mohou ho ovliv\u0148ovat komplexn\u011b….<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
Nej\u010dast\u011bj\u0161\u00ed problematiku, kterou \u0159e\u0161\u00edme skoro v ka\u017ed\u00e9 t\u011bhotensk\u00e9 poradn\u011b, jsou z\u00e1n\u011bty, kter\u00e9 postihuj\u00ed zevn\u00ed genit\u00e1l anebo po\u0161evn\u00ed prost\u0159ed\u00ed, ale v n\u011bkter\u00fdch p\u0159\u00edpadech se m\u016f\u017eou \u0161\u00ed\u0159it i na d\u011blo\u017en\u00ed \u010d\u00edpek, na d\u011blohu – m\u016f\u017eou b\u00fdt vlastn\u011b d\u016fvodem potratu nebo p\u0159ed\u010dasn\u00e9ho odtoku plodov\u00e9 vody, m\u016f\u017eou b\u00fdt d\u016fvodem toho, \u017ee \u017eena p\u0159ed\u010dasn\u011b porod\u00ed a v n\u011bkter\u00fdch p\u0159\u00edpadech, kdy\u017e se setk\u00e1 s infekc\u00ed, t\u0159eba krevn\u00ed cestou nebo kap\u00e9nkovou infekc\u00ed, tak to t\u011blo se m\u016f\u017ee h\u016f\u0159e br\u00e1nit v gravidit\u011b a m\u016f\u017ee to pro ni b\u00fdt velk\u00fd probl\u00e9m. Tam je to t\u0159eba ot\u00e1zka z\u00e1n\u011btu slep\u00e9ho st\u0159eva v t\u011bhotenstv\u00ed nebo t\u0159eba \u017elu\u010dn\u00edkov\u00e9ho z\u00e1chvatu spojen\u00e9ho se z\u00e1n\u011btem.<\/p>\n\n\n\n
mluv\u010d\u00ed 2,
——————–
Tam je pot\u0159eba opravdu ty v\u011bci akutn\u011b \u0159e\u0161it a mo\u017en\u00e1 jim i p\u0159edch\u00e1zet, i kdy\u017e u z\u00e1n\u011btu slep\u00e9ho st\u0159eva t\u011b\u017eko n\u011bjak\u00e1 prevence je mo\u017en\u00e1, ale jak by se tedy \u017eena m\u011bla v t\u011bhotenstv\u00ed chovat, na co by m\u011bla b\u00fdt opatrn\u00e1?<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
J\u00e1 si mysl\u00edm, \u017ee u\u017e do t\u011bhotenstv\u00ed by m\u011bla vstoupit co nejl\u00e9pe p\u0159ipraven\u00e1, m\u011bla by dodr\u017eovat dobrou \u017eivotospr\u00e1vu, spr\u00e1vn\u00e9 hygienick\u00e9 n\u00e1vyky, nem\u011bla by m\u00edt rizikov\u00e9 sexu\u00e1ln\u00ed kontakty, m\u011bla by pravideln\u011b doch\u00e1zet do t\u011bhotensk\u00e9 poradny. \u017deny, kter\u00e9 t\u0159eba u\u017e p\u0159ich\u00e1zej\u00ed s n\u011bjak\u00fdm probl\u00e9mem v minul\u00fdch gravidit\u00e1ch, t\u0159eba\u017ee potratily, tak u\u017e si je hl\u00edd\u00e1me n\u011bjak\u00fdm zp\u016fsobem v\u00edc a doporu\u010dujeme n\u011bkter\u00e9 preventivn\u00ed kroky. A pak by n\u00e1s v\u017edycky m\u011bly upozornit, kdy\u017e se u nich objev\u00ed n\u011bjak\u00fd probl\u00e9m, kter\u00fd do t\u00e9 doby nepoci\u0165ovaly, proto\u017ee m\u00e1me spoustu t\u011bhotn\u00fdch, kter\u00e9 v pr\u016fb\u011bhu cel\u00e9 gravidity \u017e\u00e1dn\u00fd z\u00e1n\u011bt nemaj\u00ed a pak n\u011bkter\u00e9, kter\u00fdm se to p\u0159ihod\u00ed a ty to n\u00e1m mus\u00ed hlavn\u011b pov\u011bd\u011bt, abysme to mohli v\u010das \u0159e\u0161it.<\/p>\n\n\n\n
mluv\u010d\u00ed 3,
——————–
Lehce jsme zm\u00ednili neplodnost, \u00fadajn\u011b velmi \u010dastou p\u0159\u00ed\u010dinou m\u016f\u017eou b\u00fdt chlamidiov\u00e9 infekce, je tomu skute\u010dn\u011b tak?<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
Ano, n\u011bkter\u00e9 druhy bakteri\u00ed, ale i vir\u016f a jin\u00fdch mikrob\u016f, t\u0159eba i trichomoni\u00e1zy mohou zp\u016fsobovat zalepen\u00ed cest, kter\u00e9 propojuj\u00ed vaje\u010dn\u00edk s d\u011blohou a zp\u016fsobuj\u00ed t\u00edm nepr\u016fchodnost nebo mohou v\u00e9st k z\u00e1n\u011bt\u016fm d\u011blo\u017en\u00ed dutiny a potom zp\u016fsobuj\u00ed sterilitu t\u00e9 \u017eeny jako takov\u00e9.<\/p>\n\n\n\n
mluv\u010d\u00ed 2,
——————–
A jsou z toho tyto obt\u00ed\u017ee dlouhodob\u00e9, ta sterilita je dlouhodob\u00e1 nebo pokud se vy\u0159e\u0161\u00ed ta infekce, tak se d\u00e1 vy\u0159e\u0161it i ta neplodnost?<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
Kdy\u017e u\u017e na to mysl\u00edme, daj\u00ed se n\u011bkter\u00fdmi chirurgick\u00fdmi metodami n\u011bkter\u00e9 probl\u00e9my odstranit a samoz\u0159ejm\u011b potom t\u0159eba dlouhodob\u011bj\u0161\u00ed l\u00e9\u010dbou a nejlep\u0161\u00ed je tomu p\u0159edej\u00edt a v\u016fbec se s takovou infekc\u00ed nepot\u00fdkat.<\/p>\n\n\n\n
mluv\u010d\u00ed 3,
——————–
Abychom uklidnili na\u0161e diva\u010dky, kter\u00e9 jsou t\u0159eba t\u011bhotn\u00e9 a mo\u017en\u00e1 moment\u00e1ln\u011b trp\u00ed n\u011bjak\u00fdmi kvasinkov\u00fdmi z\u00e1n\u011bty a te\u010f se vyd\u011bs\u00ed a \u0159eknou si, tak, co v\u0161echno m\u016f\u017ee nastat? M\u016f\u017ee to n\u011bjak ovlivnit t\u011bhotenstv\u00ed, m\u016f\u017ee to n\u011bjak ovlivnit plod? J\u00e1 mysl\u00edm, \u017ee zrovna t\u0159eba ty kvasinkov\u00e9 z\u00e1n\u011bty jsou velmi \u010dast\u00e9, je tam d\u016fvod se n\u011b\u010deho ob\u00e1vat.<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
U kvasikov\u00fdch infekc\u00ed si nemysl\u00edm, \u017ee by bylo velk\u00e9 ohro\u017een\u00ed pro plod. Tam sp\u00ed\u0161e, kdy\u017e se t\u0159eba nel\u00e9\u010d\u00ed dostate\u010dn\u011b p\u0159ed ukon\u010den\u00edm t\u011bhotenstv\u00ed, p\u0159ed porodem, tak mohou b\u00fdt d\u016fvodem velk\u00e9ho poran\u011bn\u00ed p\u0159i porodu, my se sna\u017e\u00edme te\u010f \u010dasto p\u0159i porodu nenast\u0159ihovat porodn\u00ed hr\u00e1z nebo hr\u00e1z, a kdy\u017e je tam infekce, tak p\u0159ece jenom ta tk\u00e1\u0148 je k\u0159ehk\u00e1 a m\u016f\u017ee se v\u00edce poranit. Jinak kvasinkov\u00e1 infekce jako takov\u00e1 postihuje tu \u017eenu velice \u010dasto. Je to d\u00e1no t\u00edm, \u017ee po\u0161evn\u00ed prost\u0159ed\u00ed je m\u00e9n\u011b kysel\u00e9 ne\u017e u net\u011bhotn\u00e9 \u017eeny a n\u011bkter\u00fdm \u017een\u00e1m i ten kvasinkov\u00fd v\u00fdtok v\u016fbec nemus\u00ed \u010dinit \u017e\u00e1dn\u00e9 probl\u00e9my a \u0159e\u0161\u00edme to hlavn\u011b u t\u011bch, kter\u00fd n\u011bjak\u00fd sv\u011bdiv\u00fd probl\u00e9m nebo za\u010derven\u00e1n\u00ed v\u00fdtok vytvo\u0159\u00ed.<\/p>\n\n\n\n
mluv\u010d\u00ed 2,
——————–
A \u0159e\u0161\u00ed se to stejn\u011b jako u net\u011bhotn\u00fdch \u017een nebo tam mus\u00ed b\u00fdt n\u011bjak\u00e1 obez\u0159etnost, v tom jsou, m\u016f\u017eou v\u016fbec u\u017e\u00edvat ty t\u011bhotn\u00e9 \u017eeny?<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
L\u00e9ky, kter\u00e9 pou\u017e\u00edv\u00e1me u net\u011bhotn\u00fdch i t\u011bhotn\u00fdch, jsou pom\u011brn\u011b podobn\u00e9, m\u016f\u017eeme pou\u017e\u00edvat n\u011bkter\u00e9 preventivn\u00ed v\u00fdplachy, anebo i preventivn\u00ed vkl\u00e1dac\u00ed tablety do pochvy, kter\u00e9 to po\u0161evn\u00ed prost\u0159ed\u00ed zase uprav\u00ed.<\/p>\n\n\n\n
mluv\u010d\u00ed 3,
——————–
Pan\u00ed doktorko, v\u00edm, \u017ee se v\u017edy m\u00e1 v t\u011bhotenstv\u00ed zpozorn\u011bt b\u011bhem herpetick\u00fdch z\u00e1n\u011bt\u016f, ty mohou b\u00fdt riskantn\u00ed, a to zejm\u00e9na p\u0159i porodu. Je tomu tak?<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
Je to tak. Dokonce \u017eeny, kter\u00e9 maj\u00ed rekurentn\u00ed v\u00fdsev herpetick\u00e9 infekce na zevn\u00edm genit\u00e1lu, by m\u011bly p\u0159ibli\u017en\u011b od t\u0159ic\u00e1t\u00e9ho \u0161est\u00e9ho t\u00fddne dost\u00e1vat preventivn\u011b tabletky, aby se ten v\u00fdsev neobjevil hlavn\u011b kolem porodu a kdy\u017e u\u017e zjist\u00edme, \u017ee ho m\u00e1me, tak doporu\u010dujeme takov\u00fdm \u017een\u00e1m, aby porodily c\u00edsa\u0159sk\u00fdm \u0159ezem, proto\u017ee nejhor\u0161\u00ed je, aby se novorozenec potkal s takovouhle n\u00e1kazou v pr\u016fb\u011bhu porodu, proto\u017ee pak je ohro\u017een hlavn\u011b septick\u00fdm onemocn\u011bn\u00edm, t\u011b\u017ek\u00fdmi z\u00e1n\u011bty t\u0159eba mozku. Mohou b\u00fdt n\u011bkdy velmi z\u00e1va\u017en\u00e9 pro ten \u017eivot n\u00e1sleduj\u00edc\u00ed.<\/p>\n\n\n\n
mluv\u010d\u00ed 2,
——————–
Mluv\u00edme o \u017een\u011b, jak by m\u011bla b\u00fdt obez\u0159etn\u00e9, ale co je jej\u00ed partner? Tam je asi d\u016fle\u017eit\u00e9, aby to bylo v souh\u0159e.<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
No, samoz\u0159ejm\u011b i partner by m\u011bl db\u00e1t na to, aby m\u011bl bezpe\u010dn\u00e9 kontakty, aby se p\u0159\u00edpadn\u011b l\u00e9\u010dil s infekc\u00ed, kter\u00e9 by postihly jeho pohlavn\u00ed apar\u00e1t. a jinak si mysl\u00edm, \u017ee ale v \u017e\u00e1dn\u00fdm p\u0159\u00edpad\u011b nezakazujeme b\u011b\u017en\u00fd sexu\u00e1ln\u00ed \u017eivot u zdrav\u00fdch p\u00e1r\u016f.<\/p>\n\n\n\n
mluv\u010d\u00ed 3,——————–
A kdy\u017e t\u0159eba pl\u00e1nujeme teprve to t\u011bhotenstv\u00ed a ta \u017eena bude \u010dast\u011bj\u0161\u00ed pacientkou, kter\u00e1 bude trp\u011bt na r\u016fzn\u00e9 z\u00e1n\u011bty, m\u011bla by to m\u00edt po\u0159e\u0161eno p\u0159edt\u00edm, anebo se to tak n\u011bjak d\u00e1 \u0159e\u0161it b\u011bhem?<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
Kdy\u017e vezmeme tu prevenci, tak jak u\u017e se k tomu vrac\u00edm, ur\u010dit\u011b je dobr\u00e9, aby m\u011bla dob\u0159e nastavenou \u017eivotospr\u00e1vu. Docela v\u00fdznamn\u00fdm faktorem je opraven\u00fd chrup, proto\u017ee se zjistilo, \u017ee bakterie, kter\u00e9 jsou v \u00fastn\u00ed dutin\u011b u neopraven\u00e9ho chrupu, maj\u00ed velk\u00fd vliv na to, jak se vyv\u00edjej\u00ed z\u00e1n\u011bt v pochv\u011b, d\u00e1le by ur\u010dit\u011b m\u011bly omezit anebo naprosto p\u0159estat kou\u0159it, proto\u017ee jedin\u00e1 cigareta v\u00fdrazn\u011b zm\u011bn\u00ed imunitn\u00ed nastaven\u00ed t\u00e9 dan\u00e9 \u017eeny, no a m\u011bla by samoz\u0159ejm\u011b se obez\u0159etn\u011b chovat v tom sexu\u00e1ln\u00edm \u017eivot\u011b, aby s n\u011bjakou n\u00e1kazou na za\u010d\u00e1tku gravidity nep\u0159i\u0161lo.<\/p>\n\n\n\n
mluv\u010d\u00ed 2,
——————–
My jsme se s P\u00e9\u0165ou ob\u011b shodli, \u017ee jsme v t\u011bhotenstv\u00ed m\u011bli hodn\u011b chu\u0165 na sladk\u00e9 a pr\u00e1v\u011b o cukru se mluv\u00ed v souvislosti s myk\u00f3zami, jako \u017ee nen\u00ed dobr\u00fd, tak, tak nem\u011bli by t\u011bhotn\u00e9 j\u00edst sladk\u00e9 v\u011bci?<\/p>\n\n\n\n
mluv\u010d\u00ed 4,
——————–
J\u00e1 bych \u0159ekla, \u017ee nejlep\u0161\u00ed \u0159\u00edci tak akor\u00e1t cukru a jestli\u017ee teda \u017eena trp\u00ed opakovan\u011b na myk\u00f3zy, tak pak si mus\u00ed tro\u0161ku ubrat. Samoz\u0159ejm\u011b pak je spousta \u017een, kter\u00e9 maj\u00ed cukrovku v t\u011bhotenstv\u00ed a ty by tak\u00e9 m\u011bly dodr\u017eovat dietn\u00ed opat\u0159en\u00ed, ale jinak cukr k t\u011bhotenstv\u00ed mus\u00ed pat\u0159it.<\/p>\n\n\n\n
——————–
To jsme r\u00e1dy, pan\u00ed prim\u00e1\u0159ko, my v\u00e1m moc d\u011bkujeme. <\/p>\n\n\n\n
po\u0159ad – Sama Doma<\/p>\n\n\n\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
\u010cT 1 ve studiu m\u016f\u017eeme p\u0159iv\u00edtat pan\u00ed Dr. Mark\u00e9tu Matou\u0161kovou, gynekolo\u017eku. Pan\u00ed doktorko, d\u00edky, \u017ee jste tady u n\u00e1s. Budeme se v\u011bnovat r\u016fzn\u00fdm infekc\u00edm v […]<\/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":[11],"tags":[],"class_list":["post-57068","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\/57068","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=57068"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/57068\/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=57068"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=57068"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=57068"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}