{"id":57455,"date":"2025-05-20T09:55:31","date_gmt":"2025-05-20T07:55:31","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=57455"},"modified":"2025-05-20T09:55:42","modified_gmt":"2025-05-20T07:55:42","slug":"uzly-ve-stitne-zlaze-lze-nyni-odstranit-i-bez-operace","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=57455","title":{"rendered":"Uzly ve \u0161t\u00edtn\u00e9 \u017el\u00e1ze lze nyn\u00ed odstranit i bez operace"},"content":{"rendered":"\n

Praha, 20. 5. 2025 \u2013 Obt\u00ed\u017ee p\u0159i polyk\u00e1n\u00ed, pocit tlaku nebo plnosti v\u00a0krku \u010di hmatateln\u00e1 boule na krku \u2013 i takhle se projevuj\u00ed uzly ve \u0161t\u00edtn\u00e9 \u017el\u00e1ze. N\u011bkter\u00e9 \u010dlov\u011bku ne\u0161kod\u00ed, jin\u00e9 ale mohou p\u016fsobit v\u00e1\u017en\u011bj\u0161\u00ed komplikace nebo b\u00fdt i zhoubn\u00e9. L\u00e9ka\u0159i \u2013 endokrinologov\u00e9 zhodnot\u00ed, o jakou variantu se jedn\u00e1, a p\u0159\u00edpadn\u011b je odstran\u00ed. Zat\u00edmco d\u0159\u00edve musel \u010dlov\u011bk na operaci, nyn\u00ed specialist\u00e9 um\u00ed tyto uzly odstranit \u0161etrn\u011bji \u2013 pomoc\u00ed tepeln\u00e9ho \u00fa\u010dinku elektrick\u00e9ho proudu. To v\u0161e p\u0159i pln\u00e9m v\u011bdom\u00ed pacienta a bez nutnosti del\u0161\u00edho pobytu v nemocnici. <\/strong><\/p>\n\n\n\n

Unik\u00e1tn\u00ed z\u00e1krok maj\u00ed za sebou v\u00a0\u010cesku prvn\u00ed des\u00edtky nemocn\u00fdch. Na nov\u00e9 mo\u017enosti l\u00e9\u010dby upozor\u0148uj\u00ed odborn\u00edci u\u00a0p\u0159\u00edle\u017eitosti T\u00fddne \u0161t\u00edtn\u00e9 \u017el\u00e1zy, kter\u00fd p\u0159ipad\u00e1 na 25.\u201331. kv\u011btna.<\/strong><\/p>\n\n\n\n

\u201eUzly ve \u0161t\u00edtn\u00e9 \u017el\u00e1ze jsou \u010dast\u00e9 zejm\u00e9na ve vy\u0161\u0161\u00edm v\u011bku. Vyskytuj\u00ed se u 30\u201340 % \u017een nad 50 let. V\u011bt\u0161ina z\u00a0nich nen\u00ed zhoubn\u00e1 a nevy\u017eaduje \u017e\u00e1dnou l\u00e9\u010dbu. Pokud ale uzly rostou a tla\u010d\u00ed na okoln\u00ed tk\u00e1n\u011b nebo zp\u016fsobuj\u00ed polykac\u00ed \u010di kosmetick\u00e9 probl\u00e9my, p\u0159\u00edpadn\u011b tvo\u0159\u00ed hormony, doporu\u010dujeme pacient\u016fm jejich odstran\u011bn\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 doc. MUDr. Jan Jiskra, z III. intern\u00ed kliniky 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze.<\/em><\/p>\n\n\n\n

Zat\u00edmco d\u0159\u00edve se uzly odstra\u0148ovaly operac\u00ed, v\u00a0sou\u010dasn\u00e9 dob\u011b u\u017e existuj\u00ed m\u00e9n\u011b invazivn\u00ed metody, tzv. termick\u00e9 ablace. Jednou z\u00a0nich je tzv. radiofrekven\u010dn\u00ed ablace, kter\u00e1 je zalo\u017eena na tepeln\u00fdch \u00fa\u010dinc\u00edch vysokofrekven\u010dn\u00edho elektrick\u00e9ho proudu na tk\u00e1n\u011b. <\/p>\n\n\n\n

\u201eZ\u00e1krok trv\u00e1 asi hodinu a pacient je b\u011bhem n\u011bj celou dobu p\u0159i v\u011bdom\u00ed. Pod kontrolou ultrazvuku zavedeme p\u0159\u00edmo do uzlu elektrodu. Ta vys\u00edl\u00e1 vysokofrekven\u010dn\u00ed elektrick\u00fd proud, kter\u00fd se p\u0159em\u011b\u0148uje na teplo. Uzel postupn\u011b ,op\u00e1l\u00edme\u2018,\u201c <\/em>popisuje doc. Jiskra. Nemocn\u00ed se tak vyhnou celkov\u00e9 nark\u00f3ze \u2013 l\u00e9ka\u0159i toti\u017e lok\u00e1ln\u011b umrtv\u00ed pouze m\u00edsto, kde se uzel nach\u00e1z\u00ed. Po z\u00e1kroku mohou pacienti odej\u00edt dom\u016f a hned druh\u00fd den se vrac\u00ed k\u00a0b\u011b\u017en\u00fdm \u010dinnostem.<\/p>\n\n\n\n

\u201ePo klasick\u00e9 operaci trv\u00e1 rekonvalescence mnohem d\u00e9le. Doch\u00e1z\u00ed p\u0159i n\u00ed nav\u00edc k\u00a0odstran\u011bn\u00ed jednoho nebo obou lalok\u016f \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Tomu chceme miniinvazivn\u00edmi z\u00e1kroky p\u0159edch\u00e1zet,\u201c <\/em>\u0159\u00edk\u00e1 p\u0159edseda \u010cesk\u00e9 endokrinologick\u00e9 spole\u010dnosti (\u010cES) prof. MUDr. Michal Kr\u0161ek. V\u00a0\u010cesku zat\u00edm term\u00e1ln\u00ed ablaci podstoupily p\u0159ibli\u017en\u011b dv\u011b des\u00edtky pacient\u016f. Krom\u011b V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v\u00a0Praze se tento typ z\u00e1kroku v\u00a0sou\u010dasn\u00e9 dob\u011b prov\u00e1d\u00ed je\u0161t\u011b v\u00a0Pardubick\u00e9 nemocnici a ve Fakultn\u00ed nemocnici Kr\u00e1lovsk\u00e9 Vinohrady.<\/p>\n\n\n\n

Uzly nejsou to jedin\u00e9, kv\u016fli \u010demu u\u017e pacienti nemus\u00ed na operaci \u2013 miniinvazivn\u011b se prov\u00e1d\u00ed nap\u0159\u00edklad i l\u00e9\u010dba cyst ve \u0161t\u00edtn\u00e9 \u017el\u00e1ze, pomoc\u00ed aplikace koncentrovan\u00e9ho alkoholu. Miniinvazivn\u00ed v\u00fdkony tak podle odborn\u00edk\u016f za\u010d\u00ednaj\u00ed b\u00fdt u \u0159ady pacient\u016f vhodnou alternativou k operac\u00edm \u2013 ty ale nikdy \u00fapln\u011b nenahrad\u00ed. \u201eOperace je nutn\u00e1 u pacient\u016f se zhoubn\u00fdmi n\u00e1dory nebo v p\u0159\u00edpadech, kdy nezab\u00edr\u00e1 b\u011b\u017en\u00e1 terapie n\u011bkter\u00fdch forem zv\u00fd\u0161en\u00e9 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy,\u201c<\/em> vysv\u011btluje doc. Jiskra.<\/p>\n\n\n\n

Se \u0161t\u00edtnou \u017el\u00e1zou se v\u00a0\u010cesku l\u00e9\u010d\u00ed p\u0159es 620\u00a0000 lid\u00ed, v\u011bt\u0161inou \u017eeny ve vy\u0161\u0161\u00edm v\u011bku. Nejb\u011b\u017en\u011bj\u0161\u00ed poruchou je sn\u00ed\u017een\u00e1 funkce tohoto org\u00e1nu, jej\u00ed\u017e p\u0159\u00ed\u010dinou b\u00fdv\u00e1 v\u011bt\u0161inou autoimunitn\u00ed onemocn\u011bn\u00ed. Na probl\u00e9my se \u0161t\u00edtnou \u017el\u00e1zou pacienty ale v\u00a0\u0159ad\u011b p\u0159\u00edpad\u016f dop\u0159edu nic neupozor\u0148uje. <\/p>\n\n\n\n

\u201eNemocn\u00fdch tak m\u016f\u017ee b\u00fdt ve skute\u010dnosti a\u017e milion. Ide\u00e1ln\u00ed by bylo, kdyby prakti\u010dt\u00ed l\u00e9ka\u0159i kontrolovali funkci \u0161t\u00edtn\u00e9 \u017el\u00e1zy p\u0159i preventivn\u00edch prohl\u00eddk\u00e1ch. Jednozna\u010dn\u00e9 doporu\u010den\u00ed, zda a\u00a0od jak\u00e9ho v\u011bku by m\u011bla b\u00fdt takov\u00e1 kontrola sou\u010d\u00e1st\u00ed prevence, ale u n\u00e1s st\u00e1le neexistuje,\u201c <\/em>\u0159\u00edk\u00e1 prof. Kr\u0161ek. <\/em>Vhodn\u00e9 by to podle n\u011bj bylo zejm\u00e9na u vy\u0161\u0161\u00edch v\u011bkov\u00fdch skupin a u t\u011bhotn\u00fdch \u017een.<\/p>\n\n\n\n

O T\u00fddnu \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/strong><\/p>\n\n\n\n

Letos se kon\u00e1 17. ro\u010dn\u00edk osv\u011btov\u00e9 kampan\u011b T\u00fdden \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Dlouhodob\u00fdm c\u00edlem kampan\u011b je zv\u00fd\u0161it pov\u011bdom\u00ed ve\u0159ejnosti o poruch\u00e1ch \u0161t\u00edtn\u00e9 \u017el\u00e1zy, co\u017e m\u016f\u017ee n\u00e1sledn\u011b pomoci l\u00e9pe a v\u010das diagnostikovat pacienty, kte\u0159\u00ed o sv\u00e9m onemocn\u011bn\u00ed nev\u011bd\u00ed. Onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy je \u010dasto bezp\u0159\u00edznakov\u00e9, ale v\u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dba p\u0159edejdou mo\u017en\u00fdm komplikac\u00edm. Je t\u0159eba tak\u00e9 opakovan\u011b vyvracet mnoh\u00e9 omyly a m\u00fdty, kter\u00e9 jsou ve spole\u010dnosti v souvislosti se \u0161t\u00edtnou \u017el\u00e1zou a jej\u00ed l\u00e9\u010dbou zako\u0159en\u011bny. Jedn\u00edm z nich je pr\u00e1v\u011b myln\u00e1 p\u0159edstava, \u017ee v\u0161echny poruchy \u0161t\u00edtn\u00e9 \u017el\u00e1zy mus\u00ed b\u00fdt v trval\u00e9 p\u00e9\u010di specialisty \u2013 endokrinologa. V \u010cesk\u00e9 republice je projekt, kter\u00fd podporuje spole\u010dnost Merck, odborn\u011b za\u0161t\u00edt\u011bn \u010ceskou endokrinologickou spole\u010dnost\u00ed \u010cLS JEP. V\u00edce informac\u00ed nawww.tydenstitnezlazy.cz<\/em><\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Praha, 20. 5. 2025 \u2013 Obt\u00ed\u017ee p\u0159i polyk\u00e1n\u00ed, pocit tlaku nebo plnosti v\u00a0krku \u010di hmatateln\u00e1 boule na krku \u2013 i takhle se projevuj\u00ed uzly ve […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":39599,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-57455","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\/57455","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=57455"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/57455\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/39599"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=57455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=57455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=57455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}