{"id":58002,"date":"2025-06-04T15:32:31","date_gmt":"2025-06-04T13:32:31","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=58002"},"modified":"2025-06-04T15:33:00","modified_gmt":"2025-06-04T13:33:00","slug":"moznosti-lecby-nadvahy-a-obezity","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=58002","title":{"rendered":"Revoluce v obezitologii"},"content":{"rendered":"\n<p>\u010cT 1 &#8211; Ud\u00e1losti<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u010ce\u0161t\u00ed pacienti maj\u00ed u\u017e m\u011bs\u00edc k dispozici v\u0161echny typy nejmodern\u011bj\u0161\u00edch\u00a0<strong>l\u00e9k\u016f<\/strong>, kter\u00e9 jsou ve sv\u011bt\u011b dostupn\u00e9.\u00a0<strong>L\u00e9ka\u0159i<\/strong>\u00a0je mohou p\u0159edepisovat i lidem s nadv\u00e1hou s p\u0159idru\u017een\u00fdmi zdravotn\u00edmi komplikacemi.<\/p>\n\n\n\n<p>Stoj\u00ed ale tis\u00edce korun m\u011bs\u00ed\u010dn\u011b. Obezitologov\u00e9 proto vyjedn\u00e1vaj\u00ed o \u00fahrad\u011b alespo\u0148 pro pacienty, kter\u00fdm hroz\u00ed infarkt nebo mrtvice. Dal\u0161\u00ed mo\u017enost\u00ed, jak zhubnout, je operace. Pro ty, kter\u00fdmi\u00a0<strong>l\u00e9ka\u0159<\/strong>\u00a0doporu\u010d\u00ed, je zdarma.<\/p>\n\n\n\n<p>V\u011bra Sk\u0159ivanov\u00e1, pacientka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tady jsem v\u00e1\u017eila asi 1 20 kilo.<\/p>\n\n\n\n<p>redaktorka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A kolik bylo teda to maximum?<\/p>\n\n\n\n<p>V\u011bra Sk\u0159ivanov\u00e1, pacientka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>135.<\/p>\n\n\n\n<p>redaktorka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>V\u00e1ha, na kterou se V\u011bra Sk\u0159ivanov\u00e1 dostala kv\u016fli hormon\u00e1ln\u00ed l\u00e9\u010db\u011b a taky nepravideln\u00e9mu re\u017eimu, pracovala jako pe\u010dovatelka v domov\u011b pro seniory.<\/p>\n\n\n\n<p>V\u011bra Sk\u0159ivanov\u00e1, pacientka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>To m\u00e1te i dvan\u00e1ctky no\u010dn\u00ed, vlastn\u011b denn\u00ed, tak\u017ee \u010dlov\u011bk nejedl p\u0159es den a sp\u00ed\u0161, kdy\u017e m\u011bl klid, tak se najedl a vlastn\u011b ta v\u00e1ha stoupala fakt nahoru a nahoru.<\/p>\n\n\n\n<p>redaktorka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Pr\u00e1v\u011b d\u00edky klient\u016fm, o kter\u00e9 se starala, si uv\u011bdomila, \u017ee m\u00e1 probl\u00e9m.<\/p>\n\n\n\n<p>V\u011bra Sk\u0159ivanov\u00e1, pacientka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Mus\u00edte vlastn\u011b polohovat, \u017ee jo, v\u0161echno, stav\u011bt je na nohy, na to, tak\u017ee fakt jsou t\u011b\u017ek\u00fd, tak\u017ee vlastn\u011b i v tu dobu mi cinklo, \u017ee vlastn\u011b jednou takhle m\u016f\u017eu dopadnout j\u00e1. A kdo se s v\u00e1ma jako bude tahat.<\/p>\n\n\n\n<p> redaktorka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Vyhledala pomoc\u00a0<strong>l\u00e9ka\u0159e<\/strong>. Z\u00e1sadn\u011b pomohla operace \u017ealudku. Tady u\u017e vypad\u00e1te \u0161\u0165astn\u011bj\u0161\u00ed.<\/p>\n\n\n\n<p>V\u011bra Sk\u0159ivanov\u00e1, pacientka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ano, ano, ano, tady u\u017e m\u00e1m n\u011bjak\u00fd asi 105 kilo.<\/p>\n\n\n\n<p> redaktorka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Vhodn\u00e1 je pro pacienty s BMI nad 35. Vloni ji podstoupilo 2 500 lid\u00ed. Obezitologov\u00e9 ale odhaduj\u00ed, \u017ee krit\u00e9ria spl\u0148uje a\u017e 200 000 pacient\u016f. P\u0159ek\u00e1\u017ekou podle nich b\u00fdv\u00e1 strach.<\/p>\n\n\n\n<p>Martin Hrub\u00fd, p\u0159edseda Spole\u010dn\u00e9 sekce bariatrick\u00e9 a metabolick\u00e9 chirurgie<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Samoz\u0159ejm\u011b chirurgie je chirurgie, nem\u016f\u017eeme se vyhnout komplikac\u00edm, ale komplikace po t\u011bchto operac\u00edch jsou men\u0161\u00ed ne\u017e po operaci \u017elu\u010dn\u00edku.<\/p>\n\n\n\n<p> redaktorka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>V \u010cesku je aktu\u00e1ln\u011b schv\u00e1len\u00fdch p\u011bt\u00a0<strong>l\u00e9k\u016f<\/strong>\u00a0proti obezit\u011b. Poji\u0161\u0165ovna je ale nehrad\u00ed. Cena t\u011bch nej\u00fa\u010dinn\u011bj\u0161\u00edch se pohybuje mezi 2,5 a 8 500 korunami m\u011bs\u00ed\u010dn\u011b.<\/p>\n\n\n\n<p>Martin Haluz\u00edk, p\u0159ednosta Centra diabetologie IKEM, \u0159editel n\u00e1rodn\u00edho institutu CarDia<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jsou velmi \u00fa\u010dinn\u00e9 v pr\u016fm\u011bru p\u0159i dlouhodob\u00e9m pod\u00e1v\u00e1n\u00ed, v t\u011bch nejvy\u0161\u0161\u00edch&nbsp;<strong>d\u00e1vk\u00e1ch<\/strong>&nbsp;a dlouhodob\u00e9m, t\u00edm je m\u00edn\u011bn zhruba jeden rok, 1,5 roku, jsou to poklesy hmotnosti mezi 15\u201320 procenty, ale je nutno \u0159\u00edct, \u017ee jsou pacienti, kte\u0159\u00ed reaguj\u00ed je\u0161t\u011b daleko v\u00edce.<\/p>\n\n\n\n<p> redaktorka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>K l\u00e9\u010db\u011b se ale mus\u00ed p\u0159istupovat komplexn\u011b. Nezbytn\u00e1 je \u00faprava \u017eivotn\u00edho stylu, ten je z\u00e1sadn\u00ed i p\u0159i prevenci vzniku obezity.<\/p>\n\n\n\n<p>Dana M\u00fcllerov\u00e1, emeritn\u00ed viceprezidentka Evropsk\u00e9 spole\u010dnosti pro studium obezity<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Sn\u00ed\u017eit p\u0159\u00edjem vysoce zpracov\u00e1van\u00fdch potravin, co\u017e je pro n\u00e1s stra\u0161n\u011b t\u011b\u017ek\u00e9, proto\u017ee ony jsou na ka\u017ed\u00e9m kroku. Pot\u0159ebujeme, abysme m\u011bli aktivn\u00ed svaly, to znamen\u00e1, sna\u017eit se jako to d\u011blaj\u00ed ty skandin\u00e1vsk\u00e9 st\u00e1ty o pohyb na ka\u017ed\u00e9m kroku vyb\u00edhat schody, chodit \u010dty\u0159i p\u011bt kilometr\u016f denn\u011b.<\/p>\n\n\n\n<p>redaktorka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>D\u016fle\u017eit\u00fd je tak\u00e9 minim\u00e1ln\u011b osmihodinov\u00fd sp\u00e1nek a du\u0161evn\u00ed hygiena. Spr\u00e1vn\u00e9 n\u00e1vyky je podle\u00a0<strong>l\u00e9ka\u0159\u016f<\/strong>\u00a0t\u0159eba budovat u\u017e od d\u011btstv\u00ed. Kl\u00e1ra Je\u0161inov\u00e1, \u010cesk\u00e1 televize.<\/p>\n\n\n\n<p>V \u010cesku jsou k l\u00e9\u010db\u011b obezity k dispozici dva\u00a0<strong>l\u00e9ky<\/strong>\u00a0v tablet\u00e1ch a t\u0159i, kter\u00e9 se pod\u00e1vaj\u00ed jako podko\u017en\u00ed injekce.\u00a0<strong>L\u00e9ka\u0159i<\/strong>\u00a0je p\u0159edepisuj\u00ed pacient\u016fm s indexem t\u011blesn\u00e9 hmotnosti vy\u0161\u0161\u00ed ne\u017e 30, anebo t\u011bm, kte\u0159\u00ed maj\u00ed je\u0161t\u011b dal\u0161\u00ed zdravotn\u00ed probl\u00e9my. T\u0159eba cukrovku, vysok\u00fd tlak nebo sp\u00e1nkovou apnoe. Zdravotn\u00ed poji\u0161\u0165ovny je ale nehrad\u00ed, pacienti si je mus\u00ed platit sami. M\u011bs\u00ed\u010dn\u011b stoj\u00ed tis\u00edce korun, mus\u00ed se nav\u00edc u\u017e\u00edvat dlouhodob\u011b. Pro lidi, kte\u0159\u00ed trp\u00ed v\u00fdraznou obezitou, je st\u00e1le nejefektivn\u011bj\u0161\u00edm zp\u016fsobem l\u00e9\u010dby, operace \u017ealudku. V\u00fdkony jsou pln\u011b hrazen\u00e9 poji\u0161\u0165ovnami, loni jich dokto\u0159i provedli rekordn\u00ed po\u010det. Obezita je celosv\u011btov\u00fdm probl\u00e9mem. Zat\u00edmco p\u0159ed 20 lety j\u00ed trp\u011blo 400 000 lid\u00ed, v roce 2030 to podle odhad\u016f bude u\u017e v\u00edc ne\u017e miliarda. V \u010cesku jsou na tom h\u016f\u0159 mu\u017ei ne\u017e \u017eeny a v\u00fdrazn\u011b se zhor\u0161uje situace u d\u011bt\u00ed a adolescent\u016f.Kolem roku 1990 mezi nimi byla 3 % ob\u00e9zn\u00edch, o 20 let pozd\u011bji u\u017e skoro 17 %.<\/p>\n\n\n\n<p><br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cT 1 &#8211; Ud\u00e1losti \u010ce\u0161t\u00ed pacienti maj\u00ed u\u017e m\u011bs\u00edc k dispozici v\u0161echny typy nejmodern\u011bj\u0161\u00edch\u00a0l\u00e9k\u016f, kter\u00e9 jsou ve sv\u011bt\u011b dostupn\u00e9.\u00a0L\u00e9ka\u0159i\u00a0je mohou p\u0159edepisovat i lidem s nadv\u00e1hou <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=58002\" title=\"Revoluce v obezitologii\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":43083,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-58002","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\/58002","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=58002"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/58002\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/43083"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58002"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=58002"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=58002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}