L\u00e9ka\u0159i se shoduj\u00ed, \u017ee nadv\u00e1ha m\u00e1 negativn\u00ed vliv na schopnost po\u010d\u00edt d\u00edt\u011b.<\/p>\n\n\n\n
\u201eV\u00edme, \u017ee neplodnost je dvakr\u00e1t a\u017e t\u0159ikr\u00e1t vy\u0161\u0161\u00ed u \u017een s obezitou ne\u017e u \u0161t\u00edhl\u00fdch. \u010c\u00edm vy\u0161\u0161\u00ed je Body Mass Index (BMI), t\u00edm vy\u0161\u0161\u00ed je pravd\u011bpodobnost, \u017ee bude n\u011bjak\u00fd probl\u00e9m,\u201c \u0159ekl p\u0159edseda \u010cesk\u00e9 obezitologick\u00e9 spole\u010dnosti \u010cLS JEP profesor Martin Haluz\u00edk. <\/p>\n\n\n\n
Obezita je podle l\u00e9ka\u0159e sv\u00e1z\u00e1na a\u017e s 270 nemocemi, nejt\u011bsn\u011bji s diabetem 2. typu, kardiovaskul\u00e1rn\u00edmi komplikacemi, ztu\u010dn\u011bn\u00edm jater a pr\u00e1v\u011b neplodnost\u00ed. <\/p>\n\n\n\n
\u201eProbl\u00e9my nast\u00e1vaj\u00ed bu\u010f u\u017e na \u00farovni menstruace, nebo na \u00farovni anovula\u010dn\u00edch cykl\u016f,\u201c dodal Haluz\u00edk. <\/p>\n\n\n\n
Sama \u017eena si nemus\u00ed v\u016fbec v\u0161imnout poruch uvoln\u011bn\u00ed zral\u00e9ho vaj\u00ed\u010dka z vaje\u010dn\u00edku ani hormon\u00e1ln\u00edch poruch.<\/p>\n\n\n\n
\u201eSyndrom polycystick\u00fdch ovari\u00ed je nej\u010dast\u011bji spojen s obezitou,\u201c dod\u00e1v\u00e1 Haluz\u00edk.<\/p>\n\n\n\n
Probl\u00e9my s po\u010det\u00edm d\u00edt\u011bte komplikuje nadv\u00e1ha i p\u0159i asistovan\u00e9 reprodukci. U \u017een s BMI 30-35 \u00fasp\u011b\u0161nost v\u00fdrazn\u011b kles\u00e1. \u201eJakmile se nadv\u00e1ha dost\u00e1v\u00e1 do stadia obezity, \u00fasp\u011b\u0161nost metod asistovan\u00e9 reprodukce za\u010dne prudce klesat,\u201c \u0159ekl p\u0159edseda Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti \u010cLS JEP \u0160t\u011bp\u00e1n Macha\u010d. <\/p>\n\n\n\n
V\u00fdrazn\u011b se pak komplikuje tak\u00e9 sama l\u00e9\u010dba neplodnosti. \u201eHormon\u00e1ln\u00ed injekce maj\u00ed ni\u017e\u0161\u00ed \u00fa\u010dinek a hroz\u00ed komplikace p\u0159i anestezii i samotn\u00e9m odb\u011bru vaj\u00ed\u010dek,“ dodal Macha\u010d.<\/p>\n\n\n\n
Dal\u0161\u00ed komplikac\u00ed jsou ni\u017e\u0161\u00ed m\u00edra \u00fasp\u011b\u0161n\u00e9ho zaveden\u00ed embrya a vy\u0161\u0161\u00ed riziko potratu. \u017deny, kter\u00fdm se neda\u0159\u00ed p\u0159irozen\u011b po\u010d\u00edt d\u00edt\u011b, nav\u00edc bojuj\u00ed s \u010dasem. Po 35. roku v\u011bku za\u010d\u00edn\u00e1 skokov\u011b klesat kvalita vaj\u00ed\u010dek a \u0161ance na ot\u011bhotn\u011bn\u00ed se zmen\u0161uj\u00ed. \u201eDost\u00e1v\u00e1me se do probl\u00e9mu nejen \u010dasov\u00e9ho, ale tak\u00e9 do probl\u00e9mu psychick\u00e9ho, proto\u017ee pokud pacientka nem\u016f\u017ee ot\u011bhotn\u011bt, tak ji to tr\u00e1p\u00ed \u010d\u00edm d\u00e1l v\u00edce, a \u010d\u00e1st jich pak l\u00e9\u010dbu bohu\u017eel vzd\u00e1v\u00e1,“ popisuje zku\u0161enosti Macha\u010d.<\/p>\n\n\n\n
L\u00e9ka\u0159i maj\u00ed hned n\u011bkolik mo\u017enost\u00ed, jak v\u00e1hov\u00e9 komplikace \u0159e\u0161it. \u201eT\u00e9m\u011b\u0159 v\u0161ichni pacienti s obezitou maj\u00ed za sebou opakovan\u00e9 snahy zhubnout a zm\u011bnit \u017eivotn\u00ed styl, ale boj s vlastn\u00edm t\u011blem prohr\u00e1vaj\u00ed. Obezita je nemoc, s n\u00ed\u017e je nutn\u00e9 bojovat v\u0161emi prost\u0159edky,“ \u0159ekl profesor Haluz\u00edk.<\/p>\n\n\n\n
Rizikov\u00fdm pacientk\u00e1m, kter\u00e9 nemohou ot\u011bhotn\u011bt, mohou pomoci modern\u00ed l\u00e9ky. \u201eV\u010detn\u011b farmakoterapie. Ta, kterou m\u00e1me v sou\u010dasn\u00e9 dob\u011b k dispozici, m\u016f\u017ee d\u00edky sv\u00e9 \u00fa\u010dinnosti pacient\u016fm se sni\u017eov\u00e1n\u00edm hmotnosti v\u00fdrazn\u011b pomoci. Redukce hmotnosti u\u017e o p\u011bt a\u017e deset procent v\u00fdznamn\u011b zlep\u0161uje a v\u00edme, \u017ee pomoc\u00ed farmakoterapie dok\u00e1\u017eeme dos\u00e1hnout daleko vy\u0161\u0161\u00edch redukc\u00ed,“ uvedl. Podle n\u011bj je l\u00e9\u010dba nadv\u00e1hy modern\u00edmi l\u00e9ky na hubnut\u00ed vhodn\u00e1 a\u017e pro 48 procent dosp\u011bl\u00e9 populace, kter\u00e1 pot\u0159ebuje redukovat hmotnost v rozmez\u00ed zhruba 9-15 procent, zejm\u00e9na v kombinaci s \u00fapravou \u017eivotn\u00edho stylu. Vliv maj\u00ed krom\u011b nespr\u00e1vn\u00fdch stravovac\u00edch n\u00e1vyk\u016f i psychika, genetick\u00e1 predispozice, jin\u00e9 onemocn\u011bn\u00ed, ale nap\u0159\u00edklad tak\u00e9 \u0161patn\u00e9 vzorce p\u0159ej\u00edman\u00e9 z d\u011btstv\u00ed. <\/p>\n\n\n\n
\u201e\u010cast\u00fdm m\u00fdtem je, \u017ee se \u017een\u00e1m s p\u0159ib\u00fdvaj\u00edc\u00edm v\u011bkem zpomaluje metabolismus, ale nen\u00ed tomu tak. V\u00edme, \u017ee mezi 20 a 60 lety je naopak velmi stabiln\u00ed. Probl\u00e9m je sp\u00ed\u0161e v \u017eivotn\u00edm stylu, sedav\u00e9m zp\u016fsobu zam\u011bstn\u00e1n\u00ed a v nedostatku pohybu. V minulosti jsme museli vynalo\u017eit fyzick\u00e9 \u00fasil\u00ed, abychom si zajistili potravu, dnes si j\u00eddlo objedn\u00e1me online. A m\u00edsto kvalitn\u00edch surovin \u010dasto vol\u00edme sp\u00ed\u0161e pr\u016fmyslov\u011b zpracovan\u00e9 potraviny, kter\u00e9 obsahuj\u00ed velk\u00e9 mno\u017estv\u00ed kalori\u00ed, ale nezasyt\u00ed n\u00e1s,“ popsal nutri\u010dn\u00ed terapeut Miloslav \u0160indel\u00e1\u0159. <\/p>\n\n\n\n
U \u017een m\u016f\u017ee hubnut\u00ed komplikovat p\u0159irozen\u00e9 kol\u00eds\u00e1n\u00ed hormon\u016f b\u011bhem menstrua\u010dn\u00edho cyklu. \u201eHormony nejsou p\u0159\u00edmou p\u0159\u00ed\u010dinou obezity, ale ovliv\u0148uj\u00ed p\u0159\u00edjem a v\u00fddej energie. Plat\u00ed to samoz\u0159ejm\u011b i pro mu\u017ee. Pokud jsme v chronick\u00e9m stresu a p\u0159ej\u00edd\u00e1me se, nutn\u011b p\u0159ibereme,“ dod\u00e1v\u00e1 \u0160indel\u00e1\u0159. <\/p>\n\n\n\n
P\u0159ed p\u0159ekotn\u00fdm hubnut\u00edm l\u00e9ka\u0159i d\u016frazn\u011b varuj\u00ed. \u201eExtr\u00e9mn\u00ed diety l\u00e9\u010dbu \u010dasto je\u0161t\u011b zhor\u0161\u00ed, proto\u017ee je t\u011blo ve stresu. Doch\u00e1z\u00ed k hormon\u00e1ln\u00ed dysbalanci a naru\u0161en\u00ed menstrua\u010dn\u00edho cyklu. Pacientk\u00e1m doporu\u010duji hubnout pod dohledem odborn\u00edk\u016f, tedy l\u00e9ka\u0159e, nutri\u010dn\u00edho terapeuta a fyzioterapeuta \u010di tren\u00e9ra,“ vysv\u011btlil vedouc\u00ed l\u00e9ka\u0159 reproduk\u010dn\u00ed kliniky ReproGenesis Marcel \u0160telcl.<\/p>\n\n\n\n
\u201eOb\u00e9zn\u00ed pacientky rod\u00ed v\u011bt\u0161\u00ed d\u011bti, \u010dasto c\u00edsa\u0159sk\u00fdm \u0159ezem, kter\u00fd s sebou nese rizika pro matku i d\u00edt\u011b. Nav\u00edc se u \u017een s vy\u0161\u0161\u00ed hmotnost\u00ed h\u016f\u0159e hoj\u00ed opera\u010dn\u00ed r\u00e1ny. Nekon\u010d\u00ed to ale ani porodem. V\u00edme, \u017ee predispozice k obezit\u011b se p\u0159en\u00e1\u0161ej\u00ed z matky na d\u00edt\u011b,\u201c dodal Macha\u010d. <\/p>\n","protected":false},"excerpt":{"rendered":"
L\u00e9ka\u0159i se shoduj\u00ed, \u017ee nadv\u00e1ha m\u00e1 negativn\u00ed vliv na schopnost po\u010d\u00edt d\u00edt\u011b. \u201eV\u00edme, \u017ee neplodnost je dvakr\u00e1t a\u017e t\u0159ikr\u00e1t vy\u0161\u0161\u00ed u \u017een s obezitou ne\u017e […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29173,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-59502","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\/59502","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=59502"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/59502\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29173"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59502"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=59502"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=59502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}