Ka\u017ed\u00e1 \u017eena se narod\u00ed pr\u016fm\u011brn\u011b s 1\u20132 miliony vaj\u00ed\u010dek neboli oocyt\u016f.
Jejich z\u00e1soba se v\u0161ak postupem \u010dasu ten\u010d\u00ed. Kolem 37. roku v\u011bku zb\u00fdv\u00e1 z p\u016fvodn\u00edho po\u010dtu u\u017e
jen 2,5 % oocyt\u016f a jejich kvalita strm\u011b kles\u00e1. S t\u00edm pak sl\u00e1bne \u0161ance p\u0159irozen\u011b ot\u011bhotn\u011bt.
Krom\u011b v\u011bku ovliv\u0148uje stav oocyt\u016f tak\u00e9 \u017eivotn\u00ed styl, obezita, genetick\u00e9 p\u0159edpoklady a celkov\u00fd
zdravotn\u00ed stav \u017eeny.<\/p>\n\n\n\n
\u201eTak jako se d\u00edvky v dob\u011b dosp\u00edv\u00e1n\u00ed dozv\u00eddaj\u00ed, jak se chr\u00e1nit p\u0159ed ot\u011bhotn\u011bn\u00edm, m\u011bly by tak\u00e9
v\u011bd\u011bt, jak t\u011bhotenstv\u00ed pl\u00e1novat. Z biologick\u00e9ho hlediska je ide\u00e1ln\u00ed v\u011bk na po\u010det\u00ed prvn\u00edho d\u00edt\u011bte
v mezi 20\u201330 lety. Pokud existuje n\u011bjak\u00e1 zdravotn\u00ed p\u0159ek\u00e1\u017eka souvisej\u00edc\u00ed s reprodukc\u00ed, je t\u0159eba
\u0159e\u0161it ji v\u010das. Za\u010d\u00edt se o svoji plodnost starat v 35 letech je pozd\u011b,\u201c varuje p\u0159edseda sekce
asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti MUDr. \u0160t\u011bp\u00e1n
Macha\u010d. <\/p>\n\n\n\n
Krevn\u00ed vzorek zji\u0161\u0165uj\u00edc\u00ed tzv. ovari\u00e1ln\u00ed rezervu m\u011b\u0159en\u00edm hladiny antim\u00fcleriansk\u00e9ho
hormonu (AMH) si \u017eeny a d\u00edvky mohou nechat odebrat u gynekologick\u00e9ho l\u00e9ka\u0159e. Za test zaplat\u00ed
p\u0159ibli\u017en\u011b 600\u20131 000 K\u010d a v\u00fdsledek se dozv\u00ed zpravidla do 3 dn\u016f. Pokud je test sou\u010d\u00e1st\u00ed l\u00e9\u010dby
neplodnosti na klinice asistovan\u00e9 reprodukce, hrad\u00ed jej zdravotn\u00ed poji\u0161\u0165ovna.<\/p>\n\n\n\n
St\u00e1rnut\u00ed vaj\u00ed\u010dek urychluje nap\u0159\u00edklad nadm\u011brn\u00e9 pit\u00ed alkoholu. \u017deny, kter\u00e9 si dop\u0159\u00e1vaj\u00ed vy\u0161\u0161\u00ed d\u00e1vky
alkoholick\u00fdch n\u00e1poj\u016f 2\u00d7 t\u00fddn\u011b nebo \u010dast\u011bji, mohou m\u00edt a\u017e o 26 % ni\u017e\u0161\u00ed hladiny AMH, tedy
hormonu, kter\u00fd slou\u017e\u00ed jako ukazatel aktu\u00e1ln\u00edho mno\u017estv\u00ed vaj\u00ed\u010dek. Ni\u017e\u0161\u00ed hladina AMH nazna\u010duje
men\u0161\u00ed po\u010det zb\u00fdvaj\u00edc\u00edch oocyt\u016f u \u017eeny. <\/p>\n\n\n\n
Nep\u0159\u00edzniv\u011b jej ovliv\u0148uje tak\u00e9 nadv\u00e1ha a obezita nebo nezdrav\u00fd \u017eivotn\u00ed styl. <\/p>\n\n\n\n
\u201eZ\u00e1soba oocyt\u016f velmi rychle kles\u00e1 i v d\u016fsledku r\u016fzn\u00fdch onemocn\u011bn\u00ed, nap\u0159\u00edklad onkologick\u00e9 l\u00e9\u010dby, zejm\u00e9na p\u0159i vyu\u017eit\u00ed chemoterapie a radioterapie v oblasti mal\u00e9 p\u00e1nve. Negativn\u011b na plodnost dopadaj\u00ed opakovan\u00e9 operace na vaje\u010dn\u00edc\u00edch, nap\u0159\u00edklad p\u0159i endometri\u00f3ze. V n\u011bkter\u00fdch p\u0159\u00edpadech m\u016f\u017ee za p\u0159ed\u010dasn\u00e9 ovari\u00e1ln\u00ed selh\u00e1n\u00ed genetika nebo autoimunitn\u00ed onemocn\u011bn\u00ed. Z\u00e1sobu a kvalitu vaj\u00ed\u010dek sni\u017euje tak\u00e9 kou\u0159en\u00ed cigaret,\u201c vyjmenov\u00e1v\u00e1 MUDr. Milo\u0161 \u010cern\u00fd, vedouc\u00ed l\u00e9ka\u0159 Centra asistovan\u00e9 reprodukce kliniky GENNET na Letn\u00e9.<\/p>\n\n\n\n
Pravidlo, \u017ee mlad\u00e9 \u017eeny maj\u00ed vaj\u00ed\u010dek dostatek a star\u0161\u00ed naopak m\u00e1lo, tedy neplat\u00ed ve v\u0161ech
p\u0159\u00edpadech. Pro udr\u017een\u00ed z\u00e1soby vaj\u00ed\u010dek v co nejlep\u0161\u00ed kondici l\u00e9ka\u0159i doporu\u010duj\u00ed dodr\u017eovat zdrav\u00fd
\u017eivotn\u00ed styl a nekou\u0159it. Ani vysok\u00e1 hladina AMH v\u0161ak automaticky nemus\u00ed zaru\u010dovat plodnost.<\/p>\n\n\n\n
Nap\u0159\u00edklad syndrom polycystick\u00fdch ovari\u00ed m\u00e1 na hodnotu hladiny AMH pozitivn\u00ed vliv. Jde p\u0159itom
o nej\u010dast\u011bj\u0161\u00ed hormon\u00e1ln\u00ed poruchu u \u017een, kter\u00e1 je \u010dasto p\u0159\u00ed\u010dinou neplodnosti. <\/p>\n\n\n\n
\u201eKrom\u011b hormon\u00e1ln\u00edho vy\u0161et\u0159en\u00ed je vhodn\u00e9 br\u00e1t v \u00favahu pravidelnost menstrua\u010dn\u00edho cyklu.
\u010c\u00edm je cyklus krat\u0161\u00ed, t\u00edm m\u00e9n\u011b vaj\u00ed\u010dek \u017een\u011b zb\u00fdv\u00e1. Samotn\u00fd krevn\u00ed test m\u016f\u017ee b\u00fdt v p\u0159\u00edpadech, kdy \u017eena u\u017e\u00edv\u00e1 antikoncepci, zav\u00e1d\u011bj\u00edc\u00ed. Jeho hodnoty \u010dasto kol\u00edsaj\u00ed a\u017e o 30 %. Pokud tedy krevn\u00ed hormon\u00e1ln\u00ed
test vyjde negativn\u011b, je vhodn\u00e9 zkontrolovat z\u00e1sobu oocyt\u016f je\u0161t\u011b ultrazvukov\u00fdm vy\u0161et\u0159en\u00edm,\u201c
vysv\u011btluje MUDr. Macha\u010d. Podle n\u011bj je vhodn\u00e9 zab\u00fdvat se \u00favahami o mate\u0159stv\u00ed je\u0161t\u011b p\u0159ed 30. rokem. A to i p\u0159esto, \u017ee \u017eena v t\u00e9 dob\u011b je\u0161t\u011b nena\u0161la vhodn\u00e9ho partnera. Zat\u00edmco v 25 letech se \u0161ance, \u017ee \u017eena po t\u0159ech m\u011bs\u00edc\u00edch nechr\u00e1n\u011bn\u00e9ho pohlavn\u00edho styku ot\u011bhotn\u00ed, pohybuje kolem 18 %, po 40. roce kles\u00e1 na 7 %. <\/p>\n\n\n\n
\u010c\u00edm star\u0161\u00ed \u017eena je, t\u00edm vy\u0161\u0161\u00ed je tak\u00e9 riziko, \u017ee se d\u011b\u0165\u00e1tko narod\u00ed s vrozenou vadou. \u017den\u00e1m, kter\u00e9 pl\u00e1nuj\u00ed d\u011bti a z n\u011bjak\u00e9ho d\u016fvodu to nestihnou p\u0159ed 30. rokem, proto l\u00e9ka\u0159i doporu\u010duj\u00ed zmrazit sv\u00e1 vaj\u00ed\u010dka a vyu\u017e\u00edt je pozd\u011bji. Optim\u00e1ln\u00ed obdob\u00ed pro zmrazen\u00ed vaj\u00ed\u010dek je mezi 28. a 34. rokem.
\u201eNe\u0159ekl bych, \u017ee je dnes v\u00edce neplodn\u00fdch \u017een, ne\u017e tomu bylo v minulosti. Podle statistik
nep\u0159ib\u00fdv\u00e1 endometri\u00f3z, z\u00e1n\u011bt\u016f \u010di jin\u00fdch nemoc\u00ed souvisej\u00edc\u00edch s neplodnost\u00ed. Sp\u00ed\u0161 se \u017eeny o d\u011bti
pokou\u0161ej\u00ed pozd\u011bji. Na klinice se \u010dasto setk\u00e1v\u00e1me s p\u00e1ry, kter\u00fdm prvn\u00ed vztah nevy\u0161el a znovu
zakl\u00e1daj\u00ed rodinu, kdy\u017e je jim t\u00e9m\u011b\u0159 40 let,\u201c dopl\u0148uje MUDr. Macha\u010d.<\/p>\n\n\n\n
V\u00edce informac\u00ed o tom, jak si co nejd\u00e9le zachovat svoji plodnost, popisuj\u00ed str\u00e1nky
www.plodnostpodkontrolou.cz.
<\/p>\n\n\n\n
Ka\u017ed\u00e1 \u017eena se narod\u00ed pr\u016fm\u011brn\u011b s 1\u20132 miliony vaj\u00ed\u010dek neboli oocyt\u016f.Jejich z\u00e1soba se v\u0161ak postupem \u010dasu ten\u010d\u00ed. Kolem 37. roku v\u011bku zb\u00fdv\u00e1 z p\u016fvodn\u00edho po\u010dtu […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":50139,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-60834","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\/60834","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=60834"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60834\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/50139"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60834"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60834"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}