Zde\u0148ce (75) z Litom\u011b\u0159ic diagnostikovali l\u00e9ka\u0159i osteopor\u00f3zu p\u0159ed 3 lety. K jej\u00edmu vzniku u n\u00ed, krom\u011b v\u011bku, p\u0159isp\u011bla revmatoidn\u00ed artritida, kterou trp\u00ed od sv\u00fdch 30 let. L\u00e9\u010d\u00ed ji toti\u017e mimo jin\u00e9 vy\u0161\u0161\u00edmi d\u00e1vkami kortikosteroid\u016f. Ty j\u00ed sice pom\u00e1haj\u00ed toto chronick\u00e9 autoimunitn\u00ed onemocn\u011bn\u00ed zvl\u00e1dat, jejich nev\u00fdhodou je ale nep\u0159\u00edzniv\u00fd vliv na kosti. P\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed je oslabuj\u00ed, co\u017e m\u016f\u017ee v\u00e9st k rozvoji osteopor\u00f3zy. <\/p>\n\n\n\n
\u201eI kdy\u017e se sna\u017e\u00edm pravideln\u011b h\u00fdbat a u\u017e\u00edv\u00e1m preventivn\u011b vitam\u00edn D, v\u00e1pn\u00edk a dal\u0161\u00ed miner\u00e1ly, osteopor\u00f3za se u m\u011b projevila,\u201c popisuje Zde\u0148ka. P\u0159esto\u017ee kortikosteroidy u\u017e\u00edv\u00e1 v podstat\u011b po celou dobu, co m\u00e1 revmatoidn\u00ed artritidu, nikdo ji na mo\u017en\u00e1 rizika neupozornil.<\/p>\n\n\n\n
\u201ePravideln\u011b jsem doch\u00e1zela na m\u011b\u0159en\u00ed hustoty kost\u00ed do Revmatologick\u00e9ho \u00fastavu, ale nikoho nenapadlo vysv\u011btlit mi, \u017ee kdy\u017e dlouhodob\u011b u\u017e\u00edv\u00e1m vy\u0161\u0161\u00ed d\u00e1vky kortikosteroid\u016f, mohlo by u m\u011b doch\u00e1zet k \u0159\u00eddnut\u00ed kost\u00ed. A\u017e v roce 2022 mi v\u0161e popsala m\u00e1, tehdy nov\u00e1, revmatolo\u017eka,\u201c \u0159\u00edk\u00e1 Zde\u0148ka. <\/p>\n\n\n\n
Na denzitometrii (\u0161etrn\u00e1 neinvazivn\u00ed zobrazovac\u00ed metoda slou\u017e\u00edc\u00ed k diagnostice osteopor\u00f3zy na z\u00e1klad\u011b hustoty kostn\u00ed hmoty) se toti\u017e tehdy prok\u00e1zala osteopor\u00f3za a dopl\u0148ov\u00e1n\u00ed vitam\u00edn\u016f a miner\u00e1l\u016f p\u0159estalo sta\u010dit. L\u00e9ka\u0159ka j\u00ed proto krom\u011b nich p\u0159edepsala i tzv. bisfosfon\u00e1ty \u2013 l\u00e9ky, kter\u00e9 pom\u00e1haj\u00ed stabilizovat kostn\u00ed tk\u00e1\u0148 a sni\u017euj\u00ed riziko zlomenin. Z\u00e1rove\u0148 j\u00ed doporu\u010dila pravideln\u00fd pohyb. Ten toti\u017e d\u00edky zat\u011b\u017eov\u00e1n\u00ed kost\u00ed napom\u00e1h\u00e1 zvy\u0161ovat hustotu kostn\u00ed hmoty, zlep\u0161uje rovnov\u00e1hu a koordinaci, \u010d\u00edm\u017e sni\u017euje riziko p\u00e1d\u016f a n\u00e1sledn\u00fdch zlomenin.<\/p>\n\n\n\n
\u201eL\u00e9ky jsem ale bohu\u017eel \u0161patn\u011b sn\u00e1\u0161ela, a musela jsem je proto vysadit,\u201c vysv\u011btluje Zde\u0148ka. Jedinou mo\u017enost\u00ed, jak zhor\u0161ov\u00e1n\u00ed osteopor\u00f3zy brzdit, tak pro ni z\u016fst\u00e1v\u00e1 jen dopl\u0148ov\u00e1n\u00ed vitam\u00edn\u016f a miner\u00e1l\u016f, zdrav\u00e1 strava a fyzick\u00e1 aktivita.<\/p>\n\n\n\n
\u201eVzhledem k revmatoidn\u00ed artritid\u011b, kter\u00e1 se projevuje velkou ztuhlost\u00ed kloub\u016f, pro m\u011b nen\u00ed pohyb jednoduch\u00fd, ale sna\u017e\u00edm se cvi\u010dit ka\u017ed\u00fd den podle toho, co mi m\u016fj stav umo\u017en\u00ed. Chod\u00edm pravideln\u011b na proch\u00e1zky, j\u00edm zdrav\u011b a d\u00e1v\u00e1m si pozor, abych neupadla a n\u011bco si nezlomila,\u201c \u0159\u00edk\u00e1 Zde\u0148ka. Ostatn\u00edm pacient\u016fm s revmatoidn\u00ed artritidou, kte\u0159\u00ed u\u017e\u00edvaj\u00ed dlouhodob\u011b kortikosteroidy, doporu\u010duje, aby se ptali sv\u00fdch l\u00e9ka\u0159\u016f na prevenci osteopor\u00f3zy u\u017e v ni\u017e\u0161\u00edm v\u011bku a mohli po\u010d\u00ednaj\u00edc\u00ed probl\u00e9my odhalit a l\u00e9\u010dit d\u0159\u00edve, ne\u017e tomu bylo u n\u00ed.
Rady, jak cvi\u010dit, mohou nejenom lid\u00e9 s osteopor\u00f3zou naj\u00edt na str\u00e1nk\u00e1ch pacientsk\u00e9 organizace Revma Liga \u010cesk\u00e1 republika. Ta pro z\u00e1jemce spustila projekt OsteoFIT \u2013 instrukt\u00e1\u017en\u00edho videopr\u016fvodce s praktick\u00fdmi tipy a cviky zam\u011b\u0159en\u00fdmi na pos\u00edlen\u00ed kost\u00ed a na zlep\u0161en\u00ed celkov\u00e9 fyzick\u00e9 kondice.<\/p>\n","protected":false},"excerpt":{"rendered":"
Zde\u0148ce (75) z Litom\u011b\u0159ic diagnostikovali l\u00e9ka\u0159i osteopor\u00f3zu p\u0159ed 3 lety. K jej\u00edmu vzniku u n\u00ed, krom\u011b v\u011bku, p\u0159isp\u011bla revmatoidn\u00ed artritida, kterou trp\u00ed od sv\u00fdch 30 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":61347,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-61343","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\/61343","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=61343"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61343\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/61347"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61343"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61343"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61343"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}