{"id":61816,"date":"2025-11-11T21:11:20","date_gmt":"2025-11-11T20:11:20","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=61816"},"modified":"2025-11-11T21:28:54","modified_gmt":"2025-11-11T20:28:54","slug":"drive-rada-nyni-recept","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=61816","title":{"rendered":"D\u0159\u00edve rada jak zhubnout, nyn\u00ed recept"},"content":{"rendered":"\n

V\u011bt\u0161ina lid\u00ed, kte\u0159\u00ed chod\u00ed za praktikem, m\u00e1 kila nav\u00edc<\/em><\/p>\n\n\n\n

V\u00edce ne\u017e 60 % lid\u00ed, co zaklepe na dve\u0159e ordinac\u00ed praktik\u016f, m\u00e1 nadv\u00e1hu nebo obezitu. Kop\u00edruje tak celorepublikov\u00fd trend. K\u00a0praktick\u00fdm l\u00e9ka\u0159\u016fm chod\u00ed v\u011bt\u0161inou kv\u016fli nemocem, kter\u00e9 s\u00a0obezitou \u00fazce souvis\u00ed. L\u00e9ka\u0159i jim nov\u011b um\u00ed pomoci nejen radou, ale i l\u00e9ky, kter\u00e9 jim ke zdrav\u00e9 v\u00e1ze pomohou.<\/strong><\/p>\n\n\n\n

O mo\u017enostech farmakologick\u00e9 l\u00e9\u010dby ob\u00e9zn\u00edch a nemocn\u00fdch pacient\u016f budou l\u00e9ka\u0159i diskutovat od 12. listopadu na XLIV. v\u00fdro\u010dn\u00ed konferenci Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed ve Zl\u00edn\u011b.<\/strong><\/p>\n\n\n\n

\u201eDosud jsme mohli pacienty s nadbyte\u010dn\u00fdmi kily l\u00e9\u010dit pouze omezen\u011b a povzbuzovat k tomu, aby svou v\u00e1hu upravili, a zlep\u0161ili si tak zdravotn\u00ed stav. \u0158ada z nich u\u017e toti\u017e trp\u00ed nemocemi, kter\u00e9 z obezity vych\u00e1zej\u00ed nebo je nadbyte\u010dn\u00e1 v\u00e1ha zhor\u0161uje. Jde nap\u0159\u00edklad o cukrovku 2. typu, nemoci srdce a c\u00e9v, metabolick\u00e1 onemocn\u011bn\u00ed \u010di bolesti pohybov\u00e9ho apar\u00e1tu. Nyn\u00ed m\u00e1me k dispozici dal\u0161\u00ed, velmi \u00fa\u010dinn\u00e9 l\u00e9ky, kter\u00e9 nemocn\u00fdm mohou v hubnut\u00ed pomoci,\u201c<\/em> \u0159\u00edk\u00e1 doc. MUDr. Svatopluk B\u00fdma, CSc., p\u0159edseda Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) \u010cLS JEP.<\/p>\n\n\n\n

Obezita je nemoc a jako nemoc je tak\u00e9 t\u0159eba ji l\u00e9\u010dit, shoduj\u00ed se l\u00e9ka\u0159i. \u201eDo ordinace mi chod\u00ed \u0159ada pacient\u016f, kte\u0159\u00ed se u\u017e bezpo\u010dtukr\u00e1t pokou\u0161eli zhubnout. Shodili t\u0159eba t\u0159i \u010dty\u0159i kila, ale z\u00a0r\u016fzn\u00fdch d\u016fvod\u016f nezvl\u00e1daj\u00ed pokra\u010dovat. U ob\u00e9zn\u00edch jedinc\u016f nepln\u00ed j\u00eddlo funkci jako u zdrav\u00fdch. Neza\u017eehn\u00e1vaj\u00ed hlad, ale kompenzuj\u00ed nap\u0159\u00edklad psychickou nepohodu,\u201c<\/em> vysv\u011btluje MUDr. Igor Karen, p\u0159edseda sekce pro diabetologii a obezitu SVL.<\/p>\n\n\n\n

Potraviny bohat\u00e9 na\u00a0cukr, s\u016fl a tuktoti\u017ep\u016fsob\u00ed v mozku podobn\u011b jako n\u00e1vykov\u00e9 l\u00e1tky \u2013\u00a0aktivuj\u00ed dopaminov\u00fd syst\u00e9m odm\u011bny. \u201eI kdy\u017e t\u011blo fyzicky hlad nec\u00edt\u00ed, mozek si \u017e\u00e1d\u00e1 dal\u0161\u00ed d\u00e1vku odm\u011bn. Potraviny s vysok\u00fdm glykemick\u00fdm indexem zvy\u0161uj\u00ed hladinu cukru v krvi, t\u011blo pak uvoln\u00ed\u00a0velk\u00e9 mno\u017estv\u00ed inzulinu, ten cukr sn\u00ed\u017e\u00ed, a mozek tak hl\u00e1s\u00ed, \u017ee m\u00e1 op\u011bt hlad, i kdy\u017e \u010dlov\u011bk p\u0159ed chv\u00edl\u00ed jedl a m\u00e1 pln\u00fd \u017ealudek. Chu\u0165 na sladk\u00e9 nav\u00edc zvy\u0161uje hormon stresu \u2013 kortizol. To v\u0161e nyn\u00ed um\u00edme\u00a0pomoc\u00ed modern\u00edch l\u00e9kov\u00fdch skupin, jako jsou agonist\u00e9 GLP-1 nebo du\u00e1ln\u00ed agonist\u00e9 GLP-1\/GIP,<\/em> korigovat a pacient\u016fm skute\u010dn\u011b pomoci,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Karen. \u201eGLP-1 nav\u00edc p\u016fsob\u00ed p\u0159\u00edmo na kardiovaskul\u00e1rn\u00ed syst\u00e9m \u2013 zlep\u0161uj\u00ed funkci c\u00e9v, sni\u017euj\u00ed krevn\u00ed tlak i z\u00e1n\u011bt, a t\u00edm prokazateln\u011b sni\u017euj\u00ed riziko infarktu \u010di c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody. V\u00fdrazn\u00fd p\u0159\u00ednos m\u00e1 l\u00e9\u010dba tak\u00e9 u sp\u00e1nkov\u00e9 apnoe, kter\u00e1 se \u010dasto s obezitou poj\u00ed \u2013 pot\u00ed\u017ee \u010dasto ustupuj\u00ed p\u0159i 20% sn\u00ed\u017een\u00ed hmotnosti. Samoz\u0159ejm\u011b je ale nutn\u00e9 i cvi\u010dit a posilovat kr\u010dn\u00ed a \u017eebern\u00ed svaly.\u201c<\/em><\/p>\n\n\n\n

V\u00a0\u010cesk\u00e9 republice trp\u00ed nadv\u00e1hou nebo obezitou v\u00edce ne\u017e\u00a060 % dosp\u011bl\u00fdch. <\/strong>N\u00e1klady na jejich l\u00e9\u010dbu tvo\u0159\u00ed dle odborn\u00fdch odhad\u016f a\u017e\u00a010 %\u00a0celkov\u00fdch v\u00fddaj\u016f na zdravotnictv\u00ed \u2013 tedy\u00a0des\u00edtky miliard korun ro\u010dn\u011b. Podle Sv\u011btov\u00e9 zdravotnick\u00e9 organizace (WHO) se v roce 2020 celkov\u00e9 n\u00e1klady na zdravotn\u00ed komplikace spojen\u00e9 s nadv\u00e1hou a obezitou v \u010cesku pohybovaly kolem 150 miliard korun.\u00a0\u201eNadm\u011brn\u00e1 t\u011blesn\u00e1 hmotnost v\u00fdrazn\u011b zat\u011b\u017euje zdravotn\u00ed syst\u00e9m. <\/em><\/p>\n\n\n\n

Podle statistik m\u00e1 p\u0159ibli\u017en\u011b 80 % pacient\u016f s diabetem 2. typu nadbyte\u010dn\u00e1 kila. Nadv\u00e1ha a obezita tak\u00e9 stoj\u00ed za 60\u201375 % p\u0159\u00edpad\u016f hypertenze, lid\u00e9 s vy\u0161\u0161\u00ed hmotnost\u00ed maj\u00ed a\u017e 2\u20133\u00d7 v\u011bt\u0161\u00ed riziko kardiovaskul\u00e1rn\u00ed p\u0159\u00edhody a 2\u20134\u00d7 vy\u0161\u0161\u00ed riziko vzniku osteoartr\u00f3zy kolenn\u00edho kloubu. Proto jsme r\u00e1di, \u017ee m\u00e1me k\u00a0ruce n\u00e1stroj, kter\u00fd m\u016f\u017ee pomoci,\u201c<\/em> dod\u00e1v\u00e1 MUDr. Karen s\u00a0t\u00edm, \u017ee v\u00edt\u00e1 ustanoven\u00ed nov\u00e9ho ministerstva sportu, prevence a zdrav\u00ed pr\u00e1v\u011b kv\u016fli stavu \u010desk\u00e9 populace.<\/p>\n\n\n\n

Pokud nem\u00e1 jedinec dal\u0161\u00ed p\u0159idru\u017een\u00e1 onemocn\u011bn\u00ed, pak l\u00e9ky na obezitu v sou\u010dasn\u00e9 dob\u011b v \u010cesku nehrad\u00ed \u017e\u00e1dn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna. Jak ale \u0159\u00edk\u00e1 MUDr. Karen, v\u011bt\u0161ina jeho pacient\u016f ch\u00e1pe, \u017ee investuje do sv\u00e9ho zdrav\u00ed a je ochotna si l\u00e9ky platit. \u201eKdy\u017e se cena rozpo\u010d\u00edt\u00e1 na den, tak to vych\u00e1z\u00ed kolem 130 korun, to je jak krabi\u010dka cigaret nebo \u201amen\u00ed\u010dko\u2018 v restauraci,\u201c<\/em> dod\u00e1v\u00e1 l\u00e9ka\u0159.<\/p>\n","protected":false},"excerpt":{"rendered":"

V\u011bt\u0161ina lid\u00ed, kte\u0159\u00ed chod\u00ed za praktikem, m\u00e1 kila nav\u00edc V\u00edce ne\u017e 60 % lid\u00ed, co zaklepe na dve\u0159e ordinac\u00ed praktik\u016f, m\u00e1 nadv\u00e1hu nebo obezitu. Kop\u00edruje […]<\/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-61816","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\/61816","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=61816"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61816\/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=61816"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61816"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}