\u010cRo Hradec Kr\u00e1lov\u00e9<\/p>\n\n\n\n
Na\u0161e dne\u0161n\u00ed t\u00e9ma bude porucha funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy, ale tentokr\u00e1t hlavn\u011b u d\u011bt\u00ed a na\u0161\u00edm hostem je DR. David Neumann, prim\u00e1\u0159 d\u011btsk\u00e9ho odd\u011blen\u00ed v Oblastn\u00ed nemocnici v Trutnov\u011b, taky d\u011btsk\u00fd diabetolog a endokrinolog. Dobr\u00e9 dopoledne.<\/p>\n\n\n\n
Tak \u0161t\u00edtn\u00e1 \u017el\u00e1za na\u0161e dne\u0161n\u00ed t\u00e9ma, jej\u00ed poruchy onemocn\u011bn\u00ed, Dokonce kdy\u017e jsem se d\u00edvala na n\u011bjak\u00e9 informace k tomuto t\u00e9matu, tak jsem zjistila, \u017ee existuje i novorozeneck\u00fd screening. Tak\u017ee kontrolujete u\u017e miminka?<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Ne, kontrolujeme, ale p\u0159ipravili to na\u0161i u\u010ditel\u00e9 v roce 1985. A ten program vlastn\u011b zachr\u00e1nil spoustu d\u011bt\u00ed, kter\u00e9 by m\u011bly ohro\u017een\u00fd v\u00fdvoj neurologick\u00fd, v\u00fdvoj pohybov\u00fdch schopnost\u00ed. Tak\u017ee vlastn\u011b ano, v\u0161echna mimina vy\u0161et\u0159ena z pati\u010dky, a to v centrech, kter\u00e9 jsou jedno pro \u010desk\u00e9 kraje, jedno pro moravsk\u00e9 kraje, kde se vy\u0161et\u0159uje mimo jin\u00e9 i funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy. T\u00edm vlastn\u011b na n\u00ed p\u0159ich\u00e1z\u00edme v\u010das, tak abysme za\u010dali v\u010das d\u00e1vat l\u00e9ky i t\u011bmhle na\u0161im nejmen\u0161\u00edm.<\/p>\n\n\n\n
00:01:15<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Ale jak jsem zjistila, tak vlastn\u011b poruchy \u0161t\u00edtn\u00e9 \u017el\u00e1zy a jej\u00ed funkce se m\u016f\u017eou objevit u d\u011bt\u00ed i v pozd\u011bj\u0161\u00edm v\u011bku. Tak\u017ee co je \u010dast\u011bj\u0161\u00ed.<\/p>\n\n\n\n
00:01:24<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Daleko \u010dast\u011bj\u0161\u00ed jsou pr\u00e1v\u011b ta onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy s t\u00edm, \u017ee tak asi jedno miminko na 3000 d\u011bt\u00ed v \u010cesk\u00e9 republice m\u00e1 vrozenou poruchu, \u0159ekn\u011bme, \u017ee se jich p\u0159i sou\u010dasn\u00e9 porodnosti narod\u00ed 25 v \u010cesk\u00e9 republice, zat\u00edmco posti\u017een\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy a to se sn\u00ed\u017een\u00edm funkce anebo je\u0161t\u011b po\u0159\u00e1d s norm\u00e1ln\u00ed funkc\u00ed, ale tzv. autoimunitn\u00edm procesem, onemocn\u011bn\u00edm m\u016f\u017ee postihovat a\u017e 20 %. A te\u010f se omlouv\u00e1m za nevyv\u00e1\u017eenost \u017een, proto\u017ee to je onemocn\u011bn\u00ed hlavn\u011b d\u00edvek a \u017een.<\/p>\n\n\n\n
00:02:02<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Ano a poj\u010fme \u0159\u00edct je\u0161t\u011b, co v\u0161echno \u0159\u00edd\u00ed \u0161t\u00edtn\u00e1 \u017el\u00e1za m\u00e1me i spojenou asi hlavn\u011b s hormony, ale ono toho bude ur\u010dit\u011b v\u00edc n\u011bjak komplexn\u011b a my se postupn\u011b dostaneme i k tomu, jak se m\u016f\u017eou projevit ty probl\u00e9my se \u0161t\u00edtnou \u017el\u00e1zou.<\/p>\n\n\n\n
00:02:15<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
\u0160t\u00edtn\u00e1 \u017el\u00e1za je org\u00e1n, kter\u00fd je ulo\u017een\u00fd v spodn\u00ed \u010d\u00e1sti krku, v jamce, kter\u00e1 je p\u0159\u00edmo pojmenovan\u00e1 po \u0161t\u00edtn\u00e9 \u017el\u00e1ze a na pokyn mozku tak jak pot\u0159ebujeme, vyd\u00e1v\u00e1 hormony, kter\u00e9 n\u00e1m pom\u00e1haj\u00ed hlavn\u011b v metabolismu, ale ta spr\u00e1vn\u00e1 rychlost metabolismu ovliv\u0148uje na\u0161e neurologick\u00e9 schopnosti u d\u011bt\u00ed, v\u00fdvoj u d\u011bt\u00ed, r\u016fst samoz\u0159ejm\u011b, ale u dosp\u011bl\u00fdch potom i \u00fanavu, v\u0161t\u00edpivost, schopnost rychle reagovat. To samoz\u0159ejm\u011b plat\u00ed i pro ty d\u011bti, i kdy\u017e jako d\u011btsk\u00fd l\u00e9ka\u0159, mus\u00edm \u0159\u00edct, d\u011bti snesou o hodn\u011b, o hodn\u011b v\u00edc ne\u017e my dosp\u011bl\u00ed.<\/p>\n\n\n\n
00:02:52<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Ano, no. A \u010d\u00edm se to stane, \u017ee je porucha \u0161t\u00edtn\u00e9 \u017el\u00e1zy a jej\u00ed funkce naru\u0161ena?<\/p>\n\n\n\n
00:02:57<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
N\u011bco jin\u00e9ho je u dosp\u011bl\u00fdch a dosp\u00edvaj\u00edc\u00edch a d\u011bt\u00ed a n\u011bco jin\u00e9ho je u na\u0161ich novorozenc\u016f. U novorozenc\u016f je to bu\u010f, \u017ee \u0161t\u00edtn\u00e1 \u017el\u00e1za se \u0161patn\u011b zalo\u017e\u00ed jako org\u00e1n. Ona vznik\u00e1 pod jazykem a sestupuje pr\u00e1v\u011b do t\u00e9 jamky v spodn\u00ed \u010d\u00e1sti krku, tak\u017ee bu\u010f nesestoup\u00ed nebo se v\u016fbec nezalo\u017e\u00ed, anebo hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy nevznikaj\u00ed. Z\u010distajasna ale vznikaj\u00ed krok za krokem asi tak jako kdy\u017e \u0161vadlena \u0161ije ko\u0161ili a nakonec p\u0159i\u0161\u00edv\u00e1 knofl\u00ed\u010dky, tak i ten kone\u010dn\u00fd hormon vlastn\u011b vznik\u00e1 n\u011bkolika kroky a ka\u017ed\u00fd z t\u011bch krok\u016f m\u016f\u017ee b\u00fdt naru\u0161en\u00fd. Tak\u017ee to je vrozen\u00e1 porucha funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Co se t\u00fdk\u00e1 t\u00e9 z\u00edskan\u00e9 v pr\u016fb\u011bhu \u017eivota, tak v minulosti to bylo nej\u010dast\u011bji nedostatkem j\u00f3du, ale to d\u00edky program\u016fm, kter\u00e9 m\u00e1me mnoho, mnoho, sp\u00ed\u0161 desetilet\u00ed ne\u017e let, tak u\u017e se v \u010cesk\u00e9 republice nevyskytuje. J\u00f3du m\u00e1me dostatek, ale nejd\u016fle\u017eit\u011bj\u0161\u00edm p\u0159\u00ed\u010dinou je tzv. autoimunitn\u00ed tyreoiditida. To znamen\u00e1, \u017ee imunita, kterou m\u00e1me, tak by n\u00e1s m\u011bla chr\u00e1nit od zevn\u00edch zevn\u00edch nemoc\u00ed, vir\u016f, bakteri\u00ed. Ale n\u011bkdy se stane, \u017ee se obr\u00e1t\u00ed sama proti sv\u00e9mu t\u011blu. Je to ur\u010dit\u00e1 porucha, o kter\u00e9 m\u00e1me teorie, jak vznik\u00e1. Nicm\u00e9n\u011b kdy\u017e bych m\u011bl \u0159\u00edct, kter\u00fd org\u00e1n nej\u010dast\u011bji b\u00fdv\u00e1 pr\u00e1v\u011b autoimunitou po\u0161kozen\u00fd…. Tak jsou to org\u00e1ny, kter\u00e9 hodn\u011b pracuj\u00ed, st\u0159evo, \u0161t\u00edtn\u00e1 \u017el\u00e1za a slinivka u d\u011bt\u00ed s cukrovkou a pr\u00e1v\u011b tam, kde se n\u011bco d\u011bje, tam to imunita zv\u00fd\u0161en\u011b hl\u00edd\u00e1. Pokud to takhle zjednodu\u0161\u00edm, jako pediatr si to snad mohu dovolit. A tam potom vlastn\u011b imunita za\u010dne tu \u0161t\u00edtnou \u017el\u00e1zu nejprve hl\u00eddat, ale vlastn\u011b omezovat a za\u010dne ji po\u0161kozovat. A kdy\u017e to po\u0161kozen\u00ed dos\u00e1hne ur\u010dit\u00e9ho stupn\u011b, tak pak je sn\u00ed\u017een\u00e1 funkce. To znamen\u00e1, \u017ee m\u016f\u017eeme m\u00edt imunitn\u00ed z\u00e1n\u011bt, kter\u00fd m\u00e1me, ale nel\u00e9\u010d\u00edme ho, proto\u017ee \u0161t\u00edtn\u00e1 \u017el\u00e1za po\u0159\u00e1d dob\u0159e funguje. \u010cili nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou je omyl imunity.<\/p>\n\n\n\n
00:05:06<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Jak se poruchy funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy projevuj\u00ed? Jak t\u0159eba je na d\u011btech m\u016f\u017eeme poznat? Co na nich pozorovat, kdy u\u017e j\u00edt k l\u00e9ka\u0159i. To budou v\u0161echno ot\u00e1zky, kter\u00e9 zazn\u00ed v radioporadn\u011b \u010cesk\u00e9ho rozhlasu Hradec Kr\u00e1lov\u00e9. Za okam\u017eik.Poslouch\u00e1te st\u00e1le Radioporadnu \u010cesk\u00e9ho rozhlasu Hradec Kr\u00e1lov\u00e9? Na\u0161\u00edm hostem je d\u011btsk\u00fd l\u00e9ka\u0159 DR. David Neumann a bav\u00edme se o onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy u d\u011bt\u00ed. A vlastn\u011b j\u00e1 jsem o tom p\u0159em\u00fd\u0161lela. Je spr\u00e1vn\u00e9 nazvat to onemocn\u011bn\u00edm \u0161t\u00edtn\u00e9 \u017el\u00e1zy, anebo pr\u00e1v\u011b je lep\u0161\u00ed \u0159\u00edkat sp\u00ed\u0161 porucha funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy?<\/p>\n\n\n\n
00:09:08<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Je to jednozna\u010dn\u011b onemocn\u011bn\u00ed, pokud nen\u00ed od\u016fvodn\u011bn\u00e1 l\u00e9\u010dba a to se st\u00e1v\u00e1, proto\u017ee \u0161t\u00edtn\u00e1 \u017el\u00e1za m\u016f\u017ee b\u00fdt nemocn\u00e1, ale m\u016f\u017ee fungovat dob\u0159e. Tak v\u017edycky je vlastn\u011b indikovan\u00e1, to znamen\u00e1 l\u00e9ka\u0159sky ur\u010den\u00e1 ke sledov\u00e1n\u00ed. Nen\u00ed to jenom kv\u016fli funkci, ale pokud by ta \u0161t\u00edtn\u00e1 \u017el\u00e1za byla nep\u0159im\u011b\u0159en\u011b nam\u00e1han\u00e1, mohou v n\u00ed vzniknout tzv. uzly A to jsou okrsky, kter\u00e9 autonomn\u011b mohou pracovat jinak ne\u017e zbytek \u0161t\u00edtn\u00e9 \u017el\u00e1zy a nakonec to m\u016f\u017ee vy\u00fastit v n\u00e1dorov\u00e9 onemocn\u011bn\u00ed. Tak\u017ee proto ty d\u011bti sledujeme a dosp\u011bl\u00e9 samoz\u0159ejm\u011b tak\u00e9.<\/p>\n\n\n\n
00:09:47<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Vlastn\u011b jsme \u0159\u00edkali, \u017ee nej\u010dast\u011bj\u0161\u00ed asi je sn\u00ed\u017een\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Bav\u00edme se st\u00e1le o d\u011btech, \u017ee se m\u016f\u017ee projevit a\u017e pozd\u011bji. V ur\u010dit\u00e9m v\u011bku pat\u0159\u00ed mezi kritick\u00e9 obdob\u00ed pr\u00e1v\u011b puberta. I kv\u016fli hormon\u016fm.<\/p>\n\n\n\n
00:10:00<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
A nejen kv\u016fli hormon\u016fm, ale tak\u00e9 kv\u016fli velikosti. D\u00edt\u011b najednou vyroste, st\u00e1v\u00e1 se z n\u011bj ani ne d\u00edt\u011b, ani dosp\u011bl\u00fd. Dosp\u00edv\u00e1n\u00ed je speci\u00e1ln\u00ed obdob\u00ed na\u0161eho \u017eivota. Ur\u010dit\u011b zase v\u0161ichni v\u00edme, \u017ee je bolestn\u00e9 i kr\u00e1sn\u00e9 najednou. A ta zm\u011bna, tak jak \u0159\u00edk\u00e1te, hormony, ale tak\u00e9 hmotnost vedou k tomu, \u017ee \u0161t\u00edtn\u00e1 \u017el\u00e1za je v\u00edce zat\u00ed\u017een\u00e1 a m\u016f\u017ee se st\u00e1t, \u017ee se v t\u00e9 dob\u011b zv\u011bt\u0161\u00ed. Je v\u011bt\u0161inou na t\u011bch sle\u010dn\u00e1ch, je to vid\u011bt na krku, kde ten krk je objemn\u011bj\u0161\u00ed, m\u016f\u017ee b\u00fdt takov\u00fd t\u011bstovit\u00fd. Ale ne v\u0161echny krky, kter\u00e9 takhle vypadaj\u00ed, tak jsou od \u0161t\u00edtn\u00e9 \u017el\u00e1zy a pak se za\u010dnou projevovat pr\u00e1v\u011b ty p\u0159\u00edznaky, kter\u00e9 k tomu mohou b\u00fdt. To znamen\u00e1, \u00fanavnost, mohou b\u00fdt poruchy m\u011bs\u00ed\u010dk\u016f. Pokud to je u mlad\u0161\u00edch d\u011bt\u00ed, tak ty d\u011bti nemus\u00ed r\u016fst a pat\u0159\u00ed tam samoz\u0159ejm\u011b nev\u00fdkonnost, byl bych opatrn\u00fd s p\u0159ib\u00edr\u00e1n\u00edm na hmotnosti, m\u016f\u017ee to b\u00fdt m\u00e9n\u011b v\u00fdznamn\u00fd faktor, ale pokud p\u0159ib\u00edr\u00e1me na hmotnosti, tak je to sp\u00ed\u0161e z toho, \u017ee nezdrav\u011b nebo p\u0159\u00edli\u0161 j\u00edme a dal\u0161\u00edm.Tak\u017ee to je obdob\u00ed dosp\u00edv\u00e1n\u00ed. Pak m\u00e1me relativn\u00ed klid, \u0159ekn\u011bme, mezi dvac\u00e1t\u00fdm prvn\u00edm rokem a t\u011bhotenstv\u00edm a dal\u0161\u00ed zat\u00ed\u017een\u00ed je potom dal\u0161\u00ed z\u00e1t\u011b\u017eov\u00e9 obdob\u00ed je v t\u011bhotenstv\u00ed. No a proto vlastn\u011b ty nejprve d\u00edvky a potom sle\u010dny a mlad\u00e9 \u017eeny nech\u00e1v\u00e1me ve sledov\u00e1n\u00ed, abysme se v tom spr\u00e1vn\u00e9m \u010dase dok\u00e1zali postarat nejen o maminku, ale tak\u00e9 o miminko<\/p>\n\n\n\n
00:11:30<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Ano, No a kdy\u017e uv\u00e1d\u00edme mezi projevy pr\u00e1v\u011b i t\u0159eba n\u011bjak\u00e9 ty poruchy sp\u00e1nku? Ne klid, n\u011bjakou podr\u00e1\u017ed\u011bnost, dejme tomu, to jsou dost takov\u00e9 specifick\u00e9 a p\u0159itom obecn\u00e9 probl\u00e9my, kter\u00e9 se m\u016f\u017eou objevit i jen tak tak kdyby rodi\u010de m\u011bli zpozorn\u011bt, proto\u017ee ne asi ka\u017ed\u00e9ho na prvn\u00ed dobrou napadne zrovna \u0161t\u00edtn\u00e1 \u017el\u00e1za, pokud ne googl\u00ed a pokud opravdu nehled\u00e1 a mo\u017en\u00e1 ani tak ne.<\/p>\n\n\n\n
00:11:53<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
To, co jste zm\u00ednila, jsou p\u0159\u00edznaky, kter\u00e9 ale nejsou ke sn\u00ed\u017een\u00e9 funkci, ale ke zv\u00fd\u0161en\u00e9 funkci \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Zaj\u00edmav\u00e9 je, \u017ee to tak\u00e9 vznik\u00e1 v\u011bt\u0161inou s imunitn\u00edm zp\u016fsobem a to tak, \u017ee se objev\u00ed protil\u00e1tky, kter\u00e9 ale tu \u0161t\u00edtnou \u017el\u00e1zu netlum\u00ed, ale stimuluj\u00ed k \u010dinnosti. Tam potom ti lid\u00e9 jsou skute\u010dn\u011b nerv\u00f3zn\u00ed, \u0161patn\u011b sp\u00ed, p\u0159esto\u017ee dob\u0159e j\u00ed, tak hubnou, mohou se potit. Ale to je zase problematika, kter\u00e1 je m\u00e9n\u011b \u010dast\u00e1 ne\u017e prav\u00fd opak, \u00fanavnost, nev\u00fdkonnost a zhor\u0161en\u00ed \u0161koln\u00edho prosp\u011bchu, obecn\u011b kdy\u017e bych m\u011bl \u0159\u00edci, jak to \u0159\u00edk\u00e1m pacient\u016fm, n\u011bkdy si p\u0159ipad\u00e1m, \u017ee se \u0161t\u00edtnou \u017el\u00e1zou jedn\u00e1me jako s po\u010das\u00edm, v\u017edycky si na n\u00ed st\u011b\u017eujeme a v\u0161ecko si na n\u00ed d\u00e1 hodit. A to je p\u0159esn\u011b to, co jste \u0159ekla. Jsou p\u0159\u00edznaky, kter\u00e9 jsou v\u00fdrazn\u00e9 nebo m\u00e9n\u011b v\u00fdrazn\u00e9, ale nespecifick\u00e9. Mohou b\u00fdt dan\u00e9 stresem, p\u0159et\u00ed\u017een\u00edm a jinou nemoc\u00ed.A ta va\u0161e ot\u00e1zka sm\u011b\u0159uje. A kdy si m\u00e1 myslet, \u017ee to je \u0161t\u00edtn\u00e1 \u017el\u00e1za? No nej\u010dast\u011bji to b\u00fdv\u00e1 v p\u0159\u00edpadech, \u017ee n\u011bkdo v rodin\u011b se \u0161t\u00edtnou \u017el\u00e1zou nemocn\u00fd je. Potom to je v p\u0159\u00edpad\u011b, \u017ee se zv\u011bt\u0161\u00ed pr\u00e1v\u011b objem, obvod krku a kdy d\u011bti k tomu jsou nev\u00fdkonn\u00e9, ospal\u00e9, unaven\u00e9, ale to ospalost zase se mus\u00ed n\u011bjak m\u011b\u0159it. To nen\u00ed, \u017ee d\u00edt\u011b, kter\u00e9 je unaven\u00e9 v pr\u016fb\u011bhu cel\u00e9ho dne a chod\u00ed sp\u00e1t v 11 ve\u010der a st\u00e1v\u00e1 v \u0161est r\u00e1no a mezit\u00edm \u010dty\u0159i hodiny denn\u011b tr\u00e1v\u00ed na elektronick\u00fdch za\u0159\u00edzen\u00edch a je z toho unaven\u00e9, tak je unaven\u00e9 sp\u00ed\u0161e z toho ne\u017e ze \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Ale pokud se stane, \u017ee t\u0159eba d\u011bti za\u010dnou pravideln\u011b po p\u0159\u00edchodu ze \u0161koly si chodit lehnout a nejen lehnout, ale i usnou, tak pak by to byl d\u016fvod, pro\u010d \u0161t\u00edtnou \u017el\u00e1zu vy\u0161et\u0159ovat.<\/p>\n\n\n\n
00:13:44<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
No a jak\u00fdm zp\u016fsobem a hlavn\u011b potom jak l\u00e9\u010dit nebo jak\u00e1 budou dal\u0161\u00ed opat\u0159en\u00ed, co t\u0159eba mus\u00ed rodi\u010de a d\u011bti dodr\u017eovat? Tak o tom ur\u010dit\u011b budeme mluvit je\u0161t\u011b za okam\u017eik a je\u0161t\u011b p\u0159ipomenu na\u0161e telefonn\u00ed \u010d\u00edslo 72646 46 46, p\u0159\u00edpadn\u011b taky emailovou adresu pro dotazy studio.hradec@rozhlas.cz.<\/p>\n\n\n\n
Hostem \u010cesk\u00e9ho rozhlasu Hradec Kr\u00e1lov\u00e9 d\u00e1l z\u016fst\u00e1v\u00e1 d\u011btsk\u00fd l\u00e9ka\u0159, prim\u00e1\u0159 d\u011btsk\u00e9ho odd\u011blen\u00ed v Oblastn\u00ed. Nemocnici v Trutnov\u011b DR. David Neumann Bav\u00edme se o onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy, u d\u011bt\u00ed. U\u017e tady zazn\u011blo, \u017ee asi \u010dast\u011bj\u0161\u00ed je ta sn\u00ed\u017een\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Zazn\u011bly tady n\u011bjak\u00e9 p\u0159\u00edznaky, a kdy\u017e u\u017e tedy rodi\u010d by pojal podez\u0159en\u00ed, \u017ee by se t\u0159eba mohlo jednat o \u0161t\u00edtnou \u017el\u00e1zu, kam se prvn\u00ed vydat, jak to \u0159e\u0161it.<\/p>\n\n\n\n
00:18:24<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Ka\u017ed\u00e9 d\u00edt\u011b v \u010cesk\u00e9 republice by m\u011bl krom\u011b rodi\u010d\u016f nejl\u00e9pe zn\u00e1t jeho praktick\u00fd d\u011btsk\u00fd l\u00e9ka\u0159. \u010cili pokud rodi\u010de mysl\u00ed na onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy, m\u011bli by se zkontaktovat s d\u011btsk\u00fdm l\u00e9ka\u0159em nebo \u010dast\u011bji l\u00e9ka\u0159kou a m\u011bli by z krve ud\u011blat z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed, kter\u00e1 uk\u00e1\u017eou, jestli \u0161t\u00edtn\u00e1 \u017el\u00e1za funguje spr\u00e1vn\u011b nebo nespr\u00e1vn\u011b a pak to z\u00e1le\u017e\u00ed v n\u011bkter\u00fdch oblastech. Praktick\u00fd d\u011btsk\u00fd l\u00e9ka\u0159 v\u00ed, \u017ee m\u00e1 nechat ud\u011blat tak\u00e9 ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed, kter\u00e9 n\u00e1m hodn\u011b napov\u00ed a vlastn\u011b nebol\u00ed, co\u017e m\u00e1me u d\u011bt\u00ed r\u00e1di vlastn\u011b i u dosp\u011bl\u00fdch. Promi\u0148te. a potom pokud se skute\u010dn\u011b jedn\u00e1 o n\u011bjakou anom\u00e1lii n\u011bjakou abnormitu hormon\u016f \u0161t\u00edtn\u00e9 \u017el\u00e1zy, p\u0159\u00edpadn\u011b toho n\u00e1lezu na ultrazvuku, tak se potom d\u011bti pos\u00edlaj\u00ed k endokrinologovi a ten velmi rychle a velmi snadno nasad\u00ed n\u011bjakou l\u00e9\u010dbu.<\/p>\n\n\n\n
00:19:20<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
K t\u00e9 l\u00e9\u010db\u011b se hned dostaneme. Te\u010f kdy\u017e se bav\u00edme o vy\u0161et\u0159en\u00ed, tak j\u00e1 k tomu p\u0159id\u00e1m dotaz od pan\u00ed poslucha\u010dky, kter\u00e1 n\u00e1m p\u00ed\u0161e \u017ee se l\u00e9\u010d\u00ed se sn\u00ed\u017eenou funkc\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy kter\u00e1 j\u00ed byla zji\u0161t\u011bna po \u010dty\u0159ic\u00edtce p\u00ed\u0161e m\u00e1m probl\u00e9my s vy\u0161\u0161\u00ed v\u00e1hou odt\u00e9k\u00e1n\u00ed m\u00e1m syna a dceru m\u011bli by b\u00fdt preventivn\u011b taky pod kontrolou jejich v\u011bk je 15 a 17 let.<\/p>\n\n\n\n
00:19:40<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Je to velmi dobr\u00fd dotaz. Doporu\u010duje se, aby d\u011bti v rodin\u00e1ch, kde je n\u011bkdo nemocn\u00fd se \u0161t\u00edtnou \u017el\u00e1zou byly vy\u0161et\u0159en\u00e9, ale zase tak, jak jsem \u0159ekl, prvn\u00ed instanc\u00ed je praktick\u00fd d\u011btsk\u00fd l\u00e9ka\u0159, \u010dili je to odb\u011br krve a potom eventu\u00e1ln\u011b to m\u016f\u017ee b\u00fdt endokrinolog. U chlapc\u016f se ta nemoc \u010dasto nep\u0159en\u00e1\u0161\u00ed, kdy\u017e tak pak je l\u00e9\u010d\u00edme \u00fapln\u011b stejn\u011b jako d\u011bv\u010data a vy\u0161et\u0159en\u00ed d\u011bv\u010dat je asi d\u016fle\u017eit\u011bj\u0161\u00ed a j\u00e1 jako pediatr znovu \u0159eknu kv\u016fli tomu potenci\u00e1ln\u00edmu budouc\u00edmu t\u011bhotenstv\u00ed.<\/p>\n\n\n\n
00:20:17<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Ano, my se chceme ur\u010dit\u011b dostat i k l\u00e9\u010db\u011b nebo co to v\u016fbec pro ty d\u011bti znamen\u00e1? kdy\u017e maj\u00ed onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy, asi to n\u011bjak propoj\u00edme odkud to vz\u00edt m\u011b t\u0159eba zaj\u00edmaj\u00ed poruchy r\u016fstu. Pokud vlastn\u011b k tomuto probl\u00e9mu dojde tak pokud se na to p\u0159ijde v\u010das, odhal\u00ed se p\u0159\u00ed\u010dina a zah\u00e1j\u00ed se n\u011bjak\u00e1 l\u00e9\u010dba, tak m\u016f\u017ee se to je\u0161t\u011b p\u0159ekonat a ten r\u016fst potom pokra\u010duje norm\u00e1ln\u011b. Je tam tahle ta \u0161ance.<\/p>\n\n\n\n
00:20:41<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
R\u016fst je n\u011bco, co pat\u0159\u00ed k d\u011btstv\u00ed. Pat\u0159\u00ed to k n\u011bmu integr\u00e1ln\u011b tak jak to u\u010d\u00edme Mediky a sledov\u00e1n\u00ed r\u016fstu je n\u011bco, co ka\u017ed\u00fd praktick\u00fd d\u011btsk\u00fd l\u00e9ka\u0159 d\u011bl\u00e1. D\u011bl\u00e1 to p\u0159i t\u011bch pravideln\u00fdch prohl\u00eddk\u00e1ch, kter\u00e9 jsou ka\u017ed\u00e9 dva roky a v\u011bt\u0161ina po\u010d\u00edta\u010dov\u00fdch program\u016f u\u017e vlastn\u011b vyn\u00e1\u0161\u00ed tu k\u0159ivku, tak\u017ee vid\u00edme, jestli se r\u016fst zpomaluje nebo nezpomaluje. To, \u017ee se zpomal\u00ed r\u016fst nemus\u00ed b\u00fdt jen d\u00edky \u0161t\u00edtn\u00e9 \u017el\u00e1ze. M\u016f\u017ee to b\u00fdt i t\u0159eba kv\u016fli onemocn\u011bn\u00ed st\u0159eva, m\u016f\u017ee to b\u00fdt kv\u016fli jin\u00fdm d\u016fvod\u016fm a n\u011bkdy to b\u00fdv\u00e1 i kv\u016fli psychosoci\u00e1ln\u00edm d\u016fvod\u016fm, co\u017e pak b\u00fdv\u00e1 velmi smutn\u00e9 pro pediatry, kte\u0159\u00ed to mus\u00ed \u0159e\u0161it, kdy\u017e to je kv\u016fli \u0161t\u00edtn\u00e9 \u017el\u00e1ze. A to se st\u00e1v\u00e1 m\u00e1lokdy v t\u00e9 m\u00e9 praxi, \u0159ekn\u011bme 1-2 d\u011bti za dva roky, \u010d\u00edm\u017e chci \u0159\u00edct, \u017ee jeden rok nic a druh\u00fd rok dva, tak ve chv\u00edli, kdy se d\u00e1 spr\u00e1vn\u00e1 l\u00e9\u010dba, p\u0159idaj\u00ed se hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy, tak ty d\u011bti rostou a dosp\u00edvaj\u00ed, proto\u017ee zase dosp\u00edv\u00e1n\u00ed a r\u016fst v d\u011btstv\u00ed jdou ruku v ruce.<\/p>\n\n\n\n
00:21:39<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
L\u00e9\u010dba tedy znamen\u00e1 u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f?<\/p>\n\n\n\n
00:21:41<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Ano, a zase \u010dasto lid\u00e9 \u0159\u00edkaj\u00ed hormony, toho se boj\u00edme. Ale v p\u0159\u00edpad\u011b \u0161t\u00edtn\u00e9 \u017el\u00e1zy to nejsou hormony cizorod\u00e9, n\u011bco, co je um\u011bl\u00e1 molekula, kterou vyrobil \u010dlov\u011bk. Ale jsou to vlastn\u011b hormony, kter\u00e9 jsou jednoduch\u00e9 chemicky a kter\u00e9 jsou t\u011blu p\u0159irozen\u00e9. Ty b\u011b\u017en\u00e9 tablety, kter\u00e9 m\u00e1me, se nesm\u00ed pod\u00e1vat s l\u00e9kem s j\u00eddlem. To znamen\u00e1, v\u017edycky \u0159\u00edk\u00e1me, sotva r\u00e1no vstane, zobne si tabletku pak se p\u0159iprav\u00ed do \u0161koly, rozhod\u00ed postel a umyje se a pak teprve jde j\u00edst, aby tam bylo a \u0159ekn\u011bme, aspo\u0148 15 minut. U dosp\u011bl\u00e1k\u016f se v p\u0159\u00edpad\u011b t\u011bch klasick\u00fdch tablet, tak jak je zn\u00e1me mnoho let doporu\u010duje v\u00edc ne\u017e p\u016fl hodiny M\u00e1me v sou\u010dasnosti modern\u00ed l\u00e9\u010dbu kde ty l\u00e9ky nejsou z\u00e1visl\u00e9 na j\u00eddle, tak\u017ee se daj\u00ed podat s j\u00eddlem, ale v\u011bt\u0161inou u d\u011bt\u00ed pou\u017e\u00edv\u00e1me ty p\u016fvodn\u00ed, proto\u017ee u d\u011bt\u00ed to tak dlouho netrv\u00e1 a funguje to dob\u0159e. To, co \u0159e\u0161\u00edme u d\u011bt\u00ed a na to se vlastn\u011b pt\u00e1te, nen\u00ed jak snadn\u00e1 je ta l\u00e9\u010dba, ale jak pravideln\u011b a poctiv\u011b d\u011bti u\u017e\u00edvaj\u00ed. A to u\u017e nen\u00ed v\u011bc l\u00e9ka\u0159e. Ale je to v\u011bc rodi\u010d\u016f, aby pomohli, aby d\u011bti u\u017e\u00edvaly pravideln\u011b.<\/p>\n\n\n\n
00:22:56<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
No a my v t\u00e9 l\u00e9\u010db\u011b budeme pokra\u010dovat je\u0161t\u011b za okam\u017eik.D\u011btsk\u00fd l\u00e9ka\u0159 DR. David Neumann st\u00e1le s n\u00e1mi v r\u00e1dioporadn\u011b \u010cesk\u00e9ho rozhlasu Hradec Kr\u00e1lov\u00e9. Onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy u d\u011bt\u00ed, to je na\u0161e dne\u0161n\u00ed t\u00e9ma. My u\u017e jsme probrali l\u00e9\u010dbu, kter\u00e1 se nezd\u00e1la vlastn\u011b a\u017e zase tak slo\u017eit\u00e1 a znamen\u00e1 to pro d\u011btsk\u00e9ho pacienta, \u017ee u\u017e bude napo\u0159\u00e1d, \u017ee u\u017e bude br\u00e1t ty l\u00e9ky, kter\u00e9 jste zmi\u0148oval napo\u0159\u00e1d.<\/p>\n\n\n\n
00:26:45<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
V minulosti to tak v na\u0161em prost\u0159ed\u00ed bylo, ale v sou\u010dasnosti u\u017e to tak nen\u00ed. L\u00e9ka\u0159 se v\u017edycky sna\u017e\u00ed tam, kde je pot\u0159eba l\u00e9ky d\u00e1vat. Tam, kde nen\u00ed pot\u0159eba, tak je ned\u00e1vat tro\u0161ku. Jinak to bude u d\u011bt\u00ed, kter\u00e9 jsou p\u0159i t\u011ble, tam i potom v obdob\u00ed dosp\u00edv\u00e1n\u00ed. Vlastn\u011b to, \u017ee jsou p\u0159i t\u011ble, zat\u011b\u017euje \u0161t\u00edtnou \u017el\u00e1zu a v\u011bt\u0161inou hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy pod\u00e1v\u00e1me d\u00e1l. Ale pokud jsou ty sle\u010dny \u0161t\u00edhl\u00e9, tak se nez\u0159\u00eddka stane, \u017ee je mo\u017en\u00e9 na n\u011bjakou dobu a zase u\u017e to dneska \u0159\u00edk\u00e1m pot\u0159et\u00ed p\u0159ed t\u011bhotenstv\u00edm l\u00e9ky vysadit a jenom d\u00e1mu sledovat.<\/p>\n\n\n\n
00:27:26<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Ano. No a znamen\u00e1 to pro n\u011b n\u011bjak\u00e9 omezen\u00ed v \u017eivot\u011b? Asi te\u010f mysl\u00edm, co se t\u00fdk\u00e1 stravy, sportu, takov\u00fdch t\u011bch b\u011b\u017en\u00fdch aktivit.<\/p>\n\n\n\n
00:27:35<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
V minulosti jsme n\u011bjak\u00e1 doporu\u010den\u00ed m\u011bli, doporu\u010dovalo se nej\u00edst hru\u0161ky a kv\u011bt\u00e1k, ale.<\/p>\n\n\n\n
00:27:40<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Hru\u0161ky zrovna.<\/p>\n\n\n\n
00:27:41<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Ano, to jsou v nich jsou l\u00e1tky, kter\u00e9 sni\u017euj\u00ed funkci \u0161t\u00edtn\u00e9 \u017el\u00e1zy. \u0158\u00edkalo se jim strumigeny, ale v sou\u010dasnosti u\u017e takov\u00e9 takov\u00e1 omezen\u00ed ned\u00e1v\u00e1me naopak sna\u017e\u00edme se re\u017eim \u017eivot a j\u00eddlo v\u0161echno neomezovat a umo\u017enit d\u011btem, aby \u017eily plnohodnotn\u00fd \u017eivot jenom s t\u00edm, \u017ee si mus\u00ed r\u00e1no nebo v n\u011bkter\u00fdch p\u0159\u00edpadech ve\u010der vz\u00edt tabletku. To ve\u010dern\u00ed pod\u00e1n\u00ed je hlavn\u011b u d\u011bt\u00ed, kter\u00e9 jsou v dob\u011b, kdy nejsou spolehliv\u00e9 a to ne, \u017ee by byly nespolehliv\u00e9, \u017ee by byly \u0161patn\u011b vychovan\u00e9 nebo n\u011bco takov\u00e9ho, ale v dob\u011b, kde nejsou dostate\u010dn\u011b zral\u00e9 na to, aby pravidelnou aktivitu, kter\u00e1 jim nen\u00ed vlastn\u011b p\u0159\u00edjemn\u00e1 a vlastn\u011b z jejich pohledu nic nep\u0159in\u00e1\u0161\u00ed, d\u011blat. A to jsou takov\u00ed ti 11. 12 patn\u00e1ctilet\u00ed, kte\u0159\u00ed \u017eijou jin\u00fdmi d\u016fvody, ne\u017e je pr\u00e1v\u011b u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f. A v takov\u00e9m p\u0159\u00edpad\u011b v\u00fdjime\u010dn\u011b dovolujeme u\u017e\u00edvat l\u00e9ky ve\u010der pod dohledem rodi\u010d\u016f.<\/p>\n\n\n\n
00:28:41<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Sportovn\u00ed aktivity je tam n\u011bjak\u00e9 omezen\u00ed? Jsou Mysl\u00edm si, \u017ee jsou \u017e\u00e1dan\u00e9 sportovn\u00ed aktivity nap\u0159\u00ed\u010d. Ale p\u0159ece jenom je to n\u011bjak\u00e1 l\u00e9\u010dba.<\/p>\n\n\n\n
00:28:52<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Jist\u011b\u017ee ne. A tak\u00e9 to nen\u00ed p\u0159edm\u011bt dopingu, to znamen\u00e1, hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy upravujeme podle aktu\u00e1ln\u00edch pot\u0159eb organismu, do kter\u00fdch se prom\u00edt\u00e1 i ten sport. Existuje situace, kdy ale sportovn\u00ed aktivity omezujeme, a to je u zv\u00fd\u0161en\u00e9 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Tam potom, aby se ten proces autoimunitn\u00ed uklidnil, pot\u0159ebujeme i m\u00edrn\u00e9 omezen\u00ed aktivit a t\u0159eba nedoporu\u010dujeme, aby se koupali v hork\u00e9 a studen\u00e9 vod\u011b, aby jedli p\u0159\u00edli\u0161 ko\u0159en\u011bn\u00e1 nebo hork\u00e1 zase j\u00eddla, ale sna\u017e\u00edme se to zkr\u00e1tit na co nejmen\u0161\u00ed dobu n\u00e1le\u017eit\u011b upravit l\u00e9\u010dbu a vlastn\u011b potom znovu mohou do pln\u00e9ho provozu.<\/p>\n\n\n\n
00:29:36<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Jedn\u00e1 se o hormon\u00e1ln\u00ed l\u00e9\u010dbu co potom t\u0159eba antikoncepce u 17 osmn\u00e1ctilet\u00fdch sla\u010den.<\/p>\n\n\n\n
00:29:42<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Nen\u00ed to na sebe nijak v\u00e1zan\u00e9, antikoncepci dovolujeme.<\/p>\n\n\n\n
00:29:46<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Dob\u0159e. No a na z\u00e1v\u011br tedy i samoz\u0159ejm\u011b onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy, rodi\u010de to vyd\u011bs\u00ed, d\u011bti to taky m\u016f\u017ee vyd\u011bsit. Jak\u00e1 je progn\u00f3za, kdy\u017e bychom m\u011bli shrnout tohle to onemocn\u011bn\u00ed a l\u00e9\u010dbu, jak je \u00fasp\u011b\u0161n\u00e1 i z hlediska. t\u011bch omezen\u00ed, ta nejsou \u017e\u00e1dn\u00e1, vlastn\u011b, jak jsme se dozv\u011bd\u011bli, tak jak byste to shrnul?<\/p>\n\n\n\n
00:30:09<\/p>\n\n\n\n
mluv\u010d\u00ed 4,<\/p>\n\n\n\n
Pokud pou\u010duju s\u00e1m rodi\u010de a vysv\u011btluji jim, v jak\u00e9 situaci stoj\u00ed, tak \u0159\u00edk\u00e1m, je to nep\u0159\u00edjemn\u00e9 jenom t\u00edm, \u017ee mus\u00edte u\u017e\u00edvat l\u00e9ky a ty by se m\u011bly u\u017e\u00edvat pravideln\u011b, pokud se v\u00fdjime\u010dn\u011b vynech\u00e1, zase v tomhle p\u0159\u00edpad\u011b to t\u011blo si s t\u00edm dob\u0159e porad\u00ed. Nejhor\u0161\u00ed je kol\u00eds\u00e1n\u00ed. \u010cili u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f je jedin\u00fd vlastn\u011b stav nebo handicap, kter\u00fd se s t\u00edm poj\u00ed a vlastn\u011b ani to nezkracuje \u017eivot, ani to nep\u0159in\u00e1\u0161\u00ed \u017e\u00e1dn\u00e9 jin\u00e9 komplikace. Tak\u017ee to onemocn\u011bn\u00ed je nep\u0159\u00edjemn\u00e9 Jen v t\u011bch tabletk\u00e1ch.<\/p>\n\n\n\n
00:30:43<\/p>\n\n\n\n
mluv\u010d\u00ed 3,<\/p>\n\n\n\n
Kon\u010d\u00edme optimisticky. To je dob\u0159e. Na\u0161\u00edm hostem dnes byl DR. David Neumann, prim\u00e1\u0159 d\u011btsk\u00e9ho odd\u011blen\u00ed v Oblastn\u00ed nemocnice v Trutnov\u011b, d\u011btsk\u00fd diabetolog, endokrinolog d\u011bkujeme za n\u00e1v\u0161t\u011bvu a a\u0165 se da\u0159\u00ed m\u011bjte.<\/p>\n\n\n\n
00:30:55<\/p>\n\n\n\n
mluv\u010d\u00ed 2,<\/p>\n\n\n\n
P\u00e1te\u010dn\u00ed Habad\u011bj Sladou Kloko\u010dn\u00edkovou \u017eiv\u011b z na\u0161\u00ed rozhlasov\u00e9 kav\u00e1rny ka\u017ed\u00fd p\u00e1tek od dev\u00edti do.<\/p>\n\n\n\n
00:31:03<\/p>\n\n\n\n
mluv\u010d\u00ed 5,<\/p>\n\n\n\n
12 hodin tentokr\u00e1t den p\u0159ed svat\u00fdm Valent\u00fdnem, p\u0159iv\u00edt\u00e1me v p\u00e1te\u010dn\u00edm Habad\u011bji autorskou a man\u017eelskou dvojici Mirka a Danu Va\u0148urovi. Jak\u00e9 je to nat\u00e1\u010det v\u00edce ne\u017e 20 let o nejv\u011bt\u0161\u00edch zlo\u010dinc\u00edch u n\u00e1s? Jak se man\u017eelsk\u00e1 dvojice navz\u00e1jem inspiruje, podporuje a co je \u010dek\u00e1 v leto\u0161n\u00edm roce? I o tom bude setk\u00e1n\u00ed po des\u00e1t\u00e9 hodin\u011b po jeden\u00e1ct\u00e9. Pak n\u00e1s Radka Svato\u0161ov\u00e1 zavede do sv\u00e9 bylinkov\u00e9 zahrady a porad\u00ed, jak vyu\u017e\u00edvat s\u00edlu sem\u00ednek a pupen\u016f.<\/p>\n\n\n\n
00:31:33<\/p>\n\n\n\n
mluv\u010d\u00ed 2,<\/p>\n\n\n\n
P\u0159ij\u010fte do na\u0161\u00ed rozhlasov\u00e9 kav\u00e1rny nebo poslouchejte \u010cesk\u00fd rozhlas Hradec Kr\u00e1lov\u00e9 r\u00e1dio.<\/p>\n\n\n\n
00:32:06<\/p>\n\n\n\n
mluv\u010d\u00ed 6,<\/p>\n\n\n\n
Jsem ani Leonardo ani Michelangelo Paletu m\u00e1m amat\u00e9rsky chudou.Ale kdy\u017e mne pan\u00ed mu zapol\u00edbila na.Nad\u00e1n\u00ed m\u011b neh\u00fd\u010dkaly. U m\u011bny zkreslen\u00ed jsem v\u017edycky m\u00edval p\u011btky. Dneska vlastn\u00ed du\u0161\u00ed kresl\u00edm fresky na.<\/p>\n\n\n\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
\u010cRo Hradec Kr\u00e1lov\u00e9 Na\u0161e dne\u0161n\u00ed t\u00e9ma bude porucha funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy, ale tentokr\u00e1t hlavn\u011b u d\u011bt\u00ed a na\u0161\u00edm hostem je DR. David Neumann, prim\u00e1\u0159 d\u011btsk\u00e9ho […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":39599,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-62948","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\/62948","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=62948"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/62948\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/39599"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=62948"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62948"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62948"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}