{"id":63922,"date":"2026-05-25T15:04:03","date_gmt":"2026-05-25T13:04:03","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=63922"},"modified":"2026-05-25T15:04:04","modified_gmt":"2026-05-25T13:04:04","slug":"doplnky-stravy-na-stitnou-zlazu-vetsinou-zbytecne-rikaji-lekari","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=63922","title":{"rendered":"Dopl\u0148ky stravy na \u0161t\u00edtnou \u017el\u00e1zu? V\u011bt\u0161inou zbyte\u010dn\u00e9, \u0159\u00edkaj\u00ed l\u00e9ka\u0159i"},"content":{"rendered":"\n<p><em>Startuje T\u00fdden \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/em><\/p>\n\n\n\n<p><strong>Nefunguje v\u00e1m spr\u00e1vn\u011b \u0161t\u00edtn\u00e1 \u017el\u00e1za? Cho\u010fte na prohl\u00eddky k l\u00e9ka\u0159i, u\u017e\u00edvejte p\u0159edepsan\u00e9 l\u00e9ky a \u017eijte norm\u00e1ln\u011b. \u017d\u00e1dn\u00e9 speci\u00e1ln\u00ed diety ani dopl\u0148ky stravy nepot\u0159ebujete.<\/strong>\u00a0<strong>To vzkazuj\u00ed endokrinologov\u00e9 v\u00edce ne\u017e 600\u00a0tis\u00edc\u016fm \u010cech\u016f, kte\u0159\u00ed se l\u00e9\u010d\u00ed s\u00a0onemocn\u011bn\u00edm \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Reaguj\u00ed tak na \u010dast\u00e9 situace, kdy si pacienti k\u00a0p\u0159edepsan\u00fdm l\u00e9k\u016fm p\u0159ib\u00edraj\u00ed dopl\u0148ky stravy, kter\u00e9 maj\u00ed \u00fadajn\u011b p\u0159isp\u011bt ke zdrav\u00e9mu fungov\u00e1n\u00ed tohoto d\u016fle\u017eit\u00e9ho org\u00e1nu. Nej\u010dast\u011bji jde o selen,<\/strong><strong> r\u016fzn\u00e9 vitam\u00edny, zinek, ho\u0159\u010d\u00edk, j\u00f3d, biotin, nebo dokonce r\u016fzn\u00e9 v\u00fdta\u017eky ze su\u0161en\u00fdch zv\u00ed\u0159ec\u00edch \u0161t\u00edtn\u00fdch \u017el\u00e1z. Posledn\u011b jmenovan\u00e9 krom\u011b toho, \u017ee jsou v\u011bt\u0161inou zbyte\u010dn\u00e9, mohou pacient\u016fm vysloven\u011b \u0161kodit t\u00edm, \u017ee naru\u0161\u00ed spr\u00e1vn\u00e9 vst\u0159eb\u00e1v\u00e1n\u00ed hormon\u016f \u0161t\u00edtn\u00e9 \u017el\u00e1zy ve st\u0159ev\u011b. Na m\u00fdty ve v\u00fd\u017eiv\u011b poukazuj\u00ed endokrinologov\u00e9 u p\u0159\u00edle\u017eitosti T\u00fddne \u0161t\u00edtn\u00e9 \u017el\u00e1zy, <\/strong><strong>kter\u00fd p\u0159ipad\u00e1 na 25.\u201331. kv\u011btna.<\/strong><\/p>\n\n\n\n<p>\u201e<em>Na\u0161im pacient\u016fm \u0159\u00edk\u00e1me, aby \u017eili tak jako p\u0159edt\u00edm. \u017d<\/em><em>\u00e1dn\u00e1 speci\u00e1ln\u00ed omezen\u00ed nejsou t\u0159eba. Bohu\u017eel se \u010dasto setk\u00e1v\u00e1me s\u00a0t\u00edm, \u017ee kdy\u017e si jdou do l\u00e9k\u00e1rny pro n\u00e1mi p\u0159edepsan\u00e9 l\u00e9ky, nab\u00eddnou jim l\u00e9k\u00e1rn\u00edci rovnou \u0159adu dopl\u0148k\u016f. V\u00a0drtiv\u00e9 v\u011bt\u0161in\u011b to ale nen\u00ed pot\u0159eba, a pokud ano, pak je pacient\u016fm doporu\u010d\u00edme my,\u201c <\/em>\u0159\u00edk\u00e1 doc. MUDr. Jan Jiskra z III. intern\u00ed kliniky 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v\u00a0Praze. Jak d\u00e1le uv\u00e1d\u00ed, v\u00a0\u010cesk\u00e9 republice, stejn\u011b jako v\u00a0ostatn\u00edch vysp\u011bl\u00fdch zem\u00edch, maj\u00ed lid\u00e9 p\u0159\u00edstup k\u00a0pestr\u00e9 strav\u011b, a nen\u00ed tedy t\u0159eba nic v\u00fdznamn\u011b dopl\u0148ovat. <em>\u201eV\u00fdjimkou jsou snad jen j\u00f3d v\u00a0t\u011bhotenstv\u00ed a\u00a0vitam\u00edn\u00a0D, proto\u017ee na slun\u00ed\u010dko chod\u00edme \u010d\u00edm d\u00e1l m\u00e9n\u011b,\u201c<\/em> dod\u00e1v\u00e1 doc. Jiskra.<\/p>\n\n\n\n<p>Nej\u010dast\u011bj\u0161\u00ed poruchou je sn\u00ed\u017een\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy (hypotyre\u00f3za). Kolem jej\u00ed l\u00e9\u010dby koluje \u0159ada m\u00fdt\u016f a neov\u011b\u0159en\u00fdch rad, zejm\u00e9na na internetu a soci\u00e1ln\u00edch s\u00edt\u00edch. <em>\u201eNeexistuje \u017e\u00e1dn\u00e1 speci\u00e1ln\u00ed dieta pro pacienty s hypotyre\u00f3zou. Pestr\u00e1 a vyv\u00e1\u017een\u00e1 strava je to nejlep\u0161\u00ed, co pro sebe pacient m\u016f\u017ee ud\u011blat. Pot\u0159ebujeme m\u00edt v&nbsp;j\u00eddeln\u00ed\u010dku lu\u0161t\u011bniny, vejce \u2013 ide\u00e1ln\u011b z&nbsp;n\u011bjak\u00e9 venkovsk\u00e9 zahr\u00e1dky, vl\u00e1kninu, o\u0159echy. V\u00fdborn\u00e1 je pro n\u00e1s v\u0161echny st\u0159edomo\u0159sk\u00e1 dieta, kde je m\u00e9n\u011b \u010derven\u00e9ho masa, v\u00edce ryb a mo\u0159sk\u00fdch plod\u016f a nap\u0159\u00edklad \u00fast\u0159ice. A samoz\u0159ejm\u011b pohyb,\u201c<\/em> upozor\u0148uje endokrinolog z l\u00e9ka\u0159sk\u00e9ho centra v&nbsp;Praze MUDr. Richard Stejskal. Lid\u00e9 se podle l\u00e9ka\u0159e nap\u0159\u00edklad zbyte\u010dn\u011b vyh\u00fdbaj\u00ed b\u011b\u017en\u00fdm potravin\u00e1m. <em>\u201eKoluje m\u00fdtus, \u017ee by pacienti s poruchou \u0161t\u00edtn\u00e9 \u017el\u00e1zy nem\u011bli j\u00edst s\u00f3ju nebo brukvovitou zeleninu, jako je brokolice nebo kapusta. V b\u011b\u017en\u00e9m mno\u017estv\u00ed jsou ale tyto potraviny bezpe\u010dn\u00e9,\u201c<\/em> \u0159\u00edk\u00e1 l\u00e9ka\u0159.<\/p>\n\n\n\n<p>Jak uv\u00e1d\u00ed p\u0159edseda \u010cesk\u00e9 endokrinologick\u00e9 spole\u010dnosti prof. MUDr. Michal Kr\u0161ek, DrSc., MBA, FEFIM, z\u00e1kladem l\u00e9\u010dby hypotyre\u00f3zy z\u016fst\u00e1v\u00e1 syntetick\u00fd hormon levothyroxin, kter\u00fd je bezpe\u010dn\u00fd, p\u0159esn\u011b d\u00e1vkovan\u00fd a dlouhodob\u011b ov\u011b\u0159en\u00fd. P\u0159esto endokrinologov\u00e9 v posledn\u00ed dob\u011b registruj\u00ed snahy o n\u00e1vrat k tzv. \u201ep\u0159\u00edrodn\u00ed l\u00e9\u010db\u011b\u201c pomoc\u00ed extrakt\u016f ze \u0161t\u00edtn\u00fdch \u017el\u00e1z zv\u00ed\u0159at.<\/p>\n\n\n\n<p>\u201e<em>Tyto p\u0159\u00edpravky nejsou dostate\u010dn\u011b kontrolovan\u00e9, maj\u00ed prom\u011bnliv\u00e9 slo\u017een\u00ed a chyb\u00ed d\u016fkazy o&nbsp;jejich bezpe\u010dnosti a \u00fa\u010dinnosti. Proto je jako standardn\u00ed l\u00e9\u010dbu v&nbsp;\u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b nedoporu\u010dujeme,\u201c<\/em> \u0159\u00edk\u00e1 doc. Jiskra. Na rizika upozor\u0148uje i americk\u00fd \u00da\u0159ad pro kontrolu potravin a l\u00e9\u010div (FDA), kter\u00fd loni vyzval v\u00fdrobce t\u011bchto p\u0159\u00edpravk\u016f k regulaci a nazna\u010dil jejich mo\u017en\u00e9 sta\u017een\u00ed z trhu.<\/p>\n\n\n\n<p>P\u0159ed endokrinology stoj\u00ed dal\u0161\u00ed v\u00fdzva \u2013 s roz\u0161i\u0159uj\u00edc\u00edm se u\u017e\u00edv\u00e1n\u00edm modern\u00edch l\u00e9k\u016f na obezitu je nutn\u00e9 upravovat d\u00e1vkov\u00e1n\u00ed tak, aby odpov\u00eddalo rychle se m\u011bn\u00edc\u00ed hmotnosti pacient\u016f. <em>\u201eSt\u00e1v\u00e1 se, \u017ee pacient l\u00e9\u010den\u00fd pro hypotyre\u00f3zu v\u00fdrazn\u011b zhubne, \u010d\u00edm\u017e se pot\u0159eba hormonu \u0161t\u00edtn\u00e9 \u017el\u00e1zy sn\u00ed\u017e\u00ed. Kdy\u017e ale pacient l\u00e9\u010dbu neuprav\u00ed, dostav\u00ed se p\u0159ed\u00e1vkov\u00e1n\u00ed. Na druhou stranu, redukce hmotnosti u pacienta m\u016f\u017ee v\u00e9st k&nbsp;normalizaci laboratorn\u00edch hodnot \u2013 \u010dasto toti\u017e v&nbsp;testech na \u0161t\u00edtnou \u017el\u00e1zu u ob\u00e9zn\u00edch pacient\u016f v\u00edd\u00e1me laboratorn\u00ed odchylky,\u201c <\/em>vysv\u011btluje doc. Jiskra.<\/p>\n\n\n\n<p>Se \u0161t\u00edtnou \u017el\u00e1zou se v&nbsp;\u010cesku l\u00e9\u010d\u00ed p\u0159es 620&nbsp;tis\u00edc lid\u00ed, v\u011bt\u0161inou \u017eeny ve vy\u0161\u0161\u00edm v\u011bku. Nejb\u011b\u017en\u011bj\u0161\u00ed poruchou je sn\u00ed\u017een\u00e1 funkce tohoto org\u00e1nu, jej\u00ed\u017e p\u0159\u00ed\u010dinou b\u00fdv\u00e1 v\u011bt\u0161inou autoimunitn\u00ed onemocn\u011bn\u00ed. Na probl\u00e9my se \u0161t\u00edtnou \u017el\u00e1zou pacienty ale \u010dasto nic dop\u0159edu neupozorn\u00ed. Podle odborn\u00edk\u016f tak m\u016f\u017ee b\u00fdt nemocn\u00fdch ve skute\u010dnosti a\u017e milion.<\/p>\n\n\n\n<p><strong>O \u010cesk\u00e9 endokrinologick\u00e9 spole\u010dnosti<\/strong><\/p>\n\n\n\n<p>\u010cesk\u00e1 endokrinologick\u00e1 spole\u010dnost (\u010cES) je jednou z&nbsp;organiza\u010dn\u00edch slo\u017eek \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti&nbsp;JEP. Je z\u00e1rove\u0148 p\u0159idru\u017een\u00fdm \u010dlenem European Society of Endocrinology (ESE) a \u010dlenem International Society for Endocrinology (ISE). Vzd\u011bl\u00e1v\u00e1 odbornou i laickou ve\u0159ejnost, organizuje odborn\u00e9 konference a prov\u00e1d\u00ed v\u011bdeckou \u010dinnost. Jej\u00ed \u010dlenov\u00e9 jsou v&nbsp;kontaktu s&nbsp;mezin\u00e1rodn\u00ed v\u011bdeckou komunitou a publikuj\u00ed v&nbsp;odborn\u00fdch \u010dasopisech. V\u00edce informac\u00ed na <a href=\"https:\/\/www.endokrinologie.cz\/\"><em>www.endokrinologie.cz<\/em><\/a>.<\/p>\n\n\n\n<p><strong>O T\u00fddnu \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/strong><\/p>\n\n\n\n<p>Letos se kon\u00e1 18. ro\u010dn\u00edk osv\u011btov\u00e9 kampan\u011b T\u00fdden \u0161t\u00edtn\u00e9 \u017el\u00e1zy. Dlouhodob\u00fdm c\u00edlem kampan\u011b je zv\u00fd\u0161it pov\u011bdom\u00ed ve\u0159ejnosti o poruch\u00e1ch \u0161t\u00edtn\u00e9 \u017el\u00e1zy, co\u017e m\u016f\u017ee n\u00e1sledn\u011b pomoci&nbsp;l\u00e9pe a v\u010das diagnostikovat pacienty, kte\u0159\u00ed o sv\u00e9m onemocn\u011bn\u00ed&nbsp;nev\u011bd\u00ed. Onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy je \u010dasto bezp\u0159\u00edznakov\u00e9, ale v\u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dba p\u0159edejdou mo\u017en\u00fdm komplikac\u00edm. Je t\u0159eba tak\u00e9 opakovan\u011b vyvracet mnoh\u00e9 omyly a m\u00fdty, kter\u00e9 jsou ve spole\u010dnosti v&nbsp;souvislosti se \u0161t\u00edtnou \u017el\u00e1zou a jej\u00ed l\u00e9\u010dbou zako\u0159en\u011bny. V&nbsp;\u010cesk\u00e9 republice je projekt, kter\u00fd podporuje spole\u010dnost Merck, odborn\u011b za\u0161t\u00edt\u011bn \u010ceskou endokrinologickou spole\u010dnost\u00ed \u010cLS JEP. V\u00edce informac\u00ed na<a href=\"http:\/\/www.tydenstitnezlazy.cz\/\"><em>www.tydenstitnezlazy.cz<\/em><\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Startuje T\u00fdden \u0161t\u00edtn\u00e9 \u017el\u00e1zy Nefunguje v\u00e1m spr\u00e1vn\u011b \u0161t\u00edtn\u00e1 \u017el\u00e1za? Cho\u010fte na prohl\u00eddky k l\u00e9ka\u0159i, u\u017e\u00edvejte p\u0159edepsan\u00e9 l\u00e9ky a \u017eijte norm\u00e1ln\u011b. \u017d\u00e1dn\u00e9 speci\u00e1ln\u00ed diety ani dopl\u0148ky <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=63922\" title=\"Dopl\u0148ky stravy na \u0161t\u00edtnou \u017el\u00e1zu? V\u011bt\u0161inou zbyte\u010dn\u00e9, \u0159\u00edkaj\u00ed l\u00e9ka\u0159i\">[&#8230;]<\/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":[11],"tags":[],"class_list":["post-63922","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\/63922","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=63922"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63922\/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=63922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63922"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}