Gary Larson
l\u00e9ka\u0159 The University of Oklahoma
Oklahoma City, OK<\/p>\n\n\n\n
Radioterapie je p\u0159i l\u00e9\u010db\u011b rakoviny prostaty stejn\u011b \u00fa\u010dinn\u00e1 jako chirurgick\u00fd z\u00e1krok a t\u00edmto zp\u016fsobem byly l\u00e9\u010deny ji\u017e statis\u00edce mu\u017e\u016f. Vedlej\u0161\u00ed \u00fa\u010dinky oza\u0159ov\u00e1n\u00ed prostaty jsou zp\u016fsobeny n\u00e1sleduj\u00edc\u00edmi faktory:<\/p>\n\n\n\n
Z\u00e1n\u011bt prostaty, kter\u00fd vyvol\u00e1v\u00e1 otok \u2013 ten vede ke sl\u00e1bnut\u00ed proudu mo\u010di, \u010dast\u011bj\u0161\u00edmu nutk\u00e1n\u00ed na mo\u010den\u00ed, pocitu nal\u00e9havosti (nutnosti rychle vyhledat toaletu) a \u010dast\u011bj\u0161\u00edmu no\u010dn\u00edmu vst\u00e1v\u00e1n\u00ed za \u00fa\u010delem mo\u010den\u00ed. Protiz\u00e1n\u011btliv\u00e9 l\u00e9ky, nap\u0159\u00edklad ibuprofen, pom\u00e1haj\u00ed zm\u00edrnit z\u00e1n\u011bt, a t\u00edm i tyto p\u0159\u00edznaky. Pokud nejsou dostate\u010dn\u011b \u00fa\u010dinn\u00e9, obvykle pom\u00e1haj\u00ed tzv. alfa-blok\u00e1tory (l\u00e1tky, kter\u00e9 selektivn\u011b uvol\u0148uj\u00ed hladk\u00e9 svalstvo v oblasti prostaty a mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e), jako je nap\u0159\u00edklad p\u0159\u00edpravek Flomax (\u00fa\u010dinn\u00e1 l\u00e1tka tamsulosin).<\/p>\n\n\n\n
Z\u00e1n\u011bt mo\u010dov\u00e9 trubice, kter\u00fd zp\u016fsobuje p\u00e1len\u00ed p\u0159i mo\u010den\u00ed \u2013 k tomu doch\u00e1z\u00ed p\u0159ibli\u017en\u011b u 10 % pacient\u016f.<\/p>\n\n\n\n
Z\u00e1n\u011bt sliznice kone\u010dn\u00edku (zp\u016fsoben\u00fd rychlou obnovou bun\u011bk, kter\u00e9 tuto sliznici tvo\u0159\u00ed \u2013 bu\u0148ky se neust\u00e1le obnovuj\u00ed, proto\u017ee jsou p\u0159i pr\u016fchodu stolice neust\u00e1le obru\u0161ov\u00e1ny; rychle se d\u011bl\u00edc\u00ed bu\u0148ky jsou na \u00fa\u010dinky z\u00e1\u0159en\u00ed citliv\u011bj\u0161\u00ed). To m\u016f\u017ee v\u00e9st k \u010dast\u011bj\u0161\u00ed stolici, p\u0159\u00edtomnosti hlenu \u010di ob\u010dasn\u00e9mu v\u00fdskytu mal\u00e9ho mno\u017estv\u00ed krve ve stolici a n\u011bkdy i k bolesti. Tento stav se naz\u00fdv\u00e1 radia\u010dn\u00ed proktitida a vyskytuje se u m\u00e9n\u011b ne\u017e 5\u201310 % pacient\u016f.<\/p>\n\n\n\n
\u00danava je jedin\u00fdm vedlej\u0161\u00edm \u00fa\u010dinkem oza\u0159ov\u00e1n\u00ed, kter\u00fd p\u0159\u00edmo nesouvis\u00ed s oza\u0159ovanou oblast\u00ed. P\u0159esn\u00e1 p\u0159\u00ed\u010dina nen\u00ed zn\u00e1ma, existuje v\u0161ak n\u011bkolik teori\u00ed. U n\u011bkter\u00fdch pacient\u016f se \u00fanava nemus\u00ed projevit v\u016fbec. U jin\u00fdch m\u016f\u017ee b\u00fdt natolik v\u00fdrazn\u00e1, \u017ee maj\u00ed pot\u0159ebu j\u00edt sp\u00e1t d\u0159\u00edve ne\u017e obvykle nebo si odpoledne zd\u0159\u00edmnout. \u010cast\u011bji se projevuje sn\u00ed\u017eenou v\u00fddr\u017e\u00ed p\u0159i \u010dinnostech vy\u017eaduj\u00edc\u00edch v\u011bt\u0161\u00ed fyzickou n\u00e1mahu (pr\u00e1ce na zahrad\u011b, sport, b\u011bh\u00e1n\u00ed atd.). S oza\u0159ov\u00e1n\u00edm se n\u011bkdy kombinuje tzv. androgenn\u00ed deprivace (hormon\u00e1ln\u00ed l\u00e9\u010dba), kter\u00e1 rovn\u011b\u017e zp\u016fsobuje \u00fanavu. Pokud jsou ob\u011b metody pou\u017eity sou\u010dasn\u011b, jejich \u00fa\u010dinky se s\u010d\u00edtaj\u00ed. V\u0161echny tyto vedlej\u0161\u00ed \u00fa\u010dinky obvykle odezn\u00ed b\u011bhem n\u011bkolika t\u00fddn\u016f (p\u0159\u00edpadn\u011b za m\u011bs\u00edc \u010di dva) po ukon\u010den\u00ed l\u00e9\u010dby \u2013 s v\u00fdjimkou radia\u010dn\u00ed proktitidy, kter\u00e1 m\u016f\u017ee u mal\u00e9 men\u0161iny pacient\u016f (m\u00e9n\u011b ne\u017e n\u011bkolik procent) p\u0159etrv\u00e1vat 6 m\u011bs\u00edc\u016f i d\u00e9le.<\/p>\n\n\n\n
Radioterapie prostaty nezp\u016fsobuje:
Sn\u00ed\u017een\u00ed funkce imunitn\u00edho syst\u00e9mu
Ztr\u00e1tu vlas\u016f
Nevolnost
Bolesti hlavy
Sterilitu \u2013 to je d\u016fle\u017eit\u00e9 zejm\u00e9na pro mu\u017ee, kte\u0159\u00ed se st\u00e1le sna\u017e\u00ed o potomstvo nebo jsou sexu\u00e1ln\u011b aktivn\u00ed s \u017eenami v plodn\u00e9m v\u011bku. Tito mu\u017ei by v \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b nem\u011bli spol\u00e9hat na to, \u017ee l\u00e9\u010dba funguje jako antikoncepce (toho lze dos\u00e1hnout pouze vazektomi\u00ed nebo odstran\u011bn\u00edm varlat). B\u011bhem oza\u0159ov\u00e1n\u00ed a minim\u00e1ln\u011b 6 m\u011bs\u00edc\u016f po jeho skon\u010den\u00ed by m\u011bli pou\u017e\u00edvat antikoncepci, jeliko\u017e m\u016f\u017ee doj\u00edt k oz\u00e1\u0159en\u00ed varlat, co\u017e by mohlo v\u00e9st ke vzniku vrozen\u00fdch vad (b\u011bhem \u0161esti m\u011bs\u00edc\u016f projdou v\u0161echny spermie sv\u00fdm \u017eivotn\u00edm cyklem a jsou z t\u011bla odstran\u011bny).<\/p>\n\n\n\n
Quora<\/p>\n","protected":false},"excerpt":{"rendered":"
Gary Larsonl\u00e9ka\u0159 The University of OklahomaOklahoma City, OK Radioterapie je p\u0159i l\u00e9\u010db\u011b rakoviny prostaty stejn\u011b \u00fa\u010dinn\u00e1 jako chirurgick\u00fd z\u00e1krok a t\u00edmto zp\u016fsobem byly l\u00e9\u010deny ji\u017e […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-65777","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/65777","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=65777"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/65777\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=65777"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=65777"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=65777"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}