{"id":6757,"date":"2013-06-18T10:00:43","date_gmt":"2013-06-18T08:00:43","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=6757"},"modified":"2013-06-18T10:00:43","modified_gmt":"2013-06-18T08:00:43","slug":"poruchami-prijmu-potravy-trpi-i-obezni-lide","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=6757","title":{"rendered":"Poruchami p\u0159\u00edjmu potravy trp\u00ed i ob\u00e9zn\u00ed lid\u00e9"},"content":{"rendered":"<p><strong>Poruchy p\u0159\u00edjmu potravy tr\u00e1p\u00ed nejen vyhubl\u00e9 anorekti\u010dky, ale i ob\u00e9zn\u00ed lidi. Zjistit poruchu je obt\u00ed\u017en\u00e9, proto\u017ee se k probl\u00e9m\u016fm s j\u00eddlem necht\u011bj\u00ed p\u0159iznat, \u0159\u00edk\u00e1 psycholo\u017eka \u0160\u00e1rka Slab\u00e1 z projektu V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny \u017dij zdrav\u011b.<\/strong><\/p>\n<p><!--more--><\/p>\n<p>Z\u00e1sadn\u00ed vliv m\u00e1 psychika, podobn\u011b jako u anorexie, kter\u00e1 ale je spojena s odm\u00edt\u00e1n\u00ed j\u00eddla. Ob\u00e9zn\u00ed naproti tomu propadaj\u00ed z\u00e1chvatovit\u00e9mu p\u0159ej\u00edd\u00e1n\u00ed, no\u010dn\u00edmu p\u0159ej\u00edd\u00e1n\u00ed, nebo takzvan\u00e9mu kontinu\u00e1ln\u00edmu jeden\u00ed.<br \/>\nOdhalit probl\u00e9m pom\u016f\u017ee n\u011bkolik typick\u00fdch p\u0159\u00edznak\u016f &#8211; skokov\u00e9 tloustnut\u00ed, vynech\u00e1v\u00e1n\u00ed spole\u010dn\u00e9ho j\u00eddla s rodinou, a pokud ob\u00e9zn\u00ed s rodinou j\u00ed, tak \u010dasto jen zeleninu. Typick\u00e9 tak\u00e9 je pit\u00ed st\u00e1le v\u00edce kofeinov\u00fdch n\u00e1poj\u016f, zm\u011bny n\u00e1lady a izolace od okol\u00ed.<\/p>\n<p>Z\u00e1chvatovit\u00fdm p\u0159ej\u00edd\u00e1n\u00edm trp\u00ed a\u017e 25 procent ob\u00e9zn\u00edch, \u010dasto \u017eeny do 45 let v\u011bku. Pacient je schopen za dv\u011b hodiny spo\u0159\u00e1dat obrovsk\u00e9 mno\u017estv\u00ed potravy, pak se za to styd\u00ed, je sebou znechucen, propad\u00e1 se do deprese. Odbornou pomoc pot\u0159ebuje, pokud m\u00e1 z\u00e1chvaty p\u0159ej\u00edd\u00e1n\u00ed v posledn\u00edm p\u016fl roce alespo\u0148 dvakr\u00e1t t\u00fddn\u011b.<\/p>\n<p>No\u010dn\u00edm p\u0159ej\u00edd\u00e1n\u00edm trp\u00ed a\u017e 16 procent ob\u00e9zn\u00edch, n\u011bkter\u00e9 p\u0159\u00edznaky t\u00e9to poruchy m\u00e1 a\u017e 39 procent. Pacienti n\u011bkolikr\u00e1t t\u00fddn\u011b v noci vyjed\u00ed v kr\u00e1tk\u00e9 chv\u00edli celou lednici a p\u0159ijmou v\u00edce ne\u017e \u010dtvrtinu denn\u00edho spot\u0159eby kalori\u00ed. R\u00e1no nev\u011bd\u00ed, \u017ee v noci jedli, poznaj\u00ed to jen podle vyhozen\u00fdch obal\u016f a pr\u00e1zdn\u00e9 lednice. V\u00fd\u010ditky cht\u011bj\u00ed zm\u00edrnit p\u0159\u00edsnou dietou.<\/p>\n<p>Kontinu\u00e1ln\u00edm jeden\u00edm trp\u00ed a\u017e 40 procent ob\u00e9zn\u00edch, u kter\u00fdch se uva\u017euje o opera\u010dn\u00edm zmen\u0161en\u00ed \u017ealudku. Nemohou kv\u016fli tomu operaci podstoupit. Nemocn\u00ed jed\u00ed v podstat\u011b bez p\u0159eru\u0161en\u00ed, i kdy\u017e ne tak velk\u00e9 d\u00e1vky jako p\u0159i z\u00e1chvatovit\u00e9m p\u0159ej\u00edd\u00e1n\u00ed. Ztr\u00e1cej\u00ed ale kontrolu nad sv\u00fdm stravov\u00e1n\u00edm a nedok\u00e1\u017eou s jeden\u00edm p\u0159estat.<\/p>\n<p>Ob\u00e9zn\u00ed b\u00fdvaj\u00ed v\u011bt\u0161inou v p\u00e9\u010di praktick\u00fdch l\u00e9ka\u0159\u016f, ti je k psycholog\u016fm nebo psychiatr\u016fm pos\u00edlaj\u00ed obvykle jen tehdy, kdy\u017e trp\u00ed depres\u00ed. P\u0159itom by tito pacienti m\u011bli z psychoterapie podpo\u0159en\u00e9 l\u00e9ky na depresi velk\u00fd u\u017eitek. &#8222;P\u0159ej\u00edd\u00e1n\u00ed a dal\u0161\u00ed formy nespr\u00e1vn\u00e9ho stravov\u00e1n\u00ed ovlivn\u011bn\u00e9ho psychikou tak nez\u0159\u00eddka stoj\u00ed stranou odborn\u00edk\u016f,&#8220; shrnula psycholo\u017eka.<\/p>\n<p>invArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Poruchy p\u0159\u00edjmu potravy tr\u00e1p\u00ed nejen vyhubl\u00e9 anorekti\u010dky, ale i ob\u00e9zn\u00ed lidi. Zjistit poruchu je obt\u00ed\u017en\u00e9, proto\u017ee se k probl\u00e9m\u016fm s j\u00eddlem necht\u011bj\u00ed p\u0159iznat, \u0159\u00edk\u00e1 psycholo\u017eka <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=6757\" title=\"Poruchami p\u0159\u00edjmu potravy trp\u00ed i ob\u00e9zn\u00ed lid\u00e9\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-6757","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/6757","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=6757"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/6757\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6757"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6757"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6757"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}