{"id":4752,"date":"2022-02-16T13:59:07","date_gmt":"2022-02-16T12:59:07","guid":{"rendered":"https:\/\/bleskovenoviny.cz\/?p=4752"},"modified":"2022-02-16T13:59:09","modified_gmt":"2022-02-16T12:59:09","slug":"osteoporoza-nemoc-bez-priznaku-ktera-ohrozuje-zivot","status":"publish","type":"post","link":"https:\/\/bleskovenoviny.cz\/?p=4752","title":{"rendered":"Osteopor\u00f3za: Nemoc bez p\u0159\u00edznak\u016f, kter\u00e1 ohro\u017euje \u017eivot"},"content":{"rendered":"\n

Mnoz\u00ed o n\u00ed netu\u0161\u00ed, dokud je nep\u0159ekvap\u00ed n\u00e1hl\u00e1 zlomenina kon\u010detin, ky\u010dle \u010di obratle. Nav\u00edc po nevinn\u00e9m p\u00e1du. \u00dabytek kostn\u00ed hmoty nebol\u00ed. Osteopor\u00f3za je nemoc kostn\u00ed tk\u00e1n\u011b, kter\u00e1 se projevuje ub\u00fdv\u00e1n\u00edm mno\u017estv\u00ed kostn\u00ed hmoty a poruchami mikroarchitektury kost\u00ed.<\/p>\n\n\n\n

Kosti jsou oslaben\u00e9 a snadno se l\u00e1mou. Nemoc v\u0161ak vyvol\u00e1v\u00e1 i dal\u0161\u00ed obt\u00ed\u017ee, nap\u0159\u00edklad akutn\u00ed a chronickou bolest, probl\u00e9my s d\u00fdch\u00e1n\u00edm, reflux a jin\u00e9 za\u017e\u00edvac\u00ed probl\u00e9my, zak\u0159iven\u00ed zad, pokles hmotnosti, vyklenut\u00ed b\u0159icha, depresi, chirurgick\u00e9 komplikace, dokonce i zv\u00fd\u0161enou \u00famrtnost.<\/p>\n\n\n\n

N\u00e1sledky osteopor\u00f3zy jsou opravdu velk\u00e9. Velmi z\u00e1va\u017en\u00e9 mohou b\u00fdt i n\u00e1sledky osteoporotick\u00fdch zlomenin.<\/p>\n\n\n\n

Osteopor\u00f3za se naz\u00fdv\u00e1 tak\u00e9 tichou epidemi\u00ed. Je to proto, \u017ee nem\u00e1 p\u0159\u00edznaky. T\u00edm prvn\u00edm b\u00fdv\u00e1 \u010dasto a\u017e zlomenina. \u010cast\u011bji se vyskytuje u \u017een, ale neobch\u00e1z\u00ed ani mu\u017ee. Je to onemocn\u011bn\u00ed zejm\u00e9na star\u0161\u00edch lid\u00ed, ale zpozorn\u011bt by m\u011bly i \u017eeny v postmenopauz\u00e1ln\u00edm obdob\u00ed. Dobrou zpr\u00e1vou je, \u017ee p\u0159i v\u010dasn\u00e9 a spr\u00e1vn\u00e9 diagnostice se d\u00e1 osteopor\u00f3za stabilizovat a lze s n\u00ed v\u00e9st norm\u00e1ln\u00ed \u017eivot.<\/p>\n\n\n\n

\u201eV prvn\u00edch f\u00e1z\u00edch pacient nev\u00ed o tom, \u017ee trp\u00ed t\u00edmto onemocn\u011bn\u00edm, a tedy \u017ee m\u00e1 zv\u00fd\u0161enou n\u00e1chylnost ke zlomenin\u00e1m. \u010casto se osteopor\u00f3za diagnostikuje a\u017e p\u0159i prvn\u00ed zlomenin\u011b. A ta u\u017e m\u016f\u017ee zm\u011bnit kvalitu \u017eivota. Zp\u016fsobuje bolest, ztr\u00e1tu nez\u00e1vislosti a r\u016fzn\u00e1 zdravotn\u00ed posti\u017een\u00ed,\u201c \u0159\u00edk\u00e1 So\u0148a Tomkov\u00e1, vedouc\u00ed l\u00e9ka\u0159ka Osteocentra a p\u0159ednostka intern\u00ed kliniky Nemocnice Ko\u0161ice-\u0160aca.<\/p>\n\n\n\n

P\u0159i t\u011b\u017ek\u00e9 osteopor\u00f3ze u\u017e nemus\u00ed j\u00edt jen o bolest p\u0159i zlomenin\u011b. \u201eP\u0159i mnoha zlomenin\u00e1ch obratle maj\u00ed pacienti i probl\u00e9my s d\u00fdch\u00e1n\u00edm \u010di se za\u017e\u00edv\u00e1n\u00edm. Zlomenina as n\u00ed spojen\u00e9 probl\u00e9my s sebou p\u0159in\u00e1\u0161ej\u00ed i psychickou z\u00e1t\u011b\u017e, kter\u00e1 m\u016f\u017ee p\u0159er\u016fst a\u017e do deprese. N\u00e1sledky osteoporotick\u00fdch zlomenin jsou tedy dlouhodob\u00e9 zdravotn\u00ed posti\u017een\u00ed a ztr\u00e1ta nez\u00e1vislosti. Zejm\u00e9na ve star\u0161\u00edm v\u011bku se sni\u017euje kvalita \u017eivota. A\u017e 53 procent pacient\u016f pot\u0159ebuje pomoc dostat se na m\u00edsto mimo p\u011b\u0161\u00ed vzd\u00e1lenosti, 62 procent nen\u00ed schopno prov\u00e1d\u011bt b\u011b\u017en\u00e9 dom\u00e1c\u00ed pr\u00e1ce, 64 procent nedok\u00e1\u017ee j\u00edt bez pomoci na toaletu a 42 procent neum\u00ed bez pomoci nakupovat,\u201c uvedla doktorka Tomkov\u00e1.<\/p>\n\n\n\n

N\u011bkolik fakt\u016f o osteopor\u00f3ze
Osteopor\u00f3za je stav, p\u0159i kter\u00e9m sn\u00ed\u017een\u00e1 kvalita, mno\u017estv\u00ed a s\u00edla kost\u00ed zvy\u0161uj\u00ed riziko zlomeniny.
Celosv\u011btov\u011b ka\u017ed\u00e1 t\u0159et\u00ed \u017eena a ka\u017ed\u00fd p\u00e1t\u00fd mu\u017e star\u0161\u00ed 50 let jsou posti\u017eeni zlomeninou kost\u00ed v d\u016fsledku osteopor\u00f3zy.
Je to v\u00e1\u017en\u00fd stav, kter\u00fd v\u0161ak lze l\u00e9\u010dit.
Zlomenina ve star\u0161\u00edm v\u011bku, kterou lze diagnostikovat jako osteoporatickou, je mo\u017en\u00fdm sign\u00e1lem toho, \u017ee budou n\u00e1sledovat dal\u0161\u00ed zlomeniny. V\u0161eobecn\u00fd nebo odborn\u00fd l\u00e9ka\u0159 by m\u011bl takov\u00e9ho pacienta poslat k vy\u0161et\u0159en\u00ed hustoty kost\u00ed. I samotn\u00fd pacient m\u016f\u017ee o takov\u00e9 vy\u0161et\u0159en\u00ed po\u017e\u00e1dat.
Spr\u00e1vnou \u017eivotospr\u00e1vou a stravov\u00e1n\u00edm lze osteopor\u00f3ze p\u0159edch\u00e1zet.
V\u010dasn\u00e1 diagn\u00f3za znamen\u00e1, \u017ee l\u00e9\u010dba m\u016f\u017ee b\u00fdt \u00fa\u010dinn\u011bj\u0161\u00ed. V t\u00e9to souvislosti se doporu\u010duje neignorovat bolesti p\u00e1te\u0159e.
Pokud jste si p\u0159i p\u00e1du z n\u00edzk\u00e9 v\u00fd\u0161ky nebo po p\u00e1du ve stoje zlomili jakoukoli kost (nap\u0159\u00edklad z\u00e1p\u011bst\u00ed), m\u016f\u017ee to b\u00fdt sign\u00e1lem p\u0159\u00edtomnosti osteopor\u00f3zy.
Po\u017e\u00e1dejte l\u00e9ka\u0159e o vy\u0161et\u0159en\u00ed \u2013 i jedna zlomen\u00e1 kost je varov\u00e1n\u00edm p\u0159ed dal\u0161\u00edmi zlomeninami.
Celosv\u011btov\u011b ka\u017ed\u00e1 t\u0159et\u00ed \u017eena a ka\u017ed\u00fd p\u00e1t\u00fd mu\u017e star\u0161\u00ed 50 let jsou posti\u017eeni zlomeninou kost\u00ed v d\u016fsledku osteopor\u00f3zy. Je to v\u00e1\u017en\u00fd stav, kter\u00fd v\u0161ak lze l\u00e9\u010dit. Zlomenina ve star\u0161\u00edm v\u011bku, kterou lze diagnostikovat jako osteoporatickou, je sign\u00e1lem, \u017ee budou n\u00e1sledovat dal\u0161\u00ed. V\u0161eobecn\u00fd nebo odborn\u00fd l\u00e9ka\u0159 by m\u011bl takov\u00e9ho pacienta poslat k vy\u0161et\u0159en\u00ed hustoty kost\u00ed. I samotn\u00fd pacient m\u016f\u017ee o takov\u00e9 vy\u0161et\u0159en\u00ed po\u017e\u00e1dat.<\/p>\n\n\n\n

\"\"<\/a><\/figure><\/div>\n\n\n\n

Denzinometrie je nejp\u0159esn\u011bj\u0161\u00ed neinvazivn\u00ed diagnostick\u00e1 metoda pro stanoven\u00ed miner\u00e1ln\u00ed hustoty kost\u00ed (BMD). M\u011b\u0159\u00ed kostn\u00ed hustotu v oblasti p\u00e1te\u0159e a kr\u010dku stehenn\u00ed kosti a na z\u00e1klad\u011b toho se stanov\u00ed tzv. T-sk\u00f3re, tedy index toho, jakou m\u00e1 pacient kost v porovn\u00e1n\u00ed s mlad\u00fdm zdrav\u00fdm jedincem. V\u00fdsledky se analyzuj\u00ed spolu s laboratorn\u00edmi testy a anamn\u00e9zou pacienta, na z\u00e1klad\u011b \u010deho\u017e se osteopor\u00f3za potvrd\u00ed nebo vylou\u010d\u00ed.<\/p>\n\n\n\n

\u201eNa Slovensku m\u00e1me dostatek denzinometrick\u00fdch p\u0159\u00edstroj\u016f i vysokou dostupnost terapeutick\u00fdch modalit s adekv\u00e1tn\u00ed spolu\u00fa\u010dast\u00ed \u00fahrady zdravotn\u00edmi poji\u0161\u0165ovnami. Disponujeme i dostate\u010dnou s\u00edt\u00ed osteocenter. P\u0159esto je osteopor\u00f3za st\u00e1le poddiagnistikovan\u00e1 a podl\u00e9\u010den\u00e1. Nel\u00e9\u010d\u00ed se dostatek pacient\u016f a roste n\u00e1m po\u010det zlomenin, zejm\u00e9na t\u011bch nejv\u00e1\u017en\u011bj\u0161\u00edch,\u201c dodala doktorka So\u0148a Tomkov\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"

Mnoz\u00ed o n\u00ed netu\u0161\u00ed, dokud je nep\u0159ekvap\u00ed n\u00e1hl\u00e1 zlomenina kon\u010detin, ky\u010dle \u010di obratle. Nav\u00edc po nevinn\u00e9m p\u00e1du. \u00dabytek kostn\u00ed hmoty nebol\u00ed. Osteopor\u00f3za je nemoc kostn\u00ed tk\u00e1n\u011b, kter\u00e1 se projevuje ub\u00fdv\u00e1n\u00edm mno\u017estv\u00ed kostn\u00ed hmoty a poruchami mikroarchitektury kost\u00ed. Kosti jsou oslaben\u00e9 a snadno se l\u00e1mou. Nemoc v\u0161ak vyvol\u00e1v\u00e1 i dal\u0161\u00ed obt\u00ed\u017ee, nap\u0159\u00edklad akutn\u00ed a chronickou bolest, […]<\/p>\n","protected":false},"author":101,"featured_media":4753,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[278],"tags":[],"class_list":["post-4752","post","type-post","status-publish","format-standard","has-post-thumbnail","category-rady-a-navody"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts\/4752","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/users\/101"}],"replies":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4752"}],"version-history":[{"count":0,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts\/4752\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/media\/4753"}],"wp:attachment":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4752"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4752"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4752"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}