{"id":12978,"date":"2026-10-14T06:00:00","date_gmt":"2026-10-14T06:00:00","guid":{"rendered":"https:\/\/www.mojemedunka.cz\/?p=12978"},"modified":"2026-10-14T09:49:05","modified_gmt":"2026-10-14T09:49:05","slug":"zenske-zdravi-panevni-dno-a-moderni-pristup-k-prevenci","status":"publish","type":"post","link":"https:\/\/www.mojemedunka.cz\/index.php\/2026\/10\/14\/zenske-zdravi-panevni-dno-a-moderni-pristup-k-prevenci\/","title":{"rendered":"\u017densk\u00e9 zdrav\u00ed, p\u00e1nevn\u00ed dno a modern\u00ed p\u0159\u00edstup k\u00a0prevenci"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Z aktu\u00e1ln\u00ed \u0159\u00edjnov\u00e9 Medu\u0148ky, jej\u00ed\u017e hlavn\u00ed t\u00e9ma jsme nazvali <em>Mozaika \u017eenstv\u00ed<\/em> a je v\u011bnov\u00e1no \u017een\u00e1m a \u017eensk\u00e9mu zdrav\u00ed, vyb\u00edr\u00e1me pro tento t\u00fdden uk\u00e1zku z inspirativn\u00edho \u010dl\u00e1nku Bc. Ivany Delmotte Chalupeck\u00e9, ergoterapeutky a lektorky tzv. hypopresivn\u00ed metody. Cel\u00e9 \u0159\u00edjnov\u00e9 \u010d\u00edslo Medu\u0148ky (stejn\u011b jako p\u0159edchoz\u00ed \u010d\u00edsla na\u0161eho \u010dasopisu), je k dispozici na <\/strong><em><a href=\"https:\/\/emedunka.cz\" data-type=\"link\" data-id=\"emedunka.cz\"><strong>emedunka.cz<\/strong><\/a><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Uk\u00e1zka z \u010dl\u00e1nku: <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mnoho \u017een si na sv\u00e9 t\u011blo zvykne tak, jak pr\u00e1v\u011b funguje. P\u0159izp\u016fsob\u00ed se drobn\u00fdm omezen\u00edm, kter\u00e1 p\u0159ich\u00e1zej\u00ed nen\u00e1padn\u011b. Pro jistotu si p\u0159ed vych\u00e1zkou odsko\u010d\u00ed. &nbsp;P\u0159i k\u00fdchnut\u00ed instinktivn\u011b st\u00e1hnou nohy k sob\u011b. Ve\u010der c\u00edt\u00ed tlak u po\u0161evn\u00edho vchodu, t\u00edhu v podb\u0159i\u0161ku nebo maj\u00ed pocit, \u017ee se b\u0159icho b\u011bhem dne vyklene v\u00edc, ne\u017e by odpov\u00eddalo j\u00eddlu \u010di postav\u011b. Jen\u017ee i ob\u010dasn\u00e1 kapka mo\u010di p\u0159i k\u00fdchnut\u00ed nebo sportu je informace, kterou nen\u00ed vhodn\u00e9 p\u0159ehl\u00ed\u017eet. Pocit tlaku v p\u00e1nvi, bolesti zad nebo vypoukl\u00e1 b\u0159i\u0161n\u00ed st\u011bna nejsou n\u00e1hodn\u00e9. <strong>Nejde o slabost, v\u011bk ani selh\u00e1n\u00ed jednoho svalu.<br>Ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f jde o dlouhodob\u011b naru\u0161enou souhru tlaku, dechu a spolupr\u00e1<\/strong><strong>ce cel\u00e9<\/strong><strong>ho st\u0159edu t\u011bla.<\/strong><strong><br><\/strong>Ka\u017ed\u00fd n\u00e1dech a v\u00fddech m\u011bn\u00ed pom\u011bry uvnit\u0159 t\u011bla. Br\u00e1nice p\u0159i n\u00e1dechu kles\u00e1 dol\u016f, p\u0159i v\u00fddechu se vrac\u00ed vzh\u016fru. Pokud je dech pru\u017en\u00fd a dr\u017een\u00ed t\u011bla vyv\u00e1\u017een\u00e9, zat\u00ed\u017een\u00ed se rozprost\u0159e rovnom\u011brn\u011b \u2013 do stran, dozadu i jemn\u011b sm\u011brem dol\u016f. Org\u00e1ny maj\u00ed oporu, p\u00e1te\u0159 stabilitu a p\u00e1nevn\u00ed dno reaguje p\u0159irozen\u011b. Pokud je v\u0161ak d\u00fdch\u00e1n\u00ed povrchov\u00e9, zrychlen\u00e9, \u010dasto \u00fasty a pod vlivem stresu, nebo pokud \u017eena trvale zatahuje b\u0159icho, za\u010dne se z\u00e1t\u011b\u017e p\u0159en\u00e1\u0161et p\u0159ev\u00e1\u017en\u011b dol\u016f. A pr\u00e1v\u011b p\u00e1nevn\u00ed dno b\u00fdv\u00e1 m\u00edstem, kde se tato nerovnov\u00e1ha projev\u00ed jako prvn\u00ed.<strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>P\u00e1nevn\u00ed dno jako sou\u010d\u00e1st celku<\/strong><br>P\u00e1nevn\u00ed dno nen\u00ed jen sval, kter\u00fd lze jednodu\u0161e pos\u00edlit opakovan\u00fdm stahov\u00e1n\u00edm. P\u0159ibli\u017en\u011b 70 % jeho struktury tvo\u0159\u00ed pojivov\u00e1 tk\u00e1\u0148 \u2013 fascie a vazy, kter\u00e9 propojuj\u00ed org\u00e1ny, svaly i kostru do jednoho funk\u010dn\u00edho syst\u00e9mu. Nejde tedy o izolovanou oblast, ale o sou\u010d\u00e1st \u0161ir\u0161\u00edho stabiliza\u010dn\u00edho a tlakov\u00e9ho mechanismu t\u011bla.<br>Sou\u010dasn\u00e9 poznatky ukazuj\u00ed, \u017ee p\u00e1nevn\u00ed dno nen\u00ed ploch\u00e1 s\u00ed\u0165 napnut\u00e1 mezi kostmi, jak se d\u0159\u00edve zjednodu\u0161en\u011b popisovalo. M\u00e1 prostorov\u00e9 a pru\u017en\u00e9 uspo\u0159\u00e1d\u00e1n\u00ed, kter\u00e9 mu umo\u017e\u0148uje reagovat na zm\u011bny zat\u00ed\u017een\u00ed p\u0159i d\u00fdch\u00e1n\u00ed, pohybu i sportu. D\u00edky t\u00e9to pru\u017enosti dok\u00e1\u017ee tlumit n\u00e1razy a chr\u00e1nit org\u00e1ny i p\u00e1te\u0159.<br>Pokud v\u0161ak dlouhodob\u011b doch\u00e1z\u00ed k p\u0159et\u00ed\u017een\u00ed nebo k naru\u0161en\u00ed tlakov\u00e9 rovnov\u00e1hy, tato pru\u017en\u00e1 opora ztr\u00e1c\u00ed schopnost reagovat v prav\u00fd \u010das. Org\u00e1ny nemaj\u00ed dostate\u010dnou podporu a mohou se objevit pot\u00ed\u017ee \u2013 inkontinence, sestup p\u00e1nevn\u00edch org\u00e1n\u016f, bolesti zad nebo chronick\u00e9 nap\u011bt\u00ed v oblasti b\u0159icha.<br>Rizikem nen\u00ed pouze t\u011bhotenstv\u00ed \u010di menopauza. Stejn\u011b tak m\u016f\u017ee p\u00e1nevn\u00ed dno dlouhodob\u011b p\u0159et\u011b\u017eovat intenzivn\u00ed sport s vysok\u00fdmi dopady, chronick\u00e1 z\u00e1cpa a tla\u010den\u00ed, \u010dast\u00e9 zadr\u017eov\u00e1n\u00ed dechu p\u0159i n\u00e1maze nebo trval\u00e9 zatahov\u00e1n\u00ed b\u0159icha. Pochopen\u00ed tohoto syst\u00e9mu je prvn\u00edm krokem k n\u00e1prav\u011b.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Inkontinence nen\u00ed \u201enorm\u00e1ln\u00ed\u201c<\/strong><br>\u00danik mo\u010di p\u0159i b\u011bhu, skoku nebo sm\u00edchu mnoho \u017een bagatelizuje. P\u0159itom se t\u00fdk\u00e1 i mlad\u00fdch sportovky\u0148, kter\u00e9 nikdy nerodily. Vysok\u00e9 nitrob\u0159i\u0161n\u00ed tlaky p\u0159i vzp\u00edr\u00e1n\u00ed, crossfitu nebo dlouh\u00e9m b\u011bhu mohou p\u00e1nevn\u00ed dno dlouhodob\u011b p\u0159et\u011b\u017eovat, pokud koordinace st\u0159edu t\u011bla nen\u00ed optim\u00e1ln\u00ed.<br>\u00danik mo\u010di nen\u00ed da\u0148 za v\u00fdkon ani znak slabosti. Je to informace, \u017ee regulace tlaku v t\u011ble nen\u00ed v rovnov\u00e1ze.<br>Stejn\u011b tak nen\u00ed vhodn\u00e9 pravideln\u011b p\u0159eru\u0161ovat proud mo\u010di jako formu \u201eposilov\u00e1n\u00ed\u201c, tla\u010dit p\u0159i vyprazd\u0148ov\u00e1n\u00ed nebo vykon\u00e1vat pot\u0159ebu v pod\u0159epu nad ve\u0159ejnou toaletou. P\u00e1nevn\u00ed dno se p\u0159i mo\u010den\u00ed i stolici pot\u0159ebuje uvolnit. Proto doporu\u010duji si sedat v\u017edy (po hygienick\u00e9m zaji\u0161t\u011bn\u00ed WC). Pokud je nutn\u00e9 zatla\u010dit, je \u0161etrn\u011bj\u0161\u00ed vyu\u017e\u00edt aktivn\u00ed v\u00fddech proti m\u00edrn\u00e9mu odporu \u2013 nap\u0159\u00edklad fouknut\u00ed do zav\u0159en\u00e9 p\u011bsti. Pomoci m\u016f\u017ee i jednoduch\u00e1 stoli\u010dka pod nohy, kter\u00e1 uprav\u00ed \u00fahel ky\u010dl\u00ed a sn\u00ed\u017e\u00ed z\u00e1t\u011b\u017e v oblasti p\u00e1nve.<br>I ob\u010dasn\u00e1 kapka mo\u010di p\u0159i k\u00fdchnut\u00ed nebo zvednut\u00ed t\u011b\u017e\u0161\u00edho p\u0159edm\u011btu ukazuje, \u017ee p\u00e1nevn\u00ed dno nedok\u00e1\u017ee v dan\u00fd okam\u017eik pru\u017en\u011b reagovat na zv\u00fd\u0161en\u00ed tlaku. P\u0159iznat si probl\u00e9m nen\u00ed selh\u00e1n\u00ed. Je to za\u010d\u00e1tek \u0159e\u0161en\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Jak\u00e1 \u0159e\u0161en\u00ed nab\u00edz\u00ed dne\u0161n\u00ed<\/strong> <strong>medic\u00edna<\/strong><br>Sou\u010dasn\u00e1 medic\u00edna m\u00e1 sv\u00e9 pevn\u00e9 m\u00edsto zejm\u00e9na u pokro\u010dil\u00fdch stav\u016f. U stresov\u00e9 inkontinence se \u010dasto zav\u00e1d\u00ed p\u00e1ska pod mo\u010dovou trubici (TVT, TOT). Z\u00e1krok b\u00fdv\u00e1 kr\u00e1tk\u00fd a m\u016f\u017ee p\u0159in\u00e9st rychlou \u00falevu od konkr\u00e9tn\u00edho symptomu. Neovliv\u0148uje v\u0161ak celkovou regulaci tlaku ani koordinaci hlubok\u00e9ho stabiliza\u010dn\u00edho syst\u00e9mu.<br>U prolapsu se n\u011bkdy doporu\u010duje hysterektomie, tedy odstran\u011bn\u00ed d\u011blohy. V onkologick\u00fdch nebo t\u011b\u017ek\u00fdch p\u0159\u00edpadech je z\u00e1krok nezbytn\u00fd. Samotn\u00e9 odstran\u011bn\u00ed d\u011blohy v\u0161ak ne\u0159e\u0161\u00ed p\u0159\u00ed\u010dinu zm\u011bn\u011bn\u00e9 tlakov\u00e9 distribuce. Pokud z\u016fstane nezm\u011bn\u011bn dechov\u00fd stereotyp a pr\u00e1ce hlubok\u00fdch sval\u016f, m\u016f\u017ee se \u010dasem objevit sestup jin\u00fdch org\u00e1n\u016f.<br>U prvn\u00edho a druh\u00e9ho stupn\u011b prolapsu by m\u011bla b\u00fdt v\u017edy prvn\u00ed volbou c\u00edlen\u00e1 fyzioterapie, pr\u00e1ce s dechem a \u00faprava dr\u017een\u00ed t\u011bla. U vy\u0161\u0161\u00edch stup\u0148\u016f m\u016f\u017ee pomoci pesar jako mechanick\u00e1 opora. I zde m\u00e1 funk\u010dn\u00ed terapie sv\u00e9 m\u00edsto.<br>Pr\u00e1v\u011b v t\u00e9to oblasti se otev\u00edr\u00e1 prostor pro p\u0159\u00edstup, kter\u00fd pracuje s p\u0159\u00ed\u010dinou pot\u00ed\u017e\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hypopresivn\u00ed<\/strong> <strong>metoda<\/strong> <strong>\u2013 \u0161etrn\u00e1 a efektivn\u00ed pr\u00e1ce se st\u0159edem t\u011bla<\/strong> <br>Hypopresivn\u00ed metoda vznikla v 80. letech v Belgii, kdy l\u00e9ka\u0159 Marcel Caufriez p\u0159i pr\u00e1ci s \u017eenami po porodu pozoroval, \u017ee tradi\u010dn\u00ed \u201esilov\u00e9\u201c cviky na b\u0159icho mohou u n\u011bkter\u00fdch zhor\u0161ovat inkontinenci nebo prolaps. Hledal zp\u016fsob, jak aktivovat hlubok\u00e9 svaly a zlep\u0161it podporu org\u00e1n\u016f, ani\u017e by se zvy\u0161oval tlak v dutin\u011b b\u0159i\u0161n\u00ed. Postupn\u011b vznikl systematick\u00fd soubor cvik\u016f, kter\u00fd se roz\u0161\u00ed\u0159il zejm\u00e9na ve \u0160pan\u011blsku a dnes je sou\u010d\u00e1st\u00ed fyzioterapeutick\u00e9 i sportovn\u00ed praxe v cel\u00e9 Evrop\u011b&#8230;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong>V\u00edce informac\u00ed o t\u00e9to pozoruhodn\u00e9 metod\u011b se dozv\u00edte v \u0159\u00edjnov\u00e9 Medu\u0148ce.<\/strong><\/em><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Z aktu\u00e1ln\u00ed \u0159\u00edjnov\u00e9 Medu\u0148ky, jej\u00ed\u017e hlavn\u00ed t\u00e9ma jsme nazvali Mozaika \u017eenstv\u00ed a je v\u011bnov\u00e1no \u017een\u00e1m a \u017eensk\u00e9mu zdrav\u00ed, vyb\u00edr\u00e1me pro tento t\u00fdden uk\u00e1zku z inspirativn\u00edho \u010dl\u00e1nku Bc. Ivany Delmotte Chalupeck\u00e9, ergoterapeutky a lektorky tzv. hypopresivn\u00ed metody. Cel\u00e9 \u0159\u00edjnov\u00e9 \u010d\u00edslo Medu\u0148ky (stejn\u011b jako p\u0159edchoz\u00ed \u010d\u00edsla na\u0161eho \u010dasopisu), je k dispozici na emedunka.cz Uk\u00e1zka z \u010dl\u00e1nku: Mnoho \u017een si na sv\u00e9 t\u011blo zvykne tak, jak pr\u00e1v\u011b funguje. P\u0159izp\u016fsob\u00ed se drobn\u00fdm omezen\u00edm, kter\u00e1 p\u0159ich\u00e1zej\u00ed nen\u00e1padn\u011b. Pro jistotu si p\u0159ed vych\u00e1zkou odsko\u010d\u00ed. &nbsp;P\u0159i k\u00fdchnut\u00ed instinktivn\u011b st\u00e1hnou nohy k sob\u011b. Ve\u010der c\u00edt\u00ed tlak u po\u0161evn\u00edho vchodu, t\u00edhu v podb\u0159i\u0161ku nebo maj\u00ed pocit, \u017ee se b\u0159icho b\u011bhem dne vyklene v\u00edc, ne\u017e by odpov\u00eddalo j\u00eddlu \u010di postav\u011b. Jen\u017ee i ob\u010dasn\u00e1 kapka mo\u010di p\u0159i k\u00fdchnut\u00ed nebo sportu je informace, kterou nen\u00ed vhodn\u00e9 p\u0159ehl\u00ed\u017eet. Pocit tlaku v p\u00e1nvi, bolesti zad nebo vypoukl\u00e1 b\u0159i\u0161n\u00ed st\u011bna nejsou n\u00e1hodn\u00e9. Nejde o slabost, v\u011bk ani selh\u00e1n\u00ed jednoho svalu.Ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f jde o dlouhodob\u011b naru\u0161enou souhru tlaku, dechu a spolupr\u00e1ce cel\u00e9ho st\u0159edu t\u011bla.Ka\u017ed\u00fd n\u00e1dech a v\u00fddech m\u011bn\u00ed pom\u011bry uvnit\u0159 t\u011bla. Br\u00e1nice p\u0159i n\u00e1dechu kles\u00e1 dol\u016f, p\u0159i v\u00fddechu se vrac\u00ed vzh\u016fru. Pokud je dech pru\u017en\u00fd a dr\u017een\u00ed t\u011bla vyv\u00e1\u017een\u00e9, zat\u00ed\u017een\u00ed se rozprost\u0159e rovnom\u011brn\u011b \u2013 do stran, dozadu i jemn\u011b sm\u011brem dol\u016f. Org\u00e1ny maj\u00ed oporu, p\u00e1te\u0159 stabilitu a p\u00e1nevn\u00ed dno reaguje p\u0159irozen\u011b. Pokud je v\u0161ak d\u00fdch\u00e1n\u00ed povrchov\u00e9, zrychlen\u00e9, \u010dasto \u00fasty a pod vlivem stresu, nebo pokud \u017eena trvale zatahuje b\u0159icho, za\u010dne se z\u00e1t\u011b\u017e p\u0159en\u00e1\u0161et p\u0159ev\u00e1\u017en\u011b dol\u016f. A pr\u00e1v\u011b p\u00e1nevn\u00ed dno b\u00fdv\u00e1 m\u00edstem, kde se tato nerovnov\u00e1ha projev\u00ed jako prvn\u00ed. P\u00e1nevn\u00ed dno jako sou\u010d\u00e1st celkuP\u00e1nevn\u00ed dno nen\u00ed jen sval, kter\u00fd lze jednodu\u0161e pos\u00edlit opakovan\u00fdm stahov\u00e1n\u00edm. P\u0159ibli\u017en\u011b 70 % jeho struktury tvo\u0159\u00ed pojivov\u00e1 tk\u00e1\u0148 \u2013 fascie a vazy, kter\u00e9 propojuj\u00ed org\u00e1ny, svaly i kostru do jednoho funk\u010dn\u00edho syst\u00e9mu. Nejde tedy o izolovanou oblast, ale o sou\u010d\u00e1st \u0161ir\u0161\u00edho stabiliza\u010dn\u00edho a tlakov\u00e9ho mechanismu t\u011bla.Sou\u010dasn\u00e9 poznatky ukazuj\u00ed, \u017ee p\u00e1nevn\u00ed dno nen\u00ed ploch\u00e1 s\u00ed\u0165 napnut\u00e1 mezi kostmi, jak se d\u0159\u00edve zjednodu\u0161en\u011b popisovalo. M\u00e1 prostorov\u00e9 a pru\u017en\u00e9 uspo\u0159\u00e1d\u00e1n\u00ed, kter\u00e9 mu umo\u017e\u0148uje reagovat na zm\u011bny zat\u00ed\u017een\u00ed p\u0159i d\u00fdch\u00e1n\u00ed, pohybu i sportu. D\u00edky t\u00e9to pru\u017enosti dok\u00e1\u017ee tlumit n\u00e1razy a chr\u00e1nit org\u00e1ny i p\u00e1te\u0159.Pokud v\u0161ak dlouhodob\u011b doch\u00e1z\u00ed k p\u0159et\u00ed\u017een\u00ed nebo k naru\u0161en\u00ed tlakov\u00e9 rovnov\u00e1hy, tato pru\u017en\u00e1 opora ztr\u00e1c\u00ed schopnost reagovat v prav\u00fd \u010das. Org\u00e1ny nemaj\u00ed dostate\u010dnou podporu a mohou se objevit pot\u00ed\u017ee \u2013 inkontinence, sestup p\u00e1nevn\u00edch org\u00e1n\u016f, bolesti zad nebo chronick\u00e9 nap\u011bt\u00ed v oblasti b\u0159icha.Rizikem nen\u00ed pouze t\u011bhotenstv\u00ed \u010di menopauza. Stejn\u011b tak m\u016f\u017ee p\u00e1nevn\u00ed dno dlouhodob\u011b p\u0159et\u011b\u017eovat intenzivn\u00ed sport s vysok\u00fdmi dopady, chronick\u00e1 z\u00e1cpa a tla\u010den\u00ed, \u010dast\u00e9 zadr\u017eov\u00e1n\u00ed dechu p\u0159i n\u00e1maze nebo trval\u00e9 zatahov\u00e1n\u00ed b\u0159icha. Pochopen\u00ed tohoto syst\u00e9mu je prvn\u00edm krokem k n\u00e1prav\u011b. Inkontinence nen\u00ed \u201enorm\u00e1ln\u00ed\u201c\u00danik mo\u010di p\u0159i b\u011bhu, skoku nebo sm\u00edchu mnoho \u017een bagatelizuje. P\u0159itom se t\u00fdk\u00e1 i mlad\u00fdch sportovky\u0148, kter\u00e9 nikdy nerodily. Vysok\u00e9 nitrob\u0159i\u0161n\u00ed tlaky p\u0159i vzp\u00edr\u00e1n\u00ed, crossfitu nebo dlouh\u00e9m b\u011bhu mohou p\u00e1nevn\u00ed dno dlouhodob\u011b p\u0159et\u011b\u017eovat, pokud koordinace st\u0159edu t\u011bla nen\u00ed optim\u00e1ln\u00ed.\u00danik mo\u010di nen\u00ed da\u0148 za v\u00fdkon ani znak slabosti. Je to informace, \u017ee regulace tlaku v t\u011ble nen\u00ed v rovnov\u00e1ze.Stejn\u011b tak nen\u00ed vhodn\u00e9 pravideln\u011b p\u0159eru\u0161ovat proud mo\u010di jako formu \u201eposilov\u00e1n\u00ed\u201c, tla\u010dit p\u0159i vyprazd\u0148ov\u00e1n\u00ed nebo vykon\u00e1vat pot\u0159ebu v pod\u0159epu nad ve\u0159ejnou toaletou. P\u00e1nevn\u00ed dno se p\u0159i mo\u010den\u00ed i stolici pot\u0159ebuje uvolnit. Proto doporu\u010duji si sedat v\u017edy (po hygienick\u00e9m zaji\u0161t\u011bn\u00ed WC). Pokud je nutn\u00e9 zatla\u010dit, je \u0161etrn\u011bj\u0161\u00ed vyu\u017e\u00edt aktivn\u00ed v\u00fddech proti m\u00edrn\u00e9mu odporu \u2013 nap\u0159\u00edklad fouknut\u00ed do zav\u0159en\u00e9 p\u011bsti. Pomoci m\u016f\u017ee i jednoduch\u00e1 stoli\u010dka pod nohy, kter\u00e1 uprav\u00ed \u00fahel ky\u010dl\u00ed a sn\u00ed\u017e\u00ed z\u00e1t\u011b\u017e v oblasti p\u00e1nve.I ob\u010dasn\u00e1 kapka mo\u010di p\u0159i k\u00fdchnut\u00ed nebo zvednut\u00ed t\u011b\u017e\u0161\u00edho p\u0159edm\u011btu ukazuje, \u017ee p\u00e1nevn\u00ed dno nedok\u00e1\u017ee v dan\u00fd okam\u017eik pru\u017en\u011b reagovat na zv\u00fd\u0161en\u00ed tlaku. P\u0159iznat si probl\u00e9m nen\u00ed selh\u00e1n\u00ed. Je to za\u010d\u00e1tek \u0159e\u0161en\u00ed. Jak\u00e1 \u0159e\u0161en\u00ed nab\u00edz\u00ed dne\u0161n\u00ed medic\u00ednaSou\u010dasn\u00e1 medic\u00edna m\u00e1 sv\u00e9 pevn\u00e9 m\u00edsto zejm\u00e9na u pokro\u010dil\u00fdch stav\u016f. U stresov\u00e9 inkontinence se \u010dasto zav\u00e1d\u00ed p\u00e1ska pod mo\u010dovou trubici (TVT, TOT). Z\u00e1krok b\u00fdv\u00e1 kr\u00e1tk\u00fd a m\u016f\u017ee p\u0159in\u00e9st rychlou \u00falevu od konkr\u00e9tn\u00edho symptomu. Neovliv\u0148uje v\u0161ak celkovou regulaci tlaku ani koordinaci hlubok\u00e9ho stabiliza\u010dn\u00edho syst\u00e9mu.U prolapsu se n\u011bkdy doporu\u010duje hysterektomie, tedy odstran\u011bn\u00ed d\u011blohy. V onkologick\u00fdch nebo t\u011b\u017ek\u00fdch p\u0159\u00edpadech je z\u00e1krok nezbytn\u00fd. Samotn\u00e9 odstran\u011bn\u00ed d\u011blohy v\u0161ak ne\u0159e\u0161\u00ed p\u0159\u00ed\u010dinu zm\u011bn\u011bn\u00e9 tlakov\u00e9 distribuce. Pokud z\u016fstane nezm\u011bn\u011bn dechov\u00fd stereotyp a pr\u00e1ce hlubok\u00fdch sval\u016f, m\u016f\u017ee se \u010dasem objevit sestup jin\u00fdch org\u00e1n\u016f.U prvn\u00edho a druh\u00e9ho stupn\u011b prolapsu by m\u011bla b\u00fdt v\u017edy prvn\u00ed volbou c\u00edlen\u00e1 fyzioterapie, pr\u00e1ce s dechem a \u00faprava dr\u017een\u00ed t\u011bla. U vy\u0161\u0161\u00edch stup\u0148\u016f m\u016f\u017ee pomoci pesar jako mechanick\u00e1 opora. I zde m\u00e1 funk\u010dn\u00ed terapie sv\u00e9 m\u00edsto.Pr\u00e1v\u011b v t\u00e9to oblasti se otev\u00edr\u00e1 prostor pro p\u0159\u00edstup, kter\u00fd pracuje s p\u0159\u00ed\u010dinou pot\u00ed\u017e\u00ed. Hypopresivn\u00ed metoda \u2013 \u0161etrn\u00e1 a efektivn\u00ed pr\u00e1ce se st\u0159edem t\u011bla Hypopresivn\u00ed metoda vznikla v 80. letech v Belgii, kdy l\u00e9ka\u0159 Marcel Caufriez p\u0159i pr\u00e1ci s \u017eenami po porodu pozoroval, \u017ee tradi\u010dn\u00ed \u201esilov\u00e9\u201c cviky na b\u0159icho mohou u n\u011bkter\u00fdch zhor\u0161ovat inkontinenci nebo prolaps. Hledal zp\u016fsob, jak aktivovat hlubok\u00e9 svaly a zlep\u0161it podporu org\u00e1n\u016f, ani\u017e by se zvy\u0161oval tlak v dutin\u011b b\u0159i\u0161n\u00ed. Postupn\u011b vznikl systematick\u00fd soubor cvik\u016f, kter\u00fd se roz\u0161\u00ed\u0159il zejm\u00e9na ve \u0160pan\u011blsku a dnes je sou\u010d\u00e1st\u00ed fyzioterapeutick\u00e9 i sportovn\u00ed praxe v cel\u00e9 Evrop\u011b&#8230; V\u00edce informac\u00ed o t\u00e9to pozoruhodn\u00e9 metod\u011b se dozv\u00edte v \u0159\u00edjnov\u00e9 Medu\u0148ce.<\/p>\n","protected":false},"author":3,"featured_media":12936,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,31,33,10],"tags":[],"class_list":["post-12978","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medunka","category-pro-inspiraci","category-rady-a-tipy","category-zdravi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/12978","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/comments?post=12978"}],"version-history":[{"count":4,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/12978\/revisions"}],"predecessor-version":[{"id":12982,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/12978\/revisions\/12982"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media\/12936"}],"wp:attachment":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media?parent=12978"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/categories?post=12978"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/tags?post=12978"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}