{"id":110780,"date":"2026-07-15T05:50:43","date_gmt":"2026-07-15T03:50:43","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=110780"},"modified":"2026-07-15T05:50:43","modified_gmt":"2026-07-15T03:50:43","slug":"proc-vase-diagnoza-snizene-funkce-stitne-zlazy-nemusi-byt-spravna-a-mozna-se-lecite-zbytecne","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2026\/07\/15\/proc-vase-diagnoza-snizene-funkce-stitne-zlazy-nemusi-byt-spravna-a-mozna-se-lecite-zbytecne\/","title":{"rendered":"Pro\u010d va\u0161e diagn\u00f3za sn\u00ed\u017een\u00e9 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy nemus\u00ed b\u00fdt spr\u00e1vn\u00e1 a mo\u017en\u00e1 se l\u00e9\u010d\u00edte zbyte\u010dn\u011b"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p><strong><span dir=\"auto\">P\u0159edstavte si, \u017ee se u\u017e n\u011bkolik m\u011bs\u00edc\u016f c\u00edt\u00edte unaven\u00ed, p\u0159ibrali jste p\u00e1r kilogram\u016f a st\u00e1le v\u00e1m b\u00fdv\u00e1 zima. Krevn\u00ed testy uk\u00e1\u017e\u00ed m\u00edrn\u011b zv\u00fd\u0161en\u00e9 hodnoty TSH a l\u00e9ka\u0159 vyslov\u00ed podez\u0159en\u00ed na sn\u00ed\u017eenou funkci \u0161t\u00edtn\u00e9 \u017el\u00e1zy.<\/span><\/strong><\/p>\n<p><span dir=\"auto\">Znamen\u00e1 to, \u017ee va\u0161e obt\u00ed\u017ee skute\u010dn\u011b zp\u016fsobuje \u0161t\u00edtn\u00e1 \u017el\u00e1za a \u017ee budete pot\u0159ebovat celo\u017eivotn\u00ed hormon\u00e1ln\u00ed l\u00e9\u010dbu?<\/span><\/p>\n<p><span dir=\"auto\">V\u00fdzkumy nazna\u010duj\u00ed, \u017ee odpov\u011b\u010f nen\u00ed v\u017edy jednozna\u010dn\u00e1. U \u010d\u00e1sti lid\u00ed p\u0159edstavuje m\u00edrn\u011b zv\u00fd\u0161en\u00e9 TSH pouze p\u0159echodn\u00fd stav, kter\u00fd se \u010dasem uprav\u00ed i bez l\u00e9\u010dby. V jin\u00fdch p\u0159\u00edpadech p\u0159\u00ed\u010dina \u00fanavy, tloustnut\u00ed nebo mozkov\u00e9 mlhy nemus\u00ed souviset p\u0159\u00edmo se \u0161t\u00edtnou \u017el\u00e1zou.<\/span><\/p>\n<p><span dir=\"auto\">To neznamen\u00e1, \u017ee hormon\u00e1ln\u00ed l\u00e9\u010dba nen\u00ed nutn\u00e1. P\u0159i klinick\u00e9 hypotyre\u00f3ze (sn\u00ed\u017een\u00e9 funkci \u0161t\u00edtn\u00e9 \u017el\u00e1zy) dok\u00e1\u017ee v\u00fdrazn\u011b zlep\u0161it kvalitu \u017eivota. Ot\u00e1zkou v\u0161ak z\u016fst\u00e1v\u00e1, kdy je skute\u010dn\u011b nezbytn\u00e1 a kdy je rozumn\u011bj\u0161\u00ed v\u00fdsledky nejprve ov\u011b\u0159it opakovan\u00fdm vy\u0161et\u0159en\u00edm.<\/span><\/p>\n<h2><span dir=\"auto\">Kdy jde skute\u010dn\u011b o hypotyre\u00f3zu?<\/span><\/h2>\n<p data-start=\"1087\" data-end=\"1154\"><span dir=\"auto\">L\u00e9ka\u0159i rozli\u0161uj\u00ed dv\u011b z\u00e1kladn\u00ed formy sn\u00ed\u017een\u00e9 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy.<\/span><\/p>\n<p data-start=\"1156\" data-end=\"1306\"><span dir=\"auto\">P\u0159i\u00a0<\/span><strong data-start=\"1160\" data-end=\"1185\"><span dir=\"auto\">klinick\u00e9 hypotyre\u00f3ze<\/span><\/strong><span dir=\"auto\">\u00a0je hladina hormonu T4 sn\u00ed\u017eena a TSH zv\u00fd\u0161eno. V takov\u00e9m p\u0159\u00edpad\u011b je hormon\u00e1ln\u00ed l\u00e9\u010dba standardn\u00edm a dob\u0159e ov\u011b\u0159en\u00fdm postupem.<\/span><\/p>\n<p data-start=\"1308\" data-end=\"1571\"><span dir=\"auto\">P\u0159i\u00a0<\/span><strong data-start=\"1312\" data-end=\"1340\"><span dir=\"auto\">subklinick\u00e9 hypotyre\u00f3ze<\/span><\/strong><span dir=\"auto\">\u00a0z\u016fst\u00e1v\u00e1 T4 je\u0161t\u011b v norm\u011b, zat\u00edmco TSH je jen m\u00edrn\u011b zv\u00fd\u0161en\u00e9. Takov\u00fd n\u00e1lez je\u0161t\u011b nemus\u00ed znamenat onemocn\u011bn\u00ed vy\u017eaduj\u00edc\u00ed l\u00e9\u010dbu. Zejm\u00e9na ve vy\u0161\u0161\u00edm v\u011bku b\u00fdvaj\u00ed m\u00edrn\u011b zv\u00fd\u0161en\u00e9 hodnoty TSH pom\u011brn\u011b \u010dast\u00e9 a obvykle nezp\u016fsobuj\u00ed \u017e\u00e1dn\u00e9 obt\u00ed\u017ee.<\/span><\/p>\n<p data-start=\"1573\" data-end=\"1915\"><span dir=\"auto\">Nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou sn\u00ed\u017een\u00e9 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy v rozvinut\u00fdch zem\u00edch je\u00a0<\/span><strong data-start=\"1653\" data-end=\"1676\"><span dir=\"auto\">Hashimotova nemoc \u2013<\/span><\/strong><span dir=\"auto\">\u00a0\u00a0autoimunitn\u00ed onemocn\u011bn\u00ed, p\u0159i kter\u00e9m imunitn\u00ed syst\u00e9m postupn\u011b po\u0161kozuje tk\u00e1\u0148 \u0161t\u00edtn\u00e9 \u017el\u00e1zy.<\/span><\/p>\n<p data-start=\"1573\" data-end=\"1915\"><span dir=\"auto\">Ani p\u0159\u00edtomnost protil\u00e1tek v\u0161ak automaticky neznamen\u00e1, \u017ee se u \u010dlov\u011bka rozvine hypotyre\u00f3za nebo \u017ee bude okam\u017eit\u011b pot\u0159ebovat hormon\u00e1ln\u00ed l\u00e9\u010dbu.<\/span><\/p>\n<h2 data-section-id=\"znhwbt\" data-start=\"1917\" data-end=\"1975\"><span dir=\"auto\">V\u00edce ne\u017e polovina pacient\u016f l\u00e9ky nakonec nepot\u0159ebovala<\/span><\/h2>\n<p data-start=\"1977\" data-end=\"2145\"><span dir=\"auto\">V posledn\u00edch letech p\u0159ib\u00fdvaj\u00ed d\u016fkazy, \u017ee n\u011bkte\u0159\u00ed pacienti za\u010d\u00ednaj\u00ed u\u017e\u00edvat hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy navzdory tomu, \u017ee jejich v\u00fdsledky nespl\u0148uj\u00ed krit\u00e9ria klinick\u00e9 hypotyre\u00f3zy.<\/span><\/p>\n<p data-start=\"2147\" data-end=\"2333\"><span dir=\"auto\">Jedna studie sledovala 291 lid\u00ed, kte\u0159\u00ed ji\u017e l\u00e9ta u\u017e\u00edvali levotyroxin. Po kontrolovan\u00e9m vysazen\u00ed l\u00e9ku m\u011blo a\u017e\u00a0<\/span><strong data-start=\"2255\" data-end=\"2263\"><span dir=\"auto\">61 %<\/span><\/strong><span dir=\"auto\">\u00a0z nich nad\u00e1le norm\u00e1ln\u00ed v\u00fdsledky vy\u0161et\u0159en\u00ed a l\u00e9\u010dbu ji\u017e nepot\u0159ebovali.<\/span><\/p>\n<p data-start=\"2335\" data-end=\"2515\"><span dir=\"auto\">I dal\u0161\u00ed v\u00fdzkum uk\u00e1zal, \u017ee p\u0159ibli\u017en\u011b\u00a0<\/span><strong data-start=\"2372\" data-end=\"2388\"><span dir=\"auto\">t\u0159i \u010dtvrtiny<\/span><\/strong><span dir=\"auto\">\u00a0pacient\u016f se subklinickou hypotyre\u00f3zou m\u011bly po \u0161esti m\u011bs\u00edc\u00edch hodnoty TSH op\u011bt v norm\u00e1ln\u00edm rozmez\u00ed bez jak\u00e9koli l\u00e9\u010dby.<\/span><\/p>\n<p data-start=\"2517\" data-end=\"2729\"><span dir=\"auto\">Tyto v\u00fdsledky neznamenaj\u00ed, \u017ee hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy jsou zbyte\u010dn\u00e9. Ukazuj\u00ed v\u0161ak, \u017ee p\u0159i m\u00edrn\u011b zv\u00fd\u0161en\u00e9m TSH b\u00fdv\u00e1 \u010dasto rozumn\u00e9 v\u00fdsledky po ur\u010dit\u00e9 dob\u011b zopakovat a teprve pot\u00e9 rozhodovat o zah\u00e1jen\u00ed celo\u017eivotn\u00ed l\u00e9\u010dby.<\/span><\/p>\n<h2 data-section-id=\"a35edd\" data-start=\"2731\" data-end=\"2773\"><span dir=\"auto\">Probl\u00e9m nemus\u00ed b\u00fdt v\u017edy ve \u0161t\u00edtn\u00e9 \u017el\u00e1ze<\/span><\/h2>\n<p data-start=\"2775\" data-end=\"3107\"><span dir=\"auto\">\u00danava, mozkov\u00e1 mlha, zhor\u0161en\u00e9 soust\u0159ed\u011bn\u00ed \u010di depresivn\u00ed n\u00e1lada pat\u0159\u00ed mezi typick\u00e9 p\u0159\u00edznaky hypotyre\u00f3zy. Stejn\u00e9 obt\u00ed\u017ee v\u0161ak prov\u00e1zej\u00ed i chronick\u00fd z\u00e1n\u011bt, poruchy st\u0159evn\u00edho mikrobiomu nebo n\u011bkolik dal\u0161\u00edch onemocn\u011bn\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">I proto se st\u00e1v\u00e1, \u017ee n\u011bkte\u0159\u00ed pacienti nepoci\u0165uj\u00ed v\u00fdrazn\u00e9 zlep\u0161en\u00ed ani po normalizaci hormon\u016f \u0161t\u00edtn\u00e9 \u017el\u00e1zy.<\/span><\/p>\n<h2 data-section-id=\"2h77dx\" data-start=\"3109\" data-end=\"3144\"><span dir=\"auto\">Jakou roli hraje zdrav\u00ed st\u0159ev?<\/span><\/h2>\n<p data-start=\"3146\" data-end=\"3413\"><span dir=\"auto\">V posledn\u00edch letech se intenzivn\u011b zkoum\u00e1 propojen\u00ed mezi st\u0159evn\u00edm mikrobiomem a \u0161t\u00edtnou \u017el\u00e1zou. Dostupn\u00e9 studie ukazuj\u00ed, \u017ee slo\u017een\u00ed st\u0159evn\u00edch bakteri\u00ed ovliv\u0148uje imunitn\u00ed syst\u00e9m, intenzitu z\u00e1n\u011btu i vst\u0159eb\u00e1v\u00e1n\u00ed \u017eivin pot\u0159ebn\u00fdch pro spr\u00e1vnou \u010dinnost \u0161t\u00edtn\u00e9 \u017el\u00e1zy.<\/span><\/p>\n<p><span dir=\"auto\">Zvl\u00e1\u0161tn\u00ed v\u00fdznam to m\u00e1 p\u0159i Hashimotov\u011b chorob\u011b, kter\u00e1 pat\u0159\u00ed mezi autoimunitn\u00ed onemocn\u011bn\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">P\u0159esto\u017ee zlep\u0161en\u00ed zdrav\u00ed st\u0159ev nenahrazuje standardn\u00ed l\u00e9\u010dbu, m\u016f\u017ee podpo\u0159it lep\u0161\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed l\u00e9ku levotyroxinu, p\u0159isp\u011bt ke zm\u00edrn\u011bn\u00ed z\u00e1n\u011btu au n\u011bkter\u00fdch pacient\u016f zlep\u0161it celkov\u00fd zdravotn\u00ed stav.<\/span><\/p>\n<p><span dir=\"auto\">V\u00fdzkum v t\u00e9to oblasti v\u0161ak st\u00e1le pokra\u010duje a zat\u00edm neumo\u017e\u0148uje pova\u017eovat \u00fapravu st\u0159evn\u00edho mikrobiomu za samostatnou l\u00e9\u010dbu hypotyre\u00f3zy.<\/span><\/p>\n<h2 data-section-id=\"1erjqmy\" data-start=\"3834\" data-end=\"3854\"><span dir=\"auto\">Strava jako z\u00e1klad<\/span><\/h2>\n<p data-start=\"3856\" data-end=\"4004\"><span dir=\"auto\">Chcete-li podpo\u0159it zdrav\u00ed st\u0159ev i \u0161t\u00edtn\u00e9 \u017el\u00e1zy, nejv\u011bt\u0161\u00ed v\u00fdznam m\u00e1 pestr\u00e1 strava zalo\u017een\u00e1 na p\u0159irozen\u00fdch potravin\u00e1ch a dostate\u010dn\u00e9m p\u0159\u00edjmu \u017eivin.<\/span><\/p>\n<p data-start=\"4006\" data-end=\"4357\"><span dir=\"auto\">N\u011bkter\u00fdm lidem prosp\u00edv\u00e1 omezen\u00ed lepku nebo ml\u00e9\u010dn\u00fdch v\u00fdrobk\u016f, zvl\u00e1\u0161t\u011b pokud po jejich konzumaci opakovan\u011b poci\u0165uj\u00ed za\u017e\u00edvac\u00ed pot\u00ed\u017ee.<\/span><\/p>\n<p><span dir=\"auto\">U \u010d\u00e1sti pacient\u016f s Hashimotovou chorobou takov\u00e1 \u00faprava stravy vedla ve studi\u00edch ke zlep\u0161en\u00ed laboratorn\u00edch v\u00fdsledk\u016f. Nejde v\u0161ak o univerz\u00e1ln\u00ed doporu\u010den\u00ed a bezd\u016fvodn\u00e9 vy\u0159azen\u00ed cel\u00fdch skupin potravin nen\u00ed nutn\u00e9.<\/span><\/p>\n<p data-start=\"4359\" data-end=\"4559\"><span dir=\"auto\">Podobn\u011b je to p\u0159i diet\u011b s n\u00edzk\u00fdm obsahem FODMAP.<\/span><\/p>\n<p><span dir=\"auto\">FODMAP jsou druhy fermentovateln\u00fdch sacharid\u016f, kter\u00e9 se nach\u00e1zej\u00ed nap\u0159\u00edklad v cibuli, \u010desneku, jablk\u00e1ch \u010di lu\u0161t\u011bnin\u00e1ch au citliv\u00fdch lid\u00ed mohou zp\u016fsobovat nad\u00fdm\u00e1n\u00ed, bolesti b\u0159icha nebo pr\u016fjem.<\/span><\/p>\n<p><span dir=\"auto\">Takov\u00e1 dieta pom\u00e1h\u00e1 zejm\u00e9na lidem se syndromem dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku nebo v\u00fdraznou citlivost\u00ed tr\u00e1ven\u00ed, ale z dlouhodob\u00e9ho hlediska by m\u011bla slou\u017eit pouze jako do\u010dasn\u00e9 \u0159e\u0161en\u00ed.<\/span><\/p>\n<h2><span dir=\"auto\">Mohou pomoci probiotika a dopl\u0148ky?<\/span><\/h2>\n<p data-start=\"489\" data-end=\"914\"><span dir=\"auto\">Probiotika pat\u0159\u00ed mezi nejl\u00e9pe prozkouman\u00e9 dopl\u0148ky pro podporu st\u0159evn\u00edho mikrobiomu.<\/span><\/p>\n<p><span dir=\"auto\">N\u011bkter\u00e9 studie nazna\u010duj\u00ed, \u017ee mohou zlep\u0161it vst\u0159eb\u00e1v\u00e1n\u00ed levotyroxinu a z\u00e1rove\u0148 podpo\u0159it zdrav\u00ed st\u0159ev. \u00da\u010dinek se obvykle hodnot\u00ed po\u00a0<\/span><strong data-start=\"707\" data-end=\"727\"><span dir=\"auto\">2 a\u017e 3 m\u011bs\u00edc\u00edch<\/span><\/strong><span dir=\"auto\">\u00a0pravideln\u00e9ho u\u017e\u00edv\u00e1n\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">V\u011bt\u0161ina kvalitn\u00edch p\u0159\u00edpravk\u016f obsahuje p\u0159ibli\u017en\u011b\u00a0<\/span><strong data-start=\"800\" data-end=\"830\"><span dir=\"auto\">10 a\u017e 20 miliard CFU denn\u011b<\/span><\/strong><span dir=\"auto\">\u00a0, p\u0159i\u010dem\u017e d\u016fle\u017eit\u011bj\u0161\u00ed ne\u017e samotn\u00fd po\u010det bakteri\u00ed je jejich vhodn\u00e1 kombinace a kvalita.<\/span><\/p>\n<p data-start=\"916\" data-end=\"1050\"><span dir=\"auto\">Z dal\u0161\u00edch dopl\u0148k\u016f maj\u00ed nejv\u00edce d\u016fkaz\u016f\u00a0<\/span><strong data-start=\"956\" data-end=\"969\"><span dir=\"auto\">vitamin D<\/span><\/strong><span dir=\"auto\">\u00a0a\u00a0<\/span><strong data-start=\"972\" data-end=\"981\"><span dir=\"auto\">selen<\/span><\/strong><span dir=\"auto\">\u00a0, zejm\u00e9na u lid\u00ed s Hashimotovou chorobou nebo u lid\u00ed s jejich prok\u00e1zan\u00fdm nedostatkem.<\/span><\/p>\n<p><strong data-start=\"1054\" data-end=\"1067\"><span dir=\"auto\">1. Vitamin D<\/span><\/strong><span dir=\"auto\">\u00a0se nej\u010dast\u011bji dopl\u0148uje v d\u00e1vce\u00a0<\/span><strong data-start=\"1099\" data-end=\"1137\"><span dir=\"auto\">1 000 a\u017e 2 000 IU (25\u201350 \u03bcg) denn\u011b<\/span><\/strong><span dir=\"auto\">\u00a0, ide\u00e1ln\u011b podle v\u00fdsledk\u016f krevn\u00edho vy\u0161et\u0159en\u00ed.<\/span><\/p>\n<p><strong data-start=\"1185\" data-end=\"1194\"><span dir=\"auto\">2. Selen<\/span><\/strong><span dir=\"auto\">\u00a0se ve v\u011bt\u0161in\u011b studi\u00ed pou\u017e\u00edval v d\u00e1vce\u00a0<\/span><strong data-start=\"1233\" data-end=\"1256\"><span dir=\"auto\">100 a\u017e 200 \u03bcg denn\u011b<\/span><\/strong><span dir=\"auto\">\u00a0, p\u0159i\u010dem\u017e vy\u0161\u0161\u00ed d\u00e1vky se bez doporu\u010den\u00ed l\u00e9ka\u0159e nedoporu\u010duj\u00ed.<\/span><\/p>\n<p><strong data-start=\"1320\" data-end=\"1330\"><span dir=\"auto\">3. \u017delezo<\/span><\/strong><span dir=\"auto\">\u00a0a\u00a0<\/span><strong data-start=\"1333\" data-end=\"1342\"><span dir=\"auto\">zinek<\/span><\/strong><span dir=\"auto\">\u00a0m\u00e1 smysl dopl\u0148ovat pouze p\u0159i laboratorn\u011b potvrzen\u00e9m nedostatku. U zinku se jako bezpe\u010dn\u00e1 kr\u00e1tkodob\u00e1 d\u00e1vka nej\u010dast\u011bji pou\u017e\u00edv\u00e1\u00a0<\/span><strong data-start=\"1468\" data-end=\"1489\"><span dir=\"auto\">15 a\u017e 25 mg denn\u011b<\/span><\/strong><span dir=\"auto\">\u00a0, dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed vy\u0161\u0161\u00edch d\u00e1vek v\u0161ak m\u016f\u017ee sni\u017eovat vst\u0159eb\u00e1v\u00e1n\u00ed m\u011bdi.<\/span><\/p>\n<p><strong><span dir=\"auto\">4. J\u00f3d<\/span><\/strong><span dir=\"auto\">\u00a0vy\u017eaduje zvl\u00e1\u0161tn\u00ed opatrnost. P\u0159esto\u017ee jeho nedostatek pat\u0159\u00ed v n\u011bkter\u00fdch \u010d\u00e1stech sv\u011bta mezi p\u0159\u00ed\u010diny hypotyre\u00f3zy, nadm\u011brn\u00fd p\u0159\u00edjem m\u016f\u017ee naopak zvy\u0161ovat riziko autoimunitn\u00edch onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy.<\/span><\/p>\n<p><span dir=\"auto\">Dopl\u0148ovat by se proto m\u011bl pouze p\u0159i potvrzen\u00e9m nedostatku nebo na doporu\u010den\u00ed l\u00e9ka\u0159e. B\u011b\u017en\u00e1 doporu\u010den\u00e1 denn\u00ed d\u00e1vka j\u00f3du pro dosp\u011bl\u00e9 je\u00a0<\/span><strong data-start=\"1897\" data-end=\"1907\"><span dir=\"auto\">150 \u03bcg<\/span><\/strong><span dir=\"auto\">\u00a0, ale bez potvrzen\u00e9ho deficitu nem\u00e1 smysl u\u017e\u00edvat v\u00fdrazn\u011b vy\u0161\u0161\u00ed mno\u017estv\u00ed.<\/span><\/p>\n<h2><span dir=\"auto\">Pokud v\u00e1m l\u00e9ka\u0159 p\u0159edepsal hormony, nevysazujte je sv\u00e9voln\u011b<\/span><\/h2>\n<p data-start=\"5467\" data-end=\"5692\"><span dir=\"auto\">P\u0159esto\u017ee se subklinick\u00e1 hypotyre\u00f3za n\u011bkdy uprav\u00ed i bez l\u00e9\u010dby, neplat\u00ed to pro ka\u017ed\u00e9ho. Pokud krevn\u00ed testy potvrd\u00ed klinickou hypotyre\u00f3zu se zv\u00fd\u0161en\u00fdm TSH a sn\u00ed\u017een\u00fdm T4, hormon\u00e1ln\u00ed l\u00e9\u010dba z\u016fst\u00e1v\u00e1 standardn\u00edm a nej\u00fa\u010dinn\u011bj\u0161\u00edm \u0159e\u0161en\u00edm.<\/span><\/p>\n<p data-start=\"5694\" data-end=\"6041\"><span dir=\"auto\">Nej\u010dast\u011bji se pou\u017e\u00edv\u00e1 levotyroxin. U n\u011bkter\u00fdch pacient\u016f se zva\u017euje i kombinace hormon\u016f T4 a T3, ale kvalitn\u00ed klinick\u00e9 studie zat\u00edm neprok\u00e1zaly jej\u00ed jednozna\u010dnou v\u00fdhodu oproti samotn\u00e9mu levotyroxinu.<\/span><\/p>\n<p data-start=\"5694\" data-end=\"6041\"><span dir=\"auto\">Pokud navzdory spr\u00e1vn\u011b nastaven\u00e9 l\u00e9\u010db\u011b p\u0159etrv\u00e1vaj\u00ed pot\u00ed\u017ee, vhodn\u011bj\u0161\u00edm \u0159e\u0161en\u00edm je konzultace s endokrinologem ne\u017e sv\u00e9voln\u00e9 vysazen\u00ed l\u00e9k\u016f.<\/span><\/p>\n<h2 data-section-id=\"xv5bq7\" data-start=\"6043\" data-end=\"6051\"><span dir=\"auto\">Z\u00e1v\u011br<\/span><\/h2>\n<p data-start=\"6053\" data-end=\"6220\"><span dir=\"auto\">Ne ka\u017ed\u00fd \u010dlov\u011bk se zv\u00fd\u0161en\u00fdm TSH pot\u0159ebuje okam\u017eit\u011b celo\u017eivotn\u00ed hormon\u00e1ln\u00ed l\u00e9\u010dbu. Rozhoduj\u00edc\u00ed jsou celkov\u00e9 v\u00fdsledky vy\u0161et\u0159en\u00ed, p\u0159\u00edtomnost p\u0159\u00edznak\u016f i jejich v\u00fdvoj v \u010dase.<\/span><\/p>\n<p data-start=\"6222\" data-end=\"6600\"><span dir=\"auto\">Stejn\u011b d\u016fle\u017eit\u00e9 je hledat i dal\u0161\u00ed mo\u017en\u00e9 p\u0159\u00ed\u010diny \u00fanavy, tloustnut\u00ed \u010di mozkov\u00e9 mlhy. Roli sehr\u00e1v\u00e1 celkov\u00fd zdravotn\u00ed stav, \u017eivotn\u00ed styl, v\u00fd\u017eiva i zdrav\u00ed st\u0159evn\u00edho mikrobiomu.<\/span><\/p>\n<p><span dir=\"auto\">Pokud laboratorn\u00ed v\u00fdsledky neodpov\u00eddaj\u00ed va\u0161im obt\u00ed\u017e\u00edm nebo m\u00e1te pochybnosti o stanoven\u00e9 diagn\u00f3ze, vyplat\u00ed se v\u00fdsledky probrat s endokrinologem a v p\u0159\u00edpad\u011b pot\u0159eby si vy\u017e\u00e1dat i druh\u00fd odborn\u00fd n\u00e1zor.<\/span><\/p>\n<p><span dir=\"auto\">P\u0159i onemocn\u011bn\u00edch \u0161t\u00edtn\u00e9 \u017el\u00e1zy je toti\u017e stejn\u011b d\u016fle\u017eit\u00e1 spr\u00e1vn\u00e1 diagn\u00f3za jako spr\u00e1vn\u011b zvolen\u00e1 l\u00e9\u010dba.<\/span><\/p>\n<h2><span dir=\"auto\">P\u0159\u00edrodn\u00ed l\u00e9\u010dba \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/span><\/h2>\n<p><span dir=\"auto\">Chcete se o zdrav\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy dozv\u011bd\u011bt v\u00edc?<\/span><\/p>\n<p><span dir=\"auto\">V na\u0161\u00ed e-knize naleznete p\u0159ehled v\u011bdecky podlo\u017een\u00fdch poznatk\u016f o v\u00fd\u017eiv\u011b, d\u016fle\u017eit\u00fdch \u017eivin\u00e1ch, po\u0161kozuj\u00edc\u00edch toxinech i ka\u017edodenn\u00edch n\u00e1vyc\u00edch, kter\u00e9 podporuj\u00ed spr\u00e1vn\u00e9 fungov\u00e1n\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy.\u00a0<\/span><a href=\"https:\/\/eknihy.shop\/ako-vyliecit-stitnu-zlazu-prirodnou-cestou-za-90-dni\/\" target=\"_blank\" rel=\"noopener\"><span dir=\"auto\">Klikn\u011bte sem<\/span><\/a><span dir=\"auto\">\u00a0a zjist\u011bte v\u00edce (pro \u010deskou verzi e-knihy\u00a0<\/span><a href=\"https:\/\/eknihy.shop\/jak-vylecit-stitnou-zlazu-prirodni-cestou-za-90-dni\/\" target=\"_blank\" rel=\"noopener\"><span dir=\"auto\">klikn\u011bte sem<\/span><\/a><span dir=\"auto\"> ).<\/span><\/p>\n<p><span dir=\"auto\">Zdroj:\u00a0<\/span><a href=\"https:\/\/drruscio.com\/thyroid-diagnosis\/\" target=\"_blank\" rel=\"noopener\"><span dir=\"auto\">drruscio.com<\/span><\/a><span dir=\"auto\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>P\u0159edstavte si, \u017ee se u\u017e n\u011bkolik m\u011bs\u00edc\u016f c\u00edt\u00edte unaven\u00ed, p\u0159ibrali jste p\u00e1r kilogram\u016f a st\u00e1le&#8230;<\/p>\n","protected":false},"author":2,"featured_media":110781,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[1155,7165,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/110780"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=110780"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/110780\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/110781"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=110780"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=110780"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=110780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}