{"id":119252,"date":"2026-10-24T05:04:46","date_gmt":"2026-10-24T03:04:46","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=119252"},"modified":"2026-10-24T05:04:46","modified_gmt":"2026-10-24T03:04:46","slug":"11-dulezitych-vysetreni-ktera-vam-pri-preventivni-prohlidce-zrejme-nedelaji","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2026\/10\/24\/11-dulezitych-vysetreni-ktera-vam-pri-preventivni-prohlidce-zrejme-nedelaji\/","title":{"rendered":"11 d\u016fle\u017eit\u00fdch vy\u0161et\u0159en\u00ed, kter\u00e1 v\u00e1m p\u0159i preventivn\u00ed prohl\u00eddce z\u0159ejm\u011b ned\u011blaj\u00ed"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p><strong><span dir=\"auto\">P\u0159ijedete na preventivn\u00ed prohl\u00eddku k l\u00e9ka\u0159i. Odeberou v\u00e1m krev a za n\u011bkolik dn\u00ed dostanete v\u00fdsledky. V\u0161echno je \u201ev norm\u011b\u201c.<\/span><\/strong><\/p>\n<p><span dir=\"auto\">Skv\u011bl\u00e1 zpr\u00e1va, \u017ee? Mo\u017en\u00e1. M\u00e1 to ale jeden h\u00e1\u010dek.<\/span><\/p>\n<p><span dir=\"auto\">B\u011b\u017en\u00e1 preventivn\u00ed vy\u0161et\u0159en\u00ed sleduj\u00ed jen \u010d\u00e1st toho, co se odehr\u00e1v\u00e1 ve va\u0161em t\u011ble. Dok\u00e1\u017e\u00ed odhalit mnoh\u00e9 zdravotn\u00ed probl\u00e9my, ale ne v\u017edy zachyt\u00ed nen\u00e1padn\u00e9 zm\u011bny, kter\u00e9 za\u010d\u00ednaj\u00ed roky, n\u011bkdy dokonce desetilet\u00ed p\u0159ed vznikem srde\u010dn\u011b-c\u00e9vn\u00edch onemocn\u011bn\u00ed, cukrovky \u010di jin\u00fdch chronick\u00fdch chorob.<\/span><\/p>\n<p><span dir=\"auto\">Dnes p\u0159itom m\u00e1me mo\u017enosti, jak n\u011bkolik z t\u011bchto zm\u011bn odhalit mnohem d\u0159\u00edve.<\/span><\/p>\n<p><span dir=\"auto\">Proto si mysl\u00edm, \u017ee bychom se nem\u011bli spokojit jen s odpov\u011bd\u00ed, zda jsou na\u0161e v\u00fdsledky \u201ev norm\u011b\u201c. M\u011bli bychom se pt\u00e1t:<\/span><\/p>\n<ul>\n<li><span dir=\"auto\">Vy\u0161et\u0159ujeme v\u016fbec ty spr\u00e1vn\u00e9 ukazatele?<\/span><\/li>\n<li><span dir=\"auto\">Kter\u00e9 hodnoty jsou opravdu optim\u00e1ln\u00ed pro dlouhodob\u00e9 zdrav\u00ed, a nejen v mez\u00edch laboratorn\u00ed normy?<\/span><\/li>\n<li><span dir=\"auto\">Co n\u00e1m v\u00fdsledky prozrazuj\u00ed o tom, jak se na\u0161e zdrav\u00ed bude vyv\u00edjet?<\/span><\/li>\n<\/ul>\n<p><span dir=\"auto\">Vybral jsem 11 vy\u0161et\u0159en\u00ed, kter\u00e1 p\u0159i b\u011b\u017en\u00e9 preventivn\u00ed prohl\u00eddce pravd\u011bpodobn\u011b neabsolvujete, p\u0159esto\u017ee dok\u00e1\u017e\u00ed poskytnout cenn\u00e9 informace. Rozhovor o t\u011bchto testech m\u016f\u017ee b\u00fdt jedn\u00edm z nejd\u016fle\u017eit\u011bj\u0161\u00edch, jak\u00e9 se sv\u00fdm l\u00e9ka\u0159em absolvujete.<\/span><\/p>\n<p><span dir=\"auto\">U n\u011bkter\u00fdch test\u016f uv\u00e1d\u00edm i p\u0159\u00edsn\u011bj\u0161\u00ed c\u00edlov\u00e9 hodnoty doporu\u010den\u00e9 zast\u00e1nci funk\u010dn\u00ed medic\u00edny. Ty se mohou li\u0161it od b\u011b\u017en\u00fdch laboratorn\u00edch norem a nejsou v\u017edy v\u0161eobecn\u011b p\u0159ij\u00edm\u00e1ny.<\/span><\/p>\n<p><strong><span dir=\"auto\">Pozn\u00e1mka:<\/span><\/strong><span dir=\"auto\"> Na Slovensku je n\u00e1rok na preventivn\u00ed prohl\u00eddku u v\u0161eobecn\u00e9ho l\u00e9ka\u0159e zpravidla jednou za dva roky. Mnoh\u00e9 z n\u00e1sleduj\u00edc\u00edch vy\u0161et\u0159en\u00ed do n\u00ed nepat\u0159\u00ed.<\/span><\/p>\n<h2><span dir=\"auto\">1. Apolipoprotein B (ApoB)<\/span><\/h2>\n<p><span dir=\"auto\">B\u011b\u017en\u00e9 vy\u0161et\u0159en\u00ed cholesterolu ukazuje jeho mno\u017estv\u00ed v krvi. ApoB v\u0161ak poskytuje jin\u00fd, podle m\u011b mimo\u0159\u00e1dn\u011b d\u016fle\u017eit\u00fd \u00fadaj \u2013 p\u0159ibli\u017en\u00fd po\u010det \u010d\u00e1stic schopn\u00fdch pronikat do st\u011bn tepen a pod\u00edlet se na tvorb\u011b aterosklerotick\u00fdch pl\u00e1t\u016f.<\/span><\/p>\n<p><span dir=\"auto\">Tento rozd\u00edl je z\u00e1sadn\u00ed. Kardiovaskul\u00e1rn\u00ed riziko toti\u017e nez\u00e1vis\u00ed jen na mno\u017estv\u00ed cholesterolu, ale i na po\u010dtu \u010d\u00e1stic, kter\u00e9 jej p\u0159en\u00e1\u0161ej\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Pr\u00e1v\u011b proto dok\u00e1\u017ee ApoB v n\u011bkter\u00fdch p\u0159\u00edpadech odhadnout riziko p\u0159esn\u011bji ne\u017e samotn\u00fd \u201e\u0161patn\u00fd\u201c LDL cholesterol, zejm\u00e9na p\u0159i zv\u00fd\u0161en\u00fdch triglyceridech, cukrovce \u010di metabolick\u00e9m syndromu.<\/span><\/p>\n<p><strong><span dir=\"auto\">C\u00edlov\u00e9 hodnoty:<\/span><\/strong><span dir=\"auto\"> Pod 80 mg\/dl p\u0159i vysok\u00e9m a pod 65 mg\/dl p\u0159i velmi vysok\u00e9m riziku. N\u011bkte\u0159\u00ed odborn\u00edci na preventivn\u00ed medic\u00ednu prosazuj\u00ed hodnoty pod 80 mg\/dl i p\u0159i ni\u017e\u0161\u00edm riziku a pod 60 mg\/dl p\u0159i velmi vysok\u00e9m riziku.<\/span><\/p>\n<h2><span dir=\"auto\">2. Lipoprotein(a) \u2013 Lp(a)<\/span><\/h2>\n<p><span dir=\"auto\">P\u0159ibli\u017en\u011b ka\u017ed\u00fd p\u00e1t\u00fd \u010dlov\u011bk m\u00e1 v\u00fdrazn\u011bji zv\u00fd\u0161enou hladinu lipoproteinu(a), ale v\u011bt\u0161ina o tom nev\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Lp(a) je geneticky podm\u00edn\u011bn\u00fd rizikov\u00fd faktor spojen\u00fd s ateroskler\u00f3zou, infarktem a z\u00fa\u017een\u00edm aort\u00e1ln\u00ed chlopn\u011b. \u017divotn\u00edm stylem se jeho hladina ovliv\u0148uje jen omezen\u011b.<\/span><\/p>\n<p><span dir=\"auto\">Dobrou zpr\u00e1vou je, \u017ee ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f sta\u010d\u00ed toto vy\u0161et\u0159en\u00ed absolvovat jednou za \u017eivot. Jednor\u00e1zov\u00e9 stanoven\u00ed Lp(a) ji\u017e podporuj\u00ed i \u200b\u200bevropsk\u00e1 odborn\u00e1 doporu\u010den\u00ed.<\/span><\/p>\n<p><strong><span dir=\"auto\">P\u0159\u00edzniv\u00e1 hodnota:<\/span><\/strong><span dir=\"auto\"> Pod 50 nmol\/l dle p\u0159\u00edsn\u011bj\u0161\u00edho preventivn\u00edho p\u0159\u00edstupu. Riziko roste postupn\u011b, v\u00fdrazn\u011bj\u0161\u00ed pozornost si zasluhuj\u00ed hodnoty nad p\u0159ibli\u017en\u011b 105 nmol\/l.<\/span><\/p>\n<h2><span dir=\"auto\">3. Inzul\u00edn nala\u010dno<\/span><\/h2>\n<p><span dir=\"auto\">Hladinu cukru v krvi m\u016f\u017eete m\u00edt zcela norm\u00e1ln\u00ed, zat\u00edmco va\u0161e t\u011blo u\u017e mus\u00ed produkovat st\u00e1le v\u00edce inzul\u00ednu, aby ji udr\u017eelo pod kontrolou.<\/span><\/p>\n<p><span dir=\"auto\">Zv\u00fd\u0161en\u00fd inzul\u00edn nala\u010dno m\u016f\u017ee b\u00fdt jedn\u00edm z prvn\u00edch sign\u00e1l\u016f zhor\u0161uj\u00edc\u00ed se citlivosti bun\u011bk na tento hormon, a to roky p\u0159ed vznikem prediabetu \u010di diabetu 2. typu.<\/span><\/p>\n<p><span dir=\"auto\">Inzul\u00ednov\u00e1 rezistence \u00fazce souvis\u00ed i se ztukovat\u011bn\u00edm jater, metabolick\u00fdm syndromem a zv\u00fd\u0161en\u00fdm kardiovaskul\u00e1rn\u00edm rizikem.<\/span><\/p>\n<p><span dir=\"auto\">V\u00fdsledek je vhodn\u00e9 posuzovat spolu s glyk\u00e9mi\u00ed, p\u0159\u00edpadn\u011b indexem HOMA-IR. Samotn\u00fd inzul\u00edn nala\u010dno toti\u017e nesta\u010d\u00ed ke stanoven\u00ed diagn\u00f3zy.<\/span><\/p>\n<p><strong><span dir=\"auto\">Preventivn\u00ed c\u00edl podle funk\u010dn\u00ed medic\u00edny:<\/span><\/strong><span dir=\"auto\"> Pod 5 \u00b5IU\/ml (mIU\/l). Nejde v\u0161ak o v\u0161eobecn\u011b p\u0159ijatou diagnostickou hranici.<\/span><\/p>\n<h2><span dir=\"auto\">4. Vysocecitliv\u00fd C-reaktivn\u00ed protein (hs-CRP)<\/span><\/h2>\n<p><span dir=\"auto\">Chronick\u00fd z\u00e1n\u011bt n\u00edzk\u00e9ho stupn\u011b m\u016f\u017ee v t\u011ble p\u0159etrv\u00e1vat cel\u00e9 roky bez v\u00fdrazn\u00fdch p\u0159\u00edznak\u016f. Postupn\u011b p\u0159itom ovliv\u0148uje c\u00e9vy, metabolismus a dal\u0161\u00ed tk\u00e1n\u011b.<\/span><\/p>\n<p><span dir=\"auto\">Zv\u00fd\u0161en\u00e9 hs-CRP se poj\u00ed s vy\u0161\u0161\u00edm rizikem srde\u010dn\u011b-c\u00e9vn\u00edch p\u0159\u00edhod a v popula\u010dn\u00edch studi\u00edch is v\u00edce chronick\u00fdmi onemocn\u011bn\u00edmi a celkovou \u00famrtnost\u00ed. Na rozd\u00edl od b\u011b\u017en\u00e9ho CRP dok\u00e1\u017ee vysoce citliv\u00e1 metoda zachytit i velmi n\u00edzk\u00e9 koncentrace. Poskytuje tak u\u017eite\u010dn\u00fd pohled na z\u00e1n\u011btlivou z\u00e1t\u011b\u017e organismu.<\/span><\/p>\n<p><span dir=\"auto\">Pokud je hodnota opakovan\u011b zv\u00fd\u0161ena, stoj\u00ed za to p\u00e1trat po p\u0159\u00ed\u010din\u011b. Jednor\u00e1zov\u00e9 zv\u00fd\u0161en\u00ed m\u016f\u017ee souviset tak\u00e9 s infekc\u00ed \u010di intenzivn\u00ed fyzickou z\u00e1t\u011b\u017e\u00ed.<\/span><\/p>\n<p><strong><span dir=\"auto\">P\u0159\u00edzniv\u00e1 hodnota:<\/span><\/strong><span dir=\"auto\"> Pod 1,0 mg\/l. Hodnoty nad 2 mg\/l se pova\u017euj\u00ed za jeden z nep\u0159\u00edzniv\u00fdch kardiovaskul\u00e1rn\u00edch rizikov\u00fdch faktor\u016f.<\/span><\/p>\n<h2><span dir=\"auto\">5. Glykovan\u00fd hemoglobin (HbA1c)<\/span><\/h2>\n<p><span dir=\"auto\">Vy\u0161et\u0159en\u00ed gluk\u00f3zy nala\u010dno ukazuje hladinu cukru v okam\u017eiku odb\u011bru. HbA1c poskytuje \u0161ir\u0161\u00ed obraz \u2013 odr\u00e1\u017e\u00ed pr\u016fm\u011brnou glyk\u00e9mii p\u0159ibli\u017en\u011b za posledn\u00ed dva a\u017e t\u0159i m\u011bs\u00edce.<\/span><\/p>\n<p><span dir=\"auto\">Dok\u00e1\u017ee tak odhalit dlouhodob\u011bj\u0161\u00ed metabolick\u00e9 zm\u011bny, kter\u00e9 jednor\u00e1zov\u00e9 m\u011b\u0159en\u00ed nemus\u00ed zachytit.<\/span><\/p>\n<p><span dir=\"auto\">HbA1c pat\u0159\u00ed mezi z\u00e1kladn\u00ed testy pro diagnostiku prediabetu a cukrovky, ale nemus\u00ed b\u00fdt automatickou sou\u010d\u00e1st\u00ed b\u011b\u017en\u00e9 preventivn\u00ed prohl\u00eddky.<\/span><\/p>\n<p><strong><span dir=\"auto\">P\u0159\u00edzniv\u00e9 hodnoty:<\/span><\/strong><span dir=\"auto\"> P\u0159ibli\u017en\u011b 4,8\u20135,5 % podle p\u0159\u00edsn\u011bj\u0161\u00edho preventivn\u00edho p\u0159\u00edstupu. Prediabetes se podle krit\u00e9ri\u00ed ADA za\u010d\u00edn\u00e1 p\u0159i 5,7 % a cukrovka p\u0159i 6,5 %, pokud je diagn\u00f3za n\u00e1le\u017eit\u011b potvrzena. V\u00fdsledek mohou zkreslit n\u011bkter\u00e9 druhy an\u00e9mie.<\/span><\/p>\n<h2><span dir=\"auto\">6. Homocystein<\/span><\/h2>\n<p><span dir=\"auto\">Homocystein je aminokyselina vznikaj\u00edc\u00ed p\u0159i metabolismu methioninu. Jeho zpracov\u00e1n\u00ed \u00fazce souvis\u00ed s metyla\u010dn\u00edmi procesy, na kter\u00fdch se pod\u00edlej\u00ed zejm\u00e9na vitam\u00edny B12, B6 a fol\u00e1t.<\/span><\/p>\n<p><span dir=\"auto\">Zv\u00fd\u0161en\u00e1 hladina m\u016f\u017ee upozor\u0148ovat na nedostatek t\u011bchto \u017eivin, poruchy jejich metabolismu nebo zhor\u0161enou funkci ledvin.<\/span><\/p>\n<p><span dir=\"auto\">Vy\u0161\u0161\u00ed homocystein se z\u00e1rove\u0148 poj\u00ed s kardiovaskul\u00e1rn\u00edmi a n\u011bkter\u00fdmi neurologick\u00fdmi onemocn\u011bn\u00edmi. Je proto zaj\u00edmav\u00fdm dopl\u0148kov\u00fdm ukazatelem, a\u010dkoli jeho sn\u00ed\u017een\u00ed automaticky neznamen\u00e1 pokles rizika infarktu \u010di demence.<\/span><\/p>\n<p><strong><span dir=\"auto\">Preferovan\u00e9 hodnoty ve funk\u010dn\u00ed medic\u00edn\u011b:<\/span><\/strong><span dir=\"auto\"> P\u0159ibli\u017en\u011b 6\u20138 \u00b5mol\/l. B\u011b\u017en\u00e1 laboratorn\u00ed rozmez\u00ed jsou \u0161ir\u0161\u00ed.<\/span><\/p>\n<h2><span dir=\"auto\">7. Index omega-3 mastn\u00fdch kyselin<\/span><\/h2>\n<p><span dir=\"auto\">Mo\u017en\u00e1 pravideln\u011b j\u00edte ryby nebo u\u017e\u00edv\u00e1te ryb\u00ed olej a p\u0159edpokl\u00e1d\u00e1te, \u017ee va\u0161e t\u011blo m\u00e1 dostatek omega-3 mastn\u00fdch kyselin.<\/span><\/p>\n<p><span dir=\"auto\">Ale pro\u010d jen p\u0159edpokl\u00e1dat, kdy\u017e to lze zm\u011b\u0159it?<\/span><\/p>\n<p><span dir=\"auto\">Index omega-3 ukazuje, jak\u00fd pod\u00edl mastn\u00fdch kyselin v membr\u00e1n\u00e1ch \u010derven\u00fdch krvinek tvo\u0159\u00ed EPA a DHA. Poskytuje tak informaci o jejich skute\u010dn\u00e9m zastoupen\u00ed v organismu b\u011bhem p\u0159edchoz\u00edch m\u011bs\u00edc\u016f.<\/span><\/p>\n<p><span dir=\"auto\">V\u00fdzkumy opakovan\u011b nach\u00e1zej\u00ed souvislost mezi vy\u0161\u0161\u00edm omega-3 indexem a ni\u017e\u0161\u00ed celkovou \u010di kardiovaskul\u00e1rn\u00ed \u00famrtnost\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">N\u011bkte\u0159\u00ed odborn\u00edci na preventivn\u00ed medic\u00ednu jej proto pova\u017euj\u00ed za mimo\u0159\u00e1dn\u011b cenn\u00fd ukazatel dlouhodob\u00e9ho zdrav\u00ed, a\u010dkoli jeho rutinn\u00ed m\u011b\u0159en\u00ed zat\u00edm nen\u00ed standardem prevence.<\/span><\/p>\n<p><strong><span dir=\"auto\">Preferovan\u00e1 hodnota:<\/span><\/strong><span dir=\"auto\"> Alespo\u0148 8 %.<\/span><\/p>\n<h2><span dir=\"auto\">8. Vitamin D<\/span><\/h2>\n<p><a href=\"https:\/\/www.badatel.net\/kluc-k-elegantnemu-starnutiu-slnko-dodava-vitamin-d-zvysuje-oxid-dusnaty-a-zachovava-telomery\/\"><span dir=\"auto\">Vitamin D<\/span><\/a><span dir=\"auto\"> hraje d\u016fle\u017eitou roli p\u0159i udr\u017eov\u00e1n\u00ed zdrav\u00fdch kost\u00ed, svalov\u00e9 funkci, regulaci imunity a dal\u0161\u00edch biologick\u00fdch procesech.<\/span><\/p>\n<p><span dir=\"auto\">Jeho n\u00edzk\u00e9 hladiny jsou \u010dast\u011bj\u0161\u00ed u lid\u00ed s omezen\u00fdm pobytem na slunci, ve vy\u0161\u0161\u00edm v\u011bku \u010di u n\u011bkter\u00fdch onemocn\u011bn\u00ed. P\u0159esto se p\u0159i b\u011b\u017en\u00fdch preventivn\u00edch prohl\u00eddk\u00e1ch automaticky nevy\u0161et\u0159uje.<\/span><\/p>\n<p><span dir=\"auto\">Hladina 25-hydroxyvitaminu D, ozna\u010dovan\u00e9ho jako 25(OH)D, poskytuje nejlep\u0161\u00ed b\u011b\u017en\u011b dostupn\u00fd obraz o z\u00e1soben\u00ed organismu t\u00edmto vitam\u00ednem.<\/span><\/p>\n<p><span dir=\"auto\">O optim\u00e1ln\u00ed hladin\u011b v\u0161ak odborn\u00edci diskutuj\u00ed. Zast\u00e1nci funk\u010dn\u00ed medic\u00edny \u010dasto doporu\u010duj\u00ed vy\u0161\u0161\u00ed hodnoty ne\u017e ty, kter\u00e9 se pova\u017euj\u00ed za dostate\u010dn\u00e9 pro zdrav\u00ed kost\u00ed.<\/span><\/p>\n<p><strong><span dir=\"auto\">Orienta\u010dn\u00ed hodnoty:<\/span><\/strong><span dir=\"auto\"> P\u0159ibli\u017en\u011b 20 ng\/ml (50 nmol\/l) se \u010dasto pova\u017euje za dostate\u010dnou hladinu pro v\u011bt\u0161inu zdrav\u00fdch lid\u00ed. N\u011bkte\u0159\u00ed odborn\u00edci na funk\u010dn\u00ed medic\u00ednu prosazuj\u00ed 50\u201380 ng\/ml, ale takov\u00e9 vysok\u00e9 hodnoty nejsou v\u0161eobecn\u011b uzn\u00e1van\u00fdm optimem. Nadm\u011brn\u00e9 d\u00e1vky vitam\u00ednu D mohou b\u00fdt \u0161kodliv\u00e9.<\/span><\/p>\n<h2><span dir=\"auto\">9. Feritin<\/span><\/h2>\n<p><span dir=\"auto\">B\u011b\u017en\u00fd krevn\u00ed obraz dok\u00e1\u017ee odhalit an\u00e9mii. Z\u00e1soby \u017eeleza v\u0161ak mohou b\u00fdt vy\u010derp\u00e1ny d\u00e1vno p\u0159edt\u00edm, ne\u017e se sn\u00ed\u017e\u00ed hemoglobin.<\/span><\/p>\n<p><span dir=\"auto\">Pr\u00e1v\u011b proto pova\u017euji feritin za mimo\u0159\u00e1dn\u011b u\u017eite\u010dn\u00e9 vy\u0161et\u0159en\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">N\u00edzk\u00e1 hladina m\u016f\u017ee vysv\u011btlovat \u00fanavu \u010di zhor\u0161enou v\u00fdkonnost i p\u0159i norm\u00e1ln\u00edm krevn\u00edm obraze. Obzvl\u00e1\u0161t\u011b d\u016fle\u017eit\u00e1 je u menstruuj\u00edc\u00edch \u017een nebo p\u0159i podez\u0159en\u00ed na chronick\u00e9 krevn\u00ed ztr\u00e1ty.<\/span><\/p>\n<p><span dir=\"auto\">Pozornost si v\u0161ak zaslou\u017e\u00ed i opa\u010dn\u00fd extr\u00e9m. Velmi vysok\u00fd feritin m\u016f\u017ee signalizovat p\u0159et\u00ed\u017een\u00ed \u017eelezem, z\u00e1n\u011bt, onemocn\u011bn\u00ed jater \u010di metabolick\u00e9 probl\u00e9my.<\/span><\/p>\n<p><strong><span dir=\"auto\">Preferovan\u00e9 hodnoty n\u011bkter\u00fdch odborn\u00edk\u016f na funk\u010dn\u00ed medic\u00ednu:<\/span><\/strong><span dir=\"auto\"> P\u0159ibli\u017en\u011b 45\u2013150 ng\/ml u \u017een a 100\u2013300 ng\/ml u mu\u017e\u016f. Jedn\u00e1 se o orienta\u010dn\u00ed intervaly, ne univerz\u00e1ln\u00ed optimum. V\u00fdsledek je t\u0159eba posuzovat podle zdravotn\u00edho stavu a p\u0159i podez\u0159en\u00ed na nadbytek \u017eeleza i spolu se saturac\u00ed transferrinu.<\/span><\/p>\n<h2><span dir=\"auto\">10. Protil\u00e1tky proti \u0161t\u00edtn\u00e9 \u017el\u00e1ze<\/span><\/h2>\n<p><span dir=\"auto\">Vy\u0161et\u0159ov\u00e1n\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy \u010dasto za\u010d\u00edn\u00e1 stanoven\u00edm TSH. N\u011bkdy t\u00edm cel\u00e9 vy\u0161et\u0159en\u00ed kon\u010d\u00ed. Jen\u017ee autoimunitn\u00ed onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy se m\u016f\u017ee rozv\u00edjet ji\u017e v dob\u011b, kdy je TSH je\u0161t\u011b v norm\u011b.<\/span><\/p>\n<p><span dir=\"auto\">Protil\u00e1tky proti tyreoperoxid\u00e1ze (anti-TPO) a tyreoglobulinu (anti-Tg) dok\u00e1\u017e\u00ed odhalit autoimunitn\u00ed aktivitu d\u0159\u00edve, ne\u017e vznikne zjevn\u00e1 porucha tvorby hormon\u016f.<\/span><\/p>\n<p><span dir=\"auto\">Jejich vy\u0161et\u0159en\u00ed m\u00e1 v\u00fdznam zejm\u00e9na p\u0159i podez\u0159en\u00ed na Hashimotovu tyreoiditidu, rodinn\u00e9 anamn\u00e9ze nebo nevysv\u011btlen\u00fdch pot\u00ed\u017e\u00edch souvisej\u00edc\u00edch se \u0161t\u00edtnou \u017el\u00e1zou.<\/span><\/p>\n<p><span dir=\"auto\">Pozitivn\u00ed protil\u00e1tky v\u0161ak samy o sob\u011b neznamenaj\u00ed pot\u0159ebu l\u00e9\u010dby.<\/span><\/p>\n<p><strong><span dir=\"auto\">Orienta\u010dn\u00ed hodnoty:<\/span><\/strong><span dir=\"auto\"> Anti-TPO pod 9 IU\/ml a anti-Tg nejv\u00fd\u0161e 1 IU\/ml podle n\u011bkter\u00fdch laborato\u0159\u00ed. Hranice se li\u0161\u00ed podle pou\u017eit\u00e9 metody, proto je rozhoduj\u00edc\u00ed referen\u010dn\u00ed rozmez\u00ed konkr\u00e9tn\u00ed laborato\u0159e.<\/span><\/p>\n<h2><span dir=\"auto\">11. Koron\u00e1rn\u00ed kalcifika\u010dn\u00ed sk\u00f3re nebo CT angiografie<\/span><\/h2>\n<p><span dir=\"auto\">Posledn\u00ed vy\u0161et\u0159en\u00ed nen\u00ed krevn\u00ed test. U vhodn\u011b vybran\u00e9ho \u010dlov\u011bka v\u0161ak dok\u00e1\u017ee poskytnout informace, kter\u00e9 z krve jednodu\u0161e nez\u00edsk\u00e1me.<\/span><\/p>\n<p><strong><span dir=\"auto\">Koron\u00e1rn\u00ed kalcifika\u010dn\u00ed sk\u00f3re (CAC)<\/span><\/strong><span dir=\"auto\"> pomoc\u00ed CT m\u011b\u0159\u00ed mno\u017estv\u00ed zv\u00e1penat\u011bl\u00fdch aterosklerotick\u00fdch pl\u00e1t\u016f v tepn\u00e1ch z\u00e1sobuj\u00edc\u00edch srdce.<\/span><\/p>\n<p><span dir=\"auto\">Nulov\u00e9 sk\u00f3re b\u00fdv\u00e1 spojeno s n\u00edzk\u00fdm kardiovaskul\u00e1rn\u00edm rizikem, a\u010dkoli nevylu\u010duje p\u0159\u00edtomnost m\u011bkk\u00fdch, nezv\u00e1penat\u011bl\u00fdch pl\u00e1t\u016f. Vy\u0161\u0161\u00ed sk\u00f3re naopak nazna\u010duje v\u011bt\u0161\u00ed z\u00e1t\u011b\u017e ateroskler\u00f3zou.<\/span><\/p>\n<p><strong><span dir=\"auto\">Koron\u00e1rn\u00ed CT angiografie (CCTA)<\/span><\/strong><span dir=\"auto\"> dok\u00e1\u017ee zobrazit i z\u00fa\u017een\u00ed tepen a nezv\u00e1penat\u011bl\u00e9 pl\u00e1ty. Modern\u00ed metody v\u010detn\u011b um\u011bl\u00e9 inteligence umo\u017e\u0148uj\u00ed podrobn\u011bji hodnotit jejich charakter.<\/span><\/p>\n<p><span dir=\"auto\">CAC se vyu\u017e\u00edv\u00e1 zejm\u00e9na ke zp\u0159esn\u011bn\u00ed kardiovaskul\u00e1rn\u00edho rizika, zat\u00edmco CCTA m\u00e1 v\u00fdznam p\u0159edev\u0161\u00edm p\u0159i konkr\u00e9tn\u00edm podez\u0159en\u00ed na onemocn\u011bn\u00ed koron\u00e1rn\u00edch tepen. Ani jedno nen\u00ed automatick\u00fdm vy\u0161et\u0159en\u00edm pro ka\u017ed\u00e9ho zdrav\u00e9ho \u010dlov\u011bka.<\/span><\/p>\n<p><span dir=\"auto\">My\u0161lenka je v\u0161ak fascinuj\u00edc\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">U\u017e nemus\u00edme v\u017edy spol\u00e9hat pouze na ot\u00e1zku: \u201eCo nazna\u010duj\u00ed m\u00e9 hodnoty cholesterolu?\u201c<\/span><\/p>\n<p><span dir=\"auto\">U n\u011bkter\u00fdch lid\u00ed se dnes m\u016f\u017eeme p\u0159\u00edmo pod\u00edvat na to, co se opravdu d\u011bje v jejich tepn\u00e1ch.<\/span><\/p>\n<h2><span dir=\"auto\">Nesledujte pouze jednotliv\u00e1 \u010d\u00edsla. V\u0161\u00edmejte si souvislosti.<\/span><\/h2>\n<p><span dir=\"auto\">Jeden laboratorn\u00ed v\u00fdsledek je jen momentka.<\/span><\/p>\n<p><span dir=\"auto\">Skute\u010dnou hodnotu z\u00edsk\u00e1vaj\u00ed tyto \u00fadaje tehdy, kdy\u017e je sledujeme v \u010dase a d\u00e1v\u00e1me do souvislosti s p\u0159\u00edznaky, rodinnou anamn\u00e9zou, \u017eivotn\u00edm stylem a dal\u0161\u00edmi zdravotn\u00edmi informacemi.<\/span><\/p>\n<p><span dir=\"auto\">Ne ka\u017ed\u00fd pot\u0159ebuje v\u0161ech jeden\u00e1ct vy\u0161et\u0159en\u00ed. N\u011bkter\u00e9 sta\u010d\u00ed absolvovat jednou za \u017eivot, jin\u00e9 podle individu\u00e1ln\u00edch rizik nebo p\u0159i podez\u0159en\u00ed na konkr\u00e9tn\u00ed probl\u00e9m.<\/span><\/p>\n<p><span dir=\"auto\">O to d\u016fle\u017eit\u011bj\u0161\u00ed je v\u011bd\u011bt, jak\u00e9 mo\u017enosti dnes m\u00e1me.<\/span><\/p>\n<p><span dir=\"auto\">Na nejbli\u017e\u0161\u00ed preventivn\u00ed prohl\u00eddku si proto p\u0159ineste tento seznam a promluvte si se sv\u00fdm l\u00e9ka\u0159em o tom, kter\u00e1 vy\u0161et\u0159en\u00ed by byla u\u017eite\u010dn\u00e1 pr\u00e1v\u011b pro v\u00e1s. N\u011bkter\u00e9 si mo\u017en\u00e1 budete muset zajistit jako samopl\u00e1tce.<\/span><\/p>\n<p><span dir=\"auto\">V\u00fdsledky si odkl\u00e1dejte. Porovn\u00e1vejte je. Sledujte, jak se jednotliv\u00e9 ukazatele vyv\u00edjej\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Zdrav\u00ed nen\u00ed jen o tom, zda dne\u0161n\u00ed \u010d\u00edsla zapadaj\u00ed do laboratorn\u00ed normy. D\u016fle\u017eit\u00e9 je tak\u00e9 to, <\/span><strong><span dir=\"auto\">co n\u00e1m prozrazuj\u00ed o budoucnosti.<\/span><\/strong><\/p>\n<p><span dir=\"auto\">\u010c\u00edm d\u0159\u00edve odhal\u00edme varovn\u00e9 sign\u00e1ly, t\u00edm v\u011bt\u0161\u00ed \u0161anci m\u00e1me zas\u00e1hnout d\u0159\u00edve, ne\u017e se z nen\u00e1padn\u00fdch zm\u011bn stanou v\u00e1\u017en\u00e9 zdravotn\u00ed probl\u00e9my.<\/span><\/p>\n<p><span dir=\"auto\">A pr\u00e1v\u011b v tom vid\u00edm skute\u010dn\u00fd smysl prevence.<\/span><\/p>\n<p><span dir=\"auto\">Zdroj: <\/span><a href=\"https:\/\/drhyman.com\/blogs\/content\/11-critical-health-tests-your-annual-physical-may-be-missing\" target=\"_blank\" rel=\"noopener\"><span dir=\"auto\">drhyman.com<\/span><\/a><span dir=\"auto\"> , Zpracoval: Badatel.net<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>P\u0159ijedete na preventivn\u00ed prohl\u00eddku k l\u00e9ka\u0159i. Odeberou v\u00e1m krev a za n\u011bkolik dn\u00ed dostanete v\u00fdsledky&#8230;.<\/p>\n","protected":false},"author":2,"featured_media":119253,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[11911,1155,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/119252"}],"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=119252"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/119252\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/119253"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=119252"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=119252"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=119252"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}