{"id":72331,"date":"2025-02-15T00:35:59","date_gmt":"2025-02-14T23:35:59","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=72331"},"modified":"2025-02-14T14:07:45","modified_gmt":"2025-02-14T13:07:45","slug":"znepokojive-udaje-dlouhodobe-ucinky-ockovani-proti-covid-19-na-stitnou-zlazu","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/02\/15\/znepokojive-udaje-dlouhodobe-ucinky-ockovani-proti-covid-19-na-stitnou-zlazu\/","title":{"rendered":"Znepokojiv\u00e9 \u00fadaje: Dlouhodob\u00e9 \u00fa\u010dinky o\u010dkov\u00e1n\u00ed proti COVID-19 na \u0161t\u00edtnou \u017el\u00e1zu"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<div class=\"elementor-element elementor-element-1fb4c2c elementor-widget elementor-widget-theme-post-content\" data-id=\"1fb4c2c\" data-element_type=\"widget\" data-widget_type=\"theme-post-content.default\">\n<div class=\"elementor-widget-container\">\n<p><em>D\u016fle\u017eit\u00e1 nov\u00e1 studie veden\u00e1 Kai-Lun Chengem, Hsiang-Lin Lee, ob\u011bma z Chung Shan Medical University, Taichung, Tchaj-wan, a Jamesem Cheng-Chung Wei, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, China, a kolegov\u00e9 nastoluje nal\u00e9hav\u00e9 ot\u00e1zky o dlouhodob\u00fdch zdravotn\u00edch \u00fa\u010dinc\u00edch vakc\u00edny na \u0161t\u00edtnou \u017el\u00e1zu COV-19. Pomoc\u00ed federovan\u00e9 datov\u00e9 platformy\u00a0<\/em><a href=\"https:\/\/trinetx.com\/\"><em>TriNetX<\/em><\/a><em>\u00a0, kter\u00e1 agreguje skute\u010dn\u00e9 elektronick\u00e9 l\u00e9ka\u0159sk\u00e9 z\u00e1znamy, v\u011bdci analyzovali 2 333 496 pacient\u016f b\u011bhem dvou let v retrospektivn\u00ed kohortov\u00e9 studii, z nich\u017e polovina byla o\u010dkovan\u00e1 a polovina neo\u010dkovan\u00e1. P\u0159edpokl\u00e1daj\u00ed, \u017ee o\u010dkov\u00e1n\u00ed proti COVID-19 m\u016f\u017ee ovlivnit v\u00fdskyt dysfunkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy, v\u010detn\u011b subakutn\u00ed tyreoiditidy, hypertyre\u00f3zy a hypotyre\u00f3zy.<\/em><\/p>\n<h2 class=\"wp-block-heading\"><strong>Znepokojuj\u00edc\u00ed v\u00fdsledky<\/strong><\/h2>\n<p>V\u00fdsledky studie jsou p\u0159ekvapiv\u00e9 i znepokojiv\u00e9. Zat\u00edmco riziko subakutn\u00ed tyreoiditidy z\u016fstalo nezm\u011bn\u011bno, 3\u20139 m\u011bs\u00edc\u016f po o\u010dkov\u00e1n\u00ed byl pozorov\u00e1n p\u0159echodn\u00fd pokles p\u0159\u00edpad\u016f hypertyre\u00f3zy, kter\u00fd se po 12 m\u011bs\u00edc\u00edch normalizoval.<\/p>\n<p>V\u00edce znepokojuj\u00edc\u00ed je v\u0161ak v\u00fdznamn\u00e9 zv\u00fd\u0161en\u00ed rizika hypotyre\u00f3zy mezi 6. a 12. m\u011bs\u00edcem po o\u010dkov\u00e1n\u00ed (HR: 1,14-1,30). U p\u0159\u00edjemc\u016f mRNA vakc\u00edn jsou \u00fadaje je\u0161t\u011b alarmuj\u00edc\u00ed: po 12 m\u011bs\u00edc\u00edch se v\u00fdznamn\u011b zv\u00fd\u0161ilo riziko hypertyre\u00f3zy i hypotyre\u00f3zy (HR: 1,16-2,13). Tyto trendy nazna\u010duj\u00ed mo\u017enou autoimunitu \u0161t\u00edtn\u00e9 \u017el\u00e1zy nebo poruchy endokrinn\u00ed homeost\u00e1zy vyvolan\u00e9 o\u010dkov\u00e1n\u00edm proti COVID-19.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Omezen\u00ed nazna\u010duj\u00ed dal\u0161\u00ed studie<\/strong><\/h2>\n<p>\u00dadaje je v\u0161ak nutn\u00e9 pe\u010dliv\u011b kontrolovat. Pou\u017eit\u00ed TriNetX umo\u017e\u0148uje bohat\u00fd soubor dat z re\u00e1ln\u00e9ho sv\u011bta, ale p\u0159ich\u00e1z\u00ed s omezen\u00edmi \u2013 p\u0159edev\u0161\u00edm spol\u00e9h\u00e1n\u00ed se na elektronick\u00e9 zdravotn\u00ed z\u00e1znamy, kter\u00e9 mohou postr\u00e1dat konzistentnost diagnostick\u00fdch krit\u00e9ri\u00ed nap\u0159\u00ed\u010d za\u0159\u00edzen\u00edmi. P\u0159esto\u017ee shoda sk\u00f3re sklonu zm\u00edr\u0148uje ur\u010dit\u00e9 zkreslen\u00ed, matouc\u00ed prom\u011bnn\u00e9 (jako jsou ji\u017e existuj\u00edc\u00ed autoimunitn\u00ed predispozice nebo soub\u011b\u017en\u00e9 infekce) by mohly st\u00e1le zkreslovat v\u00fdsledky. Krom\u011b toho nedostatek podrobn\u00e9ho rozd\u011blen\u00ed podle zna\u010dky vakc\u00edny, po\u010dtu d\u00e1vek a demografick\u00fdch charakteristik pacient\u016f zanech\u00e1v\u00e1 kritick\u00e9 mezery v interpretaci.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Probl\u00e9my?<\/strong><\/h2>\n<p>M\u011bli bychom si d\u011blat starosti? Tato studie neprokazuje kauzalitu, ale souvislost mezi vakc\u00ednami COVID-19 a dysfunkc\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy je nyn\u00ed nepopirateln\u00e1. Potenci\u00e1ln\u00ed dlouhodob\u00e9 endokrinn\u00ed \u00fa\u010dinky vy\u017eaduj\u00ed pe\u010dliv\u00fd n\u00e1sledn\u00fd v\u00fdzkum. Pokud je dysregulace \u0161t\u00edtn\u00e9 \u017el\u00e1zy po o\u010dkov\u00e1n\u00ed realitou, mus\u00ed l\u00e9ka\u0159i proaktivn\u011b sledovat funkci \u0161t\u00edtn\u00e9 \u017el\u00e1zy u o\u010dkovan\u00fdch jedinc\u016f \u2013 zejm\u00e9na t\u011bch, kte\u0159\u00ed dost\u00e1vaj\u00ed p\u0159\u00edpravky s mRNA. P\u0159edstavitel\u00e9 ve\u0159ejn\u00e9ho zdrav\u00ed mus\u00ed naj\u00edt rovnov\u00e1hu mezi obhajobou vakc\u00edn a transparentnost\u00ed a zajistit, aby nov\u00e9 bezpe\u010dnostn\u00ed sign\u00e1ly nebyly ignorov\u00e1ny ani zavrhov\u00e1ny jako spekulace.<\/p>\n<p>Je to dal\u0161\u00ed podce\u0148ovan\u00fd vedlej\u0161\u00ed \u00fa\u010dinek hromadn\u00e9ho o\u010dkov\u00e1n\u00ed? Data \u0159\u00edkaj\u00ed, \u017ee si nem\u016f\u017eeme dovolit d\u00edvat se jinam.<\/p>\n<h2 class=\"wp-block-heading\"><strong><em>TrialSite<\/em><\/strong><strong>\u00a0o \u00fa\u010dinc\u00edch<\/strong><\/h2>\n<p>Pokud mRNA vakc\u00edny COVID-19 navod\u00ed autoimunitu proti \u0161t\u00edtn\u00e9 \u017el\u00e1ze nebo naru\u0161\u00ed endokrinn\u00ed homeost\u00e1zu, potenci\u00e1ln\u00ed zdravotn\u00ed d\u016fsledky by mohly b\u00fdt dalekos\u00e1hl\u00e9. Mohlo by doj\u00edt k hypotyre\u00f3ze vedouc\u00ed k p\u0159etrv\u00e1vaj\u00edc\u00ed \u00fanav\u011b, p\u0159ib\u00edr\u00e1n\u00ed na v\u00e1ze, depresi a kardiovaskul\u00e1rn\u00edm rizik\u016fm, jako je vysok\u00fd cholesterol a srde\u010dn\u00ed choroby.<\/p>\n<p>Kognitivn\u00ed poruchy, reproduk\u010dn\u00ed probl\u00e9my a zv\u00fd\u0161en\u00e1 n\u00e1chylnost k autoimunitn\u00edm onemocn\u011bn\u00edm, jako je\u00a0<a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/hashimotos-disease\/symptoms-causes\/syc-20351855\">Hashimotova tyreoiditida,<\/a>\u00a0d\u00e1le zhor\u0161uj\u00ed potenci\u00e1ln\u00ed dlouhodob\u00e9 po\u0161kozen\u00ed. Naopak hypertyre\u00f3za se m\u016f\u017ee projevit v podob\u011b necht\u011bn\u00e9ho hubnut\u00ed, svalov\u00e9 slabosti, bu\u0161en\u00ed srdce, \u00fazkosti a osteopor\u00f3zy a v krajn\u00edm p\u0159\u00edpad\u011b m\u016f\u017ee v\u00e9st a\u017e k \u017eivot ohro\u017euj\u00edc\u00ed bou\u0159i \u0161t\u00edtn\u00e9 \u017el\u00e1zy.<\/p>\n<p>Krom\u011b \u0161t\u00edtn\u00e9 \u017el\u00e1zy m\u016f\u017ee dysregulace imunitn\u00edho syst\u00e9mu zv\u00fd\u0161it n\u00e1chylnost k chronick\u00fdm autoimunitn\u00edm onemocn\u011bn\u00edm, endokrinn\u00edm poruch\u00e1m regulace nadledvin a inzul\u00ednu a potenci\u00e1ln\u00ed celo\u017eivotn\u00ed z\u00e1vislosti na hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapii. Kl\u00ed\u010dov\u00e9 ot\u00e1zky z\u016fst\u00e1vaj\u00ed: Jsou tyto \u00fa\u010dinky do\u010dasn\u00e9 nebo trval\u00e9? Jsou n\u011bkter\u00e9 skupiny obyvatel v\u00edce ohro\u017eeny? A spou\u0161t\u00ed technologie mRNA ne\u00famysln\u011b \u0161ir\u0161\u00ed naru\u0161en\u00ed imunitn\u00edho syst\u00e9mu? Pokud je tomu tak, je nezbytn\u00e9 proaktivn\u00ed sledov\u00e1n\u00ed funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy u o\u010dkovan\u00fdch jedinc\u016f, stejn\u011b jako nal\u00e9hav\u00fd v\u00fdzkum imunitn\u00ed modulace vyvolan\u00e9 vakc\u00ednou. Diskuse se nyn\u00ed mus\u00ed roz\u0161\u00ed\u0159it nad r\u00e1mec prevence COVID-19, aby zahrnovala dlouhodob\u00e9 endokrinn\u00ed zdrav\u00ed.<\/p>\n<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-8c57238 quelle dc-has-condition dc-condition-empty elementor-widget elementor-widget-heading\" data-id=\"8c57238\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<h3 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size: 10pt;\"><a href=\"https:\/\/www.trialsitenews.com\/a\/massive-2.3m-real-world-evidence-study-uncovers-troubling-link-between-mrna-covid-19-vaccines-and-thyroid-dysfunction-ddfdd5a2\" target=\"_blank\" rel=\"nofollow noopener\">Zdroj<\/a><\/span><\/h3>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>D\u016fle\u017eit\u00e1 nov\u00e1 studie veden\u00e1 Kai-Lun Chengem, Hsiang-Lin Lee, ob\u011bma z Chung Shan Medical University, Taichung,&#8230;<\/p>\n","protected":false},"author":2,"featured_media":72332,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[593,694,7165,651,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/72331"}],"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=72331"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/72331\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/72332"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=72331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=72331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=72331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}