{"id":78229,"date":"2025-05-08T00:14:53","date_gmt":"2025-05-07T22:14:53","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=78229"},"modified":"2025-05-07T15:48:04","modified_gmt":"2025-05-07T13:48:04","slug":"co-vam-nereknou-o-strachu","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/05\/08\/co-vam-nereknou-o-strachu\/","title":{"rendered":"Co v\u00e1m ne\u0159eknou o strachu"},"content":{"rendered":"
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Proto\u017ee \u00fazkostn\u00e9 poruchy jsou \u010dasto chybn\u011b diagnostikov\u00e1ny, \u010dasto se vol\u00ed nespr\u00e1vn\u00e1 l\u00e9\u010dba.<\/span><\/strong><\/h3>\n
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P\u0159\u00edb\u011bh v kostce:<\/span><\/strong><\/p>\n

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  • \u00dazkost nen\u00ed jen jedna v\u011bc \u2013 existuj\u00ed r\u016fzn\u00e9 typy, ka\u017ed\u00fd s vlastn\u00edmi p\u0159\u00ed\u010dinami a l\u00e9\u010dbou.<\/span><\/strong><\/li>\n
  • L\u00e9ka\u0159i je bohu\u017eel \u010dasto l\u00e9\u010d\u00ed, jako by v\u0161echny formy byly stejn\u00e9, a \u010dasto p\u0159edepisuj\u00ed l\u00e9ky, kter\u00e9 je zhor\u0161uj\u00ed. V d\u016fsledku toho, i p\u0159es miliardy dolar\u016f vynakl\u00e1dan\u00fdch na l\u00e9\u010dbu \u00fazkosti, j\u00ed trp\u00ed st\u00e1le v\u00edce lid\u00ed.<\/span><\/strong><\/li>\n
  • V mnoha p\u0159\u00edpadech lze \u00fazkost l\u00e9\u010dit pouze tehdy, pokud je pochopena jej\u00ed p\u0159\u00ed\u010dina.<\/span><\/strong><\/li>\n
  • Tento \u010dl\u00e1nek zkoum\u00e1 r\u016fzn\u00e9 typy \u00fazkosti a jejich p\u0159\u00ed\u010diny, abyste si mohli naj\u00edt spr\u00e1vnou l\u00e9\u010dbu a vyhnout se \u0161kodliv\u00fdm terapi\u00edm, kter\u00e9 \u010dasto p\u0159edepisuj\u00ed p\u0159epracovan\u00ed l\u00e9ka\u0159i.<\/span><\/strong><\/li>\n
  • Jednou z nejb\u011b\u017en\u011bj\u0161\u00edch l\u00e9\u010debn\u00fdch metod \u00fazkosti jsou benzodiazepiny. Tyto l\u00e9ky maj\u00ed bohu\u017eel mnoho z\u00e1va\u017en\u00fdch vedlej\u0161\u00edch \u00fa\u010dink\u016f, v\u010detn\u011b vysok\u00e9ho rizika z\u00e1vislosti. V d\u016fsledku toho lid\u00e9, kte\u0159\u00ed s u\u017e\u00edv\u00e1n\u00edm za\u010dali, \u010dasto nemohou p\u0159estat.<\/span><\/strong><\/li>\n
  • Naproti tomu existuje mnoho p\u0159\u00edrodn\u00edch terapi\u00ed pro \u00fazkost, kter\u00e9 funguj\u00ed v harmonii s t\u011blem a nezp\u016fsobuj\u00ed obrovsk\u00e9 probl\u00e9my, kter\u00e9 \u010dasto p\u0159in\u00e1\u0161ej\u00ed benzodiazepiny.<\/span><\/strong><\/li>\n<\/ul>\n

    Mnoz\u00ed pova\u017euj\u00ed \u00fazkost za nemoc modernity. Jsou proto jedn\u00edm z nejd\u016fle\u017eit\u011bj\u0161\u00edch trh\u016f s nemocemi v Americe (nap\u0159. mezi lety 2001 a 2004 trp\u011blo \u00fazkostnou poruchou p\u0159ibli\u017en\u011b 19,1 % dosp\u011bl\u00fdch v USA a v roce 2007 bylo na l\u00e9ka\u0159skou p\u00e9\u010di o \u00fazkostn\u00e9 poruchy a poruchy n\u00e1lady vynalo\u017eeno 36,8 miliard dolar\u016f). P\u0159esto\u017ee se na \u00fazkost utr\u00e1cej\u00ed miliardy dolar\u016f, nen\u00ed dostate\u010dn\u011b l\u00e9\u010dena (stejn\u011b jako v mnoha jin\u00fdch odv\u011btv\u00edch, kter\u00e1 jsou z\u00e1visl\u00e1 na udr\u017een\u00ed probl\u00e9mu, kter\u00fd \u201e\u0159e\u0161\u00ed\u201c) a nad\u00e1le roste.<\/span><\/p>\n

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

    Je\u0161t\u011b hor\u0161\u00ed je, \u017ee ned\u00e1vn\u00fd pr\u016fzkum zjistil, \u017ee n\u011bco m\u00e1lo p\u0159es polovina mlad\u00fdch dosp\u011bl\u00fdch (18\u201326 let) nyn\u00ed trp\u00ed \u00fazkost\u00ed, 43 % m\u00e1 z\u00e1chvaty paniky, t\u0159etina u\u017e\u00edv\u00e1 l\u00e9ky na \u00fazkost, 54 % zjistilo, \u017ee se jim v roce 2023 p\u0159\u00edznaky zhor\u0161ily, a 26 % z nich byla v d\u016fsledku COVID-19 diagnostikov\u00e1na nov\u00e1 du\u0161evn\u00ed porucha.<\/span><\/p>\n

    To v\u0161e nazna\u010duje, \u017ee k l\u00e9\u010db\u011b \u00fazkosti mo\u017en\u00e1 nevol\u00edme nejlep\u0161\u00ed p\u0159\u00edstup \u2013 zejm\u00e9na proto, \u017ee l\u00e9ky pou\u017e\u00edvan\u00e9 k jej\u00ed l\u00e9\u010db\u011b pat\u0159\u00ed k nejproblemati\u010dt\u011bj\u0161\u00edm na trhu.<\/span><\/p>\n

    Nedostate\u010dn\u00e1 doba l\u00e9\u010dby<\/span><\/h2>\n

    Jedn\u00edm z nejv\u011bt\u0161\u00edch probl\u00e9m\u016f v psychiatrick\u00e9 p\u00e9\u010di je nedostatek \u010dasu pro pacienty. Tento ukvapen\u00fd p\u0159\u00edstup vede k n\u011bkter\u00fdm v\u00e1\u017en\u00fdm probl\u00e9m\u016fm, jako nap\u0159\u00edklad:<\/span><\/p>\n

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    • Nen\u00ed \u010das varovat pacienty p\u0159ed z\u00e1va\u017en\u00fdmi vedlej\u0161\u00edmi \u00fa\u010dinky l\u00e9k\u016f.<\/span><\/li>\n
    • Pacienti si nejsou jisti, zda hl\u00e1s\u00ed z\u00e1va\u017en\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky, jako je sexu\u00e1ln\u00ed dysfunkce zp\u016fsoben\u00e1 SSRI, a l\u00e9ky nejsou spr\u00e1vn\u011b upraveny.<\/span><\/li>\n
    • L\u00e9ky nakonec nahrazuj\u00ed \u010dasov\u011b n\u00e1ro\u010dn\u011bj\u0161\u00ed terapie, kter\u00e9 jsou z dlouhodob\u00e9ho hlediska mnohem \u00fa\u010dinn\u011bj\u0161\u00ed.<\/span><\/li>\n
    • V\u011bt\u0161ina skute\u010dn\u00fdch l\u00e9\u010debn\u00fdch \u00fasp\u011bch\u016f, kter\u00fdch m\u016f\u017ee psychiatr dos\u00e1hnout, vy\u017eaduje, aby byl pacientovi pln\u011b k dispozici po del\u0161\u00ed dobu.<\/span><\/li>\n<\/ul>\n

      Bohu\u017eel v dne\u0161n\u00edm syst\u00e9mu zdravotn\u00ed p\u00e9\u010de jsou sch\u016fzky s psychiatry, kte\u0159\u00ed pracuj\u00ed holisticky a jsou placeni v hotovosti, obvykle omezeny na pouh\u00fdch 15 minut, co\u017e ponech\u00e1v\u00e1 jen m\u00e1lo prostoru pro smysluplnou komunikaci.<\/span><\/p>\n

      P\u0159ekr\u00fdvaj\u00edc\u00ed se syndromy<\/span><\/h2>\n

      Velkou v\u00fdzvou v l\u00e9ka\u0159sk\u00e9 diagn\u00f3ze je, \u017ee stejn\u00e1 nemoc m\u016f\u017ee u r\u016fzn\u00fdch pacient\u016f zp\u016fsobovat r\u016fzn\u00e9 p\u0159\u00edznaky, zat\u00edmco zcela odli\u0161n\u00e1 onemocn\u011bn\u00ed mohou m\u00edt velmi podobn\u00e9 p\u0159\u00edznaky. Z tohoto d\u016fvodu je obvykle mnohem snaz\u0161\u00ed (a ziskov\u011bj\u0161\u00ed) pou\u017e\u00edvat terapie, kter\u00e9 se zam\u011b\u0159uj\u00ed na symptomatick\u00e9 projevy onemocn\u011bn\u00ed, ne\u017e v\u011bnovat \u010das p\u0159esn\u00e9mu zji\u0161t\u011bn\u00ed, co onemocn\u011bn\u00ed spou\u0161t\u00ed, a l\u00e9\u010db\u011b p\u0159\u00ed\u010diny.<\/span><\/p>\n

      Jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch d\u016fvod\u016f, pro\u010d se lid\u00e9 obracej\u00ed k (\u010dasto n\u00e1kladn\u00e9) integrativn\u00ed medic\u00edn\u011b, kter\u00e1 nen\u00ed hrazena poji\u0161\u0165ovnou, je proto to, \u017ee symptomatick\u00e1 l\u00e9\u010dba konven\u010dn\u00ed medic\u00ednou vede k nep\u0159ijateln\u00fdm v\u00fdsledk\u016fm (nap\u0159. mnoho oslabuj\u00edc\u00edch symptom\u016f p\u0159etrv\u00e1v\u00e1, n\u00e1kladn\u00e1 a \u0161kodliv\u00e1 \u201el\u00e9\u010dba\u201c mus\u00ed pokra\u010dovat donekone\u010dna, jinak nemoc postupuje).<\/span><\/p>\n

      V \u010dl\u00e1nku o depresn\u00edm pr\u016fmyslu jsem zd\u016fraznil jeden z hlavn\u00edch probl\u00e9m\u016f s t\u00edmto stavem: Neexistuje jen jeden typ deprese, ale mnoho r\u016fzn\u00fdch p\u0159\u00ed\u010din. To m\u00e1 \u010dasto zna\u010dn\u00e9 d\u016fsledky, proto\u017ee n\u011bkter\u00e9 typy deprese reaguj\u00ed na antidepresiva SSRI dob\u0159e, jin\u00e9 ne a n\u011bkter\u00e9 se antidepresivn\u00ed terapi\u00ed dokonce v\u00fdrazn\u011b zhor\u0161uj\u00ed. Proto nen\u00ed vhodn\u00e9 rychle diagnostikovat depresi a pot\u00e9 p\u0159edepsat antidepresiva \u2013 bohu\u017eel se to ale \u010dasto st\u00e1v\u00e1, zejm\u00e9na b\u011bhem desetiminutov\u00fdch n\u00e1v\u0161t\u011bv praktick\u00e9ho l\u00e9ka\u0159e.<\/span><\/p>\n

      Tot\u00e9\u017e plat\u00ed pro \u201e\u00fazkost\u201c (co\u017e vysv\u011btluje, pro\u010d \u201e\u00fazkost\u201c a \u201edeprese\u201c z\u016fst\u00e1vaj\u00ed dv\u011bma nej\u010dast\u011bj\u0161\u00edmi psychiatrick\u00fdmi diagn\u00f3zami).<\/span><\/p>\n

      Typy \u00fazkosti<\/span><\/h2>\n

      Mezi nej\u010dast\u011bj\u0161\u00ed typy \u00fazkosti pat\u0159\u00ed:<\/span><\/p>\n

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      • Generalizovan\u00e1 \u00fazkostn\u00e1 porucha (GAD):<\/span><\/strong>\u00a0Charakterizov\u00e1na nadm\u011brn\u00fdmi obavami z r\u016fzn\u00fdch probl\u00e9m\u016f, kter\u00e9 jsou ne\u00fam\u011brn\u00e9 skute\u010dn\u00e9mu probl\u00e9mu, \u010dasto doprov\u00e1zen\u00e9 fyzick\u00fdmi p\u0159\u00edznaky, jako je svalov\u00e9 nap\u011bt\u00ed. Posti\u017eeno je p\u0159ibli\u017en\u011b 3,1 % populace USA, p\u0159i\u010dem\u017e \u017eeny jsou posti\u017eeny \u010dast\u011bji. Porucha reaguje na kognitivn\u011b behavior\u00e1ln\u00ed terapii (KBT),\u00a0<\/span>ale benzodiazepiny ji v\u00fdznamn\u011b zhor\u0161uj\u00ed<\/span><\/strong>\u00a0.<\/span><\/li>\n
      • Panick\u00e1 porucha:<\/span><\/strong>\u00a0V posledn\u00edm roce p\u0159ibli\u017en\u011b 2\u20133 % Ameri\u010dan\u016f za\u017eilo n\u00e1hl\u00e9, neo\u010dek\u00e1van\u00e9 a opakuj\u00edc\u00ed se z\u00e1chvaty paniky s p\u0159\u00edznaky, jako je zrychlen\u00fd srde\u010dn\u00ed tep a z\u00e1vrat\u011b. Psychoterapie, zejm\u00e9na prevence expozice a reakce (ERP), je \u00fa\u010dinn\u00e1 a v n\u011bkter\u00fdch p\u0159\u00edpadech mohou benzodiazepiny pomoci s panick\u00fdmi poruchami.<\/span><\/li>\n
      • Specifick\u00e9 fobie:<\/span><\/strong>\u00a0Asi 7\u20139 % lid\u00ed si v ur\u010dit\u00e9m okam\u017eiku sv\u00e9ho \u017eivota vyvine iracion\u00e1ln\u00ed strach z ur\u010dit\u00e9ho objektu, situace nebo \u010dinnosti, jako nap\u0159\u00edklad: B. v\u00fd\u0161ky, pavouci nebo l\u00e9t\u00e1n\u00ed, a p\u0159i konfrontaci s nimi poci\u0165uj\u00ed panick\u00e9 p\u0159\u00edznaky. Stejn\u011b jako u panick\u00fdch poruch reaguje tento stav na vhodn\u00e9 u\u017e\u00edv\u00e1n\u00ed benzodiazepin\u016f a ERP terapie.<\/span><\/li>\n
      • Soci\u00e1ln\u00ed \u00fazkostn\u00e1 porucha (SAD):<\/span><\/strong>\u00a0Intenzivn\u00ed strach z posuzov\u00e1n\u00ed v soci\u00e1ln\u00edch situac\u00edch, vedouc\u00ed k vyh\u00fdbav\u00e9mu chov\u00e1n\u00ed (kter\u00e9 v ur\u010dit\u00e9m okam\u017eiku sv\u00e9ho \u017eivota za\u017e\u00edv\u00e1 7\u201313 % lid\u00ed). ERP terapie a n\u00edzk\u00e9 d\u00e1vky beta-blok\u00e1tor\u016f jsou u\u017eite\u010dn\u00e9 l\u00e9\u010debn\u00e9 metody.<\/span><\/li>\n
      • Agorafobie:<\/span><\/strong>\u00a0Asi 1\u20132 % lid\u00ed se boj\u00ed situac\u00ed, ze kter\u00fdch by se jim v p\u0159\u00edpad\u011b \u00fazkosti nebo panick\u00e9 ataky jen t\u011b\u017eko vyvl\u00e9klo. Agorafobie dob\u0159e reaguje na terapii ERP, ale ne na benzodiazepiny.<\/span><\/li>\n
      • Obsedantn\u011b-kompulzivn\u00ed porucha (OCD):<\/span><\/strong>\u00a0Spojena s vt\u00edrav\u00fdmi my\u0161lenkami a opakuj\u00edc\u00edm se chov\u00e1n\u00edm. Nereaguje dob\u0159e na KBT nebo benzodiazepiny, ale m\u016f\u017ee m\u00edt prosp\u011bch z ERP terapie. Psychiat\u0159i mohou k l\u00e9\u010db\u011b pou\u017e\u00edvat SSRI.<\/span><\/li>\n
      • Posttraumatick\u00e1 stresov\u00e1 porucha (PTSD):<\/span><\/strong>\u00a0\u010cast\u00e1 p\u0159\u00ed\u010dina \u00fazkosti u 3\u20136 % populace, kter\u00e1 \u010dasto vede k flashback\u016fm a samol\u00e9\u010db\u011b. M\u016f\u017ee reagovat na ERP nebo KBT, ale \u010dasto je nevhodn\u011b l\u00e9\u010den medikament\u00f3zn\u011b.<\/span><\/li>\n
      • Porucha adaptace:<\/span><\/strong>\u00a0Vyskytuje se po z\u00e1sadn\u00edch \u017eivotn\u00edch zm\u011bn\u00e1ch a vede k funk\u010dn\u00edm poruch\u00e1m. Kognitivn\u011b behavior\u00e1ln\u00ed terapie (KBT) a podp\u016frn\u00e1 terapie jsou nej\u00fa\u010dinn\u011bj\u0161\u00ed, a\u010dkoli se SSRI n\u011bkdy pou\u017e\u00edvaj\u00ed do\u010dasn\u011b pro kr\u00e1tkodobou \u00falevu.<\/span><\/li>\n
      • Syndrom stresuj\u00edc\u00edho \u017eivota:<\/span><\/strong>\u00a0\u00dazkost zp\u016fsoben\u00e1 prob\u00edhaj\u00edc\u00edmi stresov\u00fdmi situacemi, jako nap\u0159\u00edklad: B. nezdrav\u00e9 vztahy nebo nespokojenost v pr\u00e1ci. Psychotropn\u00ed l\u00e9ky v t\u011bchto p\u0159\u00edpadech z\u0159\u00eddka pom\u00e1haj\u00ed, proto\u017ee nejsou vhodn\u00e9 k l\u00e9\u010db\u011b vn\u011bj\u0161\u00edho probl\u00e9mu, kter\u00fd zp\u016fsobuje vnit\u0159n\u00ed stres.<\/span><\/li>\n<\/ul>\n

        Pochopen\u00ed t\u011bchto r\u016fzn\u00fdch typ\u016f \u00fazkosti je kl\u00ed\u010dov\u00e9 pro p\u0159esnou diagn\u00f3zu a l\u00e9\u010dbu. V mnoha p\u0159\u00edpadech nap\u0159\u00edklad benzodiazepiny nebo SSRI nejsou pro dan\u00fd stav vhodn\u00e9 (a \u010dasto jej mohou zhor\u0161it nebo zp\u016fsobit drogovou z\u00e1vislost), zat\u00edmco vhodn\u00e1 psychoterapie m\u016f\u017ee b\u00fdt velmi u\u017eite\u010dn\u00e1. V praxi se v\u0161ak setk\u00e1v\u00e1me s t\u00edm, \u017ee se \u010dasto p\u0159edepisuj\u00ed nevhodn\u00e9 l\u00e9ky, zat\u00edmco psychoterapie (kter\u00e1 je \u010dasto mnohem \u00fa\u010dinn\u011bj\u0161\u00ed p\u0159i zvl\u00e1d\u00e1n\u00ed \u00fazkosti) se nikdy nenab\u00edz\u00ed. V\u011b\u0159\u00edm, \u017ee je to z velk\u00e9 \u010d\u00e1sti zp\u016fsobeno t\u00edm, \u017ee p\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159 nepochopil, \u017ee r\u016fzn\u00e9 typy \u00fazkosti vy\u017eaduj\u00ed r\u016fznou l\u00e9\u010dbu a \u017ee poskytov\u00e1n\u00ed psychoterapie vy\u017eaduje mnohem v\u00edce zdroj\u016f.<\/span><\/p>\n

        Pozn\u00e1mka: N\u011bkdy m\u016f\u017ee b\u00fdt zpo\u010d\u00e1tku obt\u00ed\u017en\u00e9 ur\u010dit, jak\u00fdm typem \u00fazkosti n\u011bkdo trp\u00ed, bu\u010f proto, \u017ee ji skr\u00fdv\u00e1 nebo pop\u00edr\u00e1 p\u0159\u00ed\u010dinu, nebo proto, \u017ee je p\u0159\u00edtomno n\u011bkolik typ\u016f sou\u010dasn\u011b. Proto si mysl\u00edm, \u017ee je d\u016fle\u017eit\u00e9, aby pacienti rozum\u011bli r\u016fzn\u00fdm typ\u016fm \u00fazkosti, aby nebyli chybn\u011b diagnostikov\u00e1ni a \u0161patn\u011b l\u00e9\u010deni.<\/span><\/em><\/p>\n

        P\u0159\u00ed\u010diny \u00fazkosti<\/span><\/h2>\n

        U n\u011bkter\u00fdch typ\u016f \u00fazkosti (nap\u0159. \u00fazkosti z PTSD) je p\u0159\u00ed\u010dina relativn\u011b jasn\u00e1. Pro mnoho dal\u0161\u00edch je to v\u0161ak mnohem m\u00e9n\u011b jasn\u00e9, a proto je ukvapen\u00fdmi l\u00e9ka\u0159i \u010dasto p\u0159ehl\u00ed\u017eeno. D\u016fle\u017eit\u00e9 p\u0159\u00ed\u010diny, kter\u00e9 je t\u0159eba zv\u00e1\u017eit, jsou:<\/span><\/p>\n

        Psychologick\u00e9 p\u0159\u00ed\u010diny \u00fazkosti<\/span><\/h3>\n

        \u00dazkostn\u00e9 poruchy, zejm\u00e9na generalizovan\u00e1 \u00fazkostn\u00e1 porucha (GAD), \u010dasto vznikaj\u00ed z o\u010dek\u00e1v\u00e1n\u00ed negativn\u00ed budoucnosti, strachu z n\u00ed a n\u00e1sledn\u00e9ho zapojen\u00ed se do nadm\u011brn\u00e9ho p\u0159em\u00fd\u0161len\u00ed. Mnoho v\u011bc\u00ed v na\u0161\u00ed spole\u010dnosti k tomu podporuje:<\/span><\/p>\n

          \n
        • P\u0159\u00edli\u0161n\u00e9 p\u0159em\u00fd\u0161len\u00ed:<\/span><\/strong>\u00a0Na\u0161e spole\u010dnost u\u010d\u00ed jednotlivce, \u017ee \u0159e\u0161en\u00edm dilemat, kter\u00fdm \u010del\u00edme, je o nich p\u0159\u00edli\u0161 p\u0159em\u00fd\u0161let, sp\u00ed\u0161e ne\u017e podporovat rozvoj emo\u010dn\u00ed inteligence a dovednost\u00ed zvl\u00e1d\u00e1n\u00ed emoc\u00ed\u00a0<\/span>(<\/span><\/strong>\u00a0co\u017e je podle m\u00e9ho n\u00e1zoru zp\u016fsobeno t\u00edm, \u017ee emo\u010dn\u00ed inteligence zvy\u0161uje imunitu v\u016f\u010di marketingu\u00a0<\/span>).<\/span><\/strong><\/li>\n
        • Pozn\u00e1mka\u00a0<\/span><\/em>:<\/span><\/em><\/strong>\u00a0Lid\u00e9 trp\u00edc\u00ed GAD s vysok\u00fdm IQ m\u00edvaj\u00ed vy\u0161\u0161\u00ed m\u00edru obav.<\/span><\/em><\/li>\n
        • Vliv m\u00e9di\u00ed:<\/span><\/strong>\u00a0Marketing a masm\u00e9dia se zam\u011b\u0159uj\u00ed na budouc\u00ed o\u010dek\u00e1v\u00e1n\u00ed, zat\u00edmco soci\u00e1ln\u00ed m\u00e9dia (zejm\u00e9na Facebook a Instagram) c\u00edl\u00ed na u\u017eivatele znepokojiv\u00fdm obsahem, aby zv\u00fd\u0161ila pravd\u011bpodobnost, \u017ee kliknou na reklamy (proto\u017ee ne\u0161\u0165astn\u00ed lid\u00e9 s v\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed nakupuj\u00ed pod vlivem emoc\u00ed).<\/span><\/li>\n
        • Nedostate\u010dn\u00e9 schopnosti zvl\u00e1dat emoce<\/span><\/strong>\u00a0: M\u00e9dia poslala Ameri\u010dan\u016fm zpr\u00e1vu, \u017ee bychom se \u201enikdy nem\u011bli c\u00edtit \u0161patn\u011b\u201c. Z tohoto d\u016fvodu lid\u00e9 \u010dasto reaguj\u00ed na situaci vyvol\u00e1vaj\u00edc\u00ed \u00fazkost t\u00edm, \u017ee se sna\u017e\u00ed strach potla\u010dit (nap\u0159. n\u011bjak\u00fdm produktem, pilulkami, alkoholem nebo neleg\u00e1ln\u00edmi drogami). Mnoz\u00ed si proto nikdy nerozvinou emocion\u00e1ln\u00ed mechanismy zvl\u00e1d\u00e1n\u00ed stresov\u00fdch situac\u00ed.<\/span><\/li>\n
        • N\u00e1kaza \u00fazkost\u00ed:<\/span><\/strong>\u00a0\u00dazkost se m\u016f\u017ee \u0161\u00ed\u0159it mezi lidmi, proto m\u016f\u017ee b\u00fdt u\u017eite\u010dn\u00e9 distancovat se od ostatn\u00edch lid\u00ed s \u00fazkost\u00ed. Stejn\u011b tak bylo opakovan\u011b prok\u00e1z\u00e1no, \u017ee l\u00e9\u010dba \u00fazkosti rodi\u010d\u016f (nap\u0159. pomoc\u00ed kognitivn\u011b behavior\u00e1ln\u00ed terapie) sni\u017euje \u00fazkost jejich d\u011bt\u00ed.<\/span><\/li>\n
        • Nerozpoznan\u00e9 probl\u00e9my:<\/span><\/strong>\u00a0Chronickou \u00fazkost mohou spustit i poruchy \u0159e\u010di, traumata z minulosti nebo nev\u011bdom\u00e9 fobie.<\/span><\/li>\n<\/ul>\n

          Fyziologick\u00e9 p\u0159\u00ed\u010diny \u00fazkosti<\/span><\/h3>\n

          \u00dazkostn\u00e9 poruchy jsou \u010dasto pova\u017eov\u00e1ny za psychiatrick\u00e9 onemocn\u011bn\u00ed, i kdy\u017e ve skute\u010dnosti maj\u00ed fyzickou p\u0159\u00ed\u010dinu. To zahrnuje:<\/span><\/p>\n

            \n
          • Dysfunkce autonomn\u00edho nervov\u00e9ho syst\u00e9mu:<\/span><\/strong>\u00a0Nadm\u011brn\u00e1 aktivita sympatick\u00e9ho nervov\u00e9ho syst\u00e9mu (reakce \u201ebojuj nebo ute\u010d\u201c) nebo nedostate\u010dn\u00e1 aktivita parasympatick\u00e9ho nervov\u00e9ho syst\u00e9mu (reakce \u201eklid a relaxace\u201c) m\u016f\u017ee \u010dasto zp\u016fsobovat \u00fazkost (k tomu \u010dasto doch\u00e1z\u00ed nap\u0159\u00edklad u panick\u00fdch poruch). L\u00e9\u010dba t\u00e9to nerovnov\u00e1hy \u010dasto vede k v\u00fdznamn\u00e9mu zlep\u0161en\u00ed \u00fazkosti.\u00a0<\/span>Pozn\u00e1mka: Mnoho nej\u010dast\u011bji p\u0159edepisovan\u00fdch l\u00e9k\u016f reguluje autonomn\u00ed funkce a \u010dasto ji\u017e nejsou nutn\u00e9, jakmile se pou\u017eije p\u0159irozen\u00fd p\u0159\u00edstup k obnoven\u00ed rovnov\u00e1hy.<\/span><\/em><\/li>\n
          • Hormon\u00e1ln\u00ed nerovnov\u00e1ha:<\/span><\/strong>\u00a0Abnorm\u00e1ln\u00ed hladiny \u0161t\u00edtn\u00e9 \u017el\u00e1zy nebo progesteronu (zejm\u00e9na u \u017een po menopauze) jsou \u010dast\u00fdmi spou\u0161t\u011b\u010di \u00fazkosti a m\u011bly by b\u00fdt v\u017edy zva\u017eov\u00e1ny p\u0159i posuzov\u00e1n\u00ed \u00fazkosti.<\/span><\/li>\n
          • N\u00edzk\u00e1 hladina cukru v krvi:<\/span><\/strong>\u00a0Reaktivn\u00ed hypoglyk\u00e9mie, kter\u00e1 zp\u016fsobuje \u010dast\u00e9 poklesy hladiny cukru v krvi, m\u016f\u017ee vyvolat n\u00e1hlou aktivaci sympatick\u00e9ho nervov\u00e9ho syst\u00e9mu (a zv\u00fd\u0161it hladinu cukru v krvi), co\u017e n\u00e1sledn\u011b zp\u016fsobuje p\u0159\u00edznaky \u00fazkosti.\u00a0<\/span>Pozn\u00e1mka: Tento b\u011b\u017en\u00fd stav by m\u011bl b\u00fdt l\u00e9\u010den zm\u011bnami ve strav\u011b, ale \u010dasto se l\u00e9\u010d\u00ed benzodiazepiny.<\/span><\/em><\/li>\n
          • Faktory prost\u0159ed\u00ed:<\/span><\/strong>\u00a0Mnoho lid\u00ed uv\u00e1d\u00ed \u00falevu od \u00fazkosti v prost\u0159ed\u00ed s n\u00edzkou \u00farovn\u00ed elektromagnetick\u00e9ho z\u00e1\u0159en\u00ed (nap\u0159. bez Wi-Fi).<\/span><\/li>\n
          • Um\u011bl\u00e9 sv\u011btlo a poruchy sp\u00e1nku:<\/span><\/strong>\u00a0Modr\u00e9 sv\u011btlo a naru\u0161en\u00ed cirkadi\u00e1nn\u00edho rytmu mohou dr\u00e1\u017edit nervov\u00fd syst\u00e9m a zhor\u0161ovat \u00fazkost. Zjistili jsme, \u017ee sn\u00ed\u017een\u00ed expozice modr\u00e9mu sv\u011btlu je \u010dasto jedn\u00edm z neju\u017eite\u010dn\u011bj\u0161\u00edch opat\u0159en\u00ed, kter\u00e1 m\u016f\u017eeme u \u00fazkostn\u00fdch pacient\u016f p\u0159ijmout.<\/span><\/li>\n
          • Zdravotn\u00ed zran\u011bn\u00ed:<\/span><\/strong>\u00a0Lid\u00e9 se zran\u011bn\u00edmi zp\u016fsoben\u00fdmi l\u00e9ky a o\u010dkov\u00e1n\u00edm \u010dasto trp\u00ed zv\u00fd\u0161enou \u00fazkost\u00ed, kter\u00e1 se v mnoha p\u0159\u00edpadech jev\u00ed jako d\u016fsledek srde\u010dn\u00edch probl\u00e9m\u016f nebo neurologick\u00e9ho po\u0161kozen\u00ed. Srde\u010dn\u00ed onemocn\u011bn\u00ed nebo poran\u011bn\u00ed mozku mohou tak\u00e9 zp\u016fsobovat \u00fazkost.<\/span><\/li>\n<\/ul>\n

            Pokud se l\u00e9\u010d\u00ed fyziologick\u00e9 p\u0159\u00ed\u010diny \u00fazkosti, \u010dasto se pozoruje rychl\u00e9 zlep\u0161en\u00ed. Nap\u0159\u00edklad jsem se setkal s nespo\u010dtem lid\u00ed, jejich\u017e \u00fazkost se rychle a dramaticky zlep\u0161ila po n\u00e1prav\u011b dysfunkce jejich autonomn\u00edho nervov\u00e9ho syst\u00e9mu.<\/span><\/p>\n

            Metabolick\u00e9 p\u0159\u00ed\u010diny \u00fazkosti<\/span><\/h3>\n

            William Walsh analyzoval krev 2 800 lid\u00ed s depres\u00ed a objevil p\u011bt b\u011b\u017en\u00fdch metabolick\u00fdch typ\u016f deprese, ka\u017ed\u00fd s charakteristick\u00fdmi p\u0159\u00edznaky. Walshovo paradigma je velmi u\u017eite\u010dn\u00e9, proto\u017ee:<\/span><\/p>\n

              \n
            • \u2022 Pokud je identifikov\u00e1n metabolick\u00fd biotyp deprese, lze jej \u010dasto bezpe\u010dn\u011b a trvale l\u00e9\u010dit p\u0159\u00edrodn\u00edmi terapiemi (nap\u0159. poporodn\u00ed deprese je \u010dasto zp\u016fsobena p\u0159et\u00ed\u017een\u00edm m\u011bd\u00ed a reaguje na tuto l\u00e9\u010dbu).<\/span><\/li>\n
            • \u2022 Vysv\u011btluje to, pro\u010d pacienti \u010dasto reaguj\u00ed na l\u00e9ky velmi pozitivn\u011b nebo negativn\u011b (nap\u0159. SSRI mohou b\u00fdt u\u017eite\u010dn\u00e9 u pacient\u016f s nedostate\u010dnou metylac\u00ed, ale u pacient\u016f s nadm\u011brnou metylac\u00ed zp\u016fsobuj\u00ed z\u00e1va\u017en\u00e9 reakce). Pom\u00e1h\u00e1 tak\u00e9 p\u0159edpov\u011bd\u011bt, zda pacienti budou m\u00edt ne\u017e\u00e1douc\u00ed reakci na dopl\u0148ky stravy nebo jin\u00e9 l\u00e9ky.<\/span><\/li>\n
            • \u2022 \u00dazkost se u t\u011bchto biotyp\u016f \u010dasto vyskytuje spole\u010dn\u011b s depres\u00ed, a proto ji lze l\u00e9\u010dit (nebo zcela vyl\u00e9\u010dit) l\u00e9\u010dbou dan\u00e9ho biotypu.<\/span><\/li>\n<\/ul>\n
              \n
              \"\"<\/figure>\n<\/div>\n

              Kdy\u017e je v t\u011ble (zejm\u00e9na v mysli) p\u0159\u00edli\u0161 mnoho stagnace, maj\u00ed lid\u00e9 tendenci o v\u011bcech p\u0159em\u00fd\u0161let. Mysl\u00edm, \u017ee toto vysv\u011btluje pro\u010d:<\/span><\/p>\n

              Fyzick\u00e1 aktivita:<\/span><\/strong>\u00a0Metaanal\u00fdza zjistila, \u017ee cvi\u010den\u00ed je 1,5kr\u00e1t \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e l\u00e9ky nebo terapie p\u0159i sni\u017eov\u00e1n\u00ed m\u00edrn\u00e9 a\u017e st\u0159edn\u011b t\u011b\u017ek\u00e9 \u00fazkosti a deprese.\u00a0<\/span>Pozn\u00e1mka: V\u011b\u0159\u00edme, \u017ee ka\u017edodenn\u00ed ch\u016fze je ide\u00e1ln\u00edm cvi\u010den\u00edm pro du\u0161evn\u00ed zdrav\u00ed, fyzick\u00e9 zdrav\u00ed a dlouhov\u011bkost.<\/span><\/em><\/p>\n

              Stagnace a nemoc:<\/span><\/strong>\u00a0Nemoci jako COVID-19, po\u0161kozen\u00ed o\u010dkov\u00e1n\u00edm nebo rakovina mohou v\u00e9st ke stagnaci, kter\u00e1 m\u016f\u017ee n\u00e1sledn\u011b zp\u016fsobit \u00fazkost a depresi.<\/span><\/p>\n

              T\u011bsn\u00e9 oble\u010den\u00ed:<\/span><\/strong>\u00a0T\u011bsn\u00e9 nebo syntetick\u00e9 oble\u010den\u00ed m\u016f\u017ee omezovat pr\u016ftok krve a lymfy, co\u017e p\u0159isp\u00edv\u00e1 k \u00fazkosti. Omezen\u00e9 d\u00fdch\u00e1n\u00ed a kladn\u00e9 n\u00e1boje syntetick\u00fdch vl\u00e1ken mohou probl\u00e9m zhor\u0161it (co\u017e pak negativn\u011b ovliv\u0148uje elektrick\u00e9 rozlo\u017een\u00ed tekutin, jako je krev, a vede k v\u00fdznamn\u00e9 stagnaci tekutin).<\/span><\/p>\n

              Zlep\u0161en\u00ed stagnace:<\/span><\/strong>\u00a0Mnoho p\u0159\u00edstup\u016f, kter\u00e9 zlep\u0161uj\u00ed stagnaci v t\u011ble, tak\u00e9 zm\u00edr\u0148uje \u00fazkost (nap\u0159. pohlavn\u00ed styk, hork\u00e1 koupel a elektrick\u00e9 uzemn\u011bn\u00ed).<\/span><\/p>\n

              \u010cas str\u00e1ven\u00fd u obrazovky:<\/span><\/strong>\u00a0Nadm\u011brn\u00e9 pou\u017e\u00edv\u00e1n\u00ed po\u010d\u00edta\u010de a modr\u00e9 sv\u011btlo mohou nadm\u011brn\u011b stimulovat mozek a p\u0159isp\u00edvat k \u00fazkosti.<\/span><\/p>\n

              Tradice uzemn\u011bn\u00ed:<\/span><\/strong>\u00a0Praktiky \u010d\u00ednsk\u00e9 medic\u00edny p\u0159edpokl\u00e1daj\u00ed, \u017ee \u00fazkost je zp\u016fsobena p\u0159\u00edli\u0161 velk\u00fdm mno\u017estv\u00edm energie v hlav\u011b, a zd\u016fraz\u0148uj\u00ed pot\u0159ebu uzemn\u011bn\u00ed (nap\u0159. ch\u016fz\u00ed naboso po p\u0159\u00edrodn\u00edm povrchu).<\/span><\/p>\n

              Celkov\u011b se domn\u00edv\u00e1m, \u017ee mnoho zdravotn\u00edch probl\u00e9m\u016f pramen\u00ed z modern\u00edch technologi\u00ed, nedostatku \u017eivin, naru\u0161en\u00ed cirkadi\u00e1nn\u00edho rytmu a zadr\u017eov\u00e1n\u00ed tekutin v na\u0161em t\u011ble, a \u017ee to ovliv\u0148uje nejen fyzick\u00e9 zdrav\u00ed, ale i emocion\u00e1ln\u00ed a du\u0161evn\u00ed zdrav\u00ed. Z tohoto d\u016fvodu m\u00e1 psychiatrick\u00e1 l\u00e9\u010dba \u00fazkosti \u010dasto jen okrajovou \u00fa\u010dinnost, proto\u017ee \u010dlov\u011bk se m\u016f\u017ee \u010dasto velmi sna\u017eit p\u0159estat s nadm\u011brn\u00fdm p\u0159em\u00fd\u0161len\u00edm, ale p\u0159esto to dok\u00e1\u017ee (pokud m\u00e1 \u00fazkost fyziologickou p\u0159\u00ed\u010dinu).<\/span><\/p>\n

              \u00dazkost a benzodiazepiny<\/span><\/h2>\n

              Pro\u010d jsou benzodiazepiny prim\u00e1rn\u00ed l\u00e9\u010dbou \u00fazkosti v l\u00e9ka\u0159sk\u00e9m pr\u016fmyslu? Krom\u011b zjevn\u00fdch motiv\u016f zisku je vysok\u00e1 spot\u0159eba d\u016fsledkem skute\u010dnosti, \u017ee p\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159i maj\u00ed na sv\u00e9 pacienty prost\u011b p\u0159\u00edli\u0161 m\u00e1lo \u010dasu. Bohu\u017eel s t\u00edmto p\u0159\u00edstupem je spojeno mnoho probl\u00e9m\u016f. To zahrnuje:<\/span><\/p>\n

              \u2022 Benzodiazepiny (a SSRI) maj\u00ed tendenci fungovat mnohem l\u00e9pe u pacient\u016f s \u00fazkost\u00ed, kte\u0159\u00ed d\u0159\u00edve podstoupili psychoterapii (obvykle kognitivn\u011b behavior\u00e1ln\u00ed terapii, kter\u00e1 se opakovan\u011b uk\u00e1zala jako vysoce \u00fa\u010dinn\u00e1 l\u00e9\u010dba \u00fazkosti).<\/span><\/p>\n

              Proto\u017ee je v\u0161ak terapie n\u00e1ro\u010dn\u00e1 na zdroje, \u010dasto se neprov\u00e1d\u00ed. V ide\u00e1ln\u00edm sv\u011bt\u011b by v\u0161ichni pacienti s \u00fazkost\u00ed nejprve podstoupili psychoterapii vhodnou pro jejich typ \u00fazkosti. Pokud se to nepoda\u0159\u00ed, bude zah\u00e1jena vhodn\u00e1 farmakologick\u00e1 l\u00e9\u010dba (za p\u0159edpokladu, \u017ee ji\u017e byla podrobena psychoterapii, proto\u017ee pacienti pravd\u011bpodobn\u011b reaguj\u00ed na l\u00e9ky mnohem rychleji ne\u017e bez p\u0159edchoz\u00ed psychoterapie). D\u00e1vka l\u00e9ku by se pak postupn\u011b sni\u017eovala na minim\u00e1ln\u00ed d\u00e1vku pot\u0159ebnou pro pacienta (nebo by se jeho pod\u00e1v\u00e1n\u00ed \u00fapln\u011b vysadilo).<\/span><\/p>\n

              \u2022 Pacienti nejsou sv\u00fdmi l\u00e9ka\u0159i informov\u00e1ni o tom, jak n\u00e1vykov\u00e9 mohou b\u00fdt benzodiazepiny a jak obt\u00ed\u017en\u00e9 je p\u0159estat u\u017e\u00edvat (kdyby to v\u011bd\u011bli, mnoho pacient\u016f by je nikdy neu\u017e\u00edvalo). Stejn\u011b tak mnoho lid\u00ed nev\u00ed, \u017ee u\u017e\u00edv\u00e1n\u00ed benzodiazepin\u016f m\u016f\u017ee v\u00e9st k fyzick\u00e9 z\u00e1vislosti ji\u017e po 3 a\u017e 6 t\u00fddnech, co\u017e m\u016f\u017ee v\u00e9st k trval\u00e9 z\u00e1vislosti.<\/span><\/p>\n

              \u2022 Pacienti nejsou informov\u00e1ni o tom, \u017ee n\u011bkter\u00e9 benzodiazepiny maj\u00ed mnohem vy\u0161\u0161\u00ed potenci\u00e1l pro vznik z\u00e1vislosti. To plat\u00ed zejm\u00e9na pro osoby s kr\u00e1tk\u00fdm polo\u010dasem rozpadu, zejm\u00e9na Xanax, proto\u017ee po u\u017eit\u00ed vyvol\u00e1v\u00e1 sou\u010dasn\u00fd pocit euforie (a po odezn\u011bn\u00ed deprese).<\/span><\/p>\n

              Pozn\u00e1mka: Euforick\u00fd \u00fa\u010dinek l\u00e9ku se \u010dasto zam\u011b\u0148uje s jeho terapeutick\u00fdm \u00fa\u010dinkem.\u00a0<\/span><\/em>C\u00edlem pacienta p\u0159i u\u017e\u00edv\u00e1n\u00ed psychotropn\u00edch l\u00e9k\u016f by proto m\u011blo b\u00fdt sp\u00ed\u0161e \u201ec\u00edtit se dob\u0159e\u201c ne\u017e \u201ec\u00edtit se dob\u0159e\u201c.<\/span><\/em><\/strong><\/p>\n

              Probl\u00e9my s Xanaxem bohu\u017eel st\u00e1le nejsou v medic\u00edn\u011b dostate\u010dn\u011b rozpozn\u00e1ny a z\u016fst\u00e1v\u00e1 jedn\u00edm z nej\u010dast\u011bji p\u0159edepisovan\u00fdch benzodiazepin\u016f.<\/span><\/p>\n

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

              Pozn\u00e1mka: Xanax je tak\u00e9 neuv\u011b\u0159iteln\u011b obt\u00ed\u017en\u00e9 vysadit, tak\u017ee je \u010dasto nutn\u00e9 jej nejprve nahradit jin\u00fdm benzodiazepinem.<\/span><\/em><\/p>\n

              \u2022 Proto\u017ee si u\u017eivatel\u00e9 benzodiazepin\u016f \u010dasto vyvinou toleranci na tyto l\u00e9ky, l\u00e9ka\u0159i \u010dasto p\u0159edepisuj\u00ed vy\u0161\u0161\u00ed d\u00e1vky benzodiazepin\u016f, ne\u017e je vhodn\u00e9, a pot\u00e9 je d\u00e1le zvy\u0161uj\u00ed, jakmile si pacient vyvine toleranci na l\u00e9ky. Naopak lid\u00e9, kter\u00e9 zn\u00e1m a kte\u0159\u00ed dosahuj\u00ed nejlep\u0161\u00edch v\u00fdsledk\u016f s benzodiazepiny, pou\u017e\u00edvaj\u00ed velmi n\u00edzk\u00e9 d\u00e1vky (nap\u0159. za\u010d\u00ednaj\u00ed s polovinou nebo \u010dtvrtinou doporu\u010den\u00e9 d\u00e1vky, sleduj\u00ed pacientovu reakci a v p\u0159\u00edpad\u011b pot\u0159eby ji jen m\u00edrn\u011b zvy\u0161uj\u00ed).<\/span><\/p>\n

              \u2022 Proto\u017ee pacienti jsou \u010dasto velmi citliv\u00ed na abstinen\u010dn\u00ed p\u0159\u00edznaky po benzodiazepinech, mohou i mal\u00e9 zm\u011bny v d\u00e1vkov\u00e1n\u00ed v\u00e9st k v\u00fdznamn\u00fdm probl\u00e9m\u016fm. K tomu \u010dasto doch\u00e1z\u00ed p\u0159i v\u00fdrob\u011b generick\u00fdch verz\u00ed l\u00e9k\u016f (proto\u017ee mnoho generick\u00fdch l\u00e9k\u016f vyr\u00e1b\u011bn\u00fdch v zahrani\u010d\u00ed m\u00e1 zna\u010dn\u00e9 probl\u00e9my s kontrolou kvality a farmakologick\u00fd \u00fa\u010dinek generick\u00fdch benzodiazepin\u016f m\u016f\u017ee b\u00fdt p\u0159ekvapiv\u011b nekonzistentn\u00ed). Proto se s m\u00fdmi kolegy pravideln\u011b setk\u00e1v\u00e1me s pacienty, kte\u0159\u00ed byli p\u0159evedeni na jinou zna\u010dku d\u0159\u00edve p\u0159edepsan\u00e9ho l\u00e9ku a vyvinuli se u nich z\u00e1va\u017en\u00e9 komplikace, proto\u017ee tyto dv\u011b zna\u010dky nebyly ekvivalentn\u00ed.<\/span><\/p>\n

              Stru\u010dn\u011b \u0159e\u010deno, benzodiazepiny mohou b\u00fdt velmi u\u017eite\u010dn\u00e9, pokud se pou\u017e\u00edvaj\u00ed u \u00fazkostn\u00e9 poruchy, kter\u00e1 reaguje na jejich \u00fa\u010dinek, a pokud\u00a0se pou\u017e\u00edvaj\u00ed vhodn\u011b\u00a0<\/span>po kr\u00e1tkou dobu<\/span><\/strong>\u00a0. Bohu\u017eel se v\u0161ak \u010dasto p\u0159edepisuj\u00ed na r\u016fzn\u00e9 \u00fazkostn\u00e9 poruchy a pot\u00e9 se u\u017e\u00edvaj\u00ed po dlouhou dobu (zejm\u00e9na u star\u0161\u00edch osob), co\u017e znamen\u00e1, \u017ee jejich nev\u00fdhody daleko p\u0159eva\u017euj\u00ed nad v\u00fdhodami (proto\u017ee benzodiazepiny maj\u00ed \u0159adu z\u00e1va\u017en\u00fdch vedlej\u0161\u00edch \u00fa\u010dink\u016f).<\/span><\/p>\n

              V mnoha ohledech by se benzodiazepiny daly p\u0159irovnat k \u201enukle\u00e1rn\u00ed mo\u017enosti\u201c pro \u00fazkost. Bohu\u017eel se l\u00e9ka\u0159i kv\u016fli omezen\u00e9mu \u010dasu str\u00e1ven\u00e9mu s pacienty uchyluj\u00ed k nim p\u0159\u00edli\u0161 rychle, m\u00edsto aby nejprve zv\u00e1\u017eili mnohem bezpe\u010dn\u011bj\u0161\u00ed mo\u017enosti.<\/span><\/p>\n

              Z\u00e1v\u011br<\/span><\/h2>\n

              Situace, kterou pozorujeme u \u00fazkosti a benzodiazepin\u016f, odr\u00e1\u017e\u00ed smutnou realitu v na\u0161\u00ed spole\u010dnosti. Pokud je skupina pov\u011b\u0159ena \u0159e\u0161en\u00edm probl\u00e9mu, ale je placena za jeho \u201ezlep\u0161en\u00ed\u201c sp\u00ed\u0161e ne\u017e za jeho odstran\u011bn\u00ed, nelze se na ni spolehnout, \u017ee probl\u00e9m vy\u0159e\u0161\u00ed, proto\u017ee jej\u00ed ekonomick\u00e9 a politick\u00e9 pob\u00eddky odm\u011b\u0148uj\u00ed za udr\u017eov\u00e1n\u00ed probl\u00e9mu sp\u00ed\u0161e ne\u017e za jeho \u0159e\u0161en\u00ed.<\/span><\/p>\n

              V syst\u00e9mu zdravotn\u00ed p\u00e9\u010de to vedlo k tomu, \u017ee se v pr\u016fb\u011bhu let st\u00e1v\u00e1 b\u011b\u017en\u011bj\u0161\u00edm mno\u017estv\u00edm chronick\u00fdch onemocn\u011bn\u00ed (a jejich \u0161kodliv\u00e1 \u201el\u00e9\u010dba\u201c spot\u0159ebov\u00e1v\u00e1 st\u00e1le v\u011bt\u0161\u00ed pod\u00edl st\u00e1tn\u00edho rozpo\u010dtu). Je\u0161t\u011b hor\u0161\u00ed je, \u017ee praktick\u00e9 a cenov\u011b dostupn\u00e9 l\u00e9\u010dby, kter\u00e9 \u0159e\u0161\u00ed z\u00e1kladn\u00ed p\u0159\u00ed\u010diny t\u011bchto onemocn\u011bn\u00ed, se setk\u00e1vaj\u00ed se aktivn\u011b s odporem l\u00e9ka\u0159sk\u00e9 komunity a \u010dasto se jim br\u00e1n\u00ed v jejich uveden\u00ed na trh (sta\u010d\u00ed si vzpomenout na zku\u0161enosti b\u011bhem pandemie COVID-19).<\/span><\/p>\n

              Na\u0161t\u011bst\u00ed ned\u00e1vn\u00fd v\u00fdvoj v politice (nap\u0159. vzestup MAHA v reakci na COVID-19 a administrativa, kter\u00e1 up\u0159ednost\u0148uje eliminaci nehospod\u00e1rn\u00e9ho utr\u00e1cen\u00ed) nab\u00edz\u00ed d\u0159\u00edve nep\u0159edstavitelnou p\u0159\u00edle\u017eitost ke zm\u011bn\u011b tohoto dysfunk\u010dn\u00edho paradigmatu. Proto jsem si velmi jist\u00fd, \u017ee zp\u016fsob, jak\u00fdm se vypo\u0159\u00e1d\u00e1v\u00e1me s mnoha b\u011b\u017en\u00fdmi stavy, jako je \u00fazkost, se v bl\u00edzk\u00e9 budoucnosti zm\u011bn\u00ed, a jsem velmi vd\u011b\u010dn\u00fd ka\u017ed\u00e9mu z v\u00e1s, kdo se za\u010dal ozvat proti na\u0161emu dysfunk\u010dn\u00edmu syst\u00e9mu zdravotn\u00ed p\u00e9\u010de, abychom kone\u010dn\u011b mohli naj\u00edt lep\u0161\u00ed cestu vp\u0159ed.<\/span><\/p>\n<\/div>\n<\/div>\n

              \n
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              Zdroj<\/a><\/span><\/h3>\n

               <\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

              Proto\u017ee \u00fazkostn\u00e9 poruchy jsou \u010dasto chybn\u011b diagnostikov\u00e1ny, \u010dasto se vol\u00ed nespr\u00e1vn\u00e1 l\u00e9\u010dba. P\u0159\u00edb\u011bh v kostce:…<\/p>\n","protected":false},"author":2,"featured_media":17151,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[1042,1020,925,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/78229"}],"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=78229"}],"version-history":[{"count":1,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/78229\/revisions"}],"predecessor-version":[{"id":78230,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/78229\/revisions\/78230"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/17151"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=78229"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=78229"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=78229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}