{"id":81155,"date":"2025-06-13T04:05:30","date_gmt":"2025-06-13T02:05:30","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=81155"},"modified":"2025-06-13T04:05:30","modified_gmt":"2025-06-13T02:05:30","slug":"vedci-varuji-ze-popularni-kortizonove-injekce-proti-bolesti-kolen-mohou-artritidu-zhorsovat","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/06\/13\/vedci-varuji-ze-popularni-kortizonove-injekce-proti-bolesti-kolen-mohou-artritidu-zhorsovat\/","title":{"rendered":"V\u011bdci varuj\u00ed, \u017ee popul\u00e1rn\u00ed kortizonov\u00e9 injekce proti bolesti kolen mohou artritidu zhor\u0161ovat"},"content":{"rendered":"
<\/div>\n

Zast\u00e1nci p\u0159irozen\u00e9ho zdrav\u00ed na cel\u00e9m sv\u011bt\u011b maj\u00ed velmi podobn\u00fd pohled na \u0159e\u0161en\u00ed chronick\u00e9ho z\u00e1n\u011btu, p\u0159i\u010dem\u017e invazivn\u00ed terapie nen\u00ed \u0159e\u0161en\u00edm.<\/span><\/p>\n

Z\u00e1n\u011bt je katapultem t\u00e9m\u011b\u0159 ka\u017ed\u00e9 nemoci zn\u00e1m\u00e9 lidstvu. P\u0159\u00ed\u010dinami z\u00e1n\u011btu jsou v\u011bt\u0161inou \u0161patn\u00e1 strava, \u0161patn\u00e9 environment\u00e1ln\u00ed podm\u00ednky a, p\u0159ekvapen\u00ed, \u0161patn\u00e9 l\u00e9ky! No a mezi tyto l\u00e9ky pat\u0159\u00ed i injekce kortizonu na artritidu.<\/span><\/p>\n

V sou\u010dasnosti velk\u00e1 \u010d\u00e1st populace trp\u00ed nadv\u00e1hou. To si \u010dasem vyb\u00edr\u00e1 svou da\u0148 na kl\u00edn\u011b, p\u0159i\u010dem\u017e v\u011bt\u0161ina ob\u00e9zn\u00edch lid\u00ed s ka\u017ed\u00fdm j\u00eddlem konzumuje i potravinov\u00e9 toxiny vyvol\u00e1vaj\u00edc\u00ed z\u00e1n\u011bty.<\/span><\/p>\n

V\u00fdsledkem \u010dasto b\u00fdv\u00e1 tak siln\u00e1 bolest kolen, \u017ee jedinou z\u00e1chranou jsou pak injekce kortizonu. Pacienti p\u0159istoup\u00ed na cokoli, co zastav\u00ed bolest, ale funguje to?<\/span><\/p>\n

Studie varuje: Injekce kortizonu na bolesti kolene mohou urychlit po\u0161kozen\u00ed kolenn\u00edch tk\u00e1n\u00ed a zhor\u0161en\u00ed artritidy<\/span><\/h2>\n

Nov\u00e1 rozs\u00e1hl\u00e1 studie nazna\u010duje, \u017ee injekce kortizonu \u2013 b\u011b\u017en\u011b pou\u017e\u00edvan\u00e9 ke zm\u00edrn\u011bn\u00ed bolesti p\u0159i artritid\u011b kolena \u2013 mohou \u010dasem zhor\u0161ovat po\u0161kozen\u00ed kloub\u016f. To vyvol\u00e1v\u00e1 obavy t\u00fdkaj\u00edc\u00ed se l\u00e9\u010dby, na kterou spol\u00e9haj\u00ed miliony lid\u00ed.<\/span><\/p>\n

V\u00fdzkum publikovan\u00fd v odborn\u00e9m \u010dasopise\u00a0<\/span>Radiology<\/span><\/em>\u00a0zjistil, \u017ee pacienti, kte\u0159\u00ed u\u017e\u00edvali kortikosteroidn\u00ed injekce, vykazovali rychlej\u0161\u00ed progresi artritidy v porovn\u00e1n\u00ed s t\u011bmi, kte\u0159\u00ed se rozhodli pro \u017e\u00e1dnou l\u00e9\u010dbu nebo pro alternativn\u00ed injekce.<\/span><\/p>\n

Zji\u0161t\u011bn\u00ed zpochyb\u0148uj\u00ed desetilet\u00ed starou praxi. Od sv\u00e9ho zaveden\u00ed v 50. letech 20. stolet\u00ed jsou injekce kortikosteroid\u016f obl\u00edbenou metodou pro kr\u00e1tkodobou \u00falevu od bolesti p\u0159i artritid\u011b, p\u0159i\u010dem\u017e je ka\u017edoro\u010dn\u011b dost\u00e1v\u00e1 v\u00edce ne\u017e 10% pacient\u016f s artritidou kolena.<\/span><\/p>\n

D\u016fkazy studie zalo\u017een\u00e9 na magnetick\u00e9 rezonanci v\u0161ak nazna\u010duj\u00ed, \u017ee tyto injekce mohou m\u00edt skryt\u00e9 n\u00e1sledky \u2013 zrychlenou ztr\u00e1tu chrupavky a po\u0161kozen\u00ed kost\u00ed.<\/span><\/p>\n

Kl\u00ed\u010dov\u00e1 zji\u0161t\u011bn\u00ed studie byla:<\/span><\/p>\n

1. Steroidn\u00ed injekce jsou spojeny se zhor\u0161en\u00edm stavu kloub\u016f:<\/span><\/strong>\u00a0Pacienti, kte\u0159\u00ed dost\u00e1vali injekce kortikosteroid\u016f, vykazovali v\u00fdrazn\u011b vy\u0161\u0161\u00ed progresi artritidy, v\u010detn\u011b l\u00e9z\u00ed chrupavky a po\u0161kozen\u00ed kostn\u00ed d\u0159en\u011b v porovn\u00e1n\u00ed s nel\u00e9\u010den\u00fdmi jedinci.<\/span><\/p>\n

2. Kyselina hyaluronov\u00e1 m\u016f\u017ee chr\u00e1nit klouby:<\/span><\/strong>\u00a0Naproti tomu ti, kte\u0159\u00ed dost\u00e1vali injekce kyseliny hyaluronov\u00e9 (kloubn\u00ed mazivo), vykazovali pomalej\u0161\u00ed progresi onemocn\u011bn\u00ed a stabiln\u011bj\u0161\u00ed strukturu chrupavky po dobu \u010dty\u0159 let.<\/span><\/p>\n

3. \u00daleva od bolesti versus dlouhodob\u00e9 riziko:<\/span><\/strong>\u00a0Zat\u00edmco steroidn\u00ed injekce poskytovaly v\u00fdrazn\u011bj\u0161\u00ed kr\u00e1tkodob\u00e9 sn\u00ed\u017een\u00ed bolesti, kyselina hyaluronov\u00e1 nab\u00edzela m\u00edrn\u011bj\u0161\u00ed, ale trvalou \u00falevu bez struktur\u00e1ln\u00edho po\u0161kozen\u00ed.<\/span><\/p>\n

V\u00fdzkumn\u00edci analyzovali \u00fadaje od 210 \u00fa\u010dastn\u00edk\u016f\u00a0<\/span>Iniciativy pro osteoartr\u00f3zu<\/span><\/em> v obdob\u00ed let 2004 a\u017e 2015, p\u0159i\u010dem\u017e sledovali zdrav\u00ed kolen prost\u0159ednictv\u00edm vy\u0161et\u0159en\u00ed magnetickou rezonanc\u00ed (MRI) p\u0159ed a po injekc\u00edch.<\/span><\/p>\n

Pomoc\u00ed sk\u00f3re MRI cel\u00e9ho org\u00e1nu hodnotili zm\u011bny v chrupavce, kostech a jin\u00fdch tk\u00e1n\u00edch.<\/span><\/p>\n

Skupina se steroidy (44 pacient\u016f) vykazovala jasn\u00e9 zn\u00e1mky zhor\u0161uj\u00edc\u00edho se po\u0161kozen\u00ed kloub\u016f, zat\u00edmco skupina s kyselinou hyaluronovou (26 pacient\u016f) si zachov\u00e1vala integritu kloubu.<\/span><\/p>\n

Hlavn\u00ed autorka studie, Dr. Upasana Upadhyay Bharadwajov\u00e1 zd\u016fraz\u0148uje pot\u0159ebu opatrnosti:\u00a0\u00a0<\/span>\u201eTato zji\u0161t\u011bn\u00ed by mohla ovlivnit klinick\u00e9 pokyny a povzbudit k rozumn\u011bj\u0161\u00edmu pou\u017e\u00edv\u00e1n\u00ed kortikosteroid\u016f a d\u016frazn\u011bj\u0161\u00edmu zv\u00e1\u017een\u00ed alternativ.\u201c\u00a0<\/span><\/em><\/p>\n

V\u00fdzkum je v\u0161ak observa\u010dn\u00ed (pozorovac\u00ed), to znamen\u00e1 nedokazuje kauzalitu a roli mohou hr\u00e1t i jin\u00e9 faktory jako \u017eivotn\u00ed styl pacienta nebo frekvence injekc\u00ed.<\/span><\/p>\n

Injekce kortizonu z\u00edskaly na popularit\u011b d\u00edky sv\u00fdm rychl\u00fdm protiz\u00e1n\u011btliv\u00fdm \u00fa\u010dink\u016fm, av\u0161ak p\u0159edchoz\u00ed studie nazna\u010dovaly rizika. Studie JAMA z roku 2019 zjistila, \u017ee opakovan\u00e9 injekce steroid\u016f koreluj\u00ed se zten\u010dov\u00e1n\u00edm chrupavky.<\/span><\/p>\n

Nov\u00e9 \u00fadaje z magnetick\u00e9 rezonance tyto obavy potvrzuj\u00ed a nazna\u010duj\u00ed, \u017ee i jednor\u00e1zov\u00e9 injekce mohou urychlit \u00fapadek kloub\u016f.<\/span><\/p>\n

Pro pacienty s artritidou studie poukazuje na kritick\u00fd kompromis: okam\u017eit\u00e1 \u00faleva od bolesti versus potenci\u00e1ln\u011b dlouhodob\u00e9 po\u0161kozen\u00ed kloub\u016f.<\/span><\/p>\n

Injekce kortizonu \u2013 ano nebo ne?<\/span><\/h2>\n

Zat\u00edmco injekce kortizonu z\u016fst\u00e1vaj\u00ed u\u017eite\u010dn\u00e9 p\u0159i z\u00e1va\u017en\u00fdch vzplanut\u00edch bolesti, v\u00fdzkum doporu\u010duje osobn\u00ed diskuse s pacienty o alternativ\u00e1ch, jako je kyselina hyaluronov\u00e1 \u2013 zejm\u00e9na p\u0159i m\u00edrn\u00fdch a\u017e st\u0159edn\u011b z\u00e1va\u017en\u00fdch p\u0159\u00edpadech.<\/span><\/p>\n

Jak poznamenala Dr. Bharadwajov\u00e1:\u00a0<\/span>„Dopad na ve\u0159ejnost je v\u00fdznamn\u00fd.“<\/span><\/em><\/p>\n

Jeliko\u017e osteoartr\u00f3za postihuje 32,5 milionu dosp\u011bl\u00fdch pouze v USA (10% populace), tato zji\u0161t\u011bn\u00ed by mohla zm\u011bnit l\u00e9\u010debn\u00e9 protokoly, p\u0159i\u010dem\u017e by se vedle l\u00e9\u010dby symptom\u016f m\u011bla up\u0159ednostnit ochrana kloub\u016f.<\/span><\/p>\n

Jsou zapot\u0159eb\u00ed dal\u0161\u00ed randomizovan\u00e9 studie, ale zat\u00edm by pacienti a l\u00e9ka\u0159i mohli p\u0159ehodnotit impulzivn\u00ed u\u017e\u00edv\u00e1n\u00ed kortizonu.<\/span><\/p>\n

P\u0159\u00edrodn\u00ed l\u00e9\u010dba oseoartritidy<\/span><\/h2>\n

Ned\u00e1vno jsme publikovali elektronickou knihu (e-knihu) o p\u0159\u00edrodn\u00ed l\u00e9\u010db\u011b osteoartritidy (artr\u00f3zy kloub\u016f). V\u00edce informac\u00ed o n\u00ed naleznete\u00a0<\/span>ZDE<\/span><\/strong><\/a>\u00a0<\/strong>\u00a0(o \u010desk\u00e9 verzi\u00a0\u00a0<\/span>ZDE<\/span><\/strong><\/a>\u00a0).<\/span><\/p>\n

V knize se dozv\u00edte o rizikov\u00fdch faktorech pro vznik artr\u00f3zy kloub\u016f, kter\u00fdm potravin\u00e1m se vyh\u00fdbat, pro\u010d jsou klasick\u00e9 l\u00e9ky nebezpe\u010dn\u00e9, jak artr\u00f3zu l\u00e9\u010dit p\u0159\u00edrodn\u00edm zp\u016fsobem pomoc\u00ed bylinek, stravy, dopl\u0148k\u016f stravy \u010di cvi\u010den\u00ed a spoustu dal\u0161\u00edch d\u016fle\u017eit\u00fdch informac\u00ed.<\/span><\/p>\n

Autor: SD Wells, Zdroj:\u00a0<\/span>naturalnews.com<\/span><\/a><\/p>\n

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

Zast\u00e1nci p\u0159irozen\u00e9ho zdrav\u00ed na cel\u00e9m sv\u011bt\u011b maj\u00ed velmi podobn\u00fd pohled na \u0159e\u0161en\u00ed chronick\u00e9ho z\u00e1n\u011btu, p\u0159i\u010dem\u017e…<\/p>\n","protected":false},"author":2,"featured_media":81156,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[3373,9310,1402,1561],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/81155"}],"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=81155"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/81155\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/81156"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=81155"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=81155"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=81155"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}