{"id":25462,"date":"2024-09-10T13:32:55","date_gmt":"2024-09-10T11:32:55","guid":{"rendered":"https:\/\/www.phoenixcom.cz\/press\/?p=25462"},"modified":"2024-09-10T13:32:55","modified_gmt":"2024-09-10T11:32:55","slug":"na-preventivni-spermiogram-muzi-nechodi-o-problemech-s-plodnosti-se-dozvidaji-pozde","status":"publish","type":"post","link":"https:\/\/www.phoenixcom.cz\/press\/na-preventivni-spermiogram-muzi-nechodi-o-problemech-s-plodnosti-se-dozvidaji-pozde\/","title":{"rendered":"Na preventivn\u00ed spermiogram mu\u017ei nechod\u00ed, o probl\u00e9mech s plodnost\u00ed se dozv\u00eddaj\u00ed pozd\u011b"},"content":{"rendered":"

Mu\u017esk\u00e1 neplodnost byla dlouhou dobu pova\u017eovan\u00e1 za m\u00fdtus. A\u017e systematick\u00fd sb\u011br zdravotnick\u00fdch dat uk\u00e1zal, \u017ee mu\u017ei maj\u00ed probl\u00e9my s plodnost\u00ed ve stejn\u00e9 m\u00ed\u0159e jako \u017eeny.<\/strong> Probl\u00e9my s po\u010det\u00edm m\u00e1 v sou\u010dasnosti p\u0159ibli\u017en\u011b ka\u017ed\u00fd p\u00e1t\u00fd p\u00e1r, p\u0159i\u010dem\u017e p\u0159\u00ed\u010dina na stran\u011b mu\u017ee se v posledn\u00edch letech zv\u00fd\u0161ila z p\u016fvodn\u00edch 10 t\u00e9m\u011b\u0159 na 40 % p\u0159\u00edpad\u016f. Jedn\u00edm z d\u016fvod\u016f je i chyb\u011bj\u00edc\u00ed prevence. <\/strong><\/p>\n

 <\/strong><\/p>\n

Reproduk\u010dn\u00ed zdrav\u00ed pod tlakem<\/strong><\/p>\n

Mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny neplodnosti mu\u017e\u016f pat\u0159\u00ed sn\u00ed\u017een\u00e1 kvalita spermi\u00ed, varikok\u00e9la (roz\u0161\u00ed\u0159en\u00ed \u017eiln\u00ed pleten\u011b v semenn\u00e9m v\u00e1\u010dku), poruchy sexu\u00e1ln\u00edch funkc\u00ed, p\u0159ekonan\u00fd \u00faraz genit\u00e1li\u00ed, abnorm\u00e1ln\u00ed karyotyp nebo hormon\u00e1ln\u00ed poruchy. Mu\u017eskou plodnost m\u016f\u017ee podle odborn\u00edk\u016f negativn\u011b ovlivnit mno\u017estv\u00ed faktor\u016f \u2013 od anatomick\u00fdch a fyziologick\u00fdch p\u0159es genetick\u00e9, hormon\u00e1ln\u00ed a\u017e po environment\u00e1ln\u00ed. \u201eNelze \u0159\u00edci, jak\u00fd faktor je v\u00edce nebo m\u00e9n\u011b d\u016fle\u017eit\u00fd. Obecn\u011b si mysl\u00edm, \u017ee hlavn\u00edm probl\u00e9mem je trval\u00fd tlak chemick\u00fdch koktejl\u016f obsa\u017een\u00fdch v potravin\u00e1ch a n\u00e1poj\u00edch v kombinaci s nezdrav\u00fdm \u017eivotn\u00edm stylem. K tomu mus\u00edme p\u0159i\u010d\u00edst dlouhodob\u00fd stres, a a\u010dkoliv nejsou zat\u00edm jasn\u00e1 data, nelze vylou\u010dit vliv tzv. elektronick\u00e9ho smogu, p\u0159ed kter\u00fdm v podstat\u011b nen\u00ed \u00faniku,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Pavel Hanek, prim\u00e1\u0159 urologick\u00e9ho odd\u011blen\u00ed v Oblastn\u00ed nemocnici P\u0159\u00edbram<\/strong>.<\/p>\n

 <\/p>\n

\u201eN\u00e1roky\u201c na spermie se sni\u017euj\u00ed<\/strong><\/p>\n

Za z\u00e1kladn\u00ed ukazatel mu\u017esk\u00e9 plodnosti se pova\u017euje spermiogram. Bezbolestn\u00e9 laboratorn\u00ed vy\u0161et\u0159en\u00ed poskytuje celkov\u00e9 zhodnocen\u00ed kvality ejakul\u00e1tu a schopnosti spermi\u00ed oplodnit vaj\u00ed\u010dko. Rozhoduj\u00edc\u00ed jsou parametry t\u00fdkaj\u00edc\u00ed se koncentrace spermi\u00ed, jejich pohyblivosti a tvaru, p\u0159i\u010dem\u017e jejich referen\u010dn\u00ed hodnoty stanovuje Sv\u011btov\u00e1 zdravotnick\u00e1 organizace (WHO). \u201eParametry \u201anorm\u00e1ln\u00edho\u2018 spermiogramu se u\u017e desetilet\u00ed opakovan\u011b sni\u017euj\u00ed a mu\u017ei dnes maj\u00ed v ejakul\u00e1tu pr\u016fm\u011brn\u011b o 50 % spermi\u00ed m\u00e9n\u011b ne\u017e jejich otcov\u00e9, \u201c<\/em> upozor\u0148uje MUDr. Pavel Hanek<\/strong> a dod\u00e1v\u00e1, \u017ee v\u011bt\u0161ina mu\u017e\u016f o <\/p>\n

p\u0159\u00edpadn\u00e9m probl\u00e9mu ani nev\u00ed, proto\u017ee u prevence absentuje: \u201eU mu\u017e\u016f existuj\u00ed nebo vznikaj\u00ed programy preventivn\u00edch vy\u0161et\u0159en\u00ed p\u0159edev\u0161\u00edm ve vztahu k onkologick\u00fdm onemocn\u011bn\u00edm, jako jsou n\u00e1dory varlat a prostaty. Preventivn\u00ed vy\u0161et\u0159en\u00ed plodnosti se standardn\u011b neprov\u00e1d\u011bj\u00ed.\u201c<\/em><\/p>\n

 <\/p>\n

Konstantn\u00ed plodnost je m\u00fdtus<\/strong><\/p>\n

N\u00edzk\u00e1 koncentrace a kvalita spermi\u00ed pat\u0159\u00ed k nej\u010dast\u011bj\u0161\u00edm p\u0159\u00ed\u010din\u00e1m neplodnosti na stran\u011b mu\u017e\u016f. Ti se ale se spermiogramem poprv\u00e9 setk\u00e1vaj\u00ed a\u017e na klinice asistovan\u00e9 reprodukce, kam p\u0159ijdou spolu s partnerkou obvykle a\u017e po roce ne\u00fasp\u011b\u0161n\u00e9ho sna\u017een\u00ed. \u201ePr\u016fm\u011brn\u00fd v\u011bk mu\u017esk\u00fdch pacient\u016f, kte\u0159\u00ed n\u00e1s vyhledaj\u00ed kv\u016fli probl\u00e9m\u016fm s po\u010det\u00edm, se pohybuje okolo 40 let. Kdyby si preventivn\u00ed spermiogram nechali ud\u011blat o 10 a\u017e 15 let d\u0159\u00edve, opat\u0159en\u00ed na zachov\u00e1n\u00ed plodnosti, p\u0159\u00edpadn\u011b l\u00e9\u010dbu mohli podstoupit v obdob\u00ed, kdy funguj\u00ed nejefektivn\u011bji,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Hana Vi\u0161\u0148ov\u00e1, vedouc\u00ed l\u00e9ka\u0159ka kliniky asistovan\u00e9 reprodukce IVF CUBE<\/strong>, a z\u00e1rove\u0148 vyvrac\u00ed m\u00fdtus, \u017ee mu\u017esk\u00e1 plodnost je konstantn\u00ed a neomezen\u00e1. \u201eJe pravda, \u017ee mu\u017esk\u00e1 plodnost kles\u00e1 s v\u011bkem pomaleji ne\u017e \u017eensk\u00e1. Po p\u011btat\u0159ic\u00e1t\u00e9m roce v\u011bku se v\u0161ak biologick\u00e1 kondice zhor\u0161uje i u mu\u017e\u016f a s v\u011bkem stoup\u00e1 pravd\u011bpodobnost po\u0161kozen\u00ed DNA spermi\u00ed.\u201c <\/em><\/p>\n

 <\/em><\/p>\n

Vy\u0161et\u0159en\u00ed i bezplatn\u011b<\/strong><\/p>\n

Podle odborn\u00edk\u016f by se tedy mu\u017ei o svoji plodnost m\u011bli zaj\u00edmat aktivn\u011b. \u201eNen\u00ed nutn\u00e9 \u010dekat na probl\u00e9my s po\u010det\u00edm. Ide\u00e1ln\u00ed je, kdy\u017e si mu\u017e nech\u00e1 ud\u011blat spermiogram je\u0161t\u011b p\u0159edt\u00edm, ne\u017e za\u010dne pl\u00e1novat rodinu, ve v\u011bku 25 a\u017e 30 let,\u201c<\/em> zd\u016fraz\u0148uje MUDr. Vi\u0161\u0148ov\u00e1, podle n\u00ed\u017e je mu\u017e zaj\u00edmaj\u00edc\u00ed se o sv\u016fj spermiogram doslova raritou. O zm\u011bnu se od minul\u00e9ho roku sna\u017e\u00ed Nada\u010dn\u00ed fond ProPlodnost, kter\u00fd nab\u00edz\u00ed bezplatn\u00e9 vy\u0161et\u0159en\u00ed plodnosti mu\u017e\u016fm i \u017een\u00e1m ve v\u011bku 20 a\u017e 35 let. Z\u00e1kladn\u00ed p\u0159edstavu o sv\u00e9 plodnosti mohou z\u00edskat u\u017e na z\u00e1klad\u011b bezplatn\u00e9ho online testu, kter\u00fd vyhodnot\u00ed parametry t\u00fdkaj\u00edc\u00ed se BMI, v\u011bku, zdravotn\u00ed anamn\u00e9zy a \u017eivotn\u00edho stylu. Pro komplexn\u00ed hodnocen\u00ed plodnosti je mo\u017en\u00e9 absolvovat bezplatnou online \u010di telefonickou konzultaci, p\u0159\u00edpadn\u011b osobn\u00ed n\u00e1v\u0161t\u011bvu na klinice reproduk\u010dn\u00ed medic\u00edny. \u201eNa klinice je tak\u00e9 mo\u017en\u00e9 prov\u00e9st vy\u0161et\u0159en\u00ed spermiogramu zcela zdarma,\u201c <\/em>\u0159\u00edk\u00e1 odborn\u00fd garant fondu ProPlodnost RNDr. Renata H\u00fcttelov\u00e1<\/strong> a p\u0159id\u00e1v\u00e1 t\u00e9\u017e tipy, jak se na vy\u0161et\u0159en\u00ed spermiogramu p\u0159ipravit: \u201eAby v\u00fdsledky anal\u00fdzy byly co nejobjektivn\u011bj\u0161\u00ed, je vhodn\u00e9 p\u0159ibli\u017en\u011b dva a\u017e t\u0159i dny p\u0159ed vy\u0161et\u0159en\u00edm zachovat sexu\u00e1ln\u00ed abstinenci. Vy\u0161et\u0159en\u00ed odlo\u017ete v p\u0159\u00edpad\u011b, pokud jste v p\u0159edch\u00e1zej\u00edc\u00edch dvou m\u011bs\u00edc\u00edch byli nemocn\u00ed nebo u\u017e\u00edvali antibiotika.\u201c<\/em><\/p>\n

 <\/strong><\/p>\n

Kdy\u017e spermiogram \u201enepot\u011b\u0161\u00ed\u201c<\/strong><\/p>\n

Proces tvorby a dozr\u00e1v\u00e1n\u00ed spermi\u00ed trv\u00e1 p\u0159ibli\u017en\u011b 64 a\u017e 72 dn\u00ed, a tak m\u016f\u017ee kvalita ejakul\u00e1tu kol\u00edsat. Proto ani p\u0159i zhor\u0161en\u00fdch v\u00fdsledc\u00edch spermiogramu nen\u00ed t\u0159eba podl\u00e9hat panice. \u201e N\u011bkdy je vhodn\u00e9 spermiogram zopakovat, jindy se indikuj\u00ed dal\u0161\u00ed dopl\u0148uj\u00edc\u00ed testy,\u201c<\/em> uklid\u0148uje MUDr. Vi\u0161\u0148ov\u00e1<\/strong>. \u00dalohou odborn\u00edka na reproduk\u010dn\u00ed medic\u00ednu je stanovit postup, kter\u00fd bude z hlediska zachov\u00e1n\u00ed plodnosti \u00fa\u010dinn\u00fd a z\u00e1rove\u0148 co nejm\u00e9n\u011b zat\u011b\u017euj\u00edc\u00ed. \u201eN\u011bkdy pom\u016f\u017ee \u00faprava \u017eivotn\u00edho stylu. U mu\u017e\u016f s v\u00fdkyvy v hodnot\u00e1ch spermiogramu, limitovan\u00fdm mno\u017estv\u00edm spermi\u00ed v ejakul\u00e1tu \u010di indikac\u00edch, kdy hroz\u00ed progresivn\u00ed zhor\u0161ov\u00e1n\u00ed, m\u016f\u017eeme p\u0159istoupit ke zmrazen\u00ed spermi\u00ed, kter\u00e9 budou v budoucnosti pou\u017eit\u00e9 k inseminaci nebo um\u011bl\u00e9mu oplodn\u011bn\u00ed. Pokud v ejakul\u00e1tu nejsou p\u0159\u00edtomn\u00e9 \u017e\u00e1dn\u00e9 spermie nebo jejich po\u010det nen\u00ed dostate\u010dn\u00fd pro oplodn\u011bn\u00ed, doporu\u010d\u00edme chirurgick\u00fd odb\u011br spermi\u00ed.\u201c <\/em>S vyu\u017eit\u00edm d\u00e1rcovsk\u00fdch spermi\u00ed se podle jej\u00edch slov po\u010d\u00edt\u00e1 jen v p\u0159\u00edpadech, kdy\u017e se uk\u00e1\u017ee, \u017ee mu\u017e nem\u00e1 \u017e\u00e1dn\u00e9 spermie nebo trp\u00ed z\u00e1va\u017en\u00fdm d\u011bdi\u010dn\u00fdm onemocn\u011bn\u00edm.<\/p>\n

 <\/p>\nSt\u00e1hnout tiskovou zpr\u00e1vu<\/a> <\/em><\/p>\nngg_shortcode_0_placeholder\n","protected":false},"excerpt":{"rendered":"

Mu\u017esk\u00e1 neplodnost byla dlouhou dobu pova\u017eovan\u00e1 za m\u00fdtus. A\u017e systematick\u00fd sb\u011br zdravotnick\u00fdch dat uk\u00e1zal, \u017ee mu\u017ei maj\u00ed probl\u00e9my s plodnost\u00ed ve stejn\u00e9 m\u00ed\u0159e jako \u017eeny. Probl\u00e9my s po\u010det\u00edm m\u00e1 v sou\u010dasnosti p\u0159ibli\u017en\u011b ka\u017ed\u00fd p\u00e1t\u00fd p\u00e1r, p\u0159i\u010dem\u017e p\u0159\u00ed\u010dina na stran\u011b mu\u017ee se v posledn\u00edch letech zv\u00fd\u0161ila z p\u016fvodn\u00edch 10 t\u00e9m\u011b\u0159 na 40 % p\u0159\u00edpad\u016f. Jedn\u00edm z d\u016fvod\u016f je i […]<\/p>\n","protected":false},"author":3,"featured_media":25466,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[527],"tags":[],"_links":{"self":[{"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/posts\/25462"}],"collection":[{"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/comments?post=25462"}],"version-history":[{"count":1,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/posts\/25462\/revisions"}],"predecessor-version":[{"id":25467,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/posts\/25462\/revisions\/25467"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/media\/25466"}],"wp:attachment":[{"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/media?parent=25462"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/categories?post=25462"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.phoenixcom.cz\/press\/wp-json\/wp\/v2\/tags?post=25462"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}