{"id":46,"date":"2024-11-06T08:26:58","date_gmt":"2024-11-06T07:26:58","guid":{"rendered":"https:\/\/endometriosis.sk\/verejnost\/?page_id=46"},"modified":"2024-12-04T08:40:16","modified_gmt":"2024-12-04T07:40:16","slug":"liecba","status":"publish","type":"page","link":"https:\/\/endometriosis.sk\/verejnost\/liecba\/","title":{"rendered":"Lie\u010dba"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8220;1&#8243; _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; background_image=&#8220;https:\/\/endometriosis.sk\/verejnost\/wp-content\/uploads\/2024\/11\/pozadie1-1.png&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_row _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; header_font=&#8220;&#8211;et_global_heading_font|700|||||||&#8220; header_text_align=&#8220;center&#8220; header_text_color=&#8220;#ffffff&#8220; header_font_size=&#8220;34px&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h1>Lie\u010dba<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8220;1&#8243; custom_padding_last_edited=&#8220;on|phone&#8220; _builder_version=&#8220;4.27.3&#8243; _module_preset=&#8220;default&#8220; custom_padding=&#8220;3px|||5px|false|false&#8220; custom_padding_tablet=&#8220;3px|||5px|false|false&#8220; custom_padding_phone=&#8220;|5px||15px|false|false&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_row column_structure=&#8220;1_5,3_5,1_5&#8243; use_custom_gutter=&#8220;on&#8220; gutter_width=&#8220;1&#8243; _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; width=&#8220;100%&#8220; max_width=&#8220;1327px&#8220; custom_margin=&#8220;||||false|false&#8220; custom_padding=&#8220;||||false|false&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;1_5&#8243; _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][\/et_pb_column][et_pb_column type=&#8220;3_5&#8243; _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.27.3&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_text_color=&#8220;#000000&#8243; text_font_size=&#8220;15px&#8220; custom_margin=&#8220;|10px||10px|false|false&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p>Lie\u010dba endometri\u00f3zy \u010dasto zah\u0155\u0148a farmakologick\u00fa lie\u010dbu alebo chirurgick\u00fd z\u00e1krok. Pacientka s lek\u00e1rom si <span style=\"color: #ffcc00;\"><a href=\"https:\/\/endometriosis.sk\/verejnost\/10-veci-ktore-by-ste-mali-vediet-o-endometrioze-prirucka-pre-kazdu-zenu\/\" style=\"color: #ffcc00;\">spolo\u010dne zvolia pre \u0148u najlep\u0161ie<\/a><\/span> rie\u0161enie, ktor\u00e9 sa bude okrem in\u00e9ho odv\u00edja\u0165 od z\u00e1va\u017enosti pr\u00edznakov a od pl\u00e1novania tehotnosti.<\/p>\n<p>Typicky sa najprv odpor\u00fa\u010da farmakologick\u00e1 lie\u010dba. Ak dostato\u010dne nepom\u00e1ha, prich\u00e1dza na \u00favahy chirurgick\u00fd z\u00e1krok.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_font_size=&#8220;15px&#8220; header_font=&#8220;&#8211;et_global_heading_font||||||||&#8220; header_text_align=&#8220;center&#8220; header_text_color=&#8220;#e9b323&#8243; custom_margin=&#8220;|4px||6px|false|false&#8220; custom_padding=&#8220;18px||10px|||&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h1 style=\"text-align: left;\"><strong>Farmakologick\u00e1 lie\u010dba<\/strong><\/h1>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_font_size=&#8220;15px&#8220; header_font=&#8220;&#8211;et_global_heading_font||||||||&#8220; header_text_align=&#8220;center&#8220; header_text_color=&#8220;#000000&#8243; header_font_size=&#8220;20px&#8220; custom_margin=&#8220;|4px||6px|false|false&#8220; custom_padding=&#8220;18px||10px|||&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h1 style=\"text-align: left;\"><strong>Lieky proti bolesti<\/strong><\/h1>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.3&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_text_color=&#8220;#000000&#8243; text_font_size=&#8220;15px&#8220; custom_margin=&#8220;|10px||10px|false|false&#8220; hover_enabled=&#8220;0&#8243; global_colors_info=&#8220;{}&#8220; sticky_enabled=&#8220;0&#8243;]<\/p>\n<p><span style=\"color: #ffcc00;\"><a href=\"https:\/\/endometriosis.sk\/verejnost\/odborna-pomoc\/\" style=\"color: #ffcc00;\">Lek\u00e1r m\u00f4\u017ee pacientke odporu\u010di\u0165<\/a> <\/span>lieky proti bolesti, ktor\u00e9 si m\u00f4\u017ee k\u00fapi\u0165 bez predpisu, alebo m\u00f4\u017ee lieky proti bolesti predp\u00edsa\u0165. Uveden\u00e9 lieky obsahuj\u00fa nesteroidn\u00e9 protiz\u00e1palov\u00e9 l\u00e1tky (NSAID nonsteroidal anti-inflammatory drugs) a in\u00e9 analgetik\u00e1 a pom\u00e1haj\u00fa pacientke zmier\u0148ova\u0165 bolestiv\u00e9 men\u0161trua\u010dn\u00e9 k\u0155\u010de. Je v\u0161ak potrebn\u00e9 vedie\u0165, \u017ee mo\u017en\u00fdm ne\u017eiaducim \u00fa\u010dinkom pri dlhodobom u\u017e\u00edvan\u00ed NSAID s\u00fa \u017eal\u00fado\u010dn\u00e9 l\u00e9zie a ak\u00fatne po\u0161kodenie obli\u010diek.<\/p>\n<blockquote>\n<p>Lek\u00e1r m\u00f4\u017ee odporu\u010di\u0165 aj in\u00fa lie\u010dbu s vplyvom na horm\u00f3ny a to hlavne na estrog\u00e9n, ktor\u00fd endometri\u00e1lne l\u00e9zie ovplyv\u0148uje.<\/p>\n<\/blockquote>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_font_size=&#8220;15px&#8220; header_font=&#8220;&#8211;et_global_heading_font||||||||&#8220; header_text_align=&#8220;center&#8220; header_text_color=&#8220;#000000&#8243; header_font_size=&#8220;20px&#8220; custom_margin=&#8220;|4px||6px|false|false&#8220; custom_padding=&#8220;18px||10px|||&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h1 style=\"text-align: left;\"><strong>Hormon\u00e1lna terapia<\/strong><\/h1>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.3&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_text_color=&#8220;#000000&#8243; text_font_size=&#8220;15px&#8220; custom_margin=&#8220;|10px|6px|10px|false|false&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p>Hormon\u00e1lne lieky pom\u00e1haj\u00fa zmierni\u0165 alebo <span style=\"color: #ffcc00;\"><a href=\"https:\/\/endometriosis.sk\/verejnost\/endometrioza-pribeh-jany-ktora-bojovala-o-svoje-zdravie-a-stastie\/\" style=\"color: #ffcc00;\">odstr\u00e1ni\u0165 boles\u0165 sp\u00f4soben\u00fa endometri\u00f3zou<\/a><\/span>. Kol\u00edsanie horm\u00f3nov po\u010das men\u0161trua\u010dn\u00e9ho cyklu sp\u00f4sobuje, \u017ee tkanivo endometri\u00f3zy bujnie a krv\u00e1ca. Farmakologicky vyroben\u00e9 horm\u00f3ny m\u00f4\u017eu spomali\u0165 rast tkaniva a zabr\u00e1ni\u0165 tvorbe nov\u00e9ho.<br \/>Hormon\u00e1lna terapia funguje na lie\u010dbu endometri\u00f3zy pokia\u013e sa u\u017e\u00edva. Nie je trval\u00fdm rie\u0161en\u00edm endometri\u00f3zy. Pr\u00edznaky sa m\u00f4\u017eu vr\u00e1ti\u0165 po ukon\u010den\u00ed lie\u010dby.<\/p>\n<p>Farmakologick\u00e1 lie\u010dba pou\u017e\u00edvan\u00e1 na lie\u010dbu endometri\u00f3zy zah\u0155\u0148a:<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_text_color=&#8220;#000000&#8243; text_font_size=&#8220;15px&#8220; custom_margin=&#8220;|10px||10px|false|false&#8220; custom_padding=&#8220;6px|||||&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>V prvej l\u00ednii lie\u010dby:<\/strong><\/span><\/p>\n<ul>\n<li><strong>Hormon\u00e1lne antikoncep\u010dn\u00e9 prostriedky.<\/strong> Antikoncep\u010dn\u00e9 pilulky, injekcie, n\u00e1plasti a vagin\u00e1lne kr\u00fa\u017eky pom\u00e1haj\u00fa kontrolova\u0165 horm\u00f3ny, ktor\u00e9 stimuluj\u00fa endometri\u00f3zu. Mnoh\u00e9 \u017eeny maj\u00fa pri pou\u017e\u00edvan\u00ed hormon\u00e1lnej antikoncepcie slab\u0161iu a krat\u0161iu men\u0161tru\u00e1ciu. Pou\u017e\u00edvanie kombinovan\u00fdch (estrog\u00e9n + gestag\u00e9n) hormon\u00e1lnych antikoncep\u010dn\u00fdch prostriedkov m\u00f4\u017ee v niektor\u00fdch pr\u00edpadoch zmierni\u0165 alebo utlmi\u0165 boles\u0165. \u0160ance na \u00fa\u013eavu sa zdaj\u00fa by\u0165 vy\u0161\u0161ie, pri nepretr\u017eitom pou\u017e\u00edvan\u00ed hormon\u00e1lnej antikoncepcie po\u010das jedn\u00e9ho roka bez prest\u00e1vok.<br \/><strong><\/strong><\/li>\n<li><strong>Gestag\u00e9ny.<\/strong> Gestag\u00e9n pou\u017e\u00edvan\u00fd v lie\u010dbe je synteticky vyroben\u00e1 verzia horm\u00f3nu progester\u00f3nu, ktor\u00fd hr\u00e1 \u00falohu v men\u0161trua\u010dnom cykle a tehotenstve. Lie\u010dba gestag\u00e9nmi m\u00f4\u017ee zastavi\u0165 rast tkaniva endometri\u00f3zy a m\u00f4\u017ee zmierni\u0165 pr\u00edznaky. Pom\u00e1ha zn\u00ed\u017ei\u0165 v\u00fdstelku endometri\u00e1lneho tkaniva vn\u00fatri maternice a aj mimo nej. Lie\u010dba gestag\u00e9nmi m\u00f4\u017ee zah\u0155\u0148a\u0165 mal\u00e9 intrauterinn\u00e9 syst\u00e9my umiestnen\u00e9 priamo v maternici, ktor\u00e9 v nej denne uvo\u013e\u0148uj\u00fa mikrogramy gestag\u00e9nu. \u010ealej to m\u00f4\u017ee by\u0165 antikoncepcia len s obsahom gestag\u00e9nu alebo gestag\u00e9nov\u00e9 tablety priamo ur\u010den\u00e9 na lie\u010dbu endometri\u00f3zy.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_text_color=&#8220;#000000&#8243; text_font_size=&#8220;15px&#8220; custom_margin=&#8220;|10px||10px|false|false&#8220; custom_padding=&#8220;6px|||||&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>V druhej l\u00ednii lie\u010dby:<\/strong><\/span><\/p>\n<ul>\n<li><strong>Agonisti gonadotrop\u00edn uvo\u013e\u0148uj\u00faceho horm\u00f3nu (Gn-RH).<\/strong> Tieto hormon\u00e1lne lieky blokuj\u00fa men\u0161trua\u010dn\u00fd cyklus a zni\u017euj\u00fa hladinu estrog\u00e9nu, \u010d\u00edm vytv\u00e1raj\u00fa umel\u00fa menopauzu a sp\u00f4sobuj\u00fa zmen\u0161ovanie tkaniva endometri\u00f3zy. Sprievodn\u00fdmi pr\u00edznakmi lie\u010dby m\u00f4\u017eu by\u0165 menopauz\u00e1lne ved\u013eaj\u0161ie \u00fa\u010dinky ako s\u00fa n\u00e1valy hor\u00fa\u010davy, vagin\u00e1lna suchos\u0165 a strata kostnej hmoty &#8211; osteopor\u00f3za. Pr\u00e1ve kv\u00f4li mo\u017enej osteopor\u00f3ze sa nem\u00f4\u017eu u\u017e\u00edva\u0165 dlhodobo. Men\u0161trua\u010dn\u00e9 cykly a schopnos\u0165 otehotnie\u0165 sa vr\u00e1tia po ukon\u010den\u00ed u\u017e\u00edvania lieku.<br \/><strong><\/strong><\/li>\n<li><strong>Antagonisti gonadotrop\u00edn uvo\u013e\u0148uj\u00faceho horm\u00f3nu (Gn-RH)+estrog\u00e9n s gestag\u00e9nom.<\/strong> Antagonisti GnRH nie s\u00fa horm\u00f3ny. Vedia zablokova\u0165 men\u0161trua\u010dn\u00fd cyklus a zni\u017ei\u0165 hladinu estrog\u00e9nu, \u010do sp\u00f4sobuje \u00fastup bolesti sp\u00f4sobenej endometri\u00f3zou. Za \u00fa\u010delom vyhnutia sa menopauz\u00e1lnym ved\u013eaj\u0161\u00edm \u00fa\u010dinkom a strat\u00e1m kostnej hmoty sa z\u00e1rove\u0148 u\u017e\u00edvaj\u00fa n\u00edzke d\u00e1vky estrog\u00e9nu a gestag\u00e9nu. Za t\u00fdchto podmienok sa m\u00f4\u017eu u\u017e\u00edva\u0165 dlhodobo. Men\u0161trua\u010dn\u00e9 cykly a schopnos\u0165 otehotnie\u0165 sa vr\u00e1tia po ukon\u010den\u00ed u\u017e\u00edvania lieku.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_text_color=&#8220;#000000&#8243; text_font_size=&#8220;15px&#8220; custom_margin=&#8220;|10px||10px|false|false&#8220; custom_padding=&#8220;6px|||||&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>V tretej l\u00ednii lie\u010dby:<\/strong><\/span><\/p>\n<ul>\n<li><strong>Inhib\u00edtory aromat\u00e1zy.<\/strong> Ide o triedu liekov, ktor\u00e9 zni\u017euj\u00fa mno\u017estvo estrog\u00e9nu v tele. Lek\u00e1r m\u00f4\u017ee na lie\u010dbu endometri\u00f3zy odporu\u010di\u0165 inhib\u00edtor aromat\u00e1zy spolu s progest\u00ednom alebo kombinovan\u00fdmi antikoncep\u010dn\u00fdmi pilulkami.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_image src=&#8220;https:\/\/endometriosis.sk\/verejnost\/wp-content\/uploads\/2024\/11\/6.png&#8220; _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][\/et_pb_image][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_font_size=&#8220;15px&#8220; header_font=&#8220;&#8211;et_global_heading_font||||||||&#8220; header_text_align=&#8220;center&#8220; header_text_color=&#8220;#e9b323&#8243; custom_margin=&#8220;|4px||6px|false|false&#8220; custom_padding=&#8220;18px||10px|||&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h1 style=\"text-align: left;\"><strong>Chirurgick\u00e1 lie\u010dba<\/strong><\/h1>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_text_color=&#8220;#000000&#8243; text_font_size=&#8220;15px&#8220; custom_margin=&#8220;|10px||10px|false|false&#8220; custom_padding=&#8220;6px|||||&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p>V niektor\u00fdch pr\u00edpadoch endometri\u00f3zy m\u00f4\u017eu chirurgick\u00e9 z\u00e1kroky pon\u00faknu\u0165 zna\u010dn\u00fa \u00fa\u013eavu. Lek\u00e1r pacientke objasn\u00ed, ktor\u00e9 chirurgick\u00e9 mo\u017enosti m\u00f4\u017eu by\u0165 vhodn\u00e9.<\/p>\n<p><strong>Laparoskopick\u00e1 oper\u00e1cia<\/strong> je be\u017en\u00fdm pr\u00edstupom, ktor\u00fd zah\u0155\u0148a odstr\u00e1nenie endometri\u00e1lnych l\u00e9zi\u00ed a uvo\u013enenie zrastov, ktor\u00e9 sp\u00f4sobuj\u00fa boles\u0165 a dysfunkciu org\u00e1nov.<\/p>\n<p>Cez mal\u00fd rez v bru\u0161nej stene sa pomocou chirurgick\u00fdch n\u00e1strojov odstra\u0148uje endometri\u00e1lne tkanivo. Niektor\u00ed chirurgovia vykon\u00e1vaj\u00fa laparoskopiu s pomocou robotick\u00fdch zariaden\u00ed, ktor\u00e9 im pom\u00e1haj\u00fa pri oper\u00e1cii. Po z\u00e1kroku m\u00f4\u017ee lek\u00e1r \u010falej odporu\u010di\u0165 u\u017e\u00edvanie farmakologickej lie\u010dby z prvej alebo druhej l\u00ednie na zmiernenie pr\u00edpadn\u00fdch \u0165a\u017ekost\u00ed.<\/p>\n<p>V niektor\u00fdch pokro\u010dil\u00fdch pr\u00edpadoch endometri\u00f3zy m\u00f4\u017ee by\u0165 ako mo\u017enos\u0165 lie\u010dby zva\u017eovan\u00e1 aj hysterekt\u00f3mia \u2013 \u00fapln\u00e9 odstr\u00e1nenie maternice. Aj ke\u010f m\u00f4\u017ee poskytn\u00fa\u0165 \u00fa\u013eavu od bolesti, ani t\u00e1to lie\u010dba nemus\u00ed pacientku zbavi\u0165 \u0165a\u017ekost\u00ed natrvalo, preto\u017ee aj po odstr\u00e1nen\u00ed maternice m\u00f4\u017ee endometri\u00e1lne tkanivo na\u010falej r\u00e1s\u0165 na in\u00fdch miestach bru\u0161nej dutiny.<\/p>\n<blockquote>\n<p>Je d\u00f4le\u017eit\u00e9 poznamena\u0165, \u017ee existuj\u00fa potenci\u00e1lne nev\u00fdhody chirurgick\u00e9ho z\u00e1kroku. Chirurgick\u00e9 z\u00e1kroky m\u00f4\u017eu vytv\u00e1ra\u0165 jazvov\u00e9 tkanivo, ktor\u00e9 m\u00f4\u017ee negat\u00edvne ovplyvni\u0165 plodnos\u0165. Okrem toho m\u00f4\u017ee by\u0165 chirurgia do\u010dasn\u00fdm, sk\u00f4r ne\u017e dlhodob\u00fdm rie\u0161en\u00edm, \u010do znamen\u00e1, \u017ee v bud\u00facnosti bude potrebn\u00e1 \u010fal\u0161ia oper\u00e1cia.<\/p>\n<\/blockquote>\n<p>\u010castou situ\u00e1ciou v praxi je kombin\u00e1cia farmakologickej a chirurgickej lie\u010dby. Boj s endometri\u00f3zou je dlhodob\u00fd a medic\u00edna st\u00e1le prich\u00e1dza s nov\u00fdmi mo\u017enos\u0165ami lie\u010dby.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.3&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;&#8211;et_global_body_font||||||||&#8220; text_text_color=&#8220;#000000&#8243; text_font_size=&#8220;15px&#8220; custom_margin=&#8220;|10px||10px|false|false&#8220; custom_padding=&#8220;6px|||||&#8220; hover_enabled=&#8220;0&#8243; global_colors_info=&#8220;{}&#8220; sticky_enabled=&#8220;0&#8243;]<\/p>\n<p><strong>Lie\u010dba endometri\u00f3zy, rovnako ako ak\u00e1ko\u013evek in\u00e1 lie\u010dba v\u017edy z\u00e1vis\u00ed od viacer\u00fdch faktorov a je vysoko individu\u00e1lna. Najlep\u0161\u00ed postup je preto poradi\u0165 sa s va\u0161\u00edm lek\u00e1rom a prediskutova\u0165 s n\u00edm vhodn\u00e9 alternat\u00edvy.<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8220;1_5&#8243; _builder_version=&#8220;4.27.2&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lie\u010dbaLie\u010dba endometri\u00f3zy \u010dasto zah\u0155\u0148a farmakologick\u00fa lie\u010dbu alebo chirurgick\u00fd z\u00e1krok. Pacientka s lek\u00e1rom si spolo\u010dne zvolia pre \u0148u najlep\u0161ie rie\u0161enie, ktor\u00e9 sa bude okrem in\u00e9ho odv\u00edja\u0165 od z\u00e1va\u017enosti pr\u00edznakov a od pl\u00e1novania tehotnosti. Typicky sa najprv odpor\u00fa\u010da farmakologick\u00e1 lie\u010dba. Ak dostato\u010dne nepom\u00e1ha, prich\u00e1dza na \u00favahy chirurgick\u00fd z\u00e1krok.Farmakologick\u00e1 lie\u010dbaLieky proti bolestiLek\u00e1r m\u00f4\u017ee pacientke odporu\u010di\u0165 lieky proti bolesti, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"difl_page_category":[],"class_list":["post-46","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Lie\u010dba - Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endometriosis.sk\/verejnost\/liecba\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lie\u010dba - Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi\" \/>\n<meta property=\"og:description\" content=\"Lie\u010dbaLie\u010dba endometri\u00f3zy \u010dasto zah\u0155\u0148a farmakologick\u00fa lie\u010dbu alebo chirurgick\u00fd z\u00e1krok. Pacientka s lek\u00e1rom si spolo\u010dne zvolia pre \u0148u najlep\u0161ie rie\u0161enie, ktor\u00e9 sa bude okrem in\u00e9ho odv\u00edja\u0165 od z\u00e1va\u017enosti pr\u00edznakov a od pl\u00e1novania tehotnosti. Typicky sa najprv odpor\u00fa\u010da farmakologick\u00e1 lie\u010dba. Ak dostato\u010dne nepom\u00e1ha, prich\u00e1dza na \u00favahy chirurgick\u00fd z\u00e1krok.Farmakologick\u00e1 lie\u010dbaLieky proti bolestiLek\u00e1r m\u00f4\u017ee pacientke odporu\u010di\u0165 lieky proti bolesti, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endometriosis.sk\/verejnost\/liecba\/\" \/>\n<meta property=\"og:site_name\" content=\"Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi\" \/>\n<meta property=\"article:modified_time\" content=\"2024-12-04T07:40:16+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Predpokladan\u00fd \u010das \u010d\u00edtania\" \/>\n\t<meta name=\"twitter:data1\" content=\"9 min\u00fat\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/endometriosis.sk\/verejnost\/liecba\/\",\"url\":\"https:\/\/endometriosis.sk\/verejnost\/liecba\/\",\"name\":\"Lie\u010dba - Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi\",\"isPartOf\":{\"@id\":\"https:\/\/endometriosis.sk\/verejnost\/#website\"},\"datePublished\":\"2024-11-06T07:26:58+00:00\",\"dateModified\":\"2024-12-04T07:40:16+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/endometriosis.sk\/verejnost\/liecba\/#breadcrumb\"},\"inLanguage\":\"sk-SK\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/endometriosis.sk\/verejnost\/liecba\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/endometriosis.sk\/verejnost\/liecba\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Domovsk\u00e1 str\u00e1nka\",\"item\":\"https:\/\/endometriosis.sk\/verejnost\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Lie\u010dba\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/endometriosis.sk\/verejnost\/#website\",\"url\":\"https:\/\/endometriosis.sk\/verejnost\/\",\"name\":\"Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/endometriosis.sk\/verejnost\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"sk-SK\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Lie\u010dba - Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/endometriosis.sk\/verejnost\/liecba\/","og_locale":"sk_SK","og_type":"article","og_title":"Lie\u010dba - Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi","og_description":"Lie\u010dbaLie\u010dba endometri\u00f3zy \u010dasto zah\u0155\u0148a farmakologick\u00fa lie\u010dbu alebo chirurgick\u00fd z\u00e1krok. Pacientka s lek\u00e1rom si spolo\u010dne zvolia pre \u0148u najlep\u0161ie rie\u0161enie, ktor\u00e9 sa bude okrem in\u00e9ho odv\u00edja\u0165 od z\u00e1va\u017enosti pr\u00edznakov a od pl\u00e1novania tehotnosti. Typicky sa najprv odpor\u00fa\u010da farmakologick\u00e1 lie\u010dba. Ak dostato\u010dne nepom\u00e1ha, prich\u00e1dza na \u00favahy chirurgick\u00fd z\u00e1krok.Farmakologick\u00e1 lie\u010dbaLieky proti bolestiLek\u00e1r m\u00f4\u017ee pacientke odporu\u010di\u0165 lieky proti bolesti, [&hellip;]","og_url":"https:\/\/endometriosis.sk\/verejnost\/liecba\/","og_site_name":"Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi","article_modified_time":"2024-12-04T07:40:16+00:00","twitter_card":"summary_large_image","twitter_misc":{"Predpokladan\u00fd \u010das \u010d\u00edtania":"9 min\u00fat"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/endometriosis.sk\/verejnost\/liecba\/","url":"https:\/\/endometriosis.sk\/verejnost\/liecba\/","name":"Lie\u010dba - Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi","isPartOf":{"@id":"https:\/\/endometriosis.sk\/verejnost\/#website"},"datePublished":"2024-11-06T07:26:58+00:00","dateModified":"2024-12-04T07:40:16+00:00","breadcrumb":{"@id":"https:\/\/endometriosis.sk\/verejnost\/liecba\/#breadcrumb"},"inLanguage":"sk-SK","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endometriosis.sk\/verejnost\/liecba\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/endometriosis.sk\/verejnost\/liecba\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Domovsk\u00e1 str\u00e1nka","item":"https:\/\/endometriosis.sk\/verejnost\/"},{"@type":"ListItem","position":2,"name":"Lie\u010dba"}]},{"@type":"WebSite","@id":"https:\/\/endometriosis.sk\/verejnost\/#website","url":"https:\/\/endometriosis.sk\/verejnost\/","name":"Endometri\u00f3za | Praktick\u00e1 pr\u00edru\u010dka pre \u017eeny s endometri\u00f3zou alebo jej pr\u00edznakmi","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/endometriosis.sk\/verejnost\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"sk-SK"}]}},"_links":{"self":[{"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/pages\/46","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/comments?post=46"}],"version-history":[{"count":15,"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/pages\/46\/revisions"}],"predecessor-version":[{"id":729,"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/pages\/46\/revisions\/729"}],"wp:attachment":[{"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/media?parent=46"}],"wp:term":[{"taxonomy":"difl_page_category","embeddable":true,"href":"https:\/\/endometriosis.sk\/verejnost\/wp-json\/wp\/v2\/difl_page_category?post=46"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}