{"id":18576,"date":"2019-08-12T07:35:43","date_gmt":"2019-08-12T05:35:43","guid":{"rendered":"https:\/\/zdravovek.eu\/?p=18576"},"modified":"2020-09-14T18:52:37","modified_gmt":"2020-09-14T16:52:37","slug":"pruh-hernie","status":"publish","type":"post","link":"https:\/\/zdravovek.eu\/cs\/pruh-hernie\/","title":{"rendered":"Pruh (hernie\/k\u00fdla) &#8211; jak se projevuje, m\u00e1 operace n\u011bjak\u00e1 rizika?"},"content":{"rendered":"<p>Pruh (jinak tak\u00e9 hernie, k\u00fdla) je stav, kdy se <strong>\u010d\u00e1st org\u00e1nu<\/strong> (nej\u010dast\u011bji st\u0159eva) <strong>dost\u00e1v\u00e1 p\u0159es oslabenou b\u0159i\u0161n\u00ed dutinu sm\u011brem ven<\/strong>. Na povrchu t\u011bla se to projev\u00ed jako <strong>mal\u00e1 bulka<\/strong>, kter\u00e1 se n\u011bkdy d\u00e1 zatla\u010dit zp\u011bt do nitra.<\/p>\n<p>Existuje n\u011bkolik typ\u016f hernie. V \u010dl\u00e1nku se dozv\u00edte, jak\u00e9 to jsou, jak se pruh projevuje a zda je nutn\u00e1 operace.<\/p>\n\n<h2>Co to je hernie?<\/h2>\n<p>Pruh je <strong>oslaben\u00ed nebo natr\u017een\u00ed v oblasti pob\u0159i\u0161nice<\/strong> (b\u0159i\u0161n\u00edch sval\u016f), kter\u00e9 vede k tomu, \u017ee tukov\u00e1 tk\u00e1\u0148 p\u0159\u00edpadn\u011b st\u0159evo se vytisknou z b\u0159i\u0161n\u00ed dutiny. Jejich nej\u010dast\u011bj\u0161\u00ed v\u00fdskyt je v <strong>oblasti pupku, slabiny a na m\u00edst\u011b star\u00fdch jizev<\/strong>.<\/p>\n<h3>Typy hernie<\/h3>\n<p>Hernie m\u016f\u017ee b\u00fdt <strong>vrozen\u00e1 nebo z\u00edskan\u00e1<\/strong>. Hernie tak\u00e9 rozd\u011blujeme podle toho, zda jsou orientov\u00e1ny <strong>sm\u011brem ven<\/strong> (extern\u00ed, viditeln\u00e9) nebo <strong>sm\u011brem na vnit\u0159n\u00ed sval<\/strong> (intern\u00ed, pouh\u00fdm okem neviditeln\u00e9).<\/p>\n<p>Jin\u00fdm krit\u00e9riem je d\u011blen\u00ed herni\u00ed <strong>podle m\u00edsta v\u00fdskytu<\/strong>.<\/p>\n<p>Zn\u00e1me:<\/p>\n<ul>\n<li><strong>hernia inguinalis <\/strong><\/li>\n<li><strong>hernia hiatalis<\/strong><\/li>\n<li><strong>hernia umbilicalis<\/strong><\/li>\n<\/ul>\n<h4>Hernia inguinalis (t\u0159\u00edseln\u00fd pruh\/inguin\u00e1ln\u00ed hernie)<\/h4>\n<p>Typick\u00fdm p\u0159\u00edznakem je <strong>v\u00fdskyt mal\u00e9 bulky v t\u0159\u00edsle<\/strong>. P\u0159\u00edtomnost bulky nen\u00ed st\u00e1l\u00e1. M\u016f\u017ee se objevit v jist\u00e9m \u010dase a n\u00e1sledn\u011b zmizet, pak se vr\u00e1t\u00ed zas.<\/p>\n<p>T\u0159\u00edseln\u00fd pruh je <strong>\u010dast\u00fd u mal\u00fdch d\u011bt\u00ed, zvl\u00e1\u0161t\u011b chlapc\u016f<\/strong>. Bulka se objevuje p\u0159i pl\u00e1\u010di d\u00edt\u011bte, p\u0159i stolici a jin\u00e9 \u010dinnosti, kdy je b\u0159i\u0161n\u00ed sval napjat\u00fd. P\u0159i inguin\u00e1ln\u00ed herni\u00ed <strong>vyb\u00edh\u00e1 st\u0159evn\u00ed kli\u010dka p\u0159\u00edpadn\u011b vaje\u010dn\u00edk do herniov\u00e9ho vaku<\/strong>.<\/p>\n<p>Rizikem je <strong>postupn\u00e9 zv\u011bt\u0161ov\u00e1n\u00ed pruhu a n\u00e1sledn\u00e9 za\u0161krcen\u00ed st\u0159evn\u00ed kli\u010dky<\/strong> (nebo vaje\u010dn\u00edk\u016f a varlat).<\/p>\n<h4>Hernia hiatalis (br\u00e1ni\u010dn\u00ed k\u00fdla\/hi\u00e1tov\u00e1 hernie)<\/h4>\n<p>P\u0159i br\u00e1ni\u010dn\u00ed k\u00fdle doch\u00e1z\u00ed k <strong>protla\u010den\u00ed j\u00edcnu a horn\u00ed \u010d\u00e1sti st\u0159ev do hrudn\u00ed dutiny<\/strong>. Tento typ hernie m\u016f\u017ee b\u00fdt vrozen\u00fd, objevit se v\u0161ak m\u016f\u017ee i po \u00faraze.<\/p>\n<p>Typickou komplikac\u00ed hi\u00e1tov\u00e1 hernie je <a href=\"https:\/\/zdravovek.eu\/reflux\/\"><strong>gastroezofage\u00e1ln\u00ed reflux<\/strong><\/a>. Obsah \u017ealudku se vrac\u00ed zp\u011bt do j\u00edcnu, co\u017e vede k typick\u00fdm p\u0159\u00edznak\u016fm jako je p\u00e1len\u00ed a \u0161t\u00edp\u00e1n\u00ed.<\/p>\n<p>Rizikem <strong>nel\u00e9\u010den\u00e9 hi\u00e1tov\u00e9 hernie je tak\u00e9 rakovina<\/strong>. Pokud je j\u00edcen dlouhodob\u011b dr\u00e1\u017ed\u011bn kysel\u00fdm \u017ealude\u010dn\u00edm obsahem, vznikaj\u00ed na jeho povrchu zm\u011bny, kter\u00e9 mohou v\u00e9st a\u017e k tvorb\u011b n\u00e1doru.<\/p>\n<figure id=\"attachment_14071\" aria-describedby=\"caption-attachment-14071\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" class=\"wp-image-14071 size-large\" src=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis-1024x618.jpg\" alt=\"Pruh - hernia inguinale, hiatalis, umbilicalis\" width=\"1024\" height=\"618\" srcset=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis-1024x618.jpg 1024w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis-600x362.jpg 600w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis-300x181.jpg 300w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis-768x464.jpg 768w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis-696x420.jpg 696w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis-1068x645.jpg 1068w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis-695x420.jpg 695w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pruh-hernia-inguinalis-hiatalis-umbilicalis.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-14071\" class=\"wp-caption-text\">Zdroj: 123rf.com<\/figcaption><\/figure>\n<h4>Hernia umbilicalis (pupe\u010dn\u00ed pruh\/umbilik\u00e1ln\u00ed hernie)<\/h4>\n<p>Typick\u00fdm znakem je <strong>vy\u010dn\u00edv\u00e1n\u00ed pupku sm\u011brem ven<\/strong>. Vyskytuje se hlavn\u011b u d\u011bt\u00ed, ale nevyhnou se j\u00ed ani dosp\u011bl\u00fd. Hernie je nejv\u00fdrazn\u011bj\u0161\u00ed p\u0159i nap\u00edn\u00e1n\u00ed b\u0159i\u0161n\u00edch sval\u016f.<\/p>\n<p>U pupe\u010dn\u00edho pruhu se sm\u011brem do pupe\u010dn\u00ed oblasti <strong>vyklene \u010d\u00e1st st\u0159eva nebo tukov\u00e1 tk\u00e1\u0148<\/strong>. V minulosti se doporu\u010dovalo p\u0159i pupe\u010dn\u00ed herni\u00ed pupek p\u0159elepit, p\u0159\u00edpadn\u011b na n\u011bj d\u00e1t minci a n\u00e1sledn\u011b p\u0159elepit. Tyto postupy jsou v sou\u010dasnosti zastaral\u00e9 a nejsou velmi efektivn\u00ed.<\/p>\n<h2>Pro\u010d vznik\u00e1 hernie<\/h2>\n<p>V\u0161echny typy hernie jsou zp\u016fsobeny kombinac\u00ed dvou faktor\u016f: <strong>p\u016fsoben\u00ed tlaku a oslaben\u00ed svalu nebo fascie<\/strong>.<\/p>\n<p>P\u016fsoben\u00edm tlaku (nap\u0159\u00edklad p\u0159i zved\u00e1n\u00ed t\u011b\u017ek\u00e9ho p\u0159edm\u011btu, <a href=\"https:\/\/zdravovek.eu\/hnacka\/\">p\u0159i pr\u016fjmu<\/a> a <a href=\"https:\/\/zdravovek.eu\/zapcha\/\">z\u00e1cp\u011b<\/a>, p\u0159i \u00faporn\u00e9m ka\u0161li) se org\u00e1n nebo \u010d\u00e1st tk\u00e1n\u011b dostane p\u0159es oslaben\u00fd sval sm\u011brem ven.<\/p>\n<p>Mezi <strong>dal\u0161\u00ed rizikov\u00e9 faktory vzniku hernie pat\u0159\u00ed<\/strong>:<\/p>\n<ul>\n<li><strong>obezita<\/strong><\/li>\n<li><strong>nespr\u00e1vn\u00e1 \u017eivotospr\u00e1va<\/strong><\/li>\n<li><strong>kou\u0159en\u00ed<\/strong><\/li>\n<\/ul>\n<h2>P\u0159\u00edznaky &#8211; jak se projevuje pruh?<\/h2>\n<p><strong>Extern\u00ed hernie<\/strong> (na povrchu, okem viditeln\u00e9) se projev\u00ed jako:<\/p>\n<ul>\n<li><strong>bulka nebo v\u00fddu\u0165<\/strong> v oblasti b\u0159icha nebo slabiny<\/li>\n<li>bulka je <strong>pohybliv\u00e1<\/strong>, d\u00e1 se zatla\u010dit sm\u011brem dovnit\u0159<\/li>\n<li>vle\u017ee v\u011bt\u0161inou miz\u00ed<\/li>\n<li><strong>\u010dasem se zv\u011bt\u0161uje<\/strong><\/li>\n<li>oblast, kde se bulka vyskytuje je <strong>bolestiv\u00e1<\/strong>, otekl\u00e1<\/li>\n<li>bolest je v\u00fdrazn\u00e1 p\u0159i ka\u0161li, p\u0159i p\u0159edklonu, p\u0159i zved\u00e1n\u00ed t\u011b\u017ek\u00fdch p\u0159edm\u011bt\u016f<\/li>\n<li>pocit ztuhlosti, tlaku p\u0159\u00edpadn\u011b slabosti v t\u0159\u00edslech<\/li>\n<li>pocit plnosti st\u0159ev, st\u0159evn\u00ed obstrukce<\/li>\n<\/ul>\n<h3>P\u0159\u00edznaky intern\u00ed hernie<\/h3>\n<p>A jak se projevuje pruh uvnit\u0159 t\u011bla?<\/p>\n<p><strong>Intern\u00ed hernie<\/strong> (uvnit\u0159 t\u011bla, okem neviditeln\u00e1) m\u00e1 tyto p\u0159\u00edznaky:<\/p>\n<ul>\n<li><a href=\"https:\/\/zdravovek.eu\/palenie-zahy\/\"><strong>p\u00e1len\u00ed \u017e\u00e1hy<\/strong>\u00a0<\/a><\/li>\n<li>pocit m\u00fddlov\u00e9 nebo <strong>kysel\u00e9 chuti v \u00fastech\u00a0<\/strong><\/li>\n<li><strong>nafukov\u00e1n\u00ed<\/strong> v oblasti \u017ealudku<\/li>\n<li>\u010dast\u00e9 a nadm\u011brn\u00e9 <strong>\u0159\u00edh\u00e1n\u00ed<\/strong><\/li>\n<li><a href=\"https:\/\/zdravovek.eu\/bolest-brucha\/\">bolest v \u017ealudku<\/a>, v j\u00edcnu<\/li>\n<\/ul>\n<h2>Operace pruhu<\/h2>\n<p><strong>V\u0161echny hernie se \u0159e\u0161\u00ed operac\u00ed<\/strong>, kter\u00e1 je <strong>pom\u011brn\u011b jednoduch\u00e1 a m\u00e1lo invazivn\u00ed<\/strong>. Operaci pruhu neodkl\u00e1dejte. V po\u010d\u00e1te\u010dn\u00edch stadi\u00edch se pruh snadn\u011bji operuje, zotavov\u00e1n\u00ed je rychlej\u0161\u00ed a tak\u00e9 hroz\u00ed minimum komplikac\u00ed.<\/p>\n<div class=\"erit-block erit-block-interesting\"> V\u00fdjimkou jsou <strong>n\u011bkter\u00e9 typy hi\u00e1tov\u00e1 hernie<\/strong>, kter\u00e9 se obejdou bez operace. L\u00e9ka\u0159 v\u00e1m p\u0159edep\u00ed\u0161e <strong>l\u00e9\u010dbu antacidy a blok\u00e1tory protonov\u00e9 pumpy<\/strong>, kter\u00e9 zm\u00edr\u0148uj\u00ed kyselost \u017ealudku a napom\u00e1haj\u00ed p\u0159i p\u0159\u00edznac\u00edch p\u00e1len\u00ed \u017e\u00e1hy. <\/div>\n<h3>Rizika<\/h3>\n<p>Rizikem neoperovan\u00e9ho pruhu je <strong>sk\u0159\u00edpnut\u00ed k\u00fdly v m\u00edst\u011b otvoru<\/strong>. Z\u00e1sobov\u00e1n\u00ed krv\u00ed do posti\u017een\u00e9ho m\u00edsta je omezen\u00e9 a org\u00e1ny bez z\u00e1sobov\u00e1n\u00ed krve ztr\u00e1cej\u00ed svou funk\u010dnost. Tento stav m\u016f\u017ee b\u00fdt a\u017e \u017eivot ohro\u017euj\u00edc\u00ed.<\/p>\n<h3>Postup operace<\/h3>\n<p>V\u011bt\u0161ina pruh\u016f se operuje <strong>laparoskopicky<\/strong>.<\/p>\n<p>Tato operace je m\u00e1lo invazivn\u00ed. Chirurg ud\u011bl\u00e1 jen mal\u00fd \u0159ez, proto je zotavov\u00e1n\u00ed velmi rychl\u00e9 a pacient nemus\u00ed b\u00fdt dlouhou dobu pr\u00e1ce neschopn\u00fd. Vy\u010duhuj\u00edc\u00ed \u010d\u00e1st (st\u0159evo, mo\u010dov\u00fd m\u011bch\u00fd\u0159 a podobn\u011b) se zatla\u010d\u00ed zp\u011bt na sv\u00e9 m\u00edsto, p\u0159\u00edpadn\u011b se odstran\u00ed. N\u00e1sledn\u011b se provede <strong>plastika b\u0159icha<\/strong>, aby se pruh znovu nevr\u00e1til. U pacient\u016f, kte\u0159\u00ed maj\u00ed v\u00fdrazn\u011b oslaben\u00e9 b\u0159i\u0161n\u00ed svaly lze pou\u017e\u00edt i zpev\u0148uj\u00edc\u00ed s\u00ed\u0165ku.<\/p>\n<h2>Prevence vzniku hernie<\/h2>\n<ul>\n<li><strong>Udr\u017eujte si <\/strong> <strong>optim\u00e1ln\u00ed hmotnost<\/strong>.<\/li>\n<li><strong>Posilujte<\/strong> b\u0159i\u0161n\u00ed svaly adekv\u00e1tn\u00edm cvi\u010den\u00edm.<\/li>\n<li>Le\u010dte chronick\u00fd ka\u0161el.<\/li>\n<li><strong>Neku\u0159te<\/strong>.<\/li>\n<li>Pokud trp\u00edte onemocn\u011bn\u00edm prostaty, podstupte l\u00e9\u010dbu.<\/li>\n<li>Zdrav\u011b se stravujte, \u010d\u00edm\u017e p\u0159edejdete z\u00e1cp\u011b (kter\u00e1 zvy\u0161uje riziko k\u00fdly). <strong>Konzumujte hodn\u011b zeleniny a <a href=\"https:\/\/zdravovek.eu\/recenzia-psyllium\/\">vl\u00e1kniny<\/a><\/strong>.<\/li>\n<li><strong>Nezvedejte t\u011b\u017ek\u00e9 p\u0159edm\u011bty<\/strong>. Pokud je to nezbytn\u00e9, zvedejte je v pod\u0159epu. Takto nejen p\u0159edejdete vzniku hernie ale ochr\u00e1n\u00edte i sv\u00e1 z\u00e1da.<\/li>\n<\/ul>\n<h2>Shrnut\u00ed<\/h2>\n<p>Pruh (hernie) se <strong>nej\u010dast\u011bji objevuje na b\u0159i\u0161e nebo v oblasti t\u0159\u00edsel<\/strong>. Setkaj\u00ed se s n\u00edm i \u017eeny po porodu, nejv\u00edce ty, kter\u00e9 rodily sekc\u00ed (c\u00edsa\u0159sk\u00fdm \u0159ezem). <strong>U d\u011bt\u00ed<\/strong> se setk\u00e1v\u00e1me v\u011bt\u0161inou s <strong>vrozen\u00fdm pruhem v oblasti pupku nebo slabiny<\/strong>. Nejv\u00edce viditeln\u00fd je p\u0159i nap\u00edn\u00e1n\u00ed b\u0159i\u0161n\u00edch sval\u016f &#8211; tedy p\u0159i pl\u00e1\u010di miminka.<\/p>\n<p>Jedinou formou, jak se zbavit pruhu je <strong>m\u00e1lo invazivn\u00ed operace<\/strong>, kter\u00e1 s sebou nenese skoro \u017e\u00e1dn\u00e1 rizika. Naopak, <strong>nel\u00e9\u010den\u00e1 hernie<\/strong> se m\u016f\u017ee <strong>zv\u011bt\u0161ovat<\/strong> a vy\u00fastit do nebezpe\u010dn\u00e9ho zablokov\u00e1n\u00ed p\u0159\u00edvodu krve do org\u00e1nu.<\/p>\n<p>Zdroje:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.detskachirurgia.sk\/inguinalna-hernia-pruh\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">detskachirurgia.sk<\/a> &#8211; hernia inguinalis<\/li>\n<li><a href=\"https:\/\/www.detskachirurgia.sk\/umbilikalna-hernia-pupocny-pruh\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">detskachirurgia.sk<\/a> &#8211; hernia umbilicalis<\/li>\n<li><a href=\"https:\/\/sk.medixa.org\/choroby\/hiatova-hernia\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">medixa.org<\/a> &#8211; hernia hiatalis<\/li>\n<li><a href=\"https:\/\/www.everydayhealth.com\/hernia\/symptoms-diagnosis\/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">everydayhealth.com<\/a><\/li>\n<li><a href=\"https:\/\/www.pluska.sk\/izdravie\/budme-zdravi\/u-lekara\/mate-pruh-hernia-da-vyliecit-operaciou.html\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">pluska.sk<\/a><\/li>\n<li><a href=\"https:\/\/www.nemocnicakomarno.sk\/pracoviska\/oddelenia\/jednodnova-chirurgia\/edukacne-listy\/prietrz.html\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">nemocnicakomarno.sk<\/a><\/li>\n<li><a href=\"https:\/\/www.webmd.com\/digestive-disorders\/understanding-hernia-basics#1-2\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">webmd.com<\/a><\/li>\n<li><a href=\"https:\/\/www.nemocnicapp.sk\/wp-content\/uploads\/hernia-pruh.pdf\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">nemocnicapp.sk<\/a><\/li>\n<\/ul>\n<div class='erit-disclaimer'><span class='erit-disclaimer-icon'><span class='erit-disclaimer-text'>!<\/span><\/span><span class='erit-disclaimer-text'>\u010cl\u00e1nek byl vypracov\u00e1n l\u00e9k\u00e1rn\u00edkem av\u0161ak, slou\u017e\u00ed pouze pro informativn\u00ed \u00fa\u010dely - nenahrazuje l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed, nebo osobn\u00ed setk\u00e1n\u00ed v l\u00e9k\u00e1rn\u011b.<\/span><\/div>\n<script type='text\/javascript' >\n                jQuery(document).ready(function($) {\n    \n                    let data = {\n                        'action': 'render_widget_action',\n                        'postId': null,\n                        'categoryId': null\n                    };\n    \n                    let ajaxUrlFromPHP = 'https:\/\/zdravovek.eu\/wp-admin\/admin-ajax.php';\n                    jQuery.post(ajaxUrlFromPHP, data, function(response) {\n                        if(response == 0){\n                            \/\/ chyba\n                            jQuery( '#eap_top_w' ).html( '' );\n                            jQuery( '#eap_top_w_wrap' ).hide();\n                        } if(response == -1){\n                            \/\/ nenasli ziadne produkty\n                            jQuery( '#eap_top_w' ).html( '' );\n                            jQuery( '#eap_top_w_wrap' ).hide();\n                        } else {\n                            let desktop = $(window).width() > 960;\n                            if(desktop){\n                                jQuery( '#eap_top_w' ).html( response );\n                                jQuery( '#eap_top_w_wrap' ).fadeIn(1000);\n                            } else {\n                                jQuery( '#eap_top_w_mob_chart' ).html( response );\n                                jQuery( '#eap_top_w_mob' ).fadeIn(1000); 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Na povrchu t\u011bla se to projev\u00ed jako mal\u00e1 bulka, kter\u00e1 se n\u011bkdy d\u00e1 zatla\u010dit zp\u011bt do nitra. Existuje n\u011bkolik typ\u016f hernie. V \u010dl\u00e1nku se dozv\u00edte, jak\u00e9 to jsou, jak se pruh projevuje a zda je [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":14067,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[112,79],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pruh (hernie) - jak se k\u00fdla projevuje? Jak prob\u00edh\u00e1 operace? Zdravov\u011bk<\/title>\n<meta name=\"description\" content=\"Jak se pruh projevuje? Jak prob\u00edh\u00e1 operace k\u00fdly a m\u00e1 n\u011bjak\u00e1 rizika? 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