{"id":29854,"date":"2025-03-22T13:03:40","date_gmt":"2025-03-22T12:03:40","guid":{"rendered":"https:\/\/zdravovek.eu\/analna-fisura\/"},"modified":"2025-03-22T13:21:58","modified_gmt":"2025-03-22T12:21:58","slug":"analni-fisura","status":"publish","type":"post","link":"https:\/\/zdravovek.eu\/cs\/analni-fisura\/","title":{"rendered":"An\u00e1ln\u00ed fisura &#8211; kdy\u017e je ka\u017ed\u00e1 n\u00e1v\u0161t\u011bva toalety utrpen\u00edm"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">C\u00edt\u00edte pal\u010divou bolest p\u0159i ka\u017ed\u00e9m vyprazd\u0148ov\u00e1n\u00ed? Pozorujete stopy krve na toaletn\u00edm pap\u00ed\u0159e? Mo\u017en\u00e1 se an\u00e1ln\u00ed fisura t\u00fdk\u00e1 i v\u00e1s.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed fisura neboli <\/span><a href=\"https:\/\/www.jednodnova-chirurgia-zilina.sk\/proktologicke-operacie\/analna-trhlina\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">an\u00e1ln\u00ed trhlina<\/span><\/a><span style=\"font-weight: 400;\"> postihuje asi 10 % pacient\u016f, kte\u0159\u00ed nav\u0161t\u00edv\u00ed gastroeneterologa. Nap\u0159\u00ed\u010d tomu, \u017ee jde o pom\u011brn\u011b \u010dast\u00fd probl\u00e9m, mnoho lid\u00ed odkl\u00e1d\u00e1 n\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e kv\u016fli strachu nebo pocitu studu.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tento \u010dl\u00e1nek se zam\u011b\u0159uje na v\u0161e, co pot\u0159ebujete o an\u00e1ln\u00edch trhlin\u00e1ch v\u011bd\u011bt, od p\u0159\u00ed\u010din a\u017e po mo\u017enosti l\u00e9\u010dby a prevence. Dozv\u00edte se tak\u00e9, pro\u010d je d\u016fle\u017eit\u00e9 tento probl\u00e9m nepodce\u0148ovat a kdy je nejvy\u0161\u0161\u00ed \u010das vyhledat odbornou pomoc. <\/span><\/p>\n\n<h2><span style=\"font-weight: 400;\">Co je an\u00e1ln\u00ed fisura?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed trhlina je drobn\u00e1, pod\u00e9ln\u00e1 trhlinka ve sliznici an\u00e1ln\u00edho kan\u00e1lu, kter\u00e1 sah\u00e1 a\u017e k an\u00e1ln\u00edmu otvoru sm\u011brem dovnit\u0159. Obvykle je dlouh\u00e1 asi 1 a\u017e 2 cm a p\u0159ipom\u00edn\u00e1 \u0161kr\u00e1bnut\u00ed nebo \u0159eznou r\u00e1nu. Vznik\u00e1 nej\u010dast\u011bji v d\u016fsledku mechanick\u00e9ho po\u0161kozen\u00ed sliznice p\u0159i tvrd\u00e9 stolici nebo z\u00e1cp\u011b.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Typy fisur<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed fisury lze rozd\u011blit na 2 z\u00e1kladn\u00ed typy podle d\u00e9lky trv\u00e1n\u00ed obt\u00ed\u017e\u00ed a charakteristick\u00fdch p\u0159\u00edznak\u016f. Toto rozd\u011blen\u00ed je kl\u00ed\u010dov\u00e9 nejen pro spr\u00e1vnou diagnostiku, ale hlavn\u011b pro volbu nejvhodn\u011bj\u0161\u00ed l\u00e9\u010debn\u00e9 strategie.<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">Akutn\u00ed an\u00e1ln\u00ed fisura<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pot\u00ed\u017ee trvaj\u00ed m\u00e9n\u011b ne\u017e 6 t\u00fddn\u016f\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fisura m\u00e1 ostr\u00e9, \u010dist\u00e9 okraje<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fisura se rychleji hoj\u00ed\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fisura l\u00e9pe reaguje na konzervativn\u00ed l\u00e9\u010dbu<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fisura je \u010dasto zp\u016fsoben\u00e1 jednor\u00e1zov\u00fdm poran\u011bn\u00edm\u00a0<\/span><\/li>\n<\/ul>\n<h4><span style=\"font-weight: 400;\">Chronick\u00e1 an\u00e1ln\u00ed fisura<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pot\u00ed\u017ee p\u0159etrv\u00e1vaj\u00ed d\u00e9le ne\u017e 6 a\u017e 8 t\u00fddn\u016f\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fisura m\u00e1 hrub\u00e9, vyv\u00fd\u0161en\u00e9 okraje\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fisura se h\u016f\u0159 hoj\u00ed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fisura je \u010dasto doprov\u00e1zena ko\u017en\u00ed zna\u010dkou (sentinel tag)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fisura m\u016f\u017ee vy\u017eadovat chirurgick\u00fd z\u00e1krok\u00a0<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Nej\u010dast\u011bj\u0161\u00ed lokalizace an\u00e1ln\u00ed fisury<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed fisury se vyskytuj\u00ed ve specifick\u00fdch oblastech an\u00e1ln\u00edho kan\u00e1lu, p\u0159i\u010dem\u017e jejich um\u00edst\u011bn\u00ed m\u016f\u017ee ledasco napov\u011bd\u011bt o p\u0159\u00ed\u010din\u011b nebo z\u00e1va\u017enosti onemocn\u011bn\u00ed. Nej\u010dast\u011bji, a\u017e v 90 % p\u0159\u00edpad\u016f, se fisura objevuje v zadn\u00ed st\u0159edov\u00e9 \u010d\u00e1\u0159e (ozna\u010dovan\u00e9 jako poloha na 6. hodin\u011b).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u00e9n\u011b \u010dast\u00fd v\u00fdskyt, p\u0159ibli\u017en\u011b v 10 % p\u0159\u00edpad\u016f, pozorujeme fisuru v p\u0159edn\u00ed st\u0159edov\u00e9 \u010d\u00e1\u0159e (poloha na 12. hodin\u011b). Pokud se fisura vyskytne v netypick\u00e9 lokalit\u011b, nap\u0159\u00edklad na bo\u010dn\u00ed stran\u011b an\u00e1ln\u00edho kan\u00e1lu, m\u016f\u017ee to signalizovat jin\u00e9 z\u00e1va\u017en\u011bj\u0161\u00ed onemocn\u011bn\u00ed.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Hlavn\u00ed p\u0159\u00ed\u010diny vzniku an\u00e1ln\u00ed fisury<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00a0An\u00e1ln\u00ed fisura m\u016f\u017ee vzniknout z r\u016fzn\u00fdch d\u016fvod\u016f. Pod\u00edvejme se na nej\u010dast\u011bj\u0161\u00ed faktory, kter\u00e9 p\u0159isp\u00edvaj\u00ed ke vzniku an\u00e1ln\u00ed fisury.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Z\u00e1cpa a tvrd\u00e1 stolice<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Chronick\u00e1 z\u00e1cpa je nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou vzniku an\u00e1ln\u00edch fisur. P\u0159i pr\u016fchodu tvrd\u00e9 stolice an\u00e1ln\u00edm kan\u00e1lem doch\u00e1z\u00ed k nadm\u011brn\u00e9mu nap\u00edn\u00e1n\u00ed sliznice, co\u017e m\u016f\u017ee v\u00e9st k jej\u00edmu natrhnut\u00ed. Nedostate\u010dn\u00fd p\u0159\u00edjem vl\u00e1kniny a tekutin, sedav\u00fd \u017eivotn\u00ed styl nebo n\u011bkter\u00e9 l\u00e9ky mohou p\u0159isp\u00edvat ke vzniku z\u00e1cpy.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Pr\u016fjem<\/span><\/h3>\n<p><span style=\"font-weight: 400;\"><a href=\"\/cs\/prujem\/\">\u010cast\u00e9 pr\u016fjmy<\/a> mohou naru\u0161it p\u0159irozenou ochrannou bari\u00e9ru an\u00e1ln\u00ed sliznice. \u010cast\u00e9 vyprazd\u0148ov\u00e1n\u00ed a podr\u00e1\u017ed\u011bn\u00ed kysel\u00fdm obsahem stolice oslabuje tk\u00e1\u0148, \u010d\u00edm\u017e se zvy\u0161uje riziko vzniku trhlin. Tento probl\u00e9m je \u010dast\u00fd zejm\u00e9na p\u0159i infek\u010dn\u00edch onemocn\u011bn\u00edch nebo potravinov\u00fdch intoleranc\u00ed.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed<\/span><\/h3>\n<p><a href=\"https:\/\/www.primulus.cz\/blog\/zdravi\/crohnova-choroba---priznaky-a-lecba\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Crohnova choroba<\/span><\/a><span style=\"font-weight: 400;\"> a <a href=\"\/cs\/ulcerozni-kolitida\/\">ulcer\u00f3zn\u00ed kolitida<\/a> v\u00fdznamn\u011b zvy\u0161uj\u00ed riziko vzniku an\u00e1ln\u00edch fisur. Z\u00e1n\u011btliv\u00e9 procesy ve st\u0159ev\u011b vedou ke zm\u011bn\u00e1m konzistence stolice a naru\u0161en\u00ed slizni\u010dn\u00ed integrity, co\u017e vytv\u00e1\u0159\u00ed ide\u00e1ln\u00ed podm\u00ednky pro vznik trhlin.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Zv\u00fd\u0161en\u00fd tlak v an\u00e1ln\u00ed oblasti<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Dlouhodob\u00e9 sezen\u00ed na toalet\u011b, nadm\u011brn\u00e9 tla\u010den\u00ed p\u0159i vyprazd\u0148ov\u00e1n\u00ed nebo nespr\u00e1vn\u00e1 technika zved\u00e1n\u00ed t\u011b\u017ek\u00fdch p\u0159edm\u011bt\u016f mohou v\u00fdznamn\u011b zv\u00fd\u0161it tlak v an\u00e1ln\u00ed oblasti. Tento zv\u00fd\u0161en\u00fd tlak m\u016f\u017ee v\u00e9st ke zhor\u0161en\u00e9mu prokrven\u00ed a n\u00e1sledn\u011b ke vzniku fisur.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">An\u00e1ln\u00ed sex<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Nespr\u00e1vn\u00e9 sexu\u00e1ln\u00ed praktiky v an\u00e1ln\u00ed oblasti mohou zp\u016fsobit mechanick\u00e9 po\u0161kozen\u00ed sliznice. Nedostate\u010dn\u00e1 lubrikace, nadm\u011brn\u00fd tlak nebo p\u0159\u00edli\u0161 agresivn\u00ed praktiky \u010dasto vedou ke vzniku trhlin. Je d\u016fle\u017eit\u00e9 dodr\u017eovat z\u00e1sady bezpe\u010dn\u00e9ho sexu a pou\u017e\u00edvat vhodn\u00e9 lubrikanty.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Stres a nap\u011bt\u00ed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Psychick\u00e9 nap\u011bt\u00ed vede ke zv\u00fd\u0161en\u00e9mu tonu an\u00e1ln\u00edho sv\u011bra\u010de, co\u017e zhor\u0161uje prokrven\u00ed oblasti. Chronick\u00fd stres m\u016f\u017ee t\u00e9\u017e ovlivnit pravidelnost vyprazd\u0148ov\u00e1n\u00ed a kvalitu stolice. Tento za\u010darovan\u00fd kruh stresu a fyzick\u00fdch p\u0159\u00edznak\u016f \u010dasto p\u0159isp\u00edv\u00e1 ke vzniku a prodlu\u017eov\u00e1n\u00ed hojen\u00ed an\u00e1ln\u00edch fisur.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">T\u011bhotenstv\u00ed a porod<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">T\u011bhotenstv\u00ed p\u0159in\u00e1\u0161\u00ed v\u00edcero rizikov\u00fdch faktor\u016f, v\u010detn\u011b z\u00e1cpy, <\/span><a href=\"https:\/\/prozdravizeny.cz\/vysoky-krevni-tlak-v-tehotenstvi-preeklampsie-a-dalsi-souvisejici-hypertenzni-onemocneni\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">vysok\u00e9ho krevn\u00edho tlaku v t\u011bhotenstv\u00ed<\/span><\/a><span style=\"font-weight: 400;\"> a hormon\u00e1ln\u00edch zm\u011bn. Samotn\u00fd porod m\u016f\u017ee zp\u016fsobit mechanick\u00e9 po\u0161kozen\u00ed an\u00e1ln\u00ed oblasti. Nav\u00edc, t\u011bhotensk\u00e9 hormony ovliv\u0148uj\u00ed elasticitu tk\u00e1n\u00ed, co\u017e m\u016f\u017ee p\u0159isp\u011bt ke vzniku fisur.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">P\u0159\u00edznaky<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed fisura se projevuje charakteristick\u00fdmi p\u0159\u00edznaky, kter\u00e9 mohou v\u00fdrazn\u011b ovlivnit ka\u017edodenn\u00ed \u017eivot. Mnoz\u00ed pacienti si \u010dasto pletou p\u0159\u00e1znaky an\u00e1ln\u00ed fisury s jin\u00fdmi onemocn\u011bn\u00edmi kone\u010dn\u00edku.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Bolest p\u0159i stolici<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Nejv\u00edce charakteristick\u00fdm p\u0159\u00edznakem je ostr\u00e1, p\u00e1liv\u00e1 bolest b\u011bhem vyprazd\u0148ov\u00e1n\u00ed a bezprost\u0159edn\u011b po n\u011bm. Tato bolest b\u00fdv\u00e1 \u010dasto p\u0159irovn\u00e1van\u00e1 k pocitu \u0159ez\u00e1n\u00ed sklem a m\u016f\u017ee p\u0159etrv\u00e1vat n\u011bkolik minut a\u017e hodin po stolici. Intenzita bolesti m\u016f\u017ee b\u00fdt tak v\u00fdrazn\u00e1, \u017ee pacienti \u010dasto odkl\u00e1daj\u00ed n\u00e1v\u0161t\u011bvu toalety.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Krv\u00e1cen\u00ed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">P\u0159i an\u00e1ln\u00ed fisu\u0159e se m\u016f\u017ee objevit jasn\u011b \u010derven\u00e9 krv\u00e1cen\u00ed, kter\u00e9 je vid\u011bt na toaletn\u00edm pap\u00ed\u0159e nebo ve stolici. Jde obvykle o mal\u00e9 mno\u017estv\u00ed \u010derstv\u00e9 krve, kter\u00e1 se objev\u00ed p\u0159i ut\u00edr\u00e1n\u00ed. Tento p\u0159\u00edznak m\u016f\u017ee b\u00fdt znepokojuj\u00edc\u00ed, ale v p\u0159\u00edpad\u011b fisur nedoch\u00e1z\u00ed k v\u011bt\u0161\u00edm ztr\u00e1t\u00e1m krve.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Sv\u011bd\u011bn\u00ed a p\u00e1len\u00ed\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Oblast okolo an\u00e1ln\u00edho otvoru m\u016f\u017ee sv\u011bdit a p\u00e1lit, hlavn\u011b po stolici. Tyto nep\u0159\u00edjemn\u00e9 pocity jsou \u010dasto zp\u016fsobeny podr\u00e1\u017ed\u011bn\u00edm okoln\u00ed poko\u017eky a mohou p\u0159etrv\u00e1vat i n\u011bkolik hodin. Nadm\u011brn\u00e1 hygiena nebo pou\u017e\u00edv\u00e1n\u00ed dr\u00e1\u017ediv\u00fdch p\u0159\u00edpravk\u016f m\u016f\u017ee tyto p\u0159\u00edznaky je\u0161t\u011b zhor\u0161it.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Svalov\u00e9 k\u0159e\u010de<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Mnoz\u00ed pacienti poci\u0165uj\u00ed nep\u0159\u00edjemn\u00e9 k\u0159e\u010de an\u00e1ln\u00edho sv\u011bra\u010de, kter\u00e9 se mohou objevit n\u00e1hle a trvat n\u011bkolik minut a\u017e hodin. Tyto k\u0159e\u010de \u010dasto zhor\u0161uj\u00ed bolest a mohou v\u00e9st k za\u010darovan\u00e9mu kruhu nap\u011bt\u00ed a bolesti v an\u00e1ln\u00ed oblasti.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Strach z vyprazd\u0148ov\u00e1n\u00ed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">U pacient\u016f se \u010dasto vyvine strach z n\u00e1v\u0161t\u011bvy toalety. Tento strach m\u016f\u017ee v\u00e9st k zadr\u017eov\u00e1n\u00ed stolice, co\u017e n\u00e1sledn\u011b zp\u016fsobuje z\u00e1cpu a zhor\u0161uje cel\u00fd stav.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Diagnostika an\u00e1ln\u00ed fisury<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">I kdy\u017e se n\u011bkte\u0159\u00ed pacienti zdr\u00e1haj\u00ed vyhledat odbornou pomoc kv\u016fli citliv\u00e9 povaze probl\u00e9mu, v\u010dasn\u00e1 n\u00e1v\u0161t\u011bva l\u00e9ka\u0159e m\u016f\u017ee v\u00fdrazn\u011b urychlit proces hojen\u00ed a p\u0159edej\u00edt komplikac\u00edm.<\/span><a href=\"https:\/\/www.kmimedical.sk\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> Ve zdravotnick\u00fdch za\u0159\u00edzen\u00edch a na klinik\u00e1ch<\/span><\/a><span style=\"font-weight: 400;\"> se diagnostika vykon\u00e1v\u00e1 citliv\u011b a profesion\u00e1ln\u011b, s ohledem na diskr\u00e9tnost pacienta.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pokud m\u00e1te podez\u0159en\u00ed na an\u00e1ln\u00ed fisuru, je d\u016fle\u017eit\u00e9 nav\u0161t\u00edvit l\u00e9ka\u0159e, proktologa, kter\u00fd vykon\u00e1 vy\u0161et\u0159en\u00ed an\u00e1ln\u00ed oblasti.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Diagnostick\u00fd proces obvykle zahrnuje:<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Podrobnou anamn\u00e9zu\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed an\u00e1ln\u00ed oblasti\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Digit\u00e1ln\u00ed rekt\u00e1ln\u00ed vy\u0161et\u0159en\u00ed (pokud je to mo\u017en\u00e9 vzhledem k bolesti)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anoskopii (v p\u0159\u00edpad\u011b pot\u0159eby) &#8211; vy\u0161et\u0159en\u00ed kone\u010dn\u00edku pomoc\u00ed anoskopu do hloubky 10 cm s lok\u00e1ln\u00edm znecitliv\u011bn\u00edm\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dal\u0161\u00ed specializovan\u00e9 vy\u0161et\u0159en\u00ed p\u0159i podez\u0159en\u00ed na jin\u00e9 onemocn\u011bn\u00ed\u00a0<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">L\u00e9\u010dba an\u00e1ln\u00ed fisury\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">L\u00e9\u010dba an\u00e1ln\u00ed fisury vy\u017eaduje komplexn\u00ed p\u0159\u00edstup a \u010dasto kombinuje v\u00edcero terapeutick\u00fdch metod. Z\u00e1kladn\u00edm c\u00edlem je zm\u00edrnit bolest, podpo\u0159it hojen\u00ed trhliny a p\u0159edej\u00edt vzniku chronick\u00e9ho stavu. Volba konkr\u00e9tn\u00edho l\u00e9\u010debn\u00e9ho postupu se odv\u00edj\u00ed od z\u00e1va\u017enosti stavu, d\u00e9lky trv\u00e1n\u00ed probl\u00e9mu a celkov\u00e9ho zdravotn\u00edho stavu pacienta.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Konzervativn\u00ed l\u00e9\u010dba<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Konzervativn\u00ed l\u00e9\u010dba p\u0159edstavuje prvn\u00ed linii v boji s an\u00e1ln\u00ed fisurou a je \u00fa\u010dinn\u00e1 hlavn\u011b p\u0159i akutn\u00edch stavech. Zahrnuje neinvazivn\u00ed metody, kter\u00e9 je mo\u017en\u00e9 praktizovat v dom\u00e1c\u00edm prost\u0159ed\u00ed. P\u0159i d\u016fsledn\u00e9m dodr\u017eov\u00e1n\u00ed doporu\u010den\u00ed se v\u011bt\u0161ina akutn\u00edch fisur zahoj\u00ed do 4 a\u017e 6 t\u00fddn\u016f bez pot\u0159eby chirurgick\u00e9ho z\u00e1kroku.\u00a0<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">\u00daprava stravy a \u017eivotospr\u00e1vy\u00a0<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Z\u00e1kladem \u00fasp\u011b\u0161n\u00e9 l\u00e9\u010dby an\u00e1ln\u00ed fisury je spr\u00e1vn\u00e1 \u017eivotospr\u00e1va a vyv\u00e1\u017een\u00e1 strava. Denn\u011b byste m\u011bli p\u0159ijmout 30 a\u017e 35 gram\u016f vl\u00e1kniny, kterou najdete hlavn\u011b v celozrnn\u00fdch v\u00fdrobc\u00edch, lu\u0161t\u011bnin\u00e1ch a sem\u00ednc\u00edch.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nezapom\u00ednejte na dostate\u010dn\u00fd pitn\u00fd re\u017eim &#8211; vypijte minim\u00e1ln\u011b 2 a\u017e 3 litry tekutin denn\u011b. Do j\u00eddeln\u00ed\u010dku za\u0159a\u010fte pravideln\u011b \u010derstv\u00e9 ovoce a zeleninu. Vyhn\u011bte se dr\u00e1\u017ediv\u00fdm potravin\u00e1m, jako je k\u00e1va, alkohol a ko\u0159en\u011bn\u00e1 j\u00eddla.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">D\u016fle\u017eit\u00e9 je pravideln\u00e9 vyprazd\u0148ov\u00e1n\u00ed bez zadr\u017eov\u00e1n\u00ed stolice. Pom\u016f\u017ee v\u00e1m i m\u00edrn\u00e1 pohybov\u00e1 aktivita, kter\u00e1 podporuje p\u0159irozenou st\u0159evn\u00ed peristaltiku.\u00a0<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Dobr\u00e9 v\u011bd\u011bt: N\u011bkter\u00e9 p\u0159\u00edznaky an\u00e1ln\u00ed fisury se mohou zam\u011b\u0148ovat s p\u0159\u00edznaky hemoroid\u016f. <\/span><\/i><a href=\"https:\/\/www.news.sk\/clanky\/zdravie\/4668-co-su-hemoroidy-ako-ich-liecit-a-aka-je-najlepsia-prevencia\/\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400;\">V\u00edte, co jsou hemoroidy<\/span><\/i><\/a>, jak je l\u00e9\u010dit a jak\u00e1 je nejlep\u0161\u00ed prevence?<\/p>\n<h4><span style=\"font-weight: 400;\">Sedac\u00ed koupele<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Sedac\u00ed koupele p\u0159edstavuj\u00ed \u00fa\u010dinnou \u00falevu od bolesti a podporuj\u00ed hojen\u00ed fisury. Aplikujte je 2-3x denn\u011b, hlavn\u011b po stolici. Teplota vody by m\u011bla m\u00edt p\u0159\u00edjemn\u00fdch 37 a\u017e 40 \u00b0C, v koupeli z\u016fsta\u0148te 10 a\u017e 15 minut.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pro lep\u0161\u00ed \u00fa\u010dinek m\u016f\u017eete do vody p\u0159idat he\u0159m\u00e1nek nebo dubovou k\u016fru. Po koupeli oblast d\u016fkladn\u011b, ale jemn\u011b osu\u0161te. Pravideln\u00e9 sedac\u00ed koupele podporuj\u00ed prokrven\u00ed tk\u00e1n\u011b a urychluj\u00ed proces hojen\u00ed.\u00a0<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">Lok\u00e1ln\u00ed anestetika a mas\u0165ov\u00e9 p\u0159\u00edpravky<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Ke zm\u00edrn\u011bn\u00ed bolesti m\u016f\u017ee l\u00e9ka\u0159 ve spolupr\u00e1ci s farmakologem doporu\u010dit masti s obsahem lidokainu. Existuj\u00ed tak\u00e9 speci\u00e1ln\u00ed p\u0159\u00edpravky, kter\u00e9 podporuj\u00ed hojen\u00ed po\u0161kozen\u00e9 sliznice. Aplikujte je v\u017edy po stolici a p\u0159ed span\u00edm, pou\u017e\u00edvejte p\u0159itom \u010dist\u00e9 ruce nebo speci\u00e1ln\u00ed aplik\u00e1tor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vyh\u00fdbejte se agresivn\u00edm p\u0159\u00edpravk\u016fm, kter\u00e9 by mohly dr\u00e1\u017edit citlivou oblast. Dbejte na pravidelnou, ale \u0161etrnou hygienu.<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">Relaxanty an\u00e1ln\u00edho sv\u011bra\u010de<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Relaxa\u010dn\u00ed p\u0159\u00edpravky pom\u00e1haj\u00ed uvolnit napnut\u00fd an\u00e1ln\u00ed sv\u011bra\u010d a zm\u00edr\u0148uj\u00ed bolestiv\u00e9 spasmy. Z\u00e1rove\u0148 podporuj\u00ed lep\u0161\u00ed prokrven\u00ed posti\u017een\u00e9 oblasti. Tyto l\u00e9ky jsou dostupn\u00e9 ve form\u011b mast\u00ed nebo \u010d\u00edpk\u016f a m\u011bli byste je pou\u017e\u00edvat p\u0159esn\u011b podle doporu\u010den\u00ed l\u00e9ka\u0159e. Je d\u016fle\u017eit\u00e9 dodr\u017eovat p\u0159edepsan\u00e9 d\u00e1vkov\u00e1n\u00ed a sledovat p\u0159\u00edpadn\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky.<\/span><\/p>\n<p><img loading=\"lazy\" class=\"alignnone size-full wp-image-29848\" src=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-c\u030capi\u0301ky-hemoroidy-za\u0301pal.jpeg\" alt=\"Ana\u0301lna fisu\u0301ra, c\u030capi\u0301ky, hemoroidy, za\u0301pal\" width=\"1280\" height=\"853\" srcset=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-c\u030capi\u0301ky-hemoroidy-za\u0301pal.jpeg 1280w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-c\u030capi\u0301ky-hemoroidy-za\u0301pal-300x200.jpeg 300w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-c\u030capi\u0301ky-hemoroidy-za\u0301pal-1024x682.jpeg 1024w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-c\u030capi\u0301ky-hemoroidy-za\u0301pal-768x512.jpeg 768w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-c\u030capi\u0301ky-hemoroidy-za\u0301pal-750x500.jpeg 750w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-c\u030capi\u0301ky-hemoroidy-za\u0301pal-1140x760.jpeg 1140w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<h3><span style=\"font-weight: 400;\">Medikament\u00f3zn\u00ed l\u00e9\u010dba<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pokud konzervativn\u00ed l\u00e9\u010dba nep\u0159in\u00e1\u0161\u00ed dostate\u010dnou \u00falevu, l\u00e9ka\u0159 m\u016f\u017ee p\u0159edepsat speci\u00e1ln\u00ed l\u00e9ky, kter\u00e9 pom\u00e1haj\u00ed uvolnit an\u00e1ln\u00ed sv\u011bra\u010d a podpo\u0159it hojen\u00ed fisury. Tyto l\u00e9ky jsou dostupn\u00e9 na l\u00e9ka\u0159sk\u00fd p\u0159edpis a jejich u\u017e\u00edv\u00e1n\u00ed mus\u00ed b\u00fdt pod pravideln\u00fdm dohledem odborn\u00edka.\u00a0<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">Mast s obsahem nitr\u00e1t\u016f\u00a0<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Masti obsahuj\u00edc\u00ed glyceryl trinitr\u00e1t pat\u0159\u00ed mezi nej\u010dast\u011bji p\u0159edepisovan\u00e9 l\u00e9ky p\u0159i l\u00e9\u010db\u011b an\u00e1ln\u00ed fisury. P\u016fsob\u00ed jako relaxanty hladk\u00e9ho svalstva a roz\u0161i\u0159uj\u00ed c\u00e9vy, \u010d\u00edm\u017e zlep\u0161uj\u00ed prokrven\u00ed posti\u017een\u00e9 oblasti.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aplikuj\u00ed se obvykle dvakr\u00e1t denn\u011b po dobu 6-8 t\u00fddn\u016f. Mezi mo\u017en\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky pat\u0159\u00ed bolest hlavy, kter\u00e1 se v\u0161ak v\u011bt\u0161inou zm\u00edr\u0148uje s pokra\u010duj\u00edc\u00ed l\u00e9\u010dbou. Pokud berete l\u00e9ky na <\/span><a href=\"https:\/\/www.domacadialyza.sk\/blog\/9\/vysoky-krvny-tlak-hypertenzia\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">probl\u00e9my s vysok\u00fdm krevn\u00edm tlakem<\/span><\/a><span style=\"font-weight: 400;\">, mast m\u016f\u017ee zes\u00edlit jejich \u00fa\u010dinky.<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">Blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f\u00a0<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Alternativou k nitr\u00e1tov\u00fdm mast\u00edm jsou blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f, nej\u010dast\u011bji ve form\u011b diltiazemu nebo nifedipinu. Tyto l\u00e9ky uvol\u0148uj\u00ed svalstvo an\u00e1ln\u00edho sv\u011bra\u010de bez v\u00fdrazn\u011bj\u0161\u00edch vedlej\u0161\u00edch \u00fa\u010dink\u016f.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aplikuj\u00ed se lok\u00e1ln\u011b dvakr\u00e1t denn\u011b a jejich \u00fa\u010dinnost je srovnateln\u00e1 s nitr\u00e1tov\u00fdmi mastmi. V\u00fdhodou je lep\u0161\u00ed tolerance a m\u00e9n\u011b ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f.<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">Botulotoxin<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Tato inovativn\u00ed metoda p\u0159edstavuje \u00fa\u010dinnou alternativu ke konzervativn\u00ed l\u00e9\u010db\u011b. Princip l\u00e9\u010dby spo\u010d\u00edv\u00e1 v aplikaci p\u0159esn\u011b stanoven\u00e9 d\u00e1vky botulotoxinu p\u0159\u00edmo do oblasti an\u00e1ln\u00edho sv\u011bra\u010de. L\u00e1tka zp\u016fsob\u00ed do\u010dasn\u00e9 uvoln\u011bn\u00ed svalov\u00e9ho nap\u011bt\u00ed, \u010d\u00edm\u017e se v\u00fdrazn\u011b zm\u00edrn\u00ed bolest a vytvo\u0159\u00ed se optim\u00e1ln\u00ed podm\u00ednky pro p\u0159irozen\u00e9 hojen\u00ed fisury.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jedn\u00e1 se o jednoduch\u00fd ambulantn\u00ed z\u00e1krok, kter\u00fd nevy\u017eaduje hospitalizaci. I kdy\u017e \u00fa\u010dinek botulotoxinu p\u0159etrv\u00e1v\u00e1 jen n\u011bkolik m\u011bs\u00edc\u016f, toto obdob\u00ed obvykle posta\u010duje k \u00fapln\u00e9mu zhojen\u00ed fisury.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V p\u0159\u00edpad\u011b pot\u0159eby lze aplikaci zopakovat, \u010d\u00edm\u017e se \u0161ance na \u00fapln\u00e9 vyl\u00e9\u010den\u00ed zvy\u0161uje a\u017e na 95%.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Chirurgick\u00e1 l\u00e9\u010dba<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Pokud konzervativn\u00ed ani medikament\u00f3zn\u00ed l\u00e9\u010dba nep\u0159in\u00e1\u0161\u00ed o\u010dek\u00e1van\u00e9 v\u00fdsledky nebo se fisura stala chronickou, p\u0159istupuje se k chirurgick\u00e9 l\u00e9\u010db\u011b. V sou\u010dasnosti jsou k dispozici modern\u00ed minim\u00e1ln\u011b invazivn\u00ed metody, kter\u00e9 v\u00fdznamn\u011b zkracuj\u00ed dobu rekonvalescence a sni\u017euj\u00ed riziko komplikac\u00ed.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Radiofrekvence<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Radiofrekven\u010dn\u00ed odstran\u011bn\u00ed p\u0159edstavuje modern\u00ed minim\u00e1ln\u011b invazivn\u00ed metodu l\u00e9\u010dby an\u00e1ln\u00ed fisury. P\u0159i z\u00e1kroku se pou\u017e\u00edv\u00e1 speci\u00e1ln\u00ed radiofrekven\u010dn\u00ed sonda, kter\u00e1 pomoc\u00ed vysokofrekven\u010dn\u00ed energie odstran\u00ed posti\u017eenou tk\u00e1\u0148 a stimuluje hojen\u00ed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u00fdkon se prov\u00e1d\u00ed v lok\u00e1ln\u00ed anestezii, trv\u00e1 p\u0159ibli\u017en\u011b 15 &#8211; 20 minut a pacient m\u016f\u017ee j\u00edt t\u00fd\u017e den dom\u016f. V\u00fdhodou je minim\u00e1ln\u00ed bolestivost po z\u00e1kroku a rychl\u00fd n\u00e1vrat k b\u011b\u017en\u00fdm aktivit\u00e1m.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Laserov\u00e1 vaporizace an\u00e1ln\u00edch trhlin<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Laserov\u00e1 vaporizace vyu\u017e\u00edv\u00e1 energii laseru k odstran\u011bn\u00ed po\u0161kozen\u00e9 tk\u00e1n\u011b a podporu hojen\u00ed. Z\u00e1krok je p\u0159esn\u00fd, \u0161etrn\u00fd a prov\u00e1d\u00ed se v lok\u00e1ln\u00ed anestezii. Laser z\u00e1rove\u0148 uzav\u00edr\u00e1 drobn\u00e9 c\u00edvky v oblasti fisury, \u010d\u00edm\u017e sni\u017euje riziko krv\u00e1cen\u00ed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rekonvalescence je krat\u0161\u00ed v porovn\u00e1n\u00ed s klasickou operac\u00ed a pacienti poci\u0165uj\u00ed men\u0161\u00ed poopera\u010dn\u00ed bolest. \u00dasp\u011b\u0161nost t\u00e9to metody dosahuje a\u017e 90 %.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Myotomie<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Later\u00e1ln\u00ed sfinkterotomie (myotomie) je standardn\u00ed chirurgick\u00fd z\u00e1krok, p\u0159i kter\u00e9m se prot\u00edn\u00e1 \u010d\u00e1st an\u00e1ln\u00edho sv\u011bra\u010de. C\u00edlem je sn\u00ed\u017eit nap\u011bt\u00ed v oblasti fisury a umo\u017enit jej\u00ed zhojen\u00ed. Operace se prov\u00e1d\u00ed ve spin\u00e1ln\u00ed nebo celkov\u00e9 anestezii.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P\u0159esto\u017ee se jedn\u00e1 o \u00fa\u010dinnou metodu s \u00fasp\u011b\u0161nost\u00ed nad 95 %, v sou\u010dasnosti se up\u0159ednost\u0148uj\u00ed m\u00e9n\u011b invazivn\u00ed postupy, proto\u017ee p\u0159i myotomii existuje mal\u00e9 riziko vzniku inkontinence.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">\u017divotn\u00ed styl a prevence<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Prevence an\u00e1ln\u00ed fisury \u00fazce souvis\u00ed se zdrav\u00fdm \u017eivotn\u00edm stylem a spr\u00e1vn\u00fdmi n\u00e1vyky. Dodr\u017eov\u00e1n\u00edm n\u011bkolika z\u00e1kladn\u00edch pravidel m\u016f\u017eete v\u00fdrazn\u011b sn\u00ed\u017eit riziko vzniku tohoto nep\u0159\u00edjemn\u00e9ho onemocn\u011bn\u00ed a p\u0159edej\u00edt jeho opakov\u00e1n\u00ed.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Strava a tekutiny<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Vyv\u00e1\u017een\u00e1 strava bohat\u00e1 na vl\u00e1kninu je z\u00e1kladem prevence. Denn\u011b byste m\u011bli zkonzumovat dostatek zeleniny, ovoce a celozrnn\u00fdch v\u00fdrobk\u016f. Nezapom\u00ednejte na <\/span><a href=\"https:\/\/www.primulus.sk\/sk\/blog\/motivacia-osobny-rozvoj\/proteiny-v-potravinach-najlepsie-zdroje-bielkovin-v-strave-pre-kazdodenne-pouzitie\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">nejlep\u0161\u00ed zdroje b\u00edlkovin<\/span><\/a><span style=\"font-weight: 400;\">, kter\u00e9 podporuj\u00ed regeneraci tk\u00e1n\u00ed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pitn\u00fd re\u017eim by m\u011bl dosahovat minim\u00e1ln\u011b 2 &#8211; 3 litry denn\u011b, p\u0159i\u010dem\u017e nejvhodn\u011bj\u0161\u00ed je \u010dist\u00e1 voda a neslazen\u00e9 bylinkov\u00e9 \u010daje. Vyhn\u011bte se nadm\u011brn\u00e9 konzumaci kofeinu, alkoholu a pikantn\u00edch j\u00eddel.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Spr\u00e1vn\u00e1 hygiena<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Dodr\u017eov\u00e1n\u00ed d\u016fkladn\u00e9 a \u0161etrn\u00e9 hygieny an\u00e1ln\u00ed oblasti je kl\u00ed\u010dov\u00e9. Pou\u017e\u00edvejte jemnou toaletn\u00ed hygienu bez parfemace a barviv. Po ka\u017ed\u00e9 stolici oblast jemn\u011b o\u010dist\u011bte vlh\u010den\u00fdm toaletn\u00edm pap\u00edrem nebo pou\u017eijte bidet.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vyh\u00fdbejte se agresivn\u00edmu ut\u00edr\u00e1n\u00ed a pou\u017e\u00edv\u00e1n\u00ed dr\u00e1\u017ediv\u00fdch m\u00fddel. Noste vzdu\u0161n\u00e9 bavln\u011bn\u00e9 spodn\u00ed pr\u00e1dlo a po sportov\u00e1n\u00ed se ihned p\u0159evle\u010dte.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Techniky vyprazd\u0148ov\u00e1n\u00ed\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Osvojte si spr\u00e1vn\u00e9 n\u00e1vyky p\u0159i vyprazd\u0148ov\u00e1n\u00ed. Neignorujte nutk\u00e1n\u00ed na stolici a nevyv\u00edjejte nadm\u011brn\u00fd tlak p\u0159i defekaci. Zaujm\u011bte p\u0159irozenou polohu \u2013 m\u00edrn\u011b se p\u0159edklo\u0148te a chodidla m\u011bjte celou plochou na podlaze nebo na mal\u00e9 \u017eidli.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vyhn\u011bte se dlouh\u00e9mu sezen\u00ed na toalet\u011b a \u010dten\u00ed, kter\u00e9 m\u016f\u017ee v\u00e9st ke zbyte\u010dn\u00e9mu tlaku na an\u00e1ln\u00ed oblast.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Management stresu<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Stres m\u016f\u017ee negativn\u011b ovlivnit funkci tr\u00e1vic\u00edho syst\u00e9mu a p\u0159isp\u011bt ke vzniku an\u00e1ln\u00ed fisury. Najd\u011bte si techniky na jeho zvl\u00e1d\u00e1n\u00ed \u2013 a\u0165 u\u017e jde o meditaci, dechov\u00e1 cvi\u010den\u00ed nebo pravideln\u00fd odpo\u010dinek v p\u0159\u00edrod\u011b. Dop\u0159ejte si dostatek kvalitn\u00edho sp\u00e1nku a nau\u010dte se relaxovat. V p\u0159\u00edpad\u011b pot\u0159eby nev\u00e1hejte vyhledat odbornou pomoc psychologa.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Cvi\u010den\u00ed a pohyb<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pravideln\u00e1 fyzick\u00e1 aktivita podporuje zdravou st\u0159evn\u00ed peristaltiku a pom\u00e1h\u00e1 p\u0159edch\u00e1zet <\/span><a href=\"https:\/\/www.bedekerzdravia.sk\/bedeker-zdravia\/co-vsetko-by-ste-mali-vediet-o-obezite-od-rizik-az-po-mozne-riesenia\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">rizik\u016fm obezity<\/span><\/a><span style=\"font-weight: 400;\">. Vhodn\u00e9 jsou zejm\u00e9na m\u00edrn\u00e9 aerobn\u00ed aktivity jako ch\u016fze, plav\u00e1n\u00ed \u010di j\u00f3ga. Vyhn\u011bte se dlouh\u00e9mu sezen\u00ed a za\u0159a\u010fte do denn\u00edho re\u017eimu kr\u00e1tk\u00e9 p\u0159est\u00e1vky na pohyb. Pozor si dejte na cviky, kter\u00e9 nadm\u011brn\u011b zat\u011b\u017euj\u00ed p\u00e1nevn\u00ed dno.<\/span><\/p>\n<figure id=\"attachment_29844\" aria-describedby=\"caption-attachment-29844\" style=\"width: 1280px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" class=\"size-full wp-image-29844\" src=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-doktor-hrube\u0301-c\u030crevo.jpg\" alt=\"An\u00e1lna fis\u00fara, doktor, hrub\u00e9 \u010drevo\" width=\"1280\" height=\"853\" srcset=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-doktor-hrube\u0301-c\u030crevo.jpg 1280w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-doktor-hrube\u0301-c\u030crevo-300x200.jpg 300w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-doktor-hrube\u0301-c\u030crevo-1024x682.jpg 1024w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-doktor-hrube\u0301-c\u030crevo-768x512.jpg 768w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-doktor-hrube\u0301-c\u030crevo-750x500.jpg 750w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-doktor-hrube\u0301-c\u030crevo-1140x760.jpg 1140w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><figcaption id=\"caption-attachment-29844\" class=\"wp-caption-text\">An\u00e1lna fis\u00fara, doktor, hrub\u00e9 \u010drevo.jpg<\/figcaption><\/figure>\n<h2><span style=\"font-weight: 400;\">An\u00e1ln\u00ed trhlina u d\u011bt\u00ed<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed fisura se m\u016f\u017ee vyskytnout v ka\u017ed\u00e9m v\u011bku, v\u010detn\u011b d\u011btsk\u00e9ho. Podle profesora MUDr. Richarda \u0160krab\u00e1ka, CSc z Kliniky d\u011btsk\u00e9 chirurgie v Praze se nej\u010dast\u011bji vyskytuje mezi 6. m\u011bs\u00edcem a 2 roky \u017eivota d\u00edt\u011bte.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">P\u0159\u00ed\u010diny an\u00e1ln\u00ed trhliny u d\u011bt\u00ed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed trhlina se nej\u010dast\u011bji vyskytuje v souvislosti se z\u00e1cpou, pr\u016fjmem nebo zapa\u0159en\u00edm an\u00e1ln\u00ed oblasti. U kojen\u00fdch d\u011bt\u00ed se toto onemocn\u011bn\u00ed prakticky nevyskytuje d\u00edky p\u0159irozen\u00e9 konzistenci stolice.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vznik an\u00e1ln\u00ed trhliny m\u016f\u017ee b\u00fdt tak\u00e9 jednou z m\u00edstn\u00edch komplikac\u00ed z\u00e1va\u017en\u011bj\u0161\u00edch onemocn\u011bn\u00ed jako:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"\/cs\/crohnova-choroba\/\"><span style=\"font-weight: 400;\">Crohnova nemoc<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poruchy imunity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leuk\u00e9mie\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ve vz\u00e1cn\u00fdch p\u0159\u00edpadech i tuberkul\u00f3za<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Zvl\u00e1\u0161tn\u00ed pozornost je t\u0159eba v\u011bnovat p\u0159\u00edpad\u016fm, kdy se u d\u00edt\u011bte objev\u00ed n\u011bkolik trhlin spolu s perian\u00e1ln\u00edm hematomem (krevn\u00edm v\u00fdronem v okol\u00ed kone\u010dn\u00edku). V takov\u00fdch p\u0159\u00edpadech je t\u0159eba zv\u00e1\u017eit mo\u017enost sexu\u00e1ln\u00edho zneu\u017e\u00edv\u00e1n\u00ed u men\u0161\u00edch d\u011bt\u00ed, p\u0159\u00edpadn\u011b u dosp\u00edvaj\u00edc\u00edch i neobvykl\u00e9 sexu\u00e1ln\u00ed praktiky.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Klinick\u00fd obraz an\u00e1ln\u00ed trhliny u d\u011bt\u00ed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed trhlinu charakterizuj\u00ed t\u0159i hlavn\u00ed p\u0159\u00edznaky: krv\u00e1cen\u00ed z kone\u010dn\u00edku, bolest a zadr\u017eov\u00e1n\u00ed stolice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Akutn\u00ed forma se projevuje jasn\u011b \u010derven\u00fdm spodkem trhliny s jemn\u00fdmi, nezdrsn\u011bn\u00fdmi okraji. Jedn\u00e1 se o \u010derstv\u00e9 poran\u011bn\u00ed, kter\u00e9 m\u00e1 p\u0159i spr\u00e1vn\u00e9 l\u00e9\u010db\u011b dobrou progn\u00f3zu k zahojen\u00ed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P\u0159i chronick\u00e9 form\u011b m\u00e1 trhlina charakteristick\u00fd b\u011blav\u00fd, slaninov\u00fd vzhled spodiny s vystoupl\u00fdmi, ztlu\u0161t\u011bn\u00fdmi okraji.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Konzervativn\u00ed l\u00e9\u010dba an\u00e1ln\u00ed trhliny i d\u011bt\u00ed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Z\u00e1kladem \u00fasp\u011b\u0161n\u00e9 l\u00e9\u010dby an\u00e1ln\u00ed trhliny u d\u011bt\u00ed je dodr\u017eov\u00e1n\u00ed spr\u00e1vn\u00e9 hygieny a zdrav\u00fdch n\u00e1vyk\u016f. D\u00edt\u011b by m\u011blo m\u00edt pravideln\u00fd re\u017eim vyprazd\u0148ov\u00e1n\u00ed a po ka\u017ed\u00e9 stolici je zapot\u0159eb\u00ed kone\u010dn\u00edk d\u016fkladn\u011b, ale \u0161etrn\u011b osprchovat.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Velmi d\u016fle\u017eit\u00e1 je spr\u00e1vn\u00e1 poloha p\u0159i vyprazd\u0148ov\u00e1n\u00ed. Rodi\u010d by m\u011bl d\u00edt\u011bti jemn\u011b mas\u00edrovat oblast kone\u010dn\u00edku p\u0159ed a po stolici, co\u017e pom\u00e1h\u00e1 uvolnit nap\u011bt\u00ed v t\u00e9to oblasti.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ned\u00edlnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby je lok\u00e1ln\u00ed p\u00e9\u010de. Ta spo\u010d\u00edv\u00e1 v pravideln\u00e9 aplikaci speci\u00e1ln\u00edch mast\u00ed a \u010d\u00edpk\u016f, kter\u00e9 maj\u00ed hojiv\u00e9 a uklid\u0148uj\u00edc\u00ed \u00fa\u010dinky. Doporu\u010duj\u00ed se tak\u00e9 sedac\u00ed koupele ve vla\u017en\u00e9m roztoku hypermanganu a pravideln\u00e9 proma\u0161\u0165ov\u00e1n\u00ed neutr\u00e1ln\u00ed mast\u00ed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pro spr\u00e1vn\u00e9 hojen\u00ed je nezbytn\u00e9, aby d\u00edt\u011b nosilo vzdu\u0161n\u00e9 bavln\u011bn\u00e9 spodn\u00ed pr\u00e1dlo. D\u016fle\u017eit\u00e9 je zajistit tak\u00e9 pravidelnou a vyv\u00e1\u017eenou stravu bohatou na vl\u00e1kninu.<\/span><\/p>\n<blockquote><p><a href=\"https:\/\/probiotikapredeti.sk\/zdrave-desiaty-a-obedy\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400;\">Tip: V\u00edte, jak p\u0159ipravit chutn\u00e9 a zdrav\u00e9 sva\u010diny a ob\u011bdy pro va\u0161e d\u011bti?<\/span><\/i><\/a><\/p><\/blockquote>\n<h3><span style=\"font-weight: 400;\">Pokro\u010dil\u00e1 a chirurgick\u00e1 l\u00e9\u010dba<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">V p\u0159\u00edpad\u011b, \u017ee se trhlina nehoj\u00ed ani po n\u011bkolika m\u011bs\u00edc\u00edch konzervativn\u00ed l\u00e9\u010dby, l\u00e9ka\u0159 obvykle p\u0159istoup\u00ed k anoskopick\u00e9mu vy\u0161et\u0159en\u00ed. M\u016f\u017ee b\u00fdt zapot\u0159eb\u00ed \u0161etrn\u00e9 rozta\u017een\u00ed svalstva kone\u010dn\u00edku, kter\u00e9 se prov\u00e1d\u00ed v celkov\u00e9 anestezii.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chirurgick\u00fd z\u00e1krok se zva\u017euje jen p\u0159i chronick\u00e9 an\u00e1ln\u00ed fisu\u0159e. B\u011bhem operace se odstran\u00ed zjizven\u00e1 tk\u00e1\u0148 a uvoln\u00ed se vnit\u0159n\u00ed an\u00e1ln\u00ed sv\u011bra\u010d, \u010d\u00edm\u017e se zlep\u0161\u00ed prokrven\u00ed oblasti a podpo\u0159\u00ed se hojen\u00ed. Je d\u016fle\u017eit\u00e9 poznamenat, \u017ee l\u00e9\u010dba botulotoxinem, kter\u00e1 se n\u011bkdy pou\u017e\u00edv\u00e1 u dosp\u011bl\u00fdch, nen\u00ed u d\u011bt\u00ed indikov\u00e1na.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Z\u00e1v\u011br<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">An\u00e1ln\u00ed fisura m\u016f\u017ee b\u00fdt nep\u0159\u00edjemn\u00e1, ale ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je l\u00e9\u010diteln\u00e1. Kl\u00ed\u010dem k \u00fasp\u011bchu je v\u010dasn\u00e1 intervence, spr\u00e1vn\u00e1 p\u00e9\u010de a prevence. M\u00e1te-li podez\u0159en\u00ed na tento probl\u00e9m, neodkl\u00e1dejte n\u00e1v\u0161t\u011bvu odborn\u00edka. Pamatujte, \u017ee zdrav\u00ed va\u0161eho tr\u00e1vic\u00edho syst\u00e9mu m\u00e1 z\u00e1sadn\u00ed vliv na celkovou pohodu a kvalitu \u017eivota.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Pozn\u00e1mka: Tento \u010dl\u00e1nek je informa\u010dn\u00ed a nenahrazuje l\u00e9ka\u0159skou konzultaci<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u010cl\u00e1nek jsme pro v\u00e1s p\u0159ipravili ve spolupr\u00e1ci s:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">PoctiveSEO: <\/span><a href=\"https:\/\/www.poctiveseo.cz\/blog\/co-je-seo-optimalizace-webu-pro-vyhledavace\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Seznamte se se SEO a nau\u010dte se ho vyu\u017e\u00edt ve sv\u016fj prosp\u011bch: 15 ro\u010dn\u00e9 know how na jednom m\u00edst\u011b<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Autor:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mgr. Radka \u017diakov\u00e1, Obsahov\u00e1 specialistka z PoctiveSEO na zdravotn\u00ed a odborn\u00e1 t\u00e9mata, majitelka e-shopu Zdravoradka.sk:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jsem magistra soci\u00e1ln\u00edch studi\u00ed se z\u00e1jmem o zdrav\u00fd \u017eivotn\u00ed styl. M\u00e9 znalosti a praktick\u00e9 zku\u0161enosti \u010derp\u00e1m nejen z akademick\u00e9ho prost\u0159ed\u00ed, ale tak\u00e9 z neust\u00e1l\u00e9ho u\u010den\u00ed a objevov\u00e1n\u00ed nov\u00fdch v\u011bc\u00ed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jako vystudovan\u00e1 zdravotn\u00ed sestra a majitelka zdravotn\u00edho webu se sna\u017e\u00edm s l\u00e1skou a odbornost\u00ed \u0161\u00ed\u0159it osv\u011btu o zdrav\u00e9 v\u00fd\u017eiv\u011b a \u017eivotn\u00edm stylu. Z\u00e1rove\u0148 zkoum\u00e1m nov\u00e9 mo\u017enosti v oblasti du\u0161evn\u00edho zdrav\u00ed a pohody.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u00e1m bl\u00edzko nejen k lidem, ale tak\u00e9 ke zv\u00ed\u0159at\u016fm a p\u0159\u00edrod\u011b, co\u017e odr\u00e1\u017e\u00ed m\u016fj celostn\u00ed p\u0159\u00edstup k \u017eivotu. M\u00e9 \u010dl\u00e1nky nab\u00edzej\u00ed bohatou mozaiku nejnov\u011bj\u0161\u00edch v\u011bdeck\u00fdch poznatk\u016f propleten\u00fdch s osobn\u00edmi zku\u0161enostmi. Poskytuj\u00ed \u010dten\u00e1\u0159\u016fm cenn\u00e9 informace a inspiruj\u00ed k pozitivn\u00edm zm\u011bn\u00e1m pro lep\u0161\u00ed zdrav\u00ed a celkovou pohodu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zdroje:<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/www.solen.sk\/storage\/file\/article\/d43f2c324b866019ed295d1a3d006fe1.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.solen.sk\/storage\/file\/article\/d43f2c324b866019ed295d1a3d006fe1.pdf<\/span><\/a><\/li>\n<li><a href=\"https:\/\/www.adc.sk\/databazy\/produkty\/pil\/rectogesic-4-mg-g-rektalna-mast-548330.html#4_0\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.adc.sk\/databazy\/produkty\/pil\/rectogesic-4-mg-g-rektalna-mast-548330.html#4_0<\/span><\/a><\/li>\n<li><a href=\"https:\/\/assiduo.sk\/sluzby\/liecba-bolestivej-analnej-trhliny\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/assiduo.sk\/sluzby\/liecba-bolestivej-analnej-trhliny\/<\/span><\/a><\/li>\n<li><a href=\"https:\/\/www.pediatriepropraxi.cz\/pdfs\/ped\/2008\/02\/10.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.pediatriepropraxi.cz\/pdfs\/ped\/2008\/02\/10.pdf<\/span><\/a><\/li>\n<\/ul>\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);       \n                            }\n                        }\n                        jQuery( document.body ).trigger( 'post-load' );\n                    });\n                });\n            <\/script>\n                        <script>\n                            \n                            function openNav() {\n                              jQuery(\"#top-chart-mob-show-btn\").hide();\n                              jQuery(\"#top-chart-mob-remove-btn\").hide();\n                              jQuery(\"#top-chart-mob-hide-btn\").fadeIn();\n                              jQuery(\"#eap_top_w_mob\").css(\"height\", \"100%\");\n                              jQuery(\"body\").css(\"overflow\", \"hidden\");\n                              \n                              eap_add_gtm_event(\"top_chart_mob\", \"opened\", null);\n                            }\n                            \n                            function closeNav() {\n                              jQuery(\"#top-chart-mob-hide-btn\").hide();\n                              jQuery(\"#top-chart-mob-show-btn\").fadeIn();\n                              jQuery(\"#top-chart-mob-remove-btn\").fadeIn();\n                              jQuery(\"#eap_top_w_mob\").css(\"height\", \"40px\");\n                              jQuery(\"body\").css(\"overflow\", \"auto\");\n                            }\n                            \n                            function hideCompletely() {\n                              jQuery(\"#eap_top_w_mob\").fadeOut();\n                            }\n                        <\/script>\n\n                        <div id=\"eap_top_w_mob\" class=\"overlay\" style=\"display: none\">\n                            <div class=\"always-visible\">\n                              <a href=\"javascript:void(0)\" id=\"top-chart-mob-remove-btn\" class=\"closebtn\" onclick=\"hideCompletely()\">&times;<\/a>\n                              \n                              <a href=\"javascript:void(0)\" id=\"top-chart-mob-show-btn\" onclick=\"openNav()\">\n                                <img src=\"https:\/\/zdravovek.eu\/wp-content\/plugins\/erit-affil-publisher\/img\/arrowup.png\" alt=\"\"\/>\n                                <div class=\"eap-top-w-button-text\">Uk\u00e1za\u0165 s\u00favisiace produkty<\/div>\n                              <\/a>\n                              <a href=\"javascript:void(0)\" id=\"top-chart-mob-hide-btn\" onclick=\"closeNav()\" style=\"display: none\">\n                                <div class=\"eap-top-w-button-text\">Zatvori\u0165<\/div>\n                                <img src=\"https:\/\/zdravovek.eu\/wp-content\/plugins\/erit-affil-publisher\/img\/arrowdown.png\" alt=\"\"\/>\n                              <\/a>\n                            <\/div>\n                            <div class=\"eap_top_w_mob_chart_wrapper\">\n                              <div id=\"eap_top_w_mob_chart\" class=\"eap_top_w_mob_chart\">\n                                \n                              <\/div>\n                            <\/div>\n                        <\/div>","protected":false},"excerpt":{"rendered":"<p>C\u00edt\u00edte pal\u010divou bolest p\u0159i ka\u017ed\u00e9m vyprazd\u0148ov\u00e1n\u00ed? Pozorujete stopy krve na toaletn\u00edm pap\u00ed\u0159e? Mo\u017en\u00e1 se an\u00e1ln\u00ed fisura t\u00fdk\u00e1 i v\u00e1s. An\u00e1ln\u00ed fisura neboli an\u00e1ln\u00ed trhlina postihuje asi 10 % pacient\u016f, kte\u0159\u00ed nav\u0161t\u00edv\u00ed gastroeneterologa. Nap\u0159\u00ed\u010d tomu, \u017ee jde o pom\u011brn\u011b \u010dast\u00fd probl\u00e9m, mnoho lid\u00ed odkl\u00e1d\u00e1 n\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e kv\u016fli strachu nebo pocitu studu.\u00a0 Tento \u010dl\u00e1nek se zam\u011b\u0159uje na [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":29846,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[34],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>An\u00e1ln\u00ed fisura - kdy\u017e je ka\u017ed\u00e1 n\u00e1v\u0161t\u011bva toalety utrpen\u00edm - Zdravovek<\/title>\n<meta name=\"description\" content=\"C\u00edtite p\u00e1l\u010div\u00fa boles\u0165 pri ka\u017edom vypr\u00e1zd\u0148ovan\u00ed? Spozorovali ste stopy krvi na toaletnom papieri? Mo\u017eno sa to t\u00fdka aj v\u00e1s \u2013 an\u00e1lna fis\u00fara.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"An\u00e1ln\u00ed fisura - kdy\u017e je ka\u017ed\u00e1 n\u00e1v\u0161t\u011bva toalety utrpen\u00edm - Zdravovek\" \/>\n<meta property=\"og:description\" content=\"C\u00edtite p\u00e1l\u010div\u00fa boles\u0165 pri ka\u017edom vypr\u00e1zd\u0148ovan\u00ed? Spozorovali ste stopy krvi na toaletnom papieri? Mo\u017eno sa to t\u00fdka aj v\u00e1s \u2013 an\u00e1lna fis\u00fara.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/\" \/>\n<meta property=\"og:site_name\" content=\"Zdravovek\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/zdravoveda.eu\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-03-22T12:03:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-03-22T12:21:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\u0301lna-fisu\u0301ra-proble\u0301m-s-tra\u0301viacim-traktom-a-vyluc\u030covani\u0301m.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"853\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Odhadovan\u00e1 doba \u010dten\u00ed\">\n\t<meta name=\"twitter:data1\" content=\"13 minut\">\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/zdravovek.eu\/#website\",\"url\":\"https:\/\/zdravovek.eu\/\",\"name\":\"Zdravovek\",\"description\":\"Magaz\\u00edn o zdrav\\u00ed a \\u017eivotospr\\u00e1ve\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":\"https:\/\/zdravovek.eu\/?s={search_term_string}\",\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"cs\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/#primaryimage\",\"inLanguage\":\"cs\",\"url\":\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2025\/03\/Ana\\u0301lna-fisu\\u0301ra-proble\\u0301m-s-tra\\u0301viacim-traktom-a-vyluc\\u030covani\\u0301m.jpg\",\"width\":1280,\"height\":853,\"caption\":\"Ana\\u0301lna fisu\\u0301ra, proble\\u0301m s tra\\u0301viacim traktom a vyluc\\u030covani\\u0301m\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/#webpage\",\"url\":\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/\",\"name\":\"An\\u00e1ln\\u00ed fisura - kdy\\u017e je ka\\u017ed\\u00e1 n\\u00e1v\\u0161t\\u011bva toalety utrpen\\u00edm - Zdravovek\",\"isPartOf\":{\"@id\":\"https:\/\/zdravovek.eu\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/#primaryimage\"},\"datePublished\":\"2025-03-22T12:03:40+00:00\",\"dateModified\":\"2025-03-22T12:21:58+00:00\",\"author\":{\"@id\":\"https:\/\/zdravovek.eu\/#\/schema\/person\/d69ca36497584c954ecaf13595ce877f\"},\"description\":\"C\\u00edtite p\\u00e1l\\u010div\\u00fa boles\\u0165 pri ka\\u017edom vypr\\u00e1zd\\u0148ovan\\u00ed? Spozorovali ste stopy krvi na toaletnom papieri? Mo\\u017eno sa to t\\u00fdka aj v\\u00e1s \\u2013 an\\u00e1lna fis\\u00fara.\",\"breadcrumb\":{\"@id\":\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/#breadcrumb\"},\"inLanguage\":\"cs\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"item\":{\"@type\":\"WebPage\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/\",\"url\":\"https:\/\/zdravovek.eu\/cs\/\",\"name\":\"Home\"}},{\"@type\":\"ListItem\",\"position\":2,\"item\":{\"@type\":\"WebPage\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/\",\"url\":\"https:\/\/zdravovek.eu\/cs\/analni-fisura\/\",\"name\":\"An\\u00e1ln\\u00ed fisura &#8211; kdy\\u017e je ka\\u017ed\\u00e1 n\\u00e1v\\u0161t\\u011bva toalety utrpen\\u00edm\"}}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/zdravovek.eu\/#\/schema\/person\/d69ca36497584c954ecaf13595ce877f\",\"name\":\"Redakcia\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/zdravovek.eu\/#personlogo\",\"inLanguage\":\"cs\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/6b2b29e5b58ff8d39a228fc549a3d48b?s=96&d=mm&r=g\",\"caption\":\"Redakcia\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","amp_validity":null,"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/posts\/29854"}],"collection":[{"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/comments?post=29854"}],"version-history":[{"count":5,"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/posts\/29854\/revisions"}],"predecessor-version":[{"id":29859,"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/posts\/29854\/revisions\/29859"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/media\/29846"}],"wp:attachment":[{"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/media?parent=29854"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/categories?post=29854"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zdravovek.eu\/cs\/wp-json\/wp\/v2\/tags?post=29854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}