{"id":7656,"date":"2018-07-20T15:00:16","date_gmt":"2018-07-20T13:00:16","guid":{"rendered":"https:\/\/zdravovek.eu\/?p=7656"},"modified":"2020-09-15T18:53:32","modified_gmt":"2020-09-15T16:53:32","slug":"zlucnikove-kameny","status":"publish","type":"post","link":"https:\/\/zdravovek.eu\/cs\/zlucnikove-kameny\/","title":{"rendered":"\u017dlu\u010dn\u00edkov\u00e9 kameny &#8211; p\u0159\u00edznaky, dieta, l\u00e9\u010dba"},"content":{"rendered":"<p>Pokud n\u011bjak\u00e9 onemocn\u011bn\u00ed vystihuje spojen\u00ed <strong>tikaj\u00edc\u00ed bomba<\/strong>, jsou to pr\u00e1v\u011b <strong>\u017elu\u010dn\u00edkov\u00e9 kameny<\/strong>.<\/p>\n<p>Dlouho nemus\u00edte ani jen tu\u0161it o jejich p\u0159\u00edtomnosti, a\u017e v\u00e1s najednou <strong>p\u0159ekvap\u00ed prudkou bolest\u00ed<\/strong>.<\/p>\n<p>P\u0159ibli\u017en\u011b <strong>20 % populace<\/strong> m\u00e1 \u017elu\u010dov\u00e9 kameny, ale p\u0159\u00edznaky se vyskytuj\u00ed pouze u <strong>1 &#8211; 3 %<\/strong> pacient\u016f. V \u010dl\u00e1nku v\u00e1m pop\u00ed\u0161eme souhrn d\u016fle\u017eit\u00fdch informac\u00ed o tomto onemocn\u011bn\u00ed.<\/p>\n\n<h2>Co jsou to \u017elu\u010dn\u00edkov\u00e9 kameny?<\/h2>\n<p>Jsou to opravdu kameny?<\/p>\n<p>Jejich slo\u017een\u00ed ve skute\u010dnosti nem\u00e1 <strong>nic spole\u010dn\u00e9ho s kameny<\/strong>, je to jen za\u017eit\u00fd n\u00e1zev pro tyto \u00fatvary. Jsou to <strong>pevn\u00e9 \u010d\u00e1stice, kter\u00e9 vznikaj\u00ed ve \u017elu\u010dn\u00edku<\/strong>.<\/p>\n<h3>\u017dlu\u010dn\u00edk<\/h3>\n<p><strong>\u017dlu\u010dn\u00edk<\/strong> je org\u00e1n nach\u00e1zej\u00edc\u00ed se v bl\u00edzkosti prav\u00e9ho jatern\u00edho laloku. M\u00e1 hru\u0161kovit\u00fd tvar a jeho funkce je <strong>zahu\u0161\u0165ov\u00e1n\u00ed a usklad\u0148ov\u00e1n\u00ed \u017elu\u010di<\/strong>. Ta n\u00e1sledn\u011b odt\u00e9k\u00e1 p\u0159es \u017elu\u010dovod <strong>do tenk\u00e9ho st\u0159eva<\/strong>. Stimulem na uvoln\u011bn\u00ed \u017elu\u010di je potrava bohat\u00e1 na tuky. \u017dlu\u010d se n\u00e1sledn\u011b pod\u00edl\u00ed na tr\u00e1ven\u00ed tukov\u00fdch \u010d\u00e1st\u00ed v na\u0161\u00ed potrav\u011b.<\/p>\n<h3>\u017dlu\u010dn\u00edkov\u00e9 kameny<\/h3>\n<p>Ale zp\u011bt ke \u017elu\u010dn\u00edkov\u00fdm kamen\u016fm.<\/p>\n<p>P\u0159i \u017elu\u010dov\u00fdch kamenech je <strong>zablokov\u00e1n odtok zmi\u0148ovan\u00e9 \u017elu\u010di a ta se hromad\u00ed ve \u017elu\u010dn\u00edku<\/strong>.<\/p>\n<p>Existuj\u00ed dv\u011b formy \u017elu\u010dov\u00fdch kamen\u016f:<\/p>\n<ul>\n<li><strong>Cholesterolov\u00e9 kameny<\/strong> jsou \u010dast\u011bj\u0161\u00ed forma. Vyskytuj\u00ed se a\u017e u 80% pacient\u016f. Jsou \u017eluto-zelen\u00e9.<\/li>\n<li><strong>Pigmentov\u00e9 kameny<\/strong> jsou tmav\u0161\u00ed a men\u0161\u00ed v porovn\u00e1n\u00ed s cholesterolov\u00fdmi kameny. Tento typ je tvo\u0159en \u017elu\u010d\u00ed, kter\u00e1 je skladovan\u00e1 ve \u017elu\u010dn\u00edku. Pigmentov\u00e9 kameny obsahuj\u00ed bilirubin, v\u00e1pn\u00edk nebo soli v\u00e1pn\u00edku.<\/li>\n<\/ul>\n<h4>Vznik \u017elu\u010dn\u00edkov\u00fdch kamen\u016f<\/h4>\n<div class='erit-product-small-box erit-float-right '>\n                <div class='erit-product-small-box-header'>\n                  <div class='erit-product-small-box-name'>\n                   <a href='https:\/\/zdravovek.eu\/a\/cs\/rowachol-10-ml-pilulka-cz\/' class='eap_conversion product_small_box product_name' rel='nofollow' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_product_small_box', 'EAP_click_product_name', null)\">Rowachol<\/a>\n                  <\/div>\n                  <div class='erit-product-small-box-desc'>10 ml<\/div>\n                <\/div>\n\n                <div class='erit-product-small-box-row-wrap'>\n                  <div class='erit-product-small-box-img_wrap'>\n                    <a href='https:\/\/zdravovek.eu\/a\/cs\/rowachol-10-ml-pilulka-cz\/' class='eap_conversion product_small_box image' rel='nofollow' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_product_small_box', 'EAP_click_image', null)\">\n                      <img width='150' src='https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/07\/75813.jpg' alt='Rowachol'\/>\n                    <\/a>\n                  <\/div>\n\n                  <div class='erit-product-small-box-right-wrap'>\n                   <div class='erit-product-small-box-buttons'><a class='erit-product-small-box-shop-button eap_conversion product_small_box cta_button ' href='https:\/\/zdravovek.eu\/a\/cs\/rowachol-10-ml-pilulka-cz\/' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_product_small_box', 'EAP_click_cta_button', null)\">\n                          Do obchodu\n                      <\/a>\n                    <\/div>\n                    <div class='erit-product-small-box-price'>\n                      187&nbsp;K\u010d\n                    <\/div>\n                    <div class='erit-product-small-box-free-shipping erit-small'>\n                      Doprava zdarma od 299&nbsp;K\u010d\n                    <\/div>\n                  <\/div>\n                <\/div>\n              <\/div>\nNa vzniku \u017elu\u010dn\u00edkov\u00fdch kamen\u016f se pod\u00edl\u00ed n\u011bkolik faktor\u016f.<\/p>\n<p>Jsou to nap\u0159\u00edklad <strong>genetika, va\u0161e hmotnost, probl\u00e9my se \u017elu\u010dn\u00edkem ale i strava<\/strong>.<\/p>\n<p>P\u0159\u00ed\u010dinou m\u016f\u017ee b\u00fdt i <strong>samotn\u00e1 \u017elu\u010d<\/strong>. Sice je pro n\u00e1\u0161 organismus nezbytn\u00e1, ale m\u016f\u017ee b\u00fdt z\u00e1rove\u0148 nebezpe\u010dn\u00e1. A to tehdy, pokud obsahuje <strong>hodn\u011b cholesterolu<\/strong>. Pokud v\u00e1\u0161 \u017elu\u010dn\u00edk nefunguje spr\u00e1vn\u011b a nedok\u00e1\u017ee se vypr\u00e1zdnit, i nahromad\u011bn\u00e1 \u017elu\u010d m\u016f\u017ee b\u00fdt rizikem v tvorb\u011b \u017elu\u010dn\u00edkov\u00fdch kamen\u016f.<\/p>\n<p>Riskantn\u00ed je i to, pokud \u017elu\u010d obsahuje <strong>mnoho bilirubinu<\/strong>. Bilirubin je l\u00e1tka, kter\u00e1 se v t\u011ble tvo\u0159\u00ed p\u0159i rozkladu \u010derven\u00fdch krvinek. Zv\u00fd\u0161en\u00fd bilirubin je \u010dast\u00fd u lid\u00ed, kte\u0159\u00ed maj\u00ed <strong>probl\u00e9my s j\u00e1try (cirh\u00f3za) nebo trp\u00ed na srpkovitou an\u00e9mii<\/strong>. Nadbyte\u010dn\u00fd bilirubin vede k tvorb\u011b pigmentov\u00fdch kamen\u016f.<\/p>\n<h3>Kdo je ohro\u017een?<\/h3>\n<p>U ur\u010dit\u00fdch lid\u00ed je riziko onemocn\u011bn\u00ed vy\u0161\u0161\u00ed ne\u017e u jin\u00fdch. Jsou to nap\u0159\u00edklad:<\/p>\n<ul>\n<li><strong>Ob\u00e9zn\u00ed lid\u00e9<\/strong>. Obezita je jeden z nejvy\u0161\u0161\u00edch rizikov\u00fdch faktor\u016f, kter\u00e9 se pod\u00edlej\u00ed na vzniku \u017elu\u010dov\u00fdch kamen\u016f. Pro\u010d je to tak? Mimo jin\u00e9 maj\u00ed ob\u00e9zn\u00ed lid\u00e9 zv\u00fd\u0161en\u00e9 hladiny cholesterolu. Jejich \u017elu\u010dn\u00edk se tak\u00e9 m\u00e1lokdy a h\u016f\u0159e vyprazd\u0148uje.<\/li>\n<li><strong>4 kr\u00e1t<\/strong> <strong>\u010dast\u011bji<\/strong> se vyskytuj\u00ed <strong>u \u017een<\/strong> ne\u017e u mu\u017e\u016f.<\/li>\n<li>\u017deny u\u017e\u00edvaj\u00edc\u00ed hormon\u00e1ln\u00ed antikoncepci, t\u011bhotn\u00e9 \u017eeny a \u017eeny u\u017e\u00edvaj\u00edc\u00ed hormon\u00e1ln\u00ed l\u00e9\u010dbu b\u011bhem menopauzy. Zv\u00fd\u0161en\u00e9 hladiny estrogenu mohou zv\u00fd\u0161it hladinu cholesterolu a zt\u00ed\u017eit vyprazd\u0148ov\u00e1n\u00ed \u017elu\u010dn\u00edku.<\/li>\n<li>Lid\u00e9 <strong>nad 40 let<\/strong>.<\/li>\n<li><strong>Nevhodn\u00e9 stravov\u00e1n\u00ed<\/strong> &#8211; hodn\u011b tuk\u016f, cholesterolu, m\u00e1lo vl\u00e1kniny.<\/li>\n<li>Pacienti <strong>s cukrovkou<\/strong> jsou rizikov\u00ed kv\u016fli zv\u00fd\u0161en\u00e9 hladin\u011b triglycerid\u016f (typ tuk\u016f).<\/li>\n<li>Pacienti u\u017e\u00edvaj\u00edc\u00ed <strong>l\u00e9ky na sn\u00ed\u017een\u00ed cholesterolu<\/strong>. Paradoxn\u011b jsou na \u017elu\u010dn\u00edkov\u00e9 kameny n\u00e1chyln\u011bj\u0161\u00ed. Je to proto, \u017ee n\u011bkter\u00e9 z t\u011bchto l\u00e9k\u016f p\u0159esunou \u010d\u00e1st cholesterolu do \u017elu\u010de. N\u00e1sledn\u011b se mohou tvo\u0159it cholesterolov\u00e9 kameny.<\/li>\n<li>Lid\u00e9, kte\u0159\u00ed <strong>hladov\u00ed<\/strong>. P\u0159\u00ed\u010diny mohou b\u00fdt r\u016fzn\u00e9. A\u0165 u\u017e dr\u017e\u00edte p\u016fst, dietu, hladovku, ale i lid\u00e9 s anorexi\u00ed p\u0159\u00edpadn\u011b lid\u00e9 v t\u011b\u017ek\u00e9 chudob\u011b.<\/li>\n<li>Rapidn\u011b zhubnut\u00ed.<\/li>\n<li><strong>\u017dlu\u010dn\u00edkov\u00e9 kameny v rodin\u011b<\/strong>. Pokud se vyskytly u va\u0161eho p\u0159\u00edbuzn\u00e9ho, m\u00e1te vy\u0161\u0161\u00ed \u0161anci, \u017ee je jednou dostanete i vy.<\/li>\n<\/ul>\n<figure id=\"attachment_2934\" aria-describedby=\"caption-attachment-2934\" style=\"width: 700px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" class=\"wp-image-2934 size-full\" src=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-rizikove-faktory.png\" alt=\"\u017elu\u010dn\u00edkov\u00e9 kameny - rizikov\u00e9 faktory\" width=\"700\" height=\"249\" srcset=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-rizikove-faktory.png 700w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-rizikove-faktory-600x213.png 600w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-rizikove-faktory-300x107.png 300w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-rizikove-faktory-696x249.png 696w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><figcaption id=\"caption-attachment-2934\" class=\"wp-caption-text\">Zdroj: 123rf.com<\/figcaption><\/figure>\n<h2>P\u0159\u00edznaky \u017elu\u010dn\u00edkov\u00fdch kamen\u016f<\/h2>\n<p>Jak jsme zm\u00ednili v\u00fd\u0161e, \u017elu\u010dn\u00edkov\u00e9 kameny mohou b\u00fdt p\u0159\u00edtomny, ale <strong>nebudou se v\u016fbec projevovat<\/strong>. Pokud se v\u0161ak projev\u00ed, jejich p\u0159\u00edznaky jsou dost nespecifick\u00e9 a zahrnuj\u00ed:<\/p>\n<ul>\n<li><strong>bolesti ve vrchn\u00ed \u010d\u00e1sti b\u0159icha<\/strong> a horn\u00ed \u010d\u00e1sti zad, kter\u00e9 mohou trvat i n\u011bkolik hodin<\/li>\n<li>pot\u00ed\u017ee po mastn\u00e9m j\u00eddle, bolest v horn\u00ed prav\u00e9 \u010d\u00e1sti b\u0159icha<\/li>\n<li>d\u00e1le p\u0159\u00edznaky jako <strong>nevolnost a\u017e zvracen\u00ed<\/strong><\/li>\n<li>jin\u00e9 \u017ealude\u010dn\u00ed probl\u00e9my (nap\u0159\u00edklad nad\u00fdm\u00e1n\u00ed, \u0161patn\u00e9 tr\u00e1ven\u00ed, <a href=\"https:\/\/zdravovek.eu\/palenie-zahy\/\">p\u00e1len\u00ed \u017e\u00e1hy<\/a>, plynatost)<\/li>\n<\/ul>\n<h3>Bili\u00e1rn\u00ed kolika<\/h3>\n<p>Jedn\u00e1 se o stav, kdy dojde k <strong>\u010d\u00e1ste\u010dn\u00e9mu nebo \u00fapln\u00e9mu zastaven\u00ed odtoku \u017elu\u010di<\/strong>. Pacient poci\u0165uje <strong>bodavou bolest<\/strong> pod prav\u00fdm \u017eebrem, zvrac\u00ed a ve zvratc\u00edch je \u010dasto p\u0159\u00edtomna \u017elu\u010d. Bolest je velmi intenzivn\u00ed a pacient si neum\u00ed naj\u00edt \u00falevnou polohu.<\/p>\n<p>Pokud zablokov\u00e1n\u00ed odtoku \u017elu\u010di trv\u00e1 d\u00e9le, p\u0159ich\u00e1z\u00ed i \u00faporn\u00e9 <strong>sv\u011bd\u011bn\u00ed t\u011bla<\/strong>. K\u016f\u017ee pacienta je \u017elut\u00e1, a \u017elut\u011b je podbarveno i o\u010dn\u00ed b\u011blmo. B\u0159icho je citliv\u00e9 na dotyk a m\u016f\u017ee b\u00fdt p\u0159\u00edtomna i <strong>teplota<\/strong>.<\/p>\n<h2>Diagnostika \u017elu\u010dn\u00edkov\u00fdch kamen\u016f<\/h2>\n<p>Pokud m\u00e1te vy nebo v\u00e1s l\u00e9ka\u0159 podez\u0159en\u00ed na \u017elu\u010dov\u00e9 kameny, podstoup\u00edte <strong>p\u00e1r vy\u0161et\u0159en\u00ed<\/strong>.<\/p>\n<p>Z\u00e1kladem je <strong>odb\u011br krve<\/strong>, ze kter\u00e9 se zjist\u00ed <strong>z\u00e1n\u011btliv\u00e9 parametry<\/strong> a p\u0159\u00edpadn\u00e9 obstrukce (sn\u00ed\u017een\u00e9 pr\u016fchodnosti) v n\u011bkter\u00fdch \u010d\u00e1stech.<\/p>\n<h3>Ultrazvuk<\/h3>\n<p><strong>Ultrazvukem<\/strong> l\u00e9ka\u0159 dok\u00e1\u017ee bezbolestn\u011b a velmi rychle zkontrolovat va\u0161e vnit\u0159n\u00ed prost\u0159ed\u00ed a potvrdit respektive vyvr\u00e1tit p\u0159\u00edtomnost \u017elu\u010dov\u00fdch kamen\u016f. Stejnou funkci m\u00e1 i <strong>CT vy\u0161et\u0159en\u00ed<\/strong>, kter\u00e9 je je\u0161t\u011b d\u016fkladn\u011bj\u0161\u00ed.<\/p>\n<h3>Magnetick\u00e1 rezonance<\/h3>\n<p><strong>MRCP<\/strong> je zkratka pro anglick\u00fd n\u00e1zev Magnetic Resonance Cholangio Pancreatography. Jedn\u00e1 se o <strong>radiologick\u00e9 vy\u0161et\u0159en\u00ed<\/strong>, kter\u00e9 je zalo\u017eeno na principech magnetick\u00e9 rezonance. Pomoc\u00ed magnetick\u00e9ho pole a radiofrekven\u010dn\u00ed energie v\u00e1m zdokumentuj\u00ed vnit\u0159ek t\u011bla, v\u010detn\u011b jater a \u017elu\u010dn\u00edku.<\/p>\n<h3>Cholescintigrafia<\/h3>\n<p><strong>Cholescintigrafia<\/strong> je metoda, p\u0159i kter\u00e9 v\u00e1m bude do \u017e\u00edly pod\u00e1na <strong>kontrastn\u00ed l\u00e1tka<\/strong> (radiofarmakum). Radiofarmakum je bezpe\u010dn\u00e9 a nemus\u00edte se ob\u00e1vat \u017e\u00e1dn\u00e9 toxicity. N\u00e1sledn\u011b se sleduje putov\u00e1n\u00ed t\u00e9to l\u00e1tky p\u0159es \u017elu\u010dn\u00edk, j\u00e1tra a tenk\u00e9 st\u0159evo. Vy\u0161et\u0159en\u00ed trv\u00e1 v pr\u016fm\u011bru 60 minut a prov\u00e1d\u00ed se vle\u017ee. Aby bylo podpo\u0159eno vyprazd\u0148ov\u00e1n\u00ed \u017elu\u010dn\u00edku, b\u011bhem vy\u0161et\u0159en\u00ed v\u00e1m bude pod\u00e1v\u00e1na strava bohat\u00e1 na tuky. U dosp\u011bl\u00fdch je to nap\u0159\u00edklad vaj\u00ed\u010dko nebo \u010dokol\u00e1da, u mal\u00fdch d\u011bt\u00ed ml\u00e9ko.<\/p>\n<h3>Endoskopie<\/h3>\n<p>Dal\u0161\u00ed mo\u017enost je <strong>endoskopick\u00e1 ultrasonografie<\/strong>. Jedn\u00e1 se o kombinaci sonografick\u00e9ho vy\u0161et\u0159en\u00ed a endoskopie.<\/p>\n<p><strong>ERCP<\/strong> je zkr\u00e1cen\u00fd n\u00e1zev pro krkolomn\u00e9 vy\u0161et\u0159en\u00ed s n\u00e1zvem Endoskopick\u00e1 retrogr\u00e1dn\u00ed cholangio &#8211; pankreatografia. Kombinuje se zde rentgenov\u00e9 z\u00e1\u0159en\u00ed s endoskopem, co\u017e je n\u00e1stroj ve tvaru trubky, na jeho\u017e konci je kamera. P\u0159ed vy\u0161et\u0159en\u00edm jsou pacientovi <strong>pod\u00e1ny l\u00e9ky na bolest a na uklidn\u011bn\u00ed<\/strong>. N\u00e1sledn\u011b si pacient lehne na lev\u00fd bok a do \u00fast mu je vsunuta hadi\u010dka, kter\u00e1 p\u0159ezkoum\u00e1 vnit\u0159n\u00ed prost\u0159ed\u00ed a pom\u016f\u017ee v diagnostice.<\/p>\n<h2>Komplikace \u017elu\u010dov\u00fdch kamen\u016f<\/h2>\n<p>Pokud nejsou kameny l\u00e9\u010deny, existuje \u0159ada rizik. Nejnebezpe\u010dn\u011bj\u0161\u00ed jsou ty \u017elu\u010dov\u00e9 kameny, kter\u00e9 se nach\u00e1zej\u00ed <strong>p\u0159\u00edmo v \u017elu\u010dovodu<\/strong> a \u010d\u00e1ste\u010dn\u011b nebo \u00fapln\u011b blokuj\u00ed odtok \u017elu\u010di.<\/p>\n<h3>Z\u00e1n\u011bt \u017elu\u010dn\u00edku<\/h3>\n<p>K <strong>z\u00e1n\u011btu \u017elu\u010dn\u00edku<\/strong> doch\u00e1z\u00ed tehdy, pokud \u017elu\u010dn\u00edkov\u00fd k\u00e1men ucpe vrch \u017elu\u010dn\u00edku a zp\u016fsob\u00ed z\u00e1n\u011bt (cholecystitida).<\/p>\n<h3>Prod\u011brav\u011bn\u00ed \u017elu\u010dn\u00edku<\/h3>\n<p>V p\u0159\u00edpad\u011b, \u017ee se \u017elu\u010dn\u00edkov\u00e9 z\u00e1chvaty opakuj\u00ed p\u0159\u00edli\u0161 \u010dasto, m\u016f\u017ee doj\u00edt k <strong>prod\u011brav\u011bn\u00ed \u017elu\u010dn\u00edku nebo \u017elu\u010dovodu<\/strong>. K\u00e1men n\u00e1sledn\u011b <strong>putuje do b\u0159i\u0161n\u00ed dutiny<\/strong>. P\u0159es d\u00edru vyt\u00e9k\u00e1 i \u017elu\u010d. Za norm\u00e1ln\u00edch okolnost\u00ed je \u017elu\u010d steriln\u00ed, ale v tomto p\u0159\u00edpad\u011b je ji\u017e <strong>pln\u00e1 bakteri\u00ed<\/strong> a infikuje cel\u00e9 vnit\u0159n\u00ed prost\u0159ed\u00ed b\u0159icha. To zp\u016fsob\u00ed v\u00e1\u017en\u00fd z\u00e1n\u011bt, kter\u00fd se odborn\u011b naz\u00fdv\u00e1 bili\u00e1rn\u00ed peritonitida. Bili\u00e1rn\u00ed peritonitida je <strong>\u017eivot ohro\u017euj\u00edc\u00ed stav<\/strong> a pacient mus\u00ed b\u00fdt neprodlen\u011b operov\u00e1n, jinak mu hroz\u00ed v\u00e1\u017en\u00e9 po\u0161kozen\u00ed organismu a\u017e smrt.<\/p>\n<h3>Jin\u00e9<\/h3>\n<p>Pacienti se \u017elu\u010dov\u00fdmi kameny jsou tak\u00e9 n\u00e1chyln\u011bj\u0161\u00ed na <strong>chronick\u00fd z\u00e1n\u011bt slinivky b\u0159i\u0161n\u00ed<\/strong>. Tyto dv\u011b diagn\u00f3zy jsou \u010dasto <strong>diagnostikov\u00e1ny najednou<\/strong>.<\/p>\n<p>Rizikem je i <strong>rakovina \u017elu\u010dn\u00edku<\/strong>. Tento typ rakoviny je v\u0161ak velmi <strong>ojedin\u011bl\u00fd<\/strong>.<\/p>\n<h2>Operace \u017elu\u010dn\u00edkov\u00fdch kamen\u016f<\/h2>\n<p>Chirurgick\u00e1 l\u00e9\u010dba tvo\u0159\u00ed v\u011bt\u0161inou z\u00e1klad l\u00e9\u010dby.<\/p>\n<p>Existuj\u00ed dv\u011b mo\u017enosti, jak v\u00e1m \u017elu\u010dn\u00edkov\u00e9 kameny odstran\u00ed.<\/p>\n<h3>Laparoskopie<\/h3>\n<p>Prvn\u00ed z nich je <strong>laparoskopick\u00e1 cholecystektomie<\/strong>. Tato operace je <strong>frekventovan\u011bj\u0161\u00ed<\/strong>, pr\u00e1v\u011b kv\u016fli jej\u00edm v\u00fdhod\u00e1m. Vyu\u017e\u00edv\u00e1 se a\u017e v 76% p\u0159\u00edpadech (pro srovn\u00e1n\u00ed, v sousedn\u00edm Slovensku je to 70%). Jedn\u00e1 se o velmi modern\u00ed zp\u016fsob operace, po kter\u00e9m zb\u00fdv\u00e1 jen minim\u00e1ln\u00ed jizva. Je velmi <strong>\u0161etrn\u00e1<\/strong> a pacient jde dom\u016f v\u011bt\u0161inou ji\u017e v den z\u00e1kroku, p\u0159\u00edpadn\u011b druh\u00fd den.<\/p>\n<p>B\u011bhem laparoskopie je na t\u011ble ud\u011blan\u00fd jen <strong>malink\u00fd otvor<\/strong>. Do otvoru jsou vsunuty instrumenty, sv\u011btlo a kamera. Chirurg vid\u00ed prost\u0159ed\u00ed na monitoru, kter\u00fd mu pom\u00e1h\u00e1 ve v\u00fdkonu.<\/p>\n<p>Laparoskopicky m\u016f\u017ee b\u00fdt odstran\u011bn <strong>i cel\u00fd \u017elu\u010dn\u00edk<\/strong>.<\/p>\n<p><strong>Zaj\u00edmavost o laparoskopii<\/strong>: Prvn\u00ed laparoskopickou cholecystektomii ud\u011blal v roce 1987 Philip Mouret. Svou prvn\u00ed laparoskopii v\u0161ak nezdokumentoval (zdroj: <a href=\"http:\/\/laparo.laparoskopia.info\/?p=122\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">laparoskopie<\/a> ).<\/p>\n<h3>Cholecystektomie<\/h3>\n<p>Tato operace se v dne\u0161n\u00ed dob\u011b pova\u017euje za pom\u011brn\u011b zastaralou. V\u011bt\u0161inou se vyu\u017e\u00edv\u00e1 <strong>pouze v akutn\u00edch p\u0159\u00edpadech<\/strong>. P\u0159i cholecystektomii chirurg ud\u011bl\u00e1 <strong>v\u011bt\u0161\u00ed \u0159ez a je odstran\u011bn cel\u00fd \u017elu\u010dn\u00edk<\/strong>.<\/p>\n<p>Jedna z komplikac\u00ed odstran\u011bn\u00ed \u017elu\u010dn\u00edku je reflux \u017elu\u010di z dvan\u00e1ctn\u00edku do \u017ealudku.<\/p>\n<h2>L\u00e9\u010dba \u017elu\u010dn\u00edkov\u00fdch kamen\u016f bez operace<\/h2>\n<p>V n\u011bkter\u00fdch p\u0159\u00edpadech se postupuje <strong>konzervativn\u011b<\/strong>.<\/p>\n<p>Je to v p\u0159\u00edpad\u011b \u017ee:<\/p>\n<ul>\n<li>m\u00e1te jen takzvan\u00e9 <strong>\u017elu\u010dov\u00e9 bl\u00e1to<\/strong>, ne samotn\u00e9 \u017elu\u010dn\u00edkov\u00e9 kameny<\/li>\n<li>m\u00e1te <strong>cholesterolov\u00fd k\u00e1men<\/strong> (p\u0159i v\u00edce kamenech se tato l\u00e9\u010dba nedoporu\u010duje), kter\u00fd je mal\u00fd (do 2 cm)<\/li>\n<li><strong>nem\u016f\u017eete b\u00fdt operov\u00e1n<\/strong> pro n\u011bjak\u00e9m jin\u00e9m onemocn\u011bn\u00ed<\/li>\n<\/ul>\n<span class=\"erit-highlight\"> <strong>Pigmentov\u00e9 kameny na medikament\u00f3zn\u00ed l\u00e9\u010dbu nereaguj\u00ed<\/strong>. <\/span>\n<h3>L\u00e9ky a jejich nev\u00fdhody<\/h3>\n<p><strong>Nev\u00fdhody<\/strong> nechirurgick\u00e9ho \u0159e\u0161en\u00ed \u017elu\u010dn\u00edkov\u00fdch kamen\u016f:<\/p>\n<ul>\n<li>v\u011bt\u0161inou indikov\u00e1no jen u lid\u00ed, pro kter\u00e9 by operace nebyla bezpe\u010dn\u00e1<\/li>\n<li>\u017elu\u010dov\u00e9 kameny se po p\u0159eru\u0161en\u00ed l\u00e9\u010dby <strong>\u010dasto vracej\u00ed<\/strong><\/li>\n<li>l\u00e9\u010dba je \u010dasov\u011b n\u00e1ro\u010dn\u00e1, trv\u00e1 <strong>n\u011bkolik m\u011bs\u00edc\u016f, p\u0159\u00edpadn\u011b let<\/strong><\/li>\n<\/ul>\n<p>C\u00edlem medikament\u00f3zn\u00ed l\u00e9\u010dby je zm\u00edrnit bolest, eliminovat p\u0159\u00edznaky onemocn\u011bn\u00ed, zlep\u0161it tr\u00e1ven\u00ed a rozpustit kameny.<\/p>\n<p>Pou\u017e\u00edvaj\u00ed se l\u00e9ky jako:<\/p>\n<h4>Rowachol<\/h4>\n<p><strong><a href='https:\/\/zdravovek.eu\/a\/cs\/rowachol-10-ml-pilulka-cz\/' class='eap_conversion affil_link' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_affil_link_a', 'EAP_click_affil_link_a', null)\">ROWACHOL<\/a><\/strong> pat\u0159\u00ed mezi <strong>fytofarmaka<\/strong>, to znamen\u00e1, \u017ee je to l\u00e9k rostlinn\u00e9ho p\u016fvodu. Je <strong>\u00fa\u010dinn\u00fd v rozpou\u0161t\u011bn\u00ed \u017elu\u010dov\u00fdch kamen\u016f<\/strong> ale i p\u0159i onemocn\u011bn\u00edch jater a \u017elu\u010dn\u00edku. Sni\u017euje tvorbu cholesterolu (pomoc\u00ed enzymu HMGCoA &#8211; redukt\u00e1zy) co\u017e m\u00e1 za n\u00e1sledek rozpou\u0161t\u011bn\u00ed cholesterolov\u00fdch kamen\u016f a slou\u017e\u00ed i jako prevence jejich vzniku. Vyu\u017e\u00edv\u00e1 se i jako dopl\u0148kov\u00e1 l\u00e9\u010dba p\u0159i cukrovce.<\/p>\n<p>U\u017e\u00edv\u00e1 se <strong>3 &#8211; 5 kapek 3 kr\u00e1t denn\u011b p\u0159ed j\u00eddlem<\/strong>, zm\u00edrn\u00ed p\u0159\u00edznaky. D\u011bti od v\u011bku 6 let u\u017e\u00edvaj\u00ed 1 &#8211; 2 kapky 3 kr\u00e1t denn\u011b p\u0159ed j\u00eddlem. P\u0159\u00edpravek nen\u00ed v\u00e1z\u00e1n na l\u00e9ka\u0159sk\u00fd p\u0159edpis. Jeho \u00fa\u010dinn\u00e9 l\u00e1tky jsou silice z bylinek: <strong>borneol, cineol, kamfen, mentol, menton, alfa pinen a beta pinen<\/strong>.<\/p>\n<h4>Cholagol<\/h4>\n<p><strong><a href='https:\/\/zdravovek.eu\/a\/cs\/cholagol-10-ml-drmax-cz\/' class='eap_conversion affil_link' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_affil_link_a', 'EAP_click_affil_link_a', null)\">Cholagol<\/a><\/strong> tak\u00e9 obsahuje l\u00e9\u010diva v\u011bt\u0161inou p\u0159\u00edrodn\u00edho p\u016fvodu. P\u0159\u00edpravek <strong>zvy\u0161uje tvorbu a odt\u00e9k\u00e1n\u00ed \u017elu\u010di<\/strong>. Tak\u00e9 <strong>zm\u00edr\u0148uje k\u0159e\u010de hladk\u00e9ho svalstva \u017elu\u010dn\u00edku<\/strong>, \u010d\u00edm\u017e ulev\u00ed od bolesti. Cholagol p\u016fsob\u00ed protiz\u00e1n\u011btliv\u011b a m\u00e1 dezinfek\u010dn\u00ed \u00fa\u010dinky. M\u00e1 i m\u00edrn\u011b proj\u00edmav\u00fd \u00fa\u010dinek.<\/p>\n<p>Dosp\u011bl\u00ed a d\u011bti nad 12 let u\u017e\u00edvaj\u00ed <strong>5 &#8211; 10 kapek 3 kr\u00e1t denn\u011b<\/strong>. Mezi d\u00e1vkami mus\u00ed b\u00fdt <strong>rozestup minim\u00e1ln\u011b 5 hodin<\/strong>. V p\u0159\u00edpad\u011b akutn\u00edch pot\u00ed\u017e\u00ed je mo\u017en\u00e9 podat a\u017e<strong>\u00a020 kapek jednor\u00e1zov\u011b<\/strong>. D\u011bti do 12 let Cholagol nesm\u011bj\u00ed u\u017e\u00edvat.<\/p>\n<p>P\u0159\u00edpravek obsahuje bylinky: <strong>eukalyptus<\/strong> &#8211; silice (eucalyptu aetheroelum), <strong>frangulaemodin<\/strong>, <strong>kurkuma<\/strong> &#8211; barviva z ko\u0159ene (curcumae radicis pigmenta), <strong>m\u00e1ta peprn\u00e1<\/strong> &#8211; silice (Menthae piperitae aetheroleum), <strong>salicyl\u00e1t ho\u0159e\u010dnat\u00fd<\/strong>.<\/p>\n<h4>Febichol<\/h4>\n<p><strong><a href='https:\/\/zdravovek.eu\/a\/cs\/febichol-cps-100-mg-50-kapsli-drmax-cz\/' class='eap_conversion affil_link' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_affil_link_a', 'EAP_click_affil_link_a', null)\">Febichol<\/a><\/strong> se u\u017e\u00edv\u00e1 <strong>p\u0159i chronick\u00fdch onemocn\u011bn\u00edch \u017elu\u010dn\u00edku a \u017elu\u010dov\u00fdch cest<\/strong>,\u00a0ale i p\u0159i probl\u00e9mech s tr\u00e1ven\u00edm. P\u0159\u00edpravek je vhodn\u00fd pro dosp\u011bl\u00e9 a d\u011bti od 15 let. Nemohou ho u\u017e\u00edvat t\u011bhotn\u00e9 \u017eeny a \u017eeny, kter\u00e9 koj\u00ed. Tento l\u00e9k nen\u00ed vhodn\u00fd ani pro pacienty s akutn\u00ed hepatitidou p\u0159\u00edpadn\u011b jin\u00fdmi onemocn\u011bn\u00edmi jater.<\/p>\n<p>Dosp\u011bl\u00ed u\u017e\u00edvaj\u00ed <strong>2 tobolky 3 kr\u00e1t denn\u011b nebo v p\u0159\u00edpad\u011b jednor\u00e1zov\u00e9ho u\u017eit\u00ed 2 tobolky<\/strong>. P\u0159\u00edpravek se u\u017e\u00edv\u00e1 v\u017edy <strong>p\u0159ed j\u00eddlem<\/strong>. Dejte si pozor, abyste tabletku nerozkousli, ale spolkli ji v celku, zapijte dostate\u010dn\u00fdm mno\u017estv\u00edm vody. Obsah tabletky by byl p\u0159i rozkousnut\u00ed velmi ho\u0159k\u00fd. \u00da\u010dinn\u00e1 l\u00e1tka ve Febicholu je <strong>fenipentol<\/strong>.<\/p>\n<h2>Progn\u00f3za onemocn\u011bn\u00ed<\/h2>\n<p><strong>Po opera\u010dn\u00edm odstran\u011bn\u00ed<\/strong> \u017elu\u010dov\u00fdch kamen\u016f se u\u017e <strong>obvykle<\/strong><strong>\u00a0nevracej\u00ed<\/strong>. Riziko znovuobjeven\u00ed kamen\u016f je vy\u0161\u0161\u00ed p\u0159i medikament\u00f3zn\u00ed l\u00e9\u010db\u011b.<\/p>\n<p>Pacienti po odstran\u011bn\u00ed \u017elu\u010dn\u00edku funguj\u00ed b\u011b\u017en\u011b, jen si mus\u00ed d\u00e1vat <strong>pozor na stravov\u00e1n\u00ed<\/strong>.<\/p>\n<h2>Dieta p\u0159i \u017elu\u010dn\u00edkov\u00fdch kamenech<\/h2>\n<p>Na celkov\u00e9 zlep\u0161en\u00ed p\u0159\u00edznak\u016f, ale tak\u00e9 kv\u016fli sn\u00ed\u017een\u00ed rizika op\u011btovn\u00e9ho vzniku \u017elu\u010dn\u00edkov\u00fdch kamen\u016f dodr\u017eujte p\u00e1r z\u00e1sad stravov\u00e1n\u00ed:<\/p>\n<ol>\n<li>Va\u0161e dieta by m\u011bla zahrnovat <strong>sn\u00ed\u017een\u00fd <\/strong> <strong>p\u0159\u00edjem cukr\u016f a tuk\u016f<\/strong>. Zv\u00fd\u0161en\u00fd cholesterol v\u00fdrazn\u011b urychluje vznik kamen\u016f. Vyh\u00fdbejte se sma\u017een\u00fdm a mastn\u00fdm j\u00eddl\u016fm.<\/li>\n<li>Naopak <strong>zvy\u0161te p\u0159\u00edjem vl\u00e1kniny<\/strong>, kter\u00e1 se nach\u00e1z\u00ed nap\u0159\u00edklad v ovesn\u00fdch vlo\u010dk\u00e1ch. Velk\u00e9 mno\u017estv\u00ed vl\u00e1kniny m\u016f\u017ee zp\u016fsobit nafukov\u00e1n\u00ed a plynatost, proto si odpozorujte p\u0159ijateln\u00e9 mno\u017estv\u00ed vl\u00e1kniny.<\/li>\n<li><strong>Nejezte j\u00eddla<\/strong>, kter\u00e1 mohou m\u00edt <strong>proj\u00edmav\u00fd \u00fa\u010dinek<\/strong>. Jsou to nap\u0159\u00edklad p\u0159\u00edli\u0161 sladk\u00e9 potraviny nebo plnotu\u010dn\u00e9 ml\u00e9\u010dn\u00e9 v\u00fdrobky. Z n\u00e1poj\u016f se <strong>vyh\u00fdbejte k\u00e1v\u011b<\/strong> a jin\u00fdm kofeinov\u00fdm v\u00fdrobk\u016fm.<\/li>\n<li>Jezte v men\u0161\u00edch mno\u017estv\u00edch, ale pravideln\u011b a <strong>5 kr\u00e1t denn\u011b<\/strong>.<\/li>\n<li>Pijte dostate\u010dn\u00e9 mno\u017estv\u00ed tekutin, sna\u017ete se vyp\u00edt alespo\u0148 <strong>4 a\u017e 6 sklenic vody denn\u011b<\/strong>.<\/li>\n<\/ol>\n<figure id=\"attachment_2946\" aria-describedby=\"caption-attachment-2946\" style=\"width: 700px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" class=\"wp-image-2946 size-full\" src=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-dieta.png\" alt=\"\u017elu\u010dn\u00edkov\u00e9 kameny - dieta\" width=\"700\" height=\"166\" srcset=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-dieta.png 700w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-dieta-600x142.png 600w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-dieta-300x71.png 300w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/04\/zlcnikove-kamene-dieta-696x166.png 696w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><figcaption id=\"caption-attachment-2946\" class=\"wp-caption-text\">Zdroj: zdravovek.eu, 123rf.com<\/figcaption><\/figure>\n<p style=\"text-align: center;\">N\u011bkte\u0159\u00ed lid\u00e9 po operaci mus\u00ed dodr\u017eovat p\u0159\u00edsnou dietu, ale naopak jsou i tac\u00ed, kte\u0159\u00ed se nemus\u00ed omezovat a mohou j\u00edst prakticky v\u0161echno.<\/p>\n<h2>Rady pro pacienty<\/h2>\n<p>Chcete-li <strong>sn\u00ed\u017eit riziko vzniku<\/strong> na minimum, p\u0159\u00edpadn\u011b jste ji\u017e \u017elu\u010dov\u00fd k\u00e1men m\u011bli a <strong>nechcete, aby se v\u00e1m vr\u00e1til<\/strong>, m\u011bli byste dodr\u017eovat tyto rady:<\/p>\n<ul>\n<li>Pokud jste \u017eena, a u\u017e\u00edv\u00e1te hormon\u00e1ln\u00ed antikoncepci, zva\u017ete jin\u00e9 formy antikoncepce &#8211; nap\u0159\u00edklad bari\u00e9rov\u00e9 jako jsou <strong>kondomy a spermicidn\u00ed kr\u00e9my<\/strong>.<\/li>\n<li>Neu\u017e\u00edvejte vysok\u00e9 d\u00e1vky vitam\u00ednu B.<\/li>\n<li>Naopak, prosp\u011b\u0161n\u00fd je <strong><a href='https:\/\/zdravovek.eu\/a\/cs\/jamieson-vitamin-c-1000mg-120-tablet-drmax-cz\/' class='eap_conversion affil_link' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_affil_link_a', 'EAP_click_affil_link_a', null)\">vitamin C<\/a> a <a href='https:\/\/zdravovek.eu\/a\/cs\/psyllium-topnatur-300-g-pilulka-cz\/' class='eap_conversion affil_link' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_affil_link_a', 'EAP_click_affil_link_a', null)\">vl\u00e1knina<\/a><\/strong>. Bylo potvrzeno, \u017ee nedostatek vitaminu C a \u017elu\u010dov\u00e9 kameny spolu \u00fazce souvis\u00ed.<\/li>\n<li>Skryt\u00e1 nebo <strong>nel\u00e9\u010den\u00e1 potravinov\u00e1 alergie<\/strong> tak\u00e9 nen\u00ed prosp\u011b\u0161n\u00e1. Pokud v\u00e1m n\u011bjak\u00e9 j\u00eddlo d\u011bl\u00e1 probl\u00e9m, dejte si ud\u011blat testy na alergii p\u0159\u00edpadn\u011b intoleranci a z j\u00eddeln\u00ed\u010dku ho bez milosti vy\u0161krtn\u011bte.<\/li>\n<li><strong>Nezapom\u00ednejte na sn\u00eddani<\/strong>. V noci se \u017elu\u010d zahu\u0161\u0165uje. Proto je d\u016fle\u017eit\u00e9, aby se \u017elu\u010dn\u00edk vypr\u00e1zdnil a neza\u010daly se tvo\u0159it mal\u00e9 krystalky, kter\u00e9 n\u00e1sledn\u011b mohou v\u00e9st a\u017e ke kamen\u016fm. Stimul na vypr\u00e1zdn\u011bn\u00ed \u017elu\u010dn\u00edku je pr\u00e1v\u011b prvn\u00ed j\u00eddlo dne.<\/li>\n<li><strong>Vyh\u00fdbejte se rapidn\u00edmu hubnut\u00ed<\/strong>. Hubn\u011bte postupn\u011b a sna\u017ete se udr\u017eet si optim\u00e1ln\u00ed v\u00e1hu. Nezapom\u00ednejte i na fyzickou aktivitu, ne jen na sn\u00ed\u017een\u00ed kalori\u00ed.<\/li>\n<\/ul>\n<h2>Z\u00e1v\u011br<\/h2>\n<p>A\u0165 u\u017e \u017elu\u010dn\u00edkov\u00e9 kameny m\u00e1te a p\u0159em\u00fd\u0161l\u00edte nad mo\u017enost\u00ed l\u00e9\u010dby nebo jste je ji\u017e p\u0159ekonali a zaj\u00edm\u00e1te se o prevenci, v \u010dl\u00e1nku jste na\u0161li <strong>shrnuty informace o t\u011bchto nemil\u00fdch \u00fatvarech v na\u0161em \u017elu\u010dn\u00edku<\/strong>.<\/p>\n<p>Modern\u00ed medic\u00edna nab\u00edz\u00ed \u0161etrn\u00e9 a neinvazivn\u00ed \u0159e\u0161en\u00ed kamen\u016f. L\u00e9ky mohou tak\u00e9 pomoci v redukci kamen\u016f. Vhodn\u00e9 jsou i spr\u00e1vn\u00e9 stravovac\u00ed n\u00e1vyky a dieta. Pora\u010fte se <strong>se sv\u00fdm l\u00e9ka\u0159em<\/strong> a spolu najdete <strong>ide\u00e1ln\u00ed zp\u016fsob l\u00e9\u010dby<\/strong> tohoto onemocn\u011bn\u00ed.<\/p>\n<div class='erit-cta-block '>\n\n                <a class='erit-cta-block-button eap_conversion cta_block cta_button mobile_only' href='https:\/\/zdravovek.eu\/a\/cs\/rowachol-10-ml-pilulka-cz\/' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_cta_block', 'EAP_click_cta_button', null)\">\n                  <img src='https:\/\/zdravovek.eu\/wp-content\/plugins\/erit-affil-publisher\/img\/info-eap.png' alt='icon' class='erit-cta-block-button-icon eap-icon' \/>Zjistit v\u00edce\n                <\/a>\n                \n                <div class='erit-cta-block-content'>\n<p><strong>Mohl by v\u00e1m pomoci: <a href='https:\/\/zdravovek.eu\/a\/cs\/rowachol-10-ml-pilulka-cz\/' class='eap_conversion affil_link' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_affil_link_a', 'EAP_click_affil_link_a', null)\">ROWACHOL<\/a><\/strong><\/p>\n<ul>\n<li>l\u00e9k <strong>rostlinn\u00e9ho p\u016fvodu<\/strong><\/li>\n<li>\u00fa\u010dinn\u00fd v <strong>rozpou\u0161t\u011bn\u00ed \u017elu\u010dov\u00fdch kamen\u016f<\/strong> + prevence jejich vzniku<\/li>\n<li>\u00fa\u010dinn\u00e9 l\u00e1tky jsou: borneol, cineol, kamfen, mentol, Menton, alfa pinen a beta pinen<\/li>\n<\/ul>\n<\/div>\n                \n                <div class='erit-cta-block-img-wrap'>\n                    <a class='product-image eap_conversion cta_block image' href='https:\/\/zdravovek.eu\/a\/cs\/rowachol-10-ml-pilulka-cz\/' rel='nofollow' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_cta_block', 'EAP_click_image', null)\"><img width='150' src='https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/07\/75813.jpg' alt='Rowachol' \/><\/a>\n                    \n                    <a class='erit-cta-block-button eap_conversion cta_block cta_button' href='https:\/\/zdravovek.eu\/a\/cs\/rowachol-10-ml-pilulka-cz\/' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_cta_block', 'EAP_click_cta_button', null)\">\n                      <img src='https:\/\/zdravovek.eu\/wp-content\/plugins\/erit-affil-publisher\/img\/info-eap.png' alt='icon' class='erit-cta-block-button-icon eap-icon' \/>Zjistit v\u00edce\n                     <\/a>\n                    \n                <\/div>\n              <\/div>\n<p><strong>Zdroje<\/strong>:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.webmd.com\/digestive-disorders\/gallstones#1\" target=\"_blank\" rel=\"noopener noreferrer\">webmd.com<\/a><\/li>\n<li><a href=\"https:\/\/www.gastroenterolog.com\/index.php\/24-choroby-v-gastroenterologii\/choroby-zlcnika-a-zlcovych-ciest\/42-zlcove-kamene-cholelitiaza-bolest-brucha\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">gastroenterolog.com<\/a><\/li>\n<li><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/gallstones\/symptoms-causes\/syc-20354214\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">mayoclinic.org<\/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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Dlouho nemus\u00edte ani jen tu\u0161it o jejich p\u0159\u00edtomnosti, a\u017e v\u00e1s najednou p\u0159ekvap\u00ed prudkou bolest\u00ed. P\u0159ibli\u017en\u011b 20 % populace m\u00e1 \u017elu\u010dov\u00e9 kameny, ale p\u0159\u00edznaky se vyskytuj\u00ed pouze u 1 &#8211; 3 % pacient\u016f. V \u010dl\u00e1nku v\u00e1m pop\u00ed\u0161eme souhrn d\u016fle\u017eit\u00fdch informac\u00ed o tomto onemocn\u011bn\u00ed. Co [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":14405,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[85,79],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u017dlu\u010dn\u00edkov\u00e9 kameny - p\u0159\u00edznaky, dieta, l\u00e9\u010dba | Zdravov\u011bk<\/title>\n<meta name=\"description\" content=\"Asi 20% lid\u00ed m\u00e1 \u017elu\u010dn\u00edkov\u00e9 kameny, ale p\u0159\u00edznaky m\u00e1 jen 1-3%. Zjist\u011bte jak\u00e1 je l\u00e9\u010dba, diagnostika, dieta a strava. 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