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Zdravotní poradna
Na vaše dotazy odpovídá lékař 21 Tisk E-mail
Neděle, 22 červen 2014

Dotaz

Dobrý den, prosím vás o radu, RS mám diagnostikovanou od srpna a od listopadu si píchám rebif44. Všechno je tak nějak v  rámci možností v pohodě, ale poslední dobou mívám erektilní dysfunkci, na koho se můžu s tímto problémem obrátit? Na urologii, nebo co byste mi poradila? Je mi 28 let. Děkuji za každou radu, T.

 

Odpověď

Prodiskutujte to nejprve s neurologem RS centra. Vliv může mít určitá psychická rozlada v prvním roce stanovení diagnózy, nová léčba, případně i samotná RS. Nezmiňuji mnohé jiné faktory (např. stres, nevyspání, atd.). Podle příčin můžeme různým způsobem pomoci. Urolog je většinou druhý v řadě, pokud neurolog není úspěšný. Nicméně i tento specialista je s výhodou doporučen neurologem, aby to byl urolog, který se věnuje pacientům s RS.

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Na vaše dotazy odpovídá lékař 20 Tisk E-mail
Pondělí, 03 únor 2014

Dotaz

Dobrý den,

chtěl bych se ještě zeptat na spolehlivost MR při vylučování RS. Pokud jsem ji měl čistou, mohu se spolehnout, že RS nemám?

Děkuji, L. Š.

 

Odpověď

Diagnóza RS je stanovena na základě typických klinických příznaků/neurologického nálezu, průkazu ložisek na magnetické rezonanci mozku nebo míchy a na nálezu
v mozkomíšním moku. Jednotlivé charakteristiky diagnózy nelze oddělit
a vyhodnocujeme je komplexně (případně jejich část
- podle příznaků volíme spektrum vyšetření).

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Na vaše dotazy odpovídá lékař 19 Tisk E-mail
Čtvrtek, 13 září 2012

Dotaz

Dobrý den. Chtěl bych se zeptat, jestli mohu na bolest brát nalgesin. V příbalovém letáku jsem se dozvěděl, že se nemá užívat v kombinaci s léky potlačujícími imunitu. Beru azaprin, injekčně betaferon. Paralen, panadol, ibalgin brát nechci kvůli ledvinám.

Odpověď

Z hlediska RS a její léčby občasné užití nalgesinu nečiní problém. Vzhledem k ledvinám může být při podávání obden s betaferonem problém také. Pokud tedy máte vážnou poruchu ledvinných funkcí, užívání podobného léku konzultujte se svým nefrologem. Pokud to byla pouze obecná nespecifická starost, pak bych doporučila z hlediska nezátěžovosti pro organismus jistě 1. volbu – tedy paralen nebo ibuprofen. Obecně jsou nejšetrnější.

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Na vaše dotazy odpovídá lékař 18 Tisk E-mail
Úterý, 10 leden 2012

Dotaz

Dobrý večer, pani doktorka, v minulosti som sa nechávala pravidelne zaočkovať proti chrípke.

Všeobecná ošetrujúca lekárka mi však neodporučila túto injekciu vzhľadom k môjmu základnému ochoreniu (skleróza multiplex).

Mám, či sa nemám dať zaočkovať? Ďakujem H.

Odpověď

Jakékoliv očkování kromě tetanu skutečně pro možnost zhoršení RS nedoporučujeme. Spíše bych viděla na místě otužování, dostatek vitaminů, při vysokém výskytu virových infekcí v minulé sezoně preventivně podávání Viregytu K v zimním období.

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Na vaše dotazy odpovídá lékař 17 Tisk E-mail
Úterý, 10 leden 2012

Dotaz

Dobrý večer, pani doktorka, v minulosti som sa nechávala pravidelne zaočkovať proti chrípke.

Všeobecná ošetrujúca lekárka mi však neodporučila túto injekciu vzhľadom k môjmu základnému ochoreniu (skleróza multiplex).

Mám, či sa nemám dať zaočkovať? Ďakujem H.

Odpověď

Jakékoliv očkování kromě tetanu skutečně pro možnost zhoršení RS nedoporučujeme. Spíše bych viděla na místě otužování, dostatek vitaminů, při vysokém výskytu virových infekcí v minulé sezoně preventivně podávání Viregytu K v zimním období.

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