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Ako sa vyhnúť hemoroidom počas tehotenstva? Radia odborníci

Napísal Viktória Hudáková 18. september 2024

Tehotenstvo je jedno z najkrajších, no zároveň aj najnáročnejších období ženy. Budúce mamičky sa chystajú na príchod nového člena rodiny fyzicky i psychicky. V príprave tela na pôrod však mnohokrát zabúdajú na prevenciu pred hemoroidmi,...

... ktoré sa môžu vyskytnúť počas tehotenstva. Ako sa im vyvarovať a ako s nimi bojovať? Radí gynekologička.

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Zlatá žila aj v tehotenstve

Hemoroidy, známe aj ako zlatá žila, sú žilové ochorenie vznikajúce v oblasti konečníka – buď na jeho povrchu, alebo hlbšie v análnom kanáli. „Ide o chronické, pomaly postupujúce ochorenie, ktoré môže byť v istom období úplne bezpríznakové, respektíve môže mať len menej obťažujúce príznaky,“ vysvetľuje gastroenterológ MUDr. Radovan Juríček.  A hoci sa zdá, že hemoroidmi trpia prevažne starší ľudia, nie je tomu tak. Ohrozenou skupinou sú často aj tehotné ženy. „V ambulancii mám približne 25-30 % tehotných žien, alebo žien po pôrode, ktoré trápia hemoroidy. Odborná literatúra však hovorí až o 50 %,“ hovorí gynekologička MUDr. Zuzana Kosibová.

Hemoroidy pred aj po pôrode

Sliznica konečníka je vystlaná cievnou sieťou, ktorá vyživuje okolité tkanivo. Ak je však tlak na cievy priveľký, nahromadí sa v nich krv a vytvoria sa uzlíky – hemoroidy. Špeciálny tlak na cievnu sieť vzniká aj počas tehotenstva, kedy sa ženám spomaľuje črevná peristaltika a rastom plodu stúpa aj tlak maternice. „Vznik hemoroidov podporuje aj fakt zvyšujúceho sa objemu krvi v tehotenskom organizme,“ hovorí gynekologička. Zároveň vysvetľuje, že prítomnosť hemoroidov môže samotný pôrod zhoršiť, ale ide o krátkodobý stav. „Určite nie je dôvod na ukončenie tehotenstva cisárskym rezom z preventívnych dôvodov, aby sme zabránili prípadnému prechodnému zhoršeniu,“ dodáva MUDr. Zuzana Kosibová. Tiež vysvetľuje, že vhodnou prevenciou a liečbou hemoroidov sa dá všetkým komplikáciám, akým môže byť napríklad zápal, dobre vyhnúť.

Dajte stopku hemoroidom

Už pri vyšetrení tehotných žien sa venuje pozornosť vnútorným i vonkajším hemoroidom. „Akonáhle vidíme, že ide o vonkajšie hemoroidy, alebo nám tehotná žena opíše klinickú symptomatológiu vnútorných hemoroidov, doporučujeme preventívne opatrenia a vhodnú liečbu,“ vysvetľuje gynekologička. Na svrbenie, krvácanie či bolesť odporúča hlavne čapíky s protizápalovou, analgetickou a protiedematóznou zložkou. Po pôrode zas s čapíky s anestetickou zložkou. „Preferovala by som čapíky a gély s rýchlym vstrebávaním. Existujú aj čistiace produkty na oblasť konečníka, ktoré možno použiť po stolici. Chladná sprcha po stolici i preplach perianálnej oblasti môžu tiež veľmi pomôcť,“ hovorí MUDr. Zuzana Kosibová a zdôrazňuje, že sedacie kúpele v tehotenstve vôbec neodporúča. Vhodným produktom na čistenie môžu byť napríklad vlhčené obrúsky s extraktom listnatca pichľavého (Ruscus acuelatus), ktorý obsahuje ruskogenín a neoruskogenín. „Tieto látky sťahujú cievy a znižujú priepustnosť kapilár, čím sa znižuje opuch,“ vysvetľuje gastroenerológ MUDr. Radovan Juríček. U čapíkov je vhodnou zložkou lidokaín, ktorý ma anestetický účinok a prináša rýchlu úľavu od bolesti, a tiež tribenozid, ktorý znižuje priepustnosť ciev. „Krémy a čapíky s týmito zložkami sú vhodné pre ženy od 4. mesiaca tehotenstva a rovnako pre dojčiace ženy,“ hovorí. Budúce mamičky tak majú na výber z viacerých produktov, napríklad Procto-Glyvenovl či Preparation H.

Bezproblémové tehotenstvo = prevencia pred hemoroidmi

Hoci za vznikom hemoroidov počas tehotenstva môžu stáť faktory, ktoré nedokážeme ovplyvniť, svojou životosprávou im vieme aspoň čiastočne zabrániť. Gynekologička MUDr. Zuzana Kosibová odporúča:

-   Dostatočný príjem tekutín, ktorý je kľúčový pre fungovanie tráviaceho systému a prevenciu zápchy. Tehotné ženy by denne mali vypiť minimálne 2 až 3 litre tekutín. Okrem vody sú vhodnou alternatívou napríklad aj bylinné čaje.

-  Pestrú a vyváženú stravu, ktorá by mala byť bohatá najmä na vlákninu. Vhodné sú celozrnné produkty, mnoho zeleniny, ovocia, strukovín i orechov.

-  Dostatočný pohyb, ktorý okrem celkového zdravia pomáha aj predchádzať zápche. Dôležité je však venovať sa pohybu, ktorý tehotenstvo neohrozí.

-  Cviky panvového dna, známe ako Kegelove cviky. Tie okrem posilnenia svalov pomáhajú predchádzať opuchom a zápalom žíl, a tiež podporujú správnu funkciu tráviaceho systému.

-  Obmedzenie tvrdých stoličiek na sedenie. Podsedáky či mäkké vankúše zmierňujú tlak pri sedení. Pri sedavej práci je dôležité pravidelne vstať a prejsť sa aspoň na pár minút.

Zdroj foto: PickWizard

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    Next, lower the body as if till the thighs
    are parallel to the floor and the knees are flexed at 90 levels.
    With the burden placed within the heels,
    the chest ought to stay going through upward for postural stability.
    This offers the glute with a decent and lifted appearance,
    and helps to rid weight lifters of the dreaded flat upper butt.
    Due to the dynamic motion of this train, glute kickbacks may also interact the core and aid within the growth of hip
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    and decreasing the appearance of flatness in the higher buttocks.
    Adding a mini band to this movement could have all
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    When you mainly do a lot of operating or walking as your workouts, you’re
    transferring ahead in one airplane of motion.
    It’s a great exercise that targets the exact area we wish to be targeting.
    Right now, you’re most likely considering
    it’s not possible to target completely different parts of the glutes because
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    Do a search on the Web and you will see a vast number of totally different brands
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    With consistent weight-training exercises designed to construct muscle, you will see vital development in the measurement of your glutes.
    But bulking up your derriere takes more than simply doing supersets of lunges,
    squats and deadlifts. Much just like the aforementioned machine hip abduction exercise, this exercise targets the hip abductors and more importantly, the gluteus medius and gluteus minimus of the upper buttocks.
    As A End Result Of dynamic motion is being used,
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    During these actions, you're performing hip flexion and hip extension. If you assume about a squat, your hips are pushed again with a bend at the hips.

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    If constructing sturdy glutes is in your To-Do listing,
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    While these exercises do involve your glutes, different workouts work your butt extra
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    The glutes' main function helps to drive the hips ahead to extend the hip joint when flexed.
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    list — they provide a killer burn for the butt muscles in a means that can’t get replaced by some other weighted train. If you’re on a mission to add size and energy to your glutes, hip thrusts can get you
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    Effects of varied stance widths, foot placement angles and level of expertise on knee,
    hip and trunk movement and loading. J., Hammond, K.

    G., Schilling, B. K., Ferreria, L. C., Reed, J. P., & Weiss, L.
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    First issues first, glute coaching just isn't a passing fitness fad—it’s the for-real foundation. The glutes represent the biggest muscle group, which
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    Activation refers to the diploma to which the glute
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    Some of the strongest athletes on the planet use
    this train to strengthen their glutes and improve their squat and
    deadlift performance. With a pedigree like that, it’s safe
    to say that this exercise is incredibly effective and deserves its place in your glute-building workouts.

    Pick the one that aligns finest with your objectives and out there tools.
    The sensation ought to be corresponding to clenching your bicep as hard as
    you probably can. If you’re not experiencing this, which means your glutes aren’t firing.


    Health fanatics sometimes use the term underbust to describe this
    space. The gluteus maximus is the most important and most powerful muscle that makes
    up the anatomy of the glutes. It makes up many of
    the booty, and creating it presents several advantages.
    It provides priceless insight into which workouts really have interaction the glutes.
    We used EMG testing to gauge which exercises had been the best glute exercises for
    activating the decrease and higher glutes. Cable hip abduction is a traditional train to hit the gluteus medius
    and out of doors of your hips. They're straightforward to
    perform, simple to load, and easy to apply progressive overload.
    If I had to decide only one motion to put in your glute
    train program, it might be the barbell hip thrust.


    To successfully work the glutes and hamstrings, kickbacks are a stable selection. Glutes are actually
    only a fancy way of saying the butt (for those new here!),
    and they’re one of the essential muscles
    in your physique to coach. Perform exercise 1a after which
    immediately do a set of exercise 1b. There's nothing mistaken with squats, but if you would like to really build
    glutes, you want these five methods. Not only that,
    mastering your deadlift can improve posture and grip power,
    each easily transferable to different workouts.
    If you wish to develop your glutes and get a fuller, rounder
    butt, be sure to incorporate Resistance Bands Kickbacks and Wall Single-Leg Glute Bridges.
    But in case your goal is to develop your glutes, making
    them greater, I’d say to stay with the Resistance Bands Kickback and Wall
    Single-Leg Glute Bridge.
    But for men and women alike, there's simply one thing about having larger glutes.
    You can hold a pair of dumbbells to make the train tougher.
    Alternatively, step over a resistance band, grab it
    with both arms, and do the exercise as you often would.

    The reply varies depending on the particular person, the frequency of exercise, protein intake, and physique fat.


    When they recuperate, they'll rebuild slightly bit greater and stronger.
    They need this strength as a end result of their a quantity of roles in physique movement.
    In actuality, most of the actions you do depend on your
    glutes in some trend.
    You can vary the lunge by performing them with dumbbells instead of a barbell, and you
    can even do strolling lunges if your gym is big enough for it.

    These problems can spell serious trouble for elements of the physique
    beyond your butt, including again pain and
    knee soreness. However sculpting your backside doesn’t need to be a strictly aesthetic pursuit.

    The truth is, our glute muscular tissues
    do far more than just make us look good in yoga pants.
    They assist us maintain correct posture and interact in actions like
    running, leaping, and climbing.