Nie je všetko zlato, čo sa blyští!

Napísal Martina Goffová 24. september 2024

Ani zlatá žila! Pozrite sa pravde do očí! Dlhodobé sedenie či státie, stres, dlhé hodiny strávené za volantom, zlá životospráva alebo tehotenstvo. Na Slovensku trpí niektorými z príznakov hemoroidálneho ochorenia viac ako 50 % dospelých.

hemoroidy_man21

Hemoroidálne ochorenie (ľudovo nazývané hemoroidy alebo zlatá žila), respektíve príznaky s ním súvisiace, sú na Slovensku veľmi rozšírené. Výsledky nedávneho prieskumu ukazujú, že za posledných dvanásť mesiacov týmto ochorením trpela dokonca až jedna tretina slovenskej populácie. Hemoroidálne ochorenie si nevyberá – postihuje dospelých ľudí bez ohľadu na ich vek či pohlavie. Včasná a komplexná liečba je pritom dôležitá už od prvých príznakov.

Hemoroidy (cievne pletence) sú prirodzenou súčasťou ľudského tela. Nachádzajú sa v análnej oblasti a okrem iného napomáhajú aj k udržaniu kontinencie, inak povedané k udržaniu stolice, a to tak, že majú doplňujúcu tesniacu funkciu k análnemu zvieraču. „Problém nastáva, keď hemoroidálne (cievne) pletence opuchnú a zapália sa. K vzniku hemoroidov môže prispievať nezdravý životný štýl – viac ako polovica ľudí s hemoroidmi alebo príznakmi má podľa dát sedavé zamestnanie či nadváhu a pravidelne športuje iba každý tretí pacient,“ hovorí krajská odborníčka MZ SR pre gastroenterológiu MUDr. Božena Pekárková. Mladšie ženy pripisujú vznik ochorenia vo vyššej miere tehotenstvu a ľudia nad 55 rokov zas vysokému krvnému tlaku. „Mnoho ľudí trpí len úvodnými štádiami, ktoré ich nemotivujú k návšteve lekára. Z dostupných štatistík vyplynulo, že iba jedna pätina ľudí navštívila kvôli tomuto ochoreniu špecialistu. Väčšina pacientov sa snaží liečiť sama a každý tretí pacient príznaky dokonca vôbec nerieši,“ dopĺňa category manažérka voľnopredajných liekov spoločnosti Zentiva Adriána Rakúsová.

Hemoroidálne ochorenie je chronické a v podstate sa nedá vyliečiť. Dajú sa však predlžovať obdobia pokoja a zmierňovať sila tzv. atakov. Prieskum taktiež odhalil, že svrbenie je najčastejším a aj najviac obťažujúcim príznakom ochorenia. „Medzi ďalšie príznaky patrí bolesť v oblasti konečníka, pálenie, krvácanie či zápal,“ dodáva MUDr. Pekárková.

hemoroidy_24924

Obrázok 1: Najčastejšie prejavy hemoroidálneho ochorenia
Zdroj: *Prieskum 2 muse, 2023, 1312 účastníkov

Nezávisle od toho, či chce človek eliminovať riziko získania tohto ochorenia, či „držať na uzde“ jeho príznaky, je potrebné upraviť svoj životný štýl a systematicky dodržiavať základné režimové opatrenia. V prvom rade dostatok pravidelného pohybu a vyváženú stravu bohatú na dostatok vlákniny a tekutiny. „Je veľmi dôležité, aby sa človek preventívne chránil a naozaj sa vyvaroval dlhému sedeniu, eliminoval aj tzv. vysedávanie na toalete. Neodporúča sa zdvíhanie ťažkých bremien a práca v podrepe. Pozor by sa mal dávať na análnu hygienu, ktorú netreba podceňovať, ale ani preháňať. K režimovým opatreniam patrí nepochybne i redukcia nadváhy,“ upozorňuje prednosta I. chirurgickej kliniky LF UK a UNB doc. MUDr. Marek Čambal, PhD., MPH, MHA.

Hlavným impulzom k návšteve lekára je pre tretinu ľudí dlhodobý pocit diskomfortu a štvrtine stačí uvedomenie si, že by mohlo ísť o hemoroidy. Najviac pacientov navštívilo gastroenterológa. Chirurga navštevujú pacienti najmä v štádiu komplikácií. Ľudia do 55 rokov, v porovnaní so staršími, viac trpia bolesťou. Podľa prieskumu ženy navštevujú lekára v menšej miere ako muži a celkovo hemoroidy s lekárom riešia skôr ľudia nad 55 rokov.

Pri hemoroidoch sa často striedajú pokojnejšie obdobia s obdobiami s výraznými problémami a príznakmi, ktoré sa nazývajú akútne ataky. Liečba hemoroidálneho ochorenia je komplexná naprieč všetkými štádiami ochorenia a jej nevyhnutnou súčasťou sú už spomínané režimové opatrenia. „Súčasťou liečby je aj systémová farmakoterapia, ktorá pozostáva z perorálne podaných liečiv – venofarmák pôsobiacich spevňujúco na steny ciev. Ako podporná liečba je zároveň vhodná lokálna farmakoterapia v podobe mastí, čapíkov a podobne, ktorá pomôže najmä rýchlo uľaviť od príznakov, ako sú svrbenie a bolesť,“ vysvetľuje MUDr. Pekárková. Zaujímavosťou je, že tehotných žien s hemoroidmi je 7 %. Viac ako polovica ľudí, ktorí trpia hemoroidmi alebo ťažkosťami v oblasti konečníka, trpí tiež ťažkosťami s trávením a tretina ťažkosťami s močením.

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    "In CrossFit, hang snatches usually seem in a exercise utilizing mild weight, so that you just can move the bar fast, and crank up your heart price," he says.

    The previous workouts ought to be carried out
    exactly as written. Athletes can obtain tremendous bodily and psychological rewards for
    grinding by way of the motion and doing what is prescribed, and 30 squat
    snatches at one hundred thirty five lb. The same strategy, although,
    just isn't necessarily needed when dealing with gentle loads.
    F. Land in 1 / 4 squat (feet shoulders-width aside,
    toes slightly turned out), whereas shifting rapidly into an overhead squat position underneath the bar.

    Your huge back muscle tissue (lats, rhomboids, and traps) also play a
    major role, as you stabilize the backbone via the movement.

    In CrossFit competitions, the squat snatch should be carried out with the barbell lifted from the ground to
    overhead in a single motion. The athlete must reach full lockout with the barbell
    overhead and present control before reducing the bar.
    If you’re shifting properly, add weight via the final
    10 minutes, however the objective is to haven't any missed lifts.
    D. Straighten legs whereas pulling the barbell up alongside the front of the physique with
    straight arms.
    As A End Result Of the snatch can construct muscle mass just like different resistance workout routines, frequently incorporating the movement into your routine can actually speed up your metabolism, adds Rouse.
    That means extra energy burned out and in of the gym.
    "The snatch can even assist construct energy, explosiveness, velocity, physique awareness, and coordination," she says.
    "Simply take into consideration how powerful your legs have to be and the way rapidly you have to transfer to get a heavy barbell overhead," explains Wickham.
    Now we are going to use the same position however perform a power snatch as
    an alternative of a muscle snatch. Athletes will now start to be taught the pull into a change
    of direction.
    "A certified coach will know tips on how to educate, cue, and correct any movement's imperfections," she explains.
    As I already stated, Amanda is tough benchmark WOD, and not many individuals can end it unbroken in decent time.
    Don’t fear and scale it as it will benefit you greater than finishing it with time over quarter-hour.
    Usually, you presumably can maintain one of many movements you would possibly be better
    as RXd and scale solely the one you are weak at. This is your final set, and
    it is only 5 reps however don’t go unbroken in case you
    are not one hundred pc positive you can do it.

    All the coaching factors and practice from the previous work
    comes together to finish with a full squat snatch.

    In minutes 6-10, begin from the low grasp and attempt to obtain the bar
    in a squat. We might add a little weight, however stick to the same weight
    for the full 5 minutes; the opportunity to extend weight
    will come in the subsequent 10 minutes. Focus on being
    patient, maintaining the chest/shoulders on prime
    of the bar, and jumping before using the arms to drag under.

    three sets at a light-weight to average weight primarily based in your ability should have you
    ever pretty good and heat as nicely as prep your body to move the bar efficiently whereas coaching good positions.

    For example, 3 sets the place weights enhance and then lower.

    This can confuse the muscles, spurring progress and strength.

    E) When the bell passes chest top, drop under the load to land in a quarter squat,
    elbow fully locked out. A) Start with the loaded barbell on the bottom with bar over toes.
    Feet should be about hip-width aside, toes barely turned out.
    If your objective is glute, hamstring, and back features, the deadlift ought to take the top spot.
    Yes, the squat utilizes these muscle teams too,
    but the deadlift locations more of an emphasis by way of the posterior chain than the squat does.

    Lumbar curve is maintained because the athlete passes by way
    of a positioning pull and comes to full extension, all the whereas creating
    speed and elevation on the bar. The athlete then quickly changes
    course to receive the bar in an overhead-squat place.

    You can spend a lifetime training this movement and never good
    it, but that alone isn't any cause to keep away from placing this article down proper now and making an attempt a quantity of reps with a broomstick in your garage.

    Practice the squat snatch regularly, and don’t be afraid to
    appear to be a beginner on this motion.
    Catch the bell so that it's resting alongside the proper forearm.
    D. Simultaneously pull the bell straight up along the front
    of the body whereas explosively opening hips and knees to stand.

    B. Reaching proper arm straight down, hinge hips again and
    bend at knees into a squat. We want to put athletes right into the fireplace to permit them to slowly understand.
    And no means are they maxing out today and even the first month or doubtlessly the first year.

    In other words, these actions are outstanding for transferring abilities
    to different domains. This variation allows for related movement patterns and advantages, while additionally improving unilateral power and coordination. The squat
    snatch is superb for developing full-body strength, energy,
    and coordination. It’s notably beneficial for athletes looking
    to enhance their Olympic lifting performance
    and general athletic skills. Choose up an empty barbell (or
    a PVC pipe) and practice transferring little or no or no weight with
    good form. "It Is such a technical motion that you could spend your complete lifetime getting a little bit higher at it day-by-day, week-by-week, and year-by-year and still have one thing to improve,"
    says Wickham.
    Inform them the hips come through, keep up on the toes,
    and rotate the implement into place. This movement also will get the athlete into the plantarflexed
    ankles. This 4-week squat program offers a holistic strategy to strengthening your squat.
    Incorporating power, power, method, and restoration, it’s
    meticulously crafted for both newcomers and seasoned lifters.


    The power you build in a squat will carry over
    into the deadlift. The same might be true for carryover from a deadlift
    to a squat, but not to the identical extent.
    The glutes and hamstrings are the primary drivers in pushing to increase the hips.

    Making Certain proper timing and technique is vital to overcoming this
    issue. The squat snatch is an Olympic raise the place you lift a barbell
    from the ground to overhead in a single continuous movement whereas dropping into a squat.

    It tests your power, speed, flexibility, and coordination. These two
    items could be completed in LESS THAN two minutes and you'll be lots heat.

    Additionally, if these drills are done day by day (and correctly),
    you should see great features in creating proficiency within the snatch and overhead
    squat. F. Finish the movement by straightening knees
    and hips fully before initiating one other repetition.
    "Anyone who's prepared to put in the work to study the snatch can reap the mobility and energy benefits of the moment," says Wickham.

    At the 2009 Rocky Mountain Regional Skip Miller organized,
    he programmed a workout that required a complete of seven,000 lb.

    To be snatched overhead, whereas the loads have been left up to the athletes.
    And muscle-snatched the weight to a hard-earned victory. He muscle-snatched
    roughly 50 of the reps before having to change to a extra conventional power snatch.
    The muscle-snatch rep was much sooner than the normal power-snatch rep.
    The conventional strategy to the Oly lifts is to make use
    of these movements to develop explosive velocity and energy.
    They have actually been confirmed efficient for that function, and the best outcomes are found with shorter sets.

    The barbell snatch is among the most technically complex weight-training actions and one of the two lifts in Olympic weightlifting competitions.
    The squat snatch is ideal for maximizing the masses dealt
    with. Many track-and-field and ball-sports athletes train the power snatch and energy clean solely to focus on the pulling phases without as a lot concern for the receiving section. Traditionally, the snatch has been used in very low-repetition units.
    CrossFit, though, has seen great benefit from high-repetition snatch (and
    clean) units.
    Athletes need to squeeze the backbone, using their scaps, rhomboids, and rear delts.
    All the data given within the articles concerning exercise programming, separate workout routines, and
    athletic performance, normally, is predicated on verified information.
    To maximize results, it’s essential to periodically infuse these methods and workouts into
    your routine. They will not solely break the monotony but also push your boundaries,
    making certain that you just continue to see features in power, endurance,
    and muscle development.
    C) Grip the bell with an overhand grip, then shift hips up towards the ceiling so
    that your chest is over the load. (If you've got ever
    seen a rugby or football participant within the hike position, this can look
    familiar). B) Reaching proper arm straight down, hinge hips back
    and bend at knees into a squat. Athletes clobbering across the ground on their hands, cranking out one-legged pistol squats, and gracefully flinging their bodies over pull-up bars.
    There's no shortage of parents doing badass workouts in a CrossFit box at any given time.
    However perhaps essentially the most epic of them all is the snatch.

    We need to educate athletes from a top-down perspective.

    "You need to be an excellent clear and jerk-er and snatcher to drag this movement off, so it actually is not for beginners," he says.

    But a power is mostly considered "easier" for people new to lifting, and people with limited mobility, as a result of it does not require squatting.
    Your quads, hip adductors, and glutes work collectively
    to extend the knees and the hips at the similar time. Like the deadlift,
    your again muscles attribute to the movement as well—your low again extensors shorten at your lengthen by way of the hips, and
    your mid-back muscles work to stabilize the load. The squat snatch is a rewarding yet difficult exercise that can take your training to new
    heights.
    If you aren’t going to put on lifting sneakers, you have other options.
    Chuck Taylors are a favourite of many CrossFitters, and a few trail-running footwear with more durable soles (like Salomons) additionally provide a good possibility for a exercise that involves working and snatching.
    If you have a small window of time within the health club but you want to get
    better at each workouts, prioritize the squat. The squat trains the identical muscular tissues you employ in the deadlift,
    however by way of a higher range of movement, based on Samuel.

    The weight hits the overhead position and also you essentially pull it again to the underside while maintaining your grip on the bar all through.
    This is very demanding as a outcome of it permits little time for relaxing or respiratory.

    This method is finest used with a quick move like
    the muscle snatch or power snatch with no adjustment of toes.
    If you'll squat snatch or break up snatch, you may need to have a glance at a number
    of the different choices. For a high-rep snatch workout with a conventional energy snatch
    method, we end up seeing ft starting at hip width and
    touchdown at shoulder width. The athlete then stands to full
    extension and resets the ft as (or after) she or he
    brings the weight down. Once the bar is on the ground, the athlete repeats the process.

    Properly, as fitness whores and never technique snobs, this implies we ought to always discover non-traditional techniques for high-rep workouts.
    G. Stand up earlier than returning the weight back to the beginning position. F.
    Continue to press the load upward till arm is completely straight and locked out over proper shoulder.

    C. Grip the bell with an overhand grip, then shift hips up towards the ceiling in order
    that chest is over the weight.
    "The motion requires a ton of stability, which suggests your core has to enter overdrive to maintain you balanced and managed as you move the load," says Wickham.
    Past simply strengthening your abs, a powerful core is crucial for good posture and stability,
    and may help you lift, throw, kick, punt, and punch
    far and powerfully. A snatch, or squat snatch, is a
    technical, superior weightlifting motion. It’s a transfer in style
    with CrossFit and Olympic athletes. From the hip, decrease the bar down to
    the place it would be hovering over the ground as if plates have been on it.

    Earlier Than you pick up a weighted barbell, it is a good
    suggestion to maneuver through the movement with an empty barbell, PVC pipe, or broomstick to excellent
    your type. Below, tips on how to do a power snatch in CrossFit, step-by-step, based on Milgram and Rouse.
    Below, you will learn the advantages of all of the snatches exercise
    strikes — plus the way to do every snatch CrossFit variation you see in all those WODs.
    For novices, strikes like kettlebell swings and jump squats
    are good training for a snatch.
    "It's powerful, positive, but that's a part of what makes it so rewarding,"
    he adds. The kettlebell snatch requires more talent than the
    dumbbell snatch. Because of the place of the
    handle if you punch the burden towards the sky, you have to
    do it just so to have the ability to keep away from
    the bell crashing down onto your wrist. It may
    take somewhat trial and error to figure out
    the timing, says Wickham.

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