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Test na hodnotenie stresu a jeho vplyv na zdravie z pohľadu lekárov

Napísal TS 05. október 2024

Tento krátky dotazník vám pomôže získať lepší prehľad o tom, ako sa stres dotýka práve vás. Dlhodobý stres, s ktorým nepracujeme sa mení na chronický stres, ktorý je sa podpisuje pod mnohé ochorenia. Urobte si dotazník, v akom ste strese a prečítajte si od lekárov z polikliniky celostnej medicín Medante, ako vplýva na vaše zdravie.

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MEDANTE DOTAZNÍK - HODNOTENIE ÚROVNE STRESU 

Odpovedzte úprimne na všetky otázky, vyberúc vždy iba jednu možnosť – áno alebo nie. Odpovedzte áno, aj keď sa vás týka len časť otázky. Urobte si prosím na tento test čas a  buďte úplne úprimní vo svojich odpovediach:

1. Často si nosím prácu domov a dorábam ju večer/v noci.
1) Áno
2) Nie

2. Deň nemá dosť hodín na to, aby som urobil/-a všetky veci, ktoré musím urobiť.
1 Áno
2) Nie

3. Popieram alebo ignorujem problémy v nádeji, že sa sami vyriešia.
1) Áno
2) Nie

4. Mám problém zveriť úlohy iným ľuďom, pretože sa obávam, že nebudú vykonané kvalitne.
1)  Áno
2) Nie

5. Podceňujem, ako dlho bude trvať splniť pracovné úlohy.
1) Áno
2) Nie

6. Mám pocit, že v mojej práci / živote je príliš veľa termínov, ktoré je ťažké splniť.
1) Áno
2) Nie

7. Moje sebavedomie/sebahodnota sú nižšie, ako by som chcel/-a. (mám pocit, že nie som dostatočne dobrý/á)
1) Áno
2) Nie

8. Mám pocit viny, keď relaxujem a nič produktívne nerobím.
1) Áno
2) Nie

9. Zistil/-a som, že myslím na problémy (hľadám ich riešenia), aj keď by som mal/-a relaxovať.
1) Áno
2) Nie

10. Cítim sa vyčerpaný/-á alebo unavený/-á, aj keď sa zobudím po primerane dlhom spánku.
1) Áno
2) Nie

11. Často dokončujem vety iných ľudí, keď hovoria príliš pomaly.
1) Áno
2) Nie

12. Mám tendenciu rýchlo jesť, rozprávať, chodiť a jazdiť.
1) Áno
2) Nie

13. Zažívam zmeny v apetíte, buď mám chuť sa prejedať, alebo nemám chuť na jedlo/ nevadí mi vynechať jedlo.
1) Áno
2) Nie

14. Cítim sa podráždený/-á alebo nahnevaný/-á, ak sa mi zdá, že auto alebo premávka predo mnou idú príliš pomaly/ Som frustrovaný/-á z toho, keď musím čakať v rade.
1) Áno
2) Nie

15. Ak ma niečo alebo niekto naozaj nahnevá, potlačujem svoje pocity.
1) Áno
2) Nie

16. Keď hrám šport alebo hry, naozaj sa snažím vyhrať bez ohľadu na to, s kým hrám.
1) Áno
2) Nie

17. Mám problémy s koncentráciou, pamäťou alebo sa mi často mení nálada.
1) Áno
2) Nie

18. Mám tendenciu byť kritický/á k sebe a k ostatným.
1) Áno
2) Nie

19. Často mi unikajú detaily konverzácie, pretože som zaneprázdnený/á vlastnými myšlienkami.
1) Áno
2) Nie

20. Moja sexuálna túžba je nižšia (u žien môže dochádzať k zmenám menštruačného cyklu).
1) Áno
2) Nie

21. Zistil/-á som, že niekedy škrípem zubami.
1) Áno
2) Nie

22. Mávam svalové bolesti na chrbte/ krížov/ ramien alebo bolesti hlavy.
1) Áno
2) Nie

23. Nie som schopný/-á vykonávať úlohy, tak dobre a rýchlo ako predtým, môj úsudok je zahmlený alebo nie taký, ako bol predtým.
1) Áno
2) Nie

24. Zistil/-a som, že potrebujem viac alkoholu, kofeínu, nikotínu alebo užívam viacej liekov.
1) Áno
2) Nie

25. Zistil/-a som, že nemám čas na svoje záujmy / koníčky mimo práce.
1) Áno
2) Nie

Skóre odpovede áno = 1 (jedna) a skóre odpovede typu nie = 0 (nula). SPOLU

Vaše skóre:

Väčšina z nás dokáže zvládnuť rôzne množstvo tlaku bez toho, aby sme sa cítili stresovaní. Avšak priveľký alebo nadmerný tlak, často vytváraný našimi vlastnými vzorcami myslenia a životnými skúsenosťami, môže preťažiť našu schopnosť vyrovnať sa so stresom.

4 body alebo menej: Gratulujeme, vaše skóre naznačuje, že ste schopní pomerne dobre zvládať stres. Ak by ste však chceli ešte viac posilniť svoje stratégie zvládať stres a pracovať na vašej odolnosti, môžete využiť koučingu.

5 – 13 bodov: Vaše skóre naznačuje, že by ste mohli mať prospech z cielených stratégií na zvládanie stresu. Môžete čeliť zvýšenému riziku duševných a fyzických problémov spojených so stresom. Odporúčame vám konzultáciu s odborníkom, ktorý vám pomôže identifikovať vaše konkrétne potreby a vypracovať individuálny plán.

14 a viac bodov: Vaše skóre naznačuje, že by ste mohli mať výrazné problémy so stresom, ktoré by mohli ovplyvňovať vaše fyzické aj psychické zdravie. To znamená, že je pravdepodobné, že budete zažívať často stresové situácie a choroby súvisiace so stresom, napr. dráždivé črevo, migréna, bolesti chrbta a krku, vysoký krvný tlak, duševné choroby (depresia, úzkosť a stres). Dôležité je vyhľadať odbornú pomoc alebo poradenstvo pre zvládaní stresu.  

Stres má významný negatívny vplyv na fyzické aj psychické zdravie a môže viesť k vážnym zdravotným problémom, ktoré je potrebné riešiť komplexne. Lekári a odborníci z rôznych oblastí medicíny z polikliniky Medante vysvetľujú, ako stres pôsobí na ich špecializované oblasti a aké celostné medicínske postupy sa dajú využiť na jeho zvládnutie.

MUDr. Lucia Fedorkovičová / psychiatrička / Medante

Stres významne ovplyvňuje duševné zdravie a prejavuje sa aj v telesných symptómoch. MUDr. Lucia Fedorkovičová upozorňuje, že medzi najčastejšie somatické, telesné príznaky patria:

●      Zrýchlené dýchanie, búšenie srdca, bolesť na hrudi a vysoký krvný tlak.

●      Bolesti hlavy, závraty, problémy s trávením, bolesť žalúdka.

●      Problémy s menštruáciou a sexuálne dysfunkcie.

Chronický stres je často spojený s duševnými problémami, ako sú rozvoj úzkostí, depresií, nespavosť, problémy s pamäťou a so závislosťami.

Z pohľadu psychiatrie sa odporúča vyhýbať sa farmakoterapii, pokiaľ to nie je nevyhnutné, a radšej pracovať na dlhodobých zmenách v prístupe pacienta k stresu. Využívajú sa relaxačné techniky, regulované dýchanie, úpravu jedálnička a spoluprácu s psychoterapeutmi, aby pacienti zvládli stres a predišli návratu problémov.

MUDr. Petronela Lúčanová / gynekologička
Ženský hormonálny systém je mimoriadne citlivý na stres, ktorý môže spôsobiť mnohé problémy v oblasti reprodukčného zdravia. Chronický stres významne vplýva na menštruačný cyklus a z praxe MUDr. Lúčanovej vyplýva, že sa podpisuje pod približne 80 % tzv. funkčných porúch. 

MUDr. Petronela Lúčanová vysvetľuje, že chronický stres často vedie k:

●      Predmenštruačnému syndrómu, silnému nepravidelnému krvácaniu, úplnej absencii menštruácie či chronickej panvovej bolesti.

●      Zvýšenému riziku vzniku rakoviny prsníka, vaječníkov a endometrii.

●      Vyššiemu riziku predčasnej menopauzy a stredných až závažných perimenopauzálnych prejavov.

●      Zvýšenému riziku rakoviny pankreasu u žien s polycistickými vaječníkmi.

Okrem fyzických problémov má stres vplyv aj na psychické zdravie žien, zvyšuje úzkosť a riziko depresie. Pacientkam sa odporúča nielen klasická lekárska liečba, ale aj zmena životného štýlu, podpora hormonálnej rovnováhy a spolupráca s odborníkmi na výživu a psychoterapiu.

MUDr. Beáta Repáková / gastroenterologička
Stres vplýva na stravovacie správanie človeka a má významný vplyv na zažívací trakt. Podľa MUDr. Bbeáty Repákovej vedie k zmenám v komunikácii medzi mozgom a črevami, čo môže spôsobiť mnohé ochorenia ako reflux, peptický vred alebo nešpecifické črevné zápaly (Crohnova choroba, ulcerózna kolitída).

Medzi najčastejšie diagnózy patria funkčné poruchy, ako je syndróm dráždivého čreva, ktoré majú silný psychosomatický základ. Liečba týchto problémov vyžaduje komplexný prístup zahŕňajúci medikamentóznu liečbu. MUDr. Beáta Repáková zdôrazňuje, že v týchto prípadoch sú mimoriadne prínosné a účinné metódy celostnej medicíny, kedy je pacient prepojený napríklad s terapeutom či koučom.

Kristián Fülöp / fyzioterapeut
Stres sa prejavuje aj na pohybovom aparáte, najmä stuhnutými svalmi a bolesťami krčnej chrbtice či hlavy. Kristián Fülöp upozorňuje, že chronický stres môže viesť k zlému držaniu tela, bolestiam chrbta a migrénam.

Kristián Fülöp odporúča pacientom cvičenia zamerané na uvoľnenie svalstva, správne dýchanie a vedomý pohyb, ktoré môžu zmierniť stres a zabrániť dlhodobým poškodeniam pohybového aparátu. Zdôrazňuje potrebu pravidelnej fyzioterapie a cvičení ako účinnú prevenciu proti stresu.

Jana Zaujecová / koučka
Koučka Jana Zaujecová pomáha ľuďom identifikovať svoje stresové vzorce a zmeniť ich, aby neboli deštruktívne. Každý človek má iné reakcie na stres, ktoré sú často spojené s rôznymi vnútornými presvedčeniami.

5 najčastejších presvedčení, ktoré v nás vyvolávajú stres:

  1. Zavďačuj sa ostatným – presvedčenie, že musíte byť so všetkými zadobre
  2. Usilovne sa snaž – presvedčenie, že musíme byť za každých okolností vytrvalí, trpezliví, či inak proaktívni
  3. Ponáhľaj sa a pridaj – zvyk, ktorý nás núti naberať na seba ďalšie a ďalšie úlohy
  4. Buď dokonalý – presvedčenie, že musíme všetko zvládnuť dokonalo, perfekcionizmus
  5. Buď silný – presvedčenie, že si musíme vždy poradiť sami v každej situácii, neprijímame pomoc ostatných, vzďaľujeme sa ostatným, čo vedie k  sociálnej izolácii.

Cieľom koučingu je naučiť pacientov uvedomiť si stresovú situáciu, poodstúpiť od nej a zareagovať inak ako vžitými vzorcami. Je dôležité nájsť rovnováhu medzi zvládaním stresu a jeho prijímaním ako motivácie. Práca s koučom zahrňuje analýzu stresových vzorcov a hľadanie ciest, ako ich zmierniť, aby neohrozovali zdravie pacienta.

Zdroj foto: Mendante

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    - Factors affecting the onset of IMT
    - Signs indicating IMT is taking effect
    - Variability in response times among individuals
    - Strategies to potentially enhance effectiveness

    On average, how long does it take for intramuscular
    testosterone to start working?


    Intramuscular testosterone typically begins to work within a
    few days. However, the exact timeframe can vary based on individual factors
    such as metabolism and absorption rates.

    Are there any factors that can affect the
    time it takes for intramuscular testosterone to take effect?




    Several factors influence the timing of IMT effects:
    - Health of the testes
    - Presence of other hormones
    - Metabolic rate
    - Injection location

    What are some common signs or symptoms that indicate
    intramuscular testosterone is starting to work?



    Signs include muscle growth, increased strength, improved endurance, and a
    sense of well-being. Physical changes may also be noticeable, such as enhanced
    energy levels.

    Is there a difference in the time it takes for intramuscular testosterone to work for different individuals?



    Yes, individual responses vary due to differences in genetics, health status, and hormone interaction.

    Are there any strategies or tips to potentially speed up the time it takes for intramuscular
    testosterone to take effect?


    - Inject at bedtime to allow absorption during sleep
    - Stay hydrated to aid absorption
    - Avoid alcohol post-injection to prevent delays

    Frequently Asked Questions


    Q. How long do results typically take?
    A. Effects usually begin within a few days, with
    full effects taking weeks or months depending on the individual.


    Q. How can I test if IMT is working?
    A. Monitor physical changes and energy levels; consult a healthcare
    professional for verification.

    Remember, always prioritize your health and consult a medical professional before starting any hormone therapy.

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