{"id":115,"date":"2024-06-23T20:05:18","date_gmt":"2024-06-23T20:05:18","guid":{"rendered":"https:\/\/www.zavislostnakortikoidoch.sk\/?page_id=115"},"modified":"2026-05-10T12:50:42","modified_gmt":"2026-05-10T12:50:42","slug":"tsw","status":"publish","type":"page","link":"https:\/\/www.zavislostnakortikoidoch.sk\/?page_id=115","title":{"rendered":"TSW"},"content":{"rendered":"

[et_pb_section fb_built=“1″ admin_label=“Header“ _builder_version=“4.20.0″ _module_preset=“default“ background_color=“#F9F6F1″ use_background_color_gradient=“on“ background_color_gradient_direction=“90deg“ background_color_gradient_stops=“#ffffff 65%|rgba(255,255,255,0) 65%“ background_color_gradient_overlays_image=“on“ background_enable_image=“off“ custom_padding=“5vw||5vw||true|false“ background_last_edited=“on|tablet“ background_color_gradient_direction_tablet=“180deg“ locked=“off“ collapsed=“on“ global_colors_info=“{}“][et_pb_row column_structure=“1_2,1_2″ _builder_version=“4.20.0″ _module_preset=“default“ z_index=“1″ global_colors_info=“{}“][et_pb_column type=“1_2″ _builder_version=“4.20.0″ _module_preset=“default“ z_index=“10″ z_index_tablet=“2″ z_index_phone=“2″ z_index_last_edited=“on|tablet“ global_colors_info=“{}“][et_pb_text _builder_version=“4.23.2″ _module_preset=“3385b15e-9bd5-4c66-bdab-0c4fa3b610ed“ global_colors_info=“{}“]<\/p>\n

Topical steroid withdrawal<\/h1>\n

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Na\u0161a k\u00f4ra nadobli\u010diek prirodzene produkuje kortizol, zn\u00e1my aj ako hydrokortiz\u00f3n. Tento horm\u00f3n m\u00e1 v\u00fdznamn\u00e9 protiz\u00e1palov\u00e9 \u00fa\u010dinky. Syntetick\u00e9 deriv\u00e1ty nie len vo forme kr\u00e9mov sa za\u010dali pou\u017e\u00edva\u0165 na \u00fatlm z\u00e1palu pri ko\u017en\u00fdch prejavoch ekz\u00e9mu, av\u0161ak nemaj\u00fa vplyv na lie\u010denie sk\u00f4r na potla\u010denie sympt\u00f3mov.<\/p>\n

Dlhodob\u00e9 pou\u017e\u00edvanie kortikoidn\u00fdch mast\u00ed inhibuje prirodzen\u00fa sekr\u00e9ciu kortizolu k\u00f4rou nadobli\u010diek a vedie k atrofii ko\u017ee. Po ich vysaden\u00ed preto doch\u00e1dza k dramatick\u00e9mu zhor\u0161eniu ko\u017en\u00e9ho stavu. Obnova prirodzenej sekr\u00e9cie kortizolu trv\u00e1 3-6 mesiacov, k\u00fdm sa hormon\u00e1lny syst\u00e9m op\u00e4\u0165 dostane do rovnov\u00e1hy, zatia\u013e \u010do regener\u00e1cia sten\u010denej ko\u017ee si vy\u017eaduje podstatne dlh\u0161\u00ed \u010das.<\/strong><\/p>\n

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Vysadenie kortikosteroidn\u00fdch kr\u00e9mov<\/strong><\/h1>\n

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Trval\u00e9 vysadenie kortikoidov je sprev\u00e1dzan\u00e9 zdravotn\u00fdm zhor\u0161en\u00edm a prebieha v 4 \u0161t\u00e1di\u00e1ch. \u010castokr\u00e1t sa zhor\u0161enie ko\u017ee prejavuje aj na miestach, ktor\u00e9 pred t\u00fdm neboli zasiahnut\u00e9 ekz\u00e9mom alebo kde ani kortikoidn\u00e9 kr\u00e9my neboli aplikovan\u00e9. Nast\u00e1va celotelov\u00fd z\u00e1pal ko\u017ee. R\u00f4zne \u010dasti ko\u017ee m\u00f4\u017eu by\u0165 paralelne v r\u00f4znych \u0161t\u00e1di\u00e1ch. Zlep\u0161enie neprebieha line\u00e1rne. Ob\u010das sa jav\u00ed niektor\u00e1 plocha ko\u017ee ako uzdraven\u00e1, a potom nastane znovu opakovan\u00e9 zhor\u0161enie. TSW m\u00f4\u017ee u ka\u017ed\u00e9ho prebieha\u0165 r\u00f4zne dlho. Zvy\u010dajne uzdravenie prebehne do 12 mesiacov, hlavne u mlad\u0161\u00edch ro\u010dn\u00edkov do 30 rokov, u \u0165a\u017e\u0161ieho priebehu TSW s\u00fa reportovan\u00e9 pr\u00edpady, kedy uzdravenie trvalo 2-3 roky.\u00a0<\/p>\n

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Je d\u00f4le\u017eit\u00e9 pochopi\u0165, \u017ee najprv sa uzdravujeme z TSW syndr\u00f3mu<\/strong><\/h1>\n

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Ko\u017ea je ve\u013emi sten\u0161en\u00e1 a prirodzen\u00e9 reakcie vplyvom KK boli dlhodobo potla\u010den\u00e9. Nem\u00e1me ekz\u00e9m, trp\u00edme pr\u00edznakmi TSW syndr\u00f3mu, preto ve\u013ek\u00e1 v\u00e4\u010d\u0161ina r\u00e1d, ktor\u00e1 je odpor\u00fa\u010dan\u00e1 pri atopickom ekz\u00e9me (pr\u00edpravky, diety at\u010f.) \u00fa\u010dinne nezaber\u00e1. Zlep\u0161enie nast\u00e1va v \u010dase.<\/p>\n

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Ko\u017ea ve\u013emi svrb\u00ed, st\u00e1va sa \u010d\u00edm \u010falej t\u00fdm zap\u00e1lenej\u0161ou a \u010derven\u0161ou. Nekontro\u013eovate\u013en\u00e9 \u0161kr\u00e1banie sp\u00f4sobuje to, \u017ee si kritick\u00e9 \u010dasti ko\u017ee roz\u0161kriabeme do r\u00e1n, ktor\u00e9 za\u010dn\u00fa mokva\u0165 a uvo\u013enova\u0165 plazmu. Najv\u00e4\u010d\u0161ie zap\u00e1len\u00e9 lo\u017eisk\u00e1 sa najsk\u00f4r objavuj\u00fa v miestach, kde sme si d\u00e1vali kortikoidy alebo aj tam, kde sa nach\u00e1dzaj\u00fa cievne rie\u010disk\u00e1, napr\u00edklad hru\u010f, l\u00edca, krk a lak\u0165ov\u00e9 z\u00e1hyby.<\/p>\n

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Tekutina, ktor\u00e1 vytek\u00e1 z r\u00e1n a po\u0161kodenej ko\u017ee je mierne \u017elt\u00e1, m\u00e1 \u0161pecificky \u017eelezit\u00fd z\u00e1pach a na vzduchu kry\u0161talizuje. F\u00e1za mokvania niektor\u00fdch \u010dast\u00ed m\u00f4\u017ee trva\u0165 r\u00f4zne dlho, moja sk\u00fasenos\u0165 je od nieko\u013eko t\u00fd\u017ed\u0148ov a\u017e po 1,5 mesiaca. Ak sa miesta zasu\u0161ia a doch\u00e1dza k opakovan\u00e9mu po\u0161kodeniu \u0161kraban\u00edm, znova miesto m\u00f4\u017ee mokva\u0165, ale u\u017e to trv\u00e1 len p\u00e1r hod\u00edn \u010di dn\u00ed. Nesk\u00f4r vytekaj\u00faca tekutina u\u017e nezap\u00e1cha a vytek\u00e1 u\u017e len v malom mno\u017estve.<\/p>\n

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Rany postupne zasychaj\u00fa a zace\u013euj\u00fa sa. Prirodzen\u00fdm hojen\u00edm sa zmen\u0161uj\u00fa. Ko\u017ea u\u017e nie je tak za\u010dervenan\u00e1, za\u010d\u00edna bledn\u00fa\u0165 do prirodzenej farby a z\u00edskava elasticitu. St\u00e1le s\u00fa pr\u00edtomn\u00e9 \u0161upinky a takzvan\u00e9 sne\u017eenie. Svrbenie u\u017e nie je tak intenz\u00edvne. Cykly zhor\u0161enia a zlep\u0161enia s\u00fa st\u00e1le pr\u00edtomn\u00e9.<\/p>\n

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Ko\u017ea je na niektor\u00fdch miestach u\u017e \u00faplne uzdraven\u00e1 a nesvrb\u00ed. Silne zasiahnut\u00e9 oblasti sa dolie\u010duj\u00fa, m\u00f4\u017eu by\u0165 e\u0161te citliv\u00e9, ale v \u010dase prebieha ich neust\u00e1la regener\u00e1cia a ich stav sa pos\u00fava do \u00fapln\u00e9ho uzdravenia.\u00a0<\/p>\n

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Pred vysaden\u00edm kortikoidov<\/strong><\/h1>\n

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Pred vysaden\u00edm kortikoidov som dok\u00e1zala ma\u0165 ko\u017eu celkom pod kontrolou aspo\u0148 na p\u00e1r dn\u00ed. Ke\u010f za\u010d\u00ednala f\u00e1za zhor\u0161enia, bolo mo\u017en\u00e9 ju stlmi\u0165 opakovan\u00fdm pou\u017eit\u00edm KK, nesk\u00f4r v\u0161ak u\u017e KK nezaberali. Uv\u00e1dzam tu fotku pred za\u010dat\u00edm TSW, preto\u017ee m\u00f4j v\u00fdzor po vysaden\u00ed KK bol na nespoznanie. Okrem r\u00e1n po celom tele som bola vo ve\u013emi \u0165a\u017ekom ment\u00e1lom stave vplyvom neust\u00e1lej bolesti, stratila som svoje kr\u00e1sne zdrav\u00e9 vlasy a\u017e po p\u00e1s, obo\u010die a schudla 9 kg. Mala som tak siln\u00e9 bolesti, \u017ee som sa nedok\u00e1zala h\u00fdba\u0165 nieko\u013eko mesiacov .<\/p>\n

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Po definit\u00edvnom vysaden\u00ed kortikoidov sa ko\u017ea postupne zapa\u013eovala, bola such\u00e1 a ve\u013emi svrbela. Na za\u010diatku som mala zasiahnut\u00fa najviac hru\u010f, tv\u00e1r a ruky. Postupne sa z\u00e1pal roz\u0161\u00edril na cel\u00e9 telo, boli zasiahnut\u00e9 aj \u010dasti tela, na ktor\u00e9 som KK nepou\u017e\u00edvala, ako napr\u00edklad nohy.\u00a0<\/p>\n

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Slonia ko\u017ea \/ Elephant skin<\/strong><\/p>\n

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Ko\u017ea stratila pru\u017enos\u0165 a elasticitu. V oblasti kolien a lak\u0165ov sa tvorili vej\u00e1riky a hlbok\u00e9 vr\u00e1sky. Tvor\u00ed sa aj viacej r\u00e1n z d\u00f4vodu \u0161kr\u00e1bania.<\/p>\n

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Zimnice<\/strong><\/p>\n

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Zhruba prv\u00e9 3 mesiace pacienti TSW trpia siln\u00fdmi zimnicami. Prv\u00e9 t\u00fd\u017edne m\u00f4\u017eeme c\u00edti\u0165 oslabenie tela, tak ako je to typick\u00e9 pri chr\u00edpke. Postupne zimnice ust\u00fapia a s\u00fa nahraden\u00e9 boles\u0165ami ko\u017ee. Poko\u017eka citlivo reaguje na chlad a teplo. Doch\u00e1dza k strate funk\u010dnej termoregul\u00e1cie.<\/p>\n

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Opuch \u010dlenkov<\/strong><\/p>\n

TSW je \u010dasto sprv\u00e1dzan\u00e9 opuchmi \u010dlenkov, ktor\u00e9 je pr\u00edtomn\u00e9 po\u010das najhor\u0161\u00edch mesiacov.<\/p>\n

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Odumret\u00e1 poko\u017eka<\/strong><\/p>\n

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Poko\u017eka je ve\u013emi such\u00e1, st\u00e1le sa l\u00fape. V najhor\u0161\u00edch mesiacoch som str\u00e1cala aj 3 tak\u00e9to hrste ko\u017ee denne. Sne\u017eenie ko\u017ee sa vyskytuje vo v\u00e4\u010d\u0161ej miere v\u017edy, ke\u010f s\u00fa pr\u00edtomn\u00e9 vzplanutia ko\u017ee.<\/p>\n

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Neovladate\u013en\u00e9 \u0161kr\u00e1banie<\/strong><\/p>\n

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Poko\u017eka ve\u013emi svrb\u00ed, po vysaden\u00ed KK m\u00e1me nutkanie sa st\u00e1le \u0161kriaba\u0165, je to frustruj\u00faci stav, preto\u017ee to nejde ovl\u00e1da\u0165. Je to sympt\u00f3m z\u00e1vislosti. Nepom\u00e1ha di\u00e9ta, nepom\u00e1haj\u00fa antihistaminik\u00e1. Svrbenie je nervov\u00e9ho charakteru. U m\u0148a za\u010dalo svrbenie ustupova\u0165 a\u017e 7. mesiaci po vysaden\u00ed KK, st\u00e1le v\u0161ak bolo pr\u00edtomn\u00e9. Zahojen\u00e9 miesta ma u\u017e tak nesvrbeli, na\u010falej som si v\u0161ak \u0161krabala po\u0161koden\u00e9 miesta.<\/p>\n

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Ke\u010f bola poko\u017eka zap\u00e1len\u00e1, ve\u013emi svrbela a mokvala. Na dotyk bola krehk\u00e1. Pri ka\u017edom \u0161kraban\u00ed sa op\u00e4tovne spustilo mokvanie. Ka\u017ed\u00e9 po\u0161krabanie po\u0161kodilo poko\u017eku ove\u013ea viacej, ako som bola zvyknut\u00e1 po\u010das pou\u017e\u00edvania KK v minulosti. Mokvaj\u00face \u010dasti som si obv\u00e4zovala nanovo nieko\u013ekokr\u00e1t za de\u0148. Postupne sa mokvaj\u00face \u010dasti zasu\u0161ili a prestali postupne mokva\u0165. Ak do\u0161lo znovu k po\u0161kodeniu ko\u017ee, mokvanie u\u017e netrvalo tak dlho.<\/p>\n

V\u00fdvoj TSW m\u00f4\u017ee by\u0165 u ka\u017ed\u00e9ho jedinca individu\u00e1lne, u m\u0148a do\u0161lo k najv\u00e4\u010d\u0161iemu zhor\u0161eniu po 2,5 mesiaci od vysadenia KK a trvalo a\u017e do konca 6 mesiaca. 3-6 mesiac bol progres hojenia pomal\u0161\u00ed. V 7. mesiaci sa uzdravovanie ve\u013emi vidite\u013ene za\u010dalo zlep\u0161ova\u0165 a pokra\u010dovalo exponenci\u00e1lne.<\/p>\n

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Boles\u0165 ko\u017ee<\/strong><\/p>\n

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Od 3. mesiaca ma telo za\u010dalo ve\u013emi bolie\u0165, v najhor\u0161ie t\u00fd\u017edne som musela u\u017e\u00edva\u0165 lieky proti bolesti. Telo reagovalo na chlad boles\u0165ou. Pri vetran\u00ed bytu som musela by\u0165 \u00faplne zakryt\u00e1, inak ma ko\u017ea za\u010dala okam\u017eite bolie\u0165. Ak som si napr\u00edklad k\u00fdchla, c\u00edtila som, ako keby sa zabodne 1000 drobn\u00fdch ihli\u010diek do tela. Nedok\u00e1zala som sa h\u00fdba\u0165 od bolesti. Do pr\u00e1ce som za\u010dala chodi\u0165 fyzicky po 6 mesiaci na 1 de\u0148 v t\u00fd\u017edni. Bola to pre m\u0148a ve\u013ek\u00e1 fyzick\u00e1 boles\u0165 a n\u00e1maha. Postupne sa to zlep\u0161ovalo. Telo ma pri ch\u00f4dzi prestalo bolie\u0165 pri pohybe v 8 mesiaci TSW.<\/p>\n

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Nespavos\u0165<\/strong><\/p>\n

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Od 3. mesiaca som mala probl\u00e9my so sp\u00e1nkom, bola som vy\u010derpan\u00e1, ale nedok\u00e1zala som zaspa\u0165 sk\u00f4r ako o 4 hodine r\u00e1no. Poruchy sp\u00e1nku sa za\u010dali upravova\u0165 v 7 mesiaci. <\/span>Vylu\u010dovanie kortizolu podlieha\u00a0 cirkadiann\u00e9mu rytmu, biologick\u00e9mu rytmu, ktor\u00fd odpoved\u00e1 24 hodin\u00e1m a riadi procesy bdelosti a aktivity. Kortizol na\u0161e telo produkuje v skor\u00fdch rann\u00fdch hodin\u00e1ch a postupne jeho koncentr\u00e1cia kles\u00e1 po\u010das d\u0148a. Jeho minimum je v noci. Na\u0161e telo po vysaden\u00ed KK nadprodukuje kortizol, preto\u017ee ho u\u017e umelo nedod\u00e1vame, a tak vznikaj\u00fa poruchy sp\u00e1nku.\u00a0 V\u0161etko sa v \u010dase samo stabilizuje.<\/span><\/p>\n

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Herpes virus<\/strong><\/p>\n

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Pacienti TSW \u010dasto reportuj\u00fa pr\u00edtomnos\u0165 Herpesu, je to z d\u00f4vodu oslabenia imunity a vy\u010derpania.<\/p>\n

Mne sa herpes vysypal na tv\u00e1ri, nad hornou perou a \u010diasto\u010dne aj na l\u00edcach koncom 6. mesiaca. Herpes sprev\u00e1dzalo aj zd\u00farenie lymfatick\u00fdch uzl\u00edn v podpa\u017e\u00ed, \u010do bolo ve\u013emi bolestiv\u00e9. Na herpes pom\u00f4\u017ee antivirotikum ako Zovirax. Pozor na Zovirax plus, ten nekupujte, obsahuje kortikoid. Herpes po\u010das TSW je bolestiv\u00fd, ale po t\u00fd\u017edni u\u017e prest\u00e1va bolie\u0165 a po 2 t\u00fd\u017ed\u0148och sa zasiahnut\u00e9 \u010dasti uzdravia.<\/p>\n

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Poko\u017eka sa za\u010d\u00edna vidite\u013ene zlep\u0161ova\u0165, procesy hojenia sa zr\u00fdch\u013euj\u00fa. Aj ke\u010f si rany opakovane \u0161kr\u00e1beme, ko\u017ea je ove\u013ea viac pevnej\u0161ia a odolnej\u0161ia vo\u010di fyzick\u00e9mu po\u0161kodeniu.\u00a0<\/p>\n

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Zhor\u0161enie stavu<\/strong><\/p>\n

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Ko\u017ea sa neust\u00e1le zlep\u0161ovala, v 9. mesiaci som str\u00e1vila t\u00fd\u017ede\u0148 pri mori. Ko\u017ea sa e\u0161te viacej zahojila a vypadala zdravo, bohu\u017eia\u013e tento stav vydr\u017eal asi iba 2 t\u00fd\u017edne po n\u00e1vrate z dovolenky.\u00a0<\/p>\n

Koncom 9. mesiaca nastalo dos\u0165 ve\u013ek\u00e9 zhor\u0161enie vo forme z\u00e1palov, za\u010dala som sa znova \u0161kriaba\u0165, zasiahnut\u00e9 boli hlavne hru\u010f, krk a ruky. Rany na krku a brade mi mokvali. Znova sa opakoval cyklus \u0161krabania a pomal\u0161ieho hojenia r\u00e1n po\u010das 10 mesiaca TSW. Objavili sa aj bolesti tela. Zhor\u0161enie stavu i\u0161lo ruku v ruke s negat\u00edvnymi pocitmi a op\u00e4tovnej strate n\u00e1deje, \u017ee to azda nikdy neskon\u010d\u00ed.<\/p>\n

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Vonku bolo pekn\u00e9 po\u010dasie, av\u0161ak potenie e\u0161te viac zhor\u0161ovalo stav. Str\u00e1cala som ve\u013emi ve\u013ea odumretej ko\u017ee. Vr\u00e1tila som sa s hojen\u00edm v \u010dase asi tak o 2 mesiace sp\u00e4\u0165.\u00a0 Celkovo zhor\u0161enie trvalo 4 mesiace. Po 14 mesiaci TSW sa m\u00f4j stav za\u010dal op\u00e4\u0165 radik\u00e1lne zlep\u0161ova\u0165. Z\u00e1paly odi\u0161li a aj boles\u0165 tela.<\/p>\n

Ve\u013emi mi pomohli pr\u00edbehy druh\u00fdch \u013eud\u00ed, ktor\u00ed popisovali podobn\u00e9 stavy na ich TSW ceste, a tie\u017e vo vy\u0161\u0161\u00edch miesiacich u nich do\u0161lo k zhor\u0161eniu stavu.<\/p>\n

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Pobyt pri mori s\u00edce poko\u017eke pomohol, ale pokia\u013e nie s\u00fa vyhojen\u00e9 aj hlb\u0161ie vrstvy ko\u017ee a ko\u017ea sa e\u0161te \u00faplne nezregenerovala z atrofie, tak\u00e9to stavy m\u00f4\u017eu nasta\u0165 opakovane.<\/strong><\/p>\n<\/blockquote>\n

 <\/p>\n

[\/et_pb_text][et_pb_button button_url=“https:\/\/www.zavislostnakortikoidoch.sk\/?p=544″ button_text=“Pozri \u010dl\u00e1nok o zhor\u0161en\u00ed stavu “ _builder_version=“4.23.2″ _module_preset=“default“ custom_button=“on“ button_text_size=“21px“ button_text_color=“#FFFFFF“ button_bg_color=“rgba(87,66,0,0.41)“ button_border_width=“0px“ button_border_radius=“0px“ button_letter_spacing=“1px“ button_icon=“$||divi||400″ global_colors_info=“{}“][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=“1″ _builder_version=“4.23.2″ _module_preset=“default“ background_color=“#f9f6f1″ global_colors_info=“{}“][et_pb_row _builder_version=“4.23.2″ _module_preset=“default“ global_colors_info=“{}“][et_pb_column type=“4_4″ _builder_version=“4.23.2″ _module_preset=“default“ global_colors_info=“{}“][et_pb_blurb title=“4. Uzdravenie ko\u017ee“ _builder_version=“4.23.2″ _module_preset=“9d2850f8-a59e-4786-9949-429e250038f0″ link_option_url=“#“ locked=“off“ global_colors_info=“{%22gcid-606d042f-c90f-4ea6-97e7-7b08f1ba25f6%22:%91%22header_2_text_color%22%93}“ header_text_color__hover_enabled=“on|hover“ header_text_color__hover=““ transform_styles__hover_enabled=“on|hover“ transform_scale__hover_enabled=“on|hover“ transform_translate__hover_enabled=“on|desktop“ transform_rotate__hover_enabled=“on|desktop“ transform_skew__hover_enabled=“on|desktop“ transform_origin__hover_enabled=“on|desktop“ transform_scale__hover=“102%|102%“][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=“1_2,1_2″ _builder_version=“4.23.2″ _module_preset=“default“ global_colors_info=“{}“][et_pb_column type=“1_2″ _builder_version=“4.23.2″ _module_preset=“default“ global_colors_info=“{}“][et_pb_text _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“]<\/p>\n

Ko\u017ea sa postupne a kontinu\u00e1lne zlep\u0161uje. Na miestach, kde boli najv\u00e4\u010d\u0161ie lo\u017eisk\u00e1, je st\u00e1le mierne za\u010dervenan\u00e1 a prebiehaj\u00fa tam hojiv\u00e9 procesy. Zatia\u013e nie je \u00faplne rovnak\u00e1 ako ko\u017ea, ktor\u00e1 bola v\u017edy zdrav\u00e1. Ob\u010das sa niektor\u00e9 oblasti prejavia vlastn\u00fdm cyklom, d\u00f4jde k do\u010dasn\u00e9mu zhor\u0161eniu, ktor\u00e9 je n\u00e1sledne vystriedan\u00e9 zlep\u0161en\u00edm. U\u017e zahojen\u00e9 \u010dasti s\u00fa v\u0161ak stabiln\u00e9.<\/strong><\/p>\n

Svrbenie pretrv\u00e1va najm\u00e4 v noci. Aj ke\u010f sa \u0161kriabem, ko\u017ea sa u\u017e nepo\u0161kod\u00ed \u2013 je pevn\u00e1 a pru\u017en\u00e1. Maxim\u00e1lne mierne s\u010dervenie, ktor\u00e9 po po\u0161kriaban\u00ed vybledne v priebehu nieko\u013ek\u00fdch hod\u00edn.<\/strong><\/p>\n

St\u00e1le m\u00e1m zhor\u0161en\u00e9 ruky, nohy a n\u00e1rty. Na noh\u00e1ch je po ran\u00e1ch vidite\u013en\u00e1 zmenen\u00e1 text\u00fara ko\u017ee a fialov\u00e9 sfarbenie. Z vlastnej sk\u00fasenosti v\u0161ak viem, \u017ee po op\u00e1len\u00ed tieto fialov\u00e9 f\u013eaky postupne mizn\u00fa.<\/strong><\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=“1_2″ _builder_version=“4.23.2″ _module_preset=“default“ global_colors_info=“{}“][et_pb_image src=“https:\/\/www.zavislostnakortikoidoch.sk\/wp-content\/uploads\/2025\/03\/ddsdsds-scaled.jpg“ title_text=“untitled“ _builder_version=“4.23.2″ _module_preset=“default“ global_colors_info=“{}“][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“][et_pb_column type=“4_4″ _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“][et_pb_blurb title=“TSW po 2,5 roku“ _builder_version=“4.27.4″ _module_preset=“9d2850f8-a59e-4786-9949-429e250038f0″ link_option_url=“#“ locked=“off“ global_colors_info=“{%22gcid-606d042f-c90f-4ea6-97e7-7b08f1ba25f6%22:%91%22header_2_text_color%22%93}“ header_text_color__hover_enabled=“on|hover“ header_text_color__hover=““ transform_styles__hover_enabled=“on|hover“ transform_scale__hover_enabled=“on|hover“ transform_translate__hover_enabled=“on|desktop“ transform_rotate__hover_enabled=“on|desktop“ transform_skew__hover_enabled=“on|desktop“ transform_origin__hover_enabled=“on|desktop“ transform_scale__hover=“102%|102%“][\/et_pb_blurb][et_pb_text _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“]<\/p>\n

Po 2 rokoch od vysadenia KK pri\u0161la v\u00fdrazn\u00e1 \u00fa\u013eava a ust\u00fapili aj bolesti. Kvalita m\u00f4jho \u017eivota sa za\u010dala postupne v\u00fdrazne zlep\u0161ova\u0165. Ve\u013ek\u00fd posun nastal pribli\u017ene po 2,5 roku TSW, aj ke\u010f e\u0161te nie som \u00faplne uzdraven\u00e1, c\u00edtim sa op\u00e4\u0165 ako zdrav\u00fd \u010dlovek. Ak sa ob\u010das objav\u00ed zhor\u0161enie, prij\u00edmam ho s v\u00e4\u010d\u0161\u00edm pokojom. To, \u010d\u00edm si \u010dlovek po\u010das TSW prejde, ho nau\u010d\u00ed zvl\u00e1da\u0165 aj drobn\u00e9 zhor\u0161enia \u010di ob\u010dasn\u00e9 svrbenie s v\u00e4\u010d\u0161ou trpezlivos\u0165ou a nadh\u013eadom.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“]<\/p>\n

Tv\u00e1r<\/h2>\n

[\/et_pb_text][et_pb_image src=“https:\/\/www.zavislostnakortikoidoch.sk\/wp-content\/uploads\/2026\/05\/tvar-scaled.jpg“ title_text=“tv\u00e1r“ _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“][\/et_pb_image][et_pb_text _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“]<\/p>\n

Hru\u010f<\/h2>\n

[\/et_pb_text][et_pb_image src=“https:\/\/www.zavislostnakortikoidoch.sk\/wp-content\/uploads\/2026\/05\/Hrud-scaled.jpg“ title_text=“Hru\u010f“ _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“][\/et_pb_image][et_pb_text _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“]<\/p>\n

Nohy<\/h2>\n

[\/et_pb_text][et_pb_image src=“https:\/\/www.zavislostnakortikoidoch.sk\/wp-content\/uploads\/2026\/05\/nohy-scaled.jpg“ title_text=“nohy“ _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“][\/et_pb_image][et_pb_text _builder_version=“4.27.4″ _module_preset=“default“ global_colors_info=“{}“]<\/p>\n

Ruky<\/h2>\n

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Na cestu TSW budete potrebova\u0165 dobr\u00e9ho par\u0165\u00e1ka\u00a0<\/strong><\/h1>\n

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Touto cestou by som chcela po\u010fakova\u0165 mojej mlad\u0161ej sestre Ani\u010dke, ktor\u00e1 pre\u0161la so mnou cel\u00fa TSW cestu. Bola t\u00fdm najl\u00e1skavej\u0161\u00edm par\u0165\u00e1kom, ak\u00e9ho som si mohla predstavi\u0165. Ke\u010f som za\u010d\u00ednala TSW neverila som, \u017ee budem ma\u0165 tak\u00fd dramatick\u00fd priebeh, v\u0161etko som v \u017eivote zvl\u00e1dla sama a myslela si, \u017ee zvl\u00e1dnem aj toto. TSW ma \u00faplne pokorilo, bola som nieko\u013eko mesiacov bezvl\u00e1dna, sestra pripravovala jedlo, nakupovala, pom\u00e1hala sa stara\u0165 o m\u0148a, obviazovala rany, viedla cel\u00fa dom\u00e1cnos\u0165. TSW pacient str\u00e1ca kopec ko\u017ee a tak vys\u00e1vanie, um\u00fdvanie a neust\u00e1le pranie py\u017e\u00e1m bolo na dennom poriadku.<\/p>\n

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\n

Najviac mi pomohlo, \u017ee mi d\u00f4verovala, nes\u00fadila m\u00f4j stav a nevyjadrovala svoje strachy, aj ke\u010f ich mala v sebe pr\u00edtomn\u00e9. Sna\u017eila sa ma povzbudzova\u0165, \u017ee napriek v\u0161etk\u00e9mu to dobre zvl\u00e1dam. To bola pre m\u0148a t\u00e1 najv\u00e4\u010d\u0161ia podpora.<\/strong><\/p>\n<\/blockquote>\n

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Topical steroid withdrawalNa\u0161a k\u00f4ra nadobli\u010diek prirodzene produkuje kortizol, zn\u00e1my aj ako hydrokortiz\u00f3n. Tento horm\u00f3n m\u00e1 v\u00fdznamn\u00e9 protiz\u00e1palov\u00e9 \u00fa\u010dinky. Syntetick\u00e9 deriv\u00e1ty nie len vo forme kr\u00e9mov sa za\u010dali pou\u017e\u00edva\u0165 na \u00fatlm z\u00e1palu pri ko\u017en\u00fdch prejavoch ekz\u00e9mu, av\u0161ak nemaj\u00fa vplyv na lie\u010denie sk\u00f4r na potla\u010denie sympt\u00f3mov. Dlhodob\u00e9 pou\u017e\u00edvanie kortikoidn\u00fdch mast\u00ed inhibuje prirodzen\u00fa sekr\u00e9ciu kortizolu k\u00f4rou nadobli\u010diek a […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-115","page","type-page","status-publish","hentry"],"yoast_head":"\nTSW - TSW<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zavislostnakortikoidoch.sk\/?page_id=115\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"TSW - TSW\" \/>\n<meta property=\"og:description\" content=\"Topical steroid withdrawalNa\u0161a k\u00f4ra nadobli\u010diek prirodzene produkuje kortizol, zn\u00e1my aj ako hydrokortiz\u00f3n. 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