{"id":3560,"count":1,"description":"Prim\u00e1rn\u00ed dysmenorea (menstrua\u010dn\u00ed bolesti) postihuje a\u017e 90 % menstruuj\u00edc\u00edch \u017een a je nej\u010dast\u011bji zp\u016fsobena prostaglandinem zprost\u0159edkovan\u00fdmi d\u011blo\u017en\u00edmi stahy. NSAID jsou prvn\u00ed volbou farmakologick\u00e9 l\u00e9\u010dby \u2014 blokuj\u00ed cyklooxygen\u00e1zu, sni\u017euj\u00ed synt\u00e9zu prostaglandin\u016f a \u0159e\u0161\u00ed p\u0159\u00ed\u010dinu pot\u00ed\u017e\u00ed (ne jen bolest).\n\n<strong>Skladem.<\/strong> Naproxen 500 mg (dlouhodob\u011b p\u016fsob\u00edc\u00ed NSAID s prok\u00e1zan\u00fdm \u00fa\u010dinkem u dysmenorey \u2014 u\u017e\u00edvejte p\u0159i prvn\u00edch p\u0159\u00edznac\u00edch a pokra\u010dujte ka\u017ed\u00fdch 12 hodin b\u011bhem nejintenzivn\u011bj\u0161\u00edch 2\u20133 dn\u016f) jako <a href=\"https:\/\/medsbase.com\/cs\/naprosyn\/\">Naprosyn<\/a>. Prohl\u00e9dn\u011bte si \u0161ir\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/pain-relief-medication\/\">L\u00e9ky na \u00falevu od bolesti<\/a> katalog ibuprofenu 400 mg (ka\u017ed\u00fdch 6\u20138 hodin), mefenamov\u00e9 kyseliny 500 mg (specificky schv\u00e1len\u00e9 pro dysmenoreu, ka\u017ed\u00fdch 8 hodin), diklofenaku 50 mg a dal\u0161\u00edch NSAID.\n\n<strong>Pro dlouhodob\u011bj\u0161\u00ed regulaci cyklu a bolesti \u2014 viz souvisej\u00edc\u00ed kategorie.<\/strong> Kombinovan\u00e9 peror\u00e1ln\u00ed antikoncep\u010dn\u00ed pilulky potla\u010duj\u00ed ovulaci a v\u00fdrazn\u011b sni\u017euj\u00ed dysmenoreu + intenzitu menstruace \u2014 viz n\u00e1\u0161 <a href=\"https:\/\/medsbase.com\/cs\/contraceptive-pill-the-pill\/\">Antikoncep\u010dn\u00ed pilulky<\/a> katalog (Yaz s krat\u0161\u00edm intervalem bez pilulek je obzvl\u00e1\u0161t\u011b u\u017eite\u010dn\u00fd). Levonorgestrelov\u00fd nitrod\u011blo\u017en\u00ed syst\u00e9m (Mirena) a depotn\u00ed progestogeny zp\u016fsobuj\u00ed amenoreu u mnoha u\u017eivatelek. U t\u011b\u017ek\u00e9 dysmenorey nereaguj\u00edc\u00ed na NSAID + kombinovanou antikoncepci zva\u017ete vy\u0161et\u0159en\u00ed na endometri\u00f3zu (gynekologick\u00e9 doporu\u010den\u00ed).\n\n<strong>Jak pou\u017e\u00edvat.<\/strong> Za\u010dn\u011bte u\u017e\u00edvat NSAID 1 den p\u0159ed o\u010dek\u00e1vanou menstruac\u00ed, pokud je cyklus pravideln\u00fd, nebo p\u0159i prvn\u00edch p\u0159\u00edznac\u00edch bolesti \u2014 \u010d\u00edm d\u0159\u00edve, t\u00edm \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e \u010dek\u00e1n\u00ed. U\u017e\u00edvejte s j\u00eddlem, abyste sn\u00ed\u017eili gastrointestin\u00e1ln\u00ed vedlej\u0161\u00ed \u00fa\u010dinky. Kombinujte s teplem (termofor), lehk\u00fdm cvi\u010den\u00edm a pravideln\u00fdmi j\u00eddly. Vyhn\u011bte se alkoholu s NSAID.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> Kontraindikace NSAID: anamn\u00e9za peptick\u00e9ho v\u0159edu, t\u011b\u017ek\u00e9 astma (NSAID-indukovan\u00e9 astma), chronick\u00e9 onemocn\u011bn\u00ed ledvin, antikoagula\u010dn\u00ed terapie bez odborn\u00e9ho posouzen\u00ed, t\u011b\u017ek\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed. T\u011bhotenstv\u00ed: vyhn\u011bte se NSAID ve t\u0159et\u00edm trimestru (p\u0159ed\u010dasn\u00e9 uzav\u0159en\u00ed ductus arteriosus). T\u011b\u017ek\u00e1 p\u0159etrv\u00e1vaj\u00edc\u00ed dysmenorea, dysmenorea nereaguj\u00edc\u00ed na NSAID, hlubok\u00e1 dyspareunie, dyschezie nebo chronick\u00e1 p\u00e1nevn\u00ed bolest vy\u017eaduj\u00ed gynekologick\u00e9 vy\u0161et\u0159en\u00ed na endometri\u00f3zu nebo adenomy\u00f3zu \u2014 tyto stavy jsou v pr\u016fm\u011bru 7+ let od po\u010d\u00e1tku p\u0159\u00edznak\u016f do diagn\u00f3zy p\u0159ehl\u00ed\u017eeny. Siln\u00e9 menstrua\u010dn\u00ed krv\u00e1cen\u00ed s an\u00e9mi\u00ed vy\u017eaduje vy\u0161et\u0159en\u00ed \u017eeleza a gynekologick\u00e9 doporu\u010den\u00ed. V\u0161echny produkty MedsBase jsou odes\u00edl\u00e1ny z <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/period-pain-relief-period-pain-tablets\/","name":"L\u00e9\u010dba menstrua\u010dn\u00edch bolest\u00ed (Tablety proti menstrua\u010dn\u00edm bolestem)","slug":"period-pain-relief-period-pain-tablets","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3560","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3502"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3560"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}