{"id":9747,"date":"2025-07-14T16:31:48","date_gmt":"2025-07-14T14:31:48","guid":{"rendered":"https:\/\/letscureacc.com\/sprievodca-pacienta\/"},"modified":"2025-12-18T20:54:48","modified_gmt":"2025-12-18T19:54:48","slug":"sprievodca-pacienta","status":"publish","type":"page","link":"https:\/\/letscureacc.com\/sk\/sprievodca-pacienta\/","title":{"rendered":"Sprievodca pacienta"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9747\" class=\"elementor elementor-9747 elementor-9676\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fb8db6b elementor-section-full_width elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"fb8db6b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cfda8da\" data-id=\"cfda8da\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f8d9f39 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"f8d9f39\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-dd9119d\" data-id=\"dd9119d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-52ec02e elementor-widget elementor-widget-text-editor\" data-id=\"52ec02e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>Adrenokortik\u00e1lny karcin\u00f3m (ACC)<\/strong> je zriedkav\u00e9 a agres\u00edvne n\u00e1dorov\u00e9 ochorenie, ktor\u00e9 postihuje pribli\u017ene jedn\u00e9ho \u010dloveka z mili\u00f3na. Inform\u00e1cie, ktor\u00e9 o \u0148om n\u00e1jdete, m\u00f4\u017eu p\u00f4sobi\u0165 desivo \u2013 \u010dasto sa v nich spom\u00ednaj\u00fa slov\u00e1 ako zriedkav\u00fd, agres\u00edvny \u010di nepriazniv\u00e1 progn\u00f3za. Ale vy <strong>nie ste len \u010d\u00edslo v \u0161tatistike<\/strong>. A my \u2013 pacienti \u2013 sme tu na to, aby sme v\u00e1m povedali, \u017ee <strong>n\u00e1dej existuje<\/strong>!<br><br><em><strong>Let\u2019s Cure ACC<\/strong><\/em> bolo zalo\u017een\u00e9 pacientmi pre pacientov. Je to priestor, kde sa m\u00f4\u017eete <strong>spoji\u0165, zdie\u013ea\u0165 sk\u00fasenosti a z\u00edska\u0165 u\u017eito\u010dn\u00e9 inform\u00e1cie<\/strong>, ktor\u00e9 v\u00e1m pom\u00f4\u017eu postavi\u0165 sa a bojova\u0165 za svoje zdravie. Nenahr\u00e1dzame zdravotn\u00edckych odborn\u00edkov, ale poskytujeme <strong>zdroje, usmernenie a podporn\u00fa komunitu<\/strong>, aby ste sa mohli na svojej ceste c\u00edti\u0165 informovane a istej\u0161ie, ako aj <a href=\"https:\/\/lcaccnew.wpenginepowered.com\/about-lets-cure-acc\/\">ove\u013ea viac<\/a>. Na\u0161e zdru\u017eenie je uzn\u00e1van\u00e9 v\u00fdznamn\u00fdmi lek\u00e1rskymi <a href=\"https:\/\/lcaccnew.wpenginepowered.com\/our-partners\/\">organiz\u00e1ciami a partnermi<\/a>.<br><br>Ak n\u00e1s chcete podpori\u0165 v na\u0161ej \u010dinnosti, <strong>zv\u00e1\u017ete mo\u017enos\u0165 sta\u0165 sa <a href=\"https:\/\/www.paypal.com\/donate\/?hosted_button_id=JE889STJUBCQA\">\u010dlenom<\/a> n\u00e1\u0161ho zdru\u017eenia<\/strong>. Ka\u017ed\u00fd hlas sa po\u010d\u00edta a spolo\u010dne m\u00f4\u017eeme by\u0165 silnej\u0161\u00ed pri presadzovan\u00ed zmien na n\u00e1rodnej aj medzin\u00e1rodnej \u00farovni. Va\u0161a <a href=\"https:\/\/lcaccnew.wpenginepowered.com\/register\/\">dobrovo\u013en\u00e1 podpora alebo dar<\/a> n\u00e1m taktie\u017e nesmierne pom\u00f4\u017ee \u2013 na\u0161e aktivity toti\u017e financujeme v\u00fdlu\u010dne z darov od \u013eud\u00ed, ako ste vy. Na\u0161e zdru\u017eenie nem\u00e1 \u017eiadne extern\u00e9 financovanie a funguje v\u00fdlu\u010dne v\u010faka va\u0161ej \u0161tedrosti.<br><br>Vitajte v komunite, ktor\u00e1 stoj\u00ed pri v\u00e1s. Spolo\u010dne sme silnej\u0161\u00ed.<br><h5><\/h5><br>&nbsp;<br><h5 style=\"text-align: center; font-size: 30px; line-height: 40px;\"><span style=\"color: #c076e3;\"><em><b>Vitajte v komunite, ktor\u00e1 stoj\u00ed pri v\u00e1s. Spolo\u010dne sme silnej\u0161\u00ed.<\/b><\/em><\/span><\/h5>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d2003eb\" data-id=\"d2003eb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c16e61 elementor-widget elementor-widget-text-editor\" data-id=\"8c16e61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4 style=\"text-align: center;\"><b>O tejto str\u00e1nke<\/b><\/h4><br><p style=\"text-align: center;\"><span style=\"font-weight: 400;\">T\u00e1to str\u00e1nka je dostupn\u00e1 v sloven\u010dine aby v\u00e1m poskytla k\u013e\u00fa\u010dov\u00e9 inform\u00e1cie o tomto zriedkavom ochoren\u00ed vo va\u0161om rodnom jazyku.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><span style=\"font-weight: 400;\">Podrobnej\u0161ie a roz\u0161\u00edren\u00e9 inform\u00e1cie n\u00e1jdete aj v \u010fal\u0161\u00edch jazykoch: <\/span><a href=\"https:\/\/letscureacc.com\/sk\/\"><span style=\"font-weight: 400;\">angli\u010dtina<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/letscureacc.com\/?lang=fr\"><span style=\"font-weight: 400;\">franc\u00faz\u0161tina<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/letscureacc.com\/?lang=de\"><span style=\"font-weight: 400;\">nem\u010dina<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/letscureacc.com\/?lang=es\"><span style=\"font-weight: 400;\">\u0161paniel\u010dina<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/letscureacc.com\/?lang=it\"><span style=\"font-weight: 400;\">talian\u010dina<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/letscureacc.com\/?lang=pt-pt\"><span style=\"font-weight: 400;\">portugal\u010dina<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/letscureacc.com\/?lang=zh-hans\"><span style=\"font-weight: 400;\">\u010d\u00edn\u0161tina<\/span><\/a> <span style=\"font-weight: 400;\">a<\/span> <a href=\"https:\/\/letscureacc.com\/?lang=ja\"><span style=\"font-weight: 400;\">japon\u010dina<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><span style=\"font-weight: 400;\">Ak ovl\u00e1date niektor\u00fd z t\u00fdchto jazykov, presk\u00famajte aj ostatn\u00e9 \u010dasti str\u00e1nky!<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-863db1b elementor-widget elementor-widget-heading\" data-id=\"863db1b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Zistite viac o<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0358bb4 elementor-widget elementor-widget-menu-anchor\" data-id=\"0358bb4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5b01ff elementor-widget elementor-widget-text-editor\" data-id=\"f5b01ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\r\n \t<li><a href=\"#what\"> \u010co je ACC?<\/a><\/li>\r\n \t<li><a href=\"#team\">V\u00e1\u0161 lek\u00e1rsky t\u00edm<\/a><\/li>\r\n \t<li><a href=\"#support\"> Podpora pre pacientov s ACC<\/a><\/li>\r\n \t<li><a href=\"#options\">Mo\u017enosti lie\u010dby<\/a><\/li>\r\n \t<li><a href=\"#know\"> \u010co vedie\u0165 o progn\u00f3ze pri ACC<\/a><\/li>\r\n \t<li><a href=\"#kids\">ACC u det\u00ed a t\u00edned\u017eerov<\/a><\/li>\r\n \t<li><a href=\"https:\/\/lcaccnew.wpenginepowered.com\/about-lets-cure-acc\/\"> O n\u00e1s &#8211; Let\u2019s Cure ACC<\/a><\/li>\r\n \t<li><a href=\"#resources\">\u010eal\u0161ie zdroje vo va\u0161om jazyku<\/a><\/li>\r\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b7fe024 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"b7fe024\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-821872a\" data-id=\"821872a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc7be71 elementor-widget elementor-widget-heading\" data-id=\"bc7be71\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"what\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u010co je ACC?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c37afbf elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"c37afbf\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7f11160\" data-id=\"7f11160\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3518a11 elementor-widget elementor-widget-text-editor\" data-id=\"3518a11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAdrenokortik\u00e1lny karcin\u00f3m (ACC) je zriedkav\u00e9 onkologick\u00e9 ochorenie, pri ktorom sa zhubn\u00e9 bunky tvoria vo vonkaj\u0161ej vrstve nadobli\u010dky, naz\u00fdvanej adren\u00e1lna k\u00f4ra. V tele m\u00e1me dve nadobli\u010dky \u2013 s\u00fa mal\u00e9, trojuholn\u00edkov\u00e9ho tvaru a nach\u00e1dzaj\u00fa sa na vrchole ka\u017edej obli\u010dky.<br><br>ACC sa m\u00f4\u017ee vyskytn\u00fa\u0165 u dospel\u00fdch aj u det\u00ed, no lie\u010dba u det\u00ed sa l\u00ed\u0161i od lie\u010dby dospel\u00fdch a vy\u017eaduje \u0161pecifick\u00fd pr\u00edstup.<br><br>Nadobli\u010dky zohr\u00e1vaj\u00fa v tele d\u00f4le\u017eit\u00fa \u00falohu, preto\u017ee produkuj\u00fa horm\u00f3ny (ako napr\u00edklad kortizol, DHEA, aldoster\u00f3n&#8230;), ktor\u00e9 pom\u00e1haj\u00fa regulova\u0165 metabolizmus, imunitn\u00fd syst\u00e9m, krvn\u00fd tlak, reakciu na stres a \u010fal\u0161ie nevyhnutn\u00e9 funkcie. Vzh\u013eadom na svoju zriedkavos\u0165 b\u00fdva ACC naj\u010dastej\u0161ie odhalen\u00fd n\u00e1hodne po\u010das rutinn\u00e9ho vy\u0161etrenia ako napr\u00edklad CT vy\u0161etrenia alebo klinickej prehliadky.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f269e77\" data-id=\"f269e77\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5212c72 elementor-widget elementor-widget-image\" data-id=\"5212c72\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1.png\" class=\"attachment-large size-large wp-image-9636\" alt=\"\" srcset=\"https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1.png 1024w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-300x300.png 300w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-150x150.png 150w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-768x768.png 768w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-570x570.png 570w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-500x500.png 500w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-1000x1000.png 1000w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-700x700.png 700w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f8e23f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"5f8e23f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03dc541 elementor-widget elementor-widget-heading\" data-id=\"03dc541\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><h3 style=\"text-align: center\">Pr\u00edznaky:&nbsp;<\/h3><\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-60b2c47 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"60b2c47\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-57cb206\" data-id=\"57cb206\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d5c869c elementor-widget elementor-widget-text-editor\" data-id=\"d5c869c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<span style=\"font-weight: 400;\">\u00a0<\/span><b>Adrenokortik\u00e1lny karcin\u00f3m (ACC)<\/b><span style=\"font-weight: 400;\"> sa m\u00f4\u017ee prejavova\u0165 dvoma sp\u00f4sobmi v z\u00e1vislosti od charakteru n\u00e1doru:<\/span><br><ol>\r\n \t<li style=\"list-style-type: none;\">\r\n<ol>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">m\u00f4\u017ee sp\u00f4sobova\u0165 <\/span><b>\u0165a\u017ekosti v d\u00f4sledku rastu n\u00e1doru a jeho tlaku na okolit\u00e9 org\u00e1ny<\/b><span style=\"font-weight: 400;\">, alebo<\/span><\/li>\r\n<\/ol><br><\/li><br><\/ol><br>&nbsp;<br><ol>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">m\u00f4\u017ee sp\u00f4sobova\u0165 <\/span><b>hormon\u00e1lne pr\u00edznaky<\/b><span style=\"font-weight: 400;\">, ktor\u00e9 s\u00favisia s nadmernou tvorbou horm\u00f3nov (napr\u00edklad <\/span><b>Cushingov syndr\u00f3m<\/b><span style=\"font-weight: 400;\">).<\/span><\/li>\r\n<\/ol><br><span style=\"font-weight: 400;\"> Naj\u010dastej\u0161\u00edm pr\u00edznakom, ktor\u00fd pacienti s ACC ud\u00e1vaj\u00fa, je boles\u0165 chrbta alebo boku (v oblasti slab\u00edn). Tento typ bolesti je ve\u013emi \u010dast\u00fd a s\u00e1m o sebe nepoukazuje priamo na ochorenie nadobli\u010diek. Mnoh\u00ed pacienti v\u0161ak nemusia poci\u0165ova\u0165 boles\u0165 v\u00f4bec. T\u00e1to boles\u0165 vznik\u00e1 zvy\u010dajne v d\u00f4sledku tlaku rast\u00faceho n\u00e1doru na okolit\u00e9 org\u00e1ny, nervy a \u0161trukt\u00fary v bl\u00edzkosti nadobli\u010dky. Niektor\u00ed pacienti tie\u017e uv\u00e1dzaj\u00fa pocit plnosti alebo nechutenstvo, \u010do s\u00favis\u00ed s tlakom n\u00e1doru na \u017eal\u00fadok alebo in\u00e9 bru\u0161n\u00e9 org\u00e1ny.<\/span><br><br><span style=\"font-weight: 400;\">ACC b\u00fdva \u010dasto funk\u010dn\u00fd n\u00e1dor, \u010do znamen\u00e1, \u017ee produkuje horm\u00f3ny. V pribli\u017ene 40\u201360\u202f% pr\u00edpadov doch\u00e1dza k nadmernej produkcii kortizolu (alebo in\u00fdch horm\u00f3nov nadobli\u010diek), \u010do vedie k vzniku Cushingovho syndr\u00f3mu. Cushingov syndr\u00f3m b\u00fdva \u010dasto prv\u00fdm znakom, \u017ee s nadobli\u010dkami nie\u010do nie je v poriadku (za predpokladu, \u017ee sa vyl\u00fa\u010dila porucha hypof\u00fdzy). <\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a63cb44\" data-id=\"a63cb44\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-920bcfc elementor-widget elementor-widget-text-editor\" data-id=\"920bcfc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"background-color: #fcfcfc;\">Medzi pr\u00edznaky Cushingovho syndr\u00f3mu patria nielen (no nemusia sa objavi\u0165 v\u0161etky naraz):<\/p><br><br><ul>\r\n \t<li>priberanie na v\u00e1he (najm\u00e4 v oblasti brucha)<\/li>\r\n \t<li>\u010derven\u00e1, gu\u013eat\u00e1 tv\u00e1r s pln\u00fdmi l\u00edcami (\u201emesia\u010dkovit\u00e1 tv\u00e1r\u201c)<\/li>\r\n \t<li>tukov\u00fd hrb v hornej \u010dasti chrbta tesne pod krkom (\u201ebyvol\u00ed hrb\u201c)<\/li>\r\n \t<li>viriliz\u00e1cia \u2013 objavenie sa mu\u017esk\u00fdch znakov u \u017eien (zv\u00fd\u0161en\u00e9 ochlpenie na tv\u00e1ri, v oblasti genit\u00e1li\u00ed, akn\u00e9, hrubnutie hlasu, zv\u00e4\u010d\u0161enie klitorisu)<\/li>\r\n \t<li>nadmern\u00e9 potenie<\/li>\r\n \t<li>fialov\u00e9 strie, najm\u00e4 na bruchu, stehn\u00e1ch, prsiach a ramen\u00e1ch<\/li>\r\n \t<li>tenk\u00e1, krehk\u00e1 ko\u017ea, ktor\u00e1 sa \u013eahko tvor\u00ed modriny<\/li>\r\n \t<li>nepravideln\u00e1 alebo ch\u00fdbaj\u00faca men\u0161tru\u00e1cia<\/li>\r\n \t<li>\u010dast\u00e9 v\u00fdkyvy n\u00e1lad<\/li>\r\n \t<li>spomalen\u00fd rast (u det\u00ed a mladistv\u00fdch)<\/li>\r\n<\/ul><br>Ak n\u00e1dor produkuje nadmern\u00e9 mno\u017estvo aldoster\u00f3nu, objavuj\u00fa sa pr\u00edznaky n\u00edzkej hladiny drasl\u00edka v tele, medzi ktor\u00e9 patria<br><ul>\r\n \t<li aria-level=\"1\">svalov\u00e9 k\u0155\u010de<\/li>\r\n \t<li aria-level=\"1\"><span style=\"font-weight: 400;\">slabos\u0165<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">bolesti brucha<\/span><\/li>\r\n<\/ul><br><p style=\"background-color: #fcfcfc;\">Na zistenie hormon\u00e1lnej aktivity n\u00e1doru sa vykon\u00e1va rozsiahle hormon\u00e1lne vy\u0161etrenie krvi. U pacientov s ACC a Cushingov\u00fdm syndr\u00f3mom sa \u010dasto zistia odch\u00fdlky v hladin\u00e1ch viacer\u00fdch horm\u00f3nov nadobli\u010diek, nielen samotn\u00e9ho kortizolu.\r\nK\u013e\u00fa\u010dov\u00e9 s\u00fa najm\u00e4 zmeny v:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-22eee22 elementor-widget elementor-widget-text-editor\" data-id=\"22eee22\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<table id=\"tablepress-3\" class=\"tablepress tablepress-id-3\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Horm\u00f3n<\/th><th class=\"column-2\">O\u010dak\u00e1van\u00e1 hladina v krvi pri ACC<\/th><th class=\"column-3\">D\u00f4vod<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Kortizol<\/td><td class=\"column-2\">\u2191 Vysok\u00e1<\/td><td class=\"column-3\">Nadmern\u00e1 produkcia n\u00e1dorom ACC<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">ACTH<\/td><td class=\"column-2\">\u2193 N\u00edzka<\/td><td class=\"column-3\">Negat\u00edvna sp\u00e4tn\u00e1 v\u00e4zba na hypof\u00fdzu<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">DHEA-S (dehydroepiandroster\u00f3n sulf\u00e1t)<\/td><td class=\"column-2\">\u2191 Vysok\u00e1 (niekedy)<\/td><td class=\"column-3\">ACC m\u00f4\u017ee produkova\u0165 adren\u00e1lne androg\u00e9ny<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Aldoster\u00f3n<\/td><td class=\"column-2\">R\u00f4zna<\/td><td class=\"column-3\">ACC m\u00f4\u017ee by\u0165 nefunk\u010dn\u00fd alebo produkova\u0165 nadbytok aldoster\u00f3nu<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Testoster\u00f3n (u \u017eien)<\/td><td class=\"column-2\">\u2191 Vysok\u00e1<\/td><td class=\"column-3\">Niektor\u00e9 n\u00e1dory ACC produkuj\u00fa androg\u00e9ny<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">Estradiol (u mu\u017eov)<\/td><td class=\"column-2\">\u2191 Vysok\u00e1<\/td><td class=\"column-3\">ACC m\u00f4\u017ee produkova\u0165 estrog\u00e9n, \u010do vedie k feminiz\u00e1cii u mu\u017eov<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">Drasl\u00edk (K\u207a)<\/td><td class=\"column-2\">\u2193 N\u00edzky (ak sa tvor\u00ed aldoster\u00f3n)<\/td><td class=\"column-3\">Hyperaldosteronizmus vedie k strate drasl\u00edka<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-3 from cache -->\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ccfe007 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"ccfe007\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-20a40a7\" data-id=\"20a40a7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c5ff2a5 elementor-widget elementor-widget-heading\" data-id=\"c5ff2a5\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"team\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">V\u00e1\u0161 zdravotn\u00edcky t\u00edm<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-832aecc elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"832aecc\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-d5f1652\" data-id=\"d5f1652\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ac95c1 elementor-widget elementor-widget-text-editor\" data-id=\"5ac95c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tACC je zriedkav\u00e9, tzv. \u201eorphan\u201c ochorenie, a preto budete potrebova\u0165 t\u00edm lek\u00e1rov \u2013 najm\u00e4 endokrinol\u00f3ga, onkol\u00f3ga, chirurga, pr\u00edpadne v\u00fd\u017eivov\u00e9ho poradcu \u010di r\u00e1diol\u00f3ga \u2013 ktor\u00ed bud\u00fa schopn\u00ed spolu komunikova\u0165 ako jeden celok a jednotne sa vyjadrova\u0165 k va\u0161im v\u00fdsledkom a lie\u010dbe.<br>Vy ste ten, kto sed\u00ed za volantom \u2013 mali by ste sa so svoj\u00edm lek\u00e1rskym t\u00edmom c\u00edti\u0165 bezpe\u010dne a d\u00f4verova\u0165 mu. Druh\u00fd lek\u00e1rsky n\u00e1zor (tzv. second opinion) m\u00f4\u017ee by\u0165 v\u017edy u\u017eito\u010dn\u00fd \u2013 osobne alebo aj na dia\u013eku. Niekedy si ju m\u00f4\u017ee vy\u017eiada\u0165 aj samotn\u00fd t\u00edm lek\u00e1rov.<br><br>Organiz\u00e1cia <em><strong>Let\u2019s Cure ACC<\/strong><\/em> je v kontakte s viac ako stovkou odborn\u00edkov na ACC vo viac ako 40 krajin\u00e1ch sveta a m\u00f4\u017ee v\u00e1m pom\u00f4c\u0165 n\u00e1js\u0165 odborn\u00edka vo va\u0161ej krajine alebo vo va\u0161om jazyku.Ak potrebujete prepojenie s odborn\u00edkom, nev\u00e1hajte n\u00e1s <a href=\"https:\/\/lcaccnew.wpenginepowered.com\/contact-us\/\">kontaktova\u0165<\/a>.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-daa21a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"daa21a4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0d9638e\" data-id=\"0d9638e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-577c270 elementor-widget elementor-widget-heading\" data-id=\"577c270\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"support\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Podpora na va\u0161ej ceste s ACC<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b8a8b37 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"b8a8b37\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3484b32\" data-id=\"3484b32\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c59476 elementor-widget elementor-widget-text-editor\" data-id=\"3c59476\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAk ste tu, mo\u017eno m\u00e1te pocit, \u017ee ste jedin\u00fd \u010dlovek, ktor\u00fd bojuje s t\u00fdmto typom rakoviny, a mo\u017eno ste jedin\u00fd vo va\u0161ej krajine, ktor\u00e9mu bol tento typ rakoviny diagnostikovan\u00fd. Tento pocit izol\u00e1cie m\u00f4\u017ee by\u0165 ve\u013emi n\u00e1ro\u010dn\u00fd \u2013 ale nie ste sami. T\u00e1to medzin\u00e1rodn\u00e1 sie\u0165 existuje pr\u00e1ve preto, aby ste sa mohli spoji\u0165 s in\u00fdmi \u013eu\u010fmi, ktor\u00ed pre\u017e\u00edvaj\u00fa podobn\u00e9 veci a skuto\u010dne rozumej\u00fa, \u010d\u00edm prech\u00e1dzate. N\u00e1jdete tu \u013eud\u00ed z cel\u00e9ho sveta, ktor\u00ed si klad\u00fa rovnak\u00e9 ot\u00e1zky, \u010delia rovnak\u00fdm v\u00fdzvam a tie\u017e h\u013eadaj\u00fa oporu a porozumenie.<br><br><span style=\"font-weight: 400;\">Diagn\u00f3za ACC alebo ak\u00e9hoko\u013evek in\u00e9ho zriedkav\u00e9ho ochorenia so sebou m\u00f4\u017ee prinies\u0165 cel\u00fd spletenec em\u00f3ci\u00ed \u2013 hnev, sm\u00fatok, strach\u2026 V\u0161etky va\u0161e pocity s\u00fa opr\u00e1vnen\u00e9.<\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7cbb9ee elementor-widget elementor-widget-image\" data-id=\"7cbb9ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"741\" height=\"456\" src=\"https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/people.png\" class=\"attachment-large size-large wp-image-9644\" alt=\"\" srcset=\"https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/people.png 741w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/people-300x185.png 300w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/people-700x431.png 700w\" sizes=\"(max-width: 741px) 100vw, 741px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-61011c4\" data-id=\"61011c4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9d013f0 elementor-widget elementor-widget-text-editor\" data-id=\"9d013f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<span style=\"font-weight: 400;\">Tu je nieko\u013eko tipov, ktor\u00e9 v\u00e1m m\u00f4\u017eu pom\u00f4c\u0165:<\/span><br><ul>\r\n \t<li><span style=\"font-weight: 400;\"> Nebojte sa po\u017eiada\u0165 o pomoc. Zadajte konkr\u00e9tne \u00falohy svojim bl\u00edzkym \u2013 mnoh\u00ed bud\u00fa radi, \u017ee v\u00e1m m\u00f4\u017eu pom\u00f4c\u0165, len nevedia ako.<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> H\u013eadajte spo\u013eahliv\u00e9 online zdroje. Nie sme lek\u00e1ri, ale na na\u0161ej webovej str\u00e1nke n\u00e1jdete d\u00f4veryhodn\u00e9 a relevantn\u00e9 inform\u00e1cie. O svojom zdravotnom stave sa v\u017edy pora\u010fte s kvalifikovan\u00fdm lek\u00e1rom.<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Bu\u010fte na seba l\u00e1skav\u00ed. Nest\u00edhate uprata\u0165 dom\u00e1cnos\u0165, preto\u017ee v\u00e1s zahltili spr\u00e1vy o lie\u010dbe? To je \u00faplne v poriadku.<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Doprajte si oddych, ke\u010f ho potrebujete. Ak sa pre\u0165a\u017e\u00edte, va\u0161a psychika to poc\u00edti e\u0161te viac.<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Vysk\u00fa\u0161ajte medit\u00e1ciu alebo uvedomovanie si pr\u00edtomn\u00e9ho okam\u017eiku.<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Ak po\u010das lie\u010dby pracujete, zistite, ak\u00e9 \u00fa\u013eavy alebo \u00fapravy v\u00e1m m\u00f4\u017ee poskytn\u00fa\u0165 zamestn\u00e1vate\u013e.<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Robte to, \u010do v\u00e1m prin\u00e1\u0161a rados\u0165, a vytv\u00e1rajte pekn\u00e9 chv\u00edle so svojimi bl\u00edzkymi \u2013 pr\u00e1ve v tak\u00fdchto okamihoch sa ukr\u00fdva sila.<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Ak v\u00e1m to zdravie dovol\u00ed, aj kr\u00e1tka prech\u00e1dzka na \u010derstvom vzduchu m\u00f4\u017ee ma\u0165 pozit\u00edvny vplyv na va\u0161u psychiku.<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Ak m\u00e1te obavy o svoje du\u0161evn\u00e9 zdravie, rozpr\u00e1vajte sa o tom s bl\u00edzkymi a so svoj\u00edm lek\u00e1rskym t\u00edmom.<\/span><\/li>\r\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-34689b9 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"34689b9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0a8efeb\" data-id=\"0a8efeb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4b7673 elementor-widget elementor-widget-heading\" data-id=\"a4b7673\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"options\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mo\u017enosti lie\u010dby<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b59aea3 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"b59aea3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-96cd0f0\" data-id=\"96cd0f0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f6356d elementor-widget elementor-widget-text-editor\" data-id=\"4f6356d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>Existuje nieko\u013eko mo\u017enost\u00ed lie\u010dby, ktor\u00e9 z\u00e1visia od dostupnej zdravotnej starostlivosti vo va\u0161ej krajine a od stavu v\u00e1\u0161ho ochorenia. Tu je stru\u010dn\u00fd preh\u013ead:<\/strong><br><br><strong>1. Chirurgick\u00fd z\u00e1krok:<\/strong><span style=\"font-weight: 400;\">Oper\u00e1cia je najlep\u0161ou a najodpor\u00fa\u010danej\u0161ou mo\u017enos\u0165ou lie\u010dby, pokia\u013e je to mo\u017en\u00e9, preto\u017ee zohr\u00e1va z\u00e1sadn\u00fa \u00falohu v progn\u00f3ze a m\u00f4\u017ee v\u00fdrazne zlep\u0161i\u0165 vyhliadky pacienta. Plat\u00ed to pri odstr\u00e1nen\u00ed prim\u00e1rneho n\u00e1doru (aj jeho metast\u00e1z, ak s\u00fa pr\u00edtomn\u00e9), ako aj pri lok\u00e1lnych alebo vzdialen\u00fdch recid\u00edvach. Z\u00e1krok by mal vykona\u0165 sk\u00fasen\u00fd odborn\u00fd chirurg. <\/span><span style=\"font-weight: 400;\">Na z\u00e1klade v\u00fdsledkov patol\u00f3ga, ktor\u00fd sk\u00fama odstr\u00e1nen\u00fd n\u00e1dor, v\u00e1m bude odporu\u010den\u00e1 najvhodnej\u0161ia n\u00e1sledn\u00e1 lie\u010dba (viac v \u010dasti Progn\u00f3za ACC).<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><br><br><strong>2. Peror\u00e1lna chemoterapia \/ Adjuvantn\u00e1 lie\u010dba<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Ide o u\u017e\u00edvanie jedinej dostupnej lie\u010dby na ACC, ktor\u00e1 existuje na trhu \u2013 lieku Lysodren\/Mitotan. Naz\u00fdva sa \u201eadjuvantn\u00e1\u201c, preto\u017ee jej cie\u013eom je zn\u00ed\u017ei\u0165 riziko n\u00e1vratu ochorenia. Odpor\u00fa\u010da sa pri ACC so stredn\u00fdm a\u017e vysok\u00fdm rizikom recid\u00edvy, ako aj pri pokro\u010dil\u00fdch \u0161t\u00e1di\u00e1ch ochorenia. Pri n\u00edzkom riziku sa rozhodnutie rob\u00ed individu\u00e1lne.\r\nLiek je potrebn\u00e9 u\u017e\u00edva\u0165 v \u010do najvy\u0161\u0161ej tolerovanej d\u00e1vke s cie\u013eom dosiahnu\u0165 terapeutick\u00fa hladinu (medzi 14 mg\/L a 20 mg\/L), preto\u017ee v tomto rozmedz\u00ed je naj\u00fa\u010dinnej\u0161\u00ed. Ke\u010f\u017ee sa Mitotan v tele hromad\u00ed postupne, m\u00f4\u017ee trva\u0165 nieko\u013eko mesiacov, k\u00fdm sa cie\u013eov\u00e1 hladina dosiahne. Niektor\u00ed pacienti ju nikdy nedosiahnu, no to e\u0161te neznamen\u00e1, \u017ee liek nebude \u00fa\u010dinn\u00fd \u2013 ako ukazuj\u00fa aj nov\u00e9 \u0161t\u00fadie. Ved\u013eaj\u0161ie \u00fa\u010dinky sa l\u00ed\u0161ia od \u010dloveka k \u010dloveku \u2013 pacienti \u010dasto zdie\u013eaj\u00fa vlastn\u00e9 tipy, ako ich zvl\u00e1da\u0165. Nev\u00e1hajte n\u00e1s kontaktova\u0165!<\/span><br><br><strong>3. Chemoterapia<\/strong><span style=\"font-weight: 400;\">: Pou\u017e\u00edva sa na ni\u010denie rakovinov\u00fdch buniek. Pri ACC sa chemoterapia pod\u00e1va intraven\u00f3zne (inf\u00faziou). Ide o odpor\u00fa\u010dan\u00fa lie\u010dbu pri pokro\u010dilom \u0161t\u00e1diu alebo pri recid\u00edve. Naj\u010dastej\u0161ie sa pou\u017e\u00edva kombin\u00e1cia EDP (etopozid, doxorubic\u00edn, cisplatina) spolu s Mitotanom \u2013 ide o tzv. \u201e\u0161tandardn\u00fa lie\u010dbu\u201c. Ako druh\u00e1 l\u00ednia lie\u010dby sa na z\u00e1klade klinick\u00fdch \u0161t\u00fadi\u00ed pon\u00faka aj kombin\u00e1cia gemcitab\u00ednu a kapecitab\u00ednu, najm\u00e4 v odborn\u00fdch centr\u00e1ch v Holandsku a Nemecku.<\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3c4f33c\" data-id=\"3c4f33c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c60c20 elementor-widget elementor-widget-image\" data-id=\"3c60c20\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"986\" height=\"1024\" src=\"https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-986x1024.png\" class=\"attachment-large size-large wp-image-9652\" alt=\"\" srcset=\"https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-986x1024.png 986w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-289x300.png 289w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-768x798.png 768w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-700x727.png 700w, https:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06.png 1333w\" sizes=\"(max-width: 986px) 100vw, 986px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0304bce elementor-widget elementor-widget-text-editor\" data-id=\"0304bce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>4. R\u00e1dioterapia<\/strong><span style=\"font-weight: 400;\">: Ide o lokalizovan\u00fa lie\u010dbu, pri ktorej sa o\u017earuje len konkr\u00e9tna oblas\u0165. Cie\u013eom je zni\u010di\u0165 rakovinov\u00e9 bunky. Podobne ako chemoterapia, aj r\u00e1dioterapia m\u00f4\u017ee ovplyvni\u0165 zdrav\u00e9 bunky. Po ne\u00faplnom chirurgickom odstr\u00e1nen\u00ed n\u00e1doru sa m\u00f4\u017ee r\u00e1dioterapia odporu\u010di\u0165 v kombin\u00e1cii s Mitotanom.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><br><br><strong>5. Imunoterapia: <\/strong><span style=\"font-weight: 400;\">Ide o jednu z najnov\u0161\u00edch dostupn\u00fdch foriem lie\u010dby ACC. Jej cie\u013eom je aktivova\u0165 imunitn\u00fd syst\u00e9m, aby bol schopn\u00fd \u00fa\u010dinnej\u0161ie bojova\u0165 proti rakovinov\u00fdm bunk\u00e1m. Jedn\u00fdm z imunoterapeutick\u00fdch liekov je napr\u00edklad <\/span><b>pembrolizumab<\/b><span style=\"font-weight: 400;\">.<\/span><br><br><strong>6. Cielen\u00e1 lie\u010dba<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Prebieha mno\u017estvo v\u00fdskumov, ktor\u00fdch cie\u013eom je prinies\u0165 nov\u00e9 lie\u010debn\u00e9 mo\u017enosti. Existuj\u00fa aj klinick\u00e9 \u0161t\u00fadie, do ktor\u00fdch v\u00e1s m\u00f4\u017ee v\u00e1\u0161 lek\u00e1r zaradi\u0165, ak v\u00e1\u0161 zdravotn\u00fd stav zodpoved\u00e1 po\u017eiadavk\u00e1m v\u00fdskumu.<\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4296b1b elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"4296b1b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b09daca\" data-id=\"b09daca\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db0a4c5 elementor-widget elementor-widget-heading\" data-id=\"db0a4c5\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"know\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u010co vedie\u0165 o progn\u00f3ze ACC<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c3f7875 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"c3f7875\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4aad5ea\" data-id=\"4aad5ea\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-69f2afc elementor-widget elementor-widget-text-editor\" data-id=\"69f2afc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<b>Upozornenie: T\u00e1to \u010das\u0165 m\u00f4\u017ee by\u0165 n\u00e1ro\u010dn\u00e1 na \u010d\u00edtanie, tak\u017ee ak sa na \u0148u nec\u00edtite, pokojne ju presko\u010dte. Hoci je to \u0165a\u017ek\u00e9, fakty s\u00fa fakty \u2013 a nem\u00f4\u017eeme sa im vyhn\u00fa\u0165, aj ke\u010f na\u0161\u00edm hlavn\u00fdm cie\u013eom je rie\u0161enie. Z\u00e1merne uv\u00e1dzame v\u0161eobecn\u00fd preh\u013ead na z\u00e1klade v\u00fdskumu, ale ako v\u017edy \u2013 pora\u010fte sa o svojom zdravotnom stave so svoj\u00edm lek\u00e1rom alebo kvalifikovan\u00fdm zdravotn\u00edckym pracovn\u00edkom. Poznanie je moc, ale iba vtedy, ke\u010f ste pripraven\u00ed ju prija\u0165.<\/b><br><br><span style=\"font-weight: 400;\">ACC je agres\u00edvna forma rakoviny a odborn\u00e1 literat\u00fara \u010dasto uv\u00e1dza v\u0161eobecne nepriazniv\u00fa progn\u00f3zu. Ale vy nie ste len \u0161tatistika \u2013 v\u00e1\u0161 du\u0161evn\u00fd stav a odhodlanie zohr\u00e1vaj\u00fa d\u00f4le\u017eit\u00fa \u00falohu. Hoci je 5-ro\u010dn\u00e1 miera pre\u017eitia \u0161tatisticky n\u00edzka, v\u00fdsledky sa v\u00fdrazne l\u00ed\u0161ia v z\u00e1vislosti od viacer\u00fdch individu\u00e1lnych faktorov. Ka\u017ed\u00fd pr\u00edpad ACC je jedine\u010dn\u00fd a v\u00e1\u0161 lek\u00e1r je najlep\u0161\u00edm zdrojom inform\u00e1ci\u00ed. Sp\u00fdtajte sa ho na t\u00fdchto 4 k\u013e\u00fa\u010dov\u00e9 faktory, ktor\u00e9 v\u00e1m pom\u00f4\u017eu lep\u0161ie porozumie\u0165 va\u0161ej konkr\u00e9tnej situ\u00e1cii a mo\u017enostiam lie\u010dby:<\/span><br><br><strong>1. \u00a0Resek\u010dn\u00fd (chirurgick\u00fd) status<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> \u201eResekcia\u201c znamen\u00e1 odstr\u00e1nenie n\u00e1doru a rozli\u0161ujeme 4 stupne: <b>R0, R1, R2 a Rx<\/b>. \u201eR\u201c ozna\u010duje <b>rezidu\u00e1lne<\/b> (zvy\u0161kov\u00e9) n\u00e1dorov\u00e9 tkanivo po z\u00e1kroku:<\/span><br><ul>\r\n \t<li style=\"list-style-type: none;\">\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>R0:<\/b><span style=\"font-weight: 400;\"> n\u00e1dor bol \u00faplne odstr\u00e1nen\u00fd s \u010dist\u00fdm (negat\u00edvnym) okrajom \u2013 ide\u00e1lny v\u00fdsledok<\/span><\/li>\r\n<\/ul><br><\/li><br><\/ul><br>&nbsp;<br><ul>\r\n \t<li style=\"list-style-type: none;\">\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>R1:<\/b><span style=\"font-weight: 400;\"> zvy\u0161ky n\u00e1doru zostali na mikroskopickej \u00farovni \u2013 nebolo mo\u017en\u00e9 ich \u00faplne vyreza\u0165<\/span><\/li>\r\n<\/ul><br><\/li><br><\/ul><br>&nbsp;<br><ul>\r\n \t<li style=\"list-style-type: none;\">\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>R2:<\/b><span style=\"font-weight: 400;\"> zvy\u0161ky n\u00e1doru vidite\u013en\u00e9 vo\u013en\u00fdm okom (makroskopick\u00e9) \u2013 n\u00e1dor nebol \u00faplne odstr\u00e1nen\u00fd<\/span><\/li>\r\n<\/ul><br><\/li><br><\/ul><br>&nbsp;<br><ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Rx:<\/b> ned\u00e1 sa ur\u010di\u0165, \u010di bol n\u00e1dor odstr\u00e1nen\u00fd \u00faplne alebo nie<\/li>\r\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-09926a5\" data-id=\"09926a5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cb6da95 elementor-widget elementor-widget-text-editor\" data-id=\"cb6da95\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>2. Weiss sk\u00f3re<\/strong> <span style=\"font-weight: 400;\"><strong>:<\/strong> Toto sk\u00f3re sa pou\u017e\u00edva na ur\u010denie, \u010di je n\u00e1dor nadobli\u010diek nezhubn\u00fd alebo zhubn\u00fd. Hodnot\u00ed sa 9 krit\u00e9ri\u00ed \u2013 ak s\u00fa pr\u00edtomn\u00e9 aspo\u0148 3, n\u00e1dor m\u00e1 mal\u00edgny potenci\u00e1l. D\u00e1ta mo\u017eno z\u00edska\u0165 a\u017e po odstr\u00e1nen\u00ed n\u00e1doru. Lek\u00e1ri upozor\u0148uj\u00fa, \u017ee sk\u00f3re m\u00e1 ist\u00fa mieru subjektivity, ale st\u00e1le ide o d\u00f4le\u017eit\u00fd ukazovate\u013e z\u00e1va\u017enosti ochorenia, a preto by mal by\u0165 s\u00fa\u010das\u0165ou spr\u00e1vy po oper\u00e1cii (ak je dostupn\u00fd)).\u00a0<\/span><br><br><strong>3. Index prolifer\u00e1cie Ki-67 \/ stupe\u0148 n\u00e1doru<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> Ki-67 je ud\u00e1van\u00fd v percent\u00e1ch (%) a meria, ako r\u00fdchlo sa rakovinov\u00e9 bunky delia. Je to jeden z najpresnej\u0161\u00edch ukazovate\u013eov rizika recid\u00edvy:<\/span><br><br><span style=\"font-weight: 400;\">\u2013 Stupe\u0148 1 : Ki67 &lt;10%<\/span><span style=\"font-weight: 400;\">\r\n<\/span><span style=\"font-weight: 400;\">\u2013 Stupe\u0148 2 : Ki67\u00a0 medzi 10\u201319%<\/span><span style=\"font-weight: 400;\">\r\n<\/span><span style=\"font-weight: 400;\">\u2013 Stupe\u0148 3 : Ki67 \u226520%<\/span><br><br><span style=\"font-weight: 400;\">Vy\u0161\u0161ie percento znamen\u00e1 r\u00fdchlej\u0161ie delenie buniek \u2013 a teda v\u00e4\u010d\u0161iu pravdepodobnos\u0165 rastu a \u0161\u00edrenia n\u00e1doru.<\/span><br><br><strong>4. \u0160t\u00e1dium rakoviny:\u00a0<\/strong><br><ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0160t\u00e1dium I: n\u00e1dor men\u0161\u00ed ako 5 cm, lokalizovan\u00fd v nadobli\u010dke<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0160t\u00e1dium II: n\u00e1dor v\u00e4\u010d\u0161\u00ed ako 5 cm, st\u00e1le lokalizovan\u00fd v nadobli\u010dke<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0160t\u00e1dium III: n\u00e1dor sa roz\u0161\u00edril do okolia (napr. doln\u00e1 dut\u00e1 \u017eila, obli\u010dkov\u00e1 \u017eila)<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0160t\u00e1dium IV: metastatick\u00e9 ochorenie \u2013 rakovina sa roz\u0161\u00edrila do \u010fal\u0161\u00edch \u010dast\u00ed tela<\/span><\/li>\r\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0f55eeb elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"0f55eeb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-12b9890\" data-id=\"12b9890\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ab1ca4 elementor-widget elementor-widget-heading\" data-id=\"3ab1ca4\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"kids\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ACC u det\u00ed a dospievaj\u00facich<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-07e4205 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"07e4205\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-256e4a3\" data-id=\"256e4a3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a77d730 elementor-widget elementor-widget-text-editor\" data-id=\"a77d730\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<span style=\"font-weight: 400;\">Doj\u010dat\u00e1, deti a dospievaj\u00faci nie s\u00fa len \u201emal\u00ed dospel\u00ed\u201c! \u0160pecifick\u00e9 potreby tejto skupiny pacientov rie\u0161ia detsk\u00ed lek\u00e1ri. Medzi n\u00e1dormi u det\u00ed a dospel\u00fdch existuj\u00fa z\u00e1sadn\u00e9 rozdiely vo v\u00fdvoji aj genetick\u00fdch charakteristik\u00e1ch. Preto sa poznatky o rakovine nadobli\u010diek u dospel\u00fdch nedaj\u00fa automaticky prenies\u0165 na deti. Ke\u010f\u017ee neobvykl\u00fd rast tkaniva (neopl\u00e1zia) vych\u00e1dzaj\u00faci z k\u00f4ry nadobli\u010diek b\u00fdva u mlad\u0161\u00edch pacientov r\u00fdchlej\u0161\u00ed, je nevyhnutn\u00e9, aby pediatri \u00fazko spolupracovali s lek\u00e1rmi, ktor\u00ed lie\u010dia n\u00e1dory u dospel\u00fdch, a zabezpe\u010dili tak komplexn\u00fa starostlivos\u0165. Z\u00e1rove\u0148 je k\u013e\u00fa\u010dov\u00e9 za\u010da\u0165 lie\u010dbu abnorm\u00e1lneho rastu \u010do najsk\u00f4r. Lek\u00e1rsky pojem adrenokortik\u00e1lny n\u00e1dor (ACT) sa pou\u017e\u00edva \u0161ir\u0161ie \u2013 ozna\u010duje nezhubn\u00e9, zhubn\u00e9 aj hrani\u010dn\u00e9\/premal\u00edgne n\u00e1dory nadobli\u010diek. Tento pojem zah\u0155\u0148a aj zhubn\u00fa formu zn\u00e1mej\u0161iu ako adrenokortik\u00e1lny karcin\u00f3m (ACC).<\/span><br><br><span style=\"font-weight: 400;\">U det\u00ed je ACC \u010dasto spojen\u00fd s tzv. syndr\u00f3mami genetickej predispoz\u00edcie, \u010do znamen\u00e1 dedi\u010dn\u00fd (famili\u00e1rny) v\u00fdskyt t\u00fdchto n\u00e1dorov v rodine (napr. syndr\u00f3m Li-Fraumeni alebo Beckwith-Wiedemannov syndr\u00f3m). Genetick\u00e9 testovanie sa odpor\u00fa\u010da v\u0161etk\u00fdm de\u0165om s ACC. Ak sa zist\u00ed genetick\u00e1 predispoz\u00edcia, vhodn\u00e9 je aj testovanie ostatn\u00fdch \u010dlenov rodiny \u2013 v\u010dasn\u00e1 identifik\u00e1cia m\u00f4\u017ee zn\u00ed\u017ei\u0165 riziko rakoviny prostredn\u00edctvom pravideln\u00e9ho sledovania.<\/span><br><br><span style=\"font-weight: 400;\">Na rozdiel od ACC u dospel\u00fdch, takmer v\u0161etky n\u00e1dory u det\u00ed produkuj\u00fa horm\u00f3ny (v 80 % pr\u00edpadov ide o hormon\u00e1lne akt\u00edvne n\u00e1dory). Naj\u010dastej\u0161ie ide o vylu\u010dovanie stresov\u00e9ho horm\u00f3nu kortizolu a mu\u017esk\u00fdch horm\u00f3nov\u00fdch prekurzorov. Napriek tomu a\u017e 60 % det\u00ed trp\u00ed hormon\u00e1lnymi poruchami a vyh\u013ead\u00e1 lek\u00e1rsku pomoc.<\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-910f262\" data-id=\"910f262\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50f5f0c elementor-widget elementor-widget-text-editor\" data-id=\"50f5f0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<span style=\"font-weight: 400;\">Medzi hlavn\u00e9 pr\u00edznaky patria:\u00a0<\/span><br><ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cushingov syndr\u00f3m (priberanie, vysok\u00fd krvn\u00fd tlak, zmeny ko\u017ee),<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">pred\u010dasn\u00fd n\u00e1stup puberty,<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">bolesti brucha.<\/span><\/li>\r\n<\/ul><br><span style=\"font-weight: 400;\">Tieto faktory zvy\u010dajne zlep\u0161uj\u00fa progn\u00f3zu u det\u00ed s ACC:<\/span><br><ul>\r\n \t<li><span style=\"font-weight: 400;\"> Vek do \u0161tyroch rokov<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Produkcia androg\u00e9nnych horm\u00f3nov<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> \u00dapln\u00e9 odstr\u00e1nenie n\u00e1doru (R0 resekcia)<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> N\u00edzke \u0161t\u00e1dium n\u00e1doru<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> N\u00edzka hodnota Ki67<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> Nepr\u00edtomnos\u0165 vzdialen\u00fdch metast\u00e1z<\/span><\/li>\r\n<\/ul><br><span style=\"font-weight: 400;\">Aj tak v\u0161ak mus\u00ed by\u0165 <\/span><b>ka\u017ed\u00fd pr\u00edpad posudzovan\u00fd individu\u00e1lne.<\/b><span style=\"font-weight: 400;\"> \u017diadne dve deti nie s\u00fa rovnak\u00e9.<\/span><br><br><span style=\"font-weight: 400;\">Ke\u010f\u017ee <\/span><b>ACC u det\u00ed je ve\u013emi zriedkav\u00fd<\/b><span style=\"font-weight: 400;\">, experti po celom svete \u00fazko spolupracuj\u00fa \u2013 klinicky aj v\u00fdskumne. Pre detsk\u00e9 n\u00e1dory vznikla medzin\u00e1rodn\u00e1 pracovn\u00e1 skupina \u201eKIDS\u201c pod z\u00e1\u0161titou <\/span><a href=\"https:\/\/ensat.wildapricot.org\/page-1317315\">ENS@T-PACT<\/a><span style=\"font-weight: 400;\">, ktor\u00e1 \u00fazko spolupracuje s braz\u00edlsko-americkou skupinou<\/span> <a href=\"https:\/\/icpact-gm.com\/\">IC-PACT<\/a><span style=\"font-weight: 400;\">. Iba takto m\u00f4\u017eu deti na celom svete profitova\u0165 z lek\u00e1rskeho pokroku \u2013 a v dlhodobom horizonte sa m\u00f4\u017ee sta\u0165 t\u00e1to choroba lie\u010dite\u013enou pre v\u0161etk\u00fdch.<\/span><br><br><a href=\"https:\/\/letscureacc.com\/sk\/kontaktujte-nas\/\"><span style=\"font-weight: 400;\"><strong>Kontaktujte n\u00e1s<\/strong><\/span><\/a><span style=\"font-weight: 400;\">, ak sa chcete spoji\u0165 s niektorou z t\u00fdchto skup\u00edn a z\u00edska\u0165 druh\u00fd n\u00e1zor pre pr\u00edpady ACT u det\u00ed a dospievaj\u00facich do 21 rokov.<\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-11f20f4 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"11f20f4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2555b1a\" data-id=\"2555b1a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a5cd5f2 elementor-widget elementor-widget-heading\" data-id=\"a5cd5f2\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"resources\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Zdroje<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-31512b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"31512b6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4b8065b\" data-id=\"4b8065b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1283c8d elementor-widget elementor-widget-text-editor\" data-id=\"1283c8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\r\n \t<li aria-level=\"1\">\u201c<a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/6152-adrenocortical-carcinoma\">Adrenocortical Carcinoma<\/a>\u201d by the Cleveland Clinic<\/li>\r\n \t<li aria-level=\"1\">\u201c<a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/adrenal-glands\">Adrenal Glands<\/a>\u201d by Johns Hopkins Medicine<\/li>\r\n \t<li aria-level=\"1\">\u201c<a href=\"https:\/\/www.rogelcancercenter.org\/files\/adrenal-patient-handbook.pdf\">A Patient\u2019s Guide to Adrenocortical Cancer<\/a>\u201d by Rogel Cancer Center &#8211; Michigan Medicine<\/li>\r\n \t<li aria-level=\"1\">\u201c<a href=\"https:\/\/www.mountsinai.org\/health-library\/diseases-conditions\/adrenocortical-carcinoma?_ga=2.107125313.255792733.1627598727-1373815667.1627598727\">Adrenocortical Carcinoma<\/a>\u201d by Mount Sinai<\/li>\r\n \t<li aria-level=\"1\"><a href=\"https:\/\/www.ensat.org\/\">ENSAT<\/a> (European Network for the Study of Adrenal Tumors)<\/li>\r\n<\/ul><br><span style=\"font-weight: 400;\">Ak n\u00e1s chcete podpori\u0165 v na\u0161ej \u010dinnosti, zv\u00e1\u017ete mo\u017enos\u0165 sta\u0165 sa <\/span><strong><a href=\"https:\/\/letscureacc.com\/sk\/pridajte-sa-teraz\/\">\u010dlenom<\/a> <\/strong><span style=\"font-weight: 400;\">na\u0161ej organiz\u00e1cie \u2013 na po\u010dtoch z\u00e1le\u017e\u00ed a v\u0161etci spolu, zjednoten\u00ed, m\u00f4\u017eeme dosiahnu\u0165 skuto\u010dn\u00fa zmenu vo vz\u0165ahu ku kompetentn\u00fdm autorit\u00e1m po celom svete!<\/span><br><br><span style=\"font-weight: 400;\">Ka\u017ed\u00fd <\/span><strong><a href=\"https:\/\/www.paypal.com\/donate\/?hosted_button_id=JE889STJUBCQA\">pr\u00edspevok<\/a><\/strong> <span style=\"font-weight: 400;\">n\u00e1m tie\u017e ve\u013emi pom\u00f4\u017ee \u2013 na\u0161a organiz\u00e1cia nedost\u00e1va \u017eiadne dot\u00e1cie na poskytovanie v\u0161etk\u00fdch t\u00fdchto slu\u017eieb a je plne z\u00e1visl\u00e1 od \u0161tedrosti darcov.<\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d87a43e elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"d87a43e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f0a2a22\" data-id=\"f0a2a22\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-9b444b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"9b444b6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-0ddbbcc\" data-id=\"0ddbbcc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-81852c2 elementor-widget elementor-widget-text-editor\" data-id=\"81852c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<span style=\"font-weight: 400;\"><em><strong>Let\u2019s Cure ACC<\/strong><\/em> \u00fazko spolupracuje s n\u00e1rodn\u00fdmi a miestnymi lek\u00e1rskymi organiz\u00e1ciami a pacientskymi zdru\u017eeniami.<\/span><br><br><span style=\"font-weight: 400;\">M\u00f4\u017eete n\u00e1s <\/span><strong><a href=\"https:\/\/letscureacc.com\/sk\/kontaktujte-nas\/\">kontaktova\u0165<\/a><\/strong><span style=\"font-weight: 400;\">, ak sa chcete spoji\u0165 s ambas\u00e1dorom Let\u2019s Cure ACC hovoriacim va\u0161\u00edm jazykom.<\/span><br><br><span style=\"font-weight: 400; color: #000000;\">&#8212;&#8212;&#8212;&#8212;&#8211;<\/span><br><br><span style=\"font-weight: 400;\"><strong>Let\u2019s Cure ACC<\/strong> \u010fakuje <strong>Nat\u00e1lii Mojovej<\/strong> za pomoc s prekladom tejto str\u00e1nky s cie\u013eom pom\u00f4c\u0165 pacientom s ACC.<\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Adrenokortik\u00e1lny karcin\u00f3m (ACC) je zriedkav\u00e9 a agres\u00edvne n\u00e1dorov\u00e9 ochorenie, ktor\u00e9 postihuje pribli\u017ene jedn\u00e9ho \u010dloveka z mili\u00f3na. Inform\u00e1cie, ktor\u00e9 o \u0148om n\u00e1jdete, m\u00f4\u017eu p\u00f4sobi\u0165 desivo \u2013 \u010dasto sa v nich spom\u00ednaj\u00fa slov\u00e1 ako zriedkav\u00fd, agres\u00edvny \u010di nepriazniv\u00e1 progn\u00f3za. Ale vy nie ste len \u010d\u00edslo v \u0161tatistike&#8230;.<\/p>\n","protected":false},"author":416,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"give_campaign_id":0,"inline_featured_image":false,"footnotes":""},"class_list":["post-9747","page","type-page","status-publish","hentry"],"campaignId":"","_links":{"self":[{"href":"https:\/\/letscureacc.com\/sk\/wp-json\/wp\/v2\/pages\/9747","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/letscureacc.com\/sk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/letscureacc.com\/sk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/letscureacc.com\/sk\/wp-json\/wp\/v2\/users\/416"}],"replies":[{"embeddable":true,"href":"https:\/\/letscureacc.com\/sk\/wp-json\/wp\/v2\/comments?post=9747"}],"version-history":[{"count":1,"href":"https:\/\/letscureacc.com\/sk\/wp-json\/wp\/v2\/pages\/9747\/revisions"}],"predecessor-version":[{"id":10082,"href":"https:\/\/letscureacc.com\/sk\/wp-json\/wp\/v2\/pages\/9747\/revisions\/10082"}],"wp:attachment":[{"href":"https:\/\/letscureacc.com\/sk\/wp-json\/wp\/v2\/media?parent=9747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}