{"id":3827,"date":"2017-02-16T10:56:54","date_gmt":"2017-02-16T08:56:54","guid":{"rendered":"http:\/\/www.miaumagazin.sk\/home\/?p=3827"},"modified":"2017-02-16T10:57:36","modified_gmt":"2017-02-16T08:57:36","slug":"andrea-rajnakova-lekarkou-v-singapure","status":"publish","type":"post","link":"https:\/\/www.miaumagazin.sk\/home\/andrea-rajnakova-lekarkou-v-singapure\/","title":{"rendered":"Andrea Raj\u0148\u00e1kov\u00e1 &#8211; Lek\u00e1rkou v Singapure"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><em>Mnoh\u00ed z\u00a0n\u00e1s si radi zacestuj\u00fa na dovolenku do exotick\u00fdch kraj\u00edn, nie\u010do in\u00e9 je tam ale trvalo pres\u00eddli\u0165 a\u00a0n\u00e1js\u0165 uplatnenie vo v\u00fdrazne odli\u0161nom kult\u00farnom prostred\u00ed. Singapur je jednou z\u00a0najbohat\u0161\u00edch a\u00a0najprosperuj\u00facej\u0161\u00edch, z\u00e1rove\u0148 v\u0161ak extr\u00e9mne na v\u00fdkon orientovan\u00fdch spolo\u010dnost\u00ed. Normou je sedemd\u0148ov\u00fd pracovn\u00fd t\u00fd\u017ede\u0148 a\u00a0\u0161trn\u00e1s\u0165 dn\u00ed dovolenky ro\u010dne. Nie je to pre ka\u017ed\u00e9ho, Andrea Raj\u0148\u00e1kov\u00e1 sa v\u0161ak v\u00a0Singapure presadila so s\u00fakromnou gastroenterologickou klinikou. \u00daspe\u0161ne rozv\u00edja lek\u00e1rsku prax aj v\u00fdhody, ktor\u00e9 \u017eivot v Singapure prin\u00e1\u0161a t\u00fdm, pre ktor\u00fdch je tvrd\u00e1 pr\u00e1ca in\u0161pir\u00e1ciou a zdrojom naplnenia.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><a href=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-3830 size-medium\" src=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova1-300x200.jpg\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova1-300x200.jpg 300w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova1-768x512.jpg 768w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova1-1024x683.jpg 1024w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova1.jpg 1476w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>T\u00fa\u017eili ste u\u017e ako die\u0165a sta\u0165 sa lek\u00e1rkou? <\/strong><\/p>\n<p>\u00c1no, mala som len jedin\u00fa odpove\u010f na ot\u00e1zku, \u010d\u00edm chcem by\u0165. S\u00a0hra\u010dk\u00e1rskym fonendoskopom na krku som presvied\u010dala rodi\u010dov, \u017ee budem doktorkou. N\u00e1ro\u010dn\u00e9 \u0161t\u00fadium medic\u00edny ma neodr\u00e1dzalo, zvykla som si sna\u017ei\u0165 sa na maximum. Gastroenterol\u00f3giu som si vybrala, ke\u010f som nast\u00fapila do nemocnice na Kram\u00e1roch na intern\u00e9 oddelenie, kde bol \u0161\u00e9fom gastroenterol\u00f3g a\u00a0tam som sa k\u00a0tejto \u0161pecializ\u00e1cii dostala bli\u017e\u0161ie. V\u00a0tom \u010dase odi\u0161iel m\u00f4j man\u017eel do Singapuru, kde dostal po skon\u010den\u00ed Vysokej \u0161koly ekonomickej pracovn\u00fa ponuku v\u00a0IBM. Ke\u010f som ho bola nav\u0161t\u00edvi\u0165, zozn\u00e1mila som sa na lek\u00e1rskej konferencii s moj\u00edm bud\u00facim \u0161\u00e9fom &#8211; chirurgom z\u00a0tamoj\u0161ej univerzitnej nemocnice. V\u00a0roku 1991 ako prv\u00fd na svete vykonal unik\u00e1tnu oper\u00e1ciu: laparoskopick\u00fa gastrekt\u00f3miu &#8211; vybratie \u017eal\u00fadka technikou \u201ekey hole\u201c.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>V\u00a0tom \u010dase \u0161lo o\u00a0v\u00fdnimo\u010dn\u00fd z\u00e1krok, pre v\u00e1s ur\u010dite odborne ve\u013emi zauj\u00edmav\u00fd&#8230;<\/strong><\/p>\n<p>Kl\u00e1dla som mu ve\u013ea ot\u00e1zok, t\u00fa\u017eila som po \u0161pecializ\u00e1cii, ktor\u00e1 spoj\u00ed vyu\u017e\u00edvanie vedomost\u00ed s\u00a0realizovan\u00edm konkr\u00e9tnych v\u00fdkonov. Nevidela som sa v\u0161ak v chirurgii, je to odbor viac pre mu\u017eov, treba po\u010d\u00edta\u0165 s\u00a0prebden\u00fdmi nocami aj s\u00a0t\u00fdm, \u017ee sa vzd\u00e1te \u00a0osobn\u00e9ho \u017eivota. Podmienky v singapurskej univerzitnej nemocnici ma ohromili, mali obrovsk\u00fa endoskopiu s\u00a0najmodernej\u0161\u00edmi technol\u00f3giami, s video obrazovkami. Na Slovensku sme vtedy poznali len \u201epozorov\u00e1tka\u201c, ktor\u00fdmi sme sa d\u00edvali do \u017eal\u00fadka. Bol to pre m\u0148a \u00faplne in\u00fd profesn\u00fd svet. Nadchol ma. O\u00a0rok som bola sp\u00e4\u0165 na mesa\u010dnej st\u00e1\u017ei, nau\u010dila som sa robi\u0165 gastroskopiu. Nadobudla som istotu, \u017ee chcem robi\u0165 pr\u00e1ve tento odbor internej medic\u00edny. Ve\u013emi sa mi p\u00e1\u010dili podmienky, vybavenie aj vynikaj\u00faca organiz\u00e1cia singapursk\u00e9ho zdravotn\u00edctva, neprem\u00fd\u0161\u013eala som v\u0161ak o\u00a0tom, \u017ee by som tam chcela osta\u0165 trvalej\u0161ie.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Prechod z Eur\u00f3py do \u00c1zie v\u00e1m dal asi riadne zabra\u0165&#8230;<\/strong><\/p>\n<p>Man\u017eel mal zmluvu na tri roky, po\u010d\u00edtali sme s\u00a0t\u00fdm, \u017ee sa vr\u00e1ti na Slovensko. Singapursk\u00fd zamestn\u00e1vate\u013e mu v\u0161ak n\u00e1sledne pon\u00fakol v\u00fdhodn\u00fa zmluvu na dobu neur\u010dit\u00fa, \u010do bol ve\u013ek\u00fd \u00faspech. Mne sa naskytla mo\u017enos\u0165 sk\u00fasi\u0165 pr\u00e1cu v\u00a0nemocnici, kde ma u\u017e poznali. \u017divot \u017eeny v\u00a0dom\u00e1cnosti by som si nevedela predstavi\u0165! Netu\u0161ila som ale, ak\u00e9 n\u00e1ro\u010dn\u00e9 bude na\u0161tartova\u0165 kari\u00e9ru &#8211; proces uznania vzdelania a\u00a0potrebn\u00fdch sk\u00fa\u0161ok bol skuto\u010dnou anab\u00e1zou. Singapursk\u00e9 in\u0161tit\u00facie sa prejavili ako mimoriadne d\u00f4sledn\u00e9 &#8211; musela som da\u0165 prelo\u017ei\u0165 a\u00a0not\u00e1rom overi\u0165 v\u0161etky diplomy a\u00a0dokumenty, vr\u00e1tane vysved\u010den\u00ed zo z\u00e1kladnej \u0161koly aj gymn\u00e1zia, aj index so zn\u00e1mkami zo v\u0161etk\u00fdch predmetov. Ako \u0165a\u017eko prelomite\u013en\u00e1 bari\u00e9ra sa uk\u00e1zalo napr\u00edklad priezvisko, v\u00a0Singapure na\u0161e prechy\u013eovanie s\u00a0koncovkou -ov\u00e1 vn\u00edmaj\u00fa ako celkom in\u00e9 meno ne\u017e man\u017eelovo, bolo n\u00e1ro\u010dn\u00e9 preukazova\u0165, \u017ee ide o\u00a0spolo\u010dn\u00e9 priezvisko man\u017eelov (smiech). Titul MUDr. pova\u017eovali za moje stredn\u00e9 meno, v\u00a0Singapure sa pou\u017e\u00edva Dr. V\u00a0banke napr\u00edklad zahl\u00e1sili, \u017ee na rade je MUDr., netu\u0161ila som, \u017ee ide o m\u0148a (smiech). Navy\u0161e, dialo sa to v\u00a0\u010dase, ke\u010f novovzniknut\u00e9 Slovensko e\u0161te nemali zaregistrovan\u00e9 ako samostatn\u00fd \u0161t\u00e1t, \u010do komplikoval fakt, \u017ee mojou rodnou krajinou bolo \u010ceskoslovensko.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-3832 size-medium\" src=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova2-300x200.jpg\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova2-300x200.jpg 300w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova2-768x512.jpg 768w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova2-1024x683.jpg 1024w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova2.jpg 1476w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>Mali v Singapure v\u00f4bec po\u0148atie o\u00a0na\u0161om \u010di eur\u00f3pskom \u0161kolstve a jeho \u00farovni?<\/strong><\/p>\n<p>V\u00f4bec nie, uzn\u00e1vali jedine britsk\u00e9, preto\u017ee ako b\u00fdval\u00e1 britsk\u00e1 kol\u00f3nia Singapur nasleduje aj v\u00a0akademickom svete model Britsk\u00e9ho spolo\u010denstva n\u00e1rodov, ktor\u00e9ho s\u00fa \u010dlenom. Po\u010das tohto procesu mi pon\u00fakli za\u010da\u0165 v\u00a0singapurskej univerzitnej nemocnici vo v\u00fdskume v\u00a0r\u00e1mci doktorandsk\u00e9ho \u0161t\u00fadia. Mohla som si vybra\u0165 t\u00e9mu, ktor\u00e1 by ma zauj\u00edmala a\u00a0bola aj pr\u00ednosom z\u00a0celosingapursk\u00e9ho h\u013eadiska. Ako celkom za\u010d\u00ednaj\u00faca lek\u00e1rka som mala nap\u00edsa\u0165 grant, obh\u00e1ji\u0165 ho a\u00a0realizova\u0165, bola to riadna v\u00fdzva! Vybrala som si rakovinu \u017eal\u00fadka, v\u00a0regi\u00f3ne pomerne \u010dast\u00e9 ochorenie a grant schv\u00e1lili. V\u00fdsledky mojej PhD. pr\u00e1ce tak boli pou\u017eit\u00e9 pri aplik\u00e1cii najv\u00e4\u010d\u0161ieho grantu v Singapure na rozvoj screeningov\u00e9ho programu rakoviny \u017eal\u00fadka, ktor\u00fd sa implementoval do singapursk\u00e9ho zdravotn\u00e9ho syst\u00e9mu. \u00daspe\u0161ne som absolvovala pr\u00edslu\u0161n\u00e9 sk\u00fa\u0161ky v\u00a0Brit\u00e1nii &#8211; pri celkom odli\u0161nom modeli \u0161t\u00fadia, ako ten n\u00e1\u0161. Samotn\u00ed Briti ich \u010dasto neurobia na prv\u00fdkr\u00e1t. St\u00e1le to v\u0161ak nesta\u010dilo, uk\u00e1zalo sa, \u017ee bud\u00fa potrebn\u00e9 aj singapursk\u00e9 sk\u00fa\u0161ky pred singapurskou komisiou. V\u00a0nej som sa nesk\u00f4r sama stala sk\u00fa\u0161aj\u00facou. Medzit\u00fdm som obh\u00e1jila PhD. a\u00a0stala sa jedinou eur\u00f3pskou a\u00a0slovenskou lek\u00e1rkou v\u00a0Singapure.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Ak\u00e9 podmienky v\u00e1s \u010dakali v\u00a0nemocnici?<\/strong><\/p>\n<p>V\u00a0Singapure je 10 dn\u00ed \u0161t\u00e1tnych sviatkov, mlad\u00ed za\u010d\u00ednaj\u00faci zamestnanci maj\u00fa 14 dn\u00ed dovolenky, po rokoch praxe maximum predstavuje 3 t\u00fd\u017edne. V\u00a0nemocnici sa pracuje aj v\u00a0sobotu a v\u00a0nede\u013eu, za\u010d\u00edna sa o\u00a0\u0161iestej r\u00e1no. Po vy\u0161etreniach pacientov, ktor\u00fdch bolo denne aj 30 &#8211; 40, som pracovala e\u0161te v\u00a0laborat\u00f3riu \u010dasto do jeden\u00e1stej ve\u010der, ka\u017ed\u00fd de\u0148. V\u00a0noci b\u00fdvali oper\u00e1cie, potom som sa po\u010das troch rokov do r\u00e1na u\u010dila na sk\u00fa\u0161ky. Tento syst\u00e9m je maxim\u00e1lne bezpe\u010dn\u00fd z\u00a0h\u013eadiska pacienta, nedovol\u00ed chyby, na lek\u00e1rov v\u0161ak kladie obrovsk\u00e9 n\u00e1roky a nemaj\u00fa prakticky \u017eiaden vo\u013en\u00fd \u010das. Vznikla aj situ\u00e1cia, \u017ee mi zatelefonovali zo \u0161koly, \u017ee dc\u00e9re bolo zle a\u00a0zvracala, z\u00a0nemocnice ma v\u0161ak za \u0148ou nepustili. To bolo pre m\u0148a tak\u00e9 stresuj\u00face, \u017ee som za\u010dala prem\u00fd\u0161\u013ea\u0165 o\u00a0vlastnej praxi. Deti boli toti\u017e mal\u00e9 a\u00a0ja som sa ocitla v\u00a0ne\u00fanosnom koloto\u010di a\u00a0tlaku. Man\u017eel pracovne ve\u013ea cestoval po okolit\u00fdch krajin\u00e1ch, bol vlastne cel\u00fd t\u00fd\u017ede\u0148 pre\u010d. Aj pri p\u00f4rode prv\u00e9ho die\u0165a\u0165a som bola do posledn\u00e9ho momentu v\u00a0pr\u00e1ci. Za\u0161la som na pravideln\u00fd ultrazvuk, kde mi s\u00edce odporu\u010dili \u00eds\u0165 sa ihne\u010f zaregistrova\u0165 do p\u00f4rodnice, c\u00edtila som sa v\u0161ak dobre, a\u00a0tak som dokon\u010dila pr\u00e1cu na klinike a\u00a0v\u00a0podstate n\u00e1sledne si odsko\u010dila porodi\u0165 (smiech). Matersk\u00e1 dovolenka trvala 8 t\u00fd\u017ed\u0148ov, v\u00a0zamestnan\u00ed nie s\u00fa \u017eiadne \u00fa\u013eavy, napr\u00edklad pre doj\u010diace matky. Singapursk\u00ed pacienti o\u010dak\u00e1vaj\u00fa, \u017ee sa im lek\u00e1r naplno venuje a\u00a0ak sa nedostan\u00fa presne na objednan\u00fd term\u00edn, okam\u017eite sa s\u0165a\u017euj\u00fa. Spolo\u010dnos\u0165 sa ale men\u00ed, ako v\u0161ade vo vyspelom svete, aj tu kles\u00e1 p\u00f4rodnos\u0165. Poskytuj\u00fa sa teda ur\u010dit\u00e9 finan\u010dn\u00e9 kompenz\u00e1cie v podobe pr\u00eddavkov, ale nie napr\u00edklad v\u00a0miere vo\u013en\u00e9ho \u010dasu, preto\u017ee \u0161tandard sa mus\u00ed zachova\u0165 vysok\u00fd. Novinkou je, \u017ee si mu\u017e m\u00f4\u017ee \u010derpa\u0165 matersk\u00fa dovolenku.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Poc\u00edtili ste profesion\u00e1lne znev\u00fdhodnenia ako \u017eena?<\/strong><\/p>\n<p>V\u00a0oblasti rodovej rovnosti nie s\u00fa v\u00a0Singapure prek\u00e1\u017eky. V\u00a0mojej odbornosti m\u00e1m ako \u017eena aj v\u00fdhody. Ke\u010f\u017ee Singapur je mnohon\u00e1rodnostnou krajinou, je tu ve\u013ea napr. moslimsk\u00fdch pacientiek, ktor\u00e9 z\u00a0n\u00e1bo\u017eensk\u00fdch d\u00f4vodov odmietaj\u00fa vy\u0161etrenia u\u00a0mu\u017eov lek\u00e1rov.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Zriadenie vlastnej kliniky zrejme prinieslo pozit\u00edvne zmeny&#8230;<\/strong><\/p>\n<p>P\u00e4tn\u00e1s\u0165ro\u010dn\u00e1 prax v univerzitnej nemocnici bola v\u00fdborn\u00fdm za\u010diatkom mojej kari\u00e9ry, mohla som sa s\u00fastavne zdokona\u013eova\u0165 v odbore a\u00a0z\u00e1rove\u0148 pracova\u0165 v z\u00e1kladnom v\u00fdskume v \u0161pi\u010dkovo vybavenom v\u00fdskumnom centre. U\u010dila som aj postgradu\u00e1lnych \u0161tudentov, organizovala medzin\u00e1rodn\u00e9 endoskopick\u00e9 kurzy a workshopy. Po otvoren\u00ed vlastnej kliniky sa moja profesia s\u00fastredila na odborn\u00fa klinick\u00fa str\u00e1nku. Sna\u017e\u00edm sa organizova\u0165 aj s\u00fakromn\u00fd st\u00e1\u017eov\u00fd program pre nadan\u00fdch za\u010d\u00ednaj\u00facich lek\u00e1rov. Moja klinika p\u00f4sob\u00ed v prepojen\u00ed na najv\u00e4\u010d\u0161iu s\u00fakromn\u00fa nemocnicu v juhov\u00fdchodnej \u00c1zii, ktor\u00e1 poskytuje slu\u017eby nielen obyvate\u013eom Singapuru, ale najm\u00e4 pacientom z okolit\u00fdch kraj\u00edn. V\u00e4\u010d\u0161inu mojich pacientov tvoria cudzinci, Eur\u00f3pania, Ameri\u010dania, Austr\u00e1l\u010dania \u017eij\u00faci v Singapure. Ke\u010f\u017ee na\u0161a nemocnica je vysoko uzn\u00e1van\u00e1 v celosvetovom meradle, prich\u00e1dzaj\u00fa k n\u00e1m na vy\u0161etrenie a lie\u010dbu aj mnoh\u00ed VIP pacienti z okolit\u00fdch kraj\u00edn a mnohokr\u00e1t n\u00e1s, lek\u00e1rov poz\u00fdvaj\u00fa do zahrani\u010dia, aby sme lie\u010dili ich VIP pacientov.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00a0<a href=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3834 alignleft\" src=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova3-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova3-300x200.jpg 300w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova3-768x512.jpg 768w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova3-1024x683.jpg 1024w, https:\/\/www.miaumagazin.sk\/home\/wp-content\/uploads\/2017\/02\/rajnakova3.jpg 1476w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/strong><strong>Ak\u00e9 ochorenia sa v\u00a0Singapure vyskytuj\u00fa naj\u010dastej\u0161ie?<\/strong><\/p>\n<p>\u0160k\u00e1la ochoren\u00ed je podobn\u00e1 z\u00e1padn\u00fdm krajin\u00e1m. Zvl\u00e1\u0161tnos\u0165 spo\u010d\u00edva v tom, \u017ee pacienti s\u00a0viacer\u00fdmi exotick\u00fdmi ochoreniami, ktor\u00e9 v\u00a0Singapure u\u017e nem\u00e1me, prich\u00e1dzaj\u00fa z\u00a0okolit\u00fdch, menej rozvinut\u00fdch kraj\u00edn. V\u010faka povinn\u00e9mu o\u010dkovaniu v\u00fdrazne klesol po\u010det nakazen\u00fdch hepatit\u00eddou B. Prenos sa neuskuto\u010d\u0148oval horizont\u00e1lne, krvnou cestou, ale vertik\u00e1lne, teda z matky na die\u0165a. Nov\u00e1 gener\u00e1cia det\u00ed je u\u017e zdrav\u00e1, narodila sa toti\u017e matk\u00e1m, ktor\u00e9 boli o\u010dkovan\u00e9. Okolit\u00e9 tropick\u00e9 krajiny b\u00fdvaj\u00fa su\u017eovan\u00e9 mal\u00e1riou, v Singapure sa ale nevyskytuje. Z\u00a0ochoren\u00ed pren\u00e1\u0161an\u00fdch kom\u00e1rmi je v\u0161ak probl\u00e9mom hor\u00fa\u010dka dengue a\u00a0od roku 2016 sme mali aj nieko\u013eko pr\u00edpadov v\u00edrusu Zika. Boj s dengue je \u0165a\u017ek\u00fd, preto\u017ee aj keby sa dalo kom\u00e1re zlikvidova\u0165, Singapur je obkolesen\u00fd rozvojov\u00fdmi krajinami, ktor\u00e9 do boja s\u00a0dengue neinvestuj\u00fa dostato\u010dne, a\u00a0tak sa tento zdroj infekcie ned\u00e1 odstr\u00e1ni\u0165.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Lie\u010dia sa Singapur\u010dania aj met\u00f3dami tradi\u010dnej \u010d\u00ednskej medic\u00edny (T\u010cM)?<\/strong><\/p>\n<p>Mlad\u0161ia gener\u00e1cia u\u017e nie, najm\u00e4 nie pri v\u00e1\u017enych ochoreniach. V\u00a0minulosti sa vyskytli pr\u00edpady zdravotn\u00fdch ohrozen\u00ed pr\u00e1ve kv\u00f4li postupom T\u010cM. Mysl\u00edm si, \u017ee pred st\u00e1ro\u010diami, ke\u010f bola v\u00a0rozkvete, mali byliny v\u00a0nej pou\u017e\u00edvan\u00e9 in\u00fa kvalitu ako dnes, ke\u010f obsahuj\u00fa pestic\u00eddy \u010di in\u00e9 \u0161kodliv\u00e9 chemik\u00e1lie. Singapur v\u0161etky pr\u00edpravky T\u010cM dov\u00e1\u017ea. Ich p\u00f4vod je \u010dasto nejasn\u00fd, m\u00f4\u017ee \u00eds\u0165 o\u00a0zne\u010disten\u00e9 oblasti \u010c\u00edny, vtedy je ich vyu\u017eitie sk\u00f4r nebezpe\u010dn\u00e9. Nijako T\u010cM neodmietam, probl\u00e9m v\u0161ak spo\u010d\u00edva v\u00a0tom, \u017ee t\u00e1to oblas\u0165 je len minim\u00e1lne kontrolovan\u00e1. Pracovala som aj na oddelen\u00ed transplant\u00e1cie pe\u010dene, kde pr\u00e1ve T\u010cM bola naj\u010dastej\u0161ou pr\u00ed\u010dinou ak\u00fatneho zlyhania pe\u010dene. V\u0161etky pou\u017eit\u00e9 pr\u00edsady v\u00a0niektor\u00fdch pr\u00edpravkoch dokonca nedok\u00e1zalo analyzova\u0165 ani najlep\u0161ie svetov\u00e9 laborat\u00f3rium v Mayo Clinic v\u00a0Spojen\u00fdch \u0161t\u00e1toch.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Maj\u00fa Singapur\u010dania odli\u0161n\u00e9 stravovacie n\u00e1vyky? Rie\u0161i sa u\u00a0v\u00e1s napr\u00edklad pr\u00edjem lepku, v Eur\u00f3pe ve\u013ek\u00e1 t\u00e9ma? <\/strong><\/p>\n<p>Pred dvadsiatimi rokmi bola strava Singapur\u010danov ve\u013emi \u013eahk\u00e1 a jednoduch\u00e1 &#8211; v\u00e4\u010d\u0161inou polievky, zelenina, ovocie a ryby pripraven\u00e9 na pare, uvaren\u00e9 alebo grilovan\u00e9. V\u00f4bec nepoznali obezitu, reflux \u010di stukovaten\u00fa pe\u010de\u0148. Toto sa objavilo so zmenou stravovac\u00edch n\u00e1vykov, so zaraden\u00edm mastn\u00fdch a vypr\u00e1\u017ean\u00fdch jed\u00e1l, s\u00a0pr\u00edchodom fastfoodov a vplyvu z\u00e1padnej potravy. V\u00a0pr\u00edpade lepku ide pod\u013ea m\u0148a s\u010dasti aj o\u00a0m\u00f3dny trend, preto\u017ee bezlepkov\u00fa di\u00e9tu dr\u017eia dnes aj \u013eudia, ktor\u00ed nemaj\u00fa celiakiu, a\u00a0teda \u017eiadne vy\u0161etren\u00edm preuk\u00e1zan\u00e9 zdravotn\u00e9 od\u00f4vodnenie. Domnievaj\u00fa sa, \u017ee to rie\u0161i nafukovanie, pr\u00edpadne \u017ee bezlepkov\u00e1 di\u00e9ta je zdrav\u0161ia alebo \u017ee pom\u00e1ha pri schudnut\u00ed. Pritom si neuvedomuj\u00fa, \u017ee pr\u00ed\u010diny nafukovania m\u00f4\u017eu poch\u00e1dza\u0165 zo zlej kombin\u00e1cie stravy. Bezlepkov\u00e1 strava v\u0161ak sp\u00f4sobuje v\u00fdznamn\u00e9 vitam\u00ednov\u00e9 nedostatky vitam\u00ednov B1, B2, B6, niektor\u00fdch\u00a0miner\u00e1lov a komplexn\u00fdch uh\u013eohydr\u00e1tov v podobe z\u0155n. Pacienti s\u00a0intoleranciou na lepok ho musia zo stravy celkom vynecha\u0165, nie v\u0161ak siaha\u0165 po bezlepkov\u00fdch n\u00e1hrad\u00e1ch, v\u00a0pr\u00edpade ktor\u00fdch ide o\u00a0najviac priemyselne spracovan\u00e9 potraviny obsahuj\u00face mno\u017estvo chemick\u00fdch pr\u00eddavkov. Rozhodne nie s\u00fa zdravou v\u00fd\u017eivou. Rizikov\u00e1 je aj s\u00f3ja. V\u00a0\u00c1zii sa s\u00f3jov\u00e9 mlieko pije ako be\u017en\u00fd n\u00e1poj &#8211; okrem toho, \u017ee ide o\u00a0geneticky modifikovan\u00fa plodinu, obsahuje l\u00e1tky, ktor\u00e9 blokuj\u00fa synt\u00e9zu horm\u00f3nov \u0161t\u00edtnej \u017e\u013eazy a\u00a0sp\u00f4sobuj\u00fa hormon\u00e1lnu nerovnov\u00e1hu, \u010do sa t\u00fdka estrog\u00e9nov. A\u00a0ke\u010f\u017ee \u010d\u00ednska popul\u00e1cia je intolerantn\u00e1 na lakt\u00f3zu, kravsk\u00e9 mlieko a mlie\u010dne v\u00fdrobky sa konzumuj\u00fa minim\u00e1lne. Ch\u00fdba teda prirodzen\u00fd zdroj v\u00e1pnika, v\u010faka \u010domu m\u00e1 \u010d\u00ednska popul\u00e1cia najvy\u0161\u0161\u00ed v\u00fdskyt osteopor\u00f3zy. Paradoxn\u00e9 je, \u017ee hoci \u017eijeme v\u00a0tr\u00f3poch, \u013eudia sa vyh\u00fdbaj\u00fa pobytu na slnku a op\u00e1leniu a\u00a0maj\u00fa nedostatok vitam\u00ednu D.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>\u013dubica Bindov\u00e1<\/p>\n<p>foto Jana Yar<\/p>\n<p>&nbsp;<\/p>\n<p><em>Cel\u00fd rozhovor si pre\u010d\u00edtate vo febru\u00e1rovom \u010d\u00edsle MIAU (2017)<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Mnoh\u00ed z\u00a0n\u00e1s si radi zacestuj\u00fa na dovolenku do exotick\u00fdch kraj\u00edn, nie\u010do in\u00e9 je tam ale trvalo pres\u00eddli\u0165 a\u00a0n\u00e1js\u0165 uplatnenie vo v\u00fdrazne odli\u0161nom kult\u00farnom prostred\u00ed. Singapur je jednou z\u00a0najbohat\u0161\u00edch a\u00a0najprosperuj\u00facej\u0161\u00edch, z\u00e1rove\u0148 v\u0161ak extr\u00e9mne na v\u00fdkon orientovan\u00fdch spolo\u010dnost\u00ed. Normou je sedemd\u0148ov\u00fd pracovn\u00fd t\u00fd\u017ede\u0148 a\u00a0\u0161trn\u00e1s\u0165 dn\u00ed dovolenky ro\u010dne. Nie je to pre ka\u017ed\u00e9ho, Andrea Raj\u0148\u00e1kov\u00e1 sa v\u0161ak [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":3828,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49,6],"tags":[],"class_list":["post-3827","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-februar-2017","category-interview"],"_links":{"self":[{"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/posts\/3827","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/comments?post=3827"}],"version-history":[{"count":5,"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/posts\/3827\/revisions"}],"predecessor-version":[{"id":3836,"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/posts\/3827\/revisions\/3836"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/media\/3828"}],"wp:attachment":[{"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/media?parent=3827"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/categories?post=3827"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.miaumagazin.sk\/home\/wp-json\/wp\/v2\/tags?post=3827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}