{"id":3622,"date":"2021-03-11T11:57:45","date_gmt":"2021-03-11T11:57:45","guid":{"rendered":"https:\/\/neuraxpharm.com\/v2\/?page_id=3622"},"modified":"2023-05-23T15:40:57","modified_gmt":"2023-05-23T15:40:57","slug":"skleroza-multiplex","status":"publish","type":"page","link":"https:\/\/www.neuraxpharm.com\/sk\/poruchy\/skleroza-multiplex","title":{"rendered":"Skler\u00f3za multiplex"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3622\" class=\"elementor elementor-3622\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-060209f elementor-section-full_width elementor-section-height-min-height elementor-section-items-bottom banner_top elementor-section-height-default\" data-id=\"060209f\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;00936a0&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-df365c7\" data-id=\"df365c7\" data-element_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-9789da9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9789da9\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;650699a&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&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-50 elementor-inner-column elementor-element elementor-element-0725104 elementor-hidden-tablet elementor-hidden-phone\" data-id=\"0725104\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\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-e025551\" data-id=\"e025551\" data-element_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-c3f5ec1 elementor-widget elementor-widget-theme-post-title elementor-page-title elementor-widget-heading\" data-id=\"c3f5ec1\" data-element_type=\"widget\" data-widget_type=\"theme-post-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Skler\u00f3za multiplex<\/h1>\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-c4d3d95 text_disorders elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c4d3d95\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;245babd&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&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-33 elementor-top-column elementor-element elementor-element-3f35c95 sticky-parent\" data-id=\"3f35c95\" data-element_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-c38b907 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c38b907\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;87539ac&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-c11e767\" data-id=\"c11e767\" data-element_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-8b0879d elementor-widget elementor-widget-table-of-contents\" data-id=\"8b0879d\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h2&quot;],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-chevron-right&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tV TEJTO \u010cASTI\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__8b0879d\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\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-inner-section elementor-element elementor-element-60a0257 sticky-column elementor-hidden-tablet elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"60a0257\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;87539ac&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-ce8acbe\" data-id=\"ce8acbe\" data-element_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-55fa575 elementor-widget elementor-widget-spacer\" data-id=\"55fa575\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\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-0d862fa elementor-widget elementor-widget-heading\" data-id=\"0d862fa\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">S\u00favisiace \u010dl\u00e1nky<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c99450 elementor-widget elementor-widget-jet-listing-grid\" data-id=\"5c99450\" data-element_type=\"widget\" data-settings=\"{&quot;columns&quot;:&quot;1&quot;}\" data-widget_type=\"jet-listing-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-listing-grid jet-listing\"><div class=\"jet-listing-not-found jet-listing-grid__items\" data-nav=\"{&quot;enabled&quot;:false,&quot;type&quot;:null,&quot;more_el&quot;:null,&quot;query&quot;:[],&quot;widget_settings&quot;:{&quot;lisitng_id&quot;:3204,&quot;posts_num&quot;:3,&quot;columns&quot;:1,&quot;columns_tablet&quot;:1,&quot;columns_mobile&quot;:1,&quot;column_min_width&quot;:240,&quot;column_min_width_tablet&quot;:240,&quot;column_min_width_mobile&quot;:240,&quot;inline_columns_css&quot;:false,&quot;is_archive_template&quot;:&quot;&quot;,&quot;post_status&quot;:[&quot;publish&quot;],&quot;use_random_posts_num&quot;:&quot;&quot;,&quot;max_posts_num&quot;:9,&quot;not_found_message&quot;:&quot;&quot;,&quot;is_masonry&quot;:false,&quot;equal_columns_height&quot;:&quot;&quot;,&quot;use_load_more&quot;:&quot;&quot;,&quot;load_more_id&quot;:&quot;&quot;,&quot;load_more_type&quot;:&quot;click&quot;,&quot;load_more_offset&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;use_custom_post_types&quot;:&quot;&quot;,&quot;custom_post_types&quot;:[],&quot;hide_widget_if&quot;:&quot;&quot;,&quot;carousel_enabled&quot;:&quot;&quot;,&quot;slides_to_scroll&quot;:&quot;1&quot;,&quot;arrows&quot;:&quot;true&quot;,&quot;arrow_icon&quot;:&quot;fa fa-angle-left&quot;,&quot;dots&quot;:&quot;&quot;,&quot;autoplay&quot;:&quot;true&quot;,&quot;pause_on_hover&quot;:&quot;true&quot;,&quot;autoplay_speed&quot;:5000,&quot;infinite&quot;:&quot;true&quot;,&quot;center_mode&quot;:&quot;&quot;,&quot;effect&quot;:&quot;slide&quot;,&quot;speed&quot;:500,&quot;inject_alternative_items&quot;:&quot;&quot;,&quot;injection_items&quot;:[],&quot;scroll_slider_enabled&quot;:&quot;&quot;,&quot;scroll_slider_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;custom_query&quot;:false,&quot;custom_query_id&quot;:&quot;&quot;,&quot;_element_id&quot;:&quot;&quot;,&quot;collapse_first_last_gap&quot;:false,&quot;list_tag_selection&quot;:&quot;&quot;,&quot;list_items_wrapper_tag&quot;:&quot;div&quot;,&quot;list_item_tag&quot;:&quot;div&quot;,&quot;empty_items_wrapper_tag&quot;:&quot;div&quot;}}\" data-listing-source=\"posts\" data-listing-id=\"3204\" data-query-id=\"\" data-queried-id=\"3622|WP_Post\">\t\t<div data-elementor-type=\"page\" data-elementor-id=\"21828\" class=\"elementor elementor-21828\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-08832d0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"08832d0\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;5369b3f&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&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-bf26fca\" data-id=\"bf26fca\" data-element_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-69ede69 elementor-widget elementor-widget-jet-listing-grid\" data-id=\"69ede69\" data-element_type=\"widget\" data-settings=\"{&quot;columns&quot;:&quot;1&quot;}\" data-widget_type=\"jet-listing-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-listing-notice\">Please select another listing to show to avoid recursion.<\/div>\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>\n\t\t<\/div><style>.elementor-21828 .elementor-element.elementor-element-08832d0 .elementor-repeater-item-5369b3f.jet-parallax-section__layout .jet-parallax-section__image{background-size:auto;}.elementor-21828 .elementor-element.elementor-element-bf26fca > .elementor-element-populated{text-align:left;}.elementor-21828 .elementor-element.elementor-element-69ede69 > .elementor-widget-container > .jet-listing-grid > .jet-listing-grid__items, .elementor-21828 .elementor-element.elementor-element-69ede69 > .jet-listing-grid > .jet-listing-grid__items{--columns:1;}:root{--page-title-display:none;}\/* Start custom CSS for jet-listing-grid, class: .elementor-element-69ede69 *\/.elementor-page-title {\r\n    display: block;\r\n}\/* End custom CSS *\/\n\/* Start custom CSS for jet-listing-grid, class: .elementor-element-69ede69 *\/.elementor-page-title {\r\n    display: block;\r\n}\/* End custom CSS *\/<\/style><\/div>\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-inner-section elementor-element elementor-element-770ab39 elementor-hidden-tablet elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"770ab39\" data-element_type=\"section\" id=\"main-navigation\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;87539ac&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-3e37624\" data-id=\"3e37624\" data-element_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-b43493f elementor-widget elementor-widget-table-of-contents\" data-id=\"b43493f\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h2&quot;],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-chevron-right&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tV TEJTO \u010cASTI\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__b43493f\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\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<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-a1bbc9b elementor-hidden-tablet elementor-hidden-phone\" data-id=\"a1bbc9b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-18c77c0 page-health\" data-id=\"18c77c0\" data-element_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-93b4c45 elementor-widget elementor-widget-spacer\" data-id=\"93b4c45\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\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-3feddb6 elementor-widget elementor-widget-jet-breadcrumbs\" data-id=\"3feddb6\" data-element_type=\"widget\" data-widget_type=\"jet-breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-breadcrumbs jet-blocks\">\n\t\t<div class=\"jet-breadcrumbs\">\n\t\t<div class=\"jet-breadcrumbs__content\">\n\t\t<div class=\"jet-breadcrumbs__wrap\"><div class=\"jet-breadcrumbs__item\"><a href=\"https:\/\/www.neuraxpharm.com\/sk\/\" class=\"jet-breadcrumbs__item-link is-home\" rel=\"home\" title=\"Neuraxpharm\">Neuraxpharm <\/a><\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90283e7 elementor-widget elementor-widget-text-editor\" data-id=\"90283e7\" data-element_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>Skler\u00f3za multiplex (SM) je neurologick\u00e9 ochorenie postihuj\u00face nervy v mozgu a mieche. Sp\u00f4sobuje po\u0161kodenie myel\u00ednovej po\u0161vy, ochrann\u00e9ho obalu okolo nervov\u00fdch vl\u00e1kien v centr\u00e1lnom nervovom syst\u00e9me. Zistite viac o pr\u00edznakoch, rizikov\u00fdch faktoroch a o tom, ako sa toto ochorenie diagnostikuje a lie\u010di.<\/p><p>Spolo\u010dnos\u0165 Neuraxpharm poskytuje alternat\u00edvy liekov na lie\u010dbu pr\u00edznakov s\u00favisiacich so skler\u00f3zou multiplex a akon\u00e1hle lek\u00e1r ur\u010d\u00ed va\u0161e \u0161pecifick\u00e9 potreby, m\u00f4\u017ee v\u00e1m predp\u00edsa\u0165 liek, ktor\u00fd najlep\u0161ie vyhovuje va\u0161im potreb\u00e1m a stavu.<\/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-7c27b39 no_in_this_section elementor-widget elementor-widget-heading\" data-id=\"7c27b39\" data-element_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\">\u010co je skler\u00f3za multiplex (SM)?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9695e39 elementor-widget elementor-widget-text-editor\" data-id=\"9695e39\" data-element_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>Skler\u00f3za multiplex (SM) je chronick\u00e9 (dlhodob\u00e9) ochorenie, ktor\u00fd sp\u00f4sobuje po\u0161kodenie centr\u00e1lneho nervov\u00e9ho syst\u00e9mu vr\u00e1tane nervov v mozgu, miechy a zrakov\u00fdch nervov. Pri SM imunitn\u00fd syst\u00e9m nap\u00e1da myel\u00ednov\u00fa po\u0161vu (ochrann\u00fd obal okolo nervov\u00fdch vl\u00e1kien). T\u00fdmto po\u0161koden\u00edm nervov sa preru\u0161uje tok sign\u00e1lov z centr\u00e1lneho nervov\u00e9ho syst\u00e9mu, \u010do sp\u00f4sobuje zn\u00ed\u017eenie alebo stratu telesn\u00fdch funkci\u00ed. SM sp\u00f4sobuje \u0161irok\u00fa \u0161k\u00e1lu pr\u00edznakov, ako s\u00fa \u00fanava, \u0165a\u017ekosti s ch\u00f4dzou, probl\u00e9my so zrakom a probl\u00e9my s myslen\u00edm a pl\u00e1novan\u00edm.<\/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-6e5b93b elementor-widget elementor-widget-heading\" data-id=\"6e5b93b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ak\u00e9 s\u00fa hlavn\u00e9 typy SM?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fb23c9f elementor-widget elementor-widget-text-editor\" data-id=\"fb23c9f\" data-element_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>Existuj\u00fa tri hlavn\u00e9 typy SM: S\u00fa pomenovan\u00e9 pod\u013ea toho, ako v priebehu \u010dasu ovplyv\u0148uj\u00fa telo:<\/p><p><strong>Relapsuj\u00faca-remituj\u00faca SM (RRSM):<\/strong> V\u00e4\u010d\u0161ina \u013eud\u00ed s diagn\u00f3zou SM (85 %) m\u00e1 relapsuj\u00facu-remituj\u00facu skler\u00f3zu multiplex (RRSM) a prv\u00e9 pr\u00edznaky ochorenia sa u nich objavia na za\u010diatku dvadsiatych rokov \u017eivota<sup>[1]<\/sup>. \u010clovek s RRSM bude ma\u0165 obdobia, ke\u010f sa existuj\u00face alebo nov\u00e9 pr\u00edznaky agres\u00edvne zhor\u0161ia. Tak\u00e9to obdobie je zn\u00e1me ako relaps, vzplanutie alebo exacerb\u00e1cia. Relapsy sa \u010dasto vyskytuj\u00fa bez ak\u00e9hoko\u013evek varovania, hoci m\u00f4\u017eu s\u00favisie\u0165 so stresom alebo sa m\u00f4\u017eu vyskytn\u00fa\u0165 po chorobe. Zvy\u010dajne trvaj\u00fa nieko\u013eko dn\u00ed alebo t\u00fd\u017ed\u0148ov a pr\u00edznaky sa potom v podobnom \u010dase pomaly zlep\u0161uj\u00fa. Obdobie medzi z\u00e1chvatmi, ke\u010f pr\u00edznaky vymizn\u00fa, sa naz\u00fdva remisia. Po\u010das t\u00fdchto obdob\u00ed je v\u0161ak SM st\u00e1le akt\u00edvna a po\u0161kodenie nervov m\u00f4\u017ee pokra\u010dova\u0165. Po stanoven\u00ed diagn\u00f3zy sa u \u010dloveka so SM zvy\u010dajne z \u010dasu na \u010das objavia relapsy, po ktor\u00fdch bud\u00fa nasledova\u0165 t\u00fd\u017edne, mesiace alebo dokonca roky remisie.<\/p><p><strong>Sekund\u00e1rna progres\u00edvna SM (SPSM):<\/strong> V pr\u00edpade nelie\u010denia je a\u017e 80 % \u013eud\u00ed s RRSM vystaven\u00fdch riziku rozvoja SPSM, av\u0161ak pri lie\u010dbe je tento po\u010det ove\u013ea ni\u017e\u0161\u00ed<sup>[2]<\/sup>. Deje sa to pomaly, zvy\u010dajne po\u010das obdobia 10 \u2013 15 rokov. V tejto f\u00e1ze sa star\u00fd model relapsov, po ktor\u00fdch nasleduj\u00fa obdobia remisie, zvy\u010dajne zastav\u00ed. U niektor\u00fdch \u013eud\u00ed sa relapsy m\u00f4\u017eu vyskytova\u0165 aj na\u010falej, ale pravdepodobne sa po nich \u00faplne nezotavia a bud\u00fa trpie\u0165 niektor\u00fdmi pr\u00edznakmi po cel\u00fd \u010das. Pri SPSM sa pr\u00edznaky postupne zhor\u0161uj\u00fa. SPSM sa vo v\u0161eobecnosti vyv\u00edja z RRSM, hoci u mal\u00e9ho po\u010dtu sa SPSM diagnostikuje hne\u010f na za\u010diatku.<\/p><p><strong>Prim\u00e1rna progres\u00edvna SM (PPSM):<\/strong> PPSM sa vyskytuje pribli\u017ene u 15 \u2013 20 % \u013eud\u00ed so SM<sup>[3]<\/sup>. Pr\u00edznaky sa \u010dasom postupne zhor\u0161uj\u00fa a neobjavuj\u00fa sa ako relapsy. Tento typ sa naz\u00fdva \u201eprim\u00e1rny progres\u00edvny\u201c, preto\u017ee postupuje vpred od prv\u00fdch (prim\u00e1rnych) pr\u00edznakov ochorenia. Nevyskytuj\u00fa sa \u017eiadne remisie, ale m\u00f4\u017eu sa vyskytn\u00fa\u0165 dlh\u00e9 \u010dasov\u00e9 obdobia, kedy sa zd\u00e1, \u017ee sa stav stabilizuje, bez vidite\u013en\u00fdch zmien.<\/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-ef9b9bc elementor-widget elementor-widget-heading\" data-id=\"ef9b9bc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ko\u013eko \u013eud\u00ed trp\u00ed SM?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c90f4e elementor-widget elementor-widget-text-editor\" data-id=\"1c90f4e\" data-element_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>Odhaduje sa, \u017ee na celom svete trp\u00ed SM 2,1 \u2013 2,2 mili\u00f3na \u013eud\u00ed<sup>[4]<\/sup><sup>,[5]<\/sup> a toto ochorenie je pribli\u017ene dvakr\u00e1t a\u017e trikr\u00e1t \u010dastej\u0161ie u \u017eien ako u mu\u017eov<sup>[6]<\/sup><sup>,[7]<\/sup>.<\/p><p>Pod\u013ea Eur\u00f3pskej platformy pre skler\u00f3zu multiplex v celej Eur\u00f3pe trp\u00ed SM viac ako 700 000 \u013eud\u00ed. To znamen\u00e1, \u017ee SM ovplyv\u0148uje viac ako mili\u00f3n \u013eud\u00ed v celej E\u00da \u2013 ke\u010f sa prir\u00e1taj\u00fa aj opatrovatelia a rodinn\u00ed pr\u00edslu\u0161n\u00edci<sup>[8]<\/sup>.<\/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-e0c5f42 elementor-widget elementor-widget-heading\" data-id=\"e0c5f42\" data-element_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\">Pr\u00edznaky<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf2b926 elementor-widget elementor-widget-text-editor\" data-id=\"cf2b926\" data-element_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>Ka\u017ed\u00fd \u010dlovek pre\u017e\u00edva SM inak. Existuje \u0161irok\u00e1 \u0161k\u00e1la pr\u00edznakov, ktor\u00e9 sa m\u00f4\u017eu u jednotliv\u00fdch \u013eud\u00ed l\u00ed\u0161i\u0165 a postihova\u0165 r\u00f4zne \u010dasti tela.<\/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-63ceac9 elementor-widget elementor-widget-heading\" data-id=\"63ceac9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ak\u00e9 s\u00fa pr\u00edznaky SM?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e57465 lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"2e57465\" data-element_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>SM m\u00f4\u017ee sp\u00f4sobova\u0165 mnoho r\u00f4znych pr\u00edznakov a neexistuje \u017eiadny typick\u00fd vzor, ktor\u00fd by platil pre ka\u017ed\u00e9ho. Skor\u00fd pr\u00edznak u jednej osoby sa u inej osoby nemus\u00ed nikdy prejavi\u0165.<\/p><p>Vo v\u0161eobecnosti v\u0161ak medzi naj\u010dastej\u0161ie prv\u00e9 pr\u00edznaky patria:\u00a0<\/p><ul><li>\u00danava (asi 80 % \u013eud\u00ed so SM poci\u0165uje nadmern\u00fa \u00fanavu<sup>[9]<\/sup>).<\/li><li>Pot\u00e1canie sa v d\u00f4sledku probl\u00e9mov s rovnov\u00e1hou alebo koordin\u00e1ciou n\u00f4h<\/li><li>Necitlivos\u0165 alebo mrav\u010denie v ko\u017ei<\/li><li>Kognit\u00edvne probl\u00e9my t\u00fdkaj\u00face sa koncentr\u00e1cie, rie\u0161enia probl\u00e9mov a pam\u00e4te<\/li><li>Probl\u00e9my so zrakom, ako je rozmazan\u00e9 videnie, slep\u00e9 miesta, z\u00e1\u0161klby alebo boles\u0165 pri pohyboch o\u010d\u00ed<\/li><\/ul><p>\u010eal\u0161ie pr\u00edznaky SM s\u00fa uveden\u00e9 ni\u017e\u0161ie, ale s\u00fa v po\u010diato\u010dn\u00fdch \u0161t\u00e1di\u00e1ch ochorenia menej \u010dast\u00e9 a zvykn\u00fa sa prejavova\u0165 v neskor\u0161ej f\u00e1ze.<\/p><ul><li>Probl\u00e9my s ch\u00f4dzou<\/li><li>Vertigo (to\u010denie hlavy)<\/li><li>Z\u00e1vraty<\/li><li>Slabos\u0165 svalov<\/li><li>Spasticita (stuhnutos\u0165 svalov sp\u00f4soben\u00e1 dlhotrvaj\u00facimi svalov\u00fdmi kontrakciami)<\/li><li>\u0164a\u017ekosti s re\u010dou<\/li><li>Probl\u00e9my s preh\u013atan\u00edm (dysf\u00e1gia)<\/li><li>Depresia a \u00fazkos\u0165<\/li><li>Probl\u00e9my s ovl\u00e1dan\u00edm mo\u010dov\u00e9ho mech\u00fara<\/li><li>Probl\u00e9my s \u010drevami<\/li><li>Probl\u00e9my so sp\u00e1nkom<\/li><li>Sexu\u00e1lne probl\u00e9my<\/li><li>Chronick\u00e1 boles\u0165<\/li><li>Tria\u0161ka<\/li><li>Citlivos\u0165 na teplotu<\/li><li>Probl\u00e9my so sluchom<\/li><\/ul><p>V z\u00e1vislosti od typu SM m\u00f4\u017eu pr\u00edznaky prich\u00e1dza\u0165 a odch\u00e1dza\u0165 vo f\u00e1zach a postupne sa zhor\u0161ova\u0165.<\/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-9bc1124 elementor-widget elementor-widget-heading\" data-id=\"9bc1124\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ak\u00e9 s\u00fa \u0161t\u00e1di\u00e1 SM?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-825b86d lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"825b86d\" data-element_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>Neexistuje \u017eiadny sp\u00f4sob, ako predpoveda\u0165, ako bude SM u konkr\u00e9tneho \u010dloveka postupova\u0165. \u013dudia m\u00f4\u017eu ma\u0165 r\u00f4zne pr\u00edznaky v r\u00f4znom \u010dase.<\/p><p>Medzin\u00e1rodn\u00fd poradn\u00fd v\u00fdbor pre klinick\u00e9 sk\u00fa\u0161anie SM poskytuje \u0161tandardn\u00e9 defin\u00edcie pre \u0161tyri z\u00e1kladn\u00e9 formy SM<sup>[10]<\/sup>:<\/p><ul><li>Relapsuj\u00faca-remituj\u00faca SM (RRSM)<\/li><li>Sekund\u00e1rna progres\u00edvna SM (SPSM)<\/li><li>Prim\u00e1rna progres\u00edvna SM (PPSM)<\/li><li>Progres\u00edvna relapsuj\u00faca SM (PRSM)<\/li><\/ul><p>Klinicky izolovan\u00fd syndr\u00f3m (CIS) nebol zahrnut\u00fd do po\u010diato\u010dn\u00fdch klinick\u00fdch defin\u00edci\u00ed SM<sup>[11]<\/sup>. V s\u00fa\u010dasnosti sa v\u0161ak pova\u017euje za prv\u00fa epiz\u00f3du neurologick\u00fdch pr\u00edznakov, ktor\u00e9 sa m\u00f4\u017eu u niekoho vyskytn\u00fa\u0165 a zvy\u010dajne trvaj\u00fa najmenej 24 hod\u00edn. CIS m\u00f4\u017ee by\u0165 prv\u00fdm n\u00e1znakom toho, \u017ee \u010dlovek m\u00e1 SM. U niektor\u00fdch \u013eud\u00ed sa v\u0161ak nikdy nemusia vyskytn\u00fa\u0165 \u010fal\u0161ie pr\u00edznaky.<\/p><p>Vy\u0161etrenie magnetickou rezonanciou (MRI) potvrd\u00ed, \u010di sa v mozgu alebo mieche nach\u00e1dzaj\u00fa nejak\u00e9 l\u00e9zie (oblasti po\u0161kodenia). Ak je to tak, pravdepodobnos\u0165 v\u00fdskytu \u010fal\u0161\u00edch epiz\u00f3d je vy\u0161\u0161ia a diagn\u00f3za SM je pravdepodobnej\u0161ia.<\/p><p>Existuje aj neskor\u00e9 (alebo pokro\u010dil\u00e9) \u0161t\u00e1dium SM, do ktor\u00e9ho sa v\u00e4\u010d\u0161ina \u013eud\u00ed nikdy nedostane. Ak SM dosiahne pokro\u010dil\u00e9 \u0161t\u00e1dium, \u010dlovek m\u00f4\u017ee strati\u0165 schopnos\u0165 chodi\u0165 a m\u00f4\u017eu sa u neho vyskytn\u00fa\u0165 \u010fal\u0161ie \u017eivot meniace pr\u00edznaky, ako napr\u00edklad neschopnos\u0165 hovori\u0165 alebo p\u00edsa\u0165. Na uspokojenie svojich ka\u017edodenn\u00fdch potrieb m\u00f4\u017ee potrebova\u0165 \u0161pecializovan\u00fa starostlivos\u0165 a podporu.<\/p><p>V neskorom alebo pokro\u010dilom \u0161t\u00e1diu sa m\u00f4\u017eu s\u00fa\u010dasne vyskytn\u00fa\u0165 viacer\u00e9 pr\u00edznaky SM a doch\u00e1dza k v\u00fdznamn\u00e9mu fyzick\u00e9mu po\u0161kodeniu. Medzi pr\u00edznaky SM v neskorom \u0161t\u00e1diu patria:<\/p><ul><li>\u0164a\u017ekosti s d\u00fdchan\u00edm<\/li><li>Zv\u00fd\u0161en\u00e1 n\u00e1chylnos\u0165 na infekcie hrudn\u00edka (d\u00fdchac\u00edch ciest)<\/li><li>Z\u00e1va\u017en\u00e9 probl\u00e9my s mo\u010dov\u00fdm mech\u00farom a \u010drevami<\/li><li>\u0164a\u017ekosti s preh\u013atan\u00edm<\/li><li>Riziko vzniku nebezpe\u010dn\u00fdch krvn\u00fdch zrazen\u00edn<\/li><li>Prele\u017eaniny sp\u00f4soben\u00e9 nedostato\u010dnou pohyblivos\u0165ou<\/li><li>Zv\u00fd\u0161en\u00e1 zm\u00e4tenos\u0165 a dezorient\u00e1cia<\/li><li>Zvy\u0161uj\u00faca sa \u00farove\u0148 bolesti<\/li><li>Spasticita a svalov\u00e9 k\u0155\u010de<\/li><li>Nedostato\u010dn\u00e1 koordin\u00e1cia (ataxia)<\/li><\/ul><p>Mnoh\u00e9 pr\u00edznaky v neskorom \u0161t\u00e1diu SM s\u00fa rovnak\u00e9 ako pr\u00edznaky pri in\u00fdch form\u00e1ch SM. Rozdiel pri neskorom \u0161t\u00e1diu SM v\u0161ak spo\u010d\u00edva v tom, \u017ee mnoh\u00e9 z pr\u00edznakov sa pravdepodobne vyskytuj\u00fa s\u00fa\u010dasne a pre lek\u00e1rov m\u00f4\u017ee by\u0165 \u0165a\u017ek\u00e9 ich lie\u010di\u0165.<\/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-41a878b elementor-widget elementor-widget-heading\" data-id=\"41a878b\" data-element_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\">Pr\u00ed\u010diny, rizikov\u00e9 faktory a o\u010dak\u00e1van\u00e1 d\u013a\u017eka \u017eivota\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2db641a elementor-widget elementor-widget-text-editor\" data-id=\"2db641a\" data-element_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>V s\u00fa\u010dasnosti nie je zn\u00e1me, pre\u010do sa u niektor\u00fdch \u013eud\u00ed rozv\u00edja SM. Je pravdepodobn\u00e9, \u017ee stav je sp\u00f4soben\u00fd kombin\u00e1ciou genetick\u00fdch faktorov a faktorov prostredia.<\/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-626958f elementor-widget elementor-widget-heading\" data-id=\"626958f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">\u010co sp\u00f4sobuje skler\u00f3zu multiplex?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6c3e07 lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"f6c3e07\" data-element_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>SM je autoimunitn\u00e9 ochorenie, \u010do znamen\u00e1, \u017ee imunitn\u00fd syst\u00e9m tela pova\u017euje \u010dasti tela za cudzie l\u00e1tky a nap\u00e1da vlastn\u00e9 tkaniv\u00e1. Pri SM imunitn\u00fd syst\u00e9m nap\u00e1da myel\u00ednov\u00fa po\u0161vu, ktor\u00e1 chr\u00e1ni a pokr\u00fdva nervov\u00e9 vl\u00e1kna v mozgu a mieche. Myel\u00ednov\u00e1 po\u0161va sa zap\u00e1li na mal\u00fdch miestach, ktor\u00e9 nar\u00fa\u0161aj\u00fa prenos spr\u00e1v (sign\u00e1lov) putuj\u00facich pozd\u013a\u017e nervov, \u010do vedie k neurologick\u00fdm pr\u00edznakom a pr\u00edznakom SM.<\/p><p>Zatia\u013e nie je zn\u00e1me, \u010do sp\u00f4sobuje, \u017ee imunitn\u00fd syst\u00e9m \u00fato\u010d\u00ed na myel\u00ednov\u00fa po\u0161vu, ale medzi niektor\u00e9 faktory, ktor\u00e9 m\u00f4\u017eu zohr\u00e1va\u0165 \u00falohu vo v\u00fdvoji SM, patria:<\/p><ul><li><strong>Genetika:<\/strong> Pravdepodobnos\u0165 rozvoja SM je vy\u0161\u0161ia, ak t\u00fdmto ochoren\u00edm trp\u00ed bl\u00edzky \u010dlen rodiny (napr. rodi\u010d alebo s\u00farodenec).<\/li><li><strong>Prostredie:<\/strong> Nedostatok slne\u010dn\u00e9ho \u017eiarenia a n\u00edzke hladiny vitam\u00ednu D s\u00fa spojen\u00e9 so zv\u00fd\u0161en\u00fdm rizikom SM.<\/li><li><strong>Faj\u010denie: <\/strong>U faj\u010diarov je riziko vzniku SM vy\u0161\u0161ie ako u nefaj\u010diarov<sup>[12]<\/sup>.<\/li><li><strong>Hmotnos\u0165:<\/strong> U \u013eud\u00ed, ktor\u00ed boli v mladosti ob\u00e9zni, je riziko rozvoja SM vy\u0161\u0161ie.<\/li><li><strong>Pohlavie:<\/strong> U \u017eien je dvakr\u00e1t a\u017e trikr\u00e1t vy\u0161\u0161ia pravdepodobnos\u0165 rozvoja SM ako u mu\u017eov.<\/li><\/ul>\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-6c86986 elementor-position-left icon_mini_box elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"6c86986\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tJe SM dedi\u010dn\u00e1?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tSM nie je priamo dedi\u010dn\u00e1. Ak v\u0161ak m\u00e1 SM rodinn\u00fd pr\u00edslu\u0161n\u00edk, existuje vy\u0161\u0161ie riziko rozvoja ochorenia. Odhaduje sa, \u017ee riziko je pribli\u017ene 2 \u2013- 4 % v porovnan\u00ed s 0,2 % rizikom v be\u017enej popul\u00e1cii<sup>13<\/sup>.\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\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-71efd06 elementor-widget elementor-widget-heading\" data-id=\"71efd06\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">U koho sa prejav\u00ed SM?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d8a3d0 lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"9d8a3d0\" data-element_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>SM nie je n\u00e1kazliv\u00e1 a nemo\u017eno ju zdedi\u0165. Vedci identifikovali niektor\u00e9 faktory, o ktor\u00fdch sa m\u00f4\u017ee nakoniec zisti\u0165, \u017ee zohr\u00e1vaj\u00fa \u00falohu pri vzniku SM:<\/p><ul><li><strong>Pohlavie:<\/strong> U \u017eien je v\u00e4\u010d\u0161ia pravdepodobnos\u0165 rozvoja SM, \u010do nazna\u010duje, \u017ee horm\u00f3ny m\u00f4\u017eu zohr\u00e1va\u0165 ur\u010dit\u00fa \u00falohu.<\/li><li><strong>Vek<\/strong>: V\u00e4\u010d\u0161ine \u013eud\u00ed sa SM diagnostikuje vo veku 20 a 40 rokov, hoci sa toto ochorenie m\u00f4\u017ee vyskytn\u00fa\u0165 aj u det\u00ed a star\u0161\u00edch dospel\u00fdch.<\/li><li><strong>Geografia:<\/strong> SM sa \u010dastej\u0161ie vyskytuje v \u010dastiach sveta, ktor\u00e9 s\u00fa viac vzdialen\u00e9 od rovn\u00edka.<\/li><li><strong>Etnick\u00fd p\u00f4vod:<\/strong> SM sa vyskytuje vo v\u00e4\u010d\u0161ine etnick\u00fdch skup\u00edn, naj\u010dastej\u0161ie sa v\u0161ak vyskytuje u belochov severoeur\u00f3pskeho p\u00f4vodu.<\/li><li><strong>Infekcie:<\/strong> Niektor\u00e9 v\u00edrusov\u00e9 infekcie m\u00f4\u017eu aktivova\u0165 imunitn\u00fd syst\u00e9m, \u010do u niektor\u00fdch \u013eud\u00ed vedie k SM. Sk\u00fama sa nieko\u013eko v\u00edrusov s cie\u013eom zisti\u0165, \u010di prispievaj\u00fa k rozvoju SM, vr\u00e1tane Epsteinovej-Barrovho v\u00edrusu a \u013eudsk\u00e9ho herpetick\u00e9ho v\u00edrusu 6<sup>[14]<\/sup><sup>,[15]<\/sup>.<\/li><\/ul>\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-b29ae2b elementor-widget elementor-widget-heading\" data-id=\"b29ae2b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ako dlho m\u00f4\u017eete \u017ei\u0165 so SM?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f19e25b elementor-widget elementor-widget-text-editor\" data-id=\"f19e25b\" data-element_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>SM zvy\u010dajne nie je smrte\u013en\u00e1, na samotn\u00fa SM sa zomiera len zriedkavo. U niektor\u00fdch \u013eud\u00ed sa v\u0161ak m\u00f4\u017ee vyvin\u00fa\u0165 postihnutie, v d\u00f4sledku ktor\u00e9ho s\u00fa zranite\u013enej\u0161\u00edmi vo\u010di v\u00e1\u017enym komplik\u00e1ci\u00e1m a tie m\u00f4\u017eu by\u0165 smrte\u013en\u00e9.<\/p><p>Priemern\u00e1 d\u013a\u017eka \u017eivota osoby so SM je pribli\u017ene o 5 \u2013 10 rokov krat\u0161ia ako osoby bez tohto ochorenia, ale tento rozdiel v d\u013a\u017eke \u017eivota sa v posledn\u00fdch rokoch v\u00fdrazne zmen\u0161il.<\/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-a8d1d9d elementor-widget elementor-widget-heading\" data-id=\"a8d1d9d\" data-element_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\">Diagn\u00f3za<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e3780c elementor-widget elementor-widget-text-editor\" data-id=\"3e3780c\" data-element_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>SM nie je \u013eahk\u00e9 diagnostikova\u0165. Ide o zlo\u017eit\u00e9 ochorenie s mnoh\u00fdmi r\u00f4znymi pr\u00edznakmi. Ak sa objavia mo\u017en\u00e9 pr\u00edznaky SM, je potrebn\u00e9 v prvom rade nav\u0161t\u00edvi\u0165 lek\u00e1ra.<\/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-b344d44 elementor-widget elementor-widget-heading\" data-id=\"b344d44\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ako sa diagnostikuje SM?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df939aa lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"df939aa\" data-element_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>Skor\u00e9 znaky a pr\u00edznaky SM sa u jednotliv\u00fdch \u013eud\u00ed l\u00ed\u0161ia a m\u00f4\u017ee by\u0165 \u0165a\u017ek\u00e9 presne ur\u010di\u0165, kedy sa za\u010dali vyv\u00edja\u0165. Stanovenie presnej diagn\u00f3zy m\u00f4\u017ee trva\u0165 nieko\u013eko mesiacov, preto\u017ee lek\u00e1ri musia presk\u00fama\u0165 v\u0161etky mo\u017en\u00e9 pr\u00ed\u010diny pr\u00edznakov, \u010do zah\u0155\u0148a mnoho r\u00f4znych testov.<\/p><p>Ak si lek\u00e1r mysl\u00ed, \u017ee \u010dlovek m\u00f4\u017ee ma\u0165 SM, odo\u0161le ho k neurol\u00f3govi\u2009\u2013 odborn\u00edkovi na poruchy postihuj\u00face centr\u00e1lny nervov\u00fd syst\u00e9m\u2009\u2013 na pos\u00fadenie.<\/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-0f877e6 elementor-widget elementor-widget-heading\" data-id=\"0f877e6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Test na diagnostikovanie SM<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c1ae2a lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"1c1ae2a\" data-element_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>Neexistuje \u017eiadny stanoven\u00fd test na diagnostikovanie SM. Namiesto toho lek\u00e1r vykon\u00e1 \u00favodn\u00e9 pos\u00fadenie a m\u00f4\u017ee nariadi\u0165 niektor\u00e9 krvn\u00e9 testy, aby vyl\u00fa\u010dil in\u00e9 pr\u00ed\u010diny pr\u00edznakov. V pr\u00edpade potreby potom odo\u0161le pacienta k neurol\u00f3govi na \u010fal\u0161ie vy\u0161etrenia.<\/p><p>Neurol\u00f3govia pou\u017e\u00edvaj\u00fa na diagnostikovanie SM tieto testy:<\/p><ul><li><strong>Neurologick\u00e9 vy\u0161etrenie:<\/strong> Fyzick\u00e9 vy\u0161etrenie na zistenie ak\u00fdchko\u013evek abnormal\u00edt, zmien alebo oslaben\u00ed o\u010dn\u00fdch pohybov a videnia, sily r\u00fak a n\u00f4h, rovnov\u00e1hy, koordin\u00e1cie, citlivosti na vnemy, re\u010di a reflexov.<\/li><li><strong>Zobrazovanie magnetickou rezonanciou (MRI): <\/strong>Skenovanie na vytvorenie podrobn\u00e9ho obrazu vn\u00fatra mozgu a miechy. Je to ve\u013emi presn\u00fd sp\u00f4sob, ako potvrdi\u0165, \u010di existuje nejak\u00fd z\u00e1pal, po\u0161kodenie alebo zjazvenie (l\u00e9zie).<\/li><li><strong>Test evokovan\u00fdch potenci\u00e1lov:<\/strong> Existuje nieko\u013eko typov testu evokovan\u00fdch potencion\u00e1lov, ale najbe\u017enej\u0161\u00ed z nich hodnot\u00ed \u010das, ktor\u00fd mozog potrebuje na prijatie spr\u00e1v z o\u010d\u00ed. Je to bezbolestn\u00fd test, pri ktorom sa na obrazovke zobrazuj\u00fa sveteln\u00e9 obrazce a monitoruj\u00fa sa mozgov\u00e9 vlny.<\/li><li><strong>Lumb\u00e1lna punkcia<\/strong>: Z\u00e1krok sa vykon\u00e1va v lok\u00e1lnej anest\u00e9zii s cie\u013eom odobra\u0165 vzorku tekutiny obklopuj\u00facej mozog a chrbticu zaveden\u00edm ihly do dolnej \u010dasti chrbta. Vzorka tekutiny sa potom testuje na pr\u00edtomnos\u0165 imunitn\u00fdch buniek a protil\u00e1tok. Ak s\u00fa pr\u00edtomn\u00e9, je to znak mo\u017enej SM. Lumb\u00e1lna punkcia je bezpe\u010dn\u00e1, ale m\u00f4\u017ee by\u0165 nepr\u00edjemn\u00e1 a niektor\u00fdch \u013eud\u00ed po nej bol\u00ed hlava, \u010do m\u00f4\u017ee trva\u0165 nieko\u013eko dn\u00ed.<\/li><\/ul>\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-d0b92d8 elementor-widget elementor-widget-heading\" data-id=\"d0b92d8\" data-element_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\">Lie\u010dba a lieky<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-17aa45b elementor-widget elementor-widget-text-editor\" data-id=\"17aa45b\" data-element_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>Neexistuje \u017eiadny liek na SM. Namiesto toho sa lie\u010dba a lieky zameriavaj\u00fa na kontrolu pr\u00edznakov, zn\u00ed\u017eenie po\u010dtu relapsov a spomalenie progresie ochorenia.<\/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-fbf6b87 elementor-widget elementor-widget-heading\" data-id=\"fbf6b87\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ako sa lie\u010di SM?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5d2b43 elementor-widget elementor-widget-text-editor\" data-id=\"f5d2b43\" data-element_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>Lie\u010dba SM z\u00e1vis\u00ed od jednotlivca a pr\u00edznakov alebo probl\u00e9mov, ktor\u00e9 sa u neho vyskytuj\u00fa.<\/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-569457e elementor-position-left icon_mini_box lista_1 elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"569457e\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tLieky\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tNa spomalenie progresie SM a zvl\u00e1dnutie sympt\u00f3mov je k dispoz\u00edcii cel\u00fd rad liekov.\n<br><\/br>\nMo\u017enosti lie\u010dby m\u00f4\u017eu zah\u0155\u0148a\u0165:\n\n<br><\/br>\n<ul>\n<li>Steroidy (protiz\u00e1palov\u00e9 lieky) na lie\u010dbu relapsov a ur\u00fdchlenie \u010dasu zotavenia.<\/li>\n<li>\u0160pecifick\u00e9 lieky na zmiernenie jednotliv\u00fdch sympt\u00f3mov SM, napr\u00edklad svalov\u00e9 relaxanci\u00e1 na stuhnutos\u0165 a k\u0155\u010de, lieky proti bolesti pri neuropatickej bolesti alebo bolesti k\u013abov, inhib\u00edtory fosfodiester\u00e1zy (PDE) pri sexu\u00e1lnych probl\u00e9moch a laxat\u00edva pri probl\u00e9moch s \u010drevami.\n<\/li>\n<li>Lieky naz\u00fdvan\u00e9 lieky modifikuj\u00face ochorenie (DMT) na zn\u00ed\u017eenie po\u010dtu a z\u00e1va\u017enosti relapsov tie\u017e pom\u00e1haj\u00fa spoma\u013eova\u0165 alebo zni\u017eova\u0165 progresiu ochorenia.<\/li>\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\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-db2aa1d elementor-position-left icon_mini_box lista_1 elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"db2aa1d\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t Terapia\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tMnoh\u00ed \u013eudia so SM vyu\u017e\u00edvaj\u00fa terapiu vr\u00e1tane doplnkov\u00fdch terapi\u00ed, aby zvl\u00e1dli svoje pr\u00edznaky a zlep\u0161ili si pocit pohody. Terapie sa m\u00f4\u017eu pou\u017e\u00edva\u0165 ako doplnok ku konven\u010dnej lie\u010dbe, ako s\u00fa DMT.\n<br><\/br>\nTerapie m\u00f4\u017eu zah\u0155\u0148a\u0165:\n<br><\/br>\n<ul>\n<li><b>Fyzioterapia: <\/b> stre\u010dingov\u00e9 a posil\u0148ovacie cvi\u010denia, ktor\u00e9 zodpovedaj\u00fa \u0161pecifick\u00fdm potreb\u00e1m a schopnostiam. Fyzioterapeut m\u00f4\u017ee zlep\u0161i\u0165 stuhnutos\u0165 a svalov\u00e9 k\u0155\u010de (spasticitu), boles\u0165, mobilitu, rovnov\u00e1hu, dr\u017eanie tela, \u00fanavu a probl\u00e9my s mo\u010dov\u00fdm mech\u00farom.\n<\/li>\n<li><b>Kognit\u00edvna behavior\u00e1lna terapia (CBT):<\/b> pom\u00e1ha bojova\u0165 proti \u00fanave alebo depresii.\n<\/li>\n<li><b>Pracovn\u00e1 terapia (ergoterapia):<\/b> pos\u00fadenie dom\u00e1cnosti s cie\u013eom navrhn\u00fa\u0165 \u00fapravy a vybavenie, ktor\u00e9 m\u00f4\u017eu pom\u00f4c\u0165 pri ka\u017edodenn\u00fdch \u010dinnostiach.\n<\/li>\n<li><b>Klinick\u00e1 psychol\u00f3gia:<\/b> pri probl\u00e9moch s myslen\u00edm, u\u010den\u00edm a pam\u00e4\u0165ou alebo emocion\u00e1lnych \u0165a\u017ekostiach. Klinick\u00fd psychol\u00f3g pos\u00fadi probl\u00e9my a navrhne sp\u00f4soby ich zvl\u00e1dania.\n<\/li>\n<li><b>Vz\u0165ahov\u00e9 poradenstvo alebo sexu\u00e1lny terapeut:<\/b> poradenstvo pre \u013eud\u00ed, ktor\u00ed maj\u00fa sexu\u00e1lne probl\u00e9my.\n<\/li>\n<li><b>Re\u010dov\u00fd a jazykov\u00fd terapeut:<\/b> m\u00f4\u017ee pom\u00f4c\u0165 \u013eu\u010fom so SM pri h\u013eadan\u00ed sp\u00f4sobov, ako prekona\u0165 probl\u00e9my s re\u010dou a preh\u013atan\u00edm.\n<\/li>\n<li><b>Doplnkov\u00e9 terapie:<\/b> niektor\u00fdm \u013eu\u010fom m\u00f4\u017eu pom\u00f4c\u0165 doplnkov\u00e9 terapie, ako je reflexn\u00e1 terapia, mas\u00e1\u017e, joga, relax\u00e1cia, medit\u00e1cia, aromaterapia a akupunkt\u00fara.\n<\/li>\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\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-65d8406 elementor-position-left icon_mini_box elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"65d8406\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tIntervencia\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tJe nevyhnutn\u00e9, aby \u010dlovek so SM pravidelne absolvoval prehliadky so svoj\u00edm o\u0161etrovate\u013esk\u00fdm t\u00edmom a aby aspo\u0148 raz ro\u010dne absolvoval komplexn\u00e9 presk\u00famanie svojich potrieb v oblasti starostlivosti a podpory. T\u00fdm sa zabezpe\u010d\u00ed, \u017ee sa bud\u00fa rie\u0161i\u0165 v\u0161etky nov\u00e9 pr\u00edznaky alebo probl\u00e9my, \u017ee \u010dlovek bude ma\u0165 pr\u00edstup k potrebnej fyzickej, psychologickej a emocion\u00e1lnej pomoci a \u017ee bude informovan\u00fd o v\u0161etk\u00fdch nov\u00fdch mo\u017enostiach lie\u010dby.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\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-944ddb5 elementor-position-left icon_mini_box lista_1 elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"944ddb5\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tStrava\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tNeexistuje \u017eiadna odpor\u00fa\u010dan\u00e1 strava, ktor\u00e1 by pomohla spomali\u0165 progresiu SM, ale odpor\u00fa\u010da sa zdrav\u00e1 vyv\u00e1\u017een\u00e1 strava. V\u00fdskum nazna\u010duje, \u017ee dodr\u017eiavanie zdravej stravy m\u00f4\u017ee pom\u00f4c\u0165 \u013eu\u010fom so SM zlep\u0161i\u0165 ich fyzick\u00e9 a du\u0161evn\u00e9 zdravie<sup>[16]<\/sup>. M\u00f4\u017ee tie\u017e zmierni\u0165 pr\u00edznaky SM, ako je z\u00e1pcha a \u00fanava.\n\n<br><\/br>\nZdrav\u00e1, vyv\u00e1\u017een\u00e1 strava by mala zah\u0155\u0148a\u0165 \u0161irok\u00fa \u0161k\u00e1lu potrav\u00edn a m\u00f4\u017ee zah\u0155\u0148a\u0165 nasledovn\u00e9:\n\n<br><\/br>\n<ul>\n<li>\u010cerstv\u00e9 ovocie a zelenina<\/li>\n<li>\u013dahk\u00e9 bielkoviny\n<\/li>\n<li>N\u00edzkotu\u010dn\u00e9 mlie\u010dne v\u00fdrobky alebo ich alternat\u00edvy (napr. s\u00f3ja)\n<\/li>\n<li>Ryby s vysok\u00fdm obsahom omega-3 mastn\u00fdch kysel\u00edn a vitam\u00ednu D (napr. losos, tuniak, makrela)\n<\/li>\n<li>Celozrnn\u00e9 v\u00fdrobky\n<\/li>\n<li>Zdrav\u00e9 tuky (napr. olivov\u00fd olej, kokosov\u00fd olej, avok\u00e1do)<\/li>\n<li>Fazu\u013ea, strukoviny, orechy a semen\u00e1\n<\/li>\n<\/ul>\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\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-edd5777 elementor-position-left icon_mini_box lista_1 elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"edd5777\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tCvi\u010denie\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tPravideln\u00e9 cvi\u010denie je d\u00f4le\u017eit\u00e9 pre celkov\u00e9 zdravie a kond\u00edciu. V\u00fdskum ukazuje, \u017ee pre \u013eud\u00ed s miernym a\u017e stredne \u0165a\u017ek\u00fdm postihnut\u00edm v d\u00f4sledku SM je cvi\u010debn\u00fd tr\u00e9ning \u00fa\u010dinn\u00fd na zlep\u0161enie aer\u00f3bnej kapacity aj svalovej sily. M\u00f4\u017ee tie\u017e zlep\u0161i\u0165 mobilitu, \u00fanavu a kvalitu \u017eivota s\u00favisiacu so zdrav\u00edm<sup>[17]<\/sup>.\n<br><br>\n\u013dudia, ktor\u00ed pravidelne vykon\u00e1vaj\u00fa aer\u00f3bne cvi\u010denie, poci\u0165uj\u00fa tieto v\u00fdhody:\n<br><\/br>\n<ul>\n<li>Lep\u0161ia kardiovaskul\u00e1rna kond\u00edcia\n<\/li>\n<li>Zlep\u0161enie sily\n<\/li>\n<li>Lep\u0161ia funkcia mo\u010dov\u00e9ho mech\u00fara a \u010driev<\/li>\n<li>Men\u0161ia \u00fanava a depresia<\/li>\n<li>Pozit\u00edvnej\u0161\u00ed pr\u00edstup<\/li>\n<li>V\u00e4\u010d\u0161ia \u00fa\u010das\u0165 na spolo\u010densk\u00fdch aktivit\u00e1ch<\/li>\n<\/ul>\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\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-7892a00 elementor-widget elementor-widget-heading\" data-id=\"7892a00\" data-element_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\">Prevencia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37613c2 elementor-widget elementor-widget-text-editor\" data-id=\"37613c2\" data-element_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>V s\u00fa\u010dasnosti neexistuje \u017eiadny overen\u00fd sp\u00f4sob, ako zabr\u00e1ni\u0165 vzniku SM alebo ako ochorenie \u00faplne vylie\u010di\u0165.<\/p><p>Odborn\u00edci sa domnievaj\u00fa, \u017ee k vzniku SM prispieva kombin\u00e1cia genetick\u00fdch faktorov a faktorov prostredia. Lep\u0161ie pochopenie t\u00fdchto faktorov by mohlo v bud\u00facnosti otvori\u0165 dvere k n\u00e1jdeniu met\u00f3d prevencie a \u00fa\u010dinn\u00fdch mo\u017enost\u00ed lie\u010dby.<\/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-fe8b5d9 elementor-widget elementor-widget-heading\" data-id=\"fe8b5d9\" data-element_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\">Vedeck\u00e9 \u0161t\u00fadie<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c864e64 lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"c864e64\" data-element_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>Hoci sa vedcom e\u0161te nepodarilo identifikova\u0165 pr\u00ed\u010dinu skler\u00f3zy multiplex ani zisti\u0165, ako jej predch\u00e1dza\u0165, dosiahli v\u00fdznamn\u00fd pokrok, ktor\u00fd pomohol zlep\u0161i\u0165 diagnostiku, lie\u010dbu a podporu.<\/p><p>Desa\u0165ro\u010dia v\u00fdskumu SM a funkcie imunitn\u00e9ho a nervov\u00e9ho syst\u00e9mu vytvorili pevn\u00fd z\u00e1klad pre \u010fal\u0161\u00ed vedeck\u00fd pokrok. V\u00fdznamn\u00e9 invest\u00edcie do v\u00fdskumu v \u010dlensk\u00fdch \u0161t\u00e1toch viedli k nasledovn\u00e9mu:<\/p><ul><li>nov\u00e9 terapie osobitne schv\u00e1len\u00e9 na lie\u010dbu a mana\u017ement SM,<\/li><li>r\u00fdchlej\u0161ia diagnostika SM, ktor\u00e1 umo\u017e\u0148uje pr\u00edstup k \u00fa\u010dinnej\u0161ej lie\u010dbe na spomalenie progresie ochorenia,<\/li><li>lep\u0161ia informovanos\u0165 o pr\u00edznakoch SM a lep\u0161ie pochopenie toho, ako ich zlep\u0161i\u0165,<\/li><li>prelomov\u00e9 v\u00fdsledky pri identifik\u00e1cii rizikov\u00fdch faktorov, ktor\u00e9 m\u00f4\u017eu zv\u00fd\u0161i\u0165 n\u00e1chylnos\u0165 na SM, \u010do pom\u00f4\u017ee n\u00e1js\u0165 sp\u00f4soby prevencie ochorenia.<\/li><\/ul><p>Nov\u00e9 objavy neust\u00e1le menia mo\u017enosti lie\u010dby SM a pom\u00e1haj\u00fa zni\u017eova\u0165 zdravotn\u00e9 postihnutie s\u00favisiace so SM.<\/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-eecf57a elementor-widget elementor-widget-heading\" data-id=\"eecf57a\" data-element_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\">Referen\u010dn\u00e9 zdroje\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1fffd56 elementor-widget elementor-widget-text-editor\" data-id=\"1fffd56\" data-element_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><sup>[1]<\/sup>\u00a0Goldenberg MM. Multiple sclerosis review.\u00a0<em>P T.<\/em>\u00a02012;37(3):175-184.<\/p><p><sup>[2]<\/sup>\u00a0MS Research Australia. What determines conversion to secondary progression MS? Published September 2019. Accessed February 2021. https:\/\/msra.org.au\/news\/conversion-to-secondary-progressive-ms\/<\/p><p><sup>[3]<\/sup>\u00a0Jonkman LE, Rosenthal DM, Sormani MP et al. Gray matter correlates of cognitive performance differ between relapsing-remitting and primary-progressive multiple sclerosis.\u00a0<em>PLoS One.<\/em>\u00a02015;10(10):e0129380. doi:10.1371\/journal.pone.0129380<\/p><p><sup>[4]<\/sup>\u00a0O\u2019Sullivan SB, Schmitz TJ, Fulk GD. Physical Rehabilitation, 6th edition.\u00a0<em>Faculty Bookshelf<\/em>. 2014;85. https:\/\/hsrc.himmelfarb.gwu.edu\/books\/85<\/p><p><sup>[5]<\/sup>\u00a0GBD 2016 Multiple Sclerosis Collaborators. Global, regional, and national burden of multiple sclerosis 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.\u00a0<em>Lancet Neurol<\/em>. 2019;18(3):269-285. doi:10.1016\/S1474-4422(18)30443-5<\/p><p><sup>[6]<\/sup>\u00a0Wallin MT, Culpepper WJ, Campbell JD et al. The prevalence of MS in the United States: A population-based estimate using health claims data.\u00a0<em>Neurology.<\/em>\u00a02019;92(10):e1029-e1040. doi:10.1212\/WNL.0000000000007035<\/p><p><sup>[7]<\/sup>\u00a0Gilmour H, Ramage-Morin PL, Wong SL. Multiple sclerosis: Prevalence and impact.\u00a0<em>Health Rep<\/em>. 2018;29(1):3-8.<\/p><p><sup>[8]<\/sup>\u00a0European Multiple Sclerosis Platform. Living with multiple sclerosis in Europe. Accessed March 2021. http:\/\/www.underpressureproject.eu\/web\/living-with-ms-in-europe<\/p><p><sup>[9]<\/sup>\u00a0National Multiple Sclerosis Society. MS symptoms. Accessed January 2021. https:\/\/www.nationalmssociety.org\/Symptoms-Diagnosis\/MS-Symptoms<\/p><p><sup>[10]<\/sup>\u00a0Lublin FD, Reingold SC, Cohen JA, et al. Defining the clinical course of multiple sclerosis: the 2013 revisions.\u00a0<em>Neurology<\/em>. 2014;83(3):278-286. doi:10.1212\/WNL.<\/p><p><sup>[11]<\/sup>\u00a0Miller D, Barkhof F, Montalban X, Thompson\u00a0A,\u00a0Filippi\u00a0M.\u00a0Clinically isolated syndromes suggestive of multiple sclerosis, part I: natural history, pathogenesis, diagnosis, and prognosis.\u00a0<em>Lancet Neurol<\/em>\u00a02005;4:281\u2013288.<\/p><p><sup>[12]<\/sup>\u00a0Arneth B. Multiple Sclerosis and Smoking.\u00a0<em>Am J Med<\/em>. 2020;133(7):783-788. doi:10.1016\/j.amjmed.2020.03.<\/p><p><sup>[13]<\/sup>\u00a0Sadovnick AD, Baird PA. The familial nature of multiple sclerosis: age-corrected empiric recurrence risks for children and siblings of patients.\u00a0<em>Neurology<\/em>. 1988;38(6):990-991. doi:10.1212\/wnl.38.6.990<\/p><p><sup>[14]<\/sup>\u00a0Tarlinton RE, Martynova E, Rizvanov AA, Khaiboullina S, Verma S. Role of Viruses in the Pathogenesis of Multiple Sclerosis.\u00a0<em>Viruses<\/em>. 2020;12(6):643. doi:10.3390\/v12060643.<\/p><p><sup>[15]<\/sup>\u00a0Tselis A. Epstein-Barr virus cause of multiple sclerosis.\u00a0<em>Curr Opin Rheumatol<\/em>. 2012;24(4):424-428. doi:10.1097\/BOR.0b013e3283542cf8<\/p><p><sup>[16]<\/sup>\u00a0Hadgkiss EJ, Jelinek GA, Weiland TJ, Pereira NG, Marck CH, van der Meer DM. The association of diet with quality of life, disability, and relapse rate in an international sample of people with multiple sclerosis.\u00a0<em>Nutr Neurosci<\/em>. 2015;18(3):125-36. doi:10.1179\/1476830514Y.0000000117.<\/p><p><sup>[17]<\/sup>\u00a0Latimer-Cheung AE, Pilutti LA, Hicks AL, et al. Effects of exercise training on fitness, mobility, fatigue, and health-related quality of life among adults with multiple sclerosis: a systematic review to inform guideline development.\u00a0<em>Arch Phys Med Rehabil<\/em>. 2013;94(9):1800-1828.e3. doi:10.1016\/j.apmr.2013.04.020.<\/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-c55bb2f elementor-widget elementor-widget-spacer\" data-id=\"c55bb2f\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\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-6166b89 stop-sticky elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6166b89\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;efcf18a&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&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-50 elementor-top-column elementor-element elementor-element-29241b4\" data-id=\"29241b4\" data-element_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-e7098f8 elementor-widget elementor-widget-heading\" data-id=\"e7098f8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Mohlo by v\u00e1s zauj\u00edma\u0165...<\/h5>\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-top-column elementor-element elementor-element-0cc8899\" data-id=\"0cc8899\" data-element_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-7178ac3 elementor-icon-list--layout-inline elementor-align-right read_more_reverse elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"7178ac3\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.neuraxpharm.com\/sk\/blog\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Prejdite na blog 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max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.neuraxpharm.com\/sk\/poruchy\/skleroza-multiplex\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Skler\u00f3za multiplex\" \/>\n<meta property=\"og:description\" content=\"V TEJTO \u010cASTI S\u00favisiace \u010dl\u00e1nky .elementor-21828 .elementor-element.elementor-element-bf26fca &gt; .elementor-element-populated{text-align:left;}.elementor-21828 .elementor-element.elementor-element-69ede69 &gt; .elementor-widget-container &gt; .jet-listing-grid &gt; .jet-listing-grid__items{&#8211;columns:1;}:root{&#8211;page-title-display:none;}\/* Start custom CSS for jet-listing-grid, class: .elementor-element-69ede69 *\/.elementor-page-title { display: block; }\/* End custom CSS *\/ \/* Start custom CSS for jet-listing-grid, class: .elementor-element-69ede69 *\/.elementor-page-title 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