{"id":9807,"date":"2024-08-30T11:00:17","date_gmt":"2024-08-30T09:00:17","guid":{"rendered":"https:\/\/apolinar.eu\/?page_id=9807"},"modified":"2024-08-30T11:00:17","modified_gmt":"2024-08-30T09:00:17","slug":"diagnostika-a-lecba-neplodnosti","status":"publish","type":"page","link":"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/poskytovana-pece\/diagnostika-a-lecba-neplodnosti\/","title":{"rendered":"Diagnostika a l\u00e9\u010dba neplodnosti"},"content":{"rendered":" \r\n \r\n
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Diagnostika a l\u00e9\u010dba neplodnosti<\/h2>
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Anamn\u00e9za<\/h3>\r\n
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Pro zji\u0161t\u011bn\u00ed p\u0159\u00ed\u010diny a l\u00e9\u010dbu neplodnosti vych\u00e1z\u00edme z toho, co mu\u017e a \u017eena b\u011bhem \u017eivota prod\u011blali za nemoci. Pt\u00e1me se na prod\u011blan\u00e9 nemoci, alergie, zam\u011bstn\u00e1n\u00ed, minulou l\u00e9\u010dbu….dokonce i na zdrav\u00ed p\u0159\u00edbuzn\u00fdch.<\/p>\n

V\u017edy a znovu se \u017eeny p\u0159i ka\u017ed\u00e9 n\u00e1v\u0161t\u011bv\u011b pt\u00e1me na 1. den posledn\u00ed menstruace, proto\u017ee v\u0161echna vy\u0161et\u0159en\u00ed a l\u00e9\u010dbu tomu mus\u00edme p\u0159izp\u016fsobovat. Pros\u00edm, v\u017edy si toto datum zapi\u0161te a pro n\u00e1v\u0161t\u011bvu u n\u00e1s m\u011bjte po ruce, v hlav\u011b.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Ultrazvukov\u00e9 (UZ) vy\u0161et\u0159en\u00ed<\/h3>\r\n
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Bez ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed dnes gynekolog t\u00e9m\u011b\u0159 nem\u016f\u017ee l\u00e9\u010dit. T\u00edm sp\u00ed\u0161e se bez pou\u017eit\u00ed UZ l\u00e9ka\u0159 neobejde p\u0159i l\u00e9\u010db\u011b neplodnosti, a zejm\u00e9na p\u0159i mimot\u011bln\u00edm oplozen\u00ed.<\/p>\n

U n\u00e1s uvid\u00edte na velk\u00e9 obrazovce tot\u00e9\u017e, co vid\u00ed l\u00e9ka\u0159 na UZ p\u0159\u00edstroji. Po nedlouh\u00e9 dob\u011b u\u017e budete sama v\u011bd\u011bt, co je na obrazovce vid\u011bt – \u017ee \u010dern\u00e1 plocha je tekutina, jak vypad\u00e1 folikul na vaje\u010dn\u00edku, jak sliznice v d\u011bloze,…<\/p>\n

A v\u00fdhledov\u011b \u2013 douf\u00e1me, \u017ee u n\u00e1s uvid\u00edte – i jak vypad\u00e1 vyv\u00edjej\u00edc\u00ed se embryo v d\u011bloze a jak mu \u0165uk\u00e1 srd\u00ed\u010dko. \ud83d\ude42<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Vy\u0161et\u0159en\u00ed z krve<\/h3>\r\n
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A\u010dkoliv anamn\u00e9za a UZ vy\u0161et\u0159en\u00ed mnoh\u00e9 objasn\u00ed, p\u0159ece jen je zapot\u0159eb\u00ed n\u011bkter\u00e9 anal\u00fdzy prov\u00e9st z krve. Vy\u0161et\u0159ujeme \u0161t\u00edtnou \u017el\u00e1zu, prolaktin, protil\u00e1tky proti syfilis, HIV (AIDS), chlamydi\u00edm, pro cykly mimot\u011bln\u00edho oplozen\u00ed i \u017eloutenky \u2013 jak n\u00e1m z\u00e1kon a vyhl\u00e1\u0161ka 422\/2008 Sb.p\u0159edepisuje, a podle pot\u0159eby i dal\u0161\u00ed.<\/p>\n

Vzhledem k v\u011bt\u0161inou jasn\u00fdm z\u00e1v\u011br\u016fm UZ vy\u0161et\u0159en\u00ed ohledn\u011b z\u00e1soby vaj\u00ed\u010dek ve vaje\u010dn\u00edc\u00edch vy\u0161et\u0159en\u00ed antim\u00fclleriansk\u00e9ho hormonu (AMH) prov\u00e1d\u00edme jen v\u00fdjime\u010dn\u011b, v\u011bt\u0161inou tam, kde se pot\u0159ebujeme ujistit, \u017ee s nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed mal\u00e9 folikuly na UZ nejsou vid\u011bt a nejde jen o technick\u00fd probl\u00e9m s UZ zobrazen\u00edm.<\/p>\n

Bohu\u017eel, t\u00e9m\u011b\u0159 v\u017edy se n\u00e1m UZ n\u00e1lez i v\u00fdsledek AMH shoduje: kde UZ p\u0159\u00edstroj folikuly, ve kter\u00fdch se vyv\u00edj\u00ed vaj\u00ed\u010dko, nevid\u00ed, tam je ani AMH nedohled\u00e1.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Zji\u0161tov\u00e1n\u00ed nepr\u016fchodnosti vejcovod\u016f<\/h3>\r\n
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Toto vy\u0161et\u0159en\u00ed je pon\u011bkud invazivn\u00ed, proto\u017ee mus\u00edme do d\u011blohy hrdlem d\u011blo\u017en\u00edm zav\u00e9st kanylu nebo katetr a t\u00edm do n\u00ed vpravit tekutinu. Ta pak pokra\u010duje skrz vejcovody \u2013 pokud jsou nepr\u016fchodn\u00e9, pozn\u00e1me to na UZ p\u0159\u00edstroji.<\/p>\n

Ov\u011b\u0159en\u00ed pr\u016fchodnosti vejcovod\u016f je jedn\u00edm ze z\u00e1kladn\u00edch vy\u0161et\u0159en\u00ed, ale n\u011bkdy u\u017e b\u011bhem p\u0159edchoz\u00edch vy\u0161et\u0159en\u00ed najdeme p\u0159\u00ed\u010dinu neplodnosti a m\u016f\u017eeme tak rozhodnout o l\u00e9\u010db\u011b i bez ov\u011b\u0159ov\u00e1n\u00ed pr\u016fchodnosti vejcovod\u016f.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Spermiogram<\/h3>\r\n
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Jedn\u00e1 se o vy\u0161et\u0159en\u00ed prvn\u00ed volby tam, kde \u017eena nem\u016f\u017ee ot\u011bhotn\u011bt.<\/p>\n

Toto vy\u0161et\u0159en\u00ed mu\u017ee je neinvazivn\u00ed, jednoduch\u00e9 a nen\u00e1ro\u010dn\u00e9, a p\u0159itom odhal\u00ed t\u00e9m\u011b\u0159 polovinu p\u0159\u00ed\u010din neplodnosti.<\/p>\n

Pokud se nechcete zastavit pro \u017e\u00e1danku u sv\u00e9ho gynekologa (vy\u0161et\u0159en\u00ed je u poji\u0161t\u011bn\u00fdch mu\u017e\u016f hrazeno poji\u0161\u0165ovnou), m\u016f\u017eete se i bez n\u011bj p\u0159\u00edmo u n\u00e1s na toto vy\u0161et\u0159en\u00ed objednat (telefon do laborato\u0159e IVF 224987479) a nechat si ho prov\u00e9st na vlastn\u00ed \u00fahradu viz cen\u00edk). Vy\u0161et\u0159en\u00ed lze prov\u00e9st dokonce i anonymn\u011b, kdybyste to pova\u017eovali za d\u016fle\u017eit\u00e9.<\/p>\n

Mu\u017e sperma z\u00edsk\u00e1 u n\u00e1s po 2-5denn\u00ed pohlavn\u00ed abstinenci.<\/p>\n

Nejjednodu\u0161\u0161\u00ed je odebrat sperma u n\u00e1s v m\u00edstnosti, k tomu ur\u010den\u00e9, kter\u00e1 disponuje pot\u0159ebn\u00fdm vybaven\u00edm. P\u0159\u00edpadn\u011b m\u016f\u017eete po\u017e\u00e1dat o specieln\u00ed steriln\u00ed n\u00e1dobku a sperma n\u00e1m don\u00e9st p\u0159ibli\u017en\u011b do 1-2 hodin od z\u00edsk\u00e1n\u00ed.<\/p>\n

Podrobn\u011bj\u0161\u00ed informace o odb\u011bru spermatu z\u00edsk\u00e1te nebo na telefonn\u00ed \u010d\u00edsle do laborato\u0159e 224967479.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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L\u00e9\u010dba neplodnosti<\/h3>\r\n
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L\u00e9\u010dba neplodnosti se odv\u00edj\u00ed od p\u0159\u00ed\u010diny, kterou zjist\u00edme.<\/p>\n

Sna\u017e\u00edme se l\u00e9\u010dit v\u017edy tou nejjednodu\u0161\u0161\u00ed a nejp\u0159irozen\u011bj\u0161\u00ed metodou.<\/p>\n

D\u016fle\u017eit\u00fdm faktorem v l\u00e9\u010db\u011b neplodnosti je \u010cAS: ka\u017ed\u00fd m\u011bs\u00edc je znovu nad\u011bje na ot\u011bhotn\u011bn\u00ed, ale s postupuj\u00edc\u00edm \u010dasem \u017eena st\u00e1rne.<\/p>\n

Do 35 let je pokles plodnosti \u017eeny mal\u00fd, ale pak se zrychluje a po 42. roce v\u011bku je nad\u011bje na ot\u011bhotn\u011bn\u00ed v dan\u00e9m cyklu velmi mal\u00e1. V situaci, kdy mnoho \u017een p\u0159ich\u00e1z\u00ed ve v\u011bku po 35let, bereme to v\u017edy v \u00favahu.<\/p>\n

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Navrhneme l\u00e9\u010dbu a po dohod\u011b s \u017eenou a mu\u017eem pak postupujeme v dal\u0161\u00edch m\u011bs\u00edc\u00edch \u2013 tedy menstrua\u010dn\u00edch cyklech.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Stimulace hormon\u00e1ln\u00ed<\/h3>\r\n
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D\u016fle\u017eit\u00e9 je, \u017ee nad\u011bje na p\u0159irozen\u00e9 ot\u011bhotn\u011bn\u00ed u \u010dlov\u011bka je v z\u00e1sad\u011b mal\u00e1- jen 16-20% na 1 menstrua\u010dn\u00ed cyklus do 35 let. A po 35 roku v\u011bku kles\u00e1 je\u0161t\u011b n\u00ed\u017ee. V podstat\u011b je to d\u00e1no zejm\u00e9na t\u00edm, \u017ee nedojde k spr\u00e1vn\u00e9mu oplozen\u00ed vaj\u00ed\u010dka, tedy \u017ee se nezkombinuj\u00ed spr\u00e1vn\u011b chromozomy z vaj\u00ed\u010dka a spermie. Na druhou stranu pokud k ot\u011bhotn\u011bn\u00ed dojde, d\u00edky siln\u00e9mu p\u0159irozen\u00e9m v\u00fdb\u011bru embry\u00ed na za\u010d\u00e1tku \u201et\u011bhotenstv\u00ed\u201c se pak v\u011bt\u0161ina d\u011bt\u00ed rod\u00ed zdrav\u00fdch.<\/p>\n

Plat\u00ed, \u017ee vaj\u00ed\u010dka se oplozuj\u00ed nez\u00e1visle a embrya se pak implantuj\u00ed do d\u011blo\u017en\u00ed sliznice tak\u00e9 nez\u00e1visle. Je to obdobn\u00e9, jako kdy\u017e h\u00e1z\u00edte kostkou \u201e\u010dlov\u011b\u010de nezlob se\u201c a \u010dek\u00e1te na \u0161estku \u2013 to je pr\u00e1v\u011b ta pravd\u011bpodobnost 16 %. Chcete-li zv\u00fd\u0161it pravd\u011bpodobnost, \u017ee \u0161estka padne, m\u016f\u017eete nar\u00e1z hodit dv\u011bma kostkami, nebo tak\u00e9 3 \u010di v\u00edce kostkami sou\u010dasn\u011b. Obdobn\u011b je to i s vaj\u00ed\u010dky – kdy\u017e nam\u00edsto jednoho vaj\u00ed\u010dka jich \u2013 pomoc\u00ed l\u00e9k\u016f dozraje ve vaje\u010dn\u00edc\u00edch v\u00edce, zvy\u0161uje se t\u00edm pravd\u011bpodobnost ot\u011bhotn\u011bn\u00ed. To je v\u00fdhoda hormon\u00e1ln\u00ed stimulace.<\/p>\n

M\u016f\u017ee se ale st\u00e1t, \u017ee stejn\u011b jako p\u0159i hodu v\u00edce kostkami m\u016f\u017ee padnout \u0161estka na n\u011bkolika z nich, tak i vaj\u00ed\u010dek se m\u016f\u017ee \u00fasp\u011b\u0161n\u011b oplodnit a implantovat v\u00edce, a \u017eena pak \u010dek\u00e1 dvoj\u010datn\u00e9 nebo i v\u00edce\u010detn\u00e9 t\u011bhotenstv\u00ed. A to je v\u017edy rizikov\u00e9.<\/p>\n

Proto se v\u011bt\u0161inou v tom p\u0159\u00edpad\u011b p\u0159edchoz\u00ed hormon\u00e1ln\u00ed stimulace vaj\u00ed\u010dka odeberou, oplodn\u00ed a do d\u011blohy se vrac\u00ed jen 1 embryo – ostatn\u00ed kvalitn\u00ed embrya se zmraz\u00ed pro budouc\u00ed vyu\u017eit\u00ed na dobu n\u011bkolika m\u011bs\u00edc\u016f nebo i let. Pokud \u017eena ot\u011bhotn\u00ed a porod\u00ed, zamra\u017een\u00e1 embrya \u010dekaj\u00ed ulo\u017een\u00e1 v na\u0161\u00ed kryobance, a\u017e se rozhodne pro dal\u0161\u00ed t\u011bhotenstv\u00ed.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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Inseminace<\/h3>\r\n
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Tato metoda p\u0159ekon\u00e1v\u00e1 zejm\u00e9na p\u0159ek\u00e1\u017eku v hlenu d\u011blo\u017en\u00edm, kter\u00fd m\u016f\u017ee br\u00e1nit spermi\u00edm proniknout do d\u011blohy. Je to jednoduch\u00e1 metoda, velmi bl\u00edzk\u00e1 p\u0159irozen\u00e9mu ot\u011bhotn\u011bn\u00ed, s efektivitou tomu odpov\u00eddaj\u00edc\u00ed (cca 15% na vaj\u00ed\u010dko uvoln\u011bn\u00e9 p\u0159i ovulaci ve vaje\u010dn\u00edku).<\/p>\n

P\u0159edpokladem je norm\u00e1ln\u00ed nebo jen m\u00edrn\u011b podnorm\u00e1ln\u00ed v\u00fdsledek spermiogramu. Spermie p\u0159ed inseminac\u00ed zpracujeme a do d\u011blohy jich d\u00e1v\u00e1me mnohem v\u011bt\u0161\u00ed po\u010det, ne\u017e nast\u00e1v\u00e1 p\u0159irozen\u011b po pohlavn\u00edm styku.<\/p>\n

M\u016f\u017eeme pou\u017e\u00edt i sperma d\u00e1rce tam, kde je to na m\u00edst\u011b.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n

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IVF cyklus<\/h3>\r\n
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V minulosti byl IVF cyklus vyvinut pro \u017eeny, kter\u00e9 m\u011bly zcela nepr\u016fchodn\u00e9 (nebo odstran\u011bn\u00e9) vejcovody. Tuto p\u0159ek\u00e1\u017eku se poda\u0159ilo obej\u00edt tak, \u017ee vaj\u00ed\u010dko se vyjmulo z vaje\u010dn\u00edku a oplodnilo (ve zkumavce, tedy in \u201evitro\u201c \u2013 z toho n\u00e1zev In Vitro Fertilizace, tedy IVF). Pod mikroskopem se zkontroloval v\u00fdvoj embrya a to se posl\u00e9ze zavedlo (odborn\u011b transferovalo) hrdlem d\u011blo\u017en\u00edm do d\u011blohy.<\/p>\n

Nyn\u00ed je t\u00e9m\u011b\u0159 polovina cykl\u016f IVF prov\u00e1d\u011bna z d\u016fvodu \u0161patn\u00e9ho spermiogramu pomoc\u00ed metody Intracytopazmatick\u00e9 Injekce spermie do vaj\u00ed\u010dka (ICSI).<\/p>\n

D\u00edky ICSI je de facto v\u011bt\u0161ina mu\u017e\u016f plodn\u00e1, nam\u00edsto asi 10 milion\u016f spermi\u00ed jich k oplozen\u00ed sta\u010d\u00ed nal\u00e9zt \u0159\u00e1dov\u011b n\u011bkolik des\u00edtek.<\/p>\n

P\u0159i IVF cyklu se t\u00e9m\u011b\u0159 v\u017edy pomoc\u00ed hormon\u00e1ln\u00ed stimulace p\u0159iprav\u00ed dozr\u00e1n\u00ed n\u011bkolika vaj\u00ed\u010dek. T\u00edm se n\u00e1sob\u00ed nad\u011bje, \u017ee n\u011bkter\u00e9 embryo, z nich vznikl\u00e9, se bude dob\u0159e vyv\u00edjet a budeme ho moci s dobrou nad\u011bj\u00ed do d\u011blohy transferovat. B\u011bhem v\u00fdvoje v inkub\u00e1toru embrya sledujeme a to nejlep\u0161\u00ed tranferujeme. Mnoh\u00e1 se ale vyv\u00edjet p\u0159estanou. A proto je s v\u00fdhodou, kdy\u017e m\u00e1me na za\u010d\u00e1tku laboratorn\u00edho procesu vaj\u00ed\u010dek v\u00edce ne\u017e jen jedin\u00e9.<\/p>\n

D\u00edky sledov\u00e1n\u00ed embry\u00ed b\u011bhem v\u00fdvoje pak embryo, kter\u00e9 do d\u011blohy transferujeme, vede k t\u011bhotenstv\u00ed s nad\u011bj\u00ed kolem 40% u \u017een do 35 let – na rozd\u00edl od vaj\u00ed\u010dka v p\u0159irozen\u00e9m cyklu, kter\u00e9 by ji m\u011blo jen 16-20%. Nen\u00ed to t\u00edm, \u017ee by proces ve zkumavce byl pro vaj\u00ed\u010dka a embrya lep\u0161\u00ed ne\u017e v d\u011bloze, ale t\u00edm, \u017ee m\u016f\u017eeme vybrat ta, kter\u00e1 se vyv\u00edjej\u00ed dob\u0159e.<\/p>\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/section>\r\n\n\n \r\n \r\n

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PAMATUJ:<\/strong> nejd\u016fle\u017eit\u011bj\u0161\u00edm faktorem v nad\u011bji na t\u011bhotenstv\u00ed je v\u011bk!!<\/p>\n

Odkl\u00e1dat l\u00e9\u010dbu po 35. roce je rizikov\u00e9.<\/p>\n

Dokonce – u \u010d\u00e1sti \u017een – se jejich vaje\u010dn\u00edky vy\u010derpaj\u00ed p\u0159ed\u010dasn\u011b, to znamen\u00e1, \u017ee ji\u017e neobsahuj\u00ed \u017e\u00e1dn\u00e1 vaj\u00ed\u010dka, nap\u0159. ve 32 letech.<\/p>\n

N\u011bkdy doporu\u010d\u00edme pokra\u010dovat v p\u0159irozen\u00e9 snaze je\u0161t\u011b n\u011bjak\u00fd \u010das. To je v p\u0159\u00edpadech, kdy\u017e jsou anamnestick\u00e1 zji\u0161t\u011bn\u00ed a v\u00fdsledky p\u0159\u00edzniv\u00e9, \u017eena je mlad\u00e1 a snaha o ot\u011bhotn\u011bn\u00ed je relativn\u011b kr\u00e1tk\u00e1. Ale toto je sp\u00ed\u0161e v\u00fdjimka, tedy pros\u00edm, nev\u00e1hejte s vy\u0161et\u0159en\u00edm a dle n\u00e1lezu i s l\u00e9\u010dbou, kterou v\u00e1m doporu\u010d\u00edme.<\/p>\n

Narozen\u00ed vytou\u017een\u00e9ho d\u011b\u0165\u00e1tka d\u011bl\u00e1 radost i n\u00e1m, d\u00e1v\u00e1 smysl na\u0161emu sna\u017een\u00ed a ukazuje \u00fasp\u011b\u0161nou l\u00e9\u010debnou cestu pro p\u00e1ry, kter\u00e9 p\u0159ijdou po V\u00e1s.<\/p>\n <\/div>\r\n <\/div>\r\n <\/section>\r\n ","protected":false},"excerpt":{"rendered":"","protected":false},"author":6,"featured_media":0,"parent":9706,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-9807","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nDiagnostika a l\u00e9\u010dba neplodnosti - Porodnice U Apolin\u00e1\u0159e<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"uk_UA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnostika a l\u00e9\u010dba neplodnosti - Porodnice U Apolin\u00e1\u0159e\" \/>\n<meta property=\"og:url\" content=\"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/poskytovana-pece\/diagnostika-a-lecba-neplodnosti\/\" \/>\n<meta property=\"og:site_name\" content=\"Porodnice U Apolin\u00e1\u0159e\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/poskytovana-pece\/diagnostika-a-lecba-neplodnosti\/\",\"url\":\"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/poskytovana-pece\/diagnostika-a-lecba-neplodnosti\/\",\"name\":\"Diagnostika a l\u00e9\u010dba neplodnosti - Porodnice U Apolin\u00e1\u0159e\",\"isPartOf\":{\"@id\":\"https:\/\/apolinar.capta.cz\/uk\/#website\"},\"datePublished\":\"2024-08-30T09:00:17+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/poskytovana-pece\/diagnostika-a-lecba-neplodnosti\/#breadcrumb\"},\"inLanguage\":\"uk\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/poskytovana-pece\/diagnostika-a-lecba-neplodnosti\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/poskytovana-pece\/diagnostika-a-lecba-neplodnosti\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Dom\u016f\",\"item\":\"https:\/\/apolinar.capta.cz\/uk\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Centrum asistovan\u00e9 reprodukce\",\"item\":\"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Poskytovan\u00e1 p\u00e9\u010de\",\"item\":\"https:\/\/apolinar.capta.cz\/uk\/centrum-asistovane-reprodukce\/poskytovana-pece\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Diagnostika a l\u00e9\u010dba neplodnosti\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/apolinar.capta.cz\/uk\/#website\",\"url\":\"https:\/\/apolinar.capta.cz\/uk\/\",\"name\":\"Porodnice U Apolin\u00e1\u0159e\",\"description\":\"Klinika gynekologie, porodnictv\u00ed a neonatologie 1. 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