Čo môže indikovať bolesť vaječníkov?

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Bolesť v podbrušku ženy často identifikujú ako bolesť vaječníkov, no môže znamenať aj rad ďalších ochorení. Ako rozpoznať bolesť vaječníkov a čo indikuje? Bolesť vaječníkov je niekedy ťažké správne identifikovať. Mnoho žien označuje každú bolesť podbruška ako bolesť vaječníkov.

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Bolesť podbruška však môže mať rôzne príčiny, od tých najznámejších ako je predmenštruačný syndróm, až po zápal vaječníkov. Ako teda zistím, že ma bolia práve vaječníky? Vaječníky sú umiestnené po stranách maternice v hornej časti podbruška. Ak pociťujete bolesť na ľavej alebo pravej strane podbruška, môže sa jednať práve o bolesť niektorého z vaječníkov. V každom prípade musí presnú príčinu určiť váš gynekológ.

Možné príčiny bolesti vaječníkov:

Ovulácia

Ak pociťujete bolesť v podbrušku v oblasti vaječníkov, vypočítajte si, v akej fáze cyklu sa práve nachádzate. Ovulácia, teda uvoľňovanie vajíčka, prebieha v 13. až 15. dni od začiatku menštruácie. V tomto období sú vaječníky citlivejšie, čo sa môže prejavovať bolesťou.

Bolesť by mala po pár dňoch pominúť. V opačnom prípade môže signalizovať iný problém.

Zápal vaječníkov

Nesadaj si na studenú zem alebo schody. Prechladnú ti vaječníky! Poznáte aj vy toto varovanie?

Za prechladnutými vaječníkmi sa v skutočnosti skrýva zápal, ktorý z chladu rozhodne nedostanete. Chlad môže “len” zhoršiť priebeh celého ochorenia.

Za zápal vaječníkov sú zodpovedné baktérie, ktoré sa prenášajú pohlavným stykom.

Zápal vaječníkov sa prejavuje súmernou bolesťou v podbrušku, krvácaním aj mimo menštruačného cyklu, bolesťami pri pohlavnom styku, vaginálnym výtokom, zvýšenou teplotou a bolesťami pri močení.

Na zápal vaječníkov musí nasadiť správnu liečbu váš gynekológ a rozhodne sa nespoliehajte na domácu liečbu. Dlhodobo neliečený zápal môže spôsobiť problémy s plodnosťou.

Cysty na vaječníkoch

Bolesť v podbrušku spolu s nepravidelným menštruačným krvácaním môžu signalizovať cysty na vaječníkoch. Môže ísť o nezhubné alebo zhubné nádory. Presnú diagnózu musí určiť lekár a v žiadnom prípade nemyslite hneď na to najhoršie.

Rakovina vaječníkov má rad ďalších príznakov ako sú nadúvanie, strata chuti do jedla, zápcha alebo hnačka, menštruačné poruchy a nevoľnosť. Ani tieto príznaky však nemusia automaticky znamenať rakovinu vaječníkov. Podobné príznaky má aj zápal slepého čreva. Preto je dôležité vždy vyhľadať lekára a celú diagnostiku nechať na ňom.

Polycystické vaječníky

Syndróm polycystických vaječníkov je ochorenie, kedy dochádza k zvýšenej tvorbe mužského hormónu. Príčinou bývajú cysty na vaječníkoch.

Ochorenie sa môže prejavovať poruchami menštruačného cyklu, rastom nadmerného ochlpenia, vyrážkami na tvári, ktoré sa zle hoja a nadváhou až obezitou, ktorú sa nedarí redukovať ani zmenou životného štýlu. Po diagnostikovaní choroby zvyčajne nasleduje hormonálna liečba.

Bolesť vaječníkov ako príznak tehotenstva?

Bolesť vaječníkov a krížov si mnoho žien spája s možným tehotenstvom. Je pravda, že v niektorých prípadoch sa môže zahniezďovanie vajíčka prejavovať miernou bolesťou v podbrušku.

Najspoľahlivejšou metódou na určenie tehotenstva však aj naďalej ostáva vynechaná menštruácia, pozitívny tehotenský test a vyšetrenie u gynekológa.

Bolesť v podbrušku v tehotenstve zvyčajne nesúvisí s vaječníkmi a je spôsobená prirodzenými fyziologickými zmenami vo vašom tele. Ak nie je spojená s krvácaním, špinením, výtokmi, bolesti sú krátke a nestúpa ich intenzita, netreba sa ničoho obávať. V opačnom prípade, samozrejme, treba vyhľadať lekára.

S čím si môžeme zameniť bolesť vaječníkov

Bolesť vaječníkov na ľavej strane si môžete jednoducho zameniť s bolesťou črevného traktu, napríklad typickou divertikulitídou - vydutím steny čreva.

Bolesť v pravom podbrušku je zase typická pre zápal apendixu - slepého čreva, no môže byť aj indikátorom Crohnovej choroby, ulceróznej kolitídy alebo črevnej tuberkulózy.

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14	JSessionStorageDatabase->read()	Rovnaké, ako volanie o riadok nižšie.
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#	Volacia funkcia	Súbor a číslo riadku
12	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1701
11	JDatabaseDriver->loadObjectList()	JROOT/libraries/src/Component/ComponentHelper.php:445
10	Joomla\CMS\Component\ComponentHelper::Joomla\CMS\Component\{closure}()	Rovnaké, ako volanie o riadok nižšie.
9	call_user_func_array()	JROOT/libraries/src/Cache/Controller/CallbackController.php:173
8	Joomla\CMS\Cache\Controller\CallbackController->get()	JROOT/libraries/src/Component/ComponentHelper.php:453
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3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

#	Volacia funkcia	Súbor a číslo riadku
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9	JDatabaseDriver->loadAssocList()	JROOT/libraries/src/Access/Access.php:1063
8	Joomla\CMS\Access\Access::getAuthorisedViewLevels()	JROOT/libraries/src/User/User.php:458
7	Joomla\CMS\User\User->getAuthorisedViewLevels()	JROOT/libraries/src/Plugin/PluginHelper.php:318
6	Joomla\CMS\Plugin\PluginHelper::load()	JROOT/libraries/src/Plugin/PluginHelper.php:87
5	Joomla\CMS\Plugin\PluginHelper::getPlugin()	JROOT/libraries/src/Plugin/PluginHelper.php:129
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6	Joomla\CMS\Plugin\PluginHelper::load()	JROOT/libraries/src/Plugin/PluginHelper.php:87
5	Joomla\CMS\Plugin\PluginHelper::getPlugin()	JROOT/libraries/src/Plugin/PluginHelper.php:129
4	Joomla\CMS\Plugin\PluginHelper::isEnabled()	JROOT/libraries/src/Application/SiteApplication.php:604
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

#	Volacia funkcia	Súbor a číslo riadku
12	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1465
11	JDatabaseDriver->loadAssoc()	JROOT/libraries/src/Table/Table.php:747
10	Joomla\CMS\Table\Table->load()	JROOT/plugins/system/roksprocket/roksprocket.php:54
9	plgSystemRokSprocket->onAfterInitialise()	Rovnaké, ako volanie o riadok nižšie.
8	call_user_func_array()	JROOT/libraries/joomla/event/event.php:70
7	JEvent->update()	JROOT/libraries/joomla/event/dispatcher.php:160
6	JEventDispatcher->trigger()	JROOT/libraries/src/Application/BaseApplication.php:108
5	Joomla\CMS\Application\BaseApplication->triggerEvent()	JROOT/libraries/src/Application/CMSApplication.php:668
4	Joomla\CMS\Application\CMSApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:686
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	m	ALL	idx_client_id_parent_id_alias_language	NEMÔŽE BYŤ POUŽITÝ KĽÚČOVÝ INDEX	NULL	NULL	152	Using where; Pomocou filesort
1	SIMPLE	e	eq_ref	PRIMARY	PRIMARY	4	yy039000db.m.component_id	1	Using where

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	s	ref	idx_template,idx_client_id,idx_client_id_home	idx_client_id	1	const	2
1	SIMPLE	e	ref	element_clientid,element_folder_clientid,extension	element_clientid	303	yy039000db.s.template,const	1	Using index condition; Using where

#	Volacia funkcia	Súbor a číslo riadku
25	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1662
24	JDatabaseDriver->loadObject()	JROOT/libraries/src/Helper/LibraryHelper.php:167
23	Joomla\CMS\Helper\LibraryHelper::Joomla\CMS\Helper\{closure}()	Rovnaké, ako volanie o riadok nižšie.
22	call_user_func_array()	JROOT/libraries/src/Cache/Controller/CallbackController.php:173
21	Joomla\CMS\Cache\Controller\CallbackController->get()	JROOT/libraries/src/Helper/LibraryHelper.php:175
20	Joomla\CMS\Helper\LibraryHelper::loadLibrary()	JROOT/libraries/src/Helper/LibraryHelper.php:43
19	Joomla\CMS\Helper\LibraryHelper::getLibrary()	JROOT/libraries/src/Helper/LibraryHelper.php:90
18	Joomla\CMS\Helper\LibraryHelper::getParams()	JROOT/libraries/src/Version.php:321
17	Joomla\CMS\Version->getMediaVersion()	JROOT/libraries/src/Factory.php:778
16	Joomla\CMS\Factory::createDocument()	JROOT/libraries/src/Factory.php:234
15	Joomla\CMS\Factory::getDocument()	JROOT/libraries/gantry5/classes/Gantry/Framework/Theme.php:116
14	Gantry\Framework\Theme->init()	JROOT/libraries/gantry5/classes/Gantry/Component/Theme/AbstractTheme.php:67
13	Gantry\Component\Theme\AbstractTheme->__construct()	JROOT/templates/g5_hydrogen/includes/theme.php:28
12	plgSystemGantry5->{closure}()	JROOT/libraries/gantry5/vendor/pimple/pimple/src/Pimple/Container.php:113
11	Pimple\Container->offsetGet()	JROOT/plugins/system/gantry5/gantry5.php:139
10	plgSystemGantry5->onAfterRouteSite()	JROOT/plugins/system/gantry5/gantry5.php:57
9	plgSystemGantry5->onAfterRoute()	Rovnaké, ako volanie o riadok nižšie.
8	call_user_func_array()	JROOT/libraries/joomla/event/event.php:70
7	JEvent->update()	JROOT/libraries/joomla/event/dispatcher.php:160
6	JEventDispatcher->trigger()	JROOT/libraries/src/Application/BaseApplication.php:108
5	Joomla\CMS\Application\BaseApplication->triggerEvent()	JROOT/libraries/src/Application/CMSApplication.php:1190
4	Joomla\CMS\Application\CMSApplication->route()	JROOT/libraries/src/Application/SiteApplication.php:796
3	Joomla\CMS\Application\SiteApplication->route()	JROOT/libraries/src/Application/SiteApplication.php:218
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

#	Volacia funkcia	Súbor a číslo riadku
20	JDatabaseDriverMysqli->execute()	JROOT/libraries/src/Helper/LibraryHelper.php:117
19	Joomla\CMS\Helper\LibraryHelper::saveParams()	JROOT/libraries/src/Version.php:372
18	Joomla\CMS\Version->setMediaVersion()	JROOT/libraries/src/Version.php:331
17	Joomla\CMS\Version->getMediaVersion()	JROOT/libraries/src/Factory.php:778
16	Joomla\CMS\Factory::createDocument()	JROOT/libraries/src/Factory.php:234
15	Joomla\CMS\Factory::getDocument()	JROOT/libraries/gantry5/classes/Gantry/Framework/Theme.php:116
14	Gantry\Framework\Theme->init()	JROOT/libraries/gantry5/classes/Gantry/Component/Theme/AbstractTheme.php:67
13	Gantry\Component\Theme\AbstractTheme->__construct()	JROOT/templates/g5_hydrogen/includes/theme.php:28
12	plgSystemGantry5->{closure}()	JROOT/libraries/gantry5/vendor/pimple/pimple/src/Pimple/Container.php:113
11	Pimple\Container->offsetGet()	JROOT/plugins/system/gantry5/gantry5.php:139
10	plgSystemGantry5->onAfterRouteSite()	JROOT/plugins/system/gantry5/gantry5.php:57
9	plgSystemGantry5->onAfterRoute()	Rovnaké, ako volanie o riadok nižšie.
8	call_user_func_array()	JROOT/libraries/joomla/event/event.php:70
7	JEvent->update()	JROOT/libraries/joomla/event/dispatcher.php:160
6	JEventDispatcher->trigger()	JROOT/libraries/src/Application/BaseApplication.php:108
5	Joomla\CMS\Application\BaseApplication->triggerEvent()	JROOT/libraries/src/Application/CMSApplication.php:1190
4	Joomla\CMS\Application\CMSApplication->route()	JROOT/libraries/src/Application/SiteApplication.php:796
3	Joomla\CMS\Application\SiteApplication->route()	JROOT/libraries/src/Application/SiteApplication.php:218
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

#	Volacia funkcia	Súbor a číslo riadku
14	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1740
13	JDatabaseDriver->loadResult()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:31
12	RokCommon_PlatformInfo_Joomla->getDefaultTemplate()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:105
11	RokCommon_PlatformInfo_Joomla->setPlatformParameters()	JROOT/libraries/rokcommon/RokCommon/Service.php:71
10	RokCommon_Service::getContainer()	JROOT/libraries/rokcommon/include.php:38
9	require_once JROOT/libraries/rokcommon/include.php	JROOT/plugins/system/rokcommon/rokcommon.php:96
8	plgSystemRokCommon->loadCommonLib()	JROOT/plugins/system/rokcommon/rokcommon.php:54
7	plgSystemRokCommon->__construct()	JROOT/libraries/src/Plugin/PluginHelper.php:280
6	Joomla\CMS\Plugin\PluginHelper::import()	JROOT/libraries/src/Plugin/PluginHelper.php:182
5	Joomla\CMS\Plugin\PluginHelper::importPlugin()	JROOT/libraries/src/Application/CMSApplication.php:667
4	Joomla\CMS\Application\CMSApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:686
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

#	Volacia funkcia	Súbor a číslo riadku
15	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1740
14	JDatabaseDriver->loadResult()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:31
13	RokCommon_PlatformInfo_Joomla->getDefaultTemplate()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:67
12	RokCommon_PlatformInfo_Joomla->getDefaultTemplatePath()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:106
11	RokCommon_PlatformInfo_Joomla->setPlatformParameters()	JROOT/libraries/rokcommon/RokCommon/Service.php:71
10	RokCommon_Service::getContainer()	JROOT/libraries/rokcommon/include.php:38
9	require_once JROOT/libraries/rokcommon/include.php	JROOT/plugins/system/rokcommon/rokcommon.php:96
8	plgSystemRokCommon->loadCommonLib()	JROOT/plugins/system/rokcommon/rokcommon.php:54
7	plgSystemRokCommon->__construct()	JROOT/libraries/src/Plugin/PluginHelper.php:280
6	Joomla\CMS\Plugin\PluginHelper::import()	JROOT/libraries/src/Plugin/PluginHelper.php:182
5	Joomla\CMS\Plugin\PluginHelper::importPlugin()	JROOT/libraries/src/Application/CMSApplication.php:667
4	Joomla\CMS\Application\CMSApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:686
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	xref	ref	tagID,itemID	itemID	4	const	1	Using where
1	SIMPLE	tag	eq_ref	PRIMARY,published	PRIMARY	4	yy039000db.xref.tagID	1	Using where

Status	Duration
Starting	0.06 ms
checking permissions	0.01 ms
Opening tables	0.02 ms
After opening tables	0.01 ms
System lock	0.00 ms
table lock	0.01 ms
init	0.03 ms
Optimizing	0.02 ms
Statistics	0.05 ms
Preparing	0.02 ms
Executing	0.00 ms
Sending data	0.02 ms
End of update loop	0.00 ms
Query end	0.00 ms
Commit	0.00 ms
Query end	0.00 ms
closing tables	0.00 ms
Unlocking tables	0.01 ms
closing tables	0.00 ms
Query end	0.00 ms
Starting cleanup	0.00 ms
Freeing items	0.00 ms
Updating status	0.03 ms
Reset for next command	0.03 ms

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	a	ref	idx_state,idx_access,idx_context	idx_state	1	const	1	Using where; Using temporary; Pomocou filesort
1	SIMPLE	l	eq_ref	idx_langcode	idx_langcode	21	yy039000db.a.language	1	Using where
1	SIMPLE	uc	eq_ref	PRIMARY	PRIMARY	4	yy039000db.a.checked_out	1
1	SIMPLE	ag	eq_ref	PRIMARY	PRIMARY	4	yy039000db.a.access	1	Using where
1	SIMPLE	ua	eq_ref	PRIMARY	PRIMARY	4	yy039000db.a.created_user_id	1	Using where
1	SIMPLE	g	eq_ref	PRIMARY	PRIMARY	4	yy039000db.a.group_id	1	Using where

#	Volacia funkcia	Súbor a číslo riadku
14	JDatabaseDriverMysqli->execute()	JROOT/libraries/src/Table/Table.php:1264
13	Joomla\CMS\Table\Table->hit()	JROOT/components/com_k2/models/item.php:833
12	K2ModelItem->hit()	JROOT/components/com_k2/views/item/view.html.php:146
11	K2ViewItem->display()	JROOT/libraries/src/MVC/Controller/BaseController.php:664
10	Joomla\CMS\MVC\Controller\BaseController->display()	JROOT/components/com_k2/controllers/controller.php:20
9	K2Controller->display()	JROOT/components/com_k2/controllers/item.php:78
8	K2ControllerItem->display()	JROOT/libraries/src/MVC/Controller/BaseController.php:702
7	Joomla\CMS\MVC\Controller\BaseController->execute()	JROOT/components/com_k2/k2.php:64
6	require_once JROOT/components/com_k2/k2.php	JROOT/libraries/src/Component/ComponentHelper.php:402
5	Joomla\CMS\Component\ComponentHelper::executeComponent()	JROOT/libraries/src/Component/ComponentHelper.php:377
4	Joomla\CMS\Component\ComponentHelper::renderComponent()	JROOT/libraries/src/Application/SiteApplication.php:194
3	Joomla\CMS\Application\SiteApplication->dispatch()	JROOT/libraries/src/Application/SiteApplication.php:233
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	PRIMARY	c	range	PRIMARY,category,published,access,trash	category	8	NULL	75	Using index condition; Using temporary; Pomocou filesort
1	PRIMARY	i	ref\|filter	PRIMARY,catid,idx_item	catid\|idx_item	4\|7	yy039000db.c.id	64 (50%)	Using index condition; Using where; Using rowid filter
1	PRIMARY	<derived3>	ref	key0	key0	4	yy039000db.i.id	10	FirstMatch(i)
3	DERIVED	NULL	NULL	NULL	NEMÔŽE BYŤ POUŽITÝ KĽÚČOVÝ INDEX	NULL	NULL	NULL	No tables used

Status	Duration
Starting	2.61 ms
checking permissions	0.00 ms
Opening tables	0.01 ms
After opening tables	0.00 ms
System lock	0.00 ms
table lock	0.00 ms
init	1.06 ms
Optimizing	0.84 ms
Statistics	0.10 ms
Preparing	0.02 ms
Creating tmp table	0.02 ms
Sorting result	0.01 ms
Executing	0.00 ms
Sending data	9.05 ms
Removing tmp table	0.00 ms
Sending data	122.20 ms
Creating sort index	10.80 ms
Removing tmp table	0.74 ms
Creating sort index	0.01 ms
End of update loop	0.01 ms
Query end	0.00 ms
Commit	0.00 ms
Query end	0.00 ms
closing tables	0.00 ms
Removing tmp table	0.01 ms
closing tables	0.00 ms
Unlocking tables	0.00 ms
closing tables	0.01 ms
Query end	0.01 ms
Starting cleanup	0.00 ms
Freeing items	0.16 ms
Updating status	0.07 ms
Reset for next command	0.04 ms

Status	Duration
Starting	0.14 ms
checking permissions	0.01 ms
Opening tables	0.03 ms
After opening tables	0.01 ms
System lock	0.01 ms
table lock	0.01 ms
init	0.05 ms
Optimizing	0.03 ms
Statistics	0.09 ms
Preparing	0.03 ms
Creating tmp table	0.04 ms
Sorting result	0.01 ms
Executing	0.00 ms
Sending data	0.15 ms
Creating sort index	0.03 ms
Removing tmp table	0.03 ms
Creating sort index	0.01 ms
End of update loop	0.00 ms
Query end	0.00 ms
Commit	0.00 ms
Query end	0.00 ms
closing tables	0.00 ms
Unlocking tables	0.00 ms
closing tables	0.00 ms
Query end	0.00 ms
Starting cleanup	0.00 ms
Freeing items	0.01 ms
Updating status	0.03 ms
Reset for next command	0.02 ms

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	m	ref	PRIMARY,published,newsfeeds	published	1	const	25	Using index condition; Using where; Pomocou filesort
1	SIMPLE	mm	ref	PRIMARY	PRIMARY	4	yy039000db.m.id	1	Using where; Using index
1	SIMPLE	e	ref	element_clientid,element_folder_clientid	element_clientid	303	yy039000db.m.module,const	1	Using index condition; Using where