Pod jm\u00e9nem kop\u0159ivka si asi nej\u010dast\u011bji p\u0159edstav\u00edme, jak jsme se jako mal\u00ed pustili do jahod, sn\u011bdli jich hodn\u011b a na\u0161e t\u011blo reagovalo pupenci na k\u016f\u017ei, kter\u00e9 po\u0159\u00e1dn\u011b sv\u011bdily.<\/p>\n
Kop\u0159ivka m\u00e1 v\u0161ak mnoho tv\u00e1\u0159\u00ed. Spolu se sv\u011bdiv\u00fdmi pup\u00ednky se mohou objevit i otoky a probl\u00e9m je, kdy\u017e zas\u00e1hnou i d\u00fdchac\u00ed cesty. Proto kop\u0159ivka nen\u00ed zcela ban\u00e1ln\u00ed nemoc, jak by se mohlo zd\u00e1t, a nem\u011bli bychom ji podce\u0148ovat. Kop\u0159ivka tak\u00e9 m\u016f\u017ee b\u00fdt prvn\u00edm projevem tak v\u00e1\u017en\u00fdch onemocn\u011bn\u00ed, jako je rakovina, \u017eloutenka B, cukrovka nebo nemoci ledvin.<\/p>\n
Pupence na k\u016f\u017ei<\/p>\n
Podle l\u00e9ka\u0159\u016f<\/span> kop\u0159ivka pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed ko\u017en\u00ed onemocn\u011bn\u00ed. Projevuje se p\u0159edev\u0161\u00edm velk\u00fdmi pupenci, tzv. pomfy, na k\u016f\u017ei. Pupence jsou sv\u011bdiv\u00e9 a\u017e do pocitu p\u00e1len\u00ed. St\u011bhuj\u00ed se z m\u00edsta na m\u00edsto a konkr\u00e9tn\u00ed pupenec v\u011bt\u0161inou do 24 hodin miz\u00ed a nezanech\u00e1v\u00e1 po sob\u011b stopy, pokud ov\u0161em si ho neroz\u0161kr\u00e1beme. Akutn\u00ed a chronick\u00e1<\/p>\n L\u00e9ka\u0159i<\/span> d\u011bl\u00ed kop\u0159ivku na akutn\u00ed a chronickou.<\/p>\n – Akutn\u00ed trv\u00e1 obvykle n\u011bkolik hodin nebo dn\u016f, maxim\u00e1ln\u011b \u010dty\u0159i t\u00fddny. \u010cast\u011bji napad\u00e1 d\u011bti.<\/p>\n – Chronick\u00e1 kop\u0159ivka trv\u00e1 d\u00e9le ne\u017e 6 t\u00fddn\u016f, m\u016f\u017ee v\u0161ak trvat i n\u011bkolik m\u011bs\u00edc\u016f, ba let.<\/p>\n Klasifikace chronick\u00fdch kop\u0159ivek je obt\u00ed\u017en\u00e1, proto\u017ee nejde v\u017edy jednozna\u010dn\u011b prok\u00e1zat jejich p\u0159\u00ed\u010dinu. Zpravidla ale rozli\u0161ujeme tzv. spont\u00e1nn\u00ed, kdy neexistuje jednozna\u010dn\u00fd vyvol\u00e1vac\u00ed faktor, a indukovanou, kdy t\u011blo reaguje na n\u011bjak\u00fd konkr\u00e9tn\u00ed zevn\u00ed podn\u011bt, nap\u0159\u00edklad chlad, tlak, teplo nebo fyzickou z\u00e1t\u011b\u017e.<\/p>\n T\u011b\u017eko ur\u010dit p\u0159\u00ed\u010dinu<\/p>\n L\u00e9ka\u0159i<\/span> se shoduj\u00ed v tom, \u017ee diagnostikovat nep\u0159\u00edjemnou kop\u0159ivku b\u00fdv\u00e1 pom\u011brn\u011b snadn\u00e9. Nal\u00e9zt ale jej\u00ed p\u0159\u00ed\u010dinu je naopak nesm\u00edrn\u011b obt\u00ed\u017en\u00e9. \u010c\u00edm d\u00e9le kop\u0159ivka trv\u00e1, t\u00edm je slo\u017eit\u011bj\u0161\u00ed ur\u010dit jej\u00ed p\u016fvod. Pro pacienty p\u0159edstavuje \u017eivot s chronickou kop\u0159ivkou zdravotn\u00ed<\/span> i psychickou z\u00e1t\u011b\u017e. M\u016f\u017ee se toti\u017e objevit ne\u010dekan\u011b. Pacient s\u00e1m nikdy nev\u00ed, zda bude m\u00edt pouze pupence nebo zda se mu p\u0159id\u00e1 i otok. Kop\u0159ivka m\u00e1 proto vliv na jeho ka\u017edodenn\u00ed \u010dinnost, proto\u017ee \u010dlov\u011bk se m\u016f\u017ee h\u016f\u0159e soust\u0159edit, \u0161patn\u011b sp\u00e1t a c\u00edtit se unaven\u00fd. Tak vlastn\u011b zd\u00e1nliv\u011b ban\u00e1ln\u00ed nemoc ovliv\u0148uje v\u00fdznamn\u011b n\u00e1\u0161 \u017eivot, ale i schopnost navazovat a udr\u017eovat vztahy.<\/p>\n Slune\u010dn\u00ed alergie<\/p>\n Pozor tak\u00e9 na slune\u010dn\u00ed alergie. Zvl\u00e1\u0161\u0165 te\u010f po zim\u011b poko\u017eka nen\u00ed v\u016fbec p\u0159ipraven\u00e1 na slun\u00ed\u010dko a hroz\u00ed j\u00ed rychl\u00e9 sp\u00e1len\u00ed k\u016f\u017ee, kter\u00e9 vede nap\u0159\u00edklad k rakovin\u00e1m k\u016f\u017ee. Sol\u00e1rn\u00ed alergii pozn\u00e1me tak, \u017ee se n\u00e1m t\u011blo osype pup\u00ednky. Prvn\u00edm p\u0159\u00edznakem je zarudl\u00e1 k\u016f\u017ee a n\u00e1sledovat m\u016f\u017ee kop\u0159ivka, ale tak\u00e9 nep\u0159\u00edjemn\u00e9 mokvaj\u00edc\u00ed puch\u00fd\u0159ky. Tyto reakce v\u011bt\u0161inou zp\u016fsobuje vysok\u00e1 citlivost na UV z\u00e1\u0159en\u00ed, je\u017e je \u010dasto spojen\u00e1 s u\u017e\u00edv\u00e1n\u00edm n\u011bkter\u00fdch l\u00e9k\u016f<\/span>.<\/p>\n Krom\u011b l\u00e9k\u016f<\/span> m\u016f\u017ee ko\u017en\u00ed reakci zp\u016fsobit i nevhodn\u00fd opalovac\u00ed kr\u00e9m nebo r\u016fzn\u00e9 kosmetick\u00e9 p\u0159\u00edpravky. Opalovac\u00ed kr\u00e9my jsou sp\u00ed\u0161e zdravotn\u00ed<\/span> pom\u016fcka ne\u017e ryze kosmetick\u00fd p\u0159\u00edpravek. Kdy\u017e tedy budeme cestovat te\u010f na ja\u0159e u\u017e k mo\u0159i a s mal\u00fdmi d\u011btmi, plat\u00ed pr\u00fd pro d\u011bti tzv. \u010dty\u0159i K \u2013 kalhoty, klobouk, ko\u0161ile a kr\u00e9m s vysok\u00fdm ochrann\u00fdm faktorem.<\/p>\n P\u0159esn\u00e1 data o v\u00fdskytu kop\u0159ivky neexistuj\u00ed, proto\u017ee nen\u00ed povinnost tuto diagn\u00f3zu hl\u00e1sit. L\u00e9ka\u0159i<\/span> ale odhaduj\u00ed, \u017ee ka\u017ed\u00fd p\u00e1t\u00fd \u010dlov\u011bk ve sv\u011bt\u011b, a tedy i u n\u00e1s se b\u011bhem sv\u00e9ho \u017eivota s n\u011bjak\u00fdm druhem kop\u0159ivky potk\u00e1. Nejv\u00edce postihuje lidi mezi 20. a\u017e 40. rokem v\u011bku a t\u00e9m\u011b\u0159 dvojn\u00e1sobn\u011b vy\u0161\u0161\u00ed je u \u017een ne\u017e u mu\u017e\u016f.<\/p>\n","protected":false},"excerpt":{"rendered":" Pod jm\u00e9nem kop\u0159ivka si asi nej\u010dast\u011bji p\u0159edstav\u00edme, jak jsme se jako mal\u00ed pustili do jahod, sn\u011bdli jich hodn\u011b a na\u0161e t\u011blo reagovalo pupenci na k\u016f\u017ei, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15784,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15973","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15973","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15973"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15973\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15784"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nPupence mohou b\u00fdt na\u010dervenal\u00e9, ve st\u0159edu bled\u0161\u00ed. A\u017e v jedn\u00e9 t\u0159etin\u011b p\u0159\u00edpad\u016f je doprov\u00e1z\u00ed otok ve hlub\u0161\u00edch vrstv\u00e1ch k\u016f\u017ee nebo sliznic \u2013 p\u0159edev\u0161\u00edm rt\u016f, v\u00ed\u010dek nebo pohlavn\u00edch org\u00e1n\u016f. I otok sv\u011bd\u00ed. Zmiz\u00ed v\u011bt\u0161inou do 3 dn\u016f od v\u00fdskytu.<\/p>\n
\nProto k z\u00e1kladn\u00edm diagnostick\u00fdm postup\u016fm pat\u0159\u00ed rozhovor s pacientem, abychom poznali, zda v rodin\u011b tato nemoc nen\u00ed, a pak rutinn\u00ed laboratorn\u00ed vy\u0161et\u0159en\u00ed, zahrnuj\u00edc\u00ed krevn\u00ed obraz a sedimentaci \u010di zm\u011b\u0159en\u00ed z\u00e1n\u011btliv\u00fdch faktor\u016f.
\nTento z\u00e1kladn\u00ed panel pak je zpravidla dopln\u011bn je\u0161t\u011b o dal\u0161\u00ed metody, jak\u00fdmi jsou fyzik\u00e1ln\u00ed ko\u017en\u00ed testy, nap\u0159\u00edklad na teplo, chlad nebo na alergeny. Pacient, kter\u00fd m\u00e1 p\u0159\u00edznaky chronick\u00e9 kop\u0159ivky, by m\u011bl kontaktovat nejbli\u017e\u0161\u00edho dermatologa, kter\u00fd mu m\u016f\u017ee pomoci probl\u00e9m \u0159e\u0161it.<\/p>\n