{"id":17043,"date":"2014-07-31T14:25:08","date_gmt":"2014-07-31T12:25:08","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=17043"},"modified":"2014-07-31T14:25:08","modified_gmt":"2014-07-31T12:25:08","slug":"tretina-cechu-mylne-soudi-ze-proti-zloutence-c-lze-ockovat","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=17043","title":{"rendered":"T\u0159etina \u010cech\u016f myln\u011b soud\u00ed, \u017ee proti \u017eloutence C lze o\u010dkovat"},"content":{"rendered":"<p><strong>Ka\u017ed\u00fd t\u0159et\u00ed \u010cech si mysl\u00ed, \u017ee p\u0159ed \u017eloutenkou C chr\u00e1n\u00ed o\u010dkov\u00e1n\u00ed. Vakc\u00edna ale neexistuje, p\u0159ipom\u00ednaj\u00ed l\u00e9ka\u0159i p\u0159i p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne hepatitidy, jen\u017e byl v pond\u011bl\u00ed. O\u010dkuje se proti \u017eloutence A zvan\u00e9 nemoc \u0161pinav\u00fdch rukou a proti \u017eloutence B, kter\u00e1 se stejn\u011b jako \u017eloutenka C p\u0159en\u00e1\u0161\u00ed krv\u00ed.<\/strong><!--more--><\/p>\n<p>&nbsp;<\/p>\n<p>Jedinou spolehlivou ochranou p\u0159ed n\u00e1kazou typem C je podle l\u00e9ka\u0159\u016f informovanost a zodpov\u011bdn\u00e9 chov\u00e1n\u00ed, proto\u017ee &#8222;c\u00e9\u010dko&#8220; se p\u0159en\u00e1\u0161\u00ed tak\u00e9 sexem \u010di sd\u00edlen\u00edm jehel p\u0159i u\u017e\u00edv\u00e1n\u00ed drog.<\/p>\n<p>Loni bylo v \u010cR t\u00e9m\u011b\u0159 1600 nov\u00fdch p\u0159\u00edpad\u016f \u017eloutenky, tedy infek\u010dn\u00edho onemocn\u011bn\u00ed jater, z nich p\u0159es polovinu, 873 byl typ C, z toho zhruba polovina byli narkomani.<\/p>\n<p>Podle pr\u016fzkumu z konce lo\u0148sk\u00e9ho roku 37 procent lid\u00ed soud\u00ed, \u017ee proti \u017eloutence C se o\u010dkuje a 98 procent netu\u0161\u00ed, \u017ee nakazit se mohou i p\u0159i tetov\u00e1n\u00ed, piercingu \u010di akupunktu\u0159e. Nev\u011bd\u00ed ani to, \u017ee rizikov\u00e9 je i sd\u00edlen\u00ed zubn\u00edch kart\u00e1\u010dk\u016f nebo holic\u00edch pot\u0159eb.<\/p>\n<p>Sv\u011btov\u00fd den hepatitidy p\u0159ipad\u00e1 na v\u00fdro\u010d\u00ed narozen\u00ed objevitele viru hepatitidy B a nositele Nobelovy ceny Barucha Samuela Blumberga. Letos tak\u00e9 uplyne 25 let od objevu viru hepatitidy C. Celosv\u011btov\u011b \u017eloutenkou C trp\u00ed na 160 mili\u00f3n\u016f lid\u00ed, v Evrop\u011b 17,5 milionu. V \u010cR je naka\u017eeno odhadem 20.000 lid\u00ed, velk\u00e1 \u010d\u00e1st to nev\u00ed. Nemoc se toti\u017e dlouho neprojevuje.<\/p>\n<p>Podle pr\u016fzkumu STEM\/MARK jen 33 procent dot\u00e1zan\u00fdch v\u00ed, \u017ee se virus \u017eloutenky C p\u0159en\u00e1\u0161\u00ed krv\u00ed, 17 procent si je v\u011bdomo, \u017ee p\u0159enos je spojen s rizikov\u00fdm sexu\u00e1ln\u00edm chov\u00e1n\u00edm. Dv\u011b procenta lid\u00ed si uv\u011bdomuj\u00ed, \u017ee virus se p\u0159enese tetov\u00e1n\u00edm a stejn\u011b m\u00e1lo jich v\u00ed o mo\u017en\u00e9m p\u0159enosu z matky na plod.<\/p>\n<p>L\u00e9ka\u0159i varuj\u00ed, \u017ee chronick\u00e1 forma hepatitidy C nemus\u00ed b\u00fdt navenek zn\u00e1t. Pokud se ale zanedb\u00e1 l\u00e9\u010dba, m\u016f\u017ee se rozvinout cirh\u00f3za a n\u00e1sledn\u011b rakovina jater. Na infekci se obvykle p\u0159ijde n\u00e1hodou, nebo a\u017e ve chv\u00edli, kdy jsou u\u017e j\u00e1tra v\u00e1\u017en\u011b po\u0161kozena a p\u0159est\u00e1vaj\u00ed plnit svou funkci.<\/p>\n<p>Pacienti se \u017eloutenkou C dost\u00e1vaj\u00ed p\u0159i l\u00e9\u010db\u011b interferon a antivirov\u00e9 l\u00e9ky, vyl\u00e9\u010d\u00ed se 50 a\u017e 80 procent nemocn\u00fdch. \u00da\u010dinnost je ni\u017e\u0161\u00ed, \u010d\u00edm pozd\u011bji se l\u00e9\u010dba zah\u00e1j\u00ed. Od leto\u0161ka l\u00e9\u010d\u00ed v Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) pacienty po transplantaci jater kombinac\u00ed nov\u00fdch l\u00e9k\u016f bez interferonu alfa. Transplantace toti\u017e vyl\u00e9\u010d\u00ed cirh\u00f3zu, ale nezbav\u00ed pacienta infekce. Virus se z krve pacienta do nov\u00fdch jater vr\u00e1t\u00ed. &#8222;Nov\u00e9 l\u00e9ky p\u0159edstavuj\u00ed nad\u011bji na \u00fapln\u00e9 vyl\u00e9\u010den\u00ed i pro tyto nemocn\u00e9, nebo\u0165 interferon a ribavirin \u0159ada z nich nemohla dost\u00e1vat,&#8220; shrnul p\u0159ednosta kliniky hepatogastroengerologie IKEM profesor Julius \u0160pi\u010d\u00e1k.<\/p>\n<p>ilustra\u010dn\u00ed foto: renjith krishnan FreeDigitalPhotos.net<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Ka\u017ed\u00fd t\u0159et\u00ed \u010cech si mysl\u00ed, \u017ee p\u0159ed \u017eloutenkou C chr\u00e1n\u00ed o\u010dkov\u00e1n\u00ed. Vakc\u00edna ale neexistuje, p\u0159ipom\u00ednaj\u00ed l\u00e9ka\u0159i p\u0159i p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne hepatitidy, jen\u017e byl v pond\u011bl\u00ed. <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=17043\" title=\"T\u0159etina \u010cech\u016f myln\u011b soud\u00ed, \u017ee proti \u017eloutence C lze o\u010dkovat\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14171,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-17043","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\/17043","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=17043"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17043\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14171"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17043"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17043"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}