{"id":18286,"date":"2014-11-07T09:29:26","date_gmt":"2014-11-07T08:29:26","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=18286"},"modified":"2014-11-07T09:29:26","modified_gmt":"2014-11-07T08:29:26","slug":"proti-chripce-se-nechava-ockovat-malo-lidi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=18286","title":{"rendered":"Proti ch\u0159ipce se nech\u00e1v\u00e1 o\u010dkovat m\u00e1lo lid\u00ed"},"content":{"rendered":"

Na komplikace spojen\u00e9 s onemocn\u011bn\u00edm ch\u0159ipkou ro\u010dn\u011b zem\u0159ou stovky a\u017e tis\u00edce lid\u00ed. Rozhovor Hal\u00f3 novin s MUDr. Petrem Sovadinou, praktick\u00fdm l\u00e9ka\u0159em z Brna.<\/strong><\/p>\n

– Pane doktore, pro\u010d lid\u00e9 podce\u0148uj\u00ed ch\u0159ipku?<\/p>\n

Proto\u017ee si ji lid\u00e9 pletou s b\u011b\u017en\u00fdm nachlazen\u00edm. S ch\u0159ipkou jsou v\u011bt\u0161inou spojeny vysok\u00e9 teploty, kolem 39 a\u017e 40 stup\u0148\u016f Celsia, bolesti kloub\u016f, sval\u016f a celkov\u00e1 schv\u00e1cenost. To u b\u011b\u017en\u00e9ho nachlazen\u00ed neb\u00fdv\u00e1, \u010dlov\u011bk m\u00e1 teplotu sp\u00ed\u0161e jen do 38,0 stup\u0148\u016f Celsia, a k tomu r\u00fdmu a ka\u0161el.<\/p>\n

– \u010clov\u011bk ale asi t\u011b\u017eko hned pozn\u00e1, jestli jde o oby\u010dejn\u00e9 nachlazen\u00ed nebo o ch\u0159ipku. Co s t\u00edm?<\/p>\n

Ano, to je pravda. Lid\u00e9 by nicm\u00e9n\u011b nem\u011bli p\u0159ech\u00e1zet ani b\u011b\u017en\u00e9 nachlazen\u00ed, nato\u017e ch\u0159ipku. Nejv\u011bt\u0161\u00ed chybou patrn\u011b je, vz\u00edt si paraleny a vyrazit do pr\u00e1ce \u010di do spole\u010dnosti, nebo dokonce za sportem. Lid\u00e9 by m\u011bli p\u0159edev\u0161\u00edm naslouchat sv\u00e9mu t\u011blu, a pokud je bol\u00ed klouby, svaly a maj\u00ed zv\u00fd\u0161enou teplotu, tak by m\u011bli z\u016fstat doma v klidu. Pokud tak neud\u011blaj\u00ed, \u0161kod\u00ed nejen sami sob\u011b, ale i sv\u00e9mu okol\u00ed t\u00edm, \u017ee infekci d\u00e1le rozn\u00e1\u0161ej\u00ed.<\/p>\n

– Kdo z populace je ch\u0159ipkou nejv\u00edce ohro\u017een\u00fd?<\/p>\n

U mlad\u00fdch a zdrav\u00fdch lid\u00ed onemocn\u011bn\u00ed zpravidla samo p\u0159ejde, ale u chronicky nemocn\u00fdch nebo star\u0161\u00edch pacient\u016f hroz\u00ed, \u017ee po ch\u0159ipkov\u00e9 infekci p\u0159ijdou komplikace, kter\u00e9 mohou posti\u017een\u00e9ho ohrozit na zdrav\u00ed, ba dokonce i na \u017eivot\u011b. Nej\u010dast\u011bj\u0161\u00edmi komplikacemi jsou z\u00e1paly plic anebo dekompenzace chronick\u00fdch onemocn\u011bn\u00ed, nej\u010dast\u011bji srdce, pl\u00edce a cukrovka.
\nProto je tak\u00e9 u n\u00e1s ji\u017e mnoho let o\u010dkov\u00e1n\u00ed proti ch\u0159ipce u lid\u00ed nad 65 let a u n\u011bkter\u00fdch chronicky nemocn\u00fdch pacient\u016f hrazeno z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Jen je \u0161koda, \u017ee mezi t\u011bmi, kte\u0159\u00ed maj\u00ed vakcinaci proti ch\u0159ipce hrazenou poji\u0161\u0165ovnou, se jich nenech\u00e1 o\u010dkovat v\u00edce.<\/p>\n

– Kolik lid\u00ed u n\u00e1s ro\u010dn\u011b tomuto onemocn\u011bn\u00ed podlehne?<\/p>\n

Na samotnou ch\u0159ipku to je jen p\u00e1r des\u00edtek lid\u00ed do roka, ale na komplikace s onemocn\u011bn\u00edm spojen\u00fdmi to jsou jist\u011b stovky a\u017e tis\u00edce lid\u00ed ro\u010dn\u011b. T\u011b\u017eko se to odhaduje. Pokud toti\u017e n\u011bkdo dostane ch\u0159ipku a za 14 dn\u00ed na to se mu zhor\u0161\u00ed onemocn\u011bn\u00ed srdce a\u017e tak, \u017ee skon\u010d\u00ed v nemocnici, a nakonec v nemocnici zem\u0159e, tak u\u017e se souvislost mezi ch\u0159ipkou a \u00famrt\u00edm do statistik nedostane.<\/p>\n

– Do\u010detl jsem se, \u017ee virus ch\u0159ipky se ka\u017ed\u00fd rok m\u011bn\u00ed. Co je na tom pravdy?<\/p>\n

Ano, po prod\u011blan\u00e9 ch\u0159ipce m\u00e1me protil\u00e1tky proti viru, kter\u00fd n\u00e1s napadl. Kdyby se virus nem\u011bnil, tak bychom po \u010dase m\u011bli v\u0161ichni protil\u00e1tky proti ch\u0159ipce a virus by t\u00edm p\u00e1dem zanikl. Tak si na n\u00e1s virus vymyslel, \u017ee se ka\u017ed\u00fd rok o trochu prom\u011bn\u00ed, aby ho n\u00e1\u0161 imunitn\u00ed syst\u00e9m nepoznal. Jednou za \u010das se zm\u011bn\u00ed hodn\u011b, a pokud se tato zm\u011bna sejde \u010dasov\u011b s n\u011bjak\u00fdm lidsk\u00fdm str\u00e1d\u00e1n\u00edm, tak je z toho \u0161pan\u011blsk\u00e1 ch\u0159ipka, jako tomu bylo po prvn\u00ed sv\u011btov\u00e9 v\u00e1lce.<\/p>\n

– Pro\u010d je tedy pro pacienty zapot\u0159eb\u00ed nechat se ka\u017edoro\u010dn\u011b proti ch\u0159ipce p\u0159eo\u010dkovat?<\/p>\n

Pr\u00e1v\u011b kv\u016fli t\u00e9 zm\u011bn\u011b. O\u010dkovac\u00ed l\u00e1tky jsou toti\u017e ka\u017ed\u00fd rok o trochu jin\u00e9, tak jako virus. P\u0159ipravuj\u00ed se podle ch\u0159ipkov\u00e9ho viru, kter\u00fd pr\u00e1v\u011b do\u0159\u00e1dil na ji\u017en\u00ed polokouli.<\/p>\n

– Jak\u00e9 jsou nej\u00fa\u010dinn\u011bj\u0161\u00ed vakc\u00edny?<\/p>\n

\u00da\u010dinnost je u v\u0161ech vakc\u00edn na trhu skoro stejn\u00e1, pohybuje se mezi 80 a\u017e 90 procenty. Kdo se boj\u00ed injekce, ten se m\u016f\u017ee nechat nao\u010dkovat ID Flu, co\u017e je o\u010dkov\u00e1n\u00ed jen do k\u016f\u017ee krati\u010dkou jehli\u010dkou, tak\u017ee je tak\u0159ka bezbolestn\u00e9. * N\u011bkte\u0159\u00ed l\u00e9ka\u0159i se v\u0161ak nenech\u00e1vaj\u00ed o\u010dkovat a ani to lidem nedoporu\u010duj\u00ed… O\u010dkovat se, nebo se nenechat o\u010dkovat je ka\u017ed\u00e9ho v\u011bc, ten, kdo ch\u0159ipku nebo nachlazen\u00ed nedostal roky, tak pro n\u011bj o\u010dkov\u00e1n\u00ed p\u0159\u00ednos asi nem\u00e1. Pro\u010d n\u011bkte\u0159\u00ed kolegov\u00e9 l\u00e9ka\u0159i o\u010dkov\u00e1n\u00ed nedoporu\u010duj\u00ed, osobn\u011b nech\u00e1pu. Zvl\u00e1\u0161t\u011b u chronicky nemocn\u00fdch a u lid\u00ed nad 65 let v\u011bku m\u00e1 o\u010dkov\u00e1n\u00ed velk\u00fd smysl. To je asi tak, jako kdyby n\u011bkdo zrazoval pacienta od l\u00e9\u010den\u00ed vysok\u00e9ho tlaku.<\/p>\n

– Kolik u v\u00e1s v ordinaci stoj\u00ed o\u010dkov\u00e1n\u00ed proti ch\u0159ipce?<\/p>\n

U n\u00e1s o\u010dkujeme proti ch\u0159ipce za 300 korun, to je cena i s aplikac\u00ed. V\u00fd\u0161e zmi\u0148ovan\u00e1 takzvan\u00e1 ID forma s o\u010dkov\u00e1n\u00edm do k\u016f\u017ee je o 100 korun dra\u017e\u0161\u00ed. Mysl\u00edm, \u017ee podobnou cenu maj\u00ed i ostatn\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i. Samoz\u0159ejm\u011b, \u017ee lid\u00e9 nad 65 let v\u011bku a chronicky nemocn\u00ed maj\u00ed o\u010dkov\u00e1n\u00ed pln\u011b hrazeno z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, tedy v ordinaci ji\u017e nic neplat\u00ed.<\/p>\n

– Pokud by lid\u00e9 m\u011bli o vakcinaci z\u00e1jem, kam se mohou obr\u00e1tit? O\u010dkuj\u00ed jenom prakti\u010dt\u00ed l\u00e9ka\u0159i nebo tak\u00e9 odborn\u00edci?<\/p>\n

O\u010dkuj\u00ed i o\u010dkovac\u00ed centra, ale vzhledem k rozs\u00e1hl\u00e9 s\u00edti tuzemsk\u00fdch praktick\u00fdch l\u00e9ka\u0159\u016f je, mysl\u00edm, dostupnost vakcinace vysok\u00e1. Ka\u017ed\u00fd praktik by m\u011bl m\u00edt o\u010dkovac\u00ed l\u00e1tky u sebe v ordinaci a na po\u017e\u00e1d\u00e1n\u00ed v\u00e1s nao\u010dkuje.<\/p>\n","protected":false},"excerpt":{"rendered":"

Na komplikace spojen\u00e9 s onemocn\u011bn\u00edm ch\u0159ipkou ro\u010dn\u011b zem\u0159ou stovky a\u017e tis\u00edce lid\u00ed. Rozhovor Hal\u00f3 novin s MUDr. Petrem Sovadinou, praktick\u00fdm l\u00e9ka\u0159em z Brna.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":18247,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-18286","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18286","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=18286"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18286\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18247"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18286"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18286"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18286"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}