{"id":20780,"date":"2015-04-09T11:22:36","date_gmt":"2015-04-09T09:22:36","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=20780"},"modified":"2015-04-09T11:26:23","modified_gmt":"2015-04-09T09:26:23","slug":"neockovani-turiste-riskuji-zdravi-i-zivot-2","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=20780","title":{"rendered":"Neo\u010dkovan\u00ed turist\u00e9 riskuj\u00ed zdrav\u00ed i \u017eivot"},"content":{"rendered":"

Ochranu p\u0159ed tropick\u00fdmi nemocemi podce\u0148uje po\u0159\u00e1d je\u0161t\u011b p\u0159\u00edli\u0161 mnoho \u010desk\u00fdch turist\u016f, p\u0159itom riziko n\u00e1kazy z\u00e1va\u017enou chorobou existuje i v turisticky obl\u00edben\u00fdch destinac\u00edch. Podle odborn\u00edk\u016f na cestovn\u00ed medic\u00ednu jsou nej\u010dast\u011bj\u0161\u00edm onemocn\u011bn\u00edm r\u016fzn\u00e9 druhy \u017eloutenek, za\u017e\u00edvac\u00ed obt\u00ed\u017ee a v posledn\u00ed dob\u011b i hore\u010dka dengue. P\u0159esn\u00e9 statistiky neexistuj\u00ed.<\/strong>
\n<\/p>\n

ilustra\u010dn\u00ed foto: Ambro FreeDigitalPhotos<\/p>\n

Turisty v zahrani\u010d\u00ed nej\u010dast\u011bji su\u017euj\u00ed st\u0159evn\u00ed pot\u00ed\u017ee. S t\u011bmi se pot\u00fdk\u00e1 a\u017e 50 % cestovatel\u016f sm\u011b\u0159uj\u00edc\u00edch do n\u011bkter\u00fdch zem\u00ed severn\u00ed Afriky \u010di jihov\u00fdchodn\u00ed Asie. \u201eProbl\u00e9my mohou nastat ve chv\u00edli, kdy jsou obt\u00ed\u017ee z\u00e1va\u017en\u011bj\u0161\u00edho charakteru, a cestovatel mus\u00ed vyhledat zdravotn\u00ed p\u00e9\u010di. L\u00e9ka\u0159i v rozvojov\u00fdch zem\u00edch se obvykle zam\u011b\u0159\u00ed na p\u0159\u00edznaky, nikoliv na p\u0159\u00ed\u010dinu. Pacient \u010dasto nev\u00ed, co mu bylo a jak\u00e1 je celkov\u00e1 progn\u00f3za jeho zdravotn\u00edho stavu. Nav\u00edc n\u011bkter\u00e1 onemocn\u011bn\u00ed jsou vysoce infek\u010dn\u00ed. Posti\u017een\u00fd pak p\u0159i n\u00e1vratu autobusem nebo letadlem m\u016f\u017ee ohrozit stovky dal\u0161\u00edch lid\u00ed, se kter\u00fdmi p\u0159ijde, by\u0165 do nep\u0159\u00edm\u00e9ho, kontaktu,\u201c vyjmenov\u00e1v\u00e1 n\u011bkter\u00e1 rizika odborn\u00edk na o\u010dkov\u00e1n\u00ed docent Rastislav Ma\u010far. \u201eNav\u00edc kvalita m\u00edstn\u00edch nemocnic je nez\u0159\u00eddka \u017ealostn\u00e1,\u201c dod\u00e1v\u00e1. <\/p>\n

\u017dloutenka nen\u00ed pouze nemoc\u00ed \u0161pinav\u00fdch rukou <\/strong>
\nProbl\u00e9m\u016fm p\u0159itom lze snadno p\u0159edej\u00edt o\u010dkov\u00e1n\u00edm. Vhodn\u00e9 vakc\u00edny je pot\u0159eba zvolit individu\u00e1ln\u011b s ohledem na pl\u00e1novanou cestu a zdravotn\u00ed stav ka\u017ed\u00e9ho jednotlivce. Pokud pl\u00e1nujete cestu nap\u0159\u00edklad do Keni, Nep\u00e1lu, Egypta, Mexika nebo Thajska, m\u011bli byste b\u00fdt o\u010dkov\u00e1ni proti \u017eloutenk\u00e1m. D\u00e1le odborn\u00edci doporu\u010duj\u00ed o\u010dkov\u00e1n\u00ed proti b\u0159i\u0161n\u00edmu tyfu, v\u010detn\u011b turisticky st\u00e1le obl\u00edben\u011bj\u0161\u00edho Vietnamu.
\n Ne v\u0161echna o\u010dkov\u00e1n\u00ed jsou ale hrazena zdravotn\u00edmi poji\u0161\u0165ovnami.<\/p>\n

\u201eJednotliv\u00e9 vakc\u00edny stoj\u00ed od n\u011bkolika stokorun a\u017e po n\u011bkolik tis\u00edc korun. \u010cesk\u00e1 pr\u016fmyslov\u00e1 zdravotn\u00ed poji\u0161\u0165ovna sv\u00fdm poji\u0161t\u011bnc\u016fm p\u0159isp\u00edv\u00e1 500 korun na o\u010dkov\u00e1n\u00ed, kter\u00e9 nen\u00ed standardn\u011b poji\u0161\u0165ovnou hrazeno. P\u0159esto\u017ee se ceny n\u011bkter\u00fdch vakc\u00edn mohou zd\u00e1t na prvn\u00ed pohled vysok\u00e9, jde o ochranu na\u0161eho zdrav\u00ed p\u0159ed z\u00e1va\u017en\u00fdmi zdravotn\u00edmi komplikacemi a rizikem trval\u00fdch n\u00e1sledk\u016f, u kter\u00fdch lze cenu jen t\u011b\u017eko vy\u010d\u00edslit,\u201c podtrhuje v\u00fdznam o\u010dkov\u00e1n\u00ed mluv\u010d\u00ed \u010cesk\u00e9 pr\u016fmyslov\u00e9 poji\u0161\u0165ovny Elenka Mazurov\u00e1. Nav\u00edc dra\u017e\u0161\u00ed vakc\u00edny chr\u00e1n\u00ed zpravidla del\u0161\u00ed dobu, tak\u017ee m\u011bs\u00edc ochrany, kterou poskytuj\u00ed, stoj\u00ed p\u0159ibli\u017en\u011b stejn\u011b. <\/p>\n

Hore\u010dka dengue m\u016f\u017ee v extr\u00e9mn\u00edm p\u0159\u00edpad\u011b zab\u00edt <\/strong>
\nVedle zm\u00edn\u011bn\u00fdch \u017eloutenkov\u00fdch onemocn\u011bn\u00ed, kter\u00e9 jsou spjaty zejm\u00e9na s nedostate\u010dnou hygienou v rizikov\u00fdch oblastech, p\u0159edstavuj\u00ed zna\u010dnou hrozbu nemoci p\u0159en\u00e1\u0161en\u00e9 bodav\u00fdm hmyzem, jako nap\u0159\u00edklad hore\u010dka dengue. Nemoc m\u016f\u017ee m\u00edt leh\u010d\u00ed pr\u016fb\u011bh podobn\u00fd ch\u0159ipce, t\u011b\u017e\u0161\u00ed pr\u016fb\u011bh vy\u017eaduje hospitalizaci a v extr\u00e9mn\u00edch p\u0159\u00edpadech m\u016f\u017ee posti\u017een\u00e9ho ohrozit na \u017eivot\u011b. Proti onemocn\u011bn\u00ed v sou\u010dasnosti neexistuje \u017e\u00e1dn\u00e1 vakc\u00edna, jedinou obranou jsou repelenty proti hmyzu, vhodn\u00e9 oble\u010den\u00ed a moskyti\u00e9ry. \u201eTento virus, zn\u00e1m\u00fd rovn\u011b\u017e pod ozna\u010den\u00edm \u201ehore\u010dka l\u00e1maj\u00edc\u00ed kosti\u201c, je po sv\u011bt\u011b velmi roz\u0161\u00ed\u0159en\u00fd. Vyskytuje se p\u0159ibli\u017en\u011b ve 110 zem\u00edch sv\u011bta a ka\u017edoro\u010dn\u011b se j\u00edm nakaz\u00ed 100 milion\u016f lid\u00ed, p\u0159i\u010dem\u017e p\u0159ibli\u017en\u011b 25 000 jich onemocn\u011bn\u00ed podlehne. \u010clov\u011bk se m\u016f\u017ee nakazit i v poledne na n\u00e1m\u011bst\u00ed m\u011bsta v turisticky popul\u00e1rn\u00ed oblasti,\u201c bour\u00e1 jeden ze za\u017eit\u00fdch m\u00fdt\u016f docent Ma\u010far. <\/p>\n

S jeho slovy souhlas\u00ed i zdravotn\u00ed poji\u0161\u0165ovny a dopl\u0148uj\u00ed. \u201e\u010ce\u0161i podce\u0148uj\u00ed i vakc\u00edny, kter\u00e9 jsou ur\u010den\u00e9 i pro na\u0161i dom\u00e1c\u00ed populaci bez ohledu na cestov\u00e1n\u00ed a n\u011bkdy jsou dokonce pro rizikov\u00e9 skupiny zdarma \u010di s v\u00fdznamn\u00fdch p\u0159\u00edsp\u011bvkem zdravotn\u00ed poji\u0161\u0165ovny, jako nap\u0159\u00edklad o\u010dkov\u00e1n\u00ed proti ch\u0159ipce nebo pneumokok\u016fm u star\u0161\u00edch a chronicky nemocn\u00fdch osob. Kombinace onemocn\u011bn\u00ed nap\u0159\u00edklad se z\u00e1palem plic m\u016f\u017ee b\u00fdt fat\u00e1ln\u00ed i pro seniora, kter\u00fd byl do t\u00e9 doby bez jin\u00fdch nemoc\u00ed a l\u00e9\u010dby,\u201c dod\u00e1v\u00e1 k ofici\u00e1ln\u00edm statistik\u00e1m mluv\u010d\u00ed \u010cesk\u00e9 pr\u016fmyslov\u00e9 zdravotn\u00ed poji\u0161\u0165ovny Elenka Mazurov\u00e1. <\/p>\n

P\u0159id\u00e1v\u00e1 proto doporu\u010den\u00ed pro ob\u010dany. \u201ePokud jedete do tropick\u00e9 ciziny, nelitujte pen\u011bz a dojd\u011bte si preventivn\u011b do n\u011bkter\u00e9ho z o\u010dkovac\u00edch center. Tam v\u00e1m tak\u00e9 mohou konkr\u00e9tn\u011b zodpov\u011bd\u011bt na individu\u00e1ln\u00ed dotazy ke konkr\u00e9tn\u00ed destinaci a porad\u00ed, na co se m\u00e1te d\u00e1t o\u010dkovat i dal\u0161\u00ed mo\u017enosti ochrany zdrav\u00ed,\u201c dopl\u0148uje mluv\u010d\u00ed Mazurov\u00e1.<\/p>\n

Turistick\u00e1 KPZ: spr\u00e1vn\u011b vybaven\u00e1 l\u00e9k\u00e1rni\u010dka<\/strong>
\n \u201eZ\u00e1kladem jsou probiotika na prevenci st\u0159evn\u00edch pot\u00ed\u017e\u00ed, \u00fa\u010dinn\u00fd repelent, p\u0159\u00edpadn\u011b i rehydrata\u010dn\u00ed roztok, dezinfekce na ruce i na r\u00e1ny, obvazy, n\u00e1plasti, za jist\u00fdch okolnost\u00ed i vlastn\u00ed jehly a st\u0159\u00edka\u010dky. Samoz\u0159ejmost\u00ed jsou l\u00e9ky od hore\u010dky a bolesti i ty, kter\u00e9 cestovatel u\u017e\u00edv\u00e1 u\u017e doma. L\u00e9ky na pr\u016fjem, zvracen\u00ed, nevolnost, tr\u00e1ven\u00ed, alergie, ka\u0161el, bolesti v krku \u010di kapky do o\u010d\u00ed a nosu jsou rovn\u011b\u017e u\u017eite\u010dnou sou\u010d\u00e1st\u00ed l\u00e9k\u00e1rni\u010dky. Pokud cestovatel u\u017e\u00edv\u00e1 n\u011bjak\u00e9 l\u00e9ky pravideln\u011b, m\u011bl by si zjistit, jestli se sn\u00e1\u0161\u00ed se sluncem a nemohou zp\u016fsobit ko\u017en\u00ed probl\u00e9my. Velmi popul\u00e1rn\u00edm dopl\u0148kem l\u00e9k\u00e1rni\u010dky na cesty zejm\u00e9na pro individu\u00e1ln\u00ed cestovatele je speci\u00e1ln\u00ed filtra\u010dn\u00ed l\u00e1hev na pitnou vodu – vysoce \u00fa\u010dinn\u00e1, bez pachut\u00ed po chemii a je okam\u017eit\u011b k dispozici. Antibiotika by m\u011bli b\u00fdt jen pro ur\u010dit\u00e9 skupiny cestovatel\u016f, zejm\u00e9na pokud sm\u011b\u0159uj\u00ed do oblast\u00ed bez dostupn\u00e9 zdravotn\u00ed p\u00e9\u010de,\u201c vyjmenov\u00e1v\u00e1 u\u017eite\u010dn\u00e9 polo\u017eky turistick\u00e9ho zavazadla docent Rastislav Ma\u010far.<\/p>\n

Elenka Mazurov\u00e1
\nTiskov\u00e1 zpr\u00e1va \u010cPZP<\/p>\n","protected":false},"excerpt":{"rendered":"

Ochranu p\u0159ed tropick\u00fdmi nemocemi podce\u0148uje po\u0159\u00e1d je\u0161t\u011b p\u0159\u00edli\u0161 mnoho \u010desk\u00fdch turist\u016f, p\u0159itom riziko n\u00e1kazy z\u00e1va\u017enou chorobou existuje i v turisticky obl\u00edben\u00fdch destinac\u00edch. Podle odborn\u00edk\u016f na […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14170,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-20780","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\/20780","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=20780"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20780\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14170"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20780"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20780"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}