Strach z n\u00ed se mnoha lid\u00ed zmocn\u00ed pr\u00e1v\u011b na podzim \u2013 v l\u00e9t\u011b se jich chytlo kl\u00ed\u0161t\u011b a te\u010f maj\u00ed nejr\u016fzn\u011bj\u0161\u00ed pot\u00ed\u017ee.<\/p>\n
L ymskou boreli\u00f3zu vyvol\u00e1vaj\u00ed vyvol\u00e1bakterie rodu Borrelia burgdorferi. N\u00e1kazu p\u0159en\u00e1\u0161ej\u00ed v\u00fdhradn\u011b kl\u00ed\u0161\u0165ata, ale je dobr\u00e9 v\u011bd\u011bt, \u017ee zdaleka ne ka\u017ed\u00e9 p\u0159is\u00e1t\u00ed infikovan\u00e9ho kl\u00ed\u0161t\u011bte znamen\u00e1, \u017ee onemocn\u00edte. K p\u0159enosu infekce na \u010dlov\u011bka doch\u00e1z\u00ed jen asi u 5 % p\u0159\u00edpad\u016f, zbytek zvl\u00e1dne obranyschopnost \u010dlov\u011bka.<\/p>\n
P\u0158\u00cdZNAKY NEMOCI<\/p>\n
Nejtypi\u010dt\u011bj\u0161\u00ed je skvrna na k\u016f\u017ei (tzv. migruj\u00edc\u00ed eryt\u00e9m), kter\u00e1 se objev\u00ed n\u011bkolik dn\u016f po p\u0159is\u00e1t\u00ed kl\u00ed\u0161t\u011bte. Dal\u0161\u00ed formy, jako je posti\u017een\u00ed nervov\u00e9ho syst\u00e9mu, kloub\u016f \u010di jin\u00fdch \u010d\u00e1st\u00ed pohybov\u00e9ho apar\u00e1tu, ko\u017en\u00ed pot\u00ed\u017ee nebo vz\u00e1cn\u011b posti\u017een\u00ed oka \u010di srdce, se m\u016f\u017eou projevit a\u017e v odstupu m\u011bs\u00edc\u016f i let. Je t\u0159eba zd\u016fraznit, \u017ee tyto nejv\u00edce ob\u00e1van\u00e9 formy jsou velmi vz\u00e1cn\u00e9 a po spr\u00e1vn\u00e9 l\u00e9\u010db\u011b k nim prakticky nedoch\u00e1z\u00ed.<\/p>\n
STANOVEN\u00cd DIAGN\u00d3ZY<\/p>\n
Z\u00e1kladem je klinick\u00fd n\u00e1lez a laboratorn\u00ed vy\u0161et\u0159en\u00ed, kter\u00e9 se v od\u016fvodn\u011bn\u00fdch p\u0159\u00edpadech ov\u011b\u0159uje n\u011bkolika metodami. Velmi \u010dast\u00fdm nedorozum\u011bn\u00edm je, \u017ee se p\u0159\u00edtomnost protil\u00e1tek v krvi zam\u011b\u0148uje za onemocn\u011bn\u00ed. M\u00e1-li \u010dlov\u011bk v krvi specifick\u00e9 protil\u00e1tky proti boreli\u00edm, v\u0161ak znamen\u00e1 pouze to, \u017ee se s infekc\u00ed v minulosti setkal a organismus si vytvo\u0159il obranu.
\nM\u016f\u017eeme je tak nal\u00e9zt asi u 10\u201330 % obyvatel, kte\u0159\u00ed v\u016fbec nemocn\u00ed nejsou.
\nOstatn\u011b protil\u00e1tky po vyl\u00e9\u010den\u00ed nemiz\u00ed. Proto mus\u00ed b\u00fdt diagn\u00f3za v\u017edy komplexn\u00ed a je v\u011bc\u00ed specialisty, kter\u00fd dok\u00e1\u017ee v\u00fdsledky spr\u00e1vn\u011b posoudit.<\/p>\n
MO\u017dNOSTI L\u00c9\u010cBY<\/p>\n
Lymsk\u00e1 boreli\u00f3za je velmi dob\u0159e l\u00e9\u010diteln\u00e1 antibiotiky, kter\u00e1 se pod\u00e1vaj\u00ed 2\u20134 t\u00fddny (v z\u00e1vislosti na klinick\u00e9 form\u011b nemoci). Dlouhodob\u00e9, opakovan\u00e9 (pokud nejde o novou infekci), nebo dokonce preventivn\u00ed u\u017e\u00edv\u00e1n\u00ed antibiotik se v \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b nedoporu\u010duje. Pokud i po \u0159\u00e1dn\u00e9 l\u00e9\u010db\u011b p\u0159etrv\u00e1vaj\u00ed pot\u00ed\u017ee p jp (bolest kloub\u016f \u010di hlavy, \u00fanavnost aj.), jde o tzv. postboreliov\u00fd syndrom, na kter\u00fd antibiotika nepom\u016f\u017eou. \u010casto jde sp\u00ed\u0161e o psychosomatick\u00e9 obt\u00ed\u017ee. V ka\u017ed\u00e9m p\u0159\u00edpap\u0159\u00edpaneznamen\u00e1, d\u011b z\u016fst\u00e1v\u00e1 pacient po boreli\u00f3ze je\u0161t\u011b del\u0161\u00ed \u010das pod dohledem j l\u00e9ka\u0159e (obvykle dva roky).
\nl\u00e9k<\/p>\n
NENECHTE SE PLA\u0160IT N<\/p>\n
N\u011bkter\u00e9 laborato\u0159e nab\u00edzej\u00ed vy\u0161et\u0159en\u00ed kl\u00ed\u0161\u0165at na p\u0159\u00edtomnost vy boreli\u00ed, co\u017e odborn\u00edci n nedoporu\u010duj\u00ed. V\u00fdsledek \u017ee \u010dlov\u011bk onemocn\u00ed, jen to v n\u011bm m\u016f\u017ee vyvolat paniku. L\u00e9ka\u0159i tak\u00e9 varuj\u00ed p\u0159ed informacemi z neov\u011b\u0159en\u00fdch zdroj\u016f \u010di p\u0159ed „senza\u010dn\u00edmi“ zpr\u00e1vami v m\u00e9di\u00edch. Seri\u00f3zn\u00ed informace i postup p\u0159i diagnostice a l\u00e9\u010db\u011b najdete na webu Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti J. E. Purkyn\u011b (www.infekce.cz). *<\/p>\n
——————–
\nJak se p\u0159en\u00e1\u0161\u00ed * Jde o zoon\u00f3zu, tj. nemoc, kter\u00e1 prim\u00e1rn\u011b postihuje \u017eivo\u010dichy \u2013 \u010dlov\u011bk je jen n\u00e1hodnou ob\u011bt\u00ed infekce a d\u00e1l nemoc ne\u0161\u00ed\u0159\u00ed (nem\u016f\u017ee nikoho nakazit). * Infekci p\u0159en\u00e1\u0161ej\u00ed pouze kl\u00ed\u0161\u0165ata (co\u017e jsou rozto\u010di, nikoli hmyz). D\u0159\u00edv\u011bj\u0161\u00ed domn\u011bnky, \u017ee boreli\u00f3zu p\u0159en\u00e1\u0161\u00ed i hmyz, nebyly potvrzeny. * Kl\u00ed\u0161\u0165ata maj\u00ed n\u011bkolik v\u00fdvojov\u00fdch forem. Larvy a nymfy, kter\u00e9 jsou mali\u010dk\u00e9 (tak\u017ee \u010dasto nezaznamen\u00e1te jejich p\u0159is\u00e1t\u00ed), boreli\u00f3zu tak\u00e9 m\u016f\u017eou p\u0159en\u00e9st, n\u00e9st, ale je to velice vz\u00e1cn\u00e9. . * Zdaleka ne ka\u017ed\u00e9 a\u017ed\u00e9 infikovan\u00e9 kl\u00ed\u0161t\u011b \u010dlov\u011bka nakaz\u00ed \u2013 k p\u0159enosu osu infekce doch\u00e1z\u00ed jen asi v 5 % p\u0159\u00edpad\u016f. Kl\u00ed\u0161t\u011b mus\u00ed b\u00fdt p\u0159is\u00e1to alespo\u0148 24 hodin, aby k p\u0159enosu n\u00e1kazy \u00e1kazy mohlo doj\u00edt.<\/p>\n
Chvilka pro tebe<\/p>\n","protected":false},"excerpt":{"rendered":"
Strach z n\u00ed se mnoha lid\u00ed zmocn\u00ed pr\u00e1v\u011b na podzim \u2013 v l\u00e9t\u011b se jich chytlo kl\u00ed\u0161t\u011b a te\u010f maj\u00ed nejr\u016fzn\u011bj\u0161\u00ed pot\u00ed\u017ee.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-26770","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26770","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=26770"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26770\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}