{"id":28182,"date":"2017-05-11T14:28:17","date_gmt":"2017-05-11T12:28:17","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28182"},"modified":"2017-05-11T14:28:17","modified_gmt":"2017-05-11T12:28:17","slug":"nakazena-klistata-jsou-i-ve-mestech-v-lonskem-roce-onemocnelo-klistovou-encefalitidou-565-lidi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28182","title":{"rendered":"Naka\u017een\u00e1 kl\u00ed\u0161\u0165ata jsou i ve m\u011bstech. V lo\u0148sk\u00e9m roce onemocn\u011blo kl\u00ed\u0161\u0165ovou encefalitidou 565 lid\u00ed"},"content":{"rendered":"

Zhor\u0161en\u00ed pam\u011bti, omezen\u00e9 \u010di rozs\u00e1hlej\u0161\u00ed ochrnut\u00ed sval\u016f kon\u010detin a jin\u00fdch \u010d\u00e1st\u00ed t\u011bla, \u010dast\u00e1 unavenost nebo zm\u011bny psychiky. I takov\u00e9 pot\u00ed\u017ee m\u016f\u017ee m\u00edt pacient naka\u017een\u00fd kl\u00ed\u0161\u0165ovou encefalitidou (KE). Onemocn\u011bn\u00ed, je\u017e p\u0159en\u00e1\u0161\u00ed infikovan\u00e1 kl\u00ed\u0161\u0165ata, hroz\u00ed nejenom v p\u0159\u00edrod\u011b. Odborn\u00edci varuj\u00ed, \u017ee lid\u00e9 na kl\u00ed\u0161\u0165ata naraz\u00ed i ve m\u011bstech. Jedinou \u00fa\u010dinnou prevenc\u00ed je o\u010dkov\u00e1n\u00ed. A\u017e \u010dtvrtinu p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy v Evropsk\u00e9 unii m\u00e1 na sv\u011bdom\u00ed \u010cesk\u00e1 republika.<\/strong>
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\nPodle aktu\u00e1ln\u00edho pr\u016fzkumu spole\u010dnosti STEM\/MARK, kter\u00e9ho se \u00fa\u010dastnilo 506 respondent\u016f z cel\u00e9 \u010cesk\u00e9 republiky, 67 % z dotazovan\u00fdch v\u00ed, \u017ee jedinou prevenc\u00ed proti KE je o\u010dkov\u00e1n\u00ed. P\u0159esto se po\u010det o\u010dkovan\u00fdch u\u017e n\u011bkolik let dr\u017e\u00ed na pouh\u00fdch 24 %. Rakou\u0161t\u00ed soused\u00e9 jsou o\u010dkov\u00e1ni z 83 %.<\/p>\n

V lo\u0148sk\u00e9m roce byl p\u0159itom po\u010det kl\u00ed\u0161\u0165at velmi vysok\u00fd. KE onemocn\u011blo 565 lid\u00ed, nejv\u00edce nemocn\u00fdch bylo v Jiho\u010desk\u00e9m kraji (19 %), na Vyso\u010din\u011b (11 %) a ve St\u0159edo\u010desk\u00e9m kraji (9 %).<\/p>\n

Podle pr\u016fzkumu si a\u017e 76 % respondent\u016f neuv\u011bdomuje, \u017ee se kl\u00ed\u0161\u0165ovou encefalitidou mohou nakazit ji\u017e po 2 hodin\u00e1ch od p\u0159is\u00e1t\u00ed kl\u00ed\u0161t\u011bte. \u201ePokud je \u010dlov\u011bk mimo domov n\u011bkolik hodin, m\u011bl by prohl\u00e9dnout sv\u00e9 t\u011blo a oble\u010den\u00ed a hledat lezouc\u00ed nebo p\u0159is\u00e1t\u00e1 kl\u00ed\u0161\u0165ata. Z hlediska kl\u00ed\u0161\u0165ov\u00e9 encefalitidy se nesta\u010d\u00ed kontrolovat jen na konci dne. Pr\u016fb\u011b\u017en\u00e1 prohl\u00eddka v ter\u00e9nu sice nemus\u00ed v\u00e9st k nalezen\u00ed v\u0161ech kl\u00ed\u0161\u0165at, ale sn\u00ed\u017e\u00ed se t\u00edm pravd\u011bpodobnost del\u0161\u00edho p\u0159is\u00e1t\u00ed,\u201c \u0159\u00edk\u00e1 epidemiolog doc. MUDr. Rastislav Ma\u010far, Ph.D.<\/p>\n

Na ot\u00e1zku, jak\u00e9 jsou hlavn\u00ed p\u0159\u00edznaky KE, v\u011bt\u0161ina dotazovan\u00fdch uvedla hore\u010dku a \u00fanavu. \u201eTo jsou ale pouze p\u0159\u00edznaky prvn\u00ed f\u00e1ze. Ve druh\u00e9 f\u00e1zi se nemoc projev\u00ed typicky bolest\u00ed hlavy, zvracen\u00edm, hore\u010dkou. Jasn\u00fdm p\u0159\u00edznakem rozvoje meningoencefalitidy je ztuhnut\u00ed \u0161\u00edjov\u00fdch sval\u016f, kdy \u010dlov\u011bk nem\u016f\u017ee d\u00e1t bradu na prsa. S takov\u00fdmi obt\u00ed\u017eemi je vhodn\u00e9 se okam\u017eit\u011b odebrat do nemocnice, kde neurolog, p\u0159\u00edpadn\u011b infektolog potvrd\u00ed nebo vyvr\u00e1t\u00ed diagn\u00f3zu,\u201c uv\u00e1d\u00ed prim\u00e1\u0159 neurologick\u00e9ho odd\u011blen\u00ed jihlavsk\u00e9 nemocnice a \u010dlen v\u00fdboru \u010cesk\u00e9 neurologick\u00e9 spole\u010dnosti MUDr. Ond\u0159ej \u0160koda, Ph.D.<\/p>\n

KE se nevyh\u00fdb\u00e1 ani d\u011btem, kter\u00e9 nemoc zvl\u00e1daj\u00ed o dost l\u00e9pe ne\u017e dosp\u011bl\u00ed. \u201eV p\u0159\u00edpad\u011b d\u011btsk\u00fdch pacient\u016f b\u00fdv\u00e1 pr\u016fb\u011bh v\u011bt\u0161inou m\u00edrn\u011bj\u0161\u00ed, bez trval\u00fdch n\u00e1sledk\u016f, oproti dosp\u011bl\u00fdm. Pr\u016fm\u011brn\u00e1 hospitaliza\u010dn\u00ed doba je u nich deset dn\u016f. D\u011bti v\u0161ak po onemocn\u011bn\u00ed je\u0161t\u011b 1\u20132 roky sledujeme a kontrolujeme jak klinick\u00fd stav, tak i krevn\u00ed odb\u011bry,\u201c dod\u00e1v\u00e1 MUDr. Peter Mikol\u00e1\u0161ek z Kliniky infek\u010dn\u00edch chorob d\u011btsk\u00e9ho odd\u011blen\u00ed Fakultn\u00ed nemocnice Brno.<\/p>\n

Pr\u016fzkum potvrdil fakt, \u017ee s kl\u00ed\u0161\u0165aty je spojena \u0159ada m\u00fdt\u016f. Jedn\u00edm z nich je, \u017ee p\u0159is\u00e1t\u00e9 kl\u00ed\u0161t\u011b je nejlep\u0161\u00ed pot\u0159\u00edt olejem \u010di kr\u00e9mem. Tento nespr\u00e1vn\u00fd zp\u016fsob pou\u017e\u00edv\u00e1 t\u00e9m\u011b\u0159 t\u0159etina lid\u00ed. Kl\u00ed\u0161t\u011b se podle odborn\u00edk\u016f za\u010dne \u201edusit\u201c, a rychleji tak vylou\u010d\u00ed potenci\u00e1ln\u011b naka\u017een\u00e9 sliny do krevn\u00edho ob\u011bhu. A\u017e polovina dotazovan\u00fdch kl\u00ed\u0161t\u011b p\u0159i odstran\u011bn\u00ed tzv. to\u010d\u00ed proti sm\u011bru hodinov\u00fdch ru\u010di\u010dek, co\u017e l\u00e9ka\u0159i tak\u00e9 nedoporu\u010duj\u00ed. Kousac\u00ed \u00fastroj\u00ed kl\u00ed\u0161t\u011bte nem\u00e1 tvar z\u00e1vitu. Tento mechanismus tak m\u016f\u017ee v\u00e9st k ne\u017e\u00e1douc\u00edmu odd\u011blen\u00ed t\u011bla kl\u00ed\u0161t\u011bte od hlavi\u010dky, kter\u00e1 z\u016fstane v k\u016f\u017ei.<\/p>\n

Na o\u010dkov\u00e1n\u00ed proti KE p\u0159isp\u00edv\u00e1 v\u011bt\u0161ina \u010desk\u00fdch zdravotn\u00edch poji\u0161\u0165oven.<\/p>\n

O kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b:<\/p>\n

Kl\u00ed\u0161\u0165ov\u00e1 encefalitida (KE) je infek\u010dn\u00ed onemocn\u011bn\u00ed virov\u00e9ho p\u016fvodu postihuj\u00edc\u00ed mozek a mozkov\u00e9 bl\u00e1ny. Virus kl\u00ed\u0161\u0165ov\u00e9 encefalitidy p\u0159en\u00e1\u0161\u00ed zejm\u00e9na kl\u00ed\u0161\u0165ata nebo lze z\u00edskat po\u017eit\u00edm nedostate\u010dn\u011b tepeln\u011b zpracovan\u00e9ho kravsk\u00e9ho, koz\u00edho nebo ov\u010d\u00edho ml\u00e9ka \u010di ml\u00e9\u010dn\u00fdch v\u00fdrobk\u016f. Pot\u00e9 co virus KE pronikne do organizmu \u010dlov\u011bka, nast\u00e1v\u00e1 inkuba\u010dn\u00ed doba. Toto obdob\u00ed trv\u00e1 v\u011bt\u0161inou t\u00fdden a\u017e \u010dtrn\u00e1ct dn\u00ed. Prvn\u00ed f\u00e1ze onemocn\u011bn\u00ed vypad\u00e1 jako lehk\u00e1 ch\u0159ipka a kon\u010d\u00ed po n\u011bkolika dnech bez dal\u0161\u00edch n\u00e1sledk\u016f. Pokud nemoc p\u0159ejde do f\u00e1ze druh\u00e9, vir m\u016f\u017ee zas\u00e1hnout centr\u00e1ln\u00ed nervovou soustavu a zanechat trval\u00e9 n\u00e1sledky.<\/p>\n

Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

Zhor\u0161en\u00ed pam\u011bti, omezen\u00e9 \u010di rozs\u00e1hlej\u0161\u00ed ochrnut\u00ed sval\u016f kon\u010detin a jin\u00fdch \u010d\u00e1st\u00ed t\u011bla, \u010dast\u00e1 unavenost nebo zm\u011bny psychiky. I takov\u00e9 pot\u00ed\u017ee m\u016f\u017ee m\u00edt pacient naka\u017een\u00fd kl\u00ed\u0161\u0165ovou […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15672,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-28182","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28182","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=28182"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28182\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15672"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28182"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}