{"id":31273,"date":"2019-02-18T20:57:22","date_gmt":"2019-02-18T19:57:22","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=31273"},"modified":"2019-02-18T20:57:22","modified_gmt":"2019-02-18T19:57:22","slug":"strasak-cerneho-kasle-je-zpet-ockovat-se-da-uz-v-tehotenstvi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=31273","title":{"rendered":"Stra\u0161\u00e1k \u010dern\u00e9ho ka\u0161le je zp\u011bt. O\u010dkovat se d\u00e1 u\u017e v t\u011bhotenstv\u00ed"},"content":{"rendered":"

Nemocnost m\u00e1 celost\u00e1tn\u011b vzestupn\u00fd trend. Nejlep\u0161\u00ed zp\u016fsob ochrany mal\u00fdch d\u011bt\u00ed je o\u010dkov\u00e1n\u00ed matek b\u011bhem t\u011bhotenstv\u00ed<\/strong> <\/p>\n

Olomouck\u00fd kraj \u2013 \u010cern\u00fd ka\u0161el, kter\u00fd d\u011bsil na\u0161e prababi\u010dky, je zp\u00e1tky. N\u00e1r\u016fst hl\u00e1\u0161en\u00fdch p\u0159\u00edpad\u016f v populaci je spojen se zv\u00fd\u0161enou nemocnost\u00ed nejmen\u0161\u00edch d\u011bt\u00ed, v\u010detn\u011b hospitalizace, a komplikacemi spojen\u00fdmi s onemocn\u011bn\u00edm. Chr\u00e1nit je p\u0159itom mohou maminky u\u017e b\u011bhem t\u011bhotenstv\u00ed \u2013 je\u0161t\u011b p\u0159ed t\u00edm, ne\u017e jejich potomek ve t\u0159et\u00edm m\u011bs\u00edci \u017eivota absolvuje povinn\u00e9 o\u010dkov\u00e1n\u00ed. T\u011bhotn\u00e9 \u017eeny v\u0161ak o t\u00e9to mo\u017enosti o\u010dkov\u00e1n\u00ed proti \u010dern\u00e9mu ka\u0161li moc nev\u011bd\u00ed.<\/p>\n

„V Olomouck\u00e9m kraji jsme vloni zaznamenali 24 p\u0159\u00edpad\u016f \u010dern\u00e9ho ka\u0161le, z toho u d\u011bt\u00ed do jednoho roku t\u0159i,“ sd\u011blila \u0159editelka protiepidemick\u00e9ho odboru Krajsk\u00e9 hygienick\u00e9 stanice Olomouck\u00e9ho kraje R\u016f\u017eena Hali\u0159ov\u00e1. Jde o p\u0159\u00edpady, kdy nemocn\u00fd p\u0159i\u0161el k l\u00e9ka\u0159i a laborato\u0159e u n\u011bj n\u00e1sledn\u011b potvrdily toto onemocn\u011bn\u00ed. Ve skute\u010dnosti m\u016f\u017ee b\u00fdt \u010d\u00edslo mnohem vy\u0161\u0161\u00ed.<\/p>\n

Nejde o alarmuj\u00edc\u00ed po\u010dty, v minul\u00fdch letech bylo v Olomouck\u00e9m kraji nemocn\u00fdch pertus\u00ed i v\u00edce, celost\u00e1tn\u011b ov\u0161em vykazuj\u00ed data dlouhodob\u011b vzestupn\u00fd trend.<\/p>\n

Vloni bylo v \u010cesk\u00e9 republice hl\u00e1\u0161eno celkem 752 p\u0159\u00edpad\u016f naka\u017een\u00ed pertus\u00ed, z toho 49 u d\u011bt\u00ed do jednoho roku \u017eivota. V roce 2017 to bylo 667 nemocn\u00fdch.<\/p>\n

U nejmen\u0161\u00edch d\u011bt\u00ed p\u0159itom do\u0161lo meziro\u010dn\u011b k polovi\u010dn\u00edmu n\u00e1r\u016fstu. „Pr\u00e1v\u011b tyto d\u011bti jsou onemocn\u011bn\u00edm nejv\u00edce ohro\u017een\u00e9, zejm\u00e9na mo\u017en\u00fdmi komplikacemi. Nej\u010dast\u011bj\u0161\u00edm zdrojem onemocn\u011bn\u00ed pro nejmen\u0161\u00ed jsou pr\u00e1v\u011b nejbli\u017e\u0161\u00ed kontakty, tedy matka, otec, sourozenci \u010di prarodi\u010de,“ upozor\u0148ovala Kate\u0159ina Fabi\u00e1nov\u00e1 z Odd\u011blen\u00ed epidemiologie infek\u010dn\u00edch nemoc\u00ed St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu.<\/p>\n

Podle odborn\u00edk\u016f je nejlep\u0161\u00ed zp\u016fsob ochrany nejmen\u0161\u00edch d\u011bt\u00ed p\u0159ed onemocn\u011bn\u00edm o\u010dkov\u00e1n\u00ed matek v t\u011bhotenstv\u00ed, jak doporu\u010duje i Sv\u011btov\u00e1 zdravotnick\u00e1 organizace. \u017deny v\u0161ak o mo\u017enosti moc nev\u011bd\u00ed. „Vhodn\u011b na\u010dasovan\u00e9 o\u010dkov\u00e1n\u00ed v gravidit\u011b vede k dostate\u010dn\u00e9mu p\u0159enosu mate\u0159sk\u00fdch protil\u00e1tek do t\u011bla plodu. Po narozen\u00ed je tak d\u00edt\u011b mate\u0159sk\u00fdmi protil\u00e1tkami chr\u00e1n\u011bno p\u0159ed z\u00e1va\u017en\u00fdm pr\u016fb\u011bhem onemocn\u011bn\u00ed b\u011bhem nejkriti\u010dt\u011bj\u0161\u00edho obdob\u00ed dvou m\u011bs\u00edc\u016f, kdy je\u0161t\u011b nem\u016f\u017ee b\u00fdt o\u010dkov\u00e1no,“ uvedla Fabi\u00e1nov\u00e1.<\/p>\n

V\u011bt\u0161ina \u017een byla v d\u011btstv\u00ed o\u010dkov\u00e1na, nicm\u00e9n\u011b o\u010dkov\u00e1n\u00ed ani prod\u011blan\u00e9 onemocn\u011bn\u00ed neposkytuje celo\u017eivotn\u00ed ochranu. O\u010dkov\u00e1n\u00ed proti pertusi v posledn\u00edm trimestru t\u011bhotenstv\u00ed podle expert\u016f do\u010dasn\u011b zv\u00fd\u0161\u00ed ochrann\u00e9 mate\u0159sk\u00e9 protil\u00e1tky, kter\u00e9 p\u0159ech\u00e1z\u00ed od matky p\u0159es placentu jej\u00edmu nenarozen\u00e9mu d\u00edt\u011bti. „Pokud budouc\u00ed maminka o o\u010dkov\u00e1n\u00ed uva\u017euje, m\u011bla by se o tom pobavit se sv\u00fdm l\u00e9ka\u0159em a spole\u010dn\u011b o tom rozhodnout,“ poradila Hali\u0159ov\u00e1 budouc\u00edm mamink\u00e1m, kter\u00e9 p\u0159em\u00fd\u0161lej\u00ed o t\u00e9to injekci do pa\u017ee.<\/p>\n

V Olomouck\u00e9m kraji zaznamenali epidemiologov\u00e9 nap\u0159\u00edklad v roce 2009, kdy bylo v cel\u00e9m \u010cesku zachyceno nejv\u00edce p\u0159\u00edpad\u016f za posledn\u00edch 40 let, 46 p\u0159\u00edpad\u016f \u010dern\u00e9ho ka\u0161le. O \u010dty\u0159i roky pozd\u011bji to bylo dokonce 68 p\u0159\u00edpad\u016f. Od v\u011bci proto nen\u00ed p\u0159eo\u010dkov\u00e1n\u00ed. Zejm\u00e9na v rodin\u00e1ch, kde o\u010dek\u00e1vaj\u00ed narozen\u00ed novorozence.<\/p>\n

…………….<\/p>\n

\u010cern\u00fd ka\u0161el (pertuse)
\nP\u016fvodcem \u010dern\u00e9ho ka\u0161le je bakterie Bordetella pertussis, jej\u00edm\u017e jedin\u00fdm hostitelem je \u010dlov\u011bk. \u0160\u00ed\u0159\u00ed se kap\u00e9nkami p\u0159i mluven\u00ed, ka\u0161li a k\u00fdch\u00e1n\u00ed. Mezi po\u010d\u00e1te\u010dn\u00ed p\u0159\u00edznaky pat\u0159\u00ed m\u00edrn\u00e9 teploty, ka\u0161el a r\u00fdma. Pozd\u011bji jsou charakteristick\u00fdmi projevy z\u00e1chvaty typick\u00e9ho k\u0159e\u010dovit\u00e9ho ka\u0161le ve dne i v noci, pauza p\u0159ed hlubok\u00fdm obt\u00ed\u017en\u00fdm n\u00e1dechem, lap\u00e1n\u00ed po dechu a zvracen\u00ed. Mezi z\u00e1chvaty ka\u0161le se posti\u017een\u00fd c\u00edt\u00ed obvykle pom\u011brn\u011b dob\u0159e. N\u00e1kaza je nebezpe\u010dn\u00e1 zejm\u00e9na pro d\u011bti do 1 roku, u kter\u00fdch m\u016f\u017ee nastat z\u00e1n\u011bt plic nebo doj\u00edt k z\u00e1stav\u011b dechu.<\/p>\n

18.2.2019
\nDANIELA TAUBEROV\u00c1
\nOlomouck\u00fd den\u00edk
\nhttp:\/\/www.olomoucky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Nemocnost m\u00e1 celost\u00e1tn\u011b vzestupn\u00fd trend. Nejlep\u0161\u00ed zp\u016fsob ochrany mal\u00fdch d\u011bt\u00ed je o\u010dkov\u00e1n\u00ed matek b\u011bhem t\u011bhotenstv\u00ed<\/p>\n<\/div>","protected":false},"author":1,"featured_media":24320,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-31273","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\/31273","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=31273"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/31273\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/24320"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}