O nebezpe\u010d\u00ed, kter\u00e9 p\u0159in\u00e1\u0161\u00ed kl\u00ed\u0161\u0165ata, sl\u00fdch\u00e1me \u010dasto.\nLetos se u n\u00e1s za prvn\u00ed pololet\u00ed nakazilo kl\u00ed\u0161\u0165ovou encefalitidou u\u017e\n158 lid\u00ed, o 39 v\u00edce ne\u017e loni. V\u00edte ale, jak spr\u00e1vn\u011b kl\u00ed\u0161t\u011b vyt\u00e1hnout?\nProti kter\u00fdm nemocem se d\u00e1 o\u010dkovat? A kolik m\u00e1te \u010dasu, ne\u017e kl\u00ed\u0161t\u011b nemoc\np\u0159enese? Den\u00edk se to zeptal \u0159editele Biologick\u00e9ho centra Akademie v\u011bd \u010cR a\nvedouc\u00edho tamn\u00ed laborato\u0159e Libora Grubhoffera, kter\u00fd se ve sv\u00e9 v\u011bdeck\u00e9 pr\u00e1ci\nzab\u00fdv\u00e1 kl\u00ed\u0161\u0165aty a nemocemi, kter\u00e9 p\u0159en\u00e1\u0161ej\u00ed.<\/p>\n\n\n\n
\u201e\u010c\u00edm d\u0159\u00edve zakousnut\u00e9 kl\u00ed\u0161t\u011b odstran\u00edme, t\u00edm l\u00e9pe,\u201c \u0159\u00edk\u00e1\nLibor Grubhoffer. V ide\u00e1ln\u00edm p\u0159\u00edpad\u011b je mo\u017en\u00e9 kl\u00ed\u0161t\u011b p\u0159istihnout na t\u011ble je\u0161t\u011b\nnezakousnut\u00e9, to pak nehroz\u00ed \u017e\u00e1dn\u00e9 nebezpe\u010d\u00ed. Kl\u00ed\u0161t\u011bti trv\u00e1 p\u0159is\u00e1t\u00ed se\np\u0159ibli\u017en\u011b p\u011bt hodin. B\u011bhem t\u00e9to doby je mo\u017enost n\u00e1kazy velmi nepravd\u011bpodobn\u00e1.\nRiziko naka\u017een\u00ed virem kl\u00ed\u0161\u0165ov\u00e9 encefalitidy hroz\u00ed v n\u00e1sleduj\u00edc\u00edch hodin\u00e1ch, v\np\u0159\u00edpad\u011b p\u0159enosu lymsk\u00e9 boreli\u00f3zy pot\u0159ebuje kl\u00ed\u0161t\u011b del\u0161\u00ed \u010das, nejm\u00e9n\u011b 12 a\u017e 16\nhodin.<\/p>\n\n\n\n
Pinzeta a viklat<\/p>\n\n\n\n
\u201eZakousnut\u00e9 kl\u00ed\u0161t\u011b nejsnadn\u011bji odstran\u00edme pinzetou, opatrn\u011b\njej uchop\u00edme, vikl\u00e1me a p\u0159itom pomalu vytahujeme,\u201c popisuje nej\u00fa\u010dinn\u011bj\u0161\u00ed metodu\nGrubhoffer. Po \u00fasp\u011b\u0161n\u00e9m vyjmut\u00ed kl\u00ed\u0161t\u011bte je pot\u0159eba r\u00e1nu dezinfikovat nap\u0159\u00edklad\njodovou tinkturou, peroxidem vod\u00edku nebo alkoholem.<\/p>\n\n\n\n
M\u016f\u017ee se v\u0161ak st\u00e1t, \u017ee se vyjmut\u00ed nepoda\u0159\u00ed a kusadla z\u016fstanou v podko\u017e\u00ed.\nCo tedy d\u011blat v takov\u00e9m p\u0159\u00edpad\u011b? D\u016fle\u017eit\u00e9 je zachovat klid a nezmatkovat.\n\u201eDoporu\u010duji jej opatrn\u011b vypreparovat dezinfikovanou jehli\u010dkou, podobn\u011b jako\nkdy\u017e odstra\u0148ujeme zad\u0159enou t\u0159\u00edsku. Nakonec ranku op\u011bt \u0159\u00e1dn\u011b dezinfikujeme\nnejl\u00e9pe jodovou tinkturou,\u201c rad\u00ed.<\/p>\n\n\n\n
Co naopak d\u011blat nedoporu\u010duje, je zak\u00e1pnout kl\u00ed\u0161t\u011b olejem nebo jak\u00fdmkoliv\njin\u00fdm \u201ezaru\u010den\u011b funguj\u00edc\u00edm prost\u0159edkem\u201c. D\u00e1le nen\u00ed dobr\u00e9 nech\u00e1vat kusadla\nv r\u00e1n\u011b. Obzvl\u00e1\u0161t\u011b u citliv\u00fdch jedinc\u016f mohou zp\u016fsobit lok\u00e1ln\u00ed\nz\u00e1n\u011btlivou reakci a situaci je\u0161t\u011b zhor\u0161it.<\/p>\n\n\n\n
Mal\u00ed p\u0159ena\u0161e\u010di<\/p>\n\n\n\n
Nejz\u00e1va\u017en\u011bj\u0161\u00ed onemocn\u011bn\u00ed, kter\u00e1 kl\u00ed\u0161\u0165ata p\u0159en\u00e1\u0161\u00ed, jsou\nkl\u00ed\u0161\u0165ov\u00e1 encefalitida a lymsk\u00e1 boreli\u00f3za. Ne ka\u017ed\u00fd je v\u0161ak um\u00ed rozli\u0161it.\n\u201eKl\u00ed\u0161\u0165ov\u00e1 encefalitida je z\u00e1n\u011bt mozku virov\u00e9ho p\u016fvodu, zat\u00edmco lymsk\u00e1 boreli\u00f3za\nje infek\u010dn\u00ed onemocn\u011bn\u00ed k\u016f\u017ee, kloub\u016f \u010di nervov\u00e9 soustavy,\u201c vysv\u011btluje rozd\u00edl\nGrubhoffer. Shodn\u00e9 jsou po\u010d\u00e1te\u010dn\u00ed p\u0159\u00edznaky, kter\u00e9 p\u0159ipom\u00ednaj\u00ed b\u011b\u017en\u00e9 nachlazen\u00ed.\nV obou p\u0159\u00edpadech se symptomy za\u010dnou projevovat po inkuba\u010dn\u00ed dob\u011b 7 a\u017e 14 dn\u016f.<\/p>\n\n\n\n
Typick\u00fdm projevem boreli\u00f3zy jsou velk\u00e9 \u010derven\u00e9 kruhov\u00e9 \u010di\nov\u00e1ln\u00e9 skvrny na k\u016f\u017ei se sv\u011btl\u00fdm st\u0159edem okolo m\u00edsta p\u0159is\u00e1t\u00ed kl\u00ed\u0161t\u011bte. Pokud je\nnajdete, m\u00e1te podle Grubhoffera sv\u00fdm zp\u016fsobem \u0161t\u011bst\u00ed. Typick\u00e1 skvrna se toti\u017e\nobjevuje pouze u dvou t\u0159etin posti\u017een\u00fdch lymskou boreli\u00f3zou. Kv\u016fli tomu hroz\u00ed\nnebezpe\u010d\u00ed zanedb\u00e1n\u00ed onemocn\u011bn\u00ed.<\/p>\n\n\n\n
\u201eDosud neexistuje \u017e\u00e1dn\u00fd l\u00e9k proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b, a\ntak jedin\u00fdm \u0159e\u0161en\u00edm v p\u0159\u00edpad\u011b onemocn\u011bn\u00ed je absolutn\u00ed klid pacienta na l\u016f\u017eku\nvylu\u010duj\u00edc\u00ed jakoukoliv fyzickou n\u00e1mahu, pokud mo\u017eno na infek\u010dn\u00edm odd\u011blen\u00ed v\nnemocnici\u201c uv\u00e1d\u00ed Grubhoffer. Rad\u00ed proto o\u010dkov\u00e1n\u00ed.<\/p>\n\n\n\n
\u201eV\u0161ichni lid\u00e9, kte\u0159\u00ed pob\u00fdvaj\u00ed \u010dasto v p\u0159\u00edrod\u011b, by se m\u011bli\nnechat o\u010dkovat proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b, nal\u00e9hav\u011b se toto doporu\u010den\u00ed t\u00fdk\u00e1\nv\u011bkov\u00e9 kategorie 50+, kdy u\u017e lze pozorovat postupn\u00e9 oslabov\u00e1n\u00ed imunity \u010dlov\u011bka\na t\u00edm i zhor\u0161en\u00e9 odolnosti v\u016f\u010di p\u016fvodc\u016fm infek\u010dn\u00edch n\u00e1kaz,\u201c apeluje Grubhoffer.<\/p>\n\n\n\n
P\u0159\u00edsp\u011bvky poji\u0161\u0165ovny<\/p>\n\n\n\n
Objednat na o\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b se m\u016f\u017eete u\nsv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e nebo v o\u010dkovac\u00edm centru. U zdravotn\u00ed poji\u0161\u0165ovny pak\nlze n\u00e1rokovat p\u0159\u00edsp\u011bvek na o\u010dkov\u00e1n\u00ed, kter\u00fd poskytuj\u00ed v r\u00e1mci preventivn\u00edho\nprogramu. P\u0159\u00edsp\u011bvky se v\u0161ak li\u0161\u00ed. Nejvy\u0161\u0161\u00ed poskytuje \u010cesk\u00e1 pr\u016fmyslov\u00e1 zdravotn\u00ed\npoji\u0161\u0165ovna, a\u017e 1 500 korun. Nejv\u011bt\u0161\u00ed tuzemsk\u00e1 zdravotn\u00ed poji\u0161\u0165ovna VZP pak\np\u0159isp\u00edv\u00e1 a\u017e 700 korun, Vojensk\u00e1 zdravotn\u00ed poji\u0161\u0165ovna \u010cesk\u00e9 republiky a\nZdravotn\u00ed poji\u0161\u0165ovna ministerstva vnitra poskytuj\u00ed shodn\u011b 500 korun. Vakc\u00edna\nproti boreli\u00f3ze zat\u00edm neexistuje. Kolega Libora Grubhoffera z laborato\u0159e\nBiologick\u00e9ho centra Akademie v\u011bd Radek \u0160\u00edma v\u0161ak ned\u00e1vno uvedl, \u017ee v\u00fdvoj\nvakc\u00edny je na dobr\u00e9 cest\u011b. Zat\u00edm ale nen\u00ed jasn\u00e9, zda a kdy bude dostupn\u00e1.<\/p>\n\n\n\n
Boreli\u00f3zou se podle dat St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu v prvn\u00edm pololet\u00ed leto\u0161n\u00edho roku nakazilo 1035 osob. Proti lo\u0148sku p\u0159ibylo p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy. Letos jich je 158. Jen za \u010derven p\u0159ibylo t\u00e9m\u011b\u0159 500 p\u0159\u00edpad\u016f boreli\u00f3zy a encefalitidou se nakazilo v\u00edce ne\u017e 100 lid\u00ed. <\/p>\n\n\n\n
Eva Mat\u011bjkov\u00e1<\/p>\n\n\n\n
Strakonick\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/strakonicky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" O nebezpe\u010d\u00ed, kter\u00e9 p\u0159in\u00e1\u0161\u00ed kl\u00ed\u0161\u0165ata, sl\u00fdch\u00e1me \u010dasto. Letos se u n\u00e1s za prvn\u00ed pololet\u00ed nakazilo kl\u00ed\u0161\u0165ovou encefalitidou u\u017e 158 lid\u00ed, o 39 v\u00edce ne\u017e loni. V\u00edte ale, jak spr\u00e1vn\u011b […]<\/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":[9],"tags":[],"class_list":["post-34633","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\/34633","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=34633"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/34633\/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=34633"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=34633"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=34633"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}