{"id":39221,"date":"2023-04-24T17:46:00","date_gmt":"2023-04-24T15:46:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39221"},"modified":"2023-04-24T17:50:10","modified_gmt":"2023-04-24T15:50:10","slug":"nemocnost-deti-byla-letos-v-zime-nevidana-rikaji-pediatri","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39221","title":{"rendered":"Nemocnost d\u011bt\u00ed byla letos v zim\u011b nev\u00eddan\u00e1, \u0159\u00edkaj\u00ed pediat\u0159i"},"content":{"rendered":"\n

Ch\u0159ipka, zd\u00e1nliv\u011b nekone\u010dn\u00e1 r\u00fdma a nakonec ang\u00edna. Toto v zim\u011b u sv\u00fdch d\u011bt\u00ed zaznamenal letos v \u010cesku nejeden rodi\u010d. Samotn\u00ed d\u011bt\u0161t\u00ed l\u00e9ka\u0159i marn\u011b vzpom\u00ednaj\u00ed, kdy se naposledy setkali s tak velk\u00fdm mno\u017estv\u00edm infekc\u00ed. D\u011bti podle nich mnohem \u010dast\u011bji trp\u011bly opakuj\u00edc\u00edmi se respira\u010dn\u00edmi infekty a tak\u00e9 ang\u00ednami. P\u0159\u00ed\u010dinou jsou podle nich pravd\u011bpodobn\u011b pandemick\u00e9 roky, b\u011bhem kter\u00fdch se d\u011btem v d\u016fsledku izolace m\u00e1lo \u201eposilovala\u201c imunita, a tak\u00e9 se zv\u00fd\u0161ila agresivita vir\u016f a bakteri\u00ed. D\u011btem se sn\u00ed\u017eenou imunitou tak l\u00e9ka\u0159i doporu\u010duj\u00ed nap\u0159\u00edklad tzv. speleoterapii \u2013 pobyt v krasov\u00e9 jeskyni, kter\u00fd opakovan\u00fdm respira\u010dn\u00edm infekc\u00edm pom\u00e1h\u00e1 p\u0159edch\u00e1zet. I o tom se budou bavit d\u011bt\u0161t\u00ed l\u00e9ka\u0159i na VI. ro\u010dn\u00edku pediatrick\u00e9 konference Pohybem k \u017eivotu, kter\u00e1 startuje 27. dubna v Blansku.<\/strong><\/p>\n\n\n\n

Epidemie respira\u010dn\u00edch onemocn\u011bn\u00ed v \u010cesku vrcholila na p\u0159elomu lo\u0148sk\u00e9ho a leto\u0161n\u00edho roku. V n\u011bkter\u00fdch kraj\u00edch se nemocnost podle \u00fadaj\u016f z hygienick\u00fdch stanic vy\u0161plhala i p\u0159es 3 000 p\u0159\u00edpad\u016f na 100 000 obyvatel, p\u0159i\u010dem\u017e zas\u00e1hla p\u0159edev\u0161\u00edm d\u011bti. <\/p>\n\n\n\n

\u201eSituaci, kter\u00e1 tady panovala v prosinci, opravdu nepamatuji. Kombinace epidemi\u00ed ch\u0159ipky, RS vir\u016f nebo covidu\u201119 p\u0159edstavovala obrovsk\u00fd n\u00e1por, kter\u00fd, sice v men\u0161\u00ed m\u00ed\u0159e, ale p\u0159etrv\u00e1v\u00e1 dosud,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Hana Zmrzl\u00e1, d\u011btsk\u00e1 l\u00e9ka\u0159ka a prim\u00e1\u0159ka d\u011btsk\u00e9 l\u00e9\u010debny v Ostrov\u011b u Macochy. Pr\u00e1v\u011b \u201ejej\u00ed\u201c Jihomoravsk\u00fd kraj byl v r\u00e1mci cel\u00e9ho \u010ceska epidemi\u00ed sti\u017een extr\u00e9mn\u011b, na p\u0159elomu roku se nemocnost vy\u0161plhala t\u00e9m\u011b\u0159 ke 3 500 p\u0159\u00edpad\u016f respira\u010dn\u00edch infekc\u00ed na 100 000 obyvatel a tento epidemick\u00fd stav zde panoval je\u0161t\u011b na za\u010d\u00e1tku dubna. <\/p>\n\n\n\n

\u201eTakov\u00e9 mno\u017estv\u00ed infekc\u00ed bych p\u0159i\u010detla na vrub pandemick\u00fdm rok\u016fm, kdy jsme pou\u017e\u00edv\u00e1n\u00edm rou\u0161ek sice zabr\u00e1nili \u0161\u00ed\u0159en\u00ed covidu, ale i dal\u0161\u00edch vir\u016f a bakteri\u00ed. V kombinaci s izolac\u00ed od kolektiv\u016f jsme t\u00edm p\u0159ibrzdili tvorbu protil\u00e1tek a nerozv\u00edjeli si imunitn\u00ed syst\u00e9m, aby dok\u00e1zal bojovat s patogeny,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Kate\u0159ina Bedna\u0159\u00edkov\u00e1, d\u011btsk\u00e1 l\u00e9ka\u0159ka a \u0159editelka organizace Jihomoravsk\u00e9 d\u011btsk\u00e9 l\u00e9\u010debny. Podle l\u00e9ka\u0159\u016f je v\u0161ak leto\u0161n\u00ed sez\u00f3na specifick\u00e1 i v\u00fdrazn\u011b zv\u00fd\u0161en\u00fdm v\u00fdskytem bakteri\u00e1ln\u00edch onemocn\u011bn\u00ed, hlavn\u011b ang\u00edn. <\/p>\n\n\n\n

\u201eTo je dal\u0161\u00ed d\u016fvod, pro\u010d je tento rok opravdu nev\u00eddan\u00fd. Z m\u00e9ho pohledu je v\u0161ak krom\u011b slab\u0161\u00edch imunitn\u00edch reakc\u00ed d\u016fvodem i evoluce samotn\u00fdch bakteri\u00ed. Ang\u00edny nyn\u00ed nemaj\u00ed typick\u00e9 p\u0159\u00edznaky a pacienti \u010dasto na l\u00e9\u010dbu antibiotiky nereaguj\u00ed dostate\u010dn\u011b, p\u0159etrv\u00e1v\u00e1 pozitivita streptokok\u016f a infekce se vracej\u00ed,\u201c <\/em>popisuje MUDr. Zmrzl\u00e1. Obavu j\u00ed d\u011bl\u00e1 tak\u00e9 nar\u016fstaj\u00edc\u00ed rezistence bakteri\u00ed \u2013 hlavn\u011b v d\u016fsledku sou\u010dasn\u00e9ho nedostatku antibiotik a jejich omezen\u00e9ho v\u00fdb\u011bru. P\u0159esto\u017ee l\u00e9ka\u0159i v\u011b\u0159\u00ed, \u017ee imunitu d\u011bt\u00ed se op\u011bt poda\u0159\u00ed \u201evytr\u00e9novat\u201c, na n\u00e1vrat do klidn\u00fdch p\u0159edpandemick\u00fdch let podle nich \u00fapln\u011b spol\u00e9hat nelze. Podle n\u00ed je d\u016fle\u017eit\u00e9 ve zbytku roku d\u011btem imunitu posilovat, a\u0165 u\u017e zdrav\u00fdm \u017eivotn\u00edm stylem, dostatkem pohybu, nebo nap\u0159\u00edklad otu\u017eov\u00e1n\u00edm. <\/p>\n\n\n\n

Jedn\u00edm ze zp\u016fsob\u016f, jak pomoci d\u011btem, kter\u00e9 maj\u00ed imunitu naru\u0161enou a vracej\u00ed se jim respira\u010dn\u00ed infekce, je podle l\u00e9ka\u0159\u016f i dlouhodob\u00fd pobyt v krasov\u00fdch jeskyn\u00edch, tzv. speleoterapie.Ta v \u010cesku funguje p\u0159es 40 let a zakl\u00e1d\u00e1 se na pobytu d\u011bt\u00ed v jeskyni, p\u0159i kter\u00e9m hraj\u00ed hry, sportuj\u00ed nebo cvi\u010d\u00ed. \u201eP\u0159i opakovan\u00fdch pobytech v jeskyni a dodr\u017eov\u00e1n\u00ed l\u00e9\u010debn\u00e9ho pl\u00e1nu pozorujeme ji\u017e od za\u010d\u00e1tku pou\u017e\u00edv\u00e1n\u00ed t\u00e9to terapie celkov\u00e9 pos\u00edlen\u00ed imunity d\u011bt\u00ed. Netrp\u00ed tolik akutn\u00edmi respira\u010dn\u00edmi infekcemi, b\u00fdvaj\u00ed m\u00e9n\u011b nemocn\u00e9 a nepot\u0159ebuj\u00ed tolik l\u00e9k\u016f,\u201c <\/em>vysv\u011btluje MUDr. Bedna\u0159\u00edkov\u00e1. Pro tyto d\u011bti se po\u010d\u00e1tkem b\u0159ezna v Ostrov\u011b u Macochy otev\u0159ela nov\u00e1 l\u00e9\u010debna v bezprost\u0159edn\u00ed bl\u00edzkosti krasov\u00e9 jeskyn\u011b, kter\u00e1 se jako jedin\u00e1 v \u010cesku vyu\u017e\u00edv\u00e1 v\u00fdhradn\u011b k l\u00e9\u010debn\u00fdm \u00fa\u010del\u016fm.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Ch\u0159ipka, zd\u00e1nliv\u011b nekone\u010dn\u00e1 r\u00fdma a nakonec ang\u00edna. Toto v zim\u011b u sv\u00fdch d\u011bt\u00ed zaznamenal letos v \u010cesku nejeden rodi\u010d. Samotn\u00ed d\u011bt\u0161t\u00ed l\u00e9ka\u0159i marn\u011b vzpom\u00ednaj\u00ed, kdy se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":19656,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-39221","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\/39221","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=39221"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39221\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19656"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39221"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39221"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}