{"id":39944,"date":"2023-06-01T11:37:08","date_gmt":"2023-06-01T09:37:08","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39944"},"modified":"2023-06-01T11:37:09","modified_gmt":"2023-06-01T09:37:09","slug":"lecbu-zanetu-mocovych-cest-ohrozuje-odolnost-vuci-antibiotikum","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39944","title":{"rendered":"L\u00e9\u010dbu z\u00e1n\u011bt\u016f mo\u010dov\u00fdch cest ohro\u017euje odolnost v\u016f\u010di antibiotik\u016fm"},"content":{"rendered":"\n

Alespo\u0148 jednou za \u017eivot se s\u00a0n\u00edm setk\u00e1 ka\u017ed\u00e1 \u010dtvrt\u00e1 \u017eena. Z\u00e1n\u011bt mo\u010dov\u00fdch cest je druh\u00fdm nej\u010dast\u011bj\u0161\u00edm infek\u010dn\u00edm onemocn\u011bn\u00edm v\u016fbec. Toto nep\u0159\u00edjemn\u00e9 a bolestiv\u00e9 onemocn\u011bn\u00ed l\u00e9ka\u0159i obvykle \u0159e\u0161\u00ed antibiotiky. Probl\u00e9m je v\u00a0tom, \u017ee se z\u00e1n\u011bty \u017een\u00e1m \u010dasto vrac\u00ed, st\u00e1vaj\u00ed se vleklou, chronickou chorobou, a nav\u00edc hroz\u00ed, \u017ee antibiotika \u010dasem p\u0159estanou zab\u00edrat. Obt\u00ed\u017ee tr\u00e1p\u00ed \u017eenu v nejintimn\u011bj\u0161\u00edch oblastech, ale mohou omezovat i pracovn\u00ed \u010di spole\u010densk\u00e9 uplatn\u011bn\u00ed.<\/strong><\/p>\n\n\n\n

Z\u00a0toho d\u016fvodu je nutn\u00e9 v\u011bnovat zv\u00fd\u0161enou pozornost prevenci <\/kbd>i dal\u0161\u00edm zp\u016fsob\u016fm l\u00e9\u010dby. Pr\u00e1v\u011b rezistence v\u016f\u010di antibiotik\u016fm a jejich nadu\u017e\u00edv\u00e1n\u00ed tr\u00e1p\u00ed \u010desk\u00e9 urology nejv\u00edce, a proto budou toto t\u00e9ma \u0159e\u0161it na 67. v\u00fdro\u010dn\u00ed konferenci \u010cesk\u00e9 urologick\u00e9 spole\u010dnosti \u010cLS JEP, kter\u00e1 startuje online 20. \u0159\u00edjna.<\/strong><\/p>\n\n\n\n

A\u017e 15 % \u017een trp\u00ed opakovan\u00fdmi z\u00e1n\u011bty mo\u010dov\u00fdch cest. Mo\u017enost\u00ed, jak nemoc zp\u016fsobovanou p\u0159edev\u0161\u00edm bakteri\u00ed E. coli<\/em> l\u00e9\u010dit, je v\u00edce. Urologov\u00e9 v\u0161ak upozor\u0148uj\u00ed na to, \u017ee mnoho pacientek, ale ani l\u00e9ka\u0159\u016f o t\u011bchto alternativ\u00e1ch nev\u00ed a ihned vol\u00ed u opakuj\u00edc\u00edch se pot\u00ed\u017e\u00ed antibiotika. Ta by v\u0161ak m\u011bla b\u00fdt v\u017edy pod\u00e1van\u00e1 s\u00a0rozmyslem. D\u016fvodem je krom\u011b velk\u00e9ho z\u00e1sahu do organismu tak\u00e9 to, \u017ee si na tyto l\u00e9ky p\u011bstuje lidstvo \u010d\u00edm d\u00e1l v\u011bt\u0161\u00ed odolnost. <\/p>\n\n\n\n

\u201eN\u00e1r\u016fst rezistence na antibiotika je obecn\u011b obrovsk\u00fd probl\u00e9m. N\u011bkter\u00e9 druhy antibiotik, kter\u00e9 dob\u0159e fungovaly p\u0159ed p\u00e1r lety, se dnes u\u017e tolik nep\u0159edepisuj\u00ed, proto\u017ee fungovat p\u0159est\u00e1vaj\u00ed. Pr\u00e1v\u011b infekce mo\u010dov\u00fdch cest jsou po respira\u010dn\u00edch infekc\u00edch druh\u00fdm nej\u010dast\u011bj\u0161\u00edm komunitn\u00edm infek\u010dn\u00edm onemocn\u011bn\u00edm. V\u00fdznamn\u00fdm zp\u016fsobem tak ovliv\u0148uj\u00ed p\u0159edepisov\u00e1n\u00ed antibiotik,\u201c<\/em> upozor\u0148uje MUDr. Marcela \u010cechov\u00e1 z\u00a0Urologick\u00e9 kliniky 2. l\u00e9ka\u0159sk\u00e9 fakulty UK a FN v Motole.<\/p>\n\n\n\n

K zlep\u0161en\u00ed situace podle n\u00ed nep\u0159isp\u00edvaj\u00ed nap\u0159\u00edklad ani prakti\u010dn\u00ed l\u00e9ka\u0159i, kte\u0159\u00ed mnohdy l\u00e9\u010d\u00ed pacientky s opakuj\u00edc\u00edmi se z\u00e1n\u011bty pouze pomoc\u00ed antibiotik bez dal\u0161\u00edho vy\u0161et\u0159en\u00ed. \u201e\u010casto se setk\u00e1v\u00e1m s t\u00edm, \u017ee \u017eeny chodily s akutn\u00edmi obt\u00ed\u017eemi pouze na pohotovost \u010di k praktikovi, kde dost\u00e1valy opakovan\u011b antibiotika, ale o mo\u017enostech prevence \u010di o alternativ\u00e1ch nesly\u0161ely. Pokud se u \u017eeny z\u00e1n\u011bty opakuj\u00ed, pat\u0159\u00ed jednozna\u010dn\u011b do p\u00e9\u010de urologa. Mu\u017ei by m\u011bli urologa nav\u0161t\u00edvit u\u017e p\u0159i prvn\u00edm z\u00e1n\u011btu<\/em>,\u201c dod\u00e1v\u00e1 MUDr. \u010cechov\u00e1.<\/p>\n\n\n\n

Pr\u00e1v\u011b urolog je schopen prov\u00e9st d\u016fkladn\u011bj\u0161\u00ed vy\u0161et\u0159en\u00ed a zjistit mo\u017en\u00e9 p\u0159\u00ed\u010diny z\u00e1n\u011btu. Ned\u00edlnou sou\u010d\u00e1st\u00ed je i vy\u0161et\u0159en\u00ed vzorku mo\u010di. D\u00edky n\u011bmu se d\u00e1 toti\u017e zjistit typ a citlivost bakterie, kter\u00e1 z\u00e1n\u011bt zp\u016fsobila, a n\u00e1sledn\u011b nasadit nebo upravit l\u00e9\u010dbu \u201ena m\u00edru.\u201c \u201eZ tohoto d\u016fvodu by m\u011bl pacient nav\u0161t\u00edvit l\u00e9ka\u0159e v\u017edy osobn\u011b. Konzultace a p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f po telefonu \u010di dokonce re\u017eimy, kdy si pacient nasazuje antibiotika s\u00e1m, jsou \u0161patn\u011b,\u201c<\/em> upozor\u0148uje MUDr. Michaela Matou\u0161kov\u00e1 z Urocentra Praha.<\/p>\n\n\n\n

Alternativ, jak z\u00e1n\u011bty mo\u010dov\u00fdch cest l\u00e9\u010dit, je na\u0161t\u011bst\u00ed cel\u00e1 \u0159ada. \u201eD\u016fle\u017eit\u00fd je v l\u00e9\u010db\u011b hlavn\u011b p\u0159\u00edsun tekutin. Pokud se na to bude doty\u010dn\u00e1 soust\u0159edit, dok\u00e1\u017ee z\u00e1n\u011bt rozp\u00edt. V pokro\u010dilej\u0161\u00edch f\u00e1z\u00edch lze onemocn\u011bn\u00ed l\u00e9\u010dit nap\u0159\u00edklad pod\u00e1v\u00e1n\u00edm D-manosy, v\u00fdplachy mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e kyselinou hyaluronovou \u010di pod\u00e1v\u00e1n\u00edm vakc\u00edn vytvo\u0159en\u00fdch z bakteri\u00ed, kter\u00e9 infekce v populaci \u010di u konkr\u00e9tn\u00edho pacienta nej\u010dast\u011bji vyvol\u00e1vaj\u00ed<\/em>,\u201c vysv\u011btluje MUDr. Matou\u0161kov\u00e1.<\/p>\n\n\n\n

V boji se z\u00e1n\u011btem mohou pomoci tak\u00e9 potraviny s vysok\u00fdm pod\u00edlem vody jako hroznov\u00e9 v\u00edno \u010di vodn\u00ed meloun a p\u0159\u00edrodn\u00ed p\u0159\u00edpravky z brusinek, propolisu \u010di ibi\u0161ku, kter\u00e9 br\u00e1n\u00ed mno\u017een\u00ed bakteri\u00ed v mo\u010dov\u00e9m m\u011bch\u00fd\u0159i.<\/p>\n\n\n\n

D\u016fle\u017eit\u00e1 je v\u0161ak i samotn\u00e1 prevence. Krom\u011b dodr\u017eov\u00e1n\u00ed pitn\u00e9ho re\u017eimu by se m\u011bli lid\u00e9 tak\u00e9 sna\u017eit zbyte\u010dn\u011b neprostydnout. Nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou z\u00e1n\u011btu je toti\u017e u mu\u017e\u016f i \u017een prochladnut\u00ed. \u201eZ\u00e1n\u011bty jsou \u010dast\u00e9 hlavn\u011b na ja\u0159e, kdy doch\u00e1z\u00ed k v\u00fdkyv\u016fm teplot, a potom v l\u00e9t\u011b, kdy se lid\u00e9 chod\u00ed koupat a maj\u00ed na sob\u011b dlouho mokr\u00e9 plavky. U \u017een se mohou z\u00e1n\u011bty objevit po pohlavn\u00edm styku, zde se doporu\u010duje j\u00edt se po styku vymo\u010dit. Infekce mo\u010dov\u00fdch cest mohou b\u00fdt spojen\u00e9 s gynekologick\u00fdmi probl\u00e9my. Z toho d\u016fvodu je p\u0159i opakovan\u00fdch z\u00e1n\u011btech vhodn\u00e9 nav\u0161t\u00edvit krom\u011b urologa i gynekologa,\u201c <\/em>dod\u00e1v\u00e1 MUDr. \u010cechov\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"

Alespo\u0148 jednou za \u017eivot se s\u00a0n\u00edm setk\u00e1 ka\u017ed\u00e1 \u010dtvrt\u00e1 \u017eena. Z\u00e1n\u011bt mo\u010dov\u00fdch cest je druh\u00fdm nej\u010dast\u011bj\u0161\u00edm infek\u010dn\u00edm onemocn\u011bn\u00edm v\u016fbec. Toto nep\u0159\u00edjemn\u00e9 a bolestiv\u00e9 onemocn\u011bn\u00ed l\u00e9ka\u0159i […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16678,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-39944","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\/39944","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=39944"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39944\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16678"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39944"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39944"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39944"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}