Report\u00e1\u017e Prima\u00a0– Hlavn\u00ed zpr\u00e1vy<\/p>\n\n\n\n
A t\u00e9ma je\u0161t\u011b probereme s dermatolo\u017ekou Monikou Arenbergerovou. Pan\u00ed doktorko, p\u0159eji v\u00e1m dobr\u00fd ve\u010der a rovnou se v\u00e1s zept\u00e1m, jak zdravotn\u011b z\u00e1va\u017en\u00e9 m\u016f\u017ee b\u00fdt napaden\u00ed cerk\u00e1riemi. Report\u00e1\u017e Prima\u00a0– Hlavn\u00ed zpr\u00e1vy A t\u00e9ma je\u0161t\u011b probereme s dermatolo\u017ekou Monikou Arenbergerovou. Pan\u00ed doktorko, p\u0159eji v\u00e1m dobr\u00fd ve\u010der a rovnou se v\u00e1s zept\u00e1m, jak zdravotn\u011b […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16880,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-40952","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\/40952","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=40952"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40952\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16880"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=40952"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=40952"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=40952"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Monika ARENBERGEROV\u00c1, dermatolo\u017eka
Dobr\u00fd ve\u010der. J\u00e1 bych cht\u011bla p\u0159ipomenout, \u017ee to pokous\u00e1n\u00ed larvami pta\u010d\u00ed motolice m\u016f\u017ee m\u00edt r\u016fzn\u00fd klinick\u00fd obraz. M\u016f\u017ee se jednat o b\u011b\u017enou vyr\u00e1\u017eku, tedy p\u00e1r pup\u00ednk\u016f, kter\u00e9 jsou velmi sv\u011bdiv\u00e9, a\u017e po opravdu rozs\u00e1hlou vyr\u00e1\u017eku, kter\u00e1 m\u016f\u017ee b\u00fdt spojena nap\u0159\u00edklad i s celkov\u00fdmi p\u0159\u00edznaky. My jsme zaznamenali pacienty, kte\u0159\u00ed m\u011bli t\u0159eba bolest hlavy, teplotu, u n\u011bkter\u00fdch mal\u00fdch d\u011bt\u00ed jsme zaznamenali t\u0159eba i pr\u016fjem anebo bolest b\u0159\u00ed\u0161ka.
So\u0148a Porupkov\u00e1, moder\u00e1torka
A znamen\u00e1 to tedy, \u017ee m\u016f\u017eeme l\u00e9\u010dbu zvl\u00e1dnout sami, p\u0159\u00edpadn\u011b, kdy je opravdu nutn\u00e9 vyrazit k l\u00e9ka\u0159i?
Monika ARENBERGEROV\u00c1, dermatolo\u017eka
J\u00e1 bych \u0159ekla, \u017ee opravdu ve v\u011bt\u0161in\u011b t\u011bch p\u0159\u00edpad\u016f pacient zvl\u00e1dne tu l\u00e9\u010dbu s\u00e1m. J\u00e1 bych doporu\u010dovala aplikovat lok\u00e1ln\u00ed antihistaminika, to jsou vlastn\u011b kr\u00e9my, kter\u00e9 tlum\u00ed tu alergickou reakci, anebo t\u0159eba celkov\u00e1 antihistaminika. Eventu\u00e1ln\u011b p\u0159i tom hor\u0161\u00edm\u00a0posti\u017een\u00ed<\/strong>\u00a0m\u016f\u017eeme vyu\u017e\u00edt kortikosteroidn\u00ed masti, pokud ale dojde k tomu, \u017ee u\u017e zaznamen\u00e1me n\u011bjak\u00e9 celkov\u00e9 p\u0159\u00edznaky, anebo zejm\u00e9na tehdy, kdy\u017e je posti\u017eeno v\u00edce ne\u017e 10 % povrchu ko\u017en\u00edho, tak bych doporu\u010dila nav\u0161t\u00edvit dermatologa anebo praktick\u00e9ho l\u00e9ka\u0159e.
So\u0148a Porupkov\u00e1, moder\u00e1torka
A d\u00e1 se p\u0159edem ur\u010dit, v jak\u00fdch vod\u00e1ch je riziko, \u017ee se tito paraziti vyskytuj\u00ed?
Monika ARENBERGEROV\u00c1, dermatolo\u017eka
Bohu\u017eel ne. Ty vodn\u00ed povrchy vypadaj\u00ed \u00fapln\u011b nen\u00e1padn\u011b, ta voda se m\u016f\u017ee tv\u00e1\u0159it jako naprosto \u010dist\u00e1, nez\u00e1vadn\u00e1, a proto opravdu, pokud tomu chci preventivn\u011b p\u0159edej\u00edt, tak je nutn\u00e9 sledovat vlastn\u011b internetov\u00e9 str\u00e1nky hygienick\u00e9 stanice a tam se informovat, jestli konkr\u00e9tn\u00ed vodn\u00ed n\u00e1dr\u017e, biotop nebo jez\u00edrko nem\u011blo v minulosti probl\u00e9my s cerk\u00e1riemi, a takov\u00fdm vodn\u00edm n\u00e1dr\u017e\u00edm se vyhnout. Zejm\u00e9na bych to doporu\u010dila osob\u00e1m, kter\u00e9 maj\u00ed t\u0159eba probl\u00e9my s citlivou poko\u017ekou, s atopick\u00fdm ekz\u00e9mem, anebo t\u0159eba mal\u00fdm d\u011btem.
So\u0148a Porupkov\u00e1, moder\u00e1torka
Pan\u00ed doktorko, popros\u00edm je\u0161t\u011b o z\u00e1v\u011bre\u010dnou radu, na jak\u00e9 dal\u0161\u00ed ko\u017en\u00ed nemoci a p\u0159\u00edpadn\u011b parazity bychom si v l\u00e9t\u011b m\u011bli d\u00e1vat pozor.
Monika ARENBERGEROV\u00c1, dermatolo\u017eka
No, j\u00e1 bych upozornila asi na to, co je to nej\u010dast\u011bj\u0161\u00ed v \u010desk\u00fdch podm\u00ednk\u00e1ch, a to jsou sinice a \u0159asy. Ty sinice n\u00e1s je\u0161t\u011b tolik nezas\u00e1hly, ale mysl\u00edm si, \u017ee v srpnu se bl\u00ed\u017e\u00ed obdob\u00ed, kdy sinice se objev\u00ed v t\u011bch vodn\u00edch \u010desk\u00fdch n\u00e1dr\u017e\u00edch, a tady v\u00edte, \u017ee se prov\u00e1d\u00ed tzv. l\u00e1hvov\u00e1 zkou\u0161ka, kdy vlastn\u011b odeberu vodu do l\u00e1hve a pokud se tam objev\u00ed zelen\u00fd prou\u017eek na povrchu t\u00e9 l\u00e1hve, tak v\u00edm, \u017ee se jedn\u00e1 o\u00a0posti\u017een\u00ed<\/strong>\u00a0sinicemi. A zde tak\u00e9 bych upozornila na to, \u017ee se m\u016f\u017ee vyskytnout alergick\u00e1 reakce v d\u016fsledku koup\u00e1n\u00ed ve vod\u011b se sinicemi a takov\u00fdm vodn\u00edm povrch\u016fm bych se tak\u00e9 vyhla. Samoz\u0159ejm\u011b, \u017ee n\u00e1s mohou postihnout i t\u0159eba fotoalergick\u00e9 reakce, \u010dili m\u016f\u017eeme si d\u00e1t, m\u011bli bychom si d\u00e1vat pozor zejm\u00e9na na ty zne\u010di\u0161t\u011bn\u00e9 vodn\u00ed povrchy.
So\u0148a Porupkov\u00e1, moder\u00e1torka
Tolik l\u00e9ka\u0159ka Monika Arenbergerov\u00e1, my d\u011bkujeme za rozhovor a p\u0159ejeme v\u00e1m hezk\u00fd zbytek ve\u010der.
Monika ARENBERGEROV\u00c1, dermatolo\u017eka
Kr\u00e1sn\u00fd ve\u010der.
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