\u017dloutenku typu C, kter\u00e1 je vn\u00edm\u00e1na jako nemoc narkoman\u016f a lid\u00ed na okraji spole\u010dnosti, odhalili l\u00e9ka\u0159i u Anny \u017d\u00e1rsk\u00e9 n\u00e1hodn\u011b d\u00edky tomu, \u017ee pat\u0159ila mezi d\u00e1rce krve. V jej\u00edm p\u0159\u00edpad\u011b do\u0161lo k n\u00e1kaze \u00fadajn\u011b na gynekologii. Vyl\u00e9\u010dila se a\u017e s n\u00e1stupem nov\u00fdch l\u00e9k\u016f.<\/p>\n\n\n\n
Hepatitida, neboli \u017eloutenka, typu C byla u Anny \u017d\u00e1rsk\u00e9 objevena n\u00e1hodou. \u201eByla jsem unaven\u00e1, ale jinak bezp\u0159\u00edznakov\u00e1. Bolesti jsem nem\u011bla,\u201c popisuje dnes u\u017e vyl\u00e9\u010den\u00e1 pacientka Anna \u017d\u00e1rsk\u00e1.<\/p>\n\n\n\n
L\u00e9ka\u0159i ji ze za\u010d\u00e1tku ne\u00fasp\u011b\u0161n\u011b l\u00e9\u010dili p\u016fvodn\u00ed nespecifickou l\u00e9\u010dbou. V roce 2007 musela kv\u016fli mal\u00e9mu n\u00e1doru podstoupit i transplantaci jater.<\/p>\n\n\n\n
Infekce se ale dostala i do transplantovan\u00fdch jater. \u201eVirus se ve mn\u011b dr\u017eel. Dokonce i pacienti, kte\u0159\u00ed drogovali, se vyl\u00e9\u010dili, ale j\u00e1 ne. Transplantace pro m\u011b byla t\u011b\u017ek\u00e1. Kdy\u017e si uv\u011bdom\u00edte, \u017ee kus v\u00e1s n\u011bkde sp\u00e1l\u00ed a m\u00e1te v sob\u011b ciz\u00ed org\u00e1n\u2026 Je tak\u00e9 n\u00e1ro\u010dn\u00e9 si p\u0159ipustit, \u017ee n\u011bkdo musel zem\u0159\u00edt, abyste vy mohla pokra\u010dovat,\u201c popisuje \u017d\u00e1rsk\u00e1, kter\u00e1 se domn\u00edv\u00e1, \u017ee se \u017eloutenkou nakazila kdysi u gynekologa.<\/p>\n\n\n\n
\u017dloutenka se vyskytuje i u pacient\u016f, kte\u0159\u00ed drogy nikdy neu\u017e\u00edvali<\/p>\n\n\n\n
Nyn\u00ed sedmdes\u00e1tilet\u00e1 vyl\u00e9\u010den\u00e1 pacientka se \u017eloutenkou nakazila ve 46 letech. Rok p\u0159ed transplantac\u00ed, v roce 2006, kdy j\u00ed bylo 53 let, ode\u0161la do invalidn\u00edho d\u016fchodu. Boj s hepatitidou C vyhr\u00e1la a\u017e v roce 2015 – s p\u0159\u00edchodem nov\u00fdch l\u00e9k\u016f. Ty se u\u017e\u00edvaj\u00ed v podob\u011b tablet po dobu 8 a\u017e 12 t\u00fddn\u016f. Nyn\u00ed u\u017e doch\u00e1z\u00ed jen na pravideln\u00e9 kontroly ka\u017ed\u00e9ho p\u016fl roku.<\/p>\n\n\n\n
V \u010cesk\u00e9 republice \u017eije p\u0159ibli\u017en\u011b 40 tis\u00edc infikovan\u00fdch osob, kter\u00e9 drogy nikdy neu\u017e\u00edvaly. Infekce p\u0159itom m\u016f\u017ee a\u017e des\u00edtky let prob\u00edhat zcela bezp\u0159\u00edznakov\u011b. Nav\u00edc na ni neexistuje o\u010dkov\u00e1n\u00ed.<\/p>\n\n\n\n
L\u00e9ka\u0159i tak pacienty sami aktivn\u011b vyhled\u00e1vaj\u00ed a doporu\u010duj\u00ed testov\u00e1n\u00ed v\u0161em, kte\u0159\u00ed se v minulosti dopustili rizikov\u00e9ho chov\u00e1n\u00ed \u2013 aplikovali si i jednor\u00e1zov\u011b drogu do \u017e\u00edly, nechali si ud\u011blat amat\u00e9rsk\u00e9 tetov\u00e1n\u00ed \u010di piercing nebo m\u011bli pohlavn\u00ed styk s nezn\u00e1mou osobou.<\/p>\n\n\n\n
Rizikovou skupinou jsou podle nov\u00fdch zji\u0161t\u011bn\u00ed i diabetici, proto\u017ee \u017eloutenka typu C napom\u00e1h\u00e1 vzniku cukrovky. \u201eV na\u0161\u00ed ambulanci m\u00e1 vy\u0161\u0161\u00ed jatern\u00ed testy cel\u00e1 \u0159ada pacient\u016f s diabetem. Po l\u00e9ta jsme zv\u00fd\u0161en\u00ed p\u0159i\u010d\u00edtali ztu\u010dn\u011bn\u00ed jater a konzumaci alkoholu, nyn\u00ed u\u017e v\u00edme, \u017ee test na hepatitidu C bychom m\u011bli prov\u00e9st alespo\u0148 jednou u ka\u017ed\u00e9ho diabetika,\u201c \u0159\u00edk\u00e1 vedouc\u00ed l\u00e9ka\u0159 ambulance Kliniky diabetologie v IKEMu Robert B\u00e9m.<\/p>\n\n\n\n
Cukrovka a \u017eloutenka typu C maj\u00ed n\u011bkter\u00e9 spole\u010dn\u00e9 rizikov\u00e9 faktory. Pat\u0159\u00ed mezi n\u011b \u0161patn\u00e1 strava, obezita nebo infekce p\u0159en\u00e1\u0161en\u00e1 krv\u00ed.<\/p>\n\n\n\n
P\u0159ed rokem 1992 nebyla \u017eloutenka typu C zn\u00e1ma<\/p>\n\n\n\n
Zvl\u00e1\u0161tn\u00ed rizikovou skupinou jsou tak\u00e9 lid\u00e9, kte\u0159\u00ed dostali krevn\u00ed transfuzi p\u0159ed rokem 1992, kdy virus je\u0161t\u011b nebyl objeven a krev se na n\u011bj netestovala.<\/p>\n\n\n\n
Nemoc p\u0159itom m\u016f\u017ee b\u00fdt v t\u011ble roky ne\u010dinn\u00e1 a projevovat se minim\u00e1ln\u00edmi p\u0159\u00edznaky. Pat\u0159\u00ed mezi n\u011b nap\u0159\u00edklad i \u00fanava, na kterou si st\u011b\u017eovala Anna \u017d\u00e1rsk\u00e1.<\/p>\n\n\n\n
\u017dloutenka typu C v\u0161ak sv\u00fdm nositel\u016fm t\u00e9m\u011b\u0159 ve v\u0161ech p\u0159\u00edpadech p\u0159ivod\u00ed fibr\u00f3zu a cirh\u00f3zu jater. Nejz\u00e1va\u017en\u011bj\u0161\u00edmi komplikacemi jsou selh\u00e1n\u00ed a n\u00e1dory jater, kter\u00e9 bez v\u010dasn\u00e9 transplantace mohou v\u00e9st a\u017e ke smrti.<\/p>\n\n\n\n
\u201eTo, \u017ee dostal krevn\u00ed transfuzi p\u0159i operaci nebo p\u0159i porodu, si m\u00e1lokdo pamatuje. Ale i po v\u00edce ne\u017e t\u0159iceti letech m\u016f\u017ee m\u00edt na tento okam\u017eik pam\u00e1tku, a to hepatitidu typu C,\u201c \u0159\u00edk\u00e1 z\u00e1stupkyn\u011b p\u0159ednosty pro klinickou hepatologii So\u0148a Fra\u0148kov\u00e1. Pr\u00e1v\u011b takov\u00ed pacienti p\u0159ich\u00e1zej\u00ed podle n\u00ed k l\u00e9\u010db\u011b velmi pozd\u011b, \u010dasto u\u017e s pokro\u010dilou jatern\u00ed cirh\u00f3zou.<\/p>\n\n\n\n
Podle l\u00e9ka\u0159\u016f se lid\u00e9, kte\u0159\u00ed tu\u0161\u00ed, \u017ee by mohli b\u00fdt infikov\u00e1ni, \u010dasto testov\u00e1n\u00ed vyh\u00fdbaj\u00ed, proto\u017ee hepatitida typu C p\u0159edstavuje z\u00e1va\u017en\u00e9 spole\u010densk\u00e9 stigma. Sou\u010dasn\u00e1 l\u00e9\u010dba je ov\u0161em dok\u00e1\u017ee zbavit infekce b\u011bhem dvou a\u017e t\u0159\u00ed m\u011bs\u00edc\u016f bez ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f l\u00e9k\u016f a ani nen\u00ed t\u0159eba prov\u00e1d\u011bt jatern\u00ed biopsii (odebr\u00e1n\u00ed vzorku pomoc\u00ed dut\u00e9 jehly zaveden\u00e9 do jater, pozn. red.). Odborn\u00edci z pra\u017esk\u00e9ho IKEMu proto pros\u00ed ka\u017ed\u00e9ho, kdo m\u00e1 pocit, \u017ee by mohl b\u00fdt infikov\u00e1n, aby se jim ozval.<\/p>\n\n\n\n
Prevenci doporu\u010duje i Anna \u017d\u00e1rsk\u00e1. \u201ePro\u0161la jsem si peklem, ale te\u010f jsem \u0161\u0165astn\u00e1. Nem\u00e1m \u017e\u00e1dn\u00e9 p\u0159\u00edznaky, jsem spokojen\u00fd \u010dlov\u011bk, m\u00e1m vnou\u010dky, jsem milovan\u00e1. Pokud lid\u00e9 vid\u00ed, \u017ee jsou unaven\u00ed a nev\u011bd\u00ed z \u010deho, a\u0165 se jdou testovat v r\u00e1mci prevence. Nikdo zkr\u00e1tka nev\u00ed, co m\u00e1 v t\u011ble,\u201c dod\u00e1v\u00e1.<\/p>\n\n\n\n
Infobox:<\/p>\n\n\n\n
– v \u010cesk\u00e9 republice \u017eije v\u00edce ne\u017e 40 tis\u00edc osob infikovan\u00fdch hepatitidou typu C<\/p>\n\n\n\n
– ro\u010dn\u011b je nov\u011b diagnostikovan\u00fdch p\u0159ibli\u017en\u011b tis\u00edc nov\u00fdch p\u0159\u00edpad\u016f<\/p>\n\n\n\n
– v\u011bt\u0161ina infikovan\u00fdch jedinc\u016f o sv\u00e9m onemocn\u011bn\u00ed nev\u00ed<\/p>\n\n\n\n
– \u017eloutenka (vir hepatitidy) typu C se p\u0159en\u00e1\u0161\u00ed krv\u00ed (nej\u010dast\u011bji nitro\u017eiln\u00ed aplikac\u00ed drog, d\u0159\u00edve krevn\u00ed transfuz\u00ed), pohlavn\u00edm stykem a z matky na d\u00edt\u011b p\u0159i porodu<\/p>\n\n\n\n
Eli\u0161ka Stodolov\u00e1<\/p>\n\n\n\n
Pra\u017esk\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/prazsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" \u017dloutenku typu C, kter\u00e1 je vn\u00edm\u00e1na jako nemoc narkoman\u016f a lid\u00ed na okraji spole\u010dnosti, odhalili l\u00e9ka\u0159i u Anny \u017d\u00e1rsk\u00e9 n\u00e1hodn\u011b d\u00edky tomu, \u017ee pat\u0159ila mezi […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":19818,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-41175","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\/41175","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=41175"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41175\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19818"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41175"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41175"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}