{"id":42588,"date":"2023-10-02T12:55:18","date_gmt":"2023-10-02T10:55:18","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42588"},"modified":"2023-10-02T12:56:35","modified_gmt":"2023-10-02T10:56:35","slug":"testovani-tehotnych-ma-pomoci-vymytit-zloutenku-typu-c","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42588","title":{"rendered":"Testov\u00e1n\u00ed t\u011bhotn\u00fdch m\u00e1 pomoci vym\u00fdtit \u017eloutenku typu C"},"content":{"rendered":"\n

Nemoc ti\u0161e ni\u010d\u00ed j\u00e1tra, zp\u016fsobuje jejich tvrdnut\u00ed nebo i rakovinu<\/em><\/p>\n\n\n\n

L\u00e9ka\u0159i budou nov\u011b testovat t\u011bhotn\u00e9 \u017eeny na \u017eloutenku typu C. Tato z\u00e1ke\u0159n\u00e1 choroba se tak p\u0159ipoj\u00ed na seznam povinn\u011b testovan\u00fdch onemocn\u011bn\u00ed u t\u011bhotn\u00fdch, kam dosud pat\u0159ilo HIV, syfilis a \u017eloutenka typu B. Roz\u0161\u00ed\u0159en\u00ed testov\u00e1n\u00ed m\u00e1 zabr\u00e1nit dal\u0161\u00edmu p\u0159enosu nebezpe\u010dn\u00e9ho viru, kter\u00fd se krom\u011b krve a pohlavn\u00edho styku p\u0159en\u00e1\u0161\u00ed tak\u00e9 p\u0159i porodu z matky na d\u00edt\u011b. <\/strong><\/p>\n\n\n\n

\u017dloutenku typu C dlouh\u00e1 l\u00e9ta neprozrazuj\u00ed \u017e\u00e1dn\u00e9 varovn\u00e9 p\u0159\u00edznaky. Postupn\u011b v\u0161ak ni\u010d\u00ed j\u00e1tra a m\u016f\u017ee zp\u016fsobit jejich ztvrdnut\u00ed (cirh\u00f3zu) nebo dokonce rakovinu jater. O dal\u0161\u00edch kroc\u00edch, kter\u00e9 by vedly k jej\u00edmu vym\u00fdcen\u00ed, se budou infektologov\u00e9 radit na sv\u00e9m IX. kongresu klinick\u00e9 mikrobiologie, infek\u010dn\u00edch nemoc\u00ed a epidemiologie, kter\u00fd startuje 5. \u0159\u00edjna v Olomouci.<\/strong><\/p>\n\n\n\n

Povinn\u00e9 testov\u00e1n\u00ed t\u011bhotn\u00fdch na \u017eloutenku typu C upravuje nov\u00fd metodick\u00fd pokyn Ministerstva zdravotnictv\u00ed. U\u017e nyn\u00ed v\u0161ak mohou nast\u00e1vaj\u00edc\u00ed matky po\u017e\u00e1dat o tento test sv\u00e9ho gynekologa. \u201eProti \u017eloutence typu C se ned\u00e1 o\u010dkovat. Existuj\u00ed ale vysoce \u00fa\u010dinn\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky. S jejich pomoc\u00ed dok\u00e1\u017eeme nemocn\u00e9 \u017eloutenkou typu C zcela uzdravit. Je v\u0161ak pot\u0159eba odhalit nemoc v\u010das. Jsme proto moc r\u00e1di, \u017ee se n\u00e1m poda\u0159ilo prosadit testov\u00e1n\u00ed t\u011bhotn\u00fdch. V\u011b\u0159\u00edme, \u017ee nov\u00e1 metodika za\u010dne povinn\u011b platit je\u0161t\u011b do konce leto\u0161n\u00edho roku,\u201c<\/em> vysv\u011btluje prim. MUDr. Pavel Dlouh\u00fd, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed.<\/p>\n\n\n\n

V sou\u010dasn\u00e9 chv\u00edli je testov\u00e1n\u00ed na \u017eloutenku typu C povinn\u00e9 pouze p\u0159i d\u00e1rcovstv\u00ed krve nebo p\u0159i n\u00e1stupu do v\u011bzen\u00ed. Ro\u010dn\u011b tak l\u00e9ka\u0159i odhal\u00ed p\u0159ibli\u017en\u011b 1 000 nov\u00fdch p\u0159\u00edpad\u016f t\u00e9to \u017eloutenky. Nej\u010dast\u011bji jde o narkomany, kte\u0159\u00ed si drogu p\u00edchaj\u00ed nitro\u017eiln\u011b. \u017dloutenku v\u0161ak mohou m\u00edt tak\u00e9 d\u011bti infikovan\u00fdch matek, kter\u00e9 se nakazily p\u0159i porodu, nebo lid\u00e9, je\u017e p\u0159ed rokem 1992 dostali darovanou krev. Do t\u00e9 doby se toti\u017e p\u0159\u00edtomnost \u017eloutenky typu C v krvi d\u00e1rc\u016f nekontrolovala.<\/p>\n\n\n\n

\u201ePr\u00e1v\u011b te\u010f l\u00e9\u010d\u00edm pacienta, kter\u00fd se narodil v roce 1971. Ve 14 letech, kdy prod\u011blal kv\u016fli Crohnov\u011b chorob\u011b operaci st\u0159eva, se p\u0159i krevn\u00ed transfuzi nakazil \u017eloutenkou. Pacient je dlouhodob\u011b pod dohledem gastroenterolog\u016f, ale teprve nyn\u00ed n\u011bkoho napadlo ud\u011blat mu testy tak\u00e9 na \u017eloutenku,\u201c <\/em>popisuje prof. MUDr. Petr Husa, CSc., p\u0159ednosta Kliniky infek\u010dn\u00edch chorob Fakultn\u00ed nemocnice Brno.<\/p>\n\n\n\n

Podle odhad\u016f \u017eije v \u010cesk\u00e9 republice asi 50 000 nemocn\u00fdch. Zabr\u00e1nit \u0161\u00ed\u0159en\u00ed nemoci se sna\u017e\u00ed tak\u00e9 neziskov\u00e9 organizace, kter\u00e9 vym\u011b\u0148uj\u00ed injek\u010dn\u00ed st\u0159\u00edka\u010dky a zdarma nab\u00edz\u00ed anonymn\u00ed testov\u00e1n\u00ed na HIV, syfilis a \u017eloutenky typu B a C. O test je mo\u017en\u00e9 po\u017e\u00e1dat tak\u00e9 praktick\u00e9ho l\u00e9ka\u0159e. \u201eKa\u017ed\u00e9mu, kdo m\u011bl n\u011bkdy zv\u00fd\u0161en\u00e9 jatern\u00ed testy, bych doporu\u010dil prov\u011b\u0159it, \u017ee na vin\u011b nen\u00ed virov\u00e1 \u017eloutenka. \u010casto se nad t\u00edm m\u00e1vne rukou s t\u00edm, \u017ee za to m\u016f\u017ee alkohol nebo nadv\u00e1ha. To jsou skute\u010dn\u011b nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny zv\u00fd\u0161en\u00fdch hodnot jatern\u00edch test\u016f. V\u017edy je v\u0161ak nutn\u00e9 vylou\u010dit pomoc\u00ed krevn\u00edho testu i \u017eloutenku,\u201c<\/em> dopl\u0148uje prim. Dlouh\u00fd. <\/p>\n\n\n\n

O vym\u00fdcen\u00ed \u017eloutenky C usiluje dlouhodob\u011b Sv\u011btov\u00e1 zdravotnick\u00e1 organizace, kter\u00e1 tento c\u00edl ulo\u017eila tak\u00e9 \u010dlensk\u00fdm st\u00e1t\u016fm. Je\u0161t\u011b p\u0159ed 6 lety podstupovali pacienti se \u017eloutenkou typu C l\u00e9\u010dbu injekcemi s nep\u0159\u00edjemn\u00fdmi vedlej\u0161\u00edmi \u00fa\u010dinky a nejasn\u00fdmi v\u00fdsledky. Dnes maj\u00ed l\u00e9ka\u0159i k dispozici spolehliv\u00e9 l\u00e9ky v tablet\u00e1ch, kter\u00e9 se velmi dob\u0159e sn\u00e1\u0161\u00ed a pacienty zbav\u00ed viru natrvalo.<\/p>\n\n\n\n

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

Nemoc ti\u0161e ni\u010d\u00ed j\u00e1tra, zp\u016fsobuje jejich tvrdnut\u00ed nebo i rakovinu L\u00e9ka\u0159i budou nov\u011b testovat t\u011bhotn\u00e9 \u017eeny na \u017eloutenku typu C. Tato z\u00e1ke\u0159n\u00e1 choroba se tak […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16282,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42588","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\/42588","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=42588"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42588\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16282"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}