{"id":44600,"date":"2024-01-08T06:59:58","date_gmt":"2024-01-08T05:59:58","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=44600"},"modified":"2024-01-08T06:59:58","modified_gmt":"2024-01-08T05:59:58","slug":"nadeje-pro-boj-s-lymeskou-boreliozou","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=44600","title":{"rendered":"Nad\u011bje pro boj s lymeskou boreli\u00f3zou\u00a0\u00a0"},"content":{"rendered":"\n

NOVA\u00a0– Televizn\u00ed noviny
Evropsk\u00e9 farmaceutick\u00e9 spole\u010dnosti aktu\u00e1ln\u011b vyv\u00edjej\u00ed a testuj\u00ed p\u0159es 100 nov\u00fdch vakc\u00edn a p\u0159elomovou by podle l\u00e9ka\u0159\u016f m\u011bla b\u00fdt ta na lymeskou boreli\u00f3zu. Na tu toti\u017e vakc\u00edna zat\u00edm neexistuje. Bakterie, kter\u00e9 nemoc zp\u016fsobuj\u00ed, p\u0159en\u00e1\u0161ej\u00ed kl\u00ed\u0161\u0165ata a naka\u017een\u00ed maj\u00ed zdravotn\u00ed probl\u00e9my \u010dasto a\u017e do konce \u017eivota. V\u00fdzkumn\u00edci ale bojuj\u00ed i proti antibiotick\u00e9 rezistenci a hledaj\u00ed nov\u00e9 l\u00e1tky, kter\u00e9 proti bakteri\u00edm budou fungovat.

Kl\u00e1ra Posp\u00ed\u0161ilov\u00e1, redaktorka
——————–
B\u011bhem posledn\u00edch let to mohlo vypadat, jako by se farmaceutick\u00fd sv\u011bt zastavil. A nic krom\u011b vakc\u00edn proti covidu-19 se nevynal\u00e9zalo. Opak je ale pravdou. Farmaceutick\u00e9 spole\u010dnosti aktu\u00e1ln\u011b pracuj\u00ed na 103 nov\u00fdch vakc\u00edn\u00e1ch. Nejv\u00edc vakc\u00edn l\u00e9ka\u0159i vyv\u00edjej\u00ed proti virov\u00fdm onemocn\u011bn\u00edm. Pozadu ale nejsou ani v p\u0159\u00edpad\u011b bakteri\u00e1ln\u00edch nemoc\u00ed. P\u0159elomovou vakc\u00ednou m\u00e1 b\u00fdt ta proti lymesk\u00e9 boreli\u00f3ze. Aktu\u00e1ln\u011b je v posledn\u00ed testovac\u00ed f\u00e1zi, tedy doch\u00e1z\u00ed k vyhodnocov\u00e1n\u00ed \u00fa\u010dinnosti l\u00e1tky na dobrovoln\u00edc\u00edch. T\u011bch je p\u0159ibli\u017en\u011b 6000 a jsou mezi nimi Finov\u00e9, N\u011bmci, Nizozemci, Pol\u00e1ci a Ameri\u010dan\u00e9. Tedy lid\u00e9 ze zem\u00ed, kde se boreli\u00f3za b\u011b\u017en\u011b vyskytuje. Jedn\u00edm z dobrovoln\u00edk\u016f je i Robert.

Robert Terwilliger, dobrovoln\u00edk
——————–
Jsem velmi nad\u0161en\u00fd a douf\u00e1m, \u017ee vakc\u00edna lidem pom\u016f\u017ee.

Annaliesa Andersonov\u00e1, viceprezidentka spole\u010dnosti Pfizer
——————–
S t\u00edm, jak v\u00fdskyt lymsk\u00e9 boreli\u00f3zy glob\u00e1ln\u011b roste, je nov\u00e1 mo\u017enost ochrany d\u016fle\u017eit\u011bj\u0161\u00ed ne\u017e kdy d\u0159\u00edv. Vakc\u00edna VLA15 m\u00e1 skv\u011bl\u00e9 v\u00fdsledky.

Kl\u00e1ra Posp\u00ed\u0161ilov\u00e1, redaktorka
——————–
Vakc\u00edna je rozd\u011blena do t\u0159\u00ed d\u00e1vek, po kter\u00fdch je\u0161t\u011b s odstupem \u010dasu n\u00e1sleduje posilovac\u00ed d\u00e1vka. Podle p\u0159edb\u011b\u017en\u00fdch odhad\u016f by vakc\u00edna mohla b\u00fdt k dispozici u\u017e b\u011bhem roku 2025. \u010cesk\u00e1 republika pat\u0159\u00ed k zem\u00edm se zv\u00fd\u0161en\u00fdm v\u00fdskytem naka\u017een\u00fdch kl\u00ed\u0161\u0165at. Jen letos boreli\u00f3zu p\u0159en\u00e1\u0161elo zhruba ka\u017ed\u00e9 des\u00e1t\u00e9. Ka\u017edoro\u010dn\u011b onemocn\u00ed na 4000 \u010cech\u016f. Kl\u00e1ra Posp\u00ed\u0161ilov\u00e1, televize Nova.

Martin Pouva, moder\u00e1tor
——————–
A ve vys\u00edl\u00e1n\u00ed je te\u010f s n\u00e1mi prakticky l\u00e9ka\u0159 Cyril Mucha.

Kristina Kloubkov\u00e1, moder\u00e1torka
——————–
Hezk\u00fd ve\u010der, pane doktore. V \u010dem je lymesk\u00e1 boreli\u00f3za pro \u010dlov\u011bka tak z\u00e1ke\u0159n\u00e1 a jak\u00e9 zdravotn\u00ed komplikace m\u016f\u017ee zp\u016fsobit?

Cyril Mucha, praktick\u00fd l\u00e9ka\u0159 Praha
——————–
Tak je to jedna z nemoc\u00ed, kter\u00e9 p\u0159en\u00e1\u0161\u00ed kl\u00ed\u0161\u0165ata spole\u010dn\u011b s meningitidou. A jej\u00ed zr\u00e1dnost je v tom, \u017ee se \u010dasto nemus\u00ed v\u016fbec projevit. A zejm\u00e9na ty chronick\u00e9, chronick\u00e1 stadia se vlastn\u011b m\u016f\u017eou projevit a\u017e za pom\u011brn\u011b dlouhou dobu, \u017ee si je vlastn\u011b nikdo nemus\u00ed d\u00e1vat do spojen\u00ed s kl\u00ed\u0161t\u011btem nebo s n\u00e1kazou kl\u00ed\u0161t\u011btem.

Martin Pouva, moder\u00e1tor
——————–
Pane doktore, a jak se ta boreli\u00f3za l\u00e9\u010d\u00ed a jak \u00fasp\u011b\u0161n\u00e1 ta l\u00e9\u010dba je?

Cyril Mucha, praktick\u00fd l\u00e9ka\u0159 Praha
——————–
Tak tam je nutno si uv\u011bdomit, \u017ee jsou zhruba dv\u011b z\u00e1kladn\u00ed stadia. Je akutn\u00ed onemocn\u011bn\u00ed. To se projevuje tak od dvou do t\u0159ech t\u00fddn\u016f po p\u0159is\u00e1t\u00ed toho kl\u00ed\u0161t\u011bte. A je to nej\u010dast\u011bji takzvan\u00e1 erit\u00e9ma chroniku migrant, co\u017e je vlastn\u011b takov\u00e1 vyr\u00e1\u017eka na k\u016f\u017ei, kter\u00e1 kdy\u017e se objev\u00ed, tak je celkem specifick\u00e1 a l\u00e9\u010d\u00ed se velmi dob\u0159e a velmi \u00fasp\u011b\u0161n\u011b antibiotickou l\u00e9\u010dbou, zhruba tak 10-14, n\u011bkdy t\u0159i t\u00fddny. Podle toho, co to je a celkem ta \u00fasp\u011b\u0161nost je velmi vysok\u00e1. Nejzr\u00e1dn\u011bj\u0161\u00ed jsou potom stadia takzvan\u00e1 chronick\u00e1, kter\u00e1 se m\u016f\u017eou projevit a\u017e po t\u00e9 dlouh\u00e9 dob\u011b. A tam je s tou l\u00e9\u010dbou tro\u0161ku v\u011bt\u0161\u00ed probl\u00e9m a hlavn\u011b s tou diagnostikou, proto\u017ee jsou to \u010dasto nespecifick\u00e9 p\u0159\u00edznaky jako bolesti sval\u016f, \u00fanava, v\u011bt\u0161inou je tam typick\u00fd otok jednoho kloubu nebo\u00a0posti\u017een\u00ed<\/strong>\u00a0jednoho velk\u00e9ho kloubu a podobn\u011b. A tam se potom l\u00e9\u010d\u00ed antibiotiky tak\u00e9. Ta \u00fasp\u011b\u0161nost je tak\u00e9 dobr\u00e1, ale u\u017e mus\u00ed b\u00fdt v\u00fdrazn\u011b del\u0161\u00ed. Tam je v\u011bt\u0161inou aspo\u0148 t\u0159i t\u00fddny. Probl\u00e9m je potom s tou diagnostikou u t\u011bchto chorob, proto\u017ee diagnostika pomoc\u00ed protil\u00e1tek, co\u017e je nej\u010dast\u011bj\u0161\u00ed, je v \u010cesk\u00e9 republice velice problematick\u00e1, proto\u017ee se ukazuje, \u017ee zhruba 30 % lid\u00ed prod\u011bl\u00e1 lymeskou boreli\u00f3zu, ani\u017e o tom v\u00ed a vlastn\u011b bezp\u0159\u00edznakov\u011b. To znamen\u00e1, \u017ee se vyl\u00e9\u010d\u00ed, ani\u017e by m\u011bli n\u011bjak\u00e9 v\u011bt\u0161\u00ed probl\u00e9my. Ale protil\u00e1tky u nich p\u0159etrv\u00e1vaj\u00ed. A pak je samoz\u0159ejm\u011b ta ot\u00e1zka, jestli, kdy\u017e se objev\u00ed takov\u00e9hle p\u0159\u00edznaky, jestli opravdu jsou k t\u00e9 boreli\u00f3ze nebo k n\u011bjak\u00e9mu star\u0161\u00edmu stadiu, anebo k n\u011bjak\u00e9 jin\u00e9 chorob\u011b.

Kristina Kloubkov\u00e1, moder\u00e1torka
——————–
Poj\u010fme je\u0161t\u011b se pod\u00edvat na ty antibiotika, proto\u017ee v report\u00e1\u017ei zazn\u011blo, \u017ee v\u00fdzkumn\u00edci hledaj\u00ed i nov\u00e9 cesty, jak se vypo\u0159\u00e1dat s antibiotickou rezistenc\u00ed. Pokud teda na \u010dlov\u011bka antibiotika nezab\u00edraj\u00ed, jak se l\u00e9\u010d\u00ed?

Cyril Mucha, praktick\u00fd l\u00e9ka\u0159 Praha
——————–
Tak v prv\u00e9 \u0159ad\u011b bych \u0159ekl, \u017ee ta vakc\u00edna by byla obrovsk\u00fdm p\u0159\u00ednosem, proto\u017ee vlastn\u011b nao\u010dkovan\u00fd \u010dlov\u011bk by de facto t\u00e9m\u011b\u0159 nemohl b\u00fdt naka\u017een lymeskou boreli\u00f3zou. To znamen\u00e1 i s t\u011bmi p\u0159\u00edznaky, kdyby p\u0159ich\u00e1zel do ordinace, tak by v\u00edcem\u00e9n\u011b ta, tato diagn\u00f3za nep\u0159ipadala v \u00favahu nebo velmi nepravd\u011bpodobn\u011b. Dal\u0161\u00edm p\u0159\u00ednosem by bylo pr\u00e1v\u011b to, \u017ee by se v\u00fdrazn\u011b m\u00ed\u0148 lid\u00ed l\u00e9\u010dilo antibiotiky, proto\u017ee \u010dasto se d\u00e1v\u00e1, d\u00e1vaj\u00ed ty antibiotika pr\u00e1v\u011b tomu \u010dlov\u011bkovi, kter\u00fd vlastn\u011b ty p\u0159\u00edznaky m\u00e1 podobn\u00e9 a nev\u00ed se stoprocentn\u011b, \u017ee to je lymesk\u00e1 boreli\u00f3za. To znamen\u00e1, \u017ee se \u010dasto d\u00e1vaj\u00ed naslepo a vlastn\u011b t\u00edm se pr\u00e1v\u011b zvy\u0161uje ta antibiotick\u00e1 rezistence. No a l\u00e9\u010dba vlastn\u011b jin\u00fdmi metodami ne\u017e antibiotiky v tuto chv\u00edli de facto nen\u00ed mo\u017en\u00e1. Vlastn\u011b jedinou mo\u017enost\u00ed je pr\u00e1v\u011b to o\u010dkov\u00e1n\u00ed, kter\u00e9 ale bohu\u017eel v \u010cesk\u00e9 republice dosud pro \u010dlov\u011bka neexistuje, existuje pro zv\u00ed\u0159ata.

Martin Pouva, moder\u00e1tor
——————–
Rozum\u00edme, pane doktore, d\u011bkujeme za v\u00e1\u0161 \u010das a p\u0159ejeme hezk\u00fd sv\u00e1te\u010dn\u00ed ve\u010der.


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

NOVA\u00a0– Televizn\u00ed novinyEvropsk\u00e9 farmaceutick\u00e9 spole\u010dnosti aktu\u00e1ln\u011b vyv\u00edjej\u00ed a testuj\u00ed p\u0159es 100 nov\u00fdch vakc\u00edn a p\u0159elomovou by podle l\u00e9ka\u0159\u016f m\u011bla b\u00fdt ta na lymeskou boreli\u00f3zu. Na […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14126,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-44600","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\/44600","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=44600"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/44600\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14126"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=44600"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=44600"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=44600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}