{"id":50170,"date":"2024-06-27T10:40:42","date_gmt":"2024-06-27T08:40:42","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=50170"},"modified":"2024-06-27T10:42:18","modified_gmt":"2024-06-27T08:42:18","slug":"sest-tipu-jak-v-lete-predejit-problemum-se-zazivanim","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=50170","title":{"rendered":"\u0160est tip\u016f, jak v l\u00e9t\u011b p\u0159edej\u00edt probl\u00e9m\u016fm se za\u017e\u00edv\u00e1n\u00edm"},"content":{"rendered":"\n<p><strong>Praha, 27. 6. 2024 \u2013 L\u00e9to, pr\u00e1zdniny a dovolen\u00e9 jsou v pln\u00e9m proudu. Spolu s nimi v\u0161ak tak\u00e9 r\u016fzn\u00e9 zdravotn\u00ed pot\u00ed\u017ee, kter\u00e9 v\u00e1s mohou na cest\u00e1ch potkat. Z exotick\u00fdch zem\u00ed si m\u016f\u017eete dom\u016f p\u0159iv\u00e9zt nep\u0159\u00edjemn\u00fd \u201esuven\u00fdr\u201c v podob\u011b st\u0159evn\u00edch pot\u00ed\u017e\u00ed a pr\u016fjm\u016f. Stejn\u011b ale m\u016f\u017ee t\u011blo reagovat na dom\u00e1c\u00ed p\u016fd\u011b, p\u0159edev\u0161\u00edm v dob\u011b veder. Jak se trabl\u016f se \u017ealudkem a\u00a0st\u0159evy vyvarovat a co nesm\u00ed chyb\u011bt v \u017e\u00e1dn\u00e9 cestovn\u00ed l\u00e9k\u00e1rni\u010dce, rad\u00ed doc. MUDr. Ilja Tachec\u00ed, p\u0159edseda \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti.<\/strong><\/p>\n\n\n\n<p><strong>Hygiena je z\u00e1klad<\/strong><\/p>\n\n\n\n<p>Pr\u016fjmy, zvracen\u00ed a za\u017e\u00edvac\u00ed pot\u00ed\u017ee nej\u010dast\u011bji zp\u016fsobuj\u00ed bakterie, kter\u00e9 produkuj\u00ed toxiny. Na vin\u011b mohou b\u00fdt i viry nebo paraziti. Proto je d\u016fle\u017eit\u00e9 v\u0161ude na dovolen\u00e9 dodr\u017eovat z\u00e1sady hygieny. <em>\u201eZ\u00e1kladem je d\u016fkladn\u00e9 mechanick\u00e9 myt\u00ed rukou m\u00fddlem a vodou po pou\u017eit\u00ed toalety a&nbsp;p\u0159ed j\u00eddlem. Nen\u00ed v\u017edy nutn\u00e9 pou\u017e\u00edvat dezinfekci, a pokud ano, tak jsou vhodn\u00e9 dezinfek\u010dn\u00ed prost\u0159edky na b\u00e1zi alkoholu,\u201c <\/em>\u0159\u00edk\u00e1 doc. Tachec\u00ed.<\/p>\n\n\n\n<p><strong>Pozor na to, co pijete a j\u00edte<\/strong><\/p>\n\n\n\n<p>Pr\u00e1v\u011b voda z nezn\u00e1m\u00fdch zdroj\u016f m\u016f\u017ee b\u00fdt p\u0159\u00ed\u010dinou toho, \u017ee se \u0161kodliv\u00e9 mikroorganismy dostanou do va\u0161eho za\u017e\u00edvac\u00edho traktu. Je tedy lep\u0161\u00ed d\u00e1vat p\u0159ednost balen\u00e9 nebo p\u0159eva\u0159en\u00e9 vod\u011b a vyhnout se ledu v n\u00e1poj\u00edch. Tak\u00e9 potraviny mohou b\u00fdt zdrojem st\u0159evn\u00edch infekc\u00ed. Z&nbsp;tohoto pohledu je rizikov\u00e9 p\u0159edev\u0161\u00edm takzvan\u00e9 street food, tedy j\u00eddlo z pouli\u010dn\u00edch st\u00e1nk\u016f. \u017dalude\u010dn\u00ed probl\u00e9my v\u0161ak zp\u016fsobuje i konzumace syrov\u00fdch nebo nedostate\u010dn\u011b tepeln\u011b upraven\u00fdch potravin. <em>\u201eJe dobr\u00e9 zv\u00e1\u017eit, zda ochutnat skute\u010dn\u011b v\u0161echny exotick\u00e9 pokrmy, kter\u00e9 se n\u00e1m po cest\u011b nab\u00edzej\u00ed. I pouh\u00e1 konzumace neobvykl\u00fdch potravin \u2013 by\u0165 nejsou infek\u010dn\u00ed \u2013 toti\u017e m\u016f\u017ee v\u00e9st k \u00faporn\u00fdm pr\u016fjm\u016fm,\u201c<\/em> varuje doc. Tachec\u00ed. Podle n\u011bj je ve vedru a na cest\u00e1ch lep\u0161\u00ed j\u00edst sp\u00ed\u0161e lehce stravitelnou a dob\u0159e tepeln\u011b upravenou stravu.<\/p>\n\n\n\n<p><strong>Nepodcenit p\u0159\u00edpravu!<\/strong><\/p>\n\n\n\n<p>St\u0159evn\u00edm n\u00e1kaz\u00e1m m\u016f\u017eeme p\u0159edch\u00e1zet. P\u0159ed odjezdem je vhodn\u00e9 ov\u011b\u0159it si, zda se v&nbsp;destinaci nevyskytuj\u00ed choroby, proti kter\u00fdm se lze o\u010dkovat. <em>\u201eZ vakcinace, kter\u00e1 m\u00e1 vztah k&nbsp;onemocn\u011bn\u00ed gastrointestin\u00e1ln\u00edho traktu, doporu\u010dujeme p\u0159edev\u0161\u00edm o\u010dkov\u00e1n\u00ed proti hepatitid\u011b A, b\u0159i\u0161n\u00edmu tyfu nebo jin\u00fdm endemick\u00fdm nemocem. P\u0159i cestov\u00e1n\u00ed do exoti\u010dt\u011bj\u0161\u00edch zem\u00ed je v\u017edy dobr\u00e9 o\u010dkov\u00e1n\u00ed konzultovat v centrech o\u010dkov\u00e1n\u00ed a cestovn\u00ed medic\u00edny,\u201c<\/em> doporu\u010duje doc. Tachec\u00ed. Pom\u00e1h\u00e1 tak\u00e9 u\u017e\u00edv\u00e1n\u00ed probiotik p\u0159ed a na za\u010d\u00e1tku cesty.<\/p>\n\n\n\n<p><strong>A co kdy\u017e u\u017e \u201eto\u201c na n\u00e1s p\u0159ijde?<\/strong><\/p>\n\n\n\n<p>R\u016fzn\u00e9 formy za\u017e\u00edvac\u00edch pot\u00ed\u017e\u00ed se podle expert\u016f objev\u00ed u 40\u201360 % cestovatel\u016f, zvl\u00e1\u0161\u0165 pokud vyraz\u00ed do ekonomicky m\u00e9n\u011b rozvinut\u00fdch zem\u00ed. Dominuje mezi nimi tzv. cestovatelsk\u00fd pr\u016fjem. <em>\u201eDobrou zpr\u00e1vou je, \u017ee naprost\u00e1 v\u011bt\u0161ina t\u011bchto obt\u00ed\u017e\u00ed spont\u00e1nn\u011b odezn\u00edv\u00e1. Je ale t\u0159eba tlumit v\u00fdrazn\u011bj\u0161\u00ed projevy jako \u00faporn\u00e9 pr\u016fjmy, zvracen\u00ed, bolesti b\u0159icha a teploty, i kv\u016fli riziku dehydratace,\u201c <\/em>\u0159\u00edk\u00e1 doc. Tachec\u00ed. D\u016fle\u017eit\u00e9 je podle n\u011bj v\u011bd\u011bt, ve kter\u00fdch p\u0159\u00edpadech je nutn\u00e9 vyhledat l\u00e9ka\u0159e. <em>\u201eVhodn\u00e9 je to p\u0159edev\u0161\u00edm p\u0159i obt\u00ed\u017e\u00edch trvaj\u00edc\u00edch d\u00e9le ne\u017e t\u00fdden, p\u0159i vysok\u00e9 hore\u010dce nad 38,5 \u00b0C nebo p\u0159i projevech dehydratace, jako jsou zmatenost, spavost, t\u011b\u017ek\u00e1 \u00fanava, svalov\u00e9 k\u0159e\u010de, mal\u00e9 mno\u017estv\u00ed mo\u010di. Jakmile se objev\u00ed krvav\u00e9 pr\u016fjmy, zesiluje bolest b\u0159icha a \u010dlov\u011bk nen\u00ed schopen j\u00edst a p\u00edt, pak je pomoc l\u00e9ka\u0159e nutn\u00e1,\u201c<\/em> rad\u00ed gastroenterolog.<\/p>\n\n\n\n<p><strong>Co si p\u0159ibalit do cestovn\u00ed l\u00e9k\u00e1rni\u010dky?<\/strong><\/p>\n\n\n\n<p>V l\u00e9k\u00e1rni\u010dce cestovatele by nem\u011bla chyb\u011bt takzvan\u00e1 adsorbencia, kter\u00e1 na sebe um\u00ed nav\u00e1zat toxiny a viry, nap\u0159\u00edklad aktivn\u00ed uhl\u00ed nebo diosmectit (Smecta). Ty m\u016f\u017eete u\u017e\u00edvat u v\u0161ech forem pr\u016fjm\u016f. <em>\u201eOpatrn\u011b a po nezbytn\u011b dlouhou dobu je mo\u017en\u00e9 pod\u00e1vat takzvan\u00e1 antimotilika, tedy l\u00e9ky sni\u017euj\u00edc\u00ed pohyblivost st\u0159ev, jako je nap\u0159\u00edklad Imodium. Naopak nevhodn\u00e1 jsou p\u0159edev\u0161\u00edm u krvav\u00fdch pr\u016fjm\u016f a vysok\u00fdch teplot. L\u00e9ky sni\u017euj\u00edc\u00ed sekreci tekutin jako Hidrasec lze pod\u00e1vat u vodnat\u00fdch pr\u016fjm\u016f jako podp\u016frn\u00e9 l\u00e9\u010divo. Obl\u00edben\u00e1 st\u0159evn\u00ed dezinficiencia jako nap\u0159. Endiaron rozhodn\u011b nepat\u0159\u00ed k l\u00e9k\u016fm prvn\u00ed volby, jsou ne\u00fa\u010dinn\u00e1 na virov\u00e9 a n\u011bkter\u00e9 bakteri\u00e1ln\u00ed pr\u016fjmy,\u201c <\/em>vysv\u011btluje doc. Tachec\u00ed. P\u0159i cestovatelsk\u00fdch pr\u016fjmech je podle n\u011bj kl\u00ed\u010dov\u00e1 dostate\u010dn\u00e1 hydratace vodou nebo rehydrata\u010dn\u00edm roztokem z l\u00e9k\u00e1rny. Ten si ostatn\u011b m\u016f\u017ee ka\u017ed\u00fd doma p\u0159ipravit s\u00e1m, sta\u010d\u00ed sm\u00edchat 8 \u010dajov\u00fdch l\u017ei\u010dek cukru, 1 l\u017ei\u010dku kuchy\u0148sk\u00e9 soli a \u0161\u0165\u00e1vu ze 2 pomeran\u010d\u016f v litru p\u0159eva\u0159en\u00e9 vody a n\u00e1sledn\u011b p\u00edt 250\u2013500 ml tohoto roztoku za hodinu.<\/p>\n\n\n\n<p><strong>Co hroz\u00ed pacient\u016fm?<\/strong><\/p>\n\n\n\n<p>V p\u0159\u00edpad\u011b, \u017ee u\u017e n\u011bkdo trp\u00ed chronick\u00fdm onemocn\u011bn\u00edm za\u017e\u00edvac\u00edho traktu, mus\u00ed b\u00fdt v l\u00e9t\u011b a p\u0159i cestov\u00e1n\u00ed velmi opatrn\u00fd. <em>\u201eGastroenterologi\u010dt\u00ed pacienti jsou obecn\u011b n\u00e1chyln\u011bj\u0161\u00ed ke zhor\u0161en\u00ed symptom\u016f onemocn\u011bn\u00ed p\u0159i cestov\u00e1n\u00ed, n\u011bkte\u0159\u00ed jsou n\u00e1chyln\u011bj\u0161\u00ed k n\u011bkter\u00fdm infek\u010dn\u00edm onemocn\u011bn\u00edm. Lid\u00e9, kte\u0159\u00ed se l\u00e9\u010d\u00ed s idiopatick\u00fdmi st\u0159evn\u00edmi z\u00e1n\u011bty, dr\u00e1\u017ediv\u00fdm tra\u010dn\u00edkem a&nbsp;dal\u0161\u00edmi onemocn\u011bn\u00edmi tr\u00e1vic\u00edho traktu, by se p\u0159ed cestou m\u011bli pro jistotu poradit se sv\u00fdm gastroenterologem,\u201c<\/em> rad\u00ed doc. Tachec\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Praha, 27. 6. 2024 \u2013 L\u00e9to, pr\u00e1zdniny a dovolen\u00e9 jsou v pln\u00e9m proudu. Spolu s nimi v\u0161ak tak\u00e9 r\u016fzn\u00e9 zdravotn\u00ed pot\u00ed\u017ee, kter\u00e9 v\u00e1s mohou na <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=50170\" title=\"\u0160est tip\u016f, jak v l\u00e9t\u011b p\u0159edej\u00edt probl\u00e9m\u016fm se za\u017e\u00edv\u00e1n\u00edm\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27907,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-50170","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\/50170","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=50170"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/50170\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27907"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50170"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50170"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}