p\u0159etrv\u00e1v\u00e1 stav ch\u0159ipkov\u00e9 epidemie. Podle dat Krajsk\u00e9 hygienick\u00e9 stanice Moravskoslezsk\u00e9ho kraje byla minul\u00fd t\u00fdden nejvy\u0161\u0161\u00ed nemocnost v okrese Fr\u00fddek-M\u00edstek, nicm\u00e9n\u011b sv\u00e9 vlastn\u00ed zku\u0161enosti u\u017e mi te\u010f dopln\u00ed l\u00e9ka\u0159 kliniky infek\u010dn\u00edho odd\u011blen\u00ed ostravsk\u00e9 Fakultn\u00ed nemocnice Ji\u0159\u00ed Sagan. <\/p>\n\n\n\n
za\u010dn\u011bme pros\u00edm obecn\u011b n\u011bjak\u00fdmi radami jin\u00fdmi slovy jak m\u00e1 \u010dlov\u011bk poznat, \u017ee m\u00e1 s nemoc\u00ed u\u017e p\u0159ij\u00edt k l\u00e9ka\u0159i a kdy ji je\u0161t\u011b je schopen takzvan\u011b vyle\u017eet s\u00e1m doma. <\/p>\n\n\n\n
mluv\u010d\u00ed 9,<\/strong> V t\u011bch prvn\u00edch dnech si mysl\u00edm, \u017ee 12 dn\u00ed je schopn\u00fd \u010dlov\u011bk vyle\u017eet doma onemocn\u011bn\u00ed ch\u0159ipkou nicm\u00e9n\u011b pokud potom z\u016fstane nebo je vysok\u00e1 hore\u010dka a p\u0159idru\u017e\u00ed se v\u011bci jako je nap\u0159\u00edklad du\u0161nost nebo ka\u0161el t\u011b\u017ek\u00fd tak je dobr\u00e9 potom j\u00edt k tomu praktick\u00e9mu l\u00e9ka\u0159i a praktick\u00fd l\u00e9ka\u0159 potom rozhodne jestli toho pacienta po\u0161le do nemocnice nebo ho nech\u00e1 doma nebo s n\u00edm ud\u011blat n\u011bjak\u00e9 dal\u0161\u00ed \u0159e\u0161en\u00ed kter\u00e9 je pot\u0159eba.<\/p>\n\n\n\n mluv\u010d\u00ed 8,<\/strong> Podle va\u0161ich aktu\u00e1ln\u00edch zku\u0161enost\u00ed jak ta situace vypad\u00e1? Pos\u00edlaj\u00ed v\u00e1m sem prakti\u010dt\u00ed l\u00e9ka\u0159i ty pacienty? <\/p>\n\n\n\n mluv\u010d\u00ed 9, Sp\u00ed\u0161e ne. Sp\u00ed\u0161e se sna\u017e\u00ed ty pacienty udr\u017eet doma. Ale v\u011bt\u0161inou Co se st\u00e1v\u00e1? Ti pacienti p\u0159ij\u00ed\u017ed\u011bj\u00ed typicky nap\u0159\u00edklad v noci a s takov\u00fdm t\u011b\u017ek\u00fdm stavem. Nap\u0159\u00edklad t\u0159eba \u017ee maj\u00ed ni\u017e\u0161\u00ed saturaci kysl\u00edkem, \u0161patn\u011b se jim d\u00fdch\u00e1, bol\u00ed je klouby, svaly. A v tom p\u0159\u00edpad\u011b pacienti p\u0159ij\u00ed\u017ed\u011bj\u00ed tady k n\u00e1m p\u0159\u00edmo, bez doporu\u010den\u00ed toho praktick\u00e9ho l\u00e9ka\u0159e. <\/p>\n\n\n\n mluv\u010d\u00ed 8,<\/strong> A jsou tyto t\u011b\u017ek\u00e9 stavy to zhor\u0161en\u00ed? B\u00fdv\u00e1 to u t\u00e9 ch\u0159ipky b\u011b\u017en\u00e9? <\/p>\n\n\n\n mluv\u010d\u00ed 9,<\/strong> B\u00fdv\u00e1 to b\u011b\u017en\u00e9, proto\u017ee ch\u0159ipka se m\u016f\u017ee zkomplikovat nejenom samotn\u00fdmi t\u011bmi respira\u010dn\u00edmi komplikacemi, jako je z\u00e1pal plic, ale mohou to b\u00fdt i mimoplicn\u00ed komplikace, jako jsou bolesti kloub\u016f, sval\u016f. V\u00fdrazn\u011b m\u016f\u017ee b\u00fdt posti\u017een\u00fd gastrointestin\u00e1ln\u00ed trakt, to znamen\u00e1, ten pacient m\u016f\u017ee m\u00edt t\u011b\u017ek\u00fd pr\u016fjem a to je doba, kdy ten pacient m\u00e1 p\u0159ij\u00edt do nemocnice. <\/p>\n\n\n\n mluv\u010d\u00ed 8, Jak vy tyto p\u0159\u00edznaky potom n\u00e1sledn\u011b l\u00e9\u010d\u00edte? <\/p>\n\n\n\n mluv\u010d\u00ed 9,<\/strong> N\u00e1sledn\u011b potom toho pacienta hospitalizujeme Pokud je hydratovan\u00fd a m\u00e1 m\u00e1lo tekutin v sob\u011b, tak podat tekutiny do \u017e\u00edly. N\u00e1sledn\u011b potom m\u00e1me v\u00fdborn\u00fd l\u00e9k protivirov\u00fd, kter\u00fd se jmenuje Tamiflu, pacient\u016fm, u kter\u00fdch prok\u00e1\u017eeme ch\u0159ipku, tak pod\u00e1v\u00e1me tady tento l\u00e9k a n\u00e1sledn\u011b pokud pot\u0159ebuj\u00ed kysl\u00edkovou terapii, tak jim pod\u00e1v\u00e1me kysl\u00edk. <\/p>\n\n\n\n mluv\u010d\u00ed 8,<\/strong> M\u00e1te te\u010f n\u011bjak\u00e9 pacienty s t\u00edmto onemocn\u011bn\u00edm hospitalizovan\u00e9 i na jednotce intenzivn\u00ed p\u00e9\u010de. A pokud ano, tak pro\u010d. Jin\u00fdmi slovy, co se u nich zkomplikovalo? <\/p>\n\n\n\n mluv\u010d\u00ed 9, T\u011bch pacient\u016f jsme m\u011bli t\u0159i, te\u010fka v tuhle chv\u00edli m\u00e1me jednoho pacienta, pouze ostatn\u00ed se uzdravili. Jedna pacientka bohu\u017eel zem\u0159ela s t\u00edm, \u017ee u t\u011bch pacient\u016f se zkomplikovalo to, \u017ee m\u011bli t\u011b\u017ek\u00fd z\u00e1pal plic a pot\u0159ebovali vysokou podporu kysl\u00edkem <\/p>\n\n\n\n mluv\u010d\u00ed 8,<\/strong> D\u00e1 se vyty\u010dit n\u011bjak\u00fd v\u011bkov\u00fd pr\u016fm\u011br nebo n\u011bjak\u00e1 v\u011bkov\u00e1 hranice? Pro koho je ta ch\u0159ipka nejkriti\u010dt\u011bj\u0161\u00ed, nejz\u00e1va\u017en\u011bj\u0161\u00ed. <\/p>\n\n\n\n mluv\u010d\u00ed 9,<\/strong> Asi v tuhle chv\u00edli nejt\u011b\u017e\u0161\u00ed p\u0159\u00edpady jsou u star\u0161\u00ed populace, to znamen\u00e1 u t\u011bch senior\u016f, \u0159ekn\u011bme, nad 65 let. Typicky samoz\u0159ejm\u011b u neo\u010dkovan\u00fdch pacient\u016f tady apelujeme na to, aby se populace o\u010dkovala proto\u017ee to je z\u00e1kladn\u00ed pil\u00ed\u0159 t\u00e9 prevence a n\u00e1sledn\u011b potom jsou to p\u0159idru\u017een\u00e9 choroby, jako jsou vysok\u00fd krevn\u00ed tlak, cukrovka, typicky pacienti s onkologick\u00fdmi onemocn\u011bn\u00edmi nebo onkologi\u010dt\u00ed pacienti. Tak to jsou pacienti, u kter\u00fdch m\u016f\u017ee prob\u00edhat ch\u0159ipka t\u011b\u017ece. <\/p>\n\n\n\n mluv\u010d\u00ed 8,<\/strong> Vy jste zmi\u0148oval, \u017ee jeden z t\u011bch t\u0159\u00ed pacient\u016f na toto onemocn\u011bn\u00ed zem\u0159el. Byla to ta pat\u0159il do t\u00e9 v\u011bkov\u00e9 kategorie t\u011bch star\u0161\u00edch lid\u00ed nebo naopak m\u011bl n\u011bjak\u00e9 to p\u0159idru\u017een\u00e9 onemocn\u011bn\u00ed? <\/p>\n\n\n\n mluv\u010d\u00ed 9,<\/strong> Ano, bohu\u017eel byl to senior t\u00e9m\u011b\u0159 osmdes\u00e1tilet\u00fd, tak\u017ee m\u011bl v\u00edcero p\u0159idru\u017een\u00fdch onemocn\u011bn\u00ed, proto ten pr\u016fb\u011bh byl takov\u00fd t\u011b\u017ek\u00fd. <\/p>\n\n\n\n mluv\u010d\u00ed 8,<\/strong> J\u00e1 se je\u0161t\u011b vr\u00e1t\u00edm k tomu va\u0161emu doporu\u010den\u00ed nebo respektive tedy apelu, to znamen\u00e1, aby se lid\u00e9 o\u010dkovali, jak \u00fa\u010dinn\u00e9 to o\u010dkov\u00e1n\u00ed a komu zejm\u00e9na, abyste jej doporu\u010dovali, jestli to jsou ti senio\u0159i nebo je\u0161t\u011b jin\u00e1 kategorie.<\/p>\n\n\n\n mluv\u010d\u00ed 9,<\/strong> Ta \u00fa\u010dinnost o\u010dkov\u00e1n\u00ed je velmi dobr\u00e1, ta n\u00e1s chr\u00e1n\u00ed proti t\u011b\u017ek\u00e9mu pr\u016fb\u011bhu, to znamen\u00e1 pobytu na jednotce intenzivn\u00ed p\u00e9\u010de a doporu\u010dili bychom to vlastn\u011b v\u0161em. Je mo\u017en\u00e9 o\u010dkovat d\u011bti od jednoho roku v\u011bku, proto\u017ee to riziko u t\u011bch mal\u00fdch d\u011bt\u00ed je taky tak jako u t\u011bch dosp\u011bl\u00fdch. To znamen\u00e1 kolektivy ve \u0161kol\u00e1ch, ve \u0161kolk\u00e1ch, tak tam ten probl\u00e9m vid\u00edme velik\u00fd. Nicm\u00e9n\u011b doporu\u010dujeme samoz\u0159ejm\u011b t\u011bm rizikov\u00fdm ur\u010dit\u011b v\u00edce. To znamen\u00e1, jak jsme tady zm\u00ednili, pacienti s chronick\u00fdmi onemocn\u011bn\u00edmi, jako je cukrovka, jako je vysok\u00fd krevn\u00ed tlak, eventu\u00e1ln\u011b n\u011bjak\u00e1 onkologick\u00e1 onemocn\u011bn\u00ed, tak tam rozhodn\u011b doporu\u010dujeme o\u010dkov\u00e1n\u00ed proti ch\u0159ipce. Nicm\u00e9n\u011b nao\u010dkovat by se m\u011bl ka\u017ed\u00fd, proto\u017ee proo\u010dkovanost v \u010cesk\u00e9 republice velmi n\u00edzk\u00e1 proti ch\u0159ipce a my to vid\u00edme v t\u011bch tzv. ch\u0159ipkov\u00fdch respira\u010dn\u00edch sez\u00f3n\u00e1ch, \u017ee t\u011bch pacient\u016f je spousta, i spousta neo\u010dkovan\u00fdch. A to riziko toho, \u017ee se pod\u00e1 o\u010dkovac\u00ed l\u00e1tka, je mal\u00e9. Nej\u010dast\u011bji jsou tu bolesti v m\u00edst\u011b vpichu, to znamen\u00e1, \u010dlov\u011bk by se nem\u011bl v\u016fbec b\u00e1t a nao\u010dkovat by se ur\u010dit\u011b m\u011bl. <\/p>\n\n\n\n mluv\u010d\u00ed 8,<\/strong> V jak\u00e9m obdob\u00ed je to o\u010dkov\u00e1n\u00ed nejlep\u0161\u00ed aplikovat? <\/p>\n\n\n\n mluv\u010d\u00ed 9,<\/strong> Nejlep\u0161\u00ed je aplikovat \u0159ekn\u011bme \u0159\u00edjen, listopad, prosinec ale je\u0161t\u011b v tuhle chv\u00edli jsme schopni doporu\u010dit, \u017ee je mo\u017en\u00e9 nao\u010dkovat i ty pacienty je\u0161t\u011b v tuhle chv\u00edli, proto\u017ee \u010dek\u00e1me tu sez\u00f3nu, \u0159ekn\u011bme je\u0161t\u011b cel\u00fd leden, \u00fanor mo\u017en\u00e1 n\u011bco malinko b\u0159ezen tak doporu\u010dujeme, proto\u017ee ty protil\u00e1tky, kter\u00e9 se vytvo\u0159\u00ed, tak nastupuj\u00ed po 14 dnech po aplikaci t\u00e9 vakc\u00edny tak\u017ee n\u00e1sledn\u011b potom m\u00e1me tady je\u0161t\u011b, \u0159ekn\u011bme m\u011bs\u00edc m\u011bs\u00edc a p\u016fl, kdy ten pacient m\u016f\u017ee b\u00fdt chr\u00e1n\u011bn\u00fd p\u0159ed t\u00edm t\u011b\u017ek\u00fdm pr\u016fb\u011bhem a nemus\u00ed skon\u010dit na jednotce intenzivn\u00ed p\u00e9\u010de. <\/p>\n\n\n\n Pane doktore, Jen posledn\u00ed ot\u00e1zka z va\u0161\u00ed vlastn\u00ed zku\u0161enosti tady v ostravsk\u00e9 fakultn\u00ed nemocnici zaznamen\u00e1v\u00e1te, \u017ee je ten po\u010det t\u011bch nemocn\u00fdch naka\u017een\u00fdch vy\u0161\u0161\u00ed nebo je to podle v\u00e1s standardn\u00ed situace v zimn\u00edm obdob\u00ed? <\/p>\n\n\n\n mluv\u010d\u00ed 9,<\/strong> Zat\u00edm v tuhle chv\u00edli vid\u00edme, \u017ee ta situace je stejn\u00e1. Ono je to tak, pohybuje se kolem 57 pacient\u016f s ch\u0159ipkou, ale m\u00e1me tady i jin\u00e1 onemocn\u011bn\u00ed, virov\u00e1, typicky nap\u0159\u00edklad parach\u0159ipka, co\u017e je takov\u00e9 podobn\u00e9 onemocn\u011bn\u00ed. A potom m\u00e1me tady RS viry a m\u00e1me tady covid, kter\u00fd tady s n\u00e1ma po\u0159\u00e1d je\u0161t\u011b lehounce. To znamen\u00e1, \u017ee i s t\u011bmito po\u010d\u00edt\u00e1me v tuhle chv\u00edli. <\/p>\n\n\n\n mluv\u010d\u00ed 8, ——————– Pane doktore, j\u00e1 v\u00e1m moc d\u011bkuji a p\u0159eji pokud mo\u017eno co mo\u017en\u00e1 nejv\u011bt\u0161\u00ed po\u010det uzdraven\u00fdch.<\/p>\n","protected":false},"excerpt":{"rendered":" p\u0159etrv\u00e1v\u00e1 stav ch\u0159ipkov\u00e9 epidemie. Podle dat Krajsk\u00e9 hygienick\u00e9 stanice Moravskoslezsk\u00e9ho kraje byla minul\u00fd t\u00fdden nejvy\u0161\u0161\u00ed nemocnost v okrese Fr\u00fddek-M\u00edstek, nicm\u00e9n\u011b sv\u00e9 vlastn\u00ed zku\u0161enosti u\u017e mi […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14171,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-62686","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\/62686","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=62686"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/62686\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14171"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=62686"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62686"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}