{"id":484,"date":"2019-07-29T08:23:58","date_gmt":"2019-07-29T06:23:58","guid":{"rendered":"http:\/\/docsites.cgmlife.com\/puvl\/?p=484"},"modified":"2019-07-29T08:23:58","modified_gmt":"2019-07-29T06:23:58","slug":"borelioza-informace-a-myty","status":"publish","type":"post","link":"https:\/\/docsites.cgmlife.com\/puvl\/2019\/07\/29\/borelioza-informace-a-myty\/","title":{"rendered":"Boreli\u00f3za informace a m\u00fdty"},"content":{"rendered":"<p><span style=\"text-decoration: underline\"> <span style=\"font-size: x-large\"><b>Informace a m\u00fdty o boreli\u00f3ze<\/b><\/span><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Lymesk\u00e1 boreli\u00f3za je nej\u010dast\u011bj\u0161\u00ed onemocn\u011bn\u00ed p\u0159en\u00e1\u0161en\u00e9 kl\u00ed\u0161\u0165aty u n\u00e1s<\/b>, 50 % pacient\u016f nev\u00ed o p\u0159is\u00e1t\u00ed kl\u00ed\u0161t\u011bte a o specifick\u00e9m zarudnut\u00ed s centr\u00e1ln\u00edm v\u00fdbledem.<\/p>\n<p>P\u0159enos na \u010dlov\u011bka prob\u00edh\u00e1 p\u0159is\u00e1t\u00edm kl\u00ed\u0161t\u011bte infikovan\u00e9ho boreliemi, <b>p\u0159ena\u0161e\u010dem jsou jak kl\u00ed\u0161\u0165<\/b><b>ata <\/b><b>dosp\u011bl\u00e1- pouze sami\u010dky saj\u00ed krev \u010di ve st\u00e1<\/b><b>d<\/b><b>iu nymfy<\/b>. Kl\u00ed\u0161\u0165ata ve st\u00e1diu larvy- pozn\u00e1me dle po\u010dtu nohou, kter\u00fdch je \u0161est, nejsou schopna borelie p\u0159en\u00e1\u0161et.<\/p>\n<p><b>P\u0159enos mezi lidmi nen\u00ed mo\u017en\u00fd.<\/b> <b>Riziko n\u00e1kazy stoup\u00e1 s dobou p\u0159is\u00e1t\u00ed, prvn\u00edch 24 hod je jen 2-4 %. Borelie byly nalezeny i v jin\u00e9m krev saj\u00edc\u00edm hmyzu nap\u0159 v kom\u00e1rech, ale p\u0159enos nebyl prok\u00e1z\u00e1n.<\/b><\/p>\n<p>Nemoc je v mnoha p\u0159\u00edpadech asymtomatick\u00e1, p\u0159\u00edpadn\u011b samo\u00fazdravn\u00e1 .<\/p>\n<p>K n\u00e1stupu p\u0159\u00edznak\u016f p\u0159isp\u00edv\u00e1 jin\u00e1 infekce \u010di zm\u011bn\u011bn\u00e1 imunita.<\/p>\n<p>&nbsp;<\/p>\n<p><b>Nej\u010dast\u011bjs\u00ed p\u0159\u00edznaky:<\/b><\/p>\n<p><b>&#8211; erytema migrans- \u0161\u00ed\u0159\u00edc\u00ed se \u010derven\u00e1 skvrna s centr\u00e1ln\u00edm v\u00fdbledem, postupuj\u00edc\u00ed okraj je odli\u0161n\u00fd, v\u00fdrazn\u011bji zbarven\u00fd, nen\u00ed vyv\u00fd\u0161en\u00fd<\/b><\/p>\n<p><b>&#8211; obrna l\u00edcn\u00edho nervu<\/b><\/p>\n<p><b>&#8211; otok kloubu<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><b>Laboratorn\u00ed diagnostika<\/b> je nej\u010dast\u011bji nep\u0159\u00edm\u00e1- z\u00e1chyt specifick\u00fdch protil\u00e1tek nej\u010dast\u011bji v krvi, \u010dasn\u00e9 protil\u00e1tky ale dosahuj\u00ed nejvy\u0161\u0161\u00edch hladin mezi 3.-6. t\u00fddnem od n\u00e1kazy, pot\u00e9 jejich hladina kles\u00e1, vy\u0161et\u0159en\u00ed tedy m\u00e1 smysl <b>a\u017e za 3-4 t\u00fddny po p\u0159is\u00e1t\u00ed kl\u00ed\u0161t\u011bte<\/b>.<\/p>\n<p>Pozdn\u00ed protil\u00e1tky protil\u00e1tky se tvo\u0159\u00ed mezi 6-10. t\u00fddnem, pot\u00e9 pomalu tak\u00e9 klesaj\u00ed.<\/p>\n<p><b>Ale pozor synt\u00e9za protil\u00e1tek m\u016f\u017ee p\u0159etrv\u00e1vat i \u0159adu let, klidn\u011b i do konce \u017eivota pacienta. <\/b><\/p>\n<p><b>U ko\u017en\u00edch forem se specifick\u00e9 protil\u00e1tky nemus\u00ed prok\u00e1zat v\u016fbec vzhledem ke kr\u00e1tk\u00e9mu pr\u016fb\u011bhu.<\/b><\/p>\n<p>Antibiotick\u00e1 l\u00e9\u010dba je u v\u0161ech forem lymesk\u00e9 borreli\u00f3zy, volba antibiotika se \u0159\u00edd\u00ed v\u011bkem, lokalizac\u00ed, projevem v\u010detn\u011b jeho d\u00e9lky. Pro \u00fasp\u011bch terapie napov\u00edd\u00e1 vymizen\u00ed \u010di zm\u00edrn\u011bn\u00ed p\u0159\u00edznak\u016f.<\/p>\n<p><b>V \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b hladina protil\u00e1tek nen\u00ed krit\u00e9riem.<\/b><\/p>\n<p>D\u00e9lka pod\u00e1v\u00e1n\u00ed za\u010d\u00edn\u00e1 na 10-14 dnech u \u010dasn\u00fdch forem , u dal\u0161\u00edch 14-21 dn\u00ed, u kloubn\u00edho posti\u017een\u00ed a\u017e 28 dn\u00ed.<\/p>\n<p><b>Opakov\u00e1n\u00ed \u010di prodlu\u017eov\u00e1n\u00ed l\u00e9\u010dby se nedoporu\u010duje. Pacient z n\u00ed neprofituje a zvy\u0161uje se riziko ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f.<\/b><\/p>\n<p>&nbsp;<\/p>\n<p>Pozn. Webov\u00e9 str\u00e1nky <a href=\"http:\/\/www.borelioza.cz\/\">www.borelioza.cz<\/a> jsou provozovan\u00e9 pacienty a dal\u0161\u00edmi laiky, port\u00e1l tud\u00ed\u017e obsahuje nespr\u00e1vn\u00e9 a zav\u00e1d\u011bj\u00edc\u00ed informace, kter\u00e9 mohou v\u00e9st k po\u0161kozen\u00ed pacienta.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Zdroj: Bulletin , 29. ro\u010dn\u00edk, 4\/2019<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Informace a m\u00fdty o boreli\u00f3ze &nbsp; Lymesk\u00e1 boreli\u00f3za je nej\u010dast\u011bj\u0161\u00ed onemocn\u011bn\u00ed p\u0159en\u00e1\u0161en\u00e9 kl\u00ed\u0161\u0165aty u n\u00e1s, 50 % pacient\u016f nev\u00ed o p\u0159is\u00e1t\u00ed kl\u00ed\u0161t\u011bte a o specifick\u00e9m zarudnut\u00ed s centr\u00e1ln\u00edm v\u00fdbledem. P\u0159enos na \u010dlov\u011bka prob\u00edh\u00e1 p\u0159is\u00e1t\u00edm kl\u00ed\u0161t\u011bte infikovan\u00e9ho boreliemi, p\u0159ena\u0161e\u010dem jsou jak kl\u00ed\u0161\u0165ata dosp\u011bl\u00e1- pouze sami\u010dky saj\u00ed krev \u010di ve st\u00e1diu nymfy. Kl\u00ed\u0161\u0165ata ve st\u00e1diu larvy- pozn\u00e1me [&hellip;]<\/p>\n","protected":false},"author":591,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wds_primary_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-484","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/posts\/484","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/users\/591"}],"replies":[{"embeddable":true,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/comments?post=484"}],"version-history":[{"count":2,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/posts\/484\/revisions"}],"predecessor-version":[{"id":486,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/posts\/484\/revisions\/486"}],"wp:attachment":[{"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/media?parent=484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/categories?post=484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/tags?post=484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}