{"id":10331,"date":"2023-09-14T16:20:07","date_gmt":"2023-09-14T14:20:07","guid":{"rendered":"https:\/\/tv.a11.cz\/?post_type=video&#038;p=10331"},"modified":"2023-09-15T16:49:53","modified_gmt":"2023-09-15T14:49:53","slug":"v-prostejove-odhaluji-legionellu","status":"publish","type":"video","link":"https:\/\/tv.a11.cz\/video\/v-prostejove-odhaluji-legionellu\/","title":{"rendered":"V Prost\u011bjov\u011b odhaluj\u00ed legionellu"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>Voda z n\u00e1dr\u017e\u00ed, trubek, ale tak\u00e9 klimatizac\u00ed, v\u00ed\u0159ivek nebo zvlh\u010dova\u010d\u016f vzduchu. V\u0161ude tam, kde voda stoj\u00ed a pak se t\u0159\u00ed\u0161t\u00ed p\u0159i kontaktu s \u010dlov\u011bkem, m\u016f\u017ee b\u00fdt potenci\u00e1ln\u00edm zdrojem onemocn\u011bn\u00ed legion\u00e1\u0159skou nemoc\u00ed. <\/p>\n","protected":false},"author":8,"featured_media":10414,"template":"","categories":[17,154,157],"porad":[],"region":[59,107],"kategorie":[],"class_list":["post-10331","video","type-video","status-publish","has-post-thumbnail","hentry","category-domaci","category-zdravotnictvi","category-zpravy","region-olomoucky-kraj","region-prostejovsko"],"acf":[],"meta_box":{"nbla_idec":"N2306330","nbla_title":"V Prost\u011bjov\u011b odhaluj\u00ed legionellu","nbla_subtitle":"","nbla_summary":"","nbla_description":"","nbla_transcription":"Voda z n\u00e1dr\u017e\u00ed, trubek, ale tak\u00e9 klimatizac\u00ed, v\u00fd\u0159ivek nebo z vlh\u010dova\u010d\u016f vzduchu. V\u0161ude tam, kde voda stoj\u00ed a pak se t\u0159\u00ed\u0161t\u00ed p\u0159i kontaktu s \u010dlov\u011bkem, m\u016f\u017ee b\u00fdt potenci\u00e1ln\u00edm zdrojem onemocn\u011bn\u00ed legion\u00e1\u0159skou nemoc\u00ed. V laborato\u0159\u00edch Agel b\u011bhem pr\u00e1zdn\u00edn zaznamenali zv\u00fd\u0161en\u00fd po\u010det z\u00e1chyt\u016f legionely. D\u016fvodem na\u0161eho vysok\u00e9ho z\u00e1chytu je s nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed dostate\u010dn\u00e1 osv\u011bta, zejm\u00e9na ve zdravotnick\u00fdch za\u0159\u00edzen\u00edch, kter\u00e9 vy\u0161et\u0159ujeme, nebo kter\u00e9 jsou sou\u010d\u00e1st\u00ed na\u0161\u00ed st\u0159edomoravsk\u00e9 nemocni\u010dn\u00ed AS, \u010dili nemocnice P\u0159erov a nemocnice Prost\u011bjov, kde v\u011bd\u00ed, \u017ee v p\u0159\u00edpad\u011b, \u017ee m\u00e1 pacient z\u00e1pal plic, tak okam\u017eit\u011b d\u011blaj\u00ed screeningov\u00e9 vy\u0161et\u0159en\u00ed na legionelu pneumophilus mo\u010di. A to je asi tou podstatnou p\u0159\u00ed\u010dinou nebo t\u00edm podstatn\u00fdm d\u016fvodem, kdy my m\u00e1me jeden z nejv\u011bt\u0161\u00edch z\u00e1chyt\u016f v \u010cesk\u00e9 republice. Legioneloza se nemus\u00ed projevit jen jako z\u00e1pal plic. P\u0159\u00edznaky se mohou podobat i jin\u00fdm onemocn\u011bn\u00edm. \u010clov\u011bk m\u016f\u017ee m\u00edt nap\u0159\u00edklad celkovou slabost. D\u016fle\u017eit\u00e9 je tedy stanovit v\u010das spr\u00e1vnou diagnozu. D\u016fvodem m\u016f\u017ee b\u00fdt bu\u010f \u0161patn\u011b odebran\u00e1 anamn\u00e9za, jak u\u017e jsme se u\u010dili ve \u0161kole, tak anamn\u00e9za je p\u016fl diagnozy, tak\u017ee pokud se ten l\u00e9ka\u0159 konkr\u00e9tn\u011b nezept\u00e1, jestli ten \u010dlov\u011bk byl v kontaktu s t\u0159\u00ed\u0161tivou vodou nebo s n\u011bjak\u00fdm aerosolem, nebo jestli cestoval a mohl b\u00fdt vystaven klimatiza\u010dn\u00edm podm\u00ednk\u00e1m, kter\u00e9 jsou nebo n\u011bjak\u00fdm zp\u016fsobem souvis\u00ed s kontaminovanou vodou, tak\u017ee anamn\u00e9za a nebo to, \u017ee na tu diagnozu nemysl\u00ed a vy\u0161et\u0159en\u00ed neprovedou. A jestli m\u016f\u017ee \u010dlov\u011bk s\u00e1m poznat zdama Legionelu? To rozhodn\u011b \u010dlov\u011bk nepozn\u00e1, proto\u017ee ty p\u0159\u00edznaky jsou obdobn\u00e9 jako u jin\u00fdch respira\u010dn\u00edch onemocn\u011bn\u00ed, tak\u017ee pokud \u010dlov\u011bk onemocn\u00ed tou m\u00edrn\u011bj\u0161\u00ed formou, co\u017e je ponti\u00e1ck\u00e1 hore\u010dka, tak tam m\u00e1 norm\u00e1ln\u011b r\u00fdmu, ka\u0161el, \u0161kr\u00e1b\u00e1n\u00ed v krku, mal\u00e1knost, teploty, \u00fanavu a podobn\u011b, tak\u017ee jsou to p\u0159\u00edznaky, kter\u00e9 jsou zcela shodn\u00e9 s t\u011bmi, kter\u00e9 m\u016f\u017eete m\u00edt p\u0159i nachlazen\u00ed, p\u0159i nemoci z nachlazen\u00ed nebo p\u0159i ch\u0159\u00edpce \u010di p\u0159i jin\u00fdch v\u00fdroz\u00e1ch. Kdy\u017e n\u011bkdo onemocn\u00ed v\u00e1\u017en\u011bj\u0161\u00ed formou, tedy takzvanou legion\u00e1\u0159skou nemoc\u00ed, pak m\u016f\u017ee j\u00edt \u010dasto i o \u017eivot. U T je vlastn\u011b p\u0159\u00edznakem zpo\u010d\u00e1tku op\u011bt n\u011bjak\u00e1 ta symptomatologie, kter\u00e1 pat\u0159\u00ed k t\u011bm respira\u010dn\u00edm onemocn\u011bn\u00edm. Mal\u00e1knost, \u00fanava, slabost, bolest sval\u016f, bolest hlavy. Z\u00e1pal plic u\u017e je z\u00e1va\u017en\u00fd onemocn\u011bn\u00edk, kdy \u010dlov\u011bk u\u017e p\u0159ich\u00e1z\u00ed du\u0161n\u00fd, m\u00e1 m\u00e1lo kysl\u00edku, tak\u017ee v podstat\u011b s\u00e1m nebo s\u00e1m vyhled\u00e1 l\u00e9ka\u0159skou pomoc respektive ho to donut\u00ed vyhledat l\u00e9ka\u0159e, proto\u017ee m\u00fdvaj\u00ed vysok\u00e9 teploty, opravdu jsou schv\u00e1cen\u00ed, mohou b\u00fdt zmaten\u00ed, mohou m\u00edt prost\u011b t\u011b\u017ek\u00e9 svalov\u00e9 bolesti a podobn\u011b. Samoz\u0159ejm\u011b je tak\u00e9 d\u016fle\u017eit\u00e9 o nemocn\u011bn\u00ed p\u0159edch\u00e1zet a ud\u011blat jist\u00e1 preventivn\u00ed opat\u0159en\u00ed. Prevence je sp\u00ed\u0161 dom\u00e9nou epidemiolog\u016f, anebo t\u011bch, kte\u0159\u00ed se staraj\u00ed o vodovodn\u00ed trubky, \u0159\u00e1dy, ty zvlh\u010dova\u010de, rozpra\u0161ova\u010de, \u010dili jednak, aby voda nebyla neust\u00e1le v n\u011bjak\u00e9m rozp\u011bt\u00ed 20 a\u017e 45 stup\u0148\u016f, kdy se legionely velice dob\u0159e mno\u017e\u00ed, \u010dili aby byla bu\u010f velmi chladn\u00e1, anebo nad t\u011bch 50 stup\u0148\u016f a dal\u0161\u00ed v\u011bc, pravideln\u00e1 desinfekce a pravideln\u00e9 monitorov\u00e1n\u00ed po\u010dtu t\u011bch legionel, co\u017e se prov\u00e1d\u00ed v laborato\u0159\u00edch. Laborato\u0159e L\u00e9ka\u0159sk\u00e9 mikrobiologie Nemocnice Agalprostiov jsou \u0161pi\u010dkovi vybaven\u00e9 a pat\u0159\u00ed mezi nejl\u00e9pe hodnocen\u00e1 za\u0159\u00edzen\u00ed sv\u00e9ho druhu v republice.","nbla_serie":"","nbla_season":"","nbla_episode":"","nbla_duration":"209.44","nbla_genre":"","nbla_editorial_format":"","nbla_mtime":"1694697710","nbla_url":"https:\/\/origin.a11.cz\/vod\/9v7b8ckc8spk8hw4xd6qu00jl.mp4","nbla_version":"1694697564","nbla_odvysilano":"Ano","bunny_id":"81b042d9-1231-49ae-b6d9-6951ef81a387","youtube_id":"","datum_vydani":"20230914","stopaz":"209.44","dokument":[],"video_to":["10415"]},"_links":{"self":[{"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/video\/10331","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/video"}],"about":[{"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/types\/video"}],"author":[{"embeddable":true,"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/users\/8"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/media\/10414"}],"wp:attachment":[{"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/media?parent=10331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/categories?post=10331"},{"taxonomy":"porad","embeddable":true,"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/porad?post=10331"},{"taxonomy":"region","embeddable":true,"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/region?post=10331"},{"taxonomy":"kategorie","embeddable":true,"href":"https:\/\/tv.a11.cz\/api\/wp\/v2\/kategorie?post=10331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}