{"id":132929,"date":"2026-06-29T09:51:16","date_gmt":"2026-06-29T09:51:16","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/132929\/"},"modified":"2026-06-29T09:51:16","modified_gmt":"2026-06-29T09:51:16","slug":"deckar-radi-posilat-kliste-na-rozbor-vam-prinese-jen-zbytecny-stres","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/132929\/","title":{"rendered":"D\u011bcka\u0159 rad\u00ed: Pos\u00edlat kl\u00ed\u0161t\u011b na rozbor v\u00e1m p\u0159inese jen zbyte\u010dn\u00fd stres"},"content":{"rendered":"

Jak vyndat kl\u00ed\u0161t\u011b psovi a\u00a0nenakazit se p\u0159i tom? A\u00a0funguj\u00ed proti kl\u00ed\u0161\u0165at\u016fm tradi\u010dn\u00ed odpuzova\u010de, jako je pivo a\u00a0vitam\u00edn B? Pediatr Cyril Mat\u011bjka zvan\u00fd D\u011bcka\u0159 v\u00a0roli moder\u00e1tora podcastu Marodi tentokr\u00e1t se sv\u00fdm hostem \u0159e\u0161\u00ed kl\u00ed\u0161\u0165ata. <\/p>\n

Rozhovor moder\u00e1tora a\u00a0d\u011btsk\u00e9ho l\u00e9ka\u0159e Cyrila Mat\u011bjky zvan\u00e9ho D\u011bcka\u0159 s\u00a0prim\u00e1\u0159em infek\u010dn\u00edho odd\u011blen\u00ed Nemocnice \u010cesk\u00e9 Bud\u011bjovice Ale\u0161em Chrdlem p\u0159inesl mnoho zaj\u00edmav\u00fdch informac\u00ed. Pochopiteln\u011b spolu d\u016fkladn\u011b probrali spr\u00e1vnou techniku vytahov\u00e1n\u00ed kl\u00ed\u0161\u0165at nebo popis typick\u00e9ho \u010derven\u00e9ho fleku, kter\u00fdm se ohla\u0161uje ob\u00e1van\u00e1 boreli\u00f3za. V\u00a0podcastu zazn\u011bla ale i\u00a0\u0159ada post\u0159eh\u016f a\u00a0detail\u016f z\u00a0v\u00fdzkumu i\u00a0z praxe infektologa.<\/p>\n

1.\u00a0Boreli\u00f3za se m\u016f\u017ee maskovat jako sk\u0159\u00edpnut\u00fd nerv<\/p>\n

Kdy\u017e se \u0159ekne boreli\u00f3za, v\u011bt\u0161ina lid\u00ed si p\u0159edstav\u00ed \u010dervenou skvrnu nebo natekl\u00e9 klouby. Prim\u00e1\u0159 Chrdle ale upozor\u0148uje na specifickou neurologickou formu typickou pro \u010desk\u00e9 borelie, kter\u00e1 se dok\u00e1\u017ee dokonale maskovat: \u201eZp\u016fsob\u00ed bu\u010f ochrnut\u00ed l\u00edcn\u00edho nervu, ochrnut\u00ed n\u011bkter\u00e9 kon\u010detiny, anebo takzvan\u00fd Bannwarth\u016fv syndrom. Ten se vyzna\u010duje pocitem, \u017ee se v\u00e1m sk\u0159\u00edpl nerv v\u00a0z\u00e1dech, a\u00a0p\u0159itom jde o\u00a0z\u00e1n\u011btliv\u00e9 posti\u017een\u00ed jednoho nervov\u00e9ho vl\u00e1kna, kter\u00e9 je spojeno s\u00a0bolestmi hlavy a\u00a0nevolnost\u00ed.\u201c Takto se m\u016f\u017ee st\u00e1t, \u017ee boreli\u00f3za dlouho unik\u00e1 pozornosti pacienta i\u00a0l\u00e9ka\u0159\u016f.<\/p>\n

2.\u00a0Larvy a\u00a0nymfy se\u0161kr\u00e1bneme, nakazit n\u00e1s ale mohou \u00fapln\u011b stejn\u011b<\/p>\n

Lid\u00e9 si celkem snadno v\u0161imnou velk\u00fdch \u201enapit\u00fdch\u201c kl\u00ed\u0161\u0165at, kter\u00e1 jsou na k\u016f\u017ei dob\u0159e vid\u011bt. Jen\u017ee kl\u00ed\u0161t\u011b proch\u00e1z\u00ed n\u011bkolika v\u00fdvojov\u00fdmi stadii\u00a0\u2013 od vaj\u00ed\u010dka p\u0159es larvu a\u00a0nymfu a\u017e po dosp\u011blce.<\/p>\n

\u201eLarvy a\u00a0nymfy, ta mlad\u0161\u00ed v\u00fdvojov\u00e1 stadia, se napij\u00ed, ale jak jsou opravdu mali\u010dk\u00e1, tak jim sta\u010d\u00ed trochu. Rychle se pust\u00ed a\u00a0jdou d\u00e1l. N\u011bkter\u00e1 jsou i\u00a0pr\u016fhledn\u00e1, tak\u017ee si jich nemus\u00edme v\u016fbec v\u0161imnout,\u201c popisuje Ale\u0161 Chrdle nebezpe\u010dnou situaci. A\u010dkoliv kl\u00ed\u0161\u0165ata v\u00a0t\u00e9to f\u00e1zi v\u00fdvoje m\u011b\u0159\u00ed i\u00a0m\u00e9n\u011b ne\u017e milimetr, nebezpe\u010dn\u00e1 jsou stejn\u011b jako dosp\u011blci: \u201eBakterie, viry a\u00a0paraziti, kter\u00e9 p\u0159en\u00e1\u0161ej\u00ed, jsou bohu\u017eel je\u0161t\u011b men\u0161\u00ed ne\u017e ta mal\u00e1 kl\u00ed\u0161\u0165ata.\u201c<\/p>\n

Mlad\u0161\u00ed stadia maj\u00ed kolem jednoho milimetru, jsou \u010dasto pr\u016fhledn\u00e1 a\u00a0\u010dlov\u011bk si je z\u00a0k\u016f\u017ee nev\u011bdomky se\u0161kr\u00e1bne s\u00a0pocitem, \u017ee \u0161lo o\u00a0ne\u010distotu nebo pihu. P\u0159esto p\u0159edstavuj\u00ed obrovsk\u00e9 riziko.<\/p>\n

<\/a><\/p>\n

3.\u00a0Zapome\u0148te na pivo a\u00a0B-komplex, proti kl\u00ed\u0161\u0165at\u016fm funguje chemie<\/p>\n

Jak se proti kl\u00ed\u0161\u0165at\u016fm nejl\u00e9pe ochr\u00e1nit? Mezi lidmi koluje popul\u00e1rn\u00ed m\u00fdtus, \u017ee sta\u010d\u00ed polykat vitam\u00edn B nebo p\u00edt pivo a\u00a0kl\u00ed\u0161\u0165ata se v\u00e1m kv\u016fli specifick\u00e9mu pachu vyhnou. Bohu\u017eel, jak upozor\u0148uje Ale\u0161 Chrdle, \u017e\u00e1dn\u00e9 studie toto nepotvrzuj\u00ed. Lep\u0161\u00ed je si po\u0159\u00eddit v\u00a0drogerii repelent.<\/p>\n

4.\u00a0Lumb\u00e1ln\u00ed punkce? Strach je hor\u0161\u00ed ne\u017e samotn\u00fd z\u00e1krok<\/p>\n

Kdy\u017e maj\u00ed l\u00e9ka\u0159i podez\u0159en\u00ed na z\u00e1n\u011bt mozkov\u00fdch blan, je lumb\u00e1ln\u00ed punkce pro p\u0159esnou diagn\u00f3zu kl\u00ed\u0161\u0165ov\u00e9 encefalitidy i\u00a0neuroboreli\u00f3zy naprosto kl\u00ed\u010dov\u00e1. Pacienti z\u00a0n\u00ed v\u0161ak m\u00edvaj\u00ed obrovsk\u00fd strach, proto\u017ee si mysl\u00ed, \u017ee jim l\u00e9ka\u0159 jehlou zas\u00e1hne m\u00edchu. To je podle prim\u00e1\u0159e zbyte\u010dn\u00e1 obava. \u201eM\u00edcha neproch\u00e1z\u00ed celou p\u00e1te\u0159\u00ed, kon\u010d\u00ed zhruba na \u00farovni ledvin nebo beder a\u00a0d\u00e1l pokra\u010duje m\u00ed\u0161n\u00ed kan\u00e1l u\u017e bez m\u00edchy,\u201c uv\u00e1d\u00ed l\u00e9ka\u0159 na pravou m\u00edru. \u201eP\u00edch\u00e1me do m\u00ed\u0161n\u00edho kan\u00e1lu a\u00a0odeb\u00edr\u00e1me mozkom\u00ed\u0161n\u00ed mok. Nen\u00ed t\u0159eba se toho b\u00e1t, je to v\u00fdkon, na kter\u00e9m nejv\u00edc bol\u00ed strach. P\u00edchne to jenom jako injekce do zad.\u201c<\/p>\n

5.\u00a0Lumb\u00e1ln\u00ed punkce p\u0159in\u00e1\u0161\u00ed i\u00a0\u00falevu<\/p>\n

Lumb\u00e1ln\u00ed punkce nen\u00ed jen diagnostick\u00fd n\u00e1stroj, ale pro t\u011b\u017ece nemocn\u00e9ho pacienta s\u00a0encefalitidou funguje i\u00a0jako okam\u017eit\u00e1 \u00faleva od nesnesiteln\u00e9ho tlaku v\u00a0hlav\u011b. P\u0159i z\u00e1n\u011btu je toti\u017e prostor v\u00a0hlav\u011b a\u00a0p\u00e1te\u0159n\u00edm kan\u00e1lu mozkom\u00ed\u0161n\u00edm mokem doslova p\u0159epln\u011bn\u00fd. \u201eN\u011bkdy ten mozkom\u00ed\u0161n\u00ed mok nejde po kapi\u010dk\u00e1ch, ale opravdu vyst\u0159\u00edkne, jak je p\u00e1te\u0159n\u00ed kan\u00e1l nap\u011bchovan\u00fd,\u201c popisuje Ale\u0161 Chrdle. \u201eTak\u017ee ta ob\u00e1van\u00e1 punkce m\u00e1 v\u00fdznam i\u00a0z hlediska \u00falevy od p\u0159\u00edznak\u016f.\u201c<\/p>\n

6.\u00a0Pro\u010d neexistuje o\u010dkov\u00e1n\u00ed na boreli\u00f3zu?<\/p>\n

Mnoz\u00ed lid\u00e9 by uv\u00edtali, kdyby proti boreli\u00f3ze existovalo o\u010dkov\u00e1n\u00ed stejn\u011b, jako ho m\u00e1me k\u00a0dispozici proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b. Jen\u017ee zat\u00edm se \u00fa\u010dinnou a\u00a0bezpe\u010dnou vakc\u00ednu vyvinout nepoda\u0159ilo. D\u016fvodem je specifick\u00e1 povaha samotn\u00e9ho p\u016fvodce nemoci. Jak v\u00a0podcastu vypr\u00e1v\u00ed Ale\u0161 Chrdle, borelie dok\u00e1\u017ee obelst\u00edt lidsk\u00fd imunitn\u00ed syst\u00e9m a\u00a0zp\u016fsobit vlekl\u00e9 onemocn\u011bn\u00ed, podobn\u011b jako p\u016fvodci syfilis nebo leptospir\u00f3zy, co\u017e je nemoc p\u0159en\u00e1\u0161en\u00e1 hlodavci a\u00a0jejich slinami. I\u00a0proto n\u011bkte\u0159\u00ed lid\u00e9 prod\u011blaj\u00ed boreli\u00f3zu, ani\u017e by si toho v\u016fbec v\u0161imli.<\/p>\n

7.\u00a0Kl\u00ed\u0161t\u011b ze spl\u00e1chnut\u00e9ho z\u00e1chodu neute\u010de<\/p>\n

Jak nalo\u017eit s\u00a0vyndan\u00fdm kl\u00ed\u0161t\u011btem? Lid\u00e9 se d\u011bl\u00ed na ty, kte\u0159\u00ed parazita p\u00e1l\u00ed z\u00e1palkou, a\u00a0na ty, kte\u0159\u00ed ho splachuj\u00ed s\u00a0obavou, zda z\u00a0trubek nevyleze zp\u011bt. \u201eKdy\u017e to kl\u00ed\u0161t\u011b odstran\u00edte, u\u017e ho natolik poran\u00edte, \u017ee je d\u00e1l prakticky ne\u0161kodn\u00e9,\u201c vysv\u011btluje Ale\u0161 Chrdle. Spl\u00e1chnout do toalety ho tedy podle l\u00e9ka\u0159e m\u016f\u017eete. Naopak se p\u0159\u00edli\u0161 nep\u0159ikl\u00e1n\u00ed k\u00a0pos\u00edl\u00e1n\u00ed kl\u00ed\u0161t\u011bte do komer\u010dn\u00edch laborato\u0159\u00ed na testy. \u201eMus\u00ed si zv\u00e1\u017eit, co s\u00a0tou informac\u00ed, za kterou zaplat\u00ed, ud\u011blaj\u00ed.\u201c Podle l\u00e9ka\u0159e si mohou zp\u016fsobit zbyte\u010dn\u00fd stres, proto\u017ee naka\u017een\u00e9 kl\u00ed\u0161t\u011b automaticky neznamen\u00e1, \u017ee \u010dlov\u011bk onemocn\u00ed.<\/p>\n

Podcast Marodi<\/p>\n

V\u0161ichni jsme n\u011bkdy marodi. Pediatr Cyril Mat\u011bjka zn\u00e1m\u00fd ze soci\u00e1ln\u00edch s\u00edt\u00ed jako D\u011bcka\u0159 v\u00a0podcastu vyvrac\u00ed medic\u00ednsk\u00e9 omyly. Chce po l\u00e9ka\u0159\u00edch a\u00a0dal\u0161\u00edch odborn\u00edc\u00edch, aby bez latiny a\u00a0zbyte\u010dn\u00fdch slo\u017eitost\u00ed vysv\u011btlili, co skute\u010dn\u011b m\u00e1me d\u011blat pro sv\u00e9 zdrav\u00ed a\u00a0co je k\u00a0ni\u010demu.<\/p>\n

Po\u0159ad vych\u00e1z\u00ed v\u00a0r\u00e1mci rubriky Zdrav\u00ed+<\/a> na webu Seznam Zpr\u00e1vy.<\/p>\n

Podcast vych\u00e1z\u00ed ka\u017ed\u00fd druh\u00fd t\u00fdden, startujeme ji\u017e od 14.\u00a0kv\u011btna. Naleznete ho na Podcasty.cz<\/a>,\u00a0Spotify<\/a>,\u00a0Apple<\/a> a\u00a0na dal\u0161\u00edch podcastov\u00fdch platform\u00e1ch. <\/p>\n","protected":false},"excerpt":{"rendered":"Jak vyndat kl\u00ed\u0161t\u011b psovi a\u00a0nenakazit se p\u0159i tom? A\u00a0funguj\u00ed proti kl\u00ed\u0161\u0165at\u016fm tradi\u010dn\u00ed odpuzova\u010de, jako je pivo a\u00a0vitam\u00edn B?…\n","protected":false},"author":2,"featured_media":132930,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[10],"tags":[17223,17,21,17222,17224,16,18,19,22,20],"class_list":["post-132929","post","type-post","status-publish","format-standard","has-post-thumbnail","category-zpravy","tag-borelioza","tag-headlines","tag-hlavni-udalosti","tag-klistata","tag-klistova-encefalitida","tag-news","tag-top-news","tag-top-stories","tag-udalosti-dne","tag-zpravy"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116832782675234525","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/132929","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/comments?post=132929"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/132929\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/132930"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=132929"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=132929"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=132929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}