LOND\u00ddN \u2013 Infekcie mo\u010dov\u00fdch ciest dok\u00e1\u017eu poriadne znepr\u00edjemni\u0165 \u017eivot, najm\u00e4 ak sa neust\u00e1le vracaj\u00fa. Jedna z pacientok ich za posledn\u00e9 tri roky prekonala a\u017e p\u00e4tn\u00e1s\u0165kr\u00e1t a antibiotik\u00e1, ktor\u00e9 spo\u010diatku zaberali, postupne prestali \u00fa\u010dinkova\u0165. Lek\u00e1rka upozor\u0148uje, \u017ee pri opakovan\u00fdch probl\u00e9moch u\u017e nemus\u00ed sta\u010di\u0165 \u010fal\u0161\u00ed recept. D\u00f4le\u017eit\u00e9 je zisti\u0165, \u010do infekcie sp\u00f4sobuje a \u010di s\u00fa antibiotik\u00e1 vyberan\u00e9 pod\u013ea v\u00fdsledkov vy\u0161etren\u00ed.<\/p>\n
P\u00e1lenie, boles\u0165, \u010dast\u00e9 nutkanie na mo\u010denie a nepr\u00edjemn\u00fd tlak. Infekcia mo\u010dov\u00fdch ciest je sama osebe nepr\u00edjemn\u00e1, no pre niektor\u00fdch \u013eud\u00ed sa z nej st\u00e1va opakuj\u00faci sa probl\u00e9m. Presne to za\u017e\u00edva \u010ditate\u013eka britsk\u00e9ho denn\u00edka The Sun, ktor\u00e1 sa so svoj\u00edm pr\u00edbehom obr\u00e1tila na v\u0161eobecn\u00fa lek\u00e1rku Dr. Zoe Williams. Za tri roky pod\u013ea vlastn\u00fdch slov prekonala pribli\u017ene 15 infekci\u00ed mo\u010dov\u00fdch ciest.<\/p>\n
Vysk\u00fa\u0161ala mno\u017estvo antibiot\u00edk. Tie jej spo\u010diatku pom\u00e1hali, no postupne za\u010dali ma\u0165 \u010doraz men\u0161\u00ed \u00fa\u010dinok. Absolvovala aj cystoskopiu, ktor\u00e1 vyl\u00fa\u010dila n\u00e1dor, a vysk\u00fa\u0161ala D-man\u00f3zu, no bez v\u00fdsledku. Situ\u00e1ciu komplikuje aj fakt, \u017ee si pod\u013ea pokynov trikr\u00e1t denne sama zav\u00e1dza kat\u00e9ter.<\/p>\n
Probl\u00e9mom m\u00f4\u017ee by\u0165 aj zadr\u017eiavanie mo\u010du<\/p>\n
Dr. Williams upozornila, \u017ee pr\u00e1ve samokatetriz\u00e1cia m\u00f4\u017ee situ\u00e1ciu komplikova\u0165. Hoci m\u00f4\u017ee by\u0165 z medic\u00ednskeho h\u013eadiska nevyhnutn\u00e1, z\u00e1rove\u0148 men\u00ed charakter infekci\u00ed mo\u010dov\u00fdch ciest a vy\u017eaduje d\u00f4kladnej\u0161ie pos\u00fadenie.<\/p>\n
Ak navy\u0161e v mo\u010dovom mech\u00fare zost\u00e1va mo\u010d a nedoch\u00e1dza k jeho \u00fapln\u00e9mu vypr\u00e1zdneniu, bakt\u00e9rie v \u0148om m\u00f4\u017eu pretrv\u00e1va\u0165. V\u00fdsledkom m\u00f4\u017ee by\u0165 stav, ke\u010f sa infekcia opakovane vracia alebo sa jej organizmus nedok\u00e1\u017ee \u00faplne zbavi\u0165.<\/p>\n
Antibiotik\u00e1 nemusia zabera\u0165 ako kedysi<\/p>\n
Pri opakovan\u00fdch infekci\u00e1ch je pod\u013ea lek\u00e1rky z\u00e1sadn\u00e9 overi\u0165, \u010di ide pri ka\u017edej epiz\u00f3de skuto\u010dne o bakteri\u00e1lnu infekciu potvrden\u00fa kultiv\u00e1ciou mo\u010du. Rovnako d\u00f4le\u017eit\u00e9 je zisti\u0165, \u010di predp\u00edsan\u00e9 antibiotikum \u00fa\u010dinkuje pr\u00e1ve proti bakt\u00e9rii, ktor\u00e1 probl\u00e9m sp\u00f4sobuje.<\/p>\n
Po opakovanom u\u017e\u00edvan\u00ed antibiot\u00edk toti\u017e rastie pravdepodobnos\u0165 antibiotickej rezistencie. Bakt\u00e9rie sa m\u00f4\u017eu sta\u0165 vo\u010di niektor\u00fdm liekom odoln\u00fdmi a terapia, ktor\u00e1 v minulosti fungovala, u\u017e nemus\u00ed zabera\u0165. Lie\u010dba by preto mala by\u0165 pod\u013ea odborn\u00ed\u010dky v tak\u00fdchto pr\u00edpadoch zalo\u017een\u00e1 na laborat\u00f3rnych v\u00fdsledkoch, nie iba na opakovanom sk\u00fa\u0161an\u00ed antibiot\u00edk.<\/p>\n
Nesta\u010d\u00ed zaka\u017ed\u00fdm predp\u00edsa\u0165 \u010fal\u0161ie lieky<\/p>\n
Pacientom s opakovan\u00fdmi infekciami lek\u00e1rka odpor\u00fa\u010da po\u017eiada\u0165 o komplexn\u00e9 zhodnotenie probl\u00e9mu, nie iba o \u010fal\u0161\u00ed urgentn\u00fd recept.<\/p>\n
Lek\u00e1r by mal skontrolova\u0165 predch\u00e1dzaj\u00face v\u00fdsledky kultiv\u00e1ci\u00ed mo\u010du a funkciu obli\u010diek. Pri \u013eu\u010foch pou\u017e\u00edvaj\u00facich kat\u00e9ter je potrebn\u00e9 pos\u00fadi\u0165 aj spr\u00e1vnos\u0165 jeho zav\u00e1dzania, frekvenciu pou\u017e\u00edvania a to, \u010di sa mo\u010dov\u00fd mech\u00far skuto\u010dne \u00faplne vypr\u00e1zd\u0148uje.<\/p>\n
Prekvapivo m\u00f4\u017ee pod\u013ea Dr. Williams zohr\u00e1va\u0165 \u00falohu aj z\u00e1pcha, preto by sa pri h\u013eadan\u00ed pr\u00ed\u010diny opakovan\u00fdch probl\u00e9mov nemala ignorova\u0165.<\/p>\n
Existuj\u00fa aj mo\u017enosti prevencie<\/p>\n
V z\u00e1vislosti od v\u00fdsledkov kultiv\u00e1ci\u00ed a funkcie obli\u010diek m\u00f4\u017ee lek\u00e1r zv\u00e1\u017ei\u0165 aj prevent\u00edvnu lie\u010dbu. Jednou z mo\u017enost\u00ed je metenam\u00edn hippur\u00e1t, zn\u00e1my aj pod n\u00e1zvom Hiprex. V niektor\u00fdch pr\u00edpadoch sa vyu\u017e\u00edvaj\u00fa n\u00edzke d\u00e1vky antibiot\u00edk na prevenciu alebo antibiotik\u00e1 pripraven\u00e9 na pou\u017eitie pri objaven\u00ed sa pr\u00edznakov. O vhodnosti konkr\u00e9tneho postupu v\u0161ak mus\u00ed rozhodn\u00fa\u0165 lek\u00e1r.<\/p>\n
D-man\u00f3za, ktor\u00fa \u010ditate\u013eka u\u017e vysk\u00fa\u0161ala, m\u00f4\u017ee niektor\u00fdm \u013eu\u010fom pom\u00f4c\u0165, vedeck\u00e9 d\u00f4kazy o jej \u00fa\u010dinnosti s\u00fa v\u0161ak pod\u013ea Dr. Williams zmie\u0161an\u00e9.<\/p>\n
Opakovan\u00e9 infekcie potrebuj\u00fa pl\u00e1n<\/p>\n
Ak sa pacientovi nedar\u00ed dosta\u0165 k urol\u00f3govi, lek\u00e1rka odpor\u00fa\u010da zisti\u0165, do ktorej nemocnice bola \u017eiados\u0165 o odborn\u00e9 vy\u0161etrenie odoslan\u00e1, a priamo si overi\u0165, v akom stave je objednanie.<\/p>\n
Pom\u00f4c\u0165 m\u00f4\u017ee aj odborn\u00edk na kontinenciu alebo mo\u010dov\u00fd mech\u00far, ktor\u00fd dok\u00e1\u017ee skontrolova\u0165 techniku katetriz\u00e1cie a sp\u00f4sob vypr\u00e1zd\u0148ovania mech\u00fara.<\/p>\n
Pri opakovan\u00fdch infekci\u00e1ch teda nemus\u00ed by\u0165 rie\u0161en\u00edm neust\u00e1le striedanie \u010fal\u0161\u00edch a \u010fal\u0161\u00edch antibiot\u00edk. Pod\u013ea lek\u00e1rky je potrebn\u00e9 vytvori\u0165 koordinovan\u00fd pl\u00e1n, n\u00e1js\u0165 pr\u00ed\u010dinu n\u00e1vratu infekci\u00ed a lie\u010dbu prisp\u00f4sobi\u0165 konkr\u00e9tnym v\u00fdsledkom vy\u0161etren\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"LOND\u00ddN \u2013 Infekcie mo\u010dov\u00fdch ciest dok\u00e1\u017eu poriadne znepr\u00edjemni\u0165 \u017eivot, najm\u00e4 ak sa neust\u00e1le vracaj\u00fa. Jedna z pacientok ich…\n","protected":false},"author":2,"featured_media":162746,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[8],"tags":[39859,27077,47132,33,47133,43,40,42,36,50,49,48],"class_list":["post-162745","post","type-post","status-publish","format-standard","has-post-thumbnail","category-svet","tag-infekcia","tag-lekarka","tag-mocove-cesty","tag-news","tag-pricina-infekcie","tag-sk","tag-slovak","tag-slovencina","tag-spravy","tag-svet","tag-world","tag-world-news"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@sk\/117166638576256497","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts\/162745","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/comments?post=162745"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts\/162745\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/media\/162746"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/media?parent=162745"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/categories?post=162745"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/tags?post=162745"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}