{"id":32890,"date":"2019-10-31T21:49:33","date_gmt":"2019-10-31T18:49:33","guid":{"rendered":"https:\/\/prohoster.info\/blog\/faq-chto-nado-znat-puteshestvenniku-giku-pro-privivki-pered-poezdkoj\/"},"modified":"2019-10-31T21:49:33","modified_gmt":"2019-10-31T18:49:33","slug":"faq-chto-nado-znat-puteshestvenniku-giku-pro-privivki-pered-poezdkoj","status":"publish","type":"post","link":"https:\/\/prohoster.info\/cs\/blog\/news\/faq-chto-nado-znat-puteshestvenniku-giku-pro-privivki-pered-poezdkoj","title":{"rendered":"FAQ: Co by m\u011bl v\u011bd\u011bt cestovatel-geek o o\u010dkov\u00e1n\u00ed p\u0159ed cestou","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><img decoding=\"async\" alt=\"FAQ: Co by m\u011bl v\u011bd\u011bt cestovatel-geek o o\u010dkov\u00e1n\u00ed p\u0159ed cestou\" src=\"\/wp-content\/uploads\/2019\/05\/317c173c7ff8a5f81eb61cfe45d3bc15.jpg\" style=\"display:block;margin: 0 auto;\" \/>Vakc\u00edna je zp\u016fsob, jak uk\u00e1zat imunitn\u00edmu syst\u00e9mu signaturu hrozby, na kterou bude b\u011bhem n\u011bkolika tr\u00e9ninkov\u00fdch cykl\u016f vyvinuta imunitn\u00ed odpov\u011b\u010f. <\/p>\n<p>Jak\u00fdkoli boj organismu s infek\u010dn\u00edm onemocn\u011bn\u00edm je pokusem rozpoznat signaturu hrozby a vyvinout protipat\u0159en\u00ed. Obecn\u011b je tento proces prov\u00e1d\u011bn a\u017e do \u00fapln\u00e9ho v\u00fdsledku, tedy do uzdraven\u00ed. Mohou v\u0161ak b\u00fdt infekce, kter\u00e9:<\/p>\n<ul>\n<li>Zab\u00edjej\u00ed hostitele rychleji, ne\u017e je vyvinuta imunitn\u00ed odpov\u011b\u010f.<\/li>\n<li>M\u011bn\u00ed se rychleji, ne\u017e imunitn\u00ed syst\u00e9m dok\u00e1\u017ee \u201erozpoznat\u201c patogeny.<\/li>\n<li>Maskuj\u00ed se a schov\u00e1vaj\u00ed se na m\u00edstech, kde je velmi obt\u00ed\u017en\u00e9 se k patogenu dostat.<\/li>\n<\/ul>\n<p>\nProto je v n\u011bkter\u00fdch p\u0159\u00edpadech lep\u0161\u00ed po\u0159\u00e1dn\u011b si zacvi\u010dit p\u0159edem. To jsou vakc\u00edny. Dosp\u011bl\u00fd obyvatel m\u011bsta byl o\u010dkov\u00e1n proti nejnebezpe\u010dn\u011bj\u0161\u00edm infekc\u00edm v d\u011btstv\u00ed. P\u0159i epidemi\u00edch infekc\u00ed nebo p\u0159i um\u00edst\u011bn\u00ed \u010dlov\u011bka do nebezpe\u010dn\u00e9ho prost\u0159ed\u00ed m\u00e1 smysl prov\u00e1d\u011bt preventivn\u00ed o\u010dkov\u00e1n\u00ed. Cestov\u00e1n\u00ed spad\u00e1 do takov\u00fdch situac\u00ed.<\/p>\n<p>Nejprve se zam\u011b\u0159me na osv\u011btu, pot\u00e9 se p\u0159esuneme k cestov\u00e1n\u00ed a seznamu krok\u016f.<\/p>\n<h2>Pro\u010d je cestov\u00e1n\u00ed nebezpe\u010dn\u00e9?<\/h2>\n<p>\nP\u0159edpokl\u00e1dejme, \u017ee let\u00edte do Afriky. Tam je zv\u00fd\u0161en\u00e9 riziko \u017elut\u00e9 zimnice. Jednoduch\u00e1 vakc\u00edna v\u00e1s vyjde p\u0159ibli\u017en\u011b na 1 500 rubl\u016f v\u010detn\u011b vy\u0161et\u0159en\u00ed od terapeuta a slu\u017eeb procedur\u00e1ln\u00edho kabinetu, vakc\u00edna vy\u0161\u0161\u00ed \u00farovn\u011b je za 3 000 rubl\u016f. L\u00e9\u010dit \u017elutou zimnici specializovan\u00fdmi l\u00e9ky nen\u00ed mo\u017en\u00e9 (m\u016f\u017eete pouze podporovat zdroje organismu, zat\u00edmco s t\u00edm s\u00e1m bojuje), snadno onemocn\u00edte, \u00famrtnost je kolem 10%, hlavn\u00ed vektor - kom\u00e1\u0159i. Vakc\u00edna m\u00e1 t\u00e9m\u011b\u0159 \u017e\u00e1dn\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky. Stoj\u00ed za to vakcinace? Pravd\u011bpodobn\u011b ano. Ale rozhodnout se mus\u00edte vy. <noindex><a rel=\"nofollow\" name=\"habracut\"><\/a><\/noindex><\/p>\n<p>A tak, cestov\u00e1n\u00ed je, kdy\u017e se nach\u00e1z\u00edte v neobvykl\u00e9m prost\u0159ed\u00ed, na kter\u00e9 si v\u00e1\u0161 imunitn\u00ed syst\u00e9m nezvykl. Po letu a v d\u016fsledku reakce na tis\u00edce nov\u00fdch vn\u011bj\u0161\u00edch faktor\u016f panuje v obrann\u00e9m syst\u00e9mu organismu lehk\u00fd chaos a st\u00e1v\u00e1te se m\u00e9n\u011b koloni\u00e1ln\u011b rezistentn\u00ed v\u016f\u010di patogen\u016fm. Nav\u00edc se v nov\u00e9m prost\u0159ed\u00ed mohou vyskytovat patogeny, kter\u00e9 prost\u011b neexistuj\u00ed tam, kde obvykle \u017eijete. <\/p>\n<p>Odpov\u00edd\u00e1 tak\u00e9 opak: m\u016f\u017eete b\u00fdt nositelem patogen\u016f, kter\u00e9 v aktu\u00e1ln\u00edm prost\u0159ed\u00ed nejsou. A pak se m\u00edstn\u00edm obyvatel\u016fm nebude da\u0159it. <\/p>\n<h2>Jak funguj\u00ed o\u010dkov\u00e1n\u00ed?<\/h2>\n<p>\nExistuj\u00ed \u010dty\u0159i hlavn\u00ed typy:<\/p>\n<ol>\n<li>Lze zvolit oslabenou verzi patogenn\u00edho kmene, kter\u00fd je podobn\u00fd skute\u010dn\u00e9mu bojov\u00e9mu, av\u0161ak nep\u0159edstavuje hrozbu pro zdrav\u00fd organismus. To jsou o\u010dkov\u00e1n\u00ed proti plan\u00fdm ne\u0161tovic\u00edm, ch\u0159ipce, \u017elut\u00e9 zimnici a tak d\u00e1le. To je nejjednodu\u0161\u0161\u00ed zp\u016fsob u\u010den\u00ed: proti imunitn\u00edmu syst\u00e9mu vystupuj\u00ed \"\u0161kol\u00edc\u00ed nep\u0159\u00e1tel\u00e9.\" <\/li>\n<li>Lze inaktivovat viry a bakterie (nap\u0159\u00edklad je um\u00edstit do formaldehydov\u00e9ho prost\u0159ed\u00ed) a uk\u00e1zat organismu ji\u017e jejich mrtv\u00e9 zbytky. P\u0159\u00edklady \u2013 hepatitida A, kl\u00ed\u0161\u0165ov\u00e1 encefalitida. Imunitn\u00ed syst\u00e9m najde n\u011bkde v t\u011ble mrtv\u00e9 nep\u0159\u00e1tele a za\u010dne se tr\u00e9novat je zab\u00edjet znovu a znovu, proto\u017ee to \"z\u00e1h\u0159ez\" nen\u00ed bezd\u016fvodn\u00e9. Kdy\u017e do organismu pronikne zn\u00e1m\u00fd kmen, bude jasn\u00e9, co s n\u00edm d\u011blat v obecn\u00fdch rysech, a imunologick\u00e1 odpov\u011b\u010f se velmi rychle p\u0159izp\u016fsob\u00ed na z\u00e1klad\u011b d\u0159\u00edve z\u00edskan\u00fdch informac\u00ed.<\/li>\n<li>Lze pod\u00e1vat anatoxiny (oslaben\u00e9 nebo modifikovan\u00e9 verze toxin\u016f mikroorganism\u016f) \u2013 tehdy ochrana organismu se nau\u010d\u00ed bojovat s n\u00e1sledky p\u016fsoben\u00ed bakteri\u00ed, co\u017e d\u00e1 mnohem v\u00edce \u010dasu na vytvo\u0159en\u00ed protipat\u0159en\u00ed p\u0159i infekci. Uk\u00e1\u017ee se, \u017ee symptomy nemoci na v\u00e1s nep\u016fsob\u00ed, a organismus tam klidn\u011b a ti\u0161e vy\u0159izuje patogeny, p\u0159i\u010dem\u017e vy ani nev\u00edte, \u017ee tam byly. To je nap\u0159\u00edklad tetanus. <\/li>\n<li>V\u0161e nov\u00e9, co pat\u0159\u00ed do kategorie \"high-tech\" \u2013 to jsou modifik\u00e1tory genetick\u00fdch komplex\u016f (aby n\u011bjak\u00fd protein krom\u011b hlavn\u00ed funkce nav\u00edc \u0161t\u011bpil DNA patogenu, nap\u0159\u00edklad), molekul\u00e1rn\u00ed vakc\u00edny (kdy je organismu poskytnuta, v podstat\u011b, signatura DNA\/RNA v \u010dist\u00e9 podob\u011b) a tak d\u00e1le. P\u0159\u00edklady molekul\u00e1rn\u00edch vakc\u00edn \u2013 hepatitida B (obaly vir\u016f bez j\u00e1dra), virus lidsk\u00e9ho papilomu a meningokoky. <\/li>\n<\/ol>\n<p>\nV\u011bnujte pozornost tomu, \u017ee mezi typem vakc\u00edny a jej\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky nen\u00ed p\u0159\u00edm\u00e1 souvislost. M\u016f\u017ee se v\u00e1m zd\u00e1t, \u017ee skute\u010dn\u00fd \u017eiv\u00fd patogen bude nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e molekul\u00e1rn\u00ed vakc\u00edna, ale nen\u00ed tomu tak. To sam\u00e9 o\u010dkov\u00e1n\u00ed proti \u017elut\u00e9 zimnici je pova\u017eov\u00e1no za jedno z nejbezpe\u010dn\u011bj\u0161\u00edch: \u0161ance na vedlej\u0161\u00ed \u00fa\u010dinky je velmi obt\u00ed\u017en\u00e9 odli\u0161it od statistick\u00e9 chyby m\u011b\u0159ic\u00edch metod. <\/p>\n<h2>Jak\u00e9 jsou vedlej\u0161\u00ed \u00fa\u010dinky?<\/h2>\n<p>\nNej\u010dast\u011bj\u0161\u00ed p\u0159\u00edpad \u2014 alergick\u00e1 reakce. Nap\u0159\u00edklad vakc\u00edna proti hepatitid\u011b B m\u016f\u017ee zhor\u0161it alergii na kvasnicov\u00e9 t\u011bsto. Existuj\u00ed i slo\u017eit\u011bj\u0161\u00ed reakce, ale obecn\u011b jsou v\u0161echny reverzibiln\u00ed. Na nevratn\u00e9 (t\u011b\u017ek\u00e9) n\u00e1sledky se shroma\u017e\u010fuj\u00ed podrobn\u00e9 statistiky a vakc\u00edna nen\u00ed povolena k pou\u017eit\u00ed, pokud je konkr\u00e9tn\u00ed riziko pro jednotlivce z onemocn\u011bn\u00ed se v\u0161emi pravd\u011bpodobnostmi n\u00e1kazy, p\u0159e\u017eit\u00ed, vyl\u00e9\u010den\u00ed atd. ni\u017e\u0161\u00ed ne\u017e riziko komplikac\u00ed. Jin\u00fdmi slovy, je v\u017edy racion\u00e1ln\u011b v\u00fdhodn\u011bj\u0161\u00ed pou\u017e\u00edvat vakc\u00ednu, kdy\u017e je doporu\u010den\u00e1 v regionu. <\/p>\n<p>V\u011bt\u0161ina vedlej\u0161\u00edch \u00fa\u010dink\u016f je spojena s t\u00edm, \u017ee do organismu dost\u00e1v\u00e1te oslaben\u00fd virus, toxin, molekul\u00e1rn\u00ed odpad a dal\u0161\u00ed exogenn\u00ed l\u00e1tky. Abychom nau\u010dili imunitn\u00ed syst\u00e9m bojovat, mus\u00edme ho nejprve trochu pra\u0161tit. Odpov\u00ed a p\u0159itom m\u016f\u017ee utrp\u011bt i n\u00e1bytek. Ale to je pot\u0159ebn\u00e1 \u010d\u00e1st u\u010den\u00ed ochrany. <\/p>\n<h2>Vakc\u00edna p\u016fsob\u00ed pouze na jeden kmen?<\/h2>\n<p>\nNen\u00ed to \u00fapln\u011b tak. P\u0159irovn\u00e1n\u00ed k podpisov\u00e9 anal\u00fdze je trochu nep\u0159esn\u00e9. Imunitn\u00ed syst\u00e9m vytv\u00e1\u0159\u00ed n\u011bco jako percep\u010dn\u00ed hash. To znamen\u00e1, \u017ee pokud jste o\u010dkov\u00e1ni proti jednomu z kmen\u016f ch\u0159ipky, p\u0159i n\u00e1kaze jin\u00fdm se imunitn\u00ed odpov\u011b\u010f vytvo\u0159\u00ed rychleji. Tedy men\u0161\u00ed riziko komplikac\u00ed, m\u00e9n\u011b v\u00fdrazn\u00e9 p\u0159\u00edznaky. <\/p>\n<p>Virus ch\u0159ipky vypad\u00e1 jako koule, ze kter\u00e9 tr\u010d\u00ed povrchov\u00e9 glykoproteiny a proteiny. Nej d\u016fle\u017eit\u011bj\u0161\u00ed (hemaglutinin a neuraminid\u00e1za) jsou zm\u00edn\u011bny v n\u00e1zvu kmene, nap\u0159\u00edklad H1N1. Ch\u0159ipka m\u016f\u017ee mutovat podle jednoho z protein\u016f a p\u0159em\u011bnit se na H2N1. Pak bude shoda \u010d\u00e1ste\u010dn\u00e1 a organismus reaguje jednodu\u0161e m\u00e9n\u011b aktivn\u011b. M\u016f\u017ee tak\u00e9 doj\u00edt k \"shiftu\", kdy se zm\u011bn\u00ed oba proteiny, nap\u0159\u00edklad na H2N3. Pot\u00e9 bude nutn\u00e9 rozpoznat hrozbu t\u00e9m\u011b\u0159 od za\u010d\u00e1tku.<\/p>\n<p>V\u0161imn\u011bte si, \u017ee toto se vztahuje k podobn\u00fdm kmen\u016fm jednoho onemocn\u011bn\u00ed. V p\u0159\u00edpad\u011b meningitidy se nap\u0159\u00edklad jedn\u00e1 o zcela odli\u0161n\u00e9 p\u016fvodce a r\u016fzn\u00e9 vakc\u00edny v\u00e1s chr\u00e1n\u00ed p\u0159ed r\u016fzn\u00fdmi sady meningokok\u016f. A samotn\u00e1 meningitida m\u016f\u017ee b\u00fdt zp\u016fsobena je\u0161t\u011b stovkami dal\u0161\u00edch p\u0159\u00ed\u010din. <\/p>\n<p>Ve v\u0161eobecn\u00e9m p\u0159\u00edpad\u011b vakc\u00edna obsahuje jeden nebo v\u00edce kmen\u016f nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00edho typu patogenu. Pom\u00e1h\u00e1 vyvinout odolnost v\u016f\u010di nim a jejich bl\u00edzk\u00fdm verz\u00edm, zrychlit \u010das odpov\u011bdi na jejich o n\u011bco vzd\u00e1len\u011bj\u0161\u00ed verze.<\/p>\n<h2>Co d\u011blat p\u0159ed cestou?<\/h2>\n<p>\nPrvn\u00edm krokem je je\u0161t\u011b p\u0159ed koup\u00ed letenky pod\u00edvat se na doporu\u010den\u00ed pro danou zemi od cestovn\u00edho kancel\u00e1\u0159e nebo jin\u00e9ho zdroje. Nejlep\u0161\u00ed je hledat aktu\u00e1ln\u00ed doporu\u010den\u00ed od Sv\u011btov\u00e9 zdravotnick\u00e9 organizace, nikoli prost\u00fd let\u00e1\u010dek, kter\u00fd obdr\u017e\u00edte od cestovn\u00ed kancel\u00e1\u0159e. Tak\u00e9 se vyplat\u00ed pod\u00edvat se na zpr\u00e1vu o zemi od t\u00e9\u017ee WHO: tam jsou uvedeny ned\u00e1vn\u00e9 epidemie infekc\u00ed a jejich n\u00e1sledky. Zkontrolujte po\u017eadavky na biologickou bezpe\u010dnost v c\u00edlov\u00e9 zemi. Nap\u0159\u00edklad pokud m\u00e1te let s p\u0159estupem v Africe, mohou po v\u00e1s po\u017eadovat o\u010dkov\u00e1n\u00ed proti patogenu specifick\u00e9mu pro p\u0159estupn\u00ed leti\u0161t\u011b. <\/p>\n<p>V n\u011bkter\u00fdch p\u0159\u00edpadech v\u00e1s bez dokladu o o\u010dkov\u00e1n\u00ed nemus\u00ed pustit do ur\u010dit\u00fdch zem\u00ed \u2014 je dobr\u00e9 to zkontrolovat p\u0159edem. Obvykle jde o po\u017eadavek p\u0159i \u017e\u00e1dosti o v\u00edzum nebo o aktu\u00e1ln\u00ed epidemiologickou situaci. <\/p>\n<p>Alternativn\u00ed mo\u017enost\u00ed je nav\u0161t\u00edvit l\u00e9ka\u0159e a poradit se s n\u00edm. Lep\u0161\u00ed je necho\u010fte k obvodn\u00edmu l\u00e9ka\u0159i, ale k infekcionistovi v nemocnici, kde hospitalizuj\u00ed pacienty po p\u0159\u00edletu z letadel. Jeho doporu\u010den\u00ed budou vych\u00e1zet z podobn\u00fdch zdroj\u016f, ale on je pravd\u011bpodobn\u011b spr\u00e1vn\u011bji interpretuje a aplikuje na va\u0161i situaci s ohledem na shrom\u00e1\u017ed\u011bnou anamn\u00e9zu. Odborn\u00edci na o\u010dkov\u00e1n\u00ed p\u0159ed cestami jsou nap\u0159\u00edklad v Moskv\u011b ve v\u00fdzkumn\u00e9m institutu Marc\u00ednowsk\u00e9ho.<\/p>\n<p>Tak\u017ee m\u00e1te seznam povinn\u00fdch a doporu\u010den\u00fdch o\u010dkov\u00e1n\u00ed. D\u00e1le u\u017e z\u00e1le\u017e\u00ed jen na v\u00e1s, jestli se budete \u0159\u00eddit doporu\u010den\u00edmi, nebo ne. Nap\u0159\u00edklad si m\u016f\u017eete \u0159\u00edct, \u017ee pokud po cest\u011b nenaraz\u00edte na \u017e\u00e1dn\u00e1 zv\u00ed\u0159ata, m\u016f\u017eete se o\u010dkov\u00e1n\u00ed proti vzteklin\u011b vyhnout. Je to va\u0161e pr\u00e1vo. Ale p\u0159ipom\u00edn\u00e1m: WHO vytv\u00e1\u0159\u00ed doporu\u010den\u00ed pro cestovatele na z\u00e1klad\u011b statistiky. A pokud tam stoj\u00ed, \u017ee je lep\u0161\u00ed se nechat o\u010dkovat, je lep\u0161\u00ed se nechat o\u010dkovat. <\/p>\n<h2>P\u0159ijdu p\u00e1r dn\u00ed p\u0159ed cestou, \u201ebafnu\u201c se a v\u0161echno bude v po\u0159\u00e1dku?<\/h2>\n<p>\nNe.<\/p>\n<p>Za prv\u00e9, doba rozvoje protil\u00e1tek trv\u00e1 od n\u011bkolika dn\u016f do 3\u20134 t\u00fddn\u016f (to je pro prim\u00e1rn\u00ed d\u00e1vku, m\u016f\u017ee to b\u00fdt i d\u00e9le). <\/p>\n<p>Za druh\u00e9, n\u011bkter\u00e9 vakc\u00edny se pod\u00e1vaj\u00ed ve v\u00edce d\u00e1vk\u00e1ch po 2\u20133 t\u00fddnech. <\/p>\n<p>Za t\u0159et\u00ed, ne v\u0161echny vakc\u00edny se navz\u00e1jem sn\u00e1\u0161ej\u00ed, tak\u017ee se ned\u00e1 o\u010dkovat v\u0161emi najednou. <\/p>\n<p>To znamen\u00e1, \u017ee je t\u0159eba j\u00edt na o\u010dkov\u00e1n\u00ed t\u0159i t\u00fddny p\u0159ed cestou, pokud pot\u0159ebujete n\u011bkolik nov\u00fdch vlastnost\u00ed ve sv\u00e9m t\u011ble, a p\u016fl roku, pokud je to va\u0161e prvn\u00ed n\u00e1v\u0161t\u011bva tropick\u00e9 zem\u011b. <\/p>\n<p>Tady je str\u00e1nka s doporu\u010den\u00edmi WHO pro <noindex><a rel=\"nofollow\" href=\"https:\/\/wwwnc.cdc.gov\/travel\/destinations\/traveler\/none\/russia\">turisty do Ruska z ni\u010deho<\/a><\/noindex> (bez nebezpe\u010dn\u00fdch ohnisek po cest\u011b):<br \/>\n<img decoding=\"async\" alt=\"FAQ: Co by m\u011bl v\u011bd\u011bt cestovatel-geek o o\u010dkov\u00e1n\u00ed p\u0159ed cestou\" src=\"\/wp-content\/uploads\/2019\/05\/c8c7a5f16294db9778f63816e94ddaa9.jpg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nVelmi dobr\u00e9 je zkontrolovat o\u010dkov\u00e1n\u00ed na konzul\u00e1rn\u00edm odd\u011blen\u00ed MZV. \u00dapln\u00fd seznam <noindex><a rel=\"nofollow\" href=\"https:\/\/www.kdmid.ru\/docs.aspx\">zem\u00ed<\/a><\/noindex> je zde. Tam je tak\u00e9 mo\u017en\u00e9 zjistit dal\u0161\u00ed specifika zem\u011b. <\/p>\n<p>Nap\u0159\u00edklad, zde pro <noindex><a rel=\"nofollow\" href=\"https:\/\/www.kdmid.ru\/docs.aspx?it=\/%D0%A1%D0%BE%D0%BC%D0%B0%D0%BB%D0%B8.aspx&amp;lst=country_wiki\">Som\u00e1lsko<\/a><\/noindex> je pot\u0159ebn\u00e9 o\u010dkov\u00e1n\u00ed proti cholera.<\/p>\n<p>Tady je dal\u0161\u00ed <noindex><a rel=\"nofollow\" href=\"https:\/\/www.privivka.ru\/privivki-vzroslym\/interaktivnaya-karta\/\">mapa.<\/a><\/noindex><\/p>\n<h2>A co, je pot\u0159eba se p\u0159ed t\u00edm v\u0161\u00edm chr\u00e1nit v Rusku?<\/h2>\n<p>\nAno. V\u011bnujte pozornost pozn\u00e1mk\u00e1m a vektor\u016fm. Pokud nem\u00e1te o\u010dkov\u00e1n\u00ed proti japonsk\u00e9mu encefalitid\u011b v Moskv\u011b, nevad\u00ed. Nejv\u00edce dostupn\u00e1 p\u0159\u00edrodn\u00ed ohniska jsou ve Vladivostoku, a to ne ka\u017ed\u00fd rok. Ale pokud jedete do Vladivostoku, je dobr\u00e9 o tom p\u0159em\u00fd\u0161let. V praxi informace o RF na str\u00e1nk\u00e1ch WHO obvykle nejsou p\u0159\u00edli\u0161 p\u0159esn\u00e9, proto\u017ee data se obvykle poskytuj\u00ed za zemi, kter\u00e1 m\u00e1 jeden nebo dva biomy. Na\u0161e vlast je velmi zdrav\u00e1, tak\u017ee souprava pro Bajkal se bude li\u0161it od soupravy pro Krasnodar nebo Archangelsk. <\/p>\n<p>Co konkr\u00e9tn\u011b d\u011blat pro p\u0159e\u017eit\u00ed v Rusku \u2014 z\u00e1vis\u00ed na typu turistiky. Pokud se chyst\u00e1te \u017e\u00edt v centru Moskvy, sta\u010d\u00ed se nechat o\u010dkovat proti ch\u0159ipce a v\u010das \"obnovit\" d\u011btsk\u00e1 o\u010dkov\u00e1n\u00ed. Pokud jedete do tajgy nebo na v\u00fdlet na k\u00e1no\u00edch, ur\u010dit\u011b pot\u0159ebujete o\u010dkov\u00e1n\u00ed proti kl\u00ed\u010dov\u00e9 encefalitid\u011b. Pokud pl\u00e1nujete tr\u00e1vit hodn\u011b \u010dasu se zv\u00ed\u0159aty nebo chodit do jeskyn\u00ed \u2014 proti vzteklin\u011b (netop\u00fd\u0159i ji p\u0159en\u00e1\u0161ej\u00ed). A pokud jedete na jih nebo na vesnici bez kanalizace, pak proti hepatitid\u011b A. A hepatitida B se hod\u00ed na p\u0159\u00edpad\u011b poskytov\u00e1n\u00ed pomoci v venkovsk\u00e9 ambulanci, poran\u011bn\u00ed v manik\u00farn\u00edm salonu, zubn\u00ed p\u00e9\u010de po cest\u011b nebo n\u00e1hl\u00e9 transf\u00faze krve. Spadl, zakopnul, probral se \u2014 hepatitida B. <\/p>\n<h2>O\u010dkov\u00e1n\u00ed maj\u00ed trval\u00fd \u00fa\u010dinek?<\/h2>\n<p>\nNe. N\u011bkter\u00e9 umo\u017e\u0148uj\u00ed vytvo\u0159it celo\u017eivotn\u00ed imunitu, n\u011bkter\u00e9 p\u016fsob\u00ed dlouho (nap\u0159\u00edklad, difterie \u2014 10 let), n\u011bkter\u00e9 velmi kr\u00e1tce (japonsk\u00fd encefalit \u2014 na 1 rok). Pot\u00e9 \u00fa\u010dinnost protil\u00e1tek a jejich v\u00fdroba pomalu klesaj\u00ed. <\/p>\n<p>To znamen\u00e1, \u017ee dobr\u00fd n\u00e1pad bude za\u010d\u00edt s aktualizac\u00ed toho, co jste zanedbali, pak p\u0159idat z\u00e1kladn\u00ed \u201edlouhodob\u00e9\u201c v\u011bci, a pak se o\u010dkovat p\u0159ed nebezpe\u010dn\u00fdmi cestami. <\/p>\n<h2>Co tedy d\u011blat?<\/h2>\n<p>\nZa\u010dn\u011bte hned te\u010f aktualizac\u00ed antivirov\u00fdch datab\u00e1z\u00ed. P\u0159esn\u011b zkontrolujte cel\u00fd sv\u016fj soubor d\u011btsk\u00fdch o\u010dkov\u00e1n\u00ed. Dostavte se k l\u00e9ka\u0159i a po\u017e\u00e1dejte ho, aby v\u00e1m \u0159ekl, jak\u00e1 o\u010dkov\u00e1n\u00ed v\u00e1m chyb\u00ed. <\/p>\n<p>Obvykle je pot\u0159eba aktualizovat tetanus (to je soubor t\u0159\u00ed patogen\u016f v jedn\u00e9 vakc\u00edn\u011b) \u2014 to ka\u017ed\u00fdch 10 let. Je pravd\u011bpodobn\u00e9, \u017ee dal\u0161\u00ed n\u011bkter\u00e1 va\u0161e d\u011btsk\u00e1 o\u010dkov\u00e1n\u00ed u\u017e tak\u00e9 vypr\u0161ela. <\/p>\n<p>Zkontrolovat \u00fa\u010dinnost vakc\u00edny je mimochodem jednoduch\u00e9: ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je mo\u017en\u00e9 si nechat ud\u011blat specifick\u00e9 protil\u00e1tky a zjistit, zda ochrana st\u00e1le funguje. Jen vy\u0161et\u0159en\u00ed mus\u00ed p\u0159edepsat l\u00e9ka\u0159, proto\u017ee mohou b\u00fdt 'aktu\u00e1ln\u00ed' verze protil\u00e1tek a mohou b\u00fdt 'dlouhodob\u00e9'. Zaj\u00edmaj\u00ed v\u00e1s ty druh\u00e9. <\/p>\n<p>Pak p\u0159idejte strategicky d\u016fle\u017eit\u00e1 o\u010dkov\u00e1n\u00ed. Obvykle se jedn\u00e1 o hepatitidy A a B, virus lidsk\u00e9ho papilomu. <\/p>\n<p>Pokud \u010dasto cestujete do ur\u010dit\u00fdch region\u016f (nebo se tam jist\u011b chyst\u00e1te v n\u00e1sleduj\u00edc\u00edch letech) \u2014 pod\u00edvejte se na dlouhotrvaj\u00edc\u00ed o\u010dkov\u00e1n\u00ed, jako je \u017elut\u00e1 zimnice, b\u0159i\u0161n\u00ed tyfus. <\/p>\n<p>A teprve pot\u00e9 se \u0159i\u010fte doporu\u010den\u00edmi WHO, ministerstva zahrani\u010dn\u00edch v\u011bc\u00ed nebo l\u00e9ka\u0159e p\u0159ed cestou. <\/p>\n<h2>Co je pro dosp\u011bl\u00e9ho velmi doporu\u010deno z bal\u00ed\u010dku?<\/h2>\n<p><\/p>\n<ul>\n<li>Koktavka, z\u00e1\u0161krt a tetanus \u2014 aktualizovat ka\u017ed\u00fdch 10 let pro dosp\u011bl\u00e9ho \u010dlov\u011bka. Bude se to hodit v Rusku i kdekoliv na sv\u011bt\u011b. <\/li>\n<li>Hepatitida A \u2014 do\u017eivotn\u00ed imunita po o\u010dkovac\u00edm cyklu. <\/li>\n<li>Hepatitida B \u2014 do\u017eivotn\u00ed po o\u010dkovac\u00edm cyklu (ale je t\u0159eba zkontrolovat titry po 10 letech). <\/li>\n<li>Kv\u011btinov\u00e1 ne\u0161tovice \u2014 do\u017eivotn\u00ed imunita po o\u010dkovac\u00edm cyklu nebo po prod\u011blan\u00e9 nemoci v d\u011btstv\u00ed.<\/li>\n<li>Poliomyelitida \u2014 do\u017eivotn\u00ed imunita po o\u010dkovac\u00edm cyklu. <\/li>\n<li>Meningokokov\u00e1 infekce \u2014 do\u017eivotn\u00ed, pokud byla vakc\u00edna pod\u00e1na ve v\u011bku nad 5 let. <\/li>\n<li>Virus lidsk\u00e9ho papilomu \u2014 ka\u017ed\u00fdch 15 let (u n\u011bkter\u00fdch se zachov\u00e1v\u00e1 do\u017eivotn\u00ed imunita, aktualizovat po kontrole titru).<\/li>\n<li>Kl\u00ed\u0161\u0165ov\u00e1 encefalitida \u2014 ka\u017ed\u00e9 3 roky, pokud r\u00e1di sed\u00edte u ohn\u011b v Rusku.<\/li>\n<li>Lze v\u0161e ud\u011blat najednou? <\/li>\n<\/ul>\n<p><\/p>\n<h2>Ne. Za jeden cyklus lze z\u00edskat 1\u20133 vakc\u00edny, pak je v pr\u016fm\u011bru pot\u0159eba \u010dekat m\u011bs\u00edc na dal\u0161\u00ed.<\/h2>\n<p>\nN\u011bkter\u00e9 vakc\u00edny se kombinuj\u00ed, n\u011bkter\u00e9 ne. \u017div\u00e9 vakc\u00edny se obvykle ned\u011blaj\u00ed ve stejn\u00fd den. Geneticky modifikovan\u00e9 vakc\u00edny lze pod\u00e1vat hromadn\u011b, ale ne v\u00edce ne\u017e t\u0159i vakc\u00edny za den, aby se nezat\u011b\u017eoval organismus. <\/p>\n<p>Mohou n\u011bkter\u00e9 vakc\u00edny b\u00fdt pod\u00e1ny hromadn\u011b? <\/p>\n<p>BCG, vakc\u00edna proti \u017elut\u00e9 zimnici a proti vzteklin\u011b \u2014 tyto obvykle nejsou pod\u00e1v\u00e1ny spole\u010dn\u011b s jin\u00fdmi vakc\u00ednami ani mezi sebou. <\/p>\n<p>N\u011bkter\u00e9 vakc\u00edny nelze pod\u00e1vat b\u011bhem t\u011bhotenstv\u00ed. To se t\u00fdk\u00e1 \u017eiv\u00fdch vakc\u00edn proti spalni\u010dk\u00e1m, zard\u011bnk\u00e1m, p\u0159\u00edu\u0161nic\u00edm a varicele, kter\u00e9 obsahuj\u00ed \u017eiv\u00e9 oslaben\u00e9 viry. <\/p>\n<p>V\u011bt\u0161ina d\u011btsk\u00fdch a dosp\u011bl\u00fdch vakc\u00edn se li\u0161\u00ed pouze d\u00e1vkov\u00e1n\u00edm. To znamen\u00e1, \u017ee pokud v\u00e1m podaj\u00ed dv\u011b d\u011btsk\u00e9 d\u00e1vky m\u00edsto dosp\u011bl\u00e9 \u2014 v v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je to v po\u0159\u00e1dku. Po\u010d\u00edt\u00e1 se to jako jedna.<\/p>\n<p>Nen\u00ed dobr\u00e9 ani nadm\u011brn\u011b u\u017e\u00edvat vakc\u00edny. N\u00e1sledujte pouze rozumn\u00e1 doporu\u010den\u00ed, neaplikujte v\u0161e bez rozmyslu. Schopnosti imunitn\u00edho syst\u00e9mu nejsou nekone\u010dn\u00e9, p\u0159\u00edli\u0161n\u00e9 \u0161kolen\u00ed m\u016f\u017ee b\u00fdt tak\u00e9 \u0161patn\u00fdm n\u00e1padem. Pokud m\u00e1te pochybnosti \u2014 pora\u010fte se s l\u00e9ka\u0159em.<\/p>\n<h2>Existuj\u00ed nemoci, proti kter\u00fdm se lze chr\u00e1nit bez vakc\u00edny?<\/h2>\n<p>\nAno. Proti mal\u00e1rii neexistuje vakc\u00edna, proto jsou k dispozici dv\u011b mo\u017enosti \u2014 bu\u010f u\u017e\u00edvat profylaxi, nebo se l\u00e9\u010dit, kdy\u017e u\u017e jste onemocn\u011bli. Nebo se ka\u017edou hodinu st\u0159\u00edkat repelentem a doufat, \u017ee budete m\u00edt \u0161t\u011bst\u00ed. <\/p>\n<p>V konkr\u00e9tn\u00edm p\u0159\u00edpad\u011b mal\u00e1rie se d\u00edvejte na konkr\u00e9tn\u00ed patogeny v oblasti, do kter\u00e9 cestujete: n\u011bkter\u00e9 se l\u00e9\u010d\u00ed bez probl\u00e9m\u016f, n\u011bkter\u00e9 ne. Ty, kter\u00e9 nelze l\u00e9\u010dit: m\u016f\u017ee se uk\u00e1zat, \u017ee je lep\u0161\u00ed u\u017e\u00edvat profylaxi a trp\u011bt jej\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky (\u010dast\u00e9 a ne p\u0159\u00edli\u0161 dobr\u00e9). Kde takov\u00ed patogeny nejsou, m\u016f\u017ee b\u00fdt lep\u0161\u00ed riskovat a st\u0159\u00edkat se sprejem. Rozhodnout se mus\u00edte vy. Kdy\u017e nen\u00ed epidemie, jde sp\u00ed\u0161e o doporu\u010den\u00ed. <\/p>\n<p>Profylakticky lze u\u017e\u00edvat tablety, aby nedo\u0161lo k n\u00e1kaze HIV, ale douf\u00e1me, \u017ee takov\u00e9 cesty nepot\u0159ebujete p\u0159\u00edli\u0161 \u010dasto. <\/p>\n<p>Tak\u00e9 se velmi doporu\u010duje m\u00edt po ruce l\u00e9k\u00e1rni\u010dku, abyste si mohli pomoci, pokud byste dostali st\u0159evn\u00ed infekci nebo parazity, svrab nebo n\u011bkoho z jednoduch\u00fdch organism\u016f. Je lep\u0161\u00ed ji sestavit s t\u00edm specialistou, kter\u00fd v\u00e1m bude p\u0159ed cestou doporu\u010dovat o\u010dkov\u00e1n\u00ed. Nebo se sv\u00fdm praktick\u00fdm l\u00e9ka\u0159em. <\/p>\n<h2>Kdy se m\u016f\u017ee a kdy se nem\u016f\u017ee o\u010dkovat?<\/h2>\n<p>\nExistuj\u00ed kontraindikace. Obecn\u011b plat\u00ed, \u017ee pokud jste p\u0159ed cestou nachlazen\u00ed, nen\u00ed t\u0159eba chodit k l\u00e9ka\u0159i na o\u010dkov\u00e1n\u00ed v pln\u00e9m pr\u016fb\u011bhu nachlazen\u00ed. Ale teplota 39 a dal\u0161\u00ed p\u0159\u00edznaky nemoci ne v\u017edy br\u00e1n\u00ed z\u00edsk\u00e1n\u00ed vakc\u00edny. To plat\u00ed zejm\u00e9na pro \u010dasto nemocn\u00e9 d\u011bti. Proto se v\u017edy pora\u010fte s l\u00e9ka\u0159em a nezapom\u00ednejte sd\u011blit v\u0161echny sv\u00e9 stavy a chronick\u00e9 diagn\u00f3zy. <\/p>\n<p>P\u0159\u00edklady kontraindikac\u00ed si m\u016f\u017eete p\u0159e\u010d\u00edst <noindex><a rel=\"nofollow\" href=\"http:\/\/www.yaprivit.ru\/protivipokazania-k-vaccinacii\/\">zde<\/a><\/noindex>.<\/p>\n<p>Existuje jen n\u011bkolik praktick\u00fdch kontraindikac\u00ed pro o\u010dkov\u00e1n\u00ed. Nap\u0159\u00edklad u \u017eiv\u00fdch vakc\u00edn to jsou HIV infekce a jin\u00e9 typy imunodeficitu. <\/p>\n<p>V p\u0159\u00edpad\u011b chronick\u00fdch onemocn\u011bn\u00ed m\u016f\u017ee b\u00fdt seznam vakc\u00edn \u0161ir\u0161\u00ed ne\u017e obvykle kv\u016fli zv\u00fd\u0161en\u00fdm specifick\u00fdm rizik\u016fm. Krom\u011b toho je t\u0159eba zohlednit kontraindikace konkr\u00e9tn\u00edch vakc\u00edn. To v\u0161e zkontroluje terapeut p\u0159i preventivn\u00ed prohl\u00eddce p\u0159ed o\u010dkov\u00e1n\u00edm v nemocnici. <\/p>\n<h2>M\u016f\u017eu se nechat o\u010dkovat v zahrani\u010d\u00ed p\u0159ed dal\u0161\u00ed cestou?<\/h2>\n<p>\nAno. Nav\u00edc si m\u016f\u017eete vakc\u00ednu koupit n\u011bkde v l\u00e9k\u00e1rn\u011b u n\u00e1s nebo v zahrani\u010d\u00ed a p\u0159in\u00e9st ji do sv\u00e9 nemocnice, abyste z\u00edskali dokumentaci k n\u00ed. To je d\u016fle\u017eit\u00e9, kdy\u017e pot\u0159ebn\u00e1 vakc\u00edna nen\u00ed v nemocnic\u00edch ve va\u0161em m\u011bst\u011b. P\u0159ed takovou operac\u00ed je velmi d\u016fle\u017eit\u00e9 zkontrolovat hygienick\u00e9 po\u017eadavky nemocnice na p\u0159epravu vakc\u00edny. <\/p>\n<h2>Vakc\u00edny proti pot\u0159ebn\u00fdm nemocem jsou r\u016fzn\u00e9. Kterou vybrat?<\/h2>\n<p>\nNejjednodu\u0161\u0161\u00ed v\u00fdb\u011br je mezi levn\u011bj\u0161\u00ed a dra\u017e\u0161\u00ed variantou. Obvykle je v dra\u017e\u0161\u00ed bu\u010f jin\u00fd princip inaktivace patogenu, nebo v\u011bt\u0161\u00ed knihovna kmen\u016f, nebo je tam n\u011bco, co jinak zvy\u0161uje jej\u00ed \u00fa\u010dinnost a sni\u017euje pravd\u011bpodobnost vedlej\u0161\u00edch \u00fa\u010dink\u016f. <\/p>\n<p>Kdy\u017e je v\u00edce vakc\u00edn a jsou r\u016fzn\u00fdch typ\u016f, je lep\u0161\u00ed se poradit s l\u00e9ka\u0159em nebo v krajn\u00edm p\u0159\u00edpad\u011b vyu\u017e\u00edt mo\u017enost \"v\u00fdchoz\u00ed\". <\/p>\n<h2>Vr\u00e1til jsem se a c\u00edt\u00edm se n\u011bjak \u0161patn\u011b...<\/h2>\n<p>\nJe lep\u0161\u00ed obr\u00e1tit se tam, kde s jistotou zjist\u00ed, \u017ee to nen\u00ed rusk\u00e1 infekce, proto\u017ee obvodn\u00edho l\u00e9ka\u0159e m\u016f\u017ee na p\u00e1r dn\u00ed zm\u00e1st, co\u017e dramaticky ovlivn\u00ed progn\u00f3zu v\u00fdvoje onemocn\u011bn\u00ed. To znamen\u00e1, \u017ee nejlep\u0161\u00ed je dostat se (nebo dojet sanitkou) do infek\u010dn\u00ed nemocnice. Ur\u010dit\u011b l\u00e9ka\u0159\u016fm pov\u011bzte, kde jste byli a \u010demu jste se v\u011bnovali (nap\u0159\u00edklad jste zkou\u0161eli syrov\u00e9 maso podle m\u00edstn\u00edch recept\u016f, hladili mil\u00e9 netop\u00fdry, l\u00edbali se s \u017eirafou). Pravd\u011bpodobn\u011b jste se otr\u00e1vili nebo nachladili, ale zkontroluj\u00ed v\u00e1s na v\u0161echno vhodn\u00e9 podle symptom\u016f \u2014 od denge po mal\u00e1rii. To je n\u011bkolik test\u016f. Trochu d\u011bsiv\u00e9 bude, kdy\u017e uvid\u00edte lidi, jak najednou strh\u00e1vaj\u00ed masky z obli\u010dej\u016f, ale nen\u00ed to moc bolestiv\u00e9 a netrv\u00e1 to dlouho. Takov\u00e9 jsou z\u00e1kony v RF, a to je celkov\u011b dobr\u00e9 pro va\u0161i osobn\u00ed p\u0159e\u017eit\u00ed. <\/p>\n<h2>Co se stane s pasa\u017e\u00e9ry letadla, ve kter\u00e9m let\u011bl nemocn\u00fd?<\/h2>\n<p>\nPokud jste se p\u0159ece jenom nakazili, mus\u00edte nejprve zjistit, \u010d\u00edm. Dal\u0161\u00ed postup z\u00e1vis\u00ed na infekci. Pokud to byla mal\u00e1rie, bez p\u0159\u00edtomnosti kom\u00e1r\u016f na palub\u011b je t\u00e9m\u011b\u0159 nemo\u017en\u00e9 ji p\u0159en\u00e9st (pokud jste si tam vz\u00e1jemn\u011b ned\u00e1vali krev, ale pak byste pot\u0159ebovali nejprve konzultaci psychiatra). Tot\u00e9\u017e plat\u00ed pro denge, ziku, chikungunya a \u017elutou zimnici. Pokud ale jde o spalni\u010dky nebo meningokokovou infekci \u2014 to je jin\u00e1 situace a mohou b\u00fdt p\u0159ijata opat\u0159en\u00ed. L\u00e9ka\u0159 informuje Sanepid (Rospotrebnadzor) a pot\u00e9 budou v\u0161ichni informov\u00e1ni a budou p\u0159ij\u00edmat opat\u0159en\u00ed na ochranu p\u0159ed biologickou hrozbou. <\/p>\n<h2>P\u0159e\u010detl jsem si v\u0161e, pochopil jsem a chci se nechat o\u010dkovat p\u0159ed cestou za m\u011bs\u00edc. Jak to ud\u011blat?<\/h2>\n<p>\nZavolejte do sv\u00e9 nemocnice a zeptejte se, zda maj\u00ed vakc\u00ednu proti z\u00e1jmov\u00e9mu patogenu. Maj\u00ed? \u0158ekn\u011bte, \u017ee ji chcete. Zaregistruj\u00ed v\u00e1s na sch\u016fzku k l\u00e9ka\u0159i, pak v\u00e1s prohl\u00e9dne, zept\u00e1 se, pokud nejsou \u017e\u00e1dn\u00e1 kontraindikace \u2014 po\u0161le v\u00e1s na proceduru. Tam dostanete vakc\u00ednu (injekce do ramene, nap\u0159\u00edklad), pak v\u00e1m p\u0159e\u010dtou seznam symptom\u016f, na kter\u00e9 si m\u00e1te d\u00e1vat pozor v nejbli\u017e\u0161\u00edch dnech. Potom si na p\u016fl hodiny sedn\u011bte p\u0159ed kancel\u00e1\u0159 l\u00e9ka\u0159e nebo procedury. Za p\u016fl hodiny vyjde doktor, ujist\u00ed se, \u017ee v\u00e1s nepostihla anafylaktick\u00e1 \u0161ok, a po\u0161le v\u00e1s dom\u016f. Pokud to byla injekce, tak p\u00e1r dn\u00ed ji nebude mo\u017en\u00e9 namo\u010dit ani \u0161k\u00e1dlit. <\/p>\n<p>Pokud ve va\u0161\u00ed nemocnici nemaj\u00ed vakc\u00ednu, zavolejte na dal\u0161\u00ed vhodn\u00e9 m\u00edsto. Tak \u010di onak, pravd\u011bpodobn\u011b se jedn\u00e1 o placenou slu\u017ebu, tak\u017ee nen\u00ed d\u016fle\u017eit\u00e9, kde ji z\u00edsk\u00e1te. Jen nezapome\u0148te si vz\u00edt dokumenty o o\u010dkov\u00e1n\u00ed \u2014 jejich kopie je dobr\u00e9 p\u0159ilo\u017eit k va\u0161emu spisu v hlavn\u00ed nemocnici. <\/p>\n<p>N\u011bkdy je pot\u0159eba dokumenty uchovat na cesty. Nap\u0159\u00edklad po o\u010dkov\u00e1n\u00ed proti \u017elut\u00e9 zimnici dostanete speci\u00e1ln\u00ed kn\u00ed\u017eku, kterou je t\u0159eba m\u00edt s sebou do Panamy. Jinak v\u00e1s do zem\u011b pust\u00ed maxim\u00e1ln\u011b na 12 hodin. <\/p>\n<p>D\u011bkuji za konzultaci s l\u00e9ka\u0159kou tropikologi\u010dkou Viktorii Valikovou, zakladatelkou dobrovolnick\u00e9 kliniky Health&amp;Help v <noindex><a rel=\"nofollow\" href=\"http:\/\/he-he.org\">Nikaraguy <\/a><\/noindex> a <noindex><a rel=\"nofollow\" href=\"https:\/\/help.he-he.org\/ru\/guatemala\/\">Guatemale.<\/a><\/noindex>Pokud v\u00e1s zaj\u00edmaj\u00ed jej\u00ed kliniky \u2014 <noindex><a rel=\"nofollow\" href=\"https:\/\/realnoevremya.ru\/articles\/82365-intervyu-s-vrachom-tropikologom-viktoriey-valikovoy\">odkaz je tady<\/a><\/noindex>.<\/p>\n<p>A zde jsou dal\u0161\u00ed publikace \u201eTutu.Tury\u201c a \u201eTutu.P\u0159\u00edhody\u201c: <noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/tuturu\/blog\/428193\/\">o v\u00fdletech<\/a><\/noindex>, <noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/tuturu\/blog\/441982\/\">jachting \u2014 to m\u016f\u017ee b\u00fdt levn\u00e9<\/a><\/noindex>.<br \/>\n<br \/>Zdroj: <a content=\"nofollow\" rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/tuturu\/blog\/449998\/\">habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>\u0412\u0430\u043a\u0446\u0438\u043d\u0430 \u2014 \u044d\u0442\u043e \u0441\u043f\u043e\u0441\u043e\u0431 \u043f\u043e\u043a\u0430\u0437\u0430\u0442\u044c \u0438\u043c\u043c\u0443\u043d\u043d\u043e\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u0435 \u0441\u0438\u0433\u043d\u0430\u0442\u0443\u0440\u0443 \u0443\u0433\u0440\u043e\u0437\u044b, \u043a \u043a\u043e\u0442\u043e\u0440\u043e\u0439 \u0437\u0430 \u043d\u0435\u0441\u043a\u043e\u043b\u044c\u043a\u043e \u0446\u0438\u043a\u043b\u043e\u0432 \u043e\u0431\u0443\u0447\u0435\u043d\u0438\u044f \u0431\u0443\u0434\u0435\u0442 \u0432\u044b\u0440\u0430\u0431\u043e\u0442\u0430\u043d \u0438\u043c\u043c\u0443\u043d\u043d\u044b\u0439 \u043e\u0442\u0432\u0435\u0442. \u041b\u044e\u0431\u0430\u044f \u0431\u043e\u0440\u044c\u0431\u0430 \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0430 \u0441 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u043c \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435\u043c \u2014 \u044d\u0442\u043e \u043f\u043e\u043f\u044b\u0442\u043a\u0438 \u0440\u0430\u0441\u043f\u043e\u0437\u043d\u0430\u0442\u044c \u0441\u0438\u0433\u043d\u0430\u0442\u0443\u0440\u0443 \u0443\u0433\u0440\u043e\u0437\u044b \u0438 \u0432\u044b\u0440\u0430\u0431\u043e\u0442\u0430\u0442\u044c \u043a\u043e\u043d\u0442\u0440\u043c\u0435\u0440\u044b. \u0412 \u043e\u0431\u0449\u0435\u043c \u0441\u043b\u0443\u0447\u0430\u0435 \u044d\u0442\u043e\u0442 \u043f\u0440\u043e\u0446\u0435\u0441\u0441 \u0432\u0435\u0434\u0451\u0442\u0441\u044f \u0434\u043e \u043f\u043e\u043b\u043d\u043e\u0433\u043e \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0430, \u0442\u043e \u0435\u0441\u0442\u044c \u0434\u043e \u0432\u044b\u0437\u0434\u043e\u0440\u043e\u0432\u043b\u0435\u043d\u0438\u044f. \u041e\u0434\u043d\u0430\u043a\u043e \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0438, \u043a\u043e\u0442\u043e\u0440\u044b\u0435: \u0423\u0431\u0438\u0432\u0430\u044e\u0442 \u043d\u043e\u0441\u0438\u0442\u0435\u043b\u044f \u0431\u044b\u0441\u0442\u0440\u0435\u0435, [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":1,"featured_media":24656,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[702],"tags":[],"class_list":["post-32890","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.3 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u0412\u0430\u043a\u0446\u0438\u043d\u0430 \u2014 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