{"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\/sk\/blog\/news\/faq-chto-nado-znat-puteshestvenniku-giku-pro-privivki-pered-poezdkoj","title":{"rendered":"FAQ: \u010co by mal vedie\u0165 cestovate\u013e- geek o o\u010dkovaniach pred cestou","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><img decoding=\"async\" alt=\"FAQ: \u010co by mal vedie\u0165 cestovate\u013e- geek o o\u010dkovaniach pred cestou\" src=\"\/wp-content\/uploads\/2019\/05\/317c173c7ff8a5f81eb61cfe45d3bc15.jpg\" style=\"display:block;margin: 0 auto;\" \/>Vakc\u00edna je sp\u00f4sob, ako uk\u00e1za\u0165 imunitn\u00e9mu syst\u00e9mu signat\u00faru hrozby, na ktor\u00fa sa za nieko\u013eko cyklov u\u010denia vyvinie imunitn\u00e1 odpove\u010f. <\/p>\n<p>Ka\u017ed\u00fd boj organizmu s infek\u010dn\u00fdm ochoren\u00edm je sna\u017een\u00edm sa rozpozna\u0165 signat\u00faru hrozby a vyvin\u00fa\u0165 protimery. Vo v\u0161eobecnosti sa tento proces vykon\u00e1va a\u017e do \u00fapln\u00e9ho v\u00fdsledku, teda po uzdraven\u00ed. M\u00f4\u017eu sa v\u0161ak vyskytn\u00fa\u0165 infekcie, ktor\u00e9:<\/p>\n<ul>\n<li>Zab\u00edjaj\u00fa nosite\u013ea r\u00fdchlej\u0161ie, ako sa vyvinie imunitn\u00e1 odpove\u010f.<\/li>\n<li>Menia sa r\u00fdchlej\u0161ie, ne\u017e imunitn\u00fd syst\u00e9m dok\u00e1\u017ee \u201erozpozna\u0165\u201c patog\u00e9ny.<\/li>\n<li>Maskuj\u00fa sa a skr\u00fdvaj\u00fa na miestach, kde je ve\u013emi \u0165a\u017ek\u00e9 z\u00edska\u0165 pr\u00edstup k patog\u00e9nu.<\/li>\n<\/ul>\n<p>\nPreto je v niektor\u00fdch pr\u00edpadoch lep\u0161ie vopred usporiada\u0165 cvi\u010denia. A to s\u00fa vakc\u00edny. Dospel\u00fd obyvate\u013e mesta bol o\u010dkovan\u00fd proti najnebezpe\u010dnej\u0161\u00edm infekci\u00e1m v detstve. Pri vypuknut\u00ed infekci\u00ed alebo ke\u010f sa \u010dlovek dostane do nebezpe\u010dn\u00e9ho prostredia m\u00e1 zmysel robi\u0165 prevent\u00edvne o\u010dkovania. Cestovanie patr\u00ed do tak\u00fdchto situ\u00e1ci\u00ed.<\/p>\n<p>Po\u010fme sa najprv pozrie\u0165 na z\u00e1klady, potom prejdeme k cestovaniu a zoznamu akci\u00ed.<\/p>\n<h2>Pre\u010do s\u00fa cestovanie nebezpe\u010dn\u00e9?<\/h2>\n<p>\nPredpokladajme, \u017ee let\u00edte do Afriky. Tam je zv\u00fd\u0161en\u00e9 riziko \u017eltej zimnice. Jednoduch\u00e1 vakc\u00edna v\u00e1s vyjde asi na 1 500 rub\u013eov vr\u00e1tane poplatku za lek\u00e1ra a slu\u017eieb proced\u00farneho kabinetu, vakc\u00edna vy\u0161\u0161ej \u00farovne stoj\u00ed 3 000 rub\u013eov. Neda sa lie\u010di\u0165 \u017elt\u00e1 zimnica \u0161pecializovan\u00fdmi liekmi (teda len udr\u017eujete zdroje organizmu, k\u00fdm sa s t\u00fdm s\u00e1m nevyrovn\u00e1), nakazi\u0165 sa je \u013eahk\u00e9, \u00famrtnos\u0165 je pribli\u017ene 10 %, hlavn\u00fdm pren\u00e1\u0161a\u010dom s\u00fa kom\u00e1re. Ved\u013eaj\u0161ie \u00fa\u010dinky vakc\u00edny s\u00fa takmer \u017eiadne. Stoj\u00ed za to o\u010dkovanie? Pravdepodobne \u00e1no. Ale rozhodn\u00fa\u0165 sa mus\u00edte vy. <noindex><a rel=\"nofollow\" name=\"habracut\"><\/a><\/noindex><\/p>\n<p>Tak\u017ee cesta je, ke\u010f sa nach\u00e1dzate nie v prostred\u00ed, ktor\u00e9 je va\u0161emu imunitn\u00e9mu syst\u00e9mu zn\u00e1me. Po lete a v d\u00f4sledku reakcie na tis\u00edce nov\u00fdch vonkaj\u0161\u00edch faktorov za\u010d\u00edna v ochrane organizmu vl\u00e1dnu\u0165 mierny chaos a st\u00e1vate sa menej koloni\u00e1lne rezistentn\u00ed vo\u010di patog\u00e9nom. Plus v novom prostred\u00ed sa m\u00f4\u017eu nach\u00e1dza\u0165 patog\u00e9ny, ktor\u00e9 jednoducho neexistuj\u00fa tam, kde obvykle \u017eijete. <\/p>\n<p>Plat\u00ed aj opak: m\u00f4\u017eete by\u0165 nosite\u013eom patog\u00e9nov, ktor\u00e9 v s\u00fa\u010dasnom prostred\u00ed nie s\u00fa. A vtedy sa m\u00f4\u017ee miestnym obyvate\u013eom nepr\u00edjemne zadar\u00ed. <\/p>\n<h2>Ako funguj\u00fa o\u010dkovania?<\/h2>\n<p>\nExistuj\u00fa 4 hlavn\u00e9 typy:<\/p>\n<ol>\n<li>M\u00f4\u017eete si vybra\u0165 oslaben\u00fa verziu patog\u00e9nneho kme\u0148a, ktor\u00e1 je podobn\u00e1 skuto\u010dn\u00e9mu bojov\u00e9mu, ale neprin\u00e1\u0161a hrozbu pre zdrav\u00fd organizmus. Patria sem o\u010dkovania proti ov\u010d\u00edm kiah\u0148am, chr\u00edpke, \u017eltej zimnici a podobne. Je to najjednoduch\u0161\u00ed sp\u00f4sob, ako sa u\u010di\u0165: imunita bojuje proti \"v\u00fdu\u010dbov\u00fdm nepriate\u013eom\". <\/li>\n<li>Je mo\u017en\u00e9 inaktivova\u0165 v\u00edry a bakt\u00e9rie (napr\u00edklad ich umiestnen\u00edm do formaldehydov\u00e9ho prostredia) a uk\u00e1za\u0165 organizmu u\u017e ich m\u0155tve tel\u00e1. Pr\u00edklady s\u00fa hepatit\u00edda A, klie\u0161\u0165ov\u00e1 encefalit\u00edda. Imunitn\u00fd syst\u00e9m n\u00e1jde niekde v tele m\u0155tve tel\u00e1 nepriate\u013eov a za\u010dne sa u\u010di\u0165 ich zab\u00edja\u0165 znova a znova, preto\u017ee to nie je bezd\u00f4vodn\u00e9. Ke\u010f sa do organizmu dostane zn\u00e1my kme\u0148, bude jasn\u00e9, \u010do s n\u00edm robi\u0165 v z\u00e1kladn\u00fdch ot\u00e1zkach, a n\u00e1sledn\u00fd imunitn\u00fd odpove\u010f sa ve\u013emi r\u00fdchlo prisp\u00f4sob\u00ed na z\u00e1klade predch\u00e1dzaj\u00facich inform\u00e1ci\u00ed.<\/li>\n<li>M\u00f4\u017eete zavies\u0165 anatox\u00edny (oslaben\u00e9 alebo pozmenen\u00e9 verzie tox\u00ednov mikroorganizmov) \u2014 potom sa ochrana organizmu nau\u010d\u00ed bojova\u0165 s n\u00e1sledkami p\u00f4sobenia bakt\u00e9ri\u00ed, \u010do poskytne ove\u013ea viac \u010dasu na vyvinutie protimier pri infekcii. To znamen\u00e1, \u017ee v\u00e1s nebud\u00fa tr\u00e1pi\u0165 sympt\u00f3my choroby a organizmus si v pokoji a tichu porad\u00ed s patog\u00e9nmi, ani si nev\u0161imnete, \u017ee tu boli. To je napr\u00edklad tetanus. <\/li>\n<li>V\u0161etko nov\u00e9, \u010do patr\u00ed do kateg\u00f3rie \"high-tech\" \u2014 s\u00fa to modifik\u00e1tory g\u00e9nov\u00fdch komplexov (aby nejak\u00fd prote\u00edn okrem hlavnej funkcie z\u00e1rove\u0148 rezal DNA patog\u00e9na, napr\u00edklad), molekul\u00e1rne vakc\u00edny (ke\u010f sa organizmu poskytuje v podstate \u010dist\u00fd podpis DNA\/RNA) a podobne. Pr\u00edklady molekul\u00e1rnych vakc\u00edn - hepatit\u00edda B (obaly v\u00edrusov bez jadra), v\u00edrus papil\u00f3mu \u010dloveka a meningokoky. <\/li>\n<\/ol>\n<p>\nUpozor\u0148ujeme, \u017ee neexistuje priama s\u00favislos\u0165 medzi typom vakc\u00edny a jej ved\u013eaj\u0161\u00edmi \u00fa\u010dinkami. M\u00f4\u017ee sa v\u00e1m zda\u0165, \u017ee skuto\u010dn\u00fd \u017eiv\u00fd patog\u00e9n bude nebezpe\u010dnej\u0161\u00ed ako molekul\u00e1rna vakc\u00edna, ale nie je to tak. O\u010dkovanie proti \u017eltej zimnici je pova\u017eovan\u00e9 za jedno z najbezpe\u010dnej\u0161\u00edch: \u0161ance na ved\u013eaj\u0161ie \u00fa\u010dinky s\u00fa ve\u013emi \u0165a\u017eko rozl\u00ed\u0161ite\u013en\u00e9 od \u0161tatistickej chyby merac\u00edch met\u00f3d. <\/p>\n<h2>Ak\u00e9 s\u00fa ved\u013eaj\u0161ie \u00fa\u010dinky?<\/h2>\n<p>\nNaj\u010dastej\u0161\u00ed pr\u00edpad je alergick\u00e1 reakcia. Napr\u00edklad vakc\u00edna proti h\u00e9patit\u00edde B m\u00f4\u017ee zhor\u0161i\u0165 alergiu na kvasnicov\u00e9 cesto. Existuj\u00fa aj zlo\u017eitej\u0161ie reakcie, ale vo v\u0161eobecnosti s\u00fa v\u0161etky reverzibiln\u00e9. Pr\u00edsne \u0161tatistiky sa zostavuj\u00fa na z\u00e1klade neodvratn\u00fdch (\u0165a\u017ek\u00fdch) n\u00e1sledkov, a vakc\u00edna nie je povolen\u00e1 na pou\u017eit\u00ed, ak je konkr\u00e9tne riziko pre jednotlivca z ochorenia so v\u0161etk\u00fdmi pravdepodobnos\u0165ami nakazenia, prekonania, vylie\u010denia a tak \u010falej ni\u017e\u0161ie ne\u017e riziko komplik\u00e1ci\u00ed. Jednoducho povedan\u00e9, v\u017edy je rozumnej\u0161ie pou\u017ei\u0165 vakc\u00ednu, ke\u010f je odpor\u00fa\u010dan\u00e1 v regi\u00f3ne. <\/p>\n<p>Ve\u013ek\u00e1 \u010das\u0165 ved\u013eaj\u0161\u00edch \u00fa\u010dinkov s\u00favis\u00ed s t\u00fdm, \u017ee do organizmu vyp\u00fa\u0161\u0165ate oslaben\u00fd v\u00edrus, tox\u00edn, molekul\u00e1rny odpad a in\u00e9 exog\u00e9nne l\u00e1tky. Aby ste nau\u010dili imunitn\u00fd syst\u00e9m bojova\u0165, mus\u00edte ho najprv trochu 'udrie\u0165'. Ten zareaguje, a pri tom m\u00f4\u017eu utrpie\u0165 aj n\u00e1bytkov\u00e9 kusy. Ale to je nevyhnutn\u00e1 s\u00fa\u010das\u0165 u\u010denia ochrany. <\/p>\n<h2>Vakc\u00edna p\u00f4sob\u00ed len na jeden kme\u0148?<\/h2>\n<p>\nNie celkom. Tu je porovnanie s podpisovou anal\u00fdzou trochu nepresn\u00e9. Imunitn\u00fd syst\u00e9m vytv\u00e1ra nie\u010do ako percep\u010dn\u00fd hash. To znamen\u00e1, \u017ee ak ste zao\u010dkovan\u00ed proti jedn\u00e9mu z kme\u0148ov chr\u00edpky, pri nakazen\u00ed in\u00fdm bude imunologick\u00e1 odpove\u010f zostaven\u00e1 r\u00fdchlej\u0161ie. Teda men\u0161ie riziko komplik\u00e1ci\u00ed, slab\u0161ia intenzita sympt\u00f3mov. <\/p>\n<p>V\u00edrus chr\u00edpky vyzer\u00e1 ako gu\u013ea, z ktorej tr\u010dia povrchov\u00e9 glykoprote\u00edny a bielkoviny. Najd\u00f4le\u017eitej\u0161ie (hemagglutin\u00edn a neuraminid\u00e1za) s\u00fa spomenut\u00e9 v n\u00e1zve kme\u0148a ako H1N1. Chr\u00edpka sa m\u00f4\u017ee mutova\u0165 pod\u013ea jedn\u00e9ho z bielkov\u00edn a premeni\u0165 sa na H2N1. Vtedy bude zhoda \u010diasto\u010dn\u00e1 a organizmus jednoducho menej intenz\u00edvne zareaguje. Ale m\u00f4\u017ee d\u00f4js\u0165 k 'shiftu', ke\u010f sa zmenia oba bielkoviny, napr\u00edklad na H2N3. Potom bude treba rozpozna\u0165 hrozbu takmer od za\u010diatku.<\/p>\n<p>V\u0161imnite si, \u017ee to plat\u00ed pre podobn\u00e9 kmene jedn\u00e9ho ochorenia. V pr\u00edpade meningit\u00eddy sa napr\u00edklad jedn\u00e1 o \u00faplne in\u00e9 patog\u00e9ny a r\u00f4zne vakc\u00edny v\u00e1s chr\u00e1nia pred r\u00f4znymi sadami meningokokov. A samotn\u00e1 meningit\u00edda m\u00f4\u017ee by\u0165 vyvolan\u00e1 e\u0161te stovkami pr\u00ed\u010din. <\/p>\n<p>To znamen\u00e1, \u017ee vo v\u0161eobecnosti vakc\u00edna obsahuje jeden alebo nieko\u013eko kme\u0148ov najroz\u0161\u00edrenej\u0161ieho typu patog\u00e9na. Pom\u00e1ha vyvin\u00fa\u0165 odolnos\u0165 vo\u010di nim a ich bl\u00edzkym verzi\u00e1m, ur\u00fdchli\u0165 \u010das odpovede na ich o nie\u010do vzdialenej\u0161ie verzie.<\/p>\n<h2>\u010co robi\u0165 pred cestou?<\/h2>\n<p>\nPrv\u00fdm krokom je e\u0161te pred k\u00fapou letenky prezrie\u0165 odpor\u00fa\u010dania t\u00fdkaj\u00face sa krajiny od cestovnej kancel\u00e1rie alebo niekde inde. Najlep\u0161ie je nevyu\u017e\u00edva\u0165 let\u00e1k, ktor\u00fd v\u00e1m daj\u00fa v cestovnej agent\u00fare, ale aktu\u00e1lne odpor\u00fa\u010dania od Svetovej zdravotn\u00edckej organiz\u00e1cie. M\u00e1 zmysel tie\u017e pozrie\u0165 si preh\u013ead krajiny od tej istej WHO: tam s\u00fa zaznamenan\u00e9 ned\u00e1vne epidemick\u00e9 ohnisk\u00e1 a ich n\u00e1sledky. Overte si po\u017eiadavky na biologick\u00fa bezpe\u010dnos\u0165 v cie\u013eovej krajine. Napr\u00edklad, ak m\u00e1te let s prestupom v Afrike, m\u00f4\u017eu od v\u00e1s vy\u017eadova\u0165 o\u010dkovanie proti patog\u00e9nu charakteristick\u00e9mu pre prestupov\u00e9 letisko. <\/p>\n<p>V niektor\u00fdch pr\u00edpadoch v\u00e1s bez potvrdenia o o\u010dkovan\u00ed nemusia vpusti\u0165 do ur\u010dit\u00fdch kraj\u00edn \u2014 to je potrebn\u00e9 skontrolova\u0165 vopred. Zvy\u010dajne ide bu\u010f o po\u017eiadavku na z\u00edskanie v\u00edza, alebo o aktu\u00e1lnu epidemiologick\u00fa situ\u00e1ciu. <\/p>\n<p>Alternat\u00edvna mo\u017enos\u0165 je nav\u0161t\u00edvi\u0165 lek\u00e1ra a poradi\u0165 sa s n\u00edm. Rad\u0161ej k infektol\u00f3govi v nemocnici, kam transportuj\u00fa pacientov prich\u00e1dzaj\u00facich lietadlom, ne\u017e k svojmu obvodn\u00e9mu lek\u00e1rovi. Jeho odpor\u00fa\u010dania bud\u00fa vych\u00e1dza\u0165 z pribli\u017ene rovnak\u00fdch zdrojov, ale on ich presnej\u0161ie interpretuje a aplikuje na v\u00e1\u0161 stav s oh\u013eadom na Va\u0161u anamn\u00e9zu. \u0160pecialisti na o\u010dkovanie pred cestami s\u00fa napr\u00edklad v Moskve v in\u0161tit\u00fate Marcinovsk\u00e9ho.<\/p>\n<p>Tak\u017ee ste dostali zoznam povinn\u00fdch a odpor\u00fa\u010dan\u00fdch o\u010dkovan\u00ed. \u010ealej z\u00e1le\u017e\u00ed len na v\u00e1s, \u010di chcete dodr\u017eiava\u0165 odpor\u00fa\u010dania alebo nie. Napr\u00edklad sa m\u00f4\u017eete rozhodn\u00fa\u0165, \u017ee ak sa na ceste nestretnete so \u017eiadnymi zvieratami, nemus\u00edte sa da\u0165 zao\u010dkova\u0165 proti besnote. Je to va\u0161a vo\u013eba. Ale pripom\u00ednam: WHO vytv\u00e1ra odpor\u00fa\u010dania pre cestovate\u013eov na z\u00e1klade \u0161tatistiky. A ak tam je nap\u00edsan\u00e9, \u017ee je lep\u0161ie sa da\u0165 zao\u010dkova\u0165, je skuto\u010dne lep\u0161ie sa da\u0165 zao\u010dkova\u0165. <\/p>\n<h2>Pr\u00eddem p\u00e1r dn\u00ed pred cestou, d\u00e1m si o\u010dkovanie a v\u0161etko bude v poriadku?<\/h2>\n<p>\nNie.<\/p>\n<p>Po prv\u00e9, doba rozvoja protil\u00e1tok trv\u00e1 od p\u00e1r dn\u00ed do 3\u20134 t\u00fd\u017ed\u0148ov (jedn\u00e1 sa o prim\u00e1rny s\u00fabor, m\u00f4\u017ee trva\u0165 aj dlh\u0161ie). <\/p>\n<p>Po druh\u00e9, niektor\u00e9 vakc\u00edny sa pod\u00e1vaj\u00fa v cykloch 2\u20133 kr\u00e1t. <\/p>\n<p>Po tretie, nie v\u0161etky vakc\u00edny s\u00fa kompatibiln\u00e9, tak\u017ee nie je mo\u017en\u00e9 da\u0165 si v\u0161etky naraz. <\/p>\n<p>To znamen\u00e1, \u017ee by ste mali \u00eds\u0165 na o\u010dkovania tri t\u00fd\u017edne pred cestou, ak potrebujete p\u00e1r nov\u00fdch vlastnost\u00ed v organizme, a \u0161es\u0165 mesiacov, ak je to va\u0161a prv\u00e1 n\u00e1v\u0161teva tropickej krajiny. <\/p>\n<p>Tu je str\u00e1nka odpor\u00fa\u010dan\u00ed WHO pre <noindex><a rel=\"nofollow\" href=\"https:\/\/wwwnc.cdc.gov\/travel\/destinations\/traveler\/none\/russia\">cestovate\u013eov do Ruska z ni\u010doho-nico<\/a><\/noindex> (bez nebezpe\u010dn\u00fdch ohn\u00edsk po ceste):<br \/>\n<img decoding=\"async\" alt=\"FAQ: \u010co by mal vedie\u0165 cestovate\u013e- geek o o\u010dkovaniach pred cestou\" src=\"\/wp-content\/uploads\/2019\/05\/c8c7a5f16294db9778f63816e94ddaa9.jpg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nVe\u013emi dobre sa pozrite na o\u010dkovania na konzul\u00e1rnom oddelen\u00ed MZV. Kompletn\u00fd zoznam <noindex><a rel=\"nofollow\" href=\"https:\/\/www.kdmid.ru\/docs.aspx\">kraj\u00edn<\/a><\/noindex> n\u00e1jdete tu. Tam sa d\u00e1 pozrie\u0165 aj na in\u00e9 \u0161pecifik\u00e1 krajiny. <\/p>\n<p>Napr\u00edklad, tu pre <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 potrebn\u00e9 o\u010dkovanie proti cholere.<\/p>\n<p>Tu je \u010fal\u0161ia <noindex><a rel=\"nofollow\" href=\"https:\/\/www.privivka.ru\/privivki-vzroslym\/interaktivnaya-karta\/\">mapa.<\/a><\/noindex><\/p>\n<h2>A \u010do, treba sa chr\u00e1ni\u0165 pred v\u0161etk\u00fdm t\u00fdmto v Rusku?<\/h2>\n<p>\n\u00c1no. V\u0161imnite si pozn\u00e1mky a prenosy. Ak nem\u00e1te o\u010dkovanie proti japonsk\u00e9mu encefalit\u00edde v Moskve, tak sa ni\u010d nedeje. Najpr\u00edstupnej\u0161ie pr\u00edrodn\u00e9 ohnisk\u00e1 s\u00fa vo Vladivostoku, a to ani nie ka\u017ed\u00fd rok. Ale ak idete do Vladivostoku, st\u00e1lo by za to sa zamyslie\u0165. V praxi s\u00fa inform\u00e1cie o RF na str\u00e1nke WHO dos\u0165 nepresn\u00e9, preto\u017ee \u00fadaje s\u00fa zvy\u010dajne poskytovan\u00e9 pre krajiny, ktor\u00e9 maj\u00fa jeden alebo dva biomy. Na\u0161a rodn\u00e1 krajina je ve\u013emi zdrav\u00e1, tak\u017ee s\u00faprava pre Baikal sa bude l\u00ed\u0161i\u0165 od s\u00fapravy pre Krasnodar alebo Archangelsk. <\/p>\n<p>To, \u010do presne robi\u0165 na pre\u017eitie v Rusku, z\u00e1vis\u00ed od typu turizmu. Ak sa chyst\u00e1te b\u00fdva\u0165 v centre Moskvy, sta\u010d\u00ed sa da\u0165 o\u010dkova\u0165 proti chr\u00edpke a v\u010das 'osvie\u017ei\u0165' detsk\u00e9 o\u010dkovania. Ak idete do tajgy alebo na v\u00fdlet na kajaku, ur\u010dite potrebujete o\u010dkovanie proti klie\u0161\u0165ov\u00e9mu encefalit\u00edde. Ak pl\u00e1nujete tr\u00e1vi\u0165 ve\u013ea \u010dasu so zvieratami alebo \u00eds\u0165 do jask\u00fd\u0148 \u2014 proti besnote (netopiere ju pren\u00e1\u0161aj\u00fa). No a ak idete na juhy alebo na vidiek bez kanaliz\u00e1cie, tak proti hepatit\u00edde A. Hepat\u00edt B sa hod\u00ed na pr\u00edpad poskytnutia pomoci v vidlicovej ambulancii, pri porezan\u00ed v manik\u00farovom sal\u00f3ne, v zubnej ambulancii cestou alebo pri neo\u010dak\u00e1vanom transf\u00fazii krvi. Pohol sa, zakopol, prebudil sa \u2014 hepatit\u00edda B. <\/p>\n<h2>O\u010dkovania p\u00f4sobia nav\u017edy?<\/h2>\n<p>\nNie. Niektor\u00e9 umo\u017e\u0148uj\u00fa vyvin\u00fa\u0165 do\u017eivotn\u00fa imunitu, niektor\u00e9 p\u00f4sobia dlho (napr\u00edklad dift\u00e9ria \u2014 10 rokov), niektor\u00e9 ve\u013emi kr\u00e1tko (japonsk\u00fd encefalit \u2014 na 1 rok). N\u00e1sledne \u00fa\u010dinnos\u0165 protil\u00e1tok a ich v\u00fdroba pomaly klesaj\u00fa. <\/p>\n<p>To znamen\u00e1, \u017ee dobr\u00fd n\u00e1pad bude za\u010da\u0165 s aktualiz\u00e1ciou toho, \u010do ste nestihli aktualizova\u0165, a potom prida\u0165 z\u00e1kladn\u00e9 \u201edlhodob\u00e9\u201c veci, a a\u017e potom sa da\u0165 o\u010dkova\u0165 pred nebezpe\u010dn\u00fdmi cestami. <\/p>\n<h2>\u010co teda robi\u0165?<\/h2>\n<p>\nZa\u010dnite hne\u010f teraz s aktualiz\u00e1ciou antiv\u00edrusov\u00fdch datab\u00e1z. Konkr\u00e9tne skontrolujte cel\u00fd svoj s\u00fabor detsk\u00fdch o\u010dkovan\u00ed. Z\u00e1jdite k lek\u00e1rovi a op\u00fdtajte sa, ak\u00e9 o\u010dkovania v\u00e1m ch\u00fdbaj\u00fa. <\/p>\n<p>Obvykle je potrebn\u00e9 aktualizova\u0165 tetanus (ide o kombinovan\u00fa vakc\u00ednu proti trom patog\u00e9nom) raz za 10 rokov. Pravdepodobne m\u00e1te aj in\u00e9 detsk\u00e9 o\u010dkovania, ktor\u00fdm u\u017e uplynula platnos\u0165. <\/p>\n<p>Skontrolova\u0165 \u00fa\u010dinnos\u0165 vakc\u00edny je mimochodom jednoduch\u00e9: vo v\u00e4\u010d\u0161ine pr\u00edpadov m\u00f4\u017eete darova\u0165 \u0161pecifick\u00e9 protil\u00e1tky a zisti\u0165, \u010di je ochrana st\u00e1le akt\u00edvna. Iba anal\u00fdzu mus\u00ed predp\u00edsa\u0165 lek\u00e1r, preto\u017ee existuj\u00fa \"aktu\u00e1lne\" verzie protil\u00e1tok, ale aj \"dlhodob\u00e9\". V\u00e1s zauj\u00edmaj\u00fa tie druh\u00e9. <\/p>\n<p>Potom pridajte strategicky d\u00f4le\u017eit\u00e9 vakc\u00edny. Obvykle sa jedn\u00e1 o hepatit\u00eddu A a B, v\u00edrus \u013eudskej papil\u00f3my. <\/p>\n<p>Ak \u010dasto cestujete do ur\u010dit\u00fdch regi\u00f3nov (alebo pl\u00e1nujete \u00eds\u0165 do nich v bl\u00edzkej bud\u00facnosti) \u2014 pozrite sa na dlhodob\u00e9 vakc\u00edny ako \u017elt\u00e1 zimnica, bru\u0161n\u00fd t\u00fdfus. <\/p>\n<p>A potom konajte pred cestou pod\u013ea odpor\u00fa\u010dan\u00ed WHO, Ministerstva zahrani\u010dn\u00fdch vec\u00ed alebo lek\u00e1ra. <\/p>\n<h2>\u010co sa u dospel\u00e9ho odpor\u00fa\u010da z tejto skupiny?<\/h2>\n<p><\/p>\n<ul>\n<li>Koktan\u00e1s, z\u00e1\u0161krt a tetanus \u2014 aktualizova\u0165 raz za 10 rokov dospel\u00e9mu \u010dloveku. To sa hod\u00ed v Rusku a v\u0161ade na svete. <\/li>\n<li>Hepatit\u00edda A \u2014 do\u017eivotn\u00e1 imunita po celom o\u010dkovacom cykle. <\/li>\n<li>Hepatit\u00edda B \u2014 do\u017eivotn\u00e1 po o\u010dkovan\u00ed (ale je potrebn\u00e9 skontrolova\u0165 titer po 10 rokoch). <\/li>\n<li>Os\u00fdpky, ru\u017eienka, pr\u00edu\u0161nice \u2014 aktualizova\u0165 raz za 10 rokov dospel\u00e9mu.<\/li>\n<li>Ov\u010dia kiahne \u2014 do\u017eivotn\u00e1 imunita po celom o\u010dkovacom cykle alebo prenesenej chorobe z detstva. <\/li>\n<li>Poliomyelit\u00edda \u2014 do\u017eivotn\u00e1 imunita po o\u010dkovan\u00ed. <\/li>\n<li>Meningokov\u00e1 infekcia \u2014 do\u017eivotn\u00e1, ak bola vakc\u00edna podan\u00e1 vo veku nad 5 rokov.<\/li>\n<li>V\u00edrus \u013eudskej papil\u00f3my \u2014 raz za 15 rokov (u niektor\u00fdch m\u00f4\u017ee pretrv\u00e1va\u0165 do\u017eivotn\u00e1 imunita, aktualizova\u0165 po skontrolovan\u00ed titra).<\/li>\n<li>Klie\u0161\u0165ov\u00e1 encefalit\u00edda \u2014 ka\u017ed\u00e9 3 roky, ak radi sed\u00edte pri ohni v Rusku. <\/li>\n<\/ul>\n<p><\/p>\n<h2>M\u00f4\u017eem sa da\u0165 o\u010dkova\u0165 hne\u010f a v\u0161etko?<\/h2>\n<p>\nNie. Za jeden cyklus m\u00f4\u017eete dosta\u0165 1\u20133 vakc\u00edny, potom je potrebn\u00e9 po\u010dka\u0165 mesiac, pokia\u013e ide o v\u0161eobecn\u00fd postup k \u010fal\u0161\u00edm. <\/p>\n<p>Niektor\u00e9 vakc\u00edny je mo\u017en\u00e9 kombinova\u0165, niektor\u00e9 nie. \u017div\u00e9 vakc\u00edny sa zvy\u010dajne neaplikuj\u00fa v ten ist\u00fd de\u0148. Geneticky modifikovan\u00e9 je mo\u017en\u00e9 pod\u00e1va\u0165 s\u00fa\u010dasne, ale nie viac ako tri vakc\u00edny za de\u0148, aby sa nezvy\u0161oval tlak na organizmus. <\/p>\n<p>BCG, vakc\u00edny proti \u017eltej zimnici a pr\u00eddavn\u00e1 vakc\u00edna (proti besnote) \u2014 tieto sa zvy\u010dajne neo\u010dkuj\u00fa spolu s in\u00fdmi vakc\u00ednami ani medzi sebou. <\/p>\n<p>Niektor\u00e9 vakc\u00edny nie je mo\u017en\u00e9 pod\u00e1va\u0165 po\u010das tehotenstva. T\u00fdka sa to \u017eiv\u00fdch vakc\u00edn proti os\u00fdpkam, rubeole, mumfom a ov\u010d\u00edm kiah\u0148am, ktor\u00e9 obsahuj\u00fa \u017eiv\u00e9 oslaben\u00e9 v\u00edrusy. <\/p>\n<p>V\u00e4\u010d\u0161ina detsk\u00fdch a dospel\u00fdch vakc\u00edn sa l\u00ed\u0161i len d\u00e1vkovan\u00edm. Ak v\u00e1m pichaj\u00fa dve detsk\u00e9 d\u00e1vky namiesto dospelej, v\u00e4\u010d\u0161inou je to v poriadku. Po\u010d\u00edtaj\u00fa sa ako jedna.<\/p>\n<p>Vakc\u00edny tie\u017e netreba zneu\u017e\u00edva\u0165. Postupujte len pod\u013ea racion\u00e1lnych odpor\u00fa\u010dan\u00ed, nepripichujte si v\u0161etko ako na be\u017eiacom p\u00e1se. Schopnosti imunitn\u00e9ho syst\u00e9mu nie s\u00fa nekone\u010dn\u00e9, pr\u00edli\u0161 ve\u013ea vzdel\u00e1vania m\u00f4\u017ee by\u0165 tie\u017e zl\u00fd n\u00e1pad. Ak m\u00e1te pochybnosti, pora\u010fte sa s lek\u00e1rom.<\/p>\n<h2>Existuj\u00fa ochorenia, proti ktor\u00fdm sa d\u00e1 chr\u00e1ni\u0165 bez vakc\u00edny?<\/h2>\n<p>\n\u00c1no. Proti mal\u00e1rii neexistuje vakc\u00edna, tak\u017ee s\u00fa dve mo\u017enosti \u2014 bu\u010f u\u017e\u00edva\u0165 prevent\u00edvne lieky, alebo sa lie\u010di\u0165, ke\u010f u\u017e ste ochoreli. Alebo sa ka\u017ed\u00fa hodinu postrieka\u0165 prostriedkom proti kom\u00e1rom a veri\u0165, \u017ee v\u00e1m to vyjde. <\/p>\n<p>Konkr\u00e9tne v pr\u00edpade mal\u00e1rie sa zamerajte na konkr\u00e9tne patog\u00e9ny v regi\u00f3ne cesty: niektor\u00e9 sa lie\u010dia bez probl\u00e9mov, niektor\u00e9 \u2014 nie. T\u00ed, ktor\u00ed nie: m\u00f4\u017ee sa uk\u00e1za\u0165, \u017ee je lep\u0161ie u\u017e\u00edva\u0165 prevent\u00edvu a zn\u00e1\u0161a\u0165 jej ved\u013eaj\u0161ie \u00fa\u010dinky (\u010dast\u00e9 a nie ve\u013emi dobr\u00e9). V oblastiach, kde tak\u00e9 patog\u00e9ny nie s\u00fa, m\u00f4\u017ee by\u0165 lep\u0161ie zariskova\u0165 a strieka\u0165 sa sprejom. Rozhodujte sa vy. Ke\u010f nie s\u00fa ohnisk\u00e1, s\u00fa to len doporu\u010denia. <\/p>\n<p>Prevent\u00edvne je mo\u017en\u00e9 u\u017e\u00edva\u0165 tablety na ochranu pred n\u00e1kazou HIV, ale d\u00fafame, \u017ee tak\u00e9to cesty nebudete potrebova\u0165. <\/p>\n<p>Tie\u017e sa ve\u013emi odpor\u00fa\u010da ma\u0165 so sebou lek\u00e1rni\u010dku, aby ste si mohli pom\u00f4c\u0165, ak sa nakaz\u00edte \u010drevnou infekciou alebo parazitmi, svrabom alebo niektor\u00fdmi z mikroorganizmov. Je lep\u0161ie ju zostavi\u0165 s t\u00fdm ist\u00fdm odborn\u00edkom, ktor\u00fd v\u00e1m pred cestou ur\u010d\u00ed o\u010dkovanie. Alebo so svoj\u00edm terapeutom. <\/p>\n<h2>Kedy je mo\u017en\u00e9 a kedy nie je mo\u017en\u00e9 o\u010dkova\u0165?<\/h2>\n<p>\nExistuj\u00fa kontraindik\u00e1cie. Vo v\u0161eobecnosti, ak ste pred cestovan\u00edm prechladli, nemus\u00edte \u00eds\u0165 k lek\u00e1rovi za vakc\u00ednou v plnom priebehu prechladnutia. Ale aj teplota 39 a in\u00e9 pr\u00edznaky ochorenia nezvy\u010dajne br\u00e1nia prijatiu vakc\u00edny. T\u00fdka sa to najm\u00e4 det\u00ed, ktor\u00e9 s\u00fa \u010dasto chor\u00e9. Preto sa v\u017edy pora\u010fte s lek\u00e1rom a neskr\u00fdvajte v\u0161etky svoje stavy a chronick\u00e9 diagn\u00f3zy. <\/p>\n<p>Pr\u00edklady kontraindik\u00e1ci\u00ed si m\u00f4\u017eete pre\u010d\u00edta\u0165 <noindex><a rel=\"nofollow\" href=\"http:\/\/www.yaprivit.ru\/protivipokazania-k-vaccinacii\/\">tu<\/a><\/noindex>.<\/p>\n<p>Praktick\u00e9 kontraindik\u00e1cie pre o\u010dkovanie s\u00fa minim\u00e1lne. Napr\u00edklad, pre \u017eiv\u00e9 vakc\u00edny to s\u00fa HIV infekcia a in\u00e9 typy imunodeficitu. <\/p>\n<p>V pr\u00edpade chronick\u00fdch ochoren\u00ed m\u00f4\u017ee by\u0165 zoznam vakc\u00edn \u0161ir\u0161\u00ed kv\u00f4li zv\u00fd\u0161eniu \u0161pecifick\u00fdch riz\u00edk. Navy\u0161e je potrebn\u00e9 zamera\u0165 sa na kontraindik\u00e1cie konkr\u00e9tnych vakc\u00edn. To v\u0161etko skontroluje terapeut na prevent\u00edvnom vy\u0161etren\u00ed pred o\u010dkovan\u00edm v nemocnici. <\/p>\n<h2>M\u00f4\u017eem sa da\u0165 zao\u010dkova\u0165 v zahrani\u010d\u00ed pred inou cestou?<\/h2>\n<p>\n\u00c1no. Navy\u0161e, m\u00f4\u017eete k\u00fapi\u0165 vakc\u00ednu niekde v lek\u00e1rni u n\u00e1s alebo v zahrani\u010d\u00ed a prinies\u0165 ju do svojej nemocnice, aby v\u00e1m dali dokumenty o nej. Toto je aktu\u00e1lne, ke\u010f po\u017eadovan\u00e1 vakc\u00edna nie je dostupn\u00e1 v nemocniciach vo va\u0161om meste. Je ve\u013emi d\u00f4le\u017eit\u00e9 pred takouto oper\u00e1ciou skontrolova\u0165 hygienick\u00e9 po\u017eiadavky nemocnice na transport vakc\u00edny. <\/p>\n<h2>Vakc\u00edny proti potrebn\u00fdm ochoreniam s\u00fa r\u00f4zne. Ktor\u00fa si vybra\u0165?<\/h2>\n<p>\nJednoduch\u00fd v\u00fdber je medzi lacnej\u0161ou a drah\u0161ou alternat\u00edvou. Zvy\u010dajne drah\u0161ia vakc\u00edna m\u00e1 bu\u010f in\u00fd princ\u00edp inaktiv\u00e1cie patog\u00e9nu, alebo m\u00e1 \u0161ir\u0161iu kni\u017enicu kme\u0148ov, alebo nie\u010do, \u010do inak zvy\u0161uje jej \u00fa\u010dinnos\u0165 a zni\u017euje pravdepodobnos\u0165 ved\u013eaj\u0161\u00edch \u00fa\u010dinkov. <\/p>\n<p>Ke\u010f je nieko\u013eko vakc\u00edn a s\u00fa r\u00f4znych typov, je lep\u0161ie poradi\u0165 sa s lek\u00e1rom alebo v krajnom pr\u00edpade vyu\u017ei\u0165 predvolen\u00fa mo\u017enos\u0165. <\/p>\n<h2>Vr\u00e1til som sa a nie\u010do mi nie je ve\u013emi dobre...<\/h2>\n<p>\nJe lep\u0161ie obr\u00e1ti\u0165 sa tam, kde s garanciou zistia, \u017ee to nie je rusk\u00e1 infekcia, preto\u017ee obvodn\u00e9ho lek\u00e1ra m\u00f4\u017eete na p\u00e1r dn\u00ed zastavi\u0165, \u010do dramaticky ovplyvn\u00ed progn\u00f3zu v\u00fdvoja ochorenia. To znamen\u00e1, \u017ee najlep\u0161ie je \u00eds\u0165 (alebo pr\u00eds\u0165 sanitkou) do infek\u010dnej nemocnice. Nezabudnite poveda\u0165 lek\u00e1rom, kde ste boli a \u010d\u00edm ste sa zaoberali (napr\u00edklad ste jedli surov\u00e9 m\u00e4so pod\u013ea miestnych receptov, hladkali ste roztomil\u00e9 netopiere alebo sa obj\u00edmali s \u017eirafou). Pravdepodobne ste sa otr\u00e1vili alebo prechladli, ale skontroluj\u00fa v\u00e1s na v\u0161etko vhodn\u00e9 pod\u013ea sympt\u00f3mov \u2014 od denge po mal\u00e1riu. To je nieko\u013eko anal\u00fdz. Bude to trochu desiv\u00e9 vidie\u0165 \u013eud\u00ed, ktor\u00ed n\u00e1hle s\u0148ali masky, ale nebude to ve\u013emi bolestiv\u00e9 a nebude to trva\u0165 dlho. Tak\u00e9 s\u00fa v RF z\u00e1kony a, vo v\u0161eobecnosti, je to dobre pre va\u0161u osobn\u00fa pre\u017eite\u013enos\u0165. <\/p>\n<h2>A \u010do sa stane s pasa\u017eiermi lietadla, v ktorom letel chor\u00fd?<\/h2>\n<p>\nAk ste sa predsa len nakazili, najprv je potrebn\u00e9 ur\u010di\u0165, \u010d\u00edm. \u010eal\u0161ie kroky z\u00e1visia od infekcie. Ak to bola mal\u00e1ria, bez pr\u00edtomnosti kom\u00e1rov na palube je takmer nemo\u017en\u00e9 ju prenies\u0165 (sn\u00e1\u010f len ak ste v\u0161etci na palube transfundovali krv jeden druh\u00e9mu, ale vtedy najprv potrebujete konzult\u00e1ciu s psychiatrom). Rovnako je to aj s dengu, z\u00edkou, chikungunya a \u017eltou hor\u00fa\u010dkou. Av\u0161ak ak ide o os\u00fdpky alebo meningokokov\u00fa infekciu \u2014 v\u0161etko je inak a m\u00f4\u017eu by\u0165 prijat\u00e9 opatrenia. Lek\u00e1r ozn\u00e1mi Sanepidemu (Rospotrebnadzor) a \u010falej bud\u00fa informova\u0165 v\u0161etk\u00fdch a prij\u00edma\u0165 opatrenia na ochranu pred biologick\u00fdmi hrozbami. <\/p>\n<h2>Pre\u010d\u00edtal som si v\u0161etko, pochopil som a chcem sa da\u0165 zao\u010dkova\u0165 pred cestou o mesiac. Ako to spravi\u0165?<\/h2>\n<p>\nZavolajte do svojej nemocnice a op\u00fdtajte sa, \u010di je vakc\u00edna proti zauj\u00edmaj\u00facemu v\u00e1s patog\u00e9nu. Je? Povedzte, \u017ee ju chcete. Zap\u00ed\u0161u v\u00e1s na vy\u0161etrenie k obvodn\u00e9mu lek\u00e1rovi, ten v\u00e1s \u010falej vy\u0161et\u0159\u00ed, sp\u00fdta sa, ak nie s\u00fa \u017eiadne kontraindik\u00e1cie \u2014 po\u0161le v\u00e1s na proced\u00farne. Tam dostanete vakc\u00ednu (napr\u00edklad injekciu do ramena), potom v\u00e1m pre\u010d\u00edtaj\u00fa zoznam sympt\u00f3mov, na ktor\u00e9 treba d\u00e1va\u0165 pozor v najbli\u017e\u0161om dni. Potom si posed\u00edte pol hodiny pred kancel\u00e1riou obvodn\u00e9ho lek\u00e1ra alebo proced\u00farneho. Po pol hodine vyjde doktor, uist\u00ed sa, \u017ee v\u00e1s nezasiahlo anafylaktick\u00e9 \u0161ok a pust\u00ed v\u00e1s domov. Ak to bola injekcia, tak p\u00e1r dn\u00ed ju nemo\u017eno nam\u00e1\u010da\u0165 a \u0161kraba\u0165. <\/p>\n<p>Ak nemocnica, kde ste, nem\u00e1 vakc\u00ednu, zavolajte do najbli\u017e\u0161ej vhodnej. Tak \u010di tak, pravdepodobne ide o platen\u00fa slu\u017ebu, tak\u017ee nem\u00e1te ve\u013ek\u00e9 obavy o to, kde ju z\u00edska\u0165. Jedinou vecou je, \u017ee nezabudnite si vzia\u0165 doklady o o\u010dkovan\u00ed \u2014 ich k\u00f3pie je lep\u0161ie prilo\u017ei\u0165 k v\u00e1\u0161mu spisu v hlavnej nemocnici. <\/p>\n<p>Niektor\u00e9 dokumenty treba uchov\u00e1va\u0165 pre cesty. Napr\u00edklad po o\u010dkovan\u00ed proti \u017eltej zimnici v\u00e1m daj\u00fa \u0161peci\u00e1lnu kni\u017eku, ktor\u00fa mus\u00edte ma\u0165 so sebou do Panamy. Inak v\u00e1s pustia do krajiny maxim\u00e1lne na 12 hod\u00edn. <\/p>\n<p>\u010eakujeme za konzult\u00e1ciu lek\u00e1rke-tropikologi\u010dke Viktorii Valikovej, zakladate\u013eke dobrovo\u013en\u00edckej kliniky Health&amp;Help v <noindex><a rel=\"nofollow\" href=\"http:\/\/he-he.org\">Nikarague <\/a><\/noindex> a <noindex><a rel=\"nofollow\" href=\"https:\/\/help.he-he.org\/ru\/guatemala\/\">Guatemale<\/a><\/noindex>. Ak m\u00e1te z\u00e1ujem o jej kliniku \u2014 <noindex><a rel=\"nofollow\" href=\"https:\/\/realnoevremya.ru\/articles\/82365-intervyu-s-vrachom-tropikologom-viktoriey-valikovoy\">tu je odkaz<\/a><\/noindex>.<\/p>\n<p>A tu s\u00fa \u010fal\u0161ie publik\u00e1cie \u201eTutu.T\u00fary\u201c a \u201eTutu. Dobrodru\u017estv\u00e1\u201c: <noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/tuturu\/blog\/428193\/\">o v\u00fdletoch<\/a><\/noindex>, <noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/tuturu\/blog\/441982\/\">jachting \u2014 m\u00f4\u017ee by\u0165 lacn\u00fd<\/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 5.0.4 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u0412\u0430\u043a\u0446\u0438\u043d\u0430 \u2014 \u044d\u0442\u043e \u0441\u043f\u043e\u0441\u043e\u0431.\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Yuri Gagarin\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/prohoster.info\/sk\/blog\/news\/faq-chto-nado-znat-puteshestvenniku-giku-pro-privivki-pered-poezdkoj\" \/>\n\t\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.4\" \/>\n\t\t<meta 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