{"id":3448,"count":21,"description":"Mezin\u00e1rodn\u00ed cestov\u00e1n\u00ed v\u00e1s vystavuje zdravotn\u00edm rizik\u016fm, se kter\u00fdmi se doma nesetk\u00e1te \u2014 mal\u00e1rie, cestovatelsk\u00fd pr\u016fjem, v\u00fd\u0161kov\u00e1 nemoc a kinet\u00f3za jsou nej\u010dast\u011bj\u0161\u00ed. P\u0159\u00edprava p\u0159ed cestou a mal\u00e1 cestovn\u00ed l\u00e9k\u00e1rni\u010dka sn\u00ed\u017e\u00ed riziko onemocn\u011bn\u00ed naru\u0161uj\u00edc\u00edho cestu a pomohou zvl\u00e1dnout v\u00e1\u017en\u011bj\u0161\u00ed probl\u00e9my. Katalog cestovn\u00edho zdrav\u00ed MedsBase nab\u00edz\u00ed \u010dty\u0159i z\u00e1kladn\u00ed kategorie cestovn\u00edch l\u00e9k\u016f, dod\u00e1van\u00fdch spole\u010dnost\u00ed WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\nProfylaxe a l\u00e9\u010dba mal\u00e1rie.<\/strong> Mal\u00e1rie z\u016fst\u00e1v\u00e1 hlavn\u00edm probl\u00e9mem cestovn\u00ed medic\u00edny v subsaharsk\u00e9 Africe, velk\u00e9 \u010d\u00e1sti ji\u017en\u00ed a jihov\u00fdchodn\u00ed Asie, \u010d\u00e1stech St\u0159edn\u00ed a Ji\u017en\u00ed Ameriky a vybran\u00fdch destinac\u00edch v Pacifiku. Volba l\u00e9ku z\u00e1vis\u00ed na rezistenci v destinaci, d\u00e9lce cesty, profilu ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f a t\u011bhotenstv\u00ed. Atovaquon-proguanil (Malarone), doxycyklin 100 mg denn\u011b a meflochin (t\u00fddn\u011b) jsou modern\u00ed mo\u017enosti chemoprofylaxe. Viz Tablety proti mal\u00e1rii<\/a>. Za\u010dn\u011bte u\u017e\u00edvat atovaquon-proguanil 1\u20132 dny p\u0159ed vstupem do malarick\u00e9 oblasti, doxycyklin 1\u20132 dny p\u0159ed, meflochin 2\u20133 t\u00fddny p\u0159ed. Pokra\u010dujte po doporu\u010denou dobu po opu\u0161t\u011bn\u00ed oblasti (li\u0161\u00ed se podle l\u00e9ku). Konzultujte autoritativn\u00ed zdroj (CDC Yellow Book, fitfortravel.nhs.uk) pro doporu\u010den\u00ed specifick\u00e1 pro destinaci.\n\nCestovatelsk\u00fd pr\u016fjem.<\/strong> A\u017e 40 % cestovatel\u016f do vysoce rizikov\u00fdch destinac\u00ed dostane pr\u016fjem b\u011bhem prvn\u00edch dvou t\u00fddn\u016f. V\u011bt\u0161ina epizod je samolimituj\u00edc\u00edch do 24\u201372 hodin s peror\u00e1ln\u00ed rehydratac\u00ed. Pohotovostn\u00ed antibiotick\u00e1 l\u00e9\u010dba (azithromycin 1 g v jedn\u00e9 d\u00e1vce pro ji\u017en\u00ed\/jihov\u00fdchodn\u00ed Asii, kde je vysok\u00e1 rezistence na fluorochinolony; ciprofloxacin 500 mg 2\u00d7 denn\u011b po dobu 3 dn\u016f pro ostatn\u00ed regiony) zkracuje dobu trv\u00e1n\u00ed p\u0159i st\u0159edn\u011b t\u011b\u017ek\u00fdch a\u017e t\u011b\u017ek\u00fdch p\u0159\u00edznac\u00edch (hore\u010dka, krev, p\u0159etrv\u00e1vaj\u00edc\u00ed zvracen\u00ed). Loperamid je pomocn\u00fd prost\u0159edek pro kontrolu p\u0159\u00edznak\u016f, nikoli prvn\u00ed volba u invazivn\u00edho krvav\u00e9ho pr\u016fjmu. Viz L\u00e9\u010dba cestovatelsk\u00e9ho pr\u016fjmu<\/a>.\n\nV\u00fd\u0161kov\u00e1 nemoc.<\/strong> Akutn\u00ed v\u00fd\u0161kov\u00e1 nemoc (AMS) se obvykle rozv\u00edj\u00ed nad 2 500 m b\u011bhem 6\u201324 hodin po v\u00fdstupu. Acetazolamid 125\u2013250 mg dvakr\u00e1t denn\u011b, zah\u00e1jen\u00fd 1 den p\u0159ed v\u00fdstupem a pokra\u010duj\u00edc\u00ed 2\u20133 dny ve v\u00fd\u0161ce, sni\u017euje v\u00fdskyt a z\u00e1va\u017enost AMS. Dexamethason je vyhrazen pro l\u00e9\u010dbu st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 AMS nebo HACE (v\u00fd\u0161kov\u00fd mozkov\u00fd ed\u00e9m). Pomal\u00fd v\u00fdstup (ne v\u00edce ne\u017e 500 m zv\u00fd\u0161en\u00ed sp\u00e1nkov\u00e9 v\u00fd\u0161ky denn\u011b nad 2 500 m) plus den odpo\u010dinku ka\u017ed\u00fdch 1 000 m je nej\u00fa\u010dinn\u011bj\u0161\u00ed nefarmakologick\u00e1 prevence. Viz L\u00e9ky na v\u00fd\u0161kovou nemoc<\/a>.\n\nKinemat\u00f3za \/ cestovn\u00ed nevolnost.<\/strong> N\u00e1plasti s hyoscin hydrobromidem (aplikujte za ucho 4 hodiny p\u0159ed cestou, jedna n\u00e1plast vydr\u017e\u00ed 72 hodin), promethazin, cinnarizin a meclozin funguj\u00ed r\u016fzn\u00fdmi mechanismy. Vyberte podle d\u00e9lky cesty a tolerance sedace. Viz Tablety proti nevolnosti p\u0159i cestov\u00e1n\u00ed<\/a>.\n\nD\u016fle\u017eit\u00e9.<\/strong> Cestovn\u00ed vakc\u00edny (\u017elut\u00e1 zimnice, hepatitida A\/B, tyfus, vzteklina, japonsk\u00e1 encefalitida, meningokokov\u00e1 infekce) je nutn\u00e9 z\u00edskat prost\u0159ednictv\u00edm cestovn\u00ed medic\u00edny \u2014 nejsou sou\u010d\u00e1st\u00ed tohoto katalogu. Pora\u010fte se s odborn\u00edkem na cestovn\u00ed medic\u00ednu 6\u20138 t\u00fddn\u016f p\u0159ed odjezdem, abyste z\u00edskali doporu\u010den\u00ed specifick\u00e1 pro danou destinaci a pot\u0159ebn\u00e1 o\u010dkov\u00e1n\u00ed. T\u011bhotenstv\u00ed, z\u00e1va\u017en\u00e9 zdravotn\u00ed stavy, imunosuprese a n\u00e1v\u0161t\u011bvy p\u0159\u00e1tel\/p\u0159\u00edbuzn\u00fdch (VFR) zvy\u0161uj\u00ed riziko v destinaci a vy\u017eaduj\u00ed individu\u00e1ln\u00ed doporu\u010den\u00ed.\n\nV\u0161echny produkty MedsBase pro cestovn\u00ed zdrav\u00ed jsou expedov\u00e1ny z WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/travel-health-category-overview\/","name":"Cestovn\u00ed medic\u00edna","slug":"travel-health-category-overview","taxonomy":"product_cat","parent":3141,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3448","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3141"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3448"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}