Ko\u017en\u00ed pl\u00edse\u0148, zn\u00e1m\u00e1 tak\u00e9 jako dermatofyt\u00f3za, \u201eko\u017en\u00ed pl\u00edse\u0148 svat\u00e9 Kate\u0159iny\u201c, je forma pl\u00eds\u0148ov\u00e9 infekce p\u0159en\u00e1\u0161en\u00e9 p\u0159\u00edm\u00fdm a nep\u0159\u00edm\u00fdm kontaktem mezi lidmi nebo zv\u00ed\u0159aty.<\/p>\n\n\n\n
Zde je p\u0159ehled p\u0159\u00edznak\u016f a l\u00e9\u010dby t\u011bchto \u010derven\u00fdch skvrn.<\/p>\n\n\n\n
A\u010dkoli se toto onemocn\u011bn\u00ed naz\u00fdv\u00e1 herpes, nen\u00ed zp\u016fsobeno virem, ale mikroskopick\u00fdmi houbami zvan\u00fdmi dermatofyty.<\/p>\n\n\n\n
Vyv\u00edjej\u00ed se na lys\u00e9 poko\u017ece hlavy nebo na hol\u00e9 k\u016f\u017ei. P\u00e1sov\u00fd pl\u00edse\u0148 je jednou z nej\u010dast\u011bj\u0161\u00edch pl\u00eds\u0148ov\u00fdch infekc\u00ed u dosp\u011bl\u00fdch i d\u011bt\u00ed a je vysoce naka\u017eliv\u00e1. Zp\u016fsobuje mal\u00e9, prstencovit\u00e9 \u010derven\u00e9 skvrny nebo plaky na k\u016f\u017ei. Toto onemocn\u011bn\u00ed se p\u0159en\u00e1\u0161\u00ed p\u0159\u00edm\u00fdm nebo nep\u0159\u00edm\u00fdm kontaktem s naka\u017eenou osobou nebo zv\u00ed\u0159etem.<\/p>\n\n\n\n
Definice: Co je ko\u017en\u00ed pl\u00edse\u0148?<\/p>\n\n\n\n
Ko\u017en\u00ed pl\u00edse\u0148, l\u00e9pe zn\u00e1m\u00e1 jako \u201eko\u017en\u00ed pl\u00edse\u0148\u201c nebo \u201eko\u017en\u00ed pl\u00edse\u0148 t\u011bla\u201c, je ko\u017en\u00ed infekce. Tuto infekci zp\u016fsobuj\u00ed mikroskopick\u00e9 vl\u00e1knit\u00e9 houby zvan\u00e9 dermatofyty. Existuj\u00ed t\u0159i hlavn\u00ed typy hub:<\/p>\n\n\n\n
trichofyton;<\/p>\n\n\n\n
mikrosporum;<\/p>\n\n\n\n
epidermofyton.<\/p>\n\n\n\n
Dermatomyk\u00f3za postihuje lidi i zv\u00ed\u0159ata. Microsporum cani nej\u010dast\u011bji napad\u00e1 ko\u010dky a psy. Dermatofytn\u00ed houby se \u017eiv\u00ed keratinem, co\u017e je b\u00edlkovina, kterou t\u011blo p\u0159irozen\u011b produkuje a nach\u00e1z\u00ed se v k\u016f\u017ei, srsti, srsti a dokonce i v dr\u00e1pech a nehtech na nohou zv\u00ed\u0159at. Povrchov\u00e9 od\u011brky, i ty drobn\u00e9, poskytuj\u00ed vstupn\u00ed br\u00e1nu pro tuto houbu. Pronikne do t\u011bla a pot\u00e9 se \u0161\u00ed\u0159\u00ed a mno\u017e\u00ed v epidermis. Z\u00e1n\u011btliv\u00e1 reakce m\u016f\u017ee b\u00fdt v\u00edce \u010di m\u00e9n\u011b z\u00e1va\u017en\u00e1 v z\u00e1vislosti na typu houby a n\u00e1chylnosti naka\u017een\u00e9 osoby.<\/p>\n\n\n\n
Tato ko\u017en\u00ed infekce je obvykle m\u00edrn\u00e1. M\u016f\u017ee v\u0161ak v\u00e9st k z\u00e1va\u017en\u011bj\u0161\u00edm n\u00e1sledk\u016fm, pokud dermatofyty proniknou hloub\u011bji do t\u011bla. Ve skute\u010dnosti, kdy\u017e se dostanou do hlub\u0161\u00edch vrstev k\u016f\u017ee, mohou tyto houby zp\u016fsobit v\u00e1\u017en\u00e9 n\u00e1sledky. Tomu se \u0159\u00edk\u00e1 hlubok\u00e1 dermatofyt\u00f3za.<\/p>\n\n\n\n
\u010cerven\u00e9 skvrny nebo pup\u00ednky na k\u016f\u017ei, \u0161upiny\u2026 Jak\u00e9 jsou p\u0159\u00edznaky herpes vascularis?<\/p>\n\n\n\n
Jedin\u00fdm p\u0159\u00edznakem herpes simplex je v\u00fdskyt jedn\u00e9 nebo v\u00edce r\u016f\u017eovo\u010derven\u00fdch l\u00e9z\u00ed na k\u016f\u017ei. Tyto l\u00e9ze se mohou li\u0161it velikost\u00ed, od n\u011bkolika milimetr\u016f do n\u011bkolika centimetr\u016f. Dermatofyty, kter\u00e9 zp\u016fsobuj\u00ed mechanick\u00fd herpes, preferuj\u00ed ple\u0161atost, tak\u017ee l\u00e9ze se objevuj\u00ed p\u0159edev\u0161\u00edm na pa\u017e\u00edch a obli\u010deji. Pat\u0159\u00ed mezi n\u011b:<\/p>\n\n\n\n
zaoblen\u00e1, na\u010dervenal\u00e1 desti\u010dka obklopen\u00e1 tenk\u00fdm, m\u00edrn\u011b vyv\u00fd\u0161en\u00fdm, prstencovit\u00fdm okrajem;<\/p>\n\n\n\n
\u0161upiny, tj. mal\u00e9 \u00falomky odum\u0159el\u00e9 k\u016f\u017ee, p\u0159ipom\u00ednaj\u00edc\u00ed lupy;<\/p>\n\n\n\n
mal\u00e9 strupy nebo puch\u00fd\u0159e.<\/p>\n\n\n\n
L\u00e9ze se zpo\u010d\u00e1tku \u010dasto jev\u00ed jako \u201ezdrav\u00e9\u201c, bez zn\u00e1mek hnisu nebo v\u00fdtoku. Tyto l\u00e9ze v\u0161ak mohou zp\u016fsobovat siln\u00e9 sv\u011bd\u011bn\u00ed. Jak se infekce zhor\u0161uje, l\u00e9ze se mohou mno\u017eit a \u0161\u00ed\u0159it do dal\u0161\u00edch oblast\u00ed t\u011bla. Jak se plaky zv\u011bt\u0161uj\u00ed, jejich st\u0159edy blednou. V pokro\u010dilej\u0161\u00edch p\u0159\u00edpadech se po okraj\u00edch plak\u016f mohou objevit puch\u00fd\u0159e a hnisav\u00e9 v\u0159\u00eddky.<\/p>\n\n\n\n
Dermatofyty: Jak\u00e9 druhy hub jsou zodpov\u011bdn\u00e9 za infekci Circinella?<\/p>\n\n\n\n
Corcinella je zp\u016fsobena dermatofyty. Existuj\u00ed t\u0159i hlavn\u00ed typy hub, kter\u00e9 lze rozd\u011blit podle jejich prim\u00e1rn\u00edho hostitele:<\/p>\n\n\n\n
Zoofiln\u00ed dermatofyty: \u017eivo\u010di\u0161n\u00e9ho p\u016fvodu, p\u0159en\u00e1\u0161ej\u00ed se ze zv\u00ed\u0159ete na zv\u00ed\u0159e nebo ze zv\u00ed\u0159ete na \u010dlov\u011bka, a to bu\u010f dom\u00e1c\u00edm mazl\u00ed\u010dkem, nebo jin\u00fdm zv\u00ed\u0159etem, nap\u0159\u00edklad kon\u011bm b\u011bhem lekce j\u00edzdy na koni. Toto je nej\u010dast\u011bj\u0161\u00ed zp\u016fsob infekce;<\/p>\n\n\n\n
Antropofiln\u00ed dermatofyty: lidsk\u00e9ho p\u016fvodu, p\u0159en\u00e1\u0161en\u00e9 p\u0159\u00edm\u00fdm nebo nep\u0159\u00edm\u00fdm kontaktem mezi lidmi;<\/p>\n\n\n\n
Geofiln\u00ed dermatofyty: vz\u00e1cn\u00e9, k p\u0159enosu doch\u00e1z\u00ed p\u0159es p\u016fdu kontaminovanou zoofiln\u00edmi dermatofyty.<\/p>\n\n\n\n
Herpes circinate (dermatofyt\u00f3za, tinea dermis nebo ko\u017en\u00ed onemocn\u011bn\u00ed): Jak se m\u016f\u017eete nakazit t\u011bmito houbami?<\/p>\n\n\n\n
Tyto houby se mohou p\u0159en\u00e1\u0161et n\u011bkolika zp\u016fsoby. Konkr\u00e9tn\u011b se mohou jednat o:<\/p>\n\n\n\n
p\u0159\u00edm\u00fd: k n\u011bmu doch\u00e1z\u00ed b\u011bhem bojov\u00fdch sport\u016f (judo, box atd.), kontaktem k\u016f\u017ee na k\u016f\u017ei (pohlavn\u00ed styk, obj\u00edm\u00e1n\u00ed) nebo hlazen\u00edm naka\u017een\u00e9ho zv\u00ed\u0159ete;<\/p>\n\n\n\n
Nep\u0159\u00edm\u00e1: vyskytuje se v m\u00edst\u011b, kde se houba m\u016f\u017ee mno\u017eit. Lid\u00e9 se proto nakaz\u00ed nep\u0159\u00edmo, nap\u0159\u00edklad v posilovn\u011b, baz\u00e9nu, na pl\u00e1\u017ei nebo dokonce p\u0159es vlasy, kter\u00e9 jim z\u016fstanou na oble\u010den\u00ed nebo pol\u0161t\u00e1\u0159\u00edch.<\/p>\n\n\n\n
D\u011bti, kter\u00e9 p\u0159ich\u00e1zej\u00ed do kontaktu s dom\u00e1c\u00edmi mazl\u00ed\u010dky, a tak\u00e9 lid\u00e9, kte\u0159\u00ed maj\u00ed kontakt se zv\u00ed\u0159aty, jako jsou veterin\u00e1\u0159i nebo chovatel\u00e9, jsou nejv\u00edce ohro\u017eeni touto nemoc\u00ed. Je d\u016fle\u017eit\u00e9 si uv\u011bdomit, \u017ee dermatofyty se da\u0159\u00ed v tepl\u00e9m i chladn\u00e9m prost\u0159ed\u00ed.<\/p>\n\n\n\n
Ko\u017en\u00ed onemocn\u011bn\u00ed: Kdy vyhledat pomoc<\/p>\n\n\n\n
P\u0159\u00edznaky se vyv\u00edjej\u00ed pomalu, prvn\u00ed l\u00e9ze se objevuj\u00ed jeden a\u017e t\u0159i t\u00fddny po infekci. Doporu\u010duje se konzultovat s l\u00e9ka\u0159em, jakmile se l\u00e9ze objev\u00ed. To umo\u017e\u0148uje zah\u00e1jit l\u00e9\u010dbu d\u0159\u00edve, ne\u017e se stav zhor\u0161\u00ed. Pom\u016f\u017ee to tak\u00e9 chr\u00e1nit va\u0161e okol\u00ed p\u0159ed infekc\u00ed. Doporu\u010duje se b\u00fdt na tyto ko\u017en\u00ed l\u00e9ze ostra\u017eit\u00ed, zejm\u00e9na po pobytu ve vysoce rizikov\u00fdch oblastech (t\u011blocvi\u010dna, baz\u00e9n atd.).<\/p>\n\n\n\n
Lup\u00e9nka, ko\u017en\u00ed onemocn\u011bn\u00ed nebo herpes: jak se diagnostikuje ko\u017en\u00ed onemocn\u011bn\u00ed?<\/p>\n\n\n\n
Klinick\u00e9 vy\u0161et\u0159en\u00ed obvykle poskytuje l\u00e9ka\u0159i mnoho vod\u00edtek k diagnostice herpes simplex, proto\u017ee p\u0159\u00edznaky jsou velmi charakteristick\u00e9. Diagn\u00f3zu v\u0161ak m\u016f\u017ee potvrdit vy\u0161et\u0159en\u00ed ultrafialovou lampou. Tato lampa fluoreskuje ur\u010dit\u00e9 houby, tak\u017ee jsou viditeln\u00e9 pouh\u00fdm okem. N\u011bkdy je nutn\u00e9 laboratorn\u00ed potvrzen\u00ed, kter\u00e9 umo\u017e\u0148uje p\u0159esnou identifikaci houby zodpov\u011bdn\u00e9 za tuto ko\u017en\u00ed infekci. K tomu sta\u010d\u00ed nav\u0161t\u00edvit l\u00e9ka\u0159skou laborato\u0159. Specialista provede se\u0161kr\u00e1b\u00e1n\u00ed l\u00e9ze. To znamen\u00e1 se\u0161kr\u00e1bnut\u00ed obvodu a povrchu posti\u017een\u00e9 oblasti \u0161pachtl\u00ed, aby se odebral vzorek \u0161upin. Prvn\u00ed \u010d\u00e1st vzorku bude vy\u0161et\u0159ena pod mikroskopem, aby se potvrdila p\u0159\u00edtomnost nebo nep\u0159\u00edtomnost hub. Druh\u00e1 \u010d\u00e1st bude kultivov\u00e1na, aby se identifikovala houba zodpov\u011bdn\u00e1 za infekci a ur\u010dila optim\u00e1ln\u00ed l\u00e9\u010dba.<\/p>\n\n\n\n
L\u00e9\u010dba: Jak l\u00e9\u010dit a zbavit se p\u00e1sov\u00e9ho oparu (herpes zoster)?<\/p>\n\n\n\n
Jakmile je stanovena diagn\u00f3za a je identifikov\u00e1na houba zp\u016fsobuj\u00edc\u00ed herpes simplex, za\u010d\u00edn\u00e1 l\u00e9\u010dba. Ta zahrnuje pod\u00e1v\u00e1n\u00ed antimykotik (l\u00e9k\u016f, kter\u00e9 bojuj\u00ed proti pl\u00edsn\u00edm).<\/p>\n\n\n\n
Kter\u00fd kr\u00e9m dok\u00e1\u017ee vyl\u00e9\u010dit herpes v ob\u011bhov\u00e9m syst\u00e9mu?<\/p>\n\n\n\n
Pokud se objev\u00ed pouze ko\u017en\u00ed vyr\u00e1\u017eka: p\u0159edepisuje se antimykotick\u00fd kr\u00e9m, nap\u0159\u00edklad ciklopirox olamin 1% nebo terbinafin 1%. L\u00e9\u010dba se aplikuje lok\u00e1ln\u011b dvakr\u00e1t denn\u011b a obvykle trv\u00e1 2 a\u017e 4 t\u00fddny.<\/p>\n\n\n\n
Pokud jsou l\u00e9ze rozs\u00e1hl\u00e9 nebo se na k\u016f\u017ei nach\u00e1z\u00ed mnoho plak\u016f, m\u016f\u017ee v\u00e1m l\u00e9ka\u0159 krom\u011b kr\u00e9mu p\u0159edepsat peror\u00e1ln\u00ed antimykotikum (k polyk\u00e1n\u00ed).<\/p>\n\n\n\n
V p\u0159\u00edpadech siln\u00e9ho sv\u011bd\u011bn\u00ed lze k l\u00e9\u010db\u011b p\u0159idat kortizonov\u00fd kr\u00e9m, kter\u00fd poskytne \u00falevu.<\/p>\n\n\n\n
K uzdraven\u00ed obvykle doch\u00e1z\u00ed b\u011bhem 2 a\u017e 3 t\u00fddn\u016f po l\u00e9\u010db\u011b. Proto\u017ee dermatofyty nej\u010dast\u011bji p\u0159en\u00e1\u0161ej\u00ed zv\u00ed\u0159ata, je d\u016fle\u017eit\u00e9 je pe\u010dliv\u011b sledovat a v p\u0159\u00edpad\u011b pot\u0159eby l\u00e9\u010dit. \u010casto se doporu\u010duj\u00ed a zva\u017euj\u00ed p\u0159\u00edrodn\u00ed alternativy, jako je \u010desnek, zn\u00e1m\u00fd sv\u00fdmi antimykotick\u00fdmi vlastnostmi, nebo esenci\u00e1ln\u00ed olej z \u010dajovn\u00edku. \u017d\u00e1dn\u00e9 studie v\u0161ak neprok\u00e1zaly \u017e\u00e1dnou skute\u010dnou v\u00fdhodu oproti l\u00e9\u010db\u011b l\u00e9ky. Pora\u010fte se se sv\u00fdm l\u00e9ka\u0159em.<\/p>\n\n\n\n
Jak zabr\u00e1nit vzniku herpes simplexu?<\/p>\n\n\n\n
Dodr\u017eov\u00e1n\u00ed standardn\u00edch hygienick\u00fdch pravidel je nezbytn\u00e9. Myjte si ruce po vstupu do ve\u0159ejn\u00fdch prostor a po kontaktu se zv\u00ed\u0159aty, bez ohledu na to, zda jsou naka\u017eena virem herpes simplex (Herpes circinate). Zvl\u00e1\u0161tn\u00ed pozornost v\u011bnujte oblastem s nejvy\u0161\u0161\u00edm rizikem p\u0159enosu z \u010dlov\u011bka na \u010dlov\u011bka, jako jsou posilovny nebo baz\u00e9ny. Nezapome\u0148te udr\u017eovat sv\u00e9 okol\u00ed \u010dist\u00e9 a pravideln\u011b m\u011bnit lo\u017en\u00ed pr\u00e1dlo a ru\u010dn\u00edky. Doporu\u010duje se je m\u011bnit ka\u017ed\u00fd t\u00fdden a pr\u00e1t v pra\u010dce p\u0159i teplot\u011b 90 \u00b0C. Je d\u016fle\u017eit\u00e9 sledovat sv\u00e9 dom\u00e1c\u00ed mazl\u00ed\u010dky a v p\u0159\u00edpad\u011b pot\u0159eby je co nejd\u0159\u00edve o\u0161et\u0159it.<\/p>\n\n\n\n
Po stanoven\u00ed diagn\u00f3zy a l\u00e9\u010db\u011b byste se m\u011bli asi 10 dn\u00ed dr\u017eet v karant\u00e9n\u011b, abyste zabr\u00e1nili naka\u017een\u00ed sv\u00e9ho okol\u00ed. Stejn\u011b jako ka\u017ed\u00e1 jin\u00e1 pl\u00eds\u0148ov\u00e1 infekce m\u00e1 i p\u00e1sov\u00fd opar tendenci se opakovat. Abyste co nejl\u00e9pe zabr\u00e1nili opakov\u00e1n\u00ed, bu\u010fte obzvl\u00e1\u0161t\u011b ostra\u017eit\u00ed. Po sprchov\u00e1n\u00ed si t\u011blo d\u016fkladn\u011b osu\u0161te \u010dist\u00fdm ru\u010dn\u00edkem. N\u011bkter\u00e1 m\u00edsta jsou n\u00e1chyln\u011bj\u0161\u00ed k pl\u00eds\u0148ov\u00fdm infekc\u00edm, jako jsou prostory mezi prsty, podpa\u017e\u00ed, krk a podkolenky. Nezapome\u0148te tak\u00e9 udr\u017eovat boty \u010dist\u00e9 a pravideln\u011b je dezinfikovat vhodn\u00fdm dezinfek\u010dn\u00edm prost\u0159edkem.<\/p>\n","protected":false},"excerpt":{"rendered":"Ko\u017en\u00ed pl\u00edse\u0148, zn\u00e1m\u00e1 tak\u00e9 jako dermatofyt\u00f3za, \u201eko\u017en\u00ed pl\u00edse\u0148 svat\u00e9 Kate\u0159iny\u201c, je forma pl\u00eds\u0148ov\u00e9 infekce p\u0159en\u00e1\u0161en\u00e9 p\u0159\u00edm\u00fdm a nep\u0159\u00edm\u00fdm kontaktem mezi lidmi nebo zv\u00ed\u0159aty. \n [...]<\/a>","protected":false},"author":1,"featured_media":4733,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4732","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/4732","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4732"}],"version-history":[{"count":1,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/4732\/revisions"}],"predecessor-version":[{"id":4734,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/4732\/revisions\/4734"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/media\/4733"}],"wp:attachment":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4732"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4732"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4732"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}