U kojenc\u016f mohou n\u011bkter\u00e9 ko\u017en\u00ed l\u00e9ze nazna\u010dovat z\u00e1va\u017enou infekci.<\/p>\n\n\n\n
Mezi nimi je gangren\u00f3zn\u00ed ektyma hlavn\u00edm varovn\u00fdm p\u0159\u00edznakem.<\/p>\n\n\n\n
Tento vz\u00e1cn\u00fd p\u0159\u00edznak \u010dasto doprov\u00e1z\u00ed sepsi zp\u016fsobenou Pseudomonas aeruginosa, nebezpe\u010dnou bakteri\u00ed<\/a> .<\/p>\n\n\n\n V\u010dasn\u00e1 l\u00e9\u010dba v\u00fdznamn\u011b zlep\u0161uje progn\u00f3zu.<\/p>\n\n\n\n Toto onemocn\u011bn\u00ed je pro \u0161irokou ve\u0159ejnost relativn\u011b nezn\u00e1m\u00e9. Postihuje v\u0161ak p\u0159edev\u0161\u00edm d\u011bti s oslaben\u00fdm nebo naru\u0161en\u00fdm imunitn\u00edm syst\u00e9mem. Rodi\u010de a zdravotn\u00edci<\/a> proto mus\u00ed rozpoznat v\u010dasn\u00e9 p\u0159\u00edznaky, aby mohli v\u010das jednat.<\/p>\n\n\n\n Gangren\u00f3zn\u00ed vyr\u00e1\u017eka se projevuje charakteristick\u00fdmi ko\u017en\u00edmi l\u00e9zemi. Zpo\u010d\u00e1tku se na k\u016f\u017ei objevuj\u00ed mal\u00e9 hrbolky. <\/p>\n\n\n\n Postupem \u010dasu st\u0159ed l\u00e9ze ztmavne. Tato nekr\u00f3za nazna\u010duje destrukci tk\u00e1n\u011b. Okraje z\u016fst\u00e1vaj\u00ed \u010derven\u00e9 nebo zan\u00edcen\u00e9. U kojenc\u016f<\/a> se tyto l\u00e9ze mohou objevit na trupu, kon\u010detin\u00e1ch nebo hr\u00e1zi.<\/p>\n\n\n\n V n\u011bkter\u00fdch p\u0159\u00edpadech l\u00e9ka\u0159i pozoruj\u00ed n\u011bkolik uzl\u00edk\u016f roztrou\u0161en\u00fdch po cel\u00e9m t\u011ble<\/a> . Toto proliferov\u00e1n\u00ed \u010dasto nazna\u010duje vniknut\u00ed bakteri\u00ed do krevn\u00edho ob\u011bhu. Tento stav se naz\u00fdv\u00e1 sepse.<\/p>\n\n\n\n Tuto infekci zp\u016fsobuje Pseudomonas aeruginosa. Tato oportunistick\u00e1 bakterie napad\u00e1 prim\u00e1rn\u011b vn\u00edmav\u00e9 pacienty. Zv\u00fd\u0161en\u00e9mu riziku jsou vystaveny p\u0159ed\u010dasn\u011b narozen\u00e9 d\u011bti, hospitalizovan\u00e9 d\u011bti a osoby s nezral\u00fdm imunitn\u00edm syst\u00e9mem.<\/p>\n\n\n\n Bakterie napadaj\u00ed c\u00e9vy. To zp\u016fsobuje siln\u00fd z\u00e1n\u011bt a n\u00e1slednou lok\u00e1ln\u00ed tromb\u00f3zu. Krevn\u00ed ob\u011bh je naru\u0161en. Tk\u00e1n\u011b postupn\u011b odum\u00edraj\u00ed, co\u017e vysv\u011btluje \u010dern\u00fd, d\u016flkov\u00fd vzhled l\u00e9z\u00ed.<\/p>\n\n\n\n Mezit\u00edm se celkov\u00fd stav d\u00edt\u011bte m\u016f\u017ee rychle zhor\u0161it. Hore\u010dka, podr\u00e1\u017ed\u011bnost, nechu\u0165 k j\u00eddlu nebo ospalost by m\u011bly b\u00fdt d\u016fvodem k obav\u00e1m. V takov\u00e9 situaci se po\u010d\u00edt\u00e1 ka\u017ed\u00e1 hodina.<\/p>\n\n\n\n V p\u0159\u00edpad\u011b podez\u0159el\u00fdch l\u00e9z\u00ed mus\u00ed l\u00e9ka\u0159sk\u00e9 t\u00fdmy reagovat okam\u017eit\u011b. Diagn\u00f3za je zalo\u017eena na n\u011bkolika testech. L\u00e9ka\u0159i prov\u00e1d\u011bj\u00ed hemokultury k identifikaci bakteri\u00ed v krvi. Mohou tak\u00e9 odebrat vzorek ko\u017en\u00ed l\u00e9ze k anal\u00fdze.<\/p>\n\n\n\n Jakmile je infekce potvrzena, l\u00e9\u010dba za\u010d\u00edn\u00e1 okam\u017eit\u011b. \u0160irokospektr\u00e1ln\u00ed antibiotika se pod\u00e1vaj\u00ed intraven\u00f3zn\u011b. V\u00fdsledky mikrobiologick\u00fdch test\u016f pak umo\u017e\u0148uj\u00ed \u00fapravu terapie na z\u00e1klad\u011b citlivosti bakteri\u00ed.<\/p>\n\n\n\n P\u00e9\u010de \u010dasto prob\u00edh\u00e1 na specializovan\u00e9m odd\u011blen\u00ed. Kojenci vy\u017eaduj\u00ed pe\u010dliv\u00e9 sledov\u00e1n\u00ed, l\u00e9ka\u0159i kontroluj\u00ed vit\u00e1ln\u00ed funkce, hydrataci a funkce org\u00e1n\u016f.<\/p>\n\n\n\n Ko\u017en\u00ed l\u00e9ze tak\u00e9 vy\u017eaduj\u00ed lok\u00e1ln\u00ed l\u00e9\u010dbu. Spr\u00e1vn\u00e9 \u010di\u0161t\u011bn\u00ed k\u016f\u017ee sni\u017euje riziko sekund\u00e1rn\u00ed infekce. V z\u00e1va\u017en\u00fdch p\u0159\u00edpadech m\u016f\u017ee b\u00fdt nutn\u00e9 chirurgick\u00e9 odstran\u011bn\u00ed nekrotick\u00e9 tk\u00e1n\u011b.<\/p>\n\n\n\n \u010c\u00edm d\u0159\u00edve se s l\u00e9\u010dbou za\u010dne, t\u00edm v\u011bt\u0161\u00ed je \u0161ance na uzdraven\u00ed. Odkl\u00e1d\u00e1n\u00ed l\u00e9\u010dby v\u0161ak zvy\u0161uje riziko z\u00e1va\u017en\u00fdch komplikac\u00ed. Sepse m\u016f\u017ee v\u00e9st k septick\u00e9mu \u0161oku, selh\u00e1n\u00ed v\u00edce org\u00e1n\u016f nebo v\u00fdznamn\u00e9mu po\u0161kozen\u00ed k\u016f\u017ee.<\/p>\n\n\n\n Kl\u00ed\u010dovou roli hraje i prevence. Nemocni\u010dn\u00ed t\u00fdmy zav\u00e1d\u011bj\u00ed p\u0159\u00edsn\u00e9 hygienick\u00e9 protokoly. Monitorov\u00e1n\u00ed rizikov\u00fdch kojenc\u016f umo\u017e\u0148uje v\u010dasn\u00e9 odhalen\u00ed jak\u00fdchkoli ko\u017en\u00edch abnormalit nebo zn\u00e1mek infekce.<\/p>\n\n\n\n Pro rodi\u010de z\u016fst\u00e1v\u00e1 sledov\u00e1n\u00ed prioritou. Jak\u00e1koli n\u00e1hl\u00e1 zm\u011bna vzhledu k\u016f\u017ee spojen\u00e1 se zhor\u0161en\u00edm celkov\u00e9ho zdravotn\u00edho stavu by m\u011bla v\u00e9st k neodkladn\u00e9 konzultaci.<\/p>\n\n\n\n Gangren\u00f3zn\u00ed dermatitida (ecthyma gangrenosum) je proto v\u00edce ne\u017e jen dermatologick\u00fd probl\u00e9m. Tyto l\u00e9ze jsou \u010dasto viditeln\u00fdm p\u0159\u00edznakem syst\u00e9mov\u00e9 infekce. V\u010dasn\u00e1 diagn\u00f3za umo\u017e\u0148uje vhodnou l\u00e9\u010dbu a zabra\u0148uje rychl\u00e9 progresi onemocn\u011bn\u00ed.<\/p>\n\n\n\n Tento stav zd\u016fraz\u0148uje d\u016fle\u017eitou l\u00e9ka\u0159skou pravdu: u kojenc\u016f mohou ko\u017en\u00ed l\u00e9ze nazna\u010dovat \u017eivot ohro\u017euj\u00edc\u00ed stav. V p\u0159\u00edpadech sepse zp\u016fsoben\u00e9 Pseudomonas aeruginosa je kl\u00ed\u010dov\u00e1 neust\u00e1l\u00e1 ostra\u017eitost a rychl\u00fd z\u00e1sah.<\/p>\n","protected":false},"excerpt":{"rendered":"U kojenc\u016f mohou n\u011bkter\u00e9 ko\u017en\u00ed l\u00e9ze nazna\u010dovat z\u00e1va\u017enou infekci. Mezi nimi je gangren\u00f3zn\u00ed ektyma hlavn\u00edm varovn\u00fdm p\u0159\u00edznakem. Tento vz\u00e1cn\u00fd p\u0159\u00edznak \u010dasto doprov\u00e1z\u00ed sepsi \n [...]<\/a>","protected":false},"author":1,"featured_media":6316,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6315","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\/6315","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=6315"}],"version-history":[{"count":1,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/6315\/revisions"}],"predecessor-version":[{"id":6317,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/6315\/revisions\/6317"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/media\/6316"}],"wp:attachment":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Gangren\u00f3zn\u00ed ektyma: ko\u017en\u00ed l\u00e9ze signalizuj\u00edc\u00ed syst\u00e9movou infekci<\/h2>\n\n\n\n
Sepse zp\u016fsoben\u00e1 Pseudomonas u kojenc\u016f: diagnostika a rychl\u00e1 l\u00e9\u010dba<\/h2>\n\n\n\n