Tr\u00e1p\u00ed v\u00e1s n\u00e1hl\u00fd v\u00fdskyt mal\u00fdch pup\u00ednk\u016f po cel\u00e9m t\u011ble?<\/p>\n\n\n\n
S Jeanem-Paulem Giroudem, profesorem farmakologie, \u010dlenem L\u00e9ka\u0159sk\u00e9 akademie a autorem knihy Samol\u00e9\u010dba, odborn\u00e9 p\u0159\u00edru\u010dky<\/em> vydan\u00e9 nakladatelstv\u00edm La Martini\u00e8re, se pod\u00edv\u00e1me na r\u016fzn\u00e9 mo\u017en\u00e9 p\u0159\u00ed\u010diny.<\/p>\n\n\n\n Pokr\u00fdvaj\u00ed v\u00e1s najednou mal\u00e9 \u010derven\u00e9 pup\u00ednky, sv\u011bdiv\u00e9 skvrnky nebo vyr\u00e1\u017eky, ale nech\u00e1pete, odkud poch\u00e1zej\u00ed? Alergie, ekz\u00e9m, lup\u00e9nka, stres, onemocn\u011bn\u00ed org\u00e1n\u016f…<\/p>\n\n\n\n Mo\u017en\u00e9 p\u0159\u00ed\u010diny analyzujeme s Jeanem-Paulem Giroudem, profesorem farmakologie.<\/p>\n\n\n\n \u010cerven\u00e9 skvrny nebo ekz\u00e9m souvisej\u00edc\u00ed se stresem, sv\u011bd\u011bn\u00ed po alergick\u00e9 reakci, bodnut\u00ed hmyzem, mal\u00e9 pup\u00ednky souvisej\u00edc\u00ed s v\u00edce \u010di m\u00e9n\u011b z\u00e1va\u017en\u00fdm onemocn\u011bn\u00edm, pup\u00ednky po akn\u00e9\u2026 Na t\u011ble se vyskytuj\u00ed r\u016fzn\u00e9 typy pup\u00ednk\u016f r\u016fzn\u00e9ho p\u016fvodu: v n\u011bkter\u00fdch p\u0159\u00edpadech mohou vy\u017eadovat l\u00e9ka\u0159skou konzultaci.<\/p>\n\n\n\n Alergie je z\u00e1va\u017en\u00e1 imunitn\u00ed reakce na potravinov\u00fd alergen. M\u016f\u017ee postihnout geneticky predisponovan\u00e9 jedince kdykoli v \u017eivot\u011b. P\u0159\u00edznaky se objevuj\u00ed do dvou a\u017e \u010dty\u0159iceti osmi hodin po po\u017eit\u00ed. Obvykle jsou m\u00edrn\u00e9 \u2013 brn\u011bn\u00ed rt\u016f, ko\u017en\u00ed vyr\u00e1\u017eka a mal\u00e9 sv\u011bdiv\u00e9 pup\u00ednky kolem \u00fast, tv\u00e1\u0159\u00ed a krku \u2013 a obvykle jsou doprov\u00e1zeny b\u0159i\u0161n\u00edmi k\u0159e\u010demi, pr\u016fjmem a zvracen\u00edm. Ve vz\u00e1cn\u011bj\u0161\u00edch p\u0159\u00edpadech, kdy je alergick\u00e1 reakce z\u00e1va\u017en\u00e1, se m\u016f\u017ee b\u011bhem n\u011bkolika minut rozvinout v kop\u0159ivku s otokem rt\u016f, jazyka a krku. V takov\u00fdch p\u0159\u00edpadech je nutn\u00e1 okam\u017eit\u00e1 l\u00e9ka\u0159sk\u00e1 pomoc (15 ve Francii), proto\u017ee existuje riziko anafylaktick\u00e9ho \u0161oku.<\/p>\n\n\n\n Kontaktn\u00ed dermatitida neboli kontaktn\u00ed ekz\u00e9m se objevuje jeden a\u017e dva dny po kontaktu s alergenem (nov\u00fdm v\u00fdrobkem pro dom\u00e1cnost, antiseptikem, prac\u00edm prost\u0159edkem<\/a> , kosmetikou atd.). Projevuje se jako sv\u011bdiv\u00e9, \u010derven\u00e9 a such\u00e9 skvrny s nepravideln\u00fdmi okraji (sv\u011bd\u011bn\u00ed). Rychle se vytvo\u0159\u00ed mal\u00e9 puch\u00fd\u0159ky napln\u011bn\u00e9 \u010dirou tekutinou, kter\u00e9 p\u0159i \u0161kr\u00e1b\u00e1n\u00ed prasknou, pot\u00e9 vyt\u00e9kaj\u00ed a tvo\u0159\u00ed strupy. B\u011bhem l\u00e9ka\u0159sk\u00e9 konzultace se v\u00e1\u0161 praktick\u00fd l\u00e9ka\u0159 pokus\u00ed identifikovat alergen zp\u016fsobuj\u00edc\u00ed ko\u017en\u00ed reakci a doporu\u010d\u00ed lok\u00e1ln\u00ed l\u00e9\u010dbu. V n\u011bkter\u00fdch p\u0159\u00edpadech m\u016f\u017ee ekz\u00e9m souviset se stresem: tento stav se naz\u00fdv\u00e1 atopick\u00e1 dermatitida nebo neurodermatitida.<\/p>\n\n\n\n Lup\u00e9nka je autoimunitn\u00ed z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed, kter\u00e9 b\u011b\u017en\u011b postihuje star\u0161\u00ed dosp\u011bl\u00e9 a je \u010dasto vyvol\u00e1no siln\u00fdm stresem, emocion\u00e1ln\u00edm \u0161okem nebo nehodou. Nevyzna\u010duje se pup\u00ednky, ale sp\u00ed\u0161e z\u0159eteln\u00fdmi plaky na rukou, loktech, kolenou nebo poko\u017ece hlavy .<\/a> Tyto plaky jsou obvykle \u010derven\u00e9 a vystoupl\u00e9, pokryt\u00e9 b\u011blav\u00fdmi \u0161upinkami, kter\u00e9 se snadno odlupuj\u00ed. K \u00falev\u011b od sv\u011bd\u011bn\u00ed se doporu\u010duje minim\u00e1ln\u011b intenzivn\u00ed hydratace, jemn\u00e9 m\u00fddlo a lok\u00e1ln\u00ed kortikosteroidy. Konzultace s l\u00e9ka\u0159em nebo dermatologem je nezbytn\u00e1.<\/p>\n\n\n\n N\u011bkter\u00e9 potraviny mohou n\u011bkdy vyvolat n\u00e1hl\u00fd z\u00e1chvat kop\u0159ivky nebo vyr\u00e1\u017eky. Je v\u0161ak d\u016fle\u017eit\u00e9 si uv\u011bdomit, \u017ee l\u00e9ky<\/a> (peniciliny a dal\u0161\u00ed antibiotika, jako jsou sulfonamidy) jsou zodpov\u011bdn\u00e9 za 30 a\u017e 50 % p\u0159\u00edpad\u016f kop\u0159ivky<\/strong> . V akutn\u00ed form\u011b se na k\u016f\u017ei n\u00e1hle objev\u00ed \u010derven\u00e9 nebo r\u016f\u017eov\u00e9 pup\u00ednky, doprov\u00e1zen\u00e9 p\u00e1len\u00edm nebo sv\u011bd\u011bn\u00edm. K tomu doch\u00e1z\u00ed jako jednor\u00e1zov\u00fd z\u00e1chvat trvaj\u00edc\u00ed n\u011bkolik hodin a\u017e n\u011bkolik dn\u00ed. L\u00e9ka\u0159 ur\u010d\u00ed p\u0159\u00ed\u010dinu a p\u0159edep\u00ed\u0161e zklid\u0148uj\u00edc\u00ed mast a antihistaminikum (tablety nebo injekci).<\/p>\n\n\n\n Toto onemocn\u011bn\u00ed, zp\u016fsoben\u00e9 reaktivac\u00ed viru varicella zoster, se projevuje jako puch\u00fd\u0159ovit\u00e1 vyr\u00e1\u017eka. V polovin\u011b p\u0159\u00edpad\u016f se nach\u00e1z\u00ed na jedn\u00e9 stran\u011b hrudn\u00edku. Ve zb\u00fdvaj\u00edc\u00edch p\u0159\u00edpadech se vyskytuje v doln\u00ed \u010d\u00e1sti zad, v podb\u0159i\u0161ku nebo na jedn\u00e9 stran\u011b krku \u010di obli\u010deje. Je doprov\u00e1zeno silnou, bodavou bolest\u00ed<\/a> . Nemoc nen\u00ed naka\u017eliv\u00e1, ale je d\u016fle\u017eit\u00e9 co nejd\u0159\u00edve konzultovat l\u00e9ka\u0159e, aby se upravila l\u00e9\u010dba a p\u0159ede\u0161lo se komplikac\u00edm (siln\u00e9 zbytkov\u00e9 bolesti), zejm\u00e9na pokud se p\u00e1sov\u00fd opar objev\u00ed v bl\u00edzkosti oka (riziko probl\u00e9m\u016f se zrakem).<\/p>\n\n\n\n Pokud se c\u00edt\u00edte dob\u0159e a va\u0161e pup\u00ednky nejsou doprov\u00e1zeny \u017e\u00e1dn\u00fdmi dal\u0161\u00edmi p\u0159\u00edznaky, nepanika\u0159te. Pokud se v\u0161ak nec\u00edt\u00edte celkov\u011b dob\u0159e, m\u016f\u017ee to b\u00fdt p\u0159\u00edznakem z\u00e1va\u017en\u011bj\u0161\u00edho onemocn\u011bn\u00ed. Mnoho vnit\u0159n\u00edch onemocn\u011bn\u00ed se m\u016f\u017ee projevit jako ko\u017en\u00ed vyr\u00e1\u017eky.<\/p>\n\n\n\n Pokud se objev\u00ed kop\u0159ivka, kontaktujte specialistu nebo pohotovost (\u010d\u00edslo 15, 18 nebo 112),<\/strong> pokud se kop\u0159ivka d\u00e1le \u0161\u00ed\u0159\u00ed a zahu\u0161\u0165uje, rty a o\u010dn\u00ed v\u00ed\u010dka ot\u00e9kaj\u00ed a c\u00edt\u00edte p\u00e1len\u00ed (angioed\u00e9m), objev\u00ed se pocen\u00ed, zimnice nebo ztr\u00e1ta v\u011bdom\u00ed a d\u00fdchac\u00ed pot\u00ed\u017ee (Quinckeho ed\u00e9m).<\/p>\n\n\n\n N\u011bkter\u00e9 ko\u017en\u00ed p\u0159\u00edznaky nazna\u010duj\u00ed onemocn\u011bn\u00ed r\u016fzn\u00e9ho stupn\u011b z\u00e1va\u017enosti:<\/p>\n\n\n\n V p\u0159\u00edpad\u011b pochybnost\u00ed nev\u00e1hejte a okam\u017eit\u011b si domluvte l\u00e9ka\u0159skou konzultaci, abyste z\u00edskali p\u0159esn\u011bj\u0161\u00ed diagn\u00f3zu a zavedli vhodnou l\u00e9\u010dbu.<\/p>\n\n\n\n R\u00e1di bychom pod\u011bkovali Jeanu-Paulu Giroudovi, profesoru farmakologie, \u010dlenovi L\u00e9ka\u0159sk\u00e9 akademie a autorovi knihy Samol\u00e9\u010dba, odborn\u00e9 p\u0159\u00edru\u010dky vydan\u00e9 nakladatelstv\u00edm La Martini\u00e8re.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"Tr\u00e1p\u00ed v\u00e1s n\u00e1hl\u00fd v\u00fdskyt mal\u00fdch pup\u00ednk\u016f po cel\u00e9m t\u011ble? S Jeanem-Paulem Giroudem, profesorem farmakologie, \u010dlenem L\u00e9ka\u0159sk\u00e9 akademie a autorem knihy Samol\u00e9\u010dba, odborn\u00e9 p\u0159\u00edru\u010dky vydan\u00e9 nakladatelstv\u00edm \n [...]<\/a>","protected":false},"author":1,"featured_media":7006,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7005","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\/7005","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=7005"}],"version-history":[{"count":1,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/7005\/revisions"}],"predecessor-version":[{"id":7007,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/7005\/revisions\/7007"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/media\/7006"}],"wp:attachment":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7005"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Pro\u010d se mi na t\u011ble n\u00e1hle objevuj\u00ed skvrny?<\/h2>\n\n\n\n
N\u00e1hl\u00fd v\u00fdskyt pup\u00ednk\u016f: jak rozli\u0161it<\/strong> pup\u00ednky od alergi\u00ed<\/strong> ?<\/h2>\n\n\n\n
Ko\u017en\u00ed vyr\u00e1\u017eka: Co je kontaktn\u00ed dermatitida?<\/strong><\/h2>\n\n\n\n
\u010cerven\u00e9 skvrny po cel\u00e9m t\u011ble: Je to lup\u00e9nka a jak zm\u00edrnit sv\u011bd\u011bn\u00ed?<\/strong><\/h2>\n\n\n\n
Sv\u011bd\u011bn\u00ed k\u016f\u017ee: m\u016f\u017ee to b\u00fdt kop\u0159ivka?<\/strong><\/h2>\n\n\n\n
Mal\u00e9 \u010derven\u00e9 bulky, bolest\u2026 Jak poznat p\u00e1sov\u00fd opar?<\/strong><\/h2>\n\n\n\n
Kdy by m\u011bla b\u00fdt <\/strong>ko\u017en\u00ed vyr\u00e1\u017eka<\/strong> d\u016fvodem k obav\u00e1m<\/strong> ?<\/strong><\/h2>\n\n\n\n
Jak\u00e9 onemocn\u011bn\u00ed zp\u016fsobuje<\/strong> sv\u011bdiv\u00e9 pup\u00ednky po cel\u00e9m t\u011ble nebo obli\u010deji?<\/h2>\n\n\n\n
\n