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27.01.2013 | Sekce: Zdravotní

Jak si správně vyndat klíště? Co to je borelióza a co encefalitida?

 

Klíšťata a jak na ně

Zdroj: klíště.cz, cs.wikibook.org

 

Klíště přenáší různá onemocnění. Nejčastěji je to Encefalitida (zánět mozkových blan) a Borelióza (Lymská nemoc).

Obecně platí, že pokud se na vás přisaje klíště. Tak se po jeho odstranění soustřeďte na několik věcí: Místo přisátí, a pozorování příznaků během dvou týdnů.

 

  1. Místo přisátí: Je obvyklé, že místo přisátí je červené, svědí, může být trochu napuchlé. Toto po odstranění klíštěte během pár dní zmizí. V případě Boreliózy se může místo přisátí klíštěte chovat jinak. Obvykle se Během několika dní či týdnů objeví velký zarudlý flek s bílým středem.

  2. Další příznaky nákazy:
    Borelióza: Tato červená skvrna se postupně rozšiřuje a může dosahovat velikosti až několika desítek centimetrů (nemusí být vždy!), během několika dní až týdnů je toto onemocnění provázeno horečkou, únavou, malátností nebo zvracením.

Ve 20-30% nákaz však žádné příznaky pozorovány být nemusí a nemoc přechází do druhé fáze, která je provázena těžko léčitelnými chronickými formami onemocnění. Tato fáze začíná přibližně po dvou až dvanácti týdnech od přisátí klíštěte, nejpozději po třech měsících pak odeznívá. Typické jsou pro ni bolesti kloubů a vznik otoků, zejména kolenního kloubu, bolesti svalů, výjimečným příznakem není ani periferní obrna nervů, nejčastěji je postižen nerv lícní. Přechodně může dojít i k zánětu srdečního svalstva.

Třetí fáze se projevuje několik měsíců až roků po infekci. Mezi příznaky se řadí zánětlivé postižení kůže a její následná atrofie, zejména na dolních končetinách, záněty kloubů a také zánětlivá onemocnění mozku a míchy, srdce, nebo oka. 

Léčba:Pro úspěšnou léčbu lymeské boreliózy je nejdůležitější včasná diagnóza a okamžité zahájení léčby antibiotiky. Pokud je nemoc odhalena a léčena včas, odezní obvykle její příznaky bez dalších komplikací. Mohou přetrvávat určité příznaky jako bolest hlavy a kloubů nebo zvýšená únava. V případech pozdního začátku léčby je situace mnohem vážnější, hrozí postižení nervů, kloubů, a rozvoj dalších komplikací, například kardiovaskulárních poruch a dalších.


Encefalitida: probíhá skrytě, někdy je provázena lehkými projevy jako jsou malátnost, bolest svalů a kloubů, pobolívání hlavy, lehká teplota. Ve většině případů nákaza odezní sama, tělo si samo vytvoří imunitu. U nakažených může dojít k těžší formě onemocnění, Typické jsou značné bolesti hlavy, zvracení, světloplachost, třesy, netečnost, závratě a vysoká horečka. Příznaky mizí obvykle během 7 - 14dní.

Onemocnění tedy probíhá ve dvou fázích:
I. Příznaky se mohou podobat netypickému virovému onemocnění dýchacích cest s horečkami. V tomto stadiu dochází k pomnožení viru. U některých jedinců může onemocnění přejít do druhé fáze.
II. Závažná forma onemocnění je spojena s napadením centrálního nervového systému virem. Intenzita příznaků závisí na celkové odolnosti organizmu i na fyzické námaze nemocného. Proto je nutný klid na lůžku.
Léčba:Je nutno zdůraznit, že pro léčbu tohoto virového onemocnění doposud neexistují účinné léky (virostatika). V případě pozitivního nálezu infekce v klíštěti doporučujeme omezit stres a fyzickou námahu a podpořit obranyschopnost organizmu dostatečným příjmem vitamínů a dalšími podpůrnými prostředky

 

  1. Odstranění klíštěte:
    Žádné vykrucování! Klíště nemá závit jako šroub, takže je jedno, jestli po nebo protisměru hodinových ručiček. Klíště je nejlepší vyviklat pinzetou, či vypáčit. Pinzeta však musí být se zakončením kleští tak jako na obrázku. Je třeba totiž klíště chytit u sosáku hned u kůže, kde je přisáté. Pokud se chytí za tělíčko, tak při zmáčknutí pinzetou (nebo prsty) vypustí obsah střev do rány. Nejlepší je proto klíště vypáčit. V některých lékárnách se dají sehnat malá páčidýlka na klíšťata viz.obrázek. Nebo přímo karta s lupou a zářezem. Zářez nasadíte klíštěti mezi tělíčko a kůži a vypáčíte. V zásadě se dá takový nástroj vyrobit z kousku tenkého plastu (stará kreditka) do kterého se udělá zářez.

 

 

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