{"id":73518,"date":"2025-03-03T00:12:50","date_gmt":"2025-03-02T23:12:50","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=73518"},"modified":"2025-03-02T16:07:20","modified_gmt":"2025-03-02T15:07:20","slug":"spalnicky-vitamin-a-jako-majak-nadeje-v-boji-proti-tezkym-pripadum","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/03\/03\/spalnicky-vitamin-a-jako-majak-nadeje-v-boji-proti-tezkym-pripadum\/","title":{"rendered":"Spalni\u010dky: Vitamin A jako maj\u00e1k nad\u011bje v boji proti t\u011b\u017ek\u00fdm p\u0159\u00edpad\u016fm"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p><strong>V oblasti Texas Panhandle u\u017e epidemie spalni\u010dek zas\u00e1hla v\u00edce ne\u017e 120 lid\u00ed a ned\u00e1vno si vy\u017e\u00e1dala prvn\u00ed ob\u011b\u0165 \u2013 d\u00edt\u011b ve \u0161koln\u00edm v\u011bku. Zat\u00edmco zdravotnick\u00e9 \u00fa\u0159ady pracuj\u00ed na omezen\u00ed \u0161\u00ed\u0159en\u00ed, vedle preventivn\u00edho o\u010dkov\u00e1n\u00ed se dost\u00e1v\u00e1 do centra pozornosti dal\u0161\u00ed p\u0159\u00edstup: vitam\u00edn A jako potenci\u00e1ln\u00ed zbra\u0148 proti z\u00e1va\u017en\u00e9 progresi onemocn\u011bn\u00ed u ji\u017e naka\u017een\u00fdch.<\/strong><\/p>\n<p>Spalni\u010dky, vysoce naka\u017eliv\u00fd respira\u010dn\u00ed virus s p\u016fsobivou 90% m\u00edrou infekce, se \u0161\u00ed\u0159\u00ed kap\u00e9nkovou infekc\u00ed a m\u016f\u017ee v\u00e9st k v\u00e1\u017en\u00fdm komplikac\u00edm, zejm\u00e9na u d\u011bt\u00ed. Ji\u017e v b\u0159eznu 2020 vydala National Foundation for Infectious Diseases\u00a0<a href=\"https:\/\/www.nfid.org\/wp-content\/uploads\/2023\/04\/Call-to-Action-Vitamin-A-for-the-Management-of-Measles-in-the-US-FINAL.pdf\">nal\u00e9havou v\u00fdzvu<\/a> ke zv\u00fd\u0161en\u00e9mu pou\u017e\u00edv\u00e1n\u00ed vitaminu A (retinolu) p\u0159i l\u00e9\u010db\u011b p\u0159\u00edpad\u016f spalni\u010dek ve Spojen\u00fdch st\u00e1tech. P\u0159esto\u017ee americk\u00fd zdravotnick\u00fd \u00fa\u0159ad CDC tuto suplementaci doporu\u010duje, v sou\u010dasn\u00e9 l\u00e9\u010debn\u00e9 praxi zat\u00edm nena\u0161la trval\u00e9 m\u00edsto.<\/p>\n<p>Na humbuk kolem spalni\u010dek je v\u0161ak t\u0159eba pohl\u00ed\u017eet velmi relativn\u00edm zp\u016fsobem. Ve Spojen\u00fdch st\u00e1tech zem\u0159eli za posledn\u00edch 25 let na spalni\u010dky celkem \u010dty\u0159i lid\u00e9, oproti 17 800 000 na infarkt a 1 100 000 na sebevra\u017edu.<\/p>\n<p>Dr. Andrew Handel, pediatrick\u00fd odborn\u00edk na infek\u010dn\u00ed onemocn\u011bn\u00ed z d\u011btsk\u00e9 nemocnice Stony Brook,\u00a0<a href=\"https:\/\/www.theepochtimes.com\/health\/the-role-of-vitamin-a-supplementation-in-measles-5818084\">objas\u0148uje<\/a>\u00a0: &#8222;N\u00edzk\u00e9 hladiny vitaminu A nevysv\u011btluj\u00ed sou\u010dasnou epidemii a vitamin A nezabr\u00e1n\u00ed infekci.&#8220; Rozhoduj\u00edc\u00ed bod sp\u00ed\u0161e zn\u00ed: \u201eU pacient\u016f s n\u00edzkou hladinou vitaminu A je pravd\u011bpodobn\u011bj\u0161\u00ed, \u017ee budou m\u00edt v\u00e1\u017en\u00e9 p\u0159\u00edpady spalni\u010dek a komplikace.\u201c<\/p>\n<p>Interakce mezi infekcemi spalni\u010dkami a hladinami vitaminu A je pozoruhodn\u00e1. Hospitalizovan\u00ed pacienti se spalni\u010dkami \u010dasto vykazuj\u00ed nedostatek vitaminu A s n\u00edzk\u00fdmi hladinami s\u00e9rov\u00e9ho retinolu, kter\u00e9 koreluj\u00ed se z\u00e1va\u017enost\u00ed onemocn\u011bn\u00ed. Je\u0161t\u011b v\u00edce alarmuj\u00edc\u00ed: I u d\u011bt\u00ed bez p\u0159edchoz\u00edch p\u0159\u00edznak\u016f nedostatku m\u016f\u017ee akutn\u00ed infekce spalni\u010dkami v\u00e9st k v\u00fdrazn\u00e9mu poklesu hladiny vitaminu A. Tento pokles je p\u0159\u00edmo spojen s prodlou\u017eenou hore\u010dkou, vy\u0161\u0161\u00ed m\u00edrou hospitalizace a sn\u00ed\u017een\u00fdmi hladinami protil\u00e1tek \u2013 co\u017e je za\u010darovan\u00fd kruh, kter\u00fd zt\u011b\u017euje zotaven\u00ed. Teprve po p\u0159ekon\u00e1n\u00ed infekce se hladina vitaminu A vrac\u00ed k norm\u00e1lu.<\/p>\n<p>Sv\u011btov\u00e1 zdravotnick\u00e1 organizace proto\u00a0<a href=\"https:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2024\/infections-diseases\/rubeola-measles#:~:text=%E2%89%A53%20days.-,Treatment,the%20first%20round%20of%20dosing.\">doporu\u010duje<\/a>\u00a0dv\u011b d\u00e1vky dopl\u0148k\u016f vitaminu A pro d\u011bti naka\u017een\u00e9 spalni\u010dkami s odstupem 24 hodin. D\u00e1vkov\u00e1n\u00ed se li\u0161\u00ed v z\u00e1vislosti na v\u011bku: kojenci do \u0161esti m\u011bs\u00edc\u016f by m\u011bli dost\u00e1vat 50 000 IU denn\u011b po dobu dvou dn\u016f, d\u011bti od \u0161esti do jeden\u00e1cti m\u011bs\u00edc\u016f 100 000 IU a d\u011bti star\u0161\u00ed jednoho roku 200 000 IU V\u00fdsledky v\u00fdzkumu publikovan\u00e9 v \u010dasopise \u201e\u00a0<a href=\"https:\/\/www.surveyophthalmol.com\/article\/S0039-6257(03)00179-6\/abstract#:~:text=Measles%20remains%20a%20major%20problem,vitamin%20A%20deficiency\">Public Health and the Eye<\/a>\u00a0\u201c ukazuj\u00ed, \u017ee vitamin A krom\u011b jin\u00e9ho sni\u017euje v\u00fdskyt komplikac\u00ed u infekc\u00ed spalni\u010dek a m\u016f\u017ee zabr\u00e1nit slepot\u011b. Suplementace nav\u00edc zkracuje dobu rekonvalescence a pom\u00e1h\u00e1 p\u0159edch\u00e1zet sekund\u00e1rn\u00edm infekc\u00edm.<\/p>\n<p>Dr. David C. Nguyen, specialista na infek\u010dn\u00ed onemocn\u011bn\u00ed z Rush University System for Health, vysv\u011btluje: &#8222;P\u0159esn\u00fd mechanismus \u00fa\u010dinku nen\u00ed pln\u011b objasn\u011bn, ale je pravd\u011bpodobn\u00e9, \u017ee vitam\u00edn A podporuje imunologickou odpov\u011b\u010f na spalni\u010dky.&#8220; P\u0159esto\u017ee se o\u010dkov\u00e1n\u00ed proti spalni\u010dk\u00e1m i nad\u00e1le celosv\u011btov\u011b pou\u017e\u00edv\u00e1 a je pova\u017eov\u00e1no za pom\u011brn\u011b \u00fa\u010dinn\u00e9, i zde se objevuje kritika. Je z\u0159ejm\u00e9\u00a0<a href=\"https:\/\/report24.news\/wirksamkeit-zweifelhaft-wie-effektiv-sind-masern-impfungen-tatsaechlich\/\">, \u017ee ochrana p\u0159ed o\u010dkov\u00e1n\u00edm netrv\u00e1 p\u0159\u00edli\u0161 dlouho<\/a>\u00a0, zejm\u00e9na proto, \u017ee na r\u016fzn\u00fdch \u0161kol\u00e1ch opakovan\u011b doch\u00e1zelo k pr\u016flomov\u00fdm infekc\u00edm.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-71983\" src=\"http:\/\/www.infokuryr.cz\/n\/wp-content\/uploads\/2025\/02\/aaa.jpg\" alt=\"\" width=\"89\" height=\"23\" \/><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>V oblasti Texas Panhandle u\u017e epidemie spalni\u010dek zas\u00e1hla v\u00edce ne\u017e 120 lid\u00ed a ned\u00e1vno si&#8230;<\/p>\n","protected":false},"author":2,"featured_media":73519,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[245,6203,8665,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/73518"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=73518"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/73518\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/73519"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=73518"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=73518"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=73518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}