{"id":5029,"date":"2021-07-09T06:00:00","date_gmt":"2021-07-09T06:00:00","guid":{"rendered":"https:\/\/www.mojemedunka.cz\/?p=5029"},"modified":"2021-07-07T09:57:54","modified_gmt":"2021-07-07T09:57:54","slug":"z-cervencove-medunky-moje-uvahy-o-covidu-dlouhy-covid","status":"publish","type":"post","link":"https:\/\/www.mojemedunka.cz\/index.php\/2021\/07\/09\/z-cervencove-medunky-moje-uvahy-o-covidu-dlouhy-covid\/","title":{"rendered":"Z \u010dervencov\u00e9 Medu\u0148ky: Moje \u00favahy o covidu – dlouh\u00fd covid"},"content":{"rendered":"\n

Z aktu\u00e1ln\u00edho \u010dervencov\u00e9ho \u010d\u00edsla MEDU\u0147KY pro tento t\u00fdden vyb\u00edr\u00e1me uk\u00e1zku z \u010dl\u00e1nku MUDr. Ludmily Elekov\u00e9 a p\u0159\u00edznac\u00edch a mo\u017enostech diagnostiky a l\u00e9\u010dby dlouhodb\u00fdch nep\u0159\u00edjemn\u00fdch n\u00e1sledk\u016f covidu.<\/strong> Pan\u00ed doktorka m\u00e1 v tomto sm\u011bru spoustu zku\u0161enost\u00ed ze sv\u00e9 praxe praktick\u00e9 l\u00e9ka\u0159ky, kter\u00e1 se s pacienty pot\u00fdkaj\u00edc\u00edmi se s t\u011bmito probl\u00e9my \u010dasto setk\u00e1v\u00e1. \u010c\u00e1nek dr. Elekov\u00e9 je velmi u\u017ete\u010dn\u00fd a obsahuje informace, kter\u00e9 je dobr\u00e9 v\u011bd\u011bt. Cel\u00fd si ho si p\u0159e\u010dtete v \u010dervencov\u00e9 Medu\u0148ce, zakoup\u00edte ji na obvykl\u00fdch prodejn\u00edch m\u00edstech nebo \u010dtete na emedunka.cz <\/a><\/strong>
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Po roce pandemie se ukazuje, \u017ee p\u0159ekon\u00e1n\u00edm akutn\u00ed f\u00e1ze pro mnoho nemocn\u00fdch covid nekon\u010d\u00ed. Jejich pot\u00ed\u017ee p\u0159etrv\u00e1vaj\u00ed t\u00fddny a\u017e m\u011bs\u00edce. Trp\u00ed tzv. dlouh\u00fdm covidem, \u201elong covid\u201c. Za dlouh\u00fd covid se pova\u017euje p\u0159etrv\u00e1v\u00e1n\u00ed symptom\u016f covidu d\u00e9le ne\u017e dva m\u011bs\u00edce, nebo objeven\u00ed nov\u00fdch.<\/strong><\/p>\n\n\n\n

Symptomy jsou velmi prom\u011bnliv\u00e9, postihuj\u00ed v\u00edce org\u00e1n\u016f a syst\u00e9m\u016f, mohou p\u0159ich\u00e1zet, odch\u00e1zet, m\u011bnit se a st\u0159\u00eddat, a to po mnoho m\u011bs\u00edc\u016f. Dlouh\u00fd covid se m\u016f\u017ee rozvinout i po nez\u00e1va\u017en\u00e9m akutn\u00edm pr\u016fb\u011bhu, i kdy\u017e je \u010dast\u011bj\u0161\u00ed po t\u011b\u017e\u0161\u00edm pr\u016fb\u011bhu. R\u016fzn\u00e9 studie uv\u00e1d\u011bj\u00ed r\u016fzn\u00fd v\u00fdskyt, \u010d\u00edsla jsou to ale vysok\u00e1. V pr\u016fm\u011bru v\u00edce t\u00e9m\u011b\u0159 polovina lid\u00ed m\u011bla symptomy d\u00e9le ne\u017e m\u011bs\u00edc, asi deset procent d\u00e9le ne\u017e dva m\u011bs\u00edce a asi dv\u011b procenta d\u00e9le ne\u017e t\u0159i m\u011bs\u00edce. Riziko dlouh\u00e9ho covidu je n\u011bkolikan\u00e1sobn\u011b zv\u00fd\u0161eno z\u00e1va\u017en\u00fdm pr\u016fb\u011bhem akutn\u00edho covidu a v\u00edce ne\u017e p\u011bti symptomy v akutn\u00ed f\u00e1zi. Dlouh\u00fd covid postihuje v\u00edce \u017eeny, star\u0161\u00ed lidi, ob\u00e9zn\u00ed, s chronick\u00fdmi nemocemi, jimi\u017e trp\u011bli je\u0161t\u011b p\u0159ed covidem.
Hlavn\u00edmi symptomy jsou p\u0159etrv\u00e1vaj\u00edc\u00ed \u00fanava, kter\u00e1 je velmi intenzivn\u00ed, neporovnateln\u00e1 s \u00fanavou po ch\u0159ipce. A\u017e polovina lid\u00ed je po covidu neobvykle unaven\u00e1, \u010dasto je \u00fanava spojen\u00e1 s du\u0161nost\u00ed. Maj\u00ed velmi sn\u00ed\u017eenou t\u011blesnou i ment\u00e1ln\u00ed v\u00fdkonnost, co\u017e je n\u00e1padn\u00e9 zejm\u00e9na u fyzicky aktivn\u00edch lid\u00ed zvykl\u00fdch na vysok\u00e9 v\u00fdkony. D\u00e1le b\u00fdvaj\u00ed bolesti hlavy, sval\u016f, kloub\u016f a vracej\u00edc\u00ed se zv\u00fd\u0161en\u00e1 teplota. U po\u0161kozen\u00ed plic p\u0159etrv\u00e1v\u00e1 ka\u0161el, p\u00e1len\u00ed a bolesti na prsou. Znepokojuj\u00edc\u00ed je vysok\u00fd v\u00fdskyt kognitivn\u00edch probl\u00e9m\u016f. Pacienti popisuj\u00ed neschopnost se soust\u0159edit, p\u0159em\u00fd\u0161let, maj\u00ed mozek jako vatu, trp\u00ed v\u00fdkyvy n\u00e1lad, depresemi, \u00fazkostmi, poruchami sp\u00e1nku.
Objevuj\u00ed se symptomy postihuj\u00edc\u00ed perifern\u00ed nervy, pocity p\u00edch\u00e1n\u00ed, brn\u011bn\u00ed, zm\u011bny citlivosti k\u016f\u017ee.
I ztr\u00e1ta \u010dichu a chuti je nervov\u00fd symptom \u2013 posti\u017een\u00ed \u010dichov\u00e9ho nervu. Posti\u017eena je i k\u016f\u017ee, objevuj\u00ed se r\u016fzn\u00e9 vyr\u00e1\u017eky (tzv. covidov\u00fd palec), podobn\u00e9 omrzlin\u00e1m a Raynaudov\u011b syndromu, z\u00e1n\u011bty c\u00e9v (vaskulitidy) apod., poruchy sr\u00e1\u017elivosti krve, zv\u00fd\u0161en\u00e1 i sn\u00ed\u017een\u00e1 sr\u00e1\u017elivost, pokles po\u010dtu krevn\u00edch desti\u010dek. P\u011btina lid\u00ed trp\u00ed bolestmi na hrudi. Mohou b\u00fdt poruchy srde\u010dn\u00edho rytmu a kol\u00eds\u00e1n\u00ed krevn\u00edho tlaku.
\u010cast\u00e9 je naru\u0161en\u00ed vegetativn\u00edho nervov\u00e9ho syst\u00e9mu, projevuj\u00edc\u00ed se kol\u00eds\u00e1n\u00edm krevn\u00edho tlaku a pulzu, ortostatickou hypotenz\u00ed a tachykardi\u00ed. Pacienti netoleruj\u00ed vzp\u0159\u00edmenou polohu, maj\u00ed tendenci kolabovat, maj\u00ed arytmie v z\u00e1chvatech. Byly pops\u00e1ny i v\u00e1\u017en\u011bj\u0161\u00ed stavy jako z\u00e1n\u011bt srde\u010dn\u00edho svalu a infarkty myokardu. Tak\u00e9 doch\u00e1z\u00ed k n\u00e1hl\u00e9 a jinak nevysv\u011btliteln\u00e9 dekompenzaci diabetu.
Patofyziologie dlouh\u00e9ho covidu se teprve studuje. Dosud p\u0159esn\u011b nev\u00edme, co se v t\u011blech nemocn\u00fdch d\u011bje, co zp\u016fsobuje nap\u0159\u00edklad tak intenzivn\u00ed \u00fanavu. Produkce energie prob\u00edh\u00e1 v mitochondri\u00edch, proto je mo\u017en\u00fdm mechanismem po\u0161kozen\u00ed mitochondri\u00ed bu\u010f p\u0159\u00edmo virem, nebo n\u00e1sledn\u00fdm z\u00e1n\u011btem a oxidativn\u00edm stresem. Kognitivn\u00ed probl\u00e9my jsou o\u010dek\u00e1vateln\u00e9 u pacient\u016f, kte\u0159\u00ed p\u0159e\u017eili kritick\u00fd stav a intenzivn\u00ed p\u00e9\u010di, nast\u00e1v\u00e1 to i po jin\u00fdch z\u00e1va\u017en\u00fdch stavech. Podle n\u011bkter\u00fdch studi\u00ed trp\u00ed pacienti po plicn\u00ed ventilaci naru\u0161en\u00edm ment\u00e1ln\u00edch funkc\u00ed trvaj\u00edc\u00edm i n\u011bkolik let. Covid ale p\u0159ekvapil t\u00edm, \u017ee z\u00e1va\u017en\u00e9 kognitivn\u00ed probl\u00e9my nast\u00e1vaj\u00ed i u mlad\u0161\u00edch nemocn\u00fdch s lehk\u00fdm pr\u016fb\u011bhem. Pravd\u011bpodobn\u00fdm mechanismem mozkov\u00fdch symptom\u016f dlouh\u00e9ho covidu je chronick\u00fd doutnaj\u00edc\u00ed z\u00e1n\u011bt jako reakce na virov\u00e9 \u010d\u00e1stice a\/nebo degenerace neuron\u016f a gliov\u00fdch bun\u011bk. Z\u00e1n\u011btliv\u00e1 slo\u017eka je nepochybn\u00e1, proto\u017ee i jin\u00e9 z\u00e1n\u011btliv\u00e9 nemoci jsou doprov\u00e1zeny mozkov\u00fdmi symptomy.<\/p>\n\n\n\n

Dlouh\u00fd covid nejsp\u00ed\u0161e nast\u00e1v\u00e1 jako d\u016fsledek neadekv\u00e1tn\u00ed imunitn\u00ed reakce v akutn\u00ed f\u00e1zi.<\/strong> Nemocn\u00fd nebyl schopen virus efektivn\u011b zlikvidovat a neutralizovat. Neprob\u011bhla dostate\u010dn\u011b efektivn\u00ed reakce bun\u011b\u010dn\u00e9 imunity. Organismus se sna\u017e\u00ed virus zlikvidovat, ale ne\u00fasp\u011b\u0161n\u011b. Dlouhodob\u011b aktivovan\u00e1 imunitn\u00ed reakce a po\u0161kozen\u00ed bun\u011bk vede k rozvoji autoimunity. U dlouh\u00e9ho covidu byly pops\u00e1ny autoprotil\u00e1tky nap\u0159. proti c\u00e9vn\u00ed st\u011bn\u011b, vegetativn\u00edmu nervov\u00e9mu syst\u00e9mu, ale i jin\u00fdm org\u00e1n\u016fm.
B\u011bhem postcovidov\u00e9 f\u00e1ze tak\u00e9 doch\u00e1z\u00ed velmi \u010dasto i k reaktivac\u00edm chronick\u00fdch infekc\u00ed herpetick\u00fdmi viry, mykoplazmaty, chlamydiemi, boreli\u00f3zami. Je pak t\u011b\u017ek\u00e9 odli\u0161it, co zp\u016fsobuje koronavirus a co jin\u00fd virus. Symptomy jsou neur\u010dit\u00e9, prom\u011bnliv\u00e9, krevn\u00ed testy moc nepomohou, proto\u017ee protil\u00e1tky proti t\u011bmto patogen\u016fm p\u0159etrv\u00e1vaj\u00ed m\u011bs\u00edce a nejsou u\u017eite\u010dn\u00e9 k diagnostice moment\u00e1ln\u00ed reaktivace.<\/p>\n\n\n\n

Ide\u00e1ln\u00ed vy\u0161et\u0159en\u00ed \u2026<\/strong>
Co je vhodn\u00e9 u pacienta s dlouh\u00fdm covidem vy\u0161et\u0159it? Ide\u00e1ln\u00ed vy\u0161et\u0159en\u00ed je zna\u010dn\u011b rozs\u00e1hl\u00e9 a v pln\u00e9m rozsahu ho nejpravd\u011bpodobn\u011bji provedou specializovan\u00e1 centra. Porovn\u00e1me-li postcovidov\u00fd stav s \u00fanavov\u00fdm syndromem p\u0159i jin\u00fdch nemocech, podobnost je v tom, \u017ee pacient zjevn\u011b trp\u00ed a je nemocen, p\u0159esto obvykl\u00e1 vy\u0161et\u0159en\u00ed (krevn\u00ed obraz, z\u00e1kladn\u00ed biochemie) nic neuk\u00e1\u017eou. Odli\u0161nost je v tom, \u017ee u covidu lze naj\u00edt odchylky ve sr\u00e1\u017elivosti krve, funkci srdce, c\u00e9v a plic…
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Z aktu\u00e1ln\u00edho \u010dervencov\u00e9ho \u010d\u00edsla MEDU\u0147KY pro tento t\u00fdden vyb\u00edr\u00e1me uk\u00e1zku z \u010dl\u00e1nku MUDr. Ludmily Elekov\u00e9 a p\u0159\u00edznac\u00edch a mo\u017enostech diagnostiky a l\u00e9\u010dby dlouhodb\u00fdch nep\u0159\u00edjemn\u00fdch n\u00e1sledk\u016f covidu. Pan\u00ed doktorka m\u00e1 v tomto sm\u011bru spoustu zku\u0161enost\u00ed ze sv\u00e9 praxe praktick\u00e9 l\u00e9ka\u0159ky, kter\u00e1 se s pacienty pot\u00fdkaj\u00edc\u00edmi se s t\u011bmito probl\u00e9my \u010dasto setk\u00e1v\u00e1. \u010c\u00e1nek dr. Elekov\u00e9 je velmi u\u017ete\u010dn\u00fd a obsahuje informace, kter\u00e9 je dobr\u00e9 v\u011bd\u011bt. Cel\u00fd si ho si p\u0159e\u010dtete v \u010dervencov\u00e9 Medu\u0148ce, zakoup\u00edte ji na obvykl\u00fdch prodejn\u00edch m\u00edstech nebo \u010dtete na emedunka.cz Po roce pandemie se ukazuje, \u017ee p\u0159ekon\u00e1n\u00edm akutn\u00ed f\u00e1ze pro mnoho nemocn\u00fdch covid nekon\u010d\u00ed. Jejich pot\u00ed\u017ee p\u0159etrv\u00e1vaj\u00ed t\u00fddny a\u017e m\u011bs\u00edce. Trp\u00ed tzv. dlouh\u00fdm covidem, \u201elong covid\u201c. Za dlouh\u00fd covid se pova\u017euje p\u0159etrv\u00e1v\u00e1n\u00ed symptom\u016f covidu d\u00e9le ne\u017e dva m\u011bs\u00edce, nebo objeven\u00ed nov\u00fdch. Symptomy jsou velmi prom\u011bnliv\u00e9, postihuj\u00ed v\u00edce org\u00e1n\u016f a syst\u00e9m\u016f, mohou p\u0159ich\u00e1zet, odch\u00e1zet, m\u011bnit se a st\u0159\u00eddat, a to po mnoho m\u011bs\u00edc\u016f. Dlouh\u00fd covid se m\u016f\u017ee rozvinout i po nez\u00e1va\u017en\u00e9m akutn\u00edm pr\u016fb\u011bhu, i kdy\u017e je \u010dast\u011bj\u0161\u00ed po t\u011b\u017e\u0161\u00edm pr\u016fb\u011bhu. R\u016fzn\u00e9 studie uv\u00e1d\u011bj\u00ed r\u016fzn\u00fd v\u00fdskyt, \u010d\u00edsla jsou to ale vysok\u00e1. V pr\u016fm\u011bru v\u00edce t\u00e9m\u011b\u0159 polovina lid\u00ed m\u011bla symptomy d\u00e9le ne\u017e m\u011bs\u00edc, asi deset procent d\u00e9le ne\u017e dva m\u011bs\u00edce a asi dv\u011b procenta d\u00e9le ne\u017e t\u0159i m\u011bs\u00edce. Riziko dlouh\u00e9ho covidu je n\u011bkolikan\u00e1sobn\u011b zv\u00fd\u0161eno z\u00e1va\u017en\u00fdm pr\u016fb\u011bhem akutn\u00edho covidu a v\u00edce ne\u017e p\u011bti symptomy v akutn\u00ed f\u00e1zi. Dlouh\u00fd covid postihuje v\u00edce \u017eeny, star\u0161\u00ed lidi, ob\u00e9zn\u00ed, s chronick\u00fdmi nemocemi, jimi\u017e trp\u011bli je\u0161t\u011b p\u0159ed covidem.Hlavn\u00edmi symptomy jsou p\u0159etrv\u00e1vaj\u00edc\u00ed \u00fanava, kter\u00e1 je velmi intenzivn\u00ed, neporovnateln\u00e1 s \u00fanavou po ch\u0159ipce. A\u017e polovina lid\u00ed je po covidu neobvykle unaven\u00e1, \u010dasto je \u00fanava spojen\u00e1 s du\u0161nost\u00ed. Maj\u00ed velmi sn\u00ed\u017eenou t\u011blesnou i ment\u00e1ln\u00ed v\u00fdkonnost, co\u017e je n\u00e1padn\u00e9 zejm\u00e9na u fyzicky aktivn\u00edch lid\u00ed zvykl\u00fdch na vysok\u00e9 v\u00fdkony. D\u00e1le b\u00fdvaj\u00ed bolesti hlavy, sval\u016f, kloub\u016f a vracej\u00edc\u00ed se zv\u00fd\u0161en\u00e1 teplota. U po\u0161kozen\u00ed plic p\u0159etrv\u00e1v\u00e1 ka\u0161el, p\u00e1len\u00ed a bolesti na prsou. Znepokojuj\u00edc\u00ed je vysok\u00fd v\u00fdskyt kognitivn\u00edch probl\u00e9m\u016f. Pacienti popisuj\u00ed neschopnost se soust\u0159edit, p\u0159em\u00fd\u0161let, maj\u00ed mozek jako vatu, trp\u00ed v\u00fdkyvy n\u00e1lad, depresemi, \u00fazkostmi, poruchami sp\u00e1nku.Objevuj\u00ed se symptomy postihuj\u00edc\u00ed perifern\u00ed nervy, pocity p\u00edch\u00e1n\u00ed, brn\u011bn\u00ed, zm\u011bny citlivosti k\u016f\u017ee.I ztr\u00e1ta \u010dichu a chuti je nervov\u00fd symptom \u2013 posti\u017een\u00ed \u010dichov\u00e9ho nervu. Posti\u017eena je i k\u016f\u017ee, objevuj\u00ed se r\u016fzn\u00e9 vyr\u00e1\u017eky (tzv. covidov\u00fd palec), podobn\u00e9 omrzlin\u00e1m a Raynaudov\u011b syndromu, z\u00e1n\u011bty c\u00e9v (vaskulitidy) apod., poruchy sr\u00e1\u017elivosti krve, zv\u00fd\u0161en\u00e1 i sn\u00ed\u017een\u00e1 sr\u00e1\u017elivost, pokles po\u010dtu krevn\u00edch desti\u010dek. P\u011btina lid\u00ed trp\u00ed bolestmi na hrudi. Mohou b\u00fdt poruchy srde\u010dn\u00edho rytmu a kol\u00eds\u00e1n\u00ed krevn\u00edho tlaku.\u010cast\u00e9 je naru\u0161en\u00ed vegetativn\u00edho nervov\u00e9ho syst\u00e9mu, projevuj\u00edc\u00ed se kol\u00eds\u00e1n\u00edm krevn\u00edho tlaku a pulzu, ortostatickou hypotenz\u00ed a tachykardi\u00ed. Pacienti netoleruj\u00ed vzp\u0159\u00edmenou polohu, maj\u00ed tendenci kolabovat, maj\u00ed arytmie v z\u00e1chvatech. Byly pops\u00e1ny i v\u00e1\u017en\u011bj\u0161\u00ed stavy jako z\u00e1n\u011bt srde\u010dn\u00edho svalu a infarkty myokardu. Tak\u00e9 doch\u00e1z\u00ed k n\u00e1hl\u00e9 a jinak nevysv\u011btliteln\u00e9 dekompenzaci diabetu.Patofyziologie dlouh\u00e9ho covidu se teprve studuje. Dosud p\u0159esn\u011b nev\u00edme, co se v t\u011blech nemocn\u00fdch d\u011bje, co zp\u016fsobuje nap\u0159\u00edklad tak intenzivn\u00ed \u00fanavu. Produkce energie prob\u00edh\u00e1 v mitochondri\u00edch, proto je mo\u017en\u00fdm mechanismem po\u0161kozen\u00ed mitochondri\u00ed bu\u010f p\u0159\u00edmo virem, nebo n\u00e1sledn\u00fdm z\u00e1n\u011btem a oxidativn\u00edm stresem. Kognitivn\u00ed probl\u00e9my jsou o\u010dek\u00e1vateln\u00e9 u pacient\u016f, kte\u0159\u00ed p\u0159e\u017eili kritick\u00fd stav a intenzivn\u00ed p\u00e9\u010di, nast\u00e1v\u00e1 to i po jin\u00fdch z\u00e1va\u017en\u00fdch stavech. Podle n\u011bkter\u00fdch studi\u00ed trp\u00ed pacienti po plicn\u00ed ventilaci naru\u0161en\u00edm ment\u00e1ln\u00edch funkc\u00ed trvaj\u00edc\u00edm i n\u011bkolik let. Covid ale p\u0159ekvapil t\u00edm, \u017ee z\u00e1va\u017en\u00e9 kognitivn\u00ed probl\u00e9my nast\u00e1vaj\u00ed i u mlad\u0161\u00edch nemocn\u00fdch s lehk\u00fdm pr\u016fb\u011bhem. Pravd\u011bpodobn\u00fdm mechanismem mozkov\u00fdch symptom\u016f dlouh\u00e9ho covidu je chronick\u00fd doutnaj\u00edc\u00ed z\u00e1n\u011bt jako reakce na virov\u00e9 \u010d\u00e1stice a\/nebo degenerace neuron\u016f a gliov\u00fdch bun\u011bk. Z\u00e1n\u011btliv\u00e1 slo\u017eka je nepochybn\u00e1, proto\u017ee i jin\u00e9 z\u00e1n\u011btliv\u00e9 nemoci jsou doprov\u00e1zeny mozkov\u00fdmi symptomy. Dlouh\u00fd covid nejsp\u00ed\u0161e nast\u00e1v\u00e1 jako d\u016fsledek neadekv\u00e1tn\u00ed imunitn\u00ed reakce v akutn\u00ed f\u00e1zi. Nemocn\u00fd nebyl schopen virus efektivn\u011b zlikvidovat a neutralizovat. Neprob\u011bhla dostate\u010dn\u011b efektivn\u00ed reakce bun\u011b\u010dn\u00e9 imunity. Organismus se sna\u017e\u00ed virus zlikvidovat, ale ne\u00fasp\u011b\u0161n\u011b. Dlouhodob\u011b aktivovan\u00e1 imunitn\u00ed reakce a po\u0161kozen\u00ed bun\u011bk vede k rozvoji autoimunity. U dlouh\u00e9ho covidu byly pops\u00e1ny autoprotil\u00e1tky nap\u0159. proti c\u00e9vn\u00ed st\u011bn\u011b, vegetativn\u00edmu nervov\u00e9mu syst\u00e9mu, ale i jin\u00fdm org\u00e1n\u016fm.B\u011bhem postcovidov\u00e9 f\u00e1ze tak\u00e9 doch\u00e1z\u00ed velmi \u010dasto i k reaktivac\u00edm chronick\u00fdch infekc\u00ed herpetick\u00fdmi viry, mykoplazmaty, chlamydiemi, boreli\u00f3zami. Je pak t\u011b\u017ek\u00e9 odli\u0161it, co zp\u016fsobuje koronavirus a co jin\u00fd virus. Symptomy jsou neur\u010dit\u00e9, prom\u011bnliv\u00e9, krevn\u00ed testy moc nepomohou, proto\u017ee protil\u00e1tky proti t\u011bmto patogen\u016fm p\u0159etrv\u00e1vaj\u00ed m\u011bs\u00edce a nejsou u\u017eite\u010dn\u00e9 k diagnostice moment\u00e1ln\u00ed reaktivace. Ide\u00e1ln\u00ed vy\u0161et\u0159en\u00ed \u2026Co je vhodn\u00e9 u pacienta s dlouh\u00fdm covidem vy\u0161et\u0159it? Ide\u00e1ln\u00ed vy\u0161et\u0159en\u00ed je zna\u010dn\u011b rozs\u00e1hl\u00e9 a v pln\u00e9m rozsahu ho nejpravd\u011bpodobn\u011bji provedou specializovan\u00e1 centra. Porovn\u00e1me-li postcovidov\u00fd stav s \u00fanavov\u00fdm syndromem p\u0159i jin\u00fdch nemocech, podobnost je v tom, \u017ee pacient zjevn\u011b trp\u00ed a je nemocen, p\u0159esto obvykl\u00e1 vy\u0161et\u0159en\u00ed (krevn\u00ed obraz, z\u00e1kladn\u00ed biochemie) nic neuk\u00e1\u017eou. Odli\u0161nost je v tom, \u017ee u covidu lze naj\u00edt odchylky ve sr\u00e1\u017elivosti krve, funkci srdce, c\u00e9v a plic…<\/p>\n","protected":false},"author":3,"featured_media":5017,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,13,18,10],"tags":[],"class_list":["post-5029","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medunka","category-pece-o-telo","category-psychosomaticka-medicina","category-zdravi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/5029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/comments?post=5029"}],"version-history":[{"count":2,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/5029\/revisions"}],"predecessor-version":[{"id":5031,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/5029\/revisions\/5031"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media\/5017"}],"wp:attachment":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media?parent=5029"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/categories?post=5029"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/tags?post=5029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}