{"id":18453,"date":"2019-08-02T07:20:04","date_gmt":"2019-08-02T05:20:04","guid":{"rendered":"https:\/\/zdravovek.eu\/?p=18453"},"modified":"2020-09-14T18:53:36","modified_gmt":"2020-09-14T16:53:36","slug":"pasovy-opar-herpes-zoster","status":"publish","type":"post","link":"https:\/\/zdravovek.eu\/cs\/pasovy-opar-herpes-zoster\/","title":{"rendered":"P\u00e1sov\u00fd opar (herpes zoster) &#8211; p\u0159enos, p\u0159\u00edznaky, l\u00e9\u010dba, obr\u00e1zky"},"content":{"rendered":"<p>Herpes zoster (p\u00e1sov\u00fd opar) je pom\u011brn\u011b <strong>\u010dast\u00e9 infek\u010dn\u00ed virov\u00e9 onemocn\u011bn\u00ed<\/strong>. Jeho pr\u016fb\u011bh m\u016f\u017ee b\u00fdt nekomplikovan\u00fd, bez z\u00e1va\u017en\u011bj\u0161\u00edch rizik. Onemocn\u011bn\u00ed je v\u0161ak <strong>rizikov\u00e9 hlavn\u011b u star\u0161\u00edch lid\u00ed<\/strong>.<\/p>\n<p>Zaj\u00edm\u00e1 v\u00e1s, jestli je p\u00e1sov\u00fd opar <strong>naka\u017eliv\u00fd a jak\u00fd je jeho p\u0159enos<\/strong>? Jak\u00e9 m\u00e1 p\u0159\u00edznaky a jak\u00e1 je jeho l\u00e9\u010dba? P\u0159e\u010dt\u011bte si n\u00e1\u0161 dne\u0161n\u00ed \u010dl\u00e1nek, kde se dozv\u00edte v\u0161e ohledn\u011b p\u00e1sov\u00e9ho oparu.<\/p>\n\n<h2>P\u00e1sov\u00fd opar &#8211; herpes zoster<\/h2>\n<p>P\u00e1sov\u00fd opar je <strong>infek\u010dn\u00ed virov\u00e9 onemocn\u011bn\u00ed<\/strong>, kter\u00e9 zp\u016fsobuje virus <strong>varicella zoster<\/strong>. Tento virus \u0159ad\u00edme mezi herpetick\u00e9 viry. Charakteristikou herpetick\u00fdch vir\u016f je to, \u017ee <strong>z\u016fst\u00e1vaj\u00ed v organismu \u010dlov\u011bka<\/strong> a p\u0159i oslaben\u00ed imunity se mohou znovu aktivovat.<\/p>\n<h3>P\u0159enos<\/h3>\n<p>P\u0159enos p\u00e1sov\u00e9ho oparu se uskute\u010d\u0148uje <strong>kap\u00e9nkovou formou<\/strong> ale tak\u00e9 <strong>vzduchem a p\u0159\u00edm\u00fdm kontaktem<\/strong>. To znamen\u00e1, \u017ee i k\u00fdchnut\u00ed, pou\u017eit\u00ed p\u0159\u00edboru nebo jin\u00e9ho p\u0159edm\u011btu po zamo\u0159en\u00e9m m\u016f\u017ee zap\u0159\u00ed\u010dinit jeho p\u0159enos. Virus se p\u0159i vdechov\u00e1n\u00ed dost\u00e1v\u00e1 do d\u00fdchac\u00edho syst\u00e9mu, n\u00e1sledn\u011b do krve a potom vyvol\u00e1 na k\u016f\u017ei typick\u00e9 p\u0159\u00edznaky. Po p\u0159ekon\u00e1n\u00ed onemocn\u011bn\u00ed <strong>virus z\u016fst\u00e1v\u00e1 v nervov\u00e9m syst\u00e9mu<\/strong> a p\u0159i oslaben\u00e9 imunit\u011b m\u016f\u017ee doj\u00edt k jeho op\u011btovn\u00e9mu roz\u0161\u00ed\u0159en\u00ed.<\/p>\n<h3>Rizikov\u00e9 faktory<\/h3>\n<p>P\u00e1sov\u00fd opar vznik\u00e1 jako <strong>sekund\u00e1rn\u00ed infekce po p\u0159ekon\u00e1n\u00ed plan\u00fdch ne\u0161tovic<\/strong>. Toto onemocn\u011bn\u00ed p\u0159ekonala v\u011bt\u0161\u00ed z n\u00e1s je\u0161t\u011b v d\u011btstv\u00ed a vznik\u00e1 na n\u011bj imunita. Pokud jste tedy ji\u017e prod\u011blali plan\u00e9 ne\u0161tovice, herpes zoster se u v\u00e1s nach\u00e1z\u00ed v latentn\u00ed (neaktivn\u00ed) f\u00e1zi. Onemocn\u011bt m\u016f\u017eete tedy teoreticky v\u0161ichni, prakticky se <strong>p\u00e1sov\u00fd opar vyskytne u 10 &#8211; 20 % dosp\u011bl\u00e9 populace<\/strong>.<\/p>\n<p><strong>Mezi dal\u0161\u00ed rizikov\u00e9 faktory pat\u0159\u00ed<\/strong>:<\/p>\n<ul>\n<li><strong>vy\u0161\u0161\u00ed v\u011bk<\/strong> &#8211; \u0161ance, \u017ee dostanete p\u00e1sov\u00fd opar se v\u00fdrazn\u011b zvy\u0161uj\u00ed s pokro\u010dil\u00fdm v\u011bkem<\/li>\n<li><strong>sn\u00ed\u017een\u00e1 imunita<\/strong><\/li>\n<li><strong>chronick\u00e1 onemocn\u011bn\u00ed<\/strong><\/li>\n<li><strong>l\u00e9\u010dba imunosupresivy<\/strong>\u00a0i (l\u00e9ky potla\u010duj\u00edc\u00ed imunitn\u00ed odpov\u011b\u010f, nap\u0159\u00edklad po transplantac\u00edch)<\/li>\n<li>onkologi\u010dt\u00ed pacienti, chemoterapie<\/li>\n<li><strong>stres<\/strong><\/li>\n<\/ul>\n<h3>P\u00e1sov\u00fd opar u d\u011bt\u00ed<\/h3>\n<p>U d\u011bt\u00ed se p\u00e1sov\u00fd opar vyskytuje <strong>velmi z\u0159\u00eddka<\/strong>. Prim\u00e1rn\u00ed infekce herpes zoster se u d\u011bt\u00ed manifestuje pr\u00e1v\u011b jako <strong>plan\u00e9 ne\u0161tovice<\/strong>.<\/p>\n<p>Mezi <strong>rizikov\u00e9 faktory pro vznik p\u00e1sov\u00e9ho oparu u d\u011bt\u00ed<\/strong> pat\u0159\u00ed:<\/p>\n<ul>\n<li>prod\u011blan\u00e9 plan\u00e9 ne\u0161tovice p\u0159ed 1. rokem \u017eivota<\/li>\n<li>matka d\u00edt\u011bte m\u011bla plan\u00e9 ne\u0161tovice v pozdn\u00ed f\u00e1zi t\u011bhotenstv\u00ed<\/li>\n<\/ul>\n<h3>P\u00e1sov\u00fd opar v t\u011bhotenstv\u00ed<\/h3>\n<p>Podobn\u011b jako u d\u011bt\u00ed, <strong>i v t\u011bhotenstv\u00ed se p\u00e1sov\u00fd opar vyskytuje z\u0159\u00eddka<\/strong>. Pokud se v\u0161ak vyskytne, progn\u00f3zy u v\u011bt\u0161iny t\u011bhotn\u00fdch \u017een jsou dobr\u00e9. V n\u011bkter\u00fdch p\u0159\u00edpadech v\u0161ak m\u016f\u017ee p\u00e1sov\u00fd opar v t\u011bhotenstv\u00ed zp\u016fsobit po\u0161kozen\u00ed plodu.<\/p>\n<span class=\"erit-highlight\"> Pokud jste t\u011bhotn\u00e1 a <strong>v minulosti jste neprod\u011blala plan\u00e9 ne\u0161tovice<\/strong>, vyh\u00fdbejte se jak\u00e9mukoliv kontaktu s pacientem s p\u00e1sov\u00fdm oparem.<\/span> Onemocn\u011bn\u00ed je pom\u011brn\u011b infek\u010dn\u00ed, proto je pot\u0159eba sni\u017eovat riziko n\u00e1kazy na minimum.<\/p>\n<h2>P\u0159\u00edznaky p\u00e1sov\u00e9ho oparu<\/h2>\n<p><strong>Inkuba\u010dn\u00ed doba<\/strong> herpesu zoster je <strong>7 &#8211; 18 dn\u00ed<\/strong>.<\/p>\n<h3>P\u0159\u00edznaky b\u011bhem prodrom\u00e1ln\u00edho st\u00e1dia<\/h3>\n<p>P\u0159ed t\u00edm, ne\u017e se objev\u00ed p\u0159\u00edznaky se herpes zoster nach\u00e1z\u00ed <strong>v prodrom\u00e1ln\u00edm (skryt\u00e9m)<\/strong> st\u00e1diu.<\/p>\n<p>V t\u00e9to f\u00e1zi se mohou objevit <strong>prvn\u00ed nespecifick\u00e9 p\u0159\u00edznaky<\/strong>:<\/p>\n<ul>\n<li><strong>bolesti hlavy a k\u016f\u017ee<\/strong><\/li>\n<li>nadm\u011brn\u00e1 citlivost na dotek<\/li>\n<li>m\u00edrn\u011b <strong>zv\u00fd\u0161en\u00e1 teplota<\/strong><\/li>\n<\/ul>\n<p>U mal\u00e9ho procenta p\u0159\u00edpad\u016f se objev\u00ed i p\u0159\u00edznaky podobn\u00e9 ch\u0159ipce. Prodrom\u00e1ln\u00ed st\u00e1dium <strong>trv\u00e1 1 &#8211; 5 dn\u00ed<\/strong>.<\/p>\n<h3>P\u0159\u00edznaky b\u011bhem aktivn\u00edho stadia<\/h3>\n<p><strong>Pro aktivn\u00ed st\u00e1dium onemocn\u011bn\u00ed jsou charakteristick\u00e9 p\u0159\u00edznaky<\/strong>:<\/p>\n<ul>\n<li><strong>drobn\u00e9 vyr\u00e1\u017eky<\/strong> na k\u016f\u017ei<\/li>\n<li>vyr\u00e1\u017eky se po \u010dase <strong>napln\u00ed tekutinou<\/strong><\/li>\n<li>\u010dasem <strong>mohou praskat<\/strong> a uvol\u0148ovat sv\u016fj obsah<\/li>\n<li>v n\u011bkter\u00fdch p\u0159\u00edpadech se vyr\u00e1\u017eky mohou objevit i na obli\u010deji, \u010d\u00edm\u017e se m\u016f\u017ee <strong>infikovat i d\u016fle\u017eit\u00fd obli\u010dejov\u00fd nerv<\/strong> &#8211; nervus trigeminus, onemocn\u011bn\u00ed je pak velmi bolestiv\u00e9<\/li>\n<\/ul>\n<p>Pr\u016fb\u011bh onemocn\u011bn\u00ed je <strong>t\u00edm lep\u0161\u00ed, \u010d\u00edm je ni\u017e\u0161\u00ed v\u011bk pacienta<\/strong>. U star\u0161\u00edch lid\u00ed se \u010dast\u011bji vyskytnou r\u016fzn\u00e9 komplikace a l\u00e9\u010dba je dlouhodob\u011bj\u0161\u00ed.<\/p>\n<figure id=\"attachment_14172\" aria-describedby=\"caption-attachment-14172\" style=\"width: 696px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" class=\"wp-image-14172 size-large\" src=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata-1024x832.jpg\" alt=\"P\u011bt typ\u016f ko\u017en\u00edch vyr\u00e1\u017eek na t\u011ble mal\u00e9ho d\u00edt\u011bte\" width=\"696\" height=\"566\" srcset=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata-1024x832.jpg 1024w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata-600x488.jpg 600w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata-300x244.jpg 300w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata-768x624.jpg 768w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata-696x566.jpg 696w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata-1068x868.jpg 1068w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata-517x420.jpg 517w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/kozne-vyrazky-na-tele-dietata.jpg 1280w\" sizes=\"(max-width: 696px) 100vw, 696px\" \/><figcaption id=\"caption-attachment-14172\" class=\"wp-caption-text\">P\u011bt typ\u016f ko\u017en\u00edch vyr\u00e1\u017eek na t\u011ble mal\u00e9ho d\u00edt\u011bte (Zdroj: 123rf.com)<\/figcaption><\/figure>\n<h2>L\u00e9\u010dba p\u00e1sov\u00e9ho oparu<\/h2>\n<p>L\u00e9\u010dba se <strong>rozd\u011bluje na akutn\u00ed a chronickou<\/strong>.<\/p>\n<p>L\u00e9\u010dba akutn\u00edho herpesu zoster pacientovi <strong>ulev\u00ed od bolesti, zpomal\u00ed rozmno\u017eov\u00e1n\u00ed vir\u016f a zlep\u0161\u00ed hojen\u00ed puch\u00fd\u0159k\u016f<\/strong> na k\u016f\u017ei.<\/p>\n<p>Pou\u017e\u00edvaj\u00ed se tyto l\u00e9ky:<\/p>\n<ul>\n<li><strong>Virostatika\/antivirotika<\/strong> &#8211; skupina l\u00e9k\u016f, kter\u00e1 zpomaluje rozmno\u017eov\u00e1n\u00ed vir\u016f. Virostatika nedok\u00e1\u017e\u00ed samotn\u00fd virus v\u0161ak usmrtit (na rozd\u00edl od antibiotik, kter\u00e9 bakterie usmrcuj\u00ed). Na virov\u00e1 onemocn\u011bn\u00ed antibiotick\u00e1 l\u00e9\u010dba ne\u00fa\u010dinkuje! Antivirotika \u00fa\u010dinkuj\u00ed t\u00edm l\u00e9pe, \u010d\u00edm d\u0159\u00edve se nasad\u00ed. Pou\u017e\u00edvaj\u00ed se l\u00e9\u010diva jako aciclovir, famciclovir, valacilovir, brivudin, foscarnet.<\/li>\n<li><strong>Kortikosteroidy<\/strong> &#8211; pou\u017e\u00edvaj\u00ed se p\u0159i t\u011b\u017e\u0161\u00edch form\u00e1ch p\u00e1sov\u00e9ho oparu. Tlum\u00ed bolest, redukuj\u00ed z\u00e1n\u011bt a urychluj\u00ed l\u00e9\u010dbu. V\u017edy mus\u00ed b\u00fdt pod\u00e1v\u00e1ny v kombinaci s antivirotikem.<\/li>\n<li><strong>Analgetika<\/strong> &#8211; l\u00e9ky tlum\u00edc\u00ed bolest. U mlad\u0161\u00edch pacient\u016f se pou\u017e\u00edv\u00e1 kyselina acetylsalicylov\u00e1 (od 16 let) ibuprofen, paracetamol, p\u0159i v\u011bt\u0161\u00edch bolestech tramadol. Herpes zoster je u star\u0161\u00edch lid\u00ed bolestiv\u011bj\u0161\u00ed, proto se \u010dast\u011bji pou\u017e\u00edvaj\u00ed r\u016fzn\u00e9 opi\u00e1ty ve form\u011b n\u00e1plast\u00ed.<\/li>\n<li>Lok\u00e1ln\u011b se na p\u00e1sov\u00fd opar pou\u017e\u00edvaj\u00ed <strong>vysu\u0161uj\u00edc\u00ed masti a z\u00e1sypy<\/strong>, hlavn\u011b s obsahem zinku. P\u0159i p\u00e1sov\u00e9m oparu se m\u016f\u017eete sprchovat, ide\u00e1ln\u00ed je mast aplikovat p\u0159\u00edmo po spr\u0161e na vysu\u0161enou poko\u017eku. P\u0159i sprchov\u00e1n\u00ed v\u0161ak pou\u017e\u00edvejte studenou vodu, aby se m\u00edsto nedr\u00e1\u017edily.<\/li>\n<li>Po spr\u0161e si m\u016f\u017eete na vyr\u00e1\u017eky p\u0159ikl\u00e1dat i <strong>studen\u00e9 obklady<\/strong>.<\/li>\n<li><strong>Homeopatika<\/strong> &#8211; v\u00e1\u0161 homeopat v\u00e1m m\u016f\u017ee doporu\u010dit homeopatika jako nap\u0159. <strong>mezereum<\/strong> &#8211; ur\u010deno na opar, p\u00e1sov\u00fd opar a zosterov\u00e9 bolesti, <strong>Cantharis<\/strong> nebo <strong>Arsenicum Album 15CH<\/strong>.<\/li>\n<\/ul>\n<div class=\"erit-block erit-block-interesting\"> P\u0159i velmi siln\u00e9 bolesti v\u00e1m algeziolog p\u0159\u00edpadn\u011b neurolog m\u016f\u017ee p\u00edchnout takzvan\u00fd <strong>epidur\u00e1ln\u00ed blok<\/strong>. Tato forma je velmi \u00fa\u010dinn\u00e1 p\u0159i akutn\u00ed bolesti a poskytuje dlouhodobou \u00falevu a\u017e po dobu jednoho m\u011bs\u00edce. <\/div>\n<h2>Prevence<\/h2>\n<p>Herpes zoster pat\u0159\u00ed mezi <strong>snadno p\u0159enosn\u00e9 a pom\u011brn\u011b infek\u010dn\u00ed onemocn\u011bn\u00ed<\/strong>. Pokud jste v minulosti neprod\u011blali plan\u00e9 ne\u0161tovice, vyh\u00fdbejte se nemocn\u00fdm lidem s p\u00e1sov\u00fdm oparem. T\u011bhotn\u00fdm \u017een\u00e1m se obecn\u011b doporu\u010duje vyh\u00fdbat se velk\u00fdm skupin\u00e1m lid\u00ed, aby se zbyte\u010dn\u011b nevystavovaly riziku jak\u00e9koliv infekce.<\/p>\n<p>Pokud jste v\u0161ak ji\u017e <strong>plan\u00e9 ne\u0161tovice p\u0159ekonali<\/strong>, <strong>nem\u016f\u017eete se p\u00e1sov\u00fd oparem nakazit od n\u011bkoho, kdo ho aktu\u00e1ln\u011b m\u00e1<\/strong>, stejn\u011b jako se nem\u016f\u017eete znovu nakazit plan\u00fdmi ne\u0161tovicemi.<\/p>\n<h2>Komplikace<\/h2>\n<p>P\u0159i onemocn\u011bn\u00ed, jak\u00fdm je p\u00e1sov\u00fd opar m\u016f\u017ee doj\u00edt ke vzniku n\u011bkter\u00fdch komplikac\u00ed.<\/p>\n<p>Toto onemocn\u011bn\u00ed pat\u0159\u00ed mezi <strong>bolestiv\u00e9 nemoci<\/strong>. Ve vz\u00e1cn\u00fdch p\u0159\u00edpadech bolest p\u0159etrv\u00e1v\u00e1 i po p\u0159el\u00e9\u010den\u00ed onemocn\u011bn\u00ed. U n\u011bkter\u00fdch lid\u00ed se onemocn\u011bn\u00ed rozvine do <strong>posteherpetick\u00e9 neuralgie<\/strong>. Tento stav je extr\u00e9mn\u011b bolestiv\u00fd a na jeho l\u00e9\u010dbu se vyu\u017e\u00edv\u00e1 \u0159ada l\u00e9kov\u00fdch skupin, v\u010detn\u011b antidepresiv a opioid\u016f.<\/p>\n<figure id=\"attachment_14169\" aria-describedby=\"caption-attachment-14169\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" class=\"wp-image-14169 size-large\" src=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok-1024x819.jpg\" alt=\"P\u00e1sov\u00fd opar na tv\u00e1\u0159i - obr\u00e1zek\" width=\"1024\" height=\"819\" srcset=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok-1024x819.jpg 1024w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok-600x480.jpg 600w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok-300x240.jpg 300w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok-768x614.jpg 768w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok-696x557.jpg 696w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok-1068x854.jpg 1068w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok-525x420.jpg 525w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/pasovy-opar-na-tvari-obrazok.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-14169\" class=\"wp-caption-text\">Zdroj: 123rf.com<\/figcaption><\/figure>\n<p>Pokud se herpes zoster <strong>objev\u00ed na obli\u010deji<\/strong>, m\u016f\u017ee <strong>po\u0161kodit obli\u010dejov\u00e9 nervy<\/strong> p\u0159\u00edpadn\u011b oko. Zjizven\u00ed o\u010d\u00ed m\u016f\u017ee n\u00e1sledn\u011b po\u0161kodit samotn\u00fd zrak. Po p\u0159ekon\u00e1n\u00ed herpesu zoster v oblasti oka se rovn\u011b\u017e zvy\u0161uje riziko glaukomu, kter\u00fd m\u016f\u017ee v\u00e9st a\u017e ke ztr\u00e1t\u011b zraku.<\/p>\n<p>Nebezpe\u010dn\u00fdm se herpes zoster st\u00e1v\u00e1 i tehdy, kdy\u017e se <strong>roz\u0161\u00ed\u0159\u00ed na cel\u00e9 t\u011blo<\/strong>. Onemocn\u011bn\u00ed se odborn\u011b naz\u00fdv\u00e1 zoster generalisatus.<\/p>\n<p>Jin\u00e9 komplikace zahrnuj\u00ed: ochrnut\u00ed obli\u010deje nebo br\u00e1nice, po\u0161kozen\u00ed mozku, mozkov\u00fdch blan nebo m\u00edchy.<\/p>\n<h2>Progn\u00f3za p\u00e1sov\u00e9ho oparu<\/h2>\n<p>V\u011bt\u0161ina p\u0159\u00edpad\u016f p\u00e1sov\u00e9ho oparu m\u00e1 <strong>dobrou progn\u00f3zu<\/strong>. P\u0159i adekv\u00e1tn\u00ed l\u00e9\u010db\u011b <strong>z\u016fst\u00e1vaj\u00ed pacienti bez p\u0159\u00edznak\u016f<\/strong>. Bolestiv\u00e1 herpetick\u00e1 neuralgie se vyskytuje u 10 &#8211; 15 % pacient\u016f, u star\u0161\u00edch lid\u00ed v\u0161ak a\u017e u ka\u017ed\u00e9ho druh\u00e9ho pacienta.<\/p>\n<p>Onemocn\u011bn\u00ed je smrteln\u00e9 kdy\u017e herpetick\u00fd virus postihne mozek nebo m\u00edchu a rozvinou se komplikace.<\/p>\n<h2>Shrnut\u00ed<\/h2>\n<p>P\u00e1sov\u00fd opar je <strong>virov\u00e9 onemocn\u011bn\u00ed<\/strong>, kter\u00e9 se vyskytuje nejv\u00edce u star\u0161\u00edch lid\u00ed. Herpetick\u00fd virus, kter\u00fd ho vyvol\u00e1v\u00e1 m\u00e1me v sob\u011b v\u0161ichni, kte\u0159\u00ed jsme p\u0159ekonali plan\u00e9 ne\u0161tovice. <strong>P\u0159enos z \u010dlov\u011bka na \u010dlov\u011bka<\/strong> je mo\u017en\u00fd pouze tehdy, pokud osoba je\u0161t\u011b <strong>nep\u0159ekonala plan\u00e9 ne\u0161tovice<\/strong>. Jinak k onemocn\u011bn\u00ed doch\u00e1z\u00ed p\u0159es <strong>reaktivaci viru v t\u011ble<\/strong>. Inkuba\u010dn\u00ed doba herpesu zoster je pom\u011brn\u011b dlouh\u00e1. M\u016f\u017ee se projevit a\u017e za 18 dn\u00ed.<\/p>\n<p>L\u00e9\u010dba je zalo\u017eena na pod\u00e1v\u00e1n\u00ed antivirotik, l\u00e9k\u016f proti bolesti a kortikoid\u016f. Dom\u00e1c\u00ed l\u00e9\u010dba p\u00e1sov\u00e9ho oparu zahrnuje sprchov\u00e1n\u00ed ve studen\u00e9 vod\u011b a voln\u011b prodejn\u00e9 vysu\u0161uj\u00edc\u00ed masti a z\u00e1sypy s obsahem zinku.<\/p>\n<div class='erit-cta-block '>\n\n                <a class='erit-cta-block-button eap_conversion cta_block cta_button mobile_only' href='https:\/\/zdravovek.eu\/a\/cs\/milgamma-n-100-kapsli-drmax-cz\/' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_cta_block', 'EAP_click_cta_button', null)\">\n                  <img src='https:\/\/zdravovek.eu\/wp-content\/plugins\/erit-affil-publisher\/img\/info-eap.png' alt='icon' class='erit-cta-block-button-icon eap-icon' \/>Zjistit v\u00edce\n                <\/a>\n                \n                <div class='erit-cta-block-content'>\n<p><strong><a href='https:\/\/zdravovek.eu\/a\/cs\/milgamma-n-100-kapsli-drmax-cz\/' class='eap_conversion affil_link' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_affil_link_a', 'EAP_click_affil_link_a', null)\">MILGAMMA N<\/a><\/strong> 100 kapsl\u00ed<\/p>\n<ul>\n<li>p\u0159\u00edpravek obsahuje <strong>vitaminy skupiny B<\/strong> (benfotiamin, pyridox\u00edniumchlorid a kyanokobalamin)<\/li>\n<li>tyto vitaminy jsou nezbytn\u00e9 pro metabolismus nervov\u00fdch bun\u011bk a pou\u017e\u00edvaj\u00ed se k l\u00e9\u010db\u011b neuropatie<\/li>\n<li><strong>l\u00e9\u010dba z\u00e1n\u011btliv\u00fdch a bolestiv\u00fdch onemocn\u011bn\u00ed nerv\u016f jako je migr\u00e9na, p\u00e1sov\u00fd opar<\/strong> (herpes zoster), diabetick\u00e1 polyneuropatie, obrna obli\u010dejov\u00e9ho nervu<\/li>\n<\/ul>\n<\/div>\n                \n                <div class='erit-cta-block-img-wrap'>\n                    <a class='product-image eap_conversion cta_block image' href='https:\/\/zdravovek.eu\/a\/cs\/milgamma-n-100-kapsli-drmax-cz\/' rel='nofollow' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_cta_block', 'EAP_click_image', null)\"><img width='150' src='https:\/\/zdravovek.eu\/wp-content\/uploads\/2018\/10\/milgamma_n_100.jpg' alt='MILGAMMA N' \/><\/a>\n                    \n                    <a class='erit-cta-block-button eap_conversion cta_block cta_button' href='https:\/\/zdravovek.eu\/a\/cs\/milgamma-n-100-kapsli-drmax-cz\/' rel='nofollow noopener' target='_blank'  onclick=\"eap_add_gtm_event('EAP_conversion_cta_block', 'EAP_click_cta_button', null)\">\n                      <img src='https:\/\/zdravovek.eu\/wp-content\/plugins\/erit-affil-publisher\/img\/info-eap.png' alt='icon' class='erit-cta-block-button-icon eap-icon' \/>Zjistit v\u00edce\n                     <\/a>\n                    \n                <\/div>\n              <\/div>\n<div class='erit-toggle-block'>\n      <input type='checkbox' id='erit-toggle-block-checkbox-tw0sqU' class='erit-toggle-block-checkbox'\/>\n                  <label for='erit-toggle-block-checkbox-tw0sqU' class='erit-toggle-block-header'>Zdroje:<\/label>\n                  <div class='erit-toggle-block-content'>\n<ul>\n<li><a href=\"https:\/\/www.urmc.rochester.edu\/encyclopedia\/content.aspx?ContentTypeID=90&amp;ContentID=P02551\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">urmc.rochester.edu<\/a><\/li>\n<li><a href=\"http:\/\/www.sprievodcaockovanim.sk\/odporucane-ockovania\/ockovanie-proti-kiahnam-varicella.html\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">sprievodcaockovanim.sk<\/a><\/li>\n<li><a href=\"https:\/\/primar.sme.sk\/c\/4117255\/pasovy-opar-herpes-zoster.html\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">primar.sme.sk<\/a><\/li>\n<li><a href=\"https:\/\/www.wikihow.com\/Live-With-Shingles\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">wikihow.com<\/a><\/li>\n<li><a href=\"https:\/\/www.webmd.com\/baby\/shingles-during-pregnancy#3\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">webmd.com<\/a><\/li>\n<li><a href=\"http:\/\/www.viapractica.sk\/index.php?page=pdf_view&amp;pdf_id=3411&amp;magazine_id=1\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">viapractica.sk<\/a><\/li>\n<li><a href=\"https:\/\/childrensnational.org\/choose-childrens\/conditions-and-treatments\/skin-disorders\/herpes-zoster-shingles\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">childrensnational.org<\/a><\/li>\n<\/ul>\n<\/div>\n              <\/div>\n<div class='erit-disclaimer'><span class='erit-disclaimer-icon'><span class='erit-disclaimer-text'>!<\/span><\/span><span class='erit-disclaimer-text'>\u010cl\u00e1nek byl vypracov\u00e1n l\u00e9k\u00e1rn\u00edkem av\u0161ak, slou\u017e\u00ed pouze pro informativn\u00ed \u00fa\u010dely - 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Jeho pr\u016fb\u011bh m\u016f\u017ee b\u00fdt nekomplikovan\u00fd, bez z\u00e1va\u017en\u011bj\u0161\u00edch rizik. Onemocn\u011bn\u00ed je v\u0161ak rizikov\u00e9 hlavn\u011b u star\u0161\u00edch lid\u00ed. Zaj\u00edm\u00e1 v\u00e1s, jestli je p\u00e1sov\u00fd opar naka\u017eliv\u00fd a jak\u00fd je jeho p\u0159enos? Jak\u00e9 m\u00e1 p\u0159\u00edznaky a jak\u00e1 je jeho l\u00e9\u010dba? P\u0159e\u010dt\u011bte si n\u00e1\u0161 dne\u0161n\u00ed \u010dl\u00e1nek, kde se dozv\u00edte v\u0161e [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":14166,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[112,230,79],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>P\u00e1sov\u00fd opar (herpes zoster) - p\u0159enos, p\u0159\u00edznaky, l\u00e9\u010dba, obr\u00e1zky | Zdravov\u011bk<\/title>\n<meta name=\"description\" content=\"Jak\u00e9 m\u00e1 p\u00e1sov\u00fd opar p\u0159\u00edznaky, jak\u00e1 je l\u00e9\u010dba, inkuba\u010dn\u00ed doba a jeho p\u0159enos? Jak herpes zoster prob\u00edh\u00e1 u d\u011bt\u00ed a v t\u011bhotenstv\u00ed? 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Jak herpes zoster prob\\u00edh\\u00e1 u d\\u011bt\\u00ed a v t\\u011bhotenstv\\u00ed? 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Svoje odborn\\u00e9 vedomosti sa sna\\u017e\\u00edm udr\\u017eiava\\u0165 tak, \\u017ee p\\u00ed\\u0161em pre viacer\\u00e9 zdravotn\\u00e9 port\\u00e1ly. Raz do t\\u00fd\\u017ed\\u0148a chod\\u00edm aj do lek\\u00e1rne, tak\\u017ee som v kontakte s praxou a probl\\u00e9mami pacientov. 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