{"id":147,"date":"2025-06-05T15:14:26","date_gmt":"2025-06-05T14:14:26","guid":{"rendered":"https:\/\/harcum.am\/?p=147"},"modified":"2025-06-05T15:14:26","modified_gmt":"2025-06-05T14:14:26","slug":"myslel-si-ze-to-jsou-jen-obycejne-blechy-ale-doktor-se-jen-podival-na-nohu-a-ustoupil-hruzou","status":"publish","type":"post","link":"https:\/\/harcum.am\/?p=147","title":{"rendered":"Myslel si, \u017ee to jsou jen oby\u010dejn\u00e9 blechy\u2026 Ale doktor se jen pod\u00edval na nohu \u2014 a ustoupil hr\u016fzou!"},"content":{"rendered":"\n<p>Vladim\u00edr S., 42let\u00fd automechanik z Voron\u011b\u017ee, nikdy nepat\u0159il k lidem, kte\u0159\u00ed b\u011bhaj\u00ed za doktory. Kv\u016fli drobn\u00fdm p\u0159\u00edznak\u016fm ml\u010del. Rad\u011bji si \u0159\u00edkal \u201eto p\u0159ejde samo\u201c ne\u017e tr\u00e1vil \u010das po nemocnic\u00edch. Tak\u017ee kdy\u017e se mu na lev\u00e9m kotn\u00edku objevila zarudl\u00e1, sv\u011bd\u00edc\u00ed, otekl\u00e1 oblast, p\u0159\u00edli\u0161 se neznepokojoval.<\/p>\n\n\n\n<p>\u2014 \u201eUr\u010dit\u011b n\u011bjak\u00e1 blecha, asi z chaty,\u201c pomyslel si. Pot\u0159el to alkoholem a pokra\u010doval v dni.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"994\" src=\"https:\/\/harcum.am\/wp-content\/uploads\/2025\/06\/snapedit_1748941894864-1024x994-1.jpeg\" alt=\"\" class=\"wp-image-148\" srcset=\"https:\/\/harcum.am\/wp-content\/uploads\/2025\/06\/snapedit_1748941894864-1024x994-1.jpeg 1024w, https:\/\/harcum.am\/wp-content\/uploads\/2025\/06\/snapedit_1748941894864-1024x994-1-300x291.jpeg 300w, https:\/\/harcum.am\/wp-content\/uploads\/2025\/06\/snapedit_1748941894864-1024x994-1-768x746.jpeg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Ale za t\u0159i dny se situace zm\u011bnila.<\/p>\n\n\n\n<p>M\u00edsto se prom\u011bnilo v bolestivou, nateklou masu, horkou na dotek, s pocitem pulzov\u00e1n\u00ed. A co bylo nejd\u011bsiv\u011bj\u0161\u00ed \u2014 c\u00edtil, \u017ee se mu pod k\u016f\u017e\u00ed n\u011bco h\u00fdbe.<\/p>\n\n\n\n<p>N\u00e1sleduj\u00edc\u00ed r\u00e1no, s nevol\u00ed, vyrazil k l\u00e9ka\u0159i.<\/p>\n\n\n\n<p>Zku\u0161en\u00fd infektolog, jakmile mu vyhrnul nohavici, okam\u017eit\u011b ustoupil.<\/p>\n\n\n\n<p>\u2014 \u201eTo nejsou blechy. Mus\u00ed\u0161 hned na infek\u010dn\u00ed odd\u011blen\u00ed.\u201c<\/p>\n\n\n\n<p><strong>N\u011bco \u017eiv\u00e9ho pod k\u016f\u017e\u00ed<\/strong><\/p>\n\n\n\n<p>Po s\u00e9rii vy\u0161et\u0159en\u00ed, ultrazvuku a laboratorn\u00edch test\u016f byla diagn\u00f3za \u0161okuj\u00edc\u00ed: v jeho tk\u00e1ni byl \u017eiv\u00fd parazit. Mal\u00e9 t\u011blo, asi dva centimetry dlouh\u00e9, se pohybovalo pod k\u016f\u017e\u00ed a reagovalo na teplo.<\/p>\n\n\n\n<p>Diagn\u00f3za: larva tropick\u00e9 mouchy <em>Dermatobia hominis<\/em> \u2014 parazit vyskytuj\u00edc\u00ed se pouze v Ji\u017en\u00ed Americe.<\/p>\n\n\n\n<p>Ale Vladim\u00edr nikdy nebyl mimo Rusko.<\/p>\n\n\n\n<p><strong>Jak je to mo\u017en\u00e9?<\/strong><\/p>\n\n\n\n<p>Pozd\u011bji si vzpomn\u011bl: t\u00fdden p\u0159edt\u00edm obdr\u017eel bal\u00edk od bratrance z Braz\u00edlie. Uvnit\u0159 byl ru\u010dn\u011b tkan\u00fd koberec z vesnice v Amazonii. Z\u0159ejm\u011b se v tkanin\u011b ukr\u00fdvala larva nebo vaj\u00ed\u010dko, kter\u00e9 se aktivovalo v dom\u00e1c\u00edch podm\u00ednk\u00e1ch, kdy\u017e uc\u00edtilo teplo lidsk\u00e9 k\u016f\u017ee.<\/p>\n\n\n\n<p>Tito paraziti dok\u00e1\u017e\u00ed proniknout pod k\u016f\u017ei bez bolesti a n\u011bkolik dn\u00ed se ti\u0161e vyv\u00edjet \u2014 ne\u017e t\u011blo za\u010dne reagovat.<\/p>\n\n\n\n<p><strong>Chirurgick\u00fd z\u00e1krok<\/strong><\/p>\n\n\n\n<p>L\u00e9ka\u0159i se nejprve pokusili o metodu udu\u0161en\u00ed \u2014 vazel\u00edna na otvor v k\u016f\u017ei, aby larva sama vylezla. Ne\u00fasp\u011b\u0161n\u011b.<\/p>\n\n\n\n<p>N\u00e1sledoval chirurgick\u00fd z\u00e1krok v lok\u00e1ln\u00ed anestezii. Mal\u00fd \u0159ez, opatrn\u00e9 vyta\u017een\u00ed pinzetou \u2014 a larva byla venku. \u017div\u00e1. Pohybliv\u00e1.<\/p>\n\n\n\n<p>Vladim\u00edr jen z\u00edral, on\u011bm\u011bl\u00fd \u0161okem.<\/p>\n\n\n\n<p>\u2014 \u201eTohle mi \u017eilo pod k\u016f\u017e\u00ed\u2026 cel\u00fd t\u00fdden?\u201c<\/p>\n\n\n\n<p><strong>Ponau\u010den\u00ed pro n\u00e1s v\u0161echny<\/strong><\/p>\n\n\n\n<p>\u0160t\u011bst\u00ed v ne\u0161t\u011bst\u00ed \u2014 parazit byl odstran\u011bn v\u010das. \u017d\u00e1dn\u00e1 infekce, \u017e\u00e1dn\u00e9 n\u00e1sledky. Ale jeho p\u0159\u00edb\u011bh se rychle roz\u0161\u00ed\u0159il: p\u0159es soci\u00e1ln\u00ed s\u00edt\u011b, v m\u00edstn\u00edch m\u00e9di\u00edch, a dokonce i v l\u00e9ka\u0159sk\u00fdch \u010dasopisech.<\/p>\n\n\n\n<p>Nejde jen o p\u0159\u00edb\u011bh vz\u00e1cn\u00e9 infekce \u2014 ale o n\u00e1vyk, kter\u00fd m\u00e1me v\u0161ichni: ignorovat p\u0159\u00edznaky.<\/p>\n\n\n\n<p>\u201eTe\u010f v\u00edm, \u017ee kdy\u017e t\u011blo vys\u00edl\u00e1 sign\u00e1l \u2014 ne\u010dekej. Reaguj.\u201c<\/p>\n\n\n\n<p>Kdyby \u010dekal je\u0161t\u011b p\u00e1r dn\u00ed, mohla by p\u0159ij\u00edt v\u00e1\u017en\u00e1 infekce, nebo dokonce amputace.<\/p>\n\n\n\n<p>Dnes je Vladim\u00edr symbolem varov\u00e1n\u00ed:<br>N\u011bkdy se za oby\u010dejn\u00fdm \u0161t\u00edpnut\u00edm skr\u00fdv\u00e1 n\u011bco, co by si nikdo nep\u0159\u00e1l.<\/p>\n","protected":false},"excerpt":{"rendered":"Vladim\u00edr S., 42let\u00fd automechanik z Voron\u011b\u017ee, nikdy nepat\u0159il k lidem, kte\u0159\u00ed b\u011bhaj\u00ed za doktory. Kv\u016fli drobn\u00fdm p\u0159\u00edznak\u016fm ml\u010del. Rad\u011bji si \u0159\u00edkal \u201eto p\u0159ejde \n<a class=\"moretag\" href=\"https:\/\/harcum.am\/?p=147\"> [...]<\/a>","protected":false},"author":1,"featured_media":148,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-147","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"views":225,"_links":{"self":[{"href":"https:\/\/harcum.am\/index.php?rest_route=\/wp\/v2\/posts\/147","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/harcum.am\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/harcum.am\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/harcum.am\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/harcum.am\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=147"}],"version-history":[{"count":1,"href":"https:\/\/harcum.am\/index.php?rest_route=\/wp\/v2\/posts\/147\/revisions"}],"predecessor-version":[{"id":149,"href":"https:\/\/harcum.am\/index.php?rest_route=\/wp\/v2\/posts\/147\/revisions\/149"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/harcum.am\/index.php?rest_route=\/wp\/v2\/media\/148"}],"wp:attachment":[{"href":"https:\/\/harcum.am\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=147"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/harcum.am\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=147"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/harcum.am\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=147"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}