{"id":330626,"date":"2024-12-04T12:30:10","date_gmt":"2024-12-04T11:30:10","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=330626"},"modified":"2024-12-04T12:30:10","modified_gmt":"2024-12-04T11:30:10","slug":"z-prvni-ruky-prvni-vyskyt-difylobotriozy-v-ceske-republice-nakazy-vyvolane-tasemnici-skulovcem-sirokym-po-konzumaci-jiker-stiky","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=330626","title":{"rendered":"Z PRVN\u00cd RUKY: Prvn\u00ed v\u00fdskyt difylobotri\u00f3zy v \u010cesk\u00e9 republice \u2013 n\u00e1kazy vyvolan\u00e9 tasemnic\u00ed \u0161kulovcem \u0161irok\u00fdm po konzumaci jiker \u0161tiky"},"content":{"rendered":"<h6><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-243085 alignleft\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2021\/12\/19\/akademie-v\u011bd-av-cr-logo-300x80.png\" alt=\"\" width=\"300\" height=\"80\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2021\/12\/19\/akademie-v\u011bd-av-cr-logo-300x80.png 300w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2021\/12\/19\/akademie-v\u011bd-av-cr-logo-768x206.png 768w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2021\/12\/19\/akademie-v\u011bd-av-cr-logo-1024x275.png 1024w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2021\/12\/19\/akademie-v\u011bd-av-cr-logo-1331x357.png 1331w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2021\/12\/19\/akademie-v\u011bd-av-cr-logo-1801x483.png 1801w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>Parazitologov\u00e9 z Biologick\u00e9ho centra Akademie v\u011bd \u010cR potvrdili prvn\u00ed autochtonn\u00ed (tj. dom\u00e1c\u00ed, neimportovan\u00fd) p\u0159\u00edpad difylobotri\u00f3zy v \u010cesk\u00e9 republice. Toto lidsk\u00e9 onemocn\u011bn\u00ed zp\u016fsobuje tasemnice \u0161kulovec \u0161irok\u00fd. K n\u00e1kaze do\u0161lo po konzumaci syrov\u00fdch jiker \u0161tiky (kavi\u00e1ru) poch\u00e1zej\u00edc\u00ed z n\u00e1dr\u017ee Lipno v ji\u017en\u00edch \u010cech\u00e1ch. Tento p\u0159\u00edpad nazna\u010duje p\u0159\u00edtomnost zavle\u010den\u00e9ho parazita v n\u00e1dr\u017ei, kter\u00e1 by tak mohla p\u0159edstavovat nov\u00e9 ohnisko nemoci. Riziko n\u00e1kazy lid\u00ed je v\u0161ak velmi n\u00edzk\u00e9. Zdrojem n\u00e1kaz jsou pouze syrov\u00e9 nebo nedostate\u010dn\u011b tepeln\u011b upraven\u00e9 drav\u00e9 ryby jako okoun \u0159\u00ed\u010dn\u00ed a \u0161tika obecn\u00e1. P\u0159esto\u017ee \u0161kulovec \u0161irok\u00fd m\u016f\u017ee dos\u00e1hnout zna\u010dn\u00e9 d\u00e9lky (a\u017e n\u011bkolik metr\u016f), u v\u011bt\u0161iny pacient\u016f nezp\u016fsobuje v\u00e1\u017en\u00e9 zdravotn\u00ed komplikace. Nemoc je nav\u00edc snadno l\u00e9\u010diteln\u00e1.<\/h6>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-330627 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/12\/04\/tasemnice.jpg\" alt=\"\" width=\"607\" height=\"911\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/12\/04\/tasemnice.jpg 607w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/12\/04\/tasemnice-200x300.jpg 200w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/12\/04\/tasemnice-238x357.jpg 238w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/12\/04\/tasemnice-322x483.jpg 322w\" sizes=\"(max-width: 607px) 100vw, 607px\" \/>K n\u00e1kaze do\u0161lo v ji\u017en\u00edch \u010cech\u00e1ch v obl\u00edben\u00e9 destinaci p\u0159ehrady Lipno v \u0159\u00edjnu 2023. Nakazil se 37let\u00fd mu\u017e, kter\u00fd sn\u011bdl kavi\u00e1r ze syrov\u00fdch jiker \u0161tiky. Po dvou m\u011bs\u00edc\u00edch se u n\u011bj objevily \u017ealude\u010dn\u00ed a st\u0159evn\u00ed pot\u00ed\u017ee, p\u0159edev\u0161\u00edm nad\u00fdm\u00e1n\u00ed, po dal\u0161\u00edch dvou m\u011bs\u00edc\u00edch vylou\u010dil \u010d\u00e1st tasemnice. N\u00e1sledn\u00e9 specializovan\u00e9 l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed potvrdilo p\u0159\u00edtomnost velk\u00e9ho mno\u017estv\u00ed vaj\u00ed\u010dek \u0161kulovce \u0161irok\u00e9ho (Dibothriocephalus latus) a byla zah\u00e1jena \u00fasp\u011b\u0161n\u00e1 l\u00e9\u010dba. <em>\u201eVzhledem k tomu, \u017ee pacient nikdy p\u0159edt\u00edm nekonzumoval syrov\u00e9 ryby ani jin\u00e9 syrov\u00e9 nebo nedostate\u010dn\u011b tepeln\u011b zpracovan\u00e9 ryb\u00ed produkty, lze pova\u017eovat tuto n\u00e1kazu za prvn\u00ed prok\u00e1zan\u00fd p\u0159\u00edpad autochtonn\u00ed difylobotri\u00f3zy v \u010cesk\u00e9 republice,\u201c<\/em> potvrdil Tom\u00e1\u0161 Scholz z Parazitologick\u00e9ho \u00fastavu Biologick\u00e9ho centra AV \u010cR.<\/p>\n<p>\u0160kulovec \u0161irok\u00fd je st\u0159evn\u00ed tasemnice, kter\u00e1 m\u016f\u017ee dor\u016fst d\u00e9lky n\u011bkolika metr\u016f. Jej\u00ed \u017eivotn\u00ed cyklus zahrnuje dva mezihostitele: planktonn\u00ed kor\u00fd\u0161e (buchanky) a sladkovodn\u00ed drav\u00e9 ryby, v jejich\u017e vnit\u0159n\u00edch org\u00e1nech, svalovin\u011b, p\u0159\u00edpadn\u011b vaje\u010dn\u00edc\u00edch se vyv\u00edjej\u00ed larvy infek\u010dn\u00ed pro \u010dlov\u011bka. Hlavn\u00edm definitivn\u00edm hostitelem je \u010dlov\u011bk, kter\u00fd se nakaz\u00ed pouze poz\u0159en\u00edm syrov\u00fdch nebo tepeln\u011b nedostate\u010dn\u011b upraven\u00fdch ryb \u010di ryb\u00edch pokrm\u016f, p\u0159edev\u0161\u00edm okouna \u0159\u00ed\u010dn\u00edho a \u0161tiky obecn\u00e9. Nakazit se mohou i \u0161elmy jako pes, ko\u010dka \u010di li\u0161ka. Vaj\u00ed\u010dka t\u00e9to tasemnice nejsou infek\u010dn\u00ed pro \u010dlov\u011bka.<\/p>\n<h6>Tasemnici zavlekl do Lipna patrn\u011b naka\u017een\u00fd turista<\/h6>\n<p>P\u0159esto\u017ee jiho\u010de\u0161t\u00ed parazitologov\u00e9 provedli podrobn\u00e9 genetick\u00e9 anal\u00fdzy, nelze vystopovat, jak p\u0159esn\u011b se parazit do Lipna dostal. V p\u0159edchoz\u00edch rozs\u00e1hl\u00fdch studi\u00edch o \u0161kulovci \u0161irok\u00e9m spolu s kolegy ze Slovenska podrobn\u011b zmapovali v\u00fdskyty tohoto parazita v Evrop\u011b a Asii od roku 1900 do sou\u010dasnosti. Potvrdili, \u017ee byl tento parazit mnohem \u010dast\u011bj\u0161\u00ed v minulosti. Dnes se vyskytuje mnohem vz\u00e1cn\u011bji jen v n\u011bkolika ohnisc\u00edch, a to p\u0159edev\u0161\u00edm v alpsk\u00fdch jezerech v severn\u00ed It\u00e1lii, \u0160v\u00fdcarsku a Francii a zejm\u00e9na v n\u011bkolika oblastech Ruska. <em>\u201ePodle na\u0161ich z\u00e1v\u011br\u016f nen\u00ed pravd\u011bpodobn\u00e9, aby byla tasemnice zavle\u010dena do Lipensk\u00e9 p\u0159ehrady s vysazen\u00fdmi rybami nebo naka\u017een\u00fdmi buchankami. Nejpravd\u011bpodobn\u011bj\u0161\u00ed je, \u017ee parazita do p\u0159ehrady zavlekl turista z endemick\u00e9 oblasti, nap\u0159\u00edklad z Ruska, kter\u00fd spolu se stolic\u00ed uvolnil vaj\u00ed\u010dka tasemnice do vody nebo jej\u00edho okol\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 parazitolog Roman Kuchta z Biologick\u00e9ho centra AV \u010cR. V kv\u011btnu a srpnu leto\u0161n\u00edho roku nav\u00edc parazitologov\u00e9 vy\u0161et\u0159ili v\u00edce ne\u017e stovku drav\u00fdch ryb z Lipna, ale v\u00fdskyt larev tohoto parazita neprok\u00e1zali.<\/p>\n<h6>Riziko n\u00e1kazy je velmi n\u00edzk\u00e9<\/h6>\n<p><em>\u201e\u010casto se setk\u00e1v\u00e1me s t\u00edm, \u017ee lid\u00e9 podl\u00e9haj\u00ed strachu z parazit\u016f nebo jsou vystra\u0161eni l\u017eiv\u00fdmi kampan\u011bmi nekal\u00fdch prodejc\u016f p\u0159\u00edpravk\u016f proti parazit\u016fm, tzv. internetov\u00fdch \u0161mejd\u016f. Obavy jsou ale naprosto zbyte\u010dn\u00e9. Lidsk\u00fdch parazit\u016f je v \u010desk\u00e9 republice velmi m\u00e1lo. V\u00fdskyt \u0161kulovce \u0161irok\u00e9ho v ryb\u00e1ch Lipna je nepochybn\u011b velmi vz\u00e1cn\u00fd a riziko n\u00e1kazy lid\u00ed je zna\u010dn\u011b n\u00edzk\u00e9, proto\u017ee p\u0159i b\u011b\u017en\u00e9 tepeln\u00e9 \u00faprav\u011b \u010di hlubok\u00e9m zmra\u017een\u00ed ryb se larvy \u0161kulovce spolehliv\u011b zni\u010d\u00ed,\u201c<\/em> uklid\u0148uje ve\u0159ejnost Tom\u00e1\u0161 Scholz. \u201e<em>Difylobotri\u00f3za nav\u00edc nen\u00ed z\u00e1va\u017en\u00e9 ani \u017eivot ohro\u017euj\u00edc\u00ed onemocn\u011bn\u00ed a existuje velmi \u00fa\u010dinn\u00e1 l\u00e9\u010dba,\u201c<\/em> dod\u00e1v\u00e1.<\/p>\n<p><strong>Text a foto: (tz-av\u010dr)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<h6>Informujeme:<\/h6>\n<h4 class=\"entry-title\"><a href=\"https:\/\/zakrasnejsivimperk.cz\/?p=330581\" target=\"_blank\" rel=\"noopener\">Tr\u017eby v ICT sektoru loni p\u0159es\u00e1hly bilion korun<\/a><\/h4>\n<h4 class=\"entry-title\"><a href=\"https:\/\/zakrasnejsivimperk.cz\/?p=330578\" target=\"_blank\" rel=\"noopener\">Pr\u016fm\u011brn\u00e1 mzda vzrostla re\u00e1ln\u011b o 4,6 %<\/a><\/h4>\n<h4 class=\"entry-title\"><a href=\"https:\/\/zakrasnejsivimperk.cz\/?p=330562\" target=\"_blank\" rel=\"noopener\">Jak podpo\u0159it p\u0159\u00edrodn\u00ed rozmanitost? 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<\/p>\n","protected":false},"author":2,"featured_media":330629,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[70],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/12\/04\/z-ruky-tasemnice.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/330626"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=330626"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/330626\/revisions"}],"predecessor-version":[{"id":330630,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/330626\/revisions\/330630"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/330629"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=330626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=330626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=330626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}