{"id":352332,"date":"2025-07-28T12:23:10","date_gmt":"2025-07-28T11:23:10","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=352332"},"modified":"2025-07-28T12:23:10","modified_gmt":"2025-07-28T11:23:10","slug":"vseobecna-zdravotni-pojistovna-pasovy-opar","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=352332","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: P\u00e1sov\u00fd opar"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<h6 style=\"text-align: center;\">OT\u00c1ZKA:<\/h6>\n<h6 style=\"text-align: center;\"><b>Jak pozn\u00e1m p\u00e1sov\u00fd opar? Existuje proti n\u011bmu n\u011bjak\u00e1 prevence?<\/b><\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-MsoNoSpacing\"><b>P\u00e1sov\u00fd opar je bolestiv\u00e9 ko\u017en\u00ed a neurologick\u00e9 onemocn\u011bn\u00ed zp\u016fsoben\u00e9 virem,\u00a0kter\u00fd je rovn\u011b\u017e\u00a0odpov\u011bdn\u00fd za\u00a0plan\u00e9 ne\u0161tovice.<\/b>\u00a0Po vyl\u00e9\u010den\u00ed plan\u00fdch ne\u0161tovic si t\u011blo vytvo\u0159\u00ed protil\u00e1tky, ale virus samotn\u00fd z\u016fst\u00e1v\u00e1 v\u00a0senzorick\u00fdch gangli\u00edch u p\u00e1te\u0159e (nervov\u00e9 shluky, kter\u00e9 shroma\u017e\u010fuj\u00ed a t\u0159\u00edd\u00ed sign\u00e1ly z k\u016f\u017ee, sval\u016f a org\u00e1n\u016f a pak je pos\u00edlaj\u00ed d\u00e1l do m\u00edchy a mozku).\u00a0<b>Pokud je t\u011blo oslaben\u00e9 nap\u0159\u00edklad stresem, sn\u00ed\u017eenou imunitou nebo v\u00e1\u017en\u011bj\u0161\u00ed nemoc\u00ed, m\u016f\u017ee se virus op\u011bt aktivovat a projevit se p\u00e1sov\u00fdm oparem.<\/b>\u00a0<b>Zat\u00edmco u d\u011bt\u00ed je toto onemocn\u011bn\u00ed vz\u00e1cn\u00e9, riziko jeho v\u00fdskytu se v\u00fdrazn\u011b zvy\u0161uje v\u00a0dosp\u011blosti p\u0159edev\u0161\u00edm u osob star\u0161\u00edch 50 let.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Jak se onemocn\u011bn\u00ed projevuje?<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Podobn\u011b jako opar na rtu se i p\u00e1sov\u00fd opar nejprve projevuje\u00a0<\/b><b>p\u0159ecitliv\u011blost\u00ed na dotek a bolest\u00ed, kter\u00e1 m\u016f\u017ee b\u00fdt velmi intenzivn\u00ed.<\/b>\u00a0Posti\u017een\u00e9 m\u00edsto \u010dasto sv\u011bd\u00ed, p\u00e1l\u00ed nebo pne. Krom\u011b typick\u00fdch ko\u017en\u00edch projev\u016f lze poci\u0165ovat i dal\u0161\u00ed p\u0159\u00edznaky, jako jsou zv\u00fd\u0161en\u00e1 teplota, bolest hlavy, kloub\u016f a sval\u016f, citlivost na sv\u011btlo, \u00fanava nebo nechutenstv\u00ed.\u00a0<b>Charakteristick\u00e9 puch\u00fd\u0159ky, kter\u00e9 p\u00e1sov\u00fd opar doprov\u00e1zej\u00ed, se pln\u00ed \u010dirou tekutinou, je\u017e se \u010dasem zakal\u00ed.\u00a0<\/b>V rozvinut\u00e9m st\u00e1diu se sl\u00e9vaj\u00ed do v\u011bt\u0161\u00edch lo\u017eisek, kter\u00e1 se postupn\u011b zv\u011bt\u0161uj\u00ed a praskaj\u00ed. N\u00e1sledn\u011b se na posti\u017een\u00fdch m\u00edstech vytvo\u0159\u00ed strupy, je\u017e se pomalu odlupuj\u00ed, zat\u00edmco k\u016f\u017ee pod nimi se hoj\u00ed.\u00a0<b>Obvykle se tyto puch\u00fd\u0159ky vyskytuj\u00ed na jedn\u00e9 polovin\u011b t\u011bla, nej\u010dast\u011bji na prav\u00e9 nebo lev\u00e9 stran\u011b trupu, ale mohou zas\u00e1hnout i jin\u00e9 \u010d\u00e1sti, nap\u0159\u00edklad hrudn\u00edk, krk, ramena \u010di obli\u010dej.\u00a0<\/b>P\u0159\u00edznaky (sv\u011bd\u011bn\u00ed, vyr\u00e1\u017eka) se \u0161\u00ed\u0159\u00ed v\u00a0tzv. dermatomu\u00a0\u2013\u00a0tedy oblasti k\u016f\u017ee, kter\u00e1 je z\u00e1sobov\u00e1na nervy vych\u00e1zej\u00edc\u00edmi z konkr\u00e9tn\u00edho senzorick\u00e9ho ganglia, kde byl virus neaktivn\u00ed.\u00a0<b>Jestli\u017ee se neza\u010dne s v\u010dasnou l\u00e9\u010dbou, mohou se puch\u00fd\u0159ky d\u00e1le roz\u0161\u00ed\u0159it.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Je p\u00e1sov\u00fd opar infek\u010dn\u00ed?<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\">P\u00e1sov\u00fd opar je infek\u010dn\u00ed onemocn\u011bn\u00ed, ale jeho naka\u017elivost je ni\u017e\u0161\u00ed ne\u017e u plan\u00fdch ne\u0161tovic.\u00a0<b>K p\u0159enosu doch\u00e1z\u00ed p\u0159i p\u0159\u00edm\u00e9m kontaktu s naka\u017eenou k\u016f\u017e\u00ed, infek\u010dn\u00ed je tekutina v\u00a0puch\u00fd\u0159c\u00edch.<\/b>\u00a0Pacient s p\u00e1sov\u00fdm oparem je naka\u017eliv\u00fd od chv\u00edle, kdy se puch\u00fd\u0159ky objev\u00ed, a\u017e do jejich zaschnut\u00ed a vytvo\u0159en\u00ed stroupk\u016f.\u00a0<b>Po tuto dobu je nezbytn\u00e9 vyh\u00fdbat se kontaktu s\u00a0mal\u00fdmi d\u011btmi, t\u011bhotn\u00fdmi \u017eenami nebo osobami, kter\u00e9 neprod\u011blaly plan\u00e9 ne\u0161tovice \u010di jsou jinak celkov\u011b oslaben\u00e9. Je rovn\u011b\u017e d\u016fle\u017eit\u00e9 nesd\u00edlet ru\u010dn\u00edky a dal\u0161\u00ed osobn\u00ed hygienick\u00e9 pot\u0159eby.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Kdy nav\u0161t\u00edvit l\u00e9ka\u0159e?<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>D\u016fle\u017eit\u00e9 je nav\u0161t\u00edvit praktick\u00e9ho nebo p\u0159\u00edpadn\u011b ko\u017en\u00edho l\u00e9ka\u0159e co nejd\u0159\u00edve. Ide\u00e1ln\u00ed je za\u010d\u00edt s l\u00e9\u010dbou do dvou dn\u016f od vzniku puch\u00fd\u0159k\u016f na k\u016f\u017ei. Zcela nezbytn\u00e1 je n\u00e1v\u0161t\u011bva l\u00e9ka\u0159e, jestli\u017ee se vyr\u00e1\u017eka objev\u00ed na obli\u010deji, zejm\u00e9na v bl\u00edzkosti oka nebo v p\u0159\u00edpad\u011b t\u011bhotenstv\u00ed.\u00a0<\/b>Konzultace s l\u00e9ka\u0159em je d\u016fle\u017eit\u00e1 tak\u00e9 tehdy, pokud pacient podstupuje onkologickou \u010di jinou n\u00e1ro\u010dnou l\u00e9\u010dbu nebo trp\u00ed chronick\u00fdm onemocn\u011bn\u00edm oslabuj\u00edc\u00edm jeho imunitu. L\u00e9ka\u0159skou p\u00e9\u010di je nutn\u00e9 vyhledat i v p\u0159\u00edpad\u011b, \u017ee je vyr\u00e1\u017eka velmi bolestiv\u00e1, nehoj\u00ed se nebo se rychle zhor\u0161uje.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Jak se l\u00e9\u010d\u00ed p\u00e1sov\u00fd opar?<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Nejlep\u0161\u00ed \u00fa\u010dinek maj\u00ed antivirotika, pokud jsou pod\u00e1na do 72 hodin od vzniku prvn\u00edch p\u0159\u00edznak\u016f.\u00a0<\/b>T\u00edm se nejen zm\u00edrn\u00ed pr\u016fb\u011bh onemocn\u011bn\u00ed, ale tak\u00e9 sn\u00ed\u017e\u00ed riziko p\u0159\u00edpadn\u00fdch komplikac\u00ed, jako jsou nap\u0159\u00edklad bolesti nerv\u016f.\u00a0<b>Antivirotika jsou dostupn\u00e1 pouze na l\u00e9ka\u0159sk\u00fd p\u0159edpis.\u00a0<\/b>V\u011bt\u0161inou posta\u010duje pod\u00e1n\u00ed ve form\u011b tablet, v\u00fdjime\u010dn\u011b m\u016f\u017ee b\u00fdt nutn\u00e1 hospitalizace a pod\u00e1n\u00ed ve form\u011b infuze do \u017e\u00edly<b>.<\/b>\u00a0<b>Jako dopl\u0148kov\u00e1 l\u00e9\u010dba p\u00e1sov\u00e9ho oparu se pou\u017e\u00edvaj\u00ed masti s\u00a0antivirotiky, kter\u00e9 jsou voln\u011b dostupn\u00e9 v\u00a0l\u00e9k\u00e1rn\u00e1ch.<\/b>\u00a0Pro zm\u00edrn\u011bn\u00ed bolesti lze u\u017e\u00edvat l\u00e9ky s paracetamolem nebo ibuprofenem, v\u00a0p\u0159\u00edpad\u011b siln\u00e9 bolesti mohou b\u00fdt nutn\u00e9 i l\u00e9ky na bolest na l\u00e9ka\u0159sk\u00fd p\u0159edpis. Doporu\u010duje se tak\u00e9 u\u017e\u00edvat vy\u0161\u0161\u00ed d\u00e1vky vitam\u00edn\u016f skupiny B (B-komplex), kter\u00e9 jsou nezbytn\u00e9 pro spr\u00e1vnou funkci nervov\u00e9ho syst\u00e9mu. K o\u0161et\u0159en\u00ed puch\u00fd\u0159k\u016f je vhodn\u00e9 aplikovat nap\u0159\u00edklad mast s obsahem zinku, kter\u00e1 zm\u00edr\u0148uje sv\u011bd\u011bn\u00ed a podporuje hojen\u00ed.\u00a0<b>P\u0159i tomto onemocn\u011bn\u00ed je nutn\u00fd klidov\u00fd re\u017eim. Pokud nedojde ke komplikac\u00edm, k\u016f\u017ee se obvykle zahoj\u00ed b\u011bhem dvou a\u017e \u010dty\u0159 t\u00fddn\u016f.<\/b><\/p>\n<div>\n<p class=\"-wm-MsoNoSpacing\"><b>Mo\u017enosti prevence p\u00e1sov\u00e9ho oparu<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\">Tomuto onemocn\u011bn\u00ed nelze zcela zabr\u00e1nit, ale existuj\u00ed zp\u016fsoby, jak sn\u00ed\u017eit riziko jeho vzniku. Krom\u011b spr\u00e1vn\u00e9 hygieny, pravideln\u00e9ho myt\u00ed rukou a podpory imunitn\u00edho syst\u00e9mu je \u00fa\u010dinnou prevenc\u00ed o\u010dkov\u00e1n\u00ed.\u00a0<b>VZP p\u0159isp\u00edv\u00e1 na\u00a0<\/b><a href=\"https:\/\/www.vzp.cz\/pojistenci\/vyhody-a-prispevky\/ockovani\/dospely\" target=\"_blank\" rel=\"noopener\"><b>o\u010dkov\u00e1n\u00ed proti p\u00e1sov\u00e9mu oparu<\/b><\/a><b>\u00a0vakc\u00ednou Shingrix \u010d\u00e1stkou 3000 K\u010d.<\/b>\u00a0<b>P\u0159\u00edsp\u011bvek je v souladu s doporu\u010den\u00edm\u00a0<\/b><a href=\"https:\/\/www.vakcinace.eu\/doporuceni-a-stanoviska\/doporuceni-ceske-vakcinologicke-spolecnosti-cls-jep-pro-ockovani-proti-pasovemu-oparu-herpes-zoster\" target=\"_blank\" rel=\"noopener\"><b>\u010cesk\u00e9 vakcinologick\u00e9 spole\u010dnosti<\/b><\/a><b>\u00a0ur\u010den poji\u0161t\u011bnc\u016fm nad 50 let.<\/b>\u00a0<b>S\u00a0\u017e\u00e1dost\u00ed o\u00a0o\u010dkov\u00e1n\u00ed se\u00a0lze obr\u00e1tit na o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e nebo\u00a0<\/b><a href=\"https:\/\/ockoreport.uzis.cz\/\" target=\"_blank\" rel=\"noopener\"><b>o\u010dkovac\u00ed centrum<\/b><\/a><b>.<\/b><\/p>\n<\/div>\n<p><strong>(vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA: Jak <\/p>\n","protected":false},"author":2,"featured_media":352333,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2025\/07\/28\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352332"}],"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=352332"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352332\/revisions"}],"predecessor-version":[{"id":352334,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352332\/revisions\/352334"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/352333"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=352332"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=352332"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=352332"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}