{"id":875,"date":"2022-10-27T01:28:12","date_gmt":"2022-10-27T01:28:12","guid":{"rendered":"https:\/\/portaldiadia.com\/?p=875"},"modified":"2022-10-27T01:36:08","modified_gmt":"2022-10-27T01:36:08","slug":"ockovani-v-tehotenstvi-jak-dulezite-je","status":"publish","type":"post","link":"https:\/\/portaldiadia.com\/cs\/ockovani-v-tehotenstvi-jak-dulezite-je\/","title":{"rendered":"O\u010dkov\u00e1n\u00ed b\u011bhem t\u011bhotenstv\u00ed: jak d\u016fle\u017eit\u00e9 je?"},"content":{"rendered":"<p>A <strong>o\u010dkov\u00e1n\u00ed v t\u011bhotenstv\u00ed <\/strong>Je nezbytn\u00e9 vyhnout se mnoha nemocem. Proto je nezbytn\u00e9 v\u011bnovat pozornost v\u0161em uveden\u00fdm obdob\u00edm.<\/p>\n<p>Pokud se chcete dozv\u011bd\u011bt v\u00edce o <strong>o\u010dkov\u00e1n\u00ed v t\u011bhotenstv\u00ed, <\/strong>pokra\u010dujte ve \u010dten\u00ed tohoto \u010dl\u00e1nku.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-876 aligncenter\" src=\"http:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/Vacinacao-na-gravidez.jpg\" alt=\"\" width=\"539\" height=\"379\" srcset=\"https:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/Vacinacao-na-gravidez.jpg 539w, https:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/Vacinacao-na-gravidez-300x211.jpg 300w\" sizes=\"auto, (max-width: 539px) 100vw, 539px\" \/><\/p>\n<h2>Pro\u010d se nechat o\u010dkovat v t\u011bhotenstv\u00ed?<\/h2>\n<h3>Vyhn\u011bte se nemocem b\u011bhem t\u011bhotenstv\u00ed<\/h3>\n<p>To je p\u0159\u00edpad ch\u0159ipky. Ch\u0159ipka toti\u017e m\u016f\u017ee v t\u011bhotenstv\u00ed zp\u016fsobit v\u00e1\u017en\u00e9 komplikace, a to jak matce, tak i plodu, kter\u00e9mu hroz\u00ed p\u0159ed\u010dasn\u00e9 nebo mrtv\u00e9 narozen\u00ed.<\/p>\n<p>Vakc\u00edna proti ch\u0159ipce m\u00e1 v\u0161ak kr\u00e1tk\u00e9 trv\u00e1n\u00ed \u00fa\u010dinku. Pokud je \u017eena o\u010dkov\u00e1na p\u0159ed ot\u011bhotn\u011bn\u00edm s v\u011bdom\u00edm, \u017ee nen\u00ed v\u017edy mo\u017en\u00e9 p\u0159edpov\u011bd\u011bt dobu po\u010det\u00ed, je velmi pravd\u011bpodobn\u00e9, \u017ee budeme m\u00edt opo\u017ed\u011bnou ch\u0159ipkovou sez\u00f3nu.<\/p>\n<p>Proto, aby byly t\u011bhotn\u00e9 \u017eeny chr\u00e1n\u011bny p\u0159ed mo\u017en\u00fdmi komplikacemi, mus\u00ed b\u00fdt v t\u011bhotenstv\u00ed o\u010dkov\u00e1ny. Odhaduje se, \u017ee \u017eeny maj\u00ed st\u00e1le zv\u00fd\u0161en\u00e9 riziko komplikac\u00ed v prvn\u00edch dvou t\u00fddnech po porodu.<\/p>\n<h3>P\u0159edch\u00e1zet nemocem u kojenc\u016f<\/h3>\n<p>To je p\u0159\u00edpad \u010dern\u00e9ho ka\u0161le a ch\u0159ipky. Ve skute\u010dnosti i p\u0159es zaveden\u00ed o\u010dkov\u00e1n\u00ed v 50. letech 20. stolet\u00ed \u010dern\u00fd ka\u0161el mezi populac\u00ed nad\u00e1le cirkuluje, p\u0159i\u010dem\u017e v\u00fdskyt v mnoha zem\u00edch st\u00e1le nar\u016fst\u00e1.<\/p>\n<p>Zd\u00e1 se, \u017ee je to zp\u016fsobeno mimo jin\u00e9 sn\u00ed\u017eenou \u00fa\u010dinnost\u00ed acelul\u00e1rn\u00ed vakc\u00edny proti p\u0159enosu bakteri\u00ed a tak\u00e9 ni\u017e\u0161\u00ed \u00fa\u010dinnost\u00ed proti onemocn\u011bn\u00ed ve srovn\u00e1n\u00ed s bun\u011b\u010dnou vakc\u00ednou.<\/p>\n<p>\u010cern\u00fd ka\u0161el je v\u0161ak zvl\u00e1\u0161t\u011b nebezpe\u010dn\u00fd pro d\u011bti do 6 m\u011bs\u00edc\u016f v\u011bku, zp\u016fsobuje apnoe, kardiorespira\u010dn\u00ed selh\u00e1n\u00ed a smrt.<\/p>\n<p>V posledn\u00edch letech je ve \u0160v\u00fdcarsku ro\u010dn\u011b hospitalizov\u00e1no kolem t\u0159iceti d\u011bt\u00ed, z nich\u017e \u010dtvrtina je na jednotce intenzivn\u00ed p\u00e9\u010de a pr\u016fm\u011brn\u011b ka\u017ed\u00e9 t\u0159i roky zem\u0159e.<\/p>\n<p>Pasivn\u00ed imunizace nitrod\u011blo\u017en\u00edm p\u0159enosem protil\u00e1tek od matky chr\u00e1n\u00ed kojence p\u0159ed prim\u00e1rn\u00ed vakcinac\u00ed ve v\u011bku 2 m\u011bs\u00edc\u016f.<\/p>\n<p>S v\u011bdom\u00edm, \u017ee hladiny protil\u00e1tek po o\u010dkov\u00e1n\u00ed rychle klesaj\u00ed, je nejlep\u0161\u00edm zp\u016fsobem, jak tyto hladiny optimalizovat <strong>o\u010dkov\u00e1n\u00ed v t\u011bhotenstv\u00ed<\/strong>. Ve stejn\u00e9 logice p\u0159edch\u00e1z\u00ed o\u010dkov\u00e1n\u00ed matky proti ch\u0159ipce v\u00e1\u017en\u00fdm komplikac\u00edm u novorozence.<\/p>\n<h2>Zjist\u011bte v\u00edce o o\u010dkov\u00e1n\u00ed b\u011bhem t\u011bhotenstv\u00ed<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-878 aligncenter\" src=\"http:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/vacina.jpg\" alt=\"\" width=\"425\" height=\"283\" srcset=\"https:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/vacina.jpg 425w, https:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/vacina-300x200.jpg 300w\" sizes=\"auto, (max-width: 425px) 100vw, 425px\" \/><\/p>\n<p>Vakc\u00edny hraj\u00ed d\u016fle\u017eitou roli p\u0159i ochran\u011b zdrav\u00ed \u017een a jejich d\u011bt\u00ed p\u0159ed a b\u011bhem t\u011bhotenstv\u00ed a po porodu.<\/p>\n<h3>Doporu\u010den\u00e9 o\u010dkov\u00e1n\u00ed p\u0159ed porodem<\/h3>\n<p>U \u017een ve fertiln\u00edm v\u011bku a zejm\u00e9na u \u017een p\u0159ed ot\u011bhotn\u011bn\u00edm se doporu\u010duje poradit se, jak\u00e9 vakc\u00edny se obecn\u011b doporu\u010duj\u00ed v\u0161em dosp\u011bl\u00fdm, a zvl\u00e1\u0161t\u011b t\u011bhotn\u00fdm \u017een\u00e1m.<\/p>\n<ul>\n<li>Vakc\u00edny proti spalni\u010dk\u00e1m, p\u0159\u00edu\u0161nic\u00edm, zard\u011bnk\u00e1m a plan\u00fdm ne\u0161tovic\u00edm.<\/li>\n<\/ul>\n<p>\u017den\u011b, kter\u00e1 pl\u00e1nuje ot\u011bhotn\u011bt, se doporu\u010duje zkontrolovat, zda je o\u010dkov\u00e1na proti spalni\u010dk\u00e1m, p\u0159\u00edu\u0161nic\u00edm, zard\u011bnk\u00e1m a plan\u00fdm ne\u0161tovic\u00edm.<\/p>\n<p>Vakc\u00edny proti t\u011bmto nemocem jsou \u017eiv\u00e9, oslaben\u00e9 vakc\u00edny a b\u011bhem t\u011bhotenstv\u00ed se nepod\u00e1vaj\u00ed, a to ani \u017een\u00e1m, kter\u00e9 nejsou proti stejn\u00fdm nemocem o\u010dkov\u00e1ny.<\/p>\n<p><em>Pro\u010d se doporu\u010duje o\u010dkov\u00e1n\u00ed?<\/em><\/p>\n<p>Existuj\u00ed rizika pro zdrav\u00ed \u017een a plodu, pokud je \u017eena b\u011bhem t\u011bhotenstv\u00ed infikov\u00e1na t\u011bmito nemocemi:<\/p>\n<ul>\n<li>Spalni\u010dky \u2013 \u017eena, kter\u00e1 m\u00e1 spalni\u010dky b\u011bhem t\u011bhotenstv\u00ed, m\u00e1 vysok\u00e9 riziko p\u0159ed\u010dasn\u00e9ho porodu a potratu.<\/li>\n<li>P\u0159\u00edu\u0161nice \u2013 \u017eena s p\u0159\u00edu\u0161nicemi v prvn\u00edm trimestru t\u011bhotenstv\u00ed m\u00e1 vysok\u00e9 riziko mrtv\u00e9ho porodu.<\/li>\n<li>Zard\u011bnky \u2013 \u017eena, kter\u00e1 m\u00e1 zard\u011bnky b\u011bhem t\u011bhotenstv\u00ed, pravd\u011bpodobn\u011b zp\u016fsob\u00ed ztr\u00e1tu plodu. Krom\u011b toho existuje vysok\u00e9 riziko, \u017ee nov\u00fd bude m\u00edt v\u00e1\u017en\u00e9 deformity, v\u010detn\u011b deformac\u00ed srdce, o\u010d\u00ed a mozku.<\/li>\n<li>Plan\u00e9 ne\u0161tovice \u2013 \u017eena s plan\u00fdmi ne\u0161tovicemi v t\u011bhotenstv\u00ed je vystavena vysok\u00e9mu riziku z\u00e1va\u017en\u00fdch onemocn\u011bn\u00ed a komplikac\u00ed, jako je z\u00e1pal plic. D\u00e1le hroz\u00ed, \u017ee se novorozenec narod\u00ed s deformacemi.<\/li>\n<\/ul>\n<p>Pro o\u010dkov\u00e1n\u00ed proti spalni\u010dk\u00e1m, p\u0159\u00edu\u0161nic\u00edm, zard\u011bnk\u00e1m a plan\u00fdm ne\u0161tovic\u00edm je nutn\u00e9 aplikovat dv\u011b d\u00e1vky vakc\u00edn proti t\u011bmto onemocn\u011bn\u00edm v intervalu minim\u00e1ln\u011b jednoho m\u011bs\u00edce nebo m\u00edt potvrzen\u00ed o kontaminaci onemocn\u011bn\u00edm (rozborem krve).<\/p>\n<p>Doporu\u010duje se, aby t\u011bhotn\u00e1 \u017eena, kter\u00e1 nen\u00ed o\u010dkov\u00e1na proti t\u011bmto nemocem a vystavena osob\u011b s n\u011bkterou z nemoc\u00ed nebo p\u00e1sov\u00fdm oparem.<\/p>\n<ul>\n<li>Vakc\u00edna proti papilomaviru<\/li>\n<\/ul>\n<p>V r\u00e1mci doporu\u010den\u00e9 b\u011b\u017en\u00e9 imunizace pro \u017eeny ve fertiln\u00edm v\u011bku se doporu\u010duje o\u010dkovat \u017eeny ve v\u011bku 9 a\u017e 26 let proti lidsk\u00e9mu papilomaviru.<\/p>\n<p>Vakc\u00edna se v t\u011bhotenstv\u00ed nedoporu\u010duje.<\/p>\n<p>Vzhledem k tomu, \u017ee vakc\u00edna proti papilomaviru je \u017eiv\u00e1 atenuovan\u00e1 vakc\u00edna, nelze ji aplikovat t\u011bhotn\u00fdm \u017een\u00e1m. Proto se doporu\u010duje, aby \u017eeny, kter\u00e9 nedostaly vakc\u00ednu, dostaly vakc\u00ednu p\u0159ed ot\u011bhotn\u011bn\u00edm.<\/p>\n<p><em>Pro\u010d se doporu\u010duje o\u010dkov\u00e1n\u00ed?<\/em><\/p>\n<p>O\u010dkov\u00e1n\u00ed proti papilomaviru zabra\u0148uje v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f rakoviny d\u011blo\u017en\u00edho \u010d\u00edpku a v\u00fdznamn\u00e9 \u010d\u00e1sti p\u0159\u00edpad\u016f rakoviny vulvy, pochvy, \u0159itn\u00edho otvoru, \u00fast a hltanu. Vakc\u00edna tak\u00e9 zabra\u0148uje vzniku bradavic na genit\u00e1li\u00edch.<\/p>\n<h3>Doporu\u010den\u00e9 vakc\u00edny b\u011bhem t\u011bhotenstv\u00ed<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-880 aligncenter\" src=\"http:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/vacinacao.jpg\" alt=\"\" width=\"425\" height=\"283\" srcset=\"https:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/vacinacao.jpg 425w, https:\/\/portaldiadia.com\/wp-content\/uploads\/2022\/10\/vacinacao-300x200.jpg 300w\" sizes=\"auto, (max-width: 425px) 100vw, 425px\" \/><\/p>\n<p>Je povoleno, dokonce doporu\u010deno, o\u010dkovat \u017eeny b\u011bhem t\u011bhotenstv\u00ed n\u011bkter\u00fdmi ne\u017eiv\u00fdmi vakc\u00ednami.<\/p>\n<ul>\n<li>Vakc\u00edna proti ch\u0159ipce<\/li>\n<\/ul>\n<p>Doporu\u010duje se, aby v\u0161echny t\u011bhotn\u00e9 \u017eeny s ka\u017ed\u00fdm t\u011bhotenstv\u00edm dostaly vakc\u00ednu proti ch\u0159ipce.<\/p>\n<p><em>Pro\u010d se doporu\u010duje o\u010dkov\u00e1n\u00ed? <\/em><\/p>\n<p>T\u011bhotn\u00e9 \u017eeny jsou ve skupin\u00e1ch ohro\u017een\u00fdch v\u00e1\u017en\u00fdm onemocn\u011bn\u00edm ch\u0159ipkou a komplikacemi. Proto je velmi d\u016fle\u017eit\u00e9, aby byla t\u011bhotn\u00e1 \u017eena o\u010dkov\u00e1na proti ch\u0159ipce.<\/p>\n<p>T\u011bhotn\u00e1 \u017eena o\u010dkovan\u00e1 proti ch\u0159ipce v t\u011bhotenstv\u00ed neo\u010dkuje jen sebe, ale i plod.<\/p>\n<p>D\u011bti, jejich\u017e matky byly o\u010dkov\u00e1ny v dob\u011b t\u011bhotenstv\u00ed, jsou m\u00e9n\u011b nemocn\u00e9 d\u00fdchac\u00edmi cestami obecn\u011b a ch\u0159ipkou zvl\u00e1\u0161t\u011b, s men\u0161\u00edm po\u010dtem hospitalizac\u00ed.<\/p>\n<p>Studie ukazuj\u00ed, \u017ee vakc\u00edna proti ch\u0159ipce pod\u00e1van\u00e1 t\u011bhotn\u00fdm \u017een\u00e1m sni\u017euje m\u00edru ch\u0159ipkov\u00e9ho onemocn\u011bn\u00ed u d\u011bt\u00ed do 6 m\u011bs\u00edc\u016f v\u011bku o 63%.<\/p>\n<ul>\n<li>Vakc\u00edna proti \u010dern\u00e9mu ka\u0161li<\/li>\n<\/ul>\n<p>Doporu\u010duje se, aby ka\u017ed\u00e1 t\u011bhotn\u00e1 \u017eena p\u0159i ka\u017ed\u00e9m t\u011bhotenstv\u00ed dostala vakc\u00ednu proti \u010dern\u00e9mu ka\u0161li, nejl\u00e9pe mezi 27. a 36. t\u00fddnem t\u011bhotenstv\u00ed.<\/p>\n<p><em>Pro\u010d se doporu\u010duje o\u010dkov\u00e1n\u00ed?<\/em><\/p>\n<p>\u010cern\u00fd ka\u0161el je nebezpe\u010dn\u00fd pro novorozence a d\u011bti kv\u016fli z\u00e1va\u017en\u00fdm komplikac\u00edm z\u00e1palu plic a meningitidy, kter\u00e9 m\u016f\u017ee toto onemocn\u011bn\u00ed zp\u016fsobit.<\/p>\n<p>Novorozence nelze proti pertusi o\u010dkovat do dvou m\u011bs\u00edc\u016f v\u011bku a do z\u00edsk\u00e1n\u00ed n\u011bkolika d\u00e1vek vakc\u00edny nem\u00e1 dobrou ochranu proti onemocn\u011bn\u00ed.<\/p>\n<p>O\u010dkov\u00e1n\u00ed t\u011bhotn\u00e9 \u017eeny chr\u00e1n\u00ed d\u00edt\u011b dv\u011bma zp\u016fsoby:<\/p>\n<p>P\u0159en\u00e1\u0161en\u00edm protil\u00e1tek proti \u010dern\u00e9mu ka\u0161li p\u0159es placentu k plodu, aby byl po porodu chr\u00e1n\u011bn p\u0159ed nemocemi.<\/p>\n<p>Ochrana matky, aby neonemocn\u011bla a nep\u0159enesla nemoc na miminko.<\/p>","protected":false},"excerpt":{"rendered":"<p>O\u010dkov\u00e1n\u00ed b\u011bhem t\u011bhotenstv\u00ed je nezbytn\u00e9 pro prevenci mnoha onemocn\u011bn\u00ed. Proto je nezbytn\u00e9 v\u011bnovat pozornost v\u0161em uveden\u00fdm obdob\u00edm. Pokud se chcete o o\u010dkov\u00e1n\u00ed v t\u011bhotenstv\u00ed dozv\u011bd\u011bt v\u00edce, pokra\u010dujte ve \u010dten\u00ed tohoto \u010dl\u00e1nku. Pro\u010d se nechat o\u010dkovat v t\u011bhotenstv\u00ed? Vyhn\u011bte se nemocem v t\u011bhotenstv\u00ed To je p\u0159\u00edpad ch\u0159ipky. Ve skute\u010dnosti, [\u2026]<\/p>","protected":false},"author":1,"featured_media":880,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[66],"tags":[],"class_list":{"0":"post-875","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-familia"},"_links":{"self":[{"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/posts\/875","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/comments?post=875"}],"version-history":[{"count":0,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/posts\/875\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/media\/880"}],"wp:attachment":[{"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/media?parent=875"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/categories?post=875"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/tags?post=875"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}