    
{"id":37997,"date":"2020-05-25T16:16:03","date_gmt":"2020-05-25T14:16:03","guid":{"rendered":"https:\/\/www.praha7.cz\/?p=37997"},"modified":"2020-05-27T13:39:23","modified_gmt":"2020-05-27T11:39:23","slug":"doba-postkoronavirova-ocima-lekarek","status":"publish","type":"post","link":"https:\/\/www.praha7.cz\/doba-postkoronavirova-ocima-lekarek\/","title":{"rendered":"Doba \u201epostkoronavirov\u00e1\u201c o\u010dima l\u00e9ka\u0159ek"},"content":{"rendered":"<p>[perex]<\/p>\r\n<p>V\u00a0kv\u011btnu skon\u010dil nouzov\u00fd stav a\u00a0na prvn\u00ed pohled se m\u016f\u017ee zd\u00e1t, \u017ee boj s\u00a0koronavirem jsme vyhr\u00e1li. Jak obdob\u00ed pandemie pro\u017e\u00edvali prakti\u010dt\u00ed l\u00e9ka\u0159i, jak vid\u00ed sou\u010dasnou situaci a\u00a0jak\u00e1 jsou jejich doporu\u010den\u00ed do p\u0159\u00ed\u0161t\u00edch m\u011bs\u00edc\u016f? V\u00a0p\u016flce kv\u011btna jsme se zeptali dvou l\u00e9ka\u0159ek ze Sedmi\u010dky MUDr. Martiny Wiererov\u00e9 (MW) a&nbsp;MUDr. Hany Skalov\u00e9 (HS).<\/p>\r\n<p>[\/perex]<br \/>\r\n\u00a0<br \/>\r\n<strong>Co podle v\u00e1s stoj\u00ed za relativn\u00edm \u00fasp\u011bchem \u010desk\u00e9 spole\u010dnosti v\u00a0koronavirov\u00e9 krizi?<br \/>\r\nMW:<\/strong>\u00a0Se slovem \u00fasp\u011bch bych byla rad\u011bji opatrn\u00e1.\u00a0Ano, zd\u00e1 se, \u017ee\u00a0prvn\u00ed vlna pandemie\u00a0je za bodem zlomu, ale zat\u00edm nev\u00edme p\u0159esn\u011b, co bude d\u00e1l. Jak z\u00a0epidemiologick\u00e9ho hlediska, tak z\u00a0toho\u00a0ekonomick\u00e9ho. To a\u017e tak \u00fasp\u011b\u0161n\u00e9 nejsp\u00ed\u0161 nebude. Ale pokud mluv\u00edme o\u00a0tom, pro\u010d se u\u00a0n\u00e1s situace nevyv\u00edjela tak dramaticky jako v\u00a0It\u00e1lii, \u0160pan\u011blsku \u010di v\u00a0Rusku, tak na tom se jist\u011b pod\u00edlelo n\u011bkolik faktor\u016f: m\u011bli jsme alespo\u0148 trochu\u00a0\u010dasu se pou\u010dit a\u00a0p\u0159ipravit, ne\u017e se u\u00a0n\u00e1s objevili prvn\u00ed naka\u017een\u00ed, vcelku bez zav\u00e1h\u00e1n\u00ed byla p\u0159ijata razantn\u00ed opat\u0159en\u00ed, kter\u00e1 lid\u00e9 respektovali. To bylo dobr\u00e9. Diskutuje se t\u00e9\u017e o\u00a0geografick\u00fdch a\u00a0klimatick\u00fdch faktorech, genetick\u00e9 predispozici, ale to zat\u00edm nev\u00edme p\u0159esn\u011b. Jist\u00e9 je, \u017ee na\u0161e spole\u010dnost se v\u00a0t\u011b\u017ek\u00e9 dob\u011b um\u00ed semknout a\u00a0vyrazit vst\u0159\u00edc spole\u010dn\u00e9mu nep\u0159\u00edteli. To bylo povzbudiv\u00e9. K\u00e9\u017e by n\u00e1m to vydr\u017eelo.<br \/>\r\n<strong><\/strong><\/p>\r\n<p><strong>HS:<\/strong>\u00a0Ano, zdravotn\u011b jsme na tom l\u00e9pe, ale ekonomicky n\u00e1s to kv\u016fli nevhodn\u00e9 vl\u00e1dn\u00ed politice asi zas\u00e1hne mnohem v\u00edc ne\u017e okoln\u00ed zem\u011b. Jsem ov\u0161em vd\u011b\u010dn\u00e1, m\u011bli jsme \u0161t\u011bst\u00ed, \u017ee n\u00e1s tolik nezas\u00e1hlo to velk\u00e9 zdravotn\u00ed utrpen\u00ed, kter\u00e9 vid\u00edme v\u00a0jin\u00fdch zem\u00edch. Ani nev\u00edme, pro\u010d p\u0159esn\u011b, to budou zkoumat cel\u00e9 t\u00fdmy dlouh\u00e9 roky. Pr\u016fb\u011bh se li\u0161\u00ed nap\u0159. i\u00a0v\u00a0r\u00e1mci N\u011bmecka, v\u00a0b\u00fdval\u00e9 NDR je epidemie m\u00edrn\u011bj\u0161\u00ed. Krom\u011b faktor\u016f zm\u00edn\u011bn\u00fdch kolegyn\u00ed m\u016f\u017ee m\u00edt tedy vliv i\u00a0plo\u0161n\u00e9 o\u010dkov\u00e1n\u00ed proti TBC a\u00a0jin\u00e1 mentalita. My jsme se zd\u00e1li b\u00fdt takov\u00ed \u201eteflonov\u00ed\u201c, ne tak citliv\u00ed v\u016f\u010di infekci. Zku\u0161enost stalet\u00ed i\u00a0\u010cernobyl a\u00a0povodn\u011b do n\u00e1s vepsaly opatrnost, ned\u016fv\u011bru k\u00a0\u201et\u011bm naho\u0159e\u201c, samostatn\u00fd \u00fasudek, tak\u017ee v\u0161ichni rychle vyt\u00e1hli ze sklep\u016f \u0161ic\u00ed stroje a\u00a0rad\u011bji z\u016fstali doma.<\/p>\r\n<p><strong>Jak jste cel\u00fd nouzov\u00fd stav pro\u017e\u00edvaly profesn\u011b coby praktick\u00e9 l\u00e9ka\u0159ky?<\/strong><br \/>\r\n<strong>MW:<\/strong>\u00a0Cel\u00e1 situace se rychle vyv\u00edjela,\u00a0m\u011bnila se doporu\u010den\u00ed a\u00a0na\u0159\u00edzen\u00ed. Ne\u017e za\u010dalo platit jedno, bylo na sv\u011bt\u011b druh\u00e9. Bylo trochu t\u011b\u017ek\u00e9 st\u00edhat to v\u0161echno sledovat.\u00a0A\u00a0zprvu byla\u00a0n\u00e1ro\u010dn\u00e1\u00a0i\u00a0ta nejistota a\u00a0obavy v\u0161ech, jak se cel\u00e1 situace bude vyv\u00edjet. Ordinace n\u00e1m ale fungovala vcelku hladce. Na\u0161i pacienti velmi spo\u0159\u00e1dan\u011b nejd\u0159\u00edve telefonovali nebo psali maily, tak\u017ee se n\u00e1m ordinace zm\u011bnila na telefonn\u00ed \u00fast\u0159ednu.\u00a0I\u00a0d\u0159\u00edve narozen\u00ed ochotn\u011b p\u0159ij\u00edmali e-recepty\u00a0a\u00a0\u017e\u00e1danky smskou \u010di mailem a\u00a0je\u0161t\u011b z\u00a0toho m\u011bli radost. Mysl\u00edm, \u017ee co se t\u00fd\u010de technologi\u00ed, ud\u011blala cel\u00e1 na\u0161e spole\u010dnost velk\u00fd krok vp\u0159ed. To je ur\u010dit\u011b jedno z\u00a0pozitiv.\u00a0Jinak v\u00a0ordinaci jsme se rozd\u011blili\u00a0na t\u00fdmy tak, abychom se v\u0161ichni najednou neuvedli\u00a0do karant\u00e9ny, pokud by se n\u011bkdo z\u00a0n\u00e1s nakazil.\u00a0Z\u00e1rove\u0148 jsme t\u00edm \u0161et\u0159ili ochrann\u00e9 pom\u016fcky. Jejich nedostatek byl zprvu opravdu tristn\u00ed. V\u00a0prvn\u00edm t\u00fddnu jsme m\u011bli pro\u00a0\u0161est zam\u011bstnanc\u016f\u00a0dva \u0161t\u00edty a\u00a0p\u011bt rou\u0161ek, co m\u011bly b\u00fdt snad respir\u00e1tory s\u00a0\u00fa\u010dinnost\u00ed\u00a0n\u011bkolik hodin&#8230; Skv\u011ble ale fungovalo Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f v\u00a0\u010dele s\u00a0doktorem \u0160onkou, kter\u00e9 n\u00e1s promptn\u011b informovalo o\u00a0chystan\u00fdch kroc\u00edch, vyjedn\u00e1valo s\u00a0ministerstvem a\u00a0byla zn\u00e1t velk\u00e1 podpora. Rovn\u011b\u017e jsem vn\u00edmala velkou podporu od obou m\u011bstsk\u00fdch \u010d\u00e1st\u00ed Prahy&nbsp;7\u00a0(pro na\u0161i trojskou ordinaci i\u00a0od M\u010c Troja). Velmi rychle jsme\u00a0m\u011bli mo\u017enost z\u00edskat \u0161it\u00e9 rou\u0161ky, dezinfekci, \u0161t\u00edty (a\u00a0to nejen od firmy Pr\u016f\u0161a Research, ale i\u00a0z\u00a0chemick\u00fdch kabinet\u016f r\u016fzn\u00fdch z\u00e1kladn\u00edch \u0161kol). Do pomoci se opravdu zapojil kdekdo. Z\u00a0psychologick\u00e9ho hlediska to bylo d\u016fle\u017eit\u00e9. J\u00e1 jsem se tedy c\u00edtila\u00a0bezpe\u010dn\u011b\u00a0i\u00a0s\u00a0mal\u00fdm mno\u017estv\u00edm ochrann\u00fdch prost\u0159edk\u016f. R\u00e1da bych na tomto\u00a0m\u00edst\u011b za n\u00e1s zdravotn\u00edky\u00a0i\u00a0za pacienty ob\u011bma m\u011bstsk\u00fdm \u010d\u00e1stem velmi pod\u011bkovala.<\/p>\r\n<p><strong>HS:\u00a0<\/strong>Ordinaci m\u00e1me v\u00a0dom\u011b s\u00a0pe\u010dovatelskou slu\u017ebou, tak\u017ee jsme byli hodn\u011b opatrn\u00ed. Kdy\u017e se objevil virus v\u00a0It\u00e1lii, tak jsme si na posledn\u00ed chv\u00edli objednali 30 respir\u00e1tor\u016f FFP3. Jinak jsme ale za\u017e\u00edvali frustraci z\u00a0neschopnosti vl\u00e1dy zajistit ochrann\u00e9 pom\u016fcky pro zdravotnick\u00e9 a\u00a0soci\u00e1ln\u00ed slu\u017eby. Nakonec alespo\u0148 ministr Ham\u00e1\u010dek pom\u016fcky zajistit dok\u00e1zal a\u00a0p\u0159ist\u00e1n\u00ed prvn\u00edho letadla 18.&nbsp;3.&nbsp;mi a\u017e vehnalo slzy do o\u010d\u00ed. A\u00a0pak n\u00e1sledovaly t\u00fddny, kdy jsem vlastn\u011b st\u00e1le obdivovala: na\u0161e pacienty a\u00a0firmy za jejich rozumn\u00fd p\u0159\u00edstup, m\u011bstskou \u010d\u00e1st za v\u00a0r\u00e1mci \u010cR nadpr\u016fm\u011brnou pomoc n\u00e1m zdravotn\u00edk\u016fm, pak tak\u00e9 dobrovoln\u00edky \u2013 ti byli skv\u011bl\u00ed a\u00a0hodn\u011b pomohli lidem v\u00a0nouzi. V\u00fdborn\u011b n\u00e1m fungovala komunikace mezi l\u00e9ka\u0159i, kter\u00e1 byla velmi d\u016fle\u017eit\u00e1 v\u00a0\u010dase nep\u0159\u00ednosn\u00fdch informac\u00ed od vl\u00e1dy. Tak\u00e9 byli d\u00e1rci a\u00a0pomocn\u00edci, bylo to a\u017e dojemn\u00e9, c\u00edtila jsem velkou oporu v\u00a0komunit\u011b. A\u00a0velk\u00fd kus pr\u00e1ce pro ochranu senior\u016f odvedlo veden\u00ed a\u00a0zam\u011bstnanci m\u011bstsk\u00e9 \u010d\u00e1sti\u00a0a\u00a0Pe\u010dovatelsk\u00e9ho centra Praha&nbsp;7. Zdravotn\u00ed p\u00e9\u010di jsme \u0159e\u0161ili hlavn\u011b p\u0159es telefon a\u00a0email, denn\u011b jsme m\u011bli 50\u201355 pacient\u016f, z\u00a0toho 2\u20135 osobn\u011b. Jinak pacienty tr\u00e1pil v\u00a0r\u016fzn\u00e9 m\u00ed\u0159e strach, to mysl\u00edm, \u017ee je velk\u00e1 v\u00fdzva do budoucna. Naj\u00edt si pro sebe opravdovou \u00fat\u011bchu, abychom nemuseli sahat po berli\u010dk\u00e1ch.<\/p>\r\n<p><strong>Kolik va\u0161ich pacient\u016f podstoupilo test a\u00a0kolik z\u00a0nich bylo pozitivn\u00edch?<br \/>\r\nMW:<\/strong>\u00a0Od za\u010d\u00e1tku epidemie jsme na test PCR do n\u011bkter\u00e9ho z\u00a0odb\u011brov\u00fdch stan\u016f odeslali kolem \u0161edes\u00e1ti pacient\u016f. Pozitivn\u011b testovan\u00fdch bylo p\u011bt pacient\u016f, z\u00a0toho dva man\u017eel\u00e9 s\u00a0t\u011b\u017ek\u00fdm pr\u016fb\u011bhem a\u00a0nutnost\u00ed plicn\u00ed ventilace. V\u0161ichni u\u017e jsou ale na\u0161t\u011bst\u00ed zdr\u00e1vi doma.<\/p>\r\n<p><strong>HS:<\/strong>\u00a0Indikovali jsme 151 test\u016f metodou PCR (v\u00fdt\u011brem z\u00a0nosu a\u00a0krku), z\u00a0nich byli pouze dva lid\u00e9 pozitivn\u011b testovan\u00ed a\u00a0oba m\u011bli na\u0161t\u011bst\u00ed lehk\u00fd pr\u016fb\u011bh onemocn\u011bn\u00ed.<\/p>\r\n<p><strong>Opravdu plat\u00ed, \u017ee jsme z\u00a0nejhor\u0161\u00edho venku a\u00a0m\u016f\u017eeme se vr\u00e1tit do zajet\u00fdch kolej\u00ed?<br \/>\r\nMW:<\/strong>\u00a0Ano, to by bylo dobr\u00e9. Kdybychom se pou\u010dili a\u00a0vr\u00e1tili se do kolej\u00ed. Ide\u00e1ln\u011b ale do takov\u00fdch kolej\u00ed,\u00a0kter\u00fdmi vyjedeme\u00a0z\u00a0toho\u00a0zajet\u00e9ho&#8230; Kdyby n\u00e1m z\u016fstala pokora z\u00a0doby nouze, \u010das na to, abychom se rozhodli, co je skute\u010dn\u011b d\u016fle\u017eit\u00e9 ud\u011blat, a\u00a0co naopak d\u011blat nepot\u0159ebujeme. \u017de nemus\u00edme m\u00edt v\u0161echno hned\u00a0a\u00a0\u017ee by bylo\u00a0dobr\u00e9 ob\u010das p\u0159ibrzdit a\u00a0zkusit \u017e\u00edt\u00a0jednodu\u0161\u0161\u00ed \u017eivot bez sp\u011bch\u00e1n\u00ed a\u00a0v\u011b\u010dn\u00e9ho p\u0159ej\u00ed\u017ed\u011bn\u00ed sem a\u00a0tam.\u00a0Ze zdravotn\u00edho hlediska by bylo dob\u0159e, aby lid\u00e9 op\u011bt za\u010dali myslet\u00a0na preventivn\u00ed\u00a0prohl\u00eddky\u00a0 a\u00a0pravideln\u00e9 kontroly. A\u00a0hlavn\u011b se na n\u011b objedn\u00e1vali.\u00a0Kam zmizeli v\u0161ichni pacienti s\u00a0bolestmi zad, bolestmi na hrudi, lupnut\u00edm v\u00a0boku a\u00a0p\u00edsknut\u00edm\u00a0v\u00a0uchu?\u00a0Zmizely jim obt\u00ed\u017ee? Nebo se lid\u00e9 boj\u00ed, aby se v\u00a0ordinaci \u010di \u010dek\u00e1rn\u011b nenakazili? Jen pro rozpt\u00fdlen\u00ed p\u0159\u00edpadn\u00fdch obav:\u00a0mysl\u00edm, \u017ee ordinace jsou te\u010f sp\u00ed\u0161e ta bezpe\u010dn\u011bj\u0161\u00ed m\u00edsta, dezinfikovan\u00e1 a\u00a0s\u00a0ochrann\u00fdmi pom\u016fckami. Hromad\u011bn\u00ed pacient\u016f v\u00a0\u010dek\u00e1rn\u00e1ch se sna\u017e\u00edme zabr\u00e1nit objedn\u00e1v\u00e1n\u00edm na p\u0159esn\u00fd \u010das. S\u00a0ohledem na prevenci a\u00a0vy\u0161et\u0159ov\u00e1n\u00ed obt\u00ed\u017e\u00ed bychom se do zajet\u00fdch kolej\u00ed vr\u00e1tit ur\u010dit\u011b m\u011bli, a\u00a0to co nejrychleji.<\/p>\r\n<p><strong>HS:\u00a0<\/strong>Naprosto souhlas\u00edm s\u00a0kolegyn\u00ed. A\u00a0tak\u00e9 je d\u016fle\u017eit\u00e9 nezanedbat akutn\u00ed stavy, nap\u0159\u00edklad kolegov\u00e9 z\u00a0iktov\u00fdch center hl\u00e1s\u00ed, \u017ee lid\u00e9 p\u0159ij\u00ed\u017ed\u011bj\u00ed s\u00a0p\u0159\u00edznaky mozkov\u00e9 p\u0159\u00edhody a\u017e t\u0159eba t\u0159et\u00ed den, a\u00a0to u\u017e je hodn\u011b pozd\u011b.\u00a0Vl\u00e1da nechce poskytovat p\u0159esn\u011bj\u0161\u00ed data o\u00a0pr\u016fb\u011bhu epidemie (nap\u0159. kde p\u0159esn\u011b je vy\u0161\u0161\u00ed v\u00fdskyt pozitivn\u011b testovan\u00fdch, p\u0159esn\u011bj\u0161\u00ed medic\u00ednsk\u00e1 data o\u00a0nemocn\u00fdch s\u00a0t\u011b\u017e\u0161\u00edm pr\u016fb\u011bhem v\u00a0mlad\u0161\u00edm v\u011bku atd.), nask\u00fdt\u00e1 se pak ot\u00e1zka pro\u010d. Bylo snad plo\u0161n\u00e9 zav\u00edr\u00e1n\u00ed obchod\u016f neopodstatn\u011bn\u00e9? A\u00a0n\u00e1sledn\u00e9 ekonomick\u00e9 \u0161kody budou pak vinou vl\u00e1dy zbyte\u010dn\u011b velk\u00e9? Bez t\u011bchto dat se pak m\u016f\u017eeme h\u016f\u0159e rozhodovat, jak se do t\u011bch kolej\u00ed vracet. Obecn\u011b vzato se do zajet\u00fdch kolej\u00ed mysl\u00edm nevr\u00e1t\u00edme je\u0161t\u011b minim\u00e1ln\u011b m\u011bs\u00edce, mo\u017en\u00e1 rok. Nutnost rozumn\u011b p\u0159istupovat ke sv\u00e9 ochran\u011b d\u00e1l potrv\u00e1. Z\u00a0m\u00e9ho pohledu je proto v\u00fdhodn\u00e9 investovat do ochrann\u00fdch pom\u016fcek.<\/p>\r\n<p><strong>MW:<\/strong>\u00a0Ot\u00e1zkou je, zda p\u0159esn\u00e1 data v\u016fbec existuj\u00ed. Zda je dohledateln\u00e9, kolik pacient\u016f zem\u0159elo na Covid a\u00a0kolik s\u00a0Covidem, zda pacienti s\u00a0t\u011b\u017ek\u00fdm pr\u016fb\u011bhem a\u00a0nutnost\u00ed plicn\u00ed ventilace \u010di mimot\u011bln\u00edho ob\u011bhu byli p\u0159ed naka\u017een\u00edm zdrav\u00ed, nebo m\u011bli n\u011bjak\u00e9 rizikov\u00e9 faktory, jak\u00fd byl pr\u016fb\u011bh infekce v\u00a0jednotliv\u00fdch v\u011bkov\u00fdch skupin\u00e1ch atd. Pokud tato data existuj\u00ed, pak je chyba, \u017ee dosud nebyla zve\u0159ejn\u011bna, a\u00a0m\u011blo by se tak st\u00e1t co nejd\u0159\u00edve. Pokud data neexistuj\u00ed, pak je chyba, \u017ee neexistuj\u00ed.Rovn\u011b\u017e bohu\u017eel nejsou mezin\u00e1rodn\u011b d\u00e1na \u017e\u00e1dn\u00e1 krit\u00e9ria, kter\u00e1 by umo\u017enila srovn\u00e1vat pr\u016fb\u011bh pandemie v\u00a0jednotliv\u00fdch st\u00e1tech. Zejm\u00e9na co se t\u00fd\u010de t\u011b\u017ek\u00fdch pr\u016fb\u011bh\u016f onemocn\u011bn\u00ed a\u00a0\u00famrt\u00ed \u201ena\u201c nebo \u201es\u201c Covidem-19. Na toto v\u0161echno se ale nap\u0159\u00ed\u0161t\u011b m\u016f\u017eeme p\u0159ipravit.<\/p>\r\n<p><strong>Zm\u00ednily jste, \u017ee je dobr\u00e9 investovat do ochrann\u00fdch pom\u016fcek. Jak ale poznat kvalitn\u00ed v\u00fdrobek a\u00a0jak jej pou\u017e\u00edvat?<br \/>\r\nMW:<\/strong>\u00a0V\u00a0sou\u010dasn\u00e9 dob\u011b u\u017e\u00a0je\u00a0na trhu mnoho r\u016fzn\u00fdch typ\u016f rou\u0161ek s\u00a0r\u016fzn\u00fdmi nanotkaninami, mnoho r\u016fzn\u00fdch respir\u00e1tor\u016f. Jak poznat kvalitn\u00ed respir\u00e1tor (krom toho, \u017ee maj\u00ed certifik\u00e1t a\u00a0jsou ozna\u010deny FFP2 nebo FFP3), popravd\u011b nev\u00edm. Ale dle ceny bych se rad\u011bji neorientovala. Pro b\u011b\u017en\u00e9 no\u0161en\u00ed jist\u011b posta\u010d\u00ed jednor\u00e1zov\u00e1 nebo textiln\u00ed rou\u0161ka, o\u00a0kterou se budeme dob\u0159e starat.<\/p>\r\n<p><strong>HS:\u00a0<\/strong>Pokud bude p\u0159\u00edzniv\u00e1 epidemiologick\u00e1 situace, tak lidem v\u00a0dobr\u00e9 kondici sta\u010d\u00ed v\u00a0uzav\u0159en\u00fdch prostor\u00e1ch, v\u00a0MHD nebo p\u0159i sdru\u017eov\u00e1n\u00ed pou\u017e\u00edvat rou\u0161ku. A\u00a0lidem ohro\u017een\u011bj\u0161\u00edm v\u00a0t\u011bchto situac\u00edch doporu\u010duji nanorou\u0161ku nebo respir\u00e1tor FFP2.\u00a0\u00a0<\/p>\r\n<p><strong>MW:<\/strong>\u00a0Ano. Jen je t\u0159eba m\u00edt na pam\u011bti, \u017ee pokud s\u00a0ochrannou pom\u016fckou nebudu dob\u0159e zach\u00e1zet, je jedno, zda m\u00e1m rou\u0161ku, nebo respir\u00e1tor FFP3. Pokud tedy ochrannou pom\u016fcku na nos a\u00a0\u00fasta pou\u017e\u00edv\u00e1me, co\u017e je\u0161t\u011b chv\u00edli v\u0161ichni budeme, je dobr\u00e9 ji m\u011bnit co nej\u010dast\u011bji a\u00a0nem\u00edt jednu na celou epidemii. Rovn\u011b\u017e t\u0159eba p\u0159i n\u00e1kupu\u00a0do mikrotenov\u00fdch s\u00e1\u010dk\u016f odolat poku\u0161en\u00ed si rou\u0161ku nadzvednout, naslinit prst a\u00a0s\u00e1\u010dek tak po dlouh\u00e9m sna\u017een\u00ed kone\u010dn\u011b otev\u0159\u00edt. L\u00e1tkov\u00e9 rou\u0161ky po n\u00e1vratu dom\u016f neodlo\u017eit na kuchy\u0148skou linku k\u00a0potravin\u00e1m, ale vyprat p\u0159i vysok\u00e9 teplot\u011b \u010di vyva\u0159it a\u00a0p\u0159e\u017eehlit, ty jednor\u00e1zov\u00e9 bezpe\u010dn\u011b zlikvidovat. Je toho hodn\u011b, na co mus\u00edme myslet, aby no\u0161en\u00ed jak\u00e9hokoliv typu ochrann\u00fdch pom\u016fcek m\u011blo smysl.<\/p>\r\n<p><strong>HS:\u00a0<\/strong>Pro v\u0161echny pom\u016fcky plat\u00ed, \u017ee zevn\u00ed strana m\u016f\u017ee b\u00fdt infikovan\u00e1 a\u00a0vnit\u0159n\u00ed strana je \u010dist\u00e1. Tak\u017ee vnit\u0159n\u00ed strany a\u00a0obli\u010deje se m\u016f\u017eeme dot\u00fdkat pouze \u010dist\u00fdma rukama. Respir\u00e1tor m\u00e1 dob\u0159e p\u0159il\u00e9hat k\u00a0obli\u010deji. Je zbyte\u010dn\u00e9 nosit respir\u00e1tor v\u00a0otev\u0159en\u00e9m prostoru, na ulici, smysl m\u00e1 nasazovat si ho p\u0159ed vejit\u00edm do uzav\u0159en\u00e9ho prostoru. P\u0159i \u0161etrn\u00e9m pou\u017e\u00edv\u00e1n\u00ed lze respir\u00e1tor pou\u017e\u00edt znovu. Tak\u00e9 douf\u00e1m, \u017ee bude v\u00a0budoucnu mo\u017en\u00e9 koupit kvalitn\u00ed rou\u0161ky z\u00a0nanovl\u00e1ken. Spol\u00e9h\u00e1m na \u010desk\u00e9 v\u00fdrobce z\u00a0tohoto oboru. Maj\u00ed toti\u017e vy\u0161\u0161\u00ed \u00fa\u010dinnost, a\u00a0p\u0159itom jsou pro dlouhodob\u00e9 pou\u017e\u00edv\u00e1n\u00ed pohodln\u011bj\u0161\u00ed ne\u017e \u010d\u00ednsk\u00e9 FFP2.<\/p>\r\n<p><strong>Stane se podle v\u00e1s z\u00a0rou\u0161ky b\u011b\u017en\u00e1 v\u00fdbava na\u0161ich kabelek?<br \/>\r\nMW:\u00a0<\/strong>Sezonn\u011b pravd\u011bpodobn\u011b ano. Jinak to m\u016f\u017ee b\u00fdt vcelku slu\u0161iv\u00fd m\u00f3dn\u00ed dopln\u011bk, mnoho se za n\u00ed schov\u00e1 a\u00a0je\u0161t\u011b u\u0161et\u0159\u00edte\u00a0za make-up, tedy pokud ho cel\u00fd neot\u0159ete do rou\u0161ky. Tak\u017ee pro\u010d ne&#8230;<\/p>\r\n<p><strong>HS:\u00a0<\/strong>Ano, a\u00a0je\u0161t\u011b dezinfekce na ruce.<\/p>\r\n<p><strong>Co bychom m\u011bli p\u0159es l\u00e9to d\u011blat, abychom na podzim nemuseli \u0159e\u0161it novou vlnu n\u00e1kazy?<br \/>\r\n<\/strong><strong>MW:<\/strong>\u00a0Nabrat s\u00edly, neupracovat se,\u00a0b\u011bhat\u00a0a\u00a0zhubnout&#8230; Jestli a\u00a0jak\u00e1 vlna p\u0159ijde na podzim, zat\u00edm bohu\u017eel nev\u00edme. Pravd\u011bpodobn\u011b v\u00a0n\u011bjak\u00e9m rozm\u011bru p\u0159ijde. V\u011b\u0159\u00edm, \u017ee\u00a0u\u017e ale\u00a0budeme p\u0159ipraveni a\u00a0nebude to m\u00edt tak z\u00e1sadn\u00ed spole\u010densko-ekonomick\u00fd dopad. Doufejme.<\/p>\r\n<p><strong>HS:<\/strong>\u00a0Z\u016fst\u00e1vat opatrn\u00ed, ale zbyte\u010dn\u011b se nestresovat. A\u00a0obecn\u011b se o\u00a0sebe dob\u0159e starat, nap\u0159\u00edklad dostatek pohybu, pobyt v\u00a0p\u0159\u00edrod\u011b, na slunci, vhodn\u00e1 strava, ud\u011blat si \u010das na chvilku usebr\u00e1n\u00ed a\u00a0na dobr\u00e9 vztahy s\u00a0lidmi okolo n\u00e1s. Dobr\u00fd projekt je i\u00a0aplikace <a href=\"https:\/\/erouska.cz\/\">eRou\u0161ka<\/a> neboli chytr\u00e1 karant\u00e9na, ale aby mohl opravdu fungovat, mus\u00ed se do n\u011bj zapojit co nejv\u00edce lid\u00ed. Bohu\u017eel se ob\u00e1v\u00e1m, \u017ee v\u00a0re\u00e1li\u00edch \u010desk\u00e9 st\u00e1tn\u00ed spr\u00e1vy tento projekt z\u016fstane nedota\u017een\u00fd.<\/p>\r\n<p><strong>MW:<\/strong>\u00a0Ano, ur\u010dit\u011b. Chytr\u00e1 karant\u00e9na je chytr\u00e1 v\u011bc. Skv\u011bl\u00fd projekt. Obavy z\u00a0toho, \u017ee o\u00a0sob\u011b poskytuji data, kter\u00e1 m\u016f\u017ee n\u011bkdo zneu\u017e\u00edt, zde nejsou na m\u00edst\u011b. Zvl\u00e1\u0161t\u011b s\u00a0ohledem na to, kolik informac\u00ed\u00a0o\u00a0sob\u011b zcela dobrovoln\u011b poskytujeme na soci\u00e1ln\u00edch s\u00edt\u00edch. Zde slou\u017e\u00ed pro dobrou v\u011bc, a\u00a0\u010d\u00edm v\u00edce lid\u00ed bude aplikaci eRou\u0161ka pou\u017e\u00edvat, t\u00edm v\u011bt\u0161\u00ed \u00fasp\u011bch bude m\u00edt.<\/p>\r\n<p><strong>M\u00e1me se nad\u00e1le vyvarovat kontaktu s\u00a0lidmi, s\u00a0prarodi\u010di apod.? Jak\u00e1 by byla va\u0161e doporu\u010den\u00ed?<br \/>\r\nMW:<\/strong>\u00a0Mysl\u00edm, \u017ee v\u00a0tomto sm\u011bru bychom se m\u011bli vracet k\u00a0norm\u00e1ln\u00edmu \u017eivotu.\u00a0Setk\u00e1n\u00ed s\u00a0malou zdravou skupinou zn\u00e1m\u00fdch\u00a0ve zdrav\u00e9m prost\u0159ed\u00ed, venku\u00a0je dle m\u00e9ho nam\u00edst\u011b. A\u00a0pro babi\u010dku s\u00a0d\u011bdou, kte\u0159\u00ed dosud nepou\u017e\u00edvaj\u00ed Zoom (aplikace pro videohovory \u2013 pozn. red.), m\u016f\u017ee b\u00fdt soci\u00e1ln\u00ed izolace kolikr\u00e1t hor\u0161\u00ed ne\u017e riziko n\u00e1kazy.<\/p>\r\n<p><strong>Co lid\u00e9, kte\u0159\u00ed pat\u0159\u00ed do nejohro\u017een\u011bj\u0161\u00ed skupiny? A\u00a0kdo to p\u0159esn\u011b je?<br \/>\r\nMW:<\/strong>\u00a0Do nejohro\u017een\u011bj\u0161\u00ed skupiny pat\u0159\u00ed senio\u0159i, lid\u00e9, kte\u0159\u00ed maj\u00ed n\u011bjak\u00e9 chronick\u00e9 plicn\u00ed onemocn\u011bn\u00ed, jako chronickou obstruk\u010dn\u00ed chorobu plicn\u00ed, astma, lid\u00e9 s\u00a0obezitou, diabetem, hypertenz\u00ed, onkologicky nemocn\u00ed.\u00a0K\u00a0t\u011bmto v\u0161em bychom samoz\u0159ejm\u011b m\u011bli i\u00a0nad\u00e1le p\u0159istupovat opatrn\u011bji.<\/p>\r\n<p><strong>HS:<\/strong>\u00a0Ano, a\u00a0doporu\u010duji opatrnost i\u00a0t\u011bhotn\u00fdm \u017een\u00e1m. Pro ohro\u017een\u011bj\u0161\u00ed skupiny jsou st\u00e1le je\u0161t\u011b vhodn\u00e9 do uzav\u0159en\u00fdch prostor kvalitn\u00ed rou\u0161ky z\u00a0nanovl\u00e1ken nebo respir\u00e1tory FFP2, pak jsou podle m\u00e9ho n\u00e1zoru tito lid\u00e9 bezpe\u010dn\u011b chr\u00e1n\u011bni a\u00a0mohou uzav\u0159en\u00e9 prostory nav\u0161t\u011bvovat bez rizika. Jinak pro ka\u017ed\u00e9ho dostatek rou\u0161ek, aby je mohl st\u0159\u00eddat. A\u00a0rozhodn\u011b se nestyd\u011bt pou\u017e\u00edvat kvalitn\u00ed ochrann\u00e9 pom\u016fcky v\u00a0m\u00edstech, kde je to pot\u0159eba.<\/p>\r\n<p><strong>Jak zku\u0161enost z\u00a0pandemie podle v\u00e1s ovlivn\u00ed pr\u016fb\u011bh budouc\u00edch ch\u0159ipkov\u00fdch epidemi\u00ed?<\/strong><br \/>\r\n<strong>MW:<\/strong>\u00a0K\u00e9\u017e by d\u00edky t\u00e9to zku\u0161enosti stoupla proo\u010dkovanost obyvatel. Nejen\u00a0proti ch\u0159ipce, ale i\u00a0proti pneumokoku, \u010dern\u00e9mu ka\u0161li&#8230; A\u00a0t\u0159eba n\u00e1s to nau\u010d\u00ed m\u00fdt si v\u00edce\u00a0ruce, nej\u00edst v\u00a0MHD a\u00a0p\u0159i ka\u0161li neprskat na kolemjdouc\u00ed. Mo\u017en\u00e1 by n\u00e1m jen toto mohlo do budoucna\u00a0pomoci.<\/p>\r\n<hr \/>\r\n<p>MUDr. Martina Wiererov\u00e1\u00a0se narodila v\u00a0roce 1976 v\u00a0Havl\u00ed\u010dkov\u011b Brod\u011b. Od dvou let a\u017e do dosp\u011blosti \u017eila na Letn\u00e9, nyn\u00ed n\u011bkolik let bydl\u00ed s\u00a0rodinou v\u00a0Troji. Na Letn\u00e9 a\u00a0v\u00a0Troji pracuje od roku 2005 jako praktick\u00e1 l\u00e9ka\u0159ka pro dosp\u011bl\u00e9.<\/p>\r\n<p>MUDr. Hana Skalov\u00e1\u00a0se narodila v\u00a0roce 1974, a\u00a0a\u017e do svatby v\u00a0roce 1997 \u017eila v\u00a0Hole\u0161ovic\u00edch, kde od roku 2001 pracuje jako praktick\u00e1 l\u00e9ka\u0159ka.<\/p>","protected":false},"excerpt":{"rendered":"[perex] V\u00a0kv\u011btnu skon\u010dil nouzov\u00fd stav a\u00a0na prvn\u00ed pohled se m\u016f\u017ee zd\u00e1t, \u017ee boj s\u00a0koronavirem jsme vyhr\u00e1li. Jak obdob\u00ed pandemie pro\u017e\u00edvali prakti\u010dt\u00ed l\u00e9ka\u0159i, jak vid\u00ed sou\u010dasnou situaci a\u00a0jak\u00e1 jsou jejich doporu\u010den\u00ed do p\u0159\u00ed\u0161t\u00edch m\u011bs\u00edc\u016f? V\u00a0p\u016flce kv\u011btna jsme se zeptali dvou l\u00e9ka\u0159ek ze Sedmi\u010dky MUDr. Martiny Wiererov\u00e9 (MW) a&nbsp;MUDr. Hany Skalov\u00e9 (HS). [\/perex] \u00a0 Co podle v\u00e1s [&hellip;]","protected":false},"author":76,"featured_media":38000,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[37],"tags":[],"_links":{"self":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/37997"}],"collection":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/users\/76"}],"replies":[{"embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/comments?post=37997"}],"version-history":[{"count":4,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/37997\/revisions"}],"predecessor-version":[{"id":38002,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/37997\/revisions\/38002"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/media\/38000"}],"wp:attachment":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/media?parent=37997"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/categories?post=37997"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/tags?post=37997"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}