{"id":8771,"date":"2010-02-21T09:24:47","date_gmt":"2010-02-21T09:24:47","guid":{"rendered":"https:\/\/www.magna.org\/fr\/smrtici-epidemie-cholery-v-kambodzskych-provinciich-2\/"},"modified":"2022-12-03T15:32:53","modified_gmt":"2022-12-03T15:32:53","slug":"smrtici-epidemie-cholery-v-kambodzskych-provinciich-2","status":"publish","type":"post","link":"https:\/\/www.magna.org\/fr\/sk\/uncategorized\/smrtici-epidemie-cholery-v-kambodzskych-provinciich-2\/","title":{"rendered":"Smrtiaca epid\u00e9mia cholery v Kambod\u017ei"},"content":{"rendered":"

V roku 1817 sa za\u010dalo z indick\u00e9ho z Beng\u00e1lska po celom svete \u0161\u00edri\u0165 nov\u00e9 a desiv\u00e9 ochorenie. Sp\u00f4sobovalo siln\u00e9 hna\u010dky a zvracanie. Preva\u017en\u00e1 \u010das\u0165 postihnut\u00fdch zomrela na siln\u00fa dehydrat\u00e1ciu, niekedy dokonca v priebehu p\u00e1r hod\u00edn. Do konca dev\u00e4tn\u00e1steho storo\u010dia zabilo toto ochorenie st\u00e1tis\u00edce \u013eud\u00ed v celej \u00c1zii, nesk\u00f4r aj v Rusku, Eur\u00f3pe a Amerike. Podobne ako pri mnoh\u00fdch in\u00fdch ochoreniach, dostalo pomenovanie v gr\u00e9ckom jazyku …\u00a0cholera<\/strong>\u00a0(slovo znamen\u00e1 hna\u010dka).<\/p>\n

Ju\u017en\u00e9 a v\u00fdchodn\u00e9 provincie Kambod\u017ee v s\u00fa\u010dasnosti bojuj\u00fa s epid\u00e9miou cholery. Najviac postihnut\u00e9 \u010dasti v Kandal provincii, kde Magna p\u00f4sob\u00ed, s\u00fa Koh Thom, So Ang a Kandal Stung.<\/p>\n

Prv\u00e9 pr\u00edpady sa objavili na za\u010diatku janu\u00e1ra 2010, skuto\u010dn\u00fd po\u010det nakazen\u00fdch m\u00f4\u017eeme v\u0161ak len odhadova\u0165. Ka\u017ed\u00fd de\u0148 prich\u00e1dzaj\u00fa nov\u00ed pacienti z nov\u00fdch okresov a niektor\u00e9 pr\u00edpady boli zaznamenan\u00e9 aj v hlavnom meste.<\/p>\n

Hna\u010dkov\u00e9 ochorenia sa zv\u00e4\u010d\u0161a prejavuj\u00fa \u010dastej\u0161ie po\u010das obdob\u00ed sucha a to kv\u00f4li plytkej stojatej vode, ktor\u00e1 je napriek jej z\u00e1vadnosti pou\u017e\u00edvan\u00e1 na pitie. V takejto vode sa mno\u017e\u00ed hmyz, dar\u00ed sa mu v such\u00fdch oblastiach v okol\u00ed jazier a rybn\u00edkov a v mal\u00fdch potokoch.<\/p>\n

V s\u00fa\u010dastnosti m\u00e1me viac ako 10 detsk\u00fdch pacientov v Chey Chumneas nemocnici, ktor\u00ed boli prijat\u00ed s ak\u00fatnou hna\u010dkou. Nieko\u013eko t\u00fd\u017ed\u0148ov dozadu lie\u010dila Magna\u00a0 podobn\u00fd po\u010det pacientov s rovnak\u00fdmi pr\u00edznakmi.<\/p>\n

M\u00e1me podozrenie, \u017ee viac pr\u00edpadov cholery sa vyskytuje v provinci\u00e1ch. Pacienti v provinci\u00e1ch ale nemaj\u00fa \u0161ancu dosta\u0165 lek\u00e1rsku pomoc na\u010das. Epid\u00e9mia v Kambod\u017ei sa \u0161\u00edri prostredn\u00edctvom vody, miestni \u013eudia pij\u00fa priamo z kontaminovan\u00fdch zdrojov.<\/p>\n

Epid\u00e9mia cholery sa \u0161\u00edri ve\u013emi r\u00fdchlo. M\u00e1me pr\u00edpady \u00famrtia aj v n\u00e1\u0161om bl\u00edzkom okoli\u00ed.<\/p>\n

Bakt\u00e9ria Vibrio cholerae je vylu\u010dovan\u00e1 infikovanou osobou v stolici a zvratkoch. \u0160\u00edri\u0165 sa m\u00f4\u017ee priamo na in\u00e9 osoby. Ak sa sa zdrav\u00fd \u010dlovek dotkne chor\u00e9ho pacienta a potom si neumyje ruky pred jedlom, je prenos n\u00e1kazy takmer ist\u00fd. Bakt\u00e9rie m\u00f4\u017eu kontaminova\u0165 potraviny alebo vodu. V druhom pr\u00edpade sa m\u00f4\u017ee ochorenie za\u010da\u0165 \u0161\u00edri\u0165 ako expl\u00f3zia, nako\u013eko prostredn\u00edctvom konzum\u00e1cie kontaminovanej vody pr\u00edde s touto bakt\u00e9riou do kontaktu ve\u013ek\u00e9 mo\u017estvo \u013eud\u00ed, za ve\u013emi kr\u00e1tke obdobie. Akon\u00e1hle je bakt\u00e9ria cholery vo vn\u00fatri \u010dreva, za\u010dne sa rozmno\u017eova\u0165 a produkuje tox\u00edn. Tento tox\u00edn sp\u00f4sobuje, \u017ee bunky sliznice \u010dreva za\u010dn\u00fa vylu\u010dova\u0165 obrovsk\u00e9 mno\u017estvo tekut\u00edn – prejavuje sa to hna\u010dkami a zvracan\u00edm. Pacient bez lie\u010dby m\u00f4\u017ee pr\u00eds\u0165 o viac ako 50 litrov tekut\u00edn po\u010das z\u00e1chvatu cholery. Osoba, ktor\u00e1 nie je lie\u010den\u00e1, zomrie na dehydrat\u00e1ciu. Smr\u0165 pri strate tekut\u00edn o 10 a\u017e 15 percent celkovej telesnej hmotnosti zvy\u010dajne nast\u00e1va len za nieko\u013eko hod\u00edn.<\/p>\n

Toto ochorenie sa neprejavuje \u017eiadnymi pr\u00edznakmi po\u010das kultiva\u010dn\u00e9ho obdobia, ktor\u00e9 zvy\u010dajne trv\u00e1 3-5 dn\u00ed. Rehydrat\u00e1cia a podanie antibiot\u00edk je nevyhnutn\u00e9 a mus\u00ed by\u0165 okam\u017eite.<\/p>\n

Cholera naj\u010dastej\u0161ie ohrozuje nevzdelan\u00fdch a chudobn\u00fdch \u013eud\u00ed \u017eij\u00facich v okol\u00ed zne\u010disten\u00fdch v\u00f4d. T\u00edto si nezvykn\u00fa vodu prev\u00e1ra\u0165 pred jej konzum\u00e1ciou. Cielen\u00e1 dieta nezabr\u00e1ni dehydrat\u00e1cii zoslabut\u00fdch, vychudnut\u00fdch tiel, sp\u00f4sobenej ak\u00fatnov vodnatou hna\u010dkou. Bez lek\u00e1rskej starostlivosti prich\u00e1dza smr\u0165 do nieko\u013ek\u00fdch hod\u00edn po vypuknut\u00ed sympt\u00f3mov.<\/p>\n

V s\u00fa\u010dasnej dobe nieje k dipoz\u00edcii \u00fa\u010dinn\u00e1 o\u010dkovacia l\u00e1tka proti cholere. Jedin\u00fdm sp\u00f4sobom, ako zabr\u00e1ni\u0165 jej \u0161\u00edreniu, je preru\u0161enie feko-or\u00e1lnnych cyklov – teda, dodr\u017eiavanie hygieny, najm\u00e4 um\u00fdvanie r\u00fak.<\/p>\n

Magna lie\u010di postihnut\u00fdch pacientov na na\u0161om detskom oddelen\u00ed a popri tom, sa sna\u017e\u00ed poskytova\u0165 zdravotn\u00edcku eduk\u00e1ciu. Vysvetlujeme ako predch\u00e1dza\u0165 diearrhee hygienou um\u00fdvania r\u00fak, ochranou z\u00e1sob vody v dom\u00e1cnostiach, pou\u017e\u00edvan\u00edm hygienick\u00fdch potrieb, ktor\u00e9 Magna poskytuje.<\/p>\n

Magna Deti v n\u00fadzi p\u00f4sob\u00ed v Kambo\u017ei od roku 2003. Pediatrick\u00e9 oddelenie v Chey Chumneas nemocnici plne prev\u00e1dzkujeme od roku 2006. Priemerne m\u00e1me 200 hospitaliz\u00e1ci\u00ed mesa\u010dne.<\/em><\/p>\n

Denisa August\u00ednov\u00e1, opera\u010dn\u00e1 riadite\u013eka humanit\u00e1rnych projektov, Magna Deti v n\u00fadzi v Kambod\u017ei.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

V roku 1817 sa za\u010dalo z indick\u00e9ho z Beng\u00e1lska po celom svete \u0161\u00edri\u0165 nov\u00e9 a desiv\u00e9 ochorenie. Sp\u00f4sobovalo siln\u00e9 hna\u010dky a zvracanie. Preva\u017en\u00e1 \u010das\u0165 postihnut\u00fdch zomrela na siln\u00fa dehydrat\u00e1ciu, niekedy dokonca v priebehu p\u00e1r hod\u00edn. Do konca dev\u00e4tn\u00e1steho…<\/p>\n","protected":false},"author":1,"featured_media":8773,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[],"post_country":[],"post_year":[],"post_layout":[],"post_topic":[],"class_list":["post-8771","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nSmrtiaca epid\u00e9mia cholery v Kambod\u017ei - Magna<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.magna.org\/fr\/sk\/uncategorized\/smrtici-epidemie-cholery-v-kambodzskych-provinciich-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Smrtiaca epid\u00e9mia cholery v Kambod\u017ei - Magna\" \/>\n<meta property=\"og:description\" content=\"V roku 1817 sa za\u010dalo z indick\u00e9ho z Beng\u00e1lska po celom svete \u0161\u00edri\u0165 nov\u00e9 a desiv\u00e9 ochorenie. Sp\u00f4sobovalo siln\u00e9 hna\u010dky a zvracanie. Preva\u017en\u00e1 \u010das\u0165 postihnut\u00fdch zomrela na siln\u00fa dehydrat\u00e1ciu, niekedy dokonca v priebehu p\u00e1r hod\u00edn. 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