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Velice zjednodu\u0161en\u011b m\u00e1 k\u016f\u017ee funk\u010dn\u00ed a estetick\u00fd v\u00fdznam. Funk\u010dn\u011b p\u016fsob\u00ed jako bari\u00e9ra ohrani\u010duj\u00edc\u00ed t\u011blo od zevn\u00edho prost\u0159ed\u00ed \u2013 chr\u00e1n\u00ed ho p\u0159ed UV z\u00e1\u0159en\u00edm a \u0161kodlivinami, br\u00e1n\u00ed nadm\u011brn\u00e9 ztr\u00e1t\u011b tekutin z t\u011bla a pod\u00edl\u00ed se na regulaci t\u011blesn\u00e9 teploty. Vytv\u00e1\u0159\u00ed ale i vitam\u00edn D, pot\u0159ebn\u00fd pro fungov\u00e1n\u00ed bun\u011bk v cel\u00e9m t\u011ble, a jsou v n\u00ed hmatov\u00e1 t\u011bl\u00edska, d\u00edky kter\u00fdm c\u00edt\u00edme dotek. Z estetick\u00e9ho hlediska n\u00e1m k\u016f\u017ee prozrad\u00ed mnoho o na\u0161em zdrav\u00ed, genech, p\u016fvodu, st\u00e1\u0159\u00ed i o tom, jakou pr\u00e1ci a kde jsme za \u017eivot d\u011blali. <\/p>\n
O k\u016f\u017ei se mluv\u00ed jako o nejv\u011bt\u0161\u00edm org\u00e1nu lidsk\u00e9ho t\u011bla, a je\u0161t\u011b jsem nezm\u00ednil jednu velice d\u016fle\u017eitou roli, a to imunitn\u00ed. Specializovan\u00e9 bu\u0148ky nach\u00e1zej\u00edc\u00ed se v k\u016f\u017ei jsou sou\u010d\u00e1st\u00ed imunitn\u00edho syst\u00e9mu \u010dlov\u011bka, kde hraj\u00ed nezastupitelnou roli. Podobn\u011b jako je tomu ve st\u0159ev\u011b, zjistilo se, \u017ee i tyto bu\u0148ky aktivn\u011b spolupracuj\u00ed s bakteriemi osidluj\u00edc\u00edmi ko\u017en\u00ed povrch. <\/p>\n
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Ono by se sp\u00ed\u0161 dalo \u0159\u00edct, \u017ee lidsk\u00e1 t\u011bla \u017eij\u00ed v prost\u0159ed\u00ed mikroorganism\u016f. Bakterie, pl\u00edsn\u011b a viry jsou prakticky v\u0161ude kolem n\u00e1s a jsou i ned\u00edlnou sou\u010d\u00e1st\u00ed na\u0161ich t\u011bl, obecn\u011b nap\u0159\u00edklad ve stolici je obrovsk\u00e9 mno\u017estv\u00ed mikroorganism\u016f. Jejich vliv na t\u011blo byl komplexn\u011bji zkoum\u00e1n u\u017e p\u0159ed n\u011bkolika des\u00edtkami let a v posledn\u00ed dob\u011b se velice \u010dasto setk\u00e1v\u00e1me s term\u00ednem pr\u00e1v\u011b mikrobiom \u2013 souhrnn\u00fd n\u00e1zev pro v\u0161echny mikroorganismy na n\u011bjak\u00e9m m\u00edst\u011b. St\u0159evn\u00ed mikrobiom, po\u0161evn\u00ed mikrobiom, ko\u017en\u00ed mikrobiom. Bakterie v mikrobiomu tvo\u0159\u00ed bakteriom, viry virom a houby mykom. Je to slov\u00ed\u010dka\u0159en\u00ed, ale n\u011bkdy n\u00e1m pom\u00e1h\u00e1 se v tom vyznat. Sv\u016fj mikrobiom maj\u00ed dokonce i ko\u0159enov\u00e9 syst\u00e9my rostlin, kde se zjistilo, \u017ee n\u011bkter\u00e9 bakterie ovliv\u0148uj\u00ed velikost rostlin a jejich kondici. <\/p>\n
K\u016f\u017ee je tedy logicky os\u00eddlena mikroorganismy v r\u016fzn\u00e9 m\u00ed\u0159e \u2013 v\u00edce bakteri\u00ed najdeme v m\u00edstech, kde k\u016f\u017ee tvo\u0159\u00ed z\u00e1hyby a hromad\u00ed se tam pot a vlhkost, m\u00e9n\u011b naopak t\u0159eba na pa\u017e\u00edch nebo stehnech. Zjistilo se, \u017ee ko\u017en\u00ed mikrobiom, zejm\u00e9na bakterie a kvasinky, je pro lidskou k\u016f\u017ei nepostradateln\u00fd a nenahraditeln\u00fd. <\/p>\n
A te\u010f to klinicky nejzaj\u00edmav\u011bj\u0161\u00ed \u2013 mikrobiom je celkem stabiln\u00ed, ale z\u00e1rove\u0148 i dynamick\u00e1 struktura. V klinick\u00e9 praxi se \u010dasto setk\u00e1v\u00e1m s t\u00edm, \u017ee pacient p\u0159ijde a \u0159\u00edk\u00e1: „J\u00e1 m\u00e1m toho zlat\u00e9ho stafylokoka a on mi to po\u0159\u00e1d d\u011bl\u00e1.“ Ale tuhle bakterii m\u00e1 v nose v\u011bt\u0161ina lid\u00ed, jde jen o to, jestli m\u00e1me tu hodnou, nebo jeho zlou variantu a nebo ta hodn\u00e1 dostala vhodnou p\u0159\u00edle\u017eitost. V drtiv\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f jsme na sv\u00e9 bakterie v mikrobiomu zvykl\u00ed a nep\u016fsob\u00ed n\u00e1m \u017e\u00e1dn\u00e9 obt\u00ed\u017ee \u2013 n\u00e1\u0161 imunitn\u00ed syst\u00e9m si s nimi je schopen poradit, udr\u017euj\u00ed s t\u011blem kamar\u00e1dsk\u00fd vztah. <\/p>\n
Kdy\u017e se ale na na\u0161e t\u011blo dostane bakterie ciz\u00ed, nap\u0159\u00edklad v r\u00e1mci d\u011btsk\u00e9ho kolektivu, zm\u011bny partnera nebo v nemocnici, riziko komplikac\u00ed se zvy\u0161uje, proto\u017ee takov\u00e1to breberka s imunitn\u00edm syst\u00e9mem t\u011bla bojuje. P\u0159itom bakterie na\u0161eho mikrobiomu br\u00e1n\u00ed tomu, aby se na na\u0161\u00ed k\u016f\u017ei uchytily ty nezn\u00e1m\u00e9 bakterie. <\/p>\n
O mikrobiomu by se toho dalo napsat stra\u0161n\u011b moc, je to velice zaj\u00edmav\u00e1 problematika. Velkou nev\u00fdhodou sou\u010dasn\u00e9 doby je, \u017ee se prakticky ned\u00e1 spolehliv\u011b testovat a jednozna\u010dn\u011b ur\u010dit, kter\u00fd mikrobiom je „zdrav\u00fd“ a kter\u00fd ne. Spolehliv\u011b ale m\u016f\u017eeme zjistit, \u017ee se n\u011bkter\u00e1 z medic\u00ednsky v\u00fdznamn\u00fdch bakteri\u00ed na k\u016f\u017ei p\u0159emno\u017eila a mohla se tak st\u00e1t p\u016fvodcem ko\u017en\u00edho onemocn\u011bn\u00ed. <\/p>\n
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M\u016f\u017ee, ale je to slo\u017eit\u011bj\u0161\u00ed! Mikrobiom je toti\u017e stabiln\u00ed, ale z\u00e1rove\u0148 dynamick\u00e1 struktura \u2013 na\u0161e prost\u0159ed\u00ed, n\u00e1vyky i komunita ovliv\u0148uj\u00ed jeho slo\u017een\u00ed. Plavci, kte\u0159\u00ed ka\u017ed\u00fd den plavou v chlorovan\u00e9 vod\u011b baz\u00e9nu, maj\u00ed jinak stabilizovan\u00fd ko\u017en\u00ed mikrobiom ne\u017e \u010dlov\u011bk, kter\u00fd chod\u00ed plavat jen n\u011bkolik dn\u016f za sebou. Podobn\u011b to funguje i s kosmetickou rutinou. <\/p>\n
P\u0159\u00edli\u0161 slo\u017eit\u00e1 kosmetick\u00e1 rutina tedy pravd\u011bpodobn\u011b n\u011bjak\u00fdm zp\u016fsobem ovlivn\u00ed lok\u00e1ln\u00ed slo\u017een\u00ed mikrobiomu, ale nemysl\u00edm si, \u017ee by to \u010dlov\u011bku samo o sob\u011b u\u0161kodilo. K\u016f\u017ee a ko\u017en\u00ed mikrobiom si do jist\u00e9 m\u00edry mohou na komplikovanou denn\u00ed rutinu navyknout a stabilizovat se. V\u017edy to ale bude spojen\u00e9 s ur\u010dit\u00fdm sn\u00ed\u017een\u00edm celkov\u00e9 obranyschopnosti k\u016f\u017ee \u2013 na stabilizaci mikrobiomu a bari\u00e9rov\u00e9 funkce toti\u017e k\u016f\u017ee vynalo\u017e\u00ed v\u00edc energie, a to ji m\u016f\u017ee postupn\u011b vy\u010derpat nebo zv\u00fd\u0161it jej\u00ed n\u00e1chylnost (vulnerabilitu) k z\u00e1n\u011btu i na podn\u011bty, kter\u00e9 by jinak ust\u00e1la. Typicky jde o zhor\u0161en\u00ed atopick\u00e9 dermatitidy, r\u016fzn\u00e9 ekz\u00e9my, mykotick\u00e9 infekce nebo impetigo. <\/p>\n
Ve vztahu mikrobiomu a p\u00e9\u010de o ple\u0165 bych ale mohl uv\u00e9st je\u0161t\u011b jin\u00fd p\u0159\u00edklad z praxe. Mlad\u00e1 sle\u010dna p\u0159i\u0161la s dost v\u00fdrazn\u00fdmi z\u00e1n\u011btliv\u00fdmi projevy v obli\u010deji, odborn\u011b se tomu \u0159\u00edk\u00e1 impetigo, vyvolan\u00e9 \u010dasto pr\u00e1v\u011b zlat\u00fdm stafylokokem. Projevy jsou mokvaj\u00edc\u00ed krusti\u010dky a jde o velice infek\u010dn\u00ed onemocn\u011bn\u00ed. B\u011bhem prvn\u00ed n\u00e1v\u0161t\u011bvy jsme nastavili terapii, kontrola za t\u00fdden byla v po\u0159\u00e1dku a zd\u00e1lo se, \u017ee je konec. <\/p>\n
P\u0159i\u0161la ale za dal\u0161\u00edch n\u011bkolik t\u00fddn\u016f se stejn\u00fdmi obt\u00ed\u017eemi. To u\u017e jsme se bavili o mo\u017en\u00fdch p\u0159\u00ed\u010din\u00e1ch v\u00edc a zjistili jsme, \u017ee k \u010di\u0161t\u011bn\u00ed obli\u010deje pou\u017e\u00edvala kosmetickou \u017e\u00ednku, o kterou se ale \u0161patn\u011b starala \u2013 nech\u00e1vala ji st\u00e1t ve vlhk\u00e9 krabi\u010dce. Do n\u00ed se s nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed uchytily pr\u00e1v\u011b kmeny zlat\u00e9ho stafylokoka, kter\u00e9 si pak mechanicky vt\u00edrala do k\u016f\u017ee obli\u010deje \u2013 vyu\u017eily p\u0159\u00edle\u017eitosti a zp\u016fsobily onemocn\u011bn\u00ed. <\/p>\n
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Nakousnul jsem mikrobiom u\u017e v p\u0159edchoz\u00ed odpov\u011bdi, ale po\u0161kozen\u00e1 bari\u00e9ra je \u0161ir\u0161\u00ed pojem. K\u016f\u017ee jako celek m\u00e1 toti\u017e i mechanickou, bari\u00e9rovou funkci a chr\u00e1n\u00ed p\u0159ed zevn\u00edmi vlivy prost\u0159ed\u00ed \u2013 pokud ale tyto vlivy schopnosti k\u016f\u017ee p\u0159em\u016f\u017eou, dojde k jej\u00edmu po\u0161kozen\u00ed. Jeden extr\u00e9m jsou nap\u0159\u00edklad pop\u00e1leniny. K\u016f\u017ee dok\u00e1\u017ee ochr\u00e1nit p\u0159ed teplem, ale pokud je teplota vysok\u00e1, sp\u00e1l\u00ed se. Druh\u00fdm extr\u00e9mem jsou pak t\u0159eba dlouhodob\u011b pou\u017e\u00edvan\u00e9, nevhodn\u011b zvolen\u00e9 kosmetick\u00e9 produkty, kter\u00e9 k\u016f\u017ei postupn\u011b vy\u010derp\u00e1vaj\u00ed do stavu, kdy se za\u010dne br\u00e1nit z\u00e1n\u011btem. <\/p>\n
Typicky to vid\u00edme u perior\u00e1ln\u00ed dermatitidy, kdy m\u016f\u017ee b\u00fdt k\u016f\u017ee vy\u010derpan\u00e1 t\u0159eba opakovan\u011b nedostate\u010dn\u011b opl\u00e1chnutou zubn\u00ed pastou po \u010di\u0161t\u011bn\u00ed zub\u016f u d\u011bt\u00ed, nebo p\u0159i dlouhodob\u00e9m pou\u017e\u00edv\u00e1n\u00ed hydrata\u010dn\u00edch kr\u00e9m\u016f. Klasicky je k\u016f\u017ee citliv\u00e1, zarudl\u00e1, mohou b\u00fdt drobn\u00e9 vodnat\u00e9 puch\u00fd\u0159ky, pocit sv\u011bd\u011bn\u00ed a p\u00e1len\u00ed, k\u016f\u017ee se m\u016f\u017ee m\u00edrn\u011b \u0161upit. V\u011bt\u0161ina lid\u00ed logicky s\u00e1hne po jin\u00e9m p\u0159\u00edpravku, ale to \u010dasto paradoxn\u011b vede ke zhor\u0161en\u00ed projev\u016f nebo k rozvoji nesn\u00e1\u0161enlivosti dal\u0161\u00edch p\u0159\u00edpravk\u016f. <\/p>\n
N\u011bkdy je vhodn\u00e9 ned\u011blat nic. V dermatologii tomu \u0159\u00edk\u00e1me \u00fastupov\u00e1 strategie, kdy doporu\u010dujeme d\u00e1vat na obli\u010dej jen minimum mast\u00ed a l\u00e1tek, \u0161etrn\u00e9 myt\u00ed v p\u0159eva\u0159en\u00e9 vod\u011b, p\u0159\u00edpadn\u011b obklady ze studen\u00e9ho \u010dern\u00e9ho \u010daje, a \u010dek\u00e1me, ne\u017e se k\u016f\u017ee sama dostane do kondice \u2013 a ona to u jinak zdrav\u00e9 populace um\u00ed. <\/p>\n
A i tady hraje roli mikrobiom, o kter\u00e9m jsme mluvili v\u00fd\u0161e \u2013 na vy\u010derpan\u00e9 k\u016f\u017ei doch\u00e1z\u00ed k v\u00fdznamn\u011bj\u0161\u00edmu prostupu bakteri\u00e1ln\u00edch antigen\u016f, co\u017e z\u00e1n\u011bt jen p\u0159i\u017eivuje. <\/p>\n
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Nejd\u0159\u00edv rozvedu sp\u00e1len\u00ed se slun\u00ed\u010dkem. Ka\u017ed\u00e9 sp\u00e1len\u00ed, za\u010derven\u00e1n\u00ed i pigmentace po slun\u00ed\u010dku je reakc\u00ed k\u016f\u017ee na p\u016fsoben\u00ed UV z\u00e1\u0159en\u00ed. Sp\u00e1len\u00ed je rizikov\u00fdm faktorem jak pro n\u00e1dory typu bazaliom a spinaliom, tak pro melanom \u2013 u melanomu je vazba na opakovan\u00e9 sp\u00e1len\u00ed, zejm\u00e9na v d\u011btstv\u00ed a dosp\u00edv\u00e1n\u00ed, dokonce jedn\u00edm z nejsiln\u011bji prok\u00e1zan\u00fdch rizikov\u00fdch faktor\u016f v\u016fbec. <\/p>\n
U\u017e se i v\u00ed a douf\u00e1m, \u017ee to dermatologov\u00e9 budou pos\u00edlat d\u00e1l, \u017ee tzv. opalovac\u00ed kr\u00e9my s SPF nejsou jedinou ani z\u00e1sadn\u00ed ochranou proti p\u016fsoben\u00ed UV z\u00e1\u0159en\u00ed, hraj\u00ed ale po\u0159\u00e1d velice d\u016fle\u017eitou roli. V\u00ed se toti\u017e, \u017ee v\u00fdskyt nemelanomov\u00fdch n\u00e1dor\u016f v posledn\u00ed dob\u011b, i p\u0159es zv\u00fd\u0161en\u00e9 pou\u017e\u00edv\u00e1n\u00ed ochrann\u00fdch SPF p\u0159\u00edpravk\u016f, roste. SPF n\u00e1m toti\u017e d\u00e1v\u00e1 fale\u0161n\u00fd pocit bezpe\u010d\u00ed, ale prakticky se neu\u017e\u00edv\u00e1 spr\u00e1vn\u011b. <\/p>\n
Jak\u00fd je tedy spr\u00e1vn\u00fd postup? Prim\u00e1rn\u00ed ochrana p\u0159ed slune\u010dn\u00edm z\u00e1\u0159en\u00edm \u2013 oble\u010den\u00ed a pokr\u00fdvka hlavy. A jen na m\u00edsta nekryt\u00e1 oble\u010den\u00edm (ruce, nohy, u\u0161i, obli\u010dej) pou\u017eit\u00ed ochrann\u00fdch SPF p\u0159\u00edpravk\u016f v dostate\u010dn\u00e9m mno\u017estv\u00ed a b\u011bhem dne opakovan\u011b. <\/p>\n
V\u0161imn\u011bte si t\u0159eba turist\u016f z asijsk\u00fdch zem\u00ed, zejm\u00e9na z ji\u017en\u00ed Koreje. V asijsk\u00fdch zem\u00edch je b\u00edl\u00e1, neop\u00e1len\u00e1 poko\u017eka symbolem kr\u00e1sy \u2013 pravd\u011bpodobn\u011b to souvis\u00ed s t\u00edm, \u017ee lid\u00e9, kte\u0159\u00ed si d\u0159\u00edve mohli dovolit b\u011blostnou neop\u00e1lenou poko\u017eku, byli ti, kte\u0159\u00ed nepracovali venku na pol\u00edch, nepracovali manu\u00e1ln\u011b. B\u00edl\u00e1 k\u016f\u017ee v asijsk\u00fdch zem\u00edch tedy \u0159\u00edk\u00e1: „J\u00e1 jsem bohat\u00fd, m\u016f\u017eu si dovolit nepracovat manu\u00e1ln\u011b venku.“ V z\u00e1padn\u00ed kultu\u0159e je to ale p\u0159esn\u011b naopak. B\u00edl\u00e1 k\u016f\u017ee \u0159\u00edk\u00e1: „Jsem b\u00edl\u00fd, proto\u017ee si nem\u016f\u017eu dovolit povalovat se na slun\u00ed\u010dku a nem\u016f\u017eu si dovolit \u010dast\u00e9 dovolen\u00e9 u mo\u0159e.“ <\/p>\n
A te\u010f zp\u011bt k t\u011bm asijsk\u00fdm turist\u016fm, kter\u00e9 tady v\u00edd\u00e1me. Maj\u00ed voln\u00e9 oble\u010den\u00ed s dlouh\u00fdm ruk\u00e1vem, \u010dasto maj\u00ed na rukou n\u00e1vleky nebo i rukavi\u010dky, velk\u00e9 slune\u010dn\u00ed br\u00fdle a \u010depice nebo klobouky s extr\u00e9mn\u011b velk\u00fdmi k\u0161ilty. To jen k zamy\u0161len\u00ed. <\/p>\n
Co kdy\u017e se ale poko\u017eka sp\u00e1l\u00ed? Pokud je to b\u011b\u017en\u00e9 za\u010derven\u00e1n\u00ed, kter\u00e9 ve\u010der sv\u011bd\u00ed a\u017e p\u00e1l\u00ed, jednozna\u010dnou \u00falevu a pomoc n\u00e1m poskytnou gely nebo lehk\u00e9 kr\u00e9my s panthenolem. Dermatolog pak m\u016f\u017ee p\u0159edepsat nap\u0159\u00edklad lehk\u00fd \u0161lehan\u00fd kr\u00e9m polysan, kter\u00fd m\u016f\u017ee b\u00fdt uchov\u00e1v\u00e1n v ledni\u010dce a aplikuje se n\u011bkolikr\u00e1t denn\u011b na posti\u017een\u00e9 plochy formou studen\u00fdch obklad\u016f. <\/p>\n
V p\u0159\u00edpad\u011b, \u017ee dojde k v\u00fdsevu puch\u00fd\u0159k\u016f, je t\u0159eba takovou mokvaj\u00edc\u00ed plochu vysu\u0161ovat \u2013 ide\u00e1ln\u00ed a lehce dostupn\u00fd je vychlazen\u00fd siln\u00fd v\u00fdluh z kvalitn\u00edho sypan\u00e9ho \u010dern\u00e9ho \u010daje, kde se po zchlazen\u00ed na jeho povrchu tvo\u0159\u00ed tenk\u00e1 blanka. Po jej\u00edm odstran\u011bn\u00ed se tento \u010daj pln\u00fd t\u0159\u00edslovin pou\u017e\u00edv\u00e1 k chladiv\u00fdm obklad\u016fm n\u011bkolikr\u00e1t denn\u011b do zklidn\u011bn\u00ed, dal\u0161\u00ed postup je pak v z\u00e1sad\u011b stejn\u00fd. <\/p>\n
Ka\u017ed\u00fd paprsek UV z\u00e1\u0159en\u00ed si ale k\u016f\u017ee pamatuje, to je fyzika. Slune\u010dn\u00ed z\u00e1\u0159en\u00ed zp\u016fsobuje \u010dasem pigmentace, projevy st\u00e1rnut\u00ed k\u016f\u017ee a vyvol\u00e1v\u00e1 ko\u017en\u00ed n\u00e1dory, kter\u00e9 pat\u0159\u00ed k t\u011bm v\u016fbec nej\u010dast\u011bji se vyskytuj\u00edc\u00edm v lidsk\u00e9 populaci. Rizikov\u00fdm faktorem pro vznik nemelanomov\u00fdch ko\u017en\u00edch n\u00e1dor\u016f i melanomu je dle sou\u010dasn\u00fdch poznatk\u016f pr\u00e1v\u011b sp\u00e1len\u00ed se na slun\u00ed\u010dku, obzvl\u00e1\u0161\u0165 v d\u011btsk\u00e9m v\u011bku. Proto prevence je opravdu z\u00e1klad. Mysleme v tomhle na budoucnost. <\/p>\n
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[\/et_pb_text][et_pb_text _builder_version=“4.23″ _module_preset=“c1471b09-4a99-4ba4-a621-4bad6a5e9619″ theme_builder_area=“post_content“ hover_enabled=“0″ sticky_enabled=“0″]<\/p>\n
Pokud je po\u0161kozena jen svrchn\u00ed \u010d\u00e1st k\u016f\u017ee, epidermis, nedojde p\u0159i po\u0161kozen\u00ed ke krv\u00e1cen\u00ed a vzniknou maxim\u00e1ln\u011b tenk\u00e9 vodnat\u00e9 puch\u00fd\u0159ky, pak je doba regenerace v \u0159\u00e1du t\u00fddn\u016f. B\u011b\u017en\u011b se uv\u00e1d\u00ed cca t\u0159i t\u00fddny, re\u00e1ln\u011b to ale bude sp\u00ed\u0161e m\u011bs\u00edc a d\u00e9le. V obli\u010deji, kde je epidermis ten\u010d\u00ed, je jej\u00ed regenerace o n\u011bco rychlej\u0161\u00ed. I zde ale plat\u00ed, \u017ee po zhojen\u00ed je jak\u00e1koliv takto po\u0161kozen\u00e1 lokalita n\u00e1chyln\u00e1 je\u0161t\u011b n\u011bkolik m\u011bs\u00edc\u016f k p\u016fsoben\u00ed UV z\u00e1\u0159en\u00ed a mohou vzniknout lo\u017eiska hypo- nebo hyperpigmentace (b\u011blav\u00e9 nebo naopak \u0161edav\u00e9 plo\u0161ky). <\/p>\n
Pokud dojde k po\u0161kozen\u00ed hlub\u0161\u00edch struktur k\u016f\u017ee, je celkov\u00e9 hojen\u00ed del\u0161\u00ed. V p\u0159\u00edpad\u011b vzniku krust se prvotn\u00ed f\u00e1ze hojen\u00ed pohybuje tak\u00e9 v d\u00e9lce n\u011bkolika t\u00fddn\u016f, celkov\u00e9 hojen\u00ed trv\u00e1 ale sp\u00ed\u0161e m\u011bs\u00edce a je zde riziko jizven\u00ed, zp\u016fsoben\u00e9 remodelac\u00ed hlub\u0161\u00edch vrstev k\u016f\u017ee. <\/p>\n
Kdy je tedy t\u0159eba nav\u0161t\u00edvit dermatologa nebo jin\u00e9ho l\u00e9ka\u0159e? Pokud je rozsah posti\u017een\u00ed k\u016f\u017ee v\u011bt\u0161\u00ed, nebo se nach\u00e1z\u00ed v rizikov\u00fdch oblastech \u2013 obli\u010dej, ko\u017en\u00ed z\u00e1hyby, m\u00edsta zap\u00e1\u0159ky. D\u00e1le ur\u010dit\u011b v p\u0159\u00edpadech, kdy doch\u00e1z\u00ed k za\u010derven\u00e1n\u00ed a otoku v okol\u00ed posti\u017een\u00e9 k\u016f\u017ee, a jednozna\u010dn\u011b v p\u0159\u00edpadech, kdy m\u00e1me celkov\u00e9 p\u0159\u00edznaky jako zv\u00fd\u0161en\u00e1 teplota, zimnice, t\u0159esavka! V t\u011bchto p\u0159\u00edpadech je dobr\u00e9 vyhledat l\u00e9ka\u0159skou p\u00e9\u010di prakticky okam\u017eit\u011b. <\/p>\n
Specifick\u00fdm po\u0161kozen\u00edm k\u016f\u017ee jsou pop\u00e1leniny. V dermatologii se s nimi tak \u010dasto nesetk\u00e1me, proto\u017ee pat\u0159\u00ed do p\u00e9\u010de opravdu zku\u0161en\u00fdch dermatolog\u016f, p\u0159\u00edpadn\u011b prim\u00e1rn\u011b do p\u00e9\u010de plastick\u00e9ho chirurga. A m\u00e9 varov\u00e1n\u00ed z praxe? V p\u0159\u00edpad\u011b pop\u00e1leniny i mal\u00e9ho rozsahu, n\u011bkolika centimetr\u016f \u010dtvere\u010dn\u00fdch na t\u011ble, a v p\u0159\u00edpad\u011b pop\u00e1leniny v obli\u010deji kdykoliv, zajd\u011bte si k l\u00e9ka\u0159i hned! <\/p>\n
Pop\u00e1leniny jsou toti\u017e nevypo\u010ditateln\u00e9 a laik si velice \u010dasto mysl\u00ed, \u017ee je to jen za\u010derven\u00e1n\u00ed, kter\u00e9 se brzy zhoj\u00ed. P\u0159ed n\u011bkolika dny k n\u00e1m p\u0159i\u0161la maminka s mladou sle\u010dnou, kter\u00e1 m\u011bla pop\u00e1leninu velikosti pades\u00e1tikoruny v oblasti \u00fastn\u00edho koutku. Bylo to asi p\u0159ed t\u00fddnem, kdy si op\u00e9kala s kamar\u00e1dy marshmallow a ten se j\u00ed hork\u00fd p\u0159ilepil na k\u016f\u017ei obli\u010deje. T\u00fdden hojily pop\u00e1leninu doma sv\u00e9pomoc\u00ed a a\u017e po t\u00fddnu p\u0159i\u0161ly. Pop\u00e1lenina u\u017e byla nekrotick\u00e1, hlubok\u00e1, a sle\u010dna u\u017e s nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed bude m\u00edt na obli\u010deji trvalou jizvu. <\/p>\n
Prevence, selsk\u00fd rozum a nepodcen\u011bn\u00ed pop\u00e1lenin \u2013 to je moje d\u016fle\u017eit\u00e9 doporu\u010den\u00ed z praxe.<\/p>\n
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O poko\u017ece v\u011bt\u0161inou p\u0159em\u00fd\u0161l\u00edme hlavn\u011b podle toho, jak vypad\u00e1. Co v\u0161echno ale k\u016f\u017ee pro na\u0161e t\u011blo skute\u010dn\u011b d\u011bl\u00e1? Jak n\u00e1s chr\u00e1n\u00ed, jak se obnovuje a pro\u010d je d\u016fle\u017eit\u00e9, aby z\u016fstala jej\u00ed ochrann\u00e1 bari\u00e9ra neporu\u0161en\u00e1? <\/p>\n","protected":false},"author":4,"featured_media":29516,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[230,94],"tags":[],"ppma_author":[161],"yoast_head":"\n