{"id":4890,"date":"2021-10-28T13:43:26","date_gmt":"2021-10-28T11:43:26","guid":{"rendered":"https:\/\/www.nspbr.sk\/web\/?p=4890"},"modified":"2021-11-23T17:14:07","modified_gmt":"2021-11-23T16:14:07","slug":"covid-19-a-jeho-liecba","status":"publish","type":"post","link":"https:\/\/www.nspbr.sk\/web\/covid-19-a-jeho-liecba\/","title":{"rendered":"COVID-19 a jeho lie\u010dba"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u010co by sme mali vedie\u0165 o ochoren\u00ed COVID-19 a jeho lie\u010dbe<\/h2>\n\n\n\n<p>Nov\u00fd koronav\u00edrus, alebo SARS-CoV-2, u\u017e takmer dva roky ohrozuje cel\u00fd svet. Sp\u00f4sobuje ochorenie, ktor\u00e9 naz\u00fdvame COVID-19. Ide o celkov\u00e9 ochorenie, v\u00edrus nepostihuje len d\u00fdchacie cesty, ale v t\u00fdch naj\u0165a\u017e\u0161\u00edch pr\u00edpadoch cel\u00fd organizmus. Na rozdiel od be\u017en\u00fdch koronav\u00edrusov, ktor\u00e9 sp\u00f4sobuj\u00fa infekcie len horn\u00fdch ciest d\u00fdchac\u00edch a s\u00fa be\u017enou pr\u00ed\u010dinou n\u00e1dchy, boli dodnes izolovan\u00e9 3 koronav\u00edrusy sp\u00f4sobuj\u00face z\u00e1va\u017en\u00e9 ochorenia. Dva z nich sp\u00f4sobili v minulosti len lok\u00e1lne epid\u00e9mie \u2013 SARS (v \u010c\u00edne) a MERS (v Saudskej Ar\u00e1bii), ten tret\u00ed je u\u017e ka\u017edodennou s\u00fa\u010das\u0165ou n\u00e1\u0161ho be\u017en\u00e9ho \u017eivota. Nebudeme sa venova\u0165 p\u00f4vodu v\u00edrusu, zameriame sa na priebeh ochorenia, prevenciu a lie\u010dbu.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"545\" height=\"502\" src=\"https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2020\/03\/4priznaky-covid19.png\" alt=\"\" class=\"wp-image-3320\" srcset=\"https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2020\/03\/4priznaky-covid19.png 545w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2020\/03\/4priznaky-covid19-300x276.png 300w\" sizes=\"auto, (max-width: 545px) 100vw, 545px\" \/><figcaption>koronav\u00edrus zdroj:internet<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Prenos SARS-CoV-2<\/h2>\n\n\n\n<p>V\u00edrus SARS-CoV-2 sa \u0161\u00edri kvap\u00f4\u010dkovou infekciou, hovor\u00edme aj o prenose \u201ez \u010dloveka na \u010dloveka\u201c najm\u00e4 pri dlh\u0161om pobyte v uzavret\u00fdch zle vetran\u00fdch priestoroch a pri \u00fazkom kontakte vo vzdialenosti &lt; 2m a po\u010das &gt; 15 min\u00fat. Prenos je mo\u017en\u00fd aj nepriamo prostredn\u00edctvom kontaktu s predmetmi a povrchmi, ktor\u00e9 boli kontaminovan\u00e9. V takom pr\u00edpade k prenosu d\u00f4jde prostredn\u00edctvom neumyt\u00fdch r\u00fak do nosa, o\u010d\u00ed a \u00fast. V\u00edrus sa s\u00edce vylu\u010duje aj stolicou, ale prenos touto cesto nebol doteraz pop\u00edsan\u00fd.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Priebeh ochorenia<\/h2>\n\n\n\n<p>Ochorenie prebieha v nieko\u013ek\u00fdch f\u00e1zach. Inkuba\u010dn\u00e1 doba do vzniku klinick\u00fdch pr\u00edznakov je 2 \u2013 14 dn\u00ed, priemerne 4 \u2013 5 dn\u00ed. P\u00f4vodne sa predpokladalo, \u017ee a\u017e 80 % \u013eud\u00ed prekon\u00e1 infekciu bez pr\u00edznakov, dnes sa u\u017e vie, \u017ee je to len 17 \u2013 20 %. U v\u00e4\u010d\u0161iny sa sk\u00f4r, \u010di nesk\u00f4r pr\u00edznaky vyvin\u00fa v r\u00f4znej intenzite. Pribli\u017ene plat\u00ed, \u017ee asi len okolo 20 % m\u00e1 \u0165a\u017e\u0161ie pr\u00edznaky a bude vy\u017eadova\u0165 hospitaliz\u00e1ciu.<\/p>\n\n\n\n<p>\u010clovek sa st\u00e1va infek\u010dn\u00fd 1 \u2013 2 dni pred objaven\u00edm pr\u00edznakov (pre-symptomatick\u00e9 \u0161t\u00e1dium) a infek\u010dn\u00fd je e\u0161te 7 dn\u00ed po objaven\u00ed pr\u00edznakov (symptomatick\u00e9 \u0161t\u00e1dium).<strong> Pre-symptomatick\u00fd a symptomatick\u00fd prenos m\u00e1 najv\u00fdznamnej\u0161iu \u00falohu v \u0161\u00edren\u00ed infekcie<\/strong> v porovnan\u00ed s \u013eu\u010fmi bez klinick\u00fdch pr\u00edznakov. <strong>Napriek pretrv\u00e1vaj\u00facej pozitivite PCR testov na koronav\u00edrus, sa doteraz nikde vo svete nepodarilo zachyti\u0165 \u017eivotaschopn\u00fd v\u00edrus po uplynut\u00ed 9 dn\u00ed ochorenia.<\/strong><\/p>\n\n\n\n<p>Po uplynut\u00ed inkuba\u010dnej doby sa vyvinie <strong>symptomatick\u00e9 \u0161t\u00e1dium<\/strong> s necharakteristick\u00fdmi pr\u00edznakmi infekcie d\u00fdchac\u00edch ciest (podobn\u00e9 chr\u00edpke). Typick\u00fdm pr\u00edznakom je do\u010dasn\u00e1 strata chuti a \u010duchu. V\u00e4\u010d\u0161ina \u013eud\u00ed sa po tomto \u0161t\u00e1diu zotav\u00ed, neprech\u00e1dza do \u010fal\u0161ej f\u00e1zy, najm\u00e4 ak u\u017e\u00edva odpor\u00fa\u010dan\u00fa vitam\u00ednov\u00fa a podporn\u00fa lie\u010dbu.<\/p>\n\n\n\n<p>Tretia f\u00e1za \u2013 <strong>v\u010dasn\u00e9 p\u013e\u00facne \u0161t\u00e1dium<\/strong> \u2013 vznik\u00e1 u cca 20% infikovan\u00fdch \u013eud\u00ed. To, \u010di \u010dlovek bude ma\u0165 \u0165a\u017e\u0161\u00ed priebeh z\u00e1vis\u00ed od mnoh\u00fdch faktorov \u2013 ve\u013ekos\u0165 infek\u010dnej d\u00e1vky, stavu imunity, pr\u00edtomnosti pridru\u017een\u00fdch ochoren\u00ed,\u00a0skr\u00ed\u017eenej imunity na koronav\u00edrusov\u00e9 infekcie prekonan\u00e9 v\u00a0minulosti a o\u010dkovanie. V\u00fdznamn\u00fdmi rizikov\u00fdmi faktormi s\u00fa ochorenia srdcovocievneho syst\u00e9mu, obezita a cukrovka. V\u010dasn\u00e9 p\u013e\u00facne \u0161t\u00e1dium sa prejav\u00ed du\u0161nos\u0165ou na 5. \u2013 8. de\u0148 ochorenia. Stav chor\u00e9ho \u010dloveka sa nezlep\u0161uje, pr\u00e1ve naopak, pretrv\u00e1vaj\u00fa hor\u00fa\u010dky a pridru\u017euje sa du\u0161nos\u0165. V tomto \u0161t\u00e1diu v\u00edrus u\u017e sp\u00f4sobil po\u0161kodenie p\u013e\u00fac (v\u00edrusov\u00fd z\u00e1pal p\u013e\u00fac) a postupne sa stup\u0148uje neregulovan\u00e1 imunitn\u00e1 reakcia so v\u0161etk\u00fdmi d\u00f4sledkami, tzv. cytok\u00ednov\u00e1 b\u00farka. \u010c\u00edm nesk\u00f4r \u010dlovek pr\u00edde do nemocnice, t\u00fdm nesk\u00f4r je mu podan\u00e1 komplexn\u00e1 lie\u010dba a po\u0161kodenie p\u013e\u00fac je ove\u013ea z\u00e1va\u017enej\u0161ie \u2013 ochorenie prech\u00e1dza do <strong>neskor\u00e9ho p\u013e\u00facneho \u0161t\u00e1dia<\/strong>, ktor\u00e9 sa m\u00f4\u017ee kon\u010di\u0165 aj smr\u0165ou. Nezriedka je v tomto \u0161t\u00e1diu priebeh komplikovan\u00fd vznikom krvn\u00fdch zrazen\u00fdch, ktor\u00e9 sa prejavia postihnut\u00edm r\u00f4znych org\u00e1nov v z\u00e1vislosti od rozsahu a lokaliz\u00e1cie zr\u00e1\u017eania krvi.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"955\" height=\"848\" src=\"https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2021\/03\/casovy-pirebeh-sars-cov-2.png\" alt=\"\" class=\"wp-image-4891\" srcset=\"https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2021\/03\/casovy-pirebeh-sars-cov-2.png 955w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2021\/03\/casovy-pirebeh-sars-cov-2-300x266.png 300w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2021\/03\/casovy-pirebeh-sars-cov-2-768x682.png 768w\" sizes=\"auto, (max-width: 955px) 100vw, 955px\" \/><figcaption>\u010cASOV\u00dd PRIEBEH INFEKCIE SARS-COV-2<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Prevencia COVID-19<\/h2>\n\n\n\n<p>Na lie\u010dbu a&nbsp;prevenciu ochorenia s\u00fa vo svete r\u00f4zne n\u00e1zory. \u010cas\u0165 sveta na lie\u010dbu pou\u017e\u00edva protokoly vytvoren\u00e9 alianciou FLCCC (Front line COVID-19 critical care alliance; <a href=\"https:\/\/covid19criticalcare.com\/covid-19-protocols\/\">https:\/\/covid19criticalcare.com\/covid-19-protocols\/<\/a>) pod veden\u00edm uzn\u00e1van\u00e9ho celosvetov\u00e9ho odborn\u00edka v&nbsp;odbore intenz\u00edvnej medic\u00edny, lek\u00e1ra Paula Marika z&nbsp;USA, ktor\u00fd patr\u00ed medzi najpublikovanej\u0161\u00edch svetov\u00fdch vedcov. Spolo\u010dne so svojim t\u00edmom vytvorili tzv. \u201eMATH+\u201c protokol na lie\u010dbu hospitalizovan\u00fdch pacientov a \u201eI-MASK+\u201c protokol (<a href=\"https:\/\/covid19criticalcare.com\/covid-19-protocols\/i-mask-plus-protocol\/\">https:\/\/covid19criticalcare.com\/covid-19-protocols\/i-mask-plus-protocol\/<\/a>) na prevenciu a&nbsp;v\u010dasn\u00fa lie\u010dbu v&nbsp;dom\u00e1com prostred\u00ed. Protokoly sa neust\u00e1le aktualizuj\u00fa, tak ako prich\u00e1dzaj\u00fa nov\u00e9 poznatky. V&nbsp;tabu\u013eke ni\u017e\u0161ie je uveden\u00e9 odpor\u00fa\u010dan\u00e9 pod\u00e1vanie vitam\u00ednov a&nbsp;podporn\u00e1 lie\u010dba v&nbsp;prevencii \u2013 napr. ak bol \u010dlovek v&nbsp;kontakte s&nbsp;pozit\u00edvnym \u010dlovekom, alebo je pozit\u00edvny jeden z&nbsp;\u010dlenov spolo\u010dnej dom\u00e1cnosti.<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td><strong>Liek<\/strong><\/td><td><strong>Odpor\u00fa\u010dan\u00e9 d\u00e1vkovanie<\/strong><\/td><td><strong>Pozn\u00e1mka<\/strong><\/td><\/tr><tr><td><strong>Vitamin D3<\/strong><\/td><td><strong>1.000 \u2013 3.000 IU\/de\u0148<\/strong><br>(najlep\u0161ie s jedlom)<\/td><td>Po\u010det kvapiek\/tabletiek z\u00e1vid\u00ed od<br>konkr\u00e9tneho lieku<\/td><\/tr><tr><td><strong>Vitam\u00edn C<\/strong><\/td><td><strong>500-1.000 mg 2 x denne<\/strong><\/td><td><\/td><\/tr><tr><td><strong>Zinok<\/strong><\/td><td><strong>30-40 mg denne<\/strong><\/td><td><\/td><\/tr><tr><td><strong>B-komplex<\/strong><\/td><td><strong>1 x denne<\/strong><\/td><td><\/td><\/tr><tr><td>Quercetin<\/td><td>250 mg 1x denne<\/td><td><\/td><\/tr><tr><td><strong>V\u00fdplachy dutiny \u00fastnej \u00fastnou vodou 2 x denne po kontakte s&nbsp;pozit\u00edvnym.<\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td><strong>Pravideln\u00e9 u\u017e\u00edvanie pr\u00edpravkov na podporu imunity, napr. rasca \u010dierna (black seed), v\u00fd\u017eivov\u00e9 doplnky (Covirin a&nbsp;in\u00e9)<\/strong><\/td><td><\/td><td><\/td><\/tr><\/tbody><\/table><figcaption>Tabu\u013eka \u010d. 1 Prevencia COVID-19<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/02\/3109241_1200x-1024x683.jpeg\" alt=\"\" class=\"wp-image-1756\" srcset=\"https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/02\/3109241_1200x-1024x683.jpeg 1024w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/02\/3109241_1200x-300x200.jpeg 300w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/02\/3109241_1200x-768x512.jpeg 768w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/02\/3109241_1200x.jpeg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>ilustra\u010dn\u00fd obr\u00e1zok, zdroj:internet<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Vitam\u00edn D<\/h3>\n\n\n\n<p>Vitam\u00edn D je d\u00f4le\u017eit\u00fdm vitam\u00ednom pri prevencii proti v\u00edrusov\u00fdm ochoreniam. Ve\u013ek\u00fdm probl\u00e9mom je, \u017ee jeho nedostatkom dlhodobo trpia takmer v\u0161etci. Vznik vplyvom slne\u010dn\u00e9ho \u017eiarenie jednoducho nesta\u010d\u00ed. Je ve\u013emi d\u00f4le\u017eit\u00e9, aby v\u0161etci \u013eudia prevent\u00edvne u\u017e\u00edvali vitam\u00edn D dlhodobo. Ak sa \u010dlovek infikuje koronav\u00edrusom a m\u00e1 dostato\u010dn\u00e9 hladiny vitam\u00ednu D e\u0161te pred infekciou, priebeh ochorenia je \u013eah\u0161\u00ed. Za\u010da\u0165 u\u017e\u00edva\u0165 vitam\u00edn D a\u017e po infikovan\u00ed je neskoro. Prevent\u00edvne sa odpor\u00fa\u010da u\u017e\u00edva\u0165 1.000 a\u017e 3.000 IU (medzin\u00e1rodn\u00fdch jednotiek) vitam\u00ednu D. Mus\u00edme si da\u0165 pozor, ak\u00fa formu vitam\u00ednu D sme si zak\u00fapili, preto\u017ee maj\u00fa r\u00f4zny obsah vitam\u00ednu D. Bli\u017e\u0161ie inform\u00e1cie V\u00e1m ur\u010dite poskytn\u00fa a poradia V\u00e1m v ktorejko\u013evek lek\u00e1rni. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Vitam\u00edny B a C, paracetamol<\/h3>\n\n\n\n<p>Vitam\u00edn C je d\u00f4le\u017eit\u00fd antioxidant a vitam\u00edny skupiny B podporuj\u00fa energetick\u00fd metabolizmus, chr\u00e1nia srdce, mozog a imunitn\u00fd syst\u00e9m.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>V\u010dasn\u00e1 lie\u010dba COVID-19 v&nbsp;dom\u00e1cej karant\u00e9ne<\/strong><\/h2>\n\n\n\n<p>Ak u\u017e je \u010dlovek infikovan\u00fd koronav\u00edrusom SARS-CoV je potrebn\u00e9 za\u010da\u0165 lie\u010dbu \u010do najsk\u00f4r. Podrobne je lie\u010dba na str\u00e1nke <a href=\"https:\/\/covid19criticalcare.com\/covid-19-protocols\/i-mask-plus-protocol\/\">https:\/\/covid19criticalcare.com\/covid-19-protocols\/i-mask-plus-protocol\/<\/a>. Okrem vitam\u00ednovej lie\u010dby sa pou\u017e\u00edvaj\u00fa <strong>lieky na zn\u00ed\u017eenie hor\u00fa\u010dky<\/strong> pod 38 \u00b0C \u2013 strieda sa ka\u017ed\u00fdch 6 \u2013 8 hod\u00edn Paracetamol 500 mg (napr. Paralen, denn\u00e1 d\u00e1vka nesmie prekro\u010di\u0165 4 g) a&nbsp;ibuprof\u00e9n 400 mg alebo Novalgin 500 mg. <strong>Pri ka\u0161li<\/strong> sa odpor\u00fa\u010da ACC long, Ambrobene, Erdomed, Sinupret pod\u013ea toho \u010do pou\u017e\u00edvate rad\u0161ej alebo V\u00e1m konkr\u00e9tny pr\u00edpravok poradia v&nbsp;lek\u00e1rni. V&nbsp;\u00favode ochorenia je vhodn\u00e9 pod\u013ea odpor\u00fa\u010dan\u00ed V\u00e1\u0161ho lek\u00e1ra aj pou\u017eitie <strong>izoprinoz\u00ednu<\/strong>, nesk\u00f4r sa u\u017e neodpor\u00fa\u010da pre riziko podpory prechodu do p\u013e\u00facnej f\u00e1zy, kedy stimul\u00e1cia imunity m\u00f4\u017ee naopak pacientovi u\u0161kodi\u0165.<\/p>\n\n\n\n<p><strong>V&nbsp;prv\u00fdch&nbsp; d\u0148och ochorenia sa protiz\u00e1palov\u00e9 lieky ako s\u00fa kortikoidy<\/strong> (napr. prednizon, metylprednizol\u00f3n) <strong>nesm\u00fa pou\u017e\u00edva\u0165<\/strong>, m\u00f4\u017eu naopak sp\u00f4sobi\u0165 zhor\u0161enie priebehu ochorenia, tie s\u00fa ur\u010den\u00e9 a\u017e pre p\u013e\u00facne \u0161t\u00e1dium, pacient mus\u00ed sp\u013a\u0148a\u0165 tieto krit\u00e9ria: ochorenie prebieha u\u017e 7. \u2013 10. dn\u00ed od prv\u00fdch pr\u00edznakov COVID-19 a&nbsp;z\u00e1rove\u0148 m\u00e1 pacient niektor\u00fd z&nbsp;\u010fal\u0161\u00edch pr\u00edznakov (abnorm\u00e1lny RTG p\u013e\u00fac, du\u0161nos\u0165, satur\u00e1cia krvi meran\u00e1 pulzn\u00fdm oxymetrom 88 \u2013 92 %).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Antibiotik\u00e1<\/h3>\n\n\n\n<p>Mnoho pacientov s ochoren\u00edm COVID-19 sa do\u017eaduje predpisu na antibiotik\u00e1. Av\u0161ak antibiotik\u00e1 s\u00fa lieky proti bakteri\u00e1lnym infekci\u00e1m, <strong>na v\u00edrusy ne\u00fa\u010dinkuj\u00fa.<\/strong> V lie\u010dbe COVID-19 sa be\u017ene antibiotik\u00e1 nepod\u00e1vaj\u00fa, pacientovi v tomto \u0161t\u00e1diu v\u00f4bec nepom\u00f4\u017eu, pr\u00e1ve naopak m\u00f4\u017eu ho ohrozi\u0165 vznikom z\u00e1va\u017en\u00fdch ne\u017eiaducich \u00fa\u010dinkov, napr. po\u0161koden\u00edm \u010drevnej mikrobioty a vznikom \u0165a\u017ek\u00e9ho hna\u010dkovit\u00e9ho ochorenia sp\u00f4soben\u00e9ho Clostridium difficile.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pre \u00faspe\u0161n\u00fa lie\u010dbu COVID-19 je k\u013e\u00fa\u010dov\u00e9 na\u010dasovanie!<\/h2>\n\n\n\n<p><strong><em>Ak sa stav pacienta s&nbsp;COVID-19 najnesk\u00f4r na <\/em><\/strong><strong><em>5.-7. de\u0148 <\/em><\/strong><strong><em>nelep\u0161\u00ed, sk\u00f4r naopak doch\u00e1dza zhor\u0161ovaniu stavu, pretrv\u00e1vaniu vysok\u00fdch tepl\u00f4t <\/em><\/strong><strong><em>nad 38 \u00b0C viac ako 5 dn\u00ed ,&nbsp;<\/em><\/strong><strong><em>vzniku du\u0161nosti a&nbsp;nedostatku kysl\u00edka, je potrebn\u00e9 okam\u017eite \u00eds\u0165 do nemocnice.<\/em><\/strong> V&nbsp;tomto \u0161t\u00e1diu u\u017e doch\u00e1dza k&nbsp;postihnutiu p\u013e\u00fac a&nbsp;je nevyhnutn\u00e9 \u010do najsk\u00f4r za\u010da\u0165 komplexn\u00fa protiz\u00e1palov\u00fa (kortikoidy) a&nbsp;antikoagula\u010dn\u00fa lie\u010dbu pod\u013ea nemocni\u010dn\u00e9ho protokolu. Inak sa postihnutie p\u013e\u00fac \u010falej zhor\u0161uje, pridru\u017euj\u00fa sa komplik\u00e1cie a&nbsp;potom u\u017e m\u00f4\u017ee by\u0165 neskoro.<\/p>\n\n\n\n<p>Vhodn\u00e9 je aby pacient mal doma k&nbsp;dispoz\u00edcii pulzn\u00fd oxymeter a&nbsp;dok\u00e1zal si monitorova\u0165 priebeh ochorenia. <strong>Ak satur\u00e1cia kysl\u00edka je ni\u017e\u0161ia ako 88%, je potrebn\u00e9 aby pacient vyh\u013eadal neodkladn\u00fa zdravotn\u00fa pomoc.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td><strong>Liek<\/strong><\/td><td><strong>Odpor\u00fa\u010dan\u00e9 d\u00e1vkovanie<\/strong><\/td><td><strong>Pozn\u00e1mka<\/strong><\/td><\/tr><tr><td><strong>Vitamin D3<\/strong><\/td><td><strong>5.000 IU\/de\u0148<\/strong><br>(najlep\u0161ie s jedlom)<\/td><td>Po\u010det kvapiek\/tabletiek z\u00e1vid\u00ed od konkr\u00e9tneho lieku<\/td><\/tr><tr><td><strong>Vitam\u00edn C <\/strong><\/td><td>500 &#8211; 1<strong>.000 mg 2x denne<\/strong><\/td><td><\/td><\/tr><tr><td><strong>Zinok<\/strong> <\/td><td><strong>100 mg denne<\/strong><\/td><td><\/td><\/tr><tr><td><strong>Anopyrin<\/strong><\/td><td><strong>300 mg\/de\u0148<\/strong><\/td><td>U\u017e\u00edva\u0165 ak nie s\u00fa kontraindik\u00e1cie (vredov\u00e1 choroba<br>\u017eal\u00fadka a dvan\u00e1storn\u00edka, zv\u00fd\u0161en\u00e1 krv\u00e1cavos\u0165,<br>poruchy funkcie obli\u010diek, pe\u010dene, deti do 18 rokov a<br>in\u00e9) alebo ak \u010dlovek neu\u017e\u00edva in\u00e9 lieky proti zr\u00e1\u017eaniu<br>krvi (pora\u010fte sa s lek\u00e1rom).<\/td><\/tr><tr><td><strong>B-komplex<\/strong><\/td><td><strong>1 x denne<\/strong><\/td><td><\/td><\/tr><tr><td>Melaton\u00edn<\/td><td>10 mg pred span\u00edm<\/td><td><\/td><\/tr><tr><td><strong>Quercetin<\/strong><\/td><td><strong>250 mg 2 x denne<\/strong><\/td><td><\/td><\/tr><tr><td><strong>V\u00fdplachy dutiny \u00fastnej \u00fastnou vodou 3 x denne, napr. s&nbsp;obsahom chl\u00f3rhexid\u00ednu (zak\u00fapite v&nbsp;lek\u00e1rni)<\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td><strong>Pravideln\u00e9 u\u017e\u00edvanie pr\u00edpravkov na podporu imunity, napr. rasca \u010dierna (black seed), med, v\u00fd\u017eivov\u00e9 doplnky (Covirin a&nbsp;in\u00e9)<\/strong><\/td><td><\/td><td><\/td><\/tr><\/tbody><\/table><figcaption>Tabu\u013eka \u010d. 2 V\u010dasn\u00e1 lie\u010dba COVID-19 v dom\u00e1cej karant\u00e9ne<\/figcaption><\/figure>\n\n\n\n<p>Aktualiz\u00e1cia d\u0148a 22.11.2021<\/p>\n\n\n\n<div class=\"wp-block-image is-style-rounded\"><figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"294\" height=\"300\" src=\"https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/11\/PB100355-Autorka-s-knihou-e1585569879185-294x300.jpg\" alt=\"\" class=\"wp-image-3071\" srcset=\"https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/11\/PB100355-Autorka-s-knihou-e1585569879185-294x300.jpg 294w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/11\/PB100355-Autorka-s-knihou-e1585569879185-768x783.jpg 768w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/11\/PB100355-Autorka-s-knihou-e1585569879185-1005x1024.jpg 1005w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/11\/PB100355-Autorka-s-knihou-e1585569879185-1507x1536.jpg 1507w, https:\/\/www.nspbr.sk\/web\/wp-content\/uploads\/2019\/11\/PB100355-Autorka-s-knihou-e1585569879185-2010x2048.jpg 2010w\" sizes=\"auto, (max-width: 294px) 100vw, 294px\" \/><figcaption>MUDr. Zuzana K\u00f3nyov\u00e1, klinick\u00fd mikrobiol\u00f3g NsP Brezno, n.o.<\/figcaption><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u010co by sme mali vedie\u0165 o ochoren\u00ed COVID-19 a jeho lie\u010dbe Nov\u00fd koronav\u00edrus, alebo SARS-CoV-2, u\u017e takmer dva roky ohrozuje cel\u00fd svet. Sp\u00f4sobuje ochorenie, ktor\u00e9 naz\u00fdvame COVID-19. Ide o celkov\u00e9 ochorenie, v\u00edrus nepostihuje len d\u00fdchacie cesty, ale v t\u00fdch naj\u0165a\u017e\u0161\u00edch pr\u00edpadoch cel\u00fd organizmus. Na rozdiel od be\u017en\u00fdch koronav\u00edrusov, ktor\u00e9 sp\u00f4sobuj\u00fa infekcie len horn\u00fdch ciest d\u00fdchac\u00edch [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3316,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[36],"tags":[],"class_list":["post-4890","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19"],"_links":{"self":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/4890","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/comments?post=4890"}],"version-history":[{"count":6,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/4890\/revisions"}],"predecessor-version":[{"id":5759,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/4890\/revisions\/5759"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media\/3316"}],"wp:attachment":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media?parent=4890"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/categories?post=4890"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/tags?post=4890"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}