{"id":12394,"date":"2009-07-30T18:00:00","date_gmt":"2009-07-30T18:00:00","guid":{"rendered":""},"modified":"2021-09-24T05:51:10","modified_gmt":"2021-09-24T07:51:10","slug":"keliautoju-sveikatos-problemos-saugios-keliones-supratimas","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/keliautoju-sveikatos-problemos-saugios-keliones-supratimas\/12394\/","title":{"rendered":"Keliautoj\u0173 sveikatos problemos: saugios kelion\u0117s supratimas"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Audron\u0117 MARCINKUT\u0116, gydytoja infektolog\u0117<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Vilniaus universiteto Infekcini\u0173 lig\u0173, mikrobiologijos ir dermatovenerologijos klinika<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Kiekviena kelion\u0117 ka\u017ekuo praturtina, praple\u010dia akirat\u012f, pagilina mintis, suteikia nauj\u0173 spalv\u0173 jausmams, priver\u010dia dar kart\u0105 susim\u0105styti, po kelioni\u0173 \u017emogus tampa darbingesnis ir sveikesnis.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Kelioni\u0173 medicinos, kaip naujos ir besivystan\u010dios medicinos srities, klinikine praktika \u012fvairiose pasaulio \u0161alyse labai skiriasi. Pastaraisiais metais stengiamasi sukurti keliautoj\u0173 sveikatos prie\u017ei\u016bros standartus, padedan\u010dius gydytojams praktikams formuoti saugios kelion\u0117s<\/span><\/p>\n<p><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">samprat\u0105 visuomen\u0117je.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Dauguma keliautoj\u0173 sveikatos i\u0161saugojim\u0105 kelion\u0117s metu supranta kaip pasiskiepijim\u0105 nuo kai kuri\u0173 pavojing\u0173 lig\u0173. \u017dinomi keturi pasiruo\u0161imo kelionei etapai:<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l2 level1 lfo4; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u012fvertinama keliautojo sveikata;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l2 level1 lfo4; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">kruop\u0161\u010diai analizuojamas kelion\u0117s mar\u0161rutas;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l2 level1 lfo4; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">sudaromas vakcinacijos planas ir \u012fvertinamos reakcijos po imunizacijos;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l2 level1 lfo4; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u0161vie\u010diama, siekiant u\u017ekirsti keli\u0105 ligoms ir i\u0161saugoti sveikat\u0105 kelion\u0117je.<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Kiekvienas keliautojas turi \u017einoti privalom\u0105 informacij\u0105 apie:<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">vabzd\u017ei\u0173 \u012fkandim\u0173 apsaugos priemones, teising\u0105 j\u0173 panaudojim\u0105;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">maliarij\u0105 ir jos chemoprofi laktik\u0105;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">saugaus maisto ir vandens vartojim\u0105;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">keliautoj\u0173 diar\u0117j\u0105, pirmos pagalbos suteikimo priemones;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">pavojingas lig\u0173 epidemijas kelion\u0117s \u0161alyje;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">aplinkos rizikos veiksnius: vandens telkinius, klimat\u0105, \u012fvairius vabzd\u017eius (ligos vektorius);<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">traumas (ypa\u010d transporto ir \u012fvairi\u0173 gyv\u016bn\u0173 sukeltas).<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Papildoma informacija:<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">kaip kelion\u0117je i\u0161laikyti bendr\u0105 sveikat\u0105;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">kokius r\u016bbus ir avalin\u0119 pasiimti;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">keliautojas turi \u017einoti apie savo vartojam\u0173 vaist\u0173 ir chemoprofi laktini\u0173 vaist\u0173 nepageidaujamus poveikius;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">seksualinis aktyvumas ir lytiniu keliu plintan\u010dios ligos;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">pasiimti pirmos pagalbos rinkin\u012f;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">pravartu pasidom\u0117ti ir apie vietines medicinin\u0117s pagalbos galimybes.<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Informacijos i\u0161samum\u0105 keliautojui lemia kelion\u0117s rizika, jos trukm\u0117, specifi n\u0117s detal\u0117s:<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">glaudus kontaktas su vietiniais gyventojais, apsistojimas kaimo vietov\u0117je;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">auk\u0161tum\u0173 liga;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">kelion\u0117s negalavimai: pykinimas, v\u0117mimas, j\u016bros arba nar\u0173 liga;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">n\u0117\u0161tumas;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">vaikai iki 2 met\u0173;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">imunin\u0117s sistemos sutrikimai;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">sergamumas cukriniu diabetu, emfizema, \u0161irdies ligomis, l\u0117tin\u0117mis vir\u0161kinimo sistemos ligomis: achlorhidrija, asmenys, kuriems atlikta skrand\u017eio rezekcija, vartojantys H<\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 7.0pt; mso-ansi-language: LT;\">2 <\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">blokatori\u0173 ir antacidini\u0173 vaist\u0173;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">ne\u012fprasti ar regionui specifi niai patogenai: gr\u0117sming\u0173 lig\u0173 suk\u0117l\u0117jai, \u012fvair\u016bs parazitai.<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Daugelyje \u0161ali\u0173 pagrindin\u0117 keliautojui b\u016btina informacija \u2013 maliarijos chemoprofilaktika, nepageidaujami jos poveikiai, vakcinos, reakcijos po imunizacijos. Besilaikant tarptautini\u0173 kelioni\u0173 medicines susitarim\u0173, kiekvienoje \u0161alyje sukurti keliautoj\u0173 sveikatos prie\u017ei\u016bros standartai pad\u0117s suma\u017einti sergamum\u0105 ir mir\u0161tamum\u0105 nuo gr\u0117sming\u0173 tropini\u0173 ir subtropini\u0173 lig\u0173.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Kasmet daugiau nei 50 milijon\u0173 \u017emoni\u0173 i\u0161 industrini\u0173 \u0161ali\u0173 keliauja \u012f besivystan\u010dias ir egzotines \u0161alis. Keliaujan\u010di\u0173j\u0173 skai\u010dius vis auga. \u0160ios kelion\u0117s s\u0105lygoja rizik\u0105 susirgti <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>, hepatitu A, viduri\u0173 \u0161iltine, leptospiroze, kitomis retomis, bet sunkiomis infekcin\u0117mis ligomis.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Pastaraisiais metais padaug\u0117jo \u0161igelioz\u0117s ir salmonelioz\u0117s atvej\u0173. Taip pat Lietuvoje buvo diagnozuota <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/amebiaze\/56233\">amebiaz\u0117<\/a>, komplikuota amebini\u0173 absces\u0173 susiformavimu, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/viduriu-siltine\/56223\">viduri\u0173 \u0161iltin\u0117<\/a>, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a> (apie pusei pacient\u0173 nustatyta tropin\u0117 <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>, keli pav\u0117luotai \u012f gydytojus kreip\u0119si asmenys mir\u0117), pavieniai lei\u0161manioz\u0117s atvejai (keli asmenys u\u017esikr\u0117t\u0117<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Vidur\u017eiemio j\u016bros pakrant\u0117je). Keli turistai virusiniu A hepatitu u\u017esikr\u0117t\u0117 r\u016bkydami kaljan\u0105 \u2013 prie\u0161 kelion\u0119 jie nieko ne\u017einojo apie skiepus ir \u0161io viruso plitim\u0105 per vanden\u012f, j\u016bros g\u0117rybes, o ypa\u010d moliuskus.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">KELIAUTOJ\u0172 DIAR\u0116JA<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Per metus pasaulyje u\u017eregistruojama &gt;5 mln. keliautoj\u0173 diar\u0117jos atvej\u0173, ta\u010diau ji retai b\u016bna mirtina. Lietuvoje da\u017eniausiai pasitaiko nesaugi\u0173 maisto produkt\u0173 ir vanden\u012f vartojusi\u0173 keliautoj\u0173 diar\u0117jos. Kelioni\u0173 medicinos specialist\u0173 duomenimis, keliaujant \u012f besivystan\u010dias Azijos, Afrikos, Lotyn\u0173 Amerikos \u0161alis, kuriose yra blogos sanitarin\u0117s s\u0105lygos, rizika susirgti diar\u0117ja siekia 30\u201370 proc., keliaujant \u012f Ramiojo vandenyno salas, Piet\u0173 Europ\u0105, Izrael\u012f, Japonij\u0105, Karib\u0173 ir Vidur\u017eemio j\u016br\u0173 pakrantes \u2013 10\u201320 proc. 40 proc. keliaujan\u010di\u0173j\u0173 \u012f besivystan\u010dias \u0161alis suviduriuoja trumpalaik\u0117s kelion\u0117s metu, 70 proc. \u2013 ilgalaik\u0117s kelion\u0117s metu, o 10 proc. keliautoj\u0173 \u2013 gr\u012f\u017edami \u012f namus.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Da\u017eniausiai keliautoj\u0173 diar\u0117ja pasirei\u0161kia viduriavimu 4\u20135 kartus per dien\u0105, jis trunka 3\u20134 dienas. 10\u201320 proc. Keliautoj\u0173 pasitaiko keli\u0173 valand\u0173 <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/viduriavimas-2\/72707\">viduriavimas<\/a>, 20\u201330 proc. \u2013 viduriuoja profuzi\u0161kai (1 l\/ val.). 30 proc. viduriuojan\u010di\u0173 keliautoj\u0173 t\u0119sia kelion\u0119, 40 proc. susirgusi\u0173 keliautoj\u0173 sugr\u012f\u017eta \u012f namus. Kar\u0161\u010diuojantis keliautojas, viduriuojantis su spazmais ir kraujo priemai\u0161a i\u0161matose, privalo kreiptis \u012f gydytoj\u0105. 10 proc. viduriuojan\u010di\u0173 keliautoj\u0173 atsiranda sistemini\u0173 pa\u017eeidim\u0173 \u2013 enterinis kar\u0161\u010diavimas.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Besivystan\u010di\u0173 \u0161ali\u0173 ma\u017eos rizikos (saugus) maistas ir g\u0117rimai (H. L. Du- Pont, 1995):<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">produktai, paruo\u0161ti kar\u0161tuose garuose (&gt;59\u00baC);<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">sausas maistas (duona, sausainiai, d\u017ei\u016bv\u0117siai);<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">daug cukraus turintys produktai (sirupai, d\u017eemai);<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">nulupti vaisiai ir dar\u017eov\u0117s (nulupti paties valgan\u010diojo);<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">rie\u0161ut\u0173 sviestas;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u0161vie\u017ei maisto produktai, atid\u017eiai nuplauti arba i\u0161virti pa\u010di\u0173 keliautoj\u0173;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l4 level1 lfo8; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">karbonizuoti g\u0117rimai, i\u0161pilstyti buteliuose: mineralinis vanduo, sultys, vynas, alus.<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Besivystan\u010di\u0173 \u0161ali\u0173 didel\u0117s rizikos (nesaugus) maistas ir g\u0117rimai (H. L. Du- Pont, 1995):<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l6 level1 lfo9; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">dr\u0117gnas maistas ir maistas, saugomas kambario temperat\u016broje, ypa\u010d bufetuose;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l6 level1 lfo9; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">vaisiai ir dar\u017eov\u0117s su pa\u017eeista odele \u2013 vynuog\u0117s, pomidorai; vaisiai ir dar\u017eov\u0117s su odele ir plaukeliais \u2013 aviet\u0117s, gervuog\u0117s;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l6 level1 lfo9; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">salotos ir kitos nevirtos dar\u017eov\u0117s;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l6 level1 lfo9; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">pada\u017eai ir garnyrai, laikomi atviruose induose ant stalo;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l6 level1 lfo9; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">pienas (kitoks nei paruo\u0161iamas i\u0161 pieno milteli\u0173 su virintu vandeniu ar laikomas at\u0161aldytas po paruo\u0161imo ar indo atidarymo);<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l6 level1 lfo9; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">vanduo i\u0161 \u010diaupo ar ledas;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l6 level1 lfo9; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">g\u0117rimai su ledu;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l6 level1 lfo9; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u0161aldytos \u0161vie\u017eios dar\u017eov\u0117s.<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Ne veltui \u017eymus amerikie\u010di\u0173 infektologas Sh. L. Gorbachas yra pasak\u0119s: \u201eKelion\u0117 praple\u010dia akirat\u012f, bet paleid\u017eia vidurius\u201c. Tod\u0117l labai svarbu i\u0161vengti \u0161ios nemalonios ligos kelion\u0117je, nesumenkinti patirt\u0173 \u012fsp\u016bd\u017ei\u0173 sau ir kitiems.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">KELIAUTOJ\u0172 DIAR\u0116JOS PROFILAKTIKA<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Pagrindinis kiekvieno keliautojo \u0161\u016bkis \u2013 \u201evirti, plauti, nulupti arba u\u017emir\u0161ti!\u201c Besivystan\u010diose \u0161alyse saugus maistas yra tik gerai i\u0161virtas, vanduo Saugus tik 10 min. virintas arba chloruotas. Liugolio tirpalas, jodo tinkt\u016bra arba globamino tablet\u0117s gali b\u016bti vartojamos pagal Lig\u0173 kontrol\u0117s centro nuorodas. Vandeniui i\u0161valyti 5 la\u0161ai 2 proc. jodo tinkt\u016bros \u012fla\u0161inami \u012f 1 l vandens ir palaukiama 30 min., tik tada galima gerti. \u012e kelion\u0119 b\u016btina pasiimti medicinin\u012f rinkin\u012f su geriamaisiais rehidrataciniais tirpalais.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Pasteb\u0117jus vir\u0161kinimo sistemos negalavim\u0173, b\u016btina kreiptis \u012f medikus ir, jeigu yra galimyb\u0117, atlikti i\u0161mat\u0173 tyrimus bakterijoms ir parazitams nustatyti, laikytis grie\u017etos asmens higienos.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\"><a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/cholera\/56219\">CHOLERA<\/a><\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Nuo 1992 m. iki \u0161iol pasaulyje t\u0119siasi 8-oji choleros pandemija. Registruojami choleros atvejai besivystan\u010diose Azijos, Afrikos, Piet\u0173 ir Centrin\u0117s Amerikos \u0161alyse. U\u017ekre\u010diamoji choleros doz\u0117 yra didel\u0117 \u2013 10<\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 6.0pt; mso-ansi-language: LT;\">8 <\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">mikrob\u0173\/ml, tod\u0117l fekalijomis u\u017ekr\u0117stas maistas ir geriamas vanduo yra pagrindinis infekcijos perdavimo veiksnys. J\u016bros maistu (krabai, krevet\u0117s, austr\u0117s) plinta <i>vibrio cholerae<\/i>, El Tor ir O139 Bengal tipai. Choleros profilaktikai svarbu apsaugoti vandens \u0161altinius, laikyti vanden\u012f induose su siaurais kakliukais arba kranais. 2 milijonai keliautoj\u0173 kiekvienais metais rizikuoja susirgti simptomine <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/cholera\/56219\">cholera<\/a>, i\u0161 j\u0173 86\u201399 proc. asmen\u0173 suserga nesunkia diar\u0117ja, besit\u0119sian\u010dia apie 1 savait\u0119. Sunki <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/cholera\/56219\">cholera<\/a> pasirei\u0161kia profuzine (1 l\/val.) vandeninga diar\u0117ja, kuri gali sukelti gr\u0117sming\u0173 komplikacij\u0173.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Saugus maistas ir vanduo yra pagrindin\u0117s apsaugos priemon\u0117s. D\u0117l ma\u017eos u\u017esikr\u0117timo nuo kit\u0173 keliautoj\u0173 rizikos ir ribotos povakcinin\u0117s apsaugos imunizacija taikoma retai, i\u0161skyrus tik keliautojus, vykstan\u010dius \u012f didel\u0117s rizikos \u0161alis.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">VIDURI\u0172 \u0160ILTIN\u0116<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Klasikinis enterinis kar\u0161\u010diavimas, sukeltas <i>S. typhi<\/i>, vadinamas tifoidiniu kar\u0161\u010diavimu arba viduri\u0173 \u0161iltine. U\u017esikr\u0117timo rizika siekia apie 6 atvejus 100000 keliautoj\u0173. Pagrindiniai infekcijos perdavimo veiksniai yra u\u017ekr\u0117stas vanduo ir maistas. Atkaklus kar\u0161\u010diavimas, galvos skausmas ir <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/kosulys\/56468\">kosulys<\/a> yra da\u017eniausi klinikiniai viduri\u0173 \u0161iltin\u0117s simptomai. \u017darn\u0173 perforacijos ir <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/kraujavimas\/43826\">kraujavimas<\/a> i\u0161 vir\u0161kinimo trakto yra gyvybei gr\u0117smingos viduri\u0173 \u0161iltin\u0117s komplikacijos. Pacientai, sergantys viduri\u0173 \u0161iltine, turi b\u016bti gydomi ligonin\u0117je, sekamos komplikacijos. Lietuvoje pasitaik\u0117 tik pavieni\u0173 \u012fve\u017etini\u0173 atvej\u0173 i\u0161 Indijos, kai turguje buvo valgyta neplaut\u0173 vaisi\u0173. Labai svarbios viduri\u0173 \u0161iltin\u0117s profi laktikos priemon\u0117s yra saugaus maisto ir vandens vartojimas, vakcinacija asmenims, vykstantiems \u012f besivystan\u010dias \u0161alis, kur sanitarin\u0117s s\u0105lygos primityvios arba planuojama pirkti maisto vietiniuose restoranuose ar i\u0161 gatv\u0117s pardav\u0117j\u0173. Vakcin\u0173 veiksmingumas siekia 70 proc.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">VIRUSINIS <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/hepatitas\/4350\">HEPATITAS<\/a> A<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Virusinis <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/hepatitas\/4350\">hepatitas<\/a> A yra veiksmingiausiai vakcinomis valdoma keliautoj\u0173 liga. Rizika susirgti A hepatitu svyruoja nuo 3\u20135 atv. iki 20 atv. 1000 keliautoj\u0173. Aktyvi imunizacija A hepatito vakcina gali apsaugoti nuo \u0161ios ligos 20\u201330 met\u0173. Rekomenduojama skiepytis iki kelion\u0117s likus ma\u017eiausiai 4 savait\u0117ms. \u012e didel\u0117s u\u017esikr\u0117timo rizikos \u0161alis vykstantiems keliautojams iki 28 dien\u0173 po vakcinacijos papildomai rekomenduojama paskirti specifinio imunoglobulino.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\"><a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">MALIARIJA<\/a><\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">40 proc. \u017emoni\u0173 visame pasaulyje rizikuoja susirgti <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>, vadinam\u0105ja pelki\u0173 kar\u0161tine. \u0160i\u0105 lig\u0105 platina <i>Anopheles <\/i>moskit\u0173 patel\u0117s. Kasmet <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a> suserga 300\u2013500 milijon\u0173 \u017emoni\u0173, mir\u0161ta 1\u20132 milijonai. Gyvybei gr\u0117smingiausia parazitoz\u0117 yra tropin\u0117 arba cerebrin\u0117 <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a> (sukeliama <i>Plasmodium falciparum<\/i>), kuri labiausiai paplitusi Afrikoje, pie\u010diau Sacharos dykumos, Azijoje, Lotyn\u0173 Amerikoje. Afrikoje nuo maliarijos mir\u0161ta vienas penkeri\u0173 met\u0173 nesulauk\u0119s vaikas i\u0161 dvide\u0161imties. Mirtys nuo maliarijos sudaro 4 proc. vis\u0173 mir\u010di\u0173<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">pasaulyje.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Lietuvoje nuo 1957 m. registruojama tik \u012fve\u017etin\u0117 <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>, pus\u0119 vis\u0173 atvej\u0173 sudaro tropin\u0117 <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>. Buvo u\u017eregistruoti 2 mirties nuo maliarijos atvejai asmenims, kurie nereguliariai vartojo chemoprofilaktinius vaistus ir sukar\u0161\u010diav\u0119 per v\u0117lai kreip\u0117si \u012f gydytojus. Komos i\u0161tikt\u0105 ligon\u012f retai pavyksta i\u0161gelb\u0117ti nuo mirties. Sunki\u0173, prekomos bei komos b\u016bsenos ligoni\u0173 gydymas komplikuojasi ir priklauso nuo operatyvaus retoms ligoms gydyti b\u016btin\u0173 intravenini\u0173 vaist\u0173 pristatymo. Tod\u0117l keliautojui ypa\u010d svarbu \u017einoti, kad jau pirm\u0105 kar\u0161\u010diavimo par\u0105 b\u016btina atlikti kraujo tyrim\u0105 ir patvirtinti ar atmesti maliarijos diagnoz\u0119, nes tik tada bus laiku paskirtas specifinis gydymas.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Imlumas susirgti <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a> yra visuotinis, suserga visi endemin\u0117se vietov\u0117se gyvenantys u\u017esikr\u0117t\u0119 asmenys, i\u0161skyrus Afrikos juodaod\u017eius, kuri\u0173 eritrocitai turi receptori\u0173 (<i>Duffy <\/i>antigen\u0173), prie kuri\u0173 prikimba plazmodijai, tod\u0117l jie neserga tre\u010diadiene <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>. \u012ekandus u\u017esikr\u0117tusiam moskitui, maliarijos suk\u0117l\u0117jai kraujo srove patenka \u012f kepen\u0173 l\u0105steles, v\u0117liau \u012f krauj\u0105 ir \u012fsiskverbia \u012f eritrocitus. Juose suk\u0117l\u0117jai dauginasi geometrine progresija, kol \u0161ie sprogsta \u012f krauj\u0105 i\u0161mesdami nauj\u0105 parazit\u0173 bang\u0105, galin\u010di\u0105 ir v\u0117l pa\u017eeisti sveikus eritrocitus. Masinio eritrocit\u0173 \u017euvimo metu \u012f krauj\u0105 patenkantys suk\u0117l\u0117jai ir nuodingi<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">j\u0173 apykaitos produktai sukelia kar\u0161\u010diavimo priepuolius. Tokie ciklai kartojasi kas 48\u201372 val. Ir sukelia periodinius arba sinchroninius maliarinio drugio priepuolius. Asmenims, kuri\u0173 imunine sistema pa\u017eeista, kar\u0161\u010diavimo priepuoliai gali b\u016bti ir nereguliar\u016bs. Toki\u0173 pacient\u0173 i\u0161gyvenamumo prognoz\u0117 yra bloga, ypa\u010d sergant tropine <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Tropin\u0117s maliarijos suk\u0117l\u0117jas pa\u017eeid\u017eia bet kokio am\u017eiaus eritrocitus, sukeldamas didel\u0119 parazitemij\u0105 ir ma\u017eakraujyst\u0119. Liga greitai progresuoja iki komos, nes kraujyje susidaro kam\u0161\u010diai (rozet\u0117s), u\u017ekem\u0161antys smegen\u0173 (cerebrin\u0117 <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>) ir kit\u0173 gyvybi\u0161kai svarbi\u0173 organ\u0173 kapiliarus. Kitos trys maliarijos r\u016b\u0161ys \u2013 tre\u010diadien\u0117, ovalin\u0117 ir ketvirtadien\u0117 \u2013 i\u0161sekina ligon\u012f kas 48\u201372 val. besikartojan\u010diais kar\u0161\u010diavimo priepuoliais, ta\u010diau da\u017eniausiai jos neb\u016bna mirtinos.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">U\u017esikr\u0117tus tropine <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a> susergama po 5\u201320 d., galima susirgti ir pirmos savait\u0117s pabaigoje. Kit\u0173 maliarijos plazmodij\u0173 sukeltas susirgimas prasideda po u\u017esikr\u0117timo pra\u0117jus 18\u201340 d. ar net kelioms savait\u0117ms. B\u016btina dar kart\u0105 pa\u017eym\u0117ti, kad gr\u012f\u017eus i\u0161 endemin\u0117s zonos ir sukar\u0161\u010diavus, pirm\u0105 par\u0105 turi b\u016bti \u012ftarta ir kraujo la\u0161o bei tepin\u0117lio mikroskopija patvirtinta arba atmesta maliarijos diagnoz\u0117, net jei asmuo prie\u0161 kelion\u0119 vartojo profilaktini\u0173 priemoni\u0173 (gali b\u016bti nereguliarus vaist\u0173 vartojimas, neatsi\u017evelgta \u012f maliarijos suk\u0117l\u0117j\u0173 atsparum\u0105 vaistams). Keliaujant \u012f tas \u0161alis, kuriose yra didelis sergamumas <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">maliarija<\/a>, reikia prisiminti \u0161ios ligos keliam\u0105 gr\u0117sm\u0119, vietin\u012f sergamum\u0105 kitomis ligomis ir b\u016bdus, kaip nuo j\u0173 apsisaugoti. PSO maliarijos endeminius kra\u0161tus suskirst\u0117 \u012f A, B ir C zonas <i>(1 pav.)<\/i>.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><img alt=\"Keliautoj\u0173 sveikatos problemos: saugios kelion\u0117s supratimas\" width=\"510\" height=\"355\" \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">Maliarija<\/a> prad\u017eioje gali b\u016bti pana\u0161i \u012f grip\u0105 ir kitas per\u0161alimo ligas, kurioms b\u016bdingas ry\u0161kus prakaitavimas. Maliarijos priepuoliui b\u016bdingi:<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l8 level1 lfo1; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">sinchroninis, kas 48 arba 72 val. besikartojantis, kar\u0161\u010diavimas (ne\u012fprastas, maliarinis drugys);<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l8 level1 lfo1; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">nerimas, apatija;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l8 level1 lfo1; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">galvos skausmas;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l8 level1 lfo1; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">mialgijos;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l8 level1 lfo1; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">diar\u0117ja;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l8 level1 lfo1; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">v\u0117mimas;<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l8 level1 lfo1; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">intensyvus prakaitavimas krentant temperat\u016brai, silpnumas, euforija.<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">Maliarija<\/a> diagnozuojama \u012fvertinus epidemiologinius duomenis, klinikinius simptomus (drugio priepuolius). Kraujyje nustatoma ma\u017eakraujyst\u0117, trombocit\u0173 kiekio suma\u017e\u0117jimas, kepen\u0173 ferment\u0173, bilirubino koncentracijos padid\u0117jimas. Maliarijos diagnoz\u0117 negalima be laboratorinio patvirtinimo (kraujo preparatuose nustatoma parazit\u0173), tod\u0117l maliarinio drugio metu imamas kraujas, nuda\u017eomi paruo\u0161ti kraujo preparatai, mikroskopu surandami ir patvirtinami parazitai eritrocituose. Dirbant su ligonio krauju b\u016btinos apsaugos priemon\u0117s.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">MALIARIJOS PROFILAKTIKA<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/maliarija\/56267\">Maliarija<\/a> neu\u017esikre\u010diama naudojant tinkamas apsaugos priemones. \u0160ios ligos vakcinos kol kas n\u0117ra sukurta, atliekami klinikiniai tyrimai Afrikoje. Pagrindin\u0117 profilaktikos priemon\u0117 \u2013 vengti <i>Anophles <\/i>moskit\u0173, kurie paprastai suaktyv\u0117ja vakare ir nakt\u012f, \u012fkandim\u0173.<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Patariama vilk\u0117ti rankas ir kojas dengian\u010dius r\u016bbus, vengti tamsi\u0173 spalv\u0173, kadangi jos traukia moskitus.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Av\u0117ti kulk\u0161nis dengian\u010dius batus ir m\u016bv\u0117ti kojines.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Neu\u017edengtas k\u016bno vietas papurk\u0161ti specialiomis moskitus atbaidan\u010diomis priemon\u0117mis.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Nepamir\u0161ti atkreipti d\u0117mesio \u012f gamintojo pastabas d\u0117l priemon\u0117s poveikio trukm\u0117s.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Miegoti u\u017esiklojus tinkleliu nuo moskit\u0173, jei \u012fmanoma, impregnuotu. Tinklelio kra\u0161tus r\u016bpestingai paki\u0161ti po \u010diu\u017einiu. \u012esitikinti, ar tinklelyje n\u0117ra skyli\u0173.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Naudotis d\u016bmus skleid\u017eian\u010diomis rit\u0117mis ir skys\u010diais nuo vabzd\u017ei\u0173.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Nakvoti kambariuose, kuriuose negali b\u016bti moskit\u0173 (vie\u0161bu\u010diuose, kuriuose \u012frengta oro kondicionavimo sistema).<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u012esitikinti, kad ant lang\u0173 ir dur\u0173 yra pritvirtinti tinkleliai ir nepamir\u0161ti j\u0173 u\u017edaryti.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l5 level1 lfo2; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Vakarais vengti b\u016bti arti vandens telkini\u0173 ar basein\u0173.<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 11.0pt; mso-ansi-language: LT;\">CHEMIN\u0116S MALIARIJOS PROFILAKTIKOS PRIEMON\u0116S<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><strong><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u00a0<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">PSO vykstantiems \u012f maliarijos endeminio sergamumo B ir C zonas asmenims rekomenduojami vartoti \u0161ie vaistai: meflokvinas, doksiciklinas, atovakvonas\/ prokvanilas <i>(<a href=\"https:\/\/pasveik.lt\/vaistai\/36375\/malarone\/\">Malarone<\/a>)<\/i>, chlorokvinas\/ prokvanilas. Gydytojo paskirt\u0105 preparat\u0105 reikia prad\u0117ti gerti prie\u0161 savait\u0119 iki i\u0161vykimo, vis\u0105 buvimo endemin\u0117je zonoje laik\u0105 ir 4 savaites sugr\u012f\u017eus. Konkretus preparatas parenkamas pagal endemin\u0117je zonoje esam\u0105 u\u017esikr\u0117timo rizik\u0105, maliarijos suk\u0117l\u0117j\u0173 atsparum\u0105 vaistams, nepageidaujamus poveikius, gretutines ligas, keliautoj\u0173 am\u017ei\u0173.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Chemoprofilaktikos veiksmingumas siekia 93\u2013100 proc. Da\u017eniausiai yra vartojamas mefl okvinas po 250 mg vien\u0105 kart\u0105 per savait\u0119. Chemoprofi laktikos priemones galima prad\u0117ti vartoti ir anks\u010diau, pavyzd\u017eiui, prie\u0161 m\u0117nes\u012f iki kelion\u0117s, tuo atveju dar esant namuose galima pasteb\u0117ti nepageidaujam\u0173 vaist\u0173 poveiki\u0173 ir d\u0117l j\u0173 pasikonsultuoti su gydytoju. <i><a href=\"https:\/\/pasveik.lt\/vaistai\/36375\/malarone\/\">Malarone<\/a> <\/i>skiriama tropin\u0117s, mefl okvinui atsparios maliarijos profi laktikai endemin\u0117se maliarijos vietose arba asmenims, kuriems negalima skirti meflokvino, pvz., sergantiems \u0161irdies ritmo sutrikimais, kelion\u0117je vairuosiantiems automobil\u012f, narams ir kt. <i><a href=\"https:\/\/pasveik.lt\/vaistai\/36375\/malarone\/\">Malarone<\/a> <\/i>skiriama 45 min. po valgio, siekiant i\u0161vengti vaisto sukeliamo pykinimo, \u0161leik\u0161tulio vaisto skiriama du kartus per dien\u0105 lygiomis dalimis. <i><a href=\"https:\/\/pasveik.lt\/vaistai\/36375\/malarone\/\">Malarone<\/a> <\/i>vartojamas dien\u0105 prie\u0161 i\u0161vykstant \u012f kelion\u0119 po vien\u0105 tablet\u0119 1 k.\/d., vis\u0105 buvimo kelion\u0117je laik\u0105 \u2013 po vien\u0105 tablet\u0119 1 k.\/d., gr\u012f\u017eus \u012f namus \u2013 dar savait\u0119 po vien\u0105 tablet\u0119 1 k.\/d.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Chemoprofilaktini\u0173 vaist\u0173 paskiria kelioni\u0173 medicinos specialistas, infektologas. Bendrieji patarimai keliautojui, kaip vartoti vaistus.<\/span><\/p>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Prane\u0161kite savo gydytojui, jei esate pastojusi, planuojate pastoti ar \u0161iuo metu maitinate kr\u016btimi.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Prane\u0161kite savo gydytojui, jei esate alergi\u0161kas ar sergate epilepsija, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/depresija\/4455\">depresija<\/a>, kitomis ligomis, ar vartojate antiaritmini\u0173 arba kit\u0173 vaist\u0173 (\u012fskaitant ir nereceptinius).<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Prane\u0161kite savo gydytojui savo kelion\u0117s trukm\u0119, tikslus (jei dirbsite, vairuosite automobil\u012f, nardysite).<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Tabletes visada gerkite tuo pa\u010diu paros metu, geriausia vakare. Jei tablet\u0117s geriamos kart\u0105 per savait\u0119, gerkite jas t\u0105 pa\u010di\u0105 savait\u0117s dien\u0105.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Paklauskite savo gydytojo, kaip tinkamai vartoti vaistus, nuvykus \u012f reikiam\u0105 \u0161al\u012f, kaip elgtis sukar\u0161\u010diavus.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">B\u016btina pasidom\u0117ti kokiomis ligomis dar sergama toje \u0161alyje, ar reikia vakcinacijos nuo kit\u0173 pavojing\u0173 lig\u0173.<\/span><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Jei vykstant \u012f kelion\u0119 reikia vakcinacijos, pasir\u016bpinkite tuo ne v\u0117liau kaip likus 3\u20134 savait\u0117ms iki i\u0161vykimo.<\/span><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">Patariama aktyviai dom\u0117tis \u0161alimi, \u012f kuri\u0105 vykstama, ir saugoti savo sveikat\u0105.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\">\u017durnalas &#8222;Internistas&#8221;<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none;\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT;\"><a href=\"https:\/\/pasveik.lt\/kiti-testai\/sveikos-keliones-ziniu-&lt;a%20href=\">testas<\/a>-\/35263&#8243;&gt;Sveikos kelion\u0117s \u017eini\u0173 <a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/testas\/5228\">testas<\/a>. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Kelioni\u0173 medicinos, kaip naujos ir besivystan\u010dios medicinos srities, klinikine praktika \u012fvairiose pasaulio \u0161alyse labai skiriasi. Pastaraisiais metais stengiamasi sukurti keliautoj\u0173 sveikatos prie\u017ei\u016bros standartus, padedan\u010dius gydytojams praktikams formuoti saugios kelion\u0117s<o:p><\/o:p><\/span> <span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">samprat\u0105 visuomen\u0117je.<o:p><\/o:p><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"site":[],"post_item_type":[27345],"class_list":["post-12394","post","type-post","status-publish","format-standard","hentry","category-be-kategorijos"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/12394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/comments?post=12394"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/12394\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=12394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=12394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=12394"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=12394"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=12394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}