{"id":348,"date":"2008-05-05T00:00:00","date_gmt":"2008-05-04T22:00:00","guid":{"rendered":"http:\/\/followtheroad.com\/lt\/peru-tacna-denge-maliarija-leptospirosis-kas-kur-kada\/"},"modified":"2009-05-23T23:40:42","modified_gmt":"2009-05-23T21:40:42","slug":"peru-tacna-denge-maliarija-leptospirosis-kas-kur-kada","status":"publish","type":"post","link":"https:\/\/followtheroad.com\/lt\/peru-tacna-denge-maliarija-leptospirosis-kas-kur-kada\/","title":{"rendered":"Tacna, Deng\u0117, maliarija, leptospirosis &#8211; kas kur kada ir kaip"},"content":{"rendered":"<p>Mes Tacna miestelyje jau \u0161iek tiek u\u017esibuvom. Pirmomis dienomis svarbiausia buvo apsilankyti pas kai kuriuos daktarus, o paskui ger\u0105 savait\u0119 i\u0161naudojau prigaus interneto prog\u0105 ir programavau asmenyb\u0117s test\u0173 tinklap\u012f, kur\u012f su draugu ir viena psichologe-ra\u0161ytoja i\u0161 JAV ruo\u0161iam\u0117s netrukus paleisti.<\/p>\n<p>Tacnoje pirmas dienas apsistojom pas <a target=\"_blank\" href=\"http:\/\/www.hospitalityclub.org\/\">svetingumo klubo<\/a> nar\u012f Alessandro. Tiksliau, buvom apgyvendinti ant trij\u0173 auk\u0161t\u0173 namo stogo esan\u010diame kambar\u0117lyje. Tur\u0117jom u\u017e kampo vanden\u012f ir kriaukl\u0119, ta\u010diau kiek sud\u0117tingiau su tualetu. Kiekvien\u0105 kart\u0105 reik\u0117davo leistis auk\u0161tu \u017eemiau ir belstis \u012f but\u0105 pas Alessandr\u0105, mat tik ten buvo klozetas. Mes \u0161iaip daug vandens geriam, tad belstis kas dvi-tris valandas nedr\u012fsom. Ijung\u0117m meni\u0161kum\u0105. Na, ne itin meni\u0161kai pasielg\u0117m ir da\u017eniausiai sys\u0105 dar\u0117m \u012f ant stogo rast\u0105 kibir\u0117l\u012f nuo da\u017e\u0173. Kiekvien\u0105 kart\u0105 po ritualo \u012f kriaukl\u0119 gelsv\u0105 sirup\u0105 i\u0161pildavom ir visk\u0105 tvarkingai i\u0161plaudavom, kitaip tariant \u012fkal\u010dius u\u017eglaistydavom. Juk esam i\u0161silavin\u0119&#8230; Tik jei pas Alessandr\u0105 lankysit\u0117s, b\u016bkit geri, nei\u0161duokite m\u016bs\u0173 paslapties.<\/p>\n<div style=\"text-align: center\">\n<a href=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/IMG_0679.JPG\" title=\"on the right side you can see our little room\" class=\"shutterset_\"><img src=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/cache\/IMG_0679.JPG-nggid043003-ngg0dyn-100x0x100-00f0w010c010r110f110r010t010.JPG\" alt=\"on the right side you can see our little room\" title=\"on the right side you can see our little room\" \/><\/a>\t\n\n<a href=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/IMG_0676.JPG\" title=\"Augustas washing our clothes\" class=\"shutterset_\"><img src=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/cache\/IMG_0676.JPG-nggid043002-ngg0dyn-100x0x100-00f0w010c010r110f110r010t010.JPG\" alt=\"Augustas washing our clothes\" title=\"Augustas washing our clothes\" \/><\/a>\t\n\n<a href=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/IMG_0687.JPG\" title=\"writings in mountains\" class=\"shutterset_\"><img src=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/cache\/IMG_0687.JPG-nggid043008-ngg0dyn-100x0x100-00f0w010c010r110f110r010t010.JPG\" alt=\"writings in mountains\" title=\"writings in mountains\" \/><\/a>\t\n\n<a href=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/IMG_0685.JPG\" title=\" \" class=\"shutterset_\"><img src=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/cache\/IMG_0685.JPG-nggid043006-ngg0dyn-100x0x100-00f0w010c010r110f110r010t010.JPG\" alt=\"IMG_0685\" title=\"IMG_0685\" \/><\/a>\t\n\n<a href=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/IMG_0683.JPG\" title=\"we love clean clothes!\" class=\"shutterset_\"><img src=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/cache\/IMG_0683.JPG-nggid043004-ngg0dyn-100x0x100-00f0w010c010r110f110r010t010.JPG\" alt=\"we love clean clothes!\" title=\"we love clean clothes!\" \/><\/a>\t\n\n<p><\/div>\n<p><\/p>\n<div class=\"wp-caption alignleft\" style=\"width: 110px;\">\n<a href=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/IMG_0704.JPG\" title=\" \" class=\"shutterset_\"><img src=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/tacna\/cache\/IMG_0704.JPG-nggid043013-ngg0dyn-100x0x100-00f0w010c010r110f110r010t010.JPG\" alt=\"IMG_0704\" title=\"IMG_0704\" \/><\/a>\t\n<p class=\"wp-caption-text\"> <\/p><\/div>\n\n<p>Po keletos dien\u0173 persikraust\u0117m pas Oskaro (Oscar) \u0161eimyn\u0105. Oskaras &#8211; tai i\u0161 Taknos kil\u0119s <\/p>\n<div class=\"wp-caption alignright\" style=\"width: 110px;\">\n<a href=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/rio_napo\/angoteros\/IMG_9322.JPG\" title=\"happy doctor Oscar in front of the health center\" class=\"shutterset_\"><img src=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/rio_napo\/angoteros\/cache\/IMG_9322.JPG-nggid042681-ngg0dyn-100x0x100-00f0w010c010r110f110r010t010.JPG\" alt=\"happy doctor Oscar in front of the health center\" title=\"happy doctor Oscar in front of the health center\" \/><\/a>\t\n<p class=\"wp-caption-text\">happy doctor Oscar in front of the health center<\/p><\/div>\n\n<p>daktaras, kur\u012f vasario prad\u017eioje susipa\u017einome d\u017eiungli\u0173 kaimelyje ant Napo up\u0117s kranto &#8211; Angoteros. Su juo pastoviai palaikydavom ry\u0161\u012f, ypa\u010d kai d\u017eiungl\u0117se a\u0161 susirgau maliarija ir kitomis ligomis. O kadangi dar b\u016bnant Angoteros mums Oskaras pasak\u0117 &#8222;kai b\u016bsit Taknoje &#8211; ten jau turit namus &#8211; gal\u0117sit apsistoti pas mano \u0161eimyn\u0105&#8221;, tad jo kvietimu ir pasinaudojom. \u0160iek tiek <a href=\"http:\/\/followtheroad.com\/en\/connect\/oscar-david-alarico-zeballos\/\">daugiau apie Oscar\u0105<\/a> (angli\u0161kai) rasite m\u016bs\u0173 &#8222;Sujunkime pasaul\u012f&#8221; projekto puslapyje.<\/p>\n<p>\u0160iaip ne veltui prad\u0117jau apie daktarus. \u0160ioje \u017einut\u0117je nor\u0117jau trumpai pasidalinti paskutiniais m\u0117nesiais persirgt\u0173 lig\u0173 ataskaita. Na o <a target=\"_blank\" href=\"http:\/\/www.lrytas.lt\/-12115188431210964493-p1-Kelion%C4%97s-Gyvenimas-kelion%C4%97je-2-Apie-Peru-ligonines-ir-klinikas-nuotraukos.htm\">\u010dia skaitykite apie Peru ligonines kiek detaliau<\/a>.<\/p>\n<p>Gal pirmiausia prad\u0117kime nuo to, jog m\u016bs\u0173 lig\u0173 virtin\u0119 Peru teritorijoje inicijavau a\u0161 susirgdamas ka\u017ekuom neai\u0161kiu. <a href=\"http:\/\/followtheroad.com\/lt\/apie-tai-kaip-denge-su-maliarija-susidraugavo\/\">Kaip jau \u017einot<\/a> Iquitos d\u017eiungli\u0173 didmiestyje prad\u0117jau kar\u0161\u010diuoti ir 4 dienas i\u0161 eil\u0117s daktarai nelabai \u017einojo kas man darosi. Ne\u017einojo k\u0105 patarti, tad diagnozavo prad\u017eiai <a target=\"_blank\" href=\"http:\/\/en.wikipedia.org\/wiki\/Dengue_fever\">Deng\u0117s (tropin\u0119) kar\u0161tlig\u0119<\/a>, ta\u010diau daug jos simptom\u0173 netur\u0117jau. Na, bent jau mes kiek lengviau pasijaut\u0117m. Galiausiai garsiai <a href=\"http:\/\/followtheroad.com\/lt\/apie-tai-kaip-denge-su-maliarija-susidraugavo\/\">skelbiau<\/a>, kad sirgau Denge ir maliarija (pastar\u0105j\u0105 kraujyje rado \u0161e\u0161ta dien\u0105). Tomis dienomis buvau \u012ftrauktas \u012f tyrim\u0173 program\u0105, kuri\u0105 vykdo JAV j\u016brini\u0173 paj\u0117g\u0173 <a target=\"_blank\" href=\"http:\/\/www.nmrcd.med.navy.mil\/intro.htm\">mokslinis centras NAMRI<\/a> (nesu tikras kaip i\u0161si\u0161ifruoja). Jei konkre\u010diau, jie pa\u0117m\u0117 mano krauj\u0105 ir pa\u017ead\u0117jo per m\u0117nes\u012f i\u0161sia\u0161kinti ar a\u0161 i\u0161 tikr\u0173j\u0173 sergu Denge (tyrimas u\u017etrunka kelias savaites). Tuo pat metu Iquitos ligonin\u0117s epidemologijos skyrius pa\u0117m\u0117 mano krauj\u0105 ligos pavadinimu <a target=\"_blank\" href=\"http:\/\/en.wikipedia.org\/wiki\/Leptospirosis\">Leptospirosis<\/a> tyrimams. \u0160itos ligos taip greitai neatpa\u017einsi, jai diagnozuoti reikalingos 3-4 savaites.<\/p>\n<p>Taigi, ten ka\u017ekur d\u017eiungl\u0117se maniau, kad sergu Denge ir maliarija, ta\u010diau po m\u0117nesio, kai jau buvom Limoje, su\u017einojau, kad:<\/p>\n<p>A.<span style=\"font-weight: bold\"> Deng\u0117s rezultatas<\/span> &#8211; <span style=\"font-weight: bold;color: rgb(0, 128, 0)\">NEIGIAMAS<\/span><br \/>B.<span style=\"font-weight: bold\"> Leptospirosis &#8211; <\/span><span style=\"font-weight: bold;color: rgb(255, 0, 0)\">TEIGIAMAS<\/span><\/p>\n<p>Jei Dengei gydymo n\u0117ra (ji pati pasitraukia), tai Leptospirosis yra gan pavojinga jei ji nepadabojama i\u0161 anksto. \u010cia \u0161ioks toks u\u017eburtas ratas gaunas &#8211; \u0161iai ligai diagnozuoti prireikia 20-30 dien\u0173, o laiku neprad\u0117jus gerti atitinkam\u0173 antibijotik\u0173 (doxiciclino), \u0161is parazitas gali gana rimtai \u012fsiskverbti \u012f kepenis, inkstus ir visur kitur, ko pasekm\u0117je \u017emon\u0117s net ir mir\u0161ta. Leptospirosis parazit\u0105 kartais ne\u0161ioja u\u017ekr\u0117sti gyv\u016bnai &#8211; tokie kaip \u017eiurk\u0117s, \u0161unys ir kiti (labiau aktualu tropikuose). \u017dmon\u0117s \u0161i\u0105 blogyb\u0119 gali gauti geriant u\u017ekr\u0117st\u0105 vanden\u012f, arba, pavyzd\u017eiui, gyv\u016bno sysalui patekus ant atviros \u017eaizdos odoje.<\/p>\n<p>A\u0161 Leptospirosis apsikr\u0117sti tur\u0117jau du \u0161ansus:<\/p>\n<div class=\"wp-caption alignright\" style=\"width: 110px;\">\n<a href=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/rio_napo\/angoteros\/IMG_9225.JPG\" title=\"pharmacist and doctor Oscar from Puesto de Salud (health center)\" class=\"shutterset_\"><img src=\"https:\/\/followtheroad.com\/lt\/photos\/2008\/peru\/rio_napo\/angoteros\/cache\/IMG_9225.JPG-nggid042648-ngg0dyn-100x0x100-00f0w010c010r110f110r010t010.JPG\" alt=\"pharmacist and doctor Oscar from Puesto de Salud (health center)\" title=\"pharmacist and doctor Oscar from Puesto de Salud (health center)\" \/><\/a>\t\n<p class=\"wp-caption-text\">pharmacist and doctor Oscar from Puesto de Salud (health center)<\/p><\/div>\n\n<p><span style=\"font-weight: bold\">1. Per vanden\u012f.<\/span> Angoteros kaimelyje vien\u0105 dien\u0105 taip ilgai ir baisiai lijo, jog nusprend\u0117m prisirinkti didel\u012f kiek\u012f lietaus vandens, kur\u012f v\u0117liau dezinfekavome ir g\u0117r\u0117me. Kai nuo vietin\u0117s sveikatos centro pastato (Oskaro ofiso) \u012f puodus rinkom vanden\u012f, Oskaras mus persp\u0117jo &#8211; &#8222;gan ilgai netur\u0117jom lietaus, tad stogas pilnas \u017eiurk\u0173 i\u0161mat\u0173, jei renkat vanden\u012f, palaukit \u0161iek tiek kol stogas apsiplaus&#8230; O jei atvirai, \u0161io vandens nerekomenduo\u010diau.&#8221;.<\/p>\n<p><a target=\"_blank\" href=\"http:\/\/followtheroad.com\/photos\/2008\/peru\/IMG_0711.JPG\"><img decoding=\"async\" border=\"1\" align=\"right\" alt=\"\" src=\"http:\/\/followtheroad.com\/thumb\/thumb.php?src=..\/photos\/2008\/peru\/IMG_0711.JPG&amp;w=100\"><\/a><span style=\"font-weight: bold\">2. Per kiauras tapkes.<\/span> Viena i\u0161 mano mandr\u0173 \u0161lepe\u010di\u0173, kurias pirkau <a href=\"http:\/\/followtheroad.com\/lt\/uzpuolimas-si-karta-tikras\/\">prie\u0161 metus Kosta Rikoje<\/a>, jau ilgiau nei pusmet\u012f puikuojasi ma\u017ea skylute pade. Tad jei vaik\u0161tau be kojini\u0173, pro t\u0105 skylut\u0119 lenda dulk\u0117s ir gatv\u0117s purvas. Prakti\u0161kai visuomet su jomis vaik\u0161\u010diojau ir kelion\u0117je per d\u017eiungles. Ten kaimeliuose gyvendavom pas \u017emones, tad jei eidavau \u012f tualet\u0105 (kai toks b\u016bdavo) ar tiesiog ant \u017eem\u0117s, neabejotinai gal\u0117jo b\u016bti nuo gyv\u016bn\u0173 sysal\u0173 likusi\u0173 bakterij\u0173, tarp kuri\u0173 gal puikavosi ir Leptospiroziukai.&nbsp; Tiesa, nepamenu kad b\u016b\u010diau tur\u0117j\u0119s dideli\u0173 \u017eaizd\u0173 ant k<a target=\"_blank\" href=\"http:\/\/followtheroad.com\/photos\/2008\/peru\/IMG_0713.JPG\"><img decoding=\"async\" border=\"1\" align=\"right\" alt=\"\" src=\"http:\/\/followtheroad.com\/thumb\/thumb.php?src=..\/photos\/2008\/peru\/IMG_0713.JPG&amp;w=100\"><\/a>oj\u0173, ta\u010diau ten mus kelias savaites kankino <a target=\"_blank\" href=\"http:\/\/followtheroad.com\/en\/rio-napo-guide-from-ecuador-to-peru\/#isango\">mikroskopiniai padarai isangos<\/a>, kurie kand\u017eiojo m\u016bs\u0173 k\u016bnus. Besik\u0105sant j\u0173 \u012fkandimus gal\u0117jau \u012f vid\u0173 \u012fkasyti ir koki\u0105 neigiam\u0105 bakterij\u0105 nuo pado.<\/p>\n<p>Jau b\u016bdami Limoje NAMRI (JAV tyrim\u0173 centro) ofise abu pasidar\u0117m Leptospirosis testus. Man tai buvo antras-kontrolinis pasitikrinimas (tuo metu 10 dien\u0173 g\u0117riau antibijotik\u0105 doksiciklin\u0105), o Katjai &#8211; pirmas kartas, nes ma\u017ea k\u0105, gal ir ji serga. Po m\u0117nesio su\u017einojom, jog abiej\u0173 rezultatai NEIGIAMI. Ir a\u010di\u0173 dievui, kaip sakoma&#8230;<\/p>\n<p>Tai, kad a\u0161 d\u017eiungl\u0117se pasigavau maliarijos ir leptospirozis parazitus, o Katja i\u0161liko &#8222;gyva&#8221; &#8211; mano naivumo kalt\u0117. Nieko a\u0161 ten nesisaugojau, nes gyvenimas buvo toks ramus ir ner\u016bpestingas, toks relaksinis ir malonus, kad daugiau nieko ir nenor\u0117jau&#8230; \u0160iaip su malonumu sugr\u012f\u0161\u010diau \u012f Napo up\u0117s region\u0105. Ten daug Taikos.<\/p>\n<p>Taigi, visk\u0105 apibendrinant kei\u010diu savo ligos istorij\u0105. Oficialiai prane\u0161u, kad vasario-kovo m\u0117nesiais buvo u\u017epuolusi pavojingoji Maliarija p. F<br \/>\nalciparum ir Leptospirosis parazitai. Deng\u0117s, pasak JAV tyrimo centro mokslininkus, nebuvo.<\/p>\n<p><span style=\"font-weight: bold\">Gyvenkime sveikai!<\/span><\/p>\n<p><span style=\"font-style: italic\">PS: Ryt, antradien\u012f susitinkam su aplink pasaul\u012f keliaujan\u010diais <\/span><a target=\"_blank\" href=\"http:\/\/www.blogas.lt\/travel\">Danielium ir Gra\u017eina<\/a><span style=\"font-style: italic\">, ir \u012f \u010cil\u0119 sugr\u012f\u017etam tre\u010diadien\u012f, ten keliausim \u012f <a target=\"_blank\" href=\"http:\/\/en.wikipedia.org\/wiki\/San_Pedro_de_Atacama\">San Pedro de Atacama<\/a>, kur viena kelioni\u0173 agent\u016bra yra u\u017esisakius internetin\u012f tinklap\u012f. Pakeliui \u017eadam sustoti Atacamos oaz\u0117je \u012fsikurusiame Pica kaimelyje.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mes Tacna miestelyje jau \u0161iek tiek u\u017esibuvom. Pirmomis dienomis svarbiausia buvo apsilankyti pas kai kuriuos daktarus, o paskui ger\u0105 savait\u0119 i\u0161naudojau prigaus interneto prog\u0105 ir programavau asmenyb\u0117s test\u0173 tinklap\u012f, kur\u012f su draugu ir viena psichologe-ra\u0161ytoja i\u0161 JAV ruo\u0161iam\u0117s netrukus paleisti. Tacnoje pirmas dienas apsistojom pas svetingumo klubo nar\u012f Alessandro. Tiksliau, buvom apgyvendinti ant trij\u0173 auk\u0161t\u0173 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[17,20],"tags":[],"class_list":["post-348","post","type-post","status-publish","format-standard","hentry","category-peru","category-sveikata"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/posts\/348","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/comments?post=348"}],"version-history":[{"count":1,"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/posts\/348\/revisions"}],"predecessor-version":[{"id":519,"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/posts\/348\/revisions\/519"}],"wp:attachment":[{"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/media?parent=348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/categories?post=348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/followtheroad.com\/lt\/wp-json\/wp\/v2\/tags?post=348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}