{"id":10109,"date":"2026-05-19T19:06:40","date_gmt":"2026-05-19T17:06:40","guid":{"rendered":"https:\/\/kit-survie.org\/kas-ir-hantaviruss\/"},"modified":"2026-05-19T19:06:40","modified_gmt":"2026-05-19T17:06:40","slug":"kas-ir-hantaviruss","status":"publish","type":"post","link":"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/","title":{"rendered":"Kas ir hantav\u012bruss?"},"content":{"rendered":"<p class=\"introd\">Lai s\u0101ktu m\u016bsu rokasgr\u0101matu s\u0113riju, kas velt\u012bta hantav\u012brusa biolo\u0123iskajam riskam, mums ir j\u0101veido pamati.  <strong>Kas tie\u0161i ir hantav\u012bruss?<\/strong>  No kurienes tas rodas un k\u0101 tas ietekm\u0113 organismu? \u0160aj\u0101 pirmaj\u0101 rakst\u0101 ir sniegta piln\u012bga apdraud\u0113juma karte, kas pal\u012bdz\u0113s jums to izprast, pirms uzzin\u0101siet, k\u0101 to p\u0101rvald\u012bt. <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Hantavirusa_izcelsme_nesens_vesturisks_atklajums\"><\/span>Hantav\u012brusa izcelsme: nesens v\u0113sturisks atkl\u0101jums<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Korejas_kars_ka_sakumpunkts\"><\/span>Korejas kar\u0161 k\u0101 s\u0101kumpunkts<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Lai gan \u0161\u012bs v\u012brusu saimes izrais\u012bt\u0101s slim\u012bbas, iesp\u0113jams, ir past\u0101v\u0113ju\u0161as jau gadsimtiem ilgi, hantav\u012brusu ofici\u0101li identific\u0113ja tikai 20. gadsimta vid\u016b. Pla\u0161\u0101ku atpaz\u012bstam\u012bbu \u0161is v\u012bruss ieguva Korejas kara laik\u0101 20. gadsimta 50. gadu s\u0101kum\u0101. Vair\u0101k nek\u0101 3000 Apvienoto N\u0101ciju Organiz\u0101cijas karav\u012bru smagi saslima, cie\u0161ot no m\u012bklainas drud\u017ea un ak\u016btas nieru mazsp\u0113jas.  <\/p>\n<p>Tikai 1976. gad\u0101 korejie\u0161u virusologs Ho-Vangs L\u012b beidzot izol\u0113ja atbild\u012bgo ierosin\u0101t\u0101ju. V\u012brusa nosaukums c\u0113lies no <strong>Hantanas upes<\/strong> Dienvidkorej\u0101, net\u0101lu no vietas, kur bija infic\u0113ju\u0161ies karav\u012bri. \u0160is atkl\u0101jums pav\u0113ra ce\u013cu pla\u0161as l\u012bdz\u012bgu v\u012brusu saimes identific\u0113\u0161anai vis\u0101 pasaul\u0113.  <\/p>\n<h3><span class=\"ez-toc-section\" id=\"1993_gada_krize_Ziemelamerika\"><\/span>1993. gada kr\u012bze Zieme\u013camerik\u0101<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Ilgu laiku Rietumu pasaule uzskat\u012bja, ka \u0161ie draudi attiecas tikai uz \u0100ziju un Austrumeiropu. Viss main\u012bj\u0101s 1993. gad\u0101 Amerikas Savienoto Valstu &#8220;\u010detru st\u016bru&#8221; re\u0123ion\u0101 (\u0145\u016bmeksikas, Arizonas, Kolor\u0101do un J\u016btas kop\u012bg\u0101 robe\u017ea). K\u0101ds sportisks jauns v\u012brietis no navaho kopienas p\u0113k\u0161\u0146i nomira no zibens elpo\u0161anas trauc\u0113jumiem.  <\/p>\n<p>P\u0113c tam vesel\u012bbas aizsardz\u012bbas iest\u0101des atkl\u0101ja jaunu hantav\u012brusa paveidu, ko nosauca par <strong>v\u012brusu Sin Nombre<\/strong> (v\u012bruss bez nosaukuma). At\u0161\u0137ir\u012bb\u0101 no \u0100zijas celma, kas uzbruka nier\u0113m, \u0161is amerik\u0101\u0146u variants tie\u0161i sk\u0101ra plau\u0161as, izraisot \u0161ausmino\u0161u mirst\u012bbas l\u012bmeni. T\u0101d\u0113j\u0101di hantav\u012bruss k\u013cuva par absol\u016btu priorit\u0101ti epidemiologiem vis\u0101 pasaul\u0113.  <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Virusa_butiba_specifiska_biologiska_struktura\"><\/span>V\u012brusa b\u016bt\u012bba: specifiska biolo\u0123isk\u0101 strukt\u016bra<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Apvalka_RNA_viruss\"><\/span>Apvalka RNA v\u012bruss<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>T\u012bri biolo\u0123isk\u0101 zi\u0146\u0101 hantav\u012brusi pieder pie <i>Hantaviridae<\/i> dzimtas (agr\u0101k klasific\u0113ti k\u0101 <i>Bunyaviridae)<\/i>. Tie ir <strong>vienas virknes RNS<\/strong> v\u012brusi. Tas noz\u012bm\u0113, ka to \u0123en\u0113tiskais materi\u0101ls sast\u0101v no vienas ribonukle\u012bnsk\u0101bes virknes. \u0160\u0101da strukt\u016bra \u013cauj tiem relat\u012bvi viegli mut\u0113t, lai piel\u0101gotos saimniekorganismam, lai gan to mut\u0101cijas parasti ir maz\u0101k anarhiskas nek\u0101 gripas mut\u0101cijas.   <\/p>\n<p>Izdz\u012bvo\u0161anas speci\u0101listiem \u013coti svar\u012bga ir t\u0101, ka hantav\u012bruss ir <strong>apvalka<\/strong> v\u012bruss. T\u0101 \u0101r\u0113jo membr\u0101nu veido dubults lip\u012bdu sl\u0101nis. K\u0101p\u0113c tas ir svar\u012bgi? T\u0101p\u0113c, ka apvalka v\u012brusi ir fiziski trausl\u0101ki \u0101r\u0113j\u0101 vid\u0113 nek\u0101 kaili v\u012brusi. \u0160is lip\u012bdu apvalks ir to Ahileja pap\u0113dis: to viegli izn\u012bcina karstums, saules ultravioletais starojums un galvenok\u0101rt t\u0101di pamata dezinfekcijas l\u012bdzek\u013ci k\u0101 balin\u0101t\u0101js vai spirts.    <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Dabisko_rezervuaru_koncepcija\"><\/span>Dabisko rezervu\u0101ru koncepcija<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Hantav\u012bruss savva\u013c\u0101 nevar izdz\u012bvot neierobe\u017eotu laiku vai patst\u0101v\u012bgi vairoties. Tam nepiecie\u0161ams saimnieks. \u0160aj\u0101 gad\u012bjum\u0101 dabiskais rezervu\u0101rs ir tikai un vien\u012bgi mazi z\u012bd\u012bt\u0101ji, galvenok\u0101rt <strong>savva\u013cas grauz\u0113ji<\/strong> (peles, lapsenes, \u017eurkas) un da\u017ereiz ar\u012b da\u017eu <strong>sugu \u017eurkas vai siksp\u0101r\u0146i<\/strong>.  <\/p>\n<p>Visaizraujo\u0161\u0101kais un b\u012bstam\u0101kais \u0161o attiec\u012bbu aspekts ir <strong>v\u012brusa un t\u0101 saimnieka l\u012bdzatt\u012bst\u012bba<\/strong>. Grauz\u0113jiem, kas p\u0101rn\u0113s\u0101 hantav\u012brusu, nerodas nek\u0101di <strong>simptomi<\/strong>. Tie nesaslimst, to dz\u012bves ilgums netiek sa\u012bsin\u0101ts, un to uzved\u012bba paliek piln\u012bgi norm\u0101la. V\u012bruss izveido hronisku infekciju dz\u012bvniek\u0101, kas k\u013c\u016bst par past\u0101v\u012bgu replik\u0101cijas r\u016bpn\u012bcu, izvadot patog\u0113nu visu m\u016b\u017eu.   <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Parneses_mehanisms_no_dzivniekiem_uz_cilvekiem\"><\/span>P\u0101rneses meh\u0101nisms: no dz\u012bvniekiem uz cilv\u0113kiem<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Virusu_dalinu_izdalisanas\"><\/span>V\u012brusu da\u013ci\u0146u izdal\u012b\u0161an\u0101s<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Infic\u0113tie grauz\u0113ji past\u0101v\u012bgi izvada hantav\u012brusu ar saviem \u0137erme\u0146a \u0161\u0137idrumiem. Visaugst\u0101k\u0101 koncentr\u0101cija ir konstat\u0113ta to <strong>ur\u012bn\u0101<\/strong>, <strong>ekskrementos<\/strong> un <strong>siekal\u0101s<\/strong>. Kad dz\u012bvnieks p\u0101rvietojas noliktav\u0101, tas \u0161o biolo\u0123isko materi\u0101lu nogulsn\u0113 uz gr\u012bdas, darbar\u012bkiem, malkas vai <strong>p\u0101rtikas iepakojuma<\/strong>.  <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Galvenais_cels_aerosolu_ieelposana\"><\/span>Galvenais ce\u013c\u0161: aerosolu ieelpo\u0161ana.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Tie\u0161a p\u0101rne\u0161ana ar grauz\u0113ju kodumiem notiek, bet \u013coti reti. Gandr\u012bz visos gad\u012bjumos cilv\u0113ki infic\u0113jas elpce\u013cu ce\u013c\u0101 ar <strong>aerosoliem<\/strong>. Kad grauz\u0113ju ur\u012bns vai izk\u0101rn\u012bjumi iz\u017e\u016bst, tie saciet\u0113 un k\u013c\u016bst par apk\u0101rt\u0113jo putek\u013cu sast\u0101vda\u013cu.  <\/p>\n<p>Maz\u0101k\u0101 meh\u0101nisk\u0101 kust\u012bba telp\u0101 (slauc\u012b\u0161ana, kastu mais\u012b\u0161ana, ba\u013c\u0137u p\u0101rvieto\u0161ana, vecas segas krat\u012b\u0161ana) izraisa \u0161o pies\u0101r\u0146oto putek\u013cu atk\u0101rtotu non\u0101k\u0161anu gais\u0101. Tad operators ieelpo t\u016bksto\u0161iem mikroda\u013ci\u0146u, kas p\u0101rn\u0113s\u0101 v\u012brusu. \u0160\u012bs da\u013ci\u0146as izk\u013c\u016bst cauri aug\u0161\u0113jiem elpo\u0161anas ce\u013ciem un non\u0101k tie\u0161i plau\u0161u sird\u012b, izraisot infekciju.  <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Citi_piesarnojuma_veidi\"><\/span>Citi pies\u0101r\u0146ojuma veidi<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Lai gan galvenais v\u012brusa izplat\u012b\u0161an\u0101s ce\u013c\u0161 ir inhal\u0101cija, ir v\u0113l divi citi v\u012brusa p\u0101rne\u0161anas veidi, kam j\u0101piev\u0113r\u0161 uzman\u012bba lauka situ\u0101cij\u0101s:<\/p>\n<ul>\n<li><strong>Tie\u0161s kontakts<\/strong>: tu turies rok\u0101s ar svaigu ur\u012bnu aptraip\u012btu priek\u0161metu, p\u0113c tam berz\u0113 acis vai degunu vai b\u0101\u017e pirkstus mut\u0113. V\u012bruss izplat\u0101s caur g\u013cot\u0101d\u0101m. <\/li>\n<li><strong>\u0100das inokul\u0101cija<\/strong>: v\u012bruss nok\u013c\u016bst asinsrit\u0113, non\u0101kot tie\u0161\u0101 kontakt\u0101 ar atv\u0113rtu br\u016bci, neaizsarg\u0101tu skr\u0101p\u0113jumu vai griezumu uz rok\u0101m.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Apdraudejuma_geografija_dazadi_celmi_un_to_merki\"><\/span>Apdraud\u0113juma \u0123eogr\u0101fija: da\u017e\u0101di celmi un to m\u0113r\u0137i<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Eiropas_celms_Puumala_viruss\"><\/span>Eiropas celms: Puumala v\u012bruss<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Rietumeirop\u0101 un jo \u012bpa\u0161i Francij\u0101 (\u012bpa\u0161i zieme\u013caustrumos) domin\u0113jo\u0161ais celms ir <strong>Puumala v\u012bruss<\/strong>. \u0160\u0101 v\u012brusa rezervu\u0101rs ir krasta vabol\u012bte, kas ir \u013coti izplat\u012bts neliels me\u017ea grauz\u0113js. <\/p>\n<p>Cilv\u0113ku infic\u0113\u0161an\u0101s vi\u013c\u0146i bie\u017ei vien ir cikliski un tie\u0161i saist\u012bti ar bar\u012bbas daudzumu, kas pieejams lapsen\u0113m (piem\u0113ram, gados, kad ir liela v\u0113jbrie\u017eu un dzelo\u0146u ra\u017ea). Jo vair\u0101k grauz\u0113ju, jo liel\u0101ks vides risks cilv\u0113kiem, kas str\u0101d\u0101 me\u017e\u0101 vai t\u0101 tuvum\u0101. <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Citi_Vecas_pasaules_varianti\"><\/span>Citi Vec\u0101s pasaules varianti<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Austrumeirop\u0101 un \u0100zij\u0101 ir sastopami agres\u012bv\u0101ki celmi. <strong>Hantaan v\u012bruss,<\/strong> ko p\u0101rn\u0113s\u0101 sv\u012btrain\u0101 lauka pele, un <strong>Dobrava v\u012bruss<\/strong> izraisa nopietn\u0101kas patolo\u0123ijas. Pils\u0113tu vide nav pasarg\u0101ta: <strong>Seulas v\u012brusu<\/strong> p\u0101rn\u0113s\u0101 br\u016bn\u0101s \u017eurkas<i>(Rattus norvegicus<\/i>), kas sastopamas kanaliz\u0101cijas kan\u0101los un infrastrukt\u016br\u0101s liel\u0101kaj\u0101s pasaules pils\u0113t\u0101s.  <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Jauna_pasaule_Amerikas_celmi\"><\/span>Jaun\u0101 pasaule: Amerikas celmi<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Aiz Atlantijas oke\u0101na biolo\u0123isk\u0101 situ\u0101cija ir krasi at\u0161\u0137ir\u012bga. Zieme\u013camerik\u0101 izplat\u012bts <strong>Sin Nombre v\u012bruss,<\/strong> ko p\u0101rn\u0113s\u0101 brie\u017eu peles. Dienvidamerik\u0101 visb\u012bstam\u0101kais ir <strong>Andu v\u012bruss<\/strong>. \u0160ie celmi izce\u013cas ar biolo\u0123isko agresivit\u0101ti uz cilv\u0113ka plau\u0161u audiem, izraisot retas vardarb\u012bbas medic\u012bniskas kr\u012bzes, sal\u012bdzinot ar Eiropas celmiem.   <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Virusa_iedarbiba_uz_organismu_cilveka_patologijas\"><\/span>V\u012brusa iedarb\u012bba uz organismu: cilv\u0113ka patolo\u0123ijas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Hemoragiskais_drudzis_ar_nieru_sindromu_HFRS\"><\/span>Hemor\u0101\u0123iskais drudzis ar nieru sindromu (HFRS)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0160\u012b ir tipisk\u0101 kl\u012bnisk\u0101 forma, kas nov\u0113rota Eirop\u0101 un \u0100zij\u0101 (izraisa Puumala, Hantaan vai Dobrava celmi). V\u012bruss iek\u013c\u016bst endot\u0113lija \u0161\u016bn\u0101s, kas izkl\u0101j asinsvadu iek\u0161pusi. <\/p>\n<p>Infekcija izraisa pla\u0161u iekaisumu un palielina kapil\u0101ru caurlaid\u012bbu. Asinsvadi s\u0101k &#8220;nopl\u016bst&#8221;. Visliel\u0101kais boj\u0101jums tiek nodar\u012bts nier\u0113m, kas ir augsti asinsvadu filtr\u0101cijas org\u0101ni. Slim\u012bbas rezult\u0101t\u0101 p\u0113k\u0161\u0146i samazin\u0101s nieru darb\u012bba, pazemin\u0101s asinsspiediens un nopietnos gad\u012bjumos var rasties iek\u0161\u0113ja asi\u0146o\u0161ana.   <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Hantavirusu_plausu_sindroms_HPS\"><\/span>Hantav\u012brusu plau\u0161u sindroms (HPS)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0160\u012b slim\u012bbas forma galvenok\u0101rt sastopama Amerikas kontinent\u0101. \u0160eit<strong>m\u0113r\u0137a org\u0101ns vairs nav nieres, bet gan plau\u0161as<\/strong>. Asinsvadu nopl\u016bdes meh\u0101nisms notiek plau\u0161u kapil\u0101ros.  <\/p>\n<p>Asins plazma masveid\u0101 infiltr\u0113 alveolas, izraisot <strong>ak\u016btu plau\u0161u t\u016bsku<\/strong>. \u012as\u0101k sakot, cietu\u0161\u0101 plau\u0161as piepild\u0101s ar vi\u0146a pa\u0161a \u0137erme\u0146a \u0161\u0137idrumiem. Cilv\u0113ks p\u0113k\u0161\u0146i cie\u0161 no elpo\u0161anas distresa, kas l\u012bdzin\u0101s iek\u0161\u0113jam nosl\u012bk\u0161anai, da\u017eu stundu laik\u0101 at\u0146emot organismam sk\u0101bekli.  <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Simptomi_Ka_atpazit_infekciju\"><\/span>Simptomi: K\u0101 atpaz\u012bt infekciju?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Klusa_inkubacijas_faze\"><\/span>Klus\u0101 inkub\u0101cijas f\u0101ze<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>P\u0113c v\u012brusa ieelpo\u0161anas nekas nenotiek uzreiz. Hantav\u012brusam ir nepiecie\u0161ams laiks, lai replic\u0113tos endot\u0113lija \u0161\u016bn\u0101s. Inkub\u0101cijas periods parasti ir <strong>divas l\u012bdz tr\u012bs ned\u0113\u013cas,<\/strong> bet var b\u016bt no da\u017e\u0101m dien\u0101m l\u012bdz gandr\u012bz diviem m\u0113ne\u0161iem. \u0160is ilgais inkub\u0101cijas periods apgr\u016btina diagnostic\u0113\u0161anu, jo slimnieki bie\u017ei aizmirst, ka pirms ned\u0113\u013c\u0101m ir t\u012br\u012bju\u0161i pagrabu vai apstr\u0101d\u0101ju\u0161i malku.   <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Prodromala_faze_viltus_gripas_slazds\"><\/span>Prodrom\u0101l\u0101 f\u0101ze: viltus gripas slazds<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Pirmie simptomi ir piln\u012bgi nespecifiski. Slim\u012bba s\u0101kas p\u0113k\u0161\u0146i un ir \u013coti l\u012bdz\u012bga sp\u0113c\u012bgai sezon\u0101lajai gripai: <\/p>\n<ul>\n<li>P\u0113k\u0161\u0146s <strong>paaugstin\u0101ts drudzis<\/strong>, ko bie\u017ei pavada drebu\u013ci.<\/li>\n<li>Intens\u012bva <strong>mial\u0123ija<\/strong> (dzi\u013cas musku\u013cu s\u0101pes), galvenok\u0101rt muguras, aug\u0161stilbu un plecu da\u013c\u0101.<\/li>\n<li>Stipras <strong>galvass\u0101pes<\/strong>, bie\u017ei saist\u012btas ar s\u0101p\u012bgu jut\u012bbu pret gaismu (fotofobiju).<\/li>\n<li>Nelielas<strong> ku\u0146\u0123a un zarnu trakta probl\u0113mas,<\/strong> piem\u0113ram, slikta d\u016b\u0161a, vem\u0161ana vai s\u0101pes v\u0113der\u0101, kas var maldin\u0101t \u0101rstu.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Valsts_faze_kliniska_bifurkacija\"><\/span>Valsts f\u0101ze: kl\u012bnisk\u0101 bifurk\u0101cija<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>P\u0113c da\u017e\u0101m \u0161\u012bs &#8220;gripas&#8221; dien\u0101m situ\u0101cija main\u0101s atkar\u012bb\u0101 no saslim\u0161anas celma:<\/p>\n<p>Eiropas nieru form\u0101 (Puumala) pacientiem rodas stipras <strong>muguras s\u0101pes<\/strong> (nier\u0113s) un krasi samazin\u0101s ur\u012bna tilpums (olig\u016brija), da\u017ek\u0101rt to pavada p\u0101rejo\u0161i redzes trauc\u0113jumi (ak\u016bta tuvredz\u012bba).<\/p>\n<p>Amerikas plau\u0161u slim\u012bbas gad\u012bjum\u0101 pacients p\u0113k\u0161\u0146i s\u0101k klepot un elpot. Strauji par\u0101d\u0101s <strong>elpas tr\u016bkums<\/strong> (apgr\u016btin\u0101ta elpo\u0161ana), liekot pacientam c\u012bn\u012bties par katru elpu, kas liecina, ka veidojas plau\u0161u t\u016bska. <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Prognozes_un_smaguma_pakape_realie_skaitli\"><\/span>Prognozes un smaguma pak\u0101pe: re\u0101lie skait\u013ci<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Letalitate_pec_geografiska_apgabala\"><\/span>Letalit\u0101te p\u0113c \u0123eogr\u0101fisk\u0101 apgabala<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Hantav\u012brusa infekcijas smagums ir gandr\u012bz piln\u012bb\u0101 atkar\u012bgs no biolo\u0123isk\u0101 celma, kuram esat bijis pak\u013cauts:<\/p>\n<ul>\n<li>Par laimi, Eiropas celms (Puumala) ir vismaz\u0101k let\u0101ls. T\u0101 mirst\u012bbas r\u0101d\u012bt\u0101js ir maz\u0101ks par <strong>1 %<\/strong>. Liel\u0101k\u0101 da\u013ca infic\u0113to cilv\u0113ku spont\u0101ni atvese\u013cojas p\u0113c liela noguruma perioda un da\u017e\u0101m dien\u0101m slimn\u012bc\u0101, lai uzraudz\u012btu nieres.  <\/li>\n<li>\u0100zijas (Hantaan) vai Austrumeiropas (Dobrava) celmi ir smag\u0101ki, un mirst\u012bba ir no <strong>5 % l\u012bdz 15 %<\/strong>.<\/li>\n<li>Amerikas celmi (Sin Nombre, Andes) ir visbriesm\u012bg\u0101kie. Hantav\u012brusa plau\u0161u sindroma mirst\u012bba ir <strong>35-40 %<\/strong>, pat ja tiek veikta m\u016bsdien\u012bga \u0101rst\u0113\u0161ana. <\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Nav_arstnieciskas_arstesanas\"><\/span>Nav \u0101rstnieciskas \u0101rst\u0113\u0161anas<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Kritiski svar\u012bgs riska p\u0101rvald\u012bbas aspekts degrad\u0113t\u0101 re\u017e\u012bm\u0101 ir tas, ka<strong>nav specifiskas, apstiprin\u0101tas pretv\u012brusu \u0101rst\u0113\u0161anas<\/strong>. Nav burvju tabletes vai efekt\u012bvas antibiotikas (antibiotikas ir paredz\u0113tas bakt\u0113rij\u0101m, t\u0101p\u0113c t\u0101s neietekm\u0113 hantav\u012brusu). <\/p>\n<p>M\u016bsdienu medic\u012bna pa\u013caujas tikai uz <strong>atbalsto\u0161u \u0101rst\u0113\u0161anu<\/strong>. Nieru slim\u012bbas gad\u012bjum\u0101 tiek uzraudz\u012bta hidrat\u0101cija un uz laiku var tikt izmantota dial\u012bze (m\u0101ksl\u012bg\u0101 niere). Plau\u0161u slim\u012bbas gad\u012bjum\u0101 pacientu nekav\u0113joties ievieto intens\u012bv\u0101s terapijas noda\u013c\u0101, nodro\u0161inot intens\u012bvu elpo\u0161anas atbalstu (meh\u0101nisko ventil\u0101ciju vai ekstrakorpor\u0101lo membr\u0101nu oksigen\u0101ciju &#8211; ECMO), lai uztur\u0113tu organismu dz\u012bvu, kam\u0113r im\u016bnsist\u0113ma c\u012bn\u0101s ar v\u012brusu.  <\/p>\n<p>N\u0101kamaj\u0101 m\u016bsu dosj\u0113 da\u013c\u0101 m\u0113s apl\u016bkojam aktu\u0101lu jaut\u0101jumu: vai hantav\u012brusam piem\u012bt biolo\u0123isk\u0101s \u012bpa\u0161\u012bbas, kas nepiecie\u0161amas, lai mut\u0113tu un k\u013c\u016btu par n\u0101kamo glob\u0101lo pand\u0113miju, l\u012bdz\u012bgi k\u0101 Kovid? M\u0113s analiz\u0113jam hantav\u012brusa sp\u0113ju p\u0101rnest no cilv\u0113ka uz cilv\u0113ku, lai nov\u0113rt\u0113tu ar \u0161o patog\u0113nu saist\u012bto re\u0101lo glob\u0101l\u0101 vesel\u012bbas sabrukuma risku. <\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_84 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Hantavirusa_izcelsme_nesens_vesturisks_atklajums\" >Hantav\u012brusa izcelsme: nesens v\u0113sturisks atkl\u0101jums<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Korejas_kars_ka_sakumpunkts\" >Korejas kar\u0161 k\u0101 s\u0101kumpunkts<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#1993_gada_krize_Ziemelamerika\" >1993. gada kr\u012bze Zieme\u013camerik\u0101<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Virusa_butiba_specifiska_biologiska_struktura\" >V\u012brusa b\u016bt\u012bba: specifiska biolo\u0123isk\u0101 strukt\u016bra<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Apvalka_RNA_viruss\" >Apvalka RNA v\u012bruss<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Dabisko_rezervuaru_koncepcija\" >Dabisko rezervu\u0101ru koncepcija<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Parneses_mehanisms_no_dzivniekiem_uz_cilvekiem\" >P\u0101rneses meh\u0101nisms: no dz\u012bvniekiem uz cilv\u0113kiem<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Virusu_dalinu_izdalisanas\" >V\u012brusu da\u013ci\u0146u izdal\u012b\u0161an\u0101s<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Galvenais_cels_aerosolu_ieelposana\" >Galvenais ce\u013c\u0161: aerosolu ieelpo\u0161ana.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Citi_piesarnojuma_veidi\" >Citi pies\u0101r\u0146ojuma veidi<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Apdraudejuma_geografija_dazadi_celmi_un_to_merki\" >Apdraud\u0113juma \u0123eogr\u0101fija: da\u017e\u0101di celmi un to m\u0113r\u0137i<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Eiropas_celms_Puumala_viruss\" >Eiropas celms: Puumala v\u012bruss<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Citi_Vecas_pasaules_varianti\" >Citi Vec\u0101s pasaules varianti<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Jauna_pasaule_Amerikas_celmi\" >Jaun\u0101 pasaule: Amerikas celmi<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Virusa_iedarbiba_uz_organismu_cilveka_patologijas\" >V\u012brusa iedarb\u012bba uz organismu: cilv\u0113ka patolo\u0123ijas<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Hemoragiskais_drudzis_ar_nieru_sindromu_HFRS\" >Hemor\u0101\u0123iskais drudzis ar nieru sindromu (HFRS)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Hantavirusu_plausu_sindroms_HPS\" >Hantav\u012brusu plau\u0161u sindroms (HPS)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Simptomi_Ka_atpazit_infekciju\" >Simptomi: K\u0101 atpaz\u012bt infekciju?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Klusa_inkubacijas_faze\" >Klus\u0101 inkub\u0101cijas f\u0101ze<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Prodromala_faze_viltus_gripas_slazds\" >Prodrom\u0101l\u0101 f\u0101ze: viltus gripas slazds<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Valsts_faze_kliniska_bifurkacija\" >Valsts f\u0101ze: kl\u012bnisk\u0101 bifurk\u0101cija<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Prognozes_un_smaguma_pakape_realie_skaitli\" >Prognozes un smaguma pak\u0101pe: re\u0101lie skait\u013ci<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Letalitate_pec_geografiska_apgabala\" >Letalit\u0101te p\u0113c \u0123eogr\u0101fisk\u0101 apgabala<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/kit-survie.org\/lv\/kas-ir-hantaviruss\/#Nav_arstnieciskas_arstesanas\" >Nav \u0101rstnieciskas \u0101rst\u0113\u0161anas<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Lai s\u0101ktu m\u016bsu rokasgr\u0101matu s\u0113riju, kas velt\u012bta hantav\u012brusa biolo\u0123iskajam riskam, mums ir j\u0101veido pamati. Kas tie\u0161i ir hantav\u012bruss? No kurienes tas rodas un k\u0101 tas ietekm\u0113 organismu? \u0160aj\u0101 pirmaj\u0101 rakst\u0101 ir sniegta piln\u012bga apdraud\u0113juma karte, (&#8230;)<\/p>\n","protected":false},"author":1,"featured_media":10040,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[349],"tags":[],"class_list":["post-10109","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zinas"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/posts\/10109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/comments?post=10109"}],"version-history":[{"count":0,"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/posts\/10109\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/media\/10040"}],"wp:attachment":[{"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/media?parent=10109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/categories?post=10109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kit-survie.org\/lv\/wp-json\/wp\/v2\/tags?post=10109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}