{"id":895,"date":"2012-05-21T13:38:09","date_gmt":"2012-05-21T11:38:09","guid":{"rendered":"http:\/\/slanedeti.sk\/cms\/cysticka-fibroza-a-cestovanie-5-skladovanie-liekov-a-dehydratacia-v-teple-2\/201205"},"modified":"2014-01-04T19:37:25","modified_gmt":"2014-01-04T18:37:25","slug":"cysticka-fibroza-a-cestovanie-5-skladovanie-liekov-a-dehydratacia-v-teple-2","status":"publish","type":"post","link":"https:\/\/slanedeti.sk\/cms\/cysticka-fibroza-a-cestovanie-5-skladovanie-liekov-a-dehydratacia-v-teple-2\/895","title":{"rendered":"Cystick\u00e1 fibr\u00f3za a cestovanie 5: Skladovanie liekov a dehydrat\u00e1cia v teple"},"content":{"rendered":"<p>V piatej \u010dasti sa pozrieme bli\u017e\u0161ie na lieky, inhal\u00e1tory a in\u00e9 pom\u00f4cky, ktor\u00e9 si mus\u00edme nutne vzia\u0165 na cesty a na predch\u00e1dzanie dehydrat\u00e1cii po\u010das pobytu.<\/p>\n<p>Ak so sebou pacienti nes\u00fa zdravotn\u00edcky materi\u00e1l, ako napr. lieky, ihly a injek\u010dn\u00e9 strieka\u010dky, mali by ma\u0165 v\u017edy list od svojho lek\u00e1ra, v ktorom sa popisuje z\u00e1kladn\u00e1 choroba a uv\u00e1dza sa zoznam v\u0161etk\u00e9ho zdravotn\u00edckeho materi\u00e1lu a pribli\u017en\u00e9 mno\u017estvo, ktor\u00e9 je potrebn\u00e9.<\/p>\n<p>V\u0161etky lieky a zdravotn\u00e9 pom\u00f4cky potrebuj\u00fa za letu osobitn\u00fa pozornos\u0165. Ak pacienti bud\u00fa na palube lietadla pou\u017e\u00edva\u0165 pom\u00f4cky, ktor\u00e9 vy\u017eaduj\u00fa ihly, s\u00fa zodpovedn\u00ed za ich zne\u0161kodnenie po pou\u017eit\u00ed \u2013 ma\u0165 so sebou obal na odpad. Ak je to mo\u017en\u00e9, v\u0161etky lieky by mali by\u0165 v pr\u00edru\u010dnej bato\u017eine. Ak je mno\u017estvo pr\u00edli\u0161 ve\u013ek\u00e9, pacientom rad\u00edme vzia\u0165 si do pr\u00edru\u010dnej bato\u017einy dos\u0165 liekov a zdravotn\u00fdch pom\u00f4cok, aby im vydr\u017eali a\u017e jeden t\u00fd\u017ede\u0148 pre pr\u00edpad, \u017ee by sa kufre pri preprave stratili. Bato\u017einov\u00e9 priestory na kontrolovanie bato\u017einy m\u00f4\u017eu ma\u0165 teplotu ni\u017e\u0161iu ako nula stup\u0148ov, \u010do m\u00f4\u017ee ma\u0165 vplyv na lieky citliv\u00e9 na teplotu a mohlo by sp\u00f4sobi\u0165 rozbitie sklenen\u00fdch f\u013ea\u0161ti\u010diek. Jedna mo\u017enos\u0165 je po\u017eiada\u0165 aerolinku, \u010di si m\u00f4\u017eete vzia\u0165 v\u00e4\u010d\u0161iu ta\u0161ku, alebo \u010di mo\u017eno pri nastupovan\u00ed do lietadla ta\u0161ku ulo\u017ei\u0165 pri vchode.<br \/>\nOstatn\u00e9 respira\u010dn\u00e9 pom\u00f4cky a vybavenie (napr. nebuliz\u00e9r, pr\u00edstroje CPAP a BiPAP) sa m\u00f4\u017eu vzia\u0165 so sebou, ale nesm\u00fa by\u0165 uveden\u00e9 do funk\u010dn\u00e9ho stavu po\u010das letu.<\/p>\n<p>\u0160pecifick\u00e9 skladovanie liekov v cestovnej destin\u00e1cii z\u00e1vis\u00ed od mnoh\u00fdch r\u00f4znych faktorov a pacientom rad\u00edme skontrolova\u0165 si tieto inform\u00e1cie u cestovn\u00fdch agent\u00far alebo spolo\u010dnost\u00ed, aby si zabezpe\u010dili, \u017ee ich potreb\u00e1m bude mo\u017en\u00e9 vyhovie\u0165. Mali by tie\u017e pred cestou zv\u00e1\u017ei\u0165, \u017ee niektor\u00e9 potrebn\u00e9 lieky nemusia by\u0165 v cie\u013eovej krajine k dispoz\u00edcii.<\/p>\n<blockquote><p><strong>Niektor\u00e9 lieky na CF potrebuj\u00fa \u0161pecifick\u00e9 skladovacie opatrenia. Pacienti s CF by sa mali o t\u00fdchto \u0161pecifick\u00fdch po\u017eiadavk\u00e1ch porozpr\u00e1va\u0165 s farmaceutom z CF centra.<\/strong><\/p><\/blockquote>\n<div style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" style=\"border: 0px; margin-top: 20px; margin-bottom: 20px;\" title=\"201205211337_lieky_teplo\" alt=\"201205211337_lieky_teplo\" src=\"https:\/\/slanedeti.sk\/cms\/picture_migration\/201205211337_lieky_teplo.jpg\" width=\"415\" height=\"271\" border=\"0\" \/><\/div>\n<p>Pre mnoh\u00fdch \u013eud\u00ed s CF odd\u00fdchnu\u0165 si od ka\u017edodenn\u00e9ho \u017eivota znamen\u00e1 tie\u017e odd\u00fdchnu\u0165 si od rutiny lie\u010dby. Ka\u017ed\u00e1 aktu\u00e1lna terapia by sa mala prisp\u00f4sobi\u0165 situ\u00e1cii cestovania po porade s odborn\u00fdm lek\u00e1rom pre CF. Ak je to mo\u017en\u00e9, vybavenie a lieky by sa mali racion\u00e1lne rozvrhn\u00fa\u0165, aby sa zabezpe\u010dila \u010do najlep\u0161ia kvalita \u017eivota po\u010das cesty, t.j. mal by sa skontrolova\u0165 lie\u010debn\u00fd re\u017eim s cie\u013eom optimalizova\u0165 benefity cestovania v rovnov\u00e1he so zdravotn\u00edckymi po\u017eiadavkami na ka\u017ed\u00fd liek a lie\u010dbu. Mo\u017eno si so sebou vzia\u0165 antibiotik\u00e1 ako rezervu. Mo\u017eno ich tie\u017e bra\u0165 po\u010das cesty ako profylaxiu exacerb\u00e1cie. Pacienti by mali by\u0165 informovan\u00ed o mo\u017en\u00fdch ved\u013eaj\u0161\u00edch \u00fa\u010dinkoch lie\u010div.<\/p>\n<p><strong>Upozornenie:<\/strong> Niektor\u00e9 antibiotik\u00e1 a antimykotik\u00e1 m\u00f4\u017eu vyvola\u0165 z\u00e1va\u017en\u00fa a prudk\u00fa fotosenzit\u00edvnu reakciu, pacientom sa odpor\u00fa\u010da pou\u017e\u00edva\u0165 osobitn\u00fa ochranu ako je opa\u013eovac\u00ed kr\u00e9m, klob\u00fak at\u010f. Preh\u013ead niektor\u00fdch liekov, ktor\u00e9 m\u00f4\u017eu vyvola\u0165 fotosenzit\u00edvnu reakciu:<\/p>\n<p>Lieky s fotosenzitivitou:<\/p>\n<ul>\n<li>Azitromyc\u00edn a in\u00e9 makrolidy (erytromic\u00edn, klaritromic\u00edn) &#8211; \u00c1no, ale zriedka<\/li>\n<li>Ciprofloxac\u00edn<\/li>\n<li>Doxycykl\u00edn<\/li>\n<li>Flukonazol<\/li>\n<li>Intrakonazol<\/li>\n<li>NSAID (nesteroidn\u00e9 antiz\u00e1palov\u00e9 lieky)<\/li>\n<li>Sulfametoxazol\/Trimetoprim<\/li>\n<li>Tetracykl\u00edn<\/li>\n<li>Vorikonazol<\/li>\n<\/ul>\n<p>Lieky bez fotosenzitivity:<\/p>\n<ul>\n<li>Amoxicil\u00edn\/klavulan\u00e1t<\/li>\n<li>Chloramfenikol<\/li>\n<li>Dn\u00e1za<\/li>\n<li>Vitam\u00edny rozpustn\u00e9 v tukoch (ADEK)<\/li>\n<li>Pankreatick\u00e9 enz\u00fdmy (Kreon)<\/li>\n<\/ul>\n<p>Pacientova di\u00e9ta v cie\u013eovej destin\u00e1cii sa m\u00f4\u017ee l\u00ed\u0161i\u0165 od tej, na ktor\u00fa je zvyknut\u00fd doma. Pacienti, ktor\u00ed trpia pankreatickou nedostato\u010dnos\u0165ou, by sa preto mali pred odchodom na cestu poradi\u0165 o \u00faprave pr\u00edjmu a d\u00e1vok pankreatick\u00fdch enz\u00fdmov v destin\u00e1cii. To ist\u00e9 plat\u00ed pre pacientov s diabetes mellitus, ktor\u00fd vy\u017eaduje lie\u010dbu. Zv\u00fd\u0161en\u00fd pohyb\u00a0 a mo\u017en\u00e1 konzum\u00e1cia alkoholu v destin\u00e1cii m\u00f4\u017eu vies\u0165 k zmene homeost\u00e1zy krvn\u00e9ho cukru. V takom pr\u00edpade je d\u00f4le\u017eit\u00e9 zabr\u00e1ni\u0165 hyperglyk\u00e9mii a hypoglyk\u00e9mii a pacienti by v\u017edy mali ma\u0165 pri sebe cukor. Spolucestuj\u00faci by v\u017edy mali by\u0165 informovan\u00ed o diabetes mellitus, zn\u00e1mkach hypoglyk\u00e9mie a n\u00e1le\u017eit\u00fdch protiopatreniach.<\/p>\n<blockquote><p><strong>Pod\u00e1vanie liekov pacientom CF m\u00f4\u017ee vy\u017eadova\u0165 \u00fapravu pod\u013ea zmeny podnebia.<\/strong><\/p><\/blockquote>\n<p>O tom, ak\u00e1 miera a ak\u00e1 technika hygieny d\u00fdchac\u00edch ciest je vhodn\u00e1 po\u010das cestovania, sa treba poradi\u0165 s CF fyzioterapeutom.\u00a0 Po\u010das cestovania m\u00f4\u017eu by\u0165 ur\u010dit\u00e9 \u0165a\u017ekosti s dodr\u017eiavan\u00edm hygieny d\u00fdchac\u00edch ciest, najm\u00e4 pri dia\u013ekov\u00fdch letoch, ke\u010f sa let\u00ed dlh\u00e9 hodiny a sme st\u00e1le na ceste. Mali by sa stanovi\u0165 ur\u010dit\u00e9 kroky na zlep\u0161enie dodr\u017eiavania tejto \u010dinnosti, napr. po\u017eiada\u0165 spolucestuj\u00facich, aby n\u00e1m to pripom\u00ednali alebo n\u00e1m pomohli s pre\u010disten\u00edm d\u00fdchac\u00edch ciest. Svedectv\u00e1, ktor\u00e9 m\u00e1me k dispoz\u00edcii, nazna\u010duj\u00fa, \u017ee \u017eiadny re\u017eim hygieny d\u00fdchac\u00edch ciest nie je lep\u0161\u00ed ako in\u00fd. U pacientov, ktor\u00fd pou\u017e\u00edvaj\u00fa na pre\u010dis\u0165ovanie objemn\u00e9 vybavenie, by vy\u0161\u0161ie uveden\u00e9 svedectv\u00e1 mohli podpori\u0165 pou\u017eitie alternat\u00edvnej a rovnako efekt\u00edvnej techniky hygieny d\u00fdchac\u00edch ciest. Napr\u00edklad vestu ( VEST Clearance Airway System) mo\u017eno nahradi\u0165 prenosnej\u0161\u00edm zariaden\u00edm, ako je napr. PEP, Acapella, Flutter.<\/p>\n<p>V\u00e4\u010d\u0161inu nebuliza\u010dn\u00fdch syst\u00e9mov mo\u017eno pou\u017ei\u0165 v ktorejko\u013evek krajine, pokia\u013e tam je vhodn\u00e9 sie\u0165ov\u00e9 napojenie. Niektor\u00e9 sa dokonca m\u00f4\u017eu zapoji\u0165 do zapa\u013eova\u010da cigariet alebo funguj\u00fa na bat\u00e9rie. Existuje cel\u00e1 \u0161k\u00e1la syst\u00e9mov, ktor\u00e9 s\u00fa dostupn\u00e9 a u\u013eah\u010duj\u00fa cestovanie do zahrani\u010dia, ke\u010f\u017ee s\u00fa prenosn\u00e9 a \u013eahk\u00e9; niektor\u00e9 v\u0161ak potrebuj\u00fa adapt\u00e9r. Vo v\u0161eobecnosti v Eur\u00f3pe (okrem Cypru, Gibraltaru a Malty) nap\u00e4tie pre nebuliz\u00e9r nie je probl\u00e9mom (220V)a v\u0161etko, \u010do potrebujeme, je \u0161tandardn\u00fd cestovn\u00fd\u00a0 nap\u00e1jac\u00ed adapt\u00e9r. Pri cest\u00e1ch do USA, Ju\u017enej Ameriky, Karibiku, na Cyprus, do Gibraltaru a na Maltu je potrebn\u00fd nebuliz\u00e9r na 110 V. Pri dia\u013ekov\u00fdch letoch sa m\u00f4\u017eu pou\u017ei\u0165 na bat\u00e9riu funguj\u00face kompresory, je v\u0161ak d\u00f4le\u017eit\u00e9 si preveri\u0165 si t\u00fato mo\u017enos\u0165 u leteckej spolo\u010dnosti. Niektor\u00e9 leteck\u00e9 spolo\u010dnosti maj\u00fa vlastn\u00e9 kompresory, ale ich pou\u017eitie sa neodpor\u00fa\u010da z hygienick\u00fdch d\u00f4vodov. Vo v\u0161eobecnosti by sa kompresory mali nosi\u0165 ako pr\u00edru\u010dn\u00e1 bato\u017eina. Tak ako in\u00e9 lie\u010div\u00e1, aj lieky pre nebuliz\u00e9r by sa mali pren\u00e1\u0161a\u0165 ako pr\u00edru\u010dn\u00e1 bato\u017eina, pre pr\u00edpad, \u017ee by boli potrebn\u00e9 po\u010das cesty a aj pre pr\u00edpad zdr\u017eania. Odpor\u00fa\u010da sa ma\u0165 pre colnicu list z pacientovej CF kliniky, kde sa uv\u00e1dza \u00fa\u010del nebuliz\u00e9ru a kompresoru a zoznam v\u0161etk\u00fdch liekov.<\/p>\n<blockquote><p><strong>Elektrick\u00e1 kompatibilita nebuliz\u00e9ru a in\u00e9ho vybavenia by sa mala skontrolova\u0165.<\/strong><\/p><\/blockquote>\n<p><strong>Pozor na dehydrat\u00e1ciu<\/strong><\/p>\n<p>Telesn\u00e1 aktivita sa u pacientov s CF poklad\u00e1 za prospe\u0161n\u00fa. Pri cvi\u010den\u00ed v hor\u00fa\u010dave musia zv\u00e1\u017ei\u0165 potenci\u00e1lne rizik\u00e1. Bola pop\u00edsan\u00e1 zn\u00ed\u017een\u00e1 tolerancia CF pacientov na klimatick\u00fd stres z hor\u00fa\u010davy. Ke\u010f\u017ee maj\u00fa trikr\u00e1t vy\u0161\u0161iu koncentr\u00e1ciu sod\u00edka a chloridu v pote, pri cvi\u010den\u00ed v hor\u00fa\u010dav\u00e1ch a pri pit\u00ed \u010distej vody sa im osmolalita v s\u00e9re zni\u017euje v porovnan\u00ed so zdravou kontrolnou skupinou. T\u00e1to relat\u00edvna hypoosmolalita tlm\u00ed u pacientov pocit sm\u00e4du, \u010do u nich vedie k podceneniu potreby tekut\u00edn a k \u201edobrovo\u013enej dehydrat\u00e1cii\u201c.<\/p>\n<div style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" style=\"border: 0px; margin-top: 20px; margin-bottom: 20px;\" title=\"201205211338_voda\" alt=\"201205211338_voda\" src=\"https:\/\/slanedeti.sk\/cms\/picture_migration\/201205211338_voda.jpg\" width=\"450\" height=\"380\" border=\"0\" \/><\/div>\n<p>Prevencia dehydrat\u00e1cie by sa mala dosiahnu\u0165 sk\u00f4r vysok\u00fdm pr\u00edjmom soli a pravideln\u00fdm dop\u013a\u0148an\u00edm tekut\u00edn, ne\u017e spoliehan\u00edm sa na pacientov pocit sm\u00e4du. Hodinu pred cvi\u010den\u00edm by pacienti s CF mali vypi\u0165 400-600ml tekut\u00edn. Po\u010das pred\u013a\u017een\u00fdch aktiv\u00edt by sa ka\u017ed\u00fdch 15-20 min malo vypi\u0165 200-300 ml. Ak aktivity trvaj\u00fa 45 min. alebo menej, pr\u00edjem tekut\u00edn mo\u017eno posun\u00fa\u0165 a\u017e na \u010das po tr\u00e9ningu. V teple alebo v hor\u00fa\u010dave je zv\u00fd\u0161en\u00e9 riziko straty soli a dehydrat\u00e1cie, \u010do si vy\u017eaduje zv\u00fd\u0161en\u00fd pr\u00edjem tekut\u00edn. Or\u00e1lne rehydrata\u010dn\u00e9 roztoky obsahuj\u00face od 4% do 12% cukrov, koncentr\u00e1cie chloridu sodn\u00e9ho 50 mmol\/l (rovn\u00e1 sa 2,9 g soli na liter) ako aj drasl\u00edk a kysl\u00fd uhli\u010ditan s\u00fa u\u017eito\u010dn\u00e9 a mali by sa v s\u00favislosti s cestou do zahrani\u010dia pripomen\u00fa\u0165 v\u0161etk\u00fdm pacientom s CF. Treba bra\u0165 do \u00favahy, \u017ee v\u00e4\u010d\u0161ina komer\u010dne pred\u00e1van\u00fdch n\u00e1pojov obsahuje len 18 mmol\/ l chloridu sodn\u00e9ho (rovn\u00e1 sa asi 1 g soli na liter). Uk\u00e1zalo sa v\u0161ak, \u017ee len n\u00e1poje s obsahom soli 50 mmol\/l zlep\u0161ili\/skvalitnili pitie a zmiernili dobrovo\u013en\u00fa dehydrat\u00e1ciu. Preto sa \u013eu\u010fom s CF odpor\u00fa\u010da prida\u0165 si do n\u00e1poja \u0161tipku soli alebo konzumova\u0165 komer\u010dne dostupn\u00e9 so\u013eou obohaten\u00e9 energetick\u00e9 n\u00e1poje. Doplnenie soli po cvi\u010den\u00ed by sa tie\u017e mohlo zv\u00fd\u0161i\u0165 tabletami so spomalen\u00fdm uvo\u013e\u0148ovan\u00edm, ako napr. Slow Sodium (600 mg), obsahuj\u00face 10 mmol chloridu sodn\u00e9ho v enterosolventnej tablete. Dospel\u00fdm, cestuj\u00facim do destin\u00e1cie kde je hor\u00faco, sa zvy\u010dajne predpisuje 1200 mg dvakr\u00e1t denne. T\u00fato d\u00e1vku mo\u017eno zv\u00fd\u0161i\u0165 na d\u00e1vku \u0161tyri razy denne (max. d\u00e1vka 20 tabliet denne), v z\u00e1vislosti na teplote a na miere potenia konkr\u00e9tneho pacienta. Tablety v\u0161ak m\u00f4\u017eu vyvola\u0165 \u017eal\u00fado\u010dn\u00fa nevo\u013enos\u0165 a nie s\u00fa vhodn\u00e9 na u\u017e\u00edvanie po\u010das cvi\u010denia. Okrem vy\u0161\u0161ie uveden\u00fdch odpor\u00fa\u010dan\u00ed by pacienti by mali ako ob\u010derstvenie jes\u0165 nie\u010do slan\u00e9 a ob\u010das vykona\u0165 nejak\u00fd pohyb, najm\u00e4 po\u010das dia\u013ekov\u00fdch letov. Kv\u00f4li zn\u00ed\u017eenej vlhkosti na palube lietadla existuje zv\u00fd\u0161en\u00e9 riziko dehydrat\u00e1cie po\u010das cesty. To spolu zo zn\u00ed\u017eenou mo\u017enos\u0165ou pohybu po\u010das letu predstavuje zv\u00fd\u0161en\u00e9 riziko hlbokej \u017eilnej tromb\u00f3zy, s nebezpe\u010denstvom p\u013e\u00facnej emb\u00f3lie. Treba re\u0161pektova\u0165 relat\u00edvne kontraindik\u00e1cie ve\u013ekej z\u00e1\u0165a\u017ee u pacientov s cirh\u00f3zou pe\u010dene s ascites.<\/p>\n<p>Zvl\u00e1\u0161\u0165 diabetici s\u00fa v hor\u00facich oblastiach ohrozen\u00ed \u00faplnou stratou tekut\u00edn a dehydrat\u00e1ciou. \u010eal\u0161ie straty tekut\u00edn v pr\u00edpade hna\u010dky a vracania by sa mali vyrovna\u0165 u\u017eit\u00edm roztoku ektrolytov, aby sa predi\u0161lo DIOS (dist\u00e1lny intestin\u00e1lny ob\u0161truk\u010dn\u00fd syndr\u00f3m).<\/p>\n<blockquote><p><strong>\u013du\u010fom s CF by sa mal pri cestovan\u00ed a najm\u00e4 pri cvi\u010den\u00ed v hor\u00fa\u010dave poskytn\u00fa\u0165 dostatok tekut\u00edn a soli. Nesta\u010d\u00ed spolieha\u0165 sa na pacientov pocit sm\u00e4du, obsah soli v komer\u010dn\u00fdch n\u00e1pojoch je zvy\u010dajne nedostato\u010dn\u00fd.<\/strong><\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<p><em>Zdroj: Travelling with cystic fibrosis: Recommendations for patients and care Team members <\/em><a href=\"http:\/\/www.ecfs.eu\/ecfs_guidelines\"><em>http:\/\/www.ecfs.eu\/ecfs_guidelines<\/em><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>V piatej &#269;asti sa pozrieme bli&#382;&scaron;ie na lieky, inhal&aacute;tory a in&eacute; pom&ocirc;cky, ktor&eacute; si mus&iacute;me nutne vzia&#357; na cesty a na predch&aacute;dzanie dehydrat&aacute;cii po&#269;as pobytu. Ak so sebou pacienti nes&uacute; zdravotn&iacute;cky materi&aacute;l, ako napr. lieky, ihly a injek&#269;n&eacute; strieka&#269;ky, mali &hellip; <a href=\"https:\/\/slanedeti.sk\/cms\/cysticka-fibroza-a-cestovanie-5-skladovanie-liekov-a-dehydratacia-v-teple-2\/895\">Continued<\/a><\/p>\n","protected":false},"author":3,"featured_media":1178,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"kt_blocks_editor_width":"","footnotes":""},"categories":[250],"tags":[88,211,210],"class_list":["post-895","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zivot-s-cystickou-fibrozou","tag-cestovanie","tag-dehydratacia","tag-lieky"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cystick\u00e1 fibr\u00f3za a cestovanie 5: Skladovanie liekov a dehydrat\u00e1cia v teple - Slan\u00e9 deti<\/title>\n<meta name=\"description\" content=\"V piatej \u010dasti sa pozrieme bli\u017e\u0161ie na lieky, inhal\u00e1tory a in\u00e9 pom\u00f4cky, ktor\u00e9 si mus\u00edme nutne vzia\u0165 na cesty a na predch\u00e1dzanie dehydrat\u00e1cii po\u010das pobytu.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slanedeti.sk\/cms\/cysticka-fibroza-a-cestovanie-5-skladovanie-liekov-a-dehydratacia-v-teple-2\/895\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cystick\u00e1 fibr\u00f3za a cestovanie 5: Skladovanie liekov a dehydrat\u00e1cia v teple - 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