{"id":141661,"date":"2023-06-29T10:09:37","date_gmt":"2023-06-29T08:09:37","guid":{"rendered":"https:\/\/zosradio.ba\/?p=141661"},"modified":"2023-06-29T10:09:37","modified_gmt":"2023-06-29T08:09:37","slug":"budite-oprezni-tokom-boravka-u-prirodi","status":"publish","type":"post","link":"https:\/\/zosradio.ba\/index.php\/2023\/06\/29\/budite-oprezni-tokom-boravka-u-prirodi\/","title":{"rendered":"Budite oprezni tokom boravka u prirodi"},"content":{"rendered":"

Pred nama je period sve intenzivnijeg boravka u prirodi, kretanja po otvorenim povr\u0161inama, \u0161umskim i drugim krajolicima. Va\u017eno je skrenuti pa\u017enju na neke \u010dinjenice vezane za eventualne rizike boravka na takvim prostorima, kako bi se poduzele mjere predostro\u017enosti i za\u0161tite.<\/strong><\/p>\n

Ako je mogu\u0107e nikad ne idite u prirodu (podru\u010dja gdje mo\u017ee biti zmija) sami.<\/p>\n

Zmije su sastavni dio na\u0161eg okru\u017eenja, i kao takve imaju zna\u010dajnu ulogu u funkcionisanju cijelog ekostistema. Ono \u0161to je va\u017eno ista\u0107i, od ukupno 14 vrsta koje \u017eive na na\u0161em podneblju, da samo tri vrste su otrovnice (poskok i dvije vrste \u0161arke). Ipak to ne umanjuje potrebu opreznosti, kori\u0161tenja za\u0161titnih sredstava i opreme pri boravku na podru\u010djima koje predstavljaju prirodno stani\u0161te ove vrste.<\/p>\n

Zmije se hrane sitnim \u017eivotinjama, vodozemcima i insektima, a u prvom redu \u017eabama, da\u017edevnjacima, kukcima i crvima, ali i odre\u0111enim vrstama glodara i ptica. Mnogi ljudi imaju otklon i strah od zmija, koji nije toliko racionalan, posebno ukoliko uzmemo da je zanemarivo mali procenat zmija otrovnica i da jednako kako ljudi ne \u017eele zmije u svojoj ili blizini svojih domova, ni zmije nisu ljubitelji blizine ljudi.<\/p>\n

Za po\u010detak, najva\u017enije je razaznavanje zmija. Ukoliko kojim slu\u010dajem do\u0111e do ugriza zmije, \u0161to je objektivno malo izvjesno, najva\u017enije je utvrditi da li je zmija otrovnica ili ne. Otrovne zmije imaju trokutastu glavu i uske elipti\u010dne o\u010di. Otrovnice na na\u0161em podru\u010dju razlikuju se od neotrovnica i oblikom tijela, koje je kratko i zdepasto, a kod neotrovnica tijela su tanka i izdu\u017eena. Va\u017ena je napomena, razlikovanje otrovnica na ovakav na\u010din vrijedi samo za podru\u010dje Europe. Iako je za postupanje najva\u017enije ustanoviti da li je zmija otrovnica ili ne, naj\u010de\u0161\u0107ea je mogu\u0107nost da zmiju ne\u0107emo ni primijetiti, pa treba postupati kao da je otrovnica.<\/p>\n

Na mjestu ugriza zmije, obi\u010dno su uo\u010dljive dvije ubodne rane, tragovi zmijskih zuba, me\u0111usobno udaljene od 6 do 8 mm, a vrlo je mogu\u0107e da postoji i samo jedna rana ili \u010dak samo ogrebotina. Nalaz rane ne zna\u010di da je otrov ubrizgan u tijelo, prema nekim podacima, vi\u0161e od petine dokazanih ugriza nema znakova trovanja.<\/p>\n

Simptomi ugriza<\/h4>\n

Na mjestu ugriza se unutar devedeset minuta do dva sata javlja izrazita bol i podru\u010dje oko ugriza oti\u010de. U slu\u010daju te\u017eih otrovanja bol se javlja neposredno poslije samog ugriza ili jako brzo poslije samog ugriza i izrazito je o\u0161tra, dok se otok tako\u0111er ubrzano \u0161iri i mo\u017ee biti pra\u0107en jakim potko\u017enim krvarenjima. Na ko\u017ei se, uz crvenilo, mogu javiti i plikovi ili mjehuri\u0107i sa krvavim sadr\u017eajem. Kod gotovo polovine ugri\u017eenih neposredno poslije ugriza se javljaju op\u0161ti simptomi poput vrtoglavice, mu\u010dnine i povra\u0107anja, zatim uznemirenosti i osje\u0107aja op\u0161te slabosti, a dolazi i do oticanja regionalnih limfnih \u010dvorova (u preponi kod ugriza na podru\u010dju donjih ekstremiteta ili u pazuhu kod gornjih). \u010cesta je i gotovo obavezna pojava blijede i hladne ko\u017ee, ko\u017ea<\/a> naj\u010de\u0161\u0107e bude i oro\u0161ena znojem, rad srca se ubrzava a pad krvnog pritiska u tom slu\u010daju ozna\u010dava i stanje \u0161oka, koji se uglavnom razvija postupno i kao takav \u0161ok je glavni uzrok eventualnog smrtnog ishoda.<\/p>\n

Postupak kod zmijskog ugriza<\/h4>\n

Ako se ugriz zmije desi treba pozvati najblizu stanicu hitne pomo\u0107i ili\u00a0 GSS (gorska slu\u017eba spa\u0161avanja) ako se ugriz desio na nekom udaljenom podru\u010dju.<\/p>\n

Ukoliko se pouzdano utvrdi da zmija nije otrovnica, ranu obilno isprati vodom, namazati antibiotskom ma\u0161\u0107u ili kremom i zamotati zavojem, po mogu\u0107nosti sterilnim. U me\u0111uvremenu je neophodno ukoliko je mogu\u0107e,\u00a0 provjeriti kada je ugri\u017eena osoba zadnji put vakcinisana protiv tetanusa, te je prvi korak, ukoliko je pro\u0161lo vi\u0161e od 5 godina, provodi se revakcinacija protiv tetanusa.<\/p>\n

Ukoliko se sumnja, da ugriz poti\u010de od zmije otrovnice, ugri\u017eena osoba mora strogo mirovati, i treba izbjegavati svaki i najmanji pokret, a ekstremitet na kojoj je ugrizna rana nu\u017eno je imobilizirati. Bitno je da se na 5 do 10 cm iznad mjesta ekstremitet podvezati srednje jakim stiskom kako bi se zaustavila venska i limfna cirkulacija, a sve sa ciljem usporavanja \u0161irenja otrova u organizmu. Nu\u017eno je, pri tome voditi ra\u010duna da se ne podve\u017ee pre\u010dvrsto kako se ne bi zaustavila arterijska cirkulacija i dodatno ugrozilo stanje sa dugotrajnijim \u0161tetnim posljedicima.<\/p>\n

Kako znati da li smo previ\u0161e stegnili povez na nozi iznad mjesta ugriza zmije?<\/p>\n

Provjerom pulsa na ruci ili nozi. Ukoliko ne mo\u017eemo napipati puls, onda je poveska previ\u0161e stegnuta.<\/p>\n

Prevencija zmijskog ugriza<\/h4>\n

Neke ugrize poput onih kada osoba slu\u010dajno stane na zmiju, ili se zmija spletom okolnosti na\u0111e u odje\u0107i ili obu\u0107i koju nismo prethodno provjerili, gotovo je nemogu\u0107e sprije\u010diti.<\/p>\n

Me\u0111utim, postoje mjere opreza a koje mogu umanjiti mogu\u0107nost da zmijskog ugriza:<\/p>\n

1.Pustite zmiju na miru.<\/p>\n

\u010cesti su ugrizi zmija pri poku\u0161aju ljudi da zmiju ubiju ili joj se \u0161to vi\u0161e pribli\u017ee. Zmije naj\u010de\u0161\u0107e pobjegnu, rijetko napadaju, ali se agresivno brane.<\/p>\n

2.Izbjegavajte visoku travu ako nemate prikladnu obu\u0107u<\/p>\n

Za boravak u visokoj travi koristite debele ko\u017ene \u010dizme, \u0161to je mogu\u0107e vi\u0161e kre\u0107ite se ve\u0107 postoje\u0107im\u00a0 planinskim stazama ili \u0161etnicama u prirodi.<\/p>\n

3.Ruke i noge ne stavljajte na mjesta koja nisu pregledna<\/p>\n

Nemojte zavla\u010diti ruku u nepregledan grm ili iza nekog kamena. Ne podi\u017eite kamenje ili komade drveta ili bilo kakve predmete u prirodi ili nepoznatom okru\u017eenju ukoliko niste na dovoljnoj udaljenosti od potencijalnog napada zmije.<\/p>\n

4.Posebno budite oprezni i pripravni ako se penjete po stijenama.<\/p>\n

VA\u017dNO \u2013 ranica se ne zarezuje, otrov se ne isisava, a led se ne stavlja na mjesto ugriza!<\/p>\n

VA\u017dNO \u2013 svaki slu\u010daj ugriza nu\u017eno je u najkra\u0107em roku prijaviti najbli\u017eoj primarnoj zdravstvenoj ustanovi bez obzira da li se radi o zmiji otrovnici ili ne!<\/p>\n

Antidot za zmijski ugriz (antiviperinum) potje\u010de iz konjskog seruma, a sadr\u017ei antitijela koja je konj proizveo nakon \u0161to mu je ubrizgan zmijski otrov. Antiviperinum serum se daje isklju\u010divo u bolni\u010dkim uslovima intravenski, i to samo kada je strogo indiciran, budu\u0107i da sam antiserum mo\u017ee izazvati ozbiljne, pa \u010dak i po \u017eivot opasne reakcije.<\/p>\n

Autor: Admir Gluhi\u0107, HCM spec., na\u010delnik Slu\u017ebe za DDD i sanitarni nadzor INZ<\/p>\n","protected":false},"excerpt":{"rendered":"

Pred nama je period sve intenzivnijeg boravka u prirodi, kretanja po otvorenim povr\u0161inama, \u0161umskim i drugim krajolicima. Va\u017eno je skrenuti pa\u017enju na neke \u010dinjenice vezane za eventualne rizike boravka na takvim prostorima, kako bi se poduzele mjere predostro\u017enosti i za\u0161tite. Ako je mogu\u0107e nikad ne idite u prirodu (podru\u010dja gdje mo\u017ee biti zmija) sami. Zmije […]<\/p>\n","protected":false},"author":3,"featured_media":141662,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[86],"tags":[125],"class_list":["post-141661","post","type-post","status-publish","format-standard","has-post-thumbnail","category-magazin","tag-zdravlje"],"acf":[],"yoast_head":"\nBudite oprezni tokom boravka u prirodi<\/title>\n<meta name=\"description\" content=\"Pred nama je period sve intenzivnijeg boravka u prirodi, kretanja po otvorenim povr\u0161inama, \u0161umskim i drugim krajolicima. 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