{"id":11385617,"date":"2014-07-23T00:00:00","date_gmt":"2014-07-22T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/vliv-potapeni-na-mozek-1-cast\/"},"modified":"2014-07-23T00:00:00","modified_gmt":"2014-07-22T22:00:00","slug":"vliv-potapeni-na-mozek-1-cast","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/vliv-potapeni-na-mozek-1-cast\/","title":{"rendered":"Vliv pot\u00e1p\u011bn\u00ed na mozek (1. \u010d\u00e1st)"},"content":{"rendered":"

Ot\u00e1zka, zdali m\u016f\u017ee m\u00edt pot\u00e1p\u011bn\u00ed dlouhodob\u00e9 \u0161kodliv\u00e9 \u00fa\u010dinky na zdrav\u00ed, se objevuje pom\u011brn\u011b \u010dasto a dosud nebyla jednozna\u010dn\u011b odpov\u011bzena. Mo\u017en\u00e9 neurologick\u00e9 komplikace u p\u0159\u00edpad\u016f akutn\u00edch pot\u00e1p\u011b\u010dsk\u00fdch zran\u011bn\u00ed jsou nesporn\u00e9, ale n\u011bkter\u00e9 v\u00fdzkumy se zmi\u0148uj\u00ed tak\u00e9 o d\u016fkazech l\u00e9z\u00ed (po\u0161kozen\u00ed) v \u00fast\u0159edn\u00ed nervov\u00e9 soustav\u011b u pot\u00e1p\u011b\u010d\u016f, kte\u0159\u00ed nikdy neutrp\u011bli dekompresn\u00ed onemocn\u011bn\u00ed (DCS). Tyto subklinick\u00e9 l\u00e9ze neboli „b\u00edl\u00e1 m\u00edsta“ v mozku lze zjistit magnetickou rezonanc\u00ed (MRI), co\u017e je metoda velmi citiv\u011b zachycuj\u00edc\u00ed zm\u011bny v mozkov\u00e9 tk\u00e1ni. Nen\u00ed jasn\u00e9, zdali jsou \u010dast\u011bj\u0161\u00ed u pot\u00e1p\u011b\u010d\u016f ne\u017e u nepot\u00e1p\u011b\u010d\u016f, a tak\u00e9 se nev\u00ed, zdali je jejich p\u0159\u00edtomnost n\u011bjak d\u016fle\u017eit\u00e1.<\/p>\n

P\u0159i n\u011bkter\u00fdch v\u00fdzkumech se b\u011bhem kontroly neurologick\u00fdch funkc\u00ed pot\u00e1p\u011b\u010d\u016f zjistily abnorm\u00e1ln\u00ed v\u00fdsledky. Vy\u0161et\u0159en\u00ed se prov\u00e1d\u011bla formou neuropsychologick\u00fdch test\u016f na pam\u011b\u0165 a koncentraci, elektroencefalogram\u016f (EEGs), kter\u00fdmi se zji\u0161\u0165uje elektrick\u00e1 aktivita v mozku a rovn\u011b\u017e pomoc\u00ed po\u010d\u00edta\u010dov\u00e9 tomografie (SPECT), kterou se m\u011b\u0159\u00ed cerebr\u00e1ln\u00ed pr\u016ftok krve. V \u017eenevsk\u00e9m v\u00fdzkumu nazvan\u00e9m “Pot\u00e1p\u011bn\u00ed a pam\u011b\u0165” (Slosman D. O. et al., 2004) se p\u0159i\u010d\u00edtala ni\u017e\u0161\u00ed neuropsychologick\u00e1 v\u00fdkonnost prov\u00e1zen\u00e1 men\u0161\u00edm cerebr\u00e1ln\u00edm pr\u016ftokem krve vysok\u00e9 frekvenci prov\u00e1d\u011bn\u00fdch ponor\u016f (v\u00edce ne\u017e 100 ponor\u016f ro\u010dn\u011b), hloubce ponor\u016f (pod 40 metr\u016f) a pot\u00e1p\u011b\u010dsk\u00e9mu prost\u0159ed\u00ed (ve studen\u00e9 vod\u011b).<\/p>\n

Stanovit p\u0159\u00ed\u010dinnou souvislost mezi pot\u00e1p\u011bn\u00edm a zji\u0161t\u011bn\u00fdmi patologick\u00fdmi mechanismy zm\u00edn\u011bn\u00fdch mozkov\u00fdch l\u00e9z\u00ed je obt\u00ed\u017en\u00e9. V\u0161e nasv\u011bd\u010duje skute\u010dnosti, \u017ee s t\u011bmito n\u00e1lezy souvis\u00ed mnoho jin\u00fdch faktor\u016f, jako nap\u0159. v\u011bk, p\u0159edchoz\u00ed zran\u011bn\u00ed hlavy, konzumace alkoholu, migr\u00e9ny, kou\u0159en\u00ed, vysok\u00fd krevn\u00ed tlak, vysok\u00e1 hladina cholesterolu, infekce, ale i p\u0159\u00edtomnost defektu uz\u00e1v\u011bru pr\u016fchodn\u00e9ho ov\u00e1ln\u00e9ho ok\u00e9nka (PFO). Bublinky proch\u00e1zej\u00edc\u00ed srde\u010dn\u00edmi s\u00edn\u011bmi a patrn\u00e9 p\u0159i vy\u0161et\u0159en\u00ed pomoc\u00ed ultrazvuku zpravidla nezp\u016fsobuj\u00ed \u017e\u00e1dn\u00e9 p\u0159\u00edznaky, ale tyto „tich\u00e9 bublinky“ by mohly b\u00fdt p\u0159\u00ed\u010dinou zm\u00edn\u011bn\u00fdch subklinick\u00fdch l\u00e9z\u00ed.<\/p>\n

N\u011bkolik v\u00fdzkum\u016f se soust\u0159edilo i na vliv PFO, co\u017e je pr\u016fchod p\u0159ep\u00e1\u017ekou, kter\u00e1 oddd\u011bluje pravou srde\u010dn\u00ed s\u00ed\u0148 od lev\u00e9. Toto pr\u016fchodn\u00e9 ok\u00e9nko m\u016f\u017ee b\u00fdt r\u016fzn\u00e9 velikosti a vyskytuje se u 25 procent populace. Bublinky vytvo\u0159en\u00e9 n\u00e1sledkem dekomprese se mohly teoreticky dostat krevn\u00edm ob\u011bhem do srdce, vstoupit do tepenn\u00e9ho ob\u011bhu a touto cestou se dopravit a\u017e do mozku. Tento mechanismus vlastn\u011b p\u0159ipom\u00edn\u00e1 embolii, p\u0159i kter\u00e9 sra\u017eenina z velk\u00e9 \u017e\u00edly projde ok\u00e9nkem PFO a skon\u010d\u00ed v mozku, co\u017e zp\u016fsob\u00ed mozkovou p\u0159\u00edhodu. I kdy\u017e se PFO pova\u017euje za rizikov\u00fd faktor pro mozkov\u00e9 l\u00e9ze, dosud neexistuje nepochybn\u00fd d\u016fkaz o p\u0159\u00ed\u010dinn\u00e9 souvislosti mezi PFO a „tich\u00fdmi“ zran\u011bn\u00edmi.<\/p>\n

Existuj\u00ed i d\u016fkazy prokazuj\u00edc\u00ed \u00fa\u010dinky pot\u00e1p\u011bn\u00ed na \u00fast\u0159edn\u00ed nervovou soustavu jedinc\u016f pot\u00e1p\u011bj\u00edc\u00edch se se zadr\u017een\u00fdm dechem. U \u0159ady t\u011bchto pot\u00e1p\u011b\u010d\u016f byly zji\u0161t\u011bny a zdokumentov\u00e1ny p\u0159\u00edpady zran\u011bn\u00ed p\u0159ipom\u00ednaj\u00edc\u00ed mozkov\u00e9 p\u0159\u00edhody. Jeden \u0161v\u00e9dsk\u00fd v\u00fdzkum prok\u00e1zal, \u017ee d\u00e9letrvaj\u00edc\u00ed dobrovoln\u00e1 bezdechost (apnea) m\u016f\u017ee p\u0159echodn\u011b zv\u00fd\u0161it hladiny proteinov\u00e9ho markeru signalizuj\u00edc\u00edho po\u0161kozen\u00ed mozku, i kdy\u017e se nedostav\u00ed \u017e\u00e1dn\u00e9 zjevn\u00e9 p\u0159\u00edznaky akutn\u00edho zran\u011bn\u00ed (Andersson J. P. et al., 2009). Tito v\u011bdci se domn\u00edvaj\u00ed, \u017ee vystaven\u00ed organizmu siln\u00e9 hypoxii m\u016f\u017ee zp\u016fsobit trval\u00e9 neurologick\u00e9 po\u0161kozen\u00ed. M\u00edra nebezpe\u010d\u00ed bezp\u0159\u00edznakov\u00fdch neurologick\u00fdch p\u0159\u00edhod a jejich mo\u017en\u00e9 dlouhodob\u00e9 dopady na zdrav\u00ed pot\u00e1p\u011b\u010d\u016f v\u0161ak z\u016fst\u00e1v\u00e1 st\u00e1le ot\u00e1zkou. Zeptali jsme se na to odborn\u00edk\u016f.<\/p>\n

Jak\u00e9 d\u016fkazy existuj\u00ed o mozkov\u00fdch l\u00e9z\u00edch u pot\u00e1p\u011b\u010d\u016f, kte\u0159\u00ed nikdy neza\u017eili DCS?<\/strong><\/p>\n

Richard Moon<\/strong>: P\u0159i n\u011bkter\u00fdch v\u00fdzkumech se pomoc\u00ed magnetick\u00e9 rezonance vypozoroval \u010detn\u011bj\u0161\u00ed v\u00fdskyt mozkov\u00fdch l\u00e9z\u00ed u pot\u00e1p\u011b\u010d\u016f ne\u017e u nepot\u00e1p\u011b\u010d\u016f. Dosud se ale nezjistila \u017e\u00e1dn\u00e1 souvislost mezi po\u010dtem l\u00e9z\u00ed a po\u010dtem ponor\u016f, co\u017e nazna\u010duje, \u017ee l\u00e9ze s pot\u00e1p\u011bn\u00edm jako takov\u00fdm nesouvis\u00ed.<\/p>\n

G\u00fcnalp Uzun<\/strong>: V\u00fdzkumy proveden\u00e9 za posledn\u00edch 20 let a zam\u011b\u0159en\u011b na vyjasn\u011bn\u00ed p\u0159edpokl\u00e1dan\u00e9 souvislosti mezi pot\u00e1p\u011bn\u00edm a mozkov\u00fdmi l\u00e9zemi p\u0159inesly rozporn\u00e9 v\u00fdsledky. I z d\u016fvodu metodologick\u00fdch rozd\u00edl\u016f mezi jednotliv\u00fdmi v\u00fdzkumy nen\u00ed mo\u017en\u00e9 navz\u00e1jem porovn\u00e1vat z\u00edskan\u00e9 \u00fadaje k tomu, aby se do\u0161lo k jednozna\u010dn\u00e9mu z\u00e1v\u011bru. P\u0159i n\u011bkter\u00fdch d\u0159\u00edv\u011bj\u0161\u00edch v\u00fdzkumech se v\u0161ak zjistil vy\u0161\u0161\u00ed v\u00fdskyt b\u00edl\u00fdch l\u00e9z\u00ed u vojensk\u00fdch pot\u00e1p\u011b\u010d\u016f (netrp\u00edc\u00edch \u017e\u00e1dn\u00fdmi p\u0159\u00edznakly) v porovn\u00e1n\u00ed s nepot\u00e1p\u011b\u010di (Erdem et al., 2009). Ne v\u017edy v\u0161ak kladn\u00e1 korelace dokazuje p\u0159\u00ed\u010dinnou souvislost. V\u011bt\u0161ina t\u011bchto v\u00fdzkum\u016f (v\u010detn\u011b na\u0161eho) neprok\u00e1zala \u017e\u00e1dnou v\u00fdznamnou souvislost mezi b\u00edl\u00fdmi l\u00e9zemi a pot\u00e1p\u011bn\u00edm. I kdy\u017e m\u011bli pot\u00e1p\u011b\u010di v\u011bt\u0161\u00ed mno\u017estv\u00ed b\u00edl\u00fdch l\u00e9z\u00ed, jejich klinick\u00e1 relevantnost a souvislost s neuropsychologick\u00fdmi p\u0159\u00edznaky nebyla dosud nijak jasn\u011b definov\u00e1na.<\/p>\n

Kay Tetzlaff<\/strong>: Existuje \u0159ada v\u00fdzkum\u016f, p\u0159i kter\u00fdch se pomoc\u00ed magnetick\u00e9 rezonance vy\u0161et\u0159ilo mnoho skupin pot\u00e1p\u011b\u010d\u016f na mo\u017enou souvislost mezi pot\u00e1p\u011bn\u00edm a p\u0159\u00edtomnost\u00ed mozkov\u00fdch l\u00e9z\u00ed. Takovou p\u0159\u00ed\u010dinnou souvislost v\u0161ak neprok\u00e1zaly v\u00fdsledky ani jednoho z nich. Jedn\u00edm z hlavn\u00edch d\u016fvod\u016f m\u016f\u017ee b\u00fdt i skute\u010dnost, \u017ee l\u00e9ze mohly existovat u vybran\u00fdch pot\u00e1p\u011b\u010d\u016f ji\u017e p\u0159ed pot\u00e1p\u011bn\u00edm. Vlastn\u011b lze \u0159\u00edci, \u017ee v\u00fdzkumy ani nevyvr\u00e1tily hypot\u00e9zu, \u017ee rozhodnut\u00ed za\u010d\u00edt s pot\u00e1p\u011bn\u00edm m\u016f\u017ee b\u00fdt prvn\u00edm p\u0159\u00edznakem po\u0161kozen\u00ed mozku. Jednou z mo\u017enost\u00ed, jak sn\u00ed\u017eit p\u0159edpojat\u00fd a neobjektivn\u00ed p\u0159\u00edstup (z nejr\u016fzn\u011bj\u0161\u00edch d\u016fvod\u016f a pohnutek) k t\u00e9to problematice, by bylo dlouhodob\u00e9 sledov\u00e1n\u00ed statisticky v\u00fdznamn\u00e9 skupiny pot\u00e1p\u011b\u010d\u016f od sam\u00e9ho po\u010d\u00e1tku jejich pot\u00e1p\u011b\u010dsk\u00e9 kari\u00e9ry v porovn\u00e1n\u00ed se skupinou nepot\u00e1p\u011b\u010d\u016f, ov\u0161em z\u00e1rove\u0148 se sledov\u00e1n\u00edm mo\u017en\u00fdch rizikov\u00fdch faktor\u016f, jak\u00fdmi jsou nap\u0159. konzumace alkoholu, kou\u0159en\u00ed, vysok\u00fd tlak a jin\u00e9. Takov\u00fd v\u00fdzkum v\u0161ak dosud proveden nebyl.<\/p>\n

Jak\u00e1 je souvislost mezi mozkov\u00fdmi l\u00e9zemi a defektem uz\u00e1v\u011bru pr\u016fchodn\u00e9ho ov\u00e1ln\u00e9ho ok\u00e9nka (PFO)?<\/strong><\/p>\n

Moon<\/strong>: Mezi p\u0159\u00edtomnost\u00ed PFO a v\u00fdskytem t\u011bchto l\u00e9z\u00ed ur\u010dit\u00e1 mal\u00e1 souvislost existuje. Ale znovu opakuji, \u017ee nejsou d\u016fkazy o tom, \u017ee tyto l\u00e9ze nazna\u010duj\u00ed po\u0161kozen\u00ed mozku.<\/p>\n

Uzun<\/strong>: Tak zvan\u00e9 “tich\u00e9 plynov\u00e9 bublinky“, kter\u00e9 lze zjistit i po ponorech do nehlubok\u00e9 vody, nezp\u016fsobuj\u00ed \u017e\u00e1dn\u00e9 klinick\u00e9 p\u0159\u00edznaky a zpravidla se odfiltruj\u00ed plicn\u00ed vaskulaturou. PFO, otvor v p\u0159ep\u00e1\u017ece mezi pravou a levou s\u00edn\u00ed, m\u016f\u017ee slou\u017eit tich\u00fdm plynov\u00fdm bublink\u00e1m jako vstup do c\u00e9vn\u00edho ob\u011bhu. Existuje hypot\u00e9za, \u017ee tyto bublinky mohou p\u0159eru\u0161ovat mal\u00e9 c\u00e9vky v mozku a zp\u016fsobovat b\u00edl\u00e9 mozkov\u00e9 l\u00e9ze. Je pravdou, \u017ee \u0159ada v\u00fdzkum\u016f prok\u00e1zala, \u017ee u pot\u00e1p\u011b\u010d\u016f s PFO je v\u011bt\u0161\u00ed riziko v\u00fdskytu b\u00edl\u00fdch l\u00e9z\u00ed ne\u017e u pot\u00e1p\u011b\u010d\u016f bez PFO. Neexistuje v\u0161ak \u017e\u00e1dn\u00e9 v\u0161eobecn\u00e9 doporu\u010den\u00ed, aby se scuba pot\u00e1p\u011b\u010di (kte\u0159\u00ed nemaj\u00ed \u017e\u00e1dn\u00e9 p\u0159\u00edznaky) podrobili vy\u0161et\u0159en\u00ed na PFO. Nicm\u00e9n\u011b pot\u00e1p\u011b\u010d, kter\u00fd o sv\u00e9m PFO v\u00ed, by m\u011bl prov\u00e1d\u011bt sp\u00ed\u0161e ponory konzervativn\u011bj\u0161\u00edch profil\u016f, aby se u n\u011bj sn\u00ed\u017eilo riziko DCS.<\/p>\n

Tetzlaff<\/strong>: PFO zvy\u0161uje nebezpe\u010d\u00ed dekompresn\u00ed nemoci (DCI) a m\u016f\u017ee zv\u00fd\u0161it pravd\u011bpodobnost v\u00fdzkytu mozkov\u00fdch l\u00e9z\u00ed (zjistiteln\u00fdch magnetickou rezonanc\u00ed). Jeden klinick\u00fd v\u00fdzkum p\u0159inesl odhad, \u017ee pot\u00e1p\u011b\u010di s PFO maj\u00ed 4,5 n\u00e1sobn\u011b vy\u0161\u0161\u00ed po\u010det p\u0159\u00edpad\u016f DCI a dvakr\u00e1t v\u011bt\u0161\u00ed v\u00fdskyt ischemick\u00fdch mozkov\u00fdch l\u00e9z\u00ed oproti pot\u00e1p\u011b\u010d\u016fm bez PFO (Schwerzmann M. et al., 2001). Zde v\u0161ak nutno dodat, \u017ee i pot\u00e1p\u011bn\u00ed s PFO se pova\u017euje za bezpe\u010dn\u00e9, jestli\u017ee se ponory prov\u00e1d\u011bj\u00ed podle dan\u00fdch p\u0159edpis\u016f. P\u0159ipom\u00edn\u00e1m, \u017ee poran\u011bn\u00ed nezp\u016fsobuje PFO, ale p\u0159\u00edtomnost plynov\u00fdch bublinek b\u011bhem ponoru nebo po n\u011bm. Bublinkov\u00e9 zat\u00ed\u017een\u00ed lze minimalizovat vyh\u00fdb\u00e1n\u00edm se rizikov\u00fdm faktor\u016fm, jak\u00fdmi jsou hlubok\u00e9 ponory, pot\u00e1p\u011bn\u00ed ve studen\u00e9 vod\u011b a dekompresn\u00ed ponory.<\/p>\n

Jak\u00e9 jsou dal\u0161\u00ed mo\u017en\u00e9 mechanismy tvo\u0159en\u00ed mozkov\u00fdch l\u00e9z\u00ed zn\u00e1m\u00fdch jako b\u00edl\u00e1 m\u00edsta?<\/strong><\/p>\n

Moon<\/strong>: Lze je p\u0159i\u010d\u00edtat norm\u00e1ln\u00edmu procesu st\u00e1rnut\u00ed, ke kter\u00e9mu pat\u0159\u00ed nap\u0159. zm\u011bny v krevn\u00edch cest\u00e1ch.<\/p>\n

Uzun<\/strong>: B\u00edl\u00e1 m\u00edsta v mozku zji\u0161t\u011bn\u00e1 magnetickou rezonanc\u00ed jsou u star\u0161\u00edch lid\u00ed pom\u011brn\u011b b\u011b\u017en\u00e1 a mohou souviset se zran\u011bn\u00edm hlavy, konzumac\u00ed alkoholu, migr\u00e9nami, kou\u0159en\u00edm, vysok\u00fdm krevn\u00edm tlakem a\/nebo s vysokou hladinou cholesterolu. V\u0161eobecn\u011b se m\u00e1 za to, \u017ee b\u00edl\u00e9 l\u00e9ze signalizuj\u00ed parenchym\u00e1ln\u00ed po\u0161kozen\u00ed zp\u016fsoben\u00e9 cerebrovaskul\u00e1rn\u00ed poruchou nebo cerebr\u00e1ln\u00ed ischemi\u00ed.<\/p>\n

Tetzlaff<\/strong>: Hyperintenzity b\u00edl\u00e9 hmoty se pova\u017euj\u00ed za typick\u00e9 sign\u00e1ly (zji\u0161t\u011bn\u00e9 magnetickou rezonanc\u00ed) onemocn\u011bn\u00ed mal\u00fdch mozkov\u00fdch c\u00e9v. Patologick\u00e9 souvislosti mohou b\u00fdt r\u016fzn\u00e9, ale nej\u010dast\u011bji se tyto hyperintenzity b\u00edl\u00e9 hmoty pova\u017euj\u00ed za reakci na ischemickou z\u00e1t\u011b\u017e mal\u00fdch c\u00e9v. Hlavn\u00edmi pr\u016fvodn\u00edmi jevy b\u00fdvaj\u00ed mozkov\u00e1 mrtvice, sn\u00ed\u017een\u00ed rozpozn\u00e1vac\u00edch schopnost\u00ed a demence. V\u00fdskyt hyperintenzit b\u00edl\u00e9 hmoty se zvy\u0161uje s v\u011bkem.<\/p>\n

Tato diskuse bude pokra\u010dovat druhou \u010d\u00e1st\u00ed uve\u0159ejn\u011bnou v z\u00e1\u0159ijov\u00e9m \u010d\u00edsle.<\/p>\n

Odborn\u00edci:<\/strong><\/p>\n

Richard Moon<\/strong>, M.D<\/strong>., z\u00edskal l\u00e9ka\u0159sk\u00fd diplom na McGill University v kanadsk\u00e9m Montrealu. Je profesorem anesteziologie a medic\u00edny a rovn\u011b\u017e \u0159editelem St\u0159ediska pro hyperbarickou medic\u00ednu a environment\u00e1ln\u00ed fyziologii na Duke University Medical Center v Durhamu (Severn\u00ed Karol\u00edna).<\/p>\n

Kay Tetzlaff, M.D<\/strong>., je mimo\u0159\u00e1dn\u00fdm profesorem medic\u00edny na Kated\u0159e sportovn\u00edho l\u00e9ka\u0159stv\u00ed Univerzity T\u00fcbingen v N\u011bmecku a konzultantem pro pot\u00e1p\u011b\u010dskou a hyperbarickou medic\u00ednu.<\/p>\n

G\u00fcnalp Uzun, M.D<\/strong>., je mimo\u0159\u00e1dn\u00fdm profesorem pro podvodn\u00ed a hyperbarickou medic\u00ednu ve fakultn\u00ed nemocnici GMMA Haydarpasa Teaching Hospital v tureck\u00e9m Istanbulu.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ot\u00e1zka, zdali m\u016f\u017ee m\u00edt pot\u00e1p\u011bn\u00ed dlouhodob\u00e9 \u0161kodliv\u00e9 \u00fa\u010dinky na zdrav\u00ed, se objevuje pom\u011brn\u011b \u010dasto a dosud nebyla jednozna\u010dn\u011b odpov\u011bzena. Mo\u017en\u00e9 neurologick\u00e9 komplikace u p\u0159\u00edpad\u016f akutn\u00edch…<\/p>\n","protected":false},"author":1,"featured_media":11375033,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[],"authors":[],"class_list":["post-11385617","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky"],"acf":[],"yoast_head":"\nVliv pot\u00e1p\u011bn\u00ed na mozek (1. \u010d\u00e1st) - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/vliv-potapeni-na-mozek-1-cast\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vliv pot\u00e1p\u011bn\u00ed na mozek (1. \u010d\u00e1st) - Alert Diver\" \/>\n<meta property=\"og:description\" content=\"Ot\u00e1zka, zdali m\u016f\u017ee m\u00edt pot\u00e1p\u011bn\u00ed dlouhodob\u00e9 \u0161kodliv\u00e9 \u00fa\u010dinky na zdrav\u00ed, se objevuje pom\u011brn\u011b \u010dasto a dosud nebyla jednozna\u010dn\u011b odpov\u011bzena. 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