{"id":10497,"date":"2013-09-16T09:45:20","date_gmt":"2013-09-16T07:45:20","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=10497"},"modified":"2013-09-16T10:01:26","modified_gmt":"2013-09-16T08:01:26","slug":"plzensti-lekari-pouzivaji-po-operaci-rakoviny-jater-kmenove-bunky","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=10497","title":{"rendered":"Plze\u0148\u0161t\u00ed l\u00e9ka\u0159i pou\u017e\u00edvaj\u00ed po operaci rakoviny jater kmenov\u00e9 bu\u0148ky"},"content":{"rendered":"<p><strong>Kmenov\u00e9 bu\u0148ky pom\u00e1haj\u00ed v posledn\u00edch dvou letech l\u00e9ka\u0159\u016fm z plze\u0148sk\u00e9 fakultn\u00ed nemocnice p\u0159i l\u00e9\u010den\u00ed pacient\u016f s rakovinou jater. Po chirurgick\u00e9m odstran\u011bn\u00ed \u010d\u00e1sti jater pom\u00e1haj\u00ed v jejich regeneraci.<\/strong><br \/>\n<!--more--><\/p>\n<p>L\u00e9\u010dba kmenov\u00fdmi bu\u0148kami je celosv\u011btov\u011b na za\u010d\u00e1tku, v Plzni odborn\u00edci u\u017e ve 12 p\u0159\u00edpadech pou\u017eili kmenov\u00e9 bu\u0148ky k tomu, aby pacientovi s rakovinou jater rychleji dorostla j\u00e1tra, \u0159ekl Tom\u00e1\u0161 Skalick\u00fd z chirurgick\u00e9 kliniky.<\/p>\n<p>\u010cesk\u00e1 republika a v n\u00ed z\u00e1padn\u00ed \u010cechy pat\u0159\u00ed k m\u00edst\u016fm s nejv\u011bt\u0161\u00edm v\u00fdskytem rakoviny. &#8222;J\u00e1tra zas\u00e1hnou ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f metast\u00e1zy, kter\u00e9 se do org\u00e1nu roz\u0161\u00ed\u0159\u00ed z jin\u00e9ho prim\u00e1rn\u00edho n\u00e1doru. Celosv\u011btov\u011b ale m\u016f\u017ee b\u00fdt operov\u00e1na asi jen \u010dtvrtina pacient\u016f s rakovinou jater, &#8222;\u0159ekl p\u0159ednosta chirurgick\u00e9 kliniky Vladislav T\u0159e\u0161ka.<\/p>\n<p>L\u00e9ka\u0159i d\u00e1vaj\u00ed jednozna\u010dn\u011b p\u0159ednost chirurgick\u00e9mu odstran\u011bn\u00ed \u010d\u00e1sti jater zasa\u017een\u00fdch metast\u00e1zemi, proto\u017ee j\u00e1tra dob\u0159e regeneruj\u00ed a dor\u016fstaj\u00ed. Pokud m\u00e1 pacient j\u00e1tra zdrav\u00e1, mohou mu l\u00e9ka\u0159i odebrat a\u017e 80 procent org\u00e1nu, kter\u00fd do t\u0159\u00ed m\u011bs\u00edc\u016f doroste do p\u016fvodn\u00ed velikosti a tvaru.<\/p>\n<p>Kmenov\u00e9 bu\u0148ky jsou volbou v p\u0159\u00edpadech, kdy pacientovi j\u00e1tra neregeneruj\u00ed tak rychle, aby neodstran\u011bn\u00fd zbytek org\u00e1nu zvl\u00e1dl funkce \u017eivotn\u011b d\u016fle\u017eit\u00e9 pro organismus. M\u016f\u017ee to b\u00fdt nap\u0159\u00edklad u diabetik\u016f nebo n\u011bkter\u00fdch pacient\u016f po chemoterapii, vysv\u011btlil Skalick\u00fd.<\/p>\n<p>&#8222;Tam, kde m\u00e1me strach, \u017ee by j\u00e1tra natolik nedorostla, dod\u00e1me kmenov\u00e9 bu\u0148ky, kter\u00e9 se tam za\u010dnou mno\u017eit a m\u011bn\u00ed se v jatern\u00ed bu\u0148ky a regenerace jatern\u00ed tk\u00e1n\u011b je podstatn\u011b v\u011bt\u0161\u00ed,&#8220; vysv\u011btlil.<\/p>\n<p>Zat\u00edm takov\u00fd postup plze\u0148\u0161t\u00ed l\u00e9ka\u0159i jako prvn\u00ed v \u010cR pou\u017eili u 12 pacient\u016f a u v\u0161ech tk\u00e1\u0148 dorostla rychleji.<\/p>\n<p>Chirurgov\u00e9 musej\u00ed nejd\u0159\u00edve uzav\u0159\u00edt c\u00e9vy k \u010d\u00e1sti jater zasa\u017een\u00e9 n\u00e1dory a &#8222;odstavit&#8220; ji tak. Do c\u00e9v otev\u0159en\u00fdch na druhou stranu jater, kter\u00e1 pacientovi z\u016fstane, vprav\u00ed kmenov\u00e9 bu\u0148ky, kter\u00e9 asi za \u010dty\u0159i t\u00fddny dorostou. Pak teprve bezpe\u010dn\u011b odstran\u00ed posti\u017eenou uzav\u0159enou \u010d\u00e1st org\u00e1nu.<\/p>\n<p>Pomoc kmenov\u00fdch bun\u011bk m\u016f\u017ee b\u00fdt podle Skalick\u00e9ho dal\u0161\u00ed mo\u017enost\u00ed, jak d\u00e1t \u0161anci na z\u00e1chranu \u017eivota v\u011bt\u0161\u00edmu po\u010dtu pacient\u016f z rakovinou jater.<\/p>\n<p>Chirurgick\u00e1 klinika FN Plze\u0148 pat\u0159\u00ed podle T\u0159e\u0161ky k p\u0159edn\u00edm pracovi\u0161t\u00edm v Evrop\u011b v l\u00e9\u010db\u011b rakoviny jater. Ro\u010dn\u011b provedou l\u00e9ka\u0159i na osm des\u00edtek operac\u00ed rakoviny jater a dal\u0161\u00ed dv\u011b des\u00edtky z\u00e1krok\u016f, p\u0159i nich\u017e se rakovinn\u00e9 metast\u00e1ze v j\u00e1trech odstran\u00ed &#8222;sp\u00e1len\u00edm&#8220; s pomoc\u00ed modern\u00edch p\u0159\u00edstroj\u016f. Tento postup vol\u00ed v p\u0159\u00edpad\u011b, kdy nelze zasa\u017eenou \u010d\u00e1st chirurgicky odstranit, proto\u017ee n\u00e1dor je nap\u0159\u00edklad v bl\u00edzkosti velk\u00fdch c\u00e9v.<\/p>\n<p>O sv\u00e9 zku\u0161enosti se plze\u0148\u0161t\u00ed l\u00e9ka\u0159i pod\u011blili s kolegy na \u010dty\u0159ic\u00e1t\u00e9m \u010cesko-slovensk\u00e9m chirurgick\u00e9m kongresu a kongresu chirurgie jater, \u017elu\u010dov\u00fdch cest a pankreatu, kter\u00fd hostili v Plzni.<\/p>\n<p>Plze\u0148\u0161t\u00ed l\u00e9ka\u0159i z\u00edskali pro operace rakoviny jater speci\u00e1ln\u00ed p\u0159\u00edstroj, teprve asi \u010dtvrt\u00fd v Evrop\u011b, d\u00edky kter\u00e9mu mohou bez krv\u00e1cen\u00ed odstranit n\u00e1dory zasa\u017eenou okrajovou \u010d\u00e1st jater. Je to nejen levn\u011bj\u0161\u00ed, ale pro pacienta i m\u00e9n\u011b zat\u011b\u017euj\u00edc\u00ed z\u00e1sah, \u0159ekl T\u0159e\u0161ka.<\/p>\n<p>Pokrok ve v\u00fdvoji techniky nejen pro operace jater podle n\u011bj v posledn\u00edch letech v\u00fdrazn\u011b pokro\u010dil. &#8222;Jestli p\u016fjde technika dop\u0159edu tak rychle jako v posledn\u00edch p\u011bti deseti letech, jsem p\u0159esv\u011bd\u010den, \u017ee metody p\u016fjdou sm\u011brem miniinvazivity, nebudeme muset na operace jater otev\u00edrat b\u0159icho, odehraje se to pomoc\u00ed paprsku bez po\u0161kozen\u00ed k\u016f\u017ee,&#8220; dodal.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Kmenov\u00e9 bu\u0148ky pom\u00e1haj\u00ed v posledn\u00edch dvou letech l\u00e9ka\u0159\u016fm z plze\u0148sk\u00e9 fakultn\u00ed nemocnice p\u0159i l\u00e9\u010den\u00ed pacient\u016f s rakovinou jater. Po chirurgick\u00e9m odstran\u011bn\u00ed \u010d\u00e1sti jater pom\u00e1haj\u00ed v <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=10497\" title=\"Plze\u0148\u0161t\u00ed l\u00e9ka\u0159i pou\u017e\u00edvaj\u00ed po operaci rakoviny jater kmenov\u00e9 bu\u0148ky\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-10497","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/10497","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10497"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/10497\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10497"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10497"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10497"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}