{"id":13281,"date":"2013-11-21T14:22:22","date_gmt":"2013-11-21T13:22:22","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=13281"},"modified":"2013-11-21T14:24:31","modified_gmt":"2013-11-21T13:24:31","slug":"setrnejsi-nez-dialyza-je-nova-metoda-hemodiafiltrace","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=13281","title":{"rendered":"\u0160etrn\u011bj\u0161\u00ed ne\u017e dial\u00fdza je nov\u00e1 metoda hemodiafiltrace"},"content":{"rendered":"<p><strong>Nov\u00e1 metoda hemodiafiltrace je pro pacienty se selh\u00e1n\u00edm ledvin \u0161etrn\u011bj\u0161\u00ed a o t\u0159etinu sni\u017euje rizika \u00famrt\u00ed na komplikace ne\u017e u klasick\u00e9 dial\u00fdzy, pracuje s n\u00ed ale dosud jen n\u011bkolik m\u00e1lo l\u00e9ka\u0159sk\u00fdch center. <!--more--><\/strong><\/p>\n<p>Technika je toti\u017e drah\u00e1 a metoda nen\u00ed vhodn\u00e1 pro v\u0161echny pacienty. \u00damrtnost ale sni\u017euje o 30 procent, \u0159ekla Michaela S\u00e1gov\u00e1 z centra NephroCare.<\/p>\n<p>L\u00e9\u010dbu, p\u0159i n\u00ed\u017e jsou z krve pomoc\u00ed p\u0159\u00edstroje odstra\u0148ov\u00e1ny odpadn\u00ed l\u00e1tky, absolvuje v \u010cesku ro\u010dn\u011b v\u00edce ne\u017e 11.000 pacient\u016f.<\/p>\n<p>Takzvanou hemodiafiltrac\u00ed, kter\u00e1 oproti klasick\u00e9 dial\u00fdze dok\u00e1\u017ee z t\u011bla odstranit v\u00edce odpadn\u00edch l\u00e1tek, je l\u00e9\u010deno 55 procent pacient\u016f. \u010c\u00e1st z nich se pak l\u00e9\u010d\u00ed vysokoobjemovou hemodiafiltrac\u00ed, kter\u00e1 d\u00edky vy\u0161\u0161\u00edmu pr\u016ftoku krve dok\u00e1\u017ee odstranit je\u0161t\u011b v\u00edce ne\u010distot.<\/p>\n<p>&#8222;Metoda vysokoobjemov\u00e9 hemodiafiltrace m\u00e1 sice vy\u0161\u0161\u00ed po\u0159izovac\u00ed n\u00e1klady, ale z pohledu celkov\u00e9 finan\u010dn\u00ed n\u00e1ro\u010dnosti jde o metodu mnohem \u00fasporn\u011bj\u0161\u00ed oproti jin\u00fdm metod\u00e1m,&#8220; uvedl \u0161\u00e9f spole\u010dnosti provozuj\u00edc\u00ed dialyza\u010dn\u00ed centra pro p\u011btinu \u010desk\u00fdch pacient\u016f David Proke\u0161.<\/p>\n<p>Nov\u00e1 metoda pr\u00fd oproti klasick\u00e9 hemodial\u00fdze o t\u0159etinu sni\u017euje \u00famrtnost na kardiovaskul\u00e1rn\u00ed komplikace, riziko \u00famrt\u00ed kv\u016fli infek\u010dn\u00edm komplikac\u00edm je ni\u017e\u0161\u00ed dokonce o polovinu. O 22 procent se tak\u00e9 sni\u017euje nutnost hospitalizace, v\u00fdrazn\u011b tak\u00e9 kles\u00e1 riziko mozkov\u00e9 mrtvice. Ni\u017e\u0161\u00ed spot\u0159eba l\u00e9k\u016f a men\u0161\u00ed po\u010det hospitalizac\u00ed pak znamenaj\u00ed i velk\u00e9 \u00faspory p\u0159i l\u00e9\u010db\u011b.<\/p>\n<p>Metoda ale nen\u00ed vhodn\u00e1 pro v\u0161echny pacienty. &#8222;Mus\u00ed b\u00fdt ob\u011bhov\u011b stabiln\u00ed, aby byl umo\u017en\u011bn v\u011bt\u0161\u00ed pr\u016ftok,&#8220; upozornil Proke\u0161.<\/p>\n<p>\u010ci\u0161t\u011bn\u00ed krve ale jinak funguje jako klasick\u00e1 dial\u00fdza a hrad\u00ed jej poji\u0161\u0165ovny. Pacient mus\u00ed doch\u00e1zet t\u0159ikr\u00e1t t\u00fddn\u011b na zhruba p\u011btihodinovou proceduru.<\/p>\n<p>Nov\u00e1 metoda ale dok\u00e1\u017ee tlumit i \u010dast\u00e9 doprovodn\u00e9 jevy l\u00e9\u010dby jako svalov\u00e9 k\u0159e\u010de, bolesti hlavy, zvracen\u00ed a pokles krevn\u00edho tlaku.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nov\u00e1 metoda hemodiafiltrace je pro pacienty se selh\u00e1n\u00edm ledvin \u0161etrn\u011bj\u0161\u00ed a o t\u0159etinu sni\u017euje rizika \u00famrt\u00ed na komplikace ne\u017e u klasick\u00e9 dial\u00fdzy, pracuje s n\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=13281\" title=\"\u0160etrn\u011bj\u0161\u00ed ne\u017e dial\u00fdza je nov\u00e1 metoda hemodiafiltrace\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":13319,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-13281","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/13281","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=13281"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/13281\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/13319"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13281"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13281"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13281"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}