{"id":14433,"date":"2014-01-17T07:43:56","date_gmt":"2014-01-17T06:43:56","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=14433"},"modified":"2014-01-17T08:23:19","modified_gmt":"2014-01-17T07:23:19","slug":"pacient-s-transplantovanym-srdcem-slavi-narozeniny-dvakrat","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=14433","title":{"rendered":"Pacient s transplantovan\u00fdm srdcem slav\u00ed narozeniny dvakr\u00e1t"},"content":{"rendered":"

Ne jednou, ale dvakr\u00e1t za rok slav\u00ed sv\u00e9 narozeniny sedmasedmdes\u00e1tilet\u00fd Rudolf Sekava. Na rozd\u00edl od jin\u00fdch si toti\u017e nep\u0159ipom\u00edn\u00e1 jen den, kdy p\u0159i\u0161el na sv\u011bt, ale tak\u00e9 den, kdy p\u0159i transplantaci dostal nov\u00e9 srdce.<\/strong><\/p>\n

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foto: vlevo Rudolf Sekava, vpravo MUDr. Pavel Firt
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Byl t\u0159et\u00edm pacientem v tehdej\u0161\u00edm \u010ceskoslovensku, kter\u00e9mu l\u00e9ka\u0159i n\u00e1hradn\u00ed srde\u010dn\u00ed sval voperovali. \u017dije s n\u00edm u\u017e p\u0159es 29 let. Na sv\u011bt\u011b je tak p\u00e1t\u00fdm nejd\u00e9le \u017eij\u00edc\u00edm \u010dlov\u011bkem s transplantovanou „pumpou“.<\/p>\n

„V\u00fdro\u010d\u00ed transplantace si p\u0159ipom\u00edn\u00e1m jako druh\u00e9 narozeniny. Beru to jako dar, kter\u00fd jsem dostal. Jako nejv\u011bt\u0161\u00ed dar. To si \u010dlov\u011bk uv\u011bdomuje, kdy\u017e to pro\u017eije a dostane se na hranici \u017eivota a smrti a za\u010dne o \u017eivot z\u00e1pasit,“ \u0159\u00edk\u00e1 b\u00fdval\u00fd st\u0159edo\u0161kolsk\u00fd profesor.<\/p>\n

Transplantaci v pra\u017esk\u00e9m Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) podstoupil 23. \u0159\u00edjna 1984 jako t\u0159et\u00ed pacient. Bez n\u00ed by mu zb\u00fdvalo p\u00e1r m\u011bs\u00edc\u016f \u017eivota. Dva roky p\u0159ed operac\u00ed kv\u016fli nemocn\u00e9mu srdci nastoupil do invalidn\u00edho d\u016fchodu, rok po z\u00e1kroku se zas vr\u00e1til za katedru.<\/p>\n

Prvn\u00ed \u00fasp\u011b\u0161n\u00e1 transplantace srdce nejen v b\u00fdval\u00e9m \u010ceskoslovensku, ale v cel\u00e9m tehdej\u0161\u00edm v\u00fdchodn\u00edm bloku se odehr\u00e1la zhruba o deset m\u011bs\u00edc\u016f d\u0159\u00edv – 31. ledna 1984. Prvn\u00edm pacientem byl Josef Divina. Operace mu prodlou\u017eila \u017eivot o 13 let. Na prvn\u00ed v\u00fdm\u011bnu srdce se t\u00fdm l\u00e9ka\u0159\u016f p\u0159ipravoval dlouho. Po\u010d\u00e1tkem roku 1984 k n\u00ed dostal svolen\u00ed socialistick\u00e9ho ministra zdravotnictv\u00ed.<\/p>\n

„Byl to nezvykl\u00fd pohled na pr\u00e1zdn\u00fd hrudn\u00edk. Tak\u00e9 kdy\u017e se srdce od d\u00e1rce rozb\u011bhlo. Ono to fungovalo! Tehdy to bylo n\u011bco v\u00fdjime\u010dn\u00e9ho. Dnes je to samoz\u0159ejmost. Je to stejn\u00e9 jako s prvn\u00edm letadlem \u010di automobilem,“ \u0159\u00edk\u00e1 profesor Pavel Firt z kliniky kardiovaskul\u00e1rn\u00ed chirurgie IKEM, kter\u00fd byl v prvn\u00edm transplanta\u010dn\u00edm t\u00fdmu.<\/p>\n

Prvn\u00ed z\u00e1kroky nez\u016fstaly jen v\u00fdjime\u010dnou senzac\u00ed, ale p\u0159ed t\u0159emi desetilet\u00edmi zah\u00e1jily systematick\u00fd program. Od t\u00e9 doby se v IKEM uskute\u010dnilo u\u017e 938 transplantac\u00ed srdce. „Na dn\u011b du\u0161e jsem c\u00edtil i ur\u010dit\u00fd smutek. Pochopil jsem, \u017ee transplantace srdce je \u0161pi\u010dka m\u00e9 chirurgick\u00e9 dr\u00e1hy. Nic v\u011bt\u0161\u00edho u\u017e m\u011b ne\u010dek\u00e1,“ vzpom\u00edn\u00e1 profesor Firt.<\/p>\n

T\u0159et\u00ed pacient v po\u0159ad\u00ed si zas po t\u0159ech desetilet\u00edch vybavuje sv\u00e9 obavy i to, jak se transplantaci br\u00e1nil a zpo\u010d\u00e1tku ji odm\u00edtal. Operaci pak zvl\u00e1dl. P\u0159i zotavov\u00e1n\u00ed musel dodr\u017eovat dietu, chr\u00e1nit se p\u0159ed infekc\u00ed a hlavn\u011b povinn\u011b chodit, aby si srdce zvyklo na z\u00e1t\u011b\u017e. Z tisku se dozv\u011bd\u011bl, \u017ee d\u00e1rkyn\u00ed byla mlad\u00e1 \u017eena. „Jej\u00ed srdce ve mn\u011b tepe do dne\u0161ka. Taky cht\u011bla \u017e\u00edt jako j\u00e1, nebylo j\u00ed to ale dop\u0159\u00e1no. Jsem j\u00ed vd\u011b\u010dn\u00fd. Kdy\u017e m\u00e1m v\u00fdro\u010d\u00ed transplantace, tak si na ni vzpomenu,“ \u0159\u00edk\u00e1 Sekava.<\/p>\n

Statistiku nejd\u00e9le \u017eij\u00edc\u00edch pacient\u016f pr\u00fd nesleduje. \u017de je p\u00e1t\u00fd na sv\u011bt\u011b, ani nev\u011bd\u011bl. „Jsem r\u00e1d, \u017ee jsem se toho do\u017eil. Kolikr\u00e1t \u010dlov\u011bk hudruje a v\u0161elijak za\u010d\u00edn\u00e1 reptat, pak si ale \u0159\u00edk\u00e1: Co bys cht\u011bl lep\u0161\u00edho, v\u017edy\u0165 jsi \u017eiv, tak kde bys hledal v\u011bt\u0161\u00ed \u0161t\u011bst\u00ed?!“<\/p>\n","protected":false},"excerpt":{"rendered":"

Ne jednou, ale dvakr\u00e1t za rok slav\u00ed sv\u00e9 narozeniny sedmasedmdes\u00e1tilet\u00fd Rudolf Sekava. Na rozd\u00edl od jin\u00fdch si toti\u017e nep\u0159ipom\u00edn\u00e1 jen den, kdy p\u0159i\u0161el na sv\u011bt, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14437,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-14433","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\/14433","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=14433"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14433\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14437"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14433"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14433"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14433"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}