{"id":14793,"date":"2014-02-11T23:48:59","date_gmt":"2014-02-11T22:48:59","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=14793"},"modified":"2014-10-20T20:03:59","modified_gmt":"2014-10-20T18:03:59","slug":"zachranili-ho-pred-ztratou-hlasu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=14793","title":{"rendered":"Zachr\u00e1nili ho p\u0159ed ztr\u00e1tou hlasu"},"content":{"rendered":"<p><strong>V olomouck\u00e9\u00a0nemocnici unik\u00e1tn\u00ed operaci provedl t\u00fdm l\u00e9ka\u0159\u016f v \u010dele s Romanem \u0160muclerem a \u0161v\u00e9dsk\u00fdm odborn\u00edkem Mathiasem von Beckerathem. Pacient te\u010f po operaci mus\u00ed \u017e\u00edt n\u011bkolik dn\u00ed ve tm\u011b.<\/strong> <!--more--><\/p>\n<p>\u0160patnou diagn\u00f3zu o sv\u00e9m zdravotn\u00edm stavu se od l\u00e9ka\u0159e poprv\u00e9 dozv\u011bd\u011bl p\u0159ed deseti lety. Kv\u016fli n\u00e1doru na hrtanu hrozilo, \u017ee bude u\u017e nav\u017edy n\u011bm\u00fd. Radiochemoterapie sice zabrala, ale jen na chv\u00edli a rakovina se op\u011bt vr\u00e1tila. V posledn\u00ed dob\u011b u\u017e jen \u0161eptal.<\/p>\n<p>Pacient se v t\u00e9to f\u00e1zi musel rozhodnout: bu\u010f si nech\u00e1 hrtan vz\u00edt, a t\u00edm nen\u00e1vratn\u011b p\u0159ijde o hlas, nebo vyzkou\u0161\u00ed unik\u00e1tn\u00ed operaci, p\u0159i n\u00ed\u017e n\u00e1dor rozbij\u00ed laserem. Vybral si to druh\u00e9.<\/p>\n<p>&#8222;Kdy\u017e se partnerovi rakovina vr\u00e1tila, l\u00e9ka\u0159i mu jako \u0159e\u0161en\u00ed nab\u00eddli odstran\u011bn\u00ed hrtanu. T\u00edm by ale p\u0159i\u0161el o hlas, co\u017e jsme samoz\u0159ejm\u011b necht\u011bli, p\u0159esto\u017ee u\u017e del\u0161\u00ed dobu \u0161patn\u011b mluvil, a nakonec jen \u0161eptal,&#8220; popsala Karol\u00edna Hlou\u0161kov\u00e1, partnerka pacienta, kter\u00fd neobvyklou operaci v\u010dera v Olomouci podstoupil. &#8222;Vzpomn\u011bl si, \u017ee p\u0159ed \u010dasem vid\u011bl v n\u011bmeck\u00e9 televizi report\u00e1\u017e o tom, jak \u010de\u0161t\u00ed l\u00e9ka\u0159i pou\u017e\u00edvaj\u00ed i fotodynamickou terapii. Za\u010dali jsme hledat na internetu, domluvili se s doktory a p\u0159ijeli do Olomouce,&#8220; dodala.<\/p>\n<p>Pr\u00e1v\u011b fotodynamick\u00e1 terapie je nad\u011bj\u00ed pro pacienty, kter\u00fdm by p\u0159i klasick\u00e9 operaci hrtanu hrozilo nen\u00e1vratn\u00e9 po\u0161kozen\u00ed n\u011bkter\u00fdch jeho funkc\u00ed. A na jak\u00e9m principu cel\u00fd z\u00e1krok stoj\u00ed?<\/p>\n<p>&#8222;Nejd\u0159\u00edve pacientovi pod\u00e1v\u00e1me l\u00e9k. Bu\u010f ho vst\u0159\u00edkneme do \u017e\u00edly, kdy se vst\u0159eb\u00e1 p\u0159\u00edmo v n\u00e1doru, anebo ho p\u0159ilo\u017e\u00edme na n\u00e1dor, t\u0159eba na k\u016f\u017ei,&#8220; p\u0159ibl\u00ed\u017eil postup Roman \u0160mucler. &#8222;Chytr\u00fd&#8220; l\u00e9k pak n\u00e1dor vyhled\u00e1 a zachyt\u00ed se na n\u011bm. &#8222;Po osv\u00edcen\u00ed se spust\u00ed chemick\u00e1 reakce, kter\u00e1 n\u00e1dor zabije,&#8220; dodal.<\/p>\n<p>Je to mo\u017en\u00e9 d\u00edky tomu, \u017ee speci\u00e1ln\u00ed l\u00e1tka zv\u00fd\u0161\u00ed citlivost n\u00e1dorov\u00fdch bun\u011bk na energii dodanou laserem. Oz\u00e1\u0159en\u00edm t\u011bchto bun\u011bk je pak l\u00e9ka\u0159i zahub\u00ed, okoln\u00ed tk\u00e1\u0148 p\u0159itom z\u016fstane nepo\u0161kozen\u00e1.<\/p>\n<p>Cel\u00e1 operace je proto podle p\u0159ednosty Otolaryngologick\u00e9 kliniky Fakultn\u00ed nemocnice Olomouc Ivo St\u00e1rka mnohem \u0161etrn\u011bj\u0161\u00ed ne\u017e jin\u00e9 pou\u017e\u00edvan\u00e9 postupy. &#8222;V\u00fdhodou je nav\u00edc i n\u00edzk\u00e1 toxicita, postup tak lze na rozd\u00edl od chemoterapie \u010di radioterapie v kr\u00e1tk\u00e9 dob\u011b znovu opakovat,&#8220; dodal St\u00e1rek.<\/p>\n<p>Z\u00e1krok vyjde na zhruba 150 tis\u00edc korun, poji\u0161\u0165ovny ho zat\u00edm nehrad\u00ed. Pro pacienta po aplikaci speci\u00e1ln\u00ed l\u00e1tky (l\u00e9ku) tak\u00e9 plat\u00ed zvl\u00e1\u0161tn\u00ed re\u017eim, nem\u016f\u017ee n\u011bkolik dn\u00ed p\u0159ij\u00edt do styku se sv\u011btlem. &#8222;Pokud by vy\u0161el ven na slun\u00ed\u010dko, sp\u00e1lila by se mu k\u016f\u017ee. Jak\u00e9koliv sv\u011btlo intenzivn\u011bj\u0161\u00ed ne\u017e \u0161edes\u00e1tiwattov\u00e1 \u017e\u00e1rovka pro n\u011bj m\u016f\u017ee b\u00fdt nebezpe\u010dn\u00e9,&#8220; popsal \u0160mucler.<\/p>\n<p>Tak\u00e9 pacient po z\u00e1kroku v olomouck\u00e9 nemocnici le\u017e\u00ed v zatemn\u011bl\u00e9m pokoji. &#8222;Televizi v n\u011bm sice m\u00e1, ale jas jsme museli st\u00e1hnout na minimum, a nav\u00edc ji sleduje z velk\u00e9 d\u00e1lky,&#8220; popsala Hlou\u0161kov\u00e1. V\u011b\u0159\u00ed, \u017ee unik\u00e1tn\u00ed laserov\u00e1 operace zabere. A jej\u00ed partner bude op\u011bt mluvit. &#8222;Ale i kdyby znovu jen \u0161eptal, a p\u0159itom byl zdrav\u00fd, byl by to obrovsk\u00fd \u00fasp\u011bch,&#8220; dodala.<\/p>\n<p>redak\u010dn\u011b kr\u00e1ceno, cel\u00fd \u010dl\u00e1nek v den\u00edku MfD<\/p>\n<p>Mlad\u00e1 fronta DNES http:\/\/www.idnes.cz<\/p>\n<p><em>ilustra\u010dn\u00ed foto: Adam-Ciesielski-sxc.hu<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V olomouck\u00e9\u00a0nemocnici unik\u00e1tn\u00ed operaci provedl t\u00fdm l\u00e9ka\u0159\u016f v \u010dele s Romanem \u0160muclerem a \u0161v\u00e9dsk\u00fdm odborn\u00edkem Mathiasem von Beckerathem. Pacient te\u010f po operaci mus\u00ed \u017e\u00edt n\u011bkolik <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=14793\" title=\"Zachr\u00e1nili ho p\u0159ed ztr\u00e1tou hlasu\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-14793","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\/14793","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=14793"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14793\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14793"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14793"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14793"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}