{"id":14976,"date":"2014-02-27T08:42:30","date_gmt":"2014-02-27T07:42:30","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=14976"},"modified":"2014-02-27T08:53:28","modified_gmt":"2014-02-27T07:53:28","slug":"otec-zachranil-syna-daroval-mu-cast-svych-jater","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=14976","title":{"rendered":"Otec zachr\u00e1nil syna, daroval mu \u010d\u00e1st sv\u00fdch jater"},"content":{"rendered":"<p><strong>Bez rychl\u00e9 pomoci by nep\u0159e\u017eil ani p\u00e1r dn\u016f, jeho stav se rychle zhor\u0161oval. P\u016flro\u010dn\u00ed Vojta (foto) na sv\u011bt p\u0159i\u0161el s\u00a0vrozenou cytomegalovirovou infekc\u00ed a cirh\u00f3zou jater. Bez transplantace rozsudek smrti. Proto se odborn\u00edci z\u00a0IKEM rozhodli pro v\u00fdjime\u010dn\u00fd z\u00e1krok.<!--more--><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>(Praha, 26. 2. 2014)<\/p>\n<p>Mal\u00fd Vojta byl v\u00a0tak v\u00e1\u017en\u00e9m stavu, \u017ee kdyby l\u00e9ka\u0159i \u010dekali, a\u017e se pro n\u011bj najdou nov\u00e1 j\u00e1tra na \u010dekac\u00ed listin\u011b, s\u00a0nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed by se operace nedo\u017eil. I proto se odborn\u00edci z\u00a0Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny v\u00a0Praze rozhodli pro v\u00fdjime\u010dn\u00fd, \u017eivot zachra\u0148uj\u00edc\u00ed z\u00e1krok, kter\u00fd v\u00a0\u010cesku do t\u00e9 doby provedli jen t\u0159ikr\u00e1t (naposledy v\u00a0roce 2012 u ro\u010dn\u00ed Ani\u010dky) &#8211; transplantaci \u010d\u00e1sti jater od \u017eij\u00edc\u00edho d\u00e1rce &#8211; Josefa Ber\u00e1nka, Vojtova otce.<\/p>\n<p>Chirurgov\u00e9 provedli dv\u011b technicky n\u00e1ro\u010dn\u00e9 operace \u2013 odb\u011br \u010d\u00e1sti jater od otce a transplantace t\u00e9to \u010d\u00e1sti p\u016flro\u010dn\u00edmu synovi. Oba z\u00e1kroky trvaly celkem 11 hodin. L\u00e9ka\u0159i museli pracovat na dvou s\u00e1lech, na jednom odebrat \u0161t\u011bp d\u00e1rce, na druh\u00e9m ho n\u00e1sledn\u011b transplantovat Vojtovi. V\u0161e bylo o to n\u00e1ro\u010dn\u011bj\u0161\u00ed, \u017ee v mal\u00e9m, ani ne \u0161estikilov\u00e9m t\u011bl\u00ed\u010dku museli chirurgov\u00e9 nejprve odstranit p\u016fvodn\u00ed nemocn\u00e1 j\u00e1tra a teprve pot\u00e9 napojit na krevn\u00ed ob\u011bh i \u017elu\u010dovody \u010d\u00e1st nov\u00fdch jater od otce.<\/p>\n<p>\u201eOdebrat \u010d\u00e1st \u017eivotn\u011b d\u016fle\u017eit\u00e9ho org\u00e1nu zdrav\u00e9mu \u010dlov\u011bku a tu pak transplantovat d\u011btsk\u00e9mu p\u0159\u00edjemci je jedna z\u00a0nejobt\u00ed\u017en\u011bj\u0161\u00edch transplantac\u00ed. Pro mal\u00e9ho Vojtu nebyla jin\u00e1 mo\u017enost, \u010dekat na j\u00e1tra od zem\u0159el\u00e9ho d\u00e1rce u\u017e nemohl, jeho stav se rapidn\u011b zhor\u0161oval,\u201c popisuje d\u016fvody operace p\u0159ednosta Kliniky transplanta\u010dn\u00ed chirurgie MUDr. Ji\u0159\u00ed Fron\u011bk, kter\u00fd ob\u011b operace prov\u00e1d\u011bl.<\/p>\n<p>\u201eByli jsme v situaci, kdy se pravd\u011bpodobnost, \u017ee z\u00edsk\u00e1me \u010d\u00e1st jater od zem\u0159el\u00e9ho d\u00e1rce v takov\u00e9 kvalit\u011b, abychom chlapce zachr\u00e1nili, bl\u00ed\u017eila nule. Promluvil jsem s\u00a0rodinou. Tat\u00ednek nev\u00e1hal a nechal se vy\u0161et\u0159it. Obrovsk\u00e9 \u0161t\u011bst\u00ed bylo, \u017ee byl vhodn\u00fdm d\u00e1rcem \u2013 je to \u0161t\u00edhl\u00fd a zdrav\u00fd \u010dlov\u011bk, kter\u00fd m\u011bl naprosto zdrav\u00e1 j\u00e1tra i ostatn\u00ed org\u00e1nov\u00e9 syst\u00e9my. D\u00edky tomu jsme mohli z\u00e1krok prov\u00e9st a na\u0161t\u011bst\u00ed to dopadlo dob\u0159e,\u201d dopl\u0148uje.<\/p>\n<p>Program transplantac\u00ed jater od \u017eij\u00edc\u00edho d\u00e1rce by l\u00e9ka\u0159i IKEM r\u00e1di roz\u0161\u00ed\u0159ili a prov\u00e1d\u011bli u nejmen\u0161\u00edch pacient\u016f ve v\u011bt\u0161\u00ed m\u00ed\u0159e. V\u017edy ale z\u00e1le\u017e\u00ed na potenci\u00e1ln\u00edm d\u00e1rci &#8211; pr\u00e1v\u011b jeho zdravotn\u00ed stav toti\u017e rozhoduje o tom, zda l\u00e9ka\u0159i k\u00a0tomuto typu transplantace p\u0159istoup\u00ed. Mus\u00ed to b\u00fdt toti\u017e naprosto zdrav\u00fd a \u0161t\u00edhl\u00fd \u010dlov\u011bk, aby jeho j\u00e1tra byla stoprocentn\u011b funk\u010dn\u00ed a v\u00a0perfektn\u00edm stavu.<\/p>\n<p>\u201eJ\u00e1 jsem nev\u00e1hal ani jedou vte\u0159inu, kdy\u017e mi l\u00e9ka\u0159i \u0159ekli, \u017ee bych Vojt\u00ed\u0161kovi zachr\u00e1nit \u017eivot t\u00edm, \u017ee mu d\u00e1m kousek sv\u00fdch jater, byl jsem okam\u017eit\u011b pro. To by p\u0159ece ud\u011blal ka\u017ed\u00fd rodi\u010d. Nav\u00edc, pro m\u011b to nebyla \u017e\u00e1dn\u00e1 velk\u00e1 z\u00e1t\u011b\u017e. Ano, r\u00e1na tro\u0161ku bol\u00ed, ale u\u017e p\u00e1r dn\u016f po operaci m\u016f\u017eu j\u00edt dom\u016f. A up\u0159\u00edmn\u011b, tro\u0161ka bolesti za to, \u017ee m\u00e9 d\u00edt\u011b bude \u017e\u00edt a \u017ee ho uvid\u00edm, jak se uzdravuje a roste, to je nejmen\u0161\u00ed, co pro n\u011bj m\u016f\u017eu ud\u011blat,\u201d \u0159\u00edk\u00e1 Vojt\u016fv otec, pan Josef Ber\u00e1nek.<\/p>\n<p>I kdy\u017e se IKEM specializuje p\u0159edev\u0161\u00edm na dosp\u011bl\u00e9 pacienty, pro ty d\u011btsk\u00e9 m\u00e1 speci\u00e1ln\u011b vy\u0161kolen\u00fd person\u00e1l.<\/p>\n<p>\u201eD\u011bt\u0161t\u00ed pacienti s\u00a0tak z\u00e1va\u017en\u00fdm onemocn\u011bn\u00edm jako je selh\u00e1n\u00ed jater vy\u017eaduj\u00ed vysoce specializovanou p\u00e9\u010di jak v\u00a0pr\u016fb\u011bhu n\u00e1ro\u010dn\u00e9ho opera\u010dn\u00edho v\u00fdkonu, j\u00edm\u017e bezesporu transplantace jater je, tak i v\u00a0poopera\u010dn\u00edm obdob\u00ed. Jedn\u00e1 se nejen o p\u0159\u00edstrojov\u00e9 vybaven\u00ed, ale zejm\u00e9na o p\u00e9\u010di pat\u0159i\u010dn\u011b vzd\u011blan\u00fdm a motivovan\u00fdm person\u00e1lem. D\u011bti jsou na resuscita\u010dn\u00edm odd\u011blen\u00ed o\u0161et\u0159ov\u00e1ny v\u00a0samostatn\u00fdch boxech a b\u011bhem jejich pobytu na klinice jim umo\u017e\u0148ujeme trval\u00fd kontakt s\u00a0rodi\u010di,\u201c popisuje MUDr. Eva Kieslichov\u00e1, Ph.D., p\u0159ednostka Kliniky anesteziologie, resuscitace a intenzivn\u00ed p\u00e9\u010de.<\/p>\n<p>\u201eA\u010dkoliv bylo Vojt\u00ed\u0161kovi u\u017e p\u016fl roku, v\u00e1\u017eil pouze 6 kg a jeho organizmus byl velmi zraniteln\u00fd. V\u0161echny komplikace se ale poda\u0159ilo p\u0159ekonat. Chlapec je nyn\u00ed stabilizovan\u00fd a postupn\u011b nab\u00fdv\u00e1 sil. A co je nejd\u016fle\u017eit\u011bj\u0161\u00ed, jeho nov\u00e1 j\u00e1tra funguj\u00ed od za\u010d\u00e1tku v\u00fdborn\u011b,\u201d dod\u00e1v\u00e1 MUDr. Kieslichov\u00e1. Vojtu te\u010f \u010dek\u00e1 n\u011bkolik t\u00fddn\u016f poopera\u010dn\u00ed p\u00e9\u010de.<\/p>\n<p>L\u00e9ka\u0159i v IKEM loni provedli nejv\u00edce transplantac\u00ed jater v historii \u2013 celkem 87, z toho dev\u011bt u d\u011bt\u00ed. V sedmi p\u0159\u00edpadech pou\u017eili metodu splitu &#8211; jedna j\u00e1tra se p\u0159i n\u00ed rozd\u011bl\u00ed mezi dva p\u0159\u00edjemce. V\u011bt\u0161\u00ed \u010d\u00e1st putuje k dosp\u011bl\u00e9mu, men\u0161\u00ed k d\u00edt\u011bti.<\/p>\n<p>\u201eJsem py\u0161n\u00fd, \u017ee program transplantace jater od \u017eij\u00edc\u00edch d\u00e1rc\u016f a metodou splitu za\u010dal v\u00a0IKEM fungovat. Pat\u0159\u00ed sice k\u00a0nejn\u00e1ro\u010dn\u011bj\u0161\u00edm, jak po technick\u00e9, tak i finan\u010dn\u00ed str\u00e1nce, zachra\u0148uje ale to nejd\u016fle\u017eit\u011bj\u0161\u00ed \u2013 lidsk\u00e9, a p\u0159edev\u0161\u00edm pak d\u011btsk\u00e9 \u017eivoty. Pro mal\u00e9 p\u0159\u00edjemce nab\u00edz\u00ed nejlep\u0161\u00ed mo\u017enost \u00fasp\u011b\u0161n\u00e9ho v\u00fdkonu a j\u00e1 pevn\u011b douf\u00e1m, \u017ee takto budeme moci zachra\u0148ovat st\u00e1le v\u00edce d\u011bt\u00ed,\u201c dopl\u0148uje MUDr. Ale\u0161 Herman, Ph.D., \u0159editel Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny.<\/p>\n<p>foto: IKEM Praha<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Bez rychl\u00e9 pomoci by nep\u0159e\u017eil ani p\u00e1r dn\u016f, jeho stav se rychle zhor\u0161oval. P\u016flro\u010dn\u00ed Vojta (foto) na sv\u011bt p\u0159i\u0161el s\u00a0vrozenou cytomegalovirovou infekc\u00ed a cirh\u00f3zou jater. <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=14976\" title=\"Otec zachr\u00e1nil syna, daroval mu \u010d\u00e1st sv\u00fdch jater\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14977,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-14976","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\/14976","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=14976"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14976\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14977"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14976"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14976"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14976"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}