L\u00e9ka\u0159i ve Fakultn\u00ed nemocnici v Hradci Kr\u00e1lov\u00e9 \u00fasp\u011b\u0161n\u011b operovali \u0161etrnou metodou prvn\u00ed t\u0159i rizikov\u00e9 pacienty s nemocnou srde\u010dn\u00ed chlopn\u00ed.<\/p>\n
HRADEC KR\u00c1LOV\u00c9 Teprve jako t\u0159et\u00ed v republice za\u010dali kr\u00e1lov\u00e9hrade\u010dt\u00ed kardiologov\u00e9 nab\u00edzet \u0161etrnou operaci srdce. Je ur\u010dena v\u00e1\u017en\u011b nemocn\u00fdm pacient\u016fm s nedomykavost\u00ed srde\u010dn\u00ed chlopn\u011b, kte\u0159\u00ed by pro sv\u016fj v\u011bk nebo jin\u00e1 rizika nemohli podstoupit b\u011b\u017enou operaci. Foto: Seka\u010dkov\u00e9 d\u00edlo Ko\u0148skou hlavu z neposekan\u00e9 tr\u00e1vy je v Nov\u00e9m M\u011bst\u011b nad Metuj\u00ed nejl\u00e9pe vid\u011bt z vyhl\u00eddky Na Zadom\u00ed u muzea. Mutace – Mlad\u00e1 fronta DNES<\/p>\n","protected":false},"excerpt":{"rendered":" L\u00e9ka\u0159i ve Fakultn\u00ed nemocnici v Hradci Kr\u00e1lov\u00e9 \u00fasp\u011b\u0161n\u011b operovali \u0161etrnou metodou prvn\u00ed t\u0159i rizikov\u00e9 pacienty s nemocnou srde\u010dn\u00ed chlopn\u00ed. HRADEC KR\u00c1LOV\u00c9 Teprve jako t\u0159et\u00ed v […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-16215","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16215","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=16215"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16215\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nPrvn\u00ed z\u00e1krok novou metodou provedli v Hradci minul\u00e9 pond\u011bl\u00ed, dal\u0161\u00ed dva pacienty operovali ve st\u0159edu.
\n„Tento typ v\u00fdkon\u016f provedli pouze v nemocnici ve T\u0159inci a ve Fakultn\u00ed nemocnici Kr\u00e1lovsk\u00e9 Vinohrady v Praze. N\u00e1\u0161 v\u00fdkon byl unik\u00e1tn\u00ed v tom, \u017ee se jednalo o extr\u00e9mn\u011b rizikov\u00e9ho nemocn\u00e9ho, kter\u00fd nebyl prakticky schopen b\u011b\u017en\u00e9ho \u017eivota. Ji\u017e d\u0159\u00edve mu byl zaveden speci\u00e1ln\u00ed kardiostimul\u00e1tor ke zlep\u0161en\u00ed \u010dinnosti srdce, ale bez efektu. Te\u010f se pacientovi da\u0159\u00ed dob\u0159e, ulevilo se mu a jeho obt\u00ed\u017ee se zm\u00edrnily. V \u00fater\u00fd nebo ve st\u0159edu ho z\u0159ejm\u011b propust\u00edme dom\u016f,“ uvedl p\u0159ednosta I. intern\u00ed kardioangiologick\u00e9 kliniky v hradeck\u00e9 fakultn\u00ed nemocnici Pavel \u010cervinka.
\nChlopn\u011b maj\u00ed v srdci funkci ventilu, zaru\u010duj\u00ed jednosm\u011brn\u00fd tok krve a br\u00e1n\u00ed jej\u00edmu n\u00e1vratu do p\u0159ede\u0161l\u00fdch srde\u010dn\u00edch odd\u00edl\u016f. M\u016f\u017ee v\u0161ak doj\u00edt k z\u00fa\u017een\u00ed chlopn\u011b nebo k jej\u00ed nedomykavosti. Pak se \u010d\u00e1st p\u0159e\u010derpan\u00e9 krve p\u0159es posti\u017eenou<\/span> chlope\u0148 vrac\u00ed. Srdce se s nadm\u011brn\u00fdm zat\u00ed\u017een\u00edm dok\u00e1\u017ee vyrovn\u00e1vat jen ur\u010ditou dobu, ale pozd\u011bji doch\u00e1z\u00ed k jeho po\u0161kozen\u00ed a nemoc m\u016f\u017ee v\u00e9st a\u017e k jeho selh\u00e1n\u00ed a smrti.
\nMetoda je velmi \u0161etrn\u00e1, p\u0159esto operace trv\u00e1 n\u011bkolik hodin. L\u00e9ka\u0159\u016fm sta\u010d\u00ed jedin\u00fd vpich do t\u0159\u00edsla, aby se pomoc\u00ed hadi\u010dek dostali k srdci. P\u0159es prav\u00e9 t\u0159\u00edslo se dostanou do prav\u00e9 \u010d\u00e1sti srdce a do lev\u00e9 srde\u010dn\u00ed s\u00edn\u011b. Nedomykavost chlopn\u011b, kter\u00e1 je mezi levou komorou a levou s\u00edn\u00ed, l\u00e9\u010d\u00ed speci\u00e1ln\u00edm „kol\u00ed\u010dkem“. Pacienti mohou u\u017e druh\u00fd den po z\u00e1kroku vst\u00e1t z l\u016f\u017eka a t\u0159et\u00ed a\u017e p\u00e1t\u00fd den opou\u0161t\u011bj\u00ed nemocnici. Operace je n\u00e1ro\u010dn\u00e1 t\u00edm, \u017ee se na n\u00ed pod\u00edl\u00ed cel\u00fd t\u00fdm odborn\u00edk\u016f. Invazivn\u00ed kardiologov\u00e9 prov\u00e1d\u011bj\u00ed v\u00fdkon, neinvazivn\u00ed maj\u00ed na starosti ultrazvukov\u00fd p\u0159\u00edstroj a z\u00e1kroku se \u00fa\u010dastn\u00ed tak\u00e9 anesteziologov\u00e9.
\nAby se tento typ operace objevil v Hradci Kr\u00e1lov\u00e9, nebylo p\u0159itom nijak snadn\u00e9. „Ji\u017e p\u0159ed t\u0159emi roky jsem oslovil firmu s \u017e\u00e1dost\u00ed o tr\u00e9nink pro tuto metodu. Firma v\u0161ak velmi podrobn\u011b vyb\u00edr\u00e1 pracovi\u0161t\u011b, kter\u00e1 maj\u00ed o tento zp\u016fsob l\u00e9\u010dby z\u00e1jem. T\u00e9m\u011b\u0159 dva roky trvalo je p\u0159esv\u011bd\u010dit, \u017ee na\u0161e fakultn\u00ed nemocnice je k tomu ta prav\u00e1. Dal\u0161\u00edho p\u016fl roku jsme pl\u00e1novali \u00fa\u010dast ve speci\u00e1ln\u00edm \u0161kolic\u00edm centru v Bruselu v Belgii. Rovn\u011b\u017e n\u011bjakou dobu trvalo vytipov\u00e1n\u00ed k z\u00e1kroku vhodn\u00fdch nemocn\u00fdch. Bylo t\u0159eba v\u0161e napl\u00e1novat i s ohledem na to, \u017ee v\u00fdkon je logisticky velmi n\u00e1ro\u010dn\u00fd a pot\u0159ebuje t\u00fdm odborn\u00edk\u016f,“ vysv\u011btlil p\u0159ednosta.
\nKlinika se chyst\u00e1 prov\u00e9st ro\u010dn\u011b deset a\u017e patn\u00e1ct takov\u00fdch operac\u00ed. Po\u010det v\u0161ak bude z\u00e1le\u017eet na tom, jak se nemocnici poda\u0159\u00ed vyjednat financov\u00e1n\u00ed u V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny. Operace vyjde na 600 tis\u00edc korun. „V\u00fdkony jsme mohli zah\u00e1jit d\u00edky rozvojov\u00e9mu programu na\u0161\u00ed fakultn\u00ed nemocnice,“ \u0159ekl p\u0159ednosta \u010cervinka. Dal\u0161\u00ed dva pacienty budou operovat v \u010dervnu.<\/p>\n
\nFoto: Michal Fanta
\nFoto: Operace srdce Hrade\u010dt\u00ed l\u00e9ka\u0159i um\u011bj\u00ed l\u00e9\u010dit nedomykavou chlope\u0148 \u0161etrn\u011bj\u0161\u00ed metodou.
\nFoto: fnhk<\/p>\n