{"id":17524,"date":"2014-09-16T07:52:57","date_gmt":"2014-09-16T05:52:57","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=17524"},"modified":"2014-09-22T15:59:54","modified_gmt":"2014-09-22T13:59:54","slug":"prvni-ozarovani-maleho-ashyi-probehlo-bez-komplikaci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=17524","title":{"rendered":"Prvn\u00ed oza\u0159ov\u00e1n\u00ed mal\u00e9ho Ashyi prob\u011bhlo bez komplikac\u00ed"},"content":{"rendered":"<p><strong>Prvn\u00ed oza\u0159ov\u00e1n\u00ed p\u011btilet\u00e9ho Ashyi Kinga bylo bez komplikac\u00ed, \u0159ekl novin\u00e1\u0159\u016fm po skon\u010den\u00ed procedury prim\u00e1\u0159 protonov\u00e9ho centra Ji\u0159\u00ed Kube\u0161. Britsk\u00fd chlapec dorazil z Fakultn\u00ed nemocnice Motol p\u0159ibli\u017en\u011b v 08:30, protonov\u00e9 centrum opustil patn\u00e1ct minut po poledni. P\u016fvodn\u011b m\u011bl zp\u011bt do motolsk\u00e9 nemocnice odjet zhruba o hodinu d\u0159\u00edve, ale procedura se o n\u011bco zdr\u017eela kv\u016fli oza\u0159ov\u00e1n\u00ed jin\u00e9 d\u011btsk\u00e9 pacientky, vysv\u011btlila mluv\u010d\u00ed protonov\u00e9ho centra Iva Ta\u0165ounov\u00e1.<\/strong><!--more--><\/p>\n<p>Minul\u00e9 \u00fater\u00fd Ashya v protonov\u00e9m centru absolvoval \u00favodn\u00ed vy\u0161et\u0159en\u00ed, na jeho\u017e z\u00e1klad\u011b byly vypracov\u00e1ny podrobn\u00e9 oza\u0159ovac\u00ed pl\u00e1ny. Podle Kube\u0161e se jeho zdravotn\u00ed stav m\u00edrn\u011b zlep\u0161uje, proto\u017ee uplynulo v\u00edce \u010dasu od operace. &#8222;V\u00edce se usm\u00edv\u00e1 a v\u00edce se pohybuje,&#8220; uvedl prim\u00e1\u0159.<\/p>\n<p>Mal\u00fd pacient, kter\u00fd do centra dorazil v doprovodu rodi\u010d\u016f, si p\u0159ivezl ply\u0161ovou hra\u010dku. P\u0159i cest\u011b zp\u011bt m\u011bl na leh\u00e1tku je\u0161t\u011b ply\u0161ov\u00e9ho krte\u010dka. Dne\u0161kem pro n\u011bj za\u010dala s\u00e9rie t\u0159iceti oza\u0159ov\u00e1n\u00ed, kter\u00e1 absolvuje v anestezii, aby se neh\u00fdbal. Nav\u00edc pro n\u011bj byly p\u0159ipraveny speci\u00e1ln\u00ed maska na tv\u00e1\u0159 a tvarovan\u00e1 podlo\u017eka nezbytn\u00e1 pro fixaci.<\/p>\n<p>L\u00e9\u010dba je napl\u00e1nov\u00e1na tak, \u017ee prvn\u00edch 13 oza\u0159ov\u00e1n\u00ed se zam\u011b\u0159\u00ed na cel\u00fd mozek v\u010detn\u011b m\u00edchy, aby se zajistilo, \u017ee n\u00e1dor se nebude mozkom\u00ed\u0161n\u00edm mokem \u0161\u00ed\u0159it d\u00e1l do t\u011bla. Dal\u0161\u00edch 17 oza\u0159ov\u00e1n\u00ed u\u017e bude c\u00edleno na m\u00edsto mozkov\u00e9ho n\u00e1doru. &#8222;Oza\u0159ovac\u00ed pl\u00e1n je naprosto standardn\u00ed, je to metoda v\u0161eobecn\u011b pou\u017e\u00edvan\u00e1 u tohoto typu n\u00e1doru,&#8220; \u0159ekl novin\u00e1\u0159\u016fm vedouc\u00ed odd\u011blen\u00ed klinick\u00e9 fyziky protonov\u00e9ho centra Vladim\u00edr Vondr\u00e1\u010dek, pod jeho\u017e veden\u00edm byl oza\u0159ovac\u00ed pl\u00e1n sestavov\u00e1n.<\/p>\n<p>I kdy\u017e pacienti na oza\u0159ovn\u011b str\u00e1v\u00ed zhruba 40 a\u017e 50 minut, samotn\u00e9 oz\u00e1\u0159en\u00ed trv\u00e1 jen \u0159\u00e1dov\u011b minuty. &#8222;Konkr\u00e9tn\u011b Ashya m\u00e1 t\u0159i oza\u0159ovac\u00ed pole. Oz\u00e1\u0159en\u00ed jednoho oza\u0159ovac\u00edho pole m\u00e1 zhruba \u010dty\u0159i minuty,&#8220; up\u0159esnil Vondr\u00e1\u010dek. Jeden paprsek je zam\u011b\u0159en p\u0159\u00edmo na p\u00e1te\u0159, dal\u0161\u00ed dva pak z boku na oblast hlavy.<\/p>\n<p>L\u00e9ka\u0159i odhaduj\u00ed, \u017ee hoch m\u00e1 zhruba 70 a\u017e 80procentn\u00ed \u0161anci na pln\u00e9 uzdraven\u00ed, v\u011b\u0159\u00ed, \u017ee se po l\u00e9\u010db\u011b zcela zotav\u00ed.<\/p>\n<p>Protonov\u00e1 l\u00e9\u010dba je k pacientovi \u0161etrn\u011bj\u0161\u00ed. V p\u0159\u00edpad\u011b oza\u0159ov\u00e1n\u00ed meduloblastomu, kter\u00fd postihl Ashyu, tak mohou d\u00e1t l\u00e9ka\u0159i nejvy\u0161\u0161\u00ed mo\u017enou d\u00e1vku a p\u0159itom uchr\u00e1nit okoln\u00ed tk\u00e1\u0148. V bl\u00edzkosti n\u00e1doru jsou mozkov\u00e1 centra pro srdce, pl\u00edce, j\u00e1tra a st\u0159eva. Proton sn\u00ed\u017e\u00ed riziko jejich po\u0161kozen\u00ed. Klesne i riziko n\u00e1sledn\u00fdch komplikac\u00ed, v\u010detn\u011b probl\u00e9m\u016f s polyk\u00e1n\u00edm, mal\u00fd pacient bude moci nad\u00e1le norm\u00e1ln\u011b j\u00edst.<br \/>\nSoub\u011b\u017en\u011b s oza\u0159ov\u00e1n\u00edm bude Ashya podstupovat l\u00e9\u010dbu cytostatiky a bude v n\u00ed pokra\u010dovat i po ukon\u010den\u00ed oza\u0159ovac\u00ed s\u00e9rie.<br \/>\nRodi\u010de odvezli chlapce po odoperov\u00e1n\u00ed n\u00e1doru bez v\u011bdom\u00ed l\u00e9ka\u0159\u016f do \u0160pan\u011blska, kde pr\u00fd cht\u011bli prodat rekrea\u010dn\u00ed nemovitost, aby m\u011bli prost\u0159edky na l\u00e9\u010den\u00ed. V Brit\u00e1nii na n\u011b byl vyd\u00e1n zatyka\u010d kv\u016fli zanedb\u00e1n\u00ed p\u00e9\u010de, n\u011bkolik dn\u00ed str\u00e1vili ve vazb\u011b, ne\u017e mohli odlet\u011bt se synem do Prahy. Na \u00fahradu l\u00e9\u010dby v pra\u017esk\u00e9m protonov\u00e9m centru pot\u0159ebuj\u00ed 1,8 milionu korun, \u010d\u00e1stku u\u017e v podstat\u011b z\u00edskali ze sb\u00edrky.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Prvn\u00ed oza\u0159ov\u00e1n\u00ed p\u011btilet\u00e9ho Ashyi Kinga bylo bez komplikac\u00ed, \u0159ekl novin\u00e1\u0159\u016fm po skon\u010den\u00ed procedury prim\u00e1\u0159 protonov\u00e9ho centra Ji\u0159\u00ed Kube\u0161. Britsk\u00fd chlapec dorazil z Fakultn\u00ed nemocnice Motol <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=17524\" title=\"Prvn\u00ed oza\u0159ov\u00e1n\u00ed mal\u00e9ho Ashyi prob\u011bhlo bez komplikac\u00ed\">[&#8230;]<\/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-17524","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17524","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=17524"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17524\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}