{"id":18962,"date":"2014-12-16T10:37:00","date_gmt":"2014-12-16T09:37:00","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=18962"},"modified":"2014-12-16T10:37:00","modified_gmt":"2014-12-16T09:37:00","slug":"diky-kolagenovemu-implantatu-vyroste-v-kloubu-nova-chrupavka","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=18962","title":{"rendered":"D\u00edky kolagenov\u00e9mu implant\u00e1tu vyroste v kloubu nov\u00e1 chrupavka"},"content":{"rendered":"

Poprv\u00e9 v \u010cesku byla provedena operace, p\u0159i n\u00ed\u017e byla voperov\u00e1na biologick\u00e1 n\u00e1hrada menisku v kolenn\u00edm kloubu. Ta se postupn\u011b p\u0159em\u011bn\u00ed v tk\u00e1\u0148 velmi podobnou lidsk\u00e9mu menisku. Obdobn\u011b byla provedena i unik\u00e1tn\u00ed implantace n\u00e1hrady chrupavky v kotn\u00edku.\u00a0 <\/strong><\/p>\n

ilustra\u010dn\u00ed foto: Adam-Ciesielski-sxc.hu<\/em><\/p>\n

N\u00e1hradu menisk\u016f l\u00e9ka\u0159i ozna\u010duj\u00ed za obrovsk\u00fd pokrok v ortopedii. Pokud se toti\u017e \u010d\u00e1ste\u010dn\u011b nebo \u00fapln\u011b meniskus odstran\u00ed, tak jak se to dosud d\u011bl\u00e1, vede to ve sto procentech p\u0159\u00edpad\u016f k degenerativn\u00edmu po\u0161kozen\u00ed chrupavky, tedy k po\u00farazov\u00e9 artr\u00f3ze, bolestem a dal\u0161\u00edm obt\u00ed\u017e\u00edm. Nahrazen\u00ed menisku podle t\u00e9to unik\u00e1tn\u00ed operace zajist\u00ed p\u016fvodn\u00ed funkci kloubu. Do t\u0159\u00ed m\u011bs\u00edc\u016f se m\u016f\u017ee vr\u00e1tit do aktivn\u00edho \u017eivota. <\/strong><\/p>\n

Z\u00e1krok provedl ortoped pra\u017esk\u00e9ho ORP centra Franti\u0161ek Picek, kter\u00fd operoval v Oblastn\u00ed nemocnici Kladno.<\/strong><\/p>\n

Operovan\u00e9mu pacientovi byl u\u017e d\u0159\u00edv po sportovn\u00edm \u00farazu \u010d\u00e1ste\u010dn\u011b odstran\u011bn jeho vlastn\u00ed meniskus. B\u011bhem operace mu byl implantov\u00e1n meniskus n\u00e1hradn\u00ed.<\/p>\n

Implantaci menisku mohou l\u00e9ka\u0159i prov\u00e9st jen t\u011bm pacient\u016fm, kte\u0159\u00ed maj\u00ed alespo\u0148 \u010d\u00e1st vlastn\u00edho menisku zachovanou, aby bylo n\u00e1hradu k \u010demu p\u0159i\u0161\u00edt, a chrupavka je pokud mo\u017eno neporu\u0161en\u00e1, aby nov\u00fd implant\u00e1t nezni\u010dila.<\/p>\n

\u00dakolem biologick\u00e9 n\u00e1hrady je obnovit tk\u00e1\u0148, kter\u00e1 byla zni\u010dena v\u011bt\u0161inou \u00farazem. Implant\u00e1t se b\u011bhem n\u00e1sleduj\u00edc\u00edch t\u00fddn\u016f za\u010dne p\u0159em\u011b\u0148ovat v tk\u00e1\u0148, kter\u00e1 je stavbou, tvarem i velikost\u00ed prakticky identick\u00e1 s p\u016fvodn\u00edm lidsk\u00fdm meniskem.<\/p>\n

V semilsk\u00e9 nemocnici<\/strong> jako prvn\u00ed v \u010cesku operovali po\u0161kozenou kloubn\u00ed chrupavku v kotn\u00edku pomoc\u00ed kulagenav\u00e9ho implant\u00e1tu. Metodu operace vyvinuli p\u0159ed n\u011bkolika lety v N\u011bmecku. Ortopedi mlad\u00e9 studentce do kotn\u00edku vlo\u017eili takzvanou z\u00e1platu se speci\u00e1ln\u00ed l\u00e1tkou. Ta pom\u00e1h\u00e1 z okoln\u00ed nepo\u0161kozen\u00e9 chrupavky vytvo\u0159it chrupavku novou.<\/p>\n

Devaten\u00e1ctilet\u00e1 vysoko\u0161kola\u010dka Jana Filasov\u00e1 z \u00dast\u00ed nad Labem si n\u011bkolikr\u00e1t lidov\u011b \u0159e\u010deno vyvrkla kotn\u00edk. Pozornost mu za\u010dala v\u011bnovat ale a\u017e ve chv\u00edli, kdy jednoho dne na nohu t\u00e9m\u011b\u0159 nemohla do\u0161l\u00e1pnout.<\/p>\n

Po s\u00e9rii vy\u0161et\u0159en\u00ed j\u00ed byl doporu\u010den operat\u00e9r, prim\u00e1\u0159 ortopedick\u00e9ho odd\u011blen\u00ed semilsk\u00e9 nemocnice Peter Stica. Pacientka podle n\u011bj trp\u011bla siln\u00fdmi bolestmi a jin\u00e9 l\u00e9\u010debn\u00e9 metody byly ne\u00fa\u010dinn\u00e9. Proto j\u00ed jako prvn\u00ed v \u010cesku do kloubu voperoval kolagenov\u00fd implant\u00e1t.<\/p>\n

Peter STICA: Vede k vytvo\u0159en\u00ed t\u011blu vlastn\u011b identick\u00e9 chrupavky toho typu, kter\u00fd tam m\u00e1 b\u00fdt. Prov\u00e1d\u00ed se odstran\u011bn\u00ed nemocn\u00e9 chrupavky, ale to je v\u0161echno, nic jin\u00e9ho se tam nebour\u00e1, a v podstat\u011b vznikl\u00fd defekt se vyleje stejn\u00fdm zp\u016fsobem jako v\u00fdtluk na silnici.<\/p>\n

Takzvan\u00e1 kolagenov\u00e1 z\u00e1plata, kter\u00e1 obsahuje kyselinu hyaluronovou, zn\u00e1mou z r\u016fzn\u00fdch kosmetick\u00fdch p\u0159\u00edpravk\u016f, se tak\u00e9 vyskytuje v chrupavk\u00e1ch.<\/p>\n

STICA: Zdrav\u00e9 chrupavky, kter\u00e1 se nach\u00e1z\u00ed v okol\u00ed toho defektu, p\u016fsoben\u00edm t\u00e9to z\u00e1platy doch\u00e1z\u00ed k p\u0159esunut\u00ed bun\u011bk tvo\u0159\u00edc\u00edch chrupavku do vnitra z\u00e1platy a po n\u011bjak\u00e9 dob\u011b chondrocyty za\u010dnou produkovat identickou chrupavku a ta nahrad\u00ed ten defekt.<\/p>\n

Zotavit by se podle \u010cesk\u00e9ho rozhlasu pacientka m\u011bla do dvan\u00e1cti t\u00fddn\u016f po operaci. Kompletn\u00ed obnova po\u0161kozen\u00e9 chrupavky trv\u00e1 p\u0159ibli\u017en\u011b jeden rok.<\/p>\n

Krom\u011b hlezenn\u00edho je mo\u017en\u00e9 pomoc\u00ed kolagenov\u00e9ho implant\u00e1tu operovat i dal\u0161\u00ed klouby, dod\u00e1v\u00e1 l\u00e9ka\u0159 Ji\u0159\u00ed Kladn\u00ed\u010dek. „D\u00e1 se pou\u017e\u00edt prakticky na jak\u00fdkoli kloub, ale je to d\u00e1no typem toho onemocn\u011bn\u00ed. Nen\u00ed to pro degenerativn\u00ed posti\u017een\u00ed<\/span> kloubu,“ uvedl \u010cesk\u00e9mu rozhlasu.<\/p>\n

To znamen\u00e1, \u017ee tento zp\u016fsob operace nen\u00ed zat\u00edm vhodn\u00fd pro lidi trp\u00edc\u00ed nap\u0159\u00edklad artr\u00f3zou. I kdy\u017e podle semilsk\u00fdch l\u00e9ka\u0159\u016f n\u011bme\u010dt\u00ed kolegov\u00e9 operuj\u00ed i tyto pacienty. V \u010cesku si budou muset je\u0161t\u011b zhruba t\u0159i roky po\u010dkat.<\/p>\n","protected":false},"excerpt":{"rendered":"

Poprv\u00e9 v \u010cesku byla provedena operace, p\u0159i n\u00ed\u017e byla voperov\u00e1na biologick\u00e1 n\u00e1hrada menisku v kolenn\u00edm kloubu. Ta se postupn\u011b p\u0159em\u011bn\u00ed v tk\u00e1\u0148 velmi podobnou lidsk\u00e9mu […]<\/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":[9],"tags":[],"class_list":["post-18962","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18962","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=18962"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18962\/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=18962"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18962"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18962"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}