{"id":18996,"date":"2014-12-18T10:37:33","date_gmt":"2014-12-18T09:37:33","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=18996"},"modified":"2014-12-18T10:37:33","modified_gmt":"2014-12-18T09:37:33","slug":"unikatni-transplantace-srdce-a-plic","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=18996","title":{"rendered":"Unik\u00e1tn\u00ed transplantace srdce a plic"},"content":{"rendered":"

\u010ce\u0161t\u00ed l\u00e9ka\u0159i provedli v tuzemsku teprve druhou transplantaci sou\u010dasn\u011b srdce a plic. V\u016fbec poprv\u00e9 v \u010cesku se na n\u00ed pod\u00edlely dva \u0161pi\u010dkov\u00e9 t\u00fdmy – p\u0159ednosty Roberta Lischkeho z Fakultn\u00ed nemocnice v Motole a p\u0159ednosty Kardiocentra Jana Pirka z Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny.<\/strong><\/p>\n

\u010cty\u0159iat\u0159icetilet\u00fd pacient Ji\u0159\u00ed z\u00e1krok postoupil kv\u016fli cystick\u00e9 fibr\u00f3ze, z\u00e1va\u017en\u00e9 genetick\u00e9 nemoci. Selh\u00e1valy mu pl\u00edce a stav komplikovalo i srde\u010dn\u00ed onemocn\u011bn\u00ed. Bez transplantace by nep\u0159e\u017eil.<\/p>\n

Nejv\u011bt\u0161\u00ed tuzemsk\u00e1 nemocnice a nejv\u011bt\u0161\u00ed transplanta\u010dn\u00ed centrum pl\u00e1nuj\u00ed, \u017ee by podobn\u00e9 operace mohly spole\u010dn\u011b prov\u00e1d\u011bt a\u017e t\u0159ikr\u00e1t ro\u010dn\u011b. Kv\u016fli slo\u017eitosti je ve sv\u011bt\u011b d\u011blaj\u00ed jen elitn\u00ed pracovi\u0161t\u011b, z\u00e1krok\u016f b\u00fdv\u00e1 jen 70 do roka, d\u00e1rci jsou toti\u017e vz\u00e1cn\u00ed. Transplantace plic vyjde dva miliony korun a srdce 1,7 milionu, podle \u0161\u00e9fa IKEM Ale\u0161e Hermana se ale nepod\u0159izuje n\u011bjak\u00e9mu finan\u010dn\u00edmu limitu.<\/p>\n

Soub\u011bh onemocn\u011bn\u00ed, jak\u00fdmi trp\u011bl Ji\u0159\u00ed, se vyskytuje pouze u t\u0159\u00ed procent pacient\u016f s diagn\u00f3zou cystick\u00e9 fibr\u00f3zy. Z\u00e1krok podstoupil p\u0159ed t\u0159emi t\u00fddny, nyn\u00ed se u\u017e u\u010d\u00ed d\u00fdchat, za\u010d\u00edn\u00e1 chodit a podle sv\u00fdch slov se c\u00edt\u00ed v\u00fdborn\u011b. Pokud to dob\u0159e p\u016fjde, mohl by motolskou nemocnici opustit za\u010d\u00e1tkem p\u0159\u00ed\u0161t\u00edho roku.<\/p>\n

„V\u00edte, na co se nejv\u00edc t\u011b\u0161\u00edm? T\u011b\u0161\u00edm se na \u017eivot, to je v\u0161echno, co k tomu m\u016f\u017eu \u0159\u00edct,“ \u0159ekl Ji\u0159\u00ed. Pod\u011bkoval za p\u00e9\u010di v\u0161em zdravotn\u00edk\u016fm, kte\u0159\u00ed se o n\u011bho pr\u00fd v\u00fdborn\u011b staraj\u00ed. Nyn\u00ed u\u017e pob\u00fdv\u00e1 na standardn\u00edm pokoji. Mus\u00ed se ale chr\u00e1nit proti infekci, na ni\u017e jsou pl\u00edce n\u00e1chyln\u00e9.<\/p>\n

Ji\u0159\u00ed \u010dekal na z\u00e1krok 2,5 roku a v posledn\u00edch dnech dok\u00e1zal uj\u00edt nejv\u00fd\u0161e 100 metr\u016f, pouze s kysl\u00edkovou bombou. \u0158e\u0161\u00ed se to pr\u00e1v\u011b transplantac\u00ed plic. „Zdravotn\u00ed stav se zhor\u0161oval. Museli jsme si posp\u00ed\u0161it, proto\u017ee pak pacient nem\u00e1 rezervy, aby tak n\u00e1ro\u010dn\u00fd v\u00fdkon mohl zvl\u00e1dnout,“ vysv\u011btlil Lischke.<\/p>\n

Ojedin\u011bl\u00e1 operace trvala na p\u016fd\u011b IKEM osm hodin. Org\u00e1ny poch\u00e1zely od jednoho d\u00e1rce. Podle Lischkeho bylo podm\u00ednkou, aby srdce a pl\u00edce dob\u0159e fungovaly, shodovala se krevn\u00ed skupina a pl\u00edce se podobaly velikost\u00ed. Podle n\u011bj bylo d\u016fle\u017eit\u00e9 dob\u0159e p\u0159ipravit dva t\u00fdmy chirurg\u016f. „Operace prob\u00edhaly, jak jsme si p\u0159edem \u0159ekli, a v\u00fdsledek tomu odpov\u00edd\u00e1,“ uvedl.<\/p>\n

Oba org\u00e1ny se transplantuj\u00ed najednou, v jednom okam\u017eiku tak z\u016fstane hrudn\u00ed ko\u0161 pr\u00e1zdn\u00fd. „Ze zem\u0159el\u00e9ho se odeberou jako celek,“ popisuje kardiochirurg Pirk. Blok org\u00e1n\u016f se po o\u0161et\u0159en\u00ed ulo\u017e\u00ed do vaku s ledem, odkud se po v\u00edce ne\u017e hodin\u011b vyjmou a na\u0161ijou se do p\u0159\u00edjemce. Rizikem m\u016f\u017ee b\u00fdt poopera\u010dn\u00ed krv\u00e1cen\u00ed, porucha funkce jednoho z org\u00e1n\u016f nebo infekce. Po transplantac\u00edch je nejrizikov\u011bj\u0161\u00ed prvn\u00ed m\u011bs\u00edc. Pokud Ji\u0159\u00ed p\u0159e\u010dk\u00e1 prvn\u00ed t\u0159i m\u011bs\u00edce, m\u00e1 podle Pirka vyhr\u00e1no.<\/p>\n

Prvn\u00ed takovou transplantaci provedli l\u00e9ka\u0159i v IKEM p\u0159ed sedmi lety u \u017eeny, kter\u00e1 dodnes \u017eije. A\u017e nyn\u00ed se dal\u0161\u00ed podle Pirka odehr\u00e1la proto, \u017ee se nena\u0161el vhodn\u00fd d\u00e1rce a nebyl ani \u017e\u00e1dn\u00fd \u010dekatel.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u010ce\u0161t\u00ed l\u00e9ka\u0159i provedli v tuzemsku teprve druhou transplantaci sou\u010dasn\u011b srdce a plic. V\u016fbec poprv\u00e9 v \u010cesku se na n\u00ed pod\u00edlely dva \u0161pi\u010dkov\u00e9 t\u00fdmy – p\u0159ednosty […]<\/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-18996","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18996","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=18996"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18996\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18996"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18996"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}