{"id":19786,"date":"2015-02-06T08:44:17","date_gmt":"2015-02-06T07:44:17","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=19786"},"modified":"2015-02-06T08:44:17","modified_gmt":"2015-02-06T07:44:17","slug":"v-motole-jedini-v-cr-leci-ucpane-cevy-take-u-deti","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=19786","title":{"rendered":"V Motole jedin\u00ed v \u010cR l\u00e9\u010d\u00ed „ucpan\u00e9 c\u00e9vy“ tak\u00e9 u d\u011bt\u00ed"},"content":{"rendered":"

Ve Fakultn\u00ed nemocnici<\/a> Motol jedin\u00ed v \u010cesku l\u00e9\u010d\u00ed „ucpan\u00e9 c\u00e9vy“ tak\u00e9 u d\u011bt\u00ed. Nejmen\u0161\u00ed pacient podstoupil operaci mozkov\u00fdch c\u00e9v jen p\u00e1r hodin po narozen\u00ed, \u0159ekl p\u0159ednosta kliniky zobrazovac\u00edch metod profesor Miloslav Ro\u010dek.<\/strong> <\/p>\n

P\u00e9\u010de o d\u011bti je slo\u017eit\u011bj\u0161\u00ed, v\u00edce je zat\u011b\u017euje, proto\u017ee maj\u00ed mal\u00e9 \u017e\u00edly i tepny, kter\u00e9 jinak ne\u017e u dosp\u011bl\u00fdch reaguj\u00ed na z\u00e1krok, v\u010detn\u011b kontrastn\u00ed l\u00e1tky. Ro\u010dn\u011b prov\u00e1d\u00ed klinika kolem 3000 t\u011bchto operac\u00ed, z nich 140 u d\u011bt\u00ed.
\nPro vstup do c\u00e9vn\u00edho \u0159e\u010di\u0161t\u011b pot\u0159ebuj\u00ed u d\u011bt\u00ed l\u00e9ka\u0159i<\/strong><\/a> mnohem jemn\u011bj\u0161\u00ed n\u00e1stroje. Jejich c\u00e9vy jsou „mlad\u00e9“, a tak sn\u00e1ze reaguj\u00ed podr\u00e1\u017ed\u011bn\u00edm. Hroz\u00ed pak, \u017ee p\u0159estanou v\u00e9st krev. P\u0159i komplikovan\u00fdch z\u00e1kroc\u00edch na nohou je mnohem v\u011bt\u0161\u00ed riziko amputace, l\u00e9ka\u0159i<\/strong><\/a> se proto musej\u00ed rozhodovat velmi rychle, aby d\u00edt\u011b neohrozili, vysv\u011btlil p\u0159ednosta. Na z\u00e1krok jsou d\u011bti na rozd\u00edl od dosp\u011bl\u00fdch v\u017edy usp\u00e1ny.
\nJedn\u00edm z \u00fasp\u011b\u0161n\u011b vyl\u00e9\u010den\u00fdch mal\u00fdch pacient\u016f je dev\u00edtilet\u00fd Vojta. Vrozenou srde\u010dn\u00ed vadu mu l\u00e9ka\u0159i<\/strong><\/a> v jeden\u00e1cti m\u011bs\u00edc\u00edch operativn\u011b odstranili a v\u0161e vypadalo dob\u0159e. Ve \u010dty\u0159ech letech ale za\u010dal trp\u011bt \u010dast\u00fdmi ang\u00ednami. Po penicilinu ho velmi siln\u011b bolela noha, plakal tak, \u017ee s n\u00edm rodi\u010de okam\u017eit\u011b jeli do nemocnice<\/strong><\/a> v Jind\u0159ichov\u011b Hradci. Odtud chlapce druh\u00fd den p\u0159evezli do Prahy. Vy\u0161et\u0159en\u00ed uk\u00e1zala v noze ucpanou c\u00e9vu.
\nMotol\u0161t\u00ed l\u00e9ka\u0159i<\/strong><\/a> ucp\u00e1vku rozpustili heparinem, za p\u016fl roku se ale obt\u00ed\u017e opakovala. Stav byl tehdy mnohem v\u00e1\u017en\u011bj\u0161\u00ed, chlapec nohu v\u016fbec nec\u00edtil, p\u0159estala j\u00ed prot\u00e9kat krev. Tromb\u00f3zu zp\u016fsobila infekce. \u0160ance na z\u00e1chranu nohy byla sotva pades\u00e1tiprocentn\u00ed. „Kon\u010detinu se n\u00e1m nakonec po dlouh\u00e9m v\u00fdkonu spojen\u00e9m s trombol\u00fdzou a angioplastikou poda\u0159ilo zachr\u00e1nit. Nyn\u00ed po \u010dty\u0159ech letech je chlapec bez obt\u00ed\u017e\u00ed a v\u0161echny tepny jsou pr\u016fchodn\u00e9,“ \u0159ekl p\u0159ednosta. „Vojta chod\u00ed do \u0161koly, hraje fotbal, jsme s n\u00edm s panem profesorem spokojeni,“ shrnula chlapcova matka.
\nVedle d\u011bt\u00ed operovan\u00fdch hned po narozen\u00ed je v\u011bt\u0161ina d\u011btsk\u00fdch pacient\u016f do deseti a\u017e 12 let v\u011bku. Dal\u0161\u00ed skupinou jsou d\u00edvky mezi 15 a\u017e 16 lety s vrozenou vlohou k ucp\u00e1v\u00e1n\u00ed c\u00e9v, kter\u00e9 maj\u00ed komplikace po antikoncepci.
\nV \u010cesku p\u016fsob\u00ed deset akreditovan\u00fdch center, kde interven\u010dn\u00ed radiologov\u00e9 zpr\u016fchod\u0148uj\u00ed ucpan\u00e9 c\u00e9vy. Motol se podle profesora Ro\u010dka \u0159ad\u00ed k nejv\u011bt\u0161\u00edm, prov\u00e1d\u00ed v\u00fdkony u akutn\u00edho i chronick\u00e9ho posti\u017een\u00ed, tepenn\u00e9 i \u017eiln\u00ed v\u00fdkony „od palce a\u017e po mozek“, mimo srdce, to l\u00e9\u010d\u00ed interven\u010dn\u00ed kardiologov\u00e9.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ve Fakultn\u00ed nemocnici Motol jedin\u00ed v \u010cesku l\u00e9\u010d\u00ed „ucpan\u00e9 c\u00e9vy“ tak\u00e9 u d\u011bt\u00ed. Nejmen\u0161\u00ed pacient podstoupil operaci mozkov\u00fdch c\u00e9v jen p\u00e1r hodin po narozen\u00ed, \u0159ekl […]<\/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-19786","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19786","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=19786"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19786\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19786"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19786"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19786"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}