{"id":22328,"date":"2015-08-06T17:04:58","date_gmt":"2015-08-06T15:04:58","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22328"},"modified":"2015-08-06T17:04:58","modified_gmt":"2015-08-06T15:04:58","slug":"nemocnice-inovuje-v-trutnove-si-poridili-sondu-na-leceni-prsnich-a-koznich-nadoru","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22328","title":{"rendered":"Nemocnice inovuje. V Trutnov\u011b si po\u0159\u00eddili sondu na l\u00e9\u010den\u00ed prsn\u00edch a ko\u017en\u00edch n\u00e1dor\u016f"},"content":{"rendered":"

Pacient\u016fm s n\u00e1dorem prsu \u010di s rakovinou k\u016f\u017ee svitla v trutnovsk\u00e9 nemocnici dal\u0161\u00ed nad\u011bje na \u00fasp\u011b\u0161n\u011bj\u0161\u00ed l\u00e9\u010dbu. L\u00e9ka\u0159i chirurgick\u00e9ho odd\u011blen\u00ed toti\u017e od z\u00e1\u0159\u00ed roz\u0161\u00ed\u0159\u00ed operativn\u00ed postupy o radia\u010dn\u011b navigovanou chirurgii.<\/strong> <\/p>\n

Trutnov \u2013 Umo\u017en\u00ed jim to pou\u017eit\u00ed nov\u00e9ho syst\u00e9mu \u2013 detektoru radia\u010dn\u00edho z\u00e1\u0159en\u00ed. Nemocnice jej zakoupila pro chirurgick\u00e9 s\u00e1ly za 405 tis\u00edc korun.<\/p>\n

„D\u00edky gama sond\u011b m\u016f\u017eeme v na\u0161\u00ed nemocnici zajistit komplexn\u00ed l\u00e9\u010dbu pacient\u016fm s n\u00e1dorov\u00fdm onemocn\u011bn\u00edm prsu a malign\u00edm melanomem podle nejmodern\u011bj\u0161\u00edch standard\u016f,“ uvedl \u0159editel nemocnice Roman Koudele. P\u0159i vy\u0161et\u0159en\u00ed budou s chirurgy a onkology spolupracovat i odborn\u00edci z odd\u011blen\u00ed nukle\u00e1rn\u00ed medic\u00edny.<\/p>\n

Sonda Europrobe3 pacient\u016fm zajist\u00ed pou\u017eit\u00ed v\u00fdrazn\u011b \u0161etrn\u011bj\u0161\u00ed metody ne\u017e tomu bylo doposavad. U\u0161et\u0159\u00ed je toti\u017e rozs\u00e1hl\u00fdch operativn\u00edch z\u00e1krok\u016f. Chirurgov\u00e9 d\u00edky n\u00ed snadn\u011bji naleznou detekovanou uzlinu.<\/p>\n

A pro\u010d je nalezen\u00ed sentinelov\u00e9, tedy prvn\u00ed lymfatick\u00e9 uzliny tak d\u016fle\u017eit\u00e9?<\/p>\n

U pacient\u016f s karcinomem prsu je ji p\u0159i opera\u010dn\u00edm v\u00fdkonu pot\u0159eba lokalizovat, proto\u017ee do n\u00ed se n\u00e1dor \u0161\u00ed\u0159\u00ed jako do prvn\u00ed uzliny. „Pokud tato uzlina nen\u00ed posti\u017eena, nejsou posti\u017eeny ani ostatn\u00ed uzliny v podpa\u017e\u00ed. B\u011bhem operace se pomoc\u00ed sondy vyhled\u00e1 p\u0159\u00edslu\u0161n\u00e1 sentinelov\u00e1 uzlina, kter\u00e1 se odstran\u00ed a ode\u0161le na histopatologick\u00e9 vy\u0161et\u0159en\u00ed. Tam se zjist\u00ed, zda obsahuje n\u00e1dorov\u00e9 bu\u0148ky. Podle v\u00fdsledku se ur\u010d\u00ed st\u00e1dium onemocn\u011bn\u00ed a napl\u00e1nuje se dal\u0161\u00ed onkologick\u00e1 l\u00e9\u010dba,“ vysv\u011btlil prim\u00e1\u0159 chirurgick\u00e9ho odd\u011blen\u00ed Anton\u00edn Vajc\u00edk.<\/p>\n

V minulosti se p\u0159i operaci karcinomu prsu odstra\u0148ovaly v\u0161echny podpa\u017en\u00ed uzliny.<\/p>\n

„Jenom\u017ee \u010d\u00e1st pacientek uzliny posti\u017eeny nem\u011bla, tak\u017ee operace byla v podstat\u011b nadbyte\u010dn\u011b rozs\u00e1hl\u00e1. P\u0159itom jde o operaci, kter\u00e1 m\u00e1 jist\u00e1 rizika poopera\u010dn\u00edch n\u00e1sledk\u016f v podob\u011b otoku pa\u017ee na stran\u011b v\u00fdkonu,“ up\u0159esnil Vajc\u00edk.<\/p>\n

I proto trutnov\u0161t\u00ed l\u00e9ka\u0159i hledali mo\u017enosti, jak pacienty l\u00e9\u010dit \u0161etrn\u011bji.<\/p>\n

„Nalezen\u00ed a odstran\u011bn\u00ed t\u00e9to uzliny p\u0159edstavuje modern\u00ed metodu v diagnostice a na to navazuj\u00edc\u00ed onkologick\u00e9 l\u00e9\u010db\u011b.<\/p>\n

Uzlina se odstran\u00ed, histologicky vy\u0161et\u0159\u00ed, a kdy\u017e nen\u00ed posti\u017een\u00e1, nejsou posti\u017eeny ani dal\u0161\u00ed, kter\u00e9 jsou na \u0159ad\u011b. Ty mohou nap\u0159\u00edklad u \u017eeny s operovan\u00fdm n\u00e1dorem prsu v podpa\u017e\u00ed z\u016fstat,“ vysv\u011btlil Anton\u00edn Vajc\u00edk.<\/p>\n

Krkono\u0161sk\u00fd den\u00edk
\nhttp:\/\/krkonossky.denik.cz\/<\/p>\n","protected":false},"excerpt":{"rendered":"

Pacient\u016fm s n\u00e1dorem prsu \u010di s rakovinou k\u016f\u017ee svitla v trutnovsk\u00e9 nemocnici dal\u0161\u00ed nad\u011bje na \u00fasp\u011b\u0161n\u011bj\u0161\u00ed l\u00e9\u010dbu. L\u00e9ka\u0159i chirurgick\u00e9ho odd\u011blen\u00ed toti\u017e od z\u00e1\u0159\u00ed roz\u0161\u00ed\u0159\u00ed operativn\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":6176,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-22328","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\/22328","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=22328"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22328\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/6176"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22328"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22328"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}