{"id":25887,"date":"2016-06-22T10:40:43","date_gmt":"2016-06-22T08:40:43","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25887"},"modified":"2016-06-22T10:40:43","modified_gmt":"2016-06-22T08:40:43","slug":"fekalni-transplantace-kdyz-stolice-zachranuje-zivot","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25887","title":{"rendered":"Fek\u00e1ln\u00ed transplantace. Kdy\u017e stolice zachra\u0148uje \u017eivot"},"content":{"rendered":"<p><strong>Kdy\u017e v roce 1928 objevil l\u00e9ka\u0159 Alexander Fleming penicilin, netu\u0161il, \u017ee jednou bude m\u00edt z\u00e1zra\u010dn\u00e1 l\u00e9\u010dba i sv\u016fj rub. Nadm\u011brn\u00e9 u\u017e\u00edv\u00e1n\u00ed antibiotik m\u00e1 za n\u00e1sledek zni\u010den\u00ed st\u0159evn\u00ed mikrofl\u00f3ry. Jak ji obnovit v t\u011bch nejz\u00e1va\u017en\u011bj\u0161\u00edch p\u0159\u00edpadech, kdy selh\u00e1v\u00e1 jin\u00e1 l\u00e9\u010dba? Fek\u00e1ln\u00ed transplantac\u00ed. Tedy p\u0159enosem bakteri\u00ed ze zdrav\u00e9 stolice.<\/strong> <!--more--><\/p>\n<p>Liberec \u2013 Tato l\u00e9\u010debn\u00e1 metoda se u\u017e pou\u017e\u00edv\u00e1 v \u0159ad\u011b nemocnic u n\u00e1s i ve sv\u011bt\u011b. V podstat\u011b jde o transplantaci zdrav\u00fdch st\u0159evn\u00edch bakteri\u00ed do t\u011bla pacienta, kter\u00fd trp\u00ed tzv. klostridiovou kolitidou.<\/p>\n<p>Infekci prov\u00e1z\u00ed \u00faporn\u00e9 opakovan\u00e9 pr\u016fjmy, \u010dasto prov\u00e1zen\u00e9 vysok\u00fdmi hore\u010dkami, v n\u011bkter\u00fdch p\u0159\u00edpadech m\u016f\u017ee skon\u010dit i smrt\u00ed.<\/p>\n<p>Bakterie napad\u00e1 zejm\u00e9na pacienty, jejich\u017e st\u0159eva neobsahuj\u00ed zdravou st\u0159evn\u00ed mikrofl\u00f3ru. Jednodu\u0161e \u0159e\u010deno, tam kde byly prosp\u011b\u0161n\u00e9 bakterie zni\u010deny opakovanou l\u00e9\u010dbou \u0161irokospektr\u00fdmi antibiotiky, ale t\u0159eba i v d\u016fsledku chemoterapie.<\/p>\n<p>L\u00c9\u010cBA PROST\u00c1, V\u00ddSLEDKY VYNIKAJ\u00cdC\u00cd<\/p>\n<p>Podle odborn\u00edk\u016f je metoda celosv\u011btov\u011b uzn\u00e1van\u00e1 a p\u0159edstavuje t\u00e9m\u011b\u0159 jedinou alternativu antibiotick\u00e9 l\u00e9\u010dby. Dosahuje p\u0159itom obrovsk\u00e9 \u00fasp\u011b\u0161nosti. &#8222;Je to zhruba mezi 85 a\u017e 90 procenty,&#8220; potvrdil p\u0159i ned\u00e1vn\u00e9m zased\u00e1n\u00ed \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti v Liberci Ond\u0159ej Urban z V\u00edtkovick\u00e9 nemocnice. Pr\u00e1v\u011b tam metodu jako prvn\u00ed u n\u00e1s vyzkou\u0161eli.<\/p>\n<p>V \u010cR zat\u00edm tento postup nen\u00ed plo\u0161n\u011b roz\u0161\u00ed\u0159en, na pracovi\u0161t\u00edch, kde je zav\u00e1d\u011bn, v\u0161ak vykazuje velmi dobr\u00e9 v\u00fdsledky a je pro pacienty velk\u00fdm p\u0159\u00ednosem. &#8222;V podstat\u011b je m\u016f\u017ee zachr\u00e1nit p\u0159ed smrt\u00edc\u00ed infekc\u00ed,&#8220; shrnul prim\u00e1\u0159 Urban. Metoda se krom\u011b severn\u00ed a st\u0159edn\u00ed Moravy (Ostrava, Prost\u011bjov, Vala\u0161sk\u00e9 Mezi\u0159\u00ed\u010d\u00ed) \u00fasp\u011b\u0161n\u011b aplikuje t\u0159eba v Plzni nebo pra\u017esk\u00e9 Thomayerov\u011b nemocnici. Bakterie se z\u00edsk\u00e1vaj\u00ed ze stolice zdrav\u00e9ho d\u00e1rce.<\/p>\n<p>Zpravidla jde o p\u0159\u00edbuzn\u00e9ho. Odebran\u00fd vzorek se v laborato\u0159i zbav\u00ed pevn\u00fdch \u010d\u00e1stic a uprav\u00ed do roztoku, kter\u00fd se n\u00e1sledn\u011b implantuje do t\u011bla pacienta. &#8222;Nen\u00ed to \u017e\u00e1dn\u00e1 v\u011bda. Metoda je z\u00e1le\u017eitost\u00ed b\u011b\u017en\u011b vybaven\u00e9 laborato\u0159e,&#8220; uvedl prim\u00e1\u0159 Urban.<\/p>\n<p>JAK SE PROV\u00c1D\u00cd?<\/p>\n<p>P\u0159i l\u00e9\u010db\u011b fek\u00e1ln\u00ed bakterioterapi\u00ed p\u0159enesou l\u00e9ka\u0159i sm\u011bs fyziologick\u00e9ho roztoku bu\u010f kone\u010dn\u00edkem do tlust\u00e9ho st\u0159eva nebo sondou zavedenou p\u0159es \u017ealudek do tenk\u00e9ho st\u0159eva posti\u017een\u00e9ho pacienta.<\/p>\n<p>C\u00edlem l\u00e9\u010dby je obnova p\u0159irozen\u00e9 st\u0159evn\u00ed mikrofl\u00f3ry v posti\u017een\u00e9m st\u0159ev\u011b a navr\u00e1cen\u00ed rovnov\u00e1hy.<\/p>\n<p>D\u00e1rcem stolice je zpravidla bl\u00edzk\u00fd rodinn\u00fd p\u0159\u00edslu\u0161n\u00edk, kter\u00fd mus\u00ed nejd\u0159\u00edv podstoupit vy\u0161et\u0159en\u00ed, zda nem\u00e1 chronickou virovou \u017eloutenku B nebo C, HIV, syfilis \u010di st\u0159evn\u00ed bakteri\u00e1ln\u00ed nebo parazit\u00e1rn\u00ed infekce.<\/p>\n<p>Pr\u00e1v\u011b slo\u017eit\u00e9 vy\u0161et\u0159en\u00ed je podle Lenky Nedbalov\u00e9, prim\u00e1\u0159ky nov\u011b vznikl\u00e9ho gastroenterologick\u00e9ho odd\u011blen\u00ed Krajsk\u00e9 nemocnice Liberec v Turnov\u011b jednou z p\u0159\u00ed\u010din, pro\u010d se l\u00e9\u010dba b\u011b\u017en\u011b neprov\u00e1d\u00ed zat\u00edm na v\u0161ech pracovi\u0161t\u00edch. Tou dal\u0161\u00ed je jej\u00ed \u00fazk\u00e9 vyu\u017eit\u00ed. &#8222;Metoda je vysoce \u00fa\u010dinn\u00e1 p\u0159i klostridiov\u00e9 infekci, zat\u00edmco p\u0159i nespecifick\u00fdch st\u0159evn\u00edch z\u00e1n\u011btech, kter\u00fdm se tu p\u0159edev\u0161\u00edm v\u011bnujeme, se zat\u00edm p\u0159\u00edli\u0161 neosv\u011bd\u010dila,&#8220; vysv\u011btluje prim\u00e1\u0159ka. Podle n\u00ed se dal\u0161\u00edm v\u00fdzkumem terapie zab\u00fdvaj\u00ed odborn\u00edci v pra\u017esk\u00e9m IKEMu. &#8222;V\u011b\u0159\u00edm ale, \u017ee v\u00fdzkum m\u016f\u017ee p\u0159in\u00e9st zaj\u00edmav\u00e9 v\u00fdsledky v oblasti st\u0159evn\u00edch onemocn\u011bn\u00ed,&#8220; dod\u00e1v\u00e1 specialistka.<\/p>\n<p>JANA \u0160VECOV\u00c1<br \/>\nLibereck\u00fd den\u00edk<br \/>\n<a href=\"http:\/\/www.liberecky.denik.cz\/\">http:\/\/www.liberecky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Kdy\u017e v roce 1928 objevil l\u00e9ka\u0159 Alexander Fleming penicilin, netu\u0161il, \u017ee jednou bude m\u00edt z\u00e1zra\u010dn\u00e1 l\u00e9\u010dba i sv\u016fj rub. Nadm\u011brn\u00e9 u\u017e\u00edv\u00e1n\u00ed antibiotik m\u00e1 za n\u00e1sledek <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=25887\" title=\"Fek\u00e1ln\u00ed transplantace. Kdy\u017e stolice zachra\u0148uje \u017eivot\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-25887","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\/25887","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=25887"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25887\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25887"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25887"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25887"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}