Operac\u00ed v d\u011bloze zachr\u00e1nili l\u00e9ka\u0159i \u00dastavu pro p\u00e9\u010di o matku a d\u00edt\u011b v Praze-Podol\u00ed u\u017e 102 d\u011bt\u00ed. Centrum fet\u00e1ln\u00ed medic\u00edny, kter\u00e9 bylo otev\u0159eno v roce 2012, se jedin\u00e9 v zemi v\u011bnuje p\u00e9\u010di o nenarozen\u00e1 jednovaje\u010dn\u00e1 dvoj\u010data.<\/p>\n
Tvo\u0159\u00ed zhruba p\u011btinu v\u0161ech dvoj\u010dat, komplikace m\u00e1 asi 20 procent z nich. Na rozd\u00edl od dvouvaje\u010dn\u00fdch maj\u00ed jednovaje\u010dn\u00e1 dvoj\u010data spole\u010dnou placentu, co\u017e vyvol\u00e1v\u00e1 probl\u00e9my. Ro\u010dn\u011b l\u00e9ka\u0159i provedou 30 a\u017e 40 nitrod\u011blo\u017en\u00edch operac\u00ed u pacientek z \u010cR a Slovenska.<\/p>\n
„Celkov\u011b bylo v na\u0161em centru porozeno 102 d\u011bt\u00ed, v\u011bt\u0161ina z nich po 32. gesta\u010dn\u00edm t\u00fddnu. Bez mo\u017enosti intervence na\u0161eho centra kon\u010dila d\u0159\u00edve tato t\u011bhotenstv\u00ed odum\u0159en\u00edm v d\u011bloze \u010di smrt\u00ed kr\u00e1tce po porodu,“ \u0159ekl dnes novin\u00e1\u0159\u016fm vedouc\u00ed l\u00e9ka\u0159 centra Lubom\u00edr Ha\u0161l\u00edk.<\/p>\n
K nej\u010dast\u011bj\u0161\u00edm komplikac\u00edm jednovaje\u010dn\u00fdch dvoj\u010dat pat\u0159\u00ed transf\u00fazn\u00ed syndrom, kdy se p\u0159esouv\u00e1 tekutina mezi jedn\u00edm a druh\u00fdm plodem, tak\u017ee jeden je nedokrven\u00fd a druh\u00fd p\u0159et\u00ed\u017een\u00fd, a tak\u00e9 nerovnom\u011brn\u00e9 rozd\u011blen\u00ed spole\u010dn\u00e9 placenty, kdy jeden plod str\u00e1d\u00e1 na \u00fakor druh\u00e9ho.<\/p>\n
Nej\u010dast\u011bj\u0161\u00ed nitrod\u011blo\u017en\u00ed operac\u00ed je laserov\u00e9 p\u0159eru\u0161en\u00ed c\u00e9vn\u00edch spojek placenty a od\u010derp\u00e1n\u00ed nadbyte\u010dn\u00e9ho mno\u017estv\u00ed plodov\u00e9 vody, \u010d\u00edm\u017e klesne riziko p\u0159ed\u010dasn\u00e9ho porodu kv\u016fli nadm\u011brn\u00e9mu rozp\u011bt\u00ed d\u011blohy.<\/p>\n
Ro\u010dn\u011b je transf\u00fazn\u00edm syndromem v \u010cesku posti\u017eeno na 50 jednovaje\u010dn\u00fdch t\u011bhotenstv\u00ed, tedy 100 d\u011bt\u00ed. „Porod relativn\u011b zdrav\u00fdch d\u011bt\u00ed byl p\u0159ed zah\u00e1jen\u00edm operac\u00ed v d\u011bloze extr\u00e9mn\u00ed raritou. V na\u0161em centru je pr\u016fm\u011brn\u00e9 p\u0159e\u017eit\u00ed obou plod\u016f 55 procent a alespo\u0148 jednoho z plod\u016f 80 procent. P\u0159es t\u0159i \u010dtvrtiny porod\u016f bylo nad 28. a 60 procent nad 32. gesta\u010dn\u00ed t\u00fdden,“ up\u0159esnil Ha\u0161l\u00edk.<\/p>\n
K nesoum\u011brn\u011b sd\u00edlen\u00e9 placent\u011b doplnil, \u017ee pokud jeden plod z\u00e1sadn\u011b zaost\u00e1v\u00e1 a bere \u017eiviny siln\u011bj\u0161\u00edho plodu, tak\u017ee hroz\u00ed odum\u0159en\u00ed obou, po konzultaci s rodi\u010di a jejich p\u00edsemn\u00e9m souhlasu l\u00e9ka\u0159i opera\u010dn\u011b uzav\u0159ou pupe\u010dn\u00edk slab\u0161\u00edho z plod\u016f. Pravd\u011bpodobnost p\u0159e\u017eit\u00ed zdrav\u00e9ho plodu t\u00edm stoupne na 95 procent.<\/p>\n
Mezi nejvz\u00e1cn\u011bj\u0161\u00ed z\u00e1kroky centra pat\u0159\u00ed radiofrekven\u010dn\u00ed ablace, kdy se tepelnou energi\u00ed zastav\u00ed tok ve vybran\u00fdch c\u00e9v\u00e1ch. Jako prvn\u00ed v \u010cesku ji l\u00e9ka\u0159i centra pou\u017eili p\u0159i operaci v d\u011bloze v roce 2013, do dne\u0161n\u00edho dne maj\u00ed na kont\u011b p\u011bt takov\u00fdch z\u00e1krok\u016f.<\/p>\n
Centrum \u0159e\u0161\u00ed tak\u00e9 vz\u00e1cn\u00e9 komplikace jedno\u010detn\u00fdch i v\u00edce\u010detn\u00fdch t\u011bhotenstv\u00ed. Jde nap\u0159\u00edklad o uz\u00e1v\u011bry vylu\u010dovac\u00edho \u00fastroj\u00ed \u010di hrudn\u00ed v\u00fdpotky, br\u00e1ni\u010dn\u00ed k\u00fdly a nezhoubn\u00e9 n\u00e1dory plodu. Na rozvoji programu spolupracuj\u00ed l\u00e9ka\u0159i s p\u0159edn\u00edm evropsk\u00fdm centrem v belgick\u00e9m Leuvenu.<\/p>\n","protected":false},"excerpt":{"rendered":"
Operac\u00ed v d\u011bloze zachr\u00e1nili l\u00e9ka\u0159i \u00dastavu pro p\u00e9\u010di o matku a d\u00edt\u011b v Praze-Podol\u00ed u\u017e 102 d\u011bt\u00ed. Centrum fet\u00e1ln\u00ed medic\u00edny, kter\u00e9 bylo otev\u0159eno v roce […]<\/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-26074","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26074","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=26074"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26074\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26074"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26074"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}