{"id":27404,"date":"2017-03-03T20:25:31","date_gmt":"2017-03-03T19:25:31","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27404"},"modified":"2017-03-03T20:25:31","modified_gmt":"2017-03-03T19:25:31","slug":"srdce-opravene-vlastni-chlopni-zvlada-i-horske-tury","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27404","title":{"rendered":"Srdce opraven\u00e9 vlastn\u00ed chlopn\u00ed zvl\u00e1d\u00e1 i horsk\u00e9 t\u00fary"},"content":{"rendered":"<p>Kdy\u017e si letos Ale\u0161 Dvo\u0159\u00e1k vy\u0161l\u00e1pl na t\u00faru po Velk\u00e9 Fat\u0159e, jen ob\u010das si uv\u011bdomil, \u017ee mu v hrudi bije ned\u00e1vno opraven\u00e9 srdce.<br \/>\nNedomykavost srde\u010dn\u00ed chlopn\u011b mu p\u0159i operaci odstranil t\u00fdm l\u00e9ka\u0159\u016f v Brn\u011b, kter\u00fd m\u00e1 ji\u017e velk\u00e9 zku\u0161enosti s takzvanou Rossovou metodou, kdy vadnou chlope\u0148 nenahrad\u00ed um\u011bl\u00e1 varianta, ale chlope\u0148 poch\u00e1zej\u00edc\u00ed p\u0159\u00edmo z t\u011bla pacienta.<!--more--><br \/>\nAle\u0161 r\u00e1d sportuje. V\u011bnuje se vysokohorsk\u00e9 turistice, v sedle kola je jako doma. Sportu se m\u016f\u017ee v\u011bnovat i p\u0159es nep\u0159\u00edli\u0161 laskav\u00fd osud, a p\u0159edev\u0161\u00edm d\u011bdi\u010dn\u00e9 dispozice, kter\u00e9 ho u\u017e ve \u010dty\u0159ech l\u00e9tech poslaly na opera\u010dn\u00ed s\u00e1l kv\u016fli vrozen\u00e9 srde\u010dn\u00ed vad\u011b.<br \/>\nTehdy mu roz\u0161i\u0159ovali hrudn\u00ed aortu, a kdy\u017e se p\u0159ed p\u011btat\u0159iceti lety krnovsk\u00fd rod\u00e1k na specializovan\u00e9 l\u00e9ka\u0159sk\u00e9 pracovi\u0161t\u011b v Brn\u011b (nyn\u00ed Centrum kardiovaskul\u00e1rn\u00ed a transplanta\u010dn\u00ed chirurgie CKCHT) dostal, nepo\u010d\u00edtal nikdo z rodiny s t\u00edm, \u017ee by v budoucnu v\u016fbec mohl sportovat.<br \/>\nV\u0161em bylo jasn\u00e9, \u017ee chlapec na dlouhou dobu, ne-li napo\u0159\u00e1d, z\u016fstane v p\u00e9\u010di l\u00e9ka\u0159\u016f, a jedin\u00fdm p\u0159\u00e1n\u00edm bylo, aby mohl solidn\u011b vyr\u016fstat a \u017e\u00edt. &#8222;V\u011bd\u011bl jsem, \u017ee m\u011b \u010dek\u00e1 dal\u0161\u00ed operace pro nedomykavost srde\u010dn\u00ed chlopn\u011b. A i kdy\u017e dnes \u017eiju a pracuji jako Morav\u00e1k na Slovensku, odkud poch\u00e1z\u00ed i moje \u017eena, bylo jasn\u00e9, \u017ee na operaci budu cht\u00edt zajet zase do Brna,&#8220; \u0159ekl Pr\u00e1vu dev\u011btat\u0159icetilet\u00fd Ale\u0161 Dvo\u0159\u00e1k.<br \/>\n&#8222;Rossova operace, jak mi \u0159ekli, je p\u0159i nahrazen\u00ed srde\u010dn\u00ed chlopn\u011b vhodn\u00e1 pr\u00e1v\u011b pro pacienty, kte\u0159\u00ed \u017eij\u00ed r\u00e1di aktivn\u00edm zp\u016fsobem, sportuj\u00ed. Z\u00e1krok m\u00e1m \u00fasp\u011b\u0161n\u011b za sebou v\u010detn\u011b n\u00e1sleduj\u00edc\u00edch kontrol, te\u010f jsem se nap\u0159\u00edklad vr\u00e1til z pr\u00e1zdnin z p\u0159edjarn\u00edch Tater,&#8220; dodal.<br \/>\n&#8222;Nejen\u017ee se mohou lid\u00e9 po Rossov\u011b operaci v\u011bnovat i adrenalinov\u00fdm sport\u016fm, ale jej\u00ed v\u00fdhodou je i fakt, \u017ee \u017eeny mohou ot\u011bhotn\u011bt a rodit, ani\u017e by bylo t\u0159eba je jakkoliv zvl\u00e1\u0161\u0165 sledovat nebo l\u00e9\u010dit,&#8220; uvedl Petr N\u011bmec z CKCHT.<br \/>\n&#8222;Umo\u017e\u0148uje to nahrazen\u00ed posti\u017een\u00e9 aort\u00e1ln\u00ed chlopn\u011b pacientovou vlastn\u00ed chlopn\u00ed plicnic\u00ed. T\u00edm se pacient vyhne nutnosti jednak u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f na \u0159ed\u011bn\u00ed krve, jednak dal\u0161\u00edm mo\u017en\u00fdm nep\u0159\u00edjemnostem, kter\u00e9 z mechanick\u00e9 chlopn\u011b mohou plynout a v mnoha ohledech omezovat dal\u0161\u00ed \u017eivot,&#8220; pokra\u010doval N\u011bmec.<br \/>\nPodle n\u011bho je tato operace vhodn\u00e1 pro mlad\u00e9 lidi s aktivn\u00edm p\u0159\u00edstupem k \u017eivotu. Pr\u016fm\u011brn\u00fd v\u011bk operovan\u00fdch je 40 let. Kolem 15 procent pacient\u016f podstoupilo p\u0159ed Rossovou operac\u00ed (RO) p\u0159edchoz\u00ed srde\u010dn\u00ed operaci v\u011bt\u0161inou v d\u011btsk\u00e9m v\u011bku.<br \/>\n&#8222;L\u00e9ky na \u0159ed\u011bn\u00ed krve jsem br\u00e1t necht\u011bl, by\u0165 l\u00e9ka\u0159i ubezpe\u010duj\u00ed, \u017ee nemaj\u00ed vedlej\u0161\u00ed \u00fa\u010dinky. Z vlastn\u00ed rodinn\u00e9 zku\u0161enosti jsem v\u0161ak v\u011bd\u011bl, jak\u00e9 nep\u0159\u00edjemnosti mohou nastat nap\u0159\u00edklad p\u0159i cest\u011b do ciziny, kdy\u017e si l\u00e9ky v dostate\u010dn\u00e9 m\u00ed\u0159e matka zapomn\u011bla vz\u00edt,&#8220; \u0159ekl Pr\u00e1vu Dvo\u0159\u00e1k.<br \/>\n&#8222;Velk\u00fdm rizikem je pak t\u0159eba i ban\u00e1ln\u00ed opera\u010dn\u00ed z\u00e1krok nebo i trh\u00e1n\u00ed zubu. Je mi jasn\u00e9, \u017ee asi budu muset za patn\u00e1ct \u010di dvacet let na reoperaci, kdy se plicn\u00ed chlope\u0148 zten\u010d\u00ed, ale ned\u011bl\u00e1m si z toho t\u011b\u017ekou hlavu,&#8220; pokra\u010doval Dvo\u0159\u00e1k. &#8222;Jednak v\u011b\u0159\u00edm tomu, \u017ee do t\u00e9 doby op\u011bt v\u00fdzkum v t\u00e9to oblasti posko\u010d\u00ed, a pak tak\u00e9 u\u017e v\u00edm, \u017ee jsem \u017e\u00e1dn\u00fd probl\u00e9m s aplikac\u00ed vlastn\u00ed plicn\u00ed chlopn\u011b nem\u011bl,&#8220; dodal.<br \/>\nDal\u0161\u00ed v\u00fdhodou je, \u017ee se pacient rychle navrac\u00ed do norm\u00e1ln\u00edho \u017eivota, d\u00e1le nevznik\u00e1 infekce ani nedoch\u00e1z\u00ed k dysfunkci chlopn\u011b nebo k riziku krv\u00e1cen\u00ed, pacienti se nemus\u00ed omezovat v p\u0159\u00edjmu stravy bohat\u00e9 na vitam\u00edn K a tak\u00e9 nemus\u00ed doch\u00e1zet na pravideln\u00e9 testy na sr\u00e1\u017een\u00ed krve.<\/p>\n<p>Z\u00e1krok m\u00e1m za sebou, te\u010f jsem se vr\u00e1til z Tater Ale\u0161 Dvo\u0159\u00e1k<\/p>\n<p>Miroslav Homola<br \/>\nPr\u00e1vo<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Kdy\u017e si letos Ale\u0161 Dvo\u0159\u00e1k vy\u0161l\u00e1pl na t\u00faru po Velk\u00e9 Fat\u0159e, jen ob\u010das si uv\u011bdomil, \u017ee mu v hrudi bije ned\u00e1vno opraven\u00e9 srdce. Nedomykavost srde\u010dn\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27404\" title=\"Srdce opraven\u00e9 vlastn\u00ed chlopn\u00ed zvl\u00e1d\u00e1 i horsk\u00e9 t\u00fary\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14380,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27404","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\/27404","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=27404"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27404\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14380"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}