{"id":28066,"date":"2017-04-27T10:27:04","date_gmt":"2017-04-27T08:27:04","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28066"},"modified":"2017-04-27T10:27:04","modified_gmt":"2017-04-27T08:27:04","slug":"prvni-zeny-s-transplantovanou-delohou-se-chystaji-na-tehotenstvi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28066","title":{"rendered":"Prvn\u00ed \u017eeny s transplantovanou d\u011blohou se chystaj\u00ed na t\u011bhotenstv\u00ed"},"content":{"rendered":"<p><strong>Praha 26. dubna (\u010cTK) &#8211; L\u00e9ka\u0159i z Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) za rok transplantovali d\u011blohu \u0161esti pacientk\u00e1m. \u010c\u00e1st z nich se za\u010dne v bl\u00edzk\u00e9 dob\u011b p\u0159ipravovat na um\u011bl\u00e9 oplodn\u011bn\u00ed a t\u011bhotenstv\u00ed. \u00dasp\u011bchem t\u00e9to transplantace je toti\u017e a\u017e narozen\u00ed zdrav\u00e9ho potomka, \u0159ekl v rozhovoru s\u00a0 p\u0159ednosta kliniky transplanta\u010dn\u00ed chirurgie IKEM Ji\u0159\u00ed Fron\u011bk. Pokud by \u0161lo v\u0161e dob\u0159e, prvn\u00ed potomek by se mohl narodit v p\u0159\u00ed\u0161t\u00edm roce.<\/strong><!--more--><\/p>\n<p>Prvn\u00ed d\u011blohu v \u010cesku l\u00e9ka\u0159i transplantovali p\u0159ed rokem. Org\u00e1n tehdy darovala matka sv\u00e9 dce\u0159i, kter\u00e1 se bez d\u011blohy narodila. Celkem IKEM, kter\u00fd je nejv\u011bt\u0161\u00edm transplanta\u010dn\u00edm centrem v \u010cR, v r\u00e1mci klinick\u00e9 studie pl\u00e1nuje 20 transplantac\u00ed, p\u0159i\u010dem\u017e polovina p\u0159\u00edjemky\u0148 by m\u011bla z\u00edskat org\u00e1n od \u017eij\u00edc\u00ed d\u00e1rkyn\u011b a polovina od zem\u0159el\u00e9. Do studie byly za\u0159azeny \u017eeny, kter\u00e9 d\u011blohu od narozen\u00ed nemaj\u00ed, kv\u016fli onemocn\u011bn\u00ed jim byla odstran\u011bna, nebo jim tento org\u00e1n prokazateln\u011b nefunguje.<\/p>\n<p>Fron\u011bk \u010cTK \u0159ekl, \u017ee podle n\u011bkter\u00fdch publikovan\u00fdch odhad\u016f m\u016f\u017ee b\u00fdt \u017een s takov\u00fdmto probl\u00e9mem asi 300 na milion obyvatel. &#8222;Ale to je\u0161t\u011b neznamen\u00e1, \u017ee c\u00edlov\u00e1 skupina je opravdu takhle velik\u00e1. Jen asi polovina t\u011bch \u017een stoj\u00ed o transplantaci d\u011blohy, ta druh\u00e1 m\u00e1 ten probl\u00e9m pro sebe vy\u0159e\u0161en\u00fd a o transplantaci nestoj\u00ed,&#8220; uvedl p\u0159ednosta. IKEM ale m\u011bl v\u00edce z\u00e1jemky\u0148, ne\u017e kolik jich mohl do studie p\u0159ijmout. \u010cekatelky nav\u00edc nemocnice eviduje pro p\u0159\u00edpad, \u017ee by n\u011bkter\u00e1 ze za\u0159azen\u00fdch pacientek z programu vypadla. Krit\u00e9ria pro \u00fa\u010dastnice jsou toti\u017e pom\u011brn\u011b p\u0159\u00edsn\u00e1. Krom\u011b v\u011bku do 40 let mus\u00ed m\u00edt tak\u00e9 man\u017eela nebo st\u00e1l\u00e9ho partnera, kter\u00fd m\u00e1 b\u00fdt biologick\u00fdm otcem p\u0159\u00edpadn\u00e9ho potomka. Pokud se tedy partne\u0159i rozejdou, \u017eena p\u0159estane spl\u0148ovat krit\u00e9ria a ze studie bude vy\u0159azena.<\/p>\n<p>Podm\u00ednkou transplantace je rovn\u011b\u017e p\u0159edchoz\u00ed odb\u011br vaj\u00ed\u010dek \u017eeny a jejich oplodn\u011bn\u00ed spermiemi partnera. Samotn\u00fd odb\u011br d\u011blohy a jej\u00ed transplantace mohou trvat a\u017e 16 hodin. Po kr\u00e1tk\u00e9 hospitalizaci se \u017eeny podle Fro\u0148ka zhruba do t\u00fddne vracej\u00ed do b\u011b\u017en\u00e9ho \u017eivota. &#8222;Zat\u00edm \u017e\u00e1dn\u00e1 z nich nem\u011bla z\u00e1va\u017enou komplikaci, jsou zp\u011bt v plnohodnotn\u00e9m \u017eivot\u011b a v n\u011bkolika p\u0159\u00edpadech se p\u0159ipravujeme na embryotransfer,&#8220; popsal Fron\u011bk.<\/p>\n<p>P\u0159ed \u010ceskem byly jedin\u00e9 \u00fasp\u011b\u0161n\u00e9 transplantace podle Fro\u0148ka vykon\u00e1ny ve \u0160v\u00e9dsku, kde z\u00e1krok \u00fasp\u011b\u0161n\u011b podstoupilo sedm \u017een. P\u011bti z nich se dosud narodil potomek, v jednom p\u0159\u00edpad\u011b dokonce \u017eena porodila u\u017e druh\u00e9 zdrav\u00e9 d\u00edt\u011b. \u010cesk\u00e1 studie po\u010d\u00edt\u00e1 po transplantaci d\u011blohy maxim\u00e1ln\u011b se dv\u011bma porody. &#8222;Pak m\u00e1me v pl\u00e1nu d\u011blohu odstranit tak, aby \u017eena nemusela dlouhodob\u011b br\u00e1t l\u00e9ky na potla\u010den\u00ed imunity,&#8220; uvedl Fron\u011bk. \u017deny budou i pot\u00e9 sledov\u00e1ny, aby odborn\u00edci mohli hodnotit v\u00fdsledky s del\u0161\u00edm \u010dasov\u00fdm odstupem.<\/p>\n<p>L\u00e9ka\u0159i v IKEM v sou\u010dasnosti krom\u011b d\u011bloh transplantuj\u00ed tak\u00e9 ledviny, j\u00e1tra, srdce, tenk\u00e9 st\u0159evo, Langerhansovy ostr\u016fvky a slinivku. Fron\u011bk nep\u0159edpokl\u00e1d\u00e1, \u017ee by se toto spektrum v p\u0159\u00ed\u0161t\u00edch letech roz\u0161i\u0159ovalo. V\u00fdvoj vid\u00ed nap\u0159\u00edklad v roz\u0161\u00ed\u0159en\u00ed okruhu pacient\u016f, kte\u0159\u00ed z\u00e1krok mohou podstoupit. &#8222;Transplantujeme dnes \u0159adu pacient\u016f, kte\u0159\u00ed by v minulosti nemuseli b\u00fdt transplantov\u00e1ni, proto\u017ee nemaj\u00ed t\u0159eba jen jednu chorobu, ale i dal\u0161\u00ed nemoci, kter\u00e9 je stav\u00ed na trochu m\u00e9n\u011b v\u00fdhodnou startovn\u00ed \u010d\u00e1ru. Tam jsme jist\u011b mnohem d\u00e1l ne\u017e p\u0159ed deseti lety. Prov\u00e1d\u00edme transplantace i p\u0159es neshodu v krevn\u00edch skupin\u00e1ch, p\u0159\u00edpadn\u011b v n\u011bkter\u00fdch protil\u00e1tk\u00e1ch, co\u017e b\u00fdvalo tabu je\u0161t\u011b p\u0159ed deseti lety,&#8220; dodal Fron\u011bk.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><!--more--><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Praha 26. dubna (\u010cTK) &#8211; L\u00e9ka\u0159i z Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) za rok transplantovali d\u011blohu \u0161esti pacientk\u00e1m. \u010c\u00e1st z nich se za\u010dne v <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28066\" title=\"Prvn\u00ed \u017eeny s transplantovanou d\u011blohou se chystaj\u00ed na t\u011bhotenstv\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16282,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28066","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28066","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=28066"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28066\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16282"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}