{"id":28099,"date":"2017-05-01T19:41:27","date_gmt":"2017-05-01T17:41:27","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28099"},"modified":"2017-05-01T19:50:02","modified_gmt":"2017-05-01T17:50:02","slug":"28099","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28099","title":{"rendered":"Transplantaci d\u011blohy v IKEM podstoupilo ji\u017e 6 \u017een"},"content":{"rendered":"<p><strong>Ji\u017e \u0161esti \u017een\u00e1m tou\u017e\u00edc\u00edm po vlastn\u00edm d\u00edt\u011bti transplantoval v\u00a0uplynul\u00e9m roce speci\u00e1ln\u00ed opera\u010dn\u00ed t\u00fdm pod veden\u00edm Ji\u0159\u00edho Fro\u0148ka z\u00a0IKEM a Romana Chmela z\u00a0FN Motol d\u011blohu. Brzy se pod dohledem l\u00e9ka\u0159\u016f za\u010dnou p\u0159ipravovat na um\u011bl\u00e9 oplodn\u011bn\u00ed a pokud se v\u0161e poda\u0159\u00ed, tak i na prvn\u00ed t\u011bhotenstv\u00ed. To v\u0161e v\u00a0r\u00e1mci jedin\u00e9 klinick\u00e9 studie na sv\u011bt\u011b, kter\u00e1 zahrnuje transplantace d\u011blohy od \u017eij\u00edc\u00edch i zem\u0159el\u00fdch d\u00e1rky\u0148. <\/strong><!--more--><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>Historicky prvn\u00ed transplantaci d\u011blohy v\u00a0\u010cesk\u00e9 republice provedl spole\u010dn\u00fd t\u00fdm l\u00e9ka\u0159\u016f IKEM a FN Motol 30. dubna 2016. V\u00a0tomto p\u0159\u00edpad\u011b se jednalo o p\u0159\u00edbuzenskou transplantaci, kdy matka darovala org\u00e1n sv\u00e9 dce\u0159i, kter\u00e1 se bez d\u011blohy narodila. Mlad\u00e1 \u017eena tak dostala \u0161anci p\u0159iv\u00e9st na sv\u011bt vlastn\u00ed d\u00edt\u011b. \u201e<em>Byla to teprve <\/em><em>11. transplantace d\u011blohy od \u017eij\u00edc\u00ed d\u00e1rkyn\u011b na sv\u011bt\u011b. Za ten rok, kter\u00fd je za n\u00e1mi, jsme p\u0159ekonali n\u011bkolik d\u016fle\u017eit\u00fdch miln\u00edk\u016f. T\u00edm nejv\u011bt\u0161\u00edm je pro n\u00e1s, krom\u011b toho, se n\u00e1m s\u00a0ka\u017edou dal\u0161\u00ed transplantac\u00ed da\u0159\u00ed zkracovat opera\u010dn\u00ed \u010das a sou\u010dasn\u011b zdokonalovat techniku z\u00e1kroku, \u017ee jsme jako prvn\u00ed na sv\u011bt\u011b \u00fasp\u011b\u0161n\u011b transplantovali ji\u017e dv\u011b d\u011blohy od zem\u0159el\u00fdch d\u00e1rky\u0148, co\u017e n\u00e1m d\u00e1v\u00e1 velkou nad\u011bji, \u017ee by se tento program mohl v\u00a0budoucnu roz\u0161\u00ed\u0159it a pomoci tak mnoha \u017een\u00e1m bez funk\u010dn\u00ed d\u011blohy tou\u017e\u00edc\u00edm po vlastn\u00edm d\u00edt\u011bti splnit jejich velk\u00fd sen. V\u00a0r\u00e1mci na\u0161\u00ed studie plat\u00ed velmi p\u0159\u00edsn\u00e1 krit\u00e9ria. P\u0159\u00edjemkyn\u011b d\u011blohy jsou v\u00fdhradn\u011b \u017eeny bez vlastn\u00edho d\u00edt\u011bte, kter\u00fdm d\u011bloha chyb\u00ed vrozen\u011b nebo o ni p\u0159i\u0161ly z\u00a0r\u016fzn\u00fdch d\u016fvod\u016f v\u00a0pr\u016fb\u011bhu \u017eivota, p\u0159\u00edpadn\u011b ji maj\u00ed z\u00a0pohledu t\u011bhotenstv\u00ed nefunk\u010dn\u00ed. Nav\u00edc o\u010dek\u00e1v\u00e1me, \u017ee bychom mohli b\u011bhem leto\u0161n\u00edho roku p\u0159ekonat v\u00a0po\u010dtu proveden\u00fdch transplantac\u00ed d\u011blohy i kolegy ve \u0160v\u00e9dsku, kte\u0159\u00ed s\u00a0ucelen\u00fdm programem od \u017eij\u00edc\u00edch d\u00e1rky\u0148 za\u010dali ji\u017e v roce 2012, a kte\u0159\u00ed maj\u00ed za sebou celkem 9 transplantac\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 p\u0159ednosta Kliniky transplanta\u010dn\u00ed chirurgie IKEM doc. MUDr. Ji\u0159\u00ed Fron\u011bk, Ph.D., FRCS., kter\u00fd program transplantac\u00ed d\u011blohy d\u00e1le rozv\u00edj\u00ed.<\/p>\n<p>Tato studie zahrnuje proveden\u00ed celkem 20 transplantac\u00ed d\u011blohy &#8211; 10 \u017een dostane d\u011blohu od \u017eij\u00edc\u00ed d\u00e1rkyn\u011b, 10 od zem\u0159el\u00e9. Po transplantaci by m\u011bly b\u00fdt schopn\u00e9 porodit jedno a\u017e dv\u011b zdrav\u00e9 d\u011bti. <em>\u201eCel\u00fd proces je velmi n\u00e1ro\u010dn\u00fd. Po podrobn\u00e9m vy\u0161et\u0159en\u00ed d\u00e1rkyn\u011b i p\u0159\u00edjemkyn\u011b n\u00e1sleduje technicky velmi slo\u017eit\u00fd odb\u011br d\u011blohy a jej\u00ed transplantace. Oba z\u00e1kroky mohou trvat v sou\u010dtu a\u017e 16 hodin. Po zvl\u00e1dnut\u00ed prvn\u00edch n\u011bkolika m\u011bs\u00edc\u016f po operaci bez zn\u00e1mek odm\u00edt\u00e1n\u00ed d\u011blohy organismem p\u0159\u00edjemkyn\u011b n\u00e1sleduje 6-9 m\u011bs\u00edc\u016f trvaj\u00edc\u00ed obdob\u00ed \u010dek\u00e1n\u00ed na p\u0159enos embrya (z\u00e1rodku) do d\u011blohy, v\u00a0pr\u016fb\u011bhu kter\u00e9ho se sni\u017euj\u00ed a vysazuj\u00ed l\u00e9ky potla\u010duj\u00edc\u00ed imunitn\u00ed reakci a sleduje se funkce d\u011blohy. Teprve pot\u00e9 p\u0159istupujeme k\u00a0um\u011bl\u00e9mu oplodn\u011bn\u00ed.<\/em><em> Podm\u00ednkou transplantace d\u011blohy je p\u0159edchoz\u00ed p\u0159\u00edprava ve smyslu odb\u011bru vlastn\u00edch vaj\u00ed\u010dek a jejich oplozen\u00ed spermiemi partnera. Pokud by v\u0161e vy\u0161lo podle ide\u00e1ln\u00edho sc\u00e9n\u00e1\u0159e, tak bychom mohli slavit narozen\u00ed prvn\u00edho d\u00edt\u011bte ji\u017e v\u00a0p\u0159\u00ed\u0161t\u00edm roce. Jak v\u0161ak ukazuj\u00ed i zahrani\u010dn\u00ed zku\u0161enosti, mus\u00edme b\u00fdt velmi trp\u011bliv\u00ed, ka\u017ed\u00fd p\u0159\u00edpad je toti\u017e velmi individu\u00e1ln\u00ed a nelze s\u00a0jistotou p\u0159edpov\u011bd\u011bt, kdy se po transferu p\u0159ipraven\u00fdch oplozen\u00fdch vaj\u00ed\u010dek do d\u011blohy do\u010dk\u00e1me \u00fasp\u011b\u0161n\u00e9ho t\u011bhotenstv\u00ed,<\/em><em>\u201c<\/em> vysv\u011btluje p\u0159ednosta Gynekologicko-porodnick\u00e9 kliniky 2. LF UK a FN Motol MUDr. Roman Chmel, Ph.D., MHA.<\/p>\n<p>P\u0159\u00edpravy na historicky prvn\u00ed transplantaci d\u011blohy v\u00a0\u010cesku prob\u00edhaly 4 roky. \u201e<em>Velmi mne t\u011b\u0161\u00ed, \u017ee se t\u00fdm na\u0161ich l\u00e9ka\u0159\u016f \u0159ad\u00ed v\u00a0tomto ohledu mezi sv\u011btovou \u0161pi\u010dku a tak, jako oni sb\u00edrali zku\u0161enosti v\u00a0zahrani\u010d\u00ed, te\u010f se k\u00a0nim jezd\u00ed u\u010dit dal\u0161\u00ed l\u00e9ka\u0159i z\u00a0jin\u00fdch sv\u011btov\u00fdch center jak tak n\u00e1ro\u010dn\u00fd v\u00fdkon \u00fasp\u011b\u0161n\u011b prov\u00e9st. Na\u0161im c\u00edlem v\u0161ak st\u00e1le z\u016fst\u00e1v\u00e1 nic nepodcenit a neusp\u011bchat. N\u00e1\u0161 t\u00fdm chce p\u0159edev\u0161\u00edm p\u0159iv\u00e9st na sv\u011bt zdrav\u00e9 d\u011bti. Jsem r\u00e1d, \u017ee se t\u00edmto zp\u016fsobem da\u0159\u00ed d\u00e1vat \u0161anci neplodn\u00fdm \u017een\u00e1m, kter\u00fdm tak svitla nad\u011bje, aby mohly m\u00edt v\u00a0budoucnu svoje vlastn\u00ed d\u011bti<\/em><em>,<\/em><em>\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Ale\u0161 Herman, Ph.D., \u0159editel IKEM.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Ji\u017e \u0161esti \u017een\u00e1m tou\u017e\u00edc\u00edm po vlastn\u00edm d\u00edt\u011bti transplantoval v\u00a0uplynul\u00e9m roce speci\u00e1ln\u00ed opera\u010dn\u00ed t\u00fdm pod veden\u00edm Ji\u0159\u00edho Fro\u0148ka z\u00a0IKEM a Romana Chmela z\u00a0FN Motol d\u011blohu. Brzy <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28099\" title=\"Transplantaci d\u011blohy v IKEM podstoupilo ji\u017e 6 \u017een\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":28100,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-28099","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\/28099","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=28099"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28099\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/28100"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28099"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28099"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}