{"id":29770,"date":"2017-12-10T18:12:47","date_gmt":"2017-12-10T17:12:47","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29770"},"modified":"2017-12-10T18:12:47","modified_gmt":"2017-12-10T17:12:47","slug":"nova-nadeje-na-zivot-bez-umele-vyzivy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29770","title":{"rendered":"NOV\u00c1 NAD\u011aJE NA \u017dIVOT BEZ UM\u011aL\u00c9 V\u00dd\u017dIVY"},"content":{"rendered":"

Institut klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny m\u00e1 nad\u011bji pro nemocn\u00e9 na um\u011bl\u00e9 v\u00fd\u017eiv\u011b. Nov\u00e9 l\u00e9ky by je mohly dostat od hadi\u010dek zp\u011bt k b\u011b\u017en\u00e9 strav\u011b a to za p\u0159ibli\u017en\u011b 12 m\u011bs\u00edc\u016f. Nov\u00fd medikament u\u017e dostal prvn\u00ed \u010cech a po m\u011bs\u00edci se dostavily pozitivn\u00ed v\u00fdsledky. Pacient je bez um\u011bl\u00e9 v\u00fd\u017eivy a p\u0159ib\u00edr\u00e1 na v\u00e1ze.<\/strong><\/p>\n

P\u0159ed \u010dty\u0159mi lety se tehdy osmn\u00e1ctilet\u00e9mu Jakubovi zcela zm\u011bnil \u017eivot. Jeho st\u0159eva p\u0159estala fungovat. Na vin\u011b byla nejen jeho diagn\u00f3za, ale i opakovan\u00e9 operace. Od d\u011btstv\u00ed toti\u017e trp\u011bl na nepr\u016fchodnost st\u0159ev. B\u011bhem mnoha v\u00fdkon\u016f mu museli chirurgov\u00e9 mimo jin\u00e9 zkr\u00e1tit tenk\u00e9 i tlust\u00e9 st\u0159evo a mnohokr\u00e1t tak\u00e9 podstoupil operaci kv\u016fli sr\u016fst\u016fm v b\u0159i\u0161e. Od t\u00e9 doby za\u010dal b\u00fdt odk\u00e1zan\u00fd na ka\u017edodenn\u00ed pod\u00e1v\u00e1n\u00ed um\u011bl\u00e9 v\u00fd\u017eivy. By\u0165 byl v pohodl\u00ed domova, nemohl \u017e\u00edt \u00fapln\u011b norm\u00e1ln\u00ed \u017eivot. \u201eV \u010cesk\u00e9 republice je v dne\u0161n\u00ed dob\u011b p\u0159ibli\u017en\u011b 300 pacient\u016f, kte\u0159\u00ed nemaj\u00ed dostate\u010dn\u011b dlouh\u00e9 nebo funk\u010dn\u00ed st\u0159evo a jsou z\u00e1visl\u00ed na ka\u017edodenn\u00edm pod\u00e1v\u00e1n\u00ed um\u011bl\u00e9 v\u00fd\u017eivy. Pro pacienty to nen\u00ed rozhodn\u011b nic p\u0159\u00edjemn\u00e9ho, proto\u017ee mus\u00ed 24 hodin denn\u011b p\u0159ij\u00edmat potravu pomoc\u00ed hadi\u010dek, na kter\u00e9 jsou napojeny v\u00fd\u017eivov\u00e9 infuzn\u00ed vaky. Ty obsahuj\u00ed v\u0161echny podstatn\u00e9 \u017eiviny, v\u010detn\u011b cukr\u016f, tuk\u016f, b\u00edlkovin a vitam\u00edn\u016f, bez kter\u00fdch by \u017eivot nebyl mo\u017en\u00fd,\u201c vysv\u011btluje z\u00e1stupce p\u0159ednosty Kliniky diabetologie Centra diabetologie IKEM MUDr. Peter Girman, Ph.D.<\/p>\n

Parenter\u00e1ln\u00ed, neboli um\u011bl\u00e1 v\u00fd\u017eiva umo\u017e\u0148uje pacientovi opustit nemocnici, \u017e\u00edt ve vlastn\u00edm prost\u0159ed\u00ed, p\u0159esto m\u00e1 mnoho omezen\u00ed. V t\u011bchto dnech ale Jakubovi a i dal\u0161\u00edm podobn\u00fdm pacient\u016fm svitla nad\u011bje na \u00fapln\u00e9 vyl\u00e9\u010den\u00ed \u2013 d\u00edky nov\u00e9mu l\u00e9ku se m\u016f\u017ee um\u011bl\u00e9 v\u00fd\u017eivy zbavit a vr\u00e1tit se naplno do b\u011b\u017en\u00e9ho \u017eivota.<\/p>\n

Institut klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny zkou\u0161\u00ed jako prvn\u00ed zdravotnick\u00e9 za\u0159\u00edzen\u00ed v \u010cesk\u00e9 republice u novou l\u00e9\u010dbu. Nov\u00fd l\u00e9k obsahuje \u00fa\u010dinnou l\u00e1tku teduglutid. A prvn\u00ed z\u00e1v\u011bry dosud publikovan\u00fdch zahrani\u010dn\u00edch studi\u00ed hovo\u0159\u00ed zcela jasn\u011b \u2013 v\u00fdsledky nov\u00e9 l\u00e9\u010dby jsou velmi nad\u011bjn\u00e9 po v\u0161ech str\u00e1nk\u00e1ch. Velk\u00e9 zlep\u0161en\u00ed zdravotn\u00ed stavu je p\u0159edev\u0161\u00edm u pacient\u016f, u kter\u00fdch je ur\u010dit\u00e1 d\u00e9lka st\u0159eva zachov\u00e1na a dom\u00e1c\u00ed v\u00fd\u017eiva nen\u00ed aplikov\u00e1na ka\u017ed\u00fd den. Velk\u00fdm p\u0159\u00ednosem teduglutidu je tak\u00e9 fakt, \u017ee dojde-li ke zlep\u0161en\u00ed funkce st\u0159eva, pacient nemus\u00ed dosp\u011bt do st\u00e1dia v\u00fdrazn\u00fdch komplikac\u00ed, kter\u00e9 by mohly skon\u010dit transplantac\u00ed st\u0159eva a jater. \u201eFinan\u010dn\u00ed n\u00e1klady na dom\u00e1c\u00ed parenter\u00e1ln\u00ed v\u00fd\u017eivu jsou pom\u011brn\u011b vysok\u00e9 a pro pacienta je tento typ l\u00e9\u010dby tak\u00e9 n\u00e1ro\u010dn\u00fd, a to nejen po fyzick\u00e9, ale tak\u00e9 po psychick\u00e9 str\u00e1nce. Velmi m\u011b t\u011b\u0161\u00ed, \u017ee se t\u00fdmu odborn\u00edk\u016f z na\u0161eho Institutu poda\u0159ilo nal\u00e9zt \u0159e\u0161en\u00ed a uv\u00e9st v \u017eivot ojedin\u011blou l\u00e9\u010dbu pomoc\u00ed nov\u00e9ho l\u00e9ku. V\u011b\u0159\u00edm, \u017ee se z t\u00e9to prozat\u00edm experiment\u00e1ln\u00ed l\u00e9\u010dby stane v budoucnu b\u011b\u017en\u011b dostupn\u00e1 metoda pro v\u0161echny pacienty a Centrum diabetologie IKEM pom\u016f\u017ee ne jednomu, ale hned des\u00edtk\u00e1m pacient\u016f,\u201c \u0159\u00edk\u00e1 p\u0159ednostka Centra diabetologie IKEM prof. MUDr. Terezie Pelik\u00e1nov\u00e1, DrSc.<\/p>\n

Pozitivn\u00ed v\u00fdsledky se dostavily u\u017e po m\u011bs\u00edci i u Jakuba. Je bez um\u011bl\u00e9 v\u00fd\u017eivy a p\u0159ib\u00edr\u00e1 na v\u00e1ze. \u201ePrvn\u00ed d\u00e1vku l\u00e9k\u016f dostal pacient u\u017e na za\u010d\u00e1tku z\u00e1\u0159\u00ed a ji\u017e m\u011bs\u00edc je bez pot\u0159eby parenter\u00e1ln\u00ed v\u00fd\u017eivy a m\u00e1 p\u0159ibli\u017en\u011b 4 kg p\u0159\u00edr\u016fstek na v\u00e1ze. Je to naprosto skv\u011bl\u00fd pokrok a v\u00fdsledek, kter\u00fd naprosto p\u0159ed\u010dil na\u0161e o\u010dek\u00e1v\u00e1n\u00ed. P\u0159edpokl\u00e1d\u00e1me, \u017ee po ro\u010dn\u00ed l\u00e9\u010db\u011b by se mohla funkce st\u0159eva zregenerovat natolik, \u017ee by pacient byl schopen vst\u0159eb\u00e1vat \u017eiviny jen z norm\u00e1ln\u00ed potravy. D\u00edky zlep\u0161en\u00ed funkce kr\u00e1tk\u00e9ho st\u0159eva m\u016f\u017ee b\u00fdt efekt l\u00e9\u010dby u ur\u010dit\u00e9 skupiny nemocn\u00fdch spojen pr\u00e1v\u011b s ukon\u010den\u00edm dom\u00e1c\u00ed parenter\u00e1ln\u00ed v\u00fd\u017eivy, co\u017e je z hlediska kvality \u017eivota naprosto z\u00e1sadn\u00edm faktorem. A v dlouhodob\u00e9m horizontu m\u016f\u017eeme hovo\u0159it i o nemal\u00e9 finan\u010dn\u00ed \u00faspo\u0159e,\u201c \u0159\u00edk\u00e1 MUDr. Petr Wohl, Ph.D., vedouc\u00ed centra dom\u00e1c\u00ed parenter\u00e1ln\u00ed v\u00fd\u017eivy Kliniky diabetologie CD IKEM. <\/p>\n","protected":false},"excerpt":{"rendered":"

Institut klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny m\u00e1 nad\u011bji pro nemocn\u00e9 na um\u011bl\u00e9 v\u00fd\u017eiv\u011b. Nov\u00e9 l\u00e9ky by je mohly dostat od hadi\u010dek zp\u011bt k b\u011b\u017en\u00e9 strav\u011b a […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":19368,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-29770","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\/29770","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=29770"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29770\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19368"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}