{"id":30419,"date":"2018-04-25T08:30:15","date_gmt":"2018-04-25T06:30:15","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30419"},"modified":"2018-04-25T08:30:15","modified_gmt":"2018-04-25T06:30:15","slug":"ukousnuty-prst-na-ruce-nahradili-jinym-z-nohy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30419","title":{"rendered":"Ukousnut\u00fd prst na ruce nahradili jin\u00fdm. Z nohy"},"content":{"rendered":"

Olomouck\u00e1 plastick\u00e1 chirurgie se bl\u00fdskla ojedin\u011bl\u00fdm z\u00e1krokem<\/strong> <\/p>\n

Olomouc \u2013 Bojov\u00fd pes p\u0159ipravil \u010dty\u0159iapades\u00e1tiletou zdravotn\u00ed sestru Hanu Kolou\u0161kovou o prst na prava\u010dce, kdy\u017e byla se svou dcerou a zlat\u00fdm retr\u00edvrem Ronym na obvykl\u00e9 proch\u00e1zce do p\u0159\u00edrody kousek za m\u011bstem.<\/p>\n

P\u0159esto\u017ee utrp\u011bla devastuj\u00edc\u00ed poran\u011bn\u00ed, m\u00e1 velkou \u0161anci naplno se vr\u00e1tit zp\u011bt ke sv\u00e9 profesi sestry.<\/p>\n

D\u00edky specialist\u016fm z Odd\u011blen\u00ed plastick\u00e9 a estetick\u00e9 chirurgie Fakultn\u00ed nemocnice Olomouc (FNOL), jim\u017e se poda\u0159il ojedin\u011bl\u00fd opera\u010dn\u00ed v\u00fdkon, p\u0159i kter\u00e9m provedli akutn\u00ed p\u0159enos prstu z nohy na posti\u017een\u00e9 m\u00edsto. Operovan\u00e1 ruka je nejen funk\u010dn\u00ed, ale do p\u0159enesen\u00e9ho prstu by se dokonce mohl brzy vr\u00e1tit cit.<\/p>\n

O kus prstu Hana Kolou\u0161kov\u00e1 p\u0159i\u0161la, kdy\u017e br\u00e1nila sv\u00e9ho psa. „Zni\u010dehonic se objevil ciz\u00ed pitbul a za\u00fato\u010dil na na\u0161eho psa. Jeho majitel nebyl nikde v dohledu. Nezav\u00e1hala jsem ani na vte\u0159inu, vrhla jsem se Ronymu na pomoc, za\u010dala k\u0159i\u010det a sna\u017eila jsem se pitbula odt\u00e1hnout pry\u010d. Vtom se oto\u010dil a vystartoval mi po prav\u00e9 ruce. Sly\u0161ela jsem k\u0159upnut\u00ed a uc\u00edtila stra\u0161nou bolest. V tu chv\u00edli jsem v\u011bd\u011bla, \u017ee m\u00e1m prst pry\u010d,“ popisovala state\u010dn\u00e1 ps\u00ed chovatelka.<\/p>\n

DV\u011a MO\u017dNOSTI<\/p>\n

P\u0159ivolan\u00e1 sanitka zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby dopravila zran\u011bnou \u017eenu na urgentn\u00ed p\u0159\u00edjem FN Olomouc, kde se hned dostala do p\u00e9\u010de plastick\u00fdch chirurg\u016f. Ti dali pacientce vybrat ze dvou mo\u017enost\u00ed. „Kdybych se sm\u00ed\u0159ila s pah\u00fdlem prstu, ze kter\u00e9ho mi z\u016fstal z\u00e1kladn\u00ed \u010dl\u00e1nek, kloub a kousek st\u0159edn\u00edho \u010dl\u00e1nku, do t\u00fddne bych mohla b\u00fdt zp\u00e1tky v pr\u00e1ci. Druhou mo\u017enost\u00ed byl akutn\u00ed p\u0159enos prstu z nohy na ruku, p\u0159i\u010dem\u017e dop\u0159edu nen\u00ed nikdy jist\u00e9, jestli se p\u0159i\u0161it\u00fd prst spr\u00e1vn\u011b uchyt\u00ed a jestli bude funk\u010dn\u00ed,“ vzpom\u00ednala na chv\u00edli z\u00e1sadn\u00edho rozhodnut\u00ed.<\/p>\n

Je prava\u010dka a v\u011bd\u011bla, \u017ee prst pot\u0159ebuje. V pr\u00e1ci se bez n\u011bj neobejde, nap\u0159\u00edklad kdy\u017e mus\u00ed pacientovi zav\u00e9st kanylu nebo p\u00edchnout injekci.<\/p>\n

„Rozhodla jsem se pro slo\u017eit\u011bj\u0161\u00ed operaci. Vid\u011bla jsem mnohokr\u00e1t, \u017ee na\u0161i plasti\u010dt\u00ed chirurgov\u00e9 odv\u00e1d\u011bj\u00ed \u0161pi\u010dkovou pr\u00e1ci. V\u011b\u0159ila jsem jim,“ dodala Hana Kolou\u0161kov\u00e1, kter\u00e1 je v sou\u010dasn\u00e9 dob\u011b vrchn\u00ed sestrou Odd\u011blen\u00ed intenzivn\u00ed p\u00e9\u010de chirurgick\u00fdch obor\u016f FN Olomouc.<\/p>\n

L\u00e9ka\u0159i z odd\u011blen\u00ed plastick\u00e9 a estetick\u00e9 chirurgie maj\u00ed na kont\u011b n\u011bkolik vysoce specializovan\u00fdch mikrochirurgick\u00fdch operac\u00ed, p\u0159i nich\u017e provedli p\u0159enos prstu nebo kloubu z nohy na ruku. Nikdy ale ne\u0161lo o akutn\u00ed p\u0159enos prstu. „Ten jsme d\u011blali \u00fapln\u011b poprv\u00e9. V \u010desk\u00e9m i celosv\u011btov\u00e9m m\u011b\u0159\u00edtku jsou to v\u00fdkony naprosto ojedin\u011bl\u00e9. Smyslem t\u00e9to \u0161pi\u010dkov\u00e9 operace nen\u00ed jen estetick\u00e9 hledisko, ale p\u0159edev\u0161\u00edm maxim\u00e1ln\u00ed zachov\u00e1n\u00ed funkce poran\u011bn\u00e9 ruky,“ vysv\u011btloval prim\u00e1\u0159 Bohumil Z\u00e1le\u0161\u00e1k.<\/p>\n

VYSOK\u00c9 RIZIKO<\/p>\n

Akutn\u00ed p\u0159enos prstu podstoupila pacientka \u010dty\u0159i dny po zran\u011bn\u00ed, kdy u\u017e bylo jist\u00e9, \u017ee se v r\u00e1n\u011b nerozv\u00edj\u00ed infekce v souvislosti s ps\u00edm kousnut\u00edm. „Po zran\u011bn\u00ed byl zachovan\u00fd horn\u00ed kloub prstu, vlastn\u011b ten nejd\u016fle\u017eit\u011bj\u0161\u00ed, ale byl obna\u017een\u00fd. Pokud bychom nep\u0159istoupili k akutn\u00edmu p\u0159enosu, jak\u00e9koli jin\u00e9 \u0159e\u0161en\u00ed a \u010dek\u00e1n\u00ed by vedlo k ztuhnut\u00ed kloubu a velmi \u0161patn\u00e9mu v\u00fdsledku pozd\u011bj\u0161\u00edho p\u0159enosu. Proto jsme se po domluv\u011b s pacientkou dohodli na akutn\u00edm v\u00fdkonu i s v\u011bdom\u00edm, \u017ee hroz\u00ed vysok\u00e9 riziko komplikac\u00ed,“ popisuje prim\u00e1\u0159 olomouck\u00e9 plastick\u00e9 chirurgie.<\/p>\n

NA S\u00c1LE 11 HODIN<\/p>\n

Se sedmi\u010dlenn\u00fdm t\u00fdmem pracoval na s\u00e1le jeden\u00e1ct hodin. „Museli jsme nejprve p\u0159ipravit c\u00e9vy na poran\u011bn\u00e9m prost\u0159edn\u00ed\u010dku, pot\u00e9 jsme odebrali p\u0159en\u00e1\u0161en\u00fd prst, a zat\u00edmco jsme pracovali d\u00e1l na ruce, druh\u00fd t\u00fdm uzav\u0159el r\u00e1nu na noze. Pro p\u0159enos je vhodn\u011bj\u0161\u00ed druh\u00fd prst nohy, m\u00e1 del\u0161\u00ed a siln\u011bj\u0161\u00ed c\u00e9vy, kter\u00e9 se l\u00e9pe \u0161ij\u00ed. My jsme ale v tomto p\u0159\u00edpad\u011b museli p\u0159en\u00e9st prost\u0159edn\u00ed\u010dek z prav\u00e9 nohy, kter\u00fd anatomicky l\u00e9pe odpov\u00eddal chyb\u011bj\u00edc\u00ed \u010d\u00e1sti prstu na ruce,“ popisoval unik\u00e1tn\u00ed z\u00e1krok. L\u00e9ka\u0159i odebrali prst na noze tak, aby zachovali vazby mezi hlavi\u010dkami z\u00e1prstn\u00edch kost\u00ed a z\u00e1rove\u0148 nezas\u00e1hli do p\u0159\u00ed\u010dn\u00e9 klenby nohy. „Na ch\u016fzi tak v\u00fdkon nebude m\u00edt \u017e\u00e1dn\u00fd negativn\u00ed vliv,“ ujistil Bohumil Z\u00e1le\u0161\u00e1k.<\/p>\n

V\u00edce o ojedin\u011bl\u00e9m z\u00e1kroku na webu Den\u00edku<\/p>\n

25.04.2018
\nDANIELA TAUBEROV\u00c1
\nOlomouck\u00fd den\u00edk
\nhttp:\/\/www.olomoucky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Olomouck\u00e1 plastick\u00e1 chirurgie se bl\u00fdskla ojedin\u011bl\u00fdm z\u00e1krokem<\/p>\n<\/div>","protected":false},"author":1,"featured_media":29680,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30419","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\/30419","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=30419"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30419\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29680"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}