{"id":50859,"date":"2024-07-29T08:51:04","date_gmt":"2024-07-29T06:51:04","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=50859"},"modified":"2024-07-29T08:51:15","modified_gmt":"2024-07-29T06:51:15","slug":"svet-se-zachranit-neda-deti-ano","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=50859","title":{"rendered":"Sv\u011bt se zachr\u00e1nit ned\u00e1, d\u011bti ano\u00a0\u00a0"},"content":{"rendered":"\n<p>\u010cT 24<\/p>\n\n\n\n<p><br \/>Afrika a d\u011bti si ho natolik podmanily, \u017ee jim p\u0159izp\u016fsobil sv\u016fj \u017eivot. Opustil fakultn\u00ed nemocnici, stal se z n\u011bj obvodn\u00ed l\u00e9ka\u0159 ve vsi na ji\u017en\u00ed Morav\u011b a pravideln\u011b si ud\u011bl\u00e1 \u010das, vezme si dovolenou a jede do kliniky v Ugand\u011b, kde l\u00e9\u010d\u00ed d\u011bti. Zden\u011bk R\u00e1\u010dil je m\u00fdm posledn\u00edm hostem. Pane profesore, v\u00edtejte, dobr\u00fd ve\u010der.<br \/><br \/>Vy jste \u0159ekl iDNESu: &#8222;Do Afriky nem\u016f\u017eete jet zachra\u0148ovat sv\u011bt,&#8220; tak pro\u010d tam jezd\u00edte?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>No, proto\u017ee je tam pr\u00e1ce, kter\u00e1 n\u00e1s tuze bav\u00ed a kter\u00e1 d\u00e1v\u00e1 smysl a je u\u017eite\u010dn\u00e1.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Kdy jste byl naposledy v Ugand\u011b?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Je to dva m\u011bs\u00edce zp\u00e1tky.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A pojedete tam zase kdy?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Za m\u011bs\u00edc a p\u016fl.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jako jedin\u00ed v Ugand\u011b d\u011bl\u00e1te pravideln\u00e1 vy\u0161et\u0159en\u00ed pr\u016ftoku krve mozkov\u00fdmi tepnami, co\u017e dok\u00e1\u017ee p\u0159esn\u011b odhalit d\u011bti, kter\u00e9 jsou v riziku rozvoje mozkov\u00e9 mrtvice. J\u00e1 se teda p\u0159izn\u00e1m, \u017ee jsem a\u017e do t\u00e9hle chv\u00edle nic nesly\u0161ela o srpkovit\u00e9 an\u00e9mii. Jak vz\u00e1cn\u00e9 je to onemocn\u011bn\u00ed a kdo j\u00edm trp\u00ed?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>To je onemocn\u011bn\u00ed, kter\u00e9 je vz\u00e1cn\u00e9 zde ve st\u0159edn\u00ed Evrop\u011b, ale nen\u00ed to v\u016fbec vz\u00e1cn\u00e9 onemocn\u011bn\u00ed v subsaharsk\u00e9 Africe. V Ugand\u011b se ro\u010dn\u011b narod\u00ed 25 000 d\u011bt\u00ed s t\u00edmto onemocn\u011bn\u00edm, ale bohu\u017eel 50\u201380 % z nich um\u0159e do p\u00e1t\u00e9ho roku v\u011bku na komplikace, a to pr\u00e1v\u011b proto, \u017ee tam chyb\u00ed n\u011bjak\u00e1 systematick\u00e1 p\u00e9\u010de. Tak\u017ee j\u00e1, kdy\u017e jsem poprv\u00e9 p\u0159ijel do Ugandy, tak p\u0159esto\u017ee jsem hematolog, tak jsem vlastn\u011b poprv\u00e9 v \u017eivot\u011b vid\u011bl srpkovitou an\u00e9mii, ale v\u011bd\u011bl jsem, \u017ee to je onemocn\u011bn\u00ed, kter\u00e9 je chronick\u00e9, genetick\u00e9 a pot\u0159ebuje ka\u017edodenn\u00ed nebo ka\u017edom\u011bs\u00ed\u010dn\u00ed p\u00e9\u010di tak, jak jin\u00e9 chronick\u00e9 onemocn\u011bn\u00ed, a to \u00fapln\u011b v subsaharsk\u00e9 Africe chyb\u00ed. Tam se \u0159e\u0161\u00ed pouze akutn\u00ed komplikace, ale ta prevence t\u011bch komplikac\u00ed tam naprosto chyb\u00ed.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Vy, kdy\u017e jste se vr\u00e1til loni na podzim, tak jsem se do\u010detla, \u017ee jste \u0159\u00edkal, \u017ee jste musel vy\u0161et\u0159it 240 nemocn\u00fdch, to je hodn\u011b.<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Je to hodn\u011b. My m\u00e1me v programu t\u00e9m\u011b\u0159 450 d\u011bt\u00ed, co\u017e je obrovsk\u00e9 \u010d\u00edslo na evropsk\u00e9 pom\u011bry. Jedna z nejv\u011bt\u0161\u00edch klinik d\u011btsk\u00fdch v Evrop\u011b na srpkovitou an\u00e9mii v Lond\u00fdn\u011b m\u00e1 p\u0159ibli\u017en\u011b 300 d\u011bt\u00ed, tak\u017ee u\u017e te\u010f jsme velk\u00e1 klinika, ale to vy\u0161et\u0159en\u00ed je pot\u0159eba u ka\u017ed\u00e9ho d\u00edt\u011bte minim\u00e1ln\u011b jednou za rok, tak\u017ee v\u017edycky, kdy\u017e p\u0159ijedem, tak z\u00e1le\u017e\u00ed, kolik se nakumuluje d\u011bt\u00ed, ale t\u011bch 200, 250 vy\u0161et\u0159en\u00ed mus\u00edme ud\u011blat.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A je pravda, \u017ee rodiny tam t\u0159eba maj\u00ed i v\u00edce d\u011bt\u00ed s t\u00edmto onemocn\u011bn\u00edm?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Je to tak. Pr\u016fm\u011brn\u00e1 \u017eena v Ugand\u011b m\u00e1 v sou\u010dasn\u00e9 dob\u011b p\u0159ibli\u017en\u011b \u0161est d\u011bt\u00ed, a sice statistika \u0159\u00edk\u00e1, \u017ee pouze 1\/4 z nich jsou d\u011bti, kte\u0159\u00ed budou m\u00edt srpkovit\u00e9 onemocn\u011bn\u00ed, srpkovitou an\u00e9mii, kdy\u017e se potkaj\u00ed dva nosi\u010di tohoto onemocn\u011bn\u00ed, ale to neplat\u00ed na mal\u00fdch \u010d\u00edslech. Na t\u011bch mal\u00fdch \u010d\u00edslech bohu\u017eel je \u010dasto rodina, \u017eena sama, \u0161est d\u011bt\u00ed, z toho dv\u011b srpkovit\u00e1 an\u00e9mie, jedno u\u017e v\u011bt\u0161inou um\u0159elo na srpkovitou an\u00e9mi\u00ed, jedno zdrav\u00e9, jeden nosi\u010d.<br \/><br \/> moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jste to vy, kdo ut\u011b\u0161uje m\u00e1my ugandsk\u00fdch d\u011bt\u00ed?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>J\u00e1 mysl\u00edm, \u017ee je to cel\u00fd n\u00e1\u0161 t\u00fdm. V t\u00fdmu m\u00e1me psycholo\u017eku, bez kter\u00e9 by to ne\u0161lo a je to n\u00e1\u0161 ugandsk\u00fd t\u00fdm, kter\u00fd je skv\u011bl\u00fd a kter\u00fd je jako vzd\u011blan\u00fd a m\u00e1 asi je\u0161t\u011b bli\u017e\u0161\u00ed vztah k t\u011bm pacient\u016fm, k t\u011bm rodin\u00e1m. Rozum\u00ed jim v\u00edc ne\u017e t\u0159eba my z toho evropsk\u00e9ho pohledu.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Vy jste taky v minulosti \u0159ekl, \u017ee jste schopni poskytnout p\u00e9\u010di jen pro takov\u00fd po\u010det d\u011bt\u00ed, na kter\u00fd m\u00e1te od d\u00e1rc\u016f zaji\u0161t\u011bn\u00e9 financov\u00e1n\u00ed. Je to moc frustruj\u00edc\u00ed?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Je to stra\u0161n\u011b frustruj\u00edc\u00ed, to je takovej m\u016fj boj jako l\u00e9ka\u0159e s tou na\u0161\u00ed ekonomickou \u010d\u00e1st\u00ed na\u0161\u00ed neziskov\u00e9 organizace. Ta p\u00e9\u010de mus\u00ed b\u00fdt dlouhodob\u00e1 a chronick\u00e1. To nen\u00ed tak, \u017ee jenom n\u011bco odoperujete a ten p\u0159\u00edpad je uzav\u0159en. To znamen\u00e1, \u017ee mus\u00edme pl\u00e1novat, mus\u00edme m\u00edt pro ka\u017ed\u00e9 d\u00edt\u011b vlastn\u011b finance a\u017e do dosp\u011blosti, ne\u017e si je samo schopno si vyd\u011bl\u00e1vat, a proto v \u010cech\u00e1ch pot\u0159ebujeme pro ka\u017ed\u00e9 d\u00edt\u011b, kter\u00e9 l\u00e9\u010d\u00edme, nebo kter\u00e9 chceme za\u0159adit do programu \u010desk\u00e9ho d\u00e1rce, a to je tak\u00e9 n\u00e1\u0161 limit. V sou\u010dasn\u00e9 dob\u011b my m\u00e1me na \u010dekac\u00ed listin\u011b v\u00edc ne\u017e 150 d\u011bt\u00ed, tak\u017ee jsme u\u017e i \u010dekac\u00ed listinu zav\u0159eli, proto\u017ee prost\u011b pot\u0159ebujeme pro ka\u017ed\u00e9 d\u00edt\u011b d\u00e1rce.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Vy te\u010f p\u016fsob\u00edte na jihu u Viktoriina jezera, ale p\u0159esouv\u00e1te se na sever, tam budujete kliniku. Jak to jde?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak teprve za\u010d\u00edn\u00e1me. My jsme tam byli pozv\u00e1ni. Ten sever Ugandy je je\u0161t\u011b chud\u0161\u00ed ne\u017e jih Ugandy a je t\u011b\u017ece posti\u017een srpkovitou an\u00e9mi\u00ed a chyb\u00ed tam nejen p\u00e9\u010de o pacienty se srpkovitou an\u00e9mi\u00ed, ale je tam jako daleko hor\u0161\u00ed i obecn\u00e1 zdravotn\u00ed p\u00e9\u010de, tak\u017ee na\u0161e d\u011bti nebo d\u011bti se srpkovitou an\u00e9mi\u00ed tam mus\u00ed 20\u201340 km j\u00edt s n\u00edzk\u00fdm mno\u017estv\u00edm \u010derven\u00e9ho barviva, ne\u017e se dostanou k n\u011bjak\u00e9 z\u00e1kladn\u00ed p\u00e9\u010di. A to, kdy\u017e jsme vid\u011bli, tak jsme se rozhodli, \u017ee vybudujeme kliniku SSUUBO 2, kterou pr\u00e1v\u011b za\u010d\u00edn\u00e1me stav\u011bt.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A pen\u00edze jsou asi alfa a omega toho v\u0161eho?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Pen\u00edze jsou alfa a omega, to je p\u0159esn\u011b tak. A proto m\u00e1me novou v\u00fdzvu, kterou jsme nazvali Postavte s n\u00e1mi kliniku v Ugand\u011b s c\u00edlem vlastn\u011b vybrat a pomoct postavit tuto kliniku za pomoci \u010desk\u00fdch d\u00e1rc\u016f.<br \/><br \/> moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Poznal jste Ugandu i jako turista? Jak\u00e1 je?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Uganda je stra\u0161n\u011b pestr\u00e1, samoz\u0159ejm\u011b do Ugandy jezd\u00edme pracovat, jezd\u00edme tam dobrovoln\u011b pracovat, ale kdy\u017e jsme tam del\u0161\u00ed dobu, t\u00fddny, m\u011bs\u00edce, tak n\u011bkter\u00fd prodlou\u017een\u00fd v\u00edkend cestujeme. A samoz\u0159ejm\u011b, \u017ee Ugandu zn\u00e1me velmi dob\u0159e. To jsem n\u011bkde, u\u017e nyn\u00ed v\u00edtaj\u00ed welcome home, v\u00edtejte doma. Je kr\u00e1sn\u00e1, je stra\u0161n\u011b pestr\u00e1, jsou kr\u00e1sn\u00e9 hory, kr\u00e1sn\u00e9 kmeny, kter\u00e9 \u017eij\u00ed je\u0161t\u011b tradi\u010dn\u00edm, tradi\u010dn\u00edm zp\u016fsobem. Doporu\u010duji.<br \/><\/p>\n\n\n\n<p>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A jak zm\u011bnila v\u00e1\u0161 pohled na medic\u00ednu?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Zm\u011bnila hrozn\u011b, proto\u017ee vlastn\u011b d\u00edky Ugand\u011b jsem tak tro\u0161ku, vlastn\u011b hodn\u011b, p\u0159estal d\u011blat vrcholovou medic\u00ednu a stal se ze m\u011b vlastn\u011b prakticky l\u00e9ka\u0159 na vsi, proto\u017ee ta medic\u00edna vesnick\u00e1, praktick\u00e9 l\u00e9ka\u0159stv\u00ed na vesnici je do zna\u010dn\u00e9 m\u00edry podobn\u00e1 tomu, co vlastn\u011b d\u011bl\u00e1te, kdy\u017e jste v Ugand\u011b uprost\u0159ed vlastn\u011b p\u0159\u00edrody a minim\u00e1ln\u00edm mno\u017estv\u00ed p\u0159\u00edstrojov\u00e9ho vybaven\u00ed a mus\u00edte si n\u011bjak poradit, tak\u017ee se vlastn\u011b vrac\u00edte k t\u00fd z\u00e1kladn\u00ed medic\u00edn\u011b, co\u017e je kr\u00e1sn\u00e9 a na t\u00e9 vesnici zde v \u010cech\u00e1ch je to \u010dasto podobn\u00e9.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Kdy\u017e jste \u0159\u00edkal, \u017ee jedete za n\u011bjak\u00fd m\u011bs\u00edc, m\u011bs\u00edc a p\u016fl do Ugandy znovu, jak\u00e1 pr\u00e1ce v\u00e1s tam \u010dek\u00e1?<br \/><br \/>Zden\u011bk R\u00e1\u010dil, l\u00e9ka\u0159, \u010dlen spr\u00e1vn\u00ed rady nada\u010dn\u00edho fondu SSUUBO<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Je to vlastn\u011b pr\u00e1ce tro\u0161ku podobn\u00e1, to znamen\u00e1 op\u011bt transkani\u00e1ln\u00ed, doplerovsk\u00e9 monitorov\u00e1n\u00ed s na\u0161\u00edm kolegou l\u00e9ka\u0159em, kter\u00e9ho jsme si vychovali, projit\u00ed v\u0161ech komplikovan\u00fdch pacient\u016f a nov\u011b s n\u00e1mi tentokr\u00e1t pojede kardiolo\u017eka, tak\u017ee m\u00e1me nov\u00e9ho \u010dlena t\u00fdmu, kter\u00fd n\u00e1m bude pom\u00e1hat s vy\u0161et\u0159ov\u00e1n\u00edm srdc\u00ed na\u0161ich d\u011bt\u00ed, proto\u017ee d\u011bti ze srpkovitou an\u00e9mi\u00ed maj\u00ed i&nbsp;<strong>posti\u017een\u00ed<\/strong>&nbsp;srdce.<br \/><br \/>moder\u00e1torka \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak a\u0165 se v\u00e1m da\u0159\u00ed, pane profesore, a d\u011bkuju, \u017ee jste p\u0159i\u0161el do Ud\u00e1lost\u00ed, koment\u00e1\u0159\u016f.<br \/><br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cT 24 Afrika a d\u011bti si ho natolik podmanily, \u017ee jim p\u0159izp\u016fsobil sv\u016fj \u017eivot. Opustil fakultn\u00ed nemocnici, stal se z n\u011bj obvodn\u00ed l\u00e9ka\u0159 ve vsi <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=50859\" title=\"Sv\u011bt se zachr\u00e1nit ned\u00e1, d\u011bti ano\u00a0\u00a0\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":22547,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-50859","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/50859","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=50859"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/50859\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/22547"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}