{"id":54662,"date":"2025-02-06T06:17:05","date_gmt":"2025-02-06T05:17:05","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=54662"},"modified":"2025-02-06T06:17:06","modified_gmt":"2025-02-06T05:17:06","slug":"pacienti-s-cukrovkou-maji-nadeji-na-uplne-vyleceni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=54662","title":{"rendered":"Pacienti s cukrovkou maj\u00ed nad\u011bji na \u00fapln\u00e9 vyl\u00e9\u010den\u00ed\u00a0\u00a0"},"content":{"rendered":"\n<p>\u010cT 1\u00a0&#8211; Ud\u00e1losti<br \/><br \/>V\u00fdrazn\u00e9 zlep\u0161en\u00ed kvality \u017eivota pro pacienty s cukrovkou prvn\u00edho typu. Z\u00e1va\u017en\u00fdm onemocn\u011bn\u00edm, kter\u00fdm v t\u00e9to zemi trp\u00ed zhruba 60 000 lid\u00ed. Pr\u00e1v\u011b to u\u017e v \u010cesku 20 let nab\u00edz\u00ed transplantace Langerhansov\u00fdch ostr\u016fvk\u016f &#8211; drobn\u00fdch \u00fatvar\u016f v slinivce b\u0159i\u0161n\u00ed zodpov\u011bdn\u00fdch za produkci inzulinu.<br \/><br \/>Ud\u00e1losti, 4. 2. 2005<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>L\u00e9ka\u0159i v pra\u017esk\u00e9\u00a0<strong>nemocnici<\/strong>\u00a0IKEM dnes poprv\u00e9 v \u010cesk\u00e9 republice transplantovali izolovan\u00e9 Langerhansovy ostr\u016fvky.<br \/><br \/>Martin Chalupa, tehdej\u0161\u00ed pacient po transplantaci<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Douf\u00e1m, \u017ee se to povede a \u017ee jako \u010dlov\u011bk nebude pro\u017e\u00edvat takov\u00fd stavy, co to jako ten diabetes p\u0159in\u00e1\u0161\u00ed.<br \/><br \/>redaktor \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Dnes u\u017e transplantace nab\u00edz\u00ed kvalitn\u011bj\u0161\u00ed \u017eivot i lidem, kte\u0159\u00ed sice cukrovku nemaj\u00ed, l\u00e9ka\u0159i jim ale mus\u00ed odstranit slinivku.<br \/><br \/>Jan K\u0159\u00ed\u017e, z\u00e1stupce p\u0159ednosty pro experiment\u00e1ln\u00ed v\u00fdzkum<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>T\u011bmto lidem m\u016f\u017eeme jejich vlastn\u00ed slinivku zpracovat, vyndat z n\u00ed ostr\u016fvky, odstranit tu nemocnou exokrinn\u00ed tk\u00e1\u0148 a jejich vlastn\u00ed ostr\u016fvky jim vr\u00e1tit.<br \/><br \/>redaktor \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tuto transplantaci m\u00e1 za sebou i Anton\u00edn Posp\u00edchal. O slinivku p\u0159i\u0161el p\u0159ed t\u00e9m\u011b\u0159 p\u011bti lety kv\u016fli nezhoubn\u00e9mu n\u00e1doru.<br \/><br \/>Anton\u00edn Posp\u00edchal, pacient<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Dneska jsem bez inzul\u00ednu v podstat\u011b a funguju norm\u00e1ln\u00ed \u017eivot, m\u00e1m samoz\u0159ejm\u011b omezen\u00ed, \u017ee jo, nem\u016f\u017eu si, nem\u016f\u017eu si dovolit \u0159\u00edzek a takov\u00fdhle v\u011bci, jo.<br \/><br \/>redaktor \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Po\u010det transplantac\u00ed Langerhansov\u00fdch ostr\u016fvk\u016f je v jednotk\u00e1ch ro\u010dn\u011b, jen za lo\u0148sk\u00fd rok to bylo sedm transplantac\u00ed od mrtv\u00fdch d\u00e1rc\u016f. Institut klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny ale nepom\u00e1h\u00e1 jen \u010cech\u016fm. Spolupracuje toti\u017e i s\u00a0<strong>nemocnicemi<\/strong>\u00a0v okoln\u00edch st\u00e1tech, konkr\u00e9tn\u011b na Slovensku a v Rakousku.<br \/><br \/>Peter Girman, p\u0159ednosta\u00a0<strong>Kliniky<\/strong>\u00a0diabetologie, IKEM<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>V zahrani\u010d\u00ed jsme provedli te\u010f dv\u011b autonomn\u00ed transplantace v Rakousku a mysl\u00edm, \u017ee dv\u011b na Slovensku v lo\u0148sk\u00e9m roce.<br \/><br \/>redaktor \u010cT<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>I tam tak expertiza \u010desk\u00fdch odborn\u00edk\u016f pom\u00e1h\u00e1, stejn\u011b jako panu Anton\u00ednovi zlep\u0161ovat \u017eivot. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><a>Transplantace Langerhansov\u00fdch ostr\u016fvku&nbsp;<\/a><a>&nbsp;<\/a><\/p>\n\n\n\n<p>NOVA\u00a0&#8211; Televizn\u00ed noviny<br \/><br \/>\u0158ada pacient\u016f s cukrovkou prvn\u00edho typu m\u00e1 nad\u011bji na \u00fapln\u00e9 vyl\u00e9\u010den\u00ed. D\u00edky transplantaci bun\u011bk slinivky b\u0159i\u0161n\u00ed dok\u00e1\u017ee jejich t\u011blo inzulin op\u011bt samo produkovat. Cukrovkou prvn\u00edho typu trp\u00ed zhruba 70 000 \u010cech\u016f. Unik\u00e1tn\u00ed transplantace ale pom\u00e1h\u00e1 i lidem, kte\u0159\u00ed nap\u0159\u00edklad kv\u016fli nemoci slinivku \u00fapln\u011b ztratili.<br \/><br \/>M\u011b\u0159\u00ed jen 0,3 milimetru, a p\u0159esto zachra\u0148uj\u00ed \u017eivoty. P\u0159ed p\u011bti lety podstoupil unik\u00e1tn\u00ed z\u00e1krok i sedmdes\u00e1tilet\u00fd Anton\u00edn. Kv\u016fli n\u00e1doru p\u0159i\u0161el o slinivku a hrozilo, \u017ee skon\u010d\u00ed z\u00e1visl\u00fd na injekc\u00edch inzulinu. D\u00edky transplantaci ale za\u010dalo jeho t\u011blo inzulin samo produkovat.<br \/><br \/>Anton\u00edn Posp\u00edchal, pacient po transplantaci<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Kdybych to nepodstoupil, tak bych tady asi nebyl. V\u0161ecko funguje tak, jak m\u00e1. V podstat\u011b dva roky jsem byl \u00fapln\u011b bez inzulinu.<br \/><br \/>Jan K\u0159\u00ed\u017e, z\u00e1stupce p\u0159ednosty pro experiment\u00e1ln\u00ed v\u00fdzkum, Centrum diabetologie IKEM<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Odstran\u00edme tu nemocnou exokrinn\u00ed tk\u00e1\u0148, \u010dili tu tk\u00e1\u0148, co vyr\u00e1b\u00ed tr\u00e1vic\u00ed \u0161\u0165\u00e1vy, zachr\u00e1n\u00edme ostr\u016fvky a vr\u00e1t\u00edme je pacientovi tak, \u017ee se u n\u011bj v\u011bt\u0161inou v\u016fbec diabetes nemus\u00ed vyvinout.<br \/><br \/>redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Transplantace dok\u00e1\u017ee zhruba ve t\u0159etin\u011b p\u0159\u00edpad\u016f vyl\u00e9\u010dit i rozvinutou cukrovku.<br \/><br \/>Franti\u0161ek Saudek, vedouc\u00ed Laborato\u0159e Langerhansov\u00fdch ostr\u016fvk\u016f IKEM<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Kdy\u017e pacient nedok\u00e1\u017ee b\u00fdt dostate\u010dn\u011b l\u00e9\u010den dostupn\u00fdmi sou\u010dasn\u00fdmi prost\u0159edky, nepozn\u00e1 p\u0159\u00edznaky hypoglykemie m\u016f\u017ee snadno upadnout a\u017e do bezv\u011bdom\u00ed a m\u016f\u017ee b\u00fdt i \u017eivotn\u011b ohro\u017een.<br \/><br \/> redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>B\u011bhem 6\u20138 hodin dlouh\u00e9 operace l\u00e9ka\u0159i vypreparuj\u00ed ze slinivky zhruba 300 000 ostr\u016fvk\u016f, pot\u00e9 je injekc\u00ed aplikuj\u00ed pacientovi do jater, kde za\u010dnou produkovat inzulin. Oproti transplantaci cel\u00e9ho org\u00e1nu je to \u0161etrn\u00fd z\u00e1krok.<br \/><br \/>Petr Girman, p\u0159ednosta\u00a0<strong>Kliniky<\/strong>\u00a0diabetologie IKEM<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Cel\u00fd ten v\u00fdkon trv\u00e1 p\u016fl hodinu a\u017e hodinu. V\u00edc ne. Ten pacient je celou dobu p\u0159i v\u011bdom\u00ed, m\u016f\u017ee s n\u00e1ma komunikovat, je to bezbolestn\u00fd a pacient druh\u00fd den vstane z postele a m\u016f\u017ee chodit.<br \/><br \/>redaktorka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Z\u00e1krok v pra\u017esk\u00e9m IKEMu v posledn\u00edch letech podstupuje 5\u201310 pacient\u016f ro\u010dn\u011b. <\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cT 1\u00a0&#8211; Ud\u00e1losti V\u00fdrazn\u00e9 zlep\u0161en\u00ed kvality \u017eivota pro pacienty s cukrovkou prvn\u00edho typu. Z\u00e1va\u017en\u00fdm onemocn\u011bn\u00edm, kter\u00fdm v t\u00e9to zemi trp\u00ed zhruba 60 000 lid\u00ed. Pr\u00e1v\u011b <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=54662\" title=\"Pacienti s cukrovkou maj\u00ed nad\u011bji na \u00fapln\u00e9 vyl\u00e9\u010den\u00ed\u00a0\u00a0\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":38776,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-54662","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\/54662","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=54662"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/54662\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/38776"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=54662"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=54662"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=54662"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}