{"id":56796,"date":"2025-04-28T15:09:25","date_gmt":"2025-04-28T13:09:25","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=56796"},"modified":"2025-04-28T15:09:35","modified_gmt":"2025-04-28T13:09:35","slug":"cesky-program-transplantace-plic-je-na-spici-evropy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=56796","title":{"rendered":"\u010cesk\u00fd program transplantace plic je na \u0161pici Evropy"},"content":{"rendered":"\n

Praha, 28. 4. 2025 \u2013 Jen za prvn\u00ed \u010dtvrtlet\u00ed leto\u0161n\u00edho roku dali hrudn\u00ed chirurgov\u00e9 Fakultn\u00ed nemocnice (FN) Motol nov\u00e9 pl\u00edce 25 lidem. To je v\u00edce ne\u017e t\u0159etina celkov\u00e9ho po\u010dtu transplantac\u00ed za lo\u0148sk\u00fd rok, kdy jich bylo 72.N\u011bkolikahodinovou operaci, p\u0159i kter\u00e9 chirurgov\u00e9 odstran\u00ed z t\u011bla pacienta nemocn\u00e9 pl\u00edce a voperuj\u00ed mu nov\u00fd org\u00e1n, v \u010cesku poprv\u00e9 provedli ji\u017e p\u0159ed 28 lety. Od t\u00e9 doby se v\u00fdrazn\u011b zkr\u00e1tila doba n\u00e1sledn\u00e9ho pobytu pacient\u016f v nemocnici, \u010das jejich zotaven\u00ed a zlep\u0161ily se v\u00fdsledky operac\u00ed. <\/strong><\/p>\n\n\n\n

O aktu\u00e1ln\u00edm stavu transplantac\u00ed plic v \u010cesk\u00e9 republice hovo\u0159ili p\u0159ed n\u011bkolika dny specialist\u00e9 na XXIX. hradeck\u00fdch pneumologick\u00fdch dnech.<\/strong><\/p>\n\n\n\n

<\/a> \u201eFakultn\u00ed nemocnice Motol je v sou\u010dasnosti jedin\u00e9 pracovi\u0161t\u011b v \u010cesk\u00e9 republice, kter\u00e9 prov\u00e1d\u00ed transplantace plic. To n\u00e1m umo\u017e\u0148uje z\u00edskat maximum zku\u0161enost\u00ed a p\u0159etavit je v co nejlep\u0161\u00ed v\u00fdsledky. Za 28 let, kdy program funguje, jsme zajistili v\u00edce ne\u017e 700 transplantac\u00ed. Letos jsme vym\u011bnili pl\u00edce u\u017e 25 pacient\u016fm. Pokud by trend prvn\u00edho \u010dtvrtlet\u00ed pokra\u010doval i ve zbytku roku, p\u0159ibl\u00ed\u017e\u00edme se letos 100 transplantac\u00edm,\u201c<\/em> vysv\u011btluje p\u0159ednosta III. chirurgick\u00e9 kliniky 1. LF UK a FN Motol a vedouc\u00ed Pneumoonkochirurgick\u00e9ho centra a N\u00e1rodn\u00edho programu transplantace plic prof. MUDr. Robert Lischke, Ph.D.<\/p>\n\n\n\n

\u010cesko se v po\u010dtu proveden\u00fdch transplantac\u00ed \u0159ad\u00ed k evropsk\u00e9 \u0161pi\u010dce. Chirurgov\u00e9 z FN Motol operuj\u00ed nejen \u010desk\u00e9, ale tak\u00e9 slovensk\u00e9 pacienty. V programu transplantace spolupracuj\u00ed se zahrani\u010dn\u00edm. \u201eN\u011bkolikr\u00e1t se n\u00e1m u\u017e stalo, \u017ee n\u00e1m nov\u00e9 pl\u00edce nab\u00edzeli kolegov\u00e9 z Polska, proto\u017ee pro n\u011b nem\u011bli v zemi p\u0159\u00edjemce,\u201c <\/em>dopl\u0148uje prof. Lischke.<\/p>\n\n\n\n

Je\u0161t\u011b doned\u00e1vna m\u011bli l\u00e9ka\u0159i pouze 6 hodin na to, aby odebran\u00fd org\u00e1n vlo\u017eili do hrudi nov\u00e9ho p\u0159\u00edjemce. To se ned\u00e1vno zm\u011bnilo d\u00edky speci\u00e1ln\u00edm p\u0159epravn\u00edm box\u016fm, ve kter\u00fdch je st\u00e1l\u00e1 teplota 9 \u00b0C a vyoperovan\u00e9 pl\u00edce udr\u017e\u00ed v\u00a0dobr\u00e9 kondici po dobu 15 hodin. L\u00e9ka\u0159i tak maj\u00ed \u010das prov\u00e9st \u0159adu vy\u0161et\u0159en\u00ed \u2013 zejm\u00e9na imunologick\u00fdch \u2013 na kter\u00e9 d\u0159\u00edve kv\u016fli kr\u00e1tk\u00e9mu \u010dasov\u00e9mu intervalu nebyl prostor. V\u00fdrazn\u011b se zm\u011bnila tak\u00e9 doba, kterou mus\u00ed pacienti po operaci tr\u00e1vit v\u00a0nemocnici. <\/p>\n\n\n\n

\u201ePacient po transplantaci plic z\u016fst\u00e1v\u00e1 v\u00a0nemocnici pr\u016fm\u011brn\u011b 3\u20134 t\u00fddny, n\u011bkte\u0159\u00ed nemocn\u00ed v\u0161ak odch\u00e1zej\u00ed dom\u016f u\u017e po 2 t\u00fddnech. Rychlost uzdravov\u00e1n\u00ed souvis\u00ed s t\u00edm, v\u00a0jak\u00e9m stavu byli pacienti p\u0159ed transplantac\u00ed, s\u00a0jejich v\u011bkem, rehabilita\u010dn\u00edm potenci\u00e1lem, ale tak\u00e9 s\u00a0t\u00edm, jak reaguj\u00ed na n\u00e1slednou imunosupresivn\u00ed l\u00e9\u010dbu,\u201c<\/em> dod\u00e1v\u00e1 vedouc\u00ed nechirurgick\u00e9 potransplanta\u010dn\u00ed p\u00e9\u010de III. chirurgick\u00e9 kliniky 1. LF UK a FN Motol MUDr. Jan Havl\u00edn. <\/p>\n\n\n\n

Imunosupresivn\u00ed l\u00e9\u010dba m\u00e1 za \u00fakol tlumit \u010dinnost imunitn\u00edho syst\u00e9mu, kter\u00fd na nov\u00fd org\u00e1n automaticky reaguje jako na nep\u0159\u00edtele. Optim\u00e1ln\u00ed d\u00e1vka se u ka\u017ed\u00e9ho pacienta li\u0161\u00ed, a\u00a0v\u00a0pr\u016fb\u011bhu l\u00e9\u010dby se tak neust\u00e1le upravuje. Bohat\u00e9 zku\u0161enosti \u010desk\u00fdch l\u00e9ka\u0159\u016f, pokrok v\u00a0l\u00e9\u010db\u011b a nov\u00e9 technologie mohou za to, \u017ee se \u00fasp\u011b\u0161nost z\u00e1kroku v\u010detn\u011b n\u00e1sledn\u00e9 p\u00e9\u010de neust\u00e1le zvy\u0161uje. Zat\u00edmco celosv\u011btov\u011b p\u0159e\u017e\u00edv\u00e1 v\u00edce ne\u017e 5 let po transplantaci 55\u201360 % pacient\u016f, v \u010cR je to 70 % v\u0161ech operovan\u00fdch.<\/p>\n\n\n\n

V\u00a0sou\u010dasn\u00e9 dob\u011b \u010dek\u00e1 na nov\u00e9 pl\u00edce p\u0159ibli\u017en\u011b 30 pacient\u016f. Nej\u010dast\u011bji jsou to lid\u00e9 s\u00a0idiopatickou plicn\u00ed fibr\u00f3zou, idiopatickou plicn\u00ed hypertenz\u00ed, cystickou fibr\u00f3zou nebo emfyz\u00e9mem. \u201eTransplantace plic je rozs\u00e1hl\u00fd chirurgick\u00fd z\u00e1krok, kter\u00fd doporu\u010dujeme ve chv\u00edli, kdy jsme vy\u010derpali dostupn\u00e9 mo\u017enosti konzervativn\u00ed l\u00e9\u010dby. \u010casto jde tedy o pacienty, kte\u0159\u00ed jsou ji\u017e v\u00a0termin\u00e1ln\u00ed f\u00e1zi respira\u010dn\u00edho selh\u00e1n\u00ed a l\u00e9\u010d\u00ed se pomoc\u00ed inhalace kysl\u00edku,\u201c<\/em> ujas\u0148uje doc.\u00a0MUDr. Vladim\u00edr Kobl\u00ed\u017eek, p\u0159edseda \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti. Transplantace v\u0161ak nen\u00ed \u0159e\u0161en\u00edm n\u00e1dorov\u00fdch onemocn\u011bn\u00ed a plat\u00ed to i pro rakovinu plic, kter\u00e1 je jednou z\u00a0nejz\u00e1va\u017en\u011bj\u0161\u00edch plicn\u00edch chorob. D\u016fvodem, pro\u010d se nemocn\u00fdm s\u00a0rakovinou plic nov\u00fd org\u00e1n ned\u00e1v\u00e1, je n\u00e1sledn\u00e1 l\u00e9\u010dba, kter\u00e1 siln\u011b potla\u010duje imunitu, a vedla by tak ke zhor\u0161en\u00ed zhoubn\u00e9ho onemocn\u011bn\u00ed.<\/p>\n\n\n\n

\u201e <\/em> V\u00fdrazn\u00fd posun v l\u00e9\u010db\u011b rakoviny plic znamenal p\u0159\u00edchod imunoterapie. Velmi dobr\u00e9 v\u00fdsledky vykazuje kombinace imunoterapie s chirurgickou l\u00e9\u010dbou,\u201c<\/em> popisuje prof. Lischke. V\u00edce informac\u00ed o kombinaci terapeutick\u00fdch metod v l\u00e9\u010db\u011b rakoviny plic najdete na www.plicnichirurgie.cz<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Praha, 28. 4. 2025 \u2013 Jen za prvn\u00ed \u010dtvrtlet\u00ed leto\u0161n\u00edho roku dali hrudn\u00ed chirurgov\u00e9 Fakultn\u00ed nemocnice (FN) Motol nov\u00e9 pl\u00edce 25 lidem. To je v\u00edce […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":38777,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-56796","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\/56796","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=56796"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56796\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/38777"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=56796"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=56796"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=56796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}