\u0160pi\u010dkov\u00ed specialist\u00e9 p\u016fsob\u00ed v brn\u011bnsk\u00fdch nemocnic\u00edch. Pacienti tam mohou podstoupit z\u00e1kroky, kter\u00e9 jsou v \u010cesk\u00e9 republice ojedin\u011bl\u00e9. Redakce Brn\u011bnsk\u00e9ho den\u00edku Rovnost p\u0159ipravila p\u0159ehled unik\u00e1tn\u00edch z\u00e1krok\u016f, kter\u00e9 brn\u011bnsk\u00e9 nemocnice v uplynul\u00fdch m\u011bs\u00edc\u00edch p\u0159edstavily..<\/p>\n\n\n\n
V\u00fdm\u011bna srde\u010dn\u00ed chlopn\u011b bez otev\u0159en\u00ed hrudn\u00edku<\/p>\n\n\n\n
Aort\u00e1ln\u00ed sten\u00f3za, neboli z\u00fa\u017een\u00ed chlopn\u011b se \u0159ad\u00ed mezi jednu z nej\u010dast\u011bj\u0161\u00edch srde\u010dn\u00edch vad. Jednu z metod l\u00e9\u010den\u00ed uk\u00e1zal l\u00e9ka\u0159 Jan Sikar z brn\u011bnsk\u00e9 Fakultn\u00ed nemocnice u Svat\u00e9 Anny. Jedn\u00e1 se o metodu Tavi, kdy l\u00e9ka\u0159i jedn\u00edm vpichem zavedou novou chlope\u0148.<\/p>\n\n\n\n
Operaci prov\u00e1d\u00ed hlavn\u011b u pacient\u016f nad sedmdes\u00e1t let. U mlad\u0161\u00edch pacient\u016f pouze, kdy\u017e je otev\u0159en\u00ed srdce rizikov\u00e9. Trv\u00e1 asi pades\u00e1t minut. \u201eOdpad\u00e1 nutnost celkov\u00e9 anestezie. Obvykle se prov\u00e1d\u00ed v polosp\u00e1nku a v m\u00edstn\u00edm znecitliv\u011bn\u00ed. Do t\u011bla pacienta nej\u010dast\u011bji vstupujem tepnou v t\u0159\u00edsle. Nov\u00e1 chlope\u0148 se zavede skrze tepnu s milimetrovou p\u0159esnost\u00ed. Zlep\u0161en\u00ed stavu je viditeln\u00e9 hned po implantaci. V\u00fdsledky t\u00e9to metody jsou fascinuj\u00edc\u00ed,“ popsal Sitar.<\/p>\n\n\n\n
Po\u010det pacient\u016f od roku 2018, kdy ji l\u00e9ka\u0159i poprv\u00e9 pou\u017eili, st\u00e1le stoup\u00e1. V lo\u0148sk\u00e9m roce podstoupilo operaci v cel\u00e9 republice dva tis\u00edce pacient\u016f. V leto\u0161n\u00edm roce l\u00e9ka\u0159i o\u010dek\u00e1vaj\u00ed po\u010det dva a p\u016fl tis\u00edce. Krom\u011b Fakultn\u00ed nemocnice u Svat\u00e9 Anny se z\u00e1kroku po republice v\u011bnuje dal\u0161\u00edch t\u0159in\u00e1ct center. Operaci pln\u011b hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna.<\/p>\n\n\n\n
Nov\u00fd robotick\u00fd syst\u00e9m pro p\u0159esn\u011bj\u0161\u00ed a \u0161etrn\u011bj\u0161\u00ed operace n\u00e1dor\u016f<\/p>\n\n\n\n
Masaryk\u016fv onkologick\u00fd \u00fastav uvedl do provozu sv\u00e9ho druh\u00e9ho robota vyu\u017e\u00edvan\u00e9ho p\u0159i operac\u00edch n\u00e1dor\u016f. C\u00edlem tohoto druhu operac\u00ed je zm\u00edrnit komplikace a zkr\u00e1tit pobyt pacient\u016f v nemocnici.<\/p>\n\n\n\n
Nejv\u00edc je vyu\u017e\u00edv\u00e1n v urologii, n\u00e1sleduje chirurgie a gynekologie. V\u00fdsledky screeningov\u00fdch vy\u0161et\u0159en\u00ed, zhodnocen\u00ed p\u0159\u00edtomnosti a rozsahu n\u00e1doru a v\u00fdsledky l\u00e9\u010dby, se nem\u011bn\u00ed. D\u00edky \u0161etrn\u011bj\u0161\u00ed metod\u011b z\u00e1kroku se ale sni\u017euje doba uzdraven\u00ed pacient\u016f. \u201eRobotick\u00e1 operace je \u0161etrn\u011bj\u0161\u00ed a je tam do ur\u010dit\u00e9 m\u00edry ni\u017e\u0161\u00ed riziko komplikac\u00ed. Je v\u011bt\u0161\u00ed pravd\u011bpodobnost, \u017ee pacienti nebudou m\u00edt funk\u010dn\u00ed n\u00e1sledky. To znamen\u00e1, \u017ee je vy\u0161\u0161\u00ed \u0161ance, \u017ee udr\u017e\u00ed mo\u010d hned po operaci,\u201c popsal prim\u00e1\u0159 odd\u011blen\u00ed urologick\u00e9 onkologie Michal Stan\u00edk.<\/p>\n\n\n\n
\u00dastav sv\u00e9ho prvn\u00edho robota p\u0159edstavil p\u0159ed sedmi lety. Od t\u00e9 doby t\u00edmto zp\u016fsobem operovali na v\u00edce ne\u017e tis\u00edci pacientech. D\u00edky p\u0159id\u00e1n\u00ed druh\u00e9ho robota o\u010dek\u00e1vaj\u00ed letos p\u0159ibli\u017en\u011b 550 operac\u00ed.<\/p>\n\n\n\n
5G p\u0159enos videa v re\u00e1ln\u00e9m \u010dase pro vzd\u00e1lenou asistenci p\u0159i operac\u00edch<\/p>\n\n\n\n
Svou priv\u00e1tn\u00ed 5G s\u00ed\u0165 spustila ned\u00e1vno Vojensk\u00e1 nemocnice v Brn\u011b. Krom\u011b jin\u00e9ho umo\u017e\u0148uje spojen\u00ed mezi Vojenskou nemocnic\u00ed v Brn\u011b a v Praze a d\u00edky n\u011bmu prov\u00e1d\u00ed telechirurgii. To znamen\u00e1, \u017ee pomoc\u00ed s\u00edt\u011b p\u0159en\u00e1\u0161\u00ed obraz p\u0159\u00edmo ze s\u00e1lu v re\u00e1ln\u00e9m \u010dase k l\u00e9ka\u0159i, kter\u00fd s operac\u00ed rad\u00ed.<\/p>\n\n\n\n
C\u00edlem je kvalitn\u011bj\u0161\u00ed p\u00e9\u010de o pacienty a p\u0159ed\u00e1v\u00e1n\u00ed zku\u0161enost\u00ed mezi l\u00e9ka\u0159i. \u201ePokud jste n\u011bkde v zahrani\u010d\u00ed nebo na n\u011bjak\u00e9 humanit\u00e1rn\u00ed misi, v\u00edte, \u017ee pot\u0159ebujete pomoc, univerz\u00e1ln\u00edho doktora, kter\u00fd um\u00ed v\u0161e. Otev\u0159\u00edt hlavu, se\u0161\u00edt b\u0159icho, se\u0161roubovat kon\u010detiny. To je neuv\u011b\u0159iteln\u00e1 vz\u00e1cnost. Ale d\u00edky telechirurgii i ortoped b\u011bhem hodiny zvl\u00e1dne se\u0161roubovat p\u00e1te\u0159,\u201c \u0159ekl \u0159editel \u00dast\u0159edn\u00ed vojensk\u00e9 nemocnice v Praze V\u00e1clav Masopust.<\/p>\n\n\n\n
Prvn\u00ed telechirurgickou operaci provedly ob\u011b vojensk\u00e9 nemocnice v kv\u011btnu lo\u0148sk\u00e9ho roku. Dal\u0161\u00ed letos v z\u00e1\u0159\u00ed. Vylep\u0161ily u n\u00ed probl\u00e9my z prvn\u00edho pokusu a zvl\u00e1dly p\u0159en\u00e1\u0161et 3D obraz v kvalitn\u00edm rozli\u0161en\u00ed i se zvukem.<\/p>\n\n\n\n
P\u0159esn\u011bj\u0161\u00ed a \u0161etrn\u011bj\u0161\u00ed oza\u0159ov\u00e1n\u00ed n\u00e1dor\u016f<\/p>\n\n\n\n
Nov\u00fd oza\u0159ovac\u00ed p\u0159\u00edstroj spustil Masaryk\u016fv onkologick\u00fd \u00fastav letos v l\u00e9t\u011b. Jmenuje se Varian TrueBeam HyperSight a l\u00e9\u010d\u00ed n\u00e1dorov\u00e1 onemocn\u011bn\u00ed pomoc\u00ed z\u00e1\u0159en\u00ed. Dok\u00e1\u017ee p\u0159esn\u011b zac\u00edlit n\u00e1dor a z\u00e1rove\u0148 \u0161et\u0159it okoln\u00ed tepny.<\/p>\n\n\n\n
P\u0159\u00edstroj upravuje d\u00e1vku z\u00e1\u0159en\u00ed podle toho, \u017ee sn\u00edm\u00e1 n\u00e1dor a kamerou sleduje polohu a povrh pacienta. Jde o v\u00fdrazn\u00fd posun od d\u0159\u00edv\u011bj\u0161\u00edch postup\u016f. \u201eD\u0159\u00edve se pou\u017e\u00edvalo k ur\u010dov\u00e1n\u00ed polohy skl\u00e1d\u00e1n\u00ed CT sn\u00edmku, ale te\u010f toto nemus\u00ed pacienti postupovat. Metoda je precizn\u011bj\u0161\u00ed a \u0161etrn\u011bj\u0161\u00ed,\u201c vysv\u011btlil p\u0159ednosta Kliniky radia\u010dn\u00ed onkologie Pavel \u0160lampa.<\/p>\n\n\n\n
Dal\u0161\u00ed mo\u017enost\u00ed umo\u017en\u011bnou nov\u00fdm strojem je i l\u00e9\u010dba, b\u011bhem se zni\u010d\u00ed mal\u00fd n\u00e1dor p\u0159esn\u00fdm a siln\u00fdm z\u00e1\u0159en\u00edm. Zabere to pouze p\u00e1r sezen\u00ed. \u201eSpr\u00e1vn\u011b zvolen\u00e1 kombinace t\u00e9to p\u0159esn\u00e9 radioterapie s modern\u00ed l\u00e9\u010dbou m\u016f\u017ee pacient\u016fm v\u00fdrazn\u011b prodlou\u017eit \u017eivot,\u201c \u0159ekl Ji\u0159\u00ed Vysko\u010dil, prim\u00e1\u0159 Odd\u011blen\u00ed specializovan\u00fdch ambulanc\u00ed.<\/p>\n\n\n\n
L\u00e9\u010dba ochrnut\u00ed l\u00edcn\u00edho nervu unik\u00e1tn\u00edm z\u00e1krokem<\/p>\n\n\n\n
Specialist\u00e9 Kliniky pop\u00e1lenin a plastick\u00e9 chirurgie Fakultn\u00ed nemocnice Brno v Bohunic\u00edch pom\u00e1haj\u00ed pacient\u016fm s ochrnut\u00edm l\u00edcn\u00edho nervu znovu ovl\u00e1dat mimiku. L\u00e9ka\u0159i operaci prov\u00e1d\u00ed pomoc\u00ed p\u0159enesen\u00ed funk\u010dn\u00edho svalu ze stehna nebo l\u00fdtka, kter\u00fd napoj\u00ed na nerv.<\/p>\n\n\n\n
D\u00edky operaci se pacient\u016fm nevr\u00e1t\u00ed pouze \u00fasm\u011bv. Zlep\u0161\u00ed se i jejich psychika. \u201eKdy\u017e jsem vid\u011bla, \u017ee se obli\u010dej za\u010dal h\u00fdbat a c\u00edtila jsem ten pohyb, byla jsem nad\u0161en\u00e1. Byl to neuv\u011b\u0159iteln\u00fd pocit, proto\u017ee t\u0159icet let jsem \u017eila bez pohybu v obli\u010deji,\u201c sv\u011b\u0159ila se pacientka Martina. Po operaci nast\u00e1v\u00e1 rehabilita\u010dn\u00ed f\u00e1ze, kter\u00e1 je zam\u011b\u0159ena na zrcadlovou terapii. P\u0159i n\u00ed pacienti a pacientky cvi\u010d\u00ed pohyb obli\u010deje p\u0159ed zrcadlem.<\/p>\n\n\n\n
Tento typ operace je v \u010cesk\u00e9 republice v\u00fdjime\u010dn\u00fd. T\u00fdk\u00e1 se ale jak dosp\u011bl\u00fdch po \u00farazu, tak i d\u011bt\u00ed s vrozenou obrnou. Je o ni st\u00e1le v\u011bt\u0161\u00ed z\u00e1jem a v brn\u011bnsk\u00e9 nemocnici ji podstoup\u00ed p\u0159ibli\u017en\u011b dvacet pacient\u016f ro\u010dn\u011b. Ti p\u0159ij\u00ed\u017ed\u00ed z cel\u00e9 republiky i Slovenska. \u201e\u00dasp\u011b\u0161nost t\u011bchto z\u00e1krok\u016f je pom\u011brn\u011b vysok\u00e1 a navr\u00e1cen\u00ed \u00fasm\u011bvu pro na\u0161e pacienty hodn\u011b znamen\u00e1,\u201c \u0159ekl p\u0159ednosta kliniky Libor Streit.<\/p>\n\n\n\n
Martin Jedli\u010dka, Tereza Slov\u00e1\u010dkov\u00e1, Marek Matras<\/p>\n\n\n\n
Brn\u011bnsk\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/brnensky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" \u0160pi\u010dkov\u00ed specialist\u00e9 p\u016fsob\u00ed v brn\u011bnsk\u00fdch nemocnic\u00edch. Pacienti tam mohou podstoupit z\u00e1kroky, kter\u00e9 jsou v \u010cesk\u00e9 republice ojedin\u011bl\u00e9. Redakce Brn\u011bnsk\u00e9ho den\u00edku Rovnost p\u0159ipravila p\u0159ehled unik\u00e1tn\u00edch z\u00e1krok\u016f, […]<\/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":[9],"tags":[],"class_list":["post-61191","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\/61191","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=61191"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61191\/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=61191"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61191"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61191"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}