{"id":61621,"date":"2025-11-03T21:47:52","date_gmt":"2025-11-03T20:47:52","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=61621"},"modified":"2025-11-03T21:47:53","modified_gmt":"2025-11-03T20:47:53","slug":"prvni-ceske-dite-ze-zkumavky-letos-slavi-43-let","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=61621","title":{"rendered":"Prvn\u00ed \u010desk\u00e9 \u201ed\u00edt\u011b ze zkumavky\u201c letos slav\u00ed 43 let"},"content":{"rendered":"\n<p><em>Nyn\u00ed zvy\u0161uje \u0161anci na oplodn\u011bn\u00ed um\u011bl\u00e1 inteligence<\/em><\/p>\n\n\n\n<p><strong>U\u017e t\u0159ia\u010dty\u0159icet let uplyne od chv\u00edle, kdy se v tehdej\u0161\u00edm \u010ceskoslovensku narodilo prvn\u00ed \u201ed\u00edt\u011b ze zkumavky\u201c. Stalo se tak 4. listopadu 1982 z\u00e1sluhou t\u00fdmu veden\u00e9ho profesorem Ladislavem Pilkou, tehdej\u0161\u00edm p\u0159ednostou Centra asistovan\u00e9 reprodukce ve Fakultn\u00ed porodnici Brno na Obiln\u00edm trhu.Jeho pr\u00e1ce znamenala pr\u016flom nejen pro \u010deskou medic\u00ednu, ale i pro cel\u00fd tehdej\u0161\u00ed v\u00fdchodn\u00ed blok. <\/strong><\/p>\n\n\n\n<p><strong>Dnes se d\u00edky metod\u00e1m asistovan\u00e9 reprodukce narod\u00ed v \u010cesk\u00e9 republice p\u0159ibli\u017en\u011b p\u011bt tis\u00edc d\u011bt\u00ed ro\u010dn\u011b \u2013 tedy p\u0159ibli\u017en\u011b 5 % v\u0161ech narozen\u00fdch d\u011bt\u00ed.<\/strong><\/p>\n\n\n\n<p>\u201e<em>Profesor Pilka byl vizion\u00e1\u0159, kter\u00fd dok\u00e1zal zm\u011bnit historii \u010desk\u00e9 medic\u00edny. Bez jeho odvahy a v\u00edry, \u017ee to p\u016fjde i tady, bychom dnes nebyli tam, kde jsme,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Marcel \u0160telcl, Ph.D., vedouc\u00ed l\u00e9ka\u0159 reproduk\u010dn\u00ed kliniky ReproGenesis a \u010dlen Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti \u010cLS JEP. <\/p>\n\n\n\n<p>Na profesora Pilku vzpom\u00edn\u00e1 i MUDr. Martina Novotn\u00e1, specialistka na asistovanou reprodukci z brn\u011bnsk\u00e9 kliniky Reprofit: <em>\u201eByl to m\u016fj prvn\u00ed p\u0159ednosta, \u010dlov\u011bk s obrovsk\u00fdm nadhledem a laskavost\u00ed. Jeho t\u00fdm tehdy poprv\u00e9 v cel\u00e9m v\u00fdchodn\u00edm bloku \u00fasp\u011b\u0161n\u011b provedl mimot\u011bln\u00ed oplodn\u011bn\u00ed.\u201c<\/em> Zat\u00edmco v dob\u011b prvn\u00edho \u00fasp\u011bchu se asistovan\u00e1 reprodukce prov\u00e1d\u011bla v podm\u00ednk\u00e1ch, kter\u00e9 by dnes p\u0159ipom\u00ednaly sp\u00ed\u0161e improvizaci, sou\u010dasn\u00e1 medic\u00edna vyu\u017e\u00edv\u00e1 \u0161pi\u010dkov\u00e9 technologie a nov\u00e9 v\u011bdeck\u00e9 p\u0159\u00edstupy. V laborato\u0159\u00edch se postupn\u011b objevuje i um\u011bl\u00e1 inteligence, kter\u00e1 pom\u00e1h\u00e1 embryolog\u016fm hodnotit kvalitu spermi\u00ed a&nbsp;embry\u00ed. <\/p>\n\n\n\n<p><em>\u201eAI se v laborato\u0159\u00edch u\u017e objevuje, ale zat\u00edm sp\u00ed\u0161e ve f\u00e1zi testov\u00e1n\u00ed. Do b\u011b\u017en\u00e9 praxe bez kontroly \u010dlov\u011bkem se je\u0161t\u011b dlouho nedostane. P\u0159esto p\u0159edstavuje velk\u00fd krok vp\u0159ed,\u201c<\/em> vysv\u011btluje MUDr. \u0160telcl.<\/p>\n\n\n\n<p>Podle MUDr. \u0160t\u011bp\u00e1na Macha\u010de, p\u0159edsedy Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti, je pr\u00e1v\u011b tato oblast velkou p\u0159\u00edle\u017eitost\u00ed do budoucna. <\/p>\n\n\n\n<p><em>\u201eUm\u011bl\u00e1 inteligence pom\u00e1h\u00e1 s v\u00fdb\u011brem embry\u00ed, kter\u00e1 maj\u00ed nejv\u011bt\u0161\u00ed \u0161anci na uchycen\u00ed. T\u00edm se zvy\u0161uje \u00fasp\u011b\u0161nost l\u00e9\u010dby,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Macha\u010d.Asistovan\u00e1 reprodukce se ale net\u00fdk\u00e1 jen technologi\u00ed, prom\u011bnil se i profil pacient\u016f.<\/p>\n\n\n\n<p><em> \u201eV sou\u010dasnosti tvo\u0159\u00ed v\u011bt\u0161inu na\u0161ich pacientek \u017eeny star\u0161\u00ed 35 let. D\u0159\u00edve se l\u00e9\u010dba zam\u011b\u0159ovala hlavn\u011b na nepr\u016fchodnost vejcovod\u016f nebo poruchy ovulace, dnes je nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou v\u011bk \u2013 st\u00e1rnut\u00ed vaje\u010dn\u00edk\u016f a ni\u017e\u0161\u00ed kvalita vaj\u00ed\u010dek,\u201c <\/em>dopl\u0148uje MUDr. \u0160telcl. Velk\u00fdm t\u00e9matem posledn\u00edch let je tak\u00e9 mo\u017enost zmrazen\u00ed vaj\u00ed\u010dek, kter\u00e9 \u017een\u00e1m umo\u017e\u0148uje uchovat si <a href=\"https:\/\/www.plodnostpodkontrolou.cz\/\"><strong>plodnost do budoucna<\/strong><\/a>. <\/p>\n\n\n\n<p><em>\u201eOptim\u00e1ln\u00ed je pro \u017eenu ot\u011bhotn\u011bt mezi 25.\u201335.&nbsp;rokem, ale pr\u00e1v\u011b a\u017e ve v\u011bku 28\u201330 let si \u017eeny \u010dasto uv\u011bdom\u00ed, \u017ee d\u00edt\u011b cht\u011bj\u00ed \u2013 a pokud je\u0161t\u011b nejsou p\u0159ipraven\u00e9, mohou si vaj\u00ed\u010dka nechat uchovat,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Macha\u010d.<\/p>\n\n\n\n<p>Podle MUDr. Novotn\u00e9 je d\u016fle\u017eit\u00e9, aby o t\u00e9to mo\u017enosti \u017eeny v\u011bd\u011bly a mohly se rozhodnout samy. <em>\u201eLep\u0161\u00ed je m\u00edt vaj\u00ed\u010dka ulo\u017een\u00e1 pro budoucnost, ne\u017e pozd\u011bji \u0159e\u0161it d\u00e1rcovsk\u00fd program,\u201c<\/em> vysv\u011btluje l\u00e9ka\u0159ka.<\/p>\n\n\n\n<p>Krom\u011b medic\u00ednsk\u00e9ho pokroku se obor reproduk\u010dn\u00ed medic\u00edny p\u0159ipravuje na nov\u00e9 evropsk\u00e9 odborn\u00e9 standardy, kter\u00e9 mohou ovlivnit dostupnost i podm\u00ednky IVF. <em>\u201eEvropsk\u00e1 spole\u010dnost pro lidskou reprodukci a embryologii (ESHRE) p\u0159ijala novou direktivu, kter\u00e1 by m\u011bla za\u010d\u00edt platit v roce 2027. Zm\u011bny maj\u00ed v\u00e9st ke zv\u00fd\u0161en\u00ed kvality p\u00e9\u010de a sjednocen\u00ed pravidel nap\u0159\u00ed\u010d Evropou,\u201c<\/em> popisuje MUDr. \u0160telcl.<\/p>\n\n\n\n<p> <em>\u201e\u010cesk\u00e1 centra u\u017e nyn\u00ed spl\u0148uj\u00ed v\u011bt\u0161inu po\u017eadovan\u00fdch standard\u016f, ale o\u010dek\u00e1v\u00e1me zm\u011bnu v oblasti d\u00e1rcovsk\u00fdch program\u016f \u2013 nap\u0159\u00edklad p\u0159echod od anonymn\u00edho k tzv. otev\u0159en\u00e9mu d\u00e1rcovstv\u00ed, kdy si d\u00edt\u011b m\u016f\u017ee pozd\u011bji vy\u017e\u00e1dat identitu d\u00e1rce. Jak p\u0159esn\u011b se tato pravidla prom\u00edtnou do \u010desk\u00e9 praxe, je\u0161t\u011b uvid\u00edme. Konkr\u00e9tn\u00ed v\u00fdklad bychom m\u011bli zn\u00e1t do konce leto\u0161n\u00edho roku,\u201c<\/em> dod\u00e1v\u00e1 odborn\u00edk.<\/p>\n\n\n\n<p>\u010cesk\u00e1 republika si i v\u00edce ne\u017e \u010dty\u0159i desetilet\u00ed od prvn\u00edho \u00fasp\u011bchu prof. Pilky dr\u017e\u00ed m\u00edsto mezi sv\u011btovou \u0161pi\u010dkou. <em>\u201eAsistovan\u00e1 reprodukce dnes dok\u00e1\u017ee pomoci i tam, kde by to d\u0159\u00edve nebylo mo\u017en\u00e9. Z\u00e1zraky, kter\u00e9 profesor Pilka p\u0159ed \u010dty\u0159iceti lety za\u010dal, pokra\u010duj\u00ed d\u00e1l \u2013 jen v modern\u011bj\u0161\u00ed podob\u011b,\u201c<\/em> uzav\u00edr\u00e1 MUDr. Macha\u010d.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nyn\u00ed zvy\u0161uje \u0161anci na oplodn\u011bn\u00ed um\u011bl\u00e1 inteligence U\u017e t\u0159ia\u010dty\u0159icet let uplyne od chv\u00edle, kdy se v tehdej\u0161\u00edm \u010ceskoslovensku narodilo prvn\u00ed \u201ed\u00edt\u011b ze zkumavky\u201c. Stalo se <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=61621\" title=\"Prvn\u00ed \u010desk\u00e9 \u201ed\u00edt\u011b ze zkumavky\u201c letos slav\u00ed 43 let\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":61620,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-61621","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\/61621","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=61621"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61621\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/61620"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}