{"id":7247,"date":"2013-06-27T15:09:27","date_gmt":"2013-06-27T13:09:27","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=7247"},"modified":"2013-06-27T15:26:19","modified_gmt":"2013-06-27T13:26:19","slug":"ikem-leci-cukrovku-transplantaci-slinivky-ci-bunek-z-ni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=7247","title":{"rendered":"L\u00e9\u010d\u00ed cukrovku transplantac\u00ed bun\u011bk z slinivky"},"content":{"rendered":"<p><strong>V pra\u017esk\u00e9m Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) l\u00e9\u010d\u00ed cukrovku nemocn\u00fdm, kte\u0159\u00ed si mus\u00ed p\u00edchat inzulin. Transplantuj\u00ed jim slinivku \u010di bu\u0148ky z n\u00ed a po operaci se jim za\u010dne v t\u011ble tvo\u0159it inzulin, tak\u017ee si ho ji\u017e nemus\u00ed d\u00e1le aplikovat a mohou p\u0159ej\u00edt na l\u00e9\u010dbu tabletami.<\/strong><\/p>\n<p><!--more--><\/p>\n<p>&#8222;Tyto transplantace jsou zat\u00edm jedinou metodou, jak pacient\u016fm s diabetem prvn\u00edho typu dlouhodob\u011b navodit fyziologick\u00e9 hladiny krevn\u00edho cukru bez rizika prudk\u00fdch zm\u011bn hladin,&#8220; uvedl \u0159editel IKEM Ale\u0161 Herman.<\/p>\n<p>V\u016fbec prvn\u00ed transplantaci slinivky spolu s ledvinou provedli v IKEM \u017een\u011b, kter\u00e1 se l\u00e9\u010dila s cukrovkou prvn\u00edho typu. Tento typ m\u00e1 p\u011bt a\u017e deset procent diabetik\u016f, berou inzul\u00edn. Kdy\u017e se d\u00e1vka ned\u00e1 p\u0159esn\u011b, hladiny cukru prudce klesnou a nemocn\u00fd upadne do bezv\u011bdom\u00ed.<\/p>\n<p>&#8222;Nejm\u00e9n\u011b jednu t\u0159etinu nemocn\u00fdch postihne tento stav alespo\u0148 jednou v \u017eivot\u011b, desetina se s n\u00edm pot\u00fdk\u00e1 alespo\u0148 jednou ro\u010dn\u011b a a\u017e u deseti procent m\u016f\u017ee m\u00edt za n\u00e1sledek smrt,&#8220; \u0159ekl p\u0159ednosta kliniky diabetologie profesor Franti\u0161ek Saudek.<\/p>\n<p>Podle vedouc\u00edho chirurga programu transplantace slinivky Kv\u011btoslava Lip\u00e1ra jde o jednu z technicky nejn\u00e1ro\u010dn\u011bj\u0161\u00edch transplantac\u00ed, kter\u00e1 ale m\u016f\u017ee v\u00fdrazn\u011b pomoci. Je\u0161t\u011b deset let po transplantaci nepot\u0159ebuje inzul\u00ednovou l\u00e9\u010dbu p\u0159es 65 procent pacient\u016f.<\/p>\n<p>IKEM prov\u00e1d\u00ed tak\u00e9 transplantace bun\u011bk tzv. Langerhansov\u00fdch ostr\u016fvk\u016f, kter\u00e9 ve slinivce zaji\u0161\u0165uj\u00ed tvorbu inzul\u00ednu &#8211; jsou 0,1 a\u017e 0,4 milimetry velk\u00e9, celkem jich je zhruba milion. &#8222;Na rozd\u00edl od transplantace slinivky je tato metoda mnohem \u0161etrn\u011bj\u0161\u00ed. Ostr\u016fvky se aplikuj\u00ed injek\u010dn\u011b pod rentgenem do jatern\u00ed tk\u00e1n\u011b, kde se uchyt\u00ed a za\u010dnou tvo\u0159it inzul\u00edn,&#8220; popsal Saudek.<\/p>\n<p>Studie potvrdila, \u017ee z 25 pacient\u016f, kte\u0159\u00ed l\u00e9\u010dbu podstoupili, \u010dty\u0159i u\u017e nepot\u0159ebovali br\u00e1t inzul\u00edn a u 60 procent se obnovila tvorba hormonu natolik, \u017ee o zhruba 30 procent mohli sn\u00ed\u017eit d\u00e1vky. Nov\u00e9 studie ukazuj\u00ed, \u017ee pot\u0159ebn\u00e9 bu\u0148ky mohou b\u00fdt z\u00edsk\u00e1ny nejen ze slinivky, ale tak\u00e9 z kmenov\u00fdch nebo embryon\u00e1ln\u00edch bun\u011bk.<\/p>\n<p>\u010cesko je na osm\u00e9m m\u00edst\u011b na sv\u011bt\u011b v po\u010dtu transplantac\u00ed slinivky na milion obyvatel. Prvn\u00ed transplantaci slinivky provedli v IKEM 26. \u010dervna 1983, dosud jich bylo 486 a dal\u0161\u00edch 72 transplantac\u00ed ostr\u016fvk\u016f.<\/p>\n<p>invArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V pra\u017esk\u00e9m Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) l\u00e9\u010d\u00ed cukrovku nemocn\u00fdm, kte\u0159\u00ed si mus\u00ed p\u00edchat inzulin. Transplantuj\u00ed jim slinivku \u010di bu\u0148ky z n\u00ed a po <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=7247\" title=\"L\u00e9\u010d\u00ed cukrovku transplantac\u00ed bun\u011bk z slinivky\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-7247","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/7247","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=7247"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/7247\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7247"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7247"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}