{"id":7775,"date":"2013-07-11T11:50:06","date_gmt":"2013-07-11T09:50:06","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=7775"},"modified":"2013-07-11T13:18:27","modified_gmt":"2013-07-11T11:18:27","slug":"mini-pumpy-zacaly-zachranovat-zivoty-cekatelu-na-transplantaci-srdce","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=7775","title":{"rendered":"Minipumpy za\u010daly zachra\u0148ovat \u017eivoty \u010dekatel\u016f na transplantaci srdce"},"content":{"rendered":"

V Centru kardiovaskul\u00e1rn\u00ed a transplanta\u010dn\u00ed chirurgie v Brn\u011b byly unik\u00e1tn\u011b v \u010cesku poprv\u00e9 implantov\u00e1ny miniaturn\u00ed pumpy pacient\u016fm, kte\u0159\u00ed byli dlouhodob\u011b l\u00e9\u010deni pro t\u011b\u017ekou formu srde\u010dn\u00edho selh\u00e1n\u00ed.<\/strong><\/p>\n

<\/p>\n

Operace dvou prvn\u00edch pacient\u016f \u010dekaj\u00edc\u00edch na transplantaci se uskute\u010dnily v dubnu. L\u00e9ka\u0159i se z\u00e1krokem nyn\u00ed poprv\u00e9 sezn\u00e1mili ve\u0159ejnost.<\/p>\n

„M\u011bs\u00edc po implantaci byli oba pacienti propu\u0161t\u011bni dom\u016f, jeden na sever a druh\u00fd na jih Moravy. \u010cekaj\u00ed, a\u017e se objev\u00ed vhodn\u00fd d\u00e1rce. Tento typ mechanick\u00e9 srde\u010dn\u00ed podpory p\u0159edstavuje dal\u0161\u00ed generaci tzv. levokomorov\u00fdch podp\u016frn\u00fdch syst\u00e9m\u016f pou\u017e\u00edvan\u00fdch jako most k transplantaci u pacient\u016f s t\u011b\u017ek\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm,“ \u0159ekl Petr N\u011bmec, \u0159editel Centra kardiovaskul\u00e1rn\u00ed a transplanta\u010dn\u00ed chirurgie Brno.<\/p>\n

„Hlavn\u00ed v\u00fdhodou proti p\u0159edch\u00e1zej\u00edc\u00edm syst\u00e9m\u016fm jsou velmi mal\u00e9 rozm\u011bry, d\u00edky nim\u017e je operace v\u00fdrazn\u011b \u0161etrn\u011bj\u0161\u00ed pro pacienta,“ vysv\u011btlil.<\/p>\n

„Mal\u00e1 velikost pumpy umo\u017e\u0148uje jej\u00ed implantaci takzvanou miniinvazivn\u00ed technikou. To znamen\u00e1, \u017ee se lze vyhnout klasick\u00e9 dlouh\u00e9 r\u00e1n\u011b na hrudn\u00edku, je mo\u017en\u00e9 pou\u017e\u00edt jen dva mal\u00e9, asi sedmicentimetrov\u00e9 \u0159ezy na lev\u00e9 a prav\u00e9 stran\u011b hrudn\u00edku. T\u00edm se v\u00fdrazn\u011b usnadn\u00ed i n\u00e1sledn\u00e1 transplantace,“ up\u0159esnil Vladim\u00edr Horv\u00e1th, jeden z chirurg\u016f, kte\u0159\u00ed v\u00fdkony prov\u00e1d\u011bj\u00ed.<\/p>\n

Operace trv\u00e1 a\u017e \u010dty\u0159i hodiny <\/strong><\/p>\n

Vlastn\u00ed operace trv\u00e1 t\u0159i a\u017e \u010dty\u0159i hodiny a pat\u0159\u00ed do skupiny z\u00e1va\u017en\u011bj\u0161\u00edch v\u00fdkon\u016f. Kritick\u00fdm momentem je okam\u017eik, kdy pumpa p\u0159eb\u00edr\u00e1 funkci lev\u00e9 komory a pacientova prav\u00e1 komora mus\u00ed \u010delit zv\u00fd\u0161en\u00fdm n\u00e1rok\u016fm.<\/p>\n

Pro \u00fasp\u011bch operace je nezbytn\u00fd naprost\u00fd soulad cel\u00e9ho kolektivu \u010d\u00edtaj\u00edc\u00edho na deset l\u00e9ka\u0159\u016f a sester.<\/p>\n

Hlavn\u00ed sou\u010d\u00e1st\u00ed nov\u00e9ho syst\u00e9mu je miniaturn\u00ed centrifug\u00e1ln\u00ed krevn\u00ed pumpa, kter\u00e1 je p\u0159i\u0161ita k hrotu lev\u00e9 komory srde\u010dn\u00ed. Mal\u00e1 velikost pumpy umo\u017e\u0148uje jej\u00ed kompletn\u00ed um\u00edst\u011bn\u00ed do osrde\u010dn\u00edkov\u00e9ho vaku. Krev je \u010derp\u00e1na ze selh\u00e1vaj\u00edc\u00ed lev\u00e9 komory do aorty a t\u00edm nahrazuje jej\u00ed funkci.<\/p>\n

Elektrick\u00e1 energie je p\u0159iv\u00e1d\u011bna kabelem <\/strong><\/p>\n

Elektrick\u00e1 energie pro pumpu je p\u0159iv\u00e1d\u011bna kabelem, kter\u00fd je vyveden p\u0159es k\u016f\u017ei. Ot\u00e1\u010dky pumpy mohou b\u00fdt nastaveny v rozsahu od 2400 do 3200 ot\u00e1\u010dek za minutu, je tak dosa\u017eeno toku krve 7 a\u017e 10 litr\u016f za minutu.<\/p>\n

\u010cinnost pumpy zaji\u0161\u0165uje \u0159\u00eddic\u00ed jednotka, kter\u00e1 je napojena bu\u010f na dv\u011b baterie, nebo na jednu baterii a adapt\u00e9r, kter\u00fd m\u016f\u017ee b\u00fdt nap\u00e1jen ze s\u00edt\u011b nebo i v aut\u011b. \u0158\u00eddic\u00ed jednotka kontroluje \u010dinnost pumpy a sleduje stav nabit\u00ed bateri\u00ed. R\u016fzn\u00fdmi druhy sign\u00e1l\u016f a alarm\u016f informuje pacienta p\u0159i jak\u00fdchkoliv probl\u00e9mech. \u0158\u00eddic\u00ed jednotka a baterie jsou um\u00edst\u011bny v pouzd\u0159e, kter\u00e9 pacient nos\u00ed na p\u00e1sku nebo p\u0159es rameno.<\/p>\n

P\u0159\u00edstroj je schv\u00e1len k pou\u017eit\u00ed v EU od roku 2009. V USA byl syst\u00e9m povolen jako most k transplantaci srdce v roce 2012.<\/p>\n","protected":false},"excerpt":{"rendered":"

V Centru kardiovaskul\u00e1rn\u00ed a transplanta\u010dn\u00ed chirurgie v Brn\u011b byly unik\u00e1tn\u011b v \u010cesku poprv\u00e9 implantov\u00e1ny miniaturn\u00ed pumpy pacient\u016fm, kte\u0159\u00ed byli dlouhodob\u011b l\u00e9\u010deni pro t\u011b\u017ekou formu srde\u010dn\u00edho […]<\/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-7775","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/7775","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=7775"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/7775\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7775"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7775"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7775"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}