{"id":57478,"date":"2026-04-17T07:19:10","date_gmt":"2026-04-17T07:19:10","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/57478\/"},"modified":"2026-04-17T07:19:10","modified_gmt":"2026-04-17T07:19:10","slug":"muz-nahle-prisel-o-darce-kostni-drene-bez-nej-mu-zbyvaji-dva-mesice-zivota","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/57478\/","title":{"rendered":"Mu\u017e n\u00e1hle p\u0159i\u0161el o\u00a0d\u00e1rce kostn\u00ed d\u0159en\u011b, bez n\u011bj mu zb\u00fdvaj\u00ed dva m\u011bs\u00edce \u017eivota"},"content":{"rendered":"

\u201eOd lo\u0148sk\u00e9ho \u0159\u00edjna mi nep\u0159i\u0161la \u017e\u00e1dn\u00e1 dobr\u00e1 zpr\u00e1va. Chod\u00ed jen sam\u00e9 \u0161patn\u00e9,\u201c \u0159\u00edk\u00e1 \u0161estat\u0159icetilet\u00fd Pavel Tes\u00e1rek.<\/p>\n

Na podzim za\u010dal m\u00edt hore\u010dky, zimnici a\u00a0siln\u00e9 bolesti kloub\u016f. L\u00e9ka\u0159i si s\u00a0n\u00edm nejd\u0159\u00edv nev\u011bd\u011bli rady, po s\u00e9rii vy\u0161et\u0159en\u00ed mu ozn\u00e1mili krutou diagn\u00f3zu: akutn\u00ed myeloblastick\u00e1 leuk\u00e9mie – agresivn\u00ed forma rakoviny krve, kter\u00e1 postupuje velmi rychle.<\/p>\n

Za sebou m\u00e1 n\u011bkolik kol n\u00e1ro\u010dn\u00e9 chemoterapie, aktu\u00e1ln\u011b je to ale sp\u00ed\u0161 udr\u017eovac\u00ed l\u00e9\u010dba. Akutn\u011b pot\u0159ebuje naj\u00edt d\u00e1rce kostn\u00ed d\u0159en\u011b.<\/p>\n

Transplantaci p\u0159itom pot\u0159ebuje co nejrychleji. \u201eDoj\u00ed\u017ed\u00edm na ambulantn\u00ed chemoterapii, kter\u00e1 m\u00e1 za \u00fakol tu nemoc pozdr\u017eet. Nikdo ale nev\u00ed, jestli to bude zab\u00edrat,\u201c popisuje Pavel, mimo jin\u00e9 t\u00e1ta osmn\u00e1ctim\u011bs\u00ed\u010dn\u00edho chlape\u010dka.<\/p>\n

\u201eJ\u00e1 nem\u00e1m \u010das. J\u00e1 tady m\u016f\u017eu b\u00fdt dva m\u011bs\u00edce, a\u00a0pak u\u017e ne,\u201c dod\u00e1v\u00e1.<\/p>\n

Foto: Archiv Andreje Chr\u00e1stn\u00e9<\/p>\n

Pavel pot\u0159ebuje naj\u00edt d\u00e1rce co nejd\u0159\u00edve. Nemoc toti\u017e postupuje rychle.<\/p>\n

Naj\u00edt d\u00e1rce v\u0161ak je slo\u017eit\u00e9. Je toti\u017e nutn\u00e1 shoda v\u00a0takzvan\u00fdch HLA znac\u00edch, specifick\u00fdch znac\u00edch imunitn\u00edho syst\u00e9mu, kter\u00e1 se mimo rodinu hled\u00e1 jen velmi vz\u00e1cn\u011b.<\/p>\n

\u201ePot\u0159ebuju oslovit co nejv\u011bt\u0161\u00ed sortu lid\u00ed, aby se \u0161li otestovat. Nejenom kv\u016fli mn\u011b, ale v\u00a0sou\u010dasn\u00e9 dob\u011b hlavn\u011b kv\u016fli mn\u011b, proto\u017ee j\u00e1 nem\u00e1m \u010das,\u201c vysv\u011btluje Pavel.<\/p>\n

Z\u00e1pis do registru<\/a> d\u00e1rc\u016f kostn\u00ed d\u0159en\u011b je jednoduch\u00fd – center je v\u00a0\u010cesku v\u00edce ne\u017e sedmdes\u00e1t, p\u0159ihl\u00e1sit se do n\u011bj lid\u00e9 mohou i\u00a0p\u0159i n\u00e1borech v\u00a0ter\u00e9nu. Podm\u00ednkou je dobr\u00fd zdravotn\u00ed stav a\u00a0v\u011bk mezi 18\u00a0a\u00a035\u00a0lety. Cel\u00fd proces zabere asi deset minut – sta\u010d\u00ed vyplnit dotazn\u00edk a\u00a0set\u0159\u00edt si speci\u00e1ln\u00ed \u0161t\u011bti\u010dkou dutinu \u00fastn\u00ed nebo darovat dva mililitry krve.<\/p>\n

D\u00e1rce odstoupil v\u00a0posledn\u00ed chv\u00edli<\/p>\n

D\u00e1rce p\u0159itom Pavel na\u0161el, napl\u00e1novan\u00fd m\u011bl i\u00a0konkr\u00e9tn\u00ed term\u00edn transplantace – 8.\u00a0dubna. Na posledn\u00ed chv\u00edli ale d\u00e1rce odstoupil, a\u00a0Pavel se tak ocitl znovu ve stejn\u00e9 situaci.<\/p>\n

\u201eNev\u00edm, jestli to bylo z\u00a0osobn\u00edch, zdravotn\u00edch nebo jak\u00fdchkoliv jin\u00fdch d\u016fvod\u016f. Nem\u00e1m d\u00e1rce, i\u00a0kdy\u017e jsem byl p\u0159ipraven,\u201c konstatuje.<\/p>\n

\u201eV\u0161echno je anonymn\u00ed, tak\u017ee my p\u0159esn\u00e9 informace nem\u00e1me,\u201c dopl\u0148uje jeho partnerka Andrea Chr\u00e1stn\u00e1.<\/p>\n

D\u00e1rce vypadne asi v\u00a0deseti procentech, d\u016fvody b\u00fdvaj\u00ed r\u016fzn\u00e9. \u201eNej\u010dast\u011bji je to n\u011bjak\u00e1 drobn\u00e1 patologie v\u00a0krevn\u00edm obrazu \u010di biochemii, kter\u00e1 neohro\u017euje zdrav\u00ed, ale zvy\u0161uje riziko komplikac\u00ed odb\u011bru. Nebo se objev\u00ed n\u011bco v\u00a0anamn\u00e9ze, co zvy\u0161uje riziko odb\u011bru,\u201c vysv\u011btluje Pavel Jindra, vedouc\u00ed l\u00e9ka\u0159 \u010cesk\u00e9ho n\u00e1rodn\u00edho registru d\u00e1rc\u016f d\u0159en\u011b a\u00a0prim\u00e1\u0159 hematologicko-onkologick\u00e9ho odd\u011blen\u00ed FN Plze\u0148.<\/p>\n

Komplikac\u00ed m\u016f\u017ee b\u00fdt ale i\u00a0b\u011b\u017en\u00e1 akutn\u00ed infekce, kdy transplanta\u010dn\u00ed centrum nem\u016f\u017ee \u010dekat na vyl\u00e9\u010den\u00ed. Probl\u00e9m nast\u00e1v\u00e1 tak\u00e9 v\u00a0situaci, kdy je v\u00fdrazn\u00fd v\u00e1hov\u00fd nepom\u011br mezi d\u00e1rcem a\u00a0p\u0159\u00edjemcem kostn\u00ed d\u0159en\u011b.<\/p>\n

\u201e\u017de by to d\u00e1rce od\u0159ekl nakonec s\u00e1m, se st\u00e1v\u00e1 velmi v\u00fdjime\u010dn\u011b,\u201c zd\u016fraz\u0148uje Jindra.<\/p>\n

Foto: Archiv Andreje Chr\u00e1stn\u00e9<\/p>\n

Mlad\u00e1 rodina pros\u00ed o\u00a0pomoc.<\/p>\n

Nyn\u00ed proto Pavel \u010dek\u00e1 na to, jestli se poda\u0159\u00ed naj\u00edt \u010dlov\u011bka s\u00a0genetickou shodou. \u201eI po transplantaci je dal\u0161\u00ed boj. D\u00e1rce nen\u00ed spasen\u00ed. Nicm\u00e9n\u011b bez n\u011bj se nehnu d\u00e1l,\u201c konstatuje.<\/p>\n

\u201eV tuto chv\u00edli v\u00edme od kamar\u00e1d\u016f, zn\u00e1m\u00fdch, \u017ee enormn\u011b vzrostl z\u00e1jem o\u00a0zaps\u00e1n\u00ed do registru, pos\u00edlaj\u00ed n\u00e1m videa a\u00a0fotky s\u00a0t\u00edm, \u017ee tam \u010dekaj\u00ed ve front\u011b. Ale jestli je n\u011bkdo vhodn\u00fd pro P\u00e1ju, to bohu\u017eel je\u0161t\u011b nev\u00edme,\u201c dopl\u0148uje Andrea.<\/p>\n

D\u00e1rcem se stane ka\u017ed\u00fd st\u00fd<\/p>\n

Pr\u00e1v\u011b pacienti s\u00a0leuk\u00e9mi\u00ed pot\u0159ebuj\u00ed transplantaci kostn\u00ed d\u0159en\u011b nej\u010dast\u011bji. Jedin\u00e1 mo\u017enost to b\u00fdv\u00e1 i\u00a0pro pacienty se zhoubn\u00fdmi n\u00e1dory, t\u011b\u017ek\u00fdmi \u00fatlumy krvetvorby a\u00a0dal\u0161\u00edmi v\u00e1\u017en\u00fdmi nemocemi.<\/p>\n

V asi \u010dtvrtin\u011b p\u0159\u00edpad\u016f se poda\u0159\u00ed naj\u00edt d\u00e1rce v\u00a0rodin\u011b. Ostatn\u00ed jsou odk\u00e1zan\u00ed na dobrovoln\u00e9 d\u00e1rce zapsan\u00e9 v\u00a0jednom z\u00a080\u00a0registr\u016f po cel\u00e9m sv\u011bt\u011b.<\/p>\n

\u0160ance, \u017ee ke shod\u011b mezi pacientem a\u00a0dobrovoln\u00edkem dojde, je pom\u011brn\u011b mal\u00e1 – re\u00e1ln\u011b daruje p\u0159ibli\u017en\u011b procento ze v\u0161ech zapsan\u00fdch. \u201eRegistrace k\u00a0n\u00e1m je vlastn\u011b takov\u00fd mor\u00e1ln\u00ed z\u00e1vazek, \u017ee kdyby n\u011bkde na sv\u011bt\u011b onemocn\u011bl \u010dlov\u011bk se stejn\u00fdmi \u010di velmi podobn\u00fdmi transplanta\u010dn\u00edmi znaky, jsem tu pro n\u011bj a\u00a0jsem ochoten darovat nezi\u0161tn\u011b kousek sebe,\u201c vysv\u011btluje Jindra.<\/p>\n

Registry d\u00e1rc\u016f kostn\u00ed d\u0159en\u011b v\u00a0\u010ceskuje ve v\u011bku od 18 do 35, pop\u0159. 40 let,m\u00e1 v\u00fdborn\u00fd zdravotn\u00ed stav,nebere trvale l\u00e9ky a nepodstupuje l\u00e9\u010dbu (s v\u00fdjimkou antikoncepce),jeho hmotnost je v\u00edce ne\u017e 50 kilogram\u016f,m\u00e1 ve\u0159ejn\u00e9 zdravotn\u00ed poji\u0161t\u011bn\u00ed platn\u00e9 v \u010cesku.<\/p>\n

V\u0161echny p\u0159\u00edpady bohu\u017eel nekon\u010d\u00ed dob\u0159e. \u201eD\u00e1rce ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f najdeme, ale n\u011bkdy nemoc postupuje p\u0159\u00edli\u0161 rychle,\u201c \u0159\u00edk\u00e1 mluv\u010d\u00ed \u010cesk\u00e9ho n\u00e1rodn\u00edho registru d\u00e1rc\u016f d\u0159en\u011b Kl\u00e1ra Conkov\u00e1.<\/p>\n

P\u0159ibli\u017en\u011b pro ka\u017ed\u00e9ho \u010dtvrt\u00e9ho pacienta se d\u00e1rce nepoda\u0159\u00ed naj\u00edt v\u010das.<\/p>\n

<\/a><\/p>\n

Registr je proto pot\u0159eba roz\u0161i\u0159ovat. V\u00a0\u010desk\u00e9m registru je aktu\u00e1ln\u011b p\u0159ibli\u017en\u011b 160\u00a0tis\u00edc lid\u00ed, po cel\u00e9m sv\u011bt\u011b jich je pak t\u00e9m\u011b\u0159 44\u00a0milion\u016f. V\u0161echny registry na sv\u011bt\u011b jsou propojeny a\u00a0spolupracuj\u00ed, ka\u017ed\u00fd d\u00e1rce je k\u00a0dispozici pro ka\u017ed\u00e9ho pacienta.<\/p>\n

\u201eZ\u00a0\u010deho vyb\u00edrat, tak je. Samoz\u0159ejm\u011b ale plat\u00ed, \u017ee \u010d\u00edm v\u00edc lid\u00ed v\u00a0datab\u00e1zi bude, t\u00edm vy\u0161\u0161\u00ed \u0161anci dostanou v\u0161ichni pacienti,\u201c \u0159\u00edk\u00e1 Conkov\u00e1.<\/p>\n

\u201eNejde o\u00a0\u017e\u00e1dnou ostrou bolest\u201c<\/p>\n

Pokud se poda\u0159\u00ed naj\u00edt shodu mezi pacientem a\u00a0potenci\u00e1ln\u00edm d\u00e1rcem, dan\u00e9ho \u010dlov\u011bka \u010dek\u00e1 s\u00e9rie vy\u0161et\u0159en\u00ed. N\u00e1sledn\u011b si m\u016f\u017ee vybrat mezi dv\u011bma zp\u016fsoby odebr\u00e1n\u00ed krvetvorn\u00fdch bun\u011bk.<\/p>\n

Prvn\u00ed mo\u017enost\u00ed je klasick\u00e9 ods\u00e1t\u00ed jehlou z\u00a0p\u00e1nevn\u00ed kosti, d\u00e1rce je b\u011bhem toho pod nark\u00f3zou. Nov\u011bj\u0161\u00ed metodou je pak separace t\u011bchto bun\u011bk p\u0159\u00edmo z\u00a0krve, co\u017e je velmi podobn\u00e9 jako darov\u00e1n\u00ed plazmy.<\/p>\n

\u201eP\u0159ipoj\u00edme v\u00e1s na p\u0159\u00edstroj zvan\u00fd separ\u00e1tor, z\u00a0jedn\u00e9 ruky v\u00e1m krev bereme, v\u00a0separ\u00e1toru si odebereme krvetvorn\u00e9 bu\u0148ky a\u00a0do druh\u00e9 ruky v\u00e1m krev zase vr\u00e1t\u00edme. Tento druh\u00fd zp\u016fsob je bez nark\u00f3zy, ale zase vy\u017eaduje n\u011bkolikadenn\u00ed stimulaci krvetvorn\u00fdch bun\u011bk pomoc\u00ed podko\u017en\u00edch injekc\u00ed s\u00a0takzvan\u00fdm r\u016fstov\u00fdm faktorem,\u201c popisuje. D\u00e1rce mus\u00ed vydr\u017eet na takzvan\u00e9m separ\u00e1toru t\u0159i a\u017e \u010dty\u0159i hodiny.<\/p>\n

<\/a><\/p>\n

Jednou z\u00a0nej\u010dast\u011bj\u0161\u00edch obav potenci\u00e1ln\u00edch d\u00e1rc\u016f je bolest z\u00a0odb\u011bru. Proces je dnes ale v\u00fdrazn\u011b \u0161etrn\u011bj\u0161\u00ed ne\u017e d\u0159\u00edve.<\/p>\n

\u201ePo odb\u011bru z\u00a0kosti p\u00e1nevn\u00ed popisuj\u00ed d\u00e1rci, \u017ee je bol\u00ed m\u00edsto vpichu stejn\u011b, jako kdyby dosedli na led nebo je n\u011bkdo nakopl. Nejde o\u00a0\u017e\u00e1dnou ostrou bolest, sp\u00ed\u0161e pocit jako po n\u00e1razu. U\u00a0t\u00e9 separace nemluv\u00ed o\u00a0bolesti, to je sp\u00ed\u0161e zdlouhav\u00e9 a\u00a0pro n\u011bkoho to m\u016f\u017ee b\u00fdt nep\u0159\u00edjemn\u00e9,\u201c popisuje Jindra.<\/p>\n

Podle n\u011bj m\u00e1 \u010cesko nejefektivn\u011bj\u0161\u00ed registry na sv\u011bt\u011b. Prostor pro zlep\u0161ov\u00e1n\u00ed v\u0161ak vid\u00ed st\u00e1le, inspirac\u00ed m\u016f\u017ee b\u00fdt t\u0159eba sousedn\u00ed N\u011bmecko. \u201eV\u00a0N\u011bmecku je toti\u017e na po\u010det obyvatel zaregistrov\u00e1n ka\u017ed\u00fd zhruba dev\u00e1t\u00fd \u010dlov\u011bk, u\u00a0n\u00e1s je to ka\u017ed\u00fd osmdes\u00e1t\u00fd. Kam se posouvat, tedy st\u00e1le m\u00e1me,\u201c uzav\u00edr\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"\u201eOd lo\u0148sk\u00e9ho \u0159\u00edjna mi nep\u0159i\u0161la \u017e\u00e1dn\u00e1 dobr\u00e1 zpr\u00e1va. Chod\u00ed jen sam\u00e9 \u0161patn\u00e9,\u201c \u0159\u00edk\u00e1 \u0161estat\u0159icetilet\u00fd Pavel Tes\u00e1rek. Na podzim…\n","protected":false},"author":2,"featured_media":57479,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[43,42,41,40,7227,20389,20387,20388,4506,14363],"class_list":{"0":"post-57478","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cesko","8":"tag-ceska-republika","9":"tag-cesko","10":"tag-czech-republic","11":"tag-czechia","12":"tag-darce","13":"tag-darcovstvi-kostni-drene","14":"tag-kostni-dren","15":"tag-leukemie","16":"tag-onemocneni","17":"tag-registr"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116418836449467671","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/57478","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/comments?post=57478"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/57478\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/57479"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=57478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=57478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=57478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}