{"id":101048,"date":"2026-06-18T12:45:08","date_gmt":"2026-06-18T12:45:08","guid":{"rendered":"https:\/\/www.europesays.com\/sk\/101048\/"},"modified":"2026-06-18T12:45:08","modified_gmt":"2026-06-18T12:45:08","slug":"vdaka-izolacii-obehu-krvi-koncatiny-nemusia-lekari-pristupit-k-amputacii","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/sk\/101048\/","title":{"rendered":"V\u010faka izol\u00e1cii obehu krvi kon\u010datiny nemusia lek\u00e1ri prist\u00fapi\u0165 k amput\u00e1cii"},"content":{"rendered":"

PRAHA – V\u010faka izol\u00e1cii krvn\u00e9ho obehu kon\u010datiny nemusia lek\u00e1ri u pacientov s n\u00e1dorom m\u00e4kk\u00fdch tkan\u00edv, takzvan\u00fdm sark\u00f3mom, v niektor\u00fdch pr\u00edpadoch prist\u00fapi\u0165 k amput\u00e1cii. Do izolovan\u00e9ho tkaniva aplikuj\u00fa vysok\u00e9 d\u00e1vky lie\u010div, \u010do m\u00f4\u017ee vies\u0165 k zmen\u0161eniu n\u00e1doru, ktor\u00fd umo\u017en\u00ed oper\u00e1ciu bez amput\u00e1cie. O novej mo\u017enosti lie\u010dby, ktor\u00e1 je pod\u013ea doteraj\u0161\u00edch d\u00e1t \u00faspe\u0161n\u00e1 u \u0161tyroch z piatich pacientov, dnes v tla\u010dovej spr\u00e1ve informovala 1. lek\u00e1rska fakulta Univerzity Karlovej.<\/p>\n

\t\t\t\tAgres\u00edvne n\u00e1dory kon\u010dat\u00edn<\/p>\n

Sark\u00f3my m\u00e4kk\u00fdch tkan\u00edv patria medzi agres\u00edvne zhubn\u00e9 n\u00e1dory, ktor\u00e9 vznikaj\u00fa vo svaloch, tukovom tkanive, v\u00e4zive a \u010fal\u0161\u00edch m\u00e4kk\u00fdch tkaniv\u00e1ch. M\u00f4\u017eu za\u010da\u0165 r\u00e1s\u0165 kdeko\u013evek v tele, ale naj\u010dastej\u0161ie sa objavuj\u00fa v doln\u00fdch kon\u010datin\u00e1ch. Pod\u013ea od odborn\u00edkov ich mo\u017eno m\u00e1lokedy vylie\u010di\u0165 chemoterapiou alebo o\u017earovan\u00edm, v\u00e4\u010d\u0161inou d\u00f4jde na chirurgick\u00e9 odstr\u00e1nenie, takzvan\u00fa resekciu.<\/p>\n

\t
\n\t\t\"Ilustra\u010dn\u00e9\t\t\t<\/p>\n

\n\t\t\t\tZobrazi\u0165 gal\u00e9riu (3)\t\t\t<\/p>\n

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

Ilustra\u010dn\u00e9 foto\t\u00a0(Zdroj: Getty Images)<\/p>\n

„Ke\u010f ale vid\u00edme, \u017ee n\u00e1dor nep\u00f4jde resekova\u0165 bez toho, aby sme po\u0161kodili kon\u010datinu alebo ju museli amputova\u0165, znova sa v t\u00edme rozhodujeme, \u010do \u010falej. Jednou z mo\u017enost\u00ed je pok\u00fasi\u0165 sa n\u00e1dor zmen\u0161i\u0165 pomocou izolovanej perf\u00fazie,“ op\u00edsal ved\u00faci Komplexn\u00e9ho centra pre ortopedick\u00fa lie\u010dbu n\u00e1dorov pohybov\u00e9ho apar\u00e1tu. Bulovka J\u00e1n Lesensk\u00fd.<\/p>\n

Met\u00f3da umo\u017e\u0148uje do kon\u010datiny bezpe\u010dne aplikova\u0165 lie\u010div\u00e1 v nieko\u013ekon\u00e1sobne vy\u0161\u0161\u00edch d\u00e1vkach. Samotn\u00fa oper\u00e1ciu potom vykon\u00e1vaj\u00fa lek\u00e1ri na II. chirurgickej klinike \u2013 klinike kardiovaskul\u00e1rnej chirurgie 1. LF UK a V\u0161eobecnej fakultnej nemocnice (VFN).<\/p>\n

Zlo\u017eit\u00fd opera\u010dn\u00fd z\u00e1krok<\/p>\n

„Najprv vypreparujeme tepnu a \u017eilu, ktor\u00e9 z\u00e1sobuj\u00fa n\u00e1dor, zavedieme do nich perf\u00fazne kanyly, ktor\u00e9 pripoj\u00edme k okruhu mimotelov\u00e9ho obehu,“ op\u00edsal v\u00fdkon prim\u00e1r kliniky Miroslav \u0160pa\u010dek. Potom za\u0161krten\u00edm ruku izoluj\u00fa od ostatn\u00e9ho krvn\u00e9ho obehu, zahrievaj\u00fa ju, \u010do efekt lie\u010dby podpor\u00ed, a podaj\u00fa vysok\u00e9 d\u00e1vky liekov a chemoterapiu. „Cel\u00e1 oper\u00e1cia trv\u00e1 asi tri hodiny,“ dodal.<\/p>\n

\u010ci je ruka plne oddelen\u00e1 od krvn\u00e9ho obehu tela, lek\u00e1ri sleduj\u00fa pomocou nukle\u00e1rnej medic\u00edny a detekcie \u017eiarenia gama \u0161peci\u00e1lnou sondou umiestnenou nad srdcom pacienta. „Do syst\u00e9mov\u00e9ho obehu pacienta najprv aplikujeme mal\u00e9 mno\u017estvo r\u00e1diofarmaka, ktor\u00e9 sonda dok\u00e1\u017ee zachyti\u0165. Radovo v\u00e4\u010d\u0161ie mno\u017estvo tejto stopovacej l\u00e1tky potom aplikujeme do izolovan\u00e9ho obehu kon\u010datiny,“ op\u00edsal Ji\u0159\u00ed Trnka z Oddelenia lek\u00e1rskej fyziky a radia\u010dnej ochrany VFN. Pokia\u013e by l\u00e1tka unikala z kon\u010datiny, sonda by to dok\u00e1zala zachyti\u0165.<\/p>\n

\t
\n\t\t\"Ilustra\u010dn\u00e9\t\t\t<\/p>\n

\n\t\t\t\tZobrazi\u0165 gal\u00e9riu (3)\t\t\t<\/p>\n

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

Ilustra\u010dn\u00e9 foto\t\u00a0(Zdroj: Getty Images)<\/p>\n

\u00da\u010dinok sa \u010dak\u00e1 t\u00fd\u017edne<\/p>\n

Pokia\u013e po lie\u010dbe d\u00f4jde k zmen\u0161eniu n\u00e1doru, zvy\u010dajne to trv\u00e1 \u0161es\u0165 a\u017e osem t\u00fd\u017ed\u0148ov, lek\u00e1ri m\u00f4\u017eu pacientovi \u010falej pod\u00e1va\u0165 aj chemoterapiu. „Nie sme schopn\u00ed spo\u013eahlivo odhadn\u00fa\u0165, ktor\u00fd n\u00e1dor ako zareaguje. Ale m\u00e1me s t\u00fdm dobr\u00fa sk\u00fasenos\u0165 a drviv\u00e1 v\u00e4\u010d\u0161ina pacientov zareaguje priaznivo,“ dodal Lesensk\u00fd.<\/p>\n

Pod\u013ea prednostu Onkologickej kliniky 1. LF UK a VFN Michala Vo\u010dky ukazuj\u00fa publikovan\u00e9 d\u00e1ta zo zhruba 130 oper\u00e1ci\u00ed zachovania kon\u010datiny u \u0161tyroch z piatich pacientov, kde lek\u00e1ri zva\u017eovali amput\u00e1ciu. „Hlavn\u00fdm preuk\u00e1zan\u00fdm pr\u00ednosom je teda lok\u00e1lna kontrola a zachovanie kon\u010datiny, nie jednozna\u010dn\u00e9 pred\u013a\u017eenie celkov\u00e9ho pre\u017eitia. To u t\u00fdchto ochoren\u00ed z\u00e1vis\u00ed hlavne na syst\u00e9movom priebehu choroby,“ dodal.<\/p>\n","protected":false},"excerpt":{"rendered":"PRAHA – V\u010faka izol\u00e1cii krvn\u00e9ho obehu kon\u010datiny nemusia lek\u00e1ri u pacientov s n\u00e1dorom m\u00e4kk\u00fdch tkan\u00edv, takzvan\u00fdm sark\u00f3mom, v…\n","protected":false},"author":2,"featured_media":101049,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[8],"tags":[4555,33,1629,43,40,42,36,50,10885,49,48,463],"class_list":["post-101048","post","type-post","status-publish","format-standard","has-post-thumbnail","category-svet","tag-cr","tag-news","tag-rakovina","tag-sk","tag-slovak","tag-slovencina","tag-spravy","tag-svet","tag-veda","tag-world","tag-world-news","tag-zdravie"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@sk\/116771181443127623","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts\/101048","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/comments?post=101048"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts\/101048\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/media\/101049"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/media?parent=101048"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/categories?post=101048"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/tags?post=101048"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}