{"id":7334,"date":"2026-01-31T05:59:59","date_gmt":"2026-01-31T03:59:59","guid":{"rendered":"https:\/\/www.schooler.org.ua\/uk-uashtuchni-legeni-pidtrimujut-patsiyenta-protjagom-48-godin\/"},"modified":"2026-01-31T05:59:59","modified_gmt":"2026-01-31T03:59:59","slug":"uk-uashtuchni-legeni-pidtrimujut-patsiyenta-protjagom-48-godin","status":"publish","type":"post","link":"https:\/\/www.schooler.org.ua\/cs\/uk-uashtuchni-legeni-pidtrimujut-patsiyenta-protjagom-48-godin\/","title":{"rendered":"Um\u011bl\u00e9 pl\u00edce podporuj\u00ed pacienta po dobu 48 hodin a dl\u00e1\u017ed\u00ed cestu k transplantaci"},"content":{"rendered":"

Hrudn\u00ed chirurg z Northwestern Memorial Hospital Ankit Bharat vzpom\u00edn\u00e1 na p\u0159\u00edpad z roku 2023, kdy byl 33let\u00fd pacient s ch\u0159ipkou na pokraji smrti kv\u016fli t\u011b\u017ek\u00e9 infekci Pseudomonas. Mu\u017e\u016fv stav se rychle zhor\u0161oval: selh\u00e1valy mu ledviny, t\u00e9m\u011b\u0159 nefungovalo srdce a pl\u00edce se plnily tekutinou a hnisem. Po z\u00e1stav\u011b srdce \u010delili l\u00e9ka\u0159i kritick\u00e9 v\u00fdzv\u011b: pacient pot\u0159eboval dvojitou transplantaci plic, ale byl na z\u00e1krok p\u0159\u00edli\u0161 slab\u00fd. <\/p>\n

Standardn\u00ed podpora \u017eivota, mimot\u011bln\u00ed membr\u00e1nov\u00e1 oxygenace (ECMO), vy\u017eaduje funguj\u00edc\u00ed pl\u00edce, aby fungovaly efektivn\u011b. Bez nich nem\u016f\u017ee syst\u00e9m spr\u00e1vn\u011b okysli\u010dit krev. Bharat a jeho t\u00fdm vyvinuli experiment\u00e1ln\u00ed \u0159e\u0161en\u00ed \u2013 syst\u00e9m \u201eum\u011bl\u00fdch plic\u201c navr\u017een\u00fd tak, aby obe\u0161el selh\u00e1vaj\u00edc\u00ed org\u00e1ny pacienta. Tento syst\u00e9m v podstat\u011b slou\u017eil jako most, pumpoval krev z prav\u00e9 strany srdce, aby ji okysli\u010dil a dodal do zbytku t\u011bla. <\/p>\n

Kl\u00ed\u010dovou inovac\u00ed byl syst\u00e9m s uzav\u0159enou smy\u010dkou:<\/strong> Krev proch\u00e1zela *um\u011bl\u00fdmi pl\u00edcemi a pot\u00e9 se vr\u00e1tila do prav\u00e9 \u010d\u00e1sti srdce, \u010d\u00edm\u017e napodobovala p\u0159irozenou cirkulaci. T\u00edm se zabr\u00e1nilo \u201eucp\u00e1n\u00ed\u201c, jak popsal Bharat, co\u017e umo\u017enilo nep\u0159etr\u017eit\u00fd pr\u016ftok krve. Syst\u00e9m podporoval pacienta cel\u00e9 dva dny, co\u017e umo\u017enilo jeho t\u011blu, aby se za\u010dalo zotavovat z infekce. <\/p>\n

\n

“Bylo to skoro jako zru\u0161en\u00ed kletby,” \u0159ekl Bharat. “A najednou se v\u0161echno za\u010dalo hojit.” <\/p>\n<\/blockquote>\n

N\u011bkolik hodin po stabilizaci byly pacientovi nab\u00eddnuty d\u00e1rce plic. Po n\u011bkolika t\u00fddnech zotavov\u00e1n\u00ed byl propu\u0161t\u011bn, oslaben\u00fd, ale \u017eiv\u00fd. Po v\u00edce ne\u017e dvou letech se st\u00e1le c\u00edt\u00ed dob\u0159e. <\/p>\n

P\u0159esto\u017ee byly podobn\u00e9 koncepty studov\u00e1ny ji\u017e d\u0159\u00edve, podle profesora z Duke University Matthew Hartwiga p\u0159edstavuje Bharatova metoda \u201enov\u00fd p\u0159\u00edstup\u201c k dlouhodob\u00e9mu probl\u00e9mu v intenzivn\u00ed p\u00e9\u010di. Jeho t\u00fdm publikoval sv\u00e9 metody otev\u0159en\u011b v \u010dasopise Med<\/em>, aby ostatn\u00ed nemocnice mohly syst\u00e9m replikovat. Je to potenci\u00e1ln\u011b \u017eivot zachra\u0148uj\u00edc\u00ed n\u00e1stroj pro pacienty p\u0159\u00edli\u0161 nemocn\u00e9 na tradi\u010dn\u00ed l\u00e9\u010dbu. <\/p>\n

Kone\u010dn\u00fdm c\u00edlem je zv\u00fd\u0161it p\u0159\u00edstup k t\u00e9to technologii, abyste dos\u00e1hli v\u00edce \u00fasp\u011bch\u016f, jako je tento. I z\u00e1chrana jedin\u00e9ho \u017eivota nav\u00edc by byla v\u00fdznamn\u00fdm v\u00edt\u011bzstv\u00edm.<\/p>\n","protected":false},"excerpt":{"rendered":"

Hrudn\u00ed chirurg z Northwestern Memorial Hospital Ankit Bharat vzpom\u00edn\u00e1 na p\u0159\u00edpad z roku 2023, kdy byl 33let\u00fd pacient s ch\u0159ipkou na pokraji smrti kv\u016fli t\u011b\u017ek\u00e9 infekci Pseudomonas. Mu\u017e\u016fv stav se rychle zhor\u0161oval: selh\u00e1valy mu ledviny, t\u00e9m\u011b\u0159 nefungovalo srdce a pl\u00edce se plnily tekutinou a hnisem. Po z\u00e1stav\u011b srdce \u010delili l\u00e9ka\u0159i kritick\u00e9 v\u00fdzv\u011b: pacient pot\u0159eboval dvojitou […]<\/p>\n","protected":false},"author":1,"featured_media":7333,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":""},"categories":[1],"tags":[],"wpm_language_slugs":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/posts\/7334"}],"collection":[{"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/comments?post=7334"}],"version-history":[{"count":0,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/posts\/7334\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/media\/7333"}],"wp:attachment":[{"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/media?parent=7334"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/categories?post=7334"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/tags?post=7334"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}