{"id":1244,"date":"2021-11-02T10:14:00","date_gmt":"2021-11-02T09:14:00","guid":{"rendered":"http:\/\/nudch.eu\/zmeni-sa-nam-zivot"},"modified":"2022-12-02T09:25:54","modified_gmt":"2022-12-02T08:25:54","slug":"zmeni-sa-nam-zivot","status":"publish","type":"post","link":"https:\/\/nudch.eu\/en\/zmeni-sa-nam-zivot","title":{"rendered":"Zmen\u00ed sa n\u00e1m \u017eivot"},"content":{"rendered":"

V\u00a0Bratislave 2. novembra\u00a0 2021<\/strong> –<\/strong>\u00a0 Lek\u00e1ri N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b \u00faspe\u0161ne operuj\u00fa pacientov s\u00a0nadmernou l\u00e1mavos\u0165ou kost\u00ed novou unik\u00e1tnou met\u00f3dou, ktor\u00e1 de\u0165om umo\u017en\u00ed sa postavi\u0165 a chodi\u0165 .<\/p>\n

Nov\u00e1 met\u00f3da umo\u017e\u0148uje stabilizova\u0165 kos\u0165 pri diagn\u00f3ze Osteogenesis imperfecta, ktor\u00e1 sa prejavuje zv\u00fd\u0161enou l\u00e1mavos\u0165ou krehk\u00fdch kost\u00ed. Kosti s\u00fa tak\u00e9 n\u00e1chyln\u00e9 na zlomeninu, \u017ee u\u017e pri snahe die\u0165a\u0165a postavi\u0165 sa, alebo pri r\u00fdchlom oto\u010den\u00ed a zdvihnut\u00ed rodi\u010dmi nastane zlomenina. ,,Zlomen\u00e1 kos\u0165 sa s\u00edce dobre hoj\u00ed, ale \u010dasto v\u00a0zlom postaven\u00ed, \u010do vedie k\u00a0deformit\u00e1m,\u201c <\/em>hovor\u00ed o\u00a0v\u00e1\u017enosti ochorenia prof. MUDr. Milan Kokavec, PhD., MPH<\/strong>, prednosta Ortopedickej kliniky LF UK a\u00a0N\u00daDCH.<\/p>\n

,,Nov\u00fd vn\u00fatrodre\u0148ov\u00fd rast\u00faci syst\u00e9m \u00a0fixujeme\u00a0 na dvoch miestach \u2013 v\u00a0epif\u00fdzach dlh\u00fdch kost\u00ed, ktor\u00e9 s\u00fa najbli\u017e\u0161ie ku k\u013abu. Klinec je tak fixovan\u00fd na dvoch miestach a\u00a0s\u00fa\u010dasne pri raste kosti sa aj s\u00e1m ako \u201eversatilka\u201c mechanicky predl\u017euje a vystu\u017euje zvn\u00fatra kos\u0165. Keby \u017ee sa kos\u0165 pri \u00faraze nebodaj zlom\u00ed, je zvn\u00fatra vystu\u017een\u00e1 a\u00a0nedislokuje. T\u00fdm p\u00e1dom netreba po ka\u017edej zlomenine d\u00e1va\u0165 die\u0165a do anest\u00e9zie a\u00a0operova\u0165.<\/em> Ve\u013ekos\u0165 fix\u00e1tora prisp\u00f4sobujeme individu\u00e1lne pre ka\u017ed\u00e9 die\u0165a\u0165a. Pri oper\u00e1cii odmeriame potrebn\u00fa d\u013a\u017eku fix\u00e1tora a\u00a0mus\u00edme zvoli\u0165 aj spr\u00e1vnu \u0161\u00edrku pod\u013ea veku die\u0165a\u0165a,\u201c <\/em>vysvet\u013euje \u010falej prof. Milan Kokavec. Oper\u00e1cia sa m\u00f4\u017ee robi\u0165 vo veku, ke\u010f kosti die\u0165a\u0165a umo\u017e\u0148uj\u00fa syst\u00e9m bezpe\u010dne vlo\u017ei\u0165 dovn\u00fatra kosti. ,,Na\u0161e najmlad\u0161ie die\u0165a operovan\u00e9 tak\u00fdmto syst\u00e9mom malo 3 roky. Pri s\u00fa\u010dasnom u\u017e\u00edvan\u00ed liekov na podporu metabolizmu kost\u00ed dok\u00e1\u017eeme predch\u00e1dza\u0165 zlomenin\u00e1m.\u201c <\/em><\/p>\n

,,Zmen\u00ed sa n\u00e1m \u017eivot,\u201c<\/em><\/strong><\/p>\n

povedala s\u00a0rados\u0165ou mama mal\u00e9ho Dominika.\u00a0 ,,Narodil sa s\u00a0vysokou l\u00e1mavos\u0165ou kost\u00ed a skr\u00e1ten\u00e9 kon\u010datiny a\u00a0deformita kost\u00ed mu neumo\u017e\u0148uj\u00fa chodi\u0165. Pokia\u013e le\u017eal, kosti\u010dky sa mu nel\u00e1mali, ale ke\u010f sme sk\u00fa\u0161ali chodi\u0165, zhruba do dvoch t\u00fd\u017ed\u0148ov sa mu t\u00edbia pod deformitou zlomila. Oper\u00e1cia n\u00e1m dala n\u00e1dej, \u017ee bude chodi\u0165, \u010do je pre n\u00e1s aj Dominika ve\u013ek\u00fd z\u00e1zrak a\u00a0ve\u013ek\u00e1 t\u00fa\u017eba,\u201c<\/em> doplnila Dominikova mama a\u00a0po\u010fakovala lek\u00e1rom a\u00a0sestr\u00e1m za v\u0161etko, \u010do pre nich urobili.<\/p>\n

V\u00a0minulosti lek\u00e1ri tieto stavy rie\u0161ili vn\u00fatrodre\u0148ovou elastickou stabilnou fix\u00e1ciou, ktor\u00e1 sa d\u00e1vala do vn\u00fatra kost\u00ed. Pri raste die\u0165a\u0165a tieto fix\u00e1cie ob\u010das vcestovali dovn\u00fatra\u00a0dre\u0148ovej dutiny a\u00a0ke\u010f neplnili svoju funkciu, \u00a0museli sa pr\u00e1cne vybera\u0165,\u00a0 \u010do bol n\u00e1ro\u010dn\u00fd v\u00fdkon pre pacienta aj lek\u00e1rov. Nov\u00e1 met\u00f3da je tak bezpe\u010dnej\u0161ia a \u0161etrnej\u0161ia k\u00a0pacientom.<\/p>\n

Osteogenesis imperfecta (OI) <\/strong><\/p>\n

Je skupina genetick\u00fdch ochoren\u00ed, ktor\u00e9 ved\u00fa k\u00a0zv\u00fd\u0161enej l\u00e1mavosti kost\u00ed. Medzi pr\u00edznaky, ktor\u00e9 sa vyskytuj\u00fa u\u00a0r\u00f4znych typov (OI) mo\u017eno zaradi\u0165 modr\u00e9 o\u010dn\u00e9 skl\u00e9ry, kr\u00e1tku postavu, stratu sluchu, probl\u00e9my s\u00a0k\u013abmi, d\u00fdchan\u00edm a\u00a0kazivos\u0165 zubov. Ide o\u00a0chorobu spojivov\u00e9ho tkaniva, kde ch\u00fdba kolag\u00e9n typu 1 na podklade mut\u00e1cie g\u00e9nov COLIA 1 alebo COLIA2. Prenos mut\u00e1cie m\u00f4\u017ee by\u0165 od rodi\u010dov, ale m\u00f4\u017ee sa vyskytn\u00fa\u0165 aj spont\u00e1nne. Klinicky rozozn\u00e1vame 4 z\u00e1kladn\u00e9 typy: 1. z\u00e1va\u017en\u00fd, 2. perinat\u00e1lne smrte\u013en\u00fd, 3. s\u00a0progres\u00edvnou deformitou, 4. stredne z\u00e1va\u017en\u00fd.<\/p>\n

V\u00a0s\u00fa\u010dasnosti je zn\u00e1mych 19 g\u00e9nov, ktor\u00e9 zapr\u00ed\u010di\u0148uj\u00fa 21 geneticky dokumentovan\u00fdch typov OI. Mnoh\u00e9 z\u00a0nich s\u00fa v\u0161ak extr\u00e9mne vz\u00e1cne a\u00a0boli zachyten\u00e9 len u\u00a0niektor\u00fdch jedincov. Diagn\u00f3za je \u010dasto postaven\u00e1 na z\u00e1kladn\u00fdch pr\u00edznakoch a\u00a0potvrden\u00e1 biopsiou a\u00a0genetickou sekven\u00e1ciou. Napriek tomu, \u017ee zatia\u013e nie je dostupn\u00e1 kauz\u00e1lna lie\u010dba ochorenia, mnoho pacientov sa do\u017e\u00edva dospel\u00e9ho veku len s\u00a0\u013eahk\u00fdmi obmedzeniami. Lek\u00e1ri odpor\u00fa\u010daj\u00fa zdrav\u00fd \u017eivotn\u00fd \u0161t\u00fdl s\u00a0vyv\u00e1\u017eenou stravou bohatou na vitam\u00edn D a\u00a0v\u00e1pnik.<\/p>\n","protected":false},"excerpt":{"rendered":"

V\u00a0Bratislave 2. novembra\u00a0 2021 –\u00a0 Lek\u00e1ri N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b \u00faspe\u0161ne operuj\u00fa pacientov s\u00a0nadmernou l\u00e1mavos\u0165ou kost\u00ed novou unik\u00e1tnou met\u00f3dou, ktor\u00e1 de\u0165om umo\u017en\u00ed sa postavi\u0165 a chodi\u0165 . Nov\u00e1 met\u00f3da umo\u017e\u0148uje stabilizova\u0165 kos\u0165 pri diagn\u00f3ze Osteogenesis imperfecta, ktor\u00e1 sa prejavuje zv\u00fd\u0161enou l\u00e1mavos\u0165ou krehk\u00fdch kost\u00ed. Kosti s\u00fa tak\u00e9 n\u00e1chyln\u00e9 na zlomeninu, \u017ee u\u017e pri snahe die\u0165a\u0165a postavi\u0165 […]<\/p>\n","protected":false},"author":8,"featured_media":3603,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[78],"tags":[],"yoast_head":"\nZmen\u00ed sa n\u00e1m \u017eivot | National Institute of Children\u2019s Diseases<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nudch.eu\/en\/zmeni-sa-nam-zivot\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Zmen\u00ed sa n\u00e1m \u017eivot | National Institute of Children\u2019s Diseases\" \/>\n<meta property=\"og:description\" content=\"V\u00a0Bratislave 2. novembra\u00a0 2021 –\u00a0 Lek\u00e1ri N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b \u00faspe\u0161ne operuj\u00fa pacientov s\u00a0nadmernou l\u00e1mavos\u0165ou kost\u00ed novou unik\u00e1tnou met\u00f3dou, ktor\u00e1 de\u0165om umo\u017en\u00ed sa postavi\u0165 a chodi\u0165 . 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