Podrien haver vençut la sida després d’un trasplantament de moll de l’os

l’administració continuada d’una teràpia antiretroviral, que protegeix les cèl·lules provinents del donant d’infectar-se del virus mentre eliminen i substitueixen les cèl·lules del pacient és efectiva per eliminar el virus dels limfòcits de la sang dels pacients”. Continua llegint

Metges de l’Hospital de Manises reimplanten els dos peus a un nen de 10 anys

anunci.info València 324.cat.- L’equip del cirurgià Pedro Cavadas ha aconseguit reimplantar els dos peus a un nen de 10 anys. El menor va tenir un accident de trànsit el juny passat. La furgoneta en què viatjava es va sortir de la carretera, l’AP-7, a l’altura de Benicarló. El menor va tenir “lesions catastròfiques” a les cames.

Després de l’accident, el nen va ser traslladat a l’Hospital La Fe de València. Com les ferides eren tan greus el van derivar a l’Hospital de Manises, que disposa d’un Centre de Traumatismes, dirigit per cirurgià Pedro Cavadas. Aquest centre, on es va fer l’operació, segueix el model nord-americà d’un “Trauma Center” amb disponibilitat immediata del personal especialitzat, equips i tractaments per a les lesions més complexes. La intervenció va durar sis hores i mitja i va consistir a reimplantar de manera seqüencial els dos peus.

En roda de premsa, el cirurgià Pedro Cavadas ha assegurat que es tracta d’un cas “inhabitual, ja que el menor presentava una amputació de les dues cames a l’alçada dels turmells. La majoria d’equips quirúrgics optarien per tancar les ferides i posar unes pròtesis en comptes de realitzar un reimplant, que es menys costos i millora a llarg termini la qualitat de vida del pacient.

El cirurgià ha explicat que el nen evoluciona bé. Tot i això, caldrà fer-li noves operacions allargant-li la tíbia d’una de les cames i també caldrà esperar que l’esquelet es consolidi perquè pugui carregar pes. Cavadas ha afirmat que el menor “perdrà moviment en un turmell perquè ha perdut una de les articulacions”. Tot i això, el metge calcula que en uns sis mesos podria estar caminant sense ajuda. El resultat “no es pot comparar amb una cama normal, sinó amb l’alternativa, que és una pròtesi per tota la vida”.

No és primera vegada que l’equip de Pedro Cavadas realitza un reimplantament. El juliol de 2011, Cavadas va fer a l’Hospital La Fe de València el primer trasplantament bilateral de cames del món. Al 2009 va fer-ne un altre de cara, que va incloure la mandíbula i la llengua i al 2006 va aconseguir el primer trasplantament d’avantbraços i mans a una dona.

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L’Hospital de Bellvitge implanta un cor artificial amb èxit i permet fer vida normal al pacient

anunci.info L’Hospitalet de Llobregat 324.cat.- Els metges de l’Hospital Universitari de Bellvitge han implantat per primera vegada a Catalunya un cor artificial que permet que el pacient pugui fer vida normal. L’operació es va fer el mes de novembre passat i el pacient ha estat donat d’alta i viu amb tota normalitat fora del centre hospitalari.

Eufemio García, de 57 anys afectat per una insuficiència cardíaca, no podia rebre un cor trasplantat a curt termini, a causa d’altres problemes de salut. Finalment, li han implantat aquest cor artificial que funciona amb unes bateries. El dispositiu és una turbina que complementa la funció de bomba que fa el ventricle esquerre del cor. Aquest cor artificial està connectat amb un dispositiu exterior on hi ha les bateries i que porta el pacient penjat d’una petita motxilla.

Tres mesos després, el pacient, de 57 anys i que va haver d’abandonar la seva feina de policia local a Castellar del Vallès fa 14 anys pels problemes al cor, ha explicat que es troba molt millor, que pot caminar una mica més sense cansar-se o estirar-se al llit, després d’haver passat les nits dels últims mesos en blanc. De fet, l’únic que no pot fer és banyar-se a la piscina per evitar que es danyi la part exterior del sistema.

Els metges preveuen que l’aparell duri almenys dos anys i que després el pacient pugui rebre el cor d’un donant. Es tracta d’un avenç molt important per a tots aquells malalts amb insuficiències cardíaques molt greus.

L’Hospital de Bellvitge, centre d’excel·lència en l’àmbit de la cardiologia amb 19 trasplantaments de cor el 2011, ha estat durant anys implantant dispositius mecànics en cors, però s’insereixen de forma temporal, normalment per a un termini no superior a un mes, a l’espera que aparegui un donant compatible.

A Bellvitge, al voltant del 40% dels pacients amb insuficiència cardíaca avançada ja se’ls implanta un mecanisme d’assistència ventricular temporal com a pas previ al trasplantament d’un cor de donant. Al juny del 2007, metges de Bellvitge van implantar ja un cor artificial, anomenat també de llarga durada, que va permetre a la receptora fer vida normal durant quatre mesos. Quan va recuperar la funció cardíaca, el dispositiu va ser retirat.

El cas d’Eufemio és diferent perquè és el primer pacient a Catalunya que fa vida normal amb una assistència ventricular mecànica de llarga durada, ja que aquest cop el dispositiu estarà implantat durant almenys tres anys.

Arreu del món hi ha més de 5.000 persones amb aquest tipus de dispositiu implantat, però a Espanya és un fenomen nou, amb només dos casos anteriors al de Bellvitge: el primer a Madrid i el segon a Còrdova.

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