{"id":3332,"date":"2010-04-02T21:41:47","date_gmt":"2010-04-02T19:41:47","guid":{"rendered":"https:\/\/sandzakpress.net\/arhiva\/?p=3332"},"modified":"2010-04-02T21:41:47","modified_gmt":"2010-04-02T19:41:47","slug":"prezivio-pucanje-srca-napola","status":"publish","type":"post","link":"https:\/\/sandzakpress.net\/arhiva\/prezivio-pucanje-srca-napola\/","title":{"rendered":"Pre\u017eivio pucanje srca napola"},"content":{"rendered":"

\"\"<\/a>Tutin – \u0160ezdeset\u010detvorogodi\u0161nji D\u017eeladin Sulji\u0107 iz Tutina spada u retku grupu sre\u0107nika koji su pre\u017eivjeli najte\u017eu komplikaciju infarkta miokarda – lai\u010dki re\u010deno pucanje srca napola. Ovako ne\u0161to se ne de\u0161ava svaki dan – godi\u0161nje dva do tri pacijenta. Malo ko od njih pre\u017eivi.<\/strong><\/p>\n

Dr Slobodan Mi\u0107ovi\u0107, kardiohirurg Instituta za kardiovaskularne bolesti \u201eDedinje\u201c, koji je operisao D\u017eeladina, ka\u017ee da je pacijent imao sre\u0107e jer u prva dva do tri dana 75 odsto ljudi umre zbog ovog problema.
\nPucanje pregrade izme\u0111u lijevog i desnog srca de\u0161ava se nakon infarkta u samo jedan do dva odsto slu\u010dajeva. I to se naj\u010de\u0161\u0107e de\u0161ava nakon tri dana od infarkta. Zabilje\u017eene su i situacije gdje se ova komplikacija desila i nakon 14 dana od infarkta. \u010cesto je smrtonosno i jedini spas je operacija. Me\u0111utim, i smrtnost od operacija je velika i iznosi 20 do 30 odsto.<\/p>\n

A \u0161ta se ta\u010dno de\u0161avalo sa D\u017eeladinom?
\n– U januaru je imao infarkt miokarda. Tri dana nakon toga do\u0161lo je do pucanja pregrade izme\u0111u lijevog i desnog srca. Istog trenutka po\u010dela je da se mije\u0161a krv koja je oboga\u0107ena kiseonikom i krv koja nema kiseonik. Tkiva i \u0107elije su patili jer nisu dobijale hranu – po\u010dinje pri\u010du dr Mi\u0107ovi\u0107, kome je ovo drugi pacijent sa ovom dijagnozom koga je tako\u0111er uspje\u0161no operisao.<\/p>\n

Kardiolog iz Tutina obi\u010dnim slu\u0161alicama ustanovio je \u0161ta se de\u0161ava kod D\u017eeladina. Jasni otkucaji srca zamijenjeni su \u0161umom. Zahvaljuju\u0107i ultrazvuku, dijagnoza je potvr\u0111ena i pacijent je hitno preba\u010den u Institut \u201eDedinje\u201c.
\n– Do\u0161ao je kod nas u izuzetno te\u0161kom stanju, razmatrali smo zatvaranje te rupe na jedan na\u010din pomo\u0107u \u017eica, ali to nije bilo mogu\u0107e uraditi. Zbog toga smo bolesnika prebacili u intenzivnu njegu na nekoliko dana, da bismo mu stabilizovali osnovne \u017eivotne parametre. Kad su se stekli uslovi, uveden je u operacionu salu. I tada je bio u te\u0161kom stanju. Preko tri litra te\u010dnosti imao je oko plu\u0107nih krila. Zbog toga je jedva disao – obja\u0161njava dr Mi\u0107ovi\u0107.<\/p>\n

Operacija je trajala oko sedam sati. Ovakve intervencije se ina\u010de rade u na\u0161oj zemlji, ali po ne\u010demu operacija kod D\u017eeladina je bila specifi\u010dna.
\n– Prvi put je u\u010dinjena kombinacija operacije, zatvaranja tog mjesta koje je puklo i rekonstrukcije leve komore. Koristili smo vje\u0161ta\u010dki materijal (pe\u010d) koji smo u\u0161ili na mjestu rupe. Nakon toga smo uzeli jo\u0161 jedan pe\u010d i stavili ga naspram prvog. Na taj na\u010din smo isklju\u010dili taj dio srca iz cirkulacije i to je omogu\u0107ilo da se funkcija njegovog sr\u010danog mi\u0161i\u0107a popravi. Tako smo obezbjedili da se mije\u0161anje krvi ponovo ne desi – isti\u010de dr Mi\u0107ovi\u0107.<\/p>\n

Sa starim na\u010dinom intervencije, kako ka\u017ee dr Mi\u0107ovi\u0107, de\u0161avalo se da se rupe ponovo otvore i to u 50 odsto slu\u010dajeva. Novom tehnikom to se ne\u0107e desiti.
\nNakon operacije, po\u0161to mu je srce bilo jo\u0161 slabo, D\u017eeladin je 48 sati bio priklju\u010den na intraortnu balon pumpu. Ona je potpomagala sr\u010dani rad.
\nDr Borislav Krivokapi\u0107, na\u010delnik intenzivne njege gdje je D\u017eeladin le\u017eao dva mjeseca, ka\u017ee da je bio u izuzetno kriti\u010dnom stanju.
\n– Ovakvom pacijentu jedinom mo\u017eemo pomo\u0107i najsavremenijim metoda. Su\u0161tina njegovog lije\u010denja je bila da se sprije\u010de komplikacije za koje znamo da mogu da se dese. A u njegovom slu\u010daju ih je bilo mnogo. Samo zahvaljuju\u0107i timskom radu i vi\u0161egodi\u0161njem iskustvu smo uspeli da ga spasemo – isti\u010de dr Krivokapi\u0107.<\/p>\n

D\u017eeladin Sulji\u0107, koji je ju\u010der otpu\u0161ten iz bolnice, jedino \u0161to je uspeo da ka\u017ee bilo je:
\n– Sretan sam i neizmjerno zahvalan ljekarima.<\/p>\n

Izvor: Blic.rs<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Tutin – \u0160ezdeset\u010detvorogodi\u0161nji D\u017eeladin Sulji\u0107 iz Tutina spada u retku grupu sre\u0107nika koji su pre\u017eivjeli najte\u017eu komplikaciju infarkta miokarda – lai\u010dki re\u010deno pucanje srca napola. Ovako ne\u0161to se ne de\u0161ava svaki dan – godi\u0161nje dva do tri pacijenta. Malo ko od njih pre\u017eivi. Dr Slobodan Mi\u0107ovi\u0107, kardiohirurg Instituta za kardiovaskularne bolesti \u201eDedinje\u201c, koji je operisao […]<\/p>\n","protected":false},"author":83,"featured_media":3333,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":{"0":"post-3332","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-drustvo"},"yoast_head":"\nPre\u017eivio pucanje srca napola<\/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:\/\/sandzakpress.net\/arhiva\/prezivio-pucanje-srca-napola\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pre\u017eivio pucanje srca napola\" \/>\n<meta property=\"og:description\" content=\"Tutin – \u0160ezdeset\u010detvorogodi\u0161nji D\u017eeladin Sulji\u0107 iz Tutina spada u retku grupu sre\u0107nika koji su pre\u017eivjeli najte\u017eu komplikaciju infarkta miokarda – lai\u010dki re\u010deno pucanje srca napola. Ovako ne\u0161to se ne de\u0161ava svaki dan – godi\u0161nje dva do tri pacijenta. Malo ko od njih pre\u017eivi. Dr Slobodan Mi\u0107ovi\u0107, kardiohirurg Instituta za kardiovaskularne bolesti \u201eDedinje\u201c, koji je operisao […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sandzakpress.net\/arhiva\/prezivio-pucanje-srca-napola\/\" \/>\n<meta property=\"og:site_name\" content=\"Sand\u017eak PRESS\" \/>\n<meta property=\"article:published_time\" content=\"2010-04-02T19:41:47+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sandzakpress.net\/arhiva\/wp-content\/uploads\/2010\/04\/dzemaludin-srce-iz-tutina.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"470\" \/>\n\t<meta property=\"og:image:height\" content=\"270\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"bosniak\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"bosniak\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading 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Ovako ne\u0161to se ne de\u0161ava svaki dan – godi\u0161nje dva do tri pacijenta. Malo ko od njih pre\u017eivi. 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