{"id":682676,"date":"2026-03-19T03:36:04","date_gmt":"2026-03-19T03:36:04","guid":{"rendered":"https:\/\/microscopemedia.com\/?p=682676"},"modified":"2026-03-19T03:36:04","modified_gmt":"2026-03-19T03:36:04","slug":"abordare-chirurgicala-revolutionara-povestea-unui-barbat-care-a-trait-doua-zile-fara-plamani","status":"publish","type":"post","link":"https:\/\/microscopemedia.com\/?p=682676","title":{"rendered":"Abordare chirurgical\u0103 revolu\u021bionar\u0103. Povestea unui b\u0103rbat care a tr\u0103it dou\u0103 zile f\u0103r\u0103 pl\u0103m\u00e2ni"},"content":{"rendered":"
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\u00centr-un raport publicat \u00een revista Med a editurii Cell Press, citat de ScienceDaily<\/a>, chirurgii descriu \u00een detaliu modul \u00een care i-au extirpat pl\u0103m\u00e2nii grav infecta\u021bi b\u0103rbatului \u0219i au folosit un sistem de \u201epl\u0103m\u00e2n artificial\u201d pentru a-l men\u021bine \u00een via\u021b\u0103 p\u00e2n\u0103 la efectuarea unui transplant dublu de pl\u0103m\u00e2ni.<\/p>\n

Cazul eviden\u021biaz\u0103 o poten\u021bial\u0103 nou\u0103 modalitate de a men\u021bine \u00een via\u021b\u0103 pacien\u021bii afla\u021bi \u00een stare critic\u0103 \u00een timp ce a\u0219teapt\u0103 organe de la donatori.<\/p>\n

O boal\u0103 care pune via\u021ba \u00een pericol<\/h2>\n

\u201eEra \u00een stare critic\u0103. Inima i s-a oprit imediat ce a ajuns. A trebuit s\u0103-i aplic\u0103m resuscitarea cardiopulmonar\u0103\u201d, a spus autorul principal Ankit Bharat, chirurg toracic la Universitatea Northwestern. \u201eC\u00e2nd infec\u021bia este at\u00e2t de grav\u0103 \u00eenc\u00e2t pl\u0103m\u00e2nii se topesc, ace\u0219tia sunt afecta\u021bi ireversibil. Atunci pacien\u021bii mor\u201d.<\/p>\n

Pacientul, un b\u0103rbat de 33 de ani, a dezvoltat sindromul de detres\u0103 respiratorie acut\u0103 (ARDS), o afec\u021biune periculoas\u0103 \u00een care inflama\u021bia \u0219i infec\u021bia cople\u0219esc pl\u0103m\u00e2nii.<\/p>\n

Boala lui a \u00eenceput cu o grip\u0103, care s-a agravat rapid \u0219i a fost complicat\u0103 de o pneumonie bacterian\u0103.<\/p>\n

Pe m\u0103sur\u0103 ce starea lui s-a deteriorat, pl\u0103m\u00e2nii, inima \u0219i rinichii au \u00eenceput s\u0103 cedeze. \u00cen acel moment, un transplant dublu de pl\u0103m\u00e2ni a devenit singura lui \u0219ans\u0103 de supravie\u021buire.<\/p>\n

\u00cendep\u0103rtarea pl\u0103m\u00e2nilor pentru a opri infec\u021bia<\/h2>\n

Pl\u0103m\u00e2nii b\u0103rbatului erau irecuperabili \u0219i contribuiau activ la r\u0103sp\u00e2ndirea infec\u021biei. Cu toate acestea, corpul s\u0103u era prea instabil pentru a face fa\u021b\u0103 imediat unui transplant, a\u0219a c\u0103 medicii aveau nevoie de timp pentru a-l stabiliza.<\/p>\n

\u201eInima \u0219i pl\u0103m\u00e2nii sunt intrinsec conecta\u021bi\u201d, a explicat Bharat. \u201eC\u00e2nd nu exist\u0103 pl\u0103m\u00e2ni, cum men\u021bii pacientul \u00een via\u021b\u0103?\u201d<\/p>\n

Pentru a rezolva aceast\u0103 problem\u0103, echipa medical\u0103 a dezvoltat un sistem pulmonar artificial conceput s\u0103 preia temporar rolul pl\u0103m\u00e2nilor.<\/p>\n

Acest sistem oxigena s\u00e2ngele, elimina dioxidul de carbon \u0219i sus\u021binea circula\u021bia, permi\u021b\u00e2nd inimii \u0219i altor organe s\u0103 continue s\u0103 func\u021bioneze chiar dac\u0103 pacientul nu avea pl\u0103m\u00e2ni.<\/p>\n

Sistemul pulmonar artificial men\u021bine pacientul \u00een via\u021b\u0103<\/h2>\n

Dup\u0103 ce pl\u0103m\u00e2nii afecta\u021bi au fost \u00eendep\u0103rta\u021bi, starea pacientului a \u00eenceput s\u0103 se \u00eembun\u0103t\u0103\u021beasc\u0103. Tensiunea arterial\u0103 s-a stabilizat, organele au \u00eenceput s\u0103 se refac\u0103, iar infec\u021bia a fost \u021binut\u0103 sub control.<\/p>\n

Dou\u0103 zile mai t\u00e2rziu, au devenit disponibili pl\u0103m\u00e2ni de la un donator, iar chirurgii au realizat cu succes un transplant pulmonar dublu. La mai bine de doi ani distan\u021b\u0103, pacientul duce o via\u021b\u0103 normal\u0103, cu o func\u021bie pulmonar\u0103 s\u0103n\u0103toas\u0103.<\/p>\n

Noi dovezi privind leziunile pulmonare ireversibile<\/h2>\n

\u201e\u00cen mod conven\u021bional, transplantul pulmonar este rezervat pacien\u021bilor care sufer\u0103 de afec\u021biuni cronice, cum ar fi boala pulmonar\u0103 intersti\u021bial\u0103 sau fibroza chistic\u0103\u201d, a spus Bharat.<\/p>\n

\u201e\u00cen prezent, oamenii cred c\u0103, dac\u0103 suferi de SDRA sever\u0103, trebuie s\u0103-i sus\u021bii \u00een continuare \u0219i, \u00een cele din urm\u0103, pl\u0103m\u00e2nii se vor vindeca\u201d.<\/p>\n

Cu toate acestea, examinarea pl\u0103m\u00e2nilor \u00eendep\u0103rta\u021bi a ar\u0103tat o alt\u0103 poveste. Analiza molecular\u0103 a relevat cicatrici extinse \u0219i leziuni ale sistemului imunitar, semne clare c\u0103 \u021besutul nu se putea reface.<\/p>\n

\u201ePentru prima dat\u0103, din punct de vedere biologic, oferim dovezi moleculare c\u0103 unii pacien\u021bi vor avea nevoie de un transplant pulmonar dublu, altfel nu vor supravie\u021bui\u201d, a spus Bharat.<\/p>\n

O punte poten\u021bial\u0103 de salvare a vie\u021bii p\u00e2n\u0103 la transplant<\/h2>\n

Deocamdat\u0103, aceast\u0103 abordare este limitat\u0103 la centre medicale foarte specializate, care dispun de expertiza \u0219i resursele necesare.<\/p>\n

Cu toate acestea, Bharat sper\u0103 c\u0103, \u00een cele din urm\u0103, aceasta va putea fi dezvoltat\u0103 \u00een sisteme mai standardizate, care s\u0103 ajute la men\u021binerea \u00een via\u021b\u0103 a pacien\u021bilor \u00een timp ce a\u0219teapt\u0103 pl\u0103m\u00e2ni de la donatori.<\/p>\n

\u201e\u00cen practica mea, pacien\u021bi tineri mor aproape \u00een fiecare s\u0103pt\u0103m\u00e2n\u0103 pentru c\u0103 nimeni nu \u0219i-a dat seama c\u0103 transplantul era o op\u021biune\u201d, a spus Bharat.<\/p>\n

\u201ePentru leziunile pulmonare severe cauzate de virusuri sau infec\u021bii respiratorii, chiar \u0219i \u00een situa\u021bii acute, un transplant pulmonar poate salva vie\u021bi\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00centr-un raport publicat \u00een revista Med a editurii Cell Press, citat de ScienceDaily, chirurgii descriu \u00een detaliu modul \u00een care i-au extirpat pl\u0103m\u00e2nii grav infecta\u021bi b\u0103rbatului \u0219i au folosit un … Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":682677,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts\/682676"}],"collection":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=682676"}],"version-history":[{"count":0,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts\/682676\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/media\/682677"}],"wp:attachment":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=682676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=682676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=682676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}