{"id":78721,"date":"2020-06-22T09:11:43","date_gmt":"2020-06-22T09:11:43","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/transkatetrna-vstavitev-pulmonalne-zaklopke-tpvi\/"},"modified":"2020-06-22T09:11:43","modified_gmt":"2020-06-22T09:11:43","slug":"transkatetrna-vstavitev-pulmonalne-zaklopke-tpvi","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/treatments\/transkatetrna-vstavitev-pulmonalne-zaklopke-tpvi\/","title":{"rendered":"Transkatetrna vstavitev pulmonalne zaklopke (TPVI)"},"content":{"rendered":"<p>Vstavitev pulmonalne zaklopke transkaterne tehnike je tehnika, ki se uporablja pri bolnikih s predhodnim popravljanjem prirojene sr\u010dne bolezni in disfunkcije izto\u010dnega trakta desnega prekata (RVOT). Disfunkcija desnega prekata (RVOT) je izraz, ki se nana\u0161a na nepravilnosti pulmonalne zaklopke in desnega prekata. Pogosto se pojavlja kot del zapletenih prirojenih sr\u010dnih stanj, kot je tetralogija Fallot. Med RVOT-om kri te\u010de nenormalno med srcem in plju\u010di in \u010de je nezdravljena, je lahko \u017eivljensko ogro\u017eujo\u010da.<\/p>\n<p>&nbsp;<\/p>\n<p>Biolo\u0161ke zaklopke po 10-20 letih za\u010dnejo razpadati in postanejo stenoti\u010dni ali nezadostni. Ker so na splo\u0161no vstavljene pri mlaj\u0161ih osebah, bo verjetno potrebna ena ali dve operaciji v celotni \u017eivljenjski dobi tega posameznika. Perkutana zamenjava pulmonalne zaklopke je lahko dobra izbira za bolnike, ki so slabi kandidati za operacijo na odprtem srcu, ali pa jim zaradi njihovega zdravstvenega stanja operacija predstavlja veliko nevarnost.<\/p>\n<p>&nbsp;<\/p>\n<p>Preden za\u010dnemo s perkutano zamenjavo pulmonalne zaklopke, je pomembno, da bolnik:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>O tveganjih, povezanih z operacijo, se posvetujte z zdravnikom<\/li>\n<li>Obvestite zdravnika o morebitnih zdravstvenih te\u017eavah (alergijah)<\/li>\n<li>Naj bodo opravljeni testi (ehokardiogram, vzorci krvi)<\/li>\n<li>Tri dni pred postopkom prenehajte jemati zdravila, da zmanj\u0161ate tveganje za krvavitev<\/li>\n<li>Dogovorite se za prevoz v bolni\u0161nico in domov<\/li>\n<\/ul>\n<p>Perkutana zamenjava pulmonalne zaklopke se ne priporo\u010da \u017eenskam, ki so nose\u010de, osebam z okluziranimi osrednjimi \u017eilami, aktivni oku\u017ebi ali osebam s prekomerno telesno te\u017eo.<\/p>\n<p>&nbsp;<\/p>\n<p>Med to perkutano zamenjavo pulmonalne zaklopke se uporablja splo\u0161na anestezija, tako da je bolnik med postopkom nezavesten. Ventil se vsadi skozi kateter (ozka cev) in se vstavi skozi stegnenico v desni atrij, desni prekat in plju\u010dno arterijo. Pred namestitvijo ventila se stent obi\u010dajno namesti v pulmonalno arterijo ali kanal, da se omogo\u010di bolj\u0161e pritrditev ventila v pravilen polo\u017eaj. Po natan\u010dnem name\u0161\u010danju se ventil vsadi z napihovanjem dveh balonov na dovodni kateter. Po odstranitvi katetra se zareze zaprejo s \u0161ivi, ki jih odstranimo, ko se obmo\u010dje zaceli.<\/p>\n<p>&nbsp;<\/p>\n<p>Mo\u017eni zapleti, ki lahko nastanejo zaradi perkutane zamenjave plju\u010dne zaklopke, vklju\u010dujejo naslednje:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Stent se lahko zlomi<\/li>\n<li>Ponovna intervencija (drugi stent v stent PPVI)<\/li>\n<li>Modrice, kjer je bil vstavljen kateter<\/li>\n<li>Oku\u017eba<\/li>\n<\/ul>\n<p>Po postopku se priporo\u010da da bolnik \u010dez no\u010d ostane v bolni\u0161nici, da se zagotovi pravilno delovanje ventila in spremljanje morebitnih ne\u017eelenih sprememb ali zapletov. Po postopku se lahko pojavijo ne\u017eeleni u\u010dinki, kot so bruhanje, vneto grlo, glavobol in omotica; vendar so ponavadi kratkotrajni in niso hudi.<\/p>\n<p>&nbsp;<\/p>\n<p>Ko je bolnik odpu\u0161\u010den, se mora dovolj spo\u010diti in se izogniti sodelovanju v kakr\u0161nih koli kontaktnih \u0161portih, kot je nogomet, ki lahko vplivajo na stent (po mo\u017enosti z neposrednim udarcem v prsni ko\u0161). \u010ce se pojavijo resnej\u0161i simptomi, kot so ote\u017eeno dihanje, visoka temperatura, oku\u017eba, slab apetit ali huj\u0161anje, je pomembno, da se takoj obrnete na zdravnika.<\/p>\n<p>&nbsp;<\/p>\n<p>Z razvijajo\u010dim se medicinskim znanjem in spreminjanjem tehnike PPVI zmanj\u0161uje \u0161tevilo potrebnih operacij za otroke in mlade in potencialno izbolj\u0161a \u017eivljenjsko dobo pri bolnikih s prirojeno sr\u010dno boleznijo, ki vklju\u010dujejo RVOT.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-78721","cure","type-cure","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Transkatetrna vstavitev pulmonalne zaklopke (TPVI) - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Transkatetrna vstavitev pulmonalne zaklopke (TPVI) - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Vstavitev pulmonalne zaklopke transkaterne tehnike je tehnika, ki se uporablja pri bolnikih s predhodnim popravljanjem prirojene sr\u010dne bolezni in disfunkcije izto\u010dnega trakta desnega prekata (RVOT). Disfunkcija desnega prekata (RVOT) je izraz, ki se nana\u0161a na nepravilnosti pulmonalne zaklopke in desnega prekata. Pogosto se pojavlja kot del zapletenih prirojenih sr\u010dnih stanj, kot je tetralogija Fallot. Med [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/\" \/>\n<meta property=\"og:site_name\" content=\"Humanitas.net\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HumanitasInternational\/\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@humanitasmilano\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/\",\"name\":\"Transkatetrna vstavitev pulmonalne zaklopke (TPVI) - Humanitas.net\",\"isPartOf\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#website\"},\"datePublished\":\"2020-06-22T09:11:43+00:00\",\"dateModified\":\"2020-06-22T09:11:43+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/#breadcrumb\"},\"inLanguage\":\"sl-SI\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/humanitas-net.humweb.webiz.team\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Trattamenti\",\"item\":\"https:\/\/humanitas-net.humweb.webiz.team\/cure\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Transkatetrna vstavitev pulmonalne zaklopke (TPVI)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#website\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/\",\"name\":\"Humanitas.net\",\"description\":\"Humanitas Hospital\",\"publisher\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"sl-SI\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#organization\",\"name\":\"Humanitas\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sl-SI\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg\",\"contentUrl\":\"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg\",\"width\":1,\"height\":1,\"caption\":\"Humanitas\"},\"image\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/HumanitasInternational\/\",\"https:\/\/x.com\/humanitasmilano\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Transkatetrna vstavitev pulmonalne zaklopke (TPVI) - Humanitas.net","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"sl_SI","og_type":"article","og_title":"Transkatetrna vstavitev pulmonalne zaklopke (TPVI) - Humanitas.net","og_description":"Vstavitev pulmonalne zaklopke transkaterne tehnike je tehnika, ki se uporablja pri bolnikih s predhodnim popravljanjem prirojene sr\u010dne bolezni in disfunkcije izto\u010dnega trakta desnega prekata (RVOT). Disfunkcija desnega prekata (RVOT) je izraz, ki se nana\u0161a na nepravilnosti pulmonalne zaklopke in desnega prekata. Pogosto se pojavlja kot del zapletenih prirojenih sr\u010dnih stanj, kot je tetralogija Fallot. Med [&hellip;]","og_url":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/","og_site_name":"Humanitas.net","article_publisher":"https:\/\/www.facebook.com\/HumanitasInternational\/","twitter_card":"summary_large_image","twitter_site":"@humanitasmilano","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/","name":"Transkatetrna vstavitev pulmonalne zaklopke (TPVI) - Humanitas.net","isPartOf":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website"},"datePublished":"2020-06-22T09:11:43+00:00","dateModified":"2020-06-22T09:11:43+00:00","breadcrumb":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/#breadcrumb"},"inLanguage":"sl-SI","potentialAction":[{"@type":"ReadAction","target":["https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/transcatheter-pulmonary-valve-implantation-tpvi\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/humanitas-net.humweb.webiz.team\/"},{"@type":"ListItem","position":2,"name":"Trattamenti","item":"https:\/\/humanitas-net.humweb.webiz.team\/cure\/"},{"@type":"ListItem","position":3,"name":"Transkatetrna vstavitev pulmonalne zaklopke (TPVI)"}]},{"@type":"WebSite","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website","url":"https:\/\/humanitas-net.humweb.webiz.team\/","name":"Humanitas.net","description":"Humanitas Hospital","publisher":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"sl-SI"},{"@type":"Organization","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization","name":"Humanitas","url":"https:\/\/humanitas-net.humweb.webiz.team\/","logo":{"@type":"ImageObject","inLanguage":"sl-SI","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","contentUrl":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","width":1,"height":1,"caption":"Humanitas"},"image":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/HumanitasInternational\/","https:\/\/x.com\/humanitasmilano"]}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/wp-json\/wp\/v2\/cure\/78721","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/wp-json\/wp\/v2\/cure"}],"about":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/wp-json\/wp\/v2\/types\/cure"}],"wp:attachment":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/wp-json\/wp\/v2\/media?parent=78721"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}