Darcovstvo orgánov, krvi a časti tela vo francúzskej právnej úprave | Medicínske právo
              

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Darcovstvo orgánov, krvi a časti tela vo francúzskej právnej úprave


 | 13.7.2010 | komentárov: 285

V tomto článku prinášame krátky prehľad francúzskej právnej úpravy týkajúcej sa integrity ľudského tela, darovania orgánov, krvi a časti tela a práv s týmito úkonmi spojenými.

Obrazok Darovanie orgánov, krvi a časti tela sú riadené základnými princípmi : bezplatnosť, predchádzajúci súhlas a anonymita.

Ako je regulované darovanie orgánov?

Le code de la santé publique (zákon o verejnom zdraví) rozlišuje odobranie orgánov z žijúcich osôb a odobranie zo zosnulých osôb.

Odoberanie orgánov zo živej osoby

Toto odoberanie je väčšinou dovolené z dospelej osoby, ktorá dala predchádzajúci súhlas a ďalšou podmienkou je, že darovaný orgán je určený pre blízkych príbuzných. Darovanie je zakázané, ak sa jedná o dieťa alebo osobu, ktorá je chránená zákonom (poručníctvo, opatrovníctvo, súdna ochrana). Častokrát, odoberanie kostnej drene je dovolené aj z dieťaťa so súhlasom jeho rodičov alebo jeho zástupcu a je nevyhnutné aj povolenie komisie expertov v tejto oblasti. Takýto darovaný orgán musí byť určený len pre jeho sestru alebo brata. Dieťa by však tomu nemalo brániť.
Dospelý darca musí byť informovaný zodpovedným medicínskym pracovníkom o všetkých možných rizikách a prípadných následkoch pre neho a pre príjemcu. Musí vyjadriť svoj súhlas pred prezidentom tribunálu de grande instance (prvostupňový civilný súd) v mieste svojho bydliska. Jedna kópia súhlasu je zaslaná do zariadenia, ktoré bude vykonávať odoberanie.
V prípade maloletého darcu, jeho rodičia alebo zástupca musia byť v súlade so zákonom informovaní o všetkých rizikách, rovnako ako maloletý. Súhlas rodičov musí byť vyjadrený pred prezidentom tribunálu de grande instance a následne je zaslaný zariadeniu oprávnenému vykonať odobranie.
Od roku 2004 sa okruh žijúcich darcov rozšíril o starých rodičov, vlastných bratancov, druha, družku a partnerov s výhradou dvoch rokov spoločného života. Odoberanie DNA (po francúzsky ADN) post- mortem je dovolené len na skúmanie príbuzenského vzťahu, ak zosnulý dal súhlas počas svojho života.

Odoberanie orgánov zo zosnulej osoby

Odoberanie orgánov zo zosnulej osoby je dovolené, ak počas života neurobila úkon smerujúci proti tomuto odoberaniu.
Viacero iných podmienok musí byť rešpektovaných :
– odoberanie sa nemôže uskutočniť, ak bol vydaný úmrtný list;
– odoberanie sa môže uskutočniť len na terapeutické alebo vedecké ciele ;
– lekári konštatujúci smrť a tí, ktorí vykonávajú odoberanie alebo transplantácie nesmú patriť ani do rovnakého oddelenia ani do rovnakej funkčnej jednotky ;
– lekári vykonávajúci odoberanie musia využívať vhodné dôstojné metódy vykonávajúce na tele zosnulého
Konštatovanie smrti dovoľujúce vykonať odobranie orgánov spočíva v poznaní smrti mozgu, na základe výsledku z encefalogramu realizovaného v dvoch opakovaniach v priebehu štyroch hodinových intervaloch a poznania zástavy dýchania a činnosti srdca.

Aké sú využívané pravidlá pri darovaní krvi?

- Darovanie krvi je ovládané princípmi dobrovoľnosti, anonymity a absencii akéhokoľvek profitu.
- Odber krvi môže vykonať len schválené zariadenie vykonávajúce krvné transfúzie (držiteľ licencie HTO).
- Odber môže byť vykonaný len na základe súhlasu darcu lekárom alebo pod jeho vedením a na jeho zodpovednosť.
- Darovanie krvi nemôže niesť so sebou žiadne priame alebo nepriame odmeny. Avšak, darca môže prijať občerstvenie a tiež úhradu nákladov spojených s dopravou priamo na miesto odberu.
- Maloletí a dospelí, ktorí sú subjektmi súdnej ochrany nemôžu podstúpiť odber krvi, s výnimkou mimoriadnych okolností, v prípade neodkladnej zdravotnej starostlivosti.

Ako sa vykonáva darovanie tela, časti tela?

- Ak chcete darovať svoje telo vede, je potrebné žiadosť adresovať najbližšej lekárskej fakulte vo svojom bydlisku alebo na Federáciu asociácií pre darcovstvo orgánov a ľudských tkanín, France ADOT
- V tomto druhom prípade, darca spíše prehlásenie darcovstva, ktoré musí byť datované a podpísané. Prehlásenie môže byť uskutočnené okamžite online na stránke France Adot. Okamžite emailom je obdržaná karta darcu. Je potrebné uchovať túto kartu pre seba do budúcna a taktiež upozorniť svojich príbuzných o svojom rozhodnutí..
- Lekárska fakulta vždy môže odmietnuť darovanie tela, ak ho nie je schopná využiť.

Poznámka

Vekové obmedzenie pre darcovstvo za účelom transplantácie je vo všeobecnosti do 55 rokov. Ak chcete darovať oči nie je tu vekové obmedzenie.

Pre zaujímavosť

Zamestnanec, ktorý chýba v práci z dôvodu darovania krvi nesmie byť penalizovaný svojim zamestnávateľom a musí prijať náhradu korešpondujúcu s časom nevyhnutným na dostavenie sa na miesto odberu, vykonanie samotného odberu a návratu na svoje pracovisko.

zdroj: http://www.pratique.fr/don-organes-sang-corps.html
foto: europarl.europa.eu

autor prekladu: Marta Nováková




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