Chirurgovia požadujú od Kongresu povolenie transplantácií medzi HIV pozitívnymi | Medicínske právo
              

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Chirurgovia požadujú od Kongresu povolenie transplantácií medzi HIV pozitívnymi


 | 21.8.2012 | komentárov: 287

Podľa zástancov zrušenia súčasného zákona môže zmena zachrániť tisícku životov ročne

Obrazok Skupina transplantačných chirurgov požiadala zákonodarcov o zrušenie federálneho zákona z 80-tych rokov dvadsiateho storočia, ktorý zakazuje transplantáciu orgánov medzi HIV pozitívnymi pacientmi navzájom.

Výhody zrušenia zákona

HIV pozitívni pacienti sú vysoko náchylní k chorobám, ktoré ohrozujú zdravie ich orgánov. Preto vo všeobecnosti potrebujú transplantácie obličiek a pečene častejšie v porovnaní s pacientmi, ktorí nie sú infikovaní HIV, teda vírusom oslabujúcim imunitu.
Aj keď HIV pozitívni pacienti môžu v súčasnosti prijímať orgány od osôb, ktoré nie sú nakazené vírusom HIV, umožnením transplantácií HIV infikovaných orgánov by mohlo dôjsť k skráteniu čakania na nové orgány v každom jednotlivom prípade. Navyše zástancovia zrušenia súčasných pravidiel uvádzajú, že v prípade zmeny zákona sa môže sprístupniť mnoho orgánov na transplantácie pre pacientov trpiacich vírusom spôsobujúcim AIDS, čo môže len v USA zachrániť životy 1.000 HIV pozitívnym pacientom ročne.

Chirurgovia sa v stredu stretli so zástupcami Kongresu, aby prediskutovali aktuálnu tému a súčasne vyzvali zákonodarcov k podaniu návrhu na zrušenie zákona. „Chceme zachrániť životy HIV pozitívnych, ktorí by inak zomreli počas čakania na orgány vhodné na transplantáciu,“ uviedla Kimberly Crump, plánovačka stratégií pre HIV Medical Association.

Niektorí lekári sú naďalej skeptickí

Aj keď dôjde k zrušeniu súčasného zákona, naďalej ostávajú otázniky týkajúce sa zdravotných rizík pri transplantáciách medzi HIV pozitívnymi pacientmi.
Lynda Fressetto, internistka a obličková špecialistka z University of California – San Francisco uvádza, že niektorí chirurgovia odmietajú vykonávať transplantácie u HIV pozitívnych pacientov a „nie sú pripravení zvládnuť problémy, ktoré im v súvislosti s tým vzniknú.“
Navyše, vedúci pracovníci v zdravotníctve sa obávajú, že prijímatelia orgánov môžu transplantáciou dostať silnejší kmeň HIV a ich choroba sa teda môže stať závažnejšou, prípadne môže dôjsť k omylu, na základe ktorého sa HIV pozitívny orgán transplantuje pacientovi, ktorý vírusom nie je nakazený.


Pôvodný text: Surgeons urge Congress to allow transplants between patients with HIV dostupný tu
Preklad: Tomáš Szalontay
Editovala: Zuzana Zoláková



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