{"id":37423,"date":"2020-05-03T16:27:05","date_gmt":"2020-05-03T14:27:05","guid":{"rendered":"https:\/\/www.mojevrijeme.hr\/magazin\/?p=37423"},"modified":"2020-05-03T16:27:54","modified_gmt":"2020-05-03T14:27:54","slug":"sto-su-pokazale-obdukcije-umrlih-od-infekcije-koronavirusom","status":"publish","type":"post","link":"https:\/\/www.mojevrijeme.hr\/magazin\/2020\/05\/sto-su-pokazale-obdukcije-umrlih-od-infekcije-koronavirusom\/","title":{"rendered":"\u0160to su pokazale obdukcije umrlih od infekcije koronavirusom?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">&#8220;Treba\u2002izbjegavati\u2002unutarnji\u2002pregled\u2002preminule\u2002osobe,\u2002obdukcije\u2002ili\u2002druge\u2002mjere\u2002za\u2002proizvodnju\u2002aerosola&#8221;,\u2002pisalo\u2002je\u2002po\u010detkom\u2002travnja\u2002na\u2002internetskoj\u2002stranici\u2002Instituta\u2002Robert\u2002Koch\u2002(RKI).\u2002Ova\u2002institucija,\u2002koja\u2002je\u2002na\u2002saveznoj razini \u2002odgovorna\u2002za nadzor i borbu protiv\u2002zaraznih\u2002bolesti,\u2002kasnije\u2002je\u2002promijenila\u2002svoje\u2002mi\u0161ljenje.\u2002Potpredsjednik\u2002Instituta,\u2002<strong>Lars\u2002Schaade<\/strong>,\u2002sad ka\u017ee\u2002da\u2002je\u2002ispravno,\u2002pogotovo\u2002ako\u2002je\u2002bolest\u2002nova,\u2002da\u2002se\u2002obdukcije radi u \u0161to je mogu\u0107e ve\u0107oj mjeri &#8211; ali\u2002uz\u2002odgovaraju\u0107e\u2002mjere\u2002sigurnosti, javlja <strong><a href=\"https:\/\/www.dw.com\/hr\/covid-19-%C5%A1to-su-otkrili-patolozi\/a-53304943\" target=\"_blank\" rel=\"noreferrer noopener\">Deutsche Welle<\/a><\/strong>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Bio\u2002je\u2002to\u2002lapsus&#8221;,\u2002tako\u2002predsjednik\u2002Saveznog\u2002udru\u017eenja\u2002njema\u010dkih\u2002patologa\u2002Karl\u2002<strong>Friedrich\u2002B\u00fcrrig<\/strong> komentira preporuku\u2002 RKI-ja od prije mjesec dana,\u2002koja\u2002je\u2002u\u2002me\u0111uvremenu\u2002opozvana. Tada je preporuka bila\u2002da\u2002se\u2002iz\u2002sigurnosnih\u2002razloga\u2002ne\u2002smije\u2002vr\u0161iti\u2002obdukciju\u2002osoba\u2002zara\u017eenih\u2002virusom\u2002COVID-19.\u2002&#8221;Kod\u2002svih\u2002modernih\u2002zaraznih\u2002bolesti,\u2002obdukcija\u2002je\u2002vrlo\u2002va\u017ena\u2002za\u2002utvr\u0111ivanje\u2002tijeka\u2002bolesti,\u2002uklju\u010duju\u0107i\u2002i\u2002COVID-19&#8243;,\u2002nagla\u0161ava\u2002B\u00fcrrig.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Najve\u0107a\u2002baza\u2002podataka\u2002u\u2002Hamburgu<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Me\u0111utim,\u2002nisu se\u2002svi\u2002patolozi dr\u017eali\u2002prvobitne\u2002preporuke\u2002RKI-ja.\u2002<strong>Klaus\u2002P\u00fcschel<\/strong>,\u2002direktor\u2002Instituta\u2002za\u2002sudsku\u2002medicinu\u2002pri\u2002Sveu\u010dili\u0161nom\u2002medicinskom\u2002centru\u2002Hamburg-Eppendorf,\u2002trenutno\u2002ima\u2002najopse\u017eniju\u2002bazu\u2002podataka.\u2002&#8221;Mo\u017eemo\u2002nau\u010diti\u2002od\u2002mrtvih, i to\u2002za\u2002\u017eive&#8221;,\u2002ka\u017ee\u2002P\u00fcschel.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Klaus\u2002P\u00fcschel\u2002je\u2002od\u200222.\u2002o\u017eujka\u2002do\u200211.\u2002travnja\u2002obavio\u2002obdukciju\u200265\u2002preminulih\u2002pacijenata koji su bili\u2002zara\u017eenim\u2002virusom\u2002COVID-19.\u2002Od\u2002tog\u2002broja,\u200246\u2002ih\u2002je\u2002ranije\u2002imalo\u2002bolesti\u2002plu\u0107a,\u200228\u2002je\u2002imalo\u2002bolest\u2002drugih\u2002unutarnjih\u2002organa\u2002ili\u2002presa\u0111enih\u2002organa.\u2002Deset\u2002je\u2002patilo\u2002od\u2002dijabetesa\u2002ili\u2002pretilosti,\u2002deset\u2002od\u2002raka\u2002i\u200216\u2002je bilo dementno.\u2002Neki\u2002od\u2002preminulih\u2002su\u2002imali\u2002istovremeno i vi\u0161e\u2002navedenih\u2002bolesti.\u2002P\u00fcschelova\u2002baza \u2002sada\u2002sadr\u017ei\u2002podatke\u2002o\u2002vi\u0161e\u2002od\u2002100\u2002obdukcija.\u2002Svi\u2002oni\u2002potvr\u0111uju:\u2002nitko\u2002od\u2002mrtvih\u2002nije\u2002isklju\u010divo\u2002bio\u2002pogo\u0111en\u2002koronavirusom,\u2002ali\u2002su prakti\u010dki svi\u2002imali\u2002kardiovaskularne\u2002probleme,\u2002visok\u2002krvni\u2002tlak,\u2002arteriosklerozu,\u2002dijabetes,\u2002rak,\u2002probleme s radom\u2002plu\u0107a\u2002ili\u2002bubrega\u2002ili\u2002cirozu\u2002jetre.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">P\u00fcschel\u2002smatra\u2002da\u2002se\u2002koronavirus\u2002mora\u2002shvatiti\u2002vrlo ozbiljno.\u2002On\u2002ka\u017ee\u2002da\u2002je\u2002strah koji se \u0161iri\u2002od\u2002virusa ipak\u2002pretjeran\u2002i\u2002da\u2002to\u2002nije\u2002&#8221;posebno\u2002opasna\u2002virusna\u2002bolest&#8221;.\u2002Stoga\u2002smatra\u2002da\u2002su\u2002neka\u2002ograni\u010denja,\u2002poput\u2002onih\u2002koja\u2002se\u2002odnose\u2002na\u2002rodbinu\u2002na\u2002sahrani\u2002preminule\u2002osobe,\u2002neutemeljena.\u2002&#8221;Ne\u2002biste\u2002ih\u2002trebali\u2002ljubiti,\u2002ali\u2002mo\u017eete\u2002ih\u2002pogledati.\u2002Mo\u017eete\u2002ih\u2002i\u2002dodirnuti\u2002ako\u2002nakon\u2002toga\u2002operete\u2002ruke&#8221;,\u2002ka\u017ee njema\u010dki\u2002patolog.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Istra\u017eivanja\u2002u\u2002Italiji\u2002i\u2002\u0160panjolskoj<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">P\u00fcschelovi\u2002podaci\u2002otprilike\u2002odgovaraju\u2002studiji\u2002talijanskog\u2002ministarstva\u2002zdravstva\u2002koja\u2002se\u2002ne\u2002temelji\u2002na\u2002obdukcijama,\u2002tijeka\u2002bolesti\u20021.738\u2002preminulih\u2002pacijenata.\u2002Osim\u2002COVID-19,\u200296,4\u2002posto\u2002je\u2002imalo\u2002bar\u2002jo\u0161\u2002jednu\u2002bolest.\u2002Naj\u010de\u0161\u0107i\u2002su\u2002bili\u2002visoki\u2002krvni\u2002tlak\u2002(70\u2002posto),\u2002dijabetes\u2002(32\u2002posto)\u2002i\u2002kardiovaskularne\u2002bolesti\u2002(28\u2002posto).\u2002Prosje\u010dna\u2002starost\u2002preminulih\u2002u\u2002Italiji\u2002je\u200279\u2002godina\u2002-\u2002u\u2002Hamburgu\u200280\u2002godina.<br>Svih\u200220\u2002preminulih\u2002pacijenata\u2002od\u2002virusa\u2002COVID-19\u2002koje\u2002je\u2002pregledao\u2002<strong>Alexandar\u2002Tzankov<\/strong>,\u2002\u0161ef\u2002Odjela za autopsiju\u2002u\u2002Sveu\u010dili\u0161noj\u2002bolnici\u2002u\u2002Baselu,\u2002tako\u0111er\u2002su\u2002patili\u2002od\u2002visokog\u2002krvnog\u2002tlaka.\u2002Osim\u2002toga,\u2002ve\u0107ina\u2002ih\u2002je\u2002imala\u2002vi\u0161ak\u2002kilograma.\u2002Dvije\u2002tre\u0107ine\u2002imalo\u2002je\u2002sr\u010dane\u2002probleme,\u2002a\u2002tre\u0107ina\u2002dijabetes.\u2002Me\u0111utim,\u2002glavni\u2002patolog\u2002iz\u2002Basela\u2002bolest\u2002ne\u2002bi\u2002nazvao\u2002relativno\u2002bezopasnom.\u2002&#8221;Svi\u2002ovi\u2002pacijenti\u2002vjerovatno\u2002bi\u2002\u017eivjeli\u2002du\u017ee\u2002bez\u2002COVID-19,\u2002mo\u017eda\u2002sat,\u2002mo\u017eda\u2002dan,\u2002tjedan\u2002ili\u2002godinu&#8221;,\u2002rekao\u2002je\u2002Tzankov.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Velika\u2002rizi\u010dna\u2002skupina\u2002u\u2002Njema\u010dkoj<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0160ef\u2002Odjela\u2002patologije\u2002na\u2002berlinskom\u2002Charit\u00e9u <strong>David Horst<\/strong>\u2002tako\u0111er\u2002potvr\u0111uje\u2002da\u2002su\u2002sve\u2002preminule\u2002osobe,\u2002koje\u2002je\u2002pregledao,\u2002i\u2002ranije\u2002imale\u2002neke\u2002bolesti,\u2002naime\u2002kardiovaskularne \u2002ili\u2002oboljenja\u2002plu\u0107a.\u2002&#8221;Neke\u2002su\u2002tako\u0111er\u2002imale\u2002vi\u0161ak\u2002kilograma.\u2002Me\u0111utim,\u2002ove\u2002bolesti\u2002su\u2002u\u2002Njema\u010dkoj\u2002izuzetno\u2002\u010deste\u2002kod\u2002starijih\u2002od\u200265\u2002godina.\u2002Pogo\u0111ena\u2002je\u2002svaka\u2002tre\u0107a\u2002osoba.\u2002Vidimo\u2002da\u2002je\u2002rizi\u010dna\u2002skupina\u2002u\u2002kojoj\u2002su\u2002infekcije\u2002koronom\u2002\u010de\u0161\u0107e\u2002smrtne,\u2002ogromna &#8220;,\u2002objasnio\u2002je on\u2002u\u2002intervjuu\u2002za\u2002Berliner\u2002Zeitung.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0160to\u2002se\u2002ti\u010de\u2002samog tijeka\u2002COVID-19,\u2002Horst\u2002je\u2002rekao\u2002da\u2002akutno\u2002o\u0161te\u0107enje\u2002plu\u0107a\u2002vodi\u2002tome\u2002da\u2002se\u2002plu\u0107a\u2002napune\u2002teku\u0107inom\u2002i\u2002sprije\u010de\u2002razmjenu\u2002plina.\u2002&#8221;Uz\u2002to,\u2002bakterije\u2002se\u2002\u010desto\u2002\u0161ire\u2002u\u2002tim\u2002o\u0161te\u0107enim\u2002plu\u0107ima,\u2002\u0161to\u2002dovodi\u2002do\u2002te\u0161ke\u2002upale\u2002plu\u0107a\u2002i\u2002sepse&#8221;,\u2002rekao\u2002je\u2002patolog.\u2002Pored\u2002toga,\u2002bez\u2002obzira\u2002na\u2002plu\u0107a,\u2002\u010desto\u2002bi\u2002se\u2002mogli\u2002dogoditi\u2002poreme\u0107aji\u2002zgru\u0161avanja\u2002krvi.\u2002&#8221;Krvni ugru\u0161ci\u2002se\u2002formiraju\u2002u\u2002krvnim\u2002\u017eilama,\u2002oni\u2002se\u2002nakon toga\u2002mogu\u2002prenijeti\u2002u\u2002velike\u2002plu\u0107ne\u2002krvne \u017eile\u2002i\u2002dovesti\u2002do\u2002akutnog\u2002kardiovaskularnog\u2002zatajenja&#8221;,\u2002rekao je\u2002patolog\u2002i\u2002dodao\u2002da\u2002mikro-ugru\u0161ci\u2002u\u2002organima\u2002tako\u0111er\u2002mogu prouzro\u010diti\u2002o\u0161te\u0107enja.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0160to\u2002on\u2002ka\u017ee\u2002o\u2002raspravi\u2002o\u2002tome\u2002jesu\u2002li\u2002ljudi\u2002umrli\u2002&#8221;od&#8221;\u2002ili\u2002&#8221;s&#8221;\u2002koronom?\u2002&#8221;Smatram\u2002da\u2002je\u2002ovo kriva\u2002rasprava\u2002u krivo vrijeme.\u2002U\u2002slu\u010dajevima\u2002kad\u2002smo\u2002obducirali\u2002ljude\u2002koji\u2002su\u2002umrli\u2002od\u2002&#8217;korone&#8217;\u2002svi\u2002preminuli\u2002su\u2002ve\u0107 od ranije\u2002imali\u2002neke\u2002bolesti,\u2002ali\u2002ne\u2002u\u2002mjeri\u2002u\u2002kojoj\u2002su\u2002sada\u2002bili\u2002\u017eivotno\u2002ugro\u017eeni&#8221;,\u2002nagla\u0161ava\u2002Horst.\u2002Prema\u2002njegovim\u2002rije\u010dima\u2002ne\u2002bi\u2002se\u2002trebao\u2002stvoriti\u2002dojam\u2002da\u2002korona\u2002nije opasna\u2002i\u2002da\u2002bez\u2002nje\u2002ljudi\u2002ne\u2002bi\u2002umirali, zaklju\u010duje <a rel=\"noreferrer noopener\" href=\"https:\/\/www.dw.com\/hr\/covid-19-%C5%A1to-su-otkrili-patolozi\/a-53304943\" target=\"_blank\">DW<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Njema\u010dki patolozi obavili su cijeli niz obdukcija nad truplima umrlih od infekcije COVID-19. \u0160to se od toga nau\u010dili? <\/p>\n","protected":false},"author":1,"featured_media":3627,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[2046,1747],"class_list":["post-37423","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravlje","tag-korona-virus","tag-obdukcija"],"_links":{"self":[{"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/posts\/37423","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/comments?post=37423"}],"version-history":[{"count":0,"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/posts\/37423\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/media\/3627"}],"wp:attachment":[{"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/media?parent=37423"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/categories?post=37423"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mojevrijeme.hr\/magazin\/wp-json\/wp\/v2\/tags?post=37423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}