{"id":119929,"date":"2018-03-18T07:23:25","date_gmt":"2018-03-18T06:23:25","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=119929"},"modified":"2018-03-20T21:41:56","modified_gmt":"2018-03-20T20:41:56","slug":"vseobecna-zdravotni-pojistovna-otazka-odpoved-zubni-plomby-z-amalgamu-u-tehotnych-zen","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=119929","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Ot\u00e1zka &#8211; odpov\u011b\u010f: Zubn\u00ed plomby z amalg\u00e1mu u t\u011bhotn\u00fdch \u017een"},"content":{"rendered":"<h6><strong>OT\u00c1ZKA: <\/strong><strong><em>Domn\u00edvala jsem se, \u017ee se zubn\u00ed plomby u t\u011bhotn\u00fdch u\u017e nesm\u00ed d\u011blat z amalg\u00e1mu. M\u016fj zuba\u0159 mi ale amalg\u00e1movou doporu\u010dil. Jak to tedy je?<\/em><\/strong><\/h6>\n<h6>ODPOV\u011a\u010e: Zubn\u00ed amalg\u00e1m nesm\u00ed b\u00fdt podle Na\u0159\u00edzen\u00ed Evropsk\u00e9ho parlamentu a\u00a0Rady pou\u017e\u00edv\u00e1n\u00a0<strong>p\u0159i stomatologick\u00e9m o\u0161et\u0159en\u00ed ml\u00e9\u010dn\u00fdch zub\u016f, u\u00a0d\u011bt\u00ed do 15 let a\u00a0u\u00a0t\u011bhotn\u00fdch a\u00a0koj\u00edc\u00edch \u017een<\/strong>, a\u00a0to od 1. \u010dervence 2018, s\u00a0v\u00fdjimkou p\u0159\u00edpad\u016f, kdy to zubn\u00ed l\u00e9ka\u0159 pova\u017euje za naprosto nezbytn\u00e9 z\u00a0d\u016fvodu specifick\u00fdch zdravotn\u00edch pot\u0159eb dot\u010den\u00e9ho pacienta.<\/h6>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-46645 alignright\" src=\"http:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2016\/02\/08\/vzp-300x144.jpg\" alt=\"\" width=\"300\" height=\"144\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2016\/02\/08\/vzp-300x144.jpg 300w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2016\/02\/08\/vzp-742x357.jpg 742w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2016\/02\/08\/vzp.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>Na\u0159\u00edzen\u00ed se musela p\u0159izp\u016fsobit i\u00a0na\u0161e legislativa v\u010detn\u011b z\u00e1kona o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. Dosud toti\u017e poji\u0161\u0165ovna v\u00a0souladu se z\u00e1konem hradila (a\u00a0nad\u00e1le hrad\u00ed) poji\u0161t\u011bnc\u016fm\u00a0<strong>v\u00fdpln\u011b st\u00e1l\u00fdch a\u00a0do\u010dasn\u00fdch zub\u016f z\u00a0ned\u00f3zovan\u00e9ho amalg\u00e1mu<\/strong>\u00a0v\u00a0rozsahu cel\u00e9ho chrupu. D\u00e1le hrad\u00ed v\u00a0rozsahu \u0161pi\u010d\u00e1k\u016f v\u010detn\u011b v\u00fdpln\u011b ze samopolymeruj\u00edc\u00edho kompozita, do 18\u00a0let v\u011bku i\u00a0fotokompozitn\u00ed v\u00fdpln\u011b na st\u00e1l\u00fdch zubech v\u00a0rozsahu \u0161pi\u010d\u00e1k\u016f v\u010detn\u011b. Jin\u00e9 typy v\u00fdpln\u011b nebo uvedenou v\u00fdpl\u0148 v\u00a0jin\u00e9 lokalizaci si pacient hrad\u00ed v\u00a0pln\u00e9 v\u00fd\u0161i s\u00e1m.<\/p>\n<p>V souvislosti se z\u00e1kazem pou\u017e\u00edv\u00e1n\u00ed amalg\u00e1mu u\u00a0d\u011bt\u00ed, t\u011bhotn\u00fdch a\u00a0koj\u00edc\u00edch \u017een musel b\u00fdt do \u00fahrad z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed za\u0159azen jin\u00fd materi\u00e1l pro zubn\u00ed v\u00fdpln\u011b u\u00a0t\u011bchto skupin osob, aby i\u00a0pro n\u011b st\u00e1le existovala alespo\u0148 jedna\u00a0<strong>varianta o\u0161et\u0159en\u00ed zubn\u00edho kazu pln\u011b hrazen\u00e1 poji\u0161\u0165ovnou.\u00a0<\/strong>Proto jsou (s\u00a0\u00fa\u010dinnost\u00ed ji\u017e od 1.\u00a01.\u00a02018) v\u00a0p\u0159\u00edloze \u010d.\u00a01 z\u00e1kona o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed provedeny zm\u011bny u\u00a0\u00fahrad v\u00fdpln\u00ed st\u00e1l\u00fdch a\u00a0do\u010dasn\u00fdch zub\u016f \u2013\u00a0<strong>m\u00edsto ned\u00f3zovan\u00e9ho amalg\u00e1mu poji\u0161\u0165ovna hrad\u00ed p\u0159i o\u0161et\u0159en\u00ed do\u010dasn\u00fdch zub\u016f,\u00a0u\u00a0d\u011bt\u00ed do 15 let a\u00a0u\u00a0t\u011bhotn\u00fdch a\u00a0koj\u00edc\u00edch \u017een\u00a0skloionomern\u00ed cement;<\/strong>\u00a0nen\u00ed-li pou\u017eit\u00ed skloionomern\u00edho cementu mo\u017en\u00e9\u00a0<strong>z\u00a0hlediska zdravotn\u00edho stavu poji\u0161t\u011bnce<\/strong>, je hrazena\u00a0<strong>v\u00fdpl\u0148 z\u00a0d\u00f3zovan\u00e9ho amalg\u00e1mu.\u00a0<\/strong>U\u00a0\u00fahrady o\u0161et\u0159en\u00ed front\u00e1ln\u00edho \u00faseku chrupu do \u0161pi\u010d\u00e1k\u016f v\u010detn\u011b se nic nem\u011bn\u00ed.<\/p>\n<p>L\u00e9ka\u0159 tedy m\u016f\u017ee t\u011bhotn\u00e9 \u017een\u011b nab\u00eddnout plombu z\u00a0amalg\u00e1mu (po 1.\u00a0\u010dervenci 2018 ji v\u0161ak podle evropsk\u00e9ho Na\u0159\u00edzen\u00ed sm\u00ed pou\u017e\u00edt u\u017e jen v\u00a0naprosto nezbytn\u00fdch p\u0159\u00edpadech \u2013 viz v\u00fd\u0161e). Z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed m\u016f\u017ee b\u00fdt od 1.\u00a01.\u00a02018 uhrazena\u00a0<strong>p\u0159i pou\u017eit\u00ed d\u00f3zovan\u00e9ho amalg\u00e1mu a\u00a0pouze ze zdravotn\u00ed indikace<\/strong>, kterou by l\u00e9ka\u0159 musel zd\u016fvodnit.<\/p>\n<p>Materi\u00e1l\u016f, jimi\u017e je mo\u017eno o\u0161et\u0159it zubn\u00ed kaz, je tedy v\u00edce. Z\u00e1le\u017e\u00ed na tom, co pacientovi l\u00e9ka\u0159 doporu\u010d\u00ed a\u00a0co si pacient vybere, t\u0159eba i\u00a0s\u00a0ohledem na cenu. P\u0159ipom\u00edn\u00e1me, \u017ee\u00a0<strong>l\u00e9ka\u0159, kter\u00fd m\u00e1 smlouvu s\u00a0pacientovou poji\u0161\u0165ovnou, je povinen v\u017edy mu nab\u00eddnout o\u0161et\u0159en\u00ed, kter\u00e9 je hrazeno z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/strong>.<\/p>\n<p>Dal\u0161\u00ed omezen\u00ed amalg\u00e1mu ve stomatologii m\u00e1 n\u00e1sledovat od 1.\u00a01.\u00a02019 \u2013 bude mo\u017eno pou\u017e\u00edvat u\u017e jen d\u00f3zovan\u00fd amalg\u00e1m. I\u00a0tomu se bude muset \u010desk\u00e1 legislativa p\u0159izp\u016fsobit.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Old\u0159ich TICH\u00dd,\u00a0vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA: Domn\u00edvala <\/p>\n","protected":false},"author":2,"featured_media":123228,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2018\/02\/18\/r\u00e1me\u010dek-vzp-170218.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/119929"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=119929"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/119929\/revisions"}],"predecessor-version":[{"id":122914,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/119929\/revisions\/122914"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/123228"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=119929"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=119929"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=119929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}