{"id":214289,"date":"2021-01-27T12:13:55","date_gmt":"2021-01-27T11:13:55","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=214289"},"modified":"2021-01-27T12:13:55","modified_gmt":"2021-01-27T11:13:55","slug":"vseobecna-zdravotni-pojistovna-kranialni-remodelacni-ortezy","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=214289","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Krani\u00e1ln\u00ed remodela\u010dn\u00ed ort\u00e9zy"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
Za jak\u00fdch podm\u00ednek m\u016f\u017eeme z\u00edskat pro na\u0161e d\u00edt\u011b tzv. helmi\u010dku, kter\u00e1 by pomohla upravit tvar jeho hlavy?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Tyto krani\u00e1ln\u00ed remodela\u010dn\u00ed ort\u00e9zy poji\u0161\u0165ovna hrad\u00ed d\u011btem do 1 roku v\u011bku a za spln\u011bn\u00ed legislativn\u011b dan\u00fdch podm\u00ednek, v\u010detn\u011b nezbytn\u00e9ho souhlasu revizn\u00edho l\u00e9ka\u0159e poji\u0161\u0165ovny. Jedn\u00e1 se o pom\u016fcku ze skupiny individu\u00e1ln\u011b zhotovovan\u00fdch ortopedickoprotetick\u00fdch pom\u016fcek. D\u011bl\u00e1 se d\u00edt\u011bti p\u0159esn\u011b na m\u00edru a podle jeho posti\u017een\u00ed; navr\u017een\u00e1 a vyroben\u00e1 je na z\u00e1klad\u011b m\u011b\u0159en\u00ed, anatomick\u00e9ho otisku, 3D skenu nebo dal\u0161\u00edch metod.<\/p>\n

Ka\u017ed\u00e9 novorozen\u00e9 d\u00edt\u011b je pravideln\u011b sledovan\u00e9 praktick\u00fdm l\u00e9ka\u0159em pro d\u011bti a dorost, p\u0159i\u010dem\u017e d\u016fle\u017eitou sou\u010d\u00e1st\u00ed pravideln\u00fdch preventivn\u00edch prohl\u00eddek a\u017e do 18 m\u011bs\u00edc\u016f v\u011bku je m\u011b\u0159en\u00ed obvodu hlavy d\u00edt\u011bte, posouzen\u00ed jej\u00edho tvaru a vy\u0161et\u0159en\u00ed velikosti fontanel \u2013 m\u011bkk\u00fdch m\u00edst na hlav\u011b, kde se lebe\u010dn\u00ed kosti spojuj\u00ed, ale je\u0161t\u011b nedo\u0161lo k \u00fapln\u00e9mu sr\u016fstu. Pokud l\u00e9ka\u0159 p\u0159i prohl\u00eddk\u00e1ch zjist\u00ed probl\u00e9m, doporu\u010d\u00ed vhodn\u00fd l\u00e9\u010debn\u00fd postup.<\/p>\n

Prvn\u00edm krokem p\u0159i l\u00e9\u010db\u011b deformit hlavi\u010dky je polohov\u00e1n\u00ed a p\u0159\u00edpadn\u011b i fyzioterapie d\u00edt\u011bte, c\u00edlen\u00e1 na odstran\u011bn\u00ed mo\u017en\u00e9ho jednostrann\u00e9ho nap\u011bt\u00ed ur\u010dit\u00fdch svalov\u00fdch skupin. O t\u011bchto postupech je pot\u0159eba rozhodnout co nejd\u0159\u00edve. Vzhledem k rychlosti r\u016fstu hlavi\u010dky d\u00edt\u011bte je vhodn\u00e9 zah\u00e1jit l\u00e9\u010dbu ort\u00e9zou do 6. m\u011bs\u00edce, nejpozd\u011bji v\u0161ak do 1 roku v\u011bku d\u00edt\u011bte (v\u010detn\u011b polohov\u00e1n\u00ed a sou\u010dasn\u00e9 rehabilita\u010dn\u00ed l\u00e9\u010dby, kter\u00e1 aplikaci ort\u00e9zy p\u0159edch\u00e1z\u00ed).<\/p>\n

Rozhodnut\u00ed o l\u00e9\u010db\u011b pomoc\u00ed krani\u00e1ln\u00edch remodela\u010dn\u00edch ort\u00e9z v p\u0159\u00edpad\u011b deformit hlavi\u010dky d\u00edt\u011bte nen\u00ed v rukou praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost, ale l\u00e9ka\u0159e n\u011bkter\u00e9 ze stanoven\u00fdch odbornost\u00ed \u2013 m\u016f\u017ee to b\u00fdt neurolog, chirurg, ortoped, specialista v ortopedick\u00e9 protetice \u010di l\u00e9ka\u0159 odbornosti rehabilita\u010dn\u00ed a fyzik\u00e1ln\u00ed medic\u00edna. Od praktick\u00e9ho l\u00e9ka\u0159e m\u00e1 d\u00edt\u011b v p\u0159\u00edpad\u011b pot\u0159eby dostat doporu\u010den\u00ed na p\u0159\u00edslu\u0161n\u00e9 odborn\u00e9 vy\u0161et\u0159en\u00ed.<\/p>\n

P\u0159edepsat krani\u00e1ln\u00ed remodela\u010dn\u00ed ort\u00e9zu je mo\u017eno jen na z\u00e1klad\u011b stanoven\u00ed p\u0159esn\u00e9 diagn\u00f3zy, etiopatogeneze, typu a z\u00e1va\u017enosti polohov\u00e9 deformity lebky, a to na z\u00e1klad\u011b vstupn\u00edho kraniometrick\u00e9ho vy\u0161et\u0159en\u00ed a s ov\u011b\u0159en\u00edm r\u016fstov\u00e9ho potenci\u00e1lu pro predikci korekce deformity. P\u0159ed indikac\u00ed ort\u00e9zy je nutn\u00e9 prov\u00e9st neurologick\u00e9 vy\u0161et\u0159en\u00ed s posouzen\u00edm neurofyziologick\u00e9ho v\u00fdvoje d\u00edt\u011bte a tak\u00e9 pomoc\u00ed klinick\u00e9ho nebo RTG vy\u0161et\u0159en\u00ed zjistit, zda nedo\u0161lo k p\u0159ed\u010dasn\u00e9mu sr\u016fstu lebe\u010dn\u00edch \u0161v\u016f (kraniosynost\u00f3ze), co\u017e je vz\u00e1cn\u011b se vyskytuj\u00edc\u00ed z\u00e1va\u017en\u00fd stav, kter\u00fd je nezbytn\u00e9 \u0159e\u0161it chirurgicky.<\/p>\n

Krani\u00e1ln\u00ed remodela\u010dn\u00ed ort\u00e9zy jsou indikovan\u00e9 pouze v p\u0159\u00edpadech t\u011b\u017ek\u00fdch jednoduch\u00fdch i kombinovan\u00fdch deformit hlavi\u010dky a tehdy, kdy\u017e p\u0159edchoz\u00ed cca dvoum\u011bs\u00ed\u010dn\u00ed l\u00e9\u010dba polohov\u00e1n\u00edm a c\u00edlen\u00e1 fyzioterapie nevedly ke zlep\u0161en\u00ed. K \u00fahrad\u011b z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed je nutn\u00fd souhlas revizn\u00edho l\u00e9ka\u0159e. Poji\u0161\u0165ovna pak hrad\u00ed 95 % z ceny t\u00e9to individu\u00e1ln\u011b vyroben\u00e9 pom\u016fcky, kter\u00e1 \u010din\u00ed cca 15 tis\u00edc korun; rozd\u00edlovou \u010d\u00e1stku budete muset v\u00fdrobci krani\u00e1ln\u00ed remodela\u010dn\u00ed ort\u00e9zy doplatit.<\/p>\n

(tzvzp)<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":214290,"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\/2021\/01\/27\/r\u00e1me\u010dek-ot\u00e1zka-t\u00fddne.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/214289"}],"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=214289"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/214289\/revisions"}],"predecessor-version":[{"id":214291,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/214289\/revisions\/214291"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/214290"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=214289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=214289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=214289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}