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Testov\u00e1n\u00ed na HPV (human papilloma virus, kter\u00fd m\u016f\u017ee b\u00fdt mj. p\u016fvodcem rakoviny d\u011blo\u017en\u00edho \u010d\u00edpku u \u017een) nen\u00ed sou\u010d\u00e1st\u00ed preventivn\u00edch prohl\u00eddek podle vyhl\u00e1\u0161ky \u010d. 70\/2012 Sb., o preventivn\u00edch prohl\u00eddk\u00e1ch. Pro \u00fahradu preventivn\u00edho HPV testov\u00e1n\u00ed je v\u0161ak podstatn\u00e9, \u017ee p\u0159\u00edslu\u0161n\u00e9 k\u00f3dy v\u00fdkon\u016f jsou dopln\u011bny do Seznamu zdravotn\u00edch v\u00fdkon\u016f,<\/strong><\/a> kter\u00fd vyd\u00e1v\u00e1 vyhl\u00e1\u0161kou Ministerstvo zdravotnictv\u00ed. Zde jsou s \u00fa\u010dinnost\u00ed od 1. 1. 2021 nov\u00e9 v\u00fdkony, kter\u00e9 budou zdravotn\u00ed poji\u0161\u0165ovny hradit opr\u00e1vn\u011bn\u00fdm laborato\u0159\u00edm klinick\u00e9 cytologie: vy\u0161et\u0159en\u00ed p\u0159\u00edtomnosti nukleov\u00e9 kyseliny vysoce rizikov\u00fdch typ\u016f HPV v cervik\u00e1ln\u00edm st\u011bru, k\u00f3d 95202 pro n\u00e1lez pozitivn\u00ed a 95203 pro n\u00e1lez negativn\u00ed. Vy\u0161et\u0159en\u00ed je indikov\u00e1no u \u017een ve v\u011bku 35 let a 45 let, kter\u00e9 maj\u00ed negativn\u00ed n\u00e1lez cytologick\u00e9ho screeningu<\/strong><\/a> (tzn. na d\u011blo\u017en\u00edm \u010d\u00edpku nebyly objeveny \u017e\u00e1dn\u00e9 zm\u011bny sv\u011bd\u010d\u00edc\u00ed pro onkologick\u00e9 onemocn\u011bn\u00ed).<\/p>\n Vy\u0161et\u0159en\u00ed na HPV bylo dosud indikov\u00e1no a hrazeno pouze u \u017een se sporn\u00fdm cytologick\u00fdm n\u00e1lezem. V t\u011bchto p\u0159\u00edpadech je vy\u0161et\u0159en\u00ed HPV (pod k\u00f3dem v\u00fdkonu 95201) hrazeno i nad\u00e1le, a to bez v\u011bkov\u00e9 limitace. \u017den\u00e1m, kter\u00e9 maj\u00ed v\u00fdsledek cytologie pozitivn\u00ed, jsou samoz\u0159ejm\u011b hrazena v\u0161echna n\u00e1sledn\u00e1 indikovan\u00e1 vy\u0161et\u0159en\u00ed a zdravotn\u00ed v\u00fdkony.<\/p>\n Screeningov\u00e9 vy\u0161et\u0159en\u00ed, kter\u00e9 dosud kon\u010dilo samotn\u00fdm negativn\u00edm n\u00e1lezem, m\u00e1 b\u00fdt nov\u011b ve 35 a ve 45 letech dopln\u011bno ov\u011b\u0159en\u00edm, zda se na d\u011blo\u017en\u00edm hrdle nenach\u00e1zej\u00ed rizikov\u00e9 typy HPV. Ostatn\u00ed v\u011bkov\u00e9 kategorie \u017een mohou m\u00edt rovn\u011b\u017e proveden HPV test, ten ale nebude hrazen z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Preventivn\u00ed testov\u00e1n\u00ed na p\u0159\u00edtomnost HPV m\u016f\u017ee m\u00edt \u017eena hrazen\u00e9 poji\u0161\u0165ovnou, je-li j\u00ed 35 nebo 45 let (tj. 364 dn\u00ed od 35.\/45. narozenin). Stanoven\u00fd v\u011bk vych\u00e1z\u00ed mj. z doporu\u010den\u00ed Sv\u011btov\u00e9 zdravotnick\u00e9 organizace.<\/p>\n Vy\u0161et\u0159en\u00ed u gynekologa bude prob\u00edhat stejn\u011b jako dosud \u2013 odb\u011br vzorku je prov\u00e1d\u011bn p\u0159i standardn\u00ed gynekologick\u00e9 preventivn\u00ed prohl\u00eddce sou\u010dasn\u011b se st\u011brem na screeningov\u00e9 cytologick\u00e9 vy\u0161et\u0159en\u00ed. L\u00e9ka\u0159 pak jen u \u017een v dan\u00e9m v\u011bku ode\u0161le odebran\u00fd vzorek i na HPV test.<\/p>\n V\u00fdjime\u010dn\u011b, a to pouze v leto\u0161n\u00edm roce, tedy v roce 2021, m\u016f\u017ee nastat situace, \u017ee poji\u0161t\u011bnka byla na preventivn\u00ed gynekologick\u00e9 prohl\u00eddce v roce 2020 (s negativn\u00edm cytologick\u00fdm n\u00e1lezem), ale dos\u00e1hne v\u011bkov\u00e9ho limitu pro mo\u017enost proveden\u00ed screeningov\u00e9ho HPV testu d\u0159\u00edve, ne\u017e m\u00e1 n\u00e1rok na preventivn\u00ed prohl\u00eddku<\/strong><\/a> v roce 2021. V tomto specifick\u00e9m p\u0159\u00edpad\u011b lze hrazen\u00e9 screeningov\u00e9 HPV vy\u0161et\u0159en\u00ed realizovat mimo preventivn\u00ed prohl\u00eddku.<\/p>\n Je z\u00e1rove\u0148 nutn\u00e9 zd\u016fraznit, \u017ee na intervalu gynekologick\u00fdch preventivn\u00edch vy\u0161et\u0159en\u00ed a odb\u011br\u016f screeningov\u00e9 cytologie se nic nem\u011bn\u00ed \u2013 \u017eena m\u00e1 na tuto prevenci chodit v\u017edy 1x ro\u010dn\u011b.<\/p>\n (tzvzp)<\/strong><\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":215892,"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\/02\/15\/r\u00e1me\u010dek-ot\u00e1zka-t\u00fddne.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/215891"}],"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=215891"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/215891\/revisions"}],"predecessor-version":[{"id":215893,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/215891\/revisions\/215893"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/215892"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=215891"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=215891"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=215891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}