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<\/p>\n<\/p>\n
Obsah a frekvence preventivn\u00edch prohl\u00eddek u poskytovatel\u016f prim\u00e1rn\u00ed p\u00e9\u010de (u v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost, gynekologa, stomatologa) jsou definov\u00e1ny ve vyhl\u00e1\u0161ce \u010d. 70\/2012 Sb., o preventivn\u00edch prohl\u00eddk\u00e1ch. S \u00fa\u010dinnost\u00ed od 24. 2. 2021 do\u0161lo k \u00faprav\u00e1m t\u00e9to vyhl\u00e1\u0161ky, p\u0159i\u010dem\u017e v\u011bt\u0161ina zm\u011bn se t\u00fdk\u00e1 preventivn\u00edch prohl\u00eddek u praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost.<\/p>\n
Obsah v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky dosp\u011bl\u00fdch byl roz\u0161\u00ed\u0159en o po\u017eadavek, aby v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159 vystavil pacient\u016fm ve v\u011bku od 45 let do 61 let doporu\u010den\u00ed na preventivn\u00ed o\u010dn\u00ed vy\u0161et\u0159en\u00ed u oftalmologa, a to ve \u010dty\u0159let\u00fdch intervalech. Toto vy\u0161et\u0159en\u00ed, jeho\u017e c\u00edlem je prevence dlouhodob\u011b bezp\u0159\u00edznakov\u00fdch o\u010dn\u00edch onemocn\u011bn\u00ed, se m\u00e1 t\u00fdkat pacient\u016f, kte\u0159\u00ed na o\u010dn\u00ed vy\u0161et\u0159en\u00ed nechod\u00ed. Do seznamu zdravotn\u00edch v\u00fdkon\u016f byl v souvislosti s touto novelou vyhl\u00e1\u0161ky o preventivn\u00edch prohl\u00eddk\u00e1ch dopln\u011bn nov\u00fd v\u00fdkon pro odbornost oftalmologie \u201ev\u010dasn\u00fd z\u00e1chyt z\u00e1va\u017en\u00fdch poruch vid\u011bn\u00ed\u201c, nelze ho v\u0161ak vyk\u00e1zat u pacient\u016f, kte\u0159\u00ed jsou ji\u017e sledov\u00e1ni oftalmologem. M\u016f\u017eeme doplnit, \u017ee o\u010dn\u00ed vy\u0161et\u0159en\u00ed VZP samoz\u0159ejm\u011b hrad\u00ed<\/strong><\/a> i bez doporu\u010den\u00ed praktick\u00e9ho l\u00e9ka\u0159e.<\/p>\n Zm\u011bny v r\u00e1mci preventivn\u00edch prohl\u00eddek d\u011bt\u00ed hlavn\u011b up\u0159es\u0148uj\u00ed jejich rozsah, proto\u017ee ten ji\u017e n\u011bkdy neodpov\u00eddal sou\u010dasn\u00fdm pot\u0159eb\u00e1m a praxi. Jde nap\u0159. o ov\u011b\u0159en\u00ed, zda bylo provedeno screeningov\u00e9 vy\u0161et\u0159en\u00ed sluchu novorozence (pokud nebylo, je \u00fakolem l\u00e9ka\u0159e d\u00e1t rodi\u010d\u016fm doporu\u010den\u00ed jeho proveden\u00ed v\u010detn\u011b pod\u00e1n\u00ed informace o poskytovatel\u00edch zdravotn\u00edch slu\u017eeb, kte\u0159\u00ed toto vy\u0161et\u0159en\u00ed prov\u00e1d\u011bj\u00ed), o zm\u011bnu u pod\u00e1v\u00e1n\u00ed vitam\u00ednu K (jen v indikovan\u00fdch p\u0159\u00edpadech), nebo up\u0159esn\u011bn\u00ed opakov\u00e1n\u00ed vy\u0161et\u0159en\u00ed za \u00fa\u010delem v\u010dasn\u00e9ho z\u00e1chytu poruch autistick\u00e9ho spektra (s odstupem 6 m\u011bs\u00edc\u016f od prvn\u00edho vy\u0161et\u0159en\u00ed v p\u0159\u00edpad\u011b, \u017ee byl v\u00fdsledek prvn\u00edho vy\u0161et\u0159en\u00ed nejednozna\u010dn\u00fd). V 5 letech mus\u00ed l\u00e9ka\u0159 rodi\u010d\u016fm podat informace o vy\u0161et\u0159en\u00ed sluchu d\u00edt\u011bte metodou t\u00f3nov\u00e9 audiometrie v\u010detn\u011b informace o poskytovatel\u00edch zdravotn\u00edch slu\u017eeb, kte\u0159\u00ed toto vy\u0161et\u0159en\u00ed prov\u00e1d\u011bj\u00ed.<\/p>\n Do prohl\u00eddek v 7, 9, 11 a 13 letech je dopln\u011bno posouzen\u00ed soci\u00e1ln\u00edho chov\u00e1n\u00ed d\u00edt\u011bte a komunika\u010dn\u00edch schopnost\u00ed. D\u00e1le novela nap\u0159. sla\u010fuje preventivn\u00ed prohl\u00eddky ve 13 letech s nyn\u011bj\u0161\u00ed prax\u00ed, kdy jsou s \u00fahradou z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed o\u010dkov\u00e1ny proti lidsk\u00e9mu papilomaviru (HPV) d\u011bti od dovr\u0161en\u00ed 13. do dovr\u0161en\u00ed 14. roku ji\u017e bez rozd\u00edlu pohlav\u00ed. O mo\u017enosti tohoto o\u010dkov\u00e1n\u00ed tedy maj\u00ed b\u00fdt p\u0159i prohl\u00eddce pou\u010deni i chlapci. Obsah preventivn\u00ed prohl\u00eddky ve 13 letech je dopln\u011bn o vy\u0161et\u0159en\u00ed barvocitu a na 13 let je nov\u011b stanoven term\u00edn pro vy\u0161et\u0159en\u00ed cholesterolu (koncentrace celkov\u00e9ho, HDL a LDL cholesterolu a triacylglycerol\u016f) prov\u00e1d\u011bn\u00e9 v p\u0159\u00edpad\u011b, \u017ee se v rodinn\u00e9 anamn\u00e9ze vyskytuje do 55 let v\u011bku ischemick\u00e1 choroba srde\u010dn\u00ed, infarkt myokardu, angina pectoris, n\u00e1hl\u00e9 c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody nebo hyperlipoproteinemie. U prohl\u00eddky v 15 letech je up\u0159esn\u011bno ustanoven\u00ed, v jak\u00e9m p\u0159\u00edpad\u011b bude d\u00edvk\u00e1m doporu\u010dov\u00e1no gynekologick\u00e9 vy\u0161et\u0159en\u00ed (p\u0159i poruch\u00e1ch menstrua\u010dn\u00edho cyklu). Na gynekologick\u00e9 preventivn\u00ed prohl\u00eddky maj\u00ed ale od 15 let nad\u00e1le n\u00e1rok v\u0161echny \u017eeny.<\/p>\n Gynekologick\u00fdch a zubn\u00edch preventivn\u00edch prohl\u00eddek se novela vyhl\u00e1\u0161ky \u00fa\u010dinn\u00e1 od 24. 2. 2021 net\u00fdk\u00e1.<\/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":220484,"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\/04\/07\/r\u00e1me\u010dek-ot\u00e1zka-t\u00fddne.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/220483"}],"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=220483"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/220483\/revisions"}],"predecessor-version":[{"id":220485,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/220483\/revisions\/220485"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/220484"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=220483"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=220483"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=220483"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}