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<\/p>\n<\/p>\n
Ano, vy\u0161et\u0159en\u00ed znam\u00e9nek a podez\u0159el\u00fdch pigmentov\u00fdch ko\u017en\u00edch zm\u011bn dermatologem je hrazeno z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. L\u00e9ka\u0159 bude hlavn\u011b zji\u0161\u0165ovat, zda se nejedn\u00e1 o malign\u00ed melanom \u010di jin\u00e9 potenci\u00e1ln\u011b nebezpe\u010dn\u00e9 onemocn\u011bn\u00ed k\u016f\u017ee (nap\u0159. bazaliom, spinaliom apod.). Mate\u0159sk\u00e1 znam\u00e9nka, pihy a dal\u0161\u00ed pigmentov\u00e9 projevy na k\u016f\u017ei v\u00e1m vy\u0161et\u0159\u00ed v ka\u017ed\u00e9 dermatologick\u00e9 ambulanci. Dermatolog znam\u00e9nko prohl\u00e9dne \u2013 b\u011b\u017en\u011b vy\u0161et\u0159uje pohledem, p\u0159\u00edpadn\u011b s pou\u017eit\u00edm lupy, n\u011bkter\u00e1 pracovi\u0161t\u011b maj\u00ed k dispozici i digit\u00e1ln\u00ed dermatoskop. Kdyby vyhodnotil znam\u00e9nko jako podez\u0159el\u00fd \u00fatvar, ode\u0161le v\u00e1s na specializovan\u00e9 ambulantn\u00ed pracovi\u0161t\u011b pro pigmentov\u00e9 projevy, kde provedou podrobn\u00e9 dermatoskopick\u00e9 vy\u0161et\u0159en\u00ed. Pracovi\u0161t\u011b se nach\u00e1zej\u00ed nap\u0159. na dermatovenerologick\u00fdch klinik\u00e1ch v nemocnic\u00edch<\/p>\n
K \u00fahrad\u011b dermatoskopick\u00e9ho vy\u0161et\u0159en\u00ed m\u016f\u017eeme doplnit, \u017ee pokud podle n\u00e1lezu rozhodl o vy\u0161et\u0159en\u00ed pacienta digit\u00e1ln\u00edm dermatoskopem l\u00e9ka\u0159, tak ho poji\u0161\u0165ovna samoz\u0159ejm\u011b hrad\u00ed, jestli\u017ee je provedeno ve smluvn\u00edm zdravotnick\u00e9m za\u0159\u00edzen\u00ed. Kdyby o n\u011bj \u017e\u00e1dal jen poji\u0161t\u011bnec s\u00e1m, mus\u00ed si v\u00fdkon uhradit. Pak by ho mohl absolvovat i na jin\u00e9m pracovi\u0161ti \u2013 vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed i \u0159ada nesmluvn\u00edch poskytovatel\u016f zdravotn\u00edch slu\u017eeb; obvykle ud\u00e1vaj\u00ed cenu za vy\u0161et\u0159en\u00ed 1 znam\u00e9nka od cca 500 korun s doplatkem za ka\u017ed\u00e9 dal\u0161\u00ed, nebo b\u00fdv\u00e1 cena stanovena “v p\u00e1smech”, nap\u0159. pro 2-5, 6-10, nad 10 znam\u00e9nek. VZP poskytuje sv\u00fdm klient\u016fm na \u201esamopl\u00e1teck\u00e9\u201c vy\u0161et\u0159en\u00ed dermatoskopem p\u0159\u00edsp\u011bvek z fondu prevence<\/strong><\/a> v r\u00e1mci prevence melanomu.<\/p>\n Mate\u0159sk\u00e9 znam\u00e9nko, kter\u00e9 se zv\u011bt\u0161uje, vyvy\u0161uje nad povrch, m\u011bn\u00ed barvu nebo konturu okraj\u016f apod., je v\u017edy nutn\u00e9 zkontrolovat a obvykle i odstranit. Kdy\u017e l\u00e9ka\u0159 shled\u00e1 zdravotn\u00ed d\u016fvod k odstran\u011bn\u00ed mate\u0159sk\u00e9ho znam\u00e9nka (nebo jin\u00e9ho pigmentov\u00e9ho projevu), m\u00e1 b\u00fdt vyjmuto chirurgicky, proto\u017ee odebran\u00e1 tk\u00e1\u0148 mus\u00ed b\u00fdt je\u0161t\u011b histologicky vy\u0161et\u0159ena. Proto se pigmentov\u00e9 projevy laserem neodstra\u0148uj\u00ed, a to ani v oblasti obli\u010deje. Chirurgick\u00e9 odstran\u011bn\u00ed je poji\u0161\u0165ovnou hrazeno. Z\u00e1krok laserem poji\u0161\u0165ovna nehrad\u00ed a pacient by ho nem\u011bl vy\u017eadovat ani jako samopl\u00e1tce \u2013 odstran\u011bn\u00ed potenci\u00e1ln\u011b nebezpe\u010dn\u00e9ho \u00fatvaru laserem nem\u016f\u017eeme pova\u017eovat za medic\u00ednsky spr\u00e1vn\u00fd (lege artis) postup.<\/p>\n Pokud l\u00e9ka\u0159 neshled\u00e1 zdravotn\u00ed d\u016fvod k tomu, aby bylo mate\u0159sk\u00e9 znam\u00e9nko vyjmuto a vy\u0161et\u0159eno histologicky, ale pacient p\u0159esto odstran\u011bn\u00ed \u017e\u00e1d\u00e1 z d\u016fvod\u016f kosmetick\u00fdch, mus\u00ed si z\u00e1krok uhradit s\u00e1m.<\/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":223183,"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\/05\/05\/r\u00e1me\u010dek-ot\u00e1zka-t\u00fddne.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/223182"}],"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=223182"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/223182\/revisions"}],"predecessor-version":[{"id":223184,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/223182\/revisions\/223184"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/223183"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=223182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=223182"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=223182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}