{"id":239423,"date":"2021-11-04T11:50:54","date_gmt":"2021-11-04T10:50:54","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=239423"},"modified":"2021-11-04T11:50:54","modified_gmt":"2021-11-04T10:50:54","slug":"vseobecna-zdravotni-pojistovna-rakovina-prostaty-a-preventivni-vysetreni","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=239423","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Rakovina prostaty a preventivn\u00ed vy\u0161et\u0159en\u00ed"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
Rakovina prostaty pat\u0159\u00ed k nej\u010dast\u011bj\u0161\u00edm zhoubn\u00fdm n\u00e1dor\u016fm u mu\u017e\u016f. Jak prob\u00edh\u00e1 vy\u0161et\u0159en\u00ed a kdy na n\u011b m\u016f\u017eu j\u00edt?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Absolvov\u00e1n\u00ed preventivn\u00edch prohl\u00eddek by m\u011blo b\u00fdt b\u011b\u017enou sou\u010d\u00e1st\u00ed \u017eivota ka\u017ed\u00e9ho \u010dlov\u011bka, i kdy\u017e se c\u00edt\u00ed fit a nem\u00e1 pocit, \u017ee m\u00e1 jak\u00e9koli zdravotn\u00ed obt\u00ed\u017ee. U karcinomu prostaty je znepokojuj\u00edc\u00ed fakt, \u017ee onemocn\u011bn\u00ed se ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f rozv\u00edj\u00ed, ani\u017e by si mu\u017ei pov\u0161imli jak\u00fdchkoli symptom\u016f ji\u017e v ran\u00e9m st\u00e1diu. P\u0159itom nej\u00fa\u010dinn\u011bj\u0161\u00ed je l\u00e9\u010dba ve chv\u00edli, kdy se nemoc odhal\u00ed v\u010das.<\/p>\n

K diagnostice onemocn\u011bn\u00ed prostaty se jako z\u00e1klad pou\u017e\u00edv\u00e1 vy\u0161et\u0159en\u00ed prostaty pohmatem, kter\u00e9 je sou\u010d\u00e1st\u00ed preventivn\u00ed prohl\u00eddky u registruj\u00edc\u00edho v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. Ta se prov\u00e1d\u00ed a z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrad\u00ed jedenkr\u00e1t za dva roky, zpravidla po uplynut\u00ed 23 m\u011bs\u00edc\u016f od posledn\u00ed preventivn\u00ed prohl\u00eddky (dle vyhl\u00e1\u0161ky \u010d. 70\/2012, o preventivn\u00edch prohl\u00eddk\u00e1ch).<\/p>\n

Pokud vznikne podez\u0159en\u00ed na onemocn\u011bn\u00ed prostaty, je jednou z diagnostick\u00fdch mo\u017enost\u00ed laboratorn\u00ed rozbor krve, z n\u011bho\u017e se stanov\u00ed hladina tzv. PSA (prostatick\u00fd specifick\u00fd antigen). Vy\u0161et\u0159en\u00ed m\u016f\u017ee zajistit v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159, internista i urolog na z\u00e1klad\u011b klinick\u00e9ho n\u00e1lezu u pacienta. Kdo toto vy\u0161et\u0159en\u00ed chce absolvovat jen na z\u00e1klad\u011b sv\u00e9ho vlastn\u00edho rozhodnut\u00ed, bez l\u00e9ka\u0159sk\u00e9 indikace, mus\u00ed si je uhradit.<\/p>\n

Pro stanoven\u00ed diagn\u00f3zy karcinomu prostaty jsou pak nezbytn\u00e1 dal\u0161\u00ed vy\u0161et\u0159en\u00ed \u2013 nap\u0159. zobrazen\u00ed prostaty ultrazvukem, biopsie prostaty, p\u0159\u00edpadn\u011b po\u010d\u00edta\u010dov\u00e1 tomografie (CT) \u010di magnetick\u00e1 rezonance. V\u0161echna tato indikovan\u00e1 vy\u0161et\u0159en\u00ed jsou hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

Pokud nedojde k brzk\u00e9mu odhalen\u00ed a v\u010dasn\u00e9 l\u00e9\u010db\u011b, mohou se rakovinotvorn\u00e9 bu\u0148ky \u0161\u00ed\u0159it z prostaty i do vzd\u00e1len\u00fdch \u010d\u00e1st\u00ed t\u011bla, a to p\u0159edev\u0161\u00edm do lymfatick\u00fdch uzlin a kost\u00ed. \u00da\u010dinn\u011b p\u0159edch\u00e1zet rakovin\u011b prostaty v podstat\u011b nelze, proto jsou preventivn\u00ed prohl\u00eddky u l\u00e9ka\u0159e velmi d\u016fle\u017eit\u00e9. Pokud rakovina prostaty ur\u010dit\u00e9 p\u0159\u00edznaky vyvol\u00e1, b\u00fdvaj\u00ed to pot\u00ed\u017ee s mo\u010den\u00edm, krev v mo\u010di, bolestiv\u00e1 ejakulace, p\u0159\u00edm\u011bs krve ve spermatu nebo pot\u00ed\u017ee s erekc\u00ed.<\/p>\n

Pozitivn\u00ed anamn\u00e9za v rodin\u011b m\u016f\u017ee znamenat zv\u00fd\u0161en\u00fd v\u00fdskyt onemocn\u011bn\u00ed i u dal\u0161\u00edch mu\u017esk\u00fdch \u010dlen\u016f rodiny. Pokud u v\u00e1s nebo n\u011bkter\u00e9ho va\u0161eho p\u0159\u00edbuzn\u00e9ho byla rakovina prostaty v minulosti \u010di p\u0159\u00edtomnosti diagnostikov\u00e1na, pora\u010fte se se sv\u00fdm o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em o mo\u017enostech vy\u0161et\u0159en\u00ed i pro ostatn\u00ed mu\u017esk\u00e9 \u010dleny.<\/p>\n

Pov\u011bdom\u00ed o tomto onemocn\u011bn\u00ed se sna\u017e\u00ed zv\u00fd\u0161it pravideln\u00e1 listopadov\u00e1 osv\u011btov\u00e1 akce Movember. Jej\u00edm organiz\u00e1torem je v \u010cesk\u00e9 republice Nada\u010dn\u00ed fond Mu\u017ei proti rakovin\u011b.<\/strong><\/a> Mu\u017ei si v r\u00e1mci t\u00e9to kampan\u011b nech\u00e1vaj\u00ed nar\u016fst kn\u00edr a nos\u00ed ho po cel\u00fd listopad na podporu zv\u00fd\u0161en\u00ed pov\u011bdom\u00ed o mu\u017esk\u00fdch nemocech. D\u016fraz je kladen na v\u010dasnou detekci rakoviny varlat zejm\u00e9na u mlad\u00fdch mu\u017e\u016f, star\u0161\u00edm mu\u017e\u016fm je doporu\u010dov\u00e1na pravideln\u00e1 kontrola prostaty. Velk\u00fd v\u00fdznam m\u00e1 dostate\u010dn\u00e1 informovanost pacient\u016f. Mu\u017ei by se nem\u011bli b\u00e1t \u010di ost\u00fdchat mluvit o sv\u00e9m zdrav\u00ed se sv\u00fdm l\u00e9ka\u0159em.<\/p>\n

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

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