{"id":240271,"date":"2021-11-15T09:41:41","date_gmt":"2021-11-15T08:41:41","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=240271"},"modified":"2021-11-15T09:41:41","modified_gmt":"2021-11-15T08:41:41","slug":"vseobecna-zdravotni-pojistovna-prohlidka-u-vseobecneho-praktickeho-lekare","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=240271","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Prohl\u00eddka u v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
Jak\u00e1 vy\u0161et\u0159en\u00ed mi bude d\u011blat praktick\u00fd l\u00e9ka\u0159 v r\u00e1mci v\u0161eobecn\u00e9 praktick\u00e9 prohl\u00eddky?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

U v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e absolvujete tzv. v\u0161eobecnou preventivn\u00ed prohl\u00eddku<\/b>. Na tu by m\u011bl dosp\u011bl\u00fd \u010dlov\u011bk (od 18 let) chodit 1kr\u00e1t za dva roky, zpravidla po uplynut\u00ed 23 m\u011bs\u00edc\u016f od posledn\u00ed preventivn\u00ed prohl\u00eddky, a to i kdy\u017e nem\u00e1 v\u016fbec \u017e\u00e1dn\u00e9 zdravotn\u00ed probl\u00e9my. Obsah a frekvence preventivn\u00ed prohl\u00eddky u\u00a0v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e jsou definov\u00e1ny ve vyhl\u00e1\u0161ce \u010d.\u00a070\/2012 Sb., o\u00a0preventivn\u00edch prohl\u00eddk\u00e1ch.<\/p>\n

Na preventivn\u00ed prohl\u00eddku je zapot\u0159eb\u00ed se objednat p\u0159edem<\/b>. L\u00e9ka\u0159i m\u00edvaj\u00ed zpravidla vyhrazenou ordina\u010dn\u00ed dobu, kdy se v\u011bnuj\u00ed pr\u00e1v\u011b preventivn\u00edm prohl\u00eddk\u00e1m. Tzn., \u017ee na vy\u0161et\u0159en\u00ed p\u0159ijdete na p\u0159edem domluven\u00fd term\u00edn a v\u00a0\u010dek\u00e1rn\u011b nemus\u00edte \u010dekat s\u00a0ostatn\u00edmi pacienty, kte\u0159\u00ed nav\u0161t\u00edvili l\u00e9ka\u0159e z\u00a0jin\u00fdch zdravotn\u00edch d\u016fvod\u016f ne\u017e vy. V\u00a0mnoha p\u0159\u00edpadech ji\u017e dnes n\u011bkte\u0159\u00ed poskytovatel\u00e9 zvou sv\u00e9 registrovan\u00e9 pacienty na preventivn\u00ed prohl\u00eddku v\u00a0p\u0159edepsan\u00fdch intervalech a zas\u00edlaj\u00ed jim nap\u0159. informa\u010dn\u00ed SMS s\u00a0mo\u017enost\u00ed objedn\u00e1n\u00ed.<\/p>\n

L\u00e9ka\u0159 s\u00a0v\u00e1mi dopln\u00ed\u00a0anamn\u00e9zu<\/b>\u00a0(v\u010detn\u011b soci\u00e1ln\u00ed) se zam\u011b\u0159en\u00edm na jej\u00ed zm\u011bny, rizikov\u00e9 faktory a\u00a0profesn\u00ed rizika.\u00a0 V rodinn\u00e9 anamn\u00e9ze je zvl\u00e1\u0161tn\u00ed d\u016fraz kladen na v\u00fdskyt kardiovaskul\u00e1rn\u00edch a plicn\u00edch onemocn\u011bn\u00ed, hypertenze, diabetu mellitu, poruch metabolismu tuk\u016f a na v\u00fdskyt n\u00e1dorov\u00fdch onemocn\u011bn\u00ed a z\u00e1vislost\u00ed.\u00a0Projde s\u00a0v\u00e1mi tak\u00e9 o\u010dkov\u00e1n\u00ed, a to nejenom povinn\u00e9 a\u00a0poji\u0161\u0165ovnou hrazen\u00e9 vakcinace<\/b>\u00a0(nap\u0159. proti tetanu), ale tak\u00e9 p\u0159eo\u010dkov\u00e1n\u00ed u t\u011bch nepovinn\u00fdch\u00a0<\/b>(nap\u0159. proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b).<\/p>\n

Preventivn\u00ed prohl\u00eddka u praktick\u00e9ho l\u00e9ka\u0159e d\u00e1le obsahuje komplexn\u00ed fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed.\u00a0<\/b>L\u00e9ka\u0159 v\u00e1m zm\u011b\u0159\u00ed krevn\u00ed tlak, vy\u0161et\u0159\u00ed pohmatem \u0161t\u00edtnou \u017el\u00e1zu, zkontroluje poklepem a poslechem srdce a pl\u00edce, prohl\u00e9dne \u017e\u00edly a tepny na doln\u00edch kon\u010detin\u00e1ch, zjist\u00ed index t\u011blesn\u00e9 hmotnosti (BMI). Orienta\u010dn\u011b by v\u00e1m tak\u00e9 m\u011bl vy\u0161et\u0159it zrak a sluch. V\u017edy se tak\u00e9 d\u011bl\u00e1 vy\u0161et\u0159en\u00ed mo\u010di diagnostick\u00fdm pap\u00edrkem.<\/p>\n

Do r\u00e1mce preventivn\u00ed prohl\u00eddky spad\u00e1 tak\u00e9 onkologick\u00e1 prevence \u2013 zhodnocuj\u00ed se rizika z\u00a0hlediska aktualizovan\u00e9 rodinn\u00e9, osobn\u00ed a pracovn\u00ed anamn\u00e9zy.<\/b>\u00a0V\u00a0t\u00e9to souvislosti je vy\u0161et\u0159ena k\u016f\u017ee a ko\u017en\u00ed znam\u00e9nka. U \u017een od 25 let, v\u00a0jejich\u017e rodin\u011b byl zaznamen\u00e1n v\u00fdskyt zhoubn\u00e9ho n\u00e1doru prsu nebo maj\u00ed jin\u00e9 rizikov\u00e9 faktory, by m\u011bl praktick\u00fd l\u00e9ka\u0159 prov\u00e9st klinick\u00e9 vy\u0161et\u0159en\u00ed prs\u016f a pou\u010dit je o\u00a0samovy\u0161et\u0159ov\u00e1n\u00ed<\/a>.<\/strong> U mu\u017e\u016f se p\u0159i pozitivn\u00ed rodinn\u00e9 anamn\u00e9ze (nebo p\u0159i p\u0159\u00edtomnosti jin\u00fdch rizikov\u00fdch faktor\u016f) d\u011bl\u00e1 klinick\u00e9 vy\u0161et\u0159en\u00ed varlat a\u00a0u\u00a0zji\u0161t\u011bn\u00e9ho\u00a0podez\u0159en\u00ed na rakovinu prostaty<\/a>\u00a0<\/strong>tak\u00e9 vy\u0161et\u0159en\u00ed per rectum.<\/p>\n

Sou\u010d\u00e1st\u00ed preventivn\u00ed prohl\u00eddky je\u00a0kontrola a zaji\u0161t\u011bn\u00ed p\u0159edepsan\u00fdch preventivn\u00edch vy\u0161et\u0159en\u00ed, kter\u00e1 se prov\u00e1d\u011bj\u00ed ve stanoven\u00e9m v\u011bku \u2013 v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159 v\u00e1m na n\u011b vyp\u00ed\u0161e \u017e\u00e1danku. N\u00e1sledn\u011b pak prob\u011bhne zhodnocen\u00ed v\u00fdsledk\u016f.<\/b><\/p>\n

Jde o n\u00e1sleduj\u00edc\u00ed vy\u0161et\u0159en\u00ed:<\/b><\/h6>\n

\u2022 \u00a0 \u00a0 \u00a0 \u00a0L<\/b>aboratorn\u00ed vy\u0161et\u0159en\u00ed koncentrace celkov\u00e9ho cholesterolu a jeho jednotliv\u00fdch \u010d\u00e1st<\/b>\u00ed (HDL, LDL a\u00a0triacylglycerol\u016f) v\u00e1m ud\u011blaj\u00ed\u00a0ve 30, 40, 50 a 60 letech<\/b>.\u00a0Laboratorn\u00ed vy\u0161et\u0159en\u00ed cukru v\u00a0krvi (glykemie)\u00a0<\/b>v\u00e1s \u010dek\u00e1\u00a0ve 30 letech a od 40 let\u00a0<\/b>ve dvoulet\u00fdch intervalech od posledn\u00edho vy\u0161et\u0159en\u00ed.\u00a0Ob\u011b tato vy\u0161et\u0159en\u00ed v\u00e1m budou v\u017edy provedena\u00a0<\/var>p\u0159i prvn\u00ed v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddce po ukon\u010den\u00ed p\u00e9\u010de u praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost (zhruba v\u00a018\u00a0letech) a n\u00e1sledn\u011b ve stanoven\u00fdch intervalech.<\/p>\n

\u2022 \u00a0 \u00a0 \u00a0Ve 40 letech<\/b>\u00a0v\u00e1s pak \u010dek\u00e1\u00a0vy\u0161et\u0159en\u00ed<\/b>\u00a0elektrick\u00e9 \u010dinnosti srdce neboli\u00a0EKG<\/b>, d\u00e1le ho budete absolvovat ve \u010dty\u0159let\u00fdch intervalech.<\/p>\n

\u2022 \u00a0 \u00a0 \u00a0 Pacienti, kte\u0159\u00ed trp\u00ed diabetem, hypertenz\u00ed nebo kardiovaskul\u00e1rn\u00edmi komplikacemi, absolvuj\u00ed\u00a0v\u00a050\u00a0letech<\/b>\u00a0(a\u00a0d\u00e1le pak ka\u017ed\u00e9 4 roky)\u00a0vy\u0161et\u0159en\u00ed funkce ledvin stanoven\u00edm koncentrace s\u00e9rov\u00e9ho kreatininu a\u00a0odhad glomerul\u00e1rn\u00ed filtrace<\/b>.<\/p>\n

\u2022 \u00a0 \u00a0 \u00a0 Nov\u011b od \u00fanora 2021 pat\u0159\u00ed do obsahu preventivn\u00ed prohl\u00eddky u pacient\u016f\u00a0ve v\u011bkov\u00e9m rozmez\u00ed od 45 do 61 let doporu\u010den\u00ed preventivn\u00edho o\u010dn\u00edho vy\u0161et\u0159en\u00ed<\/b>, a to ve \u010dty\u0159let\u00fdch intervalech. C\u00edlem je prevence dlouhodob\u011b bezp\u0159\u00edznakov\u00fdch o\u010dn\u00edch onemocn\u011bn\u00ed u pacient\u016f, kte\u0159\u00ed na o\u010dn\u00ed vy\u0161et\u0159en\u00ed nechod\u00ed.<\/p>\n

\u2022 \u00a0 \u00a0 \u00a0\u00a0\u00a0V\u00a0r\u00e1mci prevence zhoubn\u00fdch n\u00e1dor\u016f pak prob\u00edh\u00e1 i screening zhoubn\u00e9ho n\u00e1doru tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku, a to prost\u0159ednictv\u00edm speci\u00e1ln\u00edho testu\u00a0<\/b>stanoven\u00ed okultn\u00edho krv\u00e1cen\u00ed (okem neviditeln\u00e9ho) ve stolici u osob od 50 let jedenkr\u00e1t\u00a0ro\u010dn\u011b a od 55 let jednou za dva roky. Toto vy\u0161et\u0159en\u00ed je mo\u017en\u00e9 nahradit doporu\u010den\u00edm k proveden\u00ed screeningov\u00e9 kolonoskopie jednou za 10 let.<\/p>\n

\u2022 \u00a0 \u00a0 \u00a0 U \u017een od 45 let\u00a0l\u00e9ka\u0159 ov\u011b\u0159\u00ed, zda je k dispozici\u00a0v\u00fdsledek\u00a0screeningov\u00e9ho mamografick\u00e9ho vy\u0161et\u0159en\u00ed<\/b>\u00a0z posledn\u00edch dvou let. Nen\u00ed-li, l\u00e9ka\u0159 doporu\u010d\u00ed proveden\u00ed tohoto vy\u0161et\u0159en\u00ed a nezbytn\u00fdch dopl\u0148uj\u00edc\u00edch vy\u0161et\u0159en\u00ed. Doporu\u010den\u00ed na screening kolorekta a n\u00e1doru prs\u016f m\u016f\u017ee \u017een\u011b tak\u00e9 vystavit gynekolog.<\/p>\n

Preventivn\u00ed prohl\u00eddky jsou pln\u011b hrazeny z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b>. D\u00e9lka preventivn\u00ed prohl\u00eddky u v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e m\u016f\u017ee b\u00fdt od 30 do 60 min. Jednotliv\u00e1 vy\u0161et\u0159en\u00ed se li\u0161\u00ed dle v\u011bku a pohlav\u00ed, jak bylo zm\u00edn\u011bno. Podrobn\u00fd p\u0159ehled najdete na na\u0161ich webov\u00fdch str\u00e1nk\u00e1ch v\u00a0Harmonogramu preventivn\u00ed p\u00e9\u010de<\/a><\/strong>. Pokud si nejste \u010d\u00edmkoli jisti, rozhodn\u011b se zeptejte sv\u00e9ho registruj\u00edc\u00edho v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. Ka\u017ed\u00e1 informace o va\u0161em zdrav\u00ed je d\u016fle\u017eit\u00e1 a nem\u011bla by b\u00fdt opomenuta.<\/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":240273,"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\/11\/15\/r\u00e1me\u010dek-ot\u00e1zka-t\u00fddne.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/240271"}],"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=240271"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/240271\/revisions"}],"predecessor-version":[{"id":240272,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/240271\/revisions\/240272"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/240273"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=240271"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=240271"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=240271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}