{"id":251085,"date":"2022-04-04T19:17:05","date_gmt":"2022-04-04T18:17:05","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=251085"},"modified":"2022-04-04T19:19:52","modified_gmt":"2022-04-04T18:19:52","slug":"vseobecna-zdravotni-pojistovna-ockovani-proti-tetanu","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=251085","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: O\u010dkov\u00e1n\u00ed proti tetanu"},"content":{"rendered":"<h6 style=\"text-align: center;\">OT\u00c1ZKA T\u00ddDNE:<\/h6>\n<h6 style=\"text-align: center;\">Sleduje za mne poji\u0161\u0165ovna interval od posledn\u00edho o\u010dkov\u00e1n\u00ed proti tetanu? Upozorn\u00ed mne na nutnost p\u0159eo\u010dkov\u00e1n\u00ed, nebo si term\u00edn mus\u00edm hl\u00eddat s\u00e1m?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-MsoNormal\"><b>Vzhledem ke\u00a0skute\u010dnostem, \u017ee poji\u0161t\u011bnci mohou ka\u017ed\u00fd rok m\u011bnit zdravotn\u00ed poji\u0161\u0165ovnu a doporu\u010den\u00fd interval pro p\u0159eo\u010dkov\u00e1n\u00ed je a\u017e 15 let, nen\u00ed v\u00a0mo\u017enostech zdravotn\u00ed poji\u0161\u0165ovny proo\u010dkovanost sledovat<\/b>\u00a0(tedy sledovat ani, kdo nen\u00ed proti tetanu p\u0159eo\u010dkov\u00e1n). Poji\u0161t\u011bncem \u010derpan\u00e1 zdravotn\u00ed p\u00e9\u010de je samoz\u0159ejm\u011b v\u017edy vykazov\u00e1na t\u00e9 zdravotn\u00ed poji\u0161\u0165ovn\u011b, u n\u00ed\u017e je aktu\u00e1ln\u011b p\u0159ihl\u00e1\u0161en. Do problematiky nav\u00edc je\u0161t\u011b vstupuj\u00ed \u00farazy \u010di p\u0159\u00edpadn\u00e9 opera\u010dn\u00ed z\u00e1kroky, kdy je povinnost p\u0159eo\u010dkov\u00e1n\u00ed proti tetanu, co\u017e znamen\u00e1 dal\u0161\u00ed mo\u017en\u00fd individu\u00e1ln\u00ed posun v\u00a0term\u00ednu o\u010dkov\u00e1n\u00ed.<b><\/b><\/p>\n<p class=\"-wm-MsoNormal\"><b>Dodr\u017eov\u00e1n\u00ed term\u00edn\u016f a podm\u00ednek pro o\u010dkov\u00e1n\u00ed sleduje podle dokumentace pacienta jeho registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159<\/b>, kter\u00fd by m\u011bl m\u00edt p\u0159ehled o cel\u00e9m vakcina\u010dn\u00edm procesu. Je tedy d\u016fle\u017eit\u00e9 \u2013 i z\u00a0tohoto d\u016fvodu \u2013 m\u00edt sv\u00e9ho st\u00e1l\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. P\u0159i jeho p\u0159\u00edpadn\u00e9 zm\u011bn\u011b bude informace o datu proveden\u00e9ho o\u010dkov\u00e1n\u00ed proti tetanu sou\u010d\u00e1st\u00ed t\u011bch informac\u00ed o\u00a0zdravotn\u00edm stavu pacienta, kter\u00e9 jsou l\u00e9ka\u0159i povinni si p\u0159edat k\u00a0zaji\u0161t\u011bn\u00ed n\u00e1vaznosti zdravotn\u00edch slu\u017eeb. Nav\u00edc by ale m\u011bl b\u00fdt ka\u017ed\u00fd s\u00e1m odpov\u011bdn\u00fd za sv\u00e9 zdrav\u00ed, co\u017e mj. znamen\u00e1 skute\u010dn\u011b doru\u010dovat sv\u00e9mu praktick\u00e9mu l\u00e9ka\u0159i v\u0161echny l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy, je\u017e pacientovi p\u0159ed\u00e1 jeho o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 kter\u00e9koli specializace nebo kter\u00e9 pacient dostane po o\u0161et\u0159en\u00ed na pohotovosti, po hospitalizaci apod.<\/p>\n<p class=\"-wm-MsoNormal\"><b>O\u010dkov\u00e1n\u00ed proti tetanu je jedn\u00edm z tzv.\u00a0<\/b><a href=\"https:\/\/www.vzp.cz\/pojistenci\/prevence\/ockovani\/povinna-ockovani\" target=\"_blank\" rel=\"noopener\"><b>pravideln\u00fdch (povinn\u00fdch) o\u010dkov\u00e1n\u00ed<\/b><\/a>.\u00a0<b>Za\u010d\u00edn\u00e1 se s\u00a0n\u00edm u\u017e od 9.\u00a0t\u00fddne po narozen\u00ed<\/b>, v r\u00e1mci o\u010dkov\u00e1n\u00ed hexavakc\u00ednou, kter\u00e1 je t\u00e9\u017e proti z\u00e1\u0161krtu, \u010dern\u00e9mu ka\u0161li, invazivn\u00edmu onemocn\u011bn\u00ed vyvolan\u00e9mu p\u016fvodcem Haemophilus influenzae\u00a0b, virov\u00e9 hepatitid\u011b\u00a0B a\u00a0p\u0159enosn\u00e9 d\u011btsk\u00e9 obrn\u011b.\u00a0<b>Z\u00e1kladn\u00ed o\u010dkov\u00e1n\u00ed se provede dv\u011bma d\u00e1vkami hexavakc\u00edny v pr\u016fb\u011bhu prvn\u00edho roku \u017eivota d\u00edt\u011bte<\/b>\u00a0(s odstupem dvou m\u011bs\u00edc\u016f)\u00a0<b>a t\u0159et\u00ed d\u00e1vkou podanou mezi 11. a 13. m\u011bs\u00edcem<\/b>\u00a0v\u011bku d\u00edt\u011bte.\u00a0<b>P\u0159eo\u010dkov\u00e1n\u00ed, a to<\/b>\u00a0<b>u\u017e jen vakc\u00ednou proti tetanu, z\u00e1\u0161krtu a d\u00e1viv\u00e9mu ka\u0161li<\/b>, se pak provede v dob\u011b\u00a0<b>od dovr\u0161en\u00ed 5. do dovr\u0161en\u00ed 6. roku<\/b>\u00a0v\u011bku d\u00edt\u011bte.\u00a0<b>N\u00e1sleduje p\u0159eo\u010dkov\u00e1n\u00ed od<\/b>\u00a0dovr\u0161en\u00ed\u00a0<b>10.<\/b>\u00a0<b>do<\/b>\u00a0dovr\u0161en\u00ed\u00a0<b>11. roku a\u00a0pak mezi 25. a 26. rokem<\/b>.\u00a0<b>Dal\u0161\u00ed p\u0159eo\u010dkov\u00e1n\u00ed proti samotn\u00e9mu tetanu m\u00e1 n\u00e1sledovat u\u00a0osob, kter\u00e9 byly takto o\u010dkov\u00e1ny, v\u017edy po ka\u017ed\u00fdch 10 a\u017e 15 letech<\/b>.<\/p>\n<p class=\"-wm-MsoNormal\"><b>U zletil\u00fdch osob, je\u017e v\u00fd\u0161e uveden\u00fdm zp\u016fsobem o\u010dkov\u00e1ny nebyly, se z\u00e1kladn\u00ed o\u010dkov\u00e1n\u00ed proti tetanu provede t\u0159emi d\u00e1vkami vakc\u00edny<\/b>\u00a0(druh\u00e1 d\u00e1vka mus\u00ed m\u00edt odstup 6 t\u00fddn\u016f od prvn\u00ed a t\u0159et\u00ed se pod\u00e1v\u00e1 za 6\u00a0m\u011bs\u00edc\u016f po druh\u00e9 d\u00e1vce).<\/p>\n<p class=\"-wm-MsoNormal\"><b>Hrazeno je\u00a0<\/b>rovn\u011b\u017e<b>\u00a0o\u010dkov\u00e1n\u00ed proti tetanu p\u0159i \u00farazech, poran\u011bn\u00edch a nehoj\u00edc\u00edch se ran\u00e1ch, u nich\u017e je nebezpe\u010d\u00ed onemocn\u011bn\u00ed tetanem, a preventivn\u011b p\u0159ed n\u011bkter\u00fdmi l\u00e9\u010debn\u00fdmi v\u00fdkony<\/b>, nap\u0159. p\u0159ed operacemi na tlust\u00e9m st\u0159ev\u011b nebo kone\u010dn\u00edku.<\/p>\n<p><strong>(tzvzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":251088,"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\/2022\/04\/04\/r\u00e1me\u010dek-poradna-x.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/251085"}],"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=251085"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/251085\/revisions"}],"predecessor-version":[{"id":251087,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/251085\/revisions\/251087"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/251088"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=251085"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=251085"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=251085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}