{"id":259687,"date":"2022-07-26T16:13:53","date_gmt":"2022-07-26T15:13:53","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=259687"},"modified":"2022-07-26T16:13:53","modified_gmt":"2022-07-26T15:13:53","slug":"vseobecna-zdravotni-pojistovna-lecba-krecovych-zil","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=259687","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: L\u00e9\u010dba k\u0159e\u010dov\u00fdch \u017eil"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h6 style=\"text-align: center;\">OT\u00c1ZKA T\u00ddDNE:<\/h6>\n<h6 style=\"text-align: center;\">Jak\u00e9 zp\u016fsoby l\u00e9\u010dby k\u0159e\u010dov\u00fdch \u017eil hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna a jak je to s \u00fahradou l\u00e9k\u016f a kompresivn\u00edch pun\u010doch?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-MsoNoSpacing\">Z\u00e1kladem klasick\u00fdch l\u00e9\u010debn\u00fdch postup\u016f u\u00a0k\u0159e\u010dov\u00fdch \u017eil (varix\u016f) je\u00a0kompresn\u00ed l\u00e9\u010dba za pomoci l\u00fdtkov\u00fdch, stehenn\u00edch \u010di polostehenn\u00edch pun\u010doch a\u00a0pun\u010dochov\u00fdch kalhot<b>.<\/b>\u00a0<b>Z<\/b>\u00a0<b>prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed jsou kompresivn\u00ed pun\u010dochy a pun\u010dochov\u00e9 kalhoty dle proveden\u00ed hrazeny pln\u011b nebo \u010d\u00e1ste\u010dn\u011b<\/b>.<\/p>\n<p class=\"-wm-MsoNoSpacing\">Kompresivn\u00ed pun\u010dochy nebo pun\u010dochov\u00e9 kalhoty se vyr\u00e1b\u011bj\u00ed v n\u011bkolika kompresn\u00edch t\u0159\u00edd\u00e1ch.\u00a0<b>Zdravotn\u00ed poji\u0161\u0165ovna<\/b>\u00a0(v\u00a0souladu se z\u00e1konem \u010d. 48\/1997 Sb., o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed)\u00a0<b>hrad\u00ed kompresivn\u00ed elastick\u00e9 pun\u010dochy a\u00a0pun\u010dochov\u00e9 kalhoty II., III. a\u00a0IV.\u00a0kompresn\u00ed t\u0159\u00eddy<\/b>.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Pun\u010dochy a\u00a0pun\u010dochov\u00e9 kalhoty I.\u00a0kompresn\u00ed t\u0159\u00eddy nejsou za\u0159azeny mezi zdravotnick\u00e9 prost\u0159edky hrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b>. Slou\u017e\u00ed jako prost\u0159edky podp\u016frn\u00e9 a\u00a0je mo\u017eno je zakoupit i mimo v\u00fddejny zdravotnick\u00fdch pot\u0159eb.<\/p>\n<p class=\"-wm-MsoNoSpacing\">Nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed je druh\u00e1 kompresn\u00ed t\u0159\u00edda, indikovan\u00e1 u varix\u016f s projevy chronick\u00e9 \u017eiln\u00ed nedostate\u010dnosti\u00a0II.\u00a0st., po operaci a\u00a0skleroterapii, p\u0159i tromb\u00f3ze, flebitid\u011b apod. T\u0159et\u00ed kompresn\u00ed t\u0159\u00edda je p\u0159edepisov\u00e1na p\u0159i chronick\u00e9 \u017eiln\u00ed nedostate\u010dnosti III.\u00a0st., u\u00a0posttrombotick\u00e9ho syndromu a\u00a0po zhojen\u00ed b\u00e9rcov\u00e9ho v\u0159edu. \u010ctvrt\u00e1 kompresn\u00ed t\u0159\u00edda nen\u00ed ur\u010dena k\u00a0l\u00e9\u010db\u011b k\u0159e\u010dov\u00fdch \u017eil, ale je indikov\u00e1na nap\u0159. u\u00a0t\u011b\u017ek\u00fdch p\u0159\u00edpad\u016f lymfed\u00e9mu.\u00a0<b>V\u00fdb\u011br vhodn\u00e9ho typu kompresn\u00edch pun\u010doch je pln\u011b v\u00a0kompetenci o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e<\/b>. V p\u0159\u00edpad\u011b, \u017ee se pacient pod\u00edl\u00ed na \u00fahrad\u011b, je p\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159 povinen ho na tuto skute\u010dnost p\u0159edem upozornit.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>S\u00e9riov\u011b vyroben\u00e9 pun\u010dochy a pun\u010dochov\u00e9 kalhoty II.\u00a0kompresn\u00ed t\u0159\u00eddy<\/b>\u00a0<b>m\u016f\u017ee pacientovi p\u0159edepsat<\/b>\u00a0(na Poukaz na l\u00e9\u010debnou a\u00a0ortopedickou pom\u016fcku)\u00a0<b>l\u00e9ka\u0159 s odbornost\u00ed dermatovenerologie, geriatrie, chirurgie, vnit\u0159n\u00ed l\u00e9ka\u0159stv\u00ed, angiologie, lymfologie, flebologie, rehabilita\u010dn\u00ed l\u00e9ka\u0159 a tak\u00e9 v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><a name=\"-wm-_Hlk93672557\"><\/a><b>Nezbytnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby je i\u00a0l\u00e9\u010dba farmakologick\u00e1, kter\u00e1 m\u00e1 charakter podp\u016frn\u00e9 a dopl\u0148kov\u00e9 l\u00e9\u010dby.<\/b>\u00a0Jej\u00edm \u00fa\u010delem je zabr\u00e1nit dal\u0161\u00edmu po\u0161kozov\u00e1n\u00ed \u017eiln\u00edho syst\u00e9mu a\u00a0odstranit nebo alespo\u0148 zm\u00edrnit obt\u00ed\u017ee. L\u00e9\u010div\u00e9 p\u0159\u00edpravky ur\u010den\u00e9 k\u00a0podpo\u0159e funkce c\u00e9vn\u00ed st\u011bny se naz\u00fdvaj\u00ed venofarmaka. N\u011bkter\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky ze skupiny venofarmak pro \u00fastn\u00ed (peror\u00e1ln\u00ed) pod\u00e1n\u00ed jsou \u010d\u00e1ste\u010dn\u011b hrazeny zdravotn\u00ed poji\u0161\u0165ovnou. V\u00a0sou\u010dasn\u00e9 dob\u011b jde o p\u0159\u00edpravky s\u00a0obsahem diosminu, kombinace diosminu\/hesperidinu a rutosidu.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Pln\u011b hrazena poji\u0161\u0165ovnou je chirurgick\u00e1 l\u00e9\u010dba\u00a0k\u0159e\u010dov\u00fdch \u017eil<\/b>, k\u00a0n\u00ed\u017e je nutno v\u00a0z\u00e1va\u017en\u011bj\u0161\u00edch p\u0159\u00edpadech p\u0159ikro\u010dit.\u00a0<b>Endovaskul\u00e1rn\u00ed l\u00e9\u010dba stejn\u011b jako l\u00e9\u010dba laserem<\/b>\u00a0<b>poji\u0161\u0165ovnou hrazena nen\u00ed<\/b>. Metli\u010dky a\u00a0drobn\u00e9 \u017eilky lze l\u00e9\u010dit sklerotizac\u00ed, kter\u00e1 je poji\u0161\u0165ovnou hrazena 12\u00d7 za 1\u00a0rok. Sklerotizace se prov\u00e1d\u00ed i\u00a0u\u00a0n\u011bkter\u00fdch druh\u016f varix\u016f, \u017eiln\u00edch spojek nebo rezidu\u00ed po operaci varix\u016f. V\u00a0tomto p\u0159\u00edpad\u011b je l\u00e9\u010dba poji\u0161\u0165ovnou hrazena a\u017e 24\u00d7 za 1\u00a0rok.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>O tom, kter\u00fd zp\u016fsob l\u00e9\u010dby je pro dan\u00e9ho pacienta nejvhodn\u011bj\u0161\u00ed, rozhoduje o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159<\/b>.<\/p>\n<p><strong>(tz-vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; OT\u00c1ZKA <\/p>\n","protected":false},"author":2,"featured_media":259689,"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\/07\/26\/r\u00e1m-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/259687"}],"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=259687"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/259687\/revisions"}],"predecessor-version":[{"id":259690,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/259687\/revisions\/259690"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/259689"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=259687"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=259687"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=259687"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}