{"id":264401,"date":"2022-10-04T17:22:26","date_gmt":"2022-10-04T16:22:26","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=264401"},"modified":"2022-10-04T17:22:26","modified_gmt":"2022-10-04T16:22:26","slug":"vseobecna-zdravotni-pojistovna-vseobecna-preventivni-prohlidka-u-pldd","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=264401","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: V\u0161eobecn\u00e1 preventivn\u00ed prohl\u00eddka u PLDD"},"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<h6 style=\"text-align: center;\">OT\u00c1ZKA T\u00ddDNE:<\/h6>\n<h6 style=\"text-align: center;\">Jak\u00e9 preventivn\u00ed prohl\u00eddky u d\u00edt\u011bte jsou hrazen\u00e9 z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed a jak \u010dasto je m\u00e1 d\u00edt\u011b absolvovat?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-MsoNoSpacing\"><strong>Preventivn\u00ed prohl\u00eddky u d\u011bt\u00ed maj\u00ed sv\u00e1 specifika a li\u0161\u00ed se od t\u011bch pro dosp\u011bl\u00e9. Obsah a frekvence preventivn\u00edch prohl\u00eddek jsou ur\u010deny samostatn\u011b ve\u00a0<\/strong><a href=\"https:\/\/www.zakonyprolidi.cz\/cs\/2012-70\" target=\"_blank\" rel=\"noopener\"><strong>vyhl\u00e1\u0161ce \u010d. 70\/2012 Sb<\/strong>.<\/a>, o preventivn\u00edch prohl\u00eddk\u00e1ch.\u00a0<b>V\u0161echny preventivn\u00ed prohl\u00eddky u d\u011bt\u00ed jsou pln\u011b hrazeny zdravotn\u00ed poji\u0161\u0165ovnou<\/b>.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>V\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky u d\u011bt\u00ed jsou prov\u00e1d\u011bny praktick\u00fdm l\u00e9ka\u0159em pro d\u011bti a dorost od narozen\u00ed b\u011bhem cel\u00e9ho d\u011btstv\u00ed a dosp\u00edv\u00e1n\u00ed a\u017e do p\u0159ed\u00e1n\u00ed do p\u00e9\u010de v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e.<\/b>\u00a0Preventivn\u00ed prohl\u00eddky maj\u00ed za c\u00edl zjistit, jak d\u00edt\u011b prosp\u00edv\u00e1 a vyv\u00edj\u00ed se, a tak\u00e9 v\u010das odhalit p\u0159\u00edpadn\u00e9 zdravotn\u00ed probl\u00e9my \u010di onemocn\u011bn\u00ed. Praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a dorost, u kter\u00e9ho sv\u00e9 d\u00edt\u011b zaregistrujete, bude v\u00e1s a va\u0161e d\u00edt\u011b na tyto prohl\u00eddky zv\u00e1t. Pro spr\u00e1vn\u00fd v\u00fdvoj d\u00edt\u011bte je d\u016fle\u017eit\u00e9 nic nezanedbat a dodr\u017eet doporu\u010den\u00ed. D\u00edt\u011b d\u00e1le \u010dek\u00e1 pravideln\u00e9 o\u010dkov\u00e1n\u00ed a tak\u00e9 nepovinn\u00e9 (dobrovoln\u00e9) hrazen\u00e9 o\u010dkov\u00e1n\u00ed dle\u00a0<strong><a href=\"https:\/\/www.nzip.cz\/clanek\/215-ockovaci-kalendar-pro-deti\" target=\"_blank\" rel=\"noopener\">harmonogramu<\/a><\/strong>\u00a0\u010desk\u00e9ho o\u010dkovac\u00edho kalend\u00e1\u0159e.<\/p>\n<p class=\"-wm-MsoNoSpacing\">N\u00ed\u017ee uv\u00e1d\u00edme rozpis hlavn\u00edch vy\u0161et\u0159en\u00ed v\u00a0r\u00e1mci preventivn\u00edch prohl\u00eddek u jednotliv\u00fdch v\u011bkov\u00fdch kategori\u00ed u d\u011bt\u00ed (kompletn\u00ed p\u0159ehled je uveden ve vyhl\u00e1\u0161ce \u010d. 70\/2012 Sb.).<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Preventivn\u00ed prohl\u00eddky u d\u011bt\u00ed od narozen\u00ed do 18 m\u011bs\u00edc\u016f<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\">Prvn\u00ed preventivn\u00ed prohl\u00eddku, tzv. vstupn\u00ed, by m\u011blo d\u00edt\u011b absolvovat do 2 dn\u016f po propu\u0161t\u011bn\u00ed z\u00a0porodnice, pokud je to mo\u017en\u00e9, tak ide\u00e1ln\u011b v\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed. N\u00e1sleduj\u00ed preventivn\u00ed prohl\u00eddky ve 14 dnech, v\u00a06\u00a0t\u00fddnech, ve 3 m\u011bs\u00edc\u00edch, pot\u00e9 ve 4\u20135 m\u011bs\u00edc\u00edch, v 6, 8, 10\u201311 a ve 12 m\u011bs\u00edc\u00edch. Dal\u0161\u00ed prohl\u00eddka bude prob\u00edhat s\u00a0odstupem p\u016fl roku, tzn. v\u00a018 m\u011bs\u00edc\u00edch.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><u>Obsahem v\u0161eobecn\u00fdch preventivn\u00edch prohl\u00eddek d\u011bt\u00ed od narozen\u00ed do 18 m\u011bs\u00edc\u016f v\u011bku je:<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">zalo\u017een\u00ed zdravotnick\u00e9 dokumentace p\u0159i p\u0159ijet\u00ed d\u00edt\u011bte do p\u00e9\u010de, z\u00edsk\u00e1n\u00ed z\u00e1kladn\u00edch kontaktn\u00edch \u00fadaj\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">zji\u0161t\u011bn\u00ed\u00a0<a name=\"-wm-_Hlk111114153\"><\/a>anamn\u00e9zy a zm\u011bn zdravotn\u00edho stavu, kontrola a pl\u00e1n o\u010dkov\u00e1n\u00ed<\/li>\n<li class=\"-wm-l4\">fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed v\u010detn\u011b zji\u0161t\u011bn\u00ed hmotnosti, d\u00e9lky d\u00edt\u011bte a obvodu jeho hlavy, intern\u00ed vy\u0161et\u0159en\u00ed a vy\u0161et\u0159en\u00ed psychomotorick\u00e9ho v\u00fdvoje<\/li>\n<li class=\"-wm-l4\">diagnostick\u00e1 rozvaha<\/li>\n<li class=\"-wm-MsoListParagraphCxSpFirst\">pou\u010den\u00ed rodi\u010de o v\u00fd\u017eiv\u011b a re\u017eimu d\u00edt\u011bte v\u010detn\u011b \u00farazov\u00e9 prevence podle specifik pro dan\u00fd v\u011bk<\/li>\n<li class=\"-wm-MsoListParagraphCxSpLast\">kontrola pod\u00e1v\u00e1n\u00ed vitaminu D<\/li>\n<\/ul>\n<p class=\"-wm-l4\"><u>Krom\u011b v\u00fd\u0161e uveden\u00e9ho prov\u00e1d\u00ed l\u00e9ka\u0159 u d\u011bt\u00ed b\u011bhem preventivn\u00ed prohl\u00eddky tato vy\u0161et\u0159en\u00ed:<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-l4\"><b>ve 14 dnech<\/b>\u00a0\u2013 vyps\u00e1n\u00ed \u017e\u00e1danky na vy\u0161et\u0159en\u00ed ky\u010dl\u00ed k\u00a0ortopedovi (to by m\u011blo prob\u011bhnout mezi 3.\u00a0a\u017e 6. t\u00fddnem)<\/li>\n<li class=\"-wm-l4\"><b>v 6 t\u00fddnech<\/b>\u00a0\u2013 kontrola v\u00fdsledku ortopedick\u00e9ho vy\u0161et\u0159en\u00ed<\/li>\n<li class=\"-wm-l4\"><b>od 6. t\u00fddne a\u017e do 18. m\u011bs\u00edce<\/b>\u00a0\u2013 pravideln\u00e9 orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed zraku a sluchu<\/li>\n<li class=\"-wm-l4\"><b>v 6 m\u011bs\u00edc\u00edch<\/b>\u00a0\u2013 kontrola v\u00fdvoje chrupu a pou\u010den\u00ed rodi\u010de o registraci d\u00edt\u011bte u zubn\u00edho l\u00e9ka\u0159e<\/li>\n<li class=\"-wm-l4\"><b>ve 12 m\u011bs\u00edc\u00edch<\/b>\u00a0\u2013 zji\u0161t\u011bn\u00ed z\u00e1kladn\u00edch antropometrick\u00fdch ukazatel\u016f a jejich zhodnocen\u00ed, zji\u0161t\u011bn\u00ed velikosti velk\u00e9 fontanely, posouzen\u00ed v\u00fdvoje \u0159e\u010di a chrupu<\/li>\n<li class=\"-wm-l4\"><b>v 18 m\u011bs\u00edc\u00edch<\/b>\u00a0\u2013 kontrola stavu velk\u00e9 fontanely, v\u00fdvoje a stavu chrupu, posouzen\u00ed psychomotorick\u00e9ho v\u00fdvoje (jemn\u00e9 a hrub\u00e9 motoriky), posouzen\u00ed rozvoje \u0159e\u010di a soci\u00e1ln\u00edho chov\u00e1n\u00ed d\u00edt\u011bte<\/li>\n<\/ul>\n<p class=\"-wm-l4\"><b>Preventivn\u00ed prohl\u00eddky u d\u011bt\u00ed od 3 let do 18 let (18 let + 364 dn\u00ed)<\/b><\/p>\n<p class=\"-wm-l4\">Od 3 let se preventivn\u00ed prohl\u00eddky konaj\u00ed ve dvoulet\u00fdch intervalech,\u00a0a to a\u017e do 17 let.\u00a0<b>Posledn\u00ed v\u0161eobecn\u00e1 preventivn\u00ed prohl\u00eddka, tzv. v\u00fdstupn\u00ed, prob\u00edh\u00e1 p\u0159ed ukon\u010den\u00edm p\u00e9\u010de u praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost, nejpozd\u011bji\u00a0p\u0159ede dnem dovr\u0161en\u00ed 19 let v\u011bku (18 let + 364 dn\u00ed).\u00a0<\/b><strong><a href=\"https:\/\/www.vzp.cz\/o-nas\/tiskove-centrum\/otazky-tydne\/prechod-od-pldd-k-pl\" target=\"_blank\" rel=\"noopener\">Do sv\u00e9 p\u00e9\u010de m\u016f\u017ee v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159<\/a><\/strong>\u00a0d\u00edt\u011b p\u0159evz\u00edt ji\u017e od 14 let.<\/p>\n<p class=\"-wm-MsoNormal\"><u>Preventivn\u00ed prohl\u00eddky, kter\u00e9 d\u011bti absolvuj\u00ed ve 3, 5, 7, 9, 11, 13, 15, 17 a 18 letech\u00a0<\/u><u>(18 let + 364 dn\u00ed), obsahuj\u00ed:<\/u><u><\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">aktualizaci anamn\u00e9zy a zm\u011bn zdravotn\u00edho stavu od posledn\u00ed kontroly, kontrolu a pl\u00e1n o\u010dkov\u00e1n\u00ed<\/li>\n<li class=\"-wm-MsoNoSpacing\">zji\u0161t\u011bn\u00ed hmotnosti a v\u00fd\u0161ky a n\u00e1sledn\u00e9 posouzen\u00ed dle r\u016fstov\u00fdch graf\u016f (z d\u016fvodu odhalen\u00ed p\u0159\u00edpadn\u00e9 podv\u00fd\u017eivy, nadv\u00e1hy nebo obezity)<\/li>\n<li class=\"-wm-MsoNoSpacing\">kompletn\u00ed fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed\u00a0v\u010detn\u011b pohybov\u00e9ho apar\u00e1tu, prohl\u00eddky k\u016f\u017ee, m\u00edzn\u00edch uzlin, \u0161t\u00edtn\u00e9 \u017el\u00e1zy a sekund\u00e1rn\u00edch pohlavn\u00edch znak\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">m\u011b\u0159en\u00ed krevn\u00edho tlaku a pulzu, vy\u0161et\u0159en\u00ed sluchu, \u0159e\u010di, hlasu, kontrolu dutiny \u00fastn\u00ed a chrupu (pop\u0159\u00edpad\u011b doporu\u010den\u00ed stomatologick\u00e9ho vy\u0161et\u0159en\u00ed)<\/li>\n<li class=\"-wm-MsoNoSpacing\">vy\u0161et\u0159en\u00ed mo\u010di\u00a0diagnostick\u00fdm\u00a0pap\u00edrkem<\/li>\n<li class=\"-wm-MsoNoSpacing\">rozhovor s\u00a0rodi\u010di v\u010detn\u011b c\u00edlen\u00fdch dotaz\u016f sm\u011b\u0159uj\u00edc\u00edch k v\u010dasn\u00e9mu odhalen\u00ed celiakie, nemoc\u00ed a\u00a0stav\u016f,\u00a0kter\u00e9 se v po\u010d\u00e1tku projevuj\u00ed nejasn\u00fdmi p\u0159\u00edznaky<\/li>\n<li class=\"-wm-MsoNoSpacing\">vylou\u010den\u00ed zn\u00e1mek t\u00fdr\u00e1n\u00ed, zanedb\u00e1v\u00e1n\u00ed a zneu\u017e\u00edv\u00e1n\u00ed d\u00edt\u011bte, po\u010d\u00e1tk\u016f r\u016fzn\u00fdch z\u00e1vislost\u00ed a\u00a0rizikov\u00e9ho chov\u00e1n\u00ed d\u00edt\u011bte<\/li>\n<li class=\"-wm-MsoListParagraph\">pou\u010den\u00ed rodi\u010de o zdrav\u00e9m \u017eivotn\u00edm stylu v\u010detn\u011b \u00farazov\u00e9 prevence<\/li>\n<\/ul>\n<p class=\"-wm-l4\"><u>V r\u00e1mci preventivn\u00edch prohl\u00eddek u d\u011bt\u00ed d\u011bl\u00e1 pediatr tak\u00e9 n\u00e1sleduj\u00edc\u00ed vy\u0161et\u0159en\u00ed:<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-l4\"><b>ve 3 letech<\/b><\/li>\n<\/ul>\n<p class=\"-wm-l4\">U t\u0159\u00edlet\u00e9ho d\u00edt\u011bte l\u00e9ka\u0159 zhodnocuje tak\u00e9 jeho psychosomatick\u00fd a psychomotorick\u00fd v\u00fdvoj (jemnou a\u00a0hrubou motoriku), soci\u00e1ln\u00ed chov\u00e1n\u00ed a komunika\u010dn\u00ed schopnosti, hygienick\u00e9 n\u00e1vyky. Sou\u010d\u00e1st\u00ed je rovn\u011b\u017e orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed laterality (tzv. dominance prav\u00e9 \u010di lev\u00e9 ruky) a prov\u011b\u0159ena je i znalost barev.<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-l4\"><b>v\u00a05 letech<\/b><\/li>\n<\/ul>\n<p class=\"-wm-l4\">U p\u0159ed\u0161koln\u00edho d\u00edt\u011bte posuzuje l\u00e9ka\u0159 psychomotorick\u00fd v\u00fdvoj a komunika\u010dn\u00ed schopnosti z\u00a0d\u016fvodu posouzen\u00ed \u0161koln\u00ed zralosti a doch\u00e1zky. V\u00a0r\u00e1mci testu znalosti barev m\u00e1 d\u00edt\u011b za \u00fakol je samo slovn\u011b pojmenovat. L\u00e9ka\u0159 tak\u00e9 zkontroluje hygienick\u00e9 n\u00e1vyky a doporu\u010d\u00ed audiometrick\u00e9 vy\u0161et\u0159en\u00ed sluchu.<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-l4\"><b>ve 13, 15, 17 a 18 letech (18 let + 364 dn\u00ed)<\/b><\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">T\u0159in\u00e1ctilet\u00e9ho \u010dek\u00e1 v\u00a0r\u00e1mci preventivn\u00ed prohl\u00eddky kontrola zraku a test barvocitu. P\u0159i rodinn\u00e9 anamn\u00e9ze pak vy\u0161et\u0159en\u00ed krevn\u00edch tuk\u016f. L\u00e9ka\u0159 informuje rodi\u010de a d\u00edt\u011b o mo\u017enosti o\u010dkov\u00e1n\u00ed proti lidsk\u00e9mu papilomaviru. Na z\u00e1v\u011br l\u00e9ka\u0159 zhodnot\u00ed psychosoci\u00e1ln\u00ed v\u00fdvoj a motorick\u00e9 dovednosti d\u00edt\u011bte.<\/p>\n<p class=\"-wm-MsoNormal\">B\u011bhem prohl\u00eddky ve 13, 15 a 17 letech l\u00e9ka\u0159 pou\u010d\u00ed dosp\u00edvaj\u00edc\u00edho o zdravotn\u00edch rizic\u00edch souvisej\u00edc\u00edch se sexu\u00e1ln\u00edm \u017eivotem a o chr\u00e1n\u011bn\u00e9m sexu, u d\u00edvek pak doporu\u010d\u00ed gynekologick\u00e9 vy\u0161et\u0159en\u00ed. Pediatr z\u00e1rove\u0148 zhodnocuje u d\u00edt\u011bte rizika do dal\u0161\u00edho \u017eivota vypl\u00fdvaj\u00edc\u00ed z rodinn\u00e9 i osobn\u00ed anamn\u00e9zy.<\/p>\n<p class=\"-wm-MsoNormal\">U 15 a 17let\u00fdch adolescent\u016f se m\u00e1 l\u00e9ka\u0159 vyj\u00e1d\u0159it k pracovn\u00edmu, p\u0159\u00edpadn\u011b studijn\u00edmu zam\u011b\u0159en\u00ed v\u00a0souvislosti s ukon\u010den\u00edm povinn\u00e9 \u0161koln\u00ed doch\u00e1zky. U osob zdravotn\u011b posti\u017een\u00fdch pak k omezen\u00ed p\u0159\u00edpravy na pracovn\u00ed uplatn\u011bn\u00ed a k pracovn\u00ed schopnosti.<\/p>\n<p class=\"-wm-MsoNormal\">Obsahem posledn\u00ed v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky, tzv. v\u00fdstupn\u00ed, je tak\u00e9 z\u00e1v\u011bre\u010dn\u00e9\u00a0zhodnocen\u00ed zdravotn\u00edho stavu p\u0159ed ukon\u010den\u00edm p\u00e9\u010de u praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost a p\u0159eveden\u00ed do p\u00e9\u010de praktick\u00e9ho l\u00e9ka\u0159e pro dosp\u011bl\u00e9.<\/p>\n<p><strong>(tz-vzp)<\/strong><\/p>\n<hr \/>\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":264402,"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\/10\/04\/r\u00e1m-poradna-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/264401"}],"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=264401"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/264401\/revisions"}],"predecessor-version":[{"id":264403,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/264401\/revisions\/264403"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/264402"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=264401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=264401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=264401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}