{"id":266690,"date":"2022-11-07T19:05:29","date_gmt":"2022-11-07T18:05:29","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=266690"},"modified":"2022-11-07T19:05:29","modified_gmt":"2022-11-07T18:05:29","slug":"vseobecna-zdravotni-pojistovna-preventivni-gynekologicka-prohlidka","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=266690","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Preventivn\u00ed gynekologick\u00e1 prohl\u00eddka"},"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\u00e1 vy\u0161et\u0159en\u00ed jsou sou\u010d\u00e1st\u00ed gynekologick\u00e9 preventivn\u00ed prohl\u00eddky a jak \u010dasto bych na n\u00ed m\u011bla chodit?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-l3\"><b>Gynekologick\u00e1 preventivn\u00ed prohl\u00eddka je komplexn\u00edm vy\u0161et\u0159en\u00edm \u017eensk\u00fdch pohlavn\u00edch org\u00e1n\u016f a jej\u00edm c\u00edlem je zhodnocen\u00ed zdravotn\u00edho stavu,\u00a0<\/b>zji\u0161t\u011bn\u00ed p\u0159\u00edpadn\u00fdch obt\u00ed\u017e\u00ed a v\u010dasn\u00e9mu odhalen\u00ed z\u00e1va\u017en\u011bj\u0161\u00edch onemocn\u011bn\u00ed, v\u010detn\u011b rakoviny.\u00a0 Prohl\u00eddku u gynekologa by m\u011bla \u017eena absolvovat ka\u017ed\u00fd rok, bez ohledu na to, zda je v\u00a0aktivn\u00edm reproduk\u010dn\u00edm v\u011bku nebo ji\u017e po menopauze. Z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed je pln\u011b hrazena.<\/p>\n<p class=\"-wm-l3\"><b>Preventivn\u00ed prohl\u00eddku u gynekologa<\/b><b>\u00a0by m\u011bla d\u00edvka absolvovat poprv\u00e9 v 15 letech<\/b>,\u00a0<b>a d\u00e1le\u00a0<\/b><b>1\u00d7<\/b><b>\u00a0ro\u010dn\u011b<\/b>, resp. nejd\u0159\u00edve po uplynut\u00ed 11 m\u011bs\u00edc\u016f od posledn\u00ed preventivn\u00ed prohl\u00eddky. Jej\u00ed obsah a \u010dasov\u00e9 rozmez\u00ed ur\u010duje vyhl\u00e1\u0161ka \u010d.\u00a070\/2012 Sb., o\u00a0preventivn\u00edch prohl\u00eddk\u00e1ch.<\/p>\n<p class=\"-wm-l3\"><b>Co je sou\u010d\u00e1st\u00ed gynekologick\u00e9 preventivn\u00ed prohl\u00eddky?<\/b><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-l3\">zalo\u017een\u00ed zdravotnick\u00e9 dokumentace p\u0159i p\u0159ijet\u00ed do p\u00e9\u010de<\/li>\n<li class=\"-wm-l3\">rozhovor t\u00fdkaj\u00edc\u00ed se rodinn\u00e9 a osobn\u00ed anamn\u00e9zy (aktualizace p\u0159i ka\u017ed\u00e9 dal\u0161\u00ed n\u00e1v\u0161t\u011bv\u011b), zhodnocen\u00ed aktu\u00e1ln\u00edho zdravotn\u00edho stavu<\/li>\n<li class=\"-wm-l3\">prohl\u00eddka k\u016f\u017ee a vy\u0161et\u0159en\u00ed m\u00edzn\u00edch uzlin pohmatem (palpa\u010dn\u00ed vy\u0161et\u0159en\u00ed) v oblasti pohlavn\u00edch org\u00e1n\u016f<\/li>\n<li class=\"-wm-l3\">vy\u0161et\u0159en\u00ed pohlavn\u00edch org\u00e1n\u016f a d\u011blo\u017en\u00edho hrdla pomoc\u00ed tzv. gynekologick\u00fdch vy\u0161et\u0159ovac\u00edch zrcadel a kolposkopu (neprov\u00e1d\u00ed se u virgo \u017een)<\/li>\n<li class=\"-wm-l3\">palpa\u010dn\u00ed bimanu\u00e1ln\u00ed vy\u0161et\u0159en\u00ed, p\u0159i nejasn\u00e9m v\u00fdsledku je dopln\u011bno o vy\u0161et\u0159en\u00ed vagin\u00e1ln\u00ed ultrazvukovou sondou<\/li>\n<li class=\"-wm-l3\">st\u011br z\u00a0bun\u011bk d\u011blo\u017en\u00edho \u010d\u00edpku k cytologick\u00e9mu (tzv. cytologie), p\u0159\u00edpadn\u011b bakteriologick\u00e9mu nebo virologick\u00e9mu vy\u0161et\u0159en\u00ed (neprov\u00e1d\u00ed se u virgo \u017een) *<\/li>\n<li class=\"-wm-l3\">vy\u0161et\u0159en\u00ed prsou *<\/li>\n<li class=\"-wm-l3\">ov\u011b\u0159en\u00ed v\u00fdsledk\u016f screeningov\u00fdch vy\u0161et\u0159en\u00ed *<\/li>\n<\/ul>\n<p class=\"-wm-l3\">\n<p class=\"-wm-l3\"><i>* v\u00edce podrobnost\u00ed viz n\u00ed\u017ee<\/i><\/p>\n<p class=\"-wm-l3\"><b>Cytologick\u00e9 vy\u0161et\u0159en\u00ed st\u011bru z d\u011blo\u017en\u00edho \u010d\u00edpku<\/b><\/p>\n<p class=\"-wm-l3\">Cytologie je sou\u010d\u00e1st\u00ed gynekologick\u00e9 preventivn\u00ed prohl\u00eddky a jej\u00edm c\u00edlem je odhalen\u00ed a v\u010dasn\u00e9 zachycen\u00ed \u010dasn\u00fdch stadi\u00ed rakoviny d\u011blo\u017en\u00edho hrdla. Cytologick\u00e9 vy\u0161et\u0159en\u00ed by m\u011bla \u017eena absolvovat\u00a01\u00d7\u00a0za rok, tzn. p\u0159i ka\u017ed\u00e9 gynekologick\u00e9 preventivn\u00ed prohl\u00eddce.<\/p>\n<p class=\"-wm-l3\">Gynekolog provede st\u011br z\u00a0d\u011blo\u017en\u00edho hrdla a vzorek bun\u011bk (st\u011br) ode\u0161le k\u00a0vyhodnocen\u00ed do\u00a0<strong><a href=\"https:\/\/www.vzp.cz\/poskytovatele\/informace-pro-praxi\/seznamy-center-a-szz\/centra-pro-screening-karcinomu-delozniho-hrdla\" target=\"_blank\" rel=\"noopener\">akreditovan\u00e9 cytologick\u00e9 laborato\u0159e<\/a><\/strong>. V\u00fdsledek uk\u00e1\u017ee, zda jsou na d\u011blo\u017en\u00edm \u010d\u00edpku zm\u011bny, kter\u00e9 by mohly v\u00e9st a\u017e k\u00a0rakovin\u011b d\u011blo\u017en\u00edho hrdla. V p\u0159\u00edpad\u011b nejasn\u00fdch \u010di abnorm\u00e1ln\u00edch v\u00fdsledk\u016f je doporu\u010dov\u00e1no sledov\u00e1n\u00ed zm\u011bn a prov\u00e1d\u011bn\u00ed kontroly v krat\u0161\u00edm intervalu (3\u20136 m\u011bs\u00edc\u016f).<\/p>\n<p class=\"-wm-l3\">Od 1. 1. 2021 se u \u017een, kter\u00e9 maj\u00ed negativn\u00ed v\u00fdsledek cytologie, prov\u00e1d\u00ed ve v\u011bku 35 a 45 let\u00a0<strong><a href=\"https:\/\/www.vzp.cz\/o-nas\/tiskove-centrum\/otazky-tydne\/je-testovani-na-pritomnost-hpv-uz-soucasti-preventivni-gynekologicke-prohlidky-a-je-hrazene\" target=\"_blank\" rel=\"noopener\">screeningov\u00fd test na p\u0159\u00edtomnost HPV<\/a><\/strong>. Mo\u017enost podstoupen\u00ed testu pro \u017eeny v\u00a0jin\u00e9 v\u011bkov\u00e9 kategorii je tak\u00e9 mo\u017en\u00e9, av\u0161ak tyto testy nejsou hrazeny ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n<p class=\"-wm-l3\"><b>Vy\u0161et\u0159en\u00ed prs\u016f<\/b><\/p>\n<p class=\"-wm-l3\">Sou\u010d\u00e1st\u00ed prvn\u00ed preventivn\u00ed prohl\u00eddky by m\u011bl b\u00fdt tak\u00e9\u00a0n\u00e1cvik\u00a0<strong><a href=\"https:\/\/www.vzp.cz\/pojistenci\/programy-prevence\/preventivni-prohlidky\/samovysetreni-prsu\" target=\"_blank\" rel=\"noopener\">samovy\u0161et\u0159en\u00ed\u00a0prs\u016f<\/a><\/strong>. Tzn. l\u00e9ka\u0159 by m\u011bl \u017eenu edukovat, jak a kdy samovy\u0161et\u0159en\u00ed prov\u00e1d\u011bt.<\/p>\n<p class=\"-wm-l3\">Klinick\u00e9 vy\u0161et\u0159en\u00ed prs\u016f by m\u011bl l\u00e9ka\u0159 prov\u00e9st u \u017een star\u0161\u00edch 25 let, kter\u00e9 maj\u00ed v rodin\u011b v\u00fdskyt zhoubn\u00e9ho n\u00e1doru prsu nebo maj\u00ed jin\u00e9 rizikov\u00e9 faktory.<\/p>\n<p class=\"-wm-l3\">U \u017een star\u0161\u00edch 45 let m\u00e1 gynekolog ov\u011b\u0159it, zda bylo v\u00a0posledn\u00edch dvou letech provedeno\u00a0<a href=\"https:\/\/www.vzp.cz\/pojistenci\/prevence\/preventivni-prohlidky\/mamograficke-vysetreni-prsu\" target=\"_blank\" rel=\"noopener\"><strong>screeningov\u00e9 mamografick\u00e9 vy\u0161et\u0159en<\/strong>\u00ed<\/a>. Nebylo-li, l\u00e9ka\u0159 doporu\u010d\u00ed proveden\u00ed tohoto vy\u0161et\u0159en\u00ed v\u010d. p\u0159\u00edpadn\u00fdch nezbytn\u00fdch dopl\u0148uj\u00edc\u00edch vy\u0161et\u0159en\u00ed. Tzn. vystav\u00ed \u017een\u011b \u017e\u00e1danku na mamografick\u00fd screening (vy\u0161et\u0159en\u00ed mus\u00ed b\u00fdt provedeno v\u00a0<strong><a href=\"https:\/\/www.vzp.cz\/poskytovatele\/informace-pro-praxi\/seznamy-center-a-szz\/akreditovana-centra-pro-mamograficky-screening\" target=\"_blank\" rel=\"noopener\">akreditovan\u00e9m mamografick\u00e9m screeningov\u00e9m centru<\/a><\/strong><span class=\"-wm-MsoHyperlink\">)<\/span>. V\u00a0p\u0159\u00edpad\u011b, \u017ee v\u00fdsledek k\u00a0dispozici je, \u017eena vy\u0161et\u0159en\u00ed nepodstupuje a l\u00e9ka\u0159 ji informuje o dal\u0161\u00edm term\u00ednu, ve kter\u00e9m by m\u011bla dal\u0161\u00ed vy\u0161et\u0159en\u00ed absolvovat. I v\u00a0tomto p\u0159\u00edpad\u011b je mo\u017enost podstoupen\u00ed screeningov\u00e9ho mamografick\u00e9ho vy\u0161et\u0159en\u00ed pro \u017eeny v\u00a0jin\u00e9 v\u011bkov\u00e9 kategorii, av\u0161ak tyto vy\u0161et\u0159en\u00ed nejsou hrazeny ze zdravotn\u00edho poji\u0161t\u011bn\u00ed (nap\u0159.\u00a0<strong><a href=\"https:\/\/www.vzp.cz\/pojistenci\/vyhody-a-prispevky\/dospeli\/prispevek-na-preventivni-vysetreni-karcinomu-prsu\" target=\"_blank\" rel=\"noopener\">p\u0159\u00edsp\u011bvek z\u00a0fondu prevence na preventivn\u00ed vy\u0161et\u0159en\u00ed prsu<\/a>)<\/strong>.<\/p>\n<p class=\"-wm-l3\"><b>Dal\u0161\u00ed screeningov\u00e9 vy\u0161et\u0159en\u00ed<\/b><\/p>\n<p class=\"-wm-l3\">Gynekolog by m\u011bl \u017een\u011b tak\u00e9 doporu\u010dit dal\u0161\u00ed vy\u0161et\u0159en\u00ed pro prevenci rakoviny, kter\u00fdm je\u00a0<strong><a href=\"https:\/\/www.vzp.cz\/poskytovatele\/informace-pro-praxi\/seznamy-center-a-szz\/seznam-center-screeningove-kolonoskopie\" target=\"_blank\" rel=\"noopener\">screening n\u00e1dor\u016f tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku.<\/a><\/strong><\/p>\n<p class=\"-wm-l3\">\u017den\u00e1m ve v\u011bku od 50 do 54 let v\u011bku je doporu\u010deno\u00a01\u00d7\u00a0ro\u010dn\u011b absolvovat speci\u00e1ln\u00ed test okultn\u00edho krv\u00e1cen\u00ed\u00a0do stolice (TOKS). Od 55 let v\u011bku se toto vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ve dvoulet\u00fdch intervalech. P\u0159\u00edpadnou variantou je pak od 50 let screeningov\u00e1 kolonoskopie prov\u00e1d\u011bn\u00e1 1\u00d7 za 10 let<\/p>\n<p class=\"-wm-l3\">Doporu\u010den\u00ed na screening n\u00e1doru prs\u016f a kolorekta m\u016f\u017ee \u017een\u011b tak\u00e9 vystavit v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159 v\u00a0r\u00e1mci\u00a0<strong><a href=\"https:\/\/www.vzp.cz\/o-nas\/tiskove-centrum\/otazky-tydne\/prohlidka-u-vseobecneho-praktickeho-lekare\" target=\"_blank\" rel=\"noopener\">v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky<\/a><\/strong>.<\/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":266691,"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\/11\/07\/r\u00e1m-poradna.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/266690"}],"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=266690"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/266690\/revisions"}],"predecessor-version":[{"id":266692,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/266690\/revisions\/266692"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/266691"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=266690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=266690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=266690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}