{"id":277172,"date":"2023-04-17T10:30:04","date_gmt":"2023-04-17T09:30:04","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=277172"},"modified":"2023-04-17T10:30:04","modified_gmt":"2023-04-17T09:30:04","slug":"vseobecna-zdravotni-pojistovna-uhrada-imunologickeho-vysetreni","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=277172","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: \u00dahrada imunologick\u00e9ho vy\u0161et\u0159en\u00ed"},"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;\">B\u00fdv\u00e1m \u010dasto nemocn\u00e1. Jak\u00fdm zp\u016fsobem se m\u016f\u017eu objednat na imunologii?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e<\/h6>\n<p class=\"-wm-MsoNormal\"><b>Prvotn\u00ed z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed zdravotn\u00edho stavu pacienta prov\u00e1d\u00ed v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159,\u00a0<\/b>v\u00a0p\u0159\u00edpad\u011b d\u011bt\u00ed\u00a0<b>praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a\u00a0dorost\u00a0<\/b>(pediatr).\u00a0<b>Dle\u00a0podrobn\u00e9 anamn\u00e9zy<\/b>\u00a0(p\u0159i podez\u0159en\u00ed na\u00a0poruchu imunitn\u00edho syst\u00e9mu)\u00a0<b>m\u016f\u017ee praktick\u00fd l\u00e9ka\u0159 pacienta doporu\u010dit ke\u00a0specializovan\u00e9mu imunologick\u00e9mu vy\u0161et\u0159en\u00ed v\u00a0odborn\u00e9 ambulanci alergologie a klinick\u00e9 imunologie.<\/b><\/p>\n<h6 class=\"-wm-MsoNormal\"><b>\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b><\/h6>\n<p class=\"-wm-MsoNormal\"><b>Imunologick\u00e9 vy\u0161et\u0159en\u00ed je\u00a0<\/b>z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<b>\u00a0pln\u011b hrazeno na z\u00e1klad\u011b indikace praktick\u00fdm l\u00e9ka\u0159em. Ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed a odb\u011bry je nutn\u00e9 prov\u00e9st ve smluvn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch\u00a0<\/b>(tzn. u poskytovatele zdravotn\u00edch slu\u017eeb, kter\u00fd m\u00e1 smlouvu se zdravotn\u00ed poji\u0161\u0165ovnou pacienta)<b>. V\u00a0p\u0159\u00edpad\u011b, \u017ee pacient \u017e\u00e1d\u00e1 o imunologick\u00e9 vy\u0161et\u0159en\u00ed, p\u0159esto\u017ee o\u0161et\u0159uj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159 neshled\u00e1v\u00e1 k\u00a0jeho indikaci zdravotn\u00ed d\u016fvody, plat\u00ed si toto vy\u0161et\u0159en\u00ed s\u00e1m jako samopl\u00e1tce<\/b>. Cenu pro samopl\u00e1tce ur\u010duje poskytovatel zdravotn\u00edch slu\u017eeb.<\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Vy\u0161et\u0159en\u00ed na imunologii<\/b><\/h6>\n<p class=\"-wm-MsoNormal\"><b>Imunologick\u00e9 vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed l\u00e9ka\u0159 specialista \u2013 klinick\u00fd imunolog<\/b>\u00a0(odbornost 207 \u2013 alergologie a klinick\u00e1 imunologie).\u00a0<b>Specialista s\u00a0pacientem b\u011bhem vstupn\u00ed prohl\u00eddky nejprve projde jeho aktu\u00e1ln\u00ed zdravotn\u00ed stav<\/b>\u00a0(zdravotn\u00ed obt\u00ed\u017ee),\u00a0<b>anamn\u00e9zu<\/b>\u00a0(osobn\u00ed, rodinnou, soci\u00e1ln\u00ed, pracovn\u00ed)\u00a0<b>a tak\u00e9 zji\u0161\u0165uje jak\u00e9 l\u00e9ky pacient u\u017e\u00edv\u00e1, zda kou\u0159\u00ed \u010di u\u017e\u00edv\u00e1 jin\u00e9 n\u00e1vykov\u00e9 l\u00e1tky, v\u010detn\u011b alkoholu<\/b>. Anamnestick\u00fd rozhovor m\u00e1 v\u00a0imunologii velk\u00fd v\u00fdznam a b\u00fdv\u00e1 proto velmi podrobn\u00fd.<\/p>\n<p class=\"-wm-MsoNormal\">Pacient\u016fm se tak\u00e9 doporu\u010duje p\u0159in\u00e9st od registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e stru\u010dn\u00fd souhrn prod\u011blan\u00fdch onemocn\u011bn\u00ed a\u00a0absolvovan\u00fdch vy\u0161et\u0159en\u00ed. D\u00edky t\u011bmto informac\u00edm imunolog v\u00ed, jak\u00e1 vy\u0161et\u0159en\u00ed pacient podstoupil a\u00a0kter\u00e1 vy\u0161et\u0159en\u00ed nen\u00ed nutn\u00e9 opakovat (p\u0159edejde se tak duplicit\u011b).\u00a0<b>N\u00e1sleduje fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed a laboratorn\u00ed vy\u0161et\u0159en\u00ed krve.<\/b><\/p>\n<p class=\"-wm-MsoNormal\">B\u011bhem komplexn\u00edho fyzik\u00e1ln\u00edho vy\u0161et\u0159en\u00ed imunolog zhodnot\u00ed pacient\u016fv stav pohledem, poslechem, pohmatem a poklepem. V\u00a0z\u00e1vislosti na typu zdravotn\u00edch obt\u00ed\u017e\u00ed m\u016f\u017ee imunolog tak\u00e9 prov\u00e9st n\u011bkter\u00e1 funk\u010dn\u00ed diagnostick\u00e1 vy\u0161et\u0159en\u00ed, jako nap\u0159. vy\u0161et\u0159en\u00ed plicn\u00edch funkc\u00ed pomoc\u00ed tzv. spirometru a\u00a0prov\u00e9st ko\u017en\u00ed testy. Laboratorn\u00ed vy\u0161et\u0159en\u00ed je ned\u00edlnou a d\u016fle\u017eitou sou\u010d\u00e1st\u00ed imunologick\u00e9ho vy\u0161et\u0159en\u00ed \u2013\u00a0<b>imunolog pacientovi vyp\u00ed\u0161e \u201e\u017e\u00e1danku na laboratorn\u00ed vy\u0161et\u0159en\u00ed\u201c, ve kter\u00e9 jsou uvedeny konkr\u00e9tn\u00ed po\u017eadavky na laboratorn\u00ed vy\u0161et\u0159en\u00ed<\/b>.<\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Kam j\u00edt s\u00a0\u017e\u00e1dankou na laboratorn\u00ed vy\u0161et\u0159en\u00ed?<\/b><\/h6>\n<p class=\"-wm-MsoNormal\"><b>Pacient s\u00a0vypsanou \u017e\u00e1dankou m\u016f\u017ee j\u00edt na odb\u011br krve do jak\u00e9hokoli smluvn\u00edho laboratorn\u00edho odb\u011brov\u00e9ho m\u00edsta<\/b>. Vzorek krve je z\u00a0odb\u011brov\u00e9ho m\u00edsta n\u00e1sledn\u011b odesl\u00e1n do specializovan\u00e9 laborato\u0159e, kter\u00e1 v\u00fdsledky zas\u00edl\u00e1 zp\u011bt indikuj\u00edc\u00edmu imunologovi.\u00a0<b>Bez komplexn\u00ed znalosti klinick\u00fdch obt\u00ed\u017e\u00ed a\u00a0anamn\u00e9zy pacienta by\u00a0toti\u017e mohla b\u00fdt interpretace imunologick\u00fdch test\u016f nep\u0159esn\u00e1<\/b>\u00a0(zav\u00e1d\u011bj\u00edc\u00ed).<\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Stanoven\u00ed l\u00e9\u010dby<\/b><\/h6>\n<p class=\"-wm-MsoNormal\"><b>Klinick\u00fd imunolog\u00a0<\/b>na z\u00e1klad\u011b proveden\u00fdch vy\u0161et\u0159en\u00ed a v\u00fdsledk\u016f laboratorn\u00edho imunologick\u00e9ho vy\u0161et\u0159en\u00ed\u00a0<b>stanov\u00ed pacientovu diagn\u00f3zu a zvol\u00ed vhodnou formu l\u00e9\u010dby v\u010detn\u011b preskripce l\u00e9k\u016f,\u00a0<\/b>p\u0159\u00edpadn\u011b indikuje pacienta k\u00a0dal\u0161\u00ed specializovan\u00e9 zdravotn\u00ed p\u00e9\u010di.<\/p>\n<p class=\"-wm-MsoNormal\"><b>Vy\u0161et\u0159en\u00ed u klinick\u00e9ho imunologa m\u016f\u017ee b\u00fdt jednor\u00e1zov\u00e9,\u00a0<\/b>kdy dal\u0161\u00ed dispenz\u00e1rn\u00ed p\u00e9\u010di p\u0159eb\u00edr\u00e1 registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159 (pravideln\u00e9 kontroly a p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f).\u00a0<b>P\u0159\u00edpadn\u011b, pokud to stav pacienta vy\u017eaduje, m\u016f\u017ee<\/b>\u00a0<b>i<\/b>\u00a0<b>nad\u00e1le z\u016fstat v\u00a0p\u00e9\u010di klinick\u00e9ho imunologa, kter\u00fd ho dispenzarizuje pro\u00a0jeho imunologickou poruchu a pravideln\u011b ho kontroluje\u00a0<\/b>a p\u0159edepisuje mu indikovan\u00e1 l\u00e9\u010diva.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>(tz-vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA T\u00ddDNE <\/p>\n","protected":false},"author":2,"featured_media":277175,"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\/2023\/04\/17\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/277172"}],"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=277172"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/277172\/revisions"}],"predecessor-version":[{"id":277173,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/277172\/revisions\/277173"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/277175"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=277172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=277172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=277172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}