{"id":289570,"date":"2023-10-23T11:27:23","date_gmt":"2023-10-23T10:27:23","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=289570"},"modified":"2023-10-23T11:27:23","modified_gmt":"2023-10-23T10:27:23","slug":"vseobecna-zdravotni-pojistovna-operace-rozestupu-primych-brisnich-svalu","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=289570","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Operace rozestupu p\u0159\u00edm\u00fdch b\u0159i\u0161n\u00edch sval\u016f"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna operaci rozestupu p\u0159\u00edm\u00fdch b\u0159i\u0161n\u00edch sval\u016f, tzv. diast\u00e1zy?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Zdravotn\u00ed poji\u0161\u0165ovna hrad\u00ed opera\u010dn\u00ed v\u00fdkon rozestupu p\u0159\u00edm\u00fdch b\u0159i\u0161n\u00edch sval\u016f\u00a0<\/b>(b\u0159i\u0161n\u00ed diast\u00e1zy)\u00a0pouze indikovan\u00fd ze zdravotn\u00edch d\u016fvod\u016f.\u00a0<\/b>\u00a0V\u00a0p\u0159\u00edpad\u011b, \u017ee by pacient cht\u011bl podstoupit operaci z\u00a0kosmetick\u00fdch\u00a0<\/b>(a\u00a0to\u00a0\u010dist\u011b estetick\u00fdch)\u00a0d\u016fvod\u016f, hrad\u00ed si ji zcela s\u00e1m.<\/b>\u00a0Podm\u00ednky \u00fahrady jsou stejn\u00e9 pro v\u0161echny zdravotn\u00ed poji\u0161\u0165ovny.<\/p>\n

Aby zdravotn\u00ed p\u00e9\u010de mohla b\u00fdt hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, mus\u00ed b\u00fdt opera\u010dn\u00ed v\u00fdkon indikov\u00e1n o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em. Ve\u0161ker\u00e1 poskytnut\u00e1 zdravotn\u00ed p\u00e9\u010de\u00a0<\/b>(vy\u0161et\u0159en\u00ed, rehabilitace, laboratorn\u00ed odb\u011bry, operace)\u00a0mus\u00ed b\u00fdt provedena ve smluvn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch<\/b>\u00a0(tzn.\u00a0u\u00a0poskytovatele zdravotn\u00edch slu\u017eeb, kter\u00fd m\u00e1 smlouvu se\u00a0zdravotn\u00ed poji\u0161\u0165ovnou pacienta).<\/p>\n

Co je diast\u00e1za?<\/b><\/p>\n

U diast\u00e1zy je hlavn\u00ed p\u0159\u00ed\u010dinou nedostate\u010dn\u00e1 funkce b\u0159i\u0161n\u00edch sval\u016f \u2013 jedn\u00e1 se o rozestup p\u0159\u00edm\u00fdch b\u0159i\u0161n\u00edch sval\u016f, kdy b\u0159i\u0161n\u00ed st\u011bna v\u00a0m\u00edst\u011b rozestupu sval\u016f z\u016fst\u00e1v\u00e1 kryta pouze pob\u0159i\u0161nic\u00ed, zten\u010denou vazivovou fasci\u00ed (aponeur\u00f3zou), podko\u017en\u00edm tukem a k\u016f\u017e\u00ed. B\u0159i\u0161n\u00ed diast\u00e1za se m\u016f\u017ee vyskytnout v jak\u00e9mkoli v\u011bku. P\u0159\u00ed\u010diny vzniku jsou pestr\u00e9, uv\u00e1d\u00ed se nap\u0159. vrozen\u00e9 \u010di z\u00edskan\u00e9 oslaben\u00ed svalov\u00e9 a vazivov\u00e9 tk\u00e1n\u011b, zved\u00e1n\u00ed t\u011b\u017ek\u00fdch b\u0159emen, vysok\u00fd v\u011bk, obezita, t\u011bhotenstv\u00ed, porod, poporodn\u00ed obdob\u00ed apod. Probl\u00e9m se t\u00fdk\u00e1 nejen \u017een, ale m\u016f\u017ee vzniknout tak\u00e9 u mu\u017e\u016f i d\u011bt\u00ed. Ne\u0159e\u0161en\u00e1 diast\u00e1za m\u016f\u017ee zp\u016fsobit \u0159adu zdravotn\u00edch probl\u00e9m\u016f, a to od nefunk\u010dn\u00edho hlubok\u00e9ho stabiliza\u010dn\u00edho syst\u00e9mu, stavu, kter\u00fd vede k\u00a0poruch\u00e1m funkce dal\u0161\u00edch sval\u016f, a ve sv\u00e9m kone\u010dn\u00e9m d\u016fsledku k bolestem p\u00e1te\u0159e, kloub\u016f i dal\u0161\u00edm poruch\u00e1m (nap\u0159. poruchy inkontinence).<\/p>\n

L\u00e9\u010dba diast\u00e1zy \u2013 neinvazivn\u00ed vs. invazivn\u00ed p\u0159\u00edstup<\/b><\/p>\n

L\u00e9\u010dba diast\u00e1zy \u2013 neinvazivn\u00ed p\u0159\u00edstup (rehabilitace)<\/u><\/p>\n

Diast\u00e1zu<\/b>\u00a0(rozestup p\u0159\u00edm\u00fdch b\u0159i\u0161n\u00edch sval\u016f)\u00a0se doporu\u010duje nejprve l\u00e9\u010dit konzervativn\u00edm\u00a0<\/b>(neinvazivn\u00edm)\u00a0zp\u016fsobem<\/b>.\u00a0Konzervativn\u00ed l\u00e9\u010dba vy\u017eaduje aktivn\u00ed zapojen\u00ed pacienta do l\u00e9\u010debn\u00e9ho procesu<\/b>\u00a0\u2013\u00a0jej\u00ed ned\u00edlnou sou\u010d\u00e1st\u00ed je rehabilitace, kter\u00e1 m\u00e1 za c\u00edl obnovit funkci b\u0159i\u0161n\u00edch sval\u016f<\/b>. Rehabilitace je veden\u00e1 zku\u0161en\u00fdm fyzioterapeutem a jedn\u00e1 se o kombinace v\u00edce typ\u016f cvi\u010den\u00ed.<\/p>\n

Rehabilitace je z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazena v\u00a0p\u0159\u00edpad\u011b, \u017ee je pacientovi p\u0159edeps\u00e1na a indikov\u00e1na o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em<\/b>\u00a0(v\u00edce informac\u00ed\u00a0zde<\/a><\/strong>). Pokud nen\u00ed konzervativn\u00ed l\u00e9\u010dba \u00fa\u010dinn\u00e1 nebo v\u00a0p\u0159\u00edpad\u011b t\u011b\u017ek\u00fdch funk\u010dn\u00edch po\u0161kozen\u00ed, je mo\u017en\u00e9 diast\u00e1zu \u0159e\u0161it opera\u010dn\u011b.<\/p>\n

<\/a>L\u00e9\u010dba diast\u00e1zy \u2013 invazivn\u00ed p\u0159\u00edstup (operace)<\/u><\/p>\n

Operativn\u00edm \u0159e\u0161en\u00edm diast\u00e1zy je se\u0161it\u00ed p\u0159\u00edm\u00fdch b\u0159i\u0161n\u00edch sval\u016f, odstran\u011bn\u00ed p\u0159evisu k\u016f\u017ee a\u00a0podko\u017e\u00ed z\u00a0oblasti b\u0159icha \u2013 tzv.\u00a0abdominoplastika. Pacienta k\u00a0opera\u010dn\u00edmu v\u00fdkonu indikuje v\u017edy p\u0159\u00edslu\u0161n\u00fd o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159.\u00a0\u00a0<\/b>O\u00a0tom, zda je p\u0159\u00edpadn\u00fd opera\u010dn\u00ed z\u00e1krok mo\u017eno\u00a0prov\u00e9st ze zdravotn\u00edch d\u016fvod\u016f, rozhoduje prim\u00e1rn\u011b chirurg.\u00a0Po\u00a0operaci by m\u011bla n\u00e1sledovat vhodn\u00e1 rehabilitace, kter\u00e1 optimalizuje v\u00fdsledek.<\/b><\/p>\n

Podm\u00ednkou \u00fahrady tohoto opera\u010dn\u00edho v\u00fdkonu zdravotn\u00ed poji\u0161\u0165ovnou je jasn\u00e1 indikace ze\u00a0zdravotn\u00edch d\u016fvod\u016f<\/b>. T\u011bmi jsou nap\u0159. velk\u00fd rozestup p\u0159\u00edm\u00fdch b\u0159i\u0161n\u00edch sval\u016f, kter\u00fd zp\u016fsobuje zdravotn\u00ed probl\u00e9my (nap\u0159. chronick\u00e9 vertebrogenn\u00ed pot\u00ed\u017ee, tr\u00e1v\u00edc\u00ed pot\u00ed\u017ee, b\u0159i\u0161n\u00ed k\u00fdla apod.). Operaci z\u00a0kosmetick\u00fdch (\u010dist\u011b estetick\u00fdch) d\u016fvod\u016f zdravotn\u00ed poji\u0161\u0165ovna nehrad\u00ed.<\/p>\n

 <\/p>\n

(vzp)<\/strong><\/p>\n

\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA: Hrad\u00ed <\/p>\n","protected":false},"author":2,"featured_media":289572,"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\/10\/23\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/289570"}],"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=289570"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/289570\/revisions"}],"predecessor-version":[{"id":289571,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/289570\/revisions\/289571"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/289572"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=289570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=289570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=289570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}