{"id":290625,"date":"2023-11-06T12:28:19","date_gmt":"2023-11-06T11:28:19","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=290625"},"modified":"2023-11-06T12:28:19","modified_gmt":"2023-11-06T11:28:19","slug":"vseobecna-zdravotni-pojistovna-predoperacni-vysetreni","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=290625","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: P\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
\u010cek\u00e1 m\u011b operace. Pro\u010d mus\u00edm m\u00edt p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed, kdy\u017e k\u00a0l\u00e9ka\u0159i pravideln\u011b doch\u00e1z\u00edm?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

P\u0159ed ka\u017ed\u00fdm pl\u00e1novan\u00fdm\u00a0<\/b>(elektivn\u00edm)\u00a0opera\u010dn\u00edm z\u00e1krokem v\u00a0celkov\u00e9 anest\u00e9zii je pot\u0159eba, aby bylo provedeno intern\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed<\/b>\u00a0\u2013 pro chirurga a anesteziologa obsahuj\u00ed d\u016fle\u017eit\u00e9 informace o pacientovi a jeho aktu\u00e1ln\u00edm zdravotn\u00edm stavu. C\u00edlem tohoto vy\u0161et\u0159en\u00ed je vylou\u010den\u00ed infekce \u010di\u00a0jin\u00e9ho onemocn\u011bn\u00ed, kter\u00e9 by pro pacienta mohly p\u0159edstavovat zv\u00fd\u0161en\u00e9 riziko komplikac\u00ed p\u0159i operaci.\u00a0Na\u00a0z\u00e1klad\u011b v\u00fdsledk\u016f intern\u00edho p\u0159edopera\u010dn\u00edho vy\u0161et\u0159en\u00ed se anesteziolog rozhodne, zda pacient\u016fv stav dovoluje, aby danou operaci podstoupil.<\/b><\/p>\n

Po\u017eadavky na intern\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed a doba platnosti<\/b><\/h6>\n

\u017d\u00e1danku o\u00a0intern\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed pacientovi vypln\u00ed a vystav\u00ed l\u00e9ka\u0159 prov\u00e1d\u011bj\u00edc\u00ed operaci<\/b>. Obsah intern\u00edho p\u0159edopera\u010dn\u00edho vy\u0161et\u0159en\u00ed je ur\u010den zdravotn\u00edm stavem pacienta, z\u00e1va\u017enost\u00ed, rozsahem a\u00a0nal\u00e9havost\u00ed pl\u00e1novan\u00e9ho v\u00fdkonu a tak\u00e9 volbou anesteziologick\u00e9 techniky. Tzn.\u00a0na \u017e\u00e1dance o intern\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed jsou uvedena v\u0161echna vy\u0161et\u0159en\u00ed, kter\u00e1 jsou vy\u017eadov\u00e1na<\/b>.<\/p>\n

Doba platnosti intern\u00edho p\u0159edopera\u010dn\u00edho vy\u0161et\u0159en\u00ed je obvykle jeden m\u011bs\u00edc u dosp\u011bl\u00fdch, 2 t\u00fddny u d\u011bt\u00ed<\/b>.\u00a0M\u016f\u017ee b\u00fdt vy\u017eadov\u00e1na tak\u00e9 krat\u0161\u00ed doba platnosti<\/b>, nap\u0159. p\u0159i zm\u011bn\u011b zdravotn\u00edho stavu od\u00a0posledn\u00edho vy\u0161et\u0159en\u00ed.<\/p>\n

Kdo m\u016f\u017ee ud\u011blat intern\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed?<\/b><\/h6>\n

P\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed m\u016f\u017ee prov\u00e9st v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159, praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a\u00a0dorost<\/b>\u00a0(v\u00a0p\u0159\u00edpad\u011b d\u011bt\u00ed)\u00a0nebo internista<\/b>. L\u00e9ka\u0159, kter\u00fd prov\u00e1d\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed, se nevyjad\u0159uje, zda je pacient schopen opera\u010dn\u00ed v\u00fdkon podstoupit. Kone\u010dn\u00e9 rozhodnut\u00ed vyslovuje anesteziolog a chirurg prov\u00e1d\u011bj\u00edc\u00ed operaci, a to na z\u00e1klad\u011b v\u00fdsledk\u016f p\u0159edopera\u010dn\u00edch vy\u0161et\u0159en\u00ed, rozhodnut\u00ed o rozsahu a\u00a0z\u00e1va\u017enosti opera\u010dn\u00edho v\u00fdkonu, po volb\u011b zp\u016fsobu anest\u00e9zie a po zv\u00e1\u017een\u00ed m\u00edry p\u0159\u00edpadn\u00fdch komplikac\u00ed (vznikl\u00fdch b\u011bhem operace, poopera\u010dn\u00edch).<\/p>\n

Jak prob\u00edh\u00e1 intern\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed?<\/b><\/h6>\n

Praktick\u00fd l\u00e9ka\u0159\u00a0<\/b>(\u010di internista)\u00a0v\u00a0r\u00e1mci intern\u00edho p\u0159edopera\u010dn\u00edho vy\u0161et\u0159en\u00ed s\u00a0pacientem projde jeho aktu\u00e1ln\u00ed zdravotn\u00ed stav<\/b>\u00a0(zdravotn\u00ed obt\u00ed\u017ee)\u00a0a anamn\u00e9zu<\/b>\u00a0(osobn\u00ed, rodinnou, soci\u00e1ln\u00ed, pracovn\u00ed),\u00a0provede fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed<\/b>\u00a0(pohledem, pohmatem, poslechem, poklepem)\u00a0a EKG<\/b>.\u00a0Sou\u010d\u00e1st\u00ed je tak\u00e9 laboratorn\u00ed vy\u0161et\u0159en\u00ed krve a\u00a0mo\u010di, vy\u0161et\u0159en\u00ed krevn\u00ed sr\u00e1\u017elivosti. Dal\u0161\u00ed pot\u0159ebn\u00e1 vy\u0161et\u0159en\u00ed jsou provedena individu\u00e1ln\u011b dle po\u017eadavk\u016f chirurga a anesteziologa.\u00a0<\/b>Praktick\u00fd l\u00e9ka\u0159 (\u010di internista) n\u00e1sledn\u011b pacientovi vystav\u00ed zpr\u00e1vu o\u00a0intern\u00edm p\u0159edopera\u010dn\u00edm vy\u0161et\u0159en\u00ed, v\u010detn\u011b v\u00fdsledk\u016f v\u0161ech proveden\u00fdch vy\u0161et\u0159en\u00ed.<\/p>\n

\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b><\/h6>\n

Ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 jsou pacientovi indikov\u00e1na, jsou hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. V\u0161echna vy\u0161et\u0159en\u00ed a odb\u011bry je nutn\u00e9 prov\u00e9st ve\u00a0smluvn\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

\n

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

\n

 <\/p>\n

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

OT\u00c1ZKA: \u010cek\u00e1 <\/p>\n","protected":false},"author":2,"featured_media":290626,"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\/11\/06\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/290625"}],"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=290625"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/290625\/revisions"}],"predecessor-version":[{"id":290627,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/290625\/revisions\/290627"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/290626"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=290625"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=290625"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=290625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}