{"id":306472,"date":"2024-05-06T10:56:02","date_gmt":"2024-05-06T09:56:02","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=306472"},"modified":"2024-05-06T10:56:02","modified_gmt":"2024-05-06T09:56:02","slug":"vseobecna-zdravotni-pojistovna-preventivni-prohlidky-a-vysetreni-zeny","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=306472","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Preventivn\u00ed prohl\u00eddky a vy\u0161et\u0159en\u00ed &#8211; \u017eeny"},"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:<\/h6>\n<h6 style=\"text-align: center;\"><b>Jak\u00e1 vy\u0161et\u0159en\u00ed a prohl\u00eddky m\u016f\u017ee absolvovat dosp\u011bl\u00e1 \u017eena?<\/b><\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-MsoNoSpacing\">Preventivn\u00ed prohl\u00eddky a vy\u0161et\u0159en\u00ed se r\u016fzn\u00ed dle jednotliv\u00fdch v\u011bkov\u00fdch skupin a tak\u00e9 dle pohlav\u00ed.\u00a0<b>Preventivn\u00ed prohl\u00eddky a vy\u0161et\u0159en\u00ed jsou d\u016fle\u017eit\u00e9 v\u00a0ka\u017ed\u00e9 \u017eivotn\u00ed etap\u011b a\u00a0poji\u0161t\u011bnec by se jim nem\u011bl vyh\u00fdbat v\u00a0\u017e\u00e1dn\u00e9m v\u011bku, a to ani za p\u0159edpokladu, \u017ee se c\u00edt\u00ed zdrav\u00fd.\u00a0<\/b>O\u00a0po\u010d\u00ednaj\u00edc\u00edm onemocn\u011bn\u00ed (bez\u00a0p\u0159\u00edznak\u016f) pacient nemus\u00ed v\u011bd\u011bt dlouhou dobu.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Pravideln\u00e9 preventivn\u00ed prohl\u00eddky<\/b>\u00a0jsou efektivn\u00edm prost\u0159edkem prim\u00e1rn\u00ed i sekund\u00e1rn\u00ed prevence,\u00a0<b>mohou odhalit p\u0159\u00edpadn\u00e9 obt\u00ed\u017ee a\u00a0v\u010das p\u0159edej\u00edt v\u00e1\u017en\u011bj\u0161\u00edm chorob\u00e1m.<\/b>\u00a0<b>Navazuj\u00ed na n\u011b i tzv. screeningov\u00e9 programy.<\/b>\u00a0<b>Ty maj\u00ed za c\u00edl odhalit v\u00fdskyt z\u00e1va\u017en\u00fdch diagn\u00f3z v\u00a0ran\u00e9m st\u00e1diu.<\/b>\u00a0<b>Od\u00a0ur\u010dit\u00e9ho v\u011bku, nebo p\u0159i spln\u011bn\u00ed dal\u0161\u00edch podm\u00ednek, m\u00e1 na takov\u00e9 vy\u0161et\u0159en\u00ed hrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed n\u00e1rok cel\u00e1 populace.<\/b>\u00a0Informaci o tom, zda do t\u00e9to kategorie ji\u017e pat\u0159\u00edte, by m\u011bl podat prim\u00e1rn\u011b praktick\u00fd l\u00e9ka\u0159, u \u017een nap\u0159\u00edklad tak\u00e9 gynekolog.\u00a0U \u017een se aktu\u00e1ln\u011b jedn\u00e1 o screening karcinomu d\u011blo\u017en\u00edho hrdla, mamografick\u00fd screening, kolorekt\u00e1ln\u00ed screening, popula\u010dn\u00ed pilotn\u00ed program \u010dasn\u00e9ho z\u00e1chytu (screening) karcinomu plic a plo\u0161n\u00fd screening osteopor\u00f3zy.<\/p>\n<p class=\"-wm-MsoNoSpacing\">N\u00ed\u017ee uv\u00e1d\u00edme p\u0159ehled jednotliv\u00fdch preventivn\u00edch prohl\u00eddek a vy\u0161et\u0159en\u00ed u \u017een, v\u00a0dal\u0161\u00edm vyd\u00e1n\u00ed Ot\u00e1zky t\u00fddne (13\/5\/2024) se\u00a0budeme v\u011bnovat v\u00fd\u010dtu t\u011bchto vy\u0161et\u0159en\u00ed u mu\u017e\u016f.<\/p>\n<p class=\"-wm-MsoNoSpacing\">\n<h6 class=\"-wm-MsoNoSpacing\"><b><u>Preventivn\u00ed prohl\u00eddky \u2013 \u017eeny od 18 let<\/u><\/b><\/h6>\n<p class=\"-wm-MsoNoSpacing\">Obsah a\u00a0frekvence preventivn\u00edch prohl\u00eddek jsou definov\u00e1ny ve\u00a0<strong><a href=\"https:\/\/www.e-sbirka.cz\/sb\/2012\/70?zalozka=text\" target=\"_blank\" rel=\"noopener\">vyhl\u00e1\u0161ce \u010d.\u00a070\/2012 Sb., o\u00a0preventivn\u00edch prohl\u00eddk\u00e1ch<\/a>.<\/strong><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>V\u0161eobecn\u00e1 preventivn\u00ed prohl\u00eddka u praktick\u00e9ho l\u00e9ka\u0159e<\/b><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">ka\u017ed\u00e9 dva roky<\/li>\n<li class=\"-wm-MsoNoSpacing\">sou\u010d\u00e1st\u00ed jsou tak\u00e9 p\u0159edepsan\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 se\u00a0prov\u00e1d\u011bj\u00ed ve\u00a0stanoven\u00e9m v\u011bku (viz d\u00e1le)<\/li>\n<\/ul>\n<p class=\"-wm-MsoNoSpacing\"><b>Stomatologick\u00e1 preventivn\u00ed prohl\u00eddka<\/b><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">jednou za rok<\/li>\n<\/ul>\n<p class=\"-wm-MsoNoSpacing\"><i>Pozn. tzv. \u201edruh\u00e1\u201c prohl\u00eddka (prohl\u00eddka registrovan\u00e9ho poji\u0161t\u011bnce od 18\u00a0let v\u011bku) je hrazena zdravotn\u00ed poji\u0161\u0165ovnou v p\u0159\u00edpad\u011b, kdy to ur\u010d\u00ed zubn\u00ed l\u00e9ka\u0159 (stav pacientky to vy\u017eaduje) a pacientku indikuje.<\/i><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Gynekologick\u00e1 prohl\u00eddka<\/b><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">jednou za rok<\/li>\n<li class=\"-wm-MsoNoSpacing\">sou\u010d\u00e1st\u00ed je screeningov\u00e1 cytologie (screening karcinomu d\u011blo\u017en\u00edho hrdla)<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\"><strong><u>\u00a0<\/u><\/strong><\/p>\n<h6 class=\"-wm-MsoNormal\"><b><u>Vy\u0161et\u0159en\u00ed, kter\u00e1 jsou sou\u010d\u00e1st\u00ed v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky, dal\u0161\u00ed odborn\u00e1 a screeningov\u00e1 vy\u0161et\u0159en\u00ed<\/u><\/b><u><\/u><\/h6>\n<p class=\"-wm-MsoNormal\"><strong>\u017deny ve v\u011bku 18-35 let<\/strong><\/p>\n<p class=\"-wm-MsoNoSpacing\">Obsahem v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky jsou tak\u00e9:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed mo\u010di \u2013 ka\u017ed\u00e9 dva roky<\/li>\n<li class=\"-wm-MsoNoSpacing\">v\u00a018 a ve 30 letech \u2013 vy\u0161et\u0159en\u00ed cholesterolu a tukov\u00fdch l\u00e1tek v krvi<\/li>\n<li class=\"-wm-MsoNoSpacing\">v 18 a ve 30 letech \u2013 kontrola glyk\u00e9mie (hladiny cukru v krvi)<\/li>\n<li class=\"-wm-MsoNoSpacing\">od 25 let \u2013 klinick\u00e9 vy\u0161et\u0159en\u00ed prs\u016f a pou\u010den\u00ed o samovy\u0161et\u0159en\u00ed (v p\u0159\u00edpad\u011b pozitivn\u00ed rodinn\u00e9 anamn\u00e9zy\/p\u0159i jin\u00fdch rizikov\u00fdch faktorech)<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\"><strong>\u017deny ve v\u011bku 35-50 let<\/strong><\/p>\n<p class=\"-wm-MsoNoSpacing\">Obsahem v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky jsou tak\u00e9:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed mo\u010di \u2013 ka\u017ed\u00e9 dva roky<\/li>\n<li class=\"-wm-MsoNoSpacing\">ve 40 letech \u2013 vy\u0161et\u0159en\u00ed cholesterolu a tukov\u00fdch l\u00e1tek v krvi<\/li>\n<li class=\"-wm-MsoNoSpacing\">ve 40 letech a pot\u00e9 ka\u017ed\u00e9 dva roky \u2013 kontrola glyk\u00e9mie (hladiny cukru v krvi)<\/li>\n<li class=\"-wm-MsoNoSpacing\">ve 40 letech a pot\u00e9 ka\u017ed\u00e9 \u010dty\u0159i roky \u2013 vy\u0161et\u0159en\u00ed EKG<\/li>\n<\/ul>\n<p class=\"-wm-MsoNoSpacing\">Screeningov\u00e9 programy a dal\u0161\u00ed odborn\u00e1 vy\u0161et\u0159en\u00ed:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">ve 35 a 45 letech \u2013 je \u017een\u00e1m hrazen screeningov\u00fd test na\u00a0p\u0159\u00edtomnost HPV vir\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">od 45 let a pot\u00e9 ka\u017ed\u00e9 dva roky \u2013 preventivn\u00ed mamografick\u00e9 vy\u0161et\u0159en\u00ed (mamografick\u00fd screening)<\/li>\n<li class=\"-wm-MsoNoSpacing\">od 45 do 61 let ka\u017ed\u00e9 \u010dty\u0159i roky \u2013 preventivn\u00ed o\u010dn\u00ed vy\u0161et\u0159en\u00ed<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\"><strong>\u017deny ve v\u011bku 50 let a star\u0161\u00ed<\/strong><\/p>\n<p class=\"-wm-MsoNoSpacing\">Obsahem v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky jsou tak\u00e9:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed mo\u010di \u2013 ka\u017ed\u00e9 dva roky<\/li>\n<li class=\"-wm-MsoNoSpacing\">ve 50 a 60 letech \u2013 vy\u0161et\u0159en\u00ed cholesterolu a tukov\u00fdch l\u00e1tek v krvi<\/li>\n<li class=\"-wm-MsoNoSpacing\">ka\u017ed\u00e9 dva roky \u2013 kontrola glyk\u00e9mie (hladiny cukru v krvi)<\/li>\n<li class=\"-wm-MsoNoSpacing\">ka\u017ed\u00e9 \u010dty\u0159i roky \u2013 vy\u0161et\u0159en\u00ed EKG<\/li>\n<li class=\"-wm-MsoNoSpacing\">od 50 let ka\u017ed\u00e9 4 roky \u2013 vy\u0161et\u0159en\u00ed funkce ledvin u pacientek s\u00a0diabetem, hypertenz\u00ed nebo kardiovaskul\u00e1rn\u00edmi komplikacemi<\/li>\n<li class=\"-wm-MsoNoSpacing\"><i>nov\u011b od 1. 4. 2023\u00a0<\/i>\u2013 screening osteopor\u00f3zy (p\u0159\u00edpadn\u011b v\u00a0r\u00e1mci preventivn\u00ed gynekologick\u00e9 prohl\u00eddky) *<i><\/i><\/li>\n<\/ul>\n<p><i>*\u00a0<\/i><i>VZP zah\u00e1jila plo\u0161n\u00fd screening osteopor\u00f3zy \u2013\u00a0<\/i><strong><a href=\"https:\/\/www.vzp.cz\/o-nas\/aktuality\/do-screeningu-osteoporozy-se-zapojili-praktici-i-gynekologove-za-pet-mesicu-bylo-vysetreno-33-tisic-lidi\" target=\"_blank\" rel=\"noopener\"><i>v\u00edce informac\u00ed<\/i><\/a><\/strong><\/p>\n<p class=\"-wm-MsoNoSpacing\">Screeningov\u00e9 programy a dal\u0161\u00ed odborn\u00e1 vy\u0161et\u0159en\u00ed:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">ka\u017ed\u00e9 dva roky \u2013 preventivn\u00ed mamografick\u00e9 vy\u0161et\u0159en\u00ed (mamografick\u00fd screening)<\/li>\n<li class=\"-wm-MsoNoSpacing\">od 50 do 55 let jednou za rok \u2013 vy\u0161et\u0159en\u00ed na okultn\u00ed krv\u00e1cen\u00ed ve\u00a0stolici **<\/li>\n<li class=\"-wm-MsoNoSpacing\">od 55 let jednou za dva roky \u2013 vy\u0161et\u0159en\u00ed na okultn\u00ed krv\u00e1cen\u00ed ve\u00a0stolici **<\/li>\n<li class=\"-wm-MsoNoSpacing\">v\u00a055 letech\u00a0<i>(nov\u011b od 1. 1. 2024)<\/i>\u00a0\u2013 je \u017een\u00e1m hrazen screeningov\u00fd test na p\u0159\u00edtomnost HPV vir\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">od 55 do 74 let \u2013 screening karcinomu plic \u2013 vy\u0161et\u0159it se mohou nechat ku\u0159a\u010dky (sou\u010dasn\u00e9 \u010di\u00a0b\u00fdval\u00e9) s ku\u0159\u00e1ckou histori\u00ed 20 vykou\u0159en\u00fdch cigaret denn\u011b po dobu 20 let<\/li>\n<li class=\"-wm-MsoNoSpacing\">do 61 let ka\u017ed\u00e9 \u010dty\u0159i roky \u2013 preventivn\u00ed o\u010dn\u00ed vy\u0161et\u0159en\u00ed<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">**\u00a0<i>vy\u0161et\u0159en\u00ed je mo\u017en\u00e9 nahradit screeningovou kolonoskopi\u00ed (kolorekt\u00e1ln\u00ed screening) jednou za 10 let<\/i><i><\/i><\/p>\n<p>&nbsp;<\/p>\n<h6 class=\"-wm-MsoNoSpacing\"><b>\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b><\/h6>\n<p class=\"-wm-MsoNoSpacing\"><b>Ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 jsou pacientce indikov\u00e1na, jsou hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. V\u0161echna vy\u0161et\u0159en\u00ed 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<p class=\"-wm-MsoNormal\"><strong>(vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA: Jak\u00e1 <\/p>\n","protected":false},"author":2,"featured_media":306474,"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\/2024\/05\/06\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/306472"}],"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=306472"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/306472\/revisions"}],"predecessor-version":[{"id":306475,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/306472\/revisions\/306475"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/306474"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=306472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=306472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=306472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}