{"id":312075,"date":"2024-06-24T08:11:06","date_gmt":"2024-06-24T07:11:06","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=312075"},"modified":"2024-06-24T08:11:06","modified_gmt":"2024-06-24T07:11:06","slug":"vseobecna-zdravotni-pojistovna-lecba-hemeroidu","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=312075","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: L\u00e9\u010dba hemeroid\u016f"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Jak se daj\u00ed l\u00e9\u010dit hemeroidy?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Hemoroidy (laicky hemeroidy) jsou\u00a0uzlovit\u011b roz\u0161\u00ed\u0159en\u00e9 c\u00e9vn\u00ed pleten\u011b v oblasti kone\u010dn\u00edku a \u0159itn\u00edho kan\u00e1lu<\/strong>. Projevuj\u00ed se krv\u00e1cen\u00edm b\u011bhem stolice, sv\u011bd\u011bn\u00edm \u010di podr\u00e1\u017ed\u011bn\u00edm v an\u00e1ln\u00ed oblasti, bolest\u00ed a\u00a0otoky s\u00a0hmatn\u00fdmi bulkami. Jedn\u00e1 se\u00a0o pom\u011brn\u011b \u010dast\u00e9 onemocn\u011bn\u00ed<\/b>, za\u00a0kter\u00e9 se lid\u00e9 styd\u00ed a o kter\u00e9m neradi mluv\u00ed i p\u0159ed l\u00e9ka\u0159em. Podle toho, kde dojde ke\u00a0zdravotn\u00edm pot\u00ed\u017e\u00edm (um\u00edst\u011bn\u00ed) jsou hemoroidy vnit\u0159n\u00ed nebo vn\u011bj\u0161\u00ed.\u00a0V\u010dasn\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby m\u016f\u017ee v\u00e9st k\u00a0\u00fapln\u00e9mu vymizen\u00ed nep\u0159\u00edjemn\u00fdch p\u0159\u00edznak\u016f.<\/b><\/p>\n

Na\u00a0vzniku hemoroid\u016f se\u00a0pod\u00edl\u00ed cel\u00e1 \u0159ada faktor\u016f \u2013 nap\u0159. nevhodn\u00e1 \u017eivotospr\u00e1va,\u00a0zv\u00fd\u0161en\u00fd tlak p\u0159i stolici \u010di zv\u00fd\u0161en\u00fd tlak \u017eiln\u00ed pleten\u011b v\u00a0oblasti kone\u010dn\u00edku b\u011bhem t\u011bhotenstv\u00ed<\/strong>,<\/b>\u00a0sedav\u00e9 zam\u011bstn\u00e1n\u00ed, nedostatek pohybu, chronick\u00fd pr\u016fjem nebo z\u00e1cpa, obezita\/nadv\u00e1ha, v\u011bk. Projevy hemoroid\u016f mohou b\u00fdt sv\u011bd\u011bn\u00ed, p\u00e1len\u00ed, krev ve stolici, zdu\u0159en\u00ed tk\u00e1n\u011b okolo kone\u010dn\u00edku, bolesti v\u00a0oblasti kone\u010dn\u00edku. P\u0159\u00edtomnost krve ve\u00a0stolici vyvol\u00e1 v\u017edy i podez\u0159en\u00ed na mo\u017en\u00e9 krv\u00e1cen\u00ed ze za\u017e\u00edvac\u00edho traktu nebo na kolorekt\u00e1ln\u00ed karcinom.<\/p>\n

Kam se objednat na vy\u0161et\u0159en\u00ed?<\/b><\/p>\n

V\u00a0p\u0159\u00edpad\u011b p\u0159\u00edznak\u016f\u00a0<\/b>(viz v\u00fd\u0161e)\u00a0by se m\u011bl pacient objednat na vy\u0161et\u0159en\u00ed k v\u0161eobecn\u00e9mu praktick\u00e9mu l\u00e9ka\u0159i.<\/b>\u00a0Ten s\u00a0pacientem nejprve projde pacientovu anamn\u00e9zu a aktu\u00e1ln\u00ed zdravotn\u00ed obt\u00ed\u017ee.\u00a0N\u00e1sleduje fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed, na z\u00e1klad\u011b kter\u00e9ho praktick\u00fd l\u00e9ka\u0159 zvol\u00ed vhodnou l\u00e9\u010dbu.<\/b>\u00a0V\u00a0p\u0159\u00edpad\u011b pot\u0159eby doporu\u010d\u00ed pacienta k\u00a0dal\u0161\u00edmu vy\u0161et\u0159en\u00ed u\u00a0l\u00e9ka\u0159e specialisty \u2013 nej\u010dast\u011bji na proktologii, eventu\u00e1ln\u011b na chirurgii nebo gastroenterologii.<\/p>\n

Vy\u0161et\u0159en\u00ed ve specializovan\u00e9 ambulanci<\/b><\/p>\n

Proktologie je specializovan\u00fd l\u00e9ka\u0159sk\u00fd obor se zam\u011b\u0159en\u00edm na vy\u0161et\u0159en\u00ed a l\u00e9\u010dbu onemocn\u011bn\u00ed kone\u010dn\u00edku a tlust\u00e9ho st\u0159eva.\u00a0L\u00e9ka\u0159 specialista \u2013 proktolog s\u00a0pacientem absolvuje kr\u00e1tk\u00fd pohovor<\/b>, b\u011bhem kter\u00e9ho si dopln\u00ed pot\u0159ebn\u00e9 informace v\u00a0anamn\u00e9ze. D\u00e1le provede vy\u0161et\u0159en\u00ed per rectum, rektoskopii, eventu\u00e1ln\u011b anoskopii,\u00a0<\/b>co\u017e jsou\u00a0endoskopick\u00e9 metody zam\u011b\u0159en\u00e9\u00a0na\u00a0vy\u0161et\u0159en\u00ed oblasti kone\u010dn\u00edku a\u00a0\u0159iti<\/strong>. P\u0159i vy\u0161et\u0159en\u00ed se pou\u017e\u00edv\u00e1 rektoskop, tuh\u00e1\u00a0dut\u00e1\u00a0trubi\u010dka s\u00a0optick\u00fdm syst\u00e9mem, kter\u00e1 ukazuje l\u00e9ka\u0159i obraz sliznice t\u00e9to \u010d\u00e1sti tr\u00e1vic\u00edho traktu. Na rozd\u00edl od kolonoskopie se tyto metody pou\u017e\u00edvaj\u00ed v\u00a0situac\u00edch, kdy se\u00a0p\u0159edpokl\u00e1d\u00e1 probl\u00e9m lokalizovan\u00fd jenom v\u00a0oblasti kone\u010dn\u00edku a\u00a0\u0159itn\u00edm kan\u00e1lu. T\u00edmto zp\u016fsobem lze\u00a0odhalit z\u00e1n\u011bty, vnit\u0159n\u00ed hemoroidy, p\u00ed\u0161t\u011ble ale i\u00a0n\u00e1dory.\u00a0\u00a0Po vy\u0161et\u0159en\u00ed proktolog zhodnot\u00ed n\u00e1lez\u00a0<\/b>(ur\u010d\u00ed typ a rozsah onemocn\u011bn\u00ed)\u00a0a ur\u010d\u00ed zp\u016fsob l\u00e9\u010dby nebo indikuje dal\u0161\u00ed dopl\u0148uj\u00edc\u00ed vy\u0161et\u0159en\u00ed.<\/b><\/p>\n

Jak\u00e1 je l\u00e9\u010dba hemoroid\u016f?<\/b><\/p>\n

L\u00e9\u010dba hemoroid\u016f se odv\u00edj\u00ed od z\u00e1va\u017enosti zdravotn\u00edho probl\u00e9mu<\/b>\u00a0(typu a stupn\u011b hemoroid\u016f)\u00a0a v\u017edy je\u00a0individu\u00e1ln\u00ed.<\/b>\u00a0Rozd\u011bluje se\u00a0na\u00a0konzervativn\u00ed a opera\u010dn\u00ed.<\/p>\n

Konzervativn\u00ed (neinvazivn\u00ed) p\u0159\u00edstup<\/u><\/p>\n

Konzervativn\u00ed l\u00e9\u010dba vy\u017eaduje aktivn\u00ed zapojen\u00ed pacienta do l\u00e9\u010debn\u00e9ho procesu\u00a0<\/b>\u2013 nap\u0159\u00edklad\u00a0zv\u00fd\u0161en\u00edm p\u0159\u00edjmu vl\u00e1kniny\u00a0<\/strong>konzumac\u00ed v\u00edce ovoce a zeleniny, celozrnn\u00e9ho pe\u010diva, o\u0159ech\u016f a sem\u00ednek, a\u00a0dostate\u010dn\u00fd pitn\u00fd re\u017eim<\/strong>. V\u00a0p\u0159\u00edpad\u011b nadv\u00e1hy \u010di obezity je pot\u0159eba\u00a0sn\u00ed\u017een\u00ed t\u011blesn\u00e9 hmotnosti<\/strong>. V\u00a0tom bude dobr\u00fdm pomocn\u00edkem\u00a0pravideln\u00fd pohyb<\/strong>, kter\u00fd z\u00e1rove\u0148 zlep\u0161\u00ed krevn\u00ed ob\u011bh.\u00a0\u00a0L\u00e9ka\u0159 pacientovi m\u016f\u017ee p\u0159edepsat l\u00e9\u010div\u00e9 p\u0159\u00edpravky\u00a0<\/b>(mohou m\u00edt r\u016fznou l\u00e9kovou formu \u2013 nap\u0159. \u010d\u00edpky, masti, tablety, sedac\u00ed koupele atd.).<\/p>\n

Opera\u010dn\u00ed p\u0159\u00edstup<\/u><\/p>\n

K\u00a0chirurgick\u00e9 l\u00e9\u010db\u011b hemoroid\u016f se zpravidla p\u0159istupuje v\u00a0p\u0159\u00edpad\u011b, kdy konzervativn\u00ed l\u00e9\u010dba nebyla \u00fa\u010dinn\u00e1.<\/b>\u00a0Pacienta k\u00a0opera\u010dn\u00edmu v\u00fdkonu v\u017edy indikuje p\u0159\u00edslu\u0161n\u00fd o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159<\/b>\u00a0(proktolog, chirurg),\u00a0kter\u00fd tak\u00e9 rozhoduje o v\u00fdb\u011bru vhodn\u00e9 opera\u010dn\u00ed metody.<\/b><\/p>\n

V\u00a0p\u0159\u00edpad\u011b pl\u00e1novan\u00e9 (elektivn\u00ed) operace v\u00a0celkov\u00e9 anestezii je pot\u0159eba, aby bylo provedeno intern\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed \u2013 viz\u00a0bli\u017e\u0161\u00ed informace<\/a><\/strong>.<\/p>\n

\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b><\/p>\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 je nutn\u00e9 prov\u00e9st ve\u00a0smluvn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch<\/b>\u00a0(tedy u\u00a0poskytovatele zdravotn\u00edch slu\u017eeb, kter\u00fd m\u00e1 smlouvu se\u00a0zdravotn\u00ed poji\u0161\u0165ovnou pacienta).<\/p>\n

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

\n

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

OT\u00c1ZKA: Jak <\/p>\n","protected":false},"author":2,"featured_media":312077,"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\/06\/24\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/312075"}],"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=312075"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/312075\/revisions"}],"predecessor-version":[{"id":312076,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/312075\/revisions\/312076"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/312077"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=312075"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=312075"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=312075"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}