{"id":313961,"date":"2024-07-15T09:48:39","date_gmt":"2024-07-15T08:48:39","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=313961"},"modified":"2024-07-15T09:48:39","modified_gmt":"2024-07-15T08:48:39","slug":"vseobecna-zdravotni-pojistovna-vysetreni-krcnich-tepen","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=313961","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Vy\u0161et\u0159en\u00ed kr\u010dn\u00edch tepen"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Kdy je hrazeno zdravotn\u00ed poji\u0161\u0165ovnou vy\u0161et\u0159en\u00ed kr\u010dn\u00edch tepen?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Mozek krv\u00ed z\u00e1sobuj\u00ed dv\u011b\u00a0relativn\u011b povrchov\u011b ulo\u017een\u00e9\u00a0vnit\u0159n\u00ed kr\u010dn\u00ed tepny<\/strong>\u00a0(<\/i>krkavice<\/em>\u00a0\u010di\u00a0<\/i>karotidy<\/em>)<\/i>\u00a0a dv\u011b hluboko ulo\u017een\u00e9\u00a0vertebr\u00e1ln\u00edmi tepny<\/strong>.\u00a0Zu\u017eov\u00e1n\u00ed krkavic nemus\u00ed m\u00edt dlouho \u017e\u00e1dn\u00e9 p\u0159\u00edznaky. Jindy m\u016f\u017ee b\u00fdt spojeno se zhor\u0161en\u00edm prokrven\u00ed mozku v z\u00e1t\u011b\u017eov\u00fdch situac\u00edch, jako je pokles krevn\u00edho tlaku, dehydratace apod. To se pak u star\u0161\u00edch lid\u00ed projevuje \u00fanavou, mot\u00e1n\u00edm hlavy \u010di zmatenost\u00ed.\u00a0P\u0159i z\u00fa\u017een\u00ed, by\u0165 jedn\u00e9 z\u00a0kr\u010dn\u00edch tepen, m\u016f\u017ee doj\u00edt k c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhod\u011b.\u00a0V z\u00fa\u017een\u00e9 krkavici se toti\u017e m\u011bn\u00ed tok krve, a to je spojeno se zv\u00fd\u0161enou tvorbou krevn\u00edch sra\u017eenin. Takto vytvo\u0159en\u00e1 sra\u017eenina se m\u016f\u017ee z krkavice\u00a0uvolnit a ve form\u011b embolu (vmetku) putovat do mozku a zp\u016fsobit mrtvici neboli c\u00e9vn\u00ed mozkovou p\u0159\u00edhodu (CMP).<\/p>\n

Ke z\u00fa\u017een\u00ed kr\u010dn\u00ed tepny doch\u00e1z\u00ed nej\u010dast\u011bji v\u00a0d\u016fsledku ateroskler\u00f3zy. Vy\u0161et\u0159en\u00ed kr\u010dn\u00edch tepen slou\u017e\u00ed p\u0159edev\u0161\u00edm k\u00a0prevenci vzniku \u010di opakov\u00e1n\u00ed mozkov\u00e9 p\u0159\u00edhody. Jedn\u00e1 se o\u00a0soubor specializovan\u00fdch a\u00a0neinvazivn\u00edch vy\u0161et\u0159ovac\u00edch metod.\u00a0P\u0159i podez\u0159en\u00ed na z\u00fa\u017een\u00ed kr\u010dn\u00edch tepen m\u016f\u017ee praktick\u00fd l\u00e9ka\u0159 pacienta doporu\u010dit ke\u00a0specializovan\u00e9mu vy\u0161et\u0159en\u00ed v\u00a0c\u00e9vn\u00ed ambulanci.<\/b><\/p>\n

Vy\u0161et\u0159en\u00ed ve specializovan\u00e9 ambulanci<\/b><\/h6>\n

Vy\u0161et\u0159en\u00ed kr\u010dn\u00edch tepen nej\u010dast\u011bji prov\u00e1d\u00ed l\u00e9ka\u0159 specialista \u2013 angiolog, kardiolog nebo c\u00e9vn\u00ed chirurg.\u00a0<\/b>L\u00e9ka\u0159 specialista s pacientem b\u011bhem vstupn\u00ed prohl\u00eddky nejprve projde jeho aktu\u00e1ln\u00ed zdravotn\u00ed stav a zdravotn\u00ed obt\u00ed\u017ee<\/b>, sou\u010d\u00e1st\u00ed je tak\u00e9 zji\u0161t\u011bn\u00ed\u00a0podrobn\u00e9<\/b>\u00a0anamn\u00e9zy<\/b>\u00a0(osobn\u00ed, rodinn\u00e9, soci\u00e1ln\u00ed, pracovn\u00ed),\u00a0prod\u011blan\u00fdch nemoc\u00ed, absolvovan\u00fdch operac\u00ed a l\u00e9k\u016f, kter\u00e9 pacient u\u017e\u00edv\u00e1<\/b>.\u00a0N\u00e1sleduje fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed, kdy l\u00e9ka\u0159 hodnot\u00ed pacient\u016fv celkov\u00fd klinick\u00fd stav pohledem, poslechem, pohmatem a poklepem<\/b>.\u00a0Pokud l\u00e9ka\u0159 zjist\u00ed odchylku<\/b>\u00a0(nap\u0159. \u0161elest nad krkavic\u00ed\u00a0zp\u016fsoben\u00fd rychlej\u0161\u00edm pr\u016ftokem krve z\u00fa\u017een\u00fdm \u00fasekem)\u00a0od norm\u00e1ln\u00edho stavu, m\u016f\u017ee vy\u0161et\u0159en\u00ed doplnit o dal\u0161\u00ed vy\u0161et\u0159ovac\u00ed metody\u00a0<\/b>\u2013 a to p\u0159edev\u0161\u00edm\u00a0<\/b>ultrazvukov\u00e9 a angiografick\u00e9.<\/p>\n

Jak prob\u00edh\u00e1 l\u00e9\u010dba?<\/b><\/h6>\n

Zvolen\u00fd typ l\u00e9\u010dby se v\u017edy odv\u00edj\u00ed od zdravotn\u00edho stavu pacienta a v\u00fdsledk\u016f vy\u0161et\u0159en\u00ed.<\/b>\u00a0V\u00a0p\u0159\u00edpad\u011b m\u00e9n\u011b z\u00e1va\u017en\u00fdch n\u00e1lez\u016f se p\u0159istupuje ke konzervativn\u00ed l\u00e9\u010db\u011b<\/b>. Z\u00e1kladem t\u00e9to l\u00e9\u010dby jsou l\u00e9ky na \u0159ed\u011bn\u00ed krve, v\u00a0indikovan\u00fdch p\u0159\u00edpadech d\u00e1le l\u00e9ky sni\u017euj\u00edc\u00ed hladinu tuk\u016f v\u00a0krvi, l\u00e9ky normalizuj\u00edc\u00ed vysok\u00fd krevn\u00ed tlak, l\u00e9ky kompenzuj\u00edc\u00ed diabetes mellitus (cukrovku) apod.\u00a0V\u00a0p\u0159\u00edpad\u011b, \u017ee konzervativn\u00ed l\u00e9\u010dba nen\u00ed dostate\u010dn\u011b \u00fa\u010dinn\u00e1 \u010di to pacient\u016fv aktu\u00e1ln\u00ed zdravotn\u00ed stav vy\u017eaduje, p\u0159istupuje se\u00a0k\u00a0chirurgick\u00e9 l\u00e9\u010db\u011b<\/b>\u00a0– tzv. angioplastice kr\u010dn\u00edch tepen.<\/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 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

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

\n

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

OT\u00c1ZKA: Kdy <\/p>\n","protected":false},"author":2,"featured_media":313964,"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\/07\/15\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/313961"}],"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=313961"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/313961\/revisions"}],"predecessor-version":[{"id":313963,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/313961\/revisions\/313963"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/313964"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=313961"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=313961"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=313961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}