{"id":315364,"date":"2024-07-26T09:59:21","date_gmt":"2024-07-26T08:59:21","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=315364"},"modified":"2024-07-26T11:42:45","modified_gmt":"2024-07-26T10:42:45","slug":"z-prvni-ruky-naklady-vzp-na-lecbu-zloutenky-se-blizi-miliarde-nejvyssi-jsou-u-chronicky-nemocnych","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=315364","title":{"rendered":"Z PRVN\u00cd RUKY: N\u00e1klady VZP na l\u00e9\u010dbu \u017eloutenky se bl\u00ed\u017e\u00ed miliard\u011b, nejvy\u0161\u0161\u00ed jsou u chronicky nemocn\u00fdch"},"content":{"rendered":"
\"\"Po\u010det pacient\u016f s hepatitidou v\u00a0posledn\u00edch letech st\u00e1le stoup\u00e1. Vloni se s\u00a0r\u016fzn\u00fdmi formami hepatitidy l\u00e9\u010dilo t\u00e9m\u011b\u0159 12 tis\u00edc klient\u016f VZP \u010cR. N\u00e1klady poji\u0161\u0165ovny na zdravotn\u00ed p\u00e9\u010di u t\u00e9to diagn\u00f3zy dosahovaly 970 milion\u016f korun, nejv\u011bt\u0161\u00ed pod\u00edl p\u0159itom p\u0159edstavuje l\u00e9\u010dba chronick\u00fdch forem hepatitidy, tj. 948 milion\u016f korun. VZP\u00a0\u010cR tak\u00e9 zaznamen\u00e1v\u00e1 op\u011btovn\u00fd r\u016fst z\u00e1jmu (po covidov\u00e9m propadu) o o\u010dkov\u00e1n\u00ed proti \u017eloutence (typu A, B). Za prvn\u00ed pololet\u00ed 2024 vyu\u017eilo p\u0159\u00edsp\u011bvek na vakc\u00ednu 13 tis\u00edc klient\u016f, tj.\u00a0 stejn\u00fd po\u010det jako za cel\u00fd rok 2022. Statistiku vyd\u00e1v\u00e1 poji\u0161\u0165ovna v\u00a0souvislosti se Sv\u011btov\u00fdm dnem boje proti hepatitid\u011b, 28. \u010dervna.<\/b><\/h6>\n

Hepatitida, nebo tak\u00e9 lidov\u011b \u0159e\u010deno \u017eloutenka, je z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed jater, kter\u00e9 m\u016f\u017ee b\u00fdt zp\u016fsobeno r\u016fzn\u00fdmi faktory, v\u010detn\u011b vir\u016f, alkoholu, drog, autoimunitn\u00edch chorob a dal\u0161\u00edch toxick\u00fdch l\u00e1tek. Existuje n\u011bkolik hlavn\u00edch typ\u016f virov\u00e9 hepatitidy, kter\u00e9 jsou ozna\u010dov\u00e1ny jako hepatitida A, B, C, D a E. Ka\u017ed\u00fd typ m\u00e1 sv\u00e9 specifick\u00e9 vlastnosti, zp\u016fsoby p\u0159enosu a dopady na zdrav\u00ed. Pacienti nej\u010dast\u011bji trp\u00ed chronick\u00fdmi formami hepatitidy. V p\u0159\u00edpad\u011b VZP \u010cR to vloni bylo cca 10 000 klient\u016f. Nejv\u00edc meziro\u010dn\u011b p\u0159ibylo naka\u017een\u00fdch hepatitidou E, poji\u0161\u0165ovna evidovala 600 takov\u00fdch pacient\u016f, tj. dvakr\u00e1t v\u00edce ne\u017e v\u00a0roce p\u0159edchoz\u00edm.<\/p>\n

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Kdy pom\u00e1h\u00e1 o\u010dkov\u00e1n\u00ed<\/b><\/p>\n

Proti hepatitid\u011b typu C, D a E nen\u00ed mo\u017en\u00e9 o\u010dkov\u00e1n\u00ed. To naopak l\u00e9ka\u0159i doporu\u010duj\u00ed u hepatitid typu A a B. Na toto o\u010dkov\u00e1n\u00ed VZP \u010cR sv\u00fdm klient\u016fm p\u0159isp\u00edv\u00e1 z fondu prevence a\u017e 1 000 K\u010d (d\u011bti jsou proti hepatitid\u011b typu B chr\u00e1n\u011bn\u00e9 povinnou hexavakc\u00ednou). V lo\u0148sk\u00e9m roce \u010derpalo tyto p\u0159\u00edsp\u011bvky p\u0159es 19 tis\u00edc klient\u016f a VZP jim vyplatila 9,6 milionu korun. Ze statistiky VZP \u010cR jasn\u011b vypl\u00fdv\u00e1, \u017ee z\u00e1jem o o\u010dkov\u00e1n\u00ed op\u011bt nar\u016fst\u00e1, co\u017e potvrzuj\u00ed i pr\u016fb\u011b\u017en\u00e1 \u010d\u00edsla z\u00a0prvn\u00edho pololet\u00ed leto\u0161n\u00edho roku.<\/p>\n

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Z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed je hrazeno o\u010dkov\u00e1n\u00ed proti \u017eloutence typu B zdravotn\u00edk\u016fm zejm\u00e9na t\u011bch obor\u016f, kde hroz\u00ed zv\u00fd\u0161en\u00e9 riziko p\u0159enosu choroby. Pat\u0159\u00ed sem nap\u0159\u00edklad jednotky intenzivn\u00ed p\u00e9\u010de, pracovi\u0161t\u011b chirurgick\u00fdch obor\u016f, intern\u00ed odd\u011blen\u00ed, infek\u010dn\u00ed odd\u011blen\u00ed, laborato\u0159e a\u00a0mnoh\u00e1 dal\u0161\u00ed. Hrazeno je tak\u00e9 student\u016fm l\u00e9ka\u0159sk\u00fdch fakult, zdravotnick\u00fdch \u0161kol a v\u0161em \u010dlen\u016fm integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu apod.<\/p>\n

Typy a formy \u017eloutenky<\/b><\/p>\n

\u017dloutenka typu A, kter\u00e9 se \u0159\u00edk\u00e1 nemoc \u0161pinav\u00fdch rukou, se \u0161\u00ed\u0159\u00ed zejm\u00e9na p\u0159i \u0161patn\u00e9 hygien\u011b. Typ B se p\u0159en\u00e1\u0161\u00ed krv\u00ed a t\u011blesn\u00fdmi tekutinami \u2013 rizikov\u00fdmi faktory jsou zejm\u00e9na injek\u010dn\u00ed aplikace drog \u010di promiskuita. Hepatitida C je nejrizikov\u011bj\u0161\u00ed typ \u017eloutenky, p\u0159en\u00e1\u0161\u00ed krv\u00ed, nej\u010dast\u011bji se j\u00ed nakaz\u00ed u\u017eivatel\u00e9 drog. Hepatitida E se p\u0159en\u00e1\u0161\u00ed zejm\u00e9na nedostate\u010dn\u011b tepeln\u011b upraven\u00fdm vep\u0159ov\u00fdm masem. Inkuba\u010dn\u00ed doba se pohybuje podle typu hepatitidy od 14 do 180 dn\u00ed.<\/p>\n

Typick\u00fdmi p\u0159\u00edznaky \u017eloutenky je \u017elut\u00e9 zbarven\u00ed poko\u017eky, o\u010dn\u00edho b\u011blma a n\u011bkdy i dal\u0161\u00edch tk\u00e1n\u00ed. D\u00e1le pak \u00fanava a slabost, bolest b\u0159icha, nevolnost, ztr\u00e1ta chuti k\u00a0j\u00eddlu \u010di tmav\u00e1 mo\u010d. Pokud infekce trv\u00e1 d\u00e9le ne\u017e 6 m\u011bs\u00edc\u016f, m\u016f\u017ee akutn\u00ed \u017eloutenka p\u0159ej\u00edt v chronickou. Dlouhodob\u00e1 infekce hepatitidy, tzn. d\u00e9le ne\u017e 6 m\u011bs\u00edc\u016f, m\u016f\u017ee vyvolat cirh\u00f3zu nebo n\u00e1dor jater.\u00a0<\/a>Klinicky ale m\u016f\u017ee b\u00fdt takov\u00fd pacient zcela bez p\u0159\u00edznak\u016f a nemoc m\u016f\u017ee b\u00fdt zji\u0161t\u011bna zcela n\u00e1hodn\u011b, anebo a\u017e kdy\u017e dojde ke zdravotn\u00edm komplikac\u00edm.\u00a0Do chronicity m\u016f\u017ee p\u0159ej\u00edt hepatitida B a C.<\/p>\n

Akutn\u00ed hepatitida se v\u011bt\u0161inou l\u00e9\u010d\u00ed klidem na l\u016f\u017eku, jatern\u00ed dietou se m\u00edrn\u00ed p\u0159\u00edznaky onemocn\u011bn\u00ed (teplota, zvracen\u00ed). L\u00e9\u010dba trv\u00e1 zhruba 2 t\u00fddny. Chronick\u00e1 virov\u00e1 hepatitida se l\u00e9\u010d\u00ed antivirotiky. U virov\u00e9 hepatitidy C trv\u00e1 l\u00e9\u010dba obvykle 2 a\u017e 3 m\u011bs\u00edce. U chronick\u00e9 virov\u00e9 hepatitidy B je l\u00e9\u010dba v\u011bt\u0161inou celo\u017eivotn\u00ed.<\/p>\n

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

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Dnes informujeme:<\/h6>\n

Dne\u0161n\u00ed vyd\u00e1n\u00ed den\u00edku Metro pro ji\u017en\u00ed \u010cechy \u2013 26. \u010dervence 2024<\/a><\/h4>\n
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Po\u010det pacient\u016f <\/p>\n","protected":false},"author":2,"featured_media":315403,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[70],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/07\/26\/z-ruky-vzp-xx.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/315364"}],"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=315364"}],"version-history":[{"count":4,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/315364\/revisions"}],"predecessor-version":[{"id":315372,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/315364\/revisions\/315372"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/315403"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=315364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=315364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=315364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}