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Od zah\u00e1jen\u00ed programu pro \u010dasn\u00fd z\u00e1chyt karcinomu plic v \u010cR v\u00a0lednu 2022 do konce prvn\u00edho kvart\u00e1lu leto\u0161n\u00edho roku se do tohoto screeningu zapojilo v\u00edc ne\u017e 11 000 klient\u016f VZP \u010cR. Zachyceno u nich bylo 235 n\u00e1dor\u016f.<\/b><\/h6>\n\u201eZa pozitivn\u00ed pova\u017euji, \u017ee dva ze t\u0159\u00ed osloven\u00fdch ku\u0159\u00e1k\u016f se do screeningu zapoj\u00ed, i kdy\u017e samoz\u0159ejm\u011b i toto \u010d\u00edslo by mohlo b\u00fdt vy\u0161\u0161\u00ed. Rakovina plic pat\u0159\u00ed mezi nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed a nejagresivn\u011bj\u0161\u00ed onkologick\u00e1 onemocn\u011bn\u00ed, jej\u00ed v\u010dasn\u00e1 detekce je kl\u00ed\u010dov\u00e1 pro zlep\u0161en\u00ed progn\u00f3zy a sn\u00ed\u017een\u00ed \u00famrtnosti pacient\u016f<\/i>,\u201c \u0159\u00edk\u00e1 Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di.<\/p>\n
V lo\u0148sk\u00e9m roce se s n\u00e1dory plic a d\u00fdchac\u00edho \u00fastroj\u00ed l\u00e9\u010dilo 16\u00a0616 klient\u016f poji\u0161\u0165ovny, n\u00e1klady na jejich l\u00e9\u010dbu p\u0159es\u00e1hly 2,1 mld. korun. Zpr\u00e1vu vyd\u00e1v\u00e1 VZP \u010cR u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne rakoviny plic, kter\u00fd p\u0159ipad\u00e1 na 1. srpna.<\/b><\/p>\n
Popula\u010dn\u00ed program v\u010dasn\u00e9ho z\u00e1chytu rakoviny plic je ur\u010den pro siln\u00e9 ku\u0159\u00e1ky (sou\u010dasn\u00e9 \u010di b\u00fdval\u00e9). V obdob\u00ed od zah\u00e1jen\u00ed projektu v roce 2022 do konce prvn\u00edho kvart\u00e1lu leto\u0161n\u00edho roku bylo praktick\u00fdmi l\u00e9ka\u0159i nebo pneumology osloveno 18\u00a0441 klient\u016f VZP \u010cR, z\u00a0nich pak se zapojen\u00edm do screeningu souhlasilo 11 343. D\u00edky tomuto screeningu bylo u zapojen\u00fdch klient\u016f zachyceno pozitivn\u00edch 235 n\u00e1lez\u016f.\u00a0\u00a0<\/b>Mezi sledovan\u00fdmi p\u0159eva\u017eovali mu\u017ei (6862).<\/p>\n
Screening rakoviny plic je proces, p\u0159i kter\u00e9m se hledaj\u00ed zn\u00e1mky t\u00e9to nemoci u lid\u00ed, kte\u0159\u00ed nemaj\u00ed \u017e\u00e1dn\u00e9 p\u0159\u00edznaky. C\u00edlem je detekovat rakovinu plic v jej\u00edm ran\u00e9m stadiu, kdy b\u00fdv\u00e1\u00a0n\u00e1dor je\u0161t\u011b dob\u0159e\u00a0operovateln\u00fd a bez metast\u00e1z do\u00a0okoln\u00edch i vzd\u00e1len\u00fdch tk\u00e1n\u00ed. T\u00edm se zvy\u0161uje \u0161ance na \u00fasp\u011b\u0161nou l\u00e9\u010dbu a vyl\u00e9\u010den\u00ed.\u00a0Rakovina plic m\u016f\u017ee b\u00fdt dlouhou dobu asymptomatick\u00e1, tzn. pacienti nemus\u00ed l\u00e9ta poci\u0165ovat \u017e\u00e1dn\u00e9 projevy onemocn\u011bn\u00ed a\u00a0zdravotn\u00ed obt\u00ed\u017ee. V\u00a0p\u0159\u00edpad\u011b, \u017ee je onemocn\u011bn\u00ed diagnostikov\u00e1no a\u017e na z\u00e1klad\u011b klinick\u00fdch p\u0159\u00edznak\u016f, b\u00fdv\u00e1 zpravidla ji\u017e v\u00a0pozdn\u00edm st\u00e1diu a \u00fa\u010dinnost l\u00e9\u010dby m\u016f\u017ee b\u00fdt omezen\u00e1.<\/p>\n
Screening je ur\u010den b\u00fdval\u00fdm \u010di sou\u010dasn\u00fdm siln\u00fdm ku\u0159\u00e1k\u016fm ve v\u011bku 55\u201374 let, kte\u0159\u00ed minim\u00e1ln\u011b po dobu dvaceti let kou\u0159ili 20 a v\u00edce cigaret denn\u011b, a kte\u0159\u00ed dosud nejsou v t\u00e9to souvislosti nijak sledov\u00e1ni \u010di l\u00e9\u010deni. Pokud m\u00e1 \u010dlov\u011bk s\u00e1m z\u00e1jem se do programu zapojit, m\u011bl by se obr\u00e1tit pr\u00e1v\u011b na sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. P\u0159i spln\u011bn\u00ed dan\u00fdch podm\u00ednek by jeho zapojen\u00ed nem\u011blo nic br\u00e1nit. Projekt je dobrovoln\u00fd a pacient\u016fm pln\u011b hrazen z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n
Prvotn\u00edm kontaktem by m\u011bl b\u00fdt registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159,\u00a0kter\u00fd m\u00e1 pacienta v dlouhodob\u00e9 a\u00a0pravideln\u00e9 p\u00e9\u010di. Praktick\u00fd l\u00e9ka\u0159\u00a0s pacientem probere jeho anamn\u00e9zu a pokud zjist\u00ed, \u017ee se jedn\u00e1 o rizikovou osobu, kter\u00e1\u00a0spl\u0148uje krit\u00e9ria (v\u011bk a ku\u0159\u00e1ckou historii)\u00a0programu \u010dasn\u00e9ho z\u00e1chytu karcinomu plic, nab\u00eddne pacientovi zapojen\u00ed do programu. Pokud souhlas\u00ed, je pacient odesl\u00e1n k\u00a0dal\u0161\u00edmu vy\u0161et\u0159en\u00ed\u00a0k\u00a0l\u00e9ka\u0159i specialistovi \u2013 pneumologovi.<\/p>\n
Pneumolog s\u00a0pacientem absolvuje kr\u00e1tk\u00fd pohovor, b\u011bhem kter\u00e9ho si dopln\u00ed pot\u0159ebn\u00e9 informace. N\u00e1sledn\u011b pacienta fyzik\u00e1ln\u011b vy\u0161et\u0159\u00ed (pohledem, pohmatem, poslechem, poklepem), vylou\u010d\u00ed jin\u00e1 z\u00e1va\u017en\u00e1 onemocn\u011bn\u00ed, provede vy\u0161et\u0159en\u00ed plicn\u00edch funkc\u00ed (nap\u0159. spirometrii, pulzn\u00ed oxymetrii), p\u0159\u00edpadn\u011b dopln\u00ed vhodn\u00e1 diagnostick\u00e1 vy\u0161et\u0159en\u00ed a podpo\u0159\u00ed pacienta v\u00a0zanech\u00e1n\u00ed kou\u0159en\u00ed kr\u00e1tkou protiku\u0159\u00e1ckou intervenc\u00ed (eduka\u010dn\u00edm pohovorem).<\/b><\/p>\n
Pneumolog n\u00e1sledn\u011b ode\u0161le pacienta k\u00a0LDCT (low dose = n\u00edzkod\u00e1vkov\u00e9 CT) vy\u0161et\u0159en\u00ed na\u00a0akreditovan\u00e9 radiologick\u00e9 pracovi\u0161t\u011b v\u00a0Komplexn\u00edm onkologick\u00e9m centru (KOC) nebo na akreditovan\u00e9 radiologick\u00e9 pracovi\u0161t\u011b, kter\u00e9 s\u00a0KOC spolupracuje. LDCT\u00a0skenov\u00e1n\u00ed prov\u00e1d\u00ed odborn\u00fd l\u00e9ka\u0159 \u2013 radiolog, kter\u00fd vyhodnot\u00ed vy\u0161et\u0159en\u00ed a podrobn\u011b pop\u00ed\u0161e n\u00e1lez. V\u00a0p\u0159\u00edpad\u011b pozitivn\u00edho n\u00e1lezu pneumolog ode\u0161le pacienta na pneumoonkochirurgick\u00e9 pracovi\u0161t\u011b KOC ke stanoven\u00ed postupu onkologick\u00e9 l\u00e9\u010dby.<\/p>\n
(tz-vzp)<\/strong><\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Od zah\u00e1jen\u00ed <\/p>\n","protected":false},"author":2,"featured_media":315830,"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\/30\/z-ruky-svetovy-den.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/315829"}],"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=315829"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/315829\/revisions"}],"predecessor-version":[{"id":315834,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/315829\/revisions\/315834"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/315830"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=315829"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=315829"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=315829"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nDnes informujeme:<\/h6>\n
P\u0159edpov\u011b\u010f po\u010das\u00ed \u2013 30. \u010dervence 2024<\/a><\/h4>\n
Dne\u0161n\u00ed vyd\u00e1n\u00ed den\u00edku Metro pro ji\u017en\u00ed \u010cechy<\/a><\/h4>\n
\n