dv\u011b st\u011b center<\/a>\u00a0pro screeningovou kolonoskopii. Jedn\u00e1 se p\u0159ev\u00e1\u017en\u011b o gastroenterologick\u00e1 nebo endoskopick\u00e1 pracovi\u0161t\u011b.<\/p>\n\n
Kolonoskopie je invazivn\u011bj\u0161\u00ed vy\u0161et\u0159en\u00ed, p\u0159i kter\u00e9m\u00a0l\u00e9ka\u0159 pou\u017e\u00edv\u00e1 endoskop k vy\u0161et\u0159en\u00ed cel\u00e9 d\u00e9lky tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku.<\/b>\u00a0Endoskop je tenk\u00fd ohebn\u00fd n\u00e1stroj, kter\u00fd se zav\u00e1d\u00ed p\u0159es kone\u010dn\u00edk. Je vybaven kamerou a sv\u011btlem, co\u017e umo\u017e\u0148uje l\u00e9ka\u0159i prohl\u00e9dnout st\u0159eva.\u00a0<\/b>Tento postup je velmi p\u0159esn\u00fd a umo\u017e\u0148uje detekci a odstran\u011bn\u00ed polyp\u016f \u010di jin\u00fdch v\u00fdr\u016fstk\u016f\u00a0b\u011bhem\u00a0vy\u0161et\u0159en\u00ed. P\u0159ed zaveden\u00edm endoskopu se do st\u0159eva aplikuje ur\u010dit\u00e9 mno\u017estv\u00ed plynu, aby bylo mo\u017en\u00e9 bezpe\u010dn\u011b zav\u00e9st endoskop. To m\u016f\u017ee zp\u016fsobovat nepohodl\u00ed, jako je pocit tlaku v\u00a0b\u0159i\u0161e podobn\u00fd zv\u00fd\u0161en\u00e9 plynatosti. Pro hladk\u00fd pr\u016fb\u011bh kolonoskopick\u00e9ho vy\u0161et\u0159en\u00ed je d\u016fle\u017eit\u00e1 spolupr\u00e1ce pacienta, kter\u00e9ho o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 informuje o pot\u0159ebn\u00e9 p\u0159\u00edprav\u011b. Ta zahrnuje nap\u0159\u00edklad omezen\u00ed n\u011bkter\u00fdch potravin n\u011bkolik dn\u00ed p\u0159ed vy\u0161et\u0159en\u00edm, la\u010dn\u011bn\u00ed v den v\u00fdkonu a proveden\u00ed o\u010disty st\u0159eva doma vypit\u00edm speci\u00e1ln\u00edho roztoku. Bez kvalitn\u00ed p\u0159\u00edpravy nelze bezpe\u010dn\u011b vy\u0161et\u0159it cel\u00e9 tlust\u00e9 st\u0159evo a vy\u0161et\u0159en\u00ed by pak bylo nutn\u00e9 opakovat.\u00a0Toto vy\u0161et\u0159en\u00ed je mu\u017e\u016fm i \u017een\u00e1m od 50 let v\u011bku hrazeno z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed jednou za deset let.\u00a0<\/b>Pokud pacient podstoup\u00ed kolonoskopii s\u00a0negativn\u00edm v\u00fdsledkem (ve st\u0159ev\u011b nejsou \u017e\u00e1dn\u00e9 podez\u0159el\u00e9 ani p\u0159edn\u00e1dorov\u00e9 zm\u011bny), m\u016f\u017ee znovu absolvovat screening po 10 letech. V\u00a0mezi\u010dase se neprov\u00e1d\u00ed ani TOKS, ani kolonoskopie. Jestli\u017ee by m\u011bl pacient v\u00a0tomto obdob\u00ed obt\u00ed\u017ee nazna\u010duj\u00edc\u00ed onemocn\u011bn\u00ed tlust\u00e9ho st\u0159eva (nap\u0159. nepravideln\u00e1 stolice, zm\u011bna charakteru stolice, p\u0159\u00edm\u011bs krve ve stolici nebo na toaletn\u00edm pap\u00ed\u0159e, nevysv\u011btliteln\u00e9 hubnut\u00ed apod.) je nutn\u00e9 co nejd\u0159\u00edve kontaktovat o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e. V takov\u00fdch p\u0159\u00edpadech se doporu\u010duje prov\u00e9st diagnostickou kolonoskopii.<\/p>\n
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V\u00fdznam prevence a v\u010dasn\u00e9ho odhalen\u00ed<\/b><\/p>\n
Prevence a v\u010dasn\u00e9 odhalen\u00ed karcinomu tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku je kl\u00ed\u010dov\u00e9 pro sn\u00ed\u017een\u00ed \u00famrtnosti na toto onemocn\u011bn\u00ed.\u00a0Pravideln\u00fd screening m\u016f\u017ee zachytit nejen n\u00e1dory v ran\u00e9m st\u00e1diu, ale i polypy, kter\u00e9 mohou b\u00fdt odstran\u011bny d\u0159\u00edve, ne\u017e se z nich vyvine n\u00e1dor.<\/b>\u00a0Je tak\u00e9 d\u016fle\u017eit\u00e9 dodr\u017eovat i dal\u0161\u00ed preventivn\u00ed opat\u0159en\u00ed, jako je zdrav\u00e1 strava, dostatek pohybu, omezen\u00ed alkoholu a neku\u0159\u00e1ctv\u00ed.<\/p>\n
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Projekt adresn\u00e9ho zvan\u00ed<\/b><\/p>\n
Pokud je poji\u0161t\u011bnec ve v\u011bku od 50 do 70 let a dosud se nez\u00fa\u010dastnil screeningov\u00e9ho programu, V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna mu za\u0161le pozv\u00e1nku.\u00a0C\u00edlem projektu tzv. adresn\u00e9ho zvan\u00ed je\u00a0oslovit ty poji\u0161t\u011bnce, kte\u0159\u00ed nechod\u00ed na preventivn\u00ed prohl\u00eddky a neabsolvuj\u00ed p\u0159\u00edslu\u0161n\u00e1 screeningov\u00e1 vy\u0161et\u0159en\u00ed.\u00a0<\/strong><\/p>\n\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\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":"
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