{"id":324495,"date":"2024-10-07T12:26:24","date_gmt":"2024-10-07T11:26:24","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=324495"},"modified":"2024-10-07T12:26:24","modified_gmt":"2024-10-07T11:26:24","slug":"vseobecne-zdravotni-pojistovna-lecba-zeleneho-zakalu","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=324495","title":{"rendered":"V\u0160EOBECN\u00c9 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: L\u00e9\u010dba zelen\u00e9ho z\u00e1kalu"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<h6 style=\"text-align: center;\">OT\u00c1ZKA:<\/h6>\n<h6 style=\"text-align: center;\"><b>Co je to zelen\u00fd z\u00e1kal a kdo mi ho m\u016f\u017ee vy\u0161et\u0159it?<\/b><\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p>&nbsp;<\/p>\n<h6 class=\"-wm-MsoNormal\">Zelen\u00fd z\u00e1kal (glaukom) je z\u00e1va\u017en\u00e9 o\u010dn\u00ed onemocn\u011bn\u00ed, kter\u00e9 nelze zcela vyl\u00e9\u010dit. V\u00a0po\u010d\u00e1te\u010dn\u00ed f\u00e1zi se\u00a0onemocn\u011bn\u00ed nemus\u00ed projevovat \u017e\u00e1dn\u00fdmi z\u0159ejm\u00fdmi p\u0159\u00edznaky a m\u016f\u017ee prob\u00edhat bez bolesti. V\u00a0pozd\u011bj\u0161\u00edch st\u00e1di\u00edch se m\u016f\u017ee projevit nap\u0159. poruchou perifern\u00edho vid\u011bn\u00ed, kr\u00e1tk\u00fdmi v\u00fdpadky zorn\u00e9ho pole, sn\u00ed\u017eenou zrakovou ostrost\u00ed atd. Pokud nen\u00ed zelen\u00fd z\u00e1kal l\u00e9\u010den\u00fd, m\u016f\u017ee doj\u00edt a\u017e k\u00a0oslepnut\u00ed pacienta. Z\u00a0tohoto d\u016fvodu je\u00a0<b>stanoven\u00ed diagn\u00f3zy velmi d\u016fle\u017eit\u00e9<\/b>.\u00a0<b>V\u010dasnou l\u00e9\u010dbou lze odd\u00e1lit rozvoj komplikac\u00ed a zpomalit progresivn\u00ed postup nemoci.<\/b><\/h6>\n<p class=\"-wm-MsoNormal\">\n<p class=\"-wm-MsoNormal\">Nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou zelen\u00e9ho z\u00e1kalu je zv\u00fd\u0161en\u00fd nitroo\u010dn\u00ed tlak, kter\u00fd zp\u016fsobuje po\u0161kozen\u00ed zrakov\u00e9ho nervu. Rizikov\u00fdmi faktory, kter\u00e9 mohou p\u0159isp\u011bt ke vzniku zelen\u00e9ho z\u00e1kalu jsou nap\u0159. d\u011bdi\u010dnost, vy\u0161\u0161\u00ed v\u011bk, vady zraku (siln\u00e1 kr\u00e1tkozrakost), v\u00e1\u017en\u00e9 poran\u011bn\u00ed oka, p\u0159idru\u017een\u00e1 onemocn\u011bn\u00ed (nap\u0159. diabetes, onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy, srde\u010dn\u00ed onemocn\u011bn\u00ed) atd.<\/p>\n<p class=\"-wm-MsoNormal\">\n<p>&nbsp;<\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Ke komu se m\u016f\u017eu objednat na vy\u0161et\u0159en\u00ed o\u010d\u00ed?<\/b><\/h6>\n<p class=\"-wm-MsoNormal\"><b>Pro v\u010dasnou diagn\u00f3zu a l\u00e9\u010dbu zelen\u00e9ho z\u00e1kalu jsou d\u016fle\u017eit\u00e1 pravideln\u00e1 preventivn\u00ed vy\u0161et\u0159en\u00ed u\u00a0o\u010dn\u00edho l\u00e9ka\u0159e<\/b>\u00a0(oftalmologa).\u00a0<b>Pro objedn\u00e1n\u00ed na vy\u0161et\u0159en\u00ed k\u00a0oftalmologovi nepot\u0159ebujete doporu\u010den\u00ed od\u00a0v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e.<\/b>\u00a0A to ani v p\u0159\u00edpad\u011b, \u017ee \u017e\u00e1dnou zrakovou vadu nebo pot\u00ed\u017ee souvisej\u00edc\u00ed s vid\u011bn\u00edm nem\u00e1te a chcete jen vy\u0161et\u0159it preventivn\u011b.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>\u00a0<\/b><\/p>\n<h6 class=\"-wm-MsoNoSpacing\"><b>Jak o\u010dn\u00ed l\u00e9ka\u0159 ur\u010d\u00ed diagn\u00f3zu zelen\u00e9ho z\u00e1kalu?<\/b><\/h6>\n<p class=\"-wm-MsoNormal\"><b>Oftalmolog v\u00a0r\u00e1mci preventivn\u00ed o\u010dn\u00ed prohl\u00eddky s\u00a0pacientem nejprve projde jeho aktu\u00e1ln\u00ed zdravotn\u00ed stav a anamn\u00e9zu\u00a0<\/b>(se\u00a0zam\u011b\u0159en\u00edm na\u00a0zrakov\u00e9<b>\u00a0<\/b>vady, absolvovan\u00e9 operace a \u00farazy o\u010d\u00ed, p\u0159idru\u017een\u00e1 onemocn\u011bn\u00ed, u\u017e\u00edvan\u00e9 l\u00e9ky atd).<b><\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\">\n<p class=\"-wm-MsoNoSpacing\"><b>N\u00e1sledn\u011b provede komplexn\u00ed o\u010dn\u00ed vy\u0161et\u0159en\u00ed pro p\u0159esn\u00e9 zji\u0161t\u011bn\u00ed a ur\u010den\u00ed diagn\u00f3zy\u00a0<\/b>\u2013<b>\u00a0sou\u010d\u00e1st\u00ed jsou r\u016fzn\u00e9 testy o\u010d\u00ed a jejich okol\u00ed<\/b>, b\u011bhem kter\u00fdch oftalmolog zji\u0161\u0165uje zdravotn\u00ed stav o\u010d\u00ed \u2013 nap\u0159. vy\u0161et\u0159en\u00ed zorn\u00e9ho pole (perimetru), m\u011b\u0159en\u00ed zrakov\u00e9 ostrosti, vy\u0161et\u0159en\u00ed na\u00a0\u0161t\u011brbinov\u00e9 lamp\u011b, vy\u0161et\u0159en\u00ed kontrastn\u00ed citlivosti, m\u011b\u0159en\u00ed nitroo\u010dn\u00edho tlaku (o\u010dn\u00ed tonometrie), m\u011b\u0159en\u00ed komorov\u00e9ho \u00fahlu (gonioskopie), vy\u0161et\u0159en\u00ed o\u010dn\u00edho pozad\u00ed (oftalmoskopie) atd.\u00a0<b>V\u00a0p\u0159\u00edpad\u011b pot\u0159eby o\u010dn\u00ed l\u00e9ka\u0159 provede dal\u0161\u00ed specializovan\u00e1 vy\u0161et\u0159en\u00ed.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>\u00a0<\/b><\/p>\n<h6 class=\"-wm-MsoNoSpacing\"><b>Stanoven\u00ed l\u00e9\u010dby<\/b><\/h6>\n<p class=\"-wm-MsoNoSpacing\"><b>Na z\u00e1klad\u011b proveden\u00fdch vy\u0161et\u0159en\u00ed a v\u00fdsledk\u016f stanov\u00ed oftalmolog diagn\u00f3zu a v p\u0159\u00edpad\u011b zelen\u00e9ho z\u00e1kalu<\/b>\u00a0<b>zvol\u00ed vhodnou formu l\u00e9\u010dby.\u00a0<\/b>L\u00e9\u010dba je v\u017edy individu\u00e1ln\u00ed \u2013 odv\u00edj\u00ed se od stavu onemocn\u011bn\u00ed (podle typu zelen\u00e9ho z\u00e1kalu a stupn\u011b po\u0161kozen\u00ed zrakov\u00e9ho nervu), p\u0159\u00edtomnosti rizikov\u00fdch faktor\u016f a\u00a0p\u0159idru\u017een\u00fdch onemocn\u011bn\u00ed.<\/p>\n<p class=\"-wm-MsoNoSpacing\">\n<p class=\"-wm-MsoNoSpacing\"><b>Z\u00e1kladem l\u00e9\u010dby je farmakoterapie, b\u011bhem kter\u00e9 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 pacientovi p\u0159edepisuje<\/b>\u00a0<b>l\u00e9ky<\/b>\u00a0\u2013 nej\u010dast\u011bji o\u010dn\u00ed kapky na sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku.\u00a0<b>Pokud konzervativn\u00ed typ l\u00e9\u010dby nebyl dostate\u010dn\u00fd a pacient\u016fv zdravotn\u00ed stav to vy\u017eaduje, m\u016f\u017ee b\u00fdt pacient indikov\u00e1n oftalmologem k\u00a0laserov\u00e9mu v\u00fdkonu, p\u0159\u00edpadn\u011b k\u00a0chirurgick\u00e9mu z\u00e1kroku\u00a0<\/b>(klasick\u00e9 operaci).<\/p>\n<p class=\"-wm-MsoNoSpacing\">\n<p class=\"-wm-MsoNoSpacing\">Sou\u010d\u00e1st\u00ed l\u00e9\u010dby glaukomu je tak\u00e9 l\u00e9\u010dba p\u0159idru\u017een\u00fdch onemocn\u011bn\u00ed. L\u00e9ka\u0159 pacientovi z\u00e1rove\u0148 doporu\u010d\u00ed \u00fapravu \u017eivotn\u00edho stylu (nap\u0159. stop kou\u0159en\u00ed, zdrav\u011bj\u0161\u00ed stravu, vhodnou pohybovou aktivitu).<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>\u00a0<\/b><\/p>\n<h6 class=\"-wm-MsoNoSpacing\"><b>\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b><\/h6>\n<p class=\"-wm-MsoNoSpacing\"><b>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<p>&nbsp;<\/p>\n<p><strong>(vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA: Co <\/p>\n","protected":false},"author":2,"featured_media":324498,"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\/10\/07\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/324495"}],"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=324495"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/324495\/revisions"}],"predecessor-version":[{"id":324497,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/324495\/revisions\/324497"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/324498"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=324495"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=324495"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=324495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}