{"id":325871,"date":"2024-10-18T16:18:47","date_gmt":"2024-10-18T15:18:47","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=325871"},"modified":"2024-10-18T16:18:47","modified_gmt":"2024-10-18T15:18:47","slug":"vseobecna-zdravotni-pojistovna-osteoporozu-zachyt-potvrdi-u-kazdeho-pateho-pacienta","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=325871","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Osteopor\u00f3zu z\u00e1chyt potvrd\u00ed u ka\u017ed\u00e9ho p\u00e1t\u00e9ho pacienta"},"content":{"rendered":"

\"\"<\/p>\n

\u0158\u00eddnut\u00ed kost\u00ed neboli osteopor\u00f3za ohro\u017euje v\u00a0\u010desk\u00e9 populaci dle odborn\u00fdch odhad\u016f a\u017e 750 tis\u00edc osob. L\u00e9\u010d\u00ed se s\u00a0n\u00edm v\u0161ak jen zlomek t\u011bch, kter\u00fdch se t\u00fdk\u00e1. Mezi klienty VZP to vloni bylo zhruba 130 tis\u00edc lid\u00ed, v\u00a0naprost\u00e9 v\u011bt\u0161in\u011b (120 tis.) \u0161lo o \u017eeny. Ka\u017ed\u00e1 druh\u00e1 \u017eena a ka\u017ed\u00fd p\u00e1t\u00fd mu\u017e ve v\u011bku nad 50 let p\u0159itom utrp\u00ed osteoporotickou zlomeninu. Jedn\u00e1 se \u010dasto o fraktury kr\u010dku, obratle \u010di z\u00e1p\u011bst\u00ed, tedy zlomenin, kter\u00e9 jsou ve vy\u0161\u0161\u00edm v\u011bku pacienta \u010dasto doprov\u00e1zeny fat\u00e1ln\u00edmi n\u00e1sledky.<\/b>\u00a0Program \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy, kter\u00fd VZP spustila v\u00a0dubnu 2023, potvrdil diagn\u00f3zu u ka\u017ed\u00e9ho p\u00e1t\u00e9ho pacienta.<\/b><\/h6>\n

Programem \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy pro\u0161lo b\u011bhem 16 m\u011bs\u00edc\u016f trv\u00e1n\u00ed 230 tis\u00edc klient\u016f VZP, z\u00a0nich 166 tis\u00edc bylo indikov\u00e1no k\u00a0vy\u0161et\u0159en\u00ed denzitometrem. \u201eAktu\u00e1ln\u011b ji\u017e 100 tis\u00edc na\u0161ich klient\u016f bylo na denzitometru vy\u0161et\u0159eno. Z\u00a0dat, kter\u00e1 tak m\u00e1me aktu\u00e1ln\u011b k\u00a0dispozici, vypl\u00fdv\u00e1, \u017ee ka\u017ed\u00fd p\u00e1t\u00fd z nich skute\u010dn\u011b trp\u00ed osteopor\u00f3zou<\/i>,\u201c vysv\u011btluje Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP pro zdravotn\u00ed p\u00e9\u010di. Kl\u00ed\u010dov\u00e9 podle n\u011bj bylo zapojit do popula\u010dn\u00edho programu l\u00e9ka\u0159e prim\u00e1rn\u00ed p\u00e9\u010de, tedy v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159e a gynekology: \u201eTo se u v\u0161ech smluvn\u00edch partner\u016f poda\u0159ilo velmi rychle. Z\u00e1chyt osteopor\u00f3zy se tak v\u00a0c\u00edlov\u00e9 populaci u\u017e dnes automaticky prov\u00e1d\u00ed jako sou\u010d\u00e1st preventivn\u00ed prohl\u00eddky jak u praktik\u016f, tak gynekolog\u016f.<\/i>\u201c Pokud je u pacienta odhalena osteopor\u00f3za, m\u016f\u017ee b\u00fdt ihned l\u00e9\u010den. Pokud ne, ur\u010d\u00ed l\u00e9ka\u0159 dle v\u00fdsledk\u016f term\u00edn opakovan\u00e9ho vy\u0161et\u0159en\u00ed.<\/p>\n

\u201eU ka\u017ed\u00e9ho p\u00e1t\u00e9ho pacienta, resp. p\u00e1t\u00e9 pacientky, kter\u00e1 byla za\u0159azena do programu, byla osteopor\u00f3za fakticky potvrzena. U lid\u00ed star\u0161\u00edch 80 let z\u00e1chyt p\u0159ekro\u010dil dokonce 40 %. To je i v\u00a0re\u00e1ln\u00fdch \u010d\u00edslech vysok\u00fd po\u010det pacient\u016f, kter\u00fdm program u\u017e dnes pom\u00e1h\u00e1 p\u0159edch\u00e1zet \u017eivotn\u00edm komplikac\u00edm. Pova\u017euji to za mimo\u0159\u00e1dn\u011b dobr\u00e9 v\u00fdsledky b\u011bhem velmi kr\u00e1tk\u00e9 doby<\/i>,\u201c \u0159\u00edk\u00e1 MUDr. Richard Pikner, m\u00edstop\u0159edseda odborn\u00e9 Spole\u010dnosti pro metabolick\u00e1 onemocn\u011bn\u00ed skeletu \u010cLS JEP. U\u017e prvn\u00ed sb\u011br t\u011bchto dat po zaveden\u00ed programu podle n\u011bj nav\u00edc potvrzuje v\u00fdsledky zahrani\u010dn\u00edch studi\u00ed: \u201e\u010cesk\u00e1 data od po\u010d\u00e1tku kop\u00edruj\u00ed v\u00fdskyt osteopor\u00f3zy v\u00a0c\u00edlov\u00e9 populaci i v\u00a0dal\u0161\u00edch zem\u00edch. Potvrzuje n\u00e1m to, \u017ee parametry z\u00e1chytu jsme dob\u0159e definovali a s\u00ed\u0165 DXA je tak\u00e9 dob\u0159e region\u00e1ln\u011b rozlo\u017eena<\/i>.\u201c<\/p>\n

V\u00a0dubnu 2023, kdy VZP program spustila, byly technick\u00e9 i person\u00e1ln\u00ed kapacity pro z\u00e1chyt osteopor\u00f3zy zcela nedostate\u010dn\u00e9. \u201ePo\u010det denzitometr\u016f v\u00a0ter\u00e9nu byl doslova \u017ealostn\u00fd. V\u00a0cel\u00e9 republice bylo 90 p\u0159\u00edstroj\u016f a nebyla v\u00fdjimka, kdy na cel\u00fd kraj byl jeden dva denzitometry. Bylo n\u00e1m jasn\u00e9, \u017ee jejich po\u010det mus\u00edme masivn\u011b nav\u00fd\u0161it. To se poda\u0159ilo mnohem d\u0159\u00edve, ne\u017e jsme si na ja\u0159e 2023 dok\u00e1zali p\u0159edstavit,<\/i>\u201c \u0159\u00edk\u00e1 Jan Bodn\u00e1r. C\u00edlem VZP bylo do roku 2030 zajistit 20 DXA na milion obyvatel. Tento stav dos\u00e1hla v\u00a0z\u00e1\u0159\u00ed leto\u0161n\u00edho roku. \u201eMoment\u00e1ln\u011b m\u00e1me v\u00a0ter\u00e9nu 210 p\u0159\u00edstroj\u016f. Nap\u0159\u00edklad na Vyso\u010din\u011b, kde byl je\u0161t\u011b p\u0159ed dv\u011bma lety jedin\u00fd denzitometr na cel\u00fd kraj, je jich dnes deset,<\/i>\u201c dopl\u0148uje Bodn\u00e1r. S\u00ed\u0165 u\u017e tak\u00e9 rovnom\u011brn\u011b pokr\u00fdv\u00e1 celou \u010cR. K\u00a0nej\u010dast\u011bj\u0161\u00edm pracovi\u0161t\u00edm s\u00a0DXA pat\u0159\u00ed odd\u011blen\u00ed radiologie (25 %), v\u00edc ne\u017e p\u011btinu (22 %) tvo\u0159\u00ed ordinace gynekolog\u016f a zhruba 16 % ordinace praktick\u00fdch l\u00e9ka\u0159\u016f.<\/a><\/p>\n

\u00a0<\/b><\/p>\n

L\u00e9\u010dba<\/b><\/h6>\n

Pokud je osteopor\u00f3za odhalena v\u010das, spo\u010d\u00edv\u00e1 l\u00e9\u010dba prim\u00e1rn\u011b v\u00a0potravinov\u00fdch suplementech, konkr\u00e9tn\u011b v\u00a0dostate\u010dn\u00e9m p\u0159\u00edsunu v\u00e1pn\u00edku a vitam\u00ednu D, kter\u00e9 napom\u00e1haj\u00ed zpomalit \u0159\u00eddnut\u00ed kost\u00ed. Pokud je n\u00e1lez natolik z\u00e1va\u017en\u00fd, \u017ee by pouh\u00e9 dopl\u0148ky stravy ji\u017e nebyly posta\u010duj\u00edc\u00ed, je na po\u0159adu hormon\u00e1ln\u00ed l\u00e9\u010dba. Teprve n\u00e1sledn\u011b se jedn\u00e1 o l\u00e9\u010db\u011b tzv. bisfosfon\u00e1ty, kter\u00e9 dok\u00e1\u017e\u00ed redukovat po\u0161kozen\u00ed kost\u00ed. Tak\u00e9 tuto l\u00e9\u010dbu m\u016f\u017ee nasadit krom\u011b specialisty i gynekolog nebo praktick\u00fd l\u00e9ka\u0159.<\/p>\n

\"\"<\/p>\n

 <\/p>\n

Seznam zapojen\u00fdch ordinac\u00ed (ale nap\u0159\u00edklad i odkaz na dotazn\u00edk FRAX) najdete zde:<\/h6>\n
Popula\u010dn\u00ed program \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy v \u010cR – VZP \u010cR<\/a><\/h6>\n

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

\n

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

\u0158\u00eddnut\u00ed kost\u00ed <\/p>\n","protected":false},"author":2,"featured_media":325897,"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\/18\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/325871"}],"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=325871"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/325871\/revisions"}],"predecessor-version":[{"id":325898,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/325871\/revisions\/325898"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/325897"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=325871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=325871"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=325871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}