{"id":326711,"date":"2024-10-27T22:41:15","date_gmt":"2024-10-27T21:41:15","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=326711"},"modified":"2024-10-27T22:43:30","modified_gmt":"2024-10-27T21:43:30","slug":"vseobecna-zdravotni-pojistovna-naklady-na-biologickou-lecbu-pacientu-s-lupenkou-presahly-pul-miliardy-korun","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=326711","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: N\u00e1klady na biologickou l\u00e9\u010dbu pacient\u016f s lup\u00e9nkou p\u0159es\u00e1hly p\u016fl miliardy korun"},"content":{"rendered":"

\"\"<\/p>\n

P\u00e9\u010de o 49 tis\u00edc klient\u016f s lup\u00e9nkou st\u00e1la VZP \u010cR jednu miliardu korun, p\u0159i\u010dem\u017e v\u00edce ne\u017e polovina t\u011bchto n\u00e1klad\u016f (570 mil. K\u010d) byla vynalo\u017eena na biologickou l\u00e9\u010dbu nejt\u011b\u017e\u0161\u00edch p\u0159\u00edpad\u016f. Tu vloni podstoupilo 2 562 pacient\u016f. Anal\u00fdzu vyd\u00e1v\u00e1 poji\u0161\u0165ovna u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne lup\u00e9nky, kter\u00fd p\u0159ipad\u00e1 na 29. \u0159\u00edjna.<\/b><\/h6>\n

Dle dat VZP \u010cR se s lup\u00e9nkou v\u00a0roce 2023 l\u00e9\u010dilo 49\u00a0385 jej\u00edch klient\u016f. Po\u010det pacient\u016f trp\u00edc\u00edch touto ko\u017en\u00ed nemoc\u00ed se za posledn\u00ed roky v\u00fdrazn\u011b nem\u011bn\u00ed, stoupaj\u00ed v\u0161ak n\u00e1klady na jejich l\u00e9\u010dbu.\u00a0<\/b>Zat\u00edmco p\u0159ed 5 lety st\u00e1la l\u00e9\u010dba lup\u00e9nky 580,6 milion\u016f korun, vloni to bylo 998 milion\u016f korun, co\u017e p\u0159edstavuje 72% n\u00e1r\u016fst. U t\u011b\u017ek\u00fdch forem, u nich\u017e klasick\u00e1 terapie selh\u00e1v\u00e1, je efektivn\u00ed pr\u00e1v\u011b biologick\u00e1 l\u00e9\u010dba, kter\u00e1 je ale velmi n\u00e1kladn\u00e1.<\/p>\n

V\u00a0lo\u0148sk\u00e9m roce podstoupilo biologickou l\u00e9\u010dbu lup\u00e9nky 2\u00a0562 klient\u016f VZP \u010cR, o 65 % v\u00edc, ne\u017e p\u0159ed p\u011bti lety (1\u00a0555). S\u00a0rostouc\u00edm po\u010dtem pacient\u016f s\u00a0nejt\u011b\u017e\u0161\u00ed formou nemoci vrostly n\u00e1klady.<\/p>\n

\"\"<\/p>\n

Lup\u00e9nka neboli psori\u00e1za je jednou z\u00a0nej\u010dast\u011bj\u0161\u00edch ko\u017en\u00edch nemoc\u00ed. Jedn\u00e1 se o z\u00e1n\u011btliv\u00e9 neinfek\u010dn\u00ed onemocn\u011bn\u00ed. P\u0159ev\u00e1\u017en\u011b postihuje k\u016f\u017ei, m\u016f\u017ee v\u0161ak zas\u00e1hnout i nehty a klouby. Nejde ov\u0161em v\u00fdhradn\u011b o ko\u017en\u00ed chorobu, souviset s n\u00ed m\u016f\u017ee cel\u00e1 \u0159ada dal\u0161\u00edch, \u010dasto i velice v\u00e1\u017en\u00fdch nemoc\u00ed (diabetes, kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed, deprese, psoriatick\u00e1 artritida, hypertenze atd.).<\/p>\n

L\u00e9\u010dba lup\u00e9nky<\/b><\/h6>\n

Lup\u00e9nku nelze zcela vyl\u00e9\u010dit, d\u00edky spr\u00e1vn\u011b nastaven\u00e9 l\u00e9\u010db\u011b v\u0161ak lze jej\u00ed p\u0159\u00edznaky zm\u00edrnit. Prvotn\u00edm krokem je lok\u00e1ln\u00ed l\u00e9\u010dba, kter\u00e1 zahrnuje aplikaci mast\u00ed a roztok\u016f s obsahem kortikosteroid\u016f a dal\u0161\u00edch \u00fa\u010dinn\u00fdch l\u00e1tek. Tuto formu l\u00e9\u010dby vyu\u017e\u00edv\u00e1 v\u011bt\u0161ina pacient\u016f.<\/p>\n

K\u00a0l\u00e9\u010db\u011b psori\u00e1zy se tak\u00e9 vyu\u017e\u00edv\u00e1 fototerapie. Pou\u017e\u00edv\u00e1 se samostatn\u011b nebo v\u00a0kombinaci s\u00a0lok\u00e1ln\u00ed l\u00e9\u010dbou. Fototerapie je velmi \u00fa\u010dinnou l\u00e9\u010dbou lup\u00e9nky, nicm\u00e9n\u011b nen\u00ed vhodn\u00e1 pro v\u0161echny pacienty.<\/p>\n

U st\u0159edn\u011b t\u011b\u017ek\u00fdch a t\u011b\u017ek\u00fdch forem lup\u00e9nky se pou\u017e\u00edvaj\u00ed l\u00e9ky, kter\u00e9 tlum\u00ed z\u00e1n\u011btliv\u00e9 procesy. Biologick\u00e1 terapie vyu\u017e\u00edv\u00e1 l\u00e1tky podobn\u00e9 p\u0159irozen\u00fdm molekul\u00e1m produkovan\u00fdm v lidsk\u00e9m t\u011ble. Biologickou l\u00e9\u010dbu mohou podstoupit pouze ti pacienti, u nich\u017e jin\u00e1 l\u00e9\u010dba nebyla \u00fasp\u011b\u0161n\u00e1, lup\u00e9nka se projevuje minim\u00e1ln\u011b na 10 % t\u011bla, nebo se vyskytuje na h\u016f\u0159e l\u00e9\u010diteln\u00fdch m\u00edstech (nap\u0159. ve vlasech, na chodidlech). Indika\u010dn\u00ed krit\u00e9ria k\u00a0biologick\u00e9 l\u00e9\u010db\u011b stanovuje St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div.<\/p>\n

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

\n

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

P\u00e9\u010de o <\/p>\n","protected":false},"author":2,"featured_media":326714,"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\/27\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/326711"}],"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=326711"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/326711\/revisions"}],"predecessor-version":[{"id":326713,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/326711\/revisions\/326713"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/326714"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=326711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=326711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=326711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}