{"id":333653,"date":"2025-01-09T14:48:13","date_gmt":"2025-01-09T13:48:13","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=333653"},"modified":"2025-01-09T14:49:17","modified_gmt":"2025-01-09T13:49:17","slug":"vseobecna-zdravotni-pojistovna-novinky-ve-zdravotni-peci-pro-rok-2025","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=333653","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Novinky ve zdravotn\u00ed p\u00e9\u010di pro rok 2025"},"content":{"rendered":"

\"\"<\/p>\n

Seznam zdravotn\u00edch v\u00fdkon\u016f pro rok 2025, kter\u00fd vydalo Ministerstvo zdravotnictv\u00ed \u010cR, obsahuje n\u011bkolik novinek, s\u00a0nimi\u017e se \u010de\u0161t\u00ed pacienti za\u010dnou od leto\u0161n\u00edho roku setk\u00e1vat. V\u00a0p\u0159\u00edpad\u011b n\u011bkter\u00fdch postup\u016f \u010di z\u00e1krok\u016f se tak stalo ji\u017e od 1. ledna 2025, u v\u011bt\u0161iny v\u00fdkon\u016f je ale t\u0159eba nejprve uzav\u0159\u00edt p\u0159\u00edslu\u0161n\u00fd smluvn\u00ed dodatek mezi poskytovatelem a zdravotn\u00ed poji\u0161\u0165ovnou (p\u0159\u00edpadn\u011b splnit i dal\u0161\u00ed podm\u00ednky, kter\u00e9 mohou dobu prodlou\u017eit).<\/b><\/h6>\n

Zde je p\u0159ehled n\u011bkter\u00fdch novinek ve zdravotn\u00ed p\u00e9\u010di pro rok 2025:<\/b><\/h4>\n
Screeningov\u00fd program AAA pro mu\u017ee<\/b><\/h6>\n

Aneurysma abdomin\u00e1ln\u00ed aorty (AAA) pat\u0159\u00ed mezi nejz\u00e1va\u017en\u011bj\u0161\u00ed onemocn\u011bn\u00ed c\u00e9vn\u00edho syst\u00e9mu, kter\u00e9 postihuje nej\u010dast\u011bji mu\u017ee star\u0161\u00ed 65 let (jsou posti\u017eeni 4\u20136kr\u00e1t \u010dast\u011bji ne\u017e \u017eeny). Na jeho vzniku se pod\u00edl\u00ed v\u00edce faktor\u016f, nem\u00e1 specifickou p\u0159\u00ed\u010dinu. Nejz\u00e1va\u017en\u011bj\u0161\u00ed komplikac\u00ed diagn\u00f3zy je pak ruptura (prasknut\u00ed). Je to \u017eivot ohro\u017euj\u00edc\u00ed stav, kter\u00fd bez v\u010dasn\u00e9ho l\u00e9\u010debn\u00e9ho z\u00e1kroku kon\u010d\u00ed smrt\u00ed na vykrv\u00e1cen\u00ed. Polovina pacient\u016f um\u00edr\u00e1 u\u017e kr\u00e1tce po vzniku ruptury nebo b\u011bhem transportu do nemocnice, proto je zav\u00e1d\u011bn nov\u00fd screeningov\u00fd program ur\u010den\u00fd mu\u017e\u016fm ve v\u011bku 65\u201367 let. C\u00edlem je v\u010das odhalit p\u0159\u00edtomnost AAA a v p\u0159\u00edpad\u011b n\u00e1lezu velk\u00e9ho aneurysmatu zah\u00e1jit preventivn\u00ed l\u00e9\u010dbu, nap\u0159\u00edklad elektivn\u00edm opera\u010dn\u00edm v\u00fdkonem. Do pilotn\u00edho programu jsou zapojeny ordinace praktick\u00fdch l\u00e9ka\u0159\u016f, kte\u0159\u00ed budou sv\u00e9 pacienty informovat o vhodnosti \u00fa\u010dasti na screeningu, d\u00e1le pracovi\u0161t\u011b prov\u00e1d\u011bj\u00edc\u00ed p\u0159\u00edslu\u0161n\u00e9 ultrasonografick\u00e9 vy\u0161et\u0159en\u00ed abdomin\u00e1ln\u00ed aorty a tak\u00e9 Centra vysoce specializovan\u00e9 kardiovaskul\u00e1rn\u00ed p\u00e9\u010de (v\u010detn\u011b center vysoce specializovan\u00e9 komplexn\u00ed kardiovaskul\u00e1rn\u00ed p\u00e9\u010de) pro p\u0159\u00edpad dal\u0161\u00edho l\u00e9\u010debn\u00e9ho postupu.<\/p>\n

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

Rozhovor paliatra s\u00a0pacientem\u00a0<\/b>(\u010di osobou bl\u00edzkou)<\/h6>\n

Jedn\u00e1 se mo\u017enost nov\u011b vyk\u00e1zat p\u00e9\u010di, kter\u00e1 je \u010dasov\u011b velmi n\u00e1ro\u010dn\u00e1, je to podrobn\u00fd rozhovor l\u00e9ka\u0159e specialisty v\u00a0oboru paliativn\u00ed medic\u00edna (paliatrem) s\u00a0pacientem se z\u00e1va\u017en\u00fdm, \u017eivot ohro\u017euj\u00edc\u00edm onemocn\u011bn\u00edm. L\u00e9ka\u0159 pacienta informuje o mo\u017en\u00fdch l\u00e9\u010debn\u00fdch postupech a jejich dopadu na d\u00e9lku a kvalitu \u017eivota, v\u00a0r\u00e1mci rozhovoru doch\u00e1z\u00ed k zhodnocen\u00ed pacientov\u00fdch hodnot a priorit v\u00a0oblasti v\u00fdstup\u016f zdravotn\u00ed p\u00e9\u010de a doch\u00e1z\u00ed k nastaven\u00ed formulace pl\u00e1nu p\u00e9\u010de tak, aby p\u00e9\u010de byla p\u0159im\u011b\u0159en\u00e1 pojmenovan\u00fdm c\u00edl\u016fm.<\/p>\n

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

AI pro pacienty se srde\u010dn\u00edm selh\u00e1n\u00edm po implantaci ICD<\/b><\/h6>\n

V\u00fdkon pom\u016f\u017ee l\u00e9pe monitorovat zdravotn\u00ed stav pacient\u016f s\u00a0pokro\u010dil\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm, kte\u0159\u00ed maj\u00ed implantovan\u00fd ICD p\u0159\u00edstroj. Za\u0159\u00edzen\u00ed vyu\u017e\u00edv\u00e1 um\u011blou inteligenc\u00ed, kter\u00e1 na z\u00e1klad\u011b pr\u016fb\u011b\u017en\u00e9ho vyhodnocov\u00e1n\u00ed generovan\u00fdch dat upozorn\u00ed o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e na nutnost kontaktov\u00e1n\u00ed pacienta, v\u00a0p\u0159\u00edpad\u011b zhor\u0161en\u00ed jeho stavu. L\u00e9ka\u0159 by pak m\u011bl okam\u017eit\u011b navrhnout dal\u0161\u00ed postup l\u00e9\u010dby. V\u00fdkon bude ur\u010den pro pacienty s\u00a0vysokou m\u00edrou rizika zhor\u0161en\u00ed srde\u010dn\u00edho syst\u00e9mu.<\/p>\n

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

Dobrovoln\u00e9 o\u010dkov\u00e1n\u00ed nov\u011b v\u00a0ordinac\u00edch hygienik\u016f a epidemiolog\u016f<\/b><\/h6>\n

V\u00a0p\u0159\u00edpad\u011b nepovinn\u00e9ho o\u010dkov\u00e1n\u00ed pln\u011b hrazen\u00e9ho z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed (nap\u0159\u00edklad proti ch\u0159ipce od 65 let nebo proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b od 55 let, bude mo\u017en\u00e9 o\u010dkov\u00e1n\u00ed prov\u00e9st nov\u011b tak\u00e9 v\u00a0ordinac\u00edch epidemiolog\u016f a hygienik\u016f.<\/p>\n

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

L\u00e9\u010dba Parkinsonovy nemoci pomoc\u00ed dopaminergn\u00ed pumpy<\/b><\/h6>\n

V\u00a0oboru neurologie jsou nov\u011b za\u0159azeny v\u00fdkony, kter\u00fdmi lze vyk\u00e1zat p\u00e9\u010di o pacienty \u00a0\u00a0pokro\u010dil\u00e9m stadiu Parkinsonovy nemoci. Jde o l\u00e9\u010dbu pomoc\u00ed pumpov\u00fdch syst\u00e9m\u016f, konkr\u00e9tn\u011b tzv. dopaminergn\u00ed pumpy. Ta zaji\u0161\u0165uje kontinu\u00e1ln\u00ed pod\u00e1v\u00e1n\u00ed dopaminergn\u00ed l\u00e9\u010dby do t\u011bla pacienta. Tato specializovan\u00e1 p\u00e9\u010de je soust\u0159ed\u011bna pouze k\u00a0vybran\u00fdm poskytovatel\u016fm, kte\u0159\u00ed se zab\u00fdvaj\u00ed diagnostikou a l\u00e9\u010dbou extrapyramidov\u00fdch onemocn\u011bn\u00ed.<\/p>\n

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

Hlubok\u00e1 mozkov\u00e1 stimulace<\/b><\/h6>\n

V\u00a0oblasti neurologie doch\u00e1z\u00ed k zaveden\u00ed n\u011bkter\u00fdch dal\u0161\u00edch v\u00fdkon\u016f pro vyk\u00e1z\u00e1n\u00ed hlubok\u00e9 mozkov\u00e1 stimulace, kter\u00e1 je n\u00e1kladnou neuromodula\u010dn\u00ed terapi\u00ed n\u011bkter\u00fdch neurologick\u00fdch onemocn\u011bn\u00ed, zejm\u00e9na Parkinsonovy nemoci, r\u016fzn\u00fdch dystonick\u00fdch syndrom\u016f, farmakorezistentn\u00ed epilepsie atd. Tato specializovan\u00e1 p\u00e9\u010de je tak\u00e9 soust\u0159ed\u011bna pouze k\u00a0vybran\u00fdm poskytovatel\u016fm, kte\u0159\u00ed se zab\u00fdvaj\u00ed diagnostikou a l\u00e9\u010dbou extrapyramidov\u00fdch onemocn\u011bn\u00ed.<\/p>\n

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

Operace hlubok\u00e9 p\u00e1nevn\u00ed endometri\u00f3zy<\/b><\/h6>\n

V\u00a0oblasti gynekologie a porodnictv\u00ed se mj. zav\u00e1d\u00ed nov\u00fd roboticky asistovan\u00fd laparoskopick\u00fd v\u00fdkon pro hlubokou p\u00e1nevn\u00ed endometri\u00f3zu, tj. pro t\u011b\u017ek\u00fd stupe\u0148 tohoto onemocn\u011bn\u00ed, kdy doch\u00e1z\u00ed nap\u0159\u00edklad k\u00a0posti\u017een\u00ed rekta, mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, tlust\u00e9ho st\u0159eva atd.<\/p>\n

\u00a0<\/b><\/h6>\n
Novinky v\u00a0p\u00e9\u010di u geriatrick\u00fdch pacient\u016f: kontrola l\u00e9kov\u00e9ho re\u017eimu a prevence sarkopenie<\/b><\/h6>\n

Ambulantn\u00ed specialista v\u00a0oboru geriatrie bude moci u pacient\u016f prov\u00e9st tzv. komplexn\u00ed posouzen\u00ed l\u00e9kov\u00fdch re\u017eim\u016f. V\u00fdkon je ur\u010den zejm\u00e9na pacient\u016fm zat\u00ed\u017een\u00fdm v\u00edce diagn\u00f3zami (tzv. multimorbidn\u00edch geriatrick\u00fdch pacient\u016f) a s\u00a0v\u00edce ne\u017e p\u011bti dlouhodob\u011b u\u017e\u00edvan\u00fdmi l\u00e9\u010divy. L\u00e9ka\u0159 v\u00a0r\u00e1mci v\u00fdkonu posoud\u00ed individu\u00e1ln\u00ed klinick\u00e9 rizikov\u00e9 faktory a rizikov\u00e1 l\u00e9\u010diva (ve st\u00e1\u0159\u00ed potenci\u00e1ln\u011b nevhodn\u00e1, duplicitn\u00ed, s\u00a0\u00fazk\u00fdm terapeutick\u00fdm \u00fa\u010dinkem apod.). Dal\u0161\u00ed v\u00fdkon je pro vyk\u00e1z\u00e1n\u00ed diagnostiky sarkopenie, neboli \u00fabytku svalov\u00e9 hmoty – vy\u0161et\u0159en\u00ed se t\u00fdk\u00e1 jak rizika vzniku, tak i intervenci p\u0159\u00ed\u010din sarkopenie.<\/p>\n

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

\n

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

Seznam zdravotn\u00edch <\/p>\n","protected":false},"author":2,"featured_media":333655,"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\/2025\/01\/06\/ram-vzp-novinky.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/333653"}],"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=333653"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/333653\/revisions"}],"predecessor-version":[{"id":333971,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/333653\/revisions\/333971"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/333655"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=333653"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=333653"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=333653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}