{"id":345848,"date":"2025-05-15T18:27:31","date_gmt":"2025-05-15T17:27:31","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=345848"},"modified":"2025-05-15T18:27:31","modified_gmt":"2025-05-15T17:27:31","slug":"vseobecna-zdravotni-pojistovna-hypertenze-tichy-nepritel-ktery-ohrozuje-zdravi-milionu-cechu","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=345848","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Hypertenze: tich\u00fd nep\u0159\u00edtel, kter\u00fd ohro\u017euje zdrav\u00ed milion\u016f \u010cech\u016f"},"content":{"rendered":"

\"\"<\/p>\n

T\u00e9m\u011b\u0159 4,5 miliard korun zaplatila loni V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna za l\u00e9\u010dbu hypertenze. L\u00e9\u010dil se s\u00a0n\u00ed ka\u017ed\u00fd p\u00e1t\u00fd klient VZP, konkr\u00e9tn\u011b 1 286 936 pacient\u016f.\u00a0<\/b>Tento \u201etich\u00fd zabij\u00e1k\u201c je jedn\u00edm z nejv\u011bt\u0161\u00edch ohro\u017een\u00ed pro zdrav\u00ed, proto\u017ee jeho p\u0159\u00edznaky se dlouho v\u016fbec neprojev\u00ed. A\u017e po letech se mohou dostavit v\u00e1\u017en\u00e9 n\u00e1sledky, jako je infarkt, mrtvice nebo po\u0161kozen\u00ed ledvin. N<\/b>a\u00a0z\u00e1va\u017enost tohoto \u010dasto podce\u0148ovan\u00e9ho onemocn\u011bn\u00ed upozor\u0148uje VZP \u010cR p\u0159i p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne hypertenze (17. kv\u011btna).<\/b><\/h6>\n

I kdy\u017e d\u011bdi\u010dn\u00e1 tendence hraje svou roli, u\u00a090 %\u00a0<\/b>pacient\u016f je vysok\u00fd krevn\u00ed tlak d\u016fsledkem nezdrav\u00e9ho \u017eivotn\u00edho stylu. Zb\u00fdvaj\u00edc\u00edch\u00a010 %\u00a0<\/b>pacient\u016f m\u00e1 vysok\u00fd tlak spojen\u00fd s\u00a0jin\u00fdm onemocn\u011bn\u00edm. O hypertenzi se tak d\u00e1 hovo\u0159it jako o civiliza\u010dn\u00edm onemocn\u011bn\u00ed, proto\u017ee za vysok\u00fd tlak m\u016f\u017ee nap\u0159\u00edklad kou\u0159en\u00ed, obezita, nadm\u011brn\u00e9 po\u017e\u00edv\u00e1n\u00ed alkoholu, nadm\u011brn\u00e9 solen\u00ed, stres, nedostatek sp\u00e1nku a m\u00e1lo pohybu.<\/p>\n

Velmi d\u016fle\u017eit\u00e9 je,\u00a0<\/b>\u017ee\u00a0hypertenze \u010dasto z\u016fst\u00e1v\u00e1 neodhalen\u00e1, proto\u017ee p\u0159\u00edznaky mohou \u00fapln\u011b chyb\u011bt nebo jsou velmi obecn\u00e9.\u00a0Prvn\u00ed varovn\u00e9 sign\u00e1ly<\/b>\u00a0mohou zahrnovat nap\u0159\u00edklad n\u011bkolikadenn\u00ed\u00a0\u00fanavu, z\u00e1vrat\u011b, vnit\u0159n\u00ed neklid nebo nervozitu, bolesti hlavy<\/b>, p\u0159edev\u0161\u00edm r\u00e1no,\u00a0zvon\u011bn\u00ed v u\u0161\u00edch, poruchy sp\u00e1nku, du\u0161nost p\u0159i n\u00e1maze a bu\u0161en\u00ed srdce<\/b>. Pokud se tyto symptomy objev\u00ed, je vhodn\u00e9 nechat si zm\u011b\u0159it krevn\u00ed tlak, proto\u017ee mohou nazna\u010dovat p\u0159\u00edtomnost hypertenze.<\/p>\n

\u201eHypertenze je nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed civiliza\u010dn\u00ed onemocn\u011bn\u00ed v \u010cesk\u00e9 republice a tak\u00e9 velmi z\u00e1ke\u0159n\u00e9 onemocn\u011bn\u00ed. Prob\u00edhat m\u016f\u017ee velmi dlouho bez p\u0159\u00edznak\u016f, proto je d\u016fle\u017eit\u00e9 v\u011bnovat pozornost pravideln\u00fdm kontrol\u00e1m, zejm\u00e9na preventivn\u00edm prohl\u00eddk\u00e1m u praktika. V\u010dasn\u00fd z\u00e1chyt vysok\u00e9ho krevn\u00edho tlaku m\u016f\u017ee v\u00fdrazn\u011b sn\u00ed\u017eit riziko z\u00e1va\u017en\u00fdch komplikac\u00ed, jako jsou srde\u010dn\u00ed infarkt nebo mrtvice,\u201c<\/i>\u00a0vysv\u011btluje\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di a dod\u00e1v\u00e1: \u201eNa hypertenzi se \u010dasto p\u0159ijde a\u017e p\u0159i akutn\u00ed zdravotn\u00ed ud\u00e1losti. P\u0159itom v\u010dasn\u00e9 odhalen\u00ed je jednoduch\u00e9 a l\u00e9\u010dba \u00fa\u010dinn\u00e1.\u201c<\/i><\/p>\n

\"\"<\/p>\n

Vysok\u00fd krevn\u00ed tlak je \u010dasto diagnostikov\u00e1n<\/b>\u00a0a\u017e na z\u00e1klad\u011b dlouhodob\u00fdch zdravotn\u00edch probl\u00e9m\u016f zp\u016fsoben\u00fdch jeho neodhalen\u00edm a nel\u00e9\u010den\u00edm. M\u016f\u017ee se jednat o c\u00e9vn\u00ed zm\u011bny na o\u010dn\u00edm pozad\u00ed, zv\u011bt\u0161en\u00ed lev\u00e9 srde\u010dn\u00ed komory, levostrann\u00e9 srde\u010dn\u00ed selh\u00e1v\u00e1n\u00ed, ischemick\u00e1 choroba srde\u010dn\u00ed, poruchy metabolismu c\u00e9vn\u00ed st\u011bny, c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda (mrtvice), odum\u00edr\u00e1n\u00ed mozkov\u00fdch bun\u011bk, po\u0161kozen\u00ed ledvin a aneurysma b\u0159i\u0161n\u00ed aorty.<\/p>\n

Pro v\u010dasn\u00e9 odhalen\u00ed vysok\u00e9ho krevn\u00edho tlaku a spr\u00e1vn\u00e9 nastaven\u00ed l\u00e9\u010dby je z\u00e1sadn\u00ed jeho p\u0159esn\u00e9 m\u011b\u0159en\u00ed. Jen tak lze v\u010das zachytit probl\u00e9m nebo vyladit u\u017e nasazenou terapii. Ani dom\u00e1c\u00ed m\u011b\u0159en\u00ed by se nem\u011blo br\u00e1t na lehkou v\u00e1hu \u2013 ide\u00e1ln\u011b by m\u011blo prob\u00edhat v klidn\u00e9m, nehlu\u010dn\u00e9m prost\u0159ed\u00ed, po alespo\u0148 p\u011bti minut\u00e1ch odpo\u010dinku. Tlak se m\u011b\u0159\u00ed vsed\u011b, na lev\u00e9 ruce op\u0159enou ve v\u00fd\u0161ce srdce, a to t\u0159ikr\u00e1t po sob\u011b. V\u00fdsledkem, kter\u00fd se po\u010d\u00edt\u00e1, je pr\u016fm\u011br druh\u00e9ho a t\u0159et\u00edho m\u011b\u0159en\u00ed.<\/p>\n

Krevn\u00ed tlak p\u0159irozen\u011b kol\u00eds\u00e1 b\u011bhem dne \u2013 nejvy\u0161\u0161\u00ed b\u00fdv\u00e1 brzy r\u00e1no, zhruba mezi 4. a 6. hodinou, a pak dopoledne. Pr\u00e1v\u011b v t\u011bchto \u010dasech doch\u00e1z\u00ed nej\u010dast\u011bji k srde\u010dn\u011b-c\u00e9vn\u00edm p\u0159\u00edhod\u00e1m, jako jsou infarkty nebo mozkov\u00e9 mrtvice.<\/p>\n

\"\"<\/p>\n

K l\u00e9\u010db\u011b hypertenze se vyu\u017e\u00edv\u00e1 n\u011bkolik typ\u016f l\u00e9k\u016f, kter\u00e9 pom\u00e1haj\u00ed sn\u00ed\u017eit krevn\u00ed tlak.\u00a0Mezi nej\u010dast\u011bji pou\u017e\u00edvan\u00e9 pat\u0159\u00ed: ACE inhibitory (inhibitory angiotenzin konvertuj\u00edc\u00edho enzymu), \u00a0AT1-blok\u00e1tory (blok\u00e1tory receptor\u016f angiotenzinu II, sartany), blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f, diuretika a beta-blok\u00e1tory.\u00a0U pacient\u016f se sekund\u00e1rn\u00ed hypertenz\u00ed m\u016f\u017ee b\u00fdt krevn\u00ed tlak normalizov\u00e1n po \u00fasp\u011b\u0161n\u00e9m l\u00e9\u010den\u00ed z\u00e1kladn\u00edho onemocn\u011bn\u00ed, kter\u00e9 hypertenzi zp\u016fsobuje.<\/p>\n

\u201e\u00da\u010dinn\u00e1 l\u00e9\u010dba hypertenze v\u0161ak nezahrnuje jenom medikamenty, ale i zm\u011bny \u017eivotn\u00edho stylu. Pacienti by m\u011bli sn\u00ed\u017eit p\u0159\u00edjem soli a alkoholu, a p\u0159estat kou\u0159it. K pozitivn\u00edm zm\u011bn\u00e1m p\u0159isp\u00edv\u00e1 i pravideln\u00e1 strava bohat\u00e1 na zeleninu a ovoce, omezen\u00ed tuk\u016f a cukr\u016f, dostatek pohybu, kvalitn\u00ed sp\u00e1nek, zvl\u00e1d\u00e1n\u00ed stresu a redukce t\u011blesn\u00e9 hmotnosti. V\u0161echny tyto faktory mohou v\u00fdrazn\u011b zlep\u0161it kontrolu krevn\u00edho tlaku a celkov\u00e9 zdrav\u00ed,\u201c<\/i> shrnuje Jan\u00a0Bodn\u00e1r.<\/p>\n

Odborn\u00edci doporu\u010duj\u00ed pravideln\u00e9 m\u011b\u0159en\u00ed krevn\u00edho tlaku, zejm\u00e9na po \u010dty\u0159ic\u00e1t\u00e9m roce \u017eivota, proto\u017ee v\u010dasn\u00e9 odhalen\u00ed tohoto onemocn\u011bn\u00ed m\u016f\u017ee v\u00fdrazn\u011b zlep\u0161it progn\u00f3zu.<\/p>\n

Jak sn\u00ed\u017eit riziko vzniku vysok\u00e9ho krevn\u00edho tlaku:<\/b><\/p>\n

    \n
  • M\u011b\u0159it tlak pravideln\u011b<\/strong><\/li>\n
  • Omezit konzumaci soli, alkoholu a kou\u0159en\u00ed<\/strong>.<\/li>\n
  • Za\u0159adit pohyb a sn\u00ed\u017eit nadv\u00e1hu<\/strong>.<\/li>\n
  • Dodr\u017eovat p\u0159edepsanou l\u00e9\u010dbu<\/strong>, i pokud se pacient c\u00edt\u00ed subjektivn\u011b zdr\u00e1v.<\/li>\n<\/ul>\n

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

    \n

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

    T\u00e9m\u011b\u0159 4,5 <\/p>\n","protected":false},"author":2,"featured_media":345851,"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\/05\/15\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/345848"}],"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=345848"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/345848\/revisions"}],"predecessor-version":[{"id":345852,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/345848\/revisions\/345852"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/345851"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=345848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=345848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=345848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}