{"id":351386,"date":"2025-07-16T19:10:10","date_gmt":"2025-07-16T18:10:10","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=351386"},"modified":"2025-07-16T19:10:10","modified_gmt":"2025-07-16T18:10:10","slug":"vseobecna-zdravotni-pojistovna-vysokym-tlakem-trpi-i-deti-do-18-let-u-vetsiny-za-to-muze-nadvaha-a-malo-pohybu","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=351386","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Vysok\u00fdm tlakem trp\u00ed i d\u011bti do 18 let. U v\u011bt\u0161iny za to m\u016f\u017ee nadv\u00e1ha a m\u00e1lo pohybu"},"content":{"rendered":"

\"\"<\/p>\n

Tich\u00fd zabij\u00e1k, tedy vysok\u00fd krevn\u00ed tlak, ohro\u017euje i d\u011bti a dosp\u00edvaj\u00edc\u00ed do 18 let. V lo\u0148sk\u00e9m roce se s diagn\u00f3zou hypertenze l\u00e9\u010dilo 3600 klient\u016f V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny v t\u00e9to v\u011bkov\u00e9 skupin\u011b (jedn\u00e1 se o 3 d\u011bti z\u00a01000). Z\u00e1va\u017en\u00e9 n\u00e1sledky, jako jsou infarkt, mrtvice nebo po\u0161kozen\u00ed ledvin, se obvykle projev\u00ed a\u017e po mnoha letech, a pacient tak o riziku pro sv\u00e9 zdrav\u00ed \u010dasto dlouho v\u016fbec nev\u00ed.<\/b><\/h6>\n

\u201eHypertenze u d\u011bt\u00ed m\u016f\u017ee prob\u00edhat zcela bez p\u0159\u00edznak\u016f, kdy ji n\u00e1hodn\u011b odhal\u00ed v\u011bt\u0161inou preventivn\u00ed prohl\u00eddka u pediatra. A\u017e u t\u011b\u017e\u0161\u00edch forem nemoci pozorujeme varovn\u00e9 symptomy, kdy si d\u011bti st\u011b\u017euj\u00ed nap\u0159. na bolesti hlavy, krv\u00e1cen\u00ed z\u00a0nosu, \u00fanavu apod.,\u201c<\/em> upozor\u0148uje\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di. V pr\u016fb\u011bhu preventivn\u00ed prohl\u00eddky l\u00e9ka\u0159 mimo z\u00e1kladn\u00edch vy\u0161et\u0159en\u00ed zji\u0161\u0165uje i rodinnou anamn\u00e9zu mal\u00e9ho pacienta: \u201eNejde jen o v\u00fdskyt samotn\u00e9 hypertenze u rodi\u010d\u016f \u010di prarodi\u010d\u016f, ale i dal\u0161\u00edch souvisej\u00edc\u00edch onemocn\u011bn\u00ed, kter\u00e1 s\u00a0vysok\u00fdm tlakem mohou souviset, typicky nap\u0159\u00edklad cukrovka \u010di onemocn\u011bn\u00ed ledvin,\u201c<\/em> uzav\u00edr\u00e1\u00a0Jan Bodn\u00e1r.<\/p>\n

Mezi hlavn\u00ed p\u0159\u00ed\u010diny vzniku hypertenze u d\u011bt\u00ed pat\u0159\u00ed p\u0159edev\u0161\u00edm nadv\u00e1ha a obezita (aktu\u00e1ln\u011b t\u00e9m\u011b\u0159 30 % d\u011btsk\u00e9 populace v \u010cesk\u00e9 republice trp\u00ed nadv\u00e1hou), co\u017e p\u0159edstavuje jeden z nejv\u00fdznamn\u011bj\u0161\u00edch rizikov\u00fdch faktor\u016f. V\u00fdrazn\u011b p\u0159isp\u00edv\u00e1 tak\u00e9 n\u00edzk\u00e1 fyzick\u00e1 aktivita, kdy pravideln\u00fd pohyb a sportovn\u00ed aktivity b\u00fdvaj\u00ed nahrazov\u00e1ny pasivn\u00edm tr\u00e1ven\u00edm \u010dasu u po\u010d\u00edta\u010de, mobiln\u00edch telefon\u016f \u010di televize.<\/p>\n

\u201eT\u011blesn\u00e1 hmotnost pozitivn\u011b koreluje s hodnotami krevn\u00edho tlaku a p\u0159edstavuje jednu z hlavn\u00edch p\u0159\u00ed\u010din hypertenze u d\u011bt\u00ed. Zvl\u00e1\u0161t\u011b v\u00fdraznou souvislost s krevn\u00edm tlakem vykazuje abdomin\u00e1ln\u00ed (b\u0159i\u0161n\u00ed) obezita, m\u011b\u0159en\u00e1 obvodem pasu. D\u011bti a dosp\u00edvaj\u00edc\u00ed s nadv\u00e1hou nebo obezitou maj\u00ed prokazateln\u011b vy\u0161\u0161\u00ed hodnoty krevn\u00edho tlaku ne\u017e jejich vrstevn\u00edci s norm\u00e1ln\u00edm BMI, a tedy i vy\u0161\u0161\u00ed v\u00fdskyt hypertenze,\u201c<\/em> konstatuje profesor\u00a0Tom\u00e1\u0161 Seeman, l\u00e9ka\u0159, kter\u00fd se d\u011btskou hypertenz\u00ed dlouhodob\u011b zab\u00fdv\u00e1.<\/p>\n

Dal\u0161\u00edm z\u00e1sadn\u00edm faktorem je nevhodn\u00e1 strava s nadm\u011brn\u00fdm mno\u017estv\u00edm soli, tuk\u016f a cukr\u016f, \u010dasto poch\u00e1zej\u00edc\u00edm z pr\u016fmyslov\u011b zpracovan\u00fdch potravin. V neposledn\u00ed \u0159ad\u011b hraje roli i stres a psychick\u00e1 z\u00e1t\u011b\u017e \u2013 d\u011bti a dosp\u00edvaj\u00edc\u00ed \u010del\u00ed rostouc\u00edmu tlaku na v\u00fdkon, soci\u00e1ln\u00edmu porovn\u00e1v\u00e1n\u00ed a nadm\u011brn\u00e9mu p\u016fsoben\u00ed digit\u00e1ln\u00edho prost\u0159ed\u00ed, co\u017e vytv\u00e1\u0159\u00ed nov\u00e9 formy chronick\u00e9ho stresu u\u017e v \u00fatl\u00e9m v\u011bku. Podle dostupn\u00fdch dat trp\u00ed hypertenz\u00ed p\u0159ibli\u017en\u011b\u00a0t\u0159i z ka\u017ed\u00e9ho tis\u00edce klient\u016f VZP \u010cR mlad\u0161\u00edch 18 let<\/b>.<\/p>\n

\"\"<\/p>\n

Projevy hypertenze<\/b><\/p>\n

Vysok\u00fd krevn\u00ed tlak u d\u011bt\u00ed m\u016f\u017ee prob\u00edhat zcela\u00a0bez p\u0159\u00edznak\u016f<\/b>, p\u0159edev\u0161\u00edm u star\u0161\u00edch d\u011bt\u00ed a dosp\u00edvaj\u00edc\u00edch, pokud nejde o t\u011b\u017ekou formu. V takov\u00fdch p\u0159\u00edpadech b\u00fdv\u00e1 nej\u010dast\u011bji zachycen n\u00e1hodn\u011b p\u0159i preventivn\u00ed prohl\u00eddce, kde by m\u011bl b\u00fdt krevn\u00ed tlak\u00a0pravideln\u011b m\u011b\u0159en u\u017e od t\u0159\u00ed let v\u011bku<\/b>. U d\u011bt\u00ed s\u00a0v\u00fdrazn\u011bj\u0161\u00ed formou<\/b>\u00a0jsou projevy \u010dast\u011bj\u0161\u00ed \u2013 typicky se objevuj\u00ed\u00a0bolesti hlavy<\/b>,\u00a0krv\u00e1cen\u00ed z nosu<\/b>,\u00a0\u00fanava<\/b>,\u00a0zv\u00fd\u0161en\u00e9 pocen\u00ed<\/b>, p\u0159\u00edpadn\u011b\u00a0k\u0159e\u010de<\/b>\u00a0nebo\u00a0poruchy v\u011bdom\u00ed<\/b>.<\/p>\n

Zcela odli\u0161n\u00e1 je situace u\u00a0kojenc\u016f a novorozenc\u016f<\/b>, kde se vysok\u00fd tlak t\u00e9m\u011b\u0159 v\u017edy projevuje a m\u016f\u017ee m\u00edt i\u00a0z\u00e1va\u017en\u00fd nebo \u017eivot ohro\u017euj\u00edc\u00ed pr\u016fb\u011bh<\/b>. Mezi varovn\u00e9 p\u0159\u00edznaky pat\u0159\u00ed neklid, pot\u00ed\u017ee s krmen\u00edm, nep\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze, d\u00fdchac\u00ed pot\u00ed\u017ee, k\u0159e\u010de \u010di zn\u00e1mky selh\u00e1v\u00e1n\u00ed srdce.<\/p>\n

D\u016fle\u017eit\u00fdm vod\u00edtkem je\u00a0rodinn\u00e1 anamn\u00e9za<\/b>. L\u00e9ka\u0159 by se m\u011bl v\u017edy pt\u00e1t na v\u00fdskyt\u00a0vysok\u00e9ho krevn\u00edho tlaku<\/b>,\u00a0srde\u010dn\u011b-c\u00e9vn\u00edch onemocn\u011bn\u00ed<\/b>\u00a0nebo\u00a0cukrovky<\/b>\u00a0v rodin\u011b. V r\u00e1mci\u00a0osobn\u00ed anamn\u00e9zy<\/b>\u00a0hraje roli nap\u0159.\u00a0porodn\u00ed hmotnost<\/b>\u00a0nebo p\u0159\u00edtomnost\u00a0komplikac\u00ed p\u0159i porodu<\/b>.<\/p>\n

Zohled\u0148uje se tak\u00e9\u00a0u\u017e\u00edv\u00e1n\u00ed n\u011bkter\u00fdch l\u00e9k\u016f<\/b>, nap\u0159\u00edklad\u00a0hormon\u00e1ln\u00ed antikoncepce<\/b>,\u00a0steroid\u016f<\/b>\u00a0nebo\u00a0n\u00e1vykov\u00fdch l\u00e1tek<\/b>. V neposledn\u00ed \u0159ad\u011b se hodnot\u00ed i\u00a0\u017eivotn\u00ed styl d\u00edt\u011bte<\/b>, tedy jestli sportuje, jak\u00e1 je jeho strava, zda kou\u0159\u00ed, pije alkohol a zda konzumuje nadm\u011brn\u00e9 mno\u017estv\u00ed slan\u00fdch j\u00eddel, jako jsou uzeniny nebo fast food.<\/p>\n

VZP a prevence u d\u011bt\u00ed a mladistv\u00fdch<\/b><\/p>\n

K lep\u0161\u00edmu zdrav\u00ed d\u011bt\u00ed do 18 let chce p\u0159isp\u011bt tak\u00e9 VZP \u010cR. Je\u0161t\u011b letos spust\u00ed\u00a0Kurzy vlastn\u00edho zdrav\u00ed<\/a><\/strong>, kter\u00e9 se zam\u011b\u0159\u00ed na nejmlad\u0161\u00ed generace. Kurzy se budou konat na stovk\u00e1ch m\u00edst po cel\u00e9 \u010cesk\u00e9 republice a proj\u00edt by jimi m\u011blo na 2500 poslucha\u010d\u016f. Obsah se dotkne pr\u00e1v\u011b kl\u00ed\u010dov\u00fdch t\u00e9mat spojovan\u00fdch s \u017eivotn\u00edm stylem mlad\u00fdch. Dotknou se \u0161kodlivost\u00ed vapingu, odvyk\u00e1n\u00ed digit\u00e1ln\u00edch z\u00e1vislost\u00ed, zvl\u00e1d\u00e1n\u00ed stres\u016f a \u00fazkosti a tak\u00e9 z\u00e1vislosti na pr\u016fmyslov\u011b zpracovan\u00fdch potravin\u00e1ch. Zde doch\u00e1z\u00ed ke ztr\u00e1t\u011b kontroly nad mno\u017estv\u00edm konzumovan\u00fdch j\u00eddel tohoto typu. D\u016fsledkem m\u016f\u017ee b\u00fdt rozvoj \u0159ady z\u00e1va\u017en\u00fdch onemocn\u011bn\u00ed, v\u010detn\u011b cukrovky 2. typu, srde\u010dn\u00edch chorob \u010di obezity.<\/p>\n

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

\n

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

Tich\u00fd zabij\u00e1k, <\/p>\n","protected":false},"author":2,"featured_media":351388,"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\/07\/16\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/351386"}],"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=351386"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/351386\/revisions"}],"predecessor-version":[{"id":351389,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/351386\/revisions\/351389"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/351388"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=351386"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=351386"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=351386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}