{"id":356068,"date":"2025-09-08T07:44:59","date_gmt":"2025-09-08T06:44:59","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=356068"},"modified":"2025-09-08T07:44:59","modified_gmt":"2025-09-08T06:44:59","slug":"vseobecna-zdravotni-pojistovna-screening-vydute-brisni-aorty","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=356068","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Screening v\u00fddut\u011b b\u0159i\u0161n\u00ed aorty"},"content":{"rendered":"

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OT\u00c1ZKA:<\/h6>\n
Co je to screening v\u00fddut\u011b b\u0159i\u0161n\u00ed aorty a pro koho je d\u016fle\u017eit\u00fd?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

V\u00fddu\u0165 b\u0159i\u0161n\u00ed aorty<\/b>\u00a0(aneurysma abdomin\u00e1ln\u00ed aorty\u00a0\u2013\u00a0AAA)\u00a0je z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, p\u0159i kter\u00e9m doch\u00e1z\u00ed k nebezpe\u010dn\u00e9mu roz\u0161\u00ed\u0159en\u00ed b\u0159i\u0161n\u00ed \u010d\u00e1sti aorty.\u00a0Toto onemocn\u011bn\u00ed m\u016f\u017ee prob\u00edhat dlouhou dobu bez p\u0159\u00edznak\u016f, ale pokud dojde k ruptu\u0159e (prasknut\u00ed) aorty, vznik\u00e1 \u017eivot ohro\u017euj\u00edc\u00ed stav s velmi vysokou \u00famrtnost\u00ed pro krv\u00e1cen\u00ed do dutiny b\u0159i\u0161n\u00ed.<\/b>\u00a0Pr\u00e1v\u011b proto je mo\u017en\u00e9 zapojit se do\u00a0popula\u010dn\u00edho pilotn\u00edho programu screeningu\u00a0<\/strong>aneurysmatu b\u0159i\u0161n\u00ed aorty, jeho\u017e c\u00edlem je v\u010das odhalit onemocn\u011bn\u00ed u rizikov\u00fdch skupin osob, kter\u00e9 jsou j\u00edm nejv\u00edce ohro\u017eeny.\u00a0V\u010dasn\u00e1 diagnostika a pl\u00e1novan\u00e1 l\u00e9\u010dba, jako je nap\u0159\u00edklad operace, mohou zachr\u00e1nit \u017eivot pacienta.<\/b><\/p>\n

Pro\u010d screening absolvovat?<\/b><\/p>\n

V\u010dasn\u00e1 diagnostika AAA m\u016f\u017ee zachr\u00e1nit \u017eivot.<\/b>\u00a0Prasknut\u00ed b\u0159i\u0161n\u00ed aorty m\u00e1 vysokou \u00famrtnost, zat\u00edmco pl\u00e1novan\u00e1 l\u00e9\u010dba u v\u010das zji\u0161t\u011bn\u00fdch p\u0159\u00edpad\u016f dosahuje velmi dobr\u00fdch v\u00fdsledk\u016f. Ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed je rychl\u00e9, jednoduch\u00e9 a nep\u0159edstavuje \u017e\u00e1dn\u00e9 riziko. Rizikov\u00e9 skupin\u011b osob (resp. mu\u017e\u016fm ve v\u011bku od 65 do 67 let) proto\u00a0doporu\u010dujeme obr\u00e1tit se na registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e a informovat se o mo\u017enostech screeningov\u00e9ho vy\u0161et\u0159en\u00ed.<\/b>\u00a0Informace lze z\u00edskat tak\u00e9 na webov\u00fdch str\u00e1nk\u00e1ch\u00a0screeningov\u00e9ho programu<\/a>.<\/p>\n

Pro koho je screening ur\u010den?<\/b><\/p>\n

Screeningov\u00fd program pro \u010dasn\u00fd z\u00e1chyt aneurysmatu b\u0159i\u0161n\u00ed aorty je\u00a0<\/strong>zam\u011b\u0159en na mu\u017ee ve v\u011bku od 65 do\u00a067 let,\u00a0<\/b><\/span>co\u017e je c\u00edlov\u00e1 skupina nejv\u00edce ohro\u017een\u00e1 t\u00edmto onemocn\u011bn\u00edm.\u00a0<\/b><\/span>Mu\u017ei nad 65 let jsou posti\u017eeni 4kr\u00e1t a\u017e 6kr\u00e1t \u010dast\u011bji ne\u017e \u017eeny nebo mlad\u0161\u00ed mu\u017ei, z tohoto d\u016fvodu se screening zam\u011b\u0159uje pr\u00e1v\u011b na n\u011b. V\u011bt\u0161ina AAA nem\u00e1 specifickou p\u0159\u00ed\u010dinu, nej\u010dast\u011bji se jedn\u00e1 o d\u016fsledek degenerativn\u00edch zm\u011bn zp\u016fsoben\u00fdch nap\u0159. vlivem ateroskler\u00f3zy. U osob s vysok\u00fdm krevn\u00edm tlakem nebo jin\u00fdm onemocn\u011bn\u00edm srdce a c\u00e9v je riziko vzniku 1,5kr\u00e1t vy\u0161\u0161\u00ed ne\u017e u osob zdrav\u00fdch. U ku\u0159\u00e1k\u016f je toto riziko podstatn\u011b vy\u0161\u0161\u00ed (5\u20138kr\u00e1t).<\/p>\n

Jak prob\u00edh\u00e1 vy\u0161et\u0159en\u00ed?<\/b><\/p>\n

Jde o jednoduch\u00e9 a bezbolestn\u00e9 ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed<\/b>, kter\u00e9 m\u016f\u017ee v\u010das odhalit p\u0159\u00edpadn\u00e9 roz\u0161\u00ed\u0159en\u00ed aorty a umo\u017enit zah\u00e1jen\u00ed v\u010dasn\u00e9 preventivn\u00ed l\u00e9\u010dby.\u00a0Screeningov\u00e9 vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed pouze jednou za \u017eivot\u00a0<\/b>a nen\u00ed ur\u010den\u00e9 pro mu\u017ee, kte\u0159\u00ed ji\u017e jsou na aneurysma abdomin\u00e1ln\u00ed aorty l\u00e9\u010deni nebo u nich\u017e bylo toto onemocn\u011bn\u00ed d\u0159\u00edve diagnostikov\u00e1no.<\/p>\n

N\u00e1v\u0161t\u011bva l\u00e9ka\u0159e<\/u><\/b><\/p>\n

Prvn\u00edm krokem je n\u00e1v\u0161t\u011bva praktick\u00e9ho l\u00e9ka\u0159e, kter\u00fd m\u016f\u017ee pacienta na screening AAA upozornit nap\u0159\u00edklad b\u011bhem preventivn\u00ed prohl\u00eddky.<\/b>\u00a0L\u00e9ka\u0159 pacienta informuje o p\u0159\u00ednosu screeningu a jeho samotn\u00e9m pr\u016fb\u011bhu. Pokud pacient se screeningem AAA souhlas\u00ed, vystav\u00ed mu l\u00e9ka\u0159 \u017e\u00e1danku na ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed.\u00a0Samotn\u00e9 vy\u0161et\u0159en\u00ed prob\u00edh\u00e1 na specializovan\u00fdch pracovi\u0161t\u00edch, jako jsou radiologick\u00e1 nebo angiologick\u00e1 odd\u011blen\u00ed.<\/b>\u00a0Seznam t\u011bchto pracovi\u0161\u0165 je dostupn\u00fd na webu\u00a0Radiologick\u00e9 spole\u010dnosti \u010cLS JEP<\/a><\/strong>\u00a0nebo na str\u00e1nk\u00e1ch\u00a0screeningov\u00e9ho programu<\/a><\/strong>\u00a0a pr\u016fb\u011b\u017en\u011b se aktualizuje. Vy\u0161et\u0159en\u00ed je zcela bezbolestn\u00e9, bezpe\u010dn\u00e9 a nen\u00e1ro\u010dn\u00e9.\u00a0Ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed abdomin\u00e1ln\u00ed aorty m\u00e1 vysokou p\u0159esnost a nen\u00ed spojeno s ionizuj\u00edc\u00edm z\u00e1\u0159en\u00edm.<\/b><\/p>\n

Po vy\u0161et\u0159en\u00ed<\/u><\/b><\/p>\n

N\u00e1sledn\u011b, na z\u00e1klad\u011b v\u00fdsledk\u016f ultrazvukov\u00e9ho vy\u0161et\u0159en\u00ed, se podniknou dal\u0161\u00ed kroky. Pacient se vr\u00e1t\u00ed ke sv\u00e9mu praktick\u00e9mu l\u00e9ka\u0159i, kter\u00fd ho sezn\u00e1m\u00ed s\u00a0v\u00fdsledky:<\/p>\n