{"id":359521,"date":"2025-10-19T09:59:42","date_gmt":"2025-10-19T08:59:42","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=359521"},"modified":"2025-10-19T09:59:42","modified_gmt":"2025-10-19T08:59:42","slug":"vseobecna-zdravotni-pojistovna-diagnozu-osteoporoza-slyselo-vloni-o-70-tisic-vice-klientu-vzp-nez-pred-10-lety","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=359521","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Diagn\u00f3zu osteopor\u00f3za sly\u0161elo vloni o 70 tis\u00edc v\u00edce klient\u016f VZP ne\u017e p\u0159ed 10 lety"},"content":{"rendered":"

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Osteopor\u00f3za p\u0159edstavuje jednu z\u00a0nej\u010dast\u011bj\u0161\u00edch metabolick\u00fdch chorob. Prob\u00edh\u00e1\u00a0<\/b>skryt\u011b a v\u011bt\u0161inou se na ni p\u0159ijde, kdy\u017e dojde ke zlomenin\u011b. Ta ve vy\u0161\u0161\u00edm v\u011bku s\u00a0sebou nese \u0159adu komplikac\u00ed. Podle\u00a0<\/b>odborn\u00edk\u016f ohro\u017euje osteopor\u00f3za a\u017e 750 tis\u00edc obyvatel \u010cR. Vloni se s\u00a0nemoc\u00ed l\u00e9\u010dilo 172 tis\u00edc klient\u016f VZP, co\u017e znamen\u00e1 60% n\u00e1r\u016fst za 10 let. Tiskovou zpr\u00e1vu vyd\u00e1v\u00e1me p\u0159i p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne osteopor\u00f3zy (20. \u0159\u00edjna).<\/b><\/h6>\n

\u201eZ celkov\u00e9ho po\u010dtu klient\u016f s\u00a0osteopor\u00f3zou bylo\u00a0pln\u00fdch 90 % \u017een, 156 tis\u00edc. Z dat V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny vypl\u00fdv\u00e1, \u017ee za posledn\u00edch 10 let po\u010det klient\u016f s\u00a0touto nemoc\u00ed stoupl o t\u00e9m\u011b\u0159 70 tis\u00edc.\u00a0S\u00a0n\u00e1r\u016fstem nemocn\u00fdch rostou sice celkov\u00e9 n\u00e1klady na l\u00e9\u010dbu, ale za posledn\u00edch deset let se sn\u00ed\u017eily pr\u016fm\u011brn\u00e9 n\u00e1klady z\u00a05 tis\u00edc na 4,4 tis\u00edce korun,\u201c<\/em> \u0159\u00edk\u00e1\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di, a dod\u00e1v\u00e1: \u201eZa n\u00e1r\u016fstem po\u010dtu klient\u016f s\u00a0osteopor\u00f3zou vid\u00edme p\u0159edev\u0161\u00edm st\u00e1rnut\u00ed populace, zlep\u0161enou diagnostiku a \u0161ir\u0161\u00ed dostupnost screeningov\u00fdch vy\u0161et\u0159en\u00ed. V\u010dasn\u00e9 odhalen\u00ed znamen\u00e1 ov\u0161em i v\u010dasnou l\u00e9\u010dbu.\u201c<\/em><\/p>\n

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\u201ePrvn\u00edm klinick\u00fdm p\u0159\u00edznakem je zlomenina p\u0159i relativn\u011b mal\u00e9m \u00faraze. Pacienti jsou p\u0159ekvapen\u00ed, \u017ee se stala. Zlomeniny se t\u00fdkaj\u00ed hlavn\u011b \u017een, proto\u017ee u nich doch\u00e1z\u00ed k\u00a0rychlej\u0161\u00ed ztr\u00e1t\u011b kostn\u00ed hmoty v\u00a0postmenopauz\u00e1ln\u00edm obdob\u00ed, u mu\u017e\u016f nastupuje osteopor\u00f3za hlavn\u011b po sedmdes\u00e1tce. Prevence je jednoduch\u00e1, ale mus\u00ed b\u00fdt celo\u017eivotn\u00ed. Sta\u010d\u00ed m\u00edt dostate\u010dn\u00fd pohyb, j\u00edst denn\u011b jeden a\u017e dva ml\u00e9\u010dn\u00e9 v\u00fdrobky a m\u00edt dostate\u010dn\u00fd p\u0159\u00edsun vitam\u00ednu D. V\u00a0l\u00e9t\u011b k n\u011bmu sta\u010d\u00ed slunce, ale v\u00a0zim\u011b a u pacient\u016f nad 60 let u\u017e je dobr\u00e9 jej dopl\u0148ovat pomoc\u00ed dopl\u0148k\u016f stravy,\u201c<\/em> \u0159\u00edk\u00e1 MUDr.\u00a0Richard Pikner, Ph.D., ve\u00a0videoporadn\u011b VZP<\/a>.<\/strong><\/p>\n

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Prevence osteopor\u00f3zy<\/b><\/p>\n

\u27a4\u00a0pravideln\u00fd pohyb:<\/b>\u00a0ide\u00e1ln\u011b hodinu denn\u011b
\n\u27a4\u00a0v\u00e1pn\u00edk:<\/b>\u00a0hlavn\u00edm zdrojem jsou ml\u00e9\u010dn\u00e9 v\u00fdrobky
\n\u27a4\u00a0vitam\u00edn D:<\/b> v\u011bt\u0161inou sta\u010d\u00ed m\u00edrn\u00e9 opalov\u00e1n\u00ed, ale od 60 let v\u011bku a v\u00a0zim\u011b bychom si m\u011bli vitam\u00edn D dopl\u0148ovat prost\u0159ednictv\u00edm potravinov\u00fdch dopl\u0148k\u016f<\/p>\n<\/div>\n

Screening osteopor\u00f3zy VZP<\/b><\/p>\n

Program \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy, kter\u00fd prob\u00edh\u00e1 v\u00a0r\u00e1mci preventivn\u00edch prohl\u00eddek u praktick\u00fdch l\u00e9ka\u0159\u016f a ambulantn\u00edch gynekolog\u016f, je ur\u010den zejm\u00e9na star\u0161\u00edm lidem pat\u0159\u00edc\u00edm mezi neohro\u017een\u011bj\u0161\u00ed skupiny. Z\u00e1chyt se prov\u00e1d\u00ed pomoc\u00ed dotazn\u00edku FRAX, u \u017een nad 60 a mu\u017e\u016f nad 70 let pak p\u0159\u00edmo pomoc\u00ed m\u011b\u0159en\u00ed denzitometrem. \u010cesko se p\u0159ed spu\u0161t\u011bn\u00edm programu pot\u00fdkalo s\u00a0nedostate\u010dnou p\u0159\u00edstrojovou vybavenost\u00ed, denzitometr\u016f bylo v\u00a0\u010cR pouze 91. Jednalo se t\u00e9m\u011b\u0159 v\u00fdhradn\u011b o pracovi\u0161t\u011b radiologie, interny \u010di osteologie.\u00a0<\/b>V\u00a0sou\u010dasn\u00e9 dob\u011b pom\u00e1haj\u00ed s\u00a0ur\u010den\u00edm hustoty kostn\u00ed hmoty u\u017e na 215 m\u00edstech. T\u00e9m\u011b\u0159 polovina z\u00a0nich dnes slou\u017e\u00ed v\u00a0ordinac\u00edch gynekolog\u016f a praktick\u00fdch l\u00e9ka\u0159\u016f.\u00a0Screeningem pro\u0161lo d\u00edky tomu ji\u017e 360 tis\u00edc klient\u016f, jich\u017e se t\u00fdk\u00e1.\u00a0<\/b><\/p>\n

N\u00e1klady na prvn\u00ed dva roky programu z\u00e1chytu osteopor\u00f3zy dos\u00e1hly 320 milion\u016f korun, oproti p\u0159edpokl\u00e1dan\u00fdm 354 milion\u016fm. Nav\u00edc se VZP \u010cR poda\u0159ilo splnit c\u00edl p\u016fvodn\u011b pl\u00e1novan\u00fd na rok 2030. Konkr\u00e9tn\u011b do\u0161lo k\u00a0nav\u00fd\u0161en\u00ed po\u010dtu denzitometr\u016f 1,5kr\u00e1t a aktu\u00e1ln\u011b je 20 p\u0159\u00edstroj\u016f na milion obyvatel.<\/p>\n

Koho se osteopor\u00f3za t\u00fdk\u00e1<\/b><\/p>\n

Pr\u016fb\u011bh nemoci je v\u011bt\u0161inou bezp\u0159\u00edznakov\u00fd a bezbolestn\u00fd, pacient o n\u00ed do prvn\u00ed zlomeniny \u010dasto nem\u00e1 tu\u0161en\u00ed. N\u011bkdy se m\u016f\u017ee projevit pozorovateln\u00fdm zak\u0159iven\u00edm p\u00e1te\u0159e, pobol\u00edv\u00e1n\u00edm zad \u010di sni\u017euj\u00edc\u00ed se v\u00fd\u0161kou pacienta. Zda pat\u0159\u00edte do rizikov\u00e9 skupiny a bylo by pro v\u00e1s vhodn\u00e9 podstoupit vy\u0161et\u0159en\u00ed na denzitometru, porad\u00ed nejl\u00e9pe v\u00e1\u0161 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 (praktick\u00fd l\u00e9ka\u0159, u \u017een tak\u00e9 gynekolog). Obecn\u011b b\u00fdvaj\u00ed k\u00a0onemocn\u011bn\u00ed n\u00e1chyln\u011bj\u0161\u00ed ku\u0159\u00e1ci, lid\u00e9 u\u017e\u00edvaj\u00edc\u00ed nadm\u011brn\u011b alkohol, chronicky nemocn\u00ed u\u017e\u00edvaj\u00edc\u00ed dlouhodob\u011b n\u011bkter\u00fd typ l\u00e9\u010div \u010di lid\u00e9 s\u00a0v\u00fdskytem osteopor\u00f3zy v\u00a0rodin\u011b.<\/b><\/p>\n

Metodika \u010dasn\u00e9ho z\u00e1chytu onemocn\u011bn\u00ed v\u00a0populaci<\/b><\/b><\/p>\n

A. \u017deny do roku po menopauze do 59 let, mu\u017ei od 65 do 69 let<\/b><\/p>\n

Jako sou\u010d\u00e1st preventivn\u00ed prohl\u00eddky ve dvoulet\u00fdch intervalech u v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e nebo u gynekologa je ur\u010dena anamn\u00e9za a vypln\u011bn jednoduch\u00fd dotazn\u00edk FRAX. Pokud vznikne podez\u0159en\u00ed na onemocn\u011bn\u00ed osteopor\u00f3zou, je u pacientky\/pacienta provedeno m\u011b\u0159en\u00ed denzitometrem. (Dle v\u00fdsledku denzitometrick\u00e9ho vy\u0161et\u0159en\u00ed n\u00e1sleduje dal\u0161\u00ed postup, bu\u010f pravideln\u00e9 sledov\u00e1n\u00ed pacienta a zah\u00e1jen\u00ed l\u00e9\u010dby, nebo odesl\u00e1n\u00ed ke klinick\u00e9mu osteologovi \u010di jin\u00e9mu specializovan\u00e9mu l\u00e9ka\u0159i.)<\/p>\n

B. \u017deny od 60 let a mu\u017ei od 70 let<\/b><\/p>\n

V r\u00e1mci preventivn\u00ed prohl\u00eddky u v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e nebo u gynekologa je rovnou indikov\u00e1no m\u011b\u0159en\u00ed kostn\u00ed hustoty denzitometrem. M\u016f\u017ee b\u00fdt provedeno bu\u010f p\u0159\u00edmo v ordinaci registruj\u00edc\u00edho l\u00e9ka\u0159e, nebo je pacient odesl\u00e1n na p\u0159\u00edslu\u0161n\u00e9 specializovan\u00e9 pracovi\u0161t\u011b. (Dle v\u00fdsledku denzitometrick\u00e9ho vy\u0161et\u0159en\u00ed n\u00e1sleduje dal\u0161\u00ed postup, bu\u010f pravideln\u00e9 sledov\u00e1n\u00ed pacienta a zah\u00e1jen\u00ed l\u00e9\u010dby, nebo odesl\u00e1n\u00ed ke klinick\u00e9mu osteologovi \u010di jin\u00e9mu specializovan\u00e9mu l\u00e9ka\u0159i.)<\/p>\n

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

\n

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

Osteopor\u00f3za p\u0159edstavuje <\/p>\n","protected":false},"author":2,"featured_media":359523,"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\/10\/19\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/359521"}],"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=359521"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/359521\/revisions"}],"predecessor-version":[{"id":359524,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/359521\/revisions\/359524"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/359523"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=359521"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=359521"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=359521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}