{"id":359601,"date":"2025-10-21T10:07:52","date_gmt":"2025-10-21T09:07:52","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=359601"},"modified":"2025-10-21T10:07:52","modified_gmt":"2025-10-21T09:07:52","slug":"vseobecna-zdravotni-pojistovna-moznosti-lecby-lupenky","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=359601","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Mo\u017enosti l\u00e9\u010dby lup\u00e9nky"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Jak\u00e9 jsou mo\u017enosti l\u00e9\u010dby lup\u00e9nky a kter\u00e9 z nich jsou hrazeny zdravotn\u00ed poji\u0161\u0165ovnou?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Lup\u00e9nka (psori\u00e1za) je neinfek\u010dn\u00ed chronick\u00e9, z\u00e1n\u011btliv\u00e9 a \u010d\u00e1ste\u010dn\u011b d\u011bdi\u010dn\u00e9 autoimunitn\u00ed onemocn\u011bn\u00ed, kter\u00e9 se nej\u010dast\u011bji projevuje na k\u016f\u017ei, ale m\u016f\u017ee postihovat i klouby a nehty.<\/b>\u00a0P\u0159\u00ed\u010dina onemocn\u011bn\u00ed nen\u00ed dosud zcela zn\u00e1ma, a proto zat\u00edm neexistuje kauz\u00e1ln\u00ed (p\u0159\u00ed\u010dinn\u00e1) l\u00e9\u010dba. C\u00edlem dostupn\u00e9 l\u00e9\u010dby je zm\u00edrn\u011bn\u00ed p\u0159\u00edznak\u016f a zlep\u0161en\u00ed kvality \u017eivota.\u00a0Diagnostiku a l\u00e9\u010dbu lup\u00e9nky stanovuje zejm\u00e9na dermatolog, v lehk\u00fdch p\u0159\u00edpadech ji pak m\u016f\u017ee l\u00e9\u010dit i praktick\u00fd l\u00e9ka\u0159. P\u0159i posti\u017een\u00ed kloub\u016f je do p\u00e9\u010de zapojen tak\u00e9 revmatolog.<\/b><\/p>\n

Jak\u00e9 jsou formy lup\u00e9nky?<\/b><\/p>\n

Existuje v\u00edce druh\u016f lup\u00e9nky. Mezi nej\u010dast\u011bj\u0161\u00ed pat\u0159\u00ed lo\u017eiskov\u00e1 lup\u00e9nka<\/b>,\u00a0kapkovit\u00e1 forma<\/b>,\u00a0lup\u00e9nka kloub\u016f a lup\u00e9nka neht\u016f<\/b>. K vz\u00e1cn\u011bj\u0161\u00edm typ\u016fm pat\u0159\u00ed\u00a0inverzn\u00ed lup\u00e9nka<\/b>, vyskytuj\u00edc\u00ed se v ko\u017en\u00edch z\u00e1hybech zejm\u00e9na u pacient\u016f s\u00a0obezitou, a\u00a0pustul\u00f3zn\u00ed lup\u00e9nka<\/b>, charakteristick\u00e1 v\u00fdsevem puch\u00fd\u0159k\u016f napln\u011bn\u00fdch neinfek\u010dn\u00edm hnisem po cel\u00e9m t\u011ble nebo pouze na dlan\u00edch, nohou a kone\u010dc\u00edch prst\u016f. Nejz\u00e1va\u017en\u011bj\u0161\u00edmi formami jsou\u00a0generalizovan\u00e1 pustul\u00f3zn\u00ed lup\u00e9nka a erytrodermick\u00e1 lup\u00e9nka<\/b>, kter\u00e9 postihuj\u00ed v\u011bt\u0161inu t\u011bla, jsou spojeny s\u00a0bolestiv\u00fdmi, p\u00e1liv\u00fdmi lo\u017eisky nebo puch\u00fd\u0159ky na cel\u00e9m t\u011ble a celkov\u00fdmi p\u0159\u00edznaky (nap\u0159. hore\u010dka) a obvykle vy\u017eaduj\u00ed okam\u017eitou hospitalizaci pacienta.<\/p>\n

Lup\u00e9nku mohou spustit nebo zhor\u0161it r\u016fzn\u00e9 faktory jako je nap\u0159\u00edklad psychick\u00fd stres, infekce, hormon\u00e1ln\u00ed zm\u011bny nebo r\u016fzn\u00e1 chronick\u00e1 onemocn\u011bn\u00ed (nap\u0159\u00edklad cukrovka, alergie, dna).<\/b>\u00a0Nep\u0159\u00edzniv\u00fd vliv maj\u00ed i n\u011bkter\u00e9 l\u00e9ky, ro\u010dn\u00ed obdob\u00ed (zejm\u00e9na podzim a zima) a nezdrav\u00fd \u017eivotn\u00ed styl v\u010detn\u011b kou\u0159en\u00ed, alkoholu, obezity \u010di nedostatku sp\u00e1nku.<\/b><\/p>\n

Jak se lup\u00e9nka l\u00e9\u010d\u00ed a co hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna?<\/b><\/p>\n

M\u00edrn\u00e1 forma lup\u00e9nky<\/strong>\u00a0je zpravidla l\u00e9\u010dena<\/b>\u00a0lok\u00e1ln\u00edmi p\u0159\u00edpravky<\/strong>, nap\u0159\u00edklad mastmi, kr\u00e9my nebo roztoky.<\/b>\u00a0Pou\u017e\u00edvaj\u00ed se nap\u0159\u00edklad kortikosteroidy, deriv\u00e1ty vitam\u00ednu D3, retinoidy, inhibitory kalcineurinu nebo l\u00e9\u010diva s obsahem dehtu.\u00a0V\u011bt\u0161ina t\u011bchto l\u00e9k\u016f je\u00a0\u010d\u00e1ste\u010dn\u011b nebo pln\u011b hrazena<\/strong>\u00a0z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/b>\u00a0V\u00fdjimku tvo\u0159\u00ed p\u0159\u00edpravky, kter\u00e9 nemaj\u00ed St\u00e1tn\u00edm \u00fastavem pro kontrolu l\u00e9\u010div stanovenou \u00fahradu ze zdravotn\u00edho poji\u0161t\u011bn\u00ed, a proto si je pacient hrad\u00ed s\u00e1m. Jedn\u00e1 se o voln\u011b prodejn\u00e9 l\u00e9ky k\u00a0dost\u00e1n\u00ed bez l\u00e9ka\u0159sk\u00e9ho p\u0159edpisu.\u00a0Naopak individu\u00e1ln\u011b p\u0159ipravovan\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky s\u00a0obsahem dehtu, kter\u00e9 jsou vyd\u00e1v\u00e1ny na l\u00e9ka\u0159sk\u00fd p\u0159edpis, jsou pln\u011b hrazeny z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/b>\u00a0\u00dahradu poji\u0161\u0165ovny neposkytuj\u00ed u p\u0159\u00edpravk\u016f neregistrov\u00e1n\u00fdch jako l\u00e9\u010diva a prod\u00e1van\u00fdch jako kosmetika, i kdy\u017e jsou dostupn\u00e9 v l\u00e9k\u00e1rn\u00e1ch.<\/b><\/p>\n

St\u0159edn\u011b t\u011b\u017ek\u00e1 a\u017e t\u011b\u017ek\u00e1 forma psori\u00e1zy \u010dasto vy\u017eaduje l\u00e9\u010dbu fototerapi\u00ed, nap\u0159\u00edklad lok\u00e1ln\u00ed nebo celkovou terapi\u00ed UVB z\u00e1\u0159en\u00edm \u010di PUVA terapi\u00ed. Mezi pokro\u010dil\u00e9 metody pat\u0159\u00ed balneofototerapie, l\u00e9\u010dba excimerov\u00fdm laserem nebo monochromatick\u00fdm sv\u011btlem, l\u00e9\u010debn\u00e9 koupele apod.<\/b>\u00a0Tyto v\u00fdkony jsou za\u0159azeny v seznamu zdravotn\u00edch v\u00fdkon\u016f pro odbornost dermatovenerologie a jsou hrazeny z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed pouze na z\u00e1klad\u011b doporu\u010den\u00ed specialisty. V n\u011bkter\u00fdch p\u0159\u00edpadech l\u00e9ka\u0159 zvol\u00ed syst\u00e9movou l\u00e9\u010dbu v\u011bt\u0161inou ve form\u011b tablet nebo injekc\u00ed, kter\u00e9 p\u016fsob\u00ed na t\u011blo jako celek. Jedn\u00e1 se o methotrex\u00e1t, cyklosporin nebo retinoidy. I tato l\u00e9\u010dba (pokud je indikov\u00e1na specialistou) je hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

U pacient\u016f s nejt\u011b\u017e\u0161\u00edmi formami lup\u00e9nky, kte\u0159\u00ed nereaguj\u00ed na b\u011b\u017en\u011b dostupnou l\u00e9\u010dbu, je mo\u017en\u00e1 tzv. biologick\u00e1 l\u00e9\u010dba.<\/b>\u00a0Biologick\u00e1 l\u00e9\u010dba je modern\u00ed terapie, kter\u00e1 c\u00edlen\u00fdm ovlivn\u011bn\u00edm imunitn\u00edho syst\u00e9mu sni\u017euje specifickou z\u00e1n\u011btlivou odpov\u011b\u010f organismu a t\u00edm i projevy onemocn\u011bn\u00ed. Tato l\u00e9\u010dba m\u016f\u017ee v\u00fdznamn\u011b zlep\u0161it stav k\u016f\u017ee i kloub\u016f a p\u0159isp\u00edv\u00e1 ke zlep\u0161en\u00ed celkov\u00e9 kvality \u017eivota pacienta. Biologick\u00e1 l\u00e9\u010dba je velmi n\u00e1kladn\u00e1 a je soust\u0159ed\u011bna do\u00a0specializovan\u00fdch center<\/strong>. Hrazena je jak pacient\u016fm s t\u011b\u017ekou ko\u017en\u00ed formou lup\u00e9nky, tak i t\u011bm, kte\u0159\u00ed trp\u00ed psoriatickou artritidou (kloubn\u00ed formou lup\u00e9nky).\u00a0Tato forma l\u00e9\u010dby p\u0159ich\u00e1z\u00ed v \u00favahu zejm\u00e9na tehdy, pokud lup\u00e9nka postihuje alespo\u0148 10 % povrchu t\u011bla nebo se vyskytuje na obt\u00ed\u017en\u011b l\u00e9\u010diteln\u00fdch m\u00edstech (nap\u0159\u00edklad ve vlasech \u010di na chodidlech).\u00a0<\/b>Indika\u010dn\u00ed krit\u00e9ria pro zah\u00e1jen\u00ed biologick\u00e9 l\u00e9\u010dby stanovuje St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div.<\/p>\n

Kdy se u lup\u00e9nky doporu\u010duje l\u00e1ze\u0148sk\u00e1 l\u00e9\u010dba?<\/b><\/p>\n

L\u00e1ze\u0148sk\u00e1 l\u00e9\u010dba<\/strong>\u00a0je hrazena pouze u<\/b>\u00a0t\u011b\u017ek\u00fdch forem lup\u00e9nky<\/strong>.\u00a0Je ur\u010dena jako navazuj\u00edc\u00ed l\u00e9\u010dba po hospitalizaci, p\u0159\u00edpadn\u011b jako jej\u00ed alternativa\u00a0<\/b>v\u00a0l\u00e1ze\u0148sk\u00fdch za\u0159\u00edzen\u00edch, kter\u00e1 vyu\u017e\u00edvaj\u00ed p\u0159\u00edrodn\u00ed miner\u00e1ln\u00ed vodu s obsahem s\u00edry, j\u00f3du nebo soli.<\/b>\u00a0Komplexn\u00ed l\u00e1ze\u0148sk\u00e1 p\u00e9\u010de je hrazena po dobu 28 dn\u00ed s\u00a0mo\u017enost\u00ed prodlou\u017een\u00ed dle zdravotn\u00edho stavu<\/strong>\u00a0a je mo\u017en\u00e9 ji \u010derpat\u00a01kr\u00e1t ro\u010dn\u011b<\/strong>.<\/b>\u00a0L\u00e1ze\u0148skou l\u00e9\u010dbu m\u016f\u017ee indikovat dermatovenerolog, revmatolog nebo rehabilita\u010dn\u00ed l\u00e9ka\u0159, u d\u011bt\u00ed i pediatr nebo praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a dorost.<\/b>\u00a0L\u00e1ze\u0148sk\u00e1 za\u0159\u00edzen\u00ed, kter\u00e1 maj\u00ed s VZP smlouvu, uv\u00e1d\u00edme na\u00a0webu VZP<\/a><\/strong>.\u00a0L\u00e9\u010debn\u00e9 pobyty u Mrtv\u00e9ho mo\u0159e\u00a0nejsou hrazeny<\/strong>\u00a0z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/b><\/p>\n

\n

Lup\u00e9nka v\u00fdrazn\u011b ovliv\u0148uje psychickou pohodu pacient\u016f.<\/b>\u00a0Jej\u00ed viditeln\u00e9 a nep\u0159\u00edjemn\u00e9 projevy na k\u016f\u017ei, jako jsou \u0161upiny a sv\u011bd\u011bn\u00ed, \u010dasto zp\u016fsobuj\u00ed stigmatizaci a vedou k soci\u00e1ln\u00edmu vylou\u010den\u00ed. Ka\u017edodenn\u00ed boj s t\u00edmto onemocn\u011bn\u00edm je pro pacienta vy\u010derp\u00e1vaj\u00edc\u00ed, l\u00e9\u010dba nemus\u00ed p\u0159in\u00e1\u0161et v\u017edy o\u010dek\u00e1van\u00e9 v\u00fdsledky, co\u017e m\u016f\u017ee zp\u016fsobit psychick\u00e9 obt\u00ed\u017ee a sn\u00ed\u017eit sebev\u011bdom\u00ed.\u00a0Nad r\u00e1mec psychiatrick\u00e9 a psychoterapeutick\u00e9 p\u00e9\u010de hrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed,<\/b>\u00a0nab\u00edz\u00ed VZP\u00a0<\/b>p\u0159\u00edsp\u011bvek a\u017e 5 000 K\u010d<\/b><\/a>\u00a0na p\u00e9\u010di o du\u0161evn\u00ed zdrav\u00ed.<\/b>\u00a0Tento p\u0159\u00edsp\u011bvek je ur\u010den na terapie u poskytovatel\u016f spolupracuj\u00edc\u00edch s\u00a0VZP, kte\u0159\u00ed pom\u00e1haj\u00ed zm\u00edrnit nebo odstranit psychick\u00e9 pot\u00ed\u017ee.<\/p>\n

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

\n

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

OT\u00c1ZKA: Jak\u00e9 <\/p>\n","protected":false},"author":2,"featured_media":359602,"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\/20\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/359601"}],"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=359601"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/359601\/revisions"}],"predecessor-version":[{"id":359603,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/359601\/revisions\/359603"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/359602"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=359601"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=359601"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=359601"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}