{"id":361064,"date":"2025-11-13T14:10:26","date_gmt":"2025-11-13T13:10:26","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=361064"},"modified":"2025-11-13T14:10:26","modified_gmt":"2025-11-13T13:10:26","slug":"vseobecna-zdravotni-pojistovna-plocha-noha-trapi-pres-32-tisic-skolaku-polovina-kvuli-tomu-pouziva-zdravotnicke-prostredky","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=361064","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Ploch\u00e1 noha tr\u00e1p\u00ed p\u0159es 32 tis\u00edc \u0161kol\u00e1k\u016f, polovina kv\u016fli tomu pou\u017e\u00edv\u00e1 zdravotnick\u00e9 prost\u0159edky"},"content":{"rendered":"

\"\"<\/p>\n

Bolesti nohou a chodidel, ale tak\u00e9 kolen, ky\u010dl\u00ed, p\u00e1te\u0159e a zad. To v\u0161e mohou zp\u016fsobit ploch\u00e9 nohy. Tato diagn\u00f3za tr\u00e1p\u00ed p\u0159es\u00a0<\/b>32 tis\u00edc d\u011btsk\u00fdch klient\u016f V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny. Za p\u011bt let se jejich po\u010det zv\u00fd\u0161il o desetinu a n\u00e1klady na fyzioterapii p\u0159es\u00e1hly vloni 16 milion\u016f korun.<\/b><\/b><\/h6>\n

\u201ePloch\u00e1 noha tr\u00e1p\u00ed zhruba o t\u0159etinu v\u00edce chlapce ne\u017e d\u00edvky do 18 let a nejv\u00edce p\u0159\u00edpad\u016f bylo zaznamen\u00e1no u d\u011bt\u00ed ve v\u011bku 3\u20137 let, kde bylo zhruba 13 tis\u00edc klient\u016f. Pr\u00e1v\u011b toto obdob\u00ed je dlouhodob\u011b kl\u00ed\u010dov\u00e9 pro zachycen\u00ed a l\u00e9\u010dbu diagn\u00f3zy, zat\u00edmco u star\u0161\u00edch v\u011bkov\u00fdch skupin po\u010dty systematicky klesaj\u00ed,\u201c<\/em> \u0159\u00edk\u00e1\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di, a dod\u00e1v\u00e1: \u201eZ\u00a0celkov\u00e9ho po\u010dtu d\u011bt\u00ed s\u00a0plochou nohou tak v\u00edce ne\u017e polovina m\u00e1 poukaz na ortopedick\u00e9 pom\u016fcky hrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Jen v\u00a0p\u0159\u00edpad\u011b VZP p\u0159edstavovaly n\u00e1klady 16,7 milionu korun.\u201c<\/em><\/b><\/a><\/p>\n

\u201eZa vznik ploch\u00fdch nohou m\u016f\u017ee hlavn\u011b genetika a ta se projev\u00ed d\u0159\u00edv nebo pozd\u011bji na z\u00e1klad\u011b vn\u011bj\u0161\u00edch p\u0159\u00ed\u010din. Jedn\u00e1 se o dlouhodobou nadm\u011brnou z\u00e1t\u011b\u017e, zv\u00fd\u0161enou t\u011blesnou hmotnost a nevhodnou obuv. Bolest se n\u00e1sledn\u011b objev\u00ed po z\u00e1t\u011b\u017ei, del\u0161\u00ed ch\u016fzi nebo st\u00e1n\u00ed. Obt\u00ed\u017ee se typicky vyskytuj\u00ed na vnit\u0159n\u00ed stran\u011b nohy od paty k prst\u016fm a na k\u016f\u017ei mohou vznikat bolestiv\u00e9 otlaky,\u201c<\/em> uv\u00e1d\u00ed doc. MUDr.\u00a0Rastislav Hrom\u00e1dka, Ph.D., z I. ortopedick\u00e9 kliniky 1. LF UK a FN Motol a dod\u00e1v\u00e1: \u201eV\u011bt\u0161inou vid\u00edm pacienty kolem 6. roku \u017eivota. Ov\u0161em nemus\u00ed hned m\u00edt plochou nohu, ale pouze sn\u00ed\u017eenou, proto\u017ee nem\u00e1 spr\u00e1vnou fyzickou z\u00e1t\u011b\u017e. Zde podpo\u0159\u00edme rodi\u010de a d\u00edt\u011b, aby se h\u00fdbalo a pos\u00edlilo svaly. Noha se potom v\u00a0pr\u016fb\u011bhu v\u00fdvoje vyklene a z\u00edsk\u00e1 fyziologick\u00fd tvar. V\u0161ichni se rod\u00edme s\u00a0n\u011bjakou formou plochono\u017e\u00ed, ale v\u00a0pr\u016fb\u011bhu prvn\u00edch 12 let se noha stane pevnou a klenutou. Pokud u\u017e se ale jedn\u00e1 o plochou nohu, \u0159e\u0161en\u00edm je hlavn\u011b fyzioterapie, a nejen vlo\u017eka do bot. Ta je pouze podporou fyzioterapeuta, aby noha nebolela.\u201c<\/em><\/p>\n

Ploch\u00e1 noha p\u0159edstavuje pokles no\u017en\u00ed klenby, kter\u00fd vede k n\u00e1sledn\u00e9 deformaci spr\u00e1vn\u00e9ho do\u0161lapu chodidel. Zborcen\u00e1 klenba negativn\u011b dopad\u00e1 i na dal\u0161\u00ed \u010d\u00e1sti pohybov\u00e9ho apar\u00e1tu. P\u0159ich\u00e1z\u00ed bolest kotn\u00edk\u016f, vznikaj\u00ed k\u0159e\u010dov\u00e9 \u017e\u00edly, dostavuje se pocit t\u011b\u017ek\u00fdch l\u00fdtek. Bolest se od chodidel p\u0159en\u00e1\u0161\u00ed do kolen, ky\u010dl\u00ed, p\u00e1te\u0159e. Pr\u00e1v\u011b bolest zad pat\u0159\u00ed mezi \u010dast\u00e9 d\u016fsledky toho, \u017ee se klenba na obou noh\u00e1ch nepropad\u00e1 stejn\u00fdm tempem.<\/p>\n

\"\"<\/p>\n

P\u0159\u00edznaky ploch\u00fdch nohou:<\/b><\/h6>\n

\u27a4\u00a0Bolesti:<\/b>\u00a0nej\u010dast\u011bji v oblasti zad, kolen, kotn\u00edk\u016f a pat
\n\u27a4\u00a0\u00danava:<\/b>\u00a0zt\u011b\u017ekl\u00e1 l\u00fdtka a pocit \u00fanavy po del\u0161\u00ed ch\u016fzi
\n\u27a4\u00a0Otoky:<\/b>\u00a0mohou se objevit\u00a0v oblasti chodidel a kotn\u00edk\u016f
\n\u27a4\u00a0Nestabilita:<\/b>\u00a0zhor\u0161en\u00e1 rovnov\u00e1ha a probl\u00e9my s ch\u016fz\u00ed
\n\u27a4\u00a0P\u00e1len\u00ed nebo chlad na chodidlech:<\/b>\u00a0objev\u00ed se v\u00a0pokro\u010dilej\u0161\u00edch f\u00e1z\u00edch
\n\u27a4\u00a0Valg\u00f3zn\u00ed paty:<\/b>\u00a0vbo\u010den\u00ed paty, kdy pata nestoj\u00ed kolmo na podlo\u017ece<\/p>\n

Prevence a l\u00e9\u010dba ploch\u00fdch nohou:<\/b><\/h6>\n

\u27a4\u00a0Posilov\u00e1n\u00ed a cvi\u010den\u00ed:<\/b>\u00a0cviky na aktivaci no\u017en\u00ed klenby
\n\u27a4\u00a0Vhodn\u00e1 obuv:<\/b>\u00a0boty s\u00a0pevnou podporou paty a\u00a0vytvarovanou st\u00e9lkou, ni\u017e\u0161\u00ed podpatek
\n\u27a4\u00a0Ortopedick\u00e9 pom\u016fcky:<\/b>\u00a0vlo\u017eky do bot (srd\u00ed\u010dka, ortopedick\u00e9 nebo mas\u00e1\u017en\u00ed) podpo\u0159\u00ed klenbu
\n\u27a4\u00a0Ch\u016fze naboso
\n<\/b>\u27a4<\/b>\u00a0Rehabilitace
\n<\/b>\u27a4<\/b>\u00a0<\/b>Regulace hmotnosti<\/b><\/p>\n

\u00a0(vzp)<\/strong><\/p>\n

\n

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

Bolesti nohou <\/p>\n","protected":false},"author":2,"featured_media":361066,"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\/11\/06\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/361064"}],"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=361064"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/361064\/revisions"}],"predecessor-version":[{"id":361067,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/361064\/revisions\/361067"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/361066"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=361064"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=361064"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=361064"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}