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<\/p>\n<\/p>\n
V\u00a0\u0159ad\u011b p\u0159\u00edpad\u016f se jedn\u00e1 o modern\u011bj\u0161\u00ed (\u0161etrn\u011bj\u0161\u00ed \u010di efektivn\u011bj\u0161\u00ed) metody a postupy p\u0159i operativn\u00edch z\u00e1kroc\u00edch, v\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech jde ale o zcela nov\u00e9 typy v\u00fdkon\u016f, kter\u00e9 budou od ledna zdravotn\u00edmi poji\u0161\u0165ovnami hrazeny. N\u011bkter\u00e9 mohou b\u00fdt za\u0159azeny ihned, jin\u00e9 budou vy\u017eadovat dopln\u011bn\u00ed nap\u0159\u00edklad smluvn\u00edch podm\u00ednek s\u00a0poskytovateli zdravotn\u00ed p\u00e9\u010de (n\u00ed\u017ee uveden\u00fd v\u00fd\u010det nen\u00ed kompletn\u00ed, p\u0159in\u00e1\u0161\u00ed p\u0159ehled v\u00fdznamn\u011bj\u0161\u00edch zm\u011bn).<\/p>\n
Terapie n\u011bkter\u00fdch n\u00e1dorov\u00fdch onemocn\u011bn\u00ed budou roz\u0161\u00ed\u0159eny o metodu hloubkov\u00e9 hypertermie (m\u016f\u017ee b\u00fdt vhodn\u00e1 u n\u00e1dor\u016f hlavy a krku, sarkom\u016f, zhoubn\u00fdch n\u00e1dor\u016f oblasti b\u0159icha a p\u00e1nve nebo recidiv, kde ji\u017e nen\u00ed doporu\u010deno opera\u010dn\u00ed \u0159e\u0161en\u00ed). Metoda spo\u010d\u00edv\u00e1 v neinvazivn\u00edm oh\u0159evu n\u00e1doru. Zv\u00fd\u0161en\u00e1 teplota m\u016f\u017ee m\u00edt p\u0159\u00edmo p\u0159\u00edzniv\u00fd vliv na zpomalen\u00ed r\u016fstu n\u00e1doru, ale hlavn\u011b zvy\u0161uje citlivost n\u00e1dorov\u00e9 tk\u00e1n\u011b na radioterapii a chemoterapii, se kter\u00fdmi se tato metoda kombinuje. Tak\u00e9 jsou roz\u0161\u00ed\u0159eny mo\u017enosti p\u0159esn\u011bj\u0161\u00edho zac\u00edlen\u00ed radioterapie pomoc\u00ed 4D zobrazen\u00ed a stereotaktick\u00e9 radioterapie s intrafrak\u010dn\u00ed monitorac\u00ed (tzv. IG-STX). Tyto metody umo\u017e\u0148uj\u00ed b\u011bhem velmi p\u0159esn\u00e9ho oz\u00e1\u0159en\u00ed n\u00e1doru neust\u00e1l\u00e9 sledov\u00e1n\u00ed jeho polohy v re\u00e1ln\u00e9m \u010dase, aby se z\u00e1\u0159en\u00ed p\u0159izp\u016fsobilo i drobn\u00fdm pohyb\u016fm t\u011bla (nap\u0159. p\u0159i d\u00fdch\u00e1n\u00ed) a t\u00edm se maxim\u00e1ln\u011b chr\u00e1nily zdrav\u00e9 tk\u00e1n\u011b p\u0159i oza\u0159ov\u00e1n\u00ed.<\/p>\n
Vzhledem k n\u00e1r\u016fstu v\u00fdskytu n\u00e1dor\u016f tlust\u00e9ho st\u0159eva u pacient\u016f ve v\u011bkov\u00e9 skupin\u011b od 45 let doch\u00e1z\u00ed od ledna ke zm\u011bn\u011b ve screeningov\u00e9m programu. Nov\u011b bude ur\u010den poji\u0161t\u011bnc\u016fm ve v\u011bku 45\u201374 let (doposud to bylo od 50 let). V\u00a045 letech se pacient bude moci rozhodnout, zda podstoup\u00ed preventivn\u00ed koloskopick\u00e9 vy\u0161et\u0159en\u00ed (v p\u0159\u00edpad\u011b negativn\u00edho v\u00fdsledku se opakuje po 10 letech) nebo odevzd\u00e1 vzorek stolice na vy\u0161et\u0159en\u00ed skryt\u00e9ho krv\u00e1cen\u00ed do tr\u00e1vic\u00edho traktu (tento test se v\u00a0p\u0159\u00edpad\u011b negativn\u00edho v\u00fdsledku opakuje ka\u017ed\u00e9 2 roky).<\/p>\n
Zajistit dostate\u010dnou \u010dasovou dotaci pro p\u00e9\u010di o onkologick\u00e9ho pacienta ve f\u00e1zi sd\u011blov\u00e1n\u00ed diagn\u00f3zy, p\u0159i seznamov\u00e1n\u00ed s mo\u017enostmi a riziky l\u00e9\u010dby nebo sestavov\u00e1n\u00ed l\u00e9\u010debn\u00e9ho pl\u00e1nu a zaji\u0161t\u011bn\u00ed pot\u0159ebn\u00fdch vy\u0161et\u0159en\u00ed m\u00e1 nov\u00fd k\u00f3d za\u0159azen\u00fd do seznamu v\u00fdkon\u016f od ledna 2026. V\u00fdkon m\u016f\u017ee b\u00fdt vyk\u00e1z\u00e1n u jednoho pacienta a\u017e 3kr\u00e1t ro\u010dn\u011b. V kapitole klinick\u00e1 onkologie pak p\u0159ibyl i dal\u0161\u00ed v\u00fdkon. Ten zohled\u0148uje n\u00e1ro\u010dnost p\u00e9\u010de o onkologick\u00e9 pacienty v denn\u00edch onkologick\u00fdch stacion\u00e1\u0159\u00edch (s maxim\u00e1ln\u00ed d\u00e9lkou pobytu 12 hodin denn\u011b). V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna zavedla p\u0159\u00edslu\u0161n\u00e9 v\u00fdkony pro p\u00e9\u010di o sv\u00e9 klienty ji\u017e v roce 2022. Nyn\u00ed dojde k jejich form\u00e1ln\u00edmu zaveden\u00ed do aktualizovan\u00e9ho SZV pro v\u0161echny zdravotn\u00ed poji\u0161\u0165ovny. Nov\u011b se tak\u00e9 zav\u00e1d\u00ed koordin\u00e1to\u0159i onkologick\u00e9 p\u00e9\u010de. Tato p\u00e9\u010de bude poskytov\u00e1na p\u0159\u00edslu\u0161n\u00fdmi specialisty ve v\u0161ech komplexn\u00edch onkologick\u00fdch centrech.<\/p>\n
V\u00fdkony v\u00a0oblasti psychosomatiky jsou obecn\u011b ur\u010deny pacient\u016fm, kte\u0159\u00ed trp\u00ed opakovan\u011b a dlouhodob\u011b (minim\u00e1ln\u011b 3 m\u011bs\u00edce) obt\u00ed\u017eemi, kter\u00e9 nereaguj\u00ed na b\u011b\u017enou l\u00e9\u010dbu dle doporu\u010den\u00fdch postup\u016f. St\u00e1vaj\u00edc\u00ed v\u00fdkon psychosomatick\u00e9 intervence je nov\u011b dopln\u011bn o psychosomatickou konzultaci, kter\u00e1 se zam\u011b\u0159\u00ed jak na zhodnocen\u00ed biologick\u00fdch n\u00e1lez\u016f, tak na posouzen\u00ed psychologick\u00fdch (jak pro\u017e\u00edv\u00e1 pacient) a soci\u00e1ln\u00edch (vztahov\u00e9 souvislosti) fakt. C\u00edlem je mj. aktivn\u00ed zapojen\u00ed pacienta do l\u00e9\u010debn\u00e9ho procesu. Psychosomatickou konzultaci v\u00a0d\u00e9lce a\u017e 60 min 7kr\u00e1t ro\u010dn\u011b mohou poskytovat l\u00e9ka\u0159i s\u00a0n\u00e1stavbovou atestac\u00ed v\u00a0psychosomatice.<\/p>\n
Pln\u011b hrazena bude moci b\u00fdt digit\u00e1ln\u00ed forma kognitivn\u011b-behavior\u00e1ln\u00ed terapie. Tato forma terapie pom\u00e1h\u00e1 lidem pochopit sv\u00e9 obt\u00ed\u017ee a jejich p\u0159\u00ed\u010diny, aby mohli zm\u011bnit sv\u00e9 my\u0161len\u00ed, pro\u017e\u00edv\u00e1n\u00ed a chov\u00e1n\u00ed tak, aby se c\u00edtili l\u00e9pe a zvl\u00e1dali l\u00e9pe r\u016fzn\u00e9 \u017eivotn\u00ed situace. Nyn\u00ed bude dostupn\u00e1 pro pacienty s\u00a0depresemi a \u00fazkostmi. Posouzen\u00ed vhodnosti t\u00e9to l\u00e9\u010dby u konkr\u00e9tn\u00edho pacienta je v\u017edy na zhodnocen\u00ed o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e a vhodnost t\u00e9to formy terapie se znovu ov\u011b\u0159uje p\u0159i jej\u00edm zah\u00e1jen\u00ed. Terapie prob\u00edh\u00e1 p\u0159es zabezpe\u010denou online platformu, kde si pacient ve vlastn\u00edm tempu proch\u00e1z\u00ed jednotliv\u00e9 interaktivn\u00ed moduly a individualizovan\u00e1 cvi\u010den\u00ed. Sou\u010d\u00e1st\u00ed v\u00fdkonu je tak\u00e9 p\u00edsemn\u00e1 zp\u011btn\u00e1 vazba od terapeuta (klinick\u00e9ho psychologa nebo psychiatra). V\u00fdkon, zahrnuj\u00edc\u00ed jeden terapeutick\u00fd modul, m\u016f\u017ee b\u00fdt vyk\u00e1z\u00e1n a\u017e 26kr\u00e1t ro\u010dn\u011b.<\/p>\n
Ji\u017e od roku 2022 prob\u00edh\u00e1 screeningov\u00e9 vy\u0161et\u0159en\u00ed o\u010dn\u00edch vad u d\u011bt\u00ed u praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost. Od ledna 2026 jsou jasn\u011b ukotveny v\u0161echny v\u00fdkony pro jeho vykazov\u00e1n\u00ed jak u praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost, tak p\u0159\u00edpadn\u00e1 specializovan\u00e1 vy\u0161et\u0159en\u00ed u o\u010dn\u00edho l\u00e9ka\u0159e, ortoptisty nebo zrakov\u00e9ho terapeuta. C\u00edlem je odhalen\u00ed p\u0159\u00edpadn\u00fdch obt\u00ed\u017e\u00ed \u010di vad v\u00a0co nejran\u011bj\u0161\u00edm stadiu. Prvn\u00ed vy\u0161et\u0159en\u00ed tak d\u00edt\u011b absolvuje je\u0161t\u011b p\u0159ed prvn\u00edmi narozeninami, ide\u00e1ln\u011b mezi 10.\u201312. m\u011bs\u00edcem v\u011bku (hrazeno mezi 6.\u201312. m\u011bs\u00edcem). V\u00a0p\u0159\u00edpad\u011b negativn\u00edho v\u00fdsledku, tedy pokud u d\u00edt\u011bte nejsou zji\u0161t\u011bny \u017e\u00e1dn\u00e9 vady, prob\u011bhne dal\u0161\u00ed kontroln\u00ed vy\u0161et\u0159en\u00ed nejpozd\u011bji do 18. m\u011bs\u00edce v\u011bku d\u00edt\u011bte.\u00a0Pokud nejsou v\u00a0<\/strong>rodinn\u00e9 anamn\u00e9ze indikovan\u00e9 z\u00e1va\u017en\u00e9 o\u010dn\u00ed vady, posta\u010d\u00ed absolvovat screening dvakr\u00e1t za \u017eivot. V p\u0159\u00edpad\u011b pozitivn\u00ed rodinn\u00e9 anamn\u00e9zy (nap\u0159. tupozrakost, strabismus, vysok\u00e1 hypermetropie, kr\u00e1tkozrakost \u010di astigmatismus) se test opakuje ve 2. a 3. roce \u017eivota d\u00edt\u011bte, maxim\u00e1ln\u011b 4kr\u00e1t za \u017eivot.<\/p>\n Pacienti diagnostikovan\u00ed s\u00a0Alzheimerovou chorobou nebo jinou formou demence mohou z\u016fstat v\u00a0p\u00e9\u010di sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. Nebude ji\u017e nutn\u00e9 vy\u0161et\u0159en\u00ed u specialisty, pokud to nebudou sami pacienti preferovat. Jedn\u00e1 se o ambulantn\u00ed typ p\u00e9\u010de, kdy praktik m\u016f\u017ee pacienta sledovat s\u00a0frekvenc\u00ed dvakr\u00e1t ro\u010dn\u011b. Pro zhodnocen\u00ed v\u00fdvoje kognitivn\u00edch funkc\u00ed a ov\u011b\u0159en\u00ed efektu l\u00e9\u010dby m\u016f\u017ee praktick\u00fd l\u00e9ka\u0159 prov\u00e9st u pacienta s\u00a0demenc\u00ed p\u0159\u00edslu\u0161n\u00e9 validovan\u00e9 testy nov\u011b a\u017e 4kr\u00e1t ro\u010dn\u011b.<\/p>\n Do\u0161lo k\u00a0revizi a roz\u0161\u00ed\u0159en\u00ed v\u00fdkon\u016f v oblasti\u00a0diagnostiky poruch srde\u010dn\u00edho rytmu. Novinkou je tzv. holterovsk\u00e9 monitorov\u00e1n\u00ed doma v\u00a0d\u00e9lce 24 hodin nebo a\u017e 7 dn\u00ed. V\u00edcedenn\u00ed sledov\u00e1n\u00ed tzv. holterem je ur\u010deno pacient\u016fm s\u00a0nep\u0159\u00edli\u0161 \u010dast\u00fdmi obt\u00ed\u017eemi, kter\u00e9 se b\u011bhem standardn\u00edch 24 hodin nemus\u00ed projevit. Tento v\u00fdkon tak\u00e9 pom\u016f\u017ee l\u00e9ka\u0159\u016fm s\u00a0posouzen\u00edm efektivity proveden\u00e9ho z\u00e1kroku (katetriza\u010dn\u00ed ablace), s\u00a0n\u00e1slednou mo\u017enost\u00ed vysazen\u00ed l\u00e9\u010dby arytmie. Pacienti nap\u0159\u00edklad po c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhod\u011b s\u00a0podez\u0159en\u00edm na z\u00e1va\u017en\u00e9 poruchy srde\u010dn\u00edho rytmu pak budou moci b\u00fdt ambulantn\u011b sledov\u00e1ni dokonce a\u017e po dobu 30 dn\u00ed.<\/p>\n Pacienti s\u00a0Parkinsonovou chorobou v\u00a0pokro\u010dil\u00e9m stadiu, kte\u0159\u00ed k\u00a0l\u00e9\u010db\u011b vyu\u017e\u00edvaj\u00ed tzv. pumpov\u00fd syst\u00e9m\u00a0(pozn.: l\u00e9\u010debn\u00e1 l\u00e1tka je vpravov\u00e1na do tenk\u00e9ho st\u0159eva ve form\u011b gelu pomoc\u00ed pumpy)<\/i>, budou moci vyu\u017e\u00edt distan\u010dn\u00ed konzultace s\u00a0l\u00e9ka\u0159em. Vzd\u00e1len\u00e1 konzultace je podm\u00edn\u011bna nejen doporu\u010den\u00edm l\u00e9ka\u0159e, ale pr\u00e1v\u011b i p\u00edsemn\u00fdm souhlasem pacienta. V\u00fdkon m\u016f\u017ee slou\u017eit jak ke sledov\u00e1n\u00ed klinick\u00e9ho stavu, tak pro konzultaci p\u0159i zm\u011bn\u011b zdravotn\u00edho stavu pacienta. Konzultace mohou b\u00fdt realizov\u00e1ny pouze v\u00a0r\u00e1mci pracovi\u0161\u0165 specializovan\u00fdch center, a to a\u017e 12kr\u00e1t ro\u010dn\u011b u jednoho pacienta.<\/p>\n (vzp)<\/strong><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" V\u00fdkony a <\/p>\n","protected":false},"author":2,"featured_media":361608,"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\/13\/ram-vzp-novinky.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/361607"}],"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=361607"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/361607\/revisions"}],"predecessor-version":[{"id":361609,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/361607\/revisions\/361609"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/361608"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=361607"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=361607"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=361607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Pacient s\u00a0Alzheimerovou chorobou v\u00a0p\u00e9\u010di sv\u00e9ho praktika<\/b><\/h6>\n
Distan\u010dn\u00ed sledov\u00e1n\u00ed srde\u010dn\u00edch arytmi\u00ed a\u017e 30 dn\u00ed<\/b><\/h6>\n
Distan\u010dn\u00ed sledov\u00e1n\u00ed pacient\u016f s\u00a0Parkinsonovou chorobou<\/b><\/h6>\n
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