{"id":362143,"date":"2025-11-23T14:35:19","date_gmt":"2025-11-23T13:35:19","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=362143"},"modified":"2025-11-23T14:35:19","modified_gmt":"2025-11-23T13:35:19","slug":"vseobecna-zdravotni-pojistovna-preventivni-prohlidky-budou-podrobnejsi-rozsiruji-se-laboratorni-i-dalsi-vysetreni-snizuje-se-vek-pro-screening-kolorekta","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=362143","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Preventivn\u00ed prohl\u00eddky budou podrobn\u011bj\u0161\u00ed. Roz\u0161i\u0159uj\u00ed se laboratorn\u00ed i dal\u0161\u00ed vy\u0161et\u0159en\u00ed, sni\u017euje se v\u011bk pro screening kolorekta"},"content":{"rendered":"

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Od 1. ledna 2026 vstupuje v platnost novela vyhl\u00e1\u0161ky \u010d. 70\/2012 Sb., o preventivn\u00edch prohl\u00eddk\u00e1ch. Ta roz\u0161i\u0159uje rozsah p\u00e9\u010de a klade v\u011bt\u0161\u00ed d\u016fraz na individu\u00e1ln\u00ed p\u0159\u00edstup a prevenci. C\u00edlem je zlep\u0161it efektivitu preventivn\u00edch prohl\u00eddek. Vzhledem k\u00a0aktu\u00e1ln\u00edmu zdravotn\u00edmu stavu obyvatelstva \u010cR je d\u016fle\u017eit\u00e9 vyhled\u00e1vat jak bezp\u0159\u00edznakov\u00e9 osoby s\u00a0\u010dasn\u00fdmi stadii vybran\u00fdch z\u00e1va\u017en\u00fdch onemocn\u011bn\u00ed, tak i osoby s\u00a0rizikem chorob, kter\u00fdm lze vhodn\u00fdmi opat\u0159en\u00edmi p\u0159edch\u00e1zet. <\/b><\/h6>\n

Preventivn\u00ed prohl\u00eddky jsou nyn\u00ed v\u00edce p\u0159izp\u016fsobeny v\u011bku a zdravotn\u00edmu stavu pacienta a sou\u010dasn\u011b se v nich odr\u00e1\u017e\u00ed snaha prodlou\u017een\u00ed \u017eivota ve zdrav\u00ed. Tyto preventivn\u00ed prohl\u00eddky jsou pln\u011b hrazeny z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/b><\/p>\n

Preventivn\u00ed prohl\u00eddky u praktick\u00e9ho l\u00e9ka\u0159e mohou dosp\u011bl\u00ed absolvovat i nad\u00e1le jednou za dva roky.\u00a0L<\/b>\u00e9ka\u0159i<\/b>\u00a0nov\u011b<\/b>\u00a0zji\u0161\u0165uj\u00ed v\u00fdskyt du\u0161evn\u00edch onemocn\u011bn\u00ed\u00a0<\/b>a\u00a0<\/b>d\u011bdi\u010dn<\/b>\u00fdch\u00a0<\/b>chorob<\/b>\u00a0v\u00a0rodin\u011b<\/b>\u00a0a kontroluj\u00ed<\/b>\u00a0\u00fa\u010dast pacienta v\u00a0<\/b>hrazen<\/b>\u00fdch<\/b>\u00a0<\/b>screeningov<\/b>\u00fdch<\/b>\u00a0program<\/b>ech<\/b><\/a>.\u00a0<\/b>D\u016fraz se klade p\u0159edev\u0161\u00edm na v\u010dasn\u00fd z\u00e1chyt onkologick\u00fdch onemocn\u011bn\u00ed, osteopor\u00f3zy, demence a chronick\u00fdch onemocn\u011bn\u00ed, v\u010detn\u011b pou\u010den\u00ed pacient\u016f o rizic\u00edch, pokud vy\u0161et\u0159en\u00ed odm\u00edtnou.\u00a0<\/b>U \u017een se sleduje podstoupen\u00ed pravideln\u00fdch gynekologick\u00fdch prohl\u00eddek. Na z\u00e1klad\u011b individu\u00e1ln\u00edho rizika pacienta l\u00e9ka\u0159 d\u00e1le doporu\u010d\u00ed vhodn\u00e1 o\u010dkov\u00e1n\u00ed, jak hrazen\u00e1, tak nehrazen\u00e1 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.\u00a0Nov\u011b je tak\u00e9 doporu\u010deno sledovat obvod pasu<\/b>,\u00a0nebo\u0165 se jedn\u00e1 o p\u0159esn\u011bj\u0161\u00ed ukazatel mno\u017estv\u00ed t\u011blesn\u00e9ho tuku ulo\u017een\u00e9ho v\u00a0b\u0159i\u0161n\u00ed oblasti, kter\u00e9 se poj\u00ed se zv\u00fd\u0161en\u00fdm rizikem mnoha zdravotn\u00edch probl\u00e9m\u016f<\/b>\u00a0(nap\u0159. srde\u010dn\u011b-c\u00e9vn\u00ed choroby, cukrovka, n\u011bkter\u00e9 typy rakoviny).\u00a0Roz\u0161i\u0159uje se i spektrum a \u010detnost laboratorn\u00edch vy\u0161et\u0159en\u00ed, kter\u00e1 umo\u017en\u00ed v\u010das odhalit p\u0159\u00edpadn\u00e9 onemocn\u011bn\u00ed srdce, c\u00e9v, metabolismu \u010di ledvin.<\/b>\u00a0Pacienti jsou motivov\u00e1ni ke zdrav\u00e9mu \u017eivotn\u00edmu stylu.<\/p>\n

Pacienti do 40 let<\/u><\/p>\n

Nov\u011b se zav\u00e1d\u00ed EKG vy\u0161et\u0159en\u00ed p\u0159i prvn\u00ed (vstupn\u00ed) preventivn\u00ed prohl\u00eddce po registraci u praktick\u00e9ho l\u00e9ka\u0159e pro dosp\u011bl\u00e9, tedy nap\u0159\u00edklad i po p\u0159eregistraci od d\u011btsk\u00e9ho l\u00e9ka\u0159e.<\/b>\u00a0C\u00edlem je z\u00edskat v\u00fdchoz\u00ed EKG k\u0159ivku pro srovn\u00e1n\u00ed v pozd\u011bj\u0161\u00edm v\u011bku.\u00a0Vy\u0161et\u0159en\u00ed EKG p\u0159i preventivn\u00ed prohl\u00eddce se opakuje u osob s\u00a0rizikem kardiovaskul\u00e1rn\u00edho onemocn\u011bn\u00ed\u00a0<\/b>(srde\u010dn\u011b-c\u00e9vn\u00edho onemocn\u011bn\u00ed)\u00a0tak\u00e9 ve 30 letech a d\u00e1le ve stanoven\u00fdch intervalech.\u00a0<\/b>U pacient\u016f bez rizikov\u00fdch faktor\u016f je i nad\u00e1le EKG prov\u00e1d\u011bno v\u00a0intervalu jednou za \u010dty\u0159i roky od 40 let.\u00a0P\u0159i vstupn\u00ed preventivn\u00ed prohl\u00eddce se d\u00e1le<\/b>\u00a0prov\u00e1d\u00ed komplexn\u00ed laboratorn\u00ed vy\u0161et\u0159en<\/b>\u00ed, pokud nejsou k\u00a0dispozici aktu\u00e1ln\u00ed v\u00fdsledky (krevn\u00ed obraz, jatern\u00ed testy, hodnota cukru v\u00a0krvi, vy\u0161et\u0159en\u00ed mo\u010di a ukazatele funkce ledvin, hladiny tuk\u016f v\u00a0krvi tzv. lipidogram).\u00a0Krevn\u00ed obraz a hodnoty tuk\u016f v\u00a0krvi<\/b>\u00a0se nov\u011b zji\u0161\u0165uj\u00ed \u010dast\u011bji,<\/b>\u00a0a to i b\u011bhem preventivn\u00ed prohl\u00eddky ve 25 a 30 letech a d\u00e1le ve \u010dty\u0159let\u00fdch intervalech a\u017e do 40 let v\u011bku. Hodnoty cukru v\u00a0krvi (glyk\u00e9mie) jsou kontrolov\u00e1ny ka\u017ed\u00e9 dva roky i u osob mlad\u0161\u00edch 40 let.\u00a0Nov\u011b jsou tak\u00e9 u pacient\u016f s\u00a0kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm, cukrovkou a vysok\u00fdm krevn\u00edm tlakem kontrolov\u00e1ny ukazatele ledvinn\u00fdch funkc\u00ed ve dvoulet\u00e9m intervalu, tedy \u010dast\u011bji ne\u017e d\u0159\u00edve a bez omezen\u00ed v\u011bku.<\/b><\/p>\n

Pacienti od 40 do 50 let<\/u><\/p>\n

Pacienti od 40 let nov\u011b absolvuj\u00ed laboratorn\u00ed vy\u0161et\u0159en\u00ed lipidogramu a krevn\u00edho obrazu ka\u017ed\u00e9 dva roky, tedy \u010dast\u011bji ne\u017e d\u0159\u00edve.<\/b>\u00a0Novinkou je tak\u00e9 EKG u rizikov\u00fdch pacient\u016f ka\u017ed\u00e9 dva roky od v\u011bku 40 let,\u00a0<\/b>dosavadn\u00ed \u010dty\u0159let\u00e9 intervaly jsou doporu\u010deny jen osob\u00e1m bez kardiovaskul\u00e1rn\u00edho rizika.\u00a0<\/b>U pacient\u016f s\u00a0kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm, cukrovkou a vysok\u00fdm krevn\u00edm tlakem se kontroluj\u00ed ukazatele ledvinn\u00fdch funkc\u00ed ve dvoulet\u00e9m intervalu, tzn. \u010dast\u011bji ne\u017e d\u0159\u00edve a bez omezen\u00ed v\u011bku.\u00a0Od 45 let je u osob s\u00a0rizikem mo\u017enost pravideln\u011b kontrolovat funkci jater, a to ka\u017ed\u00e9 dva roky.<\/b>\u00a0Testov\u00e1n\u00ed se zvl\u00e1\u0161\u0165 doporu\u010duje u osob s rizikov\u00fdmi faktory pro chronick\u00e1 jatern\u00ed onemocn\u011bn\u00ed, nap\u0159\u00edklad p\u0159i nadv\u00e1ze, cukrovce nebo p\u0159i v\u011bt\u0161\u00ed konzumaci alkoholu.\u00a0Praktick\u00fd l\u00e9ka\u0159 z\u00e1rove\u0148 sleduje, zda se pacient \u00fa\u010dastn\u00ed doporu\u010den\u00fdch screening\u016f, jako je mamografie u \u017een od 45 let, koloskopie nebo testy na okultn\u00ed krv\u00e1cen\u00ed u v\u0161ech bezp\u0159\u00edznakov\u00fdch osob (nov\u011b) od 45 let a program\u016f na \u010dasn\u00fd z\u00e1chyt rakoviny prostaty \u010di plic.<\/b><\/p>\n

Pacienti nad 50 let<\/u><\/p>\n

U pacient\u016f star\u0161\u00edch 50 let se zav\u00e1d\u00ed sledov\u00e1n\u00ed funkce ledvin.<\/b>\u00a0Nov\u011b absolvuj\u00ed roz\u0161\u00ed\u0159en\u00e9 vy\u0161et\u0159en\u00ed ka\u017ed\u00e9 dva roky v\u0161ichni pacienti nad 50 let.\u00a0<\/b>Dvoulet\u00fd interval, nam\u00edsto dosavadn\u00edch \u010dty\u0159, plat\u00ed i pro osoby s\u00a0kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm, cukrovkou a vysok\u00fdm krevn\u00edm tlakem.\u00a0\u017deny po menopauze absolvuj\u00ed tak\u00e9 vy\u0161et\u0159en\u00ed hladiny lipoproteinu(a),<\/b>\u00a0proto\u017ee v tomto obdob\u00ed jeho koncentrace stoup\u00e1 a p\u0159isp\u00edv\u00e1 ke vzniku ateroskler\u00f3zy a riziku vzniku srde\u010dn\u011b-c\u00e9vn\u00edho onemocn\u011bn\u00ed.\u00a0Pacienti star\u0161\u00ed 50 let s\u00a0pozitivn\u00ed rodinnou anamn\u00e9zou srde\u010dn\u00edho selh\u00e1n\u00ed, obezitou, diabetem atp. nov\u011b dle individu\u00e1ln\u00edho rizika absolvuj\u00ed jednou za dva a\u017e \u010dty\u0159i roky laboratorn\u00ed vy\u0161et\u0159en\u00ed hladiny NT-proBNP, co\u017e je ukazatel,\u00a0kter\u00fd se pou\u017e\u00edv\u00e1 k\u00a0v\u010dasn\u00e9 diagnostice, ale i sledov\u00e1n\u00ed v\u00fdvoje srde\u010dn\u00edho selh\u00e1n\u00ed.\u00a0<\/b>\u00a0I u osob nad 50 let by praktick\u00fd l\u00e9ka\u0159 nem\u011bl zapom\u00ednat na kontrolu \u00fa\u010dasti ve screeningov\u00fdch programech t\u00fdkaj\u00edc\u00edch se nejen onkologick\u00fdch onemocn\u011bn\u00ed pro danou v\u011bkovou skupinu (nap\u0159. program \u010dasn\u00e9ho z\u00e1chytu osteopor\u00f3zy pro mu\u017ee i \u017eeny \u010di program \u010dasn\u00e9ho z\u00e1chytu aneurysmatu b\u0159i\u0161n\u00ed aorty pro 65- a\u017e 67let\u00e9 mu\u017ee).\u00a0U v\u0161ech pacient\u016f ve v\u011bku 65<\/b>\u201380 let se nav\u00edc stanovuje riziko demence.<\/b><\/p>\n

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

\n

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

Od 1. <\/p>\n","protected":false},"author":2,"featured_media":362144,"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\/20\/ram-vzp-prohlidky.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/362143"}],"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=362143"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/362143\/revisions"}],"predecessor-version":[{"id":362145,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/362143\/revisions\/362145"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/362144"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=362143"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=362143"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=362143"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}