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Sou\u010d\u00e1st\u00ed preventivn\u00ed prohl\u00eddky u v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, kter\u00e1 je hrazena z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed jedenkr\u00e1t za dva roky, je z\u00a0d\u016fvodu onkologick\u00e9 prevence i vy\u0161et\u0159en\u00ed k\u016f\u017ee tzv. pohledem (bez vyu\u017eit\u00ed p\u0159\u00edstrojov\u00e9ho vybaven\u00ed).\u00a0<\/b>C\u00edlem je zachytit podez\u0159el\u00e1 znam\u00e9nka, ale i dal\u0161\u00ed p\u0159edn\u00e1dorov\u00e1 a n\u00e1dorov\u00e1 onemocn\u011bn\u00ed k\u016f\u017ee a v\u010dasn\u011b odhalit p\u0159edev\u0161\u00edm zhoubn\u00fd melanom.\u00a0N\u00e1sledn\u00e9 dermatologick\u00e9 vy\u0161et\u0159en\u00ed v\u010detn\u011b p\u0159\u00edpadn\u00e9ho vy\u0161et\u0159en\u00ed ru\u010dn\u00edm nebo digit\u00e1ln\u00edm dermatoskopem je poji\u0161\u0165ovnou hrazeno v\u00a0p\u0159\u00edpad\u011b, \u017ee ho na z\u00e1klad\u011b mo\u017en\u00e9ho n\u00e1lezu indikuje l\u00e9ka\u0159, a to za podm\u00ednky, \u017ee je uskute\u010dn\u011bno ve smluvn\u00edm zdravotnick\u00e9m za\u0159\u00edzen\u00ed. Vy\u0161et\u0159en\u00ed ko\u017en\u00edm l\u00e9ka\u0159em je tak\u00e9 pln\u011b hrazeno i bez vazby na doporu\u010den\u00ed v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, je-li provedeno na z\u00e1klad\u011b vznikl\u00fdch obt\u00ed\u017e\u00ed pacienta\u00a0<\/b>(nap\u0159. znam\u00e9nko vykazuje zm\u011bnu velikosti, tvaru nebo barvy, krv\u00e1c\u00ed, sv\u011bd\u00ed nebo bol\u00ed apod.).\u00a0<\/b>V\u00a0tomto p\u0159\u00edpad\u011b je vhodn\u00e9, aby pacient vyhledal specializovan\u00e9 vy\u0161et\u0159en\u00ed co nejd\u0159\u00edve.<\/p>\n
Jestli\u017ee si v\u0161ak pacient vy\u017e\u00e1d\u00e1 preventivn\u00ed dermatoskopick\u00e9 vy\u0161et\u0159en\u00ed v\u00fdhradn\u011b z vlastn\u00ed iniciativy, bez l\u00e9ka\u0159sk\u00e9 indikace, hrad\u00ed si v\u00fdkon jako samopl\u00e1tce.<\/b>\u00a0V takov\u00e9m p\u0159\u00edpad\u011b lze vy\u0161et\u0159en\u00ed absolvovat i v nesmluvn\u00edch ordinac\u00edch, kde se cena\u00a0obvykle ud\u00e1v\u00e1 za vy\u0161et\u0159en\u00ed jednoho znam\u00e9nka s\u00a0doplatkem za ka\u017ed\u00e9 dal\u0161\u00ed, nebo b\u00fdv\u00e1 cena stanovena v tzv. “p\u00e1smech”, nap\u0159. pro 2\u20135, 6\u201310 znam\u00e9nek a nad 10\u00a0znam\u00e9nek.\u00a0VZP na takov\u00e1 vy\u0161et\u0159en\u00ed dermatoskopem, proveden\u00e1 nejen v\u00a0ordinaci ko\u017en\u00edho l\u00e9ka\u0159e, ale tak\u00e9 v\u0161eobecn\u00fdm praktick\u00fdm l\u00e9ka\u0159em, chirurgem nebo proveden\u00e1 v\u00a0onkologick\u00e9m i laserov\u00e9m centru nebo na estetick\u00e9 klinice, poskytuje sv\u00fdm klient\u016fm, kte\u0159\u00ed si je hrad\u00ed jako samopl\u00e1tci,\u00a0<\/b>p\u0159\u00edsp\u011bvek z\u00a0fondu prevence<\/b><\/a>\u00a0ve v\u00fd\u0161i 500 K\u010d.<\/b><\/p>\n Mate\u0159sk\u00e1 znam\u00e9nka, pihy a dal\u0161\u00ed pigmentov\u00e9 projevy na k\u016f\u017ei lze vy\u0161et\u0159it v\u00a0ka\u017ed\u00e9 dermatologick\u00e9 ambulanci.<\/strong>\u00a0<\/b>Nejprve se prov\u00e1d\u00ed klinick\u00e9 vy\u0161et\u0159en\u00ed tzv. pohledem, \u010dasto tak\u00e9 za pomoci speci\u00e1ln\u00ed lupy, odborn\u011b naz\u00fdvan\u00e9 dermatoskop. Jde o specializovan\u00e9 zv\u011bt\u0161ovac\u00ed za\u0159\u00edzen\u00ed s vlastn\u00edm osv\u011btlen\u00edm, kter\u00e9 umo\u017e\u0148uje detailn\u011b posoudit strukturu a zbarven\u00ed pigmentov\u00fdch znam\u00e9nek na k\u016f\u017ei a\u00a0odhalit tak rizikov\u00e9 \u00fatvary (v\u010detn\u011b melanomu) i pod povrchem k\u016f\u017ee, co\u017e je pouh\u00fdm okem nemo\u017en\u00e9.\u00a0<\/span>Vyhodnot\u00ed-li ambulantn\u00ed specialista znam\u00e9nko jako podez\u0159el\u00e9, zv\u00e1\u017e\u00ed dal\u0161\u00ed postup, kter\u00fdm je obvykle chirurgick\u00e9 odstran\u011bn\u00ed, nebo v\u00e1s m\u016f\u017ee odeslat k\u00a0podrobn\u011bj\u0161\u00edmu vy\u0161et\u0159en\u00ed digit\u00e1ln\u00ed dermatoskopi\u00ed\u00a0<\/b>(p\u0159\u00edstrojov\u00e9 vy\u0161et\u0159en\u00ed ko\u017en\u00edho \u00fatvaru s mnohon\u00e1sobn\u00fdm zv\u011bt\u0161en\u00edm umo\u017e\u0148uj\u00edc\u00ed porovn\u00e1n\u00ed n\u00e1lezu a jeho zm\u011bn v\u00a0\u010dase). Tato pracovi\u0161t\u011b se nach\u00e1zej\u00ed nap\u0159\u00edklad na dermatovenerologick\u00fdch klinik\u00e1ch v nemocnic\u00edch.<\/p>\n Pokud l\u00e9ka\u0159 shled\u00e1, \u017ee existuje zdravotn\u00ed d\u016fvod k odstran\u011bn\u00ed mate\u0159sk\u00e9ho znam\u00e9nka \u010di jin\u00e9ho pigmentov\u00e9ho \u00fatvaru, m\u011blo by b\u00fdt v\u017edy odstran\u011bno chirurgicky, proto\u017ee odebran\u00e1 tk\u00e1\u0148 mus\u00ed b\u00fdt histologicky vy\u0161et\u0159ena v laborato\u0159i, aby se vylou\u010dilo z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, jako je nap\u0159\u00edklad melanom \u010di jin\u00fd typ ko\u017en\u00edho n\u00e1doru.\u00a0<\/b>Chirurgick\u00e9 odstran\u011bn\u00ed je v\u00a0tomto p\u0159\u00edpad\u011b jedin\u00fdm medic\u00ednsky spr\u00e1vn\u00fdm\u00a0(lege artis<\/i>)\u00a0postupem a je hrazeno ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.\u00a0Proto se podez\u0159el\u00e1 mate\u0159sk\u00e1 znam\u00e9nka neodstra\u0148uj\u00ed laserem, nebo\u0165 p\u0159i pou\u017eit\u00ed t\u00e9to techniky nen\u00ed mo\u017en\u00e9 z\u00edskat biologick\u00fd materi\u00e1l k proveden\u00ed histologick\u00e9ho vy\u0161et\u0159en\u00ed.\u00a0<\/b>Laserem se odstra\u0148uj\u00ed ko\u017en\u00ed \u00fatvary, kter\u00e9 jsou nerizikov\u00e9 a jasn\u011b nezhoubn\u00e9, obvykle z\u00a0kosmetick\u00fdch d\u016fvod\u016f, a v\u00a0takov\u00e9m p\u0159\u00edpad\u011b si pacient z\u00e1krok hrad\u00ed s\u00e1m. A proto je tak\u00e9 vhodn\u00e9, aby byl ko\u017en\u00ed \u00fatvar p\u0159ed laserov\u00fdm odstran\u011bn\u00edm vy\u0161et\u0159en\u00a0<\/b>dermatologem a p\u0159\u00edpadn\u011b dermatoskopem.\u00a0<\/b><\/p>\n (vzp)<\/strong><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" OT\u00c1ZKA: Kdy <\/p>\n","protected":false},"author":2,"featured_media":374448,"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\/2026\/05\/04\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/374447"}],"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=374447"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/374447\/revisions"}],"predecessor-version":[{"id":374449,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/374447\/revisions\/374449"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/374448"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=374447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=374447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=374447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Jak dermatoskopick\u00e9 vy\u0161et\u0159en\u00ed prob\u00edh\u00e1?<\/b><\/h6>\n
Je mo\u017en\u00e9 si nechat podez\u0159el\u00e9 znam\u00e9nko odstranit laserem?<\/b><\/h6>\n
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