{"id":136,"date":"2023-09-13T19:36:14","date_gmt":"2023-09-13T17:36:14","guid":{"rendered":"http:\/\/mchochlik.cz.white.globenet.cz\/wordpress\/?page_id=136"},"modified":"2026-01-05T11:37:56","modified_gmt":"2026-01-05T10:37:56","slug":"prevence","status":"publish","type":"page","link":"https:\/\/mchochlik.cz\/index.php\/prevence\/","title":{"rendered":"Prevence"},"content":{"rendered":"<p><strong>Preventivn\u00ed prohl\u00eddka<\/strong>\u00a0se u praktick\u00e9ho l\u00e9ka\u0159e pro dosp\u011bl\u00e9 prov\u00e1d\u00ed\u00a0<strong>ka\u017ed\u00e9 2 roky<\/strong>, zpravidla po uplynut\u00ed 23 m\u011bs\u00edc\u016f.<\/p>\n<p>Jej\u00ed\u00a0<strong>obsah je pevn\u011b ukotven ve vyhl\u00e1\u0161ce<\/strong>\u00a0o preventivn\u00edch prohl\u00eddk\u00e1ch \u010d. 70\/2012 Sb., ve zn\u011bn\u00ed pozd\u011bj\u0161\u00edch p\u0159edpis\u016f.<\/p>\n<p>Jakmile se dostav\u00edte na preventivn\u00ed prohl\u00eddku, bude n\u00e1sledovat:<\/p>\n<p><strong>1) dopln\u011bn\u00ed anamn\u00e9zy<\/strong>\u00a0v\u010detn\u011b soci\u00e1ln\u00ed, se zam\u011b\u0159en\u00edm na jej\u00ed zm\u011bny, rizikov\u00e9 faktory a profesn\u00ed rizika. V rodinn\u00e9 anamn\u00e9ze je zvl\u00e1\u0161tn\u00ed d\u016fraz kladen na v\u00fdskyt kardiovaskul\u00e1rn\u00edch a plicn\u00edch onemocn\u011bn\u00ed, v\u00fdskyt hypertenze, diabetu, poruchy metabolizmu tuk\u016f a n\u00e1dorov\u00fdch onemocn\u011bn\u00ed<\/p>\n<p><strong>2) kontrola o\u010dkov\u00e1n\u00ed<\/strong><\/p>\n<p><strong>3) kompletn\u00ed fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed &#8211;<\/strong>\u00a0p\u0159edev\u0161\u00edm:<\/p>\n<ul>\n<li>zm\u011b\u0159en\u00ed krevn\u00edho tlaku<\/li>\n<li>zji\u0161t\u011bn\u00ed indexu t\u011blesn\u00e9 hmotnosti + obvodu pasu<\/li>\n<li>orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed zraku a sluchu<\/li>\n<li>onkologickou prevenci<\/li>\n<li>kontrola a zhodnocen\u00ed v\u00fdsledk\u016f dal\u0161\u00edch p\u0159edepsan\u00fdch preventivn\u00edch vy\u0161et\u0159en\u00ed a, pokud nebyly v dan\u00fdch term\u00ednech provedeny, jejich zaji\u0161t\u011bn\u00ed.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>D\u00e1le m\u00e1te n\u00e1rok na:<\/strong><\/p>\n<p><strong>1) <\/strong>na<strong>\u00a0<\/strong>orienta\u010dn\u00ed <strong>vy\u0161et\u0159en\u00ed mo\u010di pap\u00edrkem<\/strong>, pop\u0159. v laborato\u0159i (ka\u017ed\u00e9 2 roky)<\/p>\n<p><strong>2) v 18, ve 25 a 30 letech <\/strong>(n\u00e1sledn\u011b ka\u017ed\u00e9 4 roky)<strong>, ve 40 letech <\/strong>(a n\u00e1sledn\u011b ka\u017ed\u00e9 2 roky) se vy\u0161et\u0159uje koncentrace <strong>tuk\u016f<\/strong> (cholesterolu a triacylglycerol\u016f) v krvi +\u00a0<strong>krevn\u00ed obraz<\/strong>.<\/p>\n<p><strong>3) <\/strong>kontrolu <strong>glyk\u00e9mie<\/strong> (<strong>v 18 letech<\/strong> a ka\u017ed\u00e9 2 roky)<\/p>\n<p><strong>4) <\/strong>kontrolu<strong> hladiny<\/strong>\u00a0<strong>lipoproteinu A\u00a0<\/strong>v krvi (1x za \u017eivot a n\u00e1sledn\u011b u \u017een po menopauze)<\/p>\n<p><strong>5)<\/strong> kontrolu funkce<strong> ledvin <\/strong>u pacient\u016f s DM, hypertenz\u00ed \u010di ICHS a u v\u0161ech pacient\u016f <strong>nad 50 let ka\u017ed\u00e9 2 roky<\/strong><\/p>\n<p><strong>6) <\/strong>vy\u0161et\u0159en\u00ed\u00a0<strong>jatern\u00edch test\u016f<\/strong> &#8211; p\u0159i prvn\u00ed prevenci po p\u0159ijet\u00ed do p\u00e9\u010de od pediatra, <strong>u rizikov\u00fdch pac. od 45 let<\/strong> ka\u017ed\u00e9 2 roky<\/p>\n<p><strong>7) <\/strong>stanoven\u00ed hladiny <strong>NT-proBNP<\/strong> &#8211; p\u0159i <strong>2 rizikov\u00fdch faktorech<\/strong> p\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed <strong>od 50 let<\/strong>, <strong>p\u0159i jednom<\/strong> faktoru <strong>od 60 let<\/strong> v\u011bku (ka\u017ed\u00e9 2 roky)<\/p>\n<p><strong>8) od 45 let<\/strong> v\u011bku vy\u0161et\u0159en\u00ed o\u010dn\u00edm l\u00e9ka\u0159em (<strong>ka\u017ed\u00e9 4 roky<\/strong>)<\/p>\n<p><strong>9) pro \u017eeny od 45 let a ka\u017ed\u00e9 dal\u0161\u00ed 2 roky <\/strong>preventivn\u00ed mamografick\u00e9 vy\u0161et\u0159en\u00ed, v\u010detn\u011b pou\u010den\u00ed o samovy\u0161et\u0159en\u00ed<\/p>\n<p><strong>10) EKG vy\u0161et\u0159en\u00ed &#8211;\u00a0 <\/strong>p\u0159i registraci od pediatra, <strong>ve 30 letech <\/strong>u rizikov\u00fdch pacient\u016f (+ ka\u017ed\u00e9 4 roky<strong>, od 40 let <\/strong>ka\u017ed\u00e9 2 roky)<strong>,\u00a0<\/strong> u nerizikov\u00fdch <strong>ve 40 letech <\/strong>(d\u00e1le ka\u017ed\u00e9 \u010dty\u0159i roky)<\/p>\n<p><strong>11<\/strong>) <strong>test okultn\u00edho krv\u00e1cen\u00ed ve stolici<\/strong> (od <strong>45 do 74 let<\/strong> jednou za 2 roky), pop\u0159. <strong>jednou za 10 let <\/strong>endoskopick\u00e9 vy\u0161et\u0159en\u00ed st\u0159ev<\/p>\n<p><strong>12) <\/strong><strong>test kognitivn\u00edch funkc\u00ed <\/strong>(od<strong> 65 do 80 let<\/strong> v\u011bku)<\/p>\n<p><strong>13) screening karcinomu plic &#8211;\u00a0<\/strong>od <strong>55 do 74 let<\/strong> u rizikov\u00fdch pac. (odkou\u0159eno 20 cigaret denn\u011b\/20 let, pop\u0159. 10 denn\u011b\/40 let)<\/p>\n<p><strong>14) management osteopor\u00f3zy<\/strong> v indikovan\u00fdch p\u0159\u00edpadech<\/p>\n<p><strong>15) management rakoviny prostaty &#8211; mu\u017ei 50-69 let,<\/strong> kte\u0159\u00ed nejsou v urologick\u00e9 p\u00e9\u010di<\/p>\n<p><strong>16) screening aneurysmatu b\u0159i\u0161n\u00ed aorty\u00a0<\/strong>&#8211; <strong>u mu\u017e\u016f 65-67 let<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Po zji\u0161t\u011bn\u00ed jak\u00e9hokoliv zdravotn\u00edho probl\u00e9mu se vy\u0161et\u0159en\u00ed roz\u0161\u00ed\u0159\u00ed o dal\u0161\u00ed nezbytn\u00e9 diagnostick\u00e9, pop\u0159. laboratorn\u00ed metody.<\/p>\n<p>M\u016f\u017eete kouknout na web <a title=\"VZP - prevence\" href=\"https:\/\/www.vzp.cz\/pojistenci\/prevence\/preventivni-prohlidky\">VZP<\/a>.<\/p>\n<p><strong>V\u00edce V\u00e1m bohu\u017eel zdravotn\u00ed poji\u0161\u0165ovna nehrad\u00ed.<\/strong><\/p>\n<p><strong>Jak\u00e1koliv nadstandardn\u00ed vy\u0161et\u0159en\u00ed si m\u016f\u017ee z\u00e1jemce uhradit ze sv\u00e9ho, nen\u00ed probl\u00e9m po p\u0159edchoz\u00ed domluv\u011b stanovit jejich p\u0159esnou cenu.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Preventivn\u00ed prohl\u00eddka\u00a0se u praktick\u00e9ho l\u00e9ka\u0159e pro dosp\u011bl\u00e9 prov\u00e1d\u00ed\u00a0ka\u017ed\u00e9 2 roky, zpravidla po uplynut\u00ed 23 m\u011bs\u00edc\u016f. Jej\u00ed\u00a0obsah je pevn\u011b ukotven ve vyhl\u00e1\u0161ce\u00a0o preventivn\u00edch prohl\u00eddk\u00e1ch \u010d. 70\/2012 Sb., ve zn\u011bn\u00ed pozd\u011bj\u0161\u00edch p\u0159edpis\u016f. Jakmile se dostav\u00edte na preventivn\u00ed prohl\u00eddku, bude n\u00e1sledovat: 1) dopln\u011bn\u00ed anamn\u00e9zy\u00a0v\u010detn\u011b soci\u00e1ln\u00ed, se zam\u011b\u0159en\u00edm na jej\u00ed zm\u011bny, rizikov\u00e9 faktory a profesn\u00ed rizika. V rodinn\u00e9 anamn\u00e9ze &hellip; <\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-136","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/mchochlik.cz\/index.php\/wp-json\/wp\/v2\/pages\/136","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mchochlik.cz\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mchochlik.cz\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mchochlik.cz\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mchochlik.cz\/index.php\/wp-json\/wp\/v2\/comments?post=136"}],"version-history":[{"count":22,"href":"https:\/\/mchochlik.cz\/index.php\/wp-json\/wp\/v2\/pages\/136\/revisions"}],"predecessor-version":[{"id":344,"href":"https:\/\/mchochlik.cz\/index.php\/wp-json\/wp\/v2\/pages\/136\/revisions\/344"}],"wp:attachment":[{"href":"https:\/\/mchochlik.cz\/index.php\/wp-json\/wp\/v2\/media?parent=136"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}