Je v\u00e1\u0161 praktick\u00fd l\u00e9ka\u0159 povinen v\u00e1z zv\u00e1t na preventivn\u00ed l\u00e9ka\u0159sk\u00e9 prohl\u00eddky? M\u016f\u017eeme si nechat d\u00e1t odebrat krev pro vy\u0161et\u0159en\u00ed bez doporu\u010den\u00ed l\u00e9ka\u0159e? Jak postupovat, pokud si pacient p\u0159eje pobyt v l\u00e1zn\u00edch? Na tyto a jin\u00e9 dotazy \u010dten\u00e1\u0159\u016f odpov\u00edd\u00e1 praktick\u00e1 l\u00e9ka\u0159ka MUDr. Veronika Dr\u00e1bov\u00e1.<\/p>\n
– Je mo\u017en\u00e9 si nechat ud\u011blat odb\u011br krve bez doporu\u010den\u00ed l\u00e9ka\u0159e?<\/p>\n
Mo\u017en\u00e9 to je, po\u010d\u00edtejte ov\u0161em, \u017ee v tomto p\u0159\u00edpad\u011b v\u00e1m nebude tyto odb\u011bry hradit va\u0161e zdravotn\u00ed poji\u0161\u0165ovna a prov\u00e1d\u011bj\u00edc\u00ed laborato\u0159 bude cht\u00edt \u00fahradu od v\u00e1s. Nejd\u0159\u00edve bych v\u00e1m proto doporu\u010dila, pokud se jedn\u00e1 o n\u011bjak\u00e1 z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed \u2013 nap\u0159. pr\u00e1v\u011b hladina krevn\u00edho cukru, cholesterol \u010di rozbor mo\u010de, absolvovat pr\u00e1v\u011b v\u00fd\u0161e zm\u00edn\u011bnou preventivn\u00ed prohl\u00eddku, l\u00e9ka\u0159 v\u00e1m m\u016f\u017ee tyto rozbory prov\u00e9st v jej\u00edm r\u00e1mci a bezplatn\u011b. Dal\u0161\u00edch rozbor\u016f jsou \u2013 pokud zapo\u010dteme i nap\u0159. serologick\u00e1 vy\u0161et\u0159en\u00ed \u2013 stovky a\u017e tis\u00edce, tak\u017ee bych sp\u00ed\u0161e doporu\u010dila, pokud m\u00e1te n\u011bjak\u00fd konkr\u00e9tn\u00ed zdravotn\u00ed probl\u00e9m \u2013 zaj\u00edt ke sv\u00e9mu l\u00e9ka\u0159i, kter\u00fd provede klinick\u00e9 vy\u0161et\u0159en\u00ed, zv\u00e1\u017e\u00ed a doporu\u010d\u00ed vhodn\u00e9 odb\u011bry a hlavn\u011b spr\u00e1vn\u011b interpretuje jejich v\u00fdsledky.<\/p>\n
– Co to je zdravotn\u00ed pr\u016fkaz, kde jej mohu z\u00edskat a kolik stoj\u00ed?<\/p>\n
Zdravotn\u00ed pr\u016fkaz po v\u00e1s bude po\u017eadov\u00e1n nejsp\u00ed\u0161e p\u0159i vstupu do zam\u011bstn\u00e1n\u00ed, kde m\u016f\u017eete p\u0159ich\u00e1zet do styku s potravinami. O jeho vyd\u00e1n\u00ed m\u016f\u017eete po\u017e\u00e1dat va\u0161eho registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e nebo i l\u00e9ka\u0159e, kter\u00fd pro va\u0161eho zam\u011bstnavatele prov\u00e1d\u00ed z\u00e1vodn\u00ed p\u00e9\u010di. Podm\u00ednkou jeho vyd\u00e1n\u00ed je, \u017ee jste zdr\u00e1v a \u017ee nem\u00e1te p\u0159\u00edznaky infek\u010dn\u00edho onemocn\u011bn\u00ed \u2013 zejm\u00e9na za\u017e\u00edvac\u00edho a d\u00fdchac\u00edho traktu. Sou\u010d\u00e1st\u00ed jeho vyd\u00e1n\u00ed je i pou\u010den\u00ed, jak se v p\u0159\u00edpad\u011b v\u00fdskytu infek\u010dn\u00edho onemocn\u011bn\u00ed zachovat \u2013 p\u0159edev\u0161\u00edm hl\u00e1sit takovou situaci zam\u011bstnavateli a ten v\u00e1s mus\u00ed vy\u0159adit z pr\u00e1ce s potravinami. Cena za jeho vyd\u00e1n\u00ed se pohybuje kolem 300 korun.<\/p>\n
– M\u016fj otec i matka maj\u00ed vysok\u00fd tlak, j\u00e1 sv\u016fj tlak nezn\u00e1m. Je mi 26 let. Je pravd\u011bpodobn\u00e9, \u017ee ho zd\u011bd\u00edm? Co s t\u00edm m\u00e1m d\u011blat?<\/p>\n
Ano, pokud oba dva va\u0161i rodi\u010de jsou hypertonici, je u v\u00e1s vy\u0161\u0161\u00ed riziko, \u017ee toto onemocn\u011bn\u00ed se m\u016f\u017ee n\u011bkdy v pr\u016fb\u011bhu \u017eivota vyskytnout. Nejd\u0159\u00edve bych doporu\u010dila n\u00e1v\u0161t\u011bvu va\u0161eho praktick\u00e9ho l\u00e9ka\u0159e a kontrolu krevn\u00edho tlaku. Sv\u00e9 d\u011bdi\u010dn\u00e9 dispozice m\u016f\u017eete ovlivnit zdrav\u00fdm \u017eivotn\u00edm stylem s dostatkem pohybu, kontrolou t\u011blesn\u00e9 v\u00e1hy a racion\u00e1ln\u00ed stravou s omezen\u00edm soli a tmav\u00e9ho tu\u010dn\u00e9ho masa a jednoduch\u00fdch cukr\u016f \u2013 sladkost\u00ed. Ve strav\u011b byste m\u011bla preferovat nap\u0159. ryby, olivov\u00fd olej \u2013 tzv. st\u0159edomo\u0159skou dietu. Je pro v\u00e1s velmi vhodn\u00e9 nekou\u0159it.<\/p>\n
– Cht\u011bla bych jet do l\u00e1zn\u00ed. Co proto m\u00e1m ud\u011blat, je to zdarma nebo se n\u011bco plat\u00ed?<\/p>\n
L\u00e1ze\u0148sk\u00e1 p\u00e9\u010de, pokud m\u00e1 jej\u00ed \u00fahradu prov\u00e9st zdravotn\u00ed poji\u0161\u0165ovna, mus\u00ed b\u00fdt spr\u00e1vn\u011b indikov\u00e1na. Tyto indikace jsou velmi p\u0159esn\u011b specifikov\u00e1ny v tzv. indika\u010dn\u00edm seznamu. Doporu\u010dila bych se s va\u0161\u00ed \u017e\u00e1dost\u00ed obr\u00e1tit na l\u00e9ka\u0159e konkr\u00e9tn\u00ed odborn\u00e9 ambulance, v jej\u00ed\u017e jste p\u00e9\u010di \u2013 nap\u0159\u00edklad ortopedie, rehabilitace, neurologie \u2013 kde l\u00e9ka\u0159 posoud\u00ed, zda spl\u0148ujete krit\u00e9ria v tomto seznamu uveden\u00e1 a l\u00e1zn\u011b v\u00e1m p\u0159\u00edpadn\u011b doporu\u010d\u00ed. S t\u00edmto p\u00edsemn\u00fdm doporu\u010den\u00edm se pak obr\u00e1t\u00edte na sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, kter\u00fd v\u00e1s vy\u0161et\u0159\u00ed a sep\u00ed\u0161e tzv. N\u00e1vrh na l\u00e1ze\u0148skou p\u00e9\u010di. Revizn\u00ed l\u00e9ka\u0159 va\u0161\u00ed zdravotn\u00ed poji\u0161\u0165ovny pak ur\u010d\u00ed, zda m\u00e1te n\u00e1rok na p\u00e9\u010di komplexn\u00ed. To znamen\u00e1, \u017ee v\u00e1m bude hrazeno ubytov\u00e1n\u00ed i procedury nebo p\u00e9\u010di p\u0159\u00edsp\u011bvkovou, \u017ee v\u00e1m budou hrazeny procedury, ale ubytov\u00e1n\u00ed si budete hradit sama.<\/p>\n
– Jak je mo\u017en\u00e9 si za\u017e\u00e1dat o d\u016fm s pe\u010dovatelskou slu\u017ebou? Rozhoduje o tom l\u00e9ka\u0159?<\/p>\n
O d\u016fm s pe\u010dovatelskou slu\u017ebou si \u017e\u00e1d\u00e1te na soci\u00e1ln\u00edm odboru m\u011bsta. Tam v\u00e1m podrobn\u011b vysv\u011btl\u00ed dal\u0161\u00ed postup. O jeho p\u0159id\u011blen\u00ed l\u00e9ka\u0159 nerozhoduje. V\u00e1\u0161 l\u00e9ka\u0159 jen vypln\u00ed \u010d\u00e1st \u017e\u00e1dosti t\u00fdkaj\u00edc\u00ed se va\u0161eho zdravotn\u00edho stavu, na kter\u00fd je p\u0159i p\u0159id\u011blov\u00e1n\u00ed br\u00e1n z\u0159etel.<\/p>\n
– Pot\u0159ebovala bych v\u00fdpomoc, jsem v pokro\u010dil\u00e9m v\u011bku a spoustu v\u011bc\u00ed ji\u017e sama nezvl\u00e1d\u00e1m. Kam se m\u00e1m obr\u00e1tit o pomoc?<\/p>\n
O pomoc a radu se m\u016f\u017eete obr\u00e1tit na soci\u00e1ln\u00ed odbor m\u011bsta. M\u016f\u017eete zv\u00e1\u017eit, zda chcete vyu\u017e\u00edvat pe\u010dovatelskou slu\u017ebu, bydlen\u00ed v pe\u010dovatelsk\u00e9m dom\u011b nebo m\u00edsto v domov\u011b pro seniory.<\/p>\n","protected":false},"excerpt":{"rendered":"
Je v\u00e1\u0161 praktick\u00fd l\u00e9ka\u0159 povinen v\u00e1z zv\u00e1t na preventivn\u00ed l\u00e9ka\u0159sk\u00e9 prohl\u00eddky? M\u016f\u017eeme si nechat d\u00e1t odebrat krev pro vy\u0161et\u0159en\u00ed bez doporu\u010den\u00ed l\u00e9ka\u0159e? Jak postupovat, pokud […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15403","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15403","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15403"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15403\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15403"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15403"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}