{"id":16092,"date":"2014-05-13T06:50:14","date_gmt":"2014-05-13T04:50:14","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=16092"},"modified":"2014-05-13T06:51:15","modified_gmt":"2014-05-13T04:51:15","slug":"ma-zene-vysetrovat-prsa-prakticky-lekar-gynekolog-ci-pripadne-oba","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=16092","title":{"rendered":"M\u00e1 \u017een\u011b vy\u0161et\u0159ovat prsa praktick\u00fd l\u00e9ka\u0159, gynekolog \u010di p\u0159\u00edpadn\u011b oba?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA:\u00a0 Je vy\u0161et\u0159en\u00ed prs\u016f a n\u00e1cvik samovy\u0161et\u0159en\u00ed povinnou sou\u010d\u00e1st\u00ed gynekologick\u00e9 prohl\u00eddky? V\u017edy m\u011b vy\u0161et\u0159uje m\u016fj praktick\u00fd l\u00e9ka\u0159, kter\u00fd m\u011b tak\u00e9 odes\u00edl\u00e1 na mamografii. Pro\u010d by mi m\u011bl prsa vy\u0161et\u0159ovat je\u0161t\u011b gynekolog? Podot\u00fdk\u00e1m, \u017ee m\u00e1m te\u010f jin\u00e9ho gynekologa.<\/strong><!--more--><\/p>\n<p>ODPOV\u011a\u010e:<\/p>\n<p>Vy\u0161et\u0159en\u00ed prs\u016f, pou\u010den\u00ed o\u00a0samovy\u0161et\u0159ov\u00e1n\u00ed prsu a\u00a0odesl\u00e1n\u00ed pacientky na preventivn\u00ed (screeningovou) mamografii spad\u00e1 do &#8222;popisu pr\u00e1ce&#8220; jak praktick\u00e9ho l\u00e9ka\u0159e, tak gynekologa, resp. do povinn\u00e9ho obsahu preventivn\u00edch prohl\u00eddek u\u00a0nich. Dokonce by se dalo \u0159\u00edci, \u017ee je to sp\u00ed\u0161 v\u011bc\u00ed gynekologa, ne\u017e praktick\u00e9ho l\u00e9ka\u0159e.<\/p>\n<p>Obsahem gynekologick\u00e9 preventivn\u00ed prohl\u00eddky, na kterou m\u00e1 \u017eena doch\u00e1zet jedenkr\u00e1t ro\u010dn\u011b, je mj. klinick\u00e9 vy\u0161et\u0159en\u00ed prs\u016f, ov\u0161em a\u017e od 25\u00a0let v\u011bku a\u00a0p\u0159i pozitivn\u00ed rodinn\u00e9 anamn\u00e9ze na d\u011bdi\u010dn\u00fd nebo famili\u00e1rn\u00ed v\u00fdskyt zhoubn\u00e9ho n\u00e1doru prsu nebo p\u0159i p\u0159\u00edtomnosti jin\u00fdch rizikov\u00fdch faktor\u016f. Sou\u010d\u00e1st\u00ed preventivn\u00ed prohl\u00eddky je tak\u00e9 n\u00e1cvik samovy\u0161et\u0159ov\u00e1n\u00ed prs\u016f, a\u00a0to p\u0159i prvn\u00ed prohl\u00eddce u\u00a0registruj\u00edc\u00edho gynekologa. Pokud jste se tedy nov\u011b registrovala, postupoval v\u00e1\u0161 l\u00e9ka\u0159 zcela spr\u00e1vn\u011b.<\/p>\n<p>I doporu\u010den\u00ed k\u00a0proveden\u00ed screeningov\u00e9ho mamografick\u00e9ho vy\u0161et\u0159en\u00ed d\u00e1v\u00e1 \u017een\u011b b\u011b\u017en\u011b gynekolog. Toto vy\u0161et\u0159en\u00ed m\u00e1 \u017eena ve v\u011bku nad 45\u00a0let podstupovat ve dvoulet\u00fdch intervalech a\u00a0pokud mo\u017eno na stejn\u00e9m akreditovan\u00e9m pracovi\u0161ti screeningov\u00e9 mamografie. Jestli\u017ee ji\u017e ale \u017eena absolvovala toto vy\u0161et\u0159en\u00ed v\u00a0posledn\u00edch 2\u00a0letech na doporu\u010den\u00ed sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e (a\u00a0je k\u00a0dispozici v\u00fdsledek), gynekolog ji na mamografii ji\u017e samoz\u0159ejm\u011b nepos\u00edl\u00e1. Proto je vhodn\u00e9 p\u0159edat v\u00fdsledek screeningov\u00e9 mamografie jak praktick\u00e9mu l\u00e9ka\u0159i, tak gynekologovi bez ohledu na to, kter\u00fd z\u00a0nich \u017een\u011b vystavil \u017e\u00e1danku.<\/p>\n<p>Tak\u00e9 v\u0161eobecn\u00e1 preventivn\u00ed prohl\u00eddka u\u00a0praktick\u00e9ho l\u00e9ka\u0159e, kter\u00e1 se prov\u00e1d\u00ed v\u017edy jednou za 2\u00a0roky, zahrnuje u\u00a0\u017een od 25\u00a0let v\u011bku klinick\u00e9 vy\u0161et\u0159en\u00ed prs\u016f p\u0159i pozitivn\u00ed rodinn\u00e9 anamn\u00e9ze nebo p\u0159\u00edtomnosti jin\u00fdch rizikov\u00fdch faktor\u016f, a\u00a0to spolu s pou\u010den\u00edm o\u00a0samovy\u0161et\u0159ov\u00e1n\u00ed. Co se t\u00fdk\u00e1 mamografie, m\u00e1 podle p\u0159\u00edslu\u0161n\u00e9 vyhl\u00e1\u0161ky o\u00a0preventivn\u00edch prohl\u00eddk\u00e1ch praktick\u00fd l\u00e9ka\u0159 u\u00a0\u017een od 45 let vlastn\u011b &#8222;jen&#8220; ov\u011b\u0159it, zda je k dispozici v\u00fdsledek screeningov\u00e9ho mamografick\u00e9ho vy\u0161et\u0159en\u00ed z\u00a0posledn\u00edch 2\u00a0let, a\u00a0nen\u00ed-li, m\u00e1 \u017een\u011b proveden\u00ed tohoto vy\u0161et\u0159en\u00ed doporu\u010dit.<\/p>\n<p>Pokud v\u00e1m z\u00a0n\u011bjak\u00e9ho d\u016fvodu nevyhovuje, aby v\u00e1\u0161 gynekolog pe\u010doval i\u00a0o\u00a0va\u0161e prsa, je jist\u011b mo\u017en\u00e9 mu situaci vysv\u011btlit a\u00a0dolo\u017eit (zejm\u00e9na v\u00fdsledky mamografick\u00e9ho screeningu), \u017ee se o\u00a0v\u00e1s n\u00e1le\u017eit\u011b star\u00e1 v\u00e1\u0161 praktick\u00fd l\u00e9ka\u0159. Vy\u0161et\u0159en\u00ed prs\u016f u\u00a0gynekologa v\u0161ak nen\u00ed nam\u00edst\u011b odm\u00edtat zejm\u00e9na p\u0159i u\u017e\u00edv\u00e1n\u00ed hormon\u00e1ln\u00ed antikoncepce nebo hormon\u00e1ln\u00ed substituce v obdob\u00ed menopauzy.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd<br \/>\nvedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed VZP<\/p>\n<p>foto: marin-FreeDigitalPhotos<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA:\u00a0 Je vy\u0161et\u0159en\u00ed prs\u016f a n\u00e1cvik samovy\u0161et\u0159en\u00ed povinnou sou\u010d\u00e1st\u00ed gynekologick\u00e9 prohl\u00eddky? V\u017edy m\u011b vy\u0161et\u0159uje m\u016fj praktick\u00fd l\u00e9ka\u0159, kter\u00fd m\u011b tak\u00e9 odes\u00edl\u00e1 na mamografii. Pro\u010d by <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=16092\" title=\"M\u00e1 \u017een\u011b vy\u0161et\u0159ovat prsa praktick\u00fd l\u00e9ka\u0159, gynekolog \u010di p\u0159\u00edpadn\u011b oba?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14166,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-16092","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16092","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=16092"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16092\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14166"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16092"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16092"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16092"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}