{"id":16386,"date":"2014-06-03T11:59:02","date_gmt":"2014-06-03T09:59:02","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=16386"},"modified":"2014-06-03T11:59:02","modified_gmt":"2014-06-03T09:59:02","slug":"kam-se-mohu-objednat-na-vysetreni-na-downuv-syndrom","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=16386","title":{"rendered":"Kam se mohu objednat na vy\u0161et\u0159en\u00ed na Down\u016fv syndrom?"},"content":{"rendered":"

R\u00e1da bych vyu\u017eila p\u0159\u00edsp\u011bvek 500 K\u010d od VZP na prvotrimestr\u00e1ln\u00ed screening, ale nev\u00edm, kde se na toto vy\u0161et\u0159en\u00ed objednat. M\u016fj gynekolog ho ned\u011bl\u00e1…<\/strong><\/p>\n

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ODPOV\u011a\u010e:<\/strong><\/p>\n

Takzvan\u00fd prvotrimestr\u00e1ln\u00ed screening nebo t\u00e9\u017e screening Downova syndromu, kombinovan\u00fd test \u010di NT\u00a0screening, je vysoce specializovan\u00e9 vy\u0161et\u0159en\u00ed, kter\u00e9 se b\u011b\u017en\u011b neprov\u00e1d\u00ed a\u00a0\u017eeny by ho m\u011bly absolvovat na akreditovan\u00e9m pracovi\u0161ti. V\u00e1\u0161 gynekolog by v\u00e1m m\u011bl poradit, kam se obr\u00e1tit. VZP tyto akreditace nem\u00e1 podchycen\u00e9, proto\u017ee prvotrimestr\u00e1ln\u00ed screening nen\u00ed hrazen z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, a\u00a0tud\u00ed\u017e pro n\u011bj neexistuj\u00ed \u017e\u00e1dn\u00e1 smluvn\u00ed pracovi\u0161t\u011b. Nen\u00ed ani obsa\u017een v\u00a0Seznamu zdravotn\u00edch v\u00fdkon\u016f s\u00a0bodov\u00fdmi hodnotami, kter\u00fd vyd\u00e1v\u00e1 Ministerstvo zdravotnictv\u00ed, tak\u017ee z\u00a0pohledu zdravotn\u00ed poji\u0161\u0165ovny nejsou stanoveny podm\u00ednky jeho poskytov\u00e1n\u00ed. Ty ale samoz\u0159ejm\u011b \u2013 z\u00a0odborn\u00e9ho hlediska \u2013 existuj\u00ed.<\/p>\n

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Prvotrimestr\u00e1ln\u00ed screening by m\u011bl prov\u00e9st l\u00e9ka\u0159, kter\u00fd z\u00edskal certifikaci FMF (Fetal Medicine Foundation, Lond\u00fdn), resp. l\u00e9ka\u0159, u\u00a0kter\u00e9ho je ov\u011b\u0159ena kvalita nejen touto certifikac\u00ed, ale i\u00a0n\u00e1sledn\u00fdmi audity. Screening kombinuje testov\u00e1n\u00ed krve matky a podrobn\u00e9 ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed plodu, kter\u00e9 umo\u017e\u0148uje ji\u017e ve 3. m\u011bs\u00edci t\u011bhotenstv\u00ed ov\u011b\u0159it, zda d\u00edt\u011b nebude trp\u011bt vrozenou vadou. Z\u00e1kladem je vy\u0161et\u0159en\u00ed NT (nuch\u00e1ln\u00ed translucence), existuj\u00ed ale i\u00a0dal\u0161\u00ed markery Downova syndromu v prvn\u00edm trimestru. V\u00a0r\u00e1mci certifikace l\u00e9ka\u0159 tak\u00e9 z\u00edsk\u00e1 speci\u00e1ln\u00ed software pro velmi p\u0159esn\u00fd v\u00fdpo\u010det rizika posti\u017een\u00ed plodu.<\/p>\n

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Seznam l\u00e9ka\u0159\u016f s certifik\u00e1tem na vy\u0161et\u0159en\u00ed NT<\/a><\/span><\/span> i <\/strong>seznam auditovan\u00fdch (kontrolovan\u00fdch) l\u00e9ka\u0159\u016f<\/a><\/span><\/span>, kte\u0159\u00ed jsou nejen dr\u017eiteli certifik\u00e1tu, ale i\u00a0\u00fasp\u011b\u0161n\u00e9ho auditu jejich v\u00fdsledk\u016f, je na webov\u00fdch str\u00e1nk\u00e1ch FMF<\/strong> (v\u00a0roletce zadejte Czech Republic). Bohu\u017eel, nen\u00ed zde uvedeno jejich pracovi\u0161t\u011b. Na internetu se ale d\u00e1 zjistit, \u017ee l\u00e9ka\u0159i s\u00a0certifikac\u00ed FMF pracuj\u00ed nap\u0159. v\u00a0Praze u\u00a0Apolin\u00e1\u0159e (Centrum fet\u00e1ln\u00ed medic\u00edny a\u00a0Odd\u011blen\u00ed ultrazvukov\u00e9 diagnostiky VFN), v\u00a0\u00daPMD Podol\u00ed, d\u00e1le je to Profema \u2013 Centrum fet\u00e1ln\u00ed medic\u00edny, \u00dastav l\u00e9ka\u0159sk\u00e9 genetiky a\u00a0fet\u00e1ln\u00ed medic\u00edny FN a\u00a0LF\u00a0UP Olomouc, ve Zl\u00edn\u011b Centrum fet\u00e1ln\u00ed medic\u00edny a\u00a0l\u00e9ka\u0159sk\u00e9 genetiky KNTB. Pokud byste kontaktovala n\u011bkter\u00e9 z\u00a0t\u011bchto pracovi\u0161\u0165, jist\u011b v\u00e1m i\u00a0porad\u00ed, kde jinde certifikovan\u00e9 odborn\u00edky najdete.<\/p>\n

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Cena vy\u0161et\u0159en\u00ed se pohybuje orienta\u010dn\u011b mezi 600 a\u017e 1\u00a0500 korunami a\u00a0VZP \u017een\u011b ze sv\u00e9ho fondu prevence proplat\u00ed 500\u00a0K\u010d. Upozor\u0148ujeme ale, \u017ee p\u0159\u00edsp\u011bvek na prvotrimestr\u00e1ln\u00ed screening m\u016f\u017ee z\u00edskat jen nast\u00e1vaj\u00edc\u00ed maminka, kter\u00e1 v\u00a0dan\u00e9m roce sv\u00fdch 500 K\u010d v\u00a0„maminkovsk\u00e9 skupin\u011b“ p\u0159\u00edsp\u011bvk\u016f nevy\u010derpala na jin\u00e9 aktivity, nap\u0159. na p\u0159edporodn\u00ed kurzy, cvi\u010den\u00ed a\u00a0plav\u00e1n\u00ed pro t\u011bhotn\u00e9, nebo ho nehodl\u00e1 pou\u017e\u00edt na p\u0159\u00edpadn\u00fd poplatek za p\u0159\u00edtomnost partnera u\u00a0porodu.<\/p>\n

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Mgr. Old\u0159ich Tich\u00fd
\nvedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed VZP<\/p>\n

ilustra\u010dn\u00ed foto: Photoxpress<\/p>\n","protected":false},"excerpt":{"rendered":"

R\u00e1da bych vyu\u017eila p\u0159\u00edsp\u011bvek 500 K\u010d od VZP na prvotrimestr\u00e1ln\u00ed screening, ale nev\u00edm, kde se na toto vy\u0161et\u0159en\u00ed objednat. M\u016fj gynekolog ho ned\u011bl\u00e1…<\/p>\n<\/div>","protected":false},"author":1,"featured_media":16282,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-16386","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\/16386","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=16386"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16386\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16282"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16386"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16386"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}