{"id":17471,"date":"2014-09-10T10:36:56","date_gmt":"2014-09-10T08:36:56","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=17471"},"modified":"2014-09-10T10:36:56","modified_gmt":"2014-09-10T08:36:56","slug":"hradi-pojistovna-denzitometricke-vysetreni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=17471","title":{"rendered":"Hrad\u00ed poji\u0161\u0165ovna denzitometrick\u00e9 vy\u0161et\u0159en\u00ed?"},"content":{"rendered":"<p><strong>M\u016fj endokrinolog m\u011b poslal na denzitometrii, ale rentgenovali mi jen p\u0159edlokt\u00ed a nohy. Zat\u00edm je v\u00fdsledek v norm\u011b, ale jsem po p\u0159echodu a r\u00e1da bych si \u010dasem nechala ud\u011blat denzitometrick\u00e9 vy\u0161et\u0159en\u00ed cel\u00e9ho t\u011bla. Hrad\u00ed ho poji\u0161\u0165ovna? Odpov\u011b\u010f VZP se do\u010dtete v \u010dl\u00e1nku&#8230;.<\/strong><!--more--><\/p>\n<div class=\"telo\">\n<p align=\"center\"><strong>ODPOV\u011a\u010e:<\/strong><\/p>\n<p align=\"justify\">Denzitometrick\u00e9 vy\u0161et\u0159en\u00ed (v\u00fdkon s\u00a0k\u00f3dem 89312 \u2013 Denzitometrie dvoufotonov\u00e1) je zam\u011b\u0159eno na stanoven\u00ed obsahu miner\u00e1l\u016f v\u00a0kostech nebo v\u00a0m\u011bkk\u00fdch tk\u00e1n\u00edch a <strong>je v\u00a0indikovan\u00fdch p\u0159\u00edpadech pln\u011b hrazeno z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/strong>. V\u00a0souladu s\u00a0existuj\u00edc\u00edm Seznamem zdravotn\u00edch v\u00fdkon\u016f ho mus\u00ed doporu\u010dit o\u0161et\u0159uj\u00edc\u00ed <strong>l\u00e9ka\u0159, kter\u00fd m\u00e1 pacienta v\u00a0p\u00e9\u010di pro kostn\u00ed chorobu.<\/strong> Tedy l\u00e9ka\u0159 t\u011bch odbornost\u00ed, kter\u00e9 jsou opr\u00e1vn\u011bny p\u0159edepisovat komplexn\u00ed antiosteoporotickou l\u00e9\u010dbu: <strong>revmatologie, d\u011btsk\u00e1 revmatologie, ortopedie, traumatologie, vnit\u0159n\u00ed l\u00e9ka\u0159stv\u00ed, gynekologie a\u00a0porodnictv\u00ed, d\u011btsk\u00e1 gynekologie, endokrinologie.<\/strong> M\u016f\u017ee to b\u00fdt i\u00a0praktick\u00fd l\u00e9ka\u0159, ale jen m\u00e1-li u\u00a0konkr\u00e9tn\u00edho pacienta p\u00edsemn\u00e9 pov\u011b\u0159en\u00ed od p\u0159\u00edslu\u0161n\u00e9ho specialisty k\u00a0p\u0159edpisu antiosteoporotick\u00fdch l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f s\u00a0limitac\u00ed odbornosti.<\/p>\n<p align=\"justify\">Indikace denzitometrie, stejn\u011b jako ka\u017ed\u00e9ho jin\u00e9ho vy\u0161et\u0159en\u00ed, je v\u017edy v\u00a0kompetenci o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e. Pro indikace jednotliv\u00fdch vy\u0161et\u0159en\u00ed ale zpravidla existuj\u00ed doporu\u010den\u00ed, kter\u00e1 vyd\u00e1vaj\u00ed p\u0159\u00edslu\u0161n\u00e9 odborn\u00e9 spole\u010dnosti. Spole\u010dnost pro metabolick\u00e1 onemocn\u011bn\u00ed skeletu m\u00e1 na sv\u00fdch internetov\u00fdch str\u00e1nk\u00e1ch zve\u0159ejn\u011bna <a href=\"http:\/\/www.smos.cz\/kriteriadtx.asp\">krit\u00e9ria<\/a> pro co nejefektivn\u011bj\u0161\u00ed a\u00a0nej\u00fa\u010deln\u011bj\u0161\u00ed vyu\u017eit\u00ed denzitometrick\u00e9ho vy\u0161et\u0159en\u00ed v\u00a0osteologick\u00e9 a\u00a0endokrinologick\u00e9 praxi. Denzitometrie by podle nich m\u011bla b\u00fdt provedena <strong>pro stanoven\u00ed rizika fraktury u\u00a0\u017een v\u00a0menopauze nebo po menopauze, u\u00a0kter\u00fdch jsou zji\u0161t\u011bny faktory zvy\u0161uj\u00edc\u00ed riziko zlomenin a\u00a0kter\u00e9 cht\u011bj\u00ed podstoupit p\u0159\u00edslu\u0161nou doporu\u010dovanou l\u00e9\u010dbu.<\/strong> D\u00e1le nap\u0159. u\u00a0osob oboj\u00edho pohlav\u00ed, u\u00a0nich\u017e lze na z\u00e1klad\u011b radiologick\u00e9ho vy\u0161et\u0159en\u00ed usuzovat na p\u0159\u00edtomnost osteopor\u00f3zy nebo je zachycen stav po zlomenin\u011b p\u0159i neadekv\u00e1tn\u00edm \u010di minim\u00e1ln\u00edm traumatu \u2013 to se t\u00fdk\u00e1 zejm\u00e9na \u017een od 40\u00a0let a\u00a0mu\u017e\u016f od 55 let. Denzitometre je tak\u00e9 indikovan\u00e1 u\u00a0pacient\u016f na za\u010d\u00e1tku nebo v\u00a0pr\u016fb\u011bhu dlouhodob\u00e9 l\u00e9\u010dby kortikoidy nebo jin\u00fdmi l\u00e9ky, kter\u00e9 sni\u017euj\u00ed mno\u017estv\u00ed kostn\u00ed hmoty.<\/p>\n<p align=\"justify\">Uveden\u00e1 indika\u010dn\u00ed omezen\u00ed se vztahuj\u00ed obecn\u011b k\u00a0\u00fahrad\u011b denzitometrie z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Zeptejte se proto p\u0159\u00ed\u0161t\u011b sv\u00e9ho l\u00e9ka\u0159e, kter\u00fd v\u00e1s ji\u017e poslal na perifern\u00ed denzitometrii, zda by v\u00e1m nedal doporu\u010den\u00ed na denzitometrii celot\u011blovou. Nen\u00ed-li ale podle o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e takov\u00e9 vy\u0161et\u0159en\u00ed indikov\u00e1no, m\u016f\u017eete ho <strong>absolvovat jako samopl\u00e1tce<\/strong>. Celot\u011blov\u00e1 denzitometrie se prov\u00e1d\u00ed na specializovan\u00fdch pracovi\u0161t\u00edch vybaven\u00fdch adekv\u00e1tn\u00ed technikou a\u00a0podle dostupn\u00fdch \u00fadaj\u016f by se cena m\u011bla pohybovat okolo 300-500\u00a0K\u010d.<\/p>\n<p align=\"justify\"><b>Mgr. Old\u0159ich Tich\u00fd, vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/b> VZP<\/p>\n<p align=\"justify\">ilustra\u010dn\u00ed foto: Flickr.com<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>M\u016fj endokrinolog m\u011b poslal na denzitometrii, ale rentgenovali mi jen p\u0159edlokt\u00ed a nohy. Zat\u00edm je v\u00fdsledek v norm\u011b, ale jsem po p\u0159echodu a r\u00e1da bych <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=17471\" title=\"Hrad\u00ed poji\u0161\u0165ovna denzitometrick\u00e9 vy\u0161et\u0159en\u00ed?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14514,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,11],"tags":[],"class_list":["post-17471","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17471","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=17471"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17471\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14514"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17471"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}