{"id":20536,"date":"2015-03-24T09:52:01","date_gmt":"2015-03-24T08:52:01","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=20536"},"modified":"2015-03-24T09:52:35","modified_gmt":"2015-03-24T08:52:35","slug":"pravidelny-screening-je-soucasti-pece-o-zdravi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=20536","title":{"rendered":"Pravideln\u00fd screening je sou\u010d\u00e1st\u00ed p\u00e9\u010de o zdrav\u00ed"},"content":{"rendered":"<p><strong>Prevence je sou\u010d\u00e1st\u00ed p\u00e9\u010de o zdrav\u00ed. I kdy\u017e se \u010dlov\u011bk c\u00edt\u00ed dob\u0159e, sportuje, zdrav\u011b j\u00ed, dostate\u010dn\u011b odpo\u010d\u00edv\u00e1, nem\u011bl by zapom\u00ednat na preventivn\u00ed opat\u0159en\u00ed, kter\u00e1 mohou odhalit z\u00e1va\u017en\u00e1 onemocn\u011bn\u00ed ve stadiu, kdy jsou je\u0161t\u011b l\u00e9\u010diteln\u00e1.<\/strong><!--more--><\/p>\n<p>ilustra\u010dn\u00ed foto: Flickr.com<\/p>\n<p> Jedn\u00edm z takov\u00fdch opat\u0159en\u00ed je pravideln\u00fd screening, kter\u00fd upozorn\u00ed na po\u010d\u00ednaj\u00edc\u00ed odchylky od fyziologick\u00fdch hodnot zdrav\u00e9ho \u010dlov\u011bka.<\/p>\n<p>N\u011bkter\u00e1 vy\u0161et\u0159en\u00ed lze po\u017eadovat po praktick\u00e9m l\u00e9ka\u0159i v r\u00e1mci preventivn\u00ed p\u00e9\u010de hrazen\u00e9 zdravotn\u00ed poji\u0161\u0165ovnou. Krom\u011b toho je samoz\u0159ejm\u011b mo\u017en\u00e9 po\u017e\u00e1dat o jak\u00e9koliv vy\u0161et\u0159en\u00ed laborato\u0159 v re\u017eimu takzvan\u00e9ho samopl\u00e1tce.<\/p>\n<p>\u201eNa odb\u011br krve je mo\u017en\u00e9 p\u0159ij\u00edt na kter\u00e9koliv odb\u011brov\u00e9 m\u00edsto vybran\u00e9 laborato\u0159e, v\u00fdsledek biochemick\u00e9ho vy\u0161et\u0159en\u00ed je \u017eadateli ozn\u00e1men n\u00e1sleduj\u00edc\u00ed den po odb\u011bru. Pacient\u016fm jsou k dispozici bezplatn\u00e9 telefonn\u00ed linky pro zodpov\u011bzen\u00ed dotaz\u016f ohledn\u011b p\u0159\u00edpravy na vy\u0161et\u0159en\u00ed, nab\u00eddky \u0161k\u00e1ly vy\u0161et\u0159en\u00ed, sd\u011blen\u00ed ceny po\u017eadovan\u00e9ho vy\u0161et\u0159en\u00ed, doporu\u010den\u00ed nejbli\u017e\u0161\u00edho odb\u011brov\u00e9ho m\u00edsta atd. Krom\u011b krve je mo\u017en\u00e9 vy\u0161et\u0159it i jin\u00fd biologick\u00fd materi\u00e1l (mo\u010d, stolici), pop\u0159\u00edpad\u011b prov\u00e9st kultiva\u010dn\u00ed vy\u0161et\u0159en\u00ed z v\u00fdt\u011bru\u201c \u0159\u00edk\u00e1 MUDr. Zde\u0148ka Tondlov\u00e1, vedouc\u00ed biochemick\u00e9 laborato\u0159e AeskuLab.<\/p>\n<p>P\u0159i hled\u00e1n\u00ed vhodn\u00e9ho laboratorn\u00edho pracovi\u0161t\u011b v\u011bnujte pozornost tak\u00e9 tomu, zda m\u00e1 vybran\u00fd subjekt p\u0159\u00edslu\u0161n\u00e9 akreditace \u010di certifikace, aby byly spln\u011bny n\u00e1roky na kvalitu. Nejvy\u0161\u0161\u00edm pr\u016fkazem kvality je spln\u011bn\u00ed po\u017eadavk\u016f akredita\u010dn\u00ed normy ISO 15189, kter\u00e1 zdravotnick\u00fdm laborato\u0159\u00edm definuje zvl\u00e1\u0161tn\u00ed po\u017eadavky na kvalitu a zp\u016fsobilost. Modern\u00ed diagnostick\u00e9 laborato\u0159e maj\u00ed k dispozici \u0161pi\u010dkov\u00e9 p\u0159\u00edstrojov\u00e9 vybaven\u00ed a kvalifikovan\u00e9 l\u00e9ka\u0159e, kte\u0159\u00ed v\u00fdsledky laboratorn\u00edch vy\u0161et\u0159en\u00ed vyhodnocuj\u00ed.<\/p>\n<p>Z \u0161irok\u00e9 \u0161k\u00e1ly vy\u0161et\u0159en\u00ed mohou b\u00fdt pro samopl\u00e1tce nejv\u00edce zaj\u00edmav\u00e9:<\/p>\n<p>    diagnostika celiakie (zji\u0161t\u011bn\u00ed lepkov\u00e9 intolerance) &#8211; tTG, HLA DQ2, HLA DQ8<\/p>\n<p>    detekce kardiovaskul\u00e1rn\u00edho onemocn\u011bn\u00ed, metabolick\u00e9ho syndromu &#8211; celkov\u00fd cholesterol, HDL cholesterol, LDL cholesterol, triacylglyceroly, gluk\u00f3za, homocystein<\/p>\n<p>    vy\u0161et\u0159en\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy &#8211; TSH, fT4, a-TPO, a-TG<\/p>\n<p>    stanoven\u00ed krevn\u00ed skupiny &#8211; AB0, Rh faktor<\/p>\n<p>    zji\u0161t\u011bn\u00ed hodnoty \u201ehormonu ml\u00e1d\u00ed\u201c \u2013 vitaminu D<\/p>\n<p>    diagnostika p\u0159enosn\u00fdch nemoc\u00ed &#8211; HIV, syfilis, \u017eloutenka A, B, C<\/p>\n<p>    z\u00e1chyt okultn\u00edho krv\u00e1cen\u00ed<\/p>\n<p>    prob\u00edhaj\u00edc\u00ed neuroinfekce &#8211; lymesk\u00e1 boreli\u00f3za, kl\u00ed\u0161\u0165ov\u00e1 encefalitida<\/p>\n<p>    screening drog <\/p>\n<p>Obecnou nab\u00eddku vy\u0161et\u0159en\u00ed dopl\u0148uje speci\u00e1ln\u00ed nab\u00eddka pro \u017eeny. \u201e\u017deny pl\u00e1nuj\u00edc\u00ed rodinu si mohou nechat ud\u011blat test plodnosti (vy\u0161et\u0159en\u00ed AMH), d\u00e1le je mo\u017en\u00e9 stanovit hormon\u00e1ln\u00ed profil, pr\u016fkaz t\u011bhotenstv\u00ed, test na trombofiln\u00ed mutace p\u0159i u\u017e\u00edv\u00e1n\u00ed hormon\u00e1ln\u00ed antikoncepce (vy\u0161et\u0159en\u00ed faktoru V-Leiden, faktoru II-protrombin), \u010di posoudit riziko osteopor\u00f3zy detekc\u00ed \u00df-crosslaps a osteokalcinu,\u201c dopl\u0148uje MUDr. Zde\u0148ka Tondlov\u00e1, vedouc\u00ed biochemick\u00e9 laborato\u0159e AeskuLab.<\/p>\n<p>Mu\u017ei si nej\u010dast\u011bji nech\u00e1vaj\u00ed posoudit riziko onemocn\u011bn\u00ed prostaty stanoven\u00edm hodnoty prostatick\u00e9ho antigenu, kter\u00fd je ukazatelem n\u00e1dorov\u00e9ho bujen\u00ed prostaty \u2013 vy\u0161et\u0159en\u00ed PSA a jeho voln\u00e9 formy fPSA.<\/p>\n<p>Firemn\u00edm klient\u016fm je mo\u017en\u00e9 zajistit pracovn\u011b-l\u00e9ka\u0159sk\u00e9 laboratorn\u00ed slu\u017eby, testy n\u00e1vykov\u00fdch l\u00e1tek, \u010di pravideln\u00e9 bal\u00ed\u010dky vy\u0161et\u0159en\u00ed jako benefity pro zam\u011bstnance. \u0160k\u00e1la vy\u0161et\u0159en\u00ed je \u0161irok\u00e1, kompletn\u00ed nab\u00eddku lze naj\u00edt na webu laborato\u0159\u00ed. <\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Prevence je sou\u010d\u00e1st\u00ed p\u00e9\u010de o zdrav\u00ed. I kdy\u017e se \u010dlov\u011bk c\u00edt\u00ed dob\u0159e, sportuje, zdrav\u011b j\u00ed, dostate\u010dn\u011b odpo\u010d\u00edv\u00e1, nem\u011bl by zapom\u00ednat na preventivn\u00ed opat\u0159en\u00ed, kter\u00e1 mohou <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=20536\" title=\"Pravideln\u00fd screening je sou\u010d\u00e1st\u00ed p\u00e9\u010de o zdrav\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-20536","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\/20536","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=20536"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20536\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20536"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20536"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20536"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}