{"id":23535,"date":"2015-11-17T23:15:43","date_gmt":"2015-11-17T22:15:43","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=23535"},"modified":"2015-11-17T23:15:43","modified_gmt":"2015-11-17T22:15:43","slug":"lekar-mi-nechce-napsat-lazne-protoze-pry-kourim","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=23535","title":{"rendered":"L\u00e9ka\u0159 mi nechce napsat l\u00e1zn\u011b. Proto\u017ee pr\u00fd kou\u0159\u00edm&#8230;"},"content":{"rendered":"<p><strong>OT\u00c1ZKA: M\u00e1m \u0159adu let pot\u00ed\u017ee se \u017ealude\u010dn\u00edmi v\u0159edy a cht\u011bl jsem zkusit l\u00e1zn\u011b. M\u016fj praktick\u00fd l\u00e9ka\u0159 mi ale odm\u00edt\u00e1 v\u016fbec vystavit poukaz, pr\u00fd proto, \u017ee jsem ku\u0159\u00e1k a poji\u0161\u0165ovna by mi pobyt neschv\u00e1lila. Je to snad sou\u010d\u00e1st s\u00edl\u00edc\u00edho boje proti kou\u0159en\u00ed? <\/strong><!--more--><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>ODPOV\u011a\u010e:<\/strong><\/p>\n<p>L\u00e9ka\u0159, kter\u00fd nep\u0159edep\u00ed\u0161e ku\u0159\u00e1kovi l\u00e1zn\u011b na l\u00e9\u010dbu \u017ealude\u010dn\u00edch v\u0159ed\u016f, postupuje zcela spr\u00e1vn\u011b, a\u00a0to z\u00a0pr\u00e1vn\u00edho i\u00a0odborn\u00e9ho medic\u00ednsk\u00e9ho pohledu. Kou\u0159en\u00ed je v\u00a0tomto p\u0159\u00edpad\u011b skute\u010dn\u011b kontraindikac\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010dby, tedy d\u016fvodem, pro\u010d ji nem\u016f\u017eete absolvovat. Se s\u00edl\u00edc\u00edm bojem proti kou\u0159en\u00ed to nem\u00e1 co d\u011blat. Ka\u017ed\u00fd navrhuj\u00edc\u00ed l\u00e9ka\u0159i mus\u00ed postupovat podle platn\u00e9 legislativy a\u00a0zdravotn\u00ed poji\u0161\u0165ovny, resp. jejich revizn\u00ed l\u00e9ka\u0159i p\u0159i schvalov\u00e1n\u00ed n\u00e1vrh\u016f l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de kontroluj\u00ed dodr\u017eov\u00e1n\u00ed stanoven\u00fdch podm\u00ednek.<\/p>\n<p>Pravidla pro poskytov\u00e1n\u00ed t\u00e9to p\u00e9\u010de jsou ur\u010dena z\u00e1konem o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed, konkr\u00e9tn\u011b jeho p\u0159\u00edlohou \u010d. 5 Indika\u010dn\u00ed seznam pro l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di. Ten stanov\u00ed nemoci, u\u00a0nich\u017e lze l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di poskytnout, zp\u016fsoby poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de pro jednotliv\u00e9 indikace, d\u00e9lku z\u00e1kladn\u00edho i opakovan\u00e9ho l\u00e9\u010debn\u00e9ho pobytu pro jednotliv\u00e9 indikace, \u010detnost opakovan\u00e9ho l\u00e9\u010debn\u00e9ho pobytu, mo\u017enost prodlou\u017een\u00ed pobytu a dal\u0161\u00ed odborn\u00e1 krit\u00e9ria vztahuj\u00edc\u00ed se k jednotliv\u00fdm indikac\u00edm.<\/p>\n<p>Z\u00e1konem dan\u00e9 podm\u00ednky jsou pak dopln\u011bny vyhl\u00e1\u0161kou MZ \u010cR \u010d. 2\/2015 Sb., kter\u00e1 stanov\u00ed odborn\u00e1 krit\u00e9ria pro poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de, indika\u010dn\u00ed p\u0159edpoklady a kontraindikace, obory specializace doporu\u010duj\u00edc\u00edch l\u00e9ka\u0159\u016f, indika\u010dn\u00ed zam\u011b\u0159en\u00ed l\u00e1ze\u0148sk\u00fdch m\u00edst atd.<\/p>\n<p>Va\u0161e zdravotn\u00ed probl\u00e9my by pat\u0159ily podle indika\u010dn\u00edho seznamu do skupiny III \u2013 nemoci tr\u00e1vic\u00edho \u00fastroj\u00ed, III\/1 \u2013 Chronick\u00e9 a recidivuj\u00edc\u00ed onemocn\u011bn\u00ed \u017ealudku a st\u0159ev s maldigestivn\u00edmi p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00edc\u00edmi p\u0159i standardn\u00ed farmakoterapii. Ve zm\u00edn\u011bn\u00e9 vyhl\u00e1\u0161ce je v\u0161ak uvedeno, \u017ee <strong>z\u00e1vislost na nikotinu je kontraindikac\u00ed pro l\u00e1ze\u0148skou p\u00e9\u010di u\u00a0n\u011bkter\u00fdch chorob ze skupiny nemoc\u00ed tr\u00e1vic\u00edho \u00fastroj\u00ed.<\/strong> Je tomu tak pr\u00e1v\u011b u indikace III\/1 a tak\u00e9 u III\/2 \u2013 Stavy po operaci \u017ealudku, dvan\u00e1ctn\u00edku, j\u00edcnu a st\u0159ev s postresek\u010dn\u00ed symptomatologi\u00ed endoskopicky ov\u011b\u0159enou. V\u00e1\u0161 l\u00e9ka\u0159 v\u00e1m tedy l\u00e1ze\u0148skou l\u00e9\u010dbu skute\u010dn\u011b navrhnout nem\u016f\u017ee, pokud budete kou\u0159it nad\u00e1le.<\/p>\n<p>Dopl\u0148me je\u0161t\u011b, \u017ee <strong>z\u00e1vislost na nikotinu je rovn\u011b\u017e kontraindikac\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de u\u00a0v\u0161ech nemoc\u00ed ob\u011bhov\u00e9ho \u00fastroj\u00ed, u nemoc\u00ed z poruch v\u00fdm\u011bny l\u00e1tkov\u00e9 a \u017el\u00e1z s vnit\u0159n\u00ed sekrec\u00ed<\/strong> (pozor, v\u010detn\u011b diabetu!)<strong> a u nemoc\u00ed d\u00fdchac\u00edho \u00fastroj\u00ed.<\/strong> Toto omezen\u00ed by se net\u00fdkalo jen l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de, kter\u00e1 bezprost\u0159edn\u011b navazuje na hospitalizaci pro danou nemoc a je ned\u00edlnou sou\u010d\u00e1st\u00ed poopera\u010dn\u00ed p\u00e9\u010de. Alespo\u0148 12m\u011bs\u00ed\u010dn\u00ed abstinence nikotinu je pak u n\u011bkter\u00fdch indikac\u00ed podm\u00ednkou pro opakovan\u00fd pobyt. U d\u011bt\u00ed a\u00a0dorostu je z\u00e1vislost na nikotinu dokonce kontraindikac\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010dby jako takov\u00e9.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Mgr. Old\u0159ich Tich\u00fd<br \/>\n<\/strong>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA: M\u00e1m \u0159adu let pot\u00ed\u017ee se \u017ealude\u010dn\u00edmi v\u0159edy a cht\u011bl jsem zkusit l\u00e1zn\u011b. M\u016fj praktick\u00fd l\u00e9ka\u0159 mi ale odm\u00edt\u00e1 v\u016fbec vystavit poukaz, pr\u00fd proto, \u017ee <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=23535\" title=\"L\u00e9ka\u0159 mi nechce napsat l\u00e1zn\u011b. Proto\u017ee pr\u00fd kou\u0159\u00edm&#8230;\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-23535","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\/23535","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=23535"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23535\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23535"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23535"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}