{"id":30185,"date":"2018-02-19T11:23:14","date_gmt":"2018-02-19T10:23:14","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30185"},"modified":"2018-02-21T14:46:24","modified_gmt":"2018-02-21T13:46:24","slug":"ksdy-ma-dite-prestoupit-k-lekari-pro-dospele","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30185","title":{"rendered":"Kdy m\u00e1 d\u00edt\u011b p\u0159estoupit k l\u00e9ka\u0159i pro dosp\u011bl\u00e9?"},"content":{"rendered":"

OT\u00c1ZKA : Od kolika let m\u016f\u017ee d\u00edt\u011b chodit k\u00a0praktick\u00e9mu l\u00e9ka\u0159i pro dosp\u011bl\u00e9 m\u00edsto k d\u011btsk\u00e9mu? Po p\u0159est\u011bhov\u00e1n\u00ed m\u00e1me probl\u00e9m s\u00a0m\u00edstn\u00ed d\u011btskou doktorkou, naopak praktick\u00fd l\u00e9ka\u0159 je tu b\u00e1je\u010dn\u00fd. D\u011btem je 13 a 16 let, tak m\u011b napadlo, jestli by se alespo\u0148 star\u0161\u00ed dcera nemohla u\u017e p\u0159eregistrovat.<\/strong><\/p>\n

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

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Pro p\u0159echod k\u00a0praktick\u00e9mu l\u00e9ka\u0159i pro dosp\u011bl\u00e9 nen\u00ed striktn\u011b stanovena jedna v\u011bkov\u00e1 hranice, b\u011b\u017en\u011b k\u00a0p\u0159eregistraci doch\u00e1z\u00ed ve v\u011bku kolem 18 let. Plat\u00ed ale pravidlo, \u017ee praktick\u00fd l\u00e9ka\u0159 pro dosp\u011bl\u00e9 m\u016f\u017ee m\u00edt zaregistrovan\u00e9 pacienty od\u00a014 let; praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a dorost maxim\u00e1ln\u011b do 19\u00a0let.<\/strong> Sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e tedy m\u016f\u017eete po\u017e\u00e1dat o registraci star\u0161\u00edho d\u00edt\u011bte, mlad\u0161\u00ed si mus\u00ed po\u010dkat.<\/p>\n

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To, \u017ee je praktick\u00fd l\u00e9ka\u0159 pro dosp\u011bl\u00e9 opr\u00e1vn\u011bn<\/strong> registrovat poji\u0161t\u011bnce ji\u017e v\u00a0m\u011bs\u00edci, kdy tento dos\u00e1hl v\u011bku 14\u00a0let, ov\u0161em neznamen\u00e1, \u017ee je povinen<\/strong> to ud\u011blat. P\u00e9\u010de o\u00a0d\u011bti m\u00e1 sv\u00e1 specifika, konec konc\u016f i\u00a0vyhl\u00e1\u0161ka o\u00a0preventivn\u00edch prohl\u00eddk\u00e1ch ur\u010duje samostatn\u011b obsah preventivn\u00edch prohl\u00eddek v\u00a0oboru praktick\u00e9 l\u00e9ka\u0159stv\u00ed pro d\u011bti a\u00a0dorost<\/strong> a\u00a0samostatn\u011b v\u00a0oboru v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159stv\u00ed. Preventivn\u00ed prohl\u00eddky u\u00a0d\u011bt\u00ed sice prob\u00edhaj\u00ed u\u017e od t\u0159\u00ed let ve dvoulet\u00fdch intervalech, tedy stejn\u011b jako u\u00a0dosp\u011bl\u00fdch, ale jejich obsah nen\u00ed toto\u017en\u00fd s\u00a0obsahem preventivn\u00ed prohl\u00eddky dosp\u011bl\u00fdch<\/strong>. Vyhl\u00e1\u0161ka nav\u00edc podrobn\u011b specifikuje obsah preventivn\u00edch prohl\u00eddek u\u00a0praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost a\u017e do 19\u00a0let v\u011bku.<\/p>\n

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Preventivn\u00ed prohl\u00eddka v\u00a015 a\u00a0v\u00a017\u00a0letech u\u00a0praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost m\u00e1 zahrnovat mj.\u00a0posouzen\u00ed r\u016fstu d\u00edt\u011bte podle r\u016fstov\u00fdch graf\u016f<\/strong> pro odhalen\u00ed p\u0159\u00edpadn\u00e9 podv\u00fd\u017eivy, nadv\u00e1hy nebo obezity. D\u00e1le kontrolu, pop\u0159\u00edpad\u011b dopln\u011bn\u00ed chyb\u011bj\u00edc\u00edho o\u010dkov\u00e1n\u00ed<\/strong>, kompletn\u00ed fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed v\u010detn\u011b prohl\u00eddky k\u016f\u017ee a\u00a0sekund\u00e1rn\u00edch pohlavn\u00edch znak\u016f, vy\u0161et\u0159en\u00ed zraku, sluchu, \u0159e\u010di a hlasu, vy\u0161et\u0159en\u00ed dutiny \u00fastn\u00ed, stavu chrupu, pop\u0159\u00edpad\u011b doporu\u010den\u00ed stomatologick\u00e9ho vy\u0161et\u0159en\u00ed. M\u00e1 b\u00fdt celkov\u011b zhodnocen stav a v\u00fdvoj d\u00edt\u011bte<\/strong> a\u00a0l\u00e9ka\u0159 ho m\u00e1 pou\u010dit o\u00a0zdravotn\u00edch rizic\u00edch a\u00a0d\u016fsledc\u00edch souvisej\u00edc\u00edch se sexu\u00e1ln\u00edm \u017eivotem v\u010detn\u011b pou\u010den\u00ed o\u00a0chr\u00e1n\u011bn\u00e9m sexu<\/strong> (d\u00edvk\u00e1m m\u00e1 b\u00fdt p\u0159\u00edpadn\u011b doporu\u010deno gynekologick\u00e9 vy\u0161et\u0159en\u00ed, zejm\u00e9na pokud je\u0161t\u011b nemenstruuj\u00ed). L\u00e9ka\u0159 m\u00e1 tak\u00e9 zhodnotit rizika do dal\u0161\u00edho \u017eivota vypl\u00fdvaj\u00edc\u00ed z\u00a0rodinn\u00e9 i\u00a0osobn\u00ed anamn\u00e9zy a\u00a0vyj\u00e1d\u0159it se k\u00a0pracovn\u00edmu, p\u0159\u00edpadn\u011b studijn\u00edmu zam\u011b\u0159en\u00ed<\/strong> (u osob se zdravotn\u00edm posti\u017een\u00edm t\u00e9\u017e k\u00a0omezen\u00ed p\u0159\u00edpravy na pracovn\u00ed uplatn\u011bn\u00ed a k\u00a0pracovn\u00ed schopnosti). Posledn\u00ed „d\u011btsk\u00e1“ preventivn\u00ed prohl\u00eddka obsahuje nav\u00edc z\u00e1v\u011bre\u010dn\u00e9 zhodnocen\u00ed zdravotn\u00edho stavu. Prov\u00e1d\u00ed se p\u0159ed ukon\u010den\u00edm p\u00e9\u010de u\u00a0praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a\u00a0dorost, nejpozd\u011bji p\u0159ede dnem dovr\u0161en\u00ed 19\u00a0let.<\/p>\n

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Z hlediska poji\u0161\u0165ovny, tedy z\u00a0hlediska \u00fahrad zdravotn\u00edch slu\u017eeb nen\u00ed s\u00a0registrac\u00ed d\u00edt\u011bte nad 14 let u\u00a0praktick\u00e9ho l\u00e9ka\u0159e pro dosp\u011bl\u00e9 \u017e\u00e1dn\u00fd probl\u00e9m<\/strong>. Na\u0161\u00edm informa\u010dn\u00edm syst\u00e9mem, resp. jeho automatick\u00fdmi kontrolami bez probl\u00e9m\u016f projdou v\u00fdkony a kapita\u010dn\u00ed platba za poji\u0161t\u011bnce registrovan\u00e9 od 14 let u\u00a0„dosp\u011bl\u00e9ho“ praktika i\u00a0za ty, kte\u0159\u00ed jsou do 19\u00a0let u\u00a0praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a\u00a0dorost (v\u00a0m\u011bs\u00edci, ve kter\u00e9m poji\u0161t\u011bnec dos\u00e1hne v\u011bku 19 let, je automaticky jeho registrace u „d\u011btsk\u00e9ho“ praktika zru\u0161ena).<\/p>\n

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

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OT\u00c1ZKA : Od kolika let m\u016f\u017ee d\u00edt\u011b chodit k\u00a0praktick\u00e9mu l\u00e9ka\u0159i pro dosp\u011bl\u00e9 m\u00edsto k d\u011btsk\u00e9mu? Po p\u0159est\u011bhov\u00e1n\u00ed m\u00e1me probl\u00e9m s\u00a0m\u00edstn\u00ed d\u011btskou doktorkou, naopak praktick\u00fd l\u00e9ka\u0159 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29148,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30185","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30185","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=30185"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30185\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29148"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}