{"id":48444,"date":"2024-04-26T20:17:26","date_gmt":"2024-04-26T18:17:26","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=48444"},"modified":"2024-04-26T20:17:27","modified_gmt":"2024-04-26T18:17:27","slug":"neprichazite-o-lazne-zdarma-u-techto-peti-diagnoz-se-na-ne-casto-zapomina","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=48444","title":{"rendered":"Nep\u0159ich\u00e1z\u00edte o l\u00e1zn\u011b zdarma? U t\u011bchto p\u011bti diagn\u00f3z se na n\u011b \u010dasto zapom\u00edn\u00e1"},"content":{"rendered":"\n<p>Kdy\u017e jste po operaci p\u00e1te\u0159e, kloub\u016f, po t\u011b\u017ek\u00e9m covidu \u010di trp\u00edte n\u011bkter\u00fdm dlouhodob\u00fdm chronick\u00fdm onemocn\u011bn\u00edm, z\u0159ejm\u011b sv\u016fj n\u00e1rok na l\u00e1ze\u0148skou l\u00e9\u010dbu vyu\u017e\u00edv\u00e1te. Existuje ale \u0159ada dal\u0161\u00edch zdravotn\u00edch pot\u00ed\u017e\u00ed, kter\u00e9 by se d\u00edky l\u00e1ze\u0148sk\u00e9 l\u00e9\u010db\u011b zlep\u0161ily, jen se o\u00a0tom mezi pacienty moc nev\u00ed. P\u0159\u00edpadn\u011b to lid\u00e9 v\u011bd\u00ed, ale netu\u0161\u00ed, \u017ee na takovou l\u00e9\u010dbu maj\u00ed n\u00e1rok zdarma. O\u00a0radu, na co v\u00e1m m\u016f\u017ee l\u00e9ka\u0159 p\u0159edepsat l\u00e1zn\u011b, jsme po\u017e\u00e1dali\u00a0l\u00e1ze\u0148sk\u00e9ho l\u00e9ka\u0159e Petra P\u0161enicu a praktick\u00e9ho l\u00e9ka\u0159e Ivo Proch\u00e1zku.<\/p>\n\n\n\n<p>Trp\u00edte \u010dast\u00fdmi nemocemi d\u00fdchac\u00edch cest, ka\u017edoro\u010dn\u00ed alergi\u00ed, astmatem, diabetickou neuropati\u00ed nebo jste pr\u00e1v\u011b po operaci \u017ealudku \u010di \u017elu\u010dn\u00edku? Mo\u017en\u00e1 to nev\u00edte, ale jste s\u00a0velkou pravd\u011bpodobnost\u00ed adepty na takzvan\u00e9 k\u0159\u00ed\u017ekov\u00e9 l\u00e1zn\u011b, tedy na\u00a0l\u00e1ze\u0148sk\u00fd pobyt\u00a0pln\u011b hrazen\u00fd ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n\n\n\n<p>\u201eM\u011b vlastn\u011b v\u016fbec nenapadlo, \u017ee bych mohla jet do l\u00e1zn\u00ed. \u017de bych na n\u011b mohla m\u00edt n\u00e1rok. Moji kolegov\u00e9 v\u00a0pr\u00e1ci ale maj\u00ed s\u00a0l\u00e1zn\u011bmi bohat\u00e9 zku\u0161enosti, a tak mi je doporu\u010dovali. \u010clov\u011bk se prost\u011b mus\u00ed \u010dastokr\u00e1t l\u00e9ka\u0159e s\u00e1m zeptat a zjistit, zda spl\u0148uje pot\u0159ebn\u00e9 podm\u00ednky,\u201c vysv\u011btluje zam\u011bstnankyn\u011b arm\u00e1dy Miroslava Blinkov\u00e1, jak se dostala na pln\u011b hrazen\u00fd l\u00e1ze\u0148sk\u00fd pobyt do L\u00e1zn\u00ed Luha\u010dovice. I\u00a0kdy\u017e za sebou m\u011bla n\u00e1ro\u010dnou onkologickou l\u00e9\u010dbu, o\u00a0sv\u00e9m n\u00e1roku na l\u00e1zn\u011b zprvu v\u016fbec neuva\u017eovala.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Copak toto tak\u00e9 l\u00e9\u010d\u00ed v&nbsp;l\u00e1zn\u00edch?<\/h2>\n\n\n\n<p>P\u0159\u00edb\u011bh Miroslavy Blinkov\u00e9 nen\u00ed ojedin\u011bl\u00fd. Pacient\u016f, kte\u0159\u00ed netu\u0161\u00ed, \u017ee by mohli m\u00edt n\u00e1rok na l\u00e1ze\u0148skou p\u00e9\u010di pr\u00e1v\u011b oni, je velik\u00e9 mno\u017estv\u00ed.<\/p>\n\n\n\n<p>\u201eV\u011bt\u0161inou je v\u016fbec nenapadne, \u017ee by s\u00a0jejich pot\u00ed\u017eemi mohli do l\u00e1zn\u00ed. A\u00a0p\u0159itom, kdy\u017e do l\u00e1zn\u00ed nakonec p\u0159ijedou, \u010dastokr\u00e1t je u\u00a0nich po skon\u010den\u00ed l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de mo\u017en\u00e9 sn\u00ed\u017eit d\u00e1vky u\u017e\u00edvan\u00fdch l\u00e9k\u016f. Nav\u00edc se b\u011b\u017en\u011b st\u00e1v\u00e1, \u017ee pozitivn\u00ed \u00fa\u010dinky pobytu p\u0159etrv\u00e1vaj\u00ed je\u0161t\u011b n\u011bkolik m\u011bs\u00edc\u016f po jeho ukon\u010den\u00ed,\u201c \u0159\u00edk\u00e1\u00a0Petr P\u0161enica, hlavn\u00ed l\u00e9ka\u0159 spole\u010dnosti L\u00e1zn\u011b Luha\u010dovice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">P\u011bt diagn\u00f3z, u&nbsp;nich\u017e asi nev\u00edte, \u017ee m\u016f\u017eete do l\u00e1zn\u00ed zdarma<\/h2>\n\n\n\n<p>Podle zku\u0161enost\u00ed prim\u00e1\u0159e P\u0161enici o\u00a0prosp\u011b\u0161nosti l\u00e1ze\u0148sk\u00e9\u00a0l\u00e9\u010dby, a tedy i\u00a0jej\u00ed pln\u00e9 \u00fahrad\u011b ze strany zdravotn\u00edch poji\u0161\u0165oven, moc nev\u011bd\u00ed p\u0159edev\u0161\u00edm lid\u00e9 s\u00a0n\u00e1sleduj\u00edc\u00edmi diagn\u00f3zami:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pacienti po operaci horn\u00edch cest d\u00fdchac\u00edch<\/strong>\u00a0&#8211; pat\u0159\u00ed sem nap\u0159\u00edklad ti, kte\u0159\u00ed absolvovali endoskopick\u00fd z\u00e1krok na dutin\u00e1ch, nebo jsou po operaci nosn\u00edch polyp\u016f. S\u00a0takov\u00fdmi pacienty se l\u00e9ka\u0159i v\u00a0l\u00e1zn\u00edch setk\u00e1vaj\u00ed m\u00e1lo, ale ve skute\u010dnosti jich bude v\u00a0populaci v\u00edce.<\/li>\n\n\n\n<li><strong>Pacienti s\u00a0polyneuropati\u00ed<\/strong>\u00a0\u2013 to je onemocn\u011bn\u00ed perifern\u00edho nervov\u00e9ho syst\u00e9mu. Projevuje se nap\u0159\u00edklad pocitem chladu v\u00a0noh\u00e1ch, brn\u011bn\u00edm v\u00a0noh\u00e1ch, pocitem t\u011b\u017ek\u00fdch nohou. \u010castokr\u00e1t se vyskytuje u\u00a0lid\u00ed, kte\u0159\u00ed maj\u00ed cukrovku \u010di jsou po onkologick\u00e9 l\u00e9\u010db\u011b. Na polyneuropatii se m\u00e1lo mysl\u00ed jako na prim\u00e1rn\u00ed diagn\u00f3zu. Pacienti v\u011bd\u00ed, \u017ee maj\u00ed cukrovku nebo \u017ee p\u0159ekonali n\u00e1dorov\u00e9 onemocn\u011bn\u00ed, ale m\u00e1lokdy vzpomenou, \u017ee maj\u00ed z\u00e1rove\u0148 i\u00a0polyneuropatii. S\u00a0tou p\u0159itom maj\u00ed n\u00e1rok jezdit do l\u00e1zn\u00ed ka\u017ed\u00fd rok.<\/li>\n\n\n\n<li><strong>Pacienti s\u00a0Parkinsonovou chorobou<\/strong>\u00a0&#8211; maj\u00ed op\u011bt n\u00e1rok na komplexn\u00ed l\u00e1ze\u0148skou l\u00e9\u010dbu ka\u017ed\u00fd rok.<\/li>\n\n\n\n<li><strong>Pacienti s\u00a0artr\u00f3zou st\u00e1dia II B<\/strong>\u00a0&#8211; pacienti s\u00a0artr\u00f3zou obecn\u011b v\u011bd\u00ed, \u017ee n\u00e1rok na l\u00e1zn\u011b maj\u00ed. Jej\u00ed z\u00e1va\u017enost se v\u0161ak d\u011bl\u00ed do \u010dty\u0159 st\u00e1di\u00ed a je m\u00e1lo zn\u00e1m\u00e9, \u017ee n\u00e1rok vznik\u00e1 ji\u017e od st\u00e1dia II B. Pacient tedy nemus\u00ed \u010dekat na l\u00e1zn\u011b, a\u017e bude kloub \u201erozpadl\u00fd\u201d. Je \u0161koda, \u017ee ortopedi pacient\u016fm v\u00a0tomto st\u00e1diu artr\u00f3zy l\u00e1zn\u011b v\u00edce nep\u0159edepisuj\u00ed. V\u00a0l\u00e1zn\u00edch by pro tyto pacienty mohli ud\u011blat v\u00edce ne\u017e v\u00a0pozdn\u00edch st\u00e1di\u00edch, jeliko\u017e posti\u017een\u00fd kloub je\u0161t\u011b nen\u00ed tak zni\u010den\u00fd.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">L\u00e1zn\u011b m\u00edsto hospitalizace na psychiatrii<\/h2>\n\n\n\n<p>Moc se nev\u00ed ani o\u00a0p\u00e1t\u00e9 skupin\u011b diagn\u00f3z. \u201eTedy o\u00a0tom, \u017ee mo\u017enost vyu\u017e\u00edt l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de hrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed maj\u00ed\u00a0<strong>pacienti s\u00a0du\u0161evn\u00edm onemocn\u011bn\u00edm<\/strong>,\u201d upozornil v\u00a0rozhovoru pro R\u00e1dio Wave vedouc\u00ed l\u00e9ka\u0159 a psychiatr L\u00e9\u010debn\u00fdch l\u00e1zn\u00ed Jesen\u00edk Jaroslav Novotn\u00fd.<\/p>\n\n\n\n<p>Psychiatr d\u00e1le zm\u00ednil, \u017ee pacienti s\u00a0depresemi, \u00fazkostn\u00fdmi a neurotick\u00fdmi poruchami str\u00e1v\u00ed v\u00a0l\u00e1zn\u00edch obvykle t\u0159i t\u00fddny, lid\u00e9 s\u00a0psych\u00f3zami a t\u011b\u017e\u0161\u00edmi poruchami o\u00a0t\u00fdden d\u00e9le. Pro n\u011bkter\u00e9 z\u00a0nich to m\u016f\u017ee b\u00fdt zp\u016fsob, jak p\u0159edej\u00edt p\u0159\u00edpadn\u00e9 hospitalizaci na psychiatrii.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Kdo m\u016f\u017ee dostat k\u0159\u00ed\u017ekov\u00e9 l\u00e1zn\u011b?<\/h2>\n\n\n\n<p>Jak ale zjistit, zda m\u00e1 pacient n\u00e1rok na l\u00e1ze\u0148skou l\u00e9\u010dbu? Nejjednodu\u0161\u0161\u00ed je zeptat se sv\u00e9ho praktick\u00e9ho nebo odborn\u00e9ho l\u00e9ka\u0159e.<\/p>\n\n\n\n<p>\u201ePokud n\u00e1rok m\u00e1te, l\u00e9ka\u0159 n\u00e1sledn\u011b sep\u00ed\u0161e n\u00e1vrh na l\u00e1ze\u0148skou p\u00e9\u010di. Ten se pak doru\u010d\u00ed do\u00a0zdravotn\u00ed\u00a0poji\u0161\u0165ovny. Jestli\u017ee poji\u0161\u0165ovna n\u00e1vrh schv\u00e1l\u00ed, z\u00edsk\u00e1 pacient pobyt ve form\u011b komplexn\u00ed l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de,\u201c vysv\u011btluje Petr P\u0161enica.<\/p>\n\n\n\n<p>Komplexn\u00ed l\u00e1ze\u0148sk\u00e1 p\u00e9\u010de znamen\u00e1, \u017ee m\u00e1 pacient pln\u011b hrazenou jak l\u00e1ze\u0148skou l\u00e9\u010dbu, tak stravov\u00e1n\u00ed formou pln\u00e9 penze a ubytov\u00e1n\u00ed ve standardn\u00ed \u00farovni. Dal\u0161\u00ed mo\u017enost\u00ed je, \u017ee poji\u0161\u0165ovna pacientovi schv\u00e1l\u00ed l\u00e9\u010dbu p\u0159\u00edsp\u011bvkovou, kdy si ubytov\u00e1n\u00ed a stravu hrad\u00ed \u010dlov\u011bk s\u00e1m.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a><\/a>Odborn\u00ed l\u00e9ka\u0159i maj\u00ed probl\u00e9m s&nbsp;pap\u00edrov\u00e1n\u00edm<\/h2>\n\n\n\n<p>Podle\u00a0praktick\u00e9ho l\u00e9ka\u0159e Ivo Proch\u00e1zky, \u010dlena v\u00fdboru\u00a0Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f \u010cR, nen\u00ed probl\u00e9m s\u00a0t\u00edm, \u017ee by odborn\u00ed l\u00e9ka\u0159i sv\u00e9 pacienty do l\u00e1zn\u00ed nepos\u00edlali.<\/p>\n\n\n\n<p>\u201eOni je pos\u00edlaj\u00ed, ale \u010dasto m\u00edvaj\u00ed probl\u00e9m s&nbsp;vypisov\u00e1n\u00edm n\u00e1vrhu na l\u00e1ze\u0148skou l\u00e9\u010dbu. Bu\u010f s&nbsp;t\u00edm nemaj\u00ed zku\u0161enosti nebo t\u0159eba nemaj\u00ed k&nbsp;dispozici ani pat\u0159i\u010dn\u00fd formul\u00e1\u0159. Obecn\u011b jsou moje zku\u0161enosti, \u0159ekn\u011bme, sm\u00ed\u0161en\u00e9. Ministerstvo zdravotnictv\u00ed jednozna\u010dn\u011b ur\u010dilo, \u017ee l\u00e9ka\u0159, kter\u00fd l\u00e1ze\u0148sk\u00fd pobyt indikuje, mus\u00ed vypsat i&nbsp;ten formul\u00e1\u0159. \u010casto se tak bohu\u017eel ale ned\u011bje,\u201c uv\u00e1d\u00ed Ivo Proch\u00e1zka.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a><\/a>Nej\u010dast\u011bji jsou v&nbsp;l\u00e1zn\u00edch ortopedi\u010dt\u00ed pacienti<\/h2>\n\n\n\n<p>S\u00e1m praktick\u00fd l\u00e9ka\u0159 komplexn\u00ed l\u00e1ze\u0148skou l\u00e9\u010dbu indikovat nem\u016f\u017ee. M\u016f\u017ee v\u0161ak pomoci s\u00a0jejich sjedn\u00e1n\u00edm a vypsat je pacientovi, ale pouze na z\u00e1klad\u011b doporu\u010den\u00ed od odborn\u00e9ho l\u00e9ka\u0159e. \u201ePraktici mohou indikovat jen l\u00e1zn\u011b p\u0159\u00edsp\u011bvkov\u00e9, kdy si pacient hrad\u00ed hotelov\u00e9 slu\u017eby, a i\u00a0v\u00a0tomto p\u0159\u00edpad\u011b pacient mus\u00ed dolo\u017eit vyj\u00e1d\u0159en\u00ed ambulantn\u00edho specialisty,\u201c \u0159\u00edk\u00e1 Ivo Proch\u00e1zka, kter\u00fd m\u00e1 ordinaci v\u00a0Jedovnici.<\/p>\n\n\n\n<p>\u201eNej\u010dast\u011bj\u0161\u00ed diagn\u00f3zy, na kter\u00e9 vypisujeme l\u00e1zn\u011b, jsou ortopedick\u00e9. N\u00e1sleduj\u00ed neurologick\u00e9 diagn\u00f3zy. Jsou to tedy p\u0159edev\u0161\u00edm poopera\u010dn\u00ed stavy, nap\u0159\u00edklad po kloubn\u00edch n\u00e1hrad\u00e1ch,\u201c \u0159\u00edk\u00e1 praktick\u00fd l\u00e9ka\u0159.<\/p>\n\n\n\n<p>\u201e\u017de by n\u011bkter\u00e9 diagn\u00f3zy byly opom\u00edjen\u00e9, si nemysl\u00edm. Jezd\u00ed se na v\u0161echny typy diagn\u00f3z a pobyt\u016f, a\u0165 jsou to plicn\u00ed, ko\u017en\u00ed nebo t\u0159eba onkologick\u00e9 diagn\u00f3zy,\u201c dod\u00e1v\u00e1 doktor Proch\u00e1zka.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a><\/a>Ov\u011b\u0159te si, zda m\u00e1te n\u00e1rok na l\u00e1zn\u011b<\/h2>\n\n\n\n<p>Pokud s\u00a0v\u00e1mi l\u00e9ka\u0159 z\u00a0n\u011bjak\u00e9ho d\u016fvodu nedok\u00e1\u017ee probrat mo\u017enosti l\u00e1ze\u0148sk\u00e9ho pobytu, ov\u011b\u0159te si v\u0161e sami. Kl\u00ed\u010dem je indika\u010dn\u00ed seznam, kter\u00fd ur\u010duje, jak\u00e9 onemocn\u011bn\u00ed l\u00e1ze\u0148sk\u00e9 m\u00edsto l\u00e9\u010d\u00ed, a jak \u010dasto na n\u011bj m\u00e1 \u010dlov\u011bk n\u00e1rok. Najdete jej t\u0159eba na webov\u00fdch str\u00e1nk\u00e1ch\u00a0L\u00e9\u010debn\u00e9 l\u00e1zn\u011b.<\/p>\n\n\n\n<p>Zdena Lackov\u00e1<\/p>\n\n\n\n<p>Krkono\u0161sk\u00fd den\u00edk<\/p>\n\n\n\n<p><a href=\"https:\/\/krkonossky.denik.cz\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/krkonossky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Kdy\u017e jste po operaci p\u00e1te\u0159e, kloub\u016f, po t\u011b\u017ek\u00e9m covidu \u010di trp\u00edte n\u011bkter\u00fdm dlouhodob\u00fdm chronick\u00fdm onemocn\u011bn\u00edm, z\u0159ejm\u011b sv\u016fj n\u00e1rok na l\u00e1ze\u0148skou l\u00e9\u010dbu vyu\u017e\u00edv\u00e1te. Existuje ale \u0159ada <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=48444\" title=\"Nep\u0159ich\u00e1z\u00edte o l\u00e1zn\u011b zdarma? U t\u011bchto p\u011bti diagn\u00f3z se na n\u011b \u010dasto zapom\u00edn\u00e1\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":4375,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-48444","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\/48444","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=48444"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/48444\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/4375"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48444"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48444"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}