Novela z\u00e1kona chce \u201enakopnout\u201c prevenci<\/p>\n\n\n\n
Praha, 10. 10. 2024 \u2013 Nezdrav\u00fd \u017eivotn\u00ed styl \u010cech\u016f stoj\u00ed za st\u00e1le \u010dast\u011bj\u0161\u00edm v\u00fdskytem cukrovky a\u00a0srde\u010dn\u00edch pot\u00ed\u017e\u00ed. Dv\u011b t\u0159etiny dosp\u011bl\u00fdch se pot\u00fdkaj\u00ed s\u00a0nadv\u00e1hou nebo obezitou, kter\u00e1 je hlavn\u00ed p\u0159\u00ed\u010dinou diabetu 2. typu. P\u0159isp\u00edv\u00e1 tak\u00e9 k\u00a0rozvoji nemoc\u00ed srdce a c\u00e9v. Na choroby ob\u011bhov\u00e9 soustavy v\u00a0\u010cesku ka\u017edoro\u010dn\u011b zem\u0159e asi 50 tis\u00edc lid\u00ed, cukrovka m\u00e1 na sv\u011bdom\u00ed \u017eivoty dal\u0161\u00edch 20 tis\u00edc osob. Podle l\u00e9ka\u0159\u016f lze p\u0159itom drtiv\u00e9 v\u011bt\u0161in\u011b \u00famrt\u00ed p\u0159edej\u00edt \u2013 jedin\u00fdm \u0159e\u0161en\u00edm je prevence. Podpo\u0159it by ji m\u011bla chystan\u00e1 novela z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed, kter\u00e1 by poji\u0161\u0165ovn\u00e1m umo\u017enila vkl\u00e1dat do fondu prevence a\u017e 3 % z\u00a0p\u0159\u00edjm\u016f pojistn\u00e9ho. Nyn\u00ed je to jen p\u016fl procenta. O zm\u011bn\u00e1ch dnes diskutovali odborn\u00edci v\u00a0r\u00e1mci kulat\u00e9ho stolu, kter\u00fd se uskute\u010dnil na p\u016fd\u011b Poslaneck\u00e9 sn\u011bmovny P\u010cR.<\/strong><\/p>\n\n\n\n \u201eV \u010cesk\u00e9 republice m\u00e1me st\u00e1le obrovskou spot\u0159ebu alkoholu, dvojn\u00e1sobn\u00fd po\u010det ku\u0159\u00e1k\u016f oproti z\u00e1padn\u00ed Evrop\u011b, relativn\u011b m\u00e1lo se h\u00fdbeme a tak\u00e9 nezdrav\u011b j\u00edme. S\u00a0nadv\u00e1hou nebo obezitou u n\u00e1s bojuje v\u00edce ne\u017e polovina dosp\u011bl\u00fdch a p\u0159ibli\u017en\u011b t\u0159etina d\u011bt\u00ed do 18 let, co\u017e je alarmuj\u00edc\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 m\u00edstop\u0159edseda V\u00fdboru pro zdravotnictv\u00ed Poslaneck\u00e9 sn\u011bmovny PharmDr. Petr Fifka (ODS), organiz\u00e1tor a moder\u00e1tor kulat\u00e9ho stolu s n\u00e1zvem Diabetes a obezita: tich\u00e9 hrozby pro kardiovaskul\u00e1rn\u00ed zdrav\u00ed. Lid\u00e9 si podle PharmDr. Fifky tak\u00e9 neuv\u011bdomuj\u00ed, \u017ee obezita je nemoc, kter\u00e1 s\u00a0sebou nese \u0159adu rizik. <\/p>\n\n\n\n \u201eNezdrav\u00fd \u017eivotn\u00ed styl spojen\u00fd s\u00a0nadv\u00e1hou nebo obezitou vede \u010dasto k\u00a0rozvoji cukrovky 2. typu. Odtud u\u017e je d\u00e1lnice vydl\u00e1\u017ed\u011bn\u00e1 p\u0159\u00edmo ke kardiovaskul\u00e1rn\u00edm komplikac\u00edm. Pomoci m\u016f\u017ee zm\u011bna \u017eivotn\u00edho stylu a tak\u00e9 prevence. Tu bychom r\u00e1di podpo\u0159ili v\u00a0r\u00e1mci navrhovan\u00e9 novely z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed,\u201c<\/em> p\u0159ibli\u017euje PharmDr. Fifka.<\/p>\n\n\n\n Chystan\u00e1 novela z\u00e1kona \u010d. 48\/1997 Sb. po\u010d\u00edt\u00e1 s\u00a0t\u00edm, \u017ee by zdravotn\u00ed poji\u0161\u0165ovny mohly nov\u011b vkl\u00e1dat do fondu prevence a\u017e 3 % z\u00a0p\u0159\u00edjmu pojistn\u00e9ho. \u201eV minul\u00e9m roce zdravotn\u00ed poji\u0161\u0165ovny vydaly z fondu prevence v\u00edce ne\u017e 2 miliardy korun. Pokud by se schv\u00e1lila navrhovan\u00e1 novela z\u00e1kona, mohli bychom tuto \u010d\u00e1stku nav\u00fd\u0161it o dal\u0161\u00edch 15 miliard. Obecn\u011b v\u00edt\u00e1me ka\u017edou p\u0159\u00edle\u017eitost, kter\u00e1 vede k podpo\u0159e preventivn\u00edch program\u016f pro na\u0161e poji\u0161t\u011bnce. Aktu\u00e1ln\u011b se v\u0161ak chceme zam\u011b\u0159it p\u0159edev\u0161\u00edm na to, abychom motivovali lidi k \u00fa\u010dasti na prohl\u00eddk\u00e1ch. Pouze tak jsme schopni doc\u00edlit z\u00e1chytu onemocn\u011bn\u00ed v jeho ran\u00e9 f\u00e1zi. Touto cestou bychom do budoucna mohli sn\u00ed\u017eit v\u00fddaje na l\u00e9\u010dbu onemocn\u011bn\u00ed, kter\u00fdm lze p\u0159edej\u00edt. Nap\u0159\u00edklad v souvislosti s cukrovkou 2. typu jsme loni uhradili v\u00edce ne\u017e 1,6 miliardy korun, s l\u00e9\u010dbou vysok\u00e9ho tlaku a ischemick\u00e9 choroby srde\u010dn\u00ed se poj\u00ed n\u00e1klady ve v\u00fd\u0161i p\u0159es 3,4 miliardy,\u201c <\/em>\u0159\u00edk\u00e1 expertka MUDr. Alena \u0160teflov\u00e1, PhD., MPH, ze Zdravotn\u00ed poji\u0161\u0165ovny ministerstva vnitra \u010cesk\u00e9 republiky.Na d\u016fle\u017eitosti prevence se shoduj\u00ed tak\u00e9 l\u00e9ka\u0159i. Lid\u00e9 v\u0161ak podle nich prohl\u00eddky zat\u00edm sp\u00ed\u0161e ignoruj\u00ed. <\/p>\n\n\n\n \u201eO\u00a0kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00edch a diabetu 2. typu hovo\u0159\u00edme ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f jako o\u00a0onemocn\u011bn\u00edch, jim\u017e lze p\u0159edej\u00edt. Preventivn\u00ed prohl\u00eddku mohou lid\u00e9 zdarma absolvovat jednou za dva roky. V\u00a0tomto intervalu ale k\u00a0l\u00e9ka\u0159i p\u0159ijde m\u00e9n\u011b ne\u017e polovina osob,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Michal Vrabl\u00edk, Ph.D., m\u00edstop\u0159edseda \u010cesk\u00e1 asociace preventivn\u00ed kardiologie. <\/p>\n\n\n\n Vy\u0161et\u0159en\u00ed v\u00a0ordinaci praktick\u00e9ho l\u00e9ka\u0159e p\u0159itom m\u016f\u017ee odhalit \u0159adu probl\u00e9m\u016f, kter\u00e9 mnohdy nejsou vid\u011bt a\u017e do chv\u00edle, kdy propuknou v\u00a0z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed. T\u00fdk\u00e1 se to nap\u0159\u00edklad vysok\u00e9ho krevn\u00edho tlaku, vy\u0161\u0161\u00ed hladiny cholesterolu nebo krevn\u00edho cukru. Prevenc\u00ed lze podle kardiolog\u016f p\u0159edej\u00edt a\u017e 80 % srde\u010dn\u00edch p\u0159\u00edhod. Zm\u011bna \u017eivotn\u00edho stylu a sn\u00ed\u017een\u00ed hmotnosti vede tak\u00e9 k\u00a0odsunu nebo zabr\u00e1n\u011bn\u00ed komplikac\u00ed spojen\u00fdch s\u00a0cukrovkou 2. typu \u2013 a\u0165 u\u017e jde pr\u00e1v\u011b o srde\u010dn\u00ed choroby, mozkov\u00e9 p\u0159\u00edhody, nebo o selh\u00e1n\u00ed ledvin.<\/p>\n\n\n\n Se zm\u011bnou \u017eivotn\u00edho stylu pom\u00e1haj\u00ed i pacientsk\u00e9 spolky. \u201eZa\u010d\u00edn\u00e1 b\u00fdt standardem, \u017ee lid\u00e9 s\u00a0nemocemi ob\u011bhov\u00e9 soustavy z\u00e1rove\u0148 bojuj\u00ed s\u00a0obezitou. Pacient\u016fm nab\u00edz\u00edme konzultace s\u00a0nutri\u010dn\u00edmi terapeutkami, kter\u00e9 navrhnou \u00fapravy j\u00eddeln\u00ed\u010dku. K\u00a0dispozici m\u00e1me tak\u00e9 pohybovou terapeutku, kter\u00e1 porad\u00ed, jak se za\u010d\u00edt h\u00fdbat. \u010casto pracujeme s\u00a0cel\u00fdmi rodinami. Pokud to situace vy\u017eaduje, dok\u00e1\u017eeme lidem zprost\u0159edkovat i odborn\u00e9 vy\u0161et\u0159en\u00ed u obezitologa,\u201c <\/em>popisuje Mgr. Krist\u00fdna \u010cill\u00edkov\u00e1 z \u010cesk\u00e9 aliance pro kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed. <\/p>\n\n\n\n V\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech ale pouh\u00e1 zm\u011bna j\u00eddeln\u00ed\u010dku nebo za\u0159azen\u00ed pohybov\u00e9 aktivity nesta\u010d\u00ed. Rizikov\u00fdm pacient\u016fm s\u00a0obezitou m\u016f\u017ee pomoci terapie vyu\u017e\u00edvaj\u00edc\u00ed modern\u00ed l\u00e9ky. \u201eM\u00e1me k\u00a0dispozici data z\u00a0medic\u00ednsk\u00e9ho v\u00fdzkumu, kter\u00e1 jasn\u011b ukazuj\u00ed, \u017ee c\u00edlen\u00e1 l\u00e9\u010dba obezity pomoc\u00ed farmakoterapie v\u00fdznamn\u011b sni\u017euje riziko opakov\u00e1n\u00ed infarktu nebo \u00famrt\u00ed z\u00a0kardiovaskul\u00e1rn\u00edch p\u0159\u00ed\u010din,\u201c<\/em> \u0159\u00edk\u00e1 prof. Vrabl\u00edk.<\/p>\n\n\n\n Podle \u0159editelky platformy Ministr Zdrav\u00ed Ing. et Bc. Kate\u0159iny Hellebrandov\u00e9 je nejlep\u0161\u00ed l\u00e9ka\u0159 ten, ke kter\u00e9mu lid\u00e9 nemus\u00ed, proto\u017ee jej nepot\u0159ebuj\u00ed. \u201eP\u0159ibli\u017en\u011b t\u0159etinu zdrav\u00ed ovliv\u0148ujeme na\u0161\u00edm chov\u00e1n\u00edm. Tedy t\u00edm, jak j\u00edme, zda se h\u00fdbeme nebo holdujeme kou\u0159en\u00ed \u010di alkoholu. Ke zvy\u0161ov\u00e1n\u00ed zodpov\u011bdnosti za vlastn\u00ed zdrav\u00ed se ale mus\u00ed stav\u011bt zodpov\u011bdn\u011b i st\u00e1t a vytv\u00e1\u0159et prost\u0159ed\u00ed, kter\u00e9 populaci ke zdrav\u00e9 volb\u011b motivuje. Loni jsme nap\u0159\u00edklad navrhovali p\u0159esun ovoce a zeleniny do nulov\u00e9 sazby DPH, aby byly levn\u011bj\u0161\u00ed,\u00a0a tedy dostupn\u011bj\u0161\u00ed\u00a0ne\u017e sladkosti,\u201c <\/em>uv\u00e1d\u00ed p\u0159\u00edklad Kate\u0159ina Hellebrandov\u00e1.<\/p>\n\n\n\n \u201eP\u0159ibli\u017en\u011b polovina \u010cech\u016f zanedb\u00e1v\u00e1\u00a0alespo\u0148 jednu ze z\u00e1kladn\u00edch preventivn\u00edch prohl\u00eddek.\u00a0N\u00e1\u0161 pr\u016fzkum uk\u00e1zal, \u017ee\u00a0nemaj\u00ed pot\u0159ebu j\u00edt k l\u00e9ka\u0159i, dokud\u00a0nepoci\u0165uj\u00ed zdravotn\u00ed pot\u00ed\u017ee, co\u017e zcela pop\u00edr\u00e1 princip prevence.\u00a0Mus\u00edme porozum\u011bt i p\u0159\u00ed\u010din\u00e1m tohoto chov\u00e1n\u00ed. Polovina lid\u00ed m\u00e1 pocit, \u017ee se jim l\u00e9ka\u0159 dostate\u010dn\u011b nev\u011bnuje, \u010dtvrtina nem\u00e1 dostatek informac\u00ed a p\u011btina m\u00e1 pocit, \u017ee jim jejich l\u00e9ka\u0159 jednodu\u0161e nerozum\u00ed.\u201c <\/em>Jak d\u00e1le uv\u00e1d\u00ed, zm\u011bnit uva\u017eov\u00e1n\u00ed \u010cech\u016f a \u010ce\u0161ek nebude snadn\u00e9 ani rychl\u00e9. \u201eJe t\u0159eba komunikovat s ve\u0159ejnost\u00ed jako s partnerem,\u00a0aby ch\u00e1pala jak p\u0159\u00ednos zdrav\u011bj\u0161\u00edho \u017eivotn\u00edho stylu, tak nar\u016fstaj\u00edc\u00ed dluh \u010desk\u00e9ho zdravotnictv\u00ed. Bude pot\u0159eba pos\u00edlit individu\u00e1ln\u00ed odpov\u011bdnost, kter\u00e1 tu byla dlouh\u00e9 roky zadup\u00e1v\u00e1na do zem\u011b.\u201c<\/em><\/p>\n\n\n\n V sou\u010dasnosti v \u010cesku \u017eije p\u0159es milion diabetik\u016f, z nich\u017e naprost\u00e1 v\u011bt\u0161ina trp\u00ed cukrovkou 2. typu. S kardiovaskul\u00e1rn\u00edmi chorobami se l\u00e9\u010d\u00ed zhruba 3,5 milionu lid\u00ed, p\u0159i\u010dem\u017e nemoci srdce a c\u00e9v jsou nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed u n\u00e1s \u2013 tvo\u0159\u00ed asi 40 % v\u0161ech p\u0159\u00edpad\u016f.<\/p>\n","protected":false},"excerpt":{"rendered":" Novela z\u00e1kona chce \u201enakopnout\u201c prevenci Praha, 10. 10. 2024 \u2013 Nezdrav\u00fd \u017eivotn\u00ed styl \u010cech\u016f stoj\u00ed za st\u00e1le \u010dast\u011bj\u0161\u00edm v\u00fdskytem cukrovky a\u00a0srde\u010dn\u00edch pot\u00ed\u017e\u00ed. Dv\u011b t\u0159etiny dosp\u011bl\u00fdch […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29173,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-52409","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\/52409","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=52409"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52409\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29173"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52409"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52409"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}