NOVA – Televizn\u00ed noviny<\/p>\n\n\n\n
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\u010cesko u\u017e brzy \u010dek\u00e1 revoluce ve zdravotnictv\u00ed. Pacient\u016fm by se od roku 2026 mohly mnohem \u010dast\u011bji d\u011blat preventivn\u00ed rozbory, kter\u00e9 odhal\u00ed t\u0159eba onemocn\u011bn\u00ed ledvin, srde\u010dn\u00ed selh\u00e1n\u00ed nebo za\u010d\u00ednaj\u00edc\u00ed cukrovku.<\/p>\n\n\n\n
L\u00e9ka\u0159i<\/strong>\u00a0si od toho slibuj\u00ed v\u010dasn\u011bj\u0161\u00ed z\u00e1chyt t\u011bchto\u00a0nemoc\u00ed<\/strong>, kter\u00fdch v populaci p\u0159ib\u00fdv\u00e1. Ve vyhl\u00e1\u0161ce, kter\u00e1 m\u00e1 zm\u011bny zav\u00e9st, se aktu\u00e1ln\u011b lad\u00ed posledn\u00ed detaily.<\/p>\n\n\n\n Jak se \u0159\u00edk\u00e1,\u00a0nemoci<\/strong>\u00a0nechod\u00ed po hor\u00e1ch, ale po lidech. A v posledn\u00edch letech i po mlad\u0161\u00edch ro\u010dn\u00edc\u00edch. Podle Ministerstva zdravotnictv\u00ed a\u00a0l\u00e9ka\u0159\u016f<\/strong>\u00a0se tak ukazuje, \u017ee preventivn\u00ed prohl\u00eddky u praktik\u016f jsou v n\u011bkter\u00fdch sm\u011brech zastaral\u00e9. Proto n\u00e1s \u010dekaj\u00ed zm\u011bny.<\/p>\n\n\n\n Vlastimil V\u00e1lek, ministr zdravotnictv\u00ed \/TOP 09\/ , redaktorka Petr \u0160onka, p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f<\/strong> , redaktorka Cyril Mucha, praktick\u00fd l\u00e9ka\u0159<\/strong> anketa anketa anketa , redaktorka Ond\u0159ej Sobotka, praktick\u00fd l\u00e9ka\u0159<\/strong> , redaktorka Cyril Mucha, praktick\u00fd l\u00e9ka\u0159<\/strong> redaktorka Pacienti \u010dasto nev\u011bd\u00ed, \u017ee krom\u011b preventivn\u00edch prohl\u00eddek u praktik\u016f a odborn\u00fdch\u00a0l\u00e9ka\u0159\u016f<\/strong>\u00a0maj\u00ed n\u00e1rok i na dal\u0161\u00ed screeningov\u00e9 programy. A v jejich po\u010dtu pat\u0159\u00ed \u010cesko k nejlep\u0161\u00edm na sv\u011bt\u011b. Nap\u0159\u00edklad d\u00edky prevenci zhoubn\u00fdch n\u00e1dor\u016f tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku, kter\u00e1 u n\u00e1s funguje u\u017e 25 let, um\u00edr\u00e1 na tato onemocn\u011bn\u00ed mnohem m\u00e9n\u011b lid\u00ed.<\/p>\n\n\n\n Prevence zachra\u0148uje \u017eivoty. \u010c\u00edm d\u0159\u00edve se toti\u017e na onemocn\u011bn\u00ed p\u0159ijde, t\u00edm d\u0159\u00edve se pacient za\u010dne l\u00e9\u010dit. Nav\u00edc bychom zdravotnictv\u00ed u\u0161et\u0159ili i stovky miliard za n\u00e1slednou l\u00e9\u010dbu nemocn\u00fdch. P\u0159esto st\u00e1le \u0159ada \u010cech\u016f preventivn\u00ed programy nevyu\u017e\u00edv\u00e1, a to ani p\u0159esto, \u017ee jsou hrazen\u00e9 poji\u0161\u0165ovnami.<\/p>\n\n\n\n anketa anketa anketa anketa D\u00edky prevenci na n\u011b podle\u00a0l\u00e9ka\u0159\u016f<\/strong>\u00a0rok od roku um\u00edr\u00e1 m\u00e9n\u011b lid\u00ed. Po\u010d\u00e1te\u010dn\u00ed testy p\u0159itom pacienti zvl\u00e1dnou rovnou u praktick\u00fdch\u00a0l\u00e9ka\u0159\u016f<\/strong>.<\/p>\n\n\n\n Ond\u0159ej Sobotka, praktick\u00fd l\u00e9ka\u0159<\/strong> Cyril Mucha, praktick\u00fd l\u00e9ka\u0159<\/strong> Vlastimil V\u00e1lek, ministr zdravotnictv\u00ed \/TOP 09\/ Na bezplatn\u00e9 vy\u0161et\u0159en\u00ed na tzv mamografu maj\u00ed \u017eeny n\u00e1rok jednou za dva roky, a to od 45 let.<\/p>\n\n\n\n Ond\u0159ej Sobotka, praktick\u00fd l\u00e9ka\u0159<\/strong> Vlastimil V\u00e1lek, ministr zdravotnictv\u00ed \/TOP 09\/ Vlastimil V\u00e1lek, ministr zdravotnictv\u00ed \/TOP 09\/ Petr Arenberger, l\u00e9ka\u0159<\/strong> specializuj\u00edc\u00ed se na obor dermatovenerologie Program\u016f prevence je v \u010cesku tolik, \u017ee se n\u00e1m ani v\u0161echny do report\u00e1\u017ee neve\u0161ly. Jejich kompletn\u00ed seznam tak najdete na webu TN.cz. <\/p>\n\n\n\n televize Nova<\/p>\n","protected":false},"excerpt":{"rendered":" NOVA – Televizn\u00ed noviny \u010cesko u\u017e brzy \u010dek\u00e1 revoluce ve zdravotnictv\u00ed. Pacient\u016fm by se od roku 2026 mohly mnohem \u010dast\u011bji d\u011blat preventivn\u00ed rozbory, kter\u00e9 odhal\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-56661","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\/56661","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=56661"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56661\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=56661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=56661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=56661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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Tak, aby ty preventivn\u00ed prohl\u00eddky byly daleko v\u00edc personalizovan\u00e9. Aby byly zam\u011b\u0159en\u00e9 na to, jak\u00fd je v\u011bk toho \u010dlov\u011bka a jak\u00e9ho je pohlav\u00ed. Jin\u00e1 bude u dvacetilet\u00e9ho a jin\u00e1 bude u \u010dty\u0159icetilet\u00e9ho, jin\u00e1 u \u0161edes\u00e1tilet\u00e9ho.<\/p>\n\n\n\n
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Selh\u00e1n\u00ed ledvin, probl\u00e9my se srdcem anebo cukrovka. Pr\u00e1v\u011b to jsou podle statistik\u00a0nemoci<\/strong>, kter\u00e9 se objevuj\u00ed u \u010d\u00edm d\u00e1l t\u00edm mlad\u0161\u00edch pacient\u016f.<\/p>\n\n\n\n
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Te\u010f ty preventivn\u00ed prohl\u00eddky byly koncipov\u00e1ny tak, \u017ee pokud byla nabr\u00e1na cholesterol a glykemie na d\u011btsk\u00e9m n\u011bkdy v 18 letech v\u011bku pacienta, tak jsme poprv\u00e9 nab\u00edrali ve 30 letech a potom a\u017e ve 40 letech. Tam byly obrovsky dlouh\u00e9 prodlevy.<\/p>\n\n\n\n
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Testy se budou upravovat tak\u0159\u00edkaj\u00edc na m\u00edru podle rodinn\u00e9 anamn\u00e9zy nebo rizik, kter\u00e9 konkr\u00e9tn\u00edmu pacientovi hroz\u00ed.<\/p>\n\n\n\n
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V\u017edycky by se m\u011blo racion\u00e1ln\u011b uva\u017eovat, co se vy\u0161et\u0159uje a jestli opravdu to vy\u0161et\u0159en\u00ed, ta laborato\u0159 je opravdu teda p\u0159\u00ednosem.<\/p>\n\n\n\n
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To je dob\u0159e. \u010c\u00edm v\u00edc, t\u00edm l\u00edp, \u017ee jo. Aspo\u0148 v\u00ed, \u017ee \u010dlov\u011bk je zdravej, nebo nen\u00ed.<\/p>\n\n\n\n
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Ur\u010dit\u011b to dob\u0159e je, proto\u017ee preventivn\u00ed l\u00e9ka\u0159sk\u00e1 p\u00e9\u010de je z pohledu lidsk\u00e9ho zdrav\u00ed v\u017edycky u\u017eite\u010dn\u011bj\u0161\u00ed ne\u017e n\u00e1sledn\u00e9 l\u00e9\u010den\u00ed probl\u00e9m\u016f.<\/p>\n\n\n\n
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To bude zase hrozn\u00fd \u010dek\u00e1n\u00ed v\u0161ude. To si neum\u00edm p\u0159edstavit, jak to bude pak vypadat.<\/p>\n\n\n\n
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Praktici se toho ale neboj\u00ed. Pr\u00e1v\u011b oni se toti\u017e na zm\u011bn\u00e1ch pod\u00edlej\u00ed. Ofici\u00e1ln\u00edm bodem p\u00e9\u010de se m\u00e1 st\u00e1t i du\u0161evn\u00ed zdrav\u00ed.<\/p>\n\n\n\n
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My jsme t\u011bmi kn\u011b\u017e\u00edmi sou\u010dasn\u00e9ho sv\u011bta, proto\u017ee pacient nejde za kn\u011bzem, ale jde za sv\u00fdm praktick\u00fdm l\u00e9ka\u0159em<\/strong>, \u0159e\u0161\u00edme velmi \u010dasto psychick\u00e9 obt\u00ed\u017ee na\u0161ich pacient\u016f.<\/p>\n\n\n\n
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Ofici\u00e1ln\u011b se m\u00e1 zm\u011bnit i posuzov\u00e1n\u00ed obezity a nadv\u00e1hy. Roky se k tomu pou\u017e\u00edv\u00e1 tzv. BMI. I kdy\u017e\u00a0l\u00e9ka\u0159i<\/strong>\u00a0se podle n\u011bj u\u017e p\u0159\u00edli\u0161 ne\u0159\u00edd\u00ed, a to z d\u016fvodu, \u017ee takov\u00fdto mu\u017e podle n\u011bj spad\u00e1 do nadv\u00e1hy. M\u011b\u0159it se tak bude obvod pasu.<\/p>\n\n\n\n
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Se ukazuje, \u017ee \u010dlov\u011bka ohro\u017euje pr\u00e1v\u011b nejv\u00edc ta tukov\u00e1 tk\u00e1\u0148 tzv. viscer\u00e1ln\u00ed. To znamen\u00e1 ta, kter\u00e1 je pr\u00e1v\u011b v b\u0159i\u0161e, obaluje ty org\u00e1ny a projevuje se teda t\u00edm zv\u011bt\u0161en\u00fdm b\u0159ichem.<\/p>\n\n\n\n
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N\u00e1vrh zm\u011bn tak\u00e9 \u0159\u00edk\u00e1, \u017ee se praktici budou v\u00edce zaj\u00edmat, zda lid\u00e9 vyu\u017e\u00edvaj\u00ed screeningy na odhalen\u00ed nejr\u016fzn\u011bj\u0161\u00edch druh\u016f rakovin. A podle v\u011bku jim je budou doporu\u010dovat. <\/p>\n\n\n\n
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Kdy\u017e nemus\u00edm k l\u00e9ka\u0159i<\/strong>, tak nejdu. \u017de v\u00edm, \u017ee mi nic nen\u00ed. Kdy\u017e tam p\u016fjdu, tak mi \u0159ekne, \u017ee jsem nemocn\u00e1.<\/p>\n\n\n\n
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Na kolonoskopii jsem je\u0161t\u011b nebyl. Na prostatu chod\u00edm pravideln\u011b.<\/p>\n\n\n\n
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Vyu\u017e\u00edv\u00e1m teda rentgen toho prsa.<\/p>\n\n\n\n
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To, co je p\u0159edepsan\u00fd, chod\u00edm, abych si udr\u017eel tro\u0161ku kondici, abych v d\u016fchodu nebyl \u00fapln\u00e1 troska.<\/p>\n\n\n\n
N\u00e1dory tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku.<\/p>\n\n\n\n
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Pacienti od n\u00e1s dost\u00e1vaj\u00ed zkumavku, oni mus\u00ed doma odebrat vzorek stolice a pak n\u00e1m ho maj\u00ed p\u0159in\u00e9st.<\/p>\n\n\n\n
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To je jeden z nej\u00fasp\u011b\u0161n\u011bj\u0161\u00edch v\u016fbec program\u016f, kter\u00fd n\u00e1s vlastn\u011b za dobu toho p\u016fsoben\u00ed dostal z prvn\u00edho m\u00edsta v \u00famrtnosti na dne\u0161n\u00ed asi, u\u017e jsme v druh\u00e9 des\u00edtce, co\u017e je opravdu obrovsk\u00fd \u00fasp\u011bch.<\/p>\n\n\n\n
N\u00e1dory prostaty.<\/p>\n\n\n\n
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Unik\u00e1tn\u00ed screening v \u010cesk\u00e9 republice, kter\u00fd postupn\u011b se \u0161\u00ed\u0159\u00ed Evropou, my jsme ho navrhli za na\u0161eho p\u0159edsednictv\u00ed, dvakr\u00e1t odebr\u00e1n\u00ed PSA, vy\u0161et\u0159en\u00ed urologem, v p\u0159\u00edpad\u011b n\u00e1lezu magnetick\u00e1 rezonance.<\/p>\n\n\n\n
N\u00e1dory prsou.<\/p>\n\n\n\n
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U \u017een se prost\u011b pt\u00e1me, kdy byly naposledy na vy\u0161et\u0159en\u00ed, p\u0159\u00edpadn\u011b jim d\u00e1me rovnou \u017e\u00e1danku.<\/p>\n\n\n\n
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Posilujeme okresn\u00ed m\u011bsta typu Jesen\u00edk, kde screening nen\u00ed \u00fapln\u011b dob\u0159e dostupn\u00fd, tak, aby tam ten screening byl dostupn\u00fd, abysme tam instalovali p\u0159\u00edstroje.<\/p>\n\n\n\n
N\u00e1dory plic.<\/p>\n\n\n\n
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Screening karcinomu plic, co\u017e je n\u011bco, co jsme prosadili i v r\u00e1mci Evropsk\u00e9 unie a od p\u0159\u00ed\u0161t\u00edho roku to pojede naplno, a chceme pomoci tohoto screeningu zachytit i n\u011bkter\u00e9 difuzn\u00ed zm\u011bny. Mohou souviset i s postcovidov\u00fdm syndromem.Pacienti by podle\u00a0l\u00e9ka\u0159\u016f<\/strong>\u00a0m\u011bli chodit jednou ro\u010dn\u011b i na kontrolu znam\u00e9nek.<\/p>\n\n\n\n
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Pacient s rizikov\u00fdmi znam\u00e9nky je takov\u00fd, kter\u00fd jich m\u00e1 asi v\u00edce ne\u017e 50, a d\u00e1l jsou to pacienti, kte\u0159\u00ed se t\u0159eba v ml\u00e1d\u00ed \u010dasto sp\u00e1lili nebo kte\u0159\u00ed maj\u00ed n\u011bjak\u00fd n\u00e1dor u\u017e t\u0159eba v rodin\u011b.<\/p>\n\n\n\n