N\u00e1v\u0161t\u011bva u zuba\u0159e bez pl\u00e1\u010de a strachu. D\u011bti, kter\u00e9 se ob\u00e1vaj\u00ed o\u0161et\u0159en\u00ed zub\u016f, maj\u00ed od ledna jednodu\u0161\u0161\u00ed p\u0159\u00edstup k tomu, aby p\u0159i n\u011bm byly v celkov\u00e9 nark\u00f3ze, tedy usp\u00e1n\u00ed. P\u0159\u00edpadn\u011b v analgosedaci, tedy ve stavu hlubok\u00e9ho klidu. Startuje toti\u017e pilotn\u00ed projekt, kdy takovou p\u00e9\u010di budou n\u011bkter\u00fdm d\u011btem i dosp\u011bl\u00fdm na \u00fahradu poji\u0161\u0165ovny poskytovat v\u00edce ne\u017e \u010dty\u0159i des\u00edtky zubn\u00edch ordinac\u00ed. Den\u00edk.cz p\u0159in\u00e1\u0161\u00ed podrobnosti.<\/p>\n\n\n\n
P\u0159edstavme si \u010dty\u0159letou Ani\u010dku. \u201eM\u00e1 tolik kaz\u016f, \u017ee v noci pl\u00e1\u010de bolest\u00ed, \u0161patn\u011b j\u00ed a rodi\u010de s n\u00ed n\u011bkolikr\u00e1t skon\u010dili na pohotovosti. Ani\u010dka se boj\u00ed b\u00edl\u00e9ho pl\u00e1\u0161t\u011b. V ordinaci se ned\u00e1 vy\u0161et\u0159it, pl\u00e1\u010de, br\u00e1n\u00ed se, situace je stresuj\u00edc\u00ed pro ni, rodi\u010de i l\u00e9ka\u0159e. Jej\u00ed rodi\u010de jsou oba zam\u011bstnan\u00ed, nemohou si dovolit dlouh\u00e9 \u010dek\u00e1n\u00ed na l\u016f\u017eko v nemocnici ani opakovan\u00e9 pokusy o o\u0161et\u0159en\u00ed, kter\u00e9 nikam nevedou,\u201c nast\u00ednil mo\u017enou situaci prezident \u010cesk\u00e9 stomatologick\u00e9 komory Roman \u0160mucler.<\/p>\n\n\n\n
Zd\u016fraznil, \u017ee d\u00edky nov\u00e9mu pilotn\u00edmu projektu m\u016f\u017ee Ani\u010d\u010din zubn\u00ed l\u00e9ka\u0159 domluvit term\u00edn na jej\u00ed ambulantn\u00ed o\u0161et\u0159en\u00ed v celkov\u00e9 anestezii, hrazen\u00e9 z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. \u201eB\u011bhem jedn\u00e9 anestezie je Ani\u010dce kompletn\u011b o\u0161et\u0159en chrup. Dal\u0161\u00ed den u\u017e j\u00ed nic nebol\u00ed, l\u00e9pe j\u00ed, sp\u00ed a vrac\u00ed se do mate\u0159sk\u00e9 \u0161koly,\u201c uvedl \u0160mucler.<\/p>\n\n\n\n
Do n\u011bkter\u00fdch zubn\u00edch ordinac\u00ed toti\u017e s lednem p\u0159ich\u00e1z\u00ed velk\u00e1 zm\u011bna. N\u011bkter\u00fdm d\u011btem i dosp\u011bl\u00fdm tam nov\u011b na zdravotn\u00ed poji\u0161\u0165ovnu hrad\u00ed celkovou nark\u00f3zu p\u0159i zubn\u00edch z\u00e1kroc\u00edch. Zat\u00edm se jedn\u00e1 o pilotn\u00ed projekt \u010cesk\u00e9 stomatologick\u00e9 komory ve spolupr\u00e1ci s V\u0161eobecnou zdravotn\u00ed poji\u0161\u0165ovnou (VZP), do n\u011bho\u017e se postupn\u011b zapojuje asi p\u011bta\u010dty\u0159icet zubn\u00edch ordinac\u00ed nap\u0159\u00ed\u010d \u010ceskem.<\/p>\n\n\n\n
Jde jak o ambulance v nemocnic\u00edch, tak ty, kter\u00e9 funguj\u00ed samostatn\u011b. Poji\u0161\u0165ovna s t\u011bmito ordinacemi v pr\u016fb\u011bhu ledna do\u0159e\u0161\u00ed ve\u0161ker\u00e9 administrativn\u00ed n\u00e1le\u017eitosti.<\/p>\n\n\n\n
Do konce minul\u00e9ho roku toti\u017e byla celkov\u00e1 anestezie na poji\u0161\u0165ovnu mo\u017en\u00e1 de facto jen ve velk\u00fdch nemocnic\u00edch a ob\u0159\u00edch zubn\u00edch centrech, a to pouze ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech, t\u0159eba u d\u011bt\u00ed trp\u00edc\u00edch fobi\u00ed ze z\u00e1kroku. To zp\u016fsobovalo omezenou kapacitu a dlouh\u00e9 \u010dekac\u00ed lh\u016fty. Jinde za celkovou anestezii lid\u00e9 museli platit tis\u00edce korun.<\/p>\n\n\n\n
Celkov\u00e1 nark\u00f3za je vhodn\u00e1 pro d\u011bti s mnoha kazy a velk\u00fdm strachem<\/p>\n\n\n\n
Celkovou anestezii pot\u0159ebuj\u00ed podle odborn\u00edk\u016f nap\u0159\u00edklad d\u011bti s rozs\u00e1hl\u00fdmi zubn\u00edmi kazy, extr\u00e9mn\u00edm strachem, \u00fazkost\u00ed \u010di poruchami chov\u00e1n\u00ed. P\u0159\u00edpadn\u011b pacienti, u nich\u017e se l\u00e9ka\u0159 sna\u017e\u00ed p\u0159edej\u00edt opakovan\u00fdm bolestem. \u201eT\u00fdk\u00e1 se to p\u0159\u00edpad\u016f, kdy je nedostate\u010dn\u00e1 spolupr\u00e1ce vzhledem k v\u011bku d\u00edt\u011bte, jeho v\u00fdvoji a tak\u00e9 rozsahu n\u00e1lez\u016f,\u201c p\u0159ibl\u00ed\u017eil n\u00e1m\u011bstek \u0159editele VZP pro zdravotn\u00ed p\u00e9\u010di Jan Bodn\u00e1r.<\/p>\n\n\n\n
D\u00e1le je podle n\u011bj celkov\u00e1 nark\u00f3za vhodn\u00e1 pro d\u011bti i dosp\u011bl\u00e9 s ment\u00e1ln\u00edmi \u010di psychick\u00fdmi posti\u017een\u00edmi, poruchami chov\u00e1n\u00ed nebo jin\u00fdm typem pot\u00ed\u017e\u00ed, kter\u00e9 znemo\u017e\u0148uje o\u0161et\u0159en\u00ed v lok\u00e1ln\u00ed, tedy \u010d\u00e1ste\u010dn\u00e9, anestezii. \u201eFaktem je, \u017ee tyto zdravotn\u00ed slu\u017eby dosud byly h\u016f\u0159e dostupn\u00e9, zapojen\u00edm des\u00edtek stomatologick\u00fdch ordinac\u00ed se dostanou bl\u00ed\u017ee pacientovi,\u201c poznamenal n\u00e1m\u011bstek.<\/p>\n\n\n\n
Podotkl, \u017ee pod \u00fahradu spadaj\u00ed i n\u00e1vazn\u00e9 stomatologick\u00e9 slu\u017eby. \u201eAnesteziologick\u00e1 p\u00e9\u010de i poz\u00e1krokov\u00e9 sledov\u00e1n\u00ed klienta na dosp\u00e1vac\u00edm l\u016f\u017eku. Poskytovatel p\u00e9\u010de tedy v takov\u00e9m p\u0159\u00edpad\u011b nesm\u00ed od pacienta po\u017eadovat \u017e\u00e1dn\u00fd doplatek,\u201c dodal Bodn\u00e1r.<\/p>\n\n\n\n
\u00da\u010dast v projektu vyjde letos VZP podle odhad\u016f na zhruba 22 milion\u016f korun. Pod pilotn\u00ed projekt spad\u00e1 i \u00fahrada analgosedace v n\u011bkter\u00fdch zubn\u00edch ordinac\u00edch, kter\u00e1 navozuje stav hlubok\u00e9ho klidu. (Rozd\u00edly mezi celkovou anestezi\u00ed a analgosedac\u00ed jsou popsan\u00e9 v boxu.)<\/p>\n\n\n\n
Podle \u0160muclera studie z \u010desk\u00fdch univerzitn\u00edch pracovi\u0161\u0165 (Brno, Hradec Kr\u00e1lov\u00e9 a jin\u00e9) ukazuj\u00ed, \u017ee o\u0161et\u0159en\u00ed v celkov\u00e9 anestezii v\u00fdrazn\u011b zlep\u0161uje kvalitu \u017eivota d\u00edt\u011bte i jeho rodiny. \u201ePo o\u0161et\u0159en\u00ed kles\u00e1 bolest, zlep\u0161uje se sp\u00e1nek i doch\u00e1zka do \u0161koly,\u201c dodal \u0161\u00e9f \u010desk\u00fdch stomatolog\u016f.<\/p>\n\n\n\n
Data z \u010cesk\u00e9 republiky i ze sv\u011bta<\/p>\n\n\n\n
Celosv\u011btov\u011b trp\u00ed zubn\u00edm kazem 60 a\u017e 90 procent \u0161koln\u00edch d\u011bt\u00ed a t\u00e9m\u011b\u0159 100 procent dosp\u011bl\u00fdch \u2013 zubn\u00ed kaz je nej\u010dast\u011bj\u0161\u00ed chronick\u00e9 onemocn\u011bn\u00ed na sv\u011bt\u011b.<\/p>\n\n\n\n
V \u010cesk\u00e9 republice je podle studi\u00ed asi polovina p\u0159ed\u0161koln\u00edch d\u011bt\u00ed bez kazu, ve v\u011bku 3 a\u017e 4 roky je bez kazu asi 49 procent d\u011bt\u00ed, ve v\u011bku 5 a\u017e 6 let u\u017e jen asi 31 procent.<\/p>\n\n\n\n
V \u010cesk\u00e9 republice se ro\u010dn\u011b prov\u00e1d\u011bj\u00ed des\u00edtky tis\u00edc anestezi\u00ed u d\u011bt\u00ed (chirurgick\u00e9 i nechirurgick\u00e9 v\u00fdkony), nov\u00fd pilot jen l\u00e9pe organizuje a zp\u0159\u00edstup\u0148uje \u010d\u00e1st z nich pro stomatologii.<\/p>\n\n\n\n
Zdroj: \u010cesk\u00e1 stomatologick\u00e1 komora<\/p>\n\n\n\n
Celkov\u00e1 anestezie (celkov\u00e1 nark\u00f3za) u zuba\u0159e<\/p>\n\n\n\n
\u0158\u00edzen\u00fd hlubok\u00fd sp\u00e1nek, kdy pacient nevn\u00edm\u00e1 bolest ani okol\u00ed, co\u017e je ide\u00e1ln\u00ed nap\u0159\u00edklad p\u0159i slo\u017eit\u00fdch z\u00e1kroc\u00edch nebo pro nespolupracuj\u00edc\u00ed pacienty (d\u011bti, pacienti s posti\u017een\u00edm). Zaji\u0161\u0165uje ji anesteziolog a b\u011bhem v\u00fdkonu monitoruje \u017eivotn\u00ed funkce. Stomatolog provede o\u0161et\u0159en\u00ed v celkov\u00e9 bezbolestnosti, se zaji\u0161t\u011bn\u00edm d\u00fdchac\u00edch cest. Po probuzen\u00ed pacient pot\u0159ebuje doprovod.<\/p>\n\n\n\n
Analgosedace<\/p>\n\n\n\n
Navozuje stav hlubok\u00e9ho klidu, \u00falevy od bolesti a ospalosti, kdy pacient d\u00fdch\u00e1 s\u00e1m a je schopen reagovat, ale v\u011bt\u0161inou si z\u00e1krok nepamatuje.<\/p>\n\n\n\n
Zdroj: VZP<\/p>\n\n\n\n
Andrea Cerqueirov\u00e1<\/p>\n\n\n\n
Den\u00edk.cz<\/p>\n\n\n\n
https:\/\/www.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" N\u00e1v\u0161t\u011bva u zuba\u0159e bez pl\u00e1\u010de a strachu. D\u011bti, kter\u00e9 se ob\u00e1vaj\u00ed o\u0161et\u0159en\u00ed zub\u016f, maj\u00ed od ledna jednodu\u0161\u0161\u00ed p\u0159\u00edstup k tomu, aby p\u0159i n\u011bm byly v […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29616,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-62620","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\/62620","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=62620"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/62620\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29616"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=62620"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62620"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}