{"id":4698,"date":"2023-09-06T12:49:43","date_gmt":"2023-09-06T10:49:43","guid":{"rendered":"https:\/\/www.ptc.cz\/faqs\/"},"modified":"2023-09-06T12:49:43","modified_gmt":"2023-09-06T10:49:43","slug":"faqs","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/hr\/faqs\/","title":{"rendered":"FAQs"},"content":{"rendered":"<h2 class=\"p1\" style=\"text-align: center;\">Na co se ptaj\u00ed na\u0161i pacienti<\/h2>\n<p class=\"p1\" style=\"text-align: center;\"><em>Otev\u0159en\u00e1 komunikace a&nbsp;spr\u00e1vn\u00e9 informace pomohou ke zd\u00e1rn\u00e9mu pr\u016fb\u011bhu Va\u0161\u00ed l\u00e9\u010dby<\/em><\/p>\n<h3 class=\"p1\"><strong>Hrad\u00ed protonovou l\u00e9\u010dbu zdravotn\u00ed poji\u0161\u0165ovny?<\/strong><\/h3>\n<p class=\"p1\">Protonov\u00e9 centrum m\u00e1 uzav\u0159en\u00e9 smlouvy s\u00a0\u010desk\u00fdmi zdravotn\u00edmi poji\u0161\u0165ovnami, spolupracujeme i&nbsp;s\u00a0poji\u0161\u0165ovnami slovensk\u00fdmi a&nbsp;zahrani\u010dn\u00edmi. V\u00a0p\u0159\u00edpad\u011b, \u017ee jste ob\u010dan Evropsk\u00e9 unie a&nbsp;Va\u0161e poji\u0161\u0165ovna nepat\u0159\u00ed mezi na\u0161e smluvn\u00ed partnery, pom\u016f\u017eeme v\u00e1m p\u0159i jedn\u00e1n\u00ed o&nbsp;schv\u00e1len\u00ed Va\u0161\u00ed l\u00e9\u010dby u&nbsp;n\u00e1s na&nbsp;z\u00e1klad\u011b aktu\u00e1ln\u00ed platn\u00e9 legislativy.<\/p>\n<h3 class=\"p1\"><strong>Co je to protonov\u00e1 terapie? <\/strong><\/h3>\n<p class=\"p1\">Protonov\u00e1 radioterapie je velmi \u00fa\u010dinn\u00e1, p\u0159esn\u00e1 a&nbsp;\u0161etrn\u00e1 l\u00e9\u010dba rakoviny s\u00a0minim\u00e1ln\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky. D\u00edky p\u0159esn\u00e9mu zac\u00edlen\u00ed protonov\u00e9ho paprsku p\u0159\u00edmo do n\u00e1doru se v\u00fdrazn\u011b sni\u017euje vznik vedlej\u0161\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f. T\u00edm d\u00e1v\u00e1 protonov\u00e1 l\u00e9\u010dba \u0161anci \u017e\u00edt kvalitn\u00ed \u017eivot i&nbsp;po l\u00e9\u010db\u011b rakoviny.<\/p>\n<h3 class=\"p1\"><strong>Jak\u00e1 je \u00fa\u010dinnost protonov\u00e9 l\u00e9\u010dby? <\/strong><\/h3>\n<p class=\"p1\">Fyzik\u00e1ln\u00ed vlastnosti protonov\u00e9mu paprsku umo\u017e\u0148uj\u00ed p\u0159esn\u00e9 zac\u00edlen\u00ed p\u0159\u00edmo do n\u00e1doru. V\u00fdznamn\u011b se tak sni\u017euje oz\u00e1\u0159en\u00ed okoln\u00edch zdrav\u00fdch tk\u00e1n\u00ed a&nbsp;rovn\u011b\u017e doch\u00e1z\u00ed k&nbsp;v\u00fdrazn\u00e9mu sn\u00ed\u017een\u00ed rizika vzniku komplikac\u00ed a&nbsp;vedlej\u0161\u00edch \u00fa\u010dink\u016f v&nbsp;pr\u016fb\u011bhu l\u00e9\u010dby i&nbsp;po n\u00ed.<\/p>\n<h3 class=\"p1\"><strong>Co znamen\u00e1 tu\u017ekov\u00e9 skenov\u00e1n\u00ed? <\/strong><\/h3>\n<p class=\"p1\">Tu\u017ekov\u00e9 skenov\u00e1n\u00ed neboli Pencil Beam Scanning (PBS) ozna\u010duje p\u0159esn\u00e9 rozlo\u017een\u00ed d\u00e1vky protonov\u00e9ho paprsku a&nbsp;p\u0159edstavuje v&nbsp;sou\u010dasnosti naprost\u00fd vrchol v\u00a0technologii protonov\u00e9 terapie. Timto zp\u016fsobem se protonov\u00fd paprsek dok\u00e1\u017ee snado p\u0159izp\u016fsobit i&nbsp;velmi komplexn\u011b tvarovan\u00e9mu nebo pohybuj\u00edc\u00edmu se n\u00e1doru. Rovn\u011b\u017e doch\u00e1z\u00ed k&nbsp;vylep\u0161en\u00ed p\u0159izp\u016fsoben\u00ed d\u00e1vky a&nbsp;redukci celkov\u00e9 d\u00e1vky na&nbsp;z\u00e1\u0159en\u00ed pacienta.<\/p>\n<h3 class=\"p1\"><strong>Jak\u00fd je rozd\u00edl mezi fotonovou a&nbsp;protonovou l\u00e9\u010dbou (oza\u0159ov\u00e1n\u00edm) rakoviny?<\/strong><\/h3>\n<p class=\"p1\">Nejv\u011bt\u0161\u00ed v\u00fdhodou protonov\u00e9 terapie v\u00a0porovn\u00e1n\u00ed s\u00a0b\u011b\u017enou radioterapi\u00ed je jej\u00ed p\u0159esnost a&nbsp;jej\u00ed schopnost ochr\u00e1nit zdrav\u00e9 tk\u00e1n\u011b. B\u011b\u017en\u00fd fotonov\u00fd paprsek proch\u00e1z\u00ed t\u011blem a&nbsp;p\u0159ed\u00e1v\u00e1 zna\u010dnou \u010d\u00e1st sv\u00e9 energie p\u0159ed i&nbsp;za n\u00e1dorem. Proto jsou p\u0159i fotonov\u00e9m oza\u0159ov\u00e1n\u00ed zasa\u017eeny i&nbsp;zdrav\u00e9 tk\u00e1n\u011b a&nbsp;org\u00e1ny a&nbsp;ne\u017e\u00e1douc\u00ed \u00fa\u010dinky l\u00e9\u010dby jsou v\u00fdrazn\u011bj\u0161\u00ed.<\/p>\n<p class=\"p1\">Protony maj\u00ed ov\u0161em fyzik\u00e1ln\u00ed vlastnost, kter\u00e9 se \u0159\u00edk\u00e1 Bragg\u016fv vrchol. To je schopnost odevzdat v\u00fdrazn\u011b m\u00e9n\u011b energie cestou k\u00a0n\u00e1doru a&nbsp;t\u00e9m\u011b\u0159 \u017e\u00e1dnou na&nbsp;tk\u00e1n\u011b za n\u00e1dorem. Tato vlastnost umo\u017e\u0148uje protonov\u00e9mu svazku p\u0159edat d\u00e1vku z\u00e1\u0159en\u00ed zejm\u00e9na do n\u00e1doru, a&nbsp;v\u00fdznamn\u011b tak sn\u00ed\u017eit riziko po\u0161kozen\u00ed okoln\u00edch zdrav\u00fdch tk\u00e1n\u00ed.<\/p>\n<h3 class=\"p1\"><strong>Pro\u010d nem\u016f\u017eete l\u00e9\u010dit pacienty s&nbsp;kardiostimul\u00e1tory a&nbsp;s&nbsp;n\u011bkter\u00fdmi typy kovov\u00fdch\/keramick\u00fdch implant\u00e1t\u016f?<\/strong><\/h3>\n<p class=\"p1\">Kardiostimul\u00e1tor, pacemaker \u010di ICD jsou citliv\u00e1 elektronick\u00e1 za\u0159\u00edzen\u00ed, kter\u00fdm v\u00a0principu \u0161kod\u00ed jak\u00e9koliv oz\u00e1\u0159en\u00ed. V\u00a0p\u0159\u00edpad\u011b protonov\u00e9 radioterapie vznikaj\u00ed sekund\u00e1rn\u00ed vysokoenergetick\u00e9 \u010d\u00e1stice, u&nbsp;kter\u00fdch existuje zv\u00fd\u0161en\u00e9 nebezpe\u010d\u00ed po\u0161kozen\u00ed elektroniky, v&nbsp;jej\u00edm\u017e d\u016fsledku m\u016f\u017ee doj\u00edt k&nbsp;n\u00e1sledn\u00e9mu selh\u00e1n\u00ed funk\u010dnosti kardiostimul\u00e1toru.<\/p>\n<p class=\"p1\">Pro pl\u00e1nov\u00e1n\u00ed radioterapie m\u00e1 z\u00e1sadn\u00ed v\u00fdznam CT vy\u0161et\u0159en\u00ed. Kovov\u00e9 materi\u00e1ly (implant\u00e1ty, zubn\u00ed v\u00fdpln\u011b apod.) vytv\u00e1\u0159ej\u00ed v\u00a0CT obraze tzv. artefakty (na&nbsp;CT se zobrazuj\u00ed struktury, kter\u00e9 se v\u00a0t\u011ble nevyskytuj\u00ed). Ty mohou ovlivnit v\u00fdpo\u010det d\u00e1vky v\u00a0dan\u00e9 oblasti, v&nbsp;d\u016fsledku \u010deho\u017e by mohly vzniknout nep\u0159esnosti v&nbsp;d\u00e1vce oz\u00e1\u0159en\u00ed. V\u00a0PTC se sna\u017e\u00edme eliminovat v\u0161echna rizika, proto pacienty s\u00a0implant\u00e1ty v\u00a0oza\u0159ovan\u00e9 oblasti nel\u00e9\u010d\u00edme. Samoz\u0159ejm\u011b kov v\u00a0oblasti p\u00e1nve nevad\u00ed, pokud oza\u0159ujeme n\u00e1dory nap\u0159. v\u00a0oblasti hlavy a&nbsp;krku.<\/p>\n<h3 class=\"p1\"><strong>Je mo\u017en\u00e9 podstoupit protonovou l\u00e9\u010dbu i&nbsp;jinde v\u00a0\u010cR?<\/strong><\/h3>\n<p class=\"p1\">Na \u00fazem\u00ed \u010cesk\u00e9 republiky je Protonov\u00e9 centrum v&nbsp;Praze jedin\u00fdm za\u0159\u00edzen\u00edm, kter\u00e9 poskytuje l\u00e9\u010dbu onkologick\u00fdch onemocn\u011bn\u00ed protonov\u00fdm paprskem.<\/p>\n<h3 class=\"p3\"><strong>Kolik stoj\u00ed vstupn\u00ed konzultace a&nbsp;co mohu o\u010dek\u00e1vat? <\/strong><\/h3>\n<p class=\"p1\">Vstupn\u00ed vy\u0161et\u0159en\u00ed je nez\u00e1vazn\u00e9 a&nbsp;bezplatn\u00e9. Jedn\u00e1 se o&nbsp;vstupn\u00ed rozhovor\/konzultaci s\u00a0na\u0161\u00edm l\u00e9ka\u0159em, na&nbsp;kter\u00e9m v\u00e1m l\u00e9ka\u0159 poskytne informace o&nbsp;protonov\u00e9 terapii, prostuduje va\u0161i zdravotnickou dokumentaci a&nbsp;po odborn\u00e9m vyhodnocen\u00ed v\u0161ech \u00fadaj\u016f rozhodne o&nbsp;vhodnosti protonov\u00e9 l\u00e9\u010dby pro v\u00e1s. D\u00e9lka samotn\u00e9 konzultace, (vstupn\u00edho vy\u0161et\u0159en\u00ed), v\u00a0Protonov\u00e9m centru je p\u0159ibli\u017en\u011b <strong>30-40 minut.<\/strong> Na&nbsp;vstupn\u00ed vy\u0161et\u0159en\u00ed nen\u00ed pot\u0159eba \u017e\u00e1dn\u00e1 p\u0159\u00edprava. P\u0159ipravte si pouze dotazy, na&nbsp;kter\u00e9 byste cht\u011bli zn\u00e1t odpov\u011b\u010f.<\/p>\n<h3 class=\"p1\"><strong>Jak\u00e9 jsou term\u00edny na&nbsp;vstupn\u00ed vy\u0161et\u0159en\u00ed? <\/strong><\/h3>\n<p class=\"p1\">Pacienty se sna\u017e\u00edme objedn\u00e1vat co nejd\u0159\u00edve, zpravidla to b\u00fdv\u00e1 do jednoho t\u00fddne.<\/p>\n<h3 class=\"p1\"><strong>Jak se dostanu do Protonov\u00e9ho centra? <\/strong><\/h3>\n<p class=\"p1\">Vstup do Protonov\u00e9ho centra najdete v\u00a0are\u00e1lu Nemocnice Na&nbsp;Bulovce mezi \u00dastavem radia\u010dn\u00ed onkologie (budova 16) a&nbsp;Klinikou pneumologie a&nbsp;hrudn\u00ed chirurgie (budova 4, tzv. \u201ez\u00e1me\u010dek\u201c).<\/p>\n<p><strong>Proton Therapy Center Czech, s.ro.<\/strong><br \/>\n<strong>Bud\u00ednova 2437\/1a<\/strong><br \/>\n<strong>180&nbsp;00 Praha 8<\/strong><\/p>\n<h3 class=\"p1\"><strong>Je mo\u017en\u00e9 v&nbsp;bl\u00edzkosti Protonov\u00e9ho centra zaparkovat? <\/strong><\/h3>\n<p class=\"p1\">Parkovi\u0161t\u011b pro n\u00e1v\u0161t\u011bvn\u00edky se nach\u00e1z\u00ed p\u0159\u00edmo u&nbsp;hlavn\u00edho vchodu Protonov\u00e9ho centra, v\u00a0are\u00e1lu Nemocnice Na&nbsp;Bulovce. Vjezd do are\u00e1lu Nemocnice na&nbsp;Bulovce je po <strong>30 minut\u00e1ch<\/strong> zpoplatn\u011bn. Pacienti, kte\u0159\u00ed p\u0159ich\u00e1zej\u00ed na&nbsp;l\u00e9\u010dbu pravideln\u011b, si mohou pro pohodln\u011bj\u0161\u00ed dopravu p\u0159edplatit povolen\u00ed k\u00a0vjezdu. \u010cidlo u&nbsp;z\u00e1vory si na\u010dte SPZ a&nbsp;z\u00e1vora se p\u0159i dal\u0161\u00edch n\u00e1v\u0161t\u011bv\u00e1ch otev\u00edr\u00e1 automaticky. Cena povolen\u00ed k\u00a0vjezdu je <strong>300&nbsp;K\u010d<\/strong> na&nbsp;<strong>30 dn\u016f.<\/strong> S\u00a0vypln\u011bn\u00edm \u017e\u00e1dosti v\u00e1m r\u00e1di pom\u016f\u017eeme na&nbsp;hlavn\u00ed recepci. Vy\u0159\u00edzen\u00ed \u017e\u00e1dosti m\u016f\u017ee trvat i&nbsp;n\u011bkolik dn\u00ed, proto, pros\u00edm, o&nbsp;povolen\u00ed \u017e\u00e1dejte s\u00a0p\u0159edstihem.<\/p>\n<h3 class=\"p1\"><strong>Prov\u00e1d\u00edte preventivn\u00ed vy\u0161et\u0159en\u00ed rakoviny? <\/strong><\/h3>\n<p class=\"p1\">Protonov\u00e9 centrum je specializovan\u00e9 pracovi\u0161t\u011b na&nbsp;l\u00e9\u010dbu pacient\u016f s\u00a0ji\u017e diagnostikovan\u00fdm onkologick\u00fdm onemocn\u011bn\u00edm. Pouze v\u00a0p\u0159\u00edpad\u011b, \u017ee m\u00e1te urologick\u00e9 pot\u00ed\u017ee, nab\u00edz\u00edme mo\u017enost preventivn\u00edho urologick\u00e9ho vy\u0161et\u0159en\u00ed v\u00a0na\u0161\u00ed ambulanci. Bli\u017e\u0161\u00ed informace je mo\u017en\u00e9 zjistit na&nbsp;telefonn\u00edm \u010d\u00edsle <strong>222\u00a0998\u00a0950.<\/strong><\/p>\n<h3 class=\"p1\"><strong>Prov\u00e1d\u00edte v&nbsp;PTC biopsii prostaty? <\/strong><\/h3>\n<p class=\"p1\">Ne, bioptick\u00e9 vy\u0161et\u0159en\u00ed u&nbsp;n\u00e1s bohu\u017eel neprov\u00e1d\u00edme. M\u016f\u017eeme v\u00e1m ale doporu\u010dit urologickou ambulanci, se kterou PTC spolupracuje. Bli\u017e\u0161\u00ed informace je mo\u017en\u00e9 zjistit na&nbsp;\u010d\u00edsle <strong>222\u00a0998\u00a0950.<\/strong><\/p>\n<h3 class=\"p1\"><strong>Jak\u00fdm zp\u016fsobem proces o&nbsp;schv\u00e1len\u00ed protonov\u00e9 l\u00e9\u010dby prob\u00edh\u00e1?<\/strong><\/h3>\n<p class=\"p1\">V\u00e1\u0161 osobn\u00ed koordin\u00e1tor spolu s&nbsp;l\u00e9ka\u0159em p\u0159iprav\u00ed \u017e\u00e1dost o&nbsp;schv\u00e1len\u00ed protonov\u00e9 l\u00e9\u010dby a&nbsp;za\u0161le ji na&nbsp;va\u0161i zdravotn\u00ed poji\u0161\u0165ovnu revizn\u00edmu l\u00e9ka\u0159i. Proces schvalov\u00e1n\u00ed \u017e\u00e1dosti o&nbsp;protonovou radioterapii trv\u00e1 pr\u016fm\u011brn\u011b dva a\u017e t\u0159i t\u00fddny, ale u&nbsp;v\u011bt\u0161iny pacient\u016f rozhoduje zdravotn\u00ed poji\u0161\u0165ovna rychleji. Ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech poji\u0161\u0165ovna po\u017eaduje dopln\u011bn\u00ed l\u00e9ka\u0159sk\u00e9 dokumentace, kter\u00e9 PTC zajist\u00ed za v\u00e1s.<\/p>\n<h3 class=\"p1\"><strong>Je mo\u017en\u00e9 si protonovou l\u00e9\u010dbu hradit i&nbsp;jako samopl\u00e1tce? Kolik oza\u0159ov\u00e1n\u00ed stoj\u00ed?<\/strong><\/h3>\n<p class=\"p1\">Protonovou l\u00e9\u010dbu je mo\u017en\u00e9 si hradit jako samopl\u00e1tce, bez \u00fa\u010dasti Va\u0161\u00ed zdravotn\u00ed poji\u0161\u0165ovny. Cena za oz\u00e1\u0159en\u00ed je u&nbsp;ka\u017ed\u00e9ho pacienta individu\u00e1ln\u00ed a&nbsp;odv\u00edj\u00ed se od po\u010dtu oza\u0159ovac\u00edch d\u00e1vek, kter\u00e9 stanov\u00ed l\u00e9ka\u0159 na&nbsp;z\u00e1klad\u011b diagn\u00f3zy a&nbsp;rozsahu onemocn\u011bn\u00ed pacienta. Chceme v\u0161ak, aby na\u0161e l\u00e9\u010dba byla dostupn\u00e1 v\u0161em pacient\u016fm, kte\u0159\u00ed ji pot\u0159ebuj\u00ed, proto se zdravotn\u00edmi poji\u0161\u0165ovnami spolupracujeme a&nbsp;tuto mo\u017enost prim\u00e1rn\u011b nenab\u00edz\u00edme.<\/p>\n<h3 class=\"p1\"><strong>Je Protonov\u00e9 centrum otev\u0159eno i&nbsp;o&nbsp;v\u00edkendu?<\/strong><\/h3>\n<p class=\"p1\">Protonov\u00e9 centrum je pro n\u00e1v\u0161t\u011bvn\u00edky otev\u0159eno ka\u017ed\u00fd v\u0161edn\u00ed den, od <strong>7:00 do 19:00<\/strong>. O&nbsp;v\u00edkendech je uzav\u0159eno.<\/p>\n<h3 class=\"p1\"><strong>Sly\u0161el\/a jsem, \u017ee protonov\u00e1 l\u00e9\u010dba nen\u00ed dostate\u010dn\u011b ov\u011b\u0159enou metodou?<\/strong><\/h3>\n<p class=\"p1\">Protonov\u00e1 l\u00e9\u010dba m\u00e1 t\u00e9m\u011b\u0159 stejn\u011b dlouhou historii jako l\u00e9\u010dba line\u00e1rn\u00edmi urychlova\u010di. Prvn\u00ed pacient byl oz\u00e1\u0159en v&nbsp;<strong>50.&nbsp;letech 20.&nbsp;stolet\u00ed.<\/strong> Technologie je ale mnohem slo\u017eit\u011bj\u0161\u00ed, tak\u017ee prvn\u00ed klinika ur\u010den\u00e1 pro\u00a0oza\u0159ov\u00e1n\u00ed pacient\u016f byla otev\u0159ena <strong>v roce 1991<\/strong> v&nbsp;Loma Lind\u011b v&nbsp;Kalifornii. Od t\u00e9 doby se protony l\u00e9\u010dilo bezm\u00e1la <strong>200000<\/strong> nemocn\u00fdch s&nbsp;nejr\u016fzn\u011bj\u0161\u00edmi diagn\u00f3zami. S&nbsp;n\u011bkter\u00fdmi n\u00e1dory, jako je nap\u0159\u00edklad karcinom prostaty nebo n\u00e1dory mozku \u010di spodiny lebe\u010dn\u00ed, jsou zku\u0161enosti ji\u017e v\u00edce ne\u017e <strong>25 let.\u00a0<\/strong><\/p>\n<h3 class=\"p1\"><strong>Vyskytuj\u00ed se po protonov\u00e9 l\u00e9\u010db\u011b komplikace? Jsou z\u00e1va\u017en\u011bj\u0161\u00ed ne\u017e ty, kter\u00e9 se vyskytuj\u00ed p\u0159i klasick\u00e9 l\u00e9\u010db\u011b?<\/strong><\/h3>\n<p class=\"p1\">Nen\u00ed tomu tak. Ve v\u011bt\u0161in\u011b situac\u00ed jsou v&nbsp;porovn\u00e1n\u00ed s&nbsp;fotonov\u00fdm z\u00e1\u0159en\u00edm komplikace dokonce je\u0161t\u011b m\u00e9n\u011b z\u00e1va\u017en\u00e9, co\u017e je d\u016fsledek lep\u0161\u00edho d\u00e1vkov\u00e9ho rozlo\u017een\u00ed z\u00e1\u0159en\u00ed v&nbsp;t\u011ble b\u011bhem oza\u0159ov\u00e1n\u00ed protony. Existuj\u00ed v\u0161ak ur\u010dit\u00e9 v\u00fdjimky &#8211; nap\u0159\u00edklad ko\u017en\u00ed reakce, kter\u00e1 m\u00e1 po protonov\u00e9m oza\u0159ov\u00e1n\u00ed pon\u011bkud hor\u0161\u00ed pr\u016fb\u011bh, nicm\u00e9n\u011b velmi dob\u0159e reaguje na&nbsp;n\u00e1slednou dopl\u0148kovou l\u00e9\u010dbu.\u00a0 Nav\u00edc m\u00e1me v&nbsp;PTC t\u00fdm sest\u0159i\u010dek, kter\u00e9 se v&nbsp;pravideln\u00fdch intervalech pacient\u016fm o&nbsp;k\u016f\u017ei staraj\u00ed.<\/p>\n<h3 class=\"p1\"><strong>M\u016fj urolog mi doporu\u010duje operaci, Vy zase oza\u0159ov\u00e1n\u00ed \u2013 podle \u010deho se m\u00e1m rozhodnout?<\/strong><\/h3>\n<p class=\"p1\">Protonov\u00e1 radioterapie m\u00e1 minim\u00e1ln\u00ed toxicitu (vedlej\u0161\u00ed \u00fa\u010dinky). Posledn\u00ed publikovan\u00e9 pr\u00e1ce popisuj\u00ed na&nbsp;rozs\u00e1hl\u00fdch souborech onkologick\u00fdch pacient\u016f v\u00fdskyt toxicity u&nbsp;m\u00e9n\u011b ne\u017e <strong>1%<\/strong>. Ve srovn\u00e1n\u00ed s\u00a0publikovan\u00fdmi daty pro fotonovou terapii a&nbsp;opera\u010dn\u00ed z\u00e1kroky je tato toxicita minim\u00e1ln\u00ed a&nbsp;v\u00fdznamn\u011b ni\u017e\u0161\u00ed. Oproti chirurgick\u00e9 l\u00e9\u010db\u011b protonov\u00e1 terapie t\u00e9m\u011b\u0159 nevede ke vzniku impotence a&nbsp;v\u00fdznamn\u011b tak zlep\u0161uje kvalitu \u017eivota nemocn\u00fdch.<\/p>\n<p class=\"p1\">Protonov\u00e1 radioterapie je pln\u011b ambulantn\u00ed l\u00e9\u010dba, ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f bez nutnosti pracovn\u00ed neschopnosti. Operace je v\u017edy v\u00e1\u017en\u00fdm a&nbsp;rozs\u00e1hl\u00fdm invazivn\u00edm chirurgick\u00fdm z\u00e1krokem prov\u00e1d\u011bn\u00fdm v\u00a0celkov\u00e9 anestezii, p\u0159i kter\u00e9m mus\u00ed b\u00fdt pacient v\u017edy hospitalizov\u00e1n. P\u0159i operaci je odstran\u011bna prostata i&nbsp;s\u00a0tzv. pouzdrem prostaty a&nbsp;semenn\u00fdmi v\u00e1\u010dky a&nbsp;je vytvo\u0159eno nov\u00e9 spojen\u00ed mezi mo\u010dovou trubic\u00ed a&nbsp;mo\u010dov\u00fdm m\u011bch\u00fd\u0159em. P\u0159esto\u017ee se opera\u010dn\u00ed postupy vyv\u00edjej\u00ed, dlouhodob\u00e9 v\u00fdsledky ukazuj\u00ed, \u017ee rizika p\u0159etrv\u00e1vaj\u00ed. Operace je v\u017edy spojen\u00e1 s\u00a0hospitalizac\u00ed a&nbsp;n\u00e1slednou pracovn\u00ed neschopnost\u00ed. Kone\u010dn\u00e9 rozhodnut\u00ed, jak\u00fdm zp\u016fsobem karcinom prostaty l\u00e9\u010dit, je nicm\u00e9n\u011b na&nbsp;ka\u017ed\u00e9m pacientovi \u2013 na&nbsp;z\u00e1klad\u011b \u00fapln\u00fdch informac\u00ed od o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Na co se ptaj\u00ed na\u0161i pacienti Otev\u0159en\u00e1 komunikace a&nbsp;spr\u00e1vn\u00e9 informace pomohou ke zd\u00e1rn\u00e9mu pr\u016fb\u011bhu Va\u0161\u00ed l\u00e9\u010dby Hrad\u00ed protonovou l\u00e9\u010dbu zdravotn\u00ed poji\u0161\u0165ovny? Protonov\u00e9 centrum m\u00e1 uzav\u0159en\u00e9 smlouvy s\u00a0\u010desk\u00fdmi zdravotn\u00edmi poji\u0161\u0165ovnami, spolupracujeme i&nbsp;s\u00a0poji\u0161\u0165ovnami slovensk\u00fdmi a&nbsp;zahrani\u010dn\u00edmi. V\u00a0p\u0159\u00edpad\u011b, \u017ee jste ob\u010dan Evropsk\u00e9 unie a&nbsp;Va\u0161e poji\u0161\u0165ovna nepat\u0159\u00ed mezi na\u0161e smluvn\u00ed partnery, pom\u016f\u017eeme v\u00e1m p\u0159i jedn\u00e1n\u00ed o&nbsp;schv\u00e1len\u00ed Va\u0161\u00ed l\u00e9\u010dby u&nbsp;n\u00e1s na&nbsp;z\u00e1klad\u011b&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":46,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4698","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4698","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/comments?post=4698"}],"version-history":[{"count":0,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4698\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media?parent=4698"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}