{"id":15658,"date":"2014-04-10T14:39:59","date_gmt":"2014-04-10T12:39:59","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15658"},"modified":"2014-04-12T08:47:58","modified_gmt":"2014-04-12T06:47:58","slug":"jaka-je-sance-ze-by-lide-s-fibromyalgii-mohli-ziskat-invalidni-duchod","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15658","title":{"rendered":"Jak\u00e1 je \u0161ance, \u017ee by lid\u00e9 s fibromyalgi\u00ed mohli z\u00edskat invalidn\u00ed d\u016fchod?"},"content":{"rendered":"

P\u0159ed n\u011bkolika dny jsme V\u00e1s informovali o m\u00e9n\u011b zn\u00e1m\u00e9 nemoci fibromyalgie. P\u0159esto, \u017ee lid\u00e9 posti\u017een\u00ed touto chorobou maj\u00ed zna\u010dn\u011b sn\u00ed\u017eenou kvalitu \u017eivota, na invalidn\u00ed d\u016fchod nemaj\u00ed n\u00e1rok. Je n\u011bjak\u00e1 \u0161ance, \u017ee by se to v p\u0159\u00ed\u0161t\u00edch letech mohlo zm\u011bnit?<\/strong>
\n
\nLid\u00e9 s fibromyalgi\u00ed nemaj\u00ed n\u00e1rok na ID z toho d\u016fvodu, \u017ee jejich m\u00edra poklesu pracovn\u00ed schopnosti rozhoduj\u00edc\u00ed o n\u00e1roku na ID nedosahuje ani 35%, takov\u00fd pokles je p\u0159itom pot\u0159ebn\u00fd na p\u0159izn\u00e1n\u00ed prvn\u00edho stupn\u011b invalidn\u00edho d\u016fchodu.<\/p>\n

Zeptali jsme se pana JUDr. Zde\u0148ka \u017di\u017eky, specialisty na zdravotnickou t\u00e9matiku v N\u00e1rodn\u00ed rad\u011b osob se zdravotn\u00edm posti\u017een\u00edm \u010cR, zda si mysl\u00ed, \u017ee je \u0161ance, aby m\u00edra poklesu pracovn\u00ed schopnosti byla u fibromyalgie p\u0159ehodnocena a co by se pro to dalo ud\u011blat:<\/p>\n

„Pokud jde o fibromyalgii, tak podle jej\u00edch p\u0159\u00edznak\u016f mohla b\u00fdt posuzov\u00e1na tato nemoc pravd\u011bpodobn\u011b ve vyhl\u00e1\u0161ce z roku 1995 jako jeden z projev\u016f tzv. \u201echronick\u00e9ho \u00fanavov\u00e9ho syndromu\u201c, kter\u00fd byl jej\u00ed sou\u010d\u00e1st\u00ed. Bohu\u017eel tato diagn\u00f3za byla ji\u017e po dvou letech \u00fa\u010dinnosti zm\u00edn\u011bn\u00e9 vyhl\u00e1\u0161ky zcela vy\u0159azena, tak\u017ee v aktu\u00e1ln\u00ed vyhl\u00e1\u0161ce ji\u017e nyn\u00ed nen\u00ed. S politov\u00e1n\u00edm mus\u00edm sd\u011blit, \u017ee nen\u00ed ani p\u0159\u00edli\u0161 diagn\u00f3z, uveden\u00fdch v t\u00e9to vyhl\u00e1\u0161ce, ke kter\u00fdm by \u0161la fibromyalgie p\u0159i\u0159adit, \u010di analogicky podle nich posuzovat. Pokud by v\u0161ak u\u017e m\u011bla b\u00fdt podle n\u011bkter\u00fdch jin\u00fdch diagn\u00f3z posuzov\u00e1na, jednalo by se nejsp\u00ed\u0161 o skupinu revmatick\u00fdch onemocn\u011bn\u00ed. Ale ani zde nen\u00ed srovn\u00e1n\u00ed p\u0159\u00edli\u0161 p\u0159esn\u00e9. Pokud by se j\u00ed v\u0161ak poda\u0159ilo s n\u011bkterou z uveden\u00fdch diagn\u00f3z srovnat a o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 by takto koncipoval sv\u00e9 vy\u0161et\u0159en\u00ed a l\u00e9ka\u0159sk\u00fd n\u00e1lez u posuzovan\u00e9 osoby, je nad\u011bje, \u017ee by pot\u00e9 tato osoba mohla z\u00edskat n\u011bkter\u00fd ze stup\u0148\u016f ID. Velmi zde v\u0161ak z\u00e1le\u017e\u00ed na zp\u016fsobu a kvalit\u011b posouzen\u00ed a zhodnocen\u00ed zdravotn\u00edho stavu o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em, kter\u00e9 bude podkladem k \u017e\u00e1dosti o ID.
\nZe sv\u00e9ho pohledu v\u0161ak bohu\u017eel vid\u00edm tento postup jako velmi problematick\u00fd a nesnadn\u00fd. A to p\u0159edev\u0161\u00edm proto, \u017ee fibromyalgie se projevuje takov\u00fdm souborem p\u0159\u00edznak\u016f, kter\u00e9 jsou velmi t\u011b\u017eko m\u011b\u0159iteln\u00e9 a objektivn\u011b hodnotiteln\u00e9. Je velmi problematick\u00e9 prok\u00e1zat sou\u010dasn\u00fdmi diagnostick\u00fdmi metodami (odb\u011br krve, rentgen, CT, apod.), \u017ee pacient opravdu, objektivn\u011b, trp\u00ed touto chorobou. Z\u00e1rove\u0148 je velmi nesnadn\u00e9, a\u017e nemo\u017en\u00e9, stanovit objektivn\u00ed m\u00edru poklesu jeho pracovn\u00ed schopnosti. Prakticky neexistuje metoda, kterou by se toto dalo objektivn\u011b stanovit. Z\u00e1rove\u0148 bohu\u017eel existuje i pom\u011brn\u011b vysok\u00e9 riziko zneu\u017eit\u00ed posuzov\u00e1n\u00ed t\u00e9to nemoci jako z\u00e1klad pro invalidn\u00ed d\u016fchod. Proto se, ze sv\u00e9ho pohledu, velmi ob\u00e1v\u00e1m, \u017ee v p\u0159\u00edpad\u011b, pokud odborn\u00e1 l\u00e9ka\u0159sk\u00e1 spole\u010dnost nenajde, nebo nevymysl\u00ed n\u011bjak\u00e9 objektivn\u00ed krit\u00e9rium pro naprosto nezpochybniteln\u00e9 stanoven\u00ed t\u00e9to diagn\u00f3zy u konkr\u00e9tn\u00ed posuzovan\u00e9 osoby, bude prosazen\u00ed t\u00e9to diagn\u00f3zy do pot\u0159ebn\u00e9 vyhl\u00e1\u0161ky velmi nesnadn\u00e9, a\u017e nemo\u017en\u00e9.
\nPokud by tedy po\u017eadavkem lid\u00ed trp\u00edc\u00edch uvedenou vz\u00e1cnou diagn\u00f3zou \u201efibromyalgie\u201c, kter\u00e1 jim nesporn\u011b velmi znep\u0159\u00edjem\u0148uje \u017eivot, bylo p\u0159izn\u00e1n\u00ed n\u011bkter\u00e9ho ze stup\u0148\u016f invalidn\u00edho d\u016fchodu, je velmi d\u016fle\u017eit\u00e9, aby po\u017eadovali na sv\u00e9m o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159i, nebo je\u0161t\u011b l\u00e9pe, na p\u0159\u00edslu\u0161n\u00e9 odborn\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti (pokud existuje), aby sv\u016fj poznatek z l\u00e9\u010den\u00ed t\u011bchto diagn\u00f3z p\u0159enesli na MPSV \u010cR. V t\u00e9to souvislosti pak po\u017eadovali za\u0159azen\u00ed diagn\u00f3zy do p\u0159\u00edslu\u0161n\u00e9 vyhl\u00e1\u0161ky. Asi nemus\u00edm zd\u016fraz\u0148ovat, \u017ee v\u011bt\u0161\u00ed nad\u011bji na \u00fasp\u011bch m\u00e1 samoz\u0159ejm\u011b po\u017eadavek od l\u00e9ka\u0159sk\u00e9 spole\u010dnosti, kter\u00e1 zobecn\u00ed p\u0159\u00edznaky diagn\u00f3zy od mnoha l\u00e9\u010den\u00fdch pacient\u016f. Samotn\u00e9 jedn\u00e1n\u00ed o za\u0159azen\u00ed je pak dobr\u00e9 podpo\u0159it i oslovov\u00e1n\u00edm tzv. \u201esv\u00fdch\u201c poslanc\u016f Parlamentu \u010cR, Sen\u00e1tu Parlamentu \u010cR a zasl\u00e1n\u00edm dopis\u016f, \u010di e-mail\u016f pacient\u016f trp\u00edc\u00edch touto chorobou na MPSV \u010cR. Ani v takov\u00e9m p\u0159\u00edpad\u011b v\u0161ak nikdo nem\u016f\u017ee zaru\u010dit, \u017ee se za\u0159azen\u00ed diagn\u00f3zy poda\u0159\u00ed,“ uvedl JUDr. Zden\u011bk \u017di\u017eka.<\/p>\n

Ji\u0159\u00ed Marek
\ninvArena<\/p>\n

ilustra\u010dn\u00ed foto: Photoxpress<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

P\u0159ed n\u011bkolika dny jsme V\u00e1s informovali o m\u00e9n\u011b zn\u00e1m\u00e9 nemoci fibromyalgie. P\u0159esto, \u017ee lid\u00e9 posti\u017een\u00ed touto chorobou maj\u00ed zna\u010dn\u011b sn\u00ed\u017eenou kvalitu \u017eivota, na invalidn\u00ed d\u016fchod […]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":15661,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-15658","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15658","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15658"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15658\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15661"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15658"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15658"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15658"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}