{"id":18533,"date":"2014-11-24T13:48:14","date_gmt":"2014-11-24T12:48:14","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=18533"},"modified":"2014-11-24T13:48:21","modified_gmt":"2014-11-24T12:48:21","slug":"mam-roztrousenou-sklerozu-mohu-ziskat-invalidni-duchod","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=18533","title":{"rendered":"M\u00e1m roztrou\u0161enou skler\u00f3zu. Mohu z\u00edskat invalidn\u00ed d\u016fchod?"},"content":{"rendered":"

Dotaz:<\/strong> M\u00e1m roztrou\u0161enou skler\u00f3zu a v posledn\u00ed dob\u011b se m\u016fj zdravotn\u00ed stav za\u010d\u00edn\u00e1 zhor\u0161ovat. Nejsem u\u017e schopna plnohodnotn\u011b pracovat v zam\u011bstn\u00e1n\u00ed. M\u00e1m n\u00e1rok na invalidn\u00ed d\u016fchod a podle \u010deho se u RS p\u0159id\u011bluje?<\/strong>
\n
\nOdpov\u011b\u010f:<\/strong><\/p>\n

\u010clov\u011bk s roztrou\u0161enou skler\u00f3zou na invalidn\u00ed d\u016fchod n\u00e1rok m\u00e1, av\u0161ak z\u00e1le\u017e\u00ed jak moc V\u00e1s RS omezuje p\u0159i vykon\u00e1v\u00e1n\u00ed v\u00fdd\u011ble\u010dn\u00e9 \u010dinnosti.
\nPoji\u0161t\u011bnec je invalidn\u00ed, jestli\u017ee z d\u016fvodu dlouhodob\u011b nep\u0159\u00edzniv\u00e9ho zdravotn\u00edho stavu nastal pokles jeho pracovn\u00ed schopnosti nejm\u00e9n\u011b o 35 %.<\/p>\n

Jestli\u017ee pracovn\u00ed schopnost poji\u0161t\u011bnce poklesla
\na. nejm\u00e9n\u011b o 35 %, av\u0161ak nejv\u00edce o 49 %, jedn\u00e1 se o invaliditu prvn\u00edho stupn\u011b,
\nb. nejm\u00e9n\u011b o 50 %, av\u0161ak nejv\u00edce o 69 %, jedn\u00e1 se o invaliditu druh\u00e9ho stupn\u011b,
\nc. nejm\u00e9n\u011b o 70 %, jedn\u00e1 se o invaliditu t\u0159et\u00edho stupn\u011b.<\/p>\n

O invalidn\u00ed d\u016fchod si m\u016f\u017eete po\u017e\u00e1dat na Va\u0161\u00ed okresn\u00ed spr\u00e1v\u011b soci\u00e1ln\u00edho zabezpe\u010den\u00ed. L\u00e9ka\u0159sk\u00e1 posudkov\u00e1 slu\u017eba \u010cSSZ pak n\u00e1sledn\u011b posoud\u00ed V\u00e1\u0161 zdravotn\u00ed stav. Bude k tomu vy\u017eadovat l\u00e9ka\u0159skou zpr\u00e1vu od o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e. Ide\u00e1ln\u00ed tak\u00e9 je, kdy\u017e o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 ke spr\u00e1v\u011b dod\u00e1 tak\u00e9 dal\u0161\u00ed n\u00e1lezy od specializovan\u00fdch l\u00e9ka\u0159\u016f. V n\u011bkter\u00fdch p\u0159\u00edpadech si m\u016f\u017ee LPS je\u0161t\u011b vy\u017e\u00e1dat Va\u0161\u00ed osobn\u00ed p\u0159\u00edtomnost p\u0159i posuzov\u00e1n\u00ed.<\/p>\n

Pro \u00faplnost uv\u00e1d\u00edm i procentu\u00e1ln\u00ed m\u00edry poklesu pracovn\u00ed schopnosti u RS, tak jak jsou uvedeny v p\u0159\u00edloze k vyhl\u00e1\u0161ce \u010d. 359\/2009 Sb.<\/p>\n

Demyeliniza\u010dn\u00ed posti\u017een\u00ed, roztrou\u0161en\u00e1 skler\u00f3za mozkom\u00ed\u0161n\u00ed, jin\u00e1 degenerativn\u00ed posti\u017een\u00ed CNS
\nPosudkov\u00e9 hledisko:<\/p>\n

P\u0159i stanoven\u00ed m\u00edry poklesu pracovn\u00ed schopnosti je t\u0159eba zhodnotit stav funk\u010dn\u00edch syst\u00e9m\u016f \u2013 pyramidov\u00e9ho, moze\u010dkov\u00e9ho, senzitivn\u00edho, zrakov\u00e9ho, kmenov\u00e9ho, funkci sfinkter\u016f, schopnost ch\u016fze, st\u00e1n\u00ed, dopad zji\u0161t\u011bn\u00fdch skute\u010dnost\u00ed na celkovou v\u00fdkonnost. K hodnocen\u00ed pokro\u010dilosti roztrou\u0161en\u00e9 skler\u00f3zy mozkom\u00ed\u0161n\u00ed se pou\u017e\u00edv\u00e1 Kurtzkeho \u0161k\u00e1la EDSS. Samotn\u00fd n\u00e1lez CT, MRI bez klinick\u00e9ho korel\u00e1tu a funk\u010dn\u00edho posti\u017een\u00ed nem\u00e1 dopad na pracovn\u00ed schopnost.<\/p>\n

6a
\nminim\u00e1ln\u00ed funk\u010dn\u00ed posti\u017een\u00ed,
\nbez hrub\u0161\u00ed poruchy funkce nebo mal\u00fd neurologick\u00fd n\u00e1lez, celkov\u00e1 v\u00fdkonnost a pohyblivost dot\u010dena minim\u00e1ln\u011b, lehk\u00e1 slabost nebo spasticita, lehk\u00e1 monopar\u00e9za, m\u00edrn\u00e9 poruchy ch\u016fze a sn\u00ed\u017een\u00ed dosahu ch\u016fze, okohybn\u00e9 poruchy, n\u011bkter\u00e9 denn\u00ed aktivity vykon\u00e1v\u00e1ny s obt\u00ed\u017eemi, EDSS 2-3
\n10%<\/p>\n

6b
\nlehk\u00e9 funk\u010dn\u00ed posti\u017een\u00ed,
\ncelkov\u00e1 v\u00fdkonnost omezena, pohyblivost zachov\u00e1na, ch\u016fze se sn\u00ed\u017een\u00fdm dosahem (cca 500m), vyj\u00e1d\u0159eny z\u00e1kladn\u00ed p\u0159\u00edznaky nebo kombinace v\u00edce leh\u010d\u00edch p\u0159\u00edznak\u016f (nap\u0159. lehk\u00e9 par\u00e9zy dvou kon\u010detin, lehk\u00e9 sfinkterov\u00e9 obt\u00ed\u017ee, okohybn\u00e9 poruchy), n\u011bkter\u00e9 denn\u00ed aktivity vykon\u00e1v\u00e1ny s obt\u00ed\u017eemi nebo vykon\u00e1v\u00e1ny s vyu\u017eit\u00edm kompenza\u010dn\u00edch mechanism\u016f a prost\u0159edk\u016f, EDSS 4
\n25-35%<\/p>\n

6c
\nst\u0159edn\u011b t\u011b\u017ek\u00e9 funk\u010dn\u00ed posti\u017een\u00ed,
\npokles celkov\u00e9 v\u00fdkonnosti p\u0159i b\u011b\u017en\u00e9m zat\u00ed\u017een\u00ed, st\u0159edn\u011b t\u011b\u017ek\u00e1 porucha motoriky, ch\u016fze na krat\u0161\u00ed vzd\u00e1lenost (cca 300 m), v\u00fdrazn\u00e9 sfinkterov\u00e9 poruchy, podle rozsahu symptomatologie a funk\u010dn\u00edho posti\u017een\u00ed, n\u011bkter\u00e9 denn\u00ed aktivity omezeny, EDSS 5-6
\n50%<\/p>\n

6d
\nt\u011b\u017ek\u00e9 funk\u010dn\u00ed posti\u017een\u00ed,
\npodstatn\u00e9 omezen\u00ed celkov\u00e9 v\u00fdkonnosti a pohyblivosti (ch\u016fze 100 m, funk\u010dn\u011b v\u00fdznamn\u00e1 spasticita na dvou kon\u010detin\u00e1ch, ataxie, afektivn\u00ed nebo kognitivn\u00ed poruchy), n\u011bkter\u00e9 denn\u00ed aktivity podstatn\u011b omezeny
\n60%<\/p>\n

6e
\nzvl\u00e1\u0161\u0165 t\u011b\u017ek\u00e9 funk\u010dn\u00ed posti\u017een\u00ed,
\nt\u011b\u017ek\u00fd pokles celkov\u00e9 v\u00fdkonnosti p\u0159i lehk\u00e9m zat\u00ed\u017een\u00ed, t\u011b\u017ek\u00e9 poruchy motoriky (na \u00farovni t\u011b\u017ek\u00fdch par\u00e9z kon\u010detin), pohyblivost velmi obt\u00ed\u017en\u00e1, p\u0159esuny na velmi kr\u00e1tk\u00e9 vzd\u00e1lenosti pop\u0159. odk\u00e1zanost na invalidn\u00ed voz\u00edk, z\u00e1va\u017en\u00e1 afektivn\u00ed nebo kognitivn\u00ed porucha, denn\u00ed aktivity t\u011b\u017ece omezeny, EDSS v\u00edce ne\u017e 7
\n70-80%<\/p>\n

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

ilustra\u010dn\u00ed foto: kamaru \/ Flickr.com<\/p>\n","protected":false},"excerpt":{"rendered":"

Dotaz: M\u00e1m roztrou\u0161enou skler\u00f3zu a v posledn\u00ed dob\u011b se m\u016fj zdravotn\u00ed stav za\u010d\u00edn\u00e1 zhor\u0161ovat. Nejsem u\u017e schopna plnohodnotn\u011b pracovat v zam\u011bstn\u00e1n\u00ed. M\u00e1m n\u00e1rok na invalidn\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":17309,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-18533","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\/18533","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=18533"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/18533\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17309"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}