{"id":20617,"date":"2015-04-01T00:31:44","date_gmt":"2015-03-31T22:31:44","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=20617"},"modified":"2015-04-01T10:10:47","modified_gmt":"2015-04-01T08:10:47","slug":"mam-svalovou-dystrofii-a-trombofilii-mam-narok-na-prukaz-ztp","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=20617","title":{"rendered":"M\u00e1m svalovou dystrofii a trombofilii. M\u00e1m n\u00e1rok na pr\u016fkaz ZTP?"},"content":{"rendered":"<p><strong>Dotaz: Trp\u00edm svalovou dystrofi\u00ed a trombof\u00edli\u00ed. M\u00e1m n\u00e1rok na pr\u016fkaz ZTP?<\/strong><br \/>\n<!--more--><\/p>\n<p><strong>Odpov\u011b\u010f:<\/strong><br \/>\nP\u0159esto, \u017ee nep\u00ed\u0161ete v jak moc z\u00e1va\u017en\u00e9 f\u00e1zi Va\u0161e nemoci jsou. D\u00e1 se \u0159\u00edci, \u017ee lid\u00e9 se svalovou dystrofi\u00ed z pravidla n\u00e1rok na pr\u016fkaz ZTP maj\u00ed. Pravdou v\u0161ak je, \u017ee jsou lid\u00e9, kter\u00fdm byla diagnostikov\u00e1na uveden\u00e1 nemoc a do ur\u010dit\u00e9ho v\u011bku jsou schopni pohybu na krat\u0161\u00edch vzd\u00e1lenostech bez pomoci invalidn\u00edho voz\u00edku, z\u00e1rove\u0148 jsou ale tak\u00e9 posti\u017een\u00ed, kte\u0159\u00ed se bez voz\u00edku a neust\u00e1l\u00e9 pomoci druh\u00e9 osoby neobejdou.<\/p>\n<p>Pokud pat\u0159\u00edte sp\u00ed\u0161e do t\u00e9 druh\u00e9 skupiny, je mo\u017en\u00e9, \u017ee V\u00e1m bude p\u0159izn\u00e1n dokonce pr\u016fkaz ZTP\/P. Rozhodnut\u00ed ale z\u00e1vis\u00ed na L\u00e9ka\u0159sk\u00e9 posudkov\u00e9 slu\u017eb\u011b \u010cSSZ, kter\u00e1 z\u00edsk\u00e1 Va\u0161i l\u00e9ka\u0159skou zpr\u00e1vu od o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e.<\/p>\n<p>Pro \u00faplnost uv\u00e1d\u00edm je\u0161t\u011b zdravotn\u00ed indikace, podle kter\u00fdch se ur\u010d\u00ed, zda m\u00e1te n\u00e1rok na pr\u016fkaz ZTP nebo ZTP\/P:<\/p>\n<p>2. Za podstatn\u00e9 omezen\u00ed schopnosti pohyblivosti a orientace na \u00farovni t\u011b\u017ek\u00e9ho funk\u010dn\u00edho posti\u017een\u00ed (pr\u016fkaz ZTP) pohyblivosti a orientace lze pova\u017eovat tyto zdravotn\u00ed stavy:<br \/>\na) anatomick\u00e1 ztr\u00e1ta doln\u00ed kon\u010detiny v kolenn\u00edm kloubu nebo v\u00fd\u0161e, exteri\u00e9rov\u00fd u\u017eivatel prot\u00e9zy,<br \/>\nb) anatomick\u00e1 ztr\u00e1ta doln\u00edch kon\u010detin v n\u00e1rtech nebo v n\u00e1rtu a b\u00e9rci,<br \/>\nc) funk\u010dn\u00ed ztr\u00e1ta doln\u00ed kon\u010detiny se ztr\u00e1tou op\u011brn\u00e9 funkce,<br \/>\nd) anatomick\u00e1 ztr\u00e1ta doln\u00ed a horn\u00ed kon\u010detiny v \u00farovni b\u00e9rce a p\u0159edlokt\u00ed,<br \/>\ne) anatomick\u00e1 ztr\u00e1ta horn\u00edch kon\u010detin v \u00farovni p\u0159edlokt\u00ed,<br \/>\nf) t\u011b\u017ek\u00e9 omezen\u00ed funkce dvou kon\u010detin,<br \/>\ng) posti\u017een\u00ed p\u00e1nve prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami doln\u00edch kon\u010detin nebo z\u00e1va\u017enou nestabilitou p\u00e1nevn\u00edho prstence,<br \/>\nh) posti\u017een\u00ed p\u00e1te\u0159e prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami kon\u010detin nebo ztuhnut\u00edm t\u0159\u00ed \u00fasek\u016f p\u00e1te\u0159e nebo z\u00e1va\u017en\u00e9 deformity p\u00e1te\u0159e s omezen\u00edm exkurz\u00ed hrudn\u00edku,<br \/>\ni) t\u011b\u017ek\u00e9 posti\u017een\u00ed pohyblivosti a celkov\u00e9 v\u00fdkonnosti ji\u017e p\u0159i lehk\u00e9m zat\u00ed\u017een\u00ed p\u0159i intern\u00edch a onkologick\u00fdch posti\u017een\u00edch,<br \/>\nj) celkov\u00e1 ztr\u00e1ta sluchu podle Fowlera 85% a v\u00edce s neschopnost\u00ed sly\u0161et zvuky a rozum\u011bt \u0159e\u010di i p\u0159es nejlep\u0161\u00ed korekci (oboustrann\u00e1 praktick\u00e1 nebo \u00fapln\u00e1 hluchota) u osoby star\u0161\u00ed 18 let v\u011bku,<br \/>\nk) kombinovan\u00e9 posti\u017een\u00ed sluchu a zraku (hluchoslepota) funk\u010dn\u011b v rozsahu oboustrann\u00e9 st\u0159edn\u011b t\u011b\u017ek\u00e9 nedosl\u00fdchavosti, kterou se rozum\u00ed ztr\u00e1ta sluchu podle Fowlera 40 a\u017e 65%, a oboustrann\u00e9 siln\u00e9 slabozrakosti, kterou se rozum\u00ed zrakov\u00e1 ostrost s nejlep\u0161\u00ed mo\u017enou korekc\u00ed na lep\u0161\u00edm oku, kdy maximum je men\u0161\u00ed ne\u017e 6\/60 a minimum rovn\u00e9 nebo lep\u0161\u00ed ne\u017e 3\/60, nebo oboustrann\u00e9 koncentrick\u00e9 z\u00fa\u017een\u00ed zorn\u00e9ho pole v rozsahu 30 a\u017e 10 stup\u0148\u016f, i kdy\u017e centr\u00e1ln\u00ed ostrost nen\u00ed posti\u017eena,<br \/>\nl) oboustrann\u00e1 t\u011b\u017ek\u00e1 ztr\u00e1ta zraku, kterou se rozum\u00ed zrakov\u00e1 ostrost s korekc\u00ed, kdy maximum je men\u0161\u00ed ne\u017e 3\/60, minimum lep\u0161\u00ed ne\u017e 1\/60,<br \/>\nm) psychick\u00e9 posti\u017een\u00ed s \u010dasto se opakuj\u00edc\u00edmi z\u00e1va\u017en\u00fdmi poruchami komunikace a orientace v exteri\u00e9ru v\u010detn\u011b st\u0159edn\u011b funk\u010dn\u00edho typu autismu,<br \/>\nn) neurodegenerativn\u00ed posti\u017een\u00ed s mnoho\u010detn\u00fdmi hybn\u00fdmi komplikacemi typu rigidity, hypokin\u00e9zy, tremoru, ataxie, mimovoln\u00fdch pohyb\u016f.<br \/>\n3. Za podstatn\u00e9 omezen\u00ed schopnosti pohyblivosti a orientace na \u00farovni zvl\u00e1\u0161\u0165 t\u011b\u017ek\u00e9ho funk\u010dn\u00edho posti\u017een\u00ed (pr\u016fkaz ZTP\/P) nebo \u00fapln\u00e9ho posti\u017een\u00ed pohyblivosti a orientace lze pova\u017eovat tyto zdravotn\u00ed stavy:<br \/>\na) anatomick\u00e1 ztr\u00e1ta doln\u00ed kon\u010detiny v kolenn\u00edm kloubu nebo v\u00fd\u0161e, interi\u00e9rov\u00fd u\u017eivatel prot\u00e9zy nebo odk\u00e1zanost na invalidn\u00ed voz\u00edk z uveden\u00e9ho d\u016fvodu,<br \/>\nb) anatomick\u00e1 ztr\u00e1ta doln\u00edch kon\u010detin v b\u00e9rc\u00edch nebo v\u00fd\u0161e,<br \/>\nc) anatomick\u00e1 ztr\u00e1ta horn\u00edch kon\u010detin v \u00farovni lokte nebo v\u00fd\u0161e nebo anatomick\u00e1 ztr\u00e1ta horn\u00ed a doln\u00ed kon\u010detiny v \u00farovni pa\u017ee a stehna,<br \/>\nd) funk\u010dn\u00ed ztr\u00e1ta doln\u00ed kon\u010detiny se ztr\u00e1tou op\u011brn\u00e9 funkce a sou\u010dasn\u00e1 funk\u010dn\u00ed ztr\u00e1ta horn\u00ed kon\u010detiny,<br \/>\ne) funk\u010dn\u00ed ztr\u00e1ta doln\u00edch kon\u010detin se ztr\u00e1tou op\u011brn\u00fdch funkc\u00ed,<br \/>\nf) zvl\u00e1\u0161\u0165 t\u011b\u017ek\u00e1 porucha pohyblivosti na z\u00e1klad\u011b z\u00e1va\u017en\u00e9ho posti\u017een\u00ed t\u0159\u00ed a v\u00edce funk\u010dn\u00edch celk\u016f pohybov\u00e9ho \u00fastroj\u00ed; funk\u010dn\u00edm celkem se rozum\u00ed hrudn\u00edk, p\u00e1te\u0159, p\u00e1nev, kon\u010detina,<br \/>\ng) dispropor\u010dn\u00ed poruchy r\u016fstu prov\u00e1zen\u00e9 z\u00e1va\u017en\u00fdmi deformitami kon\u010detin a hrudn\u00edku, pokud t\u011blesn\u00e1 v\u00fd\u0161ka nep\u0159esahuje po ukon\u010den\u00ed r\u016fstu 120 cm,<br \/>\nh) multiorg\u00e1nov\u00e9 selh\u00e1v\u00e1n\u00ed dvou a v\u00edce org\u00e1n\u016f nebo ztr\u00e1ta imunity spojen\u00e9 se zvl\u00e1\u0161\u0165 t\u011b\u017ek\u00fdm posti\u017een\u00edm orientace nebo pohyblivosti,<br \/>\ni) celkov\u00e1 ztr\u00e1ta sluchu podle Fowlera 85% a v\u00edce s neschopnost\u00ed sly\u0161et zvuky a rozum\u011bt \u0159e\u010di i p\u0159es nejlep\u0161\u00ed korekci (oboustrann\u00e1 praktick\u00e1 nebo \u00fapln\u00e1 hluchota) u osoby mlad\u0161\u00ed 18 let v\u011bku,<br \/>\nj) ne\u00fapln\u00e1 (praktick\u00e1) nevidomost obou o\u010d\u00ed, kterou se rozum\u00ed zrakov\u00e1 ostrost s nejlep\u0161\u00ed mo\u017enou korekc\u00ed 1\/60, 1\/50 a\u017e sv\u011btlocit se spr\u00e1vnou sv\u011btelnou projekc\u00ed nebo omezen\u00ed zorn\u00e9ho pole do 5 stup\u0148\u016f kolem centr\u00e1ln\u00ed fixace, i kdy\u017e centr\u00e1ln\u00ed zrakov\u00e1 ostrost nen\u00ed posti\u017eena, nebo \u00fapln\u00e1 nevidomost obou o\u010d\u00ed, kterou se rozum\u00ed ztr\u00e1ta zraku zahrnuj\u00edc\u00ed stavy od naprost\u00e9 ztr\u00e1ty sv\u011btlocitu a\u017e po zachov\u00e1n\u00ed sv\u011btlocitu s chybnou sv\u011btelnou projekc\u00ed,<br \/>\nk) kombinovan\u00e9 t\u011b\u017ek\u00e9 posti\u017een\u00ed sluchu a zraku (t\u011b\u017ek\u00e1 hluchoslepota) funk\u010dn\u011b v rozsahu oboustrann\u00e9 t\u011b\u017ek\u00e9 nedosl\u00fdchavosti a\u017e hluchoty, kterou se rozum\u00ed ztr\u00e1ta sluchu podle Fowlera hor\u0161\u00ed ne\u017e 65%, a oboustrann\u00e1 t\u011b\u017ek\u00e1 ztr\u00e1ta zraku, kterou se rozum\u00ed zrakov\u00e1 ostrost s korekc\u00ed, kdy maximum je men\u0161\u00ed ne\u017e 3\/60, minimum lep\u0161\u00ed ne\u017e 1\/60,<br \/>\nl) st\u0159edn\u00ed, t\u011b\u017ek\u00e1 nebo hlubok\u00e1 ment\u00e1ln\u00ed retardace nebo demence, je-li IQ ni\u017e\u0161\u00ed ne\u017e 50,<br \/>\nm) psychick\u00e9 posti\u017een\u00ed se ztr\u00e1tou du\u0161evn\u00edch kompetenc\u00ed, s neschopnost\u00ed komunikace a orientace v\u010detn\u011b n\u00edzkofunk\u010dn\u00edho typu autismu, neurodegenerativn\u00ed posti\u017een\u00ed s akin\u00e9zou, mnoho\u010detn\u00fdmi velmi t\u011b\u017ek\u00fdmi hybn\u00fdmi komplikacemi a t\u011b\u017ek\u00fdmi neuropsychick\u00fdmi projevy.\u201c.<\/p>\n<p>Ji\u0159\u00ed Marek<br \/>\ninvArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: Trp\u00edm svalovou dystrofi\u00ed a trombof\u00edli\u00ed. M\u00e1m n\u00e1rok na pr\u016fkaz ZTP?<\/p>\n<\/div>","protected":false},"author":3,"featured_media":904,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-20617","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\/20617","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=20617"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20617\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/904"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20617"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20617"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}