{"id":26159,"date":"2016-08-10T12:58:18","date_gmt":"2016-08-10T10:58:18","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26159"},"modified":"2016-08-10T12:59:43","modified_gmt":"2016-08-10T10:59:43","slug":"mam-parkynsonovu-nemoc-mam-narok-na-invalidni-duchod","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26159","title":{"rendered":"M\u00e1m parkinsonovu nemoc. M\u00e1m n\u00e1rok na invalidn\u00ed d\u016fchod?"},"content":{"rendered":"<p><strong>Dotaz:<\/strong><br \/>\n<strong> M\u00e1m parkinsonovu chorobu, beru ropinirol mylan, m\u00e1m n\u00e1rok na invalidn\u00ed d\u016fchod 1. stupn\u011b?<\/strong><br \/>\n<!--more--><br \/>\n<strong>Odpov\u011b\u010f<\/strong>:<br \/>\nBohu\u017eel bl\u00ed\u017ee nespecifikujete v jak\u00e9m st\u00e1diu Va\u0161e posti\u017een\u00ed je, respektive jak moc V\u00e1s v \u017eivot\u011b omezuje. Lid\u00e9 s t\u00edmto posti\u017een\u00edm ale v\u0161eobecn\u011b n\u00e1rok na n\u011bkter\u00fd ze t\u0159\u00ed stup\u0148\u016f invalidn\u00edho d\u016fchodu maj\u00ed.<br \/>\nPro \u00faplnost uv\u00e1d\u00edm informace o pot\u0159ebn\u00e9 m\u00ed\u0159e poklesu pracovn\u00ed schopnosti, aby V\u00e1m mohl b\u00fdt p\u0159izn\u00e1n jeden ze t\u0159\u00ed stup\u0148\u016f ID a tak\u00e9 jednotliv\u00e1 krit\u00e9ria, podle kter\u00fdch se u parkynsonovy nemoci procentu\u00e1ln\u00ed m\u00edry poklesu stanovuj\u00ed.<\/p>\n<p>Poji\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 %.<br \/>\nJestli\u017ee pracovn\u00ed schopnost poji\u0161t\u011bnce poklesla<br \/>\na. nejm\u00e9n\u011b o 35 %, av\u0161ak nejv\u00edce o 49 %, jedn\u00e1 se o invaliditu prvn\u00edho stupn\u011b,<br \/>\nb. nejm\u00e9n\u011b o 50 %, av\u0161ak nejv\u00edce o 69 %, jedn\u00e1 se o invaliditu druh\u00e9ho stupn\u011b,<br \/>\nc. nejm\u00e9n\u011b o 70 %, jedn\u00e1 se o invaliditu t\u0159et\u00edho stupn\u011b.<br \/>\nPosti\u017een\u00ed extrapyramidov\u00e9ho syst\u00e9mu, Parkinsonova nemoc a dal\u0161\u00ed extrapyramidov\u00e9 poruchy<br \/>\nPosudkov\u00e9 hledisko:<br \/>\nP\u0159i stanoven\u00ed m\u00edry poklesu pracovn\u00ed schopnosti je t\u0159eba zhodnotit nar\u016fst\u00e1n\u00ed hybn\u00fdch komplikac\u00ed (rigidita, akin\u00e9za\/hypokin\u00e9za a tremor, objeven\u00ed se fluktuac\u00ed, mimovoln\u00edch pohyb\u016f, posti\u017een\u00ed \u0159e\u010di), p\u0159\u00edtomnost deprese, kognitivn\u00ed alterace, reakci na l\u00e9\u010dbu a jejich dopad na celkovou v\u00fdkonnost a schopnost vykon\u00e1vat denn\u00ed aktivity.<\/p>\n<p>3a<br \/>\nzcela lehk\u00e1 forma,<br \/>\njednostrann\u00e9 posti\u017een\u00ed, minim\u00e1ln\u00ed funk\u010dn\u00ed porucha, pln\u00e1 pohyblivost, stadium I, n\u011bkter\u00e9 denn\u00ed aktivity vykon\u00e1v\u00e1ny s obt\u00ed\u017eemi<br \/>\n10<br \/>\n3b<br \/>\nlehk\u00e1 forma,<br \/>\nbilaterizace, ale p\u0159etrv\u00e1v\u00e1 asymetrie, anteroverze trupu, p\u0159\u00edtomny v\u0161echny klasick\u00e9 projevy v \u00farovni lehk\u00e9 poruchy, pohybov\u00e1 chudost, incipientn\u00ed porucha postur\u00e1ln\u00ed stability, stadium II, n\u011bkter\u00e9 denn\u00ed aktivity omezeny<br \/>\n20-40<br \/>\n3c<br \/>\nst\u0159edn\u011b t\u011b\u017ek\u00e1 forma,<br \/>\np\u0159\u00edtomny v\u0161echny klasick\u00e9 projevy v \u00farovni st\u0159edn\u011b t\u011b\u017ek\u00e9 poruchy, p\u0159id\u00e1v\u00e1 se dysartrie, mikrografie, deprese, stadium III, n\u011bkter\u00e9 denn\u00ed aktivity podstatn\u011b omezeny<br \/>\n50-60<br \/>\n3d<br \/>\nt\u011b\u017ek\u00e1 forma,<br \/>\ntrval\u00fd tremor, t\u011b\u017ek\u00e1 akin\u00e9za, rigidita, porucha kognitivn\u00edch funkc\u00ed, nesrozumiteln\u00e1 \u0159e\u010d, stadium IV nebo V, denn\u00ed aktivity t\u011b\u017ece omezeny<br \/>\n70-80<\/p>\n<p>Ji\u0159\u00ed Marek<br \/>\ninvArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: M\u00e1m parkinsonovu chorobu, beru ropinirol mylan, m\u00e1m n\u00e1rok na invalidn\u00ed d\u016fchod 1. stupn\u011b?<\/p>\n<\/div>","protected":false},"author":3,"featured_media":3721,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-26159","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\/26159","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=26159"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26159\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/3721"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}