{"id":26512,"date":"2016-10-05T12:57:59","date_gmt":"2016-10-05T10:57:59","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=26512"},"modified":"2016-10-05T12:57:59","modified_gmt":"2016-10-05T10:57:59","slug":"mam-ztratu-sluchu-47-mohu-si-zadat-o-id","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=26512","title":{"rendered":"M\u00e1m ztr\u00e1tu sluchu 47%. Mohu si \u017e\u00e1dat o ID?"},"content":{"rendered":"<p><strong>Dotaz:<br \/>\nM\u00e1m oboustrannou ztr\u00e1tu sluchu 47%. Mohu si \u017e\u00e1dat o \u010d\u00e1ste\u010dn\u00fd invalidn\u00ed d\u016fchod?<\/strong><br \/>\n<!--more--><br \/>\n<strong>Odpov\u011b\u010f:<\/strong><br \/>\nZa\u017e\u00e1dat o invalidn\u00ed d\u016fchod si samoz\u0159ejm\u011b m\u016f\u017eete.<br \/>\n\u017d\u00e1dost je mo\u017eno podat na Va\u0161\u00ed okresn\u00ed spr\u00e1v\u011b soci\u00e1ln\u00edho zabezpe\u010den\u00ed, kde ji s V\u00e1mi pracovn\u00edci \u00fa\u0159adu sep\u00ed\u0161\u00ed.<br \/>\nBudete k tomu pot\u0159ebovat ob\u010dansk\u00fd pr\u016fkaz, doklady o studiu i nedokon\u010den\u00e9m, a doklady o pracovn\u00ed \u010dinnosti, pop\u0159\u00edpad\u011b doklady prokazuj\u00edc\u00ed veden\u00ed v evidenci uchaze\u010d\u016f o zam\u011bstn\u00e1n\u00ed.<br \/>\nD\u00e1le se Va\u0161\u00edm p\u0159\u00edpadem bude zab\u00fdvat l\u00e9ka\u0159sk\u00e1 posudkov\u00e1 slu\u017eba, ke kter\u00e9 se n\u00e1sledn\u011b dostav\u00edte k posouzen\u00ed zdravotn\u00edho stavu. LPS bude rozhodovat na z\u00e1klad\u011b zdravotn\u00ed dokumentace, kterou obdr\u017e\u00ed od Va\u0161eho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e.<br \/>\nCel\u00e9 \u0159\u00edzen\u00ed dle zku\u0161enost\u00ed handicapovan\u00fdch lid\u00ed trv\u00e1 v pr\u016fm\u011bru t\u0159i m\u011bs\u00edce.<\/p>\n<p>Podle m\u00edry poklesu pracovn\u00ed schopnosti je mo\u017eno invalidn\u00ed d\u016fchod rozd\u011blit na t\u0159i stupn\u011b invalidity:<br \/>\nJestli\u017ee pracovn\u00ed schopnost poji\u0161t\u011bnce poklesla:<br \/>\n\u2022 nejm\u00e9n\u011b o 35 %, av\u0161ak nejv\u00edce o 49 %, jedn\u00e1 se o invaliditu prvn\u00edho stupn\u011b<br \/>\n\u2022 nejm\u00e9n\u011b o 50 %, av\u0161ak nejv\u00edce o 69 %, jedn\u00e1 se o invaliditu druh\u00e9ho stupn\u011b<br \/>\n\u2022 nejm\u00e9n\u011b o 70 %, jedn\u00e1 se o invaliditu t\u0159et\u00edho stupn\u011b.<\/p>\n<p>Posti\u017een\u00ed ucha, bradavkov\u00e9ho v\u00fdb\u011b\u017eku a sluchu a k nim p\u0159i\u0159azen\u00e9 m\u00edry poklesu pracovn\u00ed schopnosti jsou uvedeny ve vyhl\u00e1\u0161ce \u010d. 359\/2009 Sb.<br \/>\nKapitola VIII \u2013 POSTI\u017dEN\u00cd UCHA, BRADAVKOV\u00c9HO V\u00ddB\u011a\u017dKU, SLUCHU<br \/>\nObecn\u00e9 posudkov\u00e9 z\u00e1sady:<br \/>\nP\u0159i hodnocen\u00ed m\u00edry poklesu pracovn\u00ed schopnosti je rozhoduj\u00edc\u00ed rozsah omezen\u00ed smyslov\u00e9 funkce sluchu vztahuj\u00edc\u00ed se k vn\u00edm\u00e1n\u00ed p\u0159\u00edtomnosti zvuk\u016f, rozli\u0161ov\u00e1n\u00ed a lateralizace zvuk\u016f, ur\u010den\u00ed v\u00fd\u0161ky, hloubky a kvality zvuk\u016f, rozezn\u00e1v\u00e1n\u00ed \u0159e\u010di a schopnost mluven\u00ed\/\u0159e\u010di. Prok\u00e1z\u00e1n\u00ed hluchoty nebo poruchy sluchu se mus\u00ed op\u00edrat o anamn\u00e9zu, otoskopick\u00e9 vy\u0161et\u0159en\u00ed, audiologick\u00e9 vy\u0161et\u0159en\u00ed t\u00f3novou a slovn\u00ed audiometri\u00ed, tympanometri\u00ed, m\u011b\u0159en\u00ed reflex\u016f st\u0159edou\u0161n\u00edch sval\u016f, evokovan\u00e9 kmenov\u00e9 potenci\u00e1ly (BERA), vy\u0161et\u0159en\u00ed otoakaustick\u00fdch emis\u00ed, zkou\u0161ku rozum\u011bn\u00ed \u0159e\u010di se sluchadlem. Hranic\u00ed mezi nedosl\u00fdchavost\u00ed a hluchotou je, \u017ee sluchov\u011b posti\u017een\u00fd vybaven\u00fd sluchadlem, v tich\u00e9 m\u00edstnosti, ve kter\u00e9 \u00farove\u0148 ru\u0161iv\u00fdch zvuk\u016f nep\u0159esahuje 50 dB, rozum\u00ed bez odez\u00edr\u00e1n\u00ed vysloven\u00ed jednoduch\u00fdch v\u011bt alespo\u0148 90 procenty. Pro stanoven\u00ed m\u00edry poklesu pracovn\u00ed schopnosti jsou nejv\u00fdznamn\u011bj\u0161\u00ed ztr\u00e1ty sluchu na \u0159e\u010dov\u00fdch frekvenc\u00edch 500 Hz, 1000 Hz, 2000 Hz a 4000 Hz vzdu\u0161n\u00e9ho veden\u00ed na l\u00e9pe sly\u0161\u00edc\u00edm uchu. Pro posouzen\u00ed m\u00edry poklesu pracovn\u00ed schopnosti plat\u00ed, \u017ee poruchy sluchu se v\u017edy hodnot\u00ed s optim\u00e1ln\u00ed korekc\u00ed sluchadlem\/implant\u00e1tem.<br \/>\nODD\u00cdL A \u2013 POSTI\u017dEN\u00cd UCHA, BRADAVKOV\u00c9HO V\u00ddB\u011a\u017dKU, SLUCHU<br \/>\nPolo\u017eka<br \/>\nDruh zdravotn\u00edho posti\u017een\u00ed<br \/>\nM\u00edra poklesu pracovn\u00ed schopnosti v %<br \/>\n1<br \/>\nOboustrann\u00e1 praktick\u00e1 hluchota<br \/>\nztr\u00e1ta sluchu p\u0159i t\u00f3nov\u00e9 audiometrii v rozsahu 70-90 dB, zbytkov\u00fd sluch se ztr\u00e1tou sly\u0161en\u00ed 85-90%,<br \/>\nsluchov\u011b posti\u017een\u00fd je schopen vn\u00edmat zvuk mluven\u00e9 \u0159e\u010di jen se sluchadlem, ale rozum\u00ed mu jen minim\u00e1ln\u011b (z 10-15%)<br \/>\n40<br \/>\n2<br \/>\nOboustrann\u00e1 \u00fapln\u00e1 hluchota<br \/>\nneschopnost sly\u0161et zvuky a rozum\u011bt \u0159e\u010di ani s nejv\u00fdkonn\u011bj\u0161\u00edm sluchadlem<br \/>\n50-60<br \/>\n3<br \/>\nOboustrann\u00e1 \u00fapln\u00e1 nebo praktick\u00e1 hluchota,<br \/>\nse z\u00e1va\u017en\u00fdm posti\u017een\u00edm intelektu nebo zraku na \u00farovni t\u011b\u017ek\u00e9 slabozrakosti obou o\u010d\u00ed<br \/>\n70-80<br \/>\n4<br \/>\nHluchota s poruchami komunikace po implantaci kochle\u00e1rn\u00ed nebo kmenov\u00e9 neuroprot\u00e9zy (kmenov\u00fd implant\u00e1t)<br \/>\n4a<br \/>\nschopnost rozum\u011bn\u00ed \u0159e\u010di bez odez\u00edr\u00e1n\u00ed, telefonov\u00e1n\u00ed, komunikace na \u00farovni lehk\u00e9 nedosl\u00fdchavosti<br \/>\n15<br \/>\n4b<br \/>\nschopnost bez odez\u00edr\u00e1n\u00ed rozum\u011bt b\u011b\u017en\u00fdm fr\u00e1z\u00edm a frekventovan\u00fdm slovn\u00edm spojen\u00edm, identifikovat obecn\u00e9 zvuky, komunikace na \u00farovni st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 nedosl\u00fdchavosti, podle rozsahu poruchy<br \/>\n20-35<br \/>\n4c<br \/>\ndiferenciace jen obecn\u00fdch zvuk\u016f, detekce zvuku, minim\u00e1ln\u00ed rozum\u011bn\u00ed \u0159e\u010di, komunikace na \u00farovni praktick\u00e9 hluchoty nebo neschopnost sly\u0161et zvuky a rozum\u011bt \u0159e\u010di, komunikace na \u00farovni \u00fapln\u00e9 hluchoty, podle rozsahu poruchy<br \/>\n40-60<br \/>\n5<br \/>\nOboustrann\u00e1 t\u011b\u017ek\u00e1 nedosl\u00fdchavost<br \/>\nztr\u00e1ta sluchu v rozsahu 56-69 dB, ztr\u00e1ta sly\u0161en\u00ed 65-84%<br \/>\n5a<br \/>\np\u0159i pou\u017e\u00edv\u00e1n\u00ed sluchadel s dobr\u00fdmi komunika\u010dn\u00edmi schopnostmi<br \/>\n25<br \/>\n5b<br \/>\np\u0159i pou\u017e\u00edv\u00e1n\u00ed sluchadel s omezen\u00fdmi komunika\u010dn\u00edmi schopnostmi, bez odez\u00edr\u00e1n\u00ed rozum\u011bn\u00ed pouze b\u011b\u017en\u00fdm fr\u00e1z\u00edm a frekventovan\u00fdm slovn\u00edm spojen\u00edm, schopnost identifikovat obecn\u00e9 zvuky<br \/>\n35<br \/>\n6<br \/>\nOboustrann\u00e1 st\u0159edn\u011b t\u011b\u017ek\u00e1 nedosl\u00fdchavost<br \/>\nztr\u00e1ta sluchu v rozsahu 41-55 dB, ztr\u00e1ta sly\u0161en\u00ed 40-64%<br \/>\n20<br \/>\n7<br \/>\nOboustrann\u00e1 lehk\u00e1 nedosl\u00fdchavost<br \/>\nztr\u00e1ta sluchu v rozsahu 20-40 dB, ztr\u00e1ta sly\u0161en\u00ed 10-39%<br \/>\n10<\/p>\n<p>Ji\u0159\u00ed Marek<br \/>\ninvArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: M\u00e1m oboustrannou ztr\u00e1tu sluchu 47%. Mohu si \u017e\u00e1dat o \u010d\u00e1ste\u010dn\u00fd invalidn\u00ed d\u016fchod?<\/p>\n<\/div>","protected":false},"author":3,"featured_media":16054,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-26512","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\/26512","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=26512"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/26512\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16054"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26512"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26512"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}