{"id":27478,"date":"2017-03-15T07:37:08","date_gmt":"2017-03-15T06:37:08","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27478"},"modified":"2017-03-15T07:46:53","modified_gmt":"2017-03-15T06:46:53","slug":"dcera-ma-vrozenou-vadu-kycelnich-kloubu-ma-narok-na-prukaz-ztp","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27478","title":{"rendered":"Dcera m\u00e1 vrozenou vadu ky\u010deln\u00edch kloub\u016f. M\u00e1 n\u00e1rok na pr\u016fkaz ZTP?"},"content":{"rendered":"<p>Dotaz:<br \/>\nCht\u011bla bych se zeptat. M\u00e1m dceru. Je j\u00ed 12 let a u\u017e od narozen\u00ed m\u00e1 vrozenou vadu ky\u010deln\u00edch kloub\u016f. M\u00e1 Keynesovu dysplazii a Gerber\u016fv syndrom a zam\u00edtli mi pr\u016fkazku ZTP. M\u00e1me na ni n\u00e1rok?<br \/>\n<!--more--><br \/>\nOdpov\u011b\u010f:<br \/>\nVelice z\u00e1le\u017e\u00ed na tom, jak moc omezuje Va\u0161i dceru jej\u00ed posti\u017een\u00ed v pohybu. Pro p\u0159izn\u00e1n\u00ed pr\u016fkazu ZTP mus\u00ed L\u00e9ka\u0159sk\u00e1 posudkov\u00e1 slu\u017eba \u010cSSZ uznat, \u017ee m\u00e1 Va\u0161e dcera t\u011b\u017ek\u00e9 omezen\u00ed funkce dvou kon\u010detin.<br \/>\nPokud V\u00e1m byl pr\u016fkaz ZTP zam\u00edtnut, lze doporu\u010dit, abyste se bu\u010f odvolali a nebo pokud u\u017e to nen\u00ed mo\u017en\u00e9, tak si o pr\u016fkaz za p\u00e1r m\u011bs\u00edc\u016f za\u017e\u00e1dat znovu. V takov\u00e9m p\u0159\u00edpad\u011b je ale dobr\u00e9, kdy\u017e V\u00e1\u0161 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 za\u0161le LPS \u010cSSZ n\u011bjakou novou l\u00e9ka\u0159skou zpr\u00e1vu, kter\u00e1 by dokl\u00e1dala n\u011bjakou p\u0159\u00edpadnou zm\u011bnu zdravotn\u00edho stavu a nebo aby  se jej\u00ed zdravotn\u00ed stav pokusil popsat tak, aby bylo jasn\u00e9, jak\u00e9 zdravotn\u00ed pot\u00ed\u017ee Va\u0161e dcera m\u00e1.<br \/>\nPro \u00faplnost uv\u00e1d\u00edm v\u0161echna zdravotn\u00ed krit\u00e9ria, na z\u00e1klad\u011b kter\u00fdch rozhoduje LPS \u010cSSZ o n\u00e1roku na pr\u016fkaz ZTP:<br \/>\n2. 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.<\/p>\n<p>Ji\u0159\u00ed Marek<br \/>\ninvArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: Cht\u011bla bych se zeptat. M\u00e1m dceru. Je j\u00ed 12 let a u\u017e od narozen\u00ed m\u00e1 vrozenou vadu ky\u010deln\u00edch kloub\u016f. M\u00e1 Keynesovu dysplazii a Gerber\u016fv <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27478\" title=\"Dcera m\u00e1 vrozenou vadu ky\u010deln\u00edch kloub\u016f. M\u00e1 n\u00e1rok na pr\u016fkaz ZTP?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":2052,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,9],"tags":[],"class_list":["post-27478","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27478","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=27478"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27478\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/2052"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}