{"id":29300,"date":"2017-10-16T17:13:25","date_gmt":"2017-10-16T15:13:25","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29300"},"modified":"2017-10-16T17:13:25","modified_gmt":"2017-10-16T15:13:25","slug":"od-operace-vymeny-kolenniho-kloubu-mam-potize-mam-narok-na-prukaz-ztp","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29300","title":{"rendered":"Od operace v\u00fdm\u011bny kolenn\u00edho kloubu m\u00e1m pot\u00ed\u017ee. M\u00e1m n\u00e1rok na pr\u016fkaz ZTP?"},"content":{"rendered":"

Dotaz:<\/strong>
\n M\u00e1m pot\u00ed\u017ee od operace v\u00fdm.kolenn\u00edho kloubu prav\u00e9 nohy od 2009\/10. P\u0159i ka\u017edoro\u010dn\u00edch kontrol\u00e1ch od 1\/2010 \u2013 12\/2012.<\/strong>
\n V roce 2012 mi byla navr\u017eena reoperace, na kterou budu vyzv\u00e1n telegramem. Do roku 2014 se nic ned\u011blo, tak jsem se nechal objednat FK, kde jsem se dostavil a bylo mi \u0159e\u010deno dr.Walderou, \u017ee se reoperace nebude konat. O vy\u0161et\u0159en\u00ed jsem dostal p\u00edsemn\u00e9 vyj\u00e1d\u0159en\u00ed a zarazilo mne, \u017ee uveden\u00fd l\u00e9ka\u0159 napsal, \u017ee jsem ho napadl a \u0159ekl mi a\u0165 si najdu jin\u00e9ho ortopeda a nebo a\u0165 se objedn\u00e1m na Bulovce. Se v\u0161\u00edm souhlasil prim\u00e1\u0159 dr. Cichy. \u017d\u00e1dal jsem o ZTP (TP m\u00e1m) a byl jsem p\u0159\u00edtomen u komise na FK kde mi bylo \u0159e\u010deno, \u017ee jsem st\u0159edn\u011b t\u011b\u017ece posti\u017een a byl mi d\u00e1n dotaz, pro\u010d jsem se nechal operovat to bylo 2015\/9.<\/strong>
\n St\u011b\u017eoval jsem si na LK-Praha a cht\u011bl jsem radu, co si m\u00e1m po\u010d\u00edt s m\u00fdmi probl\u00e9my. Bylo mi p\u00edsemn\u011b odpov\u011bzeno, \u017ee to je opo\u017ed\u011bn\u00e9 a zam\u00edt\u00e1 se. Dozv\u011bd\u011bl jsem se, \u017ee byla odpov\u011b\u010f zasl\u00e1na prim. Cich\u00e9mu, kter\u00fd je p\u0159edseda LK pro Ostravu. Nyn\u00ed m\u00e1m je\u0161t\u011b v\u011bt\u0161\u00ed pot\u00ed\u017ee p\u0159i ch\u016fzi a i s p\u00e1te\u0159\u00ed a chod\u00edm o dvou FH jinak to nejde. V\u011b\u0159\u00edm, \u017ee mi porad\u00edte, co d\u011blat a jak se zbavit pot\u00ed\u017e\u00ed, kdy\u017e takov\u00fd odborn\u00ed dr. Cichy, kter\u00fd pro\u0161el celou Evropou a nyn\u00ed si i s dr. Walderou nev\u00ed rady. Nechci \u017e\u00e1dn\u00e9 v\u00fdhody krom\u011b pr\u016fkazu ZTP.<\/strong>
\n
\nOdpov\u011b\u010f:<\/p>\n

Co se t\u00fd\u010de Va\u0161ich zdravotn\u00edch pot\u00ed\u017e\u00ed, doporu\u010duji V\u00e1m, abyste se skute\u010dn\u011b obr\u00e1til na jin\u00e9ho l\u00e9ka\u0159e, kter\u00fd V\u00e1m snad bude schopen pomoci.<\/p>\n

Pokud se v posledn\u00ed dob\u011b V\u00e1\u0161 zdravotn\u00ed stav zhor\u0161uje, lze doporu\u010dit, abyste si o pr\u016fkaz ZTP za\u017e\u00e1dal znovu. Je ale dobr\u00e9, abyste m\u011bl k dispozici n\u011bjak\u00e9 aktu\u00e1ln\u00ed vy\u0161et\u0159en\u00ed od odborn\u00e9ho l\u00e9ka\u0159e. P\u0159edev\u0161\u00edm na z\u00e1klad\u011b tohoto vy\u0161et\u0159en\u00ed toti\u017e n\u00e1sledn\u011b L\u00e9ka\u0159sk\u00e1 posudkov\u00e1 slu\u017eba \u010cSSZ rozhodne o n\u00e1roku na pr\u016fkaz ZTP.<\/p>\n

Pro \u00faplnost uv\u00e1d\u00edm zdravotn\u00ed krit\u00e9ria, na z\u00e1klad\u011b kter\u00fdch rozhoduje LPS \u010cSSZ o n\u00e1roku na pr\u016fkaz:<\/p>\n

2. Za podstatn\u00e9 omezen\u00ed schopnosti pohyblivosti a orientace na \u00farovni t\u011b\u017ek\u00e9ho funk\u010dn\u00edho posti\u017een\u00ed pohyblivosti a orientace (pr\u016fkaz ZTP) lze pova\u017eovat tyto zdravotn\u00ed stavy:
\na) anatomick\u00e1 ztr\u00e1ta doln\u00ed kon\u010detiny v kolenn\u00edm kloubu nebo v\u00fd\u0161e, exteri\u00e9rov\u00fd u\u017eivatel prot\u00e9zy,
\nb) anatomick\u00e1 ztr\u00e1ta doln\u00edch kon\u010detin v n\u00e1rtech nebo v n\u00e1rtu a b\u00e9rci,
\nc) funk\u010dn\u00ed ztr\u00e1ta doln\u00ed kon\u010detiny se ztr\u00e1tou op\u011brn\u00e9 funkce,
\nd) anatomick\u00e1 ztr\u00e1ta doln\u00ed a horn\u00ed kon\u010detiny v \u00farovni b\u00e9rce a p\u0159edlokt\u00ed,
\ne) anatomick\u00e1 ztr\u00e1ta horn\u00edch kon\u010detin v \u00farovni p\u0159edlokt\u00ed,
\nf) t\u011b\u017ek\u00e9 omezen\u00ed funkce dvou kon\u010detin,
\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,
\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,
\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,
\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,
\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,
\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,
\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,
\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

Ji\u0159\u00ed Marek
\ninvArena<\/p>\n","protected":false},"excerpt":{"rendered":"

Dotaz: M\u00e1m pot\u00ed\u017ee od operace v\u00fdm.kolenn\u00edho kloubu prav\u00e9 nohy od 2009\/10. P\u0159i ka\u017edoro\u010dn\u00edch kontrol\u00e1ch od 1\/2010 \u2013 12\/2012. V roce 2012 mi byla navr\u017eena reoperace, […]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":19436,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-29300","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\/29300","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=29300"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29300\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19436"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29300"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29300"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29300"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}