{"id":31461,"date":"2019-04-02T16:49:56","date_gmt":"2019-04-02T14:49:56","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=31461"},"modified":"2019-04-04T10:25:00","modified_gmt":"2019-04-04T08:25:00","slug":"mohl-bych-po-amputaci-mocoveho-mechyre-dostat-prukaz-ztp","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=31461","title":{"rendered":"Mohl bych po amputaci mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e dostat pr\u016fkaz ZTP?"},"content":{"rendered":"

Dotaz: M\u00e1m po operaci prav\u00e9ho kolene, ale nedostavilo se zlep\u0161en\u00ed. Dostal jsem pr\u016fkaz TP, ale zapomn\u011bl jsem si ho vym\u011bnit. Nyn\u00ed m\u00e1m po operaci, byl mi odebr\u00e1n mo\u010dov\u00fd m\u011bch\u00fd\u0159 a prostata (2019\/3). Mohl bych dostat pr\u016fkaz ZTP?<\/strong>
\nilustra\u010dn\u00ed obr\u00e1zek<\/p>\n

Odpov\u011b\u010f:\u00a0<\/strong><\/p>\n

Odebr\u00e1n\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e je pom\u011brn\u011b radik\u00e1ln\u00ed operace, jej\u00edm\u017e n\u00e1sledkem m\u016f\u017ee b\u00fdt \u0159ada komplikac\u00ed a omezen\u00ed. Obecn\u011b existuje \u0159ada budouc\u00edch rizik spojen\u00fdch s t\u00edmto z\u00e1krokem.<\/p>\n

Kvalita \u017eivota po radik\u00e1ln\u00ed cystektomii je v\u011bt\u0161inou pacient\u016f hodnocena jako dobr\u00e1. V\u00fdskyt pozd\u011bj\u0161\u00edch komplikac\u00ed ale obecn\u011b vzr\u016fst\u00e1 s dobou od operace. Mezi nej\u010dast\u011bj\u0161\u00ed komplikace pat\u0159\u00ed uroinfekce, mo\u010dov\u00e9 kameny, r\u016fzn\u00e9 sten\u00f3zy s mo\u017enou n\u00e1slednou ztr\u00e1tou funkce ledviny, mo\u010dov\u00e1 inkontinence \u010di mo\u010dov\u00e1 retence u pacient\u016f s nutnost\u00ed autokatetrizace.<\/p>\n

N\u00e1rok na pr\u016fkaz ZTP<\/b> m\u00e1 osoba s t\u011b\u017ek\u00fdm funk\u010dn\u00edm posti\u017een\u00edm pohyblivosti nebo orientace. T\u011b\u017ek\u00fdm funk\u010dn\u00edm posti\u017een\u00edm pohyblivosti se rozum\u00ed stav, kdy osoba je p\u0159i dlouhodob\u011b nep\u0159\u00edzniv\u00e9m zdravotn\u00edm stavu schopna samostatn\u00e9 pohyblivosti v dom\u00e1c\u00edm prost\u0159ed\u00ed a v exteri\u00e9ru je schopna ch\u016fze se zna\u010dn\u00fdmi obt\u00ed\u017eemi a jen na kr\u00e1tk\u00e9 vzd\u00e1lenosti. T\u011b\u017ek\u00fdm funk\u010dn\u00edm posti\u017een\u00edm orientace se rozum\u00ed stav, kdy osoba je p\u0159i dlouhodob\u011b nep\u0159\u00edzniv\u00e9m zdravotn\u00edm stavu schopna spolehliv\u00e9 orientace v dom\u00e1c\u00edm prost\u0159ed\u00ed a v exteri\u00e9ru m\u00e1 zna\u010dn\u00e9 obt\u00ed\u017ee.<\/p>\n

Vyhl\u00e1\u0161ka \u010d. 388\/2011 Sb. stanov\u00ed, kter\u00e9 zdravotn\u00ed stavy lze pova\u017eovat za podstatn\u00e9 omezen\u00ed schopnosti pohyblivosti a orientace.<\/p>\n

Jsou zn\u00e1my p\u0159\u00edpady, kdy i star\u00e9 a m\u00e1lo pohybliv\u00e9 osoby s mo\u010dovou inkontinenc\u00ed p\u0159i\u0161ly o pr\u016fkaz ZTP, kter\u00fd jim byl p\u016fvodn\u011b p\u0159izn\u00e1n. Pokud ale s\u00e1m sv\u016fj stav orienta\u010dn\u011b hodnot\u00edte tak, \u017ee alespo\u0148 hrani\u010dn\u011b by mohl b\u00fdt srovn\u00e1v\u00e1n se shora uveden\u00fdm stavem, kdy vznik\u00e1 n\u00e1rok na pr\u016fkaz ZTP, pak zkuste o tento pr\u016fkaz za\u017e\u00e1dat.<\/p>\n

Zdravotn\u00ed stav z hlediska n\u00e1roku na pr\u016fkaz ZTP se posuzuje na L\u00e9ka\u0159sk\u00e9 posudkov\u00e9 slu\u017eb\u011b (LPK) na z\u00e1klad\u011b podklad\u016f od va\u0161eho praktick\u00e9ho l\u00e9ka\u0159e, doporu\u010duji tedy ov\u011b\u0159it si, zda praktick\u00fd l\u00e9ka\u0159 m\u00e1 k dispozici aktu\u00e1ln\u00ed l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy od odborn\u00fdch l\u00e9ka\u0159\u016f (urolog, ev. neurolog, ortoped, onkolog atd.). Pokud je nem\u00e1, je t\u0159eba mu aktu\u00e1ln\u00ed zpr\u00e1vy od t\u011bchto specialist\u016f dodat.<\/p>\n

Vypln\u011bn\u00e1 \u017e\u00e1dost o pr\u016fkaz ZTP na formul\u00e1\u0159i, kter\u00fd maj\u00ed na m\u00edstn\u011b p\u0159\u00edslu\u0161n\u00e9m \u00fa\u0159ad\u011b pr\u00e1ce, se pod\u00e1v\u00e1 na tomto \u00fa\u0159ad\u011b pr\u00e1ce.<\/p>\n

Po posouzen\u00ed zdravotn\u00edho stavu za\u0161le LPK posudek na \u00fa\u0159ad pr\u00e1ce (\u00daP), kde jste \u017e\u00e1dal o pr\u016fkaz, \u00daP pak za\u0161le ozn\u00e1men\u00ed o pokra\u010dov\u00e1n\u00ed \u0159\u00edzen\u00ed a posl\u00e9ze vyd\u00e1 rozhodnut\u00ed o pr\u016fkazu. P\u0159ed vyd\u00e1n\u00edm rozhodnut\u00ed \u00daP byste m\u011bl dostat mo\u017enost vyj\u00e1d\u0159it se k podklad\u016fm pro rozhodnut\u00ed, v\u00fdzvu k vyj\u00e1d\u0159en\u00ed zas\u00edl\u00e1 \u00daP po\u0161tou.<\/p>\n

MUDr. Jan \u010cin\u010dura<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Dotaz: M\u00e1m po operaci prav\u00e9ho kolene, ale nedostavilo se zlep\u0161en\u00ed. Dostal jsem pr\u016fkaz TP, ale zapomn\u011bl jsem si ho vym\u011bnit. Nyn\u00ed m\u00e1m po operaci, byl […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":19373,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-31461","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\/31461","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=31461"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/31461\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19373"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31461"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31461"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}