{"id":32937,"date":"2019-12-10T18:51:44","date_gmt":"2019-12-10T17:51:44","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32937"},"modified":"2019-12-10T18:53:19","modified_gmt":"2019-12-10T17:53:19","slug":"mam-parkinsona-a-polyneuropatii-dostanu-ztp","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32937","title":{"rendered":"M\u00e1m Parkinsona a polyneuropatii, dostanu ZTP?"},"content":{"rendered":"\n<p><strong>DOTAZ: Mam parkinsonovu chorobu a spinalni polynuropatii, mohu \u017eadat o prukaz ztp?<\/strong><\/p>\n\n\n\n<p><strong>ODPOV\u011a\u010e<\/strong>:<\/p>\n\n\n\n<p>Pro n\u00e1rok na pr\u016fkaz osoby s t\u011b\u017ek\u00fdm zdravotn\u00edm posti\u017een\u00edm ZTP je t\u0159eba splnit n\u011bkterou ze zdravotn\u00edch indikac\u00ed dan\u00fdch pro tento stupe\u0148 pr\u016fkazu v p\u0159\u00edloze \u010d. 4 vyhl\u00e1\u0161ky \u010d. 388\/2011 Sb., o proveden\u00ed z\u00e1kona o poskytov\u00e1n\u00ed d\u00e1vek osob\u00e1m se zdravotn\u00edm posti\u017een\u00edm.<\/p>\n\n\n\n<p>Obecn\u011b se jedn\u00e1 o zdravotn\u00ed indikace, kter\u00e9 &#8222;podstatn\u011b omezuj\u00ed schopnost pohyblivosti a orientace&#8220;, tzn. t\u011blesn\u00e9, ment\u00e1ln\u00ed \u010di smyslov\u00e9 (zrakov\u00e9, sluchov\u00e9) posti\u017een\u00ed nebo du\u0161evn\u00ed onemocn\u011bn\u00ed. Intern\u00ed a onkologick\u00e1 onemocn\u011bn\u00ed mohou b\u00fdt tak\u00e9 d\u016fvodem pro p\u0159izn\u00e1n\u00ed pr\u016fkazu, pokud omezuj\u00ed pohyblivost a celkovou v\u00fdkonnost.&nbsp;<\/p>\n\n\n\n<p>Jednou z uveden\u00fdch indikac\u00ed je i <strong>neurodegenerativn\u00ed posti\u017een\u00ed s mnoho\u010detn\u00fdmi hybn\u00fdmi komplikacemi typu rigidity, hypokin\u00e9zy, tremoru, ataxie, mimovoln\u00fdch pohyb\u016f.<\/strong><\/p>\n\n\n\n<p>Vzhledem k tomu, \u017ee <strong>Parkinsonova <\/strong>nemoc spad\u00e1 do okruhu t\u011bchto neurodegenerativn\u00edch onemocn\u011bn\u00ed a v pokro\u010dil\u00e9 f\u00e1zi je prov\u00e1zena v\u00e1\u017en\u00fdmi pohybov\u00fdmi pot\u00ed\u017eemi, kdy v pr\u016fb\u011bhu dne doch\u00e1z\u00ed opakovan\u011b ke <br>stav\u016fm zna\u010dn\u00e9 \u00fanavy a ztuhlosti v kon\u010detin\u00e1ch a z\u00e1dech, doch\u00e1z\u00ed k mimovoln\u00fdm pohyb\u016fm, ev. i ke k\u0159e\u010d\u00edm, je pravd\u011bpodobn\u00e9, \u017ee by v\u00e1m mohl b\u00fdt pr\u016fkaz ZTP p\u0159izn\u00e1n. Z\u00e1le\u017e\u00ed ov\u0161em na tom, o jak z\u00e1va\u017en\u00e9 stadium nemoci se jedn\u00e1, co\u017e mus\u00ed posoudit posudkov\u00fd l\u00e9ka\u0159 na z\u00e1klad\u011b aktu\u00e1ln\u00ed zpr\u00e1vy neurologa. Pokud by se jednalo o m\u00edrn\u011bj\u0161\u00ed formu nemoci, je\u017e je dob\u0159e l\u00e9\u010diteln\u00e1, tam by v\u00e1m mohl b\u00fdt p\u0159izn\u00e1n sp\u00ed\u0161e pr\u016fkaz TP. <\/p>\n\n\n\n<p>Uv\u00e1d\u00edte, \u017ee m\u00e1te nav\u00edc spin\u00e1ln\u00ed <strong>polyneuropatii<\/strong>, co\u017e samoz\u0159ejm\u011b zvy\u0161uje pravd\u011bpodobnost p\u0159izn\u00e1n\u00ed ZTP.  Toto onemocn\u011bn\u00ed m\u016f\u017ee b\u00fdt vyvol\u00e1no nap\u0159\u00edklad z\u00e1n\u011btem m\u00ed\u0161n\u00edch ko\u0159en\u016f. Neuropatie je krom\u011b bolest\u00ed rovn\u011b\u017e \u010dasto prov\u00e1zena vy\u0161\u0161\u00ed \u00fanavou, svalovou slabost\u00ed a  poruchami hybnosti.   <\/p>\n\n\n\n<p>Je-li u v\u00e1s p\u0159\u00edtomna pokro\u010dilej\u0161\u00ed f\u00e1ze t\u011bchto onemocn\u011bn\u00ed s z\u00e1va\u017en\u011bj\u0161\u00edmi projevy, podejte co nejd\u0159\u00edve \u017e\u00e1dost o pr\u016fkaz ZTP. U\u010di\u0148te tak na m\u00edstn\u011b p\u0159\u00edslu\u0161n\u00e9 pobo\u010dce \u00da\u0159adu pr\u00e1ce. B\u011bhem \u0159\u00edzen\u00ed o n\u00e1roku na pr\u016fkaz ZTP bude L\u00e9ka\u0159sk\u00e1 posudkov\u00e1 slu\u017eba \u010cSSZ posuzovat V\u00e1\u0161 zdravotn\u00ed stav a to na z\u00e1klad\u011b zdravotn\u00ed dokumentace, kterou obdr\u017e\u00ed od Va\u0161eho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e. Je t\u0159eba, aby V\u00e1\u0161 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 (praktick\u00fd l\u00e9ka\u0159) p\u0159ilo\u017eil ke zdravotn\u00ed dokumentaci aktu\u00e1ln\u00ed l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy  vypracovan\u00e9 specialistou, zejm\u00e9na neurologem.  <\/p>\n\n\n\n<p>Je t\u0159eba poznamenat, \u017ee v minulosti lid\u00e9 trp\u00edc\u00ed Parkinsonovou nemoc\u00ed z\u00edsk\u00e1vali pr\u016fkaz ZTP snadn\u011bji, dnes jsou tyto stavy posuzov\u00e1ny p\u0159\u00edsn\u011bji a n\u011bkte\u0159\u00ed nemocn\u00ed dokonce \u00fadajn\u011b o pr\u016fkaz ZTP p\u0159i\u0161li. Pod\u00e1n\u00ed \u017e\u00e1dosti v\u00e1s v\u0161ak krom\u011b \u010dasu str\u00e1ven\u00e9ho na \u00fa\u0159ad\u011b a u l\u00e9ka\u0159e nic nestoj\u00ed a proto nev\u00e1hejte si o n\u011bj zkusit po\u017e\u00e1dat. V p\u0159\u00edpad\u011b ne\u00fasp\u011bchu je tak\u00e9 mo\u017en\u00e9 se  odvolat.  <\/p>\n\n\n\n<p>MUDr. Jan \u010cin\u010dura<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>DOTAZ: Mam parkinsonovu chorobu a spinalni polynuropatii, mohu \u017eadat o prukaz ztp? ODPOV\u011a\u010e: Pro n\u00e1rok na pr\u016fkaz osoby s t\u011b\u017ek\u00fdm zdravotn\u00edm posti\u017een\u00edm ZTP je t\u0159eba <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=32937\" title=\"M\u00e1m Parkinsona a polyneuropatii, dostanu ZTP?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":3721,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-32937","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\/32937","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=32937"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32937\/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=32937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}