{"id":33911,"date":"2020-03-13T16:58:03","date_gmt":"2020-03-13T15:58:03","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=33911"},"modified":"2023-04-25T16:35:42","modified_gmt":"2023-04-25T14:35:42","slug":"jsem-po-operaci-nadoru-stitne-zlazy-mam-narok-na-id","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=33911","title":{"rendered":"Jsem po operaci n\u00e1doru \u0161t\u00edtn\u00e9 \u017el\u00e1zy. M\u00e1m n\u00e1rok na ID?"},"content":{"rendered":"\n<p><strong>DOTAZ:  Vloni jsem prod\u011blala operaci \u0161t\u00edtn\u00e9 \u017el\u00e1zy s karcinomem, m\u00e1m n\u00e1rok na \u010d\u00e1ste\u010dn\u00fd invalidn\u00ed d\u016fchod?<\/strong><\/p>\n\n\n\n<p><strong>Odpov\u011b\u010f<\/strong>: <\/p>\n\n\n\n<p>Dnes se ji\u017e nerozli\u0161uje \u010d\u00e1ste\u010dn\u00fd a pln\u00fd invalidn\u00ed d\u016fchod, ale jsou invalidn\u00ed d\u016fchody 1., 2. a 3. stupn\u011b, p\u0159i\u010dem\u017e 3. stupe\u0148 znamen\u00e1 nejt\u011b\u017e\u0161\u00ed zdravotn\u00ed posti\u017een\u00ed.  <br>Pro p\u0159izn\u00e1n\u00ed ur\u010dit\u00e9ho stupn\u011b invalidity je rozhoduj\u00edc\u00ed zhodnocen\u00ed poklesu pracovn\u00ed schopnosti \u017eadatele v d\u016fsledku jeho zdravotn\u00edho posti\u017een\u00ed. <\/p>\n\n\n\n<p>\u201aPoji\u0161t\u011bnec je invalidn\u00ed, jestli\u017ee z d\u016fvodu dlouhodob\u011b nep\u0159\u00edzniv\u00e9ho \nzdravotn\u00edho stavu nastal pokles jeho pracovn\u00ed schopnosti nejm\u00e9n\u011b o 35 %.<\/p>\n\n\n\n<p>Jestli\u017ee pracovn\u00ed schopnost poji\u0161t\u011bnce poklesla<br><strong> a. nejm\u00e9n\u011b o 35 %<\/strong>, av\u0161ak nejv\u00edce o 49 %, jedn\u00e1 se o invaliditu prvn\u00edho stupn\u011b,<br><strong> b. nejm\u00e9n\u011b o 50 %<\/strong>, av\u0161ak nejv\u00edce o 69 %, jedn\u00e1 se o invaliditu druh\u00e9ho stupn\u011b,<br><strong> c. nejm\u00e9n\u011b o 70 %<\/strong>, jedn\u00e1 se o invaliditu t\u0159et\u00edho stupn\u011b.<br><br>Aby mohl b\u00fdt p\u0159izn\u00e1n invalidn\u00ed d\u016fchod, je t\u0159eba nejen uzn\u00e1n\u00ed invalidity posudkov\u00fdm l\u00e9ka\u0159em, ale i spln\u011bn\u00ed pot\u0159ebn\u00e9 doby poji\u0161t\u011bn\u00ed.  <\/p>\n\n\n\n<p>Pokud jde o onkologick\u00e1 onemocn\u011bn\u00ed, plat\u00ed p\u0159i nich <strong>obecn\u00e9 posudkov\u00e9 z\u00e1sady<\/strong>. P\u0159i  hodnocen\u00ed m\u00edry poklesu pracovn\u00ed schopnosti se vych\u00e1z\u00ed z funk\u010dn\u00edho  posti\u017een\u00ed, na kter\u00e9m se pod\u00edl\u00ed jak n\u00e1dorov\u00e1 nemoc, tak onkologick\u00e1  l\u00e9\u010dba. P\u0159itom se hodnot\u00ed celkov\u00fd stav, posti\u017een\u00ed funkce org\u00e1n\u016f nebo  t\u011blesn\u00fdch syst\u00e9m\u016f, dlouhodob\u00e9 nebo trval\u00e9 posti\u017een\u00ed zp\u016fsoben\u00e9 n\u00e1sledkem  chemoterapie, radioterapie, hormonoterapie, biologick\u00e9 l\u00e9\u010dby, posti\u017een\u00ed  po transplantaci krvetvorn\u00fdch bun\u011bk, rozsah zachovan\u00fdch  funk\u010dn\u00edch schopnost\u00ed a schopnost vykon\u00e1vat denn\u00ed aktivity. <\/p>\n\n\n\n<p>Dopad na pracovn\u00ed schopnost  maj\u00ed nejen funk\u010dn\u00ed posti\u017een\u00ed n\u00e1sledkem zhoubn\u00e9 choroby, ale tak\u00e9  ne\u017e\u00e1douc\u00ed \u00fa\u010dinky onkologick\u00e9 l\u00e9\u010dby. Nej\u010dast\u011bj\u0161\u00ed dlouhodob\u00e9 n\u00e1sledky  onkologick\u00fdch posti\u017een\u00ed jsou chronick\u00e1 bolest, psychick\u00e9 zm\u011bny,  chronick\u00e1 \u00fanava, n\u00e1mahov\u00e1 du\u0161nost,  zm\u011bny sval\u016f a kost\u00ed, naru\u0161en\u00ed  funkce kon\u010detin, poruchy imunity, krv\u00e1civ\u00e9 projevy,  neurologick\u00e9 poruchy, rozsah opera\u010dn\u00edho v\u00fdkonu v\u010detn\u011b z\u00e1va\u017en\u00e9ho estetick\u00e9ho  posti\u017een\u00ed, poruchy mluven\u00ed, p\u0159ij\u00edm\u00e1n\u00ed potravy, tr\u00e1ven\u00ed, mo\u010den\u00ed, defekace  a poruchy celkov\u00e9 pohyblivosti. <\/p>\n\n\n\n<p>P\u0159i posuzov\u00e1n\u00ed poklesu pracovn\u00ed  schopnosti se na poji\u0161t\u011bnce s lokalizovan\u00fdm n\u00e1dorem (stadium I, II, III)  nahl\u00ed\u017e\u00ed jako na potenci\u00e1ln\u011b vyl\u00e9\u010diteln\u00e9 a hodnocen\u00ed m\u00edry poklesu  pracovn\u00ed schopnosti se odv\u00edj\u00ed od v\u00fdsledku l\u00e9\u010dby, klinick\u00e9ho obrazu,  rozsahu a t\u00ed\u017ee funk\u010dn\u00edho posti\u017een\u00ed. U diseminovan\u00fdch n\u00e1dor\u016f (tj. ve  stadiu IV), kter\u00e9 lze obecn\u011b pova\u017eovat za zvl\u00e1\u0161\u0165 t\u011b\u017ek\u00e9 funk\u010dn\u00ed  posti\u017een\u00ed, m\u016f\u017ee b\u00fdt posti\u017een\u00ed potenci\u00e1ln\u011b reverzibiln\u00ed u vyl\u00e9\u010diteln\u00fdch  n\u00e1dor\u016f.<\/p>\n\n\n\n<p> P\u0159i stanoven\u00ed m\u00edry poklesu pracovn\u00ed schopnosti je t\u0159eba zhodnotit  funk\u010dn\u00ed schopnosti z hlediska l\u00e9\u010ditelnosti , prob\u00edhaj\u00edc\u00ed onkologick\u00e9 l\u00e9\u010dby  ve vztahu k definovan\u00e9mu obdob\u00ed a n\u00e1sledk\u016f n\u00e1doru nebo terapie a zam\u011b\u0159it  se i na reverzibiln\u00ed nebo l\u00e9\u010dbou kontrolovan\u00e9 zdravotn\u00ed probl\u00e9my. <\/p>\n\n\n\n<p><strong>Minim\u00e1ln\u00edmu posti\u017een\u00ed,<\/strong> je\u017e je ohodnoceno sn\u00ed\u017een\u00edm pracovn\u00edho potenci\u00e1lu o 5 a\u017e 10 %, odpov\u00eddaj\u00ed stavy bez p\u0159\u00edznak\u016f, minim\u00e1ln\u00ed funk\u010dn\u00ed poruchy nebo stavy po l\u00e9\u010db\u011b povrchov\u00fdch ko\u017en\u00edch a slizni\u010dn\u00edch n\u00e1dor\u016f, n\u00e1dory lokalizovan\u00e9 nebo n\u00e1dory, kter\u00e9 nevy\u017eaduj\u00ed adjuvantn\u00ed onkologickou l\u00e9\u010dbu, stavy, kde nen\u00ed t\u0159eba onkologick\u00e9 stabilizace nebo  men\u0161\u00ed opera\u010dn\u00ed v\u00fdkony s minim\u00e1ln\u00edm funk\u010dn\u00edm dopadem, stavy bez omezen\u00ed v\u00fdkonu denn\u00edch aktivit.  <\/p>\n\n\n\n<p><strong>Lehk\u00e9mu <\/strong>posti\u017een\u00ed,   je\u017e je ohodnoceno sn\u00ed\u017een\u00edm pracovn\u00edho potenci\u00e1lu o 15 a\u017e 25 %, odpov\u00eddaj\u00ed <br> stavy v kompletn\u00ed remisi (bezp\u0159\u00edznakov\u00e9mu obdob\u00ed nemoci), zpravidla po 6 m\u011bs\u00edc\u00edch po ukon\u010den\u00ed aktivn\u00ed onkologick\u00e9 l\u00e9\u010dby, stabilizovan\u00e9 nebo men\u0161\u00ed v\u00fdkony z d\u016fvod\u016f zhoubn\u00e9ho novotvaru, chirurgick\u00e9 odstran\u011bn\u00ed nebo amputace zven\u010d\u00ed p\u0159\u00edmo neviditeln\u00e9, amputace \u010d\u00e1st\u00ed, kde je mo\u017en\u00e1 protetick\u00e1 n\u00e1hrada  (nap\u0159. odn\u011bt\u00ed prsu, \u010d\u00e1ste\u010dn\u00e9 amputa\u010dn\u00ed ztr\u00e1ty kon\u010detin, chirurgick\u00e9 odn\u011bt\u00ed \u010d\u00e1st\u00ed  st\u0159eva, odn\u011bt\u00ed d\u011blohy, odn\u011bt\u00ed oka p\u0159i dobr\u00e9 funkci jedin\u00e9ho  oka) nebo stavy s lehk\u00fdm funk\u010dn\u00edm posti\u017een\u00edm n\u011bkter\u00fdch org\u00e1n\u016f nebo syst\u00e9m\u016f, v\u00fdkon  n\u011bkter\u00fdch denn\u00edch aktivit s obt\u00ed\u017eemi nebo s vyu\u017eit\u00edm kompenza\u010dn\u00edch  mechanism\u016f a prost\u0159edk\u016f. <\/p>\n\n\n\n<p> <strong>St\u0159edn\u011b t\u011b\u017ek\u00e9mu posti\u017een\u00ed<\/strong>,  je\u017e je ohodnoceno sn\u00ed\u017een\u00edm pracovn\u00edho potenci\u00e1lu o 35 a\u017e 45 %, odpov\u00eddaj\u00ed stavy v kompletn\u00ed remisi (bezp\u0159\u00edznakov\u00e9m obdob\u00ed nemoci), zpravidla po 6 m\u011bs\u00edc\u00edch po ukon\u010den\u00ed aktivn\u00ed  onkologick\u00e9 l\u00e9\u010dby, stabilizovan\u00e9, kde poruchy maj\u00ed rozsah do poloviny stupnice \u00fapln\u00e9 poruchy funk\u010dn\u00edch schopnost\u00ed, nap\u0159. stomie, penektomie, kolektomie nebo<br>odn\u011bt\u00ed oka p\u0159i zhor\u0161en\u00e9m vizu vidouc\u00edho oka nebo  ztr\u00e1ta kon\u010detiny v p\u0159edlokt\u00ed nebo v b\u00e9rci nebo \u010d\u00e1ste\u010dn\u00e9mu odstran\u011bn\u00ed hrtanu nebo stavy b\u011bhem pod\u00e1v\u00e1n\u00ed biologick\u00e9 l\u00e9\u010dby, ne\u017e\u00e1douc\u00ed a dlouhodob\u00e9 z\u00e1va\u017en\u00e9  funk\u010dn\u00ed posti\u017een\u00ed v d\u016fsledku dlouhodob\u00e9 hormonoterapie \u010di biologick\u00e9  l\u00e9\u010dby, v\u00fdkon n\u011bkter\u00fdch denn\u00edch aktivit omezen. <\/p>\n\n\n\n<p>Aby v\u00e1m tedy mohla b\u00fdt p\u0159izn\u00e1na invalidita a p\u0159i spln\u011bn\u00ed doby poji\u0161t\u011bn\u00ed i invalidn\u00ed d\u016fchod, m\u011bl by v\u00e1\u0161 stav odpov\u00eddat alespo\u0148 st\u0159edn\u011b t\u011b\u017ek\u00e9mu posti\u017een\u00ed,  je\u017e je ohodnoceno sn\u00ed\u017een\u00edm pracovn\u00edho potenci\u00e1lu o 35 a\u017e 45 %. Pak byste dos\u00e1hla na 1. stupe\u0148 invalidity. Pokud byl n\u00e1dor \u0161t\u00edtn\u00e9 \u017el\u00e1zy odstran\u011bn bez dal\u0161\u00edch komplikac\u00ed s \u017e\u00e1dn\u00fdm nebo jen m\u00edrn\u00fdm omezen\u00edm denn\u00edch aktivit, pak v\u00e1\u0161 stav pravd\u011bpodobn\u011b odpov\u00edd\u00e1 sp\u00ed\u0161e lehk\u00e9mu posti\u017een\u00ed, i kdy\u017e u v\u00e1s m\u016f\u017ee b\u00fdt aplikov\u00e1na trvale substitu\u010dn\u00ed hormon\u00e1ln\u00ed l\u00e9\u010dba. <\/p>\n\n\n\n<p>Nicm\u00e9n\u011b m\u016f\u017eete podat na m\u00edstn\u011b p\u0159\u00edslu\u0161nou \u010cSSZ \u017e\u00e1dost o invalidn\u00ed d\u016fchod s p\u0159\u00edslu\u0161nou zdravotn\u00ed dokumentac\u00ed. Za pod\u00e1n\u00ed \u017e\u00e1dosti se nic neplat\u00ed. Posudkov\u00fd l\u00e9ka\u0159 pot\u00e9 v\u00e1\u0161 zdravotn\u00ed stav vyhodnot\u00ed a b\u011bhem n\u011bkolika m\u011bs\u00edc\u016f obdr\u017e\u00edte rozhodnut\u00ed.  <\/p>\n\n\n\n<p>MUDr. Jan \u010cin\u010dura<\/p>\n\n\n\n<p><br><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>DOTAZ: Vloni jsem prod\u011blala operaci \u0161t\u00edtn\u00e9 \u017el\u00e1zy s karcinomem, m\u00e1m n\u00e1rok na \u010d\u00e1ste\u010dn\u00fd invalidn\u00ed d\u016fchod? Odpov\u011b\u010f: Dnes se ji\u017e nerozli\u0161uje \u010d\u00e1ste\u010dn\u00fd a pln\u00fd invalidn\u00ed d\u016fchod, <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=33911\" title=\"Jsem po operaci n\u00e1doru \u0161t\u00edtn\u00e9 \u017el\u00e1zy. M\u00e1m n\u00e1rok na ID?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":24122,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-33911","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\/33911","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=33911"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/33911\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/24122"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=33911"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=33911"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=33911"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}