V\u0161echny p\u0159\u00edznaky SIBO z\u00e1vis\u00ed na tom, jak dlouho nemoc trv\u00e1 a jak je z\u00e1va\u017en\u00e1. SIBO je tak\u00e9 velmi \u010dasto zam\u011b\u0148ov\u00e1n s IBS, tzv. syndromem dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku. Nadm\u011brn\u00e9 p\u0159emno\u017een\u00ed bakteri\u00ed se velmi \u010dasto zvy\u0161uje po konzumaci nakl\u00e1dan\u00e9 zeleniny, syrov\u00e9 zeleniny a ovoce, probiotik a tak\u00e9 prebiotik, tj. \u017eivin pro bakterie. D\u00edky t\u011bmto produkt\u016fm m\u016f\u017eeme mimo jin\u00e9 rozli\u0161it syndrom bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed a IBS.<\/p>\n\n\n\n
Diagnostika a l\u00e9\u010dba<\/h2>\n\n\n\n![\"](\"https:\/\/consumers-views.com\/cz\/wp-content\/uploads\/2021\/12\/Depositphotos_178830438_S.jpg\" "\\"\\"")
<\/figure><\/figure>\n<\/div>\n\n\nLid\u00e9, u nich\u017e je diagnostikov\u00e1no bakteri\u00e1ln\u00ed p\u0159er\u016fst\u00e1n\u00ed, by m\u011bli b\u00fdt p\u0159edev\u0161\u00edm v trval\u00e9 p\u00e9\u010di internisty, gastrologa nebo gastroenterologa, kter\u00fd bude zodpov\u011bdn\u00fd za objedn\u00e1n\u00ed p\u0159\u00edslu\u0161n\u00fdch vy\u0161et\u0159en\u00ed a v p\u0159\u00edpad\u011b pot\u0159eby navrhne l\u00e9\u010dbu. Velmi \u010dasto je v tomto typu p\u0159\u00edpad\u016f na\u0159\u00edzena dechov\u00e1 zkou\u0161ka na vod\u00edk nebo vod\u00edk-metan. Vy\u0161et\u0159en\u00ed d\u00fdchac\u00edch cest je test, kter\u00fd lze prov\u00e9st pouze v nemocnici na pracovi\u0161ti, kter\u00e9 se specializuje na diagnostiku tohoto typu onemocn\u011bn\u00ed. Test m\u016f\u017ee trvat a\u017e 3 hodiny. Test spo\u010d\u00edv\u00e1 v m\u011b\u0159en\u00ed vod\u00edku ve vydechovan\u00e9m vzduchu po po\u017eit\u00ed roztoku l\u00e1tky, kter\u00e1 je rozkl\u00e1d\u00e1na bakteriemi – cukru. Testov\u00e1n\u00ed prob\u00edh\u00e1 v intervalech, ve kter\u00fdch se kontroluj\u00ed hladiny vydechovan\u00e9ho vod\u00edku, d\u00edky \u010demu\u017e m\u016f\u017eeme ur\u010dit, jak\u00e1 je aktivita bakteri\u00ed v dutin\u011b b\u0159i\u0161n\u00ed. Lidsk\u00e9 t\u011blo v klidov\u00e9m stavu p\u0159irozen\u011b nevylu\u010duje vod\u00edk, k tomu doch\u00e1z\u00ed pouze v procesu kva\u0161en\u00ed d\u00edky anaerobn\u00edm bakteri\u00edm. B\u011bhem vy\u0161et\u0159en\u00ed m\u016f\u017eete poci\u0165ovat bolesti b\u0159icha, nad\u00fdm\u00e1n\u00ed nebo \u0159\u00eddkou stolici. Je t\u0159eba tak\u00e9 pamatovat na \u0159\u00e1dnou p\u0159\u00edpravu na vy\u0161et\u0159en\u00ed, kter\u00e1 je nezbytn\u00e1 a rozhoduj\u00edc\u00ed pro z\u00edsk\u00e1n\u00ed spr\u00e1vn\u00e9ho v\u00fdsledku. M\u011bli bychom vz\u00edt v \u00favahu n\u00e1sleduj\u00edc\u00ed skute\u010dnosti:<\/p>\n\n\n\n
\n- sedm dn\u00ed p\u0159ed vy\u0161et\u0159en\u00edm by m\u011bla b\u00fdt pod l\u00e9ka\u0159sk\u00fdm dohledem vy\u0159azena proj\u00edmadla a prokinetika.<\/li>\n\n\n\n
- p\u0159estat u\u017e\u00edvat probiotika t\u0159i dny p\u0159ed vy\u0161et\u0159en\u00edm.<\/li>\n\n\n\n
- jeden den p\u0159ed vy\u0161et\u0159en\u00edm by osoby trp\u00edc\u00ed z\u00e1cpou m\u011bly ze sv\u00e9ho j\u00eddeln\u00ed\u010dku vy\u0159adit produkty s vysok\u00fdm koeficientem kva\u0161en\u00ed, tj. slo\u017eit\u00e9 sacharidy, kravsk\u00e9 ml\u00e9ko a v\u00fdrobky z n\u011bj a ovocn\u00e9 \u0161\u0165\u00e1vy. V tomto obdob\u00ed je v\u0161ak povolena b\u00edl\u00e1 r\u00fd\u017ee, p\u0161eni\u010dn\u00e9 pe\u010divo, maso, ryby a vejce.<\/li>\n\n\n\n
- Mezi zak\u00e1zan\u00e9 produkty pat\u0159\u00ed tak\u00e9: cibule, p\u00f3rek, \u010desnek, zel\u00ed, fazole, zelen\u00fd hr\u00e1\u0161ek a jak\u00e1koli nakl\u00e1dan\u00e1 nebo nakl\u00e1dan\u00e1 zelenina,<\/li>\n\n\n\n
- posledn\u00ed j\u00eddlo by m\u011blo b\u00fdt sn\u011bdeno 14 hodin p\u0159ed vy\u0161et\u0159en\u00edm. Ujist\u011bte se, \u017ee obsahuje m\u00e1lo vl\u00e1kniny. Po ve\u010de\u0159i sm\u00edte a\u017e do vy\u0161et\u0159en\u00ed p\u00edt pouze vodu,<\/li>\n\n\n\n
- je d\u016fle\u017eit\u00e9 nekou\u0159it a ne\u017ev\u00fdkat \u017ev\u00fdka\u010dku 2 hodiny p\u0159ed testem, proto\u017ee to m\u016f\u017ee rovn\u011b\u017e ovlivnit v\u00fdsledek testu.<\/li>\n<\/ul>\n\n\n\n
V den testu:<\/p>\n\n\n\n
\n- m\u011bli byste si d\u016fkladn\u011b \u010distit zuby a lid\u00e9 se zubn\u00ed n\u00e1hradou na n\u011b nesm\u00ed pou\u017e\u00edvat lepidlo,<\/li>\n\n\n\n
- je vhodn\u00e9 vyp\u00edt sklenici tepl\u00e9 vody,<\/li>\n\n\n\n
- p\u0159ed vy\u0161et\u0159en\u00edm neu\u017e\u00edvejte rozpustn\u00e9 vitam\u00edny, proj\u00edmadla nebo antibiotika.<\/li>\n\n\n\n
- fyzick\u00e1 aktivita by m\u011bla b\u00fdt omezena na minimum.<\/li>\n<\/ul>\n\n\n\n
P\u0159i pozitivn\u00edm n\u00e1lezu ve vydechovan\u00e9m vzduchu, kter\u00fd se zobraz\u00ed na kart\u011b, l\u00e9ka\u0159 p\u0159edep\u00ed\u0161e vhodnou antibiotickou l\u00e9\u010dbu, kter\u00e1 se pod\u00e1v\u00e1 pod jeho p\u0159\u00edsn\u00fdm dohledem. Metoda je rychl\u00e1 a \u00fa\u010dinn\u00e1, a pokud dodr\u017eujeme pokyny l\u00e9ka\u0159e, antibiotick\u00e1 l\u00e9\u010dba trv\u00e1 2 a\u017e 3 t\u00fddny. K l\u00e9\u010db\u011b by m\u011bl b\u00fdt pou\u017eit p\u0159\u00edpravek, kter\u00fd bude p\u016fsobit ve st\u0159evech a nedostane se do krevn\u00edho ob\u011bhu. Terapie by m\u011bla spo\u010d\u00edvat nejen v l\u00e9\u010db\u011b SIBO, ale tak\u00e9 ve zm\u011bn\u011b stravovac\u00edho re\u017eimu, nap\u0159. v zaveden\u00ed diety s n\u00edzk\u00fdm obsahem fodmap. M\u011bla by b\u00fdt zavedena pod p\u0159\u00edsn\u00fdm dohledem dietologa, proto\u017ee jej\u00ed pravidla jsou slo\u017eit\u00e1 a p\u0159\u00edsn\u00e1. Je tak\u00e9 vhodn\u00e9 vylou\u010dit probiotika z rodu Lactobacillus, proto\u017ee vedou k zes\u00edlen\u00ed p\u0159\u00edznak\u016f onemocn\u011bn\u00ed. Jakoukoli probiotickou a prebiotickou l\u00e9\u010dbu je t\u0159eba konzultovat s o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\n\n\n\n
Dieta p\u0159i diagnostikovan\u00e9m p\u0159er\u016fst\u00e1n\u00ed bakteri\u00e1ln\u00ed fl\u00f3ry – SIBO.<\/h2>\n\n\n\n
B\u011bhem l\u00e9\u010dby je velmi d\u016fle\u017eit\u00e1 spr\u00e1vn\u00e1 strava, kter\u00e1 zm\u00edrn\u00ed p\u0159\u00edznaky onemocn\u011bn\u00ed. Je d\u016fle\u017eit\u00e9 odstranit ze stravy slo\u017eky s vysok\u00fdm obsahem fodmap, tedy produkty, kter\u00e9 stimuluj\u00ed fermenta\u010dn\u00ed procesy ve st\u0159evech. Doporu\u010dujeme zde:<\/p>\n\n\n\n
\n- SCD dieta – neboli specifick\u00e1 sacharidov\u00e1 dieta, kter\u00e1 doporu\u010duje omezit sacharidy, jako je \u0161krob, poly- a disacharidy, na minimum. Jednoduch\u00e9 cukry nejsou zahrnuty,<\/li>\n\n\n\n
- dieta GAPS – je odvozena od diety SCD, ale je je\u0161t\u011b p\u0159\u00edsn\u011bj\u0161\u00ed,<\/li>\n\n\n\n
- Protokol Dr. Siebeckera – jedn\u00e1 se o doporu\u010den\u00ed zalo\u017een\u00e1 na SCD diet\u011b a n\u00edzkofodmapov\u00e9 diet\u011b. Elimina\u010dn\u00ed dieta doporu\u010dovan\u00e1 Dr. Siebeckerem doporu\u010duje za\u010d\u00edt s dietou SCD nebo GAPS a pot\u00e9 ji roz\u0161\u00ed\u0159it o fodmapov\u00e9 produkty. Maxim\u00e1ln\u00ed doba trv\u00e1n\u00ed diety by m\u011bla b\u00fdt dva m\u011bs\u00edce,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e1 dieta – jedn\u00e1 se o nejobl\u00edben\u011bj\u0161\u00ed model diety, kter\u00fd minimalizuje r\u016fst bakteri\u00ed v tenk\u00e9m st\u0159ev\u011b. Fodmapov\u00e1 dieta spo\u010d\u00edv\u00e1 ve vylou\u010den\u00ed produkt\u016f s vysokou m\u00edrou fermentace, tj. oligo-, di-, monosacharid\u016f a polyol\u016f, ze stravovac\u00edho pl\u00e1nu. Pat\u0159\u00ed k produkt\u016fm obsahuj\u00edc\u00edm sacharidy s kr\u00e1tk\u00fdm \u0159et\u011bzcem, kter\u00e9 se \u0161patn\u011b vst\u0159eb\u00e1vaj\u00ed, ale jsou rychle zkvasiteln\u00e9 s vysok\u00fdm osmotick\u00fdm tlakem, mezi n\u011b\u017e pat\u0159\u00ed: ml\u00e9\u010dn\u00e9 v\u00fdrobky, n\u011bkter\u00e9 lu\u0161t\u011bniny, sladidla, nap\u0159. Pat\u0159\u00ed mezi n\u011b: ml\u00e9\u010dn\u00e9 v\u00fdrobky, n\u011bkter\u00e9 lu\u0161t\u011bniny, sladidla jako xylitol, mannitol nebo erytritol, obiln\u00e9 v\u00fdrobky – p\u0161enice a \u010desnek a cibule nebo vysoce zpracovan\u00e9 maso.<\/li>\n<\/ul>\n\n\n\n
![\"](\"https:\/\/consumers-views.com\/cz\/wp-content\/uploads\/2021\/12\/Depositphotos_160465124_S.jpg\" "\\"\\"")
<\/figure><\/figure>\n<\/div>\n\n\nV p\u0159\u00edpad\u011b syndromu dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku nebo jin\u00fdch poruch tr\u00e1vic\u00edho syst\u00e9mu, nap\u0159. syndromu bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed, mohou v\u00fdrobky bohat\u00e9 na FOPMAP v\u00e9st ke zhor\u0161en\u00ed p\u0159\u00edznak\u016f onemocn\u011bn\u00ed. Do tlust\u00e9ho st\u0159eva se toti\u017e dost\u00e1vaj\u00ed v nezm\u011bn\u011bn\u00e9 podob\u011b. Osmotick\u00e9 vlastnosti jsou zodpov\u011bdn\u00e9 za zv\u00fd\u0161en\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed vody v tenk\u00e9m st\u0159ev\u011b. Tento jev vede k rozta\u017een\u00ed st\u0159evn\u00edch st\u011bn, co\u017e m\u016f\u017ee mimo jin\u00e9 zp\u016fsobit bolesti b\u0159icha. U pacient\u016f s diagn\u00f3zou bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed doch\u00e1z\u00ed v d\u016fsledku nadbytku bakteri\u00ed k nadm\u011brn\u00e9mu v\u00fdskytu plyn\u016f ve st\u0159evech, co\u017e zp\u016fsobuje nep\u0159\u00edjemn\u00e9 pocity a nad\u00fdm\u00e1n\u00ed.<\/p>\n\n\n\n
SIBO co j\u00edst? Dieta sibo byla p\u0159ipravena Australskou univerzitou a vyzna\u010duje se n\u00edzk\u00fdm obsahem fermentovateln\u00fdch potravin, tj. oligo-, di-, monosacharid\u016f a polyol\u016f. J\u00eddeln\u00ed\u010dek by m\u011bl b\u00fdt bohat\u00fd na vl\u00e1kninu, kter\u00e1 je nezbytn\u00e1 pro spr\u00e1vnou funkci st\u0159ev, a tak\u00e9 na b\u00edlkoviny, tuky, sacharidy, vitaminy a miner\u00e1ly. N\u00edzk\u00e1 dieta je p\u0159i terapii SIBO d\u016fle\u017eit\u00e1 a je rozd\u011blena do t\u0159\u00ed f\u00e1z\u00ed, kter\u00e9 ud\u00e1vaj\u00ed, jak\u00e9 potraviny j\u00edst a \u010demu se vyhnout:<\/p>\n\n\n\n
Pod\u00edvejte se tak\u00e9 na nejlep\u0161\u00ed dopl\u0148ky stravy:
Keto Actives <\/a>– zhubn\u011bte d\u00edky fenom\u00e9nu ket\u00f3zy
Fast Burn Extreme<\/a> – ov\u011b\u0159ujeme \u00fa\u010dinnost tohoto odbour\u00e1va\u010de tuk\u016f! Vyplat\u00ed se ho koupit?
BurnBooster<\/a> – hubnut\u00ed a spalov\u00e1n\u00ed tuk\u016f na nejvy\u0161\u0161\u00ed \u00farovni.
Bulk Extreme<\/a> – vybudujte si svalovou tk\u00e1\u0148 a z\u00edskejte postavu gladi\u00e1tora
Buff Skill<\/a> – n\u00e1poj pro zlep\u0161en\u00ed pam\u011bti a koncentrace<\/strong><\/p>\n\n\n\n1. f\u00e1ze I: elimina\u010dn\u00ed dieta<\/h3>\n\n\n\n
Trv\u00e1 2 a\u017e 6 t\u00fddn\u016f. B\u011bhem t\u00e9to doby bychom m\u011bli z j\u00eddeln\u00ed\u010dku vylou\u010dit v\u00fdrobky s vysok\u00fdm obsahem fodmap a nahradit je v\u00fdrobky s n\u00edzkou hodnotou fodmap:<\/p>\n\n\n\n
Zelenina:<\/h4>\n\n\n\n\n- vysok\u00fd obsah fodmap: cibule, ch\u0159est, arty\u010doky, brokolice, kv\u011bt\u00e1k, patisony, \u010derven\u00e1 \u0159epa, p\u00f3rek, r\u016f\u017ei\u010dkov\u00e1 kapusta, \u010desnek, zel\u00ed, lu\u0161t\u011bniny, tj. cizrna, \u010do\u010dka, zelen\u00fd hr\u00e1\u0161ek, s\u00f3ja a fazole,<\/li>\n\n\n\n
- N\u00edzkofodmapov\u00e9 potraviny: raj\u010data, mrkev, \u010d\u00ednsk\u00e9 zel\u00ed, paprika, okurky, lilek, celer, kuku\u0159ice, d\u00fdn\u011b, hl\u00e1vkov\u00fd sal\u00e1t, d\u00fdn\u011b, pa\u017eitka, sladk\u00e9 brambory.<\/li>\n<\/ul>\n\n\n\n
Ovoce:<\/h4>\n\n\n\n\n- vysok\u00fd obsah fodmap: jablka, hru\u0161ky, mango, meloun, \u0161vestky, meru\u0148ky, nektarinky, broskve, konzervovan\u00e9 ovoce, su\u0161en\u00e9 ovoce,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e9 potraviny: mandarinky, kiwi, ban\u00e1ny, hroznov\u00e9 v\u00edno, grapefruity, pomeran\u010de, bor\u016fvky, citrony, maliny, jahody.<\/li>\n<\/ul>\n\n\n\n
Ml\u00e9\u010dn\u00e9 v\u00fdrobky:<\/h4>\n\n\n\n\n- s vysok\u00fdm obsahem fodmap: jemn\u00e9 s\u00fdry mascarpone nebo ricotta, tvaroh, jogurt, podm\u00e1sl\u00ed, kondenzovan\u00e9 ml\u00e9ko, kravsk\u00e9 ml\u00e9ko, ov\u010d\u00ed ml\u00e9ko, koz\u00ed ml\u00e9ko, \u0161leha\u010dka, zakysan\u00e1 smetana,<\/li>\n\n\n\n
- S n\u00edzk\u00fdm obsahem fodmap: s\u00fdr camembert, s\u00fdr brie, tvrd\u00e9 s\u00fdry jako \u0161v\u00fdcarsk\u00fd, \u010dedar, mozzarella, parmez\u00e1n, margar\u00edn, m\u00e1slo, ml\u00e9\u010dn\u00e9 v\u00fdrobky bez lakt\u00f3zy.<\/li>\n<\/ul>\n\n\n\n
Obiloviny a v\u00fdrobky z obilovin:<\/h4>\n\n\n\n\n- vysok\u00fd obsah fodmap: p\u0161eni\u010dn\u00fd chl\u00e9b, p\u0161eni\u010dn\u00e9 v\u00fdrobky, \u017eito, p\u0161eni\u010dn\u00e9 sn\u00edda\u0148ov\u00e9 cere\u00e1lie se su\u0161en\u00fdm ovocem, p\u0161eni\u010dn\u00e9 t\u011bstoviny,<\/li>\n\n\n\n
- low fodmap: \u0161paldov\u00e1 mouka, bezlepkov\u00fd chl\u00e9b, \u0161paldov\u00fd kv\u00e1skov\u00fd chl\u00e9b, r\u00fd\u017eov\u00e9 vlo\u010dky, ovesn\u00e1 mouka, bezlepkov\u00e9 t\u011bstoviny, ovesn\u00e9 vlo\u010dky, quinoa, r\u00fd\u017ee.<\/li>\n<\/ul>\n\n\n\n
O\u0159echy a semena:<\/h4>\n\n\n\n\n- s vysok\u00fdm obsahem fodmap: ke\u0161u o\u0159echy, pist\u00e1cie,<\/li>\n\n\n\n
- low fodmap: mandle, vla\u0161sk\u00e9 o\u0159echy, pekanov\u00e9 o\u0159echy, ara\u0161\u00eddy, makadamov\u00e9 o\u0159echy, piniov\u00e9 o\u0159\u00ed\u0161ky, sezamov\u00e1 sem\u00ednka, d\u00fd\u0148ov\u00e1 sem\u00ednka, slune\u010dnicov\u00e1 sem\u00ednka.<\/li>\n<\/ul>\n\n\n\n
Ostatn\u00ed:<\/h4>\n\n\n\n\n- vysok\u00fd obsah fodmap: med, ag\u00e1vov\u00fd sirup, gluk\u00f3zo-frukt\u00f3zov\u00fd sirup, sladidla jako mannitol, maltitol, erytritol, xylitol, sorbitol, v\u00fdrobky bez cukru se sladidly, s\u00f3jov\u00e9 ml\u00e9ko,<\/li>\n\n\n\n
- n\u00edzk\u00fd obsah fodmap: javorov\u00fd sirup, granulovan\u00fd cukr, st\u00e9vie, aspartam, ara\u0161\u00eddov\u00e9 m\u00e1slo, mandlov\u00e9 ml\u00e9ko, r\u00fd\u017eov\u00e9 ml\u00e9ko.<\/li>\n<\/ul>\n\n\n\n
F\u00e1ze II – znovuzaveden\u00ed v\u00fdrobk\u016f obsahuj\u00edc\u00edch fodmap<\/h3>\n\n\n\n
Tato f\u00e1ze trv\u00e1 8 a\u017e 12 t\u00fddn\u016f. F\u00e1ze II spo\u010d\u00edv\u00e1 ve znovuzaveden\u00ed produkt\u016f s vysok\u00fdm obsahem fodmap do stravy v mal\u00e9m mno\u017estv\u00ed. Toto je jeden z nejd\u016fle\u017eit\u011bj\u0161\u00edch moment\u016f b\u011bhem l\u00e9\u010dby, proto\u017ee bychom m\u011bli jednou za 3 dny zav\u00e9st nov\u00fd p\u0159\u00edpravek a sledovat, zda se p\u0159\u00edznaky onemocn\u011bn\u00ed znovu objev\u00ed. Velmi \u00fa\u010dinn\u00e9 je veden\u00ed den\u00edku, do kter\u00e9ho p\u0159esn\u011b popisujeme, co jsme jedli, jak\u00e9 m\u00e1me p\u0159\u00edznaky a jak se c\u00edt\u00edme. Dieta SIBO je velmi omezuj\u00edc\u00ed a p\u0159i jej\u00edm roz\u0161i\u0159ov\u00e1n\u00ed bychom m\u011bli vz\u00edt v \u00favahu n\u011bkolik faktor\u016f:<\/p>\n\n\n\n
\n- P\u0159i roz\u0161i\u0159ov\u00e1n\u00ed j\u00eddeln\u00ed\u010dku bychom m\u011bli zav\u00e1d\u011bt v\u00fdrobky s vysok\u00fdm obsahem fodmap v mal\u00e9m mno\u017estv\u00ed a v ide\u00e1ln\u00edm p\u0159\u00edpad\u011b bychom m\u011bli zvolit jeden fodmapov\u00fd v\u00fdrobek jednou za 3 dny, tj. pokud.Pokud chceme zav\u00e9st frukt\u00f3zu, je lep\u0161\u00ed zvolit med ne\u017e ovoce, proto\u017ee ovoce je bohat\u00e9 i na jin\u00e9 fodmapov\u00e9 hodnoty, nejen na frukt\u00f3zu, nap\u0159. frukt\u00f3zu. Ovoce je bohat\u00e9 na dal\u0161\u00ed fodmapov\u00e9 hodnoty, nejen na frukt\u00f3zu jako med,<\/li>\n\n\n\n
- Skupiny v\u00fdrobk\u016f by m\u011bly b\u00fdt zav\u00e1d\u011bny postupn\u011b, nap\u0159. pokud se po zaveden\u00ed v\u00fdrobk\u016f s vysok\u00fdm obsahem frukt\u00f3zy do stravy neobjev\u00ed doprovodn\u00e9 onemocn\u011bn\u00ed, pak by po dobu testov\u00e1n\u00ed m\u011bly b\u00fdt v\u00fdrobky s vysok\u00fdm obsahem frukt\u00f3zy stejn\u011b vylou\u010deny,<\/li>\n\n\n\n
- D\u016fle\u017eit\u00e9 je zav\u00e1d\u011bt produkty z hlediska mno\u017estv\u00ed, tj. je vhodn\u00e9 za\u010d\u00edt s mal\u00fdmi porcemi, a pokud na\u0161e t\u011blo na l\u00e9\u010dbu dob\u0159e reaguje, porce by se m\u011bly zv\u00fd\u0161it.<\/li>\n<\/ul>\n\n\n\n
F\u00e1ze III – personalizace<\/h3>\n\n\n\n
Tato f\u00e1ze spo\u010d\u00edv\u00e1 v sestaven\u00ed individu\u00e1ln\u00edho j\u00eddeln\u00ed\u010dku, nejl\u00e9pe pod dohledem kvalifikovan\u00e9ho dietologa, kter\u00fd m\u00e1 s t\u00edmto typem p\u0159\u00edpad\u016f zku\u0161enosti. Strava pro SIBO by m\u011bla b\u00fdt bohat\u00e1 na produkty, kter\u00e9 byly testov\u00e1ny a u kter\u00fdch bylo zji\u0161t\u011bno, \u017ee nezp\u016fsobuj\u00ed gastrointestin\u00e1ln\u00ed p\u0159\u00edznaky. Nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny onemocn\u011bn\u00ed jsou zp\u016fsobeny \u0161patnou stravou, ale p\u0159i dodr\u017eov\u00e1n\u00ed individu\u00e1ln\u00ed diety m\u016f\u017eete jednou za \u010das zav\u00e9st slo\u017eky, kter\u00e9 p\u0159\u00edznaky onemocn\u011bn\u00ed vyvolaly, ale nem\u011blo by jich b\u00fdt velk\u00e9 mno\u017estv\u00ed.<\/p>\n\n\n\n
Z\u00e1v\u011br:<\/h2>\n\n\n\n\n- P\u0159i dodr\u017eov\u00e1n\u00ed diety, kter\u00e1 zahrnuje minimalizaci bakteri\u00ed v tenk\u00e9m st\u0159ev\u011b, je t\u0159eba m\u00edt na pam\u011bti, \u017ee element\u00e1rn\u00ed dieta je do\u010dasn\u00e1 a prvn\u00ed f\u00e1ze by nem\u011bla b\u00fdt del\u0161\u00ed ne\u017e 6 t\u00fddn\u016f, aby nedo\u0161lo k nedostatku \u017eivin. Za zm\u00ednku stoj\u00ed tak\u00e9 to, \u017ee sacharidy s kr\u00e1tk\u00fdm \u0159et\u011bzcem jsou prebiotika, kter\u00e1 maj\u00ed spoustu zbytk\u016f potravy a jsou v\u00fdbornou potravou pro bakterie \u017eij\u00edc\u00ed ve st\u0159evech. Prebiotika vy\u017eivuj\u00ed jak patogenn\u00ed, tak zdrav\u00ed prosp\u011b\u0161n\u00e9 bakterie. Dostate\u010dn\u00fd po\u010det zdrav\u00ed prosp\u011b\u0161n\u00fdch bakteri\u00ed prosp\u00edv\u00e1 st\u0159ev\u016fm a odstra\u0148uje syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku, malabsorpci nebo p\u0159\u00edznaky, kter\u00e9 prov\u00e1zej\u00ed SIBO,<\/li>\n\n\n\n
- Dieta by m\u011bla b\u00fdt p\u0159izp\u016fsobena tak, aby z n\u00ed byly vylou\u010deny v\u0161echny slo\u017eky, kter\u00e9 zp\u016fsobuj\u00ed st\u0159evn\u00ed pot\u00ed\u017ee.<\/li>\n\n\n\n
- Dieta by m\u011bla b\u00fdt sestavena certifikovan\u00fdm dietologem tak, aby nevedla k nedobr\u00e9mu stavu organismu, ale co nejv\u00edce minimalizovala p\u0159\u00edznaky dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku nebo bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed.<\/li>\n<\/ol>\n\n\n\n
Zdroje:<\/h4>\n\n\n\n\n- Gulbicka P, Grzymis\u0142awski M. Wzd\u0119cia brzucha – nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny a l\u00e9\u010dba. Zdr. Publ. 2016, 6, 1,<\/li>\n\n\n\n
- G\u0105siorowska J, Czerwionka-Szaflarska M. Syndrom p\u0159er\u016fst\u00e1n\u00ed bakteri\u00e1ln\u00ed fl\u00f3ry tenk\u00e9ho st\u0159eva versus syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku. Prz Gastroenterol 2013; 8 (3),<\/li>\n\n\n\n
- Szczeklik A., Gajewski P. Interna Szczeklika: syndrom bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed, 2018,<\/li>\n\n\n\n
- M. W\u0142ochal, M. Grzymis\u0142awski, Nov\u00e9 trendy v nutri\u010dn\u00ed l\u00e9\u010db\u011b z\u00e1n\u011btliv\u00fdch st\u0159evn\u00edch onemocn\u011bn\u00ed, „O\u0161et\u0159ovatelstv\u00ed a ve\u0159ejn\u00e9 zdrav\u00ed“ 2016, ro\u010d. 6, \u010d. 2.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"
SIBO – jinak zn\u00e1m\u00fd jako syndrom bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed v tenk\u00e9m st\u0159ev\u011b – je stav charakterizovan\u00fd zv\u00fd\u0161en\u00edm bakteri\u00e1ln\u00ed fl\u00f3ry tenk\u00e9ho st\u0159eva nebo zji\u0161t\u011bn\u00edm mikroorganism\u016f, kter\u00e9 v na\u0161ich st\u0159evech norm\u00e1ln\u011b ne\u017eij\u00ed. P\u0159\u00edznaky, kter\u00e9 mohou signalizovat, \u017ee se ve st\u0159evech d\u011bje n\u011bco \u0161patn\u00e9ho, jsou: V\u0161echny p\u0159\u00edznaky SIBO z\u00e1vis\u00ed na tom, jak dlouho nemoc trv\u00e1 a jak je z\u00e1va\u017en\u00e1. […]<\/p>\n","protected":false},"author":4,"featured_media":28864,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-28865","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","box-post"],"_links":{"self":[{"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/posts\/28865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/comments?post=28865"}],"version-history":[{"count":4,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/posts\/28865\/revisions"}],"predecessor-version":[{"id":88761,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/posts\/28865\/revisions\/88761"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/media\/28864"}],"wp:attachment":[{"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/media?parent=28865"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/categories?post=28865"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/tags?post=28865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure><\/figure>\n<\/div>\n\n\nLid\u00e9, u nich\u017e je diagnostikov\u00e1no bakteri\u00e1ln\u00ed p\u0159er\u016fst\u00e1n\u00ed, by m\u011bli b\u00fdt p\u0159edev\u0161\u00edm v trval\u00e9 p\u00e9\u010di internisty, gastrologa nebo gastroenterologa, kter\u00fd bude zodpov\u011bdn\u00fd za objedn\u00e1n\u00ed p\u0159\u00edslu\u0161n\u00fdch vy\u0161et\u0159en\u00ed a v p\u0159\u00edpad\u011b pot\u0159eby navrhne l\u00e9\u010dbu. Velmi \u010dasto je v tomto typu p\u0159\u00edpad\u016f na\u0159\u00edzena dechov\u00e1 zkou\u0161ka na vod\u00edk nebo vod\u00edk-metan. Vy\u0161et\u0159en\u00ed d\u00fdchac\u00edch cest je test, kter\u00fd lze prov\u00e9st pouze v nemocnici na pracovi\u0161ti, kter\u00e9 se specializuje na diagnostiku tohoto typu onemocn\u011bn\u00ed. Test m\u016f\u017ee trvat a\u017e 3 hodiny. Test spo\u010d\u00edv\u00e1 v m\u011b\u0159en\u00ed vod\u00edku ve vydechovan\u00e9m vzduchu po po\u017eit\u00ed roztoku l\u00e1tky, kter\u00e1 je rozkl\u00e1d\u00e1na bakteriemi – cukru. Testov\u00e1n\u00ed prob\u00edh\u00e1 v intervalech, ve kter\u00fdch se kontroluj\u00ed hladiny vydechovan\u00e9ho vod\u00edku, d\u00edky \u010demu\u017e m\u016f\u017eeme ur\u010dit, jak\u00e1 je aktivita bakteri\u00ed v dutin\u011b b\u0159i\u0161n\u00ed. Lidsk\u00e9 t\u011blo v klidov\u00e9m stavu p\u0159irozen\u011b nevylu\u010duje vod\u00edk, k tomu doch\u00e1z\u00ed pouze v procesu kva\u0161en\u00ed d\u00edky anaerobn\u00edm bakteri\u00edm. B\u011bhem vy\u0161et\u0159en\u00ed m\u016f\u017eete poci\u0165ovat bolesti b\u0159icha, nad\u00fdm\u00e1n\u00ed nebo \u0159\u00eddkou stolici. Je t\u0159eba tak\u00e9 pamatovat na \u0159\u00e1dnou p\u0159\u00edpravu na vy\u0161et\u0159en\u00ed, kter\u00e1 je nezbytn\u00e1 a rozhoduj\u00edc\u00ed pro z\u00edsk\u00e1n\u00ed spr\u00e1vn\u00e9ho v\u00fdsledku. M\u011bli bychom vz\u00edt v \u00favahu n\u00e1sleduj\u00edc\u00ed skute\u010dnosti:<\/p>\n\n\n\n
- \n
- sedm dn\u00ed p\u0159ed vy\u0161et\u0159en\u00edm by m\u011bla b\u00fdt pod l\u00e9ka\u0159sk\u00fdm dohledem vy\u0159azena proj\u00edmadla a prokinetika.<\/li>\n\n\n\n
- p\u0159estat u\u017e\u00edvat probiotika t\u0159i dny p\u0159ed vy\u0161et\u0159en\u00edm.<\/li>\n\n\n\n
- jeden den p\u0159ed vy\u0161et\u0159en\u00edm by osoby trp\u00edc\u00ed z\u00e1cpou m\u011bly ze sv\u00e9ho j\u00eddeln\u00ed\u010dku vy\u0159adit produkty s vysok\u00fdm koeficientem kva\u0161en\u00ed, tj. slo\u017eit\u00e9 sacharidy, kravsk\u00e9 ml\u00e9ko a v\u00fdrobky z n\u011bj a ovocn\u00e9 \u0161\u0165\u00e1vy. V tomto obdob\u00ed je v\u0161ak povolena b\u00edl\u00e1 r\u00fd\u017ee, p\u0161eni\u010dn\u00e9 pe\u010divo, maso, ryby a vejce.<\/li>\n\n\n\n
- Mezi zak\u00e1zan\u00e9 produkty pat\u0159\u00ed tak\u00e9: cibule, p\u00f3rek, \u010desnek, zel\u00ed, fazole, zelen\u00fd hr\u00e1\u0161ek a jak\u00e1koli nakl\u00e1dan\u00e1 nebo nakl\u00e1dan\u00e1 zelenina,<\/li>\n\n\n\n
- posledn\u00ed j\u00eddlo by m\u011blo b\u00fdt sn\u011bdeno 14 hodin p\u0159ed vy\u0161et\u0159en\u00edm. Ujist\u011bte se, \u017ee obsahuje m\u00e1lo vl\u00e1kniny. Po ve\u010de\u0159i sm\u00edte a\u017e do vy\u0161et\u0159en\u00ed p\u00edt pouze vodu,<\/li>\n\n\n\n
- je d\u016fle\u017eit\u00e9 nekou\u0159it a ne\u017ev\u00fdkat \u017ev\u00fdka\u010dku 2 hodiny p\u0159ed testem, proto\u017ee to m\u016f\u017ee rovn\u011b\u017e ovlivnit v\u00fdsledek testu.<\/li>\n<\/ul>\n\n\n\n
V den testu:<\/p>\n\n\n\n
- \n
- m\u011bli byste si d\u016fkladn\u011b \u010distit zuby a lid\u00e9 se zubn\u00ed n\u00e1hradou na n\u011b nesm\u00ed pou\u017e\u00edvat lepidlo,<\/li>\n\n\n\n
- je vhodn\u00e9 vyp\u00edt sklenici tepl\u00e9 vody,<\/li>\n\n\n\n
- p\u0159ed vy\u0161et\u0159en\u00edm neu\u017e\u00edvejte rozpustn\u00e9 vitam\u00edny, proj\u00edmadla nebo antibiotika.<\/li>\n\n\n\n
- fyzick\u00e1 aktivita by m\u011bla b\u00fdt omezena na minimum.<\/li>\n<\/ul>\n\n\n\n
P\u0159i pozitivn\u00edm n\u00e1lezu ve vydechovan\u00e9m vzduchu, kter\u00fd se zobraz\u00ed na kart\u011b, l\u00e9ka\u0159 p\u0159edep\u00ed\u0161e vhodnou antibiotickou l\u00e9\u010dbu, kter\u00e1 se pod\u00e1v\u00e1 pod jeho p\u0159\u00edsn\u00fdm dohledem. Metoda je rychl\u00e1 a \u00fa\u010dinn\u00e1, a pokud dodr\u017eujeme pokyny l\u00e9ka\u0159e, antibiotick\u00e1 l\u00e9\u010dba trv\u00e1 2 a\u017e 3 t\u00fddny. K l\u00e9\u010db\u011b by m\u011bl b\u00fdt pou\u017eit p\u0159\u00edpravek, kter\u00fd bude p\u016fsobit ve st\u0159evech a nedostane se do krevn\u00edho ob\u011bhu. Terapie by m\u011bla spo\u010d\u00edvat nejen v l\u00e9\u010db\u011b SIBO, ale tak\u00e9 ve zm\u011bn\u011b stravovac\u00edho re\u017eimu, nap\u0159. v zaveden\u00ed diety s n\u00edzk\u00fdm obsahem fodmap. M\u011bla by b\u00fdt zavedena pod p\u0159\u00edsn\u00fdm dohledem dietologa, proto\u017ee jej\u00ed pravidla jsou slo\u017eit\u00e1 a p\u0159\u00edsn\u00e1. Je tak\u00e9 vhodn\u00e9 vylou\u010dit probiotika z rodu Lactobacillus, proto\u017ee vedou k zes\u00edlen\u00ed p\u0159\u00edznak\u016f onemocn\u011bn\u00ed. Jakoukoli probiotickou a prebiotickou l\u00e9\u010dbu je t\u0159eba konzultovat s o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\n\n\n\n
Dieta p\u0159i diagnostikovan\u00e9m p\u0159er\u016fst\u00e1n\u00ed bakteri\u00e1ln\u00ed fl\u00f3ry – SIBO.<\/h2>\n\n\n\n
B\u011bhem l\u00e9\u010dby je velmi d\u016fle\u017eit\u00e1 spr\u00e1vn\u00e1 strava, kter\u00e1 zm\u00edrn\u00ed p\u0159\u00edznaky onemocn\u011bn\u00ed. Je d\u016fle\u017eit\u00e9 odstranit ze stravy slo\u017eky s vysok\u00fdm obsahem fodmap, tedy produkty, kter\u00e9 stimuluj\u00ed fermenta\u010dn\u00ed procesy ve st\u0159evech. Doporu\u010dujeme zde:<\/p>\n\n\n\n
- \n
- SCD dieta – neboli specifick\u00e1 sacharidov\u00e1 dieta, kter\u00e1 doporu\u010duje omezit sacharidy, jako je \u0161krob, poly- a disacharidy, na minimum. Jednoduch\u00e9 cukry nejsou zahrnuty,<\/li>\n\n\n\n
- dieta GAPS – je odvozena od diety SCD, ale je je\u0161t\u011b p\u0159\u00edsn\u011bj\u0161\u00ed,<\/li>\n\n\n\n
- Protokol Dr. Siebeckera – jedn\u00e1 se o doporu\u010den\u00ed zalo\u017een\u00e1 na SCD diet\u011b a n\u00edzkofodmapov\u00e9 diet\u011b. Elimina\u010dn\u00ed dieta doporu\u010dovan\u00e1 Dr. Siebeckerem doporu\u010duje za\u010d\u00edt s dietou SCD nebo GAPS a pot\u00e9 ji roz\u0161\u00ed\u0159it o fodmapov\u00e9 produkty. Maxim\u00e1ln\u00ed doba trv\u00e1n\u00ed diety by m\u011bla b\u00fdt dva m\u011bs\u00edce,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e1 dieta – jedn\u00e1 se o nejobl\u00edben\u011bj\u0161\u00ed model diety, kter\u00fd minimalizuje r\u016fst bakteri\u00ed v tenk\u00e9m st\u0159ev\u011b. Fodmapov\u00e1 dieta spo\u010d\u00edv\u00e1 ve vylou\u010den\u00ed produkt\u016f s vysokou m\u00edrou fermentace, tj. oligo-, di-, monosacharid\u016f a polyol\u016f, ze stravovac\u00edho pl\u00e1nu. Pat\u0159\u00ed k produkt\u016fm obsahuj\u00edc\u00edm sacharidy s kr\u00e1tk\u00fdm \u0159et\u011bzcem, kter\u00e9 se \u0161patn\u011b vst\u0159eb\u00e1vaj\u00ed, ale jsou rychle zkvasiteln\u00e9 s vysok\u00fdm osmotick\u00fdm tlakem, mezi n\u011b\u017e pat\u0159\u00ed: ml\u00e9\u010dn\u00e9 v\u00fdrobky, n\u011bkter\u00e9 lu\u0161t\u011bniny, sladidla, nap\u0159. Pat\u0159\u00ed mezi n\u011b: ml\u00e9\u010dn\u00e9 v\u00fdrobky, n\u011bkter\u00e9 lu\u0161t\u011bniny, sladidla jako xylitol, mannitol nebo erytritol, obiln\u00e9 v\u00fdrobky – p\u0161enice a \u010desnek a cibule nebo vysoce zpracovan\u00e9 maso.<\/li>\n<\/ul>\n\n\n\n<\/figure><\/figure>\n<\/div>\n\n\n
V p\u0159\u00edpad\u011b syndromu dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku nebo jin\u00fdch poruch tr\u00e1vic\u00edho syst\u00e9mu, nap\u0159. syndromu bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed, mohou v\u00fdrobky bohat\u00e9 na FOPMAP v\u00e9st ke zhor\u0161en\u00ed p\u0159\u00edznak\u016f onemocn\u011bn\u00ed. Do tlust\u00e9ho st\u0159eva se toti\u017e dost\u00e1vaj\u00ed v nezm\u011bn\u011bn\u00e9 podob\u011b. Osmotick\u00e9 vlastnosti jsou zodpov\u011bdn\u00e9 za zv\u00fd\u0161en\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed vody v tenk\u00e9m st\u0159ev\u011b. Tento jev vede k rozta\u017een\u00ed st\u0159evn\u00edch st\u011bn, co\u017e m\u016f\u017ee mimo jin\u00e9 zp\u016fsobit bolesti b\u0159icha. U pacient\u016f s diagn\u00f3zou bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed doch\u00e1z\u00ed v d\u016fsledku nadbytku bakteri\u00ed k nadm\u011brn\u00e9mu v\u00fdskytu plyn\u016f ve st\u0159evech, co\u017e zp\u016fsobuje nep\u0159\u00edjemn\u00e9 pocity a nad\u00fdm\u00e1n\u00ed.<\/p>\n\n\n\n
SIBO co j\u00edst? Dieta sibo byla p\u0159ipravena Australskou univerzitou a vyzna\u010duje se n\u00edzk\u00fdm obsahem fermentovateln\u00fdch potravin, tj. oligo-, di-, monosacharid\u016f a polyol\u016f. J\u00eddeln\u00ed\u010dek by m\u011bl b\u00fdt bohat\u00fd na vl\u00e1kninu, kter\u00e1 je nezbytn\u00e1 pro spr\u00e1vnou funkci st\u0159ev, a tak\u00e9 na b\u00edlkoviny, tuky, sacharidy, vitaminy a miner\u00e1ly. N\u00edzk\u00e1 dieta je p\u0159i terapii SIBO d\u016fle\u017eit\u00e1 a je rozd\u011blena do t\u0159\u00ed f\u00e1z\u00ed, kter\u00e9 ud\u00e1vaj\u00ed, jak\u00e9 potraviny j\u00edst a \u010demu se vyhnout:<\/p>\n\n\n\n
Pod\u00edvejte se tak\u00e9 na nejlep\u0161\u00ed dopl\u0148ky stravy:
Keto Actives <\/a>– zhubn\u011bte d\u00edky fenom\u00e9nu ket\u00f3zy
Fast Burn Extreme<\/a> – ov\u011b\u0159ujeme \u00fa\u010dinnost tohoto odbour\u00e1va\u010de tuk\u016f! Vyplat\u00ed se ho koupit?
BurnBooster<\/a> – hubnut\u00ed a spalov\u00e1n\u00ed tuk\u016f na nejvy\u0161\u0161\u00ed \u00farovni.
Bulk Extreme<\/a> – vybudujte si svalovou tk\u00e1\u0148 a z\u00edskejte postavu gladi\u00e1tora
Buff Skill<\/a> – n\u00e1poj pro zlep\u0161en\u00ed pam\u011bti a koncentrace<\/strong><\/p>\n\n\n\n1. f\u00e1ze I: elimina\u010dn\u00ed dieta<\/h3>\n\n\n\n
Trv\u00e1 2 a\u017e 6 t\u00fddn\u016f. B\u011bhem t\u00e9to doby bychom m\u011bli z j\u00eddeln\u00ed\u010dku vylou\u010dit v\u00fdrobky s vysok\u00fdm obsahem fodmap a nahradit je v\u00fdrobky s n\u00edzkou hodnotou fodmap:<\/p>\n\n\n\n
Zelenina:<\/h4>\n\n\n\n
- \n
- vysok\u00fd obsah fodmap: cibule, ch\u0159est, arty\u010doky, brokolice, kv\u011bt\u00e1k, patisony, \u010derven\u00e1 \u0159epa, p\u00f3rek, r\u016f\u017ei\u010dkov\u00e1 kapusta, \u010desnek, zel\u00ed, lu\u0161t\u011bniny, tj. cizrna, \u010do\u010dka, zelen\u00fd hr\u00e1\u0161ek, s\u00f3ja a fazole,<\/li>\n\n\n\n
- N\u00edzkofodmapov\u00e9 potraviny: raj\u010data, mrkev, \u010d\u00ednsk\u00e9 zel\u00ed, paprika, okurky, lilek, celer, kuku\u0159ice, d\u00fdn\u011b, hl\u00e1vkov\u00fd sal\u00e1t, d\u00fdn\u011b, pa\u017eitka, sladk\u00e9 brambory.<\/li>\n<\/ul>\n\n\n\n
Ovoce:<\/h4>\n\n\n\n
- \n
- vysok\u00fd obsah fodmap: jablka, hru\u0161ky, mango, meloun, \u0161vestky, meru\u0148ky, nektarinky, broskve, konzervovan\u00e9 ovoce, su\u0161en\u00e9 ovoce,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e9 potraviny: mandarinky, kiwi, ban\u00e1ny, hroznov\u00e9 v\u00edno, grapefruity, pomeran\u010de, bor\u016fvky, citrony, maliny, jahody.<\/li>\n<\/ul>\n\n\n\n
Ml\u00e9\u010dn\u00e9 v\u00fdrobky:<\/h4>\n\n\n\n
- \n
- s vysok\u00fdm obsahem fodmap: jemn\u00e9 s\u00fdry mascarpone nebo ricotta, tvaroh, jogurt, podm\u00e1sl\u00ed, kondenzovan\u00e9 ml\u00e9ko, kravsk\u00e9 ml\u00e9ko, ov\u010d\u00ed ml\u00e9ko, koz\u00ed ml\u00e9ko, \u0161leha\u010dka, zakysan\u00e1 smetana,<\/li>\n\n\n\n
- S n\u00edzk\u00fdm obsahem fodmap: s\u00fdr camembert, s\u00fdr brie, tvrd\u00e9 s\u00fdry jako \u0161v\u00fdcarsk\u00fd, \u010dedar, mozzarella, parmez\u00e1n, margar\u00edn, m\u00e1slo, ml\u00e9\u010dn\u00e9 v\u00fdrobky bez lakt\u00f3zy.<\/li>\n<\/ul>\n\n\n\n
Obiloviny a v\u00fdrobky z obilovin:<\/h4>\n\n\n\n
- \n
- vysok\u00fd obsah fodmap: p\u0161eni\u010dn\u00fd chl\u00e9b, p\u0161eni\u010dn\u00e9 v\u00fdrobky, \u017eito, p\u0161eni\u010dn\u00e9 sn\u00edda\u0148ov\u00e9 cere\u00e1lie se su\u0161en\u00fdm ovocem, p\u0161eni\u010dn\u00e9 t\u011bstoviny,<\/li>\n\n\n\n
- low fodmap: \u0161paldov\u00e1 mouka, bezlepkov\u00fd chl\u00e9b, \u0161paldov\u00fd kv\u00e1skov\u00fd chl\u00e9b, r\u00fd\u017eov\u00e9 vlo\u010dky, ovesn\u00e1 mouka, bezlepkov\u00e9 t\u011bstoviny, ovesn\u00e9 vlo\u010dky, quinoa, r\u00fd\u017ee.<\/li>\n<\/ul>\n\n\n\n
O\u0159echy a semena:<\/h4>\n\n\n\n
- \n
- s vysok\u00fdm obsahem fodmap: ke\u0161u o\u0159echy, pist\u00e1cie,<\/li>\n\n\n\n
- low fodmap: mandle, vla\u0161sk\u00e9 o\u0159echy, pekanov\u00e9 o\u0159echy, ara\u0161\u00eddy, makadamov\u00e9 o\u0159echy, piniov\u00e9 o\u0159\u00ed\u0161ky, sezamov\u00e1 sem\u00ednka, d\u00fd\u0148ov\u00e1 sem\u00ednka, slune\u010dnicov\u00e1 sem\u00ednka.<\/li>\n<\/ul>\n\n\n\n
Ostatn\u00ed:<\/h4>\n\n\n\n
- \n
- vysok\u00fd obsah fodmap: med, ag\u00e1vov\u00fd sirup, gluk\u00f3zo-frukt\u00f3zov\u00fd sirup, sladidla jako mannitol, maltitol, erytritol, xylitol, sorbitol, v\u00fdrobky bez cukru se sladidly, s\u00f3jov\u00e9 ml\u00e9ko,<\/li>\n\n\n\n
- n\u00edzk\u00fd obsah fodmap: javorov\u00fd sirup, granulovan\u00fd cukr, st\u00e9vie, aspartam, ara\u0161\u00eddov\u00e9 m\u00e1slo, mandlov\u00e9 ml\u00e9ko, r\u00fd\u017eov\u00e9 ml\u00e9ko.<\/li>\n<\/ul>\n\n\n\n
F\u00e1ze II – znovuzaveden\u00ed v\u00fdrobk\u016f obsahuj\u00edc\u00edch fodmap<\/h3>\n\n\n\n
Tato f\u00e1ze trv\u00e1 8 a\u017e 12 t\u00fddn\u016f. F\u00e1ze II spo\u010d\u00edv\u00e1 ve znovuzaveden\u00ed produkt\u016f s vysok\u00fdm obsahem fodmap do stravy v mal\u00e9m mno\u017estv\u00ed. Toto je jeden z nejd\u016fle\u017eit\u011bj\u0161\u00edch moment\u016f b\u011bhem l\u00e9\u010dby, proto\u017ee bychom m\u011bli jednou za 3 dny zav\u00e9st nov\u00fd p\u0159\u00edpravek a sledovat, zda se p\u0159\u00edznaky onemocn\u011bn\u00ed znovu objev\u00ed. Velmi \u00fa\u010dinn\u00e9 je veden\u00ed den\u00edku, do kter\u00e9ho p\u0159esn\u011b popisujeme, co jsme jedli, jak\u00e9 m\u00e1me p\u0159\u00edznaky a jak se c\u00edt\u00edme. Dieta SIBO je velmi omezuj\u00edc\u00ed a p\u0159i jej\u00edm roz\u0161i\u0159ov\u00e1n\u00ed bychom m\u011bli vz\u00edt v \u00favahu n\u011bkolik faktor\u016f:<\/p>\n\n\n\n
- \n
- P\u0159i roz\u0161i\u0159ov\u00e1n\u00ed j\u00eddeln\u00ed\u010dku bychom m\u011bli zav\u00e1d\u011bt v\u00fdrobky s vysok\u00fdm obsahem fodmap v mal\u00e9m mno\u017estv\u00ed a v ide\u00e1ln\u00edm p\u0159\u00edpad\u011b bychom m\u011bli zvolit jeden fodmapov\u00fd v\u00fdrobek jednou za 3 dny, tj. pokud.Pokud chceme zav\u00e9st frukt\u00f3zu, je lep\u0161\u00ed zvolit med ne\u017e ovoce, proto\u017ee ovoce je bohat\u00e9 i na jin\u00e9 fodmapov\u00e9 hodnoty, nejen na frukt\u00f3zu, nap\u0159. frukt\u00f3zu. Ovoce je bohat\u00e9 na dal\u0161\u00ed fodmapov\u00e9 hodnoty, nejen na frukt\u00f3zu jako med,<\/li>\n\n\n\n
- Skupiny v\u00fdrobk\u016f by m\u011bly b\u00fdt zav\u00e1d\u011bny postupn\u011b, nap\u0159. pokud se po zaveden\u00ed v\u00fdrobk\u016f s vysok\u00fdm obsahem frukt\u00f3zy do stravy neobjev\u00ed doprovodn\u00e9 onemocn\u011bn\u00ed, pak by po dobu testov\u00e1n\u00ed m\u011bly b\u00fdt v\u00fdrobky s vysok\u00fdm obsahem frukt\u00f3zy stejn\u011b vylou\u010deny,<\/li>\n\n\n\n
- D\u016fle\u017eit\u00e9 je zav\u00e1d\u011bt produkty z hlediska mno\u017estv\u00ed, tj. je vhodn\u00e9 za\u010d\u00edt s mal\u00fdmi porcemi, a pokud na\u0161e t\u011blo na l\u00e9\u010dbu dob\u0159e reaguje, porce by se m\u011bly zv\u00fd\u0161it.<\/li>\n<\/ul>\n\n\n\n
F\u00e1ze III – personalizace<\/h3>\n\n\n\n
Tato f\u00e1ze spo\u010d\u00edv\u00e1 v sestaven\u00ed individu\u00e1ln\u00edho j\u00eddeln\u00ed\u010dku, nejl\u00e9pe pod dohledem kvalifikovan\u00e9ho dietologa, kter\u00fd m\u00e1 s t\u00edmto typem p\u0159\u00edpad\u016f zku\u0161enosti. Strava pro SIBO by m\u011bla b\u00fdt bohat\u00e1 na produkty, kter\u00e9 byly testov\u00e1ny a u kter\u00fdch bylo zji\u0161t\u011bno, \u017ee nezp\u016fsobuj\u00ed gastrointestin\u00e1ln\u00ed p\u0159\u00edznaky. Nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny onemocn\u011bn\u00ed jsou zp\u016fsobeny \u0161patnou stravou, ale p\u0159i dodr\u017eov\u00e1n\u00ed individu\u00e1ln\u00ed diety m\u016f\u017eete jednou za \u010das zav\u00e9st slo\u017eky, kter\u00e9 p\u0159\u00edznaky onemocn\u011bn\u00ed vyvolaly, ale nem\u011blo by jich b\u00fdt velk\u00e9 mno\u017estv\u00ed.<\/p>\n\n\n\n
Z\u00e1v\u011br:<\/h2>\n\n\n\n
- \n
- P\u0159i dodr\u017eov\u00e1n\u00ed diety, kter\u00e1 zahrnuje minimalizaci bakteri\u00ed v tenk\u00e9m st\u0159ev\u011b, je t\u0159eba m\u00edt na pam\u011bti, \u017ee element\u00e1rn\u00ed dieta je do\u010dasn\u00e1 a prvn\u00ed f\u00e1ze by nem\u011bla b\u00fdt del\u0161\u00ed ne\u017e 6 t\u00fddn\u016f, aby nedo\u0161lo k nedostatku \u017eivin. Za zm\u00ednku stoj\u00ed tak\u00e9 to, \u017ee sacharidy s kr\u00e1tk\u00fdm \u0159et\u011bzcem jsou prebiotika, kter\u00e1 maj\u00ed spoustu zbytk\u016f potravy a jsou v\u00fdbornou potravou pro bakterie \u017eij\u00edc\u00ed ve st\u0159evech. Prebiotika vy\u017eivuj\u00ed jak patogenn\u00ed, tak zdrav\u00ed prosp\u011b\u0161n\u00e9 bakterie. Dostate\u010dn\u00fd po\u010det zdrav\u00ed prosp\u011b\u0161n\u00fdch bakteri\u00ed prosp\u00edv\u00e1 st\u0159ev\u016fm a odstra\u0148uje syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku, malabsorpci nebo p\u0159\u00edznaky, kter\u00e9 prov\u00e1zej\u00ed SIBO,<\/li>\n\n\n\n
- Dieta by m\u011bla b\u00fdt p\u0159izp\u016fsobena tak, aby z n\u00ed byly vylou\u010deny v\u0161echny slo\u017eky, kter\u00e9 zp\u016fsobuj\u00ed st\u0159evn\u00ed pot\u00ed\u017ee.<\/li>\n\n\n\n
- Dieta by m\u011bla b\u00fdt sestavena certifikovan\u00fdm dietologem tak, aby nevedla k nedobr\u00e9mu stavu organismu, ale co nejv\u00edce minimalizovala p\u0159\u00edznaky dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku nebo bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed.<\/li>\n<\/ol>\n\n\n\n
Zdroje:<\/h4>\n\n\n\n
- \n
- Gulbicka P, Grzymis\u0142awski M. Wzd\u0119cia brzucha – nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny a l\u00e9\u010dba. Zdr. Publ. 2016, 6, 1,<\/li>\n\n\n\n
- G\u0105siorowska J, Czerwionka-Szaflarska M. Syndrom p\u0159er\u016fst\u00e1n\u00ed bakteri\u00e1ln\u00ed fl\u00f3ry tenk\u00e9ho st\u0159eva versus syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku. Prz Gastroenterol 2013; 8 (3),<\/li>\n\n\n\n
- Szczeklik A., Gajewski P. Interna Szczeklika: syndrom bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed, 2018,<\/li>\n\n\n\n
- M. W\u0142ochal, M. Grzymis\u0142awski, Nov\u00e9 trendy v nutri\u010dn\u00ed l\u00e9\u010db\u011b z\u00e1n\u011btliv\u00fdch st\u0159evn\u00edch onemocn\u011bn\u00ed, „O\u0161et\u0159ovatelstv\u00ed a ve\u0159ejn\u00e9 zdrav\u00ed“ 2016, ro\u010d. 6, \u010d. 2.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"
SIBO – jinak zn\u00e1m\u00fd jako syndrom bakteri\u00e1ln\u00edho p\u0159er\u016fst\u00e1n\u00ed v tenk\u00e9m st\u0159ev\u011b – je stav charakterizovan\u00fd zv\u00fd\u0161en\u00edm bakteri\u00e1ln\u00ed fl\u00f3ry tenk\u00e9ho st\u0159eva nebo zji\u0161t\u011bn\u00edm mikroorganism\u016f, kter\u00e9 v na\u0161ich st\u0159evech norm\u00e1ln\u011b ne\u017eij\u00ed. P\u0159\u00edznaky, kter\u00e9 mohou signalizovat, \u017ee se ve st\u0159evech d\u011bje n\u011bco \u0161patn\u00e9ho, jsou: V\u0161echny p\u0159\u00edznaky SIBO z\u00e1vis\u00ed na tom, jak dlouho nemoc trv\u00e1 a jak je z\u00e1va\u017en\u00e1. […]<\/p>\n","protected":false},"author":4,"featured_media":28864,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-28865","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","box-post"],"_links":{"self":[{"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/posts\/28865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/comments?post=28865"}],"version-history":[{"count":4,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/posts\/28865\/revisions"}],"predecessor-version":[{"id":88761,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/posts\/28865\/revisions\/88761"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/media\/28864"}],"wp:attachment":[{"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/media?parent=28865"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/categories?post=28865"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/consumers-views.com\/cz\/wp-json\/wp\/v2\/tags?post=28865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}