V\u0161etky pr\u00edznaky SIBO z\u00e1visia od toho, ako dlho choroba trv\u00e1 a ak\u00e1 je jej z\u00e1va\u017enos\u0165. SIBO sa tie\u017e ve\u013emi \u010dasto zamie\u0148a s IBS, tzv. syndr\u00f3mom dr\u00e1\u017ediv\u00e9ho \u010dreva. Nadmern\u00e9 premno\u017eenie bakt\u00e9ri\u00ed sa ve\u013emi \u010dasto zvy\u0161uje po konzum\u00e1cii uhoriek, surovej zeleniny a ovocia, probiot\u00edk, ako aj prebiot\u00edk, t. j. \u017eiv\u00edn pre bakt\u00e9rie. V\u010faka t\u00fdmto produktom m\u00f4\u017eeme okrem in\u00e9ho rozl\u00ed\u0161i\u0165 syndr\u00f3m bakteri\u00e1lneho prerastania a IBS.<\/p>\n\n\n\n
Diagnostika a lie\u010dba<\/h2>\n\n\n\n![\"](\"https:\/\/consumers-views.com\/sk\/wp-content\/uploads\/2021\/12\/Depositphotos_178830438_S.jpg\" "\\"\\"")
<\/figure><\/figure>\n<\/div>\n\n\n\u013dudia, u ktor\u00fdch sa diagnostikuje bakteri\u00e1lne prerastanie, by mali by\u0165 v prvom rade v st\u00e1lej starostlivosti internistu, gastrol\u00f3ga alebo gastroenterol\u00f3ga, ktor\u00fd bude zodpovedn\u00fd za objednanie pr\u00edslu\u0161n\u00fdch testov a v pr\u00edpade potreby navrhne lie\u010dbu. V tak\u00fdchto pr\u00edpadoch sa ve\u013emi \u010dasto naria\u010fuje vod\u00edkov\u00e1 dychov\u00e1 sk\u00fa\u0161ka alebo dychov\u00e1 sk\u00fa\u0161ka na vod\u00edk a met\u00e1n. Vy\u0161etrenie d\u00fdchac\u00edch ciest je test, ktor\u00fd sa m\u00f4\u017ee vykona\u0165 len v nemocnici na mieste, ktor\u00e9 sa \u0161pecializuje na diagnostiku tohto typu ochorenia. Test m\u00f4\u017ee trva\u0165 a\u017e 3 hodiny. Test spo\u010d\u00edva v meran\u00ed vod\u00edka vo vydychovanom vzduchu po po\u017eit\u00ed roztoku l\u00e1tky, ktor\u00fa rozkladaj\u00fa bakt\u00e9rie – cukru. Testovanie sa vykon\u00e1va v intervaloch, v ktor\u00fdch sa kontroluj\u00fa hladiny vydychovan\u00e9ho vod\u00edka, v\u010faka \u010domu m\u00f4\u017eeme ur\u010di\u0165, ak\u00e1 je aktivita bakt\u00e9ri\u00ed v bru\u0161nej dutine. \u013dudsk\u00e9 telo prirodzene nevylu\u010duje vod\u00edk v pokoji, k tomu doch\u00e1dza len v procese ferment\u00e1cie v\u010faka anaer\u00f3bnym bakt\u00e9ri\u00e1m. Po\u010das vy\u0161etrenia sa m\u00f4\u017ee vyskytn\u00fa\u0165 boles\u0165 brucha, plynatos\u0165 alebo riedka stolica. Je potrebn\u00e9 pam\u00e4ta\u0165 aj na spr\u00e1vnu pr\u00edpravu na vy\u0161etrenie, ktor\u00e1 je nevyhnutn\u00e1 a rozhoduj\u00faca na dosiahnutie spr\u00e1vneho v\u00fdsledku. Mali by sme vzia\u0165 do \u00favahy nasleduj\u00face skuto\u010dnosti:<\/p>\n\n\n\n
\n- sedem dn\u00ed pred vy\u0161etren\u00edm by sa mali pod lek\u00e1rskym doh\u013eadom vyl\u00fa\u010di\u0165 laxat\u00edva a prokinetik\u00e1.<\/li>\n\n\n\n
- tri dni pred vy\u0161etren\u00edm by ste mali presta\u0165 u\u017e\u00edva\u0165 probiotik\u00e1.<\/li>\n\n\n\n
- jeden de\u0148 pred vy\u0161etren\u00edm by osoby trpiace z\u00e1pchou mali zo svojej stravy vyl\u00fa\u010di\u0165 produkty s vysok\u00fdm koeficientom ferment\u00e1cie, t. j. zlo\u017eit\u00e9 sacharidy, kravsk\u00e9 mlieko a v\u00fdrobky z neho, ako aj ovocn\u00e9 \u0161\u0165avy. Po\u010das tohto obdobia je v\u0161ak povolen\u00e1 biela ry\u017ea, p\u0161eni\u010dn\u00fd chlieb, m\u00e4so, ryby a vajcia.<\/li>\n\n\n\n
- Medzi zak\u00e1zan\u00e9 produkty patria aj: cibu\u013ea, p\u00f3r, cesnak, kapusta, fazu\u013ea, zelen\u00fd hr\u00e1\u0161ok a ak\u00e1ko\u013evek nakladan\u00e1 alebo marinovan\u00e1 zelenina,<\/li>\n\n\n\n
- posledn\u00e9 jedlo by sa malo zjes\u0165 14 hod\u00edn pred vy\u0161etren\u00edm. Uistite sa, \u017ee obsahuje m\u00e1lo vl\u00e1kniny. Po ve\u010deri m\u00f4\u017eete a\u017e do vy\u0161etrenia pi\u0165 len vodu,<\/li>\n\n\n\n
- je d\u00f4le\u017eit\u00e9, aby ste 2 hodiny pred testom nefaj\u010dili ani ne\u017euvali \u017euva\u010dku, preto\u017ee aj to m\u00f4\u017ee ovplyvni\u0165 v\u00fdsledok testu.<\/li>\n<\/ul>\n\n\n\n
V de\u0148 testu:<\/p>\n\n\n\n
\n- mali by ste si d\u00f4kladne \u010disti\u0165 zuby a \u013eudia so zubnou n\u00e1hradou na ne nesm\u00fa pou\u017e\u00edva\u0165 lepidlo,<\/li>\n\n\n\n
- je vhodn\u00e9 vypi\u0165 poh\u00e1r teplej vody,<\/li>\n\n\n\n
- pred vy\u0161etren\u00edm neu\u017e\u00edvajte rozpustn\u00e9 vitam\u00edny, preh\u00e1\u0148adl\u00e1 alebo antibiotik\u00e1<\/li>\n\n\n\n
- fyzick\u00e1 aktivita by sa mala obmedzi\u0165 na minimum.<\/li>\n<\/ul>\n\n\n\n
Ke\u010f sa vo vydychovanom vzduchu zist\u00ed pozit\u00edvny v\u00fdsledok, ktor\u00fd sa zobraz\u00ed na karte, lek\u00e1r predp\u00ed\u0161e vhodn\u00fa antibiotick\u00fa lie\u010dbu, ktor\u00e1 sa pod\u00e1va pod jeho pr\u00edsnym doh\u013eadom. Met\u00f3da je r\u00fdchla a \u00fa\u010dinn\u00e1, a ak dodr\u017e\u00edme pokyny lek\u00e1ra, antibiotick\u00e1 lie\u010dba bude trva\u0165 2 a\u017e 3 t\u00fd\u017edne. Pri lie\u010dbe by sa mal pou\u017e\u00edva\u0165 pr\u00edpravok, ktor\u00fd bude p\u00f4sobi\u0165 v \u010drev\u00e1ch a nedostane sa do krvn\u00e9ho obehu. Terapia by nemala pozost\u00e1va\u0165 len z lie\u010dby SIBO, ale aj zo zmeny stravovacieho re\u017eimu, napr. zavedenia di\u00e9ty s n\u00edzkym obsahom fodm\u00e1p. Mala by sa zavies\u0165 pod pr\u00edsnym doh\u013eadom dietol\u00f3ga, preto\u017ee jej pravidl\u00e1 s\u00fa zlo\u017eit\u00e9 a pr\u00edsne. Je tie\u017e vhodn\u00e9 vyl\u00fa\u010di\u0165 probiotik\u00e1 z rodu Lactobacillus, preto\u017ee ved\u00fa k zosilneniu pr\u00edznakov ochorenia. Ka\u017ed\u00fa probiotick\u00fa a prebiotick\u00fa lie\u010dbu je potrebn\u00e9 konzultova\u0165 s o\u0161etruj\u00facim lek\u00e1rom.<\/p>\n\n\n\n
Pozrite si tie\u017e najlep\u0161ie doplnky:
Keto Actives<\/a> – schudnite v\u010faka fenom\u00e9nu ket\u00f3zy
Fast Burn Extreme<\/a> – overujeme \u00fa\u010dinnos\u0165 tohto reduktora tuku! Oplat\u00ed sa ho k\u00fapi\u0165?
BurnBooster<\/a> – chudnutie a spa\u013eovanie tukov na najvy\u0161\u0161ej \u00farovni.
Bulk Extreme<\/a> – vybudujte si svalov\u00e9 tkanivo a z\u00edskajte postavu gladi\u00e1tora
Buff Skill<\/a> – n\u00e1poj na zlep\u0161enie pam\u00e4te a koncentr\u00e1cie<\/strong><\/p>\n\n\n\nDi\u00e9ta pri diagnostikovanom prerastan\u00ed bakteri\u00e1lnej fl\u00f3ry – SIBO.<\/h2>\n\n\n\n
Po\u010das lie\u010dby je ve\u013emi d\u00f4le\u017eit\u00e1 spr\u00e1vna strava, ktor\u00e1 zmierni pr\u00edznaky ochorenia. Je d\u00f4le\u017eit\u00e9 odstr\u00e1ni\u0165 zo stravy zlo\u017eky s vysok\u00fdm obsahom fodm\u00e1p, teda produkty, ktor\u00e9 stimuluj\u00fa fermenta\u010dn\u00e9 procesy v \u010drev\u00e1ch. Odpor\u00fa\u010dame tu:<\/p>\n\n\n\n
\n- SCD di\u00e9ta – \u0161pecifick\u00e1 sacharidov\u00e1 di\u00e9ta, ktor\u00e1 odpor\u00fa\u010da obmedzi\u0165 sacharidy ako \u0161krob, poly- a disacharidy na minimum. Jednoduch\u00e9 cukry nie s\u00fa zahrnut\u00e9,<\/li>\n\n\n\n
- di\u00e9ta GAPS – je odvoden\u00e1 od di\u00e9ty SCD, ale je e\u0161te pr\u00edsnej\u0161ia,<\/li>\n\n\n\n
- Protokol Dr. Siebeckera – ide o odpor\u00fa\u010dania zalo\u017een\u00e9 na di\u00e9te SCD a n\u00edzkofodmapovej di\u00e9te. Elimina\u010dn\u00e1 di\u00e9ta odpor\u00fa\u010dan\u00e1 doktorom Siebeckerom odpor\u00fa\u010da za\u010da\u0165 proces s SCD alebo GAPS di\u00e9tou a potom ju roz\u0161\u00edri\u0165 o fodmapov\u00e9 produkty. Maxim\u00e1lna d\u013a\u017eka trvania di\u00e9ty by mala by\u0165 dva mesiace,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e1 di\u00e9ta – ide o najpopul\u00e1rnej\u0161\u00ed model stravovania, ktor\u00fd minimalizuje rast bakt\u00e9ri\u00ed v tenkom \u010dreve. Fodmapov\u00e1 di\u00e9ta zah\u0155\u0148a vyl\u00fa\u010denie produktov s vysokou mierou ferment\u00e1cie, t. j. oligo-, di-, monosacharidov a polyolov, zo stravovacieho pl\u00e1nu. Patria sem produkty obsahuj\u00face sacharidy s kr\u00e1tkym re\u0165azcom, ktor\u00e9 sa zle vstreb\u00e1vaj\u00fa, ale r\u00fdchlo kvasia s vysok\u00fdm osmotick\u00fdm tlakom, medzi ktor\u00e9 patria: mlie\u010dne v\u00fdrobky, niektor\u00e9 strukoviny, sladidl\u00e1, napr. Patria sem: mlie\u010dne v\u00fdrobky, niektor\u00e9 strukoviny, sladidl\u00e1 ako xylitol, manitol alebo erytritol, obiln\u00e9 v\u00fdrobky – p\u0161enica a cesnak a cibu\u013ea alebo vysoko spracovan\u00e9 m\u00e4so.<\/li>\n<\/ul>\n\n\n\n
![\"](\"https:\/\/consumers-views.com\/sk\/wp-content\/uploads\/2021\/12\/Depositphotos_160465124_S.jpg\" "\\"\\"")
<\/figure><\/figure>\n<\/div>\n\n\nV pr\u00edpade syndr\u00f3mu dr\u00e1\u017ediv\u00e9ho \u010dreva alebo in\u00fdch por\u00fach tr\u00e1viaceho syst\u00e9mu, t. j. syndr\u00f3mu bakteri\u00e1lneho prerastania, m\u00f4\u017eu v\u00fdrobky bohat\u00e9 na FOPMAP vies\u0165 k zhor\u0161eniu pr\u00edznakov ochorenia. Do hrub\u00e9ho \u010dreva sa toti\u017e dost\u00e1vaj\u00fa v nezmenenej forme. Osmotick\u00e9 vlastnosti s\u00fa zodpovedn\u00e9 za zv\u00fd\u0161enie absorpcie vody v tenkom \u010dreve. Tento jav vedie k roztiahnutiu \u010drevn\u00fdch stien, \u010do m\u00f4\u017ee okrem in\u00e9ho sp\u00f4sobi\u0165 bolesti brucha. U pacientov s diagn\u00f3zou bakteri\u00e1lneho prerastania vznik\u00e1 v \u010drev\u00e1ch nadbytok plynu, ktor\u00fd sp\u00f4sobuje nepr\u00edjemn\u00e9 pocity a nad\u00favanie.<\/p>\n\n\n\n
SIBO \u010do jes\u0165? Di\u00e9tu sibo pripravila Austr\u00e1lska univerzita a vyzna\u010duje sa n\u00edzkym obsahom fermentovate\u013en\u00fdch potrav\u00edn, t. j. oligo-, di-, monosacharidov a polyolov. Strava by mala by\u0165 bohat\u00e1 na vl\u00e1kninu, ktor\u00e1 je nevyhnutn\u00e1 pre spr\u00e1vnu funkciu \u010driev, ako aj na bielkoviny, tuky, sacharidy, vitam\u00edny a miner\u00e1ly. N\u00edzka di\u00e9ta je pri terapii SIBO d\u00f4le\u017eit\u00e1 a je rozdelen\u00e1 do troch f\u00e1z, ktor\u00e9 nazna\u010duj\u00fa, ak\u00e9 potraviny jes\u0165 a \u010domu sa vyh\u00fdba\u0165:<\/p>\n\n\n\n
1. f\u00e1za I: elimina\u010dn\u00e1 di\u00e9ta<\/h3>\n\n\n\n
Trv\u00e1 2 a\u017e 6 t\u00fd\u017ed\u0148ov. Po\u010das tohto obdobia by sme mali zo stravy vyl\u00fa\u010di\u0165 v\u00fdrobky s vysok\u00fdm obsahom fodm\u00e1p a nahradi\u0165 ich v\u00fdrobkami s n\u00edzkou hodnotou fodm\u00e1p:<\/p>\n\n\n\n
Zelenina:<\/h4>\n\n\n\n\n- vysok\u00fd obsah fodm\u00e1p: cibu\u013ea, \u0161parg\u013ea, arti\u010doky, brokolica, karfiol, patiz\u00f3ny, \u010derven\u00e1 repa, p\u00f3r, ru\u017ei\u010dkov\u00fd kel, cesnak, kapusta, strukoviny, t. j. c\u00edcer, \u0161o\u0161ovica, zelen\u00fd hr\u00e1\u0161ok, s\u00f3ja a fazu\u013ea,<\/li>\n\n\n\n
- N\u00edzkofodmapov\u00e9: paradajky, mrkva, \u010d\u00ednska kapusta, paprika, uhorky, bakla\u017e\u00e1n, zeler, kukurica, tekvica, \u0161al\u00e1t, tekvica, pa\u017e\u00edtka, sladk\u00e9 zemiaky.<\/li>\n<\/ul>\n\n\n\n
Ovocie:<\/h4>\n\n\n\n\n- vysok\u00fd obsah fodm\u00e1p: jablk\u00e1, hru\u0161ky, mango, mel\u00f3n, slivky, marhule, nektarinky, broskyne, konzervovan\u00e9 ovocie, su\u0161en\u00e9 ovocie,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e9: mandar\u00ednky, kivi, ban\u00e1ny, hrozno, grapefruit, pomaran\u010de, \u010du\u010doriedky, citr\u00f3ny, maliny, jahody.<\/li>\n<\/ul>\n\n\n\n
Mlie\u010dne v\u00fdrobky:<\/h4>\n\n\n\n\n- s vysok\u00fdm obsahom fodmapy: jemn\u00e9 syry mascarpone alebo ricotta, tvaroh, jogurt, cmar, kondenzovan\u00e9 mlieko, kravsk\u00e9 mlieko, ov\u010die mlieko, kozie mlieko, \u0161\u013eaha\u010dka, kysl\u00e1 smotana,<\/li>\n\n\n\n
- N\u00edzky obsah fodm\u00e1p: syr camembert, syr brie, tvrd\u00e9 syry ako \u0161vaj\u010diarsky, \u010dedar, mozzarella, parmez\u00e1n, margar\u00edn, maslo, mlie\u010dne v\u00fdrobky bez lakt\u00f3zy.<\/li>\n<\/ul>\n\n\n\n
Obilniny a v\u00fdrobky z obiln\u00edn:<\/h4>\n\n\n\n\n- vysok\u00fd obsah fodm\u00e1p: p\u0161eni\u010dn\u00fd chlieb, p\u0161eni\u010dn\u00e9 v\u00fdrobky, ra\u017e, p\u0161eni\u010dn\u00e9 ra\u0148ajkov\u00e9 cere\u00e1lie so su\u0161en\u00fdm ovoc\u00edm, p\u0161eni\u010dn\u00e9 cestoviny,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e9: \u0161paldov\u00e1 m\u00faka, bezlepkov\u00fd chlieb, \u0161paldov\u00fd kv\u00e1sok, ry\u017eov\u00e9 vlo\u010dky, ovsen\u00e1 m\u00faka, bezlepkov\u00e9 cestoviny, ovsen\u00e9 vlo\u010dky, quinoa, ry\u017ea.<\/li>\n<\/ul>\n\n\n\n
Orechy a semen\u00e1:<\/h4>\n\n\n\n\n- s vysok\u00fdm obsahom fodmapy: ke\u0161u orechy, pist\u00e1cie,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e9: mandle, vla\u0161sk\u00e9 orechy, pekanov\u00e9 orechy, ara\u0161idy, makadamov\u00e9 orechy, p\u00edniov\u00e9 orie\u0161ky, sezamov\u00e9 semienka, tekvicov\u00e9 semienka, slne\u010dnicov\u00e9 semienka.<\/li>\n<\/ul>\n\n\n\n
Ostatn\u00e9:<\/h4>\n\n\n\n\n- vysok\u00fd obsah fodmap: med, ag\u00e1vov\u00fd sirup, gluk\u00f3zovo-frukt\u00f3zov\u00fd sirup, sladidl\u00e1 ako manitol, maltitol, erytritol, xylitol, sorbitol, v\u00fdrobky bez cukru so sladidlami, s\u00f3jov\u00e9 mlieko,<\/li>\n\n\n\n
- n\u00edzky obsah fodmap: javorov\u00fd sirup, kry\u0161t\u00e1lov\u00fd cukor, st\u00e9via, aspart\u00e1m, ara\u0161idov\u00e9 maslo, mand\u013eov\u00e9 mlieko, ry\u017eov\u00e9 mlieko.<\/li>\n<\/ul>\n\n\n\n
Pozrite si tie\u017e najlep\u0161ie doplnky:
Keto Actives<\/a> – schudnite v\u010faka fenom\u00e9nu ket\u00f3zy
Fast Burn Extreme<\/a> – overujeme \u00fa\u010dinnos\u0165 tohto reduktora tuku! Oplat\u00ed sa ho k\u00fapi\u0165?
BurnBooster<\/a> – chudnutie a spa\u013eovanie tukov na najvy\u0161\u0161ej \u00farovni.
Bulk Extreme<\/a> – vybudujte si svalov\u00e9 tkanivo a z\u00edskajte postavu gladi\u00e1tora
Buff Skill<\/a> – n\u00e1poj na zlep\u0161enie pam\u00e4te a koncentr\u00e1cie<\/strong><\/p>\n\n\n\nF\u00e1za II – op\u00e4tovn\u00e9 zavedenie v\u00fdrobkov obsahuj\u00facich fodmap<\/h3>\n\n\n\n
T\u00e1to f\u00e1za trv\u00e1 8 a\u017e 12 t\u00fd\u017ed\u0148ov. Druh\u00e1 f\u00e1za spo\u010d\u00edva v op\u00e4tovnom zaveden\u00ed v\u00fdrobkov s vysok\u00fdm obsahom fodm\u00e1p do stravy v mal\u00fdch mno\u017estv\u00e1ch. Toto je jeden z najd\u00f4le\u017eitej\u0161\u00edch momentov po\u010das lie\u010dby, preto\u017ee raz za 3 dni by sme mali zavies\u0165 nov\u00fd produkt a sledova\u0165, \u010di sa pr\u00edznaky ochorenia znovu objavia. Ve\u013emi \u00fa\u010dinn\u00e9 je vedenie denn\u00edka, v ktorom presne popisujeme, \u010do sme jedli, ak\u00e9 m\u00e1me pr\u00edznaky a ako sa c\u00edtime. Di\u00e9ta SIBO je ve\u013emi obmedzuj\u00faca a pri jej predl\u017eovan\u00ed by sme mali zoh\u013eadni\u0165 nieko\u013eko faktorov:<\/p>\n\n\n\n
\n- Pri roz\u0161irovan\u00ed stravy by sme mali zav\u00e1dza\u0165 v\u00fdrobky s vysok\u00fdm obsahom fodm\u00e1p v mal\u00fdch mno\u017estv\u00e1ch a ide\u00e1lne by sme mali vybra\u0165 jeden fodmapov\u00fd v\u00fdrobok raz za 3 dni, t. j. akAk chceme zavies\u0165 frukt\u00f3zu, je lep\u0161ie zvoli\u0165 med ako ovocie, preto\u017ee ovocie je bohat\u00e9 na in\u00e9 fodmapov\u00e9 hodnoty a nielen na frukt\u00f3zu, napr. Ovocie je bohat\u00e9 aj na in\u00e9 fodmapov\u00e9 hodnoty, nielen na frukt\u00f3zu ako med,<\/li>\n\n\n\n
- Skupiny v\u00fdrobkov by sa mali zav\u00e1dza\u0165 postupne, napr. ak sa po zaveden\u00ed v\u00fdrobkov s vysok\u00fdm obsahom frukt\u00f3zy do stravy neobjavilo sprievodn\u00e9 ochorenie, potom by sa na obdobie testovania mali v\u00fdrobky s vysok\u00fdm obsahom frukt\u00f3zy aj tak vyl\u00fa\u010di\u0165,<\/li>\n\n\n\n
- D\u00f4le\u017eit\u00e9 je zav\u00e1dza\u0165 produkty v mno\u017estve, t. j. je vhodn\u00e9 za\u010da\u0165 s mal\u00fdmi d\u00e1vkami, a ak na\u0161e telo na lie\u010dbu dobre reaguje, d\u00e1vky by sa mali zv\u00fd\u0161i\u0165.<\/li>\n<\/ul>\n\n\n\n
F\u00e1za III – personaliz\u00e1cia<\/h3>\n\n\n\n
T\u00e1to f\u00e1za spo\u010d\u00edva vo vytvoren\u00ed individu\u00e1lnej di\u00e9ty, najlep\u0161ie pod doh\u013eadom kvalifikovan\u00e9ho dietol\u00f3ga, ktor\u00fd m\u00e1 sk\u00fasenosti s t\u00fdmto typom pr\u00edpadov. Strava pre SIBO by mala by\u0165 bohat\u00e1 na produkty, ktor\u00e9 boli testovan\u00e9 a identifikovan\u00e9 ako produkty, ktor\u00e9 nesp\u00f4sobuj\u00fa gastrointestin\u00e1lne pr\u00edznaky. Naj\u010dastej\u0161ie pr\u00ed\u010diny ochorenia s\u00fa sp\u00f4soben\u00e9 nespr\u00e1vnou stravou, ale pri dodr\u017eiavan\u00ed individu\u00e1lnej di\u00e9ty m\u00f4\u017eete raz za \u010das zavies\u0165 zlo\u017eky, ktor\u00e9 vyvolali pr\u00edznaky ochorenia, ale nemalo by to by\u0165 vo ve\u013ekom mno\u017estve.<\/p>\n\n\n\n
Z\u00e1ver:<\/h2>\n\n\n\n\n- Pri dodr\u017eiavan\u00ed di\u00e9ty, ktor\u00e1 zah\u0155\u0148a minimaliz\u00e1ciu bakt\u00e9ri\u00ed v tenkom \u010dreve, je potrebn\u00e9 ma\u0165 na pam\u00e4ti, \u017ee element\u00e1rna di\u00e9ta je do\u010dasn\u00e1 a prv\u00e1 f\u00e1za by nemala by\u0165 dlh\u0161ia ako 6 t\u00fd\u017ed\u0148ov, aby nedo\u0161lo k nedostatku \u017eiv\u00edn. Za zmienku stoj\u00ed aj to, \u017ee sacharidy s kr\u00e1tkym re\u0165azcom s\u00fa prebiotik\u00e1, ktor\u00e9 maj\u00fa ve\u013ea zvy\u0161kov potravy a s\u00fa v\u00fdbornou potravou pre bakt\u00e9rie \u017eij\u00face v \u010drev\u00e1ch. Prebiotik\u00e1 vy\u017eivuj\u00fa patog\u00e9nne aj zdraviu prospe\u0161n\u00e9 bakt\u00e9rie. Primeran\u00fd po\u010det zdraviu prospe\u0161n\u00fdch bakt\u00e9ri\u00ed prospieva \u010drev\u00e1m a eliminuje syndr\u00f3m dr\u00e1\u017ediv\u00e9ho \u010dreva, malabsorpciu alebo pr\u00edznaky, ktor\u00e9 sprev\u00e1dzaj\u00fa SIBO,<\/li>\n\n\n\n
- Di\u00e9ta by mala by\u0165 prisp\u00f4soben\u00e1 tak, aby vyl\u00fa\u010dila v\u0161etky zlo\u017eky, ktor\u00e9 sp\u00f4sobuj\u00fa \u010drevn\u00e9 \u0165a\u017ekosti.<\/li>\n\n\n\n
- Di\u00e9tu by mal zostavi\u0165 certifikovan\u00fd dietol\u00f3g tak, aby neviedla k neduhom v tele \u010dloveka, ale \u010do najviac minimalizovala pr\u00edznaky dr\u00e1\u017ediv\u00e9ho \u010dreva alebo bakteri\u00e1lneho prerastania.<\/li>\n<\/ol>\n\n\n\n
Zdroje:<\/h4>\n\n\n\n\n- Gulbicka P, Grzymis\u0142awski M. Wzd\u0119cia brzucha – naj\u010dastej\u0161ie pr\u00ed\u010diny a lie\u010dba. Zdr. Publ. 2016, 6, 1,<\/li>\n\n\n\n
- G\u0105siorowska J, Czerwionka-Szaflarska M. Syndr\u00f3m prerastania bakteri\u00e1lnej fl\u00f3ry tenk\u00e9ho \u010dreva verzus syndr\u00f3m dr\u00e1\u017ediv\u00e9ho \u010dreva. Prz Gastroenterol 2013; 8 (3),<\/li>\n\n\n\n
- Szczeklik A., Gajewski P. Interna Szczeklika: syndr\u00f3m bakteri\u00e1lneho prerastania, 2018,<\/li>\n\n\n\n
- M. W\u0142ochal, M. Grzymis\u0142awski, Nov\u00e9 trendy v nutri\u010dnej lie\u010dbe z\u00e1palov\u00fdch ochoren\u00ed \u010dreva, „O\u0161etrovate\u013estvo a verejn\u00e9 zdravie“ 2016, ro\u010d. 6, \u010d. 2.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"
SIBO – inak zn\u00e1my ako syndr\u00f3m bakteri\u00e1lneho prerastania tenk\u00e9ho \u010dreva – je stav charakterizovan\u00fd zv\u00fd\u0161en\u00edm bakteri\u00e1lnej fl\u00f3ry tenk\u00e9ho \u010dreva alebo zisten\u00edm mikroorganizmov, ktor\u00e9 v na\u0161ich \u010drev\u00e1ch be\u017ene ne\u017eij\u00fa. Pr\u00edznaky, ktor\u00e9 m\u00f4\u017eu signalizova\u0165, \u017ee sa v \u010drev\u00e1ch deje nie\u010do zl\u00e9, s\u00fa: V\u0161etky pr\u00edznaky SIBO z\u00e1visia od toho, ako dlho choroba trv\u00e1 a ak\u00e1 je jej z\u00e1va\u017enos\u0165. […]<\/p>\n","protected":false},"author":4,"featured_media":28820,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28821","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravie","box-post"],"_links":{"self":[{"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/posts\/28821","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/comments?post=28821"}],"version-history":[{"count":6,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/posts\/28821\/revisions"}],"predecessor-version":[{"id":88676,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/posts\/28821\/revisions\/88676"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/media\/28820"}],"wp:attachment":[{"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/media?parent=28821"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/categories?post=28821"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/tags?post=28821"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure><\/figure>\n<\/div>\n\n\n\u013dudia, u ktor\u00fdch sa diagnostikuje bakteri\u00e1lne prerastanie, by mali by\u0165 v prvom rade v st\u00e1lej starostlivosti internistu, gastrol\u00f3ga alebo gastroenterol\u00f3ga, ktor\u00fd bude zodpovedn\u00fd za objednanie pr\u00edslu\u0161n\u00fdch testov a v pr\u00edpade potreby navrhne lie\u010dbu. V tak\u00fdchto pr\u00edpadoch sa ve\u013emi \u010dasto naria\u010fuje vod\u00edkov\u00e1 dychov\u00e1 sk\u00fa\u0161ka alebo dychov\u00e1 sk\u00fa\u0161ka na vod\u00edk a met\u00e1n. Vy\u0161etrenie d\u00fdchac\u00edch ciest je test, ktor\u00fd sa m\u00f4\u017ee vykona\u0165 len v nemocnici na mieste, ktor\u00e9 sa \u0161pecializuje na diagnostiku tohto typu ochorenia. Test m\u00f4\u017ee trva\u0165 a\u017e 3 hodiny. Test spo\u010d\u00edva v meran\u00ed vod\u00edka vo vydychovanom vzduchu po po\u017eit\u00ed roztoku l\u00e1tky, ktor\u00fa rozkladaj\u00fa bakt\u00e9rie – cukru. Testovanie sa vykon\u00e1va v intervaloch, v ktor\u00fdch sa kontroluj\u00fa hladiny vydychovan\u00e9ho vod\u00edka, v\u010faka \u010domu m\u00f4\u017eeme ur\u010di\u0165, ak\u00e1 je aktivita bakt\u00e9ri\u00ed v bru\u0161nej dutine. \u013dudsk\u00e9 telo prirodzene nevylu\u010duje vod\u00edk v pokoji, k tomu doch\u00e1dza len v procese ferment\u00e1cie v\u010faka anaer\u00f3bnym bakt\u00e9ri\u00e1m. Po\u010das vy\u0161etrenia sa m\u00f4\u017ee vyskytn\u00fa\u0165 boles\u0165 brucha, plynatos\u0165 alebo riedka stolica. Je potrebn\u00e9 pam\u00e4ta\u0165 aj na spr\u00e1vnu pr\u00edpravu na vy\u0161etrenie, ktor\u00e1 je nevyhnutn\u00e1 a rozhoduj\u00faca na dosiahnutie spr\u00e1vneho v\u00fdsledku. Mali by sme vzia\u0165 do \u00favahy nasleduj\u00face skuto\u010dnosti:<\/p>\n\n\n\n
- \n
- sedem dn\u00ed pred vy\u0161etren\u00edm by sa mali pod lek\u00e1rskym doh\u013eadom vyl\u00fa\u010di\u0165 laxat\u00edva a prokinetik\u00e1.<\/li>\n\n\n\n
- tri dni pred vy\u0161etren\u00edm by ste mali presta\u0165 u\u017e\u00edva\u0165 probiotik\u00e1.<\/li>\n\n\n\n
- jeden de\u0148 pred vy\u0161etren\u00edm by osoby trpiace z\u00e1pchou mali zo svojej stravy vyl\u00fa\u010di\u0165 produkty s vysok\u00fdm koeficientom ferment\u00e1cie, t. j. zlo\u017eit\u00e9 sacharidy, kravsk\u00e9 mlieko a v\u00fdrobky z neho, ako aj ovocn\u00e9 \u0161\u0165avy. Po\u010das tohto obdobia je v\u0161ak povolen\u00e1 biela ry\u017ea, p\u0161eni\u010dn\u00fd chlieb, m\u00e4so, ryby a vajcia.<\/li>\n\n\n\n
- Medzi zak\u00e1zan\u00e9 produkty patria aj: cibu\u013ea, p\u00f3r, cesnak, kapusta, fazu\u013ea, zelen\u00fd hr\u00e1\u0161ok a ak\u00e1ko\u013evek nakladan\u00e1 alebo marinovan\u00e1 zelenina,<\/li>\n\n\n\n
- posledn\u00e9 jedlo by sa malo zjes\u0165 14 hod\u00edn pred vy\u0161etren\u00edm. Uistite sa, \u017ee obsahuje m\u00e1lo vl\u00e1kniny. Po ve\u010deri m\u00f4\u017eete a\u017e do vy\u0161etrenia pi\u0165 len vodu,<\/li>\n\n\n\n
- je d\u00f4le\u017eit\u00e9, aby ste 2 hodiny pred testom nefaj\u010dili ani ne\u017euvali \u017euva\u010dku, preto\u017ee aj to m\u00f4\u017ee ovplyvni\u0165 v\u00fdsledok testu.<\/li>\n<\/ul>\n\n\n\n
V de\u0148 testu:<\/p>\n\n\n\n
- \n
- mali by ste si d\u00f4kladne \u010disti\u0165 zuby a \u013eudia so zubnou n\u00e1hradou na ne nesm\u00fa pou\u017e\u00edva\u0165 lepidlo,<\/li>\n\n\n\n
- je vhodn\u00e9 vypi\u0165 poh\u00e1r teplej vody,<\/li>\n\n\n\n
- pred vy\u0161etren\u00edm neu\u017e\u00edvajte rozpustn\u00e9 vitam\u00edny, preh\u00e1\u0148adl\u00e1 alebo antibiotik\u00e1<\/li>\n\n\n\n
- fyzick\u00e1 aktivita by sa mala obmedzi\u0165 na minimum.<\/li>\n<\/ul>\n\n\n\n
Ke\u010f sa vo vydychovanom vzduchu zist\u00ed pozit\u00edvny v\u00fdsledok, ktor\u00fd sa zobraz\u00ed na karte, lek\u00e1r predp\u00ed\u0161e vhodn\u00fa antibiotick\u00fa lie\u010dbu, ktor\u00e1 sa pod\u00e1va pod jeho pr\u00edsnym doh\u013eadom. Met\u00f3da je r\u00fdchla a \u00fa\u010dinn\u00e1, a ak dodr\u017e\u00edme pokyny lek\u00e1ra, antibiotick\u00e1 lie\u010dba bude trva\u0165 2 a\u017e 3 t\u00fd\u017edne. Pri lie\u010dbe by sa mal pou\u017e\u00edva\u0165 pr\u00edpravok, ktor\u00fd bude p\u00f4sobi\u0165 v \u010drev\u00e1ch a nedostane sa do krvn\u00e9ho obehu. Terapia by nemala pozost\u00e1va\u0165 len z lie\u010dby SIBO, ale aj zo zmeny stravovacieho re\u017eimu, napr. zavedenia di\u00e9ty s n\u00edzkym obsahom fodm\u00e1p. Mala by sa zavies\u0165 pod pr\u00edsnym doh\u013eadom dietol\u00f3ga, preto\u017ee jej pravidl\u00e1 s\u00fa zlo\u017eit\u00e9 a pr\u00edsne. Je tie\u017e vhodn\u00e9 vyl\u00fa\u010di\u0165 probiotik\u00e1 z rodu Lactobacillus, preto\u017ee ved\u00fa k zosilneniu pr\u00edznakov ochorenia. Ka\u017ed\u00fa probiotick\u00fa a prebiotick\u00fa lie\u010dbu je potrebn\u00e9 konzultova\u0165 s o\u0161etruj\u00facim lek\u00e1rom.<\/p>\n\n\n\n
Pozrite si tie\u017e najlep\u0161ie doplnky:
Keto Actives<\/a> – schudnite v\u010faka fenom\u00e9nu ket\u00f3zy
Fast Burn Extreme<\/a> – overujeme \u00fa\u010dinnos\u0165 tohto reduktora tuku! Oplat\u00ed sa ho k\u00fapi\u0165?
BurnBooster<\/a> – chudnutie a spa\u013eovanie tukov na najvy\u0161\u0161ej \u00farovni.
Bulk Extreme<\/a> – vybudujte si svalov\u00e9 tkanivo a z\u00edskajte postavu gladi\u00e1tora
Buff Skill<\/a> – n\u00e1poj na zlep\u0161enie pam\u00e4te a koncentr\u00e1cie<\/strong><\/p>\n\n\n\nDi\u00e9ta pri diagnostikovanom prerastan\u00ed bakteri\u00e1lnej fl\u00f3ry – SIBO.<\/h2>\n\n\n\n
Po\u010das lie\u010dby je ve\u013emi d\u00f4le\u017eit\u00e1 spr\u00e1vna strava, ktor\u00e1 zmierni pr\u00edznaky ochorenia. Je d\u00f4le\u017eit\u00e9 odstr\u00e1ni\u0165 zo stravy zlo\u017eky s vysok\u00fdm obsahom fodm\u00e1p, teda produkty, ktor\u00e9 stimuluj\u00fa fermenta\u010dn\u00e9 procesy v \u010drev\u00e1ch. Odpor\u00fa\u010dame tu:<\/p>\n\n\n\n
- \n
- SCD di\u00e9ta – \u0161pecifick\u00e1 sacharidov\u00e1 di\u00e9ta, ktor\u00e1 odpor\u00fa\u010da obmedzi\u0165 sacharidy ako \u0161krob, poly- a disacharidy na minimum. Jednoduch\u00e9 cukry nie s\u00fa zahrnut\u00e9,<\/li>\n\n\n\n
- di\u00e9ta GAPS – je odvoden\u00e1 od di\u00e9ty SCD, ale je e\u0161te pr\u00edsnej\u0161ia,<\/li>\n\n\n\n
- Protokol Dr. Siebeckera – ide o odpor\u00fa\u010dania zalo\u017een\u00e9 na di\u00e9te SCD a n\u00edzkofodmapovej di\u00e9te. Elimina\u010dn\u00e1 di\u00e9ta odpor\u00fa\u010dan\u00e1 doktorom Siebeckerom odpor\u00fa\u010da za\u010da\u0165 proces s SCD alebo GAPS di\u00e9tou a potom ju roz\u0161\u00edri\u0165 o fodmapov\u00e9 produkty. Maxim\u00e1lna d\u013a\u017eka trvania di\u00e9ty by mala by\u0165 dva mesiace,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e1 di\u00e9ta – ide o najpopul\u00e1rnej\u0161\u00ed model stravovania, ktor\u00fd minimalizuje rast bakt\u00e9ri\u00ed v tenkom \u010dreve. Fodmapov\u00e1 di\u00e9ta zah\u0155\u0148a vyl\u00fa\u010denie produktov s vysokou mierou ferment\u00e1cie, t. j. oligo-, di-, monosacharidov a polyolov, zo stravovacieho pl\u00e1nu. Patria sem produkty obsahuj\u00face sacharidy s kr\u00e1tkym re\u0165azcom, ktor\u00e9 sa zle vstreb\u00e1vaj\u00fa, ale r\u00fdchlo kvasia s vysok\u00fdm osmotick\u00fdm tlakom, medzi ktor\u00e9 patria: mlie\u010dne v\u00fdrobky, niektor\u00e9 strukoviny, sladidl\u00e1, napr. Patria sem: mlie\u010dne v\u00fdrobky, niektor\u00e9 strukoviny, sladidl\u00e1 ako xylitol, manitol alebo erytritol, obiln\u00e9 v\u00fdrobky – p\u0161enica a cesnak a cibu\u013ea alebo vysoko spracovan\u00e9 m\u00e4so.<\/li>\n<\/ul>\n\n\n\n<\/figure><\/figure>\n<\/div>\n\n\n
V pr\u00edpade syndr\u00f3mu dr\u00e1\u017ediv\u00e9ho \u010dreva alebo in\u00fdch por\u00fach tr\u00e1viaceho syst\u00e9mu, t. j. syndr\u00f3mu bakteri\u00e1lneho prerastania, m\u00f4\u017eu v\u00fdrobky bohat\u00e9 na FOPMAP vies\u0165 k zhor\u0161eniu pr\u00edznakov ochorenia. Do hrub\u00e9ho \u010dreva sa toti\u017e dost\u00e1vaj\u00fa v nezmenenej forme. Osmotick\u00e9 vlastnosti s\u00fa zodpovedn\u00e9 za zv\u00fd\u0161enie absorpcie vody v tenkom \u010dreve. Tento jav vedie k roztiahnutiu \u010drevn\u00fdch stien, \u010do m\u00f4\u017ee okrem in\u00e9ho sp\u00f4sobi\u0165 bolesti brucha. U pacientov s diagn\u00f3zou bakteri\u00e1lneho prerastania vznik\u00e1 v \u010drev\u00e1ch nadbytok plynu, ktor\u00fd sp\u00f4sobuje nepr\u00edjemn\u00e9 pocity a nad\u00favanie.<\/p>\n\n\n\n
SIBO \u010do jes\u0165? Di\u00e9tu sibo pripravila Austr\u00e1lska univerzita a vyzna\u010duje sa n\u00edzkym obsahom fermentovate\u013en\u00fdch potrav\u00edn, t. j. oligo-, di-, monosacharidov a polyolov. Strava by mala by\u0165 bohat\u00e1 na vl\u00e1kninu, ktor\u00e1 je nevyhnutn\u00e1 pre spr\u00e1vnu funkciu \u010driev, ako aj na bielkoviny, tuky, sacharidy, vitam\u00edny a miner\u00e1ly. N\u00edzka di\u00e9ta je pri terapii SIBO d\u00f4le\u017eit\u00e1 a je rozdelen\u00e1 do troch f\u00e1z, ktor\u00e9 nazna\u010duj\u00fa, ak\u00e9 potraviny jes\u0165 a \u010domu sa vyh\u00fdba\u0165:<\/p>\n\n\n\n
1. f\u00e1za I: elimina\u010dn\u00e1 di\u00e9ta<\/h3>\n\n\n\n
Trv\u00e1 2 a\u017e 6 t\u00fd\u017ed\u0148ov. Po\u010das tohto obdobia by sme mali zo stravy vyl\u00fa\u010di\u0165 v\u00fdrobky s vysok\u00fdm obsahom fodm\u00e1p a nahradi\u0165 ich v\u00fdrobkami s n\u00edzkou hodnotou fodm\u00e1p:<\/p>\n\n\n\n
Zelenina:<\/h4>\n\n\n\n
- \n
- vysok\u00fd obsah fodm\u00e1p: cibu\u013ea, \u0161parg\u013ea, arti\u010doky, brokolica, karfiol, patiz\u00f3ny, \u010derven\u00e1 repa, p\u00f3r, ru\u017ei\u010dkov\u00fd kel, cesnak, kapusta, strukoviny, t. j. c\u00edcer, \u0161o\u0161ovica, zelen\u00fd hr\u00e1\u0161ok, s\u00f3ja a fazu\u013ea,<\/li>\n\n\n\n
- N\u00edzkofodmapov\u00e9: paradajky, mrkva, \u010d\u00ednska kapusta, paprika, uhorky, bakla\u017e\u00e1n, zeler, kukurica, tekvica, \u0161al\u00e1t, tekvica, pa\u017e\u00edtka, sladk\u00e9 zemiaky.<\/li>\n<\/ul>\n\n\n\n
Ovocie:<\/h4>\n\n\n\n
- \n
- vysok\u00fd obsah fodm\u00e1p: jablk\u00e1, hru\u0161ky, mango, mel\u00f3n, slivky, marhule, nektarinky, broskyne, konzervovan\u00e9 ovocie, su\u0161en\u00e9 ovocie,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e9: mandar\u00ednky, kivi, ban\u00e1ny, hrozno, grapefruit, pomaran\u010de, \u010du\u010doriedky, citr\u00f3ny, maliny, jahody.<\/li>\n<\/ul>\n\n\n\n
Mlie\u010dne v\u00fdrobky:<\/h4>\n\n\n\n
- \n
- s vysok\u00fdm obsahom fodmapy: jemn\u00e9 syry mascarpone alebo ricotta, tvaroh, jogurt, cmar, kondenzovan\u00e9 mlieko, kravsk\u00e9 mlieko, ov\u010die mlieko, kozie mlieko, \u0161\u013eaha\u010dka, kysl\u00e1 smotana,<\/li>\n\n\n\n
- N\u00edzky obsah fodm\u00e1p: syr camembert, syr brie, tvrd\u00e9 syry ako \u0161vaj\u010diarsky, \u010dedar, mozzarella, parmez\u00e1n, margar\u00edn, maslo, mlie\u010dne v\u00fdrobky bez lakt\u00f3zy.<\/li>\n<\/ul>\n\n\n\n
Obilniny a v\u00fdrobky z obiln\u00edn:<\/h4>\n\n\n\n
- \n
- vysok\u00fd obsah fodm\u00e1p: p\u0161eni\u010dn\u00fd chlieb, p\u0161eni\u010dn\u00e9 v\u00fdrobky, ra\u017e, p\u0161eni\u010dn\u00e9 ra\u0148ajkov\u00e9 cere\u00e1lie so su\u0161en\u00fdm ovoc\u00edm, p\u0161eni\u010dn\u00e9 cestoviny,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e9: \u0161paldov\u00e1 m\u00faka, bezlepkov\u00fd chlieb, \u0161paldov\u00fd kv\u00e1sok, ry\u017eov\u00e9 vlo\u010dky, ovsen\u00e1 m\u00faka, bezlepkov\u00e9 cestoviny, ovsen\u00e9 vlo\u010dky, quinoa, ry\u017ea.<\/li>\n<\/ul>\n\n\n\n
Orechy a semen\u00e1:<\/h4>\n\n\n\n
- \n
- s vysok\u00fdm obsahom fodmapy: ke\u0161u orechy, pist\u00e1cie,<\/li>\n\n\n\n
- n\u00edzkofodmapov\u00e9: mandle, vla\u0161sk\u00e9 orechy, pekanov\u00e9 orechy, ara\u0161idy, makadamov\u00e9 orechy, p\u00edniov\u00e9 orie\u0161ky, sezamov\u00e9 semienka, tekvicov\u00e9 semienka, slne\u010dnicov\u00e9 semienka.<\/li>\n<\/ul>\n\n\n\n
Ostatn\u00e9:<\/h4>\n\n\n\n
- \n
- vysok\u00fd obsah fodmap: med, ag\u00e1vov\u00fd sirup, gluk\u00f3zovo-frukt\u00f3zov\u00fd sirup, sladidl\u00e1 ako manitol, maltitol, erytritol, xylitol, sorbitol, v\u00fdrobky bez cukru so sladidlami, s\u00f3jov\u00e9 mlieko,<\/li>\n\n\n\n
- n\u00edzky obsah fodmap: javorov\u00fd sirup, kry\u0161t\u00e1lov\u00fd cukor, st\u00e9via, aspart\u00e1m, ara\u0161idov\u00e9 maslo, mand\u013eov\u00e9 mlieko, ry\u017eov\u00e9 mlieko.<\/li>\n<\/ul>\n\n\n\n
Pozrite si tie\u017e najlep\u0161ie doplnky:
Keto Actives<\/a> – schudnite v\u010faka fenom\u00e9nu ket\u00f3zy
Fast Burn Extreme<\/a> – overujeme \u00fa\u010dinnos\u0165 tohto reduktora tuku! Oplat\u00ed sa ho k\u00fapi\u0165?
BurnBooster<\/a> – chudnutie a spa\u013eovanie tukov na najvy\u0161\u0161ej \u00farovni.
Bulk Extreme<\/a> – vybudujte si svalov\u00e9 tkanivo a z\u00edskajte postavu gladi\u00e1tora
Buff Skill<\/a> – n\u00e1poj na zlep\u0161enie pam\u00e4te a koncentr\u00e1cie<\/strong><\/p>\n\n\n\nF\u00e1za II – op\u00e4tovn\u00e9 zavedenie v\u00fdrobkov obsahuj\u00facich fodmap<\/h3>\n\n\n\n
T\u00e1to f\u00e1za trv\u00e1 8 a\u017e 12 t\u00fd\u017ed\u0148ov. Druh\u00e1 f\u00e1za spo\u010d\u00edva v op\u00e4tovnom zaveden\u00ed v\u00fdrobkov s vysok\u00fdm obsahom fodm\u00e1p do stravy v mal\u00fdch mno\u017estv\u00e1ch. Toto je jeden z najd\u00f4le\u017eitej\u0161\u00edch momentov po\u010das lie\u010dby, preto\u017ee raz za 3 dni by sme mali zavies\u0165 nov\u00fd produkt a sledova\u0165, \u010di sa pr\u00edznaky ochorenia znovu objavia. Ve\u013emi \u00fa\u010dinn\u00e9 je vedenie denn\u00edka, v ktorom presne popisujeme, \u010do sme jedli, ak\u00e9 m\u00e1me pr\u00edznaky a ako sa c\u00edtime. Di\u00e9ta SIBO je ve\u013emi obmedzuj\u00faca a pri jej predl\u017eovan\u00ed by sme mali zoh\u013eadni\u0165 nieko\u013eko faktorov:<\/p>\n\n\n\n
- \n
- Pri roz\u0161irovan\u00ed stravy by sme mali zav\u00e1dza\u0165 v\u00fdrobky s vysok\u00fdm obsahom fodm\u00e1p v mal\u00fdch mno\u017estv\u00e1ch a ide\u00e1lne by sme mali vybra\u0165 jeden fodmapov\u00fd v\u00fdrobok raz za 3 dni, t. j. akAk chceme zavies\u0165 frukt\u00f3zu, je lep\u0161ie zvoli\u0165 med ako ovocie, preto\u017ee ovocie je bohat\u00e9 na in\u00e9 fodmapov\u00e9 hodnoty a nielen na frukt\u00f3zu, napr. Ovocie je bohat\u00e9 aj na in\u00e9 fodmapov\u00e9 hodnoty, nielen na frukt\u00f3zu ako med,<\/li>\n\n\n\n
- Skupiny v\u00fdrobkov by sa mali zav\u00e1dza\u0165 postupne, napr. ak sa po zaveden\u00ed v\u00fdrobkov s vysok\u00fdm obsahom frukt\u00f3zy do stravy neobjavilo sprievodn\u00e9 ochorenie, potom by sa na obdobie testovania mali v\u00fdrobky s vysok\u00fdm obsahom frukt\u00f3zy aj tak vyl\u00fa\u010di\u0165,<\/li>\n\n\n\n
- D\u00f4le\u017eit\u00e9 je zav\u00e1dza\u0165 produkty v mno\u017estve, t. j. je vhodn\u00e9 za\u010da\u0165 s mal\u00fdmi d\u00e1vkami, a ak na\u0161e telo na lie\u010dbu dobre reaguje, d\u00e1vky by sa mali zv\u00fd\u0161i\u0165.<\/li>\n<\/ul>\n\n\n\n
F\u00e1za III – personaliz\u00e1cia<\/h3>\n\n\n\n
T\u00e1to f\u00e1za spo\u010d\u00edva vo vytvoren\u00ed individu\u00e1lnej di\u00e9ty, najlep\u0161ie pod doh\u013eadom kvalifikovan\u00e9ho dietol\u00f3ga, ktor\u00fd m\u00e1 sk\u00fasenosti s t\u00fdmto typom pr\u00edpadov. Strava pre SIBO by mala by\u0165 bohat\u00e1 na produkty, ktor\u00e9 boli testovan\u00e9 a identifikovan\u00e9 ako produkty, ktor\u00e9 nesp\u00f4sobuj\u00fa gastrointestin\u00e1lne pr\u00edznaky. Naj\u010dastej\u0161ie pr\u00ed\u010diny ochorenia s\u00fa sp\u00f4soben\u00e9 nespr\u00e1vnou stravou, ale pri dodr\u017eiavan\u00ed individu\u00e1lnej di\u00e9ty m\u00f4\u017eete raz za \u010das zavies\u0165 zlo\u017eky, ktor\u00e9 vyvolali pr\u00edznaky ochorenia, ale nemalo by to by\u0165 vo ve\u013ekom mno\u017estve.<\/p>\n\n\n\n
Z\u00e1ver:<\/h2>\n\n\n\n
- \n
- Pri dodr\u017eiavan\u00ed di\u00e9ty, ktor\u00e1 zah\u0155\u0148a minimaliz\u00e1ciu bakt\u00e9ri\u00ed v tenkom \u010dreve, je potrebn\u00e9 ma\u0165 na pam\u00e4ti, \u017ee element\u00e1rna di\u00e9ta je do\u010dasn\u00e1 a prv\u00e1 f\u00e1za by nemala by\u0165 dlh\u0161ia ako 6 t\u00fd\u017ed\u0148ov, aby nedo\u0161lo k nedostatku \u017eiv\u00edn. Za zmienku stoj\u00ed aj to, \u017ee sacharidy s kr\u00e1tkym re\u0165azcom s\u00fa prebiotik\u00e1, ktor\u00e9 maj\u00fa ve\u013ea zvy\u0161kov potravy a s\u00fa v\u00fdbornou potravou pre bakt\u00e9rie \u017eij\u00face v \u010drev\u00e1ch. Prebiotik\u00e1 vy\u017eivuj\u00fa patog\u00e9nne aj zdraviu prospe\u0161n\u00e9 bakt\u00e9rie. Primeran\u00fd po\u010det zdraviu prospe\u0161n\u00fdch bakt\u00e9ri\u00ed prospieva \u010drev\u00e1m a eliminuje syndr\u00f3m dr\u00e1\u017ediv\u00e9ho \u010dreva, malabsorpciu alebo pr\u00edznaky, ktor\u00e9 sprev\u00e1dzaj\u00fa SIBO,<\/li>\n\n\n\n
- Di\u00e9ta by mala by\u0165 prisp\u00f4soben\u00e1 tak, aby vyl\u00fa\u010dila v\u0161etky zlo\u017eky, ktor\u00e9 sp\u00f4sobuj\u00fa \u010drevn\u00e9 \u0165a\u017ekosti.<\/li>\n\n\n\n
- Di\u00e9tu by mal zostavi\u0165 certifikovan\u00fd dietol\u00f3g tak, aby neviedla k neduhom v tele \u010dloveka, ale \u010do najviac minimalizovala pr\u00edznaky dr\u00e1\u017ediv\u00e9ho \u010dreva alebo bakteri\u00e1lneho prerastania.<\/li>\n<\/ol>\n\n\n\n
Zdroje:<\/h4>\n\n\n\n
- \n
- Gulbicka P, Grzymis\u0142awski M. Wzd\u0119cia brzucha – naj\u010dastej\u0161ie pr\u00ed\u010diny a lie\u010dba. Zdr. Publ. 2016, 6, 1,<\/li>\n\n\n\n
- G\u0105siorowska J, Czerwionka-Szaflarska M. Syndr\u00f3m prerastania bakteri\u00e1lnej fl\u00f3ry tenk\u00e9ho \u010dreva verzus syndr\u00f3m dr\u00e1\u017ediv\u00e9ho \u010dreva. Prz Gastroenterol 2013; 8 (3),<\/li>\n\n\n\n
- Szczeklik A., Gajewski P. Interna Szczeklika: syndr\u00f3m bakteri\u00e1lneho prerastania, 2018,<\/li>\n\n\n\n
- M. W\u0142ochal, M. Grzymis\u0142awski, Nov\u00e9 trendy v nutri\u010dnej lie\u010dbe z\u00e1palov\u00fdch ochoren\u00ed \u010dreva, „O\u0161etrovate\u013estvo a verejn\u00e9 zdravie“ 2016, ro\u010d. 6, \u010d. 2.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"
SIBO – inak zn\u00e1my ako syndr\u00f3m bakteri\u00e1lneho prerastania tenk\u00e9ho \u010dreva – je stav charakterizovan\u00fd zv\u00fd\u0161en\u00edm bakteri\u00e1lnej fl\u00f3ry tenk\u00e9ho \u010dreva alebo zisten\u00edm mikroorganizmov, ktor\u00e9 v na\u0161ich \u010drev\u00e1ch be\u017ene ne\u017eij\u00fa. Pr\u00edznaky, ktor\u00e9 m\u00f4\u017eu signalizova\u0165, \u017ee sa v \u010drev\u00e1ch deje nie\u010do zl\u00e9, s\u00fa: V\u0161etky pr\u00edznaky SIBO z\u00e1visia od toho, ako dlho choroba trv\u00e1 a ak\u00e1 je jej z\u00e1va\u017enos\u0165. […]<\/p>\n","protected":false},"author":4,"featured_media":28820,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28821","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravie","box-post"],"_links":{"self":[{"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/posts\/28821","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/comments?post=28821"}],"version-history":[{"count":6,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/posts\/28821\/revisions"}],"predecessor-version":[{"id":88676,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/posts\/28821\/revisions\/88676"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/media\/28820"}],"wp:attachment":[{"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/media?parent=28821"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/categories?post=28821"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/consumers-views.com\/sk\/wp-json\/wp\/v2\/tags?post=28821"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}