Ob\u010dasn\u00e9 \u0161krund\u00e1n\u00ed, nad\u00fdm\u00e1n\u00ed a bubl\u00e1n\u00ed ve st\u0159evech za\u017eil snad ka\u017ed\u00fd z n\u00e1s. Tyto nep\u0159edv\u00eddateln\u00e9 epizody je v mnoha p\u0159\u00edpadech dost n\u00e1ro\u010dn\u00e9 zvl\u00e1dnout. Existuj\u00ed v\u0161ak lid\u00e9, kte\u0159\u00ed se s t\u011bmito nep\u0159\u00edjemn\u00fdmi projevy nepohodl\u00ed ve st\u0159evech pot\u00fdkaj\u00ed \u010dast\u011bji ne\u017e jin\u00ed. Na ot\u00e1zky ohledn\u011b dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku odpov\u00eddai internista MUDr. Filip Z\u00e1vada.<\/p>\n
– Popi\u0161te n\u00e1m, co je to dr\u00e1\u017ediv\u00fd tra\u010dn\u00edk a jakou \u010d\u00e1st za\u017e\u00edvac\u00edho traktu postihuje?<\/p>\n
Dr\u00e1\u017ediv\u00fd tra\u010dn\u00edk pat\u0159\u00ed mezi tzv. funk\u010dn\u00ed onemocn\u011bn\u00ed tr\u00e1vic\u00ed trubice, tak\u017ee se nejedn\u00e1 o \u017e\u00e1dn\u00fd z\u00e1n\u011bt, infekci nebo n\u00e1dor. Tra\u010dn\u00edkem rozum\u00edme tlust\u00e9 st\u0159evo, tzn. \u017ee posti\u017eena je tato \u010d\u00e1st tr\u00e1vic\u00ed trubice. Jde o onemocn\u011bn\u00ed, kter\u00e9 je v na\u0161ich podm\u00ednk\u00e1ch pom\u011brn\u011b \u010dast\u00e9 a ud\u00e1v\u00e1 se, \u017ee postihuje a\u017e 20 procent populace. Mu\u017ei a \u017eeny jsou posti\u017eeny stejn\u011b \u010dasto a v\u011bt\u0161inou jde o mlad\u00e9 nemocn\u00e9 do 45 let v\u011bku. \u010cast\u011bji jsou j\u00edm posti\u017een\u00ed lid\u00e9 s vy\u0161\u0161\u00edm vzd\u011bl\u00e1n\u00edm, kte\u0159\u00ed se v pr\u00e1ci setk\u00e1vaj\u00ed s vysokou m\u00edrou stresu, studenti n\u00e1ro\u010dn\u00fdch \u0161kol. To m\u016f\u017ee b\u00fdt ale d\u00e1no i t\u00edm, \u017ee tito lid\u00e9 v\u011bnuj\u00ed sv\u00e9mu zdrav\u00ed a nemocem v\u011bt\u0161\u00ed pozornost. Mnoho pacient\u016f s p\u0159\u00edznaky dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku ani l\u00e9ka\u0159skou p\u00e9\u010di nevyhled\u00e1.<\/p>\n
– Jak\u00e9 jsou p\u0159\u00ed\u010diny vzniku t\u00e9to nep\u0159\u00edjemn\u00e9 nemoci?<\/p>\n
Vznik tohoto onemocn\u011bn\u00ed nen\u00ed bohu\u017eel p\u0159esn\u011b objasn\u011bn. Mezi vyvol\u00e1vaj\u00edc\u00ed faktory se ud\u00e1v\u00e1 stres, nepravideln\u00e1 \u017eivotospr\u00e1va, ale i prob\u011bhl\u00e9 infek\u010dn\u00ed onemocn\u011bn\u00ed. St\u0159evo u dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku nep\u0159im\u011b\u0159en\u011b reaguje na r\u016fzn\u00e9 podn\u011bty, co\u017e m\u016f\u017ee v\u00e9st k zrychlen\u00ed pr\u016fchodu stolice a pr\u016fjmem, nebo m\u016f\u017ee b\u00fdt naopak „l\u00edn\u00e9“ a projevovat se z\u00e1cpou a plynatost\u00ed.<\/p>\n
– Podle jak\u00fdch p\u0159\u00edznak\u016f se pozn\u00e1, \u017ee se jedn\u00e1 o dr\u00e1\u017ediv\u00fd tra\u010dn\u00edk?<\/p>\n
Syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku se projevuje bolestmi b\u0159icha, pocity nad\u00fdm\u00e1n\u00ed, z\u00e1cpou anebo pr\u016fjmem. P\u0159\u00edznaky se mohou r\u016fzn\u011b kombinovat. Stejn\u011b tak se bohu\u017eel projevuj\u00ed i jin\u00e1 z\u00e1va\u017en\u011bj\u0161\u00ed onemocn\u011bn\u00ed, tak\u017ee laicky se dr\u00e1\u017ediv\u00fd tra\u010dn\u00edk t\u0159eba od infekce nebo n\u00e1doru spolehliv\u011b odli\u0161it ned\u00e1. Proto je v\u017edy pot\u0159eba konzultovat l\u00e9ka\u0159e. Pokud se objev\u00ed n\u011bkter\u00fd z varovn\u00fdch p\u0159\u00edznak\u016f, kter\u00fdmi jsou p\u0159\u00edm\u011bs krve ve stolici, hubnut\u00ed, chudokrevnost, teploty nebo zv\u011bt\u0161en\u00ed m\u00edzn\u00edch uzlin, je t\u0159eba se nechat okam\u017eit\u011b vy\u0161et\u0159it. Velmi z\u00e1le\u017e\u00ed tak\u00e9 na v\u011bku \u2013 pokud se obt\u00ed\u017ee poprv\u00e9 projev\u00ed po 45 roce \u017eivota, jde pravd\u011bpodobn\u011b o onemocn\u011bn\u00ed jin\u00e9ho druhu a vy\u0161et\u0159en\u00ed l\u00e9ka\u0159em mus\u00ed b\u00fdt d\u016fkladn\u00e9, veden\u00e9 snahou o vylou\u010den\u00ed n\u00e1doru.<\/p>\n
– Pokud n\u00e1s takto zlob\u00ed na\u0161e st\u0159eva, jak\u00e9ho l\u00e9ka\u0159e m\u00e1me nav\u0161t\u00edvit a co n\u00e1s u n\u011bj \u010dek\u00e1 za vy\u0161et\u0159en\u00ed?<\/p>\n
Z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed m\u016f\u017ee prov\u00e9st praktick\u00fd l\u00e9ka\u0159, ale definitivn\u00ed diagn\u00f3zu v\u011bt\u0161inou stanov\u00ed specialista \u2013 gastroenterolog. Ten podle charakteru obt\u00ed\u017e\u00ed ur\u010d\u00ed, zda prov\u00e9st kolonoskopick\u00e9 vy\u0161et\u0159en\u00ed, vy\u0161et\u0159en\u00ed stolice na r\u016fzn\u00e9 parazity a mikroorganizmy a v\u017edy by m\u011bl vylou\u010dit celiakii \u2013 alergii na lepek. Nikomu bych nedoporu\u010doval l\u00e9\u010ditelsk\u00e9 metody, nap\u0159\u00edklad o\u010distn\u00e9 v\u00fdplachy st\u0159eva bez p\u0159edchoz\u00ed konzultace s l\u00e9ka\u0159em.<\/p>\n
– Jak\u00e1 bude n\u00e1sledovat l\u00e9\u010dba a jsou nutn\u00e9 n\u011bjak\u00e9 zm\u011bny stravov\u00e1n\u00ed?<\/p>\n
L\u00e9\u010dba dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku je velmi sv\u00edzeln\u00e1, proto\u017ee p\u0159\u00ed\u010diny onemocn\u011bn\u00ed nezn\u00e1me. M\u016f\u017eeme se proto sna\u017eit ovlivnit p\u0159\u00edznaky onemocn\u011bn\u00ed, aby pacienti m\u011bli dobrou kvalitu \u017eivota a choroba je obt\u011b\u017eovala co nejm\u00e9n\u011b. Pou\u017e\u00edvaj\u00ed se r\u016fzn\u00e1 dietn\u00ed opat\u0159en\u00ed a sna\u017e\u00edme se o zaveden\u00ed pravideln\u00e9 \u017eivotospr\u00e1vy a sp\u00e1nkov\u00e9ho re\u017eimu. N\u011bkdy sta\u010d\u00ed vylou\u010dit stressov\u00e9 faktory a onemocn\u011bn\u00ed se samo uprav\u00ed, n\u011bkomu sta\u010d\u00ed uji\u0161t\u011bn\u00ed, \u017ee nejde o z\u00e1va\u017enou chorobu, ale \u010dasto mus\u00edme pod\u00e1vat r\u016fzn\u00e9 l\u00e9ky.<\/p>\n
– Existuj\u00ed rizika, kter\u00e1 v p\u0159\u00edpad\u011b nel\u00e9\u010den\u00e9 choroby hroz\u00ed na\u0161emu organismu?<\/p>\n
Pokud je diagn\u00f3za stanovena p\u0159esn\u011b, dr\u00e1\u017ediv\u00fd tra\u010dn\u00edk nem\u016f\u017ee p\u0159ej\u00edt v n\u011bjak\u00e9 \u017eivot ohro\u017euj\u00edc\u00ed onemocn\u011bn\u00ed, t\u0159eba v n\u00e1dor. \u017divot nezkr\u00e1t\u00ed, ale m\u016f\u017ee jej velmi znep\u0159\u00edjemnit. Nejv\u011bt\u0161\u00ed nebezpe\u010d\u00ed tedy plyne z podcen\u011bn\u00ed p\u0159\u00edznaku jin\u00e9, potenci\u00e1ln\u011b v\u00e1\u017en\u00e9 choroby. Dr\u00e1\u017ediv\u00fd tra\u010dn\u00edk je zpravidla dlouhodob\u00e9, velmi \u010dasto celo\u017eivotn\u00ed onemocn\u011bn\u00ed, ale na rozd\u00edl od ostatn\u00edch chorob jeho intenzita s p\u0159ib\u00fdvaj\u00edc\u00edm v\u011bkem sp\u00ed\u0161e kles\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"
Ob\u010dasn\u00e9 \u0161krund\u00e1n\u00ed, nad\u00fdm\u00e1n\u00ed a bubl\u00e1n\u00ed ve st\u0159evech za\u017eil snad ka\u017ed\u00fd z n\u00e1s. Tyto nep\u0159edv\u00eddateln\u00e9 epizody je v mnoha p\u0159\u00edpadech dost n\u00e1ro\u010dn\u00e9 zvl\u00e1dnout. Existuj\u00ed v\u0161ak lid\u00e9, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16059,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15771","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15771","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=15771"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15771\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16059"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15771"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15771"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15771"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}