{"id":4241,"date":"2013-04-26T10:22:17","date_gmt":"2013-04-26T08:22:17","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=4241"},"modified":"2014-10-20T20:13:49","modified_gmt":"2014-10-20T18:13:49","slug":"k-antibiotikam-berte-probioticke-pilulky-na-prevenci-jogurt","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=4241","title":{"rendered":"K antibiotik\u00e1m berte probiotick\u00e9 pilulky, na prevenci jogurt"},"content":{"rendered":"

Berete antibiotika, kter\u00e1 v\u00e1m ni\u010d\u00ed st\u0159evn\u00ed mikrofl\u00f3ru,\u00a0 a nev\u00edte, zda v\u00e1m sta\u010d\u00ed p\u00edt kef\u00edr, nebo pot\u0159ebujete tablety s probiotiky, abyste nep\u0159i\u0161li o „dobr\u00e9“ st\u0159evn\u00ed bakterie?\u00a0Co je lep\u0161\u00ed? \u010ct\u011bte, co na to \u0159\u00edkaj\u00ed l\u00e9ka\u0159i.<\/strong><\/p>\n

<\/p>\n

Nej\u010dast\u011bji jsou probiotika zmi\u0148ov\u00e1na v souvislosti s pozitivn\u00edm vlivem na st\u0159evn\u00ed mikrofl\u00f3ru po l\u00e9\u010db\u011b antibiotiky. N\u011bkdo v takov\u00e9m p\u0159\u00edpad\u011b zv\u00fd\u0161\u00ed svoji konzumaci jogurt\u016f, zat\u00edmco dal\u0161\u00ed v\u011b\u0159\u00ed sp\u00ed\u0161 probiotick\u00fdm p\u0159\u00edpravk\u016fm v tablet\u00e1ch, kapsl\u00edch \u010di kapk\u00e1ch. Co je lep\u0161\u00ed?<\/p>\n

L\u00e9ka\u0159i se jednozna\u010dn\u011b klon\u00ed k pilulk\u00e1m. „Jako prevence kvalitn\u00ed jogurt, jako l\u00e9\u010dba sp\u00ed\u0161e tabletka,“ \u0159\u00edk\u00e1 nap\u0159\u00edklad d\u011btsk\u00e1 l\u00e9ka\u0159ka Dagmar Ko\u0159istkov\u00e1 z Bor\u0161ic u Uhersk\u00e9ho Hradi\u0161t\u011b.<\/p>\n

Pokud jde o zvy\u0161ov\u00e1n\u00ed obranyschopnosti organismu, vyjdou \u00fa\u010dinky kvalitn\u00edho jogurtu, tedy toho, kter\u00fd m\u00e1 dostate\u010dn\u00e9 mno\u017estv\u00ed laktobacil\u016f a bakteri\u00ed, zhruba nastejno s tabletami probiotika. Ale t\u0159eba na l\u00e9\u010dbu pr\u016fjmu jsou nutn\u00e9 l\u00e1tky, kter\u00e9 v jogurtu nejsou, nap\u0159\u00edklad Lactobacillus GG nebo rhamnosus.<\/p>\n

Zvy\u0161uj\u00ed imunitu <\/strong><\/p>\n

Mno\u017estv\u00ed probiotick\u00fdch bakteri\u00ed je toti\u017e v p\u0159\u00edpravc\u00edch podle l\u00e9ka\u0159\u016f v\u011bt\u0161\u00ed ne\u017e u kysan\u00fdch ml\u00e9\u010dn\u00fdch v\u00fdrobk\u016f, a pokud jsou tablety vyroben\u00e9 s odolnost\u00ed proti \u017ealude\u010dn\u00ed kyselin\u011b, jsou i efektivn\u011bj\u0161\u00ed.<\/p>\n

„\u0160irokospektr\u00e1 antibiotika toti\u017e nelikviduj\u00ed ve st\u0159ev\u011b pouze \u0161kodliv\u00e9 bakterie, ale i ty, kter\u00e9 jsou t\u011blu prosp\u011b\u0161n\u00e9. Proto se p\u0159i jejich u\u017e\u00edv\u00e1n\u00ed mohou objevit za\u017e\u00edvac\u00ed pot\u00ed\u017ee,“ vysv\u011btluje l\u00e9ka\u0159ka Ko\u0159istkov\u00e1. Abyste tedy p\u0159ede\u0161li nep\u0159\u00edjemn\u00fdm projev\u016fm spojen\u00fdm s l\u00e9\u010dbou antibiotiky, co\u017e mohou b\u00fdt nap\u0159\u00edklad urputn\u00e9 z\u00e1cpy, je lep\u0161\u00ed p\u0159idat tablety \u010di kapsle s probiotiky.<\/p>\n

„P\u016fsoben\u00edm na mikroorganismy ve st\u0159evn\u00ed fl\u00f3\u0159e probiotika nav\u00edc zvy\u0161uj\u00ed p\u0159irozenou imunitu organismu,“ zd\u016fraz\u0148uje dal\u0161\u00ed pozitivn\u00ed \u00fa\u010dinek t\u011bchto prepar\u00e1t\u016f pra\u017esk\u00e1 internistka Miroslava Aszalayov\u00e1.<\/p>\n

Krom\u011b toho pom\u00e1haj\u00ed sn\u00ed\u017eit riziko vzniku infekc\u00ed mo\u010dov\u00fdch cest. P\u0159\u00edzniv\u00fd vliv probiotik na z\u00e1n\u011bty mo\u010dov\u00fdch cest potvrzuje i l\u00e9ka\u0159ka Ko\u0159istkov\u00e1: „Probiotika se mi osv\u011bd\u010dila u d\u011bv\u010dat trp\u00edc\u00edch \u010dast\u00fdmi z\u00e1n\u011bty mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e.“ L\u00e9ka\u0159i je doporu\u010duj\u00ed i p\u0159i opakovan\u00fdch z\u00e1n\u011btech horn\u00edch cest d\u00fdchac\u00edch.<\/p>\n

N\u011bkter\u00e9 bakterie v jogurtu nevydr\u017e\u00ed <\/strong><\/p>\n

N\u011bkter\u00e9 tablety m\u016f\u017eou obsahovat nav\u00edc choulostiv\u011bj\u0161\u00ed probiotick\u00e9 bakterie, kter\u00e9 by v jogurtu nevydr\u017eely. „Nap\u0159\u00edklad zn\u00e1m\u00e1 a pro lidi prosp\u011b\u0161n\u00e1 bakterie Bakterium bifidum v jogurtu nep\u0159e\u017eije t\u00fdden. Ale v tablet\u011b je p\u0159\u00edtomna, a kdy\u017e prepar\u00e1t dob\u0159e skladujete, vydr\u017e\u00ed dlouho a ve vysok\u00e9m mno\u017estv\u00ed,“ vysv\u011btluje rozd\u00edly Vojt\u011bch Rada z Katedry mikrobiologie, v\u00fd\u017eivy a dietetiky \u010cesk\u00e9 zem\u011bd\u011blsk\u00e9 univerzity v Praze a v\u011bdeck\u00fd sekret\u00e1\u0159 Spole\u010dnosti pro probiotika a prebiotika.<\/p>\n

„To je asi ten hlavn\u00ed rozd\u00edl mezi ml\u00e9\u010dn\u00fdmi kysan\u00fdmi v\u00fdrobky a su\u0161en\u00fdmi prepar\u00e1ty, tedy pilulkami. M\u016f\u017eou v nich b\u00fdt \u00fa\u010dinn\u011bj\u0161\u00ed kmeny bakteri\u00ed, kter\u00e9 by v jogurtu nep\u0159e\u017eily,“ dod\u00e1v\u00e1 Rada.<\/p>\n

Vhodn\u00e9 i pro d\u011bti <\/strong><\/p>\n

U\u017e\u00edv\u00e1n\u00ed probiotik je mo\u017en\u00e9 u\u017e od jednoho m\u011bs\u00edce v\u011bku, horn\u00ed v\u011bkov\u00e1 hranice je neomezen\u00e1. „P\u0159i l\u00e9\u010db\u011b antibiotiky by je m\u011bli u\u017e\u00edvat pr\u00e1v\u011b hlavn\u011b sta\u0159\u00ed lid\u00e9 a mal\u00e9 d\u011bti,“ m\u00edn\u00ed internistka Miroslava Aszalayov\u00e1. Pro lep\u0161\u00ed stravitelnost doporu\u010duj\u00ed l\u00e9ka\u0159i u d\u011bt\u00ed pou\u017e\u00edvat rad\u011bji prepar\u00e1ty v kapk\u00e1ch nebo rozpustn\u00e9 ve vod\u011b.<\/p>\n

Probiotika jen z vlastn\u00ed kapsy <\/strong><\/p>\n

Probiotick\u00e9 prepar\u00e1ty jsou voln\u011b dostupn\u00e9 v l\u00e9k\u00e1rn\u00e1ch, bu\u010f v podob\u011b voln\u011b prodejn\u00fdch l\u00e9\u010div nebo dopl\u0148k\u016f stravy. Zdravotn\u00ed poji\u0161\u0165ovny je nehrad\u00ed, tak\u017ee jejich u\u017e\u00edv\u00e1n\u00ed je jen na va\u0161\u00ed kapse. „\u0158\u00e1dov\u011b a velmi orienta\u010dn\u011b lze po\u010d\u00edtat s \u010d\u00e1stkou od zhruba 70 a\u017e 80 korun do 200 a\u017e 250 korun b\u011bhem l\u00e9\u010dby antibiotiky,“ up\u0159es\u0148uje Ale\u0161 Krebs z \u010cesk\u00e9 l\u00e9k\u00e1rnick\u00e9 komory.<\/p>\n

V\u011bdci \u00fa\u010dinnost potvrzuj\u00ed <\/strong><\/p>\n

V sou\u010dasnosti se vede polemika o tom, zda jsou probiotika prosp\u011b\u0161n\u00e1 pro organismus \u010di nikoliv. Pravda je, \u017ee Evropsk\u00fd \u00fa\u0159ad pro bezpe\u010dnost potravin (EFSA) tvrzen\u00ed o t\u011bchto \u00fa\u010dinc\u00edch zat\u00edm nepovolil. Stejn\u011b jist\u00e9 je i to, \u017ee odborn\u00edci, kte\u0159\u00ed se probiotiky zab\u00fdvaj\u00ed, p\u0159in\u00e1\u0161ej\u00ed \u0159adu studi\u00ed, kter\u00e9 tyto \u00fa\u010dinky naopak potvrzuj\u00ed.<\/p>\n

„Probiotika jsou v potravin\u00e1ch a potravinov\u00fdch v\u00fdrobc\u00edch p\u0159\u00edtomna. Pozitivn\u011b tam p\u016fsob\u00ed na zdrav\u00ed konzument\u016f. N\u011bkter\u00e1 z nich maj\u00ed \u00fa\u010dinky prok\u00e1zan\u00e9 klinickou prax\u00ed i studiemi. Jen z d\u016fvodu legislativy tedy tato zdravotn\u00ed tvrzen\u00ed o pozitivn\u00edm \u00fa\u010dinku probiotik nemohou b\u00fdt prezentov\u00e1na ve\u0159ejnosti,“ \u0159\u00edk\u00e1 Pavel Kohout, internista z pra\u017esk\u00e9 Thomayerovy nemocnice .<\/p>\n

—<\/p>\n

Co jsou probiotika <\/strong><\/p>\n

– \u017div\u00e9 mikroorganismy, kter\u00e9 mohou p\u0159\u00edzniv\u011b p\u016fsobit na lidsk\u00fd organismus.
\n– Obsa\u017eeny jsou v zakysan\u00fdch ml\u00e9\u010dn\u00fdch v\u00fdrobc\u00edch, jako je jogurt nebo kef\u00edr.
\n– Na trhu jsou i su\u0161en\u00e9 probiotick\u00e9 kultury v podob\u011b tablet \u010di kapsl\u00ed.
\n– P\u0159\u00edzniv\u00e9 \u00fa\u010dinky na zdrav\u00ed maj\u00ed jen tehdy, pokud jsou p\u0159\u00edtomny ve vysok\u00e9m po\u010dtu \u2013 minim\u00e1ln\u011b v \u0159\u00e1du stamilion\u016f.<\/p>\n

Mlad\u00e1 fronta Dnes<\/p>\n

Michaela Ku\u010derov\u00e1<\/p>\n","protected":false},"excerpt":{"rendered":"

Berete antibiotika, kter\u00e1 v\u00e1m ni\u010d\u00ed st\u0159evn\u00ed mikrofl\u00f3ru,\u00a0 a nev\u00edte, zda v\u00e1m sta\u010d\u00ed p\u00edt kef\u00edr, nebo pot\u0159ebujete tablety s probiotiky, abyste nep\u0159i\u0161li o „dobr\u00e9“ st\u0159evn\u00ed bakterie?\u00a0Co […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-4241","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/4241","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=4241"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/4241\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4241"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4241"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}