{"id":15782,"date":"2025-09-06T16:48:35","date_gmt":"2025-09-06T16:48:35","guid":{"rendered":"https:\/\/ziveprobiotika.sk\/?p=15782"},"modified":"2025-11-09T14:02:18","modified_gmt":"2025-11-09T14:02:18","slug":"sibo","status":"publish","type":"post","link":"https:\/\/ziveprobiotika.sk\/cz\/sibo\/","title":{"rendered":"SIBO."},"content":{"rendered":"<p><strong>Kdy\u017e se st\u0159evn\u00ed mikrobiom dostane z rovnov\u00e1hy<\/strong><\/p>\n\n\n\n<p>O st\u0159evn\u00edm mikrobiomu se dnes mluv\u00ed st\u00e1le v\u00edce, a nen\u00ed se co divit. A to nejen v r\u00e1mci odborn\u00fdch debat. Tento \u201eneviditeln\u00fd ekosyst\u00e9m\u201c mikroorganism\u016f v na\u0161em tr\u00e1vic\u00edm traktu ovliv\u0148uje nejen zpracov\u00e1n\u00ed potravy, ale tak\u00e9 celkovou pohodu. N\u011bkdy se v\u0161ak m\u016f\u017ee st\u00e1t, \u017ee se bakterie dostanou tam, kde nemaj\u00ed b\u00fdt \u2013 a pr\u00e1v\u011b o tom je SIBO, tedy \u201eSmall Intestinal Bacterial Overgrowth\u201c.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Co vlastn\u011b SIBO znamen\u00e1?<\/h3>\n\n\n\n<p>Ve zkratce, pod t\u00edmto n\u00e1zvem se skr\u00fdv\u00e1 stav, kdy se bakterie, kter\u00e9 b\u011b\u017en\u011b s\u00eddl\u00ed v tlust\u00e9m st\u0159ev\u011b, p\u0159emno\u017e\u00ed v tenk\u00e9m st\u0159ev\u011b. Tenk\u00e9 st\u0159evo m\u00e1 ale jin\u00e9 \u00fakoly, a to zejm\u00e9na vst\u0159eb\u00e1v\u00e1n\u00ed \u017eivin, a nen\u00ed stav\u011bno na intenzivn\u00ed bakteri\u00e1ln\u00ed kva\u0161en\u00ed. Z praxe v\u00edme, \u017ee m\u016f\u017ee doj\u00edt k probl\u00e9m\u016fm jako:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>nad\u00fdm\u00e1n\u00ed a plynatost<\/li>\n\n\n\n<li>pocit plnosti ji\u017e kr\u00e1tce po j\u00eddle<\/li>\n\n\n\n<li>st\u0159\u00edd\u00e1n\u00ed pr\u016fjmu a z\u00e1cpy<\/li>\n\n\n\n<li>n\u011bkdy i \u00fanava \u010di zhor\u0161en\u00e1 koncentrace<\/li>\n\n\n\n<li>bolest a k\u0159e\u010de v b\u0159i\u0161e<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Pro\u010d k tomu doch\u00e1z\u00ed?<\/h3>\n\n\n\n<p>SIBO nen\u00ed jednor\u00e1zov\u00e1 \u201echyba\u201c. Sp\u00ed\u0161e se jedn\u00e1 o kombinaci v\u00edce faktor\u016f, kter\u00e9 oslabuj\u00ed p\u0159irozenou rovnov\u00e1hu tr\u00e1vic\u00edho traktu:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>zpomalen\u00e1 st\u0159evn\u00ed motilita (nap\u0159. p\u0159i sedav\u00e9m stylu \u017eivota)<\/li>\n\n\n\n<li>opakovan\u00e9 u\u017e\u00edv\u00e1n\u00ed antibiotik<\/li>\n\n\n\n<li>jednostrann\u00e1 strava s n\u00edzk\u00fdm obsahem vl\u00e1kniny (celkov\u011b \u0161patn\u00e9 stravovac\u00ed n\u00e1vyky)<\/li>\n\n\n\n<li>chronick\u00fd stres, kter\u00fd ovliv\u0148uje i tr\u00e1ven\u00ed<\/li>\n<\/ul>\n\n\n\n<p>To v podstat\u011b znamen\u00e1, \u017ee nedostate\u010dn\u00e1 absorpce \u017eivin, s naru\u0161enou motilitou st\u0159ev a chronickou bolest\u00ed, m\u016f\u017ee v\u00e9st k po\u0161kozen\u00ed sliznice, \u010d\u00edm\u017e se naru\u0161\u00ed homeost\u00e1za mezi vn\u011bj\u0161\u00edm a vnit\u0159n\u00edm prost\u0159ed\u00edm st\u0159ev. Mimo jin\u00e9 se SIBO \u010dasto rozvine i v d\u016fsledku jin\u00e9ho onemocn\u011bn\u00ed, jako je nap\u0159\u00edklad\u00a0<strong>syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku, hypotyre\u00f3za, sklerodermie, chronick\u00e1 pankreatitida, diabetes mellitus, post-radia\u010dn\u00ed enteropatie.<\/strong>\u00a0Velk\u00fd vliv na rozvoj SIBO maj\u00ed anatomick\u00e9 zm\u011bny v tr\u00e1vic\u00edm traktu po operac\u00edch \u010di v\u00e1\u017en\u00fdch infekc\u00edch nebo i celkov\u00e1 imunitn\u00ed nedostate\u010dnost.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">P\u0159\u00edprava na SIBO test<\/h3>\n\n\n\n<p>Ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f v\u00e1s specialista, gastroenterolog p\u0159iprav\u00ed na tento test. Ale tady je kr\u00e1tk\u00e9 shrnut\u00ed:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>3-4 t\u00fddny p\u0159ed vy\u0161et\u0159en\u00edm by pacient\u00a0<strong>nem\u011bl u\u017e\u00edvat antibiotika<\/strong>, podstoupit kolonoskopii, gastrofibroskopie a pod.<\/li>\n\n\n\n<li>1 a\u017e 2 t\u00fddny p\u0159ed vy\u0161et\u0159en\u00edm by pacient\u00a0<strong>nem\u011bl u\u017e\u00edvat <\/strong>l\u00e9ky jako nap\u0159\u00edklad laxativa a jin\u00e9 l\u00e9ky ovliv\u0148uj\u00edc\u00ed stolici \u2013 lakt\u00f3za, frukt\u00f3za<\/li>\n\n\n\n<li>Circa 24 hodin p\u0159ed vy\u0161et\u0159en\u00edm by pacient\u00a0<strong>nem\u011bl ani j\u00edst t\u011b\u017eko straviteln\u00e1 j\u00eddla<\/strong>\u00a0(sma\u017een\u00e1 j\u00eddla, ml\u00e9ko, ml\u00e9\u010dn\u00e9 v\u00fdrobky, celozrnn\u00e9 pe\u010divo, lu\u0161t\u011bniny, o\u0159echy, ovoce, zeleninu). Tak\u00e9 se nedoporu\u010duj\u00ed konzumovat sladk\u00e1 j\u00eddla a slazen\u00e9 n\u00e1poje.<\/li>\n\n\n\n<li>24 hodin p\u0159ed vy\u0161et\u0159en\u00edm se doporu\u010duje stravovat st\u0159\u00eddm\u011b a konzumovat lehce straviteln\u00e1 j\u00eddla (ryby, dr\u016fbe\u017e, r\u00fd\u017ee, vaj\u00ed\u010dka). Pitn\u00fd re\u017eim by m\u011bl obsahovat u\u017e jen \u010distou vodu.<\/li>\n\n\n\n<li>12 hodin p\u0159ed vy\u0161et\u0159en\u00edm by pacient nem\u011bl j\u00edst u\u017e \u017e\u00e1dn\u00e9 j\u00eddlo ani p\u00edt alkohol a m\u011bl by p\u00edt jen \u010distou vodu<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">SIBO vy\u0161et\u0159en\u00ed - jak prob\u00edh\u00e1 a co v\u00e1s \u010dek\u00e1?<\/h3>\n\n\n\n<p>P\u0159ed vy\u0161et\u0159en\u00edm jako takov\u00fdm u\u017e pacient nesm\u00ed nic konzumovat. Maxim\u00e1ln\u011b 2 hodiny p\u0159ed vy\u0161et\u0159en\u00edm si m\u016f\u017ee um\u00fdt zuby a m\u016f\u017ee se nap\u00edt trochu vody. 2 hodiny p\u0159ed testem v\u0161ak nesm\u00ed pacient kou\u0159it, cvi\u010dit ani se fyzicky nam\u00e1hat. O pot\u0159eb\u011b u\u017e\u00edv\u00e1n\u00ed rann\u00fdch l\u00e9k\u016f rozhoduje o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159. Obvykle se u\u017eij\u00ed ihned po vy\u0161et\u0159en\u00ed, proto\u017ee\u00a0<strong>v\u011bt\u0161inou se test na SIBO realizuje r\u00e1no<\/strong>.<\/p>\n\n\n\n<p><strong>Cel\u00e9 vy\u0161et\u0159en\u00ed na SIBO m\u016f\u017ee trvat 2 a\u017e 2,5 hodiny.<\/strong>\u00a0Hned na \u00favod pacient vydechne cel\u00fd obsah plic po hlubok\u00e9m n\u00e1dechu do trubi\u010dky, kter\u00e1 je napojena na testovac\u00ed p\u0159\u00edstroj. Tato \u010d\u00e1st procesu je podobn\u00e1 fouk\u00e1n\u00ed do trubi\u010dky p\u0159i kontrole na alkohol. N\u00e1sledn\u011b pacient vypije roztok laktul\u00f3zy a ve stanoven\u00fdch intervalech (15 a\u017e 20 minut) opakovan\u011b vydechuje vzduch p\u0159es trubi\u010dku do p\u0159\u00edstroje.\u00a0<strong>P\u0159\u00edstroj okam\u017eit\u011b zaznamen\u00e1 koncentraci vod\u00edku<\/strong>, kter\u00e1 se zapisuje a n\u00e1sledn\u011b l\u00e9ka\u0159em vyhodnocuje.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Co p\u0159ijde po SIBO vy\u0161et\u0159en\u00ed?<\/h4>\n\n\n\n<p>Pokud vy\u0161et\u0159en\u00ed prob\u011bhne v po\u0159\u00e1dku a test nezaznamen\u00e1 zv\u00fd\u0161enou hodnotu koncentrace vod\u00edku ve vydechovan\u00e9m vzduchu, pacientovi se obvykle doporu\u010duje podstoupit dal\u0161\u00ed vy\u0161et\u0159en\u00ed podle obt\u00ed\u017e\u00ed, kter\u00fdmi trp\u00ed. Pokud bolesti b\u0159icha, p\u0159\u00edpadn\u011b za\u017e\u00edvac\u00ed pot\u00ed\u017ee neustupuj\u00ed, odborn\u00fd l\u00e9ka\u0159 hled\u00e1 s pacientem dal\u0161\u00ed \u0159e\u0161en\u00ed. Ale, v p\u0159\u00edpad\u011b pozitivn\u00edho testu, kdy koncentrace vod\u00edku stoupne nad 10 ppm,\u00a0<strong>gastroenterolog pacientovi p\u0159edep\u00ed\u0161e antibiotika<\/strong>. V n\u011bkter\u00fdch zem\u00edch je okam\u017eit\u011b nasazen levofloxacin. Na Slovensku je p\u0159edepisov\u00e1n nap\u0159\u00edklad rifaximin, kter\u00fd pacient u\u017e\u00edv\u00e1 cirku t\u00fdden, v t\u011b\u017e\u0161\u00edch p\u0159\u00edpadech p\u0159emno\u017een\u00ed bakteri\u00ed a\u017e 2.<\/p>\n\n\n\n<p><strong>K antibiotick\u00e9 l\u00e9\u010db\u011b se doporu\u010duje u\u017e\u00edvat probiotika k obnov\u011b p\u0159irozen\u00e9 mikrofl\u00f3ry<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Jak m\u016f\u017ee pomoci \u017eivotn\u00ed styl?<\/h3>\n\n\n\n<p>L\u00e9\u010dba SIBO pat\u0159\u00ed do rukou l\u00e9ka\u0159e, ale mnoho m\u016f\u017eeme ovlivnit i sami, a to zejm\u00e9na p\u0159es ka\u017edodenn\u00ed n\u00e1vyky:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pohyb<\/strong> \u2013 pravideln\u00e1 fyzick\u00e1 aktivita podporuje p\u0159irozen\u00e9 pohyby st\u0159ev.<\/li>\n\n\n\n<li><strong>Stravov\u00e1n\u00ed<\/strong> \u2013 vyv\u00e1\u017een\u00fd j\u00eddeln\u00ed\u010dek s d\u016frazem na pestr\u00e9 zdroje vl\u00e1kniny, postupn\u00e9 odhalov\u00e1n\u00ed potravin, kter\u00e9 zp\u016fsobuj\u00ed pot\u00ed\u017ee.<\/li>\n\n\n\n<li><strong>J\u00eddeln\u00ed rytmus<\/strong> \u2013 nej\u00edst neust\u00e1le b\u011bhem cel\u00e9ho dne, ale d\u00e1t t\u011blu \u010das zpracovat j\u00eddlo.<\/li>\n\n\n\n<li><strong>Podpora st\u0159evn\u00edho mikrobiomu<\/strong> \u2013 p\u0159irozen\u011b p\u0159es fermentovan\u00e9 potraviny a pestrou stravu; n\u011bkte\u0159\u00ed lid\u00e9 zkou\u0161ej\u00ed i modern\u00ed formy jako tekut\u00e1 probiotika, kter\u00e1 jsou sou\u010d\u00e1st\u00ed trendu p\u00e9\u010de o zdrav\u00fd mikrobiom.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">SIBO jako p\u0159ipom\u00ednka<\/h3>\n\n\n\n<p>I kdy\u017e SIBO zn\u00ed odborn\u011b a v\u00e1\u017en\u011b, my se na n\u011bj um\u00edme pod\u00edvat iz jin\u00e9 perspektivy \u2013 jako na p\u0159ipom\u00ednku, \u017ee st\u0159eva pot\u0159ebuj\u00ed nejen rovnov\u00e1hu, ale tak\u00e9 p\u00e9\u010di. Nen\u00ed to jen o l\u00e9c\u00edch \u010di diagn\u00f3z\u00e1ch, ale o ka\u017edodenn\u00edch rozhodnut\u00edch: co j\u00edme, jak se h\u00fdbeme a jak\u00fd prostor d\u00e1v\u00e1me regeneraci.<\/p>\n\n\n\n<p class=\"has-small-font-size\">*D\u016fle\u017eit\u00e9 pr\u00e1vn\u00ed upozorn\u011bn\u00ed:\u00a0<em>Informace uveden\u00e9 v tomto \u010dl\u00e1nku jsou poskytov\u00e1ny v\u00fdhradn\u011b pro vzd\u011bl\u00e1vac\u00ed a informa\u010dn\u00ed \u00fa\u010dely. Nejedn\u00e1 se o l\u00e9ka\u0159sk\u00e9 poradenstv\u00ed, diagnostiku, l\u00e9\u010dbu ani prevenci jak\u00fdchkoli nemoc\u00ed \u010di zdravotn\u00edch stav\u016f. Obsah tohoto \u010dl\u00e1nku je obecn\u00fd a nem\u00e1 p\u0159\u00edm\u00fd souvislost ani se nevztahuje na konkr\u00e9tn\u00ed produkty prod\u00e1van\u00e9 na t\u00e9to webov\u00e9 str\u00e1nce. Produkty zmi\u0148ovan\u00e9 nebo odkazovan\u00e9 na t\u00e9to str\u00e1nce jsou dopl\u0148ky v\u00fd\u017eivy a nejsou ur\u010deny pro diagnostiku, l\u00e9\u010dbu, vyl\u00e9\u010den\u00ed ani prevenci \u017e\u00e1dn\u00fdch chorob. V\u017edy se pora\u010fte se sv\u00fdm l\u00e9ka\u0159em nebo kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem p\u0159edt\u00edm, ne\u017e za\u010dnete jakoukoli novou l\u00e9\u010dbu, zm\u011bny ve stravov\u00e1n\u00ed, u\u017e\u00edv\u00e1n\u00ed dopl\u0148k\u016f stravy nebo m\u00e1te-li jak\u00e9koli zdravotn\u00ed obavy. Informace z tohoto \u010dl\u00e1nku nenahrazuj\u00ed odbornou l\u00e9ka\u0159skou konzultaci. Provozovatel t\u00e9to webov\u00e9 str\u00e1nky a prodejce produkt\u016f nenese \u017e\u00e1dnou odpov\u011bdnost za rozhodnut\u00ed p\u0159ijat\u00e1 na z\u00e1klad\u011b informac\u00ed obsa\u017een\u00fdch v tomto \u010dl\u00e1nku. Individu\u00e1ln\u00ed v\u00fdsledky se mohou li\u0161it.<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Kdy\u017e se st\u0159evn\u00ed mikrobiom dostane z rovnov\u00e1hy O st\u0159evn\u00edm mikrobiomu se dnes hovo\u0159\u00ed st\u00e1le v\u00edce, a nen\u00ed se co divit. A to nejen v r\u00e1mci odborn\u00fdch debat. Tento \u201eneviditeln\u00fd ekosyst\u00e9m\u201c mikroorganism\u016f v na\u0161em tr\u00e1vic\u00edm traktu ovliv\u0148uje nejen zpracov\u00e1n\u00ed potravy, ale tak\u00e9\u2026<\/p>","protected":false},"author":2,"featured_media":15823,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70,66],"tags":[150,155],"class_list":["post-15782","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zaujimavosti","category-zdravie-medicina-clanky","tag-naduvanie","tag-sibo"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/posts\/15782","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/comments?post=15782"}],"version-history":[{"count":0,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/posts\/15782\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/media\/15823"}],"wp:attachment":[{"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/media?parent=15782"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/categories?post=15782"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/tags?post=15782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}