{"id":53648,"date":"2023-09-20T09:49:02","date_gmt":"2023-09-20T09:49:02","guid":{"rendered":"https:\/\/medsname.com\/ketosteril\/"},"modified":"2026-04-30T10:25:10","modified_gmt":"2026-04-30T10:25:10","slug":"ketosteril","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/ketosteril\/","title":{"rendered":"Ketosteril"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0;border-radius:3px;\">\n<h3 style=\"margin:0 0 6px 0;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p style=\"margin:0;\"><strong>Ketosteril<\/strong> obsahuje <strong>ketoanalogy + esenci\u00e1ln\u00ed aminokyseliny 630 mg<\/strong> v\u00fdrobek spole\u010dnosti Fresenius Kabi. Pou\u017e\u00edv\u00e1 se pro nutri\u010dn\u00ed podporu p\u0159i chronick\u00e9m onemocn\u011bn\u00ed ledvin (CKD) v kombinaci s n\u00edzkob\u00edlkovinnou dietou, aby se zpomalil pr\u016fb\u011bh onemocn\u011bn\u00ed a sn\u00ed\u017eily uremick\u00e9 p\u0159\u00edznaky. U\u017e\u00edvejte p\u0159esn\u011b podle pokyn\u016f l\u00e9ka\u0159e \u2013 ned\u00e1vkujte si l\u00e9k sami.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;text-align:center;\"><strong>\ud83d\udd12 \u0160ifrovan\u00e9 platby<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd platebn\u00ed procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava do cel\u00e9ho sv\u011bta<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong><\/div>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ka\u017ed\u00e1 \u0161ar\u017ee je dod\u00e1v\u00e1na od <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Objedn\u00e1vky jsou odes\u00edl\u00e1ny v neutr\u00e1ln\u00edch obalech od na\u0161ich partnersk\u00fdch distribu\u010dn\u00edch center a jsou chr\u00e1n\u011bny na\u0161\u00edm <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>. Slou\u017eili jsme ji\u017e <strong>1 400+ ov\u011b\u0159en\u00fdm z\u00e1kazn\u00edk\u016fm<\/strong> s pr\u016fm\u011brn\u00fdm hodnocen\u00edm <strong>4,9\/5<\/strong> nap\u0159\u00ed\u010d v\u00edce ne\u017e 600 l\u00e9ky.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:14px 0;border-radius:3px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>\u26a0 D\u016fle\u017eit\u00e9 \u2014 jedn\u00e1 se o dopln\u011bk stravy, nikoli o alfa-blok\u00e1tor nebo l\u00e9k na BPH<\/strong><\/p>\n<p style=\"margin:0;\">Ketosteril je <strong>ren\u00e1ln\u00ed nutri\u010dn\u00ed dopln\u011bk<\/strong>, nikoli l\u00e9\u010dba zv\u011bt\u0161en\u00e9 prostaty nebo hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e. Pou\u017e\u00edv\u00e1 se u dosp\u011bl\u00fdch s CKD 3.\u20135. stupn\u011b na proteinov\u011b omezen\u00e9 diet\u011b (~0,4\u20130,6 g\/kg\/den). Pokud hled\u00e1te l\u00e9k na p\u0159\u00edznaky prostaty nebo mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, pou\u017eijte panel alternativ v doln\u00ed \u010d\u00e1sti t\u00e9to str\u00e1nky.<\/p>\n<\/div>\n<h2>Co je Ketosteril a jak funguje<\/h2>\n<p>Ketosteril obsahuje pevnou sm\u011bs <strong>ketoanalog\u016f<\/strong> (bez dus\u00edkat\u00fdch analog\u016f esenci\u00e1ln\u00edch aminokyselin) a men\u0161\u00ed mno\u017estv\u00ed <strong>esenci\u00e1ln\u00edch aminokyselin<\/strong>. P\u0159i CKD omezen\u00ed p\u0159\u00edjmu b\u00edlkovin ve strav\u011b sni\u017euje tvorbu uremick\u00fdch toxin\u016f, ale hroz\u00ed podv\u00fd\u017eiva. Ketoanalogy umo\u017e\u0148uj\u00ed t\u011blu vyr\u00e1b\u011bt aminokyseliny p\u0159id\u00e1n\u00edm vlastn\u00edho cirkuluj\u00edc\u00edho dus\u00edkat\u00e9ho odpadu pacienta \u2014 tak\u017ee je zachov\u00e1na nezbytn\u00e1 v\u00fd\u017eiva, zat\u00edmco z\u00e1t\u011b\u017e mo\u010doviny a uremick\u00e9 p\u0159\u00edznaky (nevolnost, \u00fanava, sv\u011bd\u011bn\u00ed) klesaj\u00ed.<\/p>\n<p>Kombinace je ur\u010dena k pou\u017eit\u00ed <strong>spolu s n\u00edzkob\u00edlkovinnou dietou<\/strong> (obvykle 0,4\u20130,6 g\/kg\/den pod dohledem dietologa). Nen\u00ed \u00fa\u010dinn\u00e1 a m\u016f\u017ee dokonce zhor\u0161it stav p\u0159i norm\u00e1ln\u00ed b\u00edlkovinn\u00e9 diet\u011b, proto\u017ee p\u0159ebyte\u010dn\u00fd dus\u00edk je pak znovu zat\u011b\u017eov\u00e1n.<\/p>\n<h2>D\u00e1vkov\u00e1n\u00ed a zp\u016fsob u\u017e\u00edv\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Skupina pacient\u016f<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Doporu\u010den\u00e1 d\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed &gt; 70 kg s CKD 3.\u20135. stupn\u011b na n\u00edzkob\u00edlkovinn\u00e9 diet\u011b<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\"><strong>4\u20138 tablet t\u0159ikr\u00e1t denn\u011b s hlavn\u00edmi j\u00eddly<\/strong> (12\u201324 tablet\/den) podle pl\u00e1nu dietologa\/nefrologa<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed 40\u201370 kg<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">1 tableta na 5 kg t\u011blesn\u00e9 hmotnosti denn\u011b, rozd\u011bleno do j\u00eddel<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">D\u011bti &gt; 3 roky (pod odborn\u00fdm dohledem)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">1 tableta na 5 kg\/den<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Kone\u010dn\u00e9 st\u00e1dium CKD na dial\u00fdze<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Pod veden\u00edm specialisty; obvykle v kombinaci s intradialyza\u010dn\u00edm proteinov\u00fdm p\u0159izp\u016fsoben\u00edm<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Polykejte cel\u00e9 b\u011bhem hlavn\u00edho j\u00eddla, aby byly aminokyseliny k dispozici spolu se zdroji dus\u00edku ve strav\u011b.<\/strong> Nedr\u0165te a ne\u017ev\u00fdkejte. Tablety jsou velk\u00e9; n\u011bkte\u0159\u00ed u\u017eivatel\u00e9 preferuj\u00ed jejich u\u017e\u00edv\u00e1n\u00ed postupn\u011b b\u011bhem j\u00eddla nam\u00edsto najednou. Ujist\u011bte se, \u017ee pijete dostatek vody, pokud v\u00e1m nefrolog neomezil p\u0159\u00edjem tekutin.<\/p>\n<h2>Monitorov\u00e1n\u00ed<\/h2>\n<ul>\n<li><strong>S\u00e9rov\u00fd v\u00e1pn\u00edk<\/strong> \u2014 ketoanalogy obsahuj\u00ed v\u00e1pn\u00edk; kontrolujte na za\u010d\u00e1tku a ka\u017ed\u00e9 1\u20133 m\u011bs\u00edce. P\u0159eru\u0161te p\u0159i hyperkalc\u00e9mii (&gt; 2,6 mmol\/l)<\/li>\n<li><strong>S\u00e9rov\u00fd fosf\u00e1t, PTH, eGFR, BUN\/mo\u010dovina<\/strong> \u2014 rutinn\u00ed monitorov\u00e1n\u00ed CKD<\/li>\n<li><strong>T\u011blesn\u00e1 hmotnost, MUAC a p\u0159\u00edjem b\u00edlkovin ve strav\u011b<\/strong> \u2014 prost\u0159ednictv\u00edm dietologa k potvrzen\u00ed udr\u017een\u00ed adekv\u00e1tn\u00ed v\u00fd\u017eivy<\/li>\n<li><strong>Albumin, prealbumin<\/strong> \u2014 p\u0159i podez\u0159en\u00ed na podv\u00fd\u017eivu<\/li>\n<\/ul>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Frekvence<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Pozn\u00e1mky<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Hyperkalc\u00e9mie<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Vz\u00e1cn\u00e9 \u2014 p\u0159eru\u0161te p\u0159i &gt; 2,6 mmol\/l<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Pravideln\u011b kontrolujte v\u00e1pn\u00edk<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">GI pot\u00ed\u017ee (nevolnost, pocit plnosti)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Zpo\u010d\u00e1tku b\u011b\u017en\u00e9<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">U\u017e\u00edvejte s j\u00eddlem; rozd\u011blte d\u00e1vky<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Z\u00e1cpa<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">M\u00e9n\u011b \u010dast\u00e9<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Dostate\u010dn\u00fd p\u0159\u00edjem tekutin (v r\u00e1mci ren\u00e1ln\u00edch limit\u016f) a vl\u00e1kniny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">P\u0159ecitliv\u011blost (vyr\u00e1\u017eka, sv\u011bd\u011bn\u00ed)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Vz\u00e1cn\u00e9<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">P\u0159eru\u0161it a p\u0159ehodnotit<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Kombinace<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u00da\u010dinek<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u00da\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Antacida obsahuj\u00edc\u00ed hlin\u00edk<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">V\u00e1pn\u00edk m\u016f\u017ee zv\u00fd\u0161it absorpci hlin\u00edku<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Vyhn\u011bte se sou\u010dasn\u00e9mu pod\u00e1v\u00e1n\u00ed \u2014 odd\u011blte pod\u00e1n\u00ed o 2 hodiny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Tetracykliny, fluorochinolony, levothyroxin, peror\u00e1ln\u00ed \u017eelezo, bisfosfon\u00e1ty<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Chelatace v\u00e1pn\u00edkem sni\u017euje absorpci sou\u010dasn\u011b pod\u00e1van\u00fdch l\u00e9\u010div<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Odd\u011blit 2hodinov\u00fdm intervalem<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Kardi\u00e1ln\u00ed glykosidy (digoxin)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Vysok\u00e1 hladina v\u00e1pn\u00edku zvy\u0161uje citlivost na digoxin<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Monitorujte; neza\u010d\u00ednejte sou\u010dasn\u00e9 dopl\u0148ky v\u00e1pn\u00edku<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Analoga vitaminu D, dopl\u0148ky v\u00e1pn\u00edku<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Aditivn\u00ed riziko hyperkalc\u00e9mie<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Pod dohledem specialisty<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Kdo by nem\u011bl u\u017e\u00edvat Ketosteril<\/h2>\n<ul>\n<li>Hyperkalc\u00e9mie (korigovan\u00fd s\u00e9rov\u00fd v\u00e1pn\u00edk &gt; 2,6 mmol\/l)<\/li>\n<li>Poruchy metabolismu aminokyselin (nap\u0159. nemoc javorov\u00e9ho sirupu, d\u011bdi\u010dn\u00e1 fenylketonurie)<\/li>\n<li>Pacienti NEdodr\u017euj\u00edc\u00ed strukturovanou n\u00edzkoproteinovou dietu (\u017e\u00e1dn\u00fd benefit a mo\u017en\u00e9 p\u0159et\u00ed\u017een\u00ed dus\u00edkem)<\/li>\n<li>T\u011b\u017ek\u00e1 intolerance galakt\u00f3zy \/ Lapp\u016fv deficit lakt\u00e1zy (pomocn\u00e1 l\u00e1tka)<\/li>\n<li>P\u0159ecitliv\u011blost na kteroukoli slo\u017eku p\u0159\u00edpravku<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Je Ketosteril l\u00e9kem na probl\u00e9my s prostatou nebo mo\u010dov\u00fdm m\u011bch\u00fd\u0159em?<\/h3>\n<p><strong>Ne.<\/strong> Jedn\u00e1 se o v\u00fd\u017eivov\u00fd dopln\u011bk p\u0159i onemocn\u011bn\u00ed ledvin \u2014 ketoanaloga plus esenci\u00e1ln\u00ed aminokyseliny \u2014 ur\u010den\u00fd k u\u017e\u00edv\u00e1n\u00ed spolu s n\u00edzkob\u00edlkovinnou dietou za \u00fa\u010delem zpomalen\u00ed progrese chronick\u00e9ho onemocn\u011bn\u00ed ledvin (CKD) a sn\u00ed\u017een\u00ed uremick\u00fdch p\u0159\u00edznak\u016f. L\u00e9ky na mo\u010dov\u00fd m\u011bch\u00fd\u0159\/prostatu jsou uvedeny v panelu alternativ v doln\u00ed \u010d\u00e1sti t\u00e9to str\u00e1nky.<\/p>\n<h3>Jak p\u0159esn\u011b n\u00edzkob\u00edlkovinn\u00e1 dieta s Ketosterilem zpomaluje CKD?<\/h3>\n<p>M\u00e9n\u011b dietn\u00edho dus\u00edku znamen\u00e1 m\u00e9n\u011b tvorby mo\u010doviny; ledviny zpracov\u00e1vaj\u00ed m\u00e9n\u011b odpadn\u00edch l\u00e1tek; glomerul\u00e1rn\u00ed hyperfiltrace kles\u00e1. P\u0159id\u00e1n\u00ed ketoanalog umo\u017e\u0148uje t\u011blu st\u00e1le budovat esenci\u00e1ln\u00ed aminokyseliny za vyu\u017eit\u00ed cirkuluj\u00edc\u00edch dus\u00edkat\u00fdch odpad\u016f, tak\u017ee nutri\u010dn\u00ed stav z\u016fst\u00e1v\u00e1 dostate\u010dn\u00fd. Studie ukazuj\u00ed, \u017ee pokles eGFR se zpomaluje u CKD stadi\u00ed 3\u20135 p\u0159i strukturovan\u00e9 diet\u011b s omezen\u00edm b\u00edlkovin a dopl\u0148ov\u00e1n\u00edm ketoanalog.<\/p>\n<h3>Kolik tablet denn\u011b?<\/h3>\n<p>P\u0159ibli\u017en\u011b 1 tableta na 5 kg t\u011blesn\u00e9 hmotnosti denn\u011b, rozd\u011blen\u00e1 do t\u0159\u00ed hlavn\u00edch j\u00eddel. Dosp\u011bl\u00fd o hmotnosti 70 kg obvykle u\u017e\u00edv\u00e1 4\u20135 tablet p\u0159i ka\u017ed\u00e9m j\u00eddle (~12\u201314\/den). V\u00e1\u0161 nefrolog nebo dietolog d\u00e1vku uprav\u00ed.<\/p>\n<h3>Pro\u010d s j\u00eddlem?<\/h3>\n<p>Ketoanaloga pot\u0159ebuj\u00ed okam\u017eit\u00fd zdroj dus\u00edku, aby mohla b\u00fdt p\u0159em\u011bn\u011bna na esenci\u00e1ln\u00ed aminokyseliny. U\u017e\u00edv\u00e1n\u00ed s j\u00eddlem tento dus\u00edk poskytuje a zlep\u0161uje biologickou dostupnost.<\/p>\n<h3>P\u0159iberu z tohoto p\u0159\u00edpravku na v\u00e1ze nebo svalov\u00e9 hmot\u011b?<\/h3>\n<p>Ketosteril poskytuje stavebn\u00ed bloky aminokyselin, ale nen\u00ed vysoce kalorick\u00fdm dopl\u0148kem. Udr\u017een\u00ed hmotnosti a svalov\u00e9 hmoty na n\u00edzkob\u00edlkovinn\u00e9 diet\u011b z\u00e1vis\u00ed na celkov\u00e9m dostate\u010dn\u00e9m p\u0159\u00edjmu kalori\u00ed. Ren\u00e1ln\u00ed dietolog napl\u00e1nuje kalorick\u00fd p\u0159\u00edjem s ohledem na omezen\u00ed b\u00edlkovin.<\/p>\n<h3>A co dial\u00fdza \u2014 pot\u0159ebuji ji st\u00e1le?<\/h3>\n<p>V\u011bt\u0161ina hemodialyza\u010dn\u00edch program\u016f p\u0159izp\u016fsob\u00ed liber\u00e1ln\u011bj\u0161\u00ed p\u0159\u00edjem b\u00edlkovin ve strav\u011b (1,0\u20131,2 g\/kg\/den) ztr\u00e1t\u00e1m aminokyselin v dialyz\u00e1tu. Je nutn\u00fd odborn\u00fd dohled; neupravujte si d\u00e1vkov\u00e1n\u00ed sami.<\/p>\n<h3>M\u016f\u017eu vysadit vaza\u010d fosf\u00e1t\u016f?<\/h3>\n<p>Ne. Ketosteril nev\u00e1\u017ee dietn\u00ed fosf\u00e1ty. Pokra\u010dujte v u\u017e\u00edv\u00e1n\u00ed p\u0159edepsan\u00e9ho vaza\u010de (sevelamer, octan v\u00e1penat\u00fd, lanthanum) v dob\u011b j\u00eddla, pokud v\u00e1m nefrolog ne\u0159ekne jinak.<\/p>\n<h3>Jak se m\u011b\u0159\u00ed a sleduje v\u00e1pn\u00edk?<\/h3>\n<p>Korigovan\u00fd s\u00e9rov\u00fd v\u00e1pn\u00edk se kontroluje na za\u010d\u00e1tku a ka\u017ed\u00e9 1\u20133 m\u011bs\u00edce. Pokud stoupne nad 2,6 mmol\/l, d\u00e1vka se sn\u00ed\u017e\u00ed nebo vysad\u00ed. Vyhn\u011bte se sou\u010dasn\u00e9mu u\u017e\u00edv\u00e1n\u00ed dopl\u0148k\u016f v\u00e1pn\u00edku, pokud to nena\u0159\u00edd\u00ed specialista.<\/p>\n<h3>Existuj\u00ed alternativy, pokud nesnesu Ketosteril?<\/h3>\n<p>Ano \u2014 strukturovan\u00e9 n\u00edzkob\u00edlkovinn\u00e9 diety bez ketoanalog\u016f nebo sm\u011bsi alfa-keto kyselin s r\u016fzn\u00fdmi pom\u011bry. Rozhodnut\u00ed je individu\u00e1ln\u00ed; pora\u010fte se se sv\u00fdm ren\u00e1ln\u00edm dietologem.<\/p>\n<h3>Jak\u00e9 dal\u0161\u00ed l\u00e9ky bych m\u011bl u\u017e\u00edvat odd\u011blen\u011b?<\/h3>\n<p>Tetracykliny, fluorochinolony, levothyroxin, peror\u00e1ln\u00ed \u017eelezo, bisfosfon\u00e1ty a antacida obsahuj\u00edc\u00ed hlin\u00edk by se m\u011bly u\u017e\u00edvat nejm\u00e9n\u011b 2 hodiny p\u0159ed nebo po Ketosterilu kv\u016fli chelataci v\u00e1pn\u00edku.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Dal\u0161\u00ed l\u00e9ky na mo\u010dov\u00fd m\u011bch\u00fd\u0159 a prostatu<\/h2>\n<ul>\n<li><a href=\"\/cs\/silofast\/\">Silofast (silodosin) \u2014 alfa-blok\u00e1tor pro BPH<\/a><\/li>\n<li><a href=\"\/cs\/alfusin\/\">Alfusin (alfuzosin 10 mg ER) \u2014 alfa-blok\u00e1tor pro BPH<\/a><\/li>\n<li><a href=\"\/cs\/cystone\/\">Cystone \u2014 bylinn\u00fd p\u0159\u00edpravek na podporu mo\u010dov\u00fdch cest, dopln\u011bk p\u0159i ledvinov\u00fdch kamenech<\/a><\/li>\n<li><a href=\"\/cs\/urotel-xl\/\">Urotel XL (tolterodin ER) \u2014 na p\u0159\u00edznaky hyperaktivn\u00edho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e<\/a><\/li>\n<li><a href=\"\/cs\/fosirol-powder-3g\/\">Fosirol 3 g (fosfomycin) \u2014 pro akutn\u00ed epizodu infekce mo\u010dov\u00fdch cest<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:3px;font-size:13px;color:#3a5160;\">\n<p style=\"margin:0;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro obecn\u00e9 vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuj\u00ed radu kvalifikovan\u00e9ho l\u00e9ka\u0159e. Proberte jak\u00fdkoli nov\u00fd l\u00e9k nebo zm\u011bnu d\u00e1vky se sv\u00fdm l\u00e9ka\u0159em nebo l\u00e9k\u00e1rn\u00edkem, zvl\u00e1\u0161t\u011b pokud jste t\u011bhotn\u00e1, koj\u00edte, m\u00e1te jin\u00e9 zdravotn\u00ed pot\u00ed\u017ee nebo u\u017e\u00edv\u00e1te dal\u0161\u00ed l\u00e9ky.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zlep\u0161uje funkci ledvin<br \/>\n\u2705 Sni\u017euje uremick\u00e9 p\u0159\u00edznaky<br \/>\n\u2705 Zlep\u0161uje metabolismus b\u00edlkovin<br \/>\n\u2705 Sni\u017euje hladinu kreatininu v s\u00e9ru<br \/>\n\u2705 L\u00e9\u010d\u00ed chronick\u00e9 onemocn\u011bn\u00ed ledvin<\/p>","protected":false},"featured_media":53649,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3614,3141,3342],"product_tag":[],"class_list":{"0":"post-53648","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-bladder-prostate","7":"product_cat-category-overview","8":"product_cat-general-health","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/53648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=53648"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53649"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53648"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53648"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53648"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}