{"id":3542,"count":34,"description":"Gastrointestin\u00e1ln\u00ed a hepatobili\u00e1rn\u00ed stavy zahrnuj\u00ed obrovsk\u00e9 spektrum \u2014 onemocn\u011bn\u00ed souvisej\u00edc\u00ed s kyselinami (GERD, peptick\u00fd v\u0159ed), z\u00e1n\u011btliv\u00e1 st\u0159evn\u00ed onemocn\u011bn\u00ed (Crohnova choroba, ulcer\u00f3zn\u00ed kolitida), syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku, infek\u010dn\u00ed enteritida, pr\u016fjem spojen\u00fd s antibiotiky, jatern\u00ed onemocn\u011bn\u00ed, bili\u00e1rn\u00ed st\u00e1za, poruchy motility a poopera\u010dn\u00ed nevolnost. Katalog MedsBase Gastro Health sdru\u017euje <strong>24 produkt\u016f<\/strong> V t\u011bchto oblastech. (Kyselinu potla\u010duj\u00edc\u00ed PPI a H2 blok\u00e1tory pro GERD najdete samostatn\u011b v kategorii L\u00e9\u010dba refluxu kyseliny; klasick\u00e1 antispazmodika pro IBS a rifaximin jsou v kategorii L\u00e9\u010dba IBS a IBD.) V\u0161echny produkty dod\u00e1v\u00e1 <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\n<strong>Z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed st\u0159ev \u2014 sulfasalazin a 5-ASA p\u0159\u00edpravky.<\/strong> Sulfasalazin (5-ASA + nosi\u010d sulfapyridinu) z\u016fst\u00e1v\u00e1 z\u00e1kladn\u00edm l\u00e9kem pro m\u00edrnou a\u017e st\u0159edn\u011b t\u011b\u017ekou ulcer\u00f3zn\u00ed kolitidu a revmatoidn\u00ed artritidu jako DMARD. Nab\u00edz\u00edme <a href=\"https:\/\/medsbase.com\/cs\/saaz\/\">Saaz<\/a> (500 mg). Mezalam\u00ednov\u00e9 \u010d\u00edpky pro dist\u00e1ln\u00ed proktitidu jsou k dispozici jako <a href=\"https:\/\/medsbase.com\/cs\/pentasa-suppositories\/\">Pentasa \u010d\u00edpky<\/a>; generick\u00e9 p\u0159\u00edpravky s mesalaminem (Mesacol, Asacol) jsou uvedeny v kategorii L\u00e9\u010dba IBS &amp; IBD. Topick\u00fd\/or\u00e1ln\u00ed budesonid pro ile\u00e1ln\u00ed Crohnovu chorobu a pravostrannou UC (n\u00edzk\u00e1 syst\u00e9mov\u00e1 absorpce, m\u00e9n\u011b steroidn\u00edch vedlej\u0161\u00edch \u00fa\u010dink\u016f ne\u017e prednisolon) je skladem jako <a href=\"https:\/\/medsbase.com\/cs\/budez-cr\/\">Budez CR<\/a>.\n\n<strong>Antibiotika\/antiprotozo\u00e1ln\u00ed l\u00e1tky pro GI infekce.<\/strong> Metronidazol (proti anaerobn\u00edm bakteri\u00edm a prvok\u016fm \u2014 Clostridium difficile, giardi\u00f3za, am\u00e9bov\u00e1 \u00faplavice, bakteri\u00e1ln\u00ed vagin\u00f3za) je skladem jako <a href=\"https:\/\/medsbase.com\/cs\/flagyl-suspension\/\">Flagyl suspenze<\/a> pro pediatrick\u00e9 d\u00e1vkov\u00e1n\u00ed a d\u00e1vkov\u00e1n\u00ed pro dosp\u011bl\u00e9 podle hmotnosti. Rifaximin (st\u0159evn\u011b p\u016fsob\u00edc\u00ed antibiotikum pro jatern\u00ed encefalopatii, IBS-D, cestovatelsk\u00fd pr\u016fjem) je uveden jako <a href=\"https:\/\/medsbase.com\/cs\/rifagut\/\">Rifagut<\/a>. Kombinace peror\u00e1ln\u00edho PPI omeprazolu a domperidonu (\u00fa\u010dinek na kyselinu a motilitu) je k dispozici jako <a href=\"https:\/\/medsbase.com\/cs\/omez-d\/\">Omez D<\/a>; \u010dist\u00fd omeprazol je tak\u00e9 skladem jako <a href=\"https:\/\/medsbase.com\/cs\/omez\/\">Omez<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/omesec\/\">Omesec<\/a>, esomeprazol jako <a href=\"https:\/\/medsbase.com\/cs\/neksium\/\">Neksium<\/a> a <a href=\"https:\/\/medsbase.com\/cs\/nexpro\/\">Nexpro<\/a>, a rabeprazol jako <a href=\"https:\/\/medsbase.com\/cs\/razo\/\">Razo<\/a> \u2014 kompletn\u00ed v\u00fdb\u011br PPI najdete v na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/acid-reflux-treatment\/\">L\u00e9\u010dba refluxu j\u00edcnu<\/a> kategorie.\n\n<strong>Antiemetika a prokinetika.<\/strong> Metoklopramid (antagonista D2 s prokinetick\u00fdm \u00fa\u010dinkem, vhodn\u00fd pro diabetickou gastroparezu, poopera\u010dn\u00ed ileus, nevolnost vyvolanou chemoterapi\u00ed) je skladem jako <a href=\"https:\/\/medsbase.com\/cs\/reglan\/\">Reglan<\/a>. Prochlorperazin (fenothiazinov\u00e9 antiemetikum pro vertigo, migr\u00e9nou asociovan\u00e9 nevolnosti a hyperemesis gravidarum) je dostupn\u00fd jako <a href=\"https:\/\/medsbase.com\/cs\/stemetil\/\">Stemetil<\/a>. Domperidon (perifern\u00ed D2 antagonista s prokinetick\u00fdm \u00fa\u010dinkem; nese riziko prodlou\u017een\u00ed QT intervalu \u2014 omezte na 10 mg TID max. 7 dn\u00ed, vyhn\u011bte se u pacient\u016f nad 60 let nebo se srde\u010dn\u00edm onemocn\u011bn\u00edm) je skladem jako <a href=\"https:\/\/medsbase.com\/cs\/dompewal-tablet\/\">Dompewal<\/a>. Levosulpirid \/ domperidon alternativa <a href=\"https:\/\/medsbase.com\/cs\/gr8-od\/\">GR8-OD<\/a> pro funk\u010dn\u00ed dyspepsii.\n\n<strong>Hepatoprotektivn\u00ed l\u00e1tky.<\/strong> Kyselina ursodeoxycholov\u00e1 (UDCA) je standardem pro prim\u00e1rn\u00ed bili\u00e1rn\u00ed cholangitidu, rozpou\u0161t\u011bn\u00ed \u017elu\u010dov\u00fdch kamen\u016f u vybran\u00fdch nekalcifikovan\u00fdch kamen\u016f a cholest\u00e1zu v t\u011bhotenstv\u00ed. Skladem m\u00e1me <a href=\"https:\/\/medsbase.com\/cs\/udimax-300\/\">Udimax 300<\/a> (300 mg). Silymarin \/ jatern\u00ed tonikum kombinace jsou dostupn\u00e9 jako <a href=\"https:\/\/medsbase.com\/cs\/liv-52-ds\/\">Liv 52 DS<\/a> (klasick\u00e1 Himalaya formulace \u0161iroce pou\u017e\u00edvan\u00e1 pro ztu\u010dn\u011bn\u00ed jater, alkoholickou hepatitidu a l\u00e9ky vyvolan\u00e9 zv\u00fd\u0161en\u00ed jatern\u00edch test\u016f), a IV verze <a href=\"https:\/\/medsbase.com\/cs\/maxiliv-injection\/\">Maxiliv injekce<\/a> pro nemocni\u010dn\u00ed pou\u017eit\u00ed.\n\n<strong>Tr\u00e1vic\u00ed enzymy, probiotika a dopl\u0148kov\u00e9 l\u00e1tky.<\/strong> Kombinace probiotik pom\u00e1haj\u00ed sn\u00ed\u017eit pr\u016fjem spojen\u00fd s u\u017e\u00edv\u00e1n\u00edm antibiotik a mohou zkr\u00e1tit epizody infek\u010dn\u00edho pr\u016fjmu. Nab\u00edz\u00edme <a href=\"https:\/\/medsbase.com\/cs\/probiotics-25-billion-cfu\/\">Probiotika 25 miliard CFU<\/a> (v\u00edcekmenov\u00fd p\u0159\u00edpravek) a <a href=\"https:\/\/medsbase.com\/cs\/vizylac-rich-sachet\/\">Vizylac Rich Sachet<\/a>. Karminativn\u00ed\/antispazmodick\u00e9 kombinace pro funk\u010dn\u00ed nad\u00fdm\u00e1n\u00ed jsou dostupn\u00e9 jako <a href=\"https:\/\/medsbase.com\/cs\/gasex\/\">Gasex<\/a>. Top\u00e1ln\u00ed antimykotick\u00fd kr\u00e9m <a href=\"https:\/\/medsbase.com\/cs\/crema-gel\/\">Crema Gel<\/a> se ob\u010das pou\u017e\u00edv\u00e1 pro perian\u00e1ln\u00ed kandid\u00f3zu p\u0159il\u00e9haj\u00edc\u00ed k gastrointestin\u00e1ln\u00edm projev\u016fm.\n\n<strong>Jak vybrat.<\/strong> Onemocn\u011bn\u00ed souvisej\u00edc\u00ed s kyselinami (p\u00e1len\u00ed \u017e\u00e1hy, peptick\u00fd v\u0159ed, GERD) \u2192 PPI prvn\u00ed volba, viz <a href=\"https:\/\/medsbase.com\/cs\/acid-reflux-treatment\/\">L\u00e9\u010dba refluxu j\u00edcnu<\/a>. Z\u00e1n\u011btliv\u00e1 st\u0159evn\u00ed onemocn\u011bn\u00ed \u2192 sulfasalazin nebo 5-ASA mesalamin pro m\u00edrnou UC; budesonid pro ile\u00e1ln\u00ed Crohnovu chorobu; biologick\u00e1 l\u00e9\u010dba (zde nedostupn\u00e1) pro st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 onemocn\u011bn\u00ed pod odborn\u00fdm dohledem. Funk\u010dn\u00ed dyspepsie\/poruchy motility \u2192 prokinetikum + suprese kyselin. Podez\u0159en\u00ed na GI infekci \u2192 metronidazol pro anaeroby\/am\u00e9by\/giardii; rifaximin pro SIBO a IBS-D. Jatern\u00ed onemocn\u011bn\u00ed \u2192 UDCA pro cholest\u00e1zu, hepatotonika jako podp\u016frn\u00e1 l\u00e9\u010dba. Akutn\u00ed nebo p\u0159etrv\u00e1vaj\u00edc\u00ed GI krv\u00e1cen\u00ed, siln\u00e1 bolest, \u017eloutenka nebo nevysv\u011btlen\u00fd \u00fabytek hmotnosti vy\u017eaduje okam\u017eitou odbornou konzultaci \u2014 nel\u00e9\u010dte se sami.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> V\u0161echny pou\u017eit\u00ed metoklopramidu a domperidonu by m\u011blo b\u00fdt \u010dasov\u011b omezeno (5 dn\u00ed metoklopramid, 7 dn\u00ed domperidon u dosp\u011bl\u00fdch) podle omezen\u00ed EMA\/FDA t\u00fdkaj\u00edc\u00edch se tardivn\u00ed dyskinezie a prodlou\u017een\u00ed QT intervalu. Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed PPI (&gt;1 rok) nese dokumentovan\u00e9 rizika deficitu B12, hypomagnez\u00e9mie, zlomenin, CDI a AKI\/CKD \u2014 zhodno\u0165te nutnost po 6 m\u011bs\u00edc\u00edch. Antibiotika pro C. difficile (peror\u00e1ln\u00ed vankomycin, fidaxomicin) zde nejsou skladem \u2014 \u0159i\u010fte se odborn\u00fdmi doporu\u010den\u00edmi.\n\nV\u0161echny produkty MedsBase Gastro Health jsou expedov\u00e1ny z <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm celosv\u011btov\u00fdm doru\u010den\u00edm a jsou chr\u00e1n\u011bny na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/gastro-health\/","name":"Zdrav\u00ed za\u017e\u00edvac\u00edho traktu","slug":"gastro-health","taxonomy":"product_cat","parent":3342,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3342"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}