{"id":38960,"date":"2024-04-15T13:28:50","date_gmt":"2024-04-15T13:28:50","guid":{"rendered":"https:\/\/allaboutibs.com\/lekarska-vysetreni-pro-ibs\/"},"modified":"2024-05-15T06:34:10","modified_gmt":"2024-05-15T06:34:10","slug":"lekarska-vysetreni-pro-ibs","status":"publish","type":"post","link":"https:\/\/allaboutibs.com\/cs\/lekarska-vysetreni-pro-ibs\/","title":{"rendered":"L\u00e9ka\u0159sk\u00e1 vy\u0161et\u0159en\u00ed pro IBS"},"content":{"rendered":"

[et_pb_section fb_built=“1″ _builder_version=“4.16″ global_colors_info=“{}“][et_pb_row _builder_version=“4.16″ background_size=“initial“ background_position=“top_left“ background_repeat=“repeat“ global_colors_info=“{}“][et_pb_column type=“4_4″ _builder_version=“4.16″ custom_padding=“|||“ global_colors_info=“{}“ custom_padding__hover=“|||“][et_pb_text _builder_version=“4.16″ background_size=“initial“ background_position=“top_left“ background_repeat=“repeat“ global_colors_info=“{}“]<\/p>\n

N\u011bkdy se n\u00e1s ptaj\u00ed na typy l\u00e9ka\u0159sk\u00fdch vy\u0161et\u0159en\u00ed pro diagnostiku IBS a jin\u00fdch \u017ealude\u010dn\u00edch probl\u00e9m\u016f. Jak\u00e9 metody nemocnice pou\u017e\u00edvaj\u00ed a pro\u010d?<\/strong><\/p>\n

Proto\u017ee nen\u00ed zn\u00e1mo, pro\u010d n\u011bkte\u0159\u00ed lid\u00e9 trp\u00ed IBS, neexistuje jednoduch\u00fd diagnostick\u00fd test. L\u00e9ka\u0159 \u010dasto stanov\u00ed diagn\u00f3zu na z\u00e1klad\u011b popisu va\u0161ich p\u0159\u00edznak\u016f a vylou\u010den\u00ed jin\u00fdch p\u0159\u00ed\u010din pot\u00ed\u017e\u00ed. Zde popisujeme n\u011bkter\u00e1 b\u011b\u017en\u00e1 l\u00e9ka\u0159sk\u00e1 vy\u0161et\u0159en\u00ed pou\u017e\u00edvan\u00e1 k diagnostice IBS a dal\u0161\u00edch \u017ealude\u010dn\u00edch pot\u00ed\u017e\u00ed. S nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed nebudete muset podstoupit v\u0161echna tato vy\u0161et\u0159en\u00ed, abyste z\u00edskali diagn\u00f3zu IBS. Va\u0161e anamn\u00e9za je obvykle dosta\u010duj\u00edc\u00ed. P\u0159esto je dobr\u00e9 se s nimi sezn\u00e1mit. <\/em><\/p>\n

Testov\u00e1n\u00ed na intoleranci lakt\u00f3zy<\/h2>\n

Test tolerance lakt\u00f3zy<\/h3>\n

Test tolerance lakt\u00f3zy je vy\u0161et\u0159ovac\u00ed metoda, kterou m\u016f\u017ee l\u00e9ka\u0159 zjistit, zda netolerujete lakt\u00f3zu. Aby bylo mo\u017en\u00e9 vy\u0161et\u0159en\u00ed prov\u00e9st, je t\u0159eba se deset hodin p\u0159ed n\u00edm postit a p\u00edt pouze vodu<\/strong>. Vy\u0161et\u0159en\u00ed za\u010d\u00edn\u00e1 rann\u00edm odb\u011brem krve a n\u00e1sledn\u00fdm vypit\u00edm roztoku s lakt\u00f3zou, obvykle v nemocnici nebo na zdravotn\u00ed klinice. B\u011bhem n\u00e1sleduj\u00edc\u00edch hodin se ka\u017edou \u010dtvrthodinu odeb\u00edraj\u00ed nov\u00e9 vzorky krve, p\u0159ibli\u017en\u011b 6-8 vzork\u016f. Anal\u00fdzou krve m\u016f\u017ee l\u00e9ka\u0159 posoudit, jak dob\u0159e se lakt\u00f3za ve st\u0159evech \u0161t\u011bp\u00ed.<\/p>\n

Dechov\u00e1 zkou\u0161ka na vod\u00edk<\/h3>\n

Alternativou krevn\u00edho testu je diagnostika intolerance lakt\u00f3zy pomoc\u00ed dechov\u00e9ho testu. M\u00edsto odb\u011bru krve se pomoc\u00ed p\u0159\u00edstroje odeb\u00edraj\u00ed vzorky dechu p\u0159ed a po vypit\u00ed roztoku lakt\u00f3zy. P\u0159\u00edstroj m\u011b\u0159\u00ed mno\u017estv\u00ed plynn\u00e9ho vod\u00edku ve vydechovan\u00e9m vzduchu. Mno\u017estv\u00ed plynn\u00e9ho vod\u00edku se po konzumaci tekutiny zv\u00fd\u0161\u00ed, pokud nedok\u00e1\u017eete odbourat lakt\u00f3zu.<\/p>\n

Pokud trp\u00edte intoleranc\u00ed lakt\u00f3zy, m\u016f\u017eete p\u0159i prov\u00e1d\u011bn\u00ed testu na lakt\u00f3zu poci\u0165ovat plynatost a bolesti \u017ealudku, kter\u00e9 v\u0161ak pominou.<\/p>\n

Testov\u00e1n\u00ed na nesn\u00e1\u0161enlivost lepku<\/h2>\n

Krevn\u00ed test na celiakii<\/h3>\n

Pokud m\u00e1 l\u00e9ka\u0159 podez\u0159en\u00ed na nesn\u00e1\u0161enlivost lepku nebo celiakii, m\u016f\u017ee prov\u00e9st krevn\u00ed test, aby zjistil, zda se ve va\u0161\u00ed krvi nach\u00e1z\u00ed ur\u010dit\u00fd typ protil\u00e1tek. Pokud se zjist\u00ed protil\u00e1tky proti IgA-transglutamin\u00e1ze (tTG<\/strong>), m\u016f\u017ee to potvrdit celiakii.<\/p>\n

Gastroskopie<\/h2>\n

Pokud m\u00e1 l\u00e9ka\u0159 podez\u0159en\u00ed na nesn\u00e1\u0161enlivost lepku, ale nen\u00ed schopen ji potvrdit krevn\u00edmi testy, m\u016f\u017ee b\u00fdt vhodn\u00e9 prov\u00e9st biopsii tenk\u00e9ho st\u0159eva. Pro biopsii tenk\u00e9ho st\u0159eva je nutn\u00e9 prov\u00e9st gastroskopick\u00e9 vy\u0161et\u0159en\u00ed. Gastroskopie se pou\u017e\u00edv\u00e1 k vy\u0161et\u0159en\u00ed \u017ealudku a prvn\u00ed \u010d\u00e1sti st\u0159eva – dvan\u00e1ctn\u00edku. Toto vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed pomoc\u00ed gastroskopu. Gastroskop se skl\u00e1d\u00e1 z ohebn\u00e9 trubice (1 m dlouh\u00e9 a 1 cm siln\u00e9), kterou l\u00e9ka\u0159 zav\u00e1d\u00ed \u00fasty. Pomoc\u00ed gastroskopu lze nap\u0159\u00edklad zjistit \u010dasn\u00e9 po\u0161kozen\u00ed tk\u00e1n\u011b, p\u0159\u00edpadn\u00e9 zm\u011bny a z\u00e1n\u011bt (\u010dast\u00fd u celiakie). Vy\u0161et\u0159en\u00ed gastroskopi\u00ed v\u017edy za\u010d\u00edn\u00e1 hladovkou p\u0159ed samotn\u00fdm vy\u0161et\u0159en\u00edm.<\/strong> Samotn\u00e9 vy\u0161et\u0159en\u00ed je obvykle velmi rychl\u00e9<\/strong>, \u010dasto do 15 minut. Pokud jste v\u0161ak p\u0159ed t\u00edmto testem p\u0159estali j\u00edst lepek, v\u00fdsledky nemus\u00ed b\u00fdt p\u0159esn\u00e9.<\/p>\n

 <\/p>\n

[\/et_pb_text][et_pb_image src=“https:\/\/allaboutibs.com\/wp-content\/uploads\/2024\/04\/Common-medical-examinations-to-diagnose-IBS.png“ alt=“Souhrn b\u011b\u017en\u00fdch diagnostick\u00fdch metod“ title_text=“B\u011b\u017en\u00e1 l\u00e9ka\u0159sk\u00e1 vy\u0161et\u0159en\u00ed k diagnostice IBS“ _builder_version=“4.24.2″ _module_preset=“default“ global_colors_info=“{}“][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=“1″ _builder_version=“4.24.2″ _module_preset=“default“ global_colors_info=“{}“][et_pb_row _builder_version=“4.24.2″ _module_preset=“default“ global_colors_info=“{}“][et_pb_column type=“4_4″ _builder_version=“4.24.2″ _module_preset=“default“ global_colors_info=“{}“][et_pb_text _builder_version=“4.24.2″ _module_preset=“default“ global_colors_info=“{}“]<\/p>\n

Kolonoskopie<\/h2>\n

Kolonoskopie je podobn\u00e1 gastroskopii, ale pou\u017e\u00edv\u00e1 se k vy\u0161et\u0159en\u00ed tlust\u00e9ho st\u0159eva pomoc\u00ed p\u0159\u00edstroje zvan\u00e9ho kolonoskop. Kolonoskop je \u00fazk\u00e1 (cca 1 cm v pr\u016fm\u011bru) dlouh\u00e1 ohebn\u00e1 trubice (1,5 m), kterou l\u00e9ka\u0159 zav\u00e1d\u00ed do kone\u010dn\u00edku. P\u0159\u00edstroj m\u016f\u017ee sv\u00edtit, vypou\u0161t\u011bt vodu a foukat vzduch, kter\u00fd lze pou\u017e\u00edt k vy\u0161et\u0159en\u00ed a o\u0161et\u0159en\u00ed. Pomoc\u00ed tohoto p\u0159\u00edstroje m\u016f\u017ee l\u00e9ka\u0159 nahl\u00ed\u017eet do st\u0159eva, odeb\u00edrat vzorky tk\u00e1n\u011b a prov\u00e1d\u011bt ur\u010dit\u00e9 z\u00e1kroky. Vy\u0161et\u0159en\u00ed m\u016f\u017ee poskytnout odpov\u011b\u010f na ot\u00e1zku, zda se ve st\u0159evn\u00ed sliznici nach\u00e1zej\u00ed nap\u0159\u00edklad n\u00e1dory, polypy, r\u00e1ny, c\u00e9vn\u00ed malformace nebo z\u00e1n\u011bty. Pro proveden\u00ed kolonoskopie je t\u0159eba vypr\u00e1zdnit st\u0159eva vypit\u00edm proj\u00edmadla, nap\u0159\u00edklad n\u011bkolika litr\u016f slan\u00e9 vyv\u00e1\u017een\u00e9 tekutiny. Samotn\u00e9 vy\u0161et\u0159en\u00ed trv\u00e1 a\u017e hodinu a pacient m\u016f\u017ee dostat ur\u010dit\u00e9 l\u00e9ky, kter\u00e9 vy\u0161et\u0159en\u00ed usnadn\u00ed.<\/strong><\/p>\n

Ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed<\/h2>\n

Ultrazvuk se prov\u00e1d\u00ed k vy\u0161et\u0159en\u00ed n\u011bkolika r\u016fzn\u00fdch org\u00e1n\u016f v t\u011ble. Toto vy\u0161et\u0159en\u00ed funguje tak, \u017ee se pomoc\u00ed p\u0159\u00edstroje p\u0159ilo\u017een\u00e9ho na vn\u011bj\u0161\u00ed stranu t\u011bla vys\u00edlaj\u00ed slab\u00e9 vysokofrekven\u010dn\u00ed zvukov\u00e9 vlny. Odra\u017een\u00e9 zvukov\u00e9 vlny zpracov\u00e1v\u00e1 po\u010d\u00edta\u010d a vytv\u00e1\u0159\u00ed obraz, kter\u00fd l\u00e9ka\u0159 vid\u00ed na monitoru. U n\u011bkter\u00fdch vy\u0161et\u0159en\u00ed m\u016f\u017ee l\u00e9ka\u0159 po\u017eadovat, abyste se p\u0159ed nimi postili nebo se vyhnuli ur\u010dit\u00fdm potravin\u00e1m. Ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed m\u016f\u017ee nap\u0159\u00edklad uk\u00e1zat, zda jsou v \u017elu\u010dn\u00edku \u017elu\u010dov\u00e9 kameny nebo zda se \u017elu\u010dn\u00edk zan\u00edt\u00ed, ultrazvukem lze odhalit i z\u00e1n\u011bt slep\u00e9ho st\u0159eva.<\/p>\n

Toto je ucelen\u00fd p\u0159ehled l\u00e9ka\u0159sk\u00fdch vy\u0161et\u0159en\u00ed, se kter\u00fdmi se m\u016f\u017eete setkat, ale m\u011bjte na pam\u011bti, \u017ee informace na webu allaboutibs.com<\/a> nikdy nemohou nahradit diagn\u00f3zu l\u00e9ka\u0159e.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

N\u011bkdy se n\u00e1s ptaj\u00ed na typy l\u00e9ka\u0159sk\u00fdch vy\u0161et\u0159en\u00ed pro diagnostiku IBS a jin\u00fdch \u017ealude\u010dn\u00edch probl\u00e9m\u016f. Jak\u00e9 metody nemocnice pou\u017e\u00edvaj\u00ed a pro\u010d? Proto\u017ee nen\u00ed zn\u00e1mo, pro\u010d n\u011bkte\u0159\u00ed lid\u00e9 trp\u00ed IBS, neexistuje jednoduch\u00fd diagnostick\u00fd test. L\u00e9ka\u0159 \u010dasto stanov\u00ed diagn\u00f3zu na z\u00e1klad\u011b popisu va\u0161ich p\u0159\u00edznak\u016f a vylou\u010den\u00ed jin\u00fdch p\u0159\u00ed\u010din pot\u00ed\u017e\u00ed. Zde popisujeme n\u011bkter\u00e1 b\u011b\u017en\u00e1 l\u00e9ka\u0159sk\u00e1 vy\u0161et\u0159en\u00ed pou\u017e\u00edvan\u00e1 k […]<\/p>\n","protected":false},"author":10,"featured_media":38733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[356],"tags":[446,332,449,448],"class_list":["post-38960","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnoza","tag-diagnoza-ibs-cs","tag-ibs-cs","tag-lekarske-prohlidky","tag-syndrom-drazdiveho-tracniku","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nL\u00e9ka\u0159sk\u00e1 vy\u0161et\u0159en\u00ed pro IBS - all about IBS<\/title>\n<meta name=\"description\" content=\"Zde popisujeme n\u011bkter\u00e1 b\u011b\u017en\u00e1 l\u00e9ka\u0159sk\u00e1 vy\u0161et\u0159en\u00ed pou\u017e\u00edvan\u00e1 k diagnostice IBS a dal\u0161\u00edch \u017ealude\u010dn\u00edch pot\u00ed\u017e\u00ed. 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