{"id":1571,"date":"2020-05-20T13:27:43","date_gmt":"2020-05-20T11:27:43","guid":{"rendered":"http:\/\/klubcf.sk\/?p=1571"},"modified":"2021-02-23T14:00:14","modified_gmt":"2021-02-23T13:00:14","slug":"vitaminoterapia-cysticka-fibroza","status":"publish","type":"post","link":"https:\/\/klubcf.sk\/index.php\/2020\/05\/20\/vitaminoterapia-cysticka-fibroza\/","title":{"rendered":"Vitam\u00ednoterapia a cystick\u00e1 fibr\u00f3za"},"content":{"rendered":"

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Predpis vitam\u00ednov\u00fdch doplnkov pri lie\u010dbe cystickej fibr\u00f3zy (CF) je v klinickej praxi be\u017en\u00fdm javom. Vedeli ste, \u017ee v odborn\u00fdch kruhoch panuje zhoda, \u017ee suplement\u00e1cia vo vode rozpustn\u00fdch vitam\u00ednov<\/strong> (vitam\u00edny skupiny B a vitam\u00edn C) nie je potrebn\u00e1 pri lie\u010dbe nekomplikovanej CF? Av\u0161ak nedostatok vitam\u00ednov rozpustn\u00fdch v tukoch<\/strong> m\u00f4\u017ee vies\u0165 ku klinick\u00fdm probl\u00e9mom pacienta.[1]<\/a><\/h5>\n

Preto si v tomto \u010dl\u00e1nku postupne pribl\u00ed\u017eime vitam\u00edny rozpustn\u00e9 v tukoch, ktor\u00e9 s\u00fa nesmierne d\u00f4le\u017eitou s\u00fa\u010das\u0165ou lie\u010dby CF. M\u00f4\u017eeme k n\u00edm zaradi\u0165 vitam\u00edny A, D, E a K. V z\u00e1vere budeme venova\u0165 pozornos\u0165 aj vitam\u00ednom rozpustn\u00fdm vo vode, ku ktor\u00fdm rad\u00edme dva najzn\u00e1mej\u0161ie, a to vitam\u00edny skupiny B a vitam\u00edn C.<\/p>\n

 <\/strong><\/p>\n

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Vitam\u00edn A pom\u00e1ha imunitn\u00e9mu syst\u00e9mu bojova\u0165 s infekciami, je d\u00f4le\u017eit\u00fd pre zdrav\u00fa poko\u017eku, \u010drev\u00e1 a dobr\u00fd zrak. Jeho nedostatok m\u00f4\u017ee v \u013eudskom tele vyvola\u0165 no\u010dn\u00e9 oslepnutie, po\u0161kodenie ko\u017ee a zv\u00fd\u0161i\u0165 riziko infekci\u00ed.[2]<\/a><\/p>\n

Nedostatok vitam\u00ednu A bol jedn\u00fdm z prv\u00fdch op\u00edsan\u00fdch prejavov CF. Zd\u00e1 sa, \u017ee samotn\u00e1 CF ovplyv\u0148uje metabolizmus vitam\u00ednu A, preto\u017ee boli zisten\u00e9 vysok\u00e9 hladiny tohto vitam\u00ednu v pe\u010deni v rozpore s n\u00edzkymi hladinami v s\u00e9re. To nazna\u010duje ur\u010dit\u00fd stupe\u0148 jeho chybnej mobiliz\u00e1cie alebo transportu v tele. Strata vitam\u00ednu A bola zaznamenan\u00e1 aj v stolici pacientov s CF.[3]<\/a> Tento vitam\u00edn m\u00e1 z\u00e1sadn\u00fa \u00falohu pri udr\u017eiavan\u00ed zdravia vn\u00fatornej v\u00fdstelky p\u013e\u00fac a zvy\u0161uje funkciu p\u013e\u00fac u pacientov s CF.[4]<\/a><\/p>\n

N\u00e1jdeme ho v potravin\u00e1ch ako \u017eivo\u010d\u00ed\u0161na pe\u010de\u0148, vajcia, mlieko, mrkva, \u0161pen\u00e1t, brokolica, mel\u00f3n, marhule \u010di broskyne<\/strong>.[2]<\/a><\/p>\n

 <\/strong><\/p>\n

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D vitam\u00edn je jedine\u010dn\u00fd v tom, \u017ee vznik\u00e1, ke\u010f je poko\u017eka vystaven\u00e1 ultrafialov\u00e9mu svetlu. Pom\u00e1ha budova\u0165 a zachov\u00e1va\u0165 siln\u00e9 kosti, zuby, jeho \u00falohou je udr\u017eiava\u0165 spr\u00e1vne mno\u017estvo v\u00e1pnika i fosforu v krvi a predch\u00e1dza\u0165 osteopor\u00f3ze.[2]<\/a> Existuje cel\u00fd rad \u0161t\u00fadi\u00ed, ktor\u00e9 nazna\u010duj\u00fa prospe\u0161n\u00e9 antimikrobi\u00e1lne a protiz\u00e1palov\u00e9 vlastnosti vitam\u00ednu D. S\u00e9rov\u00e9 \u200b\u200bhladiny tohto vitam\u00ednu vykazuj\u00fa pozit\u00edvnu s\u00favislos\u0165 s p\u013e\u00facnymi funkciami a naopak negat\u00edvnu so z\u00e1palom d\u00fdchac\u00edch ciest. Vitam\u00edn D teda bojuje proti z\u00e1palu a zlep\u0161uje obranyschopnos\u0165 organizmu vo\u010di chronick\u00fdm infekci\u00e1m v p\u013e\u00facach.[5]<\/a><\/p>\n

V\u00e4\u010d\u0161ina pacientov s CF m\u00e1 tohto vitam\u00ednu nedostatok, pri\u010dom jeho korekcia m\u00f4\u017ee by\u0165 atrakt\u00edvnou terapeutickou strat\u00e9giou pri tomto ochoren\u00ed. Dosiahnutie vy\u0161\u0161ie uveden\u00fdch prospe\u0161n\u00fdch vlastnost\u00ed vitam\u00ednu D si vy\u017eaduje v pr\u00edpade CF jeho doplnenie v\u00fdrazne vy\u0161\u0161\u00edmi d\u00e1vkami, ako je to odpor\u00fa\u010dan\u00e9.[5]<\/a><\/p>\n

Zdrojom tohto vitam\u00ednu v potravin\u00e1ch s\u00fa losos, makrela, tuniak, mlieko, obilniny a vaj\u00ed\u010dka<\/strong>.[2]<\/a><\/p>\n

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Vitam\u00edn E zohr\u00e1va v \u013eudskom tele v\u00fdznamn\u00fa antioxida\u010dn\u00fa \u00falohu, pom\u00e1ha pri tvorbe \u010derven\u00fdch krviniek, udr\u017euje nervov\u00fd a imunitn\u00fd syst\u00e9m zdrav\u00fd.[4]<\/a><\/p>\n

Pri CF bola zaznamenan\u00e1 n\u00edzka hladina vitam\u00ednu E v krvi, \u010do m\u00f4\u017ee sp\u00f4sobi\u0165 an\u00e9miu alebo zn\u00ed\u017een\u00fd po\u010det \u010derven\u00fdch krviniek, probl\u00e9my s nervovou s\u00fastavou, poruchami krvi a so schopnos\u0165ou pam\u00e4te i myslenia.[1]<\/a><\/p>\n

Vitam\u00edn E n\u00e1jdeme v potravin\u00e1ch ako s\u00fa mandle, ara\u0161idy, brokolica, majon\u00e9za, celozrnn\u00e9 pe\u010divo a p\u0161eni\u010dn\u00e9 kl\u00ed\u010dky<\/strong>.[2]<\/a><\/p>\n

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K vitam\u00edn je zn\u00e1my hlavne v\u010faka svojej \u00falohe napom\u00e1ha\u0165 zr\u00e1\u017eaniu krvi, rovnako je d\u00f4le\u017eit\u00fd aj pre zdrav\u00e9 kosti. N\u00edzka hladina vitam\u00ednu K m\u00f4\u017ee sp\u00f4sobi\u0165 abnormality zr\u00e1\u017eania, ktor\u00e9 m\u00f4\u017eu vies\u0165 a\u017e k hemoragick\u00fdm cievnym mozgov\u00fdm pr\u00edhod\u00e1m.[1]<\/a>[4]<\/a><\/p>\n

Na tvorbe vitam\u00ednu K sa podie\u013ea fl\u00f3ra \u010driev, ktor\u00e1 je v CF modifikovan\u00e1 v d\u00f4sledku antibiotickej lie\u010dby, preto m\u00f4\u017ee by\u0165 u t\u00fdchto \u013eud\u00ed zn\u00ed\u017een\u00e9 mno\u017estvo dan\u00e9ho vitam\u00ednu.[2]<\/a><\/p>\n

K potravin\u00e1m s obsahom vitam\u00ednu K rad\u00edme brokolicu, \u0161pen\u00e1t, hrach, ru\u017ei\u010dkov\u00fd kel \u010di kapustu.<\/strong>[1]<\/a><\/p>\n

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Vitam\u00edny skupiny B s\u00fa d\u00f4le\u017eit\u00e9 pre zmenu sacharidov na energiu, ktor\u00fa telo vyu\u017e\u00edva ka\u017ed\u00fd de\u0148. Rovnako s\u00fa potrebn\u00e9 na udr\u017eanie zdravej poko\u017eky, srdca a nervov\u00e9ho syst\u00e9mu.[2]<\/a><\/p>\n

Potraviny s obsahom vitam\u00ednu B1 s\u00fa v podobe brav\u010dov\u00e9ho m\u00e4sa, dlhozrnnej ry\u017ee, hrachu a pomaran\u010dov. B2 n\u00e1jdeme v mlieku, jogurtoch, vaj\u00ed\u010dkach, obilnin\u00e1ch, cestovin\u00e1ch a kuracom m\u00e4se. B3 sa nach\u00e1dza v tuniakovi, ara\u0161idoch, kuracom, jah\u0148acom, hov\u00e4dzom a brav\u010dovom m\u00e4se. Zdrojom B6 s\u00fa vaj\u00ed\u010dka, ban\u00e1ny, ovsen\u00e1 m\u00faka \u010di c\u00edcer. B9 (kyselina listov\u00e1) je obsiahnut\u00fd v \u0161o\u0161ovici, \u0161pargli, \u0161pen\u00e1te, ara\u0161idoch a obilnin\u00e1ch. B12 je zast\u00fapen\u00fd najm\u00e4 v morsk\u00fdch plodoch a hov\u00e4dzom m\u00e4se. N\u00e1jdeme ho aj v lososovi, tuniakovi, mlieku, brav\u010dovom a kuracom m\u00e4se<\/strong>.[2]<\/a><\/p>\n

 <\/strong><\/p>\n

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Tento vitam\u00edn poskytuje elektr\u00f3ny do enzymatick\u00fdch procesov a ako antioxidant zne\u0161kod\u0148uje vo\u013en\u00e9 radik\u00e1ly, kedy s\u00fa uveden\u00e9 \u00falohy k\u013e\u00fa\u010dov\u00e9 pre funkcie metabolizmu. Je nenahradite\u013en\u00fd pre ko\u017eu, \u0161\u013eachy, k\u013aby, kosti, svaly a srdcovocievnu s\u00fastavu. Rovnako je d\u00f4le\u017eit\u00fd aj pre regul\u00e1ciu tukov a zr\u00e1\u017eanlivos\u0165 krvi. Podie\u013ea sa na metabolizme v\u00e1pnika a z\u00e1vis\u00ed od neho pevnos\u0165 zubov, kost\u00ed, metabolizmus \u017el\u010dov\u00fdch kysel\u00edn, kyseliny listovej a teda aj metabo\u00adlizmus \u017eeleza, tie\u017e medi a niektor\u00fdch aminokysel\u00edn. Podporuje bunkov\u00fa respir\u00e1ciu a je nevyhnutn\u00fd pre spr\u00e1vnu \u010dinnos\u0165 mozgu a nervovo-svalov\u00fa koordin\u00e1ciu.[6]<\/a><\/p>\n

Zdrojom vitam\u00ednu C je mnoho druhov ovocia a zeleniny ako napr. grapefruit, pomaran\u010de, jahody, mango, mel\u00f3n a brokolica.<\/strong>[2]<\/a><\/p>\n

 <\/p>\n

Z\u00e1ver<\/strong><\/p>\n

V lie\u010dbe CF je nevyhnutn\u00e9 siahnu\u0165 okrem stravy s vysok\u00fdm obsahom \u017eiv\u00edn neraz aj po vitam\u00ednov\u00fdch doplnkoch, preto\u017ee dobr\u00fd v\u00fd\u017eivov\u00fd stav je priamo spojen\u00fd so zlep\u0161enou funkciou p\u013e\u00fac a celkov\u00fdm pre\u017eit\u00edm jedinca. V s\u00fa\u010dasnosti s\u00fa na trhu multivitam\u00ednov\u00e9 doplnky, ktor\u00e9 s\u00fa vytvoren\u00e9 tak, aby vyhoveli \u0161pecifick\u00fdm potreb\u00e1m \u013eud\u00ed s CF s d\u00f4razom na ich lep\u0161iu vstrebate\u013enos\u0165. Vo v\u0161eobecnosti, ak chcete z vitam\u00ednov\u00fdch doplnkov vy\u0165a\u017ei\u0165 maximum, u\u017e\u00edvajte ich s jedlom alebo ob\u010derstven\u00edm, ktor\u00e9 obsahuje tuk. <\/p>\n

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autorka \u010dl\u00e1nku:  Mgr. Marcela Romanov\u00e1<\/p>\n

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[1] PETERS, S. A. \u2013 ROLLES, C. J. 1993. Vitamin therapy in cystic fibrosis \u2013 a  review and rationale. In Journal of Clinical Pharmacy and Therapeutics<\/em>. New Jersey : Wiley-Blackwell, 1993, vol. 18 no. 1, p. 33-38. ISSN 0269-4727. 
\n[2] MICHEL, S. 2020. VITAMINS<\/em>. [online]. [cit. 2020.05.11]. Dostupn\u00e9 na internete: <https:\/\/www.cff.org\/Life-With-CF\/Daily-Life\/Fitness-and-Nutrition\/Nutrition\/Getting-Your-Nutrients\/Vitamins\/>.
\n[3] JAMES, D. R. et al. 1992. Vitamin A absorption in cystic fibrosis: risk of hypervitaminosis A. In Gut.<\/em> United Kingdom : Publishing Group Ltd & British Society of Gastroenterology, 1992, vol 33, no. 5, p. 707-710. ISSN 0017-5749.
\n[4] CYSTIC FIBROSIS NEWS TODAY, 2020. Cystic Fibrosis and Vitamins.<\/em> [online]. [cit. 2020.05.11]. Dostupn\u00e9 na internete: <https:\/\/cysticfibrosisnewstoday.com\/cystic-fibrosis-vitamins\/>.
\n[5] HERSCOVITCH, K. \u2013 DAULETBAEV, N. \u2013 LANDS, L. C. 2014. Vitamin D as an anti-microbial and anti-inflammatory therapy for Cystic Fibrosis. In Paediatric Respiratory Reviews.<\/em> United Kingdom : Elsevier Ltd, 2014, vol. 15, no. 2, p. 154-162. ISSN 1526-0542.
\n[6] TUH\u00c1RSKY, P. 2014. Vitam\u00edn C a megaskorbick\u00e1 lie\u010dba \u2013 zabudnut\u00fd poklad.<\/em> Bratislava : Vydavate\u013estvo Perfekt, 2014. 288 s. ISBN 978-80-8046-662-6.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

  Predpis vitam\u00ednov\u00fdch doplnkov pri lie\u010dbe cystickej fibr\u00f3zy (CF) je v klinickej praxi be\u017en\u00fdm javom. Vedeli ste, \u017ee v odborn\u00fdch kruhoch panuje zhoda, \u017ee suplement\u00e1cia vo vode rozpustn\u00fdch vitam\u00ednov (vitam\u00edny skupiny B a vitam\u00edn C) nie je potrebn\u00e1 pri lie\u010dbe nekomplikovanej CF? Av\u0161ak nedostatok vitam\u00ednov rozpustn\u00fdch v tukoch m\u00f4\u017ee vies\u0165 ku klinick\u00fdm probl\u00e9mom pacienta.[1] Preto si v tomto \u010dl\u00e1nku […]<\/p>\n","protected":false},"author":1,"featured_media":1572,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1571","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cysticka-fibroza"],"yoast_head":"\nVitam\u00ednoterapia a cystick\u00e1 fibr\u00f3za - klubcf.sk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/klubcf.sk\/index.php\/2020\/05\/20\/vitaminoterapia-cysticka-fibroza\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vitam\u00ednoterapia a cystick\u00e1 fibr\u00f3za - klubcf.sk\" \/>\n<meta property=\"og:description\" content=\"  Predpis vitam\u00ednov\u00fdch doplnkov pri lie\u010dbe cystickej fibr\u00f3zy (CF) je v klinickej praxi be\u017en\u00fdm javom. Vedeli ste, \u017ee v odborn\u00fdch kruhoch panuje zhoda, \u017ee suplement\u00e1cia vo vode rozpustn\u00fdch vitam\u00ednov (vitam\u00edny skupiny B a vitam\u00edn C) nie je potrebn\u00e1 pri lie\u010dbe nekomplikovanej CF? 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