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Väčšina Slovákov pristupuje k liečbe hnačky nesprávne

Napísal Timea Ilavská 17. júl 2024

Hnačka je v mnohých ohľadoch podceňovaným zdravotným problémom. Akútna hnačka pritom patrí medzi jedno z najčastejších ochorení detí a dospelých, kvôli ktorému vyhľadajú lekárske ošetrenie. Poznáte správny postup pri jej liečbe?

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Akútna hnačka zvyčajne vzniká pri plnom zdraví a zvykne odznieť v rozmedzí 3 – 6 dní. Za hnačku sa z medicínskeho hľadiska považuje stav, kedy dochádza k náhlej zmene frekvencie a konzistencie stolice – teda k častému vyprázdňovaniu riedkej stolice. Častou stolicou sa pritom myslí vyprázdňovanie stolice so zmenenou konzistenciou viac 3-krát denne. To neplatí u veľmi malých detí, ktoré môžu mať stolicu aj 5- až 6-krát denne. Podozrenie na hnačku u veľmi malých detí vzniká v prípade, ak je stolica častejšia a redšia ako obvykle.

V období, kedy sa dobrovoľne vzdávame komfortu svojich domácností a vydávame sa na cesty, stanovačky, splavy či výlety do exotických destinácií, dokáže hnačka značne skomplikovať vychutnávanie si voľných chvíľ – a žiaľ, nie je to len tým, že si vyžaduje časté návštevy toalety. Hľadáme rýchle riešenie, prioritou je znížiť frekvenciu stolice a neváhame na to použiť aj prostriedky, ktoré so správnou liečbou hnačky nemajú nič spoločné. Nakoniec, internet je plný „kreatívnych“ rád na zastavenie hnačky, ktoré môžu napáchať viac škôd ako účinku. 

Čo všetko v organizme spôsobí hnačka?

Hnačka vzniká v dôsledku poruchy niektorej zo základných funkcií tráviaceho traktu (motility, sekrécie, resorbcie a digescie) alebo ich kombinácie, čo vedie k nerovnováhe medzi vylučovaním a vstrebávaním iónov. Pre hnačku je charakteristická aj strata väčšieho množstva tekutín a elektrolytov (sodík, draslík, vápnik, horčík, fosfor), čo pomerne rýchlo vedie k dehydratácii. Dehydratácia však nie je stavom, ktorý vyriešite pohárom vody. Dôležité je aj zloženie toho, čo vypijete. Pri hnačke je nesmierne dôležité dopĺňať práve elektrolyty, ktoré sa z tela vylúčia. Ich nedostatok ohrozuje fungovanie organizmu až na bunkovej úrovni. Majú totiž za úlohu udržiavať správny objem vody v bunkách, čo zabezpečuje ich optimálne fungovanie.

Ako sa prejavuje dehydratácia?

Dehydratácia sa prejavuje zvýšenou spavosťou, malátnosťou, letargiou, apatiou – vážnejšie stavy vedú až k poruchám vedomia, dezorientácii, závratu, mdlobám a kolapsu. Týmto stavom je nutné predchádzať účinnou a cielenou liečbou hnačky. Podľa usmernení WHO (World Health Organization) a ESPGHAN (The European Society for Paediatric Gastroenterology Hepatology and Nutrition) je pri hnačke ťažiskové zabezpečiť v prvom rade rehydratáciu organizmu. Je to dokonca dôležitejšie, ako snažiť sa o zníženie frekvencie vyprázdňovania stolice. K dehydratácii totiž dochádza bez ohľadu na to, či ide o infekčnú (vírusovú alebo bakteriálnu) alebo neinfekčnú hnačku (vyvolanú zápalom, stavmi sprevádzajúcimi iné ochorenia, niektorými liekmi, ale aj stresom a psychickými poruchami).

Komplexná rehydratácia a liečba hnačky v jednom vrecúšku

Mechanizmus účinku voľnopredajných liekov na liečbu akútnej alebo chronickej hnačky sa líši. Ak chcete pri liečbe hnačky doma alebo na cestách postupovať správne, siahnite po prípravku, ktorý pôsobí preventívne proti dehydratácii, absorbuje patogény a toxíny a zároveň posilňuje črevnú slizničnú bariéru.

Zdravotnícka pomôcka schválená Štátnym ústavom pre kontrolu liečiv – Diosmolyte® je vďaka obsahu elektrolytov účinnou prevenciou dehydratácie a stavov s ňou spojených. Schopnosťou absorbovať patogény a toxíny zabezpečí zastavenie ich množenia v tráviacom trakte vďaka účinnej látke diosmektit  a postará sa o ich bezpečné vylúčenie z organizmu a zníženie frekvencie stolice – nie však tým, že by spomalila peristaltiku, čo môže byť nebezpečné obzvlášť u detí. Sliznica tráviaceho traktu býva hnačkou podráždená a oslabená – Diosmolyte® vďaka svojmu zloženiu zabezpečí jej rýchlejšiu regeneráciu. V dôsledku toho nedochádza k ďalším stratám vody a elektrolytov. Aktívnymi zložkami prípravku Diosmolyte® je diosmektit (3 g) a elektrolyty. Prípravok sa podáva rozpustený len v 100 ml vody. U detí od 2 rokov sa spravidla podávajú 4 vrecúška denne, u dospelých 6 vrecúšok. Prípravok má vanilkovú príchuť, neobsahuje lepok a preukázateľne znižuje čas trvania vodnatej hnačky o 43 % a redukuje objem stolice o 50 %.** 

pr_dismolyte

Majte vždy poruke účinnú zdravotnícku pomôcku, ktorá svojím zložením v jednom vrecúšku spája všetky kroky potrebné na správnu a efektívnu úľavu od hnačky.

Diosmolyte® je zdravotnícka pomôcka. Prečítajte si návod na použitie.

**Dupon Ch et al: Oral Diosmectite Reduces Stool Output and Diarrhea Duration in Children With Acute Diarhhea. Clinical Gastroenterology and Hepatology 2009, 7: 456 – 462

 

 

41 komentárov

  • Komentár https://www.story119.com/ %AM, %16 %105 %2025 %01:%mar napísal https://www.story119.com/

    A characterization of myostatin expression in main tumors is warranted in gentle of those
    initial findings. Cordycepin, also identified as 3′-deoxyadenosine, is a key energetic compound found in Cordyceps militaris9.
    Analysis has proven that cordycepin displays antioxidant10, anti-inflammatory11, and neuroprotective effects12.
    Moreover, earlier analysis has indicated that cordycepin can improve contractility of isolated skeletal muscle tissue and delay
    the onset of exercise fatigue in isolated skeletal muscles14.
    Forced treadmill exercise is a standard modeling technique to
    induce fatigue by forcing experimental animals to carry out excessive exercise, in addition, forced treadmill train is widely
    utilized in pharmacology, fatigue dietary supplements, and
    sports-related fields. Augmentation of protein or vitality consumption with out concurrently addressing inflammation and oxidative stress
    via the administration of anti-inflammatory agents
    or antioxidants could not end in favorable outcomes.
    It has been incessantly reported that myostatin inhibition increases muscle mass, however decreases muscle quality (i.e., strength/muscle mass).
    Resistance exercise coaching (RT) and important amino
    acids (EAAs) are potent anabolic stimuli that synergistically improve muscle mass
    via adjustments in muscle protein turnover. We have investigated if RT amplifies the
    anabolic potential of myostatin inhibition whereas EAAs improve muscle quality through stimulations
    of mitochondrial biogenesis and/or muscle protein turnover.
    Mice had been assigned into ACV (myostatin inhibitor), ACV+EAA, ACV+RT, ACV+EAA +RT, or management
    (CON) over four weeks. Regardless Of differences in muscle mass acquire,
    myofibrillar protein synthesis was stimulated similarly in all vs.
    CON, suggesting a task for modifications in protein breakdown in muscle
    mass gains. There were increases in MyoD expression but decreases in Atrogin-1/MAFbx expression in ACV+EAA, ACV+RT, and ACV+EAA+RT
    vs. CON.
    An optimum medical trial design would need to include a significant
    variety of topics, completely different age and intercourse cohorts, use placebo groups and be blinded.
    Rigorous measures of SkM mass, energy and endurance would
    need to be included corresponding to the use of Dual-energy X-ray absorptiometry
    (DEXA) scans, dynamometry and cycle ergometry. The
    pursuit of such trials will hopefully shed gentle on the prospects for
    an emerging pure and safe compound for use in the remedy of sarcopenia.
    Clients have blended opinions in regards
    to the protein content of the dietary complement. Some say it is a
    healthy meals for warriors and works nicely with an excellent
    diet and train. Others point out it must be taken 5 instances a day, is expensive, and has
    much less protein than 2 eggs. Hippocampal tissue was collected from the
    mice and homogenates had been quickly ready in an ice bathtub.

    Hardcore bodybuilders (as properly as an increasing number of fighters
    and athletes) are shopping for a lot MYO-GROW™ that discovering a bottle at your local "complement vendor" has become nearly unimaginable.
    The datasets generated during and/or analyzed in the course of the current research are available from the authors on reasonable request.

    Please contact the corresponding author for additional data associated to the
    work on this manuscript. This compound widens the blood vessels, permitting
    higher blood move to the tissues.
    Statistical analyses were carried out by using
    a separate 2 × 2 (group × time point) two-way combined model analyses of variance (ANOVA) for each criterion variable.
    If a bunch by time level interplay existed,
    a separate one-way ANOVA for each group and time point was carried
    out to determine simple primary effects. All statistical procedures had been performed using the SPSS Statistics 22.zero software (IBM, Armonk, NY).
    Individuals warmed-up for five min at a work fee equal to
    75 Watts on the Velotron cycle ergometer (Racer-Mate, Seattle, WA).

    Equally, GYM-329 by Roche is designed to deal with FSHD
    by binding to latent MSTN, thus blocking its conversion to
    its mature type [61]. These antibodies are at
    present present process medical trials or awaiting the reporting of outcomes.
    The majority of clinically examined MSTN inhibitors have
    been MSTN-based antibodies.
    Moreover, the distance achieved on the treadmill was elevated by
    84% within the (–)-epicatechin supplementation and exercise group, whereas exercise alone and (–)-epicatechin supplementation alone resulted in an increase of sixty nine
    and 46%, respectively. All teams, aside from the management, increased efficiency
    with the greatest magnitude of increase observed
    in the (–)-epicatechin supplementation and treadmill exercise group (16).
    A difference in serum MSTN focus between wholesome and diseased individuals presents another obstacle to growing MSTN inhibitors.
    Most muscle atrophy and dystrophy illnesses are characterized
    by decrease concentrations of circulating myostatin [95].
    Sufferers affected with DMD, for instance,
    exhibit approximately 65% lower concentrations of
    serum MSTN in comparability with healthy adults [96].
    Regardless Of a 90% discount in MSTN in comparability with pre-treatment levels in DMD patients handled with domagrozumab,
    muscle mass did not enhance considerably [96].
    As previously mentioned, scientific research of the soluble
    receptor ramatercept had been prematurely halted due to significant adverse results, similar
    to nosebleeds, gum bleeding, telangiectasia, and erythema.
    These antagonistic occasions were attributed to the unintended cross-inhibition of BMP9 and BMP10, critical ligands concerned in endothelial cell perform [12].

    Future research and growth efforts for MSTN inhibitors ought
    to prioritize specificity to mitigate off-target
    effects and improve efficacy. Two latest studies, carried out
    in mouse fashions of cancer cachexia, have examined the results
    of myostatin inhibitors on physical efficiency and muscle function, building on previous data that
    showed optimistic effects on muscle mass [30,31].
    A myostatin antibody in the identical mannequin was in a place to completely abrogate the tumor-induced reduction in total
    muscle drive in various limb and diaphragm muscular tissues [33▪].
    The results of those latest studies are encouraging as the
    worth of myostatin inhibitors to most cancers sufferers exhibiting muscle
    wasting is ultimately to affect practical efficiency via increased muscle
    function.
    Myostatin is acknowledged as a serious inhibitor of muscle progress
    and its SkM and/or blood ranges are reported to increase with aging and in muscle losing illnesses [8].
    An different technique of inhibiting myostatin results is to increase follistatin,
    which inhibits myostatin activity by attaching to it and interfering with receptor
    binding [8]. A molecular signature according to stimulatory effects on SkM may be represented by the upregulation of protein ranges of modulators of
    differentiation corresponding to MEF2A, Myf5, MyoD and myogenin [10].
    In an try to look at the potential of Epi to exert
    optimistic effects, we in contrast the relative ranges of the
    above-referred endpoints in younger vs. older cohorts of mice and their responses to
    therapy. Older mice demonstrated a group of serious adjustments in all endpoints
    suggesting favorable shifts for modulators of SkM growth, differentiation and markers of aging
    (SA-β-Gal) [9].
    BYM-338 is an antibody directed to ActRIIB that
    is presently in Section 2 for the treatment of cachexia in patients with stage IV nonsmall cell lung
    cancer or Stage III/IV adenocarcinoma of the pancreas.
    Single infusions of BYM-334 in wholesome
    volunteers had been reported to be well tolerated and resulted in an increase in TMV (D.
    Rook; International convention on sarcopenia analysis,
    Orlando, December 2012). It is crucial to acknowledge that alternative routes have
    been recognized that may be implicated.
    Those who are affected by this genetic situation (‘condition’
    – oh the irony!) construct twice the amount of muscle compared to a normal particular person (1).
    In truth, out of the 9 males who had this myostatin deficiency, Flex had the
    rarest kind – the ‘exon 2’ gene. Muscle biopsies, energy checks, and
    ultrasonography had been performed on the immobilized leg only;
    DXA, dual-energy X-ray absorptiometry. This is an open access article distributed underneath
    the terms of the Creative Commons Attribution License,
    which permits unrestricted use, distribution, and replica in any medium,
    supplied the unique writer and source are credited. This research
    was funded by a Research Development Grant from the School of Education and Skilled
    Research at the University of South Alabama.
    Very Important Prescription Drugs Inc. kindly donated the supplement
    and placebo for the study. The authors would like to thank the participants of this study for his or her time and dedication.
    In a mouse mannequin for rheumatoid arthritis,
    MSTN is highly expressed in synovial tissues,
    and transgenic or antibody inhibition of MSTN ameliorates joint
    destruction and arthritis severity [149]. Although
    MSTN inhibition has proven promise in animal models for growing bone
    mass and improving bone energy, no clinical
    trials targeting orthopedic illnesses have been carried out.

    The just lately described enhance in axon quantity together with delay in age-related neural degeneration in myostatin null mice have
    added support to the investigation of myostatin inhibitors
    for the therapy of extreme neuromuscular disorders [54▪,55].

    Leonard appears on many podcasts, written over one hundred articles about supplements and has studied
    vitamin, supplementation and bodybuilding. Read on to learn what latest studies
    should say about the results of epicatechin supplementation.
    Epitech by Large Dietary Supplements is formulated to speed up lean muscle development, improve power output, and assist in recovery.
    Fundamental Nutrition’s Epicatechin is designed to inhibit myostatin, which promotes protein synthesis
    and muscle help. In the case of myostatin inhibition, we seem capable of
    get ranges all the way down to about half that of
    a sedentary individual by lifting weights and taking creatine and leucine.
    If you’re coaching then your body is making all types of metabolic
    and neurological adaptations after every workout, in order to
    put together you for the next. It makes excellent sense that this kind
    of adaptive course of can inhibit a portion of the unfavorable growth factors in your body.

    In the context of CKD, the association between compromised IGF-1 signaling
    in muscle and muscle atrophy because of reduced protein kinase B (Akt) phosphorylation has been proven [60].

    The results of MIFs on preadipocyte proliferation and
    differentiation had been investigated in 3T3-L1 cells. First, 3T3-L1 cells
    have been cultured in a 3T3-L1 progress medium supplemented with Ac-MIF1 or Ac-MIF2-NH2 for 2 days.
    Cell proliferation was considerably suppressed in Ac-MIF2-NH2-treated cells (10%) versus non-treated cells (controls) (Figure 7A).
    When cells reached one hundred pc confluence within the growth medium, the
    medium was switched to adipogenic differentiation medium supplemented with
    Ac-MIF1 or Ac-MIF2-NH2 for 4 days. Adipogenic differentiation was noticed measuring Oil Pink
    O intensities of MIFs-treated and non-treated cells.

    Adipogenic differentiation was suppressed in Ac-MIF1- (8%) or Ac-MIF2-NH2-
    (9%) treated cells compared with non-treated cells (control) (Figure 7B).

    The muscle cells formed muscle fibres, however the presence of myostatin inhibited the process.
    Leucine and HMB, but above all creatine, stimulated exercise of the Mighty gene in the muscle cells.
    Some of the primary advantages you'll find a way to anticipate by using this complement, in accordance with Anabolic Warfare, are
    noticeable improvements in strength and endurance, reductions in muscle fatigue during your exercise,
    and advances in muscle mass. Home of Muscle suggests that by taking their complement,
    you’ll see enhancements in muscle progress and definition, endurance and protein synthesis, and a boost in libido and intercourse
    drive. Scientists imagine that train immediately impacts myostatin ranges – especially resistance exercise that particularly focuses on increasing muscle energy [5, 6].

    This is as a result of the supplement dose isn’t high sufficient
    to scale back myostatin levels low sufficient
    to see BIG features in muscle dimension. It’s important to notice
    that myostatin deficiencies don’t just enhance muscle mass but also make
    a person/animal extra ripped.
    Contrary to our study, these earlier studies did not restrict participants’ mobility
    or physical exercise stage throughout FOR consumption [13, 14].

    The influence of FOR on muscle metabolism may have been comparatively
    delicate in our examine due to the absence of muscular
    contraction. Participants were required to not eat alcohol, eggs, or different supplements all through
    the protocol to rule out any risk that could intrude with the FOR effects.
    These values were analyzed utilizing NutriBase software (Cybersoft Inc., model 11.5, Pheonix, AZ, USA).
    We supplied standardized meals that consisted of 1.2 g of protein per physique mass per day all through the two-week immobilization part.

    The day by day energy requirements of the participants have been decided utilizing the Harris-Benedict equation, with applicable adjustments for physical exercise ranges (1.5, gentle activity).

    Myostatin, also called progress differentiation factor eight (GDF8), is a reworking growth factor-β (TGF-β) family member that potently inhibits skeletal muscle improvement [1].

    The biological perform of myostatin turned evident when mice homozygous for a deletion of myostatin gene exhibited a dramatic improve in skeletal muscle mass,
    with individual muscle teams enlarging to roughly twice their regular dimension [1].
    In addition to its effect on skeletal muscle, myostatin has been demonstrated to play a big position within the regulation of bone metabolism
    by suppressing bone formation [6] and stimulating bone resorption [7].
    Certainly, myostatin null mice symbolize not solely a doubling of muscle
    mass, but additionally enhanced bone mineral density (BMD) and bone regeneration [6,8].
    Duchenne muscular dystrophy (DMD) is an incurable disease that causes the loss of muscle tissue.
    Myostatin inhibition has been proven to increase muscle mass
    in canine and mice with DMD, suggesting that the potential of myostatin inhibitors should be investigated in human sufferers
    with DMD [7, 16]. In the current study, the effect of FOR supplementation had been compared with a
    macronutrient- and energy-matched placebo on indices of muscle size and energy during two weeks of single-leg
    immobilization in younger, wholesome males.
    Male Kunming mice (6 weeks old) were bought from the Middle for Laboratory Animal Science and Expertise,
    Jiangxi College of Traditional Chinese Medication (Jiangxi, China), and housed in group cages with a 12 h light/dark cycle.
    The ambient temperature was maintained at 22 ± 2 C and the relative humidity was
    40–60%. The eight MIF peptides selected by in silico research had been named
    MIF1, MIF2, Ac-MIF1, Ac-MIF2, MIF1-NH2, MIF2-NH2, Ac-MIF1-NH2, and Ac-MIF2-NH2, synthesized by Peptron (Daejeon, Korea), diluted with DMSO (Sigma Aldrich, St.
    Louis, MO, USA), and stored at −20 °C. The inhibitory efficacies of designed peptides against
    MSTN have been predicted utilizing an in silico binding approach.

    Preclinical studies of ACE-083 demonstrated a dramatic enhance in muscle mass and power in wild-type, Charcot-Marie-Tooth disease (CMT), and DMD disease model
    mice [81]. In a section 1 examine, ACE-083 injected in to the rectus femoris muscle of wholesome
    girls resulted in approximately a 14.5% improve in native muscle mass however no change
    in muscle power [82]. Part 2 studies in sufferers with FSHD or CMT additionally revealed important localized will increase in muscle mass but
    failed to reveal any improvement in muscle operate [83, 84].

    Increased muscle progress in grownup mice was attributed
    to an incapability to cleave the latent complex (Wolfman et al.,
    2003). Due to their pure epicatechin content material, often consuming these
    meals would possibly support muscle health. However, the focus
    of epicatechin can vary extensively between completely different cocoa or green tea merchandise, making
    it difficult to ensure a consistent consumption from food plan alone.


    A lack of specificity in many MSTN inhibitors may account for
    unsatisfactory clinical trials. MSTN shares vital structural similarities with different members of the TGF-β superfamily,
    particularly GDF11, showing practically 90% sequence identity in their mature domains [90].
    Consequently, many anti-MSTN antibodies inadvertently cross-react with
    GDF11 [91, 92], leading to cross-reaction effects or decreased efficacy.
    Receptor-based ligand traps encounter comparable problems due
    to ActRIIA and ActRIIB receptors binding to GDF11, activins
    A, B, and AB, and BMPs 9 and 10 [93]. Inhibiting ActRIIA/B receptors may even affect the signaling of these proteins, doubtlessly inflicting unintended off-target
    results.
    Not Like extra experimental substances corresponding to YK11,
    epicatechin has been studied for its potential to enhance athletic
    performance and muscle health safely. In this section, we'll highlight a number of the top-searched
    myostatin inhibitor supplements out there available on the market.
    Leonard enjoys weight training, enjoying basketball and yoga, and likewise
    enjoys mountaineering. SuperHuman Muscle by Alpha Lion is engineered to help fast muscle growth and enhanced performance with
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    Based on current evidence, a clinically efficient dose
    of (-)-epicatechin is 1 – 1.5 mg per kg of
    body weight every day. For example, a 100-kg particular person ought to goal for a minimum of 100 mg of epicatechin per day for correct results.

    Importantly, due to the excessive diploma of similarity between the receptor-recognition surfaces of mature myostatin and other members of the TGF-β family [95], majority of
    myostatin-targeting brokers cross-react with different TGF-β members of the family.
    Specifically, GDF11 and myostatin share 89% sequence id within their mature signaling area [39], and
    as a result, myostatin antibodies cross-react with GDF11, and vice versa [9,10].
    Moreover, affinity purification from serum using soluble types of ACVR2A and
    ACVR2B revealed that they bind not only myostatin, but also GDF11, activins A, B, and AB, BMPs 9, and 10 [11].
    Activin type 2 receptors have additionally been reported to bind inhibins with relatively low affinities compared to activins [96].

    Similarly, FST has been shown to bind myostatin, GDF11, activins A, B, AB, and E, inhibins A, and B, BMPs 2, four, 6, 7,
    and 15, though the binding affinities for inhibins and BMPs are apparently lower than these for myostatin, GDF11,
    and activins [12,97].