{"id":6847,"date":"2020-05-04T08:58:32","date_gmt":"2020-05-04T07:58:32","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/gastroenterologija-preporuka-ishrane-kod-gastritisa-copy\/"},"modified":"2020-10-07T10:53:55","modified_gmt":"2020-10-07T09:53:55","slug":"gastroenterologija-preporuke-za-ishranu-kod-obolelih-od-ulceroznog-kolitisa","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/gastroenterologija\/gastroenterologija-preporuke-za-ishranu-kod-obolelih-od-ulceroznog-kolitisa\/","title":{"rendered":"Gastroenterologija – Preporuke za\u00a0 ishranu kod obolelih od ulceroznog kolitisa"},"content":{"rendered":"

Jasna uputstva kako se hraniti koja univerzalno va\u017ee za sve obolele ne postoje, dijeta mora da bude individulana i zahteva akltivno u\u010de\u0161\u0107e pacijenta, tako \u0161to pacijent mo\u017ee voditi dnevnik ishrane ili\u00a0<\/span>mo\u017ee mobilnim telefonom ili tabletom praviti snimke svojih obroka u jednom periodu, obra\u0107aju\u0107i pa\u017enju kako se ose\u0107a posle odre\u0111enje hrane, a\u00a0 <\/span>to je pravi put formiranja adekvatnog jelovnika koji \u0107e pacijentu omogu\u0107iti du\u017ee periode u kojima nema simptoma bolesti.\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/span><\/p>\n

Op\u0161te prporuke se mogu podeliti na periode u kojima je:\u00a0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/span><\/p>\n

1. Bolest aktivna\u00a0<\/span><\/b>2.Period neposredno po prestanku tegoba <\/b>3. Period u kom nema tegoba\u00a0<\/span><\/b>(detaljna uputsta za izbor namirnica po ovim periodima nalaze se u tabelama sa druge strane).\u00a0<\/span>Kada je bolest u pogor\u0161anju-aktivna\u00a0<\/span><\/b> potrebno uzimati isklju\u010divo termi\u010dki obra\u0111enu hranu<\/b>, koja je kuvana spremana na pari ili dinstana bez kore (lju\u0161tena) ponekada\u00a0 <\/span>i pasirana u vi\u0161e malih obroka<\/b> uz ve\u0107u koli\u010dinu te\u010dnosti koja je neophodna zbog nadoknade velikog guibitka putem u\u010detalih retkih stolica .<\/p>\n

Prakti\u010dno kada je bolest u remisiji preporuka je izbegasvati samo hranu koja stvara nelagodnost i stvara tegobe (<\/b>nadutost gr\u010deve u trbuhu, neforirane stolice)<\/b> Pravilnom i balansiranom ishranom u kojoj unosimo namernice prema \u017eelji a paze\u0107i da iste ne provociraju tegobe od strane digestivnog trakta , odr\u017eavaju\u0107i adekvatnu telesnu te\u017einu<\/b> stvaramo uslove da bolest bude du\u017ee pod kontolom pa se u tom cilju pridr\u017eavati nekih op\u0161tih pravila.\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span>Unositi hranu sa malo\u00a0<\/span>ostataka (deo hrane koji se nesvaren izbacuje stolicom) i\u00a0<\/span>izbegavati hranu sa puno vlakana <\/b>a to je:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/span>Hrana koja sadr\u017ei nerastvorljiva vlakna<\/b> \u2013 kora vo\u0107a, \u017eitarice punog zrna, \u017euti pirina\u010d<\/b>,\u00a0semenje<\/b> (susam, laneno seme ,golica,suncokret…),\u00a0ora\u0161aste plodove<\/b> posebno orah,\u00a0sirovo<\/b>, posebno bobi\u010dasto, vo\u0107e<\/b> (jagoda malina kupina), sirovo\u00a0 <\/span>pov\u0107e\u00a0<\/b>(paradajz paprika (mo\u017ee pe\u010dena i olju\u0161tena) kupus, kelj, luk, salata), bareno mahunasto povtr\u0107e<\/b> (gra\u0161ak, pasulj, boranija, so\u010divo, bob),\u00a0\u017eitarice celog zrna<\/b>,\u00a0heljdu, kinou<\/b>,\u00a0zob<\/b>\u00a0izbaciti namirnice sa visokim sadr\u017eajem prostih \u0161e\u0107era.<\/b><\/p>\n

Ukoliko se radi o pacijentima sa ulceroznim kolitisom<\/b> koji tokom pogor\u0161anja imaju<\/b> zatvor (obstipaciju<\/b>) preporuka je da unose upravo ovu hranu.<\/b><\/p>\n

Potrebno ispitati toleranicju na laktozu i gluten jer je nepodno\u0161enje namirnica koje sadr\u017ee ove substance zbog nedostakla enzima za razulaganje istih relativno \u010desta kod pacijenta sa ulceroznim kolitisom\u00a0 <\/span>mada se umesto testa mo\u017ee obustaviti uno\u0161enje mleka i mle\u010dnih proizvoda ili namirnica sa glutenom u trajanju od 4 nedelje i ukoliko se tegobe izgube te namirnice treba isklju\u010diti iz ishrane neke od namirnica koje nose ve\u0107i stepen preporuke su<\/b>\u00a0losos<\/b>,\u00a0avokado<\/b>,\u00a0jogurt sa probioticima, proizvodi od rafinuisanog zrna \u017eitarica (belo bra\u0161no) testenine, beli hleb, beli pirina\u010d<\/b>, ovsana ka\u0161a<\/b> bez dodatih ukusa, tikva <\/b>i preporuka o stalnom unosu ve\u0107e koli\u010dine te\u010dnosti.<\/p>\n

Iako je pu\u0161enje cigara\u00a0 <\/span>\u0161tetno ukoliko je pacijent pre postavljanja dijagnoze bio pu\u0161a\u010d ne savetuje se ukidanje pu\u0161enja jer se time pove\u0107ava broj pogor\u0161anja. Vi\u0161e informacija o ishrani\u00a0 <\/span>mo\u017eete na\u0107i na sajtu udru\u017eenja obolelih od inflamatornih bolesti creva www.ukuks.org.<\/b><\/p>\n

Ukoliko imate\u00a0 <\/span>dodatna pitanja ili pridru\u017eene bolesti i potrebu za detaljnim obja\u0161njenjima u vezi ishrane mo\u017eete se obratiti nutricionisti u Euromediku.\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/span><\/b><\/p>\n

Preporuke za ishranu u pojedinim fazama bolesti\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/span>U PERIODU KADA JE\u00a0<\/span>BOLEST AKTIVNA<\/b><\/p>\n

\"pastedGraphic.png\"<\/p>\n

U PERIODU NEPOSREDNO PO PRESTANKU TEGOBA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/span><\/b>(uz namirnice iz predhodne tebele dodati):<\/p>\n

\"pastedGraphic_1.png\"<\/p>\n

U PERIODU KADA BOLEST <\/span>NIJE AKTIVNA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/span><\/b>(uz namirnice iz predhodne tebele dodati):<\/p>\n

\"pastedGraphic_2.png\"<\/p>\n

Zaka\u017eite Va\u0161 specijalisti\u010dki pregled gastroenterologa.\u00a0<\/a><\/p>\n

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

Jasna uputstva kako se hraniti koja univerzalno va\u017ee za sve obolele ne postoje, dijeta mora…<\/p>\n","protected":false},"author":1,"featured_media":6849,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[479],"tags":[78],"class_list":["post-6847","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologija","tag-gastroenetrologija"],"yoast_head":"\nPreporuke za\u00a0 ishranu kod obolelih od ulceroznog kolitisa<\/title>\n<meta name=\"description\" content=\"Jasna uputstva kako se hraniti koja univerzalno va\u017ee za sve obolele ne postoje, dijeta mora da bude individulana i zahteva akltivno u\u010de\u0161\u0107e pacijenta...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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