{"id":18071,"date":"2024-01-04T10:09:30Z","date_gmt":"2024-01-04T09:09:30Z","guid":{"rendered":"https:\/\/www.omni-biotic.com\/cs-cz\/?p=18071"},"modified":"2024-04-17T16:20:19Z","modified_gmt":"2024-04-17T14:20:19Z","slug":"zvysuji-antibiotika-riziko-rakoviny-tlusteho-streva","status":"publish","type":"post","link":"https:\/\/www.omni-biotic.com\/cs-cz\/blog\/zvysuji-antibiotika-riziko-rakoviny-tlusteho-streva\/","title":{"rendered":"Zvy\u0161uj\u00ed antibiotika riziko vzniku rakoviny tlust\u00e9ho st\u0159eva?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"18071\" class=\"elementor elementor-18071\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e572345 obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"e572345\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1d85782 elementor-widget elementor-widget-text-editor\" data-id=\"1d85782\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #b6185c\"><em>Boston &#8211; \u00da\u010dastn\u00edci studie Nurses Health Study, kte\u0159\u00ed se v mlad\u00e9m a st\u0159edn\u00edm v\u011bku dlouhodob\u011b l\u00e9\u010dili antibiotiky, m\u011bli ve vy\u0161\u0161\u00edm v\u011bku p\u0159i screeningov\u00e9 kolonoskopii vy\u0161\u0161\u00ed pravd\u011bpodobnost v\u00fdskytu polyp\u016f ve st\u0159evech, kter\u00e9 jsou p\u0159edstupn\u011bm kolorekt\u00e1ln\u00edho karcinomu. Uk\u00e1zala to anal\u00fdza prospektivn\u00ed observa\u010dn\u00ed studie v \u010dasopise Gut (2017; doi: 10.1136\/gutjnl-2016-313413).<\/em><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f351f27 elementor-widget elementor-widget-image\" data-id=\"f351f27\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"700\" height=\"500\" src=\"https:\/\/www.omni-biotic.com\/cs-cz\/wp-content\/uploads\/sites\/8\/2024\/01\/CZ_Blog_Antibiotika_Rakovina.jpg\" class=\"attachment-large size-large wp-image-18078\" alt=\"\" srcset=\"https:\/\/www.omni-biotic.com\/cs-cz\/wp-content\/uploads\/sites\/8\/2024\/01\/CZ_Blog_Antibiotika_Rakovina.jpg 700w, https:\/\/www.omni-biotic.com\/cs-cz\/wp-content\/uploads\/sites\/8\/2024\/01\/CZ_Blog_Antibiotika_Rakovina-300x214.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aafcbab obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"aafcbab\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cab7510 elementor-widget elementor-widget-heading\" data-id=\"cab7510\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Zv\u00fd\u0161en\u00e9 riziko rakoviny tlust\u00e9ho st\u0159eva<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-78d4eaa obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"78d4eaa\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c2a824 elementor-widget elementor-widget-text-editor\" data-id=\"6c2a824\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/blog\/co-delaji-antibiotika-s-nasim-telem\/\"><strong>Antibiotick\u00e1 l\u00e9\u010dba<\/strong><\/a> m\u016f\u017ee dlouhodob\u011b po\u0161kodit <strong><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/zdravi-strev\/strevo-centrala-zdravi\/strevni-mikroflora\/\">st\u0159evn\u00ed mikrofl\u00f3ru.<\/a> <\/strong>To m\u016f\u017ee v\u00e9st k \u00fabytku ur\u010dit\u00fdch druh\u016f <strong><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/zdravi-strev\/strevo-centrala-zdravi\/strevni-bakterie\/\">st\u0159evn\u00edch bakteri\u00ed,<\/a> <\/strong>jako jsou <em>Bacteroidetes, Firmicutes <\/em>a<em> Proteobacteria,<\/em> jejich\u017e m\u00edsto zaujmou jin\u00e9 druhy, nap\u0159. <em>Fusobacteriae.<\/em> Toto slo\u017een\u00ed <strong>st\u0159evn\u00ed mikrofl\u00f3ry<\/strong> je \u010dasto pozorov\u00e1no tak\u00e9 u pacient\u016f s rakovinou st\u0159ev. Je proto mo\u017en\u00e9, \u017ee \u010dast\u00e1 <strong>l\u00e9\u010dba antibiotiky<\/strong> by mohla dlouhodob\u011b zvy\u0161ovat riziko vzniku <strong>rakoviny st\u0159ev.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9cac278 obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"9cac278\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a49874a elementor-widget elementor-widget-heading\" data-id=\"a49874a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Observa\u010dn\u00ed studie<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-62a3335 obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"62a3335\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f08afa8 elementor-widget elementor-widget-text-editor\" data-id=\"f08afa8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>T\u00fdm veden\u00fd Andrewem Chanem z Massachusettsk\u00e9 v\u0161eobecn\u00e9 nemocnice v Bostonu analyzoval \u00fadaje ze studie Nurses Health Study. Studie sleduje od roku 1976 skupinu v\u00edce ne\u017e 120 000 americk\u00fdch zdravotn\u00edch sester, kter\u00e9 jsou pravideln\u011b dotazov\u00e1ny, co se t\u00fd\u010de jejich <strong>\u017eivotn\u00edch podm\u00ednek a zdravotn\u00edho stavu.<\/strong> Celkem 16 642 \u00fa\u010dastnic nyn\u00ed dos\u00e1hlo v\u011bku nad 60 let a podstoupilo alespo\u0148 jednu screeningovou <strong><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/blog\/pece-o-streva-po-kolonoskopii\/\">kolonoskopii.<\/a><\/strong> U 1 195 \u017een byly objeveny polypy, kter\u00e9 jsou p\u0159edstupn\u011bm <strong>rakoviny st\u0159ev,<\/strong> a proto jsou p\u0159i vy\u0161et\u0159en\u00ed odstra\u0148ov\u00e1ny. \u00da\u010dastnice p\u0159ed kolonoskopi\u00ed vyplnily tak\u00e9 dotazn\u00edk, ve kter\u00e9m byly dotazov\u00e1ny na p\u0159edchoz\u00ed <strong><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/blog\/trvale-zmeny-ve-strevnim-mikrobiomu-po-lecbe-antibiotiky\/\">l\u00e9\u010dbu antibiotiky.<\/a><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-438832c obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"438832c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f6c2fdf elementor-widget elementor-widget-heading\" data-id=\"f6c2fdf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">V\u00fdsledky<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-acfcb22 obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"acfcb22\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-892e5c8 elementor-widget elementor-widget-text-editor\" data-id=\"892e5c8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>U \u017een, kter\u00e9 v obdob\u00ed mezi 20. a 39. rokem \u017eivota u\u017e\u00edvaly dva m\u011bs\u00edce nebo d\u00e9le <strong>antibiotika,<\/strong> byla o 36 % vy\u0161\u0161\u00ed pravd\u011bpodobnost, \u017ee u nich budou diagnostikov\u00e1ny polypy, ne\u017e u \u017een, kter\u00e9 v tomto obdob\u00ed antibiotika neu\u017e\u00edvaly (p &lt; 0,5). <strong><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/blog\/co-delaji-antibiotika-s-nasim-telem\/\">L\u00e9\u010dba antibiotiky<\/a> <\/strong>(po dobu dvou m\u011bs\u00edc\u016f nebo d\u00e9le) ve v\u011bku 40 a\u017e 59 let byla rovn\u011b\u017e spojena s \u010dast\u011bj\u0161\u00ed diagn\u00f3zou <strong>st\u0159evn\u00edch polyp\u016f.<\/strong> Pom\u011br \u0161anc\u00ed zde \u010dinil 69 % 1,69 (1,24-2,31). <strong>Antibiotick\u00e1 l\u00e9\u010dba<\/strong> byla spojena jak s adenomy s n\u00edzk\u00fdm, tak s vysok\u00fdm rizikem. Ty zahrnuj\u00ed adenomy v\u011bt\u0161\u00ed ne\u017e 1 cm a adenomy s tubulovil\u00f3zn\u00edm nebo vil\u00f3zn\u00edm tvarem, jako\u017e i p\u0159\u00edtomnost t\u0159\u00ed a v\u00edce adenom\u016f (u jednoho pacienta).<\/p><p>Tato souvislost byla v\u00fdrazn\u011bj\u0161\u00ed u polyp\u016f v proxim\u00e1ln\u00edm tra\u010dn\u00edku ne\u017e u polyp\u016f v dist\u00e1ln\u00edm tra\u010dn\u00edku. <strong>Antibiotick\u00e1 l\u00e9\u010dba<\/strong> v obdob\u00ed \u010dty\u0159 let p\u0159ed <strong><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/blog\/pece-o-streva-po-kolonoskopii\/\">kolonoskopi\u00ed<\/a><\/strong> nebyla spojena s \u010dast\u011bj\u0161\u00ed <strong>diagn\u00f3zou polyp\u016f tlust\u00e9ho st\u0159eva.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7fb5212 obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"7fb5212\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d4f6ee8 elementor-widget elementor-widget-heading\" data-id=\"d4f6ee8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diskutabiln\u00ed u\u017e\u00edv\u00e1n\u00ed antibiotik<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-75b7dc9 obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"75b7dc9\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a515aa elementor-widget elementor-widget-text-editor\" data-id=\"2a515aa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Studie zde sice nem\u016f\u017ee prok\u00e1zat kauz\u00e1ln\u00ed souvislost, nicm\u00e9n\u011b vyvol\u00e1v\u00e1 ot\u00e1zky ohledn\u011b nadm\u011brn\u00e9ho <strong><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/blog\/pribirani-na-vaze-v-dusledku-uzivani-antibiotik\/\">u\u017e\u00edv\u00e1n\u00ed antibiotik,<\/a><\/strong> kter\u00e9 bylo v jin\u00fdch studi\u00edch spojeno se z\u00e1n\u011btliv\u00fdm <strong><a href=\"https:\/\/www.omni-biotic.com\/cs-cz\/zdravi-strev\/\">onemocn\u011bn\u00edm st\u0159ev,<\/a><\/strong> <strong>celiaki\u00ed a obezitou.<\/strong> Krom\u011b toho byla v posledn\u00edch letech vyvinuta <strong>antibiotika,<\/strong> jako je rifaximin, kter\u00e1 se nevst\u0159eb\u00e1vaj\u00ed ve st\u0159ev\u011b, a jsou proto vhodn\u00e1 pro <strong>dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b3540b2 obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"b3540b2\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3a5d9cc elementor-widget elementor-widget-heading\" data-id=\"3a5d9cc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Zdroj<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a73418e obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"a73418e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b5effe elementor-widget elementor-widget-text-editor\" data-id=\"1b5effe\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>\u00a9 rme\/aerzteblatt.de<\/li><li><em><a href=\"http:\/\/gut.bmj.com\/content\/gutjnl\/early\/2017\/03\/16\/gutjnl-2016-313413.full.pdf\" rel=\"noopener\">doi: 10.1136\/gutjnl-2016-313413<\/a><\/em><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a4b8ee8 obcs none e-flex e-con-boxed e-con e-parent\" data-id=\"a4b8ee8\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Boston &#8211; \u00da\u010dastn\u00edci studie Nurses Health Study, kte\u0159\u00ed se v mlad\u00e9m a st\u0159edn\u00edm v\u011bku dlouhodob\u011b l\u00e9\u010dili antibiotiky, m\u011bli ve vy\u0161\u0161\u00edm v\u011bku p\u0159i screeningov\u00e9 kolonoskopii vy\u0161\u0161\u00ed pravd\u011bpodobnost v\u00fdskytu polyp\u016f ve st\u0159evech, kter\u00e9 jsou p\u0159edstupn\u011bm kolorekt\u00e1ln\u00edho karcinomu. Uk\u00e1zala to anal\u00fdza prospektivn\u00ed observa\u010dn\u00ed studie v \u010dasopise Gut (2017; doi: 10.1136\/gutjnl-2016-313413). Zv\u00fd\u0161en\u00e9 riziko rakoviny tlust\u00e9ho st\u0159eva Antibiotick\u00e1 l\u00e9\u010dba m\u016f\u017ee [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":18513,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[107],"tags":[],"class_list":["post-18071","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-novinky-ve-vyzkumu"],"acf":[],"rank_math":{"og:title":"Zvy\u0161uj\u00ed antibiotika riziko vzniku rakoviny tlust\u00e9ho st\u0159eva?","og:desc":"Antibiotick\u00e1 l\u00e9\u010dba m\u016f\u017ee dlouhodob\u011b po\u0161kozovat st\u0159evn\u00ed mikrofl\u00f3ru. Z dlouhodob\u00e9ho hlediska mohou antibiotika zvy\u0161ovat riziko vzniku rakoviny st\u0159ev.","og:url":"https:\/\/www.omni-biotic.com\/cs-cz\/blog\/zvysuji-antibiotika-riziko-rakoviny-tlusteho-streva\/","og:locale":"cs_CZ","og:image":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-content\/uploads\/sites\/8\/2024\/01\/CZ_Blog_Antibiotika_Rakovina-1.jpg","og:image:width":"700","og:image:height":"500"},"additional_data":{"thumbnail":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-content\/uploads\/sites\/8\/2024\/01\/CZ_Blog_Antibiotika_Rakovina-1.jpg"},"blog_info":{"country":"cs-cz"},"_links":{"self":[{"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/posts\/18071","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/comments?post=18071"}],"version-history":[{"count":7,"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/posts\/18071\/revisions"}],"predecessor-version":[{"id":18095,"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/posts\/18071\/revisions\/18095"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/media\/18513"}],"wp:attachment":[{"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/media?parent=18071"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/categories?post=18071"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.omni-biotic.com\/cs-cz\/wp-json\/wp\/v2\/tags?post=18071"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}