should be recognized that a number of our inhabitants formed a negative attitude to probiotics.In many ways, this fact is connected with the information, spread by television, Internet portals about health and popular newspapers.It is difficult to remain indifferent when respected media guru of domestic medicine, grinning mischievously, argue that such a diagnosis as dysbiosis in the "advanced" Western countries do not have, and the only Russian Aesculapius stuffed their hapless patients tons of questionable products: probiotics.However, for some reason, in the same foreign countries is steadily increasing production of these "useless" tools, and a growing number of major clinical trials investigating the efficacy of probiotics in a wide variety of diseases. Content
According to modern concepts, probiotics are any means of living bacteria, which if it enters the human body in adequate amounts have a positive effect on his health.Often, some ordinary people and even doctors confuse probiotics with prebiotics.Unlike probiotic agents, prebiotics are not in the structure of living organisms, their therapeutic effect lies in the targeted stimulation of breeding activity and is already living in the gut microflora.Let's look at what exactly is referred to a positive effect of probiotics.
positive effect of probiotic agents on the human body due to the positive properties contained in these microorganisms, as a part of the majority of probiotics are the representatives of a normal (also called indigenous) gut flora: bifidobacteria, E. coli, enterococci, lactobacilli, and others. Their role in the normalthe existence of our body is extremely versatile, tiny inhabitants of the intestine perform a variety of functions:
By performing the above functions, probiotics not only reimburse the bacterial flora in its deficit, they have a complex health-improving effect.Because of this they can be used for:
However, the effectiveness of various different probiotics.There are too many in today's pharmaceutical market.And often the results of their application are quite modest.From what can they depend?
Modern probiotics are produced in the form of:
Furthermore, in a number of developed countries are autoprobiotiki, which are made of normal microflora obtained from healthy human feces certain.They are placed in special cryobanks.Subsequently, from "their" intestinal bacteria get autoprobiotik that in case of need (for example, after an intestinal infection) and prescribed the same person to restore the microbial balance in the gut.
Each probiotic agents contains a certain number of viable active microbes.It is measured in colony forming units (CFU).The therapeutic effects of probiotics have the potential to provide with at least 107 CFU (10 million) of micro-organisms per milliliter or gram.
Currently, in our country and abroad, store shelves are filled with a variety of products with living microbes.Their range is rich enough: dairy products, ice cream, juices, pastries, cereals, infant formula.Each of them are actively advertised, promising a wonderful healing effect.However, choosing such "magical" product, you need to know that the beneficial live microorganisms can not tolerate pasteurization, are very sensitive to the addition of coloring agents, flavoring agents, preservatives, stabilizers and essences.They should be stored solely in a refrigerator.In a truly effective treatment yogurt must contain at least 100 million CFU of bacteria in 1 ml.But even when all of these conditions, the therapeutic possibilities in such food products is very limited.They can act only as a means of preventing problems with the intestinal microflora.
much more benefit is derived from independent preparation of fermented milk products with living microbes.Now pharmacies and online stores is represented by many different starters with bifidobacteria, lactobacilli and Streptococcus thermophilus, allowing a home to make a delicious and truly useful product.At the same time, you can be sure that there will not be any "chemical" additives themselves complement its taste different fruits and fat control, choosing certain milk.
Many probiotics in our country are dietary supplements and not pharmacological drugs.But that has less to do with the quality of probiotic agents, as the complexity of the multi-step registration process.All of them can be divided into:
The first group is composed of fungi or germs, which can not normally live in the human gut.But they differ in strong opposition pathogenic and opportunistic bacteria.And for the normal flora (bifidobacteria, etc.). These antagonists, on the contrary, create optimal conditions for the operation and settlement, as they produce a large amount of the necessary factors.Examples of probiotic agents are enterol, baktisubtil, enterogermin.
The composition of probiotics second group certainly includes bacteria, which normally live in our gut (enterococci, Escherichia coli, bifidobacteria, and others.).They may consist of any one type or combine several types typical of the intestinal microflora.
If probiotics are administered with the aim of substitution, it should first determine what exactly is not enough bacteria in the gut of the patient, making the pre-sowing fecal bacteria overgrowth.Then, focusing on the results, select the drug.Thus, in case of insufficiency of bifidobacteria required bifido probiotics (eg, liquid bifidumbakterin) deficiency lactoflora - with probiotic lactobacilli (eg lactoflora), etc.
also need to take into account the form of probiotic.All of them are divided into:
first of them appeared dry form.They contain bacteria subjected to freeze-drying.This process, unfortunately, their effect on the activity, the ability to attach to intestinal cells and viability.Also part of the microorganisms are killed under the influence of gastric juice and bile.Therefore, only about a third of initially contained in the preparation remains in the gut bacteria.
But probiotic microbes in the liquid contained in the active form.They are more successful in the colonization of the intestine.Besides these probiotics also enriched microbial products (enzymes, peptides, essential amino acids, vitamins, immunostimulants antibiotikopodobnye substance and al.).Liquid probiotics can not only swallow, but used for instillation into the nose, enemas, lubrication damaged surfaces (for example, when cracks) rinses.But they must be stored in the refrigerator, or the room temperature will lead to premature activation of a further depletion of therapeutic possibilities of bacteria.
The sorption probiotic bacteria combined into microcolonies, which are fixed on a special sorbent (usually carbon).They are exempt from it is already in the colon.This structure preserves the probiotic bacteria from acidic stomach environment and helps them to be more active.In addition, the sorbent draws and displays the body of a variety of harmful toxins and microbes.
probiotics enteric-coated, thanks to him, are protected from the harmful effects of bile, pancreatic enzymes and gastric juice, because this shell dissolves only when it reaches the small intestine.
Unfortunately, we must recognize that the effectiveness of probiotics is not always great.In some cases this is due to the incompetence of the doctors who prescribe these drugs do not fully examined patients, writing off all of the symptoms of dysbacteriosis.But the manifestations are similar in many other intestinal ailments and not just (celiac disease, Crohn's disease, pancreatitis, functional dyspepsia, cancer, and others.).Such patients need an entirely different treatment, and even tons of probiotics do not change their state of health.
Another mistake could be indiscriminate prescribing without sowing feces.If there is excess in the gut opportunistic microbes, they occupy all the ecological niches.Therefore, beneficial bacteria introduced from the outside is simply nowhere to "settle down."
Another reason has to be independent of the knowledge of doctors, is a biological and / or genetic incompatibility in probiotics are microorganisms with "native" microbes patient.Their composition is individual for each patient.
not deprived of probiotic agents or side effects.The lack of descriptions of side effects and contraindications to the use of a drug or dietary supplement only demonstrates the fact that this tool is not enough scrutinized.Any probiotic can provoke phenomena of individual intolerance in the form of diarrhea, colic, rashes, bloating.Moreover, probiotics (other than those containing bifidobacteria) can be dangerous for patients with severe immune deficiency, causing them to sepsis and inflammatory processes.
most popular diagnosis, in which appointed probiotics is goiter.About this disease is said in the program of the First Channel: