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2020, vol. 54, br. 3, str. 105-112
Intolerancija laktoze kod dece i odraslih
aSpecijalistička pedijatrijska ordinacija "Dr Pavlović", Subotica
bUniverzitet u Beogradu, Medicinski fakultet, Univerzitetska dečija klinika
cZavod za javno zdravlje, Subotica
dOpšta bolnica, Subotica

e-adresamomodec@tippnet.rs
Ključne reči: intolerancija laktoze; test tolerancije na laktozu; sindrom iritabilnog kolona; odrasli; dete
Sažetak
Laktoza je disaharidaza koja se nalazi u mleku i mlečnim proizvodima. Deca i odrasli sa intolerancijom laktoze nisu u mogućnosti da tolerišu značajniju količinu laktoze usled nedostatka enzima laktaze. Intolerancija laktoze se može ispoljiti u tri oblika: primarni oblik intolerancije, sekundarni i adultni oblik. Upotreba mleka u ishrani kod takvih osoba može dovesti do tegoba koje se ogledaju u pojavi iritabilnog kolona. Kod osoba sa intolerancijom laktoze u simptomatologiji dominiraju kolike, čujna peristaltika, pojačana flatulencija i meteoritam. Za dijagnostikovanje poremećaja koriste se detaljna anamneza, dijagnostička eliminacija laktoze iz ishrane, laktoza tolerans test, vodonik izdisajni test i gensko ispitivanje. U nedostatku odgovarajućih testova, kod pacijenata sa sumnjom na primarni adultni tip hipolaktazije, mogao bi se primeniti dijagnostički pristup kao kod sumnje na postojanje nutritivne alergije. Osnovu terapije čini dijeta sa restrikcijom laktoze uz potrebu fermentisanih mlečnih proizvoda. U slučaju eliminacije mleka i mlečnih proizvoda, pogotovo kod dece, treba obezbediti adekvatnu suplementaciju sa D vitaminom i kalcijumom.
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O članku

jezik rada: srpski
vrsta rada: pregledni članak
DOI: 10.5937/mckg54-26370
primljen: 01.05.2020.
prihvaćen: 09.09.2020.
objavljen u SCIndeksu: 12.03.2021.

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