Pancreatic necrosis ndi zakudya

Tikukupatsani kuti muwerenge nkhaniyi pamutuwu: "zakudya za pancreatic pancreatic necrosis" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Chakudya chokhazikika cha pancreatic necrosis ziyenera kuonedwa ndi odwala mpaka zizindikiritso za matenda zidzathe. Izi zitha kutenga chaka kapena kupitirira. Pambuyo pancreatic necrosis itasintha, thanzi la wodwalayo litha kutsimikizira zotsatira za mayeso a labotale, omwe wodwalayo ayenera kutenga nthawi. Ngati zotsatira zoyipa zaumoyo sizinawonedwe, ndiye kuti kudya kumayamba kukula pang'onopang'ono.

Pancreatic necrosis ndi matenda a pancreatic oopsa omwe amakhudzana ndi imfa ya maselo a ziwalo. Nthawi zambiri, zotsatira zake zimakhala shuga ndi kufa. Acute pancreatitis, yomwe, chifukwa cha kusowa kwa chithandizo choyenera komanso kulephera kudya, imapangidwa ndi pancreatic necrosis, imawerengedwa kuti ndiyomwe imayambitsa matenda oopsa.

Zizindikiro zoyambirira za matendawa zimaphatikizira kupweteka kwa m'chiuno kummero, nseru, limodzi ndi kusanza, komanso chopondera chopondapo. Pancreatic necrosis sikuti amangokhala ndi zowonongeka zokha zokha. Pamikhalidwe yabwino, imakhala chifukwa cha matenda a ziwalo zomwe zimakhala pafupi ndi kapamba.

Tsiku lisanafike mankhwalawa opaleshoni ya pancreatic necrosis, wodwala saloledwa kudya chakudya ndi kumwa madzi kapena madzi ena. Chakudya chokhwima choterechi chikufotokozedwa chifukwa chakuti kapamba panthawi yogwira ntchito m'mimba iyenera kuletsa kupanga michere yogaya chakudya yogaya chakudya m'mimba mwake.

Kuti wodwala asataye mphamvu ndipo amatha kuchita opaleshoni ya pancreatic necrosis, amathandizidwa ndi michere yamankhwala omwe amathandizidwa kudzera m'mitsempha.

Pambuyo pakuchita opaleshoni pa kapamba, kudya zakudya zamagulu kumatha kuyamba pokhapokha pa tsiku la 6-7. Mpaka nthawi ino, wodwalayo amaloledwa kumwa okhawo otentha. Monga zakumwa, mankhwala am'madzi a sing'anga ochepa (Borjomi, Narzan), msuzi wa rosehip ndi tiyi wopanda mphamvu wopanda shuga umaperekedwa. Tsiku losaposa 800 ml ya phwando la 4-6.

Ngati mkhalidwe wodwala wokhala ndi pancreatic necrosis ukadali wovuta kwambiri, ndiye kuti amaletsedwa ngakhale kumwa. Wodwalayo amapatsidwa chakudya chamthupi. Zinthu zikadzakhazikika, menyuwo amaphatikiza mbale kuchokera kuzinthu zomwe zimathandizira kubwezeretsa ntchito za m'mimba.

Monga chakudya chama postoperative, wodwalayo amapatsidwa ziro tebulo pafupifupi tsiku la 6-7:

• Gome No. 0a - chakudya amatchulidwa masiku angapo pambuyo pa opaleshoni pancreatic necrosis. Muli msuzi wamafuta wopanda mafuta, wopanda msuzi, msuzi wa mpunga, compote ndi zakudya kuchokera ku zipatso zouma ndi maapulo, onunkhira komanso zipatso zosapatsa acid, zokometsera pang'ono pang'ono za rose. Kudya zipatso, 200 20000 g.
• Gawo No. 0b - chakudyacho chimaperekedwa pambuyo pa kudya No. 0a, mndandanda umaphatikizapo mbale zonse kuchokera kuzakudya zapita. Chakudyacho chimakulitsidwa chifukwa cha soups wa mucous ndi chimanga kuchokera ku chimanga chophwanyika (mpunga, buckwheat, oatmeal), maeleel nkhuku, nsomba ndi cutlets nyama yazakudya zamankhwala (zophikidwa kokha kwa okwatirana), mazira ophika, nsomba ndi nyama puree. Zakudya zimatha masiku 7. Zakudya zamkati, magawo a 350-400 g.
• Gawo No. 0v - mndandanda uli ndi zonse zofunikira kuchokera pazakudya zakale za zero, koma kuchuluka kwa mchere kumachulukitsidwa pang'ono. Kudya kwa wodwala kumathandizidwa ndi zinthu zamkaka, maapulo ophika, oyambitsa tirigu.

Kenako, wodwalayo amasamutsidwa ku chakudya No. 5. Mu pancreatitis yovuta komanso yosatha, ichi ndi gawo lofunikira pobwezeretsa ntchito za kapamba. Chifukwa cha iye ndi chithandizo chamankhwala, zovuta zamtundu wa pancreatic necrosis zitha kupewedwa.

Pamaso pa opaleshoni yothandizira pancreatic necrosis ndipo patapita nthawi atachitidwa opaleshoni, odwala amapatsidwa mankhwala osala kudya, omwe amapereka mpumulo ku England. Odwala amaloledwa kumwa msuzi wofowoka wa duwa lakuthengo ndi madzi amchere.

Kupatula kufooka kwa thupi, zakudya za makolo zimachitika. Mchitidwewu umaphatikizira kuyambitsa michere mwachindunji m'magazi kudzera mu catheter kupita m'mitsempha yayikulu.

Kuchuluka kwazinthu komanso kapangidwe kazakudya zomanga thupi zimawerengeredwa ndi wathanzi, poganizira mphamvu zamthupi la wodwalayo. Madzi amadzimadzi a makina a pancreatic necrosis amakhala ndi shuga, mayankho a amino acid ndi insulin.

Zakudya za pancreatic necrosis ndi mndandanda wonse wamalamulo omwe ayenera kutsatiridwa ndi odwala mosalephera. Mukakonza zakudya, dokotala kapena wopeza zakudya amaphatikizanso m'zakudya zomwe wodwalayo amakhutitsa odwala ndi mavitamini onse ofunikira, ang'onoang'ono komanso zazikulu.

Kuti zithandizire kugaya chakudya, chakudya chomwe chimadyedwa chizikhala chamadzi momwe zingathere.

Poterepa, katswiriyo amasankha zinthu zokha zomwe zimayikiridwa mosavuta m'matumbo ndikuyamwa ndi thupi, osachulukitsa ntchito zachinsinsi za kapamba.

Mndandanda wazinthu zomwe akatswiri azaumoyo amalimbikitsa odwala omwe ali ndi pancreatic necrosis:

• Mbatata, kaloti, zukini - wogwiritsa ntchito kuphika maphunziro oyamba. Asanaphike, zinthuzo zimakhala pansi.
• Grits (mpunga, buckwheat, oat) amapukusidwa pogwiritsa ntchito mill-mill. Maphala ogawika ntchito amagwiritsidwa ntchito kukonzekera ma porousges.
• Kukhazikika kuphika kuchokera ku ufa wa magiredi a 1-2 - tikulimbikitsidwa kuti mugwiritse ntchito mawonekedwe owuma pang'ono.
• Kucha zipatso zotsekemera (mapichesi, ma apricots) - zimadyedwa pang'onopang'ono pang'ono.
• Mitundu ya maapulo omwe si acidic - yokhala ndi soufflé kwa iwo, imapanga mousse ndi zakudya, ophika mu uvuni.
• Chomwa cholimbikitsidwachi ndi decoction ya rose m'chiuno, tiyi wopanda mphamvu, zakudya zakumwa zonona ndi zouma, kuchiritsa mchere wamadzi.

Mukaphika, amaloledwa kukhala ndi mchere, koma mchere wa tsiku ndi tsiku kwa odwala omwe adutsa pancreatic necrosis sayenera kupitirira 2 g.

Mndandanda wazakudya ndi zinthu zomwe zimatha kudyedwa ndi anthu omwe ali ndi matenda a pancreatic, koma ochulukirapo komanso omvera thanzi labwino:

• Supu yamkaka - theka yophika ndi madzi.
• Zochita mkaka wofunda - tchizi tchizi, kefir, mkaka wowotchera ndi wowawasa zonona.
• Zinziri zatsopano ndi mazira a nkhuku - amaziphika zophika, amagwiritsidwa ntchito kupangira maeleeleette okha kuchokera ku mapuloteni.
• Masamba ndi batala - omwe amagwiritsidwa ntchito pokonza maphunziro oyamba ndi achiwiri.
• Zakudya za nyama ndi nsomba - zogulitsa zimadutsa kudzera mu chopukusira nyama, cutlets zimayatsidwa kwa iwo, yosenda.

Palibe choletsa kuyambitsa zotsatirazi ndi zopangidwa muzakudya za odwala:

• nyama zabwino ndi msuzi wa nsomba,
• Zakudya zopanda zakudya,
• ndinasuta nyama ndi masoseji,
• Katundu wophika kumene
• mafuta mkaka watsopano ndi mkaka,
• mowa ndi msuzi uliwonse
• khofi, koko, tiyi wamphamvu,
• masamba ndi zipatso zabwino,
• mazira okazinga ndi owiritsa kwambiri,
• barele, tirigu, nyemba za chimanga,
• zonunkhira ndi zonunkhira, mchere, shuga.

Zogulitsa zonsezi ndizovuta kugaya, zina mwa izo zimathandizira kuti chiwonetsero chachikulu cha ma pancreatic enzymes, zomwe zimabweretsa kubweretsanso matendawa.

Zakudya za pancreatic pancreatic necrosis zimaphatikizapo kutsatira menyu ya mankhwala No. 5:

• Chakudya cham'mawa chochepa: dzira loyera la mazira, phala lophwaphalaphala, khofi wopepuka wopanda shuga.
• Chakudya cham'mawa chachiwiri: chakudya chosangalatsa kuchokera kwa ma apricots owuma, tiyi wopanda mafuta.
• Chakudya chamasana: msuzi wa mpunga, soufflé kuchokera ku pollock yophika, zakudya kuchokera ku madzi osapatsa acid omwe amangokhala kumene.
• Zakudya zazing'ono pakati pa nkhomaliro ndi chakudya chamadzulo: tchizi chochepa-mafuta, tchizi chamadzimadzi.
• Chakudya chamadzulo: cutlets za nsomba kapena nyama, soufflé kuchokera ku msuzi wa karoti.
• M'malo mwa mkate, muzigwiritsa ntchito zopaka tirigu, koma osapitirira 50 g patsiku. Zakudya zanu zimakhala ndi shuga, koma osapitirira 5 g patsiku.

Zakudya zopatsa thanzi pambuyo pa opaleshoni ya pancreatic ndizakudya zokhala ndi zakudya komanso chimanga chokhala ndi mchere wochepa, soufflé yokhala ndi shuga komanso semolina, kanyumba kochepa mafuta pudding.

• Madzi - 0,5 l.
• Mbatata - 2-3 ma PC.
• Broccoli inflorescence - 5 ma PC.
• Mchere (monga chikusonyezera).

Momwe mungaphikire: kuwira madzi, kuyika mbatata ndi broccoli mmenemo, kuphika kutentha kwapakatikati kwa mphindi 15-20. Kukhetsa masamba ophika, kutsanulira msuzi mu mbale zoyera. Pogaya mbatata ndi broccoli mu blender mpaka puree, kenako ndikuthira msuzi wamasamba. Ikani moto pamoto ndikuphika mpaka wakuda.

• Cheke chopanda mafuta chopanda mafuta - 400 g.
• Apulo wopanda acid (wopanda peel) - 300 g.
• Mapuloteni a dzira la nkhuku - 6 ma PC.
• Shuga (kuganizira zomwe zimachitika tsiku lililonse).

Momwe mungaphikire: pogaya kanyumba tchizi ndi maapulo payokha mu blender mpaka puree, kenako kuphatikiza ndikusakaniza kusasinthasintha. Pang'onopang'ono onjezani mapuloteni a nkhuku kuti awakwapule. Sakanizani kusakaniza ndi zisakanizo ndi kuphika mu uvuni.

Chinsinsi cha soufflé cha kapamba chimakhala chothandiza pokhapokha mbale itatha.

• Zaphatikizika zipatso compote - 3 makapu.
• Semolina - supuni zitatu
• Agologolo a nkhuku - 3 ma PC.
• Shuga (monga akuwonetsera).

Momwe mungaphikire: kuphika semolina mwachizolowezi, koma gwiritsani ntchito compote m'malo mwa mkaka. Menyani misa yokonzedwa ndikuwuma pang'onopang'ono ndi chosakanizira, pang'onopang'ono pangani mapuloteni otsekedwa mu semolina. Sakanizani osakaniza mu nkhungu ndi nthunzi.

Ngati simutsatira zakudya zamankhwala ndi pancreatic necrosis, ndiye kuti ngakhale mankhwala okwera mtengo sangathandize wodwalayo. Zakudya za pancreatic necrosis ziyenera kufunikira. Uwu ndi mwayi wokhawokha wosawoneka ngati wodwala ali ndi matenda ashuga, zomwe ndi zotsatira za kufa kwa maselo a insulin.

Kufotokozera kogwirizana ndi 11.12.2017

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Pancreatic necrosis ndi mtundu wa pachimake / wodwala kapamba zomwe zimadziwika ndi njira zowononga kwambiri mu minofu ya pancreatic. Kusiyanitsa:

• aseptic zovuta pancreatic necrosis (pachimake necrotic)
• aseptic zovuta kakang'ono koyang'ana pancreatic necrosis (infiltrative necrotic)
• kachilombo chachikulu pancreatic necrosis (purulent necrotic).

Mitundu yowonongeka ya kapamba ndi mitundu yovuta kwambiri ya matendawa ndipo imayamba mu 30-35% ya odwala omwe ali ndi kutupa kwa pancreatic. Zowopsa za kachiromboka ndi kachilomboka, kamene kamakhala gawo loyambitsanso zovuta zamkati zamkati.phlegmon malo obwezeretsanso kapamba kapambapurulent peritonitis) Imfa mwanjira zovuta za pancreatic necrosis imafika 25-40%. Kulowa kwa foci ya pancreatic necrosis makamaka chifukwa cha kusamutsa microflora yamatumbo ndipo nthawi zambiri polymicrobial (Escherichia coli, Klebsiel, enterobacteria, Proteus, Enterococci).

Malingaliro azithandizo amatsimikiziridwa makamaka ndi mawonekedwe a matendawa. Chifukwa chake, mukadali mu mawonekedwe owopsa a necrotic / infiltrative-necrotic, udindo wotsogola umaperekedwa ku chithandizo chokhazikika ndipo, pocheperapo, kuchitira opareshoni, ndiye mu mawonekedwe a purulent-necrotic, njira yayikulu yothandizira mankhwalawa ndi opaleshoni. Zakudya zopangidwa mwadongosolo la pancreatic necrosis ndi gawo lofunikira komanso lofunikira kwambiri la Conservative therapy.

Zakudya za pancreatic pancreatic necrosis zimachokera ku achire Tebulo nambala 5P (mitundu yake) ndipo idakhazikitsidwa ndi kupunduka kwa kapamba pazochitika zoyipa zingapo, kuchepa kwa chidwi cha ndulu ndi kutsika kwa ndulu / duodenum, ndi kupatulidwa kwa zolimbikitsira katulutsidwe. Zakudya zamankhwala zimatengedwa ngati cholumikizira chofunikira kwambiri mu pharmacotherapy yamatenda a metabolic ndipo ndiye njira yoperekera zosowa zamphamvu / zofunika za thupi la wodwalayo.

Lingaliro lamakono lazothandizira odwala omwe ali ndi pancreatic necrosis asiya lingaliro lazakudya zazitali (zamasiku atatu). Zakhazikitsidwa modalirika kuti kufa ndi njala kumapangitsa chitukuko hypodysproteinemia, metabolic acidosisimathandizira chitukuko lipolysiskumawonjezera masinthidwe osaya mu thumbo. Chifukwa chake, kutalika kwa chakudya chamagulu sikuyenera kupitirira tsiku limodzi (ndipo muzovuta ziyenera kusiyidwa kwathunthu) ndikusamutsa wodwala kupita ku chakudya cha makolo pogwiritsa ntchito njira zowonjezera ma amino acidshuga ndi emulsions yamafuta (Intralipid 10-20%, Lipovenosis), komanso mtsogolomo - kusinthira pang'onopang'ono zakudya zophatikiza / zosakanikirana komanso kuyambitsa pang'onopang'ono zinthu kuchokera ku zakudya Zakudya za 5P njira yoyamba.

Zinapezeka kuti zakudya zoyambirira za makolo / zowonjezera zimathandizira kuti njira zothandizira kubwerezabwereza zikondwerero zamkati komanso chifuwa cha m'mimba zizigwirizana kwambiri. Algorithm, magawo ndi nthawi yothandizira zakudya zamagulu muzinthu zingapo kapena zina (makolo / / ophatikizika / osakanikirana komanso zakudya zoyenera) zimatsimikiziridwa ndi mawonekedwe a pancreatic necrosis, mkhalidwe wa wodwalayo ndi kukhalapo kwa zovuta.

Gawo losamutsa wodwalayo mwachindunji pazakudya liyenera kukhala pang'onopang'ono. M'masiku oyamba 4-5 masana, mchere wopanda mchere wa mchere (Essentuki No. 17, Borjomi), msuzi wamtchire wamtchire, tiyi wofooka m'magawo ang'onoang'ono amabweretsedwa muzakudya, ndipo zakudya zopatsa mphamvu zama calorie zimayikidwa, zakudya zomwe zimakhala ndi 60 g mapuloteni osaposa 50 g mafuta.

Chakudyacho chili ndi zakudya zophika, theka lamadzi mosagwirizana ndipo kwa masiku 5-6 chakudya chimakonzedwa mosasinthasintha. Maziko a chakudyacho ndi chakudya chama chakudya, chifukwa chimachepetsa mphamvu ya kapamba. Pa tsiku loyamba / lachiwiri amaloledwa:

• ma decoctions a chimanga (kupatula mapira / chimanga chaza chimanga) kapena msuzi wopanda mucous,
• masamba opangira masamba,
• mikate yoyera / zopindika,
• phala loonda, labwino kwambiri
• ma compates osenda / odzola komanso odzola opangidwa kuchokera ku msuzi wa zipatso ndi zotsekemera (xylitol),
• tiyi wopanda mphamvu wobiriwira ndi shuga.

Patsiku lachitatu, zakudya zomwe zimakhala ndi mapuloteni zimapangidwa pang'onopang'ono kuzakudyazo kuti zizipeza chakudya: chimfine chomwe chimakhala kuchokera ku mazira 1-2 patsiku, phala / pudding yopanda acidic. Pa tsiku la 4 - msuzi kuchokera ku nyama yophika, phala mkaka. Kuyambira masiku 6-7, zakudya zimakulirakudya ndikuwonjezera supu zosenda bwino (kupatula kabichi), batala, karoti, beetroot kapena mbatata yosenda, nsomba / nyama soufflé, ndipo patatha masiku 3-4 - nyama zodula kuchokera ku nkhuku, ng'ombe, nkhuku, nsomba (khungu, mafuta ndi ma tendon amachotsedwa).

Zakudya zamtundu umodzi (mpaka nthawi 8) komanso magawo osapitirira 250 g, kuyambira 50-100 g. Zizindikiro zikachepa (kuchepetsa ululu / chimbudzi), wodwalayo amasamutsidwanso ku chakudya chachiwiri, mphamvu yake yomwe imakulitsidwa mpaka 1600 kcal / tsiku muli 70-80 g mapuloteni, 50 g wamafuta ndi 200-250 g wamafuta, momwe 15 g ndi shuga, 5-6 g amchere.

Kuchuluka kwa madzimadzi aulere ndi 1.5-2. Chakudya chimaphikidwa mu mawonekedwe owiritsa / nthunzi, kupukuta, kenako - osankhidwa mosamala. Njira zofananira ndi zakudya zimapangidwanso pambuyo pakupanga opaleshoni ya pancreatic necrosis.

Tiyenera kukumbukira kuti nthawi yayitali ya chithandizo chamankhwala iyenera kukhala chaka chimodzi, ndipo nthawi zina ziyenera kuchitika kwa moyo wonse. Kwakukulu Tebulo 5P Ndi chakudya chathupi chokwanira chomwe chili ndi mapuloteni okwanira 110-120 g, mafuta - malire ochepera (70-80 g / tsiku) komanso kuletsa pang'ono kwa chakudya, makamaka chifukwa cha zovuta zamafuta. Pali kusiyanasiyana pakudya kwa zinthu zina zowonjezera ndi ma fiber owunda.

Kuti izi zitheke, nyamayi imaphika kangapo m'miyeso ing'onoing'ono, nthawi ndi nthawi kukhetsa madzi. Kenako nyama yophika njirayi imagwiritsidwa ntchito kuphika mbale zingapo. Chakudyachi chimagwiritsidwa ntchito kwambiri pogwiritsa ntchito mphamvu zoletsa michere ya proteinolytic: mazira oyera, mbatata, oatmeal, soya.

Mafuta okonzanso achikhalidwe samachotsedwa, chifukwa odwala nthawi zambiri amakhala nawo chithuzi (kukhalapo kwa mafuta mu ndowe), motero, ndikofunikira kuyambitsa mafuta osakanizidwa / osasankhidwa mu zakudya.

Saloledwa kugwiritsa ntchito malonda okhala ndi sokogonnym kanthu: broth pa nyama / nsomba / fupa ndi msuzi wa bowa, zakudya yokazinga. Ndi zoletsedwa kumwa zakumwa zakumwa zoledzeretsa zomwe zimalimbikitsidwa kuti zitulutsidwe pancreatic.

Munthawi yachikhululukiro, chakudyacho chimakulitsidwa chifukwa cha masamba / zipatso, zomwe zimaloledwa kudya zosaphika popanga vinaigrettes, saladi kapena mbale zam'mbali. Kuphatikiza pa mbewu monga chimanga, amaloledwa kudya pasitala, masamba, pilaf yophika ndi nyama yophika. Sopo amakonzedwa makamaka osasenda ndipo pang'onopang'ono anayambitsa msuzi wa beetroot, msuzi wa kabichi. Amaloledwa kugwiritsa ntchito zing'onozing'ono zonunkhira ndi soseji zopangidwa tokha.

Mu gawo la chikhululukiro, tikulimbikitsidwa kuti titenge madzi osagwiritsa ntchito kaboni, otsika mpaka am'migodi yaying'ono ngati kutentha kwa mwezi umodzi. Chakudya chimakhalabe chosakanikirana (mpaka nthawi 6 patsiku), osadya kwambiri. Pamaso pa matenda onga (cholecystitis, gastritis) zakudya zimasinthidwa.

Zakudya za pancreatic pancreatic necrosis zimaphatikizapo:

Zosankha zachitsanzo ndi mawonekedwe azakudya zamagulu pancreatic necrosis ya pancreatic minofu

Zakudya za pancreatic necrosis ndi malamulo osankhidwa mwapadera omwe ayenera kutsatidwa ndi wodwala amene ali ndi vutoli. Mukamapangira mndandanda wazakudya, ndikofunikira kuganizira zonse zofooka za thupi la wodwala.

Nthawi yomweyo, ndikofunikira kuti thupi lofooka lizitha kulandira mavitamini onse ofunikira, kutsatira zinthu ndi zina zofunikira. Komabe, musaiwale kuti chakudya chonse chiyenera kugayidwa mosavuta ndikugayidwa, komanso osathandizira pakuwonjezeka kwa katemera wa pancreatic.

Pancreatic necrosis kapena pancreatic necrosis ndi imodzi mwazovuta kwambiri zomwe zimachitika mu pancreatitis yovuta kapena yosatha. Ndi matenda amtunduwu, njira ya kufa kwa minofu ya pancreatic, kuphatikizapo mitsempha yoyandikana ndi magazi komanso nsonga zamitsempha, imawonedwa.

Chimodzi mwazinthu zazikulu zomwe zimayambitsa chitukuko cha pancreatic necrosis ndikunyalanyaza malangizo omwe amathandizidwa ndi odwala pamene amadya zakudya zoletsedwa, makamaka, zonunkhira, mafuta ndi zakudya yokazinga, komanso mowa.

Kwa nthendayi, chithunzichi ndichizindikiro:

• Zowawa, pafupifupi zopweteka zosaletseka mu hypochondrium yamanzere.
• Kusanza kwambiri komanso pafupipafupi.
• Zosangalatsa pamtima.
• Thupi.
• Kutsegula m'mimba.
• Thupi.

Tsoka ilo, odwala ayenera kudziwa kuti ndi pancreatic necrosis, opaleshoni ndiyosalephera, chifukwa chake, panthawi yolimbikitsa, chithandizo chimayamba ndi kuvomerezedwa kwa tebulo lazakudya.

Zakudya za pancreatic pancreatic necrosis musanachite opareshoni zimaphatikizapo "zero" zakudya, ndiye kuti, simungathe kudya kapena kumwa. Mphamvu za thupi zimathandizidwa ndikukhazikitsa njira zamankhwala mwachindunji m'magazi: shuga, mafuta, ma amino acid. Izi ndizofunikira kuti kapamba asatulutse michere yomwe imatsogolera parenchyma. Mankhwalawa amagwiritsidwanso ntchito munjira imeneyi pakukweza matendawa.

Zakudya za postoperative za pancreatic necrosis zidakali "zero" ndipo patsiku la 5 pambuyo pa opaleshoniyo, wodwalayo amaloledwa kumwa madzi: magalasi anayi amadzi ndi decoction ya rose m'chiuno.

Ngati thanzi la munthu silikuyenda bwino, ndiye kuti patatha masiku awiri amalowetsa zakudya pambuyo pancreatic necrosis, ndiye kuti, kusinthana ndi tebulo la chakudya No. 5P. M'masiku oyambirira, zakudya zatsopano ndizomwe zimaperekedwa, ndikusowa mchere, zonunkhira ndi mafuta. M'masiku otsatirawa, menyu akukulira pang'onopang'ono.

M'pofunikanso kulabadira zofunikira zabwino zakudya za pancreatic necrosis mukam'chita opaleshoni:

1. Muyenera kudya osachepera 5-6 patsiku, koma m'magawo awiri.
2. Popewa kudzimbidwa musanagone, kumwa kefir wopanda mafuta, yogati, ndi madzi a bere kumathandizanso.
3. Pewani zakudya zonse zosafunikira zomwe zalembedwa pansipa.
4. Osamadya kwambiri.
5. Kuyambira pa tsiku la 3 kapena la 5 la malaise, gwiritsitsani mtundu woyamba wa zakudya patebulo No. 5P pa sabata. Kenako amasinthana ndi kusintha kwachiwiri kwa zakudya. Kuchita motere kumathandizira kupewa kusintha kwa kapangidwe kake ka kapamba kukhala mawonekedwe osakhazikika.

Kutsatira malamulo osavuta awa kumathandizira kukhazikika kwa mkhalidwe wa wodwalayo, ndipo kumalepheretsa kubwereranso komwe kungachitike.

Chakudya cham'mawa: omeled mapuloteni otenthetsedwa, phala losenda bwino lamadzi otsekemera ndi kachulukidwe kopingika, osadzaza tiyi.

Chakudya cham'mawa chachiwiri: Souffle kuchokera ku ma apricots owuma, ofewa, tiyi wotsekemera pang'ono.

Chakudya chamadzulo: Msuzi wopanda mpunga, nsomba zouma, zonunkhira zochokera ku msuzi wa chitumbuwa ndi kuwonjezera kwa xylitol.

Zakudya zazing'ono: tchizi chamafuta ochepa, chakumwa cha rosehip.

Chakudya chamadzulo: makina a nyama otentha, soufflé yofunda.

Asanagone: chakumwa cha rosehip.

Zomwe zimachitika tsiku lililonse pazinthu zotsatirazi: opanga - osapitirira 50 g, shuga - 5 g.

Chakudya cham'mawa: nsomba zokhala ndi mafuta ochepa, phala la mpunga wopanda mpanda, lokonzedwa pamadzi, tiyi wopanda mphamvu.

2 Chakudya cham'mawa chachiwiri: tchizi chosafupika, tiyi kapena msuzi wa rosehip.

Chakudya chamasana: msuzi wamasamba ndi barele, nyama yophika yamalonda, mbatata yosenda, komanso chakumwa chowuma cha apurikoti.

Zosakhazikika: apulo wophika, wopatsa zipatso watsopano.

Chakudya chamadzulo: masikono a filimu yophika nkhuku yodzaza ndi mapuloteni omeli, kanyumba kakang'ono kwambiri kanyumba kassassole kophika mu boiler wapawiri, tiyi kapena msuzi wa chamomile.

Asanagone: tchizi chamafuta ochepa, mafuta odzola otsekemera.

Zomwe zimachitika tsiku lililonse pazinthu zotsatirazi: dzulo mkate (zouma) - 200 g, shuga - osapitirira 30 g.

Malamulo opangira zakudya zopezera zakudya tsiku lililonse

Zakudya zamagulu pazakudya za pancreatic necrosis ndizotalika ndipo sizingagwiritsidwe ntchito mwanjira iliyonse.

Chifukwa chake, kodi mungadye chiyani ndi zikondamoyo? Pansipa pali zazikulu za tebulo la chakudya No. 5P. Kutengera zofunikira, mutha kupanga ndikupanga makanema tsiku ndi tsiku:

1. Mkate wowuma, zopaka, makeke osaphika.
2. Zakudya zoyambirira: msuzi wokhala ndi masamba osankhidwa, ndi kuwonjezera kwa vermicelli kapena chimanga (makamaka mpunga, buckwheat, oatmeal).
3. Yophika, nyama yamuwisi ya mitundu yatsopano ndi nsomba zomwezo, musanatumikire, pogaya kapena kuwaza.
4. Batala imaloledwa zosaposa 10 g patsiku (malinga ndi zina - 30 g), kotero njira yabwino kwambiri yotsimikizira kuti mlandu wanu ndiyofunika kuyang'ana ndi akatswiri.
5. Pokhudzana ndi mazira, mapuloteni okha ndi omwe amaloledwa, kuchokera komwe maamu amamu amapangidwa.
6. Mafuta ophikira angagwiritsidwe ntchito osaposa 20 g (kuphatikiza m'mbale).
7. Zipatso zokhala ndi pancreatic necrosis ziyenera kukhala zakupsa komanso zofewa (peyala, apulo), pomwe zipatso za acidic zimapewedwa.
8. Kuchokera pazopangidwa mkaka amaloledwa kudya mkaka wowawasa ndi tchizi cha kanyumba chokhala ndi mafuta ochepa.
9. Kuchokera ku zakumwa amaloledwa kumwa zakumwa zomwe zakonzedwa zatsopano, tiyi wopanda mphamvu, mankhwala osokoneza bongo, ndi ma compotes opanda shuga.

Malamulo oyambira kuphika ndi awa:

• Chakudya chizikhala chotentha, sichabwino kapena chotentha.
• Chakudya chimaphikidwa popanda mafuta, kuwonjezera zokometsera zilizonse ndi mchere.
• Pokhudzana ndi batala kapena mkaka, amawonjezedwa kale ndi mbale zopangidwa kale, pomwe mafuta a tsiku ndi tsiku sayeneranso kukhala apamwamba kuposa 10 g.
• Zakudya zamchere zimaloledwa, koma mcherewo suyenera kupitirira 2 g patsiku.

Komanso, odwala omwe ali ndi pancreatic necrosis ayenera kuyang'anira chidwi chofunikira, ndikuti zakudya zomwe zili pamwambazi zimatha kupita ku gome la zakudya.

Izi ndichifukwa choti imodzi mwazomwe zitha kufalikira za kapamba ka kapamba ka kapamba ndi kapangidwe ka matenda a shuga a chamba, omwe amawoneka chifukwa choti ma enzyme ena amatha kuchotsa maselo otulutsa insulin, omwe amakhumudwitsa mapangidwe a matendawa.

Tsopano tikutembenukira mndandanda wazomwe zimapangidwa mu chakudya cha 5P pambuyo pancreatic necrosis.

Potsatira zakudya No. 5P, zinthu zotsatirazi ziyenera kupewedwa, kugwiritsa ntchito komwe, ngakhale pang'ono, kungakulitse mkhalidwe wa wodwalayo.

Zinthu zomwe sizingadyedwe ndi pancreatic necrosis:

• Msuzi wonse pa msuzi kuchokera ku bowa, nyama ndi nsomba.
• Mkate wophika kumene komanso masikono, kuphatikizapo ufa wa rye.
• Batala ndi makeke ophika.
• Zakudya zamasamba ozizira komanso zakudya zina zamasamba zatsopano.
• Zakumwa zoledzeretsa.
• Supu yamkaka.
• Madzi a mphesa.
• Kofi, koko, maswiti, chokoleti.
• Mazira okazinga ndi chakudya chilichonse cha mazira.
• Soseji zosuta.
• Kuteteza.
• Nyama yokhala ndi mafuta ambiri komanso mkaka.
• Zokometsera zokometsera, komanso zipatso ndi masamba.
• Barele, mapira.

Kuphatikiza apo, masamba otsatirawa ndi oletsedwa:

• Chimanga ndi nyemba.
• Zambiri ndi mpiru.
• Sipinachi ndi masamba a sorelo.
• Garlic ndi anyezi.
• Tsabola wokoma.
• Kabichi

Ndikofunikira kutsatira malamulo oletsa kudyetsa zakudya mpaka zizindikiro zoyipa zitazimirike, ndipo mayeso onse ndi abwinobwino. Izi nthawi zambiri zimatha mpaka miyezi 6-9.

Kupitilira apo, ngati palibe mawonekedwe osadziwika, menyu imatha kukulitsidwa pang'onopang'ono.

Zosakaniza

• Mkaka wamafuta ochepa - 1 chikho.
• Buckwheat - 3 tbsp
• Kukhetsa mafuta - 1 tsp
• Shuga - 1 tsp
• Madzi - 1 chikho.

Momwe mungaphikire: sinthani tchire, chotsani zinyalala, ndiye muzimutsuka ndi kuwiritsa m'madzi mpaka theka lophika ndi mchere.

Ndiye kuthira mkaka, kuwonjezera shuga ndi kubweretsa wokonzeka. Onjezani mafuta, ngati mukufuna, musanatumikire.

Zosakaniza

• Nkhuku yodyetsa - 150 g.
• Mkaka - 2 tbsp.
• Mkate dzulo - 20 g.
• Mafuta a azitona - 2 tsp.
• Mchere ndi pini.

Momwe mungaphikire: muloweni mkate mkaka, pezani mkate wokonzedwa ndi nyama yoboola, uzipereka mchere.

Kuchokera pa cutlet misa, pangani cutlets yaying'ono, ikani chowiritsa chowirikiza ndikuyimilira kwa mphindi 30 mpaka wodekha.

Zosakaniza

• Dzulu la Dzungu - 130-150 g.
• Apple - ½ zipatso wamba
• Woyera dzira
• Shuga - 1 tsp
• Mkaka - 1 tbsp.
• Semolina - 2 tbsp.
• Mafuta - ½ tsp

Momwe mungaphikitsire: zamkati wowonda wa dzungu ndi apulo amafunika kudula mutizidutswa tating'ono, kusungidwa ku sosepan ndi simmer ndi kuwonjezera kwa madzi pang'ono mpaka zofewa, kenako ndikusenda ndi blender kapena pusher.

Puree yokonzedwa imasakanizidwa ndi mkaka wotentha, batala, shuga ndi semolina. Mukayamba kusakaniza pang'onopang'ono, onjezani thovu lomwe limakwiririka ndi zoyera. Ngati misa ndi yochepa thupi, onjezerani phala lochulukirapo.

Finyani unyinji papepala lophika ndi mafuta ndi kuphika pamoto wa madigiri 170 kwa mphindi 25-30.

Odwala omwe ali ndi pancreatic necrosis ayenera kumvetsera mosamala malangizo onse omwe amapita kwa dokotala kuti akhale athanzi. Ndikofunikira kuyesa kuti musagonjere mayesedwewo ndipo musadye chilichonse kuchokera ku zakudya zoletsedwa, ngakhale zochepa.

Zakudyazo ziyenera kuyang'aniridwa mosamala, apo ayi njira zonse zamankhwala zimatha kuthothoka, ndipo mkhalidwe wa wodwalayo umakulirakulira.

• Kugwiritsa ntchito ndalama ya amonke pochizira kapamba

Mudzadabwa momwe matendawa amachepera msanga. Samalani kapamba! Anthu opitilira 10,000 awona kusintha kwakukulu paumoyo wawo pakumwa m'mawa ...

Kodi pagome lachire lodziwika bwino la cholecystitis ndi kapamba?

Zakudya za cholecystitis ndi kapamba ndizosiyana kwambiri ndi zakudya zomwe anthu amavomereza, zomwe anthu omwe amafuna kuchepa thupi amayamba, ngakhale, zowonadi, zamagulu awa zimachepa kwambiri.

Kusala kwachiritsika ndi mitundu yosiyanasiyana ya kapamba

Zikachulukirachulukira za matendawa, madokotala ambiri amati wodwalayo amafunikira njala, kuzizira komanso mtendere ndi kapamba. Mwachiwonekere, mawu awa safunika kuti atengedwe kwenikweni.

Zolemba za chakudya ndi kuchuluka kwa kapamba

Ntchito yayikulu yazakudya ndi kusakhazikika kwa kapamba, komwe kumatheka chifukwa chotsitsa chimbudzi cha michere ya m'mimba, yomwe imayambitsa kutupa kwa kapamba.

Kodi zimaloledwa kuyambitsa mazira mu chakudya cha wodwala ndi kapamba?

kutsatira kwambiri malangizo a akatswiri, kudya nkhuku kapena mazira a zinziri sikungayambitse zovuta kapena mavuto ena azaumoyo

Kugwiritsa ntchito zakudya zopanda pake komanso zakumwa zambiri kumawononga ntchito ya m'mimba. Zakudya zochiritsira zokhudzana ndi pancreatic necrosis ndizofunikira kwambiri pakukonzanso wodwala atamuchita opaleshoni. Akatswiri apanga njira zingapo za regimen ya zakudya kutengera ndi gawo la matenda. Ichi ndiye chakudya chodziwika bwino cha nambala 5 ndi mitundu yake, komanso kusala kwachithandizo ndi zakudya zama kholo.

Kusankha zakudya kumatsimikiziridwa ndi gawo lomwe matendawa amapezeka. Ndi kuchulukana kwa pancreatic necrosis, isanachitike kapena itatha opaleshoni, wodwalayo akuwonetsedwa kuti akusala kudya. Njira iyi imathandizira kuyimitsa kupanga michere ndi kapamba, zomwe zimapangitsa kuchepa kwa ululu.

Patatha tsiku limodzi atachitidwa opaleshoni, wodwalayo amasamutsidwira ku zakudya za makolo, pamene zofunikira za thupi zimabayidwa mwachindunji m'magazi, kudutsa gawo logaya chakudya. Njira yodyetsera yamtunduwu imakhala ndi michere komanso michere yogwira. Opanga amapanga mankhwala omwe amaphatikizapo ma amino acid, mavitamini, mchere, glucose ndi mafuta acids.

Mitundu ya magwiridwe antchito a pancreatic necrosis. Kodi maulosi a madotolo awerenga chiyani m'nkhani yotsatira.

Patatha masiku 4-5 atamuchita opaleshoni, wodwalayo amaloledwa kumwa madzi amchere, tiyi ndi msuzi wa rosehip. Madziwo amalowetsedwa m'thupi mopitilira kanayi pa tsiku mu kapu imodzi. Ngati wodwalayo akhazikika, pakatha sabata amamulembera kudya nambala 5. Thanzi la pancreatic necrosis limayendetsedwa kwambiri, osatsata mfundo zake ali ndi zotsatirapo zoyipa.

Wodwala yemwe amatsata zakudya ayenera kudya pafupipafupi (kangapo 6 pa tsiku), koma m'malo ochepa. Chakudya cha wodwala wokhala ndi pancreatic necrosis chimaphika kapena kuwotcha, koma osaphika. Zakudya ziyenera kudulidwa bwino ndikukhala ndi yunifolomu. Zakudyazo zimangolola zakudya zatsopano komanso zamafuta ochepa, kuti zisakwiyitse mkati mwakudya.

Pakakhala matenda, mkaka womwe umakhala ndi mapuloteni a nyama ofunikira m'thupi uyenera kudyedwa. Onetsetsani kuti mulinso zakumwa za mkaka wopanda mafuta mu zakudya: yogati yakumwa, kefir, yogati, mkaka wowotchera. Tchizi chamafuta ochepa sichikhala chamtengo chifukwa cha calcium yambiri. Mafuta ndi kirimu wowawasa amaphatikizidwa muzosankha muyezo wochepetsetsa panthawi yachikhululukiro.

Zakudya zamapuloteni zimaphatikizidwa ndi zopangidwa ndi nyama. Ng'ombe yokhala ndi mafuta ochepa, kalulu ndi nyama yamwana wamphongo ndizololedwa. Mu gawo lowawa la matendawa, ma mpumulo a nyama amakonzedwa kuti apange zida zingapo, zopukutidwa kawiri kudzera chopukusira nyama. Kenako nyamayo ikhoza kuphika ndikuwotcha. Chakudyacho chimakupatsani mwayi wophatikizira muzakudya ndi nkhuku, zomwe zimatengedwa mosavuta ndi thupi.

Zakudya zomwe zimapatsa calcium calcium ndi phosphorous ndi nsomba zowonda. Hake, chosangalatsa, pike angachite. Ndiwowonjezereka kwa zowawa, ma bango a nyama otentha amakonzedwa kuchokera kwa iwo, mu gawo la chikhululukiro, nsomba zimatha kuwiritsa ndi kuwotcha. Zakudya za wodwala zimaphatikizidwa ndi zakudya zam'madzi: mussels, shrimp, squid.

Mazira omwe ali pachimake pachimake amagwiritsidwa ntchito pokhapokha ngati mafupa amtundu wopanda yolk. Chikhalidwe chatsiku ndi tsiku ndi agologolo awiri. Chakudya chikamaonetsa mazira a nkhuku ndi zinziri. Patatha masiku 20-30 atachitidwa opaleshoni, mutha kuphika malonda owiritsa.

Mbewu zoumbika zimakonzedwa kuchokera ku chimanga mumkaka wosungunuka: semolina, mpunga, buckwheat, oatmeal. Maphala amathanso kuwonjezeka msuzi ndi casseroles. Mkate wa anthu omwe amadya umakhala woyera, kuchokera ku ufa wa premium, makamaka kuphika dzulo. Itha zouma kapena zopangidwa kuchokera kwa iwo.

Zipatso, zakudya zimalimbikitsa maapulo, nthochi, mapeyala. Pang'onopang'ono, mapichesi, ma plamu, ma apricots, mphesa zopanda zipatso, zipatso zosakhala ndi asidi zimapangidwa muzakudya. Amagwiritsidwa ntchito mwanjira yawo yachilengedwe kapena mawonekedwe a jelly, mousse, jelly, zipatso zotumizidwa, msuzi wofinya kumene. Wiritsani masamba, nthunzi ndi mphodza. Chakudyacho chimalola kugwiritsa ntchito mbatata, zukini, dzungu, kolifulawa, nandolo zobiriwira, beets.

Zokoma muzakudya zimachepetsedwa. Ndi mpumulo wa zizindikiro, mutha kugula uchi, kupanikizana, mabisiketi, shuga, kachidutswa kakang'ono ka marashi. Zakumwa zomwe zimaloledwa kudya zikuphatikiza mchere wopanda mchere, tiyi wopanda mphamvu, kissel, zipatso za stewed, msuzi wa rosehip. Madzi - okonzedwa mwatsopano ndi kuchepetsedwa ndi madzi.

Chakudyacho chimapereka kukana kwa mafuta, osuta, amchere, okometsera komanso zakudya zam'chitini. Mkaka wonse ndi wopindika, ayisikilimu amaletsedwa.

Simuyenera kudya oswedwa, okonzedwa ndi tchizi wowonda, nkhumba, mwanawankhosa, zinthu zomalizidwa ndi zinthu zina zanyama (masoseji, masoseji, masoseji). Bakha ndi tsekwe ndizoletsedwa.

Misuzi yokhala ndi chakudya sichitha kuwiritsa nyama, nsomba ndi msuzi wa bowa. Nsomba zimangotsamira. Salmon ndi sardines sizili zoyenera kwa wodwala ndi pancreatic necrosis. Kuchokera mazira okazinga ndi mazira owiritsa owuma panthawi ya mankhwalawa, nawonso amakana.

Pakati pa zipatso, acidic mitundu ya maapulo ndi zipatso ndi yoletsedwa. Zipatso za malalanje. Chakudyacho chimapereka kukana kwa zokometsera zokometsera zochokera ku horseradish, adyo, mpiru. Kugwiritsa ntchito kabichi, nyemba, zitsamba ndi tomato kumachepetsedwa. Mkate suyenera kuphikidwa chabe kapena kungokhala ndi zowonjezera (mwachitsanzo chinangwa). Zopangidwa kuchokera ku ufa wa rye sizolandilidwa.

Zakudya zimachepetsa kwambiri maswiti. Akatswiri amaletsa pafupifupi mitundu yonse ya makeke, makeke ndi maswiti. Zakumwa ziyenera kusiya khofi, cocoa, koloko. Kwa odwala omwe amatsatira zakudya, kumwa zakumwa zomwe zimakhala ndi mowa sizololedwa. Zakudya zonse ziyenera kukhala zatsopano, osakhala ndi zoteteza, zowonjezera ndi utoto wochita kupanga.

Zakudya zonse za odwala pazakudya zimakonzedwa kuchokera ku zakudya komanso zakudya zatsopano.

4 tbsp Buckwheat kosanjidwa, kutsukidwa ndi kuwiritsa m'madzi amchere mpaka theka okonzeka. Onjezerani 0,5 l wa mkaka wowiritsa, 1 tsp ku poto. shuga ndi simmer pa moto wochepa. Buckwheat wokonzeka amatha kulawa ndi kachidutswa kakang'ono ka batala.

Kanthu kakang'ono ka mkate (25 g) kamawiritsidwa mkaka. Ng ombe yotsika (150 g) ndi buledi wosakanizidwa ndi mchere wochepa. Meatball amapangidwa kuchokera chifukwa chachikulu. Amaphikidwa mu chowiritsa chowirikiza kapena m'mbale zapadera zokhala ndi kawiri pansi pamoto wowonjezera.

1. Vinaigrette. Sauerkraut (250 g) ndi nkhaka zowotchera ziyenera choyamba kuzikiritsidwa m'madzi kwa mphindi 30 kuti muchotse asidi wambiri. Mbatata ziwiri zazing'ono komanso beets zimaphikidwa mu peel mpaka kuphika kwathunthu. Zosakaniza zonse zimadulidwa mu ma cubes, osakanizika ndi kukonzedwa ndi madontho ochepa a mafuta a masamba.
2. Beetroot. Zomera zophika zimaphikidwa mpaka kuphika. Kenako ma beets amawadula, amawathira mchere pang'ono ndikuwukonza ndi mafuta ochepa azamasamba (maolivi kapena mpendadzuwa).

Chakudya cham'mawa: pilaf wokhala ndi zipatso zouma.

Chosakhazikika: omelet yonyowa, kapu yamafuta.

Chakudya chamadzulo: msuzi wa nkhuku wopanda Zakudya, kagawo ka tchizi.

Zakudya zoziziritsa kukhosi: kapu ya kefir.

Chakudya chamadzulo: hake fillet yophika uvuni.

Chakudya cham'mawa: nkhuku yonyowa.

Zakudya zoziziritsa kukhosi: oatmeal, kapu ya msuzi wa rosehip.

Chakudya chamasana: msuzi wa mbatata yosenda ndi supuni wowawasa wowawasa, pasitala kuchokera ku tirigu wa durum.

Zakudya zoziziritsa kukhosi: kapu ya yogati yopangira tokha.

Chakudya chamadzulo: masamba ophikira a zukini ndi kaloti.

Chakudya cham'mawa: saladi wa beetroot ndi supuni ya kirimu wowawasa.

Zakudya zokhwasula: phala la buckwheat, tiyi wobiriwira.

Chakudya chamasana: msuzi wa mpunga ndi zomata, kaloti wosenda.

Zakudya zoziziritsa kukhosi: kapu ya yogati yopangira tokha.

Chakudya chamadzulo: nkhuku yogulitsa nkhuku ndi kaloti.

Chakudya cham'mawa: zopindika.

Zakudya zokhazokha: tchizi chopangira tokha tchizi chokhala ndi zonona zonona.

Chakudya chamasana: zukini zokhala ndi ndiwo zamasamba, chifuwa cha nkhuku.

Zakudya zoziziritsa kukhosi: kapu ya ryazhenka.

Chakudya chamadzulo: nyama yodzaza ndi mazira osenda.

Chakudya cham'mawa: phala yophwaphwa, mabisiketi ndi tchizi.

Zosakhazikika: omeleramu, tiyi wokhala ndi buledi.

Chakudya chamadzulo: khutu la pike, zakudya zonunkhira bwino.

Zosakhazikika: kapu ya bifidoc.

Chakudya chamadzulo: oatmeal, apulo wophika.

Chakudya cham'mawa: phala la mpunga mkaka.

Chakudya: tiyi ndi kagawo ka tchizi.

Chakudya chamadzulo: casserole ndi pasitala, broccoli ndi tchizi, compote.

Zakudya zoziziritsa kukhosi: kapu ya kefir.

Chakudya chamadzulo: nsomba souffle.

Chakudya cham'mawa: oatmeal ndi zoumba zoumba.

Zosakhazikika: odzola apurikoti, tiyi wobiriwira.

Chakudya chamadzulo: supu yamasamba, ng'ombe soufflé.

Zakudya zoziziritsa kukhosi: kapu ya yogati yopangira tokha.

Chakudya chamadzulo: mpukutu wam'madzi wokhala ndi nsomba.

Izi njira zochizira zakudya zimaperekedwa kwa odwala omwe akhululukidwa. Chakudyachi chimasunga mfundo zamakina, zamafuta ndi mankhwala osavomerezeka pofuna kupewa kuyambiranso ndikuphwanya zolondola.

Mfundo zazikuluzakudya za 5b:

• kuchuluka kwa mapuloteni ndi kuchepa kwa gawo la mafuta ndi chakudya,
• mbale zimatenthedwa kapena kuwiritsa,
• Zakudya zotentha kwambiri kapena zozizira siziloledwa,
• chakudya chimapangidwa pang'ono m'magawo ochepa,
• CHIKWANGWANI chamwano sichimasiyidwa,
• mchere wochepa.

Zakudya za ana zimakhazikitsidwa pamakhalidwe omwe amafanana ndi akulu, koma mfundo zina zazikulu ndizofunikirabe kuzisamalira. Mukamadya ana aang'ono (mpaka zaka 3), masamba atsopano ndi zipatso, timadziti tatsopano, zipatso zonse za zipatso, zipatso ndi zipatso ndi khungu lakuda, zomwe zitha kuwononga minofu yowonongeka ya ziwalo zamkati, siziyenera kusiyidwa ndi chakudyacho.

Ana okalamba amapita ku sukulu yaukapolo ndi kusukulu. Zakudya m'mabungwe awa ziyenera kukhala zamagulu azakudya, koma sizokhwimitsa zinthu monga zofunika pancreatic necrosis. Chifukwa chake, polembetsa mwana m'magawo awa, ndikofunikira kuti zitsimikizire kuti matendawa adafotokozedwa momveka bwino mu khadi ndi malingaliro oyenera kuperekera zakudya. Muyeneranso kuyankhulana ndi mwanayo komanso kumufotokozera kufunika kotsatira zakudya.

Chakudya chokhwima chimawonedwa kwa mwezi umodzi atachitidwa opaleshoni. Pakakhala zovuta, zakudya zimaloleza kuyambitsidwa kwa zinthu zina muzakudya za wodwalayo.

Wodwalayo ayenera kuwongolera momwe thupi lake limayendera paphwando lililonse pakukonzanso. Pofuna kuyambiranso kupweteka kapena kusasangalala, dokotala amayenera kudziwitsidwa za izi.

1. 
   Balabolkin M.I., Klebanova E.M., Kreminskaya V.M. Funderalal and clinical thyroidology, Medicine - M., 2013. - 816 p.
2. 
   Aleksandrovsky, Y. A. Matenda a shuga. Zoyeserera komanso zokopa. Machaputala Osankhidwa / Ya.A. Alexandrovsky. - M: SIP RIA, 2005 .-- 220 p.
3. 
   Mazovetsky A.G., Velikov V.K. Matenda a shuga, Mankhwala -, 1987. - 288 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Malamulo onse

Opaleshoni ndimankhwala odziwika pancreatic necrosis. Pambuyo pa opaleshoni, wodwalayo amapatsidwa tebulo lokhazikika kwambiri la zakudya, kuphatikiza ndi njala yathunthu. Wodwalayo amangopatsidwa kumwa madzi (madzi). Kupitilira apo, wodwalayo amafunika zakudya zapadera za pancreatic necrosis. Amangopereka chakudya chochepa komanso chosalira.

Zakudya zapadera zimapangidwira pancreatic necrosis, yomwe imapereka chakudya tsiku lililonse. Wodwala amafunikira zinthu zambiri zothandiza kuti abwezeretse nyonga. Chakudyacho chimaphatikizapo mbale ndi zinthu zomwe zimakupatsani mwayi woti mumeme thupi ndi mavitamini, zinthu zofunikira. Chakudyacho ndi chamadzi komanso yunifolomu. Zogulitsa zimasankhidwa mosavuta digestible, digestible mosavuta, osapatsa kutulutsa kochulukirapo mu kapamba.

Matendawa amapitilira poyerekeza ndi vuto la kuperewera kwa m'thupi. Vuto lakusenda kwa kapamba, kapamba limayamba, kulowa mu kapamba. Chimbudzi sichitha kugaya chakudya chomwe chikubwera, ngakhale zakudya zopepuka.

Kodi ndingatenge pancreatic necrosis nthawi yomweyo? Inde, kuukira kwambiri kudzachitika nthawi iliyonse. Matendawa amadzionetsa ngati amamwa zakumwa zambiri komanso zakudya zama protein. Ndi katundu wokhazikika pa kapamba, zotsatira ndizotheka. Nthawi zambiri odwala amagonekedwa m'chipatala chifukwa cha nthendayi itatha phwando lambiri.

Zakudya zambiri za pachimake kapamba zimafanana ndi pambuyo pancreatic necrosis. Mafuta, okazinga, osuta, zokometsera zonunkhira saloledwa kudya. Zakudya zonse zimaphikidwa, kudyetsedwa, kuphika, kuwotchera. Mumakonda msuzi, phala yokazinga, mbatata yochepa-mafuta. Chakudya chimaphikidwa pamadzi. Kupatula kumwa mowa, khofi, msuzi wamafuta. Pali malamulo ndi malingaliro:

• Popewa zovuta pamagayilo, chakudya chokhazikika sichimayikidwa, zimakonda kusinthasintha kwa mbale. Izi zimaphatikizapo oatmeal mu grated mkhalidwe, buckwheat ndi masamba, nyama yopendekera, nsomba. Zonsezi ndizovuta.
• Mafuta amawononga chimbudzi nthawi imeneyi. Chigoba chochepa chokha cha batala chimaloledwa, chomwe chimaloledwa kukometsa chakudya. Njira ina ndi mafuta achilengedwe a azitona.
• Osati wowawasa ndi zipatso zakupsa.
• Steam omelet kuchokera ku zinziri, mazira a nkhuku, buledi wopanda nkhawa, obalaza, tchizi chamafuta ochepa - akatswiri azakudya amavomereza.
• Monga chakumwa, mutha kugwiritsa ntchito tiyi wopanda mphamvu, compote, masamba a rose, msuzi wopanda shuga.

Zakudya za pancreatic pancreatic necrosis ndi mndandanda woyenera:

1. Chakudya cham'mawa - omelet ya protein, phala la buckwheat mucous, tiyi wopanda mphamvu.
2. Zakudya zazing'ono - tiyi wofooka wokhala ndi mawonekedwe owoneka bwino kuchokera ku ma apricots owuma.
3. Chakudya chamasana - msuzi wa mpunga, wowotcha wa pollock puree, wotsekemera mu mawonekedwe a zakudya kuchokera ku juwisi wofinya kumene wopanda asidi ndi kuphatikiza kwa sweetener.
4. Zakudya zazing'ono - tchizi chamafuta pang'ono, compote ya m'chiuno.
5. Chakudya chamadzulo - nsomba kapena nyama zopangidwa ndi nyama, karoti soufflé.

Zinthu Zololedwa

Chimodzi mwazithandizo za pancreatic necrosis ndichakudya choyenera. Amawerengera limodzi ndi njira zina zochizira. Pazizindikiro zoyambirira za matendawa, ayenera kufunsa dokotala. Adzakuwuzani mwatsatanetsatane zomwe mungadye ndi pancreatic necrosis:

1. Masamba. Izi zikuphatikizapo kaloti, mbatata, zukini. Amawonjezera mbale zoyambirira, zomwe zimadulidwa kale.
2. Porridge. Mpunga, buckwheat, oatmeal uyenera kuphwanyidwira kumayiko ena. Phala lama homogeneous mucous ndi loyenera ngati mbale yachiwiri.
3. Kwa mchere, kuphika bwino kwambiri, koma konda. Muyenera kudya chakudya patsiku lachiwiri muli ouma khosi.
4. Zipatso. Amakonda zipatso zokoma ndi zakupsa. Mapichesi, ma apricots adzachita. Musanatumikire, onetsetsani kuti mwapatula.
5. Maapulo okoma. Ndikwabwino kuti wodwalayo aphike. Pangani soufflé, odzola kapena mousse.
6. Imwani machiritso am'madzi am'madzi, mchere wotumphukira, zouma zipatso zowonjezera, tiyi wopanda mphamvu, kissel.

Zogulitsa kwathunthu kapena pang'ono

Pambuyo pakuchita opaleshoni ndikuchita opaleshoni, chakudya cha pancreatic necrosis chimayikidwa. Zinthu zambiri sizothandiza konse panthawiyi. Kugwiritsa ntchito kwina kuli ndi malire. Amadyedwa pamlingo wocheperako ndipo amakhala ndi thanzi labwino:

1. Soups ofooka komanso ochepa mafuta. Konzekerani kuchepetsedwa ndi madzi chimodzimodzi.
2. Zopangira mkaka wowonda wokhala ndi mafuta ochepa - zonona wowawasa, tchizi tchizi, kefir.
3. Mapuloteni a nkhuku kapena mazira zinziri.
4. Batala, masamba mafuta ang'onoang'ono.
5. Nyama ndi nsomba.

Zomwe zimakana:

• msuzi wamafuta
• nyama zamafuta ndi nsomba,
• masoseji ndi mankhwala osuta,
• makeke abwino, kuphika,
• mafuta amkaka amkaka, mkaka wamafuta,
• soda, mowa,
• tiyi wamphamvu, khofi, cocoa,
• CHIKWANGWANI chakumaso chomwe chimapezeka m'masamba ndi zipatso zambiri,
• mazira ozizira komanso okazinga
• chimanga - chimanga, barele, tirigu,
• tsabola, mchere wambiri, zonunkhira, zonunkhira.

Menyu, mode mphamvu

Zakudya ndi gawo lofunikira panjira yakuchira. Ndikofunikira kutsatira malamulo ndi malingaliro. Pewani zoyipa, yambani kudya zakudya zopatsa thanzi. Sayenera kukhala yotentha, yamafuta, yoyipa, yofinya, yamchere.

Gawolo lagawidwa m'magulu 6. Mukamadya, samalani kuchuluka kwa chakudya chomwe mumadya. Mukatha kudya, kumva kuti mukumva kukoma, koma osadya kwambiri.

Zakudyazo zimaphatikizapo zakudya monga mbatata yosenda bwino kuchokera kumasamba ophika (broccoli, mbatata, kaloti, zukini). Konzani saladi wa mapuloteni (bere la nkhuku, tchizi cha Adyghe, katsabola, kefir), mafuta ophikira kanyumba tchizi.

Zakudya zoyenera komanso zotetezeka ndiye njira yothandiza kuti mupewe chithandizo.

Kodi necosis ya pancreatic ndi chiyani

Pancreatic necrosis ndi matenda a pancreatic oopsa omwe amakhudzana ndi imfa ya maselo a ziwalo. Nthawi zambiri, zotsatira zake zimakhala shuga ndi kufa. Acute pancreatitis, yomwe, chifukwa cha kusowa kwa chithandizo choyenera komanso kulephera kudya, imapangidwa ndi pancreatic necrosis, imawerengedwa kuti ndiyomwe imayambitsa matenda oopsa.

Zizindikiro zoyambirira za matendawa zimaphatikizira kupweteka kwa m'chiuno kummero, nseru, limodzi ndi kusanza, komanso chopondera chopondapo. Pancreatic necrosis sikuti amangokhala ndi zowonongeka zokha zokha. Pamikhalidwe yabwino, imakhala chifukwa cha matenda a ziwalo zomwe zimakhala pafupi ndi kapamba.

Chimakhala ndi zakudya musanayambe kuchita opareshoni komanso pambuyo poti muchite opareshoni

Tsiku lisanafike mankhwalawa opaleshoni ya pancreatic necrosis, wodwala saloledwa kudya chakudya ndi kumwa madzi kapena madzi ena. Chakudya chokhwima choterechi chikufotokozedwa chifukwa chakuti kapamba panthawi yogwira ntchito m'mimba iyenera kuletsa kupanga michere yogaya chakudya yogaya chakudya m'mimba mwake.

Kuti wodwala asataye mphamvu ndipo amatha kuchita opaleshoni ya pancreatic necrosis, amathandizidwa ndi michere yamankhwala omwe amathandizidwa kudzera m'mitsempha.

Pambuyo pakuchita opaleshoni pa kapamba, kudya zakudya zamagulu kumatha kuyamba pokhapokha pa tsiku la 6-7. Mpaka nthawi ino, wodwalayo amaloledwa kumwa okhawo otentha. Monga zakumwa, mankhwala am'madzi a sing'anga ochepa (Borjomi, Narzan), msuzi wa rosehip ndi tiyi wopanda mphamvu wopanda shuga umaperekedwa. Tsiku losaposa 800 ml ya phwando la 4-6.

Ngati mkhalidwe wodwala wokhala ndi pancreatic necrosis ukadali wovuta kwambiri, ndiye kuti amaletsedwa ngakhale kumwa. Wodwalayo amapatsidwa chakudya chamthupi. Zinthu zikadzakhazikika, menyuwo amaphatikiza mbale kuchokera kuzinthu zomwe zimathandizira kubwezeretsa ntchito za m'mimba.

Monga chakudya chama postoperative, wodwalayo amapatsidwa ziro tebulo pafupifupi tsiku la 6-7:

• Gome No. 0a - chakudya amatchulidwa masiku angapo pambuyo pa opaleshoni pancreatic necrosis. Muli msuzi wamafuta wopanda mafuta, wopanda msuzi, msuzi wa mpunga, compote ndi zakudya kuchokera ku zipatso zouma ndi maapulo, onunkhira komanso zipatso zosapatsa acid, zokometsera pang'ono pang'ono za rose. Kudya zipatso, 200 20000 g.
• Gawo No. 0b - chakudyacho chimaperekedwa pambuyo pa kudya No. 0a, mndandanda umaphatikizapo mbale zonse kuchokera kuzakudya zapita. Chakudyacho chimakulitsidwa chifukwa cha soups wa mucous ndi chimanga kuchokera ku chimanga chophwanyika (mpunga, buckwheat, oatmeal), maeleel nkhuku, nsomba ndi cutlets nyama yazakudya zamankhwala (zophikidwa kokha kwa okwatirana), mazira ophika, nsomba ndi nyama puree. Zakudya zimatha masiku 7. Zakudya zamkati, magawo a 350-400 g.
• Gawo No. 0v - mndandanda uli ndi zonse zofunikira kuchokera pazakudya zakale za zero, koma kuchuluka kwa mchere kumachulukitsidwa pang'ono. Kudya kwa wodwala kumathandizidwa ndi zinthu zamkaka, maapulo ophika, oyambitsa tirigu.

Kenako, wodwalayo amasamutsidwa ku chakudya No. 5. Mu pancreatitis yovuta komanso yosatha, ichi ndi gawo lofunikira pobwezeretsa ntchito za kapamba. Chifukwa cha iye ndi chithandizo chamankhwala, zovuta zamtundu wa pancreatic necrosis zitha kupewedwa.

Zakudya Zabwino Ndi Kusala Kudya

Pamaso pa opaleshoni yothandizira pancreatic necrosis ndipo patapita nthawi atachitidwa opaleshoni, odwala amapatsidwa mankhwala osala kudya, omwe amapereka mpumulo ku England. Odwala amaloledwa kumwa msuzi wofowoka wa duwa lakuthengo ndi madzi amchere.

Kupatula kufooka kwa thupi, zakudya za makolo zimachitika. Mchitidwewu umaphatikizira kuyambitsa michere mwachindunji m'magazi kudzera mu catheter kupita m'mitsempha yayikulu.

Kuchuluka kwazinthu komanso kapangidwe kazakudya zomanga thupi zimawerengeredwa ndi wathanzi, poganizira mphamvu zamthupi la wodwalayo. Madzi amadzimadzi a makina a pancreatic necrosis amakhala ndi shuga, mayankho a amino acid ndi insulin.

Zinthu Zochepa

Mndandanda wazakudya ndi zinthu zomwe zimatha kudyedwa ndi anthu omwe ali ndi matenda a pancreatic, koma ochulukirapo komanso omvera thanzi labwino:

• Supu yamkaka - theka yophika ndi madzi.
• Zochita mkaka wofunda - tchizi tchizi, kefir, mkaka wowotchera ndi wowawasa zonona.
• Zinziri zatsopano ndi mazira a nkhuku - amaziphika zophika, amagwiritsidwa ntchito kupangira maeleeleette okha kuchokera ku mapuloteni.
• Masamba ndi batala - omwe amagwiritsidwa ntchito pokonza maphunziro oyamba ndi achiwiri.
• Zakudya za nyama ndi nsomba - zogulitsa zimadutsa kudzera mu chopukusira nyama, cutlets zimayatsidwa kwa iwo, yosenda.

Zogulitsa zomwe zaletsedwa

Palibe choletsa kuyambitsa zotsatirazi ndi zopangidwa muzakudya za odwala:

• nyama zabwino ndi msuzi wa nsomba,
• Zakudya zopanda zakudya,
• ndinasuta nyama ndi masoseji,
• Katundu wophika kumene
• mafuta mkaka watsopano ndi mkaka,
• mowa ndi msuzi uliwonse
• khofi, koko, tiyi wamphamvu,
• masamba ndi zipatso zabwino,
• mazira okazinga ndi owiritsa kwambiri,
• barele, tirigu, nyemba za chimanga,
• zonunkhira ndi zonunkhira, mchere, shuga.

Zogulitsa zonsezi ndizovuta kugaya, zina mwa izo zimathandizira kuti chiwonetsero chachikulu cha ma pancreatic enzymes, zomwe zimabweretsa kubweretsanso matendawa.

Chitsanzo cha menyu

Zakudya za pancreatic pancreatic necrosis zimaphatikizapo kutsatira menyu ya mankhwala No. 5:

• Chakudya cham'mawa chochepa: dzira loyera la mazira, phala lophwaphalaphala, khofi wopepuka wopanda shuga.
• Chakudya cham'mawa chachiwiri: chakudya chosangalatsa kuchokera kwa ma apricots owuma, tiyi wopanda mafuta.
• Chakudya chamasana: msuzi wa mpunga, soufflé kuchokera ku pollock yophika, zakudya kuchokera ku madzi osapatsa acid omwe amangokhala kumene.
• Zakudya zazing'ono pakati pa nkhomaliro ndi chakudya chamadzulo: tchizi chochepa-mafuta, tchizi chamadzimadzi.
• Chakudya chamadzulo: cutlets za nsomba kapena nyama, soufflé kuchokera ku msuzi wa karoti.
• M'malo mwa mkate, muzigwiritsa ntchito zopaka tirigu, koma osapitirira 50 g patsiku. Zakudya zanu zimakhala ndi shuga, koma osapitirira 5 g patsiku.

Msuzi wa Kirimu wa Broccoli

• Madzi - 0,5 l.
• Mbatata - 2-3 ma PC.
• Broccoli inflorescence - 5 ma PC.
• Mchere (monga chikusonyezera).

Momwe mungaphikire: kuwira madzi, kuyika mbatata ndi broccoli mmenemo, kuphika kutentha kwapakatikati kwa mphindi 15-20. Kukhetsa masamba ophika, kutsanulira msuzi mu mbale zoyera. Pogaya mbatata ndi broccoli mu blender mpaka puree, kenako ndikuthira msuzi wamasamba. Ikani moto pamoto ndikuphika mpaka wakuda.

Curd Pudding

• Cheke chopanda mafuta chopanda mafuta - 400 g.
• Apulo wopanda acid (wopanda peel) - 300 g.
• Mapuloteni a dzira la nkhuku - 6 ma PC.
• Shuga (kuganizira zomwe zimachitika tsiku lililonse).

Momwe mungaphikire: pogaya kanyumba tchizi ndi maapulo payokha mu blender mpaka puree, kenako kuphatikiza ndikusakaniza kusasinthasintha. Pang'onopang'ono onjezani mapuloteni a nkhuku kuti awakwapule. Sakanizani kusakaniza ndi zisakanizo ndi kuphika mu uvuni.

Semolina zokopa

Chinsinsi cha soufflé cha kapamba chimakhala chothandiza pokhapokha mbale itatha.

• Zaphatikizika zipatso compote - 3 makapu.
• Semolina - supuni zitatu
• Agologolo a nkhuku - 3 ma PC.
• Shuga (monga akuwonetsera).

Momwe mungaphikire: kuphika semolina mwachizolowezi, koma gwiritsani ntchito compote m'malo mwa mkaka. Menyani misa yokonzedwa ndikuwuma pang'onopang'ono ndi chosakanizira, pang'onopang'ono pangani mapuloteni otsekedwa mu semolina. Sakanizani osakaniza mu nkhungu ndi nthunzi.

Zero zakudya pambuyo necrectomy

Pakapita nthawi ya necrectomy, dongosolo logaya chakudya limafunikira kupumula kotheratu, motero, wodwalayo akuwonetsedwa kuti akusala kudya. Popanda magwiridwe antchito, ndiye kuti, popanda kupanga michere yamagaya, njira yosinthira imathamanga. M'masiku oyamba 5-6, wodwalayo amaloledwa kumwa madzi osakhala ndi kaboni kapena Borjomi, madzi a mchere a Essentuki, omwe adatsitsidwa kale. Thandizo la moyo limachitika kudzera mu chakudya cha makolo (intravenous).

Pambuyo pa nthawi yomwe adanenedwa, wodwalayo amasamutsidwira kumitundu yamitundu ya zero zakudya za pancreatic necrosis. Chakudya chololedwa chimaloledwa m'malo ochepa (50-100 gr.), Maola 2-2,5 aliwonse. Zomwe mungathe kudya pagawo lililonse:

• Nambala ya tebulo 0A. Msuzi wosasulidwa ku nyama yopanda nyama yamwana wamchere, ng'ombe, odzola (compote) kuchokera ku zouma zipatso, rosehip zipatso.
• Nambala ya tebulo 0B. Kukula kwa chakudyacho, kukhazikitsidwa kwa chimanga chamadzimadzi kuchokera ku chimanga, chomwe chimaphwanyidwa kale mu chopukusira khofi, omelette ya protein.
• Nambala ya tebulo 0B. Onjezani ana puree, maapulo ophika.

Kutalika kwa gawo lililonse zimatengera momwe wodwalayo alili. Palibe zovuta za matendawa, wodwalayo amasinthana ndi zakudya "Gawo Nambala 5P."

Zotsatira za matenda azakudya

Zofunikira zonse pazakudya zoyenera mu pancreatic pancreatic necrosis zimaphatikizapo:

• mafuta ochepa komanso zakudya zopatsa mphamvu m'zakudya,
• kukhalapo kwa mapuloteni muzakudya,
• Zakudya zamavuto (maola 2-2.5,5) komanso mankhwalawa (pafupifupi 1,500 ml ya madzi),
• kuperekera zakudya zochepa,
• kupatula zida zophikira zamalonda ndizokazinga (zophika zokha, zowotchera komanso zothira mbale),
• mchere wochepa (5-6 gr. patsiku),
• kutsatira kutentha kwa zakumwa ndi mbale (osati wotentha kwambiri ndi ozizira).

Kuphatikiza apo, muyenera kuyikamo mankhwala azitsamba ochokera ku zitsamba zomwe zimathandizira kapamba mu menyu.

Katundu Woletsedwa

Thanzi la pancreatic necrosis limapereka kuchotsedwa kwathunthu kwa zinthu zotsatirazi kuchokera pazakudya za wodwala m'magulu otsatirawa:

• nyama yamafuta a nkhuku (bakha, tsekwe), mwanawankhosa, nkhumba,
• kusungidwa (mphodza, marinade, pickles, mkaka wokometsedwa, nyama zam'madzi, nsomba zamzitini, kupanikizana, kupanikizana),
• nyama ndi masoseji,
• nsomba yamafuta (halibut, sardine, mackerel, capelin, saury), caviar,
• nyemba
• kabichi masamba (radish, radish, kabichi),
• anyezi banja (adyo, anyezi, katsitsumzukwa),
• sorelo ndi sipinachi,
• mafuta amkaka,
• makeke ochokera ku batala, puff, pastry
• zakudya zokoma ndi zakumwa, khofi,
• chimanga: balere (balere ndi barele), mapira (mapira), chimanga,
• ketchup, phweteke phwetekere, msuzi wamafuta wokhazikika pa mayonesi, horseradish,
• bowa (mumitundu yonse yokonzekera, kuphatikizapo msuzi),
• Zipatso za malalanje
• zonunkhira
• nsomba, mafuta anyama, nyama yophikidwa ndi kusuta.

Zinthu Zovomerezeka

Mndandanda wazakudya ndi mbale zomwe zingadyedwe panthawi yakukonzanso zimaphatikizapo:

• omelet (nthunzi kapena microwave),
• mbatata yochokera kumadzi kapena masamba osasinthasintha amadzimadzi,
• Zoyipitsira zoyera, mabisiketi,
• phala pamadzi
• msuzi wa nkhuku (ndikofunikira kuchotsa khungu ku mbalame),
• nsomba zodulira mkaka wa nkhuku ndi nsomba zamafuta ochepa,
• zikondamoyo zanyumba zanyumba, chokoleti chaching'ono,
• yogati yachilengedwe
• vermicelli yophika (Zakudyazi),
• ma puddings ndi masamba,
• nyama yosenda ndi msuzi wamasamba,
• zipatso ndi zipatso zokhala ndi zipatso (odzola, odzola, compote),
• mofooka mozama tiyi wobiriwira, mchere wamadzi wopanda mpweya.

Kupereka kapamba ndi mpumulo waukulu, zakudya zovomerezeka zimayambitsidwa m'zakudya pang'onopang'ono, m'magawo ang'onoang'ono.

Zakudya "Gawo Nambala 5P"

Kusintha kupita ku chakudya chachisanu ndikosavuta. M'masiku oyamba a 3-6, ma servings amayenera kukwana mkati mwa 150-180 magalamu. Mafuta aliwonse ayenera kutayidwa. Zosankha zamagulu pazakudya patsamba loyambira:

Maola 1.5 asanagone, tikulimbikitsidwa kuti tizingokhala ndi zokhwasula ndi zoyera zokhala ngati zothira mankhwala azitsamba. Zakudya ziyenera kukhala zopepuka, zosafuna kuyesetsa kuzikonza ndi kapamba.

Zakudya zowonjezera

Ndi mphamvu zabwino, chakudyacho chimapangidwanso ndi mbale zophatikiza, mkaka wowawasa, zakudya zosapsa zosadetsa nkhawa. Gwiritsani ntchito:

• nsomba zokhala ndi mafuta ≤ 8% (pollock, pike, whiting blue, hake, flounder),
• masamba ophika masamba msuzi wow nyama,
• nyama yopanda nkhuku (nkhuku, nkhuku),
• kalulu wapa kalulu
• mazira otentha owiritsa, mazira ophika ophika ndi microwave kapena otentha,
• kanyumba tchizi wokhala ndi mafuta ochokera 0 mpaka 2%, mkaka 1.5%,
• zopaka zamkaka zokhala ndi mafuta ⩽ kuyambira 1.5 mpaka 2,5% (yogati, kefir, yogati, mkaka wowotchera),
• tchizi: "Ricotta", "Tofu", "Gaudette",
• herculean, semolina phala pamkaka (mkaka wamafuta mkati mwa ≤ 1.5%),
• Buckwheat yophika, semolina ndi oatmeal,
• broccoli ndi kolifulawa,
• masamba ndi ndiwo zamasamba: beets, kaloti, zukini, dzungu,
• vermicelli (Zakudyazi),
• masamba, maapulo, ophika ndi microwave kapena uvuni,
• zipatso odzola ndi mbatata zosenda.
• uchi ndi mar marade (m'malo ochepa),
• misuzi popanda shuga kuchokera dzungu, pichesi, karoti, apricot.

Muyenera kudya monga mwa dongosolo lomwelo (nthawi 5-6 patsiku). Amaloleza magalamu 10-15 a batala tsiku lililonse.

Zakudya "Zakudya № 5P"

Zakudya za tsiku ndi tsiku zimapangidwa kudzera muzakudya zovomerezeka ndi zakudya. Zotsatsa zotsatirazi zimaperekedwa zakudya zofunikira komanso zokhwasula-khwasula. Zosankha za chakudya cham'mawa: omelet ya nthunzi ndi tchizi cha Ricotta (Tofu, Gaudette), semolina porridge mu 1.5% mkaka ndi zoumba, phala lochokera ku Hercules No. 3 chimanga m'madzi chokhala ndi 2% kanyumba tchizi , kanyumba tchizi casserole kapena mannik ndi kanyumba tchizi mu microwave.

Maphunziro oyamba: msuzi wa nkhuku wokhala ndi semolina ndi kaloti, msuzi wosenda ndi msuzi wa broccoli pa msuzi wa nkhuku, msuzi wa Zakudyazi msuzi wa veal, msuzi wa nkhuku yokhala ndi masamba a nkhuku. Zosankha masana kapena masana: maapulo okhala ndi tchizi cha Ricotta kapena tchizi chokoleti, chophika microwave, cheesecakes + msuzi wa duwa lakuthengo, mabisiketi + odzola zipatso, dzungu lophika ndi uchi + osaphatikizidwa ndi tiyi wopanda mphamvu, yogati yachilengedwe + zipatso (masamba), pichesi odzola + tiyi wobiriwira.

Zakudya zikuluzikulu ndi mbale zam'mbali: Zakudya zamasamba (kupatula kabichi) ndi nkhuku kapena nyama ya kalulu, zikwangwani za nyama kapena zidutswa za nyama yololedwa, yophika ndi broccoli yosenda, cutlets pollock (flounder) ndi mbatata zosenda pamadzi, Turkey yophika ndi masamba osenda kuchokera zukini, kaloti ndi broccoli, zodulidwa zophika zophika ndi nyama yophika, nkhuku yophika ndi utoto kapena nkhuku yokhala ndi mapira amaso a burwheat, vermicelli yotsekeredwa tchizi ndi nkhuku.

Kuku Souffle

• timabatani tiwiri ta nkhuku,
• 200 ml ya mkaka 1.5%,
• mazira awiri
• mchere ndi batala.

Mu mazira, gawanani mapuloteni kuchokera pa yolk. Dulani ndikudula nyama yankhuku mu purosesa kapena chakudya chopukusira. Sakanizani minced nyama, mkaka ndi yolks, mchere pang'ono ndi kumenya ndi blender. Amenya mapuloteni otsala ndi chosakanizira ndipo mosamala, ndi spatula yamatabwa kapena ya silicone, lowetsani nyama yozama. Patsani makeke amkati ndi batala, agawireni ufa wambiri. Ikani mu uvuni, wotenthedwa mpaka 180 ° C kwa kotala la ora.

Flounder Yophika kapena nkhuku

Maphikidwe ndi ofanana mu njira yophika yophika pang'onopang'ono. Nthawi yophika - mphindi 105, mode - "kuphika", kutentha - 145 ° C. Sambani nsomba, kudula mchira ndi mutu. Tulutsani zamkati, dulani zipsepse ndi zomata, ndipo muzimutsukanso. Limbani ndi thaulo la pepala, kudula mbali, ndi mchere. Pindani chidutswa chilichonse mu pepala lina. Ikani wophika pang'onopang'ono. Sinthani chidutswa cha nkhuku kwa mphindi 20-30 mu msuzi wa soya (supuni 1) ndi mafuta a masamba (supuni 1). Ingani zolimba mu zojambulazo ndikutumiza kwa wophika wodekha.

Puff saladi

• kaloti - 1 pc.,
• fillet nkhuku - 1 pc.,
• mbatata - 1-2 ma PC.,
• mazira - 2 ma PC.,
• Ricotta tchizi
• yogurt yachilengedwe 2,5%.

Wiritsani chifuwa cha nkhuku, kaloti, mbatata, mazira. Dutsani filimu yophika kudzera chopukusira nyama, sakanizani ndi Ricotta ndikumenya ndi blender. Grate mbatata ndi kaloti pa grater yabwino, azungu azungu - pa coarse grater. Kutola saladi mu zigawo: mbatata - nkhuku ndi tchizi - azungu azira - kaloti. Ululu uliwonse (kuphatikiza kumtunda) umathiridwa mchere pang'ono ndikuthira mafuta ndi yogati. Zilowerere kwa maola 1-1.5, kuti zigawo zikwaniritse bwino.

Pancreatic necrosis ndichovuta chachikulu cha njira yotupa mu kapamba. Pathology nthawi zambiri imawopseza wodwalayo zotsatira zakupha. Pofuna kuti matendawa asakhale ovuta, ndikofunikira kuwunika kwambiri zakudya, kufunafuna chithandizo chanthawi yake munthawi yayitali matenda a kapamba.

Kodi pancreatic pancreatic necrosis ndi chiyani?

Kukula kwa matendawa kumachitika chifukwa chakuwonongeka kwa magwiridwe antchito amtundu wa kapamba. Chochititsa chidwi ndi kugwiritsa ntchito zakudya zopanda zakudya komanso zakumwa zambiri. Zotsatira zake, kupanga kwa katulutsidwe wakunja kumawonjezeka ndipo kutuluka kwa msuzi wa pancreatic kumasokonekera, zomwe zimayambitsa kutalika kwakukulu kwa ma pancreatic ducts.

Njira yowonjezerapo yakuwonongeka kwa ziphuphu zakumaso ndi mapangidwe a edema imayambitsa minofu yayikulu ya necrosis. Kulowetsedwa kwa zinthu zowola zamisempha ndi ma enzyme m'magazi kumapangitsa poyizoni wazinthu zonse. Chifukwa cha kuledzera, chiwindi, mtima, impso ndi ubongo zimatha.

Ngati njira zamanthawi zonse zamankhwala sizingathe kupereka zotsatira zabwino komanso zowonjezera komanso zowonjezera minofu necrosis sizinasiye, ndiye kuti wodwalayo adamulowetsa opareshoni. Opaleshoni imachitidwa pambuyo pakuchulukitsa kwa matendawa.

Zolemba za chakudya cha ana

Zakudya zoyenera pafupifupi za pancreatic pancreatic necrosis ya ana zimasiyana ndi zakudya za akulu. Mwachitsanzo, kwa ana osakwanitsa zaka zitatu, ndikofunikira kuti musamachotsemo timadziti tatsopano, zipatso, zipatso ndi zipatso zonse, komanso masamba ndi zipatso zilizonse.

Kupanda kutero, zakudya za munthu wamkulu ndi mwana ndizofanana. Ndikofunika kulabadira kuti m'mapikisheni ndi masukulu, chakudya chimagwirizanitsidwa, komanso kuti mwana wina amafunika chakudya chodyeramo, muyenera kudziwitsa antchito anu pasadakhale.

Zakudya zamaphikidwe

Ndikofunika kukumbukira kuti kudya zosakoma komanso zopatsa thanzi chifukwa cha matendawa ndizotheka.Komabe, ndikofunikira kukumbukira malamulo ena mukamaphika zakudya, zomwe ndi:

1. Mchere ndi shuga ziyenera kuwonjezeredwa m'malo ochepa.
2. Zinthu zonse zophikira ziyenera kutsukidwa bwino.
3. Muyenera kuphunzira mosamala kapangidwe kazinthuzo musanagule. Zosakaniza zachilengedwe zokha ndi zomwe ziyenera kukondedwa.

Pansipa pali maphikidwe osangalatsa a pancreatic necrosis.

Msuzi wa mkaka wa Buckwheat

Kuti mukonze mbale yoyamba iyi, muyenera kusankha masupuni atatu a phala, kupukuta, kutsuka ndi madzi ndikuwuphika, kuwonjezera mchere pang'ono, mpaka theka litakonzeka. Pambuyo pake, muyenera kuwonjezera kapu imodzi ya mkaka wamafuta ochepa, supuni ya shuga ndikuyambitsa kukonzekera.

Steamed Kuku nyama Yodula

Poyamba, magalamu makumi awiri a mkate wopanda pake umawiritsidwa m'masupuni awiri amkaka ochepa wamafuta, kenako osakanizidwa ndi magalamu zana limodzi ndi makumi asanu a nkhuku yowotchera. Mwakusankha, mutha kuwonjezera mchere wochepa pang'onopang'ono. Makulidwe apakatikati apakati amapangidwa kuchokera ku minced nyama, amaikidwa mu boiler iwiri ndikuwotchera mafuta a azitona pafupifupi theka la ola.

Dzungu ndi Apple Casserole

Mbaleyi ikhoza kulowa m'malo mwa zakudya zokhazikika. Pofuna kuphika dzungu ndi apulo casserole, muyenera kuwaza ma gramu zana limodzi ndi makumi asanu a ma dzungu ndi theka la apulo wamba. Pambuyo pake, osakaniza amayenera kuyikamo sosepani, kutulutsa ndi kuwonjezera kwa madzi ndikugwiritsira ntchito blender kuti ikhale yofanana ndi mbatata yosenda.

Kenako, supuni ya mkaka otentha, supuni ya supuni imodzi ya batala wosungunuka imathiridwa mu puree yomwe imayamba, supuni ya shuga ndi supuni ziwiri za semolina zimawonjezeredwa. Pambuyo pake, muyenera kupatsa osakaniza nthawi kuti muzizire. Pakalipano, whisk dzira whisk mpaka kumenyedwa ndi kuwonjezera mbatata yosenda. Unyinji woyambira uyenera kuyikidwa pa pepala lophika ndikuwotchera mu uvuni kwa pafupifupi madigiri aola.

Semolina souffle

Izi ndi zina zonse maphikidwe a soufflé amadziwika kuti ndi othandiza kwambiri ngati atapusa. Supuni zitatu za semolina zimaphikidwa ngati amapanga phala, mmalo mwa mkaka okha amagwiritsa magalasi atatu a zipatso zowuma. Zosakanikazo zimamenyedwa ndi chosakanizira ndipo mapuloteni ochokera ku mazira atatu a nkhuku amawonjezeredwa. Ngati mukufuna, onjezani shuga pang'ono, ikani mafomu ndikuwaphikira banja.

Zakudya Vinaigrette

Ma saladi ena nawonso saloledwa pancreatic necrosis. Zothandiza kwambiri zimatha kukhala vinaigrette. Kuti mukonzekere, muyenera kusiya magalamu mazana awiri ndi makumi asanu a sauerkraut ndi nkhaka imodzi yosenda m'madzi kwa theka la ola. Kenako yophika mbatata ziwiri zokulirapo ndi beetroot imodzi mu peel mpaka kuphika.

Kenako zimangokhala zodula ziwalo zonse kukhala ma cubes ofanana, kusakaniza ndi nyengo ndi mafuta ochepa azamasamba. Saladi yachiwiri yomwe imaloledwa ndi akatswiri azolimbitsa thupi ndi saladi wa beetroot. Mbidzi ziwiri kapena zitatu zimaphika m'miyeso mpaka kuphika bwino, kenako kuzikikiritsa kapena kuwaza, kuthira mchere ndi kukazinga ndi masamba kapena mafuta.

Zakudya Zakudya

Mukanyalanyaza malamulo azakudya za odwala, zovuta zingapo zitha ndipo zikuyembekezeredwa. Kuphatikiza apo, chakuti kusatsatira zakudya kumayambiranso matendawa, izi zitha kukhalanso chifukwa chotsogola kwa matenda ashuga.

Malinga ndi zotsatira za kafukufuku pakati pa odwala, kutsata zakudya zoyenera ndi pancreatic necrosis kumachepetsa kwambiri zizindikiro za matenda. Komabe, odwala adzazolowera zakudya zamankhwala, chifukwa chakudyacho chimayenera kutsatiridwa pafupifupi moyo wonse.

Pomaliza

Odwala omwe ali ndi pancreatic pancreatic necrosis ayenera mosasamala kuti amvere malangizo omwe amapita kwa adokotala ndikutsatira zakudya zamankhwala mwatsatanetsatane. Kugwiritsa ntchito zinthu zoletsedwa, ngakhale zochuluka kwambiri, kumatha kubweretsa zotsatira zoyipa. Pankhaniyi, chithandizo chamankhwala chamtengo wapatali, kapena chithandizo chamankhwala chopatsa mphamvu sichingapindule.