Zakudya za anthu odwala matenda ashuga komanso chiwindi

Ndi gawo lokakamizidwa la matendawa, wodwalayo amakulimbikitsidwa kuti azitha kutsitsa zakudya kamodzi pa sabata. Amakhala ndi kudya tchizi chamafuta ochepa ndi zipatso, zomwe muyenera kudya pafupifupi kilogalamu imodzi masana.

Zakudya zoterezi kuchokera kuzakudya sizingothandizanso chithandizo chovuta, komanso kukulolani kukhazikitsa njira zambiri mthupi, kusinthitsa munthu kuti azikhala ndi zakudya zoyenera, chifukwa cha mphamvu komanso thanzi.

Cirrhosis yolipidwa

Ndi cirrhosis yolipidwa, chiwindi chimasungabe mphamvu zomwe zingathetse zotsatira za mapuloteni a thupi mthupi. Kwa odwala omwe ali ndi mtundu uwu wamchiwindi, kuchuluka kwa nyama yopendekeka kumalimbikitsidwa.

Kuwonetsa mkaka watsopano komanso wopanda mafuta ndi mkaka - kefir, tchizi chanyumba. Zothandiza buckwheat ndi sokono oat, khutu. Zakudya zochokera ku zoyera, soya - ziyeneranso kupezeka muzakudya, zimayenera kudya pafupipafupi. Mapuloteni pano amatenga gawo la chowonjezera cha chiwindi chokwanira.

Kodi nambala 5 ndi chiyani?

Zakudya zamankhwala ndizothandiza kupewa matendawa. Zimathandizira kuteteza kagayidwe kachakudya njira, kupewa mavuto ndi kuwonjezera chitetezo chokwanira.

Zakudya zoyenera za matendawa zimaperekedwa ndi adokotala, omwe amatengera mtundu wa matenda amisempha, kuchuluka kwa zovuta komanso magwiridwe antchito a chiwalo. Kuchita opaleshoni kapena kugwiritsa ntchito mankhwalawa sikuti nthawi zonse kumakhala koyenera, ndipo nthawi zambiri kumawonjezera vutoli, kotero kudya ndi njira imodzi yabwino yothandizira wodwalayo popanda kuvulaza.

Iyenera kuphatikiza kuchuluka kwamapuloteni, mafuta, 50% yomwe ndi ochokera masamba ndi chakudya. Muyenera kuyiwala zamchere ngati mchere.

M'malo mwake, mutha kugwiritsa ntchito zitsamba ndi zonunkhira zazing'ono momwe mulibe.

Gawo No. 5 ndi chakudya chofatsa, zomwe zimapangitsa kuti zinthu zina ndizoletsedwa mwamphamvu kuti wodwalayo asinthe. Amapangidwa payekhapayekha kwa munthu aliyense ndipo imakhala ndi mulingo woyenera (wokwanira) wazinthu zomwe thupi limafunikira.

Zogulitsa zomwe zili ndi Anserine, carnosine, creatine, cholesterol, oxalic acid zimachotsedwa kwathunthu kuzosunga. Zakudya zimayamwa kapena kuphika.

Zakudya nambala 5: zopatsa mphamvu ndi zopangidwa ndi mankhwala:

1. Zambiri zama calorie - 2800-3000 kilocalories,
2. Mafuta - 90 magalamu, ndipo gawo limodzi mwa magawo atatu ndi masamba,
3. Zakudya zamafuta -0.45 kg,
4. Mapuloteni - 90 magalamu (1/3 - nyama),
5. Madziwo ndi malita 1.8.

Zakudya za cirrhosis ya chiwindi zimakhazikika potsatira njira ya chipatala ya "kupatula" kwa matenda omwe ali ndi matenda, pomwe mphamvu zamankhwala, zamafuta ndi makina ndizochepa, zomwe ndi zina mwazomwe zimapangitsa kuti matendawa athe kukulitsa matendawa.

Zakudya zomwe adalimbikitsa ziyenera kukhala maziko azakudya chokwanira, komanso, zimathandizira kukonza magwiridwe antchito monga chiwindi ndi ma ducts a bile, ndikuthandizira katulutsidwe ka bile.

Thanzi la cirrhosis liyenera kukwaniritsa zotsatirazi.

Zakudya zochizira matenda a shuga zovuta ndi matenda a cirrhosis

Zakudya za odwala matenda ashuga omwe ali ndi mavuto a chiwindi ayenera kukhala olinganizidwa. Chifukwa chake, ndikotheka kuti muchepetse kukula kwa matendawa ndikuwongolera moyo.

Ndi cirrhosis poyerekeza ndi mtundu wa matenda a shuga a 2, kudya No. 5 ndiye njira yabwino kwambiri.

Kuphatikiza apo, lamulo lofunikira ndikuletsa mafuta ndi mchere, kuti thupi lilandire zinthu zonse zofunika popanda chiwindi.

Tiyenera kudziwa kuti zopangidwa zomwe zimapangidwa kuti zikhale ndi shuga zimapezeka muzakudya No. 5, zomwe zimakonzedwa m'njira ziwiri - zofunikira, zowiritsa. Muyenera kudya chakudya nthawi 5-6, kugawa ma servings kukhala ofanana.

Zakudya za matenda a matenda enaake a shuga ndi matenda ashuga mtundu 1 ndi 2 zimatengera chakudya ndi mbale zotsatirazi:

1. dzulo kapena mikate yoyera,
2. soseji yamkaka (yophika),
3. mkaka, ndiwo zamasamba zopanda mafuta,
4. nsomba zam'nyanja (konda),
5. zipatso (zatsopano ndi zouma),
6. Zophika zosaoneka bwino zokhala ndi maapulo, tchizi chanyumba, nsomba kapena nyama,
7. osati nyama yamafuta (nkhuku, ng'ombe, kalulu, nkhuku),
8. pasitala ndi zakudya
9. masamba ophika kapena atsopano,
10. mafuta amkaka ochepa.

Amaloledwanso kugwiritsa ntchito mitundu yochepa ya maswiti (kupanikizana, osati chokoleti, uchi). Mwa zakumwa, mabulosi, zipatso zamapapu ndi tiyi ndizofunikira kwambiri.

Masamba ndi batala zimatha kudyedwa, koma zochepa. Ndikuloleza kugwiritsa ntchito pilaf ndi chodzaza kabichi ndi nyama yopanda mphamvu ndi dzira 1 yophika patsiku.

Pazakudya zoletsedwa ndi shuga za mtundu wa 1-2 zimaphatikizapo msuzi wamafuta olemera, zinthu zatsopano zophika ndi kusuta, zamzitini, zamchere, zokazinga. Komanso, simungadye masamba osankhidwa, mazira okazinga kapena owiritsa owira ndi offal.

Ngakhale odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda ayenera kukana zakudya zazonunkhira komanso zolemera, zomwe zimaphatikizapo bowa, tsabola, sipinachi ndi radara. Zonunkhira, chokoleti, ayisikilimu, nsomba zamafuta ndi nyama siziyenera kuphatikizidwanso muzakudya.

Kuphatikiza apo, nyama zonse zosuta komanso mkaka wonse sayenera kuphatikizidwa. Mwa zakumwa, mowa, wamphamvu, tiyi, khofi ndi madzi owala ndi oletsedwa. Zinthu zonsezi zimatha kuvulaza wodwala ndikuyambiranso kuyambiranso.

Ndizofunikira kudziwa kuti mawonekedwe a zakudya amatengera njira ya matendawa. Mwachitsanzo, ndi cirrhosis yolipiridwa, kugwiritsa ntchito mapuloteni kumaloledwa. Chakudya choterocho chimakhala ndi michere yambiri ndipo timatsata zinthu zofunika kuti thupi lizigwira ntchito moyenera.

Ndi mtundu wochiritsidwa wa matenda amitsempha, kugwiritsa ntchito zotsatirazi kumalimbikitsidwa:

• dzira lama protein
• mkaka wosakhazikika ndi tchizi chanyumba,
• phala (mapira, chakudya, oatmeal),
• nsomba zamafuta ochepa.

Makamaka, chakudya choterechi chimayenera kudyedwa ngati vuto la cirrhosis lamalipidwa chifukwa chomwa mowa. Ngati mumatsatira zakudya zomwe zili pamwambazi, ndiye kuti kusintha kwa maselo a chiwalo chowonongeka kumakonzedwa ndipo chitetezo cha mthupi chikhala bwino.

Ngati matenda a cirrhosis adapangidwa, ndiye kuti chiwindi sichingagwire mapuloteni. Chifukwa chake, mtundu uwu wa chakudya uyenera kusiyidwa kwathunthu kuchokera kuzakudya za tsiku ndi tsiku, kapena kuchepetsa kumwa kwake (mpaka 30 g patsiku).

M'pofunikanso kuchepetsa kumwa kwamafuta a nyama (kupatula batala) ndikupatsa chidwi ndi mafuta a masamba. Koma ngati vuto la dyspeptic litha, chomwe chitha kuchitika pakukula kwa matendawa, kuchuluka kwa mafuta tsiku lililonse kuyenera kukhala kwa 30 g.

Pazakudya za chakudya chamafuta, mu mtundu 2 wa shuga womwe umayendera limodzi ndi matenda enaake, kuchuluka kwake kuyenera kukhala osachepera 450 g patsiku. Komabe, ngati wodwalayo wanenepa kwambiri, ayenera kufunsa dokotala yemwe amasintha kadyedwe kake.

Nthawi zina ascites ndi edema amakula pamlingo wokulitsa matenda. Pankhaniyi, ndikofunikira kuchepetsa mchere ndi madzi. Kuphatikiza apo, kuchepa kwa potaziyamu kuyenera kuthetsedwa pobweretsa zipatso zouma mumenyu:

Kudzimbidwa, mkaka, beets, uchi, prunes, kefir, apricots ndi kaloti zitha kukhala zothandiza. Mu cirrhosis pachimake, masamba opepuka ndi zipatso zimasonyezedwanso. Ndipo vutolo likakhazikika pang'onopang'ono, tchizi chofufuta chamafuta pang'ono, zakudya zamkaka ndi msuzi wopepuka zimalowetsedwa pang'ono ndi pang'ono mu chakudya.

Idalipira

Kutsika kwakukulu kwa kudya mapuloteni kumalimbikitsidwa. Chiwindi sichitha kuthana ndi kukhudzika kwa ammonia, komwe kumawoneka ngati zotsatira zomaliza zama protein.

Chifukwa chake, muyenera kudya masamba okwanira ndi masamba. Mafuta a nyama amayenera kuthetsedwa kwathunthu. Zakudya zomanga thupi zimaloledwa m'miyeso yayikulu mokwanira, mpaka paundi imodzi patsiku.

Zogulitsa kwathunthu kapena pang'ono

Zakudya za chiwindi fibrosis mu zakudya zikuphatikiza:

• Mkate wa tirigu (wouma / dzulo) kapena wopangidwa kuchokera ku ufa wa tirigu-wathunthu, zinthu zophika buledi wosaphika, makeke owuma.
• Supu yophika masamba osavala ndi kuwonjezera kwa mbewu zophika bwino (mpunga, oat, barele / pasitala).
• Nyama yofiyira yanyama ya nyama / nkhuku: nkhukundembo, ng'ombe, kalulu, nkhumba yotsamira, nkhuku yophika (yopanda khungu) pachidutswa / chodulidwa. Kuchokera soseji - masoseji a dokotala. Sausage ndi mkaka.
• Nyanja / nsomba zamtsinje zamitundu yamafuta ochepera (nsomba, hake, pike, carp wamba, capelin, cod, pike perch) mu chidutswa, champhamvu, chophika / chophika.
• Zinthu zamkaka zamafuta ochepa (mkaka wowiritsa wowotcha, yogati, kefir, kanyumba kochepa mafuta, tchizi).
• Mazira a nkhuku (yophika, yophika / yamtundu wa mapuloteni) kuchokera ku mazira awiri.
• Semi-liquid oat / buckwheat njere, casseroles, mpunga woyera, pasitoti yophika.
• Zatsopano / yophika kapena yophika masamba: kaloti, phwetekere, zukini, kabichi, nkhaka, zipatso zam'munda (katsabola / parsley, basil) beets, dzungu, mbatata.
• Mafuta oyeretsa masamba, m'mbale omalizira - batala.
• Zipatso zopanda-acidic / zipatso zosaphika kapena zophika mu mawonekedwe oyeretsa, uchi, marmalade, kupanikizana, marshmallow, zipatso zouma (ma apricots owuma, zipatso zouma).
• Tiyi yofooka yobiriwira, zipatso zatsopano / masamba mabulosi / masamba, madzi amchere opanda mpweya, broths of hlaha rose / tirigu.

Masamba ndi amadyera

* Zambiri zili pa 100 g yazogulitsa

Zakudya za chiwindi fibrosis zimathandizira pakudya:

• Supu pa nyama / msuzi wa nsomba / msuzi wa bowa, okroshka, maphunziro oyamba kuchokera ku nyemba, msuzi wowawasa.
• Nyama yofiyira, nyama yofuka, mafuta anyama, soseji yamafuta, mafuta ophikira, nyama zam'chitini, nkhuku zamadzi zam'madzi (tsekwe / bakha), nyama yozizira (chiwindi, impso, ubongo), nyama yokazinga.
• Phika mkate, mkate watsopano, zikondamoyo, ma pie, pizza, makeke, makeke, ma muffins.
• Mazira auwe owiritsa nkhuku yophika, yokazinga, nsomba zam'nyanja, mchere / nsomba zouma / zosuta, caviar.
• Zokometsera ndi zokometsera / zokometsera: mayonesi, viniga, mpiru, horseradish, tsabola, zokhwasula / zonenepa.
• Zinthu zamafuta amkaka kwambiri (kirimu, mkaka wonse, kirimu wowawasa, batala, tchizi chotentha).
• Mitundu ina ya masamba (sorelo, radish, radish, turnip, sipinachi), bowa, nyemba, marinade.
• Mchere / mchere wowuma.
• Suzi zosapsa / zipatso, zipatso zonona, cocoa, mtedza, chokoleti, ayisikilimu.
• Khofi wakuda, zakumwa zoledzeretsa / zakumwa zoledzeretsa, koko, msuzi wa mphesa.

Mankhwala

Cholinga cha mankhwala ochizira matenda a chiwindi, opangidwa motsutsana ndi mtundu wa shuga wachiwiri, ndikuchotsa kapena kufooketsa zinthu zomwe zikuthandizira matenda. Kuti izi zitheke, mankhwala a hepatotoxic ayenera kusiyidwa, kuchepetsedwa kwa thupi ndi hyperlipidemia ndi hyperglycemia.

Poyamba, chithandizo chimalimbikitsa kuchepetsa thupi mwakuwonjezera zolimbitsa thupi. Chifukwa chake, pochita masewera olimbitsa thupi, mutha kukulitsa chiwopsezo cha insulin mosavuta ndikuchepetsa kwambiri chiwindi cha steatosis.

Komabe, kuchepa thupi kwambiri kwa anthu odwala matenda ashuga nkoletsedwa. Kupatula apo, izi zimathandizira kukulitsa necrosis, fibrosis kapena njira yotupa. Chithandizo cha matenda otere chimachitika mosiyana. Chifukwa chake, sabata simungathe kutaya kuposa 1.5 makilogalamu.

Ndikofunika kukumbukira kuti odwala matenda ashuga omwe ali ndi matenda osachiritsika a chiwindi ayenera kuchepetsa kuchuluka kwa insulin.Kupatula apo, mulingo wa kukonza kwa mahomoni ndi gluconeogeneis amachepetsedwa. Koma odwala omwe ali ndi vuto la chiwindi chokhazikika, m'malo mwake, angafunikire insulini yambiri.

Kuteteza, kuyeretsa ndi kubwezeretsa maselo a chiwindi, dokotala nthawi zambiri amapereka mankhwala a hepatoprotectors. Mankhwalawa akuphatikizapo Hepa-Merz, Essentiale, Hepatofalk ndi Heptral.

Pankhani ya steatohepatitis ndi steatosis, othandizira omwe amachokera ku ursodeoxycholic acid akuwonetsedwa. Ursosan ndi wa ena omwe ali m'gulu lino, lomwe limakhala ndi chitetezo, anti-yotupa ndipo limapangitsa kutulutsa kwa ndulu. Kanema wapezeka munkhaniyi akuwuzani. momwe matenda a shuga angakhudzire chiwindi.

Masoseji

* Zambiri zili pa 100 g yazogulitsa

Zakudya za chiwindi fibrosis zimathandizira pakudya:

• Supu pa nyama / msuzi wa nsomba / msuzi wa bowa, okroshka, maphunziro oyamba kuchokera ku nyemba, msuzi wowawasa.
• Nyama yofiyira, nyama yofuka, mafuta anyama, soseji yamafuta, mafuta ophikira, nyama zam'chitini, nkhuku zamadzi zam'madzi (tsekwe / bakha), nyama yozizira (chiwindi, impso, ubongo), nyama yokazinga.
• Phika mkate, mkate watsopano, zikondamoyo, ma pie, pizza, makeke, makeke, ma muffins.
• Mazira auwe owiritsa nkhuku yophika, yokazinga, nsomba zam'nyanja, mchere / nsomba zouma / zosuta, caviar.
• Zokometsera ndi zokometsera / zokometsera: mayonesi, viniga, mpiru, horseradish, tsabola, zokhwasula / zonenepa.
• Zinthu zamafuta amkaka kwambiri (kirimu, mkaka wonse, kirimu wowawasa, batala, tchizi chotentha).
• Mitundu ina ya masamba (sorelo, radish, radish, turnip, sipinachi), bowa, nyemba, marinade.
• Mchere / mchere wowuma.
• Suzi zosapsa / zipatso, zipatso zonona, cocoa, mtedza, chokoleti, ayisikilimu.
• Khofi wakuda, zakumwa zoledzeretsa / zakumwa zoledzeretsa, koko, msuzi wa mphesa.

Masamba ndi amadyera

* Zambiri zili pa 100 g yazogulitsa

Zakudya za chiwindi fibrosis zimathandizira pakudya:

• Supu pa nyama / msuzi wa nsomba / msuzi wa bowa, okroshka, maphunziro oyamba kuchokera ku nyemba, msuzi wowawasa.
• Nyama yofiyira, nyama yofuka, mafuta anyama, soseji yamafuta, mafuta ophikira, nyama zam'chitini, nkhuku zamadzi zam'madzi (tsekwe / bakha), nyama yozizira (chiwindi, impso, ubongo), nyama yokazinga.
• Phika mkate, mkate watsopano, zikondamoyo, ma pie, pizza, makeke, makeke, ma muffins.
• Mazira auwe owiritsa nkhuku yophika, yokazinga, nsomba zam'nyanja, mchere / nsomba zouma / zosuta, caviar.
• Zokometsera ndi zokometsera / zokometsera: mayonesi, viniga, mpiru, horseradish, tsabola, zokhwasula / zonenepa.
• Zinthu zamafuta amkaka kwambiri (kirimu, mkaka wonse, kirimu wowawasa, batala, tchizi chotentha).
• Mitundu ina ya masamba (sorelo, radish, radish, turnip, sipinachi), bowa, nyemba, marinade.
• Mchere / mchere wowuma.
• Suzi zosapsa / zipatso, zipatso zonona, cocoa, mtedza, chokoleti, ayisikilimu.
• Khofi wakuda, zakumwa zoledzeretsa / zakumwa zoledzeretsa, koko, msuzi wa mphesa.

Masamba ndi amadyera

Nthawi iliyonse yamatendawa, zotsatirazi ziyenera kuperekedwa kwathunthu kuchokera kuzakudya:

• Mowa mu mtundu uliwonse (makamaka kwa azimayi),
• Nsomba iliyonse yokazinga, mchere, kusuta kapena zam'chitini,
• Maphunziro oyamba otentha mumisuzi yamafuta,
• Zophika zatsopano (kuphatikizapo mkate),
• Mazira osenda kapena owiritsa
• Masamba olemera komanso akuthwa (tsabola, radara, radishes, sipinachi, bowa, etc.),
• Kuzifutsa zamasamba
• Zinthu zamafuta ndi mafuta,
• Zakudya zilizonse zosuta,
• Mitundu yamafuta amkaka ndi nkhuku (maphikidwe okhala ndi tsekwe kuphatikizapo),
• Zachinyengo zonse,
• Zokometsera zokometsera
• Khofi wakuda wamphamvu ndi zakumwa zozizira,
• Ice cream kapena chokoleti.

Zinthu izi, komanso mbale zilizonse zomwe zimapangidwa kuchokera kwa iwo, zimatha kuvulaza thupi la wodwalayo ndikuyambiranso.

Zakudya za cirrhosis, ngakhale zimasiyana, zimakhala ndi zoletsa komanso zoletsa zingapo pa chakudya. Ndi shuga, cirrhosis, hepatitis, cholecystitis, ndikofunikira kusiya zakudya zokazinga, mchere, kuzifutsa, ndi zamzitini.

Kuphatikiza apo, tebulo nambala 5 silimbikitsa kudya:

• Soseji
• Mafuta a kanyumba tchizi
• Tchizi
• Batala ndi margarine,
• Ziphuphu
• Bowa
• Kvass
• Chocolate
• Zonunkhira - horseradish, mpiru, tsabola, etc.,
• Mitundu - sorelo, sipinachi,
• Zambiri
• Cocoa ndi khofi
• Nkhumba ndi mafuta a mutton
• Zakudya zonunkhira komanso zamchere,
• Mowa

Ndi zoletsedwa kumwa zakumwa zozizira, ngakhale pakati pawo ndikuloledwa zakumwa za zipatso ndi zakumwa zipatso. Kumwa kuyenera kutentha nthawi zonse.

Zakudya zovomerezeka ndi zakudya ndizophatikiza zotsatirazi.

• nthaka oat, buckwheat, mpunga, semolina, tirigu wonenepa, ochepa mzere ndi bulgur,
• pasitala
• buledi: ndi chinangwa, kuchokera ku ufa wa rye, zoyera zoyera, zopindika, masikono a mkate,
• makeke ophika mabisiketi, makeke opanda yisiti,
• ochepa - mafuta: batala ndi masamba.

• okhuthala: mbatata, kaloti, kubowola, dzungu, Beijing ndi kolifulawa,
• ochepa - amadyera ndi masamba osiyanasiyana a saladi, tsabola wa belu,
• nkhaka
• tomato
• mapeyala
• nyemba zobiriwira
• kuchuluka kwamadzi amnyanja.

• kucha, zofewa, osati maapulo wowawasa,
• dosed - nthochi, chivwende (nyengo),
• ndi kuvomerezedwa ndi dokotala - zipatso ndi zipatso,
• zipatso zouma: ma prunes, ma apricots owuma, vwende zouma.

• mbalame zopanda khungu,
• nyama ya kalulu
• nyama yaying'ono ndi nyama yamwana wamphongo,
• nyama yamahatchi.

Nsomba ndi nsomba zam'nyanja:

• nyanja yamafuta ochepa
• Zakudya zonse zam'madzi ndizochepa komanso kuvomerezedwa ndi dokotala.

Zakudya zam'madzi zokhala ndi chiwindi fibrosis

Azungu azira - osapitilira 2 patsiku, kugwiritsa ntchito yolks kuyenera kuvomerezedwa ndi adokotala.

Osaposa mapuloteni awiri patsiku

Zakumwa: pang'ono tiyi wopanda mphamvu wakuda, chamomile decoctions.

Osati tiyi wakuda wamphamvu wokhala ndi fibrosis

Zinthu zamkaka ndi mkaka wowawasa: zonona wowawasa ochepa, k tchizi tchizi, kefir, yogati, tchizi.

Mowa woletsedwa chifukwa cha chiwindi

• Zakumwa (zakumwa zoledzeretsa, khofi ndi m'malo ake popanda tiyi kapena khofi, coco, zakumwa za carbonated, mitundu yonse ya tiyi).
• Crump - nyemba, balere, chimanga - mogwirizana ndi adokotala.
• Soseji, mafuta osakira nyama.
• Mafuta mitundu ya nyama ndi nsomba, offal.
• Mchere wamchere.
• Nyama ndi nsomba zaamphaka.
• Crab nyama mankhwala.
• Confectionery, makamaka chokoleti.
• Muffin
• Mkaka wamafuta ndi mkaka.
• Masitolo ogulitsa.
• Masamba ndi zipatso - motsogozedwa ndi katswiri.

Cirrhosis ndi Matenda Opatsirana

Zakudya za hepatitis zimaphatikizapo kuchepetsa katundu pa gawo lonse la m'mimba, osangokhala pachiwindi ndi ku ndulu.

Komabe, ichi ndi chakudya chathunthu, chokhala ndi mapuloteni okwanira ndi chakudya, chokhala ndi mafuta komanso mchere wambiri.

Ndi hepatitis, ndizovomerezeka kugwiritsa ntchito mikate yoyera ndi yakuda, zinthu zamkaka, nyama, nsomba, soups pa msuzi wamasamba, omele protein yama protein. Kuwonetsa osiyanasiyana mafuta odzola, maapulo owuma. Mchere umafunika kuthiridwa m'mbale zopangidwa kale, ndipo masaladi amayenera kuthiriridwa ndi mafuta a masamba pang'ono.

Zakudya za cirrhosis ndi ascites

Ndi ascites, pamakhala kuchuluka kwa madzi ambiri m'mimba kapena mbali zina za thupi. Pomwe ma ascites akuwonekera, chiwindi chimayambitsa mlandu. Kuti muchepetse mkhalidwe wa odwala omwe ali ndi ascites ndikulimbikitsa kuchira, mtundu wotsatira wa zakudya umalimbikitsidwa.

Pewani zakudya zoletsedwa zomwe zimasungabe madzi mthupi. Uwu ndi mchere, zokometsera zokometsera, zokometsera zokometsera. Kwa odwala, kuchuluka kwamadzimadzi ndi lita imodzi patsiku, kuphatikizapo sopo ndi zakumwa.

Tulutsani phala lotsekemera ndi batala wochepa, masamba kapena masamba amphika, nyama yophika kapena nsomba zam'nyanja amaloledwa ndi ascites. Zipatso zabwino kwambiri ndi maapulo ophika ndi supuni ya uchi. Mwa zakumwa, kutsekemera kosangalatsa kwa m'chiuno cha rose kumasankhidwa.

Chimodzi mwa matenda oopsa m'magawo am'mimba ndi cirrhosis. Imayimiriridwa ndikusintha kosasintha kwa minofu ya chiwindi, yomwe imabweretsa zotsatira zoyipa.

Ndikosatheka kuchira kwathunthu ku matendawa, ndipo ngati ascites ajowina matenda a cirrhosis, vutoli limakulirakulira nthawi zina.

Ascites amawonetsedwa ngati mawonekedwe am'mimba, momwe timadzi timadzi timadziphatikizira. Matenda onsewa ndi olumikizidwa, osachiritsika.

Koma pali njira zomwe zitha kuchititsa kuti kusiyidwa kwa matenda awa. Izi zimafuna chithandizo chokwanira ndi kugwiritsa ntchito mankhwala osokoneza bongo, kukana zizolowezi zoyipa, kuphatikizapo mowa.

Malo apadera pamankhwala amasewera ndi zakudya za matenda amisempha. Ndikofunikira kudziwa zonse zokhudzana ndi izi kuti mudziwe bwino.

Cirrhosis ndiowopsa chifukwa chokhala chete pakupanga njira ya pathological. Poyamba, wodwala sangakhale ndi zizindikiro zazikulu.

Izi ndichifukwa mulibe mathero amanjenje mu chiwalo chokha. Chiwindi chikakula kukula, chimayamba kupanikizika ndi ziwalo zam'mimba zoyandikana, kuphatikiza diaphragm.

Izi zimayambitsa kupweteka kwam'mimba, komwe kumakhala chizindikiro choyamba cha matenda oopsa. Pamaso ululu isanayambike, wodwalayo amatha kupeza kufooka, kuwonongeka kwakukulu, kuwonongeka kwa ntchito.

Matendawa amakula pang'onopang'ono, zifukwa zotsatirazi zingathandize pa izi:

• Mowa osokoneza bongo komanso uchidakwa.
• Matenda a hepatitis m'njira zosiyanasiyana,
• Kugwiritsa ntchito mankhwala oopsa mosalekeza
• Matenda a metabolism
• Kulephera kwa mtima komwe kumayambitsa kuperewera kwa chiwindi.

Ascites ndi zovuta za matenda amitsempha, akuwonetseredwa mu mawonekedwe a kukomoka pamimba. Itha kuchitika chifukwa chosowa chithandizo choyenera cha matenda a cirrhosis komanso zakudya zochizira.

Matendawa amapangidwa chifukwa chophwanya magazi amatuluka m'mitsempha yama venous mu chiwalo chokha, kuchuluka kwakukulidwa kumadziwika.

Chifukwa cha kuwonongeka kwa chiwindi ndi impso, sizitha kuchotsa madzi owonjezera kuchokera mthupi la munthu. Zotsatira zake, madzi onse amadzaza pamimba, ndikupanga kukokoloka.

Ndikosatheka kuchiritsa matenda onse awiri, koma kukhazikika kwa njira ya pathological kungathe kupewedwa.

Izi ziyenera kuthandizidwa ndi dokotala wodziwa bwino yemwe adzayesere matenda athunthu, kupereka chithandizo choyenera.

Kuphatikiza pa chithandizo chamankhwala, ndikofunikira kwambiri kukhazikitsa zakudya zoyenera za matenda a chiwindi ndi ascites.

Chakudya chapadera chimakhala ndi phindu pa chiwalo chomwe chakhudzidwa, komanso:

• Zimalepheretsa kupititsa patsogolo matendawa,
• Imalimbikitsa kukonzanso kwachikhulupiriro,
• Zimapangitsa kudziziritsa maselo owonongeka,
• Imachepetsa kagayidwe kachakudya,
• Chimalimbikitsa kutseguka kwa ntchito zoteteza.

Popeza ascites ndi mtundu wina wa zovuta za chiwindi, muzu wake umayenera kuchotsedwa kuchiza matendawa.

Chifukwa chake, ndikofunikira kupewa kuti chiwalo chisawonongeke. Mothandizidwa ndi zakudya zochizira, mutha kuyimitsa njira yothandizira.

Zakudya za zakudya zimatengera gawo la kukula kwa matendawa komanso zovuta zake.

Matendawa amagawidwa m'njira zingapo zachitukuko. Iliyonse ya iwo ali ndi njira yakeyake yazakudya, momwe zakudya zam'menyu zathanzi zimasiyana.

Zinthu zoyambitsa matenda a chiwindi:

• hepatitis B, C, ma virus,
• Mitsempha yodutsa magazi
• mafuta hepatosis
• cholestasis wopitilira,
• chidakwa hepatitis.

Chithandizo cha matenda amchiwindi a chiwindi chiyenera kuyamba nthawi yomweyo, atazindikira kuti ali bwino. Dokotala yemwe akupezekapo ayenera kusankha anthu awa:

• kuphatikizidwa kwa zinthu zongoyambitsa matenda zomwe zingakulitse vutoli (mowa, zilizonse zoopsa, mankhwala am'nyumba),
• mankhwala
• zakudya zapadera
• mankhwalawa ochizira matenda ndi kupewa zotheka zovuta.

Munthu wodwala matenda a chiwindi ayenera kuyamba njira yake kuti achire ndi kupita kwa dokotala, chifukwa ndi katswiri wodziwa bwino yemwe amatha kusankha njira yoyenera yothandizira ndikupereka malangizo othandizira odwala, poganizira zomwe wodwalayo adabwera.

Pachikhalidwe, madokotala amalimbikitsa kuti azikhala ndi chakudya 5, chomwe chimachotsa zakudya zomwe zingakhale zoopsa. Ziwalo zam'mimba zoyendetsedwa m'mimba ziyenera kutsitsidwa momwe zingathere, koma sizifunikira kuchepetsa kuchuluka kwa michere yofunika pamoyo. Lamulo lofunikira ndikuchepetsa mafuta okhala ndi mapuloteni komanso mafuta ochulukirapo.

Pochiza matenda oopsa monga chifuwa cha chiwindi, palibe zopangika, kotero mbali zambiri ziyenera kukumbukiridwa:

• mitundu yazogwiritsidwa ntchito
• calorie mbale,
• njira zopangira
• njira yophikira
• kuchuluka kwamadzi.

• Chakudya chamagulu. Zakudya zizikhala m'magawo ang'onoang'ono, koma nthawi zambiri. Nthawi yomweyo, ndikofunikira kwambiri kuti azitsata maulamuliro kuti chakudya chimatenge nthawi yomweyo tsiku lililonse,
• Njira yakumwa. Imwani pafupifupi 1.5 malita amadzi oyera tsiku lililonse (msuzi ndi zakumwa siziphatikizidwa ndi buku lino),
• Kukana mchere. Madokotala ena amalola kudya kwa mchere wambiri ngakhale supuni ziwiri patsiku, koma zotsatira zabwino, muyenera kuzisiyiratu.
• Zakudya zonse zizikhala zofewa komanso zosankhidwa bwino,
• Chakudya chimangotentha chokha (kuzizira kuyenera kutentha, kutentha - kuzizira),
• Kukana kuchokera yokazinga (njira zazikulu zophikira kuphika, kuwotcha, kuphika ndi kutumizirana).
• Masiku osala kudya nthawi zina amakhala ovomerezeka.

Kutengera zonse zili pamwambapa, zabwino zimatha kuchitika.

• Amachepetsa kwambiri kapena amayimitsa kupitilira kwamatendawa,
• Njira za kubwezeretsanso minofu zimakhazikitsidwa, zomwe zimabweretsa kubwezeretsanso ma cell a chiwindi (hepatocytes),
• Metabolism ikukulira
• Chitetezo chokwanira chimalimbikitsidwa.

• Okhwasula mikate yoyera ndi yakuda,
• masamba
• kupanikizana ndi uchi
• zipatso, zonse zatsopano komanso kukonzedwa (zipatso zophatikizika, zakudya zonunkhira, ndi zina).

Zakudya za cirrhosis za chiwindi nthawi iliyonse zimapereka kukana kwathunthu zinthu zoyipa, monga:

• mafuta
• yokazinga
• kusuta
• zonunkhira, kuphatikiza anyezi ndi adyo,
• mowa ndi zakumwa zoziziritsa kukhosi.

Opatula kwathunthu ku chakudya:

• nyama zamafuta ndi nsomba,
• mchere ndi zonunkhira
• nyemba
• bowa
• zipatso zouma ndi zipatso,
• kuphika,
• mpiru, radish, radish, sorelo.

Zakudya zamtunduwu zimaperekedwa kwa zizindikiro zoyambirira za matendawa. Zakudya zambiri zomanga thupi zimaphatikizidwa muzakudya:

• zopangidwa mkaka (mkaka, tchizi tchizi, kefir),
• ng'ombe
• zoyera
• nsomba zam'nyanja ndi nsomba zamafuta ochepa.

Zomwe zimagwiritsidwanso ntchito ndi phala (oat, buckwheat, mapira).

Ndi cirrhosis yowola, minofu yathanzi yathanzi imasinthiratu, ndikusinthidwa ndi cicatricial, yomwe imapangitsa kuti chiwalo chisagwire ntchito yake. Vutoli limapangitsa wodwala kuti azikhala ndi chidwi ndi zomwe amadya.

Zakudya zamapuloteni ziyenera kuchepetsedwa kapena kuchotsedwa kwathunthu kuti tipewe kupsinjika pazinthu zomwe zakhudzidwa. Gawo lalikulu la zakudya liyenera kukhala ndi masamba (kabichi, kaloti, nkhaka, beets) ndi mafuta a masamba.

Zakudya za cirrhosis ndi ascites (dontho) zimafunikira njira yosamalitsa.

Pali malamulo angapo omwe amafunikira kuti azikhazikika:

• Gawo loyamba ndikusiya mchere wonse (m'malo mwake, mutha kuwonjezera mandimu kapena masamba azonunkhira ku chakudya).
• Chepetsani kuchuluka kwamadzi omwe amamwetsa pang'ono (lita imodzi patsiku, kupatsidwa madzi onse, kuphatikizapo msuzi ndi zakumwa).
• Chepetsani kuchuluka kwa mapuloteni (osapitirira 70 magalamu patsiku).
• Zopatsa mphamvu za calorie zam'mbale siziyenera kupitirira 2200 kcal patsiku (ndi ascites, chimodzi mwazitsimikizo zazikulu ndizopatula masewera olimbitsa thupi ndi kugona pabedi).
• Idyani zakudya zachilengedwe zokha.
• Zakudya zimaphikidwa kapena kuwotchera, kapena kuwiritsa.
• Msuzi amangololedwa pa msuzi wamasamba.

• Oatmeal m'madzi kapena mkaka wa skim.
• Wheat Cracker kuchokera mkate wopangidwa.
• Dzira 1 yophika.
• Tiyi

• Gawo laling'ono la nyama yophika yophika.
• Yophika masamba.
• Chipatso cha mchere.

• Steam omelet kapena curd souffle.
• Tiyi

• Msuzi wamasamba.
• Nsomba yophika.
• Masamba otenthedwa.
• Amasunga
• Tiyi

Dzungu ndi imodzi mwamasamba abwino kwambiri komanso wathanzi omwe amaloledwa ku matenda ena. Kuchokera pamenepo mutha kuphika zakudya zabwino zingapo, kuyambira ndi mbali zam'mphepete ndikutha ndi mchere. Dzungu lowotchera mu uvuni lingakhale njira yabwino (kumapeto kuphika, mutha kuwonjezera mafuta pang'ono ndi kirimu wowawasa).

Kulowetsedwa kwa nthanga:

• Youma ndi kuwaza bwino dzungu nyemba (1 chikho).
• Thirani 1 chikho cha azitona.
• Ikani kusamba kwamadzi popanda kuwotcha madigiri oposa 60.
• Kuumirira 2 hours.
• Ikani mufiriji kwa masiku 7, ndiye zisa.
• Imwani supuni imodzi tsiku lililonse musanadye.

Njira zowongolera izi zimaphatikizapo ma broth okha omwe amakonzedwa pazosakaniza zapadera pazakudya: parsley, ginger, gennel, marjoram ndi sinamoni. Ndizololedwa kuwonjezera nyama yophika (yopanda khungu). Mtedza ndi uchi wololedwa.

Ngakhale atayesa chotere kapena chakudyachi, matenda a chiwindi si matenda omwe amafunika kudzipereka eni ake. Onetsetsani kuti mukumane ndi katswiri ndipo pokhapokha atamasuka kusintha zakudya zanu.

Menyu ndi mbale

wowawasa ndi mkaka watsopano, tchizi choko,

nyama yambewu ndi nkhuku

chimanga (buckwheat, mapira, soya ufa, oatmeal).

Zakudya za wodwala yemwe ali ndi matenda enaake

phala (oat, semolina, mpunga)

yophika kapena yophika mu uvuni / nkhuku ya microwave

Saladi zochokera ku masamba osaphika ndi owiritsa mumafuta amasamba (maolivi ndiye njira yabwino)

Komanso zipatso zanyengo.

Mapuloteni ambiri amafunikira cirrhosis yoledzera.

Zakudya zokhala pamtundu wowola kapena mkhalidwe wa precomatose zimaphatikizapo kuchotsa pafupifupi mapuloteni onse. Amaloledwa kusiya kutumikiridwa tsiku lililonse kwa vg. Mapuloteni sayenera kuphatikizidwa ngati vutoli silikusintha

Mafuta ambiri omwe amadyedwa ndi odwala amayenera kuchokera ku mbewu ndipo asakhale oposa 90 g patsiku. Mafuta achinyama sayenera kuphatikizidwa. Komanso, mafuta samaphatikizidwa pazotsatira zoyipa monga kusanza, kutsegula m'mimba.

Kuletsedwa kwa chakudya chamafuta kumakhala koyenera kokha ngati matenda amisempha akuphatikizidwa ndi kunenepa kwambiri.

buledi wakuda ndi loyera (stale),

wokondedwa, makeke, shuga, kupanikizana,

zipatso, ma puddings, jellies, mousses.

Oletsedwa mwamagulu: nyemba, mabisiketi amafuta, sorelo, khofi, koko, anyezi, adyo, mbale zokometsera, tiyi wamphamvu, zonunkhira.

Ndi puffuff, muyenera kuchepetsa kuchuluka kwa madzimadzi ndikuchotsa mchere pazakudya. Ndikulimbikitsidwa kudya zakudya zokhala ndi potaziyamu: nkhuyu, zoumba, zipatso, zipatso, masamba.

Ndi kudzimbidwa, adotolo atha kulembera kugwiritsa ntchito kaloti, zipatso, ma apricots, beets, kefir, mkaka, uchi.

Mu vuto lalikulu, akuwonetsa kuti amangodya chakudya chochepa kwambiri cham'mimba.

Chakudya chimatengedwa m'magawo ang'onoang'ono kasanu ndi kamodzi patsiku.

Zizindikiro za cirrhosis mwa amayi omwe ali pa ulalo.

Zakudya zathunthu ndi mapuloteni (pafupifupi 90 g patsiku), mafuta (omwewo) ndi chakudya (mpaka 350 g)

Kuphatikizidwa kwa zakudya yokazinga, komanso mbale zomwe zimakhala ndi katundu wowonjezera katulutsidwe ka m'mimba (zonunkhira, msuzi, etc.)

Kuchepetsa zakudya zomwe zimakhala ndi cholesterol yambiri (nyama yoipa, yamafuta ambiri, makamaka nkhumba, impso, ubongo, chiwindi cha ng'ombe): chakudya chonse chokhala ndi cirrhosis si mafuta.

Kuphatikizidwa mu zakudya zamasamba ndi zipatso, makamaka zatsopano (zimawonjezera ducts ndipo, motero, kugwiritsa ntchito cholesterol)

Zakudya zokhala ndi matenda enaake ziyenera kudyedwa mofunda, ndipo pasapezeke zakudya zoziziritsa kukhosi ndi zakumwa

Idyani nthawi zosachepera 5 patsiku

Njira yabwino kwambiri yophikira zakudya zamatenda akaphika, nthawi zina amaloledwa kuphika mu uvuni

Chakudya Cholimbikitsidwa

Thanzi la matenda a cirrhosis limaphatikizapo zinthu zotsatirazi:

• buledi wowuma ndi wakale ndi wakuda, ma biscuit cookies,
• msuzi wamafuta ochepa
• Ng'ombe yophika kapena yophika, nkhuku zoyera, nsomba zonenepa kwambiri,
• mafuta, omwe amawonjezeredwa m'mbale yotsirizidwa,
• zipatso zatsopano zopanda acid, timadziti,
• njere zabwino
• puloteni ya mazira yophika kapena ma omeled protein
• tchizi chamafuta ochepa, tchizi cholimba,
• tiyi wopanda mphamvu kapena msuzi wa duwa lakuthengo.

Zoti asadye?

Zomwe sizingadye ndi cirrhosis mulimonse:

• nyama yamafuta
• chakudya chokazinga
• Thukuta losungunuka ndi lakuthwa,
• nyama zophika, zakudya zam'chitini,
• sorelo, sipinachi, tomato,
• supu wambiri, msuzi wowawasa kabichi, hodgepodge,
• chokoleti
• mowa, zakumwa zoziziritsa kukhosi,
• makeke ndi zonona.

Mankhwala amakono amakhulupirira kuti pakachulukitsa ndizotheka, ngakhale kuti posachedwapa amakhulupirira kuti uwu ndiowonjezera chiwindi. Tsopano pali lingaliro pa za phindu la nyemba za khofi pachiwindi. Imatha kuchepetsa kuchuluka kwa poizoni, motero imathandizira ntchito ya chiwindi.

Zachidziwikire, simuyenera kutenga nawo mbali pa espresso yolimba tsiku lililonse. Koma nthawi zina mumatha kudzilola kuti mupeze chikho cha khofi wachibwibwi watsopano. Kuphatikiza apo, pali maphikidwe abwino kwambiri ophika omwe adadziwika kwa nthawi yayitali.

Madzi amchere

Madzi ochepa a chiwindi amawonedwa kuti ndi ovomerezeka. Imatha kuledzera ngakhale kupewa. Koma zakudya za matenda amchiwindi zimaphatikizapo kugwiritsa ntchito osati kuchiritsa, koma kuchiritsa.Kuphatikiza apo, kumbukirani kuti madzi osiyanasiyana ndi ochizira matenda osiyanasiyana, chifukwa chake musamadye chilichonse popanda kufunsa dokotala.

Essentuki ndi Borjomi ndi oyenera chiwindi. Mutha kumwa "Slavyanovskaya." Mutha kuwotha musanagwiritse ntchito.

Ndi hepatitis, madzi a Mirgorodskaya ndi othandiza. Kuchuluka kwakukulu patsiku mpaka magalasi atatu. Mukamachiza, muyenera kuchepetsa kuchuluka kwa mchere ndi madzi omwe amalowa mthupi, makamaka ndi chizolowezi cha edema.

Msuzi wa mbatata

• mbatata
• uta
• kaloti
• masamba a parsley
• wowawasa zonona
• mafuta a masamba.

Ikani masamba mu soso, mchere, kuphika mpaka kuphika kwathunthu. Pamapeto kuphika yikani mafuta a masamba. Mukamatumikira, ikani zophika, supuni wowawasa wowawasa.

Tayani chidutswa cha veal, valani poto wowuma, tsanulira msuzi ndi chithupsa, mutembenuza, mphindi 10-15. Lolani nyama kuti iume ndi kuphika mu uvuni wotentha pa waya wotsekera. Kuphatikiza mchere ndi zitsamba zatsopano, musawonjezere zonunkhira ndi zitsamba zilizonse.

Mpunga Charlotte

• maapulo
• tchizi tchizi
• mpunga
• agologolo a mazira awiri,
• shuga
• vanila
• batala.

Wiritsani mpunga. Maapulo amchere, sakanizani ndi tchizi cha grated tchizi. Onjezani mpunga, shuga, vanila, mapuloteni otukwana. Sungani. Phatikizani nkhungu ndi batala, ikani charlotte, kuphika mu uvuni wotentha kwa mphindi 25.

Ikani nsomba yokhala ndi mafuta ochepa kwambiri pilo ya mbatata, anyezi ndi kaloti, nyengo ndi mafuta a masamba. Kukulunga ndi zojambulazo, kuphika kwa mphindi 15-20. Kuwaza ndi parsley.

Curd Pudding

• tchizi tchizi
• zoyera
• shuga
• batala
• semolina.

Opaka tchizi chofunda kudzera suna, kumenya. Thirani semolina ndi madzi otentha, kusiya kutupa. Menyani mapuloteni ndi shuga. Phatikizani zosakaniza, sakanizani ndikuwonjezera batala losungunuka. Thirani mtanda mu nkhungu, kuphika mpaka wachifundo. Puddings wokonzeka akhoza kuthiriridwa ndi kupanikizana.

Zizindikiro za matenda amkuntho komanso matenda ashuga

Tisanalandire chithandizo cha matenda a shuga komanso matenda enaake, tiyeni tiwone zomwe, matenda ngati awa amawonekera mthupi lathu.

Zomwe zimayambitsa matenda a chiwindi:

• kukhalapo kwa matenda kapena ma virus,
• kumwa kwambiri
• kusowa kwa mapuloteni komanso mavitamini m'thupi,
• poyizoni ndi mankhwala omwe ali muzinthu zambiri,
• kugwiritsa ntchito kwambiri mankhwala
• kupezeka kwa miyala mu ndulu kapena impso,
• kupezeka kwa zotupa
• makulidwe a mwanabele,
• kuvulala thupi pambuyo pakuchita opareshoni,
• kutupa kwa biliary dongosolo,
• chibadwa cholowa
• kukhalapo kwa "tiziromboti" m'thupi.

Komanso, matenda monga hemochromatosis, matenda a Wilson-Konovalov, tyrosinosis, glycogenosis, ndi osakwanira alpha1-antitrypsin m'thupi amathandizira kukulitsa cirrhosis.

Tsopano tikupitiliza mwachindunji kuphunzira komwe kungatheke zoyambitsa matenda ashuga:

• cholowa
• pafupipafupi zovuta
• kumangokhala
• matenda aakulu a kapamba, chiwindi kapena impso,
• mtima kulephera
• ochepa matenda oopsa
• kumwa mahomoni a steroid
• kuchepa chitetezo chokwanira
• kunenepa.

Zizindikiro Za Matenda A shuga onerani motere:

• kutopa kwambiri
• njala yosalekeza
• ludzu losalekeza la madzi
• kukodza pafupipafupi,
• kuwonda mwadzidzidzi
• mabala okhalitsa,
• kuwonongeka kwamawonekedwe
• kukhalapo kwa matenda oyamba ndi akazi
• mavuto ndi moyo wogonana mwa amuna,
• pafupipafupi mikono ndi miyendo ndi kumva kulira pang'ono pakati pawo.

Zokhudza kufotokozera Zizindikiro za cirrhosisndi:

• kufooka
• kutopa,
• kumva kuwonda m'chiwindi,
• kukula kwama capillaries amwazi,
• kuthamanga kwa magazi
• ascites
• ndulu zokulitsidwa,
• mitsempha yam'mero ​​yotupa
• "mesh" m'mimba,
• kutsika kwa kuchuluka kwa mapuloteni m'thupi,
• gum magazi
• magazi osafunikira kuchokera pamphuno,
• kupweteka m'mimba
• mkodzo wakuda.

Mfundo Zakudya za Cirrhosis ndi shuga

Ganizirani zomwe zakudya zanu zimayenera kukhala, mukamatsata zakudya zochizira matenda ashuga komanso matenda enaake. Poyamba, muyenera kusiya zizolowezi zoyipa: kusuta, kumwa mowa, kudya kwambiri, kugwiritsa ntchito kwambiri zopatsa mphamvu zopatsa mphamvu ndi zina zambiri.

Kuti muthane ndi matenda omwe ali pamwambapa, onetsetsani zotsatirazi Malamulo azakudya:

• pafupifupi calorie kudya tsiku lililonse kuyambira 2600 mpaka 2800 kilocalories,
• idyani katatu patsiku, m'magawo ang'onoang'ono,
• patsiku, pakudya, azimwa madzi osachepera awiri malita
• malinga ndi zakudya zomwe zili pamwambapa, zakudya zimalimbikitsidwa kuti zigwiritsidwe ntchito zophika, zophika ndi zotentha,
• mukamadya chakudya kuti muchiritse matenda a chiwindi ndi matenda ashuga, musayese kudya kuzizira kwambiri kapena chakudya chotentha kwambiri, chifukwa izi zimapweteketsa matumbo anu.
• Zakudya zokhala ndi matenda a chiwindi ndi matenda a shuga, ndikofunikira kupera zinthu,
• mukamadya kuti muchepetse matenda a shuga komanso matenda ashuga, yesetsani kuphatikiza muzakudya zanu masamba ambiri ndi zipatso zomwe zimalemeretsa thupi ndi fiber ndi mavitamini,
• Zamkaka zokhala ndi izi ndizovomerezeka kuti zizidyedwa popanda mafuta.

Mndandanda wazinthu zoletsedwa ndi zololedwa

Tisanapange mndandanda watsatanetsatane sabata ikubwerayi, tiyeni tikambirane yani Zogulitsa ndizovomerezeka pakudya kwamatenda a shuga komanso matenda ashuga:

• tiyi, koko, khofi,
• zipatso zimaphatikizira
• buledi wakuda ndi loyera,
• skim mkaka: tchizi tchizi, kirimu wowawasa, kefir, mkaka, yogati, tchizi,
• mafuta
• zander, Pike,
• mkaka ndi mkaka
• bulwheat, oatmeal,
• mazira
• zipatso: nthochi, zinanazi, sitiroberi, maapulo, mapichesi, ma apricots,
• masamba: zukini, tomato, nkhaka, biringanya, karoti, tsabola,
• amadyera
• kupanikizana.

Koletsedwa mwamagulu Zakudya zotsatirazi zili pazakudya za anthu odwala matenda ashuga ndi matenda enaake:

• nyama ya nkhosa ndi bakha,
• anyezi wobiriwira
• radishi
• mpiru
• nsapato
• nyama zophika, zakudya zam'chitini,
• misuzi ya zokometsera ndi zonunkhira
• shuga.

Zosankha sabata

Kutengera pamndandanda womwe uli pamwambapa wazinthu zovomerezeka, mutha kupanga Zakudya mndandanda zochizira matenda a shuga komanso matenda ashuga sabata yamawa:

Lolemba

• Chakudya cham'mawa: oatmeal ndi tchizi tchizi komanso tiyi wopanda mafuta,
• Chakudya chamasana: tsabola wopaka,
• Chakudya chamadzulo: mbatata yosenda, kapu ya kefir yopanda mafuta.

Lachiwiri

• omelet ndi zitsamba, apulo compote,
• msuzi wamasamba wowawasa wowawasa,
• nsomba zophika ndi 140 g la kanyumba tchizi.

Lachitatu

• semolina phala yophika ndi tiyi wobiriwira,
• saladi wa zipatso ndi yogurt yamafuta ochepa,
• 150 g yophika nkhuku ndi mpunga wosenda.

Lachinayi

• dzira lophika ndi zophika ndi tchizi wosungunuka, koko,
• msuzi wamasamba, kabichi ndi broccoli, 200 ml yogurt,
• 2-3 mbatata yophika mu zikopa zawo, compote.

Lachisanu

• oatmeal mkaka ndi mitengo,
• dzira yophika ndi saladi wa mbatata yophika,
• stew kabichi - 200 g ndi kapu imodzi ya apulosi.

Loweruka

• tchizi wowotcha ndi chakumwa chotentha chopanda mafuta,
• kanyumba tchizi casserole wokhala ndi zipatso, madzi a lalanje,
• nsomba zophika ndi masamba ndi zitsamba - 300 g.

Lamlungu

• Kuchepetsa ndi kupanikizana ndi kapu ya khofi,
• phala la mpunga mkaka,
• 200 g nkhuku yophika ndi apulo.

Zakudya zomwe zili pamwambapa zam'magawo azakudya za matenda enaake ndi matenda ashuga zimatha kukhala zosiyanasiyana ndi chakudya chotsekemera komanso chopatsa thanzi:

Charlotte opangidwa kuchokera ku maapulo ndi mapeyala zochizira matenda amisempha ndi matenda ashuga

Charlotte kuchokera ku maapulo ndi mapeyala

Zofunikira: mazira awiri, maapulo anayi, mapeyala awiri, 300 g wa ufa wa rye, uzitsine mchere, theka la thumba la ufa wophika ndi sinamoni pang'ono kuti mulawe.

• panda dzira ndi ufa,
• yikani mchere, sinamoni ndi ufa wowotchera,
  pezani zipatsozo,
• achotseni pakati ndi kuwaza bwino,
• onjezani zipatso ku mtanda,
• ikani zosakaniza zophika pang'onopang'ono,
• kuphika mumaphikidwe ophika kwa ola limodzi.

Orange Cheesecake ya Cirrhosis ndi shuga

Orange Cheesecake

Zofunikira: 150 g wa oatmeal, 100 g ya apulosi, malalanje, 700 g ya tchizi wopanda mafuta, tchizi limodzi, supuni ya cocoa ndi theka la supuni ya mkate wophika, supuni ya semolina.

• sakanizani applesaise ndi oatmeal, dzira loyera, ufa wophika ndi cocoa,
• kuphika pamoto mu uvuni kwa mphindi 20, kutentha kwa madigiri a 180,
• wiritsani malalanjewo ndi kukukuta mu blender,
• sakanizani ndi zosakaniza zina zonsezo ndikutumiza ku uvuni kwa ola limodzi,
• musanagwiritse ntchito, lolani kuti mbale izizizira kwa maola 3-4.

Chinsinsi chotsatira chakudyacho chimapangidwira kuti muchotse shuga, chifukwa ilibe shuga:

Omwe alibe shuga a curd opanga shuga

Zopanda zopanda shuga

Zofunikira: mapaundi a tchizi tchizi, 150 ml mkaka wa skim, supuni ya oatmeal, dzira ndi uzitsine wochepa wa vanillin.

• sakanizani zinthu zonse ndi blender,
• pereka zigawo zikuluzikuluzo ngati mafupa,
• kuphika kwa mphindi 20, kutentha kwa madigiri a 180.

Zakudya zotsekemera za pamwambapa zochizira matenda enaake zimalimbikitsidwa kuti zizigwiritsidwa ntchito pakudya kamodzi pa sabata.

Matenda a chiwindi mu shuga mellitus: Zizindikiro zamatenda (cirrhosis, mafuta hepatosis)

Matenda a shuga ndi imodzi mwazinthu zomwe zimapangitsa kupangika kwa cirrhosis. Monga mukudziwa, gawo limodzi mwa magawo omwe amaperekedwa limaphatikizidwa ndi kusayenda bwino kwa kapamba, yemwe amayang'anira ntchito za kagayidwe ndi kupasuka kwa shuga.

Kuphatikiza apo, ndi matenda a shuga omwe amatha kudziwidwa kuti ndi matenda obadwa nawo, omwe amatha kukhala ndi vuto la kuperewera kwa m'thupi, kunenepa kwambiri komanso uchidakwa. Mwa njira zina, ndizinthu izi zomwe zimatha kupangitsa matenda a chiwindi, kuphatikizapo matenda enaake acirrhosis.

Kugwiritsa ntchito zakudya zamafuta ochulukirapo kumakhala ndi zowononga osati chiwindi chokha, komanso kapamba. Osachepera, chifukwa amakakamizidwa kugwira ntchito zochulukirapo kuposa masiku onse - chifukwa chake, mphamvu zawo zimathothoka, ndikuwonjezera kukula kwa ntchito ya thupi lonse. Kuchuluka kwamafuta kumakwiyitsa mapangidwe otchedwa mafuta a hepatosis.

Chiwindi chimadutsa magawo angapo a pathological algorithm: steatosis, steatohepatitis, fibrosis ndi zina zina. Kuchuluka kwa mafuta m'chiwindi kumayambitsa kuwonongeka kwa hepatocytes ndipo patapita nthawi - kupangika kwa kutupa.

1. ndiye hepatocytes yowonongeka imasinthidwa ndi minofu ya fibrous, kenako cirrhosis imapangidwa,
2. chifukwa chakuti pali kuchuluka kwa mafuta omwe sanakonzedwe kwathunthu ndi chiwindi, magawidwe awo mthupi lonse la munthu amadziwika,
3. izi ndizomwe zimapangitsa kuti chitukuko cha atherosulinosis, chomwe ndi kufotokozeredwa kwa cholesterol m'dera lamitsempha yamagazi.

Kuphatikiza apo, kuphwanya kwa magazi kwa minofu ya mtima komanso ubongo kumadziwika.

Ichi ndichifukwa chake kupangika kwa matenda a cirrhosis ndi matenda a shuga sikungasiyidwe popanda chidwi.

Zizindikiro za cirrhosis zimapangidwa pokhapokha ngati palibe chithandizo cholondola. Polankhula za momwe masinthidwe a chiwindi amagwirira ntchito, tikulimbikitsidwa kuti tichite chidwi ndi kuwonjezeka pang'ono kwa kutentha kwa thupi ndi kupezeka kwa kufooka.

Matendawa amatha kuphatikizidwa ndikusintha kwa kukula kwa chiwindi, kupezeka kwa mitsempha ya kangaude. Kuphatikiza apo, m'tsogolo, mapangidwe azovuta zonse za matenda a cirrhosis ayenera. Tikulankhula za ascites, magazi ochokera mwachindunji kuchokera m'mitsempha yotupa m'mimba ndi m'mimba, hepatic encephalopathy ndi zina zambiri.

Mwinanso kusintha kwa magawo ena a biochemical, mwachitsanzo, kumawonjezera bilirubin.Komabe, ziyenera kumvetsedwa kuti sikuti kuwonjezera kwa chiwindi kokha, komanso cirrhosis palokha ndi mitundu yosiyanasiyana mu mtundu 1 ndi matenda ashuga a 2.

Matenda a shuga amakhudza thanzi la chiwindi. Chiwalochi chimapanga ndi kusunga shuga, chimagwira ngati chosungira cha shuga, chomwe ndi mafuta m'thupi, kukhalabe ndi glucose ofunika m'magazi.

Glucose ndi chiwindi

Chifukwa cha zosowa za thupi, kusungidwa kapena kumasulidwa kwa shuga kumanenedwa ndi glucagon ndi insulin. Mukamadya, zotsatirazi zimachitika: chiwindi chimasungidwa mu glucose mu mawonekedwe a glycogen, omwe amatha kudya pambuyo pake, pakufunika.

Kuchuluka kwa insulin ndi madigiri oponderezedwa a glucagon panthawi yakudya kumathandizira kutembenuka kwa glucose kukhala glycogen.

Thupi la munthu aliyense amatulutsa shuga, ngati kuli kotheka. Chifukwa chake, munthu akasiya kudya (usiku, nthawi yodyera chakudya cham'mawa komanso chamasana), ndiye kuti thupi lake limayamba kupanga shuga. Glycogen amakhala glucose chifukwa cha glycogenolysis.

Chifukwa chake, zakudya ndizofunikira kwambiri kwa odwala matenda ashuga, kapena anthu omwe ali ndi shuga komanso magazi ambiri.

Thupi lilinso ndi njira ina yotulutsira glucose kuchokera ku mafuta, amino acid, ndi zinthu zonyansa. Njirayi imatchedwa gluconeogeneis.

Zomwe zimachitika ndi vuto:

• Thupi likakhala loperewera mu glycogen, amayesetsa kupulumutsa glucose mosalekeza kwa ziwalo zomwe zimafunikira malo oyamba - impso, ubongo, maselo am magazi.
• Kuphatikiza pakupereka shuga, chiwindi chimapanga njira ina yamafuta akuluakulu a ziwalo - ma ketones ochokera ku mafuta.
• Chofunikira pakuyamba kwa ketogenesis ndichinthu chotsika cha insulin.
• Cholinga chachikulu cha ketogenosis ndikusunga masitolo a shuga a ziwalo zomwe zimafunikira kwambiri.
• Kapangidwe ka ma ketones ambiri silili vuto wamba, komabe ndizowopsa, chifukwa chake, thandizo lachipatala lingafunike.

Zofunika! Nthawi zambiri, shuga wambiri m'mawa wokhala ndi matenda ashuga ndi chifukwa cha kuchuluka kwa gluconeogenesis usiku.

Anthu omwe sakudziwika ndi matenda monga matenda ashuga ayenera kudziwa kuti kuchuluka kwa mafuta m'maselo a chiwindi kumawonjezera mwayi wa matendawa.

Komanso kuchuluka kwa mafuta m'magawo ena a thupi kulibe kanthu.

Mafuta hepatosis. Pambuyo pochita maphunziro ambiri, zidapezeka kuti mafuta a hepatosis ndi owopsa kwa matenda ashuga.

Asayansi apeza kuti odwala omwe ali ndi hepatosis yamafuta ali pachiwopsezo chachikulu cha kupitirira kwa matenda ashuga a 2 kwa zaka zisanu.

Kuzindikira kwa hepatosis yamafuta kumafuna kuti munthu asamale zaumoyo wawo kuti asayambitse matenda ashuga. Izi zikutanthauza kuti zakudya zidzagwiritsidwa ntchito, komanso chithandizo chokwanira cha chiwindi pamavuto aliwonse omwe ali ndi chiwalochi.

Dziwani hepatosis yamafuta pogwiritsa ntchito ultrasound. Phunziro lotereli limatha kuneneratu za kupangidwa kwa matenda ashuga ngakhale kuzungulira kwa insulin m'magazi.

Tcherani khutu! Ngakhale ndi zomwe zili ndi insulin yomwe ili m'magazi, anthu omwe ali ndi mafuta a hepatosis ali pachiwopsezo cha matenda a shuga kawiri kawiri kuposa omwe sakudziwika bwino ndi matendawa.

Mafuta a hepatosis adapezeka mu 1/3 mwa okhala ku US. Nthawi zina zizindikiro za matendawa sizitchulidwa, koma zimachitika kuti matendawa amatha kupangitsa kuti chiwindi chilephere komanso kuwonongeka kwa chiwindi ndikotheka.

Ambiri amati hepatosis yamafuta ndimatenda a chiwindi chauchidakwa, koma matendawa amatha kukhala ndi zifukwa zina komanso zizindikiro.

Zofunika! Kunenepa kwambiri mu chiwindi kumakhudza insulin kukana.

Poyerekeza ndi mawonekedwe a fomu yolipiridwayo, kukulitsa kupatuka ndikocheperako ndipo nthawi zambiri kumachitika mothandizidwa ndi zinthu zosiyana kotheratu. Nthawi yomweyo, ngati chithandizo choyenera sichinachitike, chiwonetsero chazachipatala chimatha kuzindikira.

1. jaundice
2. kuvutika mu hypochondrium yoyenera,
3. kukulitsa chiwindi
4. kupezeka kwa mitsempha ya kangaude.

Chiwindi cha matenda ashuga (ng'ombe ndi nkhuku): ndizotheka kudya shuga?

Chiwindi chomwe chimakhala ndi matenda ashuga ndizothandiza kwambiri, chifukwa ndichofunikira kwambiri pakudya. Tiyenera kudziwa kuti amaphatikizidwa muzakudya zamatenda ena akuluakulu, komanso pofuna kupewa.

Chiwindi chimapangitsa Vitamini wambiri wachilengedwe kukhala wofunikira kwambiri. Zofunikira kwambiri pazogulitsa ndi chitsulo ndi mkuwa. Mosiyana ndi zakudya zina, zinthuzi zomwe zimachitika m'chiwindi zimagwira bwino ntchito, zomwe zimawapatsa mphamvu m'thupi.

Ndi kuperewera kwachitsulo, ndizosatheka kukhala ndi hemoglobin yolondola, ndipo kukhalapo kwa mkuwa kumapereka mawonekedwe odana ndi kutupa. Kuphatikiza apo, chiwindi chimakhala ndi mavitamini, michere yaying'ono komanso zazikulu, ma amino acid, omwe ndi othandiza kwambiri ku ubongo, impso ndi khungu pakhungu la matenda ashuga 2.

Tcherani khutu! Izi ndi zabwino kwambiri, zomwe zimayenera kuphika. Kupanda kutero, mbaleyo imatha kukhala youma komanso yosasintha kuti idye. Kwa anthu omwe ali ndi matenda a shuga a 2, chiwindi chimakonzedwa molingana ndi maphikidwe apadera.

Nkhaniyi ifotokoza za mbale zotchuka kwambiri.

Chiwindi chimakhala chamtengo wapatali chifukwa chazitsulo zake zambiri. Nthawi zambiri amagwiritsidwa ntchito popangira saladi ndi kutentha. Chogulacho chimakhala chofewa kwambiri pokhapokha mwachangu, ndipo chikatha kuwiritsa chimatenga mafuta bwino, mwachitsanzo, mafuta a masamba.

1. Chochita choyamba chimaphikidwa m'madzi amchere ndikudula.
2. Mu stewpan, anyezi amatsitsidwa ndipo chiwindi chimawonjezeredwa kwa icho.
3. Kutumphuka kwa golide kumawoneka pachiwindi, osangowonjezera mafuta pamalowo, apo ayi likhala louma.
4. Thirani mikate yoyera kapena yophika, zonunkhira, ndi zitsamba mu suppan.
5. Kuti mupereke kufewa, mutha kuwonjezera madzi pang'ono ndikuphira kwa mphindi 3-5.

• Chiwindi kapena chiwindi cha ng'ombe chimapukusidwa kudzera mu chopukusira nyama ndi mchere.
• Kaloti ndi groti ndi mazira a mazira amawonjezedwa ku minced nyama.
• Pambuyo posakaniza kuchuluka komwe kumapangitsa, mapuloteni amawonjezeranso.
• Chilichonse chimasakanikirananso ndi kusakaniza ndi nkhungu yothira mafuta ndi kuwaza ndi mkate.
• Wotchera matumbo kwa mphindi 40.

1. Pophika, mungatenge nkhumba ndi ng'ombe ndikuwiritsa ndi masamba (kaloti, parsley, anyezi) m'madzi amchere.
2. Ng'ombe kapena nkhumba ya nkhumba ziyenera choyamba kuzikhathamira mkaka kwa maola 1.5-2.
3. Chiwindi chimayikidwa pomwe nyama yophika mphindi 15 kumapeto kuphika.
4. Steam 2 mbatata zikuluzikulu ndikupera mkate ndi blender.
5. Dutsani zonse katatu katatu kudzera mu chopukusira nyama ndikuwonjezera dzira, mchere, zonunkhira.

Zotsatira zomwe zimayikidwa zimayikidwa pa pepala lopaka mafuta ndikuyika mu uvuni wofundira mpaka 220 ° C kwa mphindi 30. Phala lakonzeka. Ikazizira, imatha kuduladula komanso kuigwiritsa ntchito tchizi ndi nandolo zobiriwira.

Chiwindi cha nkhuku chimakhala ndi zochepa zama calorie, monga zotere zimafunikira mu zakudya za odwala omwe ali ndi matenda a shuga a 2. Chochita chimasintha mtundu wa metabolic mthupi ndikuchiwukonzanso mkati. Zakudya zilizonse zama calorie ochepera shuga zimaphatikizanso nyama iyi muzakudya.

Ubwino wa chiwindi cha nkhuku ndikuti ndiwambiri mu kufufuza zinthu, mavitamini ndi zinthu zina zopindulitsa. Mwachitsanzo, mapuloteni mkati mwake ndi ofanana ndi bere la nkhuku.

100 magalamu a chiwindi cha nkhuku muli:

• Vitamini A - 222%. Imayendetsa ndikuthandizira chitetezo cha mthupi, imasunga thanzi la ziwalo zam'maso, mucous nembanemba.
• Vitamini B 2 - 104%.Zimathandizira kuti mapuloteniwa azitha kulowa mwachangu kuposa zinthu zina.
• Vitamini C - 30%.
• Iron - 50% (chomwe ndi chizolowezi cha thupi la munthu tsiku ndi tsiku).
• Calcium - 1%.
• Heparin - amasunga kuchuluka kwa magazi pa mulingo woyenera (kupewa matenda a thrombosis ndi myocardial infarction).
• Choline - imathandizira kukumbukira kwa ubongo ndi kukumbukira.
• Zinthu zina zofunikira: potaziyamu, mkuwa, chromium, cobalt, magnesium, sodium, molybdenum.

Zinthu zonse zimakhudzidwa ndikupanga magazi kuchokera ku magazi, kuwasefa kutali ndi zinthu zovulaza ndikuwonjezera hemoglobin, yomwe ndiyofunikira kwambiri mtundu wa 2 shuga. Kuchokera pamenepa titha kunena kuti kudya pafupipafupi kwa chiwindi cha nkhuku mu chakudya kungathe kusintha mavitamini angapo. Komabe, zovutazi ziyeneranso kuphatikiza mavitamini a odwala matenda ashuga!

Pofuna kuti musavulaze thupi lanu, pogula chiwindi, muyenera kuganizira zinthu zina:

1. Chiwindi chizikhala chatsopano komanso chosakanika.
2. Mtundu wake uyenera kukhala wachilengedwe, wopanda mawanga amdima ndi wellowness.
3. Mitsempha yamagazi, chikhodzodzo, mafuta okhala ndi mafupa am'mimba ndizosapezeka pazinthu zabwino.

• chiwindi - 400 gr,
• bowa - 200 gr,
• phala la phwetekere - ½ chikho,
• mafuta a masamba
• mchere, tsabola.

Ngati bowa wouma wagwiritsidwa ntchito, ndiye kuti ayenera kukhazikika mumkaka. Chiwindi chimaphikidwa kwa mphindi 10-15, pambuyo pake chimayenera kupangika ndikudulidwa kukhala magawo abwino. Thirani mafuta mumasamba mu poto wa preheated, ikani chiwindi, kuwonjezera zonunkhira ndi mwachangu kwa mphindi 10.

Tsopano mutha kuyika bowa mu poto, kuwonjezera phwetekere la phwetekere ndikutsanulira msuzi wa bowa. Mbaleyi imaphikidwa mu uvuni mpaka kutumphuka wagolide. Mukatumikira, ikonkheni ndi zitsamba zosankhidwa.

Pancreas wathanzi amabisa insulin, yomwe imagwiritsa ntchito shuga wambiri wamagazi. Gawo la glucose lomwe limaperekedwa ndi chakudya limadyedwa ndi minofu nthawi yochita masewera olimbitsa thupi. Ntchito zolakwika za thupi zomwe zimayambitsa kupanga insulini zimapangitsa kuti kuchuluka kwa glucose kumachuluka, komwe kumakhudza mavuto ena ambiri azaumoyo.

Popeza zakudya zamafuta zimabwera kwa ife ndi chakudya, ndizomveka kuganiza kuti njira yolondola ingakhale kuchepetsa kuchuluka kwawo. Kodi zakudya ndi shuga za mtundu wachiwiri ziyenera kukhala chiyani kuti shuga asatuluke, tanena m'nkhani ino.

Matenda a shuga ndi matenda oopsa komanso oopsa. Ndiye amene amayambitsa magazi kuundana, komanso mikwingwirima ndi mtima. Matendawa amakhudza ziwalo za m'mimba zowonjezera, zimayambitsa kuwonongeka kwa chilengedwe cha thupi lathu - chiwindi. Kuwona kumavutika, popeza shuga wowonjezereka amakhumudwitsa mapangidwe a glaucoma kapena matenda amkati.

Mu matenda a shuga, kapangidwe kake kapamba kamasokonekera, komwe kumaphwanya shuga ndikuwongolera kagayidwe. Izi zimakhudza kugwira ntchito kwa chiwindi.

Kukula kwa matenda a endocrine nthawi zambiri kumayamba pakati pa kumwa mowa kwambiri, fodya komanso zakudya zopanda thanzi, zomwe zimayambitsa kunenepa kwambiri. Zakudya zamafuta ndi zakumwa zoledzeretsa zimakhudzanso machitidwe a kapamba ndi chiwindi - ayenera kugwira ntchito mopitilira muyeso. Zotsatira zake, pali kufooka kwa ziwalozi komanso kuwonjezereka kwa magwiridwe antchito athu onse.

Mafuta amapanga hepatosis yamafuta, yomwe imathandizira kukulitsa steatosis, steatohepatitis, fibrosis ndi cirrhosis. Mafuta amakhudza kwambiri hepatocytes, motsutsana ndi kumbuyo komwe njira yotupa imapangika, pang'onopang'ono imayambitsa matenda a cirrhosis.

M'malo mwa maselo owonongeka a hepatocyte, mafupa amtundu wa chiwindi, chiwindi sichingakonzere mafuta ochulukira, kotero amagawidwa m'magulu onse amkati. Chifukwa chake, zovuta zamatenda monga atherosulinosis, kutsekeka kwa magazi mu mtima ndi ubongo kumatulukira.

Ndi mtundu woyamba wa matenda ashuga (mtundu womwe umadalira matenda a insulin), wodwalayo sangachite popanda kuvulaza insulin.Insulin ndi timadzi tomwe ma glycogen amadziunjikira m'chiwindi.

Ngati simukuchita bwino mankhwalawa, chiwindi chimayamba kuchuluka, zomwe zimabweretsa kuwawa. Koma zikafufuzidwa pa chiwalo, mapangidwe azomwe zimapezeka sazindikira. Ndikofunikira kuyambitsa chithandizo chanthawi yake, ndiye kuti chiwindi chibwerera mwachizolowezi. Kupanda kutero, kukula kwa matenda a cirrhosis ndikotheka.

Ma pathologies a chiwindi amadziwonetsa pomwe akupita patsogolo, chifukwa chake, poyambira, sizotheka kudziwa cirrhosis nthawi zonse. Zizindikiro zomwe zimawonekera pambuyo potenga nawo gawo pazitupa za ndulu:

• kulawa kuwawa mutatha kudya musanadye chakudya cham'mawa choyamba,
• kumva kuwawa komanso kusasangalala pambuyo chakudya,
• kupweteka kudzanja lamanja pansi pa nthiti,
• mpweya m'mimba (ukufalikira),
• zotupa pakhungu,
• nseru, limodzi ndi kusanza ndi kusanza,
• osayanjana chifukwa
• kuchuluka kwa kugona ndi kuwodzera masana,
• kugona usiku
• kusowa kwa chakudya
• kuteteza khungu ndi mapuloteni amaso,
• kuwonongeka kwachilendo kwa ndowe ndi madzi amkodzo,
• kutupa kwa miyendo.

Kuti mankhwalawa akhale ndi zotsatira zabwino, matenda a chiwindi ayenera kupezeka koyambirira kwa chitukuko. Ngati munthu wodwala matenda ashuga apatsirana zizindikiro zoyambirira, matendawa amatha kudzikonza, ndipo chiwindi chimachira.

Ngati mwayikidwa mankhwala okwanira antidiabetes, pitilizani kumwa mankhwalawa, koma onetsetsani kuti mwadziwitsa endocrinologist za mavuto a chiwindi. Mwina atenga mapiritsi ena kapena njira zovomerezeka.

Kukulitsa maselo a chiwindi, katswiri wa matenda opatsirana, limodzi ndi endocrinologist, amafotokoza za hepatoprotectors. Amabwezeretsa ndikuyeretsa chiwalocho. Nthawi zambiri awa ndimankhwala Heptral, Essentiale, Hepa-Merz, Hepatofalk.

Mankhwala ali ndi contraindication komanso zoyipa zomwe zimachitika, motero lingaliro pa kugwiritsidwa ntchito kwake limapangidwa pamlingo payekha, kutengera ndi matendawa, mawonekedwe a thupi, komanso kupezeka kwa ma pathologies.

Pa gawo loyambirira la cirrhosis, pokhapokha pokhapokha steatohepatitis kapena steatosis, mankhwala ozikidwa ndi ursodeoxycholic acid, mwachitsanzo, Ursosan, ndi omwe amapatsidwa. Cholinga chake ndi kuteteza maselo a chiwindi kuti asawonongeke, kubwezeretsa kayendedwe ka bile ndikuchotsa kutupa, kuyeretsa ndikukhazikitsa magwiridwe antchito a chiwalo.

Ndikofunika kumwa mavitamini ndi michere yambiri ndikudya zakudya zokhala ndi michere yambiri.

Anthu odwala matenda ashuga amakakamizidwa kuti azilamulira shuga palokha komanso mu labotale pochiza matenda oyambitsidwa. Ndiko kusanthula kwamwazi ndi mkodzo komwe kumathandizira kuzindikira kuphwanyidwa kwa chiwindi ndi ziwalo zina.

Chithandizo cha Matenda a shuga

Zinthu zazikuluzikulu zotere ndi izi:

• Msuzi uliwonse wamasamba ndi mkaka popanda kuphatikiza masamba,
• Mkate dzulo (loyera kapena la imvi),
• Kuphika makeke (kwenikweni kosakhazikika) ndi curd, nyama, nsomba kapena kudzazidwa kwa apulo,
• Zakudya za nyama zonda (ng'ombe, nkhuku, kalulu, nkaka),
• Zozungulira kabichi kapena pilaf yokhala ndi nyama zotsamira,
• Soseji yophika mkaka,
• Nsomba yophika yamitundu yopendekera,
• Zinthu zamafuta ochepa mkaka
• Simungakhale ndi dzira loposa tsiku limodzi (mazira owiritsa kapena osenda),
• Mbewu zonse ndi pasitala,
• Batala pang'ono kapena mafuta a masamba,
• Zamasamba (zatsopano, zophika, zouma),
• Zipatso
• Zakudya zam'nyanja
• Zipatso zouma
• Maswiti (maswiti opanda chokoleti, uchi, shuga, kupanikizana),
• Tiyi yotentha kapena compote, mabulosi decoctions.

Maphikidwe a pafupifupi mbale zonse amaphatikiza kuwotcha.

Nthawi iliyonse yamatendawa, zotsatirazi ziyenera kuperekedwa kwathunthu kuchokera kuzakudya:

• Mowa mu mtundu uliwonse (makamaka kwa azimayi),
• Nsomba iliyonse yokazinga, mchere, kusuta kapena zam'chitini,
• Maphunziro oyamba otentha mumisuzi yamafuta,
• Zophika zatsopano (kuphatikizapo mkate),
• Mazira osenda kapena owiritsa
• Masamba olemera komanso akuthwa (tsabola, radara, radishes, sipinachi, bowa, etc.),
• Kuzifutsa zamasamba
• Zinthu zamafuta ndi mafuta,
• Zakudya zilizonse zosuta,
• Mitundu yamafuta amkaka ndi nkhuku (maphikidwe okhala ndi tsekwe kuphatikizapo),
• Zachinyengo zonse,
• Zokometsera zokometsera
• Khofi wakuda wamphamvu ndi zakumwa zozizira,
• Ice cream kapena chokoleti.

Zinthu izi, komanso mbale zilizonse zomwe zimapangidwa kuchokera kwa iwo, zimatha kuvulaza thupi la wodwalayo ndikuyambiranso.

Odwala omwe ali ndi magawo osiyanasiyana a matendawa amafunikira kusintha kwa menyu malinga ndi njira ya matendawa. Chifukwa chake, pankhani ya matenda ena othandizira kuuma kwa matenda enaake, omwe amadziwika kuti ndi abwino kwambiri pakati pamagulu azachipatala, mutha kugwiritsa ntchito zakudya zosiyanasiyana zomanga thupi pamapulogalamu.

Chifukwa chake, zotsatirazi zikulimbikitsidwa:

• Tchizi chamafuta ochepa ndi mkaka,
• Woyera dzira
• Nsomba yamafuta ochepa,
• Oatmeal, buckwheat, mapira.

Makamaka mankhwalawa amawonetsedwa ku cirrhosis yomwe imalipidwa ndi mowa. Amathandizira kulimbitsa ntchito yosinthira maselo a chiwindi ndikuwonjezera chitetezo cha mthupi.

1. Ndi cirrhosis yowola, mapuloteni am'menyu a wodwalayo amachotsedwa kwathunthu kapena kuchepetsedwa mpaka pazofunikira zochepa (zosaposa magalamu 30 patsiku). Popeza kuthekera kwa chiwindi kupanga mapuloteni munthaka iyi ndi zolepheretsa.
2. Kuphatikiza apo, ndikofunikira kuchepetsa kuchuluka kwa mafuta muzakudya za wodwala. Ndipo zotsala ziyenera kuchokera ku mbewu. Kachigawo kakang'ono kakhoza kuperekedwa kumafuta amkaka. Mafuta a nyama samachotsedwa kwathunthu pamenyu.
3. Ngati kuchulukitsa kwa matendawa kumaonekera mu mawonekedwe a vuto la dyspeptic (kutsegula m'mimba, kusanza, kudzimbidwa, nseru), mutha kuchepetsa kudya zamafuta kuyambira magalamu 90 patsiku mpaka 30 magalamu.
4. Zakudya zomanga thupi, m'malo mwake, m'zakudya za wodwala wodwala matenda a chiwindi ayenera kukhala osachepera 450 g. patsiku. Chosiyana ndi chiwopsezo cha chiwindi motsutsana ndi kunenepa kwambiri.
5. Ngati wodwalayo ali ndi zizindikiro zowonjezera mu mawonekedwe a edema kapena ascites, kugwiritsa ntchito madzi ndi mchere kungathe kuchepetsedwa. Kuphatikiza apo, ndikofunikira kupanga kuperewera kwa potaziyamu m'thupi la wodwalayo pobweretsa zipatso zamphesa, nkhuyu, madeti, ndi prunes muzakudya.
6. Kudzimbidwa, kumwa kwa beets, prunes, kaloti, apricots, uchi, kefir ndi mkaka ndizofunikira.
7. Pankhani yovuta kwambiri, wodwalayo amamuthira mafuta, zipatso ndi ndiwo zamasamba, komanso madzi okwanira. Ndikusintha, mutha kuyambitsa tchizi chamafuta ochepa, mafuta owonjezera, mkaka muzakudya.

Matenda a shuga ndi matenda omwe kapamba amasokonezedwa. Thupi ili limayendetsa kagayidwe ka glucose.

Matendawa nthawi zambiri amakhala ndi chibadwa chathu, koma pali zinthu zingapo zomwe zimapangitsa kuti chiwopsezo chake chikule. Uku ndikuledzera, kusadya bwino, kunenepa kwambiri. Zinthu zonsezi zimatha kuyambitsa matenda ena.

Chifukwa chake, matenda ashuga ndi matenda amitsempha. Koma kodi hyperglycemia yosatha imakhudza bwanji chiwindi?

Matenda omwe aperekedwa kwa hepatic dongosolo tikulimbikitsidwa kuti ayambe mwachangu. Chithandizo chokwanira sichidzangothandiza kusintha, komanso kuchepetsa mavuto.

Zakudya za matenda a cirrhosis ndi matenda ashuga ndi gawo lamaphunziro. Zakudya zoyenera sizimangokhala zothandiza mkati mwa ziwalo zamkati, komanso zimathandizira shuga wamagazi, komanso kukhazikika kwa thupi.

Lamulo lofunikira liyenera kuganiziridwa kuti muchepetse mafuta ndi mchere, kuti thupi lizilandira zonse zofunikira popanda kuvulaza chiwindi. Ndikulimbikitsidwa kudya chakudya kasanu kapena kasanu ndi kamodzi, ndikugawa magawo kukhala ofanana. Zakudya zopatsa thanzi zimatengera kugwiritsa ntchito mitundu iyi ya zakudya ndi mbale:

• dzulo kapena mikate yoyera,
• soseji yophika,
• mkaka, ndiwo zamasamba zopanda mafuta,
• nsomba zam'nyanja (konda),
• zipatso (zatsopano ndi zouma),
• Zophika zosaoneka bwino zokhala ndi maapulo, tchizi chanyumba, nsomba,
• nyama yokhala ndi mafuta ochepa (nkhuku, ng'ombe, kalulu, nkhuku),
• pasitala ndi zakudya
• masamba ophika kapena atsopano,
• mafuta amkaka ochepa.

Amaloledwanso kugwiritsa ntchito mitundu yochepa ya maswiti (kupanikizana, osati chokoleti, uchi). Mwa zakumwa, mabulosi, zipatso zamapapu ndi tiyi ndizofunikira kwambiri. Masamba ndi batala zimatha kudyedwa, koma pang'ono. Amaloledwa kugwiritsa ntchito pilaf ndi kabichi yokutidwa ndi nyama yopanda mphamvu ndi dzira 1 yophika patsiku.

Polankhula za matenda ashuga omwe ali pachiwonetsero cha kukula ndi kukulira kwa ascites, komanso kutupa, samalani ndi kuchepera kwa mchere ndi madzi. Kuphatikiza apo, kuchepa kwa potaziyamu kuyenera kuchotsedwa pobweretsa zipatso zouma (madeti, prunes, nkhuyu ndi zoumba) mu menyu.

Kudzimbidwa, mkaka, beets, uchi, kefir, apricots ndi kaloti zidzakhala zothandiza. Mu cirrhosis yovuta, masamba ndi zipatso zimasonyezedwanso. Pambuyo poti zizikhazikika, tchizi chaching'ono chosakhala ndi mafuta, mafuta amkaka ndi msuzi wopepuka amayambitsidwa mwadongosolo.

Zachidziwikire, mu matenda monga matenda ashuga ndi matenda enaake, muyenera kusintha zakudya zanu nthawi yomweyo. Nkhani yathu imakupatsirani zakudya zapadera, chifukwa chake mudzachotsa zovuta munthawi yochepa kwambiri.

Kuphatikiza apo, chifukwa cha zakudya zapadera zochizira matenda a shuga ndi matenda enaake, simudzangowongolera thanzi lanu, komanso kuchepa thupi moyenera. Werengani zambiri zamakhalidwe azakudya ndi pafupifupi zakudya ndi maphikidwe, onani pansipa.

Tisanalandire chithandizo cha matenda a shuga komanso matenda enaake, tiyeni tiwone zomwe, matenda ngati awa amawonekera mthupi lathu.

Zomwe zimayambitsa matenda a chiwindi:

• kukhalapo kwa matenda kapena ma virus,
• kumwa kwambiri
• kusowa kwa mapuloteni komanso mavitamini m'thupi,
• poyizoni ndi mankhwala omwe ali muzinthu zambiri,
• kugwiritsa ntchito kwambiri mankhwala
• kupezeka kwa miyala mu ndulu kapena impso,
• kupezeka kwa zotupa
• makulidwe a mwanabele,
• kuvulala thupi pambuyo pakuchita opareshoni,
• kutupa kwa biliary dongosolo,
• chibadwa cholowa
• kukhalapo kwa "tiziromboti" m'thupi.

Komanso, matenda monga hemochromatosis, matenda a Wilson-Konovalov, tyrosinosis, glycogenosis, ndi osakwanira alpha1-antitrypsin m'thupi amathandizira kukulitsa cirrhosis.

Tsopano titembenukira mwachindunji ku zomwe zingayambitse matenda a shuga:

• cholowa
• pafupipafupi zovuta
• kumangokhala
• matenda aakulu a kapamba, chiwindi kapena impso,
• mtima kulephera
• ochepa matenda oopsa
• kumwa mahomoni a steroid
• kuchepa chitetezo chokwanira
• kunenepa.

Cholinga cha mankhwala ochizira matenda a chiwindi, opangidwa motsutsana ndi mtundu wa shuga wachiwiri, ndikuchotsa kapena kufooketsa zinthu zomwe zikuthandizira matenda. Kuti izi zitheke, mankhwala a hepatotoxic ayenera kusiyidwa, kuchepetsedwa kwa thupi ndi hyperlipidemia ndi hyperglycemia.

Poyamba, chithandizo chimalimbikitsa kuchepetsa thupi mwakuwonjezera zolimbitsa thupi. Chifukwa chake, pochita masewera olimbitsa thupi, mutha kukulitsa chiwopsezo cha insulin mosavuta ndikuchepetsa kwambiri chiwindi cha steatosis.

Komabe, kuchepa thupi kwambiri kwa anthu odwala matenda ashuga nkoletsedwa. Kupatula apo, izi zimathandizira kukulitsa necrosis, fibrosis kapena njira yotupa. Chithandizo cha matenda otere chimachitika mosiyana. Chifukwa chake, sabata simungathe kutaya kuposa 1.5 makilogalamu.

Ndikofunika kukumbukira kuti odwala matenda ashuga omwe ali ndi matenda osachiritsika a chiwindi ayenera kuchepetsa kuchuluka kwa insulin. Kupatula apo, mulingo wa kukonza kwa mahomoni ndi gluconeogeneis amachepetsedwa.Koma odwala omwe ali ndi vuto la chiwindi chokhazikika, m'malo mwake, angafunikire insulini yambiri.

Kuteteza, kuyeretsa ndi kubwezeretsa maselo a chiwindi, dokotala nthawi zambiri amapereka mankhwala a hepatoprotectors. Mankhwalawa akuphatikizapo Hepa-Merz, Essentiale, Hepatofalk ndi Heptral.

Pankhani ya steatohepatitis ndi steatosis, othandizira omwe amachokera ku ursodeoxycholic acid akuwonetsedwa. Ursosan ndi wa ena omwe ali m'gulu lino, lomwe limakhala ndi chitetezo, anti-yotupa ndipo limapangitsa kutulutsa kwa ndulu. Kanema wapezeka munkhaniyi akuwuzani. momwe matenda a shuga angakhudzire chiwindi.

Choyambitsa cholelithiasis ndimavuto azakudya zomwe zimakhala ndi mafuta komanso mafuta ambiri. Mankhwala othandizira pakudya ndi njira yowonjezera yowonjezera. Munkhaniyi tikambirana za zakudya zomwe miyala ikuluza ndulu ndi zakudya zitachotsedwa.

Mapangidwe Amatumbo

Ndi cirrhosis ya chiwindi, chakudyacho chizikhala chokwanira, ndiye kuti, chili ndi zinthu zonse zofunikira mu michere:

• mapuloteni (80 g),
• mafuta (80 g),
• chakudya (350-400 g),
• mavitamini
• kufufuza zinthu.

Mapuloteni amapatsa thupi zinthu - ma amino acid omwe amathandizira pakupanga minofu, kuphatikizapo chiwindi. Zakudya zomanga thupi zimaphatikizapo zakudya za nyama zonse ziwiri (55%) ndi masamba.

Zakudya zokhala ndi mafuta zimayambitsa kukhuta, zimathandizira kuyamwa kwa mavitamini A, E, D, K.

• Mwa zamafuta am nyama, ndikofunikira kugwiritsa ntchito batala, ndipo zonunkhira monga mwanawankhosa, nkhumba, ndi ng'ombe zimakhala zomveka kuzimitsa pang'ono zonse zomwe sizingatheke.
• Mafuta ophikira, omwe amapanga 30% yazakudya zonse za tsiku ndi tsiku zomwe zimadyedwa, mwachitsanzo, mpendadzuwa, maolivi, chimanga (makamaka chosafotokozedwa), zimapangitsanso kupanga kwa bile ndi biliary excretion, komanso kukhala ndi mphamvu ya antioxidant, kukhala ndi vitamini E pamapangidwe awo, ndikukhala ndi zovuta.

Zakudya zamafuta, kuphatikiza kugaya chakudya mosavuta (mpaka 20%), zimayenera kudyedwa mokwanira kukwaniritsa zosowa. Izi zitha kumayamwa timadziti ta zipatso ndi zipatso, zakudya, ma infusions a zipatso, khofi ndi kuwonjezera mkaka, shuga, tiyi wopanda mphamvu wotsekemera ndi uchi, mandimu, kupanikizana, ma compotes ndi ena. Ndi chakudya chamagulu ambiri omwe chakudya chambiri chopezeka tsiku lililonse chimakwaniritsidwa.

Mavitamini ndi michere ayenera kukhalapo chakudya nthawi zonse.

Odwala omwe ali ndi vuto lachiwindi amadziwika ndi kuchepa kwawo, makamaka mafuta osungunuka, chifukwa cha kuwonongeka kwa chimbudzi komanso kukodola. Chakudyachi chimafunikanso kuphatikiza micronutrient antioxidants (zinc, selenium).

Chakudya chakuthupi:

• Voliyumu. Kutumikiridwa kamodzi kokha kwamankhwala othandizira kuyenera kukhala kochepa, kupereka chokwanira chokwanira.
• Kukhalapo Kusinthasintha kwa chakudyacho nkofala, chakudya chokhacho chomwe chimapukusidwa ndi masamba ndi masamba omwe amapezeka muzakudya.
• Kutentha Mtundu wa kutentha kwa chakudya uyenera kukhala wabwino. Zakudya zomwe zimalimbikitsa

Zosankha zamatenda a chiwindi - zotulutsidwa

Zakudya za chiwindi cha chiwindi zimaphatikizapo zinthu zotsatirazi zomwe zimaloledwa kugwiritsidwa ntchito:

• zinthu zophika buledi zokhala ndi tirigu ndi / kapena ufa wa rye, komanso zinthu zopangidwa kuchokera pamenepo, zouma, ndiye kuti zaphikidwa dzulo,
• msuzi wokonzedwa pamiyeso ya msuzi woboola kuchokera ku masamba, chimanga, pasitala, msuzi wamkaka,
• nkhuku (nkhuku, nkhuku) yopanda mafuta ndi khungu, nyama yofiyira (ng'ombe yaying'ono, nyama yamwana, kalulu, mwanawankhosa),
• nsomba yoyera (cod, haddock, hake, pollock),
• zopangidwa ndi mkaka wotsika kwambiri komanso wotsika-asidi - mkaka, kefir, bifidoc, tchizi ("Adygea", tchizi chowonjezera, tchizi cha feta), tchizi tchizi,
• mazira (osaposa 1 yolk patsiku), mapuloteni pang'ono, komanso, owiritsa owiritsa kapena omeler,
• phala, pasitala,
• mitundu yosiyanasiyana yamasamba, zipatso ndi zipatso, asidi wochepa, zipatso zouma,
• maswiti ozikidwa pa marmalade, jelly, marshmallows, marshmallows, uchi, maswiti osapatsa chokoleti, ma cookie oatmeal,
• msuzi wopangidwa pogwiritsa ntchito zinthu monga mkaka, masamba, miyala yamchere,
• zonunkhira, zonunkhira - katsabola, parsley, vanila, sinamoni,
• zakumwa - tiyi wong'ambika pang'ono, yemwe amatha kutsekemera ndi shuga, uchi, khofi wopanda mkaka wosakhazikika, timadziti tothira madzi, ma compotes, madzi, ma decoctions, zakudya.

Sayenera kugwiritsidwa ntchito menyu

Ndi chiwindi cirrhosis, zosakaniza zotsatirazi siziyenera kugwiritsidwa ntchito mu chakudya:

• lero, mkate wopanda chotupitsa, makeke apamwamba, zikondamoyo, ma donuts,
• msuzi wambiri wa nyama, nsomba, bowa,
• nyama yamitundu yosiyanasiyana yamafuta - bakha, tsekwe,
• nyama yamafuta kwambiri, yoyipa,
• mafuta a nkhumba, margarine wolimba,
• masoseji, pate, nyama yankhumba,
• nsomba zamafuta, zopangidwa kuchokera pamenepo (zakudya zamzitini), kusuta, nsomba zamchere, caviar, shrimp, nkhanu, squid,
• tchizi chamafuta ambiri (30% ndi pamwambapa) ndi pungency, kukonzedwa, kusuta, kusuta, malonda a tchizi.
• mazira ophika ndi kuwaza, kuwira owiritsa owira,
• nyemba (soya, mphodza, nyemba, nandolo, anapiye, mtedza),
• nsomba za sokogonny, anyezi, adyo, masamba osankhidwa, zipatso ndi zipatso zazitali kwambiri,
• chokoleti, kirimu, ayisikilimu
• zonunkhira za mpiru, wakuda ndi tsabola wofiyira,
• khofi wakuda, koko, zakumwa zina zakumwa zoledzeretsa.

Ndikulimbikitsidwa kuti muchepetse kugwiritsa ntchito mafuta a mkaka omwe amakhala ndi mafuta ambiri (kirimu, mkaka wowotchera, mkaka wonse).

Zinthu Zophika

Ndikofunikira kuchepetsa kuchuluka kwa kutentha kwa mbale, chifukwa zimadziwika kuti njira yophikayo, monga yokazinga, imathandizira kuti pakhale poizoni wamafuta opangidwa ndi mafuta omwe amakhudza chiwindi.

Gwiritsani ntchito maphikidwe pophika chakudya powuphika kapena kuwuphika mu uvuni, pa grill, simungakhale osowa. Ndikulimbikitsidwa kuti musadutse ufa ndi masamba.

Zimayambitsa hepatitis mu shuga

Pafupifupi ndizovuta kupeza chiwindi m'moyo watsiku ndi tsiku. Choyambitsa matendawa ndi matenda ashuga ndimatenda oyamba kudzera m'magazi a munthu wina - wouma kapena watsopano -.

Pa nthawi yolipitsa ndi ma syringes oyamba ndi insulin kuchipatala. Kachilomboka kamapulumuka kutentha kwa masiku 4 mpaka sabata.

Nthawi zambiri, pamakhala odwala matenda ashuga omwe sangathe kuchita jakisoni (mtundu 1 hypoglycemia). Kuphatikiza apo, ma virus ambiri - tizilombo toyambitsa matenda - timangokhala mthupi la munthu.

Ndipo motsutsana ndi mbiri yakuchepa kwa chitetezo chathupi m'matenda a shuga kuphatikiza jakisoni wa insulin, hepatitis B, C, D, amakhala akhama, ndipo odwala matenda ashuga nthawi zambiri (mpaka 10) kuposa ena.

Malangizo okonzera menyu wazithandizo kwa odwala omwe ali pachimake

Nthawi yovuta m'miyoyo ya odwala omwe ali ndi chiwindi C imakhala nthawi yowonjezera matendawa. Mu nthawi ngati izi, amapatsidwa zakudya zapadera zapadera No. 5A.

Dongosolo lazakudya izi limachepetsedwa kuchepa kwakudya kwamafuta (osati oposa magalamu 70 patsiku) ndi mchere (osaposa magalamu 7 patsiku). Zakudya za tsiku ndi tsiku zama protein ndi 80 magalamu, ndi chakudya - 350.

Zakudya zopatsa mphamvu zonse za calorie siziyenera kupitirira 2400-2500 zopatsa mphamvu patsiku.

Zakudya No. 5A imatanthawuza zakudya zowoneka bwino pamndandanda wotsimikizika. Zakudya zonse ndizoyendetsedwa bwino kapena kuphika m'njira yachikhalidwe. Iyenera kupukutidwa kukhala yaboma, yoponderezedwa. Pazakudya, muyenera kumwa madzi ndi zakumwa monga zachilengedwe: timadziti tothira madzi, mankhwala onunkhira, odzola, ma compotes. Amaloledwa kugwiritsa ntchito ndi kuchulukitsa kwa chiwindi:

• supu zochokera masamba, chimanga,
• ng'ombe, mpunga, oatmeal,
• zinthu zamafuta amkaka ochepa: kefir, tchizi chanyumba, yogati,
• masamba - ophika ndi osankhidwa,
• zipatso, zipatso (zopanda acid).

Ndi koletsedwa kugwiritsa ntchito ndi kuchulukitsa kwa chiwindi:

• nsomba yamafuta, nyama,
• mchere, zam'chitini, ndi zinthu zosuta,
• msuzi wamafuta
• zakudya zamafuta amkaka
• koloko
• kuphika, kuphika,
• tiyi wamphamvu, khofi,
• zonunkhira,
• mowa
• adyo, anyezi, radish, radish,
• maswiti.

Ndi isanayambike kuwonongeka, chiwindi ntchito kwathunthu. Chifukwa cha kufa kwa maselo ambiri, chiwalo chimasiya kugwira ntchito yayikulu, ndipo poizoni amalowa mthupi, mavuto amakula.

Zakudya ndi cirrhosis ya chiwindi ndi ascites pamafunika kupatula kwathunthu kwa mapuloteni muzakudya za tsiku ndi tsiku, ndizoletsedwa mchere wama mchere. Kuchuluka kwa ammonia mu minofu yamanjenje kumabweretsa vuto lalikulu - chiwopsezo cha hepatic.

Kuwongolera zakudya kwa matenda a cirrhosis ndi matenda a shuga kumafuna kuwunika pafupipafupi. Kuchepetsa chakudya m'menyu kumatha kukulitsa matendawa. Kuthandizira wodwala matenda ashuga kumafunika kuwerengetsa kwamphamvu chakudya.

Ndi ascites, muyenera kuchepetsa kuchuluka kwa madzi kulowa mthupi. Kugwetsa m'mimba ndi chizindikiro cha kupanikizika kwakukulu mu venous system. Madzi ochulukirapo adzakankhidwira m'mimba, ndikuwonjezera nkhawa. Zakudya zamkati ndi chiwindi cha chiwindi chokhala ndi ascites yoponderezedwa chakudya ndicho chisankho chabwino pazovuta.

Mphamvu ya shuga pa chitukuko cha matenda amitsempha

Choyamba, kumwa kwambiri mafuta zamafuta samakhudzana ndi kapamba wokha, komanso chiwindi.

Matupi awa amakakamizidwa kugwira ntchito mwamphamvu, pakapita nthawi kuti asiye kugwira ntchito yawo, chuma chawo chimatha.

Chowononga chachikulu ndi glucose, yomwe sinakonzedwe kwathunthu. Zakudya zamafuta osavomerezeka zimasinthidwa kukhala mafuta, ndipo kuzungulira kumabwereza mobwerezabwereza.

Mafuta ochulukirapo amatsogolera pakukula kwa mafuta a hepatosis. Chiwindi chimadutsa pamagawo otsatirawa a matenda:

Kudzikundikira kwamafuta m'chiwindi kumayambitsa kuwonongeka kwa hepatocytes ndipo, patapita nthawi, kukukula kwa kutupa. Ichi ndi chifukwa cha cholesterol, lipoproteins yapamwamba komanso yotsika, triglycerides.

Kudzikundikira kwawo ma cookie kumatchedwa steatosis, ndipo kutupa komwe kumachitika chifukwa chazinthuzi zimatchedwa steatohepatitis.

Kenako ma hepatocytes omwe awonongedwa amayamba kusinthidwa ndi minofu ya fibrous, kenako cirrhosis ya chiwindi imayamba.

Chifukwa chakuti mafuta amasonkhana ndipo samakonzedwa kwathunthu m'chiwindi, amagawidwa thupi lonse. Izi zimatsogolera ku atherosulinosis - kuyikika kwa cholesterol m'mitsempha yamagazi, kuphwanya magazi ku mtima, ubongo.

Matenda a mtima ndi stroko zingayambike. Kuphatikiza apo, mafuta amalowa mu kapamba palokha, zomwe zimapangitsa kuti shuga likhudze.

Njira zonsezi zimachitika ngati palibe chithandizo chokwanira cha matenda ashuga.

Ngati mutsatira zakudya, imwani mankhwala omwe amachepetsa shuga kapena insulini, ngati kuli kotheka, muzikhala ndi zolimbitsa thupi zochepa, wodwalayo amatha kukhala nthawi yayitali popanda zovuta.

Maphikidwe a hepatitis C osachiritsika komanso oopsa

Maphikidwe ophikira zakudya kuchokera ku zakudya No. 5 ndi No. 5A amasiyanitsidwa ndi kuphweka kwa kukonzekera komanso kupezeka kwa zosakaniza. Zakudya za hepatitis C ndizokoma, zopatsa thanzi, zimathandizira kuchira msanga pambuyo pakuchulukitsa kwa chiwindi. Timapereka maphikidwe angapo azakudya omwe inu ndi okondedwa anu mudya mosangalala.

Zakudya za ngale za barele

• balere - 90 g
• kaloti - 150 g
• mbatata - 0,3 kg
• wowawasa zonona - 90 g,
• batala - 20 g,
• amadyera - 30 g.

1. Sanjani, nkumatsuka barele, kuphika kwa maola atatu.
2. Dulani kaloti ndi mbatata, kuphika mpaka wachifundo.
3. Onjezani chimanga ku masamba, mchere.
4. Ikani wowawasa kirimu ndi batala mu msuzi womalizidwa.
5. Kukongoletsa msuzi ndi zitsamba.

Msuzi wa Zakudya Zamkaka

• ufa - 0,2 kg
• dzira - chidutswa chimodzi,
• batala - 20 g,
• shuga - 2 tbsp.,
• mkaka - 0,4 l.

1. Onjezani madzi (magalamu 10) pa ufa, dzira - sakanizani zosakaniza, ikani mtanda.
2. Pereka, youma, kudula Zakudyazi.
3. Wiritsani ndi madzi otentha kwa mphindi 10.
4. Thirani Zakudya zomalizidwa mkaka, kuwonjezera batala.

Steam cutlets

• nyama (nyama yochepa mafuta) - 400 g,
• mikate yoyera - 60 g
• batala - supuni,
• mchere ndi pini yaying'ono
• madzi - 15 g.

Maphikidwe ophika zakudya No. 5 ndi osavuta, komanso kupezeka kwa zosakaniza. Ambiri aiwo amaphika ndi kuphika kwakale, kuluka, kuwotcha kapena kuphika.

Zisonyezero zambiri pazakudya zomwe zimakhala ndi matenda enaake

Mulimonsemo, odwala amalangizidwa kumwa: madzi oyeretsedwa opanda gasi ndi okometsa, tiyi wokhala ndi masamba ofooka, mankhwala azitsamba zatsopano ndi zipatso, zipatso zosankhika (makamaka shuga yopanda shuga, koma zovomerezeka pakuvomerezedwa ndi dokotala). Zakumwa ziyenera kukhala zazing'ono, kuti musunge madzi mthupi ndikulola chiwindi ndi impso kuti zichotse bwino. Kuchokera pazogulitsa zazikulu, titha kusiyanitsa:

• Mkate wakuda ndi woyera.
• Ma cookie sanapangidwe kuchokera pa mtanda wa batala.
• Kupanikizana ndi uchi (pokhapokha mutakambirana za momwe mungagwiritsire ntchito komanso kuchuluka kwa dokotala).
• Mousses, puddings ndi zipatso odzola.

Zakudya za cirrhosis ya chiwindi ziyenera kuyang'aniridwa mosamalitsa, zomwe zimanena kuti ndi zakudya ziti zomwe zimatha kudyedwa ndi zomwe sizipezeka. Kumbukirani kuti ndi mtundu uliwonse wamatendawa, sikuletsedwa kugwiritsa ntchito mchere komanso mowa uliwonse, ngakhale pamtundu waung'ono kwambiri.

Chochepetsa chokha cha zakudyazi ndichakuti chimayenera kutsatiridwa kwa nthawi yayitali. Monga lamulo, chakudyacho chimatha miyezi ingapo. Kuti mukwaniritse zotsatira zomwe mukufunazo, muyenera kutsatira zakudya zazitali kwa nthawi yayitali.

Zakudya izi zilibe zotsutsana, koma izi sizitanthauza kuti wodwalayo amatha kudzipatsa chakudya. Ayenera kufunsa kaye dokotala: Zosintha zina za menyu ndizotheka.

Zakudya tebulo nambala 5

Ndi cirrhosis, tebulo lazakudya lachipatala 5 malinga ndi Pevzner ndi mankhwala, omwe, limodzi ndi kumwa mankhwalawa, amathandizira kubwezeretsa kapangidwe ka maselo a chiwindi ndikuchepetsa kuchepa kwa ziwalo mtsogolomo.

Mfundo zoyambirira za chakudya 5 ku matenda ena:

• Zakudya zoyenera, kuphatikiza mapuloteni (90 magalamu patsiku), mafuta (90 gramu patsiku) ndi chakudya (magalamu 350).
• Chakudya chamagulu. Muyenera kudya ndi matenda a chiwindi nthawi zambiri, pafupipafupi 5-6 pa tsiku m'magawo ang'onoang'ono,
• Zakudya zonse zomwe zimadyedwa patsiku sizikuyenera kupitirira 3 kilogalamu kapena 2800 kcal,
• Zakudya zamtundu wa chiwindi zimayenera kudyedwa mwa mawonekedwe ofunda. Zakudya zotentha ndi zozizira osaperekedwa kuzakudya,
• Chakudya sichiyenera kukhala cholimba. Nyama iyenera kudutsidwa ndi chopukusira nyama, kenako ndikuphika mbale kuchokera pamenepo. Porridge ndi mbatata zosenda ziyenera kuchepetsedwa ndi madzi kapena mkaka.
• Kuphika sikupatula. Zakudya zimatha kuwiritsa, kuwiritsa, kuwotchera, osaphika kwenikweni.
• Masamba (kupatula kaloti, kabichi, nkhaka ndi tomato) ndizofunikira
• Mazira pakudya kwa chiwindi cirrhosis amadya okhazikika owiritsa osati oposa chidutswa chimodzi patsiku. Mukamapanga maeleeleta, mapuloteni okha ndi omwe amagwiritsidwa ntchito.
• Kuchuluka kwa mchere womwe umagwiritsidwa ntchito kumayenera kuchepetsedwa mpaka magalamu 8 patsiku.
• Chakudya chamadzulo chimayenera kukhala chochepa calorie pakudya ndi cirrhosis. Asanagone, amaloledwa kumwa kapu yamkaka wopanda mkaka wowonda (kefir, mkaka wowotchera, yogurt).
• Masana muyenera kumwa zamadzi zambiri, osachepera 2 malita a madzi oyera opanda mpweya. Chovomerezeka: decoctions a zipatso ndi zitsamba, tiyi ofooka, zakudya, zipatso.

Mukasankhidwa

Zakudya za cirrhosis ndi ascites (matenda omwe madzi amadzaza m'mimba) amatanthauza kuletsa kudya zakudya zamchere ndi madzi. Ndikulimbikitsidwa kupatula mchere pachakudya chanu, ndikuchepetsa kuchuluka kwa madzi omwe amamwa 1 lita imodzi.

Ndi biliary cirrhosis ya chiwindi (matenda omwe ali ndi mawonekedwe osachiritsika), tikulimbikitsidwa kuti azitsatira njira yochizira Matendawa No. 5 malinga ndi M. I. Pevzner. Mapuloteni ndi zakudya zimafunikira m'zakudya, ndipo kuchuluka kwa mafuta omwe amatsitsidwa kumachepetsedwa ndi 30%. Zopatsa mphamvu za zakudya za tsiku ndi tsiku za matenda a cirrhosis ziyenera kukhala pakati pa 2500 - 3000 Kcal.

Ndi cirrhosis ya chiwindi mu gawo la kuwonongeka, kusokonezeka mu gawo la ammonia kumachitika. Ndi matendawa, zakudya menyu zimachepetsa kwambiri mapuloteni okwanira 20 magalamu patsiku. Ngati kwa nthawi yayitali kutsatira kachipangizidwe kazachipatala Table 5 malinga ndi Pevzner palibe mphamvu zabwino, ndiye kuti mapuloteni opangira zakudya ayenera kuchotsedwa kwathunthu.

Zakudya zomwe zili ndi cirrhosis ndi hepatitis C ndizokwanira mwanjira yoti kuchuluka kwa mapuloteni, mafuta ndi chakudya kuyenera kukhala 1: 1: 4. 60% yazakudya zama protein tsiku lililonse zimayenera kukhala nyama. 20% yamafuta onse amapatsidwa masamba, omwe amakhala ndi mafuta achilengedwe a polyunsaturated.

Zakudya za cirrhosis ndi matenda osokoneza bongo amatanthauza kupatula kwathunthu kuchokera ku zakudya za shuga, zovomerezeka muzolembedwera zamankhwala Piritsi 5. Thanzi liyenera kukhala loyenera komanso lothandiza poletsa kuthana ndi matendawa.

Ndikofunikira kwambiri kutsatira mosamalitsa chakudyera No. 5 chodwala matenda a chiwindi kwa akazi, chifukwa nthawi yamatendawa imakhala yosiyana ndi abambo ndipo nthawi zambiri imachitika modabwitsa.

Zololedwa ndi Zoletsedwa

Zakudya 5 za cirrhosis - chakudya chololedwa:

• Zakudya zamafuta ochepa (kalulu, ng'ombe, nyama yamwana),
• Mitundu yamafuta ochepa nkhuku (nkhuku, nkhuku),
• Nsomba yamafuta ochepa (hake, pike, pollock, crucian carp),
• Zamkaka ndi mkaka wowawasa wowawasa (tchizi zopanda mafuta, tchizi chokoleti, kefir, kirimu wowawasa),
• Masamba (zukini, mbatata, nkhaka, tomato, kaloti),
• Mkate wowuma (rye, tirigu wathunthu),
• Durum tirigu,
• Zipatso ndi zipatso,
• Mphesa ndi chimanga
• Mazira (osaposa 1 pc patsiku),
• Marmalade, jamu, pastille,
• Shuga
• Mchere (osaposa magalamu 7-8 patsiku).

Cirrhosis ndi ascites zikachitika, chakudyacho sichimaphatikizaponso chakumwa chophikira chapamwamba, mchere, nyama yokhala ndi mafuta ambiri, masamba, soseji, borscht, broths omwe amapezeka kuchokera ku decoction ya nyama kapena nsomba. Nthawi yomweyo, mumatha kudya nyama yankhuku ndi kalulu. Zina mwa zakudyazi ndi monga:

1. Kuphika msuzi wochokera ku nkhuku,
2. Kumangophika misuzi yosenda
3. Kudya nsomba yophika mu owiritsa pawiri.

Ndiosafunika kuphatikiza mafuta a mkaka, mafuta otentha komanso amchere, nyemba, kabichi, sorelo, radara, adyo, bowa, anyezi, ma turnips mukudya.

Zakudya zoyenera ndikutsatira mosamalitsa pachakudya pochiza matenda a chiwindi, komanso munthawi yachikhululukiro, ndikofunikira kuti muchepetse zizindikiro za matendawa. Ngati simutsatira zakudya, kudzakhala kovuta kusamutsa hepatitis ku gawo la chikhululukiro. Kodi mfundo za zakudya zoyenera za hepatitis C ndi cirrhosis, onani vidiyoyi.

Ngati wodwala akudwala matenda a chiwindi C kwa zaka zambiri, ndiye kuti zakudya zake ziyenera kukhala zofanana. Mbale zambiri zimasiyidwa, ndipo zina zimayenera kukhala zovomerezeka pamenyu.

Zomwe zimachitika pakudya kwa chiwindi C:

1. Zakudya zochokera mkaka zimaloledwa muzakudya za wodwala yemwe ali ndi hepatitis C, ndikofunikira kwambiri kudya kanyumba tchizi casseroles kapena tchizi chaching'ono.
2. Onetsetsani kuti muphatikiza mbewu monga mkaka kapena madzi ndi kuwonjezera kwa zipatso zouma ndi njere m'zakudya.
3. Zakudya zomwe zimakhala ndi mazira ziyenera kukhala zochepa pazakudya. Musagwiritse mopanda mapuloteni amodzi patsiku. Mazira owiritsa saloledwa.
4. Pasitala amaloledwa, koma saladi zamasamba kapena caviar wa biringanya ayenera kuwonjezeredwa.
5. Ndikofunika kuphika masamba mu uvuni.
6. Mousse ndi zakudya zopangidwa kuchokera ku zipatso zamkati zimaloledwa.
7. Chachikulu kwambiri chimakhala chodula nyama zoyera.
8. Supu ziyenera kusankhidwa zamasamba, zochokera msuzi wamasamba.
9. Soseji zopanda mafuta, monga za Doctor, komanso masoseji a ng'ombe amaloledwa.
10. Zakudya zam'madzi ndizothandiza ngati mungasankhe nsomba zamitundu yamafuta ochepa: cod, pike, carp, ndi ena.

Kukana nthawi yamankhwala ndikuchokera kwa zonunkhira zamasamba, sorelo, radara, adyo ndi anyezi. Mafuta ofunikira a zinthu izi amasokoneza ntchito ya chiwindi.Pewani maapulo wobiriwira ndi zipatso zosapsa. Tchizi zakuthwa ndi tchizi zabuluu ndizoletsedwa kwathunthu kwa odwala omwe ali ndi chiwindi C make, makeke, chokoleti, ndi maswiti am shuga. Odwala omwe ali ndi hepatitis C ndi ovuta kupulumuka matendawo owawa. Munthawi imeneyi, amapatsidwa zakudya zapadera - zopangidwa ndi madokotala ndi akatswiri azakudya zofunikira 5. Ndi chakudya, zotsatira zabwino zamankhwala zimawonedwa, odwala amachoka pachimake cha hepatitis C kuchotsedwa.

Mfundo zoyambirira za zakudya:

• Kugwiritsa ntchito mafuta kumachepetsedwa (zosaposa magalamu 70 patsiku).
• Kugwiritsa ntchito mchere kumachepetsedwa (osaposa magalamu 7-8 patsiku).
• Zakudya za tsiku ndi tsiku zama protein ndi 80 g.
• Zakudya zopatsa thanzi ndi magalamu 350.
• Ma calories tsiku lililonse sayenera kupitirira 2400-2500 calories.

Pogwirizana ndi zakudya No. 5 ya hepatitis C, ndikofunikira kumvetsetsa kuti ndibwino kuti wodwalayo adye zochepa, koma pafupipafupi. Chifukwa chake, zakudya ziyenera kuphwanyidwa. Muyeneranso kukhala ndi ndandanda yabwino ya kadzutsa, nkhomaliro ndi chakudya chamadzulo. Zakudya zonse zizikhala zophika kapena zophika mwanjira yachilendo, komanso kupera pamakina kuti zikhale zodetsedwa.

Zakudya zazikulu Zakudya 5: supu zamasamba, chimanga, masamba ophika. Kuchokera zakumwa zimalola zakudya zonunkhira bwino, zokometsera, msuzi watsopano watsopano.

Ma Dietiti apanga mndandanda wazakudya za hepatitis C tsiku lililonse la sabata. M'zakudya zake, mndandanda wa zakudya No. 5 umafanana ndi zakudya zamagulu a anthu odwala matenda ashuga ndi kapamba.

Zakudya za cirrhosis zimathandiza kuthana ndi matendawa - funso lomwe limasangalatsa anthu ambiri omwe amasamala za thanzi lawo. Zakudya nambala 5, zopangidwa ndi Dr. Pevzner, zimawerengedwa kuti ndizoyenera kwambiri kwa odwala omwe ali ndi matenda a chiwindi komanso a biliary.

Zakudya za 5 zimachepetsa kudya zomwe odwala omwe amapezeka kwambiri m'mafuta a cholesterol ndi mafuta, koma panthawi imodzimodziyo zimapereka chakudya chokwanira cha calorie. Gawo lalikulu la zakudya limakhala ndi zipatso ndi ndiwo zamasamba, zakudya yokazinga ndizoletsedwa.

Matenda omwe zakudya 5 zimagwiritsidwa ntchito:

• Ndi hepatitis C ndi B patapita nthawi yovuta.
• Kutupa kosalekeza kwa ndulu.
• Kuchepetsa kwamphamvu kwa chiwindi.
• Kulephera kwa chiwindi.
• Matenda a cholecystocholangitis.
• Ndi mapangidwe amiyala mu biliary system.

Cholinga cha zakudya za matenda a chiwindi ndi chiwindi. Loweruka kuchokera ku chakudya amapezeka ndikuwonjezera chakudya chamagulu m'zakudya.

Pazonse, pali mitundu iwiri ya matendawa: kulipidwa ndi kuwonongeka. Iliyonse ya njirazi imaphatikizapo njira yapadera yothandizira mankhwala ndi mndandanda winawake.

Ndi cirrhosis yolipiridwa, wodwalayo ayenera kupeza mapuloteni ambiri pazakudya. Enzyme iyi imakhala ndi amino acid ndi choline - zigawo zomwe zimathandizira kubwezeretsa maselo a chiwindi, kusintha ntchito yake.

Zakudya zomanga thupi zambiri zomwe muyenera kudya:

• Curd.
• Mkaka ndi kefir.
• Ng'ombe.
• Nsomba zamafuta ochepa, nsomba zam'nyanja.
• Mapira, oatmeal ndi buckwheat.
• Woyera dzira.

Zonsezi ndizofunikira makamaka ngati matenda a cirrhosis adayambika motsutsana ndi maziko azakudya zosakwanira, zomwe nthawi zambiri zimayamba chifukwa cha chidakwa. Komabe, zinthu izi zimatha kudyedwa mwanjira yoyendetsedwa ndi madzi ndi nthunzi (kupatula kefir ndi kanyumba tchizi). Thanzi la cirrhosis liyenera kukhala lokhazikika.

Zakudya zamtunduwu ndizothandiza kwambiri ku matenda a chiwindi, koma ma radish, radara, adyo ndi anyezi ayenera kusiyanitsidwa ndi zakudya, chifukwa mafuta ofunikira omwe amapezeka muzomera zimakhudzanso kuchira. Komanso adyo, radishi ndi anyezi amakhumudwitsa gawo logaya chakudya, zomwe zimapangitsa chiwindi kugwira ntchito molimbika.

Ndi cirrhosis yowola, mapuloteni muzakudya amayenera kuchepetsedwa. Ndi njira yokhazikika ya matendawa, amaloledwa kudya 20-30 magalamu a mapuloteni patsiku. Ngati, ndi menyu wotere, vutolo silikuyenda bwino, mapuloteni ayenera kuchotsedwa kwathunthu.

Mawonekedwe omwe ali ophatikizika ndikulephera kwa chiwindi kusokoneza ammonia, chifukwa, monga momwe zimakhalira, mapuloteni amakhala ochepa. Zakudya za cirrhosis zamtunduwu zimapereka zoletsa za zinthu monga nyama, mkaka, mazira.

Mafuta okhala ndi mawonekedwe awa amakhalanso ndi malire (mpaka 90 magalamu patsiku). Ayenera kukhala ochokera ku mbewu.

Mutha kudya masamba aliwonse, koma onetsetsani kuti muliphatikiza pazosankha:

Izi siziika pachiwopsezo chachikulu chiwindi, zimathandizira kuchotsa poizoni m'thupi ndikuyeretsa. Ndi cirrhosis yowola, sikuletsedwa kudya anyezi, adyo ndi radish.

Dongosolo labwino lazopeza matendawa ndizokhazikitsidwa ndi mfundo zinayi zotsatirazi.

1. Maziko. Iyenera kuphatikizidwa ndi zovuta zopatsa mphamvu zamafuta (chimanga, pasitala kuchokera ku tirigu wa durum, masamba), zomwe zimapereka mphamvu zonse zofunikira mthupi.
2. Mapuloteni Mapuloteni ndiye chinthu chachikulu chomanga maselo onse amthupi la munthu, chifukwa chake amayenera kudya tsiku lililonse osachepera 1 g / kg ya kulemera kwa thupi. Chokha chosiyana ndi zakudya za matenda a cirrhosis mu gawo la kuwonongeka, pano kuchuluka kwa mapuloteni ndi mchere kumangoleketsa kukula.
3. Njira. Idyani pang'ono, servings iyenera kukhala yaying'ono. Chakudya chimayenera kuthandizidwa kuti chisade, kuzizira kwambiri kapena mbale zotentha zimatha kuwonongeka. Ndizabwino kwambiri kugawa zakudya za tsiku lililonse muzakudya zisanu mpaka zisanu ndi chimodzi - zitatu zazikuluzikulu komanso zazing'ono ziwiri kapena zitatu.
4. Mafuta. Kuphatikiza pa zakudya, zakumwa zofunikira ndizofunikira. Ndikulimbikitsidwa kudya pafupifupi malita 1.5-2 amadzi oyera, mankhwala a zitsamba, zakumwa za zipatso patsiku. Komabe, zakudya zomwe zimakhala ndi chiwindi chachikulu cha chiwindi ndi ascites ziyenera kukhala ndi zoletsa zamadzimadzi (osaposa 1 lita imodzi patsiku).

Zakudya si mndandanda wazakudya zokha zomwe mungadye komanso zomwe simumadya. Kuphatikiza zakudya kumakhazikitsidwa pokhazikitsidwa ndi malingaliro ena operekedwa ndi dokotala pazakudya zamagulu azakudya ndi zakudya, machitidwe a kukonzekera chakudya, kuchuluka kwake komanso kapangidwe kake.

Kusungika kwa malamulowa kukhala "kuchiritsa", kukupatsirani zotsatirazi zabwino:

• kukhalabe ndi mphamvu
• patsani zofunikira
• popanda kupanga zovuta zowonjezereka mu ntchito ya chiwalo chovutikira.

Hepatitis ndi kutupa kwa chiwindi. Ikhoza kukhala yovuta komanso yopanda matenda.

1. Chakudyacho chimaphwanyidwa, 4-5 patsiku.

- yokazinga ndi yozizira mbale.

- bowa, nsomba, msuzi wa nyama.

- ziwalo zamkati mwa nyama, chiwindi cha nsomba.

- ma yolks okhala ndi cholesterol (ndi hepatitis, cholesterol metabolism imasokonekera).

- ng'ombe, nkhumba, mafuta a mutton, zonona, zomwe zimapangitsa kuti mafuta azikhala m'chiwindi.

- sorelo, sipinachi, katsitsumzukwa wokhala ndi oxalic acid.

- mowa, marinade, nyama zosuta, zakudya zabwino.

- radish, adyo, chives, chiwindi choputa.

3. Zakudya za hepatitis, ndikofunikira kuphatikiza zinthu zomwe zili ndi lipotropic zomwe zimalepheretsa kunenepa kwambiri kwa chiwindi (tchizi cha tchizi, nyama yotsika ndi nsomba, oatmeal, growheat groats), Vitamini A, omwe amayendetsa ntchito ya chiwindi.

Zakudya za chiwindi zimatengera gawo la matendawa.

Mu chiwindi chachikulu cha hepatitis, chakudya No. 5a ndi mankhwala, chomwe chimakhala chophika ndi chakudya chonyowa.

Zakudya No. 5a imalembedwa kwa masabata 2-6.

Kudya kwa chiwopsezo chachikulu cha hepatitis kuyenera kupereka mtendere kwa chiwindi ndi kuteteza ziwalo zogaya chakudya (makina ndi mankhwala).

Pazakudya No. 5a, kuchuluka kwa mafuta kumangokhala 70-75g, ndipo kuchuluka kwa mapuloteni ndi zakudya zamafuta kumatsalira mkati mwazolimbitsa thupi, kuchuluka kwa madzimadzi aulere kumawonjezereka mpaka 2-2,5 l, chakudya chimalimbikitsidwa kuti chizitenge nthawi zambiri, m'magawo ang'onoang'ono.

Woopsa chiwindi hepatitis, kusala kudya ndi mankhwala: kanyumba tchizi-kefir, zipatso, mpunga-compote.

Zakudya za hepatitis pachimake ndi maphikidwe ambiri ...

Pambuyo pa masabata 3-6, pakakhala zovuta, odwala adzalembedwera chakudya No. 5, yoyenera kutsatiridwa kwa miyezi 6-12.

Mu chiwindi chachikulu cha hepatitis, chakudya Nambala 5 chimayikidwa, momwe zinthu zomwezo zimaloledwa monga zakudya No. 5a, chakudya sichimafupika, kupatula nyama yokhazikika ndi masamba omwe ali ndi utsi woyipa, kuphatikiza ndi kuwira, chakudya chitha kuphika m'njira yophika.

Zakudya za chiwindi chachikulu ndi maphikidwe ...

Ndi kuchulukana kwa matenda a chiwindi, chakudya No. 5a akuwonetsedwa.

- msuzi wamasamba wokhala ndi chimanga, mkaka, zipatso, borscht wazomera

nyama yopanda mafuta, nsomba,

- mpaka yolk 1 patsiku,

- masamba osiyanasiyana (kukonza kumatengera zakudya), kupatula monga kupatula,

- zipatso ndi zipatso zosiyanasiyana zokoma, zakumwa za zipatso, timadziti, zakudya,

- Mafuta a masamba abwino komanso otsekemera,

Pansipa pali maphikidwe omwe akutsimikiziridwa ndi akatswiri azakudya kuti azitha kudya zakudya zopweteka kwambiri ku hepatitis.

Miphika Zakudya za chimanga Zakudya za nyama ndi nkhuku

Zakudya Zamasamba Zamasamba Z Zakudya Zansomba ndi Zakudya Zam'madzi

Suzi Zakudya kuchokera ku tchizi tchizi ndi mazira Kuphika, maswiti

Matenda a shuga komanso mafuta a chiwindi

Vyalov Sergey Sergeevich
Woyankha wa Sayansi ya Zamankhwala,
European Medical Center
gastroenterologist-hepatologist wa European Medical Center,
Membala wa American Gastroenterological Association (AGA),
Membala wa European Society for the Study of theibindi (EASL),
Membala wa Russian Gastroenterological Association (RGA),
Membala wa Russian Society for the Study of theibindi (ROPIP).

Kodi matenda ashuga ndi chiani?

Owerenga athu adagwiritsa ntchito bwino Leviron Duo pachipatala. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Matenda a shuga ndi matenda ogwirizana ndi kuphwanya kwina kwa ntchito za kapamba, ndiko kukhazikitsidwa kwa shuga (m'magazi) m'magazi. Umu ndi momwe ziliri ngati kapamba ndi zinthu zotulutsidwa zomwe sangathe kuthana ndi katundu yemwe wazipeza.

Kodi kapamba amatani mthupi?

Pancreas imakhala ndi zigawo ziwiri zomwe zili mkati mw enawo. Chimodzi mwazinthu zomwe timadziwa bwino zimakhala ndi ntchito yokumba. Imasunga zinthu zosiyanasiyana - ma enzyme omwe amapukusa makamaka mafuta ndi chakudya. Kuyang'aniridwa kwa ntchito iyi ya kapamba, komwe kumakhudzana ndi kutupa kwake ndi kuchepa kwake kwa michere, imatchedwa pancreatitis. Ndi pachimake komanso matenda. Komabe, pankhani ya matenda ashuga, izi sizotikhudza kwenikweni.

Gawo lina la kapamba, lomwe limapangidwa monga zotchedwa Isanger of Langerhans, limatulutsa zinthu zochulukirapo - mahomoni. Zina mwazomwezi zimapangitsa kuti thupi lizikula komanso kuti lizikula komanso lofunika kwambiri pa zaka zazing'ono. Gawo lina la mahomoni, ndipomwe limayang'anira kuwongolera kwa shuga m'thupi.

Chifukwa chiyani timafunikira shuga?

Glucose ndiye gwero lamphamvu mthupi; maselo, minyewa, komanso ziwalo zonse, kuphatikizapo ubongo, zimadya. Popeza mtengo wa shuga m'thupi ndiwokwera kwambiri, thupi m'njira zosiyanasiyana limasunga kuchuluka kwake m'magazi. Titha kudziwa kuchuluka kwa shuga, nthawi zambiri kukhazikika kwake m'magazi kumayambira 3.5 mpaka 5.5 mmol / l (mtunduwu ungasiyane muma labotale osiyanasiyana kutengera ma reagents omwe amagwiritsa ntchito).

Chifukwa chake, pakachitidwe koyenera, makamaka ubongo ndi ziwalo zina m'magazi, kuphatikiza shuga kokhazikika kuyenera kupitilizidwa. Kutsika kwa kuchuluka kwake kumatchedwa hypoglycemia ndipo kungayambitse zovuta zazikulu, mpaka kukomoka kwa hypoglycemic! Kukula kwa glucose kumatchedwa hyperglycemia ndipo kungayambitsenso kukula kwa matenda osokoneza bongo, ku zovuta zazikulu zochokera mumtima, ubongo, mitsempha ya magazi, ngakhale hyperglycemic kapena hyperosmolar coma!

Mlingo wa shuga (shuga) m'thupi ungafanane ndi kuchuluka kwa mafuta omwe amakhala mgalimoto. Mwachitsanzo, dalaivala akazindikira mafuta ochepa pomwe injiniyo ikuyenda, amapita kumalo opangira mafuta ndi kukabwezeretsanso mafuta mu tank.Momwemonso, thupi, pozindikira kuchuluka kwa shuga, mothandizidwa ndi ubongo limatiuza zoti tidye. Woyendetsa amayendetsa galimoto yake ndi mafuta ambiri monga amafunikira kukafika kokwerera mafuta kapena kumene akupita. Ubongo umaperekanso chisonyezo cha kusintha polemba kuchuluka kwa zakudya zomwe zimamwa, zokwanira mpaka chakudya chotsatira.

Kodi matenda ashuga amakula bwanji?

Matendawa amakula tikachulukitsa matupi athu mopitirira muyeso, ndi kuchuluka komwe sakusowa. Koma, ngati dalaivalayo akathira mafuta ochuluka mgalimoto, ndiye kuti imatuluka m'mathanki a gasi, ndikupanga ngozi yamoto osati yagalimoto yokha, koma malo onse amagetsi. M'malo mwake, munthu, akadzaza thupi lake ndi chakudya chamafuta kwambiri, amapanga chiwopsezo chochuluka pachiwindi ndi kapamba. Ngati kudya kwambiri, zakudya zopatsa mphamvu kwambiri zamafuta ndi mafuta, kumachitika pafupipafupi, kumapeto kwake thupi silimalimbana ndi katunduyu ... Ndiye matenda apakhungu, shuga, matenda a chiwindi chamafuta.

Kodi shuga imagwirizana bwanji ndi chiwindi?

Likukhalira kuti chilichonse ndi chosavuta. Magazi athu amayendetsedwa mwanjira yoti zinthu zonse zomwe zimayikiridwa m'mimba ndipo matumbo amatengedwa m'matumbo kulowa m'magazi, omwe kenako amalowa m'chiwindi. Kuphatikiza pa kuchuluka kwambiri m'mimba mwa kapamba, chifukwa amayenera kugaya chakudya chonsechi, katundu wambiri amapangidwa pa chiwindi ndi gawo loyendetsera kapamba.

Chiwindi chimayenera kudutsa mafuta onse kuchokera pachakudyacho, ndipo chimakhala ndi zowonongeka. Zikondazo zimayenera "kuzikhatikiza" zonse zopatsa mphamvu ndi shuga zomwe zimalandira ndi chakudya - chifukwa mulingo wake uyenera kukhala wokhazikika. Chifukwa chake thupi limasintha chakudya chamafuta kukhala mafuta ndikuwonekanso kuwonongeka kwamafuta pachiwindi! Ndipo kapamba wamasamba, amakakamizidwa kuti apange ma homon enanso ochulukirapo. Mpaka nthawi inayake, pamene kutupa kumayamba. Ndipo chiwindi, chomwe chimakhala chikuwonongeka nthawi zonse, sichimalira mpaka penapake.

Hepatic steatosis ndi steatohepatitis

Mafuta onse omwe amapezeka amakhala ndi cholesterol, triglycerides ndi lipoprotein osiyanasiyana. Amadziunjikira m'chiwindi mokulira, amatha kuwononga ma cell a chiwindi ndikupangitsa kutupa. Ngati mafuta ochulukirapo sangathe kusungidwa konse ndi chiwindi, amatengedwa ndi magazi kupita ziwalo zina. Kukhazikika kwa mafuta ndi cholesterol m'mitsempha yamagazi kumabweretsa chitukuko cha atherosclerosis, kumakwiyitsanso kukula kwa matenda a mtima, kugunda kwa mtima ndi stroko. Kukhazikika kwa mafuta ndi cholesterol kumawononga kapamba, kusokoneza kagayidwe kakang'ono ka shuga ndi shuga mthupi, potero kumathandizira kukulitsa shuga.

Mafuta omwe amaphatikizidwa m'chiwindi amadziwika ndi ma free radicals, ndipo peroxidation yawo imayamba. Zotsatira zake, mitundu yosinthika yazinthu imapangidwa yomwe imakhudzanso chiwindi. Amayambitsa maselo ena a chiwindi (maselo okhathamira) ndipo minyewa yabwinobwino ya chiwindi imayamba kulowa m'malo mwa minyewa yolumikizira. Fibrosis ya chiwindi imayamba.

Chifukwa chake, zosintha zonse zomwe zimakhudzana ndi kagayidwe ka mafuta m'thupi zimawononga chiwindi, zimatsogolera pakupanga:

- steatosis (kuchuluka kwa mafuta m'chiwindi),

- steatohepatitis (kusintha kwa kutupa m'chiwindi cha mafuta),

- chiwindi fibrosis (kapangidwe ka minyewa yolumikizana ndi chiwindi),

- chiwindi cirrhosis (kuphwanya chiwindi chonse ntchito).

Kodi ndi liti ndipo mukayikira bwanji zosinthazi?

Choyambirira, muyenera kuyamba kufuula alamu omwe adapezeka kale.Ichi mwina ndi chimodzi mwazofufuza zotsatirazi: atherosulinosis, dyslipidemia, matenda a mtima, angina pectoris, myocardial infarction, postinfarction atherosulinosis, ochepa matenda oopsa, matenda oopsa, matenda oopsa a shuga, kufooka kwa shuga, matenda a insulin, metabolic syndrome,

Ngati muli ndi imodzi mwazodziwira pamwambapa, funsani dokotala kuti ayang'anire mawonekedwe a chiwindi, komanso kusankha mankhwala.

Ngati, chifukwa cha mayeso, mwawonetsa kupatuka kwa magawo amodzi kapena angapo a labotale poyesa magazi, mwachitsanzo, cholesterol yokwezeka, triglycerides, lipoproteins, kusintha kwa glucose kapena glycosylated hemoglobin, komanso kuwonjezeka kwa zizindikiro zomwe zikuwonetsa ntchito ya chiwindi - AST, ALT, TSH, alkaline phosphat. , nthawi zina, bilirubin.

Ngati magawo awiri kapena angapo akwezedwa, onaninso ndi dokotala kuti afotokozere zaumoyo wanu, chitulukiraninso matenda ena ndikuwapatseni mankhwala.

Ngati muli ndi chizindikiro chimodzi kapena zingapo kapena zofunikira pakukula kwa matenda, mukufunikiranso kukaonana ndi dokotala kuti athe kuwunika moyenera, kudziwa kufunikira kwa mayeso ndikupereka mankhwala. Zomwe zimayambitsa kapena zizindikiro za metabolic syndrome ndizonenepa kwambiri, m'chiuno kwambiri, kuwonjezeka kwa magazi pafupipafupi, kugwiritsa ntchito mafuta ochulukirapo kapena zakudya zokazinga, zotsekemera, ufa, mowa.

Kodi dokotala angavomereze chiyani?

Mulimonsemo, pamaso pa matenda kapena kukhalapo kwa zowonetsa pakuwunikira kapena kupezeka kwa zizindikiro ndi zinthu zowopsa, upangiri waukatswiri ndi wofunikira!

Muyenera kulumikizana ndi akatswiri angapo nthawi imodzi - katswiri, cardiologist, endocrinologist ndi gastroenterologist. Ngati muli ndi vuto lotereku m'chiwindi, mungathe kulumikizana ndi gastroenterologist kapena hepatologist.

Dokotala adzazindikira kuopsa kwa vutoli kapena kuopsa kwa matendawa, kutengera izi, ngati kuli kufunikira kwenikweni, sankhani mayeso ndikukuwuzani zomwe zikuwoneka kuti zili bwino pakuwunika kumeneku.

Asanachitike, atapima matendawa kapena atadwala, adokotala amatha kukupatsani chithandizo, izi zimatengera kuuma kwa zizindikiro ndi zovuta zomwe zapezeka.

Nthawi zambiri, mankhwala angapo amagwiritsidwa ntchito pochiza matenda amchiberekero chamafuta kuphatikiza matenda a shuga. ndi mikwingwirima, ndi ena.

Sizowopsa kuyesa palokha kusinthidwa kwa mankhwala kapena kusankha kwa mankhwala! Funsani dokotala kuti amupatse chithandizo!

Ndi mankhwala ati omwe amagwiritsidwa ntchito kuti abwezeretse chiwindi?

Udindo wofunikira kwambiri pa mankhwalawa umachepetsedwa ndikuchepetsa thupi, kuwonjezera masewera olimbitsa thupi, kudya kwapadera kokhala ndi mafuta ochepa komanso mafuta othamanga, kutengera momwe zinthu zilili, mwina mungaganizire "magawo a mkate".

Zochizira matenda amchiwindi, pali gulu lonse la mankhwala otchedwa hepatoprotectors. Kunja, gulu la mankhwalawa limatchedwa cytoprotectors. Mankhwalawa ali ndi chikhalidwe chosiyana ndi kapangidwe kazinthu - pali mankhwala azitsamba, kukonzekera kwa chiyambi cha nyama, mankhwala opangira. Inde, zomwe mankhwalawa amapanga ndizosiyana ndipo amagwiritsidwa ntchito makamaka matenda osiyanasiyana a chiwindi. M'mikhalidwe yovuta, mankhwala angapo amagwiritsidwa ntchito nthawi imodzi.

Zochizira matenda amafuta a chiwindi, kukonzekera kwa ursodeoxycholic acid ndi ma phospholipids ofunikira nthawi zambiri amapatsidwa.Mankhwalawa amachepetsa lipid peroxidation, kukhazikika ndikukonza maselo a chiwindi. Chifukwa cha izi, zowonongeka zamafuta ndi ma free radicals zimachepetsedwa, kusintha kwa chiwindi, njira zopangira minofu yolumikizira imachepetsedwa, chifukwa chake, kukula kwa fibrosis ndi cirrhosis ya chiwindi kumachepetsedwa.

Kukonzekera kwa ursodeoxycholic acid (Ursosan) kumathandizanso kwambiri zimagwira ma cell, motero zimalepheretsa kuwonongeka kwa maselo a chiwindi komanso kukula kwa kutupa m'chiwindi. Ursosan amakhalanso ndi choleretic zotsatira ndikuwonjezera mafuta a cholesterol pamodzi ndi bile. Ichi ndichifukwa chake imagwiritsidwa ntchito mu metabolic syndrome. Kuphatikiza apo, Ursosan imakhazikika ndulu ya ndulu yomwe imagwiritsidwa ntchito mu ndulu ndi kapamba, imapereka gawo labwino pa ziwalo izi, zomwe ndizofunikira kwambiri kapamba.

Matenda a chiwindi chamafuta, kuphatikiza matenda a shuga ndi shuga, amafunika kugwiritsa ntchito mankhwala ena mankhwalawo.

Nkhaniyi imapereka chidziwitso chochepa cha njira ndi njira zochizira matenda a chiwindi. Kuzindikira kumafunikira kupita kwa dokotala kuti akapeze njira yoyenera yolandirira!

Kodi zakudya za hepatitis C ziyenera kukhala chiyani?

Hepatitis C ikupitiliza kukhala imodzi mwamatenda oopsa: imatha kukhala asymptomatic kwa nthawi yayitali. Zakudya za hepatitis C ndi chithandizo choyenera zimapatsa wodwala kuchira, koma njirayi imatenga nthawi yayitali komanso imakhala yokwera mtengo. Popanda chakudya, kupambana kwa hepatitis ndikosatsimikiza.

Kodi amadya matenda a hepatitis C? Ndi zakudya ziti zomwe sizingathe kudya? Kodi mndandanda wa chiwindi C ndi chiyani?

Kodi sangadye ndi hepatitis C?

Mankhwala a hepatitis C, zakudya sizofunikira, koma zofunika. Zimakupatsani mwayi wochepetsa chiwindi ndi ziwalo zina zam'mimba, zimapatsa mphamvu zambiri komanso mphamvu, zimachepetsa kumva kupweteka komanso kusapeza bwino mu hypochondrium yoyenera. Simungathe kuyitanitsa chakudya chokhwima kwambiri, komabe, pali zoletsa zingapo pazakudya. Mu gawo la kuchuluka kwa matendawa, zoletsa izi ndizochulukirapo.

Ngati zachitika kuti munthu wadwala matenda a chiwindi, ayenera kukana zinthu monga:

1. Zakudya zokometsera, zokometsera ndi zakudya zamzitini.
2. Mowa
3. Soda, khofi wopangidwa ndi khofi ndi tiyi, koko.
4. Zakudya zautsi komanso zamchere.
5. Maswiti, mtanda wa zinthu.
6. Mafuta onenepa komanso nsomba zamafuta.
7. Msuzi wa nsomba ndi nyama.
8. Mayonesi
9. Chocolate, ayisikilimu.

Mukamayang'ana mndandandawu, odwala nthawi zambiri amafunsa kuti: Kodi mungadye chiyani ngati zinthu izi sizikuperekedwa? M'malo mwake, ndi hepatitis mutha kudya mokoma. Ili ndi vuto. Zakudya zopangidwa ndi nyumba zizikhala patsogolo, chifukwa ndizovuta kupeza chakudya chamagulu mu canteens, ma caf ndi malo odyera mwachangu.

Mungadye chiyani mukudwala?

Zakudya za odwala omwe ali ndi chiwindi C zimakupatsani mwayi wodya izi:

1. Tiyi yazitsamba, kuphatikizapo yobiriwira, ma compotes, odzola.
2. Khofi wofooka kwambiri wokhala ndi mkaka kapena chakumwa chotchedwa khofi.
3. Zinthu zamkaka zamafuta ochepa.
4. Nyama yophika ndi nsomba zamitundu yamafuta ochepa.
5. Zipatso ndi masamba atsopano, kupatula radish, radish, sorelo, adyo ndi anyezi.
6. Masaladi a masamba, supu ndi sopo wophika ndi mafuta ndi mafuta pang'ono.
7. Mbewu zamtundu uliwonse zophika zonse m'madzi ndi mkaka.
8. Masipu achilengedwe.
9. Mtedza.
10. "Dzulo" mkate wa tirigu.
11. Pasitala.
12. Kugwiritsa ntchito batala pang'ono ndi mbale zopakika bwino kumaloledwa (ndikofunikira kuti mafutawo asamathenso kutentha).

Kwa odwala omwe ali ndi chiwindi C, kudya No. 5 ndi koyenera. Amalembera odwala onse omwe ali ndi matenda a chiwindi, biliary thirakiti ndi ndulu.

Zakudya za chiwindi C

Pochiza matenda a chiwindi C, wodwalayo ayenera kutsatira mfundo zotsatirazi:

1. Kudya kumachitika bwino nthawi yomweyo.
2. Chakudya chizikhala cha mitundu iwiri komanso chakudya chambiri cha 5-6.
3. Kudya calorie sikuyenera kupitirira 2500 zopatsa mphamvu.
4. Mitundu yotsatirayi ya kutentha kwa mbale imaloledwa: kuphika, kuwira, kuwotcha, kuwaza sikumachotsedweratu.
5. Chakudya sichitentha kwambiri kapena kuzizira kwambiri; kutentha kwa chipindacho ndikokwanira.
6. Masana, muyenera kumwa 1.5-2 malita a madzi.
7. Kwa odwala omwe ali ndi chiwindi C, pali malire pazakudya zamchere (osapitirira supuni 1 patsiku).
8. Kuchepetsa kwakukulu kwa mafuta ndi chakudya chamafuta kumalimbikitsidwa.
9. Mitundu yambiri ya mapuloteni ndi mavitamini ndiolandilidwa.

Pakuchulukitsa kwa matendawa, chakudya chimalimbikitsidwa kuti chizidyedwa mouyeretsa: izi zimathandizira kwambiri kutsekeka kwake ndikuchepetsa nkhawa yodwala.

Thupi la odwala omwe ali ndi hepatitis ayenera kulandira zakudya zochuluka komanso mavitamini. Poyamba, dokotala wopezekapo amathandizira kukonza menyu, ndiye kuti wodwalayo payekha ayenera kuchita izi. Ndikofunika kuti penti yanu ipangike sabata yonse;

Nayi mndandanda woyenerana tsikulo:

Owerenga athu adagwiritsa ntchito bwino Leviron Duo pachipatala. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

1. 8.00. Chifuwa chophika, tiyi, mkate ndi chidutswa cha batala.
2. 10 a.m. Mafuta a protein ya omelette, msuzi wa rosehip.
3. 13.00. Msuzi wamasamba msuzi, supu yophika ndi mbatata yophika, compote.
4. 4 p.m. Tchizi chamafuta ochepa wopanda kirimu wowawasa, wowaza, tiyi wobiriwira.
5. 7 p.m. Pollock yophika, beets yophika, tiyi mkaka.
6. 10 p.m. Kefir wopanda mafuta.

Apple odzola

Dulani maapulo, peel, kuphika. Pateni mu madzi puree, brew ndi wowuma wa mbatata, onjezani shuga kuti mulawe.

Zomwe mungadye ndi cirrhosis ya chiwindi zimatha kukhala zokoma, osanenapo phindu. Izi maphikidwe ndi yosavuta, yotsika mtengo. Yesani kuphika zakudya zabwino zaana izi - simudzanong'oneza bondo!

Voterani ndi inu zambiri

Kukopa zofunikira zamatsamba ndizotheka popanda kuvomereza koyambirira ngati mukukhazikitsa cholumikizira chothandizira patsamba lathu.

Yang'anani! Zomwe zimasindikizidwa pamalopo ndizongodziwa zambiri komanso sizoyambitsa kugwiritsa ntchito. Onetsetsani kuti mwawonana ndi dokotala!

Kodi ndizotheka kudya sauerkraut?

Sauerkraut ndi chinthu chadziko lonse, chikondi cha anthu aku Russia chomwe sichimatha. Ambiri amaganiza kuti mbaleyi ndi njira yamatenda ambiri. Ndipo ndi hepatitis C, malinga ndi ambiri, ndi kabichi yokha yomwe imatha kuchiritsidwa. Eya, kapena msuzi wake, womwe "ochiritsa" ena amalimbikitsa kumwa maola atatu aliwonse.

Musadalire maphikidwe onse a anthu popanda chifukwa. Zakudya za hepatitis C zimathetsa kugwiritsa ntchito sauerkraut: imakhala ndi mchere wambiri, ndimafayilo owuma, omwe atha kukhala vuto pakugaya kale chakudya cham'mimba, ndikupangitsa kupsa. Pakhoza kukhala zovuta zina pamalopo ngati wodwalayo sangakhale moyo popanda sauerkraut. Koma izi ziyenera kulingaliridwa pokhapokha ndi dokotala wopezekapo.

Kwa chiwindi C, chakudyacho chiyenera kukhala chokhwima koma chokwanira. Mwambo wake ndi wofunika kukhala wathanzi komanso labwino. Zakudya pambuyo hepatitis, pamene matendawa achiritsidwa, ndi gawo lofunikira la thanzi.

Chifukwa chake, ngati chiwopsezo cha hepatitis chikukuvutitsani, muyenera kuzindikira nthawi yomweyo zoletsa zanu.

Zakudya za kapamba ndi cholecystitis

Zakudya za cholecystitis ndi kapamba ndizofunikira kwambiri, popanda iwo ngakhale mankhwala amphamvu sangapatse zotsatira zomwe mukufuna. Cholecystitis ndi kutukusira kwa ndulu ndi ma ducts, nthawi zambiri ndimakhala ndi calculi. Amayamba chifukwa cha kupindika kwa bile ducts komanso kugwirizanitsa. Khalidwe losayenera, zakudya zopanda thanzi nthawi zambiri zimatsogolera.Zitha kupangitsa kuti kufalikira kwa ziwalo zotumphukira ziwalo zapafupi, mwachitsanzo, kapamba. Matendawa amatchedwa pancreatitis. Omalizirawa amatha kukhala wopanda cholecystitis komanso pazolowetsa kuzolowera zakudya zopanda pake komanso mowa. Chakudya chimagwira bwino kwambiri pakuwonekera kwa matenda awa komanso chithandizo chawo.

Zololedwa komanso zoletsedwa

Kodi zakudya za kapamba ndi cholecystitis zimaphatikizapo chiyani?

Mfundo khumi zofunika kuziganizira:

• Pansi ndi kudya kwambiri. Chifukwa chake, zakudya za cholecystitis, komanso kapamba, sizipitilira kilogalamu zitatu za chakudya patsiku, ndipo zopatsa mphamvu zake zonse ziyenera kukhala pafupifupi 2,400 kcal. Madzi ayenera kumamwa
• Patsogolo pali agologolo. Maziko ayenera kukhala chakudya chama protein, ndipo kuchuluka kwamafuta ndi chakudya chamthupi kumayenera kuchepetsedwa. Makamaka owopsa ndi omwe amakhala ndi mafuta onyenga (mwanawankhosa, bakha, tsekwe, nkhumba), komanso maswiti okhala ndi zonona.

• Palibe kusiyanitsa. Kutentha kwa mbale kuyenera kukhala malo kapena otentha, ayisikilimu kapena msuzi wotentha nkoletsedwa.
• Madzi m'malo mowa. Zakumwa zoledzeretsa ndizoletsedwa, kwakukulu, ndipo moŵa ndi champagne chifukwa cha maupamwamba awo kwa odwala oterowo ndi poyizoni.
• Njala siyolandilidwa. Simungadzitopetse ndi nthawi yayitali yopuma pakati pa chakudya. Zakudya ziyenera kukhala zopepuka, zamafuta, koma zopatsa mphamvu. Njala imatheka pokhapokha ndikumva kupweteka kwambiri, kusanza.
• Mchere uli mu ofiira. Zocheperako ndizabwino. Koma zoposa supuni (ya zinthu zonse) patsiku ndizosatheka.
• Mayonesi wabwino. Komanso msuzi wamchere, ketchup. Mwachitsanzo, kupanga ma saladi kukhala abwino, mutha kuwaza ndimu.
• Palibe chakudya chofulumira. Agalu otentha, tchizi cha zonunkhira, mtedza wamchere, zinthu zina zofunikira - muyenera kuchita popanda iwo.
• Mazira - owiritsa okha. Ndipo osapitirira amodzi patsiku. Awiri amatha kukhala mwa mawonekedwe a puloteni.
• Maswiti ololedwa. Makani a maswiti ayenera kuyiwala za chokoleti, koko, makeke. M'malo awo ndi uchi, kupanikizana, kupanikizana, soufflé.

Zitha kukhala pa menyu ndi zomwe siziri:

Ginger wamkulu pa Mlingo waukulu chifukwa cha kuuma kwazovuta zotere ndi zosafunika, ngakhale kuli njira zina zochiritsira kapamba nazozi zake. Ginger wodula bwino ndi wowopsa kwambiri. Musayesere kugwiritsa ntchito mankhwala enaake, kuti musawononge thanzi lanu. Koma mu Mlingo wocheperako, ginger amatha kuwonjezera chakudya. Mwachitsanzo, kuti muwonjezere mamvekedwe am'mimba ndikuchepetsa burning, ndibwino kuyika ginger m'mayi.

Za zipatso, ndikosayenera kudya nthochi, nkhuyu, masiku, mphesa. Ngakhale ndi okoma, ndi zovuta zoterezi zimatsutsana. Ndipo mphesa, masiku, ndi nkhuyu, ndi nthochi zitha kupangitsa kuti mpweya wambiri uphulike. Madeti owuma amatha kuthekera ochepa pokhapokha panthawi yachikhululukiro.

Simungamwe mafuta a nsomba mwina: wamafuta kapena mawonekedwe a kapisozi. Ikhoza kuvulaza mafuta am'madzi mu pachimake cha cholecystitis ndi kapamba.

Ndipo kwa omwe akudwala matendawa, mafuta a nsomba amathanso kukulitsa zovuta izi.

Mafuta a nyama amapezeka pokhapokha batala, koma ochepa. Kuchokera pamafuta ndikwabwino kusankha masamba: maolivi, mpendadzuwa, sea-buckthorn, kuchokera ku mbewu za fulakesi.

Koma munthawi yachikhululukiro, tchizi chofewa komanso chochepa kwambiri amaloledwa kuwonjezera pasitala. Matenda a kapamba ndi biliary thirakiti, nkoletsedwa kudya kukonzedwa (zambiri zopangira zowonjezera), tchizi cholimba, chosuta. Komanso tchizi ndi nkhungu kapena zowonjezera (zitsamba, bowa).

Choyamba, chachiwiri ndi mchere

Zitsanzo mndandanda wa iwo omwe ali ndi cholecystitis ndi kapamba:

• Madokotala amalimbikitsa kudya dzira lowiritsa kapena louma omelette pakudya m'mawa, ndi phala ndi mkaka, makamaka mpunga kapena buckwheat, "Hercules" ndiyabwino. Zabwino m'mawa mafuta otsika mkaka.

• Ma saladi a masamba ophika ndi othandiza (beets ndi olandilidwa, kabichi ndi oletsedwa!), Mutha kuwapatsa mafuta ndi dontho la masamba (mwachitsanzo, kuchokera ku mbewu za fulakisi) kapena kufinya mandimu.
• Kuyambira maphunziro oyamba, muyenera kusankha msuzi wosenda, ma broth momwe mafuta samayandama, ndi soups mkaka.
• Pa maphunziro achiwiri, mitundu ya mafuta osakhala mafuta ndi nsomba yophika mu uvuni ndi wowiritsa awiri, pasitala, masamba ophika ndi ophika, mbatata zam'mbali za mbatata zamtundu uliwonse (kupatula yokazinga) ndizabwino. Nyama ndi nyama yotseka kapena bere la nkhuku limakhala lonenepa ngati, kuwaphika, kuyika tsabola woletsedwa ndi adyo pafupi. Chifukwa chake, kununkhira kwa mbale kumakhala kosangalatsa, koma sikukhala lakuthwa.

Kuchokera m'malo odyera mungasankhe soufflé, odzola, makeke wopanda yisiti, zipatso zosiyanasiyana zokoma.

Kodi menyu omwe mungathe kukhala nawo ndi otani mlungu umodzi:

Popeza feedol No. 5 imapereka chisangalalo chopatsa thanzi, "zakudya zazing'ono" zina zofunikira. Chifukwa chake, pakudya nkhomaliro (pafupifupi 11 am) ndi ola limodzi kapena awiri musanadye chakudya chamadzulo, mutha kudya zipatso zotsekemera, zipatso zingapo, zonona. Ndipo musanagone, imwani mkaka wokazinga, kefir, mkaka, msuzi.

Kuchiritsa chakudya

Zakudya zina sizimangovulaza odwala, komanso zimachiritsa.

Zakudya zabwino komanso zopatsa thanzi kuti muchepetse zomwe zimayambitsa matenda ndikupatutsa tebulo lanu:

• Dzungu lowotchera limakhala ndi zinthu zotere kuchokera kumasamba azomera zamasamba, ndipo sizovuta kuphika. Gawani ndi mpeni pakati, chotsani mbewu, kugona pa pepala lophika ndi zamkati ndikuphika pa 180 ° C.
• Ndi kapamba ndi cholecystitis, mbewu za fulakesi ndizothandiza kwambiri. Mbewu ya fulakesi imatha kukhala maziko a zakudya kapena zakudya kapena mafuta pakuvala masaladi. Mbewu za fulakesi zimachotsa poizoni ndikuthandizira chitetezo cha mthupi. Koma ndi cholecystitis ndi kapamba, mutha kudya zipatso za fulakesi ndi zakudya zokha mukamadya. Mbewu ya fulakesi siyimaphatikizidwa pamaso pa calculi mu ndulu ndi chikhodzodzo.

• Zonunkhira zabwino kwambiri ndi sinamoni ndi turmeric.Wotsirizayo amalimbikitsa katulutsidwe ka bile, amathandiza maselo a chiwindi. Cinnamon imathandizanso kugaya chakudya, komabe, chifukwa chogwira ntchito, zonunkhira siziyenera kudyedwa panthawi yowonjezera pancreatitis.
• Raw kabichi yokhala ndi zovuta zotere ndizovulaza - zimayambitsa kupangidwa kwa mpweya. Koma sauerkraut yokhala ndi mchere wochepa ungakhale wothandiza, monga gwero labwino la vitamini C nthawi yozizira. Ngati brine ndi wamphamvu kwambiri, kabichi imatsukidwa ndi madzi owiritsa. Zina zomwe zidachokera ku banja lino ndizovomerezeka ndi madokotala. Ichi ndi kolifulawa. Zimathandizira kutuluka kwa bile. Mutha kudya mumphika wophika, wophika, monga mbatata yosenda ndi soufflé.
• Beetroot ndi masamba ena abwinonso. A decoction a masamba amachepetsa ululu ndi cholecystitis. Beetot yophika, yowotchera ndi chakudya chofunikira kwambiri cha m'mbali 5. Komabe, beetroot ali ndi contraindication - sangathe kudya ndi concomitant gastritis ndi miyala ya impso, mosamala - ndi matenda a shuga.

Zinthu zothandiza kwambiri - mbewu ndi mtedza osiyanasiyana.

Mbewu iliyonse ndi nkhokwe yeniyeni ya mavitamini ndi mchere. Makamaka zinthu zambiri zofunika kwa kapamba ndi ziwalo zina zamphesa zimakhala ndi mbewu ya fulakesi, mbewu yotseketsa, nthanga zamunguwa

Mankhwala "Tykveol", operekedwa chifukwa cha matenda oterewa, amaphatikiza nthanga ya dzungu, kapena, mafuta ake. Mtedza uli ndi bioflavonoids womwe ungathandize kuchepetsa kutupa, komanso vitamini E - antioxidant wabwino kwambiri yemwe amalimbitsa maselo a cell. Komabe, muyenera kudya mtedza ndi njere mwanzeru.

Choyamba, amadzola mafuta kwambiri komanso mopitirira muyeso amalemetsa ziwalo zogaya. Kachiwiri, mtedza wa sitolo ukhoza kukhala wota, ndipo izi ndizowopsa kwa kapamba. Kuphatikiza apo, mtedza wambiri, monga mtedza, ndizolimba. Kuchita kotereku kumatha kubweretsa vuto lalikulu la kapamba. Mtedza wabwino kwambiri pazovuta zotere ndi walnuts. Ndi bwino kuwaphatikiza ndi uchi kapena kugwiritsa ntchito monga kukonda kwawo zakudya zosiyanasiyana.

Koma muyenera kukumbukira - uchi ndi zinthu kuchokera pamenepo zimatha kuyambitsa ziwengo. Ndipo ndimu yabwino kwambiri yosakanizidwa ndi uchi ingakhale njira yabwino kwambiri yotsekemera ya bile. Ngakhale mandimu ndi zipatso zowawasa, kutsekemera kwa uchi kumafewetsa izi. Muyenera kumwa mankhwala m'mawa, musanadye chakudya cham'mawa.

Zakumwa zabwino kwambiri zomwe ziyenera kuphatikizidwa mumenyu:

Zakudya za kapamba ndi cholecystitis ziyenera kukhala zosiyana kutengera mtundu womwe matendawa amachitikira.

Chifukwa chake, ndikukweza matenda, njala ndi yothandiza mpaka pomwe ululuwo utatha.

Muyenera kukakamira kuchiritsa zitsamba (mkaka nthula, rosehip, oats) kapena kumwa decoctions aiwo. Mutha kuwonjezera uchi (pang'ono).

Kusala kudya kumalizidwa ngati kutsika kwachulukirachulukira. Mukatero mumatha kudya zakudya monga zakudya, zakudya zosenda bwino, phala la mucous ndikusintha pang'ono pang'onopang'ono kuzakudya zabwino, kupatula zakudya zoletsedwa. Ngati pali miyala, ndikofunikira kumangapo chakudya pazakudya zamasamba, kuchotsa mafuta aliwonse azinyama.