Maphikidwe a Pancreatitis Stewable Maphikidwe: Thanzi Lapadera Lophika

Pancreatitis ndi njira yotupa mu kapamba, nthawi zambiri zomwe zimayambitsa matendawa zimayenera kufunafuna chizolowezi chomwa mowa komanso chikhodzodzo cha chikhodzodzo, kagwiridwe kake kakale, kugwiritsa ntchito mankhwala kwakanthawi. Zofunikira zina zamatendawa ndizovulala zam'mimba, kusokonekera kwa metabolic, komanso matenda am'mimba.

Nthawi yovuta yamatendawa imawonetsedwa ndi kupweteka kwapweteka kwambiri pamimba, komwe sikungatheke kuti athetse ndi ma painkillers, antispasmodics. Zizindikiro zina zimaphatikizira kusokonezeka kwa stool, kufooka kwambiri mthupi, chizungulire, komanso kusanza pafupipafupi.

Pankhaniyi, zoletsedwa kwathunthu, zokazinga ndi zokometsera zokometsera zotere, ndizopweteka kudya muffin, chokoleti, zakumwa zoziziritsa kukhosi. Ndikulimbikitsidwa kusiya masamba osaphika, zipatso zamtundu wa acidic. Mukamasankha menyu, muyenera kusamala, mwinanso mungayambitse kuzungulira kwina kwa kapamba. Kuti mukhale ndi thanzi labwino, akatswiri azakudya amalimbikitsa kudya ma porridge am'mimba, msuzi wosenda ndi masamba osiyanasiyana a masamba.

Zambiri zophikira mphodza pazakudya zochiritsira

Mu gawo lachiwopsezo chachikulu cha kapamba, kusakaniza masamba, ngakhale kuloledwa ndi kukonzedwa m'njira yofatsa, kumatha kudwalitsa wodwalayo matenda. Koma m'mene ntchito yotupa imachotsedwa ndipo ziwalo za m'mimba zimasintha, zipatso kuchokera ku masamba ophatikizika zimayambitsidwa pang'onopang'ono.

Chololedwa ndi kutupa kwa kapamba:

  • mbatata
  • kaloti
  • anyezi - ochepa,
  • dzungu
  • beets
  • zukini kapena zukini,
  • nyemba zobiriwira (chikhululukiro, ngati wodwalayo alekerera bwino masamba awa),
  • parsley ochepa.

Dziwani zomwe amaladi angakonzedwe ndi kapamba pazinthu izi ...

M'magawo osiyanasiyana a matendawa, masamba osiyanasiyana amagwiritsidwa ntchito popanga mphodza.

Ndi chikhululukiro chotalikilapo, kwenikweni supuni imaloledwa kuwonjezera tomato wosoka, biringanya, broccoli, tsabola wa belu, kolifulawa kapena nandolo zobiriwira ku mphodza, koma osapitirira kamodzi pa sabata. Masamba amatha kugwiritsidwa ntchito mwatsopano komanso oundana. Kwa satiety, chimanga chochepa chophika m'madzi chimawonjezedwa ndi chakudya.

Zomwe sizingawonjezeke pamtundu wa mphodza:

  • nyama zamafuta
  • zonunkhira
  • adyo, sorelo, sipinachi,
  • nyemba zowuma ndi nandolo, nyemba,
  • tomato kapena nkhaka,
  • wowawasa kabichi
  • bowa
  • mapira, chimanga, barele la ngale.

Ndikofunikira kuti masamba onse azikhala okonzeka. Koma siziyenera kukumbukiridwanso, chifukwa mwina ataya zinthu zofunikira. Chifukwa chake, samalani mosamala dongosolo la kuyika masamba ndi nthawi yophika.

Zosankha za kapamba kwa sabata limodzi

Pancreatitis ndi kutupa kwambiri kwa kapamba. Ndikofunika kwambiri kuzindikira matendawa munthawi yake, ndikuyamba chithandizo. Choyamba, muyenera kusintha kadyedwe ndikutsatira malamulo azakudya zochiritsira. M'nkhani yathu, tikambirana zomwe malamulowa akuphatikiza ndi zakudya zochizira komanso zakudya zamasiku asanu ndi awiri.

Malamulo azitsamba zothandizira

Kuti mankhwalawa a kapamba azitha kugwira ntchito, muyenera kutsatira mfundo zina za zakudya. Kuphatikiza pa kukana zinthu zovulaza, tsatirani malamulo ena omwe angathandize kupewa kukokomeza kwa kapamba ndikwaniritsa kukhululuka kwakanthawi.

Ganizirani mitundu yayikulu yazakudya:

  • lingaliro lalikulu mukamaliza kudya ndiye kukula kwake. Chakudya chimodzi sayenera kupitirira kuchuluka kwa galasi, ndiye kuti, panthawi ya kapamba, amaloledwa kudya magalamu 250 - 300 a chakudya chokonzedwa mu chakudya chimodzi,
  • mutatha kudya, simuyenera kudya moperewera, pomwe gawo liyenera kuchepetsedwa.
  • kuti musakwiyitse makoma am'mimba, ndi kapamba kumalimbikitsidwa kuti muzigwiritsa ntchito mbale pamalo osalala kapena opsinjika momwe mungathere,
  • Ngati zakudya sizikutha kupweteka, muyenera kudya tsiku limodzi. Mukamasala kudya, mumaloledwa kumwa malita awiri a madzi owiritsa. Tsiku lotsatira, yambani kudya pang'onopang'ono: oyamba kuchokera ku mkate wa rye, tiyi wopanda mphamvu,
  • chakudya chizikhala firiji
  • Zosankha zamatenda a kapamba zimachokera ku mphodza.

Zinthu zovomerezeka za kapamba

Popewa pancreatitis kuti asadwale, poyambira, yambani kudya zakudya zomwe zimachokera pazinthu zotsatirazi:

  1. Zamasamba. Masamba ambiri amaloledwa kuti azidyedwa pakhungu la kapamba, kuphatikiza miyendo ya kabichi ndi zinthu zina. zomwe zimatha kuyambitsa bata m'mimba. Kutengera zinthu zomwe zaloledwa, muyenera kukonzekera sopo wamasamba kapena mbale yam'mbali. Pa chikhululukiro cha kapamba, mutha kulowa menyu tomato ndi nkhaka zazing'ono. Ngati atatha kugwiritsa ntchito pali zowawa kapena zosasangalatsa, muyenera kukana masamba awa.
  2. C tchizi tchizi chokhala ndi kapamba zimayenera kudyedwa nthawi ya chakudya cham'mawa kapena chovuta, ndipo casserole kapena cheesecakes chochepa mafuta amathanso kukonzekera pamaziko ake.
  3. Za zipatso ndi zipatso za kapamba, ndibwino kuzigwiritsa ntchito mukatha kutentha. Pamaziko awo amaloledwa kuphika ma compotes, odzola ndi kuphika zipatso mu uvuni.
  4. Zakudya za mkaka wowawasa panthawi ya chakudya ziyenera kukhala ndi mafuta ochepa. Kirimu wowawasa kapena kirimu amagwiritsidwa ntchito ngati kuvala masaladi kapena sopo, osapitirira kawiri pa sabata.
  5. Rye mkate obisika, pasitala zosaposa kamodzi pa sabata.
  6. Mwa mbewu monga chimanga, ndikofunikira kupereka zokonda kwaomwe sizidzalipira zikondamoyo: burwheat, semolina, mpunga ndi oat.
  7. Nyama yokhala ndi kapamba iyenera kuphatikizidwa muzakudya za wodwalayo (nkhuku yopanda khungu).
  8. Mazira owiritsa amaloledwa owiritsa popanda yolk. Omelet wokhala ndi mapuloteni amawotchera.

Zomwe sizingadye ndi kutupa kwa kapamba

Ndi kapamba, ndikofunikira kusiyiratu chakudya chomwe chimakwiyitsa kuphatikiza kwa msuzi wa m'mimba.

  • Supu Pakudya, wodwalayo ayenera kukana msuzi wamafuta msuzi (nkhumba, ng'ombe), komanso zakudya zozizira zamadzimadzi, monga msuzi wa okroshka kapena mkaka.
  • Mbale. Zakudya za pancreatitis zimapatula mbewu zomwe zimayilidwa m'mimba m'mimba, monga: chimanga, mapira, barele la ngale.
  • Mkaka. Ndi kapamba, ndizoletsedwa kudya mkaka wonse mu mawonekedwe ake oyera. Kuphatikiza mkaka pakuphika sikochepa.
  • Mkate Musachotsere ufa, kuphatikizapo mkate watsopano.
  • Malonda omalizidwa. Kukana soseji, zodula mashopu ndi zotayira.
  • Zonunkhira. Suzi ndi zokometsera, kuphatikiza ketchup ndi mayonesi, sizimayikidwa pazakudya.
  • Zakumwa. Chakudyacho sichimaphatikizapo zakumwa zilizonse zokhala ndi zakumwa zoledzeretsa, zakumwa zoledzeretsa, zakumwa za zipatso.

Kuphatikiza pa magulu akuluakulu, mafuta onse, osuta, komanso zakudya zabwino kwambiri amaletsedwa panthawi yachakudya. Mwachitsanzo, chokoleti ndi kapamba sangadye, koma chidutswa cha marshmallow kapena ma saponi angapo a zakudya.

Zakudya zoyenera kwa sabata limodzi ndi kapamba

Ndikofunikira kwambiri kuti menyu wa pancreatitis ukhale ndi zinthu zonse zofunika. Kutengera zomwe tafotokozazi pamwambapa, aliyense amatha kupanga menyu malinga ndi zomwe amakonda. Timapereka mndandanda woyenera wa sabata limodzi, momwe wodwala matenda a kapamba amayenera kudya.

Tsiku loyamba. Patsiku loyamba la chakudya, ndikofunikira kuti musadye zakudya. Koma ngati ululu suwoneka, mutha kudya kutengera chitsanzo pansipa. Chonde dziwani kuti menyu omwe akuwonetsedwa ndiyerekeza, zinthu zitha kusinthidwa ndi zina zovomerezeka mukamadya:

  • Chakudya cham'mawa. Kapu ya tiyi wobiriwira, azungu awiri owiritsa.
  • Zakudya. Galasi lamafuta.
  • Nthawi ya nkhomaliro. Msuzi wa nkhuku wokhala ndi nyemba za rye.
  • Chakudya chamadzulo. Galasi la kefir.
  • Chakudya chamadzulo Gawo lamabele owiritsa nkhuku, compote ya apulo.
  • Chakudya choyamba. Oatmeal, kagawo ka tchizi.
  • Zakudya. Tiyi yobiriwira, omeledte.
  • Nthawi ya nkhomaliro. Mpunga wophika, chidutswa cha nsomba zovekedwa.
  • Zakudya. Galasi lamafuta.
  • Chakudya chamadzulo Zakudya za vinaigrette, kagawo ka mkate wathunthu.

  • Chakudya cham'mawa choyamba. Saladi yophika beets ndi maapulo, okoleretsa osati mafuta wowawasa zonona. Kapu ya tiyi wobiriwira.
  • Zakudya. Buckwheat phala ndi kagawo ka batala.
  • Chakudya chamadzulo Msuzi wopangidwa ndi vermicelli wokhala ndi nkhuku, magawo awiri a tchizi.
  • Chakudya chamadzulo. Kapu yamkaka yophika mkaka.
  • Chakudya chamadzulo. Zakudya zosenda mbatata (wopanda mkaka), nkhuku yonyowa.
  • Chakudya cham'mawa. Oatmeal phala ndi gawo la batala, rasipiberi compote.
  • Zakudya. Yokongoletsedwa ndi zonona wowawasa wowawasa.
  • Nthawi ya nkhomaliro. Durum tirigu wowotcha, chidutswa cha nkhuku yophika, tiyi ndi uchi.
  • Zakudya. Mtundu wowotchera.
  • Chakudya chamadzulo. Zakudya zamasamba, kapu imodzi ya zipatso zouma.

  • Chakudya cham'mawa. Phala la mpunga, dzira lophika popanda yolk.
  • Zakudya. Tiyi yokhala ndi chidutswa cha tchizi.
  • Nthawi ya nkhomaliro. Msuzi ndi Zakudyazi zopangidwa, kaloti wosenda.
  • Chakudya chamadzulo. Tchizi chamafuta ochepa wokhala ndi kirimu wowawasa.
  • Chakudya chamadzulo. Masaladi omwe amapezeka ndi mafuta, tiyi ndi shuga, apulosi wophika.
  • Chakudya cham'mawa choyamba. Simende yonyowa ndi masamba.
  • Zakudya. Apricot odzola.
  • Chakudya chamadzulo Buckwheat phala, chifuwa cha nkhuku, tiyi wobiriwira.
  • Chakudya chamadzulo. Chakumwa cha Rosehip.
  • Chakudya chamadzulo Nsomba zophika, masamba ophika, zakudya odzola.

  • Chakudya cham'mawa. Cottage tchizi casserole, anaphika apulo ndi uchi.
  • Chakudya cham'mawa mobwerezabwereza. Kapu ya zipatso zonunkhira.
  • Chakudya chamadzulo Zucchini woluka, zodulidwa zothina, tiyi wobiriwira.
  • Zakudya. Ma cheesecake angapo otsika mafuta.
  • Chakudya chamadzulo. Muli zipatso zouma, kagawo ka nyama yophika, mpunga wowiritsa.

Nsomba "hedgehogs"

Tengani nsomba yamafuta ochepa, olekanitsidwa ndi mafupa ndikudula. Magawo atatu a buledi amakwiriridwa m'madzi ozizira osakanizidwa ndi fillet ya nsomba. Onjezani mkaka wocheperako ndi azungu awiri azitsamba ndi zomwe zimayambira. Sakanizani misa bwino, kusema miyala ing'onoing'ono. Timayika cutlets mumadzi otentha mchere, timakhulupirira kwa mphindi 25.

Chomera chamasamba

Timasamba masamba kuchokera pa peel (mbatata, kaloti, dzungu, anyezi, zukini). Dulani masamba muziduswa tating'onoting'ono ndikuyika mu chitsulo chosinja. Kenako, dzazani masamba ndi madzi ndi mchere pang'ono. Stew masamba mpaka zofewa komanso mpaka madzi atuluka. Onjezani supuni ya tiyi wamasamba. Mwakusankha, mutha kubweretsa chakudya chamtunduwu, momwe madokotala amalangizira kuphika chakudya mukamadya. Kongoletsani mbale ndi parsley kapena katsabola.

Msuzi wa Rosehip

Chinsinsi ichi cha pancreatitis sichingokhala chokoma, komanso chothandiza kwambiri. Pophika, muyenera kutenga ochepa m'chiuno ndi malo a thermos. Thirani madzi otentha ndikulola kuti atuluke kwa maola atatu. Musanagwiritse ntchito, tikulimbikitsidwa kuti bweretsani chakumwa ku kutentha kwa chipinda, mwina mungathe kuwonjezera supuni ya shuga.

Msuzi Wamasamba Ndi Mpunga

Timatsuka masamba kuchokera ku zikopa (mbatata, kaloti, anyezi). Dulani mbatata m'mitundu yaying'ono, ndikudula anyezi ndi kaloti ndi grater. Timatsuka mpunga wazungulira kangapo pansi pa madzi ozizira. Pophika, mchere wamchere pang'ono, timayendera masamba onse nthawi imodzi ndi mpunga. Miphika itangopyozedwa mosavuta ndi mpeni, thimitsani moto ndikuphimba msuziwo ndi chivindikiro. Musanatumikire, mutha kuwonjezera amadyera pang'ono ndikusintha msuzi ndi zonona zonona.

Curd Dessert

Pa chakudya cha pancreatitis, ndikofunikira kudya mapuloteni ambiri momwe mungathere. Chifukwa chake, zotsekemera za curd ndizodziwika pakati pa anthu omwe ali ndi kutupa kwa pancreatic. Mbaleyi ikhoza kuphatikizidwa mumenyu ndi chikhululukiro chautali, siyikulimbikitsidwa kuti mugwiritse ntchito pachimake. Njira yosavuta yophikira kudya ndi yosakanizira, kuti muchite izi, ikani tchizi chinyumba ndi zigawo za nthochi ndi rasipiberi m'mbale, kubweretsa misa yambiri.

Apple compote

Magawo ang'onoang'ono ama maapozi amaikidwa m'madzi otentha. Maapulo akangofewa, chotsani chidebecho pachitofu ndi kulekerera compote. Muthanso kuwonjezera shuga. Asanagwiritse ntchito, compote imasefedwa kuchokera ku maapulo. Ngati mukufuna, mutha kuphwanya maapulo mu mbatata yosenda ndikuwonjezera compote.

Kuti kuchulukitsa kwa kapamba kuchitika kangapo, ndipo kapamba kuti asavutike kwa nthawi yayitali, muyenera kutsatira zakudya. Zakudya za kapamba zimachitika m'maphunziro, ndikhululukidwa kwanthawi yayitali, zimaloledwa kugwiritsa ntchito mndandanda wambiri wazinthu.

Kodi kudya mphodza

Kugwiritsa ntchito mphodza zamasamba pakukula kwa kapamba kumaloledwa, pokhapokha ngati pali zinthu zomwe zingagwiritsidwe ntchito chifukwa cha matendawa. Pakuphika, ndizoletsedwa kugwiritsa ntchito zonunkhira zakuthwa ndi zokometsera, mafuta ambiri ammafuta ndi mafuta a nyama, kukwiyitsa mucous membrane wam'mimba.

Ndi choyenera kudya mphodza kuchokera ku masamba osankhidwa, osenda bwino, mpunga ndi chimanga. Madokotala amalangiza kuphatikiza masamba mphodza ndi kapamba chifukwa cha matendawa, pomwe matenda sanayambike kwa nthawi yayitali. Pa nthawi yogwira matendawa, amadya mosamalitsa malinga ndi zomwe dokotala akuwalimbikitsa, mwinanso chikhodzodzo chimapereka zizindikiro zosatsimikizika, ndipo ngakhale mkhalidwe woopsa wamunthuwo udzakulirakulira.

Nutritionists amapereka zingapo zosangalatsa maphikidwe a masamba mphodza, ayenera kuyikidwa mu menyu matenda a m'mimba dongosolo. Koma musanagwiritse ntchito mphodza woterewu, muyenera kufunsa dokotala.

Kudziwa mtundu wanji wamasamba omwe amaloledwa kudya nthawi yamapapo mu kapamba, ndizotheka kusintha thupi. Pamapeto pa matenda pachimake, amaloledwa kuwonjezera pang'ono mbale:

Masamba oterowo amawonjezeredwa pang'ono, amawoneka bwino. Ngati thupi limalekerera zamasamba, sizingavulaze kusinthanitsa menyu pophatikizira zinthu zina muzakudya: dzungu, zukini, nyemba zosankhwima zobiriwira.

Pamene kapamba adalowera m'mimba, akatswiri azakudya adalangiza kuphika mphodza ndi kuwonjezera kwa phwetekere, nandolo zobiriwira. Zatsopano zomwe zimapangidwa zenizeni pa supuni, zimadyedwa mokhazikika.

Zomwe zimatha kukonzedwa

Momwe mukumverera bwino, ma biringanya, tomato ndi tsabola wokoma amawonjezeredwa m'mbale

Pazakudya za wodwala ndi kapamba, maphikidwe osiyanasiyana a mphodza wa masamba amagwiritsidwa ntchito. Choyamba, mbale yosavuta kwambiri ya zosakaniza ziwiri 2-3 imakonzedwa. Ndiye, ngati kutalikiraku sikubwereranso, maphikidwe osiyanasiyana okhala ndi zigawo zisanu ndi zisanu ndi zisanu ndi chimodzi amaphatikizidwa menyu. Ndikulimbikitsidwa kuti ndiwo zamasamba zilizonse zitha kutumizidwa, kuti pakachitika vuto linalake, zimatsimikizika kuti ndi ziti zomwe zakupatsani.

Mankhwala a pancreatitis pachimake mu gawo chete

Pophika muyenera:

  • mbatata ziwiri zapakatikati,
  • kaloti
  • theka anyezi,
  • theka la zukini wachinyamata,
  • mchere.

Zamasamba zimapendedwa ndikutsukidwa. Mbatata ndi zukini zimadulidwa mu ma cubes, anyezi osankhidwa bwino, ndipo kaloti amazisenda pa grater. Kotero kuti zosakaniza zonse zimaphika mofanana, zimayikidwa mu poto wokumbika kapena chiwaya chachikulu m'magulu: mbatata, kaloti ndi anyezi, pamwamba pa zukini. Kenako onjezerani madzi ambiri kotero kuti amaphimba pafupifupi theka la masamba. Mbale zimayikidwa pamoto wosakwiya, wokutidwa ndi chivindikiro ndikuwotchedwa kwa theka la ola. Pamapeto kuphika, mbaleyo amathira mchere. Tumikirani chakudya chambiri m'chipinda.

Tikukulimbikitsani kuti muwerenge zolemba zogwiritsidwa ntchito ndi zinthu zina za kapamba:

Maphikidwe a mphodza akuchira

Tsopano mutha kuwonjezera biringanya, beets, kolifulawa kapena nyemba zobiriwira pazophatikizira pamwambapa. Ndikulimbikitsidwa kuti muyambe kuphika masamba mwatsopano padera ndikumupatsira wodwalayo.Ngati kupweteka ndi kusasangalala siziyambiranso, mankhwalawo amaphatikizidwa ndi ndiwo zamasamba zosakaniza ndi matenda a kapamba.

Cauliflower, broccoli ndi potato wa mbatata:

  1. Tengani masamba a 150 g, anyezi wosankhidwa pang'ono ndi parsley, kuchapa.
  2. Gawani broccoli ndi kolifulawa pazinthu zing'onozing'ono, kusenda mbatata ndikudula pakati.
  3. Ikani zamasamba mu msuzi, kuwonjezera theka lamadzi ndikuphika pansi pa chivindikiro mpaka mbatata zofewa.
  4. Konzani msuzi: mu poto, kutentha supuni ndi ufa, kutsanulira kapu ya mafuta ochepa, kuwonjezera mchere, kubweretsa.
  5. Thirani masamba omwe ali ndi msuzi ndi msuzi, kusambitsa ndi kuzizirira pang'ono musanatumikire.

Stew "a la ratatouille":

  1. Pophika, muyenera theka la zukini, biringanya, tsabola wokoma, theka la anyezi ndi phwetekere.
  2. Zamasamba zimatsukidwa, mapesi osenda, mbewu zimachotsedwa pa tsabola, kudula mu ma cubes, biringanya umakhala wopanda mchere, wokazidwa ndi madzi otentha kuti muchotse mkwiyo.
  3. Tsabola wokoma ndi anyezi, zukini, biringanya zimayikidwa mu suppan m'magulu, tomato ophika amayikidwa pamwamba.
  4. Masamba omwe amakonzedwa amathiridwa ndi mafuta mumasamba ndikuthiridwa ndi madzi, kuwotcha pamoto wotentha kwa theka la ola.
  5. Mbale yotsirizidwa imakonkhedwa ndi parsley wosankhidwa, wokutidwa ndi chivindikiro ndikuumirira kwa mphindi 10.

Pakuwotcha ndi grits, ndibwino kuphika mpunga kapena buckwheat padera, kenako ndikusakaniza ndi masamba omwe adapangidwa kale. Ndi chikhalidwe chokhazikika, chimaloledwa kukometsa mbale yomalizidwa ndi chidutswa cha batala kapena supuni ya kirimu wowawasa.

Mphodza za mbatata, maungu kapena kaloti zimatha kudyedwa katatu pa sabata, mbale kuchokera ku biringanya, phwetekere ndi kabichi - osaposa kamodzi pa masiku onse asanu ndi awiri. Koma ngakhale chikhululukiro cha pancreatitis chokhalitsa, simuyenera kuvutitsa mphodza ndi kudya kwambiri: kudya ndi mankhwala osokoneza bongo kumatha kubweretsa chidwi chatsopano.

Kusenda Masamba Amasamba

Pali malamulo angapo ophikira ophikira, choyambirira, musaiwale kuti masamba atsopano kapena achisanu ndi oyenera kupatsira, nthawi yophika ya iliyonse ya iwo ndi yosiyana.

Zogulitsa ziyenera kutsukidwa ndikutsukidwa nthawi yomweyo musanaphike, kudzoza kuyenera kuchitika pamoto wochepa, apo ayi masamba azitaya michere yambiri ndi mavitamini. Pofuna kusintha kukoma kwa mbale kumayambiriro kuphika, yikani masamba onse m'magawo, popanda oyambitsa.

Mbale wokoma amapezeka ngati masamba akuloledwa kusunthira, ndiye kuwonjezera madzi otentha pang'ono, kubweretsa kwa chithupsa, kwa mphindi zosachepera 5 pam kutentha wochepa.

Zakudya za masamba zitha kupindula, kusiyanitsa zakudya za wodwalayo, kuphatikiza kotsimikizika kwa zakudya ndikuti mutha kuphika nthawi iliyonse pachaka, zopangidwa zimakula m'chigawo chathu ndipo ndizotsika mtengo. Amaloledwa kugwiritsa ntchito masamba abwino komanso oundana, kuwaphatikiza pakati pawo mwanjira iliyonse.

Ngati mutasintha chilichonse, mutha kupeza njira yosiyaniratu ndi pancreatitis, chinthu chachikulu ndichakuti chophatikizacho sichikuvulaza ndipo sichimayambitsa kutupira kwa kapamba.

Momwe mungaphikitsire thanzi lanyama zamasamba zikuwonetsedwa mu kanema m'nkhaniyi.

Kudya masamba a kapamba: mitundu yazipatso zololedwa, zotetemera ndi maphikidwe otetezedwa 🍅🥕

Masamba ndiye maziko azakudya zopatsa thanzi komanso zopatsa thanzi, chifukwa zimakhala ndi mavitamini ambiri athanzi, michere, michere yambiri, komanso mapuloteni azamasamba ndi mafuta, zomwe ndizofunikira panjira ya metabolic. Ali m'gulu la magome onse othandizira odwala omwe amathandizidwa ndi akatswiri azachipatala, komanso pazakudya zonse zochepetsa thupi. Masamba omwe ali ndi kapamba ndiye maziko azakudya za munthu wodwala, limodzi ndi chimanga, zipatso zina, mkaka wowawasa ndi zakudya zina zovomerezeka.

Malangizo apadera posankha masamba a kutupa kwa pancreatic

Kwa zaka zambiri, osagwirizana pancreatitis?

Katswiri wamkulu wa gastroenterologist wa ku Russian Federation: "Mudzadabwa momwe zimakhalira zosavuta kuchotsa kapamba mwa kuyeretsa zikondamoyo za poizoni.

Pancreatitis, kapena njira yotupa m'matumba a kapamba, amadziwika ndi kupweteka kwambiri komanso dyspeptic syndrome. Ndikothekanso kuwononga gawo la endocrine la gland, lomwe limatulutsa mahomoni a insulin ndi glucagon, omwe amaphatikizidwa ndi metabolism ya carbohydrate, yomwe imawonjezera chiopsezo cha hyperglycemia.

Chifukwa chake, pancreatitis sikuti imangowononga thanzi la wodwalayo komanso moyo wabwino, komanso zimatha kubweretsa zovuta zowopsa (pancreatic necrosis, shuga mellitus). Chifukwa chake, mankhwalawa adwala kwambiri. Choyamba, ndikofunikira kusunga zakudya zapadera zomwe madokotala amapereka. Zogulitsa zokhazokha zomwe sizimayambitsa kuchuluka kwa kutupa zimaphatikizidwa menyu.

Ndi masamba ati omwe mungadye ndi kapamba?

Pakati pa masamba, pali omwe amatha (komanso amafunikira) kudya ndi kupezeka kwa matenda a kapamba, ndi omwe samalimbikitsidwa kuti awonjezeredwe pamenyu. Gulu lolola limaphatikizapo izi:

  • mbatata
  • Zukini wachinyamata
  • kaloti
  • dzungu
  • beets
  • biringanya
  • anyezi
  • Tomato
  • belu tsabola
  • nkhaka
  • mitundu ina kabichi (broccoli, Brussels zikumera, kolifulawa, Beijing, nyanja kale),
  • amadyera (katsabola, parsley).

Izi ndizothandiza pokonzanso minyewa ya pancreatic itatha kutupa. Mapangidwe omwe ali nawo amathandizira kukonzanso minyewa ya gwirandi ndi kusintha kwa ntchito zake za exocrine ndi endocrine.

Ndi masamba ati omwe sayenera kudyedwa?

Oimira ena zamasamba amaletsedwa kotheratu ndi kapamba nthawi iliyonse yamatendawa. Izi ndi monga:

  • kabichi yoyera
  • sipinachi
  • adyo
  • radishi
  • mpiru
  • nsapato
  • tsabola wotentha
  • sorelo, rhubarb.

Kuletsedwaku kuli ndi chifukwa choti ali ndi chomera chamafuta ambiri, zomwe zimakweza kuchuluka kwa m'mimba m'mimba: m'mimba, chiwindi, chikhodzodzo, ndulu za bile, matumbo, komanso ma dancts a pancreatic. Kuwonjezeka kwa ntchito yamagalimotozi pancreatitis, cholecystitis, cholelithiasis, gastritis, enteritis kumabweretsa kukula kosasangalatsa, nthawi zina zopweteka:

Komanso kapangidwe kazinthu izi zimaphatikizanso zosokoneza mucous epithelial membranes a chinthu: chosakhazikika, ma asidi achilengedwe, omwe amawonjezera zonunkhira, zonunkhira, kukoma kowawa kumasamba.

Masamba a pancreatitis pachimake kapena kukokomeza aakulu

Mu pachimake, kapamba amawonongeka, pomwe pathogenetically imadziwoneka mu mawonekedwe a edema, hyperemia ya parenchymal zimakhala za chiwalo, ducts. Chifukwa cha njirazi, ntchito za exocrine ndi endocrine zimasokonezeka, kutuluka kwa msuzi wa pancreatic wokhala ndi ma enzymes omwe amaphwanya chakudya kulowa mu duodenum kumakulirakulira. Zotsatira zake, katulutsidwe kameneka kamadziunjikira mkati mwake, ndipo ma enzymes a proteinolytic amayamba kugaya chiwalochocho. Njirayi imatchedwa pancreatic necrosis. Ndizowopsa kwa moyo wa wodwalayo: ndi chitukuko chake, kuchipatala, kufunsira kwa dokotala wa opaleshoni ndikofunikira, ndipo nthawi zambiri opaleshoni imafunika pazifukwa zaumoyo.

Chifukwa chake, mu gawo la kutupa kwambiri, tikulimbikitsidwa kupatsa kapamba ufulu wambiri, kupatula kuphatikiza kuchuluka kwa michere. Kuti izi zitheke, tsiku loyamba la kuchuluka kwa matendawo, wodwalayo ayenera kufa ndi njala ndikumwa madzi oyera okha opanda mpweya. Pambuyo pa masiku angapo, kuwonetseredwa kwa kupweteka kwambiri ndi dyspeptic syndrome kumachepetsedwa, mutha kuyamba kuwonjezera zakudya zopatsa thanzi kwaopatsa chakudya, kuphatikizapo masamba.

Mndandanda wa masamba othandiza pancreatitis yamphamvu

Pakudutsa kochulukirapo, masiku ochepa (3-5) atadutsa matendawa kuti zakudya za wodwalayo ziwonjezeke kuchokera pamndandanda wololedwa:

  • mbatata
  • zukini
  • dzungu
  • kaloti
  • broccoli
  • kolifulawa.

Ngakhale masamba omwe amaloledwa sangadye zosaphika nthawi yayikulu pancreatitis: iyenera kukonzedwa bwino musanayambe ntchito. Zakudya zaawisi zimaloledwa kokha kwa anthu athanzi lopanda vuto lililonse logaya m'mimba.

Masamba a chifuwa chachikulu komanso chikhululukiro

Owerenga athu ambiri ali osangalala ndi kusinthaku atatha kuthana ndi kapamba! Izi ndi zomwe Galina Savina akuti: "Njira yokhayo yothana ndi kapamba ndi mankhwala achilengedwe: Ndinapanga supuni ziwiri za usiku ..."

Atafika pagawo lakukhululuka, makamaka lomwe limakhala nthawi yayitali komanso kulimbikira, pomwe wodwalayo savutitsidwa ndi mseru kwa nthawi yayitali, m'mimba amasiya kupweteka, kutsekula m'mimba kumadutsa, menyu umakhala wosiyanasiyana. Chiwerengero cha zinthu zovomerezeka chikukula kwambiri. Sitikulimbikitsidwa kudya masamba abwino, chifukwa masamba ndi zinthu zina zomwe zimapangidwa zimapangitsanso kuchuluka kwa matenda osachiritsika.

Mndandanda wamasamba wathanzi chikhululukiro

Kuchulukirachulukaku kuchepa, kapamba amayamba kuchotsera, ndikofunika kuti wodwalayo amwe masamba ambiri, kuphatikiza ndi omwe adayambitsidwa kale muzakudya:

  • kusenda, kusoka kwamadzi,
  • nkhaka
  • tomato
  • udzu winawake
  • beets
  • amadyera (parsley kapena katsabola),
  • biringanya ndi ena ambiri, kupatula zomwe zili pamndandanda wazinthu zoletsedwa.

Kukonzekera masamba koyambirira

Pamaso kutentha, tikulimbikitsidwa kuphika masamba bwino:

  1. Sulutsani masamba ndi mbewu (mwachitsanzo, maungu, zukini ali nazo). Mbeu sizikulimbikitsidwa kuti zizigwiritsidwa ntchito popeza sizikumbidwa bwino.
  2. Khotilo limachotsedwa chifukwa zochuluka za mankhwala oyipa omwe amagwiritsidwa ntchito popanga masamba amakula. Komanso mu peel pamakhala kuchuluka kwa ma coarse fiber: ndi kapamba, amachititsa kupweteka kwambiri pamimba, kutuluka kwam'mimba, kutsegula m'mimba chifukwa cha kuchuluka kwa kugaya kwam'mimba.

Njira zophikira masamba zamasamba ndi kapamba

Madokotala amalimbikitsa kugwiritsa ntchito masamba pokhapokha pochotsa kapamba, makamaka pakukwera, chifukwa kuyatsidwa ndi kutentha kwambiri kumachepetsa utsi, womwe umapezeka mumasamba onse, ndikuchepetsa mphamvu yamafuta ofunikira, ma phytoncides, ma acid.

Pa gawo la kutupa pachimake, atatha masiku atatu kusala kudya, amaloledwa kudya masamba osankhidwa kapena owiritsa. Zakudya ziyenera kukhala zopanda zidutswa zazikulu ngati madzi mbatata yosenda kapena msuzi wa kirimu.

Mukasunthira ku gawo la kuchotsedwa kwa matendawa, masamba amatha kukonza m'njira zina, kuwonjezera pa njira yowira ndi nthunzi:

  • mphodza ndi mafuta ochepa,
  • panga masamba ophika
  • kuphika mu uvuni, koma aletse mapangidwe a crispy kutumphuka: Umu ndi momwe mungaphikitsire mitundu yosiyanasiyana ya masisitimu, soufflés, puddings, masamba ophika ndi nyama kapena nsomba,
  • pangani madzi kuchokera kumasamba atsopano pogwiritsa ntchito juzi (dzungu, karoti, mbatata, udzu winawake),
  • konzani saladi wokanadulidwa - nkhaka, phwetekere kapena grated (kaloti, tsabola belu), wokometsedwa ndi mafuta a azitona,
  • kuphika, masamba ophika, mbatata yosenda, msuzi pamtundu wa chikhululukiro umaloledwa kuwonjezera batala pang'ono, zonona zamafuta ochepa.

Zakudya zilizonse zatsopano ziyenera kuyamba kutengedwa m'magawo ang'onoang'ono: osaposa supuni 1-2 mu gawo limodzi. Ndi kulolerana kokhutiritsa, kuchuluka ndi pafupipafupi pakudya zamasamba zamasamba kukukula pang'onopang'ono.

MUNGATANI KUTI MUKAYAMULIRE PANCREATIS POPANDA?

Pofuna kupewa komanso kuchiza matenda a kapamba, owerenga athu amalimbikitsa tiyi wa Monastic. Kuphatikizika kwapadera, komwe kumaphatikizapo 9 mankhwala opangira pancreas, omwe aliwonse omwe samangothandiza, komanso kuwonjezera zochita za wina ndi mnzake. Kugwiritsa ntchito, simumangochotsa zisonyezo zonse za kutukusira kwa England, komanso ndikuchotsa zomwe zimapangitsa kuti zichitike kosatha.

  1. Muzimutsuka mbatata ndi kaloti, peel, kudula ang'onoang'ono cubes kapena kabati.
  2. Tsuka kabichi, gawani yaying'ono inflorescence.
  3. Ikani kaloti mu chiwaya ndi mafuta a maolivi, simmer mpaka wachifundo. Ngati ndi kotheka, onjezerani madzi.
  4. Viyikani mbatata m'madzi otentha, kuphika pafupifupi mphindi 10, kenako onjezani kolifulawa, kaloti wowotchera kwa iwo, uzipereka mchere ndikuphika kwa mphindi 15-20.
  5. Kenako yambitsani masamba ophika ndi msuzi pang'ono ndikumenya ndi blender kuti ikhale yosasinthika.

Pali malingaliro otentha otentha, mutha kuwonjezera kaphikidwe ka tirigu pang'ono.

Momwemonso konzekerani dzungu msuzi.

Kuwonetsetsa kuti wodwala ali ndi matenda am'mimba, kuphatikizapo kapamba, amapatsirana zakudya - chimodzi mwazinthu zoyambirira atayimitsa matenda. Zakudya zamasamba zimapatsa thupi zinthu zambiri zofunika kuti zizigwira bwino ntchito. Koma, ngakhale ali ndi mapindu awo onse, pali mndandanda wazinthu zomwe sizingadye nthawi iliyonse yotupa, chifukwa zimatha kuyambitsa kupweteka kwa kapamba ndi kukulitsa mkhalidwe wa wodwalayo. Kusankha zogulitsa zotetezeka komanso njira yoyenera yophikira chakudya, muyenera kufunsa katswiri - wothandizira zakudya kapena gastroenterologist, yemwe amapereka chithandizo chokwanira cha matendawa.

Gome lofanizira lazomwe zili muzakudya zazikulu ndi zopatsa mphamvu zamasamba osiyanasiyana pa 100 g ya mankhwala.

Menyu wa kapamba ka sabata: zakudya zoyambira, maphikidwe

Pancreatitis ndi kutupa kwambiri kwa kapamba. Ndikofunika kwambiri kuzindikira matendawa munthawi yake, ndikuyamba chithandizo. Choyamba, muyenera kusintha kadyedwe ndikutsatira malamulo azakudya zochiritsira. M'nkhani yathu, tikambirana zomwe malamulowa akuphatikiza ndi zakudya zochizira komanso zakudya zamasiku asanu ndi awiri.

Malamulo osankhidwa mwapadera

Pali masamba ambiri omwe ali ndi kununkhira komwe kumagwira ntchito. Zimakwiyitsa bile bile ndipo zimayambitsa kutentha.

Ndikofunikira kusiya zamalonda zomwe zimakhala ndi fiber yambiri, komanso masamba okoma kwambiri, wowawasa kapena azonunkhira.

Zabwino zamasamba zatsopano zomwe zangotulutsidwa kumene m'mundamo. Zipatso zonse zimayenera kucha, popanda zowola ndi nkhungu. Ngati mumaphika masamba osakhala bwino, amachititsa kuti matendawa achulukane komanso achedwetse kuchira.

Zothandiza kwambiri ndi ndiwo zamasamba zatsopano zomwe zasankhidwa posachedwa m'munda.

Ndi ziti zomwe zingatheke?

Munthu amene akudwala kapamba ayenera kupanga mndandanda wazipatso zomwe zimagwirizana ndi mankhwalawa. Tiyeni tiwone zina mwazinthu zomwe zaloledwa:

  • Ndi kutupa kwa kapamba, beets iyenera kuphatikizidwanso muzakudya. Imasintha kagayidwe kazinthu, imagwiranso ntchito kagayidwe kachakudya mthupi, imalimbitsa chitetezo chathupi ndikuchotsa poizoni. Kuphatikiza apo, beets imakhala ndi ayodini. Gwiritsani ntchito chinthu chofunikira ichi kuti chiphike. Beets yaiwisi ili ndi zipatso zambiri zomwe zimakwiyitsa mucosa wam'mimba. Akaphika, amawonongeka. Beets yophika imathandizanso ku gastritis, chifukwa imakhala ndi mabala ochiritsa.
  • Phindu lalikulu mankhwalawa kapamba limabweretsa madzi a mbatata. Amachotsa kupweteka ndikuchotsa kutupa kwa mucosa. Pofuna kusintha kukoma, madzi a mbatata amatha kusakanikirana ndi msuzi wa karoti. Ndi kuchulukitsa kwa matendawa, mankhwala oterowo sayenera kuperekedwa kwa chakudya, popeza amatha kupweteka, kukulitsa kutsegula m'mimba kokhazikika. Kuphatikiza apo, msuzi wa mbatata umathandizira njira za nayonso mphamvu, chifukwa chake ndibwino kuti mugwiritse ntchito munthawi yopumira chikhululukiro. Magawo ochepa a mbatata amatha kuphatikizidwa muzakudya zomwe zimasintha bwino.
  • Kaloti ndi chinthu chofunikira kwambiri pochotsa kapamba, malinga ndi ndiwo zamasamba zophika bwino. Zimakwaniritsa kusowa kwa mavitamini m'thupi ndikufulumizitsa kagayidwe.Kudya kaloti wosaphika kumatha kupweteka komanso kutulutsa, kotero mbatata zosenda ndiye njira yabwino kwambiri. Kaloti amisoti amawuphika ndikuphwanyidwa pogwiritsa ntchito pusher kapena blender. Nthawi yochira, mutha kudya msuzi wa karoti wosakanizidwa ndi msuzi wa masamba ena kapena zipatso.
  • Ndi kapamba, kolifulawa imatha kuwonjezeredwa muzakudya. Izi zamasamba zimakhala zofunikira mu mawonekedwe a stewed ndi yophika, chifukwa ngakhale pambuyo pa kutentha kutentha zimasunga zakudya zake zonse. Cauliflower imakhala yofewetsa, motero sichimakwiyitsa mucous membrane wa kapamba. Masamba amakhala ndi choleretic komanso anti-yotupa, chifukwa chake akatswiri amalimbikitsa kugwiritsa ntchito kolifulawa wa cholecystopancreatitis.
  • Zakudya zochokera ku zukini zimatha kukonzedwa pambuyo poti kupweteketsa mtima kupweteka, ndiye kuti, patadutsa masabata awiri atatulutsa matendawa. Muyenera kuyamba ndi 1 tbsp. l ndipo pang'onopang'ono kuwonjezera gawo, kubweretsa kwa 100 g patsiku. Zukini caviar, yomwe imagulitsidwa m'masitolo, imaletsedwa kakhansa, chifukwa zinthu zomwe zimakhudza kugwira ntchito kwa kapamba zimawonjezedwamo.
  • Nutritionists amalimbikitsa kuti mu pachimake kapamba amaphatikizira dzungu menyu. Izi zimapukusidwa mosavuta, kotero kuti ululu suwoneka pambuyo pake. Kuphatikiza apo, imakhala ndi mavitamini ambiri ndi zinthu zina zopindulitsa zomwe thupi limafuna panthawi yopuma. Zonse ziwiri zamkati ndi dzungu zimatha kudyedwa. Dzungu phala ndi mapira ndilothandiza kwambiri kapamba.

Ngati wodwala amadya zakudya zovomerezeka zokha, njira yochiritsira imachepetsedwa kwambiri.

Zoletsedwa

Nthawi iliyonse ya kapamba, masamba otsatirawa ndi oletsedwa:

Zakudya za biringanya ziyenera kudyedwa mosamala. Ngakhale zili ndi zambiri zofunikira kufufuza zinthu, chipatso choterocho chimatha kukhala zovulaza pancreatitis. Mu ma biringanya, ascorbic acid, ma alkaloids komanso osasunthika, othandizira ma proenzymes alipo. Ndipo izi, zimatha kuyambitsa kutupa. Munthawi yopumira chikhululukiro, mutha kuyambitsa biringanya pang'ono m'zakudya, koma osati ngati chakudya chosiyana, koma monga gawo la soup.

Ndi kutupa kwa kapamba, tomato amayenera kutayidwa.

Ndi kutupa kwa kapamba, tomato amayeneranso kutayidwa. Panthawi yochira komanso matenda a kapamba, mumatha kudya 1 phwetekere patsiku, koma litakhwima kapena kuphika mu uvuni.

Tomato wosakhwima amachulukitsa acidity ndikukwiyitsa mucosa, zomwe zimabweretsa zovuta za matendawa.

Nkhaka ziyenera kuphatikizidwanso kuchakudya. CHIKWANGWANI chowonjezera, chomwe chimapatsa malonda amtunduwu mphamvu zambiri, chimapangitsa kuti nkhaka zigayike bwino.

Mtengo wina woletsedwa ndi kabichi yoyera. Zimakwiyitsa kutulutsa, kuwonjezeka kwa kapangidwe ka mpweya ndi zizindikiro zina zosasangalatsa za kapamba. Izi zamasamba zitha kudyera chikhululukiro cha zotupa zakupsya kokha mu mphodza.

Njira zophikira ndi maphikidwe

Muyenera kudziwa kuti ndi kutupa kwa kapamba, masamba ena amathanso kudyedwa mukatha kutentha: kuphika, kuwiritsa kapena kuwiritsa. Zakudya zonse zamasamba zokazinga ziyenera kupatulidwa muzakudya.

Ndi kuyambitsa kwa zakudya muzakudya amadya zazing'ono, supuni 2-3. Ndi kulekerera kwabwinobwino, voliyumu yotumikirako imatha kuwonjezereka.

Chakudya chosavuta kwambiri chomwe chimatha kupangidwa kuchokera ku masamba ndi mphodza.

Chakudya chosavuta kwambiri chomwe chimatha kupangidwa kuchokera ku masamba ndi mphodza. Mbatata, kaloti ndi zukini zimafunika kuyang'anidwa ndikudula ma cubes akulu. Tengani poto iliyonse ndi makoma wandiweyani ndikuyika masamba m'magawo. Onjezani madzi ndi kirimu wowawasa. Stew masamba pa moto wochepa mpaka kuphika, oyambitsa zina.

Wophika

Kuphika zamasamba chimodzimodzi monga kudyetsa, kuziyika pa pepala kuphika ndikuphika kwa mphindi 20-30 mpaka kuphika.

Mutha kuphika masamba mu uvuni komanso yonse.

Amatsukidwa, kuyikidwa papepala lophika, kuthiriridwa pamadzi ndi kirimu wowawasa kapena zonona. Nthawi yophika - 40-50 mphindi.

Ngati matendawa ali pachigawo choyambirira cha chikhululukiro, mutha kuphika supu ya dzungu. Sakanizani madzi ndi mkaka wofanana, wiritsani ndikuwonjezera 0,5 makilogalamu a dzungu lokwanira. Pambuyo pake, muyenera kuyika msuziyo pamoto wachete ndikuphika kwa mphindi 15. Chakudya chomalizidwa chimakwapulidwa mbatata yosenda ndipo okometsedwa ndi obisalira. Ngati mukufuna, mutha kuwonjezera kirimu pang'ono kapena batala.

Maphikidwe onunkhira komanso menyu yothandiza matenda a kapamba

Nadezhda Vasilyeva, wazaka 41.

Ntchito yayikulu ya kapamba ndikupanga ma enzyme ofunikira kuti chimbudzi cha mafuta, chakudya, ndi mapuloteni. Maselo a chiwalochi amapanga kaphatikizidwe ka insulin, somatostatin, glucagon, pancreatic polypeptide. Mu matenda a kapamba, chiwalochi chimawonongeka. Chithandizo cha kapamba iyenera kutsagana ndi zakudya. Pazosankha matenda a kapamba, maphikidwe amatha kugwiritsidwa ntchito mosiyanasiyana.

Ntchito ya zakudya mankhwalawa pancreatic matenda

Zakudya zoyenera zimawerengedwa kuti ndi njira yabwino kwambiri yopewera kapamba. Zosintha zamatenda a kapamba zimapangidwa makamaka ndi madokotala kuti muchepetse katulutsidwe ka m'mimba. Zimathandizanso kukhazikika pamtunda wa wodwalayo, kupewa zovuta zomwe zingachitike ndi chifuwa chachikulu.

Zakudya zopatsa thanzi zamatenda osiyanasiyana a pancreatic siziyenera kupatula zakudya zomwe zimakhala ndi ma fiber opera Ndikofunikira kuti thupi lilandire madzi okwanira.

The kusiyanitsa zakudya nambala 5

Svetlana Nikitina, wazaka 35.

Gawo No. 5 lakonzedwa mwachindunji kwa odwala omwe ali ndi vuto kapamba. Chakudya chopatsa thanzi chimasankhidwa mosamala, chifukwa zinthu siziyenera kupweteka. Ganizirani mfundo zoyambirira za zakudya:

  1. Kukonda kumakonda. Njira yowerengera iyi imapangitsa kuti kupulumutsira michere yambiri.
  2. Chakudya chamagulu chiyenera kulemekezedwa.
  3. Zakudya ziyenera kukhala zotentha. Kutentha kolimbikitsidwa kwamtunda wa 64 - 16 madigiri.
  4. Ndikofunikira kupatula zinthu zomwe zimapangitsa kuti ma enzyme amasulidwe, kutulutsidwa kwa hydrochloric acid.
  5. Ndikofunikira kudya zopangidwa mukakhumudwa.

Ndi zakudya No. 5, sikofunikira kupatula kwathunthu masamba, batala. Koma ziyenera kuwonjezedwa kuzakudya zopangidwa kale. Mafuta oyeretsedwa samaloledwa kuti adyedwe.

Kufooka kwa chithokomiro, kusintha kwakuthwa pakudya kumatha kuyambitsa mavuto akudya. Kuti matumbo azisintha, chakudya chizikhala ndi nthawi yodziwika bwino. Kupuma pakati pa chakudya kumalimbikitsidwa kupirira maola atatu mpaka anayi.

Zophika Zabwino

Zakudya zopatsa thanzi kwa wodwala zimatha kusiyanasiyana ndi izi. Zakudya zamatenda a pancreatic zimaphatikizapo kugwiritsa ntchito soups zosiyanasiyana, soup yosenda ndi yolandiridwa. Ganizirani maphikidwe ena osangalatsa a koyamba.

Kuti mukonze, mufunika mbatata zingapo, fillet ya nsomba (1 makilogalamu.), Anyezi (mutu 1), mkaka wopanda mafuta (100 g). Timayamba kuphika. Timaponyera nsomba m'madzi otentha, kuyembekezera kuti msuzi uwiritse. Kenako timaponya masamba osambitsidwa, kuwira chilichonse kwa theka la ola. Thirani mkaka mu msuzi wathu, uloleni. Menyani chilichonse ndi chosakanizira, msuziyo wakonzeka.

Timatenga mbatata (2 ma PC.), Anyezi, nandolo zobiriwira (pang'ono kuloledwa pang'ono ndi mawonekedwe amtunduwo), kaloti (2 ma PC.), Chimanga, mchere. Mukadula chilichonse chaching'ono, ikani poto, kuthira madzi kumeneko (4 l.). Bweretsani msuzi ndi chithupsa, kuphika kwa mphindi 20.

Tengani kabichi (kolifulawa), zukini, tsabola wa belu, broccoli. Masamba anga, onenepa, ndikuyika poto, kuwonjezera madzi (1.5 malita), kuphika mpaka wachifundo. Pakani madziwo, ndikusintha masamba kuti akhale mbatata yosenda pogwiritsa ntchito njira ina.

Timaphika kolifulawa. Payokha, kuphika phala kuchokera ku buckwheat. Sakanizani zonse mukuwerengera 1: 1. Zothandiza kwa odwala omwe ali ndi vuto la pancreatic.

Timasenda peel kuchokera ku dzungu, kutsuka, kudula ma cubes. Thirani dzungu ndi madzi, kuphika kwa mphindi 15 mpaka 20 pa moto wochepa. Timakumwetsa madzi, kusenda dzungu ndi foloko, chosakanizira. Onjezani shuga, batala (pang'ono) ku porridge yomalizidwa, uchi ungakhale.

Kuphika vermicelli (30 g) m'madzi amchere pang'ono mpaka kuphika kwathunthu. Timakumwetsa madziwo, kuziziritsa. Mu vermicelli yozizira, ikani tchizi tchizi (yosenda), dzira (1 pc.) Kumenyedwa mkaka (30 g.), Shuga (7 g.). Sakanizani zonse mosamala, ikani nkhungu yamafuta. Kuphika uvuni ndikuwonetsetsa kuti kutumphuka kwa bulauni sikuwoneka.

Dulani mbatata (ma PC 5) mu cube, ndikudulanso dzungu. Maungu amatenga kuchuluka kofanana ndi mbatata. Adagawana kaloti (1 pc.), Anyezi (1 pc.). Ikani zamasamba mkati mwa poto mu zigawo:

Mchere pang'ono, kuwonjezera madzi (mpaka theka la masamba), kuphika pamoto wochepa. Pamene masamba ali pafupi kukonzeka, onjezerani mafuta a masamba, amadyera. Timalola chithupsa kuwira, kuchimitsa, kuchiletsa kwa nthawi.

Thirani oatmeal (6 tbsp. L.) Ndi madzi otentha (400 ml.). Bweretsani phala ndi chithupsa pamoto wochepa, chotsani pamoto, chokani kukakamira pansi pa chivindikiro.

Pa kukonzekera kwake timatenga dzungu (1 makilogalamu.), Mpunga (supuni 15), mkaka wowoneka bwino (400 ml.), Uzitsine wa mchere, shuga. Dulani dzungu bwino, kuphika, kuthira madzi pamwamba, uzipereka mchere, shuga. Dzungu likasweka, ikani mpunga. Timawonjezera mkaka pomwe madzi amasuluka. Mbaleyi iyenera kuphikidwa kufikira mpunga utakhazikika pansi. Mukatumikira, onjezani batala pang'ono pagome.

Kuti muzikonzekera, muyenera ng'ombe (150 g), buledi, mchere, madzi. Tanyowetsa mkate m'madzi, falitsani nyamayo mu chopukusira nyama. Tipanga ma cutlets, kuwaphika boiler awiri kwa mphindi 30.

Timatenga nyama ya nkhukuyo, kutsuka, kuidzaza ndi madzi, kubweretsa kwa chithupsa. Timathira madzi awa. Onjezani zamasamba, madzi ndi soso ndi nyama ya nkhuku, kuphika mpaka kuphika kwathunthu. Oyenera chimanga, mbatata yosenda.

Timatsuka nyama (120 g ya ng'ombe) kuchokera pamafuta, tendons. Cook, pogaya mu chopukusira nyama, sakanizani ndi kuphika yophika wa semolina (10 g). Onjezani yolk, protein (yokwapulidwa). Kani mtanda, ikani nkhungu mumafuta, yosalala pamwambapa, ndi nthunzi.

Zakudya za nsomba

Elena Shugaeva, wazaka 47

Tengani filimu ya nsomba zamafuta ochepa (300 g), pera. Timapunthanso mkate wakale (1/4 gawo). Onjezerani mkaka, knead misa. Onjezani mapuloteni otenthetsedwa ndi misa, kusakaniza. Kuphika maondo m'madzi amchere.

Tengani fayilo ya pike perch (600 g), iduleni pang'onopang'ono, onjezerani mchere pang'ono, ikani chidutswa chimodzi papepala. Kaloti atatu (1 pc.) Pa grater yabwino, kuwaza finely anyezi (1 pc.), Ikani zamasamba pa nsomba, kuwaza chilichonse ndi mandimu. Ikani chidutswa cha batala pa fillet ya nsomba (theka la supuni). Kukulunga m'mphepete mwa zojambulazo pang'ono, timayika matumba oyikira pamapepala ophika. Kuphika mu uvuni kwa mphindi 30. Kutentha kuyenera kukhala 180 - 200 0 C).

Filiji yanga yotsika mafuta ochepa, ikayikeni mu boiler wowirikiza, kuphika pafupifupi mphindi 15. nsomba zikakhala zokonzeka, zimatha kuthiridwa mchere pang'ono ndikuwazidwa batala.

Dulani fillet (500 g) m'magawo, ikani poto. Pamenepo timayika masamba osenda bwino (anyezi, kaloti). Thirani madzi kuti amaphimba nsomba ndi masamba, simmer pa moto wochepa pafupifupi mphindi 20.

Tidayesa maphikidwe osiyanasiyana a mbale. Zakudya zamatenda a pancreatic zimatha kukhala zosiyanasiyana. Ngati mukuwonetsa kulingalira, yang'anani maphikidwe atsopano, ndiye kuti zakudya zamagwiritsidwe ntchito zimathanso kukhala zokoma.

Kodi ndi masamba ati omwe angadyedwe ndi kapamba?

Kugwiritsa ntchito zamasamba ndikofunikira kuti thupi la munthu lizitha kugwira bwino ntchito kwa ziwalo zonse ndi machitidwe. Koma pali matenda omwe muyenera kuyang'anitsitsa posankha zakudya zomwe mumadya, chimodzi mwazo ndi kapamba. Ndi iye, sizingakhale zofunikira kuti mndandandawu umaphatikizapo zakudya zokhala ndi fiber yambiri, masamba osaphika ndi zakudya yokazinga. Zabwino zamasamba zilizonse za pancreatitis pachimake ndizoletsedwa.

Malamulo oyambira kugwiritsidwa ntchito

Mukamasankha, muyenera kupatsa chidwi kucha, koma masamba osapsa okhala ndi khungu lowonda, osalandiridwa. Ayenera kukhala opanda chiwopsezo chilichonse, zowola, nkhungu. Zipatso zochuluka kapena zopanda (zodulidwa) siziyeneranso kugula.

Pali malingaliro ena wamba pakudya zamasamba amadzimadzi pancreatic kutupa.

  1. Anthu omwe ali ndi matenda oterewa sayenera kudya ndiwo zamasamba zowoneka ngati wowawasa, zakudya zamzitini ndi zamchere, zotengera zonunkhira (kaloti waku Korea),
  2. Mitengo yotsekemera iyenera kuphatikizidwa menyu, makamaka mu mawonekedwe owiritsa
  3. Simungadye masamba pamimba yopanda kanthu,
  4. Sitikulimbikitsidwa kudya zakudya zomwe sizinaphikidwe, ndipo simungathe kuziwiritsa kapena kuziwiritsa (kungophika kapena kuphika),
  5. Masamba onse amawiritsa popanda khungu, ena amachotsedwa asanagwiritse ntchito, mbewu,
  6. Simungathe kudya masamba opangira masamba, chifukwa amachititsa kuti pakhale michere ya pancreatic.

Zomwe zimaloledwa kapena zoletsedwa

  1. Masamba oletsedwa kwambiri kapamba:
    • masamba (sorelo, letesi, sipinachi),
    • Muzu (mpiru, radish, daikon, radish, adyo, horseradish),
    • anyezi waiwisi,
    • rhubarb
    • ngakhale bowa sizili zamasamba, komabe amafunika kutchulidwa pamndandanda wazakudya zoletsedwa chifukwa cha kapamba.
  2. Chenjezo liyenera kuchitika mukamadya zakudya zotsatirazi:
  3. Kodi masamba angagwiritsidwe ntchito mopanda mantha:
    • mbatata
    • dzungu ndi zukini mbale,
    • kaloti
    • kolifulawa
    • beets.

Njira zophikira masamba a kapamba

Anthu omwe ali ndi matenda a kutupa kwa kapamba amalimbikitsidwa njira zitatu zakukonzera masamba. Ganizirani momwe mungawakonzekere wodwala yemwe matenda ake asintha.

  1. Wophika Masamba aliwonse omwe amaloledwa amatsukidwa bwino pansi pamadzi, peeled ndikuyika kwathunthu poto. Kenako amathiriridwa ndi madzi otentha ndikuwaphika mpaka kutentha pang'ono pakatikati, kumapeto kuphika, madzi amathiridwa. Mutha kudya zamasamba monga mbatata yosenda pang'ono pang'ono, ndikuthira mafuta pang'ono (10-15 gr.) Kapena mkaka (supuni 1-2).
  2. Stew Wokonzekera zipatso amadulidwa m'matumba akuluakulu ndikukhazikika m'magawo okhala ndi makhoma osalala ndikuwathira mchere pang'ono, ndiye pang'ono kirimu wowawasa (mkaka) ndi madzi zimawonjezeredwa. Pambuyo otentha, simmer mpaka yophika moto wochepa, oyambitsa zina. Mukamagwiritsa ntchito phwetekere, biringanya kapena zukini, mbewuzo zimayenera kuchotsedwa kwathunthu kwa iwo.
  3. Kuphika Zamasamba monga momwe zinalili kale, ikani mbale yophika kwambiri, kuphimba ndi zojambulazo ndikuyiyika mu uvuni. Nthawi ndi nthawi muzifufuza kukonzekera kwamasamba ndi foloko. Njira yachiwiri yophikira imaphikidwa kwathunthu mu uvuni - chifukwa amafunika kutsukidwa, kuyikidwa pa pepala lophika ndikuwaphika mpaka ataphika, asanagwiritse ntchito, chotsani nthanga kuchokera pa biringanya kapena zukini.

Momwe mungadyere zamasamba pachimake cha matenda

M'nthawi ya masiku 2 - 4 kuchokera pamene kuukira kwa pachimake kapena kuchuluka kwa kutupa kwa kapamba, wodwalayo amapatsidwa chakudya. Pambuyo pa nthawi iyi, mutha kuyamba kulowa masamba m'menyu. Muyenera kuzidya mwanjira ya pureed wosasakanizidwa popanda kuwonjezera mkaka ndi mafuta a masamba.

Ndi zakudya ziti zomwe zimayambitsidwa poyamba? Poyamba zidzakhala mbatata ndi kaloti, patatha masiku angapo amaloledwa kuwonjezera anyezi wowiritsa, kolifulawa, dzungu, ndipo pamapeto pake amabweretsedwa. Zukini amadyedwa kokha nthawi yakucha, ngakhale anthu athanzi sayenera kudya masamba omwe si a nyengo. Kwa masiku osachepera 30, mutha kudya mchere wopanda mchere, womwe, patatha milungu iwiri kuchokera pachiwonetsero cha matendawa, ndizovomerezeka kuwonjezera zosaposa magalamu 10 a batala wachilengedwe kuti musinthe.

Kugwiritsa ntchito zamasamba chikhululukiro

Ngati matendawa wadutsa mu gawo la chikhululukiro, mutha kusiyanitsa pang'ono zakudya za wodwala ndi kapamba amunthu. Koma izi sizitanthauza kuti mndandandawo uphatikiza zinthu zambiri, kuphatikiza pazakudya zophika, zimaloledwa kudya zakudya zophika ndi zosafunikira. Ndi zakudya ziti kuphatikiza mbatata zosenda zomwe ndi zololeka kukhululuka? Supu, mphodza kapena masosi a masamba omwe amalimbikitsidwa kuti atulutsidwe kapamba kumapangitsa zakudya za munthu wodwala kukhala zosiyana kwambiri. Mukawakonzekeretsa, amaloledwa kuwonjezera batala pang'ono, kirimu kapena mkaka.

Ngati mwezi watha kuchokera kumayambiriro kwa chikhululukiro, mutha kuwonjezera zinthu kuchokera pamndandanda kuti musagwiritsidwe ntchito pang'ono. Ndikofunika kukumbukira kuti muyenera kudya masamba amtunduwu pang'ono, osapitirira kawiri pa sabata.

Ndi chikhululukiro chosalekeza, masamba osaphika ochepa amaloledwa m'zakudya. Ndikofunika kugwiritsa ntchito iwo grated kapena akanadulidwa. Tomato, biringanya sangadye mopitilira kamodzi pa sabata, ndikumazisenda ndikuchotsa mbewu. Kabichi imangolungidwa yophika mbatata kapena msuzi.

Kwa wodwala aliyense amene ali ndi kapamba, adotolo ayenera kusankha zakudya zomwe aziganizira, zomwe zimapatsirana matenda amtundu uliwonse, momwe thupi lingathere.

Yang'anani! Zolemba patsamba lathu ndizongofuna kudziwa zambiri. Osatembenukira pakudzipangira nokha mankhwala, ndizowopsa, makamaka ndi matenda apamba. Onetsetsani kuti mwawonana ndi dokotala! Mutha kupanga nthawi yolumikizana ndi intaneti kuti muwone dokotala kudzera pa webusayiti yathu kapena musankhe dokotala pamndandanda.

Pepani. Palibe deta pakadali pano.

Kodi ndi masamba ati omwe odwala angadye ndi kapamba?

  • Zolemba za matendawa
  • Pancreatitis Zakudya
  • Masamba ovomerezeka a matendawa

Ndi masamba ati omwe angagwiritsidwe ntchito pancreatitis? Funso limakonda kufunsidwa ndi odwala. Udindo wa kapamba m'thupi ndi wamkulu kwambiri. Amakhudzidwa ndi chimbudzi ndipo amatulutsa timadzi timene timapangitsa shuga kukhala m'magazi. Chifukwa chake vuto lililonse la kapamba limabweretsa mavuto akulu mthupi la munthu.

Zolemba za matendawa

Pancreatitis ndimatenda otupa a kapamba, omwe ali ndi mitundu iwiri: yovuta komanso yopweteka. Zomwe zimayambitsa matendawa ndizambiri, koma mowa wambiri ndi matenda a gallbladder amatengedwa kuti ndiwo akuluakulu. Mu kapamba, ma enzyme samapangidwa mpaka kumapeto, koma amakula kwathunthu mu duodenum, pomwe amalowa ndi bile duct. Ngati, chifukwa cha matenda osiyanasiyana a ndulu, ma enzyme sadzafika mu duodenum mu nthawi, ndiye kuti amakula m'mapamba ndikuyamba kugaya chiwalocho. Zotsatira zake ndi kutupa kwambiri.

Pancreatitis imawonetsedwa ndi kupweteka pamimba yapamwamba, yomwe imatha kupereka mu hypochondrium. Matendawa amaphatikizidwa ndi matenda am'mimba, nseru, kusanza komanso kuwonda msanga. Fomu yovuta kwambiri yamankhwala itatha imakhala yovuta, komanso imatha kupha wodwala. Pancreatitis imatha kuyambitsa matenda a shuga, chifukwa insulin imapangidwa m'matumba, omwe amawongolera kuchuluka kwa shuga m'magazi.

Bwererani ku tebulo la zamkati

Chimodzi mwazinthu zazikulu zothandizira pancreatitis ndi zakudya zapadera zochizira. Ndi matendawa, muyenera kudya pafupipafupi komanso pang'ono. Ndikofunikira kutsatira malamulo ndi malingaliro a dokotala pazakudya.

Poyamba, zikuwoneka kuti ndi masamba omwe sangawononge matenda am'mimba. Koma awa ndi malingaliro olakwika.

Pankhani ya kapamba, masamba ena amatha kupangitsa kuti matenda awonjezeke komanso azivulaza. Muyenera kudziwa bwino zamasamba omwe mungadye ndi kapamba.

Chinthu choyamba chomwe muyenera kulabadira: masamba ayenera kukhala opsa nthawi zonse. Masamba okhala ndi wowuma ayenera kupezeka m'zakudya za munthu wokhala ndi kapamba. Chipatsocho chimayenera kusungunulidwa ndi kukonzedwa bwino. Koma osagwiritsa ntchito broths zamasamba: zimapangitsa kupanga michere yambiri mu kapamba. Peel iyenera kuchotsedwa, chifukwa imakhala ndi zinthu zomwe zimatha kuwononga mucosa wa pancreatic. Zomera zoletsedwa mu kudya kwa wodwala kapamba:

  • sipinachi
  • sorelo
  • tsabola wokoma
  • adyo
  • radishi
  • saladi
  • radishi
  • anyezi wobiriwira,
  • mpiru
  • nsapato
  • rhubarb.

Sangagwiritsidwe ntchito ndi mtundu uliwonse wa kapamba. Ayenera kupewedwa muzakudya payekhapayekha komanso monga mbali ina mbale zosiyanasiyana.

Zomera zochepetsedwa muzakudya:

  • parsley ndi katsabola,
  • nyemba zazing'ono
  • kabichi yoyera,
  • Tomato
  • nkhaka
  • katsitsumzukwa
  • biringanya
  • udzu winawake.

Zitha kugwiritsidwa ntchito mosamala, pafupipafupi, pambuyo pa chithandizo choyenera cha kutentha. Masamba a kapamba amaloledwa:

Masiku angapo oyambilira panthawi ya kuukira kwa kapamba adawonetsa njala. Patsiku la 3, mbale zoyambirira kuchokera ku grated, masamba ophika zimatha kuwoneka pazakudya za wodwalayo. Choyamba, ziyenera kukhala kaloti ndi mbatata. Kusasinthika kwa masamba amtunduwu masamba kumafanana ndi mbatata yosenda chakudya cha ana. Sizoletsedwa kuwonjezera mchere, shuga, mafuta ku puree yotero.

Kwa masiku 6-7 mutha kugwiritsa ntchito mbatata, kaloti, anyezi msuzi wopangidwa kuchokera ku chimanga. Zomwe zimangokhala zamasamba mu msuzi woterewu ndi msuzi wabwino, osati zidutswa. Pang'onopang'ono, pakatha mwezi umodzi, masamba otsalawo omwe amaloledwa kupweteka kwam'mimba amayamba. Kugwiritsanso ntchito ndikofunikira mu mawonekedwe a mbatata yosenda. Masabata awiri atachulukirachulukira, amaloledwa kuwonjezera batala kapena kirimu wamafuta ochepa pama purees amenewo, koma osapitilira 5 g.

Pambuyo pakutha kwa nthawi, pomwe mkhalidwe wa wodwala ukhazikika, kukulitsa kwa menyu zamasamba kumaloledwa. Koma izi sizitanthauza kuti mutha kudya masamba onse motsatira, nthawi zambiri, chithandizo chambiri cha kutentha ndi kusinthasintha kwa masamba onse omwe amaloledwa amaloledwa. Masamba onse ovomerezeka amatha kudya m'masupu, ma supuni, ophika ndi kuwotcha. Mumasamba osenda bwino, mutha kuwonjezera mafuta amasamba, mkaka ndi zonona zochepa.

Mukalowa m'khola, masamba osagwiritsidwa ntchito pang'ono amatha kuyambitsidwa pang'onopang'ono. Muyenera kuyesa kudya zamasamba mosamalitsa, theka la supuni, ndikuwonjezera ku mbale zazikulu. Ngati palibe zizindikiro, ndiye kuti masamba awa akhoza kuchuluka mpaka 70 - 80 g pa sabata. Zauma za pea zitha kukhala njira yabwino.

Ngati palibe kufalikira kwa matendawa, kugwiritsa ntchito masamba osaphika kungavomerezedwe. Tomato wochepa kapena kachinthu kakang'ono ka nkhaka ndi kabwino pazolinga izi. Mutha kumwa kamodzi pa masabata awiri 100 - 150 ml ya madzi a phwetekere. Osapitirira nthawi 1 pa sabata, mutha kugwiritsa ntchito kabichi yoyera kapena tomato m'mbale zanu. Biringanya ndi zovomerezeka popanda peel ndi mbewu, stewed. Zatsopano zamasamba muzakudya za wodwala yemwe ali ndi kapamba ayenera kukhala ochepa.

Bwererani ku tebulo la zamkati

Chomera chothandiza kwambiri pamatenda onse am'mimba thirakiti ndi mbatata. Ili ndi wowuma yambiri, yomwe imathandiza kwambiri pamimba ndi kapamba.

Chachikulu ndikukumbukira kuti simungadye mbatata zosapsa, popeza zimakhala ndi solanine, zomwe zimawonetsedwa bwino pa mucous membrane wa kapamba.

Anyezi ali ndi zinthu zambiri zofunikira, koma odwala amafunika kudya pokhapokha kutentha mankhwala ake.

Kaloti ndi mtundu wamasamba womwe umalimbikitsidwa ndi kapamba. Ingokumbukirani kuti izi zamasamba zimatha kuyambitsa mavuto ambiri. Karoti imakhala ndi anti-yotupa, machiritso a bala, amachepetsa mphamvu ya kugaya chakudya kwa anthu.

Aliyense amadziwa kuti kudya zatsopano, zamasamba zobiriwira ndizabwino kwa thanzi la munthu. Koma pankhani ya kapamba, kugwiritsa ntchito kumakhala koopsa. Mu zaka zochepa zoyambirira pambuyo pa kuchulukana kwa matendawa, ndiwo zamasamba zosaphika ndizoletsedwa.

Simungadye masamba omwe ali ndi wowawasa, wowawa komanso shuga. Zikondazo sizilandira masamba omwe ali ndi mawonekedwe olimba, zomwe zikutanthauza kuti masamba monga karoti yaiwisi, beets, radish, radish sayenera kukhala mukudya kwa wodwala ndi kapamba.

Pakukhululukidwa matendawa pang'ono, kugwiritsa ntchito masamba osaphika kumaloledwa, koma osati pamimba yopanda kanthu.

Zoletsa zonsezi pamenyu yamasamba siziyenera kumuwopseza munthu yemwe ali ndi mavuto a pancreatic. Masamba odyedwa amatha kusiyanitsa zakudya za wodwala. Stew mphodza zukini, kaloti, mbatata, kolifulawa ndizowonjezerapo zabwino pazosankha zamunthu pazakudya zochizira.

Dzungu limatha kukhala chopanda phokoso pakuphatikizidwa kwa mbewu monga chimanga kapena chophika. Kuti musiyanitse kukoma kwa mbale za dzungu, makamaka zotsekemera, mutha kugwiritsa ntchito zipatso zina. Mwachitsanzo, maungu ophika ndi maapulo sangasangalale kokha ndi munthu pazakudya, komanso ndi banja lake lonse.

Masamba ndi zipatso, malinga ndi chithandizo choyenera cha kutentha, zimakhala zinthu zofunika kwambiri pazochizira zothandiza matenda a kapamba.

Kusiya Ndemanga Yanu