Zakudya za matenda a shuga ndi kapamba

Pancreatitis ndi matenda otupa a kapamba. Ndi pachimake komanso matenda. Acute pancreatitis ndiwadzidzidzi, nthawi zambiri amafunikira opaleshoni. Kutupa kosatha kumatha kuchitika mosiyanasiyana, kutengera nthawi ya matendawa.

Odwala matenda ashuga ayenera kudziwa! Shuga ndiwense kwa aliyense. Ndikokwanira kumwa makapisozi awiri tsiku lililonse musanadye ... Zambiri >>

Chakudya chokhwima kwambiri chikuyenera kuwonedwa nthawi yowonjezera. Kuphatikiza pa matenda ashuga, kapamba amachititsa kuti zikhale zambiri, ndipo kudya ndi imodzi mwazinthu zazikulu zothandizira matenda kukhala ndi thanzi komanso thanzi.

Cholinga cha matenda azakudya

Matenda a shuga ndi kapamba ndimatenda omwe sangathe kuthandizidwa popanda kudya. Palibe mankhwala othandizira (jakisoni, mapiritsi) omwe angabweretse zotsatira zosakhalitsa ngati munthu sasintha kadyedwe kake. Kuphatikiza chakudya ndi pancreatitis ndi matenda osokoneza bongo ndizosavuta, chifukwa maziko azakudya zowonjezera ndizomwe zimapangidwa mosavuta ndipo zimakhala ndi chisonyezo chotsika cha glycemic.

Glycemic index nthawi zambiri imatchedwa chisonyezo chomwe chikuwonetsa momwe kugwiritsira ntchito kwachakudya kumaperekera shuga. Ndi matenda awa, kusintha kwadzidzidzi m'magazi a glucose m'magazi ndikosafunikira kwambiri, chifukwa amakakamiza kapamba kuti apange insulin yambiri ndikugwirira ntchito kuvala.

Chifukwa chake, odwala sayenera kudya mchere, mchere ndi zonunkhira, komanso zogulitsa zonunkhira. Zakudya zoterezi, zimakoma kwambiri, koma zimadzetsa secretion ya madzi a m'mimba komanso zimathandizira kuti muzilakalaka. Zotsatira zake, wodwala matenda ashuga amatha kudya zakudya zambiri kuposa zomwe amafunikira, zomwe zimawonjezera chiopsezo cha mavuto a kapamba komanso kunenepa kwambiri.

Kuchepetsa shuga ndi mafuta muzakudya ndizothandiza ngakhale kwa iwo omwe ali ndi matenda ashuga omwe samadwala matenda a pancreatitis. Kuwona kwa masamba ndi chimanga mu menyu kumapangitsa ntchito ya matumbo, kuchepetsa shuga ndikuyenda bwino m'mitsempha yamagazi, mtima ndi mantha. Pancreas yotopa chifukwa cha matenda ashuga okhala ndi kapamba amafunikira nthawi yayitali kuti achire, choncho munthu ayenera kutsatira zakudya zowonjezera kuti amve bwino.

Zakudya Zochulukirapo

Mu chilonda chachikulu cha pancreatitis tsiku loyamba, wodwalayo sayenera kudya chilichonse. Panthawi imeneyi, amangothira madzi popanda mpweya. Kutalika kwa kusala kudya kumatsimikiziridwa ndi dokotala kuchipatala komwe wodwalayo amapezeka, nthawi zina amatha kupitilira masiku atatu.

Pambuyo kuchulukitsa kuchepa, wodwalayo amamulembera zakudya zofunikira, zomwe zimabwezeretsa kapamba ndikusintha momwe zinthu zimakhalira. Kusasinthika kwa chakudya kumayenera kukhala kosakanika ndi kosenda, kuphwanyidwa kukhala boma lamadzi. Mafuta ndi chakudya chamagulu nthawi imeneyi amachepetsa, ndipo mapuloteni amayenera kupezeka m'zakudya zochuluka. Zopatsa mphamvu za calorie za tsiku ndi tsiku ndizoperewera, zomwe zimawerengeredwa potengera kulemera kwa thupi, zaka, komanso matenda ake wodwala. Mtengowu ndi wa aliyense payekha kwa wodwala aliyense, koma Mulimonsemo, sayenera kukhala wotsika kuposa 1700 kcal patsiku.

Mfundo za zakudya zomwe wodwala ayenera kutsatira panthawi ya kapamba:

• kufa ndi njala kwakanthawi kokhazikitsidwa ndi adotolo,
• kukana chakudya chokhumudwitsa, chotsekemera ndi zonunkhira m'njira yoperekera zizindikiro zosasangalatsa,
• kudya zakudya zazing'ono
• kuchuluka kwa mapuloteni zakudya muzakudya.

Zakudya zoterezi zimatha kukhala sabata limodzi mpaka mwezi ndi theka, kutengera mtundu wa kusintha kwa zomwe munthu ali nazo komanso kuopsa kwa kapamba am'mimba. Zakudya zomwezi zimaperekedwa kwa wodwala komanso kuchuluka kwa matenda. Mosiyana ndi pancreatitis pachimake, pankhaniyi, wodwalayo amatha kuthandizidwa kunyumba. Koma izi zimatheka pokhapokha polemba mayeso onse a Laborator omwe amafunikira, kudutsanso mwatsatanetsatane ndikuyang'ana kwa dokotala.

Zakudya pa chikhululukiro

Panthawi yopuma (chikhululukiro) cha kapamba, chakudya cha wodwalayo sichosiyana kwambiri ndi zakudya zomwe munthu amadwala matenda ashuga. Maziko a menyu amayenera kukhala masamba abwino ndi tirigu, nyama zopanda mafuta ndi nsomba. Kuchiritsa kwamoto pazinthu kumachitidwa bwino kapena kuwotcha. Kuphatikiza apo, masamba ndi nyama zimatha kupatsidwa chakudya, koma izi ziyenera kuchitidwa popanda kuwonjezera mafuta ndi mafuta.

Nthawi zambiri, sikulimbikitsidwa kugwiritsa ntchito masamba ophika ndi nyama kwa odwala kapamba. Njira monga kuphika, kuphika kwambiri ndi grill ndizoletsedwa. Msuzi wokonzekera bwino msuzi wamasamba, koma chikhululukiro chazitali, mutha kugwiritsanso ntchito msuzi wa nyama (mutasintha madzi mobwerezabwereza).

Mukamaphika maphunziro oyamba ndi achiwiri, sikofunikira kugwiritsa ntchito anyezi ndi adyo. Zimakwiyitsa mucous membrane wa dongosolo logaya chakudya ndipo zimakhudzanso ziphuphu zovunduka.

Mwa zopangidwa ndi nyama, ndibwino kugwiritsa ntchito zamkati (fillet). Asanaphike, ndikofunikira kuchotsa khungu ku nyama, kuchotsa mafupa onse kuchokera pamenepo ndikuyeretsa mafilimu amafuta. Kuphikira zakudya kwa wodwala ndi kapamba chifukwa cha matenda ashuga ndikwabwino kusankha nkhuku, nkhuku ndi kalulu. Nthawi yayitali chikhululukiro, mutha kuyambitsa ng'ombe, koma ndibwino kukana nkhumba ndi bakha. Mwa nsomba, hake, pollock, cod ndi bass mitsinje ndizoyenera kwa odwala otere. Itha kuwiritsa kapena kuwotcha ndi masamba. Odwala oterewa sangathe kuphika supu pa msuzi wa nsomba, chifukwa zimatha kupweteka kwa kapamba.

Zakumwa zamphepo ndi misuzi yosaphika siziyenera kuledzera ndi munthu wodwala, popeza zimakhala ndi zipatso zambirimbiri. Ndikwabwino kudya zipatso mumtundu wophika (maapulo, nthochi), ngakhale, nthawi zina, mukakhala kuti mukumva bwino, mutha kupeza zipatso zochepa zosaphika. Mukamasankha, muyenera kulabadira kuti asakhale ndi wowawasa. Za zipatso, ndibwino kuti odwala adye maapulo, ma plums, nthochi, ndi ma apricots. Koma khungu lokhazikika ku zipatso zotere liyenera kuchotsedwa.

Mkate, makamaka, sukulimbikitsidwa kwa odwala matenda ashuga, chifukwa ngati kuli kotheka uyenera kupewedwa. Ndi pancreatitis, okhawo amapanga buledi wa tirigu amene amaloledwa, koma mndandanda wazomwe wagulitsawu ndiwokwera kwambiri, ndibwino kuti musawadye konse.

Zofunika kupatula?

Kwa matenda ashuga ndi kapamba, muyenera kupatula pa zakudya ndi zakudya monga:

• msuzi wamafuta ambiri ndi mafuta, msuzi,
• chokoleti, maswiti,
• kuphika ndi makeke,
• msuzi wowawasa, wokometsera,
• mafuta amkaka,
• masoseji ndi masoseji,
• ankasuta nyama
• zakumwa zoziziritsa kukhosi, khofi, kvass,
• mowa
• bowa
• tomato, radishi, sipinachi, sorelo,
• Zipatso za malalanje ndi zipatso zonse zomwe zimakoma.

Ndi kapamba, simungathe kudya chilichonse chosungika, kumwa tiyi wamphamvu ndikudya mkate wa rye. Izi zimachulukitsa kuchuluka kwa chakudya m'mimba, ndipo zimayambitsa matenda. Bowa wamtundu uliwonse amagwera pansi pa chiletso. Ngakhale ali ndi chisonyezo chochepa cha glycemic komanso kuchuluka kwa kadyedwe, odwala matenda ashuga omwe apanga nthawi imodzi kapena m'mbuyomu omwe anali ndi mbiri ya kapamba sayenera kudyedwa.
Kwa odwala omwe ali ndi kapamba komanso matenda ashuga, ndibwino kukana kabichi yoyera mwanjira iliyonse.

Zimakwiyitsa kutulutsa ndipo zimathandizira kubisalira kwa madzi a m'mimba, omwe amachititsa ma enzymes apachifini. Izi zimatha kubweretsa kuphwanya kwa magwiridwe antchito ake ndikuwonjezera kowonjezera. Izi zitha kusinthidwa ndi broccoli ndi kolifulawa. Amakhala ndi mavitamini, michere ndi zinthu zina zambiri zopindulitsa, ndipo nthawi yomweyo, zamasamba zotere sizimayambitsa kugaya chakudya.

Malangizo Othandiza Pathanzi

Sankhani chakudya ndi dokotala. Popeza kuti odwala oterewa ali ndi matenda awiri, ayenera kugwirizanitsa bwino zakudya zawo ndi endocrinologist ndi gastroenterologist. Zatsopano zilizonse ziyenera kufotokozedwa pang'onopang'ono m'zakudya, pambuyo pake ndikofunikira kuyang'anira momwe thupi limayambira. Kuti muchite izi, mutha kusunga buku lazakudya lomwe lingakuthandizeni kulinganiza zonse ndikusunga wodwalayo pamavuto amtsogolo chifukwa chamtundu uliwonse wa chakudya.

Pofuna kukonza chimbudzi komanso kusintha thanzi, ndikofunika kuti odwala matenda ashuga omwe ali ndi kapamba azikumbukira malamulowa:

• idyani 5-6 patsiku,
• kuchuluka kuchuluka kwa mapuloteni muzakudya, 60% zomwe zimayenera kukhala mapuloteni achinyama,
• kuchepetsa zakudya zamafuta ndi mafuta (ndikwabwino kuyang'ana mafuta am masamba kuposa batala ndi mafuta ena achinyama),
• idyani zakudya zofunda (osati zozizira kapena zotentha),
• munthawi ya kuwonongeka kwaumoyo, gwiritsani ntchito zokhazokha zotsekemera komanso zosenda bwino,
• Osamadya chakudya choyipa, choletsedwa, ngakhale pang'ono.

Matenda a kapamba, monga matenda ashuga, ndi matenda omwe amafunikanso kusintha njira yanthawi zonse amoyo komanso kukonza zakudya. Kutsatira zakudya kwakanthawi kokha sikungabweretse phindu kwa nthawi yayitali, motero muyenera kuyang'ana kuti kudya zakudya zopatsa thanzi ndizofunikira nthawi zonse. Mphindi yachisangalalo kuchokera ku maswiti kapena chakudya chofulumira sichingatenge malo okhala ndi thanzi. Kuphatikiza apo, atawonetsa lingaliro lakunyumba, ngakhale mutakhala ndi zinthu zosavuta mumatha kuphika mbale zabwino.

Limagwirira kukula kwa kapamba ndi shuga

Monga taonera kale, kapambayu amayang'anira ntchito zazikuluzikulu ziwiri mthupi.

Zomwe zimayambitsa kutupa mu kapamba zimakhudzanso kapangidwe ka madzi a kapamba ndi insulin. Kuperewera kwa mahomoni kumapangitsa kuti glucose wolowa m'thupi ataye pansi mphamvu ndipo amatha kulowa mu gawo losinthika (glycogen) ndikuyikidwa m'magazi a chiwindi, komanso mu adipose ndi minofu minofu.

Mafuta ochulukirapo amabweretsa kuwonongeka kochepa kwa maselo a pancreatic omwe amapanga insulin. Ndikukhulupirira kuti popanga mahomoni okwanira, sangathe kugwira bwino ntchito zake. Vutoli limadziwika ndi kuchepa kwa insulin, ndipo limaphatikizira kapamba, matenda a shuga a mtundu II.

Ngati njira yotupayo ikukulitsa ntchito ya maselo a pancreatic ndikuwatsogolera kuti iwonongeke, ndiye kuti izi zikuwopseza kukula kwa matenda a shuga a mtundu wa shuga (kuperewera kwenikweni kwa insulin).

Ndikofunikira. Ngakhale kuti pancreatitis ndi shuga zimagwirizana, kukula kwa kapamba mu shuga sikuwonetsedwa nthawi zonse, ndipo mosemphanitsa. Zakudya zoyenera zimathetsa mwayi wokhala ndi matenda osiyanasiyana a shuga. Nthawi zina, kupatsa thanzi ndiye chithandizo chachikulu cha matendawa.

Mawonekedwe a chitukuko, kumene ndi zomwe zimayambitsa matenda a shuga a pancreatogenic

Zanena kale pamwambapa kuti chifukwa chachikulu chomwe chimayambitsa kupezeka kwa kapamba ndi njira yolakwika yodyera. Inde, pakadali pano, anthu sazolowera zakudya zachilengedwe, amasinthira chakudya chosavuta, chakudya kuchokera m'masitolo ogulitsa komanso, choyipa kwambiri,.

M'malo momadya katatu patsiku, munthu amakhala pagome pokhapokha masanawa ndikudzaza mimba yake. Masana, zokhwasula-khwasula m'mavuto ochepa ndizotheka.

Koma chakudya chamadzulo sichikhala ndi zopatsa mphamvu zambiri, komanso makamaka mafuta kapena zinthu zosuta. Kuphatikiza apo, anthu omwe amazolowera kudya yokazinga, kusuta komanso mchere wamchere tsiku lililonse amakhala oyenera kupangitsidwa kwa kapamba.

Anthu omwe amamwa mowa wambiri, zakudya zazonunkhira, zakumwa zochokera m'mabakitoni nawonso ali pachiwopsezo cha kapamba. Pambuyo pobadwa, kapamba amadzaza nawonso azimayi achichepere, motero ndikofunikira kuti mudzisamalire m'miyezi yoyamba mwana atabadwa.

Kugwira ntchito kwabwinobwino kwa kapamba kulibe malo ngati wodwala wapezeka ndi matenda a shuga komanso matenda a kapamba. Kuchepetsa chithandizo chamankhwala komanso kusasamala kwa zoyenera zokhudzana ndi zakudya zoyenera zimathandizira kuwonongeka kwa maselo a β-cell a gland. Tsoka ilo, ndizosatheka kuletsa mchitidwe wakufa kwa maselo.

Limagwirira kusintha kwa kapamba kuti shuga

Tawona kale kuti nthawi ya chitukuko cha matenda ashuga motsutsana ndi pancreatitis yomwe ilipo imatenga nthawi yayitali. Matendawa amatchedwa pancreatogenicabetes mellitus, chithandizo chake mwachindunji chimatengera zakudya zoyenera limodzi ndi insulin komanso kugwiritsa ntchito mankhwala okhala ndi michere yokumba.

Kukula kwa matenda a shuga a pancreatogenic kumachitika zingapo.

Chithandizo cha Conservative

Pancreatitis ndi matenda ashuga amapereka mankhwala. Pankhani ya osakwanira pancreatic enzyme ntchito, m`malo mankhwala ndikofunikira. Dokotalayo amasankha Mlingo wa kukonzekera kwa enzyme komwe kumaphwanya mapuloteni, mafuta, komanso kusintha kagayidwe kazakudya.

Anthu odwala matenda ashuga omwe amadalira insulin amapatsidwa jakisoni wa insulin. Kwa odwala omwe ali ndi matenda a shuga a 2, palibe jakisoni omwe amapangidwa. Odwala amatchulidwa mankhwala omwe amachepetsa shuga ya magazi.

Zakudya zokhala ndi masinthidwe owonongeka m'magulu a kapamba apakhungu ndi gawo limodzi la njira zonse zothandizira matendawa munthu wamkulu komanso mwana.

Chithandizo cha kapamba ndi matenda ashuga cholinga chake ndi kupondereza zowonongeka m'mapazi. Njira zakuchiritsira zimatsimikiziridwa ndi endocrinologist kutengera mbiri ya wodwala, kuuma kwa njira zamomwe timagwirira ntchito komanso kulolerana kwamthupi.

Zomwe zimapatsa thanzi mu shuga ya pancreatogenic

Kuphatikizidwa kwa matenda monga kapamba ndi matenda ashuga kumapangitsa munthu kutsatira zakudya zapadera kwanthawi yonse ya moyo wake.

Zakudya zotere siziyenera kuperekedwa kuchakudya:

• misuzi ya zokometsera ndi zonunkhira
• maswiti osiyanasiyana
• makeke ndi mkate Woyera,
• zakudya zamafuta ndi zokazinga,
• mayonesi
• ankasuta nyama komanso soseji.

Pamaso pa matenda a shuga II amtundu uliwonse, ndikofunikira kuwerengetsa nthawi zonse mafuta azakudya ndikuchotsa shuga kwathunthu.

Zakudya za tsiku ndi tsiku za odwala omwe ali ndi matenda ashuga komanso kapamba wa pancreatic ayenera kukhala ndi zinthu zotsatirazi:

• zipatso zatsopano
• osaposa magalamu 300 a masamba,
• zosaposa 200 magalamu a zakudya zomwe zimakhala ndi mapuloteni,
• mpaka 60 magalamu amafuta.

Malangizo. Kuphika kumapangidwa makamaka mu boiler iwiri kapena mu uvuni. Chakudya cha tsiku lililonse chimayenera kukhala 4 kapena 5 patsiku, popeza chakudya chikamalowa m'mimba, madzi a pancreatic amayamba kupangidwa. Kuzolowera thupi ku regimen iyi kumakuthandizani kuti muthane ndi kumasulidwa kwakanthawi kwamadzimadzi mu kuchuluka kofunikira.

Mankhwala othandizira

Chithandizo cha odwala a kapamba ndi matenda ashuga ndizovuta kwambiri. Choyamba, zoyesayesa zonse cholinga chake ndicho kubwezeretsa kagayidwe kazakudya m'thupi ndi ntchito ya enzymatic ya kapamba.

Kwenikweni, adotolo amatipatsa mankhwala a mahomoni, ma statins (mankhwala omwe amachepetsa cholesterol) ndi ma enzymes (mankhwala omwe amateteza kagayidwe kazachilengedwe).Chithandizo chodziwika bwino chomwe chimaphwanya mafuta, mapuloteni ndi chakudya cha m'mimba ndi Pancreatin, ndipo ndizofunikira kwambiri kwa matenda amtundu wa 2, chifukwa chithandizo cha matenda amtunduwu chimagwirizana kwambiri ndi kuperewera kwa zakudya komanso kubwezeretsa njira za metabolic.

Pancreatin bwino ntchito ya michere ya kapamba.

Ndikofunikira. Mankhwala ochizira pancreatitis osakanikirana ndi shuga amachitika m'magawo angapo. Kutalika kwa mankhwalawa kumatha kuchedwa kwakanthawi. Mankhwala onse ayenera kumwedwa pokhapokha ngati akuwuzidwa ndi dokotala. Kudzichitira nokha mankhwala kumabweretsa zotsatirapo zoipa.

Matenda a shuga nthawi zonse amafunikira chithandizo chamankhwala, amadzuka kuti achepetse kuchuluka kwa shuga m'magazi komanso kubwezeretsanso insulin. Kutengera ndi gawo la matendawa, wodwalayo amapatsidwa jekeseni wa insulin kapena mapiritsi.

Komabe, munjira zambiri, thanzi la wodwalayo limatengera chakudya choyenera. Ndipo, ndithudi, musaiwale kutenga pancreatin a shuga mellitus, zomwe zimapangitsa kuti kusavuta kugaya ndi kukonza chakudya chomwe chalandiridwa m'mimba.

Kugwiritsa ntchito zakudya za 5p za kapamba

Pancreatitis ndi nthenda yayitali komanso yovuta kwambiri ya kapamba yokhala ndi zinthu zingapo. Chimodzi mwazomwezo: kuphwanya kokhazikika kwa zizolowezi zakumwa zakudya zamafuta, kudya kwambiri, kumwa mowa. Kuthana ndi malamulo apadera azakudya zopatsa pancreatitis ndi theka la kupambana kwa chithandizo.

Zakudya za pancreatitis zimapangidwira m'malo ndikuwonjezera menyu ndi zinthu zomwe sizinapangidwe bwino chifukwa cha kusowa kwa michere ya pancreatic.

Odwala ena amaganiza kuti zakudya zamatenda a kapamba sizosiyana ndi zakudya za 5a ndikupitilizabe kutsatira malangizo ake. Izi ndizomveka chifukwa nthawi zambiri anthu ambiri adalandira chithandizo kwa nthawi yayitali a cholecystitis, cholelithiasis, kapena hepatitis. Iwo amadziwa bwino tebulo No. 5a ndi 5, lomwe limayikira miyezo yofunikira yathanzi yazopewera matendawa.

Koma pozindikira pancreatitis, muyenera kusintha zakudya za 5a. Kusintha komwe kumachitika pancreatic kuwonongeka kumafuna kukonza mapuloteni, mafuta ndi chakudya.

Zakudya za odwala omwe ali ndi kapamba amatchedwa "5p." Inakulitsa mapuloteni kufika pa 150 g (mu No. 5 100-120 g), idachepetsa kuchuluka kwa mafuta (mu No. 5 osachepera 70 g) ndi chakudya chamagulu (mu No. 5 osachepera 300 g).

Malamulo onse ndikuphika ndikuchepetsa chisankho cha chakudya.

Zofunikira Pazakudya Zofunikira

Zakudya zomwe zikulamulidwa pakudya No. 5p sizimachotsa ntchito zamagulu am'mimbamo. Ndizofunikira pakukulitsa ntchito zapanchipala.

• Kuphika wophika kokha, wopatsa, wophika kapena wowotcha. Njira yosoka ndi yoletsedwa kwathunthu.
• Onani kusungika kwa chiwalo chowonongeka mwa kupera mbale zonse pachimake kwambiri cha matenda.
• Lamulo lotentha lokwanira limafunikira (popanda kusinthasintha kwakuthwa kuchokera kuzizira mpaka kutentha).
• Ndikofunikira kudyetsa wodwalayo ndi chakudya chochepa, koma pambuyo pa maola aliwonse a 3-4.
• Pewani chakudya chambiri nthawi imodzi, kudya kwambiri zakudya zopatsa thanzi.
• Sungani caloric tsiku lililonse pafupifupi 3000 kcal.

Matebulo olimbikitsidwa azakudya malinga ndi Povzner amaganizira zosankha kwakanthawi kochulukirapo komanso kupitirira apo, ululuwo utatha, koma ndikofunikira kusamalira ndikupitiliza kudya zakudya zoyenera ndi kapamba.

Zakudya za 5p zosonyeza kukokoloka kwa kapamba

Zowonekera zamankhwala za pancreatitis yovuta komanso yopweteka kwambiri pachimake (kupweteka kwambiri, kusanza, nseru, matenda am'mimba) musalole wodwalayo kudya mwachizolowezi. Malangizo a mankhwalawa amafunika njala yonse kuyambira masiku awiri mpaka anayi. Simungathe kumwa, m'masiku oyamba madzi amaperekedwa kudzera m'mitsempha.

Pambuyo pakuleka kusanza, kupweteka, mtundu woyambirira wa zakudya za 5p ndi mankhwala. Cholinga chake ndikuchepetsa mapangidwe a asidi mu msuzi wa m'mimba ndikuthandizira kapamba kuti azilingalira mphamvu zake zonse pakukonzekera kupulumuka.

Chakudyacho chilola kuti chisagwiritse ntchito osaposa milungu iwiri, chifukwa mapangidwewo sanachepetse (mapuloteni amachepetsedwa mpaka 60 g, mafuta mpaka 50 g, makabotaleti 200-280 g, okhala ndi zopatsa mphamvu zonse za 1800 kcal). Inde, kupuma pabedi ndi kusowa kochita zolimbitsa thupi kumalimbikitsidwa.

Zakudya Zakudya

Zotsatira zabwino pakupukusira kwa zakudya zamasamba, ngati mumaphika malinga ndi njira yapadera. M`pofunika kutenga asanu lalikulu tubers mbatata, kudula sing'anga cube. Pambuyo pake, karoti m'modzi amachepetsa, anyezi wosankhidwa bwino. Kulawa, ndizovomerezeka kuwonjezera kuchuluka kwa phwetekere, maungu.

Zakudya zamasamba zonse zimayikidwa mu poto yakuya, kuthira ndi kapu yamadzi, mchere wopanda mchere ndikuwothira moto wochepa. Asanayambe, mbale yotsirizidwa imakongoletsedwa ndi amadyera.

Ndikofunika kuti wodwala yemwe ali ndi kapamba adziwe momwe angaphikire nsomba kwa odwala matenda ashuga komanso mitundu yomwe angasankhe. Mutha kuphika nsomba zophika, nsomba ndizoyenera izi: pikeperch, pike, pollock, hake.

Nsombazo zitha kuphikidwa kwathunthu kapena kudula pakati. Nsombayi imayikidwa pamashiti a aluminiyamu zojambulazo, zowazidwa ndi anyezi osankhidwa, kaloti wowotchera, kuwonjezera madzi ambiri a mandimu, mchere.

Zimatenga mphindi 30 kuphika mbale pamoto wootcha wa madigiri 200.

Njira ina yabwino yopezera zakudya zopanda pake ndi pudding wa karoti, muyenera kukonzekera zinthu monga izi:

• 1 karoti
• 5 g batala,
• 500 ml mkaka
• 1 dzira loyera
• Supuni 2 semolina.

Onjezani theka la supuni ya shuga, kirimu wowawasa wopanda mafuta ndi supuni ya tiyi ya tirigu.

Kaloti amatsukidwa bwino, kusenda, kuduladula, kenako kuthira mkaka mpaka kuphika kwathunthu (pamoto wochepa). Kaloti atakhala ofewa, amawaza ndi blender, kuwonjezera shuga, theka la batala, semolina.

Pambuyo pa kumenya whisk ndi whisk, bwino kutsanulira mu osakaniza karoti. Ngati mukufuna, maapulo ochepa, tchizi chokoleti kapena zipatso zimatha kuwonjezeredwa m'mbale. Batala otsala amadzola mafuta ndi mbale yophika, owazidwa ndi mkate wamkate. Puree amathiridwa mu nkhungu, kusalala, mafuta ndi wowawasa zonona pamwamba. Kudulira kumakonzedwa mu uvuni mpaka golide wagolide.

Tiyenera kudziwa kuti kaloti owiritsa amakhala ndi GI yapamwamba.

Ganizirani mitundu ingapo ya maphikidwe yomwe mutha kuphika zinthu zofunika kwambiri. Chakudya chotchuka cha kapamba ndi msuzi wa nkhuku.

Pokonzekera msuzi woterewu, muyenera kuchita izi:

1. Choyamba muyenera kutenga nyama ya nkhuku, kudula pakati pang'ono ndikuwiritsa. Nyama ikakonzeka, iyenera kukhazikika ndikulekanitsidwa ndi fupa. Pambuyo pa izi, nyama yomwe idayambika imadutsidwa ndi chopukusira nyama chokhala ndi mauna ochepa.
2. Nyama ikakonzeka, ndiye kuti timakonza msuzi kuchokera masamba. Kuti muchite izi, tengani mbatata, kaloti, parsley, kabichi ndi kuwiritsa kwa mphindi 30. Masamba asanakonzedwe ayenera kudulidwa, koma muzidutswa chachikulu. Mukakonza msuzi, uyenera kusefedwa kudzera cheesecloth.
3. Tifunikira msuzi kuti tiwonjezere nyama yosenda. Pambuyo pake, chida cholimbiracho chimayatsidwa ndi kuwotchera. Msuzi utakhazikika, utha kudyeka kale. Koma kuti musiyanitse kwambiri, mutha kuwonjezera mkaka wa mkaka wa dzira. Kuti mukonzekere, muyenera kusakaniza yolks ndi mkaka ndikuyika moto. Zosakaniza zikakhuthala, zimawonjezeredwa ku msuzi puree ndikuyika patebulo.

Msuzi wotere ndiwothandiza komanso wopatsa thanzi kwa odwala omwe ali ndi kapamba. Chinsinsi chosavuta kwambiri chingapangidwe mwachangu:

1. Kuti muchite izi, muyenera kuwira kaloti ndi mpunga.
2. Opaka kalotiyo kudzera mu grater yabwino, ndi mpunga kudzera mu suna.
3. Chifukwa chachikulucho chimawonjezeredwa ku msuzi wamasamba ndikuwuphika kwa mphindi 5.

Zitatha izi, msuziyo wakonzeka kudya, koma kuwonjezera kununkhira, mutha kuwonjezera 5 magalamu a batala.

Zakudya zomwe zimaloledwa pa chakudya chanthawi komanso pambuyo pancreatitis yachilengedwe imatha kuphatikizidwa. Ndikofunika kuphika kuchokera kwa iwo zakudya zazikulu ndi zowonjezera, zokometsera ndi kulowa mu chakudya cha sabata iliyonse munthawi yachikhululukiro.

Nyama zodulidwa nyama

Steam cutlets ikhoza kukonzedwa m'njira zingapo:

1. Dutsani theka la kilogalamu ya nyama yochepa mafuta kudzera mu chopukusira nyama kapena chosakanizira, kuwonjezera anyezi wosankhidwa ndi tsabola wa belu.
2. Ponya nyama yoboola. Ngati ndi kotheka, mupunso. Onjezani mchere pang'ono, sakanizani, kupanga ma patties ndikuchotsa kwa theka la ola kuzizira.
3. Ikani zotsalira za nyama mu chowiritsa chowirikiza, wiritsani kwa theka la ola.

Yophika nyama souffle

1. Wiritsani magalamu zana amitundu. Pitani podutsa chopukusira nyama kapena chosakanizira.
2. Onjezani zaulimi wa nkhuku, mapuloteni omenyedwa ndi mchere kwa nyama yoboola, sakanizani.
3. Ikani misa mumphika, kuphika kwa theka la ora kwa banja.
4. Sungunulani supuni ya batala, onjezerani theka la supuni ya ufa wa tirigu kwa iwo, wiritsani kwa mphindi zochepa, ozizira. Tumikirani ndi kudya ndi msuzi.

Mbatata casserole chodzaza ndi nyama yophika

1. Wiritsani theka la kilogalamu wa mbatata zosenda. Aphwanye.
2. Thirani theka la kilogalamu ya nyama yopanda mafuta ndi anyezi yaying'ono kudzera chopukusira nyama, onjezani dzira la nkhuku ku nyama yophika.
3. Ikani masentimita wosanjikiza wa mbatata yosenda mu mafuta. Tumizani nyama yoboola pamwamba, ndikuiphimba ndi puree yonse ndikupaka mafuta pamwamba.
4. Kuphika kwa theka la ola.

Zonenedweratu Ndi Upangiri Waukulu

Kafukufuku wachipatala adawonetsa kuti kuti athe kupeza chikhululukiro chokhazikika cha kapamba ndi matenda ashuga, odwala amafunika, choyamba, kudya bwino. Ndikofunikanso kumwa madzi okwanira. Zimathandizira kugaya chakudya moyenera, zimasinthasintha mchere wamchere ndikuthandizira kuchotsa zinthu zowola kuchokera mthupi.

Zakudya zoyenera komanso mankhwala othandizira amathandizira odwala. Dokotala akufotokozerani zakudya zomwe zimaloledwa chifukwa cha kapamba ndi matenda ashuga, sankhani zakudya ndikupatsani mankhwala. Izi mu 80% ya milandu zimabweretsa kukhululukidwa kwanthawi yayitali.

Zakudya Zoyambira Pancreatitis ndi Matenda Ovutika

Malamulo oyenera azakudya chamagulu a kapamba amachepetsa kuchuluka kwa zakudya zomwe zimamwa. Ndikofunikira kuwonjezera kuchuluka kwa mapuloteni, kuchepetsa kuchuluka kwa zakudya zosavuta zamafuta ndikuwonjezera kuchuluka kwa zomera ndi nyama.

Zakudya zokhala ndi mapuloteni zimathandiza kwambiri matenda a kapamba. Mapuloteni amapezeka muzakudya: nyama, nsomba, soya, zoyera ndi dzira.

Mosasamala kanthu za mbiri yakale ya shuga, chakudya chofunikira ndichofunikira. Njirayo imaphatikizapo chakudya 6 patsiku m'magawo osaposa 300 g.

Pazithandizo za kufinya kwamatumbo ndi matenda osachiritsika a kapamba, pali tebulo lapadera la chakudya No. 5p. Kwa odwala matenda ashuga, tebulo nambala 9 limagwiritsidwa ntchito.

Kwa odwala omwe ali ndi kapamba, ndikofunikira kuti musadzitse khungu lanu mwamphamvu, monga zilonda zam'mimba. Nkhani yowonjezera ya hydrochloric acid imayambitsa kupanga gastrin. Hormayo imalimbikitsa kutulutsa kwa kapamba, michere yake yam'mimba ndi insulin. Kuchokera pachakudya amafunika kupatula zakudya zonunkhira komanso acidic, mbale zomwe zayamba kuwaza ndi kusuta. Ndi zoletsedwa kumwa mowa.

Zakudya za zilonda zam'mimba, komanso kapamba, zimaphatikizapo kuphika mbale za banja kapena chithupsa, kupera ndi kutumizira kutentha. Zotsatira zamakina ndi kusintha kwa kutentha kumakhudza kwambiri m'mimba, zimayambitsa kutupa ndi kupanga ma enzymes apamba.

Zinthu zomwe mungathe komanso zomwe simungathe kuchita ndi kapamba ndi matenda ashuga

Kudya ndi kapamba nthawi zonse kumakhala kofunikira mu mawonekedwe ofunda, kuchokera pamoto wotentha kwambiri komanso wozizira uyenera kutayidwa. Chakudya chimakhala chotsogola nthawi zonse ndi zakudya zomwe zimakhala ndi mapuloteni, ndipo zakudya zamafuta ndi mafuta zimadulidwa pang'ono. Sizoletsedwa kugwiritsa ntchito zakudya zomwe zimakhala ndi asidi wambiri.

Pancreas ndi chimbudzi chimbudzi chimatha kutetezedwa momwe zingathere kuwonongeka kwa mankhwala ndi makina chifukwa chofikira mu uvuni. Zimathandizanso kuwira chakudya, komanso kupera musanagwiritse ntchito.

Madokotala amati muyenera kusiya zinthu zomwe zimakhala ndi utoto wambiri. Chakudya cha calorie chambiri tsiku lililonse chimayenera kukhala mkati mwa 2 calories. Kuphatikiza apo, amamwa malita osachepera 1.5 amadzi oyera, ndikofunikira kudalira zakumwa zotentha, zopanda mchere.

The kapangidwe kazinthu mankhwala patsikulo ndi motere:

Pali njira ziwiri zomwe mungadye patebulo la chakudya No. 5. Ngati wodwala matenda ashuga apezeka kuti ali ndi vuto linalake lamatenda, akapatsidwa tebulo la 5a, wokhala ndi mawonekedwe, tsamba la 5b likuwonetsedwa.

Zakudya No. 5a imapereka zosagwiritsa ntchito zopatsa mphamvu zopitilira 1700 patsiku, mbale zonse zimaperekedwa kwa wodwala popukuta mosamala. Patulani kwathunthu zinthu zomwe zimalimbikitsa chinsinsi cha kapamba. Kuphatikiza pazomwe zimapangidwa ndi mankhwala, pali zoletsedwa mwamphamvu pa mchere wa tebulo - pazipita 10 g patsiku.

Zakudya ziyenera kukhala zopindika, osachepera 6 pa tsiku, onetsetsani kuti mukupirira nthawi inayake. Kutalika kwa mankhwalawa amathandizira odwala matenda ashuga malinga ndi zovuta za kapamba, koma pafupifupi masiku 7.

Tebulo 5b limayang'anira ma calories a 2700 patsiku, ndipo kapangidwe kake ka mankhwala monga awa:

• mafuta (okwera 70 g),
• chakudya (mpaka 350 g),
• mapuloteni (osapitirira 140 g).

Kusiyana kwa tebulo ili ndikuti ma decoctions ndi msuzi wa nyama sawerengedwa, izi ndikofunikira kuti muchepetse kupanga kwa katulutsidwe ndi kapamba. Chakudya chimagwiritsidwanso m'mitundu.

Kuti muthane ndi kupweteka komanso zizindikiro zosasangalatsa za kapamba, muyenera kuyang'anira kudya kwanu. Ngati simutsatira zakudya zapadera, ndiye kuti zizindikiritso za matendawa sizisiya munthu yekhayo.

Chifukwa chake, chinthu choyamba chomwe chofunikira kuchokera kwa wodwala ndichakudya choyenera kapena zakudya. Poyamba, lingalirani zakudya zomwe ziyenera kuphatikizidwa ndi zakudya za munthu amene akudwala matenda osiyanasiyana.

Zambiri zanu! Kuti muchepetse nkhawa pa kapamba komanso kuthamanga kwa chakudya, timalimbikitsidwa kupera masamba ndi kukonza saladi kapena sopo wosenda.

Chifukwa chake, zotsatirazi ziyenera kuphatikizidwa ndi zakudya:

• mbatata
• dzungu
• zukini
• sipinachi
• kaloti
• nandolo zobiriwira
• tsabola wokoma.

Ngakhale tomato ndi kabichi ziyenera kuphikidwa, zomwe zimathanso kuwonjezeredwa ku soup kapena saladi, koma pakapita nthawi. Zakudyazo ziyenera kupangidwa ndi dzungu lopangidwa ndi ayodini.

Ndipo ayodini, amathandizanso kukonza minyewa yowonongeka, komanso kusintha momwe imagwirira ntchito. Chifukwa chake, beets amathanso kudyedwa tsiku ndi tsiku komanso zabwino zonse musanadye.

Kuphatikiza apo pali zinthu zomwe zimadziwika zomwe zimatha kudya ndi kapamba, muyenera kusiyanitsa zakudya zomwe mumadya sabata iliyonse. Kuti tichite izi, tikambirana zakudya zoyenera za kapamba kwa sabata limodzi.

Zakudya zamankhwala mu pancreatic pancreatitis yapadera imayikidwa ndi adokotala palibe kale kuposa masiku atatu kapena anayi pambuyo pa kusala kudya.

Nthawi zambiri, tebulo nambala 5 limasankhidwa ngati mankhwala ochizira, omwe ali oyenera kwa anthu azaka zonse. Menyu yake imathandizira kubwezeretsa mphamvu zolimbitsa thupi, kupanga kuchepa kwa mavitamini ndi michere, komanso kumachepetsa katundu kuchokera kumimba.

Zakudya 5 pakadali pano zimakhala m'mitundu iwiri:

• Nyama yamphamvu ndi msuzi wa nsomba,
• Kabichi, sorelo, adyo ndi anyezi,
• Maswiti onse ndi oletsedwa,
• Ziphuphu
• Margarine ndi mafuta a nkhumba
• Zakumwa zochokera ku kaboni, tiyi wamphamvu komanso khofi,
• Mchere.

Zolondola, odwala matenda ashuga ndi kapamba ayenera kutsatira zakudya zomwe zaphika, kapena aziwotcha. Chakudya choterocho chimakhala chofewa ku ziwalo za m'mimba.

Mpaka pano, palibe njira yeniyeni yolandirira, koma akatswiri onse amagwirizana pa chinthu chimodzi: pakufunika kophatikiza kuphatikiza zakudya ndi mapiritsi othandizira bwino matenda.

Mu chilonda chachikulu cha pancreatitis tsiku loyamba, wodwalayo sayenera kudya chilichonse. Panthawi imeneyi, amangothira madzi popanda mpweya. Kutalika kwa kusala kudya kumatsimikiziridwa ndi dokotala kuchipatala komwe wodwalayo amapezeka, nthawi zina amatha kupitilira masiku atatu.

Ndikosatheka kuchiza pancreatitis pachimake kunyumba, ichi ndi chowopsa kwambiri, chomwe, mwa chithandizo chamankhwala osayembekezereka, chimatha kubweretsa imfa. Kuphatikiza pa kupewa kudya, kuchipatala munthu amalandila mankhwala, ndipo ngati pakufunika kutero, amalandila opaleshoni.

Pambuyo kuchulukitsa kuchepa, wodwalayo amamulembera zakudya zofunikira, zomwe zimabwezeretsa kapamba ndikusintha momwe zinthu zimakhalira. Kusasinthika kwa chakudya kumayenera kukhala kosakanika ndi kosenda, kuphwanyidwa kukhala boma lamadzi.

Mafuta ndi chakudya chamagulu nthawi imeneyi amachepetsa, ndipo mapuloteni amayenera kupezeka m'zakudya zochuluka. Zopatsa mphamvu za calorie za tsiku ndi tsiku ndizoperewera, zomwe zimawerengeredwa potengera kulemera kwa thupi, zaka, komanso matenda ake wodwala.

Mtengowu ndi wa aliyense payekha kwa wodwala aliyense, koma Mulimonsemo, sayenera kukhala wotsika kuposa 1700 kcal patsiku.

Mfundo za zakudya zomwe wodwala ayenera kutsatira panthawi ya kapamba:

• kufa ndi njala kwakanthawi kokhazikitsidwa ndi adotolo,
• kukana chakudya chokhumudwitsa, chotsekemera ndi zonunkhira m'njira yoperekera zizindikiro zosasangalatsa,
• kudya zakudya zazing'ono
• kuchuluka kwa mapuloteni zakudya muzakudya.

Zakudya zoterezi zimatha kukhala sabata limodzi mpaka mwezi ndi theka, kutengera mtundu wa kusintha kwa zomwe munthu ali nazo komanso kuopsa kwa kapamba am'mimba. Zakudya zomwezi zimaperekedwa kwa wodwala komanso kuchuluka kwa matenda.

Mosiyana ndi pancreatitis pachimake, pankhaniyi, wodwalayo amatha kuthandizidwa kunyumba. Koma izi zimatheka pokhapokha polemba mayeso onse a Laborator omwe amafunikira, kudutsanso mwatsatanetsatane ndikuyang'ana kwa dokotala.

Nthawi zambiri, kupatula matenda owopsa, kufunsa kwowonjezera kwa opaleshoni kumafunika, komwe kumatha kudziwa bwino mtundu wamankhwala omwe amapanga wodwala

Panthawi yopuma (chikhululukiro) cha kapamba, chakudya cha wodwalayo sichosiyana kwambiri ndi zakudya zomwe munthu amadwala matenda ashuga. Maziko a menyu amayenera kukhala masamba abwino ndi tirigu, nyama zopanda mafuta ndi nsomba. Kuchiritsa kwamoto pazinthu kumachitidwa bwino kapena kuwotcha. Kuphatikiza apo, masamba ndi nyama zimatha kupatsidwa chakudya, koma izi ziyenera kuchitidwa popanda kuwonjezera mafuta ndi mafuta.

Nthawi zambiri, sikulimbikitsidwa kugwiritsa ntchito masamba ophika ndi nyama kwa odwala kapamba. Njira monga kuphika, kuphika kwambiri ndi grill ndizoletsedwa. Msuzi wokonzekera bwino msuzi wamasamba, koma chikhululukiro chazitali, mutha kugwiritsanso ntchito msuzi wa nyama (mutasintha madzi mobwerezabwereza).

Mukamaphika maphunziro oyamba ndi achiwiri, sikofunikira kugwiritsa ntchito anyezi ndi adyo. Zimakwiyitsa mucous membrane wa dongosolo logaya chakudya ndipo zimakhudzanso ziphuphu zovunduka.

Mwa zopangidwa ndi nyama, ndibwino kugwiritsa ntchito zamkati (fillet). Asanaphike, ndikofunikira kuchotsa khungu ku nyama, kuchotsa mafupa onse kuchokera pamenepo ndikuyeretsa mafilimu amafuta.

Kuphikira zakudya kwa wodwala ndi kapamba chifukwa cha matenda ashuga ndikwabwino kusankha nkhuku, nkhuku ndi kalulu. Nthawi yayitali chikhululukiro, mutha kuyambitsa ng'ombe, koma ndibwino kukana nkhumba ndi bakha.

Mwa nsomba, hake, pollock, cod ndi bass mitsinje ndizoyenera kwa odwala otere. Itha kuwiritsa kapena kuwotcha ndi masamba.

Odwala oterewa sangathe kuphika supu pa msuzi wa nsomba, chifukwa zimatha kupweteka kwa kapamba.

Za zakumwa, ndibwino kudya zakudya zopanda mafuta komanso zipatso zosafunikira popanda shuga wowonjezera.

Zakumwa zamphepo ndi misuzi yosaphika siziyenera kuledzera ndi munthu wodwala, popeza zimakhala ndi zipatso zambirimbiri. Ndikwabwino kudya zipatso mumtundu wophika (maapulo, nthochi), ngakhale, nthawi zina, mukakhala kuti mukumva bwino, mutha kupeza zipatso zochepa zosaphika.

Mukamasankha, muyenera kulabadira kuti asakhale ndi wowawasa. Za zipatso, ndibwino kuti odwala adye maapulo, ma plums, nthochi, ndi ma apricots.

Koma khungu lokhazikika ku zipatso zotere liyenera kuchotsedwa.

Mkate, makamaka, sukulimbikitsidwa kwa odwala matenda ashuga, chifukwa ngati kuli kotheka uyenera kupewedwa. Ndi pancreatitis, okhawo amapanga buledi wa tirigu amene amaloledwa, koma mndandanda wazomwe wagulitsawu ndiwokwera kwambiri, ndibwino kuti musawadye konse.

M'zaka za m'ma 2000 zino, mwakufulumira kuchita zambiri, anthu amaiwala zaumoyo. Zosakhazikika pamtondo, zakudya zopanda thanzi, kugwiritsa ntchito zakudya zowononga thupi, kupsinjika, zizolowezi zoyipa - iyi si mndandanda wathunthu, zomwe ndi zina mwazomwe zimakhudza matumbo am'mimba makamaka komanso zinthu zonse.

Izi zimachitika chifukwa chakuwoneka kopitilira muyeso wa thanzi. Anthu amadzilungamitsa okha posasamala. Zoyeserera sizabwino nthawi zonse.

Zotsatira za pamwambapa pamtunda wam'mimba ndizomwe zimachulukitsa nthawi imodzi ya gastritis ndi kapamba. Kusintha makonzedwe a chimbudzi kungathandize zakudya zopangika bwino komanso zosankhidwa bwino pa vuto linalake la pancreatitis ndi gastritis.

Upangiri wambiri wazamalungo pancreatitis ndi gastritis

Malangizo a matenda ndi ofanana. Mukamaganizira zakumaso kwa ziwalo zamkati, zimadziwika kuti kapamba amapezeka mwachindunji pamimba. Kugwira ntchito molakwika kwa kapamba kumayambitsa kutupa kwam'mimba, kuchuluka kwa ma alkali ndi ma asidi zimasokonezeka - zotsatira zake ndikuwonongeka kwa kapamba.

Ndi magayidwe ophatikizika am'kati mwa dongosolo lino, timafotokoza zomwe zikuluzikulu zakuchulukitsa kwa gastritis ndi kapamba:

1. Ndikofunikira kupera chakudya pakuphika, mukamadya - kutafuna kwathunthu.
2. Zokonda zophika zimaperekedwa kwa mbale zotentha, zophika, zophika kapena zosafunikira. Maphikidwe a mbale okhala ndi kutumphuka wagolide ayenera kuiwala za kufooka kwawo kwa chakudya chotere, gwiritsani ntchito zojambulazo kuphika.
3. Muyenera kudya pafupipafupi, kudya pang'ono pang'onopang'ono kuchokera m'manja mwanu.
4. Chakudya chomwe chimadyedwa chimatha kutentha.
5. Ndikofunika kusiya chizolowezi chomwera chakumwa chamadzimadzi, ndibwino kumwa ola limodzi mutatha kudya.
6. Ndikofunikira kukhazikitsa zakudya zina ndikuzitsatira, osapatsa mpumulo.
7. Musanagone, simuyenera kudya, ndibwino kukonzekera chakudya chomaliza maola angapo musanapume.

Masiku ano ndizosavuta kutsogolera moyo wathanzi, idyani kumanja, zida zam'khichini zimathandizira - chosakanizira ndi chowiritsa chowirikiza, chinthu chokha ndicho chidwi chodya bwino.