Momwe mungapangire kulemera ndi kapamba: chifukwa amachepetsa thupi, zifukwa zakuchepera

Zotsatira za kusowa kwa michere ya kapamba

Odwala matenda a kapamba, kusakhazikika kwa chakudya kumakwiyitsa matumbo villi, ndikupangitsa kutsegula m'mimba. Zowawa zosapumira m'matumbo zimachepetsa kutulutsa ma enzymes ake mmenemo, zomwe zimayambitsa malabsorption:

Mapuloteni - zida zomangira thupi.
Mafuta ndi gawo limodzi lamafuta amkati ndi mawonekedwe ozungulira ziwalo zamkati.
Glucose ndiye gwero lalikulu lamphamvu la minofu.

Ndi kusowa kwa zinthu izi, thupi limayamba kuwatenga kumalo osungirako - mafuta pansi pa khungu ndi glycogen ku chiwindi. Njira yosaletseka yochepetsa thupi imabweretsa mapuloteni dystrophy - kuchepa kwa minofu minofu. Kubwezeretsa kuchepa kwa michere, mankhwala ogwiritsira ntchito mankhwalawa amalembedwa: Creon, Pancreatin, Panzinorm, ndi zina zotere, mogwirizana ndi dokotala.

Mfundo za Zakudya za Zakudya za Pancreatitis

Kubwezeretsa chimbudzi chovutikira ndikotheka kokha ndi zakudya zoyenera. Mfundo zake zazikulu:

Mphamvu ya chakudya iyenera kukhala osachepera 2200 kcal.
Zakudya zisanu ndi chimodzi zopatsa thanzi. Zakudya zokhwasula-khwasula, makamaka m'malo antchito, mbatata yosenda bwino ya ana amakulimbikitsidwa.
Kutafuna chakudya chokwanira, chifukwa kupanga michere kumapangidwira chidwi.
Chakudyacho chimaphikidwa mwachangu komanso mwatsopano.
Kupanga kwa mapuloteni pa 60% kuyenera kuchokera pazinthu zomwe zimachokera ku nyama: mitundu yochepa yamafuta a nyama, nsomba, tchizi, kanyumba kamkaka wowawasa, zoyera mzira. Zakudya zamafuta zopanda mafuta sizikulimbikitsidwa, chifukwa zimasowa lipotropic (kusintha mafuta a metabolism).
Mafuta savomerezedwa bwino ndi odwala. Mafuta onse azinyama, makamaka ng'ombe, tsekwe, nkhumba, amachititsa kupweteka komanso kuwonjezera kutsekula m'mimba. Mutha kudya mpaka 15 g ya batala patsiku ndi 20 g ya masamba mafuta. Amawonjezeredwa ku mbale yomalizidwa.
Mafuta amachokera ku chakudya chovuta. Njere zosavomerezeka, buledi ndi mbatata. Zakudya zamafuta osavuta zochokera ku uchi, kupanikizana ndi shuga zimayambitsa insulin.
Analimbikitsa kudya zamchere zamchere zamchere. Madzi amayenera kukhala oledzera kunja zakudya kuti muchepetse kuchuluka kwa michere (ma enzymes).

Zomwe muyenera kudya ndi kapamba kuti muchepetse kunenepa

Pofuna kuti muchepetse kuwonongeka kwa minofu ya kapamba ndikuyambiranso kuchira, muyenera kudya zakudya zovomerezeka:

Nyama ya mitundu yochepa yamafuta: nkhuku, nkhuku, ng'ombe kapena nyama yamphongo. Mutha kuphika nyama yoboola, ndikuwiritsa kapena kuphika chidutswa. Osamaphika kapena kudya ndi mafuta.
Nsomba: pollock, cod, zander ndi pike. Zimapezeka bwino ndi yophika, kuphika ndi masamba. Mutha kuphika ma-meatballs kapena ma meatball a banja.
Zopangira mkaka wowonda ndizatsopano. Ndikofunika kuphika kunyumba kuchokera ku mkaka wamafuta ochepa komanso wowonda. Cottage tchizi mpaka 9% mafuta. Supuni ya 10% kirimu wowawasa ungathe kuwonjezeredwa ku mbale yomalizidwa. Mkaka wosadetsa sukulimbikitsidwa.
Mazira amathanso kudyedwa ngati ma protein omeli.
Masamba ophika akhoza kudyedwa monga mtundu wa mphodza, mbatata yosenda, soups zamasamba ndi casseroles. Ma saladi amakonzedwa kuchokera kumasamba atsopano, kuyambira ndikuwonjezeredwa pang'onopang'ono kuzakudya, ndikuyang'ana pa thanzi lanu.
Mbale zimagwiritsidwa ntchito monga chimanga, casseroles kapena supu zimakonzedwa nawo. Oat, buckwheat, semolina ndi mpunga ndizovomerezeka.
Zipatso zimatha kukhala lokoma komanso kucha: maapulo, mapeyala, ma apricots ndi plums. Mutha kuphika ma compotes ndi mafuta odzola.
Chovomerezedwa patsiku 200 g ya mikate yoyera, makeke amphika a biscuit ndi osaka popanda zowonjezera.

Zoletsedwa ndi kapamba

Ndi mitundu yonse ya matendawa, pali mndandanda wazakudya zoletsedwa kudya. Chifukwa chake, wodwala kuchepetsa thupi ndi kunenepa kwambiri sayenera kuphatikizidwa kuchokera kuzakudya zake:

Mwanawankhosa, nkhumba yamafuta, mafuta anyama komanso mafuta aliwonse ophikira.
Goose ndi nyama bakha.
Msuzi wolemera kuchokera ku nyama kapena nsomba.
Mafuta nsomba - nsomba, mackerel, hering'i, chiwindi cha cod. Simungadye zopakidwa utsi, zamchere, zokazinga, nsomba zamzitini, caviar, nkhanu.
Mafuta kanyumba tchizi ndi zonona, mkaka wonse.
Nyemba, nandolo, mphodza.
Mapira, chimanga, mafuta a barele.
Sipinachi, sorelo, radish, mpiru, radish, daikon, anyezi yaiwisi ndi adyo, arugula.
Soseji zonse ndi viniga, tsabola, mpiru, ginger, golide.
Zakumwa za kaboni, zakumwa wowawasa, kvass.
Zakumwa zilizonse zakumwa zoledzeretsa.
Kofi ndi chokoleti, makeke ndi makeke, ayisikilimu.
Mkate wakuda, oyambitsa zonunkhira, tchipisi ndi zokhwasula-khwasula.

Zomwe muyenera kuchita kuti muchepetse kunenepa ndi kapamba

Kufooka kwa magwiridwe antchito a chiwalo sikungalephereke ndi kutupa kwa kapamba. Kubwezeretsa ntchito yake, nthawi zambiri, Pancreatin ndi mankhwala - wogwirizira wolowa m'malo.

Pankhaniyi, kufufuza kwathunthu ndi dokotala wa gastroenterologist ndikofunikira. Amalumikizana ndi kapamba, matenda am'mimba am'mimba amatha kuthandizira pakupanga kutupa, ndipo amatha kukhala zotsatira zake - dysbiosis, gastritis, cholecystitis, ndi zina zambiri.

Pancreatitis kulemera mfundo zikuphatikiza:

Kuyitanitsa wopatsa thanzi kuti adye chakudya,

Kutsatira zakudya zomwe zasonyezedwa

Kudya mavitamini ndi michere,

Kugwiritsa ntchito mapuloteni kugwedezeka.

Pancreatitis Zakudya

Kupanga zakudya ndi gawo lofunikira kwambiri panjira yakuchira pambuyo povutidwa kwambiri kapena kufalikira kwa chifuwa champhamvu.

Malamulo oti atsatire:

Zakudya 6 tsiku lonse

Kutentha kwa mbale mukamapereka pafupifupi madigiri 37,

Kutafuna kwathunthu ngakhale zakudya zosaneneka,

Osamamwa kumapeto kwa chakudya. Iwo amalimbikitsa kumwa osapitirira ola limodzi.

Chisamaliro chachikulu chimaperekedwa pamankhwala okhwima, chifukwa chake ndikofunika kuti pamakhala khitchini yoyambira. Monga imodzi mwazakudya zomwe mumatha kudya zakudya za ana, m'malo otsalawo - chophika chokha kunyumba mbale. Zogulitsa zomalizidwa zokha ndi timadziti tosungika, zokometsera, zokazinga, zamafuta, kuzifutsa, kusuta fodya ndi kaboni, zaletsedwa.

Zikondazo zimagwira ntchito yofunika: imayang'anira chinsinsi cha insulini ndi michere yokumba. Pancreatitis ndi omwe amayambitsa mavuto akulu mthupi lonse. Zikondazo zimatha kukhazikika ngati chakudya chasintha.

Choyamba, chakudyacho ncholinga chofuna kuonetsetsa kuti kumere kuli zodetsa nkhawa zambiri. Pazakudya, zakudya zimachepetsa kubisala, kupanga magwiridwe antchito kuti muthe kukhazikika pazovuta zomwe zachitika. Kuphatikiza apo, iyenera kukhala yosamalira mwanzeru.

Pancreatitis, zakudya zazing'ono ndizofunikira. Ndikulimbikitsidwa kugawanitsa zakudya za tsiku ndi tsiku mu phwando la 5-6. Mautumiki azikhala ochepa. Ndikwabwino kupereka zokonda zopukutira, chifukwa sizimakwiyitsa mucous membrane wam'mimba. Zakudya panthawi ya chakudya cha pancreatitis cha kuchepa thupi ziyenera kuphatikizapo magalamu a 140-160 a mapuloteni, magalamu 60-80 a mafuta. Gawo lazopeza chakudya zimayenera kukhala zochepa. Zogulitsa zilizonse zomwe zimakhala ndi zotsatira za sokogonny siziyenera kuphatikizidwa. Zogulitsa zotere zimaphatikizapo msuzi wa kabichi, msuzi wolimba ndi zina zambiri. Zakudya zotentha ndi zozizira siziloledwa.

Pancreatitis zakudya menyu

Mukamadya pancreatitis ya kuwonda, amaloledwa kudya:

mkate wopanda tirigu
msuzi wopangidwa ndi nkhuku kapena msuzi wofowoka masamba,
nyama zowonda, komanso mbale zopangidwa kuchokera kwa iwo. Zakudya zotere, mwachitsanzo, zimaphatikizapo ma-meatbord, souffle, ma-meatb,
nsomba zam'nyanja ndi mumtsinje,
mafuta omwera,
batala wopanda mafuta,
zamafuta aliwonse amkaka okhala ndi mafuta ochepa,
Zakudya zopangidwa kuchokera ku masamba (ngati masamba atsopano agwiritsidwa ntchito, ndiye kuti amangololeza m'mitundu),
mafuta oyeretsa masamba,
maapulo ophika ndi mapeyala,
odzola
odzola, zipatso zoperewera ndi zakumwa zina (msuzi wa duwa lakuthengo kapena chinangwa, tiyi wopanda mphamvu),
chimanga ndi pasitala.

Zakudya zosavomerezeka za kapamba

Zakudya zimatanthawuza kupatula kwa zotsatirazi kuchokera pazosankha:

nsomba zamphamvu ndi msuzi wa nyama,
mapira ndi mbale, zomwe zimaphatikizapo
mafuta amtundu wa nkhuku, nsomba ndi nyama,
mbale zilizonse zokazinga ndi zonunkhira,
mafuta onga (mwanawankhosa, ng'ombe),
radish, radish, kabichi, mpiru, rutabaga, sorelo ndi sipinachi,
muffin ndi rye mkate,
masoseji, zakudya zam'chitini, nyama zosuta,
mowa
ayisikilimu.

Chifukwa chake kulemera kumachepetsedwa

Gland imatulutsa ma enzymes ake kuti igaye chakudya, ndipo ngati sikokwanira, matumbo amayamba kuvutika. Tinthu tating'onoting'ono timene timakhala ndi chakudya Matumbo am'mimba amatha kupsinjika kwambiri. Pambuyo pake, kutsegula m'mimba, kupangika kwa gasi, kusanza, ngakhale kusanza palokha kumayamba.

Kapangidwe kamatumbo ka m'matumbo sikothandiza thupi, chifukwa chaichi ma enzymes omwe amatulutsidwa kuti amalize kugaya chakudya amaleka kupanga zochuluka. Chiwerengero chachikulu cha ubweya wa microscopic wa mucous membrane wamatumbo ang'ono ndi chida chachilendo chosagwira chomwe chimakhudzidwa ndi mavuto obwera chifukwa chogaya chakudya mosakwanira.

Izi zoipa zimakhudza thupi, zomwe zimadziwika chifukwa chosowa zinthu zofunika - michere:

mapuloteni - ofunikira pakupanga maselo ndi minofu,
shuga - ndiye gwero lalikulu lamphamvu lamoyo lonse,

Ziwalo zam'mimba ndi ma enzyme sizigwira ntchito bwino, chakudya sichidimbidwa kwambiri

mafuta - kutenga nawo mbali mayamwidwe mavitamini ndi njira ya cholesterol metabolism, kupanga subcutaneous adipose minofu, yomwe imayang'anira njira yoyenera kwambiri yopatsirana, komanso kuteteza ku kuwonongeka kwa ziwalo zamkati.

Ma Enzymes omwe amamva kuchepa kwa zinthu, thupi limafunafuna kulowa njira ina. Mwachitsanzo, imayamba kutenga glycogen m'masitolo a mafuta amkati, kuchokera ku chiwindi ndi minofu minofu. Mapuloteni ndi malo osasungika, kuwononga kwake ndalama kumabweretsa zero zero komanso boma lakuya la dystrophic.

Anthu omwe akuvutika ndi kutupa kwa kapamba amataya thupi msanga, ndipo pambuyo pochira sizingatheke kupeza ma kilogalamu otayika kuzowonetsa zofunika poyamba.

Momwe mungayimire njira yowonda

Kunenepa ndi matendawa ndizotheka komanso kofunikira. Koma njirayi imafunikira njira yophatikizira, thandizo la akatswiri ndi njira ya mankhwalawa. Ndi chifuwa chachikulu cha kapamba, kuchepa thupi kumatha kuchepetsedwa ngati zotsatira zabwino zakwaniritsidwa kapena chikhululukiro chokhazikika mu matendawa chimatheka.

Pancreatin imatha kutengedwa kuti ichiritse

Ngati matendawa ali m'malo osasamalidwa, minyewa ya m'mimba imawonongeka kwambiri ndipo ntchito yake ili pafupi, kuperewera kwa michere yam'mimba kumalipidwa ndi wothandizila wa enzyme - pancreatin, mutasankha mlingo woyenera. Chifukwa cha izi, othandizira-zigamba-ziwiri amalembedwa, zomwe zimapangidwa kuti zithandizire kugaya chakudya mwa njira yofanana ndi yachilengedwe.

Poyamba, muyenera kusintha kwambiri zakudya, kutsatira malangizo a dokotala, kutsatira mosamalitsa chakudyacho. Mu chifuwa chachikulu cha khansa, muyenera kuyandikira zotsatirazi:

muyenera kudya pafupipafupi, mwachangu - zakudya zisanu ndi chimodzi patsiku,
kutumikirana kumayenera kukhala kocheperako kuti m'mimba musadzaze ndipo asayambitse vuto logaya chakudya,

Muyenera kutsatira zakudya zoyenera.

Simungadye zakudya zoletsedwa ndi kapamba, popeza ndizovuta kugaya,
Simungadye chakudya chotentha kapena chozizira, chifukwa chimakwiyitsa nembanemba ya chiwalocho ndikuwonjezera kutupa,
Chakudya chiyenera kutafunidwa bwino, ndikuchiyika ndi malovu, pomwe kuwonongeka kwa chakudya kumachitika ndipo chimbudzi cha chakudya chimayendetsedwa.
kutenga chakudya, simungathe kumwa, chifukwa kuchuluka kwa michere ya m'mimba kumatsitsidwa ndipo ntchito yawo imatha. Kumwera mukatha kudya kumaloledwa pambuyo pa ola limodzi,
vomerezani theka la ola musanadye kuti mumwe ma milliliters 100-150 a madzi ofunda kapena mchere, mutatha kutulutsa mpweya,
muyenera kuchepetsa mchere wambiri.

Zomwe zimagulitsa ndizoletsedwa

Pakutupa, kuphatikiza zakudya kumathandizidwa ndi zakudya zomwe zimapangitsa kuti thupi lizigwira ntchito. Kuchepetsa kupanga ma enzyme kumathandiza kuchotsa kutupa. Mndandanda wazinthu zoletsedwa ukuphatikizapo:

zakudya zokazinga
mankhwala osuta
msuzi wamafuta ndi nsomba,
nyama zamafuta

Mowa umaletsedwa kotheratu.

zinthu zophika mkate kuchokera ku ufa wa rye, muffin,
zakumwa zoledzeretsa
zakumwa zotsekemera ndi mpweya,
khofi
masamba osaphika
zonunkhira.

Kulemera kumapeza mfundo zopatsa thanzi

Vuto la kulemera kwa pancreatitis amakumana ndi odwala kumapeto kwa nthawi yovuta kwambiri yamatendawa. Kuchepetsa thupi kukuyima kale, tsopano muyenera kubwezeretsa ma kilogalamu otayika. Pachifukwachi, ndikofunikira kutsatira nthawi yoika zakudya muzakudya ndikutsatira zakudya zopangidwa ndi katswiri wokhala ndi maphikidwe oyenera. Kuchuluka kwa mapuloteni, zakudya zamafuta ndi mafuta opangidwa kuti azigwiritsidwa ntchito tsiku ndi tsiku kuti awonjezere kulemera amawerengedwa. Kudya tsiku ndi tsiku caloric kumawerengedwa aliyense payekha kwa wodwala aliyense, poganizira kulemera kwake koyambirira, thanzi komanso msinkhu. Ndikofunika kuphatikiza zakudya zama protein ambiri menyu. Kupatula apo, ndi mapuloteni omwe ndi omwe amapanga maselo atsopano.

Ndikulimbikitsidwa kudya nyama yopendekera

Menyuyo, kuti muchepetse matendawa, iyenera kuphatikiza izi:

Zakudya zamagulu
nsomba yamafuta ochepa,
mazira a nkhuku kapena zinziri,
mabisiketi owuma, zophera zachilengedwe, mkate wopanda zouma,
durum tirigu
chimanga
masamba ophika, otentha kapena owotcha,
zinthu zopanda mafuta kapena mafuta ochepa mkaka,
mankhwala azitsamba, odzola, zipatso zouma ndi madzi oyera.

Madokotala ena amalimbikitsa kugwiritsa ntchito zakudya za ana - mbatata yosenda (masamba, zipatso, nyama) kuti mulemere. Muli ndi zinthu zofunika zomwe zimathandizira kuti akule komanso kuti apangidwe bwino. Ndipo magawo ang'onoang'ono a mitsuko ndi abwino kwa mlingo umodzi, womwe ndi wofunikira kwambiri chifukwa cha kapamba.

Pasitala yolimba imaloledwa.

Ndikofunika kwambiri kugwiritsa ntchito masikelo aku khitchini osati kungotaya anthu olamulira magawo. Athandizanso kudziwa mtundu wa mankhwala pokonza chakudya, malinga ndi kuchuluka kwa ma enzymes omwe amawagwiritsa ntchito amawerengera kuti akhale okwanira pakugaya chakudya.

Kulemera ndi kapamba, m`pofunika matenda kagayidwe, amene anali kudwala panthawi yovuta ya matenda. Zotsatira zake zimachitika pomwa vitamini-mchere wambiri. Njira imeneyi imayang'anira kagayidwe kazakudya zam'mimba, chakudya chimatenga bwino.

Ngati matenda akudwala, mavitamini ayenera kutumizidwa ndi adokotala.

Amino Acids ndi Mapuloteni Oseketsa

Kuti muchiritse wodwalayo matenda atatha, kugwiritsa ntchito mankhwala owonjezera komanso zinthu zina zokhala ndi ma amino acid, zomwe zimathandizira kubwezeretsa chimbudzi komanso kuchuluka kwakulemera, zimalimbikitsidwa. Amino acid zowonjezera zimaperekedwa pambuyo poti aunikize za momwe wodwalayo alili. Mazira a nkhuku ndiwo chilengedwe cha amino acid. Ndikwabwino kuzigwiritsa ntchito yophika.

Mukufuna kudziwa momwe mungalemere ndi kapamba, ndiye onerani kanemayo:

Ndi kapamba mu gawo lonse la chikhululukiro, kugwedeza kwamapuloteni kumaloledwa kulemera kwa thupi, koma moyang'aniridwa ndi dokotala. Mapuloteni ndi othandiza kwambiri kugaya chakudya. Musanadye zakumwa zama protein, muyenera kukhazikika pokhapokha ngati pali zotsutsana, monga mapuloteni, mapangidwe a impso ndi chiwindi.

Mutha kugula zakumwa zopangidwa kale kapena kukonzekera kwanu. Pophika, malonda a mkaka wa skim ndi zipatso, mazira kapena mapuloteni owuma amagwiritsidwa ntchito. Zogulitsa zimakwapulidwa ndi blender ndipo zimadyedwa mu sips yaying'ono pang'onopang'ono m'mawa kapena madzulo, kutatsala pang'ono kugona.

Gome likuwonetsa njira zosavuta kwambiri zopangira mapuloteni kunyumba.

Mutha kulemera ndi kapamba ndipo osavulaza thupi ngati mumadya bwino osadya kwambiri. Simuyenera kudalira zotsatira zachangu. Kuleza mtima, kupirira kuyenera kupezedwa, ndipo pogwira ntchito tsiku ndi tsiku, chipambano pamatendawa chimatsimikiziridwa ndikutsala kilogalamu imodzi yotayika idzabwezedwa m'thupi.

Kuchepetsa thupi msanga, ndipo, mosasamala kanthu za mtundu wamoyo, zakudya, kuchuluka komwe kudyedwa. Chomwe chimapangitsa izi ndikuphwanya chakudya. Mu kapamba, amayamba chifukwa cha vuto la kupsya, chifukwa, amavutika kuyamwa michere. Zotsatira zake, thupi sililandira, chifukwa chake, limayamba kugwiritsa ntchito mafuta omwe amapezeka kale. Izi zimapangitsa kuti muchepetse kunenepa kwambiri. Kwa munthu wonenepa kwambiri, njirayi siikhala yovuta, koma mwa wodwala amene ali ndi thupi lolemera kapena kuchepa kwake, kuchepa thupi kwa atypical kungayambitse dystrophy.

Zizindikiro Zoyang'anira

Anthu ambiri sanyalanyaza zizindikiro zoyambirira za chenjezo la kapamba. Amakonda kuphatikiza kulemera mu hypochondrium ndi mseru mwina ndi mawonekedwe a matenda ena am'mimba, kapenanso zolakwika pakudya. Chifukwa chake, amatembenukira kwa dokotala pokhapokha kupweteka kwambiri kumawonekera mu hypochondrium, ndipo nseru imayamba. Nthawi zambiri amawonetsedwa ndi kapamba, kuchepa thupi, kumatulutsa, kutsekula m'mimba. Izi zikuwonetsa kuti njira yotupa m'mapako yakula. Mwinanso:

Makungu a kapamba amatenthedwa, otsekedwa ndi miyala,
cysts wopangidwa mu makulidwe a England
minofu yake ilibe gawo pang'ono,
kapangidwe ka chiwalo kamasinthidwa, miyeso imakulitsidwa.

Zizindikiro za matendawa zimawonetsa kukula kwake. Ululu ndi chizindikiro kuti pali necrosis ya minyewa ya gland, kapena imakanikizira ziwalo zina. Kutentha ndi kufooka kumawonetsa kuledzera kwa thupi. Kudukiza ndi kutsegula m'mimba kumawonetsa kusokonezeka kwa chakudya.

Zikondazo zimatulutsa ma enzyme omwe amakhudzidwa ndi kuwonongeka kwa mafuta, mapuloteni, ndi chakudya chamafuta. Chimbudzi cha zinthuzi chimapezeka m'matumbo, ndichifukwa chake ma enzyme a gland amatumizidwa kumeneko. Munthu akadya mafuta ochulukirapo, okazinga, okometsera, ndiye kuti kupanga kwawo kumawonjezeka, ndipo kutuluka kwake kumachepera. Zotsatira zake, kupesa sikumachitika m'matumbo, koma mu kapamba palokha. Zotsatira zake:

gland imayaka
chimbudzi chikukwiya
kuwonongeka kwa mafuta, mapuloteni, chakudya,
kagayidwe amasokonekera.

Thupi limakumana ndi kuperewera kwakukulu kwa michere. Chifukwa cha kuchepa:

mapuloteni - kusinthika kwa maselo, minofu,
mafuta - kukonza mafuta m'thupi, mavitamini,
shuga - mphamvu yofunika imatayika.

Kuti apange kutayika kwawo, thupi limayamba kuwononga mafuta ndi ma glycogen ochokera ku minofu, chiwindi. Izi, zimabweretsa kuwonda kwambiri. Osadzilowetsa m'mavuto otere. Ndi pancreatitis, ndi dokotala yekha amene amadziwa kulemera ndi kupewa zovuta.

Ngati munthu ayamba kuchepa thupi kwambiri, ndipo panthawi imodzimodziyo akuzunzidwa ndi zowawa mu hypochondrium, kutsegula m'mimba, kunyansidwa, kuyendera dokotala sikuyenera kuchedwetsa. Chilichonse chimasonyeza kuti chimbudzi sichili bwino, ndipo zotsatilapo zake zimakhala zazikulu. Odwala omwe ali ndi izi pamwambapa avomereza:

Dokotala azindikire zomwe zimayambitsa matendawa, amapanga chiwembu chamankhwala ake, ndikusankha zakudya zoyenera. Paphwando, amasanthula madandaulo a wodwalayo, amapaka pamimba. Nthawi zonse amafunsa wodwalayo mafunso otsatirawa:

Kodi ululu umawoneka mpaka liti?
Ndimalo ati?
Kodi chikhalidwe chake ndi chiyani, mphamvu, pafupipafupi?
Kodi ululu kapena nseru zidawonapo kale?
Kodi wodwala amadwala matenda otsegula m'mimba?
Kodi amadya chiyani?

Kuti afotokozere za matendawo, dokotalayo amamuuza wodwala kuti akamuthandizire kumuyesa ngati ali ndi matenda. Ndi njira iyi yokha yomwe amatha kuwona wodalirika komanso wazachipatala. Kutengera ndi zotsatira zake, adotolo amafotokozera zovuta za mankhwala ndikupereka malingaliro pazakudya.

Kodi kulemera ndi kapamba?

Pancreatitis amathandizidwa ndimankhwala ena ndi zakudya. Zakudya zopatsa thanzi kumatendawa zimakhala ndizofanana ndi zake. Panthawi yovuta, muyenera kusiya kumeza chakudya ndi madzi, chifukwa chomwe chitsulo chimachepetsedwa, kupanga ma enzyme kumachepetsa. Pamene ululu umachepa ndipo zizindikiro zina zimachepa, zakudya zopezeka m'mapuloteni a nyama, mavitamini, ndi mchere zimayambitsidwa pang'onopang'ono m'zakudya. Pokhululuka, dokotala akuvomereza.

Mankhwala

Kugwiritsa ntchito mankhwala osokoneza bongo ndikufuna kuthana ndi vuto la kuperewera kwa enzyme komanso kugaya chimbudzi. Dokotalayo amapereka mankhwala ofunikira kuti azindikire matenda oyamba am'mimba, chifukwa kuchepa thupi kungakhale chifukwa cha izi ma pathologies.

Kuti abwezeretse pang'onopang'ono, katswiriyo amayambitsa kukambirana, kumudziwitsa wodwalayo za malamulo a kudya. Yalimbikitsa:

Thungani chakudya bwinobwino, chifukwa malovu amalimbikitsa chimbudzi cha chakudya,
Musalole kudya zamadzimadzi pakudya,
Zakudya zamtundu wamagulu ochepa nthawi yofanana masana kuti masinthidwe amtundu wa kapamba,
Kudya ndikutentha
Menyu yapadera yopangidwa ndi zinthu zovomerezeka.

Mankhwala othandizira kugwiritsidwa ntchito pothandizidwa ndi mankhwala opangidwa ndi pancreatin - chinthu chomwe chimapangidwa ndi michere yayikulu yogaya chakudya: lipase, amylase ndi protase. Mezim, Creon, Enzistal, Pancreatin, Panzinorm, Festal amaikidwa. Mankhwalawa amapezeka mu mawonekedwe a makapisozi, chipolopolo chake chimasungunuka kokha m'matumbo am'mimba, osati m'mimba, pomwe madzi am'mimba omwe ali ndi hydrochloric acid amachititsa ma enzymewo kugwira ntchito.

Ntchito ya enzymatic ya mankhwala imachitika pafupifupi theka la ola mutatha kumwa mankhwalawa, mankhwalawa samangopanga kuchepa kwa michere yam'mimba, komanso kukhazikika kwa kapamba.

Ndi kapamba, kudya kumafunika, komwe kumachepetsa kugwiritsa ntchito mafuta, kumathandizira kubwezeretsa thupi. Malinga ndi zofunikira zakudyazo, muyenera kudya nthawi zambiri, m'magawo ang'onoang'ono 5-6 patsiku. Sitikulimbikitsidwa kudya zakudya zomwe ndizovuta kugaya (bowa, mtedza, nyemba, mafuta komanso okazinga). Kugwiritsa ntchito zipatso ndi zipatso sizili pompopompo, chifukwa ulusi womwe ulimo umathandizira kuti mapangidwe amtundu wa gasi apangidwe ndipo umapangitsa kuti pakhale maluwa komanso kuwonjezeka. Musanadye (m'mphindi 30) mutha kumwa kapu ya mchere wopanda mafuta. Ndikofunikira kuchepetsa kuchuluka kwa mchere ndi shuga.

Kuti muwone kulemera, zimalimbikitsidwa kupanga zakudya zapadera potengera kulemera koyambirira, thanzi, zaka. Zakudyazi zingaphatikizepo nyama yazakudya, nsomba zamafuta ochepa, zinziri ndi mazira a nkhuku, ma cookie osakhala ndi shuga, oyambitsa popanda kukola. Phala wothandiza wopangidwa kuchokera ku magawo olimba a ufa, chimanga, yophika, yophika, masamba ndi masamba otentha, zopatsa mkaka, tiyi wazitsamba.

Msuzi uyenera kuwiritsa m'madzi kapena msuzi wamasamba, tikulimbikitsidwa kugwiritsa ntchito zakudya zonse mu mawonekedwe a grated, chifukwa mwanjira imeneyi chakudya chizikhala cholowerera.

Zosankha ziyenera kukhala ndi mapuloteni okwanira, komwe gwero lake ndi tchizi, nyumba yoyera mazira, nyama, nsomba. Pambuyo pokambirana ndi katswiri wazakudya, kugwedeza kwamapuloteni, zakudya zowonjezera ndi amino acid, ndi maofesi a multivitamin atha kuphatikizidwa muzakudya.

Zotsatira zopindulitsa thupi zimakhala ndi masewera olimbitsa thupi, omwe amayendetsa bwino ntchito ya gland. Masewera olimbitsa thupi amalimbikitsidwa, kupatulapo squats ndi masewera ena olimbitsa omwe amalimbikitsa kukoka kwamimba chifukwa cha kupuma. Simungakweze zolemera, muyenera kupewa kumangiriza zovala ndi malamba, kukanikiza pa peritoneum.

Kuyenda ndikothandiza, pomwe njira yogwiritsa ntchito shuga popanda kuchita ndi insulin imayendetsedwa, yomwe imachepetsa katundu pa kapamba. Kuyenda, kuphatikiza zolimbitsa thupi zopumira, zimapereka zotsatira zabwino, zimasinthasintha ntchito ya ziwalo zamkati - machitidwe, makamaka gawo logaya chakudya, potero zimathandizira kuti munthu ayambenso kulemera.

Kuti matendawa azitha kusintha mthupi ndi kubwezeretsa kulemera ndi kapamba, ndikofunikira kukhazikika pancreas.

Kugwiritsa ntchito njira zina zamankhwala kumakuthandizani kuyambitsa kukonzanso kwa minofu yazitsulo zowonongeka, kufulumizitsa kuchira. Kugwiritsa ntchito mankhwala osokoneza bongo komanso mankhwala opangira mankhwala azitsamba kumakuthandizani kuti mupange chimbudzi, kusintha momwe kagayidwe kake kamakhudzira thupi, kukulitsa chilimbikitso, ndikuchotsa zinthu zovulaza m'thupi.

Amafunika kutenga 1 tbsp. l barberry kutumphuka mu wosweka mawonekedwe ndi kutsanulira 200 ml ya madzi otentha. Kuumirira mphindi 30. Tengani 1 tbsp. l musanadye tsiku lililonse.
Kukonzekera chopereka cha yarrow, chamomile ndi calendula. Supuni 1 kusonkhanitsa kutsanulira kapu ya madzi otentha, kunena mphindi 30. Tengani msuzi wa 100 ml msuzi mphindi 30 musanadye, 4 pa tsiku.
Kukonzekera chopereka cha machiritso, muyenera kutenga 3CT. l dieelle, 1 tbsp. l chowawa, 2 tbsp. l mankhwala chamomile. Kutolere muyenera kuthira 300 ml ya madzi otentha. Muyenera kutenga 5 pa tsiku kwa 100 ml.
Mbewu zamkaka mu mawonekedwe a ufa, tengani 1-2 tsp. 3 pa tsiku theka la ola musanadye. Maphunzirowa ndi masiku 45-60. Amathandizira njirayi katatu pachaka.
1 tbsp. l mbewu za chitowe ziyenera kutsanulidwa ndi 250 ml ya madzi otentha ndikuyika kwa maola awiri, kupsyinjika ndi kumwa chikho chachitatu katatu patsiku musanadye.
Ndi bwino kumwa Brussels zikumera madzi 100 ml katatu pa tsiku musanadye masiku 30.

Momwe mungayimitsire kuwonda

Ndi kapamba, kuchepa thupi kumatha kuyimitsidwa pokhazikitsa chikhululukiro chokhazikika cha matenda. Ngati kuwonongeka kwa minyewa ya m'mimba kumachepetsa ntchito yake ya procrine, kudya moyenera kudzalowetsa kusowa kwa michere yam'mimba, kupatsa chimbudzi pafupipafupi, monga momwe kungathekere kuzungulira kwa thupi.

Matenda okhala ndi vuto la chimbudzi chimbudzi amayenera kuthandizidwa munthawi yake. Ngati sagwiridwe ntchito, kuyamwa kwa michere kumakhalabe ndi vuto, zomwe zingapewe kubwezeretsa kulemera koyenera.

Mutha kuyimitsa kuchepa thupi mothandizidwa ndi masewera olimbitsa thupi, kuchita masewera olimbitsa thupi pafupipafupi.

Chimachitika ndi chiyani mthupi la munthu ndi matenda?

Ntchito ya kapamba imayenderana ndi kugwira ntchito kwa ndulu ndi 12 - m'mimba. Zikondazo zimatulutsa ma enzyme omwe amalowa mu ma ducts mu duodenum, pomwe, akaphatikizidwa ndi bile, amamutsegulira ndikuyamba kuchita nawo chimbudzi. Chinsinsi cha zikondwererozi chimakhala ndi ma enzymes ofunikira kuti chimbudzi chikaperewera, mapuloteni, mafuta ndi zakudya zomwe zimabwera ndi chakudya zimalephera kulowa mu thupi.

Pancreatitis ndi matenda omwe kutupa kwa kapamba kumachitika. Chifukwa cha kutupa, kubisala kwa chimbudzi kumawonjezeka, ndipo kutuluka kwake kuchokera ku chiwalo kumakhala kovuta. Kupsinjika kwa njira ya chimbudzi cha chakudya chomwe chilowa m'matumbo chokhazikika. Tinthu tating'onoting'ono timakhala pamakoma a m'matumbo, timawakwiyitsa ndikuyambitsa chisokonezo. Mapuloteni omwe amaphatikizidwa ndi kupangika kwa minofu, mafuta, ofunikira kuti amidwe mavitamini mkati mwa cholesterol metabolism, malamulo abwinobwino otentha ndi chitetezo cha ziwalo zamkati - machitidwe, komanso mafuta amthupi, omwe ndi gwero lamphamvu, amasiya kulowa m'thupi.

Kuperewera kwa zinthu zofunika izi kumathetsedwa ndi zomwe zasungidwa kale. Mafuta a subcutaneous amadyedwa pambuyo pa glycogen ku chiwindi ndi minofu; chifukwa, kutsika kowonda kumawonedwa. Matenda a kapamba am'mimba amaphatikizidwa ndi vuto la kugaya - maldigestion ndi kusokonezeka kwa kuperewera kwa michere - malabsorption, omwe amachititsa kuchepa kwa mafuta m'thupi.

Ndikothekanso kubwezeretsa kulemera kwachilengedwe ndi kapamba ngati mutsatira zakudya zopangidwa mwapadera ndikuchitapo kanthu kupewa popewa kufalikira kwa matendawa.

Chifukwa cha zomwe zimatchulidwa ndi matenda monga kapamba, odwala omwe amadziwika ndi matendawa amakhala ndi kuchepa kwakanthawi kwakanthawi.

Chifukwa chiyani izi zikuchitika komanso momwe mungalemere ndi kapamba?

Pancreatitis ndi matenda omwe amasokoneza kugwira ntchito koyenera kwa kapamba. Izi zikutanthauza kuti kuperewera kwa zinthu zingapo zimapangidwa m'thupi, zomwe, zikafika pokhazikika, nthawi zonse zimakhala ndi zochuluka.

Koma, ndi kukula kwa matendawa, kuchuluka kwawo sikutali ndi chizindikiro chimenecho, chofunikira pakugaya chakudya mwazinthu komanso kutengera michere kuchokera pamenepo. Zakudya zomwe sizinapendedwa zimangokhala pang'onopang'ono pamatumbo, zikukwiyitsa makoma ake. Chifukwa chake, minyewa yam'mimba imayikidwa katundu wolemera. Zotsatira zake, munthu amayamba kudwala matenda otsegula m'mimba, kusanza ndikuwoneka.

Chifukwa cha kusintha kwakuthwa kwa kapangidwe ka mankhwala, matumbo samatha kupanga ma enzymes ofunikira pakugwirira ntchito kwathunthu kwa chimbudzi. Chyme chosakonzedwa bwino, ndiye kuti, porridge ya chakudya, imakhala ndi vuto pakagwiritsidwe ntchito ka chipangizo chokhala ndi kukhalapo kwakukulu kwa microscopic villi pa mucosa, yomwe ili m'matumbo aang'ono.

Zoipa zonsezi zimawonekera m'thupi, zomwe zimakumana ndi kuchepa kwakukulu kwa zinthu zofunika (michere):

Amafunikira mapuloteni kuti apangidwe ndi zimakhala ndi ma cell atsopano.
Mafuta amatenga nawo mbali posinthana ndi cholesterol ndi mavitamini, zomwe zimathandizira kuti mawonekedwe azachilengedwe azikhala ochepa, omwe amachititsa kuti pulogalamu ya thermoregulation ikhale yokhazikika komanso kuteteza ziwalo zamkati.
Glucose ndiwopereka mphamvu zambiri.

Enezyms momwe kumakhala kusowa, thupi limayesetsa kupeza mwanjira ina. Mwachitsanzo, amayamba kuwononga mafuta amkati, glycogen ku chiwindi ndi minofu minofu. Pankhani ya zero yomwe imakhala ndi protein, munthu amakhala ndi vuto la dystrophic.

Ndiye chifukwa chake, odwala omwe ali ndi vuto la kapamba, amachepetsa thupi nthawi yomweyo, kenako sangathe kuwonjezera kuchuluka kwake. Anthu ambiri amaganiza kuti: kulemera kwamatenda a kapamba kapena, pang'ono pang'ono, kuchedwa kuchepa?

Ndi chifuwa chachikulu, kuchepa kwa thupi kumatha kuchepetsedwa ngati zotsatira zabwino zakwaniritsidwa polimbana ndi matendawa, ndiko kuti, amatha kuchiritsidwa, kapena kuchotsedwa kwake kungatheke.

Ngati matendawa anyalanyazidwa kwambiri, ndipo minyewa ya kapamba imawonongeka kwambiri, ndipo ntchito yake ili pafupi, kufooka kwa michere yam'mimba kumalipiriridwa ndi pancreatin, kusankha mlingo woyenera.

Mwa izi, kukonzekera kwa zipolopolo ziwiri kumayikidwa, mankhwala omwe amachitika chifukwa amathandizira kugaya chakudya m'njira yofanana ndi yachilengedwe.

Odwala ambiri omwe ali ndi kapamba amadwala cholecystitis, matenda a shuga, gastritis ndi matenda ena. Kuzinyalanyaza, ndizosatheka kuthana ndi vuto la m'mimba momwe mungathere, zomwe zikutanthauza kuti kulemera kwa pancreatitis sikungachitike.

Choyamba, sinthani kwambiri zakudya zanu, kutsatira malangizo a dokotala wanu, ndikutsatira mosamalitsa zakudya zomwe mwamwa. Ngati muli ndi matenda oopsa monga chifuwa chachikulu cha m'mimba, muyenera kuyang'anitsitsa kudya zakudya ndipo musayiwale za izi:

Muyenera kudya pafupipafupi, njira yabwino ndi zakudya zisanu ndi chimodzi patsiku. Komanso musaiwale kuti magawo sayenera kukhala akulu, onani kukula kwawo.
Osagonjera ku mayeserowa ndikuphatikiza muzakudya zanu zomwe ndizoletsedwa kakhansa. Kuchita zonyansazi kumawonekera ndi kufalikira kwa matenda.
Zakudya siziyenera kudyedwa zotentha kapena kuzizira. Lamuloli liyenera kutsatiridwa mosamalitsa. Kutentha kwabwino kwa chakudya ndi madigiri 37, pomwe chakudya chimasungidwa bwino kwambiri ndipo ma enzyme amagwira ntchito kwambiri.
Yesani kutafuna chakudya pang'onopang'ono, chifukwa cha kupatsidwa kwake bwino ndi malovu. Amylose, yemwe amapezeka malovu, amaphwanya wowuma mwachindunji pamkamwa pakamwa. Kutafuna mokwanira sikumangokhala chakudya chokhazikika, izi zimakhudzanso mbale zofewa ndi zosenda, zomwe ziyeneranso kukhutitsidwa ndi malovu.
Mukamatenga chakudya, osamwa ndi zakumwa, zomwe, zikagwera pamwamba pake, zimatulutsa kuchuluka kwa michere ya m'mimba, potaya ntchito yawo. Zakudya zamadzimadzi zimaloledwa mphindi 30-60 mutatha kudya (zolembedwa zina zimalimbikitsa kumwa zakumwa pambuyo pa maola 1.5-2 mutatha kudya).

Ndiye, momwe mungalemere ndi pancreatic pancreatitis? Pali zinsinsi zingapo, podziwa zomwe, mungayesere kuwonjezera thupi.

Zakudya za ana: chimanga ndi nyama yosenda mitundu yosiyanasiyana. Gululi lazogulitsa limapangidwira ogula ochepa omwe amafunikira kukula koyenera komanso kukula kwa nthawi. Kuphatikizidwa kwa zinthu zotere kumakhala ndi zinthu zambiri zamafuta ndi mavitamini omwe amathandizira kulemera. Kuphatikiza apo, mitsuko yokhala ndi puree ya ana ndiyochepa voliyumu, kungogwiritsa ntchito nthawi imodzi, ndikofunikira kwambiri kapamba.
Lumikizanani ndi dokotala wanu wazakudya zokuthandizani ndi pempho lanu kuti mupange mapu azakudya zofunikira mutaganizira zomwe zimayambitsa matendawo. Katswiriyu adzawerengera zofunikira zonse, kuchuluka kwa chakudya, mafuta, mapuloteni ndi mtengo wanu wamagetsi. Katswiri angakuuzeni momwe mungapangire kuwerengera, kulangizani pazosankha zabwino kwambiri za mbale zomwe zingakuthandizeni kukhalabe ndi thupi. Kutengera ndi mndandanda wophatikizidwa, gastroenterologist amasankha njira yovomerezeka ya michere.
Gwiritsani ntchito muyeso wa kukhitchini. Ndi chithandizo chawo, mutha kudziwa molondola kuchuluka kwa zinthu zomwe zingapangidwe pokonza chakudya, malinga ndi kuchuluka kwa michere yomwe imagwiritsidwa ntchito kuwerengera kuti ikhale yokwanira pokonza chakudya chomwe chatengedwa.

Kuphatikiza pazosankha zomwe zili pamwambapa zomwe zimayankha funso - momwe mungalemere ndi kapamba, musaiwale za mwayi wapadera wazomwe ungagwiritsidwe ntchito kunyumba. Amakonzedwa kuchokera ku tchizi tchizi, mkaka ndi mazira. Kuti musinthe kukoma kwa zakumwa, mutha kuwonjezera nthochi, ayisikilimu. Ntchito yayikulu yamatumba oterewa ndikusunga index ya protein yambiri mthupi.

Tisaiwale kuti zinthu zonse zomwe zimagwiritsidwa ntchito pokonzera chakudya chamagulu ziyenera kukhala zatsopano komanso zapamwamba. Kuwonjezeka kwamphamvu kwa thupi mwa wodwala ndi kapamba kumawonetsa zotsatira zabwino zamankhwala.

Odwala ochulukirapo omwe ali ndi pancreatitis yayitali amadwala kwambiri. Kuperewera kwa kapamba ka pancreatic kumapitirirabe, komwe kumatchulidwa kwambiri ndi maldigestion syndromes - kusokonezeka kwa chimbudzi ndi malabsorption - kusokonezeka kwa mayamwidwe azakudya. Izi zimapangitsa kuti wodwalayo achepetse thupi komanso amalephera pafupipafupi kuyesa kulemera.

Ngati pali ma enzyme ochepa

Ngati michere ya kapamba sichikwanira kugaya chakudya chomwe chikudyedwa, matumbo a wodwalayo amayamba kuvutika. Tinthu tosagwira bwino timakhumudwitsa khoma lamatumbo ndikuyambitsa kusokonekera - kutsegula m'mimba. Zomwe zimapangidwira m'matumbo zimapangidwanso, chifukwa ma enzymes, omwe nthawi zambiri amatulutsidwa ndi tiziwalo timene timamaliza kugaya, amasiya kupanga zochuluka zokwanira. Chida chapadera chamatumbo oyamwa, choyimiriridwa ndi kuchuluka kwa mucosal villi, chimawonekeranso ndi zotsatirapo zoyipa za kupukusidwa bwino kwa chyme (chakudya gruel).

Zotsatira zake, thupi sililandira michere yoyenera:

mapuloteni omwe amatha kumanga maselo ndi minyewa,
mafuta, omwe akuphatikizidwa ndi kusinthana kwa mavitamini ndi cholesterol, amapanga mafuta osunthika, omwe amapereka kwambiri thermoregulation, komanso amateteza ziwalo zamkati,
glucose, komwe ndi gwero lamphamvu yazinthu zonse zolimbitsa thupi.

Chifukwa chake, onse omwe sanalandiridwe akuyenera kutengedwa kumalo osungirako "osungidwa tsiku lamvula" - mafuta osasunthika, glycogen, omwe amapezeka m'chiwindi ndi minofu. Mapuloteni ndi malo osasungika, ndipo kugwiritsa ntchito kwake kukutanthauza kukhala pansi kwambiri. Zonsezi zimabweretsa kuwonda kwambiri komanso kulephera kupeza mapaundi otayika.

Kodi ndizotheka kuyimitsa njira yochepetsera thupi ndikuyibweza?

Mu chifuwa chachikulu, njira yochepetsera thupi imatha kuyimitsidwa ndikukhazikitsa chikhululukiro cha matenda. Ngati kuwonongeka kwa minyewa ya m'mimba kumachepetsa ntchito yake ya procrine, kusankha kwapadera kwa pancreatin kudzalowa m'malo mwa michere yomwe ikusowa. Kusankha koyenera ndikusankhidwa kwa kukonzekera kwa zipolopolo ziwiri, chifukwa gululi limapatsa wodwala chimbudzi, pafupi momwe angathere.

Kuthamangitsidwa ayenera kulipira n`zotheka matenda a m'mimba dongosolo - gastritis, cholecystitis, enterocolitis, matumbo dysbiosis. Ngati simusiyidwa, mayamwidwe a michere amakhalabe osokonezeka. Ndipo popeza chithandizo cha matenda onse am'mimba chimbudzi chikuyamba ndi chakudya, sichingakhale chopepuka kukumbukira malamulo onse apadongosolo ake:

Idyani nthawi zambiri m'magawo ang'onoang'ono, nkumabweretsa chakudya ku sikisi.
Ngati malonda ena ndi oletsedwa, zikutanthauza kuti AKULIMBITSA, osati "O, chabwino, palibe, chichitike!" Chifukwa kukulira kwina kumatha kuchitika pang'ono.
Zakudya siziyenera kutentha kwambiri kapena kuzizira kwambiri: tiyenera kuyamwa michere yambiri momwe tingathere, ndipo ma enzymus amagwira ntchito pa +37 0 C.
Chakudya chiyenera kutidwa! Osangokhala osamala koma mosamala: m'malovu mulinso amylase, yomwe imayamba kuthyola wowuma kale pamkamwa wamkamwa. Ngakhale chakudya chanu chikatsukidwa msuzi, muziyamwa. Imasakanikirana chimodzimodzi ndi malovu.
Ayi. Osamamwa. Ndikupita. Galasi lamadzi kapena zipatso zokoma mukatha kudya zimapangitsa ma enzyme anu kukhala osatha kugaya chilichonse. Imwani imodzi ndi theka mpaka maola awiri mutatha kudya. Ngakhale mfundo iyi ndi yotsutsana, onerani kanema:

Kodi ndiyenera kupita kwa dokotala uti?

Kodi ululu umawoneka mpaka liti?
Ndimalo ati?
Kodi chikhalidwe chake ndi chiyani, mphamvu, pafupipafupi?
Kodi ululu kapena nseru zidawonapo kale?
Kodi wodwala amadwala matenda otsegula m'mimba?
Kodi amadya chiyani?

Kuchepetsa thupi monga chimodzi mwazizindikiro za kapamba?

Munthu akadwala kapamba, amayamba kuchepa thupi. Izi ndizowopsa, chifukwa kuchepa thupi mwadzidzidzi kumatha kukhala pachiwopsezo cha moyo. Achibale amayamba kuda nkhawa kuti: "Chifukwa chiyani mukuchepetsa thupi?" Wodwalayo akuchepetsa thupi chifukwa cha kuchuluka kwa michere ya kapamba yomwe imatsala m'misempha ndikuyamba kudzipenda.

Nthawi zambiri pa kapamba, kutsekula m'mimba kumayamba kapena kudzimbidwa kwa nthawi yayitali. Chifukwa cha kutupa kwa wodwalayo, kusanza kumayamba, kusowa kwa chakudya kumatha, ndipo kusanza kumatha kuchitika. Zomwe zimapangidwa mthupi zimatha kuchotseredwa m'njira yoyambirira kapena kuyamwa bwino.

Kodi thupi limayenda bwanji ngati mulibe michere?

Chifukwa cha kusachita bwino kwa gland, matumbo ake amayamba kuvutika, choyambirira. Tinthu tosaphatikizidwa timakhalabe pamatumbo am'mimba, ndikupangitsa kukhumudwa kwa chapamwamba. Chifukwa cha izi, wodwalayo amayamba kutsekula m'mimba. Kuphatikiza apo, chimbudzi cha chakudya sichitha kwathunthu chifukwa chosowa michere yofunika.

Kuwonongeka kwa mapuloteni kukhala amino acid.

Chifukwa chodwala, thupi sililandira zofunika pamoyo:

Mapuloteni omwe amapanga mizere yama cell ndi minofu,
mafuta, omwe amagwira nawo ntchito pakupanga kolesterol, mavitamini omwe amamanga gawo pansi pa khungu, lomwe limateteza thupi ndi ziwalo ku chimfine.
glucose, womwe ndi gwero lalikulu lamphamvu.

Ngati thupi lilibe zinthu ngati izi, limayamba kugwiritsa ntchito mafuta a glycogen komanso mafuta amkati, omwe amakhala m'misempha ndi m'chiwindi. Thupi likakhala lalifupi kwambiri ndi mapuloteni, limayamba kudwala dystrophy. Imadziwonetsa yokha mu kuwonda kwambiri, pambuyo pake sikotheka kupezanso.

Lekani kuchepa thupi ndi kapamba

Pancreatitis nthawi zambiri amawonetsedwa mawonekedwe osakhazikika. Kuchepetsa thupi kumatha kuyimitsidwa ngati pancreatin yagwiritsidwa ntchito. Kuphatikiza apo, zithandiza pakukula kwa ma enzymes ofunikira ndikunyamula kupita kumatumbo. Pakhoza kukhala matenda ena ambiri pafupi ndi kapamba omwe sawoneka koyambirira. Chifukwa chake, muyenera kufunsa dokotala yemwe adzayesere kwathunthu thupi.

Matenda ofala kwambiri ndi matenda ashuga, gastritis, cholecystitis. Sikoyenera kunyalanyaza chithandizo chawo, chifukwa ngati mankhwalawo atanyalanyazidwa, sizingatheke kubwezeretsa magwiridwe antchito a m'mimba. Ngakhale mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito pa matenda owopsa, kutupa sikungathandize.

Anthu ambiri amafunsa kuti: "Kodi bwanji ndikuchepetsa thupi kwambiri?" Inde, kuchepa thupi mwadzidzidzi si chizindikiro chabwino. Choyamba, muyenera kuwerengera zakudyazo, kusintha zina:

Muyenera kudya pafupipafupi, koma zochepa. Palibenso chifukwa choyesera kudya katatu pa tsiku, kutsanulira magawo ambiri nthawi imodzi.
Ngati dokotala wakupatsani zakudya zomwe zakudya zina siziyenera kuzisunga, muyenera kuzitsatira. Wodwala akayamba kupuma, ziwalo zomwe zimadya zimadzimva zokha.
Mu chifuwa chachikulu, muyenera kutafuna chakudya chobwera. Munthu akamatafuna, chakudya chimasakanikirana ndi malovu, omwe amaphatikizapo amylose. Ndi amylose omwe amathandizira kusunthira mwachangu ngakhale mu milomo yamkamwa.
Muyenera kudya zakudya zofunda zokha, zomwe siziyaka, koma osati kuzizira. Ma Enzym amagwira ntchito pokhapokha chakudya chikawotha mpaka kutentha kwa thupi.
Ndi zoletsedwa kumwa chakudya ndi madzi. Chifukwa cha kuchuluka kwa madzi pakudya, michere imayamba kuchepa. Ndikofunika kwambiri kumwa madzi theka la ola mukatha kudya.

Mfundozi zikuthandizira kupewa kunenepa. Kuphatikiza apo, ngakhale anthu athanzi labwino ayenera kukumbukira malamulowa, chifukwa awa ndiye maziko azakudya zopatsa thanzi.

Zoyenera kuchita kuti muchepetse kunenepa ndi kapamba?

Kuti muchepetse kunenepa, wodwalayo ayenera kuyiwala za zizolowezi zoyipa ndi kudya. Zakumwa zoledzeretsa kapena zopatsa mphamvu, kusuta, zakudya zamafuta siziphatikizidwa. Masamba opaka ndi zipatso limodzi ndi chakudya chachikulu amakulimbikitsidwa, ndipo nthawi yodyerayo siyikhala yopitilira maola atatu.

Kuchepetsa thupi kuyenera kukumbukira gawo lofunika la zakudya, monga chakudya cha ana. Ili ndi kapangidwe kake kothandiza kutsata zinthu ndi zinthu zomwe zimalimbikitsa kukula, chitukuko, komanso mavitamini ambiri omwe amathandizanso kuti achire. Kuonetsetsa kuti kulemera kumachitika mwachizolowezi, madokotala amalangizira kugwiritsa ntchito zakudya zapadera zopatsa thanzi zomwe zimakhala ndi mavitamini othandizira kulimbitsa thupi.

Omwe amachepetsa thupi msanga amayenera kuwerengera mapuloteni, chakudya, mafuta omwe amalowa mthupi tsiku lililonse. Izi zimathandizira kuyang'anira zakudya, kuzikulitsa ndi zinthu zofunika kufufuza. Milozo yakukhitchini ilipo yomwe imalemera zinthu bwino kwambiri.

Wina amafuna kuchepa thupi, ndipo ena amavutika ndi kunenepa kwambiri mwadzidzidzi. Nthawi zambiri, gulu lachiwiri limaphatikizapo odwala omwe ali ndi vuto la kapamba. Ndi dzina ili amatanthauza njira yotupa mu kapamba. Chifukwa chophwanyidwa, gland yotereyi imataya ntchito yake yoyenera, kusokoneza chimbudzi chonse.

Kuti mukhale bwino, muyenera kukumbukira malamulo asanu oyambira. Kuphatikiza pa iwo, muyenera kusintha zakudya, kusiya zoipa. Komanso, odwala amachepetsa thupi chifukwa chosowa mavitamini. Kuti muchepetse kunenepa, muyenera kudya mavitamini, masamba, zipatso.

Kuchepetsa Thupi la Pancreatitis: Chifukwa Izi Zimachitika

Chifukwa chiyani anthu omwe amadandaula ndi kapamba amachepetsa thupi? Chimodzi mwazinthu zofunika kwambiri za kapamba ndi njira yopangira ma enzymes omwe amatenga mbali pakudya. Pambuyo pa chimbudzi cha zinthu izi, zimadutsa mumkamwa kupita mu duodenum. Ndiye kuti ma enzyme amathandizira mwachindunji pakudya m'mimba.

Chifukwa cha zifukwa zina, zomwe zimaphatikizapo kumwa pafupipafupi mbale zamafuta kwambiri kapena kugwiritsa ntchito mowa pafupipafupi, njira yopangira ma enzymes mu kapamba imatheka. Izi zitha kuphatikizidwa ndi kufalikira pang'onopang'ono kwa michere kuchokera ku ndulu kupita kumatumbo. Zotsatira zake, kuchuluka kwa ma enzymes kumayambira mwachindunji mu chiwalo chokha (kapamba). Izi zimatha kubweretsa njira yotupa mthupi.

Chifukwa chake, m'matumbo, moyenera, mu duodenum, zinthu izi sizokwanira. Izi zimayamba chifukwa chophwanya chimbudzi. Pakadali pano, zinthu zofunika kuti zichitike mthupi sizingatenge chilichonse chofunikira. Chifukwa chophwanya dongosolo la chimbudzi cha chakudya komanso kuchepa kwa michere ndi zinthu zofunika mthupi, kuwonda kwambiri kumachitika.

Ndi zinthu ziti zomwe zikuperewera? Kuti muchite bwino ntchito ya m'mimba, thupi liyenera:

mapuloteni chifukwa cha momwe njira yopangira maselo ndi minofu imachitikira,
mafuta omwe akhudzidwa ndi njira yosinthira mavitamini ndi cholesterol, kupanga mawonekedwe osakanizira, motero, akukhudza njira yochepetsera thupi.
glucose ndi gwero lamphamvu kwa chamoyo chonse.

Popeza thupi limasowa izi mokwanira, amayenera kutenga zonse kuchokera kumafuta osakanikirana ndi zinthu zina za ziwalo zina.

Momwe mungalekere kuchepetsa kunenepa

Anthu omwe ali ndi pancreatitis amachepetsa thupi ngakhale atakhala ndi chakudya chambiri. Njira yakuchepera thupi imatha kuyimitsidwa.

Pali nthawi zina pamene ntchito ya gland yayamba kufooka kale motsogozedwa ndi njira yotupa. Komabe, pankhaniyi, kubwezeretsa kwachilendo kwa thupi kugwira ntchito ndikusankha pancreatin yofunikira. Izi zitha kusintha ma enzyme omwe akusowa chakudya.

Kuphatikiza pa kumwa mankhwala ofunikira, ndikofunikira kuyesedwa kwathunthu. Ndikulimbikitsidwa kukaonana ndi katswiri, popeza kuti matenda ophatikizika a m'mimba amathandizanso kuthana ndi kunenepa komanso mkhalidwe wa kapamba. Matendawa ndi monga gastritis, cholecystitis, dysbiosis yamatumbo, ndi zina zambiri.

Limodzi mwa malamulo oyamba ochizira kapamba ndi zakudya. Chifukwa chiyani zakudya, ngati munthu aliyense amalemera kwambiri? Chifukwa ndi zakudya zomwe zimakhudza thupi, ndipo chifukwa cha izi, kubwezeretsa chimbudzi. Kangati patsiku ndipo nditha kudya zochuluka motani? Ndikofunikira kupanga mndandanda ndi mapulani kuti pakhale zakudya zisanu ndi ziwiri pa tsiku limodzi, pomwe kuchuluka kwa chakudya komwe sikudaperekedwa sikuyenera kupitirira masiku onse.

zakudya zamafuta
kutentha ndi kusuta,
mowa
kuphika,
masamba osaphika
khofi ndi tiyi wamphamvu kwambiri
mkate wa rye
zakumwa zozizilitsa kukhosi ndi msuzi,

Nthawi zambiri anthu samatsata chakudya. Ngakhale kupatuka pang'ono pazoletsa kumatha kubweretsa zotsatirapo. Malinga ndi zizindikiro zoyambirira, mutha kuganiza kuti izi ndi zakupha za banal, komabe, chifukwa chake, ziwalozo zimagwira bwino ntchito ndipo zimakhala ndi zotsatirapo zazikulu.

Khalidwe la thupi ndi kusowa kwa michere

Ndi kuperewera kwakukulu kwa ma enzyme obisidwa ndi kapamba kuti atimbire chakudya, matumbo amayambitsidwa. Zinthu zomwe zatsalira popanda chimbudzi zimakhazikika kukhoma lamatumbo, zomwe zimayambitsa kukwiya kwapang'onopang'ono. Zotsatira zake, wodwala amadwala matenda am'mimba - zimbudzi zotayirira.

Chifukwa cha kusintha kwazomwe zimapangidwa ndimatumbo am'mimba, sangathe kupanga michere yofunikira kuti amalize kugaya chakudya.

Kuphatikiza kwa kusakhalapo kwa chakudya kumakhudza magwiridwe antchito a zida zoyamwa ndi kuchuluka kochepa kwambiri kwa villi pa mucosa yomwe ili m'matumbo aang'ono.

Kuphwanya malamulo kotere kumapangitsa kuti thupi lisalandire zinthu zofunika zotsatirazi:

Mapuloteni omanga maselo ndi minofu,
Mafuta okhudzidwa ndi kagayidwe ka zinthu monga cholesterol ndi mavitamini omwe amapanga gawo lochepetsa mafuta kuti atulutsidwe bwino komanso kuteteza ziwalo zamkati,
Glucose, gwero lalikulu lamphamvu.

Zinthu zomwe sizingapezeke mwanjira yofananira, thupi limayesetsa kudzaza zina, pogwiritsa ntchito mafuta komanso glycogen, lomwe limapezeka m'matumbo a minofu ndi chiwindi. Pulogalamu yamapulogalamu ikangowonongeka, pamakhala mtundu wa dystrophy. Zotsatira zake, wodwalayo amayamba kuchepa thupi, pomwe sangathe kubwezeretsanso mwa kuyesayesa kulikonse.

Kodi mungatani kuti muchepetse kuchepa kwa thupi ndi kapamba?

Ndi kapamba, yemwe ali ndi mawonekedwe osakhazikika, kuchepa thupi kumatha kuyimitsidwa ngati zizindikiro za matendawa zimazimiririka kapena kuchepa.

Zikakhala kuti minofu ya kapamba itawonongeka kwambiri chifukwa cha matendawa ndipo singathe kugwira ntchito mokwanira, kusowa kwa michere yogaya chakudya kumalipira pokhapokha posankha mtundu wa pancreatin wofunikira.

Pachifukwachi, wodwala amene amapezeka ndi kapamba amamuyika mankhwala awiri-zipolopolo omwe amatha kupukusa chakudya poyerekeza ndi njira yothandizira thupi.

Ndikofunikira kukayezetsa ndi kudziwa zamankhwala. Mwa iwo, matenda a shuga, gastritis, cholecystitis ndi matenda ena omwe amafunikira chithandizo chovomerezeka ndiofala kwambiri. Ngati simumawaganizira, sizokayikitsa kuti zingatheke kubwezeretsanso magwiridwe antchito. Pankhaniyi, kuchepa thupi kumapitirirabe, ndipo mankhwala opha pancreatitis ndi cholecystitis sangathandize.

Chinthu choyambirira chomwe muyenera kuda nkhawa ndikuwunika zakudya ndikutsatira malangizo a dokotala, kuwonera kudya kwamankhwala ochiritsira kapamba.

Kudya ndikofunikira paz Mlingo wocheperako, koma nthawi zambiri. Zakudya zomwe zimalimbikitsidwa ndi kangapo patsiku.
Ngati chithandizo chamankhwala chikuletsa kugwiritsa ntchito zinthu zilizonse, muyenera kukumbukira izi nthawi zonse osadzipatsa tulo, poganiza kuti zonse zitha. Kulephera kutsatira malamulowo kungachititsenso chidwi china.
Zakudya siziyenera kuzizira, koma osati kutentha kwambiri. Kuti zakudyazo zitha kuyamwa, tikulimbikitsidwa kuti kutentha kwa chakudyacho kumatenthetsedwa mpaka madigiri 37. Muna kuma kiaki, diambu diadi dilenda kubasadisa.
Nthawi zonse kutafuna chakudya. Mwakuti ali ndi nthawi yolowerera malovu. Kuphatikizika kwa malovu kumakhala ndi amylose, omwe amachititsa kuthyolako kwa masamba ochepa pamkamwa. Chifukwa chake, ndikofunikira kutafuna osati kokha zolimba, komanso zofewa, komanso zopangidwa ndi puree, kuti athe kusakaniza ndi malovu.
Osamamwa chakudya ndikudya. Chowonadi ndi chakuti amadzimadzi, olowa m'thupi atatha kudya, amawonjezera michere ya m'mimba, chifukwa chomwe amasiya kugwira ntchito. Mutha kumwa kapu yamadzi pambuyo theka la ola kapena ola limodzi mutatha kudya.

Chifukwa choonda

Pakutupa kakhansa, kuchuluka kwa maselo yogwira. Patsamba la necrosis, minofu yatsopano yopanga chinsinsi sichimapangika, ndipo "mabowo" mu kapamba amasinthidwa ndi zingwe zolumikizira zopanda ntchito. Chifukwa chake, kuchuluka kwa ma enzymes omwe amapangidwa ndi gland amachepetsedwa kwambiri. Chakudya sichingagwiritsidwe ntchito moyenera m'matumbo, ndipo kuperewera kwa chimbudzi ndi mayamwidwe a michere kumayamba.

Matumbo amadziwikanso ndi nkhawa kwambiri. Zakudya zopanda mafuta zimakhumudwitsa makhoma ake, ndikuyambitsa m'mimba. Komanso, motsutsana ndi maziko a matenda, kubereka kwa microflora ya pathogenic kumayamba, komwe nthawi zambiri kumakhala m'matumbo. Kuperewera kwa zakudya kumabweretsa kutsika kwa thupi. Koma thupi lili ndi malo ake osungira. Mafuta, omwe ndi mphamvu yokhayo yathupi, amapezeka kuchokera ku chiwindi ndi minofu. "Zosunga" zamafuta m'matumbo ocheperako zimadyedwa msanga panthawi yovuta. Koma ngati kuwonongeka kwa mapuloteni kumayambira, ndiye izi zikuwonetsa kuchuluka kwa cachexia.

Zoyenera kuchita

Pancreatitis yayitali, ndikofunikira kuti wodwalayo achepetse thupi. Zakudya zonse zokwanira sizolimbitsa makilogalamu okha, ndi chitetezo chodalirika, mphamvu komanso kukana kwa thupi. Anthu omwe ali ndi matenda owawa amakhala ozolowera kuzizira, kupilira kupsinjika ndi mayeso ena amoyo, sangathe kugwira bwino ntchito ngati wathanzi. Chifukwa chake, kulemera ndi pancreatitis - izi zikutanthauza kutenga gawo panjira ychira.

Koma kodi nchiyani chomwe chikufunika kutero? Kuchepetsa thupi kumagwirizanitsidwa ndi kuchulukitsa kwa matenda oyambitsidwa. Pakukomoka, nthawi yayitali imasokoneza chimbudzi komanso kupanga enzyme. Kuti muchepetse kunenepa, ndikofunikira kuti mukwaniritse chikhululukiro chokhazikika. Kuti muchite izi, ndikofunikira kutsatira zakudya ndikutsatira malangizo a dokotala.

Chinthu chotsatira kuti muchepetse kulemera kwamatumbo otupa ndi kuwerengera kwa calorie. Zakudya za tsiku ndi tsiku ziyenera kuganizira zosowa za thupi. Ngati mumagwira ntchito muofesi, ndipo zoyendera zanu zimakupatsani ntchito, ndiye kuti muli ndi chosowa chimodzi cha mapuloteni komanso chakudya chamafuta. Ngati ndinu otanganidwa m'dera lomwe kumafunikira mphamvu zolimbitsa thupi komanso mphamvu zambiri, ndiye kuti zopatsa thanzi ziyenera kukhala zosiyana kotheratu. Katswiri wazakudya amathandizira kuwerengera zomwe zili tsiku lililonse zopatsa mphamvu. Komanso masamba omwe amapangidwira omwe amachepetsa thupi ndizofunikira kwambiri kuposa ma calorizer (omwe amapangira ma calorizer) amagwira ntchito yabwino kwambiri.

Zakudya za kapamba sikuti ndi njira yokha yochira komanso kuchira. Kudya koyenera kumakupatsani mwayi wowonjezera thupi. Zakudya za zakudya ndizoyamwa bwino. Zotsatira zake, ma enzyme amawagumula okha kukhala mamolekyulu omangira ndi mphamvu. Katundu wovulaza amadutsa m'matumbo akuyenda, zomwe zimapangitsa kufalikira kwa matenda, gastritis ndi colitis. Zikondazo nthawi yomweyo zimataya maselo abwino.

Nthawi yakwana yoti ikamveke

Komabe, kuchepa kwa thupi kosaposa 2.5 - 3 makilogalamu pamwezi kumawerengedwa kuti ndi kwabwinobwino. Akatswiri amati njira iyi yochepetsera thupi siyimakhudzana ndi matenda obisika m'thupi. Koma nthawi zambiri kuchepetsa thupi ndi kapamba kumakhala kwachilengedwe, pomwe wodwala amatha kutaya mpaka 8 kg pa sabata. Izi zimabweretsa chisokonezo mu ntchito ya mtima komanso zamanjenje, kutopa kwa thupi komanso kusintha kwina kowopsa kwamkati.

Chifukwa chake, ndi zovuta zotere, ndikofunikira kuwunika osati mtundu ndi kapangidwe ka zakudya, komanso kulemera kwa thupi, mawonekedwe amomwe amawerengedwa potengera kutalika kwa munthu: kulemera kwakanthawi muma kilogalamu kumagawidwa ndi sikelo ya kutalika kwamamita. Mwa anthu azaka zapakati pa 25 mpaka 35, mzere wazowonjezera zamthupi uyenera kuyambira 20-25. Ngati ndi ochepera 20, ndi nthawi yofuula phokoso ndikuganiza mozama momwe mungalemere ndi kapamba popanda kuvulaza thanzi.

Mawonekedwe Amphamvu

Ndikofunika kumvetsetsa kuti kusintha kwa kulemera kwa kapamba ndimtundu wautali womwe umapangidwa kuti atukutse mkhalidwe wa gland. Kutalika kwa nthawi yomwe akukhululuka, kubwezeretsa moyo ndi kulemera kumakhala kwabwinobwino.

Tsoka ilo, kuchepa thupi ndi matenda oterowo sikuti nthawi zonse kumadalira kuchuluka kwa chakudya chomwe mumadya, koma pamlingo ndi malamulo ovomerezeka - pafupifupi nthawi zonse.

Nthawi zonse muyenera kukumbukira malamulowa:

zakudya zopatsa chidwi: kuchuluka kwa zakudya patsiku sikuyenera kukhala kochepera kasanu,
simuyenera kumva njala
chakudya chomaliza - pasanathe 1900,
kutentha kumayenera kukhala kofanana ndi kutentha kwa thupi,
Simumatha kumwa kapena kudya mukangomwa kapu yamadzi,
chakudya chama protein ndicho chakudya
kumeza zidutswa zosaphika ndizoletsedwa (ndikofunikira kupeta chakudya musanadye),
mutha kudya zakudya za ana zakudya zosiyanasiyana (mbatata zosenda, nyemba).

Ngati chilichonse chagwera pansi pa chiletso, ndiye kuti chiletsocho ndichomaliza ndipo sichingavutike. Simungathe kudya yokazinga, wowawasa, mchere, wosuta komanso wamafuta, zakudya zamzitini ndi zosungidwa, ufa, chokoleti, zonunkhira, mpiru, ketchup, mayonesi ndi masoseji kutengera iyo, khofi kapena tiyi wamphamvu. Akachoka pachilamulo ichi, wodwala yemwe ali ndi vuto la pancreatitis amalandidwanso kwambiri, chifukwa cha izi, kuwonda kwambiri.

Tiyenera kukumbukira kuti zakudya zomwe zimalimbikitsidwa matendawa sizichotsa, koma zimangochepetsa kukhalapo kwa zinthu zina muzakudya. Mafuta, theka lomwe liyenera kukhala la nyama, amaloledwa kugwiritsidwa ntchito pamalire apansi a chilolezo cha tsiku ndi tsiku. M'pofunikanso kuchita ndi chakudya chamafuta, chifukwa chakuti mkate, chimanga ndi ndiwo zamasamba ndizopanga zomanga thupi. Ndiye kuti, kuchokera pakudya kwathunthu mu kuchuluka kwanu muyenera kudya mapuloteni - 40%, mafuta - 25%, chakudya - 35%.

Kuphatikiza apo, kuthandizira thupi ndikumayimitsa kuchepa thupi ndi kapamba, mutha kutenga, kuwonjezera pa ma enzyme, ndalama monga multivitamini, calcium, magnesium, omega 3 fat acids, alpha lipoic acid, coenzyme Q 10 ndi zina zowonjezera. Panthawi yachikhululukiro, kugwiritsa ntchito mapuloteni kugwedezeka kumaloledwa. Aliyense mwa mankhwalawa amayenera kutumizidwa ndi dokotala.

Zochita zolimbitsa thupi

Kuthandizira kuchepa thupi kwambiri kungakhale kudzera munjira inayake yochita zolimbitsa thupi.

Kusuntha ndi moyo. Pankhani ya odwala ndi kapamba, izi zimalandiridwa kwambiri. Katundu kwambiri pamthupi sayenera kuperekedwa. Mutha kudzipereka nokha pakuyenda kwa ola limodzi ndi theka. Mukuyenda, shuga amakonzedwa popanda insulin, yomwe imachepetsa kwambiri ziphuphu.

Kuyenda kumathanso kuphatikizidwa ndi masewera olimbitsa thupi: pakatha masitepe atatu muyenera kupumira pang'ono, kenako kutulutsa bwino. Ndipo kotero 3-4 nthawi iliyonse mphindi 30 kuyenda.

Kuchita masewera olimbitsa thupi kosavuta kumapangitsa kuti gland iwoneke bwino, koma ma squat ndi masewera ena olimbitsa thupi omwe amawonjezera kukoka kwamimba chifukwa cha kupuma kwamphamvu ayenera kupewedwa. Pazifukwa zomwezi, munthu sangamvetsetse mphamvu yokoka. Pewani zolimbitsa zovala ndi malamba, kukanikiza pamimba.

Pa masewera olimbitsa thupi mutha kugwiritsa ntchito zotsatirazi. Khalani pansi, miyendo izikhala pamodzi. Kenako adzawerama ndi thupi lonse, ndikhudza miyendo yake ndi manja ake, ndikutsitsa mutu mpaka mawondo ake, ndikuwerengera mpaka 15 ndikubwerera pang'onopang'ono kuchoka pomwe panali. Zomwe mukufunikira ndi ma seti atatu pakulipira.

Ndipo musaiwale kuti zomwe zimawononga kwambiri kapamba ndi mowa. Sayenera kumwedwa nthawi iliyonse.

Palibe zogwirizana

Matenda amtumbo am'mimba ndi ena mwazofala kwambiri padziko lapansi. Matumbo akagwira ntchito, wodwalayo amayamba kuchepa thupi. Sikuti nthawi zonse wodwala amakwanitsa kulemera mtsogolo.

Ndipo kulemera kumachepa ...

Chimodzi mwa matenda oopsa kwambiri am'mimba ndicho. Ambiri amataya akapatsidwa chithandizo chotere, ngakhale kuti thanzi limatha kubwezeretsanso. Pancreas ili ndi zinthu ziwiri zazikulu: imapereka malo am'matumbo ndi ma enzymes othandiza, komanso imapanga insulin ndi glucagon m'magazi. Ngati ma enzyme samalowetsa matumbo panthawi yake, ndiye kuti amadzunjikana m'matumbo. Izi zimabweretsa kutupa, chifukwa cha chimbudzi chachitsulo cha zinthu zomwe zimapanga zokha.

Kodi ndizotheka kuti muchepetse kunenepa

Kuchepetsa thupi ndi kapamba ndi vuto lalikulu. Mutha kuthana nawo, kutsatira mosamalitsa malangizo a madokotala. Ndikofunikira kupimidwa ndikuzindikira zamankhwala ndikuzindikira matenda omwe amachulukitsa njira ya kapamba. Izi zimaphatikizapo gastritis, cholecystitis, matenda ashuga ndi matenda ena. Popanda kuthana ndi matendawa, kunenepa kumakhala kovuta.

Pofuna kulipirira kusowa kwa michere ya pancreatic, gastroenterologists imapereka mankhwala okhala ndi kapamba: Mezim, Creon, Panzinorm, Biozim ndi ena. Amatengedwa ndi chakudya, kutsukidwa ndi mchere wamchere wamchere wopanda mpweya.

Kuti muchepetse kunenepa, muyenera kupenda zakudya mosamala.

Mfundo zoyambira

Chakudya chimatengedwa kasanu ndi kamodzi patsiku,
Chakudya, masamba ndi zipatso, zophika kapena zophika,
Osamadya chakudya chotentha komanso chozizira kwambiri. Kutentha kwambiri ndi madigiri 37,
Chakudya chiyenera kutafunidwa mosamala kuti chizilowa. Saliva ili ndi amylase, mapuloteni omwe amathandiza kugwetsa chakudya,
Osamamwa madzi kapena kumwa ndi chakudya. Chosiyana ndi madzi amchere kuti amwe mapiritsi,
Hafu ya ola - ola limodzi asanadye, ndikofunika kumwa kapu ya mchere wopanda mafuta. Abwino kwambiri a kapamba ndi Borjomi, Narzan, Essentuki,
Ndikulimbikitsidwa kuti muchepetse kugwiritsa ntchito mchere, womwe umadzetsa secretion ya madzi a m'mimba. Hydrochloric acid wopangidwa m'mimba amachititsa edema ya kapamba.

Ndikofunikira kugwiritsa ntchito zomwe zalimbikitsidwa ndi akatswiri a gastroenterologists ndi akatswiri azakudya.Pancreatitis, zakudya zimapangidwira kuti zisunge kapamba ndi ziwalo zina zam'mimba. Osamadya zakudya zomwe zimakupatsani mphamvu m'mimba. Popereka mankhwala, madokotala amaganizira gawo la nthendayo mwa wodwala - pachimake kapena kukhululuka, kukhalapo kwa matenda oyanjana.

Zakudya zosakhazikika - njira yobwezeretsedwako

M'masiku oyamba a kutupa kwambiri, boma la kukana kwathunthu chakudya limasonyezedwa. Analoleza pang'ono mchere wamadzi wopanda mafuta, wotentha mpaka madigiri 37 kapena tiyi wopanda kutentha. Pa tsiku lachitatu kapena lachinayi, wodwalayo akamadziona kuti ndi wabwinobwino, sopo wophika pang'ono ndi mbatata zosenda zimawonjezedwa. Kenako pang'onopang'ono pitani mpaka ku zotsalazo. Zikondazo zimapuma pang'onopang'ono, zakudya zimatha miyezi iwiri.

Zomwe zimaloledwa ndi kapamba:

Nyama yokhala ndi mafuta ochepa (nyama yamphongo yoyenera, nkhuku, kalulu, nkhuku) mwa mawonekedwe osankhidwa, owuma,
Nsomba yokhala ndi mafuta ochepa - pollock, hake, pike,
Mazira owiritsa kapena otentha, osaposa kamodzi pa sabata,
Mkate Woyera, wowuma pang'ono, ma biscuit cookies,
Pasitala popanda kuvala. Mutha kuwonjezera mafuta
Porridge - buckwheat, oat, semolina, mpunga, wowiritsa pamadzi,
Samasamba ophika ndi osenda basi, m'mapangidwe a casseroles, soufflé, msuzi wosenda,
Zinthu zamkaka - kefir, mkaka wowotchera, tchizi tchizi chokhala ndi mafuta ochepa,
Mwa zakumwa, massels ndi ma compotes, tiyi wofooka, ndikofunikira,
Zipatso zophika.

Zinthu zoletsedwa chifukwa cha kapamba

Ndi kutupa kwa kapamba, amatchulidwa kuti asatengere zinthu zomwe zimalimbikitsa ntchito ya thupilo kuchokera muzakudya. Kuchepetsa kupanga ma enzyme kumathandizira kuthetsa kutupa. Zakudya zoletsedwa ndizophatikiza:

Zinthu zouma ndi zosasunthidwa,
Nyama ndi msuzi wa nsomba,
Mafuta a nyama,
Zinthu zophika buledi kuchokera ku ufa wa rye, muffin,
Mowa, zakumwa zosokoneza bongo, timadziti, khofi,
Masamba ophika
Zonunkhira zokometsera.

Kutsatira mosamalitsa malingaliro a madokotala, kuwona kadyedwe ndikumwa mankhwala, ndizotheka kuchepetsa kapena kuthetsa kwathunthu kutupa kwa kapamba ndi kusiya kunenepa.

Ntchito yake ndi kunenepa

Ntchito yopeza kulemera ndi pancreatitis imakumana ndi odwala atatha nthawi yovuta kwambiri yamatendawa. Kulemera kwa thupi sikumatsikanso, kumangoyesabe kuyesanso kupeza kilogalamu yotayika.

Ndikofunikira kubwereza zakudya. Ndikofunika kutengera thandizo la katswiri wazakudya, aziwerengera kuchuluka kwa mapuloteni, mafuta ndi chakudya, zomwe zimapangidwa kuti zizigwiritsidwa ntchito tsiku lililonse kuti muchepetse kunenepa. Kutengera kuwerengera, menyu amapangidwa, maphikidwe oyenera a mbale amasankhidwa.

Ndikofunikira kuphatikiza zakudya zama protein ambiri muzakudya zanu. Ndi mapuloteni omwe amakhala chida chomanga maselo atsopano. Ndikwabwino kugwiritsa ntchito mapuloteni ochokera ku nyama - nkhuku yotsika, ng'ombe, tchizi chochepa mafuta, mazira.

Kuti muchepetse kapamba, muyenera kubwezeretsa kagayidwe kamene kamayambitsa matenda nthawi yayitali. Zotsatira zake zimatheka pomwa ma vitamini-mineral complexes. Njira yofananira imatulutsa kagayidwe kazakudya, chakudya chimatenga bwino. Kukhala kofunikira kukumbutsa kuti dokotala akuyenera kukupatsani mankhwala okonzekera mavitamini.

Madokotala ena amalimbikitsa kudya zakudya za ana - zipatso, ndiwo zamasamba ndi nyama kuti azikula kwambiri. Malingaliro achilendowo ndi omveka, chifukwa zakudya zamzitini za ana zimakhala ndi zinthu zofunika zomwe zimapangitsa kukula ndi kukhazikika koyenera. Mbatata zosenda zomwe zaphikidwa m'miphika ing'onoing'ono ndizabwino.

Ma protein a Protein Shakes & Amino Acids

Kuti muwonjezere kulemera kwa thupi, kumwa mapuloteni akumwa. Mapuloteni ndi zomanga thupi zomwe zimagwiritsidwa ntchito ndi othamanga kuti azitha kupeza minofu yambiri. Mu chifuwa chachikulu, zakumwa za mapuloteni zimatengedwa kukhululukidwa, moyang'aniridwa ndi dokotala. Musanayambe kugwedeza mapuloteni, muyenera kuonetsetsa kuti palibe zotsutsana. Izi zimaphatikizidwa ndi ntchito yokhudza chiwindi ndi impso, tsankho kwa mapuloteni, makamaka mapuloteni.

Mutha kugula zakumwa zopangidwa kale kapena kukonzanso malo ogona kunyumba. Mu wowerengeka skim mkaka, tchizi tchizi, ayisikilimu, zipatso - sitiroberi, rasipiberi, nthochi ntchito. Gulitsani zinthu mu blender, imwani m'mawa kapena usiku pang'onopang'ono, mumiseche yaying'ono.

Kuti mubwezeretse bwino thupi mutadwala, ndikofunikira kugwiritsa ntchito zowonjezera zachilengedwe ndi zinthu zokhala ndi ma amino acid ambiri zomwe zimathandizira kubwezeretsa m'mimba dongosolo komanso kuwonjezeka pang'onopang'ono kwa thupi. Kumbukirani, zowonjezera ndi ma amino acid zimayikidwa ndi adokotala atafufuza mwatsatanetsatane za momwe wodwalayo alili. Mazira a nkhuku ndi gwero lenileni la amino acid; ndibwino kudya mazira owiritsa.

Ndikotheka kulemera ndi matenda a kapamba ndipo osavulaza thupi, ngati mumadya moyenera, musadye kwambiri. Dalirani zotsatira zachangu sizofunikira. Kuleza mtima, kupirira komanso kugwira ntchito tsiku ndi tsiku kuthandizira kupambana kwa matendawa ndikubwezeretsa ma kilogalamu otayika m'thupi.