Kodi zakudya zam khansa yapakansa ndi ziti?

Njira yodyetserayi imathandiza kwambiri pochotsa khansa ya kapamba. Zakudya zimatsimikizira momwe munthu alili pamalo opatsirana, komanso atamuchita opareshoni. Kuphatikiza apo, ndizofunikira kwambiri pakuchira pambuyo pothandizidwa ndi ma radiation ndi mankhwala othandizira.

Malamulo omwe amatsatiridwa ndi munthu yemwe ali ndi khansa ya kapamba amathandizira kuchepetsa kuopsa kwa zizindikilo ndi zina zoyipa pambuyo poti atenge. Chifukwa cha chakudyacho, mutha kuchepetsa kapena kuthetsa kuthetseratu kumene muumoyo, monga nseru, kusanza mwadongosolo, kusowa kudya, komanso kupweteka m'mimba.

Lamulo lofunikira lazakudya chamafuta a khansa ya kanyumba ndikukana kwathunthu zamafuta. Izi ndichifukwa choti ndizambiri (makamaka, nyama) zomwe zimanyamula zikondwerero kwambiri, zomwe zimapangitsa kupanga kapangidwe ka kapamba. Kukana mafuta zamafuta kumafunikira mwachangu pancreatic oncology, yotsatana ndi metastasis ku chiwindi.

Imwani madzi ambiri kapena zakumwa zina (osachepera 2.5 L tsiku lililonse). Ndikulimbikitsidwa kuti muzikonda madzi oyeretsedwa, tiyi wobiriwira, mankhwala ophatikizira azitsamba, timadzi tokonzedwa tatsopano, mkaka wopanda mafuta.
. Musaiwale zamatsenga wophika poto.
. Gwiritsani ntchito zakudya ndi mbale zomwe mulibe fungo, monga anthu omwe ali ndi oncology omwe amafunsidwa amakonda kwambiri chakudya chomwe chili ndi fungo labwino kwambiri.
. Zakudya zamafuta ziyenera kukhala zotentha (ndibwino kukana kuzizira ndi kutentha).
. Musanadye komanso mutatha kudya, tsukani pakamwa panu ndi sopo wofooka.
. Ndikofunika kugwiritsa ntchito matabwa opangidwa ndi mitengo nthawi yakudya, chifukwa ndimatenda amtunduwu, kumverera kwazitsulo pakamwa kumatha kuchitika.
. Ndikulimbikitsidwa kuti m'malo mwa zokometsera zotchuka ngati mchere ndi timbewu tonunkhira, ginger, thyme.
. Ndikwabwino kukana zinthu zomwe zimakhala ndi alumali. Komanso, tikulimbikitsidwa kudya chakudya chokha, kapangidwe kake komwe mumadziwika bwino ndi inu.
. Kudya kumayenera kukhala mwadongosolo komanso pafupipafupi (maola awiri ndi theka alionse).
. Kupatsa thanzi khansa ya kapamba kuyenera kukhala kokhutiritsa. Kapangidwe kake kumaphatikizanso kuphatikiza konsekofunikira kwa zakudya zopangira thanzi.
. Tsiku lililonse muyenera kudya zosachepera ziwiri za zipatso ndi ndiwo zamasamba (zamasamba, mankhwalawa amathandizira kutentha).

Kuchuluka kwa zakudya zamapuloteni, mwachitsanzo, nyama yofiira, kuyenera kuchepetsedwa; Pogwiritsa ntchito zinthu zamkaka, ndikofunikira kulabadira zamafuta awo. Zakudya za chiyambi cha mbewu ziyenera kuphatikizidwa. Masamba ophatikizidwa amalimbikitsidwa. Zakudya zamtundu wa njere zikulimbikitsidwa kuti ziphike. Amakhulupirira kuti msuzi wosenda ndiye chakudya chabwino kwambiri cha khansa.

Chifukwa cha zakudya zoyenera, mutha

Kukhala ndi moyo wabwino pang'onopang'ono pa khansa,
. ziletsa kuchepa thupi chifukwa cha chemotherapy.

Pamaso pa oncology, zonyansa zam'mimba zitha kupezeka, mosasamala chakudya. Makamaka nthawi zambiri, kupatuka kotereku kumadziwika ndi khansa ya pancreatic pa gawo la 4 la kupita patsogolo. Zofooka izi zimabweretsa kufooka kwambiri. Zikatero, kuwonjezera pa zakudya, akatswiri amapereka mankhwala omwe amaphatikiza ma enzymes apadera ndi zina zowonjezera zomwe zimapangitsa kuyamwa kwa michere. Muzovuta kwambiri, zakudya za makolo zimayikidwa, momwe michere imayendetsedwa kudzera m'mitsempha. Malo a khansa akapezeka m'dera la endocrine la gland (pomwe amapanga insulin), kupatuka kwa insulin kumachitika. Zikatero, chikhalidwe cha anthu odwala matenda ashuga ndi mankhwala. Ndi zakudya zoterezi, kutsindika kumayikidwa pazakudya zomwe zimachepetsa shuga.

Zakudya za postoperative zilinso ndi zake.

Chakudya chimaperekedwa m'magawo ang'onoang'ono, monga Kuchulukitsa kwake kumatha kuyambitsa vuto (mpaka kusanza),
. Zakudyazi zikuphatikiza zakudya zomanga ndi masamba (tchizi, soya),
. Zakudya zomwe zili m'gulu la ma nati zimaperekedwa ku gulu lina la odwala - ndizokhutiritsa komanso zimakhala ndi mavitamini ambiri,
. Ndikulimbikitsidwa kupera zinthu ndi blender.
Kuphatikiza apo, odwala ayenera kudzaza zolemba zawo za zakudya, chifukwa zakudya za tsiku ndi tsiku ndi munthu payekha. Chifukwa cha mayeso otsatizana, mutha kusankha zakudya zoyenera.

Mndandanda wazinthu zothandiza

Mndandandawu ndi wamkulu. Mulinso:
. zakudya zopangidwa ndi nyama (nkhuku, nyama ya kalulu),
. nsomba zamafuta ochepa
. zopangidwa mkaka (tchizi chamafuta ochepa, kefir),
. masamba (kuphatikiza pazomwe zimapangitsa kupangira mpweya wambiri),
. zipatso ndi mabulosi (maapulo, makangaza, mavwende, mavwende),
. timadziti, kuphatikiza pazogulitsa zomwe zimakhala ndi asidi wazipatso zambiri (tikulankhula zamadzimadzi a lalanje ndi mphesa).

Zakudya zomwe mumadya ziyenera kukhala zatsopano komanso zabwino kwambiri. Sipangakhale zosayipa zilizonse zamasamba ndi zipatso, monga zimathandizira kupanga khansa.

Zakudya Zomwe Mutha Kupatsa

Zakudya za khansa ya pancreatic zimakhala ndi malire. Mndandanda wazogulitsa zomwe zosagwiritsidwa ntchito ndizofunikira kwambiri ndizophatikiza:

Zakudya zophika, komanso zakudya zamafuta ambiri,
. Zakudya zamchere ndi zamchere.
. mitundu yonse yosungirako
. zipatso zina zomwe zimathandizira kupanga mpweya wambiri m'thupi (zipatso za mphesa, mapeyala),
. mbewu zingapo zamasamba (radish, nyemba, kabichi),
. masamba onunkhira bwino kapena fungo lamphamvu (adyo, anyezi),
. Mkate watsopano wopangidwa kuchokera ku ufa wa premium
. mazira owiritsa
. kusuta zakudya
. maswidi amitundu yonse (tikulankhula za maswiti, makeke okoma, chokoleti),
. mitundu yosiyanasiyana yazakudya zachangu (agalu otentha, burger),
. mtundu uliwonse wa bowa,
. mkaka, kirimu wowawasa, kirimu wokhala ndi mafuta ambiri,
. mankhwala ozizira ozizira (oyambira ndi mchere),
. zakumwa zoziziritsa kukhosi
. khofi
. zakumwa zoledzeretsa (zamphamvu zilizonse).

Kuphatikiza apo, muyenera kuiwala za chakudya chotentha (tikulimbikitsidwa kudya chakudya chomwe kutentha kwake ndi madigiri 37). Zakumwa zamafuta zamasamba ziyenera kukhala zochepa.

Kufunsaku kukufotokozera: - Njira zatsopano zamankhwala,
- mwayi wotenga nawo gawo pazoyeserera,
- momwe mungapezere kuchuluka kwa chithandizo chaulere kuchipatala,
- nkhani m'mabungwe.
Pambuyo pofunsana, wodwalayo amapatsidwa tsiku ndi nthawi yakufika kuti alandire chithandizo, dipatimenti yothandizira, ndipo ngati kuli kotheka, dokotala amapezeka.

Kutsatira zakudya mukazindikira chotupa chowopsa ndi lamulo lomwe liyenera kutsatiridwa kuti muchepetse nkhawa pamimba ndi kupewa zochulukitsa m'ziwalo zomwe zakhudzidwa. Chithandizo cha mankhwalawa chimaphatikizanso kukonza zakudya, komanso zakudya zopukusa. Chifukwa cha njira yochepetsera, kufunika kwachitsulo kupanga michere yomwe imakhudzana ndi kuphwanya chakudya kumatha.

Mfundo zachikhalidwe

Ntchito yayikulu yazakudya zoyenera ku khansa ya pancreatic ndikuchepetsa zizindikiro za pathological, komanso kukonza moyo wa wodwalayo. Chifukwa cha chakudya, nseru, kusanza, kupweteka pamimba ndi kudzimbidwa zimatha kupewedwa.

Akatswiri apanga malingaliro oyambira omwe samathandizira pakungogwira ntchito kwa chiwalo chomwe chakhudzidwa, komanso kulimbitsa thupi lathunthu, kukulitsa ntchito zoteteza ndikubwezeretsa mphamvu atalandira chithandizo cha chemotherapy.

Lamulo lalikulu lomwe onse odwala khansa ya pancreatic ayenera kutsatira ndi kupatula zakudya zamafuta m'zakudya, popeza zimapangitsa kwambiri thupi.

Mafuta imakhala ndi chiwindi chochuluka kwambiri, chifukwa chomwe secretion imapangidwa ndi voliyumu yayikulu. Ndi kukula kwa vuto loyipa, thupi silingathe kupirira kuchuluka kwa ntchito. Zotsatira zake zimakhala nseru kwambiri komanso kukulira kwa zomwe zimachitika.

Makamaka, sizikulimbikitsidwa kudya mbale yamafuta ndi chotupa chokhala ndi mafupa a chiwindi. Ndi khansa ya digiri yotsiriza, mafuta samatha kugaya ndipo amakhala m'thupi momwe adalili kale, pomwe matenda am'mimba amayamba kusokoneza wodwalayo.

Ndikofunikanso kukumbukira za kudya kwamadzi nthawi zonse. Madzi amatenga nawo gawo pafupifupi pazochita zonse za metabolic. Zakudya za tsiku ndi tsiku zomwe zimadyedwa siziyenera kuchepera malita awiri a madzi oyera. Supu, zakumwa, tiyi, ndi ma yoghurts sizimayamwa. Madzi amathandizira kuthetsa poizoni ndikuwongolera zomwe zimachitika m'thupi. Kuphatikiza apo, mumathanso kumwa zipatso zosafunikira, kefir wopanda mafuta, tiyi wobiriwira kapena tiyi.

Idyani pafupipafupi kangapo 6 pa tsiku pazigawo zochepa. Pankhaniyi, nthawi yayitali pakati pakudya iyenera kukhala maola awiri ndi awiri kapena awiri. Zinthu zonse zomwe wodwala amadya siziyenera kukhala ndi kununkhira kwapafupipafupi, chifukwa zimatha kuyambitsa nseru komanso kusanza.

Zakudya zimatha kudyedwa mwa mawonekedwe ofunda. Ndizabwino kwambiri komanso mwachangu kugaya. Sitikulimbikitsidwa kudya zakudya zozizira kwambiri kapena zotentha.

Kuphatikiza apo, chisamaliro chapadera chiyenera kulipidwa ku zakudya za kalori. Thupi limafunikira zopatsa mphamvu zochulukirapo, pomwe zakudya zimayenera kukhala ndi mapuloteni okwanira, mchere ndi mavitamini, zomwe ndizofunikira kubwezeretsa ndikusunga chitetezo cha mthupi. Ubwino wake ndi zipatso ndi ndiwo zamasamba zatsopano. Kufikira 2 servings akulimbikitsidwa patsiku.

M'pofunika kuchepetsa kuchuluka kwa mchere - osaposa magalamu 6 patsiku.

Osanyalanyaza kusunga kwa matenda azakudya popezeka ndi khansa ya kapamba, chifukwa chifukwa chake mutha:

• kukhazikika kukhala bwino wodwala
• letsa kuchepa mwachangu akulu thupi
• pang'ono pochepetsa matenda Symbomatology kayendedwe ka matenda
• sinthani kudya kofunikira michere
• gawo loyang'anira shuga mu kapangidwe ka magazi.

Ngati mumadzaza mwadongosolo chakudya choletsa kapena simumatsatira malangizo a dokotala okhudzana ndi zakudya, ndiye kuti ntchito ya ziwalo zam'mimba imatayika.

Chotupa choyipa chimatha kutulutsa ma metastases - maselo ofunikira amatulutsa kuchokera ku neoplasm yayikulu ndikumapita ku ziwalo zina, zomwe zimakwiyitsa kupanga kwatsopano. Zakudya za khansa yachinayi ndizolimba, makamaka ngati chiwindi chakhudzidwa.

Zikatero, ma nitrate sangaloledwe kulowa thupi. Nthawi zambiri amapezeka m'miyala yazipatso ndi masamba, motero tikulimbikitsidwa kuyeretsa zinthuzo musanagwiritse ntchito. Ndikofunikanso kupatula malonda omwe ali ndi GMOs ndi carcinogens kuchokera muzakudya.

Zakudya za khansa ya pancreatic zimaphatikizapo mbale zingapo zazikulu.

Msuzi wamasamba amatengedwa ngati maziko. Muthanso kupanga msuzi wosenda. Sizoletsedwa kuwonjezera chimanga (hercules, mpunga kapena semolina) ndi masamba osankhidwa mu mawonekedwe owiritsa. Palibe chifukwa muyenera kuchita kubzala.

Zinthu zovulaza

Zakudya zopatika muzakudya za khansa ya kapamba siziyenera kukhalapo kuti tipewe kupanikizika kwambiri kwa kapamba komanso kugaya kwathunthu.

Ndi mawonekedwe a oncological a kapamba, kanizani:

• nyama yokhala ndi khansa yokhala ndi khansa yokhala ndi mafuta ochulukirapo, komanso chiwindi ndi impso, zakudya zamzitini, ma pastes, mkaka. Izi zimatha kubweretsa kuphulika kwa kapamba, kusanza kosasunthika ndi mseru. Zogulitsa izi, zochulukirapo, zimakhala ndi cholesterol yokhala ndi mafuta a nyama, ndizovuta kugaya ndipo zimatengeka kwathunthu ndi thupi,
• mowa ndi zinthu zingapo zopangidwa ndi kaboni ku khansa - kuvulaza makoma a gland, osalola chimbudzi chambiri, kumayambitsa kuphuka. Ena mwa iwo amachulukitsa acidity,
• makeke okoma, confectionery chifukwa cha khansa - kusiyanasiyana ndi ma biscuit cookies, marshmallows, jamu, ophika kunyumba komanso wopanda shuga, popeza kuchuluka kwakukulu m'magazi panthawi ya khansa yapanchipi kumawononga mawonekedwe a magazi ndikuwononga ntchito yonse,
• sinthani mchere wambiri mu khansa - musatulutsire zinthu zosemedwa, masamba zamzitini mu chakudya, chifukwa izi zimapangitsa kuti magazi asatuluke komanso kuwonjezera kukanikizika kwamatumbo ndi m'mimba,
• chakudya chofulumira, zakudya zosavuta, tchipisi - kuphatikizapo mafuta am'mimba, zowonjezera zamkati zoyambira, zakukwiyitsa mucous nembanemba, zimadzetsa kutupa,
• mankhwala osuta - okhala ndi zonunkhira, zowonjezera zamankhwala zomwe zimatsata kukoma. Izi zimatsogolera ku mphamvu ya michere ya chiwalo ndi madzi a pancreatic, kuwononga makhoma a kapamba,
• masamba omwe ali ndi masamba ambiri owuma, osakhazikika, komanso adyo ndi anyezi, popeza amavulaza mucosa wam'mimba, akuchita zosakwiya komanso zopangitsa kutupa,
• khofi
• tiyi wamphamvu wotometsedwa
• zipatso, zipatso zomwe zimakhala ndi asidi wambiri, glucose ndi fiber. Izi zikuphatikiza maapulo wowawasa, zipatso, maula, mphesa.

Nsomba zonenepa kwambiri

Cod woyenera, pollock, nsomba, pike. Iyenera kuwiritsa kapena kuwotchera. Ngati nsombayo ndi yofewa, ndiye kuti imatha kudyedwa mzidutswa, pomwe mitundu isanachitike. Sizoletsedwa kudya nsomba yoikidwa, chifukwa zinthu zambiri zowonjezera zimakhalamo poyerekeza ndi nsomba yophika.

Masamba (kolifulawa, zukini, mbatata, beets, nandolo wobiriwira)

Wiritsani masamba ndikupera pa grater kapena pa blender. Ngati wodwala sangalole chilichonse, ndiye kuti samachotsedwa muzakudya. Zipatso zoyera ndi kabichi yoyera zimayenera kudyedwa zochepa kapena kutayidwa kwathunthu, chifukwa zimatha kupangitsa kuti mpweya upangidwe.

Zoletsedwa

Popewa kukula kwa zovuta, ndikofunikira kusiya:

• kaboni zakumwa
• khofi
• mbatata fries
• burger
• tchipisi
• lokoma omwe ali ndi vuto linalake pa thanzi la khansa ya kapamba ndi matenda ashuga,
• mowa zakumwa
• mafuta nyama ndi nsomba
• mkaka mafuta ambiri,
• masoseji
• kuphika
• Zipatso za malalanje
• mphesa ndi maapulo wowawasa
• chakudya chamzitini
• maapulo zipatso
• ankasuta nyama
• lakuthwa zonunkhira ndi zokometsera
• anyezi adyo
• zoyera kabichi.

Ngati matenda a oncological apezeka, tikulimbikitsidwa kuti musiyire pomwepo zinthu zomwe zaletsedwa.

Zosintha zachitsanzo

Zakudya zoyenera kwa masiku 7 zitha kuwoneka ngati izi.

Kutsatira zakudya kumalimbikitsidwa osati kwa odwala omwe ali ndi chotupa chowopsa cha kapamba, komanso kwa anthu athanzi ngati zolinga zodzitetezera. Ndikofunika kukumbukira kuti matenda ambiri amatuluka m'zakudya zopanda thanzi. Kusintha moyo wanu kukhala wathanzi kumathandiza kupewa mavuto ambiri azaumoyo.

Zolemba za kapamba mu khansa

Nthawi zambiri, kusokonezeka kwa maselo a kapamba kumachitika motsutsana ndi vuto la kutupa, chifukwa chake, zizindikiro zoyambirira za khansa ndizosatheka kuzizindikira, popeza zimaphatikizana ndi zizindikiro za kupindika kwapadera kwa pancreatitis. Nthawi zambiri, odwala amafotokoza ululu, kusowa kudya, nkhawa za patulo chifukwa cha zolakwika zakudya ndikufunsira kwa dokotala ngati matendawa atakula kale.

Njira yodwala khansa m'mapaziyi ndiyowopsa osati zovuta za matenda oyamba, komanso kuthamanga kwazotupa. Chiwalochi chimakulungidwa mwamphamvu ndimitsempha yayikulu yamagazi ndipo ntchito yake imayendetsedwa ndi mahomoni angapo omwe amalimbikitsa njira za kukula (mwachitsanzo, estrogens). Chifukwa chake, maselo obwezeretsanso khungu amachulukana mwachangu, chotupacho chimakulitsa m'mitsempha yamagazi, chimagwira ziwalo zoyandikana ndi, ndikuzindikira mochedwa, sichitha kuthandizidwa kapena kuchotsedwa.

Ngakhale ndi chotupa, kapamba amapitiliza kupanga michere yokugaya. Komabe, ma enizerewa amatha kuchita mosasamala akalandira chakudya. Zakudya ndi mbale zomwe zimayambitsa secretion zimatha kupangitsa kuti ma enzymes asamalamulire wodwala amene ali ndi kapamba, yemwe angawononge mwachangu chiwalocho, ndipo zotsatira zake zimakhala zachisoni. Chifukwa chake, chakudyacho, ngakhale ndi zotupa za pancreatic, ziyenera kuyang'aniridwa mosamala kwambiri, kutsatira malangizo a dokotala.

Dongosolo la khansa ya pancreatic imasankhidwa payekhapayekha

Njira ya oncological mu kapamba imatha kukhala m'njira zosiyanasiyana - kugwira gawo la chiwalo kapena kufalikira kwa minofu yonse, kukhudza malo obisika a ma enzymes kapena madera omwe ali ndi vuto la insulin kaphatikizidwe, ingokhala ndi malo a gland kapena metastasize ziwalo zina. Kutengera ndi kutukusira komwe kwa chotupacho, chakudya cha khansa ya kapamba chimasankhidwa. Ikhoza kukhala yopatsa thanzi ndikutsindika ma calories kuti mupeze kulemera pang'ono musanapange chemotherapy, kusintha menyu malinga ndi momwe mphamvu ya zinthu zimapangidwira m'magazi a glucose (ndi zovuta za insulin) - mulimonse, dokotala amavomereza dokotala pambuyo pofufuza.

Funso lina lofunikira posankha zakudya kwa wodwala yemwe ali ndi khansa ya pancreatic ndi liti. Ngati vutolo silinayambike ndipo wodwalayo wachitidwa opaleshoni, ndiye kuti zakudya zakonzedwa zimayikidwa, zomwe zimapangidwira kuti zizikhala zopanda pake kwa kapamba, kupewa zinsinsi zam'mimba ndikuchepetsa kutupa. Ngati matendawa adadziwika ndi gawo la 3 ndi 4, chithandizo chamankhwala nthawi zambiri chimalembedwa. Mu khansa ya pancreatic, zakudya zimagwira ntchito yake kwambiri - chifukwa cha zomwe zimapangidwa ndi calorie, mavitamini ndi mavitamini, mphamvu ya wodwalayo imathandizidwa kwambiri, moyo wake umasintha, ndipo njira ya oncological imakulirakulira, yomwe imakhala yodzala ndi kufa kwa wodwalayo.

Oncologists amalimbikitsa kuti pagawo lililonse, zakudya ziyenera kukambirana ndi wodwalayo, popeza amadyedwa ayenera kukhala oyenera iye - malinga ndi momwe thupi lilili, zomwe zimachitika chifukwa cha matendawa komanso zomwe amakonda. Mwachitsanzo, ndikofunikira kuti mbale zimakonzedwa mowoneka bwino ndi kununkhira kosangalatsa, chifukwa odwala omwe ali ndi khansa ya pancreatic samatha kudya.

Zakudya zochizira opaleshoni ya khansa ya kapamba

Ngati matendawa atha kutsimikiziridwa kumayambiriro, wodwalayo amamuwuza kuti amuchotsepo pancreatic mbali ya kapamba kapenanso chiwalo chonse kuti apewe chiopsezo cha metastasis. Nthawi yochotsa kapamba ndiyofunikira kwambiri kuti ichite molingana ndi malingaliro a dokotala, ndipo nkhani yokhazikitsa zakudya zoyenera kutsata imakhala yofunikira kwambiri.

Zakudya pambuyo pancreatic resection ndi gawo lofunikira pazovuta zakukonzanso. Zimayamba ndi kusala kudya kwa masiku awiri, pomwe amaloledwa kumwa madzi ofunda m'misamba yaying'ono - pafupifupi lita imodzi patsiku. Kuyambira tsiku lachitatu, tebulo lazakudya limakulitsidwa pang'onopang'ono ndi kuwonjezereka kwapang'onopang'ono kwa tiyi wosapangidwa ndi ufa wocheperako, magawo ang'onoang'ono a msuzi wamasamba wosenda bwino, Buckwheat kapena phala la mpunga (wophika osakaniza mkaka ndi madzi mulingo wofanana), ndi tchizi chochepa chamafuta.

Kuyambira pafupifupi tsiku lachisanu ndi chimodzi pa menyu, amaloledwa kuyambitsa mafuta omwera kuchokera ku theka la dzira, mkate wopanda pake, supuni zingapo za batala patsiku. Asanagone, amalimbikitsa kapu ya yogati, nthawi zina imatha m'malo mwake ndi kapu yamadzi ofunda ndi supuni ya uchi yosungunuka. Sabata itatha opareshoni (nthawi zina pambuyo pake, kutengera mtundu wa wodwalayo), nsomba yaying'ono kapena nyama (yosaposa 100 g) imayambitsidwa muzakudya za tsikulo. Sabata yoyamba atachotsa khansa ya pancreatic, chakudyacho chimaphika chokhacho kwa okwatirana, kuyambira sabata yachiwiri zomwe malonda amatha kuwiritsa ndi kupera. Pakatha milungu iwiri, mutha kuwonjezera zopatsa mphamvu pamakinawo ndikukula ndikuwonjezera zipatso, ndiwo zamasamba, masamba ndi mapuloteni (mwachitsanzo, tofu tchizi), koma chakudya chimasungidwa pafupipafupi, magawo ang'onoang'ono komanso mosasamala. Ngati atachitidwa opaleshoni ndikofunikira kuti muwonjezere kulemera kwa mankhwala ena, mungathe kuwonjezera zosakaniza zamapuloteni ena menyu monga momwe adalamulira adokotala.

Zikondazo zimatulutsa zinsinsi zosiyanasiyana ndi ma enzyme omwe amathandiza chimbudzi. Matenda aliwonse a chiwalochi amafunika kutsatira. Chakudya chokhwima kwambiri nchofunikira kwa odwala omwe apezeka ndi chotupa chakupweteka kwa kapamba.

Ndi oncology, zakudya zoyenera zimathandizira kuchepetsa kulemera kwa chiwalochi, komanso zimathandizira kuchepa kwa mavitamini ndi mapuloteni ena mthupi, omwe amalola thupi kulimbana kwambiri ndi matendawa komanso kuthana ndi zovuta za chemotherapy.

Khansa ya kapamba ndimatenda osakanika.

Zikondamoyo zimapangidwa ndi minyewa ya m'matumbo, yomwe imatulutsa mwachangu.

Ndi zinthu zosavomerezeka (kuperewera kwa zakudya m'thupi, kusuta fodya, kusowa kwa mahomoni, mwachitsanzo), minyewa imayamba kuwonongeka, kusinthika, komanso mitundu yotupa yoyipa.

Khansa yapakhungu ndi yovuta kuchiritsa chifukwa imapezeka m'magawo apambuyo pake ndipo kulunjika kwa ziwalozo nkovuta kwambiri kuchiza. Kugwira ntchito kumatheka pokhapokha mu 10% ya milandu.

Mankhwala a chemotherapy ndi radiation nawonso amawonedwa ngati osagwira ntchito, koma amagwiritsidwa ntchito nthawi zambiri pamankhwala apamwamba a khansa kuwonjezera moyo wa odwala. Chothandiza kwambiri chinali chithandizo cha mahomoni. Izi ndichifukwa choti pali zambiri estrogen receptors mu gland itself ndi chotupa maselo. Mahomoni amathandizira kukula pang'onopang'ono komanso kutalikitsa moyo wa wodwalayo.

Zakudya za khansa ya pancreatic ndizofunikira. Chithandizo cha matendawa ndiwotalikirapo, wovuta komanso wothandiza. Kuchita kwake sikudalira kokha mankhwala ndi madokotala, komanso chidwi cha wodwalayo: ndi gawo lofunikira la chithandizo chothandizira. Sikuti zimangochepetsa katundu pa kapamba, komanso zimathandizanso kuchira pambuyo pakuchita opaleshoni kapena chithandizo chambiri.

Tsoka ilo, khansa ya kapamba imatha kuzindikira kale magawo omaliza a matendawa, pamene zimakhala zambiri zimakhudzidwa ndipo metastases imapangidwa. Izi ndichifukwa choti poyamba matendawa ndi asymptomatic, kapena zizindikiro zake ndizochepa kwambiri kotero kuti wodwalayo amawauza kuti adye kwambiri.

Zizindikiro zina zamtsogolo zimaphatikizira kupweteka kwam'mimba, tinthu tambiri tambiri tambiri tokhala m'matumbo, nseru ndi khungu la pakhungu, kuchepa kwa chilimbikitso ndi kunenepa. Pa magawo 3 ndi 4 a matendawa, chotupacho chimadutsa minyewa ya glandular ya chiwalo, chimakhudza ziwiya, mitsempha, komanso zamitsempha. Wodwalayo amamva kupweteka kwambiri, kufooka.

Pankhaniyi, opaleshoni siyotheka, chifukwa chake chemotherapy ikulimbikitsidwa. Chithandizo chotere chimakhudza thanzi la wodwalayo. Ma pinkiller amphamvu nthawi zambiri amapatsidwa mankhwala. Pambuyo pa njirazi, kusanza ndi kusanza ndikotheka, koma kudya zakudya zoyenera ndikofunikira ngakhale pakalibe chidwi chokwanira kuti thupi likhale ndi mphamvu komanso kuwonjezera mphamvu yoteteza thupi.

Malangizo onse

Zakudya zamagulu a khansa ya pancreatic zimathandizanso kupewetsa ziwopsezo komanso kusintha mkhalidwe wa wodwala. Lamulo lofunikira lomwe liyenera kuyang'aniridwa ndi odwala omwe ali ndi vutoli ndi kupatula kwathunthu kuchokera ku zakudya zamafuta. Muyeneranso kuwunikira malangizo omwe ali m'munsiwa a khansa yapakansa:

• muyenera kumwa madzi okwanira - mchere wopanda mchere, tiyi wobiriwira wopanda mafuta, timadziti (kuchokera pamndandanda wololedwa),
• kuchepetsa kuchuluka kwa mchere m'zakudya,
• Chakudya chokazinga kwathunthu chimasiyidwa,
• chakudya chizikhala pafupipafupi, koma m'magawo ang'onoang'ono - chakudya chizikhala chotheka kanayi pa tsiku, ndi maola atatu,
• Chakudya chizikhala chophika chokha, chophika wopanda mafuta kapena chofewa,
• Kusasinthika kwamakolo ndimadzi, kupaka, kusenda,
• chakudya chizikhala chotentha chabe.

Kutsatira malangizowo pakadyetsa zakudya kumachepetsa nkhawa pa chiwalo chomwe chakhudzidwa ndi njira ya oncological ndikupewa kukula kwamavuto akulu. Nthawi yomweyo, ziyenera kumvetsedwa kuti kutsatira malangizo onse kuyenera kupitilira.

Mndandanda Woletsedwa wazinthu

Zakudya zopatsa thanzi mu pancreas zimatanthawuza kupatula kwa zakudya zotere:

• ndi mafuta ochuluka,
• chakudya chamzitini
• ndi mchere wambiri ndi zokometsera - marinade, pickles, nyama offal,
• Zokhala ndi chakudya chamagetsi mosavuta - ophika mkate (makamaka makeke atsopano), confectionery,
• shuga
• zipatso zokhala ndi asidi wambiri - maapulo a mitundu wowawasa, zipatso za malalanje, mphesa, jamu,
• masamba obiriwira oundana - kabichi, nyemba, radishi, anyezi, adyo,
• mizimu
• khofi ndi tiyi wamphamvu,
• zakumwa zoziziritsa kukhosi ndi zakumwa zomwe zimakhala ndi shuga kapena asidi,
• zokometsera.

Kugwiritsa ntchito kwazinthu izi muzakudya kumatha kuyambitsa zovuta zazikulu, osati kuchokera kumbali ya gastroenterological.

Mndandanda wazinthu zololedwa

Zakudya za wodwala zamatenda a oncological awa zimaphatikizira kugwiritsa ntchito zinthu ngati izi:

• mkaka wowawasa wokhala ndi mafuta ochepa.
• nyama yokonda
• compotes, decoctions zitsamba, tiyi wopanda mphamvu wopanda shuga,
• odzola, mousse wopanda shuga,
• mbale zamasamba ndi msuzi,
• azungu azira,
• buledi wowuma, masikono,
• masamba othandizira kutentha ndi zipatso osati acidic mitundu.

Popeza kugwiritsa ntchito zonunkhira m'mbale zokhala ndi matendawa ndizoletsedwa, ndizotheka kusintha kosatha kwa chakudya ndi rosemary, timbewu, basil, ndi thyme.

Zakudya ndi zakudya zoyenera za khansa ya pancreatic

Chithandizo cha matenda aliwonse chimayendera limodzi ndi chithandizo cha zakudya, kuphatikiza odwala khansa. Gawo la sayansi komanso lofufuzidwa lomwe limafotokozeredwa ndi zovuta za njira zochiritsira ndizakudya za khansa ya kapamba. Njira yokhayo yachipatala - zakudya - yasankhidwa, akatswiri pakugwiritsa ntchito kwake ndi kuphunzira - akatswiri azakudya.

Zakudya khumi ndi zisanu zopangidwa ndi ofufuza ku Soviet Pevzner zimawerengedwa ngati maziko azakudya, ntchito za asayansi zilipobe.

Ndi khansa ya pancreatic, zakudya No. 5 zimadziwika kuti ndizofunikira. Masana, wodwalayo amaloledwa kudya osachepera 5. Zakudya zochepa zomwe zimachitika pafupipafupi sizipanga katundu wambiri pachinsinsi cha enzymatic. Makamaka ndi chithandizo cha opaleshoni, mitundu yamadzimadzi ya chakudya nthawi zambiri imafunikira, yaying'ono.

Malinga ndi momwe zakudya zilili, mphamvu zonse za zinthu zomwe zimapangidwa mu maola 24 siziyenera kupitirira ma kilocalories awiri.

Patsiku, kudya mafuta ochepa sikuyenera kupitirira 90 magalamu, kuphatikiza 30 30 yamafuta a masamba.

Kuchuluka kwa chakudya tsiku ndi tsiku kumayenera kukhala magalamu 400, omwe shuga - osaposa 80 g.

Zakudya zomanga thupi mkati mwa 90 g, 50-55 g zimaperekedwa ku mapuloteni ochokera ku nyama.

Kuletsa mchere - osapitirira 10 g patsiku, kuphatikizapo gawo lina la zinthu zina.

Madziwo amachepera malita awiri.

Zakudya zophika sizimaphatikizidwa kwathunthu, makamaka ndi crisps, zokhala ndi mafuta ndi mafuta ambiri, chifukwa chomwe ntchito ya chiwindi ndi kapamba imalimbikitsidwa kwambiri.

Zonunkhira ndi zokometsera zomwe zimathandizira katulutsidwe ka m'mimba, kukhumudwitsa zolumikizira m'mimba, ndikukulitsa katundu pazomwe zimayambitsa ziphuphu zimatha.

Kudya zakudya zopatsa thanzi kumakupatsani mwayi wopeza matendawa:

• shuga wambiri amachepa,
• Kusintha kwathunthu kwa wodwala,
• njira za dystrophic zimakhazikika, wodwala amayamba kuchepa,
• kudya kwamafuta ndi michere m'chiwindi kumachepa,
• katundu wa enzymatic pamimba yokumba ndi kapamba amachepetsa,
• Zizindikiro za dyspeptic zimachepetsedwa, kugaya kumayenda bwino.

• Pasitala, vermicelli wopangidwa ndi tirigu wa durum.
• Zakudya za nyama: kalulu, nkhuku, ng'ombe, kavalo, nkhuku. Amaloledwa kudya m'mawonekedwe owiritsa kapena otentha.
• Mitundu ya nsomba za mumtsinje (pike, nsomba, carp wamba, pike nsomba) yokhala ndi mafuta ochepa komanso ophika mu mawonekedwe owiritsa, chidutswa chonse.
• Kuchokera pazinthu zamkaka, mitundu yopanda mafuta ya tchizi tchizi ndi tchizi zopanda asidi ndizovomerezeka kuti zigwiritsidwe ntchito. Mkaka ngati gawo limodzi la omelet.
• Tiyi yofooka, mchere wopanda mchere wokhala ndi mchere, ma compotes a zipatso owuma, zipatso zamadzimadzi zothira madzi owiritsa mu chiyerekezo cha 1: 2.
• Msuzi wamasamba okhala ndi zinthu zamtunda, popanda kuwonjezera zonunkhira, zitsamba ndi mchere.
• Mkate wowuma, obalaza, osakonzedwa kwambiri.
• Mafuta a masamba ndi nyama.
• Mwa mbewu monga chimanga, zokolola za buckwheat zokha, semolina ndi oat zimaloledwa, mpunga.
• Zipatso zopanda zipatso ndi zipatso: nkhuyu, masiku, zipatso zouma, nthochi, maapulo okoma ofiira.

• Tiyenera kupatula masamba ndi zipatso zosankhunidwa, makamaka zomwe zakonzedwa ndi viniga komanso mankhwala osungira mafakitale.
• Kukhazikitsidwa kwa zinthu zokazinga, zophika muzakudya sikuvomerezeka. Zovala zamkati, mphodza, ma pie, zikondamoyo, zikondamoyo, mbatata zophika ndi zina zofanana ndizoletsedwa.
• Kofi, cocoa ufa, chokoleti ndizosavomerezeka kuti zigwiritsidwe ndi odwala omwe ali ndi khansa ya kapamba.
• Zakudya zamatenda siziyenera kugwiritsidwa ntchito kuphika komanso momwe zidalili kale. Stew m'mitsuko yazitsulo ndi magalasi, nsomba zamzitini sizimayikidwa.
• Mitundu yonse ya zakumwa zoledzeretsa zilizonse zokhala ndi zakumwa zilizonse zimatsutsana. Vinyo wopepuka, champagne, zakumwa ndi ma aperitifs ndizosokoneza ntchito zachinsinsi za zikondamoyo zomwe zimavutika kale.
• Mitundu yonse ya nyama yamafuta ndi nsomba siziphatikizidwa. Nkhumba, mwanawankhosa, ngamila ndizotsutsana kwambiri.
• Zopangidwa ndi nyama zimachotsedwa muzakudya: mtima, chiwindi, impso, mapapu, matumbo ndi m'mimba mwa nyama. Palibe mtundu wophika womwe ungadye.
• Zipatso ndi masamba obiriwira ndizoletsedwa. Izi ndi monga: mandimu, maapulo wobiriwira, ma tangerine ndi malalanje, mphesa, chinanazi, ma plamu, ma jamu, mphesa, makangaza, cranberries.
• Maswiti, marmalade, ayisikilimu ndi maswidi ena ambiri amatsutsana ndi zotupa za pancreatic. Zoyimira mmalo zopangira shuga sizilimbikitsanso kumwa.
• Bowa amayenera kupatulidwa m'zakudya za wodwala khansa ya pancreatic.
• Zapamwamba, radish, sorelo, anyezi, sipinachi, kolifulawa sizimaphatikizidwa pamndandanda wazinthu zololedwa.

Malinga ndi chakudya No. 5, njira yazosankha zolemba zophika tsiku ndi tsiku pogwiritsa ntchito zakudya zovomerezeka zapangidwa. Maphikidwe amapangidwa ndi akatswiri azakudya kuyambira zaka zakafukufuku.

Njira imodzi. Chakudya cham'mawa, masamba omenyera nyama amakonzedwa kuchokera ku nyama zopanda nyama, koma zokhazokha. Buckwheat kapena semolina phala, tiyi wopanda shuga wambiri wosaposa supuni 1 pa mamililita 150-200 amakhala ngati mbale yam'mbali. Chakudya chamasana, wodwalayo amapatsidwa apulo wokoma, mwina wokutira pa grater yamafuta. Chakudya chamasana ndi msuzi wamasamba, wopanda zitsamba ndi zonunkhira. Kuwaza nyama yakudya. Kuphika kwa zipatso zouma popanda kugwiritsa ntchito zotsekemera ndi zowonjezera zonunkhira. Chakudya chamadzulo ndi chofufumitsa cha tiyi ndi tiyi tambiri tambiri mamililita 150. Chakudya chamadzulo, konzekerani saladi wa nkhuyu, beets, walnuts. Tiyi yophika kapena mabisiketi (makeke omwe amapangidwa ndi mtanda wa yisiti).

Njira Yachiwiri. Chakudya cham'mawa, tchizi chochepa kwambiri chimakhala ndi mafuta ophikira wowawasa, komanso supuni ya uchi. Oatmeal amakonzedwa kokha pamadzi. Tiyi yokhala ndi shuga wochepa, ndikulangizidwa kuti musangowonjezera shuga. Chakudya cham'mawa chachiwiri ndi zipatso za nthochi ndi apulosi. Chakudya chamasana, msuzi wamasamba wakonzedwera, wophika mbale yachiwiri, nkhuku yofinya yokhala ndi mbale yampira yophika. Zouma zipatso compote. Chakudya chamasana chimapanga msuzi wa rosehip, zidutswa zitatu za ma biscuit cookies. Chakudya chamadzulo, nsomba yophika yopanda red, mbatata yosenda. Tiyi yopanda shuga ndi tchizi wowonda. Asanagone, ndizotheka kuti mupatse wodwalayo mamililita 100 a kefir wopanda mafuta.

Njira yachitatu. Chakudya cham'mawa ndi zakudya zamafuta omwe ali ndi mazira ophika, ma cookie awiri osakira. Chakudya cham'mawa, soufflé imakonzedwa. Chakudya chamadzulo chimaperekedwa mu mbale yoyamba - msuzi wa buckwheat, wachiwiri - chidutswa chophika cha nyama ya carp, pasitala. Zosembazo zimaphikidwa kukhala zofunda ndi kutentha kosaposa 40 digiri. Tiyi, amabala tirigu. Peyala yophika mu mawonekedwe a mbatata yosenda, makeke amphika ndi msuzi amapatsidwa tiyi wamadzulo. Chakudya chamadzulo, mbatata yosenda, tiyi, nsomba.

Zomwe zimapatsa thanzi odwala omwe ali ndi dysphagia, komanso ngati pali kafukufuku wa zakudya

Ndi khansa ya kapamba, kupsinjika monga dysphagia kumatha kuchitika, pomwe wodwalayo sangameze chakudya payekha. Ndi chitukuko chake, zakudya za probe zimagwiritsidwa ntchito. T chubu la nasogastric limayikidwa m'mimba kudzera m'mphuno. Chakudya chimaperekedwa ndi syringe yayikulu pocheperako pang'ono.

Zogulitsa ziyenera kukhala pansi mu blender ndikugwirizana ndi mzake. Kutentha kwa chakudyacho kumasungidwa mkati mwa 38 madigiri. Ngati chakudyacho chili chotentha kwambiri, pamakhala kuyipa kwa makhoma am'mimba komanso kuwonjezereka kwa ntchito zachinsinsi za kapamba.

Kuchuluka kwa chakudya komwe kumayambitsidwa sikupitilira mamililita 300-400. Mukamachita opaleshoni yamatenda a khansa, pomwe m'mimba mumaphatikizidwanso, kuchuluka kwa chakudya komwe kumayendetsedwa kuyenera kuchepetsedwa kukhala mamililita 250-300. Kubayidwa kwa probe kuyenera kuchitika pang'ono, pang'ono pang'onopang'ono, mkati mwa mphindi 15-30.

Zakudya za zakudya zokhala ndi zakudya za probe sizisintha, kokha lamulo la kupera ndi homogenizing chakudya limawonedwa.

Pankhani ya zakudya za probe, kugwiritsa ntchito mankhwala osakaniza apadera amaloledwa. Zinthu zamagetsi zoperekedwa ndi fakitale, zimakhala zosiyanasiyana. Mukamasankha wopanga ndi chinthu, choyambirira, ndikofunikira kuganizira mfundo zingapo zingapo:

• Palibe kapena shuga wochepa mumsanganizo. Zosakaniza zapadera za anthu odwala matenda ashuga kuchokera ku gulu la Nutrikhim ndizoyenera: Nutrozym, komanso matenda a shuga a Nutricom ndi Nutrien. Zosakaniza zina za probe zomwe zimagwiritsidwa ntchito pa shuga zimagwiritsidwa ntchito.
• Zosakaniza zapadera zimagwiritsidwa ntchito pakugaya chakudya chokwanira komanso ntchito ya enzymatic ya kapamba. Izi zikuphatikizapo Nutrien Elemental, Modulin IBD, Peptamen.

Wodwala amafunikira kuonana ndi dokotala, komwe kusakaniza ndi koyenera kudyetsa chubu.

Chosangalatsa ndichakudya cha probe ndichakuti chakudyacho sichimaphatikizidwa ndi malovu ndipo gawo loyambira chimbudzi pamkamwa limadumphadumpha. Koma iyi ndi mfundo yovuta chifukwa poganizira kuti kusakanikirana kwamakono kwa zakudya zosafunikira, gawo la hydrolysis enzyme limathandizanso pokonza zina. Ndipo kale zopakidwa kale zimalowa m'mimba.

Zina mwa zakudya za odwala omwe ali ndi khansa ya pancreatic omwe amalandira chithandizo cha radiation

Gawo lofunika kwambiri la mankhwalawa ndi chithandizo cha radiation, chomwe chimayimitsa njira ya oncological ndikupha maselo a khansa. Koma, mwatsoka, mavuto obwera chifukwa cha kukanika kwa hematopoietic ntchito kwa mapu ofiira nthawi zambiri amapita limodzi ndi njira ya mankhwala ionizing radiation. Pambuyo pa umagwirira, chithunzi cha magazi chimasintha. Chowulutsa chowopsa chimachepetsa zomwe zimakhala m'maselo ofiira a m'magazi, ma cell oyera amwazi

Pankhaniyi, ndikofunikira kuwonjezera pazakudya zamagetsi zomwe zimagwiritsidwa ntchito tsiku ndi tsiku zomwe zimathandizira ntchito ya m'mafupa, kulimbikitsa erythropoiesis, leukopoiesis ndikuwonjezera kuchuluka kwa mapulateleti m'magazi a wodwala.

Chakudya cham'mawa, kuwonjezera mafuta 50 magalamu kapena supuni 4 za beets zosaphika tsiku lililonse, ndikuphatikiza ndi supuni imodzi ya kirimu wowawasa wopanda mafuta. Lachiwiri kadzutsa tsiku ndi tsiku onjezerani decoction kapena kulowetsedwa kwa zouma zouma, zomwe zimakhala ndi chitsulo ndi ascorbic acid. Pazakudya zam'mawere odwala, ndizotheka kupanga msuzi kuchokera ku maapulo ndi cranberries, ndi mpunga wophika. Pakudya kwamadzulo, onjezani kaloti grated pa grater yabwino, komanso kuchuluka kwa magalamu 50 ndikuphatikizidwa kwa zonona wowawasa. Karoti wa karoti amatha kusinthidwa ndi saladi wa oatmeal, apulo wofiira wa grated ndi tchizi chinyumba. Pazakudya zamadzulo, mwina mutha kudya ma millilita 50 a madzi a makangaza atsopano.

Tiyi yakuda yachikale iyenera kulowedwa m'malo ndi mavitamini okonzekereratu komanso mabulosi opanda shuga. Izi zimaphatikizapo phulusa la kumapiri, rosehip-uchi, vitamini. Zipatso za Cranberry ndi lingonberry zikulimbikitsidwa kuti zigwiritsidwe.

Njira yabwino ikhoza kukhala kukonzekera kwakumwa zakumwa zakumwa zouma zokha, m'malo oyera, kutali ndi mafakitole, misewu yayikulu ndi malo akulu.

Mbali zabwino komanso zoyipa

Kwa moyo wonse, zakudya zotere sizoyenera chifukwa cha zochepa zamafuta, zopatsa mphamvu ndi zomanga thupi. Zomwe zimapangidwazo zimafanana ndi zosowa za thupi tsiku lililonse kuti zizigwira ntchito nthawi zonse ndikupuma. Munthu wathanzi wokhala ndi chakudya chotere sangathe kugwira ntchito zawo zokhazikika komanso ntchito zapakhomo mokwanira.

Koma odwala omwe ali ndi khansa ya kapamba ayenera kutsatira zakudya zotere moyo wawo wonse. Kukula mndandandandandandandandandandandayo pamndandanda wa osavomerezeka komanso oletsedwa kumatha kuyambitsa matendawa, kudutsa zonse zomwe zakwaniritsidwa munthawi ya zamankhwala, kutha kwaumoyo komanso kumabweretsa zotsatira zoyipa, ngakhale zakupha. Popanda kutsatira zofuna za zakudya ndi zakudya, zomwe zimapangitsa kuti odwala akhale ndi moyo sizabwino.

Kukhazikitsa okhazikika kwa zakudya zomwe zimathandizidwa kumachotsa zovuta zomwe zimagwirizana ndi khansa ya pancreatic. Zotsatira zoyipa zimayimitsidwa popanga maphunziro a zamankhwala, opaleshoni, mankhwala a radiation, chemotherapy. Lolani kupulumuka magawo atatu a chithandizo.

Zakudya zoyenera komanso zakudya zimakhazikitsidwa ndi miyezo ya chithandizo yomwe imavomerezedwa ndi Unduna wa Zaumoyo ngati gawo lofunikira pakukonzekera kwathunthu kwa odwala omwe ali ndi khansa ya pancreatic.

Kutengera ndi momwe wodwala amatsatirira moyenera zakudya zomwe wakupatsani, wodwalayo amakhala ndi moyo wautali ndikukhalabe ndi moyo wokwanira pamaso pa matenda oopsa.

Kusamalira ndi kutsatira chithandizo chamankhwala kumakhala paphewa la abale ake. Kudziwa zofunikira za kadyedwe ndiye ntchito yayikulu pakupulumutsa moyo wa wodwala ndi wokondedwa.

Zinthu Zothandiza

Zakudya zamagulu pazakumwa za pancreatic zimaphatikizapo zakudya zomwe ndizovomerezeka kuti zizigwiritsidwa ntchito mu khansa ya pancreatic, kupereka magometi osiyanasiyana odwala tsiku ndi tsiku, kupangitsa kuti ikhale yathanzi komanso yokoma.

Ndi khansa, zakudya zimaphatikizapo:

• nyama, nsomba zamitundu yamafuta ochepa (mbalame, kalulu, pollock, hake),
• zinthu za mkaka za asidi (yogati, tchizi, tchizi chokoleti chopanda mafuta ochepa, ma yoghurt achilengedwe okhala ndi ma probiotic, amathandizira kupititsa patsogolo mabakiteriya opindulitsa a m'matumbo microflora),
• kuchokera masamba - kaloti, dzungu, zukini,
• mitundu ya zipatso zokoma
• chimanga, kuphatikiza barele,
• buledi wokalamba
• masikono owuma
• dzira lama protein
• tiyi wazitsamba
• ma compotes, timadziti.

Kupititsa patsogolo kukoma kwa chakudya ndi khansa, ndizololedwa kugwiritsa ntchito timbewu tambiri, thyme, basil, thyme.

Gome lazakudya limagwirizanitsidwa ndi dokotala chifukwa cha kapamba, mafunso pazovomerezeka zamapulogalamu mu chakudya ndi kuvomerezedwa kwa mafuta akudya zimathetsedwa, popeza pali choletsa gawo la zotupa za 1, ndipo amachotsedwa kwathunthu chifukwa cha khansa ya pancreatic 4.

Ndi chithandizo cha radiation komanso opaleshoni ya m'mimba, kupewa magazi m'thupi ndikofunikira kwambiri kwa odwala khansa ya pancreatic. Chifukwa chake, mukadwala, amalimbikitsa kudya makeke owuma ndi mkate m'mawa.

Ndikofunika kutsatira dongosolo lazakudya za khansa, ngakhale ndi theka la zakudya zovomerezeka. Zosankha zotheka patsiku.

Chakudya cham'mawa - kissel, phala yophika ku buwheat.

Chakudya chamadzulo - makeke.

Chakudya chamadzulo - msuzi wosenda osenda, chokolezera chamuwisi kapena nkhuku yophika ndi chipatso chowuma.

Chakudya chamadzulo - mazira osenda ndi madzi.

Chakudya chamadzulo - nsomba yophika, tiyi.

Usiku - kapu ya yogati.

Pancreatic Cancer Nutrition Fundalsals

Ndi khansa ya kapamba, zakudya zamafuta ziyenera kutayidwa.

Zakudya zamagulu a khansa ya pancreatic makamaka cholinga chake ndikuchepetsa zizindikiro za matendawa ndikuwongolera moyo wa wodwalayo.

Kutsatira zakudya kumathandiza kupewa zinthu zosasangalatsa monga mseru, kupweteka kwam'mimba, kudzimbidwa.

Pali malamulo oyenera azakudya omwe sangathandize kuti ntchito ya gland iwonongeke, komanso kulimbitsa thupi lathunthu, kuwonjezera kukana kwake ndi matendawa, ndikuwonjezanso mphamvu pambuyo pa chemotherapy.

1. Lamulo lalikulu komanso loyambirira la zakudya za khansa ya kapamba si kudya mafuta aliwonse. Zakudya zamafuta ndizowononga kwambiri chiwalochi. Mafuta amachititsa kuti chithokomiro chizigwira ntchito mwachangu, ndikupanga chinsinsi chochuluka. Mu khansa, kapamba amasiya kulimbana ndi katundu wotereyu, yemwe amadzetsa mseru kwambiri komanso malaise. Ndikosayenera kudya zakudya zamafuta ngati chotupacho chapereka kale.
2. Musaiwale za kuchuluka kokwanira kwamadzi. Pafupifupi njira zonse za metabolic komanso zomwe zimachitika mthupi zimachitika m'madzi. Muyenera kumwa osachepera malita 2-2,5 a madzi osaphika osafunikira patsiku, osawerengetsa zakumwa zina (sopo, yoghurts, tiyi). Madzi amathandizira kuchotsa poizoni ndikuwongolera mkhalidwe wathupi lathunthu. Kuphatikiza pa madzi, mutha kumwa tiyi wobiriwira, yogati yachilengedwe, mkaka (mkaka wophika wopanda pake, ma varenets, kefir), mkaka wopanda mafuta, timadziti tachilengedwe (ndi chilolezo cha dotolo), komanso ma compotes, okhala ndi choleretic komanso anti-yotupa.
3. Muyenera kudya pafupipafupi, maola 2,5 aliwonse, nthawi 6 mpaka 6 patsiku. Kutumizidwa kumayenera kukhala kochepa, chakudya makamaka popanda fungo lamphamvu (chifukwa cha mseru m'magazi). Zakudya siziyenera kutentha kapena kuzizira, ndiye chakudya chofunda chokha chomwe chimamwa bwino.
4. Ndikofunikira kuyang'anira kalori wa zakudya. Thupi liyenera kudya zopatsa mphamvu zochulukirapo, ndipo chakudya chizikhala ndi mapuloteni ambiri, mavitamini, michere, yofunikira kuwonjezera chitetezo chathupi. Zothandiza kwambiri ndi masamba ndi zipatso. Tsiku muyenera kudya iwo osachepera awiri. Masamba otenthedwa.

Ndi khansa ya pancreatic, muyenera kuyang'anira chilengedwe pazinthu zawo, moyo wawo wa alumali, kuwerenga mosamala kapangidwe kake.

Simungathe kudya zakudya zomwe zimasungidwa nthawi yayitali, kukhala ndi zokayikitsa komanso kuchuluka kwa mankhwala osungira.

Malangizo Ophika

Zofunikira kwambiri kuphika pamaso pa khansa ndizophatikiza:

• pa mankhwalawa a kapamba chifukwa cha kuwonongeka kwa chimbudzi, chakudya chija kapena kuwotcha osaphwanya, gwiritsani ntchito malaya ophika,
• chakudya chokwanira, chakudya chonyowa chophatikizika ndi theka chitha kupweteka pancreatic gland,
• Ndi khansa, chotsirizidwa chimatentha pang'ono,
• Musatchule zinthu zomwe zili ndi fungo labwino m'zakudya, zimatha kusanza,
• chakudya chamagulu, magalamu 300,
• kuphika mbale zomwe, pakukonzekera, musachepetse zopatsa mphamvu zamalonda, chifukwa kudzikongoletsa kwawo ndiye gawo lalikulu la zakudya zopatsa thanzi patsiku.

Kupambana kwamankhwala ochizira matenda a oncological amakonzedwa ndi zifukwa zingapo, zomwe ndizofunikira kwambiri zomwe zimathamanga kuzindikira kwawo, chithandizo choyenera, zakudya zosankhidwa panthawi ya achire komanso mukachira.

Ndichofunika kukumbukira ndi khansa yam'mimba?

Zakudya za khansa ya pancreatic zikusonyeza kuti, choyamba, wodwalayo ayenera kumwa madzi ambiri. Voliyumu yocheperako ndi malita 2.5 patsiku. Madzi atha kukhala aliwonse:

• madzi oyeretsedwa kapena mchere wopanda mafuta,
• tiyi wazitsamba
• tiyi wakuda wopanda mphamvu
• kefir
• mkaka wokhala ndi mafuta ochepa,
• Ziphuphu zatsopano (osati zipatso za malalanje).

Tisaiwale za kupatula kokhazikika pa zakudya zamafuta okazinga ndi zakudya zamafuta, makamaka zophika mafuta, zonsezi ndiye maziko a khansa yapachifungo. Munthawi ya mankhwalawa, chisamaliro chokwanira chimayenera kumwedwa m'zakudya zomwe zimapangitsa kuti pakhale kupangika kwa gasi komanso maulemu, monga kabichi, nyemba ndi nyemba zina.

Zofunika! Munthawi yamankhwala, ndikosayenera kugwiritsa ntchito njira zina zochizira khansa ya kapamba kapena njira zina zochiritsira, makamaka popanda kuvomerezedwa ndi dokotala.

Sikuti chomera chilichonse chomwe chimagwirizana ndi mankhwala kapena njira zamankhwala. Sangokhala opanda mphamvu polimbana ndi khansa, komanso angayambitse kuwonongeka kwakukulu kwa thanzi la munthu.

Inde, wowerengeka azitsamba ochizira kapamba amakhalapo, koma izi sizikugwira ntchito pakulankhula za khansa.

Zizindikiro zazikulu za khansa

Zizindikiro zofala kwambiri za khansa ya kapamba:

• kusanza
• kuwonda msanga ndi chilakolako cha chakudya,
• kukoma kosakwanira
• mavuto m'matumbo (kudzimbidwa, chopondera mtima).

Zizindikiro izi zitha kukhala chifukwa cha matendawa pawokha, komanso kuwonetsa kwa zotsatirapo zake kuchokera ku mankhwala. Pokhapokha pakudya koyenera, osati kokha momwe wodwalayo amapangidwira bwino, komanso mphamvu ya mankhwala omwe amakhazikitsidwa imawonjezeka.

Kusintha kwamalingaliro kosakwanira kumawonetsedwa ndi kuzindikira fungo komanso tsankho la zakudya zina. Kuchita chimodzimodzi kwa thupi kumatha limodzi ndi kusanza, kuchepa thupi komanso kusadya.

Kuti muchepetse zizindikiro, muyenera:

1. konzani chakudya kuchokera kuzinthu zomwe zonunkhira zake sizikulankhula bwino kapena sizikupezeka,
2. Idyani zakudya zotentha kapena zozizira zokha,
3. Musanadye komanso mutatha kudya, muzimutsuka pakamwa ndi njira yotsekera ya koloko.

Ngati pakamwa pakamwa pazitsulo, ndiye kuti zitsulo ndi mafoloko ziyenera kusinthidwa ndi matabwa kapena pulasitiki. Zonunkhira zina, monga timbewu tonunkhira, ginger kapena rosemary, zimatha kukulitsa chidwi cha kukoma.

Panthawi ya malabsorption ndi chimbudzi, madokotala amalimbikitsa kudya ndi zomwe zimakhudzidwa ndi kupukusa michere kapena michere yazakudya. Nthawi zina zovuta, dokotala yemwe amakupatsani mankhwala amakupatsani zakudya za makolo (kulowetsedwa kwamkati).

Ma Enzymines a pancreatic ndi ofunikira kwambiri pakudya chimbudzi ndipo pachifukwa ichi, kusintha kwa kuchuluka kwa zinthuzi kumatha kuyambitsa chimbudzi cholakwika. Zotsatira zake, kuperewera kwa michere ndi mavuto okhudza kugaya chakudya kumayambira.

Katundu Wosiyidwa

Zakudya zotsekemera za khansa ya pancreatic ziyenera kusiyidwa.

Pali zinthu zingapo zomwe zimafunikira kutayidwa chifukwa cha khansa ya kapamba.

Zakudya zina, ngakhale zazing'ono, zimatha kulepheretsa kapamba, komanso kusasangalala. Sipadzakhala chisangalalo kuchokera ku chithandizo chotere, koma vuto lalikulu lingachitike. Zoperewera zazikulu.

Cancreas ndiye chiwalo chofunikira kwambiri chogaya komanso endocrine. Amapanga ma enzyme ochulukirapo ofunikira pokonzekera ndi kuyamwa koyenera kwa zakudya. Ma cell am'magazi amtunduwu amapanga insulini, popanda minyewa imeneyi singatenge glucose m'magazi.

Khansa yapakhungu imayambitsa matenda am'mimba, imapangitsa kupweteka kosagwirizana ndipo imakhudza kukula kwa kupanga kwa insulin.

Nthawi zambiri, ndi khansa ya kapamba, kusanza ndi kutaya chilakolako kumawonedwa. Zosokoneza za kukoma zimawonekera, zizgia (kusafuna kudya), kutsegula m'mimba ndi kudzimbidwa ndikotheka. Zochitika zonsezi zosasangalatsa zimakulitsidwa ndi zochita za mankhwala omwe amagwiritsidwa ntchito kukhazikitsa wodwalayo.

Muyenera kumvetsetsa kuti kapamba ndiye, "ndi bomba" lodzala ndi ma enzymes omwe amayankha mtundu wa chakudya. Pogwiritsa ntchito mankhwala opatsa chidwi mu khansa yosinthidwa ndi khansa, "kuphulika" kumatha kuchitika, ma enzymes amaphulitsa glandayo palokha (izi zimaphatikizidwa ndi kupweteka kosaletseka), ndipo peritonitis ndi kufa zimachitika. Pachifukwa ichi, muyenera kutsatira mosamalitsa zomwe dokotala akukuuzani komanso zakudya zomwe adamuwonetsa.

Zakudya zoyenera za khansa ya pancreatic ndichinthu chofunikira chamankhwala:

• Zabwino zimawathandiza kukhala wodwala,
• Zimawonjezera luso la mankhwala
• Amachepetsa kuopsa kwa mavuto obwera chifukwa cha mankhwala ambiri.

Muli zakudya. Zoyang'ana?

Odwala omwe adalandira chithandizo chamankhwala kuti athetse zotupa za khansa ayenera kudziwa mawonekedwe a chakudyacho, ngati izi sizingatheke, ndibwino kukana chakudya choterocho.

Zakudya zamafuta a khansa ya pancreatic nthawi zonse zimayenda pang'ono pakapita maola atatu aliwonse, ndipo panthawi yopuma imamwa zipatso zosafunikira popanda shuga kapena madzi.

Zakudya siziyenera kukhala zamafuta, koma nthawi yomweyo, zopatsa mphamvu komanso zopatsa thanzi ziyenera kukhala zambiri. Ndikwabwino kuti muzikonda zomwe amakonda:

• broth
• phala
• kanyumba tchizi casseroles,
• yogurts zachilengedwe,
• odulira pang'ono,
• Zakudya zodyera.

Musaiwale za zakudya zama protein. Ndiwofunika kwambiri munthawi yovuta ngati imeneyi. Itha kukhala tchizi, mazira, nsomba ndi nyama zopendekera. Kuti mupewe vuto la kugaya chakudya, ndibwino kusiya mafuta omwe amapezeka masamba, koma osati maolivi.

Ndi bwino kuphatikiza mbale ziwiri zamasamba zaphikidwe menyu, komanso masamba atatu a zipatso omwe ayenera kuphikidwa.

Zipatso ndi bwino kusankha zotsatirazi:

Wodwala khansa ya pancreatic sayenera kupatula mapeyala, mphesa ndi plums pazakudya. Amathandizira pophuka komanso kupanga mpweya wambiri.

Pafupifupi kuchuluka kwa zipatso ndi ndiwo zamasamba ziyenera kukhala zosachepera 5 za 200-300 g iliyonse.

Ndikofunika kuphika mu uvuni kapena chithupsa. Ndikofunika kusamala kuti mugwiritse ntchito mchere wambiri komanso zakudya zosavuta. Ndikofunikanso kusamala mosamala ndi adyo, anyezi, zonunkhira, nyama zosuta.

Pa mankhwala, omwe cholinga chake ndikuchotsa khansa yam'mimba, muyenera kusiya kugwiritsa ntchito shuga woyenga. Amatha kusokoneza gawo lonse la shuga m'magazi a munthu wodwala.

Wodwala aliyense ayenera kukumbukira kuti zabwino komanso zotsatirapo za chithandizo zimatheka pokhapokha ngati wodwalayo ndi dokotala wothandizaniranache akukambirana momwe angathere.

Ndikofunikira kwambiri kutsatira malingaliro onse okhudzana ndi kadyedwe, ndipo ngati muli ndi zovuta zina, muyenera kulumikizana ndi katswiri wazamalonda kapena kuchiritsa oncologist.

Zinthu za mayamwidwe ndi chimbudzi chakudya mu matenda

Chifukwa cha kubisala kwa enzyme, chakudya sichidulidwa mosavuta, ndipo izi zimapangitsa kuchepa kwa michere komanso kuchepa thupi msanga.

Zakudya za odwala oterewa zimaphatikizanso zakudya zina zopatsa thanzi ndipo zimaphatikizanso kugwiritsa ntchito ma enzymes ena (othandizira olowa m'malo).

Nthawi zina, zakudya sizokwanira kulamula wodwalayo, ndipo madokotala amalimbikitsa chakudya chamagulu (kudzera chikwangwani).

Choyamba, madokotala amayesa kupewa kuperewera kwa mphamvu, choncho chakudya cha khansa ya kapamba chimakhala chambiri.

Maselo a pancreatic islet ndiwo amachititsa insulini kupanga.

Popewa kuwonda kwambiri, munthu aliyense amadya zakudya zokhala ndi khansa ya kapamba. Izi zimachitika ndi katswiri wazakudya zopatsa thanzi yemwe amakhala ndi mawonekedwe a oncological. Chomwe chikugogomezeredwa ndi zakudya zopezeka m'mapuloteni, michere ndi mavitamini.

Kuti mulimbikitse chilakolako chofuna kudya, mankhwalawa amatha kupatsidwa mankhwala (mahomoni, monga lamulo).

Vutoli limakulirakulira chifukwa chakuti chifukwa cha kuwonongeka kwa maselo osakanikirana a insulin, kulumpha kwakukulu m'magazi a shuga kumatha kuthandizidwa, ndipo malamulo onse a zakudya zokhudzana ndi matenda ashuga ayenera kuyang'aniridwa. Nthawi zambiri mumayenera kusamutsira wodwala insulin.

Zimakhudzanso mapangidwe azakudya - zokonda (pazinthu zotere) zimaperekedwa ku zakudya zomwe sizimakhudza shuga wamagazi kwambiri.

Ngati khansa ya kapamba idakhudza maselo omwe amapanga insulin, ndiye kuti chakudyacho chimapangidwa poganizira za matenda a shuga.

Zambiri zophikira ndikuphika mbale

Pali zinthu zina pakuphika komwe kumalumikizidwa ndi kupindika kwa kukoma ndi kununkhira, kapena chidwi chochuluka cha wodwalayo pazanunkhira zina. Kupanda kutero, nseru, kusanza, ndi kusowa kwa chakudya kungawoneke. Popeza momwe zinthu zilili, izi ndizosavomerezeka, chifukwa menyu wodwala wafika kale kale.

Kupewa kwa kutaya mtima

Kuti muchepetse kuthekera kotereku, zotsatirazi zikulimbikitsidwa:

• Asanadye chakudya, wodwalayo amayenera kutsuka pakamwa pake ndi sopo wothira. Izi zichotsa masamba otsalira ndikuthanso kuwononga "kumamatira" zolandirira pa fungo kapena kukoma kosasangalatsa.
• Simungadye zotentha, chifukwa kuchuluka kwa kukoma kapena kununkhira kumawonjezeka kwambiri. Mbale zonse zimaphikidwa mwachangu,
• Zogulitsa siziyenera kukhala ndi fungo lamphamvu, zovala zilizonse zonunkhira zomwe zimapangitsa kuti pakhale chobisalira,
• Kuyambira zokometsera, timbewu tating'onoting'ono, ginger, basil, thyme, rosemary ndizololeka,
• Ngati pali chidwi ndi fungo kapena kukoma kwachitsulo - sinthani zida zachitsulo ndi zadongo kapena nkhuni.

Zonse zomwe amakonda zimakhudzidwa ndi wodwalayo ziyenera kukumbukiridwa (ngakhale zopusitsika kwambiri), popeza mndandanda wokhudzana (kuzindikira komwe kulumikizana ndi fungo) nthawi zina sikungayambitse kusanza kopanda zifukwa zomveka. Ntchito yathu ndikuletsa kutopa kwa wodwala.

Malamulo a zopatsa thanzi

Zakudya zamafuta ndi nyama yokazinga sizimachotsedwa konse. Ndizakudya zotere zomwe zimakwiyitsa kapamba kwambiri momwe zingathere ndipo zimabweretsa zotsatirapo zomvetsa chisoni kwambiri. Ndikofunikira kumwa malita osachepera 2,5 amadzimadzi patsiku. Itha kukhala mkaka wopanda mkaka, kefir, tiyi wazitsamba, madzi okha kapena timadzimadzi tomwe tangofika kumene. Simungamwe zakumwa zilizonse za kaboni, komanso timadziti ta zipatso (mandimu, lalanje, mphesa).

Osachotsedwa pamenyu

Masipuni a citrus Zokazinga Zonona

Kabichi, soya, nyemba, nandolo, komanso mitundu yambiri ya chimanga - zimatsutsana. Izi siziri chifukwa chonyansa cha pancreatic, koma pachiwopsezo cha kudzimbidwa. Chowonadi ndi chakuti dysbiosis, njira zotupa ndi malabsorption a zinthu m'matumbo mwanjira iyi sizovomerezeka. Muyenera kudya maola 23 aliwonse. Pakati pa chakudya, ndikofunikira kumwa compotes, timadziti, madzi okha.

Zakudya - zimafunikira mulimonse

Ngakhale kupatula zakudya zamafuta kuyenera kukhala kopatsa thanzi, i.e. muli ndi zopatsa mphamvu zambiri. Ma cutlets ophatikizidwa, ma pastes ochokera ku nyama yazakudya, ma yogurts achilengedwe, casseroles a kanyumba ndi njere zamitundu yosiyanasiyana ndiolandiridwa.

Kufunikira kwa yogati yachilengedwe mu khansa ya kapamba ndizovuta kuzikulitsa. Ndi chida chabwino popewa dysbiosis, gwero lamapuloteni, mafuta ophatikizika (chosakhumudwitsa), mavitamini ndi michere. Yesetsani kukonzekera yogati kuchokera ku mankhwala osokoneza bongo - izi zikuthandizira kukonza mwachangu matenthedwe, ngakhale zovuta zam'mimba.

Ndikofunika kudya zakudya zambiri zomanga thupi - nsomba zamafuta ochepa ndi nyama, mazira, tchizi. Popewa kugaya chakudya, gwiritsani ntchito mafuta a masamba mosamala. Ndikwabwino kusinthana ndi azitona (monga zotetezeka).

Popewa kudzimbidwa tsiku lililonse muyenera kudya zakudya zosachepera kawiri kuchokera ku masamba, zipatso. Masamba oweruka ndibwino. Muyenera kudya zipatso za 250,300 g patsiku. Zakudya zoyenera ndi maapulo ophika, chivwende, vwende, makangaza, nthochi, apurikoti. Zakudya izi zimayenera kumwedwa kangapo patsiku, popeza chakudya chimodzi cha 300 g cha apricot, mwachitsanzo, chimatha kuyambitsa kukhumudwa. Mapaipi, mphesa ndi mapeyala amatsutsana. Mbale zonse zimaphika bwino kapena kuphika mu uvuni. Izi zimakuthandizani kuti muchepetse chiopsezo cha kupukusa kwam'mimba, chifukwa ambiri mwa anthu akuluakulu ali ndi matenda enaake am'mimba ogwedezeka (gastritis, gastroduodenitis, duodenal ulcer, etc.).

Nsomba yamafuta ochepa yophika ndi mafuta ochepa - yayikulu

Mchere uyenera kugwiritsidwa ntchito mosamala, monga adyo, anyezi, zonunkhira (ngakhale kuloledwa). Zakudya zakusuta siziphatikizidwa kwathunthu. Ngakhale maselo am'mapapo a kapamba sanakhumudwe ndi njira ya khansa, shuga amayenera kugwiritsidwa ntchito pang'ono.

A osiyana mfundo oncologists nthawi zonse amafotokozera odwala kusadziwikanso kwina kwa njira zina zochiritsira komanso zakudya zina. Zinthu zambiri zomwe zimagwiritsidwa ntchito pophika mankhwala azikhalidwe zimalimbikitsa ziphuphu, zomwe ndi zabwino kwa hypoacid gastritis, mwachitsanzo, koma osati khansa. Nthawi zambiri, kugwiritsidwa ntchito kosalamulirika kwa mankhwalawa, popanda kufunsana ndi a oncologist pankhaniyi, kumapangitsa kuti pakhale kuwonjezereka ndikufa pambuyo pake.

Khansa ya pancreatic ndi mkhalidwe womwe kuphwanya zakudya kungapangitse wodwala msanga. Ngati okondedwa anu akumananso ndi vuto lofananalo, yesani kuwafotokozera mfundo imeneyi, komanso kufotokozeredwa kwa tanthauzo la "kumasulira kwaulere" pazomwe amalimbikitsa azakudya.

Zitsanzo za zakudya kuchokera pa intaneti sizigwira ntchito kaya - munthawi iliyonse, zakudya ziyenera kusankhidwa payekhapayekha. Milandu mutapezeka kuti matenda a shuga omwe amadalira insulin "amalowerera" ndi milanduyo, zosintha za zakudya zitha kusintha ndi endocrinologist.

Ngati mukumva kupweteka, kuchepa kwa chidwi cha wodwalayo kapena mavuto ena aliwonse omwe amabwera chifukwa cha kudya ndi chimbudzi, nthawi yomweyo funsani kwa dotolo kapena mukaonane ndi dokotala kuti mupeze malangizo ndi kukonza zakudya komanso / kapena dongosolo.