Kodi ndi zinthu ziti zamkaka zomwe zimatha kudyeka ndi kapamba?
Zogulitsa mkaka wowawasa - gulu lochulukirapo lazinthu, kuphatikiza zamadzimadzi (kefir, mkaka wophika wopanda mkaka, kirimu wowawasa, ndi zina) ndi zinthu zolimba (tchizi, tchizi) zopangidwa kuchokera mkaka ndi kupesa. Onsewa ndiwokoma ndipo mwamwambo amawoneka kuti ndi othandiza, koma pamaso pa kapamba, sikuti mankhwala aliwonse ochokera mkaka wothira mkaka ambiri angathe kuphatikizidwa menyu a wodwala.
Zomwe zingathe
Kugwiritsira ntchito tchizi kumaloledwa ngati wodwala atayika lactose. Pankhaniyi, tchizi yofewa, yolimba imasankhidwa.
Tchizi zakonzedwa ndikusuta sizimachotsedwa muzakudya za wodwalayo.
Tchizi chimaphatikizidwa mu odwala omwe ali mu gawo la kuchulukitsa kwa matenda osakanikirana ndi chifuwa chachikulu.
Whey ndi mankhwala apamwamba amkaka wa lactose. Amakhalabe atalandira kanyumba tchizi ndi tchizi. Poyerekeza ndi mkaka, umakhala ndi mafuta ochepa, omwe amathandizira kuyamwa kwake ndi thupi. Seramu ili ndi ma amino acid, mavitamini a gulu B, calcium, phosphorous. Ndi kapamba, imagwiritsidwa ntchito pochimba kudzimbidwa, chifukwa cha kupuma kwake.
Chakumwa cha Whey chimathetsa ludzu komanso kusintha chimbudzi. Seramu ya kapamba ayenera kugwiritsidwa ntchito mosamala, makamaka ndi kuperewera kwa lactose ndi matenda am'mimba.
Zipatso ndi zipatso
Ndizosatheka kulingalira moyo wamunthu wamakono wopanda zipatso, popeza ali ndi mavitamini ambiri ofunikira m'thupi lililonse, omwe amatsimikizira kuyendetsa bwino kwa thupi. Nthawi yomweyo, ena a iwo ali ndi ma fiber owuma, zomwe zimapangitsa chimbudzi kukhala chovuta. Chifukwa chake, mndandanda wazomwe zipatso zingagwiritsidwe ntchito pancreatitis sizokulirapo.
Mulinso zotsalazo:
- Strawberry
- Apricots
- Mphesa zofiira
- Cherry
- Ma grenade
- Maapulo okoma
- Papaya
Ambiri ali ndi chidwi chofuna kudziwa ngati nthochi zingagwiritsidwe ntchito kapamba. Madokotala ambiri amavomereza kuti kapamba amatha kuthana ndi kupukusa kwa ochepa, koma pokhapokha kuchotsedwa kwa matendawa. Ndikachulukirachulukira kwa kapamba, nthochi zimangokulitsa matendawa.
Zilinso chimodzimodzi kwa anyumwa. Ngakhale mnofu wake ulibe kukoma wowuma, zomwe zimapangitsa kuti zikhale m'gulu la zinthu zomwe zaloledwa, sizoyenera kugula ma proimmons pakuchulukitsa kwa matenda komanso kwa pafupifupi sabata pambuyo pake. Kenako imaloledwa kudya zipatso zosaposa 1 patsiku mumphika wophika kapena wopira. Ndikotheka kuchepetsa zoopsa zomwe zimakhudzana ndi kugwiritsidwa ntchito kwa ma pimreatitis pancreatitis pogaya zamkati mwake m'njira iliyonse yomwe ingatheke.
Zachidziwikire, pamaso pa pancreatitis aakulu, zipatso zilizonse siziyenera kumezedwa, chifukwa kuchuluka kwachulukidwe kwa asidi kumatha kudzetsa matenda ena. Kuphatikiza apo, amathanso kudyedwa masiku 10 atachotsedwa chikhululukiro. Chikhalidwe chatsiku ndi tsiku ndimamwa zipatso zokha zamtundu wina kapena zingapo, ndipo zimangokhala zophika zokha. Nthawi zina odwala amaloledwa kudzilimbitsa ndi mafuta onunkhira odzaza kapena mabulosi.
Malangizo: mutha kusintha zipatso zaphika tsiku ndi tsiku ndi mkate umodzi wa ana.
Katundu Wanyama
Mutha kupeza ma amino acid ofunikira thupi ndikusintha menyu wa pancreatitis wa tsiku ndi tsiku mothandizidwa ndi nsomba ndi nyama yochepa. Pokonzekera zakudya zamafuta, ndibwino kusankha nkhuku, kalulu, nkhuku, nyama yamwana wamphongo kapena ng'ombe, ndi nsomba - bream, zander, pike, pollock kapena cod. Koma, ngakhale atakhala onunkhira bwanji, chotumphukira kapena khungu la mbalame, sayenera kugwiritsidwa ntchito ndi odwala.
Mutha kuwonjezera mitundu ina yazakudya chanu ndi mazira. Zitha kudyedwa osati zophika zokha, komanso mawonekedwe amafuta amtovu. Mazira okazinga achikale okha ndi omwe amakhala oletsedwa.
Mkaka ndi mkaka wowawasa
Nkhani yothandiza? Gawani ulalo
Zakudya za mkaka wowawasa, mwachitsanzo tchizi wowonda wonenepa, kirimu wowawasa, yogati, ziyeneranso kukhala gawo lofunikira pakudya kwa odwala. Kugwiritsa ntchito mosalekeza mkaka wophika kapena kefir wokhala ndi kapamba kumathandiza kuyika munthu pamapazi ake mwachangu.
Nthawi yomweyo, mkaka wathunthu ndi kapamba nthawi zambiri umalekeredwa bwino. Itha kuyambitsa kudzimbidwa ndi kusanja, chifukwa chake mwanjira yake yoyenera sikuyenera kudyedwa, koma muyenera kugwiritsa ntchito mukamaphika. Ndikwabwino kupereka zokonda za mkaka wa mbuzi chifukwa cha kapamba, popeza zimakhala ndi maonekedwe abwino ndipo zimawerengedwa kuti ndi hypoallergenic.
Odwala amaloledwa kudya batala ochepa wopanda mafuta, koma sayenera kuzunzidwa, chifukwa kuchuluka kwamafuta kumatha kuyambitsa kuwonongeka kwakukulu mumunthu.
Zakudya zam'nyanja
Mwachizolowezi, matebulo a odwala nthawi zina amatha kukhala okongoletsedwa ndi shrimps yophika, ma clams, mussel, squid, scallops ndi sea kale, popeza ali ndi mapuloteni ambiri. Mutha kuphika zakudya zazikulu ndi zokoma kuchokera ku nsomba zam'nyanja, koma sushi ndizosatheka.
Macaroni ndi mbewu zambiri monga chimanga sizingakhudze mkhalidwe wa kapamba. Chifukwa chake, pasitala ndi chimanga zitha kudyedwa bwino ngakhale ndikuwonjezera matendawa.
Mbewu zotetezeka kwambiri ndizo:
Nthawi zina, chakudyacho chimatha kusinthidwa ndi barele kapena chimanga cha chimanga. Komanso, ndi kapamba, mumatha kudya mkate wa tirigu, koma dzulo lokha kapena mawonekedwe aabisala, ndikulowetsa ma cookie a biscuit.
Malangizo: ndibwino kuphika chimanga m'madzi kapena m'madzi ambiri mkaka, wotengedwa 1: 1.
Madzi ochepa chifukwa cha kapamba ndiye njira yabwino kwambiri yomwe wodwala angagwiritse ntchito kuti abwezeretsenso madzi m'thupi. Chifukwa chake, tikulimbikitsidwa kumwa madzi osachepera 1.5 malita a mchere tsiku lililonse.
Zothandiza pa boma la kapamba zimaperekedwa ndi:
- Tiyi ya zitsamba
- Msuzi wa nthambi
- Msuzi wa Rosehip.
Chicory imathandiza kwambiri kapamba, kapena m'malo, decoction wa mizu yake. Chomwa ichi sichingangotenga m'malo khofi oletsedwa ndi chakudyacho, komanso chitha kuchiritsa ma kapamba owonongedwa, popeza ali ndi mphamvu ya choleretic. Komanso, chicory imathandizira kusintha mtundu wamanjenje ndikuwongolera mtima wamtima. Chifukwa chake, decoction yochokera pamizu yake imawonetsedwa kwa odwala onse kuti azimwa popanda kusiyapo.
Kuphatikiza pa zonsezi pamwambapa, odwala amaloledwa kumwa tiyi wofooka, msuzi wothira madzi, zipatso ndi mafuta odzola.
Nthawi zina, odwala amatha kuphatikizidwa ndi marshmallows, marmalade kapena marshmallows. Koma, apa, kugwiritsa ntchito uchi mu pancreatitis ndi nkhani yovuta, chifukwa imatha kugwiritsidwa ntchito ngati zotsekemera pa tiyi mukachotsa matendawa, koma pamaso pa zovuta za endocrine izi zimatsutsana kwambiri.
Mumakonda zokongoletsera zambiri, mtedza, ndi kapamba, mumatha kudya. Kuphatikiza apo, ndi othandizirana ndi odwala, chifukwa safuna malo osungika mwapadera ndipo chifukwa chake ndi abwino kungodya zazing'ono kuntchito komanso kunyumba.
Koma! Pakuchulukitsa kwa matendawa chifuwa chachikulu cha kapamba, chida ichi chiyenera kuyiwalika mpaka matendawa azikhala bwino.
Chifukwa chake, zakudya zonse zomwe zimadyedwa ndi munthu ziyenera kukhala zopanda kukoma, zokhala ndi mafuta osachepera komanso kuphika popanda kuwonjezera zonunkhira.
Chaka chilichonse, anthu odwala matenda a kapamba, omwe nthawi zambiri sangathe kuchiritsidwa ndi mankhwala, akuwonjezeka. Ndiye chifukwa chake, gawo lalikulu la chithandizo cha matendawa ndi chakudya choyenera, ndiye kuti, kutsatira zakudya.
Zomwe zimayambitsa matendawa
Kudya ndi chifungulo cha zikondamoyo zathanzi
Musanafike kuzakudya zomwe zimaperekedwa kwa odwala omwe ali ndi pancreatitis yayitali, ndikofunikira kudziwa bwino zomwe zimayambitsa. Chifukwa chake, zoyambitsa zazikulu za kapamba (ndipo pali zambiri za izo) ndi izi:
- Mowa. Nthawi zambiri, matendawa amakula ndikugwiritsa ntchito kwambiri. Koma nthawi zina zimachitika kuti ngakhale mutatenga Mlingo wochepa, kapamba sangayime
- Matenda a chiwindi komanso matenda othamanga
- Zakudya zoperewera, zomwe ndi zakudya zamafuta
- Mavuto ndi duodenum
- Kulephera kuchita ntchito zoyambira chiwindi, zomwe zimachitika kawirikawiri ndi hepatitis kapena cirrhosis
- Zilonda zam'mimba
- Cholowa chathu chomwe nthawi zambiri chimayambitsa kukula kwa kapamba
- Kumwa mankhwala ena omwe ali ndi vuto pa kapamba
Gawo lalikulu la zifukwa zomwe matendawa amapezeka limadalira munthu, chifukwa ndizovuta kwambiri kupeza munthu yemwe amatsata zakudya mokwanira. Ndipo ndikuvutika ndi kapamba.
Zizindikiro za Chronic Pancreatitis
Anthu ena samatengera kufunika kwa zizindikiro zomwe zikubwerazi ndipo amakhulupirira kuti pakapita kanthawi adzangochita okha ndipo palibe chithandizo chofunikira. Kuti muzindikire zizindikiro za kapamba nthawi, muyenera kuzidziwa. Zizindikiro zazikulu za pancreatitis yayitali ndi monga:
- Zomverera zowawa, zomwe zimatha kuwonetsa zonse moyenera komanso mwamphamvu kwambiri, zonse zimatengera zomwe zimapangitsa kuti matendawa akule. Nthawi zambiri, kupweteka kumachitika masana, munthu akadya zakudya zamafuta ambiri. Komanso, kupweteka kumachitika pamimba yopanda kanthu, makamaka pamatumbo
- Mavuto a chimbudzi, monga kupitilira osagaya chakudya, kutsegula m'mimba
- Kuchulukitsa kwa malovu, omwe samachitika ngakhale mukudya
- Kubwula
- Kufalikira
- Kusanza, komanso nthawi zina kusanza
- Kuchepetsa thupi, komwe kumachitika chifukwa choti munthu amadziletsa pazakudya chifukwa chosamva bwino
Payokha, ndikofunikira kunena za matenda am'mimba. Mu chifuwa chachikulu, mumakhala zakudya zambiri zosagwiritsidwa ntchito bwino mu ndowe, zomwe zimawonetsa mwachindunji kugwira ntchito kwa kapamba. Ndiye chifukwa chake, chizindikirochi chikapezeka, komanso zomwe zili pamwambazi, simukuyenera kuchedwetsa kuonana ndi dokotala, chifukwa kuwunika koyambirira ndi kulandira chithandizo chamankhwala zimachepetsa vutolo ndikupangitsa moyo kukhala wosavuta.
Magawo a matenda ndi zovuta
Supu yophika masamba ndiyabwino kwambiri.
Monga matenda ena aliwonse, chifuwa chachikulu chimakhala ndi magawo angapo a chitukuko, nthawi iliyonse yomwe zizindikiro zake zimasiyanasiyana. Chifukwa chake, ndichikhalidwe kusiyanitsa magawo oyambira ndi omaliza.
- Gawo loyambirira la chitukuko cha kapamba limadziwika ndi mawonekedwe monga mawonekedwe owawa omwe amapezeka m'malo osiyanasiyana, kutsegula m'mimba. Nthawi zambiri gawo ili limatenga chaka chimodzi mpaka zaka zisanu. Ndi munthawi imeneyi pamene matendawa amakula ndikuvulaza thupi.
- Kwa gawo lomaliza, zizindikiro zowopsa ndizikhalidwe, zomwe zimawonetsedwa ndi kupweteka kosalekeza, kusokonezeka kwapang'onopang'ono, komanso mavuto ammimba. Gawoli limatenga zaka zisanu mpaka khumi.
Kuti muchepetse chiopsezo cha kupanikizika kwa kapamba mpaka patapita nthawi, ndikofunikira kukaonana ndi dokotala munthawi yake kuti mupewe zovuta. Mavuto a matenda a kapamba amatha kukhala motere:
- Kupsinjika kwakukulu pamtunda wothandiza
- Mapangidwe a cysts mu kapamba
- Kusasunthika kwa bile, komwe ndi kowopsa
- Kukula kwa Matenda Opatsirana
- Kupuma
- Konda
Kutengera kuchuluka kwa matendawa omwe ayambitsidwa, zovuta zimatengera.
Kuchiza matenda
Ndizovuta kwambiri kuchiza matenda a kapamba kuposa, mwachitsanzo, gawo lakelo. Zochita zazikulu za madotolo ndicholinga chokweza mkhalidwe wa wodwalayo, komanso kusintha moyo wake. Nthawi zambiri, chithandizo ndi motere:
- Kuikidwa kwa mankhwala omwe angathandize kuchepetsa ululu, popeza ndi iye yemwe nthawi zambiri amavutitsa munthu
- Kupereka mankhwala othandizira kuthana ndi vuto la dyspeptic
- Kuikidwa kwa mankhwala omwe angakuthandizeni kumasula njira yotupa mu kapamba
Komanso, madokotala amayesetsa kuchita njira zonse zofunikira posachedwa kuti athandize opaleshoni, popeza nthawi yobwezeretsa pambuyo pa opaleshoniyo sinali yaying'ono. Kuphatikiza apo, ndi chifuwa chachikulu, munthu amalimbikitsidwa kutenga:
- Mankhwala osokoneza bongo omwe amachepetsa kupanga kwa kapamba ka pancreatic, nthawi zambiri Fosfalugel, Almagel, etc.
- Mankhwala okhala ndi michere. Izi nthawi zambiri zimakhala kapamba.
- Antispasmodics
- Mankhwala ochepetsa bloating komanso kuchepetsa nseru
Koma ngakhale mutamwa moyenera mankhwala onse omwe mwapatsidwa, sizingatheke kuchiritsa kapamba popanda kuwona zakudya zapadera, ntchito yayikulu yomwe ndikuthandiza gland yofooka ndi ziwalo zina zam'mimba.
Thanzi la chifuwa chachikulu. Malangizo
Muyenera kudya m'magawo ang'onoang'ono
Sikokwanira kungotsatira zakudya zokha komanso kusadya zakudya zina. Ndikofunikanso kutsatira malingaliro awa:
- Idyani nthawi zambiri, koma m'magawo ang'onoang'ono. Pafupifupi munthu aliyense amadziwa chakudya chotere monga kasanu kapena kasanu ndi kamodzi patsiku. Chifukwa cha zakudya zingapo zotere, kuthekera kwa kuchuluka kwa pancreatic kumatha, komwe kumakhala ndi zotsatirapo zoipa.
- Ndikofunika kudya zakudya tsiku lililonse nthawi yomweyo, kuti thupi likonzekere kale ntchito isanakwane
- Mumangofunika kudya chakudya chotentha. Kulandila kuzizira kapena, kutenthedwa kwambiri ndizoletsedwa
- Zakudya ziyenera kuphikidwa kaya zikupaka, kapena kuphika, kapena kuphika. Kugwiritsa ntchito yokazinga zakudya zomwe zimakonzedwa pogwiritsa ntchito mafuta ambiri a masamba sizikupezeka
- Kuchotsa zakumwa zoledzeretsa. Ngakhale kumwa pang'ono sikuloledwa, popeza ngakhale kumeza pang'ono kwambiri m'thupi kungayambitse vuto
- Choletsa pakudya zamafuta ambiri monga mafuta anyama, nyama yamafuta, etc. Izi zimapangitsanso chidwi china chomwe chimakhala chovuta kusiya.
- Chakudya chizikhala ndi zakudya zomwe zimakhala ndi mapuloteni ambiri, zomwe zimapangitsa kuti zikondwerero zikhale bwino, ndikuthandizira kuti zibwezeretsenso.
- Chakudya chimayenera kukhala chosiyanasiyana, ngakhale chakudya
- Lekani mitundu yonse ya maswiti, chifukwa amatha kupangitsa kuti pakhale matenda osasangalatsa komanso owopsa monga matenda a shuga
Kutsatira malangizo omwe ali pamwambapa, mutha kupeza zotsatira zabwino pochiza matenda a kapamba.
Malonda Ovomerezeka
Pakudya, ndikofunikira kutsatira malingaliro onse a adotolo, chifukwa thanzi la wodwalayo limatengera izi. Chifukwa chake, kwa wodwala wokhala ndi kapamba, amalimbikitsidwa kuti aphatikizire zinthu monga:
- Nsomba, zomwe zimakhala ndi mafuta ochepa. Kuphatikiza apo, ndikofunikira kuphika mwina kwa banja, kapena kungophika
- Wotentha kapena wophika nkhuku
- Mazira, ndipo ndibwino kuzigwiritsa ntchito kupanga maeleeleal
- Zopangira mkaka wowonda, ndipo izi zikutanthauza tchizi choko ndi kefir, momwe mumakhala zochepa zowonjezera zamankhwala. Tiyeneranso kunenanso kuti ndi kapamba ndizofunikira kugula kefir popanda kununkhira
- Maphala, monga buckwheat, oatmeal, mpunga. Zigawo zitha kugwiritsidwa ntchito ngati kuphika (pokonza mbale yakumbuyo) kapena kuphika phala, zomwe ndizothandiza kwambiri pamimba
- Zamasamba, monga phwetekere, nkhaka, mbatata, broccoli
- Zipatso, monga nthochi, mapeyala, sitiroberi, chivwende ndi zina
- Marshmallows ndi pastille. Awa ndi chimodzimodzi maswiti omwe anthu omwe ali ndi pancreatitis yosatha amaloledwa kudya. Zowona, muyenera kudya pang'ono, pang'ono
- Mapikisano
- Malingaliro
Padera, ziyenera kunenedwa za zakumwa zomwe amakonda kwambiri anthu ambiri, ndiye khofi. Mu chifuwa chachikulu, saloledwa kumwa khofi, ngakhale chikho chimodzi patsiku.
Katundu Woletsedwa
Mndandanda wazakudya zoletsedwa zamatenda apakhungu Komanso sizochepa. Izi ndi monga:
- Zakudya zilizonse zokazinga, makamaka nsomba
- Zakudya zamafuta. Mwakutero gawo lamafuta a nkhumba ndi ng'ombe
- Mazira, omwe ndi mazira okazinga opangidwa kuchokera kwa iwo. Nthawi zina m'midzi, ana ndi akulu amapatsidwa dzira kuti asamwe. Chifukwa chake ngati munthu ali ndi pancreatitis yayitali, ndiye kuti ndizoletsedwa kutero
- Msuzi wamafuta, womwe umaphika msuzi wokhuta kwambiri komanso wowiritsa
- Mafuta kanyumba tchizi ndi yogati
- Mkate, makamaka tirigu
- Ziphuphu
- Keke, makeke
- Margarine
- Mowa Osamamwa mowa ngakhale pang'ono
- Zinthu zamkaka, zomwe ndi tchizi zolimba
Inde, kuthetsa zakudya zina ndizosavuta. Ambiri amatero, amachotsa mbale zina, koma osamwa mankhwala aliwonse. Chifukwa chake, pankhaniyi, zochita zonse zimakhala zopanda ntchito.
Zosintha zachitsanzo
Pofuna kumvetsetsa bwino momwe angadye pancreatitis yayitali, njira yoyenera yopatsa thanzi idzaperekedwa pansipa, ndiye kuti, tsiku lina lidzaphatikizidwa kuchokera m'moyo wamunthu:
- Chakudya cham'mawa. Chakudya cham'mawa, muyenera kudya kuti maola angapo otsatira asakhale ndi vuto lanjala. Izi sizitanthauza kuti muyenera kudya kwambiri. Ayi, chachikulu ndichakuti chakudyacho ndichabwino komanso chopatsa thanzi. Chifukwa, mwachitsanzo, pakudya cham'mawa mumatha kudya chidutswa cha tchizi, kumamwa khofi ndi mkaka, kapena kudya zakudya zokhala ndi zonunkhira (osati zamafuta), kapena nsomba
- Chakudya chamadzulo, kapena monga chimatchulidwira ku Europe, nkhomaliro. Cholinga chachikulu cha nkhomaliro ndi chakudya chocheperako chokhala ndi cholinga chimodzi chokha, pofuna kupewa kufa ndi njala. Chakudya chamasana, mumatha kudya chidutswa cha nyama yophika, tchizi chamafuta ochepa
- Chakudya chamadzulo Pa nkhomaliro, gawo lidakulirakulira. Nthawi zambiri, amayesa kuphika osati zopatsa thanzi, komanso zakudya zabwino. Pa nkhomaliro, mutha kuphika msuzi wamafuta ochepa, mbale yachiwiri, yomwe yophika mwina yowotchera kapena yophika, zipatso zina
- Chakudya chamadzulo Muyenera kukhala ndi chakudya chamadzulo ndi chakudya chopepuka kwambiri kuti m'mimba muzitha kugaya. Pakudya kwamadzulo, mumatha kudya saladi, nyama yokhala ndi mbale yam'mbali, mazira osenda kapena phala
- Zakudya zam'maso asanagone. Pakadali pano, ndikulimbikitsidwa kuti mungomwera kapu ya kefir wopanda mafuta ambiri.
Kuphatikiza chakudya ndi imodzi mwazinthu zowonetsetsa kuti zinthu zikuyenda bwino, ndipo kuukira kukucheperachepera.
Ndingadye chiyani ndi gastritis ndi kapamba? Tiwuza Kanemayo:
Zakudya za pancreatitis ndi cholecystitis sikuti zimangokhala njira zachakudya zopatsa thanzi, ndi mbali ya mankhwalawa, osagwiritsa ntchito malamulo omwe mankhwalawo amamwa adzawononga ndalama. Malongosoledwe ake ndi osavuta: zonse zikondamoyo ndi ndulu zimatengera gawo lalikulu pakudya m'mimba (ndizinthu izi zomwe zimaphwanya zinthu zomwe zimapangidwa kuti zikhale zomveka bwino "kumatumbo").
Kutengera mtundu wa njira yotupa (ikhoza kukhala yovuta kapena yopweteka), muyenera kupatsanso ziwalozo kwakanthawi, kapena kuyambitsa ntchito yawo pang'ono. Poyamba, adzatha kuchira, chachiwiri - osati atrophy.
Zakudya za pachimake
Zakudya zopatsa thanzi ndi pancreatitis ndi cholecystitis pachimake kapena kufalikira kwamatenda osapatsirana ziyenera kupatsa ziwalo mtendere mwamtendere, ndikupatsa mwayi kuti achire. Kuti muchite izi:
- M'masiku atatu oyamba omwe simuyenera kudya, mumangomwa madzi owiritsa osaphatikizidwa ndi kaboni ndipo nthawi zina 100-200 ml patsiku la Borjomi kapena Kvassaya Polyana, komwe mipweya yonse idachotsedwa kale.
- mwa masiku atatu, ngati kupweteka kwam'mimba kwatha, mutha kukulitsa chakudya. Tiyi yopanda mafuta, masamba ophika osaphika, mafuta ophikira kapena mpunga wophika mumkaka ndi madzi (1: 1), obisala, omelet ochokera ku mapuloteni a nkhuku amatulutsidwa.
- patatha sabata imodzi amatha kulola tchizi-mafuta ochepa, masamba ophika (kupatula kabichi),
- ngati zinthu zomwe zili pamwambazi sizikukulitsa ululu wam'mimba, osayambitsa matenda otsegula m'mimba komanso kusanza, nsomba yophika ndi mafuta ochepa, soufflé kapena cutlets za nkhuku zoyera kapena nyama ya Turkey, semolina ndi phala la buckwheat
- Pokhapokha miyezi 1-2 amasinthana ndi tebulo 5p, yolimbikitsidwa kuti azitsatira kwa nthawi yayitali - pafupifupi chaka - nthawi.
Zakudya za matenda a kapamba
Amatchedwa "tebulo la 5p", ndipo amadziwika kuti "osasamala, okhala ndi chakudya chambiri (makamaka shuga) komanso mafuta ochepa kwambiri":
- zopatsa mphamvu za tsiku ndi tsiku za nkhaniyi ndi 2,600 - 2,800 kcal,
- mapuloteni pafupifupi 120 g / tsiku (osapitirira 60% a mapuloteni amanyama),
- mafuta masamba - pafupifupi 15 g / tsiku, nyama - 65 g / tsiku,
- chakudya - yoposa 400 g,
- shuga - supuni 1 yokha / tsiku,
- m'malo mwa sucrose - 20-30 g ya sorbitol kapena xylitol patsiku,
- mchere - osapitirira 10 g
- zakumwa - malita 2.5, wopanda mpweya,
- mikate yoyera (dzulo) - zosaposa 250 g / tsiku.
Mfundo za 5p tebulo
Pofuna kukonza chimbudzi m'thupi la odwala, mfundo zotsatirazi za zakudya ziyenera kuonedwa:
- chakudya - 5-6 pa tsiku, m'magawo ang'onoang'ono,
- Kutentha kwa chakudya ndi pafupifupi madigiri 40,
- kuchuluka kwa chakudya patsiku sikuyenera kupitirira 3 kg,
- maziko a chakudyacho ndi chakudya chama protein,
- Zakudya zokazinga, zamchere ndi zoterezi siziyenera kuphatikizidwa,
- masamba ayenera kuwiritsa kapena kuwotcha,
- msuzi - kaya masamba, kapena msuzi wa nyama 3,
- imwani zakumwa zochokera pamaluwa oyamwa,
- Mazira a nkhuku (ndipo makamaka mapuloteni okha) kudya katatu pa sabata mu mawonekedwe a omeleta ndi mazira owiritsa.
Uphungu! Mu zakudya ziyenera kukhala zokwanira kuchuluka kwa fiber. Kuphatikiza apo, muyenera kugwiritsa ntchito kapu imodzi ya kefir ndi mapeyala ochepa tsiku lililonse.
Kodi mkaka wophika wothandiza pancreatitis
Lactic acid imakhala ndi phindu pancreas ndi m'mimba dongosolo lonse. Zakudya zoterezi zimapezeka m'mapuloteni, omwe amabwezeretsa maselo a gland ndipo amathandizira kuti chimbudzi chikhale cholimba.
Chifukwa chake, zakudya za pancreatitis ziyenera kulemekezedwa ndi mapuloteni 25-25% kuposa zakudya za munthu wathanzi. Mapuloteni amkaka nawonso ali ndi ma amino acid ofunikira, omwe amapezeka mofulumira komanso osavuta kugaya poyerekeza ndi zinthu zofunikira kuchokera ku nyama ndi nsomba.
M'pofunikanso kudya mkaka wokhathamira chifukwa zinthu izi zimakhala ndi calcium yambiri, zomwe zimapangitsa kuti ntchito zachiberekero zigwire ntchito mwachangu. Komanso, poyerekeza ndi mkaka wonse, Ca kuchokera ku yogati, kefir kapena tchizi chanyumba chimamwidwa mwachangu.
Kugwiritsa ntchito lactic acid mu pancreatitis kumasonyezedwa ndikuti ili ndi bifidobacteria ndi lactobacilli, Bulgaria ndi acidophilus bacillus. Zikhalidwe izi zimatha kugwetsa pang'ono lactose, chifukwa chake chinthucho chimapangidwa bwino ndikugayidwa.
Komanso, phindu la mabakiteriya okhala ndi lactic ndi awa:
- bwezeretsa matumbo microflora,
- sinthani zofunikira,
- siyani kuwononga chakudya m'mimba,
- letsa kupangidwa kwa mpweya,
- osalola kukula kwa dysbiosis,
- onjezerani chitetezo chokwanira
- imathandizira njira zakuchira ndi kuchira kwamthupi mu matenda osachiritsika.
Zomwe zimagwiritsidwa ntchito mkaka pazinthu zosiyanasiyana za kapamba
Kutupa kwa pancreatic kumatha kukhala koopsa kapena kosatha. Komanso, yayitali njira ya matendawa amagawidwa magawo awiri - kukhathamiritsa ndi chikhululukiro. Chifukwa chake, ndikofunikira kudziwa mtundu wamatenda omwe amaloledwa kudya mkaka, komanso momwe angayambitsire zakudyazo.
Kodi ndizotheka kudya zopatsa mkaka zomwe zimakhala ndi pancreatitis pachimake? Mwakuwukira mwamphamvu, muyenera kukana kudya zakudya zotere.
Lactic acid imayamba kuwonjezeredwa kumenyu ya tsiku ndi tsiku pamene zizindikirozo zimachepa komanso mkhalidwe wa wodwalayo ukupita bwino. Choyamba, wodwalayo amawonetsedwa phala lamadzi am'madzi, theka lomwe limaphatikizidwa ndi madzi.
Patsiku 5, tchizi chamafuta ocheperako amaphatikizidwa muzakudya. Mlingo wovomerezeka tsiku lililonse ndi 100 g, osapitilira 50 magalamu omwe amaloledwa kudya kamodzi. Mutha kudyanso omele yamkaka ndi mkaka.
Mukuchira, pakatha masiku 14, pamene kuukira kwadzuwa kukuchoka, mumaloledwa kumwa kefir (1%) pa mamililita imodzi panthawi ndikusintha mbale ndi batala (zosaposa 5 g). Ndi chikhalidwe chokhazikika cha wodwala, zakudya zotere ziyenera kutsatiridwa mpaka masiku 70.
Ngakhale ndi pancreatitis yovuta kwambiri, mumatha kudya yogurt yamafuta ochepa ngati chakudya. Mlingo woyamba ndi kapu ¼ patsiku.
Mkaka wothira ndi pancreatitis yosatha umaloledwa kugwiritsidwa ntchito ngati matendawa akukhululukidwa. Nthawi yomweyo, mafuta omwe amapezeka pazinthu siziyenera kupitilira 2.5%.
Ndikachulukirachulukira kapena kuchuluka kwa mkhalidwe, kuchuluka kwa mkaka kumachepetsedwa. Inde, mu chakudya chotere mumakhala mafuta ambiri, odzaza ziphuphu zofooka.
Ndi chikhululukiro chokhazikika, amaloledwa kuwonjezera uchi, m'malo mwa shuga, zipatso zopanda acid ndi zipatso ku yogati, mkaka wowotchera wowotedwa kapena tchizi chokoleti. Ngati palibe zizindikiro zowawa, ndiye kuti mutha kudya zonona wowawasa (10%) ndi batala (mpaka 10 g patsiku).
Mu chifuwa chachikulu cha pancreatitis, amaloledwa kumwa mkaka ofunda (mpaka 0,5 makapu patsiku), koma pokhapokha ngati angalekerere. Komanso, kupewa matenda am'matumbo, pofuna kupewa poyizoni, chakumwacho chimapatsidwa chithandizo chamankhwala otentha.
Komabe, odwala ambiri ndizovuta kulekerera chakumwa chachilengedwe.
Chifukwa chake, pakuwoneka kutulutsa magazi, kutsekula m'mimba, mseru ndi zovuta zina zam'mimba, kugwiritsa ntchito mkaka wonse kuyenera kusiyidwa.
Zovomerezeka ndi Zoletsedwa Zamkaka
Chida chothandiza kwambiri cha kutupa kwa kapamba ndi yogati. Chakudya chokoma chimathandizira pancreatitis ndi cholecystitis kubwezeretsa zipolopolo zowonongeka za ziwalo zodwala. Imayamwa bwino ndi thupi komanso kusintha mgonero.
Yogurt imakonzedwa kuchokera mkaka, kudzera mu kupesa kwake ndi mabakiteriya apadera (thermophilic streptococcus, ndodo ya Chibugariya). Ndizinthu zazing'ono izi zomwe zimapangitsa kuti malonda ake akhale makulidwe.
Ndi kapamba, yogurt yama Greek imadziwika kuti ndi yothandiza kwambiri. Ndikofunika kuphika kunyumba, zomwe zimachotsa zinthu zovulaza zomwe zimaphatikizidwa ku sitolo kuchokera pazomwe zimapangidwira.
Ndi kutupa kwa kapamba, gastroenterologists amalimbikitsa kumwa whey. Chomwacho chimapezedwa pakupanga tchizi kapena tchizi. Seramu ili ndi mafuta ochulukirapo, ili ndi mapuloteni komanso shuga wambiri m'mimba, mavitamini ndi michere.
Zina zololedwa zamkaka zokhala ndi kapamba:
- bifidoc
- tchizi tchizi (mpaka 200 g patsiku),
- tchizi chofewa osati chamchere (mpaka 50 g),
- acidophilus,
- mkaka wowiritsa
- kefir (200 ml),
- yogati (150 ml),
- buttermilk (100 ml),
- kirimu wowawasa wopanda mafuta (supuni 1),
- batala (mpaka 10 g).
Pali zinthu zingapo zamkaka, zomwe zimagwiritsidwa ntchito zomwe zimapangidwa pancreatitis. Izi zikuphatikiza mchere, kukonzedwa, kusuta, tchizi zonona ndi mafuta tchizi. Ayisikilimu ndi oletsedwa, chifukwa imakhala ndi zinthu zambiri zoyipa (margarine, mafuta a kanjedza, utoto, kununkhira).
Komanso, kutukusira kwa kapamba, kugwiritsa ntchito zonona zamafuta, kirimu wowawasa ndi mkaka wokometsedwa sizikulimbikitsidwa.
Maphikidwe Othandiza Ogwiritsa Ntchito
Pofuna kuchiza kapamba, tikulimbikitsidwa kugwiritsa ntchito msanganizo wa buckwheat ndi Whey. Amapanga ufa kuchokera ku chimanga.
Mu 200 ml ya buttermilk, kutsanulira supuni ziwiri za buckwheat pansi ndikuchoka usiku. Pambuyo podzuka, osakaniza aledzera asanadye chakudya cham'mawa.
Pancreatitis yogati imathandizanso. Itha kukonzedwa kunyumba. Kuti muchite izi, mkaka wowoneka bwino umawonjezera mphamvu ndikuthira chilichonse m'magalasi. Maluso oyikidwa kuphika pang'onopang'ono kwa maola 5-8. Ngati angafune, chotsirizidwa chimatha kutsekemera ndi zipatso ndi uchi.
Lactic acid ndi gawo la zakudya zambiri zosangalatsa zomwe zimaloledwa ndi kapamba. Chifukwa chake, ndi kutupa kwa kadzutsa, mutha kudya nsabwe zaulesi. Kuti awakonzekere, tchizi tchizi, shuga, mazira awiri ndi ufa zimasakanizidwa.
Soseji zimapangidwa kuchokera ku mtanda, zomwe zimadulidwa mzidutswa zofanana ndi pads yaying'ono. Zowotchera zimaponyedwa m'madzi otentha, pambuyo pang'onopang'ono zimaphikidwa kwa mphindi zitatu.
Mbale ina yathanzi ya kapamba ndi mchere wotsekeredwa wokhala ndi zipatso. Pokonzekera maswiti, mufunika zinthu zotsatirazi:
Zipatso zimasenda ndikusenda. Pogaya kanyumba tchizi kudzera sume, sakanizani ndi shuga ndi zonona. Masamba ndi nthochi zimawonjezedwa. Ngati angafune, gelatin imatha kuwonjezeredwa ku mchere.
Mbale yolimbikitsidwa ya kapamba ndi pie ya apulosi yokhala ndi kefir. Kuti apange charlotte, mazira awiri amamenyedwa ndikuphatikizidwa ndi 300 ml ya chakumwa cha mkaka chopatsa.
Kenako soda (5 g), ufa ndi semolina (chikho 1 chilichonse) zimawonjezeredwa. Sendani maapulo atatu akuluakuluwo ndi kudula iwo kukhala magawo owonda.
Pansi pa nkhungu, mafuta, kufalitsa zipatso, zomwe zimathiridwa ndi mtanda. Mphamvuyo imayikidwa mu uvuni wa preheated kwa mphindi 35.
Pofuna kutupa kwa gland, curd pudding iyenera kukonzekera. Kuti muchite izi, muzimenya mapuloteni awiri ndikusakaniza ndi supuni ziwiri za semolina, shuga, madzi ndi 200 ga kanyumba tchizi.
Pa chikhululukiro, amaloledwa kuwonjezera kaloti ndi batala. Kusakaniza kumayikidwa mu poto ndikuwaphika mu kabati kapena steamed.
Zakudya tchizi souffle ndi mbale ina yomwe ingaphatikizidwe muzakudya za tsiku ndi tsiku za kapamba. Chinsinsi cha kukonzekera kwake ndi motere:
- Tchizi tchizi (500 g) imaphatikizidwa ndi yogurt yamafuta ochepa (100 g).
- Onjezani zest lalanje, kaloti wowotchera kapena maapulo ku misa.
- Kusakaniza kumakometsedwa ndikukwapulidwa ndi blender.
- 10 g wa gelatin amawonjezeredwa ku zokongola.
- Unyinji umafalikiranso pang'ono mawonekedwe.
- Zakudya zophikaphikazo zimaphikidwa pafupifupi mphindi 20 pa madigiri a 180.
Ndi pancreatitis, cheesecakes chamagulu amaloledwa. Kuti awaphikire tchizi chamafuta ochepa (200 g) amasakanikirana ndi kapu ya oatmeal, dzira limodzi ndi shuga.
Mipira yachikopa imapangidwa kuchokera ku mtanda, imayikidwa pa pepala lophika yokutidwa ndi zikopa. Cheesecake kuphika pafupifupi 40 Mphindi.
Ndi kutupa kwa pancreatic, casserole tchizi akhoza kuphatikizidwa mumenyu ya odwala. Chinsinsi cha kukonzekera kwake ndi motere: mphesa zochepa zimathiridwa ndi madzi otentha kuti akatupire. Hafu ya kapu ya kirimu wowawasa imasakanizidwa ndi semolina (supuni 2,5) ndikusiya kwa mphindi 15.
Mu mbale yozama kuphatikiza kirimu wowawasa, tchizi tchizi (300 g) ndi ufa wowotchera. Mu chidebe china, kumenya mazira (zidutswa ziwiri) ndi shuga (supuni 4), uzitsine mchere ndi vanila. Kenako zosakaniza zonse zimaphatikizidwa bwino ndipo zoumba zimawonjezeredwa kwa iwo.
Mtanda umayikidwa mu nkhungu, wothira mafuta ndi kuwaza ndi semolina. Casserole amayikidwa mu uvuni kwa mphindi 40.
Malamulo posankha mkaka
Malangizo akulu kwa anthu omwe ali ndi vuto la chimbudzi ndi kugwiritsa ntchito mafuta ochepa. Chifukwa chake, pogula kefir, yogati kapena yogati, ndikofunikira kuyang'ana pazomwe ali ndi mafuta, omwe sayenera kupitilira 1-3 peresenti. Kwa tchizi, kirimu ndi kirimu wowawasa, Zizindikiro zovomerezeka ndizoyambira 10 mpaka 30%.
Mukamasankha lactic acid, muyenera kuwunika atsopano. Kuphatikiza apo, lamuloli siligwira ntchito pokhapokha tsiku lotha ntchito. Gastroenterologists amati zakudya zomwe zimakhala ndi mabakiteriya opindulitsa kwambiri zimadyedwa kapena kuledzera m'masiku atatu atapangidwa. Ndikosungika kwakanthawi, michere yambiri imafa, ndipo acidity ya chakudya imachuluka.
Zosafunikira kwenikweni ndizomwe zimapangidwira mkaka. Chifukwa chake, musanagule, muyenera kuphunzira mosamala ma CD ndikuwonetsetsa kuti palibe zotetezera, flavorings, thickener ndi mankhwala ena yogati, kefir kapena wowawasa zonona.
Ndi kapamba, simungadye zopangidwa ndi zonunkhira, zonunkhira ndi mchere. Zakumwa za mkaka wa kaboni zoletsedwa ndizoletsedwa.
Ndi kutupa kwa kapamba, sizikulimbikitsidwa kuti mugule zinthu mumisika yachilengedwe. Amatha kukhala ndi tizilombo tating'onoting'ono tomwe timasokoneza microflora yamatumbo ndikupangitsa poizoni.
Momwe kudya ndi kapamba amadziwika mu kanema m'nkhaniyi.
Mu mawonekedwe
Kefir amaloledwa kudya popanda kale masiku 10 akudwala. Zambiri zamafuta siziyenera kupitirira 1%. Zimayambitsidwa mu chakudya pang'onopang'ono.
Amaloledwa kuphatikiza yogati m'zakudya kuyambira milungu itatu yamatenda.
Amaloledwa kuphatikiza yogati m'zakudya kuyambira milungu itatu yamatenda. Mafuta ake sayenera kupitilira 1%.
Kugwiritsa ntchito ryazhenka m'njira yovuta ya matenda ndizoletsedwa.
Kanyumba tchizi saloledwa mafuta osaposa 3%, okhala ndi acidity pamtunda wa Turner osapitirira mayunitsi zana ndi limodzi. Gwiritsani ntchito yosenda kapena mawonekedwe a pfuti.
Mwanjira yovuta kwambiri ya kapamba, kirimu wowawasa amatsutsana mwapang'onopang'ono.
Zogulitsa zochepa panthawi ino ya matendawa ndizokwanira kupewetsa chithandizo chonse ndikuwonjezera mkhalidwe wa wodwalayo.
Nthawi yayitali
Ndi thanzi labwino komanso kusangalala, kugwiritsa ntchito kefir kumakhala kotheka (ndi mafuta omwe ali ndi 2,5%).
Yogurt imatha kudyedwa ndi mafuta okhala mpaka 3.2%.
Nthawi yayitali, mkaka wophika wopanda pake umaphatikizidwa muzakudya za wodwalayo, kuphatikiza ndi zina mkaka. Iyenera kukhala ryazhenka yokhala ndi mafuta ochepa.
Nthawi yayitali, mkaka wophika wopanda pake umaphatikizidwa muzakudya za wodwalayo, kuphatikiza ndi zina mkaka.
Kugwiritsira ntchito tchizi chanyumba munyengo yovomerezeka kumaloledwa ndi mafuta a 5%, mu gawo lazikhululukiro - kuchokera 9%. Itha kusakanikirana ndi chimanga, vermicelli ndi nyama.
Pakadali pano, kugwiritsa ntchito kirimu wowawasa kumaloledwa pomwe palibe zotsutsana ndipo mayeso amakhala abwinobwino. Muyenera kusankha kirimu wowawasa wopanda mafuta, wophatikiza kirimu, wowawasa ndi mkaka. Kugwiritsira ntchito kirimu wowawasa kumaloledwa kokha kuvala masamba pure ndi supu.
Ndi kapamba ndi cholecystitis
M'pofunika kutsatira malangizo apadera owonera kutentha kwa mkaka (mkaka wophika wopanda mkaka, kefir, yogati).
Sizoletsedwa kugwiritsa ntchito zakudya ozizira - ayenera kukhala kutentha.
Udindo wofunikira pancreatitis ndi cholecystitis umaseweredwa ndikutsatira kwambiri zakudya. Kwa odwala omwe ali ndi matendawa, omwe amapangidwa mwapadera zakudya zamafuta: No. 5 ndi No. 5p.
Mwa mawonekedwe owopsa, njala imalimbikitsidwa kwa odwala tsiku loyamba. Pambuyo pake, zopangidwa ndi zakudya zimayambitsidwa pang'onopang'ono m'zakudyazo.
Kodi kapamba angadye mkaka wowotchera?
Zopangira mkaka ndizosungiramo zinthu ndi mavitamini, zimathandiza kupatsa thupi zinthu zofunika. Kugwiritsa ntchito kwawo kuyenera kuphatikizidwa pakudya kwa wodwala ndi kapamba. Kuchuluka kwa mitundu komanso mitundu yonse ya mankhwala kumatsimikiziridwa mu mawonekedwe amtundu uliwonse wa kapamba mu njira zosiyanasiyana.
Fomu yovuta
M'masiku oyambirira kuukira, choletsa chamagulu chilichonse. Zowotcha mkaka wowonda zimatha kuyambitsidwa masiku 5 okha atachulukitsidwa, monga mwa chiwembu:
- Gawo loyamba ndikukhazikitsa tchizi yopanda mafuta, chokhazikika. Muyenera kuyamba ndi 50 g, pang'onopang'ono kuwonjezera kuchuluka mpaka 100 g patsiku.
- Kwa masiku 10-14 kuchokera kuukira, mutha kuwonjezera kefir kuzakudya zanu, pomwe 1% yokha. Kuyambira ndi galasi la kotala, ndikubweretsa galasi limodzi patsiku.
- Pakutha sabata yachiwiri kuchokera ku kuukira, zamkaka zotsala zimayambitsidwa: yogati, yogati (yachilengedwe, yopanda zowonjezera zina), mkaka wophika wopanda mkaka.
Zofunika! Ngati zizindikiro zosasangalatsa zimachitika, ndikofunikira kupatula chakudyacho muzakudya.
Munthawi ya kapamba owopsa, kugwiritsa ntchito seramu sikulimbikitsidwa. Ili ndi lactose yambiri. Kuchuluka kwake kumatha kuyambitsa mavuto. (kuchuluka kwa kupanga kwa gasi, kupondera, kutsekula m'mimba). Odwala ambiri okhala ndi mawonekedwe owopsa amakhala ndi tsankho lactose, izi ndizowonongera zovuta kuti agwiritse ntchito.
Kirimu wowawasa ndi tchizi simalimbikitsidwanso mu nthawi ya pancreatitis.. Amakhala ndi mafuta ochulukirapo komanso osalimba, izi zimapangitsa kuti zikhale zolemetsa zina kwa kapamba.
Fomu yovuta
Ndi chifuwa chachikulu cha chikhululukiro, zamkaka ndi zina mwazinthu zazikulu pazakudya. Monga kefir, mkaka wophika wopanda mafuta, yogati, kirimu wowawasa (mafuta ochepa komanso otsika), yogati, tchizi chanyumba, tchizi. Amathandizanso thupi kupweteka kwa kapamba:
- Kuphatikizikako kumakhala ndi mabakiteriya amoyo omwe amapangidwa chifukwa cha kupsa. Mabakiteriyawa ali ndi phindu pa gawo lonse la m'mimba: kusintha chimbudzi, sinthanso microflora yamatumbo, kuchepetsa mphamvu ya tizilombo tating'onoting'ono.
- Mu zinthu za lactic acid, kuchuluka kwa lactose kumakhala kochepa, izi zimapangitsa kuti chimbudzi chake chikhale ndi mphamvu mosavuta, mosiyana ndi zinthu zamkaka.
- Tumikirani ngati gwero lamapuloteni. Chofunikira chomanga chitetezo chamthupi ndi minofu yathu.
- Muli ndi calcium yambiri.
Zofunika! Kashiamu yokhala ndi zinthu za mkaka wothira bwino imakwaniritsa zofuna za thupi zamaeleeleriyumu, chifukwa imatengedwa mwachangu komanso bwino kuposa zinthu zamkaka.
Munthawi yakukhululuka kwamphamvu, kugwiritsa ntchito kirimu wowawasa ndi tchizi ndikololedwa. Ndikofunika kugwiritsa ntchito kirimu wowawasa ngati kuvala msuzi, masaladi. Tchizi amaloledwa mitundu yamafuta ochepa.
Ngati mukumwa mankhwala a lactic acid palibe zomwe zimachitika, ndiye kuti mkaka ungayambitsidwe muzakudya popanda mantha, koma osakhala wowoneka bwino (chimanga ndi ma omeleta amkaka, mkaka odzola).
Panthawi yowonjezera kwambiri kapamba, chizikhala chofunikira kuti muchepetse kumwa zamkaka kapena kuzisiyiratu.
Thandizo! Kirimu wowawasa, tchizi, zonona zamafuta ndi mkaka wokhala ndi kapamba panthawi yachulukidwe ndizoletsedwa.
Kodi mungasankhe bwanji zinthu za odwala?
Popewa zovuta, ngakhale pakulola mkaka, ndikofunikira kufikira chisankho chawo molondola:
- Mafuta okhutira. Kwa zakumwa zamadzimadzi, zamafuta azikhala ndi 1% mpaka 2,5%, kirimu wowawasa mpaka 10%, tchizi cha kanyumba mpaka 4%.
- Muyenera kusankha zinthu zatsopano zokha, onetsetsani kuti mwatchera khutu kutha kwa kumaliza ntchito.
- Zogulitsa ziyenera kukhala zachilengedwe kwathunthu, popanda zina (zowonjezera, zonunkhira, zosungirako).
Kutsatira malangizo onse, simungamangosangalala ndi zakudya zokha, komanso zinthu zambiri zothandiza m'thupi lanu.
Kugwiritsa ntchito zinthu zamkaka za kapamba
Zogulitsa mkaka wowawasa zimakhala ndi zinthu zingapo zothandiza zomwe zimakhala ndi phindu pa kapamba wowonongeka, m'mimba komanso thupi lonse:
- Zinthu zonse zamkaka zopaka zimakhala ndi mapuloteni ambiri - chinthu chofunikira kwambiri pakupanga maselo a pancreatic ndikupanga michere yokumba. Ndiye chifukwa chake zakudya za kapamba zimayenera kulemekezedwa ndi mapuloteni, kuyambitsa kuyambitsa 25-40% poyerekeza ndi chizolowezi cha anthu athanzi. Nthawi yomweyo, mapuloteni athunthu azinyama omwe amapezeka ndi zinthu zonse zofunika za amino acid omwe amapangidwa mumkaka wothira mkaka amamwa mwachangu komanso mosavuta kuposa, mwachitsanzo, kuchokera ku nyama kapena mkaka.
- Zinthu zamkaka zimakhala gwero la calcium, zomwe zimafunikanso kubwezeretsa ntchito m'mimba mwa kapamba. Ndipo kuyerekezera ndi calcium ku mkaka, calcium yamkaka yamkaka yamkaka yosavuta kuyamwa.
- Zowonda mkaka wowawasa zakonzedwa pogwiritsa ntchito zikhalidwe zapadera zoyambira zokhala ndi lactic acid mabakiteriya - lactobacillus ndi bifidobacteria, acidophilus bacillus, bacillus waku Bulgaria, etc. Lactic acid mabakiteriya amaswa lactose pang'ono, potero amathandizira kugaya ndi kukopeka kwa chinthucho poyerekeza ndi mkaka wonse. Kuphatikiza apo, lactic acid mabakiteriya azikhalidwe amabwezeretsa matumbo microflora (chotsani mawonetseredwe a dysbiosis), kusintha matumbo ndi kugaya ntchito, kupondereza mapangidwe a gasi komanso njira zosafunikira m'matumbo. Chifukwa cha zomwe zili ndi mabakiteriya amodzi a lactic acid, zinthu mkaka wowawasa zimakulitsa chitetezo chathupi mokwanira ndikufulumizitsa kuchira ndi kuchira pambuyo pa matenda opatsirana, monga pancreatitis.
Zopangira mkaka wa pachimake kapamba komanso kukokoloka kwa nyengo
Panthawi yowonetsa matendawa, kugwiritsa ntchito mkaka pang'ono kumaloledwa. Izi zikuphatikiza kanyumba tchizi ndi kefir. Tchizi chopanda mafuta chosasenda mafuta chimayambitsidwa menyu kuyambira masiku 4-5 odwala, kefir (tsiku ndi tsiku, mafuta mpaka 1%) - pofika sabata yoyamba kuchokera ku matenda a kapamba. Momwe zimapangidwira bwino (kuyambira pafupifupi masabata awiri atayamba kuchulukitsa), zinthu zina zamkaka zowonjezera zimayambitsidwa pang'onopang'ono - mkaka wophika wowotcha, yogati, yogati. Ayenera kukhala atsopano (tsiku ndi tsiku), opanda mafuta ndipo osakhala ndi zowonjezera zina zowonjezera (zowonda, mabulosi amtundu wa zipatso, shuga, ndi zina).
Mkaka mu nthawi chikhululukiro matenda kapamba
Pa chikhululukiro cha pancreatitis, zakudya zama mkaka ndizovomerezeka tsiku lililonse zimaphatikizidwa muzakudya za wodwala. Chowonjezera chawo chikukula kwambiri - amaloledwa kugwiritsa ntchito kirimu wowawasa, tchizi, mitundu yonse yamadzi yopaka mkaka. Amadyedwa mwatsopano ndikugwiritsira ntchito kuphika. Koma muyenera kusankha malonda mogwirizana ndi zofunika zina.
Makhalidwe posankha mkaka wa kapamba
- Mafuta - pazinthu zamadzimadzi, ziyenera kukhala m'magulu a 1-2.5% (3,2% ndi 4% - ndizosafunikira kale, koma zovomerezeka ndi kukhululuka kosalekeza ndikubwezeretsa ntchito ya pancreatic). Mafuta a kirimu wowawasa sayenera kupitirira 10%, ndipo amangogwiritsidwa ntchito m'mbale. Tchizi cha kanyumba chikulimbikitsidwa kuti muzikhala ndi mafuta ochepa (4%), tchizi zimasankhidwanso mitundu yamafuta ochepa (mpaka 30%).
- Zatsopano - mkaka wokaka wopanda mkaka uyenera kukhala watsopano. Ndipo sikuti ndi tsiku lokha. Kuti mupeze phindu lalikulu komanso kupewa kuchuluka kwa mabakiteriya acactic osafunikira komanso oyipa, ndikofunika kugwiritsa ntchito zinthu mkaka wowawasa m'masiku oyambira kupanga. Ndikusungidwa kwakutali, mabakiteriya opindulitsa amafa muzinthu, ndipo acidity imachuluka. Kuti muchite izi, ndibwino kuti muziphika nokha pogwiritsa ntchito zikhalidwe zina zoyambira.
- Kuphatikizika - choyambirira, kusapezeka kwa zowonjezera zowononga. Zogulitsa siziyenera kukhala ndi zokometsera zokongola ndi mautoto, makulidwe, zoteteza, etc. Kuphatikiza apo, zinthu zopangira mkaka wowawasa wokhala ndi zowonjezera ndi ma inclusions owopsa pancreatitis (zonunkhira zokometsera, nkhungu pa tchizi, etc.) sizuloledwa.
- Zomwa zamkaka wowawasa zonunkhira ndizoletsedwa.
Odwala omwe ali ndi pancreatitis amayeneranso kuwunika kukula kwa gawo lopangidwa ndi mkaka wokhathamira - mwachitsanzo, kirimu wowawasa amaloledwa kudya pamutu wa 15-25 g patsiku, tchizi - pafupifupi 50-100 g. Kumbukirani kuti zopaka zamkaka zokhazokha zingakhale zothandiza pokhapokha ngati zonse zofunika pakugwiritsa ntchito zikwaniritsidwa .
Dokotala wa ana ndi madokotala endocrinologist. Maphunziro - bungwe la ana la SSMU. Ndakhala ndikugwira ntchito kuyambira 2000, kuyambira 2011 - ngati dokotala wa ana m'chipatala cha ana. Mu 2016, adachita maphunziro apadera ndipo adalandira satifiketi mu ana endocrinology, ndipo kuyambira chiyambi cha 2017 ndakhala ndikulandila kuwonjezeranso ...