Zakudya atachotsa kapamba

Zikondwerero zimakonda zisonyezo. Zochita za opaleshoni pachipangizochi zimayambitsa matenda ambiri am'mimba. Izi ndichifukwa cha ntchito ya gland, imatulutsa ma enzyme omwe amasungunula chakudya. Kutsatira zakudya pambuyo pancreatic opaleshoni kupewa kupewa mavuto.

Matenda ofunikira opaleshoni

Chithandizo cha opaleshoni chikuwonetsedwa ngati sizingatheke kuthandiza munthu ndi mankhwala. Kuchita opareshoni kumachitidwanso ngati chithandizo cha Conservative sichinathandize. Matenda a pancreatic otsatirawa amayenera kuchitidwa opaleshoni:

• aakulu kapamba, limodzi ndi kuchulukitsidwa kawiri pachaka komanso kangapo,
• kapamba pachimake ndi kuwonongeka kwa minofu,
• kufa kwa gawo kapena chiwalo chonse,
• kuvulala kwambiri
• chotupa chowopsa
• chotupa chachikulu chovunda
• ma cysts angapo
• miyala miyala.

Njira zochizira matenda a chiwindi ndi kapamba ndizovuta kuzichita. Zovuta zimachitika chifukwa cha kukonzekera kwapafupi kwa ziwalo, kuchuluka kwamitsempha yamagazi. Tizilombo ta glandular ndi zofewa, ndipo nkovuta kuzimeza.

Njira zopangira opaleshoni yamankhwala:

• kukonza zolakwika,
• Kusintha kwachiwalo, mwachitsanzo kuchotsa kwa china chake,
• Kuchotsa kwathunthu kwa kapamba.

Malingaliro a opareshoni atsimikiza ndi dokotala wa opaleshoni, potengera kuzindikira kwa wodwalayo komanso momwe alili. Asanapange chithandizo chamankhwala opangira opaleshoni, wodwala amafunika kuphunzira mosamalitsa. Zakudya ndizofunikira pakadali pano. Pamaso pa opaleshoni yamatumbo a pancreatic, munthu amapatsidwa menyu wapadera, ndipo tsiku loti athandize, njala.

Zolemba za postoperative zakudya

Kukhazikitsidwa kwa zakudya zochiritsira pambuyo pakugwirira ntchito pa kapamba ndi gawo lofunikira kwambiri pakugawa. Kuwonongeka kwa makina a minofu ya ziwalo pakhungu la opaleshoni kumasokoneza kupanga ma enzyme opukusa. Zogulitsa zilizonse zomwe zimalowa m'matumbo amatuluka zimangosintha. Munthu samalandira zakudya zofunika, koma pamakhala matumbo.

Kutsatira pancreatic opaleshoni zakudya kumakhala magawo angapo:

• anjala yokwanira masiku awiri,
• Kukula pang'onopang'ono kwa chakudya,
• kudya kwa moyo wonse.

Gawo lachiwiri la chakudyacho limatenga mwezi umodzi mpaka miyezi isanu ndi umodzi, kutengera mtundu wa momwe amachitidwira. Gawo lachitatu la chakudya silimangotchulidwa, pokhapokha ngati chiwalo chachotsedwa kwathunthu.

Zololedwa ndi Zoletsedwa

Opaleshoni yamtundu uliwonse imaphatikizapo kupangika kwa chindapusa kwa masiku osachepera awiri. Munthawi imeneyi, zakudya za makolo zimachitika ndi zosakaniza zapadera.

Pakatha sabata limodzi atachitidwa opaleshoni mwa mtundu wa resection, kapena masabata awiri atachotsedwa ziwalo, kukulira pang'ono pang'onopang'ono kwa zakudya, kuwonjezera kwa zinthu zatsopano kumachitika. Pakatha mwezi umodzi kukonzanso kwa ntchito, munthu amaloledwa kusinthana ndi zakudya zabwino zomwe alibe. Ngati chiwalo chinachotsedwa pazifukwa zamankhwala, chakudyacho chimasungidwa kwa moyo wonse.

Zomwe sizingadyedwe pambuyo pochita opaleshoni ya pancreatic zimatsimikiziridwa ndi dokotala kapena wazamankhwala. Malamulo owonera kadyedwe mu wodwala pambuyo pancreatic opaleshoni:

• idyani maola anayi aliwonse, yogawa katundu pa chiwalo,
• chakudya chochepa nthawi imodzi (ochepa wodwala),
• zopatsa mphamvu - zopitilira 2000 kcal patsiku,
• kutentha kusaposa 40 * C,
• mbale zophika kapena zotentha,
• kuletsa chakudya ndi mafuta,
• osachepera lita ndi theka la madzi oyera tsiku lililonse.

Komanso kudya zakudya kumakhudzanso kugwiritsa ntchito ma enzymes - kukonza ndikubwezeretsa ntchito kwa chiwalo.

Mitundu yotsatirayi ilipo mukudya kwa wodwalayo atamuchita opaleshoni:

• msuzi wa nyama komanso wopanda mafuta,
• chakudya nyama - nkhuku, nkhuku, nyama yamphongo,
• mapuloteni omele,
• ng'ombe, mpunga, oatmeal,
• zopangidwa mkaka - tchizi tchizi, Whey, kefir,
• odzola, chakumwa cha zipatso,
• masamba kapena zipatso puree.

Steam cutlets amapangidwa kuchokera ku nyama, kuipukuta kudzera mu sieve. Wiritsani masamba kapena kuphika. Zothandiza zakudya mu mawonekedwe a souffles, mousses. Kuchuluka kwa madzimadzi ndi kumwa kangati kumatsimikiziridwa ndi adokotala. Voliyumu yapakati ndi 30 ml pa kilogalamu ya kulemera kwa odwala. Munthu wolemera makilogalamu 60 adzafunika kumwa 1800 ml wa madzimadzi patsiku. Voliyumu iyi imaphatikizapo osati kumwa madzi okha, komanso ma broth, odzola, zakumwa za zipatso.

Ayi

Pambuyo pa opaleshoni ya pancreatic, mitundu yotsatilayi imapangidwa pazakudya:

• nyama yamafuta - mwanawankhosa, nkhumba,
• skim mkaka, kirimu, wowawasa wowawasa,
• masamba okwiyitsa - radish, kabichi, radish, adyo, anyezi,
• nyemba
• tirigu ndi chimanga
• kuphika batala,
• bowa
• khofi, tiyi wamphamvu,
• mowa
• ankasuta nyama
• chakudya zamzitini
• zonunkhira.

Zogulitsa zotere zimafunikira kuchuluka kwa ma enzyme kuti mupeze chimbudzi chonse. Zikondazo atachitidwa opaleshoni kwenikweni sizimapangitsa michere. Kukondoweza kwa zinthu zake zopweteketsa mkwiyo kumakwiyitsa mobwerezabwereza.

Zosintha zachitsanzo

Zakudya za tsiku ndi tsiku zochizira kapamba ndi izi:

• Chakudya cham'mawa - oatmeal ndi cutlet ya nthunzi, kulowetsedwa kwa rosehip,
• nkhomaliro - omelet ya protein, tiyi wazitsamba,
• nkhomaliro - msuzi wamasamba wokhala ndi fumbi wamkati, kaloti wosenda wophika, compote,
• tiyi wamadzulo - tchizi chamafuta ochepa, tiyi,
• chakudya chamadzulo - tiyi wazipatso, tiyi wokhala ndi zipatso,
• musanagone kapu ya kefir.

Oatmeal amawiritsa m'madzi, ndikuwonjezera shuga ndi mchere. Kupanga msuzi wamkaka, mkaka wa skim, ma noodle kapena mpunga umagwiritsidwa ntchito. Jelly ndi wabwino popanga zipatso.

Zakudya pambuyo pancreatic opaleshoni zimawonedwa kwa mwezi umodzi, ngati kuli kotheka, nthawiyo imachulukitsidwa. Ngati chiwalo chachotsedwa, chakudyacho chimakhala ndi moyo.

Malamulo onse

Kuchotsa kwa pancreatic (kapamba) ikuchitika pamaso pa matenda oopsa oopsa komanso osagwiritsa ntchito njira zochizira. Chizindikiro cha pancreatectomy ndi: kutupa kwapakati ndi kapamba, kuvulala kwa zikondamoyo, zilonda, cysts / pseudocysts, necrotic kapamba ndi kusefukira, miyala ikuluikulu m'miyala ya zonyansa, zotupa zoyipa.

Pali mitundu ingapo ya magwiridwe antchito pa kapamba (kapamba): kuchotsa kwa gawo lina lachiberekero (chotengera) - kuchotsedwa kwa mutu wa chiberekero (pancreatoduodenal resection), kuchotsedwa kwa mchira / thupi (distal resection), kuchotsa kwathunthu kwa tiziwalo timene timatulutsa.

Popeza kapamba ndiye chida chofunikira kwambiri m'thupi, ma enzymes omwe amapereka chimbudzi, kupezeka kwathunthu / pang'ono ndi gawo lomwe lingachititse kuti chitukuko chake chikhale chokwanira.

Thanzi pambuyo pakuchotsedwa kwa pancreatic, pamodzi ndi chithandizo chamankhwala a endo / exo native pancreatic ntchito, ndichinthu chofunikira komanso chofunikira cha nthawi ya postoperative komanso nthawi yonse yobwezeretsa wodwalayo. Zakudya zamankhwala zimatengedwa ngati cholumikizira chofunikira kwambiri mu pharmacotherapy ya zovuta zama process kagayidwe ndipo ndiye maziko othandizira / kuchuluka kwa thupi la wodwalayo pazosowa zamagetsi / pulasitiki.

Zakudya atachotsa kapamba mu postoperative nthawi yake zimakhazikika pa opaleshoni yovomerezeka ya opaleshoni Ma tebulo nambala 0A, 0B, 0V. Pankhaniyi, chakudya Zakudya nambala 0A atagwira opaleshoni, amapangira masiku 5-7, osati masiku 2-3, monga momwe amachitira opaleshoni yothandizira ziwalo zina. Izi ndichifukwa chofunikira kuphatikiza zakudya za makolo ndi zachilengedwe, chifukwa opaleshoni yachipatala atalandira odwala ayenera kulandira chakudya chokwanira / choyenera, chomwe chimayamba chifukwa cha kuchuluka kwa michere ya chakudya mokhudzana ndi chikhalidwe chathupi.

Kunyalanyaza mfundo imeneyi kumachulukitsa chiopsezo chazovuta za postoperative komanso kusakwanira kochita kubadwanso. Zakhazikitsidwa modalirika kuti zothetsera / zoyenera kuchitapo kanthu pochita opaleshoni zimangotengera nthawi yayitali yodyetsa thanzi, kufunika kwa mphamvu ndi kukwanira kwa chithandizo chazakudya. Chifukwa chake, nthawi yochepa yoti wodwala akhale pazakudya zonse za makolo ziyenera kukhala zosachepera masiku 5-7, ndipo kwa iwo omwe akhala akupezeka kapamba osachepera masiku 10-12.

Kuphatikiza pang'onopang'ono kuchuluka kwa zakudya zamafuta / zachilengedwe ndi kuchepa kwapang'onopang'ono kwa zakudya za makolo ndi chinthu chofunikira kwambiri pakuchiritsira matenda muzochitika za postoperative kuzungulira kwa m'mimba thirakiti kuti pakhale palibe kapamba. Njirayi imatipatsa mwayi kuti thupi lathu likhalebe lolimbitsa thupi nthawi yayitali pakukonzanso koyambirira ndikuti muzitha kupeza chakudya chopatsa thanzi chifukwa chodyetsa opaleshoni ya m'mimba yomwe imateteza kumatumbo. Kusintha kochokera ku chakudya chathunthu ndikugwiritsa ntchito m'mimba thirakiti kumachitika ndi kuperekedwa kwa zakudya zopangira opaleshoni, ndipo mtsogolomo - buku lopukusidwa Zakudya manambala 5p.

Kutalika kwathunthu kwa zakudya zonse zopangira opaleshoni kumatha kukhala masabata 3-4, chifukwa cha kufunika kochepetsetsa pang'onopang'ono pambuyo pa opaleshoni ya pancreatic. Mafunso okhudzana ndi kuchuluka kwa zakudya / zakudya zomwe zakhazikitsidwa, kutalika kwa chakudya patebulo linalake, zofunikira zokhudzana ndi zakudya mu nthawi yogwira ntchito ziyenera kuganiziridwa payokhapokha potengera momwe wodwalayo alili pakudya, kuchuluka kwa thupi, ndi machitidwe a njira zomwe akuchira.

Pa gawo lokonzanso kunja kwa odwala omwe ali ovuta kwambiri pambuyo pochita opaleshoni yamapapo, zakudya za wodwala zimagwiritsidwa ntchito. Mapiritsi nambala 5p, mtundu wopukutidwa womwe umalembedwa kwa miyezi 1.5-2, kenako kwa miyezi 6-12 wodwalayo ali patsamba lomwe silinasinthidwe.

Malingaliro akukhala pa aliyense wa iwo amatha kusiyanasiyana kutengera njira zomwe akuchira. Munthawi yantchito yokonzanso, chakudyacho chimakulitsidwa pang'onopang'ono kuphatikiza zopangidwa zatsopano ndikuwonjezera kumwa kwake. Popeza kutsegula m'mimba Zakudya zimaphatikizidwa ndi masamba osaphika, osaphika bwino, makamaka kaloti / kabichi omwe amatengedwa katatu pa tsiku kumayambiriro kwa chakudya cha 100/150 g.

Panthawi ya chitukuko cha kukonzekera kwa chikumbumtima / kukweza kwa kapamba, zizindikiro zimatha kuchitika kapamba wa kapambakuwonetsa kutsegula m'mimba, chithuzi, malabsorption ndi kukula kwa kuchepa kwa mphamvu zama protein. Mwa gulu ili la odwala, chakudyacho chimawonjezera mapuloteni kufika pa 120-130 g chifukwa cha kuchuluka kwa nyama yopatsa mphamvu (kalulu, nkhuku, nyama yamwana wamphesa), nsomba zonda, zakudya zamkaka, nsomba, kuyera kwa dzira ndi kuchepa kwamafuta okwanira 60-70 g. zakudya zamafuta ambiri.

Zogulitsa zomwe zimakhala ndi mchere wam potaziyamu (ma compotes kuchokera ku zipatso zouma, ma juices) ndi calcium (tchizi cha calcified, calcium ndi mineral complex) zimayambitsidwa muzakudya.

Ndikulimbikitsidwa kuyeseza kuphatikizidwa mu zakudya zamatenda apadera - zosakanizira zowonjezera mapuloteni a nyama yamwana wamphongo, ng'ombe, nyama ya nkhuku, homogenized / kuyeretsa zamzitini chakudya cha ana / chakudya. Nthawi zina, atachitidwa opaleshoni yam'mimba mwa odwala, kudutsa kwam'matumbo kumasokonezeka, zomwe zimapangitsa kukulitsa kudzimbidwa ndi dysbiosis. Zikatero, kuchuluka kwamasamba ndi zipatso zosapsa m'zakudya kumachulukanso, koma nthawi yomweyo, zomwe zimapezeka m'magawo ophimbira mosavuta zimachepa, zomwe zimapewetsa kulimbikitsidwa kwa njira zamavuto ndi chisangalalo.

Kwa kulolerana kwa glucose / Zizindikiro zakukula matenda ashuga Chithandizo cha zakudya zimasinthidwa kuti zimitseketsa kagayidwe kazakudya. Zakudya zopatsa mphamvu mosavuta zimasiyanitsidwa / zimachepa kwambiri m'zakudya, ndipo zomwe zimakhala ndi zovuta za chakudya zimakhala pa 200-250 g, pomwe magwiritsidwe ake a chakudya amagawidwa chimodzimodzi monga zakudya, zomwe zimayenderana nthawi yakumwa mankhwala osokoneza bongo.

Therapyutic zakudya odwala postoperative nthawi ndi pang'onopang'ono exocrine insufficiency amafuna munthu bwino, mogwirizana ndi zakudya mawonekedwe a kapamba, zomwe zimatha kuwonetsa tsankho kwa mapuloteni, mafuta ndi chakudya. Pankhaniyi, ndikofunikira kufotokozera kuchuluka kwa zovuta zoterezi: zomwe zimapanga / kuchuluka kwake komanso kuphatikiza komwe wodwalayo salola. Chifukwa chake, ndikofunikira kuphatikiza mu zakudya zomwe zimaloledwa ndi wodwalayo, poganizira zolimbitsa thupi popereka BJU ndi zofunikira zamagetsi.

Odwala onse omwe akhala akuchulukiratu kapena kuchotsedwa kwathunthu kwa kapamba amafunikira mankhwala othandizira, komanso kuwunikira glycemia. Kuchuluka kwa mankhwalawa komanso kukonzekera kwa mankhwala othandizira (othandizira kugaya ma enzymes), ndipo ngati ndi kotheka, mawu oyamba insulinamatsimikiza ndi dokotala payekhapayekha.

Zinthu Zololedwa

Zakudya atachotsa kapamba zimaphatikizapo:

• Supu yokonzekera yokha pamabichi am masamba omwe amakhala ndi masamba ophika mosamala ndi grated / masamba ophika bwino (semolina, hercules, mpunga). Mutha kudzaza sopo ndi batala / mafuta a masamba, kirimu wowawasa, ufa wowuma, ndi zonona.
• Masamba ophika / osenda (mbatata, zukini, dzungu, kaloti, kolifulawa, beets, nandolo zobiriwira). Pambuyo pake, ndi kulolerana kwabwino, mutha kudya dzungu la grated, kaloti, nkhaka ndi tomato.
• Zikopa za nyama yofiyira (ng'ombe, nyama yamwana wamchere), nyama, kalulu wa nkhuku, ma turkeys owotchera / otentha, zopangidwa ndi mineral (ma-meatball, ma-meatball, souffle, dumplings, meatballs). Nyama yophika / nyama ya kalulu imatha kudyedwa mzidutswa.
• Maphala (buluwheat, oatmeal, mpunga, semolina ndi oatmeal) yophika pamadzi ndi kupukutidwa mosasintha.
• Msomba wochepa-mafuta / nsomba yophika mwanjira ya cutlets ndi chidutswa (cod, pollock, perch, pike, whiting blue, pike perch, hake, carp). Kuphika nsomba m'magawo / mitembo yonse. Nsomba zotsogozedwa sizimaloledwa, chifukwa zimakhala ndi zinthu zambiri zowonjezera.
• Mkate wa tirigu wakale (I ndi II grade), makeke odalirika
• Zowaka mkaka wowonda wamafuta ochepa: yogati, kefir, acidophilus, kolimba molimba polongedza puddings, casseroles, soufflé kapena mtundu, kutsukidwa tchizi.
• Maelekela owiritsa mapuloteni otentha / dzira (1 pc patsiku).
• Msuzi pa masamba / mucous decoction wa mbewu monga chimanga ndi kirimu wowawasa. Utsi
• Yophika kucha maapulo okoma.
• Mafuta, batala woyamba, yemwe umawonjezedwa ndi phala / puree mu 15-20 g patsiku, ndiye woyengeka ndi mpendadzuwa mafuta (5-15 g).
• Zipatso / zipatso mu mawonekedwe a zakudya, kupanikizana, zakudya ndi mousse. Zipatso zouma - zosenda, zakudya zamafuta, nsagwada, zipatso zosaphika / zipatso mu mawonekedwe osenda.
• Mwa zakumwa - rosehip kulowetsedwa, zipatso zamadzimadzi zothiriridwa ndi madzi, tiyi wofooka ndi ndimu, madzi a tebulo opanda mpweya, compotes zatsopano ndi zouma zipatso.

Zolemba zamagulu azakudya

Zikondazo zimatulutsa ma enzymes ndi mahomoni, popanda momwe chimbudzi ndi kunyentchera kwa zakudya zimatha kukhala zosatheka. Magwiridwe a chiwalo chiyenera kusinthidwa mwakapangidwa ndi mankhwala.

Chifukwa chake, gawo latsopanolo kapena lathunthu, thanzi la wodwalayo lidzasintha kwambiri, ndipo ayenera:

• tsatirani kwambiri zakudya zomwe simuphatikiza mndandanda wonse wazogulitsa ndi njira zophikira: kukazinga, kusuta, kukoka,
• Nthawi zonse khazikitsani kuchuluka kwa insulin, kuichirikiza.
• Nthawi zonse tengani michere yokumba,
• Pewani kuchepa kwambiri komanso kutentha kwadzidzidzi.

Kuphatikiza apo, atachitidwa opaleshoni yapancreatic, dokotalayo amapereka mankhwala owonjezera a vitamini: E, A, K, B12 ndi D.

Opaleshoniyo akangomaliza, wodwalayo amakhala ndi zakudya zopatsa chidwi kholo kapena kugwiritsa ntchito kafukufuku. Kutengera ndi zovuta za kulowererapo kwa opaleshoni ndi magwiridwe antchito a wodwalayo, nthawi ya chakudya yochita kupanga imatha kukhala sabata limodzi mpaka masiku 12.

Kuthekera kosamutsa wodwala ku zosakaniza zosakanikirana (makolo a + chakudya chachilengedwe), komanso kusinthira komaliza chakudya chamtundu, kumatsimikiziridwa ndi adokotala.

Pofuna kuti zisachulukitse ziwalo zogaya chakudya, kusintha kwa zakudya zachilengedwe kuyenera kupita patsogolo:

• Masiku 7 oyamba atachitidwa opaleshoni ya pancreatic, wodwalayo amapatsidwa chakudya malinga ndi tebulo la chakudya No. 0. Zakudya zopatsa thanzi kuti zikonzenso odwala pambuyo opaleshoni yam'mimba.
• Kuyambira masiku 7 mpaka 14 - chakudya patebulo la 1a.
• Kuyambira masiku 14 mpaka 21 - tebulo lazakudya Na. 1b.

Kuphatikiza apo, pafupifupi miyezi iwiri, wodwalayo amadya malinga ndi dongosolo No. 5p, lomwe limakhala ndi calorie yocheperako, amasunga chakudya (izi amadya kuti ziwonongeke kwambiri). Pambuyo pake, wodwalayo amadya kwa nthawi yopanda malire malinga ndi mtundu wachiwiri wa system No. 5p. Gome lodyerali limapangidwira nthawi zakhululukidwa mu chifuwa chachikulu, kuchuluka kwa kalori kuyambira 2500 mpaka 3200 kcal.

Zambiri

Madokotala amatcha kapamba kuti ndi chida chosakhazikika komanso chosasinthika. Pochita opaleshoni, nthawi zambiri "amawonetsa" mikhalidwe yosayembekezeka. Ntchito ndizovuta.

Chiwerengero chachikulu cha imfa chimadziwika. Kukula kwa kupulumuka kumadalira zaka komanso chikhalidwe cha anthu. Papita nthawi yayitali kuti munthu ayambenso kuchira. Kuchotsa gawo lililonse la kapamba amatchedwa pancreatectomy.

Opaleshoniyo ikhoza kukhudza:

• matumbo ochepa
• zamitsempha
• m'mimba
• chikhodzodzo
• ndulu.

Mfundo zaumoyo

Chakudya mutachotsa kapamba ndichofunikira kuvomerezeka chomwe chimakupatsani mwayi wowunika momwe wodwalayo alili komanso kupewa mavuto obwera pambuyo pake. Wodwala azizolowera zakudya zatsopano zomwe sizimagwiritsa ntchito zina mwazomwe zimagwiritsidwa ntchito, komanso mfundo zapadera za zakudya:

• Zakudya zoikika. Popeza momwe magwiridwe antchito atsopano amagwirira ntchito, muyenera kupatsa thupi nthawi yoti zizolowere.
• Muyenera kudya maola onse a 3-4, magawo osapitilira kuchuluka kwa 200-250 g Chakudya chomaliza - pasanathe maola atatu asanagone.
• Zakudya zonse zomwe zimapangitsa kupanga madzi am'mimba (zakudya zomwe zimakhala ndi zinthu zina zowonjezera: adyo, anyezi, ndi chingamu) siziphatikizidwa ndi zakudya.
• Zakudya zokhala ndi CHIKWANGWANI, komanso zakudya zilizonse zomwe zimakhumudwitsa zimagwira mucous, ndizoletsedwa. Musanagwiritse ntchito, masamba amaphika kapena kudyetsa, ndipo chakudya chokhazikika chimakhala chokhacho cha zonona kapena zamadzi.
• Chakudya sichimakwiyitsa ndimatumbo athu. Ndizosavomerezeka kugwiritsa ntchito zakumwa zozizilitsa kukhosi, chakudya chothamanga, zakudya zosavuta (ma dumplings, dumplings, etc.), kusungirako ndi ma marinade (kuphatikiza zakudya zopangidwa ndi zam'zitini), chakudya chilichonse chomwe chimavuta kugaya, chadzaza ndi utoto ndi makina owonjezera a mankhwala.
• Ndikofunikira kuwona boma lakumwa: akumwa wamba oyeretsedwa madzi ndi madzi amchere amchere ndiolandilidwa. Madzi amchere amamwa mowa wofunda, asanadye, katatu patsiku.
• Chenjezo lofunika ndilakuti kutentha kwa chakumwa ndi zakumwa zizikhala zotentha: mavuvu amakhala ozizira kuzizira, ndipo otentha amakwiya pamalo owuma.
• Simungathe kudya zosaposa 10-12 g zamchere patsiku, zomwe zimapatula mwayi wodya nyama zomwe zimapsa ndi zipatso. Pofuna kupitirira malire, mchere uyenera kuwonjezeredwa ku chakudya chomalizidwa.
• Kuphika kumatheka pokhapokha kuwira, kuwongolera, kuphika komanso kusenda.

Malamulowa sangangathandizire kuchira kwa postoperative, komanso kuthandiza wodwalayo kuchepetsa kukula kwa ululu wamankhwala, pang'onopang'ono kuchotsa.

Kodi ndi liti ndipo ndi liti zomwe zikuwonetsa kuti pakufunika kugwira ntchito ndi zovuta zake

Chifukwa cha mawonekedwe ake osakhazikika, kapamba (kapamba) amachititsa nkhawa kwambiri kwa madokotala azachipatala komanso opaleshoni, chifukwa chake opaleshoni yamankhwala imachitika kokha ndi akatswiri odziwa ntchito pokhapokha ngati pakufunikira thandizo mwachangu.

Chomwe chimapangitsa opaleshoni kuchitika kwa kapamba ndi:

• Matenda a kapamba omwe amapezeka pafupipafupi.
• Chiwopsezo cha pancreatitis chowonetsera pachimake.
• Pancreatitis ndi zizindikiro za pancreatic necrosis.
• Zowonongeka kwa kapamba.
• Zilonda zopweteka.
• Kukhalapo kwa miyala yomwe imalepheretsa njira za gland.
• Fistulas.
• Cyst wabodza.

Opaleshoniyo ndi njira yovuta kwambiri chifukwa cha kapangidwe kake ka thupi ndi kapangidwe ka thupi. Zikondamoyo ndi duodenum zimayendetsa magazi molumikizana. Kuphatikiza apo, gland ili pamalo oyandikira ndi ziwalo zofunika kwambiri: zam'mimba msempha, mesenteric artery and vein, joini bile duct, impso, mitsempha yam'mwamba komanso yam'munsi.

Kukhazikitsa kwa mankhwalawa opaleshoni ya kapamba pamaso pa kapamba kapenanso kumakhalapo chifukwa cha mphamvu zambiri za thupi, monga kupanga ma enzyme, omwe, chifukwa cha mphamvu zawo, amatha "kukonza" minofu yake.

Kuphatikiza apo, kapamba ndi chinthu cha parenchymal (minofu), chomwe chimadziwika ndi fragility kwambiri ndi zoopsa. Ndikosavomerezeka kukhazikitsa ma suture pa iyo, ndipo nthawi ya postoperative nthawi zambiri zovuta zimakhala, mwachitsanzo, mawonekedwe a fistulas ndi magazi.

Vuto lodziwika bwino pambuyo pa opaleshoni ndi postoperative pancreatitis yokhala ndi mawonekedwe akuthwa, omwe zizindikiro zotsatirazi ndizofanana:

1. Kupweteka kwambiri mu dzenje la m'mimba.
2. Kuwonongeka msanga kwa thanzi la ogwira ntchito ndikugwedezeka.
3. Kuwonjezeka kowopsa kwa amylase mkodzo ndi magazi.
4. Leukocytosis.
5. Kutentha kwambiri.

Monga lamulo, mapangidwe a pancreatitis pachimake amathandizidwa ndi:

• Kutupa kwa minofu ya kapamba.
• Opaleshoni ya opaleshoni m'dera loyandikira la ndulu komanso m'dera la sphincter la Vater ampoule.

Komanso, postoperative pancreatitis ikhoza kuyambitsa zovuta zina:

• Kufalikira kwa kutukusira kwa kapamba mwa odwala omwe ali ndi ulcerative pathology.
• Kubwerezanso kwa zinthu zakale zomwe zakhala zikupezeka m'mapapo.
• Kupuma.
• Pancreatic necrosis.
• Peritonitis
• Matenda owola a shuga.
• Zosakhazikika komanso kwa hepatic anomaly.
• Magazi osayenda bwino.

Poganizira zifukwa zonse pamwambapa zomwe zingayambike opaleshoni ya kapamba itachitika, wodwalayo amayang'aniridwa mosamala m'malo opangidwira, ndipo chisamaliro chapadera chimaperekedwanso.

Pa tsiku lachiwiri pambuyo povulaza, wodwalayo amapititsidwa ku dipatimenti ya opaleshoni, komwe amapatsidwa chisamaliro chapadera, chithandizo chapadera ndi zakudya. Kuphatikiza konseku kumakhala ndi njira payokhapayokha, kutengera kuchuluka kwa magwiridwewo pawokha, komanso kupezeka kapena kusowa kwa zovuta.

Ndi mtundu wanji wazakudya zopatsa thanzi munthu atamuchita opaleshoni yafotokozedwayo.

Zomwe zimachitika pakudya pambuyo pa opaleshoni

Chakudya pambuyo pochita opaleshoni yapachisangalalo ndi imodzi mwazofunikira kwambiri pakuchira kwachangu kwa odwala omwe achotsa kapamba.

Zakudya pambuyo pakuchita opaleshoni kwa zikondwerero zimayamba ndi kusala kudya kwa masiku awiri, ndipo patsiku lachitatu lokha wodwala amaloledwa kudya moperewera.

• Madzi odyera kapena oterera (1 lita imodzi).
• Msuzi wa Rosehip.

• Osanunkha kanthu komanso tiyi wobiriwira wopanda mphamvu.
• Rusk (pre-owira).
• Msuzi wowuma ngati masamba wopanda mchere.

• Buckwheat kapena phala la phala la mpunga mu mkaka, pomwe limasungunulidwa ndi madzi, kuphatikiza, gawo la mbale sayenera kupitilira 100-150 g.

• Batala zosaposa 15 g (1-2 tsp) patsiku.
• Gawo la mkate dzulo lopangidwa ndi ufa woyera.
• Tchizi chamafuta ochepa kapena curd yopanda shuga.
• Masamba otsekemera.
• Msuzi wokhala ndi ndiwo zamasamba osiyanasiyana (kaloti, mbatata, beets), pomwe kabichi imaletsedwabe chifukwa cha fayilo yambiri.

Kwa sabata limodzi, chakudya chonse chimaphikidwa ndi nthunzi, ndiye kuti yophika mbale imaloledwa. Pakadutsa masiku 7, 7, popanda zovuta, nkotheka nyama ndi nsomba.

Munthawi imeneyi, chakudya chimodzi 1 chimayikidwa. Pakatha pafupifupi milungu iwiri, kuchuluka kwa zopatsa mphamvu mkati mwa chakudya kumaloledwa, kutengera izi, mutha kupita ku chisankho chachiwiri cha zakudya No. 5, zomwe zimatanthawuza zakudya zopezeka pafupipafupi komanso zosagwirizana ndi zakudya zotsatirazi:

Kutsatira mosamala malamulo azakudya zochepetsera thupi kumachepetsa mwayi wokhala ndi malingaliro osakhazikika.

Kodi menyu azikhala chiyani munthu atamuchita opaleshoni?

Za zomwe ayenera kupewa wodwalayo atadula zikondamoyo, zomwe tafotokozazi, tsopano tikuuzani zomwe mungadye pambuyo pochita opaleshoni pa zikondwerero, zomwe muyenera kumvetsera mwachidwi mukamaphika.

Ndisanapitenso kuzinthu zomwe zili pagome la chakudya, zomwe zimawonetsedwa kwa anthu atachitidwa opaleshoni, ndikufuna kukumbukiranso zochitika zofunika. Ntchito yayikulu yogwiritsira ntchito kapamba ndikupanga ma enzymes a chakudya, omwe amachititsa kuti zakudya zizipezeka palokha zomwe zimatengedwa ndi thupi la munthu. Monga mukuwonera, gland imagwira nawo ntchito yogaya chakudya.

Kupanda kutero, ikachotsedwa, moyo wonse wa wodwalayo uyenera:

1. Tsatirani kwambiri ndondomeko yoyenera ya kadyedwe.
2. Bwezeretsani kuchepa kwa michere ndi kukonzekera koyenera kwa enzymatic.
3. Nthawi ndi nthawi muzifufuza kuchuluka kwa insulini kuti musadwale matenda ashuga.
4. Lekani kwathunthu kugwira ntchito zolimbitsa thupi kuti mupewe kusintha kwadzidzidzi.

Nanga mungadye chiyani mutachotsa kapamba? Tiyenera kunena kuti poyang'ana kwambiri zakudya, mutha kuphika zakudya zosiyanasiyana, koma nthawi yomweyo kutsatira malamulo awa:

• Zogulitsa zonse ziyenera kukhala zatsopano, ndipo mbale zimaphikidwa mwanjira yonyowa kapena yophika.
• Zakudya zokazinga ndizoletsedwa kwathunthu.
• Kudya kumayenera kukhala pafupipafupi, ndiye kuti, osachepera 5-6 pa tsiku.
• Yang'anirani kuchuluka kwa mchere womwe umamwetsa (osaposa 10 g patsiku), poganizira kupezeka kwake m'mbale ndi zakudya zosavuta.
• Zakudya zamafuta ndi nsomba zimangophatikiza mitundu yazakudya (nkhuku, nyama yamwana wamkati, nkhuku, ndi zina).
• Kutetezedwa kwamtundu uliwonse ndi chakudya chokhala ndi viniga ndizoletsedwa.
• Zopangira mkaka ndizosankha zamafuta ochepa (yogati, kefir, tchizi chanyumba, tchizi).

Ngakhale mndandanda uwu wa zoletsa, ndi njira yoyenera komanso malingaliro oyenera pa malamulo a zakudya, mutha kukonza mosavuta zakudya zopatsa thanzi komanso zabwino tsiku lililonse.

Momwe mungalemere bwino?

Odwala omwe amayenera kudutsa pochotsa zikondamoyo samangokhala ndi vuto la enzyme, kupezeka kwa matenda osokoneza bongo, amafunikirabe kuvutikira kuthamanga. Chochitika cha pathological ichi chikufotokozedwa ndikuti michere yomwe imabwera kuchokera m'thupi kulowa m'thupi siliyamwa bwino, kuphatikiza apo, zakudya zamafuta zimangotanthauza kusapezeka kwa zakudya zambiri zopatsa mphamvu.

Kutengera izi, funso likubwera, momwe mungalemere pambuyo pochita opaleshoni pa kapamba? Pankhaniyi, akatswiri azakudya amalimbikitsa:

• Kuchulukitsa zakudya zama protein: nyama, nsomba, komanso mikate yoyera, koma osati kangapo.
• Musaiwale za kudya pafupipafupi mavitamini ndi michere.
• Chakudya chizikhala chopindika.
• Imwani zakumwa zomanga thupi.

Poona maxi ofunikira, munthu amatha kulemera pang'onopang'ono. Komabe, musanagwiritse ntchito, ndibwino kufunsa dokotala za momwe angagwiritsire ntchito moyenera.

Momwe mungaphikire zakudya zamagulu

Maphikidwe atatha opaleshoni ya pancreatic amayenera kuphika kokha ndi nthunzi kapena m'njira yophika, kapena kuphika mu uvuni. Komabe, njira yotsiriza yophika imaloledwa kale ndi thanzi la wodwalayo.

Pomaliza

Monga mukuwonera, kudya pambuyo pakuchita opaleshoni kwa kapamba ndiye mphindi yofunika kwambiri m'moyo wa wodwala. Zimafunikira kuti muchepetse nkhawa pazinthu zomwe zimayendetsa chimbudzi. Chowonadi ndi chakuti atachitidwa opaleshoni ntchito zawo zimafooka, ndipo sagwira ntchito mokwanira.

Ntchito ya wodwala ndikuthandizira ziwalo zamkati kuti zibwerere ku maboma awo ogwira ntchito molondola momwe zingathere. Pankhaniyi, mkhalidwe wa wodwala uyenera kuyang'aniridwa pafupipafupi ndi dokotala wopezekapo. Pazosintha zilizonse, zabwino komanso zoyipa za genesis, ndikofunikira kudziwitsa katswiri za izi kuti musinthe kadyedwe panthawi yake.

• Kugwiritsa ntchito ndalama ya amonke pochizira kapamba

Mudzadabwa momwe matendawa amachepera msanga. Samalani kapamba! Anthu opitilira 10,000 awona kusintha kwakukulu paumoyo wawo pakumwa m'mawa ...

Zosankha zachitsanzo ndi mawonekedwe azakudya zamagulu pancreatic necrosis ya pancreatic minofu

Kutsatira malamulo osavuta awa kumathandizira kukhazikika kwa mkhalidwe wa wodwalayo, ndipo kumalepheretsa kubwereranso komwe kungachitike. Zakudya zoyenera ndizotenga nthawi yayitali ndipo siziyenera kuphwanyidwa mwanjira iliyonse.

Kodi pagome lachire lodziwika bwino la cholecystitis ndi kapamba?

Zakudya za cholecystitis ndi kapamba ndizosiyana kwambiri ndi zakudya zomwe anthu amavomereza, zomwe anthu omwe amafuna kuchepa thupi amayamba, ngakhale, zowonadi, zamagulu awa zimachepa kwambiri.

Kusala kwachiritsika ndi mitundu yosiyanasiyana ya kapamba

Zikachulukirachulukira za matendawa, madokotala ambiri amati wodwalayo amafunikira njala, kuzizira komanso mtendere ndi kapamba. Mwachiwonekere, mawu awa safunika kuti atengedwe kwenikweni.

Zolemba za chakudya ndi kuchuluka kwa kapamba

Ntchito yayikulu yazakudya ndi kusakhazikika kwa kapamba, komwe kumatheka chifukwa chotsitsa chimbudzi cha michere ya m'mimba, yomwe imayambitsa kutupa kwa kapamba.

Malingaliro a opaleshoni yamapamba

Wosakhazikika, wamkati komanso wosadalirika - ma epithets oterowo nthawi zambiri amaperekedwa kwa zikondwerero ndi madokotala ndipo amayesera kuti aziigwiritsa ntchito pokhapokha. Chiwalochi chimakhala "chovuta" - ndizovuta kutikita minofu yake, ndipo nthawi yogwiranso ntchito imadziwika ndi kukhetsa magazi komanso zovuta zina.

Kuphatikiza apo, ndikulowerera uku, ziwalo zina zam'mimba zimakhudzidwa. Ndipo sikuti ndi duodenum 12 wokha, womwe umalumikizidwa ndi England ndi mitsempha ya magazi ndimatupa a bile. Pangozi ndi pamimba, chikhodzodzo, komanso ndulu. Kuti zibwezeretse, nthawi inayake imafunikira, osatchulanso kapamba, yemwe amakhudzidwa mwachangu ndi chimbudzi.

Malangizo: ndikofunikira kumvetsetsa kuti kapamba sangathe kukonzanso minofu yake, chifukwa chake, ntchito yotereyi ikamaperekedwa, zakudya zapadera ziyenera kuchitika mosalekeza.

Mfundo Zofunika Pazakudya Zabwino

Odwala omwe adachitidwa opaleshoni ya pancreatic ayenera kuphunzira malamulo atatu oyenera kudya, omwe ndiofunika kutsatira pamoyo wawo wonse:

1. chakudya chiyenera kukhala chopindika - muyenera kudya pafupipafupi (5, kapena ngakhale 6 pa tsiku) komanso pang'ono (kuchuluka kwa chakudya nthawi imodzi sikuyenera kupitirira 300 ml),
2. Zakudya zophika zokha, zophika kapena zowotchera kuchokera ku zakudya zomwe ziyenera kukhala pazakudya, ziyenera kudyedwa kokha mwa kutentha;
3. madzimadzi ambiri ayenera kupezeka m'zakudya (kuchokera pa malita awiri kapena awiri tsiku lililonse, kutengera makonzedwe a munthu wothandizidwayo) - izi zimalepheretsa chiopsezo cha kuwundana kwa magazi chifukwa chotsatira cha kulowererapo.

Langizo: mfundo zomwe zili pamwambapa zimapatsa boma mwayi wosunga chakudya. Zimathetsa zinthu zomwe zimakwiyitsa kwambiri. Ndikofunikira kwambiri kuti azitsatira pambuyo pochotsa kotheratu (kapamba). Tiyenera kukumbukira kuti tsopano thupi lomwe lidapanga michere yofunikira kupaya chakudya ikusowa, ndipo mankhwala omwe ali m'mapiritsi amatha kungogwira ntchitoyo pang'ono.

Zakudya yomweyo pambuyo opaleshoni

Atangochita opaleshoni, wodwalayo ali m'chipatala. M'masiku oyambilira, kudya chakudya mwachilengedwe kumatsutsana. "Amadyetsa" kokha kudzera m'mitsempha, kugwiritsa ntchito mayankho okhala ndi zovuta kupanga. Kutalika kwa nthawi yomwe thupi limaperekedwa ndi michere yokha mwa njira yaubwino zimadalira kuopsa kwa opareshoniyo ndi momwe nthawi yothandizira ikuyambira.

Nthawi zambiri, pakatha masiku awiri kapena atatu, chakudya chosakanikirana chimatumizidwa, chomwe chimatha mpaka milungu iwiri. Matumbo am'mimba amasinthidwa pang'onopang'ono kukhala chakudya chachilengedwe, choyamba pogwiritsa ntchito probe, kenako mwachilengedwe. Mitsempha ya kulowerera pakadali pano imayamba kuchepa. Kusintha kumayenda pang'onopang'ono:

• Choyamba, wodwalayo amangopatsidwa madzi kapena mawonekedwe a rosehip,
• kwa masiku angapo otsatira, menyuwo amaphatikizapo tiyi wopanda mphamvu ndi msuzi wosenda wamadzimadzi,
• Kenako gawo laling'ono (osapitirira 150 g) la mpunga kapena phala la buckwheat mu mkaka, losenda ndi kuchepetsedwa ndi madzi, limayambitsidwa muzakudya za tsiku ndi tsiku.
• Pakatha masiku atatu kapena anayi, wodwalayo amaloledwa kudya chokoletsa chofufumitsa mikate yoyera, masamba, masamba osawerengeka, kuwonjezera pa gawo limodzi la magawo atatu a supuni ya batala (kirimu kapena masamba),
• Pafupifupi sabata limodzi, chakudyacho "chimasungunuka" ndi nyama yofinya kapena nsomba ya nyama yokhala ndi mitundu yazakudya (soufflé, mabatani a nyama), omelet kuchokera ku mapuloteni amodzi (monga njira - dzira loyera, dzira lowiritsa), msuzi ku nkhuku yamafuta ochepa.
• kuphatikiza ndi mbale zazikulu, mumatha kumwa tiyi ya hibiscus, mbatata zosenda ndi mafuta osakaniza popanda shuga, mkaka, yogurt yamafuta ochepa.

Momwe mungapangire zakudya zopangira tokha patatha opaleshoni ya pancreatic?

Ndikofunika kutsatira zakudya ngati izi pambuyo pakuchita opaleshoni ya pancreatic kwa milungu itatu kapena inayi. Pofika nthawi imeneyi, wodwalayo, monga lamulo, amasamutsidwa kale ku chithandizo chanyumba, ndipo ngati mkhalidwe wake ukhala bwino, mbale zatsopano zimayambitsidwa m'zakudya. Kukula kwa menyu kumachitika makamaka chifukwa cha zinthu zomwe zimakhala ndi mapuloteni ambiri, pomwe zimachepetsa kuchuluka kwa chakudya komanso mafuta.

Chofunikira: chakudya chakunyumba pambuyo pakuchita opaleshoni ya pancreatic pancreatic necrosis iyenera kutsatira mfundo zopatsa thanzi zomwe zalembedwa pamwambapa.

Katundu pamagayidwe am'mimba amachulukana pang'onopang'ono. Ndikofunikira kuyang'anira momwe thupi limayankhira pobweretsa zinthu zatsopano mumenyu. Ndikofunikira kufunsa dokotala wa gastroenterologist kuti azitha kukonza zakudya ngati zizindikiro zosafunikira zikuwoneka m'mimba, kupweteka kwam'mimba (m'mimba kapena, m'malo mwake, kudzimbidwa pafupipafupi), nseru.

Tikukulimbikitsani kuti muzindikire zizindikiro za matumbo oyipa.

Momwe mungathanirane ndi kusungidwa kwanyumba?

Odwala pambuyo pancreatic opaleshoni nthawi zambiri amakhala ndi nkhawa za kudzimbidwa. Pofuna kupewa komanso kuchiza vutoli, zakudya zamafuta ambiri zimawonjezedwa kuzakudya za wodwalayo, zomwe zimapangitsa kuti matumbo asamayende bwino, koma osachulukitsa kupatsa mphamvu ndi kupangika kwa mpweya. Makamaka, zinthu ngati izi ndizoyenera:

• buledi wa tirigu wathunthu (dzulo), chinangwa, ufa,
• masamba owiritsa kapena otentha - kolifulawa, kaloti,
• decoctions ndi kulowerera kwa zipatso zouma, msuzi wa karoti,
• zopangidwa mkaka - mafuta ochepa otsukira kanyumba tchizi kapena yogati.

Kodi mungadye chiyani, ndipo ndi zakudya ziti zomwe zimapewedwa kwambiri?

Mu tebulo pansipa pali mndandanda wazololedwa komanso zoletsedwa kugwiritsa ntchito pambuyo pancreatic opaleshoni (kuphatikizapo pancreatectomy). Zomwe zasonyezedwanso ndizomwe zingagwiritsidwe ntchito ndi zoletsa zina.

Tikukulangizani kuti mupeze njira yophika buledi wopanda mkate ndi wophika pang'ono.

Werengani: Momwe jakisoni wa Solcoseryl amagwiritsidwira ntchito.

Chitsanzo cha menyu mutatha opaleshoni ya pancreatic

Kutengera zomwe tatchulazi, mutha kupanga china chonga menyu:

• kadzutsa woyamba - casserole (akhoza m'malo ndi mkaka wa mpunga wamkaka),
• nkhomaliro - dzungu (kapena karoti pudding) ndi kissel,
• nkhomaliro - msuzi wophatikiza ndi chimanga ndi nyama imodzi (nsomba kapena nyama), wachiwiri - masamba aliwonse azitsamba, lachitatu - hibiscus kapena tiyi wopanda mphamvu,
• Chakudya chamasana - chakudya chamtengo wapatali kapena chogwiritsa ntchito ma cookie osavuta,
• Chakudya chamadzulo choyamba - kanyumba kakapangidwe kamene kali ndi mapuloteni kapena nkhuku (nsomba),
• chakudya chachiwiri - kapu ya madzi a zipatso (mwachitsanzo, sitiroberi) kapena kefir.

Pambuyo pakuchita opaleshoni ya kanyumba, kudzipereka kwazinthu zina ndizofunikira. Ndipo ngakhale kudya zakudya zosasinthika kotereku sikungakhale kotopetsa komanso kopanda vuto monga kumawonekera poyamba.

Ndingadye chiyani nditachitidwa opaleshoni?

Zambiri zimatengera nthawi yayitali ya zakudya zopanda pake. Njira ya makolo ndi yoyenera kwa odwala omwe akuchita opaleshoni yayikulu kapena othandizira ena ovuta a pancreatic. Kutalika kwa zakudya zosafunikira kumatenga masiku 10 mpaka 12. Izi zimathandiza kuchepetsa zovuta za postoperative.

Kuchita kovutirapo kwambiri, kusinthidwa kwa chakudya chogwiritsa ntchito m'mimba kumachitika kawirikawiri pambuyo pa masiku 6-7. Izi zimakuthandizani kuti musinthe kayendedwe ka kagayidwe kazachilengedwe, komanso kapangidwe ka zinthu zofunikira kuti pakhale mtendere pamagulu ofunikira.

Pakukonzanso, zakudya za makolo zomwe zimagwiritsidwa ntchito. Izi zimathandizira kuti magawo am'mimba azigwira bwino ntchito.

Pambuyo kusintha kwa thanzi labwinobwino, wodwalayo adamulowetsa chakudya No. 0a. Pambuyo pakuchita opaleshoni pa kapamba, nthawi yake imayamba kuchokera masiku 5 mpaka sabata limodzi.

Kenako, chakudya No. 1a chimaperekedwa nthawi yomweyo. Zimathandizira mmalo mwa kuchepa kwa mapuloteni-mphamvu.

Kenako wodwalayo amasamutsidwa kukadya Na. 16. Tsatirani zakudya kwa masiku 5 mpaka 7. Ndiye njira imodzi ya chakudya No. 5p yapatsidwa. Wodwalayo amavomereza kuti azitsatira kwa masiku 45-60. Ndiye, pakupita kwa chaka, mitundu yachiwiri ya zakudya No. 5p imayikidwa.

Zinthu pambuyo kudya opaleshoni

Wodwala yemwe adayamba kuchotsa kapamba masiku awiri awiri amayamba kudya. Pambuyo pake, njira yodulira mphamvu imapatsidwa.

Zakudya zabwino zimayamba kuchokera masiku atatu. Popewa zovuta, wodwalayo ayenera kudziwa choti adye pambuyo pochita opaleshoni.

Malonda awa ndi omwe amaloledwa:

1. Tiyi yopanda mafuta ndi tiyi wopanda pake.
2. Msuzi wokometsedwa bwino.
3. Porridge ndi buckwheat kapena mpunga.
4. Mafuta a protein amamu.
5. Dzulo mkate woyera.

Tayi yopanda shuga yokhala ndi ufa imaloledwa pokhapokha. Msuzi wowotcha ungadyedwe pokhapokha ngati patachitika zovuta pambuyo pa ntchito. Pokonzekera mbewu monga chimanga, mkaka wa homogenized umaloledwa. Amadzipaka ndi madzi. Mikate yoyera imatha kudyedwa kuchokera masiku 6 okha.

Amaloledwa kudya tchizi chamafuta ochepa. Ngati wodwalayo akumva bwino, ndiye kuti pasanathe tsiku limodzi amaloledwa kudya mpaka magalamu 15 a batala wapamwamba kwambiri.

Ngati ma ducke angapo adaduladula kapamba, wodwalayo ayenera kuonetsetsa kuti amadya zakudya zoyambira masiku 14. Pakatha masiku pafupifupi 7-8, amaloledwa kupatulira menyu ndi nsomba zamtsinje, nyama yochepa.

Choyamba, chakudyacho chimaphika ndi mafuta. Kenako chakudya cha wodwalayo chitha kuphatikizidwanso ndi chakudya chophika. Atangochita opaleshoni, chakudya komanso mafuta “othamanga” amasinthidwa ndi mapuloteni.

Musanayambe kupachika, muyenera kumwa magalamu 150-180 a yogati. Izi zimatha kusinthidwa ndi uchi watsopano wa uchi kapena madzi otentha owiritsa.

Kuletsa zakudya

Ndikulimbikitsidwa kuchepetsa kugwiritsa ntchito maswiti, mafuta, mazira, zonunkhira. Mutha kulipira zidutswa zingapo zamafuta a marmalade. Kwa tsiku limodzi, amaloledwa kudya mpaka 100 g waffles osadzaza ndi malita atatu. kupanikizana kwa apricot.

Malinga ndi mfundo zoyambirira za kadyedwe, katatu pa sabata wodwala amaloledwa kudya 1 protein protein. Amakhala okwanira chimbudzi. Ma yolks sayenera kudyedwa, chifukwa ali ndi mafuta ambiri.

Masana, ndikofunikira kumwa supuni 1 ya mafuta a azitona. Mukaphika, amaloledwa kugwiritsa ntchito shuga ya vanila pang'ono, mchere wamchere, sinamoni.

Zinthu Zosafunika

Zakudya pambuyo pa opaleshoni yapa kanyumba sizitanthauza kugwiritsidwa ntchito kwa zinthu zomwe zimapangitsa kupanga michere. Pofuna kupewa kufalikira kwa matendawa, tikulimbikitsidwa kuti tisankhe kwathunthu pazakudya zanu:

• chakudya chokazinga
• zakudya zamafuta
• ufa
• maswiti
• ankasuta nyama
• chakudya zamzitini
• masoseji
• mayonesi
• mphesa
• maapulo wowawasa
• malalanje
• mikanda
• biringanya
• kabichi yoyera
• bowa
• nkhaka, phwetekere,
• mpiru
• apulosi, chipatso cha mphesa, apulo, madzi a lalanje,
• madzi ozizira
• tiyi wamphamvu, khofi,
• mandimu.

Ndi zoletsedwa kumwa mowa. Simungathe kumwa ngakhale zakumwa zoledzeretsa zochepa.

Thanzi la pancreatic necrosis

Ndi matenda apamwamba a pancreatic necrosis, wodwalayo adamulowetsa opaleshoni. Pambuyo pake, adotolo amakulitsa chakudya chamagulu. Cholinga chachikulu ndikuonetsetsa kuti kapamba amapuma kwambiri.

Munthu amawonetsedwa kugwiritsa ntchito madzi ambiri ofunda. Phindu lalikulu kwa thupi ndi msuzi wokhala ndi buckwheat ndi mkaka. Pokonzekera, ndikulimbikitsidwa kugwiritsa ntchito mafuta omwe ali ndi mafuta okhala ndi 3.2%. Amaloledwa kukometsa msuzi ndi 1 tsp. 60% batala. Shuga ndi osafunika.

Matenda a wodwalayo akadzikhazikika, amaloledwa kudyetsa zakudya zosiyanasiyana. Munthu amaloledwa kudya patties zophika nyama. Nyama yopukutira ndibwino kugwiritsa ntchito ng'ombe. Ndikofunika kusintha mafuta a mpendadzuwa ndi maolivi. M'malo mchere, ndibwino kugwiritsa ntchito mchere wanyanja.

Zosintha zilizonse pazakudya za pancreatic pancreatic necrosis pambuyo pa opaleshoni zimakambidwa ndi gastroenterologist. Zakudya ziyenera kutsatiridwa osati panthawi ya chithandizo, koma moyo wonse.