Chakudya cha Pancreatitis: Mndandanda Wazogulitsa
Ngati m'zaka zapitazi anthu okhawo omwe amamwa mowa amadwala kapamba, lero matendawa amapezeka mwa anthu omwe angathe kuchita popanda iwo. Izi zimachitika chifukwa cha chibadwa, kugwiritsa ntchito mankhwala osokoneza bongo mosavomerezeka. Matendawa akakhudza kapamba, amayambitsa kugwira ntchito bwino kwam'mimba thirakiti. Popewa zovuta zomwe zingatsatire matendawa, wodwalayo ayenera kuganizira zakudya zake mosamala. Ululu wam'mimba kwambiri, maimikidwe osiyanasiyana, kusapeza bwino, kufooka kwakukulu kumasokoneza, wodwalayo amakhala ndi pancreatitis. Kodi ndingadye chiyani ndi matendawa, ndipo ndi zakudya ziti zomwe ndizabwino kuzikana? Momwe mungadziwire mitundu yamatendawa? Kodi chithandizo cha kapamba chimagwira ntchito motani? Mafunso awa ndi enanso ali achidwi kwa anthu ambiri odwala matendawa.
Kodi kapamba amayamba bwanji? Mafomu ake
Ndi pancreatitis, zakudya zoyenera ndizofunikira!
Monga mukudziwa, kapamba si matenda osavuta, omwe ngakhale atatha kusamalidwa mosamala amasiya njira yayitali. Mukamakula, matendawa amadzaza. Pancreatitis yovuta komanso yopweteka imachitika, yomwe imasiyana kwambiri mzake. Ngati mawonekedwe owopsa atha kupezeka pafupifupi kumayambiriro kwa matenda, ndiye kuti mawonekedwe osakhwima amapezeka pang'onopang'ono, ali ndi zobisika zomwe zimayamba kuwoneka mwankhanza komanso zowawa, kenako nkucheperako kwakanthawi. Chifukwa chake, ndizovuta kudziwa mtundu wa matendawa popanda kuzindikira koyenera. Nayo, matenda kapamba amasiyana. Zitha kukhala ndi:
- mawonekedwe oyamba
- fomu yachiwiri.
Mwanjira yayikulu, kapamba amakhudzidwa chifukwa chomwa mowa kwambiri, kuledzera, kusuta, chibadwidwe, kupsinjika. Njira yachiwiri ya kapamba imayamba kudzera m'matenda ena a ziwalo zina zomwe zili pafupi ndi kapamba. Wodwala amatha kudwala matenda a cholecystitis, hepatitis, cirrhosis, matenda a Crohn, cystic fibrosis, matenda osiyanasiyana, osagwira bwino ntchito paminyewa ya parathyroid, komanso kupezeka kwa tiziromboti munthaka.
Pancreatitis yoyamba, kumwa mowa kumakhudzana ndi kapamba, chifukwa umapangitsa ma enzyme a gland. Zotsatira zake, tiziwiti timawonongeka, ndikupanga fibrosis, ndiye kuti, minyewa yabwinobwino yosinthika imasinthidwa ndi minofu yolumikizidwa. Ndi ziwengo, ma antibodies amapangidwa m'thupi la wodwalayo omwe amawongolera zochitika zawo motsutsana ndi kapamba, pang'onopang'ono kuwononga minofu yake, ndikuwononga kapangidwe kake. Zotsatira za ntchito yotsutsana ndi mankhwalawa ndi kutupa kwa matenda omwe amakhala ndi pancreatic fibrosis. Ngozi yayikulu ku gland ndi miyala mu ndulu.
Momwe mungazindikire zizindikiro za kapamba kapamba
Ndi pancreatitis yovuta kwambiri, kutulutsa kwamphamvu kwa kapamba kumachitika, chifukwa chake minofu yake ikakumba, chiwalo chimakula kukula, edema imawoneka, ndipo maselo athanzi amafa. The pachimake mawonekedwe amakula chifukwa kumwa kwambiri mowa, matenda a biliary thirakiti, kuperewera kwa zakudya zam'mimba, kuvulala kwamatumbo osiyanasiyana ndi chifuwa, kumwa mankhwala osavomerezeka, matenda a endocrine system, matenda okhudzana ndi kapamba. Pancreatitis pachimake, yodziwika ndi:
- zowawa, zotupa zomwe zimapereka m'chigawo choyenera cha hypochondrium ndi epigastric,
- kusowa kwa chakudya
- kumva mseru ndi kusanza,
- kuledzera, pamene kukula kwa purulent foci
- kutentha kuwonjezeka
- kugwedezeka ndi ululu komanso kusowa kwamadzi,
- kusasangalala komanso kutulutsa mabala,
- pafupipafupi kutsegula m'mimba
- khungu
- pakachulukidwaku kakasokonekera, khungu limayamba kupezeka m'malo osiyanasiyana pakhungu.
- mavuto kumimba kumanzere kumanzere pansi pa mtengo waukulu.
Matenda a ululu amatha kukhala tsiku limodzi, chifukwa mkati mwa kutupa, mitsempha yotsiriza komanso minyewa yamatenda amwalira. Ululu umamvekedwa kosalekeza, sikuti wotsika, koma umangoyambika motsogozedwa ndi opweteka. Kulakalaka kumatha chifukwa cha kusowa kwa michere yofunikira m'matumbo omwe kapamba amatulutsa. Pazifukwa zomwezo, wodwalayo nthawi zambiri amakhala ndi chidwi chofuna kusanza ndi mseru, zomwe zimapangitsa kuti magazi azisowa komanso kuchepa kwa mavuto.
Wodwala akangowona zofanana ndi izi, ayenera kufunsa dokotala yemwe amupangire, kuti adziwe ngati ali ndi mankhwalawo. Mukachedwa kupita kukaonana ndi dokotala, chifuwa chachikulu cha kapamba chimatha kukhala ngati matenda kapamba.
Chithunzi cha chipatala cha chifuwa chachikulu
Mu chifuwa chachikulu, pakulowerera kwa kapamba, kukula kwa minyewa yolumikizana mu ndulu kumachitika, popeza kupanga ndi kutulutsa ma enzymes ndi mahomoni mkati mwake zimayima. Kuwonongeka kwa michere monga trypsin, amylase ndi lipase kumabweretsa chimbudzi. Fomuyi imadziwika ndi nthawi yayitali yomwe matenda amawonjezera komanso nthawi zakhululukidwa, pomwe zizindikiro za kapamba koma - zomwe zimatsika ndikutha. Mawonekedwe osakhazikika amapezeka, ngati pachimake:
- pomwa mowa wambiri,
- matenda amiseche,
- matenda ena am'mimba
- matenda a ziwalo zapafupi,
- chibadwa
- zovuta zokhudzana ndi pancreatic,
- kupezeka kwa venous stasis mu gland,
- kugwiritsa ntchito mankhwala oopsa
- kupanga ma autoantibodies m'thupi.
Nkhani yothandiza? Gawani ulalo
Malingaliro azitsamba amatha kusintha khofi wamba!
Wodwala akayamba kupindika chifukwa cha matenda osachiritsika, ndiye kuti matendawa amawonetsedwa mwanjira ina, mosiyana ndi mawonekedwe owopsa. Popeza mathero amtsempha amayamba kuwonongeka chifukwa cha kutupa, kutuluka kwa madzi kuchokera ku kapamba kumasokonekera, kumakulanso. Kuchepetsa kotereku kumabweretsa chisonyezo champhamvu cha ululu woyaka kapena woponderezana, womwe umapereka mbali yakumanja kapena kumanzere ndikupita kumbuyo.
Nthawi zambiri, ululu umawonekera pambuyo poti wadya chakudya chamafuta ambiri, yokazinga kapena zonunkhira. Wodwala akangosiya kudya zakudya zolakwika, ululuwo umachepa pang'ono. Ndi dyspeptic syndrome, zizindikirizo zimangokulira. Kupuma kwamphamvu, kusanza ndi mseru, kutsekula m'mimba, kutuluka kwam'mimba kumayamba kuwonekera, kugaya chakudya kumasokoneza.
Nthawi zina, mawonekedwe osakhazikika, wodwalayo mofulumira kwambiri amachepetsa thupi, popeza njira za metabolic zimasokonekera m'thupi, amakhala ndi khungu lowuma komanso misomali yovunda. Thupi limasowa mavitamini komanso chitsulo chathanzi. Fomu yovuta imadziwika ndi kakulidwe ka matenda a shuga mellitus kudzera mu insuffine insuffential, chifukwa chomwe kupanga kwa insulin kumasokonezeka.
Kuzindikira matenda a pancreatitis pachimake komanso aakulu
Kuti mudziwe bwino matenda anu ndikukhazikitsa mtundu wa matendawo, muyenera kufufuza kaye kokwanira. Kuzindikira kwa kapamba kumachitika pogwiritsa ntchito zida zapadera pogwiritsa ntchito njira za labotale ndi zothandizira. Kuzindikira matendawa kumayambiriro kwa chitukuko si ntchito yovuta, motero wodwalayo adayikidwa mayeso ndi mayeso otsatirawa:
- kuyezetsa magazi konse
- kuyesa kwamwazi wamagazi,
- shuga m'magazi
- urinalysis
- Ultrasound yam'mimba
- gastroscopy
- pikachiyama
- endoscopic retrograde cholangiopancreatography,
- zopangidwa tomography
- kuwunikira
- kudutsa mayeso ogwira ntchito.
Kuyesedwa kwa magazi kumakupatsani mwayi wodziwa za kupezeka kwa njira yotupa mthupi, kuchuluka kwa ESR, kuchuluka kwa leukocytes m'magazi, kuchuluka kwa michere ya zinthu zina, kuphatikizapo shuga. Ngati amylase apezeka mu urinalysis, ndiye kuti wodwalayo adzakhala ndi kapamba. Chifukwa cha njira yofufuzira yam'mimba, mutha kudziwa za momwe zinthu ziliri komanso kusintha komwe kumachitika mu kapamba, m'mimba, chikhodzodzo, ndulu ya duodenum, ndi ducts ya bile. Pogwiritsa ntchito tomography yowerengera, adokotala amayang'ana chiwalo kuchokera mbali zonse komanso ndege zosiyanasiyana.
Kufufuza mozama ndi kufunsa wodwalayo kungathandize kupanga chithunzi chokwanira cha matendawa, chifukwa chomwe mankhwalawo amayenera kuthetseratu kapamba.
Kodi chithandizo cha pancreatitis ndi chiani?
Thanzi la pancreatic limatengera zakudya
Inde, kulandira chithandizo popanda kumwa mankhwala sikungathandize, koma chinthu chachikulu ndikudya moyenera ndikumakhala ndi moyo wathanzi. Wodwalayo adalandira mankhwala, omwe amathandiza kuthetsa ululu wamankhwala, kuyeretsa magazi kuchokera ku michere ya pancreatic. Kuphatikiza apo, munthawi ya matendawa, komanso pambuyo pake, munthu ayenera kutsatira zakudya ndikukana zakudya zopanda zakudya, zomwe zingayambitse matendawa.
Ndi kapamba, mankhwala a ululu amaperekedwa kuti athetse ululu, kulowetsedwa kwamkati mwanjira zapadera zothetsera magazi ndikuthandizira kuchepetsa kuchuluka kwa michere ya pancreatic. Trasilol, Contrical ndi mankhwala ena ali ndi zowononga zama michere. Komanso, ndikasanza akapatsidwa mankhwala a antiemetic, mankhwala omwe amalimbikitsa kuchuluka kwa calcium. Popewa kutenga matenda m'ziwalo zowonongeka, maantibayotiki amatengedwa.
Kuphatikiza pa mankhwala osokoneza bongo, muyenera kutsatira kadyedwe, amadziwika kuti tebulo nambala 5. Muli zakudya zomwe zili ndi thanzi ndipo zitha kudyedwa ndi kapamba.
Choyamba, muyenera kusiya kugwiritsa ntchito zakumwa zomwe zimakhala ndi mowa, khofi, msuzi wokhazikika kwambiri. Ndi kapamba, pali zoletsa zazikulu pazakudya, zomwe ndizofunikira kutsatira kuti tifulumizire kuchira. Koma izi siziri kwamuyaya. Ndikokwanira kulekerera mwezi umodzi kapena iwiri, ndipo mutha kudya zakudya wamba, ngakhale mutafunikira kupewa zakudya zochepa zonunkhira, zamafuta ndi zina zopanda thanzi.
Idyani ndi kapamba kawirikawiri, koma nthawi yomweyo magawo azikhala ochepa. Chifukwa chake, kuchepa kwa wodwalayo sikuwoneka, koma thanzi lake likadzachira, kulemerako kumabwezeretsedwa. Ndi matenda, muyenera kuchepetsa kugwiritsa ntchito zinthu zomwe zili ndi chakudya komanso shuga, mafuta, mbale zomwe zimapangitsa kuti pakhale michere ya m'mimba:
- makeke, pasitala, mbale zina za ufa,
- maswiti, wokondedwa, zakudya zotsekemera,
- nyama msuzi,
- decoctions yophika masamba.
Ndi kupweteka kwambiri kwakudya chifukwa chodya bwino. Njala ikakulirakulira, mutha kumwa madzi pang'ono. Zingakhale bwino pokhapokha ngati ndi wamba, madzi ofunda pang'ono, tiyi, decoction la rose m'chiuno.
Chisankho choyenera cha mankhwala a kapamba
Zokazinga ndizoletsedwa!
Ngakhale malonda ena adzafunika kusiyidwa, sikuti zonse ndi zopanda chiyembekezo. Ngakhale pakati pa zinthu zomwe zaloledwa, mutha kupeza zomwe mungakonde. Ndikofunika kudya mkate, wowuma kapena wosenda, soups masamba omwe ali ndi vermicelli kapena phala. Zakudya zopangidwa kuchokera ku nyama yochepa yamafuta.
Nsomba yophika chimodzimodzi, itha kudyanso yophika. Ndi matendawa, ndizovomerezeka kugwiritsa ntchito zinthu zamkaka, kupatula kumakhala kokoma kwambiri. Mafuta azinyama ndi masamba ndi bwino kuchepetsa kwambiri panthawi ya chithandizo.
Mutha kudya pafupifupi chilichonse masamba, koma chokha chophika kapena chosenda, zipatso sizokoma kwambiri kapena wowawasa.
Inde, sikofunikira kudya pansi pa nkhawa. Ngati zogulitsa kapena mbale sizikondweretsa kwa wodwalayo, ndikwabwino kuzisintha ndi zina zabwino. Tiyeneranso kufotokozeredwa kuti maswiti onse omwe simungagwiritse ntchito mafuta onunkhira kwambiri, zipatso zopatsa mphamvu, mankhwala opangira mankhwala azitsamba ndi m'chiuno, osatinso tiyi wamphamvu kwambiri. Okonda khofi ayenera kulikana bwino kapena kugwiritsa ntchito kuchepetsedwa kwambiri. Komanso, munthawi yamankhwala ndikudya, ndibwino kusiya kumwa mkaka wonse, womwe, ngakhale uli wathanzi, ungayambitse kupanga kwa gasi komanso kutsegula m'mimba. Zatsopano zamasamba ndi zipatso zimayambitsa kukhumudwitsa kwa chimbudzi ndi ndulu, motero ndibwino kuzigwiritsa ntchito yophika, zotentha, ndiye kuti, mwa mitundu ina iliyonse.
Chithandizo cha pancreatitis ndi chovuta, koma ngati mutsatira malangizo onse omwe mwatsimikizika, khalani ndi chidwi chofuna kuchira, ndiye kuti chipambano chidzabwera chokha. Chachikulu ndikuti musagule zakudya m'sitolo, koma kuyesa kuphika nokha, ndiye kuti wodwalayo atsimikiza kuti alibe zowonjezera, zoteteza, utoto zomwe zimakhudza dongosolo logaya chakudya. Lamuloli likugwira ntchito ku zinthu zonse, kuphatikiza zokonza zakunyumba, zakudya zonunkhira komanso zipatso zopangidwa ndi zipatso ndi masamba. Zakudya zoyenera ndi njira yofunikira kwambiri yochira.
Apanso, zinthu zotsatirazi zikukumbutsirani za thanzi la kapamba:
Pancreatitis ndi matenda oopsa, owonetsedwa ngati kutupa kwa kapamba.
Kuti mudziteteze ku zowopsa za matendawa, muyenera kudziwa zomwe simungadye ndi kapamba, komanso malamulo ati omwe akutsatiridwa kuti mupewe kuwopsa kowopsa.
Zambiri zokhudzana ndi matendawa
Zakudya zoyenera monga chitsimikizo cha thanzi
Kutupa kwa kapamba kumachitika makamaka mwa anthu omwe amamwa kwambiri mowa, komanso mwa iwo omwe ali ndi cholelithiasis.
Zinthu zotsatirazi zimakhudza mawonetseredwe a kapamba:
- kuledzera
- ma virus
- kachilombo ka bacteria
- kupezeka kwa tiziromboti,
- othandizira opaleshoni
- kuvulala m'dera la kapamba.
Nthawi ya matendawa imayendera limodzi ndi zizindikiro zina monga kupweteka kosalekeza, nthawi zambiri pamimba kumanzere ndikusanza kwambiri. Nthawi zina pamakhala timakhungu tating'onoting'ono pakhungu.
Pancreatitis imatha kuonekera mu mawonekedwe owopsa, ndipo ngati simutsata malamulo oyenera m'zakudya, komanso kutsogoleredwa molakwika m'moyo, mutha kukhala wodwala.
Nthawi yomweyo, zizindikirazo sizimatchulidwa, koma pakapita nthawi zimachulukirachulukira. Zizindikiro zimawoneka mwa mawonekedwe ena:
- kupweteka pamimba kumanzere,
- nseru
- Kuchepetsa thupi
- kufooka, thanzi.
Ngati matenda a kapamba akale samachiritsidwa ndipo matendawa amatenga nthawi yayitali, zimatha kubweretsa kusokonezeka kwa kapamba, komwe, kumawonjezera chiopsezo cha matenda osokoneza bongo omwe ali ndi vuto lalikulu logaya chakudya.
Kuti muchepetse kutupa mu chiwalo chomwe chakhudzidwa, komanso kuchepetsa ululu, kugwiritsa ntchito ma enzymes olimbitsa thupi ndikofunikira.
Nthawi zina, kulandira chithandizo chamankhwala mosayembekezereka kumatha kubweretsa mavuto. Mutha kuthandiza munthu yemwe ali ndi vuto la kutupa kwa pancreatic pomupatsa thandizo loyamba, ngati zizindikiro za matendawa zikuonekera.
Zoyenera kuchitidwa pamenepa:
- ikani kutentha pachifuwa pamimba,
- perekani kutenga antispasmodic omwe alipo ("No-shpa", "Spasmomen", "Papaverine"),
- letsa chakudya
- kuwunika kutsatira kupumula kwa kama.
Zikondamoyo zimatha kuchira, ngakhale kuti zimafunikira kuchita zambiri. Ngati pancreatitis yapezeka, akatswiri amakupatsani mankhwala.
Koma choyambirira, chinthu chofunikira kwambiri polimbana ndi matendawa ndikuti atsatire zizolowezi zina muzakudya ndizovomerezeka kuti azidya zakudya zapadera.
Kufunika kwakudya
Zakudya za pancreatitis ziyenera kukhala zolondola momwe zingathere.
Lingaliro lazakudya la anthu ambiri limawoneka ngati lolemetsa, kukakamiza kusiya kutengera zinthu zomwe zimakhala zaphindu. Kutsatira kwake kapamba ndizomwenso zimachitika.
Ngakhale izi zitha kupezekanso zopindulitsa, chifukwa chifukwa cha zakudya munthu amazolowera zakudya zabwino komanso zopatsa thanzi.
Kukhalabe ndi chakudya kumakhala kofunikira kwa odwala omwe ali ndi mitundu yonse ya matendawa, komanso m'malo ochepetsa matchulidwe osayenera kuti apewe kuchuluka.
Dongosolo la kudya pa kuchuluka kwa nthawi ya matendawa liyenera kukhala motere. Pakadutsa masiku 1 mpaka 3, kugona ndi kupuma pabedi ndikofunikira. Amangomwa zakumwa zokwanira, zomwe zimakhala ndi zotsatirazi:
- madzi amchere,
- msuzi wa rosehip,
- tiyi wobiriwira
- onenepa osowa.
Pambuyo pakumva kupweteka kumachepa, pang'onopang'ono ndikulimbikitsidwa kuyambitsa nyama yopanda mphamvu muzakudya, tchizi chanyumba, mitundu yochepa yamafuta, komanso msuzi wozikidwa msuzi wamasamba ndiwothandiza.
Zakudya zopatsa thanzi kunja kwa siteji yovuta
Mu kapamba, zakudya zimayenera kukhala ndi mapuloteni ambiri.
Maziko a zakudya zopatsa thanzi panthawi yachikhululukiro ayenera kukhala chakudya chokhala ndi mapuloteni, omwe amafunikanso kukonzanso maselo a pancreatic okhudzidwa.
Mitundu yosiyanasiyana ya chimanga imadzaza thupi ndi mafuta komanso chakudya chovuta kwambiri. Kugwiritsa ntchito chakudya chamafuta chamagetsi, chomwe chimapezeka mu shuga, uchi, makeke, kupanikizana ziyenera kuchepetsedwa.
Zakudya zambiri zimalimbikitsidwa, pakatha pafupifupi maola atatu kapena anayi, osati m'malo akulu. Kuzunza sikuloledwa, komanso kufa ndi njala.
Kugwiritsa ntchito zakudya kuyenera kuchitika mwa njira yotentha, kupatula yotentha, ngakhale, monga chakudya chozizira, pofuna kupewa kukhumudwitsa mucosa, ndikuwonjezera kutulutsidwa kwa ma enzyme.
Ndikofunika kuphika ndi chowiritsa chowirikiza, kapena kuwira kapena kuphika. Ndikofunikira kupatula zakudya zokazinga, zonunkhira, ndi zakudya zamzitini ku menyu. Ndi zoletsedwa kusuta fodya ndi kumwa mowa wamtundu uliwonse.
Zopanda zofunika
Malita osachepera 2 a madzi azimwa
Chifukwa cha nthawi yotupa mu kapamba, chiwalochi sichingagwire ntchito mphamvu zonse ndipo sichitha kuthana ndi chimbudzi cha zakudya zamafuta chifukwa chosakwanira kwa michere.
Chifukwa chake, ndikofunikira kupatula pamndandanda wovomerezeka:
- nkhumba, bakha, tsekwe, mwanawankhosa,
- nsomba, mackerel, hering'i,
- chiwindi
- mtundu uliwonse wa zakudya zamzitini.
Siwabwino kudya masamba ndi zipatso zosaphika, kugwiritsa ntchito kwawo pakudya pambuyo pa kutentha ndikololedwa, ndipo zina zimayenera kuchotsedwa kwathunthu kuzakudya. Zina mwa izo ndi:
Kudya masamba awa, makamaka m'miyeso yayikulu, kumapangitsa kuti m'matumbo muzikulitsa, zomwe zimapangitsa kuti pakhale magazi komanso kuphulika m'mimba. Komanso, sibwino kudya zipatso ndi zipatso zina zomwe zimakhala ndi kukoma kwa acidic.
Nthawi yomweyo, maapulo ophika, zipatso monga mawonekedwe, odzola, zipatso zophatikizika ndi kuphatikiza zipatso zouma ndizothandiza.
Mutha kulembetsa mbale zomwe siziyenera kugwiritsidwa ntchito pakudya kwa wodwala ndi kapamba:
- bowa ndi chofufumitsa,
- mapira, komanso barele,
- mazira ophika ndi okazinga,
- marinade, zonunkhira,
- masoseti ndi nyama zingapo zosuta,
- makeke, makeke, ayisikilimu, chokoleti,
- khofi, tiyi wakuda, chicory, cocoa, mkate wa kvass, komanso chokoleti chotentha.
Zomwe zimaloledwa
Zinthu zina zimayenera kusiyidwa kwamuyaya!
Ngakhale pali zoletsa zazikulu pakugwiritsira ntchito malonda, zakudya zingapo zopatsa thanzi zimatha kupezeka mndandanda wazakudya, makamaka ngati zingaphikidwe pogwiritsa ntchito chowiritsa chowirikiza.
Zikuwonekeratu kuti kumayambiriro kwa kuphika kwa chakudya chapadera, kusangalatsa kwa zakudya zamafuta ochepa zokhala ndi mchere wosakwanira pazakudya wamba zitha kuoneka zachilendo, zatsopano.
Koma pakapita nthawi, munthuyo amazolowera, ndipo zinthu zambiri zomwe zimagwiritsidwa ntchito moyenera zimakhala zokoma kwambiri pa kulawa.
Ndi pancreatitis, kuwonjezera kwa masamba ndi batala pang'ono Mlingo wololedwa. Kugwiritsa ntchito mankhwala opangira confectionery ndi kuphatikiza margarine, mkaka wamafuta, mitundu yonse ya mtedza, komanso mbewu, umachepetsedwa chifukwa cha kuchuluka kwa mafuta m'matimuwo.
Chifukwa chakuti mikate yoyera sikulimbikitsidwa kudya, iyenera kuyikidwa m'malo ndi tirigu wonse kapena chinangwa. Pankhaniyi, zophika zatsopano sizovomerezeka, chifukwa mafuta opangidwa ndi ufa wakale amakhala othandiza kwambiri pakugwira ntchito kapamba.
Zakudya zopatsa thanzi zimaphatikizapo kugwiritsa ntchito nsomba zamafuta ochepa, kalulu, nkhuku, nkhuku. Zakudya kuchokera kwa iwo zizikhala zotentha, kapena zophika mawonekedwe, makamaka pamitundu yamafuta. Itha kukhala ma-meatball, ma-meatball, pastes, ma-meatballs omwe ali ndi mchere wochepa komanso osawonjezera zonunkhira.
Kuchokera pazinthu zotsekemera, zotsatirazi ndizololedwa:
Kugwiritsa ntchito shuga ndikosayenera; ndikulimbikitsidwa ndikusintha ndi fructose.
Zipatso ndizabwino kuphika
Chifukwa chosagwiritsa ntchito zipatso zosaphika muzakudya, ndizotheka kupanga mbatata zosenda, zakumwa za zipatso, ndikuzigwiritsa ntchito ngati gawo la ma casseroles osiyanasiyana. Mlingo wocheperako, amaloledwa kudya mavwende, mavwende.
Koma mphesa, komanso nkhuyu ndi madeti siziyenera kudyedwa, kuti musakwiyitse mapangidwe osafunikira a mpweya m'matumbo.
Nthochi zaphikidwa, mapira, maapulo. Pokhala ndi asidi m'mapangidwe awo, zipatso za citrus zimachulukitsa zomwe zimakhala ndi m'mimba, motero sizisonyezedwa.
Mankhwala a kapamba, sinamoni amagwiritsidwa ntchito, omwe ali ndi machitidwe ochiritsa. Zimathandizira kuyeretsa dongosolo la katulutsidwe ka bile, ndikuwongolera ntchito yolumikizana m'mimba, potero imapereka gawo labwino pakubwezeretsa gawo loyipitsidwa.
Itha kugwiritsidwa ntchito mwanjira yokometsera, ndi kulowetsanso kwina, komwe kumakhala ndi 1 tbsp. supuni, kuchepetsedwa mu 1 chikho madzi owiritsa. Pakulandila kwabwinobwino kwa zakudya zovomerezeka, ndizoletsedwa kumwa chakudya chotengedwa ndi madzi, komanso kugwiritsa ntchito maola atatu musanagone. Kupanda kutero, padzakhala katundu wambiri pazinthu zopangidwazo kuti zigayike chakudya chomwe chatengedwa.
Ndipo kapamba amayenera kupumula usiku kuti achire bwino mtsogolo ndikugwira ntchito moyenera. Mukamatsatira malamulo onse osavuta awa, muthanso kupewa kupanikizana kwambiri ndi chifuwa cham'mimba, thanzi lanu likhala bwino.
Kodi zakudya za kapamba, zomwe zimafunikira ndi chiyani?
Pancreatitis kokha sikuti nthawi zambiri imayamba. Chowonadi ndi chakuti dongosolo logaya chakudya ndilovuta kwambiri, ndipo ziwalo zake zonse zimalumikizana bwino. Simungathe kulingaliranso bwino chiwindi, m'mimba ndi matumbo ndi kapamba owala. Chifukwa chake, ngati mukumva kupweteka kwam'mimba, ndikofunikira kuti mufufuze matenda am'mimba koyamba, kenako, kutengera zotsatira zake, kuyamba chithandizo chovuta. Komabe, kugwira kwake ntchito kumadalira chakudya chokhacho. Chifukwa chake, lero tikufuna kukambirana zomwe mungadye ndi matenda a kapamba. Kutengera mutuwu kumalumikizidwa ndi pafupipafupi matenda.
Yankho la panthawi yake
Matenda a kapamba amakhudzana kwambiri ndi matenda a chiwindi ndi dongosolo la biliary. Nthawi zambiri, kapamba amapezeka pakati pa omaliza. Kumbali imodzi, izi sizowopsa. Komabe, munthawi yayitali komanso nthawi yayitali, munthu akapita kwa asing'anga ndi kuthamangitsa zowawa ndi mapiritsi, zimatha kudzetsa matenda a pancreatic necrosis. Zotsatira zake zimakhala zazikulu, chifukwa chake, kulola matenda kupita ndi mphamvu yokoka sikovomerezeka. Tisaiwale za kuwonongeka kwa minofu. Kuphatikiza pa chithandizo chamankhwala, ndikofunikira kudziwa zomwe mungadye ndi matenda a kapamba.
Zizindikiro za Pancreatitis
Mudziwa bwanji kuti mukupeza matendawa? Choyamba, ndikofunikira kukumbukira kuti ululu uliwonse ndi nthawi yolankhula ndi dokotala. Makamaka ngati amawonekera pafupipafupi. Pancreatitis ndi matenda oopsa omwe amadziwika ndi zovuta zina. Nthawi zambiri izi zimachitika mutatha kudya. Kukula kwa ululu - pamimba pamimba, hypochondrium kumanja kapena kumanzere, nthawi zambiri herpes zoster. Samachotsedwa mothandizidwa ndi analgesics kapena antispasmodics. Kusunthika ndikusunthika, kufooka ndi chizungulire zimadziwika.
Cholinga cha chakudya cha pancreatitis
Matenda aliwonse a kapamba amabweretsa zovuta mu ntchito yake. Choyamba, ndikuphwanya kutulutsidwa kwa michere m'mimba. Chingwe chachitali chimatsogolera pakutha kwa michere. Koma si zokhazo. Carbohydrate metabolism imakhudzidwa kwambiri. Ndiye kapamba yemwe amapanga insulini, yofunikira pakugwiritsa ntchito shuga. Chifukwa chake, chithandizo chimayamba ndikuchepetsa katundu pa matenda. Dokotala, limodzi ndi mankhwala omwe mumalandira, amafotokoza zomwe mungadye ndi matenda a kapamba. Cholinga ndikukonza matenda a metabolic.
Kusintha kwa zakudya
M'malo mwake, chakudyacho sichikuperekedwa kwanthawi zonse. Ndikofunikira kudziwa zomwe mungadye ndi matenda a kapamba kuti muchepetse kusasangalala komanso kuti muchepetse kuchira. Uku ndiye kudya kwamankhwala, komwe kumapangidwira nthawi yowonjezera. Koma musayembekezere kuti m'masiku ochepa mudzatha kubwerera ku chakudya chokhazikika. Kubwezeretsa pancreatic ndi njira yayitali. Ndiye kuti, mogwirizana ndi chithandizo, muyenera kutsatira zakudya kwa mwezi umodzi ndi theka. Onetsetsani kuti mumadya pang'ono 6 pa tsiku, kutsatira malangizo a katswiri.
Iyi ndi njira yapadera yamankhwala yomwe imapangidwira anthu omwe ali ndi kapamba. Kuphatikiza apo, ndizovuta kunena zomwe zimapatsa mphamvu - mapiritsi kapena zakudya zomwe. Yemweyo chakudya chiwembu tikulimbikitsidwa zina pathologies a kapamba, makamaka chifukwa nthawi zambiri amakhala ndendende ndi maziko a kapamba. Chovuta kwambiri kwa odwala ndicho kupirira masiku oyamba.
Dokotala akapeza kufalikira kwamatenda a kapamba, amalimbikitsa njala. Kwa masiku awiri kapena atatu, thirakiti lam'mimba limapatsidwa nthawi yopuma, ndikuchotsa kwathunthu kufunika kwa kugaya chakudya. Nthawi zambiri, odwala omwe ali ndi ululu amawona kusintha kwakukulu panthawi ino. Khumudwitsidwa, kumverera kwodzala, kumatulutsa kumachoka. Koma popanda chakudya munthu sangathe kwa nthawi yayitali, choncho atatha masiku angapo amayamba kuyambitsa bwino zinthu zopezeka muzakudya. Chofunika kwambiri ndikudya kosamalitsa kwa matenda a kapamba. Ndingadye chiyani, ndipo ndiyenera kukana chiyani nthawi yomweyo? Tiyeni tikambirane izi mwatsatanetsatane.
Pachimake gawo zakudya
Munthawi imeneyi, matenda ammimba am'mimba amachitika.
- Enzymes amatsekedwa mkati mwa England. Izi zimabweretsa kutulutsa ndi kudzimbidwa, popeza chakudya sichikonzedwa bwino. Kuphatikiza apo, ntchito yodzipukusa kwa minofu imayamba. Ndi chifukwa ichi kuti wodwalayo amamva kupweteka kumanja kwa navel.
- Poizoni wakuthupi.
Kudya moyenerera kumawonjezera mwayi wakuchira kwathunthu kapena kukhazikika kwa matenda. Ndikunyumba komwe mfundo zachakudya zoyenera nthawi zambiri zimaphwanyidwa. Ngati pamasiku a sabata munthu amayesabe kutsatira malamulo ena, ndiye kuti patchuthi amangoiwalika. Ndipo m'mawa kachiwiri kuukira, chipatala ndi obwera.
Sindikizani ndikuyika pakhoma pazakudya zomwe zilipo zokhudzana ndi matenda a kapamba. Malamulo osasunthika azakudya zachiwonetsedwe ayenera kuchitika nthawi iliyonse tsiku lililonse. Kuphatikiza apo, sizikhala ndi zinthu zamtengo wapatali. Nthawi zambiri, mbale zimaphikidwa pogaya ndi kuwira, komanso zonenepa.
Pankhani ya kukokomeza, osati masiku awiri, muyenera kusiya kwathunthu chakudya. Amangolola decoction chete wamtchire wamtchire (makapu 2-3 patsiku) ndi madzi oyera. Ululu ukatha, ndikofunikira kukhazikitsa pang'onopang'ono zinthu zopezeka muzakudya. Patsiku loyamba, osaposa 300 g msuzi wamafuta ochepa. Pa tsiku lachiwiri, mutha kuwonjezera 100 g yophika nyama pamenepa. Pang'onopang'ono, mumayamba kudya zakudya zabwino.
Onetsetsani kuti muphatikiza zakudya izi muzakudya zanu.
Tsopano tiyeni tikambirane mwatsatanetsatane zomwe mungadye ndi matenda a kapamba.
- Magwero a protein ndi ofunika kwambiri. Ichi ndi nyama yopendekera, yophika bwino kapena yoboola. Zothandiza kwambiri ndi cutlets za nthunzi. Mukamasankha nyama zamtundu, siyani ku nyama yamwana wankhuku ndi nkhuku, komanso nyama ya kalulu.
- Kusankha kwakukulu kwa mbale yayikulu ndi nsomba. Yophika kapena yankhanira, mitundu yosakhala mafuta nthawi zonse. Kuti musinthe, mutha kupanga cutlets za nthunzi.
- Zilonda kwa odwala omwe ali ndi kapamba zimasinthidwa bwino ndi mbale zamasamba. Kupatula ndikusokosera.
- Pasitala. Mwa iwo okha, sayenera kuphatikizidwa ndi mphamvu yamagetsi. Komabe, yokazidwa mpaka mafuta a golide m'mafuta, sizigwirizana ndi tebulo No. 5. Mutha kuzigwiritsa ntchito popanda msuzi, ndi supuni ya mafuta a azitona.
- Zinthu zopangidwa mkaka ndi gwero labwino la michere, koma pali zina zomwe sangathe kuchita. Mkaka wonse suleredwa bwino, choncho ndi bwino kusankha yogati kapena kefir. Tchizi tchizi ndizoyenera, koma osaposa mafuta 9%.
- Mazira - kamodzi pa sabata. Mazira owiritsa kwambiri kapena owiritsa.
- Mkate ukhoza kuuma pang'onopang'ono.
- Zakudya zotsekemera ndizowawa kwa ambiri. Sizofunikira kusiya zonse zabwino. Pangani zakudya zokoma ndi zamafuta kuchokera ku zipatso kapena mousse ndikuyika chidutswa cha marshmows. Funso limafunsidwa nthawi zambiri "kodi ndizotheka kukhala ndi uchi wa matenda apamba." Apa zambiri zimatengera kuzindikira. Ngati pali kuphwanya kwa endocrine ntchito, ndiye kuti shuga, uchi ndi kupanikizana sikuchotsedwa.
- Masamba ndiye gawo lalikulu la zakudya. Amadyedwa monga momwe angathere. Komabe, ndikofunikira kudziwa kuti ndi masamba ati omwe angagwiritsidwe ntchito pancreatic matenda. Iwalani saladi zosaphika. CHIKWANGWANI cha Coarse chimakhudza vuto lanu. Ndikofunika kudya zipatso zophika. Ndipo imatha kukhala mbatata ndi kaloti, beets ndi maungu, zukini ndi kolifulawa. Munthawi yowonjezera, ndibwino kuzigwiritsa ntchito mwanjira yosenda.
- Zipatso ndizomwe zimakwaniritsa chakudya. Magulu a fiber, zakudya ndi ma antioxidants, thupi lathu limawafunikira tsiku lililonse. Ndi zipatso ziti zomwe zingagwiritsidwe ntchito pancreatic matenda? M'malo mwake, pafupifupi aliyense, kupatula zipatso. Komabe, kudya zatsopanozi sikulimbikitsidwanso. Ndikwabwino kuphika maapulo, kuchokera ku zipatso zofewa mumatha kuphika mbatata zosenda bwino, ma compotes ndi zakudya.
- Mavwende ndi mutu wanthawi yocheza. Gastroenterologists nthawi zambiri amafunsidwa ngati mavwende atheka ndi matenda a kapamba. Mu nyengo, ndizovuta kwambiri kusiya zipatso zotsekemera. Kodi ndiyenera kutsatira masamba anga akununkhira? M'malo mwake, ndimatenda a kapamba, mavwende amatha kudyeka, koma ochepa. Chimodzi kapena ziwiri ndizokwanira.
Zomwe muyenera kukana
Mitundu yamafuta am'nyama, nsomba ndi msuzi wolemera, ma jellies ndi oletsedwa.Kuchokera pazogulitsa mkaka, muyenera kusiya ma curls okongola ndi tchizi lakuthwa. Tchizi chanyumba cha m'mudzimo ndi bwinonso kusintha mafuta ochepa. Mazira okazinga kapena olimbitsa ayenera kusiyanitsidwa kwathunthu ndi zakudya. Masamba osaphika amaloledwa pang'ono kenako nthawi yachikhululukiro. Turnip ndi radish, radish ndi horseradish, adyo ndi anyezi yaiwisi, tsabola wokoma, nyemba ndi bowa - zonsezi, oletsa, ndizoletsedwa. Wowawasa (malalanje) komanso okoma kwambiri (madeti, mphesa) zipatso sayinso kuyikidwa muzakudya. Muyenera kuzolowera kuganiza kuti kuphika, makeke ndi ayisikilimu, chokoleti ndi mtedza - zabwino zomwe sizili kwa inu.
Kuchuluka mwachidule
Monga mukuwonera, chakudyacho sichisungika, ngakhale patebulo la chikondwerero mudzapeza chakudya chabwino. Kodi ndizotheka kumwa ndi matenda apamba? Yankho lolondola ndi lakuti ayi! Mowa umaletsedwa kotheratu. Ndipo zilibe kanthu ngati ndi mowa wamphamvu, mowa wamphesa kapena mowa. Galasi lirilonse ndi nthawi yopitilira kuchuluka. Chokhacho chosiyana ndi vinyo wa patebulo mu Mlingo wowonjezera, ndiye kuti, sip pamaso chakudya.
Zakudya zam'nyanja, shrimp ndi chipolopolo ndi gwero labwino la mapuloteni. Mu mawonekedwe owiritsa ndizotheka kugwiritsa ntchito. Koma zokoma zotere monga Sushi ndizoletsedwa kwa inu. Awa ndi nsomba zamafuta, masamba osankhidwa ndi zokometsera zokometsera.
Kodi ndiyenera kutsatira zakudya nthawi yachikhululukiro
Zinthu zikakhala kuti zabwerera kale, pamakhala yesero lalikulu kusintha zakudya zabwino. M'malo mwake, chakudyacho chimatha kufooketsedwa kwambiri, chomwe chimakhala bonasi yodziletsa kwa nthawi yayitali. Komabe, nyama zophika ndi marinade, makeke amchere ndi nyama ya khrisimu sayenera kugwiritsidwa ntchito. Ngati palibe mphamvu yokana, tengani chidutswa chochepa cha zinthu zabwino, ndikutha tsiku lonse pa kefir kapena yogati. Malire oyenera ndiabwino kuposa kukulitsa.
M'malo momaliza
Monga mukuwonera, palibe chovuta m'zakudya izi. M'malo mwake, ndimakudya abwino chabe omwe amapereka zotsatira zabwino kwambiri matenda a kapamba. Aliyense amene adziwa kale ululu wokhudzana ndi vutoli amadziwa bwino kuti ndikwabwino kukana nyama yokazinga kusiyana ndi kulandira chithandizo chamanthawi yayitali. Zakudya zimakupatsani mwayi wopewa kufalikira, zomwe zikutanthauza kuti mudzakhala moyo wosavuta.
Pancreatitis, makamaka mawonekedwe ake osachiritsika, ndi amodzi mwa matenda omwe kudya ndizofunikira kwambiri pakakhala kuti palibe mavuto azaumoyo. Chilichonse, ngakhale chaching'ono kwambiri, cholakwika chomwe chimakhalapo chimatha kubweretsa kuwonjezeka kwa matenda komanso kupweteka kwambiri. Chifukwa chake, funso lazomwe mungadye ndi kapamba ndizothandiza kwa odwala onse.
Monga lamulo, odwala amaloledwa kudya Nambala 5 kwa nthawi yayitali. Malinga ndi iye, odwala amafunika kudya okha yophika, kuwawotcha, kuwotcha kapena kuwotcha chakudya ndikusiyiratu nyama yokazinga, kusuta, kuwaza ndi zakudya zam'chitini. Nthawi yomweyo, ndikofunikira kudya kwambiri kuti musapangitse kuperewera kwa mapuloteni, mafuta kapena chakudya. Chifukwa chake mu zakudya odwala ayenera kupezeka kuchokera ku magulu onse azakudya.
Masamba omwe amathandizira kutentha amayenera kukhala maziko a zakudya zabwino kwa odwala. Amatha kuwotchera, kuwiritsa komanso kuwaphika, koma ndibwino kuti utsi. Kuphatikiza apo, ndikofunikira kudya pafupipafupi msuzi pamsuzi wofowoka masamba, popeza chakudya chamadzimadzi chimayenera kupanga gawo la mkango pazakudya zonse.
Malangizo: ndibwino kupera masamba omwe adapangidwa kale, ndikusintha supu kukhala masupu osenda. Izi zimathandizira kugaya chakudya ndikuchepetsa katundu pa kapamba.
Chisankho chabwino pa tebulo la wodwala ndi:
- Mbatata
- Beets
- Tsabola wokoma
- Dzungu
- Kholifulawa
- Zukini,
- Sipinachi
- Nandolo zobiriwira
- Kaloti.
Popita nthawi, mumphika wamasamba, casseroles kapena mbale zina, mutha kuyambitsa pang'onopang'ono kuwonjezera tomato ndi kabichi yoyera, komanso iyenera kukhala yothandiza pakukhazikitsa kutentha.
Malangizo: beet ndi yothandiza kwambiri chifukwa cha kapamba, popeza imakhala ndi ayodini wokwanira, yemwe amathandizira kubwezeretsa kapangidwe kake kapamba. Ndikulimbikitsidwa kuti muzidya mu mawonekedwe oswedwa tsiku lililonse kwa masabata awiri theka la ola musanadye chimodzi chachikulu cha 150 g.
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 wowawasa, zomwe zimapangitsa kuti zikhale m'gulu la zinthu zomwe zaloledwa, sizoyenera kugula ma proimmons pakuchulukitsa kwa matenda ndipo mwina kwa 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. Ndikofunika kusankha nkhuku, kalulu, nkhuku, nyama yamchere kapena ng'ombe yophika zakudya zopatsa thanzi, ndi bream, pike perch, pike, pollock kapena cod kuchokera ku nsomba. 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
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
Monga lamulo, matebulo a odwala nthawi zina amatha kukongoletsedwa ndi shrimps yophika, ma clams, ma mussel, squid, scallops ndi nyanja 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.
Pancreatitis - mwachidule za matendawa
Chikhansa ndi chiwalo chomwe ntchito zake palibe zomwe zingatenge. Chifukwa chake, pancreatitis ndi matenda oopsa omwe amafunika chisamaliro chochuluka kuchokera kwa wodwala kupita ku thanzi lake komanso zakudya. Kodi kapamba ndi chiyani?
Kutupa kwa kapamba ndimatenda ofala kwambiri mwa akazi ndi amuna.
Zikondazo zimatulutsa madzi otchedwa pancreatic juice, omwe amafunika kufikira duodenum ndipo mothandizidwa ndi michere yam'mimba amayamba kuthyola mapuloteni, zakudya ndi mafuta omwe amabwera ndi chakudya kulowa mthupi. Ngati kapamba amasokonekera, amatulutsa msuziwu patsogolo pake komanso mopitilira muyeso, kuyamba kudzipukusa. Zomwe zimayambitsa kulephera ndi:
- Zakudya zolakwika - Zakudya zamafuta ndi zonunkhira zochuluka, zakumwa zotsekemera za carbonated, chakudya mwachangu, kudya kwambiri,
- uchidakwa, kupumira pamimba yopanda kanthu ndikowopsa.
- matenda, kuvulala kwam'mimba kapena zotupa za ziwalo zoyandikana,
- matenda a ndulu, matenda a ndulu.
Kodi zizindikiro za kapamba ndi chiyani? Monga lamulo, chithunzicho ndi chowala kwambiri ndipo palibe chifukwa chokayikira kuti wapezeka. Odwala omwe ali ndi pancreatitis amadandaula za kupweteka kwapakati pamimba (amatha kupereka kumbuyo), kufooka, nseru ndi kusanza komwe sikubweretsa mpumulo, chimbudzi chofooka, kutopa kwambiri, kuchuluka kwa mtima.
Kuti mumvetse momwe mungachiritsire kapamba, muyenera kumvera malangizo a madokotala ndikudziwa zizindikiro za matenda. Tikambirana izi munkhani yathu yapadera.
Thanzi la kapamba: mfundo zazikuluzonse
Kutupa kwa pancreatic ndi matenda osasangalatsa, chithandizo choyambirira chomwe chimawonedwa ngati chakudya, makamaka zikafika panjira yovuta ya kapamba. Ngati munthu amene akudwala matenda omwe tatchulawa alola kuti abwerere pang'ono mndandanda wazakudya zomwe zimaloledwa, kuchuluka kwa matendawa komanso kuwopsa kwa matenda sikutenga nthawi yayitali.
Ngati zakudya sizitsatiridwa, kuukiridwa sikungatenge nthawi yayitali
Monga lamulo, madokotala amalamula odwala omwe ali ndi pancreatitis zakudya No. 5 P, yomwe iyenera kutsatiridwa kwa nthawi yayitali, ngati si moyo wonse. Chakudyachi chinapangidwa ndi wasayansi waku Soviet Manuel Pevzner, ndipo chimasiyana ndi zakudya zam'mbuyomu No. 5, zomwe zimawonetsedwa kwa odwala omwe ali ndi matenda a chiwindi.
Malinga ndi mfundo za zakudyazi, odwala amayenera kupatula mafuta, mchere, zipatso zamkati ndi zakudya (monga izi: monga "kukonzekera") ndi viniga, tsabola ndi zina zotere), komanso zakudya zotentha komanso zosuta. Ndikofunikira kuti pamsika wama chakudyacho muzikhala zakudya zomwe zophikidwa pamadzi, zophika kapena zophika popanda mafuta komanso zokometsera zambiri. Kusiyanasiyana kwa chakudya ndikofunikira. Pofuna kuti tisawonongeke pazinthu zilizonse zofunika kwambiri, muyenera kugwiritsa ntchito zinthu kuchokera kumagulu onse mukaphika ndi kudya. Mwanjira ina, wodwala yemwe ali ndi pancreatitis ayenera kulandira mapuloteni, mafuta ndi chakudya chamagulu moyenera.
Masamba ndi nyama yophika - maziko a zakudya za odwala omwe ali ndi kapamba
Zakudyazo zimapangidwira m'njira yoti kupewetsa m'mimba, kuteteza m'mimba ndi matumbo, kuthandizira zikondamoyo kuti zizigwira bwino, komanso kupewa "kusokonezeka" kwa ntchito ya ndulu ndi chiwindi. Chifukwa chake, zakudya No. 5 P ndizopatsa thanzi, zimakhala ndi mapuloteni ambiri muzakudya komanso shuga yochepa ndi mafuta kuti asachulukitse chiwindi komanso kuti muchepetse kukula kwa matenda ashuga. Malinga ndi zakudya zomwe zifunsidwa, wodwala yemwe ali ndi kapamba ayenera kulandira zakudya zochuluka zomwe zikuwonetsedwa pagome.
Gome 1. Chiwerengero cha michere ya kapamba
Chothandizira | Kuchuluka | Zindikirani |
---|---|---|
Mapuloteni | Osapitirira 120 magalamu | 65% ya mapuloteni amayenera kuchokera ku nyama |
Zakudya zomanga thupi | Osapitirira 350 magalamu | Makamaka zovuta, shuga osaposa 40 magalamu |
Zhirov | Osapitirira 100 magalamu | Pafupifupi 20% ndi mafuta a masamba |
Mchere wamba | Osapitirira 10 magalamu | Chakudya chiyenera kukhala chopanda mchere |
Mafuta | Ochepera - 1.5 malita | Mulingo woyenera - malita awiri a madzi oyera tsiku lililonse |
Mtengo wa mphamvu zamasiku onse mu zakudya No.
Mfundo zoyambirira za zakudya odwala
Pancreatitis pachimake: kudya?
Odwala omwe adakumana kale ndi vuto la matendawa amadziwa kuti tsiku loyamba kapena awiri muyenera kuchita chophweka - "njala, mtendere ndi kuzizira." Wodwalayo panthawiyi amakhala atakhazikika pathupi komanso m'maganizo, amasunga kutentha pamimba pake, zakudya zonse zimasiyidwa kunja, mpaka malita awiri patsiku munthu ayenera kumwa madzi osakhala a carbonated.
Pesi yotentha yozizira imathandizira kuchepetsa zizindikiro
Pambuyo pake, wodwalayo amalandira zakumwa kuchokera ku rosehip, tiyi wopanda mphamvu popanda shuga, msuzi wa mucous, mafuta amadzimadzi kuchokera ku mbewu zololedwa. Pambuyo pake, kuyambira tsiku lachisanu, odwala amatha kudya ma omeleette oyera a mazira, masamba ophika kapena ophika pamwamba pa nthunzi, chofufumitsa chophika (buckwheat, oatmeal), obalaza omwe amapangidwa ndi mikate yoyera. Nthawi yovuta kwambiri itatha, wodwalayo amabwerera ku tebulo No. 5 P. Tiyeni tikambirane za zakudya zomwe zili ndi nambala iyi mwatsatanetsatane.
Kodi chimaloledwa kudya ndi kapamba ndi chiyani?
Zinthu zonse zololedwa ndi chakudya No. 5 P zimayendetsa ntchito yogaya chakudya, thawirani munthawi yake, ndipo musam'pangitse kutaya mtima komanso kusapeza bwino m'mimba. Chakudya chimagwidwa mosavuta komanso mosavuta, chimakhala ndi mapuloteni ambiri ndipo sichimayambitsa michere yambiri.
Zakudya tebulo No. 5 P lakonzedwa makamaka kwa odwala omwe ali ndi kutupa kwa pancreatic
Tiyenera kumvetsetsa kuti ichi ndichakudya chofunikira, koma sichinapangidwe kwamuyaya. Inde, kudya koyenera kwa wina aliyense, ngakhale munthu wathanzi, kuyenera kutanthauza kuchuluka kwa zakudya zopanda thanzi, zomwe zalembedwa pansipa, koma makamaka tebulo No. 5-P idangoperekedwa kwa odwala pokhapokha pakukula kwa kapamba. Monga lamulo, kutsatira kwambiri zakudyazo kumafunikira kwa mwezi umodzi ndi theka mpaka miyezi iwiri, ngati mpumulo ukubwera pambuyo pake, mutha kupatuka pang'ono kuchokera ku menyu "achipatala".
Ndikofunika kumvetsetsa kuti ngakhale matendawa atazirala ndipo chikhululukiro chafika, simungathe kubwerera kuchakudya chanu chomwe chili chamafuta kwambiri am'matumbo am'mimba: kusuta, mafuta ndi zonunkhira, maswiti ambiri, mowa.
Mndandanda wazinthu ndi mbale zomwe zili pagome lazakudya No. 5
Zamasamba
Ndi chithandizo choyenera cha kutentha m'zakudya za odwala omwe ali ndi kapamba, ndimasamba omwe amakhala chinthu chachikulu. Masamba omwe amawotchera, kuphika, kuwotchera ndi kuwiritsa, msuzi ungathe kuphika pamsuzi wofowoka wopanda masamba, ndi sopo wowotchera wopangidwa ndi masamba omwe amaloledwa kukhala bwino mu tebulo lazakudya No. , mbatata, kaloti, zukini, beets. Beets imakhala ndi ayodini wambiri, yomwe imathandiza kwambiri pakubwezeretsa kapamba, motero tikulimbikitsidwa kuti odwala adye masamba omwe amawiritsa katatu katatu pa sabata.
Zipatso ndi zipatso
Kwa odwala omwe ali ndi kapamba, mndandanda wazipatso zololedwa ndi zipatso ndizochepa. Mulinso: maapulo okoma, makangaza, sitiroberi, yamatcheri opsa. Chowonadi ndi chakuti zinthu izi zimakhala ndi fiber zomwe zimachepetsa kugaya, ma acid, komanso zimayambitsa kupesa m'mimba. Ndikwabwino kusinthitsa zipatso zosaphika ndi zipatso ndi mafuta osafunikira komanso odzola, michere, zipatso zosafunikira, zakudya. Maapulo amatha, mwachitsanzo, akhoza kuphika popanda shuga kapena kudya gawo lochepa la zipatso zamakhanda.
Mwatsopano apulo kissel
Zakudya zam'nyanja
Tanena kale kuti kwa odwala omwe ali ndi pancreatitis, chakudya chomwe chili ndi mapuloteni ndizofunikira kwambiri. Ndi nsomba zam'madzi zomwe zimangokhala malo oyamba malinga ndi mapuloteni okwanira pazambiri zopatsa mphamvu. Kuphatikiza apo, zakudya zam'nyanja zili ndi ayodini, zitsulo ndi mavitamini osowa amafuta osafunikira okwanira mthupi la munthu aliyense. Komabe, kwa odwala omwe ali ndi pancreatitis, nsomba zam'madzi zimapezeka pokhapokha pochotsa, osati chifukwa chowonjezera. Sizoletsedwa kudya zakudya zam'madzi zam'nyanja - ndiye kuti, Sushi, masikono ndi zina zoletsedwa. Kuchiritsa kutentha (kuphika, kudyetsa, kuphika) ndikofunikira. Chifukwa chake, zakudya za omwe akudwala kapamba zingaphatikizeponso: shrimp, squid, lobster, nkhanu, mussels, scallops ndi zina zotero.
Nyama, nsomba, nkhuku
Kuphika tebulo No. 5 P imatsatira kuchokera ku veal kapena kalulu, ngati mbalame - nkhuku kapena nkhuku. Nsomba ziyeneranso kusankhidwa kuchokera ku mitundu yopepuka, nyanja kapena mtsinje. Zida zanyama zimafunikira kuwiritsa, kuwotcha kapena kuwotcha. Chifukwa chake, mutha kutumiza chidutswa chonse chakutidwa ndi zojambulazo ku uvuni, kapena mutha kuphika maondo, ma souffles, cutlets kapena ma meatballs, ng'ombe stroganoff ndi zina. Pamaso pa kuphika, nyama iyenera kumasulidwa ku mafuta, mafupa ndi ma tendon, chotsani khungu.
Zinthu zamkaka
Gawo lofunikira pakudya kwa odwala omwe ali ndi kutupa kwa pancreatic ndizopatsa mkaka zinthu zopatsa mkaka. Kefir, ryazhenka, bifidok, yogati yopanga ndi zina zotere ziyenera kupezeka nthawi zonse muzakudya. Ndikofunikira kuti zinthu zamkaka sizikhala ndi mafuta ambiri, ndikofunikira kupatula tchizi chamafuta, kirimu wowawasa, mkaka. Mkaka wonse wamkaka, panjira, umayambitsidwa bwino mosamala, chifukwa ungayambitse chisangalalo. Ndikwabwino kukonda mkaka wa mbuzi, popeza umamwekedwa bwino, osayambitsa chifuwa ndipo umadziwika kuti ndi “wolemera” wophatikizidwa.
Mphesa ndi chimanga
Ndi zakudya zomwe mukufunsazi, mbewu za viscous ndi zosenda zimagwiritsidwa ntchito, kuwiritsa m'madzi kapena pamadzi pakati ndi mkaka kuchokera ku mpunga, semolina, oat kapena buckwheat. Mkate wowuma kapena ufa wa gawo loyamba ndi lachiwiri, ma cookie, ma cookie osawerengeka, mabisiketi amaloledwa.
Zakumwa
Msuzi wa rosehip, tiyi wamafuta ndi infusions, tiyi wofooka, timadziti ta zipatso ndi ma compotes (nthawi yoyamba kuchepetsa ndi madzi osachepera gawo limodzi), kissel.
Msuzi wa Rosehip ndiwothandiza kwambiri pakuwonetsa pancreatitis
Makina olinganiza tsiku limodzi kwa odwala kapamba
Tikukumbutsani kuti tebulo la chakudya No. 5 P limatanthawuza chakudya champhindi, zisanu mpaka zisanu ndi chimodzi patsiku. Timapereka zitsanzo ziwiri zosonyeza menyu watsiku ndi tsiku.
Gome 2. Tsiku ndi tsiku menyu a kapamba apanja
Kudya | Menyu |
---|---|
Chakudya cham'mawa | Phala yophika pamadzi (oatmeal), apulo wokoma, tiyi wobiriwira ndi supuni ya uchi |
Chakudya | Zakudya zophika nsomba, dzungu puree, compote |
Chakudya chamadzulo | Msuzi wophika ndi msuzi wamasamba, mbatata yophika, broccoli yophika, zidutswa za Turkey, mkate wamiseche |
Tiyi yapamwamba | Tchizi chamafuta ochepera, omele ochokera ku mapuloteni awiri kwa banja, msuzi wa rosehip |
Chakudya chamadzulo | Mbatata zosenda, ma turkey cutlets, dzungu losenda kapena mkate. |
Chakudya chamadzulo (asanagone) | Zopanga zopindika mkaka |
Gome 3. Chosankha cha tsiku ndi tsiku cha matenda
Kudya | Menyu |
---|---|
Chakudya cham'mawa | Semolina phala, yophika m'madzi ndi mkaka (50 mpaka 50), msuzi kuchokera m'chiuno cha rose, kanyumba tchizi 2,5% |
Chakudya | Amamu awiri okhala ndi mapuloteni awiri amodzi, otsogolera oyera |
Chakudya chamadzulo | Msuzi wamasamba, nsomba yophika, mpunga, tiyi wobiriwira |
Tiyi yapamwamba | Ma apulosi wophika kapena puree wopanda mwana wakhanda |
Chakudya chamadzulo | Turkey yophika, mbatata, karoti ndi mphodza |
Chakudya chamadzulo (asanagone) | Kefir |
Maphikidwe atatu osavuta a zakudya No. 5 P
Timapereka kufotokozera pang'onopang'ono kwa maphikidwe omwe amakupatsani mwayi kuphika chakudya choyamba, chachiwiri komanso chotsekemera, choyenera anthu omwe ali ndi kapamba amtundu uliwonse.
Yophika souffle buluu kuyera:
- nsomba (kuyera kwamtambo) - 500 magalamu,
- mkaka - millilita 100,
- ufa - supuni,
- azungu awiri azira
- batala - 15 magalamu.
Kuti muchotse kuyera kwa buluu kuchokera kumafupa ndi khungu, kuphika mpaka wachifundo, kenako kudutsa chopukusira nyama kapena kupera mu blender mpaka kusasinthasintha kwa forcemeat. Phatikizani ufa mumphika wokazinga mpaka wachikasu ndikuthira mkaka, ndikupeza msuzi wamkaka. Menyani azungu ndi foloko mpaka thovu lakuthwa, sakanizani ndi msuzi wa mkaka ndi batala, onjezerani kusakaniza ndi nsomba zopanda mafuta. Ikani misazo pang'ono, ndikuphika mu uvuni pamoto wa madigiri 180 kwa mphindi khumi ndi zisanu mpaka makumi awiri.
Msuzi wamasamba:
- broccoli - 500 magalamu,
- mbatata - 500 magalamu,
- kaloti - 200 magalamu,
- dzungu - 200 magalamu,
- mafuta a azitona - supuni 1,
- mchere wina.
Sambani masamba onse bwino ndikuwadula ma cubes, kutsanulira mbatata mu sopo ndi madzi ozizira ndikuphika kwa chithupsa. Mwachangu masamba ena mu mafuta a azitona, kenako simmer mpaka theka yophika. Mukatha kuthira madzi otentha, ndikokota broccoli, kaloti ndi dzungu kupita ku mbatata, wiritsani kwa mphindi pafupifupi makumi awiri. Tenthetsani msuzi woyambira ndi magawo a masamba, pogaya mpaka pa puree kapena chosakanizira.
Msuzi wokoma wa apulo:
- maapulo otsekemera - 1 kilogalamu,
- shuga kapena wogwirizira - 100 magalamu.
Maapulo amayenera kutsukidwa, kusendedwa ndi mpendadzuwa, kudula pakati ndikuwuphika m'madzi mpaka zipatso zitayamba kuwira. Kukhetsa madziwo kudzera mu sume, kuziziritsa zidutswa, kupukuta ndi blender kapena kupaka pa grater. Finyani chifukwa mbatata yosenda, kuphika chifukwa chake mpaka unakhuthala. Thirani shuga kapena cholowetsa mu madzi owiritsa, kuphika kwa mphindi zowerengeka, kenako kusakaniza ndi puree wotsalira. Kusakaniza kumayikidwa mu mawonekedwe okhala ndi mbali zotsika, ndikuyika mu uvuni ndi madigiri 110. Pastille iyenera kuyimitsidwa mpaka kukhala yolimba kwathunthu.
Kodi kudya zakudya ndizofunikira bwanji?
Zakudya zomwe zalongosoledwa pamwambapa zimangoletsa kutupa m'matumbo ndipo zimathandizira "osataya", komanso zimakupatsani mwayi wopweteketsa ululu komanso kupewa zovuta zowopsa komanso kusintha kwa matenda omwe ali pachimake.
Kuletsa zakudya kumathandizira kapamba kukhazikika, kumathandizira kuti apange michere yamagetsi yomwe imagwiritsidwa ntchito kwambiri, komanso samalola kuti "gland" idye yokha. Zakudya zosankhidwa bwino zimathandizira mucous membrane wa m'mimba, m'mimba ndi matumbo, osalola kuti poizoni apangidwe, ndipo nthawi zambiri zimapangitsa kuti chakudya cham'mimba chizikhala chokhazikika.
Odwala omwe salabadira kudya mosamala ayenera kudziwa kuti kupweteka kwamphamvu kwa kapamba ndi "gawo louma la madzi oundana" omwe angayambike. Ngati wodwala matenda a pancreatitis aphwanya zakudya mwadongosolo, ayenera kusamala:
- zilonda zam'mimba, magazi ndi kukulitsa kwamitsempha m'mimba,
- kuphwanya kwa bile yotuluka, chifukwa - jaundice,
- mavuto a chiwindi
- zotupa (magazi) a mtsempha wa splenic,
- mavuto a m'mapapo, makamaka kutukusira kwam'mimba,
- zotupa mu duodenum 12,
- matenda a oncological, zotupa,
- matenda ashuga
- kuwonongeka kwa ubongo, etc.
Kuti mupewe izi zoyipa, muyenera kukumbukira osati mndandanda wazinthu zomwe zimaloleza kapamba, komanso zomwe sizimalimbikitsidwa ndi madokotala.
Mndandanda wazinthu zoletsedwa kugwiritsidwa ntchito ndi odwala
Zinthu zomwe zimapangitsa kupangika kwa madzi am'mimba komanso katulutsidwe ka pancreatic ndizoletsedwa mwamphamvu kwa odwala omwe ali ndi vuto la pancreatitis. Izi ndichifukwa choti ndi matendawa, ma enzyme amapangidwa mopitilira muyeso, ndipo chimbudzi sichikufuna kuchuluka kotere. Ma enzyme osagwira ntchito kwambiri sangathe kuchoka m'thupi, chifukwa thupi limayamba kugaya yakeyake - gland, kuti muchepetse chinsinsi chomwe sichikufunika.
Pofuna kuti muchepetse kutupa ndikuchepetsa kuchuluka kwa michere yomwe imapangidwa, mbale ndi zinthu zingapo ziyenera kuchotsedwa pamenyu mpaka kuchotsedwa kwokhazikika kapena kuchira. Gawo loletsedwa limaphatikizapo:
- nkhumba, nyama yankhumba, mphalapala, mwanawankhosa, nyama yapa, tsekwe, bakha,
- masoseji, masoseji ndi masoseji, omwe amasuta nyama zamtundu uliwonse, zotuluka,
- mchere, wokazinga, wosuta nsomba, caviar, kuteteza, sushi ndi masikono,
- zinthu zamkaka zokhala ndi mafuta ambiri (tchizi, kirimu wowawasa),
- zofufumitsa: ma pie, rye ndi mikate yatsopano yophika kumene, makeke ophika, makeke ndi zina zotero,
- sopo ndi msuzi: nyama, bowa, mkaka ndi nsomba, zinthu zingapo zovuta (msuzi wa kabichi, saltwort, zipatso), ozizira (botvini, gazpacho ndi zina),
- mazira, owiritsa kapena okazinga, ma yolks (maelemu amaloledwa, bwino ma protein ena),
- ngale barele, chimanga, mapira, mapira onse,
- zokometsera, zopanga masamba: daikon (radish), turnip ndi radish, kale, sorelo, bowa, adyo ndi anyezi, kabichi, sipinachi,
- zonunkhira, zokometsera, zokometsera, zokometsera kapena zonunkhira: horseradish, koriori, tsabola wamtundu uliwonse, mpiru, viniga, basamu, sinamoni ndi zina zotero,
- maswiti, jams, jams, ayisikilimu wamtundu uliwonse, gingerbread, caramel, shuga wa shuga ndi zina zotero,
- nthochi, zipatso, zonse popanda zipatso, zipatso zamkuyu, mango, maula, zipatso, mphesa, mapichesi, mapeyala, zipatso zambiri,
- kvass, mawu omwe afowoka kumene kuchokera ku zipatso ndi zipatso, zakumwa zilizonse zomwe zimakhala ndi mpweya, khofi kapena "degree",
- mafuta, mafuta, mafuta.
Mwachidule
Mphengoyi ndi chiwalo chokhacho komanso chofunikira kwambiri chomwe chimagwira ntchito zomwe zimathandiza kwambiri m'mimba komanso thupi lonse. Ngati zizindikiro zikuwoneka kuti zikuwoneka kuti zikuwoneka bwino kapena kuopsa kwa kapamba, muyenera kufunsa dokotala, nthawi zambiri, itanani ambulansi.
Ndikofunikira kumvetsetsa kuti chithandizo cha matendawa chimatenga nthawi yayitali, ndipo gawo lalikulu lopambana limatengera kutsatira zakudya zoyenera. Mulemba ili, tafotokoza mwatsatanetsatane momwe tebulo No. 5 P limaphatikizira, yowonetsedwa kwa odwala omwe ali ndi kapamba, komanso kupereka mndandanda wathunthu wazinthu zoletsedwa komanso zovomerezeka kwa odwala. Idyani ndi zosangalatsa ndipo musadwale!