Zakudya Piritsi No. 5P ya kapamba

Pancreatitis (kutupa kwa kapamba) ndimatenda ofooketsa omwe amapezeka ndimawonekedwe owopsa komanso osakhazikika. Njira zochizira sizokwanira popanda njira yodyera odwala, kutsatira malamulo oyambira kuphika ndi kudya.

Zofunikira zonse zimaphatikizidwa pazomwe zimagwiritsidwa ntchito pancreatitis tebulo lambala 5, lopangidwa molingana ndi gulu la M.I. Pevzner kwa odwala omwe ali ndi chiwindi, biliary thirakiti (hepatitis, cholecystitis, dyskinesia), kapamba, wokhala ndi zosinthika kwa chithandizo cha postoperative. Komabe, matendawa amakhala ndi mawonekedwe ake, kufunikira kwawo kuyenera kuganiziridwanso mukamapanga menyu wazakudya za 5p (kwa kapamba) kwa sabata limodzi.

Zolinga Zaumoyo Wathanzi

Ngakhale njira zothetsera zimaperekedwa bwanji kwa wodwala yemwe ali ndi intravenous pancreatic pathology, sangathe kusintha zakudya zomwe zimaperekedwa ndi zakudya; amagwiritsa ntchito nthawi yochepa kwambiri. Pulogalamu yotupa yotupa yomwe imayambitsa kupanikizika imafunikira kuti ichotse matumbo ambiri kuti igwirizike.

Izi zimatheka kudzera mu njala yonse komanso choletsa kumwa kwa masiku awiri. Dokotala wothandizira amapanga njira yapadera yolimbikitsira zamkati mwa m'mimba ndi m'mimba ndi kafukufuku, kotero kuti palibe kufinya komwe kumakwiyitsa. Chifukwa chosala kudya, ndizotheka kuti muchepetse kuphatikiza kwakukulu kwa michere ndi njira yodziwonongera yokha ya mbali parenchyma.

Pambuyo pake zakudya ziyenera:

  • sinthani zochitika zamkati,
  • perekani katulutsidwe wamphamvu wa ndulu mu vuto la vuto la ndulu,
  • amasokoneza chiwindi kuti ayambitse kagayidwe wamafuta ndi kuchuluka kwa glycogen,
  • perekani kuchuluka kwamapuloteni, mavitamini ndi zinthu zina zambiri zothandizira popanga mphamvu zofunikira kuti zitsitsimutse,
  • Imachedwetsa kukula kwa minofu ya michere (yofunikira pancreatitis yayitali),
  • kulimbikitsa chitetezo chokwanira komanso chaderako.


Kutupa kwa parenchyma ndi kutupa kumaphwanya dongosolo lobonda la kapamba

Mfundo zazikuluzikulu zomwe zimafuna chakudya 5 cha kapamba

Kuti mubwezeretse ntchito ya pancreatic, muyenera:

Kodi ndingadye chiyani zikondamoyo zikapweteka?

  • pezani zinthu zomwe zimalimbikitsa kumasulidwa kwa madzi a pancreatic (nyama yamafuta ndi nsomba, zophika ndi kabichi watsopano, bowa),
  • sinthani mulingo wa michere poonjezera kuchuluka kwa mapuloteni omwe amagwiritsidwa ntchito (nyama yopanda thukuta, nsomba, tchizi chonyamulira) mpaka 150 g patsiku, kuchepetsa mafuta kukhala 70-80 g, kuchepetsa zakudya zopezeka ku 300-50 g (makamaka mitundu yamkati ya shuga, uchi),
  • tsatirani malamulo a kuphika,
  • onetsetsani kuchuluka kwa kudya kamodzi, kupewa kudya nthawi imodzi, kulemera kwa mbale iliyonse sikuyenera kupitirira 150 g,
  • samalira boma la zakudya zosakhwima mpaka katatu patsiku (pambuyo maola atatu),
  • Gwirizanani ndi kusintha kulikonse ndi dokotala potengera zotsatira za maphunziro owongolera.

Njira 5p ili ndi zoletsa zowonjezereka.

Kodi zakudya 5 zimalimbikitsa chiyani?

Malamulo okhathamiritsa a kapamba amaletsa yokazinga ndi kusuta mbale, zinthu zomalizidwa. Simungadyetse wodwalayo masamba osankhidwa ndi mchere, zinthu zamzitini (kuphatikizapo timadziti). Popeza mafuta sakhala ochepa, ndiye kuti supuni imayikidwa mwachindunji. Amaloledwa kugwiritsa ntchito kuwira, kuphika, kuwongolera, njira yonyowa ya kapangidwe kazakudya.

Mukamaphika, ndizoletsedwa kugwiritsa ntchito mafuta ophikira, margarine, mafuta anyama

Zamasamba sizingayikidwe mu poto, zimadulidwa bwino kapena kuwazidwa, kuwiritsa. Zakudya zamchere zimangokhala 10 g patsiku (12 12 g). Kunyumba, ndibwino kuyeza supuni ziwiri ndikuyika chofukizira cha mchere patebulo kuti muwonjezere mchere kuchokera kuchuluka uku tsiku, osagwiritsa ntchito mchere pakuphika.

Sizoletsedwa kugwiritsa ntchito masamba otentha (tsabola, mpiru, horseradish), ketchup, mayonesi, kuvala masuzi. Amasinthidwa ndi mafuta amasamba ochepa. Mutha kudya mbale zofunda, kutentha ndi kuzizira kumawombana kokhazikika, monga chosakhumudwitsa ku ziwalo zam'mimba. Zakudya 5p ndi kapamba, mosiyana ndi tebulo 5, zizikhala ndi mbale zamadzimadzi. Malonda onse amapotozedwa kapena kupukutidwa.

Zisonyezo za 5p zakudya

Zakudya Zakudya za 5p zimavomerezedwa kwa milungu iwiri itatha nyengo yanjala yokhala ndi pancreatitis yachilendo komanso kufalikira kwina kwa matenda osachiritsika. Iyenera kupereka "panjira" pang'onopang'ono ya ntchito zogaya kuchokera pa "zopanda pake" ndikubwezeretsanso ziwalo kuti zisinthidwe ku tebulo lathunthu Nambala 5.

Pakusintha kwa nyengo, kutalikirana kwakukulu kwa kapamba, m'mimba, matumbo kumapitilira, kukondoweza kwa kupanga kwa timadziti tam'mimba ndi bile kumaletsedwa.

Kugwiritsa ntchito kwakanthawi chakudya No. 5p ndi chifukwa chomveka chowonjezera kupweteka motsutsana ndi chifuwa chachikulu

Kodi zakudya zamasiku onse 5p ndi ziti?

Ndi zofooka zonse, kapangidwe kazakudya zamatsiku ndi tsiku ziyenera kupereka zopatsa mphamvu zopatsa mphamvu, mavitamini, zomwe zimakhala ndi pectins, lipotropic zinthu. Pakati mphamvu yazakudya zimafanana ndi 1700-2500 kcal.

Zakudya zomanga thupi zimachepetsedwa kwambiri m'masiku oyamba mpaka 50 g (pang'onopang'ono zimachulukana kukhala zikhalidwe, koma shuga amakhalanso osaposa 30 g), mafuta mpaka 70 g (batala pafupifupi 30 g patsiku, masamba osaposa 15 ml pachakudya chilichonse), mapuloteni amapanga chinthu chofunikira kwambiri menyu (100 g). The zikuchokera zimasiyanasiyana kutalika ndi zovuta pachimake siteji ya kapamba.

Zakudya za vitamini-mchere zofunika

  • retinol ndi thiamine 10 mg,
  • ascorbic 150 mg
  • riboflavin 2 mg,
  • nicotinic acid 1.6 mg,
  • phosphorous 1.3 g
  • sodium 3 g
  • magnesium 0,5 g
  • chitsulo 0,03 g,
  • calcium 0,8 g

Zigawo zonse zofunikira zimagwirizana ndi zomwe zili pazinthuzo, chifukwa chake ndikofunikira kuyesa kuphatikiza ndikugwiritsa ntchito mitundu yosiyanasiyana yolola. Amapereka osati kukoma kokha, komanso kupezeka kwa achire.

Zinthu Zololedwa

M'masiku oyambira, pambuyo pa kusala kudya, wodwalayo amaloledwa supu zamasamba zokha monga chimanga, msuzi wotsekemera pang'ono wa zipatso, omeleramu, msuzi wa rosehip. Masiku awiri aliwonse, chakudya chimakulitsidwa. Nyama yokhala ndi mafuta ochepa komanso nsomba sichigwiritsidwa ntchito kuphika broth, koma mafuta ophwanya osenda.

Porridge amakonzedwa koyamba pamadzi, ndiye pa mkaka wothira madzi kuchokera ku oat, buckwheat, mpunga, semolina, semolina. Mkate wa tirigu umaloledwa wokha wouma (dzulo), wokhala ndi zowononga zazing'ono, mutha kudya ma cookie owuma osapsa (mabisiketi). Kamodzi patsiku - dzira lowiritsa kapena mawonekedwe amamu.

Masamba amawonjezeredwa pamasuzi, amawiritsa ndi kuphika. Pakutha kwa sabata, supu zamkaka, vermicelli yophika, maapulo otsekemera kapena ophika wopanda khungu, ndi tchizi chamafuta ochepa. Kuchokera pa zipatso ndi zipatso ndikofunikira kuphika zakudya, zakudya popanda shuga. Madzi okhazikika osenda kumene amakhala kuti amadzipaka pakati ndi madzi owiritsa.

Tiyi yofooka ndi mandimu popanda shuga imaloledwa, msuzi wa rosehip

Malonda Ovomerezeka

Zakudya za 5p zimaphatikizapo zoletsa zambiri. Mndandandandawu umaphatikizapo:

  • makeke abwino, mkate wa rye,
  • maswiti ndi zinthu zapamwamba zokhala ndi zonona,
  • mowa wamtundu uliwonse, tiyi wamphamvu, khofi, zakumwa zoziziritsa kukhosi,
  • mbale zozizira (ayisikilimu), tiyi wowotcha,
  • msuzi wonenepa ndi nsomba,
  • masosi osuta, masoseji, zinthu zomalizidwa,
  • zakumwa zochokera mkaka wowawasa (kefir, yogurt, ayran),
  • nsomba roe
  • radish, turnip, radish, sipinachi ndi sorelo,
  • bowa ndi mbale zamabichi,
  • zokometsera zokometsera
  • ma pickles ndi ma pickles,
  • mkaka ndi zinthu zokhala ndi mafuta ambiri,
  • nsomba zamzitini, nyama, masamba ndi timadziti,
  • malalanje ndi ma tangerine, msuzi wa mphesa,
  • zakudya zopezeka mwachangu, tchipisi tambiri, mtedza, zoyambitsa ndi zonunkhira.

Kodi malamulo azakudya amadalira nthawi yayitali bwanji?

Zakudya 5p zimapangidwa kuti zizikulitsa pang'onopang'ono zakudya, kutengera nthawi kuyambira kumayambiriro kwa matendawa. M'masiku atatu oyambirira mutatha kudya chakudya, amaloledwa kudya pang'ono komanso kangapo mpaka nthawi 6-7 patsiku. Kwa wodwala konzekerani madzi phala grated pamadzi. Amapatsa theka la gawo la msuzi wamafuta wopanda mchere, mchere, msuzi wa rosehip.

Akatswiri ena azakudya amalimbikitsanso kuti kunenepa. Mutha kumamwetsa chakumwa. Chilichonse chomwe chimayambitsa sokogonny kanthu (mchere, mafuta, zokometsera, kabichi) ndizoletsedwa. Pa tsiku lachinayi, zopatsa mphamvu zimakwera mpaka 600-800 kcal. Kuchuluka kwa mapuloteni kumakwera mpaka 15 g, chakudya - 200 g.

Kuyambira tsiku lachisanu mpaka kumapeto kwa sabata, zinthu zowonjezera kalori zimawonjezeka ndikufika pa 1000 kcal. Mafuta amaphatikizidwa m'mbale (batala 10 g), mapuloteni amaloledwa kuwonjezeka mpaka 40 g, chakudya - mpaka 250 g. Sopo zamasamba zimayambitsidwa pamenyu, chimanga chimaphika chofunda, koma popanda mkaka, mumakhala nyama yosenda yophika, ma boardb ndi nyama yotseka, steam cutlets.

Masamba mbatata yosenda, kaloti, tchizi chamafuta ochepa, apulo wokhathamira. Kuphatikiza pa msuzi wa duwa lakuthengo, timadziti tatsopano tothiriridwa ndi msuzi wa kiranberi timawonjezera zakumwa. Kuyambira tsiku lachisanu ndi chinayi, zopatsa mphamvu za calorie ndi 2000 kcal. Pazakudya za 5p, kuchuluka kwa mafuta (20 g), mapuloteni (60 g), chakudya (300 g) ukuwonjezeka. Kutumiza kamodzi kumakula.

Chifukwa chakudya kochepa kwambiri kwa kalori, kulowetsedwa kwa shuga ndi mapuloteni amakonzedwa kumapitilira (zakudya zama makolo)

Kuphika kumapitilira popanda mchere. Supuni ya mafuta masamba imawonjezeredwa ndi mbale ndi mbale yomalizidwa. Pambuyo pa tsiku la makumi awiri kuyambira pachiwonetsero cha matendawa, zakudya zimakula kwambiri. Kugwiritsa ntchito mafuta okwana 40 g, mapuloteni 100 amaloledwa, ndikotheka kubweretsa chakudya chamagulu kuzinthu zamagulu (400-450 g). Pitilizani kupera ndi kupukuta mbale, kuwiritsa popanda mchere kapena kuphika.

Wodwalayo amadyetsedwa: msuzi wosenda wa phala, chimanga chamadzimadzi (buckwheat, oatmeal, mpunga ndi semolina osavomerezeka pano), masamba puree, dzungu lotentha, zipatso zonona. Curd pudding imaloledwa. Pang'onopang'ono, mkaka, ma porridge angapo amkaka, kefir amayambitsidwa muzakudya. Nyama yophika ndi nsomba zimaloledwa kuphika zidutswa.

Chakudya chimatenga nthawi yayitali bwanji?

Chakudya chokhwima cha 5p nthawi zambiri chimaperekedwa kwa masiku 20. Mawuwo amatsimikiziridwa ndi mkhalidwe wa wodwala, kupumula kwa zowawa, zotsatira za kafukufuku wamaphunziro a pancreatic. Pambuyo akudwala pachimake pancreatitis kwa chaka chimodzi, zakudya 5 ziyenera kutsatiridwa. Mu mawonekedwe a matendawa, chakudya 5p chidzafunika pakuchulukirachulukira kwa njirayi, ndikutsatira zofunika pa tebulo No. 5 kukhalabe moyo.

Malamulo onse

Pancreatitis - kapamba matenda a kutupa. Zomwe zimayambitsa kugonjetsedwa kwake ndizosiyanasiyana: kutsekeka (kufalikira) kwa kanyumba kam'mimba, poyizoni poizoni, kupezeka ndi mankhwala osokoneza bongo, matenda amitsempha, matenda opatsirana komanso parasitic, kuvulala.

Pali pancreatitis yovuta komanso yopweteka. Maziko a pancreatitis pachimake ndi enzymatic zotupa za kapamba. Nthawi zambiri zimachitika pakumwa mankhwala (methyldopa, Azathioprine, 5-aminosalicylates, manzeru, Furosemide, Cimetidine, Metronidazole) Mu theka la milandu, zomwe zimapangitsa ndi cholelithiasis, ndipo 25% amagwirizana ndi kumwa mowa kwambiri.

Zizindikiro ndi chithandizo cha matendawa zimadalira kuchuluka kwa kuwonongeka kwa gland ndi kuledzera. Digiri Yowala (serous edema) amadziwika ndi ululu wokwanira, kusanza kamodzi, mseru ndipo, mwambiri, mkhalidwe wokhutiritsa wodwala.

Pafupifupi kuchuluka kwa kuledzera (kakang'ono koyambira necrosis) kumadziwika ndi ululu wopitilira mu epigastrium, kusanza mobwerezabwereza, kukoka kwa khungu, komanso kukwera kwa kutentha.

Mlingo woopsa (kufalikira kwa chotupa) kumawonekera ndikutsuka koopsa, kupweteka kwambiri komanso vuto lalikulu. Nthawi zambiri zimawonekera jaundice ndi zizindikiro peritonitis.

Chithandizo chimathetsa izi:

  • kulimbana ndi kugwedeza ndi toxemia,
  • kuthetsa kupweteka ndi kuphipha,
  • kukakamiza kwa ntchito ya gland michere (njala, proton pump zoletsa, kufunsa kwa m'mimba nkhani).

Odwala ambiri amafunikira kulowetsedwa, kumadyetsa mosalekeza pogwiritsa ntchito mankhwala osakaniza (okometsa zakudya).

Matenda a pancreatitis ndimatenda a nthawi yayitali, omwe amapita patsogolo ndipo gawo lililonse la kuchuluka limapangitsa malo a gland minofu. Zotsatira zake, izi zimayamba kulephera. Zizindikiro zakulephera kwa procrine chithuzi mawonetseredwe a kuperewera kwa zakudya m'thupi (kuchepa kwa thupi, kusokonezeka kwa metabolism ya calcium).

Mankhwala othandizira (Zakudya za 5P malinga ndi Pevzner) amagwira ntchito yofunika kwambiri pamatenda onse ndipo amathandizira kuchepetsa kupindika, kuponderezana hyperfermentemia, kuchepa kwa chisangalalo cha ndulu. Ndi zizindikiro za kapamba, mankhwalawa ndi Zakudya No. 5P ali ndi zotsatira zabwino osati nthawi yovuta kwambiri. Munthawi yayitali, zimathandizira kukonza kagayidwe kachakudya mu kapamba, kubwezeretsa ntchito yake komanso kuperewera kwa chakudya kwa wodwalayo, komanso zimathandizira kupewa kuyambiranso matenda.

Zoyambira Zakudya 5 ndi kapamba, amasinthidwa ndipo amatchedwa Zakudya za 5P. Mu pachimake komanso kuchulukitsa kwa matenda osachiritsika, imakhala ndi zinthu zingapo, ndipo mfundo zazikulu za mankhwala ochizira pancreatitis ndi:

  • njala munthawi yamatchulidwe azachipatala ndi njira za autolytic mu kapamba (zakudya za makolo zokha zimachitika),
  • munthawi yochepa kwambiri, kusintha kwa zakudya zabwino kumachitika (popeza mapuloteni onse amafunikira wodwala),
  • kukula pang'onopang'ono kwa chakudya pophatikizidwa ndi zakudya ndi mbale zatsopano,
  • ndi kukula kwa chakudya, pang'onopang'ono kuchuluka kwa chakudya ndi zopatsa mphamvu zimapangidwa,
  • kutsatira malire apamwamba mwamakina ndi mankhwala othandizira pancreatic.

Zakudya tebulo lambala 5 la kapamba amatsimikizika ndi momwe wodwalayo alili komanso kutengera kwake, pankhaniyi, ali ndi njira ziwiri.

Njira yoyamba ikusonyezedwa chifukwa cha pancreatitis pachimake komanso kufalikira kwamphamvu kwambiri. Chakudya chomwe chili patebulopo chimapangitsa kuti pakhale mtendere wambiri pa kapamba ndipo zimathandizira kuthetsa ululu. Zakudya zodekha izi zimaperekedwa pambuyo panjala yachitatu kuchokera tsiku lachitatu la matendawa, koma popeza sizigwirizana ndi zakudya zopatsa thanzi komanso zosowa zamunthu, zimaperekedwa kwa masiku 3-7. Amadziwika ndi zakudya zochepa zama calorie okhala ndi mapuloteni - 60-70 g, mafuta - 50 g ndi chakudya - 200-250 g.

Zakudya zamafupipafupi (mpaka nthawi 8) komanso m'magawo ang'onoang'ono (kuyambira 100 mpaka 300 g) ndikulimbikitsidwa. Malonda onse amakhala owiritsa ndipo amakhala osasinthasintha amadzimadzi, ndipo pakatha masiku 5-6 wodwalayo amaloledwa kudya chakudya chochepa.

Popeza zakudya zamadzimadzi ndi zomanga thupi ndizomwe zimapangitsa kuti pakhale pancreatic komanso secretion ya m'mimba, pambuyo panjala zimayamba kudya ndi chakudya:

  • michere ya mucous yochokera ku chimanga chosiyanasiyana (mapira, chimanga cha chimanga sichitha) kapena pamasamba azomera,
  • nyemba zosenda m'madzi,
  • tiyi wofowoka ndi shuga,
  • odzola, odzola ndi msuzi wa zipatso amakula pa xylitol,
  • masamba purees wopanda mafuta (mbatata, karoti, dzungu, squash) ndi puddings zamasamba otentha,
  • zipatso zouma zouma,
  • loyera, mkate dzulo, makeke owuma ndi otayika.

Masiku 1-2 atatha kudya chakudya chamafuta, zakudya zamapuloteni zimaloledwa kuyambitsidwa:

  • msuzi wowawasa kuchokera ku nyama yophika,
  • Mazira 1-2 mu mawonekedwe a omele othira, owiritsa owiritsa komanso mawonekedwe a omelet ya protein,
  • soufflé, cutlets za nthunzi, zinyalala za ng'ombe, nkhuku, nsomba, nkhuku (musanaphike, nyama imamasulidwa ku mafuta, tendons, nsomba ndi nkhuku pakhungu),
  • phala lopotana ndi souffle, nthunzi zopindika za kanyumba wopanda chotupitsa (wowala bwino),
  • batala - m'makudya okonzeka, masamba sanayambitsidwe muzakudya.

Pambuyo pochotsa zizindikiro zowopsa komanso kuchepetsa ululu, monga kugaya chakudya m'mimba kumayenda bwino, chakudyacho chimakulirakulira pang'onopang'ono ndipo zakudya za 5P malinga ndi Pevzner zimalembedwa, njira yachiwiri, yomwe ikuwonetsedwanso pakuwonjezereka kwa pancreatitis yopanda kwambiri. Ndikulimbikitsidwa kwanthawi yayitali (mpaka chaka) ndipo cholinga chake ndi kupewa kutalikirana mtsogolo. Imasunganso mfundo zamagetsi, zamaukadaulo ndi mankhwala, zomwe zimachepetsa kukondweretsa kwa odwala. Mbale zonse zimaphika kapena kuwotchera, zimayamba kugwiritsidwa ntchito mawonekedwe osenda, kenako pang'ono - kuphwanyika.

Zakudya za tsiku limodzi zitha kufalikira

Kuletsedwa kwakukulu kumatha kuchepetsedwa ndi kusinthanitsa mbewu monga chimanga, masamba a masamba, mankhwala amkaka, ndi zipatso zophika.

  • Chakudya cham'mawa - phala lamadzi oatmeal ndi mkaka wothira, ndi msuzi wa rosehip ndi osokoneza.
  • Chakudya cham'mawa chachiwiri - tchizi chotsekemera chaching'ono, tiyi wobiriwira ndi mkaka wopanda shuga.
  • Chakudya chamadzulo - msuzi wamasamba ndi karoti, mbatata, kolifulawa, makeke amtundu wa nsomba, mabulosi odzola.
  • Zakudya zazing'ono - apulo wopatsa, mkaka wokhala ndi masikono.
  • Chakudya chamadzulo - omeleramu ochokera ku mapuloteni awiri, kefir.
  • Masana, muyenera kumwa pafupifupi malita 1.5 amadzi.

Wopatsa thanzi amalemba mndandandawo payekha kwa wodwala.

Zitsanzo za menyu wazakudya No. 5 kwa sabata limodzi osachulukirachulukira

Zakudya zopatsa thanzi zimaloledwa pambuyo pakutsatira mosamalitsa chakudya cha 5p, pakalibe kupweteka.

  • M'mawa - theka lamadzi oatmeal phala ndi mkaka wothira, ndi msuzi wa rosehip wokhala ndi masikono.
  • Chakudya cham'mawa chachiwiri ndi apulosi wophika.
  • Chakudya chamasana - msuzi wokhala ndi nyama, masamba osenda, zakudya kuchokera ku zipatso.
  • Zokhwasula - kefir ndi osokoneza.
  • Chakudya chamadzulo - chidutswa cha nkhuku yophika, phala la buckwheat, tiyi wobiriwira.
  • Asanagone - mkaka.

  • M'mawa - kanyumba tchizi casserole ndi zoumba, tiyi mkaka.
  • Chakudya chamasana - Banana
  • Chakudya chamasana - msuzi wamasamba wokhala ndi masamba osankhidwa bwino, masamba aulesi owoneka bwino, zipatso zouma bwino.
  • Zokhwasula-onenepa ndi mabisiketi.
  • Chakudya chamadzulo - theka lamadzi mkaka wa mpunga.
  • Asanagone - yogati.

  • M'mawa - phokoso lophwaphika mkaka, mkaka wa rosehip.
  • Chakudya cham'mawa chachiwiri - msuzi wa apulo, masikono.
  • Chakudya chamadzulo - cutlets za nthunzi ndi mbatata zosenda, mabulosi odzola.
  • Zokhwasula - mpunga kuthira zipatso.
  • Chakudya chamadzulo - nsomba yophika, mbatata yosenda, tiyi wobiriwira.
  • Musanagone - tiyi wa zitsamba ndi chamomile, makeke osapezekanso.

  • M'mawa - dzungu mkaka phala kwa mpunga ndi tirigu, tiyi wobiriwira.
  • Chakudya chamasana - saladi wa masamba ophika wopanda ma pickles ndi kabichi.
  • Chakudya chamadzulo - msuzi wa nsomba za nsomba zam'madzi, phala la mpunga, msuzi wa phwetekere.
  • Zokhwasula - zonona kwa zipatso.
  • Chakudya chamadzulo - chidutswa cha nkhuku yophika ndi beets grated, tiyi ndi mkaka.
  • Asanagone - yogati.

  • M'mawa - semolina mkaka, tiyi wobiriwira, sangweji yolimba tchizi.
  • Chakudya cham'mawa chachiwiri - tchizi chamafuta ochepa, msuzi wa karoti.
  • Chakudya chamadzulo - supu ya nkhuku yokhala ndi Zakudyazi, masamba osenda (kaloti, zukini, mbatata, kolifulawa ndizoyenera), tiyi wopanda mafuta.
  • Chakudya chamadzulo masana - apulo grated ndi kaloti.
  • Chakudya chamadzulo - kanyumba tchizi casserole, zakudya kuchokera ku zipatso.
  • Asanagone - mkaka wokhala ndi osokoneza.

  • M'mawa - phala la buckwheat, mkaka.
  • Chakudya chamadzulo - zipatso zophika (peyala kapena apulo).
  • Chakudya cham'mawa - borsch yamasamba, cutlets zouma kuchokera ku nyama ya turkey, tiyi ndi mandimu.
  • Chakudya chamadzulo - mabulosi odzola.
  • Chakudya chamadzulo - msuzi wamkaka wokhala ndi Zakudyazi, tiyi wobiriwira ndi makeke.
  • Asanagone - yogati.

  • M'mawa - oat mkaka phala ndi zipatso, tiyi ndi osokoneza.
  • Chakudya cham'mawa chachiwiri ndi tchizi tchizi, msuzi wa rosehip ndi supuni ya uchi.
  • Chakudya chamadzulo - msuzi wamasamba, nyama ya kalulu, yophika msuzi wowawasa wowawasa ndi buckwheat, tiyi wobiriwira.
  • Chakudya chamadzulo cham'mawa - madzi a apricot okhala ndi masikono.
  • Chakudya chamadzulo - nsomba zimaba ndi mpunga, zakudya.
  • Musanagone - mkaka wokhala ndi mabisiketi owuma.

Kutsatira malamulo a kadyedwe kandalama 5 kudzafunika ziletso zazikulu kuchokera kwa odwala, koma ndizoyenera chifukwa chochepetsera msanga kupweteka kwapafupipafupi ndikuchira. Nthawi zambiri chomwe chimayambitsa kukokoloka kwa kapamba ndi kuphwanya zofunika zakumwambazi. Chifukwa chake, odwala omwe amadziwa mbiri yakale amadziwa bwino kufunika kwa zakudya zoyenera.

Kodi chakudya chama 5p ndi chiyani

The achire kudya 5p wa kapamba ndikofunikira pazochitika zilizonse za matendawa ndipo kungayambitse kuchepa kwa ndulu mu ndulu, kupondereza hyperfermentemia, ndikuchepetsa chidwi cha bile.

Panthawi ya matenda a pathology, tebulo la 5p limakhala ndi zotsatira zopindulitsa osati panthawi yowonekera kwambiri. Munthawi yayitali, zakudya zoterezi zimathandizira kusintha kwa kagayidwe kachakudya mu gland, kuyambiranso ntchito yake komanso kudya kosokoneza, ndikuletsa kupezekanso komanso kupitirira kwa matendawa.

Zakudya zimayambira pa tsiku la 4 mutayambiranso. Pamaso pa mankhwala, masiku atatu adzafunika kufa ndi njala. Gome 5p ya matenda a kapamba amadziwika ndi mankhwala. Zakudya zoterezi zimatanthauzanso kusiya mbale zambiri zomwe zingapangitse kuti wodwala asamavutike.

Zinthu zomwe zimagwiritsidwa ntchito pokonza mbale za kapamba, muyenera kupera kapena kupera. Amakonzedwa ngati awiri, komanso owiritsa. Chifukwa cha njira zophikira izi, kukula kwa mapuloteni kumachitika, kuchuluka kwa chakudya chamafuta, mafuta ndi zinthu zina zowonjezera zimatsika, zomwe zimakhala ndi kuchuluka kwa mapadi, zomwe zimapangitsa ntchito ya zisa zam'mimba.

Chakudyacho chimagawidwa m'magawo awiri. Palibe kusiyana pakati pa matebulo, koma zakudya za No. 1 ndizofewa komanso zopepuka, sizilola kuti mudye zakudya zina zomwe zimaloledwa kudya zakudya No. 2.

Zakudya 5p gawo loyamba

Ndi kapamba, tebulo Na. 1 limasonyezedwa ngati pali mtundu wa matendawa komanso kufinya kwamphamvu kwa kapamba. Chifukwa cha tebulo 5 malinga ndi Pevzner, chitsulo chimathandizira kwambiri ndipo ululu umathetsedwa.

Zakudya 5 za kapamba ndizofatsa komanso zotchulidwa pambuyo poti kumenyedwa ndi njala kwa masiku atatu. Koma popeza tebulo lotere silikumana ndi zofunikira zathupi pakudya komanso kufunika kwa wodwala, limayikidwa pa tsiku la 5.

Pancreatitis yayitali, tebulo la 5 limaphatikizapo kudya ochepa wa calorie ndi kukhalapo kwa mapuloteni, mafuta ndi chakudya.

Ndi matendawa, munthu wamkulu amadya zakudya zingapo - mpaka nthawi 8 komanso kuchuluka kofunikira kwa thanzi la 100-300 magalamu.

Malonda onse amakhala owiritsa komanso osasinthasintha amadzimadzi, ndipo patsiku la 6, menyu wa kapamba amadzapangidwanso ndi zinthu zopangidwa ndi theka.

Zotsatira zake zakuti mafuta amadzimadzi ndi chakudya chamafuta amathandizira kuti azikhala ndi pancreatic ndi secretion ya m'mimba, ndiye mukamaliza kugunda kwa chakudya, gome limadzazidwanso ndi zakudya zamatumbo.

Zakudya 5p zosachiritsika kapamba ndizakudya izi:

  1. Msuzi wokometsera, womwe ungakhazikitsidwe ndi njere zosiyanasiyana, decoctions zamasamba.
  2. Maphala amadzimadzi owira pamadzi.
  3. Tiyi woyatsa ndi shuga.
  4. Mousse, odzola, odzola opangidwa kuchokera ku msuzi wa zipatso pa xylitol.
  5. Masamba puree wopanda mafuta.
  6. Puddings Wamasamba Ovuta.
  7. Phatikizani ndi zipatso zouma.
  8. Zipika, mikate yoyera yoyera.
  9. Ma cookie owuma.

Pambuyo pa masiku 2 mutatha kudya chakudya 5, ndi kapamba wambiri, chakudya chama protein chimaloledwa.

  1. Kuphika kirimu msuzi, womwe umatha kuphika nyama.
  2. Dzira ngati mafuta omwera, owiritsa owiritsa, opaka mapuloteni.
  3. Nyama zowotchera nyama, ng'ombe, nkhuku, nsabwe zansomba.
  4. Puddings.
  5. Batala wogwiritsidwa ntchito mu mbale zopangidwa kale.

Pamene ululu unachepa, zizindikiro zopweteka za kapamba zimachotsedwa, mankhwalawa a tebulo 5 adapereka zotsatira zabwino, ndiye kuti chakudya chimakulitsidwa pang'onopang'ono, ndikuwonetsa mankhwala a 2.

Kuti mumvetsetse zomwe tebulo lachisanu limaphatikizapo, zomwe sizingatheke ndi zomwe dokotala aliyense payekhapayekha atatha kuyesa.

Zakudya 5p gawo lachiwiri

Pambuyo mankhwala a tebulo 5 ndi kapamba amalimbikitsidwa kwa nthawi yayitali - mpaka chaka. Zakudya zimateteza kuukira kwa zam'tsogolo.

Tebulo 5 limatanthauzanso zamafuta, mawotchi ndi zida zamakonzedwe, zomwe zimathandizira kuchepetsa kukoka kwa gawo lomwe lakhudzidwa.

Mulingo wamphamvu ndi wotsika. Kuchuluka kwa mapuloteni ndi mavitamini okhala ndi lipotropic zinthu zimaposa, zokhudzana ndi chithandizo chamankhwala No. 1. Pancreatitis, mbale zocheperako ziyenera kukhala:

Simungathe kudya zakudya zokazinga, ndipo zomwe zimatha kupangitsa kuti pakhale mpweya wamphamvu, kupesa kwam'mimba, matumbo.

Zakudya zimaphikidwa ndi nthunzi kapena zophika. Poyamba, gwiritsani ntchito zakudya zamafuta, kenako ndikanadula zakudya.

Zinthu Zophika

Zakudya za matenda a pancreatitis zimakhala ndi zinthu zingapo zovomerezeka pa tebulo No. 5:

  1. Mkate wa dzulo, wopangidwa kuchokera ku ufa wa magiredi 1-2, kupewa kuphukira, komanso makeke owuma opanda shuga.
  2. Masamba amzimbe amadzimadzi. Chofufumitsa mumbale yoyamba chimayenera kupera. Amaloledwa kudya buckwheat, mpunga, semolina, pasitala. Kuchokera muzosakaniza zamasamba zimatuluka - mbatata, kaloti. Monga kavalidwe, gwiritsani ntchito kirimu wowawasa kapena mafuta.
  3. Zakudya zamafuta ochepa - kalulu, nkhuku, ng'ombe, nyama yamankhuku ndi nkhuku. Ndikofunikira kuti mankhwalawo alibe mafuta, tendon, khungu. Zakudya zimakonzedwa ndi nthunzi, mu grated, akanadulidwa mawonekedwe, yophika ndikuphika. Mutha kudya nyama yamunthuyo, kalulu, zukini, zinthu ndi nkhuku, kupanga zikopa za nyama.
  4. Nsomba yamafuta ochepa, yonyowa kapena yophika. Simungalole nsomba kupita, chifukwa imakhala ndi zinthu zambiri zowonjezera, poyerekeza ndi chophika.
  5. Ma cell omwera, dzira limodzi lowiritsa.
  6. Zinthu zamkaka zomwe zimakhala ndi mafuta ochepa. Popeza mkaka suvomerezedwa bwino ndi m'mimba, gwiritsani ntchito pakukonzekera kwa porridge, masosi, sopo. Amaloledwa kugwiritsa ntchito tchizi tchizi, kukonza puddings ndi casseroles kuchokera pamenepo. Idyani tchizi pang'ono. Ngati wodwala akusowa calcium, ndikofunikira kudya tchizi chambiri.
  7. Kuphika maapulo otsekemera mu uvuni. Pogwiritsa ntchito zipatso ndi zipatso, amaloledwa kuphika zakudya, zakudya, kupanikizana. Zipatso zouma ndi grated. Ndikulimbikitsidwa kudya zipatso zatsopano ndi zipatso mu mawonekedwe a grated.
  8. Kuchokera pakumwa ndi zakudya zamafuta, tiyi wopepuka amaloledwa, kumwa shuga kumachepera, timadziti timasungunuka m'madzi, msuzi wa rosehip.
  9. Pambuyo povulala pancreatic, pang'onopang'ono tengani mafuta muzakudya zanu. Poyamba, mpaka magalamu 20 a batala wovala, kenaka mafuta amasamba, mu kuchuluka kwa magalamu 15.

Pakudya pancreatic pancreatitis, menyu yoyesedwa sabata iliyonse imapangidwa payekha ndi katswiri, kutengera mawonekedwe a thupi la wodwalayo.

Zitsanzo za chakudya cha sabata

Monga momwe amadziwika kale, njira yochizira matenda a kapamba imaphatikizapo kukulira pang'onopang'ono tebulo. Pamagawo oyamba, chithandizo chamankhwala chimaphatikizapo zinthu zaphikidwe ndi masamba ophika. Amaloledwa kudya magalamu 200 a mkate ndi magalamu 20 a shuga patsiku.

Kutembenukira ku mtundu wachiwiri wa tebulo lazakudya, mbale zazikulu sizinasinthe, komabe zimaloledwa kudya saladi kuchokera masamba atsopano. Kuchuluka kwa zinthu kumakulakulanso.

  1. Mkate - rye 100 gr., Wheat - 200 gr.
  2. Shuga - 40 gr.
  3. Batala mpaka 30 gr. patsiku.

Menyu imasainidwa tsiku lililonse chifukwa cha matenda. Mayina azakudya ndi mbale za kapamba ka sabata ndizosiyana.

  1. Chakudya cham'mawa - phala losenda mpunga, tchizi chinyumba, tiyi.
  2. Chakudya chamadzulo - apulo wophika mu uvuni ndi tchizi tchizi.
  3. Chakudya chamadzulo - msuzi wa oat, masamba otsekemera, masamba osenda, compote.
  4. Chakudya chamadzulo masana - oyamba ndi chakumwa cha zipatso.
  5. Chakudya chamadzulo - mazira osenda, tiyi ndi mandimu.
  6. Chakudya chachiwiri ndi mkaka wa usiku.

  1. Chakudya cham'mawa - zikondamoyo tchizi ndi zidutswa za maapricots owuma, tchizi, tiyi.
  2. Chakudya chamadzulo - phala la oatmeal ndi msuzi wa apulo.
  3. Chakudya chamadzulo - patties nyama, dzungu phala, tiyi wobiriwira.
  4. Zosakhazikika - pudding mpunga.
  5. Chakudya chamadzulo - casserole wa masamba ndi mawere owiritsa a nkhuku, tiyi.
  6. Chakudya chachiwiri ndi makeke, zakumwa za zipatso.

  1. Chakudya cham'mawa - semolina phala ndi batala ndi shuga, mkate, tiyi.
  2. Chakudya chamadzulo chophika mkaka wowotchera.
  3. Chakudya chamadzulo - msuzi wa Zakudyazi, nyama yophika nkhuku ndi masamba.
  4. Zokhwasula - yogati ndi apulo wophika uvuni.
  5. Chakudya chamadzulo - casserole ndi nyama yokazinga, mbatata, zonona wowoneka bwino, mkate ndi zipatso zabwino.
  6. Chakudya chamadzulo chachiwiri ndi kefir.

  1. Chakudya cham'mawa - omelet ya mapuloteni ndi phwetekere, tiyi.
  2. Chakudya chamasana - vinaigrette yopanda nkhaka zamchere, kabichi, mkate.
  3. Chakudya chamasana - nsomba zamkati, msuzi wa mpunga, msuzi wa phwetekere.
  4. Zokhwasula - kanyumba tchizi ndi compote, yophika zipatso zouma.
  5. Chakudya chamadzulo - beets yophika ndi magawo a prunes, minced minced, tiyi.
  6. Chakudya chachiwiri ndichakudya chamkaka chophika.

  1. Chakudya cham'mawa - phala ndi ufa wa mpunga, kupanikizana kwa tchizi tchizi, compote.
  2. Chakudya chamadzulo - mazira omwe adaswa ndi madzi.
  3. Chakudya chamadzulo - msuzi wa nyama, zomangira nyama, mpunga wophika ndi kagawo ka batala, compote.
  4. Zokhwasula - knuckles of nkhuku.
  5. Chakudya chamadzulo - hake patties ndi masamba osenda, madzi a apricot.
  6. Chakudya chamadzulo chachiwiri ndi kefir.

  1. Chakudya cham'mawa - mpunga, nyama zonyowa, tiyi.
  2. Chakudya chamadzulo - tchizi tchizi, kissel.
  3. Chakudya chamasana - msuzi wamasamba patebulo la zakudya ndi masamba ophika, Turkey cutlet, mbatata yosenda ndi zakumwa za zipatso.
  4. Zakudya zazing'ono - zopeka, tiyi.
  5. Chakudya chamadzulo - semolina, mazira ophwanyidwa, tiyi wopepuka.
  6. Chakudya chachiwiri - theka kapu ya mchere.

  1. Chakudya cham'mawa - manic ndi zoumba, kanyumba tchizi pudding, tiyi mkaka.
  2. Chakudya chamadzulo - kabichi yophika, mpunga.
  3. Chakudya chamasana - msuzi wa oatmeal, kabichi amakhala ndi nyama yowiritsa, kirimu wowawasa, odzola.
  4. Zokhwasula - kanyumba tchizi, msuzi.
  5. Chakudya chamadzulo - phala la mpunga, madzi amchere.
  6. Chakudya chachiwiri ndi msuzi wa karoti.

Zakudya za matenda a kapamba ayenera kukhala ndi zopezeka zambiri masana. Maphikidwe a tsiku lililonse amasintha tebulo, ndikupangitsa kukhala osiyanasiyana.

Msuzi wa Kirimu Wamasamba

Chinsinsi chili ndi izi:

  • kaloti - 2 ma PC.,
  • mbatata - 250 gr.,
  • msuzi wamasamba - 0,7 l.,
  • udzu - 2 mapesi,
  • mafuta a azitona - supuni,
  • anyezi - theka.

Dulani anyezi ndi kutsanulira madzi otentha. Mutha kuwumitsa masamba poto. Ikani msuzi pachitofu, kuwaza anyezi, masamba okonzedwa ndikuwonjezera mchere pang'ono. Kuphika kwa mphindi 40.

Menyani mbale yomalizidwa ndi blender. Mutha kudya ndi osokoneza.

Nsomba zophika mkate

Ndi zakudya, muyenera mtundu wamafuta nsomba. Chogulacho chimadulidwa m'magawo ndikuyika papepala lophika. Kenako kuwaza anyezi, kuwaza kaloti. Konzani masamba pamwamba pa nsomba, kuwaza ndi mandimu, mchere.

Kukulani mbale ndi zojambulazo ndikutumiza ku uvuni kwa theka la ola.

Maphikidwe otere a zakudya 5 omwe ali ndi kapamba amachititsa menyu kukhala wosiyanasiyana, ndipo wodwala amakhutitsidwa ndikusangalala ndi kudya.

1. Kodi chakudya cha 5p ndi chiani?

Zakudya za 5p ndi dongosolo lazakudya lomwe limapangidwira odwala omwe amapezeka ndi zotupa mu kapamba ndi chikhodzodzo. Mfundo zake zazikulu ndizofunikira kuti muchepetse katundu pazigawo za m'mimba, kukonza magayidwe am'mimba ndikuletsa kupweteketsa zakudya m'matumbo athu. Zakudya 5p ndi gawo lofunikira la mankhwalawa a kapamba nthawi zonse za matenda.

Mfundo zofunika kuzidya:

  • Pakupita kwakanthawi koti musala kudya mwachangu, msuzi wa mucous, phala, zakudya, zimayambitsidwa pang'onopang'ono. ndi kuchulukana kwa matenda a kapamba, chithandizo cha mankhwalawa chikulimbikitsidwa (chakudya chilichonse ncholetsedwa kwa masiku angapo, madzi amchere amchere amatha kudya),
  • mukabwerera ku zakudya zabwino, menyu amayenera kukhala ndi protein yambiri,
  • Kuphatikizidwa kwa zinthu zatsopano ndi mbale muzakudya kumachitika pang'onopang'ono komanso magawo ochepa,
  • zinthu zonse kuchokera pamenyu ziyenera kumizidwa bwino ndi kupukusidwa (ma coarse fiber, fiber fiber
  • shuga tsiku lililonse sayenera kupitirira 30 g, mchere - 8 g,
  • Zakudya zopatsa thanzi zimaphatikizapo kudya chakudya pakadutsa maola awiri aliwonse (kudya kwambiri komanso kufa ndi njala sikuyenera kuyikidwa pambali, kupatula kusala kwachithandizo panthawi ya kuukira).

2.Zambiri zophikira mbale No. 5p

Pali zosankha ziwiri za Zakudya 5p. Mtundu uliwonse umatanthauzira malamulo ena pokonzekera ndi kugwiritsa ntchito mbale. Kuphwanya malangizo kungayambitse kuwonongeka kwa wodwalayo komanso kuchulukitsa kwa njira yotupa. Ndikofunikira kukonza osati menyu zokha, komanso lingaliro la chisanachitike pokonza zinthu.

Sizoletsedwa kuphika mwachangu. Zosankha zovomerezeka ndikuphika, kuphika ndi kuphika (gawo loyamba la zakudya, mutha kugwiritsa ntchito kuphika kokha).

Zakudya 5p (gawo loyamba)

Mfundo zoyambira:

  • Zakudya zamafuta ziyenera kuwiritsa kapena kuwotcha. Zakudya ziyenera kukhala zama calorie ochepa (zomwe zimachitika tsiku lililonse mapuloteni ndi 60 g, mafuta - 50 g, chakudya - 200 g),
  • chakudya chimachitika kangapo patsiku zisanu ndi zitatu (kukula kwa ntchito imodzi sikuposa 200 g),
  • Kuphika kumavomerezeka pophika kokha,
  • Zipatso zimatha kugwiritsidwa ntchito kupaka zakudya, mbatata zosenda, zakudya kapena zakudya.
  • kuchokera ku maphunziro oyamba omwe amaloledwa masupsiti a mucous malinga ndi mbewu monga chimanga (chimanga ndi mapira ndizoletsedwa) ndi msuzi wa kirimu,
  • nyama mu chakudyacho iyenera kupezeka mwa ma cutlets, soufflé kapena maondo (nkhuku, nkhuku, nyama yochepa ndi nsomba),
  • masamba angagwiritsidwe ntchito ngati mbatata yosenda kapena mapepala otentha,
  • kuloledwa kugwiritsa ntchito nthunzi ya amamu, koma kuchokera ku mapuloteni okha,
  • Zakudya zonse zamagulu azakudya ziyenera kukhala ndi mawonekedwe owoneka bwino kapena amadzimadzi,
  • tchizi chimbudzi chitha kudyedwa ngati ma pastas kapena ma puddings (tchizi chokha cha kanyumba chatsopano chizigwiritsidwa ntchito kuphika mbale zotere),
  • phala iyenera kusenda ndikuphika m'madzi.

Zofunikira

  • Kuchuluka kwa mapuloteni poyerekeza ndi njira yoyamba, komanso kuchuluka kwamafuta ndi michere yaying'ono. Komabe, kuchuluka kwathunthu kwamafuta sikoposa 80 g, ndipo kumayambitsidwa pang'onopang'ono kuyambira lachitatu kuti wodwalayo akhalebe pa mtundu uwu wa zakudya.
  • Ndi kuwonongeka pakugayidwa kwa zakudya zamapuloteni, ndizotheka kuchepetsa kuchuluka kwa mapuloteni kwakanthawi ndikuwonjezera chakudya.
  • Mbalezi zimaphikidwa makamaka ndikuphika, osangokhala yosenda zokha, komanso mawonekedwe osweka, kusintha kwa zinthu zosenda mpaka zowonongeka kumachitikiranso pang'onopang'ono.
  • Kuchuluka kwa mchere (6-8 g) ndizochepa.
  • Zopatula zotulutsa ndi ma fiber owunda. Kuti achepetse zinthu zakunja, nyamayo imaphikidwa tizidutswa tating'ono (100 g iliyonse), ndikuthira madzi oyamba pambuyo mphindi 10 kuphika. Nyama imagwiritsidwa ntchito ngati chinthu chotsirizidwa chophika mbale, puddings, soufflés.
  • Zakudya zotentha komanso zopitilira muyeso siziloledwa.
  • Zakudya zopatsa thanzi (nthawi 5-6 patsiku) zazing'ono.
  • Zakudya zambiri ndizoletsedwa.

Kutengera ndi kuopsa kwa matendawa komanso matenda am'kati mwa m'mimba, n`zotheka kugwiritsa ntchito chakudya mumtundu wopanda mankhwala. Ndi njira yabwino ya matendawa, mtundu wake wozizira umayikidwa pafupifupi mpaka miyezi iwiri, kenako digiri ya kupera kwa zinthu imachepetsedwa ndipo kuchuluka kwa chakudya kumachulukitsidwa pang'ono ndi pang'ono. Thanzi likamawonongeka, amabwereranso ku mtundu woyamba wa gome ndi mphamvu yochepetsedwa. Ndikachulukirachulukira, mtendere wa m'mimba umapatsanso zoletsa zopangidwa ndi sokogonnym ndi choleretic kanthu: zipatso ndi ndiwo zamasamba, timadziti, mafuta a masamba, shuga, kupanikizana, uchi ndi mazira a mazira.

Kutengera kupezeka kudzimbidwa chakudya chachikulu cha pancreatic chikusintha - kuchuluka kwa zipatso ndi ndiwo zamasamba zikuchulukirachulukira, zakudya zomwe zimapezeka m'thupi zimachepa (makamaka kugaya chakudya pang'ono popewa kupesa ndi kutulutsa).

Chizolowezi cha matenda a kapamba mpaka pang'onopang'ono, kupezeka kwa kupweteka kwakanthawi ndi matenda a dyspeptic kumphatikiza kufunikira kwa kudya kosalekeza. Chofunika kwambiri ndi kuthetsa kumwa mowa.

  • Mtundu woyamba wa tebulo: pachimake kapamba ndi kufalikira kwamphamvu kwa matenda.
  • Chachiwiri: pancreatitis pachimake pa nthawi ya subsidence wa matenda ndi chifuwa chachikulu.

Zakudya 5p (gawo lachiwiri)

Gawo lachiwiri la Zakudya 5p limasankhidwa pambuyo pa masiku osachepera 5-7 a zakudya zopatsa mphamvu. Chakudyacho chimaloledwa kukula ndi zinthu zina zowonjezera. Sikuti mukupukuta mukamaphika. Mukamakonza menyu, ndikofunikira kuganizira mndandanda wazogulitsa ndi zoletsedwa.

Ngati vuto la kutupa limayambiranso, ndiye kuti wodwalayo amadya mtundu woyamba wa Zakudya 5p.

Mfundo zoyambira:

  • zopatsa mphamvu za calorie zikhoza kuchuluka, koma mafuta a tsiku lililonse sayenera kupitirira 80 g,
  • Mchere wamchere wamasiku onse ndi wosaposa 8 g,
  • Nyama imalimbikitsidwa kuphika tizidutswa tating'onoting'ono kapena kudulika kuti tikonze masamba, nyama ndi mbale zina,
  • amaloledwa kulowetsamo supu zamasamba mumasamba (msuzi wokhala ndi masamba, supu ya Zakudyazi, ndi zina zotere),
  • tikupangira masamba abwino (zipatso zatsopano zimatha kuyika chimbudzi pamatumbo),
  • zipatso ziyeneranso kudyedwa mutatha kutentha (monga gawo la casseroles, mbale za kanyumba tchizi, mu ma compotes ndi zakudya).

Zinthu zomwe zimagwiritsidwa ntchito kuphika mu chakudya cha 5p

Mukamakonza menyu, ndikofunikira kuti musangogwiritsa ntchito zinthu zovomerezeka, komanso kutsatira malamulo a mankhwalawo. Mwachitsanzo, masamba ndi zipatso zomwe zili m'magawo oyamba azakudya ziyenera kupezeka mu mawonekedwe owiritsa kapena ophika. Ngati mbale zophika nyama zakonzeka kuphika, ndiye kuti mtengowo uyenera kuphikidwanso pasadakhale.

Zovomerezeka:

  • dzungu, kolifulawa, beets, mbatata, kaloti (nkhaka ndi phwetekere zingathe kudyedwa pokhapokha ngati kulibe kulapa),
  • zinthu zamafuta ochepa mkaka ndi mkaka,
  • nyama zodala (nkhuku, ng'ombe, nkhuku, kalulu, nyama yamwana),
  • nsomba zamchere zamafuta ochepa (pollock, nsomba, pike, cod, hake),
  • oat, buckwheat, mpunga ndi semolina (kuphatikiza oatmeal),
  • supu zamasamba (masamba amalimbikitsidwa kudulidwa mutizidutswa tating'ono, amaloledwa kuwonjezera chimanga ku soup),
  • zipatso zokoma ndi zipatso (maapulo, mapichesi, ma apulo, ma bulosi, chivwende, vwende),
  • mtedza umatha kudulidwa,
  • buledi wa tirigu (makamaka "dzulo"),
  • odzola, zipatso zoperewera, tiyi wofooka (kuphatikizapo mtundu wobiriwira).

Kanema pamutuwu: Zakudya za kapamba.

Zakudya zosafunika ndi zakudya za 5p

Zogulitsa kuchokera pamndandanda woletsedwa pamenyu ziyenera kukhala palibe. Ngakhale kuyambitsa kamodzi pachakudyacho ndikosavomerezeka. Zogulitsa zotere zimakhala ndi zinthu zomwe zingasokoneze njira yogaya ndi matumbo kuyenda. Zotsatira zake zitha kukhala zochulukitsa za njira yotupa. Gawo lapadera la zoletsa limaphatikizapo mowa.

Malonda Oletsedwa:

  • zipatso zokhala ndi ma fiber owala ndi mitundu wowawasa,
  • buledi watsopano ndi makeke,
  • nyama zamafuta ndi nsomba,
  • msuzi pa bowa, nyama ndi msuzi wa nsomba,
  • ngale barele, mapira, chimanga,
  • radish, kabichi yoyera, mpiru, radish, sorelo,
  • zipatso za nyemba (nyemba, nandolo),
  • bowa (mwanjira iliyonse),
  • Zipatso za malalanje
  • offal (chiwindi, impso, ndi zina),
  • zakudya zamzitini ndi masoseji,
  • mafuta amkaka ambiri,
  • zonunkhira zokometsera ndi zokometsera,
  • chokoleti, ayisikilimu, kupanikizana.

3. Menyu ya sabata limodzi ndi kapamba

Chakudya chololeza chitha kuphika ndi zakudya zosiyanasiyana. Lamulo lalikulu ndikutsatira mfundo zonse zamagulu akudya (kukula kwa njira, njira yothandizira pakudya, malingaliro pa njira zophikira, ndi zina).

Mwachitsanzo, ngati mumagwiritsa ntchito chinthu chovomerezeka, koma mukuchiphika molakwika, ndiye kuti chakudya chamafuta sichingakupindulitseni chilichonse.

Zakudya za tebulo No. 5 zimawerengeredwa pasadakhale sabata limodzi, kukumbukira zakudya zosiyanasiyana.

Tsiku lachitatu (ukwati)

Mapulogalamu am'madzi omwera, tiyi wokhala ndi mkaka

Tchizi chamafuta ochepa, odzola

Msuzi ndi mpunga wa mpunga pa msuzi wa masamba, nkhuku yonyowa souffle ndi mbatata yosenda, msuzi wa rosehip

Mafuta odzola ndimaseke amkisikiti

Phala la mpunga (pamadzi) wokhala ndi mafuta amkati, tiyi wokhala ndi mkaka

4. Maphikidwe a tsiku ndi tsiku

Maphikidwe a zakudya zamagetsi ali ndi kusiyana kwazinthu zingapo zomwe angakonzekere pokonzekera. Zosakaniza zina zimaphatikizidwa. Zakudya zomwe zimalimbikitsidwa ndi Zakudya 5p zimakonzedwa kokha ndi kutumiza, kuwira, kuwotcha ndi kuphika. Kuchuluka kwa mchere, shuga, ndi mafuta a masamba ziyenera kukhala zochepa.

Borsch:

  1. Kuti mupange borsch, muyenera theka la mutu wa Beijing kabichi, phwetekere imodzi, beets, kaloti, mbatata zitatu, supuni ya mafuta a masamba, madzi, mchere.
  2. Mutha kuwonjezera ng'ombe yophika ndi zosakaniza, koma msuzi wa nyama.
  3. Pogaya zosakaniza zonse, onjezerani madzi.
  4. Njira yophikirayi imakhala ya mphindi makumi atatu.
  5. Musanatumikire, mutha kuwonjezera pang'ono mwa parsley pa borsch.

Msuzi wosakaniza:

  1. Kupanga msuzi, mudzafunika karoti imodzi, mbatata zitatu, zukini yaying'ono, phwetekere imodzi, supuni ya mafuta a masamba, mchere, madzi.
  2. Paka masamba onse (kaloti amathira kuwira).
  3. Thirani zakudimba zamasamba ndi madzi, mchere.
  4. Njira yophikira ndi pafupifupi mphindi makumi atatu.

Chotupa Chotupa:

  • Matendawa akamalowa munthawi ya chikhululukiro, mutha kusintha pang'ono pokha maphikidwe. Kuti mukonze msuzi wa kirimu muyenera 500 g wa dzungu, 500 ml mkaka, 25 g kirimu, mchere, supuni ya mafuta a masamba.
  • Grate dzungu zamkati kapena pogaya m'njira zina.
  • Thirani mkaka mu poto, kuwonjezera dzungu, mchere.
  • Msuziwo ndi nthaka ndi blender.
  • Chojambulachi chimayenera kuwiritsidwanso kwa mphindi 5 (chitha kuchepetsedwa ndi kirimu kapena mkaka).
  • Zopangira mkaka zophika msuzi ziyenera kukhala zochepa m'mafuta.
  • Tumikirani mbale ndi mkate wowuma.

Kukucha Kuku:

  1. Pokonzekera bondo, mudzafunika nkhuku ya 500 g ya minced, 100 g la mpunga, batala, karoti umodzi, mchere.
  2. Wiritsani mpunga ndi kaloti (kabichi kaloti).
  3. Zosakaniza zonse zimaphatikizidwa ndi misa yambiri (mutha kuwonjezera zoyera).
  4. Mutha kuphika dumplings ndi kuwotcha kapena wowiritsa kawiri.
  5. Nthawi yophika zimatengera njira yomwe yasankhidwa.

5. Mapeto

Zakudya 5p zimatha kuwonedwa pokhapokha ngati pali umboni wazachipatala ndi malingaliro a dokotala. Chakudyacho adapangira kuti abwezeretse chakudya cham'mimba ndikuletsa kuyamwa. Malamulo azakudya azisamaliridwa bwino. Kupatuka kulikonse pazolimbikitsazo kumatha kudwalitsa wodwalayo ndikuyambitsa matenda.

Kanema pamutuwu: Zakudya zochiritsa (TABLE) No. 5 a, b, p (Zowonjezera chakudya No. 5).

Malonda oletsedwa ndi mndandanda wachitsanzo

Zakudya zisanu tebulo ndikuchulukitsa kwa matenda a kapamba amachititsa kukana kwa onse mbale, komwe kumakhala zonunkhira zambiri, ulusi wowuma kapena mchere wambiri. Mndandanda wazinthu zoletsedwa ukuphatikizapo:

  1. Zopangira. Sizoletsedwa kudya mkate wa rye ndi makeke.
  2. Bowa ndi msuzi wa nyama.
  3. Mbewu zina. Pansi pa mapira oletsedwa, pasitala wopangidwa kuchokera ku mitundu ya tirigu yofewa, chimanga ndi barele.
  4. Zakudya zamafuta ndi nkhuku. Ndi zoletsedwa kudya mwanawankhosa, nkhumba, bakha, tsekwe.
  5. Nyama ikalowetsedwa. Amalimbikitsidwanso kukana soseji ndi zakudya zamzitini.
  6. Nsomba zofiira.

Ma makeke ndi zinthu zina za confectionery osavomerezeka.

  • Zinthu zina mkaka. Simungathe kudya curd, zonona wowawasa, kirimu, yogati ndi utoto. Muyenera kusiyanso mkaka wathunthu ndi kefir wowawasa.
  • Ziphuphu
  • Masamba, omwe amaphatikiza utsi woyipa. Pansi pa oletsedwa bowa, turnips, radishes, biringanya, sorelo, sipinachi. Komabe mumakhala ochepa muyenera kudya tomato.
  • Zipatso zina. Simungathe kudya mphesa, masiku, nkhuyu, maapulo wowawasa, nthochi, mphesa ndi kiwi. Mapeyala osakhwima amatha kudyedwa kokha ngati matendawa wadutsa gawo la chikhululukiro.
  • Chocolate, makeke ndi confectionery ena.
  • Zakumwa za kaboni, zomwe zimaphatikizapo utoto kapena shuga, mowa, cocoa, tiyi wamphamvu, khofi.
  • Zonunkhira zokometsera.
  • Chips, obera, mtedza wokazinga.
  • Mayonesi, misuzi ya zokometsera, ketchup.
  • Zofunika! Mukamakonza menyu, musaiwale kuti zakudya zamafuta ndi mafuta ziyenera kudyedwa m'mawa, chifukwa zimavuta kutengeka ndi thupi. Kuphatikiza apo, kudya zovuta zam'mawa m'mawa kudzakupulumutsani ku kudya kwambiri usiku.

    Chakudya cham'mawa, mumatha kudya oatmeal kapena phala la buckwheat m'madzi. Mwanjira ina, omelet ya mapuloteni ndi yoyenera. Pa nkhomaliro ndi nkhomaliro, muyenera kudya zakudya zama protein ambiri. Nyama yophika kapena nsomba ndiyabwino. Komanso chakudya chamasana muyenera kudya msuzi wamasamba. Galasi ya kefir ndi 100-200 magalamu a kanyumba tchizi cha mafuta 5% amatsika ngati chakudya chamadzulo, ndi magalamu 100 a saladi ya masamba ndi magalamu 250 a nsomba yophika ngati chakudya chamadzulo.

    Zophika Zabwino

    Mankhwalawa matenda a kapamba, piritsi la 5p limayikidwa mu milandu yambiri. Zakudya zamakonzedwe adapangidwa mwanjira yoti munthu amalandila michere ndi michere yonse yofunikira. Komabe, pakapita nthawi, menyu owonongera amatha kutopetsedwa. Potere, maphikidwe osiyanasiyana a zakudya zamagetsi adzapulumutsa.

    Mwachitsanzo, mutha kusinthanitsa zakudya zanu ndi nyama pudding. Zakudya izi zimatha kudyedwa tsiku lililonse, chifukwa zimakhala ndi mapuloteni ambiri. Kukonzekera pudding kotere, muyenera kuyeretsa magalamu 150 a veal kuchokera ku tendons ndi khungu, kenako ndikuwiritsa ndikudutsa katatu kupyola chopukusira nyama. Kenako muyenera kuwira magalamu 50 a semolina ndikusakaniza gruel ndi nyama yozama. Chotsatira, onjezerani azungu awiri a mazira osakaniza. Ikani nyama yoboola mumphika wothira mafuta pang'ono, ndi kuphika pamphindi kwa mphindi 30 mpaka 40. Ngati matendawa sanakukhululukireni, ndibwino kuphika pudding wophika pang'onopang'ono.

    Nyama Pudding ndi Semolina

    M'malo mokhathamira nyama nkhomaliro, mutha kuphika nsabwe za nsomba. Kuti muchite izi, muyenera kuyeretsa ndikuchepetsa magalamu 300 a pollock fillet kapena pike kudzera chopukusira nyama. Ndipo onjezani azungu awiri aazira awiri ndi magalamu 20 a mkaka wopaka ndi nyama yozama. Kenako, ikani timatulu tina tating'onoting'ono kenako ndikuviika m'madzi otentha. Kuphika mbale kwa mphindi 20-25.

    Ngati matendawa adayamba kukhululukidwa, ndiye kuti nthawi zina mumatha kudzikhutitsa ndi zakudya zosiyanasiyana. Mwachitsanzo, mutha kupanga soufflé. Kuti muchite izi, muyenera kupaka maapulo osapsa ndikuwasakaniza ndi magalamu 350 a kanyumba tchizi 5% mafuta. Kenako, onjezani magalamu 5-6 a batala, sweetener, vanillin ndi 1 dzira la yolk pa osakaniza. Ikani zotsatira zosakanikirazo mu nkhuni zisanachitike mafuta ndi batala pang'ono. Kuphika zokopa kwa mphindi 30-35.

    Kodi chakudya No. 5p ndi chiyani?

    Zakudya zamankhwala nthawi zambiri zimagwiritsidwa ntchito kupangira ziwindi, kapamba, matumbo, m'mimba ndi ziwalo zopangira bile. Njira yazakudya pano imafuna kugwiritsa ntchito zakudya zina zomwe zimaphikidwa m'njira inayake. Udindo wofunikira umaseweredwa ndi kuchuluka kwa zakudya komanso kutentha kwa zomwe zidakudya.

    Zakudya Zopatsa 5p (mndandanda wa sabata limodzi ndi kapamba) adapangidwa mu 1920 ndi akatswiri a zamankhwala M. I. Pevzner ndipo sanathere pakadali pano. Amalembera kukhathamiritsa kwa kapamba. Sangangopatsa wodwala zakudya zabwino, komanso imathandizira kusintha kwa kapamba. Zothandiza pa bile secretion ndi chiwindi. Zimalimbikitsa kudziunjikira kwa glycogen, kutsitsa cholesterol ndi metabolism yamafuta. Imakhazikika ntchito ya zida zam'mimba.

    Kuzindikira kwa kuphika mbale No. 5p

    Zakudya muzakudya No. Pa nthawi ya mankhwalawa, regimenti yodyedwa yaying'ono imayambitsidwa, odwala amatenga chakudya kambiri 5-6 patsiku. Zogulitsa zimayendetsedwa, kuphika kapena kuwiritsa. Mukaphika, masamba samadutsa. Zakudya zokhala ndi CHIKWANGWANI zimawonongeka, zotsalazo zimadulidwa.

    Chakudyacho chimachepa pakudya mafuta komanso michere. Chakudya chachikulu chimakhala ndi mapuloteni.Zakudya zokhala ndi oxalic acid, zomwe zimakhala ndi cholesterol yambiri, yokhala ndi ma coarse fiber komanso okhala ndi purines, samachotsedwa pamenyu. Zakudya zoyera zomwe zimakhala ndi mafuta ambiri ofunikira komanso zakudya yokazinga. Mchere suyenera kudyedwa osapitirira 10 g patsiku, ndi madzi - mpaka malita awiri.

    Idyani zakudya zizikhala zotentha. Zakudya zozizira ndi zotentha zimaphatikizidwa.

    Mfundo za chakudya patebulo №5p

    Zakudya nambala 5p zakonzedwa kuti zizikhazikika pancreas. Amateteza m'mimba ndi matumbo momwe ndingathere, amachepetsa ululu, amachepetsa kukondoweza kwa ziwalo za bile. Pakukonzekera, mfundo izi ziyenera kutsatidwa:

    • musanadye chakudya cham'masiku atatu mpaka 7,
    • dongosolo lodyera zakudya liyenera kukhala lopindika, 5-6 patsiku,
    • muyenera kudya zazing'ono, mpaka 300 g,
    • mbale ziyenera kuwotchera, kuwiritsa kapena kuwotcha,
    • zakudya zoyenera ziyenera kuyambitsidwa, zomwe zimakhala ndi mavitamini ndi michere yonse yofunikira mthupi,
    • Zakudya zonse zizikhala zamadzi pang'ono komanso zopaka,
    • kutentha kwakakonzeka kudya-20-25 ° С,
    • kugwiritsa ntchito mafuta ndi chakudya chamagulu amachepetsa.

    Kuti mankhwala akhale othandiza, malamulo onse azithandizo azitsamba amayenera kutsatiridwa. Osamaphwanya malamulowo mpaka kukhululukidwa kwathunthu kapena kuchira.

    Zakudya nambala 5p: mankhwala

    Zakudya za chakudya No. 5p ziyenera kukhala ndi zopatsa mphamvu tsiku ndi tsiku za 1700-2500 kcal. Zakudya zamafuta mumenyu amapatsidwa 50 g, mafuta -70 g, mapuloteni - 100 g.Palibe mchere wambiri woposa 10 g patsiku.

    Zomwe zili ndi mavitamini a retinol mu menyu ziyenera kukhala pafupifupi 10 mg, thiamine - 10 mg, riboflavin - 2 mg, nicotinic acid - 1.6 mg, vitamini C - 150 mg, sodium - 3 g, phosphorous - 1,3 g, calcium - 0,8 g, magnesium - 0,5 g, chitsulo - 0,03 g.

    Chakudya Choletsedwa

    Pali zoletsa zambiri pazakudya zamagulu 5p. Zakudya zomwe zimaletsedwa kudya pancreatitis ndi monga:

    • nyama yamafuta ndi msuzi wa nsomba,
    • mowa uliwonse, komanso tiyi ndi khofi wamphamvu,
    • chakumwa chozizira, chotentha komanso cha kaboni
    • zinthu zosuta, soseji ndi masoseji,
    • buledi wopanda mkaka,
    • caviar kuchokera ku nsomba
    • radish, turnip, radish, sorelo ndi sipinachi,
    • zopangidwa mkaka, kuphatikizapo yogati,
    • mankhwala a ufa
    • Zakudya zowawasa komanso zonunkhira
    • bowa wamtundu uliwonse,
    • zamchere komanso zotsekemera,
    • mafuta amkaka okwera kwambiri,
    • chakudya zamzitini
    • maswiti
    • Zipatso za malalanje
    • madzi a mphesa
    • chakudya chofulumira, tchipisi, mtedza ndi othandizira.

    Ngakhale ziletso zambiri, kudya No. 5p (tebulo) ndi yothandiza kwambiri pa mankhwalawa a kapamba. Zomwe mungathe, zomwe simungadye - izi zafotokozedwa pamwambapa, kenako tikambirana za mndandanda wazithandizo zamankhwala a kapamba.

    Zakudya zosiyanasiyana zamankhwala

    Zakudya nambala 5p zilipo m'mitundu iwiri. Loyamba limagwiritsidwa ntchito chifukwa cha pancreatitis pachimake - No. 5a, ndipo yachiwiriyo ndi matenda - No. 5b.

    Mu zakudya No. 5a, kudya caloric tsiku lililonse sikuyenera kupitirira 1700 kcal. Zakudya zonse ndizamadzi ndikusenda. Pansi pa chiletso pali chakudya chomwe chitha kulimbikitsa ntchito zachinsinsi cha kapamba. Zakudya zotere zimatha pafupifupi sabata limodzi.

    Mu chakudya No. 5b, zopatsa mphamvu zimakwera mpaka 2700 kcal. Kuchuluka kwa mapuloteni, michere ndi mafuta akuwonjezeka. Ma broth onse ndi ma decoctions samayikidwa kuti muchepetse zokolola za pancreatic secretion. Zakudya zonse zimatengedwa m'njira yoyeretsedwa.

    Zakudya nambala 5p: mndandanda wa sabata limodzi ndi kapamba

    Pakati pa sabata ndikuchulukitsa kwa kapamba, menyu uzikhala motere.

    Lolemba M'mawa, chakudya cham'mawa: omelet opangidwa kuchokera ku yolk imodzi ndi mapuloteni awiri, kuphatikiza decoction ya rose m'chiuno. Chakudya cham'mawa chachiwiri, amadya peyala yophika. Nthawi ya nkhomaliro - borsch, mabatani a nyama opangidwa kuchokera ku nsomba zamafuta ochepa, ndi mpunga wophika. Madzulo, ndikulimbikitsidwa kuti muzikhala ndi zokhoma ndi osokoneza ndikumwa mkaka. Chakudya chamadzulo, mawere a nkhuku yophika, phala yochokera ku Hercules ndi tiyi wakuda wopanda mphamvu akuyenera. Musanagone, imwani 250 g ya kefir wopanda mafuta.

    Lachiwiri. Mmawa: mannik yokhala ndi zoumba kuphatikiza zipatso ndi tchizi tchizi, komanso tiyi wokhala ndi mkaka wopanda mafuta. Chakudya cham'mawa chachiwiri: mpunga wowiritsa ndi kabichi. Chakudya chamasana, amalimbikitsa msuzi wamasamba, chachiwiri: kabichi imakola ndi nyama yophika. Kuchokera zakumwa - zakudya zonunkhira zopangidwa kuchokera ku zipatso. Zakudya zazing'ono: tchizi chamafuta ochepa komanso compote, yophika zipatso zouma. Madzulo, chakudya chamadzulo, amaphika phala la mpunga ndi mkaka wopanda mafuta ndipo amamwa kapu yamadzi amchere. Asanagone: 250 g ya karoti madzi.

    Lachitatu M'mawa: cheesecakes ndi maapricots owuma, kuphatikiza tchizi ndi tiyi kuchokera ku rosehip zipatso. Nthawi yam'mawa chachiwiri, amadya phala la buckwheat ndi msuzi wa apulo. Ng ombe za ng'ombe zokhala ndi dzungu ndi tiyi wobiriwira zimapatsidwa chakudya chamasana. Kwa tiyi wamasana, kudula mpunga ndi koyenera. Madzulo, iwo amadya masamba casserole ndi nkhuku yophika, amamwa tiyi wopanda mphamvu. Musanagone: muzimwa zipatso kuchokera ku zipatso zomwe zimakhala ndi ma cookie osapsa.

    Lachinayi M'mawa: nyemba za mafuta kuchokera kumapuloteni awiri ndi phwetekere. Kapu ya tiyi yofooka. Kwa kadzutsa wachiwiri amadalira vinaigrette popanda sauerkraut ndi ma pickles, chidutswa cha mkate. Pa nkhomaliro, nkhomaliro yophika, msuzi wa mpunga ndi msuzi wa phwetekere umapatsidwa. Masana, amadya zakudya kuchokera ku zipatso komanso kumwa tiyi wopanda mafuta. Supper wa beetroot wamalonda ndi prunes ndi nyama yophika yophika, kuphatikiza tiyi ndi kuwonjezera mkaka. Usiku: kapu yamkaka yophika mkaka.

    Lachisanu. M'mawa: semolina phala, tiyi wopanda mphamvu ndi mkate wopanda tchizi. Chakudya cham'mawa chachiwiri: tchizi chofufumitsa ndi zonona wowawasa, madzi a dzungu. Pa nthawi ya nkhomaliro, msuzi wokhala ndi masamba ndi Zakudyazi, nsomba yophika ndi mafuta ochepa ndi zukini ndi kolifulawa zimalimbikitsidwa. Mutha kuwonjezera zipatso zatsopano komanso tiyi wopanda mafuta. Chakudya chamasana, saladi wophika ndi karoti komanso mabulosi odzola amaperekedwa. Mutha kudya chakudya chamadzulo ndi tchizi chopangidwa kuchokera ku tchizi tchizi ndi buckwheat, komanso kumwa tiyi wobiriwira. Chakudya chachiwiri: 250 g mkaka wokhala ndi mkate.

    Loweruka Chakudya cham'mawa: curd pudding ndi kapu yamkaka. Pa kadzutsa 2, karoti puree ndi jamu amawonjezeredwa. Chakudya chamasana chimakhala ndi borscht yamasamba, zodulira za nthunzi zopangidwa kuchokera ku Turkey, ndi tiyi wopanda mphamvu ndi mandimu. Pazakudya zamadzulo, amalimbikitsa zakudya kuchokera ku zipatso. Chakudya chamadzulo - msuzi wa pasitala ndi tchizi, saladi wa dzungu ndi maapulo ndi tiyi ndi supuni imodzi ya uchi. Asanagone - 250 g wa ryazhenka.

    Lamlungu M'mawa: oatmeal mkaka, zipatso, grated ndi kanyumba tchizi, kuphatikiza zakudya. Kwa kadzutsa wachiwiri amadalira apulo imodzi yophika mu uvuni. Chakudya chamadzulo: msuzi wa zukini, kalulu wowotchera ndi buckwheat mu kirimu wowawasa, tiyi. Zosakhazikika: Kanyumba kanyumba tchizi wosapsa ndi msuzi wa karoti. Chakudya chamadzulo chimapakidwa ndi nkhonya zam'madzi, mpunga wophika ndi tiyi ndi chidutswa cha ndimu. Asanagone: odzola zipatso.

    Zakudya zosasenda: Zakudya za tsiku limodzi

    Ululu utayamba kuchepa, mutha kulowa zakudya zosadzitchinjiriza. Makina oyandikira azawoneka motere:

    • Chakudya cham'mawa. Wotseka buckwheat kuphatikiza vinaigrette popanda kuwonjezera a pickles ndi sauerkraut. Nyama yosenda. Monga chakumwa, tiyi wotsekemera amalimbikitsidwa.
    • Chakudya cham'mawa chachiwiri. Tiyi yophika makeke ndi mafuta pang'ono.
    • Chakudya chamadzulo Msuzi wa masamba ololedwa. Mbatata yophika ndi chidutswa cha nkhuku yophika. Monga mchere - apulo ndi tiyi wopanda mphamvu.
    • Chakudya chamadzulo. Tchizi tchizi chamafuta opangidwa ndi mafuta ochepa komanso compote, yophika zipatso zouma.
    • Chakudya chamadzulo Vermicelli wokhala ndi nsomba yophika ndi tiyi.
    • Asanagone. Tiyi wokhala ndi mkaka ndi wowononga umodzi.

    Pakatha masiku awiri kuchulukana kwa kapamba, madotolo amalangiza kumwa madzi ofunda a mchere (Borjomi kapena Slavyanskaya) mpaka lita imodzi patsiku. Msuzi wa Rosehip uzikhala wothandiza. Kuyambira tsiku lachitatu, ngati thanzi la wodwalayo lakhala bwino, amalowetsedwa ndimadzimu amadzimadzi ndi soups ya mucous, komanso masamba pure ndi zakudya.

    Zakudya nambala 5p malinga ndi Pevzner

    Zakudya malinga ndi Pevzner zikusonyeza kuti pamene Zizindikiro zakuchuluka kwa kapamba kuchepera, gwiritsani ntchito zotsatirazi:

    • Chakudya cham'mawa. Buckwheat wosenda kapena mpunga mpunga, kuchokera zakumwa - mkaka odzola.
    • Chakudya cham'mawa chachiwiri. Zipatso zonunkhira ndi kapu yamadzi amchere a Borjomi.
    • Chakudya chamadzulo Msuzi wa oatmeal, kaloti wosenda ndi nyama yowotcha. Tiyi yofooka.
    • Chakudya chamadzulo. Mapuloteni nthunzi omelette kuphatikiza decoction wa rose m'chiuno.
    • Chakudya chamadzulo Phala lophwaphika la rubwheat, curd soufflé
    • Chakudya chachiwiri. Kapu yamadzi amchere ndi mkate.

    Zakudya za Pevzner sizikukhudzana ndi mchere, komanso shuga tsiku lililonse ndi 20 g.

    Zakudya nambala 5p: maphikidwe

    Zakudya No. 5p, zotsatirazi ndizoyenera:

    • Chomera chamasamba. Mbatata zazikulu (zidutswa 5) zimadulidwa mu cubes ndikuyika mu poto. Kaloti okhathamira, anyezi wosankhidwa, dzungu ndi tomato amawonjezeramo. Masamba amatsanuliridwa m'madzi 300 g, amchere ndi kuwotcha kutentha kwapakati pafupifupi mphindi makumi awiri. Chakudya chomalizidwa chimakonkhedwa ndi zitsamba.
    • Nsomba zophika. Nsomba zamafuta ochepa zimadulidwaduka ndikuziyala. Kenako, anyezi ndi kuwaza ndipo kaloti amaziwazika. Zamasamba zimayikidwa pamwamba pa nsomba, zonse zikumawazidwa ndi mandimu ndikuwazidwa mchere. Nsomba ndi ndiwo zamasamba zimakulungidwa ndi zojambulazo ndikuzipatsa mpaka zimaphika mu uvuni.

    Izi maphikidwe a chakudya No. 5p tsiku lililonse zikuthandizira kusinthanitsa menyu. Amapereka kumverera kwachisoni ndikukhutira.

    Malangizo apamwamba a madokotala

    Matenda a pancreatitis (zakudya No. 5p ndi othandiza kwambiri mu matendawa) mu gawo la pachimake amathandizidwa osati ndi mankhwala, komanso ndi zakudya zoyenera. Madotolo amalangiza kuti azichiza kudya No. 5p ndi udindo wonse. Musatengeke popanda malangizo a dokotala ngati okoma, chifukwa kugwiritsa ntchito shuga mopitilira 60 g kungayambitse kuchuluka kwa kapamba.

    Ndikofunika kumwa madzi am'maminidwe am'mawa panthawi yazakudya zamankhwala. Ndikofunika kugwiritsa ntchito mawonekedwe ofunda musanagone, m'malo ochepa. Zakudya zonse ziyenera kukhala pansi, zidutswa zophatikiza zimakwiyitsa ziwalo zamkati. Kuyambira masamba a parsley ndi katsabola amaloledwa.

    Madokotala omwe ali ndi kapamba amalangizidwanso kuti asasokoneze kapamba ndi kumamatira ku menyu.

    Kusiya Ndemanga Yanu