Mitundu ya zakudya yotupa kapamba
Posachedwa, madandaulo a odwala a kutupa kwa kapamba, zizindikiritso ndi chithandizo chomwe chimachitika chifukwa cha kupweteka kwa kapamba kapena mitundu ina yowononga ya chofunikira kwambiri m'zigawo zogaya chakudya, chikukula pang'onopang'ono. Ngakhale kugwiritsidwa ntchito kwa njira zamakono zochizira kwambiri, kupha anthu pangozi yowononga pancreatitis kumakhalabe wokwera - pamlingo wa 15-40%, komanso matenda oopsa a kapamba ndi kudziwika kwa enzymatic peritonitis, kufa kwa odwala kumafikira 75-95%.
Kodi zizindikiro ndi zotupa zapakhungu mwa abambo ndi amayi ndizomwe zimayambitsa nkhawa, momwe mungagwirire ntchito yotupa m'mimba?
Mfundo zachikhalidwe za kapamba ndi kapamba
Anthu ambiri amaganiza molakwika kuti ma enzyme ofunikira kupukusa chakudya amapangidwa m'mimba. M'malo mwake, kapamba amatenga nawo gawo logaya chakudya. Chifukwa cha ntchito yake, chitukuko cha:
Ngati imodzi mwa michere yotchulidwa siinapangidwe, izi zimayambitsa mavuto m'thupi, popeza kunyamula mavitamini, chakudya, mafuta, mapuloteni komanso zinthu zina zimasokonekera.
Mphamvu yamkati imayang'anira ntchito ya ziwalo zonse, kuphatikizapo kapamba. Amayang'anira kapangidwe kazakudya zam'mimba ndi michere. Fungo la chakudya likawoneka, zomwe zimakhala ndim'mimba zam'mimba m'mimba zimachulukana, zomwe zimagwiritsa ntchito ngati chizindikirochi kuti ziyambe kupumira.
Gland imatha kusinthasintha ndikupanga mitundu ina ya ma enzyme omwe amasokoneza chakudya chomwe chikubwera. Mwachitsanzo, ndikupanga chakudya yambiri, amylase imapangidwa, yomwe imayang'anira gawo ili. Munthu akadya zakudya zamafuta, kupanga lipase kumayamba. Trypsin ndiye amachititsa kuti mapuloteni awonongeke.
Kuphatikiza pakupanga ma enzymes, kapambayu ndiye amachititsa kuti pakhale mahomoni, ndiye kuti ali ndi ntchito ya endocrine. Ngati kuchuluka kwa shuga m'magazi kukwera, kupanga insulini kukwera, ndipo ndi kuchepa kwa shuga, ntchito ya gland imayang'aniridwa ndikupanga glucagon.
Chizindikiro chodziwika kwambiri mu kapamba ndimapweteka kwambiri kumanzere kwamimba, mu hypochondrium. Zizindikiro zina zimatha kujowina:
- Kufalikira kwa ululu m'munsi mmbuyo komanso pamwamba.
- Kuyimbira kusanza, nseru. Kukula kwawo mwachindunji kumatengera kulimba kwa ululu. Vomit - ndi wowawasa komanso wowawa.
- Kusintha khungu. Nkhope imatembenuka pomwepo, kenako imayamba kupendekera.
- Mukawerama, zilonda zimachepa.
- Ma painkiller alibe mphamvu.
- Zowonekera pakhungu.
- Matenda obwera chifukwa cha kufooka, kutulutsa.
- Dyspnea kapena palpitations.
- Kusintha kwa magazi.
- Kutentha pang'ono.
Ngati chimodzi mwazizindikiro zomwe zalembedwa, muyenera kufunsa dokotala.
Ndondomeko Zachakudya Zofunikira
Ngati kutupa kwa kapamba kumapezeka, vuto lalikulu la chithandizo ndikupanga ndi kukonza zakudya. Pambuyo kuukira kwamphamvu kwa matenda (masiku atatu oyamba), tikulimbikitsidwa kuchepetsa kapena kukana kudya kwathunthu. Kusala kumabweretsa mtendere ku chiwalo chovulazidwa kuti mapangidwe a ma enzyme asachitike, zomwe zimapangitsa kuti ziwonjezeke komanso kufooka. Mutha kumwa zamchere zamchere zamchere popanda mpweya.
Kupumula kwathunthu kwa kapamba mu pancreatitis pachimake komanso kuyambiranso kudwala kumathandizira kukhululuka. Ichi ndichifukwa chake zakudya zoyenera sizangokhala njira yothandizira, komanso zimagwira ngati njira yodzitetezera - zimalepheretsa kupitiliza kwa kutupa.
Ndikofunikira kudya ndi kutupa kwa kapamba m'njira yoti:
- khazikitsani kagayidwe
- chepetsa katundu pa chiwalo,
- kuchepetsa kutupa
- lekani zovuta za dystrophic mu minofu,
- chepetsa zizindikiro.
Njira yodyetsera zakudya ndizofunikira - iyenera kukhala pafupipafupi, pafupipafupi 5-6 patsiku. Kuti musunge madzi osalala, ndikofunikira kuti muzimwa madzi oyera oyera tsiku lililonse (pafupifupi malita awiri). Mautumiki azikhala ochepa.
Ndingadye chiani ndi kutupa kwa kapamba
Katundu amalimbikitsidwa kuti aziwiritsa, kuwiritsa kapena kuwotcha. Kuti mukhale mwachangu, muyenera kudya chakudya chamadzimadzi kapena mawonekedwe. Pa chikhululukiro mu zakudya monga masamba omwe ali ndi CHIKWANGWANI ndi pectin, zomwe zimathandizira kugaya chakudya m'mimba, kubwezeretsa peristalsis. Mavitamini omwe ali m'gulu la zipatso ndi ndiwo zamasamba amathandizira kuti chitetezo chitha kuchepa komanso kuchira msanga.
Thanzi la zotupa za m'mimba zimaphatikizira:
- tomato
- kaloti
- squash,
- sitiroberi
- rasipiberi
- zopangidwa mkaka (makamaka mafuta ochepa),
- mbewu zosiyanasiyana (mbewu zonse).
Ndikulimbikitsidwa kuti muzidya saladi ndi zitsamba ndi mafuta a masamba (sesame, linseed) tsiku lililonse.
Fomu yovuta
Ngati kapamba amayambitsidwa koyamba, ndingadye chiyani, adokotala azikuwuzani. Nthawi zambiri amalimbikitsidwa kupewa kudya kwa masiku angapo, ngati vutolo likuipira - kuchuluka kwa njala. Zakudya zofunika amazipaka jekeseni pogwiritsa ntchito probe yapadera m'mimba kapena kudzera mu dontho.
Kuyambira kumwa amaloledwa:
- decoction of the rose rose chiuno,
- madzi amchere opanda gasi,
- tiyi.
Kumwa sikuyenera. Makomedwe otsekemera amaloledwa, omwe avomerezedwa ndi adokotala.
Zakudya zokonzeka:
- nyama zowotcha nyama, zomangira nyama (nsomba kapena nyama) yophika bugi wambiri,
- msuzi pa msuzi wa masamba,
- ma puddings kapena soufflé kuchokera masamba / zipatso.
Ndi kusintha kwaumoyo wabwino, wodwalayo amasamutsidwa ku mtundu woyamba wa tebulo No. 5.
Kodi kapamba - ntchito, kapangidwe
Zikondamoyo mwa anthu ndiye chimbudzi chachikulu kwambiri cha chimbudzi. Ntchito ya intrasecretory ya chiwalo ndikukhazikitsa ma enzymes - chimbudzi cha pancreatic. Mwa kupanga michere yogwira biology yogwira ntchito, kapamba amapatsa thupi mphamvu ya mafuta, mapuloteni ndi kagayidwe kazakudya. Cholinga china chofunikira cha thupili ndikupanga insulin, yomwe imathandiza kuchepetsa kuchuluka kwa shuga m'magazi. Kulephera kwa mahormoni pakhungu la kapamba kumatha kuyambitsa kubisala, komwe kumayambitsa kukula kwa matenda osokoneza bongo.
Kapangidwe kameneka ndi kakulidwe kanyumba kamtundu wa imvi, komwe kumakhala m'mimba mwa gawo lapamwamba pachipupa chakumaso kwa m'mimba kumbuyo kwa m'mimba ndikulumikizana kwambiri ndi ziwalozo mpaka duodenum. Mwa munthu wamkulu, kutalika kwa kapamba kumafikira 14-25 masentimita, ndi kutalika kwa pafupifupi 70-80 g.
Kapangidwe ka macroscopic ndi mutu, thupi ndi mchira. Mutu wa kapamba umalumikizana ndi duodenum kudzera papilla ya duodenal papilla.
Ndi kudzera m'mutu wamkati mwa dongosolo lomwe minyewa yam'mimba imadutsa, ndikutenga magazi m'chiwindi kuchokera ziwalo zonse zam'mimba zam'mimba - m'mimba, ndulu, ndi matumbo.
Thupi la kapamba limakhala ndi masinthidwe otsogola - kutsogolo, kumbuyo ndi kutsikira. Mchira wa pancreatic cone woboola pakati kapena wowoneka ngati peyala umafikira ku ndulu. Kupereka kwa magazi ku gland kumadutsa mu mitsempha ya pancreatoduodenal kuchokera ku mesenteric ndi hepatic artery.
Ndizachidziwikire kuti mwa makanda, kapamba amakhala wamtali masentimita atatu mpaka 5, ndipo wophatikizika ndi 2,5 mpaka g. Kapangidwe kamene kamakhala ndi akulu kwambiri kumachitika pofika zaka zapakati pa 5-7.
Kutupa kosalekeza
Ndi kuchulukirachulukira kwa matenda a kapamba, kupatsa thanzi kumatha kusinthidwa pang'ono. Koma ndikosayenera kuchulukitsa chiwalo kuti chisayambenso kuyambiranso.
M'malo mwake, sikuti mungadye kokha ndi kutupa kwa kapamba. Mndandanda wazinthu zopangidwa ndi mbale ndi monga:
- ma cookie, obera,
- batala, mpendadzuwa,
- msuzi wophika ndi msuzi wa masamba, ndi chimanga,
- compotes ndi zakudya
- mkaka wowawasa wopanda mafuta
- maapulo ndi mapeyala, koma mitundu yokoma yokha, yatsopano (grated) kapena yophika.
Zakudya zokhuthala sizikulimbikitsidwa, mchere uyenera kuchepetsedwa (10 g patsiku umaloledwa), shuga - mpaka 30 g.
Ndi thanzi labwino, menyu akhoza kukhala osiyanasiyana, koma m'pofunika kukaonana ndi dokotala ndikuyambitsa zinthu zatsopano.
Zomwe zimayambitsa kutupa
Kutupa kwa pancreatic parenchyma, mwina pazifukwa zingapo. Mwa omwe atheka kwambiri, uchidakwa umaganiziridwa - iyi ndi 70% ya milandu yovuta kwambiri kapamba komanso matenda am'mimba, akuwerengera 20% chifukwa cha kufalikira kwa ndulu ya bile. 10% yotsala ya milandu yotupa imagwera pa zomwe zimapangitsa kuti pakhale zifukwa zoyambitsa:
- bakiteriya kapena kuwonongeka kwa ma virus,
- Zotsatira za poizoni
- kuvulala kwachikondwerero
- kulakwitsa kwa chotupa cham'mimba,
- fungal matenda.
Kuphatikiza apo, milandu ya kutupa kwa kapamba pambuyo popanga opaleshoni mwachindunji m'mimba kapena mothandizidwa ndi mankhwalawa a endoscopic siachilendo. Komanso, kuyambuka kungachitike chifukwa cha kulephera kwa mahomoni, zomwe zingayambitse kuphwanya kwa insulin. Kutupa kwa pancreatic kumatha kugwirizananso ndi matenda a matenda a pachimake kapena oyipa.
Pancreatitis
Mtundu wofala kwambiri wamatumbo oyambitsa matenda ndi pachimake ndipo aakulu kapamba. Matendawa amadziwika ndi kuchepa kwa enzyme popanga madzi a pancreatic mu duodenum. Enzymes imayendetsedwa m'thupi la gland ndikuyamba kuiwononga, ndiye kuti, kudzimbidwa kwa michere kumachitika. Ma poizoni omwe amatulutsidwa munjira imeneyi amaponyedwa m'magazi, zomwe zingayambitse kuwonongeka kwa ziwalo zina zofunika - za impso, chiwindi, mtima, mapapu, ndi ubongo. Kuti muchepetse zizindikiro zotupa mu pancreatitis yovuta, mutha kugwiritsa ntchito kuzizira komwe kumagwiritsidwa ntchito kumalo opweteka. Komabe, chithandizo cha kutupa kwa kapamba mu pancreatitis pachimake kumafunikira kuchipatala. Matenda a kapamba ndi vuto lonyalanyaza. Kukula kwapang'onopang`ono pakati pa kubwezeretsanso pachimake ndi chifuwa chachikulu kumachitika kwambiri.
Miyala ya kapamba
Zizindikiro zopweteka za m'mimba zimatha kuyambitsa miyala ya kapambaomwe amapangika pancreatitis yosatha. Kudzikundikira kwa ma enzyme ndi poizoni amapanga phosphorous-calcium yambiri, yomwe, ikauma, imakhazikika ndikupereka mawonekedwe a calculi. Miyala ya pancreatic imatha kupezeka pogwiritsa ntchito zida zothandiza kudziwa:
- kulingalira ndi / kapena kulingalira kwamatsenga,
- pancreatocholangiography,
- mayeso a endoscopic ndi ultrasound.
Mpaka pano, palibe njira zochizira komanso / kapena kuchotsa miyala kuchokera ku zikondamoyo. Kupanikizika kokha muzipatala zapadera komwe kungapulumutse munthu ku vutoli.
Khansa yapakansa
Kuphwanya kosatha kwa glandular epithelium ndi ma pancreatic ducts, kumathandizira kuti pakhale zotupa zingapo, kuphatikizapo zilonda. Chotupa mu 50% ya milandu imakhudza mutu wa England: kukula kwa khansa ya kapamba m'thupi ndipo mchira umakhala 10% ndi 5%, motero. Pancreatic khansa metastasis ili ndi madigiri anayi:
- Kuwonongeka kwa pancreatoduodenal lymph n gph gland.
- Kuchita nawo khansa njira ya retropiloric ndi hepatoduodenal node.
- Kufalikira kwa chotupa cha khansa m'malo apamwamba a mesenteric ndi celiac.
- Zowonongeka zobwezeretsanso ma lymph node.
Metastasis imakhudza mbali yakutali ya moyo - awa ndi impso, mapapu, chiwindi, mafupa ndi mafupa a mafupa. Zokha radiation ndi matenda opatsirana khansa ya kapamba motsimikiza adzazindikira chiwonetsero chowawa cha khansa.
Zizindikiro zofala
Kutupa kwa kapamba sikunganyalanyazidwe. Monga lamulo, Zizindikiro zakuchulukirachulukira zimakhala ndizovuta zowonetsera zamankhwala:
- Zowawa zam'mimba zam'mimba zamkati zimatulutsa tsamba.
- Nusea ndi gag reflex ndi chizindikiro china chodziwikiratu cha kutupa kwapancreatic.
- Kuwonongeka kwa mitsempha ya mtima, kukhala tachycardia.
- Kuchulukitsa thukuta, kutentha thupi ndi kutentha thupi mpaka kumapeto kwa chizindikiritso ndi chizindikiritso cha chotupa.
Komanso, odwala amadandaula chifukwa cha chizungulire komanso kufooka kwa thupi, kusowa kudya, kunenepa, kudumphira magazi.
Kukula kwa ululu wamankhwala kumatha kuwongoleredwa ndi malo ena a thupi. Atagona mbali yake ndi miyendo yokhotakhota, zizindikiro za kutupa kwa pancreatic zimachepa mwadzidzidzi, ndipo munthuyo amamasuka.
Ndikothekanso kudziyimira pawokha zowoneka ngati zotupa za kapamba, komabe, chithandizo chikuyenera kuperekedwa kwa akatswiri oyenerera omwe, mwa njira zodziwitsa, omwe angadziwe chomwe chimayambitsa matenda osayenerera.
Momwe mungachepetsera kutupa kwa kapamba?
Kubwereza mobwerezabwereza ndi kupweteka kwa kapamba, limodzi ndi ululu kumtunda kapena mkati mwa m'mimba, nseru, kusanza komanso kufooka kwa thupi kumatha kuchepetsedwa mothandizidwa ndi mankhwala, kukonza mankhwalawa komanso njira zina zochizira kunyumba.
Simuyenera kuyamba kulandira chithandizo chanuchipondere nokha. Musanayambe njira zilizonse zochizira zamkati mwanjira yokhudza kugaya chakudya, muyenera kufunsa dokotala.
Mankhwala a pharmacological okhala ndi ma enzymes a pancreatic amathandizira kuthetsa ululu. Chithandizo chofananacho chimakhalanso ndi kufatsa kwa analgesic. Kupanga ma enzyme kungathandize Mezim ®, Festal® ndi Pancreatin®omwe ali ndi ampilase, lipase ndi proteinase - mankhwala ofunikira kuti ziphuphu zikhale bwino.
Kukulitsa ma pancreatic ducts ndikuchepetsa kuphipha kungathandize No-spa ®.
Zakudya zopatsa mphamvu chifukwa cha kutupa kwa kapamba
Kunyumba, chithandizo cha matenda otupa chikuyenera kuyamba ndi kusintha kwa zakudya. Patsiku loyamba la kutupa, muyenera kukana kwathunthu kudya masiku atatu. Chakudyacho chimangomwera madzi amchere amchere opanda mpweya mpaka malita 2.5 patsiku. Ngati wodwala alibe mavuto ndi magwiridwe antchito a genitourinary system ndi impso, ndiye akatswiri mwachikhalidwe amalangiza Essentuki ™, Narzan ™ ndi Borjomi ™. Pambuyo pachakudya chokhwima, monga lamulo, zizindikiro za kutupa zimatsika, ndipo gawo lotsatira ndikulowa kolondola. Zakudya zopatsa mphamvu zochepa ziyenera kuyambitsidwa pang'onopang'ono m'zakudya, kupatula zakudya zamchere, zomwe zimasunthidwa, kuzifutsa ndi kuziwotcha, zomwe zimatha kuyambiranso.
Zakudya zophweka zimalimbikitsidwa kwa miyezi 1-1.5, pambuyo pake kuyezetsa koyeserera kuyenera kuchitika. Zolemba za zakudya zamatenda a kapamba:
- Zakudya zochepa zopatsa mphamvu
- chakudya chamagulu - nthawi 5-6 patsiku,
- kupatula zakudya zamafuta owonjezera pakudya,
- zakumwa zamchere.
Katswiri wothandizira gastroenterologist kapena katswiri wazakudya amalimbikitsa kudya patebulo la chakudya No. 5. Mwamsanga atatha kuukira ndikuwonjezereka kwa kupweteka kwa kapamba, wodwalayo ayenera kusintha kugwiritsa ntchito mapuloteni onse.
Chotsimikizika menyu mutachotsa njira yotupa:
- masamba ophika
- osati tiyi wamphamvu, kapena mtengo wanyongolotsi wamtchire,
- buledi wowuma
- tirigu wosenda, kupatula tirigu ndi tirigu,
- odzola zipatso
- curd pudding kuchokera ku non-acid curd,
- nofesi yamaofesi ndi zina zotero.
- Chocolate ndi ayisikilimu
- zinthu zamzitini
- zonunkhira ndi zonunkhira
- Confectionery
- masuti osuta komanso osaphika,
- masamba osaphika ndi zipatso,
- bowa
- nsomba zamafuta ndi nyama.
Makamaka chidwi ayenera kulipira kwa zakudya zoyambitsa matenda a kapamba mu ana.
Njira zina
Mankhwala azitsamba, kapena mankhwala azitsamba a kutupa kwa pancreatic, samakanidwa ndi mankhwala achikhalidwe. Kuphatikiza pa kugwiritsa ntchito mankhwala osokoneza bongo ndi zakudya, mankhwala azitsamba amapereka zotsatira zabwino. Chosiyana ndi momwe wodwalayo amamvera mosiyanasiyana pazinthu zachilengedwe zomwe zilipo, kutenga pakati kwa azimayi atatu ndi ana ochepera mpaka wazaka zisanu ndi zisanu ndi chimodzi. Ndi gulu lino lomwe limawonedwa ngati lovuta kwambiri pokhudzana ndi chitetezo cha mthupi.
Chithandizo chodziwika bwino komanso chothandiza kwambiri chotupa komanso matenda a kapamba.
Chinsinsi 1. Kulowetsedwa Glebova. Supuni ya tiyi wamafuta imapangidwa mu thermos ya 200 ml ya madzi otentha. Mankhwala amalowetsedwa kwa maola 6-8, kusefedwa, ndi kumwa katatu tsiku musanadye, 50 ml kwa sabata. Zosakaniza: Mphukira wamba, dambo la dandelion, muzu wa dandelion, mtundu wa calendula, tchire, mizu ya burdock.
Chinsinsi 2. Kulowetsedwa kwa Paul Bragg. Sage, chowawa chowawa, muzu wa burdock, calendula, elecampane, akavalo akavalo ndi motsatizana amatengedwa chimodzimodzi. Supuni ziwiri za kaphatikizidwe kamazitsamba zimathiridwa mu 300 ml ya madzi ozizira ndikubwera kwa chithupsa. Mankhwala amapangidwa kuti azitha kuchepa kwa theka la ola. Mukamaliza kusefa, kulowetsaku ndiwokonzeka kugwiritsa ntchito. Ndikulimbikitsidwa kugwiritsa ntchito 50 ml ya zakumwa zochiritsa theka la ola musanadye. Njira ya chithandizo ndi masiku 7-10.
Chinsinsi chachitatu. Kutolere kwapancreatic. Zosakaniza zochizira: muzu wa dandelion, tsabola, celandine ndi stigmas ya chimanga. 10 g ya zosaphika zouma zosakanizidwa ndikutsanulira 500 ml ya madzi otentha. Mutatha kukakamira (maora 2-3) ndi kupsinjika, tengani chopereka cha supuni katatu pa tsiku musanadye masiku khumi.
Kuukira kwamphamvu kwa kapamba kumathanso kuimitsidwa mothandizidwa ndi mphatso zotsutsana ndi zotupa - mbatata ndi madzi a beetroot, phula ndi oats.
Kuphatikiza pa maphikidwe omwe ali pamwambawa, pali njira zambiri zochiritsira zomwe zingachitike kunyumba moyang'aniridwa ndi dokotala.
Kupewa kwa Pancreatitis
Kuganiza zachiwopsezo cha pranclaxis cha kapamba chimatsatira kuyambira paubwana. Limbikitsani ana kuti azidya zakudya zabwino zokha ndi kumwa madzi oyera. Chofunika kwambiri popewa matenda a kapamba ndichisamaliro cha ukhondo ndi ukhondo, chilengedwe komanso kukana zizolowezi zoipa - mowa ndi kusuta. Poganizira kwambiri kuti mukhale ndi moyo wathanzi, mutha kuyiwala za matenda am'mimba a nthawi yayitali. Dzisamalire nokha ndikukhala wathanzi nthawi zonse!
Kutupa kogwiritsa
Pamaso pa pancreatitis yogwira ntchito, zofunika pazakudya ndizofanana ndi zosankha zam'mbuyo, ndiye kuti, maziko a tebulo No. 5.
Cholinga chachikulu cha zakudya zamankhwala ndikutsatira kwambiri zakudya, zomwe zimachepetsa katundu pachithunzichi ndikuthana ndi matenda a ziwalo zamkati.
Ganizirani zakudya ziti zomwe zimaloledwa ngati chithokomiro chayamba chifukwa cha gastritis, cholecystitis kapena duodenitis:
- buledi wonse wa tirigu (bwino dzulo),
- msuzi pa nkhuku kapena msuzi wa masamba ndi chimanga, pasitala, nyama yophika,
- nsomba zamtsinje
- chimanga (oatmeal, buckwheat),
- mbale zosenda masamba,
- mafuta (azitona, mpendadzuwa),
- ma cookies a biscuit.
Cholinga chachikulu cha zakudya zotere ndi kuperewera kwa mphamvu kwa chimbudzi pakugaya chakudya.
Pazakudya, tikulimbikitsidwa kukonzekera decoctions (chamomile, galu rose), compote kuchokera ku zipatso zatsopano kapena zipatso zouma. Tayi yotseguka iyenera kukhala yofooka komanso yopanda mafuta. Mutha kumwa zamkaka ndi mafuta ochepa.
Zakudya zochizira malinga ndi Pevzner
Zakudya zamatenda a kutupa kwa kapamba zimapangidwa malinga ndi chakudya No. 5 ndipo cholinga chake ndikuchiritsa matenda. Kutsatira izi kumathandizira kuchepetsa katundu pa gland. Zakudya izi zimalimbikitsidwa kwa onse odwala atachulukirachulukira matendawa, komanso kuti achulukitse gawo lokhululuka. Amachepetsa shuga ndi mafuta m'thupi, amachepetsa thupi, amakhala ndi thanzi labwino.
Chinsinsi cha chakudya No. 5 pamaso pa njira yotupa mu kapamba ndikukana kutenga zinthu zomwe zimalimbikitsa kupangika kwa asidi m'mimba, zomwe zimapangitsa kuti ma enzymes apangidwe. Wodwalayo amalimbikitsidwa kuti azikhala ndi zakudya zomwe zingagwiritse ntchito m'mimba, chakudya chiziwophika kapena kuphika mu boiler wambiri, ziyenera kumwedwa kapena kuwaza. Kuti muchepetse kusokonezeka kwa cholowa chopaka, mafuta kapena mafuta aliwonse omwe amagwiritsidwa ntchito ayenera kuwonjezeredwa kumbale omaliza, osagwiritsidwa ntchito pakuphika.
Zakudya No. 5a tikulimbikitsidwa kwa pancreatitis pachimake, atatha masiku atatu kusala. Chiwerengero cha kilocalories patsiku chimachepetsedwa kukhala 1700. Chakudyacho chizikhala chamadzi kapena chosakanizidwa, chimatenga maola atatu aliwonse, m'magawo ang'onoang'ono.
Kutalika kwa njirayi kumatsimikiziridwa ndi dokotala, nthawi zambiri ndi masiku 7-10. Mawuwo amatengera momwe wodwalayo alili.
Zakudya tebulo la 5p ndi kutupa kwa kapamba kumakulitsa pakubweretsa mbale zotsatirazi:
- nyama zowaza, nyama zokhala ndi mafuta ochepa,
- nsomba (makamaka mtsinje). Kuphika mu owiritsa pawiri.
Ndikofunikira kuyang'anira kalori. Zochitika tsiku ndi tsiku ndi 1500-1800 kcal.
Zoletsa ndi zoletsa
Kugwiritsidwa ntchito kwa zakudya zina kumatha kubweretsa zizindikiro zowonjezereka, chifukwa chake, kudya ndi kutupa kwa kapamba ndikofunikira kwambiri. Zoti asadye? Ndikofunikira kupatula:
- mankhwala osuta
- zakudya zosavuta, chakudya mwachangu,
- mitundu ina ya chimanga (semolina, barele, mapira),
- zopangidwa mkaka (zokhala ndi mafuta ochulukirapo),
- zipatso zowawasa
- masamba (kabichi, radish ndi radish, biringanya, adyo),
- bowa.
Kumwa mowa ndizoletsedwa kwathunthu. Shuga waphatikizidwa, umatha kusungidwa ndi uchi kapena zotsekemera, kuchepetsa timadziti ndi madzi. Zakudya zozizira kwambiri kapena zotentha ziyenera kupewedwa, zimangopatsidwa kutentha.
Malamulo a Zopatsa Thanzi Ana
Zakudya za ana zokhala ndi kutupa kwa kapamba zimaphatikizanso malamulo omwewo monga akulu. Ana amathanso kupatsidwa makeke olimba (mabisiketi), kuyanika, ma waffles, koma osadzaza. Zomwe zimaloledwa m'zakudyazo ndi maswiti, maswiti, maswiti amkaka.
Ndikwabwino kuti mupatse mwana wanu ma compotes ndi zakudya, zakudya zopaka kuchokera ku masamba osiyanasiyana (kaloti, dzungu, tsabola) ndi zipatso (maapulo, mapeyala).
Momwe mungagwiritsire zakudya
- Kutsindika ndi zinthu zama protein. Kuchepetsa kudya zamafuta ndi chakudya.
- Zogulitsa zonse zimaphika kapena kuwotchera. Tumikirani odulidwa kapena grated.
- Zopatsa mphamvu zama calorie menyu siziposa 2000 kcal / tsiku.
- Mutha kuthira mafuta, koma mu mbale yokonzekera kale.
Njira yoyenera yodyetsera zakudya komanso chakudya chopatsa thanzi chifukwa chotupa kwa pancreatic zimathandizira kuti zizichangu zizichoka mwachangu komanso zimathandizira matenthedwe. Amaloledwa kuwonjezera zopangidwa zatsopano, koma pambuyo povomerezeka ndi dokotala.
Menyu ya sabata limodzi la kapamba wodwala
Taganizirani za zakudya za masiku asanu ndi awiri. Zakudya za tsiku ndi tsiku zimaphatikizapo kadzutsa woyamba ndi wachiwiri, nkhomaliro, chakudya chamadzulo, chakudya chamadzulo. Mutha kuwonjezera chakudya china chachiwiri. Mapuloteni omelette amakonda kwambiri chakudya cham'mawa, pomwe tchizi tchizi ndi tiyi amapatsidwa chakudya chamasana. Mwa zakumwa, msuzi wa rosehip ndiwothandiza, ndipo msuzi nthawi zonse umadyedwa ndi nkhomaliro.
Lolemba | |
Chakudya cham'mawa | Nyama yamafuta ochepa, tiyi wokhala ndi ma biscuit cookies. |
Chakudya cham'mawa chachiwiri | Oatmeal m'madzi kapena mkaka. Msuzi wa Rosehip kapena zipatso zowuma |
Chakudya chamadzulo | Buckwheat phala, masamba ophika, monga zukini kapena broccoli ndi tchizi chotsika mafuta |
Tiyi yapamwamba | Maapulo ophika |
Chakudya chamadzulo | Zakudya zamasamba, nkhuku yophika. Compote. |
Lachiwiri | |
Chakudya cham'mawa | Nyama zodula, mazira osenda. Tiyi ndi opanga. |
Chakudya cham'mawa chachiwiri | Curd pudding, odzola. |
Chakudya chamadzulo | Ng'ombe yophika, kagawo ka mkate wa rye ndi tiyi wofooka ndi mandimu |
Tiyi yapamwamba | Galasi la kefir ndi obera |
Chakudya chamadzulo | Nsomba zonyowa, tiyi |
Lachitatu | |
Chakudya cham'mawa | Yogurt Yotsika ndi Green Apple |
Chakudya cham'mawa chachiwiri | Brisket yophika, yoyera yoyera, tiyi wobiriwira |
Chakudya chamadzulo | Nsomba yotsika mafuta ochepa, phala la buckwheat ndi mkate wa rye |
Tiyi yapamwamba | Tchizi chamafuta ochepa |
Chakudya chamadzulo | Steam oatmeal, beetroot saladi. Tiyi |
Lachinayi | |
Chakudya cham'mawa | Omelet wa mazira awiri ndi tiyi wopanda mphamvu |
Chakudya cham'mawa chachiwiri | Curd pudding, applesauce. |
Chakudya chamadzulo | Nyama Yotentha ndi Saladi Wamasamba |
Tiyi yapamwamba | Zipatso zouma zamalonda, osakira |
Chakudya chamadzulo | Phala la mpunga, apulo wophika ndi compote |
Lachisanu | |
Chakudya cham'mawa | Mbatata zosenda bwino ndi nyama. Tiyi ya zitsamba. |
Chakudya cham'mawa chachiwiri | Mapulogalamu, ophwanya kapena ma cookie owuma |
Chakudya chamadzulo | Msuzi wamasamba, nyama yodula kuchokera ku nsomba zam'madzi, compote |
Tiyi yapamwamba | Jelly |
Chakudya chamadzulo | Nyama pudding, masamba otentha. |
Loweruka | |
Chakudya cham'mawa | Ma omelet awiri a dzira ndi tchizi tchizi |
Chakudya cham'mawa chachiwiri | Cheesecake, maapulo ophika |
Chakudya chamadzulo | Katemera wa nkhuku wokhala ndi zophekera, masamba a nyama |
Tiyi yapamwamba | Maapulo ophika, odzola |
Chakudya chamadzulo | Tchizi chamafuta ochepa kapena nkhuku |
Lamlungu | |
Chakudya cham'mawa | Curd casserole, mkaka |
Chakudya cham'mawa chachiwiri | Msuzi wamasamba, nyama yophika |
Chakudya chamadzulo | Msuzi wokazinga wamasamba wokhala ndi cutlets komanso ma noodle, msuzi wa mkaka |
Tiyi yapamwamba | Tiyi yokhala ndi ma biscuit cookies |
Chakudya chamadzulo | Nyama yophika, beets yophika, compote |
Zakudya mankhwalawa pancreatitis ndi malo abwino. Pochepetsa katundu pa kapamba, ndizotheka kukwaniritsa kuchira kwam'mimba komanso kutuluka kosasunthika.