Pezani tebulo 5: mndandanda wamlungu, tsiku lililonse maphikidwe

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Tili ndi malamulo okhwima osankha magwero azidziwitso ndipo timangotengera masamba otchuka, mabungwe ofufuza zamaphunziro, ndipo ngati zingatheke, kafukufuku wazachipatala wotsimikiziridwa. Chonde dziwani kuti manambala omwe ali m'mabakaki (, ndi zina zambiri), amalumikizano olumikizana ndi maphunziro awa.

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Mwamuna amakhala ndi moyo wopimidwa, amadzipukusa ndi zinthu zabwino zambiri kwazaka zambiri, ndipo mwadzidzidzi popanda chifukwa, zopweteka zowonekera zimawoneka pansi pa nthiti zake mbali yakumanja pafupi ndi m'mimba. Dokotala samatsimikizira zovuta zam'mimba, ndipo chiwindi chikuwoneka bwino. Koma m'mimba mwake momwemo zotulutsira zoterezi zimamuuza munthuyo nkhani zosasangalatsa kuti miyala yakhazikika m'khola lake lomwe liyenera kuchotsedwa, ndipo mwina limodzi ndi chikhodzodzo palokha. Koma izi sizoyipa kwambiri, chifukwa opaleshoni nthawi zambiri imachitika ndi njira ya laparoscopic, kotero kuchira kwamthupi pambuyo pofulumira, mkati mwa masiku ochepa. Pokhapokha zakudya pambuyo pa laparoscopy ya ndulu kwa zaka zingapo sizingalole kuti munthu abwerere pazomwe amakonda kwambiri.

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Kufotokozera zakudya, kwa amene akuwonetsedwa

Pali mitundu 15 ya zakudya zisanu zomwe zimayikidwa matenda osiyanasiyana. Onsewa adapangidwa ndi katswiri wa zakudya Michail Pevzner. Pansipa pali mndandanda wa sabata limodzi ndi maphikidwe a zakudya No. 5, omwe amayenera kugwiritsidwa ntchito pochotsa chiwindi ndi ndulu. Mutha kutsatira malangizo a kadyedwe kwa zaka ziwiri popanda kuwononga thanzi lanu.

Malamulo onse:

• Zakudya 5 zimadziwika kuti zimadya kwambiri mapuloteni komanso chakudya chamafuta kuposa mafuta.
  
• Kuchokera pazakudya kwa sabata, maphikidwe omwe amakhala ndi zosakaniza zomwe zimapangidwa pakukazinga, zinthu zomwe zimakulitsa katulutsidwe ka m'mimba ziyenera kuthetsedwa.
• Ndikofunikira kuchepetsa mchere pang'ono.
• Osamadya zakudya zokhala ndi asidi wambiri, purines ndi cholesterol.

Mulingo watsiku ndi tsiku wa BZHU

Norm:

• 400 g wamafuta tsiku lililonse.
• Mlingo wama calorie ndi 2400-2800 kcal.
• 90 g mafuta patsiku. Gawo lachitatu la iwo ndi masamba.
• Zakudya zamafuta tsiku ndi tsiku ndi 80 g.

Zakudya 5 (mndandanda wa sabata limodzi ndi maphikidwe amaperekedwa pansipa) sizitanthauza kuti 100% ya zomwe zingakhudze ziwalo zogaya chakudya. Maphunzirowa amapangitsa kuti boma likhale lathanzi komanso lidzathandizanso pakuchira. Zakudya 5 nthawi zonse zimaperekedwa ndi mankhwala ndi physiotherapy.

Zosiyanasiyana

Mtundu wazakudya (tebulo)	Zizindikiro	Mawonekedwe Amphamvu
5P	Amalembera zilonda zam'mimba	Kuchuluka kwa kcal - 2900
5L / W	Amagwiritsidwa ntchito pa matenda a chiwindi	Kulowa tsiku ndi tsiku - mpaka 2600 kcal
5shch	Amalembera kukhathamiritsa kwa postcholecystectomy syndrome	Osaloledwa zosaposa 2100 kcal patsiku
5P	Aakulu mawonekedwe a kapamba	Zakudya za calorie za tsiku ndi tsiku - 1800 kcal
5a	Matenda a Gallstone ndi cholecystitis. Hepatitis mitundu yonse	Zakudya zonse siziyenera kuzizira, komanso osati kutentha. Idyani zakudya zazing'ono zosachepera 5 pa tsiku
5	Hepatitis aakulu ndi pachimake mawonekedwe. Kupezeka kwa miyala mu chikhodzodzo. Cholecystitis	Chakudya chophika, chakudya chamagulu kangapo patsiku

Ubwino ndi kuipa

Monga zakudya zilizonse, tebulo nambala 5 ili ndi mbali zake zabwino komanso zoyipa.

Ubwino:

• Imakhala ndi phindu pamkhalidwe wa chiwindi ndi ndulu.
• Ndi chakudya choyenera, njala simamva.
• Zimalepheretsa kubwerera kumatendawa.

Chuma:

• Njira yophikira ya zakudya zina ndi yovuta kwambiri ndipo imawononga nthawi,
• Nthawi yogwiritsira ntchito zakudyazi mpaka zaka 2.

Zololedwa ndi zakudya

Mndandanda wazakumwa:

• Kissel.
• Morse.
• Madzi amapangidwa kunyumba ndi madzi.
• Rosehip compote.
• Zipatso puree compote.
• Tiyi ndi yakuda.
• Jelly.

Mndandanda:

• Msuzi wa Zukini.
• Dzungu msuzi.
• Msuzi ndi kaloti.
• Msuzi ndi mbatata.
• Msuzi ndi mbewu monga chimanga.
• Zipatso zamitengo.
• Msuzi wamkaka wokhala ndi vermicelli.
• Msuzi wa Beetroot.
• Chiyukireniya borsch pamtengo msuzi.
• Msuzi wotsika mtola.
• Msuzi wa barele.

Kuchotsa gallbladder

Laparoscopic cholecystectomy imagwiritsidwa ntchito kwambiri pochiza cholecystitis yovuta komanso pachimake. Ubwino wake ndikuti opareshoni imachitika kudzera pakabowoleza m'mimba, kuti omalirirawo avulazidwe pang'ono. Pankhaniyi, ululu wammbuyo ulibe, ndipo kuchira kumachitika mofulumira kwambiri kuposa kuchitidwa opareshoni. Wodwalayo amakhala kuchipatala pafupifupi masiku 1-2, pambuyo pake amabwerera ku zochitika zake zatsiku ndi tsiku ndi ntchito.

Laparoscopy imachitika mu 95 - 99% ya milandu. Mu malo pomwe pali zovuta (zotupa, zomatira njira) kapena anatomical mbali ya biliary thirakiti, kuchitapo kanthu kotseguka kumachitika m'mimba. Nthawi zambiri uku kumagwira ntchito mosavulaza, sikugwira ntchito yamwambo.

Chifukwa kudya

Tsoka ilo, kutaya chikhodzodzo chifukwa cha cholecystitis, munthu samachotsa matenda a ndulu. Chiwindi chikugwirabe ntchito, ndipo bile, lomwe lidasinthidwa kalekale lisanachotsedwe, lilibe kwina kokhazikika. Mokulira kumawonjezera chiopsezo kuti chiwonekere, kudziunjikira m'mizere ndikuwopseza matumbo. Kuti izi zisachitike, wodwalayo ayenera kuphunzira kudya pang'ono - uwu ndi lamulo loyamba komanso lofunikira kwambiri. Pansi pa izi, bile limatuluka nthawi, zomwe zingapewe kupanikizika kowopsa m'makonzedwe ndi mapangidwe amiyala mkati mwake, ndipo matumbo amatetezedwa majekeseni akuluakulu a bile.

Popita nthawi, ma ducts amatenga gawo la chinthu chosowa. Koma izi zimachitika pang'onopang'ono komanso zimangokhala ndi mtundu wina wa zakudya. Monga lamulo, pafupifupi chaka chimadutsa asanabwerere ku zakudya zokhazikika zomwe zili ndi malire pang'ono.

Tiyeni tiwone malamulo ati omwe amayenera kutsatidwa masiku oyambilira, masabata, ndi miyezi kuchokera kuti chikhodzodzo chitha kutayika ndi thupi, komanso chakudya chapadera chokwanira nambala 5.

Kuwongolera kwa Mtengo Wathupi

Zakudya za tsiku ndi tsiku ziyenera kumangidwa m'njira yoti magulu azogulitsa azikhala ndi zotsatirazi:

• 25% ya mapuloteni. Mapuloteni apamwamba kwambiri amathandizira kuti chiwindi chikhale komanso kuti maselo ake akhalenso abwino. Gwero labwino la mapuloteni omwe amapezeka mosavuta komanso osakanikirana ndi zakudya zamkaka, nkhuku ndi nsomba.
• 25% mafuta. Popeza calculi (miyala mu ndulu ndi ndulu zake) imakhala ndi cholesterol, ndikofunikira kuchepetsa kuchuluka kwa zakudya zomwe zimakhala ndi mafuta a kolesteroli, koma nthawi yomweyo sungani mafuta osakwaniritsidwa muzakudya. Zotsalazo ndizophatikiza mafuta a masamba. Amathandizira kupyola bile ndipo amachepetsa chiopsezo chopanga miyala.
• 50% chakudya. Ngakhale kuti kuchuluka kwa zakudyazo kumachitika, kusankha kwa chakudya kambiri kuyenera kubwera kwa chisamaliro chachikulu. Vuto ndilakuti zakudya monga makeke kapena mbewu monga chimanga zimayambitsa acidization ya bile, yomwe, imayambitsa kupanga calculi. Nthawi yomweyo, mafuta "opepuka" kuchokera ku shuga ndi zinthu zomwe zili nacho, ngakhale alibe mphamvu zotere, zimapangitsa kuti mapaundi owonjezera ndi zovuta zama metabolic chifukwa cha zopezeka kwambiri zopatsa mphamvu. Chifukwa chake, ndikofunikira kufunafuna malire pakati pa gulu loyambirira ndi lachiwiri la zopangidwa zamafuta.

Masiku oyamba atandichita opareshoni

Pambuyo pa opaleshoni yochitidwa pansi pa opaleshoni yayikulu, kumeza chakudya ndi madzi m'masiku 12 oyamba sichivomerezedwa.Wodwalayo amayang'aniridwa kwambiri ndi ogwira ntchito zachipatala. Kuchepetsa ludzu, kupukutira milomo ndi chinkhupule chofewetsedwa m'madzi kapena kupsinjika pakamwa kumaloledwa. Pambuyo pa nthawi yoikidwiratu, wodwalayo amaloledwa pang'ono kuti apatse msuzi pang'ono kapena zakudya.

Kuti bile isasunthe mu ma ducts, ndikofunikira kuti wodwalayo akhazikitse zakudya zamagulu ochepa nthawi 6-7 patsiku, komanso kukhazikitsa regimen mkati mwa makhoma a chipatala. Zakudya zamadzimadzi ziyeneranso kukhala zazing'ono, koma zochulukirapo - pafupifupi 1.5 malita patsiku.

Tsiku lotsatira atachitidwa opaleshoni, mumatha kudya chakudya chamadzimadzi komanso ngati mawonekedwe: zakudya msuzi wa nyama, barele ya barele, mafuta odzola.

M'masiku kuyambira lachitatu mpaka menyu achisanu, onjezerani zamphepete zamadzimadzi, ma omeleti osenda bwino, sopo wamphesa ndi msuzi wa masamba, mbatata zosenda. Dokotala wanu atha kukuloletsani kuti muminye michere yotsekemera komanso yopanda acid (monga beetroot), tiyi wokoma pang'ono.

Kumapeto kwa sabata loyamba, tchizi chochepa-mafuta, tchizi mkaka wowawasa, nyama yophika zakudya ndi nsomba zimaphatikizidwa muzakudya. Mutha kuwonjezera mkate ndi msuzi wamasamba, koma osapitirira 100 g patsiku. Iyenera kukhala youma.

Kuchokera ku zakumwa, mutha kugwiritsa ntchito tiyi wotsekemera pang'ono, misuzi yachilengedwe kuchokera ku zipatso ndi ndiwo zamasamba, zakudya zonunkhira, msuzi wa rosehip ndi madzi osavomerezeka a carbon (ayenera kuvomerezedwa ndi adokotala omwe amapezekapo). Kuchuluka kwa zakumwa zamadzimadzi zitha kufika kale 2 malita patsiku.

Ngati kuchira kukuchitika monga pakufunikira, wodwalayo amasamutsidwa kukadya No. 5.

Pambuyo pa laparoscopy, chakudyacho sichili chovuta, chifukwa ntchito ngati izi sizowopsa. Kusiyana kwa zakudya m'masiku oyamba pambuyo pa njirayi ndi motere:

• wodwala amatha kumwa zamadzimadzi nthawi yomweyo
• mumaola 12 oyamba, zakudya zazing'ono zamafuta kapena msuzi zimaloledwa,
• patsiku la 2 mutha kumwa popanda zoletsa, ndipo idyani chakudya chopepuka m'magawo ang'onoang'ono. Nyama yophika yophika, nsomba, omeledte, mafuta ochepa, msuzi wina ndi tchizi chololedwa.
• kusintha kwa chakudya cha 5 kumachitika tsiku lachitatu.

Sabata yoyamba mutatuluka

Ngati pachipatala pakhala kuti zonse zili bwino ndi zakudya, popeza ogwira ntchito pachipatala amawongolera, ndiye kuti akafika kunyumba, ambiri omwe amamugwirira ntchito amatayika: angadyebe bwanji mopitilira?

Pofuna kuti musagwetse thupi kuchokera ku regimen yokhazikitsidwa kuchipatala, kunyumba wodwalayo amayeneranso kupitiriza kudya magawo ang'onoang'ono pafupifupi 6-7 patsiku. Chachikulu ndikuti izi zimachitika nthawi imodzi. Chifukwa chake bile limagawidwa pokhapokha pokonzekera chakudya chomwe chikubwera, osangokhala chithokomiro kapena m'mimba yopanda kanthu. Mlingo wotsiriza uyenera kuchitika pasanadutse maola 2 asanagone.

Mu sabata yoyamba kukonzanso kunja kwa chipatala, zinthu zonse zolembedwa ndi masamba abwino ndi zipatso zaletsedwa. Izi zimaphatikizanso mkate wa rye. Pazakudya zazikuluzikulu za "tebulo nambala 5" mutachotsa chikhodzodzo, mumaphika, kuthira mafuta ndi zakudya zina:

• nyama yokhala ndi mafuta ochepa (ma bookbels, ma boardb, ma airb) ndi nsomba zamasamba,
• nkhuku (mpukutu wazakudya wowotchera mu uvuni),
• mkaka ndi masamba
• mbewu zonse za phala ndi tirigu
• steam mapuloteni omelet.

Thandizo labwino kwambiri ndi ma yoghurts omwe amapezeka "amoyo" ndi tchizi cha Adyghe.

Wodwala amatha kale kugula zakudya zophiphiritsa: marshmallows kapena marshmallows.

Msuzi wopanda tiyi ndi msuzi wa rosehip amaonedwabe ngati zakumwa zabwino kwambiri, ndipo madzi akumwa amalimbikitsidwa kuti asinthidwe ndi mchere, koma atangoonana ndi dokotala.

Patatha mwezi umodzi

Kulunjika kwa zakudya panthawiyi kukonzanso kubwezeretsa pang'onopang'ono kuzakudya zomwe mukudziwa. Maziko ake ndi chakudya chachisanu. Zosankha zikukula, koma, zili, zopangidwa zololedwa zokha.M'malo mwake, wodwalayo adzafunika kutsatira zakudya zotere m'miyezi 6 ndi chaka chotsatira. Chifukwa chake, pakadali pano, ndibwino kuti pomaliza pake zidziwike kuti kuyambira pano siziyenera kukhala patebulo:

• nkhumba yamafuta ndi ng'ombe, mwanawankhosa, anyama. Pansi pa chiletso palinso nyama ya bakha,
• mafuta msuzi ndi broths - ndi okhawo azakudya omwe amaloledwa,
• palibe zokongoletsa. Chakudya choterocho chimayenera kukonzedwa ndi bile ya ndende yambiri kuti igayike. Tsoka ilo, atandichita opaleshoni izi sizingatheke.
• palibe zokometsera ndi msuzi wotentha wopangitsa kuchuluka kwa ndulu,
• zakumwa zoziziritsa kukhosi ndi ayisikilimu, chifukwa kuzizira kumatha kubweretsa kupweteka kwam'mimba komanso kupweteka,
• mbale zomwe zimaphatikizapo batala kapena margarine, makeke, makeke, mafuta ophikira ndi mafuta,
• Zakudya za acidic: maapulo, mbale zomwe viniga imagwiritsidwa ntchito, zipatso za acidic (kiwi, malalanje). Vinyo wouma amakhalanso pamndandandawu,
• zakumwa zoziziritsa kukhosi. Izi zikutanthauza kuti mchere wam'madzi uyeneranso kukhala wopanda mpweya.

Miyezi iwiri itatha laparoscopy

Pakadali pano, wodwalayo akukumana ndi ntchito yoyesera kuti asakhumudwitse dongosolo logaya chakudya komanso kuti asamalire zakudya zamapuloteni zomwe zimathandizira kuchepa kwa bile. Ngati patatha miyezi iwiri kuchokera ku opaleshoniyo mulibe ululu komanso zosasangalatsa zilizonse, mutha kusintha pang'ono pang'onopang'ono "tebulo lachitatu" motere:

• kuphika supu pa nkhuku yokonda, koma pewani kuyika masamba azovala. Kuti tiwonjezere zakudya komanso zakudya zazakudya izi, zikakonzeka, zimawonjezera batala la azitona kapena kirimu (ghee),
• lachiwiri mungathe kudya nyama yophika yophika ndi mbali ina ya masamba osiyanasiyana: kolifulawa, zukini ndi sikwashi, beets, dzungu, kaloti. Zachidziwikire, simungathe kuphika masamba, koma mu mphodza amapezeka kuti amakoma kwambiri. Chololedwa kuwonjezera mafuta ena ku mbale zomwe zakonzedwa,
• nsomba sizingokhala zophika zokha kapena kuwiritsa - zimakhala zofunikira kwambiri. Msuzi umapangidwa bwino kwambiri. Kuti muwachepetse, mutha kugwiritsa ntchito msuzi wa masamba ndikuphatikiza ndi gelatin,
• Zakudya zomanga thupi zopezeka mosavuta komanso zakudya zopatsa mphamvu zomwe zingapangitse kuti chakudya chikhale champhamvu kwambiri ndi ma squid, mamina ndi ma shrimp omwe amayenera kuwiritsa.
• thupi lidzapeza protein yambiri ndi tchizi tchizi, makamaka mafuta ochepa. Ngati njira ina yogwiritsira ntchito komanso yofunika kwambiri yogwiritsira ntchito, kanyumba tchizi casserole ndi yoyenera,
• mchere ungathenso kuthandizira kuti bile ikhale yambiri: maapozi ophika, maapozi apulosi kapena marmalade.

Patatha miyezi itatu

Kotala pambuyo pake, zakudya mutachotsa ndulu kale zimaphatikizanso mndandanda wonse wazakudya zovomerezeka. Pofika pano, zoletsa zomwe poyamba zinali zovuta kuzitsatira, zimakhala njira yamoyo wina. Zakudya za zakudya sizithandiza kungokhala ndi moyo popanda chimodzi cha ziwalo zamkati, koma, monga momwe machitidwe akuwonetsera, zimathandizira kwambiri thanzi lathunthu. Kuwerengera magazi konse kumakhala kwabwinobwino, kunenepa kwambiri kumachoka.

Chifukwa chake, zopereka zomwe ziloledwa kudya No. 5 pakadali pano ndikuphatikizanso:

• masamba ndi masamba okhathamira ndi kuphatikiza tirigu
• njere zabwino
• mitundu yazakudya zam'madzi ndi nyama (nkhuku, nkhuku, ng'ombe yodontha), yophika kapena yofinya,
• mazira a nkhuku (tsiku lililonse mungathe kudya 1 pc.),
• mkaka ndi mkaka. Zotsirizirazi zizikhala zatsopano komanso zolemeretsedwa ndi bifidobacteria,
• masamba ophika kapena otentha,
• durum tirigu, mbewu
• mafuta okwanira masamba,
• maswiti amtundu wa pastille, marmalade, jelly, puddings, kupanikizana, kupanikizana kwakumwa ndi uchi,
• Zipatso zouma: maapulo owuma ndi mitengo yamtengo pang'ono,
• Zipatso ndi zipatso zatsopano: sitiroberi, rasipiberi, apurikoti, agalu. Ndikwabwino kukonda zipatso zabwino, kupewa zouma.Kwa iwo omwe akufunika kuti azisowa bile, mavwende ndi abwino, kotero mu chilimwe mutha kuwayang'ana mosamala. Melon, m'malo mwake, ayenera kutayidwa,
• amaloledwa kumwa tiyi, khofi ndi mkaka, decoctions a rose m'chiuno ndi tirigu tirigu, timadziti watsopano.

Matenda a Gallstone

Matendawa amadziwika ndi mapangidwe amiyala mu ndulu kapena mabowo. Mwalawo umawonekera chifukwa cha kuyika kwa cholesterol yoyipa, mchere, matenda a bile kapena kusayenda bwino kwa lipid metabolism.

Ngati simukufuna thandizo la kuchipatala munthawi yake, matendawa amatha kuthana ndi peritonitis ndi cholecystitis. Matenda a Gallstone amayamba chifukwa cha kuperewera kwa zakudya m'thupi, komwe kumayang'aniridwa ndi zakudya zamafuta ndi zakudya zomwe zimakhala ndi chakudya chamagulu omaliza.

Matendawa amathandizidwa ndimankhwala komanso mothandizidwa ndi opaleshoni. Ndiye kuti, pazochitika zapamwamba, cholecystectomy imagwiritsidwa ntchito - kuchotsedwa kwa ndulu.

Madokotala amazindikira zinthu zomwe zingayambitse matendawa:

• woposa zaka makumi anayi
• kumwa estrogen nthawi ya azimayi,
• kuperewera kwa zakudya m'thupi
• matenda a m'mimba thirakiti,
• matenda ashuga ndi zolakwika zina zakuyenda kwamthupi.

Kuphatikiza pazowopsa, ndikofunikira kudziwa zizindikiro za matendawa. Kupweteka kwambiri m'dera la nthiti yakumanja ndiko chizindikiro choyamba cha cholelithiasis. Nthawi zambiri zimatha kudya, makamaka ngati chakudyacho chinali chamafuta kwambiri.

Zizindikiro zotsatirazi zingachitike:

1. kusanza komwe sikumapereka mpumulo,
2. discool discoloration
3. malungo, kutentha thupi.

Ngati muli ndi chimodzi mwazizindikiro zomwe zili pamwambapa, muyenera kulankhulana ndi achipatala kuti akudziweni. Matenda a Gallstone amatha kupezeka ndi ultrasound kapena MRI.

Ngati cholelithiasis ili ndi mawonekedwe osavuta, ndiye kuti njira zamankhwala ndizofatsa - tebulo lazakudya ndi kumwa mankhwala ngati pakufunika. M'magawo apamwamba, kulowererapo kwa opaleshoni kumagwiritsidwa ntchito.

Mu matenda a gallstone, zakudya Nambala 5 ndizofunikira, zomwe cholinga chake ndikuwongolera kugwira ntchito kwa chiwindi, chikhodzodzo cha ndulu ndi mapepala ochitira.

Zakudya zoyambira

Ndi miyala mu chikhodzodzo, ndiyofunikira kuchepetsa kukhathamira kwa mafuta, mchere, chakudya champhamvu kwambiri ndi oxalic acid. CHIKWANGWANI cholowa chimayeneranso kuphatikizidwa, ndiye kuti, masamba ndi zipatso ayenera kuthiridwa ndi kutentha osamadya zosaphika.

Zakudya izi zimatha kutsatiridwa mpaka chizindikiro cha matendawa chimatha, nthawi yayitali yokhala ndi zakudya zamasabata awiri. Zakudya zonse zimaphikidwa kukhala zotentha, kuchuluka kwa chakudya kumachulukitsa mpaka 5-6 patsiku.

Kuchuluka kwa madzi amadzimadzi ndi malita awiri, kuvomerezeka ndi zina. Ndibwino kuti mankhwala azitha kumwa mchere wopanda madzi. Komabe dziwitsani adokotala za lingaliro lanu. Ndikotheka m'malo mwa gawo lina lamadzi omwe adwedwa ndi decoctions. Ma tiyi ochokera masamba a sitiroberi, stigmas za chimanga ndi mizu ya parsley ndizoyenera.

Mutha kutsindika malamulo oyamba a zakudya Nambala 5:

• kuchuluka kwa kalori tsiku ndi tsiku sikupitilira 2600 kcal,
• chakudya chimaphikidwa chofunda
• kumwa malita awiri amadzimadzi,
• idyani kangapo patsiku, makamaka kangapo,
• sopo amapaka kokha pamadzi,
• Njira ziwiri zokha zochizira kutentha ndizovomerezeka - zotentha ndi kuwira,
• masamba ayenera kuchuluka kuti asathere,
• Zakudyazo zimaphatikizapo nyama ndi masamba.

Kuti muchepetse kupangika kwamiyala, chifukwa cha kuchuluka kwa mafuta m'thupi, muyenera kudya mkaka ndi mkaka wowawasa womwe uli ndi calcium tsiku lililonse. Lamulo lalikulu ndikuti zogulitsa zamtunduwu zinali zama calorie otsika, mwachitsanzo, kefir, mkaka wowotchera kapena yogathi.

Kukwanira okwanira kwa magnesium kumathandizira kutuluka kwa bile ndikuthandizira kupweteka. Zogulitsa Zapamwamba za Magnesium:

1. bulwheat
2. oatmeal
3. mtedza
4. prunes
5. sipinachi
6. katsabola ndi parsley,
7. arugula
8. nyemba - mphodza, nyemba ndi nyemba.

Ngati wodwala ali, kuphatikiza cholelithiasis, matenda a shuga, ndiye kuti zopezeka mu chakudya Na. 5 ziyenera kusankhidwa, poganizira index yawo ya glycemic (GI).

Glycemic Product Index

Chizindikirochi chimakhudzidwa nthawi zonse ndi ma endocrinologists pokonzekera njira zamankhwala odwala omwe ali ndi "zotsekemera" zamtundu uliwonse, omwe amadalira insulin komanso osadalira insulini. Chachikulu ndikusankha zakudya zomwe zili ndi GI yotsika.

Chizindikirochi ndi chiwonetsero chaz digito cha kuchuluka kwa shuga omwe amalowa m'magazi ndikuwonjezereka kwa magawo a magazi atatha kudya chinthu china. Kutsika kwake kumakhala kotsika, kumakhala kotetezeka kwa odwala matenda ashuga.

Chithandizo cha kutentha sichimakhudza kwambiri kuwonjezeka kwa GI. Koma pankhaniyi, pali zingapo kusiyanasiyana - izi ndi kaloti ndi beets. Sizoletsedwa kwa odwala omwe ali ndi mawonekedwe owiritsa, koma mwatsopano amakulimbikitsidwa chifukwa cha mavitamini ndi michere yambiri.

Magulu atatu a index ya glycemic:

• mpaka magawo 49 akuphatikiza - chakudya chotere ndicho chidzakhala chakudya chachikulu,
• mpaka 69 PIECES yophatikiza - chakudya chimangokhala chopezeka pamakonzedwe a wodwala, osapitirira kangapo pa sabata,
• Pamwamba pa 70 PIERES - zakudya ndi zakumwa zoterezi ndizoletsedwa, kumayambitsa hyperglycemia ndikuvulaza ziwalo.

Zakudya nambala 5 siziletsa kugwiritsa ntchito misuzi ya zipatso, koma ndizoletsedwa kwa odwala matenda ashuga. Chowonadi ndi chakuti, pogwiritsa ntchito njira iyi, zipatso "zimataya", zomwe zimagwira ntchito ya umunthu wofanana ndi gluu m'magazi.

Galasi yokha yamadzi ikweza shuga m'magazi ndi 4 - 5 mmol / L.

Zomwe siziloledwa pazakudya

Dongosolo lazakudya izi limaletsa mwapadera kusungidwa - nyama, nsomba, masamba ndi zipatso. Zonunkhira ndi mchere wambiri siziyenera kuwonjezera mbale.

Zophika zatsopano ndizoletsedwa. Mkate umayenera kukhala wowuma, ufa uyenera kuphika popanda yisiti. Chifukwa chake kuphika bwino kumachitidwa nokha.

Zipatso ndi zipatso zimasankhidwa osati acidic, ndikofunika kuwathira ndi madzi otentha musanagwiritse ntchito kapena kupaka pang'ono pamadzi pansi pa chivindikiro.

Opatula kwathunthu ku chakudya:

1. nyama yamafuta ndi nsomba,
2. nyama ndi nsomba zakumwa,
3. dzira yolk
4. ngale barele
5. mowa, zakumwa zoziziritsa kukhosi,
6. muffin (makamaka mwatsopano) ndi chokoleti,
7. tomato, radishi, anyezi, adyo,
8. sorelo, sipinachi ndi rhubarb,
9. bowa
10. kabichi yoyera ndi yofiira.

Tiyi ndi khofi ndizabwino kwambiri zomwe zimasiyidwa pamndandanda. Nthawi zina mutha kupanga khofi wofooka mumkaka.

Zakudya siziyenera kuphika zonunkhira kapena zonunkhira, ndiko kuti, ngakhale kuwonjezera kwamasamba komwe kumakoma kowawa sikumayikidwa kunja.

Zisonyezero zakudikirira

Zodziwika bwino? Ndipo ngakhale nkhaniyi idamveka ngati nthano, kwenikweni ndichowopsa chomwe chimayembekezera aliyense atamuchita opaleshoni paliponse ngati miyala idapezeka kale. Ndipo zilibe kanthu kuti ndi mtundu uti wa calculi wopangidwa, ngati njirayi idayamba kale, zimakhala zovuta kwambiri kuyimitsa.

Owerenga ambiri ali ndi chidwi ndi komwe magalasiwo amachokera. Mawu ngati amenewo a funso atha kuonedwa kuti si olondola. Palibe vuto kufunsa momwe adapangira kumeneko. Mulimonsemo, chomwe chimayambitsa kupangika kwa miyala mu ndulu ndi kusunthika kwa bile mu chiwalo, pomwe gawo limodzi la chinthuchi limakhalabe lamadzimadzi, ndi enawo limatulutsa. Izi ndizomwe zimapangira miyala yamitundu yosiyanasiyana ndi kukula kwake.

Ngati tilingalira za funso lomwe limayambitsa kukokoloka kwa bile, ndikofunikira kutchula kaye za kusakhazikika kwina (kukhala ndi moyo wambiri) ndi kuzunza ana okazinga ndi zakudya zonunkhira. Zinthu izi zikagwirira ntchito limodzi, sizokayikitsa kuti atha kupewa matenda opatsirana. Chiwindi poyankha chakudya cholimbikitsa (zonunkhira, zamchere, zokhala ndi zokongoletsa) chimapanga ndulu yokwanira, yomwe imasungidwa mu ndulu. Kuchokera pa chikhodzodzo, ngati n`koyenera, bile, yomwe yafika pazomwe zimafunikira, imaperekedwa kwa duodenum, pomwe panthawiyi pali chakudya chokhazikika.

Kuwongolera kutuluka kwa bile mu duodenum kumachitika pochepetsa makoma a ndulu ndi ndulu zake. Kukhala moyo wongokhala nthawi zonse kumayambitsa kufooketsa mphamvu zamagetsi zamagetsi, kaya akhale chikhodzodzo kapena matumbo. Chifukwa chokhala ndi luso loyendetsa bwino galimoto, si ma bile onse omwe amayambira kusungirako kwawo. Gawo lake limachedwa ndikuyamba kupatikika kukhala zigawo zina. Zidutswa zomwe zimakhala zowuma komanso zolemera kwambiri zimapanga miyala yomwe imalepheretsa kutuluka kwa bile.

Ma gallstones amatha kukhala ndi chikhalidwe china. Zina zimapangidwa ndi mchere (makamaka mchere wamchere), zina zimapangidwa ndi cholesterol, ndipo zina zimapangidwa ndi pigirubin pigment. Zowona, nthawi zambiri mwala umodzi zinthu zosiyanasiyana zimasakanikirana.

Chomwe chinayambitsa kupangika uku kapangidwe ka calculi mumalonda ndindani? Inde, chakudya chomwe timadya. Kuyamwa kwa michere kuchokera ku chakudya kumapezeka m'matumbo. Koma kenako amalowa m'magazi ndipo amasefa ndi chiwindi, chifukwa cha zomwe zinthu zochulukazo zimatulutsidwa mu ndulu. Mapuloteni, cholesterol, mchere, pigment, pokhala wambiri mu bile, imapangitsa kuti ikhale yokhazikika komanso yowonda, yomwe imakonda kupangidwa ndi miyala komanso miyala.

Miyala yaying'ono, ngakhale yopweteka, imatha kudutsa ndulu za bile ndikusiya chikhodzodzo. Koma apakatikati ndi akulu (ndipo kukula kwake amatha kufikira 4-5 cm) amayenera kuchotsedwa ndi opaleshoni. Nthawi zina, madokotala amavomereza kuti amachotsa miyala yokha kuchokera ku duct ya bile ndi ducts zake, koma muzochuluka nthawi zambiri amachitabe opaleshoni yochotsa chiwalo chonse pamodzi ndi miyala (cholecystectomy).

Mtundu wodziwika kwambiri wa opaleshoni ya cholecystitis (kutupa kwa ndulu) ndi matenda a ndulu imayang'aniridwa ngati laparoscopy ya ndulu, yomwe imakhala ndi zovuta zochepa komanso nthawi yochepa yochira. Koma ngakhale opaleshoniyo ikuchitika, pambuyo pake kwa nthawi yayitali muyenera kutsatira zofunikira zothandizira kuchiza matenda No. 5, yomwe imayikidwa matenda a chiwindi ndi m'matumbo.

Zakudya pambuyo pa pataloscopy ya ndulu kapena kuchotsa miyala kuchokera pamenepo ziyenera kukhala gawo lofunikira la moyo watsopano wodwala. Zowonadi, opaleshoniyo isanayambe kapena itatha, matumbo amayamba kuvuta. Choyamba, kuchokera pakusakwanira kwa bile mu duodenum, chimbudzi ndi kugwiritsika ntchito kwa chakudya kumalepheretsa, ndipo mutachotsa ndulu pamakhala matenda a postcholecystectomy.

Tikuyankhula za vuto la chisonyezo lomwe limachitika chifukwa cha kuponyera bile mu duodenum molunjika kuchokera ku chiwindi kunja zakudya. Ndulu, m'mene idayang'aniridwa, idayang'anira njira yoperekera bile ku duodenum panthawi yomwe chakudya chimafika. Bile adasakanizidwa ndi chyme ndipo sizinakwiyitse khoma lamatumbo. Koma ngati madzimadzi a caustic alowa m'matumbo opanda kanthu, zikuwonekeratu kuti imayamba kuwongolera mucous membrane, kutupa kumawonekera, ndipo chifukwa chake, matendawa ndi "duodenitis" kapena "colitis".

Koma ngakhale chikhodzodzo sichichotsedwa, zinthu sizingasinthe. Chidziwitso ndikuti pakapita nthawi, miyala mu chiwalo idzayambanso kupanga, mosasamala kanthu za moyo. Ndizosatheka kale kuletsa njira yodwala matenda. Pochotsa ndulu, madotolo amafunitsitsa kuchotsa chiwalo chija, momwe ma bile amatha kusunthika, chifukwa chamiyala ikuluikulu imayamba kupweteka.

Miyala yaying'ono imapanganso kunja kwa ndulu, zomwe zimatanthawuza kuti chakudya pambuyo pa pataroscopy ya chiwalo chiyenera kukhala choteteza kuti mapangidwe amiyala apangidwe ndikuthandizira ntchito ya m'mimba.

, ,

Zakumwa ndi Zakudya No. 5

Kuphatikiza pa madzi oyeretsedwa ndi madzi amamineral, ndi chakudya chamaguluwa, zakudya, zakudya zomwe zimachepetsedwa ndi madzi ndi decoctions amaloledwa. Musanaphatikizepo msuzi uliwonse muzakudya za wodwalayo, muyenera kudziwitsa dokotala wanu musanapange chisankho.

Kuyambira kale kwambiri, ma stigmas a chimanga agwiritsidwa ntchito ngati mankhwala achikhalidwe wowerengeka kuchiza matenda ambiri.Mutha kuzigula pa pharmacy iliyonse. Ma stigmas a chimanga ndi othandizira kwambiri a choleretic, komanso, pogwiritsa ntchito nthawi yayitali, amachepetsa shuga la magazi.

Msuzi umakonzedwa mophweka: 15 magalamu a chisankho amayenera kutsanulidwa ndi ma milliliters 200 a madzi otentha, ndikuphika kwa theka la ola osamba madzi. Kuzizira, sesa mu cheesecloth ndikugwiritsa ntchito madzi oyeretsedwa kuti mupeze msuzi mpaka 200 milliliters. Imwani 50 ml kamodzi, theka la ola musanadye.

A achire kwambiri zotsatira zake ndi otchuka chifukwa chopanga mankhwala azitsamba. Kuti mukonzekere muyenera:

• peppermint - supuni ziwiri,
• wotchi ya masamba atatu - supuni 3,
• masamba a sitiroberi - supuni 1,
• maluwa amchenga wamchenga - supuni 4,
• coriander - 1 supuni.

Ikani zitsamba zonse m'mbale yagalasi ndikuthira mamililita 300 a madzi otentha. Lolani kuti liphulikire kwa theka la ora, kenako kudutsa cheesecloth. Tengani kawiri patsiku theka la ola musanadye, mamililita 100 kamodzi.

Chiuno cha Rose chimathandizanso ku matenda a shuga ndi matenda a gallstone. Amagwiritsidwa ntchito osati mankhwala azitsamba, koma mankhwala osiyanasiyana akukonzedwanso. Rosehip ili ndi:

• zoteteza
• phosphorous
• calcium
• citric ndi presinic acid,
• Vitamini A
• Vitamini C
• Mavitamini B

Mutha kugula chiuno cha rose ku mankhwala aliwonse kapena kumsika wazakudya. Msuzi wa rosehip wodziwika bwino umadziwika kuti umachita bwino kwambiri. Yakonzedwa motere:

1. 50 magalamu a rose yamtchire, tchire, tiyi wa impso ndi kusakaniza kwa mchenga wosafa. Tenga supuni imodzi yosonkhetsa ndi kutsanulira mamililita 250 a madzi otentha.
2. kuwira msuzi m'madzi osamba kwa mphindi khumi, kenako uzilole ndipo uzisintha lokha.
3. kumwa chakumwa katatu patsiku, mukatha kudya, ma millilitita 150 kamodzi.

Zosintha zachitsanzo

Lotsatira ndi mndandanda wazakudya zisanu. Itha kusinthidwa malinga ndi zomwe wokonda amakonda. Chofunikira kukumbukira ndikuti mbale zonse zimaphikidwa mwachikondi.

1. chakudya cham'mawa - tchizi chamafuta ochepa, 40 magalamu a ma apricots owuma,
2. kadzutsa - semolina pamkaka wowonda, kagawo ka mkate, 50 magalamu a mtedza,
3. nkhomaliro - msuzi wowuma masamba, mbatata yosenda, bere la nkhuku yophika, compote,
4. akamwe zoziziritsa kukhosi - mabulosi odzola, kagawo
5. chakudya chamadzulo - pasitala, ng'ombe yophika, masamba otentha,
6. chakudya chamadzulo - kapu ya kefir yopanda mafuta.

• kadzutsa - curd soufflé, maapulo ophika,
• chakudya cham'mawa - mafuta omwera ndi masamba, kagawo
• nkhomaliro - msuzi wa mkaka, masamba osawotcha, pollock yofinya, chidutswa cha buledi,
• akamwe zoziziritsa kukhosi - magalamu 200 a zipatso, mtedza,
• chakudya chamadzulo - pilaf yokhala ndi masamba oundana, odyedwa,
• chakudya chamadzulo - kapu ya yogati.

1. kadzutsa - apulosi, 100 magalamu a tchizi wopanda kanyumba,
2. kadzutsa - mkaka semolina, mtedza,
3. nkhomaliro - msuzi wa kirimu masamba, Greek yofinya, pasitala, saladi wamasamba
4. akamwe zoziziritsa kukhosi - zakudya,
5. chakudya chamadzulo chizikhala ndi chidutswa cha nkhuku cha matenda ashuga 2 ndi mpunga,
6. chakudya chamadzulo - kapu ya kefir yopanda mafuta ndi magalamu 50 a ma apricots owuma.

• kadzutsa - 200 magalamu a tchizi wopanda mafuta, tchizi chophika ndi apulo,
• Chakudya cham'mawa - omeled oyamwa ndi masamba, kagawo
• nkhomaliro - msuzi wamasamba, mbatata yosenda, zinziri zophika,
• akamwe zoziziritsa kukhosi - chakudya chamasamba, tiyi,
• chakudya chamadzulo - nyamayi yophika, mpunga, saladi wamasamba, kagawo
• chakudya chamadzulo - kapu yamkaka, 50 gm ya prunes.

Mu kanema munkhaniyi, mutu wa zakudya nambala zisanu wa ZhKB ukupitilizidwa.

Zolemba pazakudya panthawi yobwezeretsa

Poyamba, ndikofunikira kumvetsetsa kuti kusintha komwe kukubwera m'zakudya sikungokhala chakudya. Uwu ndi moyo womwe uyenera kutsatira kuyambira pano mpaka pano kuti palibe zovuta zazikulu pantchito ya ziwalo zam'mimba.

Yesetsani izi ndikuwona ngati muli ndi vuto la chiwindi.

Porridge ndi mbewu monga chimanga

Mndandanda wazinthu zamphesa ndi phala:

• Buckwheat groats.
• Mpunga.
• Oatmeal.
• Muesli wopanda zosakaniza zoletsedwa.
• Mpunga wokoma ndi zipatso zouma.
• Hercules phala.
• Couscous, bulgur.
• Phula la tirigu.
• Mbewu ya fulakesi

Nyama ndi nsomba

Mndandanda wa nyama ndi nsomba:

• Kalulu nyama.
• Ng'ombe.
• Ng'ombe.
• Pike nsomba.
• Cod.
• Hyuk.
• Tiyi
• Pollock.
• Zoyala zatsopano.
• Salimoni.
• Makumbi ndi nkhuku ndi nkhuku.
• Nyama yamahatchi.
• Nthochi kapena chofufumitsa nkhuku.

Zophika mkate ndi pasitala

Mndandanda:

• Zinthu kuchokera ku ufa wa rye.
• Nthambi ya mkate.
• Zopanda zofufumitsa zamtundu wonse.
• Ma cookie othandizira ndizopatsa thanzi.
• Masikono achikale.
• Zakudya zama mkate.
  
• Pasitala

Zinthu zamkaka

Mndandanda:

• Wowawasa zonona
• Yogati yachilengedwe.
• Yoghur.

Amaloledwa kugwiritsa ntchito zinthu zilizonse zamkaka zosaposa 200 g patsiku.

Mndandanda:

• Broccoli
• Selari
• Avocado
• Nyanja kale.
• Tomato
• Nyemba za Asparagus.
• Mbatata.
• Kaloti.
• Dzungu
• Beetroot.
• Zukini.

Zipatso ndi zipatso

Mndandanda:

• Berry puree.
• Prunes
• Mavwende
• Berry Mousse.
• Zipatso zonona.
• Chinyengo cha grated zipatso.
• Maapulo ophika.

Mndandanda:

• Mafuta ophikira masamba - mpaka 15 g patsiku.
• Batala - mpaka 15 g patsiku.

Mndandanda:

• Hafu ya yolk ya nkhuku patsiku.
• 2 mazira zinziri patsiku.
• Dzira.

Mndandanda:

• Jellied nsomba.
• Zakudya zam'nyanja.
• Zukini caviar.
• Hiring akhathamiritsa mchere.
• Saladi wamasamba.
• Nsomba zokhazikika.
• Saladi wazipatso.
• Sauerkraut.
  
• Vinaigrette.

Nyengo ndi msuzi

Mndandanda:

• Vanilla ndi sinamoni.
• Mchere
• Masamba otsekemera ndi kirimu wowawasa.
• Katsabola.
• Parsley
• Msuzi wazipatso.

Mndandanda:

• Thonje chinkhupule (zosaposa 100 g).
• Zipatso zophikidwa mu uvuni.
• Zipatso zouma.
• Ma cookie a gingerbread.
• Ma Lollipops.
• Shuga
• Kupanikizana ndi sweetener (ndikwabwino kuzisamba ndi madzi).
• Makumbi amadzaza ndi masamba kapena mabulosi odzazidwa (mtanda uyenera kukonzedwa pamadzi).
• Maswiti opanda khofi, chokoleti.
• Zabwino Kwambiri.
• Zipatso za zipatso.
• Berry odzola.
• Chipatso cha Kissel.
• Chisangalalo cha Turkey chopanda mtedza.
• Nougat.
• Wofewa caramel wopanda zowonjezera.

Zakudya zoletsedwa ndi mbale

Mndandanda:

• Chicory.
• Chocolate
• Tiyi ndimtundu wobiriwira.
• Stevia.
• Freshes.
• Zakudya kuchokera pa paketi.
• Carob.
• Karkade.
• Khofi ndi Cocoa.
• Whey.
• Zakumwa za kaboni.
• Zakumwa zilizonse zakumwa zoledzeretsa (ngakhale mowa wochepa).

Mndandanda:

• Msuzi wa nsomba
• Nyama supu.
• Msuzi wa bowa.
• Suzi wophika.
• Msuzi wa nyemba.
• Okroshka.
• Msuzi wa sorelo.

Mndandanda:

Nsomba ndi nyama

Mndandanda:

• Nyama offal (impso, chiwindi, lilime).
• Nyama yosuta.
• Masoseji.
• Nyama yaamphaka.
• Zaamphaka nsomba.
• Mafuta a chiyambi chilichonse.
• Nsomba zosuta.
• Mchere wamchere.
• Nsomba zamafuta.
• Mafuta a nsomba.
• Sushi ndi masikono.
• Ndodo za nkhanu.

Mndandanda:

• Makeke amtundu uliwonse ndi makeke okoma.
• Batala rusks
• Zikondamoyo
• Donuts
• Mkate wophika kumene
• Ma pie wokazinga.

Masamba ndi bowa

Mndandanda:

• Rab kabichi.
• Garlic ndi anyezi wobiriwira.
• Tsabola wokoma.
• Kuzifutsa zamasamba.
• Zonse zamasamba zamzitini.
• Zonenepa zonse kupatula katsabola.
• Wophika phala la phwetekere.
• Bowa.
  
• Sipinachi
• Nyemba za Asparagus.
• Zambiri.
• Zambiri
• Rhubarb
• Biringanya.
• Chimanga

Mafuta ndi Mafuta

Mndandanda:

• Zosadziwika pang'ono
• Mafuta amitundu yonse.
• Mitundu yonse yamafuta.

Mndandanda:

• Zopangira soseji.
• Zakudya zazonunkhira komanso zamafuta.
• Ginger wabwino mu marinade.
• Maolivi
• Kutetezedwa kulikonse.
• Tomato owuma dzuwa.
• Artichok.

Zakudya zamafuta ndi maswiti

Mndandanda:

• Kozinaki.
• Yofesedwa mkaka.
• Waffles.
• Cocoa
• Zakudya zamafuta ndi zonona zamafuta.
• Mitundu yonse ya ayisikilimu.
• Halva.
• Kutafuna chingamu.
• Chocolate
• Zakudya zamafuta ndi nthangala za sesame.
• Chuck Chuck.
• Hematogen.
• Chimanga Cha Pop

Zinthu Zovomerezeka Zina

Zotsatirazi ndizovomerezeka kuti zigwiritsidwe ntchito pang'ono:

• Masoseji amkaka.
• Squid.
• Shirimp
• Tchizi chamafuta ochepa.
  
• Tsabola wa ku Bulgaria.
• Banana
• Makangaza
• Zipatso zolemba.
• Mafuta a azitona
• Msuzi wa soya.
• Phala la barele.
• Phala la barele.
• Zopera za chimanga.

Zolemba za zakudya za gastritis

Ndi gastritis, muyenera kukumbukira:

• Zakudya 5 za gastritis zimatanthawuza kuphatikizidwa kuchokera pazakudya kwa sabata la maphikidwe a borscht ndi msuzi uliwonse wa nsomba.
• Komanso, simungadye msuzi kuchokera ku bowa, nyama ndi okroshka.
• Mafuta amatha kudya mpaka 75 g patsiku, gawo limodzi mwa magawo atatuwa liyenera kukhala masamba.
• Osamadya mkate watsopano ndi ma buns omwe ali ndi matendawa.
• Onse maphikidwe okazinga amafunika kuti azikatula.
• Kuchuluka kwa chakudya cham'madzi ndi 350 g patsiku, pomwe 40 g ndi yosavuta.
• Zopaka zamkaka zokhala ndi mafuta zamagetsi zopitilira 6% sizimachotsedwa.
• Mapulogalamu amatsiku ndi tsiku amakhala mpaka 90 g, omwe theka lake ndi mapuloteni amanyama.
• Simungathe kudya kwambiri, kudya mwachangu, kudya kunja kwa boma.
• Muyenera kutsatira zakudya zokhwima.
• Imwani madzi ambiri osachepera malita awiri patsiku.
• Kudya chakudya sikotentha kapena kuzizira.
• Mtengo wazakudya zatsiku ndi tsiku ndikuchokera ku 2100 mpaka 2500 kcal.

Zokhudza zakudya za cholecystitis

Zakudya 5 (mndandanda wa sabata limodzi ndi maphikidwe amaperekedwa pansipa) kwa cholecystitis imaphatikizapo kudya magawo ochepa kangapo patsiku.

Zinthu:

• Ndikofunikira kutenga chakudya malinga ndi malamulo okhwima a tsikulo, kuti muchepetse kutulutsa kwa bile, panthawi yoposa 700 g ya chakudya chokonzekera.
• Kulemera kwa zakudya zonse zodyedwa patsiku sikoposa 3500 g.
• Mowa wambiri (2 l) ndi madzi, compote, tiyi wopanda mphamvu.
• Mafuta osavuta ophatikizika ndi chakudya sangadyedwe.
• Zinthu zonse ziyenera kukhala zopanda mafuta.
• Thupi siliyenera kusowa micronutrients. Chakudya chizikhala ndi mapuloteni 95%. Zakudya zamafuta tsiku lililonse zimakhala mpaka 80%, ndipo gawo limodzi lokha lachitatu ndi mafuta azomera. Zakudya za tsiku ndi tsiku zopatsa mphamvu zimafika pa 350 g, zomwe zopatsa mphamvu za mafuta sizoposa 100 g.
• Zakudya zonse zimafunikira kuwiritsa kapena kuwotcha.
• M'pofunika kudya chakudya osati ozizira, osati yotentha.

Zokhudza zakudya za cholelithiasis

Zinthu:

• Zakudya za tsiku ndi tsiku zopatsa mphamvu - 2000 mpaka 2500.
• Zakudya za tsiku ndi tsiku zopatsa mphamvu mpaka 350 g, mafuta amakhala mpaka 90 g ndipo mapuloteni ndi 80-90 g.
• Pewani zakudya zophika muzakudya zanu.
• Simungathe kudya kwambiri. Ndi bwino kudya nthawi zambiri, koma m'magawo ang'onoang'ono (mpaka katatu pa tsiku).
• Nthawi zonse muyenera kudya zakudya zotentha.
• Mafuta osavuta opangidwa sangadyedwe.
• Pasakhale zonunkhira kapena zonunkhira mu chakudya chomalizidwa.
• Chakudya chachikulu chizikhala ndi zipatso ndi ndiwo zamasamba zololedwa.
• Zakudya siziyenera kukazinga musanagwiritse ntchito. Amaloledwa kuti aziwaba, nthawi zina mumatha kuphika kapena kuphika.

Maupangiri ambiri azakudya

Malangizo ena azakudya azitsatira:

• kumwa madzi okwanira (muyenera kumwa madzi ambiri mphindi 20 musanadye),
• Sizoletsedwa kumwa ndi kudya ozizira ndi otentha,
• Muyenera kusinthasintha chakudya, monga: kuyamba kudya pafupipafupi (pafupifupi maola 2.5 ndi 3), koma m'malo ochepa
• Sizoletsedwa kudya yokazinga.

Zakudya zokhuthala zimathandizira kupanga kwambiri bile ndipo zimakhudza kugaya chakudya.

Zomwe zimachitika pakudya pambuyo pochotsedwa ndulu

Zakudya 5 (mndandanda wa sabata limodzi ndi maphikidwe waperekedwa pansipa) uyenera kuyang'aniridwa mosamala pambuyo pa ntchito kuti uchotse gallbladder:

• Ayenera kuchepetsa kudya mafuta.
• Musanatumikire, pogaya chakudya chophika kapena kumenya ndi blender.
• Pambuyo pa opareshoni, simuyenera kudya bowa ndi nyemba, nyama yamafuta ndi nsomba.
  
• Msuzi ungamudye mafuta ochepa.
• Mafuta onunkhira monga mafuta anyama ndi margarine saloledwa.
• Zakudya zouma komanso zakudya zilizonse zam'chitini zimatha kuvulaza thanzi.
• Sauces yopanga mafakitale - ketchup, mayonesi, horseradish, mpiru iyeneranso kukhala kunja kwa chakudya chifukwa cha mchere, zonunkhira ndi mafuta.
• Kudya zipatso zosaphika ndi ndiwo zamasamba kumachepetsedwa.

Zolemba za zakudya za kapamba

Ndi kapamba:

• Zakudya za 5 - mndandanda wamlungu ndi mlungu wokhala ndi maphikidwe a pancreatitis samatengera zakudya zomwe zimapangitsa kuti mapangidwe a acid akhale m'mimba (msuzi wamafuta, ufa wa rye, zakudya zonunkhira, zakudya zowuma.
• Zakudyazo ziyenera kukhala ndi mapuloteni ambiri, ndipo kuchuluka kwa chakudya chamafuta ndi mafuta, m'malo mwake, ziyenera kuchepetsedwa.
• Zakudya zonse zimafunikira kuti zizisenda ndi kudyedwa bwino.
• Zokazika siziyenera kupatula.
• Simungathe kufa ndi njala, muyenera kudya pang'ono pang'onopang'ono.

Zolemba za chakudya cha amayi apakati

• Chepetsa mchere wambiri.
• Pali zinthu zambiri zamkaka.
• Nyama ndi nsomba zimayenera kudyedwa zophika.
• Zakudya za tsiku ndi tsiku ziyenera kukhala zambiri zamasamba ndi zipatso.
• Zakudya zonse ziyenera kukonzedwa monga ma puddings, casseroles, mbewu zomata za chimanga.
• Simungadye zakudya zopanda pake - zakudya mwachangu, makeke, maswiti, mankhwala amtundu wa chokoleti.
• Kuphatikiza apo, muyenera kumwa mavitamini.

Chofunika chakudya pambuyo pa pataroscopy ya ndulu

Chakudya pambuyo pa laparoscopy cha ndulu sichimayambitsidwa chimodzi, koma m'magawo awiri. Ngakhale laparoscopy imawonedwa ngati yowopsa kuposa njira yachikhalidwe ya cholecystectomy (laparotomy), ikadali yopweteka kwambiri pamatumbo am'mimba. Chiwindi chisanaphunzire kugwira ntchito moyenera ndikupanga bile pokhapokha ngati pakufunika, nthawi yambiri imadutsa. Koma gawo lolimba kwambiri la thupi lidzakhala m'masiku oyamba atachitidwa opaleshoni.

Muyenera kuyamba gawo loyamba la zakudya patsiku la opaleshoni, ndipo lidzakhalakobe sabata limodzi. Ndi munthawi imeneyi pomwe zakudya zimatengedwa kuti ndizovuta kwambiri, chifukwa zimakhala ndi malire. Patsiku la opareshoni, njala ikuwonetsedwa. Ndi zoletsedwa mwamphamvu osati kudya, komanso kumwa. Ndi ludzu lalikulu, limaloledwa kumunyowetsa milomo ya wodwalayo ndi nsalu yonyowa. Mochulukitsa, mutha kutsuka pakamwa panu ndi mankhwala azitsamba. Ndipo nthawi zambiri sangafune kudya atachitidwa opaleshoni.

Tsiku lotsatira laparoscopy, wodwalayo amaloledwa kumwa madzi. Ndi bwino ngati ali ndi mchere wam'madzi, pomwe mpweya wonse umatulutsidwa, kapena madzi oyeretsedwa, wopanda mpweya wambiri. Mutha kuyesa kumwa msuzi wa rosehip, koma kuchuluka konse kwamadzi patsikuli sikuyenera kupitirira 1 lita.

Mukatha kuchita opareshoni, ndikuwomba ntchito kwa maola 36, ​​mutha kuyambitsa tiyi kapena kissel cha madzi muzakudya osawonjezera shuga. Tiyi imafunikira kuti ikhale yofooka, yamafuta osakhazikika. Kuchokera pachakudya, mutha kuwonjezera kefir yochepa kwambiri patebulo. Kuchuluka kwamadzi patsikuli sikuyenera kupitirira 1.5 malita.

Wodwala amalandira chakudya chokwanira chonse patsiku lachitatu. Koma kusiyanitsa tebulo sizitanthauza kuyamba kudya chakudya cholimba. Mphindi iyi iyenera kufikiridwa pang'onopang'ono.

Pa tsiku lachitatu atachitidwa opaleshoni, zotsatirazi zimayambitsidwa muzakudya:

• zipatso ndi ndiwo zamasamba (makamaka apulo, karoti, dzungu), zomwe zimalimbikitsa chimbudzi ndi kukhutitsa thupi ndi mavitamini ndi michere yofunikira, ndikofunikira kuti timadziti sitinagulidwe, koma mwatsopano.
• msuzi wokhala ndi masamba osenda okonzedwa msuzi wofowoka (ndi chilolezo cha dokotala, mutha kuwonjezera supuni ya kirimu wowawasa kapena kachinthu kakang'ono ka batala),
• mbatata zosenda kapena maungu,
• odzola zipatso
• utsi wa protein
• nsomba yamafuta ochepa.

Tiyi amatha kuledzera kwa masiku 3-4, ndikuwonjezera shuga pang'ono. Koma ndi chakudya muyenera kusamala. Inde, zakudya za wodwala zitha kukulitsidwa, koma magawo ake ayenera kukhala ochepa, osapitilira 200 g nthawi imodzi. Koma kuchuluka kwa zakudya kumatha kufika nthawi 7-8 patsiku (moyenera nthawi 5-6 patsiku, monga momwe zimafunikira ndi mfundo za zakudya zomwe zingachitike).

Pakatha masiku 5 kuchokera pa opareshoni, mutha kuwonjezera kagawo ka buledi wa dzulo kapena owaza pang'ono msuzi, ndi makeke amphika a tiyi. Unyinji wa zinthu za ufa zomwe zimadyedwa patsiku sizikhala zopitilira 100 g.

Pambuyo pa tsiku lina, chimanga chophika (tirigu, buckwheat, oatmeal) zimawonjezedwa ku chakudya, chomwe chimakonzedwa ndi kuwonjezera mkaka. Mwa kusasinthika, phala iyenera kukhala yamadzimadzi kapena theka-lamadzimadzi, patapita nthawi pang'ono iwo amasintha kupita ku mapasiridwe owoneka bwino.

Zakudya zamafuta tsopano ziloledwa. Nyama yamafuta ochepa iyenera kuwiritsa ndi kuwaza mu blender kupita ku puree state. Kuti musinthe, mutha kusakaniza mitundu iwiri ya mbatata yosenda: nyama ndi ndiwo zamasamba ndikuwonjezera ndi supuni ya kirimu wowawasa kapena batala.

Sikoyenera kupera nsomba yophika, ndikokwanira kungotafuna chakudya basi.

Zowonda mkaka wowonda zimawonjezedwa patebulo pang'ono. Poyamba kefir idakondedwa, koma tsopano mutha kudya ma yogurts osadzaza zipatso, yogati, mkaka wowawasa, tchizi tchizi. Ngakhale ndikofunikira kupaka kanyumba tchizi kudzera mu sume ndikuwonjezerapo pang'ono osanunkha wowawasa zonona.

Kuchuluka kwamadzimadzi olowa mthupi nthawi imeneyi kumakhala kofanana ndi kwa wathanzi (kuyambira 1.5 mpaka 2 malita).

Patatha sabata limodzi atachitidwa opaleshoni, dokotala amakupatsani mwayi kuti mupite ku gawo lachiwiri la zakudya - zakudya mothandizidwa ndi zakudya No. 5. Kusintha kwa gawo lina la zakudya kumatha kuchitika kale (kwa masiku 3-4) ngati dokotala akuwona kuti wodwalayo ali ndi vuto lililonse. Ndipo komabe, mwachangu kudya chakudya cholimba sikuyenera.

Muyenera kupewa kudya zakudya zomwe zingayambitse kapangidwe ka gasi: mkate wa bulauni, nyemba, etc. Chifukwa chakuti ndulu imalowetsa matumbo osakwanira, satha kulimbana ndi microflora ya pathogenic yomwe imakhala kumeneko, ndikupangitsa kupesa m'mimba. Njira izi zimayambitsa kuphuka, kupangitsa mpweya kupweteka pafupipafupi. Vutoli limakumana ndi odwala mwezi woyamba atachitidwa opaleshoni. Ngati, kuwonjezera apo, mumagwiritsa ntchito zakudya zomwe zimalimbikitsa kupatsa mphamvu kwa chakudya, ndiye kuti zinthu zimakhala zovuta kwambiri, ndipo thanzi la wodwalayo likuipiraipira.

Zosankha sabata

Chakudya cham'mawa Chakudya cham'mawa chachiwiri Chakudya chamadzulo Tiyi yapamwamba Chakudya chamadzulo Chakudya chachiwiri Lolemba Tiyi ndi kuwonjezera kwa mkaka, pasitala, phala la ng'ombeMtundu wowotcheraMsuzi wamasamba, zakudya odzola, wowiritsa ndi adindo nsomba za beetRosehip compote ndi ma biscuit cookiesBuckwheat phala, mchere wamadzi wopanda mafuta.Yoga 200 g Lachiwiri Tiyi ndi ofooka, wopanda mafuta kanyumba tchizi, Buckwheat pamadziKaroti puree ndi apamu kupanikizanaZipatso odzola, kabichi akhazikitsa ndi mpunga, msuzi wokazinga masambamsuziTiyi ndi yofooka, tchizi 40 g, phala la mpunga ndi mkaka ndi batalaYoga 200 g Lachitatu Nyama patties ndi mkaka msuzi, grated zipatso saladi, wowonekera khofi ndi mkakaKatundu tchizi dumplingsMapulogalamu awo owuma zipatso, kanyumba tchizi pudding, msuzi wa mkaka ndi pasitalaTiyi ndi ofooka, ma biscuit cookiesMacaroni ndi tchizi, madziYoga 200 g Lachinayi Tiyi nyama zodulidwa, phala la buckwheat pamadziApple 100 gVermicelli, msuzi wamasamba wokhala ndi chimanga, nyama cutlets yothira zonona msuzi, mabulosi compoteMasamba a KisselSemolina wokhala ndi mkaka ndi batala, adakali madziYoga 200 g Lachisanu Tiyi, phala la mpunga ndi hering'iKanyumba tchizi casseroleMsuzi wowoneka bwino wopangidwa kuchokera ku masamba ophika, nyama yophika, supuMapangidwe ake a rosehip, ma cookies a biscuitMafuta mapuloteni omelette, curd, madzi opanda mpweyaYoga 200 g Loweruka Tchizi chamafuta ocheperako ndi kirimu wowawasa, tiyi wokhala ndi mandimu, phala la oatmeal mkakaMtundu wowotcheraFiriji yophika nkhuku yophika ndi mpunga wophika, msuzi wamasamba, compote wa zipatso zatsopanoZipatso zofewa 100 gYophika nsomba ndi mbatata yosenda, saladi wamasamba, madziYoga 200 g Lamlungu Mapuloteni omelette, phala la mpunga wophika mu mkaka kapena madzi, ndi kuwonjezera kwa batala, tiyi wofooka ndi mandimuMtundu wowotcheraVermicelli, borsch wopanda nyama, zakudya zonunkhira, nyama yowiritsaTiyi ndi ofooka, ma biscuit cookiesNsomba zodulidwa, mbatata yosenda, rosehip compote, msuzi wa mkakaYoga 200 g

Msuzi wosuta wa mpunga

Zosakaniza

• Msuzi wa mpunga - 700 g.
• 4 tbsp. l yophika kale mpunga.
• 3 tbsp. l oatmeal.
• 100 g wa mbatata.
• 50 g wa kaloti.
• Nyemba za Asparagus - 100 g.
• Mitundu.
• Zolocha zololedwa.
• Ham.
• Tchizi
• Dzira.

Kuphika:

1. Wiritsani mpunga, kutsanulira msuzi wa mpunga mu mbale ina.
2. Cheka mbatata.
3. Dulani nyemba, muduleni kaloti bwino.
4. Onjezani zonsezi ku msuzi wa mpunga ndi kuwira kwa mphindi 20.
   
5. Onjezani nyama yosoka, dzira ndi tchizi.

Msuzi wa Buckwheat (malita 2)

Zosakaniza:

• Kaloti.
• Mbatata.
• 100 g wa zopangira tambala.
• 50 g ya anyezi, mchere.

Kuphika:

1. Muzimutsuka.
2. Onjezani madzi ndi anyezi, onjezani masamba osankhidwa kumeneko.
3. Madziwo akangotupira, sinthani kutentha ndikuphika msuziwo mpaka modekha.
4. Kuti mumve kukoma, mutha kuwonjezera mafuta.

Nyani zodulidwa ng'ombe

Zosakaniza

• Ng'ombe 120 g.
• 25 g wa mkate wakale.
• Madzi ena.
• Mchere

Kuphika:

1. Pogaya nyama kangapo ndi mkate wowawiritsa mkaka kapena madzi.
2. Fomu cutlets, kuphika mu owiritsa owiritsa kwa mphindi 20-30.
3. Zinthu zophika zimathiridwa ndi mafuta.

Zopatsa thanzi pachaka chonse

M'miyezi yoyambirira atachitidwa opaleshoni, odwala amazolowera zakudya zambiri movutikira, kotero pafupifupi chaka chimagawidwa kusintha kosinthika kwazakudya zinazake. Munthawi imeneyi, munthu ayenera kuphatikiza bwino pakupanga chizolowezi chodya pang'ono komanso nthawi zambiri. Zomwezi zimachitikanso ndi zinthu zoletsedwa. Ngakhale wodwalayo akumvetsetsa ndi mutu wake kuti kuthyolako kuli ndi zovuta zowonongeka, ndizovuta kwambiri kuti ambiri azitha kudziwa kuti nkhuku kapena zosewerera ndi nkhumba ndi mitundu iwiri ya sosi sizidzakhalakonso pachakudya chamadzulo.

Komabe, chakudya "tebulo 5" chikutanthauza kukanidwa kwa zinthu monga izi:

• nyama zamafuta, nsomba ndi nkhuku, mafuta anyama, caviar,
• masoseji, nyama zotsekemera, mankhwala omalizidwa,
• chakudya chokazinga
• msuzi wabwino kwambiri ndi msuzi wamafuta,
• ma pickles, zamzitini ndi zotsekemera,
• bowa
• CHIKWANGWANI cholimba, nyemba,
• zonse wowawasa ndi zonunkhira
• zogulitsa zomwe zimakhala ndi mafuta ambiri: adyo, anyezi, radish, radish,
• confectionery, maswiti,
• buledi watsopano
• Zakudya zozizira ndi zotentha,
• khofi wakuda wamphamvu, koko,
• mowa

Zachidziwikire, kukana kuchuluka kwa zakudya zomwe nthawi zambiri kumakhala kovuta, kotero nthawi zina kumatha kudzichitira nokha kena kodetsa nkhawa kwambiri kuchokera pamndandanda. Mwachitsanzo, dzipatseni kachidutswa kakang'ono ka biscuit (kophweka kopanda kirimu) kapena kirimu wowawasa wophika zonona wowawasa.

Pa tchuthi, pamene matebulo amakhala ndi zakudya ndi zinthu zoletsedwa, simuyenera kukhala aulesi kwambiri ndikukonzekera njira zina zomwe zimakhala zotetezeka kwa munthu yemwe alibe chikhodzodzo. Ponena za mowa, makamaka zakumwa zoledzeretsa kapena champagne, sipangakhale njira zina. Ngati kukonzanso kumayenda bwino, ndiye kuti nthawi zina amaloledwa kumwa vinyo wowuma.

Clock Zakudya Zachitsanzo

Kutalika kwa nthawi pakati pa chakudya ndi maola atatu.

• Chakudya cham'mawa choyamba: phala lopanda mafuta, mapuloteni omeledte, tiyi.
• Chakudya chamadzulo: chinangwa, masikono azakudya kapena zoyatsira (osakonda), msuzi.
• Chakudya chamasana: msuzi wamasamba, wothira kudula kapena chifuyo chophika nkhuku, kaloti wowiritsa, chipatso chouma kapena zipatso.
• Zovuta: zipatso zatsopano.
• Chakudya chamadzulo: nsomba yophika, mbatata yosenda kapena masamba ophika, tiyi mkaka.
• Chakudya chachiwiri: yophika mkaka wophika kapena kefir maola awiri asanagone.

Zakudya zokumbira zam'mawa

• kanyumba tchizi wokhala ndi mafuta 9% - 100 g,
• kirimu wowawasa kapena zonona - supuni 1,
• shuga - supuni 1.

Kuphika:
Sakanizani zosakaniza bwino. Moyenera, misa iyenera kudutsidwa kudzera mu suna.
Mtundu wachiwiri wa phala ndi wopanda shuga, koma ndi zitsamba zatsopano ndi mchere. Itha kugwiritsidwa ntchito kupangira zokhwasula-khwasula komanso zathanzi ndi mkate wowuma wa chinangwa. Kusakaniza kwayikidwa pamunsi, ndipo kagawo kakang'ono ka ng'ombe yofiyira kapena yophika (nkhuku) amayikika pamwamba.

Msuzi wowonda ndi masamba

• nkhuku yophika - 150 g,
• msuzi wa nkhuku kapena uchi
• kaloti - 1 pc.,
• Muzu wa udzu winawake
• mchere
• masamba kapena batala - 5 g.

Kuphika:
Pukuta masamba ndikuwaphika msuzi. Kenako onjezani nyama yodulidwa, mchere ndi batala. Bweretsani ku chithupsa, siyani kuziziritsa pang'ono ndikumenya mu blender. M'malo mwa kaloti ndi udzu winawake, mutha kugwiritsa ntchito masamba aliwonse azaka.

Msuzi wokonzeka ukhoza kukongoletsedwa ndi zitsamba, kutumizidwa ndi kirimu wowawasa kapena wowerengeka ochepa.

Zodula nsomba

• fillet nsomba - 200 g,
• kirimu kapena mkaka - supuni ziwiri,
• dzira - 1 pc.,
• buledi wowuma - gawo limodzi,
• mchere.

Kuphika:
Pomwe mkate udanyowetsedwa mkaka (kirimu), nsomba imaphwanyidwa kuti ikhale yokhazikika, mkate woponderezedwa, zoyera ndi dzira ndi mchere zimawonjezedwa kuti zilawe. Kani nyama yoboola, pangani timiyala ting'onoting'ono ndikuiyambitsa m'madzi osamba kapena mu uvuni wamoto. Amatenga pafupifupi mphindi 20 kuphika.

Maapulo ophika ndi zoumba, mtedza ndi uchi

• maapulo (mitundu wowawasa) - kuchuluka komwe mukufuna,
• zoumba
• mtedza
• wokondedwa
• sinamoni.

Kuphika:
Zipatso zimatsukidwa bwino ndipo phesi limachotsedwa kwa iwo. Zosakaniza zotsalazo zimayikidwa mu recess, zowazidwa ndi sinamoni. Maapulo amawaphika mu uvuni wokhala ndi preheated pafupifupi mphindi 40.

Chachikulu ndichakuti musamwe kudya No. 5 mutachotsa ndulu ngati katundu. Iyenera kukhala njira yamoyo wamba, yomwe ingathandize kukonzanso ntchito pambuyo popewa, kupewa kuwonongeka komanso kungokhala.

Ziwalo zonse ndi machitidwe zimagwira ntchito zapadera, chifukwa chake, kuchotsa kwa chiwalo chimodzi kumakhudza moyo wa thupi lonse. Kuchita opaleshoni yochotsa ndulu ndi njira yofala, pambuyo pake munthu amakhala wabwinobwino. Koma ndikofunikira kumvetsetsa kuti moyo wathunthu ungatheke pokhapokha ngati pakonzanso zokwanira. Poterepa, chakudya ndi gawo limodzi la magwiridwe antchito a kuchira. Zakudya ndi gallbladder yochotsedwa - ili ndi tebulo 5 malinga ndi gulu la Pevzner. Munkhaniyi, timvetsetsa momwe zakudya 5 zimayenera kukhalira mutachotsa ndulu, komanso kuganiziranso momwe tingapangere menyu komanso zomwe aziphika.

Momwe mungadye panthawi yokonzanso mukachotsa ndulu

Kukula kwatsopano kwa mankhwala kumapangitsa opaleshoni kuti ichotse gallbladder (cholecystectomy) ndi kuvulala kochepa. Amagwiritsidwa ntchito pochotsa garbladder laparoscopy. Ndi opaleshoni yotere, nthawi yayikulu yokonzanso moyang'aniridwa ndi madokotala imatha pafupifupi milungu iwiri. Malinga ndi malangizo azachipatala, simungathe kudya tsiku loti muchite opaleshoni Chakudya choyamba patsiku lachiwiri nthawi zambiri chimaphatikizapo msuzi wopepuka wamasamba ndi phala pamadzi. Zakudya zina zimapereka mwayi wambiri kuteteza ziwalo ndi ma dipatimenti yomwe imayambitsa matenda a chiwindi, ma ducts a bile, matumbo. Chowonadi ndi chakuti, pambuyo pa opareshoni, chiwindi chimapitilirabe kutulutsa bile, koma popanda chikhodzodzo, imalowa m'matumbo. Izi zimatha kudzutsa kukula kwa kutupa kwa hepatic duct ndi matumbo a matumbo, popeza bile sachitanso chithandizo choyambirira mu ndulu ndipo limakwiyitsa katundu. Pazifukwa zofananazo, njira yogawa mafuta ndikusokonekera kwamafuta imatha kusokonekera.

Pa tsiku la 5 ntchito itatha, kuwonjezera kwa masamba ophika ndi nyama yotsalira kuzakololedwa ndikololedwa. Zomwezo zimagwiranso ntchito kwa nsomba - nsomba zowiritsa zam'madzi zokhala ndi mafuta ochepa zimatha kuyamwa pang'onopang'ono menyu. Tchizi yolekerera bwino yotsika mafuta.

Chifukwa chake, m'masiku oyamba kukonzanso pambuyo pa cholecystectomy, menyu wazakudya ungaphatikizeponso:

• Masamba ophika masamba (makamaka mashopu osenda).
• Phala yophika bwino pamadzi.
• Yophika kapena yophika masamba puree.
• Nyama yochepa yophika nyama ndi nsomba mu mawonekedwe.
• Tchizi chamafuta pang'ono.
• Yochepa shuga zipatso.

Zakudya pambuyo ndulu kuchotsedwa

Mu gastroenterology, othandizira zakudya No. 5 malinga ndi Pevzner (tebulo 5), yomwe yasintha zingapo, imagwiritsidwa ntchito kwambiri. Zakudya zonse zisanu za pagome zimapangidwa motengera mfundo izi:

• Zakudya zopatsa thanzi (zakudya zosachepera 5 patsiku).
• Magawo ang'onoang'ono (kukula kwa nkhonya kapena kanjedza).
• Zakudya ndi zakumwa siziyenera kumwedwa mozizira kwambiri kapena mwanjira yotentha.
• Kuchuluka kwa chakudya chosavuta chamafuta ndi mafuta ndizochepa.
• Zokazinga zonse zimasiyidwa kwathunthu.
• Kugwiritsa ntchito zokometsera, zonunkhira ndi zonunkhira pakuphika ndizochepa, komanso kuchuluka kwa mchere.
• Nyama zakusuta, marinade ndi ma pickles zimaphatikizidwa.
• Zakudya zamafuta ndizonona ndi chokoleti ndizoletsedwa.
• Kugwiritsa ntchito khofi, tiyi wamphamvu, koko ndi ochepa, koloko yotsekemera ndi yoletsedwa.
• Taboo pa mowa ndi kusuta.

Zakudya nambala 5 zimathandizira kusintha komwe kumakhala pakati pamimba . Kuthana ndi zakudya 5a kumapatsa wodwala zakudya zabwino pakumayang'anirana ndi ziwalo zina, komwe katundu wina amayambiridwanso pochotsa chikhodzodzo (chikhodzodzo, chiwindi, duodenum, m'mimba).Kumvera mosamalitsa zakudya zofunikira pakatha miyezi 4 atachitidwa opaleshoni.

Upangiri wa Dokotala. Pambuyo pakuwona maphunziro a miyezi inayi azakudya nthawi yakukonzanso, ndikofunikira kutsatira zakudya zopatsa thanzi kwa zaka zina ziwiri. Ili ndi gawo lofunikira pakukonzanso kwathunthu ndikusintha thupi pambuyo pakuchita opareshoni.

Zida zopatsa thanzi zopeza ndi magome asanu a postoperative nthawi awa ndi awa:

• Mafuta pazakudya zamagetsi amachepetsa chifukwa cha kuchepa kwa mafuta.
• Chakudya chimadyedwa makamaka mu mawonekedwe a grated, omwe amachepetsa chiopsezo cha kuyamwa kwamitsemimba tinthu tothandiza kugaya chakudya.
• "Zogulitsa kwambiri" siziphatikizidwa, chimbudzi chake chomwe chimafuna kugwira ntchito kwa enzymatic reaction. Zakudya zoterezi zimaphatikizapo bowa, nyemba zina, nyama yamafuta ndi nsomba, tchizi chamafuta.
• Zakudya zomwe zimakhala ndi zinthu zambiri zowonjezera ndizoletsedwa. Izi zimaphatikizapo msuzi wa nyama ndi msuzi wa nsomba.
• Mafuta okhathamiritsa komanso ochitidwa ndi hydrogenated (mafuta anyama, margarine) sagwiritsidwa ntchito kuphika.
• Zakudya zilizonse zomwe zimasunthidwa komanso zakudya zamzitini sizichotsedwa.
• Mafuta, zonunkhira komanso masuzi owaza mchere (mayonesi, mpiru, horseradish, ketchup, etc.) ndizoletsedwa.
• Kugwiritsa ntchito zipatso zosaphika ndi ndiwo zamasamba ndizochepa.
• Mkate watsopano sukulimbikitsidwa.
• Kuletsedwa kwakukulu ndi khofi ndi cocoa, ndipo, motero, mbale zomwe zili ndi (khofi, chokoleti, tiyi wamphamvu).
• Zonenepa ndi zonenepa sizimaloledwa.
• Popanda zakumwa zoledzeretsa komanso zotsekemera.

Zofunika! Pambuyo cholecystectomy, kuchuluka kwa mafuta m'zakudya ndizochepa. Patsiku lililonse, amaloledwa kutenga mpaka 40 g wa batala ndi 60 g wamafuta az masamba monga gawo la mbale zosiyanasiyana.

Katundu Woletsedwa

Nkhani ya zakudya ziyenera kufikiridwa moyenera: pambuyo ponse, kupezanso bwino kumatengera izi. Malangizowo amayenera kufufuzidwa ndi dokotala.

Sizoletsedwa kudya:

• zakudya zamafuta (ndizoletsedwa kudya nsomba zamitundu mitundu ndi nsomba),
• Confectionery
• bowa ndi nyemba,
• zakumwa zotsekemera zomwe zimakhala ndi utoto komanso zoteteza,
• masoseji,
• zokometsera, zamchere, zowawasa,
• zonunkhira
• khofi wamphamvu komanso tiyi wamphamvu.

Palibe chodabwitsa kuti imati: "Ndife zomwe timadya." Mukamasamala kwambiri thupi lanu, mudye zakudya zamtengo wapatali komanso zopatsa thanzi, kusewera masewera, amakulimbikitsani kwambiri.

Zachidziwikire, kupatsa thanzi komanso masewera olimbitsa thupi sikungapereke 100% yotsimikizira kuti mumakhala wathanzi nthawi zonse, koma moyo woterewu umachepetsa mwayi wodwala.

Zakudya za 5 ndi 5 komanso mutachotsa ndulu: kusiyana kwake ndi chiyani

Palinso chinthu monga chakudya 5 a pochotsa ndulu, yomwe sichipezeka kawirikawiri. Kusiyana kwawo ndi chiyani? Zakudya za 5a zimagwiritsidwa ntchito pakuchulukitsa ndipo kusiyana kwakukulu kuchokera pakudya 5 ndikuti sizipatula zinthu zomwe zimakwiyitsa makoma am'mimba ndi matumbo. Zakudya zoterezi zimaperekedwa kwa masabata angapo, ndikatha kukonza, zakudya No. 5 zimadziwika.

Souffle Wamasamba

Ndikofunikira kusenda ndikudula kaloti ndi ma beets, kenaka mphodza mumphika wopanda ndodo popanda kuwonjezera mafuta kwa mphindi zisanu. Ndiye kuthira mu kuphika mbale ndi kutsanulira wosokedwa dzira loyera ndi supuni ya mkaka (1 mapuloteni pa supuni 1 ya mkaka), sakanizani lonse lonse ndikuyika mu uvuni wokhala ndi preheated kwa mphindi 15-20.

Tebulo 5 menyu mutatha kuchotsa ndulu

Ngakhale ndi zakudya zoterezi, mumatha kuphika zakudya zosiyanasiyana zokoma. Zonse zimatengera malingaliro anu. Zakudya za matebulo 5 mutachotsa ndulu zimakhalabe ndi zinthu zambiri zovomerezeka.

Zosankha zamasana patsikuli (chakudyachi chidapangidwa kwa nthawi yomwe sabata yopitilira idachitidwa):

• Chakudya cham'mawa: mpunga, kapena oatmeal mkaka ndi maapricots zouma, tiyi wofooka ndi marshmallows.
• Chakudya cham'mawa chachiwiri: sangweji ya chinangwa (mkate uyenera kukhala dzulo) ndi tchizi, zidutswa za nyama yophika ndi nkhaka.
• Chakudya chamasana: Msuzi wa nkhuku, chidutswa chofewa ndi kaloti wosenda.
• Chakudya chamadzulo: nsomba zothimbidwa ndi masamba.

Musanagone, mungamwe kapu ya kefir.

Malamulo a Zakudya Atatha Kuchotsedwa kwa Gallbladder

Cholinga chachikulu cha zakudya zoyenera mutachotsa ndulu ndi kukonza matumbo a chimbudzi ndi chimbudzi. Kuti mupewe mavuto omwe amabwera chifukwa cha opaleshoni, ndikofunikira kusintha zakudya ndi zakudya zomwe.

• Zakudya zambiri (4-5 patsiku) amachepetsa nkhawa pazakudya zam'mimba.
• Kuchepetsa kwakukulu kwa zakudya zamafuta pambuyo cholecystectomy, cholinga chake kupewera kupindika ndi sphincter wa Oddi ndi kukula kwa zizindikiro: kuwawa pamlomo wamkati, nseru, kusapeza bwino mu hypochondrium, kupweteka kwa hypochondrium.
• Anthu omwe ali ndi ndulu yochotsedwa ayenera kudya zakudya zamafuta ochepa zomwe zimaphikidwa popanda kuwaza. Mapuloteni ndi zakudya zamasamba, zotentha ndi kuwiritsa kapena kuphika, ndiye maziko azakudya za anthu omwe adwala cholecystectomy. Kukonzanso kwa odwala pambuyo pa cholecystectomy kumakhazikitsidwa pa mfundo izi zamankhwala azakudya. Osadandaula: ichi ndi chakudya chamagulu chomwe chimayenera kutsatiridwa ndi anthu onse!

Kulephera kudya - zotsatira zake

Kuchotsa ndulu, ndulu yobisika ndiyokwanira kugaya chakudya chochepa kwambiri, kotero kudya kwambiri kumatha kukhala ndizovuta. Kulephera kutsatira zakudya zomwe dokotala watchulidwa pambuyo poti cholecystectomy yadzala ndi kuwonjezera kwa mavuto ena am'mimba. Zakudya zamankhwala ndizofunikira kwambiri kwa odwala omwe ali ndi cholecystectomy chifukwa cha cholecystitis yowerengeka.

Zakudya zopanda pake, kudya kwambiri yokazinga ndi zakudya zolemera zanyama zitha kubweretsanso kupanga ma gallstones kale m'mizere.

Zakudya kuchipatala

Kutalika kwa kugona kuchipatala kumatsimikiziridwa makamaka ndiukadaulo wochitira cholecystectomy. Mulingo wa golide pothana ndi cholecystitis ndi laparoscopic cholecystectomy. Opaleshoni yamtunduwu amafanizira bwino ndi kuvutika kochepa komanso kugona kwakanthawi kachipatala (nthawi zambiri masiku 1-3). Pambuyo pa laparoscopy, kuchira kwa odwala kumakhala kofulumira komanso kosapweteka, ndipo Zakudya zonse kuchipatala komanso milungu yotsatira ndizochepa mphamvu.

Tsoka ilo, laparoscopic cholecystectomy sichitha kuchitidwa nthawi zonse chifukwa cha matendawo Pazifukwa izi, adokotala amakakamizika kuti atembenukire ku lotseguka (laparotomy) cholecystectomy. Kutengera ndi kuchuluka kwa kuvulala kwa opaleshoniyo, kutalika kwa nthawi yachipatala kumatha kuchuluka (masiku 5 mpaka 10 kapena kupitirira). Kuchulukana kwa njira iyi kuchotsedwa kwa ndulu kumabweretsa zofunika kwambiri zoletsa masabata oyambilira atandichita opareshoni.

Pambuyo pa laparoscopic cholecystectomy, wodwalayo amatha maola awiri m'chipinda cha odwala osamalidwa bwino, atachira. Kenako imasunthidwa ku zikhalidwe za wodi, momwe chithandizo choyenera cha postoperative chimachitikira. Maola 5 oyamba wodwalayo amaletsedwa kutuluka pabedi ndi kumwa. Kuyambira m'mawa wa tsiku lotsatira, amaloledwa kumwa madzi opanda kanthu m'magawo ang'onoang'ono (mpaka 2 kuwombera mphindi 15 zilizonse). Mutha kudzuka pafupifupi maola 5 mutachitidwa opaleshoni. Izi ndizovomerezeka pokhapokha pakufooka komanso chizungulire. Kuyesera koyamba kuchira kuyenera kuchitidwa pokhapokha ngati namwino.

Kuyambira tsiku lotsatira, wodwalayo amatha kuyendayenda m'chipindacho ndikuyamba kudya.Ndizololedwa kugwiritsa ntchito chakudya chokha chamadzimadzi (oatmeal, kefir, msuzi wazakudya). Pang'onopang'ono, wodwalayo amabwereranso ku regimen yamadzimadzi amadzimadzi - izi ndizofunikira pakuthira bile. Sabata yoyamba atachitidwa opaleshoni ndikofunikira kuthetseratu kugwiritsa ntchito zakudya zotsatirazi ndi zakumwa:

• tiyi wamphamvu
• khofi
• mowa
• zakumwa zokoma
• maswiti
• chokoleti
• zakudya zokazinga
• zakudya zamafuta
• kusuta, zonunkhira, zamchere, zosankhika.

Zakudya zingapo zamkaka wopanda mkaka zomwe zimapezeka m'magazi a odwala kuchipatala: yogati, tchizi chimbudzi, kefir, yogati. Komanso, chakudya chambiri ndi nyama zopaka m'madzi, mbatata zosenda, nkhuku yophika yophika, nkhuku zoyera zophika, soti ya karoti, mbale za beetroot, soups zotsekemera, nthochi ndi maapulo ophika pang'ono zimayambitsidwa pang'onopang'ono.

Mfundo zachakudya pakubwezeretsa nthawi

Zakudya nambala 5 zimaphatikiza mfundo za zakudya zoyenera komanso zopatsa thanzi ndikutsatira kwambiri chakudya. Koma izi sizitanthauza konse kuti zimangokhala zoletsa. Sizokhudza kuchotsa mbale zonse zabwino patebulo la wodwalayo, kusiya masamba ndi madzi ochepa okha. Zakudya zamagetsi zimatsimikizira phindu la kukonza zakudya kuzilingalira zosowa za thupi komanso kuthekera pang'ono kwa dongosolo logaya chakudya.

Mapuloteni, mafuta ndi chakudya zimawonedwa ngati zinthu zofunika kwambiri pazogulitsa zonse zomwe zimawunika phindu. Mapuloteni ndi zinthu zomanga ma cell a thupi, zomwe, ndizofunikira, kuti chiwindi chizipanganso maselo ake ndikugwira ntchito moyenera. Ponena za zakudya zama protein, monga gwero la mapuloteni, osati gawo loyera la dzira la nkhuku, komanso tchizi cha kanyumba, nyama yotsalira ndi nsomba zopendekera ziyenera kuonedwa ngati zopangira patebulo la mankhwalawo.

Kunena za mafuta, pamakhala malingaliro awiri kwa iwo, chifukwa mafuta amatha kukhala osiyana. Mafuta a nyama amawonedwa kuti ndi gwero la cholesterol, koma, monga tikukumbukira, miyala yamtengo wapatali imatha kupangika, ndikugwiritsanso ntchito zakudya monga mafuta anyama, nyama yamafuta kapena nsomba ziyenera kukhala zochepa. Mwa njira, chiwindi cha nyama ndi yolk ya mazira a nkhuku amakhalanso ndi cholesterol yambiri. Ayeneranso kuchotsedwa muzakudya.

Koma mafuta a masamba ndi gwero la mafuta osakwaniritsidwa, lofunikira kwa thupi m'moyo wake. Kuphatikiza apo, amatha kupangitsa kuti bile ikhale yambiri ndikulepheretsa mapangidwe a calculi mkati mwake. Ndipo kutanthauza kuti zinthu zotere ziyenera kuphatikizidwa muzakudya zanu. Osangokhala mpendadzuwa ndi mafuta a azitona omwe timawadziwa, komanso mafuta omwe amatulutsidwa kuchokera ku ma chimanga kapena mbewu ya fulakesi zingakhale zothandiza.

Ma carbohydrate nthawi zambiri amapanga chakudya chochuluka atachotsa ndulu (50%, pomwe zina zonsezo zimagawidwa pakati pa mafuta ndi mapuloteni). Komabe, kusamala nawo sikungapweteke. Zakudya zamafuta pophika mkate ndi phala zimatha kupanga bile kukhala acidic, zomwe zimapangitsa kuti pakhale mpweya komanso kupanga calculi.

Zakudya zamagetsi zopatsa mphamvu zomwe sizimakhudza bile zimapezeka mu shuga ndi mbale zozikira. Koma zakudya zotere zimapangitsa kuti munthu akhale wonenepa, komanso kunenepa kwambiri ndizomwe zimayambitsa kukula kwa cholelithiasis, chifukwa zimagwirizanitsidwa ndi kusachita masewera olimbitsa thupi. Chifukwa chake, chidwi chikuyenera kulipidwa makamaka kwa chakudya chochepa pang'onopang'ono m'masamba ndi zipatso.

Mavitamini amafunikiranso kuti chiwindi chizigwira bwino ntchito. Mavitamini C ndi K, komanso mavitamini a B amathandizanso kusintha kwa chiwindi, pomwe vitamini A imalepheretsa mapangidwe a makhristali mu bile, omwe pambuyo pake amasintha kukhala miyala.

Komabe, monga momwe timakumbukirira, zakudya pambuyo pa laparoscopy ya ndulu sikuti ndizabwino zokha komanso zopatsa thanzi, komanso kusunga kwamalamulo ndi malamulo akudya.Ndipo tikulankhula za malamulo otsatirawa, omwe ayenera kutsatira miyezi 3, 6 kapena kuposerapo (pankhani yabwino kwambiri, patatha zaka zingapo munthu atha kudya zakudya zochepa zoletsedwa ndikuchepetsa kuchuluka kwa chakudya mpaka 4-5 patsiku):

• Chakudya chamagulu. Ichi ndi njira yofunika kwambiri yomwe ithandizira kukonzanso chimbudzi m'thupi, kutsogoza ntchito ya m'mimba thirakiti (komabe, kugaya gawo laling'ono ndikosavuta kuposa lalikulu). Muyenera kudya pang'ono, koma nthawi zambiri (osachepera 6 pa tsiku).
• Kufunika kodya nthawi zambiri kumagwira ntchito usiku. Kupuma kwakutali pakati pa chakudya sikuvomerezeka

Zabwino, kupumula kwa kugona kwa usiku kwa thirakiti la m'mimba sikuyenera kupitirira maola asanu ndi amodzi ndi asanu ndi limodzi, motero tikulimbikitsidwa kuti chakudya chotsiriza chisatengere nthawi isanakwane maola 2 asanagone, ndipo chakudya cham'mawa chichitike mwachangu. Pansi pa izi, kupanga mafuta achilengedwe mthupi kumakhala kokwanira kupasuka kwa cholesterol.

Pakati pa kudzutsidwa usiku, ndikulimbikitsidwa kumwa pang'ono pang'onopang'ono, izi zithandiza kuchepetsa kusiyana kwakukulu kwa usiku ndikukulolani kuti mugone nthawi yayitali (zitatha izi, kugona mokwanira kwa munthu sikuyenera kukhalapo mpaka 5-6, koma osachepera maola 8).

• Njala yotsutsana. Kuchiritsa kwa tsiku limodzi pamilandu imeneyi sikuchitikanso. Munthu wosala kudya sabweretsa vuto kwa munthu wathanzi (komanso mosavomerezeka), koma pakakhala kuti palibe chikhodzodzo, amatha kupangika miyala m'miyendo ya chiwindi. Pambuyo pakuchita opaleshoni, wodwala amayenera kutsatira zakudya zomwe kuchuluka kwa mafuta ochepa chabe, koma osati kuchuluka kwa chakudya patsiku (chakudya cha kalori 5 ndi pafupifupi 2700 kcal). Ngati mumachepetsa chakudya, pansi pazinthu zoterezi zimapangitsa kuti chakudya chikhale chopuma, kufunika kwa bile kumatha, chifukwa ndi thandizo lake palibe chomwe chimatha kugaya. Zotsatira zake, timasunthika kwa bile mu ducts ya hepatic, yomwe imatsogolera pakupanga miyala mwa iwo.
• Mwa njira, kuti kufunika kwa bile sikucheperachepera kuti muchepetse kusayenda, mafuta sangatengeredwe pakudya. Mafuta a nyama mu chakudya pambuyo pa laparoscopy ya ndulu amawerengedwa kuti ndi oletsedwa, kuphatikiza batala, omwe angadyedwe mokwanira kwambiri, koma mafuta a masamba akhoza (ndipo ayenera!) Adzawonjezeredwa kuzakudya zanu mukangoyamba masaladi ndi chimanga. Nutritionists amakhulupirira kuti osachepera 2 tsp ayenera kudya tsiku lililonse. mafuta aliwonse az masamba, ndikuwonjezera ku mbale katatu patsiku.
• Sizowopsa kungochepetsa kuchuluka kwa chakudya, komanso kuti muzingochita nazo mopitirira muyeso. Kulemera kwambiri ndichimodzi mwazinthu zomwe zimayambitsa kupangika kwa miyala mu ndulu, ndipo pakapanda kufalikira kwa chiwindi.
• Koma madotolo amalimbikitsa madzi ambiri, chifukwa amathandizira kuti muchepetse bile, zomwe zikutanthauza kuti mwayi wothamanga umachepa. Mwa njira, zidzakhala zochepa ngakhale madzi amchere amchere akapezeka patebulo.

Koma khofi ndi tiyi wamphamvu amaonedwa kuti ndi zakumwa zosayenera kwa iwo omwe amachotsa ndulu. Chowonadi ndi chakuti zakumwa zoterezi zimathandizira kusuntha kwa ma bile bile ndipo zimayambitsa hepatic colic.

Tiziganiziranso zamowa. Ndi matenda a chiwindi, amaonedwa kuti ndi osatetezeka. Koma tili ndi vuto losiyana pang'ono. Zatsimikiziridwa mwasayansi kuti pang'ono, mowa umachepetsa chiopsezo chopanga miyala pafupifupi 40%, ndipo izi ndizambiri. Ngakhale ochita masewera olimbitsa thupi amati magalasi of a vinyo wofiira patsiku samangovulaza, komanso athandizanso kupewa kubwerezanso matenda a ndulu.

• Vuto lina lopanda vuto lililonse ndikudya chakudya nthawi yomweyo, komwe mumayenera kupanga zakudya zatsiku ndi tsiku zomwe zimaphatikizapo zakudya za 5-7, zilembeni papepala ndikuzikhomera pamaso panu. Lolani chiwindi chizigwiritsa ntchito kupanga, ngati sichingafunike, choncho osakwanitsa panthawi.
• Pali malire mu njira zophikira. Palibe chifukwa choti muzithyola chakudya; kugwiritsa ntchito grill pazolinga izi sikusiyidwa.Inde, ndipo za kebab yomwe ili pamtengo iyenera kuyiwala m'malo mopatsa zakudya zabwino zofunikira kwambiri. Zinthu zimaloledwa kuti ziziwiritsa, kuwotchera kapena kuwotcha, pogwiritsa ntchitoichi gasi kapena sitovu yamagetsi ndi miphika, komanso zida zamakono, monga kuphika pang'onopang'ono.
• Ponena za kusinthasintha kwa mbale, timalimbikitsidwa kupera mafuta ndi kuphika mbewu zosaphika zamadzi pokhapokha sabata yoyamba itatha ntchito. M'tsogolomu, zinthu zolimba zokha ndizofunika kuzidula, pang'onopang'ono kuzizindikira m'mimba.
• Zakudya zatsopano komanso mbale zatsopano zimayenera kuyambitsidwa muzakudya mosamala kwambiri, pomvera malingaliro anu.
• Kutentha kwa mbale (kuphatikiza madzi) sikuyenera kukhala kokwezeka kapena kotsika kwambiri. Moyenerera, zakudya zonse ziyenera kukhala zotentha.
• Zipatso zatsopano ndi ndiwo zamasamba zimaloledwa kudya osachedwa kuposa masabata awiri atachitidwa opaleshoni chifukwa chokwiyitsa. Ndikulimbikitsidwa kusankha mitundu ya zipatso zotsekemera ndi zofewa, ndikuphwanya zipatso zolimba ndi ndiwo zamasamba pa grater kapena pa blender, ndikusintha mbatata zosenda, komwe mutha kukonzekera mousses okoma. Zakudya zoterezi monga zakudya No. 5 sizoletsedwa.

Muyenera kumvetsetsa kuti kutsatira zakudya zofunika, timathandizira kuti thupi lathu lizigwira ntchito moyenera, komanso osakondera madokotala. Poyamba sizivuta, koma pambuyo pa miyezi 1-3 munthu amapanga zakudya zina zomwe zimamupangitsa kuti akhale wathanzi. Ndipo kakomedwe ka zakudya ndi mbale zomwe kale zinali zovomerezeka.

Zakudya zakudya pambuyo laparoscopy wa ndulu

Tsopano podziwa zakudya zomwe mungaphatikizepo m'zakudya zanu, komanso zomwe zimayiwalika kwamuyaya, mutha kuyesa kupanga zitsanzo zamasiku angapo. Ndipo apa ndikofunikira kukumbukira kuti zakudya pambuyo pa opaleshoni yochotsa ndulu siziyenera kungokhala zokha, komanso zodzaza. Izi zimawoneka ngati ntchito yosatheka, koma kumbukirani anthu omwe amapanga zamasamba, amadzichitira okha zomwe amakonda kale ndipo nthawi yomweyo amakhala osangalala komanso wathanzi. Chachikulu ndikuyandikira kukonzekera kwa menyu molondola, ndikuyika zinthu zoyipa ndi zothandiza.

Tiyeni tiyesere kupanga mndandanda wathunthu, ndikuti, Lolemba, poganizira kuti zakudya ziyenera kumwedwa bwino kwambiri 6 pa tsiku:

• Chakudya cham'mawa choyamba: tiyi wopanda mphamvu kuti udzutse m'mimba
• 2-Chakudya cham'mawa: mbatata zosenda ndi kagawo ka nsomba yophika, saladi wa masamba ndi mafuta a masamba
• Chakudya chamasana: msuzi wamasamba ndi gawo la nyama yophika, msuzi wochokera ku maapulo okoma
• Zakudya zokhazokha: ½ chikho kefir chokhala ndi ma biscuit cookies
• Mgonero woyamba: omelet ya protein ndi masamba, tiyi wa chamomile
• Chakudya chamadzulo pang'ono asanagone: chakudya chochuluka cha zipatso zouma

Zosunga mawa tsiku lotsatira (kwa ife Lachiwiri) siziyenera kubwerezedwanso. Iyenera kuphatikiza mbale ndi zinthu zina, zomwe zimasiyanitsa tebulo ndikupatsa thupi zonse zomwe zimafunikira.

• Chakudya cham'mawa choyamba: zipatso zambiri ndi zipatso
• Chakudya cham'mawa chachiwiri: oatmeal mkaka, apulo wophika
• Chakudya chamasana: borsch pa msuzi wa masamba, chidutswa cha tchizi pa toast, tiyi wobiriwira
• Zosadya: madzi a lalanje, obera
• Mgonero woyamba: kanyumba tchizi casserole ndi mtedza ndi zipatso zotsekemera
• Chakudya chamadzulo pang'ono asanagone: theka kapu ya bioogurt

Mwa fanizo, timapanga mndandanda wa Lachitatu:

• Chakudya cham'mawa choyamba: kapu yamadzi amchere
• 2 Chakudya cham'mawa chachiwiri: phala la mpunga wamkaka ndi ochita kupanga
• Chakudya chamasana: masamba owotchera nkhuku okhala ndi masamba asamba (masamba ophika)
• Zosadya: yogati, zipatso zatsopano
• Chakudya choyamba: chidutswa cha nsomba yophika, zipatso ndi mabulosi, msuzi wa rosehip
• Chakudya chamadzulo pang'ono musanagone: karoti ndi madzi a dzungu

Mutakhala ndi chidziwitso cha zololedwa ndikuganiza, mutha kupanga mndandanda wa sabata, mwezi, ndi zina zambiri. Poyamba, menyu sangakhale wosiyanitsidwa ndi mitundu yazakudya ndi zakudya zina, koma mukamachira, mndandanda wazinthu zomwe mumadya uzikula, luso komanso chidwi zimathandizira kuti tebulo lanu lisakhale lothandiza, komanso lokongola komanso mawonekedwe .

Kuku casserole ndi zukini

Zosakaniza

• 350 g chidutswa cha nkhuku.
• 300 g sikwashi.
• 2 tbsp. l vermicelli.
• Mchere

Kuphika:

1. Onjezani squash yoyenda bwino kwa mbalame yokonzedwa bwino.
2. Finyani pansi pa fomu ndi vermicelli, ikani zukini ndi nkhuku pamwamba.
3. Ovomerezeka pa 160 digiri 60 min.
4. Mukatumikira, mutha kuthira mafuta.

Zakudya mu sabata yoyamba atatuluka m'chipatala

Nthawi zambiri, pambuyo pa laparoscopic cholecystectomy, wodwalayo amapatsidwa masiku atatu. Kunyumba, ndikofunikira kukonza zakudya zoyenera, poganizira malangizo omwe aperekedwa pakuchotsedwa. Zakudya zimayenera kutengedwa m'magawo ang'onoang'ono, nthawi 6-7 patsiku. Ndikofunika kukonza chakudya munthawi inayake, izi zimachepetsa kulemera kwamimba. Chakudya chomaliza chimayenera kukhala osachepera maola 2 asanagone.

Kuti matenda a chimbudzi apewe, ndikofunikira kuonetsetsa kuti pakumwa zakumwa tsiku lonse (kuchuluka kwa madzimadzi - 1.5 malita). Chakumwa chabwino kwambiri chimakhala chosawilitsidwa madzi osakhala acid ndi zamkati, msuzi wa rosehip ndi madzi amchere, mtundu womwe umagwirizana bwino ndi dokotala.

Sabata yoyamba atachotsedwa kuchipatala, muyenera kutsatira zakudya "Gawo 1:" ndikupewa masamba abwino ndi zipatso, mkate wa rye, popeza izi zimathandizira bile katulutsidwe. Chomwe chimatsimikizidwa kwambiri pazakudya zanu ndi nyama yosenda, nsomba ndi masamba am'madzi, otentha. Chakudya sichiyenera kutentha kapena kuzizira.

Zitsanzo zamatsenga zomwe zimatha kudya nthawi imeneyi:

• steam chicken roll
• msuzi wamkaka
• nyama yofiyira
• kanyumba tchizi casserole
• mapuloteni nthunzi omelet
• yogurt yamafuta ochepa kapena kefir
• Buckwheat kapena oatmeal
• Adyghe tchizi

Masiku oyamba pambuyo pa opaleshoni yochotsa ndulu, zakudya ndizochepa komanso zowoneka bwino. Patsiku la 5-7 - kusintha kosavuta pakati pa zakudya zopangira opareshoni 1a ndi 1b (nthawi zina kumatchedwa 0b ndi 0c). Zosankha zamasiku amodzi za opaleshoni ya 1a ndi 1b zimaperekedwa pansipa.

Zakudya m'mwezi woyamba (masabata 2-4 pambuyo pa opaleshoni)

Mwezi woyamba pambuyo pakuchita opaleshoni ndikofunikira kuti kubwezeretsanso chakudya cham'mimba kwa wodwalayo ku magwiridwe antchito komanso kukonza bwino thanzi. Ndi nthawi yanthawi imeneyi yomwe imathandiza kuti matumbo azisintha. Chifukwa chake, munthawi yonseyi, ndikofunikira kutsatira mosamalitsa malangizo omwe adokotala adapereka. Izi siziphatikiza zofunikira zokomera, komanso magawo a njira zotsimikizira zoyenera zolimbitsa thupi, mankhwala osokoneza bongo komanso chisamaliro cha bala.

Pambuyo pa laparoscopic cholecystectomy, kudya nthawi zambiri ndikofunikira kwa mwezi umodzi. Kenako, mogwirizana ndi gastroenterologist, kukhathamiritsa zakudya kumatha kupangidwa, kuchuluka kwa zakudya zomwe zimadulidwa kumakulitsidwa, zoletsa zoletsedwa zimachotsedwa.
Ndi cavity cholecystectomy yotseguka, nthawi yoletsa kwambiri zakudya zopatsa thanzi ndi yayitali kuposa ndi cholecystectomy. Mosasamala mtundu wa opareshoni yomwe idachitika m'mwezi woyamba, tikulimbikitsidwa kupatula chakudya:

• chakudya chokazinga
• zakudya zamafuta
• chakudya chokometsera ndi zonunkhira
• ankasuta nyama
• mowa

Komanso panthawiyi, zimalimbikitsidwa kusiya kusuta konse, chifukwa kumachepetsa kuyambiranso thupi. Zakudya ziyenera kukhala zofunda pang'ono; chakudya chotentha kapena chotentha chikuyenera kupewedwa. Zakudya zokhazikika zimafunikira katatu pa tsiku, ndikulimbikitsidwa kuti muthe kudya nthawi yomweyo. Kukhazikitsidwa kwazinthu zatsopano muzakudya kuyenera kuchitika pang'onopang'ono, kumvetsera mosamala momwe thupi limafunira ndipo ngati pakufunika kuonana ndi dokotala wa gastroenterologist.

Kuyambira sabata lachiwiri pakalibe zovuta, chakudya chama 5a chimagwiritsidwa ntchito. Uku ndi mtundu wa chakudya 5, chodziwika ndi kuchepetsedwa kwamankhwala komanso makina pamgawo wamagayidwe, zomwe zimapangitsa kuti zikhale zovomerezeka pambuyo pa cholecystectomy. Zakudya izi ndizofatsa kwambiri - zinthu zonse zimaphikidwa kapena kuwotchera.Zakudya menyu 5a zimakhazikitsidwa ndi nsomba yophika ndi nyama, zidutswa zothira, mapiritsi omanga mapuloteni, supu zamasamba, puddings zotsekemera, mbatata zosenda, zakudya zonunkhira, mapira osenda mkaka, masamba ophika.

Pankhani ya kulekerera bwino chakudya 5a (kutulutsa, kutsegula m'mimba, kupweteka kwa hypochondrium), zakudya za 5st zitha kutumikiridwa, zomwe zimadziwika kwambiri ndi kuphatikiza chakudya cham'mimba.

• Chakudya cham'mawa choyamba: theka la gawo la semolina phala mu mkaka, tiyi, 110 g cha mafuta omwera kuchokera kwa azungu.
• Chakudya cham'mawa chachiwiri: msuzi wa rosehip, 100 g yatsopano yopanda chofufumitsa tchizi.
• Chakudya chamadzulo: 100 g ya soufflé yotsekedwa kuchokera ku nyama yophika, theka la supu yosenda ndi masamba ndi oatmeal, 100 g a zakudya odzola, 100 g wa karoti puree.
• Zakudya zoziziritsa kukhosi: 100 g wa maapulo ophika.
• Chakudya chamadzulo: theka la magawo mbatata yosenda, nsomba yophika, tiyi.
• Chakudya chomaliza: odzola kapena kefir.
• Kukula kwa tsiku ndi tsiku: 200 ga mikate yoyera, 30 g shuga.

Zowola zakuthwa siziyenera kupezeka muzakudya, zakudya zilizonse zosuta ndi zonunkhira ndizoletsedwa. Chakudya chimatengedwa kutentha ndi kuzizira ndipo mbale zotentha ziyenera kupewedwa.

Zakudya mwezi umodzi atandichita opareshoni

Anthu omwe adachitapo cholecystectomy akulimbikitsidwa kuti azitsatira zakudya zazikulu 5 pazaka 1-1,5 atachitidwa opaleshoni. Pambuyo pa izi, mpumulo ukhoza kuchitika, mwachitsanzo, kusinthana ndi zakudya nambala 15, komabe, njira yolumikizana payokha ndi kufunsa kwa gastroenterologist ikufunika. Poyang'aniridwa mwapadera, ndikofunikira kuti musunge kugwiritsa ntchito maswiti, mafuta amanyama, mazira, mkaka.

Pakakhala vuto m'gayikiro wamagumbo, kubwereza zakudya kumafunikira mothandizidwa ndi adokotala. Nthawi zina, kubwerera ku chakudya cha 5, 5a kapena 5sh ndikotheka. Pofuna kukonza njira yogaya, dokotala yemwe akupezekapo akhoza kulimbikitsa kugwiritsa ntchito kukonzekera kwa enzyme, mwachitsanzo, mezim-forte kapena chikondwerero.

Pali malamulo angapo omwe amayenera kutsatidwa m'moyo wonse ndi anthu omwe ali ndi cholecystectomy:

1. M`pofunika kudya 4-5 pa tsiku, kupewa lalikulu yopuma pakati chakudya. Ndikofunika kuti mudziphunzitse nokha kudya nthawi yomweyo.
2. Kutumiza kumayenera kukhala kocheperako kuti bileti yowumitsidwa ikathe kugwira chakudya chomwe chikubwera.
3. Mafuta a nyama chosinthika: nkhumba, ng'ombe ndi mutton ziyenera kuthetsedweratu.
4. Njira zikuluzikulu zophikira ziyenera kukhala kuwira, kuwongolera komanso kusisita.
5. Mowa wambiri wa 1.5-2 malita patsiku akuwonetsedwa.
6. Popewa dysbacteriosis mu duodenum chifukwa cha kusowa kwa ndulu, kugwiritsa ntchito pafupipafupi mphamvu za mkaka wokhucha ndikofunikira. Kuphatikizidwa kwa maswiti kumakulolani kuti muthane ndi dysbiosis.
7. Ndi matenda otsekula m'mimba, kupatula khofi, tiyi, ndi zakumwa zina za tiyi kapena khofi.

Izi ndi mndandanda wazinthu zomwe zimaloledwa komanso zoletsedwa pambuyo pa cholecystectomy.

Mndandanda wazinthu zololedwa:

• masamba ophika ndi masamba osenda
• nyama zopendekera ndi ma meatbord
• nyama yophika yophika (nkhuku, nkhuku, kalulu, ng'ombe yochepa)
• soseji yophika
• nsomba
• supu zamasamba
• msuzi wama kabichi ochepa
• zipatso ndi masamba saladi
• vinaigrette
• mkaka wonse
• zopangidwa mkaka
• timadziti
• mafuta masamba
• batala.

Mndandanda wazinthu zoletsedwa:

• mitundu yamafuta am'madzi (tsekwe, bakha)
• mwanawankhosa, nkhumba, nyama zina zamafuta
• zokometsera zokometsera
• mowa
• cocoa
• marinade
• kusuta, yokazinga ndi mchere mchere
• kuphika
• maswiti
• sodas zotsekemera.

Timapereka maphikidwe angapo omwe amatha kudya pakatha miyezi iwiri kuchokera nthawi ya cholecystectomy.

1. Kaloti wa karoti ndi uchi ndi zoumba. Grate 100 g mwatsopano pang'onopang'ono, kabati, kuwonjezera 10 g wa zoumba zoumba, m'malo saladi mbale, kutsanulira 15 g uchi, zokongoletsa ndi mandimu magawo.
2. Saladi wazipatso. Sambani ndi peel zipatso (30 g ya kiwi, 50 g ya apulo, 30 g nthochi, 30 g wa sitiroberi, 30 g wa tangerines). Dulani zipatso, ikani mu mbale ya saladi, nyengo ndi 20 magalamu 10% wowawasa zonona.
3. Msuzi wa Buckwheat mkaka. Muzimutsuka ndi 30 g wa buckwheat, kutsanulira 300 ml ya madzi otentha, chithupsa, mchere, kuwonjezera 250 ml ya mkaka wotentha, 2 g shuga ndikubweretsa kukonzekera. Onjezani batala la 5 g.
4. Nyanja yowiritsa. Oyera, sambani, dulani magalamu 100 a timitengo tating'onoting'ono ndikuphika m'madzi amchere. Onjezani 5 g wa parsley ndi 10 g wa kaloti akanadulidwa.
5. Steam haddock ndi batala. Oyera, nadzatsuka, ndi nthunzi pafupifupi 100 g ya haddock. Thirani 5 g wa mafuta osungunuka ndikuwaza 5 g ya katsabola.
6. Tchizi chamafuta ocheperako ndi lingonberries ndi zonona wowawasa. Pukusani pafupifupi 100 g a tchizi chamafuta otsika mafuta, kutsanulira 20 g pa 10% kirimu wowawasa ndi kuwaza 30 g wa lingonberries ndi shuga.
7. Maburashi owiritsa. Muzimutsuka ndi kuwiritsa pafupifupi 250 g wa Brussels amatumphukira m'madzi pang'ono amchere. Pamaso ntchito, kutsanulira 10 g batala.

Kufotokozera kogwirizana ndi 03.05.2017

• Kuchita bwino: achire zotsatira pambuyo 1-3 miyezi
• Madeti: kuyambira miyezi 1.5 mpaka chaka
• Mtengo Wogulitsa: 1200 - 1350 rubles pa sabata

Malamulo onse

Ngakhale njira iti cholecystectomy ntchito - laparoscopy kapena miyambo yotsegula ya cholecystectomy, zakudya mu nthawi ya postoperative ndizofunikira kwambiri pakumwa ndikuchira komanso masiku oyamba atatha opaleshoni ndizofunikira kwambiri.

Pambuyo pa opareshoni, ndizoletsedwa kumwa madzi aliwonse kwa maola 4-6. Amaloledwa kumunyowetsa milomo ya wodwalayo ndi madzi, ndipo patapita nthawi pang'ono (pambuyo pa maola 5-6) amaloledwa kutsuka mkati mwamkamwa ndi infusions wazitsamba.

Pambuyo pa maola 12 ndipo mpaka m'mawa wa tsiku lotsatira atachitidwa opaleshoni, amaloledwa kumwa madzi osakhala ndi kaboni nthawi iliyonse kwa mphindi 10-20 m'magawo ang'onoang'ono (1-2 sips) ndi voliyumu yonse yoposa 500 ml.

Pa tsiku lachiwiri, kefir yamafuta ochepa, tiyi wopanda mafuta, ndi kissel (mpaka 1.5 l / tsiku) zimayambitsidwa muzakudya. Kutumikira - osaposa ½ chikho. Nthawi yovomerezeka ndi nthawi 1 / maola atatu.

Lachitatu / tsiku lachinayi, wodwalayo amaloledwa kudya: mbatata zosenda zamadzimadzi, msuzi wosenda pa msuzi wa masamba, dzira loyera la omelette, nsomba yophika yophika, zakudya zonona ndi supuni 1 ya kirimu wowawasa wowona. Amadyetsa mpaka katatu pa tsiku, m'magawo a 150-200 g. Madziti (apulo, dzungu) ndi tiyi wokhala ndi shuga amatha kumwa kuchokera ku zakumwa.

Pa tsiku lachisanu, ma cookie a biscuit, makeke owuma a tirigu (osapitirira 100 g) amabweretsedwa muzakudya.

Patsiku la 6-7, chimanga chophika (buluwheat, oatmeal), yophika nsomba ndi nyama, tchizi chophika tchizi, masamba puree, mkaka wowawasa wowawasa umayambitsidwa.

Patsiku lachisanu ndi chitatu laparoscopy ya ndulu, kutengera kuuma ndi kuchuluka kwa Zizindikiro za matenda, oyanjana kapena ovutitsa, adayikidwa. Zakudya No. 5A, 5, 5P (Magulu 1 kapena 4). Kapenanso, anapatsidwa Zakudya nambala 5shch (zofotokozedwa mu gawo la "mitundu").

Zakudya zoyambirira pambuyo kuchotsa gallbladder - Tebulo nambala 5 ndi zomwe angasankhe. Ndi njira yotchulidwa yotupa, pulogalamu yotsutsa yotupa ya 5 itha kutumizidwa kwa masiku 3-4 - Zakudya za 5V. Mbali yake ndi malire a kuchuluka kwa chakudya chomwe chimatengedwa. Zakudya za calorie pamlingo wa 1600-1700 kcal (55-65 g ya mapuloteni, 40-50 g yamafuta, 250 g yamafuta).

Zakudya zonse zimaphikidwa zokha popanda msuzi ndikuwonjezera batala: mitundu yosiyanasiyana ya sopo wamphika, wamafuta osenda amisamba ochepa mkaka wamafuta ochepa, odzola, ma compote osenda, masamba azomera. Kuphatikiza apo, nyama zochepa zankhuni zosenda bwino, nsomba zowira, nsomba yophika, tchizi lamafuta ochepa, ophika kapena mkate wopanda tirigu amaphatikizidwa muzakudya.

Chakudya pambuyo pochotsa ndulu osachepera kasanu, zophulika, magawo pafupifupi 200 g, wopanda mchere, wokhala ndi madzi ambiri (pafupifupi 2,5 l / tsiku). Kuphatikiza apo, patsiku la 8-10, wodwalayo amapatsidwa mankhwala Zakudya 5A kenako Zakudya nambala 5.

Zakudya Na. 5 amatanthauza chakudya chamagulu ndipo chimapangidwa kuti chithandizire kupukusa mokwanira komanso kuchepetsa milingo cholesterol m'magazi. Chakudya chamasewera ndi pafupipafupi (nthawi 5-6 / tsiku) chikulimbikitsidwa, chomwe chimathandizira kutuluka kwa bile. Pofuna kupititsa patsogolo katulutsidwe ka bile, masamba amabweretsedwa mu mawonekedwe a vinaigrette ndi saladi, okometsedwa ndi mafuta osapsa mafuta.

Pafupifupi chakudya chamafuta ambiri chimakhala chochepa m'zakudya, chifukwa kudya kwawo kumathandizira kukula kwa bile (maswiti, kusunga, shuga, uchi) ndi ndiwo zamasamba, zomwe zimakhala ndi oxalic acid ndi mafuta ofunikira ambiri (sorelo, sipinachi, zipatso za zipatso).

Pofuna kukhazikitsa katulutsidwe wa bile, masamba, zipatso ndi zipatso, mazira a nkhuku (osaposa amodzi) amaphatikizidwa muzakudya. Kudya calorie pamlingo wa 2800-3000 kcal (100 g mapuloteni, 90 g mafuta, 450 g chakudya). Kugwiritsa ntchito mchere pamlingo wa 8-10 g, madzi - 1.5 malita.

Mu matenda a gallstone, nthenda zamkati mwa pafupi ndi ziwalo zamkati - duodenum, kapamba, ndi ndulu zamkati zimachitika kawirikawiri: duodenitis, cholangitiskapamba, dyskinesia. Ndipo nthawi zambiri motsutsana ndi maziko ano cholecystectomy akupanga postcholecystectomy syndrome (Sphincter Oddi Kukanika), yomwe imayendetsedwa ndi kutulutsidwa kosaletseka kwa bile kocheperako mkati mwa duodenum ndikuthandizira kwina kwa microflora ya pathogenic ndi chitukuko cha kutupa kwa mucosa yake, yomwe imayambitsa kupweteka, kusokonezeka kwa m'mimba komanso kusokonezeka m'matumbo. Zotsatira zakuchotsa kuwira ndikusinthidwanso ndi zakudya.

Pankhaniyi, ndikofunikira kuchepetsa njira ya katulutsidwe ka bile, yomwe imatheka ndikuchepetsa kuchuluka kwa mafuta mpaka 60 g chifukwa kuchotsedwa kwathunthu kwamafuta okhazikika azinyama ndi mafuta amasamba azakudya. Zipatso zosapsa ndi masamba, nyama / nsomba yamafuta, nyama zosuta ndi anyezi wokometsera, radish, adyo, radish, broths amphamvu kutengera nyama / nsomba / bowa samasiyidwa kwathunthu pazakudya. Kuledzera kwa zinthu zakumwa zochokera kunja, mafuta osakanikirana osakanikirana, CHIKWANGWANI CHAMANG'ONO, sodium chloride ndi madzi amachepetsedwa mpaka malita 1.5 patsiku.

Ndi kutupa kwa kapamba pambuyo pa cholecystomy, ndi mankhwala Tebulo 5P. Nthawi yomweyo, zomanga thupi zomwe zimapezeka mu chakudya zimachulukitsa mpaka magalamu 120 ndipo zakudya zamafuta ndi chakudya zamagulu ochepa. Zinthu zonse za kalori zomwe zidadyedwa zimachepetsedwa kukhala 2500 Kcal. Zakudya zotentha, zotsekemera, zonunkhira, zamafuta, komanso zamafuta kwambiri zomwe zimayambitsa kukondoweza ndi zakudya zomwe zimakhala ndi fiber yayikulu, maziko a purine, ndi zinthu zina zowonjezera zimasiyidwa.

Ophatikizidwa ndi mbatata ndi nkhuku

Muyenera kutenga malamba awiri a nkhuku, kudula pang'ono. Komanso tengani 4-5 mbatata zazikulu, kusenda ndikudula maubweya ang'onoang'ono. Sakanizani nkhuku ndi mbatata, uzipereka mchere, tsabola (pang'ono pokha), supuni 4 za kirimu wowawasa wopanda mafuta ndi madzi ofanana kwa iwo.

Ikani chakudyacho mu nkhungu ndikuphika mu uvuni wokhala ndi preheated mpaka madigiri 180 kwa mphindi 30-45.

Chokoma cha karoti chokoma

1. Pogaya pa coarse grater 20 magalamu a kaloti ndikuwuthira pamoto wochepa ndi magalamu 5 a batala ndi kuwonjezera kwa madzi pang'ono. Chotsani mpaka madzi atatsala poto.
2. Thirani mafuta okwana 20 magalamu a maapulo owuma ndi madzi otentha ndi kuwaza bwino.
3. Thirani kaloti wowotchera, ma apricots osanidwa, magalamu 130 a kanyumba tchizi, 25-30 magalamu a ufa, theka la dzira la nkhuku, supuni ya shuga, ndi magalamu 10 a kirimu wowuma wowuma mumbale yosavuta.
4. Sakanizani bwino zosakaniza zonse, kupanga mipira yoyenerera kuchokera pazotsatira ndikuyiyika pa pepala lophika.
5. Thirani wowawasa kirimu pamwamba pa mipira ndikuyika mu uvuni wokhala ndi preheated kwa mphindi 15.

Maphikidwe zakudya nambala 5

Kwa iwo omwe akukumana ndi koyamba kudya matenda a chiwindi ndi m'mimba thirakiti ndipo sanakonzekere kuyang'ana malingaliro awo mokwanira, titha kupereka maphikidwe ena othandiza komanso othandiza omwe adzakongoletsa osati tebulo la zakudya.

Chenicheni chakuti malinga ndi chakudya 5, mutachotsa ndulu, mbale siziyenera kuphatikiza zakudya zokazinga, sizitanthauza kuti maphikidwewo azikhala opanda chilema komanso opanda vuto. Tiyeni tiyambe ndi njira yosavuta ndikuwona njira yophikira saladi wokoma yemwe samaphatikiza zambiri:

Saladi "Mlongo Alenka"

• phwetekere yachikasu yaying'ono - 1 pc.
• phwetekere wofiira wochepa - 1 pc.
• gherkin - 1 pc.
• theka anyezi wabuluu
• mafuta a masamba - 1 tsp
• kirimu wowawasa - 1 tsp
• amadyera
• uzitsine mchere

Kuphika: dulani phwetekere ndi nkhaka muzidutswa tating'onoting'ono, anyezi m'mphete zochepa ndikuyika ndi madzi otentha kuti musiye zonunkhira. Ngati nkhakayo ndi yolimba, mutha kuipaka pa grater yoyera ndikufinya pang'ono. Masamba okonzeka amasinthidwa kukhala mbale ya saladi, mchere, kuyika kirimu wowawasa ndi mafuta a masamba. Sakanizani, perekani mphindi 5 mpaka 5 kuti mumveke, kongoletsani ndi zitsamba ndikuyika tebulo.

Saladi yokoma ndi yathanzi yomwe tili nayo. Koma simudzakhala saladi imodzi. Tiyenera kubwera ndi nyama ya nkhomaliro.

Saladi wa Dzungu la Beetroot

Zosakaniza

• 300 g a beets.
• 200 g wa dzungu.
• Mafuta oyeretsedwa.
• Mchere

Kuphika:

1. Wiritsani beets, kuphika dzungu.
2. Kabati yophika beets, kuwaza dzungu, kuwonjezera mafuta ndi mchere.
3. Mukatumikira, mutha kuwonjezera uchi wambiri.

Nyama cutlets nthunzi

• Nyama (itha kusinthidwa ndi nkhuku kapena nkhuku) - 300 g
• Dzulo la tirigu dzulo - 80 g
• Anyezi yaying'ono - 1 pc.
• Mkaka - 4 tbsp.
• Msuzi wamasamba kapena nyama - magalasi amodzi ndi theka
• Mafuta oyeretsedwa masamba - 2 tbsp.
• Utsi - 2 tbsp.
• Madzi a mandimu - 0.5-1 tsp
• Mchere kulawa

Kuphika: Idyani mkate mkaka ndi kufinya. Sinthani nyama ndi anyezi kangapo kudzera chopukusira nyama ndikusakaniza ndi mkate. Kani minced nyama bwino ndikupanga tizinthu tating'onoting'ono tokha.

Timathira mafuta phala ndi mafuta ndikuyika zida zathu. Onjezani mafuta osachepera theka la kapu ya msuzi ndikulola mphindi 20.

Timatulutsa zidutswazo ndikuziyika mbale. Kuchokera pa msuzi wina wotsalira timakonza msuzi wokoma wa mkaka, ufa, mandimu ndi mchere. Kwa iye, ngati mukufuna, mutha kuwonjezera 1 tbsp. phwetekere phala. Thirani msuzi mu msuzi ndi kukongoletsa ndi zitsamba. Timapereka kwa cutlets.

Ndipo pambali mbale mungathe kuthira mbatata yosenda ndi zukini, phala lililonse, mphodza wa masamba, nyama yophika (kokha kuchokera ku tirigu wa durum).

Yakwana nthawi yoti muzisamalira zotsekemera nanenso.

Tchizi zikondamoyo kuchokera mu uvuni

• Tchizi chamafuta ochepa (zotheka ndi mafuta osaposa 2%) - 200 g
• Semolina - 1-2 tbsp. (kutengera chinyezi cha tchizi chinyumba)
• Dzira La Chakudya - 1 pc. (mutha kumwa mapuloteni 1-2)
• Shuga ndi mchere kuti mulawe
• Kuphika ufa wa mtanda - ½ tsp
• Mafuta ophikira masamba opaka mafuta ophikira ndi tchizi

Kuphika: Opaka tchizi chambiri kangapo kupyola ndi kusakaniza ndi dzira ndi shuga. Onjezani ufa wophika ku semolina ndikuthira osakaniza owuma mu curd misa. Siyani ndi kutupa semolina kwa mphindi 20-30. Kenako yatsani uvuni ndikuthira mafuta poto.

Kuchokera pa semolina-curd misa timapanga mipira yaying'ono, ndikufinya mbali zonse, kuwapatsa mawonekedwe omwe amafunikira ndikuyika pa pepala lophika. Cheesecakes pamwamba pang'ono mopepuka ndi masamba mafuta ndi kuyikamo uvuni.

Ma syrniki atapukutidwa pang'ono kuchokera kumwamba, timayang'ana kukonzekera ndi zino, zomwe zimayenera kutuluka ngati zowuma. Mukamaikidwa patebulo, zikondamoyo tchizi zimatha kutsukidwa ndi chisakanizo cha mafuta ochepa wowawasa zonona ndikuwiritsa mkaka wofinya ngati mukufuna.

Mafuta “Zipatso ndi msuzi wa ginger”

• Tangerines - 3 ma PC. (mutha kusinthidwa ndi malalanje)
• Banana - 1 pc.
• Kiwi - 2-3 ma PC.
• Maapulo - 2 ma PC.
• Zoumba - 70 g
• Mtundu Wouma - supuni 1
• Ginger wa ufa - ¼-1/2 tsp
• Malalanje - 2 ma PC.
• Shuga - 1 tbsp popanda kutsatira

Kuphika: Timatsuka tangerines, timasakaniza magawo ndikudula gawo lililonse m'magawo angapo. Tidula nthochi ndi kiwi kukhala ma cubes kapena mabwalo. Chotsani peel ku maapulo ndikudula pakati. Zoumba zouma ndi madzi otentha, ndiye zouma.

Zakudya za mandimu kuchokera ku malalanje, konzekerani madzi. Sakanizani kwa mphindi 10 ndikupanga ndi madzi otentha (kotala kapu) ndi fyuluta.Mu kulowetsedwa onjezerani shuga ndi ginger wodula bwino, mubweretseni. Tsopano tsanulirani madzi a lalanje ndi kuwira osaposa mphindi ziwiri. Manyuchiwo amayamba kuwuma, kusefedwa ndikudzazidwa ndi zipatso zakonzedwa.

Nanga bwanji maphunziro oyamba? Tiyenera kuphika borscht mawa?!

Veggie borscht

• Kabichi - 100 g
• Kaloti - ½ ma PC.
• Mbatata - 1 pc. (zokulirapo)
• Mizu ya Selari, leek, nyemba zobiriwira - 30 g iliyonse
• Phwetekere - 1 pc.
• Beets - 1 pc. (yaying'ono)
• Phwetekere phala - 4 tbsp.
• Utsi - ½ tbsp
• Mazira (mapuloteni) - 4 ma PC.
• Yogurt - ½ chikho
• Mchere kulawa

Timatsuka zamasamba kuchokera pakhungu ndi nthanga, kudula kabichi, kudula nyemba mzidutswa. Timafalitsa zinthuzo mu boiler pawiri ndikuthira madzi. Kuphika pafupifupi theka la ola.

Sakanizani anyezi wosankhidwa ndi ufa ndi kuwaza mopepuka mu poto wouma, kuwonjezera phwetekere la phwetekere, madzi pang'ono, mchere, simmer ndi kuwonjezera ku boiler iwiri.

Timaphika beets pasadakhale, popeza amaphika pafupifupi ola limodzi. Timadula zophika zophika m'minyezi yaying'ono ndikuwonjezera ku borsch kumapeto kuphika.

Kuvala borsch kumakhala kukwapulidwa mazira ndi yogurt palimodzi. Tumikirani borsch patebulo, owazidwa ndi parsley.

Ndipo pamapeto pake, njira yosavuta yotsekemera ya nkhuku.

• Chifuwa cha nkhuku - 1 pc.
• Orange - 1 pc.
• Mchere kulawa

Timadulira chifuwa kuti thumba lipangike. Kuthira nyama ndi mchere ndikusiya kukakamira.

Sendani malalanjewo, gawani magawo, kenako chotsani mafilimu oyera. Timayika zigawo za lalanje zakonzedwa m'thumba la nyama, ndikulunga mawere ndikuwutumiza ku uvuni (200 ° C) kwa theka la ola.

Monga mukuwonera, ngakhale pali zovuta za chakudya pambuyo pa kupindika kwa ndulu, sichimaletsa kudya mokoma.

Tiyenera kunena kuti chakudyacho chimaperekedwa kwa matenda aliwonse pomwe chimbudzi chikasokonekera. Chakudyacho chimaperekedwa kuti chithetse kutukusira kwa gawo logaya chakudya m'mimba ndikuthandizira ntchito yake pakuchira.

Ndi chikhodzodzo, zonse zimakhala zovuta kwambiri, chifukwa chake, zakudya 2, zomwe nthawi zambiri zimayikidwa matenda am'mimba, zidzakhala zopanda ntchito pano. Kupatula apo, ndikofunikira kuti magawo azingokhala osagwiritsa ntchito chakudya, komanso zimathandizira kukhazikika kwa chiwindi. Kuphatikiza pa china chilichonse, ndikofunikira kuwonetsetsa momwe ma gallstones samapangidwira mu ndulu (ngati sichinachotsedwe), kapena mu ducts ya bile (pambuyo pa cholecystectomy). Mkhalidwe womaliza umatheka pokhapokha pokhapokha pazakudya zomwe zimathandizira kupanga miyala.

Nthawi zambiri, chiwindi chimapanga pafupifupi 600-800 ml ya bile mkati masana. Bile pang'onopang'ono amalowa mu "nkhokwe", pomwe samangodziunjikira ndi kupitilira mpaka mphindi yoyenera, komanso kufikira komwe kuli kufunikira. Tiyenera kunena kuti kuchuluka kwa ndulu pakhomo ndi kutuluka kwa ndulu kumasiyana ndi nthawi 10.

Pambuyo pochotsa ndulu, momwe zinthu zimasinthira, kuchuluka konse kwa ndulu kumalowa mgulu la duodenum, koma osati pofunikira, ndipo osati m'ndendemo. Sikuti limangokwiyitsa khoma lamatumbo, komanso kukhazikika kwake sikokwanira kuthira mafuta, kumalimbikitsa matumbo, chiwindi ndikupanga ma enzyme omwe amawononga mapuloteni, i.e. kuchita ntchito zomwe zapatsidwa kwa iwo.

Tsopano, kusayenda kungawoneke mu duodenum. Ndipo popeza kupumula kwa kama kumakhala kwawonetsedwa kwakanthawi pambuyo pa opareshoni (kachiwiri, kulephera kuchita izi), kutayika kwam'mimba kumachepa, kapamba amavutika, ndipo chakudyacho chimagayikiridwa pang'onopang'ono komanso movutikira (ndipo sichikhala chokwanira nthawi zonse), pomwe thupi lonse limakhala loipa.

Zakudya pambuyo pa laparoscopy ya ndulu (chakudya No. 5) sikuti zimangothandiza ntchito ya m'mimba, chifukwa siziphatikiza zakudya zosavomerezeka ndi mafuta am'mimba. Cholinga changa ndikuphunzitsanso chiwindi kugwira ntchito molingana ndi chiwembu chatsopano, ndikupereka zosowa za dongosolo lonse la chakudya.

Ngati ndulu isanachotsere ndulu, chiwindi chimayamba kupanga ndulu m'mene chakudya chimalowa mthupi, ndipo njira yake yolembera yake idayamba. Ine.e. Gawo lina la nduluyo linasiya ndulu, ndipo panafunika kubwezeretsa voliyumu yake. Tsopano chiwindi chilibe kanthu kokumbukira ndipo chimapanga encyme ya caustic nthawi zonse. Palibe poti akhale, ndipo amathamangira mu KDP mosasamala kanthu kuti izi ndizofunikira kapena ayi.

Kuphunzitsa chiwindi kuti apange bile pokhapokha ngati kuli kofunikira, sikokwanira kungosintha zakudya, osapatula muzakudya zomwe zimathandizira kutuluka kwa encyme ya caustic. Muyenera kuwerengera zakudyazo.

Ngati mumadya chakudya m'magawo ang'onoang'ono, koma nthawi yomweyo, chiwonetsero chazomwe chimayenera kukhazikika m'thupi: chiwindi chimatulutsa bile pokhapokha chakudya chikalowa m'mimba. Izi ndizotheka pokhapokha mukamadya zakudya zowonjezera, zomwe zimaphatikizapo: kudya zololedwa zokha m'magawo ang'onoang'ono, kuyang'anira kudya (pafupipafupi zakudya nthawi imodzi).

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Kodi ndi chiyani chomwe sichingakhale?

Apa tafika pa funso lalikulu: Ndingadye chiyani? Kupatula apo, posadziwa kuti ndizogulitsa ziti zomwe zimaloledwa komanso zoletsedwa, ndizosatheka kupanga menyu wamba. Koma kupatsa thanzi kwa anthu pambuyo pa pataroscopy ya ndulu, malinga ndi madokotala, kuyenera kukhala kokwanira, kupereka zonse zofunikira za thupi.

Chifukwa chake, malinga ndi chakudya No. 5, zakudya zomwe zaloledwa ndizophatikizira:

• Zakudya za nyama ndi mafuta ochepa. Itha kukhala nkhuku, ng'ombe, kalulu, nyama ya nkhuku, chinthu chachikulu ndikuti isakhale mafuta komanso kuphika m'njira yoyenera, i.e. yophika kapena yophika.
• Nsomba zamafuta ochepa, zonse za m'madzi ndi mtsinje. Itha kuphika kapena kuphika nthunzi.
• Zakudya zilizonse zamkaka zopaka ndi mafuta ochepa, kirimu wowawasa (ochepa kuchuluka).
• Macheke olimba omwe amakhala ndi mafuta osaposa 30 (ochepa kuchuluka.
• Anthu osafooka ndiwo zamasamba komanso soup zochokera ku msuzi wamasamba monga kuphatikiza kwa chimanga ndi ndiwo zamasamba zithandizanso kusiyanitsa zakudya za odwala pambuyo pa opaleshoni komanso pambuyo pake. Koma kugwiritsa ntchito "kuwaza" supu zoterezi nkoletsedwa. Monga kavalidwe kumatha kukhala ngati dzira loyera kapena kagawo ka tchizi wokonzedwa. Tizidutswa tating'onoting'ono ta nyama yophika timatha kuwonjezeredwa msuzi popanda msuzi womwe unaphikirako.
• Msuzi wamafuta ochepa komanso ofooka chifukwa cha nyama yankhuku.
• Phala lililonse limayamba kuwiritsa m'madzi, kenako viscous, pokhapokha boma litakhazikika (pafupifupi mwezi ndi theka pambuyo pake), phala lotayirira limachitidwa.
• Zipatso ndi zipatso za mitundu yokoma zimayamba kudyedwa ngati zophika, ndipo pambuyo pa masabata 2-3 zipatso zatsopano zimaphatikizidwa muzakudya. Beri lothandiza ndi chivwende.
• Mutha kudya zamasamba zilizonse (zophika, zophika, zophika, kenako zatsopano).
• Maswiti ndi zokometsera monga uchi, kupanikizana ndi mafuta osokoneza bongo amadyedwa pang'onopang'ono, akuwona kulemera kwawo.
• Mkate umaloledwa kudya dzulo lokha kapena mtundu wa zovekera, ndipo mwina ndi zoyera, zomwe sizimayambitsa njira yovunda.
• Dzira loyera mu mawonekedwe amimelo, pambuyo pa miyezi 1.5 mungathe kudya dzira 1 pa sabata ndi yolk.
• Zinthu zopangidwa ndi nyama: zomangira nyama, zomangira nyama, zomenyera nyama kapena zophika. Pambuyo pa miyezi 1.5-2, soseji yophika bwino imatha kuyambitsidwa muzakudya zazigawo zochepa.
• Mkaka wonse mu mawonekedwe a kutentha saloledwa palibe kale kuposa miyezi 1.5 mutachitidwa opaleshoni. Mpaka nthawi ino, amangogwiritsidwa ntchito kuphika.
• Mafuta aliwonse azamasamba omwe amalimbikitsidwa kuti athetse mafuta a nyama.
• Zitsamba zatsopano zimakhala gwero la mavitamini ndi michere.
• Chipatso chilichonse chouma.
• Zipatso ndi zipatso zamasamba, tiyi wobiriwira, zakumwa za zipatso, madzi amchere, decoctions azitsamba. Tiyi yoyera yochepa kwambiri,

Pakuphika, osati zinthu zokha zomwe ndizofunikira, komanso momwe zimakonzedwera. Sizoletsedwa kutsitsa mbale (ndibwino kuti azikhala ndi mchere wopanda mchere) ndikuwonjezera zonunkhira zosiyanasiyana ndi zokometsera zomwe zimapangitsa kuti pakhale phula. Njira zoyendetsera zamafuta: Kuphika, kuphika, kutsitsa, kusenda.

Komabe, zakudya pambuyo pa laparoscopy ya ndulu zitha kumawoneka ngati zofewa kwambiri, osanena kuti sizingatheke kudya. Tsopano tithana ndi zakudya zoletsedwa No. 5:

• Zakudya zilizonse zamafuta ndi mbale kuchokera kwa iwo, soseji ndi nyama zotsekemera zili oletsedwa kwambiri. Mutha kukhala ndi soseji yophika pang'ono.
• Mafuta amtundu uliwonse. Nsomba zamchere, zouma komanso zosuta, zonse zonona komanso zamafuta.
• Mkaka wamafuta ndi mkaka. Kirimu wowonda imagwiritsidwa ntchito ngati chovala, mkaka wonse umayambitsidwa pang'onopang'ono pokhapokha pokhazikika.
• Mafuta aliwonse achikhalidwe cha nyama, kuphatikiza batala.
• Nyama iliyonse ndi kusungidwa kwamasamba, zokometsera, marinade.
• Zinthu zopangira utoto, makeke, makeke omwe angayambitse kuwonjezeka kwa thupi.
• Mkate watsopano watsopano ndi wakuda, makeke.
• Tiyi yakuda yamphamvu, zakumwa zoziziritsa kukhosi, zakumwa sopo.
• Ayisikilimu, zakudya zilizonse zozizira komanso zakumwa zina.

Chakudya chilichonse chokazinga chimaletsedwa. Ndipo muyenera kuzolowera izi, chifukwa kutsatira zofuna za chakudya No. 5 zimatenga nthawi yayitali (osachepera chaka). Koma ndikwabwino kuti mudzikhazikitse nokha kuti mukhale ndi zakudya zoyenera ndikutsatira kwa moyo wanu wonse.

Ndemanga za Odwala

• Ndakhala ndikudwala kwa nthawi yayitali. Ndili ndi kapamba. Adotolo adandipatsa zakudya, koma sizotheka nthawi zonse kutsatira, popeza sizakudya zonse zomwe ndizophweka ndipo zimandivuta kuti ndizizipanga mwachangu.
• Pambuyo pa laparoscopy kuchotsa ndulu, muyenera kukhala pachakudya nthawi zonse. Ngati simutsatira, ndiye kuti pali mseru, chizungulire komanso kuwawa mkamwa. Chakudyacho chikuwoneka kuti sichinali chovuta, koma kumangophika kokhako kupatula banja kukutopa.

Malangizo a zakudya

Zakudya 5 sizichiritsa ziwalo zomwe zakhudzidwa ndi 100%, koma zimangochepetsa zotsatira zoyipa za thupi. Menyu ya sabata ndi maphikidwe ithandizira kuchira mwachangu. Simungayambe kudya osakambirana ndi dokotala. Pambuyo pa kufunsira, katswiri adzafotokozere mankhwala omwewo.

Chithandizo cha tebulo Na. 5 ndi chofunikira kwambiri panjira ya thanzi. Zoletsa zazing'ono zazing'ono ndizofunikira kukonza mwachangu.

Kapangidwe kake: Lozinsky Oleg