Thanzi la matenda a ndulu ndi kapamba

Kufotokozera kogwirizana ndi 08.06.2017

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Malamulo onse

Matenda a Gallstone amatengedwa ngati dysmetabolic matenda omwe ma gallstones amapangika pamasamba a zovuta za metabolic cholesterol kapena bilirubin. Miyala ndi cholesterol, pigment (kapena bilirubin), calcium komanso osakanikirana.

Cholesterol ndi pigment yakuda zimapangidwa nthawi zambiri mu chikhodzodzo, ndipo zofiirira - m'mizere. Zomwe amapanga ndizochulukitsa za bile sediment. Mu ndulu, njira ya kukula kwa bile nthawi zambiri imachitika, ndipo imadzaza ndi mafuta m'thupi.

Kupangidwe kwa miyala ndi ntchito yosinthika komanso mpweya wabwino womwe umasakanikirana ndi kusungunuka kwawo, ngakhale pang'ono. Mwala wopangidwira, kuchuluka kwa cholesterol yovuta kusungunuka kumakulirakulira, ndikukula. Chaka chimodzi, kukula kwamiyala kumasiyanasiyana kuchoka pa 1 mpaka 4 mm, atsopano amapangidwa mwa 14% ya odwala.

Pakachitika kolesterol cholelithiasis kudziwika kwam'banja, zolakwika pakuphatikizika kwa solubilizer, malo kunenepa, matenda amatsenga, mimba, matenda ashugastasis ya bile mu chikhodzodzo, dyslipoproteinemia (okwera mafuta cholesterol). Malo ena amatengedwa ndi mafuta osapatsa thanzi: kuchuluka kwa zakudya zama protein ndi nyama, kusowa kwa ulusi wazomera ndi mapuloteni azomera.

M'magawo oyamba a matendawa, kupenda kwa bile kwa zaka zingapo kumatha kuwulula konkire yadzazidwa ndi cholesterol (biliary sludge) Ndi nthawi yophwanya zake zachilengedwe. Palibe matenda akuwonetsa matendawa ndipo panthawiyi ndiwofunika kwambiri pochizira (kuchepa lithogenicity ya bile ndi matenda a bile secretion).

Ngati kusintha kwa mapangidwe a bile samachotsedwa, ndipo kutupa kwa mucosa ndi kufooketsa kwa chikhodzodzo, mapangidwe a microliths mpaka 5 mm amayamba. Nthawiyi imachitikanso popanda mawonetseredwe azachipatala. Chithandizo cha Conservative ndichothandiza (chootherapy).

Kenako ma microlites amamatira limodzi kuti apange macrolites okulirapo kuposa 5 mm. Kutupa ndi kufooka kwa gallbladder kumakulitsidwa. Zizindikiro zina zosatsata zimayamba kale kupweteka, kuwawa mkamwa, kulemera mu hypochondrium yoyenera, chifukwa chotengera zolakwika pakudya, chizolowezi chisangalalopafupipafupi kutsegula m'mimba ndi kudzimbidwa. Ndi chiwopsezo, zowawa, zosaletseka zimatuluka mwadzidzidzi, zimvekere kumanja ndi phewa lamanja, zimayenda ndi nseru, kusanza mobwerezabwereza, komwe sikubweretsa mpumulo. Kumwa mowa kwambiri komanso kudya zakudya zamafuta, kugwedezeka, kukwera, kuvutika m'maganizo kapena kuvala kwambiri kumayambitsa vuto.

Odwala omwe apezeka ndi macrolite amapatsidwa lithotripsy (kugawanika pamaso pa miyala imodzi ndi ochepa) kapena kulumikizana ndi calculi (kulumikizana ndi litholysis). Ndi njira iyi, zosungunulira zimayambitsidwa mu chikhodzodzo kapena ma ducts. Ndi miyala ya cholesterol yokha yomwe ingasungunuke. Pazinthuzi, gwiritsani ntchito ether methyltertbutyl pamaso pa miyala mu bubble ndi ether kutsatira - mu bile ducts.

Monga taonera kale, kudya zakudya zambiri zamafuta m'mafuta, mafuta ndi zakudya zamafuta, chakudya chosasinthika komanso zakudya zopanda thanzi zimakhudza mapangidwe a miyala. Ndi zizindikiro za cholelithiasis, chithandizo cha zakudya ndikofunikira pamagawo onse a matendawa. Monga tafotokozera pamwambapa, m'magawo oyamba a biliary sludge, kapangidwe ka bile amatha kukhazikitsidwa kwathunthu ndipo miyala imatha kuletsedwa. Pa siteji ya microlith, pakudyetsa komanso kugwiritsa ntchito mankhwala osokoneza bongo, mutha kusintha mawonekedwe a bile ndikuwasungunula, ndipo ndi miyala yopangidwa, imakhazikika kukula kwawo ndikuthana ndi exacerbations (biliary colic).

Tiyeni tiwone kuti ndi zakudya ziti zomwe zingafotokozeredwe matenda a gallstone? Chakudya choyambirira ndicho Tebulo nambala 5 ndi mitundu yake kutengera ndi gawo la matendawa. Inde, ndi cholelithiasis, zakudya zomwe zimakhala ndi cholesterol siziyenera kugwiritsidwa ntchito, ndipo zakudya zowonjezera fiber zimalimbikitsa. Miyala ya cholesterol imapezeka mwa anthu omwe ali ndi vuto la kudya kwambiri, kuzunza mafuta a nyama, nyama zamafuta, mazira ndi caviar. Zakudya zokometsera komanso zamafuta, mazira a mazira nawonso samayikidwa ndipo, osalolera bwino, mafuta a masamba ali ochepa, omwe ali ndi tanthauzo la choleretic ndipo angayambitse kuukira kwa cholelithiasis ya ndulu.

Chithandizo cha zakudya kwa ma gallstones chimaphatikizapo:

• Chepetsa mafuta ku 80 g (75% ya nyama, masamba - 25%).
• Kuwonjezeka kwa CHIKWANGWANI Chakudya (chifukwa cha masamba ndi zipatso).
• Kuchulukitsa zomwe zili pazinthu zamchere ndi magnesium salt.
• Pofuna kuthetsa kukokoloka kwa bile, kudya mpaka 6 pa tsiku.
• Sikulimbikitsidwa kumwa zakumwa zoledzeretsa (ngakhale mu "zazing'ono").
• Kulemera thupi sikuyenera kuloledwa. Ndi concomitant kunenepa phindu la zakudya liyenera kuchepetsedwa pochepetsa kuchuluka kwamafuta (70 g) ndi chakudya (250-300 g). Kuchepetsa thupi kumakhudza bwino matenda a gallstone.
• Lithogenicity ya bile imathetsedwa ndikugwiritsa ntchito nthawi yayitali chenodeoxycholic acid ndi ursodeoxycholic acid (osachepera miyezi 6).

Pa gawo loyamba la matendawa, palibe zakudya zoletsedwa, koma ndikofunikira kusunga zakudya, popeza kudya nthawi inayake kumapangitsa kuti chikhodzodzo chichitike.

Popanda kuchulukitsa, kusamala modekha kwa ndulu ndi chiwindi, makulidwe a ntchito ya bile excretion ndi cholesterol, yomwe imapereka chakudya choyenera Ma tebulo nambala 5. Uku ndi chakudya chathupi chathupi chonse, momwe mumakhala chakudya chambiri, zomwe zimathandizira kutuluka kwa ndulu nthawi zonse. Kudya calorie ndi 2400-2600 kcal (mapuloteni - 80 g, mafuta - 80 g, chakudya - 400 g).

Kugwiritsa ntchito mchere (10 g), mafuta (makamaka onunkhira) ndi ochepa, amadzimadzi ali mumtambo wa 1.5-2 malita. Zakudya zimaphika zophika, kuziwotcha ndi kuphika wopanda kutumphuka ndizololedwa kale. Masamba azitsamba samapitirira ndipo amangopera masamba omwe ali ndi michere yambiri, komanso nyama ya sinewy. Njira yodziwika bwino komanso kudya zakudya zofunika masiku asanu ndi amodzi pa tsiku.

Popeza ndikofunikira kukonzanso katulutsidwe ka bile ndikuletsa mawonekedwe a miyala, zakudya zimapereka:

• Mpweya wambiri (chifukwa chogwiritsa ntchito masamba ndi zipatso), zomwe ndizofunikira kwambiri pakudzimbidwa. Kuphatikiza apo, chinangwa imayambitsidwa muzakudya.
• Ma saladi ndi vinaigrette okometsedwa ndi mafuta osasamba a masamba (amafunika kusinthidwa, mafuta a azitona ndi ofunika kwambiri).
• Masamba aliwonse, zipatso ndi zipatso.
• Kugwiritsa ntchito mkaka wokhathamira ndi zakudya zam'mera kuti mukwaniritse zamchere ya bile. Motere, mbewu monga chimanga ndi ufa zomwe alkalize bile sizothandiza, pakutengera izi, zinthu izi ziyenera kukhala zochepa, makamaka ngati pali owonda kwambiri.
• Buckwheat, mapira, oat ndi balere korona ndi mkate wa tirigu ziyenera kukondedwa, zomwe mwa zina, zimapatsa thupi ndi magnesium.
• Kukhazikitsidwa kwa mapuloteni okwanira (nsomba zamafuta ochepa, nyama, tchizi tchizi, mapuloteni a nkhuku) ndi mafuta a masamba, zomwe zimathandizira kupanga ma acid amkati. Zakudya zopangidwa ndi azungu a mazira amaloledwa, kuletsa kwake kumagwira yolks - ndi hypercholesterolemia, 0,5 yolk yokha yomwe imaloledwa pa chakudya tsiku lililonse.
• Kudya Zakudya Zabwino vitamini a (mkaka, kirimu, tchizi tchizi, kirimu wowawasa, batala).
• Kuthana ndi regimen yokwanira ya kumwa (mpaka malita awiri patsiku), yomwe imalepheretsa kusayenda kwa bile, komanso mfundo za zakudya zokhazikika komanso zopatsa thanzi.

Kuchokera pachakudya sichikuphatikizidwa:

• zinthu zamafuta ofunikira (adyo, zipatso za zipatso),
• mbale zowonjezera kwambiri (onse msuzi, msuzi wa kabichi),
• masamba omwe ali ndi oxalic acid (sorelo, sipinachi),
• batala, mkate wamfupi komanso wotupa,
• nyama yamafuta ndi mafuta okhala ndi cholesterol (chiwindi, impso, ubongo), zakudya zonse yokazinga,
• mowa
• Zakudya zopatsa mphamvu mosavuta (shuga, kupanikizana, confectionery, uchi, maswiti) ndizochepa.

Chakudya cha magnesium cha cholelithiasis (makamaka chikuwonekera ngati pali kudzimbidwa, komanso dyskinesia chopanda chokwanira cha chikhodzodzo) chimakhazikitsidwa pa tebulo Nambala 5, koma imaphatikizidwanso ndi zinthu zomwe zimakhala ndi magnesium: mkate wa chinangwa ndi mkate wa Wholemeal, zopangidwa kuchokera ku chinangwa cha pansi, ma Buckwheat ndi mapira, msuzi wa chinangwa, masamba ndi zipatso, kuphatikizapo zipatso zouma.

Zonsezi zimathandizira bile katulutsidwe, imathandizira ntchito ya mota kwa chikhodzodzo komanso matumbo, omwe amathandiza kuchotsa mafuta m'thupi, pomwe miyala imayambira mu chikhodzodzo ndi ndulu ya bile. Komabe, zakudya za magnesium sizimatchulidwa ngati zilipo gastritis, enterocolitis ndi chonde ndi kutsegula m'mimba, komanso nthawi yowonjezera.

Zakudya za matenda a gallstone pakachulukana

Ndi kuchulukitsa kwa cholelithiasis patsiku loyamba kuti kukulitsa kutulutsa kwam'mimba thirakiti, kufa kwathunthu kumachitika. Patsikuli mutha kumwa tiyi wopanda mphamvu, madzi otsekemera, msuzi wamtchire. Kwa masiku 2-3, njira yotsutsa-yotupa imayikidwa - Zakudya nambala 5Vkupatula zilizonse zoyipa zamakina ndi mankhwala. Ndikulimbikitsidwa kwakanthawi kochepa mpaka masiku 5.

Imachepetsa zakudya zamafuta kwa 200 g (chifukwa chosavuta - shuga, jamu, uchi, jamu), imachepetsa mapuloteni (mpaka 80 g), komanso kuchuluka kwa mafuta. Chakudya chimaphikidwa popanda mchere ndipo chimangokhala chokhazikika: mu mawonekedwe a soufflé, mbatata yosenda ndi msuzi wa mucous. Ndikofunika kuyang'ana kugawikana kwa zakudya zopatsa thanzi (nthawi zosachepera 5) ndikuvomera kulemba m'magawo ang'onoang'ono. Zopatsa kalori pa 1,600 kcal; zakumwa zamadzimadzi zimaperekedwa (2-2,5 l / tsiku).

Chokha:

• chakudya chosenda bwino pamadzi komanso wopanda mafuta,
• michere ya mucous (yochokera pa oat, mpunga ndi semolina),
• chimanga chophika madzi (oatmeal ndi mpunga) ndi mkaka,
• odzola, zipatso zamasamba, ma compates zipatso,
• Pang'onopang'ono adayamba kuwiritsa nyama yophika (pang'ono), tchizi chamafuta ochepa, nsomba yophika,
• mkate kapena tirigu.

Zitatha izi, mankhwalawa amathandizira ndipo patsiku lachisanu ndi chitatu la tsiku, odwala amasamutsidwa Zakudya 5A, kenako mpaka m'munsi Tebulo nambala 5.

Ndi cholelithiasis, gastroduodenal system, kapamba ndi matumbo zimakhudzidwa mu pathological process. Pancreatitis ambiri mwa akazi azaka 50-60 ndi onenepa ndi Hyperlipidemia. Ndi matenda a gallstone ndi pancreatitis, kusintha kwa Table No. 5 kumagwiritsidwa ntchito - Gome №5P. Amadziwika ndi choletsa chachikulu kwambiri cha mafuta ndi chakudya, chomwe chimapangitsa ntchito ya pancreatic. Zinthu zina zowonjezera (msuzi wa kabichi, nyama ndi msuzi wa nsomba) ndi masamba ophatika kwa masamba nawonso ndi ochepa. Mukunenepa kwambiri, kuchepa kwamankhwala opatsa mphamvu chifukwa cha kuperewera kwa chakudya kumalimbikitsidwa. Mbale zonse zimaphikidwa mu mawonekedwe owiritsa kapena otentha ndikumata.

At kuwerengetsa cholecystitis, makamaka pakuwonjezereka, mulimbikitseni chithandizo chamankhwala opangira opaleshoni. Munthawi yothandizira kuchira, thanzi la wodwala ndilofunika kwambiri. Maola 12 pambuyo pa opareshoni, amaloledwa kumwa madzi osagwiritsa ntchito mafuta ang'onoang'ono mpaka 500 ml patsiku. Patsiku lachiwiri, kefir wopanda mafuta, tiyi wopanda mafuta, ndi kissel zimayambitsidwa m'zakudya zomwe siziposa 0,5 chikho chokhala ndi maola atatu.

Kwa masiku 3-4, chakudya chimaloledwa kale ndipo chakudya chimakonzedwa mpaka katatu patsiku, m'magawo a 150 g: mbatata zosenda (theka lamadzimadzi), msuzi wosenda, supu yoyera ya dzira, nsomba yosenda yophika, zipatso zonona. Kuchokera ku zakumwa, mumatha kumwa timadziti (apulo, dzungu) ndi tiyi ndi shuga. Pa tsiku lachisanu, makeke amphika a biscuit ndi buledi wouma wama tirigu amayamba. Pambuyo pa sabata, onjezani chimanga cha grated (buckwheat, oatmeal), nyama yowotchera nyama, tchizi tchizi, kefir, yogurt ndi masamba puree. Pambuyo pa izi, wodwalayo amatha kusamutsidwira Gawo manambala 5A, patapita kanthawi - Tebulo nambala 5.

Pambuyo pa opaleshoniyo, monga chotulukapo chake, zotupa zam'mimba zodalirika ndizotheka: cholangitis ndi choledocholithiasis - mapangidwe amiyala mu duct wamba ya bile, yomwe imawonetsedwa ndi zowawa zamkati, jaundice, malungo ndi kuzizira. Ngati choledocholithiasis sichinathetsedwe mwachangu, ndiye kukwera cholangitis.

Poganizira kuchuluka kwa matenda oyambitsidwa kapena oyambitsidwa ndi omwe amakhazikika Matebulo No. 5A kapena No. 5V. Zakudya zopanda mafuta okhala ndi cholesterol, fiber yosakola, mafuta ofunikira omwe amachititsa kupesa, magwero azinthu zina. Chakudya chophika chokha chimakonzedwa. Zakudya za nyama zimangodulidwa kapena kusenda, ndipo nsomba yophika imaloledwa mzidutswa. Chepetsa kuchuluka kwa masamba a masamba ndikulola iwo mu mawonekedwe a mbatata yosenda. Zipatso mu mawonekedwe a zakudya, zipatso zokometsedwa ndi zipatso zosenda ndi zipatso, ndi maapulo ophika okha.

Pambuyo cholecystectomy ngati alipo duodenitis ndi kapamba lembani modekha Zakudya nambala 5shch. Amagwiritsidwa ntchito mpaka masabata atatu ululu wamkati usanathe. Kenako, ikani tebulo loyambira Na. 5.

Ngati bile stasis imachitika pambuyo pa cholecystectomy, tikulimbikitsidwa Gawo No. 5 L / F - mafuta a lipotropic. Imathandizira katulutsidwe wa bile, imakhala ndi lipotropic. Uku ndikudya kwathunthu mwakuthupi, koma zomwe zimakhala ndi mafuta osavuta ndizochepa ndipo zomwe mafutawa amakula (nyama ndi mbewu zikufanana). Kuphatikiza pa mbale zotentha, zophika zophikidwa zimayambitsidwanso, ndikuti pakulimbikitse katulutsidwe ka bile, osati zotsekemera komanso zosakudya zazing'ono sizimayambitsa. Amaloledwa kugwiritsa ntchito mbewu monga pasta ndi crumbly, masamba ophika ndi zipatso zatsopano. Chakudya sichisankhidwa. Sizikuphatikiza. Zakudya m'magawo ang'onoang'ono.

Njira zochizira

Zotsatira zabwino zabwino zimathandiza kuti pakhale chakudya chamagulu a kapamba ndi cholelithiasis, zakudya zopatsa thanzi zoyenera zimapewera opaleshoni ndikuchotsa ziwalo zomwe zakhudzidwa. Zakudya ndizofunikira kwambiri pazamankhwala ndi opaleshoni.

Kuti athetse vutoli, antispasmodics (kuthetsa ululu), maantibayotiki (kuti athetse kachilomboka), hepatoprotectors (kuteteza chiwindi kuti asasinthe bile, kuwonongeka) akulimbikitsidwa.

Ngati chithandizo chosasamala sichingabweretse zotsatira, pamakhala nthenda yamatenda, kuchitidwa kuchotsa ndulu. Pambuyo pa kulowererapo, wodwalayo ayenera kutsatira chakudya patebulo No. 5 malinga ndi Pevzner kwa nthawi yayitali.

Ndizakudya ndi zakudya zomwe zimapangitsa kuti zinthu zikhale bwino, makamaka:

1. kuopsa kwa matendawa
2. thupi la wodwalayo,
3. gawo la matenda.

Kuti muchepetse chiopsezo chachiwopsezo chachiwiri, muyenera kupatula zakudya zoletsedwa, kutsatira malangizo a katswiri wazakudya zokhudzana ndi njira zoyenera zochizira kutentha.

Momwe mungadye ndi matenda a ndulu

Thanzi la matenda a ndulu ndi kapamba zimatha kusintha pomwe wodwalayo achira. Panthawi yakuchulukirachulukira, pamafunika kupewa mbale zingapo zomwe zimatha kudyedwa pakukhululuka kosalekeza.

Ndikofunikira kudziwa kuti mbale ndizotentha kapena kuwiritsa ndi mchere wochepa. Zinthu zouma ndi kusuta zimachotsedwa kwathunthu. Ndi kuchulukitsa, zakudya zonse ziyenera kukhala pansi, kudya magawo ang'onoang'ono osachepera 5-6 patsiku. Ndi zovomerezeka kudya nthawi yogona, kuthamanga ndikutafuna chakudya moyipa.

Amaloledwa kudya nyama ya nkhuku, kalulu, ng'ombe, nsomba zamitundu yosakhazikika, kuphatikizapo mtsinje.Kuletsedwako kunaphatikizapo nkhumba, kusuta nyama ndi soseji. Ponena za mazira a nkhuku ndi zinziri, zimadyedwa m'mawonekedwe okha, zimaloledwa kuphika omelet ya protein.

Mafuta ophikira amatha kuphatikizidwa muzakudya, batala imaloledwa pakulowetsa matendawa, osaposa magalamu 15. patsiku mafuta a maolivi omwe ali ndi cholecystitis ndi kapamba samadyedwa kuposa supuni patsiku. Kuchokera pazinthu zopangidwa ndi ufa, ndizovomerezeka kudya:

Zowonongeka zimayambitsidwa ndi ma pie wokazinga, mkate wopanda ufa, mkate, makeke, mkate ndi chinangwa.

Zakudya za m'matumbo ndimatumbo chifukwa chogwiritsa ntchito mbewu monga chimanga, zimadya pafupifupi mitundu yonse ya mbewu, kupatula pasitala opangidwa kuchokera ku ufa wofewa. Mbale ndi vermicelli zimawonjezeka supu ya nkhuku yokhala ndi masamba, masamba, supu ya nsomba.

Zakudyazi ziyenera kuphatikizapo zakudya zamkaka, muyenera kuphatikiza tchizi chamafuta ochepa, mkaka, mkaka wophika wopanda mafuta ndi kefir mumenyu. Simungadye zotsekemera, zamchere, zokhala ndi mkaka wopanda mchere. Mukamagwiritsa ntchito zakudya zamkaka, muyenera kumvetsera thupi lanu, ndikulolera bwino kumaloledwa kudya tchizi chambiri, musaiwale za yogurt yachilengedwe, kirimu wowawasa wa mafuta ochepa.

Pakukhululukidwa kwamatenda oyamba, masamba ndi zipatso zimatha kuwonjezeredwa ku zakudya, kupatula mitundu ya acidic ndi zipatso za zipatso (mphesa, lalanje, mandarin). Kupatula mu lamulo adzakhala azikudya:

Izi zobiriwira zimakhala ndi ma acid zomwe zimakwiyitsa mucous membrane wam'mimba.

Ndikofunika kuyang'anira momwe amamwa zakumwa, mutha kumwa tiyi wopanda mphamvu komanso wakuda, osungunulidwa ndi madzi owiritsa, masamba ndi madzi a zipatso (pewani mphesa, chitumbuwa, mandimu a lalanje). Ndi zoletsedwa kumwa mowa ndi zakumwa zilizonse zokhala ndi mowa, makamaka ndi mowa wa pancreatitis.

Simungathe kuwonjezera viniga, mpiru, wakuda ndi allspice, msuzi wa soya, mayonesi ndi zina zokometsera zokometsera zowonjezera kumbale.

Kodi ndizotheka uchi, khofi?

Ndi pancreatitis ndi ma gallstones, maswiti amaloledwa, koma mochuluka kwambiri. Uchi wachilengedwe umapindulitsa thupi, umakhala ndi zinthu zambiri zofunikira komanso zofunikira kwambiri m'zakudya za anthu. Komabe, munthu asayiwale kuti pali chiwopsezo chowonjezeka cha thupi lanu chifukwa cha njuchi.

Ndemanga za odwala amati pali maphikidwe angapo othandizira matenda a ndulu. Mutha kumwa katatu patsiku uchi, kuchepetsedwa ndi kapu yamadzi otentha owiritsa.

Pokana kukokoloka kwa ndulu, kulowetsedwa kwazitsamba ndi uchi, mankhwalawa amakonzedwa kuchokera ku hops, muzu wa valerian, clover. Ngati musakaniza madzi amtundu wakuda ndi uchi, mudzalandira othandizira komanso prophylactic wothandizira pancreatitis, cholecystitis ndi zovuta zina. Kapu ya radish madzi osakaniza, uchi womwewo, umadyedwa supuni kangapo patsiku.

Musanagwiritse ntchito maphikidwe omwe akuyembekezeredwa, amafunika kuyang'ana kukhalapo kwa tsankho la munthu payekha.

Zakudya za duodenitis ndi kapamba zimaphatikizapo kumwa khofi:

• sungunuka
• osamalira
• zakumwa zoziziritsa kukhosi

Khofi wa Instant ndi zakumwa zamagetsi, zomwe zimakhala ndi caffeine wambiri, ndizowopsa.

Wodwala akangodwala nthawi yomweyo "maluwa" ambiri, khofi sikhala kunja kwa mndandanda. Ngati chizolowezi chomulimbikitsa chakumwa sichimasiya munthu, amamwa khofi ndi mkaka wopanda pake ndipo m'mawa okha.

Masamba othandiza komanso osapatsa thanzi, zipatso

Matenda a Gallstone, gastroduodenitis ndi chifuwa chachikulu cha pancreatitis amafunika kuti wodwalayo adye zipatso zambiri ndi ndiwo zamasamba, zina zomwe zimadzakhala zochiritsa. Mankhwala achikhalidwe amapereka m'mimba yopanda kanthu kuti mumwe supuni zochepa za msuzi wa sitiroberi, chinsinsi chimathandizira kulimbana ndi miyala mu chikhodzodzo, kutupa konkitsa. Kuphatikiza apo, sitiroberi amathandizira kuti magazi achepetse kwambiri.

Othandizira zakudya samaletsa kudya vwende, chivwende, nthochi, maapulo, mapeyala, yamatcheri, mapeyala ndi zipatso zosiyanasiyana. Kupatula kumakhala acidic mitundu ya maapulo, zipatso, mwachitsanzo, cranberries.

Chakudyacho chimaphatikizapo kugwiritsa ntchito beets, phweteke kucha, mbatata, kaloti, maungu ndi zukini. Mosamala idyani kabichi yamtundu uliwonse, makamaka yoyera ndi savoy. Kabichi ukhoza kugwiritsidwa ntchito pokhapokha kuchotsedwa, makamaka mu mawonekedwe owiritsa kapena othandizira.

Kugwiritsa ntchito tomato kumayambitsa mikangano yambiri, madokotala amavomereza kuti tomato ayenera kucha, osati acidic, mtundu wawo ukhoza kukhala uliwonse. Pokhala ndi chidaliro pakulekerera kwazomwe zimachitika, sizipweteka kusenda masamba, idyani zamkati zokha.

Momwe mungadye ndi ZhKB ndi kapamba amauza katswiri muvidiyoyi.

Mfundo za zakudya za matenda olowa

Kuphatikiza kwa cholelithiasis ndi kapamba kumafunikira kutsatira mfundo zachikhalidwe zopatsa thanzi:

• Kupatula zakudya zam'mafuta ambiri
• chepetsa ndende,
• kusankha zinthu zomwe zili ndi mchere wambiri wa magnesium ndi mafuta osakwaniritsidwa, kuti muchepetse cholesterol yambiri,
• kuchuluka kwamasamba atsopano menyu,
• m'malo njira zonse kutentha mankhwala a mankhwala ndi amodzi - wofatsa.

Zakudya ziyenera kukhala zopindika - chakudya chizichotsedwa kangapo patsiku, koma m'magawo ang'onoang'ono. Zakudya zamafuta zimayenera kuchuluka mpaka malita awiri patsiku.

Ndi zakudya ziti zomwe zikuyenera kugwiritsidwa ntchito muzakudya?

Zakudya zoyenera ndi kuphatikiza kwa cholelithiasis ndi kapamba zimayenera kuphatikizapo zakudya zomwe zimakhala ndi michere yazomera, mavitamini, ndi mchere wa magnesium. Nthawi yomweyo, chakudya chimayenera kupukutidwa, ndipo kumwa kumayenera kuyatsidwa. Chakudya choterocho chimapereka:

• kukondoweza kwa matumbo a m'mimba,
• Kuchepetsa kutupa,
• kufooka kwa kukokana.

Tebulo lomwe lili pansipa likuwonetsa kuti ndi zinthu ziti ndipo ndi zovomerezeka motani kwa anthu omwe apezeka ndi matenda a ndulu limodzi ndi kapamba:

Kuchokera pa tiyi wa zakumwa, ma compotes ndi misuzi ndizoyenera. Ndi kulemera kwambiri kwa thupi, wodwalayo ayenera kuchepetsa kwambiri maswiti, chimanga, zinthu zophika mkate.

Zopeka

Ndi kuphatikiza kwa ma pathologies, zakudya siziyenera kuphatikizapo zinthu zotsatirazi:

• mafuta
• khofi
• amadyera
• nkhumba
• masoseji
• mowa
• margarines
• ankasuta nyama
• wolakwa,
• mkaka wamafuta
• mitundu ya zipatso zamchere
• msuzi wonenepa,
• kuteteza mafuta
• thukuta losuta,
• zakumwa zoziziritsa kukhosi
• pasitala wolimba
• muffin, ma pie, mitundu yamkate yoyera.

Komanso mu zakudya siziyenera kukhala zokometsera monga tsabola, viniga ndi mpiru. Nthawi yomweyo asanagone, sizikulimbikitsidwa kudya, ndipo chakudya chamasana chiyenera kuchitika pang'onopang'ono.

Zosankha zabwino za LCD ndi kapamba

Kwa wodwala yemwe ali ndi matenda amtundu wotere, zakudya zosiyanasiyana zimagwiritsidwa ntchito, kutengera gawo lomwe matendawa ali.

Kwa nyengo yachikhululukiro, mwachitsanzo, menyu uwu ndioyenera:

1. Chakudya cham'mawa: masamba owola a nyama osakanikirana ndi saladi wa karoti.
2. Chakudya chamasana: casserole a mpunga kapena tchizi chokoleti ndi saladi wamasamba.
3. Chakudya chamadzulo: chofufumitsa nsomba zokhala ndi mpunga.
4. Zosakhazikika: omelet ya protein.
5. Chakudya chamadzulo: msuzi wa mbatata ndi dzungu ndi saladi wa apulo.

Kumwa madzimadzi mukatha kudya sikuvomerezedwa kale kuposa kotala la ola (kupatula chakudya chamasana ndi chakudya chamadzulo) monga:

Sabata imodzi yokha ngati chakudya chadutsa, wodwalayo ayenera kukonza tsiku losala kudya: - chakudya cham'mawa, nkhomaliro, nkhomaliro, chakudya chamadzulo ndi chakudya chamadzulo, 0,9 l ya kefir ndi chisakanizo cha 0,15 kg shuga ndi 0,3 kg ya kanyumba tchizi.

M'nyengo yotentha ndi yophukira, tsiku lotha msanga kwambiri ndi lomwe lingakhale yankho labwino kwambiri, pomwe chakudya chokha ndi chipatso.

Pomwe matendawa atakula, komanso pali matenda opweteka, kudya nkoletsedwa. Wodwalayo azikhala ndi malire pakumwa madzi kwa masiku awiri kapena atatu. Munthawi imeneyi, kapamba ndi vesica biliaris ali ndi nthawi yopuma, kumasulidwa kwa bile kumakhala kochepa. Patsiku 4, wodwalayo amatha kusamutsidwa ku tebulo No. 5. Nthawi yomweyo, chakudya chimayenera kugawidwa m'magawo ang'onoang'ono, ndipo nyama ndi msuzi sizimayikidwa.

Mwachitsanzo 5 patebulo lodyera matenda a ndulu

Chakudya chimaphikidwa mwatsopano, chophika kapena chopatsa. Zogulitsa zoterezi zimatha kubowoleza ndulu, zimatsogolera kutuluka kwa ndulu, sizimalola kupsinjika mopitirira muyeso mthupi ndipo zimapereka mtendere.

Makina oyandikira tsiku limodzi:

1. Chakudya cham'mawa: kuwonjezera oatmeal ndi kagawo ka tchizi pa mkate wa rye.
2. Chakudya chamadzulo: peyala yowutsa mudyo.
3. Chakudya chamasana: mpunga wowiritsa ndi nsomba zomasulira nsomba zosambitsidwa ndi zipatso zambiri.
4. Zakudya zosafunikira: zopaka zofewa ndi kapu yamkaka wokhala ndi mafuta ochepa.
5. Chakudya chamadzulo: kuwonjezera vinaigrette mu mafuta a masamba ndi yolika dzira yolk ndi kumwa ndi kapu ya kefir ndi kuwonjezera kwa ma apricots ofewa.

Gawo lowonjezera la kuphatikiza kwa ma pathologies limafunikira kukhala pachakudya chotere kwa sabata limodzi. Kubwereza kopitilira kamodzi kuchokera kwa anthu omwe akudwala matendawa kumati kungowerengera nthawi yayitali komanso kutsatira kwambiri zakudyazo, kuchotsedwako kukakhalapo.

Zotsatira za kuperewera kwa zakudya m'thupi kwa wodwala

Ngati wodwalayo amalakwitsa pakudya, komanso, akayesa njira yodziwika yazakudya zonona zamafuta, ndiye kuti akuyembekezeredwa kupititsa patsogolo matenda obisika. Loyamba, monga lamulo, odzipereka a ndulu, omwe amawonetsedwa ndi zizindikiro zotsatirazi:

1. Kuwukira kwak pachimake kwa kupweteka kwa hypochondrium kapena epigastrium, ndikumasulira kosiyanasiyana, mpaka kuwawa.
2. Psycho-chamatsenga.
3. Hyperthermia.

Kutalika kwa kuukiridwa kungakhale mphindi ndi masiku. Zowawa zimatha pambuyo poti mwala ulowa mu lumen ya duodenum.

Kutupa kwa kapamba kumakhala kofala. Chiyambi chake chitha kuweruzidwa ndi izi:

• kupweteka kwambiri m'chiuno ndi mitsuko yambiri,
• chisangalalo
• kubwatula
• kutsegula m'mimba
• nseru kutembenukira kusanza
• kutopa kwambiri.

Kuti muthane ndi izi mwachangu ndikuletsa kuti zisabwererenso m'tsogolo, mutha kungotsatira zakudya zoyenera. Mankhwala aliwonse omwe samathandizidwa ndi zakudya zabwino amakhala osakwaniritsidwa.

Ndi zinthu ziti zomwe zimaloledwa

Zakudya zophatikiza ndi kapamba ndi cholelithiasis ziyenera kukhala ndi ma coarse, mavitamini, ndi michere yambiri.

Pali kusintha kwa mwala mu msuzi wokhala ndi duwa lakuthengo. Ndi cholelithiasis, kumwa mankhwala oterowo ndikofunikira tsiku lililonse.

Chakudya chizikhala chosamala: yosenda, minced mu chopukusira nyama, chosemedwa ndi blender. Kumwa kuyenera kukhala kosangalatsa. Chakudya choterocho chidzapereka:

• chimbudzi
• odana ndi yotupa
• antispasmodic zotsatira.

Zakudya zomwe zimaloleza kapamba ndi ZhKB:

• nyama zodala: nkhuku (fillet yopanda khungu), kalulu, ng'ombe yotsamira, nyama yamwana wamchere,
• nsomba: hake, pollock, halibut,
• mazira mawonekedwe a omelet ya protein,
• mafuta azipatso zamasamba: maolivi, coconut, mafuta, mafuta a mpendadzuwa,
• batala ndi chikhululukiro chosalekeza,
• mbewu: buwheat, oatmeal, mpunga,
• tirigu wokazinga
• zipatso zophika, masamba,
• supu zamasamba, msuzi wofowoka wa nyama,
• kanyumba tchizi zakudya casseroles,
• msuzi wofewa.

Mutha kumwa zipatso zosamwa, tiyi wopanda mphamvu, chakumwa cha chicory, madzi ofunda a mchere, madzi a mabulosi olekanitsidwa.

Zogulitsa kwathunthu kapena pang'ono

Pazifukwa zamatumbo am'mimba, zotsatirazi ziyenera kusiyidwa kwathunthu:

• nyama zamafuta
• mafuta
• khofi
• masoseji,
• mizimu
• margarine, kufalikira,
• ankasuta nyama
• nyama inayake (chiwindi, impso, ubongo),
• zamafuta amkaka (tchizi tchizi, tchizi, kirimu wowawasa, kirimu, mkaka wonse),
• amadyera
• zipatso zouma ndi zipatso,
• zakumwa zotsekemera za kaboni
• durum tirigu
• kusamalira, ngakhale kunyumba,
• ufa.

Ngati zakudya 5 zimayikidwa, ndiye kuti simungagwiritse ntchito zonunkhira, zonunkhira. Msuzi wosiyanasiyana wokhala ndi zonunkhira ndi viniga - cholemetsa chowonjezera pa kapamba.

Uchi ndi zinthu zina za njuchi zitha kudya pang'ono.

Chitsanzo cha Zakudya Za Sabata

1. Chakudya cham'mawa: makeke ophika biscuit ndi gawo la tchizi wopanda mafuta, tiyi wobiriwira wopanda mphamvu.
2. Chakudya chamadzulo: mapuloteni omelet, 50 g azitsamba zoyera, supuni ya tiyi ya uchi, decoction ya zipatso zouma.
3. Chakudya chamadzulo: phala la mpunga la mucous wokometsedwa ndi mafuta a azitona, chidutswa cha nkhuku chouma, apulo wowotcha, khofi wa chicory.
4. Zakudya zazing'ono: tchizi chamafuta ochepa.
5. Chakudya chamadzulo: phala yochokera ku oat chinangwa, saladi wa kaloti ndi maapulo, mabulosi compote.

1. Chakudya cham'mawa: phala la buckwheat mu mkaka wopanda lactose ndi uchi, tiyi wobiriwira.
2. Chakudya chamadzulo: apulosi wophika.
3. Chakudya chamasana: puree ya masamba kuchokera ku zukini ndi broccoli, nyama yamchere yophika.
4. Zakudya zoziziritsa kukhosi: kapu ya kefir yamafuta ochepa.
5. Chakudya chamadzulo: msuzi wamasamba, kapu ya yogati yachi Greek, mkate.

1. Chakudya cham'mawa: oatmeal mu mkaka wopanda madzi (1: 1), supuni ya uchi, masikono, tiyi wobiriwira.
2. Chakudya chamadzulo: kapu ya kefir ndi mkate.
3. Chakudya chamadzulo: msuzi wofowoka wa nkhuku, mkate, msuzi wa rosehip.
4. Zakudya zoziziritsa kukhosi: kapu ya mafuta ochepa ofewa.
5. Chakudya chamadzulo: nsomba zovekedwa ndi masamba ophika, zipatso zouma.

1. Chakudya cham'mawa: omelet ya mapuloteni otentha, ma cookie a biscuit, tiyi wobiriwira.
2. Chakudya chamadzulo: tchizi chokoleti ndi tiyi.
3. Chakudya chamadzulo: filletu ya nkhuku yophika masamba.
4. Zosadya: msuzi wowawasa ndi masamba.
5. Chakudya chamadzulo: apulo wophika, tiyi ndi uchi.

1. Chakudya cham'mawa: kanyumba tchizi casserole ndi tiyi.
2. Chakudya chamasana: mkate ndi msuzi wa rosehip.
3. Chakudya chamadzulo: mbale ya msuzi wokhala ndi masamba oyera, batala pang'ono kapena kirimu wowawasa akhoza kuwonjezeredwa ku msuziwo ndi chikhululukiro chokhazikika.
4. Zosadya: yogurt yama Greek, compote ya zipatso zouma.
5. Chakudya chamadzulo: dumplings nkhuku, saladi wa karoti, tiyi wobiriwira.

1. Chakudya cham'mawa: oatmeal, wokondedwa, tiyi.
2. Chakudya chamadzulo: buledi ndi msuzi kuchokera ku chiwongola.
3. Chakudya chamasana: msuzi wa nsomba, gawo la zinthu zosaka zomwe zimapangidwa ndi mikate yoyera, compote.
4. Zakudya zoziziritsa kukhosi: kapu ya mafuta ochepa otsika.
5. Chakudya chamadzulo: masamba ophika, chidutswa cha nyama yamchere yophika, tiyi wobiriwira.

1. Chakudya cham'mawa: jellies wa zipatso, mabisiketi, khofi wa chicory.
2. Chakudya chamadzulo: nsomba zamkati, saladi wa karoti.
3. Chakudya chamadzulo: nyama souffle, mkate, compote.
4. Zosakhazikika: apulosi wophika.
5. Chakudya chamadzulo: nsomba casserole, ochepa zoumba, tiyi wobiriwira.

Zakudya zoterezi ndizoyenera matenda a ndulu ndi kapamba. Zakudya zimatha kusinthidwa malinga ndi zomwe amakonda ndi gawo la matendawa.

Momwe mungaphikire zakudya zopatsa thanzi

Ndiosavuta kuti odwala azitsatira zakudya ngati mbale zomwe zili mmenemo ndizosiyanasiyana komanso ndizokoma. Ndikofunikira kutsatira malamulo ophika ndi kupereka zakudya.

Maphikidwe otsatirawa ndi oyenera kwa odwala omwe ali ndi zakudya 5P ndi 5A:

1. Steam cutlets kuchokera ku Turkey. Zosakaniza: 200 g wa Turkey burlet, 30 g ya mikate yoyera, 50 ml ya mkaka, supuni zitatu za masamba amchere, mchere kuti mulawe. Zilowerereninso mkate kwa theka la ola mkaka. Konzani minced nyama kuchokera nyama, kuwonjezera batala, mchere, mkate ndi mkaka. Sakanizani bwino, kupanga cutlets. Valani gridi yophika mafuta owiritsa kawiri, kuphika kwa mphindi 30 mpaka 40.
2. Nsomba mu Bechamel mkaka msuzi. Kuphika fillet iliyonse yamafuta otsika mu zojambulazo. Pa msuzi mumafunika mkaka wa 150 ml (mafuta okhathamira mpaka 3.2%), supuni ya batala, supuni ya ufa, uzitsine wa shuga, mchere kuti mulawe. Sungunulani batala mu poto, kuthira ufa ndi sume. Mwachangu ufa kwa mphindi ziwiri. Thirani mkaka (uyenera kukhala wotentha) mumtsinje woonda. Mukawiritsa, kuphika kwa mphindi 10 zina. Onjezani shuga ndi mchere. Thirani nsomba mu msuzi womalizidwa.
3. Zakudya za Olivier. Pophika, mumafunikira karoti wamtundu umodzi, mbatata ziwiri, mazira awiri, 300 g ya nkhuku yophika, nkhaka yatsopano, supuni ya kirimu wowawasa wopanda mafuta.Mbatata za peel ndi kaloti, wiritsani m'madzi amchere. Mazira owiritsa kwambiri. Sendani nkhaka. Dulani zosakaniza zonse mu cubes, kusakaniza, mchere, nyengo ndi kirimu wowawasa.
4. Kupaka mkate wopanda kuphika. Zosakaniza: 1 nthochi yakucha, chisa chamapatani (mutha kumwa zatsopano 2), 300 ml ya yogurt yopanda mafuta, makeke amsikuni, 200 ml yamadzi, thumba la gelatin. Thirani gelatin ndi madzi ofunda, lolani kupasuka. Onjezerani yogati ndikusakaniza. Valani pansi poto ndi zikopa. Gulani makekewo kukhala zinyenyeswazi. Ikani zosakaniza mu zigawo. Tumizani makeke omaliza ku firiji usiku wonse. M'mawa, mcherewo wakonzeka.

Zinthu zophika ziyenera kukhala zatsopano. Osagula nyama ndi nsomba m'misika yachilengedwe. Mkaka ndi tchizi tchizi sizingadyedwe zosaphika.