Zakudya zopatsa thanzi pambuyo pa opaleshoni ya pancreatic zimaphatikizapo magawo awiri. Poyamba, wodwalayo amalandira michere m'njira yochita kupanga (probe, parenteral). Gawo lachiwiri limaphatikizapo kutsatira kwambiri zakudya zapadera.
Popeza zakudya zimakhudza mwachindunji zotsatira za opaleshoni, nthawi yayitali ya kukhazikitsidwa kwa zakudya m'thupi ndi masiku osachepera 10. Chifukwa cha izi, mutha kuchepetsa chiopsezo cha zovuta za postoperative.
Pambuyo pakudya chamagetsi, kuti muchiritse kwathunthu komanso mwachangu, ndikofunikanso kutsatira zakudya zapadera. Chifukwa chake, wodwala aliyense ayenera kudziwa zoyenera kudya pambuyo pakuchita opaleshoni pamapazi ndikumvetsetsa zonse zomwe zimadya.
Matenda a kapamba omwe amafuna opaleshoni
Nthawi zambiri, opareshoni imachitika ngati pancreatitis yayikulu imapezeka, yomwe singathe kugwiritsa ntchito mankhwala. Kuchita opaleshoni kumafunikanso kuti hemorrhagic (hemorrhage mu gland) komanso purulent mawonekedwe a matendawa.
Chizindikiro cha opaleshoni ndi pancreatic necrosis, momwe necrosis (imfa) yamaselo am'mimba imachitika.
Njira ina yothandizira opaleshoni ndiyofunikira ndi enzymatic kapena purulent peritonitis.
Kutulutsa kwina kwa Parenchymal kumachitika ngati chotupa chapezeka mchira wa chiwalo.
Ntchito zimachitika pamaso pa zotupa mu khansa ya thupi ndi mutu. Poterepa, gawo lina la nduluyo limatuluka kapena chiwalo chimachotsedwa kwathunthu.
Pambuyo pancreatectomy, wodwalayo amayenera kumwa ma enzymes onse, amapatsidwa jakisoni wa insulin.
Komanso, wodwalayo ayenera kutsatira zakudya zapadera, zomwe sizingapangitse kuwonjezera pamimba ndipo zimakhutitsa thupi ndi zinthu zonse zofunikira.
Zolemba za postoperative zakudya
Zakudya pambuyo pancreatic opaleshoni adapangidwa ndi ma gastroenterologists mu 30s. Chakudya chimakhala ndi mapulogalamu osiyanasiyana, omwe amalembedwa ndi zilembo ndi manambala (0-15).
Sabata yoyamba atamuchita opaleshoni, wodwalayo ayenera kutsatira nambala 0 ya chakudya. Mfundo zake ndizokhazikitsidwa pakudya osati chakudya, komanso zakudya zaumoyo mwamadzimadzi.
Kalori kudya tsiku limodzi - 1000 kcal. Ndikofunikira kumwa mpaka malita awiri amadzimadzi patsiku.
Sabata yotsatira muyenera kudya malinga ndi malamulo a zakudya No. 1A. Wodwalayo amaloledwa kudya chakudya chophika kapena zinthu zophika mu boiler wowonjezera ndi mbale zoyeretsa.
Chakudya chizikhala pafupipafupi - mpaka 6. Zakudya za calorie patsiku zimakhala mpaka 1900 kcal. Mwa mbale zomwe zalimbikitsidwa, ndizoyenera kuwunikira supu zapamwamba, soufflé yothinitsidwa, chimanga chamadzimadzi, zakudya, zakudya ndi zakudya.
Pakatha masiku 45-60 atachitidwa opaleshoni, wodwalayo amaloledwa kusinthana ndi zakudya Zakudya 5. Mawonekedwe ake ndi awa:
- Chakudya chimatengedwa m'magawo mpaka 300 g kuchokera pa 6 pa tsiku.
- Zakudya zopatsa thanzi zimayambitsidwa mumenyu (chimanga, zopaka, mkate wopanda pake, makeke osakanikira).
- Zakudya za calorie patsiku sizidutsa 1900 kcal.
Pang'onopang'ono, chatsopano chatsopano chimawonjezeredwa ku zakudya zatsiku ndi tsiku. Mwachitsanzo, nyama yakudya, azungu a mazira kapena yogurt yamafuta ochepa ndi tchizi chanyumba.
Zakudya pambuyo pochotsa zikondamoyo zili ndi zina. Chifukwa chake, zakudya sizingadyedwe zochuluka. Izi zimabweretsa kukhumudwa m'mimba komanso kudzimbidwa.
Ndikofunikira kumwa zamadzi zambiri. Izi zimapangitsa kuti magazi azisungika komanso kuti magazi azisungika bwino.
Ngati wodwalayo achotsa chithokomiro chonse pakuchita opareshoni, ndiye koyamba kwa masiku atatu atachitidwa opaleshoni, ayenera kufa ndi njala. Zakudya zotsatira zidzakhala zofanana ndi zomwe tafotokozazi.
Malamulo ena ofunika okhudzana ndi zamankhwala pambuyo pakuchita opaleshoni ya gland:
- Kupuma pang'ono pakati pa chakudya kuyenera kupewedwa. Ngati simukudya kwa maola opitilira 4, m'mimba muzipanga timadziti, timene timayambitsa kutupa kapena kudzimbidwa kwa m'mimba.
- Kuphika kuyenera kuchitidwa ndi njira ziwiri - kuphika ndi kuphika.
- Zakudya zonse ziyenera kudyetsedwa kutentha. Zakudya zozizira zimakwiyitsa mucosa, zomwe zimayambitsa kutupa ndi kuchuluka kwa kapamba.
- Ndi kuchira msanga kwa chiwalo komanso kusakhalapo kwa zovuta za postoperative, maswiti amaloledwa kudyedwa patatha masiku 60 atachitidwa opareshoni. Komabe, izi sizitanthauza kuti mutha kudya keke ya Napoleon, Persimmon kapena nthochi. Choyambirira ndi zonona kapena zipatso kuchokera ku zipatso ndi zipatso.
Pankhani ya kulolerana kwa glucose, monga matenda ashuga, ndikofunikira kupatula kapena kuchepetsa kuchuluka kwa chakudya chamagulu ochepa. Ndipo zovuta zovuta za chakudya zimagawanitsa pakati pa zakudya zonse.
Zakudya pambuyo pancreatic resection nthawi zambiri zimaphatikizidwa ndi maultivitamini, omwe amayenera kutumizidwa ndi dokotala.
Minyewa ikachotsedwa kwathunthu, wodwalayo amapatsidwa insulin.
Malonda Ovomerezeka ndi Oletsedwa komanso Zakudya Zachitsanzo
Pambuyo pakuchita opaleshoni pa kapamba, kapamba, cholecystitis ndi matenda ena am'mimba, mitundu yamafuta ochepa a nsomba (carp, nsomba, cod, pike perch) ndi nyama (nkhuku, nkhuku, mwanawankhosa, veal) ndizothandiza. Amaloledwa kudya chiwindi ndi soseji ya dokotala, koma osati m'malo ambiri.
Pochulukirapo, mafuta a masamba (mkungudza, maolivi), mafuta achilengedwe ndi mazira owiritsa amawonjezedwa muzakudya. Komanso, odwala amawonetsedwa tsiku lililonse kugwiritsa ntchito oatmeal, mpunga, masamba ndi sopo wa barele.
Kuchokera pazinthu zamkaka mungathe kumwa yogati, mkaka (1%) ndikudya tchizi cholimba (30%). Kuchokera pa ufa amaloledwa kugwiritsa ntchito ma biscuit cookies, mkate wa tirigu, bagels ndi crackers.
Zina zovomerezeka ndizophatikiza:
- shuga wopanda mafuta;
- zipatso (nthochi, maapulo ophika);
- masamba (mbatata, zukini, kaloti, kolifulawa);
- zakumwa (hibiscus, timadziti zachilengedwe, odzola).
Zakudya zoletsedwa pambuyo pachitetezo cha pancreatic zimaphatikizapo chakudya chilichonse chokazinga, nyama yamafuta, zonunkhira, nyama zosuta, zakudya zamzitini, zipatso. Sitikulimbikitsidwa kudya zakudya zamafuta ambiri (kabichi, beets).
Kuyambira mkaka, wokometsedwa, wopanga tokha, tchizi chamchere ndimaletsedwa. Simungadye msuzi wambiri, kuphatikiza ketchup ndi mayonesi. Woletsa masamba ndi zipatso - mphesa, makangaza, zipatso, malalanje, maapulo wowawasa, tomato, biringanya ndi bowa.
Za maswiti, sikulimbikitsidwa kugwiritsa ntchito chokoleti, ayisikilimu, zikondamoyo, makeke, makeke ndi makeke. Mu nthawi yogwira ntchito, kuchotsedwa kwa tiyi wamphamvu, khofi, mowa, zakumwa zoledzeretsa ndi mitundu ina ya zipatso (mphesa, lalanje, apurikoti, apulo) kuchokera menyu akuwonetsedwa.
Zakudya zamagulu atatha kupatsidwa chithandizo chamankhwala othandizira kapamba ndizothandiza kwambiri - njira yophikira chakudya chilichonse chomwe ndi gawo la zosankha za tsiku ndi tsiku ndizosavuta. Chifukwa chake, supu zambiri komanso zokometsera mchere zitha kukonzedwa osati ndi munthu wamkulu, komanso ndi mwana.
Zakudya zoyenera za postoperative zakudya za pancreatic pathologies:
- Chakudya cham'mawa - phala lamadzi-amadzimadzi kuchokera ku mpunga kapena oatmeal, omelet.
- Chakudya chamasana - yogurt yamafuta ochepa kapena apulo wophika.
- Chakudya chamadzulo - nyama yamphesa, nsomba yophika, msuzi wa masamba kapena phala lamadzi ndi gawo la mkate dzulo.
- Chakudya chamadzulo masana - zipatso ndi mabulosi odzola.
- Chakudya chamadzulo - dumplings za nsomba ndi kapamba ndiye njira yabwino kwambiri. Maphunzirowa akhoza kuthandizidwa ndi masamba ophika kapena ophika.
- Musanagone - kissel kapena yogurt yamafuta ochepa.
Kodi ndi zinthu ziti zomwe mungagwiritse ntchito pambuyo pa opaleshoni zomwe zafotokozedwa muvidiyoyi.
