Pancreatitis ndimatenda oopsa omwe anthu opitilira 40 amakhala nawo. Chithandizo cha matenda owopsa a matendawa chimachitika pogwiritsa ntchito mankhwala amphamvu, komabe, kuchira kwathunthu ndikotheka pokhapokha mutasintha moyo wanu komanso kutsatira zakudya zolimba kwambiri.
Komabe, sikuti zakudya zonse zamankhwala ndizothandizanso pakukula kwa kapamba. Akatswiri amakono a gastroenterologists amavomereza mogwirizana kuti zakudya 5 zokhala ndi kapamba ndiye chakudya chosalira kwambiri ndipo zimathandiza kwambiri kuchepetsa kulemera kwa odwala.
Koma kodi chakudya chizikhala chiyani tsiku lililonse ndi kapamba ndi cholecystitis? Ndi zakudya ndi mbale ziti zomwe zimaloledwa ku matendawa, kuwaphika ndi zomwe atumikire? Ndi nkhani izi zomwe nthawi zambiri zimabuka mwa odwala omwe ali ndi vuto la kutupa kwa pancreatic.
Mawonekedwe
M'masiku oyamba awiri mpaka atatu pambuyo povulaza matenda a kapamba, wodwalayo akulangizidwa kuti azikhala ndi nthawi yokwanira kudya ndi kumwa. Kusala kouma koteroko kumathandizira kuchepetsa nkhawa za zikondamoyo zoyipitsidwa komanso kuchepetsa matendawa. Pofuna kupewa kuchepa thupi komanso kufooketsa thupi, njira zapadera zama michere zimaperekedwa kwa wodwala kunyumba kapena kuchipatala.
Pa tsiku lachinayi, wodwalayo akulangizidwa kuti pang'onopang'ono athere ndi njala ndikuyambitsa chakudya chake choyamba. Poyamba, kuti ayambe kugwira ntchito kapamba, wodwalayo amapatsidwa madzi amchere amchere, msuzi wa rosehip ndi tiyi wobiriwira.
Pambuyo pokhapokha, munthu yemwe ali ndi matenda a kapamba amatha kusinthana ndi thanzi labwino malinga ndi chakudya patebulo 5. Ndikofunika kudziwa kuti zakudya nambala 5 ndizokhazikika ndipo zimaletsa zoletsa osati pazogulitsa zingapo, komanso njira zambiri zophikira.
Zolinga zazikulu za kadyedwe 5 ndikuchepetsa kubisalira kwa michere ya m'mimba ndi kapamba, kuchepetsa mphamvu yamagetsi, yamafuta ndi makina pazakudya zam'mimba, kupewa kukula kwa kufinya ndi mafuta kulowa pansi, ndikuchepetsa chiopsezo cha masanza a ndulu.
Kuti muchiritse bwino, ndikofunikira kutsatira zakudya izi kwa miyezi osachepera 8, makamaka chaka chimodzi. Izi zimachepetsa mwayi womwe ungayambirenso, womwe umatha kubweretsa khansa ya pancreatic necrosis.
Zakudya No. 5 zinapangidwa ndi wasayansi wotchuka wa ku Soviet komanso katswiri wazakudya dzina lake Manuil Pevzner. Iagawika m'mitundu isanu: 5a (hepatitis, cholecystitis ndi cholelithiasis), 5sc (postcholecystectomy syndrome), 5l / f (matenda a chiwindi), 5p (m'mimba ndi duodenal zilonda) ndi 5p (pancreatitis).
Zakudya 5p ndi kapamba ndiye njira yotsalira kwambiri komanso yothanirana yazakudya kwa odwala omwe ali ndi kutupa kwa pancreatic. Mfundo zake zazikulu ndi izi:
- Wodwala amafunika kudya chakudya nthawi zambiri, koma m'malo ochepa. Choyenerera kwambiri chimakhala chakudya zisanu ndi chimodzi patsiku;
- Kuphatikiza kulikonse kwa chakudya sikuyenera kupitirira 300 gr .;
- Zinthu zonse ziziyenera kuphikidwa, zophika kapena kuphika. Zakudya zonse yokazinga ndi stewed ndizoletsedwa kwathunthu;
- Thanzi liyenera kukhala loyenera komanso lodzaza kufunika kwa thupi lonse la mavitamini ndi mchere;
- Zakudya za wodwalayo ziyenera kukhala zogwirizana ndi theka ndi madzi osenda. Masamba purees, nyama yokometsedwa, mbewu monga chimanga ndi msuzi wa kirimu amaloledwa;
- Zakudya zonse zizikhala zotentha. Zakudya zotentha ndi zozizira ndizoletsedwa kwathunthu;
- Zakudya zokhala ndi mafuta owuma sayenera kupatula pakudya;
- Zakudya za wodwalayo ziyenera kuphatikizapo kuchuluka kwamafuta ndi chakudya, maswiti aliwonse samachotsedwa kwathunthu;
- Patsiku lomwe wodwalayo amaloledwa kumwa zosaposa 1.5 malita amadzi patsiku;
- Zakudya za Acidic zimakhumudwitsidwa kwambiri.
Zakudya Nambala 5 zitha kukhala zamitundu iwiri: 5a - kwa odwala omwe ali ndi vuto la pancreatitis komanso panthawi yowonjezera matenda, 5b - yochiritsa odwala omwe ali ndi kutupa kwa kapamba komanso chifuwa chachikulu cha kapamba pakukhululuka. Kugawikaku kumagwiritsidwa ntchito makamaka ndi madotolo ndi anthu wamba, sikudziwika kwenikweni.
Chifukwa chake, ndi dokotala yekha amene ayenera kuyambitsa zakudya za 5p, wokhoza kuwunika momwe wodwalayo alili, ndipo pamaziko a izi, musankhe zakudya zoyenera kwa iye.
Zinthu Zololedwa
Ndi chakudya cha 5p, kudya caloric tsiku lililonse kuyenera kuyambira 1500 mpaka 1700 kcal. Pankhaniyi, zakudya za wodwala siziphatikizanso magalamu 200. chakudya, 80 gr. mapuloteni ndi 50 gr. mafuta patsiku. Ndikofunikanso kwambiri kuchepetsa kuchuluka kwa mchere mpaka 10 g. patsiku.
Kuphatikiza apo, ziyenera kukumbukiridwa kuti kuchokera pa 200 gr. chakudya mafuta okha 25 gr. ayenera kuwerengera shuga, ndi 50 magalamu. mafuta ambiri ayenera kukhala mafuta achilengedwe azomera. Thanzi la kapamba liyenera kukhala lopepuka ndipo osagwiritsa ntchito chimbudzi.
Kuphika chakudya kwa wodwala ndi kapamba kumafunika kokha kuchokera ku zinthu zatsopano komanso zapamwamba. Masamba ndi zipatso zomwe zimapezeka, zakudya zopanda pake ndi zakudya zina zamtunduwu ziyenera kuyikidwa kunja kwa zakudya za wodwalayo, chifukwa zimatha kuvulaza wodwala.
Zamaloledwa ndi mbale, ndi njira zawo:
- Zamasamba: mbatata, kaloti, maungu, zukini (zukini), nandolo zobiriwira zatsopano, kolifulawa (broccoli) ndi beets. Amatha kudyedwa yophika ndikuwaphika, popeza idapukutidwa kale m'miyeso. Ndikofunika kwambiri kuphika masamba a masamba ndi kuwonjezera kwa mkaka ndi batala pang'ono. Wodwala akamachira, amaloledwa kupereka nkhaka zosaphika ndi kaloti wophika pa grater yabwino;
- Mbale: buckwheat, mpunga, semolina ndi oatmeal (mwanjira ya chimanga ndi ma flakes). Porridge wodwala wokhala ndi pancreatitis ayenera kukonzekera m'madzi ndi kuwonjezera kwa mkaka wochepa. Tumikirani patebulo yophika kapena yosenda. Zothandiza kwambiri kwa wodwalayo zimakhala zouma zamasamba owoneka bwino, chifukwa chake, pokonzekera, mutha kugwiritsa ntchito mpunga kapena ufa wa buckwheat;
- Nyama: nkhuku yopanda khungu, kalulu, nyama yamwana wang'ombe ndi nyama ina yopanda mafuta. Nyama imaloledwa kudyedwa yophika kapena yowotchera. Asanatumikire, amayenera kudulidwa. Zakudya zofunikira kwambiri ndi nyama zomwe zimakhala zodula, nyama, souffle, masamba omenyera nyama. Nyama yophika bwino kapena nyama ya kalulu imatha kudyetsedwa pang'ono;
- Nsomba: nsomba zamkati, pike nsomba, hake, carp wamba, pollock, nsomba, pike, whiting blue ndi mitundu ina yamafuta ochepa. Nsomba zitha kuwiritsa m'madzi otentha ndikuwotchera wowiritsa kawiri kapena wophika pang'onopang'ono. Kuchokera ku nsomba mumatha kupanga chofufumitsa chansomba ndi mbatata yosenda, ndipo nyama yaying'ono itha kudalidwa yonse. Ndikofunikira kuphika nsomba mumadzi ambiri kuti muchotse zinthu zina zake;
- Mkaka ndi mkaka: kefir wopanda mafuta, yogati ndi yogurt yamafuta ochepa. Mkaka wonse ungagwiritsidwe ntchito kuphika, mwachitsanzo, mapara amkaka, sopo ndi ma omeleta. Kirimu wowawasa ndi tchizi chamafuta ochepa amatha kugwiritsidwa ntchito kuvala chakudya chamafuta. Tchizi chopanda mafuta chopanda mafuta, chomwe chimapangira kuchepa kwa kashiamu, ndizothandiza kwambiri pakhungu la kapamba;
- Zipatso: maapulo okoma ndi mapeyala. Kucha zipatso zofewa zitha kudyedwa zosaphika, zosankhika pa grater yabwino. Izi zimathandizira kuyeretsa kwamatumbo. Maapulo olimba ndi mapeyala amathanso kudyedwa ophika. Zipatso zina ndi zipatso zina zimatha kugwiritsidwa ntchito popanga zakudya, zonona ndi mafuta. Kwambiri pancreatitis compotes zouma zipatso ndi decoction wa rose m'chiuno;
- Mazira: maeleki ndi mazira owiritsa. Zothandiza kwambiri pancreatitis ndi maeleele omamu. Woopsa matenda, ayenera kukhala okonzekera mapuloteni okha. Mungathenso kuphatikiza mazira owiritsa kwambiri muzakudya za wodwalayo, koma osapitirira tsiku limodzi;
- Mkate: mikate yoyera yokha yopangidwa kuchokera ku ufa wa tirigu woyamba. Nthawi yomweyo, mkate suyenera kukhala watsopano, dzulo. Ndikofunika kwambiri kuti wodwalayo azigwiritsa ntchito mikate yoyera. Amaloledwanso kudya ma biscuit cookies ndi mkate masikono a premium ufa;
- Supu: Masamba ndi phala. Supu ya odwala omwe ali ndi vuto la pancreatic ikhoza kukonzedwa kokha msuzi wamasamba. Msuzi wa msuzi uyenera kudulidwa mwachangu komanso osaphika. Amaloledwa kuwonjezera chimanga m'misuzi, koma ndibwino kuwawiritsa kapena kuwapukuta pogwiritsa ntchito sume. Zothandiza kwambiri kutupa kwa kapamba kumakhala misuzi yosenda, msuzi wa kirimu, komanso msuzi wamkaka ndi kuwonjezera kwa madzi. Mutha kudzaza msuzi ndi kirimu wowawasa, zonona, chidutswa chaching'ono cha batala kapena chouma pang'ono, koma osaphika;
- Suzi: kokha pamasamba kapena msuzi wa chimanga. Msuzi uyenera kukhala wopanda mafuta. Mwa kukoma, amaloledwa kuwonjezera wowawasa kirimu kapena mkaka. Monga thickener, mutha kugwiritsa ntchito ufa wosaphika;
- Zakumwa: mopepuka tiyi wobiriwira kapena tiyi wakuda, misuzi ya zipatso zotsekemera zomwe zimaphatikizidwa ndi madzi, zipatso zabwino kuchokera ku zipatso zatsopano ndi zouma. Ndiwothandiza kwambiri kwa biliary pancreatitis alkaline mchere wamadzi popanda mpweya.
Kwa odwala akuluakulu, pali malo apadera omwe amapatsidwa zakudya malinga ndi malamulo onse a zakudya 5 komanso njira zina zamankhwala. Mu sanatorium yotere, wodwalayo adzabwezeretsedwa moyang'aniridwa ndi madokotala, zomwe zimathetseratu mwayi wobwereranso.
Mu chifuwa chachikulu cha pancreatitis, kusintha chimbudzi, wodwalayo amalimbikitsidwa kuti azikonzekera zomwe zimakhala ndi ma pancreatic ensa.
Mankhwala odziwika kwambiri omwe ali ndi yogwira pancreatin ndi Gastenorm forte, Creon ndi Mezim.
Katundu Woletsedwa
Ndi zakudya nambala 5, zakudya zambiri komanso zakudya zambiri zachikhalidwe ku Russia ndizoletsedwa. Chakudya chokhwima kwambiri chimayenera kutsatiridwa mu masabata oyambilira pambuyo povulaza kapamba, pamene kudya tsiku ndi tsiku kwa caloric sikuyenera kupitirira 1500 kcal.
Ndikofunika kwambiri kutsatira zakudya nthawi zonse, kupatula tchuthi. Kupuma pang'ono kumatha kuyambitsa 
kugwidwanso kwachiwiri kwa kapamba ndipo kumapangitsa kuchipatala kwadzidzidzi. Tiyenera kukumbukira kuti kapamba ndi chimodzi mwazinthu zofunika kwambiri zaumunthu ndipo matenda ake amakhudza ntchito ya thupi lonse.
Ndikofunikira kwambiri kuti zotupa za kapamba zizilekeratu kumwa zakumwa zoledzeretsa. Mowa ndiye mdani woyamba wa kapamba, ndipo nthawi zambiri kugwiritsa ntchito mopitirira muyeso kumabweretsa chitukuko cha mowa. Kuletsa kumeneku kumagwira ntchito maphikidwe aliwonse azakudya komwe kuli mowa wochepa.
Zomwe simungadye ndi kutupa kwa kapamba:
- Rye, chinangwa ndi mkate wathunthu, tirigu watsopano, ufa, tirigu, makeke, mkate, mkate ndi yisiti;
- Msuzi wokonzekera nyama, bowa kapena msuzi wa nsomba, borsch ndi msuzi wa kabichi kuchokera kabichi yatsopano ndi yosemedwa, msuzi wina uliwonse wozizira, kuphatikizapo okroshka ndi beetroot;
- Mbale zonse yokazinga m'mafuta - zikondamoyo, zikondamoyo, tchizi, mafuta ophika;
- Zakudya zamafuta - nkhumba, mwanawankhosa, bakha, tsekwe. Nsomba zamafuta - nsomba, nsomba, ma mackerel, trout, sturgeon ndi halibut. Nyama zosiyanasiyana zakusuta, nyama zam'chitini ndi nsomba, caviar, nsomba zamchere, soseji, masoseji, nyama yokazinga komanso nsomba, nsomba zosenda ndi nyama. Zonse zotupa - chiwindi, impso, mtima ndi ubongo;
- Masamba okazinga ndi akapolo - ma fries achi french, zukini wokazinga, masamba ophika masamba, mphodza wamasamba;
- Groats - barele wa ngale, mapira, tirigu, chimanga ndi barele. Phala lililonse lotayirira;
- Masamba omwe ali ndi ulusi wophatikiza - radish, turnip, radish, rutabaga, kabichi yoyera, biringanya, nandolo zakucha, nyemba, nyemba ndi bowa;
- Mafuta a nyama - mafuta anyama, ng'ombe ndi mafuta a mutton;
- Zipatso zokhala ndi shuga wambiri - nthochi, mphesa, masiku, mango, chivwende ndi vwende;
- Mazira owiritsa kwambiri, mazira okazinga ndi mazira okazinga;
- Mkaka wamafuta ambiri, tchizi chamafuta kapena wowawasa kanyumba, tchizi chamchere ndi zonunkhira, tchizi wabuluu;
- Zokometsera zokometsera - horseradish, mpiru, tsabola wofiira ndi wakuda, ketchup ndi mayonesi;
- Zitsamba zokometsera - parsley, katsabola, udzu winawake, cilantro, basil, etc. Mwatsopano ndi youma;
- Kofi, koko, chokoleti cha mkaka, mkaka, kupanikizana, uchi, ayisikilimu ndi zakumwa zilizonse zopangidwa ndi kaboni suloledwa.
Zambiri pazakudya za tebulo 5 zimaperekedwa mu kanema munkhaniyi.
