Chikhansa ndichinthu chofunikira kwambiri cham'mimba chomwe chimapanga exocrine (chimathandiza chimbudzi) ndi endocrine (chikugwirizana ndi shuga). Zikalephera kugwira ntchito ngati zake zikuchitika, ndiye kuti munthu ayenera kudzipatula pogwiritsa ntchito zakudya ndi mbale zina.
Kuti mavuto a matenda a pancreatic samayambitsa kukokomeza komanso mawonekedwe a pancreatitis pachimake, ndikofunikira kutsatira zakudya zapadera, zomwe zimatchedwa tebulo 5P. Nanga ndi chiyani chomwe ochita gastroenterologists amaloledwa kugwiritsa ntchito kapamba, ndipo ndi zakudya ziti zomwe ndizoletsedwa kwambiri?
Kodi ndi masamba ati omwe amatha kudya ndi kapamba?
Kabichi
Kodi ndizololedwa kuti anthu omwe ali ndi pancreatic pancreatitis adye zoyera, kolifulawa, Beijing ndi mitundu ina ya kabichi?
Peking, kolifulawa, broccoli. Akatswiri amati mitundu iyi ya kabichi ndiyotheka, koma mwa mawonekedwe owiritsa kapena owotchera. Peking kabichi nthawi zina amaloledwa kudya yaiwisi. Komabe, kumbukirani kuti mutachulukitsa, ndiwo zamasamba ziyenera kuyambitsidwa m'zakudya mosamala kwambiri.
Kabichi yoyera. Mtengowu uli ndi ulusi wolimba, womwe ndi wosayenera kudya zosaphika. White kabichi iyenera kuthiridwa ndi kutentha, pambuyo pake imatha kudyedwa, koma makamaka osati tsiku lililonse.
Nyanja kale. Madokotala ambiri amalimbikitsa kudya zakudya zam'madzi nthawi zonse, monga ili ndi kuchuluka kwa michere. Mwachitsanzo, nickel ndi cobalt, zomwe zimapangitsa kuti kapamba azigwira bwino, zimatha kukwaniritsa mndandandandawo. Chochititsa chidwi, ndi kapamba, zam'madzi zimalimbikitsidwa kuti zizidyedwa ndi achijapani okha, chifukwa ziwalo zawo zamagulu azakudya ndizosiyana ndi zida zam'mimba za azungu.
Chifukwa chake, ngakhale m'masitolo ogulitsa ku Japan, mu malangizo a mankhwala, opanga amalemba kuti mankhwalawa sangathandize anthu aku Europe omwe ali ndi matenda owopsa kapena osachiritsika. Chowonadi ndi chakuti nsomba zam'nyanja zimafanana kwambiri ndi bowa, ndipo kuti zithetsedwe, kapamba amayenera kupanga michere yambiri, ndipo izi zimangoyambitsa kutupa.
Ndiye chifukwa chake malonda, komanso bowa, samalimbikitsidwa kwa ana osakwana zaka 12, komanso kwa anthu omwe ali ndi vuto la kutupa kwa pancreatic. Mwa njira, chimanga sichimayikidwa pancreatitis, makamaka pachimake.
Zachidziwikire, sitiyenera kuyiwala kuti ndibwino kukana kapamba kuchokera ku njira yophika masamba monga kuwaza. Komanso, sizingakhale zoyenera kugwiritsa ntchito sauerkraut, yomwe imakwiyitsa michere ya mucous.
Tomato
Ponena za tomato, malingaliro a madotolo ndi akatswiri azakudya adagawidwa pancreatitis yovuta komanso yosatha. Ena akukhulupirira kuti tomato ndiwothandiza ngakhale pancreatitis yosatha, koma osati pachimake, chifukwa imakhala ndi fiber, yofunikira m'mimba ndi matumbo. Amachotsanso cholesterol m'magazi, yomwe ndiyofunikira kwa kapamba, ngati pali matenda osachiritsika. Ena amakhulupirira kuti tomato amayenera kutayidwa ngati akudwala matenda osachiritsika.
Komanso, munthawi yomwe matendawa achulukitsa kapena ngakhale pakukula kwambiri, zipatso zosapsa za phwetekere zomwe zimakhala ndi poizoni sizoyenera kudya. Kupatula apo, tomato wosakhwima amadzaza m'mimba, ndikuumiriza kugwira ntchito mopitilira muyeso.
Tomato wophika ndi ophika. Mutha kudya, osanena kuti ndizothandiza, koma pachilichonse chomwe muyenera kutsatira, Mulinso chimodzimodzi ndi marmalade, omwe nthawi zambiri sawavulaza. Kugwiritsa ntchito mankhwala mopitirira muyeso kungasokoneze ntchito ya kapamba.
Madzi a phwetekere kumwa kapena osamwa. Madzi atsopano a phwetekere omwe amapangidwa kuchokera ku zipatso zakupsa (kuti asasokonezedwe ndi misuzi ya mafakitale) ndi chinthu chofunikira kwambiri, ndipo tikulimbikitsidwa kuti anthu onse athanzi amwe. Imayendetsa kapamba, ngati imasakanizidwa ndi karoti watsopano, kuwonjezera kirimu pang'ono kapena mafuta a azitona.
Komabe, msuzi wa phwetekere ndi choleretic, i.e. imakhala ndi choleretic. Ngati mumamwa madzi a phwetekere pakachulukidwe ka matendawa, ndiye kuti mapindikiridwe otsekemera amayamba, komanso ndi cholelithiasis, kotero kumwa osavomerezeka, timatsimikizanso ndi kukokomeza.
Mafuta owonjezera adzaponyedwa mu pancreatic duct, pomwe ma activation a pancreatic encyme amachitika. Ma Enzymes sangabaye chakudya, koma chitsulo chokha, chomwe pambuyo pake chimayambitsa vuto mu pancreatitis yayikulu. Zotsatira zake, chilichonse chitha kutha ndi opaleshoni ya kutupa, mwina kulumala ngakhale kufa.
Kuchokera pazomwe tafotokozazi, ndizotheka kumwa madzi a phwetekere pokhapokha kuchotsedwa kwa kapamba, koma osagwirizana ndi kukokoloka (popanda kupweteka, elastase, diastase, kuchuluka kwa edylase, edema panthawi ya ultrasound).
Nkhaka
Anthu ambiri amadziwa kuti 90% ya kapangidwe kake ka nkhaka ndiy madzi, koma nthawi yomweyo imakhala ndi mavitamini ndi michere yambiri. Anthu omwe ali ndi vuto la kapamba amatha kudya masamba awa, koma osati ndi exacerbation. Komanso, pochiza matendawa, madokotala amalimbikitsa kuti azitsatira zakudya zamatango.
Pakupita masiku asanu ndi awiri, munthu amadya pafupifupi ma kilogalamu asanu ndi awiri a nkhaka. Zotsatira zake, zomwe zikondwerero zimatsitsidwa, zomwe zimalepheretsa kuwonekera kwa njira zotupa, makamaka, ndikotheka kupewa kukokolola. Koma izi sizitanthauza kuti muyenera kupita kukokomeza nkhaka tsiku lonse, mwachitsanzo ngati marmalade.
Kupatula apo, kumwa kwambiri masamba awa, phindu lawo limakhala locheperako, makamaka ngati ali ndi mankhwala ophera tizilombo ndi nitrate, ndipo kumamwa nkhaka nkhaka sizikulimbikitsidwa.
Kodi ndi zipatso ndi zipatso ziti zomwe zimatha kudyedwa ndi kapamba?
Chipatso chilichonse chowawasa, makamaka chomwe chili ndi ma coarse fiber, sichimavomerezedwa kwa anthu omwe ali ndi kapamba. Kudya zipatso ndizotheka pokhapokha masiku khumi chikhululukiro cha matendawa. Munthawi yamatendawa, kudya zipatso nthawi zambiri sikulangizidwa. Chipatso chimodzi chokha chololedwa chimatha kudyedwa patsiku.
Zipatso ndi zipatso zomwe zimatha kudyedwa ndi chifuwa chachikulu:
- chivwende;
- Strawberry
- mapeyala
- maapulo obiriwira (okoma);
- chinanazi
- nthochi
- papaya.
Zipatso ndi zipatso zomwe zimapangidwa mu kapamba:
- Mango
- mapeyala
- chitumbuwa;
- zipatso za malalanje;
- plums
- maapulo wowawasa;
- mapichesi.
Pakukhululukidwa, madokotala amaloledwa kuyesa mosamala kugwiritsa ntchito mitundu yosiyanasiyana ya zipatso, komanso kumwa mosamalitsa timadziti. Koma amayenera kutentha (kutentha kawiri, uvuni).
Momwe mungadye chipatso cha kapamba kapenanso?
Pali malamulo ena omwe ayenera kutsatira asanadye zipatso kapena mabulosi aliwonse:
- zipatso zonse, musanadye, ziyenera kuphikidwa;
- chipatso chimodzi chokhacho chimaloledwa patsiku;
- ngati mabulosi osafunikira kapena zipatso atadyedwa, mankhwalawo omwe adauzidwa ndi dokotala amayenera kumwa.
Mowa ndi Pancreatitis
Kapamba "sangathe kuyimilira" zakumwa zoledzeretsa. Kupatula apo, ndichoposa ziwalo zonse za m'mimba zomwe zimayikidwa mu zakumwa zoledzera. Minyewa ilibe enzyme yapadera yomwe imathandizira kuthetsa mowa, monga chiwindi. Kuphatikiza apo, pafupifupi 40% ya kukokomeza kwa pancreatitis pachimake kumawonekera pambuyo pa maphwando, pomwe zakumwa zoledzeretsa zimamwa mowa pachakudya chamafuta, ndipo ndikutupa "zonsezi" zimabweranso.
Mu chifuwa chachikulu cha matendawa, kumwa mowa kumatha kuyambitsa chiwopsezo cha pancreatitis yovuta kwambiri, zomwe zingayambitse chiwopsezo cha ziwonetserozo, ndikuwonetsa kusintha kwa chiwindi ndi kapamba zingachitike. Monga tanena kale, chiwalochi sichimabwezeretsedwa, motero, chakumwa chilichonse chomwe chili ndi zakumwa zoledzeretsa zimayambitsa kupangika kwa foci ya fibrosis, i. kumabweretsa kuwola.
Mndandanda wazinthu zazikulu: mu mtundu wanji, nthawi yanji komanso momwe mungagwiritsire ntchito kapamba
- Nyama. Zogulitsa ziyenera kukhala zopanda mafuta. Itha kukhala yophika nkhumba, nkhuku, nyama ya nkhuku kapena nyama ya kalulu. Amaloledwa kugwiritsa ntchito nyama yophika mwanjira iliyonse, kupatula kuwaza, izi sizikuthandizanso.
- Shuga Ndi anthu ochepa omwe amatha kuchita popanda maswiti, ndipo marmalade akhoza kupangidwa chifukwa cha iwo. Koma, mwatsoka, pankhani ya kapamba, shuga ndimakwiya. Chifukwa chake, akatswiri azakudya nthawi zina amalangizidwa kuti aziphika zakudya zonona. Ndipo ndibwino kukana kugula zinthu zofunikira, chifukwa kuwonjezera pa shuga, mulinso ndi mankhwala okhala ndi mankhwala. Kwa kapamba, ndizovulaza kwambiri. Koma nthawi zina mumatha kugula, osati ndi chiwonetsero chachikulu, phwando la marshmallows kapena kugula marmalade. Chochititsa chidwi ndichakuti marmalade siowopsa konse, mwachilengedwe.
- Mkate Ndikulimbikitsidwa kugwiritsa ntchito mikate yoyera, yowuma pang'ono. Nthawi yomweyo, buledi wonenepa sangathe kudyedwa ndi odwala ndi kapamba.
- Ma cookie Mutha kudya ma biscuit okha, makeke ophika bwino komanso osawoneka bwino.
Zopangidwa mkaka:
Mkaka. Sipangakhale kumwa mkaka watsopano ndi kapamba, monga pakugawika, ma enzyme amafunikira, omwe ochepa mwa iwo amatenga matendawa. Mwa njira, pambuyo pa unyamata, kumwa mkaka sikulimbikitsidwa kwa aliyense. Pokhapokha nthawi zina komanso popanda kuphatikiza ndi zinthu zina. Odwala ndi kapamba, kumwa mkaka wonse kumayambitsa kubisala komanso kutsekula m'mimba.
Zinthu mkaka wowawasa. Zothandiza kwa anthu omwe ali ndi kutupa komwe kumakhudzana ndi kapamba.
Curd. Madokotala ndi akatswiri azaumoyo amalimbikitsa kugwiritsa ntchito kwake. Koma ndikofunikira kuti mafuta ake asapitirire 9%. Ndikofunika kuti musadye tchizi cha kanyumba m'mawonekedwe ake oyera, koma kuti muzikonzekera zokoma za casseroles, dumplings, etc. kuchokera pamenepo, ndipo ndi izi mutha kuyankha motsimikiza ngati yogati ingagwiritsidwe ntchito pancreatitis.
Wowawasa zonona. Izi ndi mafuta, motero ndi pancreatitis sikofunika kuti muzidya.
Tchizi Mitundu yamafuta tchizi siyiyenera kupatula pachakudya. Zokonda ziyenera kuperekedwa kwa mitundu monga: Russian, Gouda, mozzarella ndi Adyghe.
Nsomba. Chofunikira - nsomba siziyenera kukhala mafuta. Ndikofunikanso kupatula kusesa ndikuwakonda zakudya zophika komanso zophika nsomba. Pike, cod, pike perch, pollock - mitundu ya nsomba yomwe imaloledwa kudya ndi kapamba.
Mazira. Mazira awiri otentha owiritsa kwambiri amatha kudyetsedwa sabata limodzi. Zikondamoyo ndizovuta kugaya yolk, motero ndibwino kudya mapuloteni okha.
Zakumwa. Kwa tiyi, wobiriwira wopanda mphamvu ayenera kukondedwa. Zodzikongoletsera zazitsamba zamankhwala, compote, jelly, mchere wamadzi - komanso sizingavulaze wodwala ndi kapamba, ndipo zina mwa izo zimachepetsa.
Ponena za pafupipafupi funso loti ndizotheka kudya maapulo ndi mapeyala ndi kapamba, ndiye kuti dokotala aliyense amayankha nthawi yomweyo. Chofunika koposa, maapulo ndi mapeyala amathanso kudyedwa ndi chikhululukiro. Kupitilira apo, maapulo amayenera kukhala okoma ngati mitundu yokhala ngati mapeyala, komanso kuposa pamenepo, ngati zakudyazo zidzakhala zonenepa, chipatsocho ndizosowa monga momwe chimakomera.
Ndikofunikira kuti maapulo omwe ali ndi kapamba azikhala ochepa, chifukwa maapulo ndi ma fiber ndi pectin, choncho ndibwino ngati maapulo atayang'anidwa, kucha ndikuwadyedwa kale pamimba yonse, momwe maapulo amathandizira.
