Pancreatitis ndi matenda otupa a kapamba. Ndi pachimake komanso matenda. Acute pancreatitis ndiwadzidzidzi, nthawi zambiri amafunikira opaleshoni. Kutupa kosatha kumatha kuchitika mosiyanasiyana, kutengera nthawi ya matendawa. Chakudya chokhwima kwambiri chikuyenera kuwonedwa nthawi yowonjezera. Kuphatikiza pa matenda ashuga, kapamba amachititsa kuti zikondwerero zikuluzikulu zitheke, ndipo kudya ndi imodzi mwazinthu zazikulu zothandizira matenda kukhala ndi thanzi komanso thanzi.
Cholinga cha matenda azakudya
Matenda a shuga ndi kapamba ndimatenda omwe sangathe kuthandizidwa popanda kudya. Palibe mankhwala othandizira (jakisoni, mapiritsi) omwe angabweretse zotsatira zosakhalitsa ngati munthu sasintha zakudya zake. Kuphatikiza chakudya ndi pancreatitis ndi matenda osokoneza bongo ndizosavuta, chifukwa maziko azakudya zowonjezera ndizomwe zimapangidwa mosavuta komanso zimakhala ndi chidziwitso chochepa cha glycemic.
Glycemic index nthawi zambiri imatchedwa chisonyezo chomwe chikuwonetsa momwe kugwiritsira ntchito kwachakudya kumaperekera shuga. Ndi matenda awa, kusintha kwadzidzidzi m'magazi a glucose m'magazi ndikosafunikira kwambiri, chifukwa amakakamiza kapamba kuti apange insulin yambiri ndikugwirira ntchito kuvala.
Chifukwa chake, odwala sayenera kudya mchere, zonunkhira komanso wowawasa, komanso zogulitsa zonunkhira. Zakudya zoterezi, zimakoma kwambiri, koma zimadzetsa secretion ya madzi a m'mimba komanso zimathandizira kuti muzilakalaka. Zotsatira zake, wodwala matenda ashuga amatha kudya zakudya zambiri kuposa zomwe amafunikira, zomwe zimawonjezera chiopsezo cha mavuto a kapamba komanso kunenepa kwambiri.
Kuchepetsa shuga ndi mafuta mu chakudya ndizothandiza ngakhale kwa odwala matenda ashuga omwe samadwala kapamba. Kuwona kwa masamba ndi chimanga mu menyu kumapangitsa ntchito ya matumbo, kuchepetsa shuga ndikuyenda bwino m'mitsempha yamagazi, mtima ndi mantha. Pancreas yotopa chifukwa cha matenda ashuga okhala ndi kapamba amafunikira nthawi yayitali kuti achire, choncho munthu ayenera kutsatira zakudya zowonjezera kuti amve bwino.
Mafuta amtundu uliwonse (mwachitsanzo, maolivi kapena batala) amatha kuwonjezeredwa pazakudya zokha. Sayenera kutenthedwa ndi kutentha kwambiri, chifukwa chake sagwiritsidwa ntchito pakuphika, koma amawonjezeredwa ku mbale yomalizidwa
Zakudya Zochulukirapo
Mu chilonda chachikulu cha pancreatitis tsiku loyamba, wodwalayo sayenera kudya chilichonse. Panthawi imeneyi, amatha kuthilira madzi popanda mpweya. Kutalika kwa kusala kudya kumatsimikiziridwa ndi dokotala kuchipatala komwe wodwalayo amapezeka, nthawi zina amatha kupitilira masiku atatu.
Pambuyo kuchulukitsa kuchepa, wodwalayo amamulembera zakudya zofunikira, zomwe zimabwezeretsa kapamba ndikusintha momwe zinthu zimakhalira. Kusasinthika kwa chakudya kuyenera kukhala kosakanikirana ndikusenda, kuphwanyidwira kumtundu wa mushy. Mafuta ndi chakudya chamagulu nthawi imeneyi amachepetsa, ndipo mapuloteni amayenera kupezeka m'zakudya zochuluka. Zopatsa mphamvu za calorie za tsiku ndi tsiku ndizoperewera, zomwe zimawerengeredwa potengera kulemera kwa thupi, zaka, komanso matenda ake wodwala. Mtengowu ndi wa aliyense payekha kwa wodwala aliyense, koma Mulimonsemo, sayenera kukhala wotsika kuposa 1700 kcal patsiku.
Mfundo za zakudya zomwe wodwala ayenera kutsatira panthawi ya kapamba:
- njala yayikulu munthawi yomwe adokotala adalimbikitsa;
- kukana chakudya chokhumudwitsa, chokoma ndi zonunkhira pakugulitsa zizindikiritso zosasangalatsa;
- zakudya zazing'ono;
- kuchuluka kwa mapuloteni pazakudya.
Zakudya zoterezi zimatha kukhala sabata limodzi mpaka mwezi ndi theka, kutengera mtundu wa kusintha kwa zomwe munthu ali nazo komanso kuopsa kwa kapamba am'mimba. Zakudya zomwezi zimaperekedwa kwa wodwala komanso kuchuluka kwa matenda. Mosiyana ndi pancreatitis pachimake, pankhaniyi, wodwalayo amatha kuthandizidwa kunyumba. Koma izi zimatheka pokhapokha polemba mayeso onse a Laborator omwe amafunikira, kudutsanso mwatsatanetsatane ndikuyang'ana dokotala.
Nthawi zambiri, pofuna kupatula matenda owopsa, kufunsa kwa dokotalayo kumafunikira, komwe kumatha kudziwa bwino mtundu wamankhwala omwe amapanga wodwala
Zakudya pa chikhululukiro
Panthawi yopuma (chikhululukiro) cha kapamba, chakudya cha wodwalayo sichosiyana kwambiri ndi zakudya zomwe munthu amadwala matenda ashuga. Maziko a menyu amayenera kukhala masamba abwino ndi tirigu, nyama zopanda mafuta ndi nsomba. Kuchiritsa kwamoto pazinthu kumachitidwa bwino kapena kuwotcha. Kuphatikiza apo, masamba ndi nyama zimatha kupatsidwa chakudya, koma izi ziyenera kuchitidwa popanda kuwonjezera mafuta ndi mafuta.
Nthawi zambiri, osavomerezeka kugwiritsa ntchito masamba ophika ndi nyama kwa odwala kapamba. Njira monga kuphika, kuphika kwambiri ndi grill ndizoletsedwa. Msuzi wokonzekera bwino msuzi wamasamba, koma ndi chikhululukiro chautali, mutha kugwiritsanso ntchito msuzi wa nyama (mutasintha madzi mobwerezabwereza).
Mukamaphika maphunziro oyamba ndi achiwiri, sikofunikira kugwiritsa ntchito anyezi ndi adyo. Zimakwiyitsa mucous membrane wa dongosolo logaya chakudya ndipo zimakhudzanso ziphuphu zovunduka.
Mwa zopangidwa ndi nyama, ndibwino kugwiritsa ntchito zamkati (fillet). Asanaphike, ndikofunikira kuchotsa khungu ku nyama, kuchotsa mafupa onse kuchokera pamenepo ndikuyeretsa mafilimu amafuta. Kuphikira zakudya kwa wodwala ndi kapamba chifukwa cha matenda ashuga ndikwabwino kusankha nkhuku, nkhuku ndi kalulu. Nthawi yayitali chikhululukiro, mutha kuyambitsa ng'ombe, koma ndibwino kukana nkhumba ndi bakha. Mwa nsomba, hake, pollock, cod ndi bass mitsinje ndizoyenera kwa odwala otere. Itha kuwiritsa kapena kuwotcha ndi masamba. Odwala oterewa sangathe kuphika supu pa msuzi wa nsomba, chifukwa zimatha kupweteka kwa kapamba.
Mwa zakumwa, ndi bwino kudya zakudya zopanda mafuta komanso zipatso zosafunikira popanda shuga wowonjezera.
Zakumwa zamphesa ndi timisuzi tosapatsa thanzi sizitha kuledzera ndi munthu wodwala, chifukwa zimakhala ndi zipatso zambirimbiri. Ndikwabwino kudya zipatso mumtundu wophika (maapulo, nthochi), ngakhale, nthawi zina, mukakhala kuti mukumva bwino, mutha kulipira zipatso zochepa zosaphika. Mukamasankha, muyenera kulabadira kuti asakhale ndi wowawasa. Za zipatso, ndibwino kuti odwala adye maapulo, ma plums, nthochi, ndi ma apricots. Koma khungu lokhazikika ku zipatso zotere liyenera kuchotsedwa.
Mkate, makamaka, sukulimbikitsidwa kwa odwala matenda ashuga, chifukwa ngati kuli kotheka uyenera kupewedwa. Ndi pancreatitis, okhawo amapanga buledi wa tirigu amene amaloledwa, koma mndandanda wazomwe wagulitsawu ndiwokwera kwambiri, ndibwino kuti musawadye konse.
Zofunika kupatula?
Mu matenda a shuga ndi kapamba, muyenera kusiyiratu pazakudya ndi zakudya monga:
Zakudya zopatsa thanzi komanso zakudya 9 zamagulu a shuga a 2- msuzi wamafuta ndi mafuta, msuzi;
- chokoleti, maswiti;
- kuphika ndi makeke;
- msuzi wowawasa, wokometsera;
- mafuta mkaka;
- soseji ndi soseji;
- kusuta nyama;
- zakumwa zoziziritsa kukhosi, khofi, kvass;
- mowa
- bowa;
- tomato, radish, sipinachi, sorelo;
- Zipatso za malalanje ndi zipatso zonse zomwe zimakoma.
Ndi kapamba, simungathe kudya chilichonse chosungika, kumwa tiyi wamphamvu ndikudya mkate wa rye. Izi zimachulukitsa kuchuluka kwa chakudya m'mimba, ndipo zimayambitsa matenda. Bowa wamtundu uliwonse amagwera pansi pa chiletso. Ngakhale ali ndi chidziwitso chochepa cha glycemic ndi kuchuluka kwa kadyedwe, odwala matenda ashuga omwe apanga nthawi yomweyo kapena kale anali ndi mbiri ya kapamba sayenera kudyedwa.
Kwa odwala omwe ali ndi kapamba ndi matenda ashuga, ndibwino kusiya kabichi yoyera mwanjira iliyonse.
Zimakwiyitsa kutulutsa ndipo zimathandizira kubisalira kwa madzi a m'mimba, omwe amathandizira ma enzymes apachifini. Izi zimatha kubweretsa kuphwanya kwa magwiridwe antchito ake ndikuwonjezera kowonjezera. Izi zitha kusinthidwa ndi broccoli ndi kolifulawa. Amakhala ndi mavitamini, michere ndi zinthu zina zambiri zopindulitsa, ndipo nthawi yomweyo, zamasamba zotere sizimayambitsa kugaya chakudya.
Uchi wokhala ndi kapamba suwonetsa zochizira zilizonse. Odwala ayenera kupewa kugwiritsidwa ntchito kwake, makamaka makamaka nthawi yomwe akukokomeza
Malangizo Othandiza Pathanzi
Sankhani chakudya ndi dokotala. Popeza odwala oterewa ali ndi matenda awiri, ayenera kugwirizanitsa bwino zakudya zawo ndi endocrinologist ndi gastroenterologist. Zinthu zatsopano zilizonse zimayenera kufotokozedwa m'zakudya pang'onopang'ono, pambuyo pake ndikofunikira kuyang'anira momwe thupi limayambira. Kuti muchite izi, mutha kusunga buku lazachakudya lomwe lingakuthandizeni kulinganiza zonse ndikusunga wodwalayo pamavuto amtsogolo chifukwa chamtundu uliwonse wa chakudya.
Pofuna kukonza chimbudzi komanso kusintha thanzi, ndikofunika kuti odwala matenda ashuga omwe ali ndi kapamba azikumbukira malamulowa:
- Idyani nthawi 5-6 patsiku;
- kuchuluka kuchuluka kwa mapuloteni muzakudya, 60% zomwe zimayenera kukhala mapuloteni achinyama;
- kuchepetsa zakudya zamafuta ndi mafuta (ndikwabwino kuti azikonda mafuta a masamba kuposa batala ndi mafuta ena achinyama);
- idyani chakudya chotentha (osati chozizira kapena chotentha);
- munthawi ya kuwonongeka ndikukhala bwino, gwiritsani ntchito kokha michere yosenda bwino;
- Osamadya zakudya zoyipa, zoletsedwa, ngakhale zochepa.
Matenda a kapamba, monga matenda ashuga, ndi matenda omwe amafunikanso kusintha njira yanthawi yonse ya moyo ndikukonzanso zakudya. Kutsatira zakudya kwakanthawi kokha sikungabweretse phindu kwa nthawi yayitali, motero muyenera kuyang'ana kuti kudya zakudya zopatsa thanzi ndizofunikira nthawi zonse. Mphindi yachisangalalo kuchokera ku maswiti kapena chakudya chofulumira sichingatenge malo okhala ndi thanzi. Kuphatikiza apo, atawonetsa lingaliro lakunyumba, ngakhale mutakhala ndi zinthu zosavuta mumatha kuphika mbale zabwino.
