Kuonetsetsa ntchito ndi magwiridwe onse amkati ndi machitidwe, thupi la munthu liyenera kulandira zinthu zonse zamitundu, mavitamini, ma macro- ndi ma microelements ambiri. Zonsezi zimapezeka m'mitundu mitundu yazakudya ndi madzi akumwa, omwe, pokonzedwa ndi njira zapadera (kuwira, kuwaza), zimadyedwa tsiku ndi tsiku ndi anthu. Mwakuwawononga, mphamvu yofunikira imapangidwa, zochita zamtunduwu sizimaleka, chitetezo chokwanira chimalimbikitsidwa, ndipo kukula ndi kubadwanso kachitidwe kumatsimikiziridwa.
Koma kawirikawiri kuperewera kwa zakudya m'thupi, ndiko kuti, kudya kosakhazikika, zakudya zosankhidwa mwanjira kapena njira yakukonzekera kwawo, zimakhala ndi zotsutsana kwambiri ndi thupi, makamaka kugaya chakudya. Zilonda zam'mimba zowonongeka zimapangika, kupanga michere ya m'mimba ndi michere kusokonezedwa, kusokonezeka kumayamba. Njira imeneyi imakhalapo pafupifupi ma pathologies onse am'mimba, kuphatikizapo matenda a kapamba (kapamba).
Popeza kuti zolakwika za zakudya ndizambiri zomwe zimatsogolera pakupezeka kwa ma pancreatic pathologies koyambirira, ndizomveka kuganiza kuti kutsegula kuphika komanso kusankha bwino zinthu kungathandize kubwezeretsanso thupi lakale. Cholemba ichi chakhala chikudziwika kwazaka zambiri, ndipo kudalirika kwake komanso kugwirira ntchito kwawo kwakukulu sikunatsutsidwe mu nthawi yathu ino. M'malo mwake, zakudya, ndipo izi ndizomwe matenda apadera amatchedwa matenda amtundu uliwonse, ndi gawo lofunikira pochiza zotupa zam'mimba.
Zakumwa zoledzeretsa ndizo zimayambitsa chachikulu cha kapamba.
Chofunikira ndi chakudya chamagulu owonjezera
Popanda pancreas wathanzi komanso wogwira ntchito, ndizosatheka kuonetsetsa kuti chakudya chonse chili m'matumbo ang'onoang'ono komanso akulu. Katemera wake wam'mimba, yemwe ali ndi michere yambiri, ayenera kulowa mu duodenum nthawi zonse, ndipo kuchuluka kwake kumawonjezeka nthawi yomweyo ndikudya. Kuphatikiza apo, mahomoni (insulin) opangidwa mu kapamba amapereka kagayidwe koyenera ka glucose, popanda zomwe zochitika zamkati mwamunthu ndizosatheka.
M'moyo wonse, kapamba amadziwika ndi zovuta zosiyanasiyana. Kugwiritsa ntchito “moledzera” mopitirira muyeso, kuchuluka kwa mankhwala osokoneza bongo, munthu yemwe ali ndi mafuta, osuta, zakudya zazonunkhiritsa zimamupha. Poyankha izi, zinthu zingapo zoyambitsa matenda zimayamba kukula m'matumba a kapamba. Kukula kwa tating'onoting'ono tating'ono, komwe timayamwa timatumba, timatupa. Ma Enzymes amadziunjikira, omwe amayamba "kugaya" England palokha, zomwe zimapangitsa kuti ziwoneke. Njira yotupa "imayambitsa", chifukwa chomwe zigamba zake zimasokonezeka kwambiri ndipo minyewa ya ziwalo imawonongeka mwachangu. Vutoli limakulirakulira chifukwa chakuti kapamba, poyerekeza ndi ziwalo zina zamkati, amakonzanso (kuchira) moyipa kwambiri pambuyo pawonongeka.
Zotsatira zake, nthendayi yotchedwa pancreatitis imayamba, yomwe, imayamba mwankhanza komanso mwamphamvu, imakonda kuchita mawonekedwe osachiritsika. Chochititsa chachikulu cha matenda amenewa ndi zakudya zopanda thanzi, kotero zakudya zomwe zimachulukitsa kapamba ndizofunika kwambiri pakuchiritsa.
Koma, mosiyana ndi iwo, chakudya chamagulu samakhala ndi zinthu zochuluka thupi pazinthu zonse, sizifunikira kupanga ma enzyme ochulukirapo kuchokera ku kapamba, zimathandizira kutulutsa ntchito kwa ma ducts, ndipo zimakhudza gawo la chiwalo.
Chakudya chosakonzedwa bwino “chimatha kuvulaza” kapamba
Mu mawonekedwe a pancreatitis owopsa, makamaka pakuwonekera kwa matenda, mawonekedwe a wodwala nthawi zambiri amakhala ovuta kapena olimbitsa. Kupweteka kwambiri kapena kudula ululu kumatha kufalikira kumanzere wa hypochondrium ndi dera la chiwindi ndikufikira mzere wa msana, ndipo kumakulabe. Chifukwa cha "kudziwulula" kwa ndulu ndi ma enzymes ake komanso kukula kwa njira yotupa, vuto la kuledzera limayamba kuonekera, lomwe limakulitsa mkhalidwe wa wodwalayo. Khansa ya m'mimba, kusokonezeka m'mimba, kusanza kowopsa, kugwa kapena kukwera kwa magazi, zomwe zimaphatikizidwa ndi kupweteka kwambiri, zimafunikira kuchipatala.
Monga lamulo, odwala omwe ali ndi chithunzichi amathandizidwa kuchipatala. Pamodzi ndi mankhwala azachipatala omwe cholinga chake ndi kupewetsa kupweteka, kuyimitsa kutupa ndikusungunuka (kapenshoni) m'mapazi, komanso kutulutsa mwachangu chinsinsi chake m'matumbo aang'ono, wodwalayo ayenera kupatsidwa zakudya zapadera zamankhwala zotchedwa tebulo No. 5p.
Zakudya zokhala ndi kuchuluka kwa kutukusira kwa kapamba zimayenera kuwonedwa ndi odwala panthawi yomwe zizindikiro za pathological zidatsika kale, pomwe wodwala akuloledwa kudya mkamwa, osawopa kuwonongeka kwina kwa mucous nembanemba. Amakhazikitsidwa ndi adotolo kwa nthawi yayitali atachotsedwa ku dipatimenti ndipo nthawi zambiri amakhala wautali, womwe ndi njira yothandiza kwambiri kuti matenda a kapamba asayambe kale.
Wodwala wodwala kapamba amayeneranso kutsatira malamulo a piritsi la mankhwala, komanso moyo wake wonse. Ayenera kudziwa bwino ndikukumbukira kuti simungadye ndi matenda ake komanso zakudya zomwe zili zabwino, komanso njira zomwe mungawagwiritsire ntchito. Kupatuka kulikonse kuzakudya (kugwiritsidwa ntchito kwa zakudya zamafuta kapena mowa, mwachitsanzo) kumakhala kodzala ndi chitukuko cha zotsatira zoyipa, zomwe, zidzatsogolera ku mfundo yoti njira zonse za pathological zimayambiranso kapamba.
Malangizo a dokotala pazamankhwala ndi zakudya ziyenera kuchitika mosamalitsa.
Mfundo zachithandizo zochizira
Gawo No. 5p limasamalira kwambiri kapamba, koma nthawi yomweyo limapangidwa kuti lizitha kugwira ntchito yake. Chakudya chilichonse chimayenera kubweretsa "kumasulidwa" kwama michere ndi ma mahomoni, kutengera kwawo kwaulere kudutsa m'miyendo yaying'ono ndi yayikulu kupita ku duodenum popanda kupweteka kwakukulu kwa ma receptors opweteka. Ndiye kuti, palibe zinthu zomwe zimayenera kupangidwira kuti pakhale kusamvana pakati pa njirazi ndikuti pakhale kupangika kwa magonedwe ndi dyskinesias.
Ndikofunikira kudziwa kuti zakudya zomwe zimapangidwa kuti ziziteteza chiwalo chimodzi zimakhudza ziwalo zina. Koma tebulo No. 5p limapangidwa mwapadera kuti zigawo zonse za m'mimba zimangopindulira chifukwa cha zakudyazi. Iwo samangopanga zochitika zamtundu uliwonse, koma, m'malo mwake, amasintha ntchito zonse.
Mfundo zazikuluzikulu za kadyedwe ka kapamba ndi izi:
Momwe mungathandizire kupweteka ndi kapamba- chakudya chizikhala chopindika, ndiye kuti, kasanu ndi kawiri patsiku m'magawo ang'onoang'ono, potero pakukwaniritsa bwino kwambiri kapamba;
- mfundo yolekerera thupi iyenera kulemekezedwa, ndiye kuti, mbale sizikhala ndi zikuluzikulu, ziyenera kutafunidwa mosavuta osati kuvulaza nembanemba; kuchuluka kwa ma coarse mu iwo akuyenera kuchepetsedwa;
- kudekha kwamafuta, komwe kumakhala pakupenyerera kutentha kwa mbale: sikuyenera kukhala kotentha kwambiri kapena kuzizira kotero kuti kupindika kwamitsempha yamagazi ndi ma pancreatic ducts sikuchitika;
- kusungidwa kwa mankhwala, komwe kumatheka chifukwa cha kupatula mafuta, osuta, komanso kuzifutsa, komanso kugwiritsa ntchito njira zopangira zinthu monga kuwira, kutsitsa, kusenda;
- kuchuluka kwamapuloteni azomera ndi nyama;
- chakudya chamafuta ndi mafuta;
- makonda azakudya zopangidwa ndi masamba ndi zipatso, koma osati zatsopano, koma zimapangidwira kuti zichepetse kuchuluka kwamafuta owola, koma kusunga mavitamini momwe mungathere;
- kusiyanitsidwa kwathunthu ndi nyama yokazinga yokhala ndi zochuluka zowonjezera zamafuta ndi mafuta;
- kusiyanasiyana kwathunthu kwazinthu zokhala ndi mafuta ochulukirapo a mbewu ndi nyama;
- voliyumu yokwanira tsiku lililonse (2,5 malita tsiku).
Ndi pathologies a kapamba, kuchuluka kwa madzimadzi omwe amathiridwa kumakhala kokwanira
Kutsatira mfundozi panthawi yakukonzekera kwamankhwala ndikuphika ndikutsimikizira kuti magwiridwe antchito ndi mkhalidwe wathanzi la kapamba azisungidwa kwanthawi yayitali. Mwa odwala kapena ana akuluakulu, chakudyicho chimathandizanso kupewa nthawi yayitali ya kapamba, komanso, imadzakhala njira yodalirika yochizira matenda a chiwindi ndi ndulu.
Zololedwa ndi Zoletsedwa
Popereka malangizo azachipatala okhudzana ndi zakudya zamankhwala, wodwalayo ayenera kumvetsetsa kuti kupatuka kulikonse kwa iwo kungayambitse zovuta zazikulu. Monga tanena kale, kapambayu sabwezeretseka bwino pambuyo poti wawonongeka, gawo lililonse latsopano la Autolysis kapena kutupa limachepetsa kwambiri magwiridwe ake. Ichi ndichifukwa chake ndikofunikira kudziwa zomwe mungadye ndi pancreatitis yovuta komanso yosatha, komanso zomwe muyenera kupatula kwathunthu.
Zopatula komanso zoperewera sizigwira ntchito pazogulitsa zonse, mwachitsanzo, nyama, koma mitundu yake yokhayo yomwe ili ndi mafuta ochulukirapo. Zomwezi zitha kunenedwa zamalonda omwe ali ndi acidity yayikulu. Mwachitsanzo, zipatso zosaphika za asidi zimapewedwa bwino kapena kuphika. Mosiyana ndi izi, zinthu zonse zamkaka zimaloledwa, kupatula kirimu wowawasa wokhala ndi mafuta ambiri.
Kuti zitheke kukumbukira zomwe mungadye kapena osatha kudya ndi matenda a kapamba, zakudya zambiri zachikhalidwe ziyenera kuperekedwa monga tebulo:
| Zakudya Zololedwa | Zakudya Zoletsedwa |
| Wophika, wowotcha kapena wowotcha masamba, kupatula kabichi wowuma | Kabichi yoyera, masamba ena osaphika, komanso radish, radish, daikon, turnip, sorelo, sipinachi |
| Mbewu zonse monga chimanga (kupatula mapira) m'madzi kapena mkaka | Anyezi, adyo, zonunkhira zina |
| Nyama yokhala ndi mafuta ochepa, nsomba kapena nkhuku, yophika, yoyendetsedwa kapena yonyowa | Supu pa msuzi wamphamvu wa nyama |
| Zophika zosaoneka (mabisiketi, mabisiketi) | Msuzi wokometsera komanso zokometsera |
| Confectionery yochokera pectin, gelatin kapena agar-agar (marshmallows, souffle, marmalade, pastille), koma osapitirira zidutswa 3-4 patsiku, ochepa uchi ndi kupanikizana | Zinthu za soseji (masoseji, masoseji, soseji yophika ndi yosuta), nyama yotsirizidwa ndi zinthu zopangidwa ndi (carbonate, brisket) |
| Mkate Wouma Wakuda ndi Woyera | Nyama yosuta, nkhuku, nsomba, nyama yokazinga, nyama zomangira nyama, kanyenya |
| Mapeyala Ophika ndi Maapulo | Mafuta kapena nyama zosungunuka (ng'ombe, nkhumba, nkhuku, mutton) |
| Supu pa masamba (kupatula kabichi) broths | Mafuta wowawasa zonona (oposa 20%), tchizi mafuta ophikira, yoghurts iliyonse, tchizi yokhotakhota mu glaze |
| Supu yamkaka | Zakudya zamatenda kuchokera ku nyama zamtundu uliwonse, nsomba, nkhuku |
| Pasta yophika, mkaka vermicelli | Mkate wabwino wakuda ndi woyera |
| Maelemu opendekera | Kuphika shuga kwambiri (makeke, makeke) |
| Kanyumba tchizi casseroles wophika kapena otentha | Chocolate, maswiti, caramel, maswiti |
| Osati zonunkhira komanso osati zokometsera tchizi, popanda nkhungu | Khofi, Cocoa, tiyi Wamphamvu |
| Tiyi si yolimba, zipatso za mabulosi-zipatso ndi zakudya | Tambala tchizi |
| Zipatso zonse za malalanje, zipatso zosapsa (zakuda ndi zofiira currants, maula a chitumbuwa, maula, ma jamu) | |
| Mazira okazinga | |
| Bowa mu mawonekedwe a msuzi, mbale zazikulu kapena sosi | |
| Zakumwa zoledzeretsa zilizonse zomwe zili ndi mowa komanso kuchuluka kulikonse | |
| Zakumwa za kaboni |
Monga mukuwonera, mndandanda wazinthu zomwe siziyenera kupatula muzakudya, ndizololeka. Koma izi sizitanthauza kuti onsewa sangafikire kwa wodwala kwazaka zambiri. Zakudya zina zoletsedwa zimatha kuyambika pang'onopang'ono m'zakudya pomwe ziphuphu zimakhazikika, ndipo makulidwe apakati amakula nthawi yayitali. Zachidziwikire, kufutukula kwakudyaku kuyenera kuvomerezedwa ndi adokotala.
Zinthu zomwe zimakonzedwa pa agar-agar, zokhala ndi kapamba ndizolandiridwa, popeza zilibe mafuta
Zitsanzo Zamndandanda
Ngakhale mutakhala ndi mndandanda wazinthu zambiri zomwe zimayenera kuchepetsedwa kapena kupatula, mutha kudya ndi kapamba kokwanira, mitundu komanso chisangalalo. Nazi zitsanzo zochepa chabe zamankhwala omwe amapatsa mapuloteni, zakudya zamafuta ndi mafuta, komanso mitundu yosiyanasiyana ya nyama ndi masamba:
Chakudya cham'mawa 1: gawo la oatmeal ndi supuni ya jamu kapena masamba otentha, chidutswa cha mkate “wabwino”, chikho cha tiyi wopanda mphamvu ndi supuni imodzi ya shuga;
Chakudya cham'mawa chachiwiri: omelet yoyesedwa pamkaka kuchokera mazira awiri, chidutswa cha mkate wakuda, kapu ya mabulosi odzola;
Chakudya chamasana: msuzi wa pollock ndi mbatata ndi kaloti, supuni yophika ndi chidutswa cha nyama yofinya, magawo awiri a mkate, kapu ya zipatso zowuma;
Chosakhazikika: kanyumba tchizi casserole ndi mabulosi odzola, kapu ya tiyi;
Chakudya chamadzulo: gawo la mbatata yophika, masamba a nyama mu "kusamba kwamadzi", magawo angapo a tomato watsopano, buledi wowuma, zipatso zopatsa.
Chakudya cham'mawa 1: masangweji awiri a mkate wopanda zoyera ndi magawo a tchizi;
Chakudya cham'mawa chachiwiri: maapulo awiri osaphika;
Chakudya chamadzulo: msuzi wa puree ya masamba, msuzi wowotcha ndi chidutswa cha nsomba zonyezimira, mkate wowuma wa bulauni, kapu ya rosehip compote;
Zakudya zokhazokha: tchizi chotsika mafuta ochepa, shuga, tiyi wopanda mphamvu;
Chakudya chamadzulo: mbatata yosenda, bere yophika nkhuku, chidutswa cha mkate, tiyi wokometsedwa ndi mkaka ndi masikono.
Mbale zambiri zimatha kuphikidwa kuchokera ku chakudya chololedwa, chomwe chingapangitse kuti zikondamoyozi zizigwira ntchito, kupatula mwayi wopanga zotupa ndikuyambiranso kugwiranso ntchito kwa wodwala.
