Zakudya za pachimake kapamba

Mpamba (kapamba) umakhudzidwa mwachangu ndi chimbudzi, ndikupanga michere yofunika kwambiri mnjira imeneyi, ndipo imayendetsa kagayidwe kazachilengedwe. Mu chilonda chachikulu cha pancreatitis, pamene chinsinsi cha tiziwalo timene timapangika m'matumbo mwake chimadziunjikira ndipo necrosis ndi autolysis (yodzisungunula) minofu ya chiwalo imayamba, mkhalidwe wa wodwalayo umachepa kwambiri. Osati kokha chifukwa cha kupweteka kwambiri, komanso chifukwa cha kukhumudwa kwa kagayidwe kazakudya komanso kupangika kwa kuledzera. Munthawi imeneyi, thandizo la odwala liyenera kuperekedwa mwachangu komanso mchipatala okha.

Malangizo oyenera amathandizidwa kuti aletse kupanga michere yogaya yogwiritsira ntchito pancreas yomwe ikutsalira munthawi yogwira ntchito, kuonetsetsa kuti kutulutsira katulutsidwe kudzera m'mizere yoyera, kuyeretsa magazi a zakumwa ndi zinthu zowola, komanso kuthana ndi kusinthanso kwa ziwalo. Izi zimatheka osati pogwiritsa ntchito mankhwala osokoneza bongo. Zakudya za pancreatitis pachimake zimagwira ntchito yofananira, ndipo kugwira kwake ntchito kumafanana ndi kugwiritsa ntchito bwino mankhwala.

Zolinga ndi zosankha zamadyedwe

Zochita za kapamba ndizopendekera ndipo zimatsimikiziridwa kwathunthu ndi kudya kwakuthupi, komwe ndi mtundu wa "chizindikiro" pakupanga ma enzyme. Ndi kukula kwa njira yotupa, ndikofunikira kupatula njira iyi yolimbikitsira ziwalo, chifukwa katulutsidwe kowonjezera kali ndi chowononga chachikulu pa kapamba. Microcirculation imasokonezeka ndipo kutupa kwa minofu kumachuluka, komwe kumayambitsa zovuta ndi kufalikira kwa ziwalo. Ma enzyme omwe atsalira pazitsulo amayamba ntchito yowonongeka (chiwonongeko).

M'masiku oyambilira ochulukirapo a kapamba, chithandizo chimachitika kuchipatala komwe zakudya za wodwala zimachitika.

Kuchotsa kumeza pakamwa kumakhala ndi phindu lalikulu pa kapamba. "Mpumulo" wogwira ntchito umapangidwa, chinsinsi chomwe chilipo chimachotsedwa, autolysis imaletseka, ndipo gland imatha kuthana ndi pathological process ndikuyambiranso kuchira.

Pafupifupi, zakudya za pancreatitis pachimake zimakhala ndi zolinga zotsatirazi:

• kutsika kwa ululu waukulu ndi mpumulo wathunthu wa kuukiridwa;
• kuchepa kwa enzymatic ntchito ya gland;
• kuwonetsetsa kulandira kuchuluka kwamafuta kwambiri, mapuloteni, zakudya, mankhwala osakanikirana, mavitamini m'thupi la wodwalayo;
• kuteteza chimbudzi chonse;
• kulimbitsa chitetezo chokwanira;
• zimakhudza kusinthika kwa mphamvu ya kapamba.

Makhalidwe azakudya zamankhwala pancreatitis amachititsidwa ndi zinthu zingapo. Chifukwa chake, mu kutupa kwambiri, gawo la kufalikira ndilofunika kwambiri, lomwe limakhudzana mwachindunji ndi kuchuluka kwa chiwonongeko cha kapamba ndi chiyambi cha kuchira kwake. Kuphatikiza apo, kutalika kwa matendawa ndikofunikira, ndiye kuti, ngati kapamba amadwala kapena amapezeka mwa wodwala nthawi yoyamba.

Chosafunikanso kwambiri ndi momwe matendawa alili, kupezeka kwa zovuta ndi ziwalo zina zam'mimba ziwalo. Mwachitsanzo, ndi bancary pancreatitis, pamakhala zotupa za chiwindi, chikhodzodzo ndi ndulu ya bile, zomwe sizingakhudze magawo a odwala omwe amapatsa thanzi. Komanso njira zochizira, kuphatikiza zakudya, zimadalira malo omwe amawonongera kapamba ndi kapisozi wake, kukhalapo kwa abscesses kapena necrotic foci.

Chifukwa chake, zakudya zakukula kwa kapamba, kapena tebulo la 5p, zilipo ziwiri, zomwe zimatsimikiziridwa ndi kukula kwa chotupa:

Njira 1: kuyikidwa ndi chiwonetsero chazidziwitso cha matenda opatsirana kapena kutulutsa kochulukira ka chifuwa chachikulu cha kapamba.

Njira 2: imafotokozedwa kuti zizindikiro za pachimake zichepetse komanso kukhazikika kwa mkhalidwe wa wodwalayo kuti ziyambe, komanso ngati zizindikiro zoyambirira zakusintha kwakwanthawi kochulukira kwa matenda osakhazikika.

Kukhazikitsidwa kwa yokazinga, mafuta, zonunkhira kuyenera kuchepetsa ntchito ya michere ya kapamba

Koma, wodwalayo akangolowa kuchipatala, m'masiku oyamba ndikofunikira kuti asiye kumwa kwa chakudya kudzera mkamwa kuti apange kupumirana kwa kapamba, m'mimba, matumbo, chiwindi. Chifukwa chake, kusala kwachiwonetsero kumayendetsedwa kwa nthawi ya masiku 2-4, omwe amatsimikiziridwa ndi mawonekedwe ndi kuzama kwa kapamba. Nthawi yomweyo, thupi la munthu limafunikira michere kuti ichiritse, kotero iye amawalandira monga makolo, mwa njira yothetsera kukonzekera kwamkati. Kenako, patatha masiku ochepa, thupi limabwezeretsanso mphamvu ya kudya monga mwa masiku onse.

Njira 1

Thanzi la pancreatitis pachimake, mkhalidwe wa wodwalayo ukakhala wovuta, kupweteka kwambiri komanso kuledzera, komanso ziwalo zina zamkati zikavutika, ndiye malo othandizira kwambiri. Pakadali pano, chidwi chapadera chimaperekedwa osati kungopatula zinthu "zosafunika" kwambiri, komanso njira zophikira.

Zomwe kapamba sakonda

Popeza wodwalayo ali m'chipatala, amalandila chakudya kuchokera ku khitchini ya chipatala, komwe zinthuzo zimakonzedwa molingana ndi malamulo okhwima, ndipo menyu panthawi yowonjezera imayang'aniridwa tsiku ndi tsiku. Zakudya zimaphikidwa kapena kuwotchera, kuphika ndi kuupeza ngati msuzi wofowoka, msuzi, chimanga, mbatata yosenda. Kuphatikiza apo, mbale zonse zimakhala ndi kutentha koyenera, komwe sikukhumudwitsa chimbudzi. Sayenera kulimbikitsa kubisala mu ziwalozi, chilichonse chimayenera kukhala chosavuta komanso chofulumira.

Chakudya chimachitika nthawi zambiri, mpaka katatu pa tsiku, koma m'magawo ochepa kwambiri (magawo 300 a 300), boma lina la kumwa limatsatiridwa. Pambuyo pa chakudya chilichonse, mkhalidwe wa kapamba ndi ziwalo zina, komanso thanzi la wodwalayo, umayesedwa.

Musanakonze nkhuku, ndikofunikira kuchotsa khungu lomwe lili ndi mafuta ambiri.

Kodi mungadye ndi kumwa ndi chiyani za kufinya kwa kapamba, zimawonekera pamndandanda wazinthu:

Kuphatikiza apo, ndikofunikira kuchepetsa mchere mpaka magalamu 6 patsiku (wodwalayo sayenera kuwonjezera mbale). Zinthu zonse zopatsa mphamvu tsiku ndi tsiku sizoposa 1800 kcal.

Zakudya za 5p izi zimagwiritsidwa ntchito kuchipatala kwa masiku 5-7 mutatha kudya. Pambuyo kuukira kwachembere pancreatitis, wodwala akauzidwa kuti apite patsogolo pazakudya, chakudya chimakhalabe chimodzi mwamagawo othandizira, ndipo kusankha Nambala 2 amaperekedwa kwa wodwalayo.

Njira yachiwiri

Zakudya pambuyo povulaza pancreatitis ziyenera kuyang'aniridwa bwino kunyumba, udindo wonse wa izi wagona ndi wodwalayo komanso abale ake. Kuphatikiza pa mankhwala, wodwala amalandira malangizo kuchokera kwa adotolo zokhudzana ndi njira komanso zakudya zofunika m'thupi momwe mndandanda wazomwe uyenera kuperekedwera pamene matendawo akuchulukirachuma komanso zomwe ziyenera kusayikidwa mu chakudya.

Kutengera mtundu wa matendawo komanso kuopsa kwa matendawa komanso ngati opaleshoni yachitika, kutalika kwa nthawi yogwiritsidwa ntchito pakudya No. 2 kumatha kusiyanasiyana kuyambira miyezi isanu ndi itatu mpaka chaka chimodzi. Nthawi zina, ndimakonda kukokota kwa kapamba ka chifanizo chodwala, zakudya zotere zimakhala zofunikira kwa zaka zambiri ngakhale moyo.

Pambuyo zizindikiro za pachimake kapamba kuchepa, chakudya chimakhalabe chamtundu, 5-6 patsiku komanso buku limodzi la 400-500 ml. Zomwe mapuloteni ndi mavitamini amawonjezeka, mafuta a nyama ndi masamba, chakudya, ndi michere yamafuta amachepa. Mchere ukhoza kumamwa mpaka 10 g patsiku, zopatsa mphamvu za tsiku ndi tsiku zimakwera mpaka 2700 kcal. Kumwa regimenti yozungulira kuyeneranso kuchitidwa, ndipo kuchuluka kwa tsiku ndi tsiku kwamadzimadzi kuli malita 2.

Zakumwa zoledzeretsa ndi kapamba zimalimbikitsa kuchira

Chofunikira kwambiri pakukonza mbale chiziperekedwa ku njira zakukonzera zinthu. Ndi pancreatitis munthawi yamagetsi, exacerbations iyeneranso kuwiritsa ndi kuphika mu "madzi osamba", koma njira monga kudyetsa ndi kuphika ndizololedwa. Zakudya ziyenera kukonzedwa monga misuzi, chimanga, mbatata yosenda kapena nyama yophika, masamba amatha kuthiridwira tizidutswa tating'ono, ndipo zipatso zimatha kukhala zonse, koma zimaphikidwa nthawi zonse mu uvuni. Mwa kutentha, mbale zonse siziyenera kuzizira kapena kutentha, popanda sosi ndi zonunkhira, kuti zisayambitse ntchito zachinsinsi kwambiri m'mapancreas.

Thanzi panthawi yopumulira pang'onopang'ono ya kuchuluka kwa matendawa, ngakhale kuti pali zoletsa zambiri, amakhalabe osiyanasiyana komanso okwanira onse pazofunikira.

Zomwe mungathe kudya ndi zomwe simungathe kudya ndi kapamba zimalembedwa patsamba ili:

Monga tikuwonera patebulo, ndi kapamba, mumatha kudya mokwanira komanso zosiyanasiyana, pogwiritsa ntchito chimanga, masamba, nyama, nsomba, zakudya komanso maswiti. Wodwalayo, malinga ndi malamulo omwe akuperekedwa aupangiri, azilandira kuchuluka kofunikira kwamafuta, mapuloteni, chakudya, mavitamini ndi mphamvu zomwe amafunikira kuti abwezeretse thanzi la kapamba ndi ziwalo zina zamkati.

Mutha kudya pastille, marmalade, jelly kapena marshmallows osachepera tsiku lililonse

Zitsanzo zina zamamanja

Kunyumba, ndizothandiza kwambiri kupanga mndandanda wa sabata, osati tsiku lililonse. Chifukwa chake ndikosavuta kuganizira zakudya zam'tsogolo musanagule zinthu zofunika, zomwe zingakuthandizeni kukwaniritsa kusiyanasiyana kwa zakudya. Ndi mtundu wachiwiri wa zakudya 5p, mndandanda woyenera wa masiku atatu udzawoneka motere:

Chakudya cham'mawa 1: phala lawisiwisi pamadzi ndi mkaka, buledi wouma, kapu ya tiyi wopanda mphamvu;
Chakudya cham'mawa chachiwiri: maapulo awiri ophika;
Chakudya chamadzulo: msuzi wa mkaka ndi vermicelli, mbatata yosenda ndi chidutswa cha nkhuku chodulira, mabulosi odzola, mkate.
Zakudya zoziziritsa kukhosi: kapu ya tiyi wopanda mphamvu, zidutswa zitatu za vanilla marshmallow.
Chakudya chamadzulo: chakudya chamasamba, pollock yophika, mkate, compote.

Chakudya cham'mawa 1: phala la oatmeal pamadzi ndi mkaka, kupanikizana kwakumwa, tiyi.
Chakudya cham'mawa 2: kanyumba tchizi souffle, kissel.
Chakudya chamasana: msuzi wa nsomba ndi haddock, mapuloteni omelette, compote, mkate.
Zakudya zazing'ono: mapeyala awiri ophika.
Chakudya chamadzulo: bere la nkhuku lophika mbatata, tiyi, mkate.

Chakudya cham'mawa 1: semolina, mkate, tiyi.
Chakudya cham'mawa chachiwiri: masamba casserole, mkate, tiyi.
Chakudya chamadzulo: msuzi wa nkhuku yokhotakhota yokhala ndi dzira loyera, mpunga wophika ndi nsomba zamkati, buledi, zipatso zopatsa.
Zosadya: yogati ndi mabisiketi owuma, tiyi.
Chakudya chamadzulo: ng'ombe yophika ndi pasitala, mkate, zakudya.

Pakati pa zakudya zisanu, mutha kukhala ndi "zina zazing'ono" zowonjezera ziwiri. Kuti muchite izi, idyani zipatso zophika, yogati, kapu yamafuta kapena compote, makeke ophika biscuit.

Kukwaniritsa malingaliro onse azachipatala ndikutsatira zakudya, ndikotheka kukwaniritsa kubwezeretsanso kwa kapamba pantchito nthawi yayitali, komanso kutalikitsa kuchotsere matenda.