Zakudya za kapamba

Mawuwa ndi ongofuna kudziwa zambiri. Tikukulimbikitsani kuti musagwiritse ntchito zakudya, osagwiritsa ntchito mindandanda yazachipatala ndikusala kudya popanda kuyang'aniridwa ndi achipatala. Kuwerenga kolangizidwa: "Chifukwa chiyani simungadye nokha." Pancreatitis ndi matenda a kapamba omwe amayamba chifukwa cha kutupa kwa chiwalo. Matendawa ali ndi zizindikiro zingapo zosiyana, kuphatikizapo ululu, choncho amafunikira chithandizo chokwanira. Ngati palibe njira zothetsera zizindikiro, kapamba amapita patsogolo, njira ya pathological imafalikira ku ziwalo zapafupi, ma pancreatic enzymes "amagaya" peritoneum, ndipo maselo ake amafa mwachangu. Kuchedwa kulandira chithandizo kumabweretsa imfa. 25% ya odwala, kunyalanyaza matendawa, amakhala olumala.

Chaka chilichonse chiwerengero cha anthu azaka zogwira ntchito omwe akudwala kapamba chikuwonjezeka. Odwala ambiri ndi opepuka za chithandizo cha matendawa ndipo safuna chithandizo chamankhwala. Njira yayikulu yolimbana ndi kapamba imatengedwa kuti ndi chakudya choyenera komanso moyo wathanzi. Gawo lililonse la matendawa limapereka boma lokhala ndi malingaliro omveka bwino ndi zoletsa, zomwe simuyenera kupatuka pazifukwa zilizonse. Ngakhale zili zoletsedwa, ndizotheka kukhala ndi moyo wautali wosangalala ndi kapamba.

Njira ya kapamba imatha m'njira zingapo.

Zovuta. Kukula kwa pachimake pancreatitis kumachitika mwachangu komanso mwadzidzidzi. Odwala salabadira kugwedezeka pang'ono m'mbali, koma patatha masiku angapo samadzuka pabedi chifukwa cha ululu wakuthwa komanso zizindikiro zina zowonekera bwino. Pancreatitis pachimake imatha kuchira kwathunthu, kukula kwa kapamba kosatha, kapena kufa kwa wodwala chifukwa cha zovuta.

Zosasintha. Kwa nthawi yayitali, wodwalayo amakhala ndi nthawi zochulukirapo komanso kusintha kwa thanzi (kuchotsedwa). Mankhwala alibe mphamvu polimbana ndi matendawa; ndizosatheka kupeza chithandizo chokwanira cha kapamba osatha. Mkhalidwe wa chikhululukiro chokhazikika ndicho cholinga cha odwala, popeza kutupa sikungavutike kwa zaka zambiri. Kwa moyo wokhala ndi kapamba, zakudya zimaperekedwa kwa odwala onse omwe ali ndi kapamba.

Mtundu wosiyana ukhoza kusiyanitsa pachimake chobwerezabwereza pancreatitis. Matenda amtunduwu potengera zizindikiro amafanana ndi kapamba, koma kubwereza kumachitika pafupipafupi kuposa miyezi isanu ndi umodzi. Ngati zizindikiro zofanana zichitika pakatha miyezi isanu ndi umodzi, izi ndi zizindikiro za kutupa kosatha.

Zimayambitsa matenda

Kuphwanya kwa kapamba kumachitika chifukwa cha kuwonongeka kwa minofu ya chiwalo. Madzi a pancreatic pancreatic amakhala ndi trypsin, lipase ndi ma enzymes ena am'mimba omwe amaphwanya mosavuta mapuloteni, mafuta ndi chakudya chomwe chimalowa m'thupi.

Munthawi yomwe madzi a pancreatic salowa m'matumbo, amalowa mkati mwa gland, njira ya "kudzigaya" imayamba. Ma enzymes amaphwanya minyewa yawo. Pansi pa chikoka chawo, ena mwa maselo amafa, ena onse amalimbana ndi chimbudzi, kutupa kwa kapamba kumayamba.

Kutuluka kwa madzi a pancreatic kumasokonekera chifukwa cha izi:

  • makina (kumwa mowa mopitirira muyeso, kusuta, zakudya zopanda thanzi, cholelithiasis, kuvulala m'mimba);
  • cholowa cholozera;
  • matenda autoimmune (lupus erythematosus, nyamakazi);
  • kupsinjika.

Pamene kuukira koyamba pachimake kapamba, wodwalayo sanapatsidwe thandizo lachipatala chofunika, kutupa amakhala aakulu. Munthawi yomweyo kusokonezeka kwa kapamba ndi biliary thirakiti kumabweretsa cholecystopancreatitis ndi zina chitukuko cha peritonitis.

Zakudya za pancreatitis mwa akulu

Dongosolo lazakudya siliphatikiza kugwiritsa ntchito zakudya zolemetsa komanso zamafuta. Zakudya za kapamba, zomwe adokotala amalamula, zimachokera ku mfundo za zakudya zoyenera. Odwala akulangizidwa kuti azidya kagawo kakang'ono ka 5 kamodzi patsiku. Kuchokera zakudya kosatha ndi kuchotsa zakudya zoipa. Mu matenda a kapamba, m'pofunika kudya makamaka zakudya zomanga thupi, ndipo kudya mafuta ndi chakudya ndi bwino kuchepetsa.

Kutsatira zakudya popanda kusokoneza ndizotheka popanga menyu sabata yamawa. Mukamapanga zakudya, zotsatirazi zimaganiziridwa:

  • musadumphe chakudya (idyani maola 3-4 aliwonse);
  • kudya magawo 150 g;
  • pogaya chakudya ngati zingakwiyitse mucous nembanemba;
  • ndi bwino kusankha mbale zokhala ndi mapuloteni apamwamba;
  • kuiwala za kudya kwambiri mafuta ndi chakudya;
  • kukana mbale ndi mkulu zili akupanga;
  • ndi ululu waukulu, kukana kudya kwa masiku awiri.

Ndizovuta kwambiri kupirira chakudya chotere cha mano okoma, chifukwa sayenera kudya maswiti omwe amakonda, makeke ndi makeke.

Momwe mungadye ndi pancreatitis pachimake

Acute pancreatitis ndi kutupa kwa kapamba komwe kumayamba chifukwa cha zinthu zosiyanasiyana. Matendawa amafunikira kuyang'aniridwa ndi achipatala. Malinga ndi ziwerengero, 40% odwala amamwalira chifukwa cha matenda a kapamba. Matendawa ndi owopsa chifukwa amakula mofulumira kwambiri moti n’zosatheka kupeŵa mavuto. Thandizo losankhidwa bwino komanso chithandizo chamankhwala chapanthawi yake chimalepheretsa zotsatira zosafunika ndikuyambitsa kuchiritsa kwathunthu kwa wodwalayo.

Chithandizo cha kapamba chimatengera zakudya zokhwima, zomwe siziyenera kusweka, makamaka pambuyo pochiza kapamba. Muyenera kutsatira zomwe mwauzidwa moyo wanu wonse, chifukwa kudya koyenera kokha kungateteze wodwalayo kuti asayambirenso matendawa. Chakudya cha pancreatitis pachimake chimadziwika ndi kuuma kwambiri komanso kusasinthasintha.

M’masiku awiri oyambirira matendawa atayamba, wodwalayo amapewa chakudya (chakudya chanjala). Kusunga thupi zinthu, mavitamini ndi mchere jekeseni kudzera m`mitsempha mu mawonekedwe apadera njira. Pambuyo pochotsa zizindikiro zowawa zakuthwa, chakudya chamadzimadzi chimawonjezeredwa ku zakudya. Dokotala wopezekapo, akuwunika momwe wodwalayo alili, akuwonetsa kuchuluka kwa kutsatira zakudya.

Ndi kuchepa kwa ntchito ya kapamba, chimanga, mbatata yosenda, kissels zimawonjezeredwa pazakudya za odwala. Zakudya zimaperekedwa mu mawonekedwe ophwanyidwa: grated kapena wosweka ndi blender. Kudya kwa sabata limodzi ndi zoletsa zotere kumapangitsa kuti wodwalayo azikhala bwino, komanso amachepetsa kutupa kwa kapamba. Pamene mkhalidwe wa wodwalayo ukhazikika, kefir, compote, kanyumba tchizi, mazira ophwanyidwa amawonjezeredwa pang'onopang'ono ku zakudya. Chakudya chikupitirizabe kutenthedwa kwa miyezi 2, ndipo mankhwalawo amatha kutenthedwa.

Patapita kanthawi, ngati thanzi limalola, amaloledwa kudya zakudya zophika buledi, nsomba, nyama yowonda. Pambuyo pachimake kapamba, wodwalayo amayenera kumanganso menyu ndi mawonekedwe motsatira mfundo za zakudya zoyenera:

  • Zakudya zopatsa thanzi. Chakudya chiyenera kudyedwa maola 3-4 aliwonse.
  • Zigawo zazing'ono. Kuchuluka kwa chakudya chimodzi sayenera kupitirira 500 g.
  • Simungalole kuoneka kwa kumverera kwa njala yaikulu.

Pachimake kapamba, odwala ayenera kuyiwala za zakudya zamafuta, zokometsera zokometsera, nyama zosuta, zipatso zowawasa ndi ndiwo zamasamba.

Chitsanzo cha zakudya zatsiku ndi tsiku kwa odwala omwe ali ndi pancreatitis pachimake:

Chakumwaomelet, tiyi wofooka
Zosakanizakanyumba tchizi, dogrose decoction
chakudyamsuzi wowonda, mavwende odzola
Zosakanizakanyumba tchizi 0%, tiyi ndi mkaka
chakudyapatties nsomba, masamba puree
Chakudya Chamadzulokapu ya kefir yopanda mafuta

Posankha zinthu pazakudya, odwala omwe ali ndi kapamba pachimake ayenera kuphunzira mosamala zolembazo kuti apewe kugwiritsa ntchito zoteteza, utoto, zokometsera, ndi zolimbitsa thupi.

Ngati mukukayikira za zopindulitsa za mankhwalawa, ndi bwino kuti musaphatikizepo muzakudya.

Zakudya za matenda aakulu

Matenda aliwonse osatha kwa nthawi yayitali sangavutitse wodwalayo, komabe, pali nthawi zina pomwe chikhululukiro chimatha kuukira koopsa. 50% yowonjezereka imagwera pa nthawi yotchedwa off-season "spring-autumn". Chifukwa cha kuukira amakhala kuphwanya zakudya ndi kumwa. Mowa - mdani wamkulu kwa odwala matenda a kapamba.

Masiku oyambirira pambuyo pachimake ululu kuukira, wodwala njala, amaloledwa kumwa madzi okha. M'tsogolomu, dokotala wopezekapo amapereka zakudya zapadera, kawirikawiri Zakudya 1 (tebulo No. 1). Menyu aumbike makamaka pa mapuloteni: Taphunzira nyama, nsomba, 0% mafuta kanyumba tchizi, etc. Muyenera kudya yophika ndi steamed mbale 8 pa tsiku. Kuchuluka kwa gawo limodzi ndi 250 g (dzanja limodzi).

Pachimake siteji, wodwalayo saloledwa kudya chakudya kwa masiku atatu, nthawi zina, madzi shredded chakudya amaloledwa. Woopsa kuukira, wodwalayo ayenera yomweyo m`chipatala, zotchulidwa zofunika mankhwala ndi parenteral zakudya.

Pa nthawi ya exacerbations wofatsa ndi zolimbitsa cholimba, odwala tikulimbikitsidwa kumwa rosehip decoction, koma osapitirira 50 ml pa ola.

Kutupa kwa kapamba kwambiri kumayambitsa chakudya chamafuta, kuchuluka kwawo kuyenera kuchepetsedwa pang'ono. Panthawi ina, mutha kudya supuni 3 za phala lamadzimadzi, puree wamasamba, kapena supu yowonda. Muyenera kudya 5 kamodzi patsiku. Kwa milungu iwiri, ma servings amawonjezeka ndi 40 patsiku. Pakatha milungu ingapo kukula kwa gawo limodzi kudzakhala 250.

Mndandanda wa mankhwala omwe amaloledwa pancreatitis yosatha amaperekedwa ndi zakudya No. 1, No. 5p. Malinga ndi malingaliro a dokotala, chakudyacho chimadzazidwa ndi zinthu zatsopano. Panthawi imodzimodziyo, chidwi chiyenera kuperekedwa ku zomverera zanu komanso momwe thupi lanu limayendera. Chizindikiro choyamba chowawa ndi chizindikiro chokana "chinthu cholemera"

Zitsanzo za menyu zatsiku kwa odwala omwe ali ndi kapamba osatha:

Chakumwambatata yosenda
Zosakanizaskim tchizi
chakudyasupu ndi oatmeal, tiyi mkaka
chakudyaalbumin omelet
Chakudya Chamadzulokanyumba tchizi soufflé

Zakudya za kapamba osatha zimathandizira kuthetsa kuchulukira kwa mawonekedwe osatha a matendawa.

Lamulo lalikulu - kapamba ayenera kupuma ku chakudya cholemera.

Zakudya ndi chikhululukiro cha matenda kapamba

Pachikhululukiro, wodwalayo akumva kumasuka ndipo samamva ululu. Ubwino wabwino wa wodwalayo umakupatsani mwayi wowonjezera zinthu zambiri zovomerezeka. Komabe, simuyenera kumasukanso, chifukwa kapamba amatha kuyankha molakwika pazakudya zina.

Maziko a zakudya pa siteji ya chikhululukiro ayenera kumwedwa Zakudya №5, kuwonjezera kwa izo kuchuluka mosavuta digestible mapuloteni ndi mavitamini:

  • magawo awiri;
  • zophika, kuphika, nthunzi mbale;
  • kudya zakudya zomanga thupi zosachepera 150 g patsiku, makamaka nyama;
  • menyu osiyanasiyana;
  • kuchepetsa mafuta a nyama;
  • kudula ndi kutafuna chakudya.

Odwala kapamba amakhala ndi moyo wokangalika. Iwo ayenera kuganizira menyu tsiku lililonse. Zabwino ndi zakudya zotentha (supu, supu, supu) ndi zokhwasula-khwasula (yoghurt, nthochi). Pokhala pamaphwando amakampani, maphwando, musazengereze kufotokozera zomwe zikuphatikizidwa ndi mbale zomwe zaperekedwa. Osagwiritsa ntchito zakudya zodziwika bwino, kuti musasokoneze zakudya komanso kuti musakhumudwitse.

Pancreatitis ndi mimba

Amayi ambiri amsinkhu wobala amadwala kapamba, motero kutenga pakati ndi kubereka kuyenera kuchitidwa moyenera.

Pancreas sichimasokoneza pathupi la mwana ndipo sichimakhudza kukula kwake kwa intrauterine.

Mavuto amadza ndi mawonekedwe owopsa a matendawa kapena panthawi ya kuukira kwa kapamba. Zikatero, zotchulidwa mankhwala ndi okhwima zakudya, chifukwa chimene mwanayo angalandire zochepa kuchuluka kwa mavitamini ndi zinthu zofunika pa moyo wake.

Odwala omwe ali ndi kapamba amayenera kuyang'aniridwa pafupipafupi ndi katswiri ndikukonzekera kutenga pakati pa nthawi yachikhululukiro cha matendawa. Pakuchulukirachulukira kwa kapamba, ndibwino kuti musaganize zokhala ndi mwana pazifukwa izi:

  1. Mimba ndi yolemetsa pawiri pa thupi lachikazi. M'miyezi 9, matenda onse osatha, kuphatikiza kapamba, amakula mwa amayi.
  2. Mankhwala omwe amagwiritsidwa ntchito pochiza kapamba amatsutsana kwambiri pa nthawi ya mimba ndi lactation.

Ndi bwino kukonzekera mimba ndi kukaonana koyambirira ndi gynecologist ndi dokotala, yemwe adzapereka mayesero omwe amasonyeza kukonzekera kwa thupi kubereka mwana ndi kubereka. Sankhani pasadakhale akatswiri oyenerera omwe chidziwitso chawo chimakulolani kuyang'anira amayi apakati omwe ali ndi kapamba.

Kuwonjezeka kwa kapamba kumakhala ndi zizindikiro zofanana ndi toxicosis: kusanza, nseru, kutentha thupi, kupweteka kwa m'mimba, choncho musapirire zizindikiro izi. Ngati muli ndi chimodzi mwa izo, muyenera kuonana ndi dokotala ndikukambirana za mavuto anu.

Simuyenera kudzipangira mankhwala, chifukwa osati moyo wa amayi okha, komanso mwana amadalira. Kuchiza ndi mankhwala owerengeka kuyeneranso kusiyidwa mpaka nthawi zabwino, kuti musawononge thanzi la mwana.

Njira yoyembekezera mwa amayi omwe ali ndi kapamba zimatengera kuchuluka kwa kuchulukira komanso kuuma kwawo. Amayi amtsogolo amadwala toxemia mu trimester yoyamba ndi yachiwiri, koma mimba yotsalayo imadutsa popanda zovuta. Pazovuta kwambiri, ngati pali chiopsezo ku moyo wa mayi, kuchotsa mimba kumagwiritsidwa ntchito.

Pancreatitis yosatha si chifukwa cha kaisara, mkazi amatha kubereka yekha mwana wathanzi.

The zakudya odwala ndi aakulu mawonekedwe a matenda pa mimba

Kwa amayi omwe ali ndi kapamba, kutenga pakati si chifukwa chopumula zoletsa zakudya. M'malo mwake, kutsatira zakudya panthawiyi kuyenera kuyang'aniridwa mosamala kuti mupewe kutupa kwa kapamba. Ndikoyenera kuti amayi apakati atsatire malangizo awa:

  1. Tsatirani malangizo a dokotala. Zakudya za kapamba ndi mimba sizisiyana ndi zakudya zomwe zimapangidwira kuchiza matendawa.
  2. Miyezi itatu yoyamba ya mimba iyenera kudyedwa molingana ndi mndandanda wa njira yoyamba ya Zakudya No. 5 (idyani zakudya zophika ndi mbale zowotcha). Kuyambira trimester yachiwiri, pakalibe zovuta zowoneka, menyu yazakudya imatha kukulitsidwa pang'onopang'ono.
  3. Chepetsani kudya zipatso ndi ndiwo zamasamba. Panthawi yachikhululukiro, mutha kudya nthochi, mavwende, ma apricots ndi yamatcheri okha. Mavitamini ndi mchere omwe thupi limalandira kuchokera ku zipatso ndi ndiwo zamasamba amadzazidwa ndi kukonzekera kwapadera.
  4. Kuletsa chilakolako kudya mchere / zokometsera / wowawasa zakudya zimene zimachitika akazi pa nthawi yobereka mwana.
  5. Idyani maola atatu aliwonse musanamve njala.

Pancreatitis mwa amayi apakati si chiganizo, mkazi akhoza kubereka mwana wathanzi. Kuti muchite izi, muyenera kutsatira mosamala malangizo a dokotala ndikuwunika momwe thanzi likuyendera.

Pancreatitis mwa ana. Zomwe zimayambitsa chitukuko

Zodabwitsa, koma ana amathanso kukhala ndi kapamba. Pancreas wa mwana samakakamizidwa ndi zakumwa zoledzeretsa, kuperewera kwa zakudya m'thupi, komabe, pali zinthu zingapo zomwe zingayambitse matenda "wamkulu".

Paubwana kapamba amapezeka m'njira zitatu: pachimake, chosatha komanso chotakataka.

Pancreatitis pachimake mwa ana imawonetsedwa, komanso mwa akulu, chifukwa cha kuphwanya kwa kutuluka kwa madzi a kapamba. Pa kutuluka kwa madzi zimakhudza:

  • kuvulala pamimba;
  • chitukuko chachilendo cha kapamba;
  • calcifications;
  • cholelithiasis;
  • matenda chifukwa cha matenda ndi tiziromboti;
  • pachimake matenda opatsirana;
  • matenda aakulu am'mimba, matumbo (gastritis, colitis).

Sikuti kudzilimbitsa nokha kumayambitsa kukula kwa kapamba mwa ana, zomwe zimayambitsa matendawa ndi:

  • poizoni kuwonongeka kwa kapamba ndi amphamvu mankhwala, ziphe;
  • kusagwira bwino ntchito kwa thupi chifukwa cha cholowa.

Pancreatitis pachimake imawonekera mu mawonekedwe a ululu (zopweteka) kumanzere kwa pamimba kapena pakati. Ana sangathe kudziwa mtundu wa ululu, kotero pali mavuto ambiri ndi matenda olondola. Pambuyo pa kuukira, kusanza, chizungulire, kufooka ndi kukomoka ndizotheka. Chifukwa cha mphamvu ya poizoni m'thupi, mwanayo angayambe kuyerekezera zinthu m'maganizo. M'pofunikanso kulabadira mtundu wa khungu (kumakhala chikasu pang'ono), lilime (chophimba choyera chikuwonekera). The kutupa ndondomeko amakwiya kuwonjezeka kwa kutentha kwa thupi la mwanayo.

Ndizovuta kudziwa pancreatitis pachimake mwa makanda ndi ana osakwana zaka ziwiri. Iwo sangakhoze paokha kunena za chikhalidwe cha ululu. Nthawi zambiri, makanda amalira, amakuwa ndi kutsika mu "mpira". Mwina kusanza, kutentha thupi, kutsegula m'mimba.

Ndikofunikira kuti mwanayo asonyezedwe kwa dokotala wa ana, chifukwa zizindikiro zingasonyeze kukula kwa matenda ena.

Kwa ana, kapamba osatha amapezeka kawirikawiri ndipo amapezeka pokhapokha atanyalanyazidwa pachimake kapena pambuyo potupa kwa kapamba. Chomwe chimayambitsa kapamba ndi kusowa kwa chithandizo komanso kufa kwachilendo kwa maselo a kapamba pambuyo pa mtundu wowopsa wa kapamba.

Ana a kapamba amayankha mwachangu ku mawonetseredwe aliwonse a pathological njira ndi kutupa ndi kutupa. Edema m'malo ndi kuchepa kwa ntchito ya m'mimba michere. Chodabwitsa ichi chimatchedwa reactive pancreatitis. Zomwe zimayambitsa matenda amtunduwu ndi:

  • kutupa kwa ziwalo zoyandikana ndi kapamba;
  • matenda opatsirana (ma virus, mabakiteriya, bowa);
  • kuperewera kwa zakudya m'thupi kwa mwanayo (kusowa kuyamwitsa, zakudya zofulumira, zakudya zosayenera, kudya masamba osapsa ndi zipatso).

The aakulu mawonekedwe ana akufotokozera ndendende chimodzimodzi monga wamkulu odwala: m`mimba ululu kuphwanya zakudya kapamba, nseru pambuyo kudya zokometsera, mafuta zakudya, kutsekula m`mimba, flatulence, kuwonongeka kwa tsitsi, misomali, khungu.

Reactive pancreatitis ndi chotheka chifukwa ma cell a gland amawonongeka pang'ono. Pambuyo pochotsa chomwe chimayambitsa matendawa, ntchito ya kapamba imakhazikika, ndipo mwanayo amatha kubwerera ku moyo wanthawi zonse. Kumene, ngati mulibe bwanji njira ya matenda, amakhala aakulu.

Reactive pancreatitis mwa ana amawonetsedwa motere:

  • ndowe zamadzi kapena kudzimbidwa kosatha;
  • kutupa;
  • kunyada;
  • kupweteka kwa mchombo.

Zakudya za kapamba za ana

Ana zakudya aumbike malinga ndi mtundu wa matenda. Pancreatitis yovuta, wodwala wocheperako ayenera kutsatira zakudya zolimbitsa thupi kwambiri panthawi yomwe matendawa akuchulukirachulukira, ndipo ululu ukatha, mutha kusintha njira yochepetsera. Tsoka ilo, mtundu wokhazikika wa kapamba umafunikira zoletsa zamoyo zonse.

Zakudya zokhwima kwa mwezi umodzi zimaperekedwa kwa mwana yemwe ali ndi kapamba. Zakudya nambala 5 ndiye njira yabwino kwambiri yazakudya zomwe zimakupatsani mwayi wochotsa matenda owopsa m'zaka zisanu.

Chakudya chiyenera kusamalidwa mosamala kwambiri, chifukwa zopatuka zazing'ono zimachedwetsa machiritso.

Zakudya za kapamba zogwira ntchito mwa ana zimawonedwa kwa milungu iwiri mutatha kudwala matendawa. Pankhaniyi, musachepetse mwana kwambiri. Kuti muchiritsidwe kwathunthu, ndikwanira kumamatira ku mfundo za zakudya zoyenera za mwana wazaka.

Mosasamala kanthu za siteji ya matendawa, ndikofunikira kuchotseratu menyu:

  • kusuta ndi kuzifutsa zakudya;
  • zakudya zachangu;
  • zokometsera, zamchere, zokazinga;
  • mankhwala okhala ndi zotetezera, zokometsera ndi zowonjezera kukoma.

Zakudya za pancreatitis yogwira ntchito mwa mwana zimakulolani kuti mupange zakudya zotsatirazi:

Chakumwambatata yosenda ndi mkaka, nkhuku yophika
Zosakanizakanyumba tchizi pudding, ofooka tiyi
chakudyasupu ya nkhuku, saladi ya beetroot, nsomba yophika
Zosakanizaapulo odzola
chakudyayogurt, toast

Zakudya za kapamba zokhazikika zimatengera tebulo lamankhwala №5

Mu pachimake kapamba ndi kuukira aakulu mawonekedwe a matenda, mwanayo ayenera m`chipatala.

M'masiku oyambilira a mwana, samadya pakamwa, koma amangogwiritsa ntchito zakudya zopatsa thanzi. Patsiku lachiwiri, ngati palibe kuukira kwa kusanza, mukhoza kumwa madzi, koma osapitirira galasi limodzi patsiku. Ngati chiwopsezo cha kapamba chikudutsa, ndiye kuti kuyambira tsiku lachitatu amaloledwa kugwiritsa ntchito phala woonda, mbatata yosenda, compotes zochokera zipatso zouma, odzola. Pang'onopang'ono, msuzi wowonda, omelet akhoza kuwonjezeredwa ku zakudya, komanso ndi mphamvu zabwino - ng'ombe yophika, nkhuku. Kuyambira sabata yachiwiri pazakudya, mutha kuphatikiza mkaka wopanda mafuta ochepa, nsomba ndi nyama, yophika kapena yophika. Dongosolo latsatanetsatane lazakudya limasankhidwa ndi dokotala.

Mwana nthawi zambiri samamvetsetsa kuopsa kwa matendawa, zimakhala zovuta kuti apirire nthawi yambiri popanda maswiti. Mutha kupanga odzola kuchokera ku maapulo kapena kuphika casserole yofewa. Zakudya zonse zitha kudyedwa zotentha komanso zazing'ono. Kuchokera mchere ndi shuga kwa nthawi yoyamba ndi bwino kukana konse.

Zakudya za kapamba kwa ana patatha mwezi umodzi zimalola kugwiritsa ntchito Adyghe tchizi, nyama yophika ndi nsomba, kanyumba tchizi, pasitala. Mndandanda wa masamba ololedwa ukukula kwambiri: zukini, kaloti, kabichi, dzungu, beets. Onetsetsani kuti mumadya kwambiri mkaka wachilengedwe. Mu phala, mukhoza kuwonjezera mafuta pang'ono, ndi yosenda - zonona.

Pachikhululukiro, menyu ya mwana iyenera kukulitsidwa kutengera kusintha kwa moyo wake. Ngati kapamba akuwona molakwika zomwe zangotulutsidwa kumene, ziyenera kuchotsedwa nthawi yomweyo. Pang'onopang'ono, mwana mu ndalama zochepa angaperekedwe mwatsopano cholizira timadziti, nyengo masamba, zipatso. Zakudya zofananira za kapamba zimaphatikizapo zakudya zama protein, chimanga chamadzimadzi ndi nyama yankhuku yoyera. Kwa kanthawi, muyenera kusiya kugwiritsa ntchito mkaka wonse, koma amaloledwa kuphika chimanga ndi supu zochokera pa izo. Dzino laling'ono lokoma nthawi zina limatha kupakidwa kupanikizana, marshmallows, marmalade.

Kuti zakudya zochiritsira zikhale zogwira mtima, muyenera kutsatira ndondomeko yanu ya zakudya - idyani maola 3 - 4 aliwonse. Onetsetsani kuti mwanayo sakhala ndi nthawi yayitali yanjala.

Ngati mwanayo amadya mu sukulu cafeteria, mosamala kuphunzira menyu wa bungwe. Mosakayikira, masukulu ophunzirira ndi oyambira kusukulu amatsatira mfundo za zakudya zopatsa thanzi, koma sizinthu zonse zomwe zimaperekedwa m'chipinda chodyeramo zomwe zimatha kudyedwa ndi odwala omwe ali ndi kapamba.

Musanatumize mwana ku sukulu ya mkaka kapena kusukulu, muyenera kulowa mu khadi lake za kukhalapo kwa kapamba komanso kufunikira kwa zakudya zapadera zachipatala. Konzani mndandanda wa zakudya zonse zomwe zili zoletsedwa kwa mwanayo, ndikuzipereka kwa mphunzitsi, mphunzitsi. Onetsetsani kuti mukukambirana mofotokozera ndi mwanayo kuti amvetse kuopsa kwa matendawa komanso adziwe kuti n'zotheka kukadya. Mwana akamvetsa mmene zinthu zilili, zimakhala zosavuta kuti azingokhalira kudya popanda kusokoneza.

Njira ya kapamba muubwana zimatengera udindo wa mwana. Chakudya cha ana omwe ali ndi kapamba osatha ndi nsanja yopangira chakudya chamoyo wonse.

Zakudya zodziwika bwino komanso zopatsa thanzi kwa odwala omwe ali ndi kapamba

Malinga ndi mawonekedwe a matendawa, wodwalayo amapatsidwa zakudya zoletsedwa momveka bwino komanso mndandanda wa zakudya zololedwa. Pozindikira dongosolo lazakudya, mbiri yakale, momwe thupi limayendera kumagulu ena azinthu komanso kukhalapo kwa matenda okhudzana nawo amaganiziridwa. Pancreatitis nthawi zambiri imakhala ngati matenda odziyimira pawokha. Odwala ambiri amadwala gastritis, zilonda zam'mimba, matenda a chiwindi, ndulu, etc. Izi ziyeneranso kuganiziridwa popanga mphamvu zamagetsi.

Kuchokera mu 1920, dongosolo la Pevsner limaonedwa kuti ndilopamwamba kwambiri lazakudya. Dokotala wapanga 15 mitundu ya matebulo odwala matenda a matumbo, m`mimba, kapamba, etc. The zakudya chiwerengero limasonyeza enieni zakudya, wopangidwa ndi yeniyeni mndandanda wa zakudya. Gulu lililonse la matenda lili ndi "tebulo" lake. Kotero, mwachitsanzo, pa matenda a mtima, odwala amapatsidwa Zakudya 10, ndipo ngati ali ndi vuto la impso - No.

Kutsata chiwerengero cha tebulo ndi matenda amasonyeza tebulo lapadera:

Gulu №1Zilonda ndi mavuto ndi 12 duodenum
Gulu №2Gastritis ndi colitis
Gulu №3Matenda a m'mimba, gastritis
Gulu №4Matenda a m'mimba, kutsegula m'mimba
Gulu №5Matenda a chiwindi, ndulu ndi ma ducts
Gulu №5Pachimake matenda a chiwindi, ndulu ndi ducts
Table №5пkupweteka
Gulu №6Gout, urolithiasis
Gulu №7matenda aakulu impso
Gulu №8kunenepa
Gulu №9shuga
Gulu №10Matenda a mtima
Gulu №11Chifuwa chachikulu
Gulu №12Kuwonongeka kwa magwiridwe antchito amanjenje
Gulu №13Matenda opatsirana pachimake
Gulu №14Matenda a urolithiasis
Gulu №15General

Maphikidwe a tebulo lililonse amapezeka kwaulere pa intaneti. Ndi zakudya ziti zomwe zili zoyenera kwa wodwala zitha kutsimikiziridwa ndi dokotala, atatha maphunziro ofunikira.

Zakudya №1 (tebulo 1)

Amaperekedwa kwa odwala omwe ali ndi vuto la m'mimba. Mukhoza kuyamba zakudya patapita milungu iwiri pambuyo pachimake ululu kuukira. Zakudya zachipatala zimasinthidwa ndi dokotala patatha miyezi 5 mutapeza chikhululukiro chokhazikika.

Zakudya No. 1 zimayika patsogolo zofunika zotsatirazi kwa wodwala:

  • kugwiritsa ntchito zinthu zomwe zili m'derali;
  • kuchuluka kwa zopatsa mphamvu tsiku lililonse mpaka 2800 kcal (mapuloteni - 100 g, mafuta - 100 g, chakudya - 400 g).

Zakudya zopatsa mphamvu zama calorie ambiri zimatha kusokoneza kulemera, chifukwa chake muyenera kuwonjezera masewera olimbitsa thupi.

Zakudya za kapamba ndi gastritis zimakupatsani mwayi wogwiritsa ntchito mndandanda wazinthu zotsatirazi:

  • mkate wa dzulo wa tirigu;
  • phala lamadzimadzi mu mawonekedwe a grated;
  • msuzi wa masamba ogwa;
  • masamba ophika, zipatso, mbale kuchokera kwa iwo ndi shuga wowonjezera;
  • zokometsera zopangira tokha popanda kuwonjezera zokometsera zotentha, zamchere;
  • mkaka watsopano;
  • mbatata yosenda;
  • zowonda mitundu ya nsomba, nyama;

Malinga ndi zakudya zololedwa, zakudya nambala 1 zimapereka menyu awa:

Chakumwaomelet, cocoa
Zosakanizaapulo wophika
chakudyambatata yosenda, supu ya masamba, chifuwa cha nkhuku
Zosakanizakapu ya mkaka wofunda, crackers
chakudyayophika nsomba, masamba Kusakaniza

Kuphatikiza matebulo No. 1 ndi No. 5p ndi zakudya zabwino kwambiri za duodenitis ndi kapamba.

Gulu №3

Zakudya za kapamba ndi kudzimbidwa zikuwonetsa kusamala ndi kuchuluka kwa fiber ndi chinangwa, zomwe zimayambitsa kupweteka. Chakudya #3 chimatengera kudya zakudya zofewa, zamadzimadzi zomwe zili ndi wowuma komanso mapuloteni anyama. Magawo a wodwalayo ayenera kukhala ochepa - osapitirira 200 g.

Dongosolo lamagetsi limalola kugwiritsa ntchito zinthu zotsatirazi:

  • chinangwa, zinthu zophika buledi;
  • supu zamasamba zochokera ku nkhuku, msuzi wa nsomba;
  • zowonda mitundu ya nyama, nsomba;
  • dzinthu;
  • mazira a nkhuku yophika, koma osapitirira 1 ma PC. mu tsiku;
  • zipatso zosakhala acidic ndi masamba;
  • masamba, batala;
  • mkaka, tiyi, khofi, dogrose msuzi, mankhwala infusions.

Palibe choncho sangakhoze kudya mankhwala woyera ufa, zomata mbale, makeke ndi zonona, adyo, khofi, zakumwa zoledzeretsa.

Pafupifupi menyu 3 yazakudya:

Chakumwaimvi mkate, saladi (kabichi, nkhaka), wowawasa mkaka
Zosakanizaapulo grated ndi kefir
chakudyamasamba msuzi ndi meatballs
Zosakanizamousse ndi zipatso ndi peyala
chakudyansomba zophikidwa, stewed kabichi

Zakudya za Pevzner za Pancreatitis (Table No. XXUMX)

Ichi ndi dongosolo lapadera lazakudya lomwe limagwiritsidwa ntchito mwachangu pochiza matenda a chiwindi ndi biliary thirakiti. Chakudya cha 5p ndikusinthidwa kwa tebulo nambala 5, kusinthidwa kwa odwala omwe ali ndi kapamba.

Zakudya nambala 5 za kapamba zimaperekedwa m'mitundu ingapo.

Kwa odwala omwe ali ndi mawonekedwe owopsa a matendawa, zakudya No. 5b ndizoyenera. Komanso, mndandanda wa tebulo ili umadziwika ndi odwala panthawi yakuchulukira kwa kapamba. The zakudya zotchulidwa patatha masiku awiri kuchokera isanayambike matenda, pambuyo kutha curative njala. Panthawi imeneyi, kapamba wotupa amafunikira kupuma kwakukulu.

Ndi kuchulukitsidwa kwa kapamba, ndikofunikira: +

  • kuthetsa kwathunthu ku zakudya zakudya zomwe zimalimbikitsa kapamba, m'mimba;
  • musadye mbale "zolemera";
  • chotsani ku zakudya zomwe zimawononga kapamba.

Tsiku lonse, wodwala amafunika kudya zakudya zochepa (200 g) maola awiri aliwonse (pafupifupi kasanu ndi katatu patsiku). Pophika, mankhwala amatha kuwiritsa kapena kutenthedwa. M'masiku oyambirira a zakudya, wodwalayo ayenera kupatsidwa chakudya chophwanyidwa.

Mndandanda wazinthu zololedwa mu mtundu woyamba wa Zakudya №5п:

  • mpunga, semolina, buckwheat, oatmeal, yophikidwa m'madzi kapena mkaka mu chiwerengero cha 50: 50. Zipatso zingagwiritsidwenso ntchito kuphika supu zowala;
  • crackers, mkate wakale;
  • pasitala yophika kuchokera ku durum tirigu;
  • nyama yowonda yoyera (nkhuku, Turkey, kalulu);
  • nsomba zowonda (zander, pollock);
  • mkaka wopanda mafuta ochepa;
  • masamba ndi batala (osapitirira 5 patsiku);
  • masamba, zipatso mu mawonekedwe okonzedwa (mbatata yosenda, jellies);
  • nkhuku dzira azungu;
  • decoctions zitsamba, odzola zipatso ndi zakumwa zipatso.

Odwala amaloledwa kudya zakudya zotentha zatsopano popanda kuwonjezera shuga, mchere, zokometsera. Patangotha ​​​​sabata mutayamba kudya, mukhoza kuwonjezera zotsekemera ku chakudya. Mulimonsemo, odwala omwe ali ndi kapamba sangathe kudya zomwe zatha komanso zomalizidwa kuchokera kumasitolo akuluakulu. Menyu yamtunduwu imagwiritsidwa ntchito ngati chakudya cha hepatitis ndi kapamba.

Mtundu wachiwiri wa Zakudya №5 umapangidwira odwala omwe ali ndi kapamba osatha atatha kuwonjezereka, panthawi yachikhululukiro. Kuwongolera mphamvu kumakuthandizani kuti muwonjezere ntchito ya kapamba ndikuletsa kuwonjezereka kwa mawonekedwe osatha a matendawa. The zakudya menyu tichipeza zakudya zomanga thupi, mavitamini ndi mchere kupewa chitukuko cha zotheka mavuto. Chotsatira choyipa kwambiri cha kapamba amadziwika kuti ndi shuga.

Nthawi yapakati pa chakudya sayenera kupitirira maola anayi. Kuchuluka kwa gawo limodzi, kuphatikiza madzi, ndi 500 g. Mtundu uwu wa Diet No. 5 umakulolani kudya mphodza ndi mbale zophika. Pa nthawi ya chikhululukiro, mbale ziyenera kuphwanyidwa; mu mkhalidwe wabwino, ndi zokwanira kutafuna chakudya bwinobwino.

Kuphatikiza pa zinthu zomwe zimaloledwa mu mtundu woyamba wazakudya, mitunduyi imakulitsidwa kwambiri:

  • balere, balere, tirigu chimanga;
  • nyemba zatsopano (zachinyamata);
  • makeke (ma cookies, mkate);
  • zowonda mbali za nyama, kutsukidwa mafuta, tendons ndi mafilimu;
  • nsomba zowonda;
  • zobiriwira;
  • mazira owiritsa ofewa;
  • maswiti (marshmallows, uchi, marmalade, marshmallow);
  • mchere ndi shuga (osapitirira 10 patsiku).

Mosasamala kanthu za Chakudya #5, pali mndandanda wa zakudya zomwe siziyenera kudyedwa mwanjira iliyonse:

  • zakumwa zoledzeretsa;
  • bowa;
  • zokometsera zokometsera ndi zonunkhira;
  • nyama yamafuta ndi mafuta;
  • mankhwala osuta;
  • zophikira;
  • masamba akuthwa / wowawasa ndi zipatso;
  • zophikidwa ndi chinangwa, pamaziko a puff pastry;
  • zakudya zokazinga.

Pa mankhwala ayenera kuganizira makhalidwe a thupi ndi mmene zinthu zina. Chiyambi cha zakudya za mbale zatsopano zimachitika pang'onopang'ono popanda kukhumudwitsa kapamba.

Zitsanzo zam'ndandanda watsiku molingana ndi zakudya No. 5p za kapamba:

Chakumwaoatmeal
Zosakanizamapuloteni omelet, ofooka tiyi
chakudyambatata yosenda, chifuwa cha nkhuku yophika
Zosakanizakanyumba tchizi 0%, tiyi ndi mkaka
chakudyayophika pike nsomba, masamba puree
Chakudya Chamadzulogalasi la yogurt

Chakudya cha 5a ndi chakudya chapadera chomwe chimakulolani kuchepetsa katundu pa ndulu, chiwindi ndi kapamba. Zakudya za kapamba ndi cholecystitis sizosiyana kwambiri ndi kuzungulira kwa tebulo nambala 5. Kuphatikiza pa mndandanda waukulu wa zakudya zoletsedwa, ndizoletsedwa kugwiritsa ntchito:

  • kvass;
  • mkate;
  • nyemba za soya;
  • kukonzedwa tchizi, kanyumba tchizi;
  • zipatso.

Table No. XXUMX yokhala ndi zosintha zazing'ono zitha kugwiritsidwa ntchito ngati chakudya cha kapamba ndi colitis.

Gulu №6

Ichi ndi chakudya cha matenda a ndulu ndi kapamba. Zovuta zimatha kuchitika kwa odwala omwe ali ndi kapamba, chifukwa chithandizo cha cholelithiasis (cholelithiasis) chimaphatikizapo kugwiritsa ntchito masamba ndi zipatso zambiri zomwe zimakwiyitsa kapamba.

Ndi zakudya nambala 6, amaloledwa kugwiritsa ntchito:

  • supu zamasamba zamasamba;
  • zipatso za puddings;
  • tirigu watsopano ndi mkate wa chinangwa;
  • dzinthu;
  • pasitala;
  • mazira a nkhuku;
  • masamba obiriwira (pa chakudya chilichonse);
  • zipatso zatsopano;
  • mafuta a masamba;
  • khofi wofooka ndi mkaka;
  • timadziti, zakumwa za zipatso, kvass.

Table No. XXUMX ndi zakudya zochepetsera, choncho zoletsa sizili zovuta kwambiri:

  • cocoa, khofi wamphamvu;
  • sorelo, sipinachi;
  • nyemba;
  • bowa;
  • margarine, batala.

Pazizindikiro zoyambirira za matenda a biliary system, ndikofunikira kukaonana ndi dokotala, chifukwa pancreatitis imatha kukula.

Munthawi yomwe kutupa kwa kapamba kumayamba ndi matenda ena, madokotala amaphatikiza zakudya zosiyanasiyana.

  1. Zakudya za kapamba ndi matenda a chiwindi zimaphatikiza matebulo №5, №5а, №5п. Malangizo omwewo amagwiritsidwa ntchito ndi zakudya za zilonda zam'mimba ndi kapamba.
  2. Ndi cholecystopancreatitis, zakudya nambala 1 zimayikidwa, makamaka ngati ndulu yachotsedwa.
  3. Chakudya cha gastroduodenitis ndi kapamba chimaphatikizapo zakudya zamatebulo No. 2, No. 5p.

Kuphatikiza pazakudya za odwala Pevsner, zakudya zazifupi komanso masiku osala kudya ndizodziwika bwino:

  1. Zakudya zamapuloteni. Chakudyacho chimapangidwa ndi mapuloteni (kanyumba tchizi, azungu azungu, chifuwa cha nkhuku), kotero kuti kapamba samakhudzidwa kwambiri. Komabe, kwa nthawi yayitali simuyenera kudya mapuloteni okha, chifukwa panthawiyi impso zimakhala ndi katundu wambiri. Akatswiri amalangiza kusinthana kwa masiku a protein ndi masiku osakanikirana (kuwonjezera zakudya zovuta monga chimanga, pasitala, mkate wouma). Zakudya izi zitha kugwiritsidwa ntchito munthawi ya kutupa kwa kapamba.
  2. Zakudya za Buckwheat za kapamba zimalimbikitsidwa ndi akatswiri ambiri azakudya komanso akatswiri azakudya ngati njira yoyeretsera thupi. Njira yoyeretsera sayenera kupitilira kamodzi miyezi itatu iliyonse.

Kapu imodzi ya buckwheat imatsanuliridwa ndi lita imodzi ya kefir ndikuphika kwa maola 12. Voliyumu yotulukayo imagawidwa m'magawo awiri ofanana, imodzi yomwe imadyedwa kadzutsa, ndipo yachiwiri ndi chakudya chamadzulo. Ndemanga zazakudya zikuwonetsa njira yabwino yochizira kapamba.

Kudya kunyumba ndi gawo lalikulu panjira yochira. Kuchokera pakudziletsa kwa wodwala kumadalira momwe alili wathanzi komanso kuthekera kochotsa kapamba.

Magwero a
  1. "TVNZ". - Zakudya za kapamba wa kapamba.
  2. Gastroenterological Center "Katswiri". - Zakudya zopewera komanso kuchiza kapamba.
  3. Multidisciplinary Clinical and Diagnostic Center - gawo la Federal State Budgetary Scientific Institution NCN. - Zakudya zoyenera za kapamba: zakudya zokulitsa kapamba.

Siyani Mumakonda