I-pancreatitis ibizwa ngokuthi inqubo yokuvuvukala kumanyikwe, ngalesi sifo kunconyelwa ukuhambisana nokudla okukhethekile. Ukuthi imingcele eqinile yokudla izoncika kanjani ebukhali be-pathology, izici zomzimba wesiguli. Enkambweni engapheli ye-pancreatitis, odokotela bavumela ukuphumula ekudleni, kwinqubo ebiqisayo kukhona ukulinganiselwa okucacile.
Usuku lokuqala ngemuva kokuqhuma kokuvuvukala, kwenqatshelwe ngokuphelele ukudla, ukudla okusheshayo kuyadingeka ukuqinisekisa ukuphumula kwesitho esithintekile. Ngemuva kwesikhashana, ukudla okunconyiwe kudliwe ezingxenyeni ezincane, qiniseka ukuthi ubheka indlela umzimba osabela ngayo, inhlala-kahle yakho konke. Ngaphandle kwalokho, ukwanda kwesifo ngeke kuvikeleke.
Ezinsukwini eziyi-10 ngemuva kokuqala kokukhipha i-pancreatitis, ngokutholakala kwesifo sezinhlungu, kudliwa izidlo ezizonikeza umzimba izinto eziwusizo namavithamini. Ukudla kufanele kube okuxubile njalo futhi okujwayelekile, ukudla kuhlale kufudumele, izitsha ezishisayo kakhulu futhi ezibandayo zizobangela ubuhlungu ngaphansi kobambo olufanele.
Iziphuzo ezinempilo nezilimazayo
Ezigulini ezine-pancreatitis engamahlalakhona, kuvunyelwe ngezinhloso zokwelapha kanye ne-prophylactic ukuphuza amanzi amaminerali asemabhodleleni, ngemuva kokukhipha amagesi kuwo. Isikhathi sokwelashwa kanye nenani eliqondile loketshezi kunqunywa ngokuhlukile.
Udinga ukuqonda ukuthi akuwona wonke amanzi amaminerali alungele isiguli, ngakho-ke, kuyingozi ukunquma ngokwakho uhlobo oluthile lwamanzi. Ngokuvamile batusa ukuphuza iBorjomi, i-Essentuki, i-Slavyanovskaya ne-Arkhyz.
Ukusetshenziswa kwama-tinctures kanye nama-decoctions wembewu emnyama ye-caraway kuzosiza ukuthuthukisa inhlala-kahle, umkhiqizo ubonakala ngomphumela we-choleretic onamandla, amandla okususa ngempumelelo i-bile. Ukwelashwa kusebenza kuphela ngesikhathi sokuxolelwa, futhi esigabeni esibi senqatshelwe ukusebenzisa umuthi.
Kuyingozi ukuphuza i-lemonade, iziphuzo ezimnandi zekhabhoni nangonotshwala.
Ukusetshenziswa kwesinamoni kungasiza isiguli, izinongo zizohlanza lonke uhlelo lwe-biliary, zisungule inqubo yokugaya ukudla, futhi zisize ukudambisa ukuvuvukala. Ezinkhathini, ungasebenzisa isinamoni njengokuthambekela kokudla, ulungiselele ama-tinctures kuwo.
Ungalungisa isiphuzo esinempilo kusuka ku:
- okhalweni;
- ulwandle lwenhlazi yasemanzini;
- i-chicory.
Uma kungekho ukusabela komzimba kanye contraindication ngamunye nsuku zonke ngaphambi kokulala, isiphuzo ukumisa rosehip, itiye sihlahla sivame ukutholakala. Iziphuzo zibulala ama-microorganisms we-pathogenic, susa ukunqwabelana kwe-bile emigodini.
Kuhle ukuphuza ithanga kanye nejusi le-apula, iziphuzo kugcwala umzimba ngamavithamini, kunciphise ulwelwesi lwe-mucous lomgudu wokugaya ukudla. Isimo esiyinhloko ukuthi isiphuzo asixhunyiwe kakhulu futhi asinazakhi ezinephunga namakhehla okwenziwa.
Ukuphuza amanzi amaminerali kufanele kube ngendlela efudumele, kuzokhulula imisele kanye neziteshi zesitho ekuqedeni:
- bile;
- umumbu;
- imfihlo.
Kuyadingeka ukuphuza amanzi cishe imizuzu engama-30 ngaphambi kokudla, qala ukwelashwa ngamanzi avela engxenyeni yesithathu yengilazi.
Uma kungekho ukusabela okungahambi kahle kusuka ohlelweni lokugaya ukudla, inani lamanzi lenyuka laya engxenyeni yengilazi, futhi ngokushesha libe izingxenye ezintathu kwezine zevolumu. Lapho ukubonakaliswa kwenqubo yokuvuvukala sekudlulile ngokuphelele, kuvunyelwe ukuphuza ingilazi yamanzi amaminerali ngasikhathi sinye.
Esimweni esingapheli sesi sifo, iziguli ngeke zivikeleke ekwelashweni ezikhungweni ze-sanatorium-resort. Esilungiselweni sesibhedlela, odokotela bazokhetha uhlobo lwamanzi olulufanele kanye nengxenye lapho kudingeka khona ukuyisebenzisa.
Ngomthelela wokwelapha, kunconywa ukuphuza ama-decoctions kanye namalungiselelo wamakhambi, i-pharmacy chamomile, i-dieelle kanye ne-dill izosizakala. Ngokudla okungalawulwa kwemali, ungaphikisana nomzimba, ngakho-ke kubalulekile ukwazi isilinganiso.
Ngesikhathi sokukhulelwa, noma yiziphi izindlela zokwelashwa kufanele zivunyelwe nodokotela.
Yini evunyelwe ukuvuvukala okukhulu
Emkhakheni obandayo we-pancreatitis, kukhonjiswa ukudla inani elanele lamaprotheni namavithamini, ubuncane bamafutha ezilwane nama-carbohydrate. Ukudla kufaka usawoti olinganiselwe, ukusetshenziswa nsuku zonke kwamalitha amabili amanzi ahlanziwe noma amaminerali ngaphandle kwegesi. Ngenxa yamanzi, ukusebenza okwanele kwazo zonke izitho zangaphakathi nezinhlelo kuyaqinisekiswa.
Uhlu lwemikhiqizo evunyelwe luhlanganisa imikhiqizo yebhikawozi, okungukuthi ama-crackers, isinkwa izolo, ama-crackers, ophaya ngokugcwaliswa kwamafutha amancane. Kuyasiza ukudla imikhiqizo yobisi ebilisiwe, abondli batusa i-kefir, iyogathi, ubisi, ukhokho ushizi, ubisi olubilisiwe olubunjiwe, iyogathi enamafutha ancishisiwe, futhi nebhotela, kepha ngesilinganiso esilinganiselwe (hhayi ngaphezu kwama-gramu ayi-15). Ubisi ngaphambi kokusetshenziswa luzodinga ukuthi luhlanjululwe ngamanzi abilisiwe engxenyeni eyodwa kuya kolunye.
Ukudla kufaka izinhlanzi eziphansi emafutheni: i-pollock, i-pike, i-hake, i-flounder, i-pike perch. Izitsha zenhlanzi kufanele zibambeke noma ziphekwe. Kuyinto engathandeki ukubhaka izinhlanzi, ukudla okunjalo kubangela ukwanda ekukhiqizweni kwama-enzyme e-pancreatic.
Ukusetshenziswa kwezinhlamvu ezinama-viscous neze-ketshezi ngeke kulethe inzuzo encane:
- i-buckwheat;
- ilayisi;
- semolina;
- hercule.
Lungiselela iphalishi emanzini noma ubisi lwe-skim oluhlanjululwe. Amaqanda enkukhu kanye nogwaca adliwa ngephalishi, angapheka, asetshenziselwe i-omelet. Kuvunyelwa amaqanda ama-4 ngesonto; kungcono ukunikela ngokuthanda amaqanda izigwaca.
Yini engingayidla nge-pancreatitis yemikhiqizo yenyama? Bakhetha inyama ngaphandle kwemithambo nesikhumba; inyama yenkomo, ulimi lwenkomo, inkukhu, unogwaja, i-veal, i-turkey ilungile ekudleni kokudla. Ukuze uthole ukuthambiswa okungcono, kuyadingeka ukubulala inyama enyameni nengulube noma uthathe ama-cubes amancane. Iziguli zivame ukupheka amabele enkukhu angenasikhumba.
Ukwephulwa kwama-pancreas kudinga ukusetshenziswa kwemifino, inkukhu, inhlanzi, isobho sobisi ngokufakwa kwenani elincane le-vermicelli noma okusanhlamvu. Amafutha emifino anezelwa kuwo:
- umnqumo;
- ummbila;
- ubhekilanga.
Amafutha afakwa ekudleni ngevolumu encane, amafutha ezilwane anqatshelwe ngokuphelele, ngaphandle kwebhotela.
Ekudleni kufanele kube nezithelo ezintsha nezingenziwa kahle ngaphandle kokutholakala kwezinhlobo ezinama-acid. Yidla ama-apula aphuzi noma aluhlaza. Kepha imifino ingabiliswa, ibiliswe noma ibhakwe. Uhlu lwemifino evunyelwe luhlanganisa: i-zucchini, ithanga, beet, amazambane, izaqathe, ukhukhamba notamatisi.
Ngenqubo yokuvuvukala ebabazekayo, ukusetshenziswa koshizi onamafutha aphansi, ukumiselwa okhalweni lwe-rose eyomile, amajikijolo amajikijolo, imousse, itiye elimnyama nelingavuthiwe kuvunyelwe.
Odokotela bavumela ukufakwa kwamaswidi ekudleni:
- ama-marshmallows;
- i-pastille;
- ujamu;
- ujamu;
- amakhukhi
Izitsha ezinokwanda kwe-pancreatitis zidliwa zitholwa, zibilisiwe futhi ziphekwe ebhuthini eliphindwe kabili. Ukutholwa okungcono, ukudla kufanele kube ngaphambi kwenhlabathi yesimo se-puree. Ukondleka okuhlukile kusiza ezinye iziguli.
Yini ukwenqaba uma kwenzeka ukwanda
Emkhakheni ogula kakhulu walesi sifo, i-pancreatitis ayenqatshelwa ukudla okunamafutha, okubabayo, okunosawoti nokuthosiwe, ngoba kuhlale kubangela ukwanda kwenqubo yokuvuvukala esitho esibuthakathaka.
Uhlu lokudla olungavunyelwe lubandakanya amawundlu, ingulube, inyama ye-goose. Awukwazi ukudla i-kebab, ukubhema, ukwelapha futhi okuthosiwe, ukudla okusemathinini. Odokotela abavumeli ama-khekhe amasha, ukhukhamba kanye ne-khekhe, isinkwa esiphelele sokusanhlamvu, isobho lokudla.
Uhlu lwemikhiqizo yokudla engathandeki luqhutshwa yizinhlanzi ezinamafutha, ngokwesibonelo, i-salmon, i-trout, i-mackerel, i-sturgeon ne-catfish. Ngaphezu kwalokho, inhlanzi eqanjwe ngegama ayifiseleki nganoma yiluphi uhlobo, ethosiwe, yabhema futhi yomiswa futhi yabiliswa. Ungadoba namafutha.
Kuyinto engathandeki ukudla:
- umhluzi wenyama ocebile;
- i-borsch;
- amabele;
- isobho seklabishi;
- isobho sobisi.
Kwi-pancreatitis ebukhali, iziphuzo ngokufakwa kweqhwa, itiye elishisayo, ikofi, ushukela, utshwala neziphuzo nakho, newayini, ubhiya akunakwa.
I-malega, okungukuthi ubhontshisi, udali, uphizi, uphizi oluhlaza okwenziwe ngamakhemikhali, izodala ingozi. Kungcono ukulahla amasoseji, iklabishi elimhlophe, amakhowe, izithelo ezimnandi: amagilebhisi, ubhanana, amakhiwane. Kuyingozi ukudla sitrobheli, amapetshisi, ama-cherries, amakhabe kanye nekhabe.
Kwangathi kungafakwa kumayonnaise wokudla, ezinye izinongo ezinosawoti nezinongo, okuncibilikisiwe nobisi lonke, ushizi omuncu nonamafutha. Faka uhla lwemikhiqizo engathandeki: ushokoledi kanye ne-confectionery, uphuzo oludakayo, ukolweni, ibhali le-pearl, iphalishi lebhali, i-garlic, amadombolo.
Ekulondleni kokudla, kuvame ukunconywa ukudla isipinashi, ulungiselele amasaladi kusuka emifino, ukungezelela kumasobho, kepha nge-pancreatitis esibuhlungu, isipinashi asidliwe, kuzolimaza umzimba. Ngaphezu kwamavithamini, isipinashi siqukethe i-fiber eningi eningi, i-oxalic acid, izinto zigcwalisa kakhulu ukugaya ukudla, ukuvuvukala okuvuthayo.
Imvamisa, kanye ne-pancreatitis, isifo sikashukela, i-cholecystitis iyatholakala. Imithetho yokudla okunempilo ehlongozwayo nayo ilungele lezi zifo.
Ukudla okunempilo ngendlela yesifo esingelapheki
Lapho kuqala inkathi yokuxolelwa okuqhubekayo, iziguli ezinesifo esingapheliyo se-pancreatitis zingakwazi ukukhokhela ukondliwa okuthile. Okwamanje, uhlu lwemikhiqizo evunyelwe luyanda kakhulu.
Ukuqeda izimpawu zesifo kanye nokufeza umphumela wokulwa nokuvuvukala, kukhonjiswa ukusetshenziswa kwembewu namafutha efilakisi. Isitshalo sizoba i-prophylactic ngokumelene nokuqunjelwa, iningi leziguli lihlushwa ukuphulwa okunjalo. Amafutha kanye ne-decoction yembewu kudliwa ngokudla.
Kumakhompiyutha, izithelo eziningi zidliwayo ekuxolelweni; i-raspberry jam, i-cherry, ihalananda, ujusi we-apricot, izithelo ezomile, uju wemvelo, ithini lamapheya kanye nama-lingonberry angavunyelwa. Ukwelashwa nokususwa kobuthi, ama-prunes ayadliwa. Ukusuka ekudleni kwasolwandle khetha izimbaza, squid, shrimp.
Yini engingayidla nge-pancreatic pancreatitis, uma ukuvuvukala sekudlulile? Ihlume ukolweni, ijeli kuyo, i-dill, iparsley, isilimo esidliwayo esinamagatsha anamanzi kufanele ivele kumenyu. Ekusetshenzisweni kwamanani aphakathi:
- Cocoa
- ikhofi
- ukhilimu omuncu;
- amantongomane
- ama-walnuts;
- u-anyanisi ocutshungulwe ngomzimba, isitshalo seqanda.
Amanzi amaminerali we-pancreatitis angadakwa. Kungcono ukusebenzisa amanzi ngaphandle kwegesi, ngoba isikhutha singenza izitho ezibuthakathaka zesistimu yokugaya ukudla.
Njengoba ubona, umsoco ofanele udlala indima ebalulekile ekwelapheni i-pancreatitis eqeda ukuqina futhi engalapheki. Kubalulekile ukudla ukudla okunempilo futhi ungakhohlwa ngezindlela ezinconyelwe zokwelashwa kwabo okushisa. Kuyadingeka ukuphuza inani elifanele loketshezi ngosuku, buza udokotela wakho noma umondli wezempilo mayelana nokuthi kungenzeka yini ukwenza ushintsho ekudleni.
Udokotela uzonikeza isiguli itafula lemikhiqizo evunyelwe nengashintshashintshi, izindlela zokupheka.
Ukulungiselela ama-pancreas
Ukubuyisela ukusebenza kahle kwamanyikwe, udokotela angancoma ukusetshenziswa kwamalungiselelo we-enzyme, antispasmodics kanye ne-anticholinergics.
Ngokwesimo esibi sesifo ngomlomo noma ngesimo semijovo engenamaqhinga, kuboniswa i-Atropine, iPapaverine, iNo-shpa. Kusukela eqenjini lama-antacid, e-Almagel, ePhosphalugel, nakwezinye izingxube ze-alkaline ezifanayo ngesimo se-liquid kufanele kuthathwe.
Ngokukhuphula umfutho wenkambo engapheli yenqubo yokuvuvukala, kunendima ebalulekile eyabelwe ukwenziwa kwamalungiselelo, i-Omez, Famotidine, iRanitidine inqunyelwe. Umphumela onenzuzo emzimbeni ufakazelwa yiminyaka eminingi yesipiliyoni ekusebenziseni izidakamizwa.
Akunakwenzeka ukwelapha ama-pancreas ngaphandle kokuvimbela ukucasha kwe-pancreatic, udinga ukuthatha imithi:
- Amylase;
- I-Trypsin;
- Lipase.
Zikhonjiselwa ukusetshenziswa ngokushesha ngemuva kokumisa usizi. Isikhombisi esiyisisekelo sokusebenza kahle kufanele sibizwe ngokuthi buthaka kwe-dyspeptic syndrome, esibonakaliswa yizimpawu: isicanucanu, uhudo, ukunciphisa umzimba.
Ama-enzymes athathwa isikhathi eside ukwelapha nokuvuselela umzimba. Njengoba isipiliyoni sibonisa, indlela ebandayo ye-pancreatitis inyamalala emavikini angama-4-5 ngemuva kokuqala kwenkambo yama-enzyme, lesi sifo sinyamalala ngokuphelele ngemuva kwamasonto ayi-6 kuya kwele-12.
Imigomo yokwelashwa kokudla kwe-pancreatitis ichazwe kuvidiyo kule ndatshana.
