I-pancreatitis yisifo esiyingozi abantu abangaphezu kweminyaka engama-40 abathambekele kuso. Ukwelashwa kwesimo esibi sesi sifo kwenziwa ngokusebenzisa izidakamizwa ezinamandla, noma kunjalo, ukululama okugcwele kungenzeka kuphela uma ushintsha indlela yakho yokuphila evamile futhi ulandela ukudla okuqinile.
Kodwa-ke, akuyikho konke ukondliwa kwezokwelapha okuzoba wusizo ngokulinganayo ekulimazeni i-pancreas. Izazi zesimanje ze-gastroenterologists zivuma ngamabomu ukuthi ukudla oku-5 nge-pancreatitis kuwukudla okuhlala isikhathi sonke futhi kusiza kakhulu ekunciphiseni umthwalo entweni egulayo.
Kepha kufanele kube yini okudla nsuku zonke nge-pancreatitis ne-cholecystitis? Yikuphi ukudla nezitsha ezivunyelwe kulesi sifo, ungazipheka kanjani nokuthi uzokhonza ini? Yilezi zingqinamba ezivame ukuvela ezigulini zokuxilonga ukuvuvukala kwepancreatic.
Izici
Ezinsukwini ezimbili zokuqala noma ezintathu ngemuva kokuhlaselwa yi-pancreatitis, isiguli siyelulekwa ukuba sizingcishe ngokuphelele ekudla nasekuphuzeni. Ukuzila ukudla okunjalo okuomile kuzosiza ekwehliseni umthwalo wamanyikwe akhanyisiwe futhi kwehlise nezimpawu zesifo. Ukuze uvimbele ukopha futhi buthaka komzimba, izixazululo ezikhethekile zezakhamzimba zihanjiswa ngaphakathi emzimbeni kwiziguli ekhaya noma esibhedlela.
Ngosuku lwesine, isiguli sitshelwa ukuba kancane kancane siphume ebulawa yindlala futhi singenise ukudla kwakhe kokuqala kokudla. Ekuqaleni, ukuze kusebenze ama-pancreas, isiguli sinikezwa ukuphuza amanzi amaminerali we-alkaline, umhluzi we-rosehip kanye netiye eliluhlaza.
Kungemva kwalokhu kuphela, umuntu onesifo sokuxilonga i-pancreatitis angaphendukela kokudla okunempilo ngokusho kwetafula 5 lokudla. Kubalulekile ukuqaphela ukuthi inamba yokudla yesi-5 iqine kakhulu futhi ibeka umkhawulo hhayi kuphela emikhiqizweni eminingi, kodwa futhi ezindleleni eziningi zokupheka.
Izinhloso eziphambili zokudla 5 ukunciphisa ukucwaswa kwama-enzymes wokugaya yi-pancreas, ukunciphisa amakhemikhali, izinga lokushisa kanye nemishini yokugaya ohlelweni lokugaya ukudla, ukuvimbela ukukhula kokuwohloka kokugaya kanye nokungena kwamafutha, futhi kunciphise nengozi yokuhlasela kwama-gallbladder spasms.
Ukuze uthole ukululama okuphelele, kuyadingeka ukunamathela kulokhu kudla okungenani izinyanga eziyi-8, futhi ngokungangonyaka. Lokhu kuzonciphisa amathuba okuphinde kubuyele emuva, okungaholela emgudwini we-pancreatic necrosis nomdlavuza we-pancreatic.
Ukudla No. 5 kwasungulwa usosayensi odumile waseSoviet kanye nomlobi onamakhono wokudla uMartil Pevzner. Ihlukaniswe izinhlobo ezinhlanu ezihlukene: i-5a (hepatitis, cholecystitis ne-cholelithiasis), i-5sc (postcholecystectomy syndrome), 5l / f (isifo sesibindi), i-5p (isisu kanye ne-duodenal ulcer) ne-5p (pancreatitis).
Ukudla i-5p nge-pancreatitis kungukudla okungahle futhi okulinganiselayo okwelapha iziguli ezinokuvuvukala kwepancreatic. Imigomo yayo eyisisekelo imi ngalendlela elandelayo:
- Isiguli sidinga ukudla kaningi, kepha ngezingxenye ezincane. Ukudla okulungile kakhulu kuzoba izidlo eziyisithupha ngosuku;
- Ukudla ngakunye kokudla akufanele kudlule ama-300 gr .;
- Yonke imikhiqizo kufanele ihanjiswe ibilisiwe, ibhakwe noma ibiwe. Konke ukudla okuthosiwe nokwenziwe ngamakhoboka kuvinjelwe ngokuphelele;
- Umsoco kufanele ulinganiselwe futhi ugcwalise isidingo somzimba wonke samavithamini namaminerali;
- Ukudla kwesiguli kufanele kube nezitsha ezincibilikisiwe nezihlangene. Ama-purees wemifino, inyama enezinhlamvu, okusanhlamvu okulamanzi kanye nesobho lesikhilimu kuvunyelwe;
- Konke ukudla kufanele kufudumale. Izitsha ezishisayo nezibandayo zivunyelwe ngokuphelele;
- Ukudla okune-fiber coarse kufanele kungafakwa ekudleni;
- Ukudla kwesiguli kufanele kufake inani elincane lamafutha nama-carbohydrate, noma imaphi amaswidi akhishwe ngokuphelele;
- Ngosuku isiguli esivunyelwe ukungaphuzi kungaphezu kwamalitha ayi-1,5 uketshezi ngosuku;
- Ukudla kwe-Acidic kukhungathekile.
Ukudla No. 5 kungaba ngezinhlobo ezimbili: i-5a - ezigulini ezinepancreatitis enkulu futhi ngesikhathi sokwanda kwefomu lesifo esingamahlalakhona, i-5b - yokululama iziguli ezinokuwohloka okukhulu kwamanyikwe kanye ne-pancreatitis engapheli ngesikhathi sokuxolelwa. Lokhu kuhlukaniswa kusetshenziswa kakhulu odokotela nabantu abavamile, kuyaziwa kancane.
Ngakho-ke, udokotela kuphela okufanele akwazi ukunquma ukudla okuyi-5p, okwazi ukuhlola kahle isimo sesiguli futhi, ngokwesisekelo salokhu, ukhethe umsoco ofanele kuye.
Imikhiqizo evunyelwe
Ngokudla okuyi-5p, ukudla nsuku zonke kwe-caloric kufanele kusuka ku-1500 kuye ku-1700 kcal. Kulokhu, ukudla kwesiguli akufanele kufake ngaphezu kwama-200 amagremu. carbohydrate, 80 gr. amaprotheni kanye nama-50 gr. amafutha ngosuku. Kubaluleke kakhulu futhi ukulinganisa inani likasawoti lifinyelela ku-10 amagremu. ngosuku.
Ngaphezu kwalokho, kufanele kukhunjulwe ukuthi ngaphandle kwama-200 gr. carbohydrate kuphela 25 gr. kufanele ilandise ushukela, futhi kusuka ku-50 amagremu. Amafutha amaningi kufanele abe ngamafutha emifino yemvelo. Ukudla okunempilo kwe-pancreatitis kufanele kube lula futhi kungaze kube ngaphezulu kokulayisha uhlelo lokugaya ukudla.
Ukulungiselela ukudla kwesiguli nge-pancreatitis kubalulekile kuphela emikhiqizweni emisha nekhwalithi ephezulu. Imifino nezithelo ezihlanganisiwe, okusanhlamvu oku-rancid nokunye ukudla okune-stale kufanele kungafakwa ngokushesha ekudleni kweziguli, ngoba kungadala ukulimala okukhulu esigulini.
Imikhiqizo evunyelwe nezitsha, nezindlela zokulungiselela kwazo:
- Imifino: amazambane, izaqathe, amathanga, i-zucchini (zucchini), uphizi oluhlaza obusha, ikholifulawa (i-broccoli) nama-beet. Zingadliwa zibilisiwe futhi zibhakwe, ngoba ngaphambili bezesulwe ngesihlungo. Kuyasiza ikakhulukazi ukupheka ama-purees wemifino ngokufakwa kwenani elincane lobisi nebhotela. Lapho isiguli siphola, bavunyelwe ukunikeza ukhukhamba ongavuthiwe kanye izaqathi zosiwe ku-grater enhle;
- Okusanhlamvu: i-buckwheat, ilayisi, i-semolina ne-oatmeal (ngesimo sokusanhlamvu nama-flakes). Iporridge yesiguli esine-pancreatitis kufanele ilungiselelwe emanzini ngokufakwa kwenani elincane lobisi. Khonza etafuleni ngefomu elibilisiwe noma elibunjiwe. Okuwusizo kakhulu esigulini kuzoba okusanhlamvu okubonakalayo okuwuketshezi, ngakho-ke, ngokulungiselela kwabo, ungasebenzisa ufulawa welayisi noma we-buckwheat;
- Inyama: inkukhu engenasikhumba, unogwaja, i-veal kanye nenyama ebusayo engenamafutha. Inyama ivunyelwe ukudliwa kuphela ebilisiwe noma ebanjiwe. Ngaphambi kokukhonza, kufanele kugawulwe. Izitsha zenyama eziwusizo kakhulu izimbotshana ezinomusi, isouffle yenyama, ama-meatballs nama-meatballs. Inyama ephekiwe kahle noma inyama yomvundla ingahanjiswa ngesiqeshana esincane;
- Izinhlanzi: i-cod, i-pike perch, i-hake, i-carp ejwayelekile, i-pollock, i-perch, i-pike, i-whiting eluhlaza okwesibhakabhaka nezinye izinhlobo zezinhlanzi ezinamafutha aphansi. Inhlanzi ingabiliswa emanzini abilayo bese icwiywa ebhuthini elimbili noma ukupheka kancane. Ukusuka ezinhlanzini ungenza amakhekhe ezinhlanzi namazambane acubuziwe, futhi isidumbu esincane singakhonzwa siphelele. Kuyadingeka ukubilisa inhlanzi ngenani elikhulu lamanzi ukuze ususe izinto ezikhipha kuyo;
- Ubisi nemikhiqizo yobisi: i-kefir enamafutha aphansi, iyogathi neyogathi enamafutha amancane. Ubisi luphelele lungasetshenziselwa kuphela ukupheka, isibonelo, amaphara ubisi, amasobho kanye nama-omeleette. Ukhilimu omuncu kanye noshizi onamafutha amancane asetshenziselwa ukugqoka ukudla okulungile. Ushizi wekotishi ongenamafutha, ozokwenzela ukusweleka kwe-calcium, ulusizo kakhulu ekuvuvukeni kwamanyikwe;
- Izithelo: ama-apula amnandi namapheya. Izithelo ezithambile ezivuthiwe zingadliwa zingavuthiwe, zangaphambili zikhethwe ku-grater enhle. Lokhu kuzoba nomthelela ekuhlanzeni kwamathumbu okujwayelekile. Ama-apula aqinile namapheya angadliwa kuphela abhakwe. Ezinye izithelo namajikijolo zingasetshenziswa ukwenza i-jelly, jelly ne-mousse. Iwusizo kakhulu kuma-pancreatitis compotes wezithelo ezomisiwe kanye ne-decoction yama rose rose;
- Amaqanda: ama-omelethi namaqanda abilisiwe. Okuwusizo kakhulu kwe-pancreatitis ama-omeletiki omusi. Ezimweni ezinzima zesifo, kufanele zilungiselelwe kusuka kumaphrotheni kuphela. Ungahlanganisa futhi amaqanda abiliswe kancane ekudleni kweziguli, kepha kungabi ngaphezu kokukodwa ngosuku.
- Isinkwa: kuphela izinkwa ezimhlophe ezenziwe ngofulawa wekolweni weprimiyamu. Ngasikhathi sinye, isinkwa akufanele sibe sisha, kepha izolo. Kuyasiza kakhulu ukuthi isiguli sisebenzise ama-crackers enziwe ngesinkwa esimhlophe. Kuvunyelwe nokudla amakhukhi ama-biscuit nama-roll roll wesinkwa;
- Amasobho: Imifino nokusanhlamvu. Isobho leziguli ezinokuhlaselwa kwe-pancreatic lungalungiswa kuphela kumhluzi wemifino. Imifino yesobho kufanele isikwe kahle futhi kungabikho gazinga. Kuvunyelwe ukungeza okusanhlamvu kusobho, kodwa kuhle ukukubilisa noma ukusula ngesihlungo. Okuwusizo kakhulu ukuvuvukala kwamanyikwe isobho elibunjiwe, isobho lesikhilimu, kanye nesobho sobisi ngamanzi ongeziwe. Ungagcwalisa amasobho ngo-ukhilimu omuncu, ukhilimu, ucezu oluncane lwebhotela noma omisiwe kancane, kepha hhayi ufulawa othosiwe;
- Ama-sauces: kuphela kumhluzi wemifino noma okhokho. Ama-sauces kufanele angabi ngamafutha. Ngokunambitheka, bavunyelwe ukufaka ukhilimu omuncu noma ubisi. Njenge -enerener, ungasebenzisa ufulawa olungafakwanga;
- Iziphuzo: I-green green noma itiye elimnyama elikhishwa kancane, iziphuzo zezithelo ezimnandi ezixutshwe namanzi, izithelo eziyosiwe ezivela amajikijolo amasha nezomisiwe nezithelo. Iwusizo kakhulu kumanzi wamaminerali we-bancary pancreatitis alkaline ngaphandle kwegesi.
Ezigulini ezindala, kunama-sanatorium akhethekile lapho azonikezwa khona ukudla ngokuya ngayo yonke imithetho yokudla 5 nezinye izinqubo zokwelashwa. E-sanatorium enjalo, isiguli sizobuyiselwa ngaphansi kokuqashwa njalo kodokotela, okuqeda ngokuphelele amathuba okuphindelela.
Kwi-pancreatitis engapheli, ukwenza ngcono ukugaya, isiguli sinconywa ukuthatha amalungiselelo aqukethe ama-enzyme e-pancreatic e-excretory.
Izidakamizwa ezidume kakhulu nge-pancreatin esebenzayo ye-pancreatin yi-Gastenorm forte, Creon neMezim.
Imikhiqizo Evinjelwe
Ngo-namba 5 wokudla, imikhiqizo eminingi yokudla nezitsha zendabuko eziningi zaseRussia azivunyelwe. Ukudla okuqinile ikakhulukazi kufanele kulandelwe emavikini okuqala ngemuva kokuhlaselwa yi-pancreatitis, lapho ukudla nsuku zonke kwe-caloric kungafanele kudlule i-1500 kcal.
Kubaluleke kakhulu ukulandela ukudla njalo, kubandakanya namaholide. Ukuphumula okuncane kungadala 
ukuhlaselwa kwesibili kwe-pancreatitis futhi kuholele esibhedlela esibhedlela esiphuthumayo. Kumele kukhunjulwe ukuthi i-pancreas ingesinye sezitho zomuntu ezibaluleke kakhulu futhi izifo zayo zithinta umsebenzi womzimba wonke.
Kubaluleke kakhulu ukuthi ukuvuvukala kwe-pancreatic kuyeke ngokuphelele ukuphuza utshwala. I-Alcohol iyisitha sokuqala sama pancreas, futhi ukusetshenziswa kwayo ngokweqile kuvame ukuholela ekuthuthukiseni i-pancreatitis yotshwala. Lokhu kwenqatshelwa kusebenza kunoma yikuphi ukupheka kwezitsha lapho kukhona khona ngisho notshwala obuncane.
Ongakwazi ukukudla ngokuvuvukala kwamanyikwe:
- I-Rye, i-bran nesinkwa esiphelele sokusanhlamvu, isinkwa esisha esivela kufulawa wekolweni weprimiyamu, amakhekhe, ama-pastries, izinkwa, imiqolomba, ophaya kusuka ekukhukhumezeni, isinkwa esifushane nesinkwa semvubelo;
- Isobho elilungiselelwe enyameni, kumakhowe noma enhlanzini, umhluzi nesobho seklabishi kusuka kuklabishi entsha necokiwe, noma yisiphi isobho elibandayo, kufaka i-okroshka ne-beetroot;
- Zonke izitsha ezithosiwe emafutheni - ama-pancake, ama-pancake, ama-cheesecake, ophaya othosiwe;
- Inyama enamafutha - ingulube, iwundlu, idada, ihansi. Izinhlanzi ezinamafutha - i-salmon, tuna, i-mackerel, i-trout, i-sturgeon ne-halibut. Inyama ehlukahlukene ebhemayo, inyama enokhilimu nenhlanzi, isosovishi, inhlanzi enosawoti, amasoseji, amasoseji, inyama nenhlanzi eyosiwe, othosiwe wenyama nenhlanzi. Zonke izikhwebu - isibindi, izinso, inhliziyo nobuchopho;
- Imifino ethosiwe kanye ne-stewed - ama-fries ama-french, i-zucchini ethosiwe, iziqholo zemifino ethosiwe, isitshulu semifino;
- Ama-groats - ibhali le-pearl, amabele, ukolweni, ummbila kanye ne-barley groats. Noma yiliphi iphalishi elixegayo;
- Imifino ecebile ngemicu yama-coarse - isithombo, isudi, isithombo, iklabishi elimhlophe, iklabishi elimhlophe, isitshalo seqanda, uphizi oluvuthiwe, ubhontshisi, ubhontshisi namakhowe;
- Amafutha ezilwane - isaladi, inyama yenkomo namafutha e-mutton;
- Izithelo ezinokuqukethwe okunoshukela omningi - ubhanana, amagilebhisi, izinsuku, imango, ikhabe kanye nekhabe;
- Amaqanda abilisiwe kanzima, ama-omelet othosiwe kanye namaqanda athosiwe;
- Ubisi olunamafutha aphezulu, ushizi onamafutha noma omuncu wekotishi, ushizi onosawoti no-spice, ushizi oluhlaza okwesibhakabhaka;
- Isithokelo se-spicy - i-horseradish, lwesinaphi, upelepele obomvu nomnyama, i-ketchup kanye nemayonnaise;
- Amakhambi wezipayisi - iparsley, i-dill, isilimo esidliwayo esinamagatsha anamanzi, i-cilantro, i-basil, njll.
- Ikofi, ikhukhunathi, ushokoledi obabayo nobisi, ujamu, ujamu, uju, u-ayisikhilimu kanye nanoma yiziphi iziphuzo ezinekhabhoni akuvunyelwe.
Imininingwane yokudla etafuleni 5 inikezwe kuvidiyo ekulesi sihloko.
