Ama-pancreas (ama-pancreas) abandakanyeka ngokuqondile ekugayweni, akhiqize ama-enzyme abaluleke kakhulu kule nqubo, futhi alawula i-carbohydrate metabolism. Kwi-pancreatitis ebukhali, lapho ukukhululeka kwendlala ku-ducts yayo kuqongelela kanye necrosis ne-autolysis (ukuzinyibilikisa) kwezicubu zesitho kuqala, isimo sesiguli siwohloka kakhulu. Hhayi nje ngenxa yobuhlungu obukhulu, kodwa futhi njengomphumela we-glucose metabolism kanye nokwakheka kwesifo sokudakwa. Ngalesi sikhathi, usizo lwesiguli kufanele lunikezwe ngokushesha futhi esibhedlela kuphela.
Uhlobo lokwelashwa olusebenzayo lwenzelwe ukumisa ukukhiqizwa kwama-enzymes wokugaya yi-pancreas esele esimeni esisebenzayo, ukuqinisekisa ukukhishwa okucashile ngemithambo yokucima ukoma, ukusula igazi lobuthi nemikhiqizo yokubola, kanye nokuthinta amandla okuphinda wenzakale. Lokhu akutholwa kuphela ngokusebenzisa inkimbinkimbi yezidakamizwa. Ukudla kwe-pancreatitis eyingozi kudlala indima ebaluleke ngokulinganayo, futhi ukusebenza kwayo kuqhathaniswa kakhulu nokusebenza kwezokwelapha ngezidakamizwa.
Izinjongo nezinketho zokudla
Umsebenzi wamanyikwe awumjikelezo futhi unqunywa ngokuphelele ukuthathwa kokudla emzimbeni, okuluhlobo "lwesiginali" ekukhiqizweni kwama-enzyme. Ngokuthuthuka kwenqubo yokuvuvukala, kubaluleke kakhulu ukuyikhipha le ndlela yokuvuselelwa kwesitho, ngoba ukungezwa okungeziwe kunomthelela omkhulu wokubhubhisa kumanyikwe. Ukufakelwa kwemisipha kukhubazekile futhi ukuvuvukala kwezicubu kuyanda, okudala ubunzima ngokuhamba kweziqubu zesitho. Ama-enzymes asele ku-iron aqala inqubo yokubhujiswa (ukubhujiswa) kwayo.
Ezinsukwini zokuqala zokwanda kwe-pancreatitis, ukwelashwa kwenziwa esibhedlela lapho kwenziwa khona ukondliwa kweziguli.
Ukuqedwa kokungena ngomlomo kunomphumela onenzuzo kakhulu kumanyikwe. "Ukuphumula" okusebenzayo kwesitho kuyakhiwa, imfihlo ekhona iyasuswa, i-autolysis ivinjelwe, futhi indlala iyakwazi ukubhekana nenqubo ye-pathological futhi iqale ukululama kwayo.
Ngokuvamile, ukudla kwe-pancreatitis eyingozi kunemigomo elandelayo:
- ukwehla kobunzima bezinhlungu nokukhululeka ngokuphelele kokuhlaselwa;
- ukwehla komsebenzi we-enzymatic we-gland;
- qinisekisa ukutholwa kwenani elifanele lamafutha, amaprotheni, ama-carbohydrate, amakhompiyutha amaminerali, amavithamini emzimbeni wesiguli;
- ukusindisa zonke izitho zokugaya;
- ukuqinisa ukungatheleleki;
- umthelela emandleni okuvuselela kabusha kwamanyikwe.
Izici zokudla komtholampilo kwe-pancreatitis zithonywa yizici eziningana. Ngakho-ke, ekuvuvukeni okukhulu, isigaba sokuqhakaza sibaluleke kakhulu, esihlobene ngqo nezinga lokubhujiswa kwama-pancreas nokuqala kokululama kwalo. Ngaphezu kwalokho, isikhathi lesi sifo sibalulekile, okungukuthi, noma ngabe i-pancreatitis ihlala isikhathi eside noma ithuthukiswe esigulini esidala okokuqala.
Akubalulekanga kangako ukuthi isimo sesi sifo, ukuba khona kwezinkinga nezinye izifo zezitho zokugaya ukudla. Isibonelo, nge-pancreatitis ye-biliary, kukhona i-lesion yesibindi, i-gallder kanye ne-bile ducts, okungeke kuthinte kuphela amapharamitha wokudla wesiguli. Futhi, amaqhinga okwelapha, kufaka phakathi ukudla, ancike endaweni yomonakalo wamanyikwe kanye ne-capsule yayo, ukuba khona kwama-abscesses noma i-necrotic foci.
Ngakho-ke, ukudla okudlayo kwe-pancreatitis, noma ithebula le-5p, kunezindlela ezimbili ongakhetha kuzo, ezinqunywa ubukhulu benkambiso yokuvuvukala:
Option No 1: oqokwe ngokubonakaliswa okucacile kwenqubo ye-pathological noma ngokubhebhetheka kwendlela engapheliyo ye-pancreatitis.
Inketho 2: kunqunyelwe ukuthi kube nezimpawu ezibucayi nokuqina kwesimo sesiguli, kanye nezimpawu zokuqala zokuthuthuka esikhathini sokwanda kwendlela engapheli ye-pathology.
Ukufakwa ngaphandle okuthosiwe, okunamafutha, isipayisi kufanele kunciphise umsebenzi we-enzymatic wamanyikwe
Kepha, lapho isiguli singena esibhedlela, ezinsukwini zokuqala siyadingeka ukumisa ngokuphelele ukudonsa kokudla ngomlomo ukuze kudaleke ukusebenza kokuphumayo kwamanyikwe, isisu, amathumbu, isibindi. Ngakho-ke, ukuzila ukudla okwelaphayo kunqunyelwe isikhathi sezinsuku ezingama-2-4, okunqunywa yifomu nobunzima be-pancreatitis. Ngasikhathi sinye, umzimba womuntu udinga izakhamzimba ukuze ululame, ngakho uzitholela wona njengomzali, ngendlela yezisombululo zokulawulwa okuphathelene nokungena emzimbeni. Ngemuva kwalokho, ngemuva kwezinsuku ezimbalwa, umzimba ubuyisela amandla okudla ngendlela ejwayelekile.
Inombolo 1
Ukudla okungenamsoco kwi-pancreatitis eyingozi, lapho isimo sesiguli sisinzima, nobuhlungu obukhulu nokudakwa, futhi lapho ezinye izitho zangaphakathi zihlupheka, kuyindawo yokwelashwa ebaluleke kunazo zonke. Okwamanje, ukunakwa okukhethekile akukhokhwa kuphela ekubekweni eceleni kwemikhiqizo "engafuneki" kakhulu, kodwa futhi nezindlela zokupheka.
Lokho okungafunwa ngamanyikweNjengoba isiguli sisesibhedlela, sithola ukudla ekhishini lesibhedlela, lapho imikhiqizo icutshungulwa khona ngokuya ngemithetho eqinile, futhi imenyu ngesikhathi sokwenyanya ibhekwa nsuku zonke. Imikhiqizo yokudla ibilisiwe noma iboshiwe, igayiwe futhi ifakwe ngendlela yomhluzi obuthakathaka, amasobho, okusanhlamvu, amazambane abunjiwe. Ngaphezu kwalokho, zonke izitsha zinokushisa okuphezulu, okungacasuli umgudu wokugaya ukudla. Akufanele zivuse ukukhululeka kulezi zitho zomzimba, umkhiqizo ngamunye kufanele ungene kalula futhi usheshe ukumunwa.
Ukudla kwenziwa kaningi kakhulu, kuze kube kasishiyagalombili ngosuku, kepha ngamanani amancane kakhulu (amagremu amakhulu angama-300), umbuso othile wokuphuza ulandelwa ngokuqinile. Ngemuva kokudla ngakunye, kuyahlolwa isimo samanyikwe kanye nezinye izitho zomzimba, kanye nenhlala kahle yeziguli.
Ngaphambi kokulungiselela inkukhu, kubalulekile ukususa isikhumba esiqukethe amafutha amaningi.
Yini ongayidla futhi uyiphuze nge-exacerbations ye-pancreatic pancreatitis, kubonakala kulolu hlu lwemikhiqizo:
| Kuvunyelwe |
| Ufulawa okusanhlamvu emanzini noma engxenyeni yobisi kusuka elayisi, i-buckwheat, i-semolina, i-oatmeal |
| Ingxenyana encane ebilisiwe ye-pasta |
| Ukudla ukudla (turkey, unogwaja, inkukhu) |
| Izinhlanzi ezinamafutha aphansi (ukhokho, ipikeperch, i-pollock) |
| I-Kefir, iyogathi enamafutha amancane |
| Izilimo zethanga (squash, ithanga, squash) |
| Amazambane, izaqathe |
| Ama-apula Abhakiwe |
| Ama-compotes, i-jelly, itiye elibuthakathaka |
Ngaphezu kwalokho, kubalulekile ukukhawulela usawoti kuya kumagremu ayi-6 ngosuku (isiguli akufanele sengeze ezitsheni). Okuqukethwe nsuku zonke kilojoule akukho ngaphezu kwe-1800 kcal.
Le ndlela yokudla i-5p isetshenziswa esibhedlela izinsuku ezingama-5-7 ngemuva kwesikhathi sokuzila. Ngemuva kokuhlaselwa yi-pancreatitis eyingozi, lapho isiguli sinqunywa ukuba sithuthukise ngaphandle kwesizathu, ukudla kuyilokhu kungenye yezindawo eziyinhloko zokwelapha, futhi inketho No. 2 ibekelwe isiguli.
Inombolo 2
Ukudla ngemuva kokuhlaselwa yi-pancreatitis kufanele kubhekwe ngokuqinile ekhaya, wonke umthwalo walokhu ulala nesiguli nezihlobo zakhe. Ngokungeziwe emiyalweni yokwelashwa, isiguli sithola izincomo kudokotela oholayo maqondana nohlobo kanye nezidingo zokudla okunempilo ngendlela yohlu lokufanele lunikezwe lapho ukwanda kwesifo kuncipha nokuthi yikuphi okungafakwanga ekudleni.
Ngokuya ngesimo nobunzima balesi sifo nokuthi ngabe kwenziwa umthambo wokuhlinzwa, ubude bokusetshenziswa kwenketho yokudla No. 2 kungahlukahluka kusuka ezinyangeni eziyi-8 kuye kunyaka ongu-1. Kwesinye isikhathi, ngokuvama kakhulu kwe-pancreatic pancreatitis yefomu elingamahlalakhona, lokho kudla okunempilo kuba okudingekayo iminyaka eminingi ngisho nokuphila.
Ngemuva kwezimpawu zokuphelelwa ngamandla kwe-pancreatitis, izidlo zihlala zithambile, izikhathi ezi-5-6 ngosuku nangevolumu eyodwa ka-400-500 ml. Okuqukethwe ngamaprotheni namavithamini kuyanda, amafutha ezilwane nawemifino, ama-carbohydrate, kanye nefayibha yamabala ancishisiwe. Usawoti ungadliwa ufike ku-10 g ngosuku, okuqukethwe nsuku zonke kwama-caloric akhuphuka kuya ku-2700 kcal. Ukuphuza irejimeni yezithelo kufanele kwenziwe futhi, futhi umthamo we-liquid nsuku zonke okungenani wamalitha ama-2.
Isiphuzo esinamandla nge-pancreatitis sikhuthaza ukululama
Okubaluleke kakhulu lapho kulungiswa izitsha kufanele kunikezwe izindlela zokusebenzisa imikhiqizo. Nge-pancreatitis ngesikhathi sokuxhaswa, ukukhipha i-extacerbations kufanele futhi kubiliswe futhi kuphekwe "kubhavini wamanzi", kepha izindlela ezifana nokudla nokubhaka nazo zivunyelwe. Izitsha kufanele zilungiswe ngesimo sesobho, okusanhlamvu, amazambane abunjiwe noma inyama egayiwe, imifino ingahanjiswa ngezicucu ezincane, nezithelo zingaphelela, kepha zihlale zibhakwe kuhhavini. Ngokushisa, zonke izitsha akufanele zibambe noma zishise, ngaphandle kososo nezinongo, ukuze kungabangeli umsebenzi owengeziwe wobunobhala kumanyikwe.
Ukudla okwenziwe ngomsoco ngesikhathi sokukhululeka kancane kancane kwesifo, naphezu kwemikhawulo emangazayo, kuhlala kungafani futhi kwanele kuzo zonke izithako ezidingekayo.
Ongakudla futhi ongakwazi ukukudla nge-pancreatitis kubhalwe kuhlu olulandelayo:
| Ngiyakwazi | Akunakwenzeka |
| I-pasta, isinkwa sika "izolo" kusuka kufulawa 1 no-2 amamaki | Isinkwa esisha esenziwe ngofulawa weprimiyamu |
| Inyama ebolile | Inyama yenkomo, ingulube, iwundlu, amadada |
| Izinhlanzi ezinamafutha aphansi, umfula nolwandle | Amafutha Amanoni |
| Abamhlophe beqanda | Inkukhu Yolks |
| Imikhiqizo yobisi enamafutha amancane (i-kefir, ubisi, iyogathi, ubisi olubilisiwe olubilisiwe, ushizi we-cottage shizi, ushizi | I-ukhilimu omuncu omuncu, ushizi we-cottage shizi, izinhlayiya ezinephunga |
| Ilayisi, i-buckwheat, i-oat, i-semolina | I-Offal (isibindi, amaphaphu, izinso), ukudla okusemathinini nososeji |
| Amazambane, izaqathe, isilimo esidliwayo esinamagatsha anamanzi, ukholifulawa kanye ne-broccoli, ama-beet | Umhluzi ohlanganisiwe wenyama nezinhlanzi |
| Ama-Kissels nezithelo ezi-stewed namajikijolo, iziphuzo zezithelo | Amakhowe, ama-legamu, iklabishi elimhlophe, isithombo, itheniphu, isithombo, udoti |
| Tea obuthaka | Ikhofi, iziphuzo ezinekhabhoni, ukhukhunathi, utshwala |
| I-Confectionery ngaphandle kwamafutha (ama-meringues, ama-marshmallows, uswidi, i-marmalade, ama-berry mousses namajellies) | Ukubhaka ibhotela |
| Izithelo ezibhakiwe | Izinongo, amasoso abilayo |
Njengoba kungabonakala etafuleni, nge-pancreatitis, ungadla ngokuphelele futhi kuhlukahluka, usebenzisa okusanhlamvu, imifino, izinhlobo ezahlukahlukene zenyama, inhlanzi, iziphuzo namaswidi. Isiguli, ngokuya ngemithetho ebekiwe yokudla okunempilo, sizothola yonke imali edingekayo yamafutha, amaprotheni, ama-carbohydrate, amavithamini kanye namandla awadingayo ukuze abuyise isimo se-pancreas nezinye izitho zangaphakathi.
Ungadla i-pastille, i-marmalade, i-jelly noma i-marshmallows nge-pancreatitis okungenani nsuku zonke
Ezinye izibonelo zamamenyu
Ekhaya, kusebenza kakhulu ukwenza imenyu ngeviki, hhayi nsuku zonke. Ngakho-ke kulula kakhulu ukucabanga ngokudla esikhathini esizayo ngaphambi kwesikhathi futhi uthenge imikhiqizo edingekayo, ezokuvumela ukuthi uzuze ukwehluka okuphezulu kokudla. Ngohlobo lwesibili lokudla 5p, imenyu yokulinganiselwa yezinsuku ezi-3 izobukeka kanjena:
Isidlo sasekuseni 1: i-buckwheat porridge-buttermilk emanzini ngobisi, isinkwa esomile, ingilazi yetiye elibuthakathaka;
Ukudla kwasekuseni 2: ama-apula amabili abhakwe;
Isidlo sasemini: isobho sobisi nge-vermicelli, amazambane abunjiwe ngesikebhe senkukhu esibhakiwe, i-berry jelly, isinkwa.
Isidlakela: ingilazi yetiyi engenamandla, izingcezu ezi-3 ze-vanilla marshmallow.
Ukudla kwakusihlwa: isidlo semifino, ivolovolo ebilisiwe, isinkwa, i-compote.
Ukudla kwasekuseni 1: i-oatmeal porridge emanzini ngobisi, ujamu wekhaya, itiye.
Ukudla kwasekuseni 2: ikhekhe ushizi isouffle, kissel.
Isidlo sasemini: isobho lezinhlanzi nge-haddock, i-omelette yamaprotheni, i-compote, isinkwa.
Isidlakela: ithini lamapheya amabili abhakwe.
Ukudla isidlo sakusihlwa: ibele lezinkukhu lidliwe namazambane, itiye, isinkwa.
Ibhulakufesi 1: semolina, isinkwa, itiye.
Ukudla kwasekuseni 2: i-casserole yemifino, isinkwa, itiye.
Isidlo sasemini: umhluzi wenkukhu onama-curly amaqanda amhlophe, ilayisi ebilisiwe ngezinhlanzi ezinamafutha ezinhlamvu, isinkwa, izithelo ezihanjisiwe.
Isidlakela: iyogathi namabhisikidi owomile, itiye.
Ukudla kwakusihlwa: inyama yenkomo ebilisiwe nge-pasta, isinkwa, ujeli.
Phakathi kokudla okuhlanu, ungaba "nokudla" okungeziwe okungama-2-3. Ukuze wenze lokhu, yidla izithelo ezibhakiwe, iyogathi, ingilazi yejelly noma i-compote, amakhukhi ebhisikidi.
Ukugcwalisa zonke izincomo zokwelashwa futhi unamathela ekudleni, kungenzeka ukufezekisa ukubuyiselwa okuphezulu kakhulu kwemisebenzi ye-pancreatic ngesikhathi sokuqhuma kwe-pancreatitis ngesikhathi esifushane, kanye nokwelula ukukhishwa ngohlobo lwesifo olungamahlalakhona.
