Mu matenda a gallbladder, m'mimba, koma kaŵirikaŵiri ndi kudya kwambiri mafuta, kumwa mowa, zakudya zamakono ndi kumwa mowa mopitirira muyeso, kutentha kwa kapangidwe , kapenanso kupweteka. Pankhaniyi, muyenera kudziwa zomwe mungadye ndi chifuwa chachikulu, kuti mupewe kupweteka ndi zowawa za matendawa.
Chinthu choyamba chimene madokotala amalimbikitsa ndi zakudya zoyenera, zakudya zamankhwala zomwe zingakuthandizeni polimbana ndi matenda aakulu. Ngati simukutsatira malamulo a chithandizo chamankhwala, ndiye kuti njira zonse zothandizira zothandizira zimakhala zosafunikira, choncho chofunika kwambiri ndi chofunika kwambiri ndi kufufuza zakudya ndikutsatira mwatsatanetsatane zomwe zilipo madokotala.
Pancreatitis (zakudya) - kodi mungadye chiyani?
Dietotherapy pancreatitis iyenera kukhazikitsa mtendere wochuluka ndi chitonthozo kwa ziwalo za m'mimba. Masiku atatu oyambirira akulamulidwa njala yeniyeni. Mukhoza kumwa madzi ofunda amchere mpaka malita imodzi ndi hafu patsiku. Kenaka dokotala amalimbikitsa kuti mutha kudya ndi kuperewera kwa pancreatic ndipo menyu pang'onopang'ono ikukula chifukwa cha kuwala, kupukutidwa, chakudya chochepa. Malinga ndi kalasi ya Pevsner, iyi ndi nambala 5 n. Mukudya nthawi zambiri, koma pang'ono ndi pang'ono. Mowa, zakudya zamtundu uliwonse kapena zokometsera zimaletsedwa. Njira zophika - otentha, kuyendetsa, kuwongolera m'madzi.
Kodi ndi chipatso chamtundu wanji chomwe chingagwiritsidwe ntchito pa kuperewera kwapasitiki?
Pakakhala kutupa kwakukulu, zipatso zimalimbikitsidwa pokonzekera zakudya zamagetsi, compotes ndi olowa shuga m'malo. Mukhoza kuphika apulo lokoma. Ndi zizindikiro zochepa zowonjezereka, menyu ayenera kupindulitsidwa ndi mavitamini. Nazi zipatso ndi kuperewera kwa madzi, zomwe zingaphatikizidwe mu zakudya:
- maapulo okoma okoma ndi mitundu yofiira ya chilimwe (mungathe kutsuka ndi khungu lofiira);
- nthochi (zosaposa imodzi patsiku);
- malalanje okoma, tangerines;
- plums ndi apricots (mwatsopano chabe ndi kupitiliza kusintha).
Kodi ndiwo zamasamba zotani zomwe zingagwiritsidwe ntchito poopseza?
Mu nthawi yovuta ya kutupa kwa kansalu, ndiwo zophika zophika zimaloledwa mu mawonekedwe a puree popanda mafuta, mchere, shuga - mbatata, kaloti, achinyamata zukini popanda peel, dzungu. Zakudya zowopsa zapachilombo zingathe kuwonjezeredwa ndi kolifulawa, broccoli, beetroot. Mukhoza kudya supu za masamba ndi tirigu, ndipo phala amawonjezera chidutswa cha batala, mkaka kapena kirimu. Zomera zatsopano mosamala zikuphatikizidwa mu menyu, konzani saladi wa kaloti opangidwa bwino kapena nkhaka ndi masamba. Mazira, tomato sangathe kudya kawiri pa sabata. Ndi bwino kugwiritsa ntchito kabichi mu supu kapena mphodza.
Kodi ndi nsomba yanji yomwe ingagwiritsidwe ntchito poperekera chifuwa?
Zamagulu ndi matenda opatsirana amaloledwa osati mafuta. Nsomba zimaphatikizidwira mu menyu mwamsanga sabata yoyamba ya matenda. Mitundu yowonjezera yothandiza kwambiri:
- mpaka 1% mwa mafuta okhutira - cod, haddock, navaga, river perch, pollock;
- mpaka 2 peresenti ya mafuta - pike, pike patch, flounder, burbot ndi carp cruci;
- mafuta oposa 4% - mackerel, halibut, ndowa.
Nsomba zoterezi zimatha kukonzekera nyama za nyama kapena steam cutlets, soufflé ndi casseroles. Mu chifuwa chachikulu, nsomba ikhoza kuphikidwa kapena kudulidwa. Amaloledwa kudyetsa zakudya ndi pinki pinki, nsomba, nsomba ndi butterfish. Oletsedwa pazitsamba zonse za nsomba zam'chitini, zouma ndi nsomba zafodya, mchere ndi marinade.
Ndi mtundu wanji wa zakudya zomwe ndingapeze ndi kuperewera kwa chifuwa?
Chakudya chopatsa chifuwa chachikulu chimawathandiza mwamsanga kudya msangamsanga, masentimita ndi madzi ndi phala. Mkate wa mpunga kapena oat flakes ndi bwino mkaka wochepetsedwa womwe umadzipukutira ndi madzi ndi kupukuta bwino, mchere, shuga ndi mafuta sangathe kuwonjezeredwa. Ndiye ndalamazo zimaphatikizapo buckwheat ndi semolina phala. Pambuyo pa chiwopsezo chachikulu cha matendawa, amaloledwa kuwira mapiritsiwa ndi kuwonjezera chidutswa cha batala, mchere pang'ono. Nkhumba yamapira, mapira ndi balere amafota bwino, choncho safuna kuika nawo zakudya, ngakhale ndi kukhululukidwa kwa matendawa.
Kodi ndi chakudya chamtundu wanji chomwe mungadye ndi chifuwa chachikulu?
Pa nthawi yoyamba ya kuperewera kwa chifuwa choyera, mikate yoyera, dzulo kapena yowuma kale, imaloledwa. Mukhoza kuphika odula. Chizolowezi cha mkate sichiposa 200 g pa tsiku. Mkate wa Rye ndi mbewu zonse zimakwiyitsa kagayidwe ka m'mimba, chifukwa cha kupweteka m'mimba, kupweteka komanso kupweteka. Choncho, zakudya zabwino ndi pancreatic pancreatitis zikhoza kukhala zosiyanasiyana ndi mkate wakuda kapena ndi chimanga, pokhapokha mutatha kukonzanso kwathunthu.
Kodi ndiwotchi wotani umene ndingakhale nao ndi chiwopsezo?
Zakudya zabwino ndi kuperewera kwa chakudya zimaphatikizapo kutengako tchizi mu zakudya pokhapokha patatha mwezi umodzi pokhapokha patatha nthawi yochepa kwambiri ya matendawa. Poyamba mukhoza kuchepa, mafuta ochepa, mafuta ochepa: Adyghe, mozzarella, ndi brynza. Yambani ndi chidutswa chaching'ono monga Kuwonjezera pa zamasamba kapena zobiriwira, mungathe kupitirira 100 magalamu patsiku. Pali mitundu yambiri ya tchizi yomwe imatsutsana pa nthawi iliyonse ya chifuwa chachikulu:
- Kusungunuka (kwambiri mwa zokometsera ndi utoto, mchere);
- kusuta fodya;
- Mitundu yovuta ndi mafuta oposa 40%;
- tchizi ndi nkhungu kapena mtedza, tsabola, zitsamba;
- zakudya zamtchi.
Posankha tchizi, tcherani khutu ku maonekedwe, kukhalapo kwa oonetsera ndi utoto. Onetsetsani kuti musankhe mwatsopano, popanda zizindikiro za kuwonongeka. Mchere ndi lakuthwa tchizi si oyenera kwa odwala matenda opatsirana, chifukwa amachitira chakukhosi m'mimba ndipo amachititsa kuti ziphuphu zisokonezeke. Njira yabwino - tchizi, yophikidwa kunyumba kuchokera mkaka wa mafuta ochepa.
Kodi ndi maswiti ati omwe mungadye ndi chifuwa?
Nkhanzazi zimapanganso insulini, choncho mwezi umodzi pambuyo pa kupwetekedwa kwapweteka, kuti zithandize ntchito yake, shuga ndiletsedwa. Chakudya chochulukitsira cha kuperewera kwa chakudya kumapangitsa kuti pakhale zakudya zam'masamba komanso kissel pa fructose, komanso kuchokera mwezi wachiwiri wa odzola ndi puddings komanso sweeteners. Ndikupitiriza kupititsa patsogolo, mungathe kulangiza kusintha kwa shuga, uchi, kupanikizana. Amaloledwa pangТono kakang'ono ndi ubwino wolekerera wa nsomba zam'madzi, marmalade, mabisiketi a biscuit, chophika chophika chophika. Zakudya zamasukiti zokoma maswiti ndi mpweya wopanda chokoleti zingadye.
Ndi mitundu yanji ya nsomba yomwe ndingakhale nayo ndi kupatsirana?
Gulu la zakudyazi liri ndi mapuloteni, ayodini, chitsulo ndi mavitamini. Koma mankhwalawa othandizidwa ndi kuperewera kwa thupi akhoza kulowa mu menyu yokha mwezi umodzi pambuyo pa kuwonjezereka. Yambani ndi zitsamba zam'madzi m'masamba a nyama kapena nsomba. Panthawi ya kukhululukidwa, pafupifupi nsomba zonse - nsomba ndi squid, shrimps, octopuses zingagwiritsidwe ntchito m'mafuta owiritsa. Zakudya monga sushi, mipukutu, kusuta ndi kuzifutsa nsomba zili kutali ndi zomwe zingadye ndi matenda opatsirana panthawi iliyonse ya matendawa.
Ndi mtedza uti umene mungadye ndi kuperewera kwa chifuwa?
Chakudya cha kupatsirana, matendawa amadalira, ngakhale kuti mtedza uli ndi mapuloteni ofunika ndi mavitamini, kukhalapo kwa mafuta ndi zowonongeka kwa odwala n'kovulaza. Kuwonjezera pa kudya kwa mtedza kukhoza miyezi sikisi yokha ndi chikhululukiro chokhazikika. Nucleoli yonse iyenera kutsukidwa pa filimuyi komanso iwonongeke bwinobwino. Mukhoza kudya yaiwisi kapena youma, kuwonjezera pa phala ndi kanyumba tchizi. Pa mitundu yonseyi, nkhanza ndi m'matumbo sizikwiyitsa kwambiri: makasu, ma walnuts, amondi ndi makedza. Choipitsitsa kwambiri, nthanga ndi mtedza wa Brazil zimalekerera.
Kodi mkaka wa chiwopsezo ndi chiyani?
Maganizo okhudza ngati n'zotheka kumwa mowa wa khunyu nthawi zambiri sagwirizana. Mulimonsemo, chikhalidwecho chiyenera kukhala chokhalitsa. Zakudya zonse za mkaka zowawa zimayamba kuwonjezera pa zakudya osati kale kuposa sabata lachitatu pambuyo pa kuwonjezereka. Muyenera kuyamba ndi kotala la 1% yogurt, yogurt kapena kefir musanagone. Ndikofunika kukonzekera zokolola mkaka wokha pakhomo pogwiritsa ntchito zikhalidwe zapadera. Pokhapokha pakakhala kofunika kugula mkaka mochepa. Zamakina ndi fillers ndi dyes zilibe.
Kodi ndi nyama yanji yomwe ingagwiritsidwe ntchito poperekera chifuwa?
Kukhazikika kwa mapuloteni a thupi kumadalira kumvetsetsa mtundu wa zakudya zowonongeka zomwe zingakhale zofatsa komanso panthawi imodzimodzi zokoma komanso zokhutiritsa. Nyama ikhoza kuyambitsidwa kudya chidutswa chomwecho pambuyo pa nthawi ya kusala kudya panthawi yovuta. Nyama zonse zowonda zimatsukidwa mosamala ndi mafilimu ndi mafilimu, opunduka mobwerezabwereza mu chopukusira nyama. Konzani nyama, meatballs, cutlets ndi nthunzi. Monga momwe chikhazikitso chimatha kuphika chidutswa chonse, mphodza, ndi kuphika. Pamene kuperewera kwa chifuwa kumapangidwira bwino:
- nkhuku (khungu liyenera kuchotsedwa);
- chiti;
- Kukukwa;
- ng'ombe yamphongo yaing'ono;
- mthunzi.
Zomwe mungadye ndi chifuwa chachikulu, nthawi zonse muzifunsira kwa dokotala kapena katswiri wa zakudya. Powonjezerapo chinthu china chatsopano, muyenera kuyang'anira matenda anu, ngati vuto lililonse likuchitika, ndibwino kuti musiye. Zakudya zabwino ndi zakudya zothandizira zakudya zimathandiza chithandizo, kubwezeretsa kugwira ntchito kwachidwi komanso kusintha moyo.