Ukudla kwe-pancreatitis

Umbhalo ngowezinjongo zokwaziswa kuphela. Siyakunxusa ukuthi ungasebenzisi ukudla okudlayo, ungaphendukeli kunoma imaphi amamenyu wezokwelapha nokuzila ukudla ngaphandle kokugadwa ngudokotela. Ukufundwa okunconyiwe: “Kungani ungakwazi ukuzidlela wena ngokwakho.” I-pancreatitis yisifo se-pancreas esibangelwa ukuvuvukala kwesitho. Lesi sifo sinezimpawu eziningi ezihlukene, kuhlanganise nobuhlungu, ngakho-ke sidinga ukwelashwa okwanele. Uma zingathathwa izinyathelo zokuqeda izimpawu, i-pancreatitis iyaqhubeka, inqubo ye-pathological isakazekela ezithweni eziseduze, ama-enzyme e-pancreatic "gaya" i-peritoneum, futhi amaseli ayo afa ngokushesha. Ukwephuza ukwelashwa kuholela ekufeni. U-25% weziguli, ungasinaki lesi sifo, ukhubazeke.

Minyaka yonke isibalo sabantu abaneminyaka yokusebenza abahlushwa i-pancreatitis siyanda. Iziguli eziningi azinangqondo ngokwelashwa kwalesi sifo futhi azilufuni usizo lodokotela. Indlela eyinhloko yokulwa ne-pancreatitis ithathwa njengokudla okufanele kanye nendlela yokuphila enempilo. Isigaba ngasinye sesifo sihlinzeka ngombuso ngezincomo ezicacile kanye nokuvinjelwa, okungafanele uphambuke kuzo ngaphansi kwanoma yiziphi izimo. Ngaphandle kwemikhawulo eqinile, kungenzeka ukuthi uphile impilo ende ejabulisayo nge-pancreatitis.

Inkambo ye-pancreatitis kungenzeka ngezindlela eziningi.

Acute. Ukuthuthukiswa kwe-pancreatitis eyingozi kwenzeka ngokushesha futhi kungazelelwe. Iziguli azinaki ukushoshozela okuncane ohlangothini, kodwa ngemva kwezinsuku ezimbalwa aziphumi embhedeni ngenxa yezinhlungu ezibukhali nezinye izimpawu ezivezwe ngokucacile. I-pancreatitis ebukhali ingaholela ekululameni okuphelele, ukuthuthukiswa kwe-pancreatitis engapheli, noma ukufa kwesiguli ngenxa yezinkinga.

Okungapheli. Isikhathi eside, isiguli siphila nezikhathi zokukhushulwa kanye nokuthuthukiswa kwezempilo (ukukhululwa). Umuthi awunawo amandla ekulweni nalesi sifo; akunakwenzeka ukuthola ikhambi eliphelele le-pancreatitis engapheli. Isimo sokuxolelwa okuzinzile siwumgomo weziguli, njengoba ukuvuvukala kungase kungakhathazeki iminyaka. Ukuphila nge-pancreatitis, ukudla kunqunyelwe kuzo zonke iziguli ezine-pancreatitis engapheli.

Ifomu elihlukile lingahlukaniswa i-pancreatitis eyingozi ephindaphindayo. Lolu hlobo lwesifo ngokwezimpawu lufana ne-pancreatitis engapheli, kepha ukuphindaphinda kwenzeka kaningi kunangemva kwezinyanga eziyi-6. Uma izimpawu ezifanayo zenzeka ngemva kwezinyanga eziyisithupha, lezi izimpawu zokuvuvukala okungapheli.

Izimbangela zalesi sifo

Ukwephulwa kwe-pancreas kwenzeka ngenxa yokulimala kwezicubu zesitho. Ijusi ye-pancreatic pancreatic iqukethe i-trypsin, i-lipase namanye ama-enzyme okugaya aphula kalula amaprotheni, amafutha kanye nama-carbohydrate angena emzimbeni.

Ezimweni lapho ijusi le-pancreatic lingangeni emathunjini, lisebenza ngaphakathi kwendlala, inqubo "yokuzigaya" iqala. Ama-enzyme aphula izicubu zawo. Ngaphansi kwethonya labo, amanye amangqamuzana ayafa, amanye amelana nokugaya, ukuvuvukala kwama-pancreas kuqala.

Ukuphuma kwejusi ye-pancreatic kuphazamiseka ngaphansi kwethonya lezi zinto ezilandelayo:

• imishini (ukuphuza ngokweqile utshwala, ukubhema, ukudla okungenampilo, i-cholelithiasis, ukulimala kwesisu);
• izakhi zofuzo;
• izifo ze-autoimmune (lupus erythematosus, arthritis);
• izingcindezi.

Ezimweni lapho ukuhlaselwa kokuqala kwe-pancreatitis eyingozi, isiguli singanikezwanga ukunakekelwa okufanele kwezokwelapha, ukuvuvukala kuba okungapheli. Ukuphazamiseka ngesikhathi esisodwa kwe-pancreas kanye ne-biliary tract kuholela ku-cholecystopancreatitis kanye nokuthuthukiswa okuqhubekayo kwe-peritonitis.

Ukudla okunomsoco we-pancreatitis kubantu abadala

Uhlelo lokudla alubandakanyi ukusetshenziswa kokudla okusindayo nokunamafutha. Ukudla kwe-pancreatitis, okunqunywe udokotela, kusekelwe ezimisweni zokudla okufanele. Iziguli zelulekwa ukuthi zidle izingxenye ezincane ka-5 kanye ngosuku. Kusukela ekudleni kuze kube phakade kufanele kuqedwe ukudla okungenampilo. Ezifweni ze-pancreas, kuyadingeka ukudla ikakhulukazi ukudla okunamaprotheni, futhi ukusetshenziswa kwamafutha nama-carbohydrate kungcono ukunciphisa.

Ukuhambisana nokudla ngaphandle kokuphazamiseka kungenzeka uma uhlanganisa imenyu yesonto elizayo. Lapho uhlanganisa ukudla, lezi zincomo ezilandelayo ziyacatshangelwa:

• musa ukweqa ukudla (yidla njalo emahoreni angu-3-4);
• dla izingxenye ngo-150 g;
• gaya ukudla uma kungacasula ulwelwesi lwamafinyila;
• kungcono ukukhetha izitsha ezinokuqukethwe okuphezulu kwamaprotheni;
• khohlwa ngokusetshenziswa ngokweqile kwamafutha nama-carbohydrate;
• yenqaba izitsha ezinokuqukethwe okuphezulu kokukhipha;
• ngobuhlungu obukhulu, wenqaba ukudla izinsuku ezimbili.

Kunzima kakhulu ukubekezelela ukudla okunjalo kwamazinyo amnandi, ngoba akufanele badle amaswidi abawathandayo, amaqebelengwane namakhukhi.

Ungadla kanjani nge-pancreatitis eyingozi

I-Acute pancreatitis ukuvuvukala kwama-pancreas okwenzeka ngaphansi kwethonya lezinto ezahlukahlukene. Lolu hlobo lwesifo ludinga ukuqondiswa kodokotela. Ngokwezibalo, iziguli ezingama-40% ziyafa ngenxa yokuxilongwa kwe-pancreatitis ebukhali. Lesi sifo siyingozi ngoba sikhula ngokushesha kangangokuthi cishe akunakwenzeka ukugwema izinkinga. Ukwelashwa okukhethwe kahle kanye nokunakekelwa kwezokwelapha okufika ngesikhathi kuvimbela imiphumela engathandeki futhi kuholele ekwelapheni okuphelele kwesiguli.

Ukwelashwa kwe-pancreatitis kususelwa ekudleni okuqinile, okungafanele kuphulwe, ikakhulukazi ngemuva kokwelashwa kokuhlinzwa kwe-pancreatitis. Udinga ukunamathela ezincomo ezinqunyiwe impilo yakho yonke, ngoba ukudla okufanele kuphela kungavikela isiguli ekubuyeni kwesifo. Ukudla kwe-pancreatitis ebukhali kubonakala ngokuqina okukhulu nokungaguquguquki.

Ezinsukwini ezimbili zokuqala emva kokuqala kwalesi sifo, isiguli sigwema ukudla (ukudla kwendlala). Ukugcina izakhi zomzimba, amavithamini namaminerali ajova nge-intravenously ngendlela yezixazululo ezikhethekile. Ngemva kokukhipha izimpawu ezibuhlungu ezibukhali, ukudla okuwuketshezi kwengezwa ekudleni. Udokotela ohambelayo, ehlaziya isimo sesiguli, ubonisa ukuthi kungakanani okumele kulandelwe ukudla.

Ngokuncipha komsebenzi we-pancreatitis, okusanhlamvu, amazambane agayiwe, ama-kissels afakwa kwimenyu yesiguli. Izitsha zihanjiswa ngendlela echotshoziwe: igayiwe noma ichotshozwe nge-blender. Ukudla kwesonto okunemikhawulo eqinile enjalo kuthuthukisa isimo sesiguli, futhi kukhulula ukuvuvukala kwama-pancreas. Lapho isimo sesiguli sizinzile, i-kefir, i-compote, i-cottage shizi, amaqanda ahlutshiwe afakwa kancane kancane ekudleni. Ukudla kuyaqhubeka kushiswa izinyanga ezi-2, futhi imikhiqizo iyakwazi ukushisisa ukwelashwa.

Ngemva kwesikhashana, uma isimo sezempilo sivumela, kuvunyelwe ukudla imikhiqizo yokubhaka, inhlanzi, inyama enomzimba. Ngemuva kwe-pancreatitis eyingozi, isiguli kuzodingeka sakhe kabusha imenyu nemodi ngokuhambisana nemigomo yokudla okufanele:

• Ukudla okunomsoco. Ukudla kufanele kudliwe njalo emahoreni angama-3-4.
• Izingxenye ezincane. Umthamo wesidlo esisodwa akufanele udlule ama-500 g.
• Awukwazi ukuvumela ukubonakala komzwelo wendlala enzima.

Ku-pancreatitis eyingozi, iziguli kufanele zikhohlwe ngokudla okunamafutha, izinongo ezibabayo, inyama ebhenywayo, izithelo ezimuncu nemifino.

Isibonelo sokudla kwansuku zonke kweziguli ezine-pancreatitis eyingozi:

Lapho ukhetha imikhiqizo yemenyu, iziguli ezine-pancreatitis ebukhali kufanele zifunde ngokucophelela amalebula ukuze zigweme ukusetshenziswa kwezilondolozi, odayi, ukunambitheka kanye neziqinisi.

Uma unokungabaza mayelana nezakhiwo ezizuzisayo zomkhiqizo, kungcono ukungafaki ekudleni.

Ukudla kwezifo ezingamahlalakhona

Noma yisiphi isifo esingamahlalakhona isikhathi eside singase singasikhathazi isiguli, nokho-ke, kunezikhathi lapho ukuxolelwa kuholela ekuhlaselweni okukhulu. U-50% wokukhungatheka uwela kulokho okubizwa ngokuthi i-off-season "spring-autumn". Isizathu sokuhlaselwa siba ukwephulwa kokudla nokuphuza. Utshwala - isitha esikhulu seziguli eziphethwe izifo zamanyikwe.

Ezinsukwini zokuqala emva kokuhlaselwa ubuhlungu obukhulu, isiguli silambile, sivunyelwe ukuphuza amanzi kuphela. Esikhathini esizayo, udokotela ohambelayo ubeka ukudla okukhethekile, ngokuvamile I-Diet 1 (ithebula No. 1). Imenyu yakhiwe ikakhulukazi emikhiqizweni yamaprotheni: inyama enomzimba, inhlanzi, u-0% we-fat cottage shizi, njll. Kufanele udle izitsha ezibilisiwe nezibilisiwe izikhathi ezingu-8 ngosuku. Umthamo wokuphakelwa okukodwa ungama-250 g (isandla esisodwa).

Esigabeni esibucayi, isiguli asivunyelwe ukudla ukudla izinsuku ezintathu, kwezinye izimo, ukudla okune-liquid shredded kuvunyelwe. Ekuhlaselweni okunzima, isiguli kufanele silaliswe esibhedlela ngokushesha, sinqume ukwelashwa okudingekile kanye nokudla okunomsoco.

Ngezikhathi zokukhushulwa kokuqina okuncane nokuphakathi, iziguli zinconywa ukuthi ziphuze i-rosehip decoction, kodwa zingabi ngaphezu kwama-50 ml ngehora.

Ukuvuvukala kwama-pancreas ngokwezinga elikhulu kuvusa ama-carbohydrate, inani lawo kufanele lehliswe libe lincane. Ngesinye isikhathi, ungadla izipuni ezi-3 zephalishi eliwuketshezi, i-puree yemifino, noma isobho elingenalutho. Udinga ukudla okungenani izikhathi ezi-5 kanye ngosuku. Emavikini amabili, ukudla kukhuphuka ngama-40 ngosuku. Emasontweni ambalwa usayizi wokuphakelwa okukodwa uzoba ngama-250.

Uhlu lwemikhiqizo evunyelwe i-pancreatitis engapheli lunikezwa ngokudla No. 1, No. 5p. Ngokwezincomo zikadokotela, ukudla kugcwalisa ngemikhiqizo emisha. Ngesikhathi esifanayo, kufanele kuqashelwe imizwa yakho kanye nokusabela komzimba. Uphawu lokuqala lobuhlungu luwuphawu lokwenqaba “umkhiqizo osindayo”

Isampula yemenyu yosuku yeziguli ezine-pancreatitis engapheli:

Ukudla kwe-pancreatitis engapheli kusiza ukuqeda ukubhebhetheka kwefomu elingapheli lesifo.

Umthetho oyinhloko - ama-pancreas kufanele aphumule ekudleni okunzima.

Ukudla okunokuxolelwa kwe-pancreatitis engapheli

Ngesikhathi sokuxolelwa, isiguli sizizwa sikhululekile futhi asizwa ubuhlungu. Impilo enhle yesiguli ikuvumela ukuthi unwebe uhla lwemikhiqizo egunyaziwe. Kodwa-ke, akufanele uphumule futhi, njengoba ama-pancreas asengasabela kabi ekudleni okuthile.

Isisekelo somsoco esigabeni sokuxolelwa kufanele sithathwe Ukudla №5, okungeza kuso inani elikhulu lamaprotheni namavithamini agayeka kalula:

• hlukanisa ukudla;
• abilisiwe, abhakwa, izitsha ze-steam;
• ukusetshenziswa okungenani kwe-150 g yamaprotheni ngosuku, ikakhulukazi isilwane;
• imenyu ehlukahlukene;
• ukunciphisa amafutha ezilwane;
• ukuqoba nokuhlafuna ukudla.

Iziguli ezihlushwa i-pancreatitis, ziphila impilo esebenzayo. Kufanele bacabange ngemenyu nsuku zonke. Okufanelekile ukudla okushisayo (isobho, isobho, isobho) nokudla okulula okulula (iyogathi, ubhanana). Ukuba kumaqembu ezinkampani, amaqembu, unganqikazi ukucacisa ukwakheka kwezitsha ezihlongozwayo. Ungasebenzisi izibiliboco ezingajwayelekile, ukuze ungaphazamisi ukudla futhi ungacasuli ukwanda.

Ukukhulelwa kanye ne-Pancreatitis

Abesifazane abaningi abaneminyaka yobudala yokuzala bahlushwa i-pancreatitis engapheli, ngakho-ke ukukhulelwa nokubeletha kufanele kuthathwe ngendlela efanele.

I-pancreas ayiphazamisi ukukhulelwa kwengane futhi ayithinti kabi ukukhula kwayo kwe-intrauterine.

Izinkinga ziphakama ngesimo esibi sesifo noma ngesikhathi sokuhlaselwa kwe-pancreatitis engapheli. Ezimweni ezinjalo, imithi enqunyiwe kanye nokudla okuqinile, ngenxa yokuthi ingane ingathola kancane inani lamavithamini kanye nezakhi ezidingekayo empilweni yakhe.

Iziguli ezine-pancreatitis kufanele zibhekwe njalo nguchwepheshe futhi zihlele ukukhulelwa ngesikhathi sokuxolelwa okuphelele kwalesi sifo. Ngesikhathi sokukhula kwe-pancreatitis, kungcono ukungacabangi ngisho nokukhulelwa kwengane ngenxa yezizathu ezilandelayo:

1. Ukukhulelwa kuwumthwalo ophindwe kabili emzimbeni wesifazane. Phakathi nezinyanga ezingu-9, zonke izifo ezingapheli, kuhlanganise ne-pancreatitis, ziyanda kwabesifazane.
2. Imithi esetshenziselwa ukwelapha i-pancreatitis iphikisana ngokuqinile ngesikhathi sokukhulelwa nokuncelisa.

Kungcono ukuhlela ukukhulelwa ngokubonisana kokuqala nodokotela wezifo zabesifazane kanye nodokotela okhona, ozobeka izivivinyo ezibonisa ukulungela komzimba ukuzala umntwana nokubeletha. Khetha kusengaphambili ochwepheshe abaqeqeshiwe okuhlangenwe nakho kwabo kukuvumela ukuthi uqondise abesifazane abakhulelwe abane-pancreatitis.

Ukwanda kwe-pancreatitis kunezimpawu ezifanayo njenge-toxicosis: ukuhlanza, isicanucanu, umkhuhlane, ubuhlungu besisu, ngakho-ke akufanele ubekezelele lezi zimpawu. Uma unomunye wabo okungenani, udinga ukubonana nodokotela futhi ukhulume ngezinkinga zakho.

Akufanele uzenzele imithi, ngoba hhayi kuphela impilo kamama, kodwa futhi ingane incike kuyo. Ukwelashwa ngamakhambi abantu kufanele futhi kushiywe kuze kube izikhathi ezingcono, ukuze kungabi engozini impilo yengane.

Inkambo yokukhulelwa kwabesifazane abane-pancreatitis incike enanini lokukhushulwa nokuqina kwabo. Omama besikhathi esizayo bahlushwa i-toxemia ku-trimester yokuqala neyesibili, kodwa ingxenye esele yokukhulelwa idlula ngaphandle kwezinkinga. Ngokuhlaselwa okubi kakhulu, uma kukhona usongo empilweni kamama, ukukhipha isisu kuyasetshenziswa.

I-pancreatitis engapheli ayiyona imbangela yokuhlinzwa, owesifazane uyakwazi ukuzala ingane enempilo yedwa.

Ukudla kweziguli ezinohlobo olungapheli lwesifo ngesikhathi sokukhulelwa

Kowesifazane ophethwe yi-pancreatitis, ukukhulelwa akusona isizathu sokuphumula imikhawulo yokudla. Ngokuphambene nalokho, ukunamathela ekudleni ngalesi sikhathi kufanele kube ngaphansi kokulawulwa okuqinile ukuze kugwenywe ukuvuvukala kwamanyikwe. Kunconywa ukuthi abesifazane abakhulelwe bahambisane nezincomo ezilandelayo:

1. Landela imiyalelo kadokotela okhona. Ukudla kwe-pancreatitis nokukhulelwa akuhlukile ezinhlelweni zokudla okunomsoco ezihloselwe ukwelapha lesi sifo.
2. Izinyanga ezintathu zokuqala zokukhulelwa kufanele zidliwe ngokusho kwemenyu yenketho yokuqala ye-Diet No. 5 (idla ukudla okuphekiwe kanye nezitsha ezishisayo). Kusukela ku-trimester yesibili, ngokungabikho kwezinkinga ezibonakalayo, imenyu yokudla inganwetshwa kancane kancane.
3. Nciphisa ukusetshenziswa kwezithelo nemifino emisha. Ngesikhathi sokuxolelwa, ungadla kuphela ubhanana, amakhabe, amabhilikosi nama-cherry. Amavithamini namaminerali atholwa umzimba ezithelo nemifino agcwaliswa ngamalungiselelo akhethekile.
4. Cindezela isifiso sokudla ukudla okunosawoti / okubabayo / okumuncu okwenzeka kwabesifazane ngesikhathi sokukhulelwa kwengane.
5. Yidla njalo emahoreni ama-3 ngaphambi kokuzizwa ulambile.

I-pancreatitis kwabesifazane abakhulelwe ayiwona umusho, owesifazane angazala ingane enempilo. Ukuze wenze lokhu, kufanele ulandele ngokucophelela imiyalelo kadokotela futhi uqaphe ngokucophelela isimo sezempilo.

I-pancreatitis ezinganeni. Izimbangela zentuthuko

Okuxakayo, kodwa izingane nazo zingaba ne-pancreatitis. I-pancreas yengane ayicindezelwa uphuzo oludakayo, ukungondleki, noma kunjalo, izici eziningi zingavusa ukuthuthukiswa kwalesi sifo "sabantu abadala".

Ebuntwaneni i-pancreatitis ivela ngezindlela ezintathu: ebukhali, engapheli futhi esebenzayo.

I-pancreatitis ebukhali ezinganeni ibonakala, kanye nakubantu abadala, ngenxa yokwephulwa kokuphuma kwejusi le-pancreatic. Ekuphumeni kwejusi kunomthelela:

• ukulimala kwesisu;
• ukuthuthukiswa okungavamile kwama-pancreas;
• izibalo;
• i-cholelithiasis;
• izifo ezibangelwa ukutheleleka nge-parasites;
• izifo ezithathelwanayo eziyingozi;
• izifo ezingapheli zesisu, amathumbu (i-gastritis, i-colitis).

Akukhona nje ukuzigaya ukudla okudala ukukhula kwe-pancreatitis ezinganeni, izimbangela zalesi sifo nazo ziyi:

• umonakalo onobuthi kuma-pancreas ngamakhemikhali aqinile, ubuthi;
• ukungasebenzi kahle komzimba ngenxa yofuzo.

I-pancreatitis ebukhali izibonakalisa ngendlela yobuhlungu (ukuhlaselwa izinhlungu) ohlangothini lwesobunxele lwesisu noma phakathi nendawo. Izingane azikwazi ukunquma uhlobo lobuhlungu, ngakho-ke kunezinkinga eziningi ngokuxilongwa okufanele. Ngemuva kokuhlaselwa, ukuhlanza, isiyezi, ubuthakathaka nokuquleka kungenzeka. Ngenxa yomphumela onamandla onobuthi emzimbeni, umntwana angase aqale ukuqaphela. Kudingeka futhi ukunaka umbala wesikhumba (uba phuzi kancane), ulimi (kuvela i-coating emhlophe). Inqubo yokuvuvukala ibangela ukwanda kokushisa komzimba wengane.

Kuyinkinga ukuxilonga i-pancreatitis eyingozi ezinsaneni nasezinganeni ezingaphansi kweminyaka emibili. Namanje abakwazi ukutshela ngokuzimela uhlobo lobuhlungu. Ngokuvamile, izingane ziyakhala, zikhala futhi zihlehle zibe "ibhola". Ukuhlanza okungenzeka, umkhuhlane, isifo sohudo.

Kuphoqelekile ukuthi ingane iboniswe kudokotela wezingane, ngoba izimpawu zingase zibonise ukukhula kwezinye izifo.

Ezinganeni, i-pancreatitis engapheli yenzeka kuyaqabukela futhi yenzeka kuphela ngemuva kokunganakwa kwefomu elibukhali noma ngemuva kokuvuvukala okusebenzayo kwamanyikwe. Imbangela ye-pancreatitis engapheli ukuntuleka kokwelashwa kanye nokufa okungajwayelekile kwamaseli e-pancreatic ngemuva kohlobo olubi lwe-pancreatitis ebukhali.

Ama-pancreas wezingane asabela ngenkuthalo kunoma yikuphi ukubonakaliswa kwezinqubo ze-pathological ngokuvuvukala nokuvuvukala. I-Edema ithathelwa indawo ukuncipha komsebenzi wama-enzyme wokugaya. Lesi simo sibizwa nge-reactive pancreatitis. Isizathu sokuthuthukiswa kwalolu hlobo lwesifo yilezi:

• izinqubo zokuvuvukala zezitho eziseduze nama-pancreas;
• izifo ezithathelwanayo (amagciwane, amagciwane, isikhunta);
• ukungondleki kwengane (ukuntuleka kokuncelisa, ukudla okusheshayo, ukudla okungalungile, ukusetshenziswa kwemifino engavuthiwe nezithelo).

Ifomu elingamahlalakhona ezinganeni likhula ngendlela efanayo nasezigulini ezikhulile: ubuhlungu besisu ngokwephula ukudla kwe-pancreatitis, isicanucanu ngemuva kokudla okubabayo, ukudla okunamafutha, isifo sohudo, ukugcwala, ukuwohloka kwezinwele, izinzipho, isikhumba.

I-Reactive pancreatitis iyelapheka ngoba amangqamuzana edlala alimala ngenani elincane. Ngemva kokuqeda imbangela eyinhloko yalesi sifo, umsebenzi we-pancreas ujwayelekile, futhi ingane ingabuyela endleleni evamile yokuphila. Yiqiniso, uma ungathinti inkambo yesifo, iba yisifo esingelapheki.

I-pancreatitis esebenzayo ezinganeni ibonakala ngale ndlela elandelayo:

• indle enamanzi noma ukuqunjelwa okungapheli;
• ukuvuvukala;
• ukuqumba;
• ubuhlungu obuncane enkabeni.

Ukudla kwe-pancreatitis yezingane

Ukudla kwezingane kwakhiwa kuye ngohlobo lwesifo. Ku-pancreatitis engapheli, isiguli esincane kufanele sibambelele ekudleni okuqinile esigabeni sokubhebhetheka kwalesi sifo, futhi lapho isifo sobuhlungu sincipha, ungashintshela ekukhetheni okulungile. Ngeshwa, uhlobo olungapheli lwe-pancreatitis ludinga imikhawulo yokudla impilo yonke.

Ukudla okuqinile isikhathi esiyinyanga kunqunyelwe ingane ene-pancreatitis eyingozi. Inombolo yokudla 5 iwuhlelo olusebenza kahle kakhulu lokudla okunomsoco olukuvumela ukuthi ususe ngokuphelele isifo esibi eminyakeni emihlanu.

Ukudla kufanele kuphathwe ngokucophelela, ngoba ukuphambuka okuncane kubambezela inqubo yokuphulukisa.

Ukudla kwe-pancreatitis esebenzayo ezinganeni kubonwa okungenani amasonto amabili ngemuva kokuhlaselwa kwalesi sifo. Kulokhu, ungakhawuleli ingane kakhulu. Ukuze uthole ukwelashwa okuphelele, kwanele ukunamathela ezimisweni zokudla okunomsoco wengane efanele ubudala.

Kungakhathaliseki ukuthi yisiphi isigaba sesifo, kubalulekile ukukhipha ngokuphelele kumenyu:

• ukudla okubhemayo nokufakwe emanzini anosawoti;
• ukudla okusheshayo;
• okubabayo, okusawoti, okuthosiwe;
• imikhiqizo enama-preservatives, ukunambitheka kanye nezithuthukisi ukunambitheka.

Ukudla kwe-pancreatitis esebenzayo enganeni kukuvumela ukuthi wenze lokhu kudla okulandelayo:

Ukudla kwe-pancreatitis esebenzayo kususelwa etafuleni lokwelashwa №5

Ku-pancreatitis eyingozi kanye nokuhlaselwa kwefomu elingapheli lesifo, ingane kufanele ilaliswe esibhedlela.

Ezinsukwini zokuqala zengane, cishe azondli ngomlomo, kodwa zisebenzisa kuphela ukondliwa kwabazali. Ngosuku lwesibili, uma kungekho ukuhlaselwa kokuhlanza, unganikeza amanzi okuphuza, kodwa hhayi ngaphezu kwengilazi eyodwa ngosuku. Uma ukuhlaselwa kwe-pancreatitis kudlula, khona-ke kusukela ngosuku lwesithathu kuvunyelwe ukusebenzisa iphalishi elincanyana, amazambane abunjiwe, ama-compote asekelwe izithelo ezomisiwe, i-jelly. Kancane kancane, amasobho anomzimba, ama-omelettes angangezwa ekudleni, futhi nge-dynamics emihle - inyama yenkomo ebilisiwe, inkukhu. Kusukela ngesonto lesibili kumenyu, usungakwazi ukufaka ngokuphepha imikhiqizo yobisi enamafutha aphansi, inhlanzi nenyama, ebilisiwe noma e-steamed. Uhlelo oluningiliziwe lokudla okunempilo lukhethwa udokotela okhona.

Ingane ngokuvamile ayiqondi ubunzima besifo, kunzima kuye ukubekezelela isikhathi esiningi ngaphandle kwamaswidi. Ungenza i-jelly ngama-apula noma ubhake i-casserole enethenda. Ngokuphelele konke ukudla kungadliwa kuphela izingcezu ezifudumele nezincane. Kusukela kusawoti kanye noshukela okokuqala kungcono ukwenqaba nhlobo.

Ukudla kwe-pancreatitis ezinganeni ngemuva kwenyanga kuvumela ukusetshenziswa kwe-Adyghe ushizi, inyama ebhakiwe nenhlanzi, i-cottage shizi, i-pasta. Uhlu lwemifino evunyelwe lukhula kakhulu: i-zucchini, izaqathe, iklabishi, ithanga, ama-beet. Qiniseka ukuthi udla imikhiqizo yobisi yemvelo eyengeziwe. Ku-porridge, ungakwazi ukwengeza ibhotela elincane, kanye ne-mashed - ukhilimu.

Ngesikhathi sokuxolelwa, imenyu yengane kufanele inwetshwe kuye ngokuthuthuka kwenhlalakahle yakhe. Uma ama-pancreas ewubona kabi umkhiqizo osanda kwethulwa, kufanele ukhishwe ngokushesha. Kancane kancane, umntwana ngenani elilinganiselwe anganikezwa amajusi asanda kukhanywa, imifino yonyaka, amajikijolo. Ukudla okujwayelekile kwe-pancreatitis kufaka phakathi ukudla okunamaprotheni, okusanhlamvu okuwuketshezi kanye nenyama yenkukhu emhlophe. Isikhathi esithile, udinga ukuyeka ukusetshenziswa kobisi lonke, kodwa kuvunyelwe ukupheka okusanhlamvu kanye nesobho ngokusekelwe kulo. Izinyo elincane elimnandi ngezinye izikhathi lingatotoswa ngejamu, i-marshmallows, i-marmalade.

Ukuze ukudla okwelaphayo kuphumelele, kufanele unamathele esimisweni sakho sokudla - yidla njalo emahoreni ama-3 - 4. Qinisekisa ukuthi ingane ayinawo amakhefu amade elambile.

Uma ingane idla endaweni yokudlela yesikole, funda ngokucophelela imenyu yesikhungo. Ngokungangabazeki, izikhungo zemfundo nezasenkulisa zinamathela emigomeni yokudla okunomsoco, kepha akuyona yonke into enikezwa egumbini lokudlela engadliwa iziguli ezine-pancreatitis.

Ngaphambi kokuthumela ingane enkulisa noma esikoleni, kufanele kufakwe ekhadini lakhe mayelana nokuba khona kwe-pancreatitis kanye nesidingo sokudla okukhethekile kwezokwelapha. Lungiselela uhlu olunakho konke ukudla okungavunyelwe kumntwana, bese uludlulisela kuthisha, uthisha. Qinisekisa ukuthi uqhuba ingxoxo echazayo nomntwana ukuze aqonde ubucayi besifo futhi azi ukuthi kungenzeka ukudla ngaphandle. Lapho ingane iqonda isimo, kuyoba lula kuye ukunamathela ekudleni ngaphandle kokuphazamiseka.

Inkambo ye-pancreatitis ebuntwaneni incike emthwalweni wengane. Ukudla kwezingane ezine-pancreatitis engapheli kuyinkundla yokwakha uhlelo lokudla impilo yonke.

Izindlela zokudla ezidume kakhulu nezokudla ezigulini ezine-pancreatitis

Ngokuya ngohlobo lwesifo, isiguli sinqunyelwe ukudla okunemikhawulo echazwe ngokucacile kanye nohlu lokudla okuvunyelwe. Ekunqumeni uhlelo lokudla okunomsoco, umlando, ukusabela komzimba emaqenjini athile emikhiqizo kanye nokuba khona kwezifo ezihambisanayo kuyacatshangelwa. I-pancreatitis ayivamisile ukukhula njengesifo esizimele. Iziguli eziningi zihlushwa yi-gastritis, izilonda, i-hepatitis, isifo se-gallstone, njll. Lesi sici sidinga ukucatshangelwa lapho kwakhiwa uhlelo lwamandla.

Kusukela ngo-1920, uhlelo lomelaphi u-Pevsner lubhekwa njengesistimu yokudla okuthuthuke kakhulu. Udokotela usungule izinhlobonhlobo zamatafula angu-15 ezigulini eziphethwe izifo zamathumbu, isisu, ama-pancreas, njll. Inombolo yokudla ibonisa ukudla okukhethekile, okuhlanganisa uhlu oluthile lokudla. Iqembu ngalinye lezifo line "ithebula" lalo. Ngakho-ke, isibonelo, uma kwenzeka izifo zenhliziyo, iziguli zinqunywa I-Diet 10, futhi uma kwenzeka izinkinga zezinso - No. 7.

Ukuhambisana nenombolo yetafula kanye nesifo kukhombisa ithebula elikhethekile:

Amaresiphi ethebula ngalinye atholakala mahhala ku-inthanethi. Yikuphi ukudla okufanele isiguli kunganqunywa kuphela udokotela, ngemva kokuqhuba izifundo ezidingekayo.

Ukudla №1 (ithebula 1)

Inqunyelwe iziguli ezinezinkinga zesisu. Ungaqala ukudla ngemva kwamasonto amabili ngemva kokuhlaselwa ubuhlungu obukhulu. Ukudla okunomsoco wezokwelapha kuguqulwa udokotela ezinyangeni ezingu-5 kuphela ngemva kokuzuza ukuxolelwa okuzinzile.

I-Diet No. 1 ibeka phambili izidingo ezilandelayo esigulini:

• ukusetshenziswa kwemikhiqizo etholakala endaweni;
• ukwanda kwekhalori yansuku zonke kuya ku-2800 kcal (amaprotheni - 100 g, amafutha - 100 g, ama-carbohydrate - 400 g).

Ukudla okunekhalori ephezulu kungathinta kabi isisindo, ngakho-ke udinga ukwengeza umsebenzi womzimba.

Ukudla kwe-pancreatitis ne-gastritis kukuvumela ukuthi usebenzise uhlu olulandelayo lwemikhiqizo:

• isinkwa sikakolweni sayizolo;
• iphalishi eliwuketshezi ngefomu eligayiwe;
• isobho lemifino egayiwe;
• imifino ebilisiwe, izithelo, izitsha ezivela kuzo ezinoshukela owengeziwe;
• amasoso enziwe ekhaya ngaphandle kokwengezwa kwezinongo ezishisayo, ezinosawoti;
• imikhiqizo yobisi fresh;
• amazambane acubuziwe;
• izinhlobo ezinomzimba wezinhlanzi, inyama;

Ngokusho kokudla okuvunyelwe, inombolo yokudla 1 inikeza imenyu elandelayo:

Inhlanganisela yamatafula No. 1 kanye No. 5p kuwukudla okuhle kakhulu kwe-duodenitis ne-pancreatitis.

Ithebula №3

Ukudla kwe-pancreatitis ngokuqunjelwa kuphakamisa ukuxwaya inani elikhulu le-fiber kanye ne-bran, okudala ukuhlaselwa kobuhlungu. Ukudla #3 kusekelwe ekudleni ukudla okuthambile, okuwuketshezi okunesitashi esincane kanye namaprotheni ezilwane. Izingxenye zesiguli kufanele zibe zincane - zingabi ngaphezu kwama-200 g.

Uhlelo lwamandla luvumela ukusetshenziswa kwemikhiqizo elandelayo:

• bran, imikhiqizo yokubhaka okusanhlamvu;
• isobho semifino esekelwe inkukhu, umhluzi wezinhlanzi;
• izinhlobo ezithambile zenyama, inhlanzi;
• okusanhlamvu;
• amaqanda enkukhu abilisiwe, kodwa hhayi ngaphezu kwe-1 pcs. ngosuku;
• izithelo nemifino engeyona i-acidic;
• imifino, ibhotela;
• ubisi, itiye, ikhofi, umhluzi we-dogrose, i-herbal infusions.

Kunoma yikuphi, awukwazi ukudla imikhiqizo kafulawa omhlophe, izitsha ezinamathelayo, amakhekhe anokhilimu, u-garlic, ikhofi, iziphuzo ezidakayo.

Imenyu yokudla elinganiselwe inombolo 3:

I-Pevzner Diet ye-Pancreatitis (Ithebula No. XXUMX)

Lolu uhlelo olukhethekile lokudla okunomsoco olusetshenziswa ngenkuthalo ngesikhathi sokwelashwa kwezifo zesibindi kanye ne-biliary tract. I-Diet No. 5p ingukuguqulwa kwethebula No. 5, eguqulelwe iziguli ezihlushwa i-pancreatitis.

Inombolo yokudla 5 ye-pancreatitis inikezwa ngezinguqulo eziningana.

Ezigulini ezinesimo esibi sesifo, ukudla No. 5b kufanelekile. Futhi, imenyu yaleli thebula kuthiwa yenziwa ezigulini ngezikhathi zokubhebhetheka kwe-pancreatitis engapheli. Ukudla kunqunywa ngemuva kwezinsuku ezimbili kusukela ekuqaleni kwalesi sifo, ngemuva kokuphela kwendlala yokwelapha. Ngalesi sikhathi, ama-pancreas avuvukele adinga ukuphumula okuphezulu.

Ngokukhula kwe-pancreatitis, kuyadingeka:

• qeda ngokuphelele ekudleni kokudla okuvuselela ama-pancreas, isisu;
• ungadli izitsha “ezisindayo”;
• susa emikhiqizweni yokudla elimaza amanyikwe.

Usuku lonke, isiguli sidinga ukudla ukudla okuncane (200 g) njalo emahoreni ama-2 (cishe izikhathi ezingu-8 ngosuku). Lapho upheka, imikhiqizo ingabiliswa noma ifakwe ngesitimu. Ezinsukwini zokuqala zokudla, isiguli kufanele sinikezwe ukudla ngendlela echotshoziwe.

Uhlu lwemikhiqizo evunyelwe enguqulweni yokuqala ye-Diet №5п:

• irayisi, i-semolina, i-buckwheat, i-oatmeal, ephekwe emanzini noma ubisi ngokulingana 50: 50. Okusanhlamvu kungasetshenziselwa ukupheka amasobho alula;
• ama-crackers, isinkwa esidala;
• i-pasta ebilisiwe kusuka kukolweni we-durum;
• inyama emhlophe engenamafutha (inkukhu, i-turkey, unogwaja);
• izinhlobo zezinhlanzi ezincane (zander, pollock);
• imikhiqizo yobisi enamafutha aphansi;
• imifino kanye nebhotela (akukho ngaphezu kwama-5 ngosuku);
• imifino, izithelo ngendlela ecutshunguliwe (amazambane acutshiwe, ama-jellies);
• inkukhu amaqanda abamhlophe;
• ama-herbal decoctions, i-fruit jelly neziphuzo zezithelo.

Iziguli zivunyelwe ukudla ukudla okusha okufudumele ngaphandle kokungeza ushukela, usawoti, izinongo. Isonto ngemuva kokuqala kokudla, ungangeza ama-sweeteners ekudleni. Noma kunjalo, iziguli ezine-pancreatitis azikwazi ukudla imikhiqizo eseqediwe neqediwe evela ezitolo ezinkulu. Imenyu yalokhu okuhlukile isetshenziswa njengokudla kwe-hepatitis kanye ne-pancreatitis.

Inguqulo yesibili ye-Diet №5 yenzelwe iziguli ezine-pancreatitis engapheli ngemuva kokuncipha kokuqina, ngezikhathi zokuxolelwa. Ukulawulwa kwamandla kukuvumela ukuthi ukwandise umsebenzi we-pancreas futhi uvimbele ukwanda kwefomu elingapheli lesifo. Imenyu yokudla iqukethe ukudla okucebile ngamaprotheni, amavithamini namaminerali ukugwema ukuthuthukiswa kwezinkinga ezingase zibe khona. Umphumela omubi kakhulu we-pancreatitis ubonwa njengesifo sikashukela.

Isikhathi phakathi kokudla akufanele sidlule amahora amane. Umthamo wokuphakelwa okukodwa, okuhlanganisa noketshezi, ungama-500 g. Le nguqulo ye-Diet No. 5 ikuvumela ukuthi udle izitshulu nezitsha ezibhakiwe. Ngezikhathi zokuxolelwa, izitsha kufanele zichotshozwe; esimweni esivamile, kwanele ukuhlafuna ukudla kahle.

Ngaphezu kwemikhiqizo evunyelwe enguqulweni yokuqala yokudla, ububanzi bunwetshwa kakhulu:

• ibhali, ibhali, okusanhlamvu kakolweni;
• imifino emisha (encane);
• ama-pastry (amakhukhi, isinkwa);
• izingxenye ezithambile zenyama, zihlanzwa ngamafutha, imisipha namafilimu;
• izinhlanzi ezondile;
• uhlaza;
• amaqanda abilisiwe abilisiwe;
• amaswidi (marshmallows, uju, marmalade, marshmallow);
• usawoti kanye noshukela (hhayi ngaphezu kwe-10 ngosuku).

Kungakhathalekile ukuthi iyiphi inketho Yokudla #5, kunohlu lokudla okungafanele kudliwe ngaphansi kwanoma yiziphi izimo:

• iziphuzo ezidakayo;
• amakhowe;
• izinongo ezibabayo nezinongo;
• inyama enamafutha kanye ne-offal;
• imikhiqizo ebhemayo;
• i-confectionery;
• imifino ebukhali / emuncu nezithelo;
• izinto ezibhakwa nge-bran, ngesisekelo se-puff pastry;
• ukudla okuthosiwe.

Ngesikhathi sokwelashwa kufanele kucabangele izici zomzimba kanye nokusabela kwayo emikhiqizweni ethile. Ukwethulwa kokudla kwezitsha ezintsha kwenziwa kancane kancane ngaphandle kokubangela ukungakhululeki kuma-pancreas.

Isampula yemenyu yosuku ngokusho kokudla No. 5p ye-pancreatitis:

Ukudla No. 5a kuwukudla okukhethekile okukuvumela ukuthi unciphise umthwalo ku-gallbladder, isibindi kanye nama-pancreas. Ukudla kwe-pancreatitis ne-cholecystitis akuhlukile kakhulu kuwo wonke umjikelezo wenombolo yetafula 5. Ngaphezu kohlu oluyinhloko lokudla okunqatshelwe, akuvunyelwe ukusebenzisa:

• i-kvass;
• isinkwa;
• ubhontshisi wesoya;
• ushizi ogayiwe, i-cottage shizi;
• ezisawolintshi.

Ithebula No. XXUMX elinezichibiyelo ezincane lingasetshenziswa njengokudla kwe-pancreatitis kanye ne-colitis.

Ithebula №6

Lokhu ukudla kwesifo se-gallstone ne-pancreatitis. Kungase kuphakame ubunzima ezigulini ezine-pancreatitis eyingozi, ngoba ukwelashwa kwe-cholelithiasis (cholelithiasis) kuhilela ukusetshenziswa kwenani elikhulu lemifino nezithelo ezicasula ama-pancreas.

Ngenombolo yokudla 6, kuvunyelwe ukusebenzisa:

• amasobho emifino yemifino;
• ama-puddings ezithelo;
• ukolweni omusha nesinkwa sikabran;
• okusanhlamvu;
• i-pasta;
• amaqanda enkukhu;
• imifino eluhlaza (esidlweni ngasinye);
• izithelo ezintsha;
• uwoyela wemifino;
• ikhofi ebuthakathaka ngobisi;
• amajusi, iziphuzo zezithelo, i-kvass.

Ithebula No. XXUMX iwukudla okonga, ngakho imikhawulo ayiqinile kakhulu:

• i-cocoa, ikhofi eqinile;
• i-sorrel, isipinashi;
• ubhontshisi;
• amakhowe;
• imajarini, ibhotela.

Ezimpawu zokuqala ze-pathology ye-biliary system, kuyadingeka ukubonana nodokotela, njengoba i-biliary pancreatitis ingakhula.

Ezimweni lapho ukuvuvukala kwama-pancreas kukhula nezinye izifo, odokotela bahlanganisa izinhlelo ezahlukene zokudla okunomsoco.

1. Ukudla kwe-pancreatitis nesifo sesibindi kuhlanganisa amatafula №5, №5а, №5п. Izincomo ezifanayo zisetshenziswa ngokudla kwezilonda kanye ne-pancreatitis.
2. Nge-cholecystopancreatitis, inombolo yokudla 1 inqunyelwe, ikakhulukazi ezimeni lapho i-gallbladder isusiwe.
3. Ukudla kwe-gastroduodenitis ne-pancreatitis kufaka phakathi ukudla kwamatafula No. 2, No. 5p.

Ngokungeziwe ohlelweni lokudla lomelaphi u-Pevsner, ukudla okufushane nezinsuku zokuzila kuyathandwa:

1. Ukudla kwamaprotheni. Ukudla kwenziwa ngemikhiqizo yamaprotheni (i-cottage shizi, amaqanda amhlophe, isifuba sezinkukhu), ngakho-ke ama-pancreas awathinteki kakhulu. Kodwa-ke, isikhathi eside akufanele udle amaprotheni kuphela, ngoba phakathi nalesi sikhathi izinso zibhekene nomthwalo ophindwe kabili. Ochwepheshe bayeluleka ukushintshanisa izinsuku zamaprotheni ngezinsuku ezixutshwe (ukwengeza ama-carbohydrate ayinkimbinkimbi ngendlela yokusanhlamvu, i-pasta, isinkwa esomile). Lokhu kudla kungasetshenziswa ngesikhathi sokuvuvukala okuncane kwe-pancreatitis engapheli.
2. Ukudla kwe-Buckwheat kwe-pancreatitis kunconywa odokotela abaningi kanye nezazi zokudla njengendlela yokuhlanza umzimba. Inkambo yokuhlanza akufanele yenziwe ngaphezu kwesisodwa njalo ezinyangeni ezintathu.

Inkomishi eyodwa ye-buckwheat ithululelwa ilitha le-kefir futhi yenziwe amahora angu-12. Umthamo ophumayo uhlukaniswe izingxenye ezimbili ezilinganayo, enye yazo idliwe ukudla kwasekuseni, neyesibili isidlo sakusihlwa. Ukubuyekezwa kokudla kukhombisa ukuthambekela okuhle ekwelapheni i-pancreatitis.

Ukudla ekhaya kuyisinyathelo esikhulu endleleni eya ekululameni. Kusukela ekuzikhuzeni kwesiguli kuncike esimweni sempilo yaso kanye nekhono lokuqeda ngokuphelele i-pancreatitis.

Imithombo ye