Pancreatitis yog ib yam kab mob txaus ntshai uas cov neeg tshaj 40 xyoo tshwj xeeb tshaj yog. Kev kho mob ntawm hom mob hnyav yog nqa nrog kev siv cov tshuaj uas muaj zog, txawm li cas los xij, kev kho kom rov qab zoo tuaj yeem ua tiav tsuas yog yog tias koj hloov koj txoj kev ua neej nyob ib txwm thiab ua raws li kev noj haus nruj tshaj plaws.
Txawm li cas los xij, tsis yog txhua yam khoom noj kom noj qab haus huv yuav zoo sib xws rau kev mob ntawm cov txiav. Cov kws kho tshiab txog niaj hnub no lees paub hais tias kev noj zaub mov 5 nrog mob qog noj zaub mov yog qhov pom kev noj zaub mov zoo tshaj plaws thiab pab ua kom lub nra hnyav hnyav rau lub cev.
Tab sis dab tsi yuav tsum yog cov khoom noj rau txhua hnub nrog pancreatitis thiab cholecystitis? Tso cai rau cov kabmob thiab zaub mov dabtsi rau tus kabmob no, yuav ua li cas ua zaub mov rau lawv thiab ua haujlwm dabtsi? Nws yog cov teeb meem no uas feem ntau tshwm sim hauv cov neeg mob nrog kev paub txog tus mob hu ua pancreatic.
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Hauv thawj ob rau peb hnub tom qab raug mob ntawm tus kab mob pancreatitis, tus neeg mob raug qhia kom ua siab rau nws tus kheej kom noj thiab haus. Kev yoo mov qhuav yuav pab txo lub nra ntawm tus mob ua kom nqus thiab txo cov tsos mob ntawm tus kab mob. Txhawm rau tiv thaiv lub cev qhuav dej thiab ua kom lub cev tsis muaj zog, cov kev daws teeb meem tshwj xeeb yog muab rau cov neeg mob hauv tsev lossis hauv tsev kho mob.
Hnub plaub, tus neeg mob tau hais kom maj mam tawm ntawm qhov tshaib plab thiab qhia nws thawj zaug noj zaub mov. Thaum pib, txhawm rau txhim kho lub txiav, tus neeg mob tau muab rau haus dej alkaline ntxhia, dej rosehip si thiab tshuaj yej ntsuab.
Tsuas yog tom qab no, tus neeg uas kuaj pom muaj tus mob pancreatitis tuaj yeem hloov mus rau txoj kev noj zaub mov zoo raws li kev noj zaub mov tus lej 5. Nws yog ib qho tseem ceeb kom nco ntsoov tias kev noj zaub mov noj zaub mov naj npawb 5 yog nruj heev thiab tsim ib qho kev txwv tsis yog rau ntau tus naj npawb ntawm cov khoom, tab sis kuj nyob rau ntau txoj kev ua noj.
Lub hom phiaj tseem ceeb ntawm kev noj zaub mov 5 yog txhawm rau txhawm rau kev zais plab zom zaub mov los ntawm cov txiav, txo cov tshuaj lom neeg, kub thiab lub cev ua rau lub plab zom mov, tiv thaiv kev txhim kho ntawm pancreatic degeneration thiab fatty infiltration, thiab txo qhov kev pheej hmoo ntawm gallbladder spasms.
Txog kev rov ua kom tiav, nws yog ib qho tsim nyog yuav tsum ua raws li cov khoom noj no rau tsawg kawg 8 lub hlis, thiab nyiam dua ib xyoos. Qhov no yuav txo txoj kev pheej rov huam mob dua, uas ua rau tuaj yeem ua rau pancreatic necrosis thiab mob qog nqaij hlav pancreatic.
Kev noj haus No. 5 tau tsim los ntawm tus kws paub txog Soviet tshwj xeeb thiab tus kws tshaj lij kev txawj noj zaub mov Manuil Pevzner. Nws muab faib ua tsib hom sib txawv: 5a (kab mob siab, cholecystitis thiab cholelithiasis), 5sc (mob postcholecystectomy syndrome), 5l / f (kab mob siab), 5p (mob plab thiab duodenal mob) thiab 5p (mob pancreatitis).
Kev noj cov zaub mov 5p nrog kev mob pancreatitis yog qhov muaj txiaj ntsig tshaj plaws thiab muaj tshuaj kho kom haum rau cov neeg mob uas muaj mob pancreatic. Nws cov ntsiab cai tseem ceeb muaj raws li hauv qab no:
- Tus neeg mob yuav tsum tau noj zaub mov kom ntau, tab sis hauv seem me. Qhov txiaj ntsig zoo tshaj plaws yuav yog rau pluas noj nyob rau ib hnub;
- Ib qho kev pabcuam ntawm cov zaub mov yuav tsum tsis pub ntau tshaj 300 gr .;
- Tag nrho cov khoom lag luam yuav tsum muab siav, ci lossis ci. Tag nrho cov kib thiab zaub mov yog ua los txwv tsis pub;
- Khoom noj khoom haus yuav tsum ua kom haum thiab sau rau tag nrho lub cev xav tau cov vitamins thiab minerals;
- Tus neeg mob txoj kev noj haus yuav tsum muaj tag nrho ntawm cov semi-kua thiab mashed lauj kaub tais diav. Cov zaub ntshiab, tshaaj cov nqaij, kua zaub thiab kua zaub kua txob pub;
- Txhua yam zaub mov yuav tsum sov so. Cov zaub mov kub thiab txias yog txwv tsis pub siv;
- Cov zaub mov nplua nuj nyob hauv cov ntxhib fiber ntau yuav tsum tau cais tawm ntawm cov khoom noj;
- Tus neeg mob cov zaub mov noj yuav tsum suav nrog qhov tsawg kawg yog cov rog thiab carbohydrates, cov khoom qab zib tsis suav nrog;
- Hnub uas tus neeg mob raug tso cai rau haus tsis ntau tshaj li 1.5 ລິດ ntawm cov kua dej ib hnub;
- Acidic zaub mov raug poob siab.
Kev noj haus No. 5 yog ntawm ob hom: 5a - rau cov neeg mob uas muaj tus kab mob pancreatitis thiab thaum lub sij hawm exacerbation ntawm daim ntawv ntev ntawm tus kab mob, 5b - rau kom rov zoo rau cov neeg mob uas mob rau ntawm tus txiav thiab nrog tus mob txhaws ntswg thaum kho. Qhov kev faib tawm no yog siv tshwj xeeb los ntawm cov kws kho mob thiab cov neeg zoo tib yam, nws tsis paub me me.
Yog li, tsuas yog tus kws kho mob yuav tsum muaj peev xwm sau ntawv noj zaub mov 5p, tuaj yeem ntsuas tus neeg mob kom raug thiab, ntawm qhov no, xaiv cov khoom noj muaj txiaj ntsig zoo rau nws.
Cov Khoom Uas Tso Cai
Nrog rau 5p kev noj haus, qhov kom muaj caloric txhua hnub yuav tsum yog los ntawm 1500 txog 1700 kcal. Hauv qhov no, tus neeg mob cov zaub mov noj yuav tsum tsis pub ntau tshaj 200 grams. carbohydrates, 80 gr. protein thiab 50 gr. rog ib hnub. Nws tseem yog qhov tseem ceeb kawg rau kev txwv cov ntsev kom ntau li 10 grams. ib hnub.
Tsis tas li ntawd, nws yuav tsum nco ntsoov tias tawm ntawm 200 gr. carbohydrates tsuas 25 gr. yuav tsum suav cov piam thaj, thiab txij li 50 grams. cov rog feem ntau yuav tsum yog cov roj zaub ntuj. Khoom noj khoom haus rau pancreatitis yuav tsum yog lub teeb thiab nyob rau hauv tsis muaj ib qho dhau los ua kom lub plab zom mov.
Npaj zaub mov noj rau tus neeg mob nrog pancreatitis yog qhov tsim nyog tsuas yog los ntawm cov khoom tshiab thiab zoo nkauj. Kev cog zaub thiab txiv hmab txiv ntoo, cov zaub mov rancid thiab lwm cov zaub mov tsis huv yuav tsum tau muab cais tawm ntawm tus neeg mob cov zaub mov, vim tias lawv tuaj yeem tsim kev puas tsuaj rau tus neeg mob.
Tso cai rau cov khoom lag luam thiab cov tais diav, thiab cov hau kev rau lawv kev npaj:
- Cov zaub: qos yaj ywm, carrots, taub, zucchini (zucchini), taum ntsuab ntsuab, zaub paj (zaub cob pob) thiab beets. Lawv tuaj yeem noj cov rwj thiab ci, yav tas los tau muab so los ntawm sab cib. Nws yog qhov tshwj xeeb tshaj yog siv los ua noj zaub ntsuab nrog qhov sib ntxiv ntawm ib qho me me ntawm cov mis thiab butter. Raws li tus neeg mob rov qab, lawv raug tso cai los muab cov zaub nyoos thiab cov carrots siav rau ntawm grater zoo;
- Cov pob kws: buckwheat, txhuv, semolina thiab oatmeal (nyob rau hauv cov qauv ntawm cov lis thiab plaub ncuav. Porridge rau cov neeg mob uas muaj tus kab mob pancreatitis yuav tsum tau npaj rau hauv dej nrog ntxiv rau ntawm qhov me me ntawm cov mis nyuj. Ua rau lub rooj hauv daim ntawv ua noj lossis hau. Qhov txiaj ntsig zoo tshaj plaws rau tus neeg mob yuav yog cov dej ua kua dej ib nrab dej, yog li ntawd, rau lawv txoj kev npaj, koj tuaj yeem siv cov mov nplej los yog cov hmoov nplej buckwheat;
- Nqaij: nqaij tawv tsis muaj nqaij qaib, luav, veal thiab ntxiv nqaij nyug. Nqaij pub rau noj tsuas yog hau lossis muab cub. Ua ntej muab kev pab, nws yuav tsum muab tws. Cov zaub mov tseem ceeb tshaj plaws yog cov tais cutlets, nqaij souffle, meatballs thiab meatballs. Zoo nqaij qaib siav lossis luav nqaij tuaj yeem muab rau hauv ib qho me me;
- Ntses: cod, pike perch, hake, hom carp, pollock, perch, pike, xiav whiting thiab lwm hom ntses uas muaj roj tsawg. Nqaij ntses tuaj yeem muab rhaub hauv cov dej npau npau thiab muab cub rau hauv ob lub rhaub npau npau lossis ua kom siav qeeb. Los ntawm ntses koj tuaj yeem ua ntses ncuav thiab ncuav qos yaj ywm, thiab lub cev me me tuaj yeem muab tag nrho. Nws yog ib qho tsim nyog yuav tsum tau rhaub ntses hauv qhov dej ntau kom txhawm rau tshem tawm cov khoom siv rho tawm los ntawm nws;
- Cov mis nyuj thiab mis nyuj: mis-rog tsawg kefir, yogurt thiab yog-rog yogurt. Tag nrho cov mis nyuj tsuas yog siv rau kev ua noj, piv txwv li, cov kab noj mis nyuj, kua zaub thiab omelettes. Qaub cream thiab grated muaj roj tsawg rog tuaj yeem siv los hnav cov khoom noj tau npaj tos. Rog-dawb lub tsev cheese, uas yuav ua rau cov calcium calcium, yog qhov pab tau zoo rau kev ua mob ntawm cov txiav;
- Txiv hmab txiv ntoo: qab zib txiv apples thiab pears. Cov txiv hmab txiv ntoo mos tuaj yeem noj tau raw, ua ntej-txig ntawm cov nplua grater. Qhov no yuav pab ua kom ntxuav tau lub plab hnyuv. Hard apples thiab pears tsuas tuaj yeem noj ci. Lwm yam txiv hmab txiv ntoo thiab txiv hmab txiv ntoo tuaj yeem siv los ua jelly, jelly thiab mousse. Cov txiaj ntsig zoo rau pancreatitis compotes ntawm cov txiv hmab txiv ntoo qhuav thiab lub decoction ntawm lub duav duav;
- Qe: omelettes thiab qe-muag muag. Qhov muaj txiaj ntsig zoo tshaj plaws rau pancreatitis yog chav omelettes. Thaum muaj mob hnyav ntawm tus kabmob, lawv yuav tsum npaj los ntawm cov protein ib leeg. Koj tuaj yeem tso cov qe ua kua muag rau hauv tus neeg mob noj, tab sis tsis ntau tshaj ib hnub;
- Mov ci: tsuas yog qhob cij dawb ua los ntawm cov hmoov nplej zoo. Tib lub sijhawm, ncuav yuav tsum tsis txhob yuav tshiab, tab sis nag hmo. Nws tseem zoo dua rau tus neeg mob siv cov crackers ua los ntawm cov khob cij dawb. Nws tseem raug tso cai noj ncuav biscuit thiab ncuav mov ci ntawm cov hmoov nplej hwm zoo;
- Kua zaub: Zaub thiab cereal. Kua zaub rau cov neeg mob uas muaj tus kab mob pancreatic tuaj yeem npaj tsuas yog npaj zaub paj zaub. Cov zaub kua zaub yuav tsum tau muab txiav kom zoo thiab tsis muaj kib. Nws raug tso cai ntxiv kom ntxiv kua zaub rau kua zaub, tab sis nws zoo rau rhaub lawv los yog so hauv ib sab. Qhov muaj txiaj ntsig zoo tshaj plaws rau kev ua mob ntawm cov txiav caj dab yuav tseem ua kua zaub, kua zaub kua zaub, nrog rau kua zaub kua mis nrog ntxiv cov dej. Koj tuaj yeem sau cov kua zaub nrog qaub cream, cream, ib qho me me ntawm butter lossis me ntsis ziab, tab sis tsis kib hmoov;
- Cov kua ntses: tsuas yog nyob rau zaub lossis cereal kua zaub. Cov kua ntsw yuav tsum tsis yog roj. Rau kev saj, lawv raug tso cai ntxiv qab zib lossis kua mis. Ua cov thickener, koj tuaj yeem siv cov hmoov nplej uas tsis tau kib;
- Dej qab zib: maj mam brewed ntsuab lossis dub tshuaj yej, kua txiv qab zib kua txiv diluted nrog dej, txiv hmab txiv ntoo los ntawm tshiab thiab qhuav txiv hmab txiv ntoo thiab txiv hmab txiv ntoo. Nws yog qhov zoo siv rau biliary pancreatitis alkaline ntxhia dej tsis muaj roj.
Rau cov neeg mob cov neeg laus, muaj cov chav tsim tshuaj tshwj xeeb uas lawv yuav muab cov zaub mov raws li txhua txoj cai ntawm kev noj zaub mov 5 thiab lwm cov txheej txheem kho mob. Hauv cov chav tsim kho tus mob no, tus neeg mob yuav rov qab los ntawm kev saib xyuas tas li los ntawm cov kws kho mob, uas tshem tawm qhov ntxim pheej ntawm qhov rov huam mob dua.
Hauv kev ua tiav ntawm pancreatitis, txhawm rau txhim kho kev zom zaub mov, tus neeg mob tau raug nquahu kom npaj los ntawm cov neeg muaj kua paug pancreatic enzymes.
Cov tshuaj yeeb yaj kiab uas nrov tshaj plaws nrog tshuaj nquag pancreatin yog Gastenorm forte, Creon thiab Mezim.
Cov Khoom Txwv Txwv
Nrog rau cov khoom noj naj npawb 5, ntau cov khoom noj khoom haus thiab cov tais diav ib txwm rau Lavxias yog txwv. Kev noj haus tshwj xeeb tshaj plaws yuav tsum tau ua hauv thawj lub lis piam tom qab kev tawm tsam ntawm pancreatitis, thaum kev noj zaub mov hauv lub cev txhua hnub yuav tsum tsis pub ntau tshaj 1500 kcal.
Nws yog ib qho tseem ceeb kom ua raws li kev noj zaub mov zoo tas li, suav nrog hnub so. Cov kev so me ntsis tuaj yeem ua rau 
raug mob thib ob hauv pancreatitis thiab ua rau tsev kho mob maj nrawm. Nws yuav tsum nco ntsoov tias kev txiav txim siab yog ib qho tseem ceeb tshaj plaws ntawm tib neeg cov plab hnyuv siab raum thiab nws cov kab mob cuam tshuam rau kev ua haujlwm ntawm txhua yam muaj sia.
Nws yog ib qho tseem ceeb tshwj xeeb rau kev mob pancreatic kom tsis txhob haus dej haus cawv tag nrho. Cawv yog thawj tus yeeb ncuab ntawm lub txiav, thiab feem ntau nws txoj kev siv ntau dhau lawm feem ntau ua rau kev txhim kho ntawm cov dej cawv ua tus txiav. Qhov kev txwv no siv rau txhua yam zaub mov txawv rau cov tais diav uas muaj qee qhov cawv tsawg nyob hauv.
Dab tsi koj tuaj yeem tsis noj nrog nrog mob ntawm daim tawv nqaij:
- Rye, bran thiab tag nrho cov qhob cij, mov ci tshiab los ntawm cov hmoov nplej zoo tshaj plaws, cov khoom qab zib, ncuav pastries, loaves, yob, pies los ntawm puff, shortbread thiab poov mov paj;
- Cov kua zaub npaj rau nqaij, nceb lossis ntses kua zaub, borsch thiab zaub qhwv kua zaub los ntawm cov zaub qhwv tshiab thiab tsib, txhua yam kua zaub txias, nrog rau okroshka thiab beetroot;
- Tag nrho cov tais diav hauv cov roj - pancakes, pancakes, cheesecakes, kib ncuav;
- Rog cov nqaij - nqaij npuas, yaj, os, os. Cov rog rog - ntses liab, tuna, mackerel, trout, sturgeon thiab halibut. Ntau yam nqaij uas tau haus luam yeeb, nqaij hauv kaus poom thiab ntses, caviar, cov ntses qab ntsev, hnyuv ntxwm, hnyuv ntxwm, nqaij thiab nqaij ci thiab nqaij ntses, kib nqaij thiab nqaij ci. Txhua yam mob - mob siab, raum, plawv thiab paj hlwb;
- Fried thiab stewed zaub - french fries, kib zucchini, kib zaub cutlets, zaub stew;
- Groats - hlaws barley, millet, nplej, pob kws thiab barley groats. Tej porridge xoob;
- Cov zaub nplua nuj nyob hauv ntxhib cov nqaij - radish, turnip, radish, rutabaga, zaub qhwv dawb, txaij, taum paj taum pauv, taum pauv, taum pauv thiab nceb;
- Nqaij tsiaj - lard, nqaij nyuj thiab nqaij rog mutton;
- Txiv hmab txiv ntoo nrog cov piam thaj hauv qab zib ntau - tsawb, txiv quav ntswv nyoos, hnub tim, txiv mab txiv ntoo, dib liab thiab txiv ntsej muag;
- Sib zog-hau qe, kib omelet thiab kib qe;
- Cov mis nyuj uas muaj rog, rog ua rau cov nqaij npuag lossis qab ntsev, ntsev qab ntsev thiab ntsim ntsim, xiav cheese;
- Ntsim seasonings - horseradish, mustard, liab thiab dub kua txob, ketchup thiab mayonnaise;
- Cov tshuaj ntsuab ntsim - zaub txhwb qaib, dill, zaub kav, cilantro, basil, thiab lwm yam; Fresh thiab qhuav;
- Kas fes, cocoa, iab thiab mis chocolate, ntuav, jam, zib ntab, mis nyuj khov thiab lwm cov dej qab zib yog txwv tsis pub.
Cov lus qhia txog kev noj zaub mov 5 tau muab tso hauv cov yeeb yaj kiab hauv tsab xov xwm no.
